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September 15, 1923


JAMA. 1923;81(11):921-924. doi:10.1001/jama.1923.02650110051014

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The history of the after-care of poliomyelitis in Vermont is of interest as it was the first state-wide work in this field undertaken anywhere in the country, and is today the most fully developed scheme for the aftercare of the disease on a state-wide scale which exists. There has been no attempt to make the present account a technical one. It is rather the object of this report to show how the plan of after-care now in operation in Vermont developed, what difficulties were encountered, and how they were met.

In the years 1910, 1911, 1912 and 1913, cases of poliomyelitis were reported in Vermont, but in 1914 there occurred an epidemic of great severity, with a very high incidence across the northern half of the state, and from this epidemic 306 cases were reported. Undoubtedly, not all of the cases were reported; but of those that were, the mortality

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