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October 6, 1923


Author Affiliations


JAMA. 1923;81(14):1164-1166. doi:10.1001/jama.1923.02650140008003

My purpose is to call attention to the danger of typhus fever becoming endemic in the southwestern portion of the United States, and to urge the local authorities to action in preventing such a condition. Therefore, this paper is limited in its scope.

The first recognized and recorded cases of typhus fever in southern California occurred in the summer of 1916, when many Mexicans came to this section during a civil war in their own country. Many of these were of the peon class and came from districts of Mexico where this disease was endemic. The first case seen in Los Angeles came from a laboring camp of the Santa Fe Railroad in Arizona. The patient had visited El Paso on the border of old Mexico, and he was dead when I saw him. I made the diagnosis in collaboration with the necropsy surgeon of Los Angeles County. The patient's

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