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September 18, 1926


JAMA. 1926;87(12):959-960. doi:10.1001/jama.1926.02680120069032

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To the Editor:  —Of all the public buildings in New York, the public elementary schools as well as high schools are being constructed still without any elevator facilities for the children. Some of these buildings are four and five stories high, necessitating the climbing of stairs, which is harmful even for the normal children and certainly for those with potential or certain cardiac defects, as well as for those who suffer from anemia, malnutrition, and the like.I have written recently to the superintendent of schools and he replied that it was a surprise to him that any physician would suddenly begin to consider this aspect of the situation when for years doctors did not object to children climbing stairs.It is my conviction that stress and strain involve effects on the heart and arteries the full measure of which we have not yet apprehended. It is certain that in

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