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June 17, 1933


JAMA. 1933;100(24):1948-1949. doi:10.1001/jama.1933.02740240044025

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Cancer Mortality in Relation to Environment  In Munich, a city of 736,000 inhabitants, cancer was in 1932 far in the lead as a cause of death (1,381 deaths, as against 1,361 in 1931). Deaths from the other principal causes ran as follows: organic heart disease, 880; heart failure or cardiac paralysis, 323; arteriosclerosis, 691; cerebral hemorrhage, 578; pulmonary tuberculosis, 531 (1931: 586). Per 10,000 inhabitants there were 18.8 cancer deaths. The Berlin statisticians G. Wolff and A. Jahn have established by an exhaustive inquiry that no influence of wealth or social position on the level of cancer mortality can be demonstrated. This fact that cancer is independent of environmental influences is evidence against its contagious nature.

Mortality from Influenza  According to reports of the federal bureau of health, the first quarter of 1933 lay in the shadow of the influenza epidemic, which increased the general mortality, while the marriage and

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