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January 29, 1927


JAMA. 1927;88(5):338. doi:10.1001/jama.1927.02680310050022

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Tuberculosis in Tobacco Handlers  Dr. Grünbaum, director of the Versorgungs-Kuranstalt in Nauheim, has made a statistical study of health conditions among tobacco workers of Baden and the southern part of the Palatinate. In these regions tuberculosis mortality and infant mortality are high; but infant mortality may be high in regions in which the incidence of tuberculosis is low. In other places, the tuberculosis mortality and the infant mortality are below the average, but every place in the regions investigated that had a high incidence of tuberculosis had also a high infant mortality. His researches have led him to the conclusion that "tobaccosis" does not exist; that is, a direct connection between tobacco dust or nicotine injuries, on the one hand, and tuberculosis morbidity and tuberculosis mortality, on the other hand, cannot be established. Employment in a hygienic tobacco factory does not endanger health. On the contrary, it must be assumed

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