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February 5, 1927


Author Affiliations

New York. Professor, Public Health Administration, Columbia University

JAMA. 1927;88(6):424. doi:10.1001/jama.1927.02680320060030

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To the Editor:  —May I suggest that your current comment on this subject, January 8, is misleading, and perhaps fraught with injury to the several hundred thousand American Indians?Improvements in the Indian medical service there have been; the good faith with which they have been attempted, and the definiteness of the results, episodic and inadequate as they are, calls for fullest recognition. What calls for correction is the tendency of the Indian Commissioner's report to create an impression that existing administrative initiative is sufficing to deal with a serious and tragic condition.What are the facts, as revealed by the federal census? I have the mortality tables before me, showing the deaths per thousand of Indians within the registration area. These tables shown an increase of 48 per cent in the mortality rate among the Indians in the four years ending 1924, the last year for which complete data

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