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August 27, 1927


JAMA. 1927;89(9):705-706. doi:10.1001/jama.1927.02690090055022

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Small Epidemic of Mild Typhus  Dr. Olmer of Marseilles has informed the Académie de médecine of a recent epidemic of mild typhus in that city. It was characterized by slight but constant symptoms and by the absence of the Weill-Félix reaction. From the symptoms given, Netter recognized Brill's disease, which he described in New York in 1897 and observed in Paris in 1916 and 1917. Netter shares Brill's opinion that this disease is a typhus attenuated by time and by passage through a large number of carriers, but he believes that it would be a mistake to feel too secure in the opinion that this attenuation is final. In 1893, eighty years after the last epidemic of typhus in France, an epidemic, quickly brought under control, broke out in Paris. It appeared to have originated in small foci in certain small villages in Brittany, where the disease had persisted in

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