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October 8, 1927


Author Affiliations


JAMA. 1927;89(15):1198-1201. doi:10.1001/jama.1927.02690150008003

Typhoid has been steadily decreasing throughout the United States, but unfortunately is still a major problem in the Southern states. The death rates and total deaths from this disease in Alabama during the last decade are shown in chart 1.

An analysis1 of the location of cases and deaths during 1924 and 1925 has shown that it is the small town and strictly rural districts that supply most of the cases. The highest rates occur in the towns with populations under 1,000, while 80 per cent of the typhoid occurs in the rural areas and towns with populations up to 5,000. Conditions favoring the occurrence and spread of the disease in this section of the population are of interest. Water supplies, milk supplies and sanitation are naturally the first considerations. Water supplies as a rule are not community supplies except in the larger places. Wells of varying depth are the