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To the Editor:—
We have been repeatedly warned that plague infection is spreading eastward from the Pacific Coast (Eskey, C. R., and Hass, V. H.: Pub. Health Rep.54:1467 [Aug. 11] 1939; Hampton, B. C., ibid.55:1143 [June 28] 1940; General Medical News, The Journal, September 13, p. 947). It would seem that more information than exists at present should be at hand before it can be accepted as a fact that the infection is really spreading and before any serious alarm is raised. Infection may indeed seem to be spreading eastward if a research for infected rodents spreads in the same direction. For example, the recent discovery of plague infected rodents in the Dakotas may prompt an extension of investigation eastward into Minnesota and Iowa, and if positive results are obtained in the latter states it would appear that the infection had just arrived there. It would
Reimann HA. PLAGUE. JAMA. 1941;117(15):1283. doi:10.1001/jama.1941.02820410061029
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