From the few reports of similar large and small outbreaks of a mild acute gastrointestinal disturbance observed in the United States,1 Germany,2 Canada,3 England,4 Denmark,5 Australia6 and elsewhere, one would gain the impression that it is an uncommon "new" disease entity. It is almost certain, however, that it is a widespread, communicable, endemic, sporadic and at times epidemic disease or group of diseases, apart from the known forms of dysentery and acute food poisoning, which because of its mildness usually passes unnoted in the press of other problems. In our experience, cases or groups of cases similar to those described have been casually observed for years. Most of the reported epidemics among adults occurred in schools, barracks, hospitals and hotels where the number, not the severity, of cases attracted attention and provoked inquiry. The majority of patients are not sick severely enough or long
REIMANN HA, HODGES JH, PRICE AH. EPIDEMIC DIARRHEA, NAUSEA AND VOMITING OF UNKNOWN CAUSE. JAMA. 1945;127(1):1–6. doi:10.1001/jama.1945.02860010003001
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