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January 14, 1939


JAMA. 1939;112(2):168-169. doi:10.1001/jama.1939.02800020074023

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To the Editor:—  Unfortunately there are no studies in medical literature which throw any definite light on the subject of pneumonia in private practice, particularly pneumonia in rural private practice. I have heard a good many country doctors claim that their death rate in pneumonia was very low, but when one begins to question them more carefully it is almost impossible to get any accurate figures as to types, character of pneumonia or age of patient.As a matter of fact, there is much ground for the belief that pneumonia in the country is considerably milder than it is in the large cities, with a correspondingly lower death rate. No doubt this is due largely to the fact that the severe types (types I, II and III) are rarely encountered in the country districts. However, I would be willing to go still further and admit that a hundred type I

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