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October 1, 1932


JAMA. 1932;99(14):1177. doi:10.1001/jama.1932.02740660055016

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The interest of former generations of American physicians in tropical disease was largely academic. The routine examinations of quarantine at ports of entry and the oceans on both sides of the country seemed to be sufficient protection from diseases considered peculiar to hot climates. Today it is becoming apparent that these ideas must be revised and that the tropics have other diseases against which our climate is not an adequate safeguard. Amebic dysentery, for example, has been removed from the category of tropical diseases; it is frequently found in the temperate zones. Last week The Journal published the report of another tropical disease present in the United States to an unexpected degree. The report of DeWolf and Van Cleve shows that lymphogranuloma inguinale cannot be regarded as foreign to our shores. Many cases were found in Cleveland, and a similar study in other large cities probably would reveal a similar

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