In conformity with the practice adopted in previous reports a communication was addressed to the health officer of each of the cities requesting the number of deaths from typhoid, excluding paratyphoid, both among residents and among nonresidents as recorded for 1946. The health directors of many cities keep no data on reallocations for residence, and this information can be secured only from the state health department, whose figures are not available until several months after the close of the calendar year. In some instances multiple inquiries brought forth irreconcilable replies. Too frequently the reporting of deaths is left to subordinate employees, and carelessness is evident. The health officer should give final approval to statistical data released by his department. A few health officers seem to have no knowledge of how many typhoid deaths have occurred in their community, and it becomes an increasing struggle to obtain accurate data. The possession
TYPHOID IN THE LARGE CITIES OF THE UNITED STATES IN 1946Thirty-Third Report. JAMA. 1947;134(13):1086–1090. doi:10.1001/jama.1947.72880300001008
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