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August 9, 1952


Author Affiliations

Director, Cook County Department of Public Health 737 Wolcott Ave., Chicago 12.

JAMA. 1952;149(15):1413. doi:10.1001/jama.1952.02930320053019

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To the Editor:—  I have read with interest the article entitled "Home Care of Patients with Acute Poliomyelitis" by Philip M. Stimson, M.D., published in The Journal (June 21, 1952, page 719). There is no question but that the emotional attitudes of the family and-patient are important. Hospitalization in many instances is unnecessary, and long periods of transportation are detrimental; however, I do feel it necessary to comment on some other considerations.In the recognizable case without paralysis, it is well known that the severity of the early signs and symptoms bears no direct relationship to prognosis in regard to either life or developing weakness. Also, changes in the patient's condition can develop rapidly, and, if the patient is hospitalized, appropriate measures can be immediately instituted. However, if the patient is at home, the attendant may not notice the signs, the physician may not be located promptly, and the transportation

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