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Novmber 21, 1959


Author Affiliations

Valley Forge Heart Hospital and Medical Center Norristown, Pa.

JAMA. 1959;171(12):1730. doi:10.1001/jama.1959.03010300104030

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To the Editor:—  I have read the editorial in the Sept. 12 issue of The Journal, page 188, on "Epidemiology of the Future," as well as the article by Milton Golin to which it referred. I consider it imperative that every general practitioner and specialist read both. You are correct in pointing to the great advance in the recognition of mental illness as a disease entity. More significant, from the general physician's point of view, is the factor of externally imposed emotional disturbance in the whole spectrum of somatic diseases.From the standpoint of my own specialty, which is the cardiovascular system, my experience over three decades convinces me that no less than 70% of cardiovascular disease is caused by environmental stress. We may not be able to change society, but we may, at least, observe gradual modifications for the better that take place in an evolutionary way from generation

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