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January 25, 1908


JAMA. 1908;L(4):279-280. doi:10.1001/jama.1908.25310300031003b

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When it is realized how often the soles of the shoes come in contact with infectious matter and how little is done to destroy such infection, it is readily seen that here is a neglected point in prophylaxis. A man walks the streets and then, with the same shoes on, walks over the carpet on which his babe creeps, placing everything it reaches, as well as its fingers, in its mouth. The shoes are removed on retiring and the individual goes to bed with the taint of the day's travel on his hands. A nurse spends the day in a typhoid ward, using all precautions to protect other patients, but the shoes she wears —what becomes of them? The interne passes from ward to ward with uncleaned shoes, sufficient dirt and débris clinging to the leather to protect the bacteria from the disinfecting power of air and sunlight and they

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