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December 5, 1908


JAMA. 1908;LI(23):1978. doi:10.1001/jama.1908.02540230064007

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Cholera in Russia, which has recently caused well-founded alarm in all countries having commercial intercourse with the infected region, is reported in the Public Health Reports to be on the decrease. The present outbreak began in July and August principally in Astrakhan and Saratov, the disease having been previously absent from Russia since last January. Its appearance in the remote southeastern provinces of Russia in July did not attract much sanitary attention. In September, however, when cases began to appear in the neighborhood of St. Petersburg, the situation was justly regarded as grave.

The cases have since increased alarmingly, not only in the Russian capital but in many other parts of the country; at St. Petersburg between 6,000 and 7,000 have been recorded, with a mortality of about one in three. On the appearance of cholera at St. Petersburg the Public Health and Marine-Hospital Service sent a medical officer to

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