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January 22, 1910


JAMA. 1910;LIV(4):277-281. doi:10.1001/jama.1910.92550300001001n

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It is the purpose of this paper, in order to answer many of the questions asked in letters from physicians over this and neighboring states, to chronicle a few interesting facts relative to the epidemic of spinal disease now prevalent in Nebraska and variously diagnosed as cerebrospinal meningitis, acute anterior poliomyelitis, myelitis and meningitis.

The recognition of the epidemic in new neighborhoods is important, first, on account of its infectiousness and contagiousness and the consequent necessity of early and immediate quarantine; second, because of the relatively high fatality and the question of the possibility of using Flexner's serum ; and, third, because new and interesting facts concerning poliomyelitis and meningitis of epidemic variety may show the necessity of disregarding at times the things we have been taught in favor of unmistakable clinical evidence to the contrary.

About July 4 an epidemic of spinal

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