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April 16, 1910

Sugar and Rice as Transmitters of Cholera

JAMA. 1910;LIV(16):1326. doi:10.1001/jama.1910.02550420050013

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To the Editor:  —The letter in The Journal, March 26, regarding "The Late Dr. James Sykes and a Cholera Epidemic," was read with great interest by me. The trouble no doubt lay in the raw sugar, possibly brought from the Philippines or Java. I have known of cases where two hundred coolies died of cholera on the docks in Bangkok in one day, and you can easily see how bags of rice and of sugar could become contaminated by the discharges of those ill with cholera.

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