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July 27, 1912

PLAGUETHE MENACE OF THE UNITED STATES OF AMERICA

JAMA. 1912;LIX(4):237-242. doi:10.1001/jama.1912.04270070236001
Abstract

The United States to-day is confronted with a problem of momentous import, and one whose very gravity should awaken the entire country, from north to south, east to west, to immediate action—the danger of plague invasion. Plague has manifested itself in Porto Rico, an American possession, and Cuba, an American dependency, two of the principal islands of the West Indies. No longer may we consider it a disease of only the Old World; it is, despite traditional epidemiologic cant, a disease of universal distribution, and as much at home in the Americas as in the Far East.

The idea of plague ever ravaging the Mississippi valley or sweeping the Atlantic seaboard of this country may be dismissed by some persons as an unfounded fancy. Notwithstanding the preponderance of belief to the contrary, it is my opinion that the sections of the United States above mentioned will yet have

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