[Skip to Content]
[Skip to Content Landing]
November 16, 1912


JAMA. 1912;LIX(20):1780-1784. doi:10.1001/jama.1912.04270110194007

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


The recent outbreak of plague in Havana is fruitful with epidemiologic and clinical lessons. The success so promptly attained in stamping out the disease was mainly due to the immediate public declaration of the conditions existing; not only of the actual demonstration of the infection, but even of the suspicions that preceded such demonstration. Work was commenced at once with all the vigor, the precision and the public support that can only be obtained after a frank statement of the situation.

I have contended for the following fundamental rule in sanitary practice: Work must be done in the broad daylight; the people should know what we are doing, and what to expect. If we never deceive them, they will believe what we say; we obtain their cooperation, we minimize panic, and we can begin active operations at once. All this is the most elemental common sense; but, strange to say,

First Page Preview View Large
First page PDF preview
First page PDF preview