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Official reports indicate that cholera has appeared in Hawaii, 35 cases and 26 deaths having occurred between February 25 and April 16, 1911. This close approach to the Pacific Coast and actual infection of the island territory gives cause for concern at this time, when the disease has apparently receded from European ports. The present pandemic that has now threatened both our Atlantic and our Pacific coasts began in India in 1902, and in that year spread to China and the Philippine Islands. Since then the disease has gradually but steadily extended, both by caravan routes and by sea, until Persia, Arabia, Egypt, Syria, Palestine and Asia Minor were infected. Had the infection stopped there, American shipping would have been in no great danger, but outbreaks also subsequently occurred in Russia, a few cases were reported from Germany, and during the past fall and winter rather severe outbreaks have occurred
THE CHOLERA SITUATION. JAMA. 1911;LVI(19):1392–1393. doi:10.1001/jama.1911.02560190020012
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