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July 20, 1907


JAMA. 1907;XLIX(3):248. doi:10.1001/jama.1907.02530030052004

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We have reached the season when infant mortality is the most serious problem with which the physician has to deal. We hear much of milk and its dangers, of crowded tenements and long-continued heat, of uncleanly quarters and garbage accumulation, but there is one factor in modern infant mortality of which we shall hear comparatively little, and yet which is of greater importance than any or perhaps even than all of these. In spite of this it is the element whose effect on the problem can be more directly traced than any other. It is the one of all the factors which, instead of being on the decrease in influence, as are practically all of the others, owing to the ameliorating hygienic effect of modern science and the spread of modern methods of sanitation, is decidedly on the increase, and threatens in the near future to be, if possible, even

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