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Article
September 15, 1917

CIVILIZATION AND DETERIORATION

JAMA. 1917;LXIX(11):912. doi:10.1001/jama.1917.02590380054020
Abstract

Nowadays, when one hears so much about the crimes of civilization as an almost unspeakable and inconceivable concomitant of the warfare of the assumedly intellectual nations, it may be informing, though not inspiring, to turn to the silent crimes of peaceful civilization. Maccaughey,1 of the College of Hawaii at Honolulu, has given a depressing picture of the deterioration of the early Hawaiians, one of the finest physical types native in the Pacific and comparing favorably with the best from any part of the world.

In order to understand what the debasing influence of intercourse with the assumedly higher Caucasian peoples has wrought in undermining, with astonishing speed, the constitution of a once physically splendid race, it is essential to recall the Hawaiian of only a few generations ago. The details of bodily superiority need not be rehearsed here; but certain items of the Hawaiian customs and hygiene are worth

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