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November 4, 1893

ON THE PROPHYLAXIS OF CONTAGIOUS DISEASES IN A LARGE CITY.Read in the Section on State Medicine, at the Forty-fourth Annual Meeting of the American Medical Association.

JAMA. 1893;XXI(19):694-695. doi:10.1001/jama.1893.02420710022002i

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The above subject may seem to some who have not had charge of the department of contagious diseases of a large city, a very simple question. It will be found the most difficult problem that comes to the health officer for solution.

An experience of six years as Health Officer of Detroit has most effectually changed many of my views on this subject, and what I now lay before you is the result of practical every-day efforts to reach the point of holding these diseases in check to the greatest degree possible. I am satisfied I have found a method, but as my Board has not indorsed it, it must slumber until some one proves that my views belong to the practical every-day realm and not to theory. I place before you a tabulated record of the contagious diseases, scarlatina and diphtheria, and will refer to it as I go

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