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November 25, 1893


JAMA. 1893;XXI(22):820. doi:10.1001/jama.1893.02420740030009

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There are fashions in medicine as in everything else, and among the sanitarians and public health men as among the clinicians. When some years since the connection between typhoid fever and sewer air was suggested by the evidence of accumulated observation, every outbreak of that disease in which the mode of propagation was not patent was ascribed to defects in the sewerage system or in the house plumbing. More recently, when the water propagation of the disease was demonstrated in some instances that are now classical, as the Lausanne epidemic in Switzerland and the Plymouth outbreak in this country, it became customary to ascribe to an infected water supply all cases of uncertain origin. Conservative medical men who accept new views slowly have often been dissatisfied with the grounds on which water supplies have been condemned in special outbreaks. There has, however, now been made public in a Supplement to

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