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Diphtheria is a frequent and most destructive disease, a large and familiar outlet of youthful life. Children of tender years are specially susceptible to it, and no condition of life seems to materially influenee the liability to the disease. The rich and the poor, alike, suffer severely from it. Sanitary conditions, as a matter of fact, seem to have little to do with its prevalence. Though most writers characterize it as a filth disease, a view of its history shows that it pays little regard to filthy or cleanly surroundings. Dr. Thursfield's observations as sanitary inspector of a district in England extending over twelve hundred square miles, show the number of fatal cases of diphtheria in the rural portion to be nearly three times that in the urban. Dr. Longstaff at another period, in his report on the "Geographical Distribution of Diphtheria in England and Wales," shows that the disease
DIXON WA. OBSERVATIONS ON ISOLATED CASES OF DIPHTHERIA.Read in the Section on Diseases of Children, at the Forty-fourth Annual Meeting of the American Medical Association. JAMA. 1893;XXI(23):850–853. doi:10.1001/jama.1893.02420750020002f
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