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December 18, 1915


JAMA. 1915;LXV(25):2170-2171. doi:10.1001/jama.1915.02580250042019

The statistics and experiences derived from the cholera outbreak in Manila somewhat more than a year ago furnish a number of new considerations for the guidance of those entrusted with the problems of public health.1 Two important features stand out clearly in the light of the successful control of the situation in the Philippines. One of these is the demonstration that in effectively combating a cholera invasion, the use of laboratory facilities in the making of bacteriologic diagnosis on a large scale is absolutely essential. Without such assistance as is available in the well-equipped Insular Bureau of Science, the results which have been accomplished would have been impossible. From November 1 to November 10 alone approximately 20,000 bacteriologic examinations were made, and before the work of inspection was completed, the number of examinations must have exceeded 100,000. The administration of such a service is, by itself, an affair of