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October 28, 1911

Low Sanitary Standards in Rural Communities

Author Affiliations

Florence, N. J.

JAMA. 1911;LVII(18):1473-1474. doi:10.1001/jama.1911.04260100299031

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To the Editor:  —A Current Comment in The Journal (Oct. 7, 1911, p. 1214) leads me to describe the status quo of the town in which I am practicing. No doubt there are numerous parallel cases which literally "smell to heaven." while eliciting no reaction in the obtuse sensibilities of human beings. Our community has about 2,000 inhabitants, but is not incorporated, being part of the township government. It has been built up alongside a foundry which employs nearly all the men of the place; the owners of the foundry hold title to a large section of the dwellings. There is no sewer system and no public water-supply, a matter of surprise in view of the fact that the inhabitants are mostly American-born. In three squares of the section owned by the foundry authorities, the water-closets are without vaults and all overflow into open drains in the rear alleys, from

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