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November 4, 1911


Author Affiliations


JAMA. 1911;LVII(19):1524-1526. doi:10.1001/jama.1911.04260110024009

Among the causes of what may not inappropriately be termed municipal diseases infection, irritation and neurovascular tension play a peculiarly predominant part—most of them an obvious part; some, however, are subtle in their workings. To specify three concrete elements corresponding to and mainly responsible for or contributory to these etiologic processes, there are dust, smoke and unnecessary noise; and the one that looms largest in municipal morbidity and mortality is undoubtedly the widespread prevalence of an irritating as well as infecting dust contamination of our city atmosphere. This dust menace and nuisance is preventable, not only in the streets, as is now demonstrated in a few large cities, but likewise in our living and working places, in houses, cars, stores, factories, shops, offices, stations, theaters and churches; in fact, there is a vicious circle here in that street-dust is blown, swept and tracked into habitations, to be swept back into

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