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Professor Vaughan's communication elsewhere in this issue states the conditions of success in the construction of the Panama canal as succinctly and forcibly as can be done. That the problem is first of all a sanitary one is well known to all medical men who have paid any attention whatever to the conditions existing on the Isthmus. Nevertheless, the difficulties which it involves have been too much ignored and, as Dr. Vaughan says, this was the main reason of the failure of the French canal company to complete its work. The canal can be built, as he admits, without special measures for sanitation, but at a cost of human life and treasure that is almost incalculable, to say nothing of the danger he mentions of involving other regions. The first thing to do is to render the region habitable for the great number of laborers of whatever nationality that will
THE SANITARY PROBLEM OF PANAMA.. JAMA. 1905;XLV(11):794–795. doi:10.1001/jama.1905.02510110050011
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