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May 18, 1912

Observations on the Natural History of EPIDEMIC Diarrhea.

JAMA. 1912;LVIII(20):1531. doi:10.1001/jama.1912.04260050207028

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This is an interesting study of an epidemic of diarrhea which occurred in Mansfield, England, during the summer and autumn of 1908. While the area studied and reported on only includes two districts, the careful manner in which the investigation was carried on makes it a valuable contribution to the literature on the subject.

Peters first presents a statistical study of age, prevalence, fatality, etc., afterward taking up the clinical features of the disease and the influence on the epidemic of social relations, including houses, occupations, school attendance, condition of yards, streets, etc., domestic sanitation, and condition of the food-supply, including water. He then discusses at length the epidemiologic features, discussing various theories as to the causation of epidemic diarrhea, the methods of transmission, the factors governing epidemic prevalence, the influence determining the mortality and morbidity, etc. A carefully considered chapter on prevention and treatment summarizes the experience obtained in

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