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October 7, 1905


JAMA. 1905;XLV(15):1091. doi:10.1001/jama.1905.02510150055012

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It is to be hoped that the outbreaks of typhoid fever, which occur from time to time in various localities and which are usually carefully analyzed in relation to cause, are making a strong impression on the public. The infection is usually due to carelessness—often in either water or milk supply. An instructive report1 of a study of the Palo Alto epidemic is just received; the milk was at fault in this case. Of the total 236 cases in the epidemic, 216 used milk supplied by one dairyman; 16 others may have been secondary infection, although they used milk supplied by the same milkman; 2 cases were infected while away, and only 2 cases occurred without known connection with the objectionable milk or with previous cases. The portion of the pamphlet by Dr. W. F. Snow on the source of infection in the milk supply shows careful analysis and

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