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February 28, 1914


JAMA. 1914;LXII(9):678-680. doi:10.1001/jama.1914.02560340020006

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It has recently been my fortune to attend several cases of poliomyelitis and to investigate a small epidemic which occurred among the Indians of some fishing villages situated in central Alaska near the town of Tanana on the Yukon River.

The epidemic was not an extensive one. There were a few more than thirty cases in all. There were four deaths, three of which occurred in camps on the Yukon River and one at Tanana, Alaska. In five cases there was residual paralysis. The symptoms of poliomyelitis were in no way different from those which are usually described. Eleven of the cases came under observation of the army surgeons stationed at Fort Gibbon.

The interesting features of this epidemic were associated with its mode of origin, its progress and its decline. The epidemic among the human subjects was preceded by an epidemic of "distemper" among the dogs. The symptoms manifested

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