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Malaria may, to some extent, be a water-borne disease, but that the malaria plasmodium or poison gains admittance into the system wholly by way of the stomach, we think we have ample evidence to lead us to doubt. The plasmodium malariæ or malarial poison certainly gains admittance into the system through the respiratory organs as well.
I will give a hasty review of the disease as it came under my observation in 1864 and 1865. The Valley City, to which I was attached, had a roving permission to cruise in the sounds of North Carolina and up the rivers that empty into these sounds. The water of the sounds at times is brackish, as it has connection with the ocean through Ocracoke Inlet. The intensity of the disease and the number of cases that occurred increased in the following localities in the order named: 1, the region of the Pamlico
BATTEN JM. IS MALARIA A WATER-BORNE DISEASE? JAMA. 1897;XXIX(7):327–328. doi:10.1001/jama.1897.02440330027001h
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