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August 18, 1906


JAMA. 1906;XLVII(7):513. doi:10.1001/jama.1906.02520070047011

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Many years ago, in the pre-aseptic days, a prominent Chicago surgeon published a paper showing that better results in surgery were obtained in the lake region than in other parts of the country. This paper was the subject of some dispute and discussion at the time. Now comes Chicago's assistant health commissioner, Dr. F. W. Reilly, with figures comparing the death rate of the five principal lake cities, Chicago, Cleveland, Buffalo, Detroit and Milwaukee with the other principal cities of the country situated on the seacoast and on rivers, and showing a decided advantage in favor of the former. From his figures it appears that the death rate of the river cities, Philadelphia, St. Louis, Pittsburg, Cincinnati, New Orleans and Washington, is 35 per cent. higher than the rate of the lake cities mentioned, and that the four great seaports, New York, Boston, Baltimore and San Francisco, is 31.4 per

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