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September 17, 1904


JAMA. 1904;XLIII(12):817. doi:10.1001/jama.1904.02500120053010

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It is generally understood that the arrangements by which the independence of Cuba was secured included provisions for adequate sanitary measures being adopted by the Cuban authorities to prevent danger of transmission of disease to this country. It appears that difficulties have been experienced, that local authorities refuse to co-operate, and that in some of the interior cities the conditions are far from satisfactory. It is unfortunate for Cuba if it has failed to make provision for central control of sanitation or for such measures as would compel the local authorities to do their duty. If an epidemic of yellow fever or any other tropical infection should be transmitted to us from infected points it would be difficult for the Cuban Government to escape the charge of bad faith and treaty violation. Of course, the greatest danger lies in the principal seaports, and we believe that Havana at least, under

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