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To establish efficient rules for the hygienic management of a disease it is first necessary to have definite ideas in regard to its causation, the condition of the subject and the environment most conducive to its development.
In respect to trachoma our knowledge is sadly deficient as to the majority of these factors. We have not yet arrived at the unanimous acceptance of a microbic origin of the disease. While the probabilities, in view of recent bacteriologic studies, point to the existence of a specific micro-organism as concerned in some way in the production of trachoma, the most diligent researches have failed to find one which any considerable number of investigators have agreed upon as the definite trachomatous microbe. By others it is held that the disease is essentially one of the adenoid tissue of the conjunctiva, which an inflammation of that membrane brought about by any means whatever is
BURNETT SM. HINTS ON THE HYGIENE OF TRACHOMA AND THE INFLUENCE OF ALTITUDE AND CLIMATE. JAMA. 1898;XXX(3):127–128. doi:10.1001/jama.1898.72440550015001g
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