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May 6, 1905


JAMA. 1905;XLIV(18):1453. doi:10.1001/jama.1905.02500450041008

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The report issued by the local government board of Liverpool with reference to the influence of smallpox hospitals in spreading the disease among persons living in their neighborhood, confirms the fact that these hospitals should be used not only for the purpose of isolating persons affected with smallpox, but should be themselves isolated so far as locality is concerned. Investigations from Liverpool during the recent severe and protracted epidemic of smallpox show that inhabited areas within a mile of each of the three hospitals used have suffered more severely than the city as a whole, and that within these hospital areas the dwellings nearer the hospitals have sustained a far heavier incidence of smallpox than those farther away. It is shown, further, that the exceptional incidence of smallpox within these areas has corresponded in point of time with the use of these hospitals for the treatment of acute cases of

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