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November 29, 1902


JAMA. 1902;XXXIX(22):1395. doi:10.1001/jama.1902.02480480037003

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Under the name of settlement work there has come in most of our large cities in recent years an organized effort to bring at least some of the better educated classes, mostly young university men and women, into personal contact with the very poor and the ignorant in the tenement-house districts. Modern great city life, especially in this country, has brought almost absolute separation of the classes. In certain of the great cities abroad it still sometimes happens that the houses facing on the street and those on the courtyard of a square may shelter widely-separated members of the social scale, but this is practically never the case in the United States. This separation deprives the poor and ignorant of one of their most effective influences for cleanliness and hygienic living, the example of those whom they look up to and whom they respect. This is unfortunate, since example, especially

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