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October 24, 1891


JAMA. 1891;XVII(17):642. doi:10.1001/jama.1891.02410950030003

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At irregular periods we are called upon to chronicle the passage over our country of a contaminating, epidemic influence that manifests itself at various points with more or less virulence. In some localities the wave seems to be but a gentle breeze, as shown in an outbreak of scarlet fever attacking very many children, but easy of management, and followed by few, if any, deaths. Another locality develops a focus of diphtheria that has in it all the characteristics of a veritable cyclone. Those who are stricken with the disease, are so overwhelmed with the poison as to be at once clasped in the arms of the grim monster, and in spite of all known remedial measures the victims quickly succumb to his fatal embrace.

The present season will be remembered as one of extended epidemic influence, in which every considerable centre of population has suffered to some extent from

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