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Key West, Fla., Aug. 22, 1900.
To the Editor:
—In reply to your query as to the correctness of report of four cases of tetanus neonatorum and one case of tetanus (adult), the result is perfectly correct. I can assign no reason for the high percentage of tetanus, unless it be that tetanus is far more prevalent in warm and moist climates than in cool and dry ones. This I read when I was a student about forty years ago, and my residence here for over thirty-five years confirms it. A very significant fact, lending aid to this explanation, is that although by far the large majority of the cases of tetanus in the adult are traumatic—the adult case reported was from traumatism, a splinter under the finger-nail—yet quite a large number of cases are idiopathic.While the old women and the midwives attribute tetanus neonatorum generally to some supposed
Plummer JWVR. Tetanus Neonatorum and Hot Moist Climates. JAMA. 1900;XXXV(9):570. doi:10.1001/jama.1900.02460350040013
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