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As I have been in dispensary work, I have been surprised at the prevalence of the itch, particularly among the Italians, and others of the lower foreign people who crowd together in uncleanliness, and then go through the community hawking their trinkets. Repeatedly I have seen persons covered from head to foot with this infectious disease, and on inquiry found that they were peddlars, going from house to house with cloth and other articles, which the people handle. Further inquiries have elicited the fact that they have had the eruption several years, and that others of the same dens are in a like condition. Now it is almost useless for a private or dispensary physician to attempt to eradicate the disease, even from one of them, to say nothing of exterminating the pest from the mass of filthy rags which they wear or amid which they sleep. Such dens of
E. CHENERY. A PROPER SUBJECT FOR PUBLIC HEALTH.. JAMA. 1892;XVIII(12):354–356. doi:10.1001/jama.1892.02411160012001d