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March 26, 1892


JAMA. 1892;XVIII(13):393-396. doi:10.1001/jama.1892.02411170019003

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PHILADELPHIA LETTER.  Now that Spring has come, according to the almanac, we may take mental survey of the season which has just passed and sum up our impressions of its general character. The verdict from a medical standpoint is that it was bad and that nothing in its conduct became it so well as the manner of its leaving. Following the epidemic of influenza, we have had in this city an unusual number of other zymotic affections. From January 9th to March 12th, there were 949 cases of diphtheria reported to the Bureau of Health of Philadelphia, of which 315,or 33 per cent.,terminated fatally. During the same period, there were 609 cases of typhoid fever, with 140 deaths. In the opinion of the Health Officer, the high percentage of deaths warrants the conclusion that physicians have not made a prompt return of all the cases as required by law. The recent outbreak

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