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November 24, 1900


JAMA. 1900;XXXV(21):1352. doi:10.1001/jama.1900.02460470042006

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The prevalence of yellow fever this year in Havana has excited some comment and has often been referred to as discrediting the efficacy of the sanitary work done there since the American occupation. In a recent communication to a New York paper, Dr. L. C. Carr, of the United States Army, calls attention to the error of assuming that conditions at Havana are the same as regards this disorder as in other parts of the island. According to him, the eastern section of Cuba has been notably free from the disease this year. In the provinces of Santiago and Puerto Principe, comprising nearly half of the island, there have been so far only four or five cases in 1900: three at Nuevitas, one at Santiago, and one at Gibara. Two at least of these were rather dubious as regards diagnosis. Since yellow fever has in the past been endemic in

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