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December 28, 1901


Author Affiliations

Attending Physician to the Cook County and Presbyterian Hospitals; President Chicago Society of Internal Medicine; Secretary Illinois Society for the Prevention of Consumption. CHICAGO.

JAMA. 1901;XXXVII(26):1718-1721. doi:10.1001/jama.1901.62470520004001a

When asked to present a paper on this subject I consented willingly, but it was willingness born of ignorance; I had no idea of the task before me. On investigating the literature on the subject of tuberculosis in the Middle States, I found that the mass of information concerning the climatology of these states and the factors which might cause or cure consumption was very meager. The subject soon outran the bounds of a twenty-minute paper. Therefore, I have arbitrarily selected the following states for consideration: Michigan, Ohio, Indiana, Illinois, Kentucky, Wisconsin, Minnesota, Iowa, Missouri, North and South Dakota, Nebraska, and Kansas. They lie between the Appalachian system of mountains on the east and the Rocky mountains on the west, the Mississippi river draining the valley which slopes toward its shores. The altitude of this valley varies from 400 to the highest mountain tops of 3000 feet. But the greater

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