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May 10, 1902


JAMA. 1902;XXXVIII(19):1236. doi:10.1001/jama.1902.02480190042008

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The published report of Maj. W. C. Gorgas, chief sanitary officer of the City of Havana, is an interesting document. It includes only the period ending Dec. 30, 1900, but in this some of the most striking results of the introduction of proper sanitation into a district where it had been notably neglected were apparent. Aside from the question of yellow fever, the etiology and prophylaxis of which were practically settled during the period, the results with other diseases are also remarkable. Tuberculosis, which during the decade 1890 to 1899, had a mortality of 1683 annually, or 7.5 to each 1000 of the population, was reduced to 5.39 in 1899 and 3.40 per 1000 in 1900. If there could be any doubt as to the effect of proper sanitation on the prevalence of this disease the progressive reduction here produced ought to settle it, supporting as it does the facts

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