Previous to 1896 there had never been more than two or three cases of typhoid fever in the hospital for insane at Independence. Early in September of that year it made its appearance for the first time as an epidemic. and within three weeks twenty-eight cases, all males, were taken down with the disease. It was not confined to one ward, but after its advent it broke out at intervals of a few days in widely separated wards or in the cottages; sometimes one case a day, and at others two or three would be stricken with it on the same day and in the same ward. It ran its course within twelve weeks and disappeared, leaving the institution apparently free from the contagion until August 6, 1898, when it was visited by a second epidemic, which spread quite rapidly and in much the same manner as the first, continued
BOODY G. TYPHOID FEVER. NOTES ON TWO EPIDEMICS IN THE IOWA HOSPITAL FOR INSANE. JAMA. 1899;XXXIII(10):573–577. doi:10.1001/jama.1899.92450620011001c
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