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San Juan, P. R., Dec. 27, 1899.
To the Editor:
—As a supplement to the article by my scientific friend, Colonel Smart, on the Army Ration (see Journal, xxxiii, p. 1507), let me add a few practical observations gathered in Porto Rico.Duty has taken me at one time or another since the first days of the American invasion into almost every town from Ysabela, on the northwest coast, to Humacao, on the east coast and then up the military road to this capital. In the district of Guyama and southern Humacao it was part of my business to investigate the cause of deaths among the natives.Everywhere I found the main causes assigned to be anemia and phthisis. Everywhere I went I was struck by this ever-prevalent anemia. The pale, yellowish, waxy skin, the bloodless lips and swollen puffy features formed a picture never seen by me out of
Egan PR. The Army Ration. JAMA. 1900;XXXIV(1):59. doi:10.1001/jama.1900.02460010067023
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