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October 29, 1932


JAMA. 1932;99(18):1523-1524. doi:10.1001/jama.1932.02740700063029

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Epidemic Cerebrospinal Meningitis in Germany  A report published by Dr. Linder in the Reichsgesundheitsblatt shows that epidemic cerebrospinal meningitis occurs only sporadically in Germany and in many other countries. In England and in the United States an increase in the morbidity was observed in 1931, the number of cases in the United States increasing to 5,293, as compared with 1,916 in 1926. In 1932 the disease took on epidemic proportions in Egypt and in some Chinese ports. The case mortality rate in Germany ranges between 40 and 60 per cent; when higher rates are reported, it is doubtless due to inadequate notification of cases. In the northern hemisphere the disease is most prevalent during the first two quarters. It is essentially a children's disease; in Germany more than half of the cases occur in children, and the mortality of the infants, which ranges between 80 and 90 per cent, is