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January 1919

A REPORT ON GOITER AMONG DRAFT MEN FROM THE NORTHWEST

Author Affiliations

Captain, M. C.; First Lieutenant, M. C. FORT MC DOWELL, CALIF.

Arch Intern Med (Chic). 1919;23(1):61-68. doi:10.1001/archinte.1919.00090180066005
Abstract

During the May and June examinations of western drafted men at this depot, a remarkable number of thyroid enlargements were noted. Many were unassociated with toxic symptoms, and at first no exact record was made beyond a simple notation of the condition. It soon became evident, however, that a considerable proportion of the cases had true hyperthyroidism and were unfit for general military service. These men were studied with especial reference to nervous and vasomotor instability and cardiac and renal function, and the results tabulated.

Below are noted the quotas from the several states with number of goiter rejections opposite:

Evidently there are "goiter areas" in certain of the Northwestern States, notably Oregon and Montana. The high percentage in the Nevada contingent scarcely can be considered because of the small number of men examined.

The detailed findings in thirty-four cases are recorded in Table 1. Of this number, six had

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