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March 1954

Epidemiology and Control of Endemic Syphilis: Report on a Mass-Treatment Campaign in Bosnia.

AMA Arch Intern Med. 1954;93(3):479. doi:10.1001/archinte.1954.00240270165028

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This publication represents a monographic presentation of material previously published in the Bulletin of the World Health Organization (7:1-74; 75-81, 1952). It includes studies, in Bosnia, Yugoslavia, on the natural history and control of endemic syphilis, a treponemal disease of childhood. In addition there are detailed investigations by Turner and Hollander on treponemes isolated from patients with this endemic syphilis. The important principles emphasized are that successful control efforts must include systematic examination of the entire population, that the clinical features of endemic syphilis are essentially similar to those of sporadic syphilis, and that the organism causing the endemic infections belongs to the general group of strains designated as Treponema pallidum. The reader will find the organization of the field campaign carefully outlined, as well as the method of mass therapy used. It is possible under favorable circumstances to eliminate the reservoirs of infection in a short time. This campaign,

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