In the 1916 epidemic of poliomyelitis in the eastern part of the United States, Syracuse, N. Y., with a population of 160,000, reported 229 cases and 64 deaths. That a number of cases were probably missed is indicated by the finding of 4 deaths of infants recorded during the epidemic, 1 charged to pulmonary edema from central paralysis and malignant meningitis, 2 to toxic meningitis and intestinal toxemia and 1 to infantile convulsions with inflammation of the meninges. A glance at the poliomyelitis spot map of New York State for that year (fig. 1) shows the bulk of cases in the southeastern part of the state with another main focus upstate, centered in Onondaga and Oswego counties; west of these counties but few cases occurred. The 1920 spot map for the state (fig. 2) is practically clean. In Syracuse, only 7 cases and 2 deaths were recorded in the years
SILVERMAN AC. ACUTE POLIOMYELITIS IN SYRACUSE, NEW YORKCLINICAL ANALYSIS OF FIVE SUCCESSIVE OUTBREAKS FROM 1922 TO 1929, WITH SPECIAL REFERENCE TO EPIDEMIOLOGY AND TREATMENT WITH SERUM. Am J Dis Child. 1931;41(4):829–861. doi:10.1001/archpedi.1931.01940100085011
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