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January 11, 1919, Vol 72, No. 2 >
ARTICLE | January 11, 1919

OUTBREAK OF MENINGITIS AT NORFOLK, VA.

L. T. ROYSTER, M.D.; W. P. McDOWELL, M.D.
JAMA. 1919;72(2):93-97. doi:10.1001/jama.1919.02610020011003.
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The conditions which influence the spread of contagious diseases are so numerous that it is impracticable to enumerate them. There are certain important ones, however, which a study of the recorded epidemics of cerebrospinal meningitis has shown to be not only potent but almost always coexistent. These are the bringing together of large numbers of people from widely separated areas, overcrowding, and unusually rigorous weather. Last winter these conditions existed to an exaggerated extent in Norfolk. The government activities in this locality incident to the war brought to our immediate vicinity about 50,000 additional people from every state of the Union, who are engaged in all of the pursuits necessary to building and construction on a large scale. Besides these there also came large numbers of officers and enlisted men of the Army and Navy with their families. This increased our population from about 100,000 to 150,000 in a little

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