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JAMA. 1938;111(18):1660. doi:10.1001/jama.1938.02790440054013.
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Many factors other than the actual rendering of medical and allied services may affect the maintenance of good health and recovery from disease. Urban or rural residence is important in mortality and morbidity expectation. White infants born in the country today may expect to live about five years longer than white infants born in the city if they are boys and four years longer if they are girls.1 Typhoid, however, takes relatively more than twice as many lives in rural areas as in cities. Rural residents continue to possess definite advantages over urban residents in health prospects.

Housing is a fundamental consideration in the general health problem. Poor housing is often associated with poverty, ignorance, inadequate food, long hours of toil, hazardous employment, unfavorable climate, unhygienic living and still other factors which have a more direct bearing on health.2 While a house itself ordinarily does not have a


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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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