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Julian H. Lewis, M.D.
JAMA. 1938;111(24):2230-2231. doi:10.1001/jama.1938.02790500068023.
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To the Editor:—  In The Journal October 29, page 1684, a reply to a query asking about the racial incidence of hypertension stated that there is no well defined racial difference in the incidence of hypertensive disease. This statement is not at all in agreement with the literature, especially that which has to do with hypertension in colored people.The proneness of Negroes to hypertension and its resultant or concomitant cardiac and renal changes has been noted and studied by several investigators. Adams (Am. J. M. Sc.184:342 [Sept.] 1932) made several blood pressure readings on each of 5,074 male employees and one reading on each of 9,000 applicants for employment. About one third of these were colored and the remainder white. The average white systolic pressure was 121 mm. and the diastolic 81 mm.; for the colored, systolic 128 mm., diastolic 85 mm. In each age group the


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