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Irwin W. Sander, M.D.
JAMA. 1953;152(8):756-757. doi:10.1001/jama.1953.03690080100028.
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To the Editor:  —About the middle of the 19th century, the need for a program to promote and preserve the health of college students was recognized by President Stearns of Amherst College, and Dr. Edward Hitchcock of his staff was the first physician to develop a regular health service program in 1856. This program, as well as other early health service developments, was devoted largely to teaching hygiene and physical education; only a few colleges provided an infirmary for the care of students who were ill. With the turn of the century, the development of a balanced health service program began in many schools, with entrance physical examinations, preventive immunizations and innoculations, care of illness through outpatient and infirmary service, and general supervision by a physician of the health problems of all students.In 1920, there was organized in Chicago an association of persons interested in student health problems. This


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