JAMA. 1909;LIII(15):1171-1173. doi:10.1001/jama.1909.92550150001001g.
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While in Paris, France, during the summer of 1908, for the purpose of making some investigations in the department of hygiene, I received permission to visit the government tobacco factory at Issy les Moulineaux, near Paris.

I wanted to make some investigations in regard to the effects of tobacco on the eyes of the employés of the factory, along the line of similar investigation which I have made in the tobacco factories of America, but this permission was not granted; I was permitted, however, to examine into the sanitary condition of the establishment, and was afforded every opportunity in this direction by the courteous director of the factory. The following are some of my findings:

The large tobacco factory, situated at Issy les Moulineaux, a short distance beyond the fortifications of Paris, covers several acres of ground, and is about the largest factory of its kind in France. It employs


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