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The Causation and Prevention of Typhoid Fever.

JAMA. 1912;LIX(5):390. doi:10.1001/jama.1912.04270080072038.
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ABSTRACT

This pamphlet consists of two parts: a general discussion of the cause and prevention of typhoid fever, which is given in such an elementary way as to be of value to the layman as well as to the physician, and a study of an epidemic of typhoid fever in Yakima County, Washington, with recommendations for the prevention of such epidemics. The author concludes that the endemic prevalence of typhoid in North Yakima from 1908 to 1910 was due to the local dissemination of human excreta and to the occasional introduction of exogenous infection. The special outbreak in 1911 was caused by the infection of the city watermains, the water being pumped in from a mill-pond. A reduction of the prevalence (by 90 per cent.) was secured by the carrying out of reasonable measures directed especially to the correction of insanitary local conditions. The author concludes, therefore, that the high prevalence

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