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THE PREVENTION AND TREATMENT OF FOURTH OF JULY TETANUS.

JAMA. 1903;XLI(9):558-559. doi:10.1001/jama.1903.02490280028004.
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We now turn to the chief factor in the mortality— tetanus. With over four hundred deaths from lockjaw as a result of the demonstration of a single Fourth of July —more than the entire loss of life from wounds in a good-sized modern battle—surely it is time for something to be done, for there is no evidence that this year's mortality is any greater than that of other years. The astounding total of 415 cases of Fourth of July tetanus, however, is probably below the actual number, for we have every reason to believe that many more cases have been omitted from our statistics than have been erroneously included. That the total is astounding is probably because this represents the first attempt, with which we are acquainted, to collect the accidents of the entire country into one group. That such a summing up of the fearful results of a Chinese

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