Annual Report of the Board of Health and the City and Port of Phila= delphia for the year 1895.

JAMA. 1896;XXVII(16):875. doi:10.1001/jama.1896.02430940045017.
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The volume is included in a city document containing the first annual message of Mayor Warwick, and the Director of the Department of Public Safety. The Board reports that the death rate, while slightly in excess of 1894, was rather better than the average for the last ten years, being but 20.44 per 1,000. In regard to antitoxin in diphtheria the Board says: "Antitoxin as an immunizing agent has been used so very sparingly that its influence in restricting the disease has not been appreciable. Its use as a curative means has been considerable but far from universal, and while its efficacy may have been demonstrated in many cases, its use has been too limited as yet to exercise a marked limiting effect upon the disease." A laboratory of bacteriology was established at a a cost of $15,000. The report shows a vast amount of excellent sanitary work during the


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