JAMA. 1891;XVI(7):239-241. doi:10.1001/jama.1891.02410590023006.
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Disputed Diagnosis.  At a recent monthly meeting of the Albany, (N. Y.) Health Board, Dr. Lewis Balch, the City Health Officer and Secretary of the State Board of Health, reported that during January 203 cases of typhoid fever had been reported to him, and that eighteen deaths had been caused by it. He, however, insisted that there was very little true typhoid fever among all the reported cases. Although admitting that it was more prevalent than usual, he said he did not know what to call the prevailing disease, but still inclined to the belief that defective drainage caused it.Other physicians, however, hold that with but few exceptions the alleged cases of typhoid fever have occurred in a section of the city that is supplied with water from the Hudson River. As the fever has been prevalent in the cities up the river, which drain into it, the general


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