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JAMA. 1905;XLIV(24):1934-1935. doi:10.1001/jama.1905.02500510042008.
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In a previous editorial we discussed the important work that physicians can and should do in suppressing the annual Fourth of July nuisance through legislative and educational measures. This is the most hopeful way of striking at the root of the tetanus epidemic, and the only one which will lead to permanent results, but we are as yet much too far from the civic millenium to hope for a total suppression of Fourth of July indiscretions and injuries for many years to come. We must prepare to face a few thousand useless injuries and a few hundred unnecessary deaths, and the responsibility as to the outcome of a large part of these injuries is put on the physicians. It is unnecessary to insist that the chief danger to be feared is tetanus, which has ever shown a remarkable frequency after Fourth of July wounds. Whether tetanus is so frequent because


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