RT Journal T1 SIgnificant observations on meningococcic meningitis JF Journal of the American Medical Association JO Journal of the American Medical Association YR 1919 FD June 28 VO 72 IS 26 SP 1919 OP 1920 DO 10.1001/jama.1919.02610260039011 UL http://dx.doi.org/10.1001/jama.1919.02610260039011 AB Fresh outbreaks of epidemic disease in unusual localities or at unexpected periods almost always serve to extend our knowledge of the subject by directing attention to novel aspects which are liable to be overlooked in the regular routine of experience. Contact with the unanticipated is not infrequently a potent stimulus to thought and an incentive for investigation. An unexpected outbreak of typhoid fever among troops that have been subjected to antityphoid vaccination, as has been observed in our army,6 directs immediate attention to the limitations of this prophylactic measure and emphasizes that it must by no means be regarded as a substitute for the observance of sanitary precautions.7 The appearance of influenza with unique manifestations serves to make clinicians skeptical as to alleged etiologic factors and causes them to bend their energies anew in the direction of discovering new or unsuspected infective agents. Variable phenomena in the incidence