RT Journal A1 SWIFT HF T1 TRench fever in the american expeditionary forces JF Journal of the American Medical Association JO Journal of the American Medical Association YR 1919 FD September 13 VO 73 IS 11 SP 807 OP 812 DO 10.1001/jama.1919.02610370005003 UL http://dx.doi.org/10.1001/jama.1919.02610370005003 AB Trench fever is a disease that has been recognized and differentiated from other morbid conditions during the recent war. While there is little doubt that it existed previously in some place or places, there is no doubt that to all medical officers it presented new problems in diagnosis, prognosis and treatment.There are descriptions of the disease and reports of its occurrence in all armies on the western front. But from the mass of reports it is impossible to determine the original source of the infection or the line of spread from area to area. The constant movement of troops in an army, the ever changing composition of every unit, make epidemiologic studies very difficult and accurate reconstruction of the mode of diffusion of a well known disease virtually impossible. When we consider that on the western and eastern fronts and behind the lines there were troops from nearly every