Popis: |
DURING the past year the Detroit Department of Health has been actively engaged in the epidemiological investigation of jaundice cases reported to this department. The first indication that an unusual number of such cases was present in various sections of the city came during January, 1938, when a physician practising in the northwest section reported 5 cases. In rapid succession, additional cases were reported in the same general locality. It became evident that the distribution of cases was city-wide, although there was a definite tendency of these cases to aggregate, as has been noted in a previous publication.' An attempt was made to have all jaundice cases reported to the Department of Health during this study. Hospitals, practising physicians, school teachers, and nurses were requested to report the cases which came to their attention. Cases residing outside of Detroit city limits were not included. By observing the current cases and retrospective investigation of recovered cases, from November, 1937, to November, 1938, we were able to collect 220 cases of jaundice. This probably does not represent all the cases that occurred in Detroit during this time, but we know of no others. With no change in our endeavors, during the first 6 months of 1939 there were 80 per cent fewer |