Report of James Higgins , M. D., State Agricultural Chemist, to the House of Delegates of Maryland 1852

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This we all know^ is not the case ; sometimes a particular house will suffer very much, and all others in the neigliborhood will escape. In another season, a different house will be at- tacked, the other remaining healthy. I have frequently seen two houses within a hundred yards of each other, the one entirely healthy throughout the season, the other having its inmates fre- quently attacked. Sometimes a particular house wnll escape for several years, and then be severely visited again, alternat...ing thus between perfect exemption from, and continual attacks to, the au- tumnal fevers.
All these facts, familiar to all who live in these districts, show most conclusively that a local and special cause must act with a general one to produce disease. Does not this fact at once teach us how to avoid disease, by removing its causes? How- to preserve health by removing the local causes which produce disease? Remove the local cause and the general one is harmless.
On this account, then, the most perfect cleanliness should be observed, and all dwelling houses, negro quarters and all other places contiguous to residences should receive particular attention.


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