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The Influence of Environment on Rheumatic Infection in Childhood.

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ByMILLER REGINALD.  (The Lancet. , May19 , 1928; , p. 1005.).

Ann Intern Med. 1928;2(2):228-229. doi:10.7326/0003-4819-2-2-228
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Is there any evidence that environment plays an important part in the production of juvenile rheumatism? Considered as a widespread endemic disease of England, juvenile rheumatism shows one outstanding feature. Namely, it is massed amongst the children of the poor, and practically absent from the children of the well-to-do. This class incidence is so clear that it is evident that we cannot hope to understand the large scale production of the disease until we know the explanation of it. Have we any direct evidence that the environment is the correct explanation of this class incidence. The Medical Council's Report into


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