Abstract
New York,March 31,1895. To the Editor: —I beg to state, with reference to one of your remarks in the Public Health columns, of theJournal of the American Medical Association, March 30, as to my not reporting a certain case of leprosy directly to the local Board of Health that I take, in such affairs, a higher ground. According to my opinion, such cases should be reported to a United States Health Officer, and the State or City Board of Health should have nothing to do with them. The State Board of Health would think only of the protection of its own citizens, and would most probably do everything possible to shift the responsibility, that is the expense of the maintenance of the leprous family on some relations or friends of the leper, living perhaps in another State. If the danger was averted from their own vicinity, their particularistic
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