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Am J Dis Child. 1932;43(3):577-584. doi:10.1001/archpedi.1932.01950030047007.
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My subject may seem both simple and stale. And yet, to one who knows the hazards, and has on his conscience the responsibility for the conduct of an infant ward, it is never either of these. An infant mortality that, in our experience, is easily four times that of the whole Children's Memorial Hospital, and seven times that of the children beyond the age of 18 months, is a constant challenge. Some of this mortality is inevitable; there is no cure for tuberculous meningitis or congenital atresia of the esophagus. Nor is there need to be so deeply concerned if this mortality represented only the futile efforts to overcome a disease with which the child entered the hospital if there is no better way to meet the situation elsewhere. The specter of an institutional casualty, more insidious and less evident here, but far more real than elsewhere, sits always with


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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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