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[[vertical annotation in left margin written in red]] Rio Janeiro [[/vertical annotation]]
adding however that she "was quite proficient in revolver shooting." The Dr. [[underlined in red]] Crowell is a Rockefeller Institute [[/underlined in red]] man who for the last ten years made a speciality of [[strikethrough]] tropical [[/strikethrough]] studying [[underlined in red]] tropical diseases [[/underlined in red]] and resided a considerable time in the Phillipines. 
He [[underlined in red]] just loves unusual diseases [[/underlined in red]] as much as an orchid hunter loves his flowers. He has had himself several of them. He is a little rather undersized meek looking individual with an expressionless face, rather grayish look. He tell me that [[strikethrough]] 80% [[/strikethrough]] [[underlined in red]] Brazilians do not live long as a rule. That 80% of the population at one time [[/underlined in red]] or another [[underlined in red]] had syphilis [[/underlined in red]] and that this together with carelessness
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Crowell says, [[underlined in red]] Syphilis, tuberculosis, malaria [[/underlined in red]] and hookworms are the 4 most important diseases here. [[/vertical annotation]]
of treatment has [[strikethrough]] under [[/strikethrough]] added to [[underlined in red]] the debility [[/underlined in red]] of the race. That the reason one sees no public vice or street walkers is that there are abundant houses of [[underlined in red]] vice and prostitution [[/underlined in red]] which are well patronized and are considered as an indispensible part of their institutions. That a Brazilian physician returning from the U.S. complained to him that [[strikethrough]] the [[/strikethrough]] in the U.S. he was [[underlined in red]] unable to find houses of prostitution and wondered how such a thing was possible [[/underlined in red]] Evening met [[underlined in red]] Capt. Hill. [[strikethrough]] Naval [[/strikethrough]] U.S.N. attache to the Embassy, [[/underlined in red]] also a man from the State of Washington who formerly was at the head of the Penitentiary in the Phillipines and is now the manager of a business company here.