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This is a report from the Commission for the Study and Treatment of "Anemia" in Puerto Rico, submitted to Governor Beekman Winthrop in 1904. The report details the findings of the commission, led by Bailey K. Ashford and W.W. King, regarding the prevalence, causes, and potential treatments for anemia on the island. It provides insights into the public health challenges faced by Puerto Rico at the turn of the century, specifically focusing on the widespread impact of hookworm and related health issues. This historical document offers valuable perspectives on the early efforts to address anemia and improve public health in Puerto Rico, and the methodologies used for research and intervention. This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work was reproduced from the original artifact, and remains as true to the original work as possible. Therefore, you will see the original copyright references, library stamps (as most of these works have been housed in our most important libraries around the world), and other notations in the work. This work is in the public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. As a reproduction of a historical artifact, this work may contain missing or blurred pages, poor pictures, errant marks, etc. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant.