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At its century mark, JAMA has a weekly circulation of 322,000 copies in English to 132 countries and 121,000 copies with varying frequencies of publication in five other languages in six countries. This is our attempt to educate one medical world and constitutes a circulation more than double that of any other medical journal. The article on page 236 by Sammons and colleagues describes the history of the multilanguage publishing effort. It captures the adventure, emotion, and internationalism that all of us feel, especially when working with the non-English language editions. The basic way in which this publishing process works is as follows. After discussions with a national medical association and appropriate market testing, the American Medical Association develops a contract with a leading publishing firm in the respective country. All articles that appear in a non-English language edition must first have appeared in the English language JAMA , thus ensuring
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