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This extensive statistical study of scarlet fever in Finland covers a period of 139 years, beginning with 1762 and ending with 1900. As the author states, the diagnosis of scarlet fever during all of the eighteenth and first part of the nineteenth century was uncertain and official statistics are scanty; nevertheless, contemporary reports of the more severe epidemics furnish reasonably reliable information. The first recorded epidemic of scarlet fever in Finland occurred in September 1755. It resulted in the death of many children from 6 months to 5 years of age on the third to the seventh day of illness. Though the disease was epidemic, it did not impress observers as contagious in the sense of being transmitted by direct contact. The year by year statistics as to incidence of scarlet fever and death rate due to this disease in Finland, which occupy 150 pages, are summarized and tabulated in
Der Scharlach in Finnland bis einschliesslich 1900. JAMA. 1940;114(25):2495-2496. doi:10.1001/jama.1940.02810250069026