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This report constitutes a complete and interesting statistical study of an outbreak of scarlet fever in an institution in which specific measures were not taken for the prevention of further cases of scarlet fever. The failure of such quarantine arrangements as it was feasible to make shows the importance of unrecognized cases of scarlet fever and immune carriers, including convalescents, in continuing epidemics of scarlet fever.
Institutional Outbreak of Hemolytic Streptococci (Scarlet Fever): Investigation and Report from the Bureau of Communicable Diseases, Los Angeles City Health Department. JAMA. 1941;116(13):1488. doi:10.1001/jama.1941.02820130150046