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October 10, 1977

Control of Rheumatic Fever-Reply

JAMA. 1977;238(15):1631. doi:10.1001/jama.1977.03280160025016

In Reply. —  Dr Goldfarb is correct; the number of cases of rheumatic fever at Farragut was unbelievable. The naval training center there opened in late 1942; allegedly because of problems with streptococcal disease, it was closed in 1945. The first case of rheumatic fever occurred there in April 1943.1(p33) The Table, recalculated from published data,2(pp10-11),3 indicates that Farragut, with less than 2% of the Navy's total strength, contributed nearly one-seventh of the reported cases of rheumatic fever for the years 1943 to 1944.Although Farragut exhibited remarkable rates of rheumatic fever, rates were nonetheless high in the remainder of the Navy. The average annual rate, 1941 to 1945, for the entire Navy was 2.06 per 1,000 average strength; the average annual rate for the Navy excluding Farragut was 1.88 per 1,000.