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July 23, 1904

Scarlatinal Infectiousness.

Author Affiliations

Chief Medical Inspector, Department of Health.

JAMA. 1904;XLIII(4):274-275. doi:10.1001/jama.1904.02500040042017

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Chicago, July 18, 1904.

To the Editor:  —Will you kindly allow me to make a few comments on the editorial in The Journal, July 16, entitled "Scarlatinal Infectiousness"?Lauder's two faulty "systems" of handling scarlet fever and the experience of Killick Millard are used as the basis of the editorial. I say faulty "systems" because they both have to their credit "return cases." The conclusions to be drawn from the editorial are, first, that mild cases of scarlet fever should be protected from severe and complicated cases; second, that in the absence of complications such as inflammation of mucous membrane and abscesses, a child can be turned loose with safety to others though the skin is still peeling; third, that the infectiousness of the desquamating skin is exaggerated. The editorial is interesting as a matter of current news, but decidedly harmful if accepted as a piece of authoritative advice as

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