From consideration of the patients who come to the university children's clinic of the New Haven Hospital one gets the impression that the majority of them fit into one or the other of two quite dissimilar categories—children with disorders of behavior and children with acute infectious diseases. Of the acute infectious diseases there are two main groups, namely, the pneumonias and the diseases caused by infection with beta hemolytic streptococci. We do not have data regarding the proportion of streptococcic infections in private practice; but bearing in mind epidemics in schools and army cantonments, one would suppose that the crowding and the inadequate sanitary facilities characteristic of the homes of patients who make up dispensary and ward clientele would favor the acquisition and transmission of streptococci by such persons rather than by those of better economic status.
Consideration of the subject prepares one to appreciate fully the introductory paragraph to
BOISVERT PL, DARROW DC, POWERS GF, TRASK JD. STREPTOCOCCOSIS IN CHILDREN: A NOSOGRAPHIC AND STATISTICAL STUDY. Am J Dis Child. 1942;64(3):516–534. doi:10.1001/archpedi.1942.02010090118015
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