Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Hendon]
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(b) The clinical particulars of those patients showing
a change of hæmolytic streptococcal type confirmed the
work of Allison and Brown, who found that the majority
of late complications occurring in multiple-bed wards
devoted to scarlet fever was associated with such a
change. It was also noted that when such a change
occurred it was usually observed after the second week
of hospitalisation, and frequently even later. In thirtyseven
patients in Blocks A and B a change of type was
observed, occurring in six between the fourteenth and
twenty-first day following admission, and in twenty-five
at or after the twenty-first day.
(c) Except in very few instances complications arising
early in the disease were not associated with a change
of hemolytic streptococcal type.
(d)
Percentage of scarlet fever patients at different age-groups showing change of hæmolytic streptococcal type.
Age, in years | Number of patients | Number of patients showing change of type | Percentage of patients showing change of type |
---|---|---|---|
0—2 | 3 | 1 | 33.0 |
2—4 | 17 | 4 | 23.5 |
4—6 | 36 | 7 | 19.4 |
6—8 | 32 | 4 | 12.4 |
8—10 | 31 | 8 | 25.8 |
10—12 | 15 | 4 | 26.6 |
12—14 | 13 | 4 | 30.1 |
14—16 | 11 | 1 | 9.0 |
16—18 | 5 | 0 | 0.0 |
18—20 | 3 | 0 | 0.0 |
20 and over | 27 | 2 | 7.3 |
(In this table are included scarlet fever patients investigated
in both the. preliminary and the experimental
periods.)