There are four diseases, scarlet fever, measles, whooping cough, and
chicken pox, which are recognized as belonging preeminently to the
period of childhood and which are supposed to be the result of bacterial
contagion, although, curiously, the specific bacteria concerned in any
one of these four diseases has not been detected. They may be rationally
grouped together for two reasons. First, because of their attacking, in
the majority of cases, children under the age of fifteen years, and
second, because the first stages of these diseases are very similar, so
that the recognition of them is not easy except for the practiced
physician. It must not be thought, however, that because these are
diseases of childhood and because a majority of children have them at
one time or another, without great suffering and without serious after
effects, they are on that account to be despised. Scarlet fever, for
instance, is to-day probably the most dreaded of children's diseases,
not because so many children die of it,--although the death-rate is
large, about 20 per cent of the cases finally succumbing,--but because
of the large number of complications and consequences which are directly
due to this disease. Measles, also, though not to the same extent, is
frequently followed by serious after results. In the United States,
about 13,000 children die every year of measles and about half as many
die of scarlet fever. It is a significant fact that the death-rate is
much higher among younger children, so that if, by carefully keeping
children from the possibility of infection, the disease can be postponed
until they are well along in years, the danger of fatal termination is
much reduced.
The following table, for instance, shows the number of deaths from
measles and scarlet fever at different ages, and it is very evident from
this table that if the former disease is contracted by a child under
five years old, the danger of death is four times as great as if it were
postponed until the child were ten years old:--
TABLE XIX. TABLE SHOWING DEATHS AND PERCENTAGES FROM MEASLES AND SCARLET
FEVER FOR DIFFERENT AGES IN UNITED STATES REGISTRATION AREA FOR 1907
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