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Charles E. Smith Jr., M.D.
JAMA. 1918;70(4):258. doi:10.1001/jama.1918.02600040056022.
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To the Editor:  —During my service in the contagious wards at the City and County Hospital, St. Paul, in the winter of 1916-1917, I attempted routine control of the scarlet fever cases by cultures from the nose and throat. A method similar to that in common use for the control of diphtheria was employed, except that the streptococcus was considered instead of the Klebs-Loeffler bacillus. So far as I knew at the time, this had never been attempted as a routine. The attempt at control was made with the consent of the local bureau of health.Routine cultures on admission to the scarlet fever wards had long been an established procedure on account of the frequency with which Klebs-Loeffler bacilli are found in the throats of scarlatinal patients. This varies from 5 to 30 per cent., according to the observer, and was about 10 per cent. in our cases. The


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