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MANAGEMENT OF SCARLET FEVER CONTACTS

PAUL S. RHOADS, M.D.; WINSTON H. TUCKER, M.D.; BENJAMIN RAPPAPORT, M.D.
JAMA. 1941;117(13):1063-1066. doi:10.1001/jama.1941.02820390005002.
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In Illinois, cultures for hemolytic streptococci are not required by the quarantine regulations for scarlet fever. Patients are released from quarantine at the end of twenty-eight days unless they have draining purulent lesions, such as sinusitis, suppurating cervical adenitis or otitis media. They must remain away from schools and public gatherings for one week after quarantine is lifted. After the patient with scarlet fever is taken to a contagious disease hospital, nonimmune children in the same home are quarantined for seven days. Then, if no disease has developed, they are allowed to return to school. Adults and immune children are allowed to leave the quarantined home after a soap and water bath and a change to clean clothing, provided they make arrangements not to return. Nonimmune food handlers may resume their occupations but must be kept under daily observation. If the patient with scarlet fever remains in the home, his

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