During the years 1896 to 1903 the following cases of scarlet fever were under my observation at the Cook County Hospital:
Number of cases, 628; males, 307; females, 321; deaths, 44.
—Suppurative otitis, 11; nephritis, 47; pneumonia, 19; arthritis, 2.
—Number of cases, 142; deaths, 17; diphtheria, 96; measles, 29; diphtheria and measles, 1; varicella, 13; parotitis, 3.It will be seen from the above table that the mortality was a little over 7.07 per cent. of all the cases treated. In the mixed infections the mortality was 11.9 per cent. It will be noted that among the complications, suppurative otitis media occurred eleven times, or in 1.7+ per cent. of all cases. In about 35 per cent. of the cases there was pain in the ear. The mild or catarrhal form of otitis media, according to Bader and