In the tenth series of the "Medical and Surgical Reports of the Boston City Hospital," there is an extensive report by McCullom and Pearce on scarlatina, as it has been observed and studied in the well-organized infectious wards or South Department of this excellent hospital.
An analysis of 1000 cases of scarlet fever treated in this hospital shows that the percentage of mortality, including moribund cases, was 9.8 per cent. Of the 98 fatal cases scarlet fever was responsible for 56 deaths, bronchopneumonia caused 15, diphtheria and scarlet fever 10, diphtheria 9, pneumonia 4, scarlet fever and erysipelas 1, tuberculous meningitis 1; two died from various complications. If the 42 deaths caused by complications occurring in the course of the disease are eliminated, the percentage of mortality becomes 5.8 per cent. In this 1000 cases a membrane was present in the throat in a large proportion of them, yet cultures