Rheumatic- Infection in Childhood.

Supplement 1147

“…B (2). The fact at which we have glanced above, that "similar lesions may be prodtuced by inoculation with streptococci obtained from sources quite unconnected with JULY 3, 19261 Bacteriology of the Rheumatic Infection.…”

“…At Crewe rheunmatism was founid amonig entraants in 2.5 per cenit., amzong leaveis " in 15 per cent. 2 The school enivironiment may be discussed unlder three headinigs:…”

“…An After-Care Committee keeps in touclh after schlool age with cases who have been in cripple schools. An interesting analysis is given, showing the age at onset of 176 cases of rheumatism found at the age of 12, representiiig 2 (City of Leice'str.-Considerable attention has been given to the subject of rheumiatisnm aiid heart disease in this area by Dr. Warnier, who miakes a special report oni the condition, as a resullt of w,;lhich two special elasses for the education of these Eight rheumatic cardiac cases are in attendance at this school, four of which showed dlefinite improvement, one showed no improvement, two have been absent too much to have received benefit, and one was withdrawn. Some children are also sent to the residential school at West Kirby, but it is not stated whether any rheumatic cases are so dealt with.…”

Social and Economic Conditions and the Incidence of Rheumatic Heart Disease

“…Other writers have attempted to relate the incidence of rheumatic disease to particular agencies, such as poverty (see, for example, Faulkner and White, 1924, Maddox, 1937, and Miller, 1928, nutrition Wilson, 1939, andVining, 1928), overcrowding (Perry and Roberts, 1937), damp (Coates and Thomas, 1925, Coombs, 1927, Miller, 1926, Newsholme, 1895, Thomson, 1926, and Young, 1925, the distribution of vermin (Clarke, 1928), industrialization (Young, 1921), urbanization (Atwater, 1927, andMcCulloch, 1928), and heredity (Hill, 1928, Hill and Allan, 1929, and Sutton, 1928. The Medical Research Council Report of 1927 dealt with the effects of maternal care, subjection to exposure, parents' character, fathers' occupation, income, housing, sanitation, and elevation.…”