From Table 16 it may be seen that the ages of 39 males and 44 females who died from scarlet fever in 1895 were given. Of these, 89.7 per cent of males and 90.9 per cent of females died before reaching the sixteenth year of age,-64.1 per cent of males and 56.8 per cent of females having died before reaching the sixth year of age. The fatality in females in the age-period, 10 to 15 years, was seven times that of males in the same period.

The average age of males who died from scarlet fever in 1895 was 6.2 years, of females, 6.8 years. The average age at which both sexes died was 6.6 years.

From Table 17 it may be seen that of the 1,057 males reported to have recovered from scarlet fever in 1895, whose ages were given, 92 per cent were sick before reaching the age of sixteen years; and of the 1,219 females, whose ages were given, 87.4 per cent were sick before reaching the same age; that the average age of males who recovered from scarlet fever was 7.8 years, for females 9.1 years and for both sexes, 8.5 years.

Both Sexes.

Females.

Males.

Sex.

TABLE 16.-Exhibiting, by Sex for each year of Age, and in certain Age-groups, the number of persons who died from Scarlet Fever during the year 1895, and the per cent the deaths in each Age-group were of deaths at all ages. (Compiled from such reports to the State Board of Health, as stated the sex and age.)

*Deaths from Scarlet Fever.

Both Sexes.

Females.

Males.

TABLE 17.-Exhibiting, by Sex for each year of Age, and in certain Age-groups, the number of persons who Recovered from Scarlet Fever during the year 1895, and the per cent the Non-fatal cases in each Age-group were of Non-fatal cases at all ages. (Compiled from such reports to the State Board of Health, as stated the sex and age.)

Number and per cent of Non-fatal cases by Sex, in certain Age-periods.

No. of Non-fatal cases, by single Years

62 74 97 103 82 107 91 76 77 60 39 42 25 20 17 13 13 5 5 6 0 8 4 4 3 24

No. of Non-fatal

cases, by single Years

48 55 94 102 97 125 105 113 64 68 53 61 32 24 24 25 10 19 814 8 6 5 6 3 50

cases, by single Years

110 129 191 205 179 232 196 189 141 128 92 103 57 44 41 38 23 24 13 20 814 910 6 74

50

50

TABLE 18.-Exhibiting, by sex of patient, by per cent of cases which died in specified periods of time, the duration (in days) of fatal cases of sickness from Scarlet Fever, in Michigan, during the years 1893-95. (Compiled from those reports which stated the length of time the patient was sick.)

From Table 18 it may be seen that of the fatal cases of scarlet fever in the three years, and each of the three years, 1893-5, of which the interval between the day of being taken sick and the day of death was given, the largest per cent died before the sixth day of sickness; and the next highest per cent died in the period from 6 to 10 days.

The average duration of sickness for fatal cases of scarlet fever in 1895 was between ten and eleven days for both males and females.

From Table 19 it may be seen that of the non-fatal cases of scarlet fever in the three years and each of the three years, 1893-5, of which the interval between the day of being taken sick and the day of recovery was given, the greatest per cent were sick from six to twenty-one days, and that the duration in each five-day period, for the three years, was nearly the same for both sexes.

The average duration of sickness in non-fatal cases of scarlet fever in 1895 was between twenty and twenty-one days for both sexes.

TABLE 19.-Exhibiting by Sex of patient, by per cent of cases which recovered in specified periods of time, the Duration (in days) of Non-Fatal cases of sickness from Scarlet Fever, in Michigan, during the years 1893-95. (Compiled from those reports which stated the length of time the patient was sick.)

RÕTHELN (GERMAN MEASLES) IN MICHIGAN IN 1895.

During the year ending December 31, 1895, there were reported to the Secretary of the State Board of Health 22 outbreaks of rötheln, in 20 localities, resulting in 240 cases and no deaths.

The following is a list of localities from which rötheln was reported:Casco Tp., Allegan Co.; Johnston Tp., Barry Co.; Leroy Tp., and Marshall city, Calhoun Co.; Chester Tp., Eaton Co.; Flint city, Genesee Co.; Traverse City, Grand Traverse Co.; Port Austin Vil., Huron Co.; Hanover Tp. and Rives Tp., Jackson Co.; Kalamazoo city, Vicksburg Vil. and Galesburg Vil., Kalamazoo Co.; Sand Lake Vil., Kent Co.; Marilla Tp., Manistee Co.; Milan Tp., Monroe Co.; Free Soil Tp., Mason Co.; South Haven city, Van Buren Co.; Unionville Vil., Tuscola Co.; and Trenton Vil., Wayne Co.

The grestest prevalence of this disease was reported during the months of March, April and May. In localities where rötheln was reported to be epidemic many of the reports of the local health officers stated that owing to the mild nature of the disease cases were not reported, children were taken in school, and, in most instances, no effort was made to restrict the spread of the disease. The main reason for the restriction of rötheln is the fact that scarlet fever is so often mistaken for rötheln, so that in restricting what is apparently rötheln a more fatal disease is sometimes restricted.

In all cases the public health should be given the benefit of any doubt, and precaution taken against the spread of any contagious disease which may prove to be dangerous.