Skip to main content Accessibility help
×
Hostname: page-component-76fb5796d-vfjqv Total loading time: 0 Render date: 2024-04-25T07:44:00.880Z Has data issue: false hasContentIssue false

8 - Scarlet fever epidemics of the nineteenth century: a case of evolved pathogenic virulence?

Published online by Cambridge University Press:  12 August 2009

Alan C. Swedlund
Affiliation:
Department of Anthropology, Machmer Hall, University of Massachusetts at Amherst, Amherst, MA 01003–4805, USA
Alison K. Donta
Affiliation:
Massachusetts Institute for Social and Economic Research, University of Massachusetts at Amherst, Amherst, MA 01003–4805, USA
D. Ann Herring
Affiliation:
McMaster University, Ontario
Alan C. Swedlund
Affiliation:
University of Massachusetts, Amherst
Get access

Summary

Introduction

Between approximately 1820 and 1880 there was a world pandemic of scarlet fever and several severe epidemics occurred in Europe and North America. It was also during this time that most physicians and those attending the sick were becoming well attuned to the diagnosis of scarlet fever, or scarlatina. They could differentiate the disease from diphtheria by the presence of the characteristic rash, or ‘exanthem,’ that accompanied the sore throat, fever, inflammation of lymph nodes and abscessing of the throat and tonsils.

Streptococci bacteria were probably first isolated by the Viennese surgeon Theodor Billroth in 1874, but the association of hemolytic streptococci with scarlet fever was not demonstrated until 1884, and the specifics not outlined until 1924 by George and Gladys Dick (Dowling 1977). Once there is the onset of symptoms such as sore throat and fever the course of the infection can progress very quickly and children in the nineteenth century epidemics were known to succumb within as few as 48 hours in some cases. Streptococci may be contracted through human contact, airborne droplets, or ingestion. A common source of the bacteria in historical outbreaks was unpasteurized milk handled by infected dairy workers.

When an outbreak occurs, symptoms can vary widely within the population, or even within the same family – ranging from asymptomatic individual carriers to acute rheumatic fever and severe tissue infections. For common strains the highest risk is for young children.

Type
Chapter
Information
Human Biologists in the Archives
Demography, Health, Nutrition and Genetics in Historical Populations
, pp. 159 - 177
Publisher: Cambridge University Press
Print publication year: 2002

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bynum, W. F. (1994). Science and the Practice of Medicine in the Nineteenth Century. Cambridge: Cambridge University Press
Centers for Disease Control and Prevention (1999). Summary of Notifiable Diseases, United States, 1998. Morbidity and Mortality Weekly Report 47(53), 1–93
Cimolai, N., Trombley, C., Adderley, R. J. and Treddwell, S. J. (1992). Invasive streptococcus pyogenes infections in children. Canadian Journal of Public Health 83(3), 230–3Google ScholarPubMed
Cleary, P. P., Kaplan, E. L., Handley, J. P., Wlazlo, A., Kim, M. H., Hauser, A. R. and Schievert, P. M. (1992). Clonal basis for resurgence of serious Streptococcus pyogenes disease in the 1980s. Lancet 339, 518–21CrossRefGoogle ScholarPubMed
Colman, G., Tanna, A., Efstratiou, A. and Gaworzewska, E. T. (1993). The serotypes of Streptococcus pyogenes present in Britain during 1980–1990 and their association with disease. Journal of Medical Microbiology 39(3), 165–78CrossRefGoogle ScholarPubMed
Dame, Lawrence, M. D. (no date). Biographical papers on the doctors of Franklin County Massachusetts. Pocumtuck Valley Memorial Association Library, Deerfield, MA
Darmstadt, G. L. (1998). Scarlet fever and its relatives. Contemporary Pediatrics 15(2), 44–63Google Scholar
Dowling, H. F. (1977). Fighting Infection: Conquests of the Twentieth Century. Cambridge, MA: Harvard University Press
Dubos, R. (1980). Man Adapting. New Haven, CT: Yale University Press
Duncan, C. J., Duncan, S. R. and Scott, S. (1996). The dynamics of scarlet fever epidemics in England and Wales in the 19th century. Epidemiology of Infectious Disease 117, 493–9CrossRefGoogle ScholarPubMed
Efstratiou, A. (2000). Group A streptococci in the 1990's. Journal of Antimicrobial Chemotherapy 45(Suppl.), 3–12CrossRefGoogle Scholar
F. M. S. (no date). Records of the Franklin District Medical Society, 1851–1923. Transcripts of Dr. Lawrence Dame. Pocumtuck Valley Memorial Association Library, Deerfield, MA
Guerrant, R. L., Lima, A. A. and Davidson, F. (2000). Micronutrients and infection: interactions and implications with enteric and other infections and future priorities. Journal of Infectious Diseases 182 (Suppl. 1), S134–8CrossRefGoogle ScholarPubMed
Gunzenhauser, J. D., Longfield, J. N., Brundage, J. F., Kaplan, E. L., Miller, R. N. and Brandt, C. A. (1995). Epidemic streptococcal disease among Army trainees, July 1989 through June 1991. Journal of Infectious Disease 172(1), 124–31CrossRefGoogle ScholarPubMed
Hall, W. W. (1872). Health at Home, or Hall's Family Doctor. Hartford: S. M. Betts Company
Hardy, A. (1993). The Epidemic Streets: Infectious Disease and the Rise of Preventive Medicine, 1856–1900. Oxford: Clarendon
Katz, A. R. and Morens, D. M. (1992). Severe streptococcal infections in historical perspective. Clinical Infectious Disease 14(1), 298–307CrossRefGoogle ScholarPubMed
King, S. E. and Ulijaszek, S. J. (1999). Invisible insults during growth and development: contemporary theories and past populations. In Human Growth in the Past: Studies from Bones and Teeth, ed. R. D. Hoppa and C. M. Fitzgerald, pp. 161–82. Cambridge: Cambridge University Press
Luckin, B., (2000). Review of S. Scott and C. Duncan (eds) Human demography and disease. Medical History44(3), 426–48
McGowan, S. and Miller, M. (1996). Family & Landscape: Deerfield Homelots from 1671. Deerfield, MA: Pocumtuck Valley Memorial Association
McKeown, T. (1976). The Modern Rise of Population. New York: Academic Press
McKeown, T. and Record, R. G. (1967). Reasons for the decline of mortality in England and Wales during the 19th century. Population Studies 16, 94–122CrossRefGoogle Scholar
Mooney, G., (2000). Review of S. Scott and C. Duncan (eds) Human demography and disease. Cambridge, Cambridge University Press. Progress in Human Geography24(3), 515–16
Musser, J. M., Nelson, K., Selander, R. K., Gerlach, D., Huang, J. C., Kapur, V. and Kajilal, S. (1993). Temporal variation in bacterial disease frequency: molecular population genetic analysis of scarlet fever epidemics in Ottawa and Eastern Germany. Journal of Infectious Diseases 167, 759–62CrossRefGoogle ScholarPubMed
Spencer, R. C. (1995). Invasive streptococci. European Journal of Clinical Microbiological Infectious Disease 14 (Suppl.), S26–S32Google ScholarPubMed
Stevens, D. L. (1992). Invasive group A streptococcus infections. Clinical Infectious Disease 14(1), 2–11CrossRefGoogle ScholarPubMed
Stevens, E. L., Tanner, M. H., Winship, J., Swarts, R., Ries, K., Schlievert, P. and Kaplan, E. (1989). Severe Group A streptococcal infections associated with a toxic-shock-like syndrome and scarlet fever toxin A. New England Journal of Medicine 321(1), 1–7CrossRefGoogle ScholarPubMed
Stollerman, G. H. (1988). Changing group A streptococci: the reappearance of streptococcal ‘toxic shock’. Archives of Internal Medicine 148, 1268–70CrossRefGoogle Scholar
Svanborg-Eden, C. and Levin, B. R. (1990). Infectious disease and natural selection in human populations: A critical examination. In Disease in Populations in Transition, ed. A. C. Swedlund and G. J. Armelagos, pp. 41–6. Westport, CT: Bergin and Garvey
Swedlund, A. C. (1990). Infant mortality in Massachusetts and the United States in the nineteenth century. In Disease in Populations in Transition, ed. A. C. Swedlund and G. J. Armelagos, pp. 161–82. Westport, CT: Bergin and Garvey
Swedlund, A. C., Temkin, H. and Meindl, R. S. (1976). Population studies in the Connecticut Valley: Prospectus. Journal of Human Evolution 5, 75–93CrossRefGoogle Scholar
Szreter, S. (1988). The importance of social intervention in Britain's mortality decline c. 1850–1914: a re-interpretation of the role of public health. Social History of Medicine 1, 1–37CrossRefGoogle Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×