THE GEOGRAPHIC DISTRIBUTION OF HEMOLYTIC STREPTOCOCCI

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Abstract
Geographic variations in the distribution of hemolytic streptococci and in the incidence of acute rheumatic fever have been generally recognized.1Much use has been made of these observations, both as an approach for studying the etiology of rheumatic fever and as a therapeutic answer for those individuals found to be susceptible to this disease. Coburn2has described the results of sending a group of rheumatic children to Florida. This study is well known, but its application has been limited in civilian life by the lack of a nationwide organization to promote its utilization on a large scale. The concept of a probable relationship between streptococcic infections and rheumatic fever is now widely accepted. The intimate study of this relationship from a bacteriologic standpoint has been made possible by the classification of the hemolytic streptococcus by Lancefield3and Griffith4into a system of groups and types and

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