Studies in Rheumatic Fever

Abstract
1. NUTRITION AS A FACTOR CONDITIONING THE INCIDENCE AND COURSE OF RHEUMATIC FEVER A voluminous literature stresses the predilection of rheumatic fever for the children of the lower economic strata. "No disease has a clearer-cut social incidence than acute rheumatism which falls perhaps thirty times as frequently upon the poorer children of the industrial town as upon the children of the well-to-do. I agree with those who hold that the incidence. increases directly with poverty, malnutrition, over-crowding and bad housing."1In Marshall's2series of 180 cases only 8 cases of rheumatism and carditis and 1 of chorea and carditis occurred in his upper economic group. Warner's3study showed a low intake of milk in the affected group. "Perhaps the most striking fact suggesting that an increase in animal fat in the form of fresh milk and butter may be of prophylactic value is furnished by the figures

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