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Letters
Food as source of outbreaks of group A streptococcal disease
  1. Michael Eisenhut
  1. Correspondence to Michael Eisenhut, Luton & Dunstable Hospital NHS Foundation Trust, Lewsey Road, Luton LU4ODZ, UK; michael_eisenhut{at}yahoo.com

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A recent report described an outbreak of scarlet fever in a primary school.1 The outbreak investigation concluded that person-to-person transmission was the main source of transmission. This does not explain the simultaneous illness in a large number of children (n=29) occurring within 5 days and ongoing transmission over a month despite rigorous exclusion of cases …

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