Epidemic and Endemic Pattern of Childhood Nephritis

Abstract

More than 800 children with acute glomerulonephritis were ad mitted to one hospital in Trinidad during three and one-half years. In the first 15 months the disease was epidemic. The illness af fected chiefly the children of the rural poor, with most cases at tributable to streptococcal infection of the skin rather than of the respiratory tract. In signs, symptoms and clinical course, the dis ease in Trinidad resembled closely the acute glomerulonephritis which follows streptococcal pharyngitis in temperate climates.