The variability in maternal mortality may be the effect of concomitant outbreaks of erysipelas, scarlatina, and sore throat, which are caused by bacteria that can also cause childbed fever.
There are considerable outbreaks of typhoid of a most virulent type, and epidemics of scarlatina.
It causes fevers, rheumatism, scarlatina, asthma, inflammation of the lungs.
By 1839, he was making the same point about scarlatina.
His separation of scarlatina from measles was a medical breakthrough.