Scarlet fever
In Europe, scarlet fever was considered benign for two centuries, but fatal epidemics were seen in the 1700s. Scarlet fever broke out in England in the 19th century and was responsible for an enormous number of deaths in the 60-year period from 1825 to 1885; decades that followed had lower levels of annual mortality from scarlet fever. In NW England there was heavy mortality in Liverpool. Babies born in Liverpool with a birthday in 1861 were only expected to live 26 years, and in larger cities, life expectancy was less than 35 years. Over time, the life expectancy changed as well as the number of fatalities from scarlet fever. There was a reduction in child mortality from scarlet fever when you compare the decades, 1851–60 and 1891–1900. The decline of mortality seen for scarlet fever was noticed after the identification of streptococcus, but the decline was not associated with a treatment. A treatment would not be available until the introduction of sulphonamides in the 1930s, and the decline in mortality was due to the quality of air, food, and water improving. Outbreaks of scarlet fever also took place in Dublin in 1986 with 1,354 cases and 149 deaths, Norway from 1862 to 1884, Scotland in 1861, and in the United Kingdom. The United Kingdom saw cases in Canterbury from 1839 to 1865 with 305 deaths, Bristol in 1870 with 106 deaths and in 1875, and Manchester in 1886 with six cases.