Check out the Wikipedia entry on scarlet fever, I don't know if this is really related, but it is a bacterial infection. Considering that at the time the story goes there were no antibiotics, I might be mistaken on this one but I think people didn't even used to wash hands when handling sick people, I don't know how people were educated though, but that would improve the chances of someone getting sick. Contracting it could be potentially fatal. As it says in the Wikipedia article, it was a major cause of infant mortality in the early 20th century.