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The presence of group A streptococci in the upper respiratory tract (URT) may reflect either true infection or a carrier state. In either state, the patient harbours the organism, but only in the case of a true infection does the patient show a rising antibody response. In the carrier state there is no rising antibody response. It is thought that a patient with a true infection is at risk of developing RF and of spread- ing the organism to close contacts, while this is not thought to be the case with carriers (1, 5, 10). Therefore, many professionals feel that only patients with true infections need to be. | ySAID unicefw FROM THE AMERICAN PEOPLE I Sfcp5jlir THE PARTNERSHIP For Maternal. Newborn Child Health World Health Organization GUIDELINES FOR PRODUCING CHILD HEALTH SUBACCOUNTS WITHIN THE NATIONAL HEALTH ACCOUNTS FRAMEWORK PREPUBLICATION VERSION All standard disclaimers of each of the sponsoring organizations apply to this publication. The author s views expressed in this publication do not necessarily reflect the views of the United States Agency for International Development USAID or the United States Government 2 GUIDELINES FOR PRODUCING CHILD HEALTH SUBACCOUNTS WITHIN THE NATIONAL HEALTH ACCOUNTS FRAMEWORK PREPUBLICATION .