Epidemic Respiratory Disease: The pneumonias and other infections of the repiratory tract accompanying influenza and measles — John Shaqi
Epidemic Respiratory Disease: The pneumonias and other infections of the repiratory tract accompanying influenza and measlesOpie, Eugene L. (Eugene Lindsay)
History
Epidemic Respiratory Disease: The pneumonias and other infections of the repiratory tract accompanying influenza and measles
Summary of the results obtained in normal men shows that the incidence
of B. influenzæ in normal individuals from isolated communities or in
groups free from respiratory diseases prior to the occurrence of the
fall epidemic was relatively low, namely, 10 to 20 per cent; that in
observations made before the fall epidemic in groups in which
“bronchitis” and pneumonia were fairly prevalent, B. influenzæ was found
much more frequently, namely, in 25 to 50 per cent of the cases; and
that in groups studied at intervals during the epidemic the incidence of
B. influenzæ rapidly rose, reaching 85 per cent at the end of the
epidemic. In contrast with this, B. influenzæ was found in 100 per cent
of cases of influenza without reference to the time at which they
occurred during the epidemic. It is obvious that the high percentage of
normal men carrying B. influenzæ found at the end of the epidemic can
depend only on the wide dissemination of B. influenzæ that must occur
during epidemic times.
=Bacillus Influenzæ in Measles.=—Since the presence of B. influenzæ in
other diseases than influenza has been advanced as an argument against
its causal relationship to influenza, an extensive study of the
incidence of B. influenzæ in the throats of measles patients was made
during the period of the epidemic of influenza at Camp Pike from
September 10 to October 20. In all a total of 830 throat cultures in 487
cases of measles were made, many cases being cultured repeatedly at
weekly intervals. The results have been condensed as far as possible and
are presented in Tables X, XI, XII.
TABLE X
INCIDENCE OF B. INFLUENZÆ IN 400 CONSECUTIVE CASES OF MEASLES AS
DETERMINED BY THROAT CULTURE AT TIME OF ADMISSION TO THE BASE HOSPITAL
═════════════════╤═════════════════╤═══════════════════════════════════
DATE │ NUMBER OF CASES │ B. INFLUENZA FOUND
─────────────────┼─────────────────┼─────────────────┬─────────────────
„ │ „ │ NUMBER │ PER CENT
─────────────────┼─────────────────┼─────────────────┼─────────────────
Sept. 16–Oct. 4 │ 100│ 27│ 27
Oct. 4–Oct. 10 │ 100│ 32│ 32
Oct. 10–Oct. 15 │ 100│ 32│ 32
Oct. 15–Oct. 19 │ 100│ 48│ 48
─────────────────┴─────────────────┴─────────────────┴─────────────────
The prevalence of B. influenzæ in cases of measles during the period of
the influenza epidemic corresponded very closely with that found in
normal individuals under similar circumstances. The increasing
proportion of cases carrying B. influenzæ as the epidemic of influenza
advanced is further evidence of the wide dissemination of the organism
during the epidemic.
TABLE XI
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