Influenza : $b An epidemiologic studyVaughan, Warren T. (Warren Taylor)
History
Influenza : $b An epidemiologic study
Vaughan, Warren T. (Warren Taylor)
Influenza
“There is, however, one point of great importance which must be
considered. If an epidemic begin in a definite locality and spread from
that locality, and if there is no loss of infectivity on the part of the
organism, it is demonstrable that a similar proportion of the population
should be attacked in each zone as the epidemic spreads outward. On the
other hand, if the organism lose the power of infecting with the lapse
of time, in each additional zone invaded the proportion of susceptible
persons infected should become smaller and smaller. Of course this might
not be true for any one epidemic, as in many parts of the area invaded
the population might be more or less susceptible because of recent
attack of the disease, but when an average of twenty outbreaks has been
taken this effect should be eliminated, the number of times the invading
organism comes into contact with an insusceptible population being
balanced by the number of times which it meets one more susceptible than
the average. The method of spread of epidemics on the average should
thus give some indication regarding the laws which determine the course
of the phenomenon. Now with regard to London, the clearest facts refer
to the 87-weeks, the 97-weeks and the 109.5-weeks period. The 97-weeks
period starts at the same time all over the city and there is no
evidence of any special center. The infection seems generalized. With
regard to the 87-weeks epidemic, however, the case is different. This
seems to start in St. Saviour’s Parish and to spread thence to
Camberwell, Lambeth, etc. In this epidemic the rate of spread can be
definitely measured. The maximum occurs later and later as the distance
from the center is increased and the percentage of children infected is
also easily observed to fall as the time increases. With regard to the
109.5 weeks’ period epidemic the facts are similar though not quite so
definite. This seems to show that for at least two strains of organisms
the epidemic ceases because the organism has lost its power of
infecting. It may be inferred that an epidemic ceases because the
organism varies in its potency to cause infection. A cycle of epidemics
now coinciding and now differing in their maxima can thus be explained.
Some kind of life cycle exists in the infecting organism. In this life
cycle high powers of infecting are attained probably after a resting
state: a period of activity follows and gives place to a period of rest;
the average length of the cycle is determined by the strain of the
organism.”
There are certain drawbacks to Brownlee’s work and conclusions. We quote
from V. C. Vaughan, who has discussed Brownlee’s work, not only because
of his good summary of the difficulties and disadvantages of the method,
but particularly because the same disadvantages and possibility of
inaccurate conclusions hold in the case of influenza.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account