Influenza : $b An epidemiologic studyVaughan, Warren T. (Warren Taylor)
History
Influenza : $b An epidemiologic study
Vaughan, Warren T. (Warren Taylor)
Influenza
Case seven had been ill seven days before admission with cough and
fever. On admission his temperature was 105°, pulse 116, respiration 24.
Case eight gave a history of having had a cough for eight days previous
to admission. This cough had not incapacitated him much at first, but he
became progressively worse during the four days before admission, with
increasing shortness of breath and abundant yellow sputum which he found
it difficult to raise. On admission dyspnoea with cyanosis was very
evident.
Even from these detailed clinical descriptions it is impossible to say
definitely whether the disease was or was not influenza. There is no
doubt, however, but that clinically the disease resembled more the
so-called streptococcus pneumonias that were observed in the United
States camps in the winter of 1917–18. The descriptions of the mode of
onset are particularly at variance with the onset as we know it in
influenza.
Those who believe that the influenza bacillus is the cause of influenza
maintain that the finding of this organism in a large per cent. of cases
by both groups of observers is valuable evidence. For reasons previously
stated we cannot agree.
Description of the epidemic features is not detailed enough to be of
assistance. The first group of authors remark that the disease
constituted “almost a small epidemic.” The second group say that six out
of eight cases in their series of candidly reported patients came from
one command. The former report on twenty cases, the latter on eight. The
latter remark that although they have dealt with only eight cases in
detail, they had a much larger number altogether. Presumably there were
a decidedly larger number of patients in both hospitals, but the actual
number is not stated. In short, we do not know whether the disease
appeared to be more or less epidemic than the apparently similar disease
among our troops in the winter of 1917–18.
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