Influenza : $b An epidemiologic studyVaughan, Warren T. (Warren Taylor)
History
Influenza : $b An epidemiologic study
Vaughan, Warren T. (Warren Taylor)
Influenza
FIG. 7.—District 6. Well-to-do population. Mixed American.
]
In District VI are included 1,400 individuals belonging to the
well-to-do and moderately wealthy families of Brookline.
The six districts may be considered as representative of the various
strata of society, so that we are enabled to study the influenza and its
mode of action under varying environment. We have selected areas in the
city consisting of households or homes rather than boarding houses and
rooming populations. After a few attempts in the latter group we became
convinced that the information obtained in rooming houses was utterly
valueless. In the Jewish districts we were able, through the kind
co-operation of the Federated Jewish Charities, to use trained Jewish
Social Service Workers, each of whom had previously worked in the
district assigned to her, thereby possessing the confidence of the
inhabitants. They were also able to speak the language. One-half of the
Italian district was surveyed by an Italian physician and the other half
by an American Social Service Worker who knew the Italian language.
The information obtained was recorded on printed forms, which were
filled out in accordance with detailed written instructions. Form “A”
contained the necessary information concerning the family as a whole,
including statistical data of each individual, description of the
dwelling, of the sanitary condition, of the economic status, etc. Form
“B” was filled out for each individual and gave detailed information as
to the occupation and illnesses during the 1918–19 or the 1920 influenza
epidemics, or during the interval. Form “B” was so arranged that the
inspector was not called upon to make the diagnosis of influenza, but to
record the various symptoms as described by the patient. The decision as
to the diagnosis was made later, by the author. All blank spaces were
filled in with either a positive or negative answer, so that the
reviewer knew that all questions had been asked and answered. (See
Appendix.)
The inspection was begun on February 9th, at the height of the epidemic.
All records were turned in and reviewed by the author, who blue-penciled
obvious inaccuracies and incorporated directions and questions in those
instances where he desired further information. The records were then
returned to the inspectors who, at the termination of the epidemic early
in March, surveyed the entire 10,000 a second time, checking up their
first record, correcting any inaccuracies, and adding records of
additional cases of influenza which had occurred in the interval.
The most careful statistical surveys and compilations are not without
error. We have gone into considerable detail in the preceding
description in order to demonstrate the several checks that have been
made upon the work, without which information others would be unable to
judge of the accuracy or value of our work.
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