Influenza : $b An epidemiologic studyVaughan, Warren T. (Warren Taylor)
History
Influenza : $b An epidemiologic study
Vaughan, Warren T. (Warren Taylor)
Influenza
Leichtenstern informs us that in 1890 the early reports were made by
clinical men and were mere presumptions. They were almost universally
higher than the later statistical findings. The early estimates for the
morbidity in several German cities were from 40–50 per cent. On the
other hand, one of the highest statistical reports recorded by
Leichtenstern was for Strasbourg in which 36.5 per cent. of the
individuals became sick. The average morbidity reported by him ran
between 20 and 30 per cent. The difference is accounted for in part by
the fact that some of the very mild cases were not recorded in the
statistics, and in part by the tendency in giving estimates, to
exaggerate.
Auerbach has collected the statistics of 200 families distributed
throughout the city of Cologne. He found that 149 of these families (75
per cent.) were attacked. In these, 235 were ill—59 men, 95 women, and
81 children. The larger number of women was explained as due to the
illness of the female servants. He estimates each family as consisting
on an average of six individuals, and concludes that 20 per cent. were
taken with the disease.
Following the 1889 epidemic, Abbott concluded, on a basis of
questionaires sent out to various individuals and institutions in the
State of Massachusetts, that 39 per cent. of the entire population had
been attacked, in all about 850,000 persons.
Moody and Capps, in December, 1915, and January, 1916, made a survey of
the personnel and inmates of four institutions in Chicago, the Michael
Reese Hospital, the Illinois Training School for Nurses, the Old Men’s
Home, and St. Luke’s Hospital Nurses Training School, making a total of
677 persons surveyed, of whom 144 developed influenza, making a
percentage morbidity of 21. They remarked that there were many others
with colds who remained on duty and were not included in the table and
were not diagnosed as influenza.
We have already described the relatively low morbidity and mortality in
the early spring epidemic in the United States. According to Soper, the
total number affected in March, 1918, at Camp Forrest and the Reserve
Officers Training Camp in the Oglethorpe Camps was estimated at 2,900.
The total strength at that time was 28,586. The percentage morbidity
then was probably a little over 10 per cent. Dunlop, in describing the
May, 1918, epidemic in Glasgow, says that it was more limited in extent,
as well as milder, than the later epidemic.
It has been estimated that in the autumn epidemic in the United States
Army Camps one out of every four men had influenza, and one out of every
twenty-four men encamped in this country had pneumonia. During the four
autumn months of 1918, 338,343 cases of influenza were reported to the
Surgeon General’s Office; there were 61,691 cases of pneumonia.
Woolley reports that among the soldiers at Camp Devens, Mass. 30 per
cent. of the population was affected.
Public-domain text, read in full here on John Shaqi.
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