Influenza : $b An epidemiologic studyVaughan, Warren T. (Warren Taylor)
History
Influenza : $b An epidemiologic study
Vaughan, Warren T. (Warren Taylor)
Influenza
Many writers agree that nursing infants show a relative
insusceptibility. However Abt records a case of an expectant mother who,
within two weeks of term, developed influenza, and during the course of
her illness gave birth to a baby boy, who at birth was found to be
suffering from bronchitis and bronchopneumonia, but who lived for three
days, finally dying of bronchopneumonia. Abt concludes from a review of
all of the facts that the newly born infant had influenza and that the
baby had become infected before birth.
CHART XXII.
[Illustration: District 1 Influenza 1920 Case Rate per 100 persons by
sex and age
District 2 Influenza 1920 Case Rate per 100 persons by sex and age
District 3 Influenza 1920 Case Rate per 100 persons by sex and age]
[Illustration: District 4 Influenza 1920 Case Rate per 100 persons by
sex and age
District 5 Influenza 1920 Case Rate per 100 persons by sex and age
District 6 Influenza 1920 Case Rate per 100 persons by sex and age]
According to Carnwath, the age incidence showed curious changes. During
the 1918 summer wave the ages most affected were 15 to 45. In the winter
of 1918–19 there was a considerable shifting toward the extremes of life
and particularly toward the younger years. The susceptibility of young
children was the subject of a special inquiry in London. Though the
attack rate was below the average, the chances of recovery were less
than in other age groups. Of breast-fed infants, 30 per cent. contracted
the disease; of artificially-fed 54 per cent. The opposite, however,
occurred in lying-in homes. An inquiry in Cheshire revealed that 25.4
per cent. of expectant mothers affected died.
Renon and Mignot have made a report on the 1920 recurrence. According to
them the grip of 1920 attacked all ages, in contradistinction to the
1918 epidemic, which attacked especially the young and vigorous.
One-third of their group were over 40 years of age, while some were 70
and 80 years old. In spite of this the disease remained relatively mild.
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