Influenza : $b An epidemiologic studyVaughan, Warren T. (Warren Taylor)
History
Influenza : $b An epidemiologic study
Vaughan, Warren T. (Warren Taylor)
Influenza
These observations are but broad generalizations; if we pause to study
the psychology of the historian we are tempted to conclude that his
primary object was to impress his readers with an idea of the
enormousness of the dissemination of the disease during his period. That
being the main endeavor, a tendency to exaggerate for the sake of
rhetoric and yet remain within the limits of truth may be considered
excusable. But during the 1889–93 epidemic there was ample opportunity
to compare the estimates made by the practising physicians with the
later statistical tabulations. As a rule the former were higher both as
regards morbidity and mortality.
In the 1830–32 epidemic an interesting observation has been made. While
Kahlert says that no distinction between age, sex nor rank occurred,
Leberscht stated that persons of middle age, especially women in the
climacteric period, were attacked with special frequency. This is of
interest in view of the findings in the 1918 epidemic. Krimer states for
the same epidemic that children under 14 years of age and adults over 45
years were spared by the epidemic.
For the 1836–37 epidemic Finkler records the following: “Most of the
patients were adults from 20 to 40 years of age, and of these more women
than men were attacked. Curiously, however, the physicians of Würtenberg
speak of the great dissemination of the disease among children.”
In 1847–48, among the adult influenza patients, there are said to have
been more women than men. According to Canstatt, there were
proportionately more children than adults attacked.
In 1889–90, according to Finkler, no age was spared, but persons between
20 and 50 years of age were attacked by preference. No trade was a sure
protection. The course of the disease in general was favorable and also
quite rapid, unfavorable only in many children during the first few
years of life, in many old people, in many debilitated persons, and
especially in those suffering from chest affections.
An interesting table of this kind is given us by Leichtenstern. His
hospital material included 439 influenza patients, and these he
carefully grouped according to age.
Age. Influenza admissions, General average of
per cent. admissions, per cent.
Under 10 years 0.9 0.7
10–20 years 14.7 8.8
20–30 years 40.3 27.5
30–40 years 19.1 23.3
40–50 years 10.1 15.7
50–60 years 7.4 12.3
60–70 years 5.3 8.9
70–80 years 1.7 2.6
Above 80 years 0.4 0.2
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