Influenza : $b An epidemiologic studyVaughan, Warren T. (Warren Taylor)
History
Influenza : $b An epidemiologic study
Vaughan, Warren T. (Warren Taylor)
Influenza
“Considering influenza and pneumonia alone, these two decades included
56 per cent. of the deaths, while only nine per cent. occurred at ages
over 49. The decade between 20 and 29 was most severely affected,
including 30 per cent. of all deaths, while the decade between 30 and 39
was a close second with 26 per cent. An even higher incidence occurred
at ages under five years, as has been brought out in other
investigations, since this age period contributed 16 per cent. of all
the influenza-pneumonia deaths. The proportion of deaths from all causes
in infancy did not rise even to normal, but with the enormous rise in
total deaths the maintenance of a nearly normal ratio, of course, means
a heavy influenza mortality.”
Jordan observes in his analysis a low pneumonia incidence among the
pupils of elementary and high schools. There were no deaths in 188
cases.
Wollstein and Goldbloom report that in a series of 36 children with
influenza and bronchopneumonia at the Babies Hospital in the City of New
York, 66.6 per cent. died. Achard and his co-workers review a similar
series of 32 infants in Paris with influenza. Eight of the 32 died. In
both of these studies we are dealing with selected groups of hospital
cases and the mortality rates are of little value for this type of
study.
Fränkel and Dublin in a study of 70,729 deaths from influenza-pneumonia
among the policyholders of the Industrial Department of the Metropolitan
Life Insurance Company, find that during the normal period between 1911
and 1917, influenza-pneumonia attacked primarily the first age period of
life, ages one to four years, and the period of late middle life and old
age. The rates are normally minimal between 5 and 30 years. In the last
quarter of 1918, on the other hand, the highest rate among the whites is
in the period of early adult life, between the ages of 25 and 34. There
appear three modal points instead of the two at the extremes. They find
that the excess over normal was most marked in infancy and early
childhood, and particularly in early adult life, culminating between the
ages of 25 and 34. The period of old age shows no significant _excess_
during the period of the epidemic.
If the deaths among the white males of the age period of active adult
life had continued throughout the whole year as they did during the last
quarter of 1918, approximately four per cent. of the population of that
age would have died.
Public-domain text, read in full here on John Shaqi.
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