Influenza : $b An epidemiologic studyVaughan, Warren T. (Warren Taylor)
History
Influenza : $b An epidemiologic study
Vaughan, Warren T. (Warren Taylor)
Influenza
Winslow and Rogers have studied the variations in the urban and rural
incidence and find that in Connecticut with the single exception of
Tolland County, in which the small towns were severely hit, the rates
were in every case _higher_ in the large communities. In New Haven
County, for instance, among nine towns which were purely agricultural,
the combined death rate from influenza and pneumonia for the three
months of September to November, inclusive, was 9.2 on an annual basis.
For six towns in the same county in which there were manufacturing
plants the corresponding rate was 15.6. In Litchfield County the twelve
purely agricultural towns had a combined rate of 6.5, whereas among
eleven partly manufacturing towns the rate was 18.3. This was true for
other counties. The figures quoted are for influenza-pneumonia rates
only up to December 1st, but study of the records during the early
months of 1919 did not show any change in the figures. The rates for the
entire state for January, 1919, was 19.8, and that for the towns under
5,000, only 17.5.
These observations differ somewhat from those reported by Pearl, who
studied 39 large cities of the United States in an attempt to find a
correlation between the explosiveness of the influenza outbreak and the
density of population. He concluded that there was no such correlation.
Pearl, however, was dealing with cities which were all sufficiently
large to offer practically complete opportunities for contact infection,
and the two reports, therefore, cannot be justly compared. Winslow and
Rogers suggest as possible causes for lessened incidence in rural
communities either diminished opportunities for contact infection or
differences in age distribution and racial composition of the different
populations.
Let us consider in greater detail the fate of both rural and urban
individuals who had been recently drafted into the military forces of
this country. Almost universally the raw recruit was found more
susceptible to disease than was the seasoned soldier. A report by
Lieutenant W. D. Wallis from Camp Lee “shows that while those who had
been in the service less than one month constituted only 9.19 per cent.
of the total strength, they furnished 30.11 per cent. of the total
deaths from influenza and consequent pneumonia. Furthermore, it is shown
that while those who had been in the service from one to three months
constituted 45.18 per cent. of the camp, they furnished 46.24 per cent.
of deaths. On the other hand, those who had been in the service more
than three months constituted 46.63 per cent. of the population and
furnished only 23.69 per cent. of deaths.
Public-domain text, read in full here on John Shaqi.
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