Influenza : $b An epidemiologic studyVaughan, Warren T. (Warren Taylor)
History
Influenza : $b An epidemiologic study
Vaughan, Warren T. (Warren Taylor)
Influenza
It is to be regretted that we have not several reports dealing with the
same subject from camps where the disease was definitely recognized in
the spring. Fortunately we have one such. Opie and his co-workers have
observed that the epidemic at Camp Funston, which occurred between March
4th and March 29th, 1918, and which attacked 1,127 out of a total of
29,000 men, involved chiefly the organizations which had been at Camp
Funston during six months or more. At that time it seems to have
infected all susceptible individuals, and to have spent itself.
Subsequent waves of influenza, four in number, and coming at a little
less than one month intervals, occurred when newly drafted men were
brought into the camp in April and May. In these latter cases the
disease affected the men newly arrived in camp.
At Camp Funston, at least, the higher incidence in the raw recruit
appears to be explained in part by a relative immunity of those who had
been in camp a month or more, existing as a result of an earlier
prevalence of the disease. More abundant evidence would, however, be
necessary before we could deny a diminution of natural immunity in the
recruits, caused by the exposure, overwork, fatigue, and change of daily
routine. As V. C. Vaughan has remarked: “It appears that natural
immunity gives way before exposure, overwork and fatigue, as was
demonstrated years ago by Pasteur in his experiments on birds with
anthrax. Likewise, it is possible for human beings to have their
resistance lowered by exposure to unaccustomed environment, so that
although naturally immune, the standard of immunity is reduced to the
point where the influenza virus gains admittance and overcomes the
lowered resistance.”
_Race stock and mortality._—The relationship of morbidity to race stock
has already been considered and should be borne in mind in a discussion
of mortality by race.
We have seen how the natives of India suffered unusually from the
influenza, the total deaths being estimated at over 5,000,000
individuals. A preliminary report from the Department of the Interior on
the mortality from influenza among American Indians showed that during
the six months period from October 1, 1918, to March 31, 1919, over two
per cent. of the Indian population died of influenza. The mortality
among Indians in the Mountain States, especially in Colorado, Utah and
New Mexico, was very high. For the Indian population as a whole the
annual mortality rate from influenza alone during the six months period
was according to the U. S. Public Health Reports 41.2 per 1,000, which
is above that for the larger cities in the United States during the same
epidemic period.
In both of the above races we cannot say that it was not factors other
than race, particularly living conditions, that resulted in the high
mortality.
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