Influenza : $b An epidemiologic studyVaughan, Warren T. (Warren Taylor)
History
Influenza : $b An epidemiologic study
Vaughan, Warren T. (Warren Taylor)
Influenza
Winslow and Rogers found in Connecticut that the proportion of
influenza-pneumonia deaths was lower than would be expected among
persons of native Irish, English and German stock, but higher than would
be expected among Russian, Austrian, Canadian and Polish stock, and
enormously high among Italians. They suggest that this marked difference
in racial incidence may be very largely due to the differences in age
distribution of the various race stocks, the races showing the highest
ratios being those which have arrived more recently in the country and
which are made up more largely of young adults at the ages which suffer
most severely from influenza. They further refer to the work done by
Armstrong in Framingham, and state that their results tend to confirm
his conclusions in regard to the Italians, as do the figures presented
by Greenberg from the records of the Visiting Nurse Association of New
Haven. “It appears that Italy suffered very severely from the influenza
epidemic in Europe, and Dublin has shown that the normal pneumonia rate
of this race is a very high one.”
We have rather more abundant comparison of the white and black races in
this country. Frost found in his extensive survey that the case fatality
was generally higher among the colored than among the white population.
A similar observation was made by Howard and Love, who found that the
case mortality for influenza and its complications in the United States
and in the American Expeditionary Forces, in 1918, was for colored
troops 4.3 per cent. and for white troops 3.3.
These two series of observations are of great importance, for they are
about all we have describing case fatality rate. The majority of other
reports describe mortality rate only, and are therefore not complete.
The death rate in the Army was higher among colored troops, but the
incidence of influenza, the rate per 1,000, was lower for the colored
race. “Considering only the southern states, the nativity rate for
influenza for the white was 247.11 and for the colored, 154.58. For
lobar pneumonia it was 10.77 for the white and 28.31 for the colored;
for bronchopneumonia and unclassified pneumonia 7.26 for the whites and
11.43 for the colored. It seems probable that the negro is less
susceptible to influenza than the southern whites, but that he is much
more susceptible to pneumonic infections, either primary or secondary.”
Public-domain text, read in full here on John Shaqi.
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