Influenza : $b An epidemiologic studyVaughan, Warren T. (Warren Taylor)
History
Influenza : $b An epidemiologic study
Vaughan, Warren T. (Warren Taylor)
Influenza
_Economic status._—Although in our survey information has been obtained
regarding the economic status of the various families we would not
stress this phase of our subject. Obviously the amount of money an
individual has in his bank will not directly influence the amount of
influenza he will have in his home. As nearly an accurate classification
by wealth is by the separation into the districts, Districts I and III
being very poor, District II poor, Districts IV and V moderate, and VI
well-to-do. From Chart XXVI we see no definite relationship between
influenza incidence and economic status.
Dr. Niven has had similar experiences. He remarks that the disease does
not appear to have affected especially any class or section of the
community. Rich and poor suffered alike. Inquiry in some towns shows
that the epidemic not infrequently started in the well-to-do districts
and only later involved the poorer and less prosperous areas.
We cannot state with any degree of accuracy in what section of Boston
the 1920 recurrence first began. The sections studied are for relatively
small portions of the city, and it is possible or probable that the
original increase was in some area outside of our districts. In the
districts studied the earliest increase in reported cases was from the
section of the city known as Dorchester (Districts IV and V), where
there was some increase in December, 1919. The latest definite increase
was in the Irish district of South Boston. Geographically these two
areas are quite near. The relative insusceptibility of the Irish
population is probably a much more important factor in the difference.
Frost found after classifying the white population canvassed in Little
Rock and San Antonio according to economic status, and adjusting the
incidence rate in each group to a uniform sex and age distribution, that
the ratios of incidence in each economic group to incidence in total
white population did show an increase with increasing poverty.
“Notwithstanding that the classification according to economic status is
a very loose one, based solely on the judgment of inspectors with widely
different standards, a considerably higher incidence is shown in the
lower as compared to the higher economic group.”
Parsons, in 1891, discussed the influence of poverty, but believed that
it is the concomitants of poverty which were the cause of the higher
incidence among the poor.
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