Influenza : $b An epidemiologic studyVaughan, Warren T. (Warren Taylor)
History
Influenza : $b An epidemiologic study
Vaughan, Warren T. (Warren Taylor)
Influenza
Still another fallacy in the comparison of incidence in institutions and
the like is proven by the work done by Jordan, Reed and Fink, who found
that in the various Chicago telephone exchanges the attack rate varied
from five per cent. to twenty-seven per cent., although the working
conditions were approximately the same. The attack rate in one section
of the students’ army training corps in Chicago was 3.9 per cent., while
in another section particularly exposed to infection it was 39.8 per
cent. Similarly Frost found the incidence in Louisville, Kentucky, to be
15 per cent., and in San Antonio, Texas, 53.3 per cent. All these
figures show the difficulty of comparing rates for various institutions
and various groups of individuals. Although Fishberg quoted Rickmann in
support of his contention that influenza has no effect whatever upon
tuberculosis, Amberson and Peters used his work in support of their
contention, and call attention to the fact that in thirty out of forty
tuberculous persons reported by him who had contracted the grip, the
attack did not produce any aggravation of the lung condition. Presumably
it did in the other ten. If even 25 per cent. of tuberculous patients
who contract influenza have their pulmonary condition aggravated, this
should be regarded as a notable number. According to Stivelman, 11.4 per
cent. of tuberculous influenza cases died at Montefiore Home. In a
survey of convalescents from the Loomis Sanatorium, Amberson and Peters
found that seventy had contracted influenza, or 5.7 per cent. of the
number surveyed, and that 11.4 per cent. of these had had relapses of
their pulmonary condition, apparently due to the acute disease, while
22.9 per cent. had died from the intercurrent infection. 2.8 per cent.
were deaths due to tuberculosis after convalescence from the influenza.
Tubercle bacilli have been found in the sputa of convalescent grip
patients, whose sputa had previously been negative, by Amberson and
Peters, as well as by Berghoff, at Camp Grant. The latter found that 50
per cent. of his cases showed a reactivation and a positive sputum after
an attack of influenza.
Amberson and Peters agree with Fishberg in the observation that there
has been no increase in the general mortality from tuberculosis within
the recent months, and suggest as an explanation the possibility that
during the epidemic enough of the old cases were carried off to account
for a temporary lull until new cases developed, or others had time to
reach later stages of the disease. As we have previously remarked,
Leichtenstern observed this same phenomenon following the 1889–1890
epidemic.
Public-domain text, read in full here on John Shaqi.
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