Influenza : $b An epidemiologic studyVaughan, Warren T. (Warren Taylor)
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Influenza : $b An epidemiologic study
Vaughan, Warren T. (Warren Taylor)
Influenza
If, on the other hand, this is a true demonstration of relative immunity
in a chronically infected individual, the explanation must be sought
elsewhere. Does a chronic respiratory infection confer a relative degree
of immunity to an acute respiratory disease? Do the germs already on the
premises exert, so to speak, “squatters’ rights?” Are we observing an
example of non-specific immunity due to local preceding infection? Still
another factor may play an important role, the factor of race stock. The
excess of tuberculosis in negroes, for instance, over that in whites, is
in some localities double or treble, while various observers, as Frost,
Brewer, and Fränkel and Dublin, report that the influenza incidence and
mortality among negroes was decidedly less than that among the whites.
Winslow and Rogers found that in Connecticut the proportion of
influenza-pneumonia deaths is lower than would be expected among persons
of native Irish, English and German stock, and higher than was to be
expected among Russian, Austrian, Canadian and Polish stock, while it
was enormously high among the Italian. Italians are notably
insusceptible to tuberculosis, while the Irish are much more prone to
infection with the disease. For example, in Framingham, where the
tuberculosis incidence rate for the entire population was 2.16 per
cent., the rate in the Italian race stock was 0.58 per cent., and in the
Irish, 4.80 per cent. In Framingham there was about four times as much
influenza among the Italians as among the Irish. Is this apparent
insusceptibility of certain race stocks an inherent condition, or is it
dependent chiefly on differences in living conditions and in age
prevalence in the different races? Probably it is chiefly the former.
Frost, for instance, found that among the negroes the incidence of
influenza was lower even though the living conditions were much poorer
than those among the whites.
Public-domain text, read in full here on John Shaqi.
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