Influenza : $b An epidemiologic studyVaughan, Warren T. (Warren Taylor)
History
Influenza : $b An epidemiologic study
Vaughan, Warren T. (Warren Taylor)
Influenza
The secondary type of curve, that which is more frequently found in
recurring influenza epidemics, characterized by a more gradual ascent, a
still more gradual decline and a longer duration, is found frequently in
the curves for other diseases; it is much less characteristic. We shall
attempt by a comparison of epidemic influenza with these other diseases
to explain the cause for this characteristic primary curve, so as to
gain a further insight into the epidemic features of the disease.
There are certain characteristics held by epidemic influenza in common
with other diseases. There are certain resemblances between it and
epidemic meningitis; in certain ways it resembles measles and there are
some points of similarity to the pneumonic form of plague. The fact that
it cannot be compared with one of these diseases to the exclusion of the
others renders deductions more complicated.
_Epizootics._—Soper has written at some length on a comparison of
influenza in man with the so-called influenza among horses. The close
resemblance in many features is striking.
Epizootics of a disease apparently resembling influenza have been
described among horses from before the Christian Era. A disease believed
to have been influenza was recorded as having occurred B.C. among horses
in Sicily. According to Parkes the epidemic which attacked the army of
Charlemagne in 876 attacked at the same time dogs and birds. Finkler
describes an epizootic among horses in 1404 A.D. There were other
epizootics in 1301, 1711 and 1870 to 1873. In 1901 a severe outbreak
occurred in America, and one has also been described by Mathers as
occurring in Chicago in the winter of 1915–16. These epidemics of a
disease clinically resembling influenza have frequently occurred among
horses at the same time with true epidemics of influenza in man.
Nevertheless there has been no clear cut evidence to prove that the
disease is the same.
Leichtenstern discusses the incidence of respiratory disease among
animals, particularly household pets during epidemics of influenza. He
comes to the conclusion that human influenza is a disease limited
entirely to the human race and having no connection with animal disease.
This is particularly true with regard to diseases reported among cats,
dogs, canaries and other captive birds. He also believes that the
epizootics among horses which have been reported from time to time as
occurring with influenza epidemics have nothing to do with the disease
in man. The symptoms are frequently very similar, but epizootics have
frequently occurred at times when there was no epidemic of disease among
humans.
Abbott concluded that during the great horse epidemic of 1872 which bore
a strong resemblance to influenza the disease was not unusually
prevalent among men except in a few limited localities; while other
infectious diseases, such as measles, small pox, scarlet fever and
cholera infantum were unusually prevalent in that year.
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