Influenza : $b An epidemiologic studyVaughan, Warren T. (Warren Taylor)
History
Influenza : $b An epidemiologic study
Vaughan, Warren T. (Warren Taylor)
Influenza
We are accustomed to think of measles as a disease which, like
meningitis, is disseminated throughout the civilized world, and which
although constantly with us causes only sporadic cases. True epidemics
of measles do occur, even when there is no gross change in the
constitution of the population. We have discussed examples of this
particularly in London. Flare-ups of measles prevalence are in fact so
much the rule that in certain localities health officers anticipate a
measles epidemic about once in two years. Furthermore measles has been
known more than once to occur in extensive epidemic form, attacking
large proportions of the population invaded. We know that there is an
immunity to measles which is nearly absolute in those who have once
acquired the disease. The epidemics have, therefore, occurred
exclusively in those localities where the proportion of immune
individuals was relatively small. According to Noah Webster in 1772
measles appeared in all parts of America and was accompanied by an
unusually high mortality. In Charleston 800 or 900 children died of the
disease. The following year measles “finished its course and was
followed by a disorder of the throat.”
In 1781 measles disappeared from the Faroe Islands, and for the
following sixty-five years there was not a case of this disease anywhere
on any of the seventeen islands constituting the inhabited parts of this
group. When the disease was finally re-introduced into these islands, it
spread throughout the population, attacking practically every individual
in a relatively short interval of time, showing a much higher attack
rate than did influenza in 1918. There was this difference, that the
only individuals who did not acquire measles on its re-introduction into
the islands were those who had had it sixty-five years before. Panum did
not find an authentic case of recurrence in the same individual. There
was not a single instance of second attack of measles, although the
shortest possible interval between the previous attack and the
subsequent exposure was sixty-five years.
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