Influenza : $b An epidemiologic studyVaughan, Warren T. (Warren Taylor)
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Influenza : $b An epidemiologic study
Vaughan, Warren T. (Warren Taylor)
Influenza
The _organization of health services_ to combat unexpected epidemics
would be of great assistance. In times of peace, prepare for war. In all
but the largest cities the health authorities are generally so free from
contact with epidemics and are so pressed with routine that they do not
organize in readiness for an epidemic which may not come. There should
be a closer co-operative organization between health officials and
practising physicians, so that the latter may aid to a greater extent in
the public health work. The physician co-operates in furnishing
information required by the health officer, but too frequently takes
little interest in what further is done with this information. The
medical profession should be made to understand the importance of public
health work, should have a general comprehension of the methods used in
its execution and should particularly develop a sympathetic and
co-operative mental attitude.
The medical societies of the country should be so organized that at a
moment’s notice their membership can be mobilized for the defense of the
community. There is much that the practising physician does not know
about influenza. One of the leading internists in one of our largest
cities, during the 1920 epidemic, refused to call his cases influenza
and treated them as mild “grip.” It is stated that he lost an unusually
large number of his patients. There are still many who believe that the
two diseases are not identical. Not only is this detrimental to the
patient, but as it results in failure to isolate the sick, it is
detrimental to the community.
Nursing groups should be organized to aid at a moment’s notice.
Much work has been done and great experience gained by both the
physicians and the nursing organizations during the last epidemic. Now
is the time to prepare for the next epidemic or pandemic. With the
remembrance of 1918 fresh in our minds we can establish a working
system, while if we delay until the expected arrival of another epidemic
much of our painfully acquired knowledge will have been forgotten.
Opinion differs as to whether influenza should be made a _reportable
disease_. The added expense would be not insignificant. This particular
malady presents the additional complication of being difficult of
diagnosis. The records would at best be inaccurate. The author believes
that certain experiments in reporting the disease even in interepidemic
times should be carried out. This should be done by competent
epidemiologists who could later formulate plans for the permanent
reporting of the disease. We will discuss this further under the
heading, “Constructive Research.”
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