Influenza : $b An epidemiologic studyVaughan, Warren T. (Warren Taylor)
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Influenza : $b An epidemiologic study
Vaughan, Warren T. (Warren Taylor)
Influenza
What general measures should be taken against the disease? Should the
_public schools_ be closed? Winslow and Rogers found that the orthodox
methods of combating epidemics applied in Connecticut exerted no
appreciable influence on the spread of influenza. Bridgeport, Hartford
and New Haven _did not close_ their schools and suffered from death
rates near the average for the State, lower than the rates which
prevailed in cities like New London and Waterbury, which closed their
schools. No deductions can be drawn from this fact, however, because the
closing of the schools in most cases was forced because of the severity
of the outbreak.
The data obtained by Jordan indicate that schools were not important
distributing centers for the infection. No explosive outbreak occurred
in any one grade, and the four days of the Thanksgiving holiday
evidently afforded more favorable opportunities for infection than did
the days of regular school attendance.
Carnwath believes that in view mainly of the marked prevalence of the
disease amongst school children, the balance of opinion is in favor of
closure, even in densely populated urban districts. In the author’s
investigation there was a slightly higher incidence of the disease among
children attending school than among those younger children who were not
at school. The spread is probably not facilitated so much in the class
room as it is on the play ground. In the school room the children are
constrained to remain at a certain distance from each other. Probably
they would come into as close contact with cases if they were not at
school. Certainly it has not been demonstrated that the school room is a
factor of great importance in the spread of influenza. It would,
perhaps, be better not to close the schools in the presence of an
epidemic, but to discontinue any congregation on the play grounds, and
to discourage the grouping of children in play on the streets.
With children and with all individuals, large or small, a great factor
in exposure and probably in the transmission of the disease is the
necessary _crowding on street cars and in public buildings_. Here is a
potent source which requires deep study and new treatment. Some cities
have with partial success attempted lessening the congestion in public
conveyances at the beginning and closing of business hours by arranging
with the various offices, stores, etc., that the opening and closing
times occur at different hours. In order that this procedure may work it
is important that the employees of a factory or store which closes early
must ride to their destination at the time of closing and not remain in
the congested business districts. Here again it is a problem of
educating the public to a point where they will co-operate
intelligently.
Public-domain text, read in full here on John Shaqi.
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