Influenza : $b An epidemiologic studyVaughan, Warren T. (Warren Taylor)
History
Influenza : $b An epidemiologic study
Vaughan, Warren T. (Warren Taylor)
Influenza
There have been many examples reported from personal experience to show
that influenza is transmitted from man to man. Two objections, however,
have had to be met, before this view was generally accepted. First, it
has been claimed by some that the disease spread more rapidly from an
assumed focus than individuals could travel, and second, that instances
were on record of cases occurring spontaneously in isolated communities.
Yet a third argument formerly raised against the contagious character of
the disease was the claim that it broke out in mass attacks, that large
numbers became ill on the same day without the occurrence of isolated
antecedent cases. The splendid work of epidemiologists following the
1889 epidemic appears to have answered all of these objections. Many,
such as Leichtenstern, have gone into great detail on this subject. In
fact, at that time this was the question of greatest importance. Today
we assume the correctness of the hypothesis, and pass on to
consideration of other subjects of more recent development. We will,
therefore, review very hurriedly some of the evidence quoted to prove
that influenza is transmitted only from man to man and only by human
intercourse.
_Isolated places._—Has it ever been shown that individuals completely
isolated from communication with communities where influenza is present
have, during an epidemic, developed the disease? Leichtenstern, after a
comprehensive review, concludes as follows: “We have not a single
example on record where influenza has attacked individuals in completely
isolated localities, as on mountain tops and mountain passes. Study of
this has been undertaken in Switzerland by F. Schmid. The same has been
true of ships at sea, as has been shown chiefly from the English Marine
Reports. There have been reports of influenza occurring in mid-ocean and
particularly in the earlier epidemics, but the information has been
insufficient.”
Parkes at even an earlier period observed: “I cannot but consider that
we require better evidence of ships being attacked in mid-ocean. In some
of the quoted instances the ships had been at a port either known to be
infected or in which influenza was really present, although it had not
become epidemic. As we are ignorant of the exact period of incubation
some men may have been infected before sailing.”
Public-domain text, read in full here on John Shaqi.
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