Influenza : $b An epidemiologic studyVaughan, Warren T. (Warren Taylor)
History
Influenza : $b An epidemiologic study
Vaughan, Warren T. (Warren Taylor)
Influenza
But while pure epidemiologic studies will not demonstrate the ultimate
factor in the etiology, nevertheless these studies do subserve several
most important functions. The bacteriologist, the immunologist, the
serologist have accumulated a wealth of information since the 1918
pandemic, but as far as definite conclusions concerning the causative
agent of the disease are concerned we are no nearer to the truth than we
were at the time when Pfeiffer made his original observations. There is
no incontrovertible evidence by which one may say that the influenza
bacillus is or is not the cause of the disease. We must therefore await
further studies and future discoveries. But we cannot await idly in the
knowledge that new epidemics of the dread disease will surely come,
probably mild ones in the next few years, and certainly severe ones
again within a few decades. We must amass all of the available
information concerning the mode of action of the disease, its manner of
spread, its degree of infectivity, its distribution and the mode of its
recurrences, and try to formulate from a study of the available facts
some means of protecting ourselves against the epidemic, if not of
preventing it entirely.
In short, in the present state of the bacteriologic knowledge of the
disease, we may say that the epidemiologic features are the only facts
upon which we have to build in planning our defense. Today, the
practical work in the eradication of influenza must depend chiefly, if
not solely, on the general methods of preventive medicine.
Many valuable monographs have been written on the subject, particularly
following the pandemic of 1889–1893, but these have all emphasized
features and phases of the disease which seemed at that time to be
particularly important. Facts which seemed of extreme importance to the
earlier writers are today in some instances considered relatively
unimportant, while other phenomena which were but touched upon by the
former investigators today have assumed deep significance. For this
reason it is worth while to reproduce here the observations made in
previous epidemics, and to correlate them with the facts developed in
the abundant literature of the last few years, and to draw therefrom
inferences as to the life and habits of the influenza virus, and
conclusions as to the means of interrupting its progress.
HISTORICAL.
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