Influenza : $b An epidemiologic studyVaughan, Warren T. (Warren Taylor)
History
Influenza : $b An epidemiologic study
Vaughan, Warren T. (Warren Taylor)
Influenza
During the 1920 epidemic the author made a house-to-house canvass in six
representative districts in the city of Boston covering a population of
10,000 individuals. The curve of incidence of influenza corresponds
closely with the curves for the city and the state as a whole. The peak
was reached in the same week, the week ending February 7th, the curve
was symmetrical, and the duration of the entire epidemic was about the
same. The morbidity rate for 1920, according to our influenza census,
was but half of that for 1918 for the same population. The recurrent
epidemic as we will show later was decidedly milder (see Chart XVIII).
In Detroit the 1920 epidemic reached its peak for morbidity on the 9th
day, and that for mortality on the 16th. In 1918 the morbidity peak was
not attained until the 15th day and the death peak on the 22d. The
recurrent outbreak had nearly run its course within three weeks. The
following comparison between the influenza incidence in 1918 and 1920 in
Detroit is taken from a report by H. F. Vaughan, Commissioner of Health
for that city. In it is shown a comparison of the total figures on the
twenty-seventh day of each of the two epidemics:
_A Comparison of the 1918 and 1920 Epidemics of Influenza in Detroit.
Statistics Made to Include Through the Twenty-seventh Day of Each
Epidemic._
═══════════════════╤════════════╤════════════╤════════════╤════════════
│ │ │ Normal │ Excess
│ │Deaths from │ influenza │ influenza
│ Influenza │ influenza │ and │ and
│ cases │ and │ pneumonia │ pneumonia
│ │ pneumonia │ deaths for │deaths above
│ │ │this season │ normal
───────────────────┼────────────┼────────────┼────────────┼────────────
1920 (Jan.–Feb.) │ 11,202│ 1,642│ 197│ 1,445
1918 (Oct.–Nov.) │ 16,423│ 1,286│ 124│ 1,162
───────────────────┴────────────┴────────────┴────────────┴────────────
There had been fewer cases reported on the twenty-seventh day of the
1920 epidemic, but these had resulted in a greater number of deaths. On
this day the recurrent epidemic had run its course, while the 1918 one
was still in full swing. On the twenty-seventh day of 1918 there were
137 influenza cases reported and 49 deaths. On this day in 1920 there
were but 24 cases and 34 deaths. Thus the second outbreak was of shorter
duration, but was more deadly while it lasted.
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