Influenza : $b An epidemiologic studyVaughan, Warren T. (Warren Taylor)
History
Influenza : $b An epidemiologic study
Vaughan, Warren T. (Warren Taylor)
Influenza
While in the corresponding months of 1915–1916 the deaths
attributed to influenza were 957
The deaths attributed to pneumonia in December, 1914, and
January, 1915, were 1,468
While the number of deaths attributed to the same cause in
December, 1915, and January, 1916, were 2,563
Coffey and others have reported an epidemic of influenza at Worcester,
Mass. during the first three weeks of January, 1916. During the first
three weeks of January, 1915, there were reported in that city
twenty-two deaths from respiratory diseases, making a total of 14.9 per
cent. of the total deaths. In the same period of 1916 there were
reported ninety-three deaths from acute respiratory diseases in the same
population.
Two of the more complete descriptions of the epidemic of the year
1915–16 are those by Mathers, and by Capps and Moody. Mathers reports
that: “During the winter of 1915–1916 the United States was visited by a
severe epidemic of acute respiratory infections which resembled in every
detail the great epidemic of 1890. This outbreak was apparently first
noticed in the Middle Western States, and it spread rapidly over the
entire country, taking a heavy toll of human life. December and January
were the months in which these infections were most prevalent, and the
epidemic had almost completely lost its impetus by March, 1916. During
the height of this epidemic in Chicago, sixty-one cases of the disease
were studied bacteriologically, and the results form the basis of this
paper.”
Mathers found hemolytic streptococci in forty-six instances, in all of
which they predominated. Green producing streptococci were found thirty
times, with one pure culture, and pneumococci thirty times with four
pure cultures. Staphylococci were isolated in fifty cases; Micrococcus
catarrhalis in six, and Friedländer’s bacillus in one case. The
influenza bacillus was found in only one instance, and then in small
numbers. The majority of the patients were studied early in the course
of the disease, and in the earliest, hemolytic streptococci were almost
constantly found, especially in the throat. In the atypical pneumonia
which followed many of the attacks of grip, hemolytic streptococci
predominated. In none of these was the Bacillus influenza found.
Mathers reported that coincident with the epidemic among humans there
was an epizootic of so-called influenza among horses. The symptoms are
very similar to that of the disease among humans. He isolated a
streptococcus as the predominating organism in the horses. The
streptococci from human and equine sources, although similar in many
characteristics, differed widely in pathogenicity, and seemed to be
highly parasitic for the specific hosts.
Capps and Moody found that in man most cases began rather abruptly, with
coryza, pharyngitis, laryngitis, or bronchitis.
Public-domain text, read in full here on John Shaqi.
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