Influenza : $b An epidemiologic study — John Shaqi
Influenza : $b An epidemiologic studyVaughan, Warren T. (Warren Taylor)
History
Influenza : $b An epidemiologic study
Vaughan, Warren T. (Warren Taylor)
Influenza
Attention should be called to a certain inaccuracy which has appeared in
the literature and which has resulted in some instances in a
misunderstanding of the entire history of influenza. Finkler says:
“According to August Hirsch the first influenza epidemic occurred in
1173 and he places it in his work as the first out of eighty.” This has
given the impression to some that influenza was unknown previous to that
date. Leichtenstern has quoted Hirsch more accurately and thereby given
an entirely different meaning to the statement. “August Hirsch says that
the first epidemic that can be definitely said to be influenza occurred
in 1173.” Jordan also conveys the latter impression. He remarks that the
first extensive, well described epidemic of influenza occurred in 1510.
Hirsch places the first authoritative influenza epidemic in the year
1173; Zeviani in 1293; Gluge in 1323; Schweich, Biermer and Ripperger in
1387; while Saillant, Thompson, Zuelzer and Leichtenstern accept nothing
prior to the first pandemic of 1510 as being unquestionably influenza.
It should be remarked here that opinion is not unanimous in every case
as to the identity of all epidemics following 1510.
Hirsch concluded that there have been about eighty epidemics since that
of 1173. Parkes states that in the fourteenth century there were six
epidemics, in the fifteenth seven, in the sixteenth eleven, in the
seventeenth sixteen, in the eighteenth eighteen, while in the first half
of the nineteenth ten epidemics are on record.
Table I shows in brief review the occurrence of the more important
epidemics since the year 1173. Like all similar summaries given in
tabular form it possesses the disadvantage of telling only parts of the
entire story, and those in only a very general way, but it will suffice
as a resumé and for the emphasis of certain phenomena to which attention
will be later directed.
Concerning the epidemic of 1889, it is usually stated that it had its
origin in Bokhara in May of that year. As will be seen from the table
influenza was present also in Greenland and the Hudson Bay territory in
the spring of 1889. The possibility of simultaneous origin in at least
two localities in that year will be discussed later. The epidemic
remained in Bokhara until August of the same year, after which time it
slowly traveled to Siberia where at Tomsk traces of the disease were
observed with certainty in October. At that time it was also observed in
the Caucasus and in European Russia. It appeared in Petrograd in
October, 1889, and remained epidemic until December of that year. The
spread of this epidemic throughout the world is indicated in the
following table adopted from Leichtenstern:
_Spread of Influenza in 1889–90._
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