Studies on Epidemic Influenza: Comprising Clinical and Laboratory InvestigationsUniversity of Pittsburgh. School of Medicine
History
Studies on Epidemic Influenza: Comprising Clinical and Laboratory Investigations
University of Pittsburgh. School of Medicine
Influenza; Influenza Epidemic, 1918-1919
Undoubtedly the largest attempt at prophylaxis against epidemic
influenza through the use of “mixed vaccines” was that made under the
direction of Dr. W. O. Sherman for the Carnegie Steel and H. C. Frick
Coke Companies. The results which Dr. Sherman hoped to attain when he
planned using the vaccine and collecting the data have already been
given. Commercial mixed vaccines similar to those described under the
“Series I” experiment were used, and four doses, three days apart, were
given. Inoculations were begun on October 20, 1918, and were completed
during the first week of November. Vaccine was administered to the
employees and their families without charge. Later cards were given to
all employees, and they were made to fill them out and return them. On
the cards were blanks calling for the name, age, sex, color, number of
inoculations, whether or not the employee himself or any member of his
family had had influenza, and how many days the sick individuals had
been in bed. Each mill and mine was then supplied with a set of blank
forms providing for a complete statistical record of the number of
inoculations and the total incidence of influenza, pneumonia and death.
From the reports of the respective mills and mines the total figures
given in the charts were compiled.
Difficulties were encountered in every part of the work. The vaccine
demand was so great that the products of three different firms were
used. So many doctors were in service that most of the vaccine had to be
given by carefully coached nurses. The bulletins of the United States
Bureau of Public Health and of the Allegheny County Medical Society,
with their warnings about influenza vaccines being only in the
experimental stage, appeared just at the time the work was begun and
caused a great many to refuse to complete vaccination after one or two
doses had been given. So few medical men were left that it was
impossible to have them see all cases and so determine the nature of
many of the illnesses which were occurring. It was assumed, therefore,
that any employee who had fever and was sick for a period of three days
had influenza, and that any who were confined to bed for seven days or
more had pneumonia. The figures of the central offices were made up from
the reports of 14 steel mills, 1 cement factory, 4 warehouses and 57
mining districts. The accuracy of data depended on the careful work of a
great many local statistical workers, which made individual variations
hard to control. The greatest difficulty of all, however, lay in finding
a common basis for comparisons of the incidence of influenza, pneumonia
and death in the vaccinated and non-vaccinated groups, since the data on
the former group included the occurrence only after the peak of the
epidemic had been passed, and that of the latter group included the
occurrence for the entire epidemic.
The total figures are given in the three charts.
CHART I.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account