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
In view of the fact that recurrences have followed closely in the wake
of all former influenza epidemics, and with the hope of stimulating
concerted investigation of preventive measures, the American Public
Health Association (57), at its meeting in Chicago in December, 1918,
appointed a committee to outline “a provisional working formula, based
on the facts and opinions brought out at the meeting.” A summary of the
opinions as taken from the report of the committee is given here. They
reported that the disease was probably due to some micro-organism or
virus as not yet identified; that while it was known as “influenza,” it
was not known to be identical with the disease generally known under
that name; that there was no known laboratory method of differentiating
it from ordinary colds, bronchitis, etc.; that there was no known
laboratory method of determining when a patient ceased to be infective;
and that the deaths from influenza were due to secondary pneumonia
resulting from an invasion by one or more forms of streptococci, or by
one or more forms of pneumococci, or by the so-called influenza bacillus
or bacillus of Pfeiffer. Because of the clear and concise manner in
which this report brings out the opinions held, at the time, by a
majority of the medical profession a portion of the report is given here
_verbatim_.
“Evidence seems conclusive that the infective micro-organisms or virus
of influenza is given off from the noses and mouths of infected persons.
It seems equally conclusive that it is taken in through the mouth or
nose of the person who contracts the disease, and in no other way except
as a bare possibility through the eyes by way of the conjunctivæ or tear
ducts.
“If it be admitted that influenza is spread solely through discharges
from the nose and throats of infected persons, finding their way into
the noses and throats of other persons susceptible to the disease, then,
no matter what the causative organism or virus may ultimately be
determined to be, preventive action logically follows the principles
named below, and, therefore, it is not necessary to wait for the
discovery of the specific micro-organism or virus before taking such
action.
“1. Break the channels of communication by which the infective agent
passes from one person to another.
“2. Render persons exposed to infection immune, or at least more
resistant, by the use of vaccines.
“3. Increase the natural resistance of persons exposed to the disease by
augmented healthfulness.”
The ways and means of carrying out these principles are many and varied,
and it is merely the intention of this paper to put together a sort of
digest of some of the more important arguments for and against some of
the seemingly more important measures proposed.
_Methods Proposed for Breaking the Channels of Communication_
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