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
individual until the virulence of the disease has decreased, it will
better that individual’s chances for recovery, and so is worth the
trouble.
_General Closing Orders_
In most large cities orders were issued closing churches and theatres
and prohibiting public gatherings of all kinds. In New York these places
of public gathering were not closed, and it has been pointed out, as an
argument against closing orders in the future, that the death rate there
was less than in Boston, Philadelphia, Pittsburgh, etc. Copeland (49),
of the New York Board of Health, stated that the unventilated picture
shows were closed, but that the theatres were used as places of public
instruction. New York’s relatively low death rate was difficult of
explanation, but it is very certain that it had nothing to do with the
fact that closing orders were not in vogue. If it were possible to
obtain the figures, it would be interesting, indeed, to compare the
death rate from influenza among New York’s theatre-attending public
during the epidemic with the death rate of the community in general.
Generally speaking, any unnecessary public gatherings are inadvisable
during any epidemic. While our exact knowledge of the mode of
transmission of influenza is incomplete, it is unquestionably a contact
disease. People who have been exposed and who have not yet contracted
the disease are known to have transmitted it to a third person. A
certain number of people from infected homes will attend public
gatherings as long as they are able, for it is impossible to get
together any large group of persons all of whom are going to play fair.
It is true that these meeting places may be used in a measure to allay
panic and to instruct the public in health measures, but there are many
efficient and far less dangerous methods of accomplishing the same
results. Vaughan in discussing assemblies in large halls mentioned that
in a hall at Camp Forest, which held 9,000 people, the individuals had a
space of about 16 inches laterally between their noses. He pointed out
that if many of them were talking, coughing or sneezing, the air
contamination would soon become so great that it could make little
difference whether there was a roof over the building or not. He
emphasized the fact that it is just as possible to crowd men in the open
as it is indoors. Ventilation is undoubtedly an important factor, but it
cannot correct overcrowding. As far as the educational value of the
public gatherings was concerned, it may be observed that regular
attendants of theatres and moving-picture houses during the year of 1918
had become quite accustomed to appeals regarding all sorts of public
movements from speakers who appeared between the acts, or pictures, but
that the closing of these places threw a wholesome scare into them which
made them pay far closer attention to prophylactic measures than almost
anything that could have happened. “Object-lessons are always superior
Public-domain text, read in full here on John Shaqi.
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