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
to didactic teaching.” In Chicago a new argument for the closing of
theatres was advanced. It was said that with no place to go many people
retired earlier and obtained more than their accustomed amount of rest.
It was believed that this aided in increasing their natural resistance.
The argument that the closing of these places served only to delay the
epidemic is an argument in favor of the measure, because the virulence
of the disease decreased rapidly as the epidemic progressed.
_The Closing of Schools_
Boards of Health generally were opposed to the closing of the public
schools. This position gave rise to innumerable clashes with anxious
parents. The health authorities took the position that children were
relatively insusceptible to influenza; that while they were quiet in a
well-ventilated schoolroom they were little exposed; that those who
coughed or sneezed could be examined at once, and that daily school
inspection would lead to early discoveries of all cases, so that doctors
and nurses could take immediate steps to treat the patients and to
protect the families from which they came. Copeland advocated the
continuance of the schools in New York, and based his position on the
fact that out of 1,000,000 children in New York City 700,000 came from
tenement homes. He believed these children were far better off in
school, where they received daily medical attention, than upon the
streets or in unhygienic homes.
In Pittsburgh the school children were quizzed as to the number of sick
at home, and this gave valuable information on the stage of the
epidemic. They were sent home with printed warnings against sneezing,
coughing and spitting, and were thus used as a means of instructing
their parents. The Pittsburgh schools were kept open until the sickness
of a number of teachers and the withdrawal of many scholars made it
advisable to close.
Three very potent arguments have been brought forward in favor of
closing the schools: (1) As long as the schools are open children from
infected homes are forced into contact with children from uninfected
homes, and we are at present unaware of the extent to which the disease
may be carried by a third person. (2) Children in as yet uninfected
homes which are comfortable and hygienic are far better off than they
are in school, and can hardly be considered in the same class with
children from unclean tenements. (3) If the period of greatest contagion
is before symptoms develop, inspection, while valuable for the
institution of treatment, cannot hope to aid in curbing the epidemic. It
is evident that different measures must be employed in applying closing
orders to crowded cities, moderately large towns and rural districts.
The difficulty lies in determining the best means for serving each
community.
_The Closing of Public Dance Halls_
Public-domain text, read in full here on John Shaqi.
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