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
_Increasing Natural Resistance by Augmented Healthfulness_
If there is any way of increasing the natural resistance against
epidemic influenza, it is a most desirable goal toward which to work,
but it must first be determined along what lines the effort is to be
directed. It was not the aged, the unconditioned nor the physically
unfit who suffered most from influenza, but was rather the best trained,
most healthful and most robust young persons we had. Those in the army
had been selected because of their physical fitness and they had further
received excellent physical training in the various camps and
cantonments. It would not be possible to bring any large percentage of
the general public up to such a stage of “augmented healthfulness” as
healthfulness is generally understood. It has been said that men in the
military camps were more commonly infected because they were more
active, went about more and were, therefore, more frequently exposed. In
one particular this statement is true, for men marching rapidly and
exercising violently breathe more deeply and at a faster rate than they
do under ordinary conditions, so that they naturally draw greater
quantities of air into their lungs. It was an obvious fact that those
persons given to sedentary lives were less often affected than the
active and vigorous. Practically speaking, it would seem that during
influenza epidemics people should be instructed to take more than the
usual amount of sleep and rest, to indulge only in mild exercises, to
eat good, wholesome food, to wear warm clothing, to seek mental and
physical relaxation at home, and, above all, to avoid crowds and public
gatherings.
In some instances the constant use of oils in the nose and throat was
advised, the theory being that the oil served the double purpose of
preserving the healthy condition of the mucous membranes by lessening
crusting, crevicing and drying, and of mechanically protecting from
infection by the presence of the layer of oil. Many of the different
liquid paraffins, both medicated and in the natural state, were used. It
is probably advisable to apply such oils either with a swab or from a
medicine dropper, rather than to attempt to spray them, since in the
latter method there is some danger of blowing infectious material down
into the trachea and larynx.
It is hardly necessary to point out the importance of augmented
cleanliness of the mouth, teeth and throat by means of mild antiseptic
washes and tooth-cleansing materials during an epidemic.
GENERAL MEASURES
_Public Health Administration_
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