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
Probably the greatest confusion in attempts to get a clear picture of
this protean disease has been and is a non-recognition of influenza as a
frequent complication of other diseases, such as measles (Jochmann,
Susswein, Tedesko and very many others). The second cause for this
confusion has been the misinterpretation of the facts demonstrating the
rather frequent occurrence of carriers. During an epidemic the vast
majority of patients show the disease as an upper respiratory infection
of varying degrees of intensity, but which usually subsides after
periods of from three to five days of fever. Along with this we have
other graded manifestations of further involvement of the tract with
laryngitis, bronchitis, bronchiolitis and all degrees of
broncho-pneumonia. To prevent the severe lung involvement prompt
treatment must be carried out, under which rest in bed is by long odds
the most important. This will be discussed in another paper of this
series, and was particularly well demonstrated in the results at the
Naval Hospital as verbally reported to me by D. G. Richey. The
interesting point is that the infection can be controlled, but this does
not indicate the etiological factor as different from that acting in the
more severe cases.
The epidemiological evidence would seem to show very clearly that the
incubation period is approximately two days, and that a period of six
weeks is the usual limit for the severe wave of the epidemic in
different localities. In my opinion, during this period every exposed
individual in a community has received the influenza bacillus in the
respiratory tract, and that all the susceptible individuals are attacked
and show more or less evidence of the infection. As a consequence of
this general distribution we have great numbers of individuals carrying
the organism, and the aftermath is to be noted in other and later
manifestations of the same infection.
Public-domain text, read in full here on John Shaqi.
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