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
At the time of the coming of the epidemic there were stationed at
Pittsburgh two military camps, comprising about 7,000 men. It was with
the presence of the disease among these men that our investigations were
chiefly concerned. The men at their respective camps (on the campus of
the University of Pittsburgh and at the Carnegie School of Technology)
were housed in barracks which had been erected only a short time
previously. These barracks contained large dormitories, in which the
individuals freely mingled with each other. In them there was no
opportunity of complete isolation, and by this means of housing good
opportunity was available for the propagation of any communicable
infectious disease. The ordinary sanitary arrangements for these groups
were well provided. The first cases of recognized influenza made their
appearance on October 2. On this day two men were found with the disease
and were isolated. On the following day there were four, and on the
third day eight. It was soon recognized that the increasing number of
the infected cases was growing so rapidly that definite arrangements for
their segregation and care had to be undertaken. This was provided for
on October 4, when the Elizabeth Steel Magee Hospital was in part taken
over by the military authorities and wards were rapidly adapted for the
coming epidemic. For the foresight in making the adequate arrangements
for its control and management we shall always remain indebted to Major
E. W. Day. His indefatigable work in the early days of the epidemic will
always be remembered, and the fact that the epidemic was kept within
reasonable bounds of control was the result of his stringent quarantine
regulations along with the organization of his medical forces. Working
under his direction, Capt. H. H. Hendershott undertook the management of
the hospital and rendered most efficient service. The capacity of the
hospital was soon overburdened, so that from a normal 150–bed
institution it was on the sixth day of its conversion into an emergency
hospital carrying more than 300 cases of influenza. This hospital in
itself was unable to accommodate all of the cases falling ill, and
provision for these had to be made in some of the municipal
institutions. On October 5, 1918, the Medical School of the University
of Pittsburgh undertook to provide the laboratory facilities for the
emergency Military Hospital. It was at first intended to equip only
those laboratory departments which were deemed essential for the
clinical care of the patients in the wards. Inasmuch, however, as the
epidemic of influenza was spreading with alarming rapidity throughout
the city, it was deemed advisable to close the Medical School and to
place at the disposal of the Military Hospital all the laboratory
facilities which could in any way be of use in the care and study of the
influenza patients. This permitted the establishment of departments in
pathology, bacteriology, physiology, physiological-chemistry and
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