Studies on Epidemic Influenza: Comprising Clinical and Laboratory Investigations — John Shaqi
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
The history of epidemic influenza extends back with definite
authenticity to the Middle Ages, with a fair amount of assurance to the
beginning of the Christian Era and with presumptive reliability even
before that period. Beyond this statement, nothing definite can be said
until the first epidemic reported by Short and found in the English
Annals in the year 1510. This, the first reliable record, presented some
features not unlike those occurring in the present epidemic. Two or
three striking things stand out in this record—namely, the presence of
nose bleed, pneumonia and the very great danger to gravid women. Here,
for the first time, the meteorological conditions were elaborately
studied and persistently dwelt upon. One other impressive thing, also
reported by Short, was that in 1580 the disease showed a tendency to
return after a period of quiescence. Attention is called to this because
the epidemic, while it was exceedingly prevalent in the months of August
and September, became pandemic in October and November. Another feature
was that during the years intervening between 1580 and 1658 sporadic
cases of this disease were frequently reported. During the latter year
another epidemic appeared in the month of April. In 1657 and 1658 at
London the summer was very warm, the winter came on early, there was
much snow and the spring was very moist.
The prevailing opinion at this time, and the first stated by Willis, was
that the widespread disease was due to the weather influences on the
circulation, poisoning the blood of the patients, and “not blasts of
malignant air.” The disease prevailed in the large cities, recurring
again in the autumn in an extensive form through the villages and
country. Sydenham, in his communication on the epidemic in 1675, wrote
emphatically on the influence of the infection on pregnant women, and
here used the term “tussis epidemicus” as a name for the disease. The
summer of 1675 was wet with an inconstant autumn. La Grippe prevailed in
France and Germany, according to Atmuller. In England in 1676, the
autumn was pleasant, but suddenly became cold and moist. La Grippe then
started in Germany during September after a summer and a beginning
autumn which was very rainy. Molyneux in his description of the epidemic
of 1693 in Dublin called attention to a feature, very striking to the
recent pandemic, that the aged to a great extent escaped the infection.
This would seem a somewhat unique feature until that epidemic is
compared with the present one. In 1729 Morgagni and others stated that
over all Europe the winter of 1728 was very rigorous, the spring was
cold and the summer and autumn very variable, while January and February
of that year were very moist. Huxham in his record of 1729, the fifth
extensive one on record in the English Annals, which extended into 1733,
stated from his study at Plymouth that the epidemic was exceedingly mild
in the year 1733, and, with the exception of infants and consumptive old
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