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 epidemic of 1762 called forth the opinion of Baker, emphasizing an
opinion already expressed by Whytt, that the origin of epidemic disease
is not due to changeable winds nor to their nature or character as
recorded by the barometer. This epidemic also prevailed over all Europe
and appears to have begun following sharp alterations of cold and
moisture. In 1766 in Spain, France and other parts of Europe the
epidemic appears to have begun after a warm summer, followed by an
autumn moist and cold. In 1767 Heberden placed on record his
observations during this period, but nothing new was reported. In 1775
the disease began in Germany in the summer after a dry and warm spring
and spread over all Europe. During the prevalence of the disease in 1775
a questionnaire was sent to the leading English physicians, and letters
from Fothergill, Sir John Pringle, Heberden, Reynolds and others seemed
to express a consensus of opinion that weather conditions had nothing to
do with the prevalence or spread of the disease, and that the cause and
reason for its spread were unknown. Following sharp alterations in
temperature in 1780, the disease appeared in France and then throughout
the world. The epidemic of 1782 began in Russia, starting January 2 at
St. Petersburg. The thermometer underwent a variation of 40 degrees and
the same day 4,000 were afflicted with La Grippe. It reached Koenigsburg
in March, Copenhagen in April, London in May, France in June and July,
Italy in July and August, Spain and Portugal in August and September,
and then reached America. Edward Gray, writing of the epidemic of 1782
for the first time, expressed emphatically his opinion on the
contagiousness of the disease and stated what we now know—that close
contact is necessary. To him also is attributed the opinion first
mentioned by him, that there is a possibility of carriers in this
disease. During this time Dr. Hamilton, in a published letter, protested
against venesection in influenza, a practice long prevalent, and Hogarth
called attention to the fact that the disease began in cities and
villages first and that it was brought to these places by visitors from
without.
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