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
About the time that the first cases of influenza were being reported
from the Pittsburgh district, articles on preventive vaccines as used in
Boston and at some of the camps began to appear in the daily papers,
shortly after which came the announcement that the Carnegie Steel
Company was offering free vaccination to their employees and to the
families of their employees. Dr. W. O. Sherman, chief surgeon for the
company, advocated the use of the vaccine because he hoped to increase
the immunity to secondary infection and to produce an active
leucocytosis in the vaccinated individuals, and at the same time to
allay panic among the employees at a time when an interruption of
manufacturing and mining pursuits might be disastrous to the entire
country; and he did it with the assurance that if the vaccine did no
good, it would at least do no harm. He took steps to arrange for the
collection of data by which he hoped to determine whether or not the
vaccine as used by their company did any good. His report has not yet
appeared. Other large corporations at once instituted prophylactic
vaccinations with commercial “mixed vaccines.”
In contrast to the altogether laudable efforts of these companies to
protect their employees, a complete history of the vaccine episode in
this community necessitates the recounting of a very different phase in
the matter. When it became known that corporations were vaccinating
their employees, people in general naturally began to investigate.
Physicians’ offices were besieged by persons who either demanded
vaccination at once or wanted to know whether or not there was “anything
in it.” Conscientious physicians in their turn called up the offices of
the medical societies, the various laboratories, and telegraphed
everywhere trying to get some definite data before recommending the
vaccine to their patients. It was impossible to answer the question
definitely, because it was a new procedure and purely in the
experimental stage. On the whole, the medical profession handled the
situation in a competent and dignified manner, for the great majority
gave vaccines only after a full explanation to the effect that its value
was in doubt, or else refused to give it altogether. There were some,
however, who were not conscientious, and the unscrupulous practitioner
seldom had a better chance to impose upon the public. The demand for
vaccine soon exceeded the supply, and it is claimed that there were
doctors who gave any type of vaccine they could obtain without regard to
its bacterial make-up or intended purpose. Anti-diphtheritic serum was
given in many instances, and it is said that even normal salt was used.
Statements to the effect that exorbitant sums were being charged and
that guarantees of prevention were being made resulted in the Red Cross
Society undertaking the distribution of the vaccine. To protect itself,
the Medical Society issued the following notice in the weekly bulletin
for October 26, 1918:
Public-domain text, read in full here on John Shaqi.
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