=INFLUENZA; LA GRIPPE.=--Influenza is an acute, highly contagious
disease due to a special germ, and tending to spread with amazing
rapidity over vast areas. It has occurred as a world-wide epidemic at
various times in history, and during four periods in the last century.
A pandemic of influenza began in the winter of 1889-90, and continued
in the form of local epidemics till 1904, the disease suddenly
appearing in a community and, after a prevalence of about six weeks,
disappearing again. One attack, it is, perhaps, unnecessary to state,
does not protect against another. The mortality is about 1 death to
400 cases. The feeble and aged are those who are apt to succumb.
Fatalities usually result from complications or sequels, such as
pneumonia or tuberculosis; neurasthenia or insanity may follow.
=Symptoms.=--There are commonly four important symptoms characteristic
of _grippe_: fever; pain, catarrh; and depression, mental and
physical. _Grippe_ attacks the patient with great suddenness. While in
perfect health and engaged in ordinary work, one is often seized with
a severe chill followed by general depression, pain in the head, back,
and limbs, soreness of the muscles, and fever. The temperature varies
from 100 deg. to 104 deg. F. The catarrh attacks the eyes, nose, throat, and
larger tubes in the lungs. The eyes become reddened and sensitive to
light, and movements of the eyeballs cause pain. Sneezing comes on
early, and, after a day or two, is followed by discharge from the
nose. The throat is often sore and reddened. There may be a feeling of
weight and tightness in the chest accompanied by a harsh, dry cough,
which, after a few days, becomes looser and expectoration occurs.
Bodily weakness and depression of spirits are usually prominent and
form often the most persistent and distressing symptoms.
After three or four days the pains decrease, the temperature falls,
and the cough and oppression in the chest lessen, and recovery usually
takes place within a week, or ten days, in serious cases. The patient
should go to bed at once, and should not leave it until the
temperature is normal (98-3/5 deg. F.). For some time afterwards general
weakness, associated with heart weakness, causes the patient to sweat
easily, and to get out of breath and have a rapid pulse on slight
exertion.
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