Category: History - Modern (1750+)

Studies on Epidemic Influenza: Comprising Clinical and Laboratory Investigations

This report is based upon a series of investigations carried on during the epidemic of influenza at Pittsburgh. This epidemic reached Pittsburgh about the last week of September, 1918, rapidly spreading through the community during the first days of October. Pittsburgh had bee...

Chapters

14. Part 14

The question of the value of wearing a gauze mask over the mouth and nostrils during an influenza epidemic is still an open one. Masks, however, have been found useful in protec...

9. Part 9

We worked purely on the hypothesis that those individuals recovering from a mild or moderate influenza infection developed a higher grade of immunity than those in whom the dise...

8. Part 8

The second group, or those showing a leucopenia throughout their course, was by no means an unusual thing. This is a cardinal point—in fact, one of the most striking clinical fe...

11. Part 11

When the sample was removed for standardization it contained not only a thick suspension of Pfeiffer bacilli, but also bits of agar and blood-stained debris. It was necessary to...

22. Part 22

It will be impossible to review the numerous reports on the recent epidemic that have appeared. Many of these can be discounted, as far as the finding of B. influenzæ is concern...

2. Part 2

In a recent article published by Loy McAfee (J. A. M. A., 1917, 72, 445) he discussed the confusion which existed between the diagnosis of cerebro-spinal meningitis and epidemic...

1. Part 1

This report is based upon a series of investigations carried on during the epidemic of influenza at Pittsburgh. This epidemic reached Pittsburgh about the last week of September...

3. Part 3

In a communication from Columbia University it is stated that the epidemic appeared during the week beginning September 22. No records were available for the student body at the...

29. Part 29

For the estimation of the time elapsing between the onset of the pneumonia and death we are dependent upon the clinician. This is often quite difficult to do, in as much as with...

5. Part 5

Before referring to the physical signs it might be well to describe the condition and general appearance of the patient when the lungs became involved. The patient who had been...

13. Part 13

Most of the vaccine was distributed within a radius of 200 miles of Rochester, Minn., but samples were furnished to physicians all over the country, who agreed to return statist...

31. Part 31

A considerable discussion has arisen concerning the proper nomenclature for the pneumonia or pneumonias found in epidemic influenza. From some quarters have come the reports of...

4. Part 4

One of the best descriptions of that epidemic was given by Dr. O. Leichtenstern in Nothnagel’s Encyclopedia of Practical Medicine. This contribution, among many others, describi...

10. Part 10

When a sufficiently large dose of vaccine is given to an individual there is usually a transient rise in temperature for from 12 to 48 hours; the local focus of injection become...

33. Part 33

Too much stress cannot be placed upon the importance of the lymphatics in all forms of pneumonia. They play an important role in the drainage of the lung during inflammation. In...

21. Part 21

Various other methods have been used to bring about this beneficial change in hemoglobin. Gioelli (1896) used a medium made up of 1.1 per cent. hemoglobin and 21.5 per cent. mal...

32. Part 32

More or less cloudy swelling or granular degeneration of the muscle elements of the heart was not uncommon. It was sufficiently pronounced in 12 cases to be readily detected by...

26. Part 26

ABDOMINAL RECTI │ PECTORAL │ PSOAS ═══════════════╤═══════════════════════╪═══════════════╪═══════════════ TOXIC │HEMORRHAGE INTO RECTUS │ TOXIC │ TOXIC DEGENERATION │ │ DEGENER...

6. Part 6

We very soon recognized in consultation with the obstetricians that the pregnant woman was in a really dangerous condition if she contracted influenza. She was likely to have a...

15. Part 15

Thorough enforcement of ordinances requiring the reporting of all cases and all deaths as now demanded by public health rulings should be insisted upon. These reports are so imp...

30. Part 30

It is during this early phase of the reaction that the influenza bacilli can be shown within the lung structures. The distribution of bacteria is not uniform. Clusters of these...

24. Part 24

Abrahams, Hallows and French Lancet., 1919; i, p. 1. Abrahams, Hallows, Eyre and French Lancet., 1917; ii, p. 377. Abstract of Foreign Literature on Influenza Jour. A. M. A., 19...

20. Part 20

Swabs from the nasopharynx were cultured from 31 individuals; nearly all of these were cases suspected of diphtheria or as carrying the diphtheria bacillus, and no particular ef...

7. Part 7

───────┬─────────┬───────────────────────────────┬──────┬──────┬────── Day of │Total No.│ │ │ │ Disease│ of │ SPECIFIC GRAVITY │ Alb. │R.B.C.│Casts │Specimens│ │ │ │ ───────┼───...

25. Part 25

During the period of our work 639 patients were admitted to the hospital suffering from clinical influenza. The cases varied in type from the very mild to the extremely ill. The...

12. Part 12

(a) Their first group numbered 4,950 persons in quarantine at the Naval Training Station. The quarantine was maintained for 24 days, and no influenza appeared during that time....

28. Part 28

═══════╤════════════╤════════════╤════════════╤══════════ AUTOPSY│ TYPE OF │ PLEURA. │ ABSCESS OF │ DAY OF NUMBER.│ LESION. │ │ LUNG. │ DISEASE. ───────┼────────────┼──────┬────...

34. Part 34

In a description of these reactions it must be added that the early and late changes were not always observed independently, but in most cases occurred together, giving the lung...

19. Part 19

───────┬───────────────┬────────────┬────────────── AUTOPSY│ OTHER G—B. │ OTHER │ NOTES. NUMBER.│ │ BACTERIA. │ │ │ │ ───────┼───────────────┼────────────┼────────────── │ │ │ │...

16. Part 16

_Effect of Addition of Dry Sodium Bicarbonate on Behavior on Exposure to Air._—The addition of a small quantity of dry sodium bicarbonate to a blood refractory to arterializatio...

23. Part 23

Agglutination tests have been used by many investigators in attempts to determine a specific reaction in the sera of persons suffering from influenza. Such reactions develop, as...

27. Part 27

Thus whereas we have indicated that the inflammation of the trachea and of the large bronchi is of a peculiar kind and remains confined to the tissue lying inwardly from the car...

17. Part 17

───────┬─────┬───────────┬─────┬──────────────────┬───────────────────── AUTOPSY│DATE.│ DAY OF │HOURS│ DIRECT │ B. INFLUENZÆ NUMBER.│ │ DISEASE. │P.M. │ SMEAR—GRAM’S │ │ │ │ │ M...

18. Part 18

───────┬───────────┬─────────┬─────────┬─────────┬──────────────── AUTOPSY│PNEUMCOCCI.│ STREPT. │HEMOLYTIC│ S.P.A. │ OTHER COCCI. NUMBER.│ │MOCOCCI. │ STREPT. │ │ │ │ │ │ │ ────...