The US Public Health Service House-to-House Canvass Survey of the Morbidity and Mortality of the 1918 Influenza Pandemic.

Between November 20, 1918, and March 12, 1919, the US Public Health Service carried out a vast population-based survey to assess the incidence rate and mortality of the influenza pandemic among 146 203 persons in 18 localities across the United States. The survey attempted to retrospectively assess...

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Published in:American Journal of Public Health Vol. 111; no. 3; pp. 438 - 446
Main Author: Morabia, Alfredo
Format: Article
Published: American Public Health Association Mar2021
Subjects:
Online Access:View this record in EBSCOhost
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      dt: Mar2021
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      pub: American Public Health Association
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        10.2105/AJPH.2020.306025
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        atl: The US Public Health Service House-to-House Canvass Survey of the Morbidity and Mortality of the 1918 Influenza Pandemic.
      aug:
        au: Morabia, Alfredo
        affil: Alfredo Morabia is the Editor-in-Chief of AJPH. He is with the Barry Commoner Center for Health and the Environment, Queens College, City University of New York, Flushing, NY, and the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY.
      su:
        United States
        United States. Public Health Service
        Influenza
        Public health
        History of epidemics
        Influenza epidemiology
        Surveys
        Disease incidence
        Descriptive statistics
      sug:
        subj:
          Influenza
          Public health
          United States
          United States. Public Health Service
          Health and Welfare Funds
          Administration of Public Health Programs
          History of epidemics
          Influenza epidemiology
          Surveys
          Disease incidence
          Descriptive statistics
      ab: Between November 20, 1918, and March 12, 1919, the US Public Health Service carried out a vast population-based survey to assess the incidence rate and mortality of the influenza pandemic among 146 203 persons in 18 localities across the United States. The survey attempted to retrospectively assess all self-reported or diagnosed cases of influenza since August 1, 1918. It indicated that the cumulative incidence of symptomatic influenza over 6 months had been 29.4% (range = 15% in Louisville, KY, to 53.3% in San Antonio, TX). The overall case fatality rate (CFR) was 1.70%, and it ranged from 0.78% in San Antonio to 3.14% in New London, Connecticut. Localities with high cumulative incidence were not necessarily those with high CFR. Overall, assuming the survey missed asymptomatic cases, between August 1, 1918, and February 21, 1919, maybe more than 50% of the population was infected, and about 1% of the infected died. Eight months into the COVID-19 pandemic, the United States has not yet launched a survey that would provide population-based estimates of incidence and CFRs analogous to those generated by the 1918 US Public Health Service house-to-house canvass survey of influenza.
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      doctype: Article
      src: R
    language: English
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