INFLUENZA-A (ASIAN) 1957 - CLINICAL AND EPIDEMIOLOGICAL FEATURES IN A GENERAL PRACTICE
INFLUENZA-A (ASIAN) 1957 - CLINICAL AND EPIDEMIOLOGICAL FEATURES IN A GENERAL PRACTICE
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DOI：
10.1136/bmj.1.5065.259
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发表时间：
1958-01-01
影响因子：
--
通讯作者：
FRY, J
中科院分区：
文献类型：
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作者：
FRY, J
只有在整个社区中，许多常见疾病的真正自然模式才能得到准确和合理的认识，而全科医生可能是最有能力在他自己的当地社区中研究这种情况的医务人员。这尤其适用于研究流感流行的影响。由于这种传染性很强但病情相对较轻的疾病，大多数受影响的人要么自己治疗，要么完全由家庭医生照顾。很少有人因并发症而需要住院，死亡并由书记官长记录的人数更少。只有全科医生才能够提供最准确的流行病情况，比如刚刚发生的那次，但即使是他也会低估总的流行率，因为他的许多病人不会因为感染的轻微程度而咨询他。他的数据将使那些来自医院的数据（引用严重并发症和死亡人数）处于正确的角度。本文报道了1957年9月至11月期间，甲型流感在伦敦南部郊区流行的影响。在实践中处于危险中的数字显示在表1中。
It is only in the community at large that thetrue natuLral patterns of many of the cornmon diseasescan be accu-rately and rationally appreciated, and the general practitioner is probably the medical man best equipped to study such conditions in his own local community. This applies with particular force to thestudy of the effects of an influenza epidemic. With such a highly infectious yet relatively-mild condition the majority of those affected will either treat themselves or remain entirely under the care of their family doctor. Very few will require admission to hospital on account of complications and fewer still will die and be recorded by the Registrar-General.It is the general practitioner who is able to provide the most accurate picture ofan epidemic such as the one just past, but even he will underestimate the total prevalence, as many of his patients will not consult him on account of the mildness of the infections. His figures will put those from hospitals, quoting serious complications and deaths, in their correct perspective. This paper reports the effects of the recent influenza A epidemic on a south London suburban practice during the period September to November, 1957. The numbers at risk in the practice are shown in Table I.