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

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  • Author(s): Morabia A;Morabia A
  • Source:
    American journal of public health [Am J Public Health] 2021 Mar; Vol. 111 (3), pp. 438-445. Date of Electronic Publication: 2020 Dec 08.
  • Publication Type:
    Historical Article; Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: American Public Health Association Country of Publication: United States NLM ID: 1254074 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1541-0048 (Electronic) Linking ISSN: 00900036 NLM ISO Abbreviation: Am J Public Health Subsets: MEDLINE
    • Publication Information:
      Publication: Washington, DC : American Public Health Association
      Original Publication: New York [etc.]
    • Subject Terms:
      Surveys and Questionnaires*; Influenza Pandemic, 1918-1919/*history ; Influenza Pandemic, 1918-1919/*mortality ; United States Public Health Service/*organization & administration; History, 20th Century ; Humans ; Pandemics ; Socioeconomic Factors ; United States/epidemiology
    • Abstract:
      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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    • Publication Date:
      Date Created: 20201208 Date Completed: 20210224 Latest Revision: 20210302
    • Publication Date:
      20240104
    • Accession Number:
      PMC7893349
    • Accession Number:
      10.2105/AJPH.2020.306025
    • Accession Number:
      33290084