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PANDEMIC INFLUENZA AND PNEUMONIA IN A LARGE CIVIL HOSPITAL

JOHN W. NUZUM, M.D.; ISADORE PILOT, M.D.; F. H. STANGL, M.D.; B. E. BONAR, M.D.
JAMA. 1918;71(19):1562-1565. doi:10.1001/jama.1918.26020450009011a.
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Following the reports of a rapidly spreading and highly fatal pandemic of influenza and pneumonia in the Eastern States, and while the epidemic of influenza was raging at the Great Lakes Naval Training Station, a severe outbreak of this disease appeared among the civil population of Chicago. During the past five weeks, from September 23 to October 29, more than 2,000 patients were admitted to the wards of Cook County Hospital. Of these, 642 died, a mortality of 31 per cent. In the accompanying chart, of the first 500 deaths, it will be noted that the age period of highest mortality falls between 25 and 30 years.

Among the total number of admissions during this period there were 122 soldiers, and thus far twenty-one cases have terminated fatally—a mortality of 16 per cent. So far as the admissions to a large charity institution, such as the Cook County Hospital, may

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