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I. Observations in Thirty-Two Influenza-Associated Fatal Cases

CHRISTOPHER M. MARTIN, M.D.; CALVIN M. KUNIN, M.D.; LEONARD S. GOTTLIEB, M.D.; MILDRED W. BARNES, M.S.; CHIEN LIU, M.D.; MAXWELL FINLAND, M.D.

AMA Arch Intern Med. 1959;103(4):515-531.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In the city of Boston, the pandemic of Asian influenza A was accompanied by an estimated 118 fatalities from influenza and pneumonia in excess of the norm-approximately 38 of them during the first wave in October and November, 1957, 42 in the second wave in March and April, 1958, and the remainder in the intervening months.¹ The present report summarizes the pertinent clinical, pathological, virological, and bacteriological features in 32 influenza-associated deaths in the Boston area, with particular reference to problems of diagnosis and management.

Materials and Methods

Cases Studied

—A total of 43 fatal cases suspected of being infuenza-associated were studied, but only 32 cases are reported here—23 of them from 11 Boston hospitals, 7 from 5 hospitals in suburbs and nearby towns, and 1 each from the Newport (R. I.) and Lawrence General (Mass.) Hospitals.f One fatality (Case 11) occurred in August; twenty-eight, during October and November; one . . . [Full Text PDF of this Article]

Author Affiliations
Boston

From the Thorndike Memorial Laboratory, Second and Fourth (Harvard) Medical Services and Mallory Institute of Pathology, Boston City Hospital; the Departments of Medicine and of Bacteriology and Immunology, Harvard Medical School; and the Departments of Pathology, Boston University School of Medicine and Tufts University School of Medicine. Senior Assistant Surgeon (R), Epidemic Intelligence Service, Communicable Diseases Center, United States Public Health Service (Dr. Kunin).

Footnotes
Submitted for publication Aug. 8, 1958.

Aided by Grants (E-1695, C-2090 and E-23) from the National Institutes of Health, United States Public Health Service.

Estimates of deaths for 1958 made from records of Division of Burial Permits furnished by Mr. William J. Kane, Chief of Vital Statistics, Boston Health Department.

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