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1870 - 1874年天花大流行:(流行病学与国家医学部分)

The Smallpox Pandemic of 1870-1874: (Section of Epidemiology and State Medicine).

作者信息

Rolleston J D

出版信息

Proc R Soc Med. 1933 Dec;27(2):177-92. doi: 10.1177/003591573302700245.

Abstract

The Vaccination Act of 1853 inspired by the Epidemiological Scoiety of London was the cause of the incidence and fatality of the pandemic being less in the United Kingdom than in foreign countries.Origin of pandemic in France before outbreak of Franco-Prussian War. Its spread through the country. Vaccination state of civilian population and army in France in 1870.Incidence, fatality and characteristics of the pandemic in England and Wales, London, Scotland and Ireland and foreign countries with special reference to Germany and German army. Lack of hospital accommodation for smallpox cases in London. M.A.B. hospitals opened. Absence of ambulance service. Aerial convection of smallpox. Smallpox fatality in the various Metropolitan boroughs.Incidence and fatality of smallpox heavy in civilian population in Germany as compared with the well-vaccinated army, but lower in Southern German States, where primary vaccination was compulsory, than in Prussia and Saxony which had no vaccination laws.Further statistics illustrating difference in smallpox fatality in different countries and groups of individuals according to their vaccination state.

摘要

1853年的《疫苗接种法》受伦敦流行病学协会启发而制定,这使得英国大流行病的发病率和死亡率低于外国。普法战争爆发前法国大流行病的起源。其在法国国内的传播。1870年法国平民和军队的疫苗接种状况。英格兰和威尔士、伦敦、苏格兰和爱尔兰以及外国(特别提及德国和德国军队)大流行病的发病率、死亡率和特征。伦敦缺乏天花病例的医院床位。M.A.B.医院开业。缺乏救护车服务。天花的空气传播。伦敦各行政区的天花死亡率。与接种良好的军队相比,德国平民中天花的发病率和死亡率较高,但在实行强制初种疫苗的德国南部各州,发病率和死亡率低于没有疫苗接种法的普鲁士和萨克森。进一步的统计数据表明,不同国家和不同人群的天花死亡率因其疫苗接种状况而存在差异。

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