Center for the History and Ethics of Public Health, Mailman School of Public Health, Columbia University, 722 W. 168th St., 9th Fl., Rm. 926, New York, NY 10032, USA.
Public Health Rep. 2010 Apr;125 Suppl 3(Suppl 3):71-9. doi: 10.1177/00333549101250S310.
New York City approached the 1918 influenza epidemic by making use of its existing robust public health infrastructure. Health officials worked to prevent the spread of contagion by distancing healthy New Yorkers from those infected, increasing disease surveillance capacities, and mounting a large-scale health education campaign while regulating public spaces such as schools and theaters. Control measures, such as those used for spitting, were implemented through a spectrum of mandatory and voluntary measures. Most of New York City's public health responses to influenza were adapted from its previous campaigns against tuberculosis, suggesting that a city's existing public health infrastructure plays an important role in shaping its practices and policies during an epidemic.
纽约市利用其现有的强大公共卫生基础设施来应对 1918 年流感疫情。卫生官员通过让健康的纽约人与感染者保持距离、提高疾病监测能力、开展大规模的健康教育运动，同时规范学校和剧院等公共场所，来努力防止传染病的传播。控制措施，如禁止随地吐痰等，通过一系列强制性和自愿性措施来实施。纽约市对流感的大部分公共卫生应对措施都借鉴了其之前针对结核病的运动，这表明一个城市现有的公共卫生基础设施在塑造其在疫情期间的实践和政策方面发挥着重要作用。
