Center for the History of Medicine, 100 Simpson Memorial Institute, 102 Observatory St., Ann Arbor, MI 48109-0725, USA.
Public Health Rep. 2010 Apr;125 Suppl 3(Suppl 3):63-70. doi: 10.1177/00333549101250S309.
During the 1918-1919 influenza pandemic in the United States, most cities responded by implementing community mitigation strategies, such as school closure. However, three cities--New York City, Chicago, and New Haven, Connecticut--diverged from the dominant pattern by keeping their public schools open while the pandemic raged. This article situates the experiences of these three cities in the broader context of the Progressive era, when officials and experts put great faith in expanding public programs in health and education. It adds an important dimension to the historical understanding of the 1918-1919 influenza pandemic and offers lessons for public health practitioners and policymakers today who might face difficult decisions about how to respond to the 2009 H1N1 influenza pandemic.
在 1918-1919 年美国流感大流行期间，大多数城市通过实施社区缓解策略来应对，例如关闭学校。然而，有三个城市——纽约市、芝加哥和康涅狄格州的纽黑文——与这一主流模式背道而驰，在疫情肆虐期间仍保持公立学校开放。本文将这三个城市的经验置于进步时代的更广泛背景下，当时官员和专家对扩大卫生和教育方面的公共项目充满信心。这为人们理解 1918-1919 年流感大流行提供了一个重要的维度，并为今天的公共卫生从业者和政策制定者提供了应对 2009 年 H1N1 流感大流行的经验教训，他们可能会面临如何应对的艰难决策。
