Department of Sociology, University of California, Irvine, United States.
Vaccine. 2011 Jul 22;29 Suppl 2(Supplement 2):B38-41. doi: 10.1016/j.vaccine.2011.02.053.
The effect of the 1918 influenza pandemic on other diseases is a neglected topic in historical epidemiology. This paper takes up the hypothesis that the influenza pandemic affected the long-term decline of tuberculosis through selective mortality, such that many people with tuberculosis were killed in 1918, depressing subsequent tuberculosis mortality and transmission. Regularly collected vital statistics data on mortality of influenza and tuberculosis in the US are presented and analyzed demographically. The available population-level data fail to contradict the selection hypothesis. More work is needed to understand fully the role of multiple morbidities in the 1918 influenza pandemic.
1918 年流感大流行对其他疾病的影响是历史流行病学中被忽视的一个课题。本文提出了这样一种假设,即流感大流行通过选择性死亡影响了结核病的长期下降,以至于许多结核病患者在 1918 年死亡,从而降低了随后的结核病死亡率和传播率。本文提出并分析了美国关于流感和结核病死亡率的定期收集的人口统计学数据。现有的人群水平数据并没有反驳选择假说。需要进一步的研究来充分了解多种合并症在 1918 年流感大流行中的作用。