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1918 - 1919年西班牙和葡萄牙流感大流行期间的安全村庄

Safe Villages during the 1918-1919 influenza pandemic in Spain and Portugal.

作者信息

Erkoreka A

机构信息

Basque Museum of the History of Medicine and Science, University of the Basque Country (UPV/EHU), Campus Leioa, Bilbao, Spain.

出版信息

J Prev Med Hyg. 2020 Jul 4;61(2):E137-E142. doi: 10.15167/2421-4248/jpmh2020.61.2.1428. eCollection 2020 Jun.

DOI:10.15167/2421-4248/jpmh2020.61.2.1428
PMID:32802996
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7419117/
Abstract

The 1918-1919 influenza pandemic had a significantly different impact on mortality rates in Spanish and Portuguese provinces and cities. In this study, several small villages have been identified which were not affected at all by the Spanish influenza pandemic. These all shared a number of features in common: their villages were very small, comprising only a few hundred inhabitants; they were located in mountainous regions, with very poor transport infrastructure; and they were self-sufficient and capable of fulfilling their basic alimentary needs. Their inhabitants were conscious of the problem and acted together, effectively isolating themselves from surrounding villages. Since these villagers managed to avoid direct contact with ill people from other municipalities, the flu was not transmitted and the pandemic did not arise in their villages. In this paper, it is proposed that the human habitability spaces that meet these characteristics, I call them "Safe Villages" or "Shelter Village". Knowledge of the circumstances in which the 1918-1919 flu pandemic developed and of the means employed to resist it can help us to take relevant measures when faced with future pandemics.

摘要

1918 - 1919年的流感大流行对西班牙和葡萄牙的省份及城市的死亡率产生了显著不同的影响。在这项研究中,已经确定了几个完全未受西班牙流感大流行影响的小村庄。这些村庄都有一些共同特征:它们的村庄非常小,只有几百名居民;它们位于山区,交通基础设施非常差;并且它们自给自足,能够满足基本的饮食需求。其居民意识到问题所在并共同行动,有效地与周边村庄隔离开来。由于这些村民成功避免了与其他市镇的患病人员直接接触,流感没有传播,疫情也没有在他们的村庄爆发。在本文中,提出了符合这些特征的人类宜居空间,我将其称为“安全村”或“庇护村”。了解1918 - 1919年流感大流行的发展情况以及所采用的抵御手段,有助于我们在面对未来的大流行时采取相关措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72d3/7419117/0d1172cf34c5/jpmh-2020-02-e137-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72d3/7419117/435a1941c7d1/jpmh-2020-02-e137-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72d3/7419117/0d1172cf34c5/jpmh-2020-02-e137-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72d3/7419117/435a1941c7d1/jpmh-2020-02-e137-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72d3/7419117/0d1172cf34c5/jpmh-2020-02-e137-g002.jpg

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本文引用的文献

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The 1918 influenza pandemic: 100 years of questions answered and unanswered.1918 年流感大流行:百年未解之谜。
Sci Transl Med. 2019 Jul 24;11(502). doi: 10.1126/scitranslmed.aau5485.
2
The Spanish Influenza Pandemic: a lesson from history 100 years after 1918.西班牙流感大流行:1918 年百年后的历史教训
J Prev Med Hyg. 2019 Mar 29;60(1):E64-E67. doi: 10.15167/2421-4248/jpmh2019.60.1.1205. eCollection 2019 Mar.
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The 1918-1919 Influenza Pandemic in Portugal: A Regional Analysis of Death Impact.1918-1919 年葡萄牙流感大流行:死亡影响的区域分析。
Am J Epidemiol. 2018 Dec 1;187(12):2541-2549. doi: 10.1093/aje/kwy164.
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Spatial-temporal excess mortality patterns of the 1918-1919 influenza pandemic in Spain.1918 - 1919年西班牙流感大流行的时空超额死亡模式
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Epidemiological isolation causing variable mortality in Island populations during the 1918-1920 influenza pandemic.1918-1920 年流感大流行期间,岛屿人口中因流行病学隔离导致的死亡率变化。
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The Spanish influenza pandemic in occidental Europe (1918-1920) and victim age.西班牙流感大流行在西欧(1918-1920 年)和受害者年龄。
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