Manrique-Abril Fred G, Beltrán-Morera Jazmín, Ospina-Díaz Juan Manuel
FM: Enf.; AB. Ph.D. Salud Pública. Profesor Titular, Universidad Nacional de Colombia. Profesor asociado Universidad Pedagógica y Tecnológica de Colombia.
JB: Comunicadora Social-Periodista. Especialista en Administración en Salud Pública. Instituto de Salud Pública. Universidad Nacional de Colombia.
Rev Salud Publica (Bogota). 2018 Nov 1;20(6):787-791. doi: 10.15446/rsap.V20n6.82226.
The influenza pandemic that ravaged the planet in 1918-1919 is, undoubtedly, the most virulent and lethal infectious disease that the human species has ever overcome. This essay was to evaluate the medical interpretation of this phenomenon and the response given by doctors in terms of diagnostic and therapeutic technology based on the data published in the medical literature of two of the most important journals of the time, BMJ (The British Medical Journal) and JAMA (The Journal of the American Medical Association). It was found that the arsenal of knowledge, diagnosis and therapeutics of the time offered very few tools to address clinical management and curb contagion and mortality. However, the difficulties that clinicians and health authorities had to overcome were a solid incentive to make significant progress in the understanding and management of infectious diseases, particularly of viral etiology, in a short period of time.
1918年至1919年肆虐全球的流感大流行无疑是人类有史以来战胜的最具毒性和致命性的传染病。本文旨在根据当时两份最重要的医学期刊《英国医学杂志》(BMJ)和《美国医学会杂志》(JAMA)发表的数据,评估对这一现象的医学解读以及医生在诊断和治疗技术方面的应对措施。研究发现,当时的知识、诊断和治疗手段在应对临床管理、遏制传染和降低死亡率方面提供的工具非常有限。然而,临床医生和卫生当局必须克服的困难成为了短期内推动传染病,尤其是病毒病因传染病的理解和管理取得重大进展的强大动力。