Evans A S, D'Allessio D A, Espiritu-Campos L, Dick E C
Bull World Health Organ. 1967;36(3):397-407.
In a comparison of acute respiratory disease patterns and incidence in students in a semi-tropical climate at the University of the Philippines with those in students in a temperate climate at the University of Wisconsin, USA, it was found that, while respiratory infections were the commonest cause of infirmary admissions in both institutions, yet, contrary to expectations, their incidence and relative importance were actually greater in the Philippine students than in the Wisconsin students. Peak rates occurred during the rainy season in the Philippines and during the coldest months in Wisconsin. Acute infectious mononucleosis was absent in the Philippines and streptococcal sore throat and primary atypical pneumonia were rare, but the three conditions were common in Wisconsin. The authors suggest that this difference in clinical pattern may be due to immunity in the Philippines students as a result of prior childhood infection.
在对菲律宾大学处于亚热带气候的学生与美国威斯康星大学处于温带气候的学生的急性呼吸道疾病模式和发病率进行比较时发现,虽然呼吸道感染是两所院校医务室收治病例的最常见原因,但与预期相反,菲律宾学生的发病率和相对重要性实际上高于威斯康星州的学生。菲律宾的发病率高峰出现在雨季,而威斯康星州则出现在最寒冷的月份。菲律宾没有急性传染性单核细胞增多症,链球菌性咽喉炎和原发性非典型肺炎也很罕见,但这三种疾病在威斯康星州很常见。作者认为,这种临床模式的差异可能是由于菲律宾学生童年时期的既往感染而产生的免疫力所致。