Learn about the Spanish Flu in 1918 from Michael Marcus, MD Pediatric Pulmonary at the Maimonides Medical Center Fellowship,Children’s Hospital of Philadelphia.
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Host: We talk about three probably episodes of that epidemic in 1918 usually with that spring time we are its certain aware of that we have some deaths and it is sort of quiet it down then it came back with dangerous around the fall of 1918 and it defrayed you hear about United States they claim six hundred thousand people doctor may be more, there were some countries like Italy that may be can deserve the population died up in Alaska some villages were over 100% died why would we such a differential in death rates. Michael Marcus: Well we don't fully understand why different populations have a different mortality rate found in any infection influenza in this case but its likely related to the rate of bodies immune system is able to response to the virus itself it has been exposure to influenza virus that is similar to the strain that is prevent such as in 1918 and certainly exact might allow the body to react more favorably to this infection and fight at more aggressively on the other side if the population such as in Alaska had never seen a type of influenza similar to this, that we know natural immunity and the body of the patients will be much more susceptible towards the bilitating serious disease. Host: Well, one of the very importances that came out Australia the first three phases of the flu that were speared and the reason for that was called in John Barry's book. They had unbelievable control were they but that we're not there any ships this in bought with anybody seek there and quality -- that was hardly controlled but towards the end, think It was 1919 one ship were they send some medical people and lot send nurses may be there was a little cross continuation, little picked up in the country and it didn't have some just but unusually they was almost only speared, so it shows there quarantine carefully done was the best weapon in preventing this one is that true? Michael Marcus: In those years yes, in those years quarantine isolating populations and avoiding exposure to patients, who may be infected once the way that as done in what's accessible when you had either a self contained population like a large continent of Australia, its much more difficult to do that sort of limited access in this drainage with populations moving much more easily with global trade and global interactions on a much greater scale but limiting exposure really is very important, what we also know however is that there are specific ways that the virus is able to move from person to person, which didn't fully understand that there. So things like wearing masks when you are in and infect when you are potentially infected. Washing your hands frequently are both very important in healthful ways of limiting their risk of having of spreading the virus.