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1918: Open Air Treatment of Influenza

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  • 1918: Open Air Treatment of Influenza

    I've seen references to the open air treatment but finally found an actual report. Here's a short summary:

    One Monday morning Doctor Croke reported that he was getting a great many
    cases of influenza so a tent city was set up for all the sick men.
    They soon reported that the influenza bacillus predominated in these cultures.
    They also found that both Type I and Type III of the pneumococci were present, as was streptococci. Where Type III of the pneumococcus predominated many of the cases were fatal.
    The autopsy reports showed death was from abscesses in the lungs so the medical staff decided to give the patients all the air possible.
    Thereafter, on pleasant days, every patient was taken out of the tents and put into the open.
    From the first day, the results were startling. Almost every patient without
    exception had a lower temperature at night than in the morning, and felt decidedly more comfortable.
    Out of between 5,000 or 6,000 men on the ships,
    between 1,200 and 1,400 had contracted the disease;
    351 of the most serious cases were treated at the tent hospital, of whom 35 died.
    Very few of the attendents and nurses got sick and only 2 died.
    Compared to one general hospital with 76 cases; within three days, twenty of these cases died, and seventeen nurses were down with influenza.

    Medical Treatment.
    -Very little medicine was given after the value of plenty of air and sunshine had been demonstrated.
    Practically only three drugs were used: Dovers powder, some form of aspirin,
    and iodide of lime in one-third grain doses.
    The patients were fed every two or three hours, and given a variety of food with plenty of fruit. They were also made to drink plenty of water. Their feet were kept warm with metallic hot water bags, or else by means of heated bricks wrapped in newspapers.

    Mask Technique.-
    It was found that the ordinary masks made out of a number of layers of gauze were very unsatisfactory. Nurses and attendants were constantly dropping the masks, and replacing them with the wrong side next to the mouth and nose.
    Improvised wire masks were made out of ordinary gravy strainers. The strainer
    was shaped to fit the nose, and five layers of gauze were simple basted on to the wire frame.
    There was a superintendent of masks whose duty it was to see that all the masks were changed every two hours and to see that they were properly sterilized and fresh gauze put on.

    Observations.
    The facts are that the patients do not thrive as well in any ordinary hospital, no matter how well it is ventilated, as they do when they are put right out into the open.
    The objection to the sun parlor is that one gets direct sunlight only during part of the day, whereas the patient who is out in the open gets the direct sunlight all day long.
    -------------------------
    Report By William Brooks
    Surgeon-General, Massachusetts State Guard
    The salvage of human life ought to be placed above barter and exchange ~ Louis Harris, 1918

  • #2
    Re: 1918: Open Air Treatment of Influenza

    so it was sunlight ??

    or better ventilation --> less infection with viruses and bakteria
    for nurses and other patients



    there should be more/other studies...
    I'm interested in expert panflu damage estimates
    my current links: http://bit.ly/hFI7H ILI-charts: http://bit.ly/CcRgT

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    • #3
      Re: 1918: Open Air Treatment of Influenza

      Probably both. Along with hand washing and masks.

      This might be a good point for the vitamin D studies we have posted here.
      The salvage of human life ought to be placed above barter and exchange ~ Louis Harris, 1918

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      • #4
        Re: 1918: Open Air Treatment of Influenza

        Early TB treatment was similar. 1930s-era sanitariums offered good food, rest, sunshine, & fresh air. My TB-patient aunt told how rooms had high windows designed to maintain cross-ventilation. They spent much of the day outside in sunlight. She also learned about good nutrition - knowledge that benefited her entire family thereafter.

        .
        "The next major advancement in the health of American people will be determined by what the individual is willing to do for himself"-- John Knowles, Former President of the Rockefeller Foundation

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        • #5
          Re: 1918: Open Air Treatment of Influenza

          Padua former lazareth (an hospital for tubercolosis patients) is now restructured and devoted to cancer treatment (IOV, Istituto Oncologico Veneto).

          I visited this building when I was nurse student and teaching room was hosted in an older ward.

          The large room with tall walls and an entire portion of the room was occupied by windows (from floor to ceiling). A balcony was also present.

          Around the building, a green park with trees protect from unwanted looks.

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          • #6
            Re: 1918: Open Air Treatment of Influenza

            While reviewing many of the anecdotal stories from survivors of the 1918 a common thread in many of them seems to be access to fresh air and sunshine or "being sent outside to play", which may have been more to help preserve the sanity of out of work or quarantined parents at the time, rather than as an intended preventative to the flu.
            We were put on this earth to help and take care of one another.

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            • #7
              Re: 1918: Open Air Treatment of Influenza

              Thanks.

              I remember reading somewhere, either in this article or another one, that fruit was the one food that patients willingly accepted. Our bodies often will tell us what we need if we only listen.
              The salvage of human life ought to be placed above barter and exchange ~ Louis Harris, 1918

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              • #8
                Re: 1918: Open Air Treatment of Influenza

                This approach seems to be very important, and yet nobody outwith this site seems to have heard of it. Compare this with modern hospitals ...they have tiny or no windows and carpets on the floor which are not really cleaned properly.

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