The Nenana daily news., 1918-10-19
SPANISH INFLUENZA: CAUSE AND EFFECTS

hHo"I dS cptiiiSil ihlluSlIAd lIilouSh- out the United States. the evil eff fects of which has been brought home to Nenana in a startling man. ner, and the stringent measure taken in the States to curb the rav- ages of the disease, seems to have aroused a desire for closer know ledge of this disease locally
 The following notes on this epidemic disease taken from the latest copy of the Public Health Reports issued by the United States Public Health Service, is published for the benefit of readers of the Nenana News:
 Recent reports from Spain, Aus tria, Germany, Switzerland, France, Great Britain, Hawaii, and elsewhere indicate the presence of another pandemic of influenza similar in eX, tent to others which have been reported since the sixteenth century There have been four pandemics succeeded by epidemics during the last century, the last one occurring 18s9-1S92.
 "No other communicable disease which assumes epidemic proportions spreads so rapidly or attacks indis- criminately so large proportion of the population; therefore while the statements in the press that eight million persons have been attacked in Spain alone may be an exaggera- ton, it is probably nevertheless true that there has been a wide prevail ence of the disease.
 "Past epidemics have been char acterized by profound prostra- tion out of all proportion to the intensity of the disease; hence it is not improbable that the disease has impaired for a time the efficiency of the enemy's army, as has been reported. ..
 Most of the cases reported to the Public Health Service have been from France, England, Norway and Switzerland, although mild form has been reported in Canton, China. It has appeared at Prince Edward Island, Canada, and in the Island of Guadeloupe in the West Indies, probably an extension from Euro pean ports.
 In view of this pandemic pre- valence of influenza, the following report on the disease prepared by the Division of Sanitation, Bureau of Medicin and Surgery, Navy De- partment, is published as a matter of interest in connection with meas ures for the prevention of the intro duction of the disease into this coun- try:
 'The present outbreak appears to be characterized by peculiarly sudden onset, the victim being struck down with dizziness, weakness and pains in various parts of the body while on duty or in the street. . "There is a sharp rise in the tenn perature to 103 or 104 degrees, com plaint of headache, pain in the back and photophobia. The throat feels sore; there is congestion in the pharnyx, and in some instances laryngitis and bronchitis. Lateral nystagmus with suffused conjuct- ivae, a sign to which Maj. Morris R. A. M. C., has drawn attention in trench fever, is not rarely found in the influenza patient.
 'In many cases the fever falls in three or four days, aAd the patient recovers rapidly; in others there is an irregular pyrexia, which may be accounted for by bronchitis; in rare cases by bronchiolitis, broncho. pneumonia, or by the presence of influenza bacillus in the blood. The usual mode of death has been Dron. cfiolitis, with increasing cyanosis and terminal failure of the right ! heart.
 "Incubation--Osler give. tn, in. cubation period of influeuza as iron, 1