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From uncertain origins in the spring of 1918, an apparently new variant of influenza A virus spread around the world as three distinct diffusion waves, infecting half a billion and probably killing around 40 million people. This paper examines the spatial structure of influenza transmission during the ten–month course of the epidemic in England and Wales, June 1918–April 1919, using the weekly counts of influenza deaths in London and the county boroughs as collated by the General Register Office, London. In addition, a particular case study of the borough of Cambridge is presented. From mid–1916, Cambridge contained, as well as its undergraduate population, a large naval contingent billeted in both the colleges and the town. It therefore affords the opportunity of studying the effect of the epidemic in contiguous groups with widely differing demographic characteristics. Through the application of a range of statistical methods (average lags, correlations and regressions), it is shown that the three waves that comprised the pandemic had fundamentally different spatial and temporal characteristics. The first, moving through a population that was a virgin soil to the new virus strain, was explosive in its north to south progress across the country. The second wave was somewhat slower in its rate of diffusion and displayed a south to north drift. Finally, the third wave reverted more closely to the form of the first. The spread of all three waves, however, was underpinned by a clearly defined process of spatial contagion. The Cambridge study showed the special characteristics of this pandemic in terms of the ages of those attacked: high rates were experienced across the age spectrum, a feature also seen internationally.  相似文献   

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This article compares the Toronto Health Department's role in controlling the 1918 influenza epidemic with its activities during the SARS outbreak in 2003 and concludes that local health departments are the foundation for successful disease containment, provided that there is effective coordination, communication, and capacity. In 1918, Toronto's MOH Charles Hastings was the acknowledged leader of efforts to contain the disease, care for the sick, and develop an effective vaccine, because neither a federal health department nor an international body like WHO existed. During the SARS outbreak, Hastings's successor, Sheela Basrur, discovered that nearly a decade of underfunding and new policy foci such as health promotion had left the department vulnerable when faced with a potential epidemic. Lack of cooperation by provincial and federal authorities added further difficulties to the challenge of organizing contact tracing, quarantine, and isolation for suspected and probable cases and providing information and reassurance to the multi-ethnic population. With growing concern about a flu pandemic, the lessons of the past provide a foundation for future communicable disease control activities.  相似文献   

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ABSTRACT. This article highlights two processes that shaped Swiss nationhood in the long nineteenth century. The first concerns the competition between different nation‐states and the nationalist visions these contests engendered. In a Europe dominated by the norm of the culturally and ethnically homogenous nation, the Swiss authorities, public intellectuals and various political representatives were desperate to display an image of national authenticity to the outside world. The result was a nationalism that combined voluntaristic and organic elements. In the second and main part of this article, the focus turns on citizenship; it is conceived not only as a social and legal institution, but also as a cognitive prism through which people defined their membership in the national community. Remarkably, the authority in granting national citizenship to foreign nationals remained firmly in the hands of the cantons and, above all, the Swiss municipalities. In practical terms, this meant that the Gemeinde provided the institutional and cognitive frame through which nationhood was primarily experienced, imagined and defined. While Switzerland represents a particularly strong case of a communalist polity, it should not be treated as unique. Instead, it should alert us to a potentially fertile yet little‐explored area of research: what might be called the communal embededdness of the national(ist) imagination.  相似文献   

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This paper presents a provenance study of 170 ceramic artifacts and 21 ceramic tiles from three islands in the Samoan archipelago using laser ablation-inductively coupled plasma-mass spectrometry (LA-ICP-MS). Our analyses confirm that LA-ICP-MS can be used to differentiate between clay formations on a single island. We identify different distribution patterns for pottery recovered from lowland and highland sites on Tutuila Island. We also examine evidence for movement of pottery between islands, and find only limited evidence for such movement. Our findings suggest dynamic patterns of prehistoric interaction and site use that need to be evaluated with further data from across the archipelago.  相似文献   

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The Viking spacecraft to Mars have clearly revealed a planet to ponder. In some ways it appears Earth-like, in other ways it is similar to our Moon, and yet in many aspects it is unique. This was the conclusion of the Second International Colloquium on Mars, held at the California Institute of Technology, Pasadena, California, USA, 15–18 January 1979. The first colloquium was held five years earlier to discuss results of the highly successful Mariner 9 mission to Mars. Two Viking landers and two orbiters were sent to Mars in 1976. All four spacecraft lived a healthy life through a full 688-day Martian year transmitting a rich harvest of scientific data. In fact, three are still at work, although at a much slower pace than before.  相似文献   

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