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Edit: asian-flu.php

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            	<h4 style="margin-bottom:20px;">The 1957 pandemic of influenza in India </h4>
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                      <p style="text-align:justify"><b>Asian influenza</b> appears to have reached India via Madras in May 1957. The main pandemic wave swept through the subcontinent within the next 12 weeks; cases occurring thereafter represent the permanent infiltration of the new virus into the population. Between 19 May 1957 and 8 February 1958 there were reported 4 451 758 cases, with 1098 deaths. The author discusses the attack-rates by age-group, by occupational group, by State and in closed communities such as schools. The disease, in India as elsewhere, seems generally to have run a mild course, although nausea and vomiting and symptoms related to the nervous system were relatively frequently seen.</p>
                      
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                       A number of A/Asia/57 virus strains were isolated; their antigenic and biological characteristics are discussed in some detail. In view of the rapid spread of the pandemic, it proved impossible to prepare sufficient vaccine from the new strains in time for adequate field trials or mass immunization of the population.</p><br>
                       <p style="line-height:35px;text-align:justify;">India was under British rule. An account given by the Sanitary Commissioner of Punjab</a> was quoted in the annual report, which gives us an idea of rapidity with which infection can be spread by infected individuals: “A recruit suffering from symptoms of influenza arrived at Narkanda and stayed a night with the Khansama of the hotel. Three days later the Khansama and his wife went down with influenza. Within a few yards of the Khansama’s house lived a blacksmith and the two used to inter-visit. A few days after the Khansama was attacked all the members of the blacksmith’s house were down with the disease. The postal peons used to frequent the Khansama’s house, with the result that they all contracted the disease and two of them died of it,” The postal peons served as a disseminating agency and “ in a short time the Hindustan Tibet Road was thoroughly infected.” Marwari traders, shopkeepers and even doctors, in fact, all who travelled by water, road or rail, were potential factors in distributing infection”. <br>
                       Thespread of the epidemic through the Indian subcontinent, with particular reference to the chronological appearance of cases indifferent  geographical areas,isshown in the map,which does not show,however,the  intensity and duration of the outbreaks.The figures given against each town orcity represent theweekintheyearwhenthefirstcasesofinfluenzawerereported from the area,20 being the week when Madras was affected and 21 Bombay and Calcutta. For the sake of clarity,single numbers 1to6 are given against other areas,indicating weeks 21to26.The map is intended to show the speed with which the epidemic spread; with in six weeks from 18 May it had spread all over India.</div></div>
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Edit: asian-flu.php

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