During the month of June, 1918, an epidemic of influenza appeared in the Philippine Islands which presented a number of interesting manifestations. At the time I was in charge of St. Luke's, one of the most popular hospitals in Manila, and will attempt to summarize my notes and records during that period. About 300 cases, the majority of which were hospital patients, came under direct observation.
The epidemic, so far as can be determined, began in Manila, although the fact that cases were first noted among longshoremen and other laborers along the waterfront might indicate that it had been brought in from some other part of the world. On the other hand, the statements of Castellani and Chalmers and others that pandemics of influenza have usually started in the Far East further the belief that this epidemic originated here. All of the reports and rumors of influenza occurring elsewhere—in other
COUTANT AF. AN EPIDEMIC OF INFLUENZA AT MANILA, P. I.. JAMA. 1918;71(19):1566–1567. doi:10.1001/jama.1918.26020450013011c