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December 7, 1918


Author Affiliations

Attending Gynecologist, Cook County and Wesley Hospitals; Assistant Professor of Gynecology and Surgery, University of Illinois College of Medicine; Resident Physician, Cook County Hospital CHICAGO

JAMA. 1918;71(23):1898-1899. doi:10.1001/jama.1918.02600490030008

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During the recent epidemic of pneumonia, or so-called Spanish influenza, 2,154 patients were admitted to Cook County Hospital between Sept. 18 and Nov. 5, 1918. Of this number, 101 were pregnant women.

Of these 101 cases of pneumonia, complicated by pregnancy, fifty-two died, giving a mortality of 51.4 per cent., as compared with a mortality of 719, or 33.3 per cent., of the 2,154 patients admitted to the general hospital. This shows a relatively higher death rate by 18.1 per cent. in the pregnant women. These apparently high percentages of mortality may be explained in part by the condition of the average patient on entrance to this hospital.

The Cook County Hospital received by far the largest majority of the patients during this epidemic, all of whom were from the poorer classes of the population. The patients were all extremely ill on entrance, many dying in ambulances on the way

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