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To the Editor:
—I have read with interest the instructive articles on influenza based on the epidemic of 1918, which have appeared in recent issues of The Journal.During this epidemic I was a member of the British medical service of the colony of Fiji. Some instances of the effectiveness of isolation against infection of communities with influenza came under my notice at that time which I think might be of interest, as they confirm the conclusion that "it is quite safe to assert that perfect isolation of an individual or group during an influenza epidemic constitutes a complete protection against the disease."An instance of the effectiveness of isolation by means of quarantine measures occurred in American Samoa, which was under the command of an American naval officer. The port of entry here is Pago Pago. Efficient quarantine prevented infection of the inhabitants of American Samoa with influenza. Pago
Marshall HK. INFLUENZA IN FIJI. JAMA. 1927;89(25):2133-2134. doi:10.1001/jama.1927.02690250055026