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January 4, 1890


JAMA. 1890;XIV(1):26-27. doi:10.1001/jama.1890.02410010038008

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THE RUSSIAN INFLUENZA.  After the discovery, in the last weeks of October, of the first cases of the epidemic which is now raging in St. Petersburg, the disease, under the influence of an unusually warm, moist, foggy atmosphere, with prevailing west winds, spread with wonderful rapidity throughout the city. The rapid increase of sickness was soon evidenced by the great numbers of patients transported by the ambulances to the hospitals, which were soon filled to over-flowing. The number of patients attacked during the three weeks which have elapsed since the beginning of the epidemic cannot be estimated even approximately, but we believe from all that we can learn that it amounts to from one-third to one-half of the entire population of the city. The disease spread with equal intensity among all classes of the populace, from highest to lowest, and apparently without the least regard to the hygienic surroundings of

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