2021
DOI: 10.7326/m20-6231
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Public Health Interventions, Epidemic Growth, and Regional Variation of the 1918 Influenza Pandemic Outbreak in a Swiss Canton and Its Greater Regions

Abstract: Detailed public health records from a region in Switzerland, collected during the 1918 influenza epidemic, were analyzed to study the effect of school closures, restrictions on mass gatherings, and other measures on the size and duration of the epidemic. Similar data collected in Switzerland during the present COVID-19 epidemic were analyzed. The 2 public health responses, occurring more than a century apart, were compared.

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Cited by 14 publications
(21 citation statements)
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“…Living conditions have changed substantially over time, and the viruses responsible for each pandemic had different biological and epidemiologic characteristics, including mortality patterns ( 59 ). However, there are also significant parallels between the pandemics of 1918 and 2020, such as authorities' hesitant and decentralized management of subsequent waves, as recently described for Switzerland ( 65 ).…”
Section: Discussionmentioning
confidence: 94%
“…Living conditions have changed substantially over time, and the viruses responsible for each pandemic had different biological and epidemiologic characteristics, including mortality patterns ( 59 ). However, there are also significant parallels between the pandemics of 1918 and 2020, such as authorities' hesitant and decentralized management of subsequent waves, as recently described for Switzerland ( 65 ).…”
Section: Discussionmentioning
confidence: 94%
“…Historically, the Spanish flu pandemic has been regarded as the most deadly pandemic and the second wave of the pandemic killed more people than the first wave [ 3 ]. Today, we are facing a similar situation all over the world with the second wave of COVID-19 pandemic affecting more persons all over the world [ 4 ].…”
Section: Discussionmentioning
confidence: 99%
“…Yet, there are also significant parallels between the 2 pandemics. For instance, authorities’ management of subsequent waves as recently described for Switzerland ( 42 ).…”
mentioning
confidence: 99%