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(e) Very few affected who wore affected in last attack.
(f) Does not protect.
(g) I believe an attack gives protection.
(h) Should think there is no protection.
(i) As a rule, those in our practice who were ill with influenza in.June
did not suffer in this epidemic.
(j) No protection.
(k) None whatever—rather the reverse.
Question 8.—Frequency of occurrence of second attacks in 1918 ?
Replies.
(a) Fairly frequent.
(b) None.
(c) Quite frequent, and "relapses" of this "influenza maligna" quite
frequent, also suffered two or three months before from the "Spanish 'Flu."
(d) Several cases of second attacks—probably 10 per cent. to 15 per cent.
(e) I do not consider the summer epidemic to have been influenza.
No cases.
(f) Not frequent.
(g) Cannot give numbers, but quite common.
(h) Very few. Not 2 per cent.
(i) Rare. As a rule, those who were ill with influenza in June did not
suffer in this epidemic.
(j) Frequent.
Question 9.- Any special clinical features of the outbreak.
Replies.
(a) Severe epistaxis. Persistent anæmia. Extreme constipation. In
one case, severe jaundice.
(b) Backache. Headache. Lassitude. Depression (marked). Cough
almost constant.
(c) Specially liable to develop pneumonia, especially where high temperature,
and if much pharyngitis. Liability of hæmorrhage both from nose,
pharvnx and from lungs in several of the pneumonia cases.