American Journal of Epidemiology Vol. 102, No. 6: 553-563
Copyright © 1975 by The Johns Hopkins University School of Hygiene and Public Health
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THE TECUMSEH STUDY OF RESPIRATORY ILLNESS
IX. OCCURRENCE OF INFLUENZA IN THE COMMUNITY, 1966–19711
Monto, A S . (U. of Michigan. School of Public Health, Ann Arbor. Ml 48104) and F. Kioumehr. The Tecumseh study of respiratory illness. IX. Occurrence of influenza in the community. 1966–1971.Am J Epidemiol 102:553–563. 1975
The occurrence of types A and B influenza infections was determined by isolation and serology over six years among residents of Tecumseh, Michigan. By isolation, there was evidence of type A infection for a limited period during each year of the study; most rises in titer were detected during the periods of viral isolation, but some also occurred out of season. Outbreaks of type B infection were encountered three times during the six-yearperiod and out of season infections were less frequently seen than with type A. Infection rates with type A were relatively flat over the age range, with high rates seen in infants and small children; in contrast, highest infection rates with type B were observed inthe 5–14-year-olds. On examination of illness rates, it was found that some of theoutbreaks would have gone undetected if surveillance techniques for infection had not been in operation. Frequency of respiratory illness with activity restriction was taken as aguide to influenza virus activity during outbreaks; it was found that highest rates of such illnesses occurred among the 1–4-year-olds for type A outbreaks, and among the 5–9-year-olds during mixed or type B outbreaks.
influenza; respiratory tract infections; serology; viral surveillance
2Present address: Plan and Budget Organization, Tehran, Iran.
1From the Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI 48104.
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