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    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Shanks, G. Dennis 2016. No evidence of 1918 influenza pandemic origin in Chinese laborers/soldiers in France. Journal of the Chinese Medical Association, Vol. 79, Issue. 1, p. 46.


    Shanks, G Dennis 2014. How World War 1 changed global attitudes to war and infectious diseases. The Lancet, Vol. 384, Issue. 9955, p. 1699.


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Spatiotemporal patterns of pandemic influenza-related deaths in Allied naval forces during 1918

  • G. D. SHANKS (a1) (a2), M. WALLER (a3) and M. SMALLMAN-RAYNOR (a4)
  • DOI: http://dx.doi.org/10.1017/S0950268812003032
  • Published online: 16 January 2013
Abstract
SUMMARY

This paper draws on the mortality records of the French, US and UK Royal navies to reconstruct the spatiotemporal evolution of the 1918–1919 influenza pandemic in global Allied naval forces. For a total of 7658 deaths attributed to respiratory diseases (French and US navies) and all diseases (UK Royal Navy) at 514 locations worldwide, techniques of spatial point pattern analysis were used to generate weekly maps of global mortality intensity in 1918. The map sequence for the main period of pandemic mortality, mid-August to mid-November 1918, revealed a near-simultaneous development of mutiple foci of high disease intensity in three distant locations (Europe, North America, West Africa). Given the relatively slow speed of naval ships in convoy at this time (<12 knots), our findings suggest that the pandemic influenza virus was circulating on three continents at the observed onset of the main mortality wave.

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Corresponding author
*Author for correspondence: Professor G. D. Shanks, Australian Army Malaria Institute, Enoggera, QLD 4051, Australia. (Email: dennis.shanks@defence.gov.au)
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Epidemiology & Infection
  • ISSN: 0950-2688
  • EISSN: 1469-4409
  • URL: /core/journals/epidemiology-and-infection
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