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Abstract

Journal of Translational Medicine, 2(1), 3

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The so-called Great Spanish Influenza Pandemic of 1918 may have originated in France in 1916.

J Oxford (2001)

This discussion piece examines the likely epicentre of the influenza pandemic of 1918-1919. Contrary to previous studies that have proposed a Chinese origin, there is documentation that suggests that, in this instance, the virus spread eastwards to China from Europe. Although more recent oubreaks of influenza have undoubtedly had an Oriental origin, the evidence indicates that future outbreaks could conceivably arise anywhere in the world.

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The Great Influenza: The Epic History of the Deadliest Plague in History

John J. Barry, JM Barry, MJ Barry … (2004)

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Outbreak of influenza, Madagascar, July-August 2002.

(2002)

Preliminary investigation found that a large outbreak of influenza-like illness occurred in Madagascar during July-August 2002, with 30 304 cases and 754 deaths reported. Most cases were reported from the highland regions of Fianarantsoa Province, in centre Madagascar. The majority of the cases lived in rural areas, and children under five years and adults 60 years and older were the most affected. The outbreak was attributable to an A/Panama/2007/99-like (H3N2) virus, which has been circulating worldwide for several years.