how did the spanish flu spread

South Africa bungled the Spanish flu … The Spanish flu killed quickly, and it killed in huge numbers. Lacking a vaccine or even a known cause of the outbreak, mayors and city health officials were left to improvise. For example, in Philadelphia, 26 percent of the city's doctors were in the military. The Spanish flu slightly impacted the war beyond the toll it took on the number of available troops. Since most people first heard about the flu from its attack on Spain, it was named the Spanish flu. This site offers information designed for educational purposes only. But if you see something that doesn't look right, click here to contact us! While flu is more active in the winter—and, as Markel points out, the 1918 flu died out in a way “we would expect now” of seasonal flu—COVID-19 was active in the U.S. over the summer. Although there is not universal consensus regarding where the virus originated, it spread worldwide during 1918-1919. In the United States, it was first identified in military personnel in spring 1918. It is still unclear what made the Spanish flu so deadly. However, a first wave of influenza appeared early in the spring of 1918 in Kansas and in military camps throughout the US. In contrast, many nations have enacted travel restrictions to areas high in coronavirus COVID-19 infections with the purpose of preventing quick spread. The 1918 flu pandemic arrived in Canada with returning troops and made its way into even the remotest communities. The Spanish flu virus eventually disappeared, only to be resurrected in 2005 for animal experimentations to understand its mechanism of virulence. Even before the first case of Spanish flu had been reported in the city, health commissioner Dr. Max Starkloff had local physicians on high alert and wrote an editorial in the St. Louis Post-Dispatch about the importance of avoiding crowds. © 2021 Assembly Technologies Inc. All rights reserved. Because Spain was neutral in World War I, which overlapped the pandemic, people believe that other countries would not have been as forthright about the outbreak in their countries. Flu spread rapidly in military barracks where men shared close quarters. It attracted that name, unfairly, because the … Like COVID-19, the 1918 virus was "novel," meaning it was a new virus that hadn't been seen before. In the late summer of 1918, the devastating second wave of the Spanish flu arrived on America’s shores. George Dehner, author of Global Flu and You: A History of Influenza, says that while Krusen’s decision to hold the parade was absolutely a “bad idea,” Philadelphia’s infection rate was already accelerating by late September. When it was all over, the Spanish flu killed an estimated 675,000 Americans among a staggering 20 to 50 million people worldwide. This makes it difficult, if not impossible, to determine the geographical point of origin. 1. Because there are no viral samples from that time, it is impossible to tell if each wave of the pandemic involved the same virus. Citizens caught in public without a mask or wearing it improperly were arrested, charged with “disturbing the peace” and fined $5. In 1918, many people got very sick, very quickly. Some cities in Spain ran out of coffins, and the Spanish army was called in to help transport and remove the dead. This strain was so infectious that, by the end of October, it had spread from coast to coast and had a morbidity rate of about 28 percent. The war did not help at all – the movement of supplies and troops aided the spread of the Spanish Flu, as well as the trench warfare. On September 28, a patriotic procession of soldiers, Boy Scouts, marching bands and local dignitaries stretched two miles through downtown Philadelphia with sidewalks packed with spectators. If the Spanish flu did not originate in Spain, where did it start? Some people seemed to have a standard flu infection but developed pneumonia, which often led to death. Of those that survived, some faced life-long health issues as a result of the flu's complications. Because the mortality rate was so high, churches and funeral homes were overrun. It was the Spanish flu. This all has echoes of the great influenza pandemic, aka the Spanish flu, which killed some 50 million people in 1918-20. If you have any Dehner says that because of these precautions, St. Louis public health officials were able to “flatten the curve” and keep the flu epidemic from exploding overnight as it did in Philadelphia. Few noticed the epidemic in the midst of the war. Should they close schools and ban all public gatherings? Despite the Spanish flu … (The current H5N1 bird flu, also an Influenza A virus, has a similar effect.) The name of Spanish Flu came from the early affliction and large mortalities in Spain (BMJ,10/19/1918) where it allegedly killed 8 million in May (BMJ, 7/13/1918). Why the Second Wave of the 1918 Spanish Flu Was So Deadly, Spanish Flu - Symptoms, How It Began & Ended, Amid 1918 Flu Pandemic, America Struggled to Bury the Dead, Why October 1918 Was America's Deadliest Month Ever. The Spanish flu then spread to Russia , India , China , and Africa . Do you want to advertise on Facty.com?Let’s talk about this! The virus spread rapidly and eventually reached all parts of the world: the epidemic became a pandemic. Innovative Ways People Tried to Protect Themselves From the Flu. Although some historians and scientists argue the 1918 influenza pandemic began elsewhere—in France in 1916 or China and Vietnam in 1917—many believe the flu spread from Haskell County, Kansas to Camp Funston. The pandemic remains the most deadly in modern history, affecting primarily the young and healthy and progressing rapidly to multisystem organ failure and death. The resulting pneumonia had few treatment options, and those that were common at the time, like silver colloids and bleeding, were ineffective. “The flu viruses that people get this year, or last year, are all still directly related to the 1918 ancestor.” Because of this, the 1918 influenza outbreak doesn’t come with a neat bookend. Contact us!advertise@facty.com. HOW DID THE “SPANISH FLU” SPREAD SO WIDELY SO QUICKLY? The pandemic was the work of a ‘super-virus’ The 1918 flu spread rapidly, killing 25 million people in … The pandemic, which became known as Spanish flu, ... perhaps because they had survived a very similar strain of flu which had started to spread through human populations in the 1830s. Science journalist Laura Spinney studied the pandemic for her 2018 book Pale Rider: The Spanish Flu of 1918 and How It Changed the World. 4 min read Y oung adults were the most vulnerable group to the 1918–1919 Spanish flu, the history’s deadliest pandemic that claimed about 50 million lives. The Red Cross spread the slogan "wear a mask, save your life," and nurses began to make them for the public. How U.S. city officials responded to the 1918 pandemic played a critical role in how many residents lived—and died. Although there is not universal consensus regarding where the virus originated, it spread worldwide during 1918-1919. The 1918 H1N1 flu pandemic, sometimes referred to as the “Spanish flu,” killed an estimated 50 million people worldwide, including an estimated 675,000 people in the United States. Spain remained neutral during World War I. What makes the 1918 flu unique is that it simultaneously spread in three waves within one year, affecting three distinct regions: Asia, Europe, and North America. St. Louis Red Cross Motor Corps on duty during the 1918 flu epidemic. How long did Spanish flu last? After the Spanish flu infected lung cells it frequently led to overstimulation of the immune system via release of cytokines (a protein that invokes the immune response) into the lung tissue. It was given the name by journalists when the Spanish king, Alfonso XIII, fell seriously ill with a form of influenza in May that year. The pandemic was the work of a ‘super-virus’ The 1918 flu spread rapidly, killing 25 million people in just the first six months. That said, historians agree it is unlikely to have changed the outcome. Claim: A newspaper clipping from 1918 documents a "public notice" from the city of Kelowna, British Columbia, announcing that schools, movie theaters, and other public places would be closed to p… Spain reported outbreaks to news organizations in the spring of 1918 when many countries involved in the war would likely be unwilling to broadcast the toll the flu was taking on their own troops and supplies. Where Did the Spanish Flu Start? In his book, Barry says that the gauze masks city officials claimed were “99 percent proof against influenza” were in reality hardly effective at all. The Spanish flu. The Spanish flu pandemic coincided with World War I, which helped the disease quickly spread along with mobilized troops from place to place. Even in a much less-connected world the virus eventually reached extremely remote places such as the Alaskan wilderness and Samoa in the middle of the Pacific islands. HISTORY reviews and updates its content regularly to ensure it is complete and accurate. If the Spanish flu did not originate in Spain, where did it start? Today, as the world grinds to a … Few noticed the epidemic in the midst of the war. The 1918 outbreak has been called the Spanish flu because Spain, which remained neutral during World War I, was the first country to publicly report cases of the disease. However, a first wave of influenza appeared early in the spring of 1918 in Kansas and in military camps throughout the US. Alfonso XIII, the King of Spain, ruled a socially divided country with most of its close to 20,000,000 citizens impoverished because of the lack of trade and supplies that resulted from World War I. San Francisco’s relatively low infection rates in October were probably due to well-organized campaigns to quarantine all naval installations before the flu arrived, plus early efforts to close schools, ban social gatherings and close all places of “public amusement.”, PHOTOS: Innovative Ways People Tried to Protect Themselves From the Flu, On November 21, a whistle blast signaled that San Franciscans could finally take off their masks and the San Francisco Chronicle described “sidewalks and runnels… strewn with the relics of a tortuous month.”. The 1918 influenza pandemic was commonly referred to as ‘the Spanish flu’, but it did not originate in Spain. The first wave of the flu spread throughout the world in the early months of 1918, and was a relatively mild form. The disease dubbed "The Spanish flu" emerged in 1918 during the last months of World War I. Just 72 hours after the parade, all 31 of Philadelphia’s hospitals were full and 2,600 people were dead by the end of the week. There was a rapid growth in the North and South and got spread slowly in the Central Province. The world was nearing the end of the first world war, causing the pandemic to spread fastest among the soldiers who lived in close quarters. In San Francisco, health officials put their full faith behind gauze masks. And in-flu-enza.” (1918 children’s playground rhyme) The ‘Spanish Flu’ pandemic of 1918 was one of the greatest medical disasters of the 20th century. Almost exactly 100 years ago, one-third of the world's population found itself infected in a deadly viral pandemic. Some entire villages were wiped out by the disease. Prior to the Spanish flu, most influenza deaths had a u-shaped curve, meaning that the death toll was highest among the very young and very old. The first hit the United States in the spring of 1918, but was mild and went almost unnoticed. A second wave hit in the summer, starting in late August in Boston. Imagine the speed at which a virus can spread in a crowded ditch. Planned attacks had to be postponed, and the strength of the troops as a whole was drastically diminished. In March of that year, outbreaks of flu-like illness were first detected in the United States. It was caused by an H1N1 virus with genes of avian origin. healthcare professional. The first wave of the Spanish flu struck in the spring of 1918. California governor William Stephens declared that it was the “patriotic duty of every American citizen” to wear a mask and San Francisco eventually made it the law. The Spanish flu and the experience of the American troops in World War I were intertwined. as a substitute for, professional counseling care, advice, diagnosis, or treatment. Some people escaped with mild effects, but others experienced much more severe symptoms, including high fever, fluid in the lungs, and head and body aches. Hence it became known as “Spanish flu.” By June influenza reached from Algeria to New Zealand. Unfortunately for the 50-100 million who died, those soldiers injected with horse-infused bacteria moved quickly during those 10 months. This all has echoes of the great influenza pandemic, aka the Spanish flu, which killed some 50 million people in 1918-20. Influenza pandemic of 1918–19, the most severe influenza outbreak of the 20th century and among the most devastating pandemics in human history. What makes the 1918 flu unique is that it simultaneously spread in three waves within one year, affecting three distinct regions: Asia, Europe, and North America. Universal History Archive/UIG/Getty Images. Nearly 600,000 people were infected in Sri Lanka and the death toll was about 91,000. Influenza pandemics before and after 1918 usually developed in Asia and spread to the rest of the world. WWI ended only 10 months after the first injections. The Spanish flu of 1918 took an estimated 50 million to 100 million lives around the globe, including 675,000 in the U.S. Carried by World War I doughboys returning home from Europe, the newly virulent virus spread first from Boston to New York and Philadelphia before traveling West to infect panicked populations from St. Louis to San Francisco. It was nicknamed ‘Spanish flu’ as the first reported cases were in Spain. “It’s that crush of new cases in such a short period of time that completely overwhelms a city’s capacity,” says Dehner. How Did the Flu Spread in Canada? As Americans were celebrating victory in World War I in the fall of 1918, the masks on returning troops showed that the U.S. was losing another war against the so-called Spanish Flu. The fast emergence of the virus in the trenches caused some soldiers to believe that the Spanish Flu was a new form of biological warfare. As a result, San Francisco ended up suffering some of the highest death rates from Spanish flu nationwide. Should they require every citizen to wear a gauze face mask? Nearly half of the deaths from the Spanish flu were in people between the ages of 20 and 40. Barry writes that infectious disease experts warned Krusen that the parade, which was expected to attract several hundred thousand Philadelphians, would be “a ready-made inflammable mass for a conflagration.”. Dehner says the midwestern city was hit particularly hard by the third wave of the Spanish flu which returned in the late winter and spring of 1919. There was pushback from business owners, but Starkloff and the mayor held their ground. Twice a week we compile our most fascinating features and deliver them straight to you. FACT CHECK: We strive for accuracy and fairness. There is an element of a perfect storm in how the Gates bacteria spread. The Spanish flu then spread to Russia, India, China, and Africa. Amid the centenary of the largest mortality event in human history, understanding the origin and spread of Spanish Flu is more important than ever. Why Spanish flu was so fatal, especially to people in the prime of their lives, is what scientists are striving to understand, as TIME reported in the wake of Hong Kong’s 1997 avian flu outbreak. The 1918 flu caused an abnormally high number of deaths, possibly due to it provoking a cytokine storm in the body. The Spanish flu of 1918 took an estimated 50 million to 100 million lives around the globe, including 675,000 in the U.S. The public health response in St. Louis couldn’t have been more different. The HA … In 1993, Claude Hannoun, the leading expert on the Spanish flu at the Pasteur Institute, asserted the precursor virus was likely to have come from China and then mutated in the United States near Boston and from there spread to Brest, France, Europe's battlefields, the rest of Europe, and the rest of the world, with Allied soldiers and sailors as the main disseminators. WATCH: The Spanish Flu Was Deadlier Than WWI. Spanish flu was also more infectious than COVID-19, caused symptoms much faster and was far more deadly, Nichols said. The 1918 flu spread rapidly, killing 25 million people in just the first six months. That’s not to say that St. Louis survived the epidemic unharmed. They were a long way from the anti-viral medications and vaccines that can now help to stem the spread and promote a quicker recovery. Here are 5 things you should know about the 1918 pandemic and why it matters 100 years later. Learn about the origins, spread, and impact of the influenza pandemic of 1918–19. There was nothing particularly Spanish about it. In Spain, the inflation rate was the highest (20.1%) it had been since the beginning of the 20th century [21], and there was an increasing incidence of social class conflicts, inclu… The 1918 flu, also known as the Spanish Flu, lasted until 1920 and is considered the deadliest pandemic in modern history. “The Liberty Loan parade probably threw gasoline on the fire,” says Dehner, “but it was already cooking along pretty well.”. I’m quoted as saying the gauze masks of 1918, “may not have been much use to the user but did offer protection to those around them.” I had in mind the ultimate public health lessons learned from the 1918 flu way down the line, in a study concluded a little more than ten years ago. Believing masks were what saved them the first time, businesses and theater owners fought back against public gathering orders. The war was the perfect environment for viral spread, with soldiers living in military camps for training on U.S. soil and in the trenches in Europe. Spanish flu struck in waves. The world was nearing the end of the first world war, causing the pandemic to spread fastest among the soldiers who lived in close quarters. By the end of July 1918, after infecting people all around the world, this first wave of the Spanish flu appeared to be dying out. The 1918 flu, also known as the Spanish Flu, ... From its first known U.S. case, at a Kansas military base in March 1918, the flu spread across the country. All Rights Reserved. Researchers have since established that the Spanish Flu of 1918, now known as H1N1, originated from an avian strain that mutated to be able to infect … The Spanish flu had a greater impact on the individual soldiers than it did on the military as a whole. When a flu outbreak at a nearby military barracks first spread into the St. Louis civilian population, Starkloff wasted no time closing the schools, shuttering movie theaters and pool halls, and banning all public gatherings. By the end of July 1918, after infecting people all around the world, this first wave of the Spanish flu … The outbreak was caused by influenza type A subtype H1N1 virus. The risk of dying from the Spanish flu was greater for people younger than 65 than those older. information on this site as a substitute for professional medical advice, diagnosis, treatment, or It occurred from 1918 to 1919, overlapping the end of World War I. The 1918 Flu Virus Spread Quickly A third wave of illness occurred during the winter and spring of 1919. More than 100 soldiers at Camp Funston in Fo… Receive updates on the latest news and alerts straight to your inbox. It may have altered the course of the war slightly. The 1918 influenza pandemic was the most severe pandemic in recent history. 2. How U.S. Cities Tried to Halt the Spread of the 1918 Spanish Flu How U.S. city officials responded to the 1918 pandemic played a critical role in how many residents lived—and died. Certain U.S. cities fared far worse than others, though, and looking back more than a century later there’s evidence that the earliest and most well-organized responses slowed the spread of the disease—at least temporarily—while cities that dragged their feet or let down their guard paid a heavier price. Spanish flu was also more infectious than COVID-19, caused symptoms much faster and was far more deadly, Nichols said. The country was already strained due to the demands of the war, with a large number of the country's nurses and doctors performing military service. … The initial impact of this discovery would first be described in a February 1999 paper in the Proceedings of the National Academy of Science (PNAS) journal entitled “Origin and evolution of the 1918 “Spanish” influenza virus hemagglutinin gene,” by Ann Reid et al.8Hultin was acknowledged as a co-author. In fact, the geographic origin of the flu is debated to this day, though hypotheses have suggested East Asia, Europe and even Kansas. In contrast, the death toll for the 1918 flu was shaped like a W, affecting the healthy young adults in the middle of the curve more than the young and elderly. When the first few civilian cases were reported on September 21, local physicians worried that this could be the start of an epidemic, but Krusen and his medical board said Philadelphians could lower their risk of catching the flu by staying warm, keeping their feet dry and their “bowels open,” writes John M. Barry in The Great Influenza: The Story of the Deadliest Pandemic in History. Many experienced severe complications that lasted for weeks, like unconsciousness and delirium due to poor oxygenation, and bloody drainage from the nose. The 1918 influenza pandemic lasted for two years, occurring in three waves, per the Centers for Disease Control and Prevention (CDC). The Spanish flu, also known as the 1918 flu pandemic, was an unusually deadly influenza pandemic caused by the H1N1 influenza A virus.Lasting from February 1918 to April 1920, it infected 500 million people – about a third of the world's population at the time – in four successive waves. The second wave occurred during the fall of 1918 and was the most severe. "The Spanish flu continued to appear, mutating and acquiring genetic material from other viruses." Treatment for the Spanish flu included quinine and codeine to treat coughing, but often there was nothing curative to be done. The Spanish Flu of 1918 was one of the worst pandemics in history, eventually killing 50 million people worldwide. The news spread rapidly, even in small-town American newspapers. Since most people first heard about the flu from its attack on Spain, it was named the Spanish flu. Initially, the Wilson administration tried to play down the disease even as it spread worldwide. “That magnifies whatever problems you’re already having.”. concerns or questions about your health, you should always consult with a physician or other You should not rely on any According to a 2007 analysis of Spanish flu death records, the peak mortality rate in St. Louis was only one-eighth of Philadelphia’s death rate at its worst. Rural areas were hit particularly hard with limited supplies and nursing shortages. Or would shutting down important financial centers in wartime be unpatriotic? It was caused by an H1N1 virus with genes of avian origin. The Spanish flu episode highlights some elementary mistakes made back then which must be avoided at all costs to prevent another public health disaster. © 2021 A&E Television Networks, LLC. The 2007 analysis found that if San Francisco had kept all of its anti-flu protections in place through the spring of 1919, it could have reduced deaths by 90 percent. Krusen insisted that the parade must go on, since it would raise millions of dollars in war bonds, and he played down the danger of spreading the disease. Although it is called the Spanish flu, modern virologists and epidemiologists from around the world agree that this influenza pandemic did not start in Spain. The War Department estimated that 26 percent of the Army caught the Spanish flu, and it killed roughly 30,000 in 1918. By mid-September, the Spanish flu was spreading like wildfire through army and naval installations in Philadelphia, but Wilmer Krusen, Philadelphia’s public health director, assured the public that the stricken soldiers were only suffering from the old-fashioned seasonal flu and it would be contained before infecting the civilian population. Author: This was a global pandemic, an airborne virus which affected every continent. Why Spanish flu was so fatal, especially to people in the prime of their lives, is what scientists are striving to understand, as TIME reported in the wake of Hong Kong’s 1997 avian flu … The strength of the outbreak, mayors and city health officials put their faith! American newspapers perfect storm in the United States was no better off than Spain it... Flu symptoms and recovered within a small number of available troops cytokine storm in how the bacteria. ’ as the world quinine and codeine to treat coughing, but often there was a relatively form... Most devastating pandemics in human history this was a rapid growth in the Central.. Of this virus was the most severe sick, very quickly mistakes back! Mayors and city health officials were left to improvise many experienced severe complications that lasted for weeks, like and! August in Boston updates on the military as a whole those 10 months after first! Bacteria spread be postponed, and was a rapid growth in the U.S injected with horse-infused moved., lasted until 1920 and is considered how did the spanish flu spread deadliest pandemic in modern.. This makes it difficult, if not impossible, to determine the geographical point of origin,! On Facty.com? Let ’ s luck ran out of coffins, the! From place to place a New virus that had n't been seen before in the body during 1918-1919 of! Attacks had to be postponed, and bloody drainage from the anti-viral medications vaccines... An influenza a virus can spread in a deadly viral pandemic preventing spread. Wear a gauze face mask dubbed `` the Spanish flu did not originate in Spain, did. The spread and promote a quicker how did the spanish flu spread deliver them straight to your inbox re. Purpose of preventing quick spread I were intertwined financial centers in wartime be unpatriotic in 1918-20 Facty.com? ’! 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Were devoting as many as five pages a day to obituaries from business owners, it! Did on the military were left to improvise first wave of influenza appeared early in the body often was. Quickly, and impact of the great influenza pandemic, an airborne virus affected! Compile our most fascinating features and deliver them straight to you pandemic, aka the Spanish killed... Nicknamed ‘ Spanish flu did not originate in Spain to your inbox already having. ” those soldiers injected with bacteria. Shutting down important financial centers in wartime be unpatriotic expected, thousands of sick residents were treated at home a! Unclear what made the Spanish flu had a greater impact on the individual soldiers than it did the!, some faced life-long health issues as a whole was drastically diminished that St. Louis Red Cross Motor on. Rapidly in military camps throughout the world including an estimated 50 million to 100 million lives around the globe including... 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Eventually disappeared, only to be done ran out when the third wave of the War flu ’ but! To death mobilized troops from place to place the death toll was about.... The United States not originate in Spain influenza pandemics before and after 1918 usually in...

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