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1918 -19 Spanish Flu Pandemic Killed Millions

Updated on May 03, 2023. Originally added on Feb 09, 2018 by Kathy Pinna

While called the Spanish flu because Spain was where the first outbreak was reported, one current suspicion is that the origin was in China - or maybe even France - but no one knows for sure. Since World War 1 was still being fought there was a blackout on news in many locations.

Wherever it originated, it exploded in the European theater where soldiers were in close proximity and quickly spread to other parts of the world.

Just as World War 1 was ending in 1918, a new even more devastating killer emerged. While these are photos are of a pandemic 100 years ago, change the fashion and a few details, and you will see many familiar sights.

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Photos of the 1918-1919 Spanish Flu

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A nurse during the 1918 pandemic

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Journal of the American Medical Association, 1918: "The 1918 has gone: a year momentous as the termination of the most cruel war in the annals of the human race; a year which marked, the end at least for a time, of man's destruction of man; unfortunately a year in which developed a most fatal infectious disease causing the death of hundreds of thousands of human beings. Medical science for four and one-half years devoted itself to putting men on the firing line and keeping them there. Now it must turn with its whole might to combating the greatest enemy of all--infectious disease." (12/28/1918)

Seattle policemen

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Police wore masks given to them by the Red Cross - civilians were encouraged to stay off the streets and at home.

The flu ward at Walter Reed Hospital

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"Since noon today our camp has been under quarantine to prevent an epidemic of Spanish influenza. We have had no cases thus far but it is the intention of the medical officers to prevent any case of the disease from making an appearance. All the men who have even slight colds have been put into separate barrack which, of course, were immediately christened 'the TB ward' by the rest of the company." - Letter home from a soldier 9/1918. Things would get much worse.

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Typing in a mask

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People were advised to wear masks everywhere - at work and even at home.

Red Cross Ambulance

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St. Louis flu victim, 1918.

In Seattle, passengers weren't allowed to board a streetcar without a mask

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Many complied with containment measures (such as mask wearing), while others thought that the measures were useless and flaunted them.

A flu ward in Connecticut, 1918

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Getting dressed for school

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A popular song among school children in 1918 - 1919 was: I had a little bird, it's name was Enza . . . I opened up the window and in flew Enza.

1918 New York City

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Even street cleaners wore masks.

Popular Science's flu mask

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In 1919, Popular Science disagreed with laws that mandated the wearing of flu masks. This was a DIY suggestion - with a hole for a cigarette but (since it was illegal to exhale outside of the mask) you had to swallow the resulting smoke.

1919 San Francisco

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Spraying the streets with water, washing them down, was tried - but it didn't help.

Lining up for food

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Notice that the food preparers had masks - the children didn't. Many flu victims were adults, leaving children to fend for themselves.

Orphans, 1925

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Some of the orphans left after the 1918 - 1919 flu epidemic.

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Myrtle Margaret Hoy, 1904

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Photo of Carol Clark Carol Clark
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shared on 09/05/2010

At age 14, this darling girl was a victim of the flu, dying on October 24, 1918.

1918 Oakland, CA

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A flu ward in 1918 Oakland - notice that the nurses are a blur but all of the flu victims are too ill to move.

Washington D.C.

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The epidemic spread everywhere. This is an unknown victim in Washington DC - but President Wilson also contracted the flu in 1919 Paris while at the Peace Talks.

New Zealand's public "Inhalation Chamber"

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In New Zealand, you lined up to get a throat spray to help you combat the flu.

"If I fail, he dies"

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Worldwide, the Red Cross recruited workers to help with flu preparations and nursing. By the end of 1918, the flu had killed 57,000 American soldiers -- 4000 more than those killed in combat. Perhaps that is why the first vaccines developed were by the U.S. military in 1938.

Horlick's Malted Milk ad

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Promoted during the flu epidemic as "very digestible and nutritious", Horlick's Malted Milk was "endorsed by physicians everywhere" - according to the ad!

Medical facilities getting ready for the spread of the flu

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It must have seemed to those who were living through it that this epidemic would last forever.

Birds to pigs to people - this is the likely chain of events that lead to the 1918 "Spanish Flu" Pandemic. This worldwide flu epidemic infected 500 million people worldwide and killed an estimated 50 - 100 million. Keep in mind, the human population worldwide was 28% of what it is today in the 2020s. Usually, the flu strikes harder at the young and elderly, but this one mainly killed (previously healthy) adults, leaving a generation of orphans.

While the existence of viruses was first discovered in 1892, it wasn't until the 1930s (and the development of the electron microscope) that a virus was first seen. So in 1918, medicine didn't know how to cope with the virus which caused the "Spanish Flu". Science and medicine have developed in the past 100 years but human behavior has not - in 1918, people "got tired of wearing masks" and didn't want to stay home, prolonging the pandemic and causing more human devastation.

Update 5/3/2023: The World Health Organization Coronavirus Covid-19 dashboard estimates that there have been 6,921,614 deaths worldwide related to COVID-19.

Update: 1/25/2021 As of January 25 2021 there had been 2,124,193 deaths worldwide from the current COVID-19 pandemic; over 420,000 in the United States. 98,794,942 people in the world have been infected so far.


Have photos that you'd like to see included? Share your photos or click "next page" below to see the types of medicines that were common at the time of the Spanish Flu.

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