The Spanish Flu

 

If the First World War wasn’t bad enough in terms of lives lost, it was immediately followed by a terrible catastrophe that also led to a large number of deaths. The so called ‘Spanish Flu’ pandemic of 1918 was one of the greatest medical disasters of the 20th century, which affected most of the world. Today we remember the recent Covid epidemic, which in many ways was similar to the 1918 outbreak.

During the First World War, newspapers were censored. The first cases to feature in the headlines were the ones in Spain, which was neutral during the war. One of the casualties was King Alfonso of Spain and so it became known as the ‘Spanish Flu’. It is thought that in the UK, the virus was spread by soldiers returning home from the trenches in northern France. Treatment was also limited. There was no National Health Service, no antibiotics, no vaccinations and hospitals were overwhelmed with doctors and nurses working to breaking point. To make matters worse, a vast number of medical staff had been diverted to work in the war effort.

It spread in troop ships. The port of Glasgow was the first place to record the flu in Britain, in May 1918.

It was transmitted from person to person through their breath.

Soldiers travelled across the country by train and so the flu spread from the railway stations to the centre of towns and cities and to the countryside.

It had reached London and the south by August. The pandemic was not mentioned in parliament until October 1918, but there was no strategy for tackling it.

Within hours of feeling the first symptoms of fatigue, fever and headache, some people rapidly developed pneumonia and started turning blue, due to a shortage of oxygen, often struggling for breath before for suffocating to death.

The only advice offered by local authorities and in the newspapers to prevent the spread, was to catch later trains to avoid crowds, wearing extra layers, thoroughly washing drinking glasses, giving up shaking hands and giving up kissing. People were advised to wear masks, many schools were closed, cinemas were required to be ventilated at regular intervals and public gatherings were avoided. Some factories even relaxed no-smoking rules in the belief that cigarettes would help prevent infection.

Mortality was highest in people younger than five, those between twenty to forty five and people aged in their late sixties or older.

Sixty percent of deaths occurred in people aged twenty to forty five.

Undertakers were overwhelmed. A quarter of the British population were affected and around 228,000 people in the country died.

1918 was the first year on record in which deaths exceeded births.

Throughout the world, the pandemic lasted for nearly three years, from March 1918 to December 1920 causing an estimated 25 million deaths.

A quarter of the British population caught the disease before it rapidly disappeared.

It is estimated that about 500 million people or one third of the world’s population was infected, making it one of most devastating pandemics in human history.


An advert from January 1919.


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