Trolley conductor in Seattle refusing boarding to those
without masks during Flu Epidemic of 1918
Like the current swine flu scare, the 1918 flu epedemic, also called the Spanish Flu, was caused by a deadly strain of the H1N1 virus. It is called a pandemic because it spread to nearly every part of the world (including the arctic area) infecting about 600 million people However, it is estimated that about 50-100 million people were killed which was about 3% of the world's population.(The world was peopled by 1.6 Billion at the time) It is the most deadly pestilence in human history; in contrast World War I took 15 million lives.
The strain was highly unusual as it struck primarily young adults and otherwise healty adults because in its mode of attack, the virus overwhelmed the strong immune systems of these people; those with stronger immune systems would presumably have a greater overreation.
There were two waves; the first, from March through August 1918 acted like the typical flu, striking down the weak, the elderly and sick. But, then the virus mutated to a more deadly form spreading rapidly throughout France, The United States and Sierra Leone. It rapidly spread to the battlefields of Europe, the trenches and then spread to the cities by army personnel on the move. It is surmised that soldiers were particularly susceptible due to malnourishment, stresses of combat and the chemical warfare.
In the U.S about 28% of the population suffered and about 600,000 people died.
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