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The First World War claimed the lives of over 10 million military personnel and 7 million civilians.  However, a more devastating killer came in the form of an unseen virus, sweeping across the globe and claiming between 50 and 100 million lives between June 1918 and December 1920.  This pandemic is considered one of the deadliest natural disasters in human history.
Unlike many illnesses, the highest  mortality rate from the Spanish influenza was in the 20-40 year old age range.
Three waves
The influenza struck in three successive waves.  The first, in the spring and summer of 1918, was relatively mild with a very low death rate.  The deadliest wave hit in the fall of that year.  Soldiers on the front came down with the flu, and were packed into crowded train cars and shipped to crowded infirmaries, which only worked to spread the disease.  This second wave traveled quickly, causing epidemics in communities around the world.  A third wave and final wave occurred in the spring of 1919.
Why “Spanish?”
The pandemic was given the moniker “Spanish flu” because of the perceived notion that Spain was one of the hardest hit countries.  Newspapers in Spain reported openly on the effects of the flu in the country, as Spain’s neutrality in the war meant no censorship had been placed on the media.  The US, Great Britain, France, and Germany would not allow stories to be printed that would lower morale.  In addition, these nations did not want their enemies to read their death tolls from the flu.  As a result, Spain’s coverage of the flu gave the illusion that it suffered more than other countries.
Symptoms
The Spanish flu typically struck suddenly.  A high fever accompanied by body aches sent those afflicted to their beds.  They might also suffer from a headache, sore throat, cough, and sometimes a very bad nose bleed.
The illness was often unpredictable.  Some made a full recovery.  Others died within hours of taking ill.  Then there were some cases in which a patient seemed to have recovered, only to suffer a relapse which was often fatal.
Treatments
Most treatments offered by practitioners at the time were largely ineffective against the virus.  Patent medicines, available at most local drug stores, were widely prescribed, including Vick’s Vapo-Rub.  While doing research for my novel The Education of Eve, I found that the local newspapers ran weekly ads toting the healing properties of this product against the Spanish flu.  Unfortunately these patent medicines did nothing to help.
Some fell back on home remedies.  Selena W. Saunders of North Carolina followed a trained nurse, offering her assistance.  She noted:
[The flu] struck suddenly, spent itself quickly in a burning three-day fever, often leaving its victim dead. The people lost faith in the remedies they had relied on all their lives, and they became frantic.
Practitioners became desperate, resorting to archaic treatments to help “balance the humors.”  Patients were sometimes wrapped in blankets so that they would sweat, and sometimes cupping was used as a way to bring out the excess blood.
Doctors worked around the clock to help those in their communities, often making house calls.  During the height of the epidemic in Winston-Salem, North Carolina, Dr. Wingate Johnson reported that his “days” usually lasted between 30-40 hours.  He would sleep for 4 hours, then call a nurse for more tongue depressors and medicine before going out for another “day” of visiting patients in their homes.
In November the worst of the second wave was over, and the US Public Health Service sent out reports that the number of influenza cases were declining.  Public panic subsided, and quarantines were slowly lifted, gauze masks discarded.  Public events were once again held, just in time for everyone to gather and celebrate the end of the war.
If you live in the United States, you can learn more about how your state was impacted by the Spanish influenza by going to the US Department of Health and Human Services page about the pandemic. the flu epidemic of 1918,flu epidemic 1918,swine flu, h1n1,h1n1 symptoms,h1n1 virus,spanish influenza symptoms,
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