Influenza pandemic (2024)

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Counting the costs

Publicity for the British First World War film For the Empire included the slogan: 'Damn the cost, we must win this war.' Yet, for both the victors and the vanquished, the material and human cost of the conflict was devastating.


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Depression

In economic terms, the First World War - fought at an estimated cost of $208 billion - caused the greatest global depression of the 20th century. Debts accrued by all of the major combatants, with the notable exception of the USA, stalked the post-war economic world. Unemployment was rife. Inflation dramatically increased the cost of living - most famously in Weimar Germany, where hyperinflation meant that, by December 1923, a loaf of bread cost 428 billion marks. The First World War abruptly ended a period of relative economic prosperity, replacing it with two decades of economic misery.

Loss of life

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Registration of the Limbless
Ex-Servicemen's Association
Transcript

In terms of loss of human life, the First World War was unprecedented. The number of war dead (i.e. those killed in action or from wounds received in action) was about 9.4 million: an average of roughly 6,000 deaths for every day of the war. The war's victors, the Allies, lost far more men (5.4 million) than the defeated Central Powers (4 million).

To these figures must be added the 15 million men who were crippled by their service in the First World War. In Germany alone, 2.7 million soldiers returned home with permanent disabilities. Only 800,000 of them received invalidity pensions. The ongoing cost of the war can be seen in the fact that, in Britain during the late 1930s, 639,000 ex-soldiers and officers were still drawing disability pensions. This figure includes 65,000 men whose disabilities were not physical but mental. Some servicemen were so traumatised by their experiences in the First World War that they spent the rest of their lives in hospital.


The victims of the First World War were not confined to the battlefield. The attempted genocide of the Armenian people cost between 800,000 and 1.3 million lives. As many as 750,000 German civilians died as a result of the Allied trade blockade. More Serbian civilians (82,000) died as a result of the conflict - largely from disease and starvation - than Serbian soldiers (45,000).


Millions of civilians and soldiers alike were killed by the virulent Influenza pandemic (11)influenza pandemic that left none of the warring countries untouched in 1918 and 1919. In addition, there were the many millions of largely silent victims of the Great War: the widows, parents, siblings, children and friends who lost loved ones between 1914 and 1918. Historians have only recently turned their attention to the many ways in which survivors sought to cope with the grief caused by these innumerable personal losses. Their full cost is incalculable.

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Influenza pandemic: East London
Transcript

Displaced people

The First World War also created a series of refugee crises, as the conflict forced whole populations - Armenians, Belgians, and Jews in Russia's Polish provinces - to flee from their homes to safer areas. The end of the war promised little better, creating a muddled legacy of displaced peoples throughout central and eastern Europe.

Post-war peace settlements in the Balkans and Influenza pandemic (14)Anatolia, for example, led to the 'repatriation' of 1.2 million Greeks and 500,000 Turks. The truncation of German territory in Europe left roughly 9.5 million German speakers living outside the boundaries of the Weimar republic after the war. Many of the issues associated most readily with the Second World War - pogroms, refugee crises, forced transfers of populations, and genocide - had, in fact, already emerged in the First World War.

Further research

The following references give an idea of the sources held by the The National Archives on the subject of this chapter. These documents can be seen on site at the The National Archives.

Reference
Document
FD 1/535-537: Various Medical Research Council files on the influenza epidemic, 1919.
FO 286/740: Demands for the repatriation of Greeks, Bulgarians and Turks, 1920.
PIN 26: Ministry of Pensions: selected First World War pension awards.
WO 32/5228: Repatriation of refugees from Mesopotamia, 1919-22.
WO 32/5726: Situation of Russian refugees at Constantinople, 1920.
WO 106/602: Various material on the repatriation of POWs, Mar-Jul 1919.

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Influenza pandemic (17)

Influenza pandemic (2024)

FAQs

Why is the flu not considered a pandemic? ›

A seasonal flu epidemic is usually caused by an existing flu strain that increases in a certain geographic area. A pandemic flu virus is a new flu strain that hasn't circulated for a long time, if ever.

What is the best definition of a flu pandemic answers? ›

An influenza pandemic is a global outbreak of a new influenza A virus. Pandemics happen when new (novel) influenza A viruses emerge which are able to infect people easily and spread from person to person in an efficient and sustained way.

Did the flu ever become a pandemic? ›

The 1918 influenza pandemic was the most severe pandemic in recent history. It was caused by an H1N1 virus with genes of avian origin. Although there is not universal consensus regarding where the virus originated, it spread worldwide during 1918-1919.

What were the responses to the 1918 pandemic? ›

When influenza appeared in the United States in 1918, Americans responded to the incursion of disease with measures used since Antiquity, such as quarantines and social distancing. During the pandemic's zenith, many cities shut down essential services.

Is COVID-19 officially a pandemic? ›

The World Health Organization (WHO) on March 11, 2020, has declared the novel coronavirus (COVID-19) outbreak a global pandemic (1).

Is COVID-19 a pandemic or epidemic? ›

Pandemics are known to cause large-scale social disruption, economic loss, and general hardship, and COVID-19 has been no exception.

When is a virus considered a pandemic? ›

Typically, a pandemic is bigger than an epidemic and includes spread over several countries or continents. Usually, for this to occur, the disease is spread easily from person-to-person.

When does an epidemic become a pandemic? ›

A pandemic is a global disease outbreak. It differs from an outbreak or epidemic because it: affects a wider geographical area, often worldwide. infects a greater number of people than an epidemic.

What virus killed the most people? ›

Cholera, bubonic plague, smallpox, and influenza are some of the most brutal killers in human history. And outbreaks of these diseases across international borders, are properly defined as pandemic, especially smallpox, which throughout history, has killed between 300-500 million people in its 12,000 year existence.

Was there a flu pandemic before COVID? ›

Today, the COVID-19 pandemic is frequently compared with the influenza pandemic of 1918-1919. The destruction caused by that pandemic a century ago may sound familiar. Yet, direct comparisons of the 1918 flu pandemic and the COVID-19 pandemic may not be completely fair, according to one scientist.

How many people died of influenza? ›

How long was the flu considered a pandemic? ›

The flu pandemic lasts from 1918 to 1920. From spring of 1918 to spring of 1919, the flu causes more than 550,000 deaths in the U.S. and more than 20 million deaths worldwide. In the fall of 1918 at Mayo Clinic, people with the flu and other contagious illnesses are cared for in the isolation hospital.

Was Spanish flu as bad as COVID? ›

Victims of the 1918 influenza mostly died from secondary bacterial pneumonia, while victims of COVID-19 mostly died from an overactive immune response resulting in organ failure.
...
Table 1.
COVID-191918 influenza
Number of deaths2.2 million50 million
Highest risk population65+ with comorbidities25–40 year olds
6 more rows
Feb 9, 2021

How did people avoid Spanish flu? ›

There were no nationwide prevention methods in place against the Spanish flu. Some communities did put into place prevention methods that may look familiar to us today. The measures included: Isolation, or staying away from crowds of people.

How did the 1918 flu end? ›

The 1918 flu pandemic lasted about 18 months and ended after either people had been exposed to the virus or it became less life threatening. With new variants come new questions about where the pandemic is headed, and whether we will need annual boosters or modified vaccines.

Why did they change the name to Covid 19? ›

“Having a name matters to prevent the use of other names that can be inaccurate or stigmatizing. It also gives us a standard format to use for any future coronavirus outbreaks,” said Ghebreyesus.

What will COVID be like in 2024? ›

The Yale team predicts that in 2024 – four years after the pandemic began in March 2020 – about 15% of the population could be infected at any given time. In the meantime, the virus will constantly circulate, and certain populations will remain more vulnerable to it.

Will COVID ever go away? ›

“So yeah, basically it's looking very unlikely,” he says. For an infectious disease to be considered eradicated, there cannot be a single case of it worldwide. So far, the only human infectious disease to be eradicated is smallpox, in 1980.

Is the flu an epidemic? ›

Worldwide, these annual epidemics are estimated to result in about 3 to 5 million cases of severe illness, and about 290 000 to 650 000 respiratory deaths. In industrialized countries most deaths associated with influenza occur among people age 65 or older (1).

Will there be another pandemic? ›

Disease forecasters are convinced there's a 27% chance of another COVID-like pandemic within 10 years—but experts believe there's a silver bullet. The global health community will have to act more proactively than they did with COVID if they want to reduce the risk of another pandemic, Airfinity believes.

What is a pandemic vs epidemic? ›

Let's start with basic definitions: AN EPIDEMIC is a disease that affects a large number of people within a community, population, or region. A PANDEMIC is an epidemic that's spread over multiple countries or continents. ENDEMIC is something that belongs to a particular people or country.

How many pandemic have there been? ›

There have been 249 Pandemics throughout recorded history from 1,200 BC, up to the Covid- 19 virus today.

How coronavirus may become endemic? ›

A February 2021 survey of over 100 scientists found that over half said they did not believe the virus could be eradicated, and 89% of them believe that COVID-19 will become endemic over time.

Which flu outbreaks have been pandemics? ›

Influenza pandemics
NameDateWorld pop.
1889–1890 pandemic1889–901.53 billion
Spanish flu1918–201.80 billion
Asian flu1957–582.90 billion
Hong Kong flu1968–693.53 billion
4 more rows

Which of the following is not an epidemic? ›

The correct option is 4, i.e Elephantiasis. According to a WHO Handout released recently, Cholera, Malaria, and Smallpox form part of the "Epidemics" around the world.

Was COVID the worst pandemic? ›

While challenging to directly compare, it is likely that COVID-19 will not eventuate as the most damaging pandemic to society, both historically and in the modern age. The other pandemics discussed herein have had significant impacts on societies globally, with larger rates of infection and mortality.

What's the worst disease to have? ›

Ischemic heart disease, or coronary artery disease

The deadliest disease in the world is coronary artery disease (CAD). Also known as ischemic heart disease, CAD occurs when the blood vessels that supply blood to the heart become narrowed. Untreated CAD can lead to chest pain, heart failure, and arrhythmias.

What disease has the lowest survival rate? ›

Ischemic heart disease is the leading cause of death around the globe. Other conditions, such as stroke, COPD, lower respiratory infections, and respiratory cancers, also account for a significant portion of deaths each year.

What was the worst plague in history? ›

Black Death: 75-200M (1334-1353)

How did the flu start? ›

It was caused by an H1N1 virus with genes of avian origin. 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.

How many people died from the flu in 1918? ›

The microscopic killer circled the entire globe in four months, claiming the lives of more than 21 million people. The United States lost 675,000 people to the Spanish flu in 1918-more casualties than World War I, World War II, the Korean War and the Vietnam War combined.

Why is it difficult to eradicate the flu? ›

The Challenge: Some Infections Live in Animal Hosts

Yet even if we could vaccinate everyone around the world, we would not be able to eradicate influenza. There are many different strains of influenza virus, and they mutate frequently—so new vaccines must constantly be created to keep up.

How common is the flu right now? ›

Seasonal influenza activity remains low nationally.

What pandemic the flu killed 50 million? ›

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. An unusual characteristic of this virus was the high death rate it caused among healthy adults 15 to 34 years of age.

What was the longest pandemic? ›

The longest-enduring pandemic disease outbreak is the Seventh Cholera Pandemic, which originated in Indonesia and began to spread widely in 1961.

Does COVID-19 last longer than flu? ›

Both the flu and COVID-19 cause a cough and shortness of breath, but overall, COVID-19 symptoms tend to last longer than the flu. “They can last for multiple weeks, if not months,” says Dr. Wong.

How did the 1957 flu pandemic end? ›

The 1957 flu pandemic was caused by influenza H2N2 virus, to which few people had previous exposure. A vaccine was rapidly developed against H2N2, though later assessment showed that more vaccine than usual was needed to produce immunity. H2N2 no longer circulates in humans but is carried by animals.

What is the greatest pandemic in US history? ›

COVID-19 deaths surpassing 1918 flu pandemic deaths "provides a historical benchmark because, until the present, we have always had the 1918-1919 flu as the biggest epidemic of any kind that had ever affected the US," said William Schaffner, MD, an infectious disease specialist and professor at the Vanderbilt ...

When did the flu become endemic? ›

The human H1N1 lineage caused pandemic and endemic influenza from 1918 to 1956, then disappeared entirely around 1957 only to reappear in relatively low-level pandemic form in 1977. It has continued to circulate endemically in humans up to the present time (2009).

What was the population of the world in 1918? ›

Demographers estimate the global population in 1918 at about 1.8 billion persons. These figures suggest that about 30% of the world's population was infected during that pandemic and that it killed about 2.7% of that population.

Did people become immune to the Spanish flu? ›

Thus, these studies reveal that survivors of the 1918 influenza pandemic possess highly functional, virus-neutralizing antibodies to this uniquely virulent virus, and that humans can sustain circulating B memory cells to viruses for many decades after exposure - well into the tenth decade of life.

Does the Spanish flu still exist? ›

“You can still find the genetic traces of the 1918 virus in the seasonal flus that circulate today,” says Taubenberger. “Every single human infection with influenza A in the past 102 years is derived from that one introduction of the 1918 flu.”

Were people immune to the Spanish flu? ›

In 1918, nearly all humans were immunologically susceptible to infection with the A/H1N1 pandemic strain; not surprisingly, the pandemic spread rapidly worldwide.

How did the swine flu end? ›

A CDC study released 28 January 2013, estimated that the Pandemic H1N1 vaccine saved roughly 300 lives and prevented about a million illnesses in the US. The study concluded that had the vaccination program started two weeks earlier, close to 60% more cases could have been prevented.

How many people died from the Spanish flu in the United States? ›

The 1918 Spanish Influenza Pandemic

The death toll reached an estimated 50 million across the globe. In the U.S., around 675,000 people were estimated to have died from the Spanish flu.

Why did they call it the Spanish flu? ›

The pandemic broke out near the end of World War I, when wartime censors in the belligerent countries suppressed bad news to maintain morale, but newspapers freely reported the outbreak in neutral Spain, creating a false impression of Spain as the epicenter and leading to the "Spanish flu" misnomer.

What is the difference between the flu and the pandemic? ›

People are exposed to influenza viruses throughout their lives, so most people have had exposure to the influenza strains that cause seasonal flu. Pandemic flu occurs when a new strain emerges that infects people, spreads easily from person-to-person, and to which most people do not have immunity.

What is the difference between a pandemic and an epidemic? ›

AN EPIDEMIC is a disease that affects a large number of people within a community, population, or region. A PANDEMIC is an epidemic that's spread over multiple countries or continents. ENDEMIC is something that belongs to a particular people or country.

Is COVID a strain of the flu? ›

Even though the flu and COVID-19 are caused by totally different viruses, they share a number of symptoms: Fever. Fatigue. Cough.

Why do some people not get COVID? ›

It's possible that it's not a mutation in one gene, but a combination of mutations in multiple genes, that render a small number of people immune to COVID. Targeting multiple genes without causing any unwanted side-effects can be tricky and would make it much harder to harness this knowledge for anti-COVID drugs.

What are the 3 flu pandemics? ›

Three worldwide (pandemic) outbreaks of influenza occurred in the 20th century: in 1918, 1957, and 1968. The latter 2 were in the era of modern virology and most thoroughly characterized. All 3 have been informally identified by their presumed sites of origin as Spanish, Asian, and Hong Kong influenza, respectively.

Is COVID the largest pandemic? ›

While challenging to directly compare, it is likely that COVID-19 will not eventuate as the most damaging pandemic to society, both historically and in the modern age. The other pandemics discussed herein have had significant impacts on societies globally, with larger rates of infection and mortality.

How many pandemics has the United States had? ›

Four pandemics have occurred in the last 100 years, in 1918, 1957, 1968 and 2009. Scientists predict that another pandemic will happen, although they cannot say exactly when.

How long do pandemics normally last? ›

Historically, most pandemics last between 2 and a half to 3 and a half years. Over time, pandemic viruses typically mutate and evolve into an endemic disease that circulates at lower, more manageable levels.

What was the worst pandemic in history? ›

Plague of Justinian: 30-50 million people (541-549)

The disease – now confirmed to be bubonic plague – reached Constantinople, capital of the Late Roman or Byzantine Empire, in 541 AD. It was soon killing 10,000 people a day. Corpses littered public spaces and were stacked like produce indoors.

Is Ebola a pandemic or an epidemic? ›

Ebola virus disease (commonly known as "Ebola") was first described in 1976 in two simultaneous outbreaks in the Democratic Republic of the Congo and what is now South Sudan. The 2013–2016 outbreak, caused by Ebola virus (EBOV), was the first anywhere in the world to reach epidemic proportions.

Is diabetes a pandemic or epidemic? ›

Diabetes is a global epidemic affecting an estimated 382 million people worldwide.

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