LESSONS LEARNT FROM
THE 1918 FLU PANDEMIC
G'day folks,
Brevig Mission is a tiny ocean-side settlement in Alaska which, in 1918, had 80 adult inhabitants. During the five-day period starting November 15, 1918, 72 of them were killed by the influenza pandemic then raging across the world.
It is significant for two reasons. First, the number of deaths in the
village shows the ferocity and extensive reach of this epidemic. Second,
because the victims were buried (and preserved) in permafrost
conditions scientists were able, years later, to study the virus in
detail.
It is estimated that 40 million people died in the First World War
between 1914 and 1918. In that final year of the war the great influenza
pandemic took hold and was to cause possibly 50 million fatalities,
some estimates claiming a global death toll as high as 100 million.
No pandemic before or since has resulted in deaths on such a scale.
Tragically, many soldiers who survived the horrors of trench warfare
then fell victim to the influenza scourge.
It is commonly referred to as “the Spanish flu” epidemic but Spain is
highly unlikely to have been the source. Wartime censors in the UK,
Germany, the United States and France, anxious not to lower morale,
played down the numbers of victims. But there were no restrictions on
reporting the figures for Spain, which had taken no part in the war. So
the belief grew that seemingly badly hit Spain was the epicentre of the
disease.
The 1918 pandemic came in three waves. During the first, in the early
part of the year, deaths were relatively low. The second wave, which
began in August, was much more serious, the virus having mutated to a
considerably aggressive form and October was the deadliest month of the
whole pandemic.
Those between the ages of 20 and 40 were the most vulnerable, the virus
so savage that a victim might show no symptoms in the morning but be
dead by nightfall.
The third wave in the spring of 1919 was more lethal than the first but less so than the second.
An unusual characteristic of the virus was the high death rate among
healthy young adults. But after the lethal second wave peaked in late
1918 new cases of infection dropped abruptly and the virus eventually
burnt itself out.
Many factors contributed to the virulence of the 1918 pandemic. The
world was at war and large numbers of troops stayed in close contact. No
diagnostic tests existed; in fact, doctors didn’t know flu viruses
existed.
Even if they had known, vaccines did not exist, antibiotics had not been
invented and no antiviral drugs were available. On top of that, there
was no such thing as intensive care or mechanical ventilation.
Businesses, though, were not slow to offer so-called remedies. Products
including Lifebuoy soap, Oxo, Aspirin, quinine, opium, turpentine,
iodine, ammonia, cinnamon, cocoa, disinfectant and even cigarettes were
all promoted as having properties that could either prevent the flu or
ward it off.
As the years passed, scientists were keen to discover the virus’s
secrets so that new vaccines and treatments for future pandemics could
be developed.
In 1951, Johan Hultin, a 25-year-old Swedish microbiologist, went to
Brevig Mission hoping to find traces of the virus frozen within the
tissues of villagers buried there. He failed, but returned 46 years
later in 1997 with other scientists and unearthed the remains of a
woman, aged about 30, whom he named “Lucy”.
Traces from “Lucy’s” lungs allowed researchers to completely analyse the
critical gene structures of the 1918 virus, revealing that it
originated in birds and mutated to infect people.
Scientists called it “an H1N1 virus with genes of avian origin."
Three more pandemics would occur before Coronavirus would send the world
spinning in 2020. They were: the 1957 H2N2 pandemic “Asian flu” causing
1.1 million deaths worldwide; the 1968 H3N2 pandemic “Hong Kong flu”
with 1 million deaths; and the 2009 H1N1 pandemic "swine flu” with up to
575,000 deaths.
Putting it all in perspective, according to America’s Centers for
Disease Control and Prevention, the “flu season” in the United States
generally runs from late fall into spring. In a typical year, more than
200,000 Americans are hospitalised for flu-related complications, and
over the past three decades there have been up to 49,000 flu-related
deaths annually.
The question remains as to whether a devastating pandemic on the scale
of 1918 could occur in modern times. Many experts think so.
Richard Gunderman, Professor of Medicine at Indiana University, wrote in the Smithsonian Magazine in 2020:
“For the foreseeable future, viral epidemics will remain a regular feature of human life.
“But today scientists know more about how to isolate and handle large numbers of ill and dying patients, and physicians can prescribe antibiotics, not available in 1918, to combat secondary bacterial infections. To such common-sense practices as social distancing and hand-washing, contemporary medicine can add the creation of vaccinations and anti-viral drugs.
“As a society, we can only hope that we have learned the great pandemic’s lessons sufficiently well to quell the current Covid-19 challenge.”
Clancy's comment: Mm ... have we really learnt anything? I doubt it. As I write this, 94,000 people have caught Covid 19 in one state of Australia ... in the past 24 hours.
I'm ...
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