Spanish Flu: Death Rates By Country. We use the CDC, NIH and individual state and county databases for verification and supplementation for USA data. As many as 17 million died in India, about 5% of the population. This is at odds with what we would expect: older populations tend to be most vulnerable to influenza outbreaks and respiratory infections. This means that in recent years the flu was responsible for the death of 0.0052% of the world population – one person out of 18,750.5 Even in comparison to the low estimate for the death count of the Spanish flu (17.4 million) this pandemic, more than a century ago, caused a death rate that was 182 -times higher than today’s baseline. The Spanish flu reached its height in autumn 1918 but raged until 1920, ... France's wartime trenches, ridden with filth, disease, and death, were originally seen as the flu… The light green line, for example, represents the life expectancy for children who had reached age 10. The paper includes detailed breakdowns of mortality estimates by world region and country. In J Glob Health. With the objective of providing our readers with relevant statements about the “Spanish Flu” pandemic, here are the statements made by Dr. Francisco Ballina, director of the Spanish Hospital: “First. J. Clin. From the paper: “Further research has seen the consistent upward revision of the estimated global mortality of the pandemic, which a 1920s calculation put in the vicinity of 21.5 million. https://doi.org/10.1007/s00430-009-0118-5 Online here. See for example: Pandemic influenza preparedness and response – WHO guidance document. American Journal of Epidemiology. Gatherer (2009)13 published the estimate of 1.5 million, while Michaelis et al. According to Michaelis et al. Natl. The visualization shows that in many countries life expectancy, which measures the average age of death, doubled from around 40 years or less to more than 80 years. But the Spanish flu reminds us just how large the impact of an pandemic can be, even in countries that had already been successful in improving population health. (2009) published an estimate of 2–4 million.14, According to a WHO publication the “Hong Kong Flu” (1968-1969) killed between 1 and 4 million people.15, Michaelis et al. 8 55–73. Estimates suggest that the world population in 1918 was 1.8 billion. The red line shows the life expectancy for a newborn, with the rainbow-colored lines above showing how long a person could expect to live once they had reached that given, older, age. The Spanish flu infected around 500 million people, about one-third of the world's population. In the same cablegram, he said there is evidence of the presence of cholera on the island. Johnson, N.P. In this regard, the President of the High Council of Health, the doctor and General José María Rodríguez directed a letter to the manager of the Spanish Transatlantic Company, letting him know that the “Alfonso XII” ship will only be accepted in the port of Veracruz where it will be put in quarantine since the rest of the ports in the Gulf do not have the necessary conditions” (…). (2018) concluded that earlier estimates have been too high. Med. A 1991 paper revised the mortality as being in the range 24.7-39.3 million. Is COVID-19 worse than the 1918 Spanish flu? Our World In Data is a project of the Global Change Data Lab, a registered charity in England and Wales (Charity Number 1186433). https://doi.org/10.1016/S0140-6736(20)30411-6. According to Smith 132,000 people died in England, Wales, and Ireland alone.19. See also Alyssa S. Parpia, Martial L. Ndeffo-Mbah, Natasha S. Wenzel, and Alison P. Galvani (2016) – Effects of Response to 2014–2015 Ebola Outbreak on Deaths from Malaria, HIV/AIDS, and Tuberculosis, West Africa. Online here. As you will surely remember, we reported it was known that in Juchitepec, Tenango del Aire in the State of Mexico, there had been some “Spanish Flu” cases registered and so we investigated the result of the test performed by the Department. The Health delegate in Nuevo Laredo also asserts in a telegram issued to the president of the Department Dr. José María Rodríguez, that the pandemic has continued decreasing and stresses as a meaningful fact that people are attending in short numbers the stores that supply medications to fight the flu. But the authors suggest that this could be an underestimation and that the true death toll was as high as 100 million.7, The more recent study by Spreeuwenberg et al. Feb 17;41(2):145-151. doi: 10.3760/cma.j.issn.0254-6450.2020.02.003. “Reassessing the Global Mortality Burden of the 1918 Influenza Pandemic”. Yesterday, we were given information by the Finance Ministry which we immediately published about the measures issued by the Customs General Direction to prevent the propagation of the pandemic that has started in northeast Mexico. Online here. PMID 30202996. You have the permission to use, distribute, and reproduce in any medium, provided the source and authors are credited. It shows that life expectancy increased at all ages, which means that the often-heard assertion that life expectancy ‘only’ increased because child mortality declined is not true. What becomes clear from this overview are two things: influenza pandemics are not rare, but the Spanish flu of 1918 was by far the most devastating influenza pandemic in recorded history. Dr. José María Rodríguez, president of the High Council of Health told us yesterday that he has been receiving telegrams from Monterrey, Zacatecas, and Nuevo Laredo that report the “Spanish Flu” pandemic continues weakening for there are very few new cases. Public resources were small and many countries had just spent large shares of their resources on the war. Online here. page dedicated to the research and data on the Coronavirus outbreak, https://doi.org/10.1186/s12879-019-3750-8, https://doi.org/10.1007/s00430-009-0118-5, https://doi.org/10.1016/S0140-6736(20)30411-6. Med. Did you know the coronavirus outbreak is an international emergency? London: Macmillan. In places like Alaska, the Spanish flu exacted a terrible toll. (2020) – “Preparedness and Vulnerability of African Countries against Importations of COVID-19: A Modelling Study.” The Lancet (February 20, 2020). Thinking there may be … Yesterday, he gave orders for all hosing vehicles of the Public Works Service to work constantly so that, filled with a strong creolin solution, they hose the streets of this city at least twice a day. Patterson and Pyle (1991) wrote ‘we believe that approximately 30 million is the best estimate for the terrible demographic toll of the influenza pandemic of 1918’ and published a range from 24.7-39.3 million deaths. David Arnold (2019) estimates … The reason for this is that precise annual counts of the world population are not available for the past. & Cinatl, J. Sci. Paget et al (2019) suggest an “average of 389 000 (uncertainty range 294 000-518 000) respiratory deaths were associated with influenza globally each year”. This is in order to prevent the propagation of the terrible “Spanish flu” that is wreaking havoc in the region. These differences suggest that one should be cautious in drawing lessons from the outbreak a century ago. For this reason the Spanish flu has been cited as a warning and as a motivation to prepare well for large pandemic outbreaks, which have been considered likely by many researchers.23. Bulletin of the History of Medicine, 65(1), p.4. 2019 Dec; 9(2): 020421. The number of deaths was estimated to be at least 50 million worldwide with about 675,000 occurring in the United States. Online here. Further below I will briefly discuss similarities and differences with the Coronavirus (COVID-19) in 2019/20. And we say this because the so-called flu, which has had fatal results in Europe with victims year after year, is harmless in these regions where it is only a more or less intense cold. So has been declared by experts whose opinion was recently requested about the characteristics of the disease. If we look at mortality for both lower respiratory infections (pneumonia) and upper respiratory infections today, death rates are highest for those who are 70 years and older. Unlike Spanish flu where young people were most affected, Covid-19 appeared to be most deadly amongst the older population. Also referred to as the Bombay Influenza or the Bombay Fever in India, the pandemic is believed to have killed up to 17 - 18 million people in the country, the most among all countries. Our World in Data is free and accessible for everyone. To make sense of the fact life expectancy declined so abruptly, one has to understand what it measures. Online here. There is now a lot of variability in these estimates and while the academic discussions continue the range of estimates gives us an understanding of the severity of the event. The chief of the Health Department proposed to the President of the Republic to adopt the following measures that were approved: Dr. Ballina’s Opinion Partly online on Google books. This paper suggests that it was of the order of 50 million. Today planes can carry people and viruses to many corners of the world in a very short time. To better understand this deadly virus, an expert group of researchers and virus hunters set out to search for the lost 1918 virus, sequence its genome, recreate the virus in a highly safe and regulated laboratory setting at CDC, and ultimately study its secrets to better prepare for future pandemics. The Finance Ministry said the following about the decision taken yesterday by the Customs General Direction: “Regarding the reports received from the Nuevo Laredo Border Customs Office Administrator in Tamaulipas, this Ministry has decided to reopen to the public the mentioned office.”, Health care in Mexico: disinformation, new tariffs, and contradictions. Why were older people so resilient to the 1918 pandemic? Their own estimate is 17.4 million deaths.8. When comparing COVID-19 with the Spanish flu, there are a number of important differences that should be considered: They are not the same disease and the virus causing these diseases are very different. Soc. License: All of Our World in Data is completely open access and all work is licensed under the Creative Commons BY license. Mr. José M. de la Garza, Municipal President of Mexico is seriously worried about the invasion of the Spanish Flu pandemic threatening Mexico City. The data produced by third parties and made available by Our World in Data is subject to the license terms from the original third-party authors. Zika: the consequences of the epidemic in Mexico, Copyright © Todos los derechos reservados | EL UNIVERSAL, Compañía Periodística Nacional. You have the permission to use, distribute, and reproduce these in any medium, provided the source and authors are credited. BMC Infect Dis 19, 117 (2019). P. Spreeuwenberg; et al. We have a page dedicated to the research and data on the Coronavirus outbreak. Online here. Instead historians try to reconstruct the population figures for 5-year or 10-year intervals and the annual estimates are interpolations between these estimates. As we’ve seen above, the Spanish flu in 1918 was especially dangerous to infants and younger people. Overall, the Spanish flu was present in England from June 1918 to April 1920 in three different waves, meaning it was in the country for just under two years. The pandemic at Havanna – Measures Against Infested Ships Have you heard Mexico's HIV epidemic needs to stop? The sickness had a strong presence in the north of the country and the government implemented drastic measures, such as closing the borders and hosing the streets with creolin – a strong disinfectant – to avoid its propagation. Health measures Gatherer D. (2009). The early epidemics had mortality rates estimated at 40%. Following the outbreak of the H1N1 influenza pandemic of 1918, which came to be known as the Spanish Flu, the number of deaths due to influenza and pneumonia soared. Med Microbiol Immunol 198, 175–183 (2009). The “Spanish Flu” pandemic that was developing at an alarming pace in northeast Mexico has begun to decrease, according to reports obtained from authorized sources. Epidemiological evidence of an early wave of the 1918 influenza pandemic in New York City. Online here. In available historical reconstructions (like this one) this decline is not shown. In 1918 it was railroads and steamships that connected the world. Olson D. R., Simonsen L., Edelson P. J., Morse S. S. (2005). (2018) implies that the Spanish flu killed almost 1% (0.95%) of the world population.9, If we rely on the estimate of 50 million deaths published by Johnson and Mueller, it implies that the Spanish flu killed 2.7% of the world population. Temples, schools, theaters, and other places were people can gather have been closed. More recently, between 151,700 and 575,400 people died from the swine flu or … Hist. The Spanish flu, unusually for an influenza, was less lethal for older people, perhaps because a similar 1830s flu outbreak granted older people still alive in … Hist. Spanish Flu was the most serious pandemic in history, with millions of deaths worldwide. While most of the world is much richer and healthier now, the concern today too is that it is the poorest people that are going to be hit hardest by the COVID-19 outbreak.22. Morens D. M., Taubenberger J. K., Fauci A. S. (2008) – Predominant role of bacterial pneumonia as a cause of death in pandemic influenza: implications for pandemic influenza preparedness. ], This influenza outbreak wasn’t restricted to Spain and it didn’t even originate there (recent research by Olson et al. 10.1086/591708. A 2005 estimate put the death toll at 50 million (about 3% of the global population), and possibl… Several research teams have worked on the difficult problem of reconstructing the global health impact of the pandemic. 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