The Spanish Flu (1918-1920) was one of the deadliest influenza epidemics in human history with an estimated 50-100 million victims. Influenzas often come in waves of which the Spanish flu had four over three years. 

First Wave – early 1918

The spread of the Spanish Flu has a strong relation to World War I. Some suggest that the conditions of the War aided the spread of the flu, while others argue that the Spanish Flu determined the course of the war. The war also helped the beginning of the Spanish flu to go unnoticed. 

The first reported case is at Camp Funston (a major military camp) in Kansas, United States, from which it spread to other military camps around the US. The troops then traveled and brought the flu over the Atlantic Ocean, where it first reached France and the Western Front Countries (Germany, Belgium, Luxembourg and Switzerland). It continued to spread from there to Eastern Europe and North Africa.

Interestingly, the virus reached Japan a month after it entered the Western Front. It also spread to Japanese colonies in Taiwan and Korea, then British India, which supplied a lot of personnel to Great Britain during the War. Population densities in India helped transmission and turned Bombay (Mumbai) into an epicenter for the Flu. Australia later became exposed to the flu when overseas servicemen returned home. 

If you are wondering why this seemingly international event was dubbed the Spanish Flu, this is because most countries attempted to keep news of its spread quiet to avoid mass hysteria. Spain was the first country to openly admit the gravity of the situation. 

Spanish Flu spread

It is also suggested that the Spanish Flu originated from China (red point), where laborers were shipped across Canada for Britain and French use on the Western Front during WWI.

Second Wave – late 1918

The second was the deadliest wave of the Spanish Flu, contributing to most of its death toll. Some suggest that this was caused by a mutated strain of the Spanish flu, combined with rapid global troop movements of WWI. Scientists suggest that while symptoms of the Spanish flu in the first wave has more similarity to that of the seasonal flu, the mutated strain had the ability to kill healthy young people within 24 hours

The first reported case is at a Naval Base in Brest, France, where military personnel from different countries gathered, bringing the mutated strain of the flu with them. 

Almost simultaneously, it spread to US military camps, first in Boston, then to other camps in the US. The rest of North America, Central America, and South America were hit, including Brazil and the Caribbean region. 

From France, it also spread to Freetown, Sierra Leone, from which it spread to the rest of the African Continent along the coast, rivers, and railways. South Africa was also another source of an outbreak where the flu spread along the river Zambezi until reaching Ethiopia. 

In Russia, the Allied Intervention brought the flu to Arkhangelsk, Russia, from which the flu spread from southwest to northeast within Russia. The Russian Civil War and the Trans-Siberian railway aided the spread of the flu throughout Asia, including Iran, India, China, and Japan. 

Spanish Flu Spread Map

There is also a suggestion that the second wave started in Liberia, or in Boston.

Third Wave – late 1919

Spanish Flu spread map

The third wave began in Australia, from which it spread to Europe, mainly affecting Serbia, France, and Great Britain this time. At that time, US President Woodrow Wilson fell ill while working in Europe on post-war issues. There were also isolated outbreaks in US cities such as Los Angeles, New York City, San Francisco, and more. The virus then spread down to Mexico. While mortality was still high, the third wave was much less deadly than the second wave. 

After the three main waves, a few minor outbreaks occurred. Interestingly, mitigation measures were very similar to those for Covid-19: face masks, social distancing and confinement.

Mapping by Yik Sang Fong Dorothy.

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