The Commercial Appeal

Why is 1918 pandemic called ‘Spanish flu’?

Staff Reports

- USA TODAY

On March 20, the Facebook page Unbelievab­le Facts shared a graphic on the origins of the 1918 flu pandemic’s more common name, the “Spanish flu.”

According to the post, the pandemic earned the name “because during WWI, wartime censors minimized early reports of illness and mortality” in combating nations “but the papers were free to report the epidemic’s effects in neutral Spain, which created a false impression of Spain as being especially hard hit.”

Unbelievab­le Facts, which brands itself as “your source for the best bizarre, strange and extraordin­ary stories on the internet,” has more than 8.3 million followers on Facebook. The post in question has 6,100 reactions and about 1,300 shares on the site.

Origins, spread of 1918 influenza

When it was discovered, the 1918 flu virus was spreading in a world at war. Because of the turmoil that World War I had wrought on societies around the globe, it’s difficult for scientists and historians today to piece together the exact origins of the virus.

The Centers for Disease Control and Prevention states there is no universal consensus as to the origins of the virus, though experts have theorized about origins as disparate as China, France, the United States and United Kingdom. Others have argued the virus was likely circulatin­g in European armies for months – and potentiall­y even years – before it was officially discovered. The CDC states that the first confirmed cases in the United States were military personnel in the spring of 1918.

“We don’t know and will probably never know,” John M. Barry, the author of “The Great Influenza,” a history of the 1918 flu, told USA TODAY. In his book, Barry advanced the theory that the virus began in rural Kansas, but “work since then has caused me to back away from that. The best evidence points to China. Other theories suggest France or Vietnam.”

The comparativ­ely mild effect the 1918 flu had on China has led some researcher­s to suspect that the virus or a related milder strain began there earlier, meaning the population had a higher level of immunity to the disease when it reached pandemic levels elsewhere.

The 1918 flu was an H1N1 virus with genes indicating it likely originated in birds. This makes it like the H1N1 strain that caused the swine flu pandemic of 2009. Unlike swine flu, however, the 1918 flu was far more damaging for the world; an estimated third of the world’s population was infected, with about 50 million people dying from the virus.

Unlike most influenza viruses, the 1918 flu was most lethal for people ages 20-40 and young children. Researcher­s don’t fully understand why this was the case, though the lack of a vaccine, poor sanitary conditions and no coordinate­d response nations likely contribute­d to the disastrous impact. The possibilit­y of a similar virus having spread during the youth of 1918’s older population may be why those 65 and older had a lower mortality rate than would be expected.

Role of government­s

A key factor that made both mitigating the virus and tracing its impact difficult today is that government­s at the time downplayed the issue. Countries did not want to lower national morale or cause panic while also fighting what was then the largest and most costly war in history.

Public health officials in France, Germany, the United Kingdom and the United States all downplayed the spread of the virus, treating it as a normal influenza virus or cases of “simple pneumonia” found in the ranks of soldiers.

The pressures of the global conflict weren’t present in the Kingdom of Spain, which was neutral in World War I. As such, Spanish public officials and media more readily reported on the crisis as it spread throughout the country.

Additional­ly, King Alfonso XIII of Spain also fell gravely ill with the virus, heightenin­g press coverage in the country and grabbing headlines elsewhere. There is no evidence, however, that the virus began in Spain, nor is there any indication that the virus was especially worse in Spain than anywhere else in Europe.

Though it is difficult to determine from the historical record where the 1918 flu virus originated and how it spread across the globe, the origins of its common name are not in doubt. The Spanish press, being those most likely to report on the virus and its spread, also gave the false impression at the time that the disease originated there.

The name “Spanish flu” has accompanie­d the 1918 pandemic ever since, largely because other countries were unwilling or uninterest­ed in reporting on the outbreak within their own borders. We rate this claim TRUE, based on our research.

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