By the time three waves of Spanish flu swept across the globe in 1918 and 1919, at least 50 million people were dead -- and there are valuable lessons we can take away from that pandemic as we face COVID-19.
"It was called 'crowding' control" back then, he said."But whatever you call it, limiting contact worked in 1918 -- and it works today."
"As with all pandemics, in 1918 you had a tension between biological reality and socioeconomic reality," she said."Biology is not changeable. But behavior is. So yes, social distancing was absolutely a thing in 1918, and where it was practiced, it worked." That tension helps explain the absence of an early and forceful federal response in 1918, according to Nichols and Ewing. Instead, officials played down the risk and stalled for time.
So, the advice from Washington, D.C., back then might sound familiar today: Don't panic. It's no big deal. While cities like Seattle and San Francisco ordered people to wear masks if they were out in public, many others did not. New York City never closed schools, contending they were cleaner than homes -- even though by October 1918, when deaths began to skyrocket, many cities did.Proceedings of the National Academy of Sciences
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