"The world situation in 1918 exacerbated the effects of the pandemic. Wartime conditions combined with the intrinsic pathogenicity of the virus to cause tremendous morbidity and death rates. Poor sanitation, overcrowding, and limited health services during World War I facilitated disease transmission. Wartime overcrowding was rampant. Camps for troops, hastily built to accommodate 36,000, were soon housing 45,000 young and immunologically naĂŻve soldiers. Each day in the summer of 1918, an average of 10,000 US soldiers crammed onto ships bound for France. Civilians flooding to cities in support of war industries quickly exceeded available housing capacity. With 30% of US physicians engaged in military service, medical personnel were in short supply when the pandemic struck."
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Spanish flu
, also known as the Great Influenza epidemic or the 1918 influenza pandemic, was an exceptionally deadly global influenza pandemic caused by the H1N1 influenza A virus. The earliest documented case was March 1918 in Kansas, United States, with further cases recorded in France, Germany and the United Kingdom in April. Two years later, nearly a third of the global population, or an estimated 500 million people, had been infected in four successive waves. Estimates of deaths range from 17 million t
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