The 1918 Influenza Pandemic

  • April 1917

    U.S. enters World War I with 378,000 in the armed services.
  • June 1917

    A draft is established to increase the number of soldiers. Army begins training recruits at 32 large camps, each housing 25,000 to 55,000 soldiers.
  • March 1918

    Outbreaks of flu-like illness are first detected in the United States. More than 100 soldiers at Camp Funston in Fort Riley Kansas become ill with flu. Within a week the number of flu cases quintuples. Sporadic flu activity spreads unevenly through the United States, Europe, and possibly Asia over the next six months.
  • April 1918

    First mention of influenza appears in an April 5 weekly public health report. The report informs officials of 18 severe cases and three deaths in Hakell, Kansas
  • May 1918

    By May, hundreds of thousands of soldiers travel across the Atlantic each month as they are deployed for World War I.
  • September 1918

    The second wave of flu emerges at Camp Devens, a United States Army training camp just outside of Boston, and at a naval facility in Boston. Between September and November, a second wave of flu peaks in the United States. This second wave is highly fatal, and responsible for most of the deaths attributed to the pandemic. By the end of September, more than 14,000 flu cases are reported at Camp Devens—equaling about one-quarter of the total camp, resulting in 757 deaths.
  • November 1918

    The end of World War I enables a resurgence of influenza as people celebrate Armistice Day and soldiers begin to demobilize. Salt Lake City officials place quarantine signs on front and rear doors of 2,000 homes where occupants have been struck with flu. By the end of World War I the U.S. military grew in size from 378,000 soldiers in April 1918 to 4.7 million soldiers.
  • December 1918

    Public health officials begin education programs and publicity about dangers of coughing and sneezing; careless disposal of “nasal discharges.” Committee of the American Public Health Association encourages stores and factories to stagger opening and closing hours and for people to walk to work when possible instead of using public transport to prevent overcrowding.
  • October 1918

    The 1918 flu pandemic virus kills an estimated 195,000 Americans during October alone. Philadelphia is hit hard with the pandemic flu viruses—more than 500 corpses await burial, some for more than a week. Cold-storage plants are used as temporary morgues, a manufacturer of trolley cars donates 200 packing crates for use as coffins. New York City reports a 40 percent decline in shipyard productivity due to flu illnesses in the midst of World War I.
  • February 1919

    Influenza appears to be nearly eradicated in New Orleans as number of reported cases drops. Illinois passes a bill to create a one-year course to become a “practical nurse,” an effort to address the nursing shortage the pandemic had exposed.
  • April 1919

    At Versailles Peace Conference, while negotiating the end of World War I with other world leaders, U.S. President Woodrow Wilson collapses. Some historians speculate he was weak from influenza, which was still rampant in Paris.
  • January 1919

    A third wave of influenza occurs in the winter and spring of 1919, killing many more. In San Francisco, 1,800 flu cases and 101 deaths are reported in first five days of January. In San Antonio citizens begin complaining that new flu cases aren’t being reported. Seven-hundred and six cases of influenza and 67 deaths are reported in New York City, triggering fear of a recurrence of severe flu activity. At Boston City Hospital ask $3,000 to study the treatment of influenza.