historyanalysisNLM Circulating Now1918 · United States
Influenza Precautions, Then and Now
In 1918 the US Public Health Service told people to fight the Spanish flu with rest, fresh air, warm clothing, avoiding crowds, staying home when sick and covering coughs. Cover up each cough and sneeze, if you don't you'll spread disease, the pamphlet rhymed. Today's CDC advice on everyday preventive actions is remarkably similar, but now vaccines and antiviral drugs exist, which 1918 did not have. Officials then also underestimated the danger, and the US death toll of more than 600,000 was at least five times the number of American soldiers killed in World War One. Gauze masks for attendants were recommended then, but they are now considered medically ineffective.
The comparison shows which flu advice has lasted a century and which has changed because of medical knowledge. It also shows how wartime priorities and a slow information cycle shaped the early response.
U.S. National Library of Medicine
Illustrative photo · Otis Historical Archives, National Museum of Health and Med…, Public domain, via Wikimedia Commons
