historyanalysisWellcome Collection1918–1919 · Worldwide

The 1918 flu killed more than AIDS and Ebola combined, yet left almost no memorials

the gist

The 1918 to 1919 influenza pandemic, known as Spanish flu, killed an estimated 50 to 100 million people worldwide, far more than AIDS and Ebola combined. Yet it left few memorials, novels or artworks, and contemporaries noticed the silence. Most deaths came in a short four-week burst, many happened at home rather than in public, and in Britain and the US it killed about 2 per cent of the population. Compared with the Black Death, which killed 30 to 60 per cent of Europe's population, the loss was spread thinly and quickly forgotten.

how it works

Cyanosis, a blue tinge to lips and skin, appears when blood carries too little oxygen, and in the worst cases the lungs filled with fluid. Because so many deaths happened privately, there was no visible public ritual to mark them.

so what

The pandemic shows that how many people an event kills does not determine how it is remembered. Alfred Crosby's 1976 history was retitled America's Forgotten Pandemic in 1989, after AIDS had made remembrance a political issue.

the bigger pattern

Remembrance tends to follow visible, organised communities. AIDS memorials were built by activists demanding recognition, while most 1918 victims died largely unmarked.

fun fact

Spanish flu was named after Spain, which was among the first countries to report the illness openly, not because the virus began there.

Wellcome Collection · CC BY 4.0

Illustrative photo · Otis Historical Archives, National Museum of Health and Med…, Public domain, via Wikimedia Commons