Health care and technology has improved extensively over the past 100 years. Compare the challenges that were posed during the crisis when the Spanish flu broke out in 1918 to the present-day situation.
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Answer:
the world grapples with a global health emergency that is COVID-19, many are drawing parallels with a pandemic of another infectious disease – influenza – that took the world by storm just over 100 years ago. We should hope against hope that this one isn’t as bad, but the 1918 flu had momentous long-term consequences – not least for the way countries deliver healthcare. Could COVID-19 do the same?
The 1918 flu pandemic claimed at least 50 million lives, or 2.5 per cent of the global population, according to current estimates. It washed over the world in three waves. A relatively mild wave in the early months of 1918 was followed by a far more lethal second wave that erupted in late August. That receded towards the end of the year, only to be reprised in the early months of 1919 by a third and final wave that was intermediate in severity between the other two. The vast majority of the deaths occurred in the 13 weeks between mid-September and mid-December 1918. It was a veritable tidal wave of death – the worst since the Black Death of the 14th-century – and possibly in all of human history.
Explanation:
Flu and COVID-19 are different diseases, but they have certain things in common. They are both respiratory diseases, spread on the breath and hands as well as, to some extent, via surfaces. Both are caused by viruses, and both are highly contagious. COVID-19 kills a considerably higher proportion of those it infects, than seasonal flu, but it’s not yet clear how it measures up, in terms of lethality, to pandemic flu – the kind that caused the 1918 disaster. Both are what are known as “crowd diseases”, spreading most easily when people are packed together at high densities – in favelas, for example, or trenches. This is one reason historians agree that the 1918 pandemic hastened the end of the First World War, since both sides lost so many troops to the disease in the final months of the conflict – a silver lining, of sorts.
Crowd diseases exacerbate human inequities. Though everyone is susceptible, more or less, those who live in crowded and sub-standard accommodation are more susceptible than most. Malnutrition, overwork and underlying conditions can compromise a person’s immune deficiencies. If, on top of everything else, they don’t have access to good-quality healthcare, they become even more susceptible. Today as in 1918, these disadvantages often coincide, meaning that the poor, the working classes and those living in less developed countries tend to suffer worst in an epidemic. To illustrate that, an estimated 18 million Indians died during the 1918 flu – the highest death toll of any country, in absolute numbers, and the equivalent of the worldwide death toll of the First World War.
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