Two major U.S. cities emerged as examples of government response in what to do and what not to do: St. Louis, which recognized the viral danger and took immediate steps to contain it, and Philadelphia, which did not.
Among the worst moments of the 1918 influenza pandemic were Philadelphia's overwhelmed morgue stacking unembalmed bodies without ice on multiple floors until storage was found, or the city resorting to steam shovels for digging mass graves.
The virus of a century ago infected approximately 500 million people, or one-third of the world’s population, according to the. What people did then is familiar to what we're doing today, including self-isolation, guarding against coughing and sneezing, and limiting public gatherings. States and cities devised their own strategies because"the federal government really didn't do a lot," McKinsey says."It issued some guidelines but had its hands full with World War I and preventing disease among the troops."Peak death rate, the day with the highest number of cases, per 100,000 population for 1918 flu:SOURCEThe 1918 influenza did not come from Spain.
, and ships of troops were crossing the Atlantic both ways, often carrying the virus with them. The war didn't end until Nov. 11, 1918.US National Guard Bureau
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