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Pandemic

Spanish Flu

Influenza A H1N1

75.0M

estimated deaths

Period

1918–1920

Origin

United States (Kansas)

Death range

50.0M–100.0M

Infected

500.0M

Overview

The 1918 Spanish Flu was the most severe pandemic in modern history. Unlike typical flu, it disproportionately killed young healthy adults (ages 20–40), likely due to a cytokine storm immune response. It infected about 500 million people worldwide — one-third of the global population — and killed an estimated 50–100 million. It spread rapidly through WWI troop movements and overcrowded conditions.

Historical Timeline

1918
First wave — spring
1918
Second wave — fall (deadliest)
1919
Third wave
1920
Pandemic ends

Symptoms

Rapid pneumonia onset
Cyanosis (blue skin)
Hemorrhagic complications
High fever
Extreme fatigue

Affected Regions

USA
UK
France (trenches)
Spain
India
South America
South Africa

Compare Spanish Flu with other events

Open Comparison Tool
PandemicWatch

An educational data visualization project tracking humanity's greatest health crises and conflicts.

Data sourced from WHO, CDC, and peer-reviewed academic sources. Death toll estimates may vary across sources.

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Data: WHO · CDC · UNAIDS · IAEA · Britannica

Spanish Flu — 75M Deaths (1918–1920) | PlaguAtlas