4 March 2020

The Guardian: Four lessons the Spanish flu can teach us about coronavirus

Spanish flu is estimated to have killed between 50 million and 100 million people when it swept the globe in 1918-19 – more than double the number killed in the first world war. Two-thirds of its victims died in a three-month period and most were aged 18-49. So what lessons has the world’s deadliest pandemic taught us? [...]

The Spanish flu hit during the first world war, so authorities were unusually keen to avoid further social disruption or blows to national morale. Much of the pandemic was characterised by increasingly untenable reassurances that the Spanish flu was not something to be overly concerned about. In June 1918, just before the UK felt the full force of the outbreak, the Daily Mail advised readers that flu was no worse than a cold and that people should not have “any great dread” but “maintain a cheery outlook on life”. The Times initially adopted a casual, jokey tone before growing critical of official complacency. [...]

Flu viruses are fundamentally different from coronaviruses in that they are constantly shuffling their genomes, which means they rapidly morph from one strain into another – that’s why flu vaccines are needed annually. Coronaviruses tend to be genetically fairly stable and so scientists don’t expect a sudden shift in the mortality rate of Covid-19. But the question of whether coronavirus will disappear, reappear in waves or simmer in the background as an endemic illness still remains to be answered.

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