People dropped whisky into their noses to treat Spanish flu. Here’s what else they took that would raise eyebrows today

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Philippa Martyr, The University of Western AustraliaWe’re researching COVID-19 in a fast-paced world with new data becoming available all the time. We track which interventions work well and which ones don’t.

But in 1918, during the Spanish flu pandemic, the world was a different place. No one was entirely sure what caused influenza. By the time health authorities began to find out, it was too late.

Our knowledge about viruses was limited in 1918, but we knew about bacteria. People who died of flu had bacterial infection in their lungs. However, this threw researchers off track because these were secondary infections, not caused directly by the flu.

With this lack of knowledge, it was still an anything-goes medical research world. There were unregulated vaccine trials and lots of hype for the latest “cure”, even in respectable medical journals.

More than 100 years on, controversial “cures” for COVID-19, such as ivermectin, are making the headlines, being reported in medical journals and are being promoted by doctors and politicians.

Here’s what we know about the Spanish flu “cures” of the day, whisky included.

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Doctors, pharmacists and nurses had cures

Doctors developed and used some of these cures for the flu. Sydney’s chief quarantine officer, Dr Reid, treated patients in March 1919 with 15-grain (1 gram) doses of calcium lactate every four hours, and a “vaccine” containing influenza and pneumococcus bacteria. In 203 cases, he had no deaths.

Calcium lactate is used today to treat low levels of calcium in the blood. But Dr Reid’s doses are well above the current recommended daily level.

J R A McAlister’s treatment ‘cures influenza at once’.
Trove Digitised Newspapers, Guyra Argus, September 11, 1919, p2, National Library of Australia

Chemists were also busy making and selling their own influenza cures. J. Reginald Albert McAlister of Guyra in regional New South Wales advertised his 1919 patented mixture as curing influenza at once.

People even listened to nurses — who at the time were usually the least important people in the health-care system — about cures for the Spanish flu.

Nan Taylor, a New Zealand nurse, advocated whisky — lots of it, including gargling and drops up the nose. She also recommended quinine and castor oil.

Nurse Kate Guazzini cared for Spanish flu patients in South Africa in late 1918, and caught the flu there before moving to Sydney. She said:

I was kept alive on brandy and milk for six weeks […] That, with quinine and hot lemon drinks, were found to be the only effective remedies.

Food manufacturers linked themselves to flu cures. In 1919 a brand new beef extract, Bonox, had just hit the Australian market, and the flu epidemic was a great marketing opportunity. Bonox was advertised as a sure way to recover your health and strength after the flu.

This Bonox advertisement promised a robust recovery.
Trove Digitised Newspapers, Herald (Melbourne), April 26, 1919, p9, National Library of Australia

News of ‘cures’ spread far and wide

In much of Australia just after WWI there were often no doctors close by. So many people were used to dosing themselves with homemade potions and remedies. They shared their prescriptions in the pages of local newspapers.

Between 1918 and 1920, Australian newspapers were flooded with Spanish flu cures of all kinds.

In October 1918, a journalist at Victoria’s Bendigo Independent lamented:

Cures? My goodness me, the vast amount of cures on the market are positively frightening, and everyone has a favorite cure. I pin my faith to one, you to another. There’s a certain influenza mixture that, taken in the early stages, is regarded as a certain cure by one large section […] Asperin [sic] is the cry of another batch of victims, and they tell you that that drug does the trick. ‘Try whiskey and milk taken hot and taken often,’ is the advice of others who have had it. But one and all end in the same way: ‘Go to bed and stay there till the thing leaves you.’

Aspro advertising, Telegraph (Qld), 30 July 1921, page 14.
Trove Digitised Newspapers, National Library of Australia

Aspirin was very popular as a Spanish flu treatment worldwide. But people sometimes took it at dangerously high doses, which may have boosted the number of deaths attributed to the flu.

In the absence of many other treatments, government authorities promoted aspirin, along with quinine and phenacetin.

The pain killer phenacetin is now banned because it’s linked to kidney and urinary tract cancers.

Like aspirin, its overuse might have boosted the Spanish flu death rate.

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They’re using it in America

Like today, Australians were also eagerly reading about overseas experiments, and wanting to try these cures locally.

In June 1919, the Richmond River Herald reported:

On Friday we published the following New York cable: — ‘Dr. Charles Duncan, at the Convention of the American Medical Association, said the cure for influenza was one drachm of infected mucus pasteurised and with filtered water injected subcutaneously … Yesterday (says Tuesday’s Tweed ‘Daily’) a youth was seen inquiring for a chemist, having in his hand the above clipping and sixpence, his object being to secure that amount’s worth of the ‘cure.’ Several others, it is understood, have also been inquiring into the same matter, with a view to ‘having it made up’ locally.

Some of these cures lingered

Once the Spanish flu pandemic was over, many of the cures remained. Most of them, like aspirin, incorporated the threat of influenza into regular advertising.

Some, like quinine, have made a reappearance during the COVID-19 pandemic.

And one of the most commonly recommended cures — whisky taken at frequent intervals — hasn’t lost its popularity.

Philippa Martyr, Lecturer, Pharmacology, Women’s Health, School of Biomedical Sciences, The University of Western Australia

This article is republished from The Conversation under a Creative Commons license. Read the original article.

1918 flu pandemic killed 12 million Indians, and British overlords’ indifference strengthened the anti-colonial movement

Cremation on the banks of the Ganges river, India.
Keystone-France via Getty Images

Maura Chhun, Metropolitan State University

In India, during the 1918 influenza pandemic, a staggering 12 to 13 million people died, the vast majority between the months of September and December. According to an eyewitness, “There was none to remove the dead bodies and the jackals made a feast.”

At the time of the pandemic, India had been under British colonial rule for over 150 years. The fortunes of the British colonizers had always been vastly different from those of the Indian people, and nowhere was the split more stark than during the influenza pandemic, as I discovered while researching my Ph.D. on the subject.

The resulting devastation would eventually lead to huge changes in India – and the British Empire.

From Kansas to Mumbai

Although it is commonly called the Spanish flu, the 1918 pandemic likely began in Kansas and killed between 50 and 100 million people worldwide.

During the early months of 1918, the virus incubated throughout the American Midwest, eventually making its way east, where it traveled across the Atlantic Ocean with soldiers deploying for WWI.

Indian soldiers in the trenches during World War I.
Print Collector / Contributor via Getty Images

Introduced into the trenches on Europe’s Western Front, the virus tore through the already weakened troops. As the war approached its conclusion, the virus followed both commercial shipping routes and military transports to infect almost every corner of the globe. It arrived in Mumbai in late May.

Unequal spread

When the first wave of the pandemic arrived, it was not particularly deadly. The only notice British officials took of it was its effect on some workers. A report noted, “As the season for cutting grass began … people were so weak as to be unable to do a full day’s work.”

By September, the story began to change. Mumbai was still the center of infection, likely due to its position as a commercial and civic hub. On Sept. 19, an English-language newspaper reported 293 influenza deaths had occurred there, but assured its readers “The worst is now reached.”

Instead, the virus tore through the subcontinent, following trade and postal routes. Catastrophe and death overwhelmed cities and rural villages alike. Indian newspapers reported that crematoria were receiving between 150 to 200 bodies per day. According to one observer, “The burning ghats and burial grounds were literally swamped with corpses; whilst an even greater number awaited removal.”

Members of the British Raj out for a stroll, circa 1918.
Fox Photos/Stringer via Getty images

But influenza did not strike everyone equally. Most British people in India lived in spacious houses with gardens and yards, compared to the lower classes of city-dwelling Indians, who lived in densely populated areas. Many British also employed household staff to care for them – in times of health and sickness – so they were only lightly touched by the pandemic and were largely unconcerned by the chaos sweeping through the country.

In his official correspondence in early December, the Lieutenant Governor of the United Provinces did not even mention influenza, instead noting “Everything is very dry; but I managed to get two hundred couple of snipe so far this season.”

While the pandemic was of little consequence to many British residents of India, the perception was wildly different among the Indian people, who spoke of universal devastation. A letter published in a periodical lamented, “India perhaps never saw such hard times before. There is wailing on all sides. … There is neither village nor town throughout the length and breadth of the country which has not paid a heavy toll.”

Elsewhere, the Sanitary Commissioner of the Punjab noted, “the streets and lanes of cities were littered with dead and dying people … nearly every household was lamenting a death, and everywhere terror and confusion reigned.”

The fallout

In the end, areas in the north and west of India saw death rates between 4.5% and 6% of their total populations, while the south and east – where the virus arrived slightly later, as it was waning – generally lost between 1.5% and 3%.

Geography wasn’t the only dividing factor, however. In Mumbai, almost seven-and-a-half times as many lower-caste Indians died as compared to their British counterparts – 61.6 per thousand versus 8.3 per thousand.

Among Indians in Mumbai, socioeconomic disparities in addition to race accounted for these differing mortality rates.

The Health Officer for Calcutta remarked on the stark difference in death rates between British and lower-class Indians: “The excessive mortality in Kidderpore appears to be due mainly to the large coolie population, ignorant and poverty-stricken, living under most insanitary conditions in damp, dark, dirty huts. They are a difficult class to deal with.”

Change ahead

Death tolls across India generally hit their peak in October, with a slow tapering into November and December. A high ranking British official wrote in December, “A good winter rain will put everything right and … things will gradually rectify themselves.”

Normalcy, however, did not quite return to India. The spring of 1919 would see the British atrocities at Amritsar and shortly thereafter the launch of Gandhi’s Non-Cooperation Movement. Influenza became one more example of British injustice that spurred Indian people on in their fight for independence. A periodical published by the human rights activist Mahatma Gandhi stated, “In no other civilized country could a government have left things so much undone as did the Government of India did during the prevalence of such a terrible and catastrophic epidemic.”

The long, slow death of the British Empire had begun.

[Insight, in your inbox each day. You can get it with The Conversation’s email newsletter.]

Maura Chhun, Community Faculty, Metropolitan State University

This article is republished from The Conversation under a Creative Commons license. Read the original article.

1918 Spanish Flu Pandemic

100 years later, why don’t we commemorate the victims and heroes of ‘Spanish flu’?

Women were at the forefront of managing the influenza pandemic.
AUSTRALIAN WAR MEMORIAL

Peter Hobbins, University of Sydney

At Sydney’s enormous Rookwood Cemetery, a lichen-spotted headstone captures a family’s double burden of grief.

The grave contains the remains of 19-year-old Harriet Ann Ottaway, who died on 2 July 1919. Its monument also commemorates her brother Henry James Ottaway, who “died of wounds in Belgium, 23rd Sept 1917, aged 21 years”.

While Henry was killed at the infamous Battle of Passchendaele, Harriet’s headstone makes no mention of her own courageous combat with “Spanish flu”.

Harriet’s story typifies the enduring public silence around the pneumonic influenza pandemic of 1918–19. Worldwide, it killed an estimated 50-100 million people – at least three times all of the deaths caused by the First World War.

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Why historians ignored the Spanish flu

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After the disease came ashore in January 1919, about a third of all Australians were infected and the flu left nearly 15,000 dead in under a year. Those figures match the average annual death rate for the Australian Imperial Force throughout 1914–18.

Arguably, we could consider 1919 as another year of war, albeit against a new enemy. Indeed, the typical victims had similar profiles: fit, young adults aged 20-40. The major difference was that in 1919, women like Harriet formed a significant proportion of the casualties.

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Deadly flu spread rapidly

There was no doubt about the medical and social impact of the “Spanish flu”. Although its origins remain contested, it certainly didn’t arise in Spain. What is known is that by early 1918, a highly infectious respiratory disease, caused by a then-unknown agent, was moving rapidly across Europe and the United States. By the middle of that year, as the war was reaching a tipping point, it had spread to Africa, India and Asia.

About a third of the entire world’s population was infected with Spanish flu.
Macleay Museum, Author provided

It also took on a much deadlier profile. While victims initially suffered the typical signs and symptoms of influenza – including aches, fever, coughing and an overwhelming weariness – a frighteningly high proportion went rapidly downhill.

Patients’ lungs filled with fluid – which is why it became known as “pneumonic influenza” – and they struggled to breathe. For nurses and doctors, a tell-tale sign of impending death was a blue, plum or mahogany colour in the victim’s cheeks.

This, sadly, was the fate of young Harriet Ottaway. Having nursed a dying aunt through early 1919, in June she tended her married sister Lillian, who had come down with pneumonic influenza.

Despite taking the recommended precautions, Harriet contracted the infection and died in hospital. Ironically, Lillian survived. But in the space of less than two years she had lost both a brother to the Great War and her younger sister to the Spanish flu.

An intimate impact worldwide

Indeed, as Harriet’s headstone reminds us, this was an intimate pandemic. The statistics can seem overwhelming until you realise what it means that about a third of the entire world’s population was infected.

Whatever your heritage, your ancestors and their communities were almost certainly touched by the disease. It’s a part of all of our family histories and many local histories.

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It wasn’t just victims who were affected. Across Australia, regulations intended to reduce the spread and impact of the pandemic caused profound disruption. The nation’s quarantine system held back the flu for several months, meaning that a less deadly version came ashore in 1919.

But it caused delay and resentment for the 180,000 soldiers, nurses and partners who returned home by sea that year.

Leaflets like this one from Victoria tried to warn people of the dangers of Spanish flu.
Board of Public Health, Victoria/Public Records Office of Victoria

Responses within Australia varied from state to state but the crisis often led to the closure of schools, churches, theatres, pubs, race meetings and agricultural shows, plus the delay of victory celebrations.

The result was not only economic hardship, but significant interruptions in education, entertainment, travel, shopping and worship. The funeral business boomed, however, as the nation’s annual death rate went up by approximately 25%.

Yet for some reason, the silence of Harriet’s headstone is repeated across the country. Compared with the Anzac memorials that peppered our towns and suburbs in the decades after the Great War, few monuments mark the impact of pneumonic influenza.

Nevertheless, its stories of suffering and sacrifice have been perpetuated in other ways, especially within family and community memories. A century later, these stories deserve to be researched and commemorated.

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Despite the disruption, fear and substantial personal risk posed by the flu, tens of thousands of ordinary Australians rose to the challenge. The wartime spirit of volunteering and community service saw church groups, civic leaders, council workers, teachers, nurses and organisations such as the Red Cross step up.

They staffed relief depots and emergency hospitals, delivered comforts from pyjamas to soup, and cared for victims who were critically ill or convalescent. A substantial proportion of these courageous carers were women, at a time when many were being commanded to hand back their wartime jobs to returning servicemen.

In resurrecting stories such as the sad tale of Harriet Ottaway, it’s time to restore our memories of the “Spanish flu” and commemorate how our community came together to battle this unprecedented public crisis.

Peter Hobbins, ARC DECRA Fellow, University of Sydney

This article is republished from The Conversation under a Creative Commons license. Read the original article.

1918 Flu Pandemic

1918 Flu Pandemic

Today in History: 21 April 1918

The Red Baron is Shot Down and Killed

ABOVE: The Red Baron

 

On this day in 1918, Manfred von Richthofen (The Red Baron), was shot down and killed over Vaux-sur-Somme, France.

 

For more visit:
http://en.wikipedia.org/wiki/Manfred_von_Richthofen
http://en.wikipedia.org/wiki/The_Red_Baron

Book:
The Red Knight of Germany: The Story of Baron von Richthofen, Germany’s Great War Bird, by Floyd Phillips Gibbons