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100 Years Ago, Influenza Killed 50 Million People. Could It Happen Again? (usatoday.com)

Last year 80,000 Americans died of the flu -- and 900,000 more were hospitalized, according to estimates by the U.S. Center for Disease Control and Prevention. NBC News reports: The numbers were shocking. Until now, CDC has said flu kills anywhere between 12,000 and 56,000 people a year, depending on how bad the flu season is, and that it puts between 250,000 and 700,000 into the hospital with serious illness. The numbers for the 2017-2018 flu season go far beyond that... Usually, flu hits first in one region and then another, but this past season saw widespread flu activity all at once, for weeks on end.
Coincidentally, it's the 100-year anniversary of the great flu pandemic of 1918, according to an article shared by schwit1: Up to 500 million people -- about one-third of the world's population -- became infected with the influenza virus, the Centers for Disease Control and Prevention says. As many as 50 million died, or one out of every 30 human beings on the planet, killing more American troops than those that died on World War I battlefields. The intensity and speed with which it struck were almost unimaginable, the worst global pandemic in modern history.
The article asks the ultimate question: Could it happen again? Top health and science groups, such as the World Health Organization, the National Academy of Sciences and the Centers for Disease Control and Prevention, predict influenza pandemics are nearly certain to recur. "Influenza viruses, with the vast silent reservoir in aquatic birds, are impossible to eradicate," the World Health Organization warned. "With the growth of global travel, a pandemic can spread rapidly globally with little time to prepare a public health response." A pandemic could also arise if a strain mutates with or develops directly from animal flu viruses, the CDC said...

In a near worst-case scenario, a new, lethal and highly infectious flu virus would break out in a crowded, unprepared megacity that lacks public health infrastructure, according to Johns Hopkins' Bloomberg School of Public Heath. Such a fast-moving virus could burst from a city and catch a ride with international travelers before public health officials realize what is happening.

The article points out that today there's now safeguards to detect and counteract influenza outbreaks that didn't exist in 1918 (including outbreak-detecting systems, as well as better antiviral drugs and the ability to develop vaccines more rapidly). But it also reminds us that the 1918 flu pandemic killed more people in two years than the plague did in an entire century.

The CDC recommends that every year, anyone six months of age or older should get a flu vaccine. But I'd be curious to hear from Slashdot's readers. Have you gotten your 2018 flu shot?

17 of 270 comments (clear)

  1. Yeah, sure it can by rsilvergun · · Score: 4, Insightful

    if we don't have a strong, coordinated response to a large scale outbreak yeah, it'll happen again. We haven't magically evolved somehow. We're still vulnerable to the same crap we always were.

    This is kind of a sticking point for me. I know lots of folks who, because something bad hasn't happened recently or to them or their immediate family, they think it's a non issue. Like those folks who were vehemently opposed to background checks for guns until they were shot at or folks in favor of single payer healthcare because they lost their jobs after a stroke. People's inability or unwillingness to extrapolate never ceases to amaze and infuriate me...

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    1. Re:Yeah, sure it can by alvinrod · · Score: 4, Interesting

      For something like the flu, I don't think there's much that can be done. A huge chunk of the population gets it every single year and you can't really vaccinate against it effectively, so if it's a particularly deadly strain it's going to kill a lot of people. It doesn't matter how good of a healthcare system you have, or what kind of coordinated response you think you have in place, because it will get overwhelmed.

      About the only thing that can be done is to devise some way of treating viral infections or shutting them down, Basically something like antibiotics that can take out the virus or destroy enough of it to prevent people from getting ill to the point that it becomes fatal.

    2. Re:Yeah, sure it can by Anonymous Coward · · Score: 5, Insightful

      You can start your "coordinated response" with _mandating_ employers allow sick employees to either work from home where possible, or take time off. I realize a large portion of Slashdot may not have to endure that but there are a hell of a lot of people who DO. A single sick employee can take out an entire office. That includes basic HVAC maintenance (seriously change your damn filters).

    3. Re:Yeah, sure it can by whoever57 · · Score: 4, Informative

      I have read many times that the flu shots will result in reduced symptoms, even if it doesn't prevent it entirely.

      Flu shots will reduce the number of people who die from the flu.

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    4. Re:Yeah, sure it can by VeryFluffyBunny · · Score: 4, Informative

      Supportive health care has gotten MASSIVELY better since 1918, astronomically so. A similarly virulent strain would be bad, but nothing like as bad as it was, because a lot of people back then died due to lack of even basic supportive care.

      Of course, no one said it had to be the same level of virulence, it could be much worse, so ignoring the possibility doesn't make sense.

      Yes, and not to mention the fact that, back 1918, there was extreme wealth inequality and the majority of people were poor and malnourished. It wasn't until after WWII that governments started to take public health and nutrition seriously because they realised that far too many military-age men we too unfit to fight for them in wars.

      Public nutrition and health have got much better since 1918 but it is starting to look like it's starting to slip back with obesity, heart disease, child poverty, etc., making a lot of people very unhealthy and vulnerable to disease. Oh, there's a lot more elderly and infirm people around these days who are particularly vulnerable to the flu.

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    5. Re:Yeah, sure it can by quantaman · · Score: 4, Insightful

      if we don't have a strong, coordinated response to a large scale outbreak yeah, it'll happen again. We haven't magically evolved somehow. We're still vulnerable to the same crap we always were.

      This is kind of a sticking point for me. I know lots of folks who, because something bad hasn't happened recently or to them or their immediate family, they think it's a non issue. Like those folks who were vehemently opposed to background checks for guns until they were shot at or folks in favor of single payer healthcare because they lost their jobs after a stroke. People's inability or unwillingness to extrapolate never ceases to amaze and infuriate me...

      Though I think we're much better able to have a strong, coordinated response now than 100 years ago.

      1) Our ability to treat sick people is a lot better.
      2) Wide scale distribution of surgical masks is way more feasible now than 100 years ago.
      3) Lots of people can work remotely if need be.
      4) Hygiene is way better.
      5) Schools could even be closed if need be, with remote learning options used as much as possible.

      Sure these are progressively more drastic actions, but if we're hitting even a 1% fatality rate I suspect most go into effect.

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    6. Re:Yeah, sure it can by thegarbz · · Score: 4, Insightful

      - The influenza virus does not care about your low sugar diet.
      - The a lung infection or full on pneumonia that is caused as a complication from the flu virus cannot at all be treated with antibiotics.
      - Having no symptoms of the flu means that you didn't contract the flu, and not that your body is somehow magically better at fighting it. If you were fighting the infection you would be showing symptoms.
      - There's NO such thing as a "simple" flu. You had a common cold.

      As they say 9 out of 10 people confuse the flu with a common cold. The remaining people will never confuse the two again.

  2. As it's available, yes. by MiniMike · · Score: 4, Insightful

    > Have you gotten your 2018 flu shot?

    They offer flu shots for free at my office. I have kids in school and elderly relatives, darn right I got it. Also I don't believe in crazy conspiracy theories, so no reason not to get one. Not sure why you want to know, but here it is.

  3. Yes, I Got My Flu Shot. But Will It Work? by DERoss · · Score: 4, Informative

    The main problem with flu shots is that they target a particular variety of influenza. Too often, that is the wrong variety for the pending influenza season.

    Last season (2017-2018), my wife and I got our flu shots early in the fall. In the week just before New Year 2018, we both thought we were coming down with colds. The day after New Year, we felt sick enough to see our family doctor, who swabbed high in our noses. After dinner, he called us to tell us we tested positive for influenza.

    Later that same night (still 2 January), my wife could not stop coughing. Since she had a heart problem (now fixed), I suggested that I should take her to the local hospital's emergency room. She did not want to go, but I insisted. She was hospitalized for a week with pneumonia although we were both current with both kinds of pneumonia shots. (According to our doctor, the two types of shots only protect against about 60% of the types of pneumonia.)

    Each year, we still get our flu shots in the hope that, this time, the shots are targeting the variety of influenza that will be going around. My wife got her flu shot in August, and I got mine the beginning of this month (September).

    An attempt to develop a universal flu shot is underway. The goal is not to target any one variety of influenza but instead to protect against all varieties.

  4. There's a lot that can be done by rsilvergun · · Score: 5, Insightful

    when faced with a large outbreak. Aside from flu shots there's quarantine procedures, extra steps to be taken at hospitals and clinics, keeping water clean, etc, etc. I suspect I'm only scratching the surface since I don't work for the CDC and I haven't studied flue outbreaks.

    That's another problem the world has (America especially). This idea that we can't do anything about these things. It's mostly from folks who, well, haven't really studied the topic. It's part of a general antipathy towards experts and "elites", a desire to not be told what to do and a desire to think that "common sense" can solve problems.

    Thing is, the world is really, really counter-intuitive. There's so much in this world that doesn't work they way you think it would. Like how it's several times cheaper & more effective at stabilizing a nation to send some food aid than troops, but that if you overdo the aid local businesses can't thrive because they can't compete with free.

    The world is a really, really complex beast. Even things we think are simple aren't. There's damn near nothing that couldn't do with a bit more study and care.

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  5. The solution by slashmydots · · Score: 5, Interesting

    There's a very, VERY sensitive tipping point when it comes to infections spreading or not. It's very close math. You know what countries have very few problems with flu outbreaks? The ones where it's illegal to go to work with the flu.

    1. Re:The solution by sjames · · Score: 4, Insightful

      That's the crazy part in the U.S. Even though we had a fairly bad outbreak last year, right after the 5 minutes of doom and gloom on the nightly news, they urged everyone to put the fear aside and go to the crowded malls for a few hours of intensive exposure and the all important shopping.

  6. Herd Immunity by PopeRatzo · · Score: 4, Informative

    Flu shots will reduce the number of people who die from the flu.

    There are a number of people who will contract the flu virus but never show any symptoms. These people will still spread the flu to their loved ones, co-workers, people on the train, etc.

    This is why, "But I never get the flu," is not a good excuse for not getting the flu shot. Even though the flu shot does not work 100%, it still saves lives, and the more people who get the shot, the more lives that are saved. If people who "never get the flu" get the flu shot, more lives will be saved.

    If you have any kind of insurance, the shot is free. If you don't have any insurance, the shot is free. Look around. I think CVS or Walgreens has a deal where you pay some small amount, say $5 for a flu shot and they give you $10 in coupons or something, but there are free shots for almost everyone.

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    1. Re:Herd Immunity by Anonymous Coward · · Score: 5, Funny

      Last time I got a flu shot, it gave me autism. Now I am a better software developer because of it. So there is an added bonus.

    2. Re:Herd Immunity by PopeRatzo · · Score: 5, Informative

      Flu spreads by droplets that are coughed or sneezed out. If you don't have coughing or sneezing symptoms, you aren't going to be an effective vector.

      I believe that's a misconception. Flu can also be spread by touch or even just by breathing.

      https://www.medicalnewstoday.c...

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    3. Re:Herd Immunity by willy_me · · Score: 4, Interesting

      Flu spreads by droplets that are coughed or sneezed out. If you don't have coughing or sneezing symptoms, you aren't going to be an effective vector.

      Until you kiss your spouse. Or forget to wash your hands before touching produce at the market. There are still plenty of ways to spread the flu - any only one of them needs to work in order to create a new, effective vector.

    4. Re:Herd Immunity by PopeRatzo · · Score: 5, Informative

      Since when did the flu shot prevent people from contracting or spreading the flu? It doesn't, on either count. Especially if you are vaccinated against last year's strain, which presumably is NOT the strain that will cause a global pandemic.

      Don't spread lies when people's health is at stake. When you hear talking about a flu vaccine that's for the wrong strain, it's never "useless". IN 2017, the flu shot was 30% effective. That's a huge reduction in hte number of vectors spreading the disease. And a lot of lives saved.

      https://www.skepticalraptor.co...

      https://www.snopes.com/fact-ch...

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