Monday, November 5, 2018

Flu season is upon the country once again. This October marked the 100th anniversary of the Influenza Epidemic (Spanish Flu) of 1918 in North Carolina, and there are lessons to be learned from the historic event.

Lauren Austin ’18 earned a public policy Ph.D. and master’s degree in history from UNC Charlotte. She researched this historic influenza pandemic, which left citizens “afraid to breathe,” as she describes it. Her research with co-author William Brandon, professor emeritus of public policy on health and political science, appears in the book, “North Carolina’s Experience during the First World War,” (University of Tennessee Press), which was co-edited by UNC Charlotte history professors Shepherd McKinley and Steven Sabol.

Lauren AustinAustin, whose dissertation formed the foundation for the book chapter, focused on the experiences of the pandemic at the state level, the county level and the individual level, creating a narrative of roughly 200 pages. She based this narrative on extensive archive research including in UNC Charlotte's J. Murrey Atkins Library's Special Collections and University Archives and a review of newspapers from the time period. She also created a new database that will help other researchers more effectively study the pandemic.

"Dr. Austin's dissertation involved creating the first-ever statewide database showing who died of influenza, from other causes, or lived," Brandon said. "That achievement required Dr. Austin to examine all North Carolina death certificates for the two critical months of October 1918, which was the height of the epidemic, and March 1919, which was the last month of the pandemic. No dataset like this exists for any other state."

This deadly epidemic has continued to play a role in determining modern responses to the threats of “swine flu,” Zika and other infectious diseases up to the present day, Brandon said.

During the time of World War I, the “Spanish Lady” took the lives of nearly 13,000 North Carolinians.

“Yet as quickly as it appeared on the red clay and sandy soil of North Carolina, it effectively disappeared; a pandemic, which killed between 50 and 100 million people worldwide in a remarkably short period, was seemingly forgotten,” Austin wrote.

The flu virus mutates quickly, and it changes so much that individuals’ immune systems struggle to recognize and fight it. Last winter, close to 80,000 Americans died from flu and its complications, the disease’s highest death toll in at least 40 years. More than one million people ended up in the hospital. The Centers for Disease Control and Prevention (CDC) stated that one reason for the high death toll is that just 37 percent of Americans got the flu vaccination, perhaps because early reports indicated it was less effective than usual. Yet, studies show that even when the vaccine is less effective in preventing flu, it still reduces the severity of the illness when people get the flu, and dramatically lowers the risk of death.

Remembering last year’s impact of the flu, and thinking back to the deadly 1918-19 pandemic, can remind people of the importance of the flu vaccine. Staying up-to-date with immunizations, health officials said, can help prevent people from contracting and spreading community-impacting diseases like the flu.

Illustration from the October 1919 issue of the Health Bulletin (vol. 34, issue 10), published by the North Carolina State Board of Health. Accessed via The State Archives of North Carolina.