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Dee Andrews

Spanish Flu Deaths Continue to Stun

1918 Influenza Pandemic· Research

22 May 2019
Spanish flu death toll overloaded the coffin trucks.
| Spanish flu deaths overload a coffin truck in San Francisco. Photo from a glass negative attributed to Christopher Helin of the San Francisco Examiner. |

The Spanish flu death toll is estimated at 50,000,000 people. That number continues to stun me and was one of the reasons I was inspired to write a historical fiction novel about the 1918 influenza pandemic. I think it’s hard for us—in our modern world of vaccines and antivirals and antibiotics—to fathom 50 million deaths from flu or even 50 million deaths from anything.

Interesting Facts and Perspective:

The 50 million Spanish flu deaths outnumbered World War One deaths by at least three.
At least three times as many people died from the 1918 influenza pandemic than in World War One.

An estimated one-third of the world’s population was infected during the 1918 influenza pandemic. Given the typical size of families then, it’s likely every household had at least one person sick.

The Spanish flu death toll was greatest in India with over 17 million deaths. Some 675,000 people died in the U.S.

Many believe the 1918 flu is called the “forgotten pandemic” because it was overshadowed by World War One. Did you know Spanish flu deaths outnumbered World War One deaths by at least three times?

US life expectancy plummeted due to 1918 influenza.

In 1918, the average life expectancy in the United States dropped by about 12 years for both men and women.

National Geographic reports some 25 million people died of the infamous Black Plague.

The Ebola outbreak in 2014 claimed 11,325 people, mostly in Guinea, Liberia, and Sierra Leone.

There were about 940,000 deaths worldwide from AIDS in 2017.

More than 80,000 Americans died of the flu in the winter of 2017-2018, the highest number in over a decade.

Today, New York City is the most populated city in the U.S. with some 8,600,000 people. About 40 million people live in California. Can you imagine, in one year, everyone in NYC and California dying from the flu?

When I think about what continues to fascinate me about the 1918 influenza and inspire me to keep researching and writing about this forgotten pandemic, I come back to that sheer number of Spanish flu deaths: 50,000,000.

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  1. Why Vaccines Matter: A Vital Legacy We Must Not Forget - Dee Andrews says:
    August 5, 2025 at 8:21 am

    […] course, influenza outbreaks, including the devastating 1918 pandemic I’ve written about, caused mass illness and death. In less severe years, flu still leads to tens of thousands of deaths across the […]

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Meet Dee Andrews

My writing in progress includes historical fiction that confronts the 1918 influenza pandemic, inspired by my short story The Enemy Within which received an Honorable Mention in Glimmer Train’s Short Story Award for New Writers. Read More…

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