Flu Pandemic of 1918

A deadly influenza outbreak began in 1918 and spread around the world, killing more people than any outbreak of disease since the Black Death. In Arkansas, the flu killed about 7,000 people, several times more than the state lost during World War I. This flu’s history remains significant today as world health officials seek to prevent an outbreak of a similar influenza epidemic mutated from swine or “bird flu” from poultry.
Grades: 6-12
Duration: 45-90 minutes
Content Areas: U.S. History, Arkansas History

Objective

Students will engage in the process of transcribing a piece of historical writing in order to understand what life was like during the Influenza Pandemic of 1918.


Key Vocabulary

  1. Primary Sources: first-hand information from those who experienced a time or event. Includes memoirs, interviews, letters, and public documents.
  2. Secondary Sources: second-hand information; works that have been collected, interpreted, or published by someone other than the original source
  3. Epidemic: affecting or tending to affect a disproportionately large number of individuals within a population, community, or region at the same time
  4. Pandemic: occurring over a wide geographic area and affecting an exceptionally high proportion of the population (Note: this outbreak is often called an epidemic although it more closely fits the definition of a pandemic)
  5. Quarantine: a restraint upon the activities or communication of persons or the transport of goods designed to prevent the spread of disease or pests
  6. Transcription: the process of converting a piece of audio or video into a written format

Necessary Materials


Historical Background

In 1918, an influenza outbreak, facilitated by the massive displacement of individuals participating in World War I, spread across the world. Believed to have begun in Haskell, Kansas, it spread from Camp Funston in March 1918 around the United States and to the rest of the world. Most countries participating in the war were infected quickly but were unwilling to report accurate details publicly for fear of damaging morale. Spain, however, was a neutral country, and thus began accurately reporting the gruesome details of the disease. Because of this, it came to be called the Spanish Flu.

White man smiling in striped suit
Leon Kendall Bostwick was an actor in the early 1900s who enlisted during World War I and was a victim of the influenza pandemic in 1919. He is representative of the young men who survived the war but were killed by the flu.

Camp Pike (later renamed Camp Joseph T. Robinson) in North Little Rock held 52,000 men. When the outbreak started, the camp was sealed and quarantined. More than a thousand men went to the infirmary a day from the disease. An order was given not to release the names of the dead in the hopes of preventing panic and containing the outbreak. Despite the quarantine measures, civilian cases began appearing throughout the Little Rock area.

U.S. Public Health Service officer for Arkansas J. C. Geiger downplayed threat to the state, despite himself being sick and his wife dying from the flu. Despite reassuring reports, the epidemic hit hard, catching Arkansas officials entirely unprepared. The disease spread through cities and rural areas alike. Many were too weak to draw water or make food; many sick families died of thirst or starvation. Country folk, known for helping each other during times of illness, were either too afraid or too sick themselves to support each other. Due to factors like lack of medical care, few telephones, low literacy, and poor record-keeping, many deaths went unreported, making an accurate death count unknown.

A higher mortality rate for Black Americans, likely due to the distinct lack of medical care, was noted even at the time. “No colored physicians available,” one national medical publication stated. Black deaths went almost completely unrecorded, even overseas. Black Americans with the Spanish Flu died in French hospitals, and no names or even number of deaths were recorded. Black sharecroppers on large farms and plantations went untreated and unrecorded. This was largely true of all poor Americans across the nation, but affected Black Americans disproportionately.

After 1,800 confirmed cases, despite Geiger’s reassurances, the Arkansas Board of Health put the state under quarantine in October 1918. Various county boards lifted restrictions later that year, though schools remained closed and children under 18 remained confined to their homes for an additional month.

After the war ended, the epidemic garnered much more press. By the time the pandemic ended in 1919, the recorded deaths totaled 100 million worldwide, 675,000 Americans, and 7,000 Arkansans. Of course, the true number is unknown and likely far higher.


Activities

Bellringer

Show students the photo of soldiers at Eberts Training Field in Lonoke (Lonoke County) convalescing during the 1918 flu outbreak. Ask students to take in the photo and describe what they notice in it. This is a practice of being able to read photographs in an analytical context to glean information on the past. Some details students may notice include the cots lined up throughout the room, the warehouse-like environment, the fact that most cots seem occupied and the men have nothing to occupy them, the fact that all the men are white, etc. The epidemic was sudden, and thus conditions for the sick were hasty and unfavorable; this should be evident through photographic evidence. Help guide students toward these conclusions by asking questions like what conditions are clear based on the environment, what amenities do the sick have, etc.

White patients sleeping on cots in airplane hanger
The 1918 flu pandemic took millions of lives worldwide. Patients convalesce at Eberts Field medical facility. Photo online in the World War I Photograph Collection (BC.PHO.3.D), courtesy of the Butler Center for Arkansas Studies, Central Arkansas Library System, at https://arstudies.contentdm.oclc.org/digital/collection/p15728coll1/id/985/rec/1 can be zoomed in on even closer.

Direct Instruction

Instruct students on the global context and details of the Spanish Flu outbreak. Refer to the Encyclopedia of Arkansas entry Flu Epidemic of 1918. Be sure by the end of instruction students are familiar with the following:

  • How conditions during World War I allowed for the Spanish Flu to spread so easily
  • How great the death toll was, how it compared to other deadly epidemics like the Black Plague and COVID-19, and how the death tolls are debated
  • Why the flu is so dangerous, including its ability to mutate and spread between species
  • How the Spanish Flu was believed to originate in Kansas and how it spread across the world
  • Why it’s called the Spanish Flu
  • How the outbreak caught Arkansas by surprise, including how J. C. Geiger downplayed the threat and how wartime restricted the spread of information
  • How the outbreak disproportionately affected poor Americans, particularly Black Americans
  • How the flu impacted the election of 1918
  • How media coverage about the flu improved after the war’s end

Analyzing Primary Sources

For this lesson, give students access to any of the materials in this set of thirty-three letters and postcards written to Curtis Jones on the Arkansas Studies Research Portal, linked at the end of this lesson plan below. The letters could be printed or accessed digitally.

This is an act of transcription, an important process when investigating and communicating about the past. Provide students with a cursive alphabet to aid in their reading (accessed at https://www.cursivealphabet.net/ or elsewhere).

Demonstrate the process using the first page of the document Letter: Jessie Jones to Curtis Jones, October 16, 1918, transcribed below:

Little Rock AR

Oct 16 1918

My Darling Curtis

Another day gone and no letter from my Sweetie it has been three weeks today since I had a letter from you I have only had two letters from you one written in England and one written on the boat But I am still waiting patiently for I know you have written these and you may be looking for mine but I hope you have gotten them for I have written you so many. We had a letter from Art today it was written on the boat He couldn’t say much only he was well and happy, And we have only had one letter from Del it was written on the boat I guess We love you we wait the [illegible] we will enjoy them, But Darling I am getting awful…

After guiding students through this transcription and the first page of the letter, challenge students to see how much of the remaining pages of the letter they can understand. Have students write down their transcriptions. This could be an effective competition: put students into teams, and whoever can understand the letter the most accurately can be rewarded in some way.

Class Discussion

At the end of the transcription activity, students can talk about what they practiced. What challenges did they face when transcribing? How helpful was it to have a transcription to reference as they read this old letter? What differences to contemporary language or writing did they notice? These are the very same challenges historians face. The purpose of this activity is to get students to appreciate the difficulties that come with studying and communicating about the past, but also how fulfilling it can be.

Evaluation

Students attempting to transcribe the letters acts as a kind of assessment, demonstrating understanding of both materials and historical practice. This is a challenge even for seasoned experts; thus, this may be better as a participation grade rather than a grade based on accuracy.

Extensions

If students express interest in continuing to practice transcription, give them access to the entire Curtis Jones World War I collection (BC.MSS.14.06) (122 items) through the Arkansas Studies Research Portal. This could be an extension activity for another day or two, getting students to continue to develop their skills and understanding.

If students are less interested in transcription and more interested in the history of the Spanish Flu, have students compare and contrast the Influenza Epidemic of 1918 with another major disease outbreak in history, especially COVID-19 since they have had personal experience with it or have likely heard about it. Through their research, either as a short written response, full essay, presentation, poster, etc., have students discuss how each disease spread, how they impacted social and economic structures of their time, and how they differ from one another in various ways.