, that history stands out as particularly surprising. But those who have studied the 1918 flu say it still offers a lesson for today.
Other historical statistics paint a similar picture. In November of 1918, an official from the U.S. Public Health Service reported that flu incidences were lower among Black populations in seven predominantly Black localities. Meanwhile, military records from World War I show that, among troops stationed in the U.S., white soldiers had higher incidences of influenza and other respiratory diseases like pneumonia in the fall of 1918 compared to black soldiers.
One way to consider the historical context is by looking at how people of different races fared in 1918 relative to a non-pandemic time period. A 2007of 14 cities from the Federal Reserve Bank of St. Louis, for example, shows that for the full 1918 year, Black populations’ influenza death rates were higher than that of white populations in all but one city.
The question is especially puzzling in light of COVID-19’s disproportionate effect on racial minorities who are still dealing with inequities in the modern-day health care system—in today’s pandemic, over a century later, Black people are dying at more thanTheories explaining this phenomenon have evolved over time. During the pandemic, according to Gamble’s research, some white experts blamed scientifically baseless “biological” differences between the races.
Another theory is that racial segregation may have limited Black people’s exposure to the 1918 virus. The military, which played a critical role in the transmission of the disease around the world, was entirely segregated at the time. Private establishments held a firm color line, as did public transit. In rare cases when Black people were admitted to white-only hospitals, they were treated in separate wards, often in the most undesirable areas of the building, like attics and basements.
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