Just Finished Reading: The Pandemic Century – A History of Global Contagion from the Spanish Flu to Covid-19 by Mark Honigsbaum (FP: 2019/2020) [293pp] 

Bad as it was, the recent Covid-19 pandemic wasn’t our first rodeo, not by a long way. Indeed Covid-19 arrived almost on time to recreate the (almost forgotten at the time) 1918 Spanish Flu which, depending on which guesstimate you go with was responsible for more deaths than the World War it followed, more than WW2 or even (at the top of the estimates) more than both combined – making it the deadliest disease outbreak in human history. With that as a basis this fascinating work moves onto the Los Angeles plague (yup, THE plague) in the 1920’s, Parrot fever in the 1930’s, Legionnaires Disease in the 1970’s, HIV/AIDS in the 1980’s, SARS in the 1990’s, Ebola in the 2010’s as well as Zika in that same decade. Only the final chapter, briefly, looks at Covid-19 as no doubt the hardback was published just as the pandemic hit and the paperback version (which I read) had to be updated with the latest information to play catch-up. 

One of the things I found most interesting, apart from putting Covid in historical context, was to see from 1918 to the present, many of the social and political effects and attitudes repeat themselves including misinformation, disinformation, ignorance, resistance, quackery, exploitation, political point scoring, as well as governments and the medical establishment struggling to keep up with events and, all too often, fighting amongst themselves whilst in the spotlight (and being widely reported in the press for doing so). Nothing, it seems, is new under the sun. 

The Spanish Flu (so-called because Spain didn’t have newspaper censorship at the time unlike the rest of the West including the US so as not to give information to the Central Powers that they could use against them) was particularly interesting, especially because they had NO idea what they were fighting. The very existence of viruses was only confirmed only a decade or more later so medical experts argued over even the reality of the disease itself. The different responses to the disease, indeed ALL of the pandemics discussed here, was very instructive. Some countries did little or nothing to stop the spread – in some cases simply because they COULD do nothing. Other countries responded with draconian measures – often misplaced or directed at despised minorities – with limited effect. Some places, very few it turned out, missed the pandemic completely by a strict policy of isolation/quarantine. 

Overall, this was an interesting and informative read. While mostly looking at things from a heavily American perspective it did manage to delve into African, South American and Chinese experiences too. The historical lens was, I thought, its most useful aspect though I did appreciate the details especially surrounding the initial reported Legionnaires Disease outbreak and the epidemiological detective work that took place searching for its origin. Definitely recommended to anyone interested in global health issues or those who want to put Covid-19 into context. More Pandemics to come – and books about them as well...