Living with Enza The Forgotten Story of Britain and the Great Flu Pandemic of 1918 Mark Honigsbaum 9780230_217744_01_prexviii.pdf 8/22/08 9:43 AM Page i Living with Enza 9780230_217744_01_prexviii.pdf 8/22/08 9:43 AM Page ii Also by Mark Honigsbaum The Fever Trail: the Hunt for the Cure for Malaria Valverde’s Gold: in Search of the Last Great Inca Treasure 9780230_217744_01_prexviii.pdf 8/22/08 9:43 AM Page iii Living with Enza The Forgotten Story of Britain and the Great Flu Pandemic of 1918 Mark Honigsbaum Macmillan London New York Melbourne Hong Kong 9780230_217744_01_prexviii.pdf 8/22/08 9:43 AM Page iv © Mark Honigsbaum 2009 All rights reserved. No reproduction, copy or transmission of this publication may be made without written permission. No paragraph of this publication may be reproduced, copied or transmitted save with written permission or in accordance with the provisions of the Copyright, Designs and Patents Act 1988, or under the terms of any licence permitting limited copying issued by the Copyright Licensing Agency, 90 Tottenham Court Road, London W1T 4LP. Any person who does any unauthorized act in relation to this publication may be liable to criminal prosecution and civil claims for damages. The author has asserted his right to be identified as the author of this work in accordance with the Copyright, Designs and Patents Act 1988. First published 2009 by MACMILLAN Houndmills, Basingstoke, Hampshire RG21 6XS and 175 Fifth Avenue, New York, N.Y. 10010 Companies and representatives throughout the world ISBN-13: 978–0–230–21774–4 ISBN-10: 0–230–21774–5 This book is printed on paper suitable for recycling and made from fully managed and sustained forest sources. A catalogue record for this book is available from the British Library. A catalog record for this book is available from the Library of Congress. 10 9 8 7 6 5 4 3 2 1 18 17 16 15 14 13 12 11 10 09 Printed and bound in China 9780230_217744_01_prexviii.pdf 8/22/08 9:43 AM Page v For my father, Frank This page intentionally left blank 9780230_217744_01_prexviii.pdf 8/22/08 9:43 AM Page vii contents list of figures viii acknowledgements ix prologue xii part I chapter 1 influenza: a primer 3 chapter 2 prelude: Etaples, winter 1916–1918 18 part II chapter 3 first wave, March–August 1918 35 chapter 4 second wave, September–December 1918 65 chapter 5 third wave, January–May 1919 107 part III chapter 6 Vietnam, February 2005 153 chapter 7 Britain, Summer 2012 179 epilogue 199 biographical postscript 206 notes 212 selected bibliography 224 index 228 vii 9780230_217744_01_prexviii.pdf 8/22/08 9:43 AM Page viii list of figures 1.1 Everyone has influenza 13 2.1 The piggery at Etaples 21 3.1 Sir Arthur Newsholme 58 4.1 A patient with advanced cyanosis 81 4.2 James Niven 100 5.1 Major Greenwood 113 5.2 A mobile bacteriology laboratory 118 5.3 Mr Punch wrapped up in blankets in front of the fire, eating 143 gruel and suffering from influenza 6.1 Two women selling ducks at Hanoi wet market 159 E.1 George Newman 200 viii 9780230_217744_01_prexviii.pdf 8/22/08 9:43 AM Page ix acknowledgements I have been fascinated with the ‘Spanish’ influenza for many years but until I stumbled on Richard Collier’s extraordinary collection of letters at the Imperial War Museum I could not see a way of doing justice to the British experience of the pandemic. My first thanks then go to Richard Collier for having the means and wherewithal to collect the testimonies of British survivors before they were lost to history, and to the trustees of the Imperial War Museum for allowing me to quote from the letters freely. My second stroke of good fortune was in discovering Will Francis at the literary agency Greene and Heaton. It was Will who encouraged me to see the testimonies in the Collier Collection not merely as first-hand accounts of a catastrophic disease event but as a window onto a particular period of British history. In particular, Will worked with me on early drafts of chapter four, helping to contextualize the material and to bring out the conditions on the Home Front – condi- tions which, I believe, go some way to explaining the stoicism of British survivors and why the experience of the pandemic was so quickly ‘forgotten.’ Just as it was important to put the pandemic into a proper social context so it was essential to give readers some sort of scientific envelope with which to make sense of the theories about the origins of the 1918 virus and its unusual pathology. In particular, I am indebted to Professor Peter Openshaw at Imperial College, London, for taking the time to explain to me the various ways in which viruses and bacteria trigger ix