Pale Rider: The Spanish Flu of 1918 and How It Changed the World

by Laura Spinney Narrated by Paul Hodgson

Overview

In 1918, the Italian-Americans of New York, the Yupik of Alaska, and the Persians of Mashed had almost nothing in common except for a virus -- one that triggered the worst pandemic of modern times and had a decisive effect on twentieth-century history.

The Spanish flu of 1918-1920 was one of the greatest human disasters of all time. It infected a third of the people on Earth -- from the poorest immigrants of New York City to the king of Spain, Franz Kafka, Mahatma Gandhi, and Woodrow Wilson. But despite a death toll of between 50 and 100 million people, it exists in our memory as an afterthought to World War I.

In this gripping narrative history, Laura Spinney traces the overlooked pandemic to reveal how the virus travelled across the globe, exposing mankind's vulnerability and putting our ingenuity to the test. As socially significant as both world wars, the Spanish flu dramatically disrupted -- and often permanently altered -- global politics, race relations and family structures, while spurring innovation in medicine, religion and the arts. It was partly responsible, Spinney argues, for pushing India to independence, South Africa to apartheid, and Switzerland to the brink of civil war. It also created the true "lost generation." Drawing on the latest research in history, virology, epidemiology, psychology and economics, Pale Rider masterfully recounts the little-known catastrophe that forever changed humanity.

Editorial Reviews

Publishers Weekly

05/15/2017
The deadliest event of 1918 was not the continued fighting of WWI but the Spanish flu, which affected one third of the world’s population, killing over 10% of its victims. This is no longer a controversial assessment, notes science journalist Spinney (Rue Centrale) in an often disturbing account that begins in prehistory and continues to the 21st century. It is now generally accepted that the first case of Spanish flu occurred in an American military camp in March 1918. By May Spanish flu had spread worldwide. Symptoms (including fever, headache, cough, and body aches) were miserable but rarely fatal, and the number of cases declined over the summer. But it returned in autumn, far worse and deadlier. Unlike ordinary influenza, this variant tended to kill young adults, sparing children and the elderly. Spinney’s book contains vivid journalistic accounts of outbreaks around the world, from the U.S. to China, India, and Persia. Medical science helped only modestly, as political considerations (including wartime censorship), tradition, and racism all trumped safeguards, as when authorities in several countries stopped the publication of details on the epidemic’s spread. Readers may squirm during Spinney’s long final section—an insightful description of the subsequent century, during which researchers have teased out the Spanish flu’s cause, developed a marginally effective vaccine, and worked to ameliorate future influenza epidemics, which are inevitable. (Sept.)

From the Publisher

"Impressive...Set against the devastating backdrop of global contagion, it is individual lives and deaths, discovered in letters, diaries, biographies and memoirs, that epitomize this rich account. Spinney invokes potent images...Along with exemplary research, Spinney's narrative is packed with fascinating, quirky detail...As the centenary of this monumental event approaches, other volumes on the pandemic will undoubtedly appear. Pale Rider sets the bar very high."—Nature

"A saga of tragedies and a detective story... Pale Rider is not just an excavation but a reimagining of the past. As the book progresses, the flu is cast increasingly as a character that crops up Zelig-like at important moments in history, altering the course of events previously unattributed to it.... Compelling."—The Guardian

"A book about the Spanish flu could so easily be dreary-complex pathology interwoven with pervasive tragedy. Not so Pale Rider. I've seldom had so much fun reading about people dying. Laura Spinney, a science journalist, is adept at explaining arcane scientific research in an entertaining, comprehensible way. ...With superb investigative skill and a delightfully light-hearted writing style, Spinney extends her analysis far beyond the relatively short duration of the plague....Spinney finds it odd that we know so little about the worst calamity to affect the human race. So do I. There are tens of thousands of books about the First World War, yet that flu is, arguable, more relevant to our world. While global war is, we hope, a thing of the past, global pestilence hovers like a vulture."—The Times

"Spinney argues that almost a century later, the Spanish flu is 'still emerging from the shadows of the First World War' in our collective memories. She sets out to rectify this, knowing just which medical mysteries and haunting vignettes will give the pandemic full purchase on our imaginations."—New York Times Book Review

"Wide-sweeping... Spinney is a storyteller with a science writer's cabinet of facts. Retracing influenza's death trail over nine continents, she attempts to show how the flu affected not only the war-torn West but also remote communities in South Africa, China, and Brazil. The book reveals how desperately and differently people reacted and how gravely the flu influenced the modern world, touching everything from medicine to business and from politics to poetry."—Science

"Influenza, like all viruses, is a parasite. Laura Spinney traces its long shadow over human history... Ms Spinney ties the virulence of Spanish flu to its genetic irregularities and does a good job of explaining containment strategies through epidemiology... In Europe and North America the first world war killed more than Spanish flu; everywhere else the reverse is true. Yet most narratives focus on the West... Ms Spinney's book goes some way to redress the balance."—The Economist

"Spinney's book is intensely readable, and instead of a strictly chronological account she circles around history, epidemiology and culture to give a panoramic portrait of the previous century's most deadly pandemic. We are probably due another one of these any day now, this is a great way to see what the future holds."—TheAwl

"A page turner that should easily satisfy armchair historians and epidemiologists and anybody who likes a good, if gruesome, yarn."—Foreign Policy

"A vividly recreated, grimly fascinating book...Coolly, crisply and with a consistently sharp eye for the telling anecdote...Spinney demonstrates how Spanish flu cast a long, dark shadow over the 20th century."—The Daily Mail

"One of the many strengths of Pale Rider is to show its readers the regional variations that combat took throughout the world, from Bristol Bay to Zamora to Unalaska Island... For all the tragedies and upheavals, the book portrays, Pale Rider actually paints an oddly hopeful picture of a population more sensitized to early warnings and largely more willing to heed them."—TheNational

Library Journal

06/15/2017
Beginning in 1918, what became known as the Spanish Flu, which killed millions of people, would eventually encircle the globe in two more waves until it petered out in mid-1919. While the first and third waves are mere footnotes in cultural memory, the highly lethal second wave in fall 1918 is remembered most yet still overshadowed by World War I. Journalist Spinney brings the pandemic to the forefront of historical events to illustrate that, of the two important contemporary dramas, the Spanish Flu affected more people, had greater reach, and a significant influence on subsequent events. Spinney does not present her book as narrative, instead seeking to synthesize existing research and present it in a loose thematic arch. This format reveals that the understanding of the pandemic is changing owing to a recent surge in popularity across multiple disciplines. Once viewed exclusively through the lens of World War I and former colonial powers, the catastrophe is now investigated via new studies from such countries as Brazil and China and such disciplines as economics and sociology, are informing present research and reshaping what is known about the event. VERDICT An insightful and valuable account for all history collections.—Laura Hiatt, Fort Collins, CO

NOVEMBER 2017 - AudioFile

Paul Hodgson's narration is engrossing, even as he conveys a lot of statistics and scientific information about the Spanish flu epidemic of 1918. The outbreak is believed to have been deadlier than WWI, with more than 50 million deaths. Author Laura Spinney reminds listeners of the forgotten killer and traces epidemics back through history to ancient Iraq and Greece. As the 1918 epidemic goes around the world, the stories blend the human and the scientific. New York City's successful efforts to save lives are a fascinating example of the astute handling of a health crisis. Unusual stories, such as how an insurance payout began the Trump family's rise and how the character Nosferatu reflected the situation, are also included. J.A.S. © AudioFile 2017, Portland, Maine

Kirkus Reviews

2017-05-31
The history of "the greatest massacre of the twentieth century," an illness that infected more than 500 million people.Between 1918 and 1920, the "Spanish flu" killed more than 50 million people, far more than in the world war then raging. Unlike the familiar flu, which targets infants and the elderly, it killed healthy adults. It was mankind's worst epidemic, writes Paris-based science journalist and novelist Spinney (The Quick, 2007, etc.) in this fine account of influenza's history, its worst attack (so far), and its ominous future. Despite the name, Americans were probably the first to experience the fever, cough, headache, and general miseries of the infection. During spring and summer, it behaved like the usual flu, but in fall 1918, it turned deadly and spread across the world, killing 2.5 to 10 percent of victims, a fatality rate 20 times higher than normal. Scientists have offered countless theories about the illness, but Spinney looks favorably at a recent theory that the 1918 virus provoked a "cytokine storm," a deadly overreaction of the immune system. This may explain why infants and the elderly, with their weaker immune systems, had an easier time. In the middle sections of the book, the author describes how a dozen nations dealt with the epidemic. Heroism was not in short supply, but superstition, racism, ignorance (including among doctors), and politics usually prevailed. In the concluding section, Spinney recounts impressive scientific progress over the past century but no breakthroughs. Revealing the entire viral genome opens many possibilities, but so far none have emerged. Researchers are working to improve today's only modestly protective vaccine; Spinney expresses hope. Readers who worry about Ebola, Zika, or SARS should understand that epidemiologists agree that a recurrence of the 1918 virus would be worse. Short on optimism but a compelling, expert account of a half-forgotten historical catastrophe.

Product Details

BN ID:	2940170034000
Publisher:	Hachette Audio
Publication date:	09/12/2017
Edition description:	Unabridged

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