Reassessing the Mortality Impact of the 1918 Influenza Pandemic in China

In accounts of the worldwide impact of the 1918 influenza pandemic, China remains a black hole of missing data. In the absence of systematically collected nationwide death statistics, scholars have used scattered and often impressionistic reports to suggest that the epidemic had only a mild impact in China and, in some cases, to raise the possibility that the epidemic originated in China. These works rely heavily on conclusions drawn from anecdotal reports of customs officers, a medical report from Canton, and uncritical use of Shanghai and Hong Kong crude death rates, which are shown herein to be seriously flawed or misstated. This article and its online supplement contribute to knowledge of the influenza epidemic in China by reassessing the available data on Hong Kong, Shanghai, and Canton and assessing hitherto neglected sources on seven majority-Chinese jurisdictions that enforced vital statistics reporting. The results refute the notion of a mild impact and show that the pandemic had an impact in most cases greater than that seen in Western countries like the United States and England and Wales

China · Coronavirus disease 2019 (COVID-19 · Disease · Geography · Infectious disease (medical specialty · Influenza pandemic · Pandemic · Political science · Sociology · Demography · History · Influenza Virus Research Studies · Law · Medicine · Travel-related health issues

• Epidemics in Modern Asia

  Open Access•Robert Peckham•Epidemics in Modern Asia•2016

  Incluir item

• A Population History of India

  Tim Dyson•A Population History of India•2018

  Incluir item

• America's Forgotten Pandemic

  Open Access•Alfred W Crosby•America's Forgotten Pandemic•2003

  Incluir item

• Remaking the Chinese City

  Søren Witzel Clausen, Soren Clausen et al.•The American Historical Review•2000

  Incluir item

• China, 1898–1912

  Open Access•Douglas Reynolds, Douglas R Reynolds•China, 1898–1912•1993

  Incluir item

• Power and politics in late imperial China

  Stephen R Mackinnon•Power and politics in late…•1980

  Incluir item

• Studies on the Population of China, 1368-1953

  P P S Ho, Ping-Ti Ho•Studies on the Population of…•1959

  Incluir item

• Updating the Accounts

  Niall Philip Alan Sean Johnson, Juergen Mueller•Bulletin of the history of medicine•2002

  Incluir item

• Paths of Infection

  Open Access•Mark Osborne Humphries•War in History•2014

  Incluir item

• Culture, Power, and the State. Rural North China, 1900-1942

  Robert E Bedeski, Prasenjit Duara•Pacific Affairs•1989

  Incluir item

• Colonial Development and Population in Taiwan

  E Grebenik, George W Barclay•Economica•1955

  Incluir item

• Agricultural Development in China 1386-1968

  Audrey Donnithorne, Dwight H Perkins et al.•Economica•1972

  Incluir item

• Did the 1918-19 Influenza Pandemic Originate in China

  Open Access•Christopher Langford•Population and Development Review•2005

  Incluir item