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The — flu pandemic , also known as the Great Influenza epidemic or by the common misnomer Spanish flu , was an exceptionally deadly global influenza pandemic caused by the H1N1 subtype of the influenza A virus. The earliest documented case was March in the state of Kansas in the United States, with further cases recorded in France, Germany and the United Kingdom in April.
Two years later, nearly a third of the global population, or an estimated million people, had been infected in four successive waves. Estimates of deaths range from 17 million to 50 million, [ 6 ] and possibly as high as million, [ 7 ] making it one of the deadliest pandemics in history.
The pandemic broke out near the end of World War I , when wartime censors in the belligerent countries suppressed bad news to maintain morale , but newspapers freely reported the outbreak in neutral Spain , creating a false impression of Spain as the epicenter and leading to the "Spanish flu" misnomer.
Most influenza outbreaks disproportionately kill the young and old, with a higher survival rate in-between, but this pandemic had unusually high mortality for young adults. The Spanish flu was the first of three flu pandemics caused by H1N1 influenza A virus ; the others being the Russian flu and the Swine flu pandemics.