June 1918. A debilitating disease suddenly swept through Mumbai. Thousands fell ill, complaining of debilitating fever and cough, sometimes with intestinal problems.

For hundreds of unfortunates, their lungs filled with fluids and they died as their body was starved of oxygen. This was the Spanish influenza pandemic of 1918-19, which killed an astounding 50 million worldwide. Recent estimates put the death toll in India at a staggering 12 million.

Scientists refer to Spanish influenza as the ‘mother of all influenza pandemics’, since it is the common ancestor of human and swine flu viruses. The disease is inextricably associated with World War I.

The name comes from the fact that even as wartime censorship in the United States and most of Europe suppressed news of the influenza, the media in neutral Spain reported on it extensively, including when their king Alfonso XIII fell ill with it.

Spanish influenza’s first wave reached Mumbai when soldiers returned from Europe, carrying the virus with them. An even more lethal second wave hit in September.

When the pandemic reached Mysore State, it hit it hard. The State had still not shaken off the plague. Wartime shortages had pushed up the prices of food and other essentials. To make matters worse, the monsoon failed that year.

The disease first passed through Bengaluru in late June without causing much harm. The second wave in mid-September was deadlier. Suddenly, entire families fell ill.

Higher fatality

Dispensaries, clinics and hospitals were overcrowded. Doctors, nurses and compounders were completely overwhelmed. Corpses piled up. Unlike COVID-19, Spanish influenza had a far higher fatality among the young and able-bodied than the old.

Offices emptied as people across all professions and classes fell ill, among others, the health officer in Bengaluru and the then Chief Secretary of Mysore State.

In early October, Bengaluru’s City Municipal Council, under the leadership of the President KP Puttanna Chetty, took several quick, creative and effective steps to deal with the health crisis. Temporary dispensaries were opened, some housed in municipal schools that were closed at the time.

Mobile dispensaries were set up to ensure medicines reached everyone. All dispensaries were directed to stay open for longer hours and to stock enough of the medicines required, including thymol, which was prescribed a preventative.

Since hospitals were filled beyond their capacity, temporary tents and sheds were set up to accommodate the sick. Retired medical staff and medical students were brought in to help with the workload. Health officers went around neighbourhoods to see if there were any infected people and to persuade them to move to the hospitals or the camps to prevent the disease from spreading.

Leaflets in Kannada and English were distributed, which explained the symptoms of influenza, how it spread, and how it was important to ‘separate the sick from the healthy,’ and to avoid ‘the entire family congregating in the sick room.’

People were advised to ‘tie a clean handkerchief on which a teaspoon of eucalyptus oil is sprinkled, across the nose and mouth’ when entering the sick room, to provide a certain extent of protection. They were also strongly urged to avoid crowded places.

A striking feature of the response to the influenza pandemic was the voluntary effort in providing relief. Much like today, when several people are working, often with the police and the BBMP, to ensure the poor are not forgotten during the lockdown, in 1918 too, volunteers helped ensure relief supplies reached the poor and families where there was no one left to tend to the sick.

In Bengaluru, the relief operation was coordinated by Chief Officer R Subba Rao. He divided the city into several blocks with a relief party in charge of each. Supplies included medicines, milk and kanji, a lot of which was prepared at a government facility and then distributed by car, carts and even lorries.

Municipal councillors and volunteers who worked ceaselessly included Father Briand, Ramachandra Rao Scindia, Rev D A Rees, B Usman Khan, B Chinnaswami Setty, Ghulam Dastangir, B K Garudachar, R Gopalaswami Iyer and many, many others.

Assisting them were the Social Service League, Young Men’s Christian Association, students of the Wesleyan, London Mission and National High Schools, and many others. Puttanna Chetty toured the city himself to assist the relief works and ensure they went on smoothly.

By the end of November, the disease was finally under control. More than 1,95,000 people died in Mysore State, 40,000 in Bengaluru alone. With the compounding problems of agrarian distress, rural areas were affected much worse.