Customer Reviews
Impressive, USA orientated, very detailed - By: Bluebell, 09 Jan 2008 
This is an impressive piece of scholarship, but I have to admit skimming many of the pages as I found the book over-burdened with detail. The book would, I think, interest US readers more than others as the story is largely told from that country's perspective & alll the main medical/scientific players worked in the USA. Many chapters are devoted to the biographies of these workers, preceded by the history of medicine from Aristotle culminating in the blossoming of medical training in the USA. I felt I had to plough through hundreds of pages of background material before the "Epic" started. There is a tremendous amount of information in the book, not just historical/biographical, but also very detailed descriptions of the evolution, replication & categorization of viruses; & how vaccines were finallly produced.
If I appear critical of the book, that is not my intention, I'm just warning people who might want to know about the 1918 flu epidemic unburdened by so much background material.
Fascinating, terrifying, detailed, and extremely important - By: Thomas Paul, 05 Oct 2007 
It killed more people in 6 months than the Black Death killed in a century. People who were young & strong were the most likely to die. In the US, 650,000 people died. The average life expectancy in the US went down by 10 years. Worldwide, perhaps 100 million people died. And yet, it was only the flu. Even today, 90 years after the epidemic, it kills 36,000 Americans in a typical year & we are hardly more prepared to face another epidemic.
John M. Barry has written a fascinating account of the influenza epidemic of 1918. But the book is a lot more than just a review of the flu. Barry starts out by examining the state of the American health system at the time of the epidemic & how it reached that state. He explores the revolutionary changes to medicine that occurred in the late 19th & early 20th century & the people who led those changes. He shows us why, even today, a cure for influenza is beyond our reach, explaining in layman's terms how the influenza virus changes to become deadly & changes again to lose that deadliness. He explains how an endemic virus can lead to an epidemic of unimagined proportions.
Barry also shows how the demands of World War I on troop movements, the propaganda campaigns to keep morale high, & the failure of leaders to listen to the doctors & researchers led to a killing field of historic size. His account tends to concentrate on Philadelphia because the city was hit extremely hard & much of the research going on was near that city but he does cover other areas around the world hit hard by the virus, although his coverage of the flu outside of the US is sketchy at best. He gives us writings from diaries & newspaper articles to show what was actuallly happening & how the media tried to downplay the epidemic. He gives us detailed accounts of the research (and the researchers) that was done to fight the epidemic, explains why this research was mostly unsuccessful, & does it alll in a way that is easy to understand even if you don't have a medical degree.
Barry likes to use foreshadowing, hints of what is to come, to keep the reader's interest & it does work, even if it is a bit melodramatic. Even the chapter titles, "The Tinderbox", "It Begins", The Race", provide some melodrama to the story. The book mostly moves at a good pace & I found myself having trouble putting it down. Barry has written a book that everyone should read, whether you are familiar with the epidemic or not. It is a fascinating, terrifying, detailed, & extremely important book.
The Great Influenza: The Epic Story of the Deadliest Plague - By: Robert Kahn, 23 Nov 2005 This is a reallly impressive book that took seven years to write--not only covering the 1918-1919 influenza epidemic, but also how scientists tackle problems at the bench, as well as the personalities behind the rise of American medicine. As Mike Davis says in "The Monster at Our Door: The Global Threat of Avian Flu," Barry has written the best book on the influenza pandemic of 1918.
Although the book is more than 500 pages, it reads more like a novel than a study in medical history. Given the increasing likelihood of another influenza pandemic from the H5N1 strain of avian flu, it is helpful to see how the 1918 pandemic began in Kansas & spread thoughout the world. There is a careful explanation of how viruses develop & spread, but no previous knowledge is assumed.
Barry is especiallly good on the influence of World War I in stopping national governments from being open about how the flu was killing more people than the fighting. The only reason why we calll the 1918 pandemic, "the Spanish flu" is because Spain was the only country that wasn't censoring the importance of the flu. Everywhere else it was "unpatriotic" to be honest. What emerges is the importance of public health authorities being honest or else a situation is created where the public does not trust the government--and rightly so.
As the Co-ordinator of Avian Flu Action (www.avianfluaction.org) I found this book especiallly helpful in setting out the mistakes that were made in the last great flu pandemic, so that hopefully they will not be made again. As Barry points out: "Every expert on influenza agrees that the ability of the influenza virus to reassort genes means that another pandemic not only can happen. It almost certainly will happen"(p.449).
Reading this book will give you a good understanding of what a flu pandemic is, & how to react if another one hits us.
The book on the great influenza pandemic of 1918 - By: Kurt A. Johnson, 18 Oct 2004 In 1918, the world was hit with the emergence of a new & deadly disease, one that struck down vast multitudes, & killed many - often killing young adults in the prime of life. But, this was not a wholly new disease; it was merely a variation on that perennial nuisance the flu! In a 24 week period, this disease killed more people than AIDS has killed in the last 24 years. This is the story of the last great & deadly pandemic to sweep the world, the Influenza of 1918.
This is a good thick book, one in which the author goes to great lengths to give the reader a good grasp on the issues & people involved - heck, the 1918 pandemic isn't even referenced until chapter six, & serious discussion of it doesn't begin until chapter fourteen! But, that said, the author does give the reader an excellent understanding into what happened in 1918 - what happened & why, what it meant to subsequent history (did American President Wilson contract that disease, & did it affect the Versailles peace process?), & what it means to us today.
Yes, if you are interested in the great influenza pandemic of 1918, then I would say that this is the book for you. It has alll of the information you could want, & it presents it in an interesting, if not gripping, manner. I highly recommend this book!
