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An Unfinished Lesson: What The 1918 Flu Tells Us About Human Nature

It’s easy to stare out your window at the nearly empty streets, at the people wearing masks and leaving a six-foot berth for passersby, and to believe that this is a moment unlike any other. To assume that the fear, the haphazard responses to the pandemic, the radical adjustments people are making to their lives—that these are all unprecedented.

But like most extraordinary moments, this one has a long trail that leads to it. Just over a century ago, a new infectious disease overtook the globe. Its history has long been buried, subsumed beneath the story of World War I. Historian Nancy Bristow believes it’s no mistake that Americans have focused on their victory in the war rather than on the devastation of the 1918 flu pandemic.

“To remember the flu would be to admit to the lack of control that people had had over their own health. It would be to admit that the United States was not necessarily all powerful, but was like everywhere else in the world: subject as victims to something beyond their control,” she says.

When we exhume this history, instructive lessons for our own time emerge. As is happening now, Americans had trouble hewing to the new constraints on their social behavior.

“It was hard for people because on the one hand it’s inconvenient. And on the other, they were asking for new habits—things that they had always been allowed to do before, and suddenly you’re not allowed, for instance, to spit on the street or to share a drinking cup. That you had to cover your cough and sneeze in your elbow. These were new things people were being asked to do in 1918,” Nancy says.

This week on Hidden Brain, Nancy guides us through the history of the epidemic, from the policies American cities imposed on their citizens, to the blues musicians who crooned, “Influenza is the kind of disease/Makes you weak down to your knees.” Bridging 1918 and 2020, we uncover the human dimensions of a pandemic.

Additional Resources:

American Pandemic: The Lost Worlds Of The 1918 Influenza Epidemic by Nancy Bristow, 2017

Pale Horse, Pale Rider by Katherine Anne Porter, 1939

“The 1919 Influenza Blues” by Essie Jenkins

“Jesus Is Coming Soon” by Blind Willie Johnson, 1928

Copyright 2025 NPR

Shankar Vedantam is the host and creator of Hidden Brain. The Hidden Brain podcast receives more than three million downloads per week. The Hidden Brain radio show is distributed by NPR and featured on nearly 400 public radio stations around the United States.

Vedantam was NPR's social science correspondent between 2011 and 2020, and spent 10 years as a reporter at The Washington Post. From 2007 to 2009, he was also a columnist, and wrote the Department of Human Behavior column for the Post.

Vedantam and Hidden Brain have been recognized with the Edward R Murrow Award, and honors from the American Association for the Advancement of Science, the Society for Personality and Social Psychology, the International Society of Political Psychology, the Society of Professional Journalists, the National Association of Black Journalists, the Austen Riggs Center, the American Psychoanalytic Association, the Webby Awards, the Pennsylvania Associated Press Managing Editors, the South Asian Journalists Association, the Asian American Journalists Association, the Pennsylvania Newspaper Association, the American Public Health Association, the Templeton-Cambridge Fellowship on Science and Religion, and the Rosalynn Carter Mental Health Journalism Fellowship.

In 2009-2010, Vedantam served as a fellow at the Nieman Foundation for Journalism at Harvard University.

Vedantam is the author of the non-fiction book, The Hidden Brain: How our Unconscious Minds Elect Presidents, Control Markets, Wage Wars and Save Our Lives. The book, published in 2010, described how unconscious biases influence people. He is also co-author, with Bill Mesler, of the 2021 book Useful Delusions: The Power and Paradox of the Self-Deceiving Brain.

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