•No evidence that it
originated in Spain. Separation from war allowed freer press so first reports of outbreak originated in Spain when the King became ill
•USA outbreaks in March
1918 in Detroit, South Carolina, and St.
Quentin prison then further outbreaks followed US troop movement (true lethality not till autumn)
•Study of medical and
mortality records suggest even earlier origin
in Europe (1915-1918)
• -In
both Aldershot barracks in UK and in France, deaths classified as bronchopneumonia had epidemic nature and clinical characteristics of influenza (heliotrope
cyanosis)