epidemic typhus Spanish flu encephalitis lethargica Serbia Spanish Russia Europe Spa
Diseases flourished in the chaotic wartime conditions. In 1914 alone, louse-borne epidemic typhus killed 200,000 in Serbia. From 1918 to 1922, Russia had about 25 million infections and 3 million deaths from epidemic typhus. In 1923, 13 million Russians contracted malaria, a sharp increase from the pre-war years. Starting in early 1918, a major influenza epidemic known as Spanish flu spread around the world, accelerated by the movement of large number of soldiers, often crammed together in camps and transport ships with poor sanitation. Overall, the Spanish flu killed at least 17 million to 25 million people, including an estimated 2.64 million Europeans and as many as 675,000 Americans. Moreover, between 1915 and 1926, an epidemic of encephalitis lethargica spread around the world affecting nearly five million people.
