in order to appreciate the interaction between military and medical discourses in wwi it is necessary to understand the critical role played by the media , and the northcliffe press in particular , in the dissemination of wartime propaganda . 
  unlike in other countries ,
instead , the government relied on sympathetic newspaper proprietors and editors to stifle domestic dissent and foster hatred of germany , hence lloyd george s admission in december 1917 to c.p .
scott , the editor of the manchester guardian , that if people really knew the truth about the war it would be stopped tomorrow . 
 
although the actual impact of propaganda is notoriously difficult to measure , lloyd george s admission reflected the widely held political belief that the british press had immense power to influence public opinion in 191418 . today
, cultural and media historians are rather more circumspect about attributing such influence to the press . 
 
however , if a measure of the effectiveness of the press is whether it enabled the support for the war to remain firm , then it was broadly successful . 
 
arguably , another measure of the popularity of press propaganda was the huge circulation increase enjoyed by mass - market newspapers and weekly journals , such as the ultra - patriotic john bull , which was selling 2 million copies by war s end . although all newspapers were complicit to a greater or lesser degree in the propaganda process , the foremost press propagandist was lord northcliffe , the owner of the daily mail , evening news and the times
. regarded as a promotional  genius , northcliffe had grasped early on in his career that the manipulation of the emotions of the 
common man , as he put it , held the key to the circulation growth of his newspapers . 
 
indeed , in 1909 , northcliffe  then plain alfred harmsworth  had commissioned a series of inflammatory articles in the daily mail imagining a german invasion of england . 
  while the articles had the desired effect of boosting circulation , they also earned harmsworth a reputation as an unscrupulous war - monger 
one who , it was soon claimed , had done as much as any man alive , save for the kaiser , to bring about the european conflict . 
 
it was a reputation that harmsworth was happy to embrace and with the outbreak of hostilities he quickly styled the daily mail 
the soldiers paper , using its columns to condemn pacifist sentiments and promote anti - german hatred through images of germans as 
evil hun. 
  beaverbrook s daily express was similarly vociferous in its anti - german war - mongering and condemnation of dissenters .
the result was that , by 1918 , the daily express s circulation had nearly doubled to 595,000 while the daily mail was selling nearly a million copies . 
 
these attempts to foster hatred of germany and stifle domestic dissent were reinforced by government - sponsored recruitment campaigns , posters and other forms of propaganda produced by voluntarist organisations , as well as by the activities of ultra - patriotic organisations such as the british empire union . 
  however , with its mass circulations and ability to appeal directly to readers emotions , the power of northcliffe s papers was unrivalled . 
  amongst its more notorious campaigns was the false claim , promulgated in 1917 in both the times and the daily mail , that the germans were sending the corpses of their war dead back to germany to be rendered into fat at a factory near coblenz . 
 
little wonder then that when in february 1918 northcliffe accepted lloyd george s offer to become director of overseas propaganda , the germans christened his headquarters at crewe house the  prime gas factory and northcliffe the  king of lies. 

among the more astute observers of the press s influence over the home front was caroline playne .
the daughter of a gloucestershire cloth manufacturer and a dutch mother , playne was a committed pacifist who had first become alert to the dangers of a european war in 1904 when she joined britain s national peace council . in 1908
she had attended the international peace congress in london where she was introduced to bertha von suttner , the austrian novelist and radical pacifist .
six years later , when war broke out , playne joined the emergency committee for the relief of distressed enemy aliens ( germans trapped in britain ) ; e.d .
morel s union for the democratic control of foreign policy ; and worked for the nailsworth peace association and the national peace council . at the same time , she began collecting suppressed pacifist pamphlets and keeping press cuttings and a diary , recording the government s propaganda efforts and her impressions of the darkening civilian mood . following the war , playne set about organising this material in an effort to understand what she saw as the 
collective madness that had overtaken britain and europe in the years leading up to and during the great war . 
 
the result was three pioneering works of cultural history and social psychology analysing the pre - war mentality and what she saw as the media s role in manipulating popular opinion . 
 
drawing on gustave le bon s notion of the contagious power of crowds and wilfred trotter s notion of the herd instinct , playne argued that in 1914 individuals had been swept along on a tide of  fear , dread and bellicose passion. 
  these  mental contagions , she argued , had overridden rational thought , resulting in a  paralysing fear and collective  anaesthesia which made it almost impossible for individuals to think for themselves or resist the majority opinion . 
 
as playne saw it , the media  and the northcliffe press , in particular  was key to this process , both pandering to and helping to excite
 the hatreds and fears  of the crowd mind. it was the media , she believed , that had  kept the consuming conflagration of war alight , making it impossible for people to question the horrendous loss of life or entertain the possibility of a negotiated peace .
she also observed that the war left little room for other narratives as it  drowned out or made irrelevant other topics of news  [taking ] away the appetite for everything but war. 
  in playne s view , the promulgation of hatred of germany through emotive language and symbols and the cultivation of stoical attitudes were key factors in this process , both reinforcing civilian resilience in the face of the german threat and helping to stifle domestic dissent .
however , as i will show , this hatred and fear could also become attached to other narrative objects , contaminating and destabilising the propaganda efforts .
influenza has long defied medical categorisation . writing in 1891 , for instance , the victorian throat expert morell mackenzie called it  the very proteus of diseases , a malady which assumes so many different forms that it seems to be not one , but all diseases epitome , while in 1907 clifford albutt , regius professor of physic at cambridge , described flu as  the most protean disease of all ,  more diversified even than syphilis. 
  flu s protean qualities are nowhere better symbolised than by its diverse nervous symptomatology , hence its association in the fin - de - sicle period with depression , neurasthenia and psychosis . 
  for all that it was common for victorians to confuse influenza with other familiar nervous and febrile conditions , however , medics tended to regard it as 
however , during epidemics and pandemics , such as had occurred in 18478 and 188993 , it was recognised that the respiratory complications of flu could greatly elevate the death rate , fuelling flu s comparison with 
plague. 
  at the same time , unfamiliarity with the novel symptoms triggered public alarm , greatly complicating the medical management of the disease .
as an editorial writer in the lancet observed at the height of the first wave of russian flu , some sections of the public were guilty of a  morbid dread of the disease and were  so fully alive to the prospects of the spread of this ailment that they have almost passed into a state of panic. at the same time the journal lamented a 
growing tendency among the better educated classes to regard the epidemic as something almost too trivial for serious consideration. 
  by the turn of the century it was recognised that flu epidemics presented the greatest risk to infants , the elderly and patients with pre - existing lung conditions . 
 
appropriate and  inappropriate dread of the disease was continually shifting . thus during pandemic periods , when influenza presented as a 
new disease with unfamiliar symptoms , it made sense to err on the side of caution , but once the pandemic form had been described and the health risks were understood , dread became pathologically suspect . 
 
retrospective accounts of the 191819 pandemic tend to treat the successive waves of spanish flu as a single epistemic event . however , as ramussen has argued , at the time it was experienced more as  a succession of crises and moments of respite. 
  similarly , bresalier points out that , initially , the relationship between the mild summer wave and lethal follow - on waves in the autumn of 1918 and winter of 1919 baffled the edwardian medical community .
it was only later that epidemiological and military bacteriological experts agreed on the essential identity of the three waves and the pandemic came to be seen as a 
single cataclysmic event. 
  consequently , in the summer of 1918 , when owen wrote to his mother , there was little reason for britons to fear flu .
flu visited britain every autumn and winter , elevating the death rate of infants and the over sixty - fives but leaving the adult mortality rate unchanged .
the result was that , in most years , flu rarely accounted for as many as 1,000 annual deaths in london . 
 
the first britons knew of the flu was in late may when the daily express and the daily mail ran brief reports about a 
wary of frightening the public , the british medical journal ( bmj ) dismissed the reports as 
in contrast to the russian flu pandemic , when the local government board ( lgb ) for england & wales had instructed its medical department to initiate a nationwide investigation , in 1918 the lgb made no effort to investigate the epidemiology or bacteriology of the spanish flu or to canvass doctors as to the symptoms or the incubation period of the disease .
indeed , at a  discussion on influenza with other experts at the royal society of medicine ( rsm ) on 13 november 1918 , arthur newsholme , the chief medical officer of the lgb , said that in the summer he had considered issuing a memorandum on flu only to shelve it on the grounds of expediency , reasoning that there were  national circumstances in which the major duty is to 
carry  on. 
  this was perhaps understandable given that , as eyler points out , in 1918 the lgb s authority was much diminished and newsholme lacked manpower due to the war effort . 
  according to bresalier , confusion over the identity of influenza
also meant newsholme had little confidence in preventive measures , hence his willingness to defer to the medical department of the war office and the medical research committee ( mrc ) , who he reasoned were in a better position to conduct detailed bacteriological and pathological investigations into the cause of the epidemic . 
 
silence on the part of british medical authorities contrasts with the more proactive measures taken in other allied countries , such as australia and the united states ( us ) , and has prompted the claim that british medical professionals suffered a  failure of expertise in 1918 . 
 
however , to seek to compare the british response with the more vigorous measures taken elsewhere is to overlook the very different conditions prevailing on the home front in britain in 1918 and the extent to which the lgb and the medical press were active participants in the propaganda effort . like the northcliffe press
, the british medical profession s priority in 1918 was to avoid panicking the civilian population , especially as more than half of all medical personnel were occupied with military duties . 
 
however , as the epidemic spread and chemists reported a rush on quinine and other medications , sparking fears of panic - buying , it became clear that this silence could not be sustained . 
 
instead , newsholme turned to the northcliffe press , briefing the daily mail and , it seems the times s medical correspondent , about the board s knowledge of the epidemic and using its columns to issue practical and upbeat medical advice to readers . in so doing ,
however , i will argue that , in the process newsholme , like other medical commentators , soon found himself caught between opposing discourses  discourses that , on the one hand , required him to counsel civilians to take the threat of influenza seriously and which at the same time valorised the maintenance of a 
the notion that emotions can act on the imagination so as to make individuals more susceptible to disease can be traced at least as far back as robert burton s anatomy of melancholy . 
  although by the edwardian period emotional susceptibility was more commonly framed in terms of the depletion of somatic reserves of 
nerve force , pre - modern notions of the role of the imagination continued to enjoy wide currency .
one of the best ways of preventing influenza is to keep your mind easy instead of imagining , like so many do , that you are going to fall a victim to the disease. the pamphlet also recommended foods and drinks rich in  nerve-building nutrients and the avoidance of  depressing influences , such as cold weather or  overwork and  overstrain. the cultivation of positive character traits was also thought to strengthen an individual s powers of resistance , hence the pamphlet s claim that  there is no better established fact in the whole history of epidemics than  that the man or the woman of pluck and energy is the last to take the prevalent disease. 
  such views were shared by many members of the medical profession , including the pioneering british psychiatrist w.h.r .
rivers , who used his appointment in 1916 to craighlockhart war hospital in edinburgh to explore the psychopathology of shell - shock and other forms of  war trauma prevalent among officers and enlisted men . 
 
it was there that rivers first encountered wilfred owen , who had been sent for recuperation to craighlockhart in june 1917 after enduring a  tornado of shells in a dugout in no - man s land in northern france , and siegfried sassoon , the poet and conscientious objector who would become rivers most famous patient .
while rivers does not appear to have had much to do with owen , considering him an uninteresting product of a grammar school , his theory that the superior education of officers made them better able to withstand the shocks and traumas of war were shared by his colleague , a.j .
brock , to whom it fell to treat owen , and imbued the therapeutic regime at craiglockhart . 
  as allan
young has shown , rivers was convinced that officers were better able to withstand  fear and its expression because of the way that their minds had been trained to suppress negative emotions through the public school ethos of stoicism and the emphasis on competitive games . however , according to rivers the trauma of trench warfare and the nervous shocks from the incessant shelling had been too much for even educated men to bear , hence the traumatic neuroses he encountered at craiglockhart .
rather than repressing the traumatic memories lying behind these neuroses and  carrying on as if nothing had happened , which was the solution favoured by the military and by newsholme in relation to the influenza epidemic , rivers encouraged patients to relive the trauma of war and their disturbing dreams through writing exercises and an early version of the 
talking cure. the result was that , rather than victims of shell - shock being labelled malingerers and hysterics  a diagnosis that carried connotations of womanly emotionality  rivers reconfigured the officer class s anguish as a form of neurasthenia that was both noble and heroic .
the result , as young puts it , was that rivers neurasthenia became  weakness without stigma. 
  in owen s case , his neurasthenic diagnosis and treatment at craiglockhart could be worn as a particular badge of honour as it put him in the same company , therapeutically speaking , as the aristocratic , public - school educated sassoon , who rivers had diagnosed as suffering from an  anti - war complex and whose literary success owen was eager to emulate . as shephard and
others have argued , when owen arrived at craiglockhart there was little to indicate that he had the makings of poetic greatness .
however , after editing the hospital paper , the hydra , and being persuaded by sassoon that his poetry could embrace a  reasoned opposition to the war , owen s writing was transformed .
certainly , by the time he was discharged from craiglockhart for  light duties with his regiment at scarborough , owen had discovered his voice and by may 1918 he had polished the collection of poems that would make his name . 
 
it is against this background of growing self - confidence as a fully paid - up member of the 
neurasthenic officer classes that we should read owen s dismissal of the spanish flu in the summer of 1918 as  common and beneath his social status . however , as showalter has persuasively argued , the stoicism exhibited by owen and other male war trauma cases was largely a performance , a way of reasserting manly unemotionalism in the face of the brutality and horrors of war . 
 
joke can be seen as similarly performative , a way of shaping his emotional response to the flu in a way that valorised the 
thus , rather than succumbing to flu in the manner of enlisted men , owen makes fun of their hysterical reactions and informs his mother that he has  quite decided not to [ succumb]. in other words , the emotional utterance  owen s verbalisation of his determination not to succumb  is crucial to the production of his stoicism . to use reddy s terminology , the emotive reinforces owen s cognitive attitude to the object of the emotion , flu .
these propaganda uses of metaphor are illustrated by the wartime advertisements for bovril and patent medicines .
a blended meat extract , bovril s origins date back to the 18701 franco  prussian war when the scottish entrepreneur , john lawson johnston , won a contract to supply canned meat to french troops during the siege of paris . from the start
strength or what he called the  vital principle of prime ox beef ( italics inserted ) . 
  to underscore the supposed vitality of his reduced beef tea , johnston s advertisements often juxtaposed jars of bovril with virile images of lions and bulls . by wwi ,
the bovril bull had become a symbol of national virility , with bovril sponsoring a series of advertisements showing the bull standing guard outside an army recruiting tent above the copy line  british to the backbone and  bovril recruits its strength through the power of beef. 
  as a peculiarly fatiguing disease that depleted nervous energy , influenza lent itself readily to these somatic metaphors , hence bovril s claim that it could  prevent influenza and colds by fortifying the system against their attacks and that bovril was 
liquid life. 
  the problem was that , in order to sell bovril as a preventive , the advertisements explicitly traded on consumers fears of exogenous pathogens , frequently drawing an analogy between the threat to individual bodies and the threat posed by germany to the political and social body . in this way they raised the very fears that wartime propaganda was meant to obviate .
a good example was a full - page advertisement that appeared in various papers in 191415 . headed 
are you on dangerous ground? , the advertisement shows a jar of bovril coming to the rescue of the  threatened corps of the body which is shown being encircled by enemy battalions labelled  chills , 
dangerous ground is a metaphor for those who are  run down or  who are always  catching something , or  who do not pick up as they ought after illness. in each case
, the advertisement explains ,  bovril is the best home defence. 
  similarly , in another advertisement , dating from the german air raids on the east coast of england in 1915 , a zeppelin becomes a metaphor for the various germs waiting to attack stressed civilians .
the copy reads ,  more insidious than hostile aircraft are the enemies that fill the air in the shape of colds , chills and influenza , which are always  hovering to strike  the man or woman who is run down and out of sorts. 
  similar contradictions bedevilled wartime advertisements for germicides , tonics , and disinfectants .
thus in an advertisement for the disinfectant santol that appeared in the salford reporter in the early autumn of 1918 , readers are warned that  the germs of influenza and other diseases attack at your unguarded moments , and only when the grim spectre of illness or the shadow of the awful reaper falls on your home do you realise the danger. 

a good example of the contradictions in these biopolitical discourses came in an article that appeared on the main comment page of the daily mail in the first week of june .
headlined  is influenza coming ? , and bearing the byline of the paper s medical correspondent , the article begins by reminding readers that most attacks of influenza are no worse than a cold and that patients should not have  any great dread of [ the disease]. in the very next sentence , however , the writer warns that the complications of flu can be very serious indeed and it would be wise to  prepare our defences now. there then follows a list of recommendations , such as spending as much time as possible out of doors so as to avoid infection with the presumed 
bacillus of influenza (  the conscientious allotment holder stands a better chance of escape than his sedentary neighbour ) .
chills. however , the key advice is to  maintain a cheery outlook on life as  depressed mental states are said to favour the onset of the disease . 
  at this stage
, it would appear , the flu was not considered sufficiently serious to destabilise the dominant political discourses .
however , by the end of june , with  sporadic outbreaks being reported throughout the capital , the daily mail changed tack , advising readers who suspected they had influenza to  go to bed immediately and not attempt to  carry on  , which only means carrying infection to others. 
  the following day , with the news that  300 girls at a leather factory in bermondsey were ill , newsholme gave the paper the first in a series of on - the - record briefings , informing its medical correspondent that , while the current epidemic is not 
so severe as the great epidemic of 188992 , outbreaks were being reported from various parts of britain , as well as from france , germany and spain .
impracticable , the gist of newsholme s message is that individuals should monitor their symptoms and act in their own  and the wider population s 
best health interests : hence his advice that patients should go to bed as soon as symptoms appear and remain isolated for at least four to five days afterwards .
 a relapse may be more dangerous than the original attack , he warns , before adding that a  good preservative from infection is to use a disinfectant nose spray or mouth wash. 
  in late june and july there was another subtle shift in the language used to describe the epidemic .
the trigger was an outbreak of influenza at a german prisoner - of - war camp in bramley , hampshire , that had hospitalised nearly 1,000 men  a third of the camp s prison population .
several guards , it was reported , had also been laid low . 
  suddenly the  hun was no longer the only enemy . 
the epidemic of influenza has reached salford and it is not of the old  sneezing variety , it is very prostrating .
hundreds of cases have occurred in the borough during the week , and doctors are extraordinarily busy .
the article went on to advise that patients should on  no account attempt to 
carry on , but instead should go to bed the moment they were attacked . 
if you get about and try to shake it off it becomes much worse , a doctor was quoted as telling the paper . 
 
the epidemic of influenza has reached salford and it is not of the old  sneezing variety , it is very prostrating .
hundreds of cases have occurred in the borough during the week , and doctors are extraordinarily busy . for the most part , however , discourses of resilience and stoicism tended to dominate and nowhere more so than in the editorial pages of the the times .
a good example was the article in late june claiming that the man in the street was 
cheerfully anticipating the arrival of the spanish flu . what makes the article so striking in retrospect is not so much its appeal to the stereotype of 
plucky britons as the writer s suggestion that the epidemic is the result of a german germ warfare experiment and the activities of the
 unseen hand  a reference to the secret german spy networks thought to be operating inside britain .
the writer goes on to agree with newsholme that the spanish epidemic does not appear to be nearly as severe as previous epidemics , before suggesting that  malnutrition and the general weakening of nerve - power known as war - weariness and the  contact between national armies are sufficient conditions for its spread . 
 
this notion that the epidemic was a consequence of war was to prove a familiar refrain not only in the columns of the times , but in the daily express , the lancet , the bmj , and the official report on the pandemic produced by the ministry of health after the war . 
 
as long as the outcome of the war hung in the balance , the propaganda consensus demanded that flu should not be allowed to usurp the dominant military discourses necessary for the maintenance of civilian morale . in august a new , virulent form of influenza
had appeared in the allied lines , prompting a flurry of confidential correspondence between mrc , the war office and the army medical service calling for the renewal of medical investigations amid fears that it could herald a second wave of flu . 
  however , the first public indication that the spanish flu had returned , and possibly in more dangerous form , came in september when it was reported that the prime minister lloyd george had been taken ill in manchester .
lloyd george had succumbed to the disease during a morale - boosting trip to manchester on 12 september and spent ten days confined to a sick bed in the town hall , much of them hooked up to a ventilator to ease his laboured breathing . judging by the recollections of the secretary of state for war sir maurice hankey ,
lloyd george s illness was very serious indeed and , according to his valet , at one point it had been  touch and go. 
  however , with the help of the attending physician , sir william milligan , and friendly newspaper barons such as c.p .
scott , the true gravity of his illness was kept out of the public prints . 
  instead , the manchester guardian joked that lloyd george had caught a 
severe chill when he had accidentally been soaked in a downpour in albert square and that he had since become  a prisoner of [ manchester s ] not too kindly climate. 
  in the meantime , the times censored several of milligan s medical bulletins , waiting until the 18th to report that the prime minister was on his way to recovery
. 
  growing concern about the impact the flu was having on army sickness rates also failed to make it past the military censors . the american expeditionary force ( aef ) first began to note a resurgence of influenza in northern france in early september .
the outbreaks were most extensive at le mans and brest and by the end of the month the aef had recorded some 11,000 new cases .
this time , however , the influenza was frequently accompanied by severe pneumonia and sometimes proved fatal . 
  by now
one of the most striking outbreaks occurred at camp devens , a us army barracks near boston where 50,000 men were crowded into a facility designed for 40,000 . by the end of the month some 14,000 men
 nearly a third of the camp s population  had been hospitalised with influenza or pneumonia , and 757 were dead .
the sight of rows of young men laid out in the hospital infirmary , their lips and cheeks a mahogany colour from cyanosis , shocked medics hardened by battle service .  one can stand it to see one , two , or twenty men die , recalled a member of the camp s surgical team ,  but to see these poor devils dropping like flies sort of gets on your nerves. 
  the conditions on american transports such as the leviathan , which arrived at brest on 8 october , were similarly alarming , with 2,000 cases and 80 deaths . 
  similarly , when the troopship olympic docked at southampton on 21
september so many of the crew were sick that the british military authorities had to requisition beds in a nearby isolation hospital .
a total of 119 severe cases were admitted , of which forty - one proved fatal . 
  whether by accident or design , however , few of these incidents found their way into the press . 
  the first official acknowledgment that the flu was again affecting civilians came in early october when glasgow s medical officer of health reported that there had been sixty - six deaths from influenza in the city and sixty - five from pneumonia . 
  by 15 october
the figures were even more disturbing : 450 deaths from influenza and pneumonia , or thirty - eight per 1,000 population , the highest mortality rate recorded in glasgow in twenty years . 
 
the reports were picked up by both the times and the daily mail , with the daily mail heading its article on the 10th  infection in the air , and reporting that the influenza appeared to be of  a more virulent type than in the early part of the year. 
  the following day , it was acknowledged , the flu had reached the fringes of london , with some seventeen patients reported dead at an 
outer london institution. 
  if the northcliffe press s coverage of the first wave of spanish flu had been sporadic , the same could certainly not be said of the second wave . between june and july the times had published just seventeen articles on influenza . by contrast , in october and november  the peak months of the autumn wave  it ran ninety - three . in terms of individual articles , the daily mail s coverage appears to have been more even 
however , many of the articles during the first wave had been no more than one or two paragraphs long and tended to be buried at the back of the editorial run . by contrast , in the autumn of 1918 the daily mail devoted several leaders to the epidemic . by the third week in october , it had also promoted the epidemic to the prime news spot at the top of page three , where it received equal billing with the war . as the mortality from flu worsened , both the daily mail and the times also began reproducing statistics from the registrar general s weekly mortality returns  data which made the mounting death toll more visible to readers .
at the same time , the daily mail employed triple - tiered headlines and crossheads to emphasise alarming statistics and to draw readers attention to particular phrases and tragic incidents . by the first week in november , it was not unusual for these round - ups to extend the full length of a page and across several columns .
in addition , the daily mail ran a series of articles by a medical expert questioning official information about the epidemic and criticising the government s  neglect of research . 
 
even before the registrar general s weekly returns confirmed it , the threat that this new wave of flu posed was obvious .
although news from northern france was still heavily censored , news from other parts of the world continued to flow along the worldwide telegraph , confirming that flu was rampant in india and south africa .
some of the most alarming reports of all came from cape town where on 10 october the times reported some 14,000 people had been attacked and that the epidemic was  assuming the proportions of a national calamity. 
  three days later the paper s cape town correspondent telegraphed that fatalities in the first two weeks of october were running at 5,000 . 
 
realising that censorship was pointless and faced with a medical catastrophe to rival the mortality from the war , the northcliffe press found itself in a quandry .
should it downplay the threat to civilians and hope the epidemic would go away , or should it play up the threat and look for someone to blame ?
the answer , it would seem , was a bit of both . as in the summer , the daily mail s first instinct was to strike an optimistic tone , quoting newsholme to the effect that , though there was  a good deal of influenza in london , the capital did not have it nearly as severely as other parts of the country and that  the hopeful view [ was that ] the worst might be over. 
  this message chimed with the latest reports from northern france where the british fourth army had broken through the hindenburg line at cambrai and was now engaged in a three - pronged assault on the german army with the support of the french and the americans . but as reports began to find their way into the papers of people collapsing in the streets , the tone shifted from stoical disdain to emphasising the gravity of the threat .  everything that lowers the vitality should be avoided , advised the daily mail s medical correspondent . 
the cases of collapse in the streets are probably due to people going out after they have had warning symptoms. 
  the key turning point , however , was newsholme s decision to issue a public memorandum giving official advice to patients on  precautions against infection. the memorandum amounted to a re - affirmation of the traditional british faith in sanitary science and laissez - faire attitudes according to which influenza was primarily a disease of the environment and poor hygiene  hence newsholme s appeal to individuals to regulate their behaviour in their own and other people s interests .
as the times put it :  dr newsholme emphasises the fact that control over the disease can be secured only by the active cooperation of each member of the community. 
  newsholme s memo marked a turning point in the reporting of the epidemic . until october the northcliffe press and
but with the rapid increase in mortality , newsholme s memo was seen as a case of too little too late .
 it would have been better to lock the stable door before the escape of the horse , remarked the times in a caustic editorial the following day . 
 
the daily mail was somewhat slower to join the attack , choosing instead to praise newsholme s decision to call a conference of medical and bacteriological experts .
rather than singling out the lgb or newsholme for criticism , an editorial focused on the lack of bacteriological research and differences of opinion as to the identity of the disease 
while the tone of the editorial was measured , however , the paper s news pages conveyed a very different message . 
stricken homes , girls dead on bridal day , announced an item recording the simultaneous deaths of two girls who worked in a warehouse at st paul s churchyard and who had been due to be married the following day .
other news items included the report that 1,400 police and 1,000 telephone operators were on the sick list and that doctors and undertakers were  worked off their feet. 
  by the end of the month , however , both the daily mail and the times were growing more critical of official complacency and on 26 october the times published a coruscating editorial headlined  a serious epidemic. 
  two days later , the times returned to the theme , arguing that the  real meaning of the present calamity is that steps must be taken to make somebody answerable for the nation s health .
it will then be possible to bring home the neglect and lack of foresight. 
  although the times criticised the authorities handling of the epidemic , when at the end of the month the registrar general s returns showed there had been 4,482 deaths from influenza in england and wales the previous week and that there was no sign of the death toll declining , the first instinct of its medical correspondent was to seek to reinforce readers resolve by equating 
sensible diminution , neither did they show  any particularly marked increase , the correspondent argued : it is important to realize this and to see things in perspective , as a stout heart is a great safeguard in these days .
fear is certainly the mother of infection . to go about expecting influenza is to invite it .
it is important to realize this and to see things in perspective , as a stout heart is a great safeguard in these days .
fear is certainly the mother of infection . to go about expecting influenza is to invite it .
this was not an isolated opinion but appears to have reflected the consensus view of the british medical profession .
just as at the royal society of medicine summit in november newsholme had invoked the importance of  carrying on , so a succession of doctors and medical experts now came forward to call for a greater show of civilian nerve .
 terror is a big ally of influenza , and if the public state of mind can be steered out of the channel of fright a long , long step will have been taken to conquer the epidemic , argued a doctor in a letter to the manchester guardian . 
 
particular ire was directed at the publication of the weekly death returns and other alarming reports of flu fatalities .
 we read in our daily newspapers the enormous fatalities due to the  influenza epidemic , complained a correspondent to the bmj .
would it not be better if a little more prudence were shown in publishing such reports instead of banking up as many dark clouds as possible to upset our breakfasts ? 
 
would it not be better if a little more prudence were shown in publishing such reports instead of banking up as many dark clouds as possible to upset our breakfasts ? 
 
if a conversation between three army doctors overheard by a correspondent at the daily mail is any guide , such attitudes were also widespread in military medical circles .
 so much publicity has necessarily had to be given to the present epidemic that everyone more or less talks  flu  .
the consequence is that people begin to imagine symptoms and frighten themselves and other people into a condition which renders the task of germs more easy .
for of course it is an acknowledged fact that the mental state affects the rest of the body. 
   a lot of cases are due to sheer panic , said one .
 so much publicity has necessarily had to be given to the present epidemic that everyone more or less talks  flu  .
the consequence is that people begin to imagine symptoms and frighten themselves and other people into a condition which renders the task of germs more easy .
for of course it is an acknowledged fact that the mental state affects the rest of the body. 
  one result of the intensification of the contradictions inherent in the medical and propaganda discourses was to undermine the rhetorical strategy that had served to regulate emotional responses during the early phase of the pandemic .
this was especially the case in late october as the death toll from influenza mounted , prompting panicked scenes outside chemists and doctors surgeries . as undertakers struggled to cope with the demand for burials and the victims of influenza and pneumonia began to crowd out the names of the war dead in the obituary columns of the times , 
the dread that had once been directed at germany increasingly became attached to the epidemic , destabilising the propaganda discourses and deflecting relief at the news that the armistice was imminent .
as caroline playne noted in her diary on 26 october : influenza is very bad in places . in trains and trams
the depression shown on travellers faces was very noticeable and talk was all about specially sad cases of death from influenza .
some who , one knows , are anxious for peace , say they dread to think it may come . 
 
the depression shown on travellers faces was very noticeable and talk was all about specially sad cases of death from influenza .
some who , one knows , are anxious for peace , say they dread to think it may come . 
  for a pacifist such as playne this was a depressing turn of events .
it had been her hope that the influenza pandemic would serve as a collective wake - up call ,  a warning that it was high time to end the stress and strain of world belligerency. instead , she observed , it appeared to have had the opposite effect .
the evil spirit that was abroad seems to have used the influenza epidemic as a means of exciting undefined dread and distracting men from being any way keen on making peace . 
 
the manchester guardian s london correspondent noted a similar pathology at work , observing that people were  fighting shy of theatres and kinemas [ sic ] and all kinds of meetings :
people generally are scared and the crowds besieging the doctors surgeries and chemists shops included a good many who think they may be going to have influenza . 
 
the evil spirit that was abroad seems to have used the influenza epidemic as a means of exciting undefined dread and distracting men from being any way keen on making peace . 
 
people generally are scared and the crowds besieging the doctors surgeries and chemists shops included a good many who think they may be going to have influenza . 
  yet at the same time as londoners seemed to be panicked by influenza , the correspondent reported that news of the austro - hungarian peace offer had been met by londoners with characteristic 
phlegm. the result was that a foreign visitor to london had heard more about  the certainty of influenza than about the prospects of peace. however , he argued , this stoicism was a mask .
 people are afraid , even at this half - past eleventh hour , to let their thoughts rest on peace , he explained . 
 
it was only with the declaration of the armistice on 11 november that , according to playne , letters from readers concerned about the epidemic began to  crowd out letters demanding vengeful , retaliatory punishment of germany and that something like rationality returned to public discourse . 
  for all its anti - german posturing ,
 patients suffering from it are being cured by the best of all remedial agents , cheerfulness. 

this paper has argued that social historians of medicine have had trouble accounting for the unusually muted responses to the 191819 spanish influenza pandemic .
instead i have taken an emotionological approach , one that puts emotion words , emotives and metaphors at the heart of my analysis .
overshadowed by the war , i have sought to understand how the regulation of emotional responses to the pandemic were governed by the political and medical discourses that prevailed at the time and the deployment of words , phrases and metaphors designed to elicit stoicism , hatred and dread .
taking wilfred owen s disdainful response to spanish flu as emblematic of british attitudes in the summer of 1918 , i have argued that owen s stoicism was largely performative , an emotional  style that conformed to official propaganda scripts and then medical theories of psychopathology and male traumatic responses to war . for owen ,
deprecating influenza was of a part with his self - image as a member of the officer class and a recovering neurasthenic , a psychiatric diagnosis that allowed him to glorify his experience of war while denigrating enlisted men s responses to other exogenous threats , such as flu , as a form of hysteria .
similarly , for british civilians who had endured five years of deprivation punctuated by frightening zeppelin raids on the home front , 
cheerful disdain of flu was a way of maintaining unity in face of the continuing german threat while avoiding deeper political and psychological introspection about the purpose of the belligerency .
staying power came at a cost , requiring the amplification by the northcliffe press of negative emotions in which acceptance of the brutality and trauma of war was achieved at the expense of fostering hatred and dread of germany and other 
influenza , i have argued , is a protean disease that manifests as alternately benign and plague - like .
this can clearly be seen in the statements issued by the lgb and articles by medical correspondents in the build up to the worst weeks of the pandemic .
thus at the same time as some biopolitical discourses sought to downplay the threat of influenza , others sought to impress upon patients the dangers of the respiratory complications of flu .
indeed , in the absence of vaccines and other forms of biomedical prevention , it made sense for young adults to dread the cyanosis and fatal pneumonias associated with the spanish flu  hence the stress placed by medical officers and medical correspondents on personal hygiene and social distancing measures .
drawing on the diaries and observations of the cultural historian caroline playne , i have argued that wartime propaganda discourses encouraged the cultivation of stoicism at the expense of other emotional scripts .
however , in the final weeks of the war the emotions of hatred and dread that had been so important to the maintenance of civilian morale and the stifling of domestic dissent were displaced onto a new narrative object , influenza . in this respect ,
biopolitical discourses around the pandemic can be seen as what foucault calls a  point of resistance to the dominant propaganda discourses .
these tensions were most apparent in wartime advertisements for products such as bovril that drew on patriotic tropes and then medical theories of  nervous force while , at the same time , seeking to exploit consumer fears of exogenous threats to the body .
however , they also manifested in the editorial pages of the times and the daily mail  papers that , during the early years of the war , had been crucial to the propaganda effort and the maintenance of civilian morale .
initially , northcliffe s papers had downplayed the threat of spanish flu . instead , echoing newsholme s message to 
carry on , they had drawn on pre - modern notions of psychopathology according to which the imagination could act on the body so as to make it more susceptible to infection , hence the importance of cultivating fortitude and resilience as a way of boosting civilian  staying power. however , by emphasising the role of positive emotions these discourses could not help but draw attention to the assumed pathological role of negative emotions such as hatred , fear and dread , underscoring the extent to which these emotions had now become objects of epidemiological regulation .
the result was that , as the death toll from influenza mounted and dread of the disease increased , so the  resistances in these discourses became increasingly apparent , destabilising both the flow of biopower and wartime propaganda .
although historians can not directly access past emotional experiences and therefore can never  know what the emotion of dread felt like in 1918 , by adopting an emotionological approach we can at least analyse the discourses governing the deployment of dread and other emotion words and phrases and seek to understand how metaphors and emotional utterances may have served to repress or intensify certain emotional states .
moreover , by recognising that emotives are not merely passive objects of discourse but can also act on and shape the emotional objects to which they refer , my approach brings out the way in which emotives interact with discourse , sometimes reinforcing and at other times highlighting ambivalences and contradictions in and between different discursive regimes .
this was nowhere more apparent than in the autumn of 1918 when the tensions between the propaganda discourses and biopolitical discourses reached breaking point .
 social historians have argued that the reason the 191819  
 spanish influenza left so few traces in public memory is that it was 
  overshadowed by the first world war , hence its historiographical characterisation as the  forgotten pandemic . 
 this paper argues that such an approach tends to overlook the crucial role played by wartime propaganda . 
 instead , i put emotion words , emotives and metaphors at the heart of my analysis in an attempt to understand the interplay between propaganda and biopolitical discourses that aimed to regulate civilian responses to the pandemic . 
 drawing on the letters of wilfred owen , the diaries of the cultural historian caroline playne and the reporting in the northcliffe press , i argue that the stoicism exhibited by owen and amplified in the columns of the times and the daily mail is best viewed as a performance , an emotional style that reflected the politicisation of  
 dread in war as an emotion with the potential to undermine civilian morale . 
 this was especially the case during the final year of the conflict when war - weariness set in , leading to the stricter policing of negative emotions . 
 as a protean disease that could present as alternately benign and plague - like , the spanish flu both drew on these discourses and subverted them , disrupting medical efforts to use the dread of foreign pathogens as an instrument of biopower . 
 the result was that , as dread increasingly became attached to influenza , it destabilised medical attempts to regulate the civilian response to the pandemic , undermining owen s and the northcliffe press s emotives of stoicism . 
The King of Lies
Fear, Hatred, and the Crowd Mind
The Very Proteus of Diseases
War, Emotion and Metaphor
Reporting the Flu
Conclusion