Syndemic
The worst of the 20th century influenza pandemics was the 1918 pandemic, where between 20-40 percent of the world’s population became ill between 40-100 million people died. More people died of the so-called Spanish flu (caused by the H1N1 viral strain) pandemic in the single year of 1918 than during all four-years of the Black Death. The pandemic had devastating effects as disease spread along trade and shipping routes and other corridors of human movement until it had circled the globe. InIndia, the mortality rate reached 50 per 1,000 population. Arriving during the closing phase of the World War I, the pandemic impacted mobilized national armies. Half of U.S. soldiers who died in the "Great War," for example, were victims of influenza. It is estimated that almost ¾ of a million Americans died during the pandemic. In part, the death toll during the pandemic was caused by viral pneumonia characterized by extensive bleeding in the lungs resulting in suffocation. Many victims died within 48 hours of the appearance of the first symptom. It was not uncommon for people who appeared to be quite healthy in the morning to have died by sunset. Among those who survived the first several days, however, many died of secondary bacterial pneumonia. It has been argued that countless numbers of those who expired quickly from the disease were co-infected with tuberculosis, which would explain the notable plummet in TB cases after 1918.
Tulsk
World War 1
Tulsk was no different from most other British and Irish villages and towns during World War One, in that it contributed to the Allied effort of resisting the Central Powers' threat to European stability. John McGrath, from Tulsk, as published in Ireland's Memorial Records, is registered as a Private in the North Staffordshire Regiment - 12th Battalion - and was killed in action in France on July 28, 1918. His grave, amongst 370, can be viewed at Borre British Cemetery in northern France (grave number 11.F.6). Another WW1 soldier is Mark Phibbs of Corbally, Tulsk. He served in the Leinster Regiment, died of post traumatic stress disorder injuries sustained during battle while in France, and is buried in Glasnevin Cemetery, Dublin. Both McGrath and Phibbs are some of between 30,000 and 35,000 Irish who perished in the Great War. Two other men, Henry Armitage and William Garry, were RIC officers in Tulsk during that same war, and went to the front after an outdoor send-off in the village (from contemperaneous newspaper reports). Their fate is unknown, like that of half of the men who died in World War I (over 9 million), scattered as they are beneath the green fields of mainland Europe. The Cenotaph memorial, erected mostly in England and France - out of the ashes of the first global catastrophe of the 20th century - goes some way to remembering these dead. (re. Jay Winter, Lecture 18 - Sites of Memory, Sites of Mourning - from Yale Open Courses, European Civilisation, available online).