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The plague would not have been so overwhelming if it could only spread through flea bites. It turned out that once the bacteria began infecting people, they found another way of spreading. They would infect the lungs and cause a pneumonia, whereupon sick people could infect the healthy simply by coughing or sneezing. With that mode of infection, there was no stopping the epidemic.
Flu: The Story of the Great Influenza Pandemic of 1918 and the Search for the Virus That Caused It
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