H1N1 had been responsible for the worst pandemic in modern history: the Spanish flu of 1918–20, which afflicted a third of humanity and killed 50 million,3 including 675,000 in the United States. For reasons of both science and superstition, the disclosure sent a chill through the nation’s epidemiological community. The 1918 outbreak’s earliest manifestations had also come at a military base, Fort Riley in Kansas, where soldiers were busy preparing to enter World War I.4 Moreover, there was a belief at that time—based on somewhat flimsy scientific evidence—that a major flu epidemic manifested
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