In the first six months of 1918, Miner’s warning of “influenza of severe type” was the only reference in that journal to influenza anywhere in the world. Other medical journals that spring carried articles on influenza outbreaks, but they all occurred after Haskell’s, and they were not issued as public health warnings. Haskell County remains the first outbreak in 1918 suggesting that a new influenza virus was adapting, violently, to man.