Question: 30 I 25 20 15 Deaths Per 1,000 Persons 10 5 C 0 829 7127 824 921 10/19 11/16 12/14 111 28 38 45 1919 1918 De 620 707 124 301 10 11 12 > Figure 1. Three Pandemic Waves: Weekly Combined Influenza And Pneumonia Mortality, United Kingdom, 1918- 1919.(Taubenberger JK, Morens DM. 1918 Influenza: The Motherof All Pandemics. Emerg Infect Dis 2006:12:15-22.) ...

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30 I 25 20 15 Deaths per 1,000 persons 10 5 C 0 829 7127 824 921 10/19 11/16 12/14 111 28 38 45 1919 1918 De 620 707 124 301 10 11 12 > Figure 1. Three pandemic waves: weekly combined influenza and pneumonia mortality, United Kingdom, 1918- 1919.(Taubenberger JK, Morens DM. 1918 influenza: the motherof all pandemics. Emerg Infect Dis 2006:12:15-22.) 1. On the basis of the data displayed in Figure 1, when was the highest death rate from Spanish flu? 2. Approximately, how many deaths occurred during the week ending November 16? 3. During which seasons was the pandemic at its worst? 1 4. What happened to the death rate during July-September 1918? 5. Based on your answers to questions 3 and 4, what could you hypothesize about the seasonality of the flu?

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