History repeats itself, but with slight variations. The high-rise jeans of today’s Tik Tok teens hit different than the stiff acid-washed denim from the 1980s, but they elicit déjà vu nonetheless. Likewise, the global pandemic of today is a somewhat different monster than the one that ravaged the world more than 100 years ago, but there are still many similarities. In the late 1910s, when the Spanish Flu shook the country, people used similar mitigation methods like those we use today: They wore masks, entered quarantines, and studied vaccines.

But not everything was the same.


As of June 26, 2020, wearing a mask in public has been required statewide, but this is not how they handled masks a century ago. Masks appear to have been recommended only for those who were taking care of the sick. This is reminiscent of the early days of COVID-19, when masks weren’t recommended to the general population. A Public Service Announcement that ran in newspapers across North Carolina in the fall of 1918 reads: “The North Carolina State Board of Health strongly urges that doctors, nurses, and others attending patients sick with this disease wear a mask over their mouth and nose.” Masks during this time were instructed to be made with four layers of fine mesh gauze or buttercloth.

Image from The Daily Free Press (Kinston), Nov. 4, 1918 (North Carolina Collection)


Videos and stories of teenagers being yelled at for not wearing masks have gone viral in today’s pandemic, and the 1910s had its share of mask-shamers as well, as exemplified in this short parable from The Union Labor Record.

Image from The Union Labor Record (Wilmington), Jan. 11, 1919 (North Carolina Collection)


Quarantines don’t appear to have been routinely recommended during the Spanish Flu epidemic. Instead, North Carolina had quarantine officers who would report individual cases of contagious disease and enforce quarantine on those residents. Enforcement could vary widely from county to county. For instance, in Brevard County the quarantine officer was a stern enforcer,  writing in Brevard News, “In my experience as a quarantine officer, I have had citizens to tell me that the man at the next house was going to ‘beat me up,’ That Mr. Blank said he would shoot me on sight if I attempted to quarantine him. It is needless to say that I quarantined them all the same.” On the other hand, in Vance County, the quarantine officer was so lax at his job that he was convicted for failing to perform his duties.

While quarantines were predominantly reserved for the ill, there were some city-wide quarantines. After 90 cases of influenza were discovered in Rockingham, the city was put under “a strict quarantine with guards at each exit to prevent passage coming in.” Barber shops were closed and placards were placed on the homes of the infected. There were serious consequences for defying a quarantine. Residents who refused to comply could be charged with a misdemeanor and imprisoned from 10 to 30 days or fined between $5 and $50 (that equates to nearly $1,000 in today’s currency).

Health advice

Much of the advice for protecting yourself from the Spanish Flu was the same advice health officials give for COVID-19 today. Advice from the Durham Morning Herald included things like avoiding crowds, staying out of work if you have symptoms, avoiding hand shaking, etc. However, some less conventional advice was offered as well, such as to “spray the nose and throat three times daily with ‘Dakin’s Solution.’” Dakin’s Solution is a diluted bleach product that, when ingested in large quantities can cause hypertension, shock, and vomiting. So maybe skip that one.

Image from Durham Morning Herald, Oct. 19, 1918 (North Carolina Collection)

Progressive college students got in on the action, as well. Clubs popped up on college campuses across the state with titles like “quarantine club” or “flu club” to promote and even argue for extended quarantines. University students even published poems about quarantine and the flu to express their thoughts and frustrations about the epidemic. Below is a poem from an Atlantic Christian College (now Barton College) periodical.

Image from The Radiant (Wilson), May 1918 (North Carolina Collection)

Long story short, history repeats itself. Not exactly in the same ways, but enough to find encouragement. We should find inspiration in the fact America made it through the 1918 influenza outbreak bruised, but not broken. It is going to take some courage and some patience, but history tells us that we, too, can make it through this pandemic and see the other side.

Brenee Goforth is marketing and communications associate at the John Locke Foundation.