Emergency military hospital during influenza epidemic, Camp Funston, Kansas, United States in 1918 or 1919 (Photo: Creative Commons)
Emergency military hospital during influenza epidemic, Camp Funston, Kansas, United States in 1918 or 1919 (Photo: Creative Commons)

SocietyApril 4, 2020

The lessons New Zealand learned from Spanish flu

Emergency military hospital during influenza epidemic, Camp Funston, Kansas, United States in 1918 or 1919 (Photo: Creative Commons)
Emergency military hospital during influenza epidemic, Camp Funston, Kansas, United States in 1918 or 1919 (Photo: Creative Commons)

‘Stay in your bubble’ didn’t exist 100 years ago, but our ancestors would want us to know how essential it is to do so, says Jai Breitnauer.

It was a warm but slightly grey January day in 2019 when I pulled the car over to the side of SH1, just south of Temuka. Although it was the middle of the school holidays, the road was relatively quiet. My husband was asleep (this is why I drive!) and my kids were engaged in some backseat game of Rock, Paper, Scissors that now involved blaster rays and being sat on by mountains. They didn’t notice as I slipped out of the car and stood on the corner of Huirapa Street.

Arowhenua is a small settlement, even by Aotearoa’s standards. Behind me was the white façade of the Holy Trinity Anglican Church, built in 1931; opposite me, the arch of the war memorial. All around were the hallmark flat fields of rural Canterbury, while way down Huirapa street sat the marae. Although I’d never been here before, I was aware that it had barely changed from a century ago, when it was just a small pā at the end of a muddy road with a community of 130 Māori living traditionally, in close quarters. I knew this because I’d read, and written, about Arowhenua while researching my book about Spanish flu.

Officially, Arowhenua comes under the umbrella of Temuka, which in 1918 had a total of 1,633 residents. But when you are looking at the impact of Spanish flu on New Zealand, it’s important to make the distinction between the two locales. This is because while statistics don’t lie, they often tell more than one story – and although only 17 people in Temuka died of flu, nine of them came from Arowhenua. Nine people out of 130 equals a death rate of 69.2 per 1000. In contrast, the Pākehā death rate was just 5.5 per 1000.

Spanish flu appeared mysteriously toward the end of the Great War, wiping out an estimated 100 million people worldwide over 24 months. I spent most of 2018 writing about it, and it was a weird time for me. I was living rurally with my family, and my older son was very unwell. I spent most days isolated in a cabin with a beautiful view of the sea, and my head filled with the death and destruction of this virus.

I hadn’t prepared myself for how much I would be affected by the stories I uncovered during my research. The young woman in Budapest who died sitting on a bench in the middle of the city, because emergency services were too overwhelmed to help her and onlookers were too scared. The men working the mines in South Africa who plunged to their deaths in an elevator cage after the operator momentarily blacked out from his flu symptoms. The boy in Washington whose parents, funeral home directors, had coffins stacked through their home because the grave diggers couldn’t bury them fast enough. But of all the heartbreak that spanned the globe from Alaska to Tasmania, it is the suffering of our Māori brothers and sisters that weighs heaviest.

Geoffrey Rice, emeritus professor of history at Canterbury University, researched the impact of Spanish flu on New Zealand extensively during the 1980s, gathering many first-hand accounts. He calculated that Māori were seven times more likely than Europeans in New Zealand to die of Spanish flu. Measles, whopping cough and land wars had already more than halved the pre-European Māori population. Poverty and inequality wasn’t helping either, and general immunity to European diseases among tangata whenua was low. The public health decisions made when Spanish flu arrived in New Zealand in the spring of 1918 put many lives at risk, but they placed Māori, as well as lower working class Pākehā, right in the firing line.

An influenza medicine depot in Christchurch for ‘poor’ people. Taken by an unknown photographer 4 December 1918 (Photo: Alexander Turnbull Library)

The arrival of flu here also coincided with the Armistice. It was a time of celebration. The war was finally coming to an end and people, having been cloistered away through years of hardship, were taking to the streets in joy. Parades were planned, agricultural shows were well-attended, people were gathering together in mutual relief. And through those gatherings the disease spread like wildfire. In Temuka, the 17 deaths came after the Armistice day celebrations – an event that went ahead even though regional authorities were aware of Spanish flu.

In Auckland, almost 8% of the population died from the flu outbreak. If that happened today, there would be 136,000 bodies to bury. Although the city’s official Armistice day celebration was cancelled, a false announcement a few days earlier on November 8 had seen people dancing in the streets for hours. This was in spite of the influenza outbreak that had been systematically infecting citizens since late October. People had a casual attitude toward flu; it was not seen a serious disease. But the consequences were dire.

We can to some extent forgive our forebears for their mistakes. The world was at war. Poverty was rife. Communication was limited. Plus, in 1918, we still didn’t really know what viruses were. It was not until the electron microscope was invented in the 1930s that we were able to see and study them for the first time. Decision makers were always on the back foot, making policy to fight fires rather than prevent them from starting.

Today, in the midst of the Covid-19 pandemic, we cannot make the argument that we weren’t fully informed. We have decades of social history and substantial epidemiological research around viruses to help the government make decisions. The public understanding of what viruses are is high. Thanks to the Health Act 1920, ushered in by the Spanish flu disaster, New Zealand has built a public health system that is relatively robust, and has many dedicated healthcare professionals at the ready. And then there is the advice that wasn’t understood or well communicated a century ago – stay at home, wash your hands, keep two metres away from others if you do have to go out, and report symptoms early.

So, now it is over to us, the public. The outcome really does lie in our own hands, so remember: he waka eke noa. We can beat this together, if we stick to the plan.

Jai Breitnauer is the author of the book The Spanish Flu Epidemic and its Influence on History (2019).

Keep going!
(Image: Getty Images)
(Image: Getty Images)

SocietyApril 3, 2020

Uni students: It’s OK to not feel OK

(Image: Getty Images)
(Image: Getty Images)

Four PhD students engaged a clinical psychologist to help them navigate an uncertain time in their studies. They share their findings here.

As four PhD students from Massey University’s Joint Centre for Disaster Research we, like many others, can’t stop reading and talking about the unfolding events that have gripped our communities and the world in the last three months. Having this much daily distraction is not always good for productivity but, right now, that is OK. Last week we received some simple advice that we would like to pass on: the emotional reaction you are having to the crisis is normal.

From working in the disaster space, we know that this level of uncertainty can have a huge impact on both your emotions and your daily life, including your studies. So we decided to consult with Dr Maureen Mooney, a clinical psychologist with experience in humanitarian psychosocial programming and disaster response, to help us create new ways of studying.

It’s OK not to function at 100%

Being a student requires dedication, hard work and stress management, so don’t be surprised if your brain isn’t functioning clearly at the moment or if you’ve deviated from your business as usual. Trying to maintain normal studying conditions and momentum in a global crisis is something not many of us have done before. We need to be more realistic. Keeping up to date with the news, checking in on friends and family and taking extra preventative measures all take up time and physical and mental energy. We are all somewhat distracted by the current situation and that is OK. You are certainly not alone in this.

Let’s be honest, we’d all rather be catching up on Grey’s Anatomy and working on our baking skills, but we’re sorry to say it will be unlikely our studies will stop entirely. People on scholarships still have tight deadlines to meet, so pausing to wait until the crisis ends isn’t feasible. So to support and encourage students to be proactive in their studies and to protect physical and mental wellbeing, below are some (we hope) helpful tips and advice that we’ve found useful.

The emotional reaction you are having to the crisis is normal. What we choose to do next with that added stress really matters. 

Tips and tricks for creating a helpful routine

Carve space to process what is happening and its impact on you

Allow time to do this and accept that, for now, this is the new normal. It’s OK to feel anxious, sad, disoriented; we can be aware of what emotions we are feeling and then get back to our tasks. We acknowledge that this is even harder for members of our community with health concerns, disabilities, people with less means to stockpile, and the elderly.

Find a way to check out from the news for most of the day

Don’t keep the news streaming; try to decide on a time that you check it once or twice a day. Let yourself binge on news for an hour and then get back to work.

Ramp up your self-care now more than ever

Many people may have lost their self-care routines due to social distancing and self-isolation. It’s OK to grieve for these lost activities. Give yourself space to acknowledge this loss, and try to find creative ways to continue these activities. Go for a run or walk and enjoy the beauty of nature. If you’re in self-isolation, find some online fitness videos and get the heart rate up as best you can. Watch shows or movies that make you laugh or feel happy. Rediscover your favourite hobbies in the home.

Limit communications with people who make you more anxious

You don’t have to be mean, but monitor the effect they are having on your own stress levels and don’t be afraid to cut back. Other good advice we’ve found to help you manage your anxiety can be seen here at Peak-Resilience, here at BBC News and here at The Guardian.

Trying to study during a global crisis is something not many have done before (Photo: Getty Images)

Maintain your studies

To do this, you need to have a routine – this might look really different to your normal routine but the key is to find one that works and stick to it. Scheduling in some exercise is a good idea to clear out the cobwebs and put you in a headspace to get more work done.

Pace yourself

We need to learn how to work differently, and learn how to work in situations that are not ideal. The evolving nature of the situation makes things hard to plan for, so we need to be flexible and adaptable with our plans. Learning to adapt to change is a good asset to have.

Build a virtual university community

Schedule video calls with other students to chat about readings/lectures/the latest episode of whatever show you’re watching. If there isn’t one already, make a Facebook group for your class and start chats in there. Rallying around fellow students is key and helps to both boost morale and keep focus on studies.

Self-isolating? Join a community Facebook group

For example, fellow colleagues who recently travelled back from a conference trip created this Corona Virus And Chill (Kiwi Self-Isolation Network) community Facebook group. We would recommend anyone who is self-isolating completely (ie recent travellers who have been asked not to leave the house at all) in New Zealand to engage with the online group.

Keep in touch with your lecturers and supervisors

University staff are working very hard to move classes online and to find creative ways to support their students. If you’re concerned about your studies or need support in any way, please reach out to those within the university that can help you.

Get involved in the volunteer efforts

Many volunteer groups are mobilising to help deliver food and offer support to those in self-isolation. Find your local Student Volunteer Army Group via the Student Volunteer Army’s Covid-19 Response website to see how you can help.

Ashleigh Rushton, Lisa McLaren, Marion Tan and Sara Harrison are PhD candidates/post-docs at Joint Centre for Disaster Research at Massey University in Wellington. They co-wrote this article in consultation with clinical psychologist Dr Maureen Mooney. Mooney has kindly offered to share her email address in case people are isolated and need a contact outside their immediate circle: m.f.mooney@massey.ac.nz