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. 2022 Dec 7;99(Suppl 1):S37–S45. doi: 10.1016/j.jped.2022.11.002

Table 1.

Major epi/pandemics over time.

Name Time period Type / Pre-human host Death toll
Antonine Plague 165-180 Believed to be either smallpox  or measles 5M
Japanese smallpox epidemic 735-737 Variola major virus 1M
Plague of Justinian 541-542 Yersinia pestis bacteria / Rats,  fleas 30-50M
Black Death 1347-1351 Yersinia pestis bacteria / Rats,  fleas 200M
New World Smallpox Outbreaks >1520 Variola major virus (eradicated  in 1980) 56M
Great Plague of London 1665 Yersinia pestis bacteria / Rats,  fleas 100,000
Italian plague 1629-1631 Yersinia pestis bacteria / Rats,  fleas 1M
Cholera Pandemics 1-6 1817-1923 V. cholerae bacteria 1M+
Third Plague 1885 Yersinia pestis bacteria / Rats,  fleas 12M (China and India)
Yellow Fever Late 1800s Virus / Mosquitoes 100,000-150,000 (U.S.)
Russian Flu 1889-1890 Believed to be H2N2 (avian  origin) 1M
Spanish Flu 1918-1919 H1N1 virus / Pigs 40-50M
Asian Flu 1957-1958 H2N2 virus 1.1M
Hong Kong Flu 1968-1970 H3N2 virus 1M
HIV/AIDS >1981 Virus / Chimpanzees 25-35M
Swine Flu 2009-2010 H1N1 virus / Pigs 200,000
SARS 2002-2003 Coronavirus / Bats, Civets 770
Ebola >2014 recurring
Ebolavirus / Wild animals 11,000
MERS >2015 recurring Coronavirus / Bats, camels 850
COVID-19 >2019 Coronavirus – Unknown possiblyy pangolins) 6.3M (Johns Hopkins University  estimate, as of July 8, 2022)

Source: Adapted from LePan.3

Abbreviations: COVID: coronavirus disease; HIV/AIDS Human Immunodeficiency Virus/ Acquired Immunodeficiency Syndrome; MERS: Middle East Respiratory Syndrome; SARS: severe acute respiratory syndrome.