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. 2010 Jan-Feb;30(1):1–10. doi: 10.4103/0256-4947.59365

Table 1.

Influenza pandemic of the 20th century.

Date Strain Estimate number of worldwide deaths Comments
1918-1919 (Spanish Flu) H1N1 Over 50 million Three waves: A first, mild wave in the spring of 1918 was replaced by a second wave in September to November, 1918 that resulted in a mortality rate of over 2.5%. A third wave with equally high mortality rates swept around the world in 1919. The virus probably originated from the United States and then spread to Europe.

1957-1958 (Asian Flu) H2N2 1-1.5 million Two waves: The virus originated in Southern China in February 1957 and spread over 3 months to Singapore, Hong Kong and Japan and in October 1957 reached the United Kingdom and United States. A second wave was detected in January 1958.

1968-1969 (Hong Kong Flu) H3N2 ¾ million Two waves in the winters of 1968-1969 and 1969-1970. The virus originated from Hong Kong in July 1968.