{"id":176050,"date":"2025-09-28T21:28:12","date_gmt":"2025-09-28T21:28:12","guid":{"rendered":"https:\/\/www.newsbeep.com\/au\/176050\/"},"modified":"2025-09-28T21:28:12","modified_gmt":"2025-09-28T21:28:12","slug":"the-deadly-legacy-of-the-forgotten-pandemic-and-why-its-drawing-comparisons-to-covid-19","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/au\/176050\/","title":{"rendered":"The deadly legacy of the &#8216;forgotten pandemic&#8217; \u2014 and why it&#8217;s drawing comparisons to COVID-19"},"content":{"rendered":"<p class=\"paragraph_paragraph__iYReA\">A pandemic more than half a century ago is still leaving a deadly legacy.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">Queensland&#8217;s former chief health officer Dr John Gerrard was a six-year-old when he lost his eldest brother Stephen during the 1968-70 Hong Kong flu pandemic.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">Eleven-year-old Stephen Gerrard was one of about 10,000 Australians who died of influenza during that scourge \u2014 one of five respiratory virus pandemics which hit Australia in just over a century, starting with the Spanish flu in 1918.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">It&#8217;s been dubbed &#8220;the forgotten pandemic&#8221; \u2014 possibly because it coincided with some of the most momentous events in world history \u2014 but Dr Gerrard argues variants of the H3N2 flu, which led to the Hong Kong flu pandemic, continue to cost lives.<\/p>\n<p><img decoding=\"async\" alt=\"A doctor, looking stern with a stethoscope around his neck, stands in a hospital hallway.\" class=\"Image_image__5tFYM ContentImage_image__DQ_cq\"  src=\"https:\/\/www.newsbeep.com\/au\/wp-content\/uploads\/2025\/09\/efec1f66caef7fa18c2b7ddae68d2841\" loading=\"lazy\" data-component=\"Image\" data-lazy=\"true\"\/><\/p>\n<p class=\"Typography_base__sj2RP FigureCaption_text__zDxQ5 Typography_sizeMobile12__w_FPC Typography_lineHeightMobile20___U7Vr Typography_regular__WeIG6 Typography_colourInherit__dfnUx\" data-component=\"Typography\">Dr John Gerrard was Queensland&#8217;s CHO during the COVID-19 pandemic. (Four Corners)<\/p>\n<p class=\"paragraph_paragraph__iYReA\">The infectious disease specialist, based at the Gold Coast University Hospital, said an H3N2 strain was included in this year&#8217;s flu vaccine, and the strain was still often associated with the most severe disease from influenza.<\/p>\n<p>&#8220;Of any of the influenzas, H3N2 is the one mostly associated with hospitalisation and death,&#8221;  he said.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">&#8220;This year, there&#8217;s certainly been deaths in otherwise healthy young people. Every year it happens and it&#8217;s horrible.&#8221;<\/p>\n<p>The &#8216;flu furore&#8217; and concerns over vaccine supplies<\/p>\n<p class=\"paragraph_paragraph__iYReA\">In an article in the Medical Journal of Australia (MJA), published today, Dr Gerrard cited similarities between the recent coronavirus pandemic and the Hong Kong flu, which spanned Vietnam War protests, New York&#8217;s Woodstock music festival, and the first manned moon landing.<\/p>\n<p><img decoding=\"async\" alt=\"Old greyscale image shows anti-Vietnam War protesters holding signs\" class=\"Image_image__5tFYM ContentImage_image__DQ_cq\"  src=\"https:\/\/www.newsbeep.com\/au\/wp-content\/uploads\/2025\/09\/9e8518ca81b949d87d4eecb33c9122e2\" loading=\"lazy\" data-component=\"Image\" data-lazy=\"true\"\/><\/p>\n<p class=\"Typography_base__sj2RP FigureCaption_text__zDxQ5 Typography_sizeMobile12__w_FPC Typography_lineHeightMobile20___U7Vr Typography_regular__WeIG6 Typography_colourInherit__dfnUx\" data-component=\"Typography\">The Hong Kong flu spanned world events including Vietnam War protests and the Woodstock music festival. (ABC Archives)<\/p>\n<p class=\"paragraph_paragraph__iYReA\">&#8220;Retrospective assessment of excess mortality for Australia across two seasons of the Hong Kong influenza pandemic approaches that of COVID-19 from 2020-2023 (87.3 versus 91.4 per 100,000 population),&#8221; the MJA article said.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">&#8220;However, a smaller proportion of young people died of COVID-19 compared with Hong Kong influenza.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">&#8220;About 30 per cent of Hong Kong influenza deaths occurred in Australians under 65 years old, compared with about 11 per cent of COVID-19 deaths reported among Australians less than 70 years old.&#8221;<\/p>\n<p class=\"paragraph_paragraph__iYReA\">Both pandemics are believed to have had their origins in mainland China, and early outbreaks in Australia during both public health emergencies occurred on cruise ships departing Sydney.<\/p>\n<p><img decoding=\"async\" alt=\"Astronaut Edwin E. Aldrin Jr., lunar module pilot\" class=\"Image_image__5tFYM ContentImage_image__DQ_cq\"  src=\"https:\/\/www.newsbeep.com\/au\/wp-content\/uploads\/2025\/09\/d7427144793db703ee7ecb998d1e1ee6\" loading=\"lazy\" data-component=\"Image\" data-lazy=\"true\"\/><\/p>\n<p class=\"Typography_base__sj2RP FigureCaption_text__zDxQ5 Typography_sizeMobile12__w_FPC Typography_lineHeightMobile20___U7Vr Typography_regular__WeIG6 Typography_colourInherit__dfnUx\" data-component=\"Typography\">Often called &#8220;The Forgotten Pandemic&#8221;, the Hong Kong flu occurred during a time full of historic events.\u00a0 (<a class=\"Link_link__5eL5m ScreenReaderOnly_srLinkHint__OysWz Link_showVisited__C1Fea Link_showFocus__ALyv2 Link_underlineOnHover__Wg_BQ\" href=\"https:\/\/solarsystem.nasa.gov\/resources\/2478\/aldrin-on-the-moon\/\" data-component=\"Link\" rel=\"nofollow noopener\" target=\"_blank\">NASA<\/a>)<\/p>\n<p class=\"paragraph_paragraph__iYReA\">Both pandemics also shared media and public concerns about vaccine supplies.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">&#8220;The &#8216;flu furore&#8217; of early 1969 related to initial concerns over the availability of vaccines ahead of an expected epidemic of Hong Kong influenza that winter,&#8221; the MJA article said.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">&#8220;This illustrates the public&#8217;s sensitivity to vaccine supply issues, which was also noted in the COVID-19 Response Inquiry Report.&#8221;<\/p>\n<p>Without vaccinations, &#8216;the mortality rate would have been much higher&#8217;<\/p>\n<p class=\"paragraph_paragraph__iYReA\">In 1968, Australia had capacity to mass produce influenza vaccines at the Commonwealth Serum Laboratories (CSL).<\/p>\n<p class=\"paragraph_paragraph__iYReA\">But from November of that year, CSL faced intense scrutiny and public criticism for sending 1.3 million Hong Kong influenza vaccine doses to Britain to help with the so-called Mother Country&#8217;s expected winter surge.<\/p>\n<p><img decoding=\"async\" alt=\"A newsletter that shows snippets of newspaper about the flu pandemic and has the headline: the 'FLU Furore.\" class=\"Image_image__5tFYM ContentImage_image__DQ_cq\"  src=\"https:\/\/www.newsbeep.com\/au\/wp-content\/uploads\/2025\/09\/1ce1bcc56c1e94d52339bbdb2af72adb\" loading=\"lazy\" data-component=\"Image\" data-lazy=\"true\"\/><\/p>\n<p class=\"Typography_base__sj2RP FigureCaption_text__zDxQ5 Typography_sizeMobile12__w_FPC Typography_lineHeightMobile20___U7Vr Typography_regular__WeIG6 Typography_colourInherit__dfnUx\" data-component=\"Typography\">Australia had capacity to mass produce influenza vaccines at the Commonwealth Serum Laboratories (CSL). (Supplied)<\/p>\n<p class=\"paragraph_paragraph__iYReA\">&#8220;That was an extraordinary thing to do,&#8221; Dr Gerrard said. &#8220;That caused quite a lot of consternation in &#8217;68, not surprisingly.<\/p>\n<p>&#8220;They just assumed that we wouldn&#8217;t see a big wave of influenza before &#8217;69, which was a big assumption, in retrospect.&#8221;<\/p>\n<p class=\"paragraph_paragraph__iYReA\">Dr Gerrard said both the Hong Kong flu and COVID-19 pandemics had left lessons for future pandemic preparedness.<\/p>\n<p><a href=\"https:\/\/www.abc.net.au\/news\/2021-10-26\/when-spanish-flu-hit-australian-shores-nt-ss-mataram-covid\/100517650\" data-component=\"FullBleedLink\" class=\"RelatedCard_link__rsgR9 FullBleedLink_root__lTw_U interactive_focusContext__yRhc_ interactive_defaults__AKxUU FullBleedLink_showVisited__g3Xvz\" rel=\"nofollow noopener\" target=\"_blank\">Parallels in pandemics more than a century apart<\/a><\/p>\n<p class=\"Typography_base__sj2RP RelatedCard_synopsis__cFwMW Typography_sizeMobile14__u7TGe Typography_lineHeightMobile20___U7Vr Typography_regular__WeIG6 Typography_colourInherit__dfnUx\" data-component=\"Typography\">Australia knew about the threat of the deadly Spanish flu months before it arrived. Much of what happened then is mirrored in the nation&#8217;s response to the COVID pandemic.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">That includes making vaccine supply a priority.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">&#8220;If 90 per cent of the Australian population had not been vaccinated against COVID before the pandemic peak in 2022, the mortality would probably have been much higher than Hong Kong flu,&#8221; Dr Gerrard said.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">COVID-19 ranks second behind the Spanish flu as Australia&#8217;s worst pandemic in recorded history.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">But Dr Gerrard noted antibiotics were not available to doctors during the Spanish Flu to treat secondary bacterial infections.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">&#8220;You can die of a direct effect of the virus, there is viral pneumonia, but frequently, the cause of death is a secondary bacterial infection like pneumococcus, or staphylococcus,&#8221; he said.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">&#8220;That&#8217;s usually what the cause of death is in someone who dies of influenza.\u00a0<\/p>\n<p>&#8220;That&#8217;s certainly what happened in the Spanish flu and that&#8217;s what happened to my brother.&#8221;<img decoding=\"async\" alt=\"A man sitting in front of a computer in a lab holds a petri dish with a red base and looks inside.\" class=\"Image_image__5tFYM ContentImage_image__DQ_cq\"  src=\"https:\/\/www.newsbeep.com\/au\/wp-content\/uploads\/2025\/09\/ba5e9cb401c810f20b3e44a2efee93d9\" loading=\"lazy\" data-component=\"Image\" data-lazy=\"true\"\/><\/p>\n<p class=\"Typography_base__sj2RP FigureCaption_text__zDxQ5 Typography_sizeMobile12__w_FPC Typography_lineHeightMobile20___U7Vr Typography_regular__WeIG6 Typography_colourInherit__dfnUx\" data-component=\"Typography\">Dr John Gerrard says he continues to treat patients with the H3N2 strain. (ABC RN: Eliah Lillis)<\/p>\n<p class=\"paragraph_paragraph__iYReA\">Stephen Gerrard died in the winter of &#8217;68 before a Hong Kong flu vaccine was available.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">Almost six decades later, John Gerrard encourages vaccination and continues to treat flu victims, noting that this year&#8217;s influenza season was worse than COVID-19 in 2025.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">Dr Gerrard said flu cases who ended up in hospital under his care universally told him they regretted not getting vaccinated.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">&#8220;You find that forever they get vaccinated after that because the experience was so awful,&#8221; he said.<\/p>\n","protected":false},"excerpt":{"rendered":"A pandemic more than half a century ago is still leaving a deadly legacy. Queensland&#8217;s former chief health&hellip;\n","protected":false},"author":2,"featured_media":176051,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[7273,4880,43,114170,145,114171,44,16895,114169,94,701,41,39,42,40,7277],"class_list":["post-176050","post","type-post","status-publish","format-standard","has-post-thumbnail","category-headlines","tag-coronavirus","tag-covid-19","tag-headlines","tag-hong-kong-flu","tag-influenza","tag-john-gerrard","tag-news","tag-pandemic","tag-physical-distancing","tag-qld","tag-queensland","tag-top-news","tag-top-stories","tag-topnews","tag-topstories","tag-virus"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/posts\/176050","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/comments?post=176050"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/posts\/176050\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/media\/176051"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/media?parent=176050"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/categories?post=176050"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/tags?post=176050"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}