Viral surveillance and the 1968 Hong Kong flu pandemic

This article traces the diffusion of the 1968 Hong Kong influenza pandemic against the backdrop of scientific and global health developments, a global wave of social protests, and Cold War tensions between the United States and the People’s Republic of China. Although the outbreak was far less severe than the 1918–19 ‘Spanish’ influenza pandemic, the ease with which influenza spread globally between 1968 and 1970 contributed to a reformulation of global health that emphasized the need for enhanced preparedness and rapid vaccine production. From the 1950s through the 1960s, the scope of disease surveillance expanded, with China increasingly identified as the global epicentre of viral threats. In so arguing, the article challenges histories of global health that suggest that this was a period when concerns for infectious disease receded, in contrast to the final two decades of the twentieth century that saw the ascendancy of an ‘emerging diseases worldview’.