IDEAS home Printed from https://ideas.repec.org/h/pal/palscp/978-3-031-05668-0_3.html
   My bibliography  Save this book chapter

Unequal Mortality During the Spanish Flu

In: Pandemics, Economics and Inequality

Author

Listed:
  • Sergi Basco

    (University of Barcelona)

  • Jordi Domènech

    (Universidad Carlos III de Madrid)

  • Joan R. Rosés

    (London School of Economics)

Abstract

Determinants of pandemic-related mortality are not well understood. To begin with, there is no consensus on the best approach to count pandemic-related deaths. We argue that excess mortality is a good measure for the 1918 Flu in Spain, but it may not be suitable for other countries. There was substantial variation in excess mortality across occupations in Spain. The highest excess mortality was among low-income workers. In addition, there was a rural mortality penalty across all occupations that temporarily reversed the historical urban penalty. Climatic and economic conditions were correlated with excess mortality in the low-income groups but not in the middle and high-income ones. We conclude that the higher capacity of certain social groups to isolate themselves from social contact was behind these socioeconomic mortality differentials.

Suggested Citation

  • Sergi Basco & Jordi Domènech & Joan R. Rosés, 2022. "Unequal Mortality During the Spanish Flu," Palgrave Studies in Economic History, in: Pandemics, Economics and Inequality, chapter 0, pages 33-50, Palgrave Macmillan.
    • Handle: RePEc:pal:palscp:978-3-031-05668-0_3
    DOI: 10.1007/978-3-031-05668-0_3
    as

    Download full text from publisher

    To our knowledge, this item is not available for download. To find whether it is available, there are three options:
    1. Check below whether another version of this item is available online.
    2. Check on the provider's web page whether it is in fact available.
    3. Perform a search for a similarly titled item that would be available.

    Other versions of this item:

    References listed on IDEAS

    as
    1. James J. Feigenbaum & Christopher Muller & Elizabeth Wrigley-Field, 2019. "Regional and Racial Inequality in Infectious Disease Mortality in U.S. Cities, 1900–1948," Demography, Springer;Population Association of America (PAA), vol. 56(4), pages 1371-1388, August.
    2. Clay, Karen & Lewis, Joshua & Severnini, Edson, 2018. "Pollution, Infectious Disease, and Mortality: Evidence from the 1918 Spanish Influenza Pandemic," The Journal of Economic History, Cambridge University Press, vol. 78(4), pages 1179-1209, December.
    3. Clay, Karen & Lewis, Joshua & Severnini, Edson, 2019. "What explains cross-city variation in mortality during the 1918 influenza pandemic? Evidence from 438 U.S. cities," Economics & Human Biology, Elsevier, vol. 35(C), pages 42-50.
    4. Basco, Sergi & Domènech, Jordi & Rosés, Joan R., 2021. "The redistributive effects of pandemics: Evidence on the Spanish flu," World Development, Elsevier, vol. 141(C).
    5. Andrew Noymer & Michel Garenne, 2000. "The 1918 Influenza Epidemic's Effects on Sex Differentials in Mortality in the United States," Population and Development Review, The Population Council, Inc., vol. 26(3), pages 565-581, September.
    6. Michael R. Haines, 2001. "The Urban Mortality Transition in the United States, 1800-1940," NBER Historical Working Papers 0134, National Bureau of Economic Research, Inc.
    7. Cain, Louis & Hong, Sok Chul, 2009. "Survival in 19th century cities: The larger the city, the smaller your chances," Explorations in Economic History, Elsevier, vol. 46(4), pages 450-463, October.
    8. Roses, Joan R. & Sanchez-Alonso, Blanca, 2004. "Regional wage convergence in Spain 1850-1930," Explorations in Economic History, Elsevier, vol. 41(4), pages 404-425, October.
    9. Mamelund, Svenn-Erik, 2006. "A socially neutral disease? Individual social class, household wealth and mortality from Spanish influenza in two socially contrasting parishes in Kristiania 1918-19," Social Science & Medicine, Elsevier, vol. 62(4), pages 923-940, February.
    10. Rosés, Joan Ramón & Martínez-Galarraga, Julio & Tirado, Daniel A., 2010. "The upswing of regional income inequality in Spain (1860-1930)," Explorations in Economic History, Elsevier, vol. 47(2), pages 244-257, April.
    11. Lembke B., 1918. "√ a. p," Journal of Economics and Statistics (Jahrbuecher fuer Nationaloekonomie und Statistik), De Gruyter, vol. 111(1), pages 709-712, February.
    12. Basco, Sergi & Domènech, Jordi & Rosés, Joan R., 2021. "The redistributive effects of pandemics: Evidence on the Spanish flu," World Development, Elsevier, vol. 141(C).
    13. Caitlin S. Brown & Martin Ravallion, 2020. "Inequality and the Coronavirus: Socioeconomic Covariates of Behavioral Responses and Viral Outcomes Across US Counties," NBER Working Papers 27549, National Bureau of Economic Research, Inc.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Amanda Guimbeau & Nidhiya Menon & Aldo Musacchio, 2022. "Short‐ and medium‐run health and literacy impacts of the 1918 Spanish Flu pandemic in Brazil," Economic History Review, Economic History Society, vol. 75(4), pages 997-1025, November.
    2. Richard Franke, 2022. "Poverty, pollution, and mortality: The 1918 influenza pandemic in a developing German economy," Economic History Review, Economic History Society, vol. 75(4), pages 1026-1053, November.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Basco, Sergi & Domenech, Jordi & Rosés, Joan R., 2021. "Unequal Mortality during the Spanish Flu," CEPR Discussion Papers 15783, C.E.P.R. Discussion Papers.
    2. Basco, Sergi & Domènech, Jordi & Rosés, Joan R., 2024. "Socioeconomic mortality differences during the Great Influenza in Spain," Economics & Human Biology, Elsevier, vol. 52(C).
    3. Colvin, Christopher L. & McLaughlin, Eoin, 2021. "Death, demography and the denominator: Age-adjusted Influenza-18 mortality in Ireland," Economics & Human Biology, Elsevier, vol. 41(C).
    4. Brian Beach & Karen Clay & Martin Saavedra, 2022. "The 1918 Influenza Pandemic and Its Lessons for COVID-19," Journal of Economic Literature, American Economic Association, vol. 60(1), pages 41-84, March.
    5. Arthi, Vellore & Parman, John, 2021. "Disease, downturns, and wellbeing: Economic history and the long-run impacts of COVID-19," Explorations in Economic History, Elsevier, vol. 79(C).
    6. Richard Franke, 2022. "Poverty, pollution, and mortality: The 1918 influenza pandemic in a developing German economy," Economic History Review, Economic History Society, vol. 75(4), pages 1026-1053, November.
    7. Guillaume Chapelle, 2022. "The medium-term impact of non-pharmaceutical interventions. The case of the 1918 influenza in US cities," Economic Policy, CEPR, CESifo, Sciences Po;CES;MSH, vol. 37(109), pages 43-81.
    8. Clay, Karen & Lewis, Joshua & Severnini, Edson, 2019. "What explains cross-city variation in mortality during the 1918 influenza pandemic? Evidence from 438 U.S. cities," Economics & Human Biology, Elsevier, vol. 35(C), pages 42-50.
    9. Velde, François R., 2022. "What Happened to the U.S. Economy during the 1918 Influenza Pandemic? A View Through High-Frequency Data," The Journal of Economic History, Cambridge University Press, vol. 82(1), pages 284-326, March.
    10. Lin, Ming-Jen & Liu, Elaine M., 2014. "Does in utero exposure to Illness matter? The 1918 influenza epidemic in Taiwan as a natural experiment," Journal of Health Economics, Elsevier, vol. 37(C), pages 152-163.
    11. Rijpma, Auke & van Dijk, Ingrid K. & Schalk, Ruben & Zijdeman, Richard L. & Mourits, Rick J., 2022. "Unequal excess mortality during the Spanish Flu pandemic in the Netherlands," Economics & Human Biology, Elsevier, vol. 47(C).
    12. Colvin, Christopher L. & McLaughlin, Eoin, 2020. "Death, demography and the denominator: New Influenza-18 mortality estimates for Ireland," SRERC Working Paper Series SRERCWP2020-2, University College Cork (UCC), Spatial and Regional Economic Research Centre (SRERC).
    13. Scott A. Carson, 2020. "Biological Differences between Late 19th and Early 20th Century Urban and Rural Residence," CESifo Working Paper Series 8523, CESifo.
    14. Schroeder, Max & Lazarakis, Spyridon & Mancy, Rebecca & Angelopoulos, Konstantinos, 2023. "An extended period of elevated influenza mortality risk follows the main waves of influenza pandemics," Social Science & Medicine, Elsevier, vol. 328(C).
    15. repec:hal:journl:hal-03389177 is not listed on IDEAS
    16. Gregori Galofre-Vila & Maria Gomez-Leon, 2021. "Provincial health inequalities in Spain since 1860," Documentos de Trabajo - Lan Gaiak Departamento de Economía - Universidad Pública de Navarra 2103, Departamento de Economía - Universidad Pública de Navarra.
    17. Amanda Guimbeau & Nidhiya Menon & Aldo Musacchio, 2020. "The Brazilian Bombshell? The Long-Term Impact of the 1918 Influenza Pandemic the South American Way," NBER Working Papers 26929, National Bureau of Economic Research, Inc.
    18. repec:hal:spmain:info:hdl:2441/7m2qa73prn89eogubjm0rc58le is not listed on IDEAS
    19. Karlsson, Martin & Nilsson, Therese & Pichler, Stefan, 2012. "What Doesn't Kill You Makes You Stronger? The Impact of the 1918 Spanish Flu Epidemic on Economic Performance in Sweden," Working Paper Series 911, Research Institute of Industrial Economics.
    20. Karlsson, Martin & Nilsson, Therese & Pichler, Stefan, 2014. "The impact of the 1918 Spanish flu epidemic on economic performance in Sweden," Journal of Health Economics, Elsevier, vol. 36(C), pages 1-19.
    21. Karen Clay & Joshua A. Lewis & Edson R. Severnini & Xiao Wang, 2020. "The Value of Health Insurance during a Crisis: Effects of Medicaid Implementation on Pandemic Influenza Mortality," NBER Working Papers 27120, National Bureau of Economic Research, Inc.
    22. Lionel Kesztenbaum & Jean-Laurent Rosenthal, 2014. "Income versus Sanitation; Mortality Decline in Paris, 1880-1914," PSE Working Papers halshs-01018594, HAL.

    More about this item

    Keywords

    Health inequality; Socioeconomic mortality differences; Urban penalty;
    All these keywords.

    JEL classification:

    • N34 - Economic History - - Labor and Consumers, Demography, Education, Health, Welfare, Income, Wealth, Religion, and Philanthropy - - - Europe: 1913-
    • J1 - Labor and Demographic Economics - - Demographic Economics
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:pal:palscp:978-3-031-05668-0_3. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.palgrave.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.