Bulletin of Semashko National Research Institute of Public HealthBulletin of Semashko National Research Institute of Public Health2415-84102415-8429FSSBI «N.A. Semashko National Research Institute of Public Health»1545Научная статьяSPANISH FLU IN RUSSIA (1918-1921)SpasennikovB. Aborisspasennikov@yandex.ruN.A. Semashko National Research Institute of Public Health, Moscow, Russian Federation171220213223108042022Copyright © 2021,2021In the history of mankind, the "Spanish flu" ("Spanish" flu) in terms of the number of cases, deaths, was the most severe epidemic of the influenza virus. In the national history of medicine, the epidemics of "Spanish flu", cholera, typhus (1918-1921), in terms of the number of sick and dead, were one of the most tragic pages. The scientific literature on the Spanish flu epidemic is rather modest in volume due to a number of objective reasons. According to the author, in order to understand the complex of reasons why the Spanish flu epidemic was the most severe flu epidemic in the history of Russia, which claimed the lives of up to two million people (the exact number of sick and dead in 1918-1921 will never be calculated), and millions of sick people were deprived of access to medical care, it is necessary to realize the scale of the social catastrophe that took place in the country in 1917-1923. The author reveals the relationship between this social catastrophe and the Spanish flu epidemic. Military actions during the Civil War in our country were accompanied by mass mobilization into the ranks of the Red Army, a flow of volunteers into the White Army, as well as the emergence of large partisan detachments and bands, acting under various pseudo-political cover; migration of tens of millions of refugees who fled from the Soviet regime, hunger, violence, pogroms, robberies, from devastated cities and towns, villages and villages. All this contributed to the rapid spread of the Spanish flu virus and other infectious diseases. Neither the Reds nor the Whites had significant organizational and financial resources, medical personnel and public support in the fight against the Spanish flu epidemic. All the forces of the parties to the military conflict went to confrontation in the bloody Civil War. All this did not make it possible to create a unified system of counteracting the Spanish flu epidemic.история медициныиспанский гриппРоссия1.Деникин А.И. Очерки русской смуты. 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