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Unequal mortality during the Spanish Flu

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  • Basco, Sergi
  • Domenech, Jordi
  • Roses, Joan R.

Abstract

The outburst of deaths and cases of Covid-19 around the world has renewed the interest to understand the mortality effects of pandemics across regions, occupations, age and gender. The Spanish Flu is the closest pandemic to Covid-19. Mortality rates in Spain were among the largest in today’s developed countries. Our research documents a substantial heterogeneity on mortality rates across occupations. The highest mortality was on low-income workers. We also record a rural mortality penalty that reversed the historical urban penalty temporally. The higher capacity of certain social groups to isolate themselves from social contact could explain these mortality differentials. However, adjusting mortality evidence by these two factors, there were still large mortality inter-provincial differences for the same occupation and location, suggesting the existence of a regional component in rates of flu contagion possibly related to climatic differences.

Suggested Citation

  • Basco, Sergi & Domenech, Jordi & Roses, Joan R., 2021. "Unequal mortality during the Spanish Flu," Economic History Working Papers 108853, London School of Economics and Political Science, Department of Economic History.
    • Handle: RePEc:ehl:wpaper:108853
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    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.
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    Cited by:

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    More about this item

    Keywords

    pandemics; health inequality; socio-economic mortality differences; urban penalty;
    All these keywords.

    JEL classification:

    • D6 - Microeconomics - - Welfare Economics
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J15 - Labor and Demographic Economics - - Demographic Economics - - - Economics of Minorities, Races, Indigenous Peoples, and Immigrants; Non-labor Discrimination
    • N0 - Economic History - - General

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