Lessons from 1918: Social Distancing Was Most Effective Preventive Measure

Jim Braibish • March 18, 2020

The last flu pandemic to affect the United States to this magnitude was the 1918 influenza. Efforts in Kansas City to limit public gatherings and the spread of the disease were hampered by conflicts between political officials and public health officials. The death rate in St. Louis, which implemented strong and rapid social distancing measures, was much less than in KC. Like now, there was no vaccine for this flu.

The lessons of 1918 are very relevant today. Learn more in these links.

What The 1918 Flu Pandemic Taught Kansas City About Dealing With Outbreaks Like The Coronavirus
KCUR – February 26, 2020

A coronavirus lesson? How KC’s response to 1918 flu pandemic caused needless death
Kansas City Star – March 15, 2020

The 1918 Influenza in Missouri: Centennial Remembrance of the Crisis
Describes public health efforts across Missouri and compares St. Louis with Kansas City
By David S. McKinsey, MD, Joel P. McKinsey, MD & Maithe Enriquez, PhD
Missouri Medicine  July-August 2018

Public health interventions and epidemic intensity during the 1918 influenza pandemic
2007 systematic analysis of 19 public health measures taken in 17 U.S. cities in the 1918 pandemic, published in the  Proceedings of the National Academy of Sciences
“Cities in which multiple interventions were implemented at an early phase of the epidemic had peak death rates 50% lower than those that did not and had less-steep epidemic curves. Cities in which multiple interventions were implemented at an early phase of the epidemic also showed a trend toward lower cumulative excess mortality … .”

Rapid Response was Crucial to Containing the 1918 Flu Pandemic
News release from the NIH announcing the 2007 study; includes the following quote from Anthony S. Fauci, MD, then and current director of the NIH National Institute of Allergy and Infectious Diseases: “A primary lesson of the 1918 influenza pandemic is that it is critical to intervene early.”

MORE ON CORONAVIRUS:

Special Message on COVID-19 from KCMS President Dr. Betty Drees

Coronavirus Resources

Skyline view of Kansas City, Missouri, including Union Station, with a field in the foreground under a cloudy sky.
By Micah Flint December 18, 2025
As we finish 2025, I am humbled and honored to be your incoming Kansas City Medical Society president. I want to thank Dr. Sarah Hon for her leadership and mentorship over the past year, and our executive director, Micah Flint, for his administrative support. Our medical society began with the Jackson County Medical Society in 1881, later merging with Wyandotte and Johnson County Medical Societies to become the bi-state Kansas City Medical Society in 2018. We have led health initiatives including Tobacco 21 legislation, Medicaid expansion, the COVID-19 pandemic, the opioid crisis, and physician wellness. Our society is currently advocating for a speaker’s bureau, promoting suicide awareness at our local hospitals each fall, and leading vaccine education efforts in our community. As we move into 2026, our healthcare environment continues to change rapidly. With new medications and procedures, hospital mergers, EMRs, AI, scope-of-practice changes, hospitalists, and the rise of employed physicians, there are many challenges but also opportunities to lead in our healthcare communities. We must support one another to thrive and flourish. I ask that you stay involved and active in our organization as we plan networking and CME activities for 2026. Continue reaching out to colleagues as we learn from one another.
January 6, 2025
I consider it a sincere honor to serve as president of the Kansas City Medical Society this year. As we look forward to this new year, we celebrate our previous accomplishments and look for new ways to meet the challenges of our ever-changing healthcare environment. As we recognize our recent successes, I want to take the opportunity to thank Dr. Greg Unruh, our immediate past president, for his excellent leadership, and I look forward to his continued partnership, providing much-needed wisdom and experience to our board of directors as well as a leadership council. I am also deeply appreciative of Micah Flint, our executive director, now in his third year with the Society. As a board, we are prioritizing key areas where we believe the Society can make a difference for physicians and the communities we serve. With this in mind, we will continue our focus on wellness, advocacy, and expand our opportunities for in person social and educational gatherings. Our journal connects us in a variety of valuable ways, and we will continue its publication and expand its distribution. Under the directorship of Karole Bradford, the Society’s Foundation continues to do invaluable work. We celebrate those accomplishments and the charitable care they provide to our community’s vulnerable population. We are grateful for our individual members and corporate sponsors and welcome your suggestions of how the Society can best serve physicians and our community. Please mark your calendar for the Society’s upcoming events and consider inviting physician colleagues to join you as we gather to learn and support one another.
September 18, 2024
Kansas City area hospitals turn out for Physician Suicide Awareness Day: September 17th, 2024