As people from Bolton head to the clinic across the county to have their flu wrinkles, it should be remembered that this is 100 years since the strain of the Spanish influenza erased up to 228,000 people in the UK.
The outbreak, first discovered in Scotland in May 2018, expanded even more quickly with the return of thousands of British troops from the French trench after the end of hostilities in November 1918.
The estimates of this spread, which was considered a worldwide pandemic, continued in 1919, but with fewer beasts, they claimed the lives of more than 50 million people worldwide.
However, as seen from the news page in Bolton's Eternal Archive, this was not the first outbreak of this type that affected Bolton, with a previous outbreak of flu in 1837, which claimed the lives of 420 citizens.
Walter Bromiley, 23, Queensgate, who served as Secretary of the Bolton Philharmonic in the last 25 years, was one of the many victims of the outbreak in 1918, who claimed dozens of victims each year. According to a report in the Bolton and Guardian newspaper, he fell home from a practice for the Messiah, with severe pain he collapsed. Two days later, he died of pneumonia at his home.
Particularly affected outbreaks of young adults aged 20 to 30 years were faster and faster in these cases. The start was devastatingly quick.
According to one report, those Boltonians who were healthy and healthy at breakfast were dead with tea time.
Within a few hours after the feeling of the first symptoms of fatigue, fever and headache, some victims would rapidly develop pneumonia and start turning blue, which means lack of oxygen. Then they will fight for the air until they get choked to death.
By the end of October 1918 and under the title Flu At Sum, the newspaper reported that the schools were closed in order to prevent the outbreak from spreading in the hope: "the power of the epidemic could break".
He further comments: "Bolton, as far as Bolton is concerned, is supposed to be at the top and although there are no signs of his decline, we hope that things will not be worse."
According to Journal, it depends on who believed that the cause of the outbreak, some suggest that this is the result of people who do not have enough fat and whether there was a surplus of rain.
However, the newspaper came to a more learned conclusion with the explanation: "It is most understandable to assume that this is one of those occasional outbreaks, where the bacteria have the help of a number of contributing causes, and not specifically.
"The attack is generally a sharp two-day affair and a quick recovery. Great attention must be paid at least 10 days after it.
"The first signs are because most of the dead are the result of a pneumonia controlling the flu, usually a patient who overtakes prematurely."
The following week, on November 1, the newspaper reported that the flu was "squeezed into hundreds of cases and 30 fatalities, with schools throughout the county closed for the time being.
A well-known song captured complete hopelessness for many who went, was popular with people across the country:
I had a little bird
Her name was Enza
I opened a window,
Outbreak reports are scarce with regard to results, but at the beginning of 1919, staff of the Military Pensions Committee of the cities were ordered to wear face masks in order to prevent them from catching the flu.
The magazine report explains: "Prevention is better than a flu drug." One patient, Bolton (Lieutenant Farnworth), took over the horns, or more germs on the nose and mouth of potential victims. His office became so exhausted because of the epidemic that they were those who the rest, called "flu mask"
The magazine then deals with the militaristic style by explaining: "The employees there performed day-to-day tasks, either with the muslin alone against an enemy attack that had already been consolidated in the office."
Adds: "Healthcare professional for health dr. Gould promotes increased care only now that the disease is calculated at the level of its virulence.
"As far as statistical facts about the epidemic in the city are concerned, it is emphasized that Bolton's mortality last week increased from 44 to 50 of which 21 can be attributed to influenza, which is much lower than other similar sites, and many under numbers are recorded in several cities up and down the country during the epidemic last October.
"So, while there is a cause for concern, all means of prevention must be implemented
Historians suggest that the outbreak was hit by the United Kingdom in a series of waves, with its climax at the end of the First World War. Returning from northern France at the end of the war, soldiers departed by train. The flu has spread from railway stations to the city center, then to the suburbs and to the countryside.
The hospitals were overloaded and even helped medical students. Doctors and nurses worked at a turning point, although there was little what they could do, as there was no treatment for influenza and no antibiotics for the treatment of pneumonia.
In the vicinity, the epidemic had a far greater impact with The Manchester Guardian, who reported that by November 1918 all the city crowds were full, with the counts working evening and day to keep up with the burial at cemeteries.
Efforts were made to ensure the release of trained manufacturers of coffins from the military and military work for digging graves.
In a letter dated 29 September 1918, published in the British Medical Journal in 1979, Professor Roy Grist, a physician in Glasgow, described the lethal impact of the infection.
"It starts with what appears to be the usual attack of the grippe. When he comes to the hospital, [patients] very quickly develop the worst type of pneumonia that has ever been seen. Two hours after the reception, mahogany spots are over the bones, and a few hours later you can begin to see cyanosis [blueness due to lack of oxygen] which extend from the ears and spread all over the face. The only question is only a few hours until death occurs, and it's just a fight for the air until they get choking. It's terrible. "