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The passage tells us that when the influenza epidemic started, ....... .
The most severe outbreak of influenza ever took place immediately following World War I. It
seems to have started among the multi-national armed forces in northern France late in the war.
Sanitary conditions there were deplorable. The disease appeared late in 1918, spread around the
world, and lasted into the next year. The world-wide death toll was estimated at 20 million, a
greater number than died in the war. Fifty times that many people had the disease. The highest
death rate was in India, where about 12.5 million people died. This proved to be the most severe
epidemic of modern times and one of history's worst, with mortality rates comparable to the
outbreaks of Bubonic Plague in the Middle Ages.