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Spanish Flu and Its Impact on Saskatchewan Healthcare

In October of 1918, Spanish Flu broke out in Saskatchewan, carried home by soldiers returning from the First World War. By the end of 1918, nearly 4,000 people in Saskatchewan had died of the disease. The illness highlighted the disadvantages people living in rural areas faced in trying to obtain healthcare. Rural hospitals were few and far between, and many communities had no doctor and no means of treating the disease. Early on, farm women such as Violet McNaughton called for an increase in rural healthcare advocating for programs such as nurse training, but these calls went largely unheard.

Not only were rural communities unprepared for the epidemic due to the lack of available healthcare, but the available treatments were often out of reach. At the time, alcohol was considered one of the best treatments and preventative medicines for the Spanish Flu, but prohibition was still in effect. In a desperate attempt to treat the Flu, the provincial government permitted pharmacists to dispense alcohol if they deemed it necessary, but for communities without a pharmacist, this did little good. The lack of adequate healthcare meant that death rates from the Flu in villages and rural areas were nearly twice as high as the death rates in urban centres in Saskatchewan.

The death rates on First Nations and at residential schools may have been even higher. The lack of healthcare that caused much of the suffering for individuals and families in rural areas was even worse in First Nations comminities. The RCMP quarantined First Nations that had recorded the illness, but the focus of the quarantine was to prevent the spread of illness to settler communities, not to protect the Indigenous communities where the flu was already present.

Three men in Alberta wearing masks. 1918. Credit: Library and Archives Canada / PA-025025

Though it was a tragic time in Saskatchewan’s history, changes were made across the province because of the Spanish Flu experience. Rural municipal doctor programs, where a municipality would pay the wages of a doctor to keep him in the community instead of individual farmers paying for medical treatment when necessary, were a precursor to nation-wide Medicare. Vaccines also rose in popularity in response to the crisis, and the establishment of rural hospitals became a priority for communities.

The first female MLA in Saskatchewan was also elected as a result of the Flu. Sarah Ramsland won her seat in the provincial legislature after her husband, Magnus Ramsland, died of the Flu. The provincial Liberal party put her forward as a candidate in an effort to help keep her and her family from poverty by providing her with a salary. She won the election and sat in the legislature for six years until losing the 1925 election.

The WDM Saskatoon has a small exhibit on the Spanish Flu. Located in the Winning the Prairie Gamble section, right across from the sod house, is a hearse and a panel describing the impact of the Flu on Saskatchewan communities. In addition to this, there are three personal stories that can be listened to, which further drive home the devastation caused by the Spanish Flu. To learn more, visit the WDM Saskatoon.

By Kaiti Hannah
Curatorial Assistant
Western Development Museum


Belyea, Andrew. “The History of Vaccinations: The Build Up to the Spanish Flu.” Museum of Health Care Blog. July 11, 2017. Accessed February 04, 2019.

Champ, Joan. “The Impact of the Spanish Influenza Epidemic on Saskatchewan Farm Families, 1918-1919.” Western Development Museum, January 13, 2003. Accessed February 04, 2019.

James, Thia. “100 Year On: Spanish Flu’s Toll on Saskatchewan Not Forgotten.” Saskatoon StarPhoenix, December 22, 2018. Accessed February 04, 2019.

Lux, Maureen Katherine. The Impact of The Spanish Influenza Pandemic in Saskatchewan, 1918-1919. Master’s thesis, University of Saskatchewan, 1989.

Waiser, Bill. “History Matters: 1918 Spanish Flu Led to Saskatchewan’s First Female MLA.” Saskatoon StarPhoenix, November 22, 2016. Accessed February 04, 2019.

  • Hi,

    I’m looking for a copy of Joan Champ’s, Impact of the Spanish Influenza on Farm Families. The link on the page re Spanish Flu is to a document about World War I effects on farm families. I remember her piece on the Flu some years ago and would like to revisit it for a project I’m working on.

    If you could send me a pdf copy that would be most appreciated. my email is


    Jason Heit

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