Spanish Flu: The Forgotten Fallen


Spanish Flu: The Forgotten Fallen

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This programme contains some scenes which some viewers may find upsetting

0:00:050:00:09

Come on. Come on, for God's sake.

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BELL RINGS

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You've just cost me a penny, love.

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No school today. Ladies, to your work.

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There's no schoolroom today.

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No teacher come in.

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-Right, Mr Stanford.

-They can play out.

-But it's cold!

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It's fresh air.

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Come on, your work won't do itself.

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-Morning, Dr Turner.

-Good morning, Dunks!

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-Too early to talk about rat poison?

-Never too early for rat poison.

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Morning, Mrs Lytton, can I have the rats and mice quarterlies, please?

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Not a very nice subject to start the day with, is it? Vermin?

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These are the 1916 ones - I need the current ones.

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They're underneath.

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-I think you should talk to this gentleman.

-Who is it?

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Mr Stanford, Queen Street Mill.

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-This is for you.

-Thank you.

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-Good morning.

-Good morning!

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Any more news on Mr Lytton?

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Oh. Just one or two days.

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-His battalion's on its way home, so they say.

-That's good, in't it?

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We can all get back to normal.

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Er, that's the one, I think.

0:03:200:03:22

Mrs Lytton, forget the rodents.

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I need the recent bronchopneumonic figures. Specifically influenza.

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There's a child dead at Queen Street Mill.

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Flu? We're done with that, aren't we? We had it in August.

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Mrs Lytton, leave these.

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I'd like you come with me - I may need some help.

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I've been in this job for 30 years

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and let me tell you, Dunks, it does come back.

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Cheerio.

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They would normally be in school.

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We have a little schoolroom for them, but the teacher's sick.

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The teacher's sick? Since when?

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-Since today.

-How was the teacher yesterday?

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-How should I know?

-I need you to find out, Mr Stanford.

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Indeed, I need you to find out a number of things.

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-Let's start with the lavatories.

-The lavatories?

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You have only one towel, Mr Stanford, for this entire floor.

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They CAN bring their own.

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How many do? And how many is that one towel supposed to go round?

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You must have read my most recent pamphlet,

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otherwise you wouldn't have known who to telephone.

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Did you read the bit about common towels spreading infection?

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I'm running a business in difficult times, Dr Niven.

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Along much more charitable lines than a lot of other men.

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It's as much as I can do to keep the looms going.

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I've no men.

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I've had no men for four years.

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This is the lady.

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What's her name?

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What's your name?

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Mrs Houlston.

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What's your daughter's name, Mrs Houlston?

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Ellen.

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Mrs Houlston,

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I have to ask you one or two questions

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so that other mothers don't go through this.

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How long was Ellen ill?

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It came on this morning. Right as rain yesterday night.

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Have you had other visitors in the house?

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Her Uncle Frank came back from France last night.

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And how's her Uncle Frank?

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I don't know.

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Mrs Houlston, I...

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-I have to ask you if I can take Ellen's body away with me.

-What?

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We have to identify what caused this. It'll be of great benefit.

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Benefit?

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To who?

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Not to her.

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No, love.

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But it might stop it happening to the other kiddies.

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You're not going to cut her up?

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Mr Stanford!

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He wouldn't do it if it wasn't going to help.

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Have you got bairns?

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Yes. I've got a lad.

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And you'd have him cut up, would you?

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I'll not have her taken.

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I have a husband who I've never buried,

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who's lying in pieces somewhere with no grave!

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I'll not have her taken.

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Now then, Mrs Houlston, if the doctor says he wants to take the child,

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then surely he's got good reason. So shall we stop being sentimental?

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You've still got other kiddies to feed.

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Don't you touch her!

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This may signify the start of a new outbreak.

0:07:020:07:05

I want an ambulance service

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specifically for any child taken with flu at school,

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to get them home and quarantined.

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So who's supposed to look after them?

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Their parents. Health visitors.

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There should be a quarantine room in every home.

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Bit of a luxury.

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Most homes only have two rooms.

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Then they can divide the room with a curtain.

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All the information is in my last leaflet.

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I want 150,000 more made.

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I want all public assemblies curtailed,

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I want the Sunday schools shut down,

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I want the trams stopped and I want the mills closed.

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You do aim high, don't you, Doctor?

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The girl's ears had turned blue. Heliotrope cyanosis.

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It's what happens at the last stages before death.

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But you don't have any post-mortem evidence?

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Not as yet.

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What are the figures?

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-We only have confirmed figures from two weeks ago.

-What are they?

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Nine deaths from influenza. Nine from pneumonia.

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Six from bronchopneumonia. Nine from bronchitis.

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In a population of one million,

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including Salford, which I suppose we must.

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The Evening News says that this winter,

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Manchester won't be infected.

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I didn't realise the qualification

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for writing for the Evening News was a degree in Medical Science.

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We did have a very expensive false alarm in the summer, Dr Niven.

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I closed things down for you, and there was hardly an outbreak at all.

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20% of the people got it.

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-The fatality rates were low. You're twitchy.

-Yes, I'm cautious.

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It comes back.

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Why don't you get me the current figures? I'll see what I can do.

0:08:460:08:52

That takes time!

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But surely, like the doctor says, prevention's better than cure.

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We need to do something now.

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It's not my job to close things down, James.

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It's my job to keep things running.

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And since we're about to come out of this war,

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I rather fear that my chief health priority is going to be VD.

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Sorry.

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You'll be wanting some leave, I expect?

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For when Mr Lytton comes home.

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Three days enough?

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Are you sure?

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Thank you, Doctor. That's more than enough.

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-I wonder if you would wait a little later this evening?

-Oh, I see.

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Yes, it's just that Dunks

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is doing door-to-door round the hospital for figures,

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and I want some frequency curves by tomorrow morning.

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I need something to persuade Mr O'Donnell.

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-This is really serious, isn't it?

-Oh, no, you'll be fine.

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You're fairly fit, you had it in August.

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It's the vulnerable who'll suffer.

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When the Russian Flu broke out, long before you were born,

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I was just a young doctor just down from Scotland.

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We did what we could, but we knew very little.

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An awful lot of children died.

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But of course, that was then.

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-What time is it?

-A little after six.

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I'm going to catch the last London train.

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-What?

-I'll be back as soon as possible.

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I want to go and ask an old friend about something.

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Oh, and...chin up, Mrs Lytton.

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We're going to nip this thing in the bud.

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Sam!

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Sam!

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Get inside the house!

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I won't tell you again. And the rest of you, get home to your mammies!

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Go on!

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I will not tell you again, get inside.

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What's up with you?

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Mrs Flynn says your John's lot are back -

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they've stopped at Salford.

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Salford?! Oh, Mam!

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He could be walking back from there!

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When did she say that?

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This afternoon. Her lad sent her a letter.

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They're keeping them in Salford a few more days.

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Well, why?

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She didn't say. You know how the army is.

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Why didn't he send ME a letter?

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And why on earth are they keeping them?

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The war's over, in't it?

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It's only paperwork or summat.

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You've hardly had him here the last four years, love.

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Your John'd be late to his own funeral.

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Will you stop saying that, Mam?

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This sickness was almost completely unpredictable,

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and it is very hard to prepare for something one cannot predict.

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This is the second wave of it, Sir Arthur.

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One can always predict that there will be a second wave.

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The chances of co-ordinating

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a nationwide, or even metropolis-wide strategy to any kind of influenza

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are so slim they're impossible.

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London's infected.

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As are Liverpool and Glasgow.

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They are the first ports of call.

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We have neither the resources nor the personnel to contain this.

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With regret, we must just allow it to take its course.

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Manchester has hardly been touched yet. And that is why I am here.

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You have people working on a vaccine, don't you?

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-I beg your pardon?

-I understand you have people working on a vaccine.

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I don't know why you would understand that.

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It'll be some weeks before the trials are undertaken.

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By that time, this outbreak will have passed over.

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We can run trials in Manchester now, Sir Arthur.

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We can pre-empt it. We can stop it before it starts.

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James, you're right.

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This is a little more severe than the normal yearly flu,

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but it will run itself out.

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And it's nothing compared

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to what we and public health have been through in the war.

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I suggest sticking to the sanitary measures

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outlined in my latest memorandum.

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Stop men spitting in the streets, ventilate the assembly rooms,

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and do what you can in general to keep people away from one another.

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Never mind the vaccine.

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BELLS TOLL

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That'll be the Armistice.

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Well, James...

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there we are.

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How are we supposed to keep people away from one another now?

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What's the matter? Eh?

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You all right?

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Can we get a doctor or a nurse? Can somebody help him, please!

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Everybody stand back.

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Get him into that waiting room.

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Don't touch the skin! Just the tunic, careful.

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Just the tunic, not the skin!

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We have to clear this waiting room, please. Everybody out.

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We need to isolate him.

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What are you doing? You can't just leave him!

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-He'll need an ambulance.

-There's as many coming as can.

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There's sick getting off all the trains!

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We need to stop this spreading. We have to seal off the station.

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We can't enforce it - I'm the only one here.

0:17:180:17:21

Everyone else is on the Armistice party.

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-What Armistice party?

-Albert Square.

-Dear God.

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Leave him, go.

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Mr O'Donnell.

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James, you remember my wife.

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How do you do? Can you please send these people home?

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What? Why?!

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There is a lot of infection coming home with the boys.

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-The people should not gather!

-Don't be such an old woman, James!

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What do you want them to remember in 20 years' time?

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The fact they had an almighty party

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to celebrate the end of the worst bloody four years of their lives,

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or the fact that our municipality sent them all home

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cos we're worried they might get a nasty cold?

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I've just seen a man coughing his lungs up at Oxford Road.

0:18:320:18:35

This is no cold!

0:18:350:18:37

-Good afternoon, Doctor. How was London?

-It was full.

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Did you get over to the hospital? Did you get the latest figures?

0:18:400:18:44

There's not much chance of getting anything today,

0:18:440:18:46

-apart from trodden on.

-Sorry. Flat feet.

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Good for getting you out the army. Not so good for dancing.

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I need to get figures first thing tomorrow morning.

0:18:510:18:54

I wish we could close this down!

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LABOURED BREATHING

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Dear God!

0:19:500:19:52

PHONE RINGS

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ANOTHER PHONE RINGS

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SEVERAL PHONES RING

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COUGHING

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WHEEZING

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BANGING ON DOOR

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Heliotrope cyanosis. Purplish tinge to the mouth.

0:21:010:21:05

Named after a flower.

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My mother has purple hydrangeas in her garden. I can't look at them now.

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He's been completely starved of oxygen.

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Yeah, and we should expect to see the usual Pfeiffer bacillus influenzae

0:21:170:21:24

and... Uh!

0:21:240:21:25

-God! Smells like gangrene.

-Yeah.

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His lungs should be white.

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Look, they're full.

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It's drowned him.

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That's the worst I've ever seen.

0:21:370:21:39

Not even the Russian flu could manage that.

0:21:390:21:42

-How old was he?

-21.

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Just had a birthday, according to his papers.

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Strong as a carthorse on his demob report, then dead within 24 hours.

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Who knows what happened to him in France.

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-Gas.

-No, I saw this boy off the London train.

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He hadn't suffered gas.

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This is something entirely new.

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Look, I really am sorry - I don't know any more! Doctor,

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I'm sorry. I've been entertaining this gentleman of the press

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for as long as possible. I probably said all the wrong things.

0:23:170:23:20

This Spanish flu, where's it really come from? America?

0:23:200:23:23

Regardless, it's here. You can tell your readers to stay inside.

0:23:230:23:26

What do you say to the assertion that the majority of American troops

0:23:260:23:30

currently stationed at Old Trafford are presenting with the disease?

0:23:300:23:33

-No comment.

-What about this immunity we're supposed to have?

0:23:330:23:36

Can we assume if you had it in the summer, you won't have it again?

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Are you gonna have to close down the city?

0:23:400:23:42

I can't answer any of these questions.

0:23:420:23:44

And don't make up your own answers and print them.

0:23:440:23:47

-Why don't you take a leaflet?

-Print that if you want to be responsible.

0:23:470:23:51

Don't panic people and don't print rumours.

0:23:510:23:53

Doctor...

0:23:530:23:55

Just man to man...

0:23:550:23:58

if we had it in summer, are we immune?

0:23:580:24:01

We really don't know that.

0:24:040:24:06

And are we gonna have to close the city?

0:24:060:24:08

You'll hear that from the Town Hall. Thank you.

0:24:080:24:11

"Whole families were swept away together,

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"but this was indeed at the very height of the distemper.

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"Time inured them to it all,

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"and they ventured everywhere without hesitation,

0:24:230:24:26

"as I occasion to mention at large hereafter."

0:24:260:24:28

What's that?

0:24:280:24:30

Daniel Defoe. A Journal Of The Plague Year.

0:24:300:24:33

Please tell us that you've found something more recent than that.

0:24:330:24:36

What plague year?

0:24:360:24:38

1665.

0:24:380:24:39

-16-flipping-65?!

-The epidemiology's quite accurate.

0:24:390:24:43

A first spread of infection, then dormancy,

0:24:430:24:46

during which people start to move about again, then a second spread,

0:24:460:24:49

even worse than the first. Dr Niven was right.

0:24:490:24:52

That was our first wave back in the spring.

0:24:520:24:55

It's not plague? It's flu. Isn't it?

0:24:550:24:58

The flu has nothing in common with pneumonic or bubonic plague,

0:24:580:25:01

Mrs Lytton. And it is not helpful to refer to it in that way.

0:25:010:25:04

Well, except that a second spread is common to most infectious diseases,

0:25:040:25:08

if the incubation period is long enough. Same with the Black Death,

0:25:080:25:12

the Great Plague, the Plague of Justinian.

0:25:120:25:15

Even your Russian Flu, Doctor. Because of human behaviour.

0:25:150:25:18

People believe it's over, they start moving about again,

0:25:180:25:21

and up it pops. Worse than before.

0:25:210:25:23

-All this is medically established.

-Yes, but I'm talking about socially.

0:25:230:25:27

Aside from all the other problems,

0:25:270:25:28

we need to start preparing for the social difficulties.

0:25:280:25:31

It's the same with all significant epidemics. Social order breaks down -

0:25:310:25:35

you have looting, fighting, unrest.

0:25:350:25:37

-The rich leave and the poor remain to die.

-What?

0:25:370:25:40

Please, could you keep to the statistics, Mr Dunks.

0:25:400:25:44

PHONE RINGS All right.

0:25:450:25:47

Medical office?

0:25:500:25:51

I found this in the library too.

0:25:510:25:53

-Well, not much of any use in there.

-We'll accept the charges.

0:25:540:25:58

I thought it wasn't spread by breath - it probably was.

0:25:580:26:01

I thought that civil intervention wasn't necessary -

0:26:010:26:04

it probably should have been.

0:26:040:26:06

I'm afraid I allowed myself be convinced by the powers that be

0:26:060:26:09

when they said they didn't want to notify the disease.

0:26:090:26:11

-Mam?

-I did better than Sir Arthur damned Newsholme.

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-They were dropping like flies when he was in MOH in Brighton.

-Oh, God!

0:26:150:26:19

All right, all right! Just stay with him. All right?

0:26:190:26:24

It's Sam.

0:26:270:26:29

Who?

0:26:290:26:30

My son!

0:26:300:26:32

Right, Mrs Lytton, get yourself home right away.

0:26:320:26:35

Quickly, we can spare you, please.

0:26:350:26:38

-Thank you.

-Yes. Quickly.

0:26:380:26:40

I don't want you talking about plague.

0:26:450:26:48

People fight on the streets because they get panicked.

0:26:480:26:51

And if you say the word "plague" to them,

0:26:510:26:54

that's the first thing they'll do.

0:26:540:26:55

It is a plague, though. Isn't it?

0:26:570:27:01

-Oh, sweetheart.

-He's got the sweats.

-I'm all right.

0:27:190:27:23

What's the advice, love?

0:27:230:27:24

Um... Right.

0:27:240:27:27

We're going to keep him isolated... and let's get that window open.

0:27:280:27:34

Get some fresh air in.

0:27:340:27:36

Weren't we to keep a fire going? Weren't we to keep it warm?

0:27:360:27:39

I don't know - isn't that normal flu?

0:27:390:27:42

They never said what to do when you've got it -

0:27:450:27:48

only what to do to stop it spreading!

0:27:480:27:50

Right, um...

0:27:500:27:54

Let's wash our hands.

0:27:550:27:56

-And I'll get some water from the pump.

-That's it?

0:27:560:28:00

Um...

0:28:030:28:05

Maybe we should move him in there.

0:28:060:28:08

You know. Let's get something to put a curtain up there, and...

0:28:080:28:12

..we'd better stay in here.

0:28:130:28:15

Maybe he needs a mask.

0:28:190:28:21

Or maybe we need a mask.

0:28:220:28:25

Mam, I don't know.

0:28:250:28:29

-Oh, bloody idiot!

-Oh, dear, dear.

0:29:040:29:08

Makes me sick, shuffling these damn papers all day. No bloody use.

0:29:140:29:18

-Yes, it is. Now stop carping.

-There's a woman down our street

0:29:180:29:21

posts a white feather through our letterbox every week.

0:29:210:29:24

You are not a coward. You've got flat feet.

0:29:240:29:26

-I'm a stupid bloody clerk.

-Stop it, Mr Dunks.

0:29:260:29:29

THIS is your war,

0:29:290:29:32

if you want to fight it.

0:29:320:29:33

We'll have more of Dr Niven's pamphlets printed

0:29:400:29:44

and we'll get disinfectant and coal to as many houses as we can.

0:29:440:29:48

Hygiene and warmth are the best ways

0:29:480:29:50

to prevent the spread of the illness.

0:29:500:29:52

Those who are sick will have a shoulder to lean on.

0:29:520:29:55

While the rest of us keep our heads down and carry on.

0:29:550:29:58

Isn't that right, Dr Niven?

0:29:580:30:00

No. That is not what I've been telling you.

0:30:000:30:03

We need to close the city.

0:30:030:30:06

This pestilence spreads at about the same rate that men travel

0:30:060:30:11

and it spreads easily.

0:30:110:30:13

We don't yet know how.

0:30:130:30:15

Probably by direct contact, skin to skin, and possibly

0:30:150:30:20

by contact with infected materials, which we call fomites.

0:30:200:30:24

Dirty handkerchiefs, anything which has infected sputum or blood on it,

0:30:240:30:28

any soiled clothes or fabrics should be burnt straightaway.

0:30:280:30:31

D'you want everybody wandering around naked?

0:30:310:30:33

They don't want folk wandering around at all.

0:30:330:30:36

You want us all to stay at home, don't you?

0:30:360:30:38

-That's what you told your pet journalist, isn't it?

-Yes, I want everybody in isolation.

0:30:380:30:42

Close my cinemas? Cancel the trams?

0:30:420:30:45

Cancel the trams, close the cinemas, shut the schools,

0:30:450:30:49

the mills, the public houses, help the hospitals deal with the patients

0:30:490:30:53

that they have and not provide them with thousands more.

0:30:530:30:56

Shut the city.

0:30:560:30:58

We can't enforce that! We'd need the army.

0:30:580:31:02

Half the army are in Salford hospital.

0:31:020:31:04

We're not establishing martial law! I wouldn't know how to, in any case.

0:31:040:31:10

Short of a miracle cure, this is the only way to stop it.

0:31:100:31:14

I've nothing from London on this matter, Dr Niven,

0:31:140:31:18

and we must follow London's lead.

0:31:180:31:20

London is letting it run its course,

0:31:200:31:22

however fatal. This is Manchester. Manchester makes its own choices.

0:31:220:31:26

-Its own destiny.

-Too bloody right.

0:31:260:31:29

If we do implement these closures, it is to be understood that they

0:31:310:31:35

will re-open and be back to normal again as soon as possible.

0:31:350:31:38

-That is understood.

-I won't be closing my Sunday schools.

0:31:380:31:43

-I beg your pardon?

-As an officer of God's communion,

0:31:430:31:47

I refuse to sanction the closing of the Sunday schools.

0:31:470:31:50

This thing kills children.

0:31:500:31:52

Adults can look after their own spiritual wellbeing.

0:31:520:31:56

I will not be turning the children away!

0:31:560:31:58

Don't look so depressed, James. They'll come round.

0:32:050:32:08

When?

0:32:080:32:09

When the children are dead?

0:32:090:32:11

We need to isolate now, or this thing will get worse.

0:32:110:32:14

We need to cut it off. We need to starve it to death.

0:32:140:32:17

Mr Gold has agreed to clear his cinemas.

0:32:170:32:19

-That's good. For how long?

-15 minutes between the shows.

0:32:190:32:23

I asked him for 30, but 15 is enough to clear the air, isn't it?

0:32:230:32:27

-What do you think?

-I think I'm doing my best, James!

0:32:270:32:31

You can't isolate an entire city. Even at the best of bloody times,

0:32:310:32:36

and certainly not with no police force, the army away,

0:32:360:32:39

and people who'll starve to death if they can't get in to work.

0:32:390:32:44

Look, be realistic. We're gonna close most of the schools.

0:32:440:32:49

You've got that.

0:32:490:32:50

And the city'll provide milk, sugar and coal for sick families.

0:32:500:32:55

-When?

-Immediately - I'm not a monster, James!

0:32:550:32:58

-And how will we get it to them?

-I don't know. Door to door.

0:32:580:33:01

We'll run out in five minutes.

0:33:010:33:03

We cannot abandon people to their fates!

0:33:030:33:05

We've moved on from the days of the plague.

0:33:050:33:08

-We need a system.

-Well, you provide me with one, then!

0:33:080:33:12

Plague? I thought we weren't supposed to mention plague.

0:33:180:33:23

I need you to find out the exact quantities that we have available

0:33:230:33:27

of milk, Glaxo, coal and sugar, and their costs.

0:33:270:33:31

I also need to find out how many men and vehicles

0:33:310:33:34

that we have at our disposal.

0:33:340:33:35

And don't begin to tell me that there isn't the time!

0:33:350:33:38

Meeting in the council chamber - I'm sure Mr O'Donnell can spare you.

0:33:450:33:49

Public Monuments and Lavatories

0:33:520:33:54

has now been subsumed into Health, gentlemen, please.

0:33:540:33:57

Two of you go to the Salvation Army, two of you go to the Boys Brigade,

0:33:570:34:00

two of you to the Women's Social and Political Union.

0:34:000:34:03

Dr Niven wants at least three volunteers for everyone here.

0:34:030:34:07

Come on, this is our war now.

0:34:070:34:09

Today will be mainly a paper chase - tomorrow the real work will start.

0:34:110:34:17

We will find the homes with children from the school registers.

0:34:170:34:20

We'll find the homes without a man from the war casualty list.

0:34:200:34:23

We'll find the poor homes from the special assistance register.

0:34:230:34:27

I want all these documents here and collated by teatime.

0:34:270:34:30

Thank you very much, ladies and gentleman.

0:34:300:34:32

Trams have stopped running - prepare for some extra leg work.

0:34:320:34:36

Six pounds' worth of milk.

0:34:360:34:38

25 pounds' worth of coal. 30 pounds' worth of sugar.

0:34:380:34:41

-Per street?

-No. That's for the entire city.

0:34:410:34:44

Good Gordon Highland!

0:34:440:34:46

Let's see where these depots are, see what we've actually got in them.

0:34:470:34:51

These things are miles out of...

0:34:510:34:53

Let's stir things up a bit.

0:34:530:34:54

Let's get this coal into where it's really needed.

0:34:540:34:57

That's like there, there, there... How many delivery men do we have?

0:34:570:35:01

-Well, it's changing every day.

-Let's work on the assumption that

0:35:010:35:04

-half of them will be ill on any one day.

-Er...20 wagons.

0:35:040:35:08

How many homes can they do in a day?

0:35:080:35:11

Well, they can do streets.

0:35:110:35:14

No, no, no - I don't want streets, I want it targeted at homes.

0:35:140:35:17

-Which ones?

-Well, the homes with a family and no man there.

0:35:170:35:21

Homes that live on less than 18 shillings a week.

0:35:210:35:23

Homes that require assistance!

0:35:230:35:25

I don't know where they are!

0:35:250:35:27

That's why we sent our people out! They're in there, there and there!

0:35:270:35:31

Masks are available for those who wish them.

0:35:500:35:53

Over here, please! Over here, thank you!

0:36:160:36:18

And take this one... just directly to Stretford Street.

0:36:180:36:23

Half a dozen houses there without coal.

0:36:230:36:26

Straight on to Heaton Moor, Moss Side and Didsbury, you two.

0:36:260:36:30

Homes, yes, yes, homes.

0:36:300:36:33

Specific homes, not streets. Homes!

0:36:330:36:35

-Oh, no, there's not enough.

-Pardon?

0:36:350:36:37

There's not enough coal and there's not enough waggoners.

0:36:370:36:40

There's more of them ill than we thought.

0:36:400:36:42

Then we have to send it to the parts of the city with the most children -

0:36:420:36:46

that has to be the priority.

0:36:460:36:47

Parts of the city with the most schools.

0:36:470:36:51

Can I have those three on that trolley there...?

0:36:510:36:54

Yes, will you kindly pass on the message to Sir Arthur?

0:37:000:37:06

Well, I'm terribly sorry to hear that, but...

0:37:060:37:08

Erm, yes, the message is that we are ready and anxious to conduct trials

0:37:080:37:13

of the vaccine here in Manchester to stop this thing spreading further.

0:37:130:37:18

Well, would you send someone down the street to tell her?

0:37:530:37:58

No, I understand, but what is the point in me dictating a telegram?

0:37:580:38:02

In what way is that different

0:38:020:38:04

from you sending someone down the road with a message?

0:38:040:38:07

Oh, yes, yes, right, I understand.

0:38:090:38:12

"Mrs Lytton, please come back to work,

0:38:120:38:16

"sickness permitting.

0:38:160:38:18

"Stop."

0:38:180:38:19

HE PUTS PHONE DOWN

0:38:190:38:22

Well?

0:38:230:38:25

We've lost another 300 since Monday.

0:38:270:38:29

Damn it.

0:38:290:38:31

And there's something else.

0:38:320:38:36

I think there's a pattern.

0:38:390:38:41

We expect to find deaths at each end of the spectrum. And there are.

0:38:410:38:44

But there are also a considerable number of deaths here,

0:38:440:38:47

where there should be very few.

0:38:470:38:49

The curve of mortality peaks between the ages of 20 and 34.

0:38:490:38:53

Perhaps it's because the very young and the very old are dying at home,

0:38:530:38:58

and what we're looking at is the middle group, who die in hospital.

0:38:580:39:01

You know as well as I do, they shouldn't be dying at all.

0:39:010:39:04

There should be no deaths here at all -

0:39:040:39:06

they should be best-equipped to fight it off.

0:39:060:39:09

It doesn't make any sense.

0:39:090:39:11

For the young, fit, healthy.

0:39:110:39:14

Well...troops often expire when they come back home.

0:39:140:39:20

No, no, that wouldn't explain it. No, no.

0:39:200:39:22

Why are the strongest... now the most vulnerable?

0:39:240:39:28

Why are they now in the most danger?

0:39:280:39:31

It's perverse.

0:39:310:39:33

PHONE RINGS

0:39:330:39:35

Yes - Dr Niven.

0:39:390:39:40

Yes, I am Mrs Lytton's employer.

0:39:410:39:45

This is where Mrs Lytton lives.

0:39:470:39:49

Yes, Brick Street.

0:39:490:39:52

Was Brick Street on our list?

0:39:520:39:55

No, no, I don't think so. It's not a priority.

0:39:550:39:58

There's not so many schools here.

0:39:580:40:01

What did happen to your eye, by the way?

0:40:020:40:05

I advised a gentlemen against spitting in the streets.

0:40:050:40:09

This was the thanks I got.

0:40:090:40:10

Which one is it?

0:40:100:40:12

Mrs Lytton's house?

0:40:210:40:24

Er, yes.

0:40:240:40:25

I'm Dr Niven - I received a telephone call.

0:40:250:40:30

Is everything all right?

0:40:300:40:31

You'd best come in.

0:40:330:40:34

Mrs Lytton?

0:40:420:40:43

He got all the way to Salford.

0:41:210:41:23

I'm so sorry, Mrs... So sorry.

0:41:260:41:31

Died day before yesterday.

0:41:310:41:33

Apparently it were quick.

0:41:350:41:37

They buried him already, some of his pals buried him.

0:41:410:41:43

Apparently he wrote me a letter, but the...

0:41:450:41:48

the sergeant told him to burn it, burn all his stuff.

0:41:480:41:53

Oh, God, Peggy, I'm so sorry.

0:41:530:41:56

Stops it spreading, doesn't it?

0:41:560:41:58

What did you do about the soldiers, Doctor?

0:42:030:42:06

I...

0:42:070:42:08

What did you do about the grown-ups?

0:42:080:42:12

Cos it's not the children, is it?

0:42:130:42:15

I mean, he's fine, just a bit off-colour with it.

0:42:150:42:18

It's the men that it's killing.

0:42:180:42:22

There's three on this road, and now my John.

0:42:220:42:26

What's happening with this sickness is...

0:42:260:42:29

It does nothing that we expected.

0:42:290:42:31

Who's gonna look after this lot if I get it, eh?

0:42:310:42:33

You'll be looked after, you'll all be looked after.

0:42:330:42:36

A system is now in place...

0:42:370:42:40

What...what bloody system? Your system might be working elsewhere,

0:42:400:42:45

but it ain't working round here!

0:42:450:42:47

I mean, have you been outside lately?

0:42:470:42:49

Of course you bloody haven't!

0:42:490:42:52

There's people starving behind their own front doors,

0:42:520:42:56

cos no-one will go anywhere near 'em!

0:42:560:42:59

People are frightened.

0:42:590:43:01

You're meant to be in charge!

0:43:010:43:05

You're meant to know what to do.

0:43:060:43:08

Peggy...the doctor's come all this way to see you.

0:43:100:43:16

He only means well.

0:43:160:43:18

Sorry.

0:43:200:43:22

Sorry.

0:43:240:43:26

Sorry.

0:43:270:43:29

I will ensure that her wages are paid for as long as she likes.

0:43:590:44:03

She can come back to work at any time.

0:44:030:44:07

Thank you.

0:44:070:44:08

MRS LYTTON COUGHS VIOLENTLY

0:44:090:44:12

Mrs Lytton...

0:44:120:44:14

Take her to the Monsall,

0:44:200:44:21

attention Dr Dickinson, if he himself is not ill.

0:44:210:44:24

Tell them that she's incubated for query, three days.

0:44:240:44:27

Low bloods and fever but no cyanosis yet.

0:44:270:44:29

Thank you, driver.

0:44:290:44:32

Walk on!

0:44:320:44:33

Thank you. Goodbye.

0:45:390:45:41

Latest figures?

0:45:470:45:49

Coming in like clockwork now, every damn day.

0:45:490:45:52

Why didn't people give their figures a fortnight ago?

0:45:520:45:55

London's a catastrophe. They're losing 1,500 a week.

0:45:560:46:00

Starting to call it another Passchendaele.

0:46:000:46:03

I don't know what else I can do, Mr Dunks.

0:46:050:46:08

I've been doing this all my life.

0:46:080:46:11

Ask me to get clean water or milk,

0:46:110:46:13

or get rid of rodents, or even stop TB, I can do that. I've done that!

0:46:130:46:18

But I can't stop this!

0:46:180:46:20

Ta.

0:46:250:46:27

Just arrived from London.

0:46:270:46:29

Doctor, limited stocks of prophylactic vaccine -

0:46:410:46:44

immediate distribution, please.

0:46:440:46:46

Come with me.

0:46:460:46:48

Oh, dear God!

0:47:190:47:21

Matron,

0:47:220:47:23

why is this lady not in a main ward?

0:47:230:47:26

There are no more beds, Doctor.

0:47:260:47:28

Her hair has turned white.

0:47:280:47:31

-Although that's not critical.

-And look at the fingernails.

0:47:310:47:35

It must attack the keratin for some reason.

0:47:350:47:38

It's all right. I know it looks terrible,

0:47:380:47:39

but I've known them survive like that.

0:47:390:47:42

What is your prognosis here, Matron?

0:47:420:47:44

She'll be all right, providing she makes it through the night.

0:47:440:47:47

If cyanosis presents, it's not so good.

0:47:470:47:51

-Yes, but there's no cyanosis presenting.

-Not yet.

0:47:510:47:53

That's why I insist that she has to find a main ward -

0:47:530:47:56

she needs to have oxygen into the lungs as a matter of urgency.

0:47:560:47:59

That is the centre of the attack.

0:47:590:48:01

I'm aware of this, Doctor.

0:48:010:48:03

I know you're under pressure, Matron, but please...

0:48:030:48:06

I'll see what I can do, Doctor.

0:48:060:48:08

You'll be taken care of, rest assured.

0:48:120:48:14

What is this disease doing?

0:48:430:48:45

Everyone gets flu. Everyone always gets flu.

0:48:450:48:49

But why is it the strongest that die?

0:48:490:48:51

And so horribly.

0:48:520:48:55

The haemorrhaging in these lungs is the worst we've ever seen.

0:48:550:48:59

It's brutal, it's like...it's like they've been attacked.

0:48:590:49:03

Well, illness is a battle, isn't it?

0:49:030:49:09

It's a war.

0:49:090:49:10

Why has this last war been so destructive?

0:49:130:49:16

Because it was a war of attrition?

0:49:180:49:20

That's right.

0:49:210:49:23

Because we have more horrible weapons,

0:49:230:49:27

because each side was equally matched

0:49:270:49:29

and couldn't overrun the other one without tearing itself to pieces.

0:49:290:49:33

For the past four years,

0:49:330:49:35

we've been pounding the same patch of ground into oblivion.

0:49:350:49:39

Maybe the flu is like that.

0:49:410:49:44

You mean, the stronger the defences of the person it's invading,

0:49:450:49:50

the bloodier the battle?

0:49:500:49:52

It simply passes over the weak, just overpowers them and moves on.

0:49:520:49:56

But with the strong, it stays and fights to the death.

0:49:560:50:00

It actually likes a fight.

0:50:000:50:03

Thank you, Matron.

0:50:150:50:19

Thank you, Doctor.

0:50:190:50:21

She'll pull through if she can just hang on.

0:50:210:50:23

She won't give up, our Peggy, not without a fight.

0:50:230:50:28

Peggy?

0:51:050:51:06

Hello, sweetheart!

0:51:090:51:10

She's coming round!

0:51:180:51:20

Hello, Peggy, my dear.

0:51:220:51:25

Peggy, how are you feeling?

0:51:280:51:30

John!

0:51:300:51:32

John, my love!

0:51:340:51:36

You've...

0:51:360:51:39

come back.

0:51:390:51:41

-I think the child should leave now.

-Mrs Kershaw? Mrs Kershaw, please.

0:52:030:52:07

It's all right, Sam. It's all right now.

0:52:080:52:13

Nurse, cyanosis has presented. Quickly, please.

0:52:130:52:15

It's all right, love, it's all right. Doctor...

0:52:180:52:22

VERY SLOW TYPING

0:52:520:52:56

Well, you've managed extremely well, both of you.

0:53:320:53:36

It's your efforts that have stopped Manchester going to hell, the way of Liverpool and London.

0:53:360:53:41

How many have we dead?

0:53:430:53:45

How many have we dead, Mr Dunks?

0:53:500:53:52

-Two and a half thousand.

-Out of a million.

-So far.

0:53:530:53:57

Most of them women.

0:53:570:54:01

Many of them were young.

0:54:010:54:03

Yes, I appreciate that.

0:54:030:54:06

What about this vaccine?

0:54:060:54:08

The vaccine's made no quantifiable difference to the rates of infection or mortality.

0:54:110:54:16

It might have done...

0:54:160:54:18

if we'd had it in time.

0:54:180:54:20

A lot of things might have made a difference if we had done them in time.

0:54:200:54:25

Oh, we can pat ourselves on the back. Manchester escaped the worst.

0:54:250:54:30

Anyway, we've got to get on.

0:54:300:54:32

We need to get this city moving again.

0:54:320:54:36

Get the schools open.

0:54:360:54:39

We think it's the right time to announce the end of the epidemic.

0:54:390:54:45

The death rates have dropped.

0:54:450:54:47

And we're stretched to breaking.

0:54:470:54:51

It's nearly spring. We must get back to work.

0:54:510:54:54

Wasn't the Great Plague signed off in the spring, Mr Dunks?

0:54:540:54:58

-Yes, that's right.

-This was no Great Plague, James!

0:54:580:55:02

And in no small part thanks to you.

0:55:020:55:06

But we've isolated this city long enough.

0:55:060:55:10

We need to get back to normal.

0:55:100:55:12

Let's declare it over,

0:55:150:55:17

forget the whole business.

0:55:170:55:19

Put this ghastly second wave behind us.

0:55:190:55:23

'It is not necessary to understand the epidemiology of influenza,

0:56:370:56:42

'to see that more might have been done to limit the spread of the disease.

0:56:420:56:47

'And that public health authorities might be expected -

0:56:470:56:51

'in future occurrences - to press for further precautions

0:56:510:56:56

'to be taken in the presence of a severe outbreak.'

0:56:560:57:00

Subtitles by Red Bee Media Ltd

0:57:410:57:44

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0:57:440:57:47

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