Despite its name, the Spanish flu was first observed in 1918 in Kansas. Army camps, with their close troop quarters, proved perfect incubators. This emergency hospital at Camp Funston, Kansas, is filled with some of the flu's early victims. Crowded troopships quickly spread the virus to Europe. Civilians were not immune. In October 1918 in Philadelphia, more than 4,500 people died in a single week. National Museum of Health & Medicine, Armed Forces Institute of Pathology.