San Francisco had the 1918 flu under control. And then it lifted the restrictions.

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San Francisco had the 1918 flu under control. And then it lifted the restrictions.
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A cautionary tale about the dangers of reopening too soon.

It was Nov. 21, 1918, and San Francisco residents gathered in the streets to celebrate not only the recent end of World War I and the Allies’ victory, but also the end of an onerous ordinance that shut down the city and required all residents and visitors to wear face coverings in public to stop the spread of the so-called Spanish flu.

"There was a lot of pressure in pretty much all of these American cities to reopen," said Navarro, whose research was done in conjunction with the Centers for Disease Control and Prevention."When they removed those restrictions too soon, then many cities saw a resurgence in cases.

Some officials demurred at the idea, worried about damage to the city’s economy and the risk of causing public panic. Eventually, on Oct. 18, the city voted to shut down"all places of public amusement." By the end of October, there were 20,000 cases and more than 1,000 deaths. However, as the days went on, the city saw a dip in newly reported cases, which prompted officials to begin to reopen the city and rescind the mask order. By the end of November, officials believed the city had stabilized.

Navarro said that many cities often became complacent once they saw a dip in cases, and when a resurgence happens residents often question the public health guidance.

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