“The situation in Cincinnati is precarious. There is no decline in the number of new cases. Physicians have been unable to determine the cause of the disease or to prescribe an effective treatment. Nurses on duty have been working 14 to 16 hours a day since the epidemic started. Their sacrifice and self-denial have been marvelous.” The Cincinnati Enquirer October 1918, at the onset of an influenza pandemic that will come to be known as the "Spanish Flu."