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Strep infections, rather than the flu virus itself, may have killed most people during the 1918 influenza pandemic. This suggests that some of the most dire predictions about a potential new pandemic could be exaggerated.
Scientists looked at the available information regarding the 1918 flu pandemic, which killed anywhere between 50 million and 100 million people globally in the space of about 18 months. Some research has shown that on average it took a week to 11 days for people to die, which fits in more with the known pattern of a bacterial infection than a viral infection.