How Did the 1889 1890 Flu Pandemic Affect History

The 1889-1890 influenza pandemic is relatively forgotten but it was a major pandemic and the last significant one in the 19th century. It killed over a million people, although the exact number is hard to determine. It was one of the first pandemics to also spread rapidly due to modern transport, mainly using rail, foretelling the effect of modern transport on how pandemics spread in the 21st-20th century.