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IELTS Academic Reading Practice Test 258

Part 1 · Read the text and answer questions 1–13

You should spend about 20 minutes on Questions 1–13, which are based on Reading Passage 1 below.

The Influenza Pandemic of 1918

Between the spring of 1918 and the early months of 1920, a strain of influenza swept around the world in three great waves. It is usually called the Spanish flu, although it did not begin in Spain, and the name reflects the way the disease was reported rather than its origin. Estimates of the death toll vary, but most historians accept a figure of at least fifty million people. More people are thought to have died of influenza in those months than were killed in the First World War, which was then drawing to its close.

Where the virus first appeared has never been settled. The earliest widely documented outbreak affected Haskell County in Kansas in January and February 1918, and by March cases had appeared at Camp Funston, a large military camp in the same state where thousands of recruits were being trained before being sent to Europe. Because soldiers carried the infection across the Atlantic, some historians have argued that the disease spread from the American interior to the battlefields of France. Others point to evidence of earlier cases in Britain, France or China, and no single origin has been agreed.

The illness that appeared in the spring of 1918 was, in most cases, unremarkable. Those who caught it ran a fever, ached and recovered within a few days, and doctors often described a familiar influenza. Deaths were recorded, but they were not out of the ordinary. It was the second wave, which began in late August and September 1918 and appeared in Europe, North America and West Africa within a few weeks of one another, that proved catastrophic. A third wave followed in the early months of 1919.

The symptoms of the second wave were distressing. Patients developed severe pneumonia, and their skin sometimes turned a deep blue as their lungs failed to absorb oxygen. Nosebleeds and bleeding from the ears were reported, and some people died within a day or two of falling ill. Because antibiotics did not yet exist, doctors could do nothing to stop the bacterial infections that followed the viral illness. Treatment consisted largely of nursing care and fluids, together with medicines that had no effect on the virus itself.

What made the pandemic unusual was the age of its victims. Influenza normally kills the very old and the very young, but mortality in 1918 followed a W-shaped curve: death rates were high among infants, low among schoolchildren, and then rose sharply again among adults between about twenty and forty. Pregnant women were especially vulnerable. One explanation offered by epidemiologists is that the immune systems of healthy young adults overreacted to the infection, producing damaging inflammation in the lungs; another is that people born after about 1889 lacked protection acquired by earlier generations.

The name by which the pandemic became known had little to do with its origin. Spain remained neutral in the First World War, and its newspapers were free to report a disease that the press in Britain, France, Germany and the United States had been discouraged from describing in detail, since governments feared the effect on civilian morale. Reports from Madrid reached the world, and the king, Alfonso XIII, was himself infected. In Spain the disease was called the French flu; elsewhere it became the Spanish flu, a name that proved remarkably durable.

Public health authorities responded with the measures available to them. In many cities schools, churches, theatres and cinemas were closed, public gatherings were banned and people were instructed to wear gauze masks. The results depended heavily on how early such measures were introduced. In Philadelphia, where a large parade to promote the sale of war bonds went ahead in late September 1918 despite warnings from doctors, deaths rose sharply in the following weeks. In St Louis, officials closed schools and banned gatherings within days of the first cases, and the city's death rate appears to have been substantially lower.

Medicine in 1918 was poorly placed to identify the cause. Viruses could not be seen under any microscope then in use, and most bacteriologists blamed the disease on a bacterium, Haemophilus influenzae, which the German bacteriologist Richard Pfeiffer had linked to influenza in 1892. Vaccines were prepared against this bacterium and given to millions of soldiers and civilians, but they could not have worked. It was not until the 1930s that influenza was shown to be caused by a virus, and not until 1933 that the first human influenza virus was isolated.

The pandemic faded rather than ended. Case numbers declined through 1919, and by 1920 the disease had returned to the seasonal pattern familiar before the war. Historians and epidemiologists have suggested several reasons: so many people had been infected that the virus had few susceptible hosts left, and it may also have mutated into a milder form. No vaccine and no effective drug existed to influence the outcome.

For decades the pandemic was studied mainly by demographers, and there was little public commemoration of a catastrophe that had killed more people than the war it followed. Scientific interest revived at the end of the twentieth century. In 1997 a pathologist recovered lung tissue from the body of an influenza victim buried in the permafrost of Alaska, and in 2005 researchers working with preserved samples announced that they had reconstructed the complete genetic sequence of the 1918 virus. That work suggested that the virus had probably originated in birds.

Tip: select any text in the passage to highlight it in one of four colours. Click a highlight to remove it.

Questions 1–6◎ Practise this set only

Complete the table below. Choose ONE WORD ONLY from the passage for each answer.

Write ONE WORD ONLY for each answer.

The influenza pandemic of 1918

DateAspectDetails

Spring 1918

First wave

Most cases were mild, and doctors often described a influenza

Autumn 1918

Second wave

Patients' skin turned blue as their lungs failed to absorb

1918

Age pattern

The immune systems of healthy young adults to the infection

1918

The name

Spain remained in the war, so its newspapers reported the disease freely

September 1918

Philadelphia

A large went ahead despite doctors' warnings

2005

Genetic research

The complete sequence suggested that the virus had probably originated in

Questions 7–13◎ Practise this set only

Do the following statements agree with the information given in Reading Passage 1? Choose TRUE if the statement agrees with the information, FALSE if the statement contradicts the information, or NOT GIVEN if there is no information on this.

Historians agree about where the virus first appeared.
Most people who fell ill in the spring of 1918 recovered quickly.
Doctors in 1918 had medicines that could cure the viral infection.
Cities that introduced restrictions early tended to fare better than those that delayed.
The vaccines developed during the pandemic succeeded in preventing influenza.
The genetic research of 2005 was paid for by the United States government.
The pandemic attracted relatively little public commemoration.

About this reading test

A full IELTS Academic Reading practice test with 40 questions on three original history passages: the influenza pandemic of 1918, the craft of fresco painting, and whether streets should be renamed after recent public figures. Includes explanations and a band estimate.

PartPassageQuestionsQuestion typesTopicsWords
1The Influenza Pandemic of 19181–13Table completion, True / False / Not GivenHealth, History902
2Painting on Wet Stone14–26Matching headings, Summary completionArts & Culture, Science873
3Should Streets Be Renamed After Recent Public Figures?27–40Matching headings, Yes / No / Not Given, Multiple choiceSociety, History890

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All passages and questions on Sprechify are written by our own team in the official IELTS format. They are not taken from Cambridge IELTS books or any other published test. Band scores are estimates based on the conversion commonly used for practice tests.

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