List of epidemics and pandemics
This is a list of the largest known epidemics and pandemics caused by an infectious disease in humans. Widespread non-communicable diseases such as cardiovascular disease and cancer are not included. An epidemic is the rapid spread of disease to a large number of people in a given population within a short period of time; in meningococcal infections, an attack rate in excess of 15 cases per 100,000 people for two consecutive weeks is considered an epidemic.[1] Due to the long time spans, the first plague pandemic (6th century – 8th century) and the second plague pandemic (14th century – early 19th century) are shown by individual outbreaks, such as the Plague of Justinian (first pandemic) and the Black Death (second pandemic).
Infectious diseases with high prevalence are listed separately (sometimes in addition to their epidemics), such as malaria, which may have killed 50–60 million people.[2]
Major epidemics and pandemics
By death toll
Ongoing epidemics and pandemics are in bold face. For a given epidemic or pandemic, the average of its estimated death toll range is used for ranking. If the death toll averages of two or more epidemics or pandemics are equal, then the smaller the range, the higher the rank. For the historical records of major changes in the world population, see world population.[3]
| Rank | Epidemics/pandemics | Disease | Death toll | Percentage of population lost | Years | Location |
|---|---|---|---|---|---|---|
| 1 | Plague of Justinian | Bubonic plague | 15–100 million | 25–60% of European population[4] | 541–549 | North Africa, Europe, and Western Asia |
| 2 | HIV/AIDS pandemic | HIV/AIDS | 45 million (since 2026[update]Template:Dated maintenance category (articles)Script error: No such module "Check for unknown parameters".) | – | 1981–present[5] | Worldwide |
| 3 | Black Death | Bubonic plague | 25–50 million | 30–60% of European population[6] | 1346–1353 | Europe, Asia, and North Africa |
| 4 | 1918 "Spanish" influenza pandemic | Influenza A/H1N1 | 25–50 million | 1–5.4% of global population[7] | 1918–1920 | Worldwide |
| 5 | COVID-19 pandemic | COVID-19 | 7.12–38 million[8][9](as of 2026) | – | 2019Template:Efn–present[10][11]Template:Efn | Worldwide |
| 6 | Third plague pandemic | Bubonic plague | 12–15 million | – | 1855–1960 | Worldwide |
| 7 | Cocoliztli epidemic of 1545–1548 | Cocoliztli, caused by an unidentified pathogen | 5–15 million | 27–80% of Mexican population[12] | 1545–1548 | Mexico |
| 8 | Antonine Plague | Smallpox or measles | 5–10 million | 25–33% of Roman population[13] | 165–180 (possibly up to 190) | Roman Empire |
| 9 | 1520 Mexico smallpox epidemic | Smallpox | 5–8 million | 23–37% of Mexican population[12] | 1519–1520 | Mexico |
| 10 | 1957–1958 influenza pandemic | Influenza A/H2N2 | 1–4 million | – | 1957–1958 | Worldwide |
| 11 | Hong Kong flu | Influenza A/H3N2 | 1–4 million | – | 1968–1969 | Worldwide |
| 12 | 1918–1922 Russia typhus epidemic | Typhus | 2–3 million | 1–1.6% of Russian population[14] | 1918–1922 | Russia |
| 13 | Cocoliztli epidemic of 1576 | Cocoliztli | 2–2.5 million | 50% of Mexican population[12] | 1576–1580 | Mexico |
| 14 | 1772–1773 Persian Plague | Bubonic plague | 2 million | – | 1772–1773 | Persia |
| 15 | 735–737 Japanese smallpox epidemic | Smallpox | 2 million | 33% of Japanese population[15] | 735–737 | Japan |
| 16 | Naples Plague | Bubonic plague | 1.25 million | – | 1656–1658 | Southern Italy |
| 17 | 1889–1890 pandemic | Influenza or human coronavirus OC43[16][17] | 1 million | – | 1889–1890 | Worldwide |
| 18 | 1629–1631 Italian plague | Bubonic plague | 1 million | – | 1629–1631 | Italy |
| 19 | 1846–1860 cholera pandemic | Cholera | 1 million | – | 1846–1860 | Worldwide |
Infectious diseases with high prevalence
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There have been various major infectious diseases with high prevalence worldwide, but they are currently not listed in the above table as epidemics/pandemics due to the lack of definite data, such as time span and death toll.
- Malaria has had multiple documented temporary epidemics in otherwise non-affected or low-prevalence areas. Malaria is commonly spread by mosquitoes. The vast majority of its deaths are due to its constant prevalence in affected areas.[2]
- Tuberculosis (TB) became epidemic in Europe in the 18th and 19th century, showing a seasonal pattern, and is still taking place globally. Its symptoms include coughing up blood. It can generally be treated with strong antibiotics; untreated TB can be fatal.[19][20][21] An opportunistic infection, TB is the leading cause of death of those with HIV/AIDS, and is considered an AIDS-defining clinical condition. The association between HIV/AIDS and TB has been described as the "TB/HIV syndemic".[21][22] According to the World Health Organization, approximately 10 million new TB infections occur every year, and 1.5 million people die from it each year – making it the world's top infectious killer (before COVID-19 pandemic).[21] However, there is a lack of sources which describe major TB epidemics with definite time spans and death tolls.
- Hepatitis B: According to the World Health Organization, since 2019[update]Template:Dated maintenance category (articles)Script error: No such module "Check for unknown parameters". there are about 296 million people living with chronic hepatitis B, with 1.5 million new infections each year. In 2019, hepatitis B caused about 820,000 deaths, mostly from cirrhosis and hepatocellular carcinoma (primary liver cancer).[23] In many places of Asia and Africa, hepatitis B has become endemic.[24] In addition, a person is sometimes infected with both hepatitis B virus (HBV) and HIV, and this population (about 2.7 million) accounts for about 1% of the total HBV infections.[23]
- Hepatitis C: According to the World Health Organization, there are approximately 58 million people with chronic hepatitis C, with about 1.5 million new infections occurring per year. In 2019, approximately 290,000 people died from the disease, mostly from cirrhosis and hepatocellular carcinoma (primary liver cancer).[25] There have been many hepatitis C virus (HCV) epidemics in history.[26][27][28]
Chronology
Pre-1500s
| Event | Years | Location | Disease | Death toll (estimate) | Ref. |
|---|---|---|---|---|---|
| 1350 BC plague of Megiddo | 1350 BC (circa) | Megiddo, land of Canaan | Amarna letters EA 244, Biridiya, the mayor of Megiddo complains to Amenhotep III of his area being "consumed by death, plague and dust" | Unknown | [29] |
| Hittite Plague/"Hand of Nergal" | 1330 BC (circa) | Near East, Hittite Empire, Alashiya, possibly Egypt | Unknown, possibly Tularemia. Mentioned in Amarna letter EA 35 as the "Hand of Nergal", cause of death of Šuppiluliuma I. | Unknown | |
| Plague of Athens | 430–426 BC | Greece, Libya, Egypt, Ethiopia | Unknown, possibly typhus, typhoid fever or viral hemorrhagic fever | 75,000–100,000 | [30][31][32][33] |
| 412 BC epidemic | 412 BC | Greece (Northern Greece, Roman Republic) | Unknown, possibly influenza | 473,000 (10% of the Roman Population) | [34] |
| Antonine Plague | 165–180 (possibly up to 190) | Roman Empire | Unknown, possibly smallpox | 5–10 million | [35][36] |
| Jian'an Plague | 217 | Han dynasty | Unknown, possibly typhoid fever or viral hemorrhagic fever | 2 million | [37][38] |
| Plague of Cyprian | 249–262 | Europe | Unknown, possibly smallpox or viral hemorrhagic fever | 310,000 | [39][40][41] |
| Plague of Justinian (beginning of first plague pandemic) | 541–549 | Europe and West Asia | Bubonic plague | 15–100 million | [4][42][43] |
| 580 Dysentery Epidemic in Gaul | 580 | Gaul | Dysentery or possibly smallpox | 450,000 (10% of the Gaul population) | [44] |
| Roman Plague of 590 (part of first plague pandemic) | 590 | Rome, Byzantine Empire | Bubonic plague | Unknown | [45] |
| Plague of Sheroe (part of first plague pandemic) | 627–628 | Bilad al-Sham | Bubonic plague | 25,000+ | |
| Plague of Amwas (part of first plague pandemic) | 638–639 | Byzantine Empire, West Asia, Africa | Bubonic plague | 25,000+ | [46] |
| Plague of 664 (part of first plague pandemic) | 664–689 | British Isles | Bubonic plague | Unknown | [47] |
| Plague of 698–701 (part of first plague pandemic) | 698–701 | Byzantine Empire, West Asia, Syria, Mesopotamia | Bubonic plague | Unknown | [48] |
| 735–737 Japanese smallpox epidemic | 735–737 | Japan | Smallpox | 2 million (approx. <templatestyles src="Fraction/styles.css" />1⁄3 of Japanese population) | [15][49] |
| Plague of 746–747 (part of first plague pandemic) | 746–747 | Byzantine Empire, West Asia, Africa | Bubonic plague | Unknown | [46] |
| Black Death (start of the second plague pandemic) | 1346–1353 | Eurasia and North Africa | Bubonic plague | 75–200 million (30–60% of European population and 33% percent of the Middle Eastern population) | [50] |
| Sweating sickness (multiple outbreaks) | 1485–1551 | Britain (England) and later continental Europe | Unknown, possibly an unknown species of hantavirus | 10,000+ | [51] |
| 1489 Spain typhus epidemic | 1489 | Spain | Typhus | 17,000 | [52] |
1500s
| Event | Years | Location | Disease | Death toll (estimate) | Ref. |
|---|---|---|---|---|---|
| 1510 influenza pandemic | 1510 | Asia, North Africa, Europe | Influenza | Unknown, around 1% of those infected | [53] |
| 1520 Mexico smallpox epidemic | 1519–1520 | Mexico | Smallpox | 5–8 million (40% of population) | [12] |
| Cocoliztli epidemic of 1545–1548 | 1545–1548 | Mexico | Possibly Salmonella enterica | 5–15 million (80% of population) | [54][55][56][57] |
| 1557 influenza pandemic | 1557–1559 | Asia, Africa, Europe, and Americas | Influenza | Unknown (10% of the infected) | |
| 1561 Chile smallpox epidemic | 1561–1562 | Chile | Smallpox | 120,000–150,000 (20–25% of native population) | [58] |
| 1563 London plague (part of the second plague pandemic) | 1563–1564 | London, England | Bubonic plague | 20,100+ | [59] |
| Cocoliztli epidemic of 1576 | 1576–1580 | Mexico | Possibly Salmonella enterica | 2–2.5 million (50% of population) | [54][55][56][57] |
| 1582 Tenerife plague epidemic (part of the second plague pandemic) | 1582–1583 | Tenerife, Spain | Bubonic plague | 5,000–9,000 | [60] |
| 1592–1596 Seneca nation measles epidemic | 1592–1596 | Seneca nation, North America | Measles | Unknown | [61] |
| 1592–1593 Malta plague epidemic (part of the second plague pandemic) | 1592–1593 | Malta | Bubonic plague | 3,000 | [62] |
| 1592–1593 London plague (part of the second plague pandemic) | 1592–1593 | London, England | Bubonic plague | 19,900+ | [63] |
| 1596–1602 Spain plague epidemic (part of the second plague pandemic) | 1596–1602 | Spain | Bubonic plague | 600,000–700,000 | [64] |
1600s
1700s
1800s
1900s
2000s
Ongoing
| Event | Years | Location | Disease | Death toll (estimate) | Ref. |
|---|---|---|---|---|---|
| Seventh cholera pandemic | 1961–present | Worldwide | Cholera (El Tor strain) | 21,000–143,000 each year, millions total; 1.4-9.3 million (as of 2026) | [326][327] |
| HIV/AIDS pandemic | 1981–present | Worldwide | HIV/AIDS | 45 million (since 2026[update]Template:Dated maintenance category (articles)Script error: No such module "Check for unknown parameters".) | [328] |
| MERS outbreak | 2012–present | Worldwide | Middle East respiratory syndrome / MERS-CoV | 941 (since 8 May 2021[update]Template:Dated maintenance category (articles)Script error: No such module "Check for unknown parameters".) | [329][330] |
| COVID-19 pandemic | 2019Template:Efn–present | Worldwide | COVID-19 | 7.12–38 million | [331] |
| 2023–2025 mpox epidemic | 2023–present | Worldwide, primarily Africa | Mpox | 812 | [332] |
| 2024–2025 Sudanese cholera epidemic | 2024–present | Sudan, South Sudan, and Chad | Cholera | 9,224 | [333] |
See also
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Explanatory notes
References
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- ↑ Alonso de Góngora Marmolejo Historia de Chile desde su descubrimiento hasta el año 1575 Template:Webarchive. Cervantesvirtual.com. Retrieved on 2011-12-06.
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- ↑ History of South Africa 1486–1691, George McCall Theal, London, pub. Swan Sonnenschein, 1888. p. 332 "Towards the beginning of the winter of 1687 the colony was visited by a destructive disease, a kind of fever which carried off many of the inhabitants. The natives suffered very..."
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- ↑ Greg Lange,"Smallpox epidemic ravages Native Americans on the northwest coast of North America in the 1770s" Template:Webarchive, 23 Jan 2003, HistoryLink.org, Online Encyclopedia of Washington State History, accessed 2 Jun 2008
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- ↑ The History of Small-Pox in Australia, 1788–1908, JHL Cumpston, (1914, Government Printer, Melb.)This epidemic is unlikely to have been a natural event. see, Warren (2013) Script error: No such module "CS1 identifiers". After Cook and coinciding with Colonisation "With the arrival of the Europeans, the Gadigal population was virtually wiped. In 1789 and 1790 a smallpox epidemic swept through the Aboriginal population around Sydney" Template:Webarchive
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- ↑ Ştefan Ionescu, Bucureştii în vremea fanarioţilor (Bucharest in the time of the Phanariotes), Editura Dacia, Cluj, 1974. p. 287-293
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- ↑ A History of the Human Plague in Iran Template:Webarchive, Mohammad Azizi, Farzaneh Azizi
- ↑ a b c d Kuhnke, Laverne. Lives at Risk: Public Health in Nineteenth-Century Egypt. ark.cdlib.org Template:Webarchive, Berkeley: University of California Press, c1990.
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- ↑ a b c Gallagher, Nancy. Egypt's Other Wars: Epidemics and the Politics of Public Health. Syracuse University Press, c1990. American University in Cairo Press. Template:ISBN pp. 4–6
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- ↑ Summary of cholera cases and deaths reported in the literature, by date, country and World Health Organization (WHO) mortality stratum Mohammad Ali, Anna Lena Lopez, Young Ae You, Young Eun Kim, Binod Sah, Brian Maskery & John Clemens, Bulletin of the World Health Organization, Volume 90, Number 3, March 2012, 209-218A www.who.int, accessed 4 May 2020
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- ↑ Wide Epidemic of Meningitis Fatal to 10,000 in West Africa Template:Webarchive Eoward W. French, 8 May 1996 www.nytimes.com, accessed 26 April 2020
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- ↑ Dengue fever in Indonesia – update 4 11 May 2004 www.who.int, accessed 16 February 2020
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- ↑ Worst cholera outbreak in Angola, BBC
- ↑ Plague in the Democratic Republic of the Congo 14 June 2006 www.who.int, accessed 26 February 2020
- ↑ Plague in the Democratic Republic of the Congo 13 October 2006 www.who.int, accessed 26 February 2020
- ↑ Script error: No such module "citation/CS1".
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- ↑ Epidemiology of Dengue Disease in the Philippines (2000–2011): A Systematic Literature Review Template:Webarchive November 2014 PLoS Neglected Tropical Diseases via www.researchgate.net, accessed 16 February 2020
- ↑ Rift Valley fever Template:Webarchive 19 February 2018 www.who.int, accessed 26 April 2020
- ↑ "Mourners die as fever grips Congo." Template:Webarchive Sydney Morning Herald, August 30, 2007
- ↑ Script error: No such module "citation/CS1".
- ↑ Cholera outbreak in Iraq growing Template:Webarchive, Associated Press
- ↑ Dengue fever epidemic hits Caribbean, Latin America Template:Webarchive, Reuters
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- ↑ Thousands hit by Brazil outbreak of dengue Template:Webarchive edition.cnn.com, accessed 16 February 2020
- ↑ Cambodia suffers worst dengue epidemic, 407 dead Template:Webarchive, Reuters
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- ↑ Script error: No such module "Citation/CS1".2008–2015, ≈13 million HFMD cases were reported, including 123,261 severe cases and 3,322 deaths in 31 provinces of mainland China
- ↑ Cholera death toll in India rises, BBC News
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- ↑ Vietnam on alert as common virus kills 81 children – Yahoo News Template:Webarchive. News.yahoo.com (2011-08-19). Retrieved on 2014-05-12.
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- ↑ Surveillance, forecasting and response International conference on dengue control, 27–29 February 2012 Template:Webarchive www.emro.who.int accessed 16 February 2020
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- ↑ Encephalitis outbreak: AES is a perennial issue in eastern Uttar Pradesh, northern Bihar Template:Webarchive Bihar's AES data summary looks more like a repeat of 2017 when a major JEV outbreak in Uttar Pradesh's Gorakhpur claimed the lives of many children. 17 June 2019 www.indiatvnews.com, accessed 17 February 2020
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Further reading
- Eisenberg, Merle, and Lee Mordechai. "The Justinianic Plague and Global Pandemics: The Making of the Plague Concept." American Historical Review 125.5 (2020): 1632–1667.
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External links
Template:CbignoreTemplate:Disasters Template:Natural disasters Template:Epidemics Template:History of infectious disease Script error: No such module "Navbox". Template:Public health