Over centuries of health crises, governments have had to enforce quarantine measures, social isolation and other non-pharmaceutical interventions, as they were lacking vaccines and drugs.
In each pandemic, the most affected by these public restrictions have been the poor, the homeless, the ethnic minorities and the invalids. As a result, death would first hit the most miserable neighborhoods of the cities, which were densely populated and lacked sanitation. During the 1918 influenza pandemic in India, under British colonial rule, the disease did not strike everyone equally. Most British people lived in large houses with gardens, compared to the lower classes of city-dwelling Indians, who lived in densely populated areas. 12-13 million people died, and bodies accumulated with no one to take care of the situation.