• Ruhland states that Spanish flu is not new, but an old disease. He associates this disease with the flu that broke out in 1889-90 that spread through Russia from the “Orient.”• The doctor notes that symptoms of the Spanish flu are similar to a cold. He lists the symptoms, noting that the flu comes on fast and is accompanied by a feeling of weakness and a fever. The doctor recommends rest. • Ruhland asks for public cooperation, noting that the disease is highly contagious. Ruhland recommends a number of actions to prevent spread of disease that include avoiding public gatherings, avoiding those with the flu, refraining from kissing others or shaking their hands, washing hands, and covering one’s mouth when coughing or sneezing. He also ask...