" much longer-lasting adverse effect of the pandemic: the fact that Americans who were in utero during the pandemic had, over the course of their lives, reduced educational attainment, higher rates of physical disability, and lower income relative to those who went through fetal development immediately before or after.119 Those born at the crests of the three waves also had higher lifetime risk from respiratory and cardiovascular diseases.120 Similar impacts on fetal development have also been found for other countries, including Brazil, Italy, Norway, Sweden,121 Switzerland, and Taiwan.122 There is also some evidence that the Spanish flu eroded social trust in the countries most adversely affected.123 "

― Niall Ferguson , Doom: The Politics of Catastrophe