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There's less international travel, no air travel, and even less intranational travel. It's quarantine policies already being in place that will render the "1918" flu minor, not them effecting the same demographics. If it had been sent back to three years after the actual start of that pandemic...

It's not worse than the "Spanish" flu, but hitting in 1914 it takes priority over WWI. Nobody can fully mobilize because they have to maintain quarantine procedures making WWI either not happen or be low intensity enough that the sunk costs that prevent diplomatic resolution don't exist...