In determining the best guidelines for government action during the COVID-19 outbreak, city leaders and officials are looking at how different metros responded during the 1918 flu pandemic. The general consensus is that because St. Louis implemented more extensive quarantine measures, the area had a lower death rate than other cities in the U.S. Chris Naffziger, who writes about history and architecture for St. Louis magazine, says that while city officials managed to prevent the deaths of thousands during the pandemic of 1918 through 1920, St. Louis’ response to the 1918 Spanish flu pandemic wasn't quite what we remember.