The first reports of widespread and sometimes fatal cases of influenza appeared in Russia in August 1918, as part of the global wave known as the ‘Spanish’ influenza. Over the next three years, however, a series of cascading political, social and health crises overwhelmed Russia, thus overshadowing the impact of the Ispanka, a truncated combination of the Russian terms, Ispanskii gripp, or ‘Spanish influenza’. Given that the total number of Russian deaths in the period from the 1917 Revolution to the famine of 1921 may have exceeded 10 million, the Ispanka was seemingly absorbed into the broader crises of these years, which in turn has contributed to the omission of Russia from most global histories of the epidemic.