By Oct. 14, 1918, Cincinnati influenza case and fatality reports demonstrated the highest death rate since the epidemic began. The death rate in Cincinnati continued to climb after October 14, and would not reach its peak for another two weeks.

By the last week of October, Cincinnati seemed to be rounding the bend. New cases and deaths began to decline. The volunteer spirit went so far that some two hundred residents, told that dust and other particulates were a major factor in the spread of influenza, assisted the Street Cleaning Department in flushing the streets.