In 1917, Aaluk leaves for Siberia while her sister Nutaaq remains in their Alaskan village and becomes one of the few survivors of an influenza epidemic, then in 1986, Nunaaq's great-granddaughter leaves her mother due to a different kind of sickness and returns to the village where they were born.

New Year's Day, 1918. America has declared war on Germany and is gathering troops to fight. But there's something coming that is deadlier than any war. When people begin to fall ill, most Americans don't suspect influenza. The flu is known to be dangerous to the very old, young, or frail. But the Spanish flu is exceptionally violent. Soon, thousands of people succumb. Then tens of thousands, hundreds of thousands, and more. Graves can't be dug quickly...