The “Spanish influenza” pandemic that struck Egypt in fall 1918 resulted in the death of eleven out of every one thousand people. Despite the mass suffering caused by the pandemic, it has been largely ignored by historians. I describe how the Egyptian public health service was unprepared for a major health crisis because resources were redirected to serve military needs. Rural and poor Egyptians were particularly vulnerable as war food policies failed to meet their stated goal of ensuring a consistent and affordable supply of commodities; by summer 1918 conditions had deteriorated to the point that food riots and wheat famines were reported throughout the country. I conclude by raising questions about the impact that the pandemic had on the political situation in Egypt, arguing that the government’s inability to manage the crisis contributed to pressures underlying the 1919 nationalist uprising.