1918 influenza pandemic a “natural experiment” testing “fetal origins hypothesis” on adults socio-economic outcomes.
First, the pandemic struck without warning in October 1918 and had largely dissipated by the beginning of 1919 implying that cohorts born just months apart experienced markedly different in-utero conditions.
Second,the severity of the pandemic varied widely and idiosyncratically across states.
In order to bias estimates, omitted factors would have to follow the same abrupt and idiosyncratic patterns as the pandemic.
utilize geographic variation: differences in the severity of the pandemic as measured by mortality.
Prenatal exposure to the 1918 influenza pandemic had large negative effects on adult economic outcomes.