Originally posted by the Voice of America. Voice of America content is produced by the Voice of America, a United States federal government-sponsored entity, and is in the public domain. A Look at US Presidents and Public Health Crises Patsy Widakuswara Almost all American presidents have faced a crisis while in office, whether it's a political scandal, natural disaster, economic calamity or terrorism. But not all have the misfortune of having to deal with epidemics and pandemics. Here are some of them and how historians view their performance. Woodrow Wilson -- Spanish flu President Woodrow Wilson faced the influenza pandemic of 1918-19 that killed 20 million to 50 million people around the world while the United States was fighting in World War I. "Even though President Trump has talked about being at war with the pandemic, in the case of Wilson and the Spanish flu, the United States really was at war," said Thomas Schwartz, professor of history at Vanderbilt University. .