This author is a favorite since I read "What She Left Behind." So I was very happy to be chosen by Netgalley and the publisher to read this book in exchange for a review. This book did not disappoint and turned out to be a very timely book with the COVID outbreak and quarantine. The book begins with the liberty loan parade in Philadelphia during WWI in 1918. Pia the eldest daughter and child in her family wanted to stay home but her mother made her go as they want to be seen by their neighbors as very patriotic. They are German from Germany. Pia and her mother attend the parade with her baby twin brothers. Unfortunately, the Spanish flu attended also. Within a couple of days, large numbers of people are dying in the city and there is no help to be had. Whole families die or parents die and children are left to starve. Pia's mother dies but she and her brothers remain healthy. Pia makes do but eventually, she must leave her brothers alone to find food. When she returns they are gone. Pia never gives up searching for them meanwhile ends up in an orphanage, a nanny, deals with a baby seller, and has other adventures. I had to stop and start this book because I was torn about one of the characters. Was she evil or suffering from postpartum depression or driven mad by circumstances and hunger? I finally decided but I don't want to say a lot about the book to give everything away. This book has an author's note at the end, a reading list of books if you wish to read more about the Spanish flu and a list of book club questions if you wish to use this as one of your book club selections.