To its credit, the APA came to the aid of Alaskans when needed. Its cannery hospitals provided medical care for neighboring Native residents and when the worldwide Spanish flu pandemic ravaged western Alaska in the spring of 1919, the APA helped bury the hundreds of dead, and provided care for the ill and orphaned children, even when the federal government did little to render aid. After a Navy Lieutenant inspected the situation in Bristol Bay and reported the conditions as "satisfactory," the APA's Kvichak cannery superintendent J. C. Bell retorted, "We have not been able to fathom whether the conditions are satisfactory for them or the natives who are dead and buried … and as usual the job is up to the Alaska Packers Association."