Reading time: 7 minutes
Before World War II, soldiers died more often of disease than of battle injuries. The ratio of disease-to-battle casualties was approximately 5-to-1 in the Spanish-American War and 2-to-1 in the Civil War. Improved sanitation reduced disease casualties in World War I, but it could not protect troops from the 1918 influenza pandemic. During the outbreak, flu accounted for roughly half of US military casualties in Europe.
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Ellen Newbold La Motte was an American nurse, journalist and author. In 1915 she volunteered as one of the first American war nurses to go to Europe and treat soldiers. She served in a French field hospital, keeping a bitter diary detailing the horrors that she witnessed daily.
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