Authors: Nick Wilson; Jennifer A Summers; Glyn Harper; George Thomson · Research

What Was The True Health Impact of World War I on Soldiers?

A comprehensive look at the physical and mental health burden experienced by WWI soldiers, revealing impacts far greater than previously documented.

Source: Wilson, N., Summers, J. A., Harper, G., & Thomson, G. (2023). The unseen casualties of the First World War: insights from a randomly selected military sample. New Zealand Medical Journal, 136(1584).

What you need to know

  • Nearly all soldiers (94%) developed at least one new medical condition during their WWI service
  • Infectious diseases were more common than combat injuries, affecting more soldiers
  • Most soldiers (89%) required hospitalization at least once during their service

The Hidden Health Crisis of WWI

When we think of World War I casualties, we often picture soldiers wounded in battle. But the reality was far more complex. Behind the front lines, a different kind of battle was being waged - against disease, psychological trauma, and the harsh conditions of warfare. New research reveals that the health impact of WWI was dramatically higher than previously understood.

A Deeper Look at Soldiers’ Health

This study examined detailed military records of 200 New Zealand soldiers who served in WWI, providing a window into the true health burden of the war. The findings are striking - on average, each soldier developed 2.4 new medical conditions during their service.

The range of health problems was extensive. While 42% of soldiers experienced combat-related injuries, infectious diseases were actually more common. Around one-third of soldiers suffered from respiratory conditions like influenza, pneumonia, and tuberculosis. Environmental hazards led to widespread illness - 12% of soldiers contracted dysentery or gastroenteritis, while 5% developed scabies from the unsanitary conditions.

Mental Health and Chemical Warfare

The psychological toll was significant, with about 10% of soldiers diagnosed with conditions we would now recognize as post-traumatic stress disorder (PTSD). At the time, these were often labeled as “shell shock” or “disordered action of the heart.”

Chemical warfare, a horrific new development in WWI, affected 6% of soldiers through gas attacks. This doesn’t include soldiers who may have been exposed but whose symptoms weren’t severe enough to be officially recorded.

The Impact on Military Service

The severity of these health problems is reflected in their impact on military service. About 59% of soldiers were deemed medically unfit for further service at some point. The vast majority (89%) required at least one hospitalization, with an average of 1.8 hospital stays per soldier for new conditions.

These numbers suggest that the official historical estimates of ill health among WWI soldiers (around 39%) were drastically understated. The real figure was closer to 94% of soldiers developing at least one new health condition during their service.

What This Means for You

While modern military medicine has advanced significantly, this research offers important lessons:

  • The health impacts of war extend far beyond combat injuries
  • Mental health support is crucial for service members
  • Environmental conditions and infectious diseases can pose as much risk as enemy action
  • Medical documentation and follow-up care are essential for veterans

These findings remind us to ensure comprehensive health support for today’s service members and veterans, addressing both physical and psychological needs.

Conclusions

  • The health impact of WWI was far more extensive than previously documented, affecting nearly all soldiers
  • Infectious diseases posed a greater threat than combat injuries
  • The mental health burden was significant but likely underreported given the era’s limited understanding of psychological trauma
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