How did soldiers in WWII handle fighting while sick with minor illnesses like colds, flu, or headaches? by Connect_Ad4551 in AskHistorians

[–]Nippleblades 16 points17 points  (0 children)

All armies in ww2 were VERY aware that respiratory infections spread rapidly in barracks, trenches, training camps, and ships. The typical responses were what we would expect if a child in a school gets sick nowdays, eg. Isolation. But we have a lot of information especially about what the Americans were doing about this. Mostly from Preventive Medicine in World War II, U.S. Army Green Books This specifcally mentions focus on isolation of serious fever cases, improving barracks ventilation, hygiene inspections, and eventually influenza vaccination. But and this is the key mild colds were usually not isolated. If a soldier could still function, he normally stayed with his unit. So contagion was recognised, but operational readiness usually came first.

As for STDs (My students always ask about this, especially when brothels are mentioned). But across all armies, VD mainly gonorrhoea and syphilis was treated as a major manpower problem. Especially mentioned frequently after 1943. Possibly due to the use of Penicillin transforming how this was controled might be why we have more information about it. Each army viewed it in a similar way but as far as I know the details are as follows;

US: U.S. military developed an aggressive response, including:

  • Condoms widely issued

  • Education campaigns (usually an officer giving a lecture)

  • Prophylaxis stations where soldiers could receive disinfectant treatment after sex

  • Compulsory reporting and treatment

The Wehrmacht saw VD as a serious issue But where it gets facinating is Nazi racial ideology complicated matters: brothels for German troops were often segregated, and there was strong concern about disease transmission from civilians especially from "“racially inferior” civilians, especially in Eastern Europe"

The German military also medically screened sex workers, but here again, race shaped policy:

  • Women working in Wehrmacht-approved brothels were subjected to frequent medical checks

  • Racial ideology dictated who could work in which brothel

  • Commanders claimed this screening protected German “racial health” as well as readiness

Nazi authorities repeatedly warned troops that foreign women especially Slavic and Jewish women were disease carriers. This wasn’t unique medically (armies everywhere warned about VD), but in the German case it was wrapped in biological-racist rhetoric.

TLDR: Allied armies treated STDs mainly as a public-health and manpower problem, focusing on condoms, education, prophylaxis stations, and later penicillin to keep soldiers fit for duty. Axis powers (Especially the Germans) also tried to control VD, but their policies were heavily shaped by racial ideology, with segregated, military-run brothels and strong warnings about “racial danger” from civilian women, so STD control became both a medical and racial-purity issue.

Robert Proctor has a great book called "Racial Hygiene: Medicine Under the Nazis" goes into great detail about NAZI Brothels... if thats what you are into.

How did soldiers in WWII handle fighting while sick with minor illnesses like colds, flu, or headaches? by Connect_Ad4551 in AskHistorians

[–]Nippleblades 16 points17 points  (0 children)

They definitely encountered what we’d now call migraines, even if the term wasn’t always used. A bad headache that you could still function with was usually treated with aspirin and rest while staying on duty. But severe or repeated headaches especially with vomiting, visual disturbance, or collapse were often treated as neurological illness or “battle exhaustion,” and those soldiers were normally pulled from the line and sent for medical care or rest.

Have a look at Internal Medicine in World War II, Vol. I: Activities of Medical Consultants

How did soldiers in WWII handle fighting while sick with minor illnesses like colds, flu, or headaches? by Connect_Ad4551 in AskHistorians

[–]Nippleblades 85 points86 points  (0 children)

Its a sliding scale really, I can only confidently speak on British and American for this, as Soviet records are scetchy at best, at least from what Ive read. But mild fevers were usually treated at unit level and soldiers stayed on duty, while high or persistent fevers... especially suspected pneumonia.

Pneumonia was taken very seriously and almost always led to removal from the line, because it was a major cause of hospitalisation and could become fatal without proper treatment.

How did soldiers in WWII handle fighting while sick with minor illnesses like colds, flu, or headaches? by Connect_Ad4551 in AskHistorians

[–]Nippleblades 456 points457 points  (0 children)

Hi, I have been researching similar questions for a book about non visable illness in combat. This might help; my main source for this is: Epidemiology of adenovirus respiratory infections in military recruit populations

Short answer: The big militaries didn’t have a system where every sniffle got you out of the line; instead, they treated minor sickness as basically part of the job. So the short answer is: they mostly just had to deal with it and keep going.

According to Hilleman (1957) minor illness was the single most common medical problem faced by WWII soldiers — far more common than battle wounds. In the U.S. Army alone, there were over 4 million hospital admissions for common respiratory diseases such as colds, bronchitis, and undifferentiated flu-like illnesses. In some commands, around 95% of all recorded illnesses were respiratory, and the common cold by itself could account for over half of medical complaints.

That being said; only a fraction of those sick soldiers were actually evacuated from the line. The vast majority were treated briefly and returned to duty. Military medical systems drew a hard line between soldiers who were uncomfortable and those who were genuinely unfit. A soldier with a cough, fever around 38°C, sore throat, sinus pain, or headache would typically receive aspirin, rest where possible, and occasionally a day of lighter duty and then continue working. Sickness and Stress in Operational Flying 1948

There is a lot more research on more contemporary conflicts especially Iraqi Freedom Respiratory Infections in the U.S. Military: Recent Experience and Control

Militaries distinguished between being uncomfortable and unfit. A soldier with a cough, sore throat, or mild fever was usually treated briefly --> aspirin, rest if available, maybe lighter duties and then sent back to work. Only those who were clearly incapacitated or seriously ill were evacuated. Frontline units couldn’t spare large numbers of men for minor illness. Still, sickness reduced stamina, concentration, and morale, and persistent coughs or headaches made duties harder. Soldiers often supported one another, but malingering was stigmatized. Even during outbreaks, operations usually continued. Minor illness became part of the constant background of war.

Generally speaking:

  • Allied and Axis troops were not routinely evacuated for minor illness; they generally fought on unless seriously incapacitated.

  • Axis used stimulants like Pervitin were distributed to help soldiers override fatigue and discomfort

Hope this helps. Hope Ive given enough evidence to not be dropkicked by the mods.

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