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===Long term impact=== The medical crisis of the Spanish–American War had far-reaching consequences:<ref>Cosmas, pp. 273–278.</ref> More soldiers died from disease than from combat (fewer than 400 killed in action vs. thousands from illness) This led to significant reforms in military medicine and sanitation practices. Special boards, such as the U.S. Army Typhoid Board, were established to study the outbreaks and recommend preventive measures.<ref>Vincent J. Cirillo, ''Bullets and bacilli: The Spanish-American War and military medicine'' (Rutgers University Press, 2004) [https://books.google.com/books?hl=en&lr=&id=_rG9HWy6fVkC&oi=fnd&pg=PP13&dq=medical+reform+after+Spanish+American+war&ots=41VWHAT9WQ&sig=TBlGFewog7GkJ9RDrV70nU7YUg4 online].</ref><ref>George William Latshaw, "Military medical service during and immediately after the Spanish-American War (1898-1901)" (Thesis U of Wisconsin, 1958). [https://minds.wisconsin.edu/bitstream/handle/1793/34531/1310613.pdf?sequence=1 online]</ref><ref>William B. Bean, "Walter Reed and Yellow Fever" ''JAMA'' (1983) 250#5:659-662. [https://jamanetwork.com/journals/jama/article-abstract/387597 online]</ref>
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