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December 18, 1991

Epidemiologic Analysis of Warfare-Reply

Author Affiliations

Columbia University New York, NY

Columbia University New York, NY

JAMA. 1991;266(23):3281. doi:10.1001/jama.1991.03470230039012

In Reply.  — We are sorry that Dr Glatt was offended, but we defend the methods used in our article, which was an overview of 200 years of warfare, with only limited space devoted to World War II. The point of Table 4 was to highlight the increase in war-related deaths among civilians, including captive civilian populations, which has occurred in the 20th century. More than 33 million war-related deaths occurred among civilians in World War II (Table 4), which include 6 million Jews killed in the Holocaust.Glatt calls the destruction of European Jewry "the single most barbaric episode in the history of humankind." We agree with his assessment. However, the vast majority of these deaths would not have occurred outside the context of war. Our analysis was intended to show that the indirect effects of warfare on civilians are increasing rapidly. These conclusions are not altered whether the