Napoleon was generally thought of as the first time were violent casualties exceeded non-violent ones. At least until his march to Russia. In the US the Civil

Napoleon was generally thought of as the first time were violent casualties exceeded non-violent ones. At least until his march to Russia. In the US the Civil War in the 1860s was when violent casualties tended to exceed medical ones. Even then, disease was a big deal, even up to WW2 where malaria was a huge problem in the Pacific Theater.