4. The Drug Epidemic at the End of the Civil War

When people think of American wars and drugs, what usually comes to mind is the heroin addiction epidemic that swept the US armed forces in the later years of the Vietnam War. A century earlier, another epidemic of drug addiction had swept through the veterans of America’s armed forces during and after the US Civil War. It was an epidemic of addiction to morphine, a common pain management medication that had been doled out liberally – at least among Union forces – to alleviate the suffering of the wounded.

It is perhaps unsurprising that the Civil War might have produced America’s biggest veterans drug addiction epidemic. That war was the country’s bloodiest, with casualties exceeding the total casualties of all other US wars, combined. About 10 percent of all Northern males, and about 30 percent of all Southern white males, are thought to have perished in the conflict. Modern estimates put the war’s fatalities at between 785,000 to 1 million deaths, the latter figure representing 3.2% of total US population at the time. If extrapolated to America’s 2021 population estimates, it would be the equivalent of about 10,500,000 deaths.



