Chemical Weapons in World War I - Casualties

Casualties

The contribution of gas weapons to the total casualty figures was relatively minor. British figures, which were accurately maintained from 1916, recorded that only 3% of gas casualties were fatal, 2% were permanently invalid and 70% were fit for duty again within six weeks.

It was remarked as a joke that if someone yelled 'Gas', everyone in France would put on a mask. ... Gas shock was as frequent as shell shock. —H. Allen, Towards the Flame, 1934

Gas! GAS! Quick, boys! — An ecstasy of fumbling,
Fitting the clumsy helmets just in time;
But someone still was yelling out and stumbling,
And flound'ring like a man in fire or lime...
Dim, through the misty panes and thick green light,
As under a green sea, I saw him drowning.
In all my dreams, before my helpless sight,
He plunges at me, guttering, choking, drowning.

—Wilfred Owen, "Dulce et Decorum est", 1917

Death by gas was often slow and painful. According to Denis Winter (Death's Men, 1978), a fatal dose of phosgene eventually led to "shallow breathing and retching, pulse up to 120, an ashen face and the discharge of four pints (2 litres) of yellow liquid from the lungs each hour for the 48 of the drowning spasms."

A common fate of those exposed to gas was blindness, chlorine gas or mustard gas being the main causes. One of the most famous First World War paintings, Gassed by John Singer Sargent, captures such a scene of mustard gas casualties which he witnessed at a dressing station at Le Bac-du-Sud near Arras in July 1918. (The gases used during that battle (tear gas) caused temporary blindness and/or a painful stinging in the eyes. These bandages were normally water-soaked to provide a rudimentary form of pain relief to the eyes of casualties before they reached more organized medical help.)

The proportion of mustard gas fatalities to total casualties was low; only 2% of mustard gas casualties died and many of these succumbed to secondary infections rather than the gas itself. Once it was introduced at the third battle of Ypres, mustard gas produced 90% of all British gas casualties and 14% of battle casualties of any type.

Estimated gas casualties

Nation	Fatal	Non-fatal
Russia	56,000	419,340
Germany	9,000	200,000
France	8,000	190,000
British Empire (includes Canada)	8,109	188,706
Austria-Hungary	3,000	100,000
USA	1,462	72,807
Italy	4,627	60,000
Total	88,498	1,240,853

Mustard gas was a source of extreme dread. In The Anatomy of Courage (1945), Lord Moran, who had been a medical officer during the war, wrote:

"After July 1917 gas partly usurped the role of high explosive in bringing to head a natural unfitness for war. The gassed men were an expression of trench fatigue, a menace when the manhood of the nation had been picked over."

Mustard gas did not need to be inhaled to be effective — any contact with skin was sufficient. Exposure to 0.1 ppm was enough to cause massive blisters. Higher concentrations could burn flesh to the bone. It was particularly effective against the soft skin of the eyes, nose, armpits and groin, since it dissolved in the natural moisture of those areas. Typical exposure would result in swelling of the conjunctiva and eyelids, forcing them closed and rendering the victim temporarily blind. Where it contacted the skin, moist red patches would immediately appear which after 24 hours would have formed into blisters. Other symptoms included severe headache, elevated pulse and temperature (fever), and pneumonia (from blistering in the lungs).

Many of those who survived a gas attack were scarred for life. Respiratory disease and failing eyesight were common post-war afflictions. Of the Canadians who, without any effective protection, had withstood the first chlorine attacks during 2nd Ypres, 60% of the casualties had to be repatriated and half of these were still unfit by the end of the war, over three years later.

In reading the statistics of the time, one should bear the longer term in mind. Many of those who were fairly soon recorded as fit for service were left with scar tissue in their lungs. This tissue was susceptible to tuberculosis attack. It was from this that many of the 1918 casualties died, around the time of the Second World War, shortly before sulfa drugs became widely available for its treatment.