The precise number of people killed during the First World War is difficult to measure. Estimates vary from 8.5 to 12.0 million but with the collapse of government bureaucracies in Russia, Germany, Austria-Hungary and Turkey accurate measurement becomes impossible.
Another problem involves the way death was defined. Most governments only published figures for men who were killed during military action. Soldiers who died slowly from their wounds, gas poisoning or disease, did not always appear in the statistics published after the war.
Most soldiers were killed during major offensives. Over 21,300 were killed on the first day of the Somme and over 50 per sent of those who took part in the attack were wounded. Other major offences such as those at Loos and Passchendaeleresulted in large numbers being killed.
Being in front-line trenches was also extremely dangerous. Almost every day some enemy artillery shells would fall on the trenches. One study suggested that one-third of all casualties on the Western Front were killed or wounded while in the trenches.
There is considerable dispute about the number of civilian deaths during the First World War. Bomb victims, merchant seamen and passengers on torpedoed ships were recorded. However, the number of civilians killed by disease or war deprivation are not usually included. For example, it is believed that about 500,000 German civilians died as a result of food shortages. Other countries that suffered high civilian deaths include Russia (2 million), Serbia (650,000) and Rumania (500,000). Considering the state of deprivation at the time, some commentators believe that the estimated 70 million people that died during the influenza pandemic should also be recorded as war deaths.

Fortunino Matania, Death at a Field Hospital (1917)