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Malaria - and its cousin, yellow fever - had significant implications during the war and the debilitating consequences of the disease were already certain before the Civil War had started in earnest and well before its final history had been written.
Yellow fever - mosquito-borne viral disease; severity ranges from influenza-like symptoms to severe hepatitis and hemorrhagic fever; occurs only in tropical South America and sub-Saharan Africa, where most cases are reported; fatality rate is less than 20%.