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The US was not yet in the war and so missed participating in the massive bloodbaths which were the western front campaigns of 1915 and 1916. While the US toll is relatively much less than that of other major combatants, bear in mind that almost all these US casualties were suffered in the last six months of the war. US troops did not become heavily committed to combat in large numbers until June, 1918.

Italy was fighting on a front in northern Italy against the Austro-Hungarian Empire. Campaigning here was more desultory and less vigorously prosecuted than on the front in France, except for the Caporetto Campaign, which was a disaster for Italy.

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Q: Why did the us and Italy have so few deaths in ww1?
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