The correct answer is "All of the above." Each of the options contributes to understanding why the 1918 influenza epidemic was so deadly worldwide:
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Food scarcity and undernourishment: The war led to food shortages, which weakened people's immune systems and made them more susceptible to infections, including influenza.
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Infected soldiers spreading the virus: Soldiers returning from the war helped spread the virus when they came home, creating a wider distribution of the disease.
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Medical personnel becoming ill: Healthcare workers were often exposed to the virus while treating patients, leading to a decrease in available medical personnel and further spreading the illness.
Together, these factors contributed to the severity and widespread impact of the epidemic.