In addition, camp hygiene was extremely poor. Inadequate sanitation facilities, and the lack of shelter, clothing, shoes and food, as well as contaminated water contributed to high death rates in the camps. Diarrhea and dysentery became the leading causes of death with casualty figures showing that roughly twice as many soldiers died from disease as from the most frequent type of battle injury - the gunshot wound (shown in Latin terminology on military medical records as "Vulnus Sclopet").