2010-02-21 / 22:05 /

The 442nd is commonly reported to have suffered a casualty rate of 314 percent, informally derived from 9,486 Purple Hearts divided by some 3,000 original in-theater personnel. U.S. Army battle reports show the official casualty rate, combining KIA (killed) with MIA (missing) and WIA (wounded and removed from action) totals, is 93%, still uncommonly high. Many of the Purple Hearts were awarded during the campaign in the Vosges Mountains and some of the wounded were soldiers who were victims of trenchfoot. But many victims of trenchfoot were forced by superiors—or willingly chose—to return to the front even though they were classified as “wounded in action”. Wounded soldiers would often escape from hospitals to return to the front line battles.[citation needed]