The men at the front had to struggle with supply problems–there was a shortage of food; and disease was rife in the damp, rat-infested conditions. Along with enemy action, many soldiers had to contend with new diseases: trench foot, trench fever and trench nephritis. When the war ended in November 1918, British Army casualties, as the result of enemy action and disease, were recorded as 673,375 killed and missing, with another 1,643,469 wounded. The rush to demobilise at the end of the conflict substantially decreased the strength of the British Army, from its peak strength of 3,820,000 men in 1918 to 370,000 men by 1920.