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Up until the war, Americans were quite familiar with the presence of death, intimate with its consequences in their own homes and local communities.Some estimates suggest that in the North, where more accurate records of the period are available, the crude death rate in the antebellum period was around 15 per 1,000 in rural areas, and between 20 and 40 per 1,000 in more populated cities.The conflict dramatically altered the course of American society, eradicating the institution of slavery from the land and accelerating a number of social, economic, and political trends originating in other regions of the country.It also made lasting cultural impressions across imaginative and material American landscapes, including the gradual growth of a complex tourist industry built upon memory, patriotism, and consumerism, and the immediate expression of a deeply rooted, though politically sensitive, religious attachment to a distinctly southern way of life.
Despite this close and personal awareness of human mortality, Americans during the Civil War had a radically different set of experiences with death than previously. The total number of deaths for both the North and the South, in the four-year period, was over 600,000.
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Between the years 18, the United States engaged in a civil war, one of the most significant military confrontations in the young republic's life.
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The Civil War, however, was a major turning point in American history for another reason as well: it transformed attitudes toward death and practices surrounding the corpse in the United States.