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No other war had changed the map of Europe so dramatically — four empires disappeared: the German, Austro-Hungarian, Ottoman and the Russian. Four defunct dynasties, the Hohenzollerns, the Habsburg, Romanovs and the Ottomans together with all their ancillary aristocracies, all fell after the war. Belgium was badly damaged, as was France with 1.4 million soldiers dead, not counting other casualties. Germany and Russia were similarly affected. The war had profound economic consequences. In addition, a major influenza epidemic that started in Western Europe in the latter months of the war, killed millions in Europe and then spread around the world. Overall, the Spanish flu killed at least 50 million people.[111][112]
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