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As the writer points out in the passage, conditions in the military hospital were, at the beginning, so bad that .
During the Crimean War, Florence Nightingale
showed extraordinary qualities of determination
and organizing ability. In the English hospital
where she worked, conditions at first were
terrible dirt and disease probably caused more
deaths among the soldiers than aid the wounds
received in battle. Still, under these
circumstances, Florence Nightingale gradually
built up a highly disciplined nursing staff and,
together with more adequate medical supplies,
she was able to improve conditions and be of
real service to the soldiers. However, the work
was hard, and, as a result, her own health
suffered.