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At its peak, the ARA employed 300 Americans, more than 120,000 Russians and fed 10.5 million people daily. Its Russian operations were headed by Col. William N. Haskell. The Medical Division of the ARA functioned from November 1921 to June 1923 and helped overcome the typhus epidemic then ravaging Russia. The ARA's famine relief operations ran in parallel with much smaller Mennonite, Jewish and Quaker famine relief operations in Russia.[4][5]

The ARA's operations in Russia were shut down on June 15, 1923, after it was discovered that Russia renewed the export of grain."[6]

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