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THE 


MEDICAL  AND  SURGICAL  HISTORY 


OP"  THE 


WAR  OF  THE  REBELLION, 

(1861-65.) 


PKKPAEED,    IN    ACCOKDANCE    AVITH    ACTS    OF    CONGRESS,    UNDER    THE    DIRECTION    OF 

Surgeon  General  JOSEPH  K,  BARNES,  United  States  Army, 


WASHINGTON: 

GOVERNMENT    PRINTING    OFFICE. 

1870. 


u,  ^ 

^ .  I ; 


WAR  DEPARTMENT, 

SURGEON  GENERAL'S  OFFICE, 

November  12,  1870. 

In  the  first  year  of  the  War  it  became  evident  that  the  form  of  Returns  of 
Sick  and  Wounded,  then  in  use,  were  insufficient  and  defective;  and,  on  May  21, 

1862,  measures  were  taken  by  the  then  Surgeon  General  of  the  Army,  Wm.  A.' 
Hammond,  to  secure  more  detailed  and  exact  reports  of  sick  and  wounded,  by 
important  modifications  in  the  returns  from  medical  officers.     On  June  9,  1862, 
the  intention  to  prepare  for  publication  a  Medical  and  Surgical  History  of  the 
Rebellion  was  announced  to  the  Medical  Staff,  in  a  Circular  from  the  Surgeon 

7  o 

General's  Office.     On  July  1,  1863,  a  Consolidated  Statement  of  Gunshot  Wounds, 
by  Surgeon  J.  H.  Brinton.  IT.  S.  Volunteers,  then  in  charge  of  the  Surgical 

«/  O  o  O 

Records,  and  Curator  of  the  Army  Medical  Musuem ;  and  on  September  8, 

1863,  a  Report  on  Sickness  and  Mortality  of  the  Army  during  the  first  year  of 
the  War,  prepared  by  Assistant  Surgeon  J.  J.  Woodward,  U.  S.  Army,  in  charge 
of  the  Medical  Records,  were  published  by  this  Office. 

The  necessity  for  a  thorough  revision  of  the  Returns  of  Sick  and  Wounded 
becoming  apparent,  a  Medical  Board  was  assembled  for  this  purpose,  in  July, 
1862,  and  subsequently  the  following  order  was  promulgated: 

[CIRCULAR  No.  25.] 

GENERAL  ORDERS  ]          WAR  DEPARTMENT, 

ADJUTANT  GENERAL'S  OFFICE. 
No.  355.  Washington,  November,  4,  1863. 

Medical  Directors  of  Armies  in  the  field  will  forward,  direct  to  the  Surgeon  General, 
at  Washington,  duplicates  of  their  reports  to  their  several  Commanding  Generals,  of  the 
killed  and  wounded,  after  every  engagement. 
By  order  of  the  Secretary  of  War : 

(Signed:)  E.  D.  TOWNSEND, 

Assistant  Adjutant  General. 

SURGEON  GENERAL'S  OFFICE, 

Washington,  D.  <?.,  Nov.  11,  1863. 

To  carry  out  the  intentions  of  the  above  order,  Medical  Directors  of  Armies  in  the 
field  will  detail  suitable  officers,  who  will,  under  their  instructions,  collate  and  prepare  for 
transmission  to  this  office,  all  obtainable  statistics  and  data  in  connection  with  past  and 


IV  PREFATORY. 

future   operations   of  those  armies,  which   may   be   essential    or   useful    in    the  accurate 
compilation  of  the  Medical  and  Surgical  History  of  the  War. 

Particular  attention  is  called  to  the  following  points:  The  morale  and  sanitary 
condition  of  the  troops;  condition  and  amount  of  medical  and  hospital  supplies,  tents, 
ambulances,  etc.;  the  points  at  or  near  the  field  where  the  wounded  were  attended  to; 
degree  of  exposure  of  wounded  to  wet,  cold,  or  heat;  adequacy  of  supplies  of  water,  food, 
stimulants,  etc.;  mode  of  removal  of  wounded  from  field  to  field  hospitals;  to  what  general 
hospitals  the  wounded  were  transferred,  by  what  means  and  Avhere;  the  character  and 
duration  of  the  action,  nature  of  wounds  received,  etc.  When  practicable,  separate 
casualty  lists  will  be  made  of  commissioned  officers,  non-cornmissioned  officers,  and 
privates.  The  attention  of  all  medical  officers  is  earnestly  directed  to  the  importance  of 
this  subject;  without  their  cooperation  no  reliable  record  can  be  preserved — the  vast 
experience  of  the  past  will  remain  witli  individuals,  and  be  lost  to  the  service  and  the 

country. 

J.  K.  BARNES, 

Medical  Inspector  General, 
Acting  Surgeon  General. 

To  facilitate  the  collection  and  preservation  of  all  important  information, 
medical  officers  serving  with  regiments  in  the  field  were  furnished,  in  January, 
1864,  with  a  compact  and  portable  Register  of  Sick  and  Wounded,  and  the 
following  instructions  were  issued : 

o 

[CIRCULAR  LETTER.] 

SURGEON  GENERAL'S  OFFICE, 

Washington,  D.  G.,  January  20,  1864. 

The  Register  of  Sick  and  Wounded  hitherto  in  use  in  the  U.  S.  A.  General  Hospitals 
is  hereby  discontinued.  In  lieu  thereof  will  be  substituted  two  Registers  for  each  General 
Hospital,  viz. : 

1.  A  Register  of  Sick  and  Wounded. 

2.  A  Register  of  Surgical  Operations.  * 

In  the  former  the  appropriate  entries  will  be  made  whenever  a  patient  is  admitted 
into  hospital,  and  during  his  subsequent  stay  therein;  and,  to  assist  in  the  preparation  of 
this  Register,  a  new  form  of  Bed-Cards  has  been  adopted. 

In  the  "Register  of  Surgical  Operations,"  will  be  entered,  minutely  and  in  detail,  the 
particulars  of  all  operations  performed,  or  treated  in  hospital.  These  entries  should  be 
made  by  the  medical  officers  in  charge  of  wards. 

The  above  Registers  and  Bed-Cards  are  now  in  the  hands  of  the  Medical  Purveyors, 
ready  for  issue,  and  you  are  directed  to  make  immediate  requisition  for  the  same,  adopting 
them  as  soon  as  received. 

J.  K.  BARNES, 

To  the  Surgeon-in-charge  of  —  Acting  Surgeon  General. 

U.  S.  A.  General  Hospital. 


PREFATORY.  v 

In  February,  1864,  separate  Reports  were  ordered  to  be  made  for  Sick  and 
Wounded  Eebel  Prisoners  of  War,  and  for  White  and  Colored  Troops,  in  order  to 
obtain  with  greater  facility  the  sickness  and  mortality  rates  of  each. 

A  Classified  Return  of  Wounds  and  Injuries  received  in  Action,  a  Report 
of  Wounded,  and  a  Report  of  Surgical  Operations,  were  adopted  in  March,  1864, 
and  distributed  with  the  following  circulars : 

[CIRCULAR  LETTER.] 

SURGEON  GENERAL'S  OFFICE, 

Washington,  D.  C.,  March  23,  1864. 

Medical  Directors  of  Armies  in  the  field  will  issue  the  "Classified  Return  of  Wounds 
and  Injuries  received  in  Action,"  to  the  Chief  Medical  Officers  of  Corps  and  Divisions, 
who  will  see  that  they  are  properly  distributed. 

This  form,  correctly  filled  up  by  the  Senior  Medical  Officer  of  the  command  engaged, 
will  bo  transmitted,  in  duplicate,  through  the  proper  channel,  to  the  Medical  Director  of 
the  Army  within  three  days  after  every  action. 

The  Medical  Director  of  the  Army  will,  as  soon  as  possible,  forward  to  the  Surgeon 
General  a  Consolidated  Return  of  all  Casualties,  according  to  the  same  form.  He  will,  at 
the  same  time,  transmit  one  copy  of  all  Duplicate  Returns  received  from  his  subordinate 
Medical  Officers. 

J.  K.  BARNES, 

Acting  Surgeon  General. 


[CIRCULAR  LETTER.] 

SURGEON  GENERAL'S  OFFICE, 

Washington,  D.  C.,  March  28,  1864. 
SIR: 

You  are  hereby  directed  to  fill  up  the  accompanying  "  Report  of  Wounded  "  and 
"  Report  of  Surgical  Operations  "  for  the  months  of  January,  February,  and  March,  1864. 

The  Report  of  Wounded  will  consist  of  an  accurate  and  legible  copy  of  all  cases  of 
wounded  entered  on  the  Hospital  Register  during  the  quarter. 

The  Report  of  Surgical  Operations  will  consist  of  a  correct  copy  of  the  Register  of 
Surgical  Operations  for  the  same  period. 

A  list  of  wounded  remaining  under  treatment  on  the  31st  December,  1863,  in  the 
hospital  under  your  charge,  and  on  furlough,  is  enclosed;  you  are  directed  to  fill  up  the 
column  "  Result  and  Date,"  opposite  the  respective  names. 

Additional  details  for  the  present  quarter,  of  "Surgical  Operations  remaining  under 
treatment  December  31,  1863,"  you  will  report  on  appended  slips  of  paper. 

Blank  sets  of  Reports  on  Secondary  Haemorrhage,  Tetanus,  and  Pyremia,  are  also 
(mclosed.  These  you  will  fill  up  in  the  usual  manner.  Should  no  such  cases  have  occurred 
in  the  hospital  under  your  charge  during  the  time  specified,  you  will  so  state  in  your  letter 
of  transmission. 


VI  PREFATORY. 

All  of  the  reports  above  alluded  to  will,  when  compiled,  be  forwarded  directly  to  the 
Acting  Surgeon  General. 

By  order  of  the  Acting  Surgeon  General : 

C.  H.  CRANE, 

Medical  Officer  in  charge  of-  Surgeon  U.  S.  Army. 

U.  S.  A.  General  Hospital. 

Contemporaneously  with  the  establishment  of  a  more  accurate  system  of 
Medical  and  Surgical  reports,  a  pathological  collection  was  commenced,  which, 
under  the  charge  of  Surgeon  J.  H.  Brinton,  U.  S.  Volunteers,  and  Assistant 

o  O 

Surgeon  J.  J.  Woodward,  U.  S.  Army,  became  the  basis  of  the  Army  Medical 
Museum,  itself,  as  it  now  exists,  an  eloquent  and  instructive  history  of  the  Medicine 
and  Surgery  of  the  War,  and  without  which  no  history  could  have  been  com 
pletely  illustrated. 

The  announcement  of  this  project  was  cordially  responded  to  by  Medical 
Officers  throughout  the  service  ;  and  the  list  of  contributors  comprises  the  names 
of  many  most  eminent  for  zeal  and  ability  in  the  discharge  of  their  duties  under 
the  Government,  whose  honorable  records  are  identified  with  this  work. 

The  following  Circular  was  published  more  to  secure  a  certain  class  of 
specimens,  than  to  stimulate  the  liberality  with  which  most  valuable  pathological 
material  was  being  forwarded : 

[CIRCULAR  LETTER.] 

SURGEON  GENERAL'S  OFFICE, 

Washington,  D.  0.,  June  24,  1864. 

Medical  Officers  in  charge  of  Hospitals  are  directed  to  diligently  collect  and  preserve 
for  the  Army  Medical  Museum,  all  pathological  surgical  specimens  which  may  occur  in 
the  hospitals  under  their  charge. 

The  objects  which  it  is  desired  to  collect  for  the  Museum  may  be  thus  enumerated  : 

Fractures,  compound  and  simple  ;  fractures  of  the  cranium. 

Excised  portions  of  bone. 

Diseased  bones  and  joints. 

Exfoliations  ;   especially  those  occurring  in  stumps. 

Specimens  illustrative  of  the  structure  of  stumps,  (obliterated  arteries,  bulbous  nerves, 

rounded  bones,  etc.) 

Integumental  wounds  of  entrance  and  of  exit,  from  both  the  round  and  conoidal  ball. 
Wounds  of  vessels  and  nerves. 

Vessels  obtained  subsequent  to  ligation,  and  to  secondary  haemorrhage. 
Wounded  viscera. 
Photographic    representations   of   extraordinary   injuries,    portraying    the   results   of 

wounds,  operations,  or  peculiar  amputations. 


PREFATORY.  VII 

Models  of  novel  surgical  appliances,  and  photographic  views  of  new  plans  of  dressing. 

Plaster  casts  of  stumps  and  amputations,  and  models  of  limbs  upon  which  excisions 
may  have  been  performed. 

It  is  not  intended  to  impose  on  Medical  Officers  the  labor  of  dissecting  and  preparing 
the  specimens  they  may  contribute  to  the  Museum.  This  will  be  done  under  the  super 
intendence  of  the  Curator, 

In  forwarding  such  pathological  objects  as  compound  fractures,  bony  specimens,  and 
wet  preparations  generally,  obtained  after  amputation,  operation,  or  cadaveric  examination, 
all  unnecessary  soft  parts  should  first  be  roughly  removed.  Every  specimen  should  then 
be  wrapped  separately  in  a  cloth,  so  as  to  preserve  all  spiculce  and  fragments.  A.  small 
block  of  wood  should  be  attached,  with  the  name  of  the  patient,  the  number  of  the  specimen, 
and  the  name  of  the  medical  officer  sending  it,  inscribed  in  lead  pencil.  The  inscription  will 
be  uninjured  by  the  contact  of  fluids.  The  preparation  should  be  then  immersed  in  diluted 
alcohol  or  whiskey,  contained  in  a  keg  or  small  cask.  When  a  sufficient  number  of  objects 
shall  have  accumulated,  the  cask  should  be  forwarded  directly  to  the  Surgeon  General's 
Office.  The  expenses  of  expressage  will  be  defrayed  in  Washington.  The  receipt  of  the 
keg  or  package  will  be  duly  acknowledged  by  the  Curator  of  the  Museum. 

In  every  instance,  a  corresponding  list  or  history  of  the  cases  should,  at  the  same 
time,  be  forwarded  to  this  office.  In  this  list  the  number  and  nature  of  every  specimen 
should  be  clearly  specified,  and,  when  possible,  its  history  should  be  given.  The  numbers 
attached  to  the  specimens  themselves,  and  the  numbers  on  the  list  forwarded  should  always 
correspond,  and  should  be  accompanied  by  the  name  and  rank  of  the  medical  officer  by 
whom  sent.  Every  specimen  will  be  duly  credited  in  the  Catalogue  to  the  medical  officer 

contributing  it. 

J.  K.  BARNES, 

Acting  Surgeon  General. 


In  order  to  perfect  the  returns  under  examination,  as  far  as  possible,  the 
following  Circular  was  issued : 

[CIRCULAR  LETTER.] 

SURGEON  GENEKAL'S  OFFICE, 

Washington,  D.  C.t  February  2, 1865. 

Medical  Directors  of  Armies  in  the  Held  or  of  detached  commands  are  instructed  to 
transmit  to  this  Office  copies  of  all  reports  in  their  possession  from  the  Recorders  of  Division 
or  other  Field  Hospitals,  and  in  future,  copies  of  such  reports  will  be  forwarded  to  the 
Surgeon  General  within  twenty  days  after  every  engagement. 

Medical  Directors  of  Departments  will  forward  to  this  Office  copies  of  all  reports  of 
individual  cases  of  gunshot  injury  antecedent  to  the  adoption  of  the  present  system  of 
registration  of  wounds,  (October  1,  1863.)  which  ar<>  on  file  in  their  offices. 

By  order  of  the  Surgeon  General : 

C.  H.  CRAKE, 

Surgeon  U.  8.  Army. 


VIII  PREFATORY. 

On  April  6,  1866,  a  letter  was  addressed  to  each  Medical  Director,  requiring 
that  all  Eegisters  of  Hospitals,  Consolidated  Registers  of  Soldiers  treated,  and  all 
information  in  their  possession  pertaining  to  the  Sick,  Wounded,  Discharged, 
and  Dead  during  the  war,  should  be  transferred  to  this  Office.  Careful  revision  of 
the  material  accumulated  up  to  that  date,  had  established  its  immense  value  to 
the  civilized  world,  and  it  seemed  to  be  demanded  that,  in  justice  to.  humanity, 
and  to  the  national  credit,  it  should,  at  once,  be  made  available  by  publication. 

By  authority  of  the  Secretary  of  War,  Hon.  Edwin  M.  Stanton,  Circular 
No.  6,  A  Report  upon  the  Extent  and  Nature  of  the  Materials  available  for  the 
preparation  of  a  Medical  and  Surgical  History  of  the  War,  was  published,  and 
an  edition  of  seven  thousand  five  hundred  copies  distributed. 

Encouraged  by  the  approbation  of  Secretary  Stanton,  who  took  the  deepest 
interest  in  its  success,  and  aided  by  his  powerful  influence,  an  application  was 
made  to  Congress,  and  an  appropriation  was  granted  June  8,  1868,  for  the 
purpose  of  preparing  for  publication,  under  the  direction  of  the  Secretary  of  War, 
five  thousand  copies  of  the  First  Part  of  the  Medical  and  Surgical  History  of  the 
Rebellion,  compiled  by  the  Surgeon  General,  and  on  March  3,  1869,  by  a  Joint 
Resolution  of  Congress,  the  number  of  copies  mentioned  above  was  authorized  to 
be  printed  at  the  Government  Printing  Office. 

Assistant  Surgeon  J.  J.  Woodward,  U.  S.  Army,  who  had  been  in  charge 
of  the  Medical  Records  since  June  9,  1862,  and  Assistant  Surgeon  George  A. 
Otis,  U.  S.  Army,  who  was  assigned  to  the  charge  of  the  Surgical  Records, 
October  3,  1864,  were  directed  to  prepare  the  work  for  publication;  the  zeal  and 
intelligence  of  these  Officers  having  been  already  fully  established. 

No  work  of  this  character,  of  equal  magnitude,  had  ever  been  undertaken; 
the  Medical  and  Surgical  History  of  the  British  Army  which  served  in  Turkey 
and  the  Crimea  during  the  war  against  Russia  in  1854,  1855,  and  1856,  and  the 
Medico-Chirurgical  Report  of  Doctor  J.  C.  Chenu  upon  the  Crimean  Campaign, 
published  by  the  French  Government  in  1865,  being  the  only  national  publica 
tions  on  military  medicine  and  surgery. 

It  was  not  considered  advisable  to  follow  the  classification  of  either  of  these 
works,  and  a  plan  was  determined  on  which  it  is  believed  will  be  found  adapted 
to  the  preservation  of  the  great  mass  of  facts  collected,  in  a  form  for  convenient 
study.  Through  the  liberality  of  the  Government,  in  its  beneficent  pension  laws, 
it  has  been  found  practicable  to  obtain  accurate  histories  of  many  thousand 
wounded  or  mutilated  men  for  years  subsequent  to  their  discharge  from  service. 


PREFATORY.  TX 

The  success  which  has  attended  this  effort  to  ascertain  the  ultimate  results 
of  operations  or  conservative  measures,  employed  in  the  treatment  of  the  wounded 
in  the  late  war,  is  largely  owing-  to  the  cordial  cooperation  of  the  Surgeons 
General  and  Adjutants  General  of  States,  the  Examining  Surgeons  of  the  Pension 
Bureau,  and  very  many  private  Physicians  throughout  the  country.  As  in  the 
official  returns  of  the  casualties  of  the  French  and  English  Armies  in  the  Crimean 
War,  the  cases  were  dropped  when  the  men  were  invalided,  pensioned,  or 
discharged  from  service,  this  information  was  considered  peculiarly  desirable. 

In  carrying  out  the  intentions  of  Congress,  it  has  been  my  earnest  endeavor 
to  make  this  Medical  and  Surgical  History  of  the  War,  not  only  a  contribution  to 
science,  but  an  enduring  monument  to  the  self-sacrificing  zeal  and  professional 
ability  of  the  Volunteer  and  Regular  Medical  Staff,  and  the  unparalleled  liberality 
of  our  Government,  which  provided  so  amply  for  the  care  of  its  sick  and  wounded 
soldiers.  To  the  Medical  Officers  connected  more  immediately  with  this  work, 
for  most  cordial  assistance  and  unceasing  industry ;  to  those  who,  at  the  close  of 
the  war,  returned  to  civil  life ;  to  the  members  of  the  Medical  Staff  of  the  Army 
and  Officers  of  the  various  Bureaux  of  the  War  Department,  for  the  courtesy  and 
promptness  with  which  requests  for  information  have  invariably  been  responded 
to,  I  am  deeply  indebted.  My  thanks,  and  those  of  every  possessor  of  these 
volumes,  are  especially  due  to  the  Superintendents  of  the  Government  Printing 
Office,  and  their  skilled  assistants,  who  have  spared  no  pains  in  making  the 
typography  and  execution  of  this  publication  worthy  of  the  Government  and  the 
Nation  it  represents. 

JOSEPH  K.  BARNES, 
Surgeon  General  U'  S.  Army. 


THE 


MEDICAL  AND  SURGICAL  HISTORY 


OF  THE 


WAR  OF  THE  REBELLION, 

PART   I. 
VOLUME   I. 

MEDICAL  HISTORY. 


Prepared,  under  the  direction  of  JOSEPH  K,  BARNES,  Surgeon  General  United  States  Army, 

BY  J.  J.  WOODWARD,  ASSISTANT  SUEGEON  UNITED  STATES  AKMY. 


INTRODUCTION. 


The  Medical  Volume  of  the  First  Part  of  the  Medical  and  Surgical  History  of  the 
War  of  the  Rebellion  consists  of  a  series  of  statistical  tables  presenting  a  summary  view 
of  the  facts  embodied  in  the  monthly  reports  made  to  the  Surgeon  General  with  regard  to 
the  Sickness  of  the  Army,  the  Deaths,  and  the  Discharges  from  service  on  surgeon's 
certificate  of  disability. 

These  tables  have  been  arranged  in  two  groups;  Part  I  referring  to  White  Troops, 
Part  II  to  Colored  Troops.  Each  of  these  parts  again,  is  subdivided  into  two  sections; 
the  first  referring  to  Sickness  and  Mortality,  the  second  to  Discharges  on  surgeon's 
certificate  of  disability. 

The  propriety  of  endeavoring  to  present  separately  such  facts  as  it  has  been  possible 
to  collect,  with  regard  to  the  sickness  and  mortality  of  Colored  Soldiers,  would  appear  too 
obvious  to  require  extended  remark  in  this  place.  Aside  from  all  considerations  of  a 
scientific  or  historical  nature,  motives  of  humanity  would  seem  to  dictate  that  the  statistics 
should  be  presented  in  the  form  most  likely  to  render  them  serviceable  as  a  contribution 
to  our  knowledge  of  the  influence  of  race-peculiarities  on  disease.  These  motives  acquire, 
if  possible,  additional  importance  from  the  fact  that  several  thousand  Colored  Men  still 
continue  to  form  a  part  of  the  United  States  Army.  In  order  that  this  object  might  be 
attained  the  statistical  tables  of  Part  II  have  been  made  to  embrace  only  the  Enlisted 
Men  of  colored  regiments,  the  cases  and  deaths  among  their  white  officers  being  carefully 
excluded.  The  enlisted  men  of  these  regiments,  however,  included,  besides  persons  of 
African  descent,  many  of  mixed  African  and  European  blood,  and  the  returns  afforded  no 
available  means  for  discrimination. 

The  tables  for  both  White  and  Colored  troops  have  been  constructed  by  a  careful 
consolidation  of  the  sick  reports  made  to  the  Surgeon  General.  The  army  regulations  in 
force  at  the  commencement  of  the  war  required  the  senior  medical  officer  of  each  hospital, 
post,  regiment,  or  detachment,  to  make  monthly,  to  the  Medical  Director,  and  quarterly  to 
the  Surgeon  General,  a  report  of  Sick  and  Wounded,  of  Deaths  and  of  Discharges  on 
surgeon's  certificate  of  disability.*  The  Medical  Director,  by  whom  the  monthly  reports 
were  received,  was  required  to  consolidate  them  and  forward  the  consolidated  return 
to  the  Surgeon  General. f  Printed  forms  for  these  purposes  were  issued  by  the  Surgeon 
General's  Office. 


*  Revised  Regulations  for  the  Army  of  the  United  States,  18G1.     Par.  12G4. 
tlbid.     Par.  1267. 


XIV 


INTRODUCTION. 


The  form  for  the  quarterly  report  to  the  Surgeon  General  was  as  follows : 

REPORT  OF  THE  SICK  AND  WOUNDED  AT  FOR  THE  QUARTER 

ENDING  ..  ....,  IS 


Classes  of  Diseases. 

TAKEN  SICK  OR  RECEIVED  INTO  HOSPITAL  DURING  THE  QUARTER. 

MONTH                           

FIRST. 

SECOND. 

THIRD. 

TOTAL  BY 
EACH  DISEASE. 

SPECIFIC  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

ERUPTIVE 
FEVERS.  FEVERS. 

Febris  Typhoides  

Febris  Typhus  Icterodes  

All  other  Diseases  of  this  Class  

Erysipelas  

Rubeola  

Etc.  — 

Etc  

TOTAL  

TOTAL  HY 


GENERAL  SUMMARY. 


REJV 

1 

& 

<s 

3 

5 

'S. 

o 

.S 

w 

X 

'C 

B 
•O 

02 

I 

General 

"B 
P 

0 

•a 

f 

o 

•c 

t3 

c 

1 

£ 

& 

fen 

3 

a 
s 
05 

Returns 

*M 
S 

0 

Dischar 

Deserte 

•d 

w 

S 

cc 

RATIO  PER  1000  OF 
MEAN  STRENGTH. 


Cases.        Deaths. 


DISCHARGES  ON  SURGEON'S  CERTIFICATE,  AND  DEATHS. 


NAME. 

Rank. 

Surname.         i  Christian  Name. 

Disease. 

from  Service. 

Date  of  Death. 

REMARKS. 


INTRODUCTION.  xv 

One  hundred  and  forty-three  diseases  were  specified  on  this  blank,  and  classified  as 
follows:  Fevers,  Eruptive  Fevers,  Diseases  of  the  organs  connected  with  the  Digestive 
System,  Diseases  of  the  Respiratory  System,  Diseases  of  the  Circulatory  System,  Diseases 
of  the  Brain  and  Nervous  System,  Diseases  of  the  Urinary  and  Genital  Organs  and 
Venereal  Affections,  Diseases  of  the  Serous  Exhalent  Vessels,  Diseases  of  the  Fibrous 
and  Muscular  Structures,  Abscesses  and  Ulcers,  Wounds  and  Injuries,  Diseases  of  the 
Eye,  Diseases  of  the  Ear,  and  All  Other  Diseases. 

The  form  issued  for  the  monthly  reports  differed  from  the  foregoing  only  in  the 
omission  of  the  columns  intended  to  receive  the  cases  and  deaths  of  the  second  and  third 
months,  while  for  the  Medical  Directors'  monthly  consolidated  reports  large  sheets  were 
issued  on  which  the  names  of  the  diseases  were  printed  across  the  top  of  the  page,  and 
columns  ruled  below  each,  so  that  twenty  regimental  reports  might  be  entered  in  full  on  a 
single  sheet. 

This  plan  of  reporting  sickness  and  mortality  had  been  used  in  the  army,  with  trifling 
modifications,  for  a  number  of  years,  and  had  been  found  to  work  well  in  times  of  peace, 
but  certain  embarrassments  were  encountered  when  it  was  attempted  to  apply  it  to  the 
large  and  suddenly  created  armies  brought  into  the  field  at  the  commencement  of  the  War 
of  the  Rebellion. 

On  the  23d  of  July,  1862,  therefore,  the  subject  of  the  monthly  reports  of  sick  and 
wounded  was  referred  to  an  Army  Board  composed  of  Surgeon  Lewis  A.  Edwards,  U.  S. 
Army,  Surgeon  .1.  II.  Brinton,  U.  S.  Volunteers,  and  Assistant  Surgeons  J.  J.  Woodward 
and  M.  .1.  A sch,  U.  S.  Army.  On  the  recommendation  of  this  Board  it  was  ordered  that 
the  quart erlv  sick  reports  to  the  Surgeon  General  should  be  discontinued,  and  that  the 
monthly  reports  should  be  forwarded  to  the  Surgeon  General,  by  the  Medical  Director, 
in  company  with  his  consolidated  monthly  report.  Not  long  after,  the  Medical  Directors 
were  authorized  by  the  Surgeon  General  to  discontinue  the  consolidated  monthly  reports, 
and,  instead,  instructed  simply  to  collect  the  sick  reports  of  the  several  regiments  and 
detachments  under  their  supervision  and  forward  them  to  the  Surgeon  General  at  the  close 
of  each  mouth.  On  the  whole,  these  modifications  were  found  to  work  satisfactorily,  and 
discipline  improving  as  the  war  progressed,  greater  care  was  bestowed  on  the  preparation 
of  the  reports,  which  were  forwarded  with  as  much  regularity  as  could  have  been  expected 
during  active  operations. 

From  these  Monthly  Sick  Reports,  mainly,  the  tables  in  this  volume  have  been 
prepared.  They  cannot  be  regarded  as  complete.  There  is  probably  no  one  month 
during  which  all  the  regiments  and  detachments,  actually  in  service,  are  represented. 
Nevertheless,  even  during  the  first  year,  for  which  they  are  most  imperfect,  they  embrace 
so  large  a  proportion  of  the  troops  concerned  that  they  cannot  fail  to  serve  fairly  as  a 
reliable  basis  for  deductions  with  regard  to  the  health  of  the  whole  army.  Some  brief 
considerations  with  regard  to  the  actual  degree  of  completeness  attained  will  be  offered  in 
the  course  of  these  introductory  remarks. 


XVI  INTKODTJCTION. 

The  Army  Board,  of  which  mention  lias  just  been  made,  felt  called  upon  to  recom 
mend  a  change  in  the  Classification  of  Diseases  which  had  formerly  been  employed  in  the 
monthly  sick  reports.  They  advised  the  adoption  of  a  classification  based  upon  that 
devised  by  Dr.  William  Farr  of  London,  which  had,  for  some  time,  been  employed  in  the 
statistical  reports  of  the  English  army.  This  classification  had  been  generally  adopted  in 
England  for  civil,  as  well  as  for  military  medical  statistics,  and  its  advocates  were  sanguine 
that  it  would  be  extensively,  if  not  universally,  employed  in  the  official  medical  publica 
tions  of  civilized  nations.  It  was  thought  by  the  Board  that  the  medical  statistics  of  the 
war  in  progress  would  possess  the  most  general  utility  if  they  were  collected  and  published 
in  such  a  form  as  would  permit  them  to  be  compared  readily  with  similar  publications 
issued  by  other  nations;  and  this  motive  had  greater  weight  in  determining  the  adoption 
of  Dr.  Farr's  Nomenclature  and  Classification  than  any  consideration  of  its  intrinsic  merits. 
These,  indeed,  were  not  discussed  by  the  Board  at  any  very  great  length;  they  felt 
convinced  that  in  the  present  state  of  pathological  knowledge  any  classification  which 
might  be  adopted  must  necessarily  be  conventional,  and  they  were  merely  desirous  of 
selecting  from  the  conflicting  systems  at  their  disposal  that  Avhich  seemed  most  likely  to 
facilitate  the  comparison  of  our  own  results  with  those  of  other  countries.  After  they  had 
determined  to  adopt  this  plan  of  classification  quite  a  number  of  proposed  changes  in  its 
details  were  pressed  upon  them  for  consideration.  The  same  motives  which  had  led  to 
their  adoption  of  Dr.  Farr's  general  plan  caused  them,  however,  to  reject  the  majority  of 
these  propositions,  and  they  permitted  only  a  few  innovations,  the  reasons  for  which,  as 
they  conceived,  were  strong  enough  to  outweigh  the  obvious  objections  against  admitting 
any  alterations  whatever  in  the  plan  adopted. 

In  its  general  outlines  the  classification  of  Dr.  Farr  was  as  follows :  All  diseases  were 
divided  into  five  classes.  I.  Zymotic  diseases.  II.  Constitutional  diseases.  III.  Local 
diseases.  IV.  Developmental  diseases.  V.  Violent  diseases  or  deaths.  These  classes 
were  subdivided  into  orders,  viz. : 

CLASS  I. — Zymotic  Diseases. 

Order  1. — Miasmatic  Diseases. 
Order  2. — Enthetic  Diseases. 
Order  3. — Dietic  Diseases. 
Order  4. — Parasitic  Diseases 

CLASS  II. — Constitutional  Diseases. 

Order  1. — Diathetic  Diseases. 
Order  2. — -Tubercular  Diseases. 

CLASS  III. — Local  Diseases. 

Order  1. — Diseases  of  the  Nervous  System. 
Order  2. — Diseases  of  the  Organs  of  Circulation. 

O 

Order  3. — Diseases  of  the  Respiratory  Organs. 
Order  4. — Diseases  of  the  Digestive  Organs 


INTRODUCTION.  XVII 

CLASS  III. — Local  Diseases. — 'Continued. 

Order  5. — Diseases  of  the  Urinary  Organs. 

Order  G. — Diseases  of  the  Organs  of  Generation. 

Order  7. — Diseases  of  Organs  of  Locomotion. 

Order  8. — Diseases  of  Integumentary  System. 

CLASS  IV. — Developmental  Diseases. 

Order   1.— Of  Children. 
Order  2.— Of  Women. 
Order  3.— Of  Old  People. 
Order  4. — Diseases  of  Nutrition. 

GLASS  V. —  Violent  Diseases  and  Deaths. 

Order  1. — Accident. 

Order  2.— Battle. 

Order  o. — Homicide. 

Order  4. — Suicide. 

Order  5. — Execution. 

Order  6. — Corporal   Punishment. 

The  plan  of  Dr.  Farr  was  originally  drawn  up  as  a  report  to  the  Congress  of  European 
Statisticians  which  met  at  Paris,  September  10,  1855.  It  was  discussed  in  that  meeting, 
in  the  meeting  at  Brussels  in  185G.  and  in  that  at  Vienna  in  1857.  During  the  meeting 

O  CD  o 

at  Vienna  a  nomenclature  was  adopted  which  was  substantially  that  of  Dr.  Farr ;  but  the 
Congress  failed  to  agree  upon  his  classification,  and  subsequent  experience  has  shown  that 
the  hopes  of  general  recognition  entertained  by  its  advocates  were  ill-founded.  Never 
theless,  as  it  has  been  employed  in  the  medical  reports  of  the  British  army,  in  the  reports 
of  the  Registrar  General  of  England,  and  in  many  other  statistical  publications  during  the 
years  represented  in  this  work,  there  appears  to  be  no  reason  to  regret  its  adoption  for 
the  sick  reports  of  the  army  during  the  war. 

The  classification  recommended  by  the  Board,  and  adopted  by  the  Surgeon  General 
in  the  preparation  of  the  new  blanks  which  were  issued  shortly  after,  differed  from  that 
of  Dr.  Farr  chiefly  in  the  omission  of  such  details  as  were  judged  unlikely  to  be  of 
importance  for  army  use,  Thus,  for  example,  the  class  of  Developmental  Diseases  was 
omitted,  because  these  diseases  pertain  chiefly  to  children,  women,  and  old  men,  and  were 
not  expected  to  be  encountered  to  any  very  great  extent  as  new  cases,  or  as  causes  of  death 
among  soldiers.  In  the  class  of  Violent  Diseases  and  Deaths,  while  Homicide,  Suicide, 
and  Execution  of  Sentence  were  kept  separate  from  other  Accidents  and  Injuries,  it  was 
not  thought  necessary  to  duplicate  each  of  the  headings  in  the  latter  order  with  the  view 
of  keeping  the  injuries  and  wounds  received  in  battle  separate  from  those  which  might 
occur  accidentally  during  military  operations.  In  selecting  the  names  of  individual  diseases 
to  be  printed  on  the  blank  in  connection  with  each  class  and  order,  the  attempt  was  made 
to  embrace  those  of  most  frequent  occurrence  and  of  greatest  importance,  leaving  rarer 
affections  to  be  included  under  the  head  of  All  Others  of  the  class  or  order  to  which 
thev  belonged. 

*j  O 

3* 


XVIII  INTRODUCTION. 

But  in  addition  to  these  mere  omissions,  considered  necessary  to  adapt  the  classification 
of  Dr.  Farr  to  use  in  our  army,  the  Board  felt  called  upon  to  recommend  a  few  other 
modifications,  of  which  the  following  were  the  most  important': 

They  recommended  that  Parasitic  diseases,  Class  I,  Order  4,  should  be  separated 
from  Zymotic  affections  and  erected  into  a  separate  class;  that  diseases  of  the  Eye  and 
Ear,  included  by  Dr.  Farr  under  the  general  head  of  diseases  of  the  Nervous  System, 
Class  III,  Order  1,  should  be  made  separate  orders  of  the  same  class,  and  that  Rheumatism 
should  be  placed  alongside  of  Gout  in  the  Diathetic  order  of  Constitutional  diseases,  and 
Tonsilitis  among  diseases  of  the  Digestive  Organs,  instead  of  including  both,  as  Dr.  Fan- 
had  done  in  the  Miasmatic  order  of  Zymotic  affections. 

It  may  be  remarked,  in  this  connection,  that  seven  years  later  the  Royal  College  of 
Physicians  of  London  adopted  all  these  alterations,  among  the  other  modifications  of  Dr. 
Farr's  original  plan  which  they  thought  best  to  make  in  preparing  the  Nomenclature 
of  Diseases*  they  have  recently  published,  and  which  is  hereafter  to  be  employed  in 
England  for  both  civil  and  military  medical  statistics. 

The  classification  recommended  by  the  Board,  and  adopted  for  army  use,  was  therefore 
as  follows: 

CLASS  I. — Zymotic  Diseases. 

Order  1. — Miasmatic 
Order  2— Enthetic. 
Order  3. — Dietic. 

CLASS  II. — Constitutional  Diseases 

Order  1. — Diathetic. 
Order  2.- — Tubercular. 

CLASS  III. — Parasitic  Diseases. 

CLASS  IV. — Local  Diseases. 

Order  1. — Of  the  Nervous  System. 

Order  2.— Of  the  Eye. 

Order  3.— Of  the  Ear. 

Order  4. — Of  the  Organs  of  Circulation. 

Order  5. — Of  the  Respiratory  Organs. 

Order  6. — Of  the  Digestive  Organs. 

Order  7. — Of  the  Urinary  and  Genital  Organs. 

Order  8. — Of  the  Bones  and  Joints. 

Order  9. — Of  the  Integumentary  System. 

CLASS  V. —  Wounds,  Accidents,  and  Injuries. 

Order  1. — Wounds,  Accidents,  and  Injuries. 

Order  2. — Homicide. 

Order  3. — Suicide. 

Order  4. — Execution  of  Sentence. 


*  The  Nomenclature  of  Diseases,  drown  np  by  a  joint  committee  appointed  by  the  Royal  College  of  Physicians  of  London, 
subject  to  Decennial  Eevision.     London,  18G9. 


INTRODUCTION.  XIX 

The  following  definition  of  such  of  the  above  terms  as  appeared  to  require  explanation 
were  offered  at  the  time. 

The  class  Zymotic  diseases  is  intended  to  embrace  epidemic,  endemic,  or  contagious 
affections,  supposed  to  be  induced  by  some  specific  body,  or  by  anomalies  in  the  quantity  * 
or  quality  of  the  food.  The  order  Miasmatic  diseases  includes  affections  believed  to  be 
due  to  various  atmospheric  influences,  such  as  the  products  of  vegetable  and  animal 
decomposition,  specific  emanations  from  the  human  body  in  a  state  of  disease,  and  the 
so-called  marsh  miasms.  The  order  Enthetic  diseases  includes  those  disorders  which  are 
transmitted  by  the  inoculation  of  morbid  matters.  The  order  Dietic  diseases  includes 
those  which  are  caused  by  errors  in  the  quantity  and  quality  of  the  food. 

The  class  Constitutional  diseases  includes  sporadic  affection  often  hereditary  and 
generally  involving  several  organs,  in  which  morbid  products  or  new  formations  frequently 
make  their  appearance  in  the  parts  involved.  From  the  general  mass  of  these  diseases 
which  are  embraced  in  Order  1  under  the  designation  Diathetic  diseases,  the  Tubercular 
diseases,  such  as  Scrofula  and  Consumption,  are  separated  in  Order  2, 

After  some  deliberation  the  Board  agreed  in  recommending  to  the  Surgeon  General  that 
in  the  nomenclature  of  the  new  blanks,  the  most  generally  accepted  English  designations 
of  diseases  should  be  employed  instead  of  the  Latin  terms  previously  used  in  our  army 
reports.  Some  of  these  were  at  best  modern  barbarisms;  some  of  them  were  not  generally 
understood.  The  difficulties  recently  experienced  by  the  Committee  of  the  Royal  College 
of  Physicians  and  Surgeons  in  making  their  Latin  Version, *  will  serve  to  illustrate  the 
questions  involved.  The  English  names  selected  agree  so  closely  with  those  of  the  old  nom 
enclature  of  Dr.  Fair  and  the  more  recent  scheme  of  the  College  of  Physicians  and  Surgeons, 
that  no  further  explanation  of  them  appears  to  be  needed,  and  they  have  been  employed 
in  the  following  tables  under  the  impression  that  this  course  would  render  the  work  more 
generally  useful  than  any  Latin  nosology  which  could  have  been  determined  upon. 

The  old  blanks  were  employed  for  the  monthly  reports  of  sick  and  wounded  of  the 
whole  army  until  the  close  of  the  first  fiscal  year.  Subsequently  the  new  form  came 
rapidly  into  use.  In  preparing  the  tables  of  this  volume  the  results  obtained  by  con 
solidating  the  sick  reports  made  on  the  old  blanks  have  been  recast  in  the  form  of  the 
new  classification,  in  order  that  they  might  be  more  readily  compared.  As  the  new 
blanks,  however,  contained  the  names  of  some  diseases  separately  which  were  not 
separately  given  in  the  old,  while  the  old  blanks  contained  several  names  which  it  was 
not  thought  necessary  to  present  separately  in  the  new,  a  comparison  of  the  figures  for 
these  affections  cannot  be  made  for  the  whole  period.  An  examination  of  Table  C,  page 
636  to  641,  will  show  at  a  glance  all  the  few  points  of  difference  arising  from  this  source. 
They  will  be  discussed  in  detail  in  the  Second  Volume  of  the  Medical  History  of  the  War 
in  connection  with  the  diseases  to  which  they  belong.  A  single  example  will  serve  for 
illustration  in  this  place. 

*  Loc.  cit.  p.  XXIV. 


XX  INTRODUCTION. 

On  the  old  blanks  there  was  a  heading  for  Skin  diseases  but  no  separate  place  for 
reporting  Itch,  all  the  cases  of  which  were  included  under  the  head  of  Skin  diseases.  On 
the  new  blank,  however,  Itch  was  separated  from  other  Skin  diseases  and  placed  as  an 
independent  item  in  the  class  of  Parasitic  diseases.  The  extent  to  which  this  trouble 
some  disorder  was  prevailing  among  the  troops  was  thought  to  justify  this  course. 
Accordingly  in  table  C  it  will  be  seen  that  no  cases  of  Itch  are  separately  represented 
until  after  the  close  of  the  first  fiscal  year  of  the  war,  and  even  for  the  second  year, 
although  six  thousand  two  hundred  and  sixty-three  cases  of  Itch  are  reported,  yet  as  the 
old  form  of  blanks  was  quite  extensively  used  during  the  earlier  months  of  this  year  a 
considerable  number  of  other  cases  are  still  included  with  Skin  diseases.  For  subsequent 
years,  however,  as  the  new  blank  was  used  almost  exclusively,  it  is  probable  that  the 
number  of  cases  of  Itch  reported  in  the  table  for  these  years  is  a  close  approximation  to 
the  whole  number  of  cases  which  actually  occurred  in  the  mean  strength  represented. 
This  example  will  serve  to  illustrate  the  principle  involved  in  other  apparent  discrepancies 
of  this  kind. 

In  preparing  the  tables  it  was  thought  best  that  they  should  be  made  to  correspond 
with  the  Congressional  fiscal  years  which,  as  is  well  known,  terminate  annually  on  the 
30th  of  June.  The  period  represented  embraces  May  and  June  1861;  the  first  fiscal  year 
of  the  war  terminating  June  30,  1862;  the  second  fiscal. year  of  the  war  terminating 
June  30,  1863;  the  third  fiscal  year  of  the  war  terminating  June  30,  1864;  the  fourth 
fiscal  year  of  the  war  terminating  June  30,  1865,  and  the  fiscal  year  following  the  war 
terminating  June  30, 1866.  This  last  year  was  included  because,  although  after  the  close 
of  the  war  the  great  volunteer  army  was  disbanded  with  unprecedented  rapidity,  the 
unsettled  state  of  the  country  rendered  it  necessary  to  keep  a  certain  number  of  volunteer 
troops  in  service  for  some  time  after  the  cessation  of  actual  hostilities,  and  it  was  thought 
that  tables  showing  the  sickness  and  mortality  from  disease  during  the  year  of  peace 
following  the  war  would  be  valuable  for  comparison  with  the  diseases  and  deaths  of 
similar  bodies  of  troops  in  the  same  regions  during  the  period  of  active  operations. 

With  the  view  of  collecting  data  for  the  study  of  the  special  influences  of  the  several 
Geographical  Regions  of  our  country  on  the  health  of  armies  operating  in  them,  the 
tables  for  each  year  are  arranged  in  separate  groups  for  the  Atlantic,  Central,  and  Pacific 
Regions. 

The  Atlantic  Region  embraces  the  garrisons  and  stations  in  the  New  England  and 
Middle  States,  and  the  field  of  operations  on  the  slope  between  the  Appalachian  range  of 
Mountains  and  the  Atlantic  Ocean,  from  Maryland  southward  to  Key  West,  Florida.  It 
includes  therefore  the  Army  of  the  Potomac  and  other  troops  engaged  in  the  campaigns 
against  Richmond,  as  well  as  the  several  Coast  Expeditions,  with  the  exception  of  that 
which  resulted  in  the  capture  of  New  Orleans.  This  last  on  account  of  the  region  which 
became  the  scene  of  operations  and  the  general  subsequent  history  of  the  Department 
of  the  Gulf,  is  embraced  in  the  Central  Hem  on. 


INTRODUCTION.  XXI 

The  Central  Region  is  the  groat  basin  watered  by  the  Mississippi  River  and  its 
tributaries.  It  includes  the  area  between  the  Appalachian  range  and  the  Rocky  Mountains. 
The  tables  embrace  the  reports  received  from  garrisons  and  stations  in  Ohio,  Indiana 
Illinois,  Michigan,  Wisconsin,  Minnesota  and  Iowa,  the  statistics  of  the  Armies  of  the 
Ohio,  Cumberland,  and  Tennessee,  and  those  of  the  troops  in  Missouri,  Arkansas  and  the 
Department  of  the  Gulf. 

The  Pacific  Region  includes  the  stations  in  Colorado.  New  Mexico  and  the  slope 
between  the  Rocky  Mountains  and  the  Pacific  Ocean. 

The  same  motive  which  led  to  this  general  grouping  made  it  desirable  that  the  several 
regions  should  be  subdivided  geographically  in  constructing  the  tables  embraced  in  each. 
At  first  sight  it  might  be  supposed  that  this  would  be  best  effected  by  folio  win  o-  the 
boundaries  of  the  Military  Departments  as  announced  in  General  Orders;  and  had  these 
remained  fixed,  or  been  modified  only  in  consequence  of  the  movements  of  large  bodies 
of  troops,  this  would  have  undoubtedly  been  the  case.  In  the  course  of  events,  however, 
it  was  found  that  so  many  other  circumstances  concurred  in  determining  temporary 
changes  in  the  boundaries  of  Departments  that  it  was  believed  no  scientific  purpose  would 
be  answered  by  following  these  alterations  with  any  degree  of  strictness. 

In  the  arrangement  actually  adopted  in  compiling  the  tables  two  chief  considerations 
were  kept  constantly  in  view.  On  the  one  hand  it  was  wished  that  so  far  as  possible  thev 
should  represent  the  sickness  and  mortality  of  troops  within  certain  definite  Geographical 
Boundaries;  on  the  other  hand  it  was  thought  desirable  that  the  medical  statistics  of 
those  Great  Armies  which,  it  might  fairly  be  anticipated,  would  possess  historical  interest 
should  be  separately  presented.  When,  after  a  survey  of  all  the  documents,  a  detailed 
plan  was  finally  determined  upon,  the  boundaries  selected  as  guides  in  the  preparation  of 
the  several  tables  were  found  to  approximate  those  of  the  Military  Departments  so  nearlv 
that  it  was  thought  advisable  to  use  their  designations  as  the  Titles  of  the  Tables,  and 
explanatory  remarks  have  been  prefixed  to  the  tables  of  each  region  for  each  year,  which 
briefly  set  forth  the  boundaries  of  the  Departments  as  described  in  Orders,  together  with 
such  alterations  as  it  was  deemed  necessary  to  adopt,  in  order  that  Geographical  consider 
ations  mi  girt  have  due  influence.  In  these  explanatory  remarks  the  descriptive  language 
of  the  General  Orders  lias  been  employed,  and  while  such  dates  and  memoranda  of  events 
have  been  added  as  seemed  required  for  the  comprehension  of  the  tables,  it  was  deemed 
advisable  to  avoid  any  attempt  at  a  detailed  narrative  of  events.  Such  a  narrative  to  be 
worthy  of  official  publication  must  needs  occupy  much  more  space  than  could  be  given  in 
the  present  work,  and  is  so  far  foreign  to  its  purpose  that  it  seems  much  preferable  to 
refer  the  reader  to  other  works  for  all  historical  details  except  those  of  a  strictly  medical 
or  surgical  character. 

The  limits  of  the  several  tables  having  been  determined  upon  it  was  no  small  labor 
to  assign  correctly  all  the  individual  reports  of  regiments  and  detachments.  The  record 
of  stations  and  other  internal  evidences  afforded  by  the  reports  themselves  were  not  always 


XXII  INTRODUCTION. 

adequate,  and  to  avoid  errors  the  most  pains-taking  comparisons  were  instituted  between 
the  returns  to  the  Surgeon  General  and  those  filed  in  the  office  of  the  Adjutant  General. 
It  is  believed  that  by  these  labors  a  high  degree  of  accuracy  has  been  attained.  Many 
thanks  are  due  to  the  Adjutant  General  and  the  officers  under  his  direction  for  the  facilities 
afforded  by  them.  The  Monthly  and  Tri-monthly  Military  Returns  of  the  several  depart 
mental  and  subordinate  commanders  were  all  carefully  compared  and  every  exertion  was 
made  to  avoid  possible  sources  of  error. 

It  has  already  been  stated  that  separate  tables  are  presented  for  White  and  Colored 
troops.  Many  other  interesting  subdivisions  suggested  themselves,  such  as  the  comparison 
between  the  Regular  and  Volunteer  troops,  between  Officers  and  Men,  between  Infantry, 
Artillery,  and  Cavalrv,  and  between  soldiers  of  American  and  those  of  Foreign  birth.  All 
attempts  at  such  subdivision  were,  however,  reluctantly  abandoned,  as  involving  a  degree 
of  labor  for  which  there  was  no  adequate  clerical  force  and  which  would  have  required  a 
system  of  returns  entirely  different  from  those  in  use  at  the  breaking  out  of  the  war  or 
those  which  it  was  afterwards  thought  practicable  to  adopt.  For  the  same  reason  it  was 
deemed  inadvisable  to  attempt  to  prepare  for  publication  the  separate  regimental  returns 
which  have  served  as  a  basis  for  the  present  tables.  In  extent  and  costliness  such  a 
publication  would  have  exceeded  all  reasonable  limits.- 

The  tables  representing  the  several  Departments  and  Armies  are  so  arranged  as  to 
present  the  sickness  and  mortality  of  each  year  by  Months.  This  was  done  with  a  view 
to  the  study  of  the  question  of  the  influence  of  Season  on  the  diseases  of  the  several 
Regions. 

Briefly,  then,  the  tables  for  White -troops  embrace  the  diseases  and  deaths  of  Officers 
and  Men  of  all  arms,  both  Regulars  and  Volunteers  in  the  several  Departments  and 
Regions,  for  each  Month  during  the  progress  of  the  Avar,  and  are  arranged  with  special 
reference  to  the  study  of  the  influence  of  Season  and  Region  on  the  health  of  armies 
engaged  in  active  operations  in  the  United  States.  In  the  case  of  the  Colored  troops 
similar  tables  are  presented,  which,  however,  represent  Enlisted  Men  only. 

The  next  point  in  the  tables  requiring  remark  is  the  Mean  Strength  which  appears 
at  the  top  of  the  column  for  each  month.  This  figure  was  invariably  obtained  by  adding 
together  the  mean  strengths  given  in  the  individual  reports  consolidated  for  the  month. 
It  is  simply  to  be  understood  as  representing  the  number  of  men  among  whom  the 
diseases  and  deaths  reported  in  the  column  beneath  occurred.  ISTo  other  plan  would  have 
served  as  the  basis  for  the  deduction  of  correct  ratios  from  the  tables.  Of  course  the 
numbers  will  not  be  found  to  agree  with  the  departmental  returns  in  the  office  of  the 
Adjutant  General.  Some  discrepancies  will  be  due  to  the  fact  that  the  boundaries  of 
departments  have,  in  many  instances,  been  modified  as  already  explained,  others  to  the 
absence  of  military  or  of  medical  returns  from  individual  regiments  or  detachments,  while 
yet  others  are  clue  to  the  circumstance  that  the  medical  reports  represent  the  mean  strength 
for  the  month,  while  the  returns  to  the  Adjutant  General  represent  the  strength  on  the  day 


INTRODUCTION.  XXTIT 

of  their  (late.  This  last  consideration  must  not  be  overlooked  by  those  who  may  desire  to 
make  use  of  the  mean  strengths  given  in  (his  volume  for  the  ordinary  purposes  of 
history.  .During  ;l  part  of  the  war  the  medical  officer  of  -each  regiment  or  detachment 
was  ordered  to  obtain  the  mean  strength  of  the  command  represented  in  his  report  by 
adding  together  the  strength  present,  as  obtained  from  the  consolidated  morning  report  of 
the  command,  for  each  day  of  the  month  and  dividing  by  the  number  of  days.  To 
dimmish  the  labor  involved  in  this  process  it  was  subsequently  directed  that  the  mean 
strength  of  commands  should  be  obtained  for  the  monthly  reports  by  adding  together  the 
total  strength  present  on  the  10th,  20th,  and  last  day  of  the  month  as  received  from  the 
commanding  officer,-  and  dividing  by  three.  This  method  would  give,  it  was  thought, 
results  closely  approximating  those  obtained  by  the  former  more  troublesome  plan.  If 
the  mean  strength  obtained  for  any  command  by  either  of  these  methods  be  compared 
with  the  strength  reported  on  the  last  day  of  the  month  on  the  military  returns  a  consid 
erable  discrepancy  may  be  expected  in  two  cases:  First,  if  the  command  has  experience! 
any  increase  during  the  month,  the  mean  strength  will  be  less  than  the  strength  on  the 
last  day;  second,  if  the  command  has  experienced  any  decrease  during  the  month,  the 
mean  strength  will  be  greater  than  the  strength  present  on  the  last  day,  so  that  an 
exact  coincidence  can  seldom  be  anticipated.  It  would  seem,  however,  to  require  no 
argument  in  this  place  to  show  that  the  mean  strength  should  be  employed  in  medical 
statistical  tables  rather  than  the  strength  on  any  given  day.  The  mean  strength  given 
in  the  tables  for  White  troops  embrnces  officers  as  well  as  enlisted  men,  and  the  cases 
and  deaths  of  both  are  included.  In  the  tables  for  Colored  troops,  however,  the  mean 
strength  does  not  include  the  white  officers,  nor  are  their  diseases  and  deaths  embraced  in 
the  tables. 

The  mean  strength  entered  in  the  column  of  each  table  headed  Total,  is  the 
arithmetical  mean  of  the  several  monthly  strengths  given  in  the  table,  and  in  all  the 
complete  tables  represents  the  annual  average  mean  strength.  In  the  partial  tables  it 
represents  the  average  mean  strength  for  the  number  of  months  exhibited  in  the  table. 
The  number  of  cases  and  deaths  in  the  same  column  is  the  sum  of  the  figures  in  the 
previous  column. 

In  the  Annual  Consolidated  tables  for  Regions  the  mean  strength  for  each  month  is 
obtained  by  adding  together  the  mean  strengths  of  the  several  Departments  embraced  in 
the  region  as  Given  for  the  month  in  previous  tables.  The  strength  entered  m  the  column 

O  O  1  O 

headed  Total,  in  these  regional  tables  is,  however,  not  obtained  by  adding  together  the 
t&tals  of  the  departmental  tables,  but  is  the  arithmetical  mean  of  the  sums  of  the  monthly 
strengths  of  the  regional  tables.  It  thus  represents  the  annual  average  mean  strength  oi  the 
region.  It  will  readily  be  understood  that  by  merely  adding  together  the  strength  given  in 
the  departmental  tables  in  the  column  headed  Total,  the  figure  obtained  for  the  regional 
tables  would  not  fairly  represent  the  annual  average  mean  strength  of  the  region  in  those 
cases  in  which  any  of  the  departmental  tables  represented  fractions  of  a  year. 


XXIA7  INTRODUCTION. 

The  several  departmental  tables  in  the  Atlantic  and  Central  Regions  for  each  year 
are  followed  by  a  table  presenting  an  abstract  of  the  Mortality  in  the  General  Hospitals 
of  the  reo-ion  during;  the  year.  This  table,  it  will  be  observed,  contains  Deaths  only,  the 

O  O  «/ 

column  for  Cases  being  left  blank.     Some  explanation  of  the  reason  of  (his  circumstance 
is  required. 

In  the  first  place  it  is  to  be  remarked  that  the  departmental  tables,  being  made  up  of 
the  reports  from  regiments  and  detachments  in  the  field  and  in  garrison,  contain  not  merely 
those  cases  which  were  treated  in  Quarters  and  in  the  Regimental  and  Post  Hospitals  but 
also  those  which  were  subsequently  sent  for  treatment  to  the   General  Hospitals  at  the 
base  of  operations  or  in  the  Northern  States.     It  was  the  custom  to  send  the  majority  of 
the  serious  cases  to  these  General  Hospitals  and,  as  a  consequence,  it  will  be  observed  that 
the  mortality  represented  in  the  Departmental  Tables  is  extremely  light.     As  a  rule  the 
patient  did   not  remain   stationary  until  recovery  or  death,  an  inmate   of   the   General 
Hospital  into  which  he  was  at  first  received.     Military  necessity  continually  required  the 
hospitals  nearest  the  base  of  operations  to  be  cleared,  and  the  patients  to  be  sent  to  more 
distant  establishments  in  order  to  make  room  for  the  sick  of  armies  about  to  move  or  for 
the  thousands  of  wounded  requiring  care  after  great  battles.     It  was  usual  when  an  army 
was  about  to  commence  active  operations  to  disembarrass  the  Field  Hospitals  of  patients 
that  the  medical  staff  and  hospital  establishment  might  accompany  the  moving  columns. 
It  was  also  the  usage  after  engagements  to  transport  the  greater  portion  of  the  wounded 
to  the  nearest  General  Hospital.     Some  noteworthy  exceptions  to  the  latter  rule  occurred, 
the  particulars  of   which  will  be  found  in  the  Surgical  History  of   the  War,  but  these 
exceptions  were  not  sufficiently  frequent  to  militate   with  the   correctness  of  the  general 
statement.     In  transfers  of  this  kind  it  was  with  great  propriety  made  the  rule  to  move 
the   sick  to  make  room  for  the  wounded,  but  the  wounded  also  were  often  necessarily 
removed  in  great  numbers   so  that  it  frequently  happened  that  patients  of  both  classes 
passed  through  several  hospitals  before  the  final  termination  of  their  cases.     Under  these 
circumstances  it  will  be  readily  understood  that  a  consolidation  of  the  monthly  reports  of 
sick   and   wounded   of  the   General  Hospitals,  made  \vith   the  view  of   ascertaining  the 
number  of  Cases  of  each  disease  or  injury  treated,  would  lead  only  to  duplication  of  Cases 
and  inextricable  confusion.     Nothing  short  of  a  pains-taking  tracing  out  of  each  one  of 
the  cases  through  the  hospital  books  now  preserved  at  the  Surgeon  General's  Office,  could 
lead  to  any  useful  results  in  this  direction,  and  such  an  undertaking  would  require,  for 
years,  the  labor  of  a  clerical  force  much  larger  than  lias  ever  been  at  the  disposal  of  the 
bureau.     On  the  other  hand  it  was  comparatively  an  easy  matter  to  avoid  any  duplication 
of  Deaths. 

It  is  proposed  that,  among  other  matters,  the  Third  Volume  of  the  Medical  History 
of  the  War  shall  contain  a  somewhat  detailed  account  of  the  General  Hospital  System. 
To  this  the  reader  must  be  referred  for  particulars ;  but  some  brief  allusion  to  the  facts  of 
the  case  appears  indispensable  to  the  comprehension  of  the  statistical  questions  involved. 


INTRODUCTION.  xxv 

Before  the  war,  the  troops  composing  the  United  States  Army  were  chiefly  distributed 
as  garrisons  of  the  various  permanent  or  temporary  works  constructed  for  Sea  Coast 
Defence  or  for  the  protection  of  the  Indian  Frontier.  Each  of  these  stations  was  provided 
with  a  small  Post  Hospital  in  which  the  serious  cases  of  sickness  were  treated  by  the 
medical  officer  attached  to  the  post.  Mild  cases  were  usually  prescribed  for  and  allowed 
to  remain  in  Quarters.  When  troops  began  to  go  into  camp  at  the  commencement  of  the 
war,  each  regiment  established  a  Regimental  Hospital  on  the  same  general  plan.  Hospital 
tents,  or  some  building  temporarily  occupied,  afforded  shelter  for  the  more  serious  cases 
who  were  there  treated  by  the  regimental  surgeon  or  his  assistants,  while  milder  cases 
were  prescribed  for  and  excused  from  duty,  but  continued  to  occupy  their  ordinary  tents 
or  such  other  shelter  as  was  provided  for  the  rest  of  the  command.  When  several 
regiments  were  grouped  together  as  Brigades,  it  was  often  found  convenient  to  establish 
all  the  Regimental  Hospitals  of  the  brigade  at  one  point,  and  this  speedily  led  to  their 
consolidation  in  many  instances  as  Brigade  Hospitals.  At  a  later  period  the  same  tendency 
to  consolidation  led  to  the  union  of  the  several  Brigade  Hospitals  of  a  Division,  forming 
thus  a  Division  Hospital.  The  Division  Hospital  was  sometimes  a  mere  aggregation  of 
Regimental  or  Brigade  Field  Hospitals,  but  in  its  highest  development  in  connection  with 
large  Armies  in  which  the  troops  were  maneuvered  by  Divisions,  it  formed  a  single  unit, 
bearing  the  same  relation  to  the  Division  that  the  Regimental  Hospital  did  to  the  Regiment. 
An  interesting  account  of  the  workings  of  the  Division  system  of  Field  Hospitals  will  be 
found  in  the  Appended  Documents  of  this  volume,  especially  in  the  reports  of  Medical 
Director  McParlin,  p.  148  et  seq.  to  which  the  reader  is  referred. 

But  very  shortly  after  the  organization  of  troops  was  commenced  in  1861,  it  was 
found  that  the  system  of  Post  and  Regimental  Hospitals  was  not  adequate  to  provide  for 
all  the  sick.  Difficulty  was  especially  experienced  when  a  regiment  received  marching 
orders.  It  was  then  desirable  of  course  that  the  Regimental  Surgeon,  with  his  assistants 
and  hospital  tents,  should  accompany  the  command,  while,  on  the  other  hand,  there  was 
very  generally  a  certain  number  of  sick  or  wounded  under  treatment  who  could  not  with 
propriety  be  carried  along.  Moreover  the  maximum  hospital  accommodation  which  it 
was  practicable  to  allow  each  regiment,  proved  insufficient  to  provide  for  all  the  patients 
on  occasions  of  emergency,  as  during  the  prevalence  of  epidemics,  or  after  the  occurrence 
of  general  engagements.  It  became  necessary,  therefore,  to  organize  near  the  base  of 
operations  independent  hospitals  which  should  receive  and  care  for  the  sick  necessarily  left 
behind  when  troops  moved,  as  well  as  those  for  whom  the  Regimental  Hospitals  could 
afford  no  accommodation,  and  the  wounded  after  battles.  Such  establishments,  known  as 
General  Hospitals,  being  of  a  more  or  less  permanent  character,  it  was  possible  to  provide 
more  conveniences  and  comforts  for  the  care  of  the  sick  and  wounded  than  could  be 
furnished  in  the  field,  and  hence  it  early  became  the  custom  to  send  the  more  serious  cases, 
especially  those  likely  to  require  protracted  treatment,  to  General  Hospital.  When  in  the 
course  of  events  the  General  Hospitals,  near  the  several  bases  of  operation,  became 


XXVI  INTRODUCTION. 

encumbered  with  sick  and  wounded,  others  were  established  at  various  points  throughout 
the  Northern  States,  and  the  hospitals  near  the  base  of  operations  were  evacuated  from 
time  to  time  upon  the  more  distant  establishments,  to  make  room  for  the  continual  stream 
of  diseased  and  disabled  which  constantly  flowed  from  the  scene  of  active  operations. 

It  will  be  the  task  of  the  medical  historian  in  the  Third  Volume  to  trace  these 
operations  in  detail.  He  will  have  to  show  how  it  happened,  that  after  a  period  of 
transition,  in  which  hotels,  factories,  and  other  existing  buildings,  many  of  them  ill  suited 
for  hospital  purposes,  were  temporarily  occupied,  wooden  barracks  came  to  be  constructed 
for  hospital  purposes,  which  were  improved  from  time  to  time,  as  experience  suggested 
modifications  in  the  original  plans,  until  a  unique  system  of  Barrack  Hospitals,  each  capable 
of  accommodating  from  one  to  three  thousand  patients,  resulted,  which  is  well  worthy 
of  the  serious  attention  of  military  surgeons.  He  will  have  to  detail  the  events  which 
ultimately  led  to  the  recognition  of  the  General  Hospitals  as  independent  military  posts, 
of  which  the  Surgeon-in-charge  was  the  Commanding  Officer,  subject  only  to  the  jurisdiction 
of  the  Medical  Director  and  of  the  General  Commanding  the  Department.  He  will  have 
to  show  how  the  principle,  that  the  Surgeon-in-charge  is  the  proper  person  to  command  a 
General  Hospital,  was  speedily  pushed  to  its  logical  results;  how  the  Line  Officers 
commanding  the  guard  of  the  hospital,  or  acting  as  its  quartermaster  or  commissary,  were 
placed  under  the  authority  of  the  Surgeon-in-charge  and  ordered  to  report  to  him,  and 
how  the  results  attained  so  fully  justified  the  course  pursued,  that  the  Medical  Department 
may  confidently  appeal  to  the  precedent  thus  established  as  its  warrant  for  asking  the 
like  enlarged  jurisdiction  and  powers  in  any  future  war. 

An  examination  of  the  monthly  reports  of  sick  and  wounded  from  these  General 
Hospitals  shows  that  their  population  was  constantly  fluctuating.  Thousands  of  patients 
were  often  received  and  sent  away  in  a  single  month.  Events  at  the  front,  and  the 
consequent  condition  of  the  hospitals  near  the  base  of  operations,  more  frequently  than 
the  nature  of  the  disease  or  injury,  determined  the  stay  of  the  patient  in  any  individual 
hospital.  Of  course  when  a  number  of  cases  were  sent  from  a  hospital  in  anticipation 
of  fresh  arrivals,  the  less  serious  cases  of  both  wounds  and  disease  were,  so  far  as  possible, 
selected  for  transportation,  a  fact  which  is  not  to  be  overlooked  in  interpreting  the  greater 
mortality  which  distinguished  the  hospitals  near  the  base  of  operations ;  but  it  was  not 
always  practicable  to  adhere  strictly  to  this  rule.  Moreover,  no  inconsiderable  movement 
of  individual  patients  was  determined  by  the  efforts  made  from  time  to  time  by  the  State 
authorities  to  have  the  sick  and  wounded  transferred  for  treatment  to  hospitals  within 
their  own  State  boundaries. 

A  review  of  all  these  facts,  and  of  others  of  similar  character,  which  need  not  now 
be  specified,  compelled  the  compiler  of  this  volume  reluctantly  to  abandon  the  hope  of 
presenting  in  tabular  form  the  number  of  cases  of  each  disease  treated  in  General  Hospitals. 
The  plan  adopted  with  regard  to  the  matter  may  be  briefly  summed  up  as  follows : 

The  Departmental  tables  embrace  the  Cases  and  Deaths  obtained  by  the  consolidation 


INTRODUCTION.  XXVII 

of  the  monthly  sick  reports  of  troops  in  the  Field  and  in  Garrison.  They  represent  the 
number  of  men  taken  sick  each  month  out  of  the  mean  strength  given,  and  the  nature 
of  their  complaints  so  far  as  could  be  ascertained  by  the  medical  officers  who  attended 
them.  They  set  forth  also  the  number  who  died  with  their  commands,  and  in  the  several 
Post,  Regimental,  Brigade,  and  Division  Hospitals  attached. 

The  Hospital  tables  exhibit  the  number  who  died  in  the  General  Hospitals  of  each 
region,  arranged  by  months  and  causes  of  death. 

The  Consolidated  tables  for  Regions  embrace,  then,  the  total  number  of  new  Cases 
occurring  from  month  to  month  in  the  strength  given,  arranged  by  diseases,  and  the  total 
number  of  Deaths,  also  arranged  by  months  and  diseases,  and  including  deaths  in  General 
Hospital  as  well  as  those  occurring  in  the  field  and  in  garrison. 

It  will  then  be  understood,  that  in  computing  the  ratio  of  Cases  to  strength  for  any 
disease,  the  number  of  cases  may  be  compared  with  the  strength  given  in  the  departmental 
tables,  or  with  their  sum  in  the  regional  or  army  tables.  But  in  computing  the  ratio 
of  Deaths  to  strength,  the  hospital  population,  as  exhibited  in  the  several  hospital  tables, 
must  be  taken  into  account. 

A  comparison  of  the  number  of  cases  with  the  number  of  deaths  for  any  disease  will, 
however,  require  the  consideration  of  some  additional  circumstances.  For  since  it  has 
been  impossible  to  prepare  tables  showing  the  number  of  Cases  of  each  disease  received 
into  the  General  Hospitals,  and  since  every  effort  has  been  made  to  secure  the  distribution 
of  the  Deaths  among  the  real  causes  of  death,  the  number  of  deaths  exhibited  by  the 
Regional  and  Army  tables  cannot  always  be  regarded  as  bearing  a  direct  relationship  to 
the  number  of  cases.  The  figures  are  to  be  regarded  rather  as  independent  facts,  often 
intimately  connected,  and  here  offered  for  future  reasonable  discussion.  No  attempt  has 
been  made  to  reconcile  the  apparent  discrepancies  in  the  tables  arising  from  this  source. 
It  was  thought  important  that  both  classes  of  facts  should  be  presented  in  the  most 
complete  manner,  and  that  all  attempt  to  bring  them  into  accord  should  be  postponed  to 
become  a  subject  of  discussion  in  connection  with  individual  diseases  of  importance  in  the 
Second  Volume. 

An  examination  of  the  tables,  therefore,  will  show  many  instances  in  which  the 
number  of  Deaths  is  disproportionally  large  as  compared  with  the  number  of  Cases,  and 
even  some  instances  in  which  more  Deaths  than  Cases  are  reported.  These  examples  are 
not  to  be  looked  upon  as  oversights  or  errors  on  the  part  of  those  to  whom  the  preparation 
of  the  tables  was  entrusted.  They  are  the  necessary  consequence  of  the  fidelity  with 
which  the  facts,  as  reported,  were  consolidated.  A  single  example  will  serve  as  an 
illustration. 

In  table  LXVII,  which  is  an  abstract  of  the  Sickness  and  Mortality  of  the  Central 
Region  for  the  year  ending  June  30,  1864,  it  will  be  observed  on  page  429  that  the 
number  of  Cases  of  Inflammation  of  the  Brain  reported  is  215,  with  271  Deaths,  which  might 
be  supposed  to  involve  an  impossibility.  But  an  examination  of  the  previous  table  shows, 


XXVIII  INTRODUCTION. 

page  423,  that  128  of  these  deaths  occurred  in  General  Hospital.  It  would  appear, 
therefore,  simply  that  215  Gases  and  143  Deaths  of  Inflammation  of  the  Brain  were  reported 
among  the  garrisons  and  troops  in  the  Central  Region  during  the  year,  and  that  besides 
128  Deaths  of  the  same  disease  occurred  in  the  General  Hospitals  of  the  Region.  Some 
of  the  Deaths  in  hospital  were  doubtless  patients  included  among  the  Cases  of  the  garrison 
and  field  reports;  but  the  greater  part  of  them  were  probably  men  who  had  entered 
hospital  with  other  complaints.  The  detailed  facts  would  be  interesting  and  valuable,  but 
cannot  be  ascertained.  We  can,  however,  learn  from  the  tables  the  number  of  New  Cases 
of  the  disease  which  originated  in  the  reported  strength  in  field  and  in  garrison  during 
the  time  specified.  We  can  also  learn  the  whole  number  of  Deaths  attributed  to  this 
cause,  including  those  which  occurred  in  the  given  hospital  population.  Each  of  these 
facts  has  its  own  independent  value,  and  each  requires  separate  consideration.  The  two 
classes  of  facts  can  only  be  brought  into  relationship  with  a  view  to  studying  the  relative 
mortality  per  thousand  cases  in  connection  with  those  affections  of  which  a  very  large 
number  of  cases  has  been  reported,  and  even  in  these  instances  the  results  attained  will 
often  require  modification  in  accordance  with  considerations  peculiar  to  each  disease. 

The  writer  is  perfectly  aware  of  the  inconvenience  of  the  circumstances  just 
recounted,  and  has  also  fully  considered  many  other  objections  to  the  plan  which  he  has 
adopted  for  dealing  with  the  monthly  reports  of  the  General  Hospital.  He  also  regrets 
greatly  the  impossibility  of  compiling  tables  giving  general  statistical  information  with 
regard  to  the  number  of  cases  of  each  disease  which  arose  de  novo  in  the  hospital  popu 
lation,  or  of  secondary  diseases  and  complications.  He  is  firmly  convinced,  however, 
that  a  more  ambitious  course  than  he  has  adopted  would  have  led  merely  to  less  reliable 

result. 

It  must  further  be  explained  in  this  place  that  the  tables  in  this  volume  do  not 
embrace  those  Killed  in  Action,  those  dead  of  Wounds  or  Disease  while  Prisoners  of  War, 
or  those  who  died  while  on  Furlough,  Leave  of  Absence,  Absence  Without  Leave,  or  after 
Discharge  from  service  on  surgeon's  certificate  of  disability.  In  the  case  of  those  Killed 
in  Action,  the  monthly  sick  reports  could  not  always  be  expected  to  attain  accuracy,  the 
Surgeon  usually  obtaining  his  information  with  regard  to  them  indirectly  and  at  second 
hand.  The  names  of  such  of  the  killed  as  could  be  learned  by  him  with  reasonable 
certainty  were  entered  in  the  sick  report  among  the  names  of  the  dead,  but  the  printed 
blanks  directed  that  they  should  not  be  included  in  the  statistical  portion  of  the  report, 
and  a  careful  examination  of  the  reports  received  shows  that  this  rule  was  advisable. 

The  number  of  deaths  from  Gunshot  and  other  Wounds  given  in  the  tables,  therefore, 
excludes  the  Killed  in  Battle,  but  the  number  of  Wounded  was  intended  to  embrace  all  the 
Wounded  among  the  mean  strength  given,  and  when  this  intention  was  not  carried  out,  as 
was  sometimes  probably  the  case,  especially  after  certain  general  engagements,  it  was  in 
consequence  of  circumstances  which  interferred  with  the  efforts  of  the  Medical  Officer  to 
obtain  full  details  with  regard  to  the  Wounded  of  the  commands  to  which  they  belonged. 


INTRODUCTION.  XXIX 

Instances  in  which  this  took  place  are  known,  and  it  seems  reasonable  to  suppose  that 
many  others  must  have  occurred,  so  that  the  figures  in  the  tables  representing  the  number 
of  Wounded,  and  especially  the  number  of  Gunshot  Wounds,  must  be  regarded  as  probably 
less  than  the  real  number  occurring  in  the  mean  strength  represented.  For  the  full 
discussion  of  this  part  of  the  subject,  however,  the  reader  must  be  referred  to  the  Surgical 
Volumes  of  this  work. 

In  addition  to  the  foregoing  explanations,  which  it  has  been  thought  advisable  to 
offer  as  aids  to  the  appreciation  of  the  tables  contained  in  this  volume,  it  seems  proper  to 
make  next  some  general  remarks  with  regard  to  the  Total  Losses  of  our  armies  during 
the  war  by  Death,  and  by  Discharge  on  surgeon's  certificate  of  disability.  These  remarks 
will  be  founded  upon  estimates  derived  from  other  sources  of  information  than  the  reports 
of  sick  and  wounded  employed  in  the  construction  of  the  tables,  and  will  therefore  be  of 
service  as  indicating  the  degree  of  completeness  which  these  may  fairly  be  considered  to 
possess. 

The  first  source  of  information  which  would  appear  to  require  consideration  is  the 
Adjutant  General's  Office,  in  which  are  preserved  the  military  records  of  the  army. 
Here  are  to  be  found  the  Keturns  of  posts,  armies,  and  departments,  the  monthly  Muster 
and  Pay  Rolls  of  individual  companies,  and  the  Final  Statements  of  deceased  soldiers.  The 
last-named  of  these  reports  have  served  as  the  basis  for  a  most  pains-taking  investigation 
with  regard  to  the  subject  of  our  present  inquiry.  It  was  the  duty  of  company  and  other 
officers  to  furnish  such  a  record  of  each  death  occurring  within  their  jurisdiction,  and 
hence  the  fact  and  date  of  death  was  thus  reported  in  a  large  part  of  the  whole  number 
of  the  dead.  These  returns  give,  in  each  case,  the  name,  rank,  company,  and  regiment  of 
the  deceased,  and  state  also,  whenever  the  officer  making  the  return  was  acquainted  with 
the  circumstances,  whether  he  was  Killed  in  Battle,  or  Died  of  Wounds  or  of  Disease. 

Of  course  many  men  were  killed  or  died  for  whom  no  such  final  statements  were 
made  at  the  time.  After  engagements  men  were  often  missing  concerning  whom  it  was 
not  known  whether  they  were  killed  or  taken  prisoners ;  deaths  not  unfrequently  occurred 
among  men  absent  from  their  commands  of  which  no  responsible  officer  had  knowledge ; 
reports  were  captured  by  the  enemy,  lost  or  mislaid,  and  the  duty  of  making  them  out 
was  not  invariably  performed.  At  the  close  of  the  war,  therefore,  these  files  were  far 
from  complete. 

It  happened,  however,  immediately  after  the  war  was  over,  that  vast  numbers  of 
applications  began  to  be  made  to  the  Adjutant  General  by  officers  of  the  Pay  Department, 
by  the  Second  Auditor,  and  by  the  Commissioner  of  Pensions,  for  official  evidence  of  the 
service  and  death  of  individual  soldiers,  to  enable  these  officials  to  adjust  the  claims  of 
the  heirs  of  the  deceased  against  the  government,  These  applications  not  merely 
rendered  it  necessary  to  make  a  most  laborious  examination  of  the  muster  rolls  to  extract 
the  deaths  recorded  in  them,  but  in  the  case  of  those  claimed  to  be  dead,  for  whom  there 
was  no  final  statement,  and  who  were  not  entered  as  dead  on  the  muster  rolls,  it  became 


XXX  INTRODUCTION. 

necessary  to  hear  evidence  in  order  to  arrive  at  the  actual  facts,  and  the  result  in  each 
case  being  duly  recorded,  the  files  representing  the  dead  were  daily  rendered  more  nearly 
complete. 

In  view  of  these  circumstances  it  would  be  anticipated  that  the  Adjutant  General's 
Office  would  now  be  able  to  furnish  the  most  complete  and  reliable  information  extant 
with  regard  to  the  number  and  names  of  the  dead.  It  might  also  be  presumed  that  the 
number  of  men  actually  Killed  in  Battle  could  be  most  nearly  approximated  from  the  same 
source,  while  it  would  seem  probable  that  a  large  proportion  of  those  who  died  of  wounds 
or  of  disease  would  appear  simply  as  Dead,  without  any  cause  of  death  having  been 
recorded.  Each  of  these  expectations  is  fully  realized  on  an  examination  of  the  information 
derivable  from  this  source. 

In  reply  to  an  inquiry  from  the  Surgeon  General,  the  Adjutant  General  has  furnished 
the  following  statement  dated  October  25,  1870: 

"  The  total  number  of  deaths,  so  far  as  known  at  the  office,  from  the  commencement  to  the  close  of  the  Rebellion,  is  as  follows  : 

Regular  Army,  Commissioned  Officers 267 

Regular  Army,  Enlisted  Men 4,  592 

Volunteer  Army,  Commissioned  Officers 8, 553 

Volunteer  Army,  Enlisted  Men 256,  427 

Colored  Troops,  Commissioned  Officers 

Colored  Troops,  Enlisted  Men 33,  380 

Total  number  of  deaths  . .  303,  504" 


The  commissioned  officers  of  the  Colored  troops  being  almost  without  exception  white, 
the  above  figures  may  be  classified  as  follows : 

Total  mortality  among  White  Officers  and  Men 270, 124 

Total  mortality  among  Colored  Men 33,  380 

Total  number  of  deaths ...  303,  504 


These  numbers  are  to  be  understood  as  embracing  the  deaths  from  all  causes,  including 
the  slain  in  battle  and  those  who  died  while  prisoners  of  war,  or  while  absent  on  furlough 
or  otherwise,  so  far  as  it  has  been  possible  to  collect  information  with  regard  to  them  at 
the  Adjutant  General's  Office  up  to  the  25th  of  October,  1870. 

The  period  represented  by  the  words  "from  the  commencement  to  the  close  of  the 
Rebellion"  in  the  above  statement,  was  found,  on  inquiry  at  the  Adjutant  General's  Office, 
to  have  been  used  in  the  case  of  the  Regular  Army  with  a  somewhat  different  significance 
from  that  with  which  it  was  employed  in  the  case  of  the  Volunteer  Forces. 

For  the  Regular  Army  the  figures  represent  the  number  of  officers  and  men  who  are 
known  to  have  died  between  the  15th  of  April,  1861,  and  the  1st  of  June,  1865. 

-  For  the  Volunteer  Forces,  both  White  and  Colored,  however,  the  figures  embrace  all 
the  deaths  known  to  have  occurred  in  the  volunteer  organizations  called  out  during  the 
progress  of  the  war  up  to  the  date  of  their  muster  out  of  the  service.  This  date  may  be 
approximately  fixed  for  the  White  troops  at  about  the  close  of  the  last  fiscal  year  repre 
sented  in  this  volume,  though  a  few  scattered  Companies  remained  in  service  subsequently, 
the  last  of  which,  a  Battalion  of  New  Mexico  Volunteer  Cavalry,  was  not  mustered  out 
until  November  18,  1867. 


INTRODUCTION.  XXXI 

In  the  cases  of  the  Colored  Volunteers,  the  process  went  on  more  slowly,  the  last 
Regiment  having  been  mustered  out  December  20,  1867. 

In  both  cases  it  is  to  be  understood  that  the  number  of  dead  given  is  derived  from 
an  actual  count  of  the  names  of  the  individuals  recorded  as  dead,  and  not  from  the 
consolidation  of  numerical  returns  of  any  kind.  This  circumstance  renders  it  quite  clear 
that  the  real  number  of  deaths  cannot  be  supposed  to  be  less  than  the  statement  above 
given  by  the  Adjutant  General,  and  a  consideration  of  the  facts  with  regard  to  the  additions 
made  to  the  death  files  since  the  war,  will  give  weight  to  the  opinion  that  it  cannot  be 
materially  greater. 

It  is  true  that,  as  has  been  already  indicated,  the  death  records  of  the  Adjutant 
General's  Office  were  quite  incomplete  at  the  close  of  the  war;  but  the  liberal  policy 
pursued  by  the  government  in  the  matter  of  bounty,  back  pay  and  pensions,  has 
undoubtedly  resulted  in  ascertaining  the  facts  with  regard  to  the  greater  portion  of  those 
of  the  dead  who  were  not  properly  included  in  the  original  files.  Some  notion  of  the 
extent  of  the  work  thus  done,  can  be  formed  by  comparing  the  statement  now  made  by 
the  Adjutant  General,  with  former  published  statements  based  upon  the  records  of  his 
office  at  different  intervals  after  the  war. 

Thus,  for  example,  in  Part  VI  of  the  Final  Report  of  the  Provost  Marshal  General 
to  the  Secretary  of  War,  dated  March  17,  1866,  there  will  be  found  under  the  head  of 
"Casualties  in  the  Military  Forces"  an  official  statement  of  the  mortality  of  the  Army  as 
deduced  from  the  muster  rolls  and  returns  of  the  Adjutant  General's  Office.  This 
statement,  which  is  given  in  tabular  form  on  page  78  of  the  report,  embraces  a  considerable 
number  of  items,  the  consolidation  of  which  gives  the  following  results: 

Number  of  deaths  among  White  Officers  and  Men 250,  651 

Number  of  deaths  among  Colored  Men 29,  038 


Total 279,689 


February  27,  1869,  a  report  on  the  same  subject  was  made  by  the  Adjutant  General 
to  the  Secretary  of  War,  for  the  information  of  a  Committee  of  the  House  of  Represen 
tatives.  This  report,  a  copy  of  which  was  furnished  to  the  Surgeon  General,  contained  a 
"  Consolidated  Statement  of  the  number  of  Federal  Soldiers  who  died  in  the  Service  of 
the  United  States  during  the  Rebellion."  A  consolidation  of  the  items  of  this  table 
furnishes  the  following  results  : 

Number  of  deaths  among  White  Officers  and  Men 261,  036 

Number  of  deaths  among  Colored  Men 33,  380 

Total..  294,416 


A  comparison  between  these  three  sets  of  figures  which  show  the  number  of  deaths 
known  to  the  office  of  the  Adjutant  General,  in  March  1866,  February  1869,  and  October 
1870,  respectively,  will  afford  some  notion  of  the  laborious  and  conscientious  manner  in 
which  that  officer  and  his  assistants  have  endeavored  to  perfect  the  Official  Record  of 
])eaths. 


XXXII  INTRODUCTION. 

The  figures  offered  at  the  last  date  will  probably  receive  still  further  accretions  in  the 
future  ;  yet,  as  the  number  of  new  names  added  to  the  list  during  the  three  months 
immediately  preceding  October  25,  1870,  was  only  one  hundred,  it  cannot  be  presumed 
that  the  whole  number  finally  recorded  will  be. very  much  greater  than  that  now  presented. 

In  appreciating  the  evidence  derived  from  this  source,  the  possibility  that  a  few 
deaths  may  have  been  erroneously  recorded  by  mistake,  or  in  consequence  of  fraudulent 
evidence,  must,  of  course,  receive  consideration.  It  must  also  be  confessed,  that,  notwith 
standing  all  the  pains  taken,  a  certain  number  of  deaths  must  eventually  escape  record. 
Nevertheless,  when  all  the  circumstances  are  taken  into  consideration,  and  especially  the 
pecuniary  interests  involved,  the  scrutiny  which  this  circumstance  has  compelled,  the  large 
number  of  names  added  to  the  list  annually  for  several  years  after  the  close  of  the  war, 
and  the  small  number  added  recently,  it  may  well  be  believed  that  a  close  approximation 
to  the  actual  facts  has  now  been  attained. 

The  next  source  of  information  for  consideration  is  the  office  of  the  Quartermaster 
General. 

According  to  the  Army  Regulations  in  force  at  the  commencement  of  the  war,  it  was 
the  duty  of  the  Quartermaster's  Department  to  provide  for  the  Burial  of  deceased  soldiers. 
The  great  increase  of  the  national  forces  caused  by  the  war,  and  the  large  number  of  dead, 
suggested,  early  in  the  course  of  the  struggle,  the  idea  of  National  Cemeteries  especially 
designed  for  this  purpose. 

By  an  act  of  Congress  approved  July  17,  1862,  the  President  of  the  United  States 
was  authorized  to  purchase  cemetery  grounds  and  cause  them  to  be  enclosed  for  the  burial 
of  "the  soldiers  who  shall  die  in  the  service  of  the  Country." 

After  the  close  of  the  war  it  was  deemed  necessary  to  legislate  still  further  on  the 
subject,  and  it  was  provided  by  Public  Resolution  No.  21,  approved  April  13,  1866,  "  that 
the  Secretary  of  War  be,  and  he  is  hereby,  authorized  and  required  to  take  immediate 
measures  to  preserve  from  desecration  the  graves  of  the  soldiers  of  the  United  States,  who 
fell  in  battle  or  died  of  disease  in  the  field  and  in  hospital  during  the  War  of  the  Rebellion ; 
to  secure  suitable  burial  places  in  wrhich  they  may  be  properly  interred,  and  to  have  the 
grounds  enclosed,  so  that  the  resting  places  of  the  honored  dead  may  be  kept  sacred 
forever." 

In  the  following  year  an  act  "to  establish  and  protect  National  Cemeteries"  was 
approved  February  22,  1867,  which  provided  in  detail  for  the  purchase  of  grounds,  the 
management  and  inspection  of  cemeteries,  and  the  punishment  of  any  person  who  should 
mutilate  monuments  or  injure  the  trees  and  plants. 

In  obedience  to  the  regulations  in  force  at  the  commencement  of  the  war,  and  to 
orders  issued  by  the  War  Department,  from  time  to  time,  in  accordance  with  the  spirit  of 
these  acts,  every  effort  would  appear  to  have  been  made  to  collect  the  remains  of  the  dead, 
to  inter  them  decently,  and  to  record  all  the  facts  known  in  connection  with  each  grave. 
The  thorough  character  of  the  work  may  be  inferred  from  the  circumstance  that  it  has 


INTRODUCTION.  XXXTII 


already  cost  upwards  of  three  millions  of  dollars.  After  no  other  war,  whether  of  ancient 
or  modern  times,  have  any  such  systematic  exertions  been  made  to  secure  the  collection  of 
the  dead  and  their  interment  in  permanent  resting  places.  It  is  proper,  therefore,  that 
the  statistician  should  give  the  fullest  consideration  to  the  information  derivable  from  this 
source. 

The  Quartermaster  General,  in  his  annual  report  for  the  fiscal  year  ending  June  30, 
1865,  dated  November  3,  18G5,  makes  the  following  statement:  "Under  General  Orders 
No.  40,  of  July  3,  1865,  which,  on  the  conclusion  of  the  war,  called  upon  the  officers  of 
this  department  for  special  reports  of  the  number  of  interments  registered  during  the  war, 
.reports  have  been  received  from  officers  in  seventeen  States,  including  the  District  of 
Columbia.  They  report  the  interments  registered  in  their  offices  at  116,148.  Of  these 
there  were  whites,  95,803  ;  colored,  20,345  ;  loyal,  98,827  ;  disloyal,  12,596  ;  refugees, 
600;  contrabands,  4,125." 

In  his  annual  report  for  the  following  fiscal  year,  dated  October,  1866,  the  same 
officer  furnishes  an  elaborate  account  of  the  efforts  being  made  under  his  supervision,  to 
collect  the  remains  of  the  dead  and  to  establish  National  Cemeteries.  Forty-one  National 
Cemeteries  had  been  established  at  the  close  of  the  fiscal  year  terminating  June  30,  1866, 
and  ten  more  had  been  determined  upon.  Four  hundred  and  twelve  cemeteries,  not  the 
property  of  the  Nation,  were  known  to  contain  the  remains  of  soldiers.  Up  to  the  date 
mentioned  87,(>64  had  been  removed  and  reinterred  ;  the  National  Cemeteries  already 
contained  "  the  remains  of  101,528  loyal  soldiers."  It  was  believed  that  135,881  bodies 
would  yet  have  to  be  moved  and  reinterred,  and  the  total  number  of  the  remains  "  of  loyal 
soldiers"  was  estimated  at  341,670. 

As  the  work  of  collecting  the  remains  of  the  deceased  soldiers  from  battle-fields, 
way  sides,  and  private  cemeteries  progressed,  it  was  found  that  these  estimates  were  not 
exact.  The  number  of  bodies  which  it  seemed  desirable  to  move  and  reinter,  was  found 
to  be  somewhat  larger  than  had  been  anticipated,  and  the  total  number  of  remains  proved 
considerably  less  than  the  estimate. 

Inquiries  made  at  the  office  of  the  Quartermaster  General  in  November,  1870,  showed 
that  about  two  hundred  and  forty  thousand  bodies  had  been  moved  and  reinterred,  and 
a  few  hundred  more  still  required  the  same  care.  At  that  time  there  were  seventy-three 
National  Cemeteries  devoted  exclusively  to  the  burial  of  the  dead  who  had  fallen  during 
the  rebellion  in  the  service  of  their  country.  Bodies  of  "deceased  Union  soldiers"  were 
also  known  to  be  buried  in  three  hundred  and  sixteen  local,  private,  or  post  cemeteries. 
The  total  number  of  graves,  solar  as  known,  was  315,555.  These  were  all  believed  to 
contain  the  bodies  of  Union  soldiers  who  had  died  or  been  killed  during  the  rebellion,  but 
of  the  whole  number  172,109  only,  or  rather  more  than  one-half,  had  been  identified  by 
name. 

It  appears,  therefore,  that  while,' as  it  has  been  shown,  the  names  of  303,504  dead 
officers  and  soldiers  are  recorded  in  the  office  of  the  Adjutant  General  with  every  reasonable 


XXXIV  INTRODUCTION. 

probability  that  the  list  does  not  embrace  quite  the  whole  number,  the  records  of  the 
Quartermaster  General  show  the  existence  of  315,555  graves,  believed  to  contain  the 
remains  of  officers  and  soldiers  dead  during  the  Rebellion.  The  question,  therefore,  at 
once  arises,  what  statistical  value  can  be  attached  'to  the  latter  figures  as  indicating  the 
real  number  of  the  dead?  There  can  be  no  doubt  that  the  officers  to  whom  the  task  of 
collecting  the  bodies  of  the  dead  was  entrusted,  performed  their  work  with  zeal  and  care. 
Yet  from  the  very  nature  of  the  case,  the  greater  portion  of  the  labor  was  done  after  the 
war  had  closed,  and  most  of  the  bodies  collected  from  their  temporary  resting  places  on 
battle-fields,  or  elsewhere  throughout  the  Southern  States,  had  been  several  years  in  the 
ground.  The  whole  country  was  divided  into  districts  and  the  most  careful  inquiries  were. 
made  by  the  officer  in  charge  of  the  Cemeterial  work  of  each,  so  that  it  is  not  likely  that  any 
considerable  number  of  soldiers'  graves  could  have  escaped  observation.  But,  on  the  other 
hand,  is  there  no  probability  that  in  disinterring  the  nameless  dead,  the  bodies  of  teamsters^ 
camp  followers,  refugees,  fugitive  slaves,  or  even  Confederate  soldiers  may  have  been  mis 
taken  at  times  for  those  of  our  own  men  ?  There  appears  to  be  little  doubt  that  those 
encrao-ed  upon  the  work  took  every  reasonable  precaution  to  avoid  mistakes,  and  that  every 
available  source  of  information  was  freely  consulted.  Yet  the  extent  to  which  clothing  and 
arms  captured  from  the  United  States  were  used  by  the  Confederates,  must  have  interfered 
considerably  with  the  certainty  of  such  identifications.  Taking  all  the  circumstances  into 
consideration,  it  would  hardly  be  possible  therefore  to  regard  the  number  of  graves  as 
affording  any  very  precise  indication  of  the  mortality  of  our  armies,  if  no  other  fact  than 
this  number  existed  for  our  guidance.  Yet  when  the  close  agreement  between  the  number 
of  graves  and  the  number  actually  known  to  be  dead  as  shown  by  the  evidence  in  the 
Adjutant  General's  Office  is  taken  into  consideration,  there  would  appear  to  bo  no  great 
difficulty  in  arriving  at  an  approximative  judgment.  The  real  number  is  assuredly  greater 
than  the  number  of  names  recorded  up  to  the  present  date  at  the  office  of  the  Adjutant 
General.  It  cannot  reasonably  be  supposed  to  exceed  the  total  number  of  graves.  The 
truth  must  probably  be  between  three  hundred  and  four  and  three  hundred  and  sixteen 
thousand  deaths. 

A  comparison  must  now  be  made  between  the  foregoing  figures  and  the  testimony  to 
be  derived  from  the  office  of  the  Surgeon  General.  About  the  date  of  the  close  of  the  war 
a  series  of  alphabetical  registers  of  the  dead  were  commenced  in  that  office.  In  these 
books  the  names  of  the  dead,  as  given  on  the  monthly  sick  reports,  were  entered,  and  sub 
sequently  all  the  additional  names  found  in  the  Registers  of  the  closed  hospitals  and  other 
records  turned  in  to  the  office  after  the  Avar,  were  carefully  added,  every  pains  being  taken 
to  avoid  duplicating  names.  The  Commissioner  of  Pensions  soon  adopted  the  practice  of 
referring  to  the  Surgeon  General  for  information  as  to  the  Cause  of  Death  of  those  soldiers 
whose  widows  or  heirs  applied  for  pension.  The  Adjutant  General,  in  order  to  complete 
his  death  records,  in  the  manner  already  described,  applied  for  information  as  to  the  fate 
of  many  thousands  of  soldiers  reported  on  the  muster  rolls  as  absent  from  their  Regiments  ; 


INTRODUCTION.  XXXV 

the  Paymaster  General  and  Second  Auditor  made  continual  applications  for  similar  infor 
mation  to  enable  them  to  settle  claims  for  back  pay  or  bounty,  and  all  these  demands 
have  compelled  a  most  pains-taking  and  thorough  examination  of  the  records. 

A  consideration  of  the  sources  from  which  the  Surgeon  General's  records  are  derived 
would  render  it  probable,  even  before  examining  the  results,  that  while  they  would  excel 
those  of  the  Adjutant  General  in  the  'presentation  of  details  with  regard  to  the  nature  of  the 
Disease  or  Injury  which  was  the  Cause  of  Death,  they  would  contain  a  much  smaller  number 
of  dead  men's  names.  These  records  are,  in  fact,  principally  derived  from  the  reports  and 
record  books  of  the  Medical  Officers  of  the  Army.  They  could  not  be  expected  to  contain 
complete  lists  of  those  Killed  in  Battle,  of  those  who  died  while  Prisoners  of  War,  or  of  the 
deaths  in  detachments  unprovided  with  Medical  Officers,  and  this  has,  in  fact,  proved  to 
be  the  case.  Yet  although  the  number  of  dead  recorded  in  the  alphabetical  death 
registers  of  the  Surgeon  General's  Office  is  less  than  the  total  number  reported  by  the 
Adjutant  General,  the  figures  differ  much  less  than  might  have  been  anticipated. 

A.  careful  count  of  these  death  registers  made  in  October  1870,  for  the  purposes  of 
this  work,  gives  the  following  results. 

The  total  number  of  deaths  recorded,  embracing  officers  and  men  of  the  Regular  Army 
from  April  15,  1861,  to  June  30,  1865,  inclusive,  and  officers  and  men  of  the  Volunteer 
forces,  both  white  and  colored,  while  in  service,  from  the  date  of  their  muster-in  to  the  date 
of  their  muster-out,  is  282,955,  being  20,549  less  than  the  corresponding  figures  of  the 
Adjutant  General,  or  about  nine-tenths  of  what  may  be  safely  regarded  as  the  whole 
number  of  deaths  within  the  limits  specified.  The  deaths  contained  in  these  registers  are 
distributed  as  follows  : 

Regular  Army,  Officers  and  Enlisted  Men - 5, 200 

Volunteer  Army,  Officers  and  Enlisted  Men  including  Officers  of  Colored  Troops 245, 690 

Enlisted  men  of  Colored  Troops 3*>  065 

Total..  282,955 


A  detailed  examination  into  the  discrepancies  existing  between  these  figures  and  those 
of  the  Adjutant  General  shows  that  the  chief  difference  exists  in  the  case  of  the  enlisted 
men  of  the  Volunteer  Army;  the  total  number  of  dead  among  the  enlisted  men  of  the 
Volunteer  Army  as  recorded  in  the  office  of  the  Adjutant  General  being  256,427,  while 
the  total  number  recorded  in  the  office  of  the  Surgeon  General  is  but  237,150.  The 
difference  is  19,277,  which  is  by  far  the  greater  portion  of  the  total  discrepancy.  This 
discrepancy  is  mainly  due  to  the  opportunities  enjoyed  by  the  Adjutant  General's  Office 
for  accumulating  evidence  of  the  fact  of  death  in  individual  cases  since  the  war.  In  the 

o 

case  of  the  Colored  troops,  also,  the  Adjutant  General  has  a  greater  number  of  names, 
while,  on  the  other  hand,  in  the  case  of  the  Regular  Army  the  records  of  the  Surgeon 
General  contain  several  hundred  more  names  than  are  reported  by  the  Adjutant  General. 
A  further  examination  into  the  alphabetical  registers  of  the  Surgeon  General's  Office 
fully  bears  out  the  presumption  that  while  they  would  contain  a  somewhat  smaller  number 
of  names  than  have  been  recorded  as  dead  by  the  Adjutant  General,  they  might  be 


XXXVI  INTRODUCTION. 

expected  to  afford  particulars  as  to  the  Cause  of  Death  in  a  much  greater  number  of 
instances,  the  principal  exception  being  in  the  case  of  those  who  were  Killed  in  Battle. 

A  comparison  of  the  two  sets  of  records  would  seem  likely,  therefore,  to  afford  the 
means  of  arriving  at  some  general  conclusions  with  regard  to  the  proportion  of  the  whole 
number  of  the  dead  who  were  Killed  in  Battle,  Died  of  Wounds,  or  Died  of  Disease. 

The  latest  report  by  the  Adjutant  General  which  makes  any  discrimination  between 
the  several  Causes  of  Death,  is  the  report  of  February  27,  1869,  to  which  allusion  has 
already  been  made.  Of  the  294,416  deaths  included  in  the  report,  55,297  are  given  as 
dead  of  Unknown  Causes.  The  rest  are  classified  as  Killed  in  Battle,  Died  of  Wounds, 
Died  of  Disease,  and  died  of  Other  Known  Causes. 

This  report  gives  the  number  of  Killed  in  Battle  as  44,238  distributed  as  follows  : 

Kegular  Army,  Officers  and  Men 

White  Volunteers,  Officers  and  Men i '  r  11 

Colored  Volunteers,  Enlisted  Men 

Total  killed  in  battle 

The  alphabetical  registers  of  the  Surgeon  General's  Office  contain,  as  already  indicated, 
a  much  smaller  number  of  deaths  of  this  class.  They  sum  up  35,408,  distributed  as  follows : 

Regular  Army,  Officers  and  Men 

White  Volunteers,  Officers  and  Men 33,  80 

Colored  Volunteers,  Enlisted  Men -  - 772 

Total  killed  in  battle 35,  408 


For  the  Killed  in  Battle,  therefore,  it  is  clear  that  the  figures  of  the  Adjutant  General's 
report  must  be  preferred ;  yet  in  view  of  the  55,297  men  borne  on  the  same  report  as 
dead  from  Unknown  Causes,  it  cannot  be  believed  that  even  these  figures  represent  the 
whole  number  Killed  in  Battle.  They  are  simply  to  be  regarded  as  the  least  numbers 
which  can  safely  be  employed  to  represent  this  category,  and  an  additional  estimated 
number  should  be  added,  to  be  determined  after  a  consideration  of  the  numbers  which  will 
be  shown  to  have  died  from  other  causes. 

Next,  with  regard  to  the  number  of  those  who  Died  of  Wounds.  The  report  of  the 
Adjutant  General  represents  the  total  number  of  this  class  as  33,993,  distributed  as  follows : 

Regular  Army,  Officers  and  Men 850 

White  Volunteers,  Officers  and  Men 32, 106 

Colored  Volunteers,  Enlisted  Men 1,  037 


Total  died  of  wounds 33,  90-3 

The  alphabetical  registers  of  the  Surgeon  General's  Office,  however,  permit  us  very 
materially  to  increase  these  figures.  The  total  number  of  deaths  from  wounds  and  injuries 
recorded  by  name  on  them  is  49,205,  which  are  distributed  as  follows  : 

Regular  Army,  Officers  and  Men 1;  174 

White  Volunteers,  Officers  and  Men 4fi;  271 

Colored  Volunteers,  Enlisted  Men 1;  700 

Total  deaths  from  wounds  and  injuries 49;  205 


INTRODUCTION. 


XXX  VII 


The  same  reasons  which  rendered  it  proper  to  regard  the  figures  of  the  Adjutant 
General's  report  as  the  least  number  which  can  be  believed  to  represent  the  Killed  in 
Battle,  compel  the  recognition  of  the  above  count  from  the  Surgeon  General's  registers  as 
the  least  number  that  can  be  believed  to  have  Died  from  Wounds  and  Injuries. 

There  are  besides  on  the  registers  the  names  of  302  officers  and  men  reported  to 
have  committed  Suicide,  103  Homicides,  and  121  Executions,  making  a  total  of  526  deaths 
from  these  causes,  distributed  as  follows: 

Regular  Army 27 

White  Volunteers 440 

Colored  Volunteers 57 

Total  suicides,  homicides  and  executions „ 526 

TSext,  with  regard  to  the  number  who  Died  of  Disease.  The  report  of  the  Adjutant 
General  gives  the  number  of  this  class  as  149,043  distributed  as  follows: 

Regular  Army,  Officers  and  Men •_>,  4-28 

White  Volunteers,  Officers  and  Men 120,  404 

Colored  Volunteers,  Enlisted  Men. 26,  211 

Total 149,  0-13 

Here  again  the  death  registers  of  the  Surgeon  General's  Office  record  a  much  larger 

O  O  <.-'  £j   * 

number  of  names.      The  total  number  of  deaths  of  this  class  entered  on  the  books  being 
186,210,  distributed  as  follows: 

Regular  Army,  Officers  and  Men 3.  009 

White  Volunteers,  Officers  and   Men 15:5.  995 

Colored   Volunteers,  Enlisted  Men 29,  212 

IfG,  21f> 


Of  course,  in  forming  an  estimate  of  the  total  number  of  Deaths  from  Disease,  prefer 
ence  is  to  be  given  to  these  figures. 

O  O 

Seeing  then  that  the  report  of  the  Adjutant  General  affords  the  nearest  approximation 
to  the  Whole  Number  of  Deaths,  and  to  the  number  Killed  in  Battle,  while  the  registers  of 
the  Surgeon  General's  Office  afford  the  nearest  approximation  to  the  number  of  deaths 
from  Wounds  and  from  Disease,  we  will  find  that  of  the  whole  number  of  deaths  the  causes 
of  but  24,181  remain  Unknown,  and  the  following  table  presents  a  synoptical  view  of  the 
conclusions  indicated  in  the  course  of  the  foregoing  remarks: 


Total. 


Whit 


Colored 


i->       i  \\  lute  Colored  ,,,  ,   , 

Regulars.    ,,  ,  Tr  ,  lotal. 

\  O  unteers.      Volunteers,  i 


Killed  in  battle 

Died  of  wounds  and  injuries 

Suicide,  homicide,  and  execution 

Died  of  disease 

Unknown  causes. . 


1,174 


a.  01 19 

159 


41,  3(>9 

46,271 

442 

153,995 
23,  18S 


1,  514 
1,760 

57 

29, 21-2 
637 


41.2:),-! 

49. 205 

52(5 

ISfi. 216 
24, 184 


304,  369 


The  total  in   this   table   foots   up  a  few  hundred  deaths  more  than  are  reported  by 
the  Adjutant  General,  and  this  on  account  of  the  mortality  of  the  Regular  Army  being 


XXXVIII  INTRODUCTION. 

estimated  here  as  rather  greater  than  is  shown  in  his  report.  This  greater  estimate  results 
partly  from  accepting  as  the  number  of  Killed  in  Battle  among  the  Regular  troops  the 
number  of  names  so  reported  to  the  Adjutant  General,  partly  from  the  fact  that  the  Surgeon 
General's  Death  Registers  contain  a  larger  number  of  names  of  regular  soldiers  dead  of 
Wounds  and  Disease,  and  partly  from  the  circumstance  that  the  count  of  the  latter  has 
been  made  to  go  up  to  the  close  of  the  fiscal  year  terminating  June  30;  1865,  representing 
thus  the  deaths  of  one  month  more  than  is  embraced  in  the  Adjutant  General's  reports. 
By  consolidating  the  deaths  from  violent  causes  in  the  foregoing  table  we  obtain  the 
following  general  view : 


Regulars. 

White 

Volunteers. 

Colored 
Volunteers. 

Total. 

2,  556 

83,  082 

3,  331 

93,  969 

3,  (109 

153,  995 

29.212 

186,  216 

159 

23,  188 

837 

24,  184 

Total                                                          

i        5,724 

205,  265 

33,  330 

304,  369 

From  this  view  it  will  be  seen  that  of  280,185  deaths  from  known  causes,  the 
proportion  of  violent  deaths  to  the  whole  number  was  one  out  of  every  three  deaths.  A 
very  great  difference,  however,  existed  between  the  White  and  Colored  troops  in  these 
respects.  In  the  case  of  the  White  troops,  out  of  247,642  deaths  from  known  causes,  the 
proportion  of  violent  deaths  to  the  whole  number  of  deaths  was  one  out  of  every  two  and 
seven-tenths.  In  the  case  of  the  Colored  troops  out  of  32,543  deaths  from  known  causes 
the  proportion  of  violent  deaths  to  the  whole  number  of  deaths  was  one  out  of  every  nine 
and  eight-tenths.  Some  difference  also  appears  to  exist  in  this  respect  between  the  Regular 
and  Volunteer  troops:  the  proportion  of  violent  deaths  to  the  whole  number  of  deaths 
from  known  causes  being  one  to  two  and  two-tenths  for  the  first,  and  one  to  two  and 
seven-tenths  for  the  second  of  these  classes.  It  is  true  that  these  figures  do  not  represent 
the  whole  number  of  deaths,  nevertheless  the  deaths  from  unknown  causes  bear  so  small 
a  proportion  to  the  whole  number,  and  the  probability  that  these  also  are  distributed  in 
nearly  the  same  manner  among  the  several  causes  is  so  great  that  it  cannot  be  supposed 
the  general  result  would  be  materially  modified  had  it  been  possible  to  ascertain  the  cause 
of  death  in  every  case. 

It  is  desirable  next  to  endeavor  to  form  an  estimate  of  the  ratio  existing  between  the 
number  of  deaths  and  the  the  number  of  troops  engaged.  This  has  already  been  done  in 
various  quarters,  on  entirely  dissimilar  principles.  In  the  first  place,  the  number  of  deaths 
has  been  compared  with  the  total  number  of  enlistments;  but  it  will  at  once  be  seen  that 
on  this  plan  we  shall  get  no  results  which  can  be  fairly  compared  with  the  death  rates  of 
civil  populations;  for  the  term  of  service  for  which  the  troops  were  enlisted  during  the 
war  was  shorter  than  the  duration  of  the  war  itself;  some  were  enlisted  for  three  months, 
some  for  one  hundred  days,  some  for  one  year,  some  for  three  years  or  more;  and  since 
the  same  man,  in  vast  numbers  of  cases,  was  re-enlisted,  often  several  times  during  the 


INTRODUCTION.  XXXIX 

war,  the   total  number  of  enlistments   does'  not  bear    any  such  relationship   to  the  men 
ensased  as  would  indicate  their  actual  number. 

O      O 

Another  method  employed  has  been  to  compare  the  number  of  deaths  with  the  number 
of  enlistments  reduced  to  terms  of  service  of  three  years.  This  has  been  done  by  counting 
three  enlistments  for  one  year,  or  twelve  for  three  months,  as  one  three  year's  enlistment. 
The  number  of  three  year's  enlistments  thus  obtained  is  stated  in  the  report  of  the  Adjutant 
General  of  February,  18G9,  as  2,073,112  white  enlisted  men.  The  total  number  of  com 
missions  issued  to  white  officers  was  83,935,  and  the  total  number  of  colored  enlistments 
178,895.  It  is  remarked  in  the  report  that  the  number  of  officers  and  colored  enlistments 
are  "all  considered  three  years;  most  were  recruited  for  that  period,  and  those  for  shorter 
periods  cannot  be  classed  without  a  laborious  examination  of  numerous  muster  rolls." 

It  is  obvious,  however,  that  these  figures  could  not  be  used  for  our  present  purpose, 
even  were  they  all  reduced  to  terms  of  service  of  three  years,  for  immense  numbers  of  men 
enlisted  or  were  commissioned  more  than  once  in  three-year  organizations,  hence  appearing 
twice  or  oftencr  in  the  above  enumeration,  and  without  such  an  investigation  of  the  rolls 
as  is  not  at  present  practicable,  it  would  not  be  possible  to  ascertain  the  number  of  such 
cases.  Moreover,  there  arc  no  means,  short  of  following  out  the  history  of  each  man  on 
the  rolls,  of  ascertaining  the  time  which  those  who  enlisted  for  three  years  actually  served. 
Besides  those  who  died  or  were  discharged  for  disability  at  various  periods  of  their  term  of 

e_>  */  X 

service,  it  is  well  known  that  the  large  local  bounties  induced  many  men  to  desert  at  an 
early  period,  who  speedily  enlisted  again  in  some  other  organization  in  order  to  secure  a 
double  bounty  ;  in  short,  it  would  appear  impossible,  at  the  present  time,  to  arrive  at  such 
definite  results  with  regard  to  this  subject  as  would  serve  as  a  sound  basis  for  the  calcula 
tion  of  instructive  ratios. 

Another  plan  remains  which,  though  it  cannot  be  hoped  to  be  made  perfectly  accu 
rate,  would  seem  to  offer  the  greatest  probability  of  arriving  at  valuable  results. 

The  actual  strength  of  the  army,  as  ascertained  at  certain  dates  during  the  progress 
of  the  war,  may  be  made  use  of  to  calculate  the  mean  strength  constantly  in  service,  and 
this  result  may  be  compared  with  the  number  of  deaths  known  to  have  occurred  during 
the  period  represented. 

In  the  case  of  the  Colored  troops,  the  Adjutant  General  has  furnished  to  the  Surgeon 
General  a  complete  statement  showing  separately  the  number  of  commissioned  officers  and 
enlisted  men  of  these  organizations,  present  and  absent,  from  September,  18G2,  till  Decem 
ber,  1867,  when  the  last  colored  regiment  was  mustered  out  of  service,  being  a  period  of  five 
years  and  four  months.  From  this  statement  the  following  average  mean  strength  for  the 
period  has  been  computed  for  enlisted  men  only.  Average  strength  present,  35,640 ;  absent, 
G,699;  aggregate,  42,339.  The  total  number  of  deaths  for  the  same  period  among  the 
colored  enlisted  men  was  33,380,  beino;  at  the  rate  of  6,259  deaths  for  each  year,  or  an 

o  * 

annual  death-rale  of  148  per  1000  of  average  aggregate  mean  strength.  Subdividing 
this  death-rate,  in_ accordance  with  the  ratio  of  violent  to  other  deaths  already  indicated 


XL 


INTRODUCTION 


for  this  class,  we  shall  have  an  annual  ratio  of  15  violent   deaths  and   133   deaths  from 
disease  per  1,000  of  strength. 

In  the  case  of  the  Regular  Army,  the  Adjutant  General  has  published  reports  of  the 
strength  present  and  absent  at  various  dates,  from  which  those  representing  the  strength 
on  the  first  of  each  year  have  been  selected.  The  figures,  as  here  presented,  include 
both  officers  and  men. 


Present. 
i« 

Absent. 

Aggregate. 

Jinnrv  1   1§61                                       14,663 

1,704 

2,  554 
6,  294 
7,  399 
7,  358 

10,  367 

22,  425 
25,  463 
24,  636 
22,  019 

«      1  1862                                                                     :        19,871 

a      i   1863                                                                                              :         19,  169 

"      l'  1864                                           17,237 

"      1,  1885                                                                                                     '        14,661 

Avern°'e  mean  strength*     ..-.-..    17,  73o 

5,  194             22,  929 

The  total  number  of  deaths  in  the  Regular  Army  being  5,724  between  the  15th  of 
April,  1861,  and  30th  of  June,  1865,  a  period  of  four  years  two  months  and  a  half,  would 
give  an  annual  average  of  1,360  deaths,  or  an  annual  death-rate  of  59  per  1,000  of  strength, 
which,  divided  between  violent  deaths  and  those  from  disease,  would  give  an  annual  ratio 
of  27  violent  deaths  and  32  deaths  from  disease  per  1,000  of  strength. 

The  strength  of  the  White  Volunteers  on  certain  dates  mav  be  obtained  by  subtracting 

o  */  **  <— ' 

from  statements  made  by  the  Adjutant  General  giving  the  strength  of  the  total  Volunteer 
force  at  certain  dates  during  the  war,  the  known  strength  of  the  Colored  enlisted  men  for 
the  same  month,  and  using  the  resulting  figures  as  data  for  computing  the  mean.  The 
following  table,  in  which  both  officers  and  men  are  included,  was  obtained  in  this  manner  : 


Present. 

Absent. 

Aggregate 

July  1   1861  

169,480 

849 

170,  329 

January  1    1862                                         

507,  333 

46,  159 

553,  492 

"     "   1,1863         

676,  175 

212,859 

889,  034 

"         1    1864                   

540,  643 

237,  650 

778,  293 

"         1,  1865  

523,  536 

309,  395 

832,  931 

March    31,  1805  

554,  720 

294,  351 

849,  071 

Average  mean  strenstht  . 

544,704 

198,  803 

741,507 

The  total  number  of  deaths  of  this  class  has  been  stated  above  at  265,265.  Of  this 
number,  however,  the  death  registers  of  the  Surgeon  General's  Office  show  that  4,553 
died  subsequently  to  June  30,  1865,  which  would  leave  a  total  of  260,712  deaths  from 
the  outbreak  of  the  War  to  that  time,  being  at  the  rate  of  65,178  deaths  annually,  or  88 


*  Calculated  by  the  formula  given  in  the  "English  Life  Table."     London,  1864.     Page  XV. 

t  Calculated  by  the  formula  just  cited,  •with  the  modifications  required  by  the  irregular  dates  of  the  enumerations  at  the 
beginning  and  end  of  the  series.  The  count  of  March  31,  1865,  is  assumed  as  the  mean  of  the  six  months  in  the  middle  of 
which  it  was  made.  The  number  in  service  increased  up  to  May  1,  1865,  (see  the  Report  of  the  Secretary  of  War  for  the  year 
ending  June  30,  1866,  page  78,)  and  decreased  rapidly  during  the  two  following  months. 


INTRODUCTION.  •  XI[ 

per  1,000  of  average  aggregate  mean  strength.  Subdividing  this  ratio  between  violent 
deaths  and  deaths  from  disease  in  accordance  to  the  proportion  of  these  classes  already 
indicated,  we  shall  have  an  annual  ratio  of  33  violent  deaths  and  55  deaths  from  disease 
per  1.000  of  average  ao-oreo-ate  streno-th. 

j.  o         co      o  o 

Having  thus,  from  independent  sources,  arrived  at  a  general  view  of  the  total  mortality 
of  our  forces  during  the  War,  we  are  now  prepared  to  make  use  of  the  conclusions  thus 
obtained  as  affording  the  means  of  forming  a  judgment  with  regard  to  the  completeness  of 
the  tables  contained  in  this  volume. 

The  total  number  of  deaths  embraced  in  the  tables  for  White  troops,  which  include 
the  officers  as  well  as  the  men  of  both  Regular  and  Volunteer  organizations,  is  shown  in 
Table  C,  page  641,  to  be  166,623.  The  total  number  of  deaths  of  Colored  enlisted  men 
contained  in  the  tables  for  Colored  troops  is  shown  in  Table  CXI,  page  710,  to  be  29,00-1, 
making  an  aggregate  of  195,627  deaths.  But,  as  has  been  fully  explained  already,  these 
tables  do  not  include  the  Killed  in  Battle,  those  who  died  while  Prisoners  of  War,  or  any  of 
those  who  died  while  absent  from  their  commands,  excepting  only  the  deaths  in  hospital 

Xow,  of  the  whole  number  of  304,369  deaths  known  to  have  occurred  during  the 
War,  we  have  already  seen  that  at  least  44,238  were  Killed  in  Battle.  The  report  of  the 
Adjutant  General  of  February,  1869,  sets  forth  also  26,168  deaths,  included  in  the  whole 
number  as  having  occurred  among  those  of  our  men  who  were  prisoners  in  the  hands  of 
the  enemy.  There  are  no  means  of  ascertaining,  with  precision,  the  number  of  deaths  amonu' 
others  absent  from  their  commands;  but  if  the  two  items  just  given,  neither  of  which  can 
be  regarded  as  representing  all  the  deaths  of  the  categories  specified,  be  deducted  from  the 
whole  number,  wTe  shall  have  233,963  deaths  remaining,  the  greater  portion  of  which  oujrht 
to  appear  upon  the  tables  if  those  were  absolutely  complete.  But  the  number  the  tables 
actually  contain  is  195,627,  or  eighty-three  hundredths  of  the  whole  number  of  deaths 
which  remain,  after  deducting  the  Killed  in  Battle  and  the  deaths  amono-  Prisoners  of  War. 
So  that,  in  a  general  way,  it  may  fairly  be  concluded  that  the  tables  cover  about  nine- 
tenths  of  the  class  of  facts  they  are  intended  to  embrace.  This  proportion  is  certainly 
large  enough  to  give  great  weigh£  to  their  indications  with  regard  to  the  comparative 
frequency  and  mortality  of  different  diseases,  of  the  same  disease  at  various  times  and  in 
different  regions,  and  some  other  important  questions  with  regard  to  the  sickness,  and 
mortality  of  our  armies  during  the  War. 

Besides  the  sickness  and  mortality  tables  this  volume  contains  svnoptical  tables 
showing  the  causes  of  Discharge  of  enlisted  men  from  the  service  on  surgeon's  certificate 
of  disability,  for  White  and  Colored  troops  separately.  These  tables  were  made  up  from 
the  lists  of  discharges  accompanying  reports  of  medical  officers  to  the  Surgeon  General. 
These  lists  specified  the  discharged  soldiers  by  name,  and  were  intended  to  set  forth  the 
cause  and  date  of  discharge  in  each  case.  A  count  of  the  discharged  soldiers  thus  reported 
shows  a  total  of  215,312  white  and  8,223  colored  troops,  which  are  the  numbers 
represented  in  the  tables. 
0* 


XLII  INTRODUCTION. 

The  Adjutant  General,  in  his  letter  to  the  Surgeon  General  of  October  25,  1870,  stales 
the  number  borne  on  the  rolls  filed  in  his  office  as  discharged  for  disability,  as  follows  : 

Enlisted  Men  of  the  Regular  Army 0, 541 

Enlisted  Men  of  the  Volunteer  Army -  -  -   269, 197 

Enlisted  Men  of  Colored  Troops. . . " '*>  ^'~ 

Total..  ---   285,545 


This  number  may  safely  be  taken  as  a  close  approximation  to  the  actual  number  of  cases. 

Unfortunately  the  reports  made  to  the  Surgeon  General  did  not  always  specify  dis 
tinctly  the  cause  of  discharge,  as  was  required  by  the  regulations  on  the  subject,  and  hence 
it  will  be  seen  by  an  examination  of  Tables  CI  and  OXII  that  of  the  whole  number 
reported  there  were  25,915  discharges  of  white  and  1,226  of  colored  enlisted  men,  the 
causes  of  which  cannot  be  stated.  There  still  remain,  however,  189,397  discharges  of 
white,  and  6,997  of  colored  soldiers,  which  are  distributed  among  the  several  causes  of 
discharge,  and  this  is  a  sufficiently  large  proportion  to  enable -valuable  deductions  to  be 
made  from  the  facts  presented. 

In  the  preparation  of  Tables  CI  and  CXII  it  was  deemed  advisable  to  depart  somewhat 
from  the  list  of  diseases  used  in  the  tabular  form  of  sick  report,  which  served  for  the  con 
struction  of  the  tables  of  Sickness  and  Mortality,  in  order  that  the  tables  might  correspond, 
as  closely  as  possible,  with  the  reports  made.  Moreover,  on  account  of  the  number  of  men 
reported  as  discharged  from  service  on  account  of  Old  Age,  Deformities,  and  other  conditions 
belonging  to  Dr.  Fan's  class  of  Developmental  Diseases,  it  was  thought  best  to  represent 
this  class  also,  on  these  two  tables.  Almost  without  exception,  the  causes  of  discharge 
reported  under  this  head  existed  prior  to  the  enlistment  of  the  soldier,  and  ought  to  have 
prevented  him  from  being  received  into  the  service. 

With  the  foregoing  considerations,  the  tables  embraced  in  this  volume  are  now  sub 
mitted  to  the  consideration  of  medical  statisticians,  as  the  first  installment  of  the  Medical 
History  of  the  War.  The  writer  regrets  greatly  the  necessity  of  publishing  first  these 
dry  and  severe  details,  in  which  it  can  hardly  be  expected  the  general  medical  reader  will 
be  able  to  take  much  interest.  This  course  wras  rendered  imperative,  however,  by  the  fact 
that  in  the  subsequent  volumes  it  will  frequently  be  necessary  to  refer  to  statistical 
considerations,  which  could  not  be  accurately  done  until  the  tabulations  of  the  present 
volume  were  complete;  and  the  tabulations  having  been  completed,  it  appeared  a  duty 
to  place  them  as  soon  as  possible  at  the  disposal  of  the  other  students  of  this  subject, 
throughout  the  world. 

In  the  Second  Volume  of  this  work  it  is  proposed  to  discuss  in  detail,  the  Diseases 
which  were  the  chief  causes  of  the  sickness,  the  mortality,  and  the  discharges  for  disability 
recorded  in  this.  Histories  of  cases,  accounts  of  pathological  investigations,  records  of  the 
work  done  in  the  Army  Medical  Museum,  and  extracts  from  reports  with  regard  to  particular 
diseases  made  from  time  to  time  to  the  Surgeon  General,  will  be  published,  so  far  as  seems 
desirable  to  represent  the  more  important  facts  in  connection  with  these  subjects  ;  and 


INTRODUCTION.  XLlll 

an  attempt  will  bo  made  to  offer  such  commentaries  on  the  evidence  recorded  as  may  seem 
likely  to  facilitate  the  examination  of  the  topics  discussed,  by  those  who  are  en^o-ed  in 
the  study  of  the  sickness  and  mortality  of  armies. 

An  examination  of  Tables  G  and  CXI  will  show  at  a  glance  the  subjects  which  must 
necessarily  receive  chief  attention. 

Foremost  will  be  Camp  Diarrhoea,  and  Dysentery,  and  Camp  Fevers.  Table  C  exhibits 
129,386  deaths  from  disease  among  White  troops,  distributed  among  their  several  causes. 
Table  CXI  contains  27,499  deaths  from  disease  among  Colored  troops,  distributed  in  like 
manner.  It  will  be  seen  that  of  these  numbers  37,794  deaths  of  white  and  6,764  of  Colored 
troops  were  due  to  the  several  forms  of  Diarrhoea  and  Dysentery,  which  must,  therefore, 
be  regarded  as  the  most  important  causes  of  the  mortality  from  disease  in  our  armies. 
Xext  come  the  several  forms  of  Camp  Fever  reported  under  such  heads  as  Typhoid, 
Typhus,  Common  Continued,  Remittent,  and  Typho-Malarial  Fevers.  To  these  the  tables 
attribute  35,965  deaths  of  White,  and  4,691  of  Colored  troops. 

The  next  most  important  cause  of  death  among  the  troops  was  Pneumonia,  of  which 
14,738  deaths  of  White,  and  5,233  of  Colored  troops  are  reported. 

Among  the  other  leading  causes  of  mortality  are  Small  Pox  and  Varioloid,  Measles, 
Consumption,  and  Intermittent  Fevers. 

In  the  matter  of  discharges  for  disability  other  affections  assume  prominence.  Thus, 
from  Tables  CI  and  CXII,  it  will  be  seen  that  the  affections  which  caused  the  largest 
number  of  discharges  among  White  troops  were:  Consumption,  20,403;  Diarrhoea  and 
Dysentery,  17,389;  Debility,  14,500;  Rheumatism,  11,779;  Heart  Diseases,  10,636. 
Among  the  Colored  troops  the  chief  causes  of  discharge  were:  Rheumatism,  874;  Con 
sumption,  592;  Debility,  540,  and  Diarrhoea  and  Dysentery,  359. 

This  brief  enumeration,  which  can  readily  be  extended  by  the  reader  on  an  exam 
ination  of  the  tables,  will  serve  to  indicate  some  of  the  more  important  subjects  which 
must  receive  consideration  in  the  next  volume,  for  the  completion  of  which,  however, 
considerable  labor  will  yet  be  required. 

J.  J.  WOODWARD 


I.- WHITE    TROOPS. 


SICKNESS  AND  MORTALITY  OF  WHITE  TROOPS. 


The  reports  received,  chiefly  from  the  three  months'  volunteers,  prior  to  July  1,  1861, 
or  the  commencement  of  the  first  fiscal  year  of  the  war,  have  been  consolidated  into 
three  tables. 

1.  Atlantic  Region,  Table  I. 

2.  Central  Region,  Table  II. 

3.  Consolidated  table  including  both  regions,  Table  HI. 

1.  Atlantic,  Region — Table  I. 

The  reports  embraced  in  this  table  were  received  from  regiments  of  the  column 
under  General  Robert  Patterson  for  May  and  June,  1861,  from  regiments  in  and  around 
Washington,  D.  C.,  under  General  I.  McDowell  and  Colonel  J.  K.  F.  Mansfield,  for  the 
same  months,  and  from  regiments  in  the  vicinity  of  Fortress  Monroe,  under  General  B.  F. 
Butler,  for  the  month  of  June  only. 

2.  Central  Region — Table  II. 

This  table  is  made  up  from  reports  received  from  the  Department  of  the  Ohio, 
commanded  by  General  George  B.  McClellan,  for  the  month  of  June,  1861  and  chiefly 
from  regiments  in  Western  Virginia,  or  the  adjoining  portion  of  Ohio. 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  I. 


Abstract  of  the  Sickness   and  Mortality  of   Troops  in  the   Atlantic   Region  prior  to 

July  1,  1861. 


YE  \B                                          

1861. 

MONTH                                 

MAY. 

JUNE. 

TOTAt. 

16,  161. 

48,360. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS    1.—  ZYMOTIC    DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

7 
17 

25 
38 
51 
19 
22 
2 
1  217 

1 

4 

8 
45 
93 
155 
206 
226 
11 
22 
6,601 
101 
715 
29 
40 
38 
356 

15 
62 
118 
193 
257 
245 
33 
24 
7,818 
162 
819 
31 
55 
46 
359 

1 

17 

13 

'     T,0111^011         p 

T       '        T                          F 

'       Cr    a                                  ' 

.  Quartan       «                 '   * 

1 

1 

°n°eS   ?6 

.     D;      , 

61 
104 
2 
15 
8 
3 

1 
1 
3 
1 
2 

1 
1 
3 

1 
2 

15 
16 
29 
83 

90 
266 
21 
o 

63 

49 
302 
158 

265 
431 
52 
14 
3 

78 
65 
331 
241 

355 
697 
73 
16 
3 

19.  Debility  

ORDEU  II.  —  Enthctic  Diseases. 

ORDER  III.  —  Dietic  Diseases. 
27    Scurvy 

7 
18 
20 

6 
9 
26 

7 
467 
199 
6 
3 
5 
7 
42 

65 

7 

15 

13 
27 
46 

7 
,587 

2 

2 

CLASS    II.—  CONSTITUTIONAL    DISEASES. 
ORDEU  I;  —  Diathetic  Diseases. 
30   Gout                          .              

120 

104 
6 
1 

303 
12 
4 
5 
7 
64 

81 
10 

18 

36    Tumors 

22 

36 
3 

3 

ORDER  II.  —  Tubercular  Diseases. 

2 

2 

39    Scrofula 

CLASS    Hi.  —  PARASITIC    DISEASES. 

2,433 

6 

10,  847 

25 

13,  280 

31 

PRIOR    TO    JULY    1,  1861. 


TABLE  I.— ATLANTIC  REGION— Continued 


YEAR  

1861. 

MONTH  

MAY. 

JUNE. 

TOTAL. 

MEAN  STRENGTH  

16,  161. 

48,  3GO. 

LIST  OF  DISEASES. 

Cases. 

Deaths.               Cases. 

Deaths. 

Cases. 

Deaths. 

Brought  forward  

2,433 

2 
83 
5 

15 
16 

6 
1 

10,  847 

3 

176 
42 
20 
49 
15 
4 
7 
114 
155 
5 
34 

1 

25 

13,  280 

5 
259 
47 
35 
65 
15 
7 
8 
185 
211 
5 
49 

2 

1 
5 

31 

1 

CLASS    IV.—  LOCAL    DISEASES. 
ORDER  I.  —  Diseases  of  Nervous  System. 
41.  Apoplexy  

42.  Headache  

43.  Inflammation  of  Brain  

1 

9 

10 

44.  Epilepsy  

45.  Sun-stroke  

1 

1 

46.  Insanity  

47.  Inflammation  of  Membranes  of  Brain  

3 

1 
71 
5(5 

48.  Nostalgia  

49.  Neuralgia  

50.  Toothache  

51.  Paralysis  

52.  Other  Diseases  of  this  Order  

15 

1 
1 
1 

1 

1 

ORDER  II.  —  Diseases  of  Eye. 
53.  Amaurosis  

54.  Cataract  

55.  Inflammation  of  Iris  

4 

56.  Night  Blindness  

57.  Ophthalmia  

55 
11 

13 

4 
6 
1 

1 

117 
42 

20 
11 
34 
5 
11 

172 
53 

33 

15 
40 
6 
12 

58.  Other  Diseases  of  this  Order  

ORDER  III.  —  Diseases  of  Ear. 

CO.  Inflammation  of  Internal  Ear  

02.  Deafness  

G3.  Other  Diseases  of  this  Order  

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 
64.  Aneurism  

65.  Inflammation  of  Heart  

1 
3 

4 
4 

2 

5 
7 
o 

3 

7 
11 

9 
138 
13 
812 
2 

8 

29 
11 
10 

19 
484 
19 
762 
15 
37 
1 
50 
94 
122 
85 

32 
18 
21 

28 
622 

1,574 
17 
45 
1 
82 
133 
201 
125 



1 

1 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 

1 
1 

1 

1 

32 
39 
79 

40 

2 

2 

4 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 

11 

72 
253 

87 

184 
364 
813 
154 

195 
436 
1,066 

241 

-P  ' 

4,414 

» 

14,  979 

39 

19,  393 

51 

SICKNESS   AND    MORTALITY    OF   WHITE    TROOPS 


TABLE  I.— ATLANTIC  REGION— Concluded. 


1861. 

MAY. 

JUNE. 

TOTAL. 

16,  161. 

48,  360. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

4,414 

7 
12 
1 
2 
41 
4 
7 
25 

12 

14,  979 

21 
38 
5 
18 
125 
44 
(i 
52 
1 
4 
32 

39 

19,  393 

28 
50 
6 
20 
166 
48 
13 
77 
1 
5 
38 
1 
337 
129 

1 
3 

1 
I 

10 
21 
3 
12 
26 
23 

4 

51 

ORDER  VI.  —  Diseases  of  Digestive  Organs  —  Continued. 

1 
6 
1 
78 
53 

259 
76 

1 
3 

1 
1 
10 
15 
3 
11 
13 
15 

4 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

6 

1 
13 

8 

ORDER  VIII.  —  Diseases  of  Sows  and  Joints. 

114   White  Swelling 

2 
7 

38 
16 
14 
31 
39 
25 
6 

3 

1 

1 

108 
38 
45 
62 
101 
73 
16 

23 
4 

3 

8 

146 

54 
59 
93 
140 
98 

26 
4 

ORDER  IX.  —  Diseases  of  Integumentary  System. 

119   Boil 

120    Skin  Diseases  

121   Ulcers                       

122   Other  Diseases  of  this  Order  . 

CLASS   V.—  WOUNDS,   ACCIDENTS,   AND 
INJURIES. 
123.  Burns  

124.  Concussion  of  Brain  

125.  Compression  of  Brain  

126.  Contusion  

50 
11 

109 
16 
15 
29 
103 
102 
36 
96 
22 

159 
27 
15 
45 
140 
127 
79 

127.  Fracture  

1  28.  Dislocation  

129.  Sprain  

16 
37 
25 
43 
26 

130.  Incised  Wounds  

• 

131,  Contused  and  Lacerated  Wounds  

132.  Punctured  Wounds  

133.  Gunshot  Wounds  

1 

33 

34 

134.  Poisoning  

135.  Suicide  

130.  Others  of  this  Class  

35 
26 

207 
110 

1 

4 

242 
136 

1 
10 

137.  UNCLASSIFIED  DISEASES  

G 

Total 

5,  130 

19 

17,  054 

77 

22,  184 

96 

PRIOR   TO    JULY    1,    1801. 


TABLE  II. 


Abstract  of  the   Sickness  and   Mortality  of   Troops   in    the    Central   Region  prior   to 

July  1,  1861. 


YEAR  . 


MONTH. 


MEAN  STRENGTH. 


1801. 


JUNE. 


LIST  OF  DISEASES. 


Cases.      Deaths. 


CLASS    I.— ZYMOTIC    DISEASES. 

OKDER  I. — Miasmatic  Diseases. 


1.  Typhus  Fever 5 

2.  T yphoid  Fever 35 

3.  Common  Continued  Fever 11 

4.  Remittent  Fever 109 

5.  Quotidian  Intermittent  Fever —  132 

6.  Tertian  Intermittent  Fever 168 

7.  Quartan  Intermittent  Fever 38 

8.  Congestive  Intermittent  Fever 12 

9.  Acute  Diarrhoea 644 

10.  Chronic  Diarrhoea 102 

11.  Acute  Dysentery 175 

12.  Chronic  Dysentery 21 

13.  Erysipelas 10 

14.  Small-pox  and  Varioloid 

15.  Measles 782 

1C.  Scarlet  Fever 

17.  Mumps 118 

18.  Epidemic  Catarrh 

19.  Debility 128 

20.  Other  Diseases  of  this  Order 27 

ORDER  II. — Enthctic  Diseases. 

21.  Syphilis 61 

22.  Gonorrhoea 225 

23.  Orchitis 38 

24.  Stricture  of  the  Urethra 1 

25.  Serpent  Bite 5 

26.  Other  Diseases  of  this  Order 

ORDER  III. — Dittic  Diseases. 

27.  Scurvy 5 

28.  Delirium  Tremens 6 

29.  Inebriation 11 

CLASS  II.— CONSTITUTIONAL  DISEASES. 

ORDER  I. — Diathetic  Diseases. 

30.  Gout 4 

31.  Acute  Rheumatism 44 

32.  Chronic  Rheumatism 84 

33.  Anaemia 

34.  General  Dropsy 

35.  Cancer 20 

36.  Tumors 2 

37.  Other  Diseases  of  this  Order 14 

ORDER  II. — Tubercular  Diseases. 

38.  Consumption 

39.  Scrofula 

CLASS  III.— PARASITIC    DISEASES. 

40.  Worms G 

Carried  forward 3, 056 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  II.— CENTRAL  REGION— Continued. 


YEAR... 

MONTH . 


MEAN  STRENGTH. 


LIST  OF  DISEASES. 


1801. 


JUNE. 


18,  590. 


Cases. 


Brought  forward 

CLASS   IV.— LOCAL    DISEASES. 

ORDER  I. — Diseases  of  the  Nervous  System. 


3,056 


41.  Apoplexy 1 

42.  Headache 21 

43.  Inflammation  of  Brain 3 

44.  Epilepsy 7 

45.  Sun-stroke 9 

46.  Insanity 5 

47.  Inflammation  of  Membranes  of  Brain. 

48.  Nostalgia 57 

49.  Neuralgia 63 

50.  Toothache 116 

51.  Paralysis 1 

52.  Other  Diseases  of  this  Order 10 

ORDER  II. — Diseases  of  the  Eye. 

53.  Amaurosis 1 

54.  Cataract 

55.  Inflammation  of  Iris. 

56.  Night  Blindness 2 

57.  Ophthalmia 179 

58.  Other  Diseases  of  this  Order 2 

ORDER  m. — Diseases  of  the  Ear. 

59.  Earache 31 

60.  Inflammation  of  Internal  Ear 36 

61.  Otorrhoaa 9 

62.  Deafness 

63.  Other  Diseases  of  this  Order 

ORDER  IV. — Diseases  of  Organs  of  Circulation. 

64.  Aneurism 2 

65.  Inflammation  of  Heart 

66.  Inflammation  of  Endocardium. 

67.  Inflammation  of  Pericardium 1  1 

68.  Inflammation  of  Veins. 

69.  Varicocele 1 

70.  Varicose  Ve'ns 1 

71.  Other  Diseases  of  this  Order 2 

ORDER  V. — Diseases  of  Respiratory  Organs. 

72.  Asthma 

73.  Acute  Bronchitis • 08 

74.  Chronic  Bronchitis 1 

75.  Catarrh 438 

76.  Hemorrhage  from  Nose 32 

77.  Haemorrhage  from  Lungs 6 

78.  Dropsy  of  Chest 

79.  Inflammation  of  Larynx 1 

80.  Inflammation  of  Pleura 36 

81.  Inflammation  of  Lungs 217 

82.  Other  Diseases  of  this  Order 15 

ORDER  VI. — Diseases  of  Digestive  Organ 

83.  Abdominal  Dropsy 

84.  Cholera  Morbus 47 

85.  Colic 

86.  Constipation 196 

87.  Dyspepsia 6 

Carried  forward 4,764  11 


PRIOR   TO    JULY  1,  1861. 


TABLE  II.— CENTRAL  REGION— Concluded. 


YEAH 

MONTH 

MEAN  STRENGTH. 


LIST  OF  DISEASES. 


Brought  forward 

ORDER  VI. — Diseases  of  Digestive  Organs — Continued. 


88.  Inflammation  of  Bowels r 1 

89.  Inflammation  of  Stomach 4 

90.  Fistula 10 

91.  Haemorrhage  from  Stomach 

92.  Piles 26 

93.  Acute  Inflammation  of  Liver 20 

94.  Chronic  Inflammation  of  Liver 11 

95.  Hernia 15 

96.  Jaundice 

97.  Prolapsus  Ani , 17 

98.  Inflammation  of  Peritonaeum 4 

99.  Inflammation  of  Spleen 1 

100.  Inflammation  of  Tonsils 93 

101.  Other  Diseases  of  this  Order 58 

ORDER  VII. — Diseases  of  Urinary  and  Genital  Organs. 

102.  Stone  and  Gravel. 

103.  Inflammation  of  Bladder 

104.  Diabetes 

105.  Incontinence  of  Urine 

IOC.  Difficulty  of  Urination 9 

107.  Inflammation  of  Kidneys 

108.  Hydrocele  and  Hacmatoccle 

109.  Sarcocele 

110.  Non-Syphilitic  Ulcer  of  Penis 2 

111.  Other  Diseases  of  this  Order 3 

ORDER  VIII. — Diseases  of  Bones  and  Joints. 

112.  Anchylosis 

113.  Exostosis 

114.  White  Swelling 

115.  Necrosis 14 

ORDER  IX. — Diseases  of  Integumentary  System. 

116.  Abscess 32 

117.  Carbuncle 24 

118.  Whitlow 3 

119.  Boil 23 

120.  Skin  Diseases 158 

121.  Ulcers 20 

122.  Other  Diseases  of  this  Order 5 

CLASS  V.— WOUNDS,   ACCIDENTS,  AND    INJURIES. 

123.  Burns 8 

124.  Concussion  of  Brain 3 

125.  Compression  of  Brain 1 

126.  Contusion 

127.  Fracture 14 

128.  Dislocation 9 

129.  Sprain 46 

130.  Incised  Wounds 24 

131.  Contused  and  Lacerated  Wounds 

132.  Punctured  Wounds 12 

133.  Gunshot  Wounds 

134.  Poisoning 

135.  Suicide 

136.  Others  of  this  Class 

137.  UNCLASSIFIED  DISEASES 

Total ...  5, 533 


18G1. 


JUNE. 


18, 590. 


Cases. 


4,764 


10 


SICKNESS    AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  III. 


Abstract  of  the  Sickness  and  Mortality  of  the  Troops  in  the  Atlantic  and  Central  Regions 

prior  to  July  1,  1861. 


YE  \R     

1861. 

MONTH                                     

MAY. 

JUNE. 

TOTAL. 

MEA\  STRENGTH  

16,161. 

66,  950. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS   1.—  ZYMOTIC   DISEASES. 

ORDER  I.—  Miasmatic  Diseases. 

7 
17 
25 
38 
51 
19 
22 

1,217 
61 
104 

15 
8 
3 

1 
4 

13 
80 
104 
264 

2 
13 

20 
97 
129 
302 
389 
413 
71 
36 
8,462 
264 
894 
52 
C5 
46 
1,141 

3 

17 

2.  Tvphoul  Fever  

338 
394 
49 
34 
7,245 
203 
890 
50 
50 
38 
1,  138 

1 

1 

3 
1 
3 
1 
3 

3 
1 
3 

1 
3 

15 
16 
29 
83 

90 
266 
21 
2 

181 

430 
185 

326 
656 
90 
15 
8 

196 
68 
459 
268 

416 
922 
111 

17 
8 

P   . 

ORDER  II.  —  Enthetic  Diseases. 

23    Orchitis 

26    Other  Diseases  of  this  Order 

ORDER  III.  —  Dietic  Diseases. 
27    Scurvy 

7 
18 
20 

11 
15 
37 

11 

511 
°63 

18 
33 
'Jl 

11 
631 

387 
14 

4 
9 

78 

89 
10 

24 

2 

2 

CLASS    II.—  CONSTITUTIONAL   DISEASES. 

ORDER  I.  —  Diathetic  Diseases. 
30   Gout                          .                

120 
104 
6 
1 

8 
3 
25 
9 
56 

73 
7 

21 

1 

36.  Tumors  ' 

22 

16 
3 

3 

ORDER  II.  —  Tubercular  Diseases. 

2 

o 

39    Scrofula 

CLASS   III.—  PARASITIC   DISEASES. 

2,433 

6 

13,  903 

30 

16,  336 

36 

PRIOR    TO    JULY    1,  1861. 


11 


TABLE  III.— ATLANTIC  AND  CENTRAL  REGIONS— Continued. 


YEAU  

1861. 

MONTH  

MAY. 

JUNE. 

TOTAL. 

MEAN  STRENGTH  

16,  161. 

66,  950. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Brought  forward 

2,433 

0 

83 
5 
15 

16 

C 
1 

13,  903 

4 
197 
45 
27 
58 
20 
4 
64 
177 
271 
6 
44 

0 

30 

16,336 

6 
260 
50 
42 
74 
20 
7 
65 
248 
327 
6 
59 

3 
1 
5 

351 
55 

64 
51 
49 
8 
12 

2 
5 
7 
3 

36 
1 

CLASS    IV.—  LOCAL    DISEASES. 
ORDER  I.  —  Diseases  of  Nervous  System. 
41.  Apoplexy  

42.  Headache  

43.  Inflammation  of  Brain  

1 

9 

10 

44.  Epilepsy  

45.  Sun-stroke  

1 

1 

40.  Insanity  

47.  Inflammation  of  Membranes  of  Brain  

3 
1 
71 
56 

48.  Nostalgia  

49.  Neuralgia  

50.  Toothache  

51.  Paralysis  

15 

1 

1 
1 

1 

1 

ORDER  II.  —  Diseases  of  Eye. 

4 
o 

296 
44 

51 
47 
43 
7 
11 

4 
4 
3 

56.  Night  Blindness  

57.  Ophthalmia  

55 
11 

13 
4 
6 

1 
1 

ORDER  III.—  Diseases  of  Ear. 
59.  Earache  

60.  Inflammation  of  Internal  Ear  

63.  Other  Diseases  of  this  Order  

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 
64.  Aneurism  

1 
3 

67.  Inflammation  of  Pericardium  

1 

1 

68.  Inflammation  of  Veins  

3 

7 
11 

9 
138 
13 

812 

8 

30 
12 

24 
562 
20 
1,200 
47 
43 
1 
51 
130 
339 
ICO 

33 
19 
23 

33 
720 
33 
2,012 
49 
51 
1 
83 
Ifi9 
418 
140 

1 

1 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
72.  Asthma 

73.  Acute  Bronchitis        ... 

1 
1 

1 
1 

75.  Catarrh  

76.  Haemorrhage  from  Nose     

77.  Haemorrhage  from  Lungs  

78.  Dropsy  of  Chest 

32 
39 
79 
40 

2 

7 

D 

82    Other  Diseases  of  this  Order 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 

11 
253 

°31 

484 
1,262 
247 

85    Colic 

412 
1,009 

160 

67 

4,414 

12 

19,  743 

50 

24,  157 

62 

12 


SICKNESS   AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  III.— ATLANTIC  AND  CENTRAL  REGIONS— Concluded. 


1861. 

MONTH    

MAY. 

JUNE. 

TOTAL. 

MEAN  STRENGTH                                

16,161. 

66,  950. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

4,414 

7 
12 
1 

41 
4 
7 
25 

12 

19,  743 

22 
42 
15 
18 
151 
04 
17 
67 
3 
21 
36 
1 
352 
134 

.       1 
3 

1 
1 
19 
17 
3 
11 
15 
18 

4 

50 

24,  157 

29 
54 
16 
20 
192 
68 
24 
92 
3 

42 
2 
430 

187 

1 
3 

1 
1 
19 
23 
3 
12 

^O 

20 
4 

62 

ORDER  VI.  —  Diseases  of  Digestive  Organs  —  Continued. 

1 
6 
1 

78 
53 

a  '  *          •                       T>     •+ 

f  TP  ., 

10l'         a    IT               f  th'    O  d 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

C 

1 
13 
8 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

o 
7 

38 
10 
14 
31 
39 

rffu 

.6 
3 

1 
15 

140 

48 
85 
259 
93 
21 

31 
7 
1 
134 
30 
24 
75 
127 
132 
48 
108 
23 

3 

178 
78 
62 
110 
298 
118 
27 

34 

7 
1 
184 
41 
24 
91 
164 
157 
9i 
134 
23 

ORDER  IX.  —  Diseases  of  Integumentary  System. 

118    Whitlow        

119    Boil             

121   Ulcers                 

122.  Other  Diseases  of  this  Order  

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 
123   Burns          

124.  Concussion  of  Brain  

125.  Compression  of  Brain  

120.  Contusion  

50 
11 

127   Fracture     

2 

0 

128    Dislocation  

129    Sprain              

1C 
37 
25 
43 

20 

130    Incised  Wounds  

1 

1 

1  32    Punctured  Wounds  

1 

39 

40 

134    Poisoning  

135    Suicide           

1 
1 

5 

1 
1 

11 

130    Others  of  this  Class           -         

35 

20 

232 

112 

2(57 
138 

137  UNCLASSIFIED  DISE  A.SES  

G 

Total 

5,130 

19 

22,  587 

99 

27,  717 

118 

FOR    THE    YEAR   ENDING   JUNE  30,  1802.  13 


SICKNESS  AND  MORTALITY  OF  WHITE  TROOPS  DURING  THE  FIRST 

FISCAL  YEAR  OF  THE  WAR, 

(FROM  JULY   1,  1861,  TO  JUNE  30,  1862.) 


ATLANTIC  REGION. 

The  reports  of  sick  and  wounded  from  this  region  are  here  presented  consolidated  into 
statistical  tables  for  seven  armies  or  departments,  as  follows: 

1.  The  Middle  Department  Table  IV. 

2.  The  Department  of  the  Shenandoah  Table  V. 

3.  The  Army  of  the  Potomac  •    Table  VI. 

4.  The  Department  of  the  Kappahannock  -  Table  VII. 

5.  The  Department  of  Virginia  •    Table  VIII. 

6.  The  Department  of  North  Carolina  Table  IX. 

7.  The  Department  of  the  South  •   Table  X. 

To  these  tables  are  added— 

8.  A  table  showing  the  mortality  in  the  general  hospitals  of  the 

Atlantic  Region  Table      XI. 

9.  A  consolidated  table  for  the  Atlantic  Region  -  Table    XII. 

The  reports  from  stations  in  the  New  England  and  Middle  States  are  too  incomplete 
to  render  it  advisable  to  undertake  the  construction  of  a  statistical  table  for  that  region. 

The  following  remarks  will  indicate  what  portions  of  the  troops  operating  in  the 
Atlantic  Region  arc  embraced  in  each  of  the  above  divisions. 

1.  THE  MIDDLE  DEPARTMENT — TABLE  IV. 

The  Middle  Department  was  created  March  22,  1862,  by  General  Orders,  No.  28, 
but  for  convenience  the  name  is  here  applied  for  the  whole  year  to  the  region  including 
Baltimore  and  the  portions  of  Maryland  indicated  in  the  following  paragraph. 

It  embraces  for  July  the  Department  of  Annapolis,  which  was  created  by  General 
Orders,  No.  12,  April  27,  1861,  to  include  the  country  for  twenty  miles  on  each  side  of 


14  SICKNESS    AND   MORTALITY    OF   WHITE    TROOPS 

the  railroad  from  Annapolis  to  the  city  of  Washington,  as  far  as  Bladensburg,  Maryland, 
General  B.  F.  Butler  to  command;  headquarters  after  the  middle  of  May  being  fixed  in 
Baltimore.  July  25th  the  Department  of  Annapolis  was  merged  into  the  Department 
of  Pennsylvania,  which  was  to  consist  of  the  States  of  Pennsylvania  and  Delaware  and 
the  State  of  Maryland,  with  the  exception  of  the  counties  of  Washington,  Alleghany, 
Prince  George,  Montgomery,  and  Frederick.  Only  the  troops  in  the  part  of  Maryland 
thus  defined  are  here  included:  General  J.  A.  Dix  was  in  command.  August  17,1861, 
this  portion  of  Maryland  was  added  to  the  Department  of  the  Potomac,  a  part  of  which 
it  continued  to  be,  though  still  under  the  immediate  command  of  General  Dix,  until 
March  22,  1862,  when  the  Middle  Department  was  created,  to  consist  of  the  States  of 
New  Jersey,  Pennsylvania,  and  Delaware,  the  Eastern  Shore  of  Maryland  and  Virginia, 
and  the  counties  of  Cecil,  Hartford,  Baltimore,  and  Anne  Arundel,  in  Maryland.  General 
John  A.  Dix  in  command  until  June  1,  1862,  when  General  John  E.  Wool  was  assigned. 
All  of  the  Middle  Department  thus  defined  is  included  in  the  table  except  the  States 
of  Pennsylvania  and  New  Jersey. 

The  statistics  include  the  troops  employed  in  General  Lock-wood's  expedition  into  the 
Eastern  Shore  of  Maryland  and  Virginia  which  set  out  in  November,  1861,  but  do  not 
include  the  regiments  of  the  South  Carolina  expedition  under  General  Sherman,  or  of  the 
North  Carolina  expedition  under  General  Burnside  during  the  period  of  their  organization 
at  Annapolis. 

2.  THE  DEPARTMENT  OF  THE  SHENANDOAH — TABLE  V. 

This  table  embraces  the  reports  from  the  troops  under  General  Patterson,  and 
subsequently  under  General  Banks  on  the  Upper  Potomac  and  in  the  Shenandoah  Valley. 
General  Shields'  Division  is  included  for  March  and  April,  1862;  for  May  and  June  it  is 
embraced  in  the  Department  of  the  Rappahannock. 

The  Department  of  the  Shenandoah  was  created  July  19,  1861,  by  General  Orders, 
No.  46,  to  consist  of  the  Army  under  General  Robert  Patterson  in  the  Valley  of  Virginia, 
General  N.  P.  Banks  assigned  to  commancl.  July  25,  1861,  the  counties  of  Washington 
and  Alleghany,  in  Maryland,  and  such  other  parts  of  Virginia  as  may  be  covered  by 
the  Army  in  its  operations,  were  added.  August  17,  1861,  it  was  merged  into  the 
Department  of  the  Potomac,  remaining,  however,  as  a  separate  division  still  under  the 
command  of  General  Banks.  This  division  ia  here  included.  April  4,  1862,  the  command 
of  General  Banks  was  again  designated  as  the  Department  of  the  Shenandoah,  which  was 
to  consist  of  that  portion  of  Virginia  and  Maryland  lying  between  the  Mountain  Depart 
ment  and  the  Blue  Ridge.  June  8,  1862,  the  Department  was  extended  eastward  to 
include  the  Piedmont  District  and  the  Bull  Mountain  range. 

The  Army  under  General  Patterson  crossed  the  Potomac  early  in  July,  1861,  and  moved 
through  Martinsburg,  returning  after  a  short  time  to  Harper's  Ferry,  where  General  Banks 


FOR    THE    YEAR    ENDING    JUNE    30,  1862.  15 

took  command.  General  Banks  withdrew  the  Army  to  Sandy  Hook,  on  the  north  side  of 
the  Potomac,  and  ultimately  to  Darnestown,  Maryland,  in  the  vicinity  of  which  he 
remained  till  the  latter  part  of  November,  when  he  marched  northward  and  wintered  with 
the  larger  part  of  his  command  in  the  neighborhood  of  Frederick,  Maryland. 

Towards  the  end  of  February,  1862,  he  crossed  the  Potomac  into  the  Shenandoah 
Valley,  where  he  operated  till  the  close  of  the  fiscal  year.  The  most  important  conflict 
during  the  year  was  that  at  Winchester,  March  23,  1862. 

3.   THE  ARMY  OF  THE  POTOMAC — TABLE  VI. 

This  table  includes  the  Army  in  and  around  Washington  up  to  the  latter  part  of 
March,  1862,  and,  subsequently,  that  portion  of  it  which  operated  on  the  Peninsula 
between  the  James  and  York  rivers  against  Richmond. 

At   the   beginning  of   the  fiscal   year  most  of   this   Army  was   in   Virginia   before 

O  O  »/  u  O 

Washington  arid  was  included  in  the  Department  of  Northeastern  Virginia,  under  the 
command  of  General  I.  McDowell.  The  District  of  Columbia,  Fort  Washington,  and 
Maryland  as  far  as  Bladensburg,  constituted  the  Department  of  Washington,  Colonel  J. 
K.  F.  Mansfield  in  command.  The  reports  received  from  both  these  departments  are 
here  included. 

August  1.7,  1861,  the  Department  of  the  Potomac  was  created  by  General  Orders, 
No.  15,  Headquarters  of  the  Army,  to  consist  of  the  Departments  of  Washington  and 
Northeastern  Virginia,  the  Valley  of  the  Shenandoah,  and  the  States  of  Maryland  and 
Delaware,  General  G.  B.  McClellan  in  command.  Table  VI  includes  all  the  reports 
from  this  Department,  with  the  exception  of  those  embraced,  as  already  explained,  in 
Tables  IV  and  V,  under  the  designations  Middle  Department  and  Department  of  the 
Shenandoah,  which  are  presented  separately,  although  they  were  officially  united  to  the 
Department  of  the  Potomac,  the  first  until  March  22,  and  the  second  until  April  4,  1862. 
From  the  first  of  April,  1862,  to  the  close  of  the  fiscal  year,  the  table  embraces  only  the 
reports  from  troops  actually  upon  the  Peninsula. 

The  force  here  included  lay  in  and  around  Washington  until  July  16,  1861,  when 
the  advance  to  Centreville  was  made  which  led  to  the  battle  of  Bull  Run,  July  21st. 
Subsequently  the  Army  occupied  the  vicinity  of  Washington  until  the  latter  part  of 
March,  1862,  when  that  portion  which  is  embraced  in  the  table  descended  the  Potomac 
on  transports  and,  landing  at  Fortress  Monroe,  advanced  up  the  Peninsula,  besieging 
Yorktown  from  the  5th  of  April  to  the  4th  of  May,  and  lying  along  the  Chickahoininy, 
which  was  reached  by  the  advance  May  20th,  until  June  28th,  when  the  movement  to 
Harrison's  Landing  was  commenced. 

The  chief  engagements  during  the  year,  besides  the  battle  of  Bull  Run  and  the  siege 
of  Yorktown,  were  the  battle  of  Williamsburg,  May  5,  1862,  the  battles  of  Fair  Oaks  and 


16'  SICKNESS   AND    MORTALITY    OF    WHITE    TROOPS 

Seven  Pines,  May  31st,  and  the  series  of  battles  usually  known  as  the  "Seven-days," 
beginning  June  25th  and  terminating  with  the  battle  of  Malvern  Hill,  July  1st. 

4.   THE  DEPARTMENT  OF  THE  KAPPAHANNOCK — TABLE  VII. 

This  Department  was  created  by  General  Orders,  No.  34,  April  4,  1862,  to  consist  of 
that  portion  of  Virginia  east  of  the  Blue  Ridge  and  west  of  the  Potomac,  and  the  Fred- 
ericksburg  and  Richmond  Railroad,  including  the  District  of  Columbia  and  the  country 
between  the  Potomac  and  Patuxent  rivers,  General  I.  McDowell  to  command. 

The  table  represents  the  reports  received  for  April,  May,  and  June,  1862,  from  the 
troops  within  the  above  limits.  Fredericksburg  was  occupied  May  4th  by  a  portion  of  the 
command,  and  May  24th  a  force  was  sent  from  that  place  to  act  against  General  Jackson 
in  the  Valley  of  the  Shenandoah.  This  force  had  an  engagement  at  Port  Republic,  June 
8th  and  9th. 

5.  THE  DEPARTMENT  OF  VIRGINIA — TABLE  VIII. 

Under  this  head  are  consolidated  all  reports  received  from  the  Division  in  the  vicinity 
of  Fortress  Monroe,  Virginia,  under  General  B.  F.  Butler,  until  August  17,  1861,  and, 
subsequently,  under  General  J.  E.  Wool.  June  1,  1862,  this  Division  was  placed  under 
the  command  of  General  McOlellan,  the  Department  of  Virginia  being  extended  to 
include  that  part  of  Virginia  south  of  the  Rappahannock  and  east  of  the  railroad  from 
Fredericksburg  to  Richmond,  Petersburg  and  Weldon.  In  compiling  the  table,  however, 
for  the  month  of  June,  only  the  reports  from  troops  at  Fortress  Monroe  and  vicinity  are 
included,  the  Army  of  the  Potomac  being  kept  separate. 

With  this  Department  are  consolidated  the  reports  received  during  1861  from  the 
expedition  to  Hatteras  Inlet ;  subsequently  they  are  embraced  in  the  Department  of  North 
Carolina. 

6.  THE  DEPARTMENT  OF  NORTH  CAROLINA — TABLE  IX. 

The  Department  of  North  Carolina  was  created  by  General  Orders,  No.  2,  January  7, 
1862,  to  consist  of  the  State  of  North  Carolina;  General  A.  E.  Burnside  to  command. 
The  troops  for  the  North  Carolina  expedition  were  assembled  at  Annapolis,  Maryland, 
during  the  latter  part  of  1861.  In  January,  1862,  the  expedition  proceeded  on  trans 
ports  to  Roanoke  Island,  which  was  occupied  after  the  engagement  of  February  7th. 
March  13th  the  greater  part  of  the  expeditionary  force  landed  near  Newborn,  in  the 
neighborhood  of  which  it  remained  until  the  close  of  the  fiscal  year,  though  several  other 
points  were  occupied  by  detachments. 

The  chief  engagements,  besides  that  on  Roanoke  Island,  were  the  battle  of  Newbern, 
March  14th,  and  the  siege  of  Fort  Macon,  which  surrendered  April  25th. 


FOR   THE    YEAR    ENDING    JUNE    30,  18C2.  17 

7.   THE  DEPARTMENT  OF  THE  SOUTH — TABLE  X. 

Under  this  head  are  included  the  garrisons  at  Tortugas  and  Key  West  for  the  whole 
year,  and  after  the  first  of  October,  1861,  the  expeditionary  force  under  General  T.  W. 
Sherman,  which  sailed  from  Fortress  Monroe  towards  the  close  of  October  and  landed  at 
Hilton  Head  after  the  surrender  of  Forts  Beauregard  and  Walker,  November  7th.  Several 
of  the  neighboring  islands  and  various  points  on  the  east  coast  of  Florida  were  subsequently 
occupied. 

The  Department  of  the  South  was  created  by  General  Orders,  No.  26,  March  15, 
1862,  to  consist  of  the  States  of  South  Carolina,  Georgia,  and  Florida,  General  D.  Hunter 
to  command.  West  Florida,  however,  has  been  throughout  consolidated  with  the  Depart 
ment  of  the  Gulf,  although  it  was  not  officially  connected  with  it  until  a  later  period. 


18 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  IV. 

Abstract  of  the  /Sickness  and  Mortality 


YEAR                                                           

1861. 

MONTH 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MFA\  STRENGTH             

1,  753. 

5,  629. 

6,  500. 

11,  351. 

13,  643. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS  1.—  ZYMOTIC    DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

1 
15 

0 

1 

90 
17 
234 

1 

11 

9 

58 
30 
109 
223 
64 

3 

10 

12 

2 

38 
3 
67 
193 
37 

8 

. 

0 

18 
104 
26 

2 

5    Quotidian  Intermittent  Fever 

2 

230 
97 

1 

It        'tt     t  F 

T                    r 

40 
3 
731 

.  QuarU       n     "        .      '.  1 

1 

4 
6G8 
49 
104 
3 

A    t>r 

146 
1 

1 

527 

234 

•     TV 

3 

55 

31 

19 
1 
5 
1 

187 

.  ^        y 

.       ^         ^ 

6 

10 
170 

14    S  ^  11              d  V     '  1  id 

r 

172 

111 

1 

1 

11 

o 

7 
17 
161 

98 
152 

22 

194 
18 

28 
58 
5 

126 

5 

14 
15 
1 

38 

63 
53 
6 

1 

28 

ORDER  II.  —  Enthetic  Diseases. 
21    Syphilis               

141 
126 

105 

171 
14 

23    Orchitis 

14 

24.  Stricture  of  the  Urethra  

25.  Serpent  Bite  

26.  Other  Diseases  of  this  Order  

ORDEK  III.  —  Dittic  Diseases. 

1 

5 

28.  Delirium  Tremens  

o 

0 

3 

16 

7 
6 

8 

9 

CLASS  II.—  CONSTITUTIONAL    DISEASES. 

ORDER  I.  —  Diathetic  Diseases. 
30.  G  out  

31.  Acute  Rheumatism  

17 
24 

33 
33 

17 
1 

35 
63 

82 

145 

32.  Chronic  Rheumatism  

82 

76 

33.  Ansomia  

6 
1 

34.  General  Dropsy  

1 

o 

" 

35.  Cancer  

36.  Tumors  

2 
5 

6 
3 

2 

1 
15 

14 
1 

1 

37.  Other  Diseases  of  this  Order  

1 
9 

1° 

ORDER  II.  —  Tubercular  Diseases. 

17 
3 

1 

1 

39.  Scrofula  

1 

1 

CLASS   III.  —  PARASITIC    DISEASES. 

1 

307 

1,549 

3 

1,508 

8 

2,393 

13 

1,737 

17 

DURING    THE    YEAR   ENDING   JUNE    30,  18C2. 


10 


TABLE  IV. 

of  the   Troops  in  the  Middle  Department. 


1801. 

1863. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

Al'RIL. 

MAY. 

JUNE. 

TOTAL. 

14,  403. 

14,751. 

11,  460. 

12,  404. 

11,  560. 

4,  679. 

5,  370. 

9,  480. 

Cases.    Deaths.  /   Cases.    Deaths. 

Cases. 

1 
16 
59 
37 
47 
10 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1 

3 

4 
5 
C 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 

22 
23 
24 

fJt 

29 

30 
31 
32 
33 
34 
35 
36 
37 

38 
3!> 

40 

0 

61 
17 
39 
84 
45 

1 
11 

5 

22 

0 

1 
3 

1 

1 
17 
13 
75 

67 
8 

1 

4 

17 

13 

1 

39 
376 
191 
705 
1,164 
450 
59 
36 
3,610 
145 

9 

54 

5 

8 

o 

39 
74 
34 
19 
4 
147 
14 
12 

0 

45 
69 
46 

18 
45 

oo 

4 
1 

26 

61 

186 
6 
64 

4 

17 
101 

syy 

1 

290 

1 

241 
23 
19 
1 
6 
1 
163 

1 

59 

1 

1 

260 

1 

14 

18 

8 
06 
g 

6 
1 
10 

24 

44G 
9 
74 

00 

4 

0 

314 

11 
2 

5 

4 

1 

7 

1 

5 

7 

83 

70 
1 
35 

1 

26 
3 
63 
30 
50 
31 

69 
79 

3 

8 

1,336 
4 

468 
175 
663 
215 

12 

13 

213 

112 

jj 

19 
1 

0 

°9 

45 
5 

126 
151 
15 
1 

34 

10 

107 
143 
10 
1 

43 
30 

71 
116 
10 

1 

°5 

9 
3 

40 
33 
9 

26 

°1 

95 

106 
18 

54 
107 
4 
o 

913 
1,158 
129 

1 

9 

1 
14 

10 

1 

12 

o 

3 

7 
31 

8 
77 
165 

4 

25 

11 

24 

5 

7 

5 
1 

1 

1 

1 

*.8 

1 

29 
44 

1 

152 
30 
3 

137 

51 

134 

171 
49 
1 
o 

32 

992 
575 
30 
13 
1 
18 
59 

117 
14 

11 

1 

88 

12 

1 

3 

1 

1 

4 

1 

7 

;;;;    i  

1 
16 

1 

1 

3 
3 

1 
4 

3 

0 

10 

n 

1 

10 
1 

0 

3 

5 
3 

1 

0 

8 

2 

1,327 

20 

I1'225 

10 

944 

5 

1,179 

5 

1,374 

12 

393 

5 

760 

3 

14,  696 

101 

20 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  IV.— MIDDLE  DEPARTMENT— Continued 


1801. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

KOVEMBER. 

.  1,  753. 

5,  629. 

6,  560. 

11,351. 

13,  643. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

307 

1,  549 

3 

1,  508 

8 

2,393 

1 
34 

13 

1,737 

1 

23 

17 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.  —  Diseases  of  Nervous  System. 

3 
1 
2 

8 

54 

1 

1 
5 

5 

3 

7 

4 

1 

2 

1 

1 

1 

42 

1 
7° 

04 

4 

25 

25 

41 

03 

30 
3 
15 

19 
1 

7 

1 

3 

00 

ORDER  II.—  Diseases  of  Eye. 

1 
2 

1 

18 

24 

35      

21 
6 

1 
4 
12 

6 

8 
7 
13 

11 

ORDER  III.  —  Diseases  of  Ear. 

5 

8 
15 

1 

13 

1 

6 

ORDER  IV.—  Diseases  of  Organs  of  Circulation. 

.  TT 

1 
1 

1 

3 

68.     n  amm 

4 

1 

'    ,ar.          -,-  • 

2 

1 

4 

4 
252 

8 

7 
218 
3 
411 
1 
7 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 

1 

4 

3 

60 

o 

1 

'  r°ute.  B 

3 

370 

21 

95 

132 

"7C                                {          N 

.      .cmorr  aB  ,     ^       ^  ^ 

1 

1 

1 

1 

0 

9 
13 
32 

6 

O"7 

9 

14 

pn'  •/'«      "a  t'°"  °f  noun 

1 

3 

7 
114 

6 
4 
139 

1 
5 

.     n   amma  10 

1 

ORDEH  VI.  —  Diseases  of  Digestive  Organs. 

18 
10 

18 
19 
155 
5 

°7 

36 
61 

194 

8 
45 
144 
13 

85    Colic                                                 

24 

147 
l(i 

'  D°.  S  cP)sia 

13 

10 

14 

413 

o  Qqo 

5 

2,281 

8 

3,631 

2,820 

25 

DURING    THE    YEAR    ENDING    JUNE    30,   186-2. 


TABLE  IV.— MIDDLE  DEPARTMENT— Continued. 


1861. 

1863. 

DECEMBER. 

JAXUABY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

14,  403. 

14,  751. 

11,400. 

12,  404. 

11,  500. 

4,  879. 

5,  370. 

9,  480. 

Crises. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

41 
42 
43 
44 
45 
40 
47 
48 
49 
50 
51 
52 

53 
54 
55 
56 
57 
58 

59 
GO 
61 
02 
63 

04 
65 
66 
67 
08 
69 
70 
71 

73 
74 
75 

70 
77 
78 
79 
80 
81 
82 

83 

84 
85 

80 

87 

1,327 

20 

1,225 

10 

911 

4 
33 

5 

1,  179 

5 

1,371 

12 

393 

5 

700 

1 
16 

3 

;     14,  696 

7 
376 

7 
53 
19 
24 

101 

57 

34 
o 

4 

07 
1 

40 

9 

1 



1 

1 

2 

5 

5 

4 

8 
1 

1 

1 

3 
1 

g 

5 

7 

1 

o 

°7 

2 

1 
17 
19 

8 

19 

31 

0 

3 

22 

11 

10 

12 

20 

11 
10 

286 

-14 

5 
1 
3 

8 

10 

77 

1 

4 

3 

5 

4 

1 

o 

1 
1 

3 

13 

4 

2 

1 

45 
o 

3 
3 

6 
1 

33 

42 

58 
7 

6 

36 
7 

r 

15 

19 
5 

340 
49 

32 
00 

88 
4 
1C) 

1 
o 

4 

6 

11 

1 

0 

7 
C 

8 

3 

0 

1 

1 

1 

5 
1 
10 

3 

1 

3 

1 

5 

3 

1 
1 

5 

4 
o 

1 

4 
4 

1 
48 
17 
573 

19 

9 
32 

30 

o 

4 

6 
132 

3 

1 
80 

6 

1 

1 

2 
320 
0 
593 
8 
o 

140 
39 

1 

0.) 

18 
.    i 

1,308 
287 
4,994 

1 

1 

207 
871 

0 
90 
1 

7 

950 

834 
4 
5 

54 
1 
3 

17 
36 

1 
129 

„ 

0 

3 

17 
33 

11 

40 
47 
4 

48 
°0 

30 
38 
73 

14 
•       44 
64 

26 

3 
9 
6 
4 

3 
4 

7 
13 
7 

234 
321 
354 

J48 

299 

4 
23 

7 

0 

33 
19 

1 

1 
1 

3 
1 

9 

7!) 
11 

1 

3 

°1 

10 
14 
94 
14 

"7T" 

13 

1 

1" 

18 
106 



n 

40 

119 

10") 

o- 

1,244 

17 

14 

29 

8 

16 

1C6 

,,:-,. 

29 

2,855 

15 

2,  488 

9      |  2,000 

11 

2,  498 

21 

643 

* 

1,109 

4 

2i;,o;><;        MO 

22 


SICKNESS    AND    MORTALITY    OF   WHITE    TROOPS 


TABLE  IV.— MIDDLE  DEPARTMENT— Concluded. 


YEAR           

1861. 

MONTH                    »  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH                        

1,753. 

5,629. 

6,560. 

11,351. 

13,643. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.  \  Deaths. 

Cases. 

Deaths. 

413 

2,092 

1 
5 

5 
1 

2,281 

0 

G 

8 

3,631 

3 
3 

1 

14 

2,820 
7 

1 

ORDER  VI.  —  Diseases  of  Digestive  Organs  —  Continued. 

4 

1 
12 

0 

1 
19 

yo   Piles 

3 
1 

14 

1 

12 

1 

o 

o 

'      °      .        fl             .         .  j. 

"  ' 

3 

10 

9 

7 
11 

0 

23 

20 

i 

£7 

3 

"". 

1 

1 

o 

2 

3 

°4 

9 

16 
32 

38 

3 

137 

1G 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

103   Inflammation  of  Bladder  

.1 

1 

1 

3 

o 

IOC    Difficulty  of  Urination  

1 
4 
1 
1 
3 
4 

8 

1 

1 

4 

1 

1 

1 

5 

o 

2 

10 
1 

11 

4 

OliDEK  VIII.  —  Diseases  of  Bones  and  Joints. 

1 

114    White  Swelling  

1 

1 

18 
15 

1 

4 
4 
3 

13 
10 
4 
33 

4 



ORDER  IX.  —  Diseases  of  Integumentary  System. 

7 

17 
1 
3 
8 
22 

23 

16 
o 

118    Whitlow        

4 

2 

18 
26 

119   Boil                             

1° 

120    Skin  Diseases  

5 

2') 

121    Ulcers            .-- 

6 
2 

3G 

15 

20 

122    Other  Diseases  of  this  Order  

15 

7 
4 

0 

CLASS    V.—  WOUNDS,   ACCIDENTS,   AND 
INJURIES. 
123    Burns  •  

124.  Concussion  of  Brain  

1 
35 

12G.  Contusion  

2° 

19 

40 

37 
4 

127    Fracture  

2 
o 

128.  Dislocation  

129    Sprain  

8 
7 
1 

22 

43 
17 
24 

57 

G 

7 

9 

28 

21 

131.  Contused  and  Lacerated  Wounds  

30 

„ 

11 

1 
] 

133    Gunshot  Wounds.           

1 
3 

5 

1 

8 

13 

1 

1 

13G.  Others  of  this  Class  

5 
1G 

2 

12 
44 

18 
19 

53 

137  UNCLASSIFIED  DISEASES  

o 

76 

0 

Total 

510 

2  29G 

9 

2,770 

8 

4,060 

16 

3,353 

30 

DURING    THE    YEAR    ENDING    JUNE    30,  1802. 


'23 


TABLE  IV.— MIDDLE  DEPARTMENT— Concluded. 


1861. 

1869. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

14,403. 

1-1,751. 

11,460. 

12,404. 

11,560. 

4,879. 

5,370. 

9,480. 

88 
89 
90 
91 
92 
93 
94 
95 
90 
97 
98 
<W 

1 
Cases.     Deaths.  '    Cases.    Deaths. 

1 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths 

Cases. 

Deaths. 

Cases. 

Deaths. 

2,620 

1 
11 
3 

29 

2,855 

15 

2.4S8 

9 

2,606 

11 

2,498 

3 

14 
1 

21 

643 

5 

1,109 

3 
o 

4 

26,056 
15 

es 

8 
7 

146 

11 
1 
1 

oo 

6 

14 

1 

1 
27 
3 
1 
28 

1 

1 
3 
1 
6 
3 
4 

17 
2 
1 
19 
6 
2 

i:i 

19 
6 
7 
17 
4 
1 
3 

12 

1 

5 
2 
4 
o 

1 
1 
6 

8 

A.3 

145 
81 
8 
11 

1 
1 

1 

1 
1 

o 

4 

1 

100 
101 

102 
103 
104 
105 
106 
107 
108 
109 
110 
111 

112 
113 
114 
115 

116 
117 
118 
119 
120 
121 
122 

23 
124 
125 
126 
127 
128 
129 
130 
131 
132 
133 
134 
135 
136 

137 

82 
10 

115 
46 

111 

59 

168 
32 

105 
29 

o 

'11 
o 

26 

C86 
406 

3 

16 

1 
6 

1 
1 

2 

1 

3 

1 

1 
3 

17 
°4 

1 
2 

1 

1 

2 

1 

2 

2 

1 

7 

0 

0 

1 

9 
4 
23 

64 

4 
4 
2 

13 
175 

1 
1 
1 

1 

1 

2 

3 
14 

1 

9 

1 

o 

4 
1 



3 

3 

1 

4 

14 
2 

8 
12 

30 
3 

5 

1 

17 
3 
7 
J3 
62 
41 
9 

0 

3 

1° 

3 

7 
o 

40 
11 
2 

24 
40 

3 
3 

6 
4 

10 
3 

4 
6 
18 
43 
32 
3 

5 

65 
46 
141 
318 
255 
83 

41 
6 
2 

345 
34 

°8 

4 
1 
15 
9 

20 
30 

o 

14 
15 

6 
4 

0 

1 
1 

24 

2 

1 

1 

1 
1 

1 

51 
5 
14 
45 
17 
45 
11 
10 

45 

21 

28 

7 
1 

16 
3 

6 
1 

44 
12 

o 

4 

7 
oo 

8 
15 
6 
14 
o 

12 

10 

5 
I 

6 
1 

7 

O 

278 
141 
25° 

13 
34 
4 

0 

1 

15 

30 

1 

32 

10 

4 

8 
6 

54 

72 
12 

1 

8 
o 

1 

6 

4 

o 

1 

4 

o 

10 
24 

11 
6 

15 

21 

1 

10 

1  "> 

1G9 

382 

3 

51 

61 

16 

57 

1 

3,158 

37 

3,356           18 

3,022 

10 

3,182 

13 

2,965 

-.1 

776 

6 

1,365            5 

30,813 

J73 

24 


SICKNESS    AND   MORTALITY    OF    WHITE    TKOOP£ 


TABLE  Y. 

Abstract  of  the  Sickness  and  Mortality  of  the 


1861. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

7,  337. 

14,  729. 

15,  922. 

15,  726. 

16,  743. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS    1.—  ZYMOTIC    DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

8 
146 
34 
152 
493 
186 
1 
5 
558 

7 
9 
20 

34 
16 
128 
187 
Cl 
1 

4 

66 
36 
238 
534 
08 

5 

9 

95 
55 
154 
165 

15 

'     ~0m™°n        ° 

2 

1 

1 

-                                  *                    V 

9 
44 

238 

1 
1  123 

1 

3 

1 

G40 
1 
144 
o 

7 

1 

705 
43 
71 
10 
6 
1 
24 

1  573 

10    ChUt°'     D'- 

3 

160 

18 
128 

10 

120 

A 

1 

3 

*                .     *              ^ 

1 

"        *r°.           ^             ^ 

13 

0 

1 

3 

1 
42 

3 

4 
94 

'         3     P                           .       ., 

"   '  ™a     P°Xan 

59 
1 
4 
1 
84 
66 

36 
89 
7 
4 

176 

5 

11 

12 

6 

19 

15 
4 

19 
23 

1 

76 
53 

50 
66 
13 

°9 

34 
17 

49 

1 

38 
27 

ORDER  II.  —  Enthetic  Diseases. 

44 
8 

48 
14 
o 

ORDER  III.  —  Dietic  Diseases. 

I 

1 
4 

o 

0 

1 

1 

CLASS    II.—  CONSTITUTIONAL    DISEASES. 

OKDEU  I.  —  Diathetic  Diseases. 

21 
31 

155 

114 
116 

114 

48 

87 
79 

70 
5 

3 

1 

1 

3 

1 
6 

16 
3 

1 

1 
5 

0 

6 

15 

4 

9 
13 

1 

ORDER  II.  —  Tubercular  Diseases. 

15 

11 

2 

1 

CLASS    III.—  PARASITIC    DISEASES. 

7 

1,084 

1 

2,800 

7 

2,793 

8 

2.161 

17 

2,052 

24 

DURING    THE    YEAR    ENDING    JUNE    30,  18C2. 


25 


TABLE  V. 

Troops  in  the  Department  of  the  Shenandoah. 


1861. 

1862. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MAHCII. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

18,  007. 

17,  143. 

21,  498. 

27,  437. 

14,072. 

9,  5C8. 

14,  391. 

lu,  043. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1 

3 
4 
5 
6 
7 
8 
0 
10 
11 
12 
13 
14 
15 
16 
17 
1- 
19 
£0 

22 
*~>) 
24 
23 

20 

0*7 

28 
29 

30 

31 

33 

34 
35 
36 
37 

39 

40 

3 

45 
45 

127 

5 

40 
18 
92 
117 
45 

4 
9 

o 

18 
735 
361 
1,371 
2  05° 

4 
84 
4 
4 

153 

153 
67 

148 

8 

39 

16 

52 
39 

96 
88 
55 

10 

1 

5 

27 
1 
50 

1 

31 
54 
76 
100 
71 
6 

0 

1 

85 
80 
40 
3 

147 
103 
8 
3 
662 

65 

15 

1,074 
44 
19 
7,660 
205 
1,171 
88 
146 
19 
925 
3 
658 

6 
6 

502 

18 
1 
337 
14 

9 
10 

1 

1 
114 
4 

7 

1 
199 
15 
32 
4 
32 
5 
73 
1 
58 
77 
72 
5 

47 
40 
15 
o 

1 

1 

1 

7 
1 
1 
5 

1 
1 

206 

43 

1,041 
45 
45 

1 

1C 
111 
1 
13 

34 

272 
60 
27 

1 

8 
4 
143 

9 

15 

96 
1 
133 

o 

38 

13 

143 

3 

24 

10 

70 
204 

164 
301 

55 

108 
CO 
61 

58 

15 

185 

834 

:   5 
309 

381 
552 

I 

28 
11 

30 
41 
8 
1 

3 

21 
15 

48 
17 

14 
15 

1 

62 

7 

27 

31 
5 

44 
31 

18 

41 
72 

65 

10 
o 

9 
4 

2 

1°7 

1 

16 

4 

3 

9 
3 

19 
15 
13 

4 
3 

1 

3 
o 

1 

1 

1 

83 
82 
3 
5 

79 

116 
CO 

195 

58 

118 
28 

5° 

121 

1,255 
724 

37 

28 

87 

8 
23 

3 

3 

4 

o 

1 

3 
4 

10 
3 

6 

o 

o 

2 
9 

14 
9 

1 

2 
9 

4 

16 

68 

116 
46 

34 

1 

8 
3 

15 

1 

15 
7 

6 
3 

6 
5 

2 

o 

0 

1 

9 

1 

1,  4-13 

13 

1,210 

21 

1,750 

13 

2,511 

10 

1,211 

14 

686 

8 

1,983 

3 

21,  690 

133 

26 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  V.— DEPARTMENT  OF  THE  SHENANDOAH— Continued. 


YEAR            

1861. 

MONTH                                       

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH             

7,  337. 

14,  729. 

15,  922. 

15,  726. 

16,  743. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

1,084 

1 

2,800 

7 

2,793 

1 
54 

8 

2,161 

17 

2,052 

1 
11 

24 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.  —  Diseases  of  Nervous  System. 

P°^e  y 

3 

1 
3 

1 
1 

39 

23 

. 

1 

13 

4 
1 

6 

2 

11 

1 

1 

1 

2 
9 
25 
1 
2 

2 

o 

1 
12 
15 
3 
1 

3 

18 
16 
1 
o 

N       rd    ' 

10 
10 
2 

7 

2o 
4 
4 

ORDER  II.  —  Diseases  of  Eye. 

1 
o 

5 

6 
1 

32 

17 
3 

5 
3 

4 

1 

r 

18 
3 

3 

1 

25 
3 

2 
1 

0 

7 

2 
6 
3 

ORDER  III.  —  Diseases  of  Ear. 

61    Otorrhcea 

1 

1 

63    Other  Diseases  of  this  Order 

1 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

1 
1 
5 
5 
5 

4 

84 
G 
131 

2 

1 

1 

1 

5 
5 

0 

3 

4 
1 
3 

2 
153 
3 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
72.  Asthma  

1 
13 
4 
14 

1 
5 

3 

109 
6 

196 

1 

4 

78 

75.  Catarrh  

1C8 

77.  Haemorrhage  from  Lungs  

11 

3 

10 

78.  Dropsy  of  Chest  

79.  Inflammation  of  Larynx  

8 
1 
2 
2 

12 
12 
13 
8 

1 
7 
22 
3 

1 
7 
35 
91 

11 
12 
5 

20 
22 

1 

82.  Other  Diseases  of  this  Order  

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
83.  Abdominal  Dropsy  

o 

84.  Cholera  Morbus  

oo 

28 
43 
104 
27 

12 

10 
43 

80 
30 

85.  Colic  

5° 

86.  Constipation  

73 

114 
15 

87.  Dyspepsia  

14 

13 

2,  (186 

1,329 

g 

3,479 

8         3,  477 

8 

17 

2,890 

25 

DURING    THE    YEAE    ENDING    JUNE    30,   1862. 


•    '27 


TABLE  V.— DEPARTMENT  OF  THE  SHENANDOAH— Continued. 


1861. 

1863. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

18,  007. 

17,  143. 

21,  498. 

27,  437. 

14,  072. 

9,  508. 

14,  391. 

16,  043. 

41 
42 
43 

44 
45 
4G 
47 
48 
49 
50 
51 
52 

53 
54 
55 
56 
57 
58 

59 
CO 
61 
62 
63 

C4 
65 
66 
67 
68 
69 
70 
71 

72 
73 

74 
75 
76 
77 
78 
79 
80 
81 
82 

83 

84 
85 

80 

87 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths 

Cases. 

Deaths. 

1,443 

13 

1,216 

2 
53 

A*l 
1 

1,750 

1 
42 

13 

2,511 

2 

29 

10 
1 

1,211 

14 

686 

8 

1,983 

3 

21,  690 

7 
344 
7 
74 
6 
9 
4 
118 
257 
314 
21 
40 

3 

2 
12 
2 
285 
55 

C8 
57 
80 
5 
3 

1 

1 
2 

11 
o 

44 
26 

139 
2 

44 

19 
1 

o 

10 
1 
7 
1 

17 

1 
6 

1 
6 

5 

2 

1 

3 

1 

10 

3 

1 

1 
1 
5 
56 
39 
5 
4 

o 

1 

1 

1 
100 
24 
25 
1 
6 

1 

1 
27 
33 
1 
3 

1 
1 
1 

2 
31 
82 
2 
3 

17 
20 
1 
1 

1 

18 
5 

3 

13 

1 

] 
1 

1 

5 

2 

2 

2 
o 

27 
5 

2 

7 

23 

32 

52 

20 

7 

4 
3 

7 
8 

5 

26 

2 

20 
C 
31 
1 

8 

19 
8 
5 

6 

1 
1 
9 

2 

5 
3 
6 
2 

1 

1 

1 

1 

1 

1 
4 

1 

1 

2 

1 

1 
10 

1 
4 

6 

249 
29 
688 
5 
13 

0 

1 

1 

4 
243 
8 
323 
3 
3 

3 
1 
6 

3 

201 
4 

0 

9 

3 

1 

1 
°11 

3 

61 

1 
9° 

4 
2 

3 

20 

1 

1 

3 

8 
31 
7 
223 

1 

88 

40 
1,484 

127 

3 

1 
1 

1 

1 

°3 

19 

429 

16 
127 

371 

916 

3,940 
16 

64 

1 
1 

1 
12 

1 

1 

4 

8 

68 
17 

o 

2 

58 
25 

1 
34 

77 
44 

o 

3 

31 

87 

42 
50 
128 
4 

0 

24 

1 
18 
40 

3 

15 
11 
8 

103 
236 
532 
134 

11 
113 
397 
999 
231 

4 

1 

11 
6 

15 
50 
18 

15 
24 

8 

3 

1 

4 

1 

1 

1 
17 

71 
21 

2,264 

•  10 

54 
117 
25 

3 

12 

12 
34 

77 
33 

°9 

3 

49 
4 

1"8 

37 
8 

16 

2,  476 

23 

25 

3,451 

20 

4,168 

32 

2,084 

16 

1,060 

13         2,701 

4 

32,065 

193 

28 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  V.— DEPARTMENT  OF  THE  SHENANDOAH— Concluded. 


y  FAB        --            --                    

18G1. 

MOXTII  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH            

7,337. 

14,  729. 

15,  922. 

15,726. 

16,  743. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths.    Cases. 

Deaths,  ;  Cases. 

i 

Deaths. 

1,  329 
o 

2 

3,479 

7 
3 

1 

8 

3,477 

1 
3 
3 

8 

2,086 

17 

2,890 

1 
1 
1 

25 

OKDER  VI.  —  Diseases  of  Digestive  Organs  —  Continued. 

83  i  n        f      f  ««t 

1 
1 

3 

90    Fistuli 

9°    Piles 

5 

24 

28 

19 

11 

17 
1 
24 
10 
o 

7 

9 

1 

14 

21 
13 
1 
1 

1° 

11 

P4 

8 

1 

1 

4 
38 

1 
11 

3 

23 

40 
20 

34 

16 

3 

1 
1 
4 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 
102    Stone  and  Gravel                      

1 

1 

1 

1 

2 

1 

1 

1 

3 

2 

100    Sarcocelo                                    

1 
5 

o 

1 

1 

3 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

1 
1 

114    White  Swelling            

3 
32 

1 

1 

A.8 

2 
5 
14 
10 
7 
7 

8 
1 

ORDER  IX.  —  Diseases  of  Integumentary  System. 

7 

13 

19 
7 

29 

0 

1 

118    Whitlow 

o 

C 
30 
15 

°7 

| 

110    Boil                                      

11 
4 
2 

13 
8 
19 

1°0    Skin  Diseases 

15 

24 

1°2    Other  Diseases  of  this  Order     

2 

5 

1 
1 

30 

C 
1 

5 
11 

CLASS    V.—  WOUNDS,   ACCIDENTS,   AND 
INJURIES. 
123    Burns                                     

1 

1 

123.  Compression  of  Brain  

126    Contusion                                

1° 

29 

28 
4 

16 

0 

5 

127    Fracture 

5 

8 
1 
8 
24 

o 

0 

3 

4 
9 
11 
6 
3 
4 

9 
2 
10 
3 
16 
1 

3 

12 

18 
6 
4 
o 

24 
9 
14 

1 

11 
6 
5 
4 

1 

133    Gunshot  Wounds  

4 

3 

8 

1 

1 
1 

15 

15 

7 
9G 

137   UNCLASSIFIED  DISEASES        

1 

66 

19 

1 

8            1 

Total  

1,468 

6 

3,988 

11 

3,  835          13 

3,022 

~o 

3,206 

27 

DURING    THE    YEAR    ENDING    JUNE    30,  1862. 


TABLE  V.— DEPARTMENT  OF  THE  SIIENANDOAII— Concluded. 


1801. 

1803. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

Al'RIL. 

MAY. 

JUNE. 

TOTAL. 

18,007. 

17,143. 

21,408. 

27,437. 

14,072. 

0,508. 

14,391. 

1G,043. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases.      Deaths. 

88 
89 
90 
91 
92 

94 
95 
96 
97 
G8 
99 
ICO 
101 

102 
103 
104 
105 
]OG 
107 
108 
109 
110 
111 

112 

113 
114 
115 

110 
117 
118 
119 
120 
121 
122 

123 
124 
125 
126 
127 
128 
129 
130 
131 
132 
133 
134 
135 
136 

137 

2,  47G 

1 

11 
o 

23 

2,  2G4 

1 
3 
2 

25 

3,451 

3 
5 

20 
1 

4,168 

3 

12 
1 
1 
45 

32 

2,  OS4 

1G 

1,  CCO 

]3 

2,701 

5 
5 

4 

32,  CG5 

24 
61 
13 

0 

193 

1 
2 

1 

15 
1 
1 
10 
7 
1 
9 
3G 

1 

19 
1 

13 

4 
21 
4 

17 
2 

1 

30 

31 

9 
3 
3 
5 
11 

°3 

15 

2 
7 
15 
16 
1 

64 

81 
210 
404 
9 
16 
23 
020 
143 

7 
14 
9 
5 

o 

6] 

1 

1 
1 
1 

1 

2° 

71 

1C8 
3 

1 

1 
G 
41 
5 

1 

1 
4 
92 

1 

1 

1 

3 

1 
103 
8 

1 
4 

7 
141 
20 

1 

48 
23 

21 

8 

34 

10 

1 
1 
1 
1 
1 
1 
1 
1 
5 
4 

1 

7 

3 

1 

0 

3 

o 

1 

1 

1 

13 
4 

1 
2 
1 

4 
4 

1 

1 

n 

°3 

1 

1 

7 

J 

28 

1 
1 

1 
4 
3 

1 

1 

1 

6 

o 

1 
1 

1 

1 

o 
20 

1 

15 
3 

1 

4 
1 
1 
1 
3 
6 
2 

2 
1 

10 

OOJ 

23 

11 
G 
10 
8 
20 
5 

10 
4 

1G 

15 
5 
1 
20 
70 

4 
3 

3 
15 

3 
9 

56 

160 
174 
ISO 
72 

GO 
10 

3 
13 

11 
18 
7 

9 
1 



9 
14 
18 
1 

1 
1 

13 
12 

12 

o 

G 
3 

5 

4 

2 

20 
4 
3 
10 

14 
5 
14 

12 

G 
6 
9 
4 
9 
14 
1 

5G 

.   8 
G 
1G 
14 

19 
3 

5 
3 

19 
5 

227 
55 
27 

7 
17 
13 

4 
G 
4 

9 
10 

9 
20 
12 

75  ;;.;.... 

137 
158 
48 
473 
16 

1 
1 

78 
1 
1 

17 

3 

G 

» 

304 

59 

G 

70 

2 

26 

1 

7 
1!) 

8 
4 

10 
17 

7 
13 

15 

G 
5 

5 
9 

105 
261 

10 

9 

4 

2 

23 

2,601 

25 

2,  51)8 

25         3,  872 

31 

5,  1G7 

102         2,  369 

20         1,278           17         3,075             5            36,  GUI) 

i                 ; 

310 

30 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  VI. 

Abstract  of  the  Sickness  and  Mortality 


YEAR                 .                    

1801. 

MONTH                                            

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMIIER. 

MEAN  STRENGTH            

17,  709. 

50,  608. 

85,  408. 

113,  204. 

133,  669. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS  1.—  ZYMOTIC    DISEASES. 

OKDEK  I.  —  Miasmatic  Diseases. 

6 

39 

101 
63 
84 
65 
3 
13 
2,999 
59 
381 
11 
41 

272 
o 

81 
1 

211 
47 

128 

1 
311 
317 

584 
605 
906 
70 
26 

50 
504 
437 
1,340 
1,524 

38 
1 

34 

818 
520 
1,756 
2,067 

2 

58 
1 
6 

13 

1,  456 

663 
1,922 
1,648 
902 

119 
1 
8 

4 

O"7 

1 
1 

1,816 
112 

1,577 
202 

306 
155 
5,008 
231 
1,015 
60 
86 
°3 

62 
4,604 
334 
804 
46 
37 
17 
463 
1 
95 

1 

1 

138 
5  797 
279 

11 

2 

5 

'  A°U?ebD 

5,148 
217 
741 
80 
60 
2 
365 
2 
155 
85 

'     TV 

O 
1 

1 

1 
6 
3 

7 

972 
86 
82 

5 
2 
1 

'                                                ^                            ^ 

14*  HIT?                d  V     ' 

3 

2 

15*  MeaBles°X 

1 

518 
o 

2 

930 
8 
154 
380 
552 
249 

12 

F 

'  ^ 

109 
325 

P 

35 

613 

°08 

659 

281 

353 

395 

566 
217 

4 

ORDEII  II.  —  Enthetic  Diseases. 

417 
683 

432 

505 
558 

194 
38 
4 

597 
96 
]3 

76 
33 

84 

80 
33 

ORDER  III.  —  Dietic  Diseases. 

1 

4 

17 
56 

1 
583 

482 

20 

6 
19 
23 

12 

1 

39 

7 

o 

3 

44 
15 

3 

1  638 

23 

CLASS  II.—  CONSTITUTIONAL    DISEASES. 

ORDER  I.  —  Diathetic  Diseases. 
30    Gout        

1 

147 
87 
3 
5 
1 
9 
85 

24 

7 
1,106 
609 
35 
9 
1 
18 
39 

92 
33 

°0 

817 
454 

1  213 

61 

14 
1 
33 

148 

62 

53 

35 

3  ^ 

4 
1 
30 

149 

75 
13 

332 

1 

^7 

37    Other  Diseases  of  this  Order  

7° 

ORDER  II.  —  Tubercular  Diseases, 

3 

3 

113 
31 

42 

5 

39    Scrofula       

6 
3 

25 
14 

CLASS  III.  —  PARASITIC    DISEASES. 

5,288 

9 

12,  973 

35 

16,  361 

53 

19,  249 

90 

20,  201 

166 

DURING   THE    YEAR    ENDING    JUNE    30,  1802. 


TABLE  VI.    . 

of  the  Army  of  the  Potomac. 


18G1. 

1863. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MAKCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

152,  759. 

167,  267. 

153,  308. 

126,  588. 

71,  259. 

72,  536. 

78,  733. 

101,  D21. 

1 

3 
4 
5 

6 
7 
8 
9 
10 
11 

13 
14 
15 

Ifi 
17 
18 
19 
20 

22 
23 
24 

26 

*./ 

29 

30 
31 
32 
33 
34 
35 
36 
37 

38 
39 

40 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

32 

1,351 
341 
1,474 
1,037 
743 
50 
201 
3,433 
233 
740 
41 
102 
97 
1,488 
42 
157 
991 
651 
342 

565 
612 
147 
24 
1 

» 

194 
4 
17 

17 
1,038 
384 
983 
531 
424 

8 
157 

0 

6 

423 
1,148 
824 

1 
136 

8 
360 
310 
664 
397 
289 

5 

54 

5 

356 
007 

1 

37 

o 

180 

8noo 
,   —  '-O 

4,458 
14,  023 
10,  C7D 
8,957 
1,144 

39 
917 
13 

48 

412 
278 
1,548 
721 

1 

751 
457 
1,640 
682 

70 
3 

o 

3 

902 
499 
452 

394 

662 

727 

81 
134 
3,016 
207 
630 
57 
110 
CO 
927 
6 
252 

78 
29 
3,519 
111 
911 

oo 

96 
21 
4,933 
283 

86 
15 
5,540 

6 

o 
6 

0 

26 
5 

7 

1 

5 

83 
2,  248 
220 
651 
32 

13 
1 
o 

2 

20 
4  782 

4 

1 

3 

962 
51,  027 
2,909 
10,542 
761 
744 
386 
6,199 
72 
1,786 
4,083 

53 
4 
10 
38 
9 
28 
18 
76 
4 

141 
1,169 
29 

594 
1,307 
123 
42 
1 
12 

2 
4 
1 

o 

1,161 
163 

2 

86 
77 
751 
4 
°83 

46 
29 
272 
5 
°15 

30 
5 
143 

1 
1 

4 
31 

4 
14 
4 

1 
14 

59 

157 

go 

46 
37 
885 
184 

53 
36 
41 
12 

S84 

851 

345 
312 
007 

40 
273 
147 

93 
79 
48 
10 

9 
383 
108 

83 
41 
33 

466 
253 

458 
455 

114 
22 

1 

297 
156 

390 
360 

1 

1 

5,874 
2,419 

3,774 
4  242 

7 
1 

1 

1 

1 

297 
°3" 

96 
19 

57 

916 
220 
4 

14 

15 
1 

„ 

7 
22 
16 

5 

1,307 
1,348 

°7 

i 

23 

127 

144 
42 

34 

11 
48 
61 

1 

1,360 

47 
20 

9 
24 

2G 

9 

1,  029 
841 
34 
20 

1 

20 
10 

42 

71 
4 
1 

1 

471 

73 
1 
3 

1 

550 
311 
35 
9 

336 
4 
11 

1 
712 

570 
260 

284 

36 
10,  403 
8,  123 
391 
153 
8 

OJO 

1 

11 
3 

1 
1 

4 
1 

o 

1 

4 
683 
601 
17 
9 

1 

1 

0 

2 
4 
4 
3 

1 

381 
10 
6 

1 

584 
35 

3 

1 

1 

0 

21 

15 

14 

80 

75 
26 

8 
43 

37 

17 

G 

7 
26 

7 

67 

30 
11 

15 

70 

127 
35 

51 

105 

977 

907  : 
286 

11 

13 

17 

6 

1 

/.3 

oo 

1 

CO 

18 

10 

10 

515 

18,  140 

300 

14,729 

244 

12,  418 

108 

10,  351 

88 

10,  685 

48 

12,  186 

32    !  15,  133 

85 

1C7,  714 

1,354 

32 


SICKNESS   AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  VI.— ARMY  OF  THE  POTOMAC— Continued. 


1861. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

17,  709. 

50,  COS. 

85,  408. 

113,  204. 

133,  6G9. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

5,288 

1 
47 
6 
16 
15 
2 
1 
11 

9 
1 

12,  973 

4 
341 
7 
44 
36 
13 
1 
6 
179 
°91 

35 
3 

16,  361 

1 

312 

53 

1 

19,  249 

18 
2G6 
3 
40 
5 
20 

96 
1 

20,  201 

3 

252 
7 
74 

166 

1 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.  —  Diseases  of  A'ervous  System. 

'      P  '       J 

o 

1 

3 

59 
13 
10 
16 
o 

1 

1 
1 

44*  r*  •? 

'     *     j*  *£ 

2 

1 

4 
16 
331 

1 
1 

1 

22 
276 
296 

166 
380 
11 
55 

5 

67 

317 
16 
63 

11 

0 

6 

60 

4 
5 
6 

1 
133 

1 
1 

16 
63 

9 

28 

2 
1 
3 

~ 

ORDER  II.  —  Diseases  of  Eye. 

1 

7 
1 
186 
50 

15 

9 

o 

9 

267 

41 

44 

11 
3 

210 

45 

ORDER  III.  —  Diseases  of  Ear. 

122 

72 

152 

41 
31 

50 

68 
47 
86 
8 
4 

1 

7 
4 
14 
1 
54 
37 
26 

71 
1,665 

79 

go 

66 
7 
6 

3 

5 
8 
7 
3 
63 
32 

3 

8 

1 
o 

14 
3 

13 

7 

1 
3 
4 
3 
3 
47 
21 

ORDER  IV.—  Diseases  of  Organs  of  Circulation. 

1 

9 
1 
6 

1 

1 
1 

°4 

40 
33 
19 

37 

414 
137 

776 

15 

9 

4 
136 

0*7 

18 
56 

1 

22 

62 

1 

ORDER  Y.  —  Diseases  of  Respiratory  Organs. 
7°    Asthma                          

era 

118 
1  268 

964 
101 
2,474 

116 
4,  772 

459 

13 

7 
1 
14 
59 
42 
8 

32 

6 
57 

8 
48 

34 

30 

58 

'   A   .  f  ^,hest 

87 
213 

1 

1 

1 
3 
4 

52 
125 
61 

£08 

2 
343 

394 
8G8 
239 

35 
115 

167 
320 

1 

285 
460 
1  233 

69 
148 
129 
202 

o 

•  n  a      .     .  L 

4 
1 

262 
283 

10 
141 

428 

29 
4 

->    nih      IV                f  th     O  d 

5 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 

109 
134 

0 

18-1 

1 

8")    Colic                                                          

508 
1  234 

351 
43 

1,186 
303 

'      °DS   P  . 

241 

7,138 

20 

18,  £81 

51 

23,  088 

58 

27,  206 

100 

31,640 

209 

DURING   THE    YEAR    ENDING   JUNE    30,   1802. 


33 


TABLE  VI.— ARMY  OF  THE  POTOMAC— Continued. 


1861. 

1803. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

152,  759. 

167,  2G7. 

153,  308. 

126,  588. 

71,  259. 

72,  536. 

78,  733. 

101,  921. 

41 

42 
'43 
44 
45 
46 
47 
48 
49 
50 
51 

53 
54 
55 
50 
57 
58 

59 
GO 
Gl 
62 
C3 

64 
65 
CG 
67 
68 
69 
70 
71 

72 
73 
74 
75 

76 
77 
78 
79 
80 
81 
82 

83 
84 
-:. 
86 
87 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

18,  140 

7 
251 
3 
'     73 

300 
6 

14,  729 

13 

2G2 

244 
3 

12,  418 

1 

254 
2 

62 

198 
1 

10,  351 

25 
149 
6 
41 

88 
2 

10,  685 

3 

181 
o 

18 

48 
2 

12,  186 

3 

1G5 

32 
1 

15,  133 

7 
243 

85 

7 

167,  714 

86 
2,723 
50 
551 
125 
174 
78 
133 
2,586 
3,090 
126 
576 

60 
31 
141 
41 
2,564 
497 

814 
510 
558 
121 
53 

13 

87 
39 
97 
31 
440 
328 
292 

571 
10,850 
1,418 
33,604 
182 
441 
12 
1,080 
1,857 
2,851 
2,795 

50 
1,627 
4,503 
9,697 
2,475 

25!-,  7-12 

1,354 

30 
1 
17 
6 
4 

20 

2 

8 
83 
3 
19 
11 
17 
314 
308 
16 
G4 

4 
6 
27 
2 
394 
58 

90 
72 
66 
14 
3 

2 
13 
6 
10 
1 
48 
34 
57 

85 
2,055 
185 

4 
o 

o 

4 
2 

3 

20 
42 
7 
2 

8 
189 
198 
15 

°1 

1 

11 
11 

1 
8 
95 
106 
o 

1 

21 
9 

20 
347 
426 
16 
G2 

5 
3 
19 
2 

397 
'JO 

131 
70 
61 
23 
3 

22 
6 
3 

1 
6 

10 
5 
13 
20,5 

8 
10 
7 
142 

4 

4 

1 

o 

1 

P87 

280 
7 
57 

G 
5 

27 

209 

1 
1 

12 
35 

4 
5 
14 

4 
12 

7 

~ 

1 

35 

3 
1 

7 
5 

42 

5 
2 
5 

10 
113 

19 

21 
14 
11 
11 
8 

2 
G 
143 
14 

30 
20 
24 

3 

355 
55 

226 

28 

59 

99 
13 

16 
14 
6 
4 
1 

1 
C 
o 

73 

67 
61 
13 

21 

25 
3 
5 

o 

8 

5 
o 

1 
2 

G 

8 

9 
3 

13 
2 

47 
55 
38 

100 

1,587 
276 
6,278 
20 
58 

0 

107 
238 
404 
509 

11 
PI 

471 
1,138 
292 

1 

17 
6 
17 
4 
26 

3 

2 

7 

8 
1 
7 
4 
51 
33 
15 

o 

3 
3 

1 

8 
1 
19 

20 

1 

1 

1 

1 

2 

4 

10 
15 

11 
8 
9 

12 

o 

o 
7 

1 

49 

GO 

1,701 
219 

24 

G 

5 

2 

19 
1 
1 

31 
957 
68 
3,002 
9 
22 

26 

27 

7 

3 

1 

379 
109 
1,  165 
23 
31 
3 
18 
89 
138 
70 

1 

37 

1 

197 
29 
G19 
o 

162 

1 

33 

378 
10 
11 

7,204 
21 

5,209 
4 

50 
1 
2°G 

1 

54 
3 

268 
288 
616 
484 

10 

57 

3 

2 
1 

15 

5 
o 

G 
249 
40 

2 

r 

l    '•• 

110 
173 
263 
150 

3 

59 

25 

9 

1 

67 
12 

272 

66!) 
398 

5 

4G 
300 

783 

1 

74 
7 

1 

1 

17 
5 

71 

58 
102 

6G 
42 
Cl 

4 
194 
442 
422 
151 

47 
6 

G 

1 

1 
81 
404 
486 

1 

0 

1 

358 
994 
291 

1 

299 

508 

305 

495 

2°9 

118 

1 

140 

31,988 

380 

29,  727 

347 

24,387 

306 

17,306 

124 

14,  614 

64 

15,  108 

37 

18,259 

100 

1,M>2 

SICKNESS    AND    MORTALITY    OF   WHITE    TEOOPS 


TABLE  VI.— ARMY  OF  THE  POTOMAC— Concluded. 


YFAU                     

1861. 

JULY. 

AUGUST. 

SErTEMKEE. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

17,709. 

50,  COS. 

85,  408. 

113,  204. 

133,669. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

7,138 

13 

20 
2 

1 

58 
6 
9 
32 
1 
1 
3 
1 
102 

20 

18,  281 
35 

51 

23,  088 

30 
59 

58 
1 

27,  206 

23 
85 
11 
5 

106 

3 

1 

31,640 

27 
112 
10 

209 

4 
1 

ORDER  VI.  —  Diseases  of  Digestive  Organs  —  Continued. 

64 
37 
10 
197 
42 
74 
121 
36 
16 
15 
2 
248 

23 

14 
196 

go    Piles 

170 
42 

18 
128 
551 
1J 
C 
7 
307 
385 

4 

20 
4 

309 
51 
18 
201 
458 
33 

33 
30 
113 

182 

1 

. 

1 

B 

1 

""   d  °e    A    ' 

30 
7 
7 
220 

r             f  v    "t 

1 

2 

6 

9 
5 

6 

U             . 

604 
314 

7 
23 
4 
15 

52 

1 
1 

190 

1 

1 

209 

11 
9 
7 
8 
33 
34 
8 
6 
27 
35 

14 
4 
17 
4 

203 
93 
106 
103 
232 

1 

277 

1 
16 
4 
5 
43 
37 
15 

2 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

1 

1 

2 

4 
6 

37 

29 
14 

1 

48 
12 
7 
18 
50 

3 
o 

TT    ^nm?    °     ,°H              ^ 

5 

13 

18 

1 

12 
35 
34 

13 

4 

34 
43 

4 

7 
7 
17 

250 
84 
62 
159 

1 

OUDER  VIII.  —  Diseases  of  Bones  and  Joints. 

2 
14 

252 
104 

78 

1 

50 
14 
12 
18 
113 

15 

ORDER  IX.  —  Diseases  of  Integumentary  System. 

158 

68 
46 
162 

118    "Whitlow 

119    Boil 

204 
177 
219 

170 

192 
8L 

34 
6 
C 

247 
51 

148 
169 
79 

23 
1 
1 
3211 
65 
38 

1 

43 
42 

175 

79 

26 
6 
2 
170 
20 
22 

74 

42 
3 
1 

437 

48 
27 

CLASS    V.—  WOUNDS,   ACCIDENTS,   AND 
INJURIES. 
123    Burns            

7 

1 
1 
1 
1 

1 
1 

1 
29 
10 
4 
19 

1 

17 
101 
171 
185 
37 
1C8 
11 

60 
96 

111 
182 
148 
32 
180 
7 

196 
165 
154 
51 
149 
9 

24 

ICO 
33 
141 
8 

1 

1 

102 
27 
77 
10 

1 

1 
1 

18 

1 
LO 

48 

12 

33 

1 
1 

1 

1 

1 

4 

o 

110 
76 

94 

269 

108 
302 

127 
259 

108 
293 

4 

3 

11 

Total                                                   

8,488 

71 

21,  636 

72 

26,  809         86 

31,  641 

16C 

36,  851 

263 

DURING   THE    YEAE    ENDING   JUNE    30,  1862. 


35 


TABLE  VI.— ARMY  OF  THE  POTOMAC— Concluded. 


1861. 

1863. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

152,  759. 

167,  267. 

153,  308. 

126,  588. 

71,  259. 

72,  536. 

78,  733. 

101,921. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

88 
89 
90 
91 
92 
93 
94 
95 
96 
97 
98 
99 
100 
101 

102 
103 
104 
105 
106 
107 
108 
109 
110 
111 

112 
113 
114 
115 

116 

117 
118 
119 
120 
121 
122 

123 
124 
125 
126 
127 
128 
129 
130 
131 
132 
133 
134 
135 
136 

137 

31,  988 

37 
164 
13 
10 
343 
65 
45 
193 
465 
11 
7 
5 
709 
443 

5 
20 
14 
13 
45 
38 
8 
9 
10 
44 

3 
2 

10 
7 

285 
€8 
80 
243 
190 
1G4 
64 

46 
6 
1 
449 
83 
32 
234 
244 
277 
44 
121 
13 

380 

3 

1 

29,727 

56 
93 
18 
12 
288 
79 
38 
214 
500 
9 
16 
5 
780 
485 

1 

19 
4 
16 

347 

3 
1 

24,  387 

27 

71 
8 

306 
o 

17,  306 

9 
56 
13 
12 

124 

1 

1  ' 

14,  614 

12 
28 
5 
3 

JOO 

64 

15,  108 

37 

18,  259 

18 
30 
10 
9 
190 
48 
24 

100 
1 

258,  742 

1 
292 
836 
163 
93 
2,365 
514 
292 
1,519 
3,500 
175 
101 
43 
4,591 
3,277 

38 
157 
56 
85 
392 
335 
110 
60 
187 
362 

47 
38 
58 
93 

1,977 
661 
643 
1,548 
1,823 
1,539 
744 

401 
38 
19 
2,990 
478 
234 
1,396 
1,825 
1,836 
565 
7,050 
109 

1,802 

18 
6 

54 
13 

1 

1 

1 

219 
49 

121 
361 
7 
33 
4 
823 
344 

1 
15 
4 
5 
28 
24 

150 
25 

123 

3 

53 

6 
57 
210 
9 

1 

21 
3 
62 
192 

10 

4 
3 
1 
4 

2 

4 

102 

1 

175 
308 

1 

236 

2 

13 
1 

2 

1 

3 
4 

68 
118 

3 

19 
5 
8 
51 
28 

1 

19 

1 

99 
139 

0 

1 

446 
172 

165 
141 

2 

9 

2 

1 

1 

2 
7 
3 
11 
19 
13 
8 
1 
6 
18 

2 
3 
4 
13 

102 

50 

1 

6 
5 
3 
14 
19 
4 

3 

3 

1 
29 
15 
3 

44 
8 
4 
15 

1 

15 
1 

17 
29 

15 

3 

6 
23 

5 

11 

1 
16 

1 

4 
1 
2 

87 
37 
36 
69 
90 
50 
18 

16 
3 

41 

5 
6 

4 

7 

236 

1 

1 

1 
7 
5 

151 
46 
56 
128 
184 
171 
87 

47 
2 

3 
319 

26 

1 
1 
5 

82 

17 
36 
94 
72 
51 
28 

4 

3 

121 

47 
69 

33 

34 
86 
74 
60 
64 

13 
3 

161 
246 
188 
74 

79 
5 
1 
401 
59 
4° 

121 
127 

1 

57 
54 

48 
1 
1 
222 
42 
12 
15° 

20 
2 
2 
118 
14 
7 
63 
113 
56 
13 
264 
7 

1 
1 

4 
5 

4 

1 

127 

142 
23 

10 

2 

1 

11 

5 

58 
120 
216 
186 
3,  799 
9 

190 
286 
208 
49 
85 
18 

146 
201 

138 
n~> 

66 
70 
148 
34 
2,009 
7 

30 

78 

153 

104 
28 
57 
8 

1 

2 

15 

4 

2 

1,255 
3 
12 

(i 

73 

1 

1 

2 

17 
1 
1 
1 

5 

19 

60 
2 

11 
1 

4 
1 

46 

455 

572 

1 

1 
3 

1 

1 

149 
310 

140 
195 

177 
259 

87 
157 

o 
22 

47 

68 

36 
131 

1,213 

2,417 

15 

5 

1 

37,  829 

419 

35,  310 

393 

28,915 

333 

20,  268 

156 

16,  694 

116 

18,  896 

497 

24,  690 

705     I    308,027 

3,277 

SICKNESS   AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  VII. 

Abstract  of  the  Sickness  and  Mortality  of 


YEAR  

1861. 

MOXTII  .  . 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS    1.—  ZYMOTIC    DISEASES. 
OKDER  I.  —  Miasmatic  Diseases. 
1.  Typhus  Fever  

2.  Typhoid  Fever  

3.  Common  Continued  Fever  

4.  Remittent  Fever  

5.  Quotidian  Intermittent  Fever  

6.  Tertian  Intermittent  Fever  

7.  Quartan  Intermittent  Fever  

8.  Congestive  Intermittent  Fever  

9.  Acute  Diarrhoea  

10.  Chronic  Diarrhoea  

11.  Acute  Dysentery  ,  

12.  Chronic  Dysentery  

13.  Erysipelas  

14.  Small-pox  and  Yarioloid  

15.  Measles  

16.  Scarlet  Fever  

17.  Mumps  

16.  Epidemic  Catarrh,  

19.  Debility  

20.  Other  Diseases  of  this  Order  

ORDER  II.  —  Enthetic  Diseases. 
21.  Syphilis  

22.  Gonorrhoea  ,  

23.  Orchitis  

24.  Stricture  of  the  Urethra  

25.  Serpent  Bite  

26.  Other  Diseases  of  this  Order  

ORDER  III.  —  Dietic  Diseases. 
27.  Scurvy  

28.  Delirium  Tremens  

29.  Inebriation  

CLASS    II.—  CONSTITUTIONAL    DISEASES. 
ORDER  I.  —  Diathetic  Diseases. 
30.  Gout  

31.  Acute  Rheumatism  

32.  Chronic  Rheumatism  

34.  General  Dropsy  

35.  Cancer  

36.  Tumors  

37.  Other  Diseases  of  this  Order  

ORDER  II.  —  Tubercular  Disea*es. 
38.  Consumption  

39.  Scrofula  

CLASS    III.  —  PARASITIC    DISEASES. 
40.  Worms  

Carried  forward  

DURING    THE    YEAR    ENDING    JUNE    30,  18G2. 


37 


TABLE  VII. 

the  Department  of  the  Rappahannock. 


18G1. 

1802. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

5G,  602. 

64,  G50. 

48,  155. 

56,  469. 

1 
2 
3 
4 
5 
6 
7 

8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 

5 

24 
25 
26 

27 
28 
29 

30 

31 

33 
34 
35 
36 
37 

38 
39 

40 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Dea?as. 

Cases. 

Deaths. 

Cases.  !  Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

• 

34 
181 
146 
335 
322 

20 
353 
179 
1,005 

405 

4 

37 

45 
310 
117 
555 
2°° 

4 
13 

99 
844 
442 
1,895 
949 
1  028 

8 
67 

17 

... 

1 

3 

4 

280 

315 

433 

58 
17 
o  or;1} 

55 
32 

19 
22 
2,  304 
131 
507 

OiJ 

132 
71 
6,872 
571 

7 

5 

12 

243 

197 
505 

451 

1  463 

30 
54 
21 
141 
1 
134 
91 
195 
84 

125 

23 

77 
140 
63 
215 
7 
416 
201 
867 
184 

344 

coo 

48 
24 
CO 
5 

171 

38 

4 
1 
1 

1 

18 
14 
1 
111 
52 

5 
1 
2 

1 

58 
316 
46 

115 

1 

1 

356 
54 

2 

104 
136 
32 



218 

174 

44 
7 

' 

35 

111 

23 
2 

8 

0 

68 
10 
6 

71 
9 
27 

33 

15 
3 

172 
34 
36 

•     1 
1 

1 
o 

1 

382 
314 
18 
3 
1 
6 
9 

9 
11 

483 
2G7 

409 
244 

1 

1,  274 
825 

1 

17 
10 

9 
5 

44 

18 
1 
20 

10 
58 

46 
6 

22 

4 
33 

23 
4 

9 

100 

91 
19 

1 
42 

1 

3 

1 

5 

6,350 

34 

7,378 

56 

6,  492          20 

20,220  :     no 

38 


SICKNESS   AND   MORTALITY    OF   WHITE    TROOPS 


TABLE  VII.— DEPARTMENT  OF  THE  RAPPAHANNOCK— Continued. 


18O1 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS    IV.—  LOCAL    DISEASES. 

OKDEB  I.  —  Diseases  of  A'ervous  System. 

*      P  y 

f        f  M      1              f  B    in 

'    "  1™ma  lon  ° 

f  • 

y             f  tr  o  d 

I 

ORDER  II.  —  Diseases  of  Eye. 

rr'     a             .       f  Irf 

'     p 

ORDER  III.  —  Diseases  of  Ear. 

fil     Ot  a  h 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

f  TT      t 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 

78    Dropsy  of  Chest 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 

84.  Cholera  Morbus  

85.  Colic    

87.  Dyspepsia  

DURING   THE    YEAR   ENDING    JUNE    30,  18G2. 


39 


TABLE  VII.— DEPARTMENT  OF  THE  EAPPAHANNOCK— Continued. 


1861. 

1863. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

56,  602. 

64,  650. 

48,  155. 

56,  469. 

41 
42 
43 
44 
45 
40 
47 
48 
49 
50 
51 
52 

53 
54 
55 
56 
57 
58 

59 
60 
61 
62 
63 

64 
65 
66 
67 
68 
69 
70 
71 

72 
73 
74 
75 
76 
77 
78 
79 
80 
81 
82 

83 
84 

85 
i    86 
87 

1 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths.     Cases. 

Deaths. 

Cases. 

Deaths. 
110 

4 

6,350 

2 
67 
1 
11 

34 
2 

7,378 

3 

128 

56 
2 

6,492 

1 

131 
1 
15 

20 

20,220 

6 
3°6 

1 

5 
14 
21 

7 
40 
417 

1 

6 
2 
3 

16 
106 
119 
1 
21 

6 
3 

2 

100 

1°8 

7 

15 
6 

323 
405 

3 
117 
158 
5 

1 

1 

4 
12 

10 
59 

5 
4 
3 

26 

3 
1 
3 

2 
2 

1 

114 
15 

19 

23 

117 
15 

96 
10 

24 

327 
40 

60 
48 
40 
8 
13 

1 
6 
3 

30 

17 
12 
17 
2 
9 

13 
10 
3 
2 

1 
1 
1 

7 

13 
3 
2 

3 

1 
12 

o 

1 
11 

1 

1 

2 

18 
24 

18 
29 
11 

21 

21 

57 
80 
20 

74 

616 
148 
2,270 
34 
36 
1 
27 

27 

6 

30 
331 
91 

3 

23 
116 
16 
493 
5 
18 

169 

41 
682 

2 

o 

1,  095 

20 
11 
1 
13 
94 
146 
75 

9 

7 

1 

1 

!     

13 

97 
97 
67 

6 

51 
167 
420 

98 

1 

58 
47 
25 

1 

69 
203 
259 
63 

249 

6 

5 
1 

1 

290 
167 

7 

177 

12 
1 

57 

150 



520 
1,026 

347 

101 

262     

9,502 

45 

10,  078 

68 

8,534 

21 

28,114 

13-1 

40 


SICKNESS   AND   MORTALITY    OF    WHITE   TROOPS 


TABLE  VII.— DEPARTMENT  OF  THE  RAPPAHANNOCK— Concluded. 


18G1. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

'      ern  |. 

An. 

fl           f                 P    't 

99'    "  ainma  '°n  °    <, 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

104    Diabetes                            

110    Non-Svphilitic  Ulcer  of  Penis      

ORDER  VIII.  —  Diseases  of  Bones  and  Joints, 

114    "White  Swelling                                               

ORDER  IX.  —  Diseases  of  Integumentary  System. 

118    Whitlow                                          

119    Boil       

121   Ulcers          .            

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 
123   Burns                                                                

Total 

I  

DURING   THE    YEAR   ENDING   JUNE    30,  1862. 


41 


TABLE  VII.— DEPARTMENT  OF  THE  RAPPAHANNOCK— Concluded. 


1801. 

1862. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 



56,  602. 

64,  050. 

48,  155. 

56,  469. 

88 

89 

90 
91 
92 
93 
94 
95 
9G 
97 
98 
99 
100 
101 

102 
103 
104 
105 
106 
107 
108 
100 
liO 
111 

112 
113 
114 
115 

116 
117 
118 
119 
120 
121 
122 

123 
124 
125 
12(5 
127 
128 
129 
130 
131 
132 
133 
134 
135 
136 

137 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases: 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 
45 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.      Deaths. 

9,502 

13 

92 

10,  078 

8 
79 
8 
3 
96 
13 
11 
73 
175 

C8 

8,534 

8 
56 

21 

28,  114 
"9 

134 

2°7 

6 

68 

5 

5 
6 

102 

20 
15 
266 
26 

00 

1 

8 
6 
63 
56 
2 

1 

51 

187 
323 
5 
10 
•     16 

92 

1 

1 

1 
3 

14 

211 

6 

1 

1 
2 
55 
84 

1 
6 
1 
1 
16 
5 
5 
2 
3 
5 

1 
2 
2 
2 

89 

00 

1 

123 
98 

1 
10 
4 

389 
°71 

89 

2 
22 
8 
3 
29 

6 
3 

2 
10 
7 
3 

3 

9 
2 

21 
10 
o 

9 

18 

1 
o 

4 
8 

249 
49 
38 
107 
168 
99 
42 

44 
9 

1 
289 
09 
31 
94 
187 
142 
88 
696 
18 

5 

I 

6 

7 

1 
2 

76 
9 
15 

1 
4 

84 

18 
14 

9 
38 
71 
34 
19 

4 

4 

47 
49 
35 

48 
30 
10 

25 
3 

13 
15 

1 

1 
1 

o 
1 

88 
18 
12 

1 

68 
20 
12 

133 

31 
7 
20 
33 
32 
60 
620 
9 

45 

23 
70 
62 
8 
39 
3 

84 
48 
20 
37 
6 

1 

1 

o 
154 

11 

8 

135 

1 

1 

27 

167 
105 

ai 

47 

227 

124 

7 
65 

10 

8 

306 

25 

10,  976 

11,  681 

92 

10,355 

164 

33,  012           321 

SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  VIII. 

Abstract  of  the  Sickness  and  Mortality 


YEAR                                                           

1861. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

7,  190. 

6,  568. 

6,  532. 

9,  537. 

14,  C03. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS  1.—  ZYMOTIC    DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

o 

3 
o 

23 
70 
35 

13 
7 
9 
25 
58 
3 
20 
1,198 
20 
23 
3 
1 
1 
22 

3 

19 

38 
58 
33 

5 

7 
178 
115 

2 

31 
15 

275 

12 

^                r*                          ^ 

218 
188 
178 

2 

238 

9 

195 

9 
28 
531 

15 

12 

44 
362 

245 

391 
19 
38 
5 
C 
1 
41 

27 
23 

9 

25 

43 
1 
5 

1 
1 

2 

1 
1 

1 
1 

o 

4 

5 

6 

6 
33 

24 

32 
43 
13 

12 

173 

45 

19.  Debility  

46 
48 

63 

47 
8 

1 

15 

37 
76 

29 

64 

13 
8 
11 

91 

30 
47 
16 

2 

ORDER  II.  —  Enthetic  Diseases. 

40 
7 

o7   O°Vt' 

ORDER  III.  —  Dietic  Diseases. 

1 

1 

7 

4 
1 
1 

1 

4 

o 

1 
3 

3 

CLASS  11.—  CONSTITUTIONAL    DISEASES. 

OKDEK  I.  —  Diathetic  Diseases. 
30    Gout                               

149 
71 

1G5 

107 
24 

98 
79 
11 
1 

153 
50 

31 

0 

2 

36    Tumors                         

1 
3 

1 

14 

2 
1 

1 

1 
9 

12 

6 
1° 

ORDER  II.  —  Tubercular  Diseases. 

7 
3 

10 
1 

2 

2 

39    Scrofula                        

CLASS  III.—  PARASITIC    DISEASES. 
40   Worms                          

1 

1 

1  855 

839 

1,023 

2 

1,794 

7 

1,872 

18 

DURING    THE    YEAR   ENDING   JUNE    30,  1862. 


43 


TABLE  VIII. 

of  the  Department  of   Virginia. 


1861. 

1802. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

12,  718. 

11,  416. 

13,  618. 

14,  680. 

14,  791. 

9,  655. 

7,251. 

10,  713. 

1 

0 

3 

4 
5 
6 
7 
8 
9 
10 
11 

13 
14 
15 

1G 
17 
18 
19 
20 

21 

*-J 
24 
25 
26 

27 

28 
29 

30 
31 
32 
33 
34 
35 
36 
37 

38 
39 

40 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths 

Cases. 

Deaths 

Cases. 

Deaths. 

Cases 

Deaths 

Cases. 

Deaths. 

6 
58 
54 
28 

1 
8 

1 
17 
26 
48 
113 
28 

32 

354 
2G3 
1,117 
1,089 
6G4 
42 
114 
4  287 

4 
36 
1 
4 

95 
6 
119 
168 
66 
6 

8 

17 
43 
45 
19 
16 

2 

10 
34 
62 
33 
37 
5 
1 
193 

0 

18 
6 
46 
41 
9 

17 
11 

51 
°4 

1 

1 

1 

47 
15 

20 

4 
1 
207 

1 

189 
1 
13 

5 
141 

2 
247 
15 
70 
3 
G 

1 

1 

268 
4 
45 

315 

7 
40 

4 
6 

33 
53 

147 
385 
15 
55 
13 
218 
3 
230 
368 
418 
416 

327 
380 
111 
11 

G 

3 
1 

3 
3 

10 

3 

4 

11 
4 
GO 
3 
34 

7 

4 

1 

1 

1 

1° 

45 

21 

1 

74 

50 
31 

46 
20 
18 
11 

17 
14 
3 

13 

7 

98 
52 
53 

16 
19 
15 
4 

28 
62 

26 
14 

15 

20 

34 
5 

21 

28 

00 

16 

23 

18 
7 

10 

24 
39 
G 
1 

4 

44 
57 
11 
1 

11 

3 

1 
4 

o 

2 
1 
9 

20 
20 
35 

4 
5 

4 

7 

3 

3 

1 

1 

1 

130 
58 
5 
1 

88 
59 

85 

170 
46 

JOO 

86 
19 

77 
10 
1 

1,430 

59 
3 

66 

572 
22 
9 

1 

0 

4 
6 

3 

1 

13 
3 

15 
3 

3 

9 
10 

11 
4 

1 

13 

3 

55 

65 

88 
17 

9     . 

5 

8 

1 

9 

4 
1 

3 

3 

1 

1 

55 

i 

1,281 

8 

761 

9 

680 

3 

935 

2 

915 

3 

702 

1 

744 

o 

13,  401 

44 


SICKNESS   AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  VIII.— DEPARTMENT  OF  VIRGINIA— Continued. 


YEAR      

1861. 

MONTH            

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH                           

7,  190. 

6,  568. 

6,  532. 

9,  537. 

14,  603. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

1,855 

839 

1,023 

2 

1,794 

7 

1,872 

18 

CLASS    IV.—  LOCAL    DISEASES. 

OKDER  I.  —  Diseases  of  Nervous  System. 

5G 

58 

98 
1 
3 
1 
1 

38 

17 

1 
10 

1 
3 
2 

2 

o 

p     p  J 

1 

o 

1 

1 

1 
31 
11 
1 
9 

1 
15 
6 

1 
10 
5 

21 
12 
1 
7 

27 
32 

1 
3 

3 

5 

5 

ORDER  II.  —  Diseases  of  Eye. 

3 

1 

'  a 

1 

33 
16 

1 
3 
5 

8 
19 

3 
17 
3 
1 

15 

1 

2 

19 
6 

3 

12 

25 

3 

1 
8 

OKDER  III.—  Diseases  of  Ear. 

IE 

28 

'    "  al"ma 

2 

i 

3 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

f  He    t 

1 
2 

1 

5 
2 
1 

2 

95 

1 
1 
1 

1 

51 
4 
43 
1 
2 

'  an     v  . 

1 
1 

3 

76 
5 
92 

o 

7 

6 
63 
14 
137 
1 
3 

1 

9 
143 
.     7 
204 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 

51 

5 

6 

8 
3 
5 
10 

1 
5 
3 
54 

0 

1 

14 
9 
64 

7 
13 
13 
121 

1 

4 
1 
13 

1 
1 
1 

2 

81.     n  ami  a  10             Drag         ^ 

OKDER  VI.  —  Diseases  of  Digestive  Organs. 

18 
68 
211 
92 

24 

10 
41 
113 
29 

11 
118 
102 
80 

9 
25 

149 
55 

'             P  . 

37 

2,  603 

1,262 

1,  594 

o 

2,531 

10 

2,762 

22 

DURING   THE    YEAR   ENDING   JUNE    30,   18G2. 


45 


TABLE  VIII.— DEPARTMENT  OF  VIRGINIA— Continued. 


1801. 

180^. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

12,  718. 

11,416. 

13,  618. 

14,  680. 

14,  731. 

9,655 

7,  251. 

10,713. 

41 

42 
43 
44 

4-1 
46 
47 
48 
49 
50 
51 
52 

53 
54 
55 
56 
57 
58 

59 
60 
61 
62 
63 

64 
65 
66 
67 
C8 
69 
70 
71 

72 
73 
74 
75 
76 
77 
78 
79 
80 
81 
82 

83 

84 
85 
86 

87 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1,281 

1 
15 
1 
5 

8 
1 

761 

9 

680 

3 

26 
1 
1 

3 

935 

1 

27 

2 

915 

3 

702 

1 

744 

2 

13,  401 

5 

429 

55 
1 

26 

38 

21 

9 

1 

4 
22 
17 
10 
11 
13 
361 
164 
10 
61 

8 
5 

11 

1 
244 
78 

41 
101 
33 
4 
6 

2 

2 
5 
7 
1 
12 
16 
20 

51 
940 
66 
2,966 
27 
46 

1 

4 

1 

1 
1 

1 
2 

1 

1 

3 
3 

1 
50 
14 

1 
4 

1 
1 
31 
7 

1 

2 

1 
58 
14 

2 

6 

1 
19 
4 
4 

4 
5 

24 
20 
1 
6 

2 

70 
°7 

0 

5 

1 
1 

5 

2 

6 

4 

1 
2 

3 

3 

2 
1 
13 

20 
10 

3 
5 
3 

18 
3 

3 
5 

1 

20 
5 

7 
3 
2 

19 

7 

9 
5 
8 
2 

39 
5 

6 
9 
5 

1 

15 

3 

2 
4 
1 

1 
2 
3 

3 

1 

1 
1 
1 

1 

1 

1 
3 

1 
1 
1 

1 
2 
1 

8 
193 
15 
220 

1 
1 

2 

3 

99 
4 

561 

1 
2 
3 

4 
83 

2 

1 

1 

4 
2 

3 

57 

1 

1 

3 

2 

1 
46 
21 
5 

1 

5 

67 

4 

11 
1 
169 
1 
4 

15 

441 

337 

665 
1 
5 

6 

1 

1 

8 

7 
11 
4 
96 

17 
19 
9 
9 

8 
10 
14 
17 

1 
7 
16 
107 
81 

18 
6 
31 
5 

3 

7 
31 
17 

3 

9 

3 

17 
5 

78 
118 
136 
413 

1 
106 
485 
1,208 

1 
] 
15 
3 

1 

2 
1 

3 

4 

2 

1 

11 
5 

2 

2 
35 
100 
44 

1 

38 
103 
51 

1 

3° 

1 

1 

30 
100 

7(i 

6 
19 
72 
31 

16 
38 
50 
5 

1 

101 
47 

628 

2,146 

11 

1,787 

12 

1,512 

8 

2,121 

9 

1,  901 

8 

1,134 

J 

1,021 

2      j!  22,  374 

1 
65 

i 

46 


SICKNESS    AND   MORTALITY    OF   WHITE    TROOPS 


TABLE  YIIL— DEPARTMENT  OF  VTRGESnA— Concluded. 


1861. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER.           NOVEMBER. 

7,190. 

6,  5G8. 

6,  532. 

9,  537. 

14,603. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

2,G03 

1,262 

1,594 

2 

2,531 

10 

2,762 

22 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

4 
1 

18 

1 

4 

30 

4 
1 
22 

1 
30 

o 

33 
1 
1 
6 
1 
1 

4 

8 
16 
2 
17 
11 
o 

1 
6 

1 
3 

3 

10 
1 

24 
89 

18 

38 

17 
71 

35 

20 

88 

10G 

1 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

1 

'    ucon  inon 

5 

2 
1 
1 

5 

2 

i  OR'  *°fl"mm'*t         „          ^ 

o 

1 

2 

^"tr  °?  6  3D 

1 

1 
14 

9 

11 

i 

1 

3 

1 

1 

ORDER  VIIL  —  Diseases  of  Bones  and  Joints. 

1 

O7 

ORDER  IX.—  Disease*  of  Integumentary  System. 

38 

37 
2 
7 
80 
13 
24 
48 

4 
1 

15 

9 

4 
1 
40 
4 
31 

4 
5 

14 
69 
45 
33 
36 

14 

5 
13 
20 

119    Boil 

14 
19 

121    Ulcers 

26 
21 

o 

48 
20 

6 

CLASS    V.  —WOUNDS,   ACCIDENTS,   AND 
INJURIES. 

4 

19r                                   •              fT>       • 

74 
1 

19 

30 
3 

24 
1 
1 
15 

31 
5 

1 
15 

1G 
120 

15 

9 
22 
1 
13 
6 

74 

38 
G 

57 
3 

10 
6 
13 
4 

3 
3 

11 

1 

1 

3 

1               13 

3 

-^ 

32 

194 

35 

17 
52 

42 

27 
43 

3 

142 

2 

129 

Total                                      

3,500 

3 

1,  907             1 

1,959             5 

3,081 

13         3,  326 

27 

DURING   THE    YEAR   ENDING   JUNE    30,  1882. 


47 


TABLE  VIII.— DEPARTMENT  OF  VIRGINIA— Concluded. 


1861. 

1803. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MAUCII. 

Al'IilL. 

MAY. 

JUNE. 

TOTAL. 

12,718. 

11,  416. 

13,  618. 

14,  C80. 

14,  791. 

9,  655. 

7,251. 

10,  713. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.      Deaths. 

88 
89 
90 
91 
92 
93 
94 
95 
96 
97 
98 
99 
100 
101 

102 
103 
104 
105 
106 
107 
108 
109 
110 
111 

112 
113 
114 

115 

116 
117 
118 
119 
120 
121 
122 

123 
124 
125 
126 
127 
128 
129 
130 
131 
132 
133 
134 
135 
136 

137 

2,146 

1 
18 

11 
1 

1,787 

I 
12 

12 

1,512 

4 
3 

1 

8 
1 

2,121 

9 

1,  <J01 

1 
1 
3 

8 

1,134 

1 
13 

1 

1,021 

o 

2 

22,374 

10 
127 
15 
4 
207 
17 
22 

85 
1 

7 
4 

12 

2 

21 

17 

11 

32 

14 

8 

7 

1 
4 
16 

2 
3 
13 

3 
4 

10 

1 
10 
17 

6 
9 
3 

1 

4 
2 

G 

4 

82 
78 
3 
2 
3 
387 
649 



1 
1 
52 
55 

1 

2 

48 
39 

41 

78 

53 

16 

59 

17 
15 

3 

17 

37 

1 

2 

3 

6 
3 
1 

36 
10 
12 
2 
8 
55 

5 

1 

2 

1 
6 

7 
1 
1 

1 
1 

4 
2 

6 
1 

1 

1 

1 

o 

1 
3 
1 

1 

1 

1 

1 

2 

0 

4 

2 

6 

1 

1 

1 
1 

I 

1 

10 
6 
6 

10 
17 
40 
10 

6 

2 

216 
33 
60 
296 
190 
317 
169 

51 
1 

L9 

0 
19 
12 

26 
5 

3 

13 
2 

7 

7 
3 
6 
4 

27 

8 

o 

„ 

1 
9 
6 
18 
5 

13 
13 

6 
11 

12 

13 
3 

22 



12 
1 

16 
3 

o 

2 

38 
5 
o 

47 
29 
6 
9 

3° 

33 
2 
3 
19 
21 
°4 

41 
6 

30 
7 
4 

31 

15 

2 

3S8 
40 
17 
2CO 

3 

4 
16 
23 
36 
4 
6 

16 
31 
10 
4 

10 

22 
28 
9 
o 

9 
6 
19 

18 
16 

485 
166 
46 
87 
6 

1 

1 

1 

1 

o 

1 

3 

3 

7 

4 

1 

14 

1 

2 

22 

26 

6 

10 

4 

10 

14 

17 

10 

1 
10 

2 
S5 

"12 

2 

650 

7 

3 

2,632 

13 

2,190 

15         1,  819 

11 

2,533 

10 

2,242 

11         1,  360 

3 

1,203 

27,  752 

115 

48 


SICKNESS    AND    MORTALITY    OF    WHITE    TKOOPS 


TABLE   IX 

Abstract  of  the  Sickness  and  Mortality  of 


1861. 

MONTH          .            

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS    1.—  ZYMOTIC    DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

8    Congestive  Intermittent  Fever  

| 

11.  Acute  Dysentery  

16.  Scarlet  Fever  

17.  Mumps  -  

18.  Epidemic  Catarrh  

19.  Debility  

20.  Other  Diseases  of  this  Order  

ORDER  II.  —  Enthetic  Diseaset. 

22.  Gonorrhoea  -  

23.  Orchitis  

24.  Stricture  of  the  Urethra  

25.  Serpent  Bite  

2G.  Other  Diseases  of  this  Order  

ORDER  III.  —  Dictic  Diseases. 
27.  Scurvy  

28.  Delirium  Tremens  

29.  Inebriation  

CLASS    II.—  CONSTITUTIONAL    DISEASES. 

ORDER  I.  —  Diathetic  Diseases. 
30    Gout 

• 

ORDER  II.  —  Tubercular  Diseases. 
38.  Consumption  

39.  Scrofulu  

CLASS    III.—  PARASITIC    DISEASES. 
40.  Worms  

1  

Carried  forward  

1 

DURING    THE    YEAR   ENDING   JUNE    30,  1862. 


49 


TABLE  IX. 

the  Department  of  North  Carolina. 


1861. 

1809. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCII. 

APRIL. 

MAY. 

JUKE. 

TOTAL. 

8,  996. 

11,012. 

16,  549. 

18,  172. 

17,  941. 

16,  649. 

14,  P86. 

1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 

22 
23 
24 
25 
26 

27 
28 
29 

30 
31 
32 
33 
34 
35 
36 
37 

38 
39 

40 

Cases. 

Deaths. 

Cases. 

>eaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

11 
434 
141 
126 

107 
52 

2 
61 
3 
4 

10 

198 
139 
178 
103 
30 
2 

1 
19 
2 
1 

3 

139 
95 
189 
74 
35 
3 
19 
815 
70 
90 
9 
9 
2 
7 

24 
1,064 

o~o 
£86 
436 

3 

146 
5 
14 

35 
50 
23 

10 

109 
25 
42 
80 
44 
9 
1 
309 
10 
72 

16 

149 
78 
c.8 
35 
70 
16 
3 
582 
20 
114 
9 
6 
12 

24 

16 

1 

2 

6 

37 
13 
3 
1 
147 

244 

20 
5 
1,039 
35 
370 
3 
10 
19 
26 
1 
81 
2 
91 
22 

20 
24 
11 
1 

53 
29 
3,696 
164 
908 
54 
40 
35 
208 
3 
370 
339 
495 
264 

115 
160 
69 
8 
1 

1 

1 

3 

5 

804 
27 
236 
33 
7 
1 
10 
2 
36 
21 

2 
1 

2 

4 
3 

26 

2 

5 

1 

3 

1 
29 

1 
4 

4 

3 

1 

126 

3 

1 

10 

24 
58 
18 
6 

11 
24 
1 

116 
226 

70 
30 
85 

43 
2 

200 

16 
14 

10 
8 
19 

1 
1 

85 
56 

25 

1 

1 

60 

19 
21 

8 
2 

1 

1 

106 

30 
49 
14 
2 

1 

34 
16 
3 

3 

2 
5 

2 

1 

1 

1 
3 

4 

2 

70 
99 
4 

1 

8 
6 
10 

8 
561 
452 
5 
5 

71 

68 
8 

8 

1 
1 

6 
167 
96 
1 
1 
1 

1 

1 

43 
43 

82 

102 
54 

1 

97 
100 

1 

60 

3 

1 

1 
1 

5 

1 
9 

19 
7 

1 

oo 

15 

7 

11 

12 
1 

1 

13 
16 

2 

9 

2 

2 

1 

3 

10 
1 

1 

2 

1 

3 

2cr. 

715 

17 

1,318 

21 

1,608 

29 

2,950 

84 

2,290 

27 

2,226 

28 

11,107 

50 


TABLE  IX.— DEPARTMENT  OF  NORTH  CAROLINA— Continued. 


1861. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOIJEK.           NOVEMBER. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS    IV.—  LOCAL    DISEASES. 
ORDER  I.  —  Diseases  of  J^ervous  System. 

f  Tl       * 

.    ^  s  ag 

ORDER  II.  —  Diseases  of  Eye. 

•w   ftMh 

^          •                    -h-    n 

OKDEK  III.  —  Diseases  of  Ear. 

'    "  ai  ma 

' 

ORDEU  IV.  —  Diseases  of  Organs  of  Circulation. 

t  H 

f  E            d' 

. 

68    Inflam  mation  of  Veins 

. 

ORDER  Y.  —  Diseases  of  Respiratory  Organs. 

78    Dropsy  of  Chest  

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
83.  Abdominul  Dropsy  

84    Cholera  Morbus  

85.  Colic  

DURING   THE    YEAR    ENDING   JUNE   30,  1802. 


51 


TABLE  IX.— DEPARTMENT  OF  NORTH  CAROLINA— Continued. 


1801. 

1863. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

8,  996. 

11,  012. 

10,  549. 

18,172. 

17,  941. 

16,  649. 

14,  680. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths 

Cases. 

Deaths. 

Cases. 

Deaths. 

41 
42 
43 
44 
45 
4G 
47 
48 
49 
50 
51 

53 
54 
55 
56 
57 
58 

59 
60 
61 
62 
63 

64 
65 
66 
67 
68 
69 
70 
71 

72 
73 
74 
75 
70 
77 
78 
79 
80 
81 
82 

83 
84 
85 
80 

87 

715 

17 

1,318 

1,608 

29 

2,950 

84 

2,290 

27 

2,226 

28 

11,107 

200 

15 

6 

34 

38 
1 
4 

L 

19 
o 

3 
1 
4 

48 

100 
4 
24 
4 
20 
5 
3 
127 
131 
7 
36 

1 
2 
6 
1 
116 
18 

39 
26 
43 
20 

1 
6 

1 

a 

2 

3 

6 
3 

4 

1° 

2 
1 

4 
1 

3 
1 

7 
26 

3 

3 

2 
22 
18 

1 
14 

20 
21 
1 
6 

32 

26 
23 
2 

20 
32 

11 
1 
5 



2 
4 

7 

1 

1 

i 

0 

2 

2 

2 

1 

11 

18 
3 

8 

29 

20 

7 

19 
1 

5 

6 
12 
6 

19 
4 

8 
4 

3 

8 

5 
3 
1 
1 

2 

11 
19 
6 
3 

4 

5 

1 
1 

6 
3 

9 

0 

1 
1 
3 

3 

2 

9 
1 
34 
24 
39 

23 

1 
2 
1 
5 
13 

1 

i 

2 

0 

4 
4 
1 

1 
311 

22 
383 

16 

4 
14 

3 

77 

9 
1 
6 

10 

53 
10 
85 

2 
2 

1 

108 
1 
288 

1 

15 

3 

183 

280 

102 

1 

924 
89 
1,542 
3 

30 

i 

o 

11 
331 

1 

1 

175 
1 
8 

1 
3 

1 

8 

1 

1 

9 

1 

1 

4 
8 
43 
14 

39 
8 
24 
1 

10 

2L 
35 

1 

1 

16 
17 
25 
23 

1 

28 

9 

21 
16 
14 

78 
03 
150 
71 

1 
124 

1 
2 

19 
o 

1 
1 
1 

1 

18 
7 
18 

8 
1 

4 

4 

10 
17 

87 

56 

30 
55 
144 
35 

13 
24 
11 

28 

39 

75 
136 

8 

227 
554 
109 

47 
11 

110 
22 

oo 



1,  324 

30 

2,170 

26 

2,  631 

35 

3,947 

90 

3,086 

30 

2,687 

30 

10,  045 

211 

52 


SICKNESS   AND   MORTALITY    OF   WHITE    TROOPS 


TABLE  IX.— DEPARTMENT  OF  NORTH  CAROLINA— Concluded. 


1861. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1 

ORDER  VI.  —  Diseases  of  Digestive  Organs  —  Continued. 

' 

go    piles                                                                        

'                      f 

'  ,.  r°?1C 

101.  Other  Diseases  of  this  Order  

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 
102.  Stone  and  Gravel  

103    Inflammation  of  Bladder  

104    Diabetes     

107.  Inflammation  of  Kidneys  

108.  llydroccle  and  Hasmatocele  

1C9.  Sarcocele  

110.  .Non-Syphilitic  Ulcer  of  Penis  

111.  Other  Diseases  of  this  Order  

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 
112.  Anchylosis  

113.  Exostosis  

114.  White  Swelling  

115.  Nncrosis  

ORDER  IX.  —  Diseases  of  Integumentary  System. 
116.  Abscess  

117.  Carbuncle  

118.  Whitlow  

119.  Boil  

120.  Skin  Diseases  

121.  Ulcers  

122.  Other  Diseases  of  this  Order  

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 
123.  Burns  

124.  Concussion  of  Brain  

125.  Compression  of  Brain  

126'.  Contusion  

127.  Fracture  

128.  Dislocation  

129.  Sprain  

131.  Contused  and  Lacerated  Wounds  

132.  Punctured  Wounds  

133    Gunshot  Wounds 

134.  Poisoning  

135    Suicide             .                 ... 

130.  Others  of  this  Class  

137    U\CL  YSSIFIED  DlSE\SES 

Total 

DUKING    THE    YEAR   ENDING    JUNE    30,  1862. 


53 


TABLE  IX.— DEPARTMENT  OF  NORTH  CAROLINA— Concluded. 


1801. 

1862. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNK. 

TOTAL. 

8,  990. 

11,  012. 

1C,  549. 

18,  172. 

17,  941. 

1G,  G49. 

14,  S8G. 

88 
8!) 
90 
91 
92 
93 
94 
95 
00 
97 
98 
99 
100 
101 

102 
103 
104 
105 
100 
107 
108 
109 
110 
111 

112 
113 

114 

115 

11C 
117 
118 
119 
120 
121 

123 
124 
125 
12(i 
127 
128 
129 
130 
131 
132 
133 
134 
135 
130 

137 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.  |  Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

De.-ilhs. 

1,  021 

30 

2,170 

1 

4 
o 

20 
1 

2,631 

35 

3,947 

90 

3,  C80 

GO 

2,837 

3 

49 
1 

CO 

16,045 

11 
11 

241 
1 

2 
1 
1 
25 

4 
o 

32 

1 

7 
2 

150 
CO 
8 
70 
ISO 

1 
40 
10 

0 

4 

12 

37 
20 
4 
15 

32 

4 

26 

o 

3 

n 

11 
11 
1 

1 

O'j 

16 
79 
1 
1 
0 

Of) 

3 

47 
o 

35 
3 
1 

1 
1 

8 
5 

7 
£88 

|i 

1 

1 

1 
1 
C3 

29 

1 

1 

4 

44 

9 

61 

20 

67 
37 

°4 

1 

48 

97 

240 

1 

1 

1 
1 

1 

n 

4 
3 

7 

1 

1C 
0 
5 
43 
11 
13 
3 

1 
1 
9 

2 

0 

5 
3 

10 
1 

G 
0 
9 

8 

1 
3 
1 

1 
1 

1 

0 

Z 

7 

10 

1 
3 
o 

4 

- 

30 

1 
3 
3 
3 

]00 

1 



0 

] 

11 
1 
1 
2 
10 
5 
3 

2 

12 

22 

2G 

28 

3 

4 
1 
10 
33 
13 

3 

0 
7 
10 

13     ... 

30 
16 

47 
141 
89 
47 

10 
0 

0 

4 
32 

16 

20 
13 

]3 

18 
11 

8 
4 

3 

1 

"0 

o 

17 

10 

4 
5 

5 

13 

o 

7 
2 

2° 

10 
4 
1 
C 
12 

9 
4 
4 
6 
12 

15 

4 
8 

°7 

70 
19 
J2 
C4 

0 

1 
15 

2 
°1 

8 
14 
24 
1 
77 
1 

7 
11 
3 
3 

9 

104 
3 

299 

81 
177 
07 

5 

]7 
10 
130 

7 
3 

14 
7 
22 

5 

16 
1 

86 

25 

18 

2 

8 

555 
3 

Io7 
1 

10 
17 

0 

10 
17 

0 
15 

11 
15 

10 

19 

20 

20 

28 

91 
121 

o 

1 

38 

8 

M 

fi 

1,510 

33 

2,511 

51 

3,391 

132 

4,  545 

118    j  3,582 

41 

3,  518 

44       1     19,  OG4 

419 

SICKNESS   AND   MORTALITY    OF   WHITE    TROOPS 


TABLE  X. 

Abstract  of  the  Sickness  and  Mortality 


YE  \R                 .                    

1801. 

MONTH                                        

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH                   

532. 

555. 

576. 

13,  374. 

13,  225. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS   1.—  ZYMOTIC    DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

5 
32 

174 
199 
39 
123 

0      yp     S   _? 

1 

0 

1 

227 
220 
83 
Cl 

10 
1 
3 

o                   -i        •              T?" 

1 
4 
18 
9 

3 

5 
21 
5 

1 
13 

'       B      .    6 

.    <<.  lOt      10 

14 

827 

7 

35 

805 
2G 

14 

13 

1 
37 

5 
1 

18 

'                 . 

10 
140 
2 
3 
9 
172 

'     a  ° 

11 

1 

138 
3 
9 

•-O 

337 

2 

•    r>        t^ 

'                   J           7 

1 
3 
1 

S^8]/6           d  V     '  1  'd 

'      ma     P° 

8 
19 
99 
67 

33 

70 
11 

10 
110 
181 

77 

P 

1!).  Debility  

7 

4 
1 

5 

ORDER  II.  —  Enthetic  Diseases. 
21    Syphilis                                                                      

1 
2 

1 
1 

o 

24 
3 
1 

25    Serpent  Bite                            -         

ORDER  III.—  Dietic  Diseases. 

1 
1 
6 

e 

1 

1 

3 
4 

o 

6 

1 

7 

1 

CLASS   11.—  CONSTITUTIONAL    DISEASES. 

ORDER  I.  —  Diathetic  Diseases. 
30    Gout                                                                

3 
4 

4 

14 
3 

IOC 
59 
7 

143 
101 
12 

. 

A 

1 

'  c°                 P  y 

3 

4 

o 

9 

6 
3 

4 

ORDER  II.  —  Tubercular  Diseases. 

13 
1 

1 

1 

CLASS  III.  —  PARASITIC    DISEASES. 

109 

1 

81 

81 

2 

2,260 

11 

2,694 

38 

DURING   THE    YEAR   ENDING   JUNE   30,  1802. 


55 


TABLE  X. 

of  the  Department  of  the  South. 


1801. 

1803. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE.                    TOTAL. 

17,  DIG. 

18,  571. 

1C,  288. 

17,  821. 

21,  242. 

16,  230. 

16,  336. 

12,  647. 

1 

o 

3 

4 
5 
6 
7 
8 
9 
10 
11 

13 
14 
15 
1C 

17 
18 
19 
20 

00 

23 

04 

26 

27 
28 
29 

30 
31 
32 
33 
34 
35 
36 
37 

38 
39 

40 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths 

Cases. 

Deaths. 

1 
112 
72 

0 

93 
45 

1 
10 

8 

758 
fc96 
1,750 
1,048 
970 
50 

1 
112 
o 

10 

83 
109 
214 
129 
95 
3 
58 
CSC 
1C 
218 
o 

31 

38 
2C4 

17 

14 

57 
1 
147 
84 
C7 
1 
27 
443 
12 
135 
6 
5 

5 

132 
142 

8 

99 
CO 
244 
142 

26 

125 
go 

20 

192 
179 
105 
20 
33 
594 
19 
134 
19 
5 

1 

183 
51 
93 
9 
3 
468 
"0 

1 

211 
144 
95 
7 
10 
916 
39 
321 

C 

0 

! 

28 

1 

130 
145 

4 

20C 

109 

o 

0 

10 
5 
937 
97 
353 
51 
C 

23 

15 

10 

1 

2 

24 
1,  050 
193 
271 
41 
10 

G 

209 
6,712 
434 
1,959 
130 
84 
137 

1 
301 

78 
1 
9 
18 
9 
3 
21 
4 

1 
2 
5 

1 
1 
3 

2 
1 

4 
5 
1 

1 

1 
o 

1 

173 
4 
9 
44 
21 

1 
1 

1 
8 

5 

10 
103 

3 

2 

21 

1 

20 
149 
190 
91 

14 

21 
8 
2 

9G 
102 

C2 

56 
33 
249 

84 

2G 

14 
30 
210 

7 
33 

206 
21 

73 

162 

71 
2°8 

626 

133 
05 

1 

1,694 
533 

159 
245 
84 

18 
2 

1 
1 

51 

13 

25 

1 

45 

31 

14 
9 
2 
5 

14 

20 

23 

8 
19 
7 
1 

28 

24 

! 

29 

1 

12 

7 
4 

1 

5 
4 

1 

2 

13 

18 
1 
3 

1 

97 
159 
6 

20 

55 
10 
38 

9 
1  259 

3 

1 
1 

1 
1 

1 

1 

1 
1 

8 

C9 
C3 

4 

1 

o 

243 
134 
16 
3 

216 

130 
158 
3 
4 

130 

156 
4 

104 
173 
C 
3 

231 

1,  241 

71 
21 
2 

30 
255 

172 
12 

18 

3 

1 

1 

17 
3 

1 

G 
1 

C 
1 

1 
3 

1 

1 
1 
114 

1C 
1 

4 

5 
22 

15 
1 

1 
11 

18 

7 
8 

22 

2 
3 

30 
1 

I 

27 
o 

o 

o 

5 

0 

4 

16 

o 

4 

2,830 

49 

2,  5C4 

38 

1,761 

23 

2,037 

27 

2,879 

23 

2,859 

38 

2,761 

47 

22,  922 

597 

56 


SICKNESS   AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  X.— DEPARTMENT  OF  THE  SOUTH— Continued. 


YEAR 

1801. 

MOXTII  

JULY. 

AUGUST. 

SErTEMUER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

532. 

555. 

576. 

13,  374. 

13  °°5 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

109 

1 

81 

81 

2,260 

11 

2,  C94 

38 

CLASS    IV.  —  LOCAL    DISEASES. 

ORDER  I.  —  Diseases  of  J\'ervous  System. 

•  4 

°7 

30 
o 

1 
1 

o 

°1 

1° 

9 
1 
o 

4 
10 
30 

1 
9 

1 
3 

2 
1 

37 
CO 

1 

1 

25 

ORDER  II.  —  Diseases  of  Eye. 

1 
1 
1 
21 

1 

1 
2 
1 

1 

o 

21 

58    Other  Diseases  of  this  Order 

1 

o 

ORDER  III.  —  Diseases  of  Ear. 

5 

8 
6 
8 
1 

3 

1 

1 

G 

61    Otorrhoea 

1 

63    Other  Diseases  of  this  Order 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

3 
o 

3 
1 

o 

1 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
72    Asthma 

3 

111 
14 
140 
3 
3 

1 

1 
1 
4 

474 

37 
268 

2 

2 
6 

75   Catarrh                           -       .   .           

5 

1 

7 

8 
18 
1G 
4 

21 
21 

2 

1 

8 

7 

OHDER  VI.  —  Diseases  of  Digestive  Organs. 
83    Abdominal  Dror>sy  

84.  Cholera  Morbus  

1 

56 

117 

37 

82 
161 
19 

85    Colic                                 

1 
23 
5 

15 

13 

4 

4 

<51 

139 

o 

126 

118 

2 

3,221 

13 

4,086 

52 

DURING   THE    YEAR    ENDING   JUNE    30,   13G2. 


57 


TABLE  X.— DEPARTMENT  OF  THE  SOUTH— Continued. 


1801. 

1803. 

DECEMBER. 

JANUARY. 

FEliUUAUY. 

MAUCII. 

Al'UIL. 

MAY. 

JUNE. 

TOTAL. 

17,  016. 

18,  571. 

16,  288. 

17,  821. 

21  242. 

16,  230. 

16,  33o. 

12.C47. 

Cases. 

Deaths. 

Cases. 

Deaths. 
38 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

~ 

2 

Cuses. 

Deaths. 

41 
42 
43 
44 
45 

4:; 

47 
48 
4J 
50 
51 
52 

53 
54 
55 

50 
57 
58 

59 
CO 
Cl 
62 
C3 

G4 
65 

er> 

C7 
68 
69 
70 
71 

73 
74 
75 

7G 
77 
78 
79 
60 
81 
82 

83 

84 

8r 

80 
67 

2,  8C6 

4D 

2,504 

1,761 

1 
43 

1 

2,037 

1 

51 

0 

7 
4 
3 
3 

8 
44 

1 

2,&79 
1 

O-O 

2,859 

38 

2,701 

2 
79 
5 

22,  922 

5 

639 
10 
69 
8 
44 
5 
16 
333 

297 
4 

119 

84 
1 
5 

75 

1 
1 

1 

1 

4 

2 

5 

5 

9 
1 

11 

3 
1 

2 

7 

3 

1 
1 

°7 

1 

2 

1 

1 
40 
37 

43 
93 

CO 
37 

47 
69 
4 

0 

10 
48 
2 
8 

7 
1 
2 

30 
1 

7 

6 
1 
1 
1 
30 
15 

430 

3 

7 

1 

11 

70 

17 
5 
11 
15 
277 
59 

51 
73 
C5 
16 
2 

3 

6 
19 

1 

4 

5 

3 

1 

3 

1 

1 
1 

1 

1 

3 

1 
34 

0 

13 
9 
10 

1 
1 

3 

40 
13 

3 

1 
4 
3 

5 

2G 

59 
14 

1 
12 

2 

5 
0 

8 
19 
12 

1 
3 
2 

10 
11 
o 

0 

9 
3 

4 
3 

3 

1 

1 
o 

1 

1 
5 

1 

3 
3 
1 

„ 

1 
1 

1 

5 

1 

4 

1 

4 
6 

12 

538 
77 
778 

1 

3 

8 
9 

1 

3 

6 
6 

6 

97 
27 

3 
1 

0 

10 
80 
37 

9 

14 
4 
0 

13 

10 
3 
3 

52 

3 

4 

o 

30 
44 

67 
1,761 
266 
3,  469 
9 
56 
1 
110 
173 

1 

2 

8 
03 

1 

321 

27 

70 
12 

45 
17 
179 
1 
10 
1 
12 
13 
9 
4 

o 

3 

15 
103 

784 

44° 

501 

259 

o 

1 
6 

4 

6 

8 

7 

20 
30 
30 
6 

1 

22 

o 

21 

7 
10 
19 
14 

1 

]0 

9 
19 
26 
9 

1 

3 
10 
10 
3 

6 

6 

25 
1 

1 
24 
5" 

4 
1 

37 
19 

3 
o 

2 

1 
1 

203 
68 

6 
373 
679 
1  °°7 

24 
7 

3 

37 
103 

278 
47 

2 

4° 

63 

65 
115 

1 

3 

50 

53 

fi4 

°09 

179 
38 

198 
23 

235 
23 

167 
14 

30 

40 

304      

5,  172 

60 

4,365 

47 

2,947 

30 

3,243 

32 

4,012 

26 

3,801 

39 

3,550 

5T>          34,  780             358 

1 

58 


SICKNESS    AND   MORTALITY    OF   WHITE    TROOPS 


TABLE  X.— DEPARTMENT  OF  THE  SOUTH— Concluded. 


1861. 

MONTH                          

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

K^O 
«)<)*.. 

555. 

57G. 

13,  374. 

13,225. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1G9 

0 

126 

118 

o 

3,221 

13 

4,C86 
1C 

52 

OUDEU  VI.  —  Diseases  of  Digestive  Organs  —  Continued. 

14 

1 
35 

1 

27 
1 
3 
11 
8 

1 

1 

3 

fU  '      i  C      °-     T  'fl                  '           f  T  '  • 

2 

'     '      '  ir0m°     D    llmma  10n° 

1 
1 

14 

15 

17    P     1             A    ' 

1 

11       f         f  P     't 

1 

o<)'  "  amma  !m  °  ., 

l 

32 

53 
9 

1 

2 

8 

1 
1 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

1 

104    Diabetes                          

1 

o 

3 
14 
1 

10 
12 

110    Non-Syphilitio  Ulcer  of  Penis             

1 

7 

1 
4 

1 

OBDEK  VIII.  —  Diseases  of  Bones  and  Joints. 

11 

114.  White  S  wellino-           

1 

23 

1 

33 
16 
3 

23 

ORDER  IX.  —  Diseases  of  Integumentary  System. 

7 

3 

7 

13 
3 

94 

118.  Whitlow  

4 
16 

14 
9 

1 

7 
4 

4 

20 

119.  Boil                                 

120    Skin  Diseases                                  

G 
7 
31 

on    • 

16 
18 
7 

5 

121.  Ulcers     

21 

122    Other  Diseases  of  this  Order  

13 

12 

8 

CLASS    V.—  WOUNDS,   ACCIDENTS,   AND 
INJURIES. 
123    Burns                          

1 

124.  Concussion  of  Brain  

125.  Compression  of  Brain  

5 

•1 

1 

7 

31 
o 

30 
1 
1 
9 

00 

127    Fracture     

128.  Dislocation  

1 
13 

17 

129.  Sprain  

3 
1 

3 

1 
12 

o 

130.  Incised  Wounds   

3 

9 

131.  Contused  and  Lacerated  Wounds  

on 

132.  Punctured  Wounds  

1 

o 

4 
3 

133.  G  unshot  Wounds  

5 

1 

134.  Poisoning  

135.  Suicide  

136.  Others  of  this  Class  

-j 

8 

o 

G 

1 
1 

14 
9 

1 

137.  UNCLASSIFIED  DISEASES  

9 

8 

Total  

188 

22G            2      ,  3,613 

22 

4,481 

5f> 

DURING    THE    YEAR    ENDING    JUNE    30,  1862. 


59 


TABLE  X.— DEPARTMENT  OF  THE  SOUTH— Concluded 


1861. 

1862. 

— 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

17,016. 

18,  571. 

16,  288. 

17,  821. 

21,  242. 

16,  230. 

16,  3CC.                       12,  647. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths.       Cases. 

Deaths. 

88 
89 
90 
91 
92 
93 
94 
95 
96 
97 
98 
99 
100 
101 

102 
103 
104 
105 
106 
107 
108 
109 
110 
111 

112 
113 
114 
115 

116 
117 
118 
119 
120 
121 
122 

124 
125 
126 
127 
128 
129 
130 
131 
132 
133 
134 
135 
136 

137 

5,172 

3 

47 
3 
1 
44 
6 
7 
19 
17 
1 

GO 
1 

4,365 

0 

7 
5 

47 
1 

2,947 

30 

3,243 

1 
2 

7 

32 

4,012 

2 
7 
5 

26 

1 

1 

3,801 

C 
1C 
4 

39 
2 

3,550 

8 
17 
3 
1 
31 
44 

55 

j    34,780 

24 
143 

£8 

358 

7 
1 

17 
1 

25 

5 
291 

37 
11 

07 

33 
10 
19 
23 

28 

1 

14 
1 
19 

3 

4 
19 
40 

116 
o 

2C5 

CO 
185 

1 
1 

1 

3° 

00 

oo 

64 
1 
2 

78 
1 
o 

1C5 
1 
1 
6 

1 
2 

G 
13 
G 
SCO 
186 

3 
14 

0 

9 

57 

o 

3 

1 

1 

1 

1 

4 

69 
44 

121 

76 
40 

1 
1 

72 

62 

50 
9 

1 

24 

15 

1 
1 

1 

1 

1 

2 

3 

2 

4 

1 

1 

1 
13 
7 

8 
11 
4 
3 

_ 

1 
o 

8 
3 
7 
1 

3 

4 
1 
1 

3 

4 

50 
26 



8 

1 
1 
o 

1 

1 
1 

3 
o 

4 

8 
38 

C, 
17 
9 
11 

559 
G3 
78 
306 
239 

2 
4 

1 
4 

1 

1 
5 

7 

2 
1 
1 
1 

79 

3 

1 

1 

1 

0 

1 
1 

48 
1 
11 
16 
18 

7 
1 

36 



1 

79 
14 
10 
26 

4 

76 
4 
14 
3G 
50 
29 

1 
73 

90 



1 
4 
18 
3'' 



9 
9 

50 

9 
38 
19 
25 
11 

2 
1 

6 
3° 

... 

10 

41 
36 
13 

6 

9 
73 
6 

36 
22 

4 

317 
174 

14 
3 

21 

4 

25 
3 
3 

297 

2 
o 

1 

46 
5 
3 
18 
44 
45 
14 
57 

32 

2 

20 
31 
27 
9 
8 
8 

0~ 

36 
7 
1 
11 
°3 

31 
6 

14 
21 

3 

10 

8 

4 

22 
114 
251 

11 
33 

7 
oo 

42 

1 

12 

6 

9 

28 
19 

1 

38 
5 
23 

95 

362 
185 

a 

133 
108 

0 

1 

22 
2 

3 

1 

3 

1C 

1 

46 

250 
12 

78 
3 
1 
8 

27 

1 
4 

15 

63 

i 

6 

1 
2 

14 
8 

18 
41 

3 

21 

1 
32 

1 
20 

118 
231 

20 

o 

5,  872 

66 

5,  029 

52 

3,  451 

34 

3,  7G4 

41 

4,817 

52 

4,563 

43 

4,602 

124 

40,  845 

494 

60 


SICKNESS    AND   MORTALITY    OF    WHITE    TEOOPS 


TABLE  XL 

Abstract  of  the  Mortality  in  the  General 


YEAR..            .                                                

1861. 

MONTH 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

UNDER  TREATMENT  AT  CLOSE  OF  MONTH  

1,  44G. 

l,  G(i7. 

1,  290. 

1,  034. 

2,  002. 

LIST  OF  DISEASES. 

j 
Cases.  :  Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS    1.—  ZYMOTIC    DISEASES. 
ORDER  I.  —  Miasmatic  Diseases. 
1.  Typhus  Fever  

1 
44 
1 

7 

1 

71 

84 

13 

97 
1 
8 

0 

15 

3 

5.  Quotidian  Intermittent  Fever  

(i.  Tertian  Intermittent  Fever  

o 

1 
4 
1 
1 
1 
2 

8.  Congestive  Intermittent  Fever  

1 

o 

5 

1 

1 
1 

1 
1 

11.  Acute  Dysentery  

2 

g 

1 

13.  Ervsipelas  

14.  Small-pox  and  Varioloid  

4 
3 

3 
1 

7 
3 

9 

6 



16.  Scarlet  Fever  

17.  Mumps  

1 

18.  Epidemic  Catarrh  

19    Debility    

1 

1 

20.  Other  Diseases  of  this  Order  

1 

ORDEII  II.  —  Enthetic  Diseases. 
21.  Syphilis  

23.  Orchitis  

i  

24.  Stricture  of  the  Urethra  

i 

25.  Serpent  Bite  

2C.  Other  Diseases  of  this  Order  

ORDER  III.—  Dietic  Diseases. 
27.  Scurvy  

28.  Delirium  Tremens  

0 

1 

29.  Inebriation  

CLASS    II.—  CONSTITUTIONAL    DISEASES. 

ORDER  I.  —  Diathetic  Diseases. 
30.  G  out  

31.  Acute  Rheumatism  

32.  Chronic  Rheumatism  

33.  Anaemia  

34.  General  Dropsy  

35.  Cancer  

36.  Tumors  

37.  Other  Diseases  of  this  Order  

1 
4 

ORDER  II.  —  Tubercular  Diseases. 
38.  Consumption  

3 

3 

o 

10 

39.  Scrofula  

CLASS    III.  —  PARASITIC    DISEASES. 
40.  Worms  

' 

Carried  forward  

31 

73 

107 

124 

131 

DURING    THE    YEAR   ENDING    JUNE   30,  1BC2. 


61 


TABLE  XI. 

Hospitals  of  the  Atlantic  Region . 


1861. 

1869. 

DECEMBER.               JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JlTXTS. 

TOTAL. 

2,  177.                          2,  836. 

3,  937. 

7,  127. 

6,  870. 

9,  C81. 

10,397.                       4,285. 

Cases. 

Deaths. 

Cases. 

Deaths 

Cases. 

Deaths. 

Cases. 

Deaths.     Cases. 

i 
Deaths. 

Cases. 

Deaths 

Cases. 

Deaths.       Cases. 

Deaths. 

1 

3 

4 
5 
C 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 

SI 

«.3 

24 

2G 

£8 
29 

30 
31 
32 
33 
34 
35 
36 
37 

38 
39 

-10 

1 
83 

10 
1,  217 

84 

G8 

44 

98 

102 

244 

209 

3 
C 

6 

6 

4 

7 

3 

17 



1 

3 
3 
10 
23 
23 
23 
9 
5 
ICO 
Co 
1 
2 
2 
19 
8 

I 

2 

1 

4 
2 
6 
6 

| 

2 
4 
3 

6 
5 

1 

3 

4 

1 

2 
1 

2C 

2 

o 

1 
19 
3 
1 

1 
13 
2 

22 

20 

7 

"1 

9 

9 

12 

10 

1 

o 

I 

3 

1 

r 

3 

1 

3 
1 

1 
1 

1 

4 

1 

1 

1 
1 

6 
3 

1 

1 

1 

t 

1 

1 
4 

1 

1 

1 

3 

2 

1 

7 

1 

118 

c 

7 

6 

19 

18 

35 

1 

1^6 

120 

88 

178 

218 

209      . 

275 

! 

1,819 

i 

! 

1 

62 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  XL— GENERAL  HOSPITALS  OF  THE  ATLANTIC  REGION— Continued. 


YEAR  

1801 

JULY. 

AUGUST. 

SEl'TEJIBEU. 

OCTOBER. 

NOVEMBER. 

1,446. 

l,CG7. 

1,  290. 

1,  634. 

2,  062. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

31 

73 

107 

124 

131 

CLASS    IV.  -LOCAL    DISEASES. 
ORDER  I.—  Diseases  of  Nervous  System. 

2 

41.  Apoplexy  

42.  Headache  

43.  Inflammation  of  Brain  

1 
1 

1 

1 

1 

1 

2 

3 

1 

2 

1 

1 

ORDER  II.  —  Diseases  of  Eye. 

| 

ORDER  III.—  Diseases  of  Ear. 

i  .    n  amma  on  o 

ro 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

1 

motion  of  Tenc-mlmm 

1 

2 

69*  V  Hcocele 

V     ' 

71     Oth      TV                f  tl  '    O    1 

1 

1 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
7°    Asthma 

1 

1 

1 

1 

2 

3 

o 

o 

1 
1 

9 
1 

10 
1 

3 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 

1 

85.  Colic         

87.  Dyspepsia  

39 

85 

115 

143 

148 

DURING    THE    YEAR    ENDING    JUNE    30,   18(52. 


TABLE  XI.— GENERAL  HOSPITALS  OF  THE  ATLANTIC  REGION— Continued. 


1861. 

1863. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

0,  177. 

2,  836. 

3,  937. 

7,  127. 

0,  870. 

9,  981. 

10,  397. 

4,  285. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

41 
42 
43 

-11 
45 
4G 
47 
48 
49 
50 
51 
52 

53 
54 

.".-.  / 
56 
57 
58 

59 
60 
61 
62 
63 

64 
65 

66 

tr, 
>•• 
69 
70 
71 

73 

74 
75 
76 
77 
78 
79 
80 
81 
83 

83 

81 
80 

80 
87 

13G 

129 

£8 

178 
1 

2-18 

299 

tVfK 

1,819 
9 

3 

1 

2 

1 
1 

0 

3 
1 

1 
1 

1 

2 

9 
8 
3 
o 

20 

1 

2 

1 
5 

1 
2 

1 

1 

1 

7 

2 

1 

1 
4 

G 
7 

1 

1 

1 
3 

1 
5 
2 

8 

1 

2 

1 

3 

1 

1 

1 

II         "" 

1" 

3 

1 
4 

2 

1 

5 

11 

1 
oo 

15 

2 

3 

1 

5 
4 

1 
2 

6 

li  

1 

1 
4 

1 

3 

3 
3 
oo 

3 

0 

o 

1* 

12 
230 
33 

6 

0 

1 
38 
6 

3 

4 
43 
8 

1 
15 

30 

oo 

41 
3 

o 

n 

3 

0 

1 

1 
1 

: 



170 

184 

127 

2G7 

324 

337 

322 

2,201 

G4 


SICKNESS   AND   MORTALITY    OF    WHITE   TROOPS 


TABLE  XL— GENERAL  HOSPITALS  OF  THE  ATLANTIC  REGION— Concluded. 


1861- 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

1,  446. 

1,  667. 

1,  290. 

1,  634. 

2,  062. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

>eaths. 

1 
Cases. 

deaths. 

Cases,  j  Deaths. 

Br  n  ht  forward 

39 
1 

85 

1 
1 

115 

143 
2 

148 

ORDER  VI.  —  Diseases  of  Digestive  Organs  —  Continued. 

1 

1 

go    piles                                                        

0 

2 

2 

1 

1 

1 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

103   Inflammation  of  Bladder  

104    Diabetes     

1 

108    Ilydrocelo  and  Haimatocele  

110    Non-Syphilitic  Ulcer  of  Penis  

1 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

114.  White  Swelling  

ORDER  IX.  —  Diseases  of  Integumentary  System. 

118.  Whitlow  

119    Boil       

120.  Skin  Diseases  

121.  Ulcers  

122.  Other  Diseases  of  this  Order  

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 
123.  Burns  

124.  Concussion  of  Brain  

125.  Compression  of  Brain  

1 

126.  Contusion  

1 
1 

127.  Fracture  

1 

1 

2 

3 

128.  Dislocation  

129.  Sprain  

130.  Incised  Wounds  

131.  Contused  and  Lacerated  Wounds  

2 

1 
C 

1 

1 

132.  Punctured  Wounds  

1 
9 

133.  Gunshot  Wounds  

G 
1 

6 

3 

134.  Poisoning  

135.  Suicide  .-.  

1 

136.  Others  of  this  Class  

137.  UNCLASSIFIED  DISEASES  

1 

Total  

50 

102 

130 

157 

158 

DURING    THE    YEAR   ENDING   JUNE    30,  1862. 


G5 


TABLE  XI.— GENERAL  HOSPITALS  OF  THE  ATLANTIC  REGION— Concluded. 


1801. 

18GJ2. 

DECEMBER. 

JAXUAUY. 

FEBUUAUY. 

MAUCII. 

APIUU 

MAT. 

JiiSE.                    TOTAL. 

2,  177. 

2,  836. 

3,  937. 

7,  127. 

6,  870. 

P,  981. 

:0,307. 

4,  285. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

127 

Cases,  i  Deaths. 

Cases. 

Deaths. 
324 

Coses. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

88 
89 
90 
91 
92 
93 
94 
95 
96 
97 
98 
99 
100 
101 

102 
103 
104 
105 
10G 
107 
108 
109 
110 
111 

112 
113 
114 
115 

116 
117 
118 
119 
120 
121 
122 

123 
124 
125 
126 
127 
128 
129 
130 
131 
132 
133 
134 
135 
136 

137 

170 

184 

3 
1 

267 

337 

322 

2,261 

11 
4 

1 

1 

1 

1 

1 

1 

1 
1 
3 

1 

1 

2 

1 

i 

1 

2 

1 

2 

12 

1 

7 

5 

2 

1 

o 
1 
1 

1 
4 

1 

1 
1 

1 

1 

1 

1 

1 

1 

5 

1 

1 

1 

1 

0 

1 

1 
1 
1 

1 

1 
3 

4 
4 

22 

1 
1 

3 

3 

1 

o 

2 

1 
1 

1 

0 

1 
1 
27') 

11 
5 
4G9 
1 
3 
5 

71 

1 
17 

0 

2 

12 

127 

1 
1 

44 

3')9 

1 
3 

20 

1 

0 

1 

2 

1 

619 

179 

199 

133 

293 

497 

2,916 

1 

6G 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  XII. 

Abstract  of  the  Sickness  and  Mortality 


YEAK  

1861. 

MONTH 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH   (not  including  Table  ^i'l) 

34,  521. 

78,  089. 

114,  998. 

163,  192. 

191,  883. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

D3aths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS  1.—  ZYMOTIC    DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

7 
74 
118 
98 
138 
176 

1 

300 
355 

773 

1 

77 

0 

10 

54 
614 
483 
1,  824 
2  379 

3 

124 
3 
16 

48 
1,117 
760 
2,  616 
3,  067 
o  173 

6 
179 
3 
14 
1 

45 
1,703 
1,010 
2,  623 
2,  307 
1  44*5 

7 
250 
o 

19 

17 

o 

1  031 

1  °T° 

2 

6 
33 

111 
41 
7,  702 
248 
977 
81 
80 
5 
597 
3 
160 
92 

112 
107 
6,  t;34 
3G1 
1,  047 
51 
49 
19 
691 
1 
118 
35 

1 
6 
2 

1 
9 
2 

212 
189 

8,  r,8i 

348 

i,  :;85 

92 
98 
36 
900 
2 
125 

321 

1 
1 

o 

3 

1 
4 
4 

4 
1 
11 
3 
1 
7 
5 

191 
7,098 
280 
1,  390 
70 
118 
59 
1,  654 
8 
190 
fSJ 
973 
434 

094 
848 

ir.3 

20 

5,061 
130 

5 

o 

1 

19 
*.8 

540 
23 

o 

48 
24 
318 
o 

3 

8 

3 
1 

17.  Mumps  

98 

1 

1 
301 
104 

225 

454 
883 
4°G 

10.  Debility                                                              

1 

974 
390 

449 

587 

833 
3G3 

544 
811 
114 

1 

1 

5 

1  < 

ORDER  II.  —  Enthetic  Diseases. 
21.  Syphilis  

662 

22.  Gonorrhoea  

281 
49 
5 

877 
136 
13 

23.  Orchitis  

101 
37 

24.  Stricture  of  the  Urethra  

38 

25.  Serpent  Bite  

26.  Other  Diseases  of  this  Order  

ORDER  III.  —  Dietic  Diseases. 
27.  Scurvy  

o 

1° 

24 
48 
29 

2 

8 
32 
36 

7 
1,506 

877 
5f) 

18 
52 

1 
1 

28.  Delirium  Tremons..         

31 

38 

1 
337 

217 

69 

1 
940 
616 
83 

3 

3 

2D.  Inebriation  

1 

CLASS  II.—  CONSTITUTIONAL    DISEASES. 

ORDER  I.  —  Diathetic  Diseases. 
30.  Gout  

3 

0    }(Jg 

31.  Acute  Rheumatism  

1,087 
660 
52 
11 
1 
32 

32.  Chronic  Rheumatism  

1  510 

33.  Anaemia  

3 
6 
1 
10 
93 

30 
7 

47 
15 
1 
34 
11° 

1 

34.  General  Dropsy  

17 
1 
39 

182 

85 
30 

16 

12 

33.  Cancer  

1 

36.  Tumors  

37.  Other  Diseases  of  this  Order  

1 
4 

ICO 

107 
19 

334 

67 

145 
44 

H6 

ORDER  II.  —  Tubercular  Diseases. 
•iH.  Consumption  

3 

6 

7 

152 

49 

50 

19 

39.  Scrofula  

CLASS  III.  —  PARASITIC    DISEASES. 
•10.  Worms  

8,643 

42 

18,  242 

118 

21,  766 

180 

27,  857 

2G8 

28,  556 

394 

DURING    THE    YEAR   ENDING   JUNE    30,  18GS. 


67 


TABLE  XII. 

of  the  Atlantic  Region. 


18G1. 

18G2. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MAUCII. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

214,  903. 

238,  144. 

227,  184. 

215,  479. 

207,  G98. 

195,  399. 

186,  885. 

172,  305. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths 

Cases. 

Deaths. 

1 

3 

4 
5 

<; 

7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
1!) 
20 

*-3 

24 

07 
28 
29 

30 
31 
32 
33 
34 
35 
3G 
37 

38 
3'J 

40 

34 
1,743 
505 

1,  <J93 
1,  565 
1,  097 
59 
322 
4  722 
274 
1,099 
47 
172 
145 
2,  179 
43 
248 
1,315 
1,010 
49G 

7G8 
849 
200 
33 

1 

20 
321 
4 
23 

29 
1.3G4 
584 
1,  349 
948 
C31 
126 

10 

270 

13 

13 

1,023 
590 
1,515 
1,142 

o 
213 
1 
10 

14 

674 
525 
1,  139 
730 

7 
193 
3 
13 

GO 
1,177 
725 
1,  759 
1,371 

12 
301 
6 

12 

30 
1,  115 
688 
3,089 
1  522 

5 
352 
3 
9 

65 

1,  395 
790 
2,  003 
1  273 

5 
330 
3 
31 

4CO 
12,  359 
7,  139 
21,447 
17,417 
13,  387 
1,  524 
1,440 
83,  8C4 
4,575 
10,  874 
1,134 
1,283 
G75 
10,  022 
93 
4,  249 
6,026 
10,  796 
4,340 

0,013 
7  2G5 

78 
2,633 
32 
172 
1 

3 

175 
29 
47 
90 
29 
39 
209 
17° 
7 
2 

2 

37 
12 

3 

580 

600 
116 
41 
5,714 
203 
1,  494 
106 
104 
94 
427 
11 
002 
707 
813 
439 

479 
430 

998 
120 

1 

1,259 

128 

1,  456 
153 
70 
11,314 
1,  114 
2  C>-4 
1C8 
125 

05 
1 

248 
125 

o 
o 
10 
fa 
ll 
15 
2 

54 
144 
3,744 
287 
981 
40 
121 
82 
1,  0.12 
6 
679 
1,366 
587 
282 

533 
592 

29 
4 
4 
9 
3 
2G 
32 
18 

173 

4,  209 
245 
858 
7G 
142 
112 
1,  394 
G 
729 
1,  348 
705 
359 

635 

27 

25 
1 
5 
1 
4 
1 
24 
20 
4 

4 

70 
9,797 
528 
2,421 
74 
123 
48 
510 
3 
660 
319 
891 
360 

378 

22 
2 
10 
10 
2 
o 

29 
7 
2 

53 
9.3C8 
557 
2,358 
^74 
103 
29 
275 
7 
380 

9 
4 
8 
10 

3 

6 
5 

2 

33 

40 

2 

1 
3 
30 
24 

15 
5 

10 

1 
1 

6 
5 

124 

1 

7 

o 
1 

1 

5 
2 

1,091 

200 

31° 

5 
1 

1,733 
415 

334 

470 

2 

1 

2 

703 
173 

477 
129 

334 

109 

154 

119 
oo 

130 

"7 

1  547 

22 

°9 

32 

305 

1 

„ 

1 

4 

9 

10 
40 
30 

5 

1,  792 
1,666 
51 
34 
1 
31 
160 

187 
40 

43 

15 

14 
36 
54 

9 
1,579 
1  229 
42 

1 

1 

27 
20 
70 

4 

1,414 
1,003 
24 
15 

155 
22 
44 

7 
1,535 
1,107 
36 

18 

1 

106 
10 
42 

2 
1,  390 
907 
58 
30 

1 
3 
3 

401 
32 
29 

11 

1,490 
1,  099 
49 
30 
rt 

852 
422 

581 

53 

17,174 
12,  512 

242 
14 
353 
1,  595 

1,  559 
402 

037 

6 
21 
12 

2 
1 

00 
100 

1 

1,938 
1,612 
67 
20 
1 
33 
90 

170 
43 

rr> 

4 
4 

o 

1 

2 

2 

2 

1 
2 

1 

1 
o 

1 
1 

o 

6 
8 

11 

4 
2 

1 
3 

2 

28 

o 

27 

•0 

34 

100 

137 
34 

28 

39 

108 

129 
32 

33 

Pi) 

85 

106 
34 

1°G 

°5° 

1 

229 
3 

19 

25 

27 

153 

40 

10 

38 

1 

31 
o 

27 

98 
24 

29 

23 

! 

25,  027 

526 

21,  210 

408 

18,  871 

351 

18,  621 

339 

26,  364 

400 

20,  494 

4GG 

30,  099 

4G3 

271,  750 

4,  081 

68 


SICKNESS   AND   MORTALITY   OF   WHITE   TROOPS 


TABLE  XII.— ATLANTIC  REGION— Continued. 


YEAH  

1801. 

MONTH      .                             

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEY\  STRENGTH,  (not  'including  Table  *TI)  

34,  521. 

78,  C89. 

114,  998. 

103,  192. 

191,  883. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

8,  G-13 

1 

100 
7 
21 
31 
3 
1 
13 
89 

42 
1 

18,  242 

4 
441 
8 
62 
51 
16 
2 

9 

208 

118 
3 

21,  766 

52° 

180 
1 

27,  857 

19 
388 
3 
G8 
5 
35 

208 
3 

C8,  550 

5 
333 
0 

PG 

394 

2 
1 
1 

CLASS    IV.  —  LOCAL    DISEASES. 

ORDER  I.  —  Diseases,  of  Nervous  System. 

o 

1 

o 

4 
73 
18 
18 
16 
6 
235 
420 

1 

1 

1 

1 

3 

39 
6 
45 

1 
5 

3 

1 

12 

29 
380 
382 

o 

438 
444 
19 

100 

14 

0 

50    Toothache             

104 
7 
37 

371 
11 

76 

4 
6 
11 

1 
I'll 

1 
1 

3 

2 

13 

89 

5 

1 

93 
9 

1 
2 

1 

ORDER  II.  —  Diseases  of  Eye. 

4 
3 

2 
18 
3 
303 
51 

10 
o 

11 
f) 

5G    Ni°'ht  Blindness 

82 

244 

Gl 

108 
118 
85 

37J 

Gl 
IS 

79 

57 

ORDER  III.  —  Diseases  of  Ear. 

132 

52 

80 
66 

9 

96 

ro 

01    Otorrhcea 

^7 

101 
15 
3 

70 
15 
8 

1 
3 
5 
8 
3 
57 

108 
10 
13 

1 
8 
4 
15 
1 

C2    Deafness                                  

3 

8 

1 

o 

8 

7 

3 
6 
9 
9 
3 
08 
38 
21 

C5 

679 

63    Other  Diseases  of  this  Order 

OIIDER  IV.  —  Diseases  of  Organs  of  Circulation. 

1 

9 
1 

7 
1 
40 
39 

1 

1 
o 

1 

1 

2 

1 

30 
17 
1° 

25 
35 

79 
1,  408 
134 
3,289 

39 

1 

~ 

40 

101 
2,653 
1GG 
6,009 
38 
88 
o 

121 
294 
331 

420 

12 

* 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
72.  Asthma       

7 
247 
31 
550 

43 
553 
149 
1  051 

1 

4 

130 

1  602 

10 
18 
1 
30 
G4 
49 
20 

33 
44 

1 
65 
145 
84 
384 

o 

7 

58 

59 

1 
4 
1 
53 
5 

79,  Inflammation  of  Larynx  

1 
3 

7 
2 

1 

37 
130 

1 

88 
200 
208 
278 

3 

294 

o 
1 
10 
3 

3 

8 

184 
477 

1 
335 
578* 
1  61') 

1 
1 

82.  Other  Diseases  of  this  Order  

ORDER  VI.  —  Diseases  of  Digestive  Organs. 

173 
210 
G71 
100 

1 

413 

482 

o 

205 
623 

1 

83.  Colic  

839 

1  150 

1,874 
430 

1  720 

313 

305 

420 

11  G22 

G3 

25,  240 

149 

30,  558 

193 

39,  275 

303 

44,  198 

481 

DURING   THE   YEAR   ENDING   JUNE    30,  18G2. 


69 


TABLE  XH.— ATLANTIC  REGION— Continued. 


18(31. 

18OS. 

« 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

214,  003. 

238,  144. 

227,  184. 

215,  479. 

207,  G'J8. 

195,  399. 

180,  885. 

172,  365. 

41 
42 
43 
44 
45 
46 
47 
48 
49 
50 
51 
52 

53 
54 
55 
56 

57 
08 

59 
CO 
61 
62 
03 

64 
65 
66 

67 
68 
69 
70 
71 

72 
73 
74 
75 

76 

78 
79 
80 
81 
82 

83 
84 

85 
66 

87 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

25,  027 

8 
486 
4 
C8 

526 

7 

21,  210 

15 
474 
14 
104 
3 
29 
17 
20 

4C8 

7 

18,  871 

10 
404 
4 
80 
3 
42 
9 
6 
405 
444 
10 
73 

7 
6 
32 

351 
4 

18,  621 

357 
11 
62 

4 
22 
14 

28 

339 
5 

2G,  364 

6 
510 
7 

rr-f 

1 

30 
17 
10 
417 
450 

400 
4 

26,  494 

6 

427 

406 
4 

30,  099 

11 
5-13 

463 
11 

271,  750 

116 
4,  997 
89 
833 
206 
302 
111 
331 
4,  273 

4,081 

5° 
1 
41 
19 

7 
5 
57 
1 

3 

2 

6 
4 

3 

1 

10 
4 

7 
1 

9 

57 
36 

13 
<iqo 

o 

1 
o 

1 
1 

9 

55 
54 
17 
6 
131 
379 
439 

3 
1 

2G 
9 

_1 

460 
603 
20 

78 

8 
4 
23 
3 

523 
113 

152 

112 

87 

9 

5 

1 

8 

1 
9 

1 
3 

9 

10 

431 
412 
19 
83 

7 
7 
33 
4 
500 
CG 

128 

419 
316 
21 

59 

7 
5 
16 

3 

4°4 

359 

4,750 
195 
919 

94 
52 
197 
CO 
4  159 

1 

0 

1 

1 
6 

10 
42 

3 

0 
8 
6 
431 
69 

70 
80 
85 

12 

10 
19 

1 

86 

13 
3 

1 

103 
15 

o 

5 

14 

18 
307 
40 

62 
46 
40 

00 

18 
0 

5 
493 
80 

116 
99 

64 

86 
42 

55 

790 

1,105 

875 
907 
178 
96 

20 
110 
71 
105 
35 
658 
513 
535 

856 
17,  883 
2,401 
52,  785 
288 
709 
15 
1,605 
2,900 
4,483 
4,002 

77 
2,608 
7,110 
16,  655 
4,  175 

47 
38 
45 

111 

119 
19 
5 

84 
15 

5G 
11 
6 

3 

8 
8 
11 

0 



15 

6 

0 

5 

10 

1 
11 
7 
17 

16 
5 

3 

14 

7 
13 
1 
60 
48 
80 

99 
2,916 
428 
10,  079 
23 
63 

1 
3 

2 

9 
10 
19 

1 

10 
4 
17 

55 
60 
4G 

126 
2,887 
382 
8,  102 
32 
74 

0 

210 
324 

545 
628 

13 
141 

682 
1,  653 
419 

44,  402 

3 

18 
12 
26 
4 
35 

10 
8 
23 
14 
43 
60 
98 

GO 

1,  100 
287 
4  040 

o 

11 
5 
17 
4 
100 
66 
37 

79 
405 
83 
1,382 
38 
65 

o 

4 
3 

2 
3 

1 
2 

1 
1 

4 

2 

4° 

GO 
49 

29 

2 

14 
1 

1 

61 

81 
2,430 
319 
8  185 

2 

38 

54 
1,744 
161 
6  073 

5 

1 
C 
3 

1 

1 
7 
4 

42 

56 
541 
131 
2,041 

5 

o 

23 

4 

48 

0.1 

1 

1 

10 
3 
oo 

40 
602 
88 

8 
12 
o 

9 

6 

1 
5 

6 
1 
1 
1 

6 
61 
1 

326 
371 
864 
454 

8 
86 
416 
1,386 

402 

20 

47 
71 
4 

97 
285 
480 
238 

4 
187 
607 
1,399 
399 

16 
52 
1 
63 
230 
244 
224 

10 

257 

4 

56 

5 

2 

4 
0 
62 
6 

o 

3 

323 
414 

817 
556 

13 

86 
499 
1,520 

427 

1 

o 

124 

3 
o 

3 

8 
108 
13 

1 

223 

*-.'o 

549 
196 

6 

92 
477 
1,046 
253 

1 
1G 
79 
14 

2 
2 
27 
3 

1 

oo 
193 

128 
121 

5 
399 
933 
1,194 
317 

1 

31 
4 

91 
8 

1 
2 

1 

3 

1 

1 

1 

1,  4','3 
334 

1 

673 

42,  322 

660 

36,  955 

52G 

32,  075 

510 

38,558 

594 

34,  910 

530 

38,061 

538 

418,176     5,220 

70 


SICKNESS    AND    MORTALITY    OF   WHITE    TROOPS 


TABLE  XII.— ATLANTIC  REGION— Concluded. 


1861. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

34,  521. 

78,  089. 

114,  9S8. 

163,  192. 

191,  8S3. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

11,622 

15 
29 
4 
1 
ICO 
8 
10 
55 
12 

63 

1 

25,  240 

43 
90 
38 

149 

2 

30,  558 

33 

72 
26 

193 

o 

39,  275 

26 
110 
16 

7 

303 

5 
2 

44,  198 

166 
11 
16 
374 
70 
24 
^71 

481 

7 
1 

OttDER  VI.  —  Diseases  of  Digestive  Organs  —  Continued. 

.     n   am    ,   i 

12 

16 
244 
41 
31 
145 
207 
33 
10 
7 

501 

1 
17 
4 
5 
51 
40 
17 
12 

264 

59 

52 

1 

76 
160 
46 
18 
23 

0 

1 

187 
005 
13 
7 
8 
409 
534 

6 
8 

1 

574 
35 

0 

2 
3 
1 
131 

3 

5 

6 

11 
9 
753 
427 

7 
28 
4 
17 

8 

n  ammn  ion  o    ^  or 

309 

1 

3 

1 

0 

306 
2 

o 

353 

11 
11 
7 
8 
36 
38 

1 

ORDER  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

1 

1 

1 

1 
10 

43 

1 

50 
16 

1 

67 
15 

nma  ion  o             t  '    le 

1 
5 
13 
32 

1 

13 

'  SJ    r°Cj 

8 
31 
55 

16 
5 

7 

40 
40 

14 
4 
5 
16 

40 
65 

5 

18 
8 
20 

1 

1 

75 
3 

1 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

113    Exostosis                                

3 

114    'White  Swelling                                  

17 

8 

279 
118 
124 

1 

109 
14 
36 
114 
181 
93 
95 

21 

16 

350 
141 
CO 

ORDER  IX.  —  Diseases  of  Integumentary  System. 

333 

114 
77 

OOQ 

75 

118    Whitlow 

60 
266 

110    Boil                                                                         .         

232 

260 

274 
229 

217 

224 
246 

1 

249 
324 

121    Ulcers                                                                              -    -  - 

.    . 

293 
162 

122    Other  Diseases  of  this  Order 

177 

3G 

8 

238 
28 
03 

100 

108 
69 

CLASS    V.—  WOUNDS,   ACCIDENTS,   AND 
INJURIES. 

123    Burns 

44 
7 
7 
347 
60 
19 

37 

1 

440 

72 
42 

124.  Concussion  of  Brain  

1 

1 

o 
1 
1 
3 

3 
1 

540 
60 
34 

2 
1 
1 
3 

1 
142 
17 
4 

40 
155 

1 
1 

1 

127.  Fracture  

1 

1 

128    Dislocation  

129.  Sprain  

80 

138 

191 

256 
210 
41 
213 

277 

130.  Incised  Wounds  

201 

214 
234 
'61 
125 
15 

1 

0 

277 
218 
71 
181 
13 

1 

o 
29 

131.  Contused  and  Lacerated  Wounds  

141 
51 
159 
17 

148 
40 
107 
15 

1 
o 

22 
1 
1 

5 

3 

o 

28 

132   Punctured  Wounds  

58 
1 
1 
1 

3 

54 
2 
3 
2 

6 

135.  Suicide  

1 

3 
1 

14 

136   Others  of  this  Class 

1<§ 

281 

151 

502 

152 

425 

201 
509 

207 
429 

137  UNCLASSIFIED  DISEASES  

5 

Total 

14,  205         132 

30,  015 

195 

35,  619 

244 

45,  417         402 

51,  217 

561 

DURING    THE    YEAR    ENDING    JUNE    30,  18G2. 


71 


TABLE  XII.— ATLANTIC  REGION— Concluded. 


1861. 

1863. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

214,  903. 

238,  144. 

227,  184. 

215,  479. 

207,  698. 

195,  399. 

186,  S85. 

172,  365. 

68 
89 
90 
91 
92 
93 
94 
95 
96 
97 
98 
99 
100 
101 

102 
103 
104 
105 
106 
107 
108 
10!' 
110 

111 

112 
113 
114 
115 

116 
117 
118 
119 
120 
121 
122 

123 
124 
125 
12G 
127 
128 
129 
130 
131 
132 
133 
134 
135 
136 

137 

Cases. 

Deaths. 

Cases. 

Deaths.  !  Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths 

Cases. 

Deaths.     Cases. 

Deaths. 

Cases.      Deaths. 

44,  402 

43 

251 
21 
11 
438 
75 
58 
256 
508 
14 
9 

953 
557 

5 

24 
16 
14 
66 
50 
10 
10 
13 
53 

3 
3 

10 

7 

457 

103 
334 

269 
257 
68 

64 
1] 
1 
590 
99 
53 
306 
351 
392 
75 
162 

673 

5 
1 

42,  322 

62 
126 

26 

660 

7 
2 

36,  955 

35 

106 
12 

526 
5 

32,  075 

13 
93 
27 

510 

o 
2 

38,  558 

36 
161 

24 

594 

o 
3 

34,  910 

20 
213 
27 
4 
304 
174 
29 
186 
499 
16 
10 

345 

530 
1 

38,  061 

47 
171 

528 
2 

418,  176 

405 
1,588 
254 

128 
3,693 
915 
506 
2,  3<:8 
5,004 
214 
158 
£8 
7,521 
5,172 

53 
249 
85 
111 
599 
474 
187 

5,220 

42 
14 

1 

13 

385 

6 
311 
63 
30 
174 
476 
10 
36 

1,228 
510 

3 

25 
5 
G 

15 

11 

312 

16 
397 
129 
63 
304 
634 
30 
7 
18 
260 
343 

5 
34 

8 
18 
87 
45 
29 
7 
17 
44 

o 

1 

306 
50 
71 
194 
417 
19 

3 

97 
43 
277 
570 
10 
19 
9 

3 
1 
1 

97 
46 
189 
456 
14 
12 
15 

1 
1 

1 

9 
7 
3 

9 

2 

1 

1 

1 
1 

2 

3 

2 

3 

2 

11 
9 
947 
292 

7 
16 
6 
15 

3 

4 

5 

4 

43 

1,193 

1 

1 
6 

713 
381 

2 

19 
11 
6 
48 
34 
18 
4 
13 
43 

1 
1 

5 

20 

3 

649 

1 

29 
5 
20 

1 

1 

319 
3 

1 

2 
1 

5 
1 
1 
1 
6 

9 
1 
43 
32 
25 

1 

48 
50 
10 
5 

47 
32 
19 
4 
22 

48 

14 
3 
14 

1 

1 

1 

1 

1 

77  I 
250 
595 

65 

67 
76 
140 

3,  519 

957 
928 

19 
72 

8 
7 
5 

6 
33 

o 

1 

45 

1 

1 

2 

8 

5 
3 

8 
9 

255 
58 
85 

4 
4 
11 

18 

198 
70 
48 
190 

6 
5 

7 
2 
15 

7 
3 
6 

343 

1 

9 

366 
63 
81 
236 

15 

1 

314 
56 
81 
205 

293 

1 

68 

77 
148 
239 

£8 
66 

170 
301 
279 

216 

2  605 

312 
286 
115 

96 
7 
1 
540 
80 
61 
280 

26'i 

033 

291 

3,053 
2,  796 
1,331 

638 
73 
25 
4,612 
747 
371 

0    OO| 

1 

2 

196 

C8 

200 
62 

1 

174 
73 

45 

7 

1 

219 
106 

26 
14 
o 

354 

SO 
18 
118 
230 
398 
395 
4,  £83 
°0 

125 

71 
3 
4 
416 
68 
45 

77 
4 
1 
3!:8 
70 

91 

1 

1 
8 
10 
16 
26 

1 

o 

1 
1 

7 
4 
339 

1 

1 
1 

... 

1 

11 
3 

1 
3 

268  '  

4 

3 

55 
29 

1 

48  i          2 
oo 

208 
286 

9"4 

169 
290 
216 
61 
505 
13 

148 
22!) 

371 
342 
69 
130 
26 

245 
269 
58 
691 
10 

1 

2 

16 
1 

1,  042 

3,107 
3,  093 
1,  013 
9,163 

176 

5 

44 
9 

11 
23 
31 

249 

3 

1 

246 
38 
155 
3 

7 
1 
20 
o 

3 
1 

18 

2 
1 

118 

279 
53 

11 

5 

26 
2 
1 
1 

9 

25 
o 

165 

1 

596 

3 
4 

40 

203 

442 

196 
252 

221 

3rQ 
>JO 

148 

12 
34 

160            5 
305          58 

228 

120            2             2,  US 

2r7          CS             4,308 

19 

52,  2!)2 

739 

49,  999 

735       43,  590 

603     i  38,305 

747 

44,  609 

802 

42,136     1,196     j  48,808     1,669     •    496,212     8,025 

SICKNESS,    ETC.,    DURING   THE   YEAR   ENDING   JUNE    30,  18S2.  73 

CENTRAL   REGION. 

The  reports  from  the  Central  Region  aro  consolidated  into  statistical  tables  for  six 
departments,  as  follows: 

1.  The  Department  of  Western  Virginia  Table      XIII. 

2.  The  Department  of  the  Cumberland   -  .    Table      XIV. 

3.  The  Department  of  the  Tennessee  Table        XV. 

4.  The  Department  of  the  Gulf  .    Table      XVI. 

5.  The  Department  of  the  Northwest  .    Table    XVII. 

6.  The  Department  of  the  Missouri  Table  XVIII. 

To  these  arc  added— 

7.  A  table  showing  the  mortality  in  the  general  hospitals  of  the 

Central  Region  .    Table      XIX. 

8.  A  consolidated  table  for  the  Central  Region  Table        XX. 

1.  THE  DEPARTMENT  OF  WESTERN  VIRGINIA — TABLE  XIII. 

This  table  includes  the  reports  received  from  troops  in  the  States  of  Virginia  and 
Maryland,  west  of  the  Department  of  the  Shcnandoah.  Until  September  19,  1861, 
Western  Virginia  was  embraced  in  the  Department  of  the  Ohio  under  the  command  of 
General  G.  B.  McClellan,  who,  in  the  latter  part  of  July,  was  succeeded  by  General  W. 
S.  Rosccrans.  Subsequently  the  table  includes  the  Department  of  Western  Virginia  and 
the  Mountain  Department. 

September  19th  the  Department  of  Western  Virginia  was  created  by  General  Orders, 
Xo.  80,  to  consist  of  so  much  of  Virginia  as  lies  west  of  the  Blue  Ridge  Mountains, 
General  Rosecrans  to  command. 

January  23,  1862,  the  western  slope  of  the  Alleghany  Mountains  was  declared  to  be 
the  eastern  boundary.  March  3,  1862,  the  eastern  limits  were  extended  to  embrace  the 
valleys  of  the  south  branch  of  the  Potomac  and  the  Cow  Pasture  branch  of  the  James 
river,  the  Valley  of  the  James  river  to  the  Balcony  Falls,  the  Valley  of  the  Roanoke  west 
of  the  Blue  Ridge,  and  the  New  River  Valley. 

March  15,  1862,  the  Department  of  Western  Virginia  was  merged  into  the  Mountain 
Department,  which  was  created  by  the  President's  War  Order  No.  3,  March  11,  1862,  to 
consist  of  the  country  west  of  the  Department  of  the  Potomac  and  cast  of  the  Department 
of  the  Mississippi;  General  J.  C.  Fremont  to  command.  The  eastern  boundary  of  the 
Department  of  the  Mississippi  was  by  the  same  order  declared  to  be  a  line  drawn  north 
and  south  through  Knoxville,  Tennessee. 

June  8,  1862,  the  Mountain  Department  was  extended  eastward  to  the  road  running 
from  Williamsport  to  Martinsburg,  Winchester,  Strasburg,  llarrisonburg  and  Staunton, 
10 


74  SICKNESS    AND   MORTALITY   OF   WHITE    TEOOPS 

including  that  place;  thence  in  the  same  direction  southward  until  it  reaches  the  Blue 

O  1 

.Ridge  chain  of  mountains;  thence  with  the  line  of  the  Blue  Ridge  to  the  southern 
boundary  of  the  State  of  Virginia. 

May  2-ith,  General  Fremont  was  ordered  to  cross  into  the  Shenandoah  Valley,  and 
did  so,  with  the  greater  part  of  his  force,  which  still  remained  in  the  valley  at  the  close 
of  the  fiscal  year. 

The  most  important  engagements  were  those  at  Rich  Mountain,  July  11,  1861,  at 
Carnifcx  Ferry,  September  10,  1861,  and  at  Cross-Keys,  June  8,  1862. 

2.  THE  DEPARTMENT  OF  THE  CUMBERLAND — TABLE  XIV. 

This  table  includes  the  reports  received  from  troops  operating  in  Kentucky  and 
Tennessee  cast  of  the  Tennessee  river,  and  from  the  army  under  General  Buell  known  as 
the  Army  of  the  Ohio. 

The  Department  of  the  Cumberland  was  created  by  General  Orders,  No.  57,  August 
15,  1861,  to  consist  of  the  States  of  Kentucky  and  Tennessee,  General  R.  Anderson  to 
command.  November  9th  it  was  discontinued,  the  region  being  merged  into  the  Depart 
ments  of  the  Missouri  and  the  Ohio.  As,  however,  it  was  reestablished  in  October,  1862, 
and  continued  throughout  the  war,  the  designation,  Department  of  the  Cumberland,  has 
been  retained  for  the  table.  The  first  reports  received  are  for  October,  and  represent 
troops  in  the  Department  of  the  Cumberland  as  above  described.  November  9,  1861, 
that  portion  of  the  State  of  Kentucky  cast  of  the  Cumberland  river  and  the  State  of 
Tennessee  were  added  to  the  Department  of  the  Ohio,  General  D.  C.  Buell  to  command. 
The  Department  of  the  Ohio  at  this  time  embraced,  besides  the  State  of  Ohio,  Michigan 
and  Indiana,  which,  however,  are  not  included  in  Table  XIV.  March  11,  1862,  the  Depart 
ment  of  the  Ohio  was  discontinued,  and  all  of  it  west  of  a  line  running  north  and  south 
of  Knoxville,  Tennessee,  was  added  to  the  Department  of  the  Mississippi,  created  by  the 
President's  War  Order  No.  3,  General  II.  W.  Halleck  to  command;  nevertheless,  for 
statistical  reasons,  the  table  continues  to  include  the  Army  of  the  Ohio  and  the  stations 
east  of  the  Cumberland  river. 

The  most  important  movement  during  the  year  was  that  of  the  Army  of  the  Ohio 
southward  in  the  spring  of  1862.  Nashville,  Tennessee,  was  occupied  towards  the  close 
of  February,  and  the  main  body  reached  Pittsburg  Landing  on  April  5th,  and  participated 
next  day  in  the  battle  of  Shiloh.  The  Army  of  the  Ohio  was  engaged  in  the  subsequent 
operations  which  terminated  in  the  surrender  of  Corinth,  May  30th.  After  this  it  marched 
into  northern  Alabama,  whither,  after  the  occupation  of  Nashville,  the  division  under 
General  Mitchell  had  already  proceeded,  and  subsequently  into  southern  Tennessee. 


DURING    THE    YEAR   ENDING    JUNE   30,  1862.  75 

3.   THE  DEPARTMENT  OF  THE  TENNESSEE — TABLE  XV. 

The  Department  of  the  Tennessee  was  not  created  until  October,  18G2;  the  name, 
however,  has  been  used  in  this  table  to  designate  the  troops  within  the  limits  assigned  to 
the  Department  of  the  Tennessee  in  General  Orders,  No.  159,  October  16,  1862,  by 
which  the  Department  was  made  to  include  Cairo,  Forts  Henry  and  Donelson,  northern 
Mississippi,  and  the  portion  of  Kentucky  and  Tennessee  lying  wrcst  of  the  Tennessee 
river. 

The  troops  in  this  region  formed  a  part  of  the  Western  Department  from  July  3  to 
November  9,  1861.  From  November  9  to  March  11,  1862,  they  were  included  in  the 
Department  of  Missouri,  and  subsequently  in  the  Department  of  the  Mississippi. 

In  July,  1861.  the  principal  station  was  Cairo,  Illinois,  and  its  vicinity;  subsequently 
Paducah  and  Smithland,  Kentucky,  were  occupied.  In  the  beginning  of  February.  1862, 
the  Army  of  the  Tennessee,  under  the  command  of  General  Grant,  ascended  the  Tennessee 
river  on  transports  to  Fort  Henry,  Tennessee.  After  the  surrender  of  Fort  Henry, 
February  6th,  and  of  Fort  Donelson,  February  16th,  the  troops  were  moved  on  transports 
up  the  Tennessee  river  to  Pittsburg  Landing,  near  which  the  battle  of  Shiloh  was  fought 
April  6th  and  7th.  On  the  latter  day  the  Army  of  the  Ohio  under  General  Buell 
participated  in  the  conflict. 

Subsequently  to  the  battle  of  Shiloh  the  movement  towards  Corinth,  Mississippi,  took 
place,  terminating  in  the  siege  of  that  place  and  its  evacuation  by  the  Rebel  army,  May 
29th.  During  the  operations  before  Corinth  the  Army  of  the  Tennessee  formed  the  right, 
the  Army  of  the  Ohio  the  centre,  and  the  Army  of  the  Mississippi  the  left  of  the  besieging 
force;  the  whole  being  under  the  command  of  General  II.  "W.  Ilallcck.  The  Army  of  the 
Mississippi,  under  the  command  of  General  John  Pope,  had  been  organized  in  Missouri, 
and  made  the  campaign  which  resulted  in  the  capture  of  New  Madrid,  Missouri,  and 
Island  No.  10,  in  the  Mississippi  river.  After  the  battle  of  Shiloh  it  was  brought  on 
transports  to  join  the  forces  before  Corinth,  arriving  in  the  latter  part  of  April.  The 
reports  from  this  Army  prior  to  April  are  consolidated  in  the  Department  of  the  Missouri. 

Subsequently  to  the  evacuation  of  Corinth  the  Army  of  the  Ohio  moved  to  the  cast, 
as  already  shown.  The  Army  of  the  Mississippi,  however,  remained  cooperating  with  the 
Army  of  the  Tennessee.  The  reports  from  the  Army  of  the  Mississippi  for  April,  May, 
and  June,  are,  therefore,  included  in  this  table. 

The  most  important  engagement  in  this  Department,  besides  those  already  mentioned, 
was  that  at  Belmont,  Missouri,  November  7,  1861,  in  which  an  expeditionary  force  from 
Cairo  under  command  of  General  Grant  participated. 


76  SICKNESS   AND   MORTALITY    OF    WHITE    TROOPS 

4.  THE  DEPARTMENT  OF  THE  GULF — TABLE  XVI. 

In  this  table  arc  included  tlic  reports  received  from  Fort  Pickens  and  Santa  Rosa 
Island,  Florida,  Ship  Island,  Mississippi,  and  the  expeditionary  force  under  General  B.  F. 
Butler,  which  occupied  New  Orleans. 

The  Department  of  the  Gulf  was  created  by  General  Orders,  No.  20,  February  23, 
1862,  to  consist  of  all  the  coast  of  the  Gulf  of  Mexico  west  of  Pensacola  Harbor,  and  so 
much  of  the  Gulf  States  as  should  be  occupied  by  the  forces  under  General  B.  F.  Butler. 

March  15,  1862,  the  State  of  Florida  was  transferred  to  the  Department  of  the  South. 
In  these  statistical  tables,  however,  the  plan  has  been  pursued  of  including  the  east  coast 
of  Florida,  Key  West,  and  Tortngas,  with  the  Department  of  the  South,  while  Fort 
Pickens  and  Santa  Rosa  Island  are  embraced  in  the  Department  of  the  Gulf. 

The  table  includes  simply  the  troops  at  Fort  Pickens  and  Santa  Rosa  Island  until  the 
close  of  February,  1862.  A  brigade  of  General  Butler's  expedition  reached  Ship  Island 
in  December,  1861,  but  March  is  the  first  month  represented  in  the  reports.  Durino- 
March  and  the  early  part  of  April  additional  troops  arrived  at  Ship  Island,  and  soon  after 
the  joint  military  and  naval  expedition  sailed  from  that  point,  which,  after  the  reduction 
of  Forts  St.  Philip  and  Jackson,  occupied  New  Orleans,  May  1,  1862.  A  part  of  the 
expeditionary  force  subsequently  occupied  Baton  Rouge  and  advanced  as  far  as  the 
neighborhood  of  Vicksburg. 

5.   THE  DEPARTMENT  OF  THE  NORTHWEST — TABLE  XVII. 

This  Department  was  created  by  General  Orders,  No.  128,  September  7,  1862,  to 
consist  of  the  States  of  Wisconsin,  Iowa,  Minnesota,  and  the  Territories  of  Nebraska  and 
Dakota.  The  designation  is  o.pplied  in  the  table  to  the  same  geographical  limits,  with  the 
exception  of  the  State  of  Wisconsin.  It  embraces,  therefore,  all  the  region  between  the 
Mississippi  river  and  the  Rocky  Mountains  north  of  Missouri  and  Kansas.  This  region 
formed  part  of  the  Western  Department  until  November  9,  1861 ;  then  of  the  Department 
of  the  Missouri,  until  March  11.  1862,  after  which  it  became  a  portion  of  the  Department 
of  the  Mississippi. 

6.  THE  DEPARTMENT  OF  THE  MISSOURI — TABLE  XVIII. 

This  table  embraces  the  reports  received  from  troops  in  Missouri  and  Kansas,  and 
from  the  Army  of  the  Southwest  under  General  S.  R.  Curtis,  which  during  the  latter  part 
of  the  year  was  operating  in  Arkansas. 

Missouri  and  Kansas  formed  part  of  the  Western  Department  from  July  3  to  Novem 
ber  9,  1861,  when  the  Department  of  the  Missouri  and  the  Department  of  Kansas  were 
created  by  General  Orders,  No.  97. 


DURING    THE    YEAR   ENDING   JUNE  30,  18G2.  77 

The  Department  of  Kansas  was  to  consist  of  the  State  of  Kansas,  the  Indian  Terri 
tory  west  of  Arkansas,  and  the  Territories  of  Nebraska,  Colorado,  and  Dakota.  March 
11,  1862,  it  was  merged  into  the  Department  of  the  Mississippi. 

The  Department  of  the  Missouri  consisted  of  the  States  of  Missouri,  Iowa,  Minnesota, 
Wisconsin,  Illinois,  Arkansas,  and  that  portion  of  Kentucky  west  of  the  Cumberland 
river.  March  11,  1862,  it  also  was  merged  into  the  Department  of  the  Mississippi. 

The  Department  of  the  Missouri  was  reestablished  September  19,  1862,  with 
boundaries  essentially  the  same  as  were  assigned  to  it  in  the  preparation  of  the  present 
table. 

Among  the  military  movements  during  the  year  within  these  boundaries,  that  of 
General  Fremont  to  Springfield  in  October,  1861,  and  the  campaigns  of  Generals  Curtis 
and  Pope  during  the  first  six  months  of  1862,  may  be  particularly  mentioned.  General 
Curtis  with  the  Army  of  the  Southwest  moved  during  the  latter  part  of  January  to  Holla, 
and  thence  to  Lebanon.  From  Lebanon  he  advanced  to  Springfield,  crossed  into  Arkansas 
February  18th,  fought  the  battle  of  Pea  fridge  March  7th  and  8th,  and  subsequently 
inarched  through  the  State  to  Helena,  on  the  Mississippi  river. 

General  Pope  with  the  Army  of  the  Mississippi  moved  from  Commerce  in  the  latter 
part  of  February  towards  New  Madrid,  which  was  evacuated  by  the  enemy  March  14th; 
he  next  operated  against  Island  No.  10,  which  was  evacuated  April  8th.  Later  in  April 
the  greater  part  of  his  forces  were  sent  on  transports  to  join  in  the  operations  against 
Corinth.  The  reports  from  these  troops  for  April,  May,  and  June,  1862.  arc  consolidated 
with  the  Department  of  the  Tennessee,  as  has  been  already  explained. 


78 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  XIII. 

Abstract  of  the  Sickness  and  Mortality 


1861. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

16,  139. 

10,  377. 

25,  047. 

22,  602. 

25,  516. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS    1.—  ZYMOTIC    DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

3 

212 
102 

32 

24 
755 
252 
443 
253 

o 
54 

„'  ^yTP         ' 

5 

7 
128 
206 
l^S 

34 
32 

2 

12 

589 
350 
63C 
416 
229 

35 
1 
1 

^P 

189 
135 

366 
352 
123 

1 

/  ^e                '      _ 

o.  Quoti  la 

28 
o 

191 

-Tertian    n  er               • 

4 
1 
969 
5 
320 

80 
29 
1,028 

34 
1 
1,142 

13 
5 
960 
119 
266 
32 

4 
643 
47 
205 
36 
1 

3 

1 

'      C      .      ' 

177 
515 
54 
10 
1 
175 

1G9 
493 
44 

1 
2 

'        r°    ° 

4 

0 

1 

2 

'                 •_ 

1 
17 

1 

15 

'       J    *                       . 

r'    ^f™11       ^°X  a 

300 

107 
1 
15 

130 

160 

42 

44 
62 

36 

45 

'                   P     .        p     , 

107 
53 
56 

51 
04 
7 

14 
134 

56 

69 
49 
14 
3 

60 
2 

21 
C2 

37 
6 

32 
31 

15 

116 
80 

48 
90 

ORDER  II.  —  Enthetic  Diseases. 

13 
2 

15 

4 

r'  ot?*01^'             f  th*    O  d 

ORDER  III.  —  Dietic  Diseases. 

2 
2 

3 

9 
3 

G 

3 

1 

5 
218 
112 
o 

^ 

2 

CLASS    II.—  CONSTITUTIONAL    DISEASES. 

ORDEK  I.  —  Diathetic  Diseases. 
30   (jout 

1 

234 

67 
32 

80 
90 
4 
2 

226 

143 

9 
6 

150 
5 
3 

' 

4 

8 

v   p6 

1 

3 
3 

23 
2 

8 

1 
11 

40 
10 

1 

39 

35 

7 

3 

ORDER  II.  —  Tubercular  Diseases. 

5 
C 

5 

1 

2 

39    Scrofula         

CLASS    III.—  PARASITIC    DISEASES. 
40   Worms           

2 

2,408 

1 

1,849 

6 

4,166 

19 

5,089 

42 

4,283 

CO 

DURING    THE    YEAR    ENDING    JUNE    30,  18C2. 


79 


TABLE  XIII. 

of  tJic  Department  of   Western  Virginia. 


1861. 

1862. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

29,  £87. 

17,  223. 

17,  711. 

19,  973. 

23,  081. 

18,  056. 

21,  529. 

20,  045. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1 

3 

4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
1G 
17 
18 
19 
"20 

21 

23 

24 

26 

cyy 

28 

A.9 

30 
31 

32 
33 
34 

35 

37 

38 
39 

40 

18 
494 
126 
264 

189 
170 
1 
8 
1,  149 
188 
138 
28 
15 

1 
44 

6 

140 
28 

6 

88 

1 
13 

91 

2,  700 
1,091 
2,  500 
2,  202 
1  °77 

4 
232 
1 
7 
1 

16 

116 

8 

133 

21 

93 
55 
1G5 
108 

18 

107 
59 
327 
130 
122 

9 

3 

66 

SO 

1 

48 
08 
CO 

81 
153 

47 
103 

1 
1 

50 

52 

68 
3 

55 
6 

145 
65 
10,126 
1,  075 
2,  f  20 
249 
177 
3 
2  054 
14 
1  345 

o 

1 

4  65 

15 
C80 
87 
130 

3 

1 

1,257 
CO 
"80 

9 
1 
3 
10 
1 
2 

621 

571 
45 

1 

641 

1 

89 
71 

1 

44 
07 
C 

39 
106 
9 

103 

13 

]0 

14 

20 

13 

18 

2'3 

1 

0 

329 

2 

131 
12 

0 

172 

12 

«->88 

37 

109 
1 
317 
304 
89 

4 
1 

36 

17 

1 

62 
1 

242 
91 
93 
14 

Gl 
13 
3 

26 

111 

2L5 

234 

123 

110 

307 
38 
G 

25 

188 
51 
1 

26 

1  "88 

74 
2 

48 
38 
14 
1 

62 

84 
4 

1° 

891 

239 

393 

C02 

1 

1 

6 

6 
11 

2 

51 
9 
1 

38 

40 
37 
1 

40 
13 
1 

26 

188 

18 

2 

3 

2 

1 
1 
1 

4 

2 
11 

19 
3 

9 
1 

5 
1 
11 

01 
20 
29 

9 

1,  719 
1,  CSO 
40 
44 

o 

1 

1 
1 

1 
o 

1 

1 
1% 
140 
8 
4 

144 

1GO 

94 

68 

129 

138 

]05 

3 

119 
59 

104 
184 
7 
3 

3 

117 
3 

9 

0 

1 

o 

1 

1 

4 

7 

17 
7 

1 

1 

0 

2 
7 

19 
3 

3 

„ 

16 

£2    '' 

237 
53 

25 

9 

28 
4 

1 

2 

30 

7 

1 

4 
7 

1 
1 

22 
5 

3 

, 

3 

8 

1 

6 

1 

19 
1 

1 

o 

301 

4,008 

50 

2,008 

28 

1,896 

23 

2,  436 

71 

2,783 

27 

1,  762          16 

2,896 

12 

35,584 

80 


SICKNESS   AND    MORTALITY    OF   WHITE   TROOPS 


TABLE  XIII.— DEPARTMENT  OF  WESTERN  VIRGINIA— Continued. 


YE  AH                                   

1801. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

KOVEMIJER. 

10,  139. 

10,  377. 

25,  047. 

22,  002. 

25,  510. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

forward 

2,408 

1 

1,849 

C 

4,100 

1 

83 

19 

5,089 

42 

4,283 

CO 

CLASS    IV.—  LOCAL    DISEASES. 
ORDER  I.  —  Diseases  of  Nervous  System. 

22 

32 

30 

19 
1 
6 

1 
11 
3 
3 

1 

3 

1 

0 

10 

qP      ^  ^i- 

4G   In^  nit  '  ' 

10 

o 

1 

4 

t          f  Af                       f  B-' 

*          *  1    . 

1 
58 

1 

31 
11 

6 
41 
ao 

4 
54 

f  ' 

64 

41 
o 

i,    l  ^ 

54 

50 
1 

19 

2 

51*  P      1     ' 

2 

5 

•-o  on    ^ir            f  ti  "-  o  d 

11 

14 

13 

1 

ORDER  II.  —  Diseases  of  Eye. 

1 

54    C 

"                  «  t"        f  I  " 

1 

1 

1 

40 
1 

13 
9 

11 

50 
15 

49 
13 

13 

o 

34 

9 

1 

1 

3 

5 

ORDER  III.  —  Diseases  of  Ear. 

C 
6 
8 
5 

11 
2 

3 
3 
1 

1 
1 
3 

1 
o 

3 

1 
5 

1 

63    Other  Diseases  of  this  Order  

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

1 

1 

3 

1 

3 
4 

1 

o 

1 
3 

5 
5 
o 

11 

24 

2 
12 

9 
C 

8 

5 
130 

5 

3 

C 
04 
32 

ORDER  Y.  —  Diseases  of  Respiratory  Organs. 
72    Asthma 

1 
43 
24 

12 

1 

88 
4 
143 
4 
4 

G4 
15 

17 
1,  0!>2 

005 

76.  Haemorrhage  from  Nose  

3 
3 

4 

17 

4 
3 

9 

78    Dropsy  of  Chest  

1 
16 

31 
G 

7 
18 
23 

7 

7 
31 

57 
10 

o 

24 
10 
47 
12 

2 
10 

70 
°74 

2 

10 

17 
129 
29 

1 

1 

0 

o 
1 

2 

8 
1 

82    Other  Diseases  of  this  Order  

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
83    Abdominal  Dropsy.  

07 
53 

29 

°0 

21 

85.  Colic    

27 

04 

189 

1 

53 
205 

109 

99 

23 

01 

33 

45 



30,10 
,  t!nA 

2 

2,  530 

9 

5,843 

23 

0,073 

50 

0,294 

69 

DURING    THE   YEAR   ENDING    JUNE   30,   1862. 


81 


TABLE  XIII.— DEPARTMENT  OF  WESTERN  VIRGINIA— Continued. 


18(31. 

1869. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MAUCU. 

AriiiL. 

MAY. 

JUNE. 

TOTAL. 

29,  887. 

17,  223. 

17,711. 

19,  973. 

23,  081. 

18,  656. 

21,  529. 

20,  045. 

41 
42 
43 
44 
45 
40 
47 
48 
40 
50 
51 
52 

53 
54 
55 
56 
57 
58 

59 
60 
61 
62 
63 

64 
65 
C6 
67 

68 
69 
70 
71 

72 
73 
74 
75 
76 
77 
78 
79 
80 
81 
82 

83 
84 

85 
80 
87 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths 

Cases. 

Deaths. 

4,008 

56 

2,008 

1 
22 

28 

1 

1,896 

4 

8 

3 

2,436 

1 
39 

1 
8 
4 
2 

71 
1 

2,783 

27 

1,702 

16 

2,896 

1 
51 

12 

35,584 

8 

457 
4 
71 

O"? 

40 
3 
20 
504 
459 
16 
J44 

3 
4 
9 
1 
544 
71 

91 
69 
57 
17 

32 

6 
7 
8 
9 
5 
55 
1C8 
30 

67 
1,388 
239 
7,  898 

301 
5 

54 
1 

7 

63 

28 

1 
1 
1 

o 
1 
1 

o 

1 

6 

9 

3 
4 
5 

2 
5 

1 

5 
4 
o 

1 

1 

1 
3 

67 
43 

1 

2 

7 
48 
44 

1 
8 

1 

2 
50 
45 

1 
25 

1 
65 

27 

28 
13 
4 
13 

14 

31 
1 
30 

1 

1 

3 

12 

7 

1 

1 

9 

3 

1 
1 

2 

1 

4 

1 
1 
41 

45 

10 
1 
8 
3 
2 

33 

32 

58 
11 

11 
9 
5 
1 

82 

42 

9 

7 
7 
1 

8 
7 
3 

5 
15 

4 
3 
3 

10 
5 
4 

7 
1 
1 

3 

1 

1 

1 

1 
1 
4 
6 

1 

3 

101 
23 

1 

1 

1 
o 

6 

0 

7 

9 
209 
48 
1,452 
o 

3 

3 

10 

2 

7 

1 
11 
1 

11 
212 

*^O 

783 

1 
4 
2 

3 

60 
10 
331 

10 
18 
1 

3 

26 

10 
92 

1 

4 
203 
12 

897 
1 
11 

2 
3 
1 

1 

2 

15 
741 
3 
10 

1 

11 

228 

580 

1 
8 

1 

11 

1 

80 

1 

60 
38 
103 
26 

2 

0 

55 

220 
51 

1 

24 

28 
77 
31 

4 
°0 

26 

1 

48 
63 
109 
6 

13 
23 

8 
20 

232 
314 
797 
225 

7 
221 

4 

18 

o 
2 

68 
38 

1 

0 

8 

102 
49 

11 

12 

34 
7 

3 

17 
4 

1 

76 
6 

1 

1 

3 

32 

6 
20 

24 
38 

249 

23 
45 

42 

28 

200 
°'J4 

1 

697 
1  152 

2 

94 
°9 

1°4 

119 
17 

44 

41 

OT 

4:u 

6,  641 

80 

3,195 

41 

3,250 

37 

4,138 

91 

4,716 

39 

2,587 

19 

3,  072 

14 

53,C£7 

474 

11 


SICKNESS   AND    MORTALITY    OF   WHITE   TROOPS 


TABLE  XIII.— DEPARTMENT  OF  WESTERN  VIRGINIA— Concluded. 


YEAR                                                           - 

1801. 

MONTH 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

16,  139. 

10,  377. 

25,  047. 

22,  602. 

25,  516. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

3,242 
13 

2 

2,536 

2 
3 
3 

9 

5,843 

9 
9 
1 
1 
31 
1 
7 
63 
7 
o 

23 
1 

6,673 

o 
14 
2 
o 

50 

6,294 

1 
6 

69 

ORDER  VI.  —  Diseases  of  Digestive  Organs  —  Continued. 

6 
2 

90    Fistula 

go    piles 

9 

16 
8 
4 
16 

2 
1 
1 

28 
7 
1 
45 

00 

1 
o 

10 
16 
15 

35 

62 
1 

1 

16 

5 

3 

1 
45 

27 

5 

1 

1 
71 
8 

1 

4 

41 
19 

3 
1 

26 
28 

2 

1 

62 

101    Other  Diseases  of  this  Order  

1 

8 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 
102    Stone  and  Gravel  

103   Inflammation  of  Bladder  

6 

104    Diabetes  

1 
5 
2 

1 
1 

7 

106    Difficulty  of  Urination  

3 

4 
9 

1 

1 
3 

108.  Hydrocele  and  Htbmatocele  

109.  Sarcocele  

1 
1 
9 

110    Non-Syphilitic  Ulcer  of  Penis  

1 

2 

1 

6 
11 

3 
1 

2 
3 

111.  Other  Diseases  of  this  Order  

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 
112.  Anchylosis  

113.  Exostosis  

1 

1 

3 

114.  White  Swelling  

1 
1 

32 

115.  Necrosis  

3 

38 
6 
12 

3 

29 

1 

oo 

ORDER  IX.  —  Diseases  of  Integumentary  System. 
116.  Abscess  

°9 

117.  Carbuncle  

1 

7 
7 
13 
13 
11 

4 
1 

1 
1 
10 
37 
31 
8 

o 

118.  Whitlow  

2 
11 
24 
18 
1 

7 
3 
3 

18 
5 
3 
17 
4 
26 
13 
47 
2 

3 

7 
7 
18 
1 

3 

119.  Boil  

17 
04 

120.  Skin  Diseases  

121.  Ulcers  

31 

122.  Other  Diseases  of  this  Order  

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 
123.  Burns  

6 
4 

1 

70 

124.  Concussion  of  Brain  

1 

125.  Compression  of  Brain  

o 

126.  Contusion  

1 

15 
4 
4 

17 
4 
10 
17 
18 
21 

1 

6 
3 
13 

1 

127.  Fracture  

128.  Dislocation  

8 
27 

129.  Sprain  

130.  Incised  Wounds  

18 
25 

16 
13 
6 
46 

131.  Contused  and  Lacerated  Wounds  

1 

4 
8 
27 
L 

132.  Punctured  Wounds  

1 
123 
3 

1 

25 

3 

76 
1 

133.  Gunshot  Wounds  

11 

10 

12 

4 

134.  Poisoning  

135.  Suicide  

1 
3 

1 

i  

136.  Others  of  this  Class  

29 
10 

7 
14 

18 
30 

23 
37 

20 
16 

6 

137.  UNCLASSIFIED  DISEASES  

5 

1 

Total  

3,  6G4 

15 

2,841 

25 

6,578 

51 

7,196 

69 

6,  804 

81 

DURING    THE    YEAR   ENDING    JUNE    30,  1862. 


83 


TABLE  XIII.— DEPARTMENT  OF  WESTERN  VIRGINIA— Concluded. 


18(>1. 

isoj>. 

DECEMBEU. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

29,  887. 

17,  223. 

17,  711. 

19,  973. 

23,  081. 

18,  G5G. 

2]  ,  529. 

20,  645. 

88 
89 
CO 
91 
92 
93 
94 
90 
96 
97 
98 
99 
100 
101 

102 
103 
104 
105 
10G 
107 
108 
101) 

Cases. 

Deaths,  j  Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.  :  Deaths. 

Cases. 

Deaths. 

G,  G41 

5 
9 
1 

80 

3,195 

6 
2 
1 

41 
1 

3,250 

1 
9 
5 

37 

4,138 

3 

7 
3 

91 
1 

4,716 

2 
8 
o 

39 
] 

2,587 

19 

3,972 

14 

53,  C87 

41 
94 

474 

4 

o 

2 

11 

1 

10 

1 

o 

5 

2G3 

33 

1          12 

1° 

14 
2 
2 
50 

88 

28 

17 
4 
5 
6 
31 

41 
7 
23 

7 
1 
41 

174 
3 

5 
9 
22 

42 
71 
37G 
882 
9 
65 
4 
S°5 

5 
33 
116 

2 

1 

0 

1 

25 

24 

1 

177 

113 

1 

81 

1 

13 

25 

1 

10 

1 

1 
19 
29 

1 

3 

1 

176 
48 

1G2 
34 

65 
6 

113 
50 

J18 

C8 

27 
10 

1 
1 
1 

1 

o 

1 

1 

335 

8 
26 

C 

1 
4 
1 
1 
4 
2 
1 
1 

1 

2 

3 

1 
1 
1 

2 

3 
6 

34 
31 
8 
9 
17 
33 

17 
16 
1 
]5 

279 

o 
I 
2 
1 
1 
3 
3 

4 
2 
1 
3 

3 

7 
2 
1 
1 
1 
1 

2 
3 

1 

1 

1 

1 

2 
2 

1 

iiO 
111 

112 
113 
114 
115 

110 
117 
118 
119 
120 
121 
122 

123 
124 
125 
126 
127 
128 
129 
130 
131 
132 
133 
134 
135 
136 

137 

2 

4 

1 

2 

4 
3 

4 
3 

1 

20 
1 
9 
6 
39 
19 
18 

10 

1 
20 

0 

4 

11 

1 

0 

1 
12 

oo 

18  . 
2 
1 

26 

2 
9 
13 

7 
12 
3 
15 
14 

C8 
84 
259 

1 

4 
30 
14 
3 

6 

9 
3 
17 
24 

3 

19 

7 
25 

17 
1 

1 

25 

249 
50 

C2 

7 
314 

70 

2 

7 

2 

9 
1 

3 
3 

4 
o 

1 
31 
8 
8 
12 
13 
24 
2 
92 
1 

17 
3 
1 
9 
4 
17 
1 
26 

17 
4 
2 
4 
8 
11 

30 
4 

28 
5 
o 

25 

22 

3 

3 

4 
18 
4 
85 
1 
217 

o 

47 
103 

6 
10 
10 
o 

17 

31 

7 
32 

7 
87 
1 

119 
2S1 
52 
7G2 
11 

1 

13 
8 
10 
2 

11 

4 
3 
24 

17 

184 
1 
4 
15 

14 

1 
32 

5 

1 

10 

7 

1 

1 

1 

53 

1 

1 

1 

1 

11 

87 

10 

4 
46 

8 
192 

4 

3 

C, 

6 
3 

16 
6 

4,521 

1 
1 

155 

499 

3 

o 

7,469 

121 

3,759 

51 

3,830 

42 

4,918 

104 

5,324 

44 

3,140 

84 

48       i    00,044 

7o5 

84 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  XIV 

Abstract  of  the  Sickness  and  Mortality 


1801. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

17,  953. 

22,  203. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS  1.—  ZYMOTIC    DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

6 

77 
42 

3 

21G 
24 

3 

14 

„'  ^^     S.  '  , 

]0 

^I              r.                   l   T7> 

124 

508 

1 

C57 
578 

5 

r'       G      .    ° 

j.  yuotu  lan    no 

304 

325 

11 
15 
1,  4G2 
53 

o 

1 

2 

.     ODg-ebtnc 

1,337 

'             . 

(53 

328 

2 

379 
24 
10 
4 
1,077 

1 

'                     J            y 

11 

14'  S  JS11          and  Varioloid 

1 

,.'     ma     P 

140 

' 

17 

2G 
152 

50 
80 
Cl 
14 

71 
99 
12 

F  •       •   r 

87 
7 

57 

ORDER  II.  —  Enthetic  Diseases. 

100 
9 

1 

•"•  '          Y  !      TV                  f  th'     O    1 

ORDER  III.  —  Dietic  Diseases. 

2 
6 
1 

18 
19 

1 

CLASS   II.—  CONSTITUTIONAL    DISEASES. 

ORDER  I.  —  Diathetic  Diseases. 
30    Gout                                                

123 

158 

92 
3 
1 

C5 
14 
1 

A 

0 

6 
7 

13 

OKDEn  II.  —  Tubercular  Diseases. 

3 
3 

CLASS  111.  —  PARASITIC    DISEASES. 

9 

3,735 

13 

5,531 

28 

1 

DURING   THE    YEAR   ENDING   JUNE    30,  18G2. 


85 


TABLE  XIV. 

of  the  Department  of  the  Cumberland. 


1861. 

18G2. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUXE. 

TOTAL. 

21,  905. 

32,  4G3. 

2G,  OG9. 

25,  4G6. 

58,  429. 

C3,  297. 

57,  fc'22. 

3G,  512. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

'    Cases.      Deaths. 

1 

0 

3 

4 
5 
G 
7 
8 
9 
]0 
11 

13 
14 
15 
16 

17 
18 
19 

20 

24 
25 
2G 

*-7 
29 

30 
31 
32 
33 
34 
35 
30 
37 

38 
39 

40 

4 

25G 
90 
544 
453 
354 
9 
42 
1,679 
123 
457 
27 
23 
10 
900 

4 
42 

18 
558 
11G 
523 
381 
413 

5 

47 

16 
282 
54 
354 

319 
143 
3 

11 
1,839 
77 
294 
18 
11 

0 

£02 

2 
54 

46 
414 
247 
722 
733 

1 
54 
4 

20 
552 
2G7 
1,063 
811 
480 
76 
38 
4,  451 
728 
597 
40 
49 
11 
45 

1 

78 
4 
5 

113 

2,  8G4 
1,  179 
5,249 
4,  747 
2  964 

16 

3G7 
9 
25 

1 

188 
100 
343 

278 

23 

321 

919 
C86 
3G3 
117 
47 
3,064 
610 
321 
G9 
38 
8 
9 

45 
1 
1 
1 

11 

1 

1 

115 

4G7 
52 

10 
10 
2,973 

24 

314 
194 
24,  807 
2,  492 
4,029 
350 
229 
51 
3,330 
4 
2  471 

3 

o 

4 
1 
1 
1 
1 

9 
2,100 

127 
419 
18 
1G 
1 
164 

3 

4 

1 

20 
5,902 
540 
794 
84 
49 
11 
135 
o 

9 
4 
9 
1 

G 

4 
1 
5 
3 
3 

32 

30 
15 
G 
5 
5 
32 

1 
1 

171 
370 
40 

12 
G 
1 

1 

1 
3 

10 

4 
C58 

1 

1 

2 

3 

4 

1 



118 
364 
126 
7 

Go 
149 
17 



589 
108 

2G3 

oog 

G3G 
19 

399 

156 
7 
478 
121 

,    14 

33 

1GO 

78 

35 
71 

38 

£0 

949 
2,173 

608 

583 
1,135 
310 
12 
5 

8G 
10G 

3G 
GO 
29 

519 
100 

73 
01 

0 

3 

428 
112 

85 
14G 
50 
1 

• 

5 
1 

C3 

85 
304 
Gl 
3 

1 

1 

76 
115 
39 

1 

55 

7 

o 

7 
12 

o 
176 
159 

21 
2 

3 

10 

1 

7 
19 

1 
4 
3 

7 
173 

7 
1 

1 
1 

33 
3 

1 

21 
1 
4 

1 

75 
C3 

60 

21 

o 
4 
1 

1 

1 

1 

1 

380 
204 

202 

38't 

374 
342 

47 
45 

°5° 

2,227 
1,  601 
285 
174 
10 
42 
86 

190 

57 

1 
1 

1 
o 

100 

86 
37 
22 

311 

71 

1 

236 

1 

18 
9 

7 

36 

o 

51 

10 
5 

5 

13 

13 
9 

7 

2 

5 

27 
10 

13 

5 
9 

8 
5G 

o 

14 
14 

40 

7 

19 

7 
9 

32 
8 

12 

5 

14 
1 

2 

4 

0 

1 

31 
11 

71 

6 

1 

2 

16 

192 

118 

G,  211 

7!) 

8,488 

72 

4,  G89 

70 

4,  901 

40 

12,685 

101 

11,482 

8,490 

70 

66,  245 

591 

86 


SICKNESS   AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  XIV.— DEPARTMENT  OF  THE  CUMBERLAND— Continued. 


1861. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

17,  953. 

22,  203. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

f         rd 

3,735 

13 

5,531 

28 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.  —  Diseases  of  Nervous  System. 

P  ^    "  y 

53 

15 

f  B     ' 

o 
8 

o 

4 

1 

J   f        f  M      b             f  Brain 

'     "  anlma  10 

9 

8 
66 

50 

'  g". 

54 

45 

2 

8 

12 

1 

ORDER  II.  —  Diseases  of  Eye. 

r                              f  j  . 

1 

1 

90 
5 

9 
4 
3 
1 

101 
15 

9 
7 
4 
3 

ORDER  III.  —  Diseases  of  Ear. 

61    Otorrhcea                                                  

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

f  F 

2 

1 

o 

4 

1 
3 

10 
375 

1 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
72    Asthma                                                 

7 
124 

20 

17 
825 

75   OUarrh 

519 
2 

7 

3 

9 

1 

78    Dropsy  of  Chest                    

21 

°7 

28 

23 

40 
6 

26 

1 

1 

135 
19 

12 

8 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
83.  Abdominal  Dropsy  









59 

44 
173 

105 

i                                                ; 

41 

40 

j 

1 

5,097 

15 

7,502 

41 

i 

DURING   THE    YEAR   ENDING   JUNE    30,   18(52. 


87 


TABLE  XIV.— DEPARTMENT  OF  THE  CUMBERLAND— Continued. 


18(31. 

1809. 

DECEMIiEIl. 

JANUARY. 

FEUUUAUJT. 

MARCH. 

Al'KlL. 

MAT. 

JUNE. 

TOTAL. 

24,905. 

32,  463. 

26,  OG9. 

25,  4G6. 

58,  429. 

63,  297. 

57,  822. 

3G,  512. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

| 
Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

41 
42 
43 
44 
45 
4G 
47 
48 
49 
50 
5L 
52 

53 
5-1 

55 
5G 
57 
58 

59 
60 
61 
62 
63 

64 
65 
66 
67 
68 
69 
70 
71 

73 
74 

75 
7G 
77 
78 
79 
80 
81 
82 

83 
84 

65 

80 

87 

0,211 

1 
5G 
3 
9 

79 
1 

8,488 

3 
31 
1 
15 

72 
2 

4,689 
1 

70 
1 

4,904 

40 

12,685 

4 
108 
3 
13 

101 
1 

11,  482 

1 

185 

118 
1 

8,490 

4 
150 

70 
4 

CG,  245 

16 
656 

17 
87 
35 
40 
20 
72 
1  006 

591 

10 

35 
2 

4 
1 
4 
1 
2 
74 
73 
1 
7 

1 

1 

1 

1 

3 

4 

2 

3 
1 

3 

15 
9 

9 
6 
o 
o 
9 

4 

15 
23 
3 
3 

12 

1 

0 

4 

00 

1 
3 

4 
58 
6G 
3 
2 

1 

1 

11 
3 
6 
189 
161 

1G 
7 
o 

1 
3 

1 
7 
120 
119 

1 

1 

o 

1 

83 

189 
108 
7 
34 

o 

173 

75 
1 

10 

1 
1 
5 

98 

801 
£8 
122 

6 
7 

14 
1G 

3 

2 

4 

13 
1 

3 

20 
1 

4 
7 

1 
140 
C 

29 
19 
15 
5 

1 
1 
6 
172 

o 

1 
1 

89 

3 

8 
1,080 

87 

185 
132 
134 
25 

103 

'  20 

16 
9 

128 
12 

102 

155 
7 

42 

17 

38 
20 

13 
20 
40 
4 

21 

8 
5 
15 
3 

3 
12 
1 

33 

21 

• 

1 

15 

8 

1 

1 

1 

o 

2 
7 
12 
18 
9 
79 
64 
40 

91 
2  959 
489 
9,318 
48 
76 
1 
296 

2 
o 

1 
2 

1 
2 
1 

1 

4 
o 

o 

1 
1 
8 

4 
1 

1 
1 
1 
4 

3 

358 
23 

1 
1 

1 

o 

5 
3 

14 
19 
3 

200 

1 

1 

* 

7 
3 

11 

11 
GG3 
22 
1,414 
1 
5 

13 
3 
4 

19 

464 
39 
2  250 

11 

7 
6 

10 

275 
148 
1  109 

21 

5 

6 

8 
376 

57 

21 

1 

3 

3 

11 
124 

1 

6 

1 
5 
1 
1 

1 

0 

2 

1 

1 

9G 
514 

67 
554 

953 

1,  060 

1 

1 
18 

1 
5 
1 
53 

13 

<) 

14 
10 

13 

8 

1 

1 

5 

3 
1 

1 

14 
47 
205 
4G 

45 

108 
228 
69 

3 

30 
99 
308 
65 

34 

25 

47 
112 

28 

1 

16 

56 

199 
57 

1 
19 
2 

49 
189 
19 

1 

18 
88 

1 
14 
1 

126 
34G 
11 

3 

89 

4G 

88 
38 

8 
192 

219 

594 
1,644 
299 

2G 

3 

129 
8 

10 
2 

40 

214 
34 

9 

108 
28G 

12 
1 

9 
1 

17 

7G 
24!) 

52 

2 

1 

oo 

1 

1 

514 
1,2-19 
2,432 

4 
1 

8° 

896 

orw 

194 
60 

289 

534 

47 

]20 

61 

]12 

618 

9,589 

97 

12,  728 

96 

7,072 

99 

7,434 

65 

16,  463 

155 

14,  392 

145 

11,  378 

93 

91,715 

60G 

88 


SICKNESS    AND    MORTALITY    OP   WHITE    TKOOPS 


TABLE  XIV.— DEPARTMENT  OF  THE  CUMBERLAND— Concluded. 


1801. 

MO\TII  .             

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

17,  953. 

22,  203. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

htf 

5,097 

25 
6 

15 
1 

7,562 

27 
4 
3 
3 

22 

41. 

ORDER  VI.  —  Diseases  of  Digestive  Organs  —  Continued. 

' 

1 

1 

92   Piles                                                  

10 
1 
19 

5 
4 
7 
2° 

04    ThUte-    T  fl           f        f  I/  - 

1 

'  „  rOD1C 

11 

1 
4 
9 

T> 

2 

1 

85 

n   TDflam              f  TP     '1 

50 

12 
o 

24 
g 

ORDER  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

3 
1 

4 

104   Diabetes                           

1 
1 
7 
1 

7 
o 

2 

5 
1 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

113   Exostosis                      

114    White  Swelling            

1 

4 

4 

39 
1 
1C 
03 

ORDER  IX.  —  Diseases  of  Integumentary  System. 

17 
8 
9 
16 

27 
21 

118    Whitlow                     

119    Boil                                            

39 

121.  Ulcers  

38 

122    Other  Diseases  of  this  Order  

3 

4 

4 

CLASS    V.—  WOUNDS,   ACCIDENTS,   AND 
INJURIES. 
123   Burns  

9 

124.  Concussion  of  Brain  

1 

125.  Compression  of  Brain  

126.  Contusion  

71 
7 
2 
13 
18 
19 
23 
24 

31 
5 
6 
16 

21 

1 

127.  Fracture  

128.  Dislocation  

129.  Sprain  

130.  Incised  Wounds  

131.  Contused  and  Lacerated  Wounds  

132.  Punctured  Wounds  

1 
1 

8 
15 

0 

133.  Gunshot  Wounds  

4 
2 

134.  Poisoning  

135.  Suicide  

1 

136.  Others  of  this  Class  

2 

1 

41 

137.  UNCLASSIFIED  DISEASES  

1 

Total  

5,606 

22 

8,152 

51 

DURING   THE    YEAR   ENDING   JUNE   30,  1802. 


89 


TABLE  XIV.— DEPARTMENT  OF  THE  CUMBERLAND— Concluded. 


18G1. 

18(39. 

DECEMBEH. 

JAXUART. 

FEBRUARY. 

MARCH. 

APRIL. 

BUY. 

JUNE. 

[ 
TOTAL. 

24,905. 

32,  463. 

26,  069. 

25,  46G. 

58,  429. 

C3,  297. 

57,822. 

36,  512. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

88 
89 
90 
91 
92 
93 
94 
95 
96 
97 
08 
9!) 
ICO 
101 

102 
103 
104 
103 
106 
107 
108 
10!) 
110 
111 

112 
113 
114 
115 

llfi 
117 

118 
119 
120 
121 
122 

123 
124 
125 
12G 
127 
128 
129 
130 
131 
132 
133 
134 
135 
136 

137 

9,583 

15 

19 

97 

12,  728 

13 

9 
3 

5 

96 

^ 
1 

7,072 
5 

99 
1 

7,434 

9 

8 
3 

65 
1 

16,  463 

C 
11 
7 
3 
134 
35 
49 

155 

14,  302 

5 
42 
13 

145 

2 
1 

11,  378 

14 
23 
5 
1 
119 
41 
38 
51 

93 

01,715 

126 
127 
43 
13 

591 
164 
118 
257 

see 

6 
6 

2 

1 

1 
41 
9 

1 

120 
37 
13 
56 
601 
5 
5 
1 
119 
44 

41 
9 
11 

*.  t 

44 

{) 

CS 

23 

1 

1 

3 
1 

17 
211 

35 
171 
4 
1 
1 
177 
37 

3 

12 

1 

10 
304 
4 
10 
2 

35 

1 

756 
13 

3 

314 
3 

2 

2,434 
34 
24 
21 
1,048 
291 

14 
60 
10 
9 
94 
194 
14 
7 
°5 

6 

1 

0 

<) 

3 

3 

13G 
4 

4 
179 
34 

3 

9 
2 



1-20 

95 

81 

56 

1 
6 
o 

2 

1 

56 

1 

4 
1 

.. 

1 

14 
1 
3 
4 
10 

: 

1 

3 

16 
43 
3 
o 

o 

7 
38 
o 

9 

4 

O"7 

2G 

20 

32 

"3 

0 

3 
2 
9 
5 

2 

3 

o 

1 
1 

; 

4 
3 

2 

64 
13 
13 

52 
109 
35 

16 

o 

8 
1 

3 

3 

o 

6 

1 

3 

1 

34 

13 

7 
24 
12 

436 
74 
94 
200 
653 
239 
14 

99 
9 
17 
420 
117 
43 
167 
262 
472 
109 
2,154 
12 

I 

o 

1 

6 

1 

1 

1 
1 

79 
15 

4 

1 

48 
8 
10 

1 
51 

3 

78 
11 
(i 
14 
53 
36 

20 
3 
5 

40 
1 
1 
G 
60 
11 

1 

1 

1 

1 

14 
21 

13 

18 
59 

9 
63 
5 
3 

10 

34 
135 
35 

1C8 
29 

1 

1 
1 

1 

°9 

4 

10 

1 

16 

5 
o 

8 
o 

1 

15 

2 
50 
1] 

10 

36 
3 

6 
18 
26 
14 
5 
12 
1 

42 

34 
5 
1 
9 

15 
3 
6 

27 

67 
51 

62 

I 

1 

9 
4 

°9 

4 
3 
12 

1 

6 
33 

34 
34 
241 
43 
1,690 

] 

1 

46 
13 
C 
10 

1 
1 

25 
28 

1 

1 

8 

39 
54 
10 
142 

31 

4 
17 
1 
357 
3 
3 
6 

no 

1 

7 

65 
9 

48 
5 

3 

1 

1 

7 
1 

o 

300 

29 

17 

1 
1 

2 

25 
27 

17 
86 

10 
34 

1 
3 

3 

12 

19 
148 

2              18 
15            114 

8 
28 

1 

8    j 

124 

511 

2 

7 

10,  431 

104 

13,  8-18         105       7,  768 

107 

8,296 

71 

20.  CG8 

488       16,  244 

195 

12,736         122        103,769    !  1,265 

90 


SICKNESS   AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  XV. 

Abstract  of  the  Sickness  and  Mortality 


YEAR                                                                              

1801. 

MONTII          

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

6,  277. 

6,  103. 

8,  323. 

14,  325. 

15,238. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS    1.—  ZYMOTIC    DISEASES. 
ORDEK  I.  —  Miasmatic  Diseases. 
1    Typhus  Fever                             

3 

33 
15 

2 
7 

3 

17 
37 
202 

1 
6 

10 
70 

7 
395 
C40 
3C8 

4 
10 

7 
140 
14 
384 
1,153 

0 

21 

101 
16 
239 
98° 

16 

176 

307 
158 

2 

3 

1 

513 

275 

592 

277 

7 
7 
634 

83 

34 
4 
1,331 
48 
202 
12 

152 

90 
4 
1,020 
109 

21 

20 

1 

7 
1  122 

2 
3 

3 

1,319 
271 

387 
26 
234 

2 
5 
2 

13 
3 

1 
2 
1 
8 
1 
1 

10 
129 
o 

49 
110 

3 

0 

1 

5 

42 

46 

84 

1 

320 
1 
13 

5 

501 

10 

204 

6 

16    Scarlet  Fever  

14 

27 

00 

55 
20 

18    Epidemic  Catarrh  

1 

99 
42 

19.  Debility  

20    Other  Diseases  of  this  Order  

33 

8 

21 
25 
8 
1 

130 
29 

220 

105 

10 
9 

1 

1 

114 
80 

14 
34 
5 
i 

ORDEK  II.  —  Enthetic  Diseases. 
21    Syphilis                         .       .           ..'... 

10 
13 
8 
1 

18 
20 

23.  Orchitis  

7 
1 

25.  Serpent  Bite  

20.  Other  Diseases  of  this  Order  

ORDER  III.  —  Dietic  Diseases. 
27.  Scurvy  

15 
3 

5 
1 

9 

1 

8 
6 

7 

29.  Inebriation  

CLASS    II.—  CONSTITUTIONAL    DISEASES. 

ORDER  I.  —  Diathetic  Diseases. 
30.  Gout  

31.  Acute  Rheumatism  

42 
3 
7 
1 

23 
10 
3 
1 

53 
30 

101 
49 
o 

112 
(>2 

33.  Anaemia  

34.  General  Dropsy  

6 

1 

3 

35.  Cancer  

36.  Tumors  

1 
6 

12 

37.  Other  Diseases  of  thi«  Order 

2 

7 
1 

3 

2 
1 

1 

22 

ORDER  II.  —  Tubercular  Diseases. 
38.  Consumption  

9 
2 

5 
1 

0 

1 

3 

39.  Scrofula  

CLASS    III.  —  PARASITIC    DISEASES. 
40.  Worms  

9 

Carried  forward  

1,729 

13 

2,775 

10 

3,994 

28 

5,083 

CO 

3,895 

40 

DURING   THE    YEAR    ENDING    JUNE    30,  1862. 


91 


TABLE  XV. 

of  the  Department  of  Tennessee. 


18G1. 

1869. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

! 

TOTAL. 

22,  108. 

8,  786. 

9,  683. 

8,  C82. 

68,  966. 

76,  448. 

G'6,  042. 

25,  t65. 

1 

3 

4 
5 
(i 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 

21 

23 
24 
25 
26 

27 
28 
29 

30 
31 
32 
33 
34 
35 
36 
37 

38 
39 

40 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1 
100 
44 
232 
825 
311 
0:5 
•    8 
1,  OJ3 
178 
207 
33 
29 

18 
515 
261 
968 
1,312 
884 
185 

2 
82 
5 
6 
1 

17 
777 
383 
1,606 
1,343 
1,307 
64 
128 
7,084 
1,760 
1,240 
206 
82 
32 
114 
5 
171 
96 
590 
260 

38 
119 
28 

6 

128 
3 
6 

1 

6 
504 
278 
1,574 
1,  273 
1  0°8 

o 

76 
5 
9 
1 

71 
2,365 
1,053 
6,071 
8,664 
5,396 
923 
3C8 
27,  413 
5,  G45 
4,413 
524 
557 
215 
2,032 

1  °35 

17 
302 
13 
31 
6 

31 

68 
3 

7 

14 
14 
74 
99 
44 
29 

3 

20 
1 
119 
119 
106 
23 

5 

3 

82 
88 
46 
25 

1 

1 

1 

1 

1 
17 
14 
9 
3 

168 
72 
5,  617 
1,187 
587 
53 
65 

11 
2 
98 

1 

55 
56 
5J 
45 
7 
5 
14 
42 

3 
6 

2 
4 

1 
2 

1 
425 

1 

6 

804 
269 

1 

1 

68 
6,733 
1,645 
995 
64 
74 
76 
163 

14 
14 
19 

8 

13 
11 
17 
3 

271 

15 
18 

1 

98 
124 

146 

84 
7 
4 
72 
4 
82 

13 
16 
149 

12 
23 

58 

1 
2 
1 

1 

7 
4 

2 

3 

o 

244 

5 

8 

161 

20 
20G 
34 

41 
68 
14 

1 

129 

84 

379 
12 

2!)0 

89 
615 
140 

33 
62 

27 
4 
o 

528 

33 
1 

19 
113 
21 

59 

71 

361 
148 

54 
106 
38 
4 

6 

2 

8 
4 

1 

2,531 
907 

275 
632 
194 
19 
4 

17 
7 

2 

1 

8 

29 

9 

28 

1 

19 

18 

1 

1 

1 

I 

4 
3 

3 

1 

5 

1 

6 
10 
9 

40 
11 
23 

41 

7 
4 

5 

350 
259 

129 

2 

1 

49 
45 

14 
1,970 

1*207 
211 

3 

6 

501 
315 

38 

3 

450 
375 
71 
67 
2 
1 
13 

64 
18 

222 
112 
5 
5 
1 
1 
10 

8 
3 

2 

1 

40 
19 

36 
20 
I 

40 
13 
3 
5 

1 

70 
100 

208 

1 
1 

29 

4 
13 
134 

233 
43 

44 

3 
3 

1 
2 

10 
1 

1 
8 

43 

50 
5 

3 
1 

1 

58 
11 

23 

5 

7 

4 

24 
1 

1 

1 

4,  251 

ro 

1,469 

18 

1,313 

10 

2,070 

10 

16,116 

177 

18,  599 

205 

14,457 

157 

76rf351 

791 

SICKNESS   AND    MOETALITY    OF   WHITE    TEOOPS 


TABLE  XV.— DEPARTMENT  OF  TENNESSEE— Continued. 


YEAR           .                                                                

1801. 

llOVTII                                                                  

JULY. 

AUGUST. 

SEl'TEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

C,  277. 

0,  103. 

8,  323. 

14,  325. 

15,  238. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1,729 

13 

2,775 

10 

3,994 

*»o 

5,683 

3 

9 
3 

4 

CO 
2 

3,895 

1 

18 
1 
4 

40 
1 

CLASS    IV.  —  LOCAL    DISEASES. 
ORDER  I.  —  Diseases  of  Nervous  System. 

37 

11 

1 

2 

1 
1 

44    F  VI 

o 

3 
1 

1 

3 

o 

2 

1 

1 
3 

42 

1 

1 
30 

49    Neuralgia 

18 

47 

23 

18 
17 
1 

50    Toothache                           

8 

go 

47 
5 

4 

16 

9 

3 
1 

1 

8 

ORDER  II.  —  Diseases  of  Eye,. 

1 

1 

44 
11 

3 
5 

o 

3 

34 
2 

47 

3g 

58    Other  Diseases  of  this  Order  

2 

8 
5 
3 
3 

11 
13 

ORDER  III.  —  Diseases  of  Ear. 

1 
3 
1 
•> 

8 
2 
1 

61.  Otorrhosa  

02    Deafness                   -              -                      -              

2 

63    Other  Diseases  of  this  Order  

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

65.  Inflammation  of  Heart  

66.  Inflammation  of  Endocardium  

1 

r> 

07.  Inflammation  of  Pericardium  

1 

1 

G8.  Inflammation  of  Veins  

3 

2 
2 

69.  Varicoccle  

1 
4 
1 

1 

4 
3 
4 

o 

70.  Varicose  Veins  

71.  Other  Diseases  of  this  Order  

1 

1 

1 

61 
7 
74 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
72.  Asthma  

7 
113 

14 
290 

73.  Acute  Bronchitis  

49 

24 

1 

175 

1 

74.  Chronic  Bronchitis  

7 
18 

75.  Catarrh  

30 

543 
3 
5 
1 
3 
23 
59 
16 

1 
4 

114 
17 

70.  Haemorrhage  from  Nose  

o 

77.  Haemorrhage  from  Lungs  

7 

4 

2 

78.  Dropsy  of  Chest  

1 

79.  Inflammation  of  Larynx  

2 

14 
7 
14 

5 
1° 

80.  Inflammation  of  Pleura  

8 
2 

2 
11 

04 

81.  Inflammation  of  Lungs  

33 
1 

4 

10 

82.  Other  Diseases  of  this  Order  

6 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
83.  Abdominal  Dropsy  

84.  Cholera  Morbus  

7 
31 
DO 
8 

2,176 

7 
15 

9 

or) 

15 

46 
°OG 

2 

85.  Colic  

1 
1 

86.  Constipation  

13^ 

108 

87.  Dyspepsia  

3 

9 

16 

13 

3,091 

10 

4,494 

28 

6,618 

73 

5,  152 

58 

DURING   THE    YEAR   ENDING    JUNE   30,  1862. 


93 


TABLE  XV.— DEPARTMENT  OF  TENNESSEE— Continued. 


1861. 

1869. 

DECEMIJEK. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

22,  108. 

8,  78G. 

9,  C83. 

8,  082. 

C8,  DCG. 

76,  448. 

U6,  042. 

25,  865. 

41 
42 
43 

44 
45 

4G 
47 
48 
49 
50 
51 
52 

53 
54 

55 
56 

57 
58 

59 
CO 
Cl 
62 
03 

G4 
65 
GG 
G7 
C8 
G9 
70 
71 

70 
73 
74 
75 
76 
77 
78 
79 
80 
81 
62 

83 

84 
85 
8G 
87 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths,  i  Cases. 

Deaths. 

Cases. 

Deaths. 

Cases,  j  Deaths. 

1 

Cases. 

Deaths. 
791 

22 

4,251 

1 
9 
3 

10 

G3 
1 

1,469 

18 

1,313 

1 
4 
5 
2 

10 

2,070 

10 

16,116 

5 
77 
3 
17 
3 
15 

177 
3 

18,  599 

8 
152 

205 
8 

14,457 

8 
135 

157 
7 

7G,  351 

27 
4G7 

99 
71 
70 
19 
132 
882 
769 
45 
J93 

10 
4 
11 
12 
1,088 
92 

223 

7 
1 
1 

7 

3 

1 

4 

1 

1 
1 
3 

5 

20 
30 
15 

0 

1 

3 

15 
3 
6 

33 
35 
13 

7 
GG 
215 
202 

1 
1 
71 
91 
3 
18 

1 
1 

o 

1 

1 

3 
19 

200 

2 

4 

G 
35 

0 

11 

2 
1G 
32 

50 
oJ 

17 

32 

1G7 
12G 

21 

139 
8 

*»J 

1 
1 

1 

9 
43 

2 
1 
5 

15 

1 
4 

14 

3 

1 

1 

1 

44 

6 
o 

1 

1 

, 

3 
3 

199 
5 

38 
17 
14 

1 

200 

i-26 

7 

2G 
8 
22 
9 

21 

°4 

40 

251 
33 

53 
25 

48 
3 
31 

1 

o 

18 

49 

27 

11 

G 
9 

9 

10 

0 

116 
loo 

4 

19 

5 
9 

1 
3 
1 
3 

21 
2 
8 

10 
29G 

25 

4 

4 
C 
1 
3 

44 

5 

12 
10 
16 
6 
88 
34 
48 

69 
1,449 
333 

4,919 

1 
3 

o 

1 

5 

7 
o 

3 

187 
32 
805 
o 

34 

9 
GO 
134 

24 

o 
15 

50 
205 
51 

2 

1 
4 
1 
19 
8 
8 

23 

1 
1 
2 

1 
3 

8 

1 

1 

1 

o 

2 

1 

1 

2 

6 
1 
5 

13 

5 

3 

21 

7 
1" 

1 

2 

2 

] 

7 
1 
1 

1 

48 
1C 
4G1 

9 
157 
59 
47G 
4 
8 
o 

1 

0 

1 

1 

49 
]3 

1 

51 

239 
89 
533 

1 

4 
°G5 

G7 
9GG 
3 
15 

458 

1 

7 
14 

1 

1 

1 

1 

92 
5 
146 
597 
1,456 
239 

27 

1 
1 
3 
o 

109 

- 

] 

5 

5 
13 

87 
G 

1 

6 
13 

145 

47 
194 
459 
30 

1 
98 

2GO 
345 
51 

20 
141 

272 
80 

16 
169 

1 
1 
1G 
1 

38 
112 
152 
33 

7 
209 
353 

535 
78 

1 

14 

9 
1 

95 
5 

22 

3 

22 
3 

9 

1 

1 
4 
35 

8 
10 
4° 

0 

542 

1,240 
2  372 
420 

4 
1 
3 



14 

1 

39G 
442 
174 

1 

4 

•5 

2,124 

(i,  313 

83        2,  338 

47 

19 

2,747 

25       19,846 

214 

22,500 

248 

17,  640 

191 

i     95,  039 

1,009 

94 


SICKNESS    AND   MORTALITY    OF   WHITE   TROOPS 


TABLE  XV.— DEPARTMENT  OF  TENNESSEE— Concluded. 


1861. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

6,  277. 

6,  103. 

8,  323. 

14,  325. 

15,  238. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

2,176 

13 

3,091 

2 

5 

10 

4,494 

28 

6,618 

1 

1° 

73 

5,152 

16 
3 

1 

58 

1 

ORDER  VI.  —  Diseases  of  Digestive  Organs  —  Continued. 

4 

7 

2 

1 
27 
52 

o 

7 
3 

13 
91 

13 
123 
1 
4 
43 

27 

35 

19 

17 
210 
4 

1 
7 
173 

1 

o 

o 

o 

5 

1 

1 

pE  i 

. 

.     11  amma  i 

3 

12 

20 

1 
o 

10 
21 
32 

9 
29 
10 

4 

58 

1G2 

1 

ORDER  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

one  ,n      <r 

1 

1  ru'  TV  hT"8  10"  ° 

1 

1 
6 
11 

ft-'    T              '                   f  I'   ' 

1 
3 

3 
4 

1 
3 
4 

4 
9 

1 

1 

3 

1 

1 
2 

1 

8 

6 

OEDEE  VIII.  —  Diseases  of  Bones  and  Joints. 

1 

1 
1 

1 

2 
15 

OEDER  IX.  —  Diseases  of  Integumentary  System. 

18 

18 
4 

15 

8 
3 

118    Whitlow                                         

1 
14 
3 
4 
6 

4 

5 

7 
15 

119    Boil                                                      -         

1 

19 
24 
7 

5 
32 

10 
13 
11 

61 
23 

1521    Ulcers                                                      

22 
11 

1 

1°2    Other  Diseases  of  this  Order            

5 

1 

7 
4 
28 
11 

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

oncussi°;         ^ 

2 
31 

9 

30 
3 
1 
10 
1 
9 
1 
3 
o 

19 
5 

1 

0 

4 
10 
13 
6 
3 
2 
1 

1 
6 
13 
9 
4 
11 

10 
6 
9 
4 
6 
5 

8 
16 
67 
7 
167 
5 

'  P     1JSG   T"VV 

2 

\ 

4 

1 

1 

4 
10G 

6 
4 

G 
6 

39 

7 

7 

G 

2 

7 

Total                                                                

2,484 

13 

3,401 

13 

5,033 

31 

7,208 

83 

5,941 

70 

DURING    THE    YEAR   ENDING    JUNE    30,  18G2. 


TABLE  XV.— DEPARTMENT  OF  TENNESSEE— Concluded. 


1861. 

1862. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

Arrai,. 

MAY. 

JUNE. 

TOTAL. 

22,  108. 

8,  780. 

9,  CSS. 

8,  082. 

08,  9CC. 

70,  448. 

GO,  042.                       25,  PCS. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases.  ;  Deaths.       Cases.    IDea'.bs. 

88 
89 
90 
91 
92 
93 
94 
95 
96 
97 
SS 
99 
100 
101 

102 
103 
104 
105 
IOC 
107 
108 
109 
LiO 
111 

112 
113 
114 
115 

116 

117 
118 
119 
120 
121 
122 

123 
124 
125 
12(i 
127 
128 
129 
130 
131 
132 
133 
13-1 
135 
136 

137 

(i,  313 

5 
10 

83 

2,338 

3 

1 

47 
1 

2  124 
1 

19 

2,747 

1 
13 
1 

25 
1 

19,  S4G 

42 
7 

214 

3 
1 

22,  500 

U2 
1C2 
8 
3 
239 

248 
2 

17,  G40 

09 
90 
3 

191 

1 

95,  039 

239 
349 

8 
071 
COG 
20C 
378 
1,804 
54 
31 

no 

572 

1,000 

9 
1 

o 

47 
34 

7 
8 

8 
1 

14 
15 

]  50 

119 

93 
50 
113 

G4 
73 
88 
305 
11 
14 
8 
J39 
137 

87 
G7 
95 

i 

9 
9 
9 

1 

1 

3 

29 
185 
3 
2 

74 
10 

4 

1 
1 

2 

49 

10 
1G 

474 

333 

12 

C 

8 

1 

1 

13 
10 
101 
119 

1 

1 
20 

1 

3 

3 

08 

19 

33 

1 

00 

07 

7~ 

o 

1 

3 

1 

023 

0 
30 
18 
11 
CO 
125 
05 
9 
17 
45 

15 
7 
0 
21 

357 
70 
74 
101 

500 

3 

1 
1 

14 
C 

8 
4 
5 

o 
13 

48 
2 



1 

8 
14 
0 
3 

11 
47 
4 
1 
5 

24 

6 
3 

3 

19 
3 
1 
3 

10 

4 
3 
o 

0 

0 

3 

8 

1 

4 
5 

2 

1 

3 

2 

2 

18 
9 
15 
25 
34 
29 
2 

5 

o 

9 

C8 
19 

0 

135 
25 

6 
5 
1 
1 

30 
10 

3 

4 

49 
9 
14 
20 
G7 
43 
G 

9 

0 

12 

17 
21 

s> 

4 
7 
3 

43 

110 
50 

7 

18 
4 
1 
104 
1C 
31 
13 

35 

91 

41 
22 

5 

205 

CO 

50 
18 
8 
300 
109 
37 
120 
154 
737 
102 
4,  238 
55 

2 

1 

1 

14 
3 
1 

34 
20 
4 
17 
17 
36 
12 
43 
18 

1 
1 
1 

1 
4 

2 

1 

4 

2 

1 

1 

44 
10 
9 
15 

20 
14 
4 
21 

2 

0 

3 

1 
3 

8 

o 

60 

3G 

1 

3 
1 
4 
1 
5 
1 
10 

1 

3 

14 
3 
4 
o 

11 

41 
118 
51 
281 
12 

23 
3 

290 

3 

437 

5 

G 
45 

8 
7 
C53 
1 
3 
13 

73 

10 
3,  3'J5 
10 

1 
524 
1 

1 
0 

49 

1 

9 

4 

C3 

2 

G 

1 

1 

4 

13 

147 

7 

2 

18 
10 

1 

5 
1 

50 

107 
103 

3 
3 

51 
02 

545 

558 

1 

1 

7,  253 

80 

2,010 

55 

2,015 

68 

2,901 

29 

25,  504 

804 

25,  308 

317 

19,  400         215 

109,  784 

1,804 

96 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  XVI. 

Abstract  of  the  Sickness  and  Mortality 


YEAR         

1861. 

MONTH                              ..  

JULY. 

AUC.L'ST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

1,  401. 

1,341. 

1,  293. 

1,  298. 

l,  3C3. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS  1.—  ZYMOTIC    DISEASES. 

ORDEK  I.  —  Miasmatic  Diseases. 

2.  Typhoid  Fever  

1 

1 

3 

1 

2 

2 

1 
5 

] 

6 
3 
1 

31 
10 

52 

34 
9 

10 
8 
5 

11 

8.  Congestive  Intermittent  Fever  

9.  Acute  Diarrhoea  

241 

173 

107 

59 

39 
6 
13 
4 

44 
2 

56 

33 

35 
2 

1 

1 

13.  Erysipelas  

1 

14.  Small-pox  and  Varioloid  

15.  Measles  

16.  Scarlet  Fever  

17.  Mumps  

1 

1 

18.  Epidemic  Catarrh  

19.  Debility  

15 

13 

3 

o 

2 

20.  Other  Diseases  of  this  Order  

ORDER  II.  —  Enthetic  Diseases. 
21.  Syphilis  

7 
6 

8 
6 

22.  Gonorrhoea  

23.  Orchitis  

3 

24.  Stricture  of  the  Urethra  

25.  Serpent  Bite  

26.  Other  Diseases  of  this  Order  

ORDER  III.  —  Dietic  Diseases. 
27.  Scurvy  

3 

6 

18 

2 

28.  Delirium  Tremens  

29.  Inebriation  

CLASS   II.—  CONSTITUTIONAL    DISEASES. 

ORDER  I.  —  Diathetic  Diseases. 
30.  Gout  

31.  Acute  Rheumatism  

40 
4 

40 

1 

23 

16 

10 
3 

32.  Chronic  Rheumatism  

33.  Anajmia  

2 

34.  General  Dropsy  

35.  Cancer  

36.  Tumors  

1 

1 

37.  Other  Diseases  of  this  Order  

ORDER  II.  —  Tubercular  Diseases. 
38.  Consumption  

3 

1 

o 

39.  Scrofula  

2 

1 

375 

CLASS  III.—  PARASITIC    DISEASES. 
40.  "Worms  

409 

2 

1 

236 

2 

152 

3 

87 

DURING   THE   YEAR   ENDING   JUNE   30,  1802. 


07 


TABLE  XVI. 

of  the  Department  of  the  Gulf. 


18G1. 

18057. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

1,  965. 

1,  302. 

1,  278. 

8,  870. 

13,  323. 

14,  557. 

13,  822. 

5,  151. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
11 

13 
14 
15 

16 

17 
18 
19 
20 

21 

24 
25 

26 

27 
29 

30 
31 
3— 
33 
34 
35 
30 
37 

38 
39 

40 

CO 
84 
208 
128 

OQ,| 

6 

27 

00 
256 
504 
345 
711 

fi 
59 
1 
3 

1 

5 

13 

2 

30 

7 

37 

38 
55 
58 
16 

6 

79 
171 
S5 

184 

12 
1 

01 
47 
32 

1 

-' 

7 
4 

1 

1 

55 

l°l 

208 

oo 

7 
13 
1,906 
101 
386 
5 
3 

10 
30 
2,  375 
139 
60 
11 
3 

5 

281 

2 

1,  314 

1 

3 

2 

17 

CO 
<      6,535 
312 
1,539 
44 
26 
3 

00 

23 
2 
3 
15 
3 

1 

17 

7 

4 

12 

11 

1 

1 

3 

28 

1 

1C 
91 
6 
5 
1 
18 

34 
744 

14 

0 

11 

1 

1 

1 

10 

2 

1 

\ 

1 

\ 

°7 

1C5 

60 

21 

'->?.-, 

9 
1 

14 
330 
9 

33 

49 

17 

1 

" 

23 

681 
49 

119 
142 
81 
4 

4 

64 

1 

33 
16 
3 

116 
17 

16 
39 
40 
1 

331 
oo 

1 

1 

2 
1 
1 
2 

20 
25 
16 

1 

1 

1 

o 

44 
1 

1 

o 

77 
4 
5 

3 

4 

14 
1 

11 
3 

1 
3 

48 
35 

102 

92 
143 
0 

7 

1 
3 

64 

100 
50 
7 

521 
502 
63 
17 

1 
3 
1 

159 

1 

3 

o 

2 

o 

8 
41 

115 

O 

3 
1 

27 

11 
68 

o 

15 
1 

1 
1 

15 

1 

1 

6 

11 

1 

78 

1 

81 

42 

3 

858 

13 

3,112 

21 

3,793 

26 

4,428 

C>3 

13,  051 

133 

13 


98 


SICKNESS   AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  XVI.— DEPARTMENT  OF  THE  GULF— Continued. 


YEAB               .            

1861. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

ME  \\  STBEXGTH                        

1,  401. 

1,  341. 

1,  293. 

1,  298. 

1,  363. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Brou  -lit  forward 

409 

375 

1 

23G 

o 

152 

3 

87 

CLASS    IV.—  LOCAL    DISEASES. 

ORDEII  I.  —  Diseases  of  Nervous  System. 

°3 

17 

37 

7 

9 

f  B    ' 

44    E   ile  s  - 

1 

8 
20 

G 
G 

4 
8 

2 

1 
4 

3 

51    Paralysis                                          

1 
1 

ORDER  II.  —  Diseases  of  Eye. 
53.  Amaurosis  

3 

4 

f  T  ' 

1 
1 
3 

4 
G 
1° 

2 
3 

2 

4 
3 
1 

G 
o 

1 

ORDER  III.  —  Diseases  of  Ear. 

12 

4 
8 

o 

1 

1 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

f  IT      t 

2 

1 

1 

1 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
72    Asthma                                             

1 

0 

1 
2 

20 

10 

8 

11 

1C 

37 
1 

1 

10 

30 

o 

3 

o 

1 

2 

2 
9 

1 
1 

9 

9 

ORDER  VL  —  Diseases  of  Digestive  Organs. 

4 
25 

4 
23 

1 

8 
4 

85   Colic                               

10 

7 

GG 

53 

2G 

5 

G33 

3 

544 

1 

412 

2 

211 

3 

154 

DURING   THE   YEAR   ENDING   JUNE    30,   1802. 


TABLE  XVI.-DEPARTMENT  OF  THE  GULF-Continued. 


1801. 

1HGQ. 

DECEMBER. 

JANUARY. 

FEBUUAKY. 

MAKCH. 

A  run.. 

MAY. 

JUNE. 

TOTAL. 

1,  9G5. 

1,302. 

1,  278. 

8,  870. 

13,  323. 

14,  557. 

13,822. 

5,  151. 

41 
42 
43 

44 
45 
46 
47 
'48 
49 
50 
51 

JX> 

53 
54 
55 
56 
57 
58 

59 
60 
61 
62 
63 

64 
65 
66 
67 
68 
69 
70 
71 

72 
73 
74 
75 

76 
77 
78 
79 
80 
81 
82 

83 
84 

85 
P6 
87 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.      Deaths. 

78 

1 

81 

42 

3 

858 

1 

28 

13 
2 

3,112 

1 

39 

1 

3,  793 

1 

°8 

26 
1 

4,428 

4 
110 

63 
4 

13,  C51 

7 
305 
1 
14 
43 

2 

135 

- 

5 

0 

1 
1 

1 

1 

4 
3 

3 
fi 

5 
34 

o 

3 

5 

1 

1 

1 

1 

1 
1 

12 

37 
60 
3 
16 

1 

42 

°9 

142 
241 
5 
40 

15 

1 

20 

7i! 

46 
1 
13 

1 
2 

1 

8 

0 

1 

2 

1 

3 
3 

19 

1 

9 

27 

8 
39 
108 
30 

32 
38 
20 
4 
7 

1 

7 
o 
2 
1 
67 
20 
21 

85 

328 

178 

13 

26 

3 
1 

17 
2 

3 

10 

4 
10 

8 

1 

- 
3 
8 
2 

9 

1 

7 

1 

2 

1 
2 

1 

1 

1 

1 

2 

2 

1 

1 

1 
28 
4 
14 

10 
103 
43 

°5 

11 
5 

1 

3 

43 
65 

4 

1 

1 

70 
16 
116 

7 
4 

8 
67 
53 

1 

1 

• 

3 
1 

20 



1 

o 

261 

190 

168 

PCS 
5 
36 

C 

13 

9 

7 

o 

2 

45 

5 

28 
23 

1 

4 
14 
13 
41 

6 
10 
13 
15 

CO 
Cl 
P8 
97 

4 
34 

7 

1 
1 

4 
2 

1 

4 

1 

0 

3 

1 

3 

11 

8 

'- 

4 

40 
181 
209 
27 

55 

44 
C2 
191 
34 

148 
400 

730 

60 

4 

1 

1 
1 

7 
36 
1 

69 

1 

1 

137 
21 

121 

1 

98 

1 

55 

4 

1,298 

19 

4,337 

27 

4,740 

32 

5,411 

85 

18,014 

IT.a 

100 


SICKNESS    AND   MORTALITY    OF   WHITE    TROOPS 


TABLE  XVI.— DEPARTMENT  OF  THE  GULF— Concluded. 


YE  VK                       -  

1861. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

1,  401. 

1,  341. 

1,  293. 

1,  298. 

1,  OC3. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

633 

6 
6 

3 

544 
6 

1 

412 

11 
6 

2 

211 

3 

154 

ORDER  VI.  —  Diseases  of  Digestive  Organs—  Continued. 

o 

9 

7 

3 

3 

3 

romc   n  amma 

3 

1 

' 

9 
4 

7 
16 

8 
6 

o 

4 

8 

7 

ORDEU  VII.—  Diseases  of  Urinary  and  Genital  Organs, 

1 

TOR   rrffl"  ™enCf  ,r  •    t- 

1 

fl'CU  ^  °       f  K 

1 

Q       II 

"_   °                            „        . 

1 

m   nth*    TV  ll  °    /th^o  <i 

OBDEK  VIII.  —  Diseases  of  Bones  and  Joints. 

114    White  Swelling                       

ORDER  IX.—  Diseases  of  Integumentary  System. 

2 

o 

P8    Whitlow 

5 
18 
2 
7 
8 

4 

3 

1 
23 
5 

11')    Boil                                                          

18 
6 

8 

o 

1 

1 

4 
4 

6 

CLASS    V.—  WOUNDS,   ACCIDENTS,   AND 
INJURIES. 

03 

16 

1 

15 

4 

5 

1 



120    S   run 

2 

1 
1 
2 
1 
40 

1 
2 

14 

2 
7 

10 

4 

3 

1 

10 

2 

135    Suicide                .              

1%    Others  of  this  Class                                 

5 
10 

5 

63 

18 

4 

8 

Total    -            

8^7 

3 

C61 

1 

506 

o 

292 

13 

213 

8 

DURING   THE   YEAR   ENDING   JUNE    30,  1862. 


101 


TABLE  XVI.— DEPARTMENT  OF  THE  GULF-Concluded. 


1861. 

1809. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MAUCII. 

APRIL. 

MAY. 

JUKE. 

TOTAL. 

1,  965. 

1,302. 

l,  278. 

8,  870. 

13,323. 

14,  557. 

13,  822. 

5,  151. 

88 
89 
90 
91 
92 
93 
94 
95 
96 
97 
98 
99 
100 
101 

102 
103 
104 
105 
106 
107 
108 
109 
110 
111 

112 
113 
114 
115 

116 
117 
118 
119 
120 
121 
122 

123 
124 
123 
120 

127 
128 
129 

ir,o 

131 
132 
133 
134 
135 
136 

137 

Cases. 

Deaths. 

Cases. 

Deaths 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths  . 

Cases. 

Deaths.    Cases. 

Deaths. 

c    ..  | 

Deaths. 

121 

1 

98 

1 

55 

4 

1,298 

19 

4,337 

3 
9 

1 

27 

4,740 

7 
15 
4 
1 
33 

32 

5,411 

17 
11 

85 

18,014 

50 
54 
9 
9 

178 

5 
3 

1 

1 

1 

1 

59 

3 

4 
8 
1 
17 
3 

43 
24 
5 
34 
12 

14 
8 
33 
18 
2 
1 

104 

18 
34 

0 

1 

114 
100 
5 
3 

1 

1 

1 

1 

1 

9 
8 

13 

3 

39 
19 

0 

82 

44 
20 

09 

37 

1 
3 

46 

171 

3 
9 
4 

°5 

4 
o 

1 

g 

') 

3 

12 

20 
18 
13 

1 

1 
1 

6 
8 
4 

39 
32 
7 
13 

17 

2 

1 
1 
.    7 

3 
1 

1 

0 

G 
2 
9 
1 
12 

1 

1 
3 

0 

1 

1 

1 
1 

3 

36 
6 

24 

3 

41 
6 
3 

15 

1 

40 
o 

1 

1 

10 
1 

131 
19 
18 
149 
30 
78 

1 
5 
1 

4 
34 

o 

15 

1 

1 

11 

6 

1 

11 
6 

1 

30 

16 
G 

6 
1 

5 

3 

4 
3 

16 
3 

8 
5 

23 

117 
14 
3 
32 
72 

1 

2 

1 

o 

7 
11 
9 
1 
3 

5 

14 

1 
6 

2 
1 

1 

1 

2 

4 
2 
13 
4 

4 

3 

25 

9 
87 
G 

4 

o 

1 

2 

1 

6 

J9 

| 

1 

5 
9 

1 
6 

6 
29 

17 

1.77 

9 

1 

4 

9 

5 

il 

173 

122 

1 

61 

4 

1,467 

21 

4,797 

31         5,  168 

34 

6,002 

08 

20,309 

218    ! 

! 

102 


SICKNESS   AND   MORTALITY    OF    WHITE    TEOOPS 


TABLE  XVII. 

Abstract  of  the  Sickness  and  Mortality 


1861. 

MONTH      

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH 

l,  090. 

983. 

934. 

696. 

079. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS   1.—  ZYMOTIC   DISEASES. 

ORDER  L  —  Miasmatic  Diseases. 

1 
1 

2.  Typhoid  Fever  

1 
o 

2 
1 
4 

] 
2 
1 

1 

1 

0 

1 
1 
2 

5.  Quotidian  Intermittent  Fever  

6.  Tertian  Intermittent  Fever  

7.  Quartan  Intermittent  Fever  

8.  Congestive  Intermittent  Fever  

36 

52 

21 

2 

17 

1 
6 

12 
1 
1 

10 
9 
1 

11.  Acute  Dysentery.  

11 

12.  Chronic  Dysentery  

13.  Erysipelas  -  

14.  Small-pox  iind  Varioloid  

15.  Measles  

16.  Scarlet  Fever  

2 

1 

17.  Mumps  

18.  Epidemic  Catarrh  

19.  Debility  

1 
1 

1 

1 
1 

20.  Other  Diseases  of  this  Order  

1 

1 
3 
1 

OEDEK  II.  —  Enthetic  Diseases. 
21    Syphilis           

2 
4 
2 

4 

2 

23    Orchitis            

24    Stricture  of  the  Urethra.  .   . 

26.  Other  Diseases  of  this  Order  

ORDER  IIL  —  Dietic  Diseases. 
27.  Scurvy  

28.  Delirium  Tremens  

1 
4 

9 

6 

1 

CLASS   IK—  CONSTITUTIONAL   DISEASES. 

ORDER  L  —  Diathctic  Diseases. 
30.  Goat  

31.  Acute  Rheumatism  

4 

3 

8 
1 

o 

3 

o 

32.  Chronic  Rheumatism  

3 

33.  AnflRmia  

34.  General  Dropsy  

36.  Tumors  

37.  Other  Diseases  of  this  Order  

1 

ORDEB  II.  —  Tubercular  Diseases. 
38.  Consumption  

1 

39.  Scrofula  

CLASS    III.—  PARASITIC    DISEASES. 
40.  Worms  

76 

93 

1 

47 

41 

°7 

DURING    THE    YEAR   ENDING    JUNE   30,  1862. 


103 


TABLE  XVIL 

of  the  Department  of  the  Northwest. 


1801. 

18(33. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

895. 

1,  934. 

2,  023. 

2,  014. 

1,  G18. 

9G5. 

1,  04G. 

1,  240. 

1 

3 
4 
5 
G 
7 
8 
9 
10 
11 
12 
13 
14 
15 
1C 
17 
18 
19 
CO 

21 
22 
23 
24 
25 

27 
28 
29 

30 
31 
32 
33 

34 
35 
3G 
37 

38 
39 

40 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

3 

1 

5 
8 
1 
270 
3°1 

0 

1 

4 

1 

1 

10 

11 

21 

211 

9 
4 
10 
4 

7 
4 
4 
9 

1 

2 

303 

8 

14 

7 

83 

135 
24 
5 
472 
125 

11 
5 

208 

1 

1 

4 

*        9 

C 

79 
1 

1 

G 
1 
1 

22 
1 

1 

1 

1 

105 

G 

1 

1 
2 
10 

1 

1 

63 
4 

18 

o 

2 

1 

4 

1 

1 

1 

O"V 

33 

52 

1 

137 
3 
; 
36 
54 
55 

29 

1 

1 
15 

1 
20 

1 
1 
27 

1 

1 

17 
12 

0 

3 

1 

1 
3 

2 

10 

3 
4 
1 

27 

1 
2 
2 

19 

1 
1 

o 

2 

3 

30 

7 

1 
•  

1 
3 

2 

1 

1 

1 

o 

3 

8 
4 

3 

9 

19 

7 
1 

13 
9 

9 
1 

1 

4 
6 

83 
40 

1 

4 

il 

1 

7 

1 
1 

10 

4 

5 

1 

1 

3-2 

112 

147 

1 

221 

2 

1,041 

3 

59 

1 

92 

1 

I,!**1 

'.» 

104 


SICKNESS   AND   MORTALITY    OF   WHITE   TEOOPS 


TABLE  XVII.— DEPARTMENT  OF  THE  NORTHWEST— Continued. 


YE  All                                          

1801. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

ME  w  STKEXGTU         

1,  090. 

983. 

934. 

696. 

679. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

76 

93 

1 

47 

41 

"7 

CLASS    IV.—  LOCAL    DISEASES. 
ORDER  I.  —  Diseases  of  Nervous  System. 

r  *J      y 

1 

4 

1 

o 

47.  Inflammation  of  Membranes  of  Brain  

48.  Xostalgia  

3 
3 

4 
5 

2 
1 

4 

50    Toothache                             

0 

52.  Other  Diseases  of  this  Order  

1 

ORDEK  II.  —  Diseases  of  Eye. 

* 

57    Ophthalmia 

10 
1 

1 
1 

10 

5 
1 

2 

3 

ORDER  III.  —  Diseases  of  Ear. 

1 
2 

1 

1 

61    Otorrhcea 

6°    Deafness 

63    Other  Diseases  of  this  Order 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

68.  Inflammation  of  Veins  

70.  Varicose  Veins  

71.  Other  Diseases  of  this  Order 

1 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
72.  A  sthma  

1 
2 

1 

73.  Acute  Bronchitis  

74.  Chronic  Bronchitis  

75.  Catarrh  

13 

15 

11 

18 

30 

76.  Haemorrhage  from  Nose  

77.  Haemorrhage  from  Lungs  

78.  Dropsy  of  Chest  

79.  Inflammation  of  Larynx  

1 

80.  Inflammation  of  Pleura  

2 

2 

81.  Inflammation  of  Lungs  

1 

3 

o 

82.  Other  Diseases  of  this  Order  

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
83.  Abdominal  Dropsy  

84.  Cholera  Morbus  

3 

7 
3 

30 
8 

00 

1 

85.  Colic  

6 
9 

4 

8G.  Constipation  
87.  Dyspepsia  

4 

0 

4 
1 

3 

1 

Carried  forward  

134 

184 

1 

97 

80 

72 

DURING   THE    YEAR   ENDING    JUNE   30,  1862. 


105 


TABLE  XVII.— DEPARTMENT  OF  THE  NORTHWEST— Continued. 


1861. 

1803. 

DECEMBER. 

JAM'AUY. 

FKIJRUAKY. 

JlAUCII. 

APRIL. 

HAY. 

JUNE. 

TOTAL. 

895. 

1,934. 

2,  023. 

2,  014. 

1,618. 

965. 

1,04(5.                       1,240. 

1 
Cases.    Deaths.      Cases. 

i              ! 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths.       Cases. 

Deaths. 

41 
42 
43 
44 
45 
40 
47 
48 
19 
50 
51 

53 
54 

55 

5? 

53 

50 
GO 
01 
62 
63 

64 

(iG 
C7 
68 
69 

70 
71 

72 
73 

74 

7(5 

77 
78 
79 
80 
81 
82 

83 

84 
8." 
8( 
87 

32 

112 

i 
2 

147 

1 

221 

o 

1,  Oil 

3 

59 

1 

92 

1 

1,968 

1 
15 

9 
1 

1 

2 

o 

A 

1 

1                1 

2 

1 

5 

1 

1 
1 
1 

28 
10 

1 

1 

1 

0 

1 

1 
1 

3 

6 
2 

1 
1 

1 

1 

I 

4 

1 

G 

!                  j 

3 

4 

15 
C9 
6 

IG 
<>.) 

10 
10 

1 

9 
3 

2 

1 

7 

7 

5 

1 

10 

1 
8 

1 
3 

3 

2 

1 

1 

] 
2 

1 

.    |i 

|l 

i 

1 

2 

- 
48 

5 
11 
34 

3 

12 

11 
20 

1 

2 

C9 

66 

1 

67 

189 

39 

28 

579 
1 

1 
o 

3 

3 

10 

1 

3 

1 
33 
1 

3 

3 

1 
53 

31 

0 

11 

o 

3 

8 
C7 
100 
11 

1 
3!> 
16 

117 

40 

a,  y*> 

6 

1 

1 

1 

1      

ori 

3 

20 

1 
10 

1 

7 

'          3 

135 

o 
4 
1 

14:" 

1 

2 

5 

G 

1,  383 

4 

3 

1 

18 

9fi 

1 

252 

o 

307 

1 

378 

5 

14 


106 


SICKNESS   AND   MORTALITY   OF   WHITE   TEOOPS 


TABLE  XVII.— DEPARTMENT  OF  THE  NORTHWEST— Concluded. 


1861. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

1,  090. 

983. 

934. 

C96. 

(!79. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

134 

184 

1 

97 

80 

7° 

ORDER  VI.  —  Diseases  of  Digestive  Organs  —  Continued. 

'     " 

4 

3 

6 

5 

2 

1 
1 

I 

1 

1 

5 

2 

2 

101    Other  Diseases  of  Ihis  Order       

2 

3 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 
10°    Stone  and  Gravel                

1 

104    Diabetes                         

106    Difficulty  of  Urination  

1 

1 

/ 

109.  Sarcocele  

110.  Non-Syphilitic  Ulcer  of  Penis  

111.  Other  Diseases  of  this  Order  

1 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

114.  White  Swelling  

115.  Necrosis  

ORDER  IX.  —  Diseases  of  Integumentary  System. 
110.  Abscess  

2 

2 

4 

2 

2 

117.  Carbuncle  

118.  Whitlow  

1 
2 
o 

2 

1 
1 
5 

1 

2 
1 

2 

1 

no.  r.oii  

4 

120.  Skin  Diseases  

1 
1 
1 

0 

122.  Other  Diseases  of  this  Order  

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

1"3    Burns 

1 

1 

1 

1 

! 

12 

7 

6 
1 

9 

7 

127    Fracture 

1 

128.  Dislocation  

129    Sprain 

3 

4 

7 

C 
1 

2 

1 
1 

o 

130.  Incised  Wounds  

C 
1 
1 

6 

132.  Punctured  Wounds  

1 

1 

0 

1 

133.  Suicide  

13G    Others  of  this  Class 

1 
6 

1 
3 

3 

6 

1 

1 
3 

137  UNCLASSIFIED  DISEYSES    .            

4 

Total                        

190 

1 

228 

1 

138 

1 

115 

H  2 

DURING    THE    YEAR   ENDING   JUNE    30,  18G2. 
TABLE  XVII.— DEPARTMENT  OF  THE  NORTHWEST— Concluded. 


107 


18(>1. 

181  W. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

Al'RIL. 

MAY. 

JUNE. 

TOTAL. 

805. 

1,  934. 

2,  023. 

2,  014. 

1,  618. 

965. 

1,  046. 

1,  240. 

88 
8!) 
90 
91 
92 
93 
94 
95 
96 
97 
98 
99 
100 
101 

102 
T03 
104 
105 
106 
107 
108 
109 

no 

111 

112 
113 
114 
115 

116 
117 
118 
119 
120 
121 
122 

123 
124 
125 
126 
127 
128 
129 
130 
131 
132 
133 
134 
135 
136 

137 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases.    Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

96 

T 

252 

1 

10 

o 

307 

1 
3 

1 

378 

5 

1,382 

4 

135 

3 

149 

1 

3,  2GO 

o 

30 

1 

18 

2 
1 

0 

1 

1 

2 

3 

1 

1 

2 

7 
5 
3 
5 
3 

3 
1 

2 

1 

1 

2 

1 

1 

3 

15 

9 

0 

6 
5 

5 
4 

3 

0 

12 

28 

o 

3 

1 

7 

1 

1 

2 

1 

1 

1 

1  

] 

8 

3 

3 

3 

3 

3 

35 

1 

1 
1 
1 

1 

7 
°2 

0 

4 
1 

3 

4 

10 
1 
4 

5 
4 
1 

2 

38 
13 
13 

7 
1 

4 

1 

1 

o 

3 

1 

1 

3 

1 

7 

3 

3 
1 
1 
4 

4 

o 

1 
1 
1 
3 
1 

64 
5 
4 
39 
13 

3 
3 
1 

1 
5 

1 

3 
1 
1 

3 

1 

4 

1 
1 

4 

I 

4 

3 

3 

1 

6 

1 

1 
1 

16 
20 

1 

1 

136 

1 

324 

2 

361 

1 

410 

5 

1,422 

4 

J63 

3 

172 

1 

3,771 

20 

108 


SICKNESS   AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  XVIII. 

Abstract  of  the  Sickness  and  Mortality 


1861. 

JULY. 

AUGUST. 

^SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

4,  425. 

5,  426.                      G,  078. 

24,  513. 

30,  398. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS   1.—  ZYMOTIC   DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

o 

19 
77 
59 
336 
C05 
05 

5 
4 
4 
1 
1 

o 

1"5 
85 
353 
1,  005 
703 

1 
11 

5 
152 

115 
426 
003 
510 
110 
11 
1,428 
247 
249 
90 
21 
1 
1,109 
1 
51 

1 
31 
4 
1 

10 
7 
01 
253 
22 

10 
17 
373 
435 

. 

o 
1 

5.  Quotidian  Intermittent  Fever  

4° 

1 

8 
20 

8 
18 
543 

IOC 

7 
349 

153 

2 

17 
1,083 
300 
304 
43 
7 

2 
1 
5 
4 

2 

. 

770 
5 
142 

22 

84 

2 
1 
1 
1 

IT*  A'  r     n 

1 

• 

4 
3 
2 
14 

1 

4 
1 

37 

'  •                                  . 

'  J"    ,  * 

11 

355 
o 

9 

18 

5 
19 
17 

5 
31 
5 

6 

3 

20     !  

. 

110 

77 
8 

49 
93 
13 

212 

19 
6 

10 
42 
4 
1 

17 
13 

18 
36 

1 

G9 
10 

47 
112 

12 

1 

ORDER  II.  —  Enthetic  Diseases. 

23    Orchitis 

25.  Serpent  Bite 

1 

26   Other  Diseases  of  this  Order 

ORDER  III.—  Dietic  Diseases. 
27.  Scurvy  

11 
3 

2 

1 
1 
7 

1 
1 
3 

28.  Delirium  Tremens  

6 
3 

3 

100 
86 
8 
8 

29.  Inebriation  

2 

2 
23 

1 

1 

CLASS    II.—  CONSTITUTIONAL  DISEASES. 

ORDER  I.  —  Diathetic  Diseases. 
30.  Gout  

31.  Acule  Rheumatism  

49 
6 

37 
20 

81 
37 
7 
3 

32.  Chronic  Rheumatism  

18 

33.  Ansemia  

34.  General  Dropsy  

1 

35.  Cancer  

36.  Tumors  

1 

8 

12 
o 

37.  Other  Diseases  of  this  Order  

3 

4 

ORDER  II.  —  Tubercular  Diseases. 
38.  Consumption  

1 
3 

4 

5 
3 

1 

3 

3 

39.  Scrofula  

CLASS   III.  —  PARASITIC    DISEASES. 
40.  Worms  

1 

Carried  forward  

1,080 

1,988 

1 

2,033 

18 

5,  191 

40 

5,  830 

08 

DURING     THE    YEAE   ENDING   JUNE   30,  18G2. 


109 


TABLE  XVIII. 

of  the  Department  of  Missouri. 


1861. 

1802. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

31,  104. 

•JO    0"R 
»J~,  J«>U. 

25,  313. 

27,  139. 

16,  503. 

15,  248. 

15,  G42.           I           19,500. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1 
9 

Cases. 

Deaths. 

1 

3 
4 
5 
G 
7 
8 
9 
10 
11 
12 
13 
11 
15 
16 
17 
18 
1!) 
20 

21 

^3 
24 
25 

20 

O*7 

28 

30 
31 

32 
33 
34 
35 

30 
37 

38 
3!) 

40 

0 

21  a 

150 
435 
C03 
299 
38 
14 
1,206 
259 
205 
50 
77 
28 
1,305 

3 

185 
(il 
387 
451 
410 
50 

3 

20 
1 

1 
140 
44 
333 
313 
208 

00 

9 
15 

24 
143 
10 
247 
383 
353 

6 

19 

12 
112 
51 

8 

C 

90 
58 
155 

387 
77 
8 
7 
287 

1 

22 

3 

27 

79 
1,291 
084 
3,  C79 
5,487 
2,991 
490 
155 
9,729 
1,532 
1,994 
280 
295 
192 
4,005 
7 
l,C7i 

29 
103 
9 

12 
5 

7 

24 

1 

1 

4 
3 

154 

282 
07 
103 

1 

o 

389 
107 
119 
4 
10 
330 
20 
154 
20 

1 

1 

1 

1 

1 

4 
4 
0 
1 
3 
1 
1 

18 
1,  750 
342 
181 
28 
G3 
49 
770 

471 
993 
1G3 
131 

73 

167 

6 

o 

7 
1 

11 

811 
49 
154 
19 
20 
53 
185 

3 

1 
o 

13 
999 
164 
230 
11 
24 
45 
70 
1 
354 
CO 
108 

9 
101 
34 
39 
6 
20 
11 
91 

3 

3 

14 
28 
11 
10 
9 
15 
77 
o 

3 
1 
1 
1 
3 
1 
3 
1 

3 

1 
1 

1 

1 

28 
39 
3 
18 
1 
21 
1 
C2 

3 
1 
1 

1 

o 
2 
1 

2 

4 
5 

7 
20 

1 

1 

31 

1C8 
315 
90 
6 

31 

95 

343 

140 
7 
CO 
3 

9 
16 

48 

3 

123 

138 

9 
C8 
1 

18 
20 

1,648 
871 
1  224 

3 

2 

39 

1,000 

22 

54 

6 
14 

1 

321 
701 
204 

1 

48 

49 

21 

01 

12 
1 

10 

4 

1 

7 

1 



4 

5 

1 
238 
74 
20 
14 

1 
5 

8 

6 
4 
2 

1 
4 

2 

8 
6 

31 
43 
51 

7 
1,  285 
744 
54 
64 
o 

3 

49 

125 
42 

145 

2 

4 
13 

1 
2G3 
191 

1 

1 

5 
4 

2 

1 

1 

7 
3 

1 

132 
95 

1 

172 
77 
C 
5 

1 

81 
G7 
4 
4 

01 

24 

48 
49 

3 

1 

3 
14 

(; 

1 
1 
1 

3 

1 

6 

0 
1 

1 

1 

1 
4 

13 

7 

8 

1 

10 

14 
1 

40 

10 

29 
5 

1 
3 

1 

9 
5 

4') 

1 

13 

1 

o 

4 

10 
10 

1 

1 

22 
o 

3 

2 

4 

0 

14 
5 

0 
-1 

1 

40 

C,  C73 

74 

7,  422            82       4,  4  15 

40       3,710 

53 

1,558 

2o 

1,502 

34 

1,012 

22         4?,  4  14 

403 

110 


SICKNESS   AND   MORTALITY    OF    WHITE   TROOPS 


TABLE  XVIII.— DEPARTMENT  OF  MISSOURI— Continued. 


1861. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

4,  425. 

5,  426. 

6,  078. 

24,  513. 

30,  398. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

deaths. 

Cases. 

Deaths. 

1,080 

1,988 

4 
11 

1 
o 

2,033 

18 

5,191 

1 

7 

40 

5,830 

68 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.  —  Diseases  of  J^ervous  System. 

1 

10 

6 
1 
4 

1 

3 
3 
1 

5 

5 
1 

0 

18 

3 
1 

3 

1 

3 

32 

1 

3 

57 
76 
6 
1 

3 

12 
3 

12 

8 

6 
1 

6 

58 
o 

4 

1 
2 

ORDER  II.  —  Diseases  of  Eye. 

2 

2 

d     g 

36 
1 

54 

33 

112 

187 
4 

4 

27 

32 

ORDER  III.  —  Diseases  of  Ear. 

2 
6 
1 

5 

o 

1 
1 

9 

1 

o 

3° 

1 
1 

1 

~      nta       jy                        f  +V      O    J 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

6"   I  fl  mm  tion  of  Heart 

1 

1 
1 
3 

'                               _     . 

f  v  • 

'         . 

0 

1 

1 
1 
1 

g 

70   V  rieose  Veins 

3 

12 

Oth      D'               f  th'  •  O  1 

1 

11 
86 
21 
200 
2 
3 

1 

6 

231 
40 
597 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 

10 

14 
4 
40 

29 

3? 

1 

16 

1 

o 

3 

5 
1 

2G 

78   Dropsy  of  Chest 

18 
3 

1 

6 
0 

6 
9 

4 

1 

20 

18 
162 
9 

81.  Inflammation  of  Lungs  

5 

8 
1 

1 

1 

1 

39 
6 

1 

30 

19 

82   Other  Diseases  of  this  Order  

2 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
83.  Abdominal  Dropsy  

8 

10 
95 

7 



16 

15 

20 
96 

85    Colic             

16 
60 
4 

77 
175 

86.  Constipation  

120 
4 

294 

29 

18 

1,324 

1 

2,329 

4 

2,324 

21 

6,171 

43 

7,789 

88 

DURING   THE    YEAR    ENDING   JUNE    30,   18G2. 


Ill 


TABLE  XVIII.— DEPARTMENT  OF  MISSOURI— Continued. 


18(31. 

18052. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

31,  104. 

32,  93G. 

25,  313. 

27,  139. 

10,  503. 

15,  248. 

15,  042. 

19,  500. 

4J 
42 
43 
44 
45 
40 
47 
48 
4;) 
50 
51 
02 

53 

54 
55 
50 

57 
58 

:,.< 
60 
61 
62 
63 

C4 
05 
66 

or 

68 
69 

70 
71 

73 

74 
75 

70 
77 
78 
79 
80 
81 
82 

83 
84 
85 
86 

67 

Cases. 
G,  073 

3 

4 

1 
9 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

74 
3 

!    7,  422 

82 
] 

4,  445 

2 

20 

40 

3,710 

0 

53 
2 

1,558 

1 
1 

8 
10 
o 

25 
1 

1,502 

34 

1,612 

1 
4 

1 
3 

oo 

1 

42,  444 

1C 
111 
15 
C4 
30 
15 
7 
10 
457 

403 
12 

2 

1 

1 
11 

1 

1 
6 
1 
o 

3 

1 
1 

0 

7 
1 

1 

3 
3 

8 
4 

1 
1 

3 

2 

1 

1 

1 
3 

1 

3 

1 

1 

81 
81) 
4 
3 

1 
1 
3 

3 

113 

34 

54 

27 

15 

20 

29 

28 

4 
1 
1 

1 

23 

20 

6 

47 

0 

5 
g 

o 

1 

3 

28 

77 

14 
3 

17 

1 
1 

1 

2 
o 

10 
1 

1 
1 

1 

0 

3 

167 
o 

9 
42 
32 
1 

1 

190 
8 

go 

73 

11 

9 

69 
7 

9 
4 
4 

66 
1 

6 
2 
4 

8° 

1  151 

3 

13 

4 

3 

4 
7 

73 

84 
102 
161 
4 
11 

40 
45 

Jl 
23 

10 
o 

1 
3 

5 

1 

0 

o 

i 

4 
3 

9 
17 
33 

1 

1 

1 
1 

1 
4 
1 

1 
5 
6 

9 
552 

1 
3 
8 
3 
10 

17 
581 
43 

1 

1 

4 
1 
1 

3 

1 

10 
o 

o 

5 

1 

3 

5 
4 

1 

05 

3 

3 

182 

1 

9 

3 

190 

1 

1 
o 

0 

CS 

53 
2,015 
186 
5  509 

2 

o 
2 
1 

1 
1 

1 

G 
32 

1 

43 

10 
928 

30 
163 

9 
130 

21 

1,04!) 
7 
4 

1,579 

708 

64 

7 
8 
1 

GO 
74 
690 
42 

1 

4 

51 

1 

4 

1 
2 

1 
1 

19 

37 

0 

203 
388 
2,300 
142 

8 
148 
480 

3 

1 

1 

1 

00 

GO 
353 

18 

1 
J8 
90 

34 

37 
72 
381 

1 
15 

1 
1 

29 

40 
407 
30 

1 
3 

37 

120 

1 

o 
40 
150 
3 

3 

1 

10 

84 

1 

3 

240 
17 

1 

8 

15 

54 
5 

43 

89 
5 

31 
7 

15 
2 

4 

2 

17 
°1 

1 

| 

oo 

19 

31 
11 

141 
15 

108 
1C 

91 

1  G92 

33 



9 

11'2 

770 

8,  91)5 

122 

11,407 

183 

G,  251 

80 

5,770 

100 

2,  305 

51 

2,  077 

43 

2,117 

28 

58,985 

112 


SICKNESS    AND    MORTALITY    OF   \\HITE    TROOPS 


TABLE  XVIII.— DEPARTMENT  OF  MISSOURI— Concluded. 


YEAli  

1861. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

4,  425. 

5,  426. 

6,  078. 

24,: 

Cases. 

13. 

30,  398. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Deaths. 

Cases. 

Deaths. 

1,324 

1 

2,329 

2 
11 
1 

4 
1 

2,324 

21 

0,171 
75 

43 

7,789 

77 
41 
1 
1 
26 

88 

ORDEK  VI.—  Diseases  of  Digestive  Organs—  Continued. 

18 

5 

50 

6 

14 
o 

5 
5 
5 
13 
4 

12 
9 

0 

29 

14 

09 

2G 

12 

6 

8 
1 

.    19 

S3 
o 

1 

1 
1 
4 

58 
40 

1 
3 

7 
30 

3 
2 

1 

1 
15 
75 

0 

84 

41 

2 

3 

1 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

~'  *-  °ne         . 

1 
1 

4 
6 
1 

4 

3 

1 

7 

„'       ^   °U  tJ"  . 

9 
1 

io<T  ?ydrot?  ean      aema 

1 

0 

2 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

1 
1 

4 

1X4    White  Swelling                                

ORDER  IX.  —  Diseases  of  Integumentary  System. 

20 
1 
3 
10 
8 
17 
1 

3 

23 

26 

52 

44 
5 
9 

o 

118    Whitlow 

o 

13 

18 
24 

110    Boil 

32 

25 
6 

00 

:         17 

120.  Skin  Diseases  

18 
23 

44 

20 

121.  Ulcers                 ...            .     . 

45 

122.  Other  Diseases  of  this  Order  

2 
6 

C) 

CLASS    V.—  WOUNDS,   ACCIDENTS,   AND 
INJURIES. 
123.  Burns  

o 

18 
o 

124.  Concussion  of  Brain  

1 

125.  Compression  of  Brain  

120.  Contusion  

oo 

11 
o 

1C 
4 
1 
8 
9 
10 
1 
34 

r.fi    : 

PC, 
19 
C 
4-T 

127.  Fracture  

2 
1 
14 
9 

7 
1 
20 
X 

1 

15 
14 
9 

o 

128.  Dislocation  

129.  Sprain  

^ 

i 

130.  Incised  Wounds  

17 
17 
3 
°7 
1 

9-1 

131.  Contused  and  Lacerated  Wounds  

4 
1 

175 

2 

1 

31 

Q 

132.  Punctured  Wounds  

133.  Gunshot  Wounds.-  

4 

40 

1 

165 

1 

14 

i 

134.  Poisoning  

135.  Suicide  

1 

130.  Others  of  this  Class  

6 
3 

16 
13 

17 
40 

1 
G 

9 
12 

137.  UNCLASSIFIED  DISEASES  

2 

3 

Total.  

1,  529     :        5 

2,747 

47     '  2,  f,85            28     ;  C,  852             51       8,  808 

113 

DURING  THE  YEAR  ENDING  JUNE  30,  18(52. 


113 


TABLE  XVIII.— DEPARTMENT  OF  MISSOURI— Concluded. 


— 

1861. 

1869. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUKE. 

TOTAL. 

31,  104. 

32,  936. 

25,  313. 

27,  139. 

16,  503. 

15,  248. 

15,612. 

19,  560. 

88 
89 
90 
91 
92 
93 
94 
95 
96 
97 
98 
99 
100 
101 

102 
103 
104 
105 
106 
107 
108 
109 
110 
111 

112 
113 
114 
115 

116 
117 
118 
119 
120 
121 

123 
124 
125 
126 
127 
128 
129 
130 
131 
132 
!:::: 
134 
135 
136 

137 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deafhs. 

Cases. 

Deaths. 

Cases. 

.Deaths 

Cases.     Deaths.    Cases.  !  Deaths. 

Cases.      Deaths. 

8,  995 

59 
58 
4 

5 

11,  467 

17 
oo 

183 
1 

6,251 

6 

8 

86 

1 

5,770 

33 
13 

100 

2,365 

7 
11 

1 

51 

2,077 

43 

:  2,  117 

4 
7 
1 

>.8 

i 

58,  985 

282 
248 
11 
13 
283 

770 
9 

4 

1 

3 

77 
12 
20 
42 

o 

1 

24 

8 
15 

49 
47 
15 
40 
81 
5 

19 
17 
11 
17 
49 

10 

20 

11 
13 
4 
18 
24 

o 

7 
8 
18 
65 

222 
167 
241 
671 
24 

2 

57 
17 
87 
2 

15 

235 

1 

3 

0 

9 

1 

1 
13 

7 

1 

o 

o 
3 

49 

2 

C2 
8 
14 

72 
45 

872 
384 

6 
12 
4 
7 
44 
55 
11 
7 
7 
19 

11 
11 
o 

9 

357 
25 

5 

8 
304 
80 

4 

12 

o 

1 

54 
8 

170 

82 

0 

102 

4 

19 

8 

1 
1 

3 

o 

o 

1 

1 

11 
5 

o 

0 
0 

1 

5 

1 

48 

5 

18 
93 
49 
3 

10 

~ 

1 

3 
1 
3 
1 

1 

7 

4 
6 

2 
4 

1 
7 

14 
3 

1 

1 

4 

3 
1 

o 

2 

2 
4 

2 
3 

4 

1 

1 

1 
5 

42 

1 

20 
o 

1 

28 

16 
2 
o 

15 

4 
10 
31 

45 

3 

(3 

n 

2 

54 
174 

4<)3 

8 
10 

28 

7 
9 

3 
117 
12 

11 
10 
o 

108 
13 

43 

18 

8 

307 
40 

64 
7 
o 

446 
118 
86 
157 
135 

6 
9 

3 

6 

o 

1 

1 

1 

o 

69 
11 

0 

52 
3 

48 

66 
13 

23 

3° 

14 
13 

16 
5 
12 

11 

2'i 

0 

14 

5 

1  ' 

4 

17 
13 
19 
15 

15 

4 

q 

°8 

o 

14 
20 

0 

6 
25 
1 
59 

11 
11 
6 

26 

t5 

o 

3 

3 

4 
59 
1 

1 

3 
3 

202 
48 
673 
11 

n 

5 

1 

29 

2 

4 
I 

1 

14 

3 

5 

27 

o 

91 

0 

4 
12 

*»4 

1 

1 

'  1 

1 

30            5     ij          24 
13            4             253 

2    |        28 
3    j        35 

22 

14 

1 

6 

7 
3 

ll 

166 

400 

5 

4 

10,276  ;       150 

12,  857 

193 

6,  810 

93 

6,386 

121 

2,746 

60       2,521     !        50 

2,  473 

32 

66,  690          943 

1 

15 


114 


TABLE  XIX. 

Abstract  of  the  Mortality  in  the 


1801. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

561. 

1,  638. 

1,  021. 

3,  213. 

3,701. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS   1.—  ZYMOTIC   DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

1 
33 

1 
110 
3 
8 
3 

0 

2 

20 

149 
3 
1C 
o 

7 

'  T,°m^,°n    r 

1 

2 
1 

2 

'     e 

,.  Quoti  tan    n  ermi   en 

2 

1 
3 
1 
0 
5 

4 
0 

17 
0 
8 
o 

30 

3 

4 
6 

7 

1 
1 

7 

11    A  T  i    D  -scnte 

1 

1 
o 

1 
11 

1 

2 

3 

5 

ORDER  II.  —  Enthetic  Diseases. 
21    Syphilis 

22.  Gonorrhoea  

23.  Orchitis  

24.  Stricture  of  the  Urethra  

25.  Serpent  Bite  

26.  Other  Diseases  of  this  Order  

ORDER  III.  —  Dietic  Diseases. 
27.  Scurvy  

28.  Delirium  Tremens  

1 

1 

2 

3 

29.  Inebriation  

CLASS   II.—  CONSTITUTIONAL   DISEASES. 

ORDER  I.  —  Diathetic  Diseases. 
30.  Gout  

31.  Acute  Rheumatism  

1 

32.  Chronic  Rheumatism  

33.  Anaemia  

34.  General  Dropsy  

1 

35.  Cancer  

30.  Tumors  

37.  Other  Diseases  of  this  Order  

1 
3 

ORDER  II.  —  Tubercular  Diseases. 
38.  Consumption  

1 

4 

14 

39.  Scrofula  

CLASS   III.—  PARASITIC   DISEASES. 
40.  Worms  

Carried  forward  

8 

36 

CO 

109 

294 

DURING    THE    YEAR   ENDING   JUNE   30,  1862. 


115 


TABLE  XIX. 

General  Hospitals  of  the  Central  Region. 


18G1. 

1802. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUKE. 

TOTAL. 

4,  202. 

G,  352. 

7  229. 

G,  790. 

7,  833. 

9,  558. 

10,  344. 

5,  2C3. 

1 

3 

4 
5 
6 
7 
8 
9 
10 
11 

13 
14 
15 
16 
17 
18 
19 
20 

22 
23 
24 
25 
26 

27 
28 
29 

30 
31 
32 
33 
34 
35 
3G 
37 

38 
39 

40 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1 

88 
3 
4 

2 

130 
4 
8 
1 

13 

195 

6 

20 

2 

448 
12 
15 

24 
273 
29 

50 
1,793 
81 
117 
18 

87 
G 
10 

j 

1 
18 
1 
1 

10 
1 

23 

4 
4 

5 

2 

1 

2 
10 
12 

4 
4 

12 

4 

9 
17 
13 
19 
9 
6 

6 
13 
33 

7 
7 

G 
23 

98 
21 

3 

31 

128 

41 
115 

338 
150 
77 
59 
138 
181 

14 
15 

30 
4 
13 
13 

38 

17 
G 
G 

20 

10 
9 
4 
10 
2 

12 
6 

19 
6 

4 
24 
19 

23 
5 

53 

14 

1 

3 

1 

1 

1 

7 

LO 

8 

1 

9 

15 

13 

10 
4 

2 

19 
3 

1 

94 
10 

4 

1 
1 

1 

1 

1 

1 

18 
3 

3 

1 

o 

1 

1 
o 

o 

o 

1 

2 

1 

3 
1 

3 

C 

10 
9 
o 

20 
1 

1 

i 

1 

2 

3 

1 
1 

3 

9 

1 

29 

1 
4° 

3 

225 

13 

15 

°7 

40 

31 

i 

1 

i 

°47 

254 

284     !  

411 

448 

748 

C29 

3,  £88 

: 

116 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  XIX.— GENERAL  HOSPITALS  OF  THE  CENTRAL  REGION— Continued. 


1801. 

JULY. 

AUGUST.       i     SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

561. 

1,  638. 

1,  621. 

3,  213. 

3,  761. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

8 

30 

60 
1 

169 

294 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.  —  Diseases  of  Nervous  System. 

1 

| 

1 

1 

'  f  • 

1 

1 

ORDER  II.  —  Diseases  of  Eye. 

*  ' 

J;  ^!                    . 

ORDER  III.  —  Diseases  of  Ear. 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

67.  Inflammation  of  Pericardium  

68.  Inflammation  of  Veins  

69.  Varicocele  

70.  Varicose  Veins  

71.  Other  Diseases  of  this  Order  

1 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
72.  Asthma  

1 

73.  Acute  Bronchitis  

74.  Chronic  Bronchitis  

75.  Catarrh  

76.  Haemorrhage  from  Nose  

77.  Iloemorrhng-e  from  Lungs  

1 

78.  Dropsy  of  Chest  

79.  Inflammation  of  Larynx  

80.  Inflammation  of  Pleura  

81.  Inflammation  of  Lungs  

1 

6 

7 

30 
o 

82.  Other  Diseases  of  this  Order  

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
83.  Abdominal  Dropsy  

84.  Cholera  Morbus  

o 

85.  Colic  

1 

86.  Constipation  

87.  Dyspepsia  

i 

L                             Carried  forward  

I 

9 

38 

179 

330 

DURING  THE  YEAR  ENDING  JUNE  30, 


117 


TABLE  XIX.— GENERAL  HOSPITALS  OF  THE  CENTRAL  REGION— Continued. 


18(31. 

1863. 

DECEMBER. 

JANUARY. 

FEBRUARY.             MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

4,  262. 

6,  352. 

7,  229. 

6,  790. 

7,  833. 

9,  558. 

10,  344. 

5,  263. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths.     Cases.  I  Deaths. 

Cases.    Deaths.       Cases.     'Deaths. 

41 
40 

43 

44 
45 
46 
47 
48 
49 
50 
51 

53 
54 
55 
50 
57 
58 

59 
60 
61 
62 
63 

64 
65 
66 
67 
68 
69 
70 
71 

72 
73 
74 
75 
76 
77 
78 
79 
80 
81 
82 

83 

84 
85 
86 
87 

247 

o>>4 

284 
4 

411 
1 

448 
o 

748 

6°9 

3,  588 
10 

1 

1 



1 

2 
1 

3 

2 
1 

3 

4 

1 

15 

4 

1 

| 

1 
2 

1 
4 

1 
3 

3 

21 

0 

2 

4 

2 

1 

1 

1 

0 

2 
3 

1 
1 

4 
1 

! 

8 
15 

2 

3 

1 

1 

1 

1 

1 
7 

1 
2 

1 

1 

1 

1 

1 

o 

0 

1 

1 

6 

1 

1 

1 
1 

1 
11 

1 

37 
11 
2 
2 

5 

1 

4 

0 

o 

.7 

6 

6 
2 

10 
3 

5 
3 

0 

1 
1 

1 

0 

1 
1 

1 

1 

2 

1 

1 

o 

1 
35 
977 
89 

C, 
4 

0 

73 

1 
215 
2 

9 
193 
1 

1 

14 

208 
15 

7 
105 
15 

1 
7 

1 

44 
17 

3 
3 

95 

4 

33 
1 

! 

)| 

o 

1 

j 

1 

1 

340 

491 

510 

682 

612 

901 

717 

4,  tfi> 

||  

118 


SICKNESS   AND   MORTALITY    OF    WHITE   TROOPS 


TABLE  XIX.— GENERAL  HOSPITALS  OF  THE  CENTRAL  REGION— Concluded. 


1861. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

5C1. 

1,  638. 

1,621. 

3,  213. 

3,  761. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

' 

9 

38 

C9 
2 

379 

0 

330 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

1 

1 

1 

1 
1 

1 

qr' 

• 

o 

1 

2 

ORDER  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

1 

ORDER  VIII.  —  Disease;  of  Bones  and  Joints. 

113   Exostosis                                    

114    "White  Swelling                                 

ORDER  IX.  —  Diseases  of  Integumentary  System. 

118.  Whitlow  

119.  Boil         

120.  Skin  Diseases  

121.  Ulcers  

122.  Other  Diseases  of  this  Order  

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

123   Burns 

1 

120.  Contusion  

1 

128.  Dislocation  

129.  Sprain  

1 

131.  Contused  and  Lacerated  Wounds  

132    Punctured  Wounds  

133    Gunshot  Wounds  

2 

3 

2 

8 

20 

1                 

i 

136.  Others  of  this  Class  

1 

137.  ^'CLASSIFIED  DISEASES  

Totil 

!           1 

1 

i   

12 

42 

74 

196 

307 

1 

DURING    THE    YEAR   ENDING    JUNE    30,  1862. 


119 


TABLE  XIX.— GENERAL  HOSPITALS  OF  THE  CENTRAL  REGION— Concluded. 


1801. 

1862. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

4,  2C2. 

6,  352. 

7,229. 

C,  790. 

7,  833. 

9,  558. 

10,  344. 

5,  SG3. 

88 
80 
90 
91 
92 
93 
94 
95 
90 
97 
98 
99 
100 
101 

102 
100 
104 
105 
106 
107 
108 
109 

no 

111 

112 
113 
114 
115 

116 
117 
118 
119 
120 
121 

123 
124 
125 
120 
127 
128 
129 
130 
131 
132 
133 
134 
135 
136 

137 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.  1  Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases.  ,  Deaths. 

Cases.      Deaths. 

I 

340 

491 

3 
o 

510 

C82 

C12 

9C1 

717 
5 

4,678 
11 

1 

1 

1 
1 

o 

2 

3 

1 

1 

1 
10 
9 
1 
15 

] 

4 

1 
1 

3 
1 
1 
3 

1 

o 

I 

o 

0 

4 

4 

1 

i 

] 

9 

0 

3 

8 

1 

o 

1 

1 

1 

4 

1 

1 

II 

1 

1 

3 

ii 

1 

1 

2 

1 

1 

1 

o 

1 

1 

1 

••• 

6 

j 

! 

•—.-•"  1  

1 

1 

o 



1 

1 
5 

1 

18 

i 

o 

1 

1 

1 
3 

0 

i  

11 

1 

1 
1 
1 
3 
264 

0 

6 
13 

4 
943 
1 
1 
12 

32 

1 

1 
1 

1 
9 

0 

o 

1 

57 

10 

3 

44 

102 

400 

1 

1 

1 
5 

0 

.1 

3 

0 

3 

12 

359 

1 

515 

573 

798 

1,080 

1,195 

813 

G,  024 

1 

120 


SICKNESS    AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  XX. 

Abstract  of  the  Sickness  and  Mortality 


1801. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

29,  332. 

24,  230. 

41,  675. 

81,  387. 

95,  397. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS  1.—  ZYMOTIC    DISEASES. 

ORDEU  I.  —  Miasmatic  Diseases. 

4 

50 
29 

o 
10 

5 

64 
66 
765 
1,142 
357 

1 

Of) 

32 
301 
108 
1,  098 
1,  033 
505 

10 
61 
4 
6 
1 

47 
942 
490 
1,498 
3,  0<)8 
1,  898 
309 

2 

188 
4 
15 
4 

38 
1  224 

408 
1?  773 
2,418 
1,  304 
004 

6 

264 
7 
23 

8 

2    Typhoid  Fever                                              

397 
798 

1 

3 
1 

317 

11 
15 
2  °°9 

93 

122 
51 
3,  030 
219 
836 
CO 
19 

0 

1 

31 
2,  700 

2 

8 
6 
1 
10 
6 

4,957 
809 
1,683 
130 
204 

5 
9 
12 
28 
11 

35 
4,  921 

1,  170 
171 
72 
5 
o  55(j 

8 
10 

28 
9 
10 
3 
54 

23 

111 

586 
41 
10 

205 
1 
49 

1 

7 
7 

657 
5 

4 

1 
1 

42 
1,180 
4 
104 
370 

1 

30 

357 

o 

538 
1 
61 
0° 

5 

61 
19 
120 

°()7 

3°0 

19   Debility 

199 
41 

62 

357 
200 

3 

318 
J14 

170 
286 
37 

4 

381 
101 

°01 

6 

20.  Other  Diseases  of  this  Order  

ORDER  II.  —  Enthetic  Diseases. 
21.  Svphilis  

54 
128 

76 
137 
19 
4 
1 

22.  Gonorrhoea  

96 

oi)4 

23.  Orchitis  

20 
3 

oo 

43 

5 

24.  Stricture  of  the  Urethra  

2 

1 

25.  Serpent  Bite  

26.  Other  Diseases  of  this  Order  

ORDER  III.  —  Dietic  Diseases. 
27.  Scurvy  

31 
8 
13 

14 
1 
19 

Of) 

19 
13 
4 

1 

557 
331 
17 
10 

28.  Delirium  Tremens  

1 

5 

11 

1 

o 

34 

24 

8 
601 
330 
30 
17 

3 

29.  Inebriation  

1 

CLASS  II.—  CONSTITUTIONAL    DISEASES. 

ORDEH  l.—Diathetic  Diseases. 
30.  Gout  

31.  Acute  Rheumatism  

202 

109 

347 
194 
16 

7 

1 

32.  Chronic  Rheumatism  

45 

119 
7 
3 

33.  Anaemia  

7 
6 

34.  General  Dropsy  

1 

35.  Cancer  

36.  Tumors  

o 

1 

01 

45 
9 

3 

5 

3 

37.  Other  Diseases  of  this  Order  

2 

3 

12 
6 

4 

41 
3 

1 

8 

39 
69 

ORDER  II.  —  Tubercular  Diseases. 
38.  Consumption  

17 
12 

1 

1 

4 

00 

39.  Scrofula  

CLASS  III.  —  PARASITIC    DISEASES. 
40.  Worms  

4 

15 

Carried  forward  

5,702 

24 

7,080 

55 

10,  476 

127 

19,  891 

327 

19,  653 

490 

DURING   THE   YEAR   ENDING   JUNE   30,  1862. 


121 


TABLE  XX. 

of  the  Central  Region. 


1801. 

1862. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

110,  8(14. 

94,  644. 

82,  077. 

91,  544. 

181,  920. 

189,  171. 

175,  903. 

99,  8-15. 

1 

3 

4 
5 

(i 
7 
8 
9 
10 
11 

13 
14 
15 
1C 
17 
18 
19 
20 

23 
24 
25 

*.o 

27 
28 
29 

30 
31 

J<w 

33 
34 
35 
36 
37 

38 
3!) 

40 

Casts. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

24 
524 
157 
872 
982 
665 
71 
33 
4,834 
622 
990 
132 
71 
51 
745 
7 
926 
282 

Deaths. 

Oases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1,  063 
416 
1,475 
2,  079 
1,140 
111 
72 
5,  168 
755 
1,035 
148 
146 
38 
2,778 

6 
229 
3 

22 

27 
958 
208 
1,068 
1,011 
939 
94 
28 
5,642 
621 
669 
79 
112 
71 
1,741 
14 
1,  216 
1,  812 
463 
211 

207 
C60 
142 

8 
177 
7 
12 
1 
1 

17 

566 
141 
820 
799 
530 
50 
24 
3  557 
271 
647 
67 
65 
78 
642 

13 
212 
4 
10 
2 
1 

19 

271 
1 
23 
2 
4 

78 
1,171 
652 
2,295 
2,796 
1,575 
354 
129 
14,  938 
2,445 
2,709 
175 
196 
100 
561 
3 
1,638 
342 

11 

426 
29 
18 
4 
2 

52 
1,  586 
906 
2,975 
2,892 
1,984 
165 
186 
14,  375 
2,657 
2,  429 
263 
173 
44 
216 
6 
815 
187 
1,4€2 
402 

173 
351 

132 

1] 

701 
20 
26 
6 
4 
1 
35 
39 

33 
14 

8 
22 
9 

70 
1,041 
865 
3,144 
2,544 
1,  757 
308 
160 
12,  671 
2,023 
1,545 
168 
151 
31 
68 
2 
433 
110 
1,548 
280 

170 
290 
106 
6 
7 

33 
430 
35 
37 
8 
3 

419 
9,550 
4,512 
38,180 
22,192 
13,  031 
1,918 
787 
79,  082 
11,  181 
14,  958 
1,451 
1,  302 
464 
11,  587 
40 
7,001 
4,672 
7,401 
3,082 

1,720 
3,302 
984 

122 
3,007 
114 
196 
31 

1 
186 
200 
453 
248 
104 
81 
173 
395 
3 
7 
3 
116 
24 

9 

3 

14 

20 
—3 

36 
9 

17 
17 
76 

12 
6 

18 
8 
6 
28 
99 
1 
1 
3 
8 
2 

12 

7 
18 
16 
6 
7 
30 
39 

15 
26 
16 
22 
11 
10 
28 
57 
1 
1 

37 
31 
62 
27 
8 
16 
33 
19 
1 
1 

37 
46 
153 
19 
15 
6 
10 
3     i 

C89 
790 
521 
61 

166 
375 
67 
5 
1 

802 

378 
1,126 

115 
183 
85 

3 

1 

10 
2 

1 

9 
1 

481 
129 

328 

203 
76 
I 

15 
2 

1,147 

274 

192 
299 

21 
3 

1 

12 
6 

3 

7     | 
3     ' 



10 

3 

13 

9 
1 

60 
11 

1 

1 

1 

1 

11 

16 
18 

3 

802 
510 
36 
22 
1 
11 
35 

51 

26 

17 

6 
17 
14 

3 

791 
514 
21 
25 
1 
6 
25 

78 
20 

r>« 

7 
15 
24 

7 
11 

22 

7 
578 
317 
48 
33 

45 
24 
14 

7 
1,342 
1,001 
126 

2 
3 

127 
20 
30 

15 
1,  105 
944 
124 
126 
2 

17 
29 

78 
18 
25 

5 
822 
684 
182 
167 
1 
36 
71 

167 
16 

1 
3 

374 

182 
218 

51 
7,835 
5,534 
653 
507 
16 
82 
402 

P04 
2G8 

410 

a 

34 
8 

6 

1 

4 
o 

o 

5 
2 

4 

2 

1 
1 

519 
345 
39 
19 

2 

6 
1 

1 

5 
4 

3 

6 
3 

9     i 

20 
13 
5 
23 
o 

2 

1 
1 

3 

3 

72 
11 
10 

77 

137 
27 

<)7 

1 
1 

5 

6 

21 

69 
38 

108 

5 

1 

1 

37 

27 

79 
15 

44 

1 

57 
1 

4 

317 
7 

20 
2 

42 

139 
32 

26 

56 
1 

45 
1 

j 

20,  683 

520    J  19,580 

454 

12,  532 

437 

14,  199 

600 

37,  295         802 

37,  197     1,  148 

31,  975 

954 

236,  363 

5,  938 

16 


122 


SICKNESS   AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  XX.— CENTRAL  REGION— Continued. 


1801. 

JULY. 

AUGUST. 

SEl'TEMBEK. 

OCTOI;EH. 

NOVEMBER. 

29,  332. 

24,  230. 

41,  G75. 

81,  387. 

<J5,  397. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

o-l  t  fir   ard 

5,702 

24 

7,080 

4 

75 

55 

2 

10,  476 

1 
131 
1 
19 
6 
4 

127 
1 

19,  891 

6 

112 

327 

19,  653 

1 
68 
5 

4'JO 

1 

CLASS    IV.—  LOCAL    DISEASES. 
OitDEii  I.  —  Diseases  of  Nervous  System. 

84 

2 

3 

2 

4 

1 

.    n  amma  ion 

6 

25 

7 
6 
2 

1 
5 

21 

21 

1 
3 

8 

1 

47.  Inflammation  o       em  r.i  e 

1 

87 
132 

1 

76 
33 

16 

OQQ 

100 
76 

4 
*.i3 

3 

175 

220 

241 
12 

o 

13 

38 

6 

15 

18 
1 

1 

3 

41 
7 

1 

ORDER  II.  —  Diseases  of  Eye. 

2 

r.  ,  fi             . 

1 
5 

142 

1 

2 
133 
5 

10 
16 

1 
6 

137 
16 

16 
18 
10 
7 

4 
3 

292 

4 

4 
393 

oo.     n  am  iia 

r°     ^  ^ 

26 

52 

39 

27 

ORDER  III.—  Diseases  of  Ear. 

29 
18 
12 

32 

23 

43 
41 
6 
5 

10 
6 
4 

1 
o 

o 

5 

1 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation, 

1 
2 
1 

1 

"       1 

66    I  fl  in      ti        f  Endoc-irdium 

4 

3 
4 
4 

8 
18 
4 

33 

389 
87 
1,702 

3 

1 

°1 

1 

o 

C 

10 

1 

169 
4 
213 
4 
12 

6 
5 
3 

1 
91 
35 
314 
3 
5 

14 
25 

0.1 

1 

7 

13 

]62 

1 

17 

24 
919 
99 
3  117 

1 

1 
1 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
72    Asthma 

1 
1 

25 

912 

] 

6 
21 

10 

2 

68 
81 

488 
74 

1 
57 
232 
794 
121 

25 

1 

1 
1 

78.  Dropsy  of  Chest              

21 
35 

1 

13 
40 
35 

13 

4° 

51 

71 
162 
34 

3 

89 
266 
828 
120 

2 

44 

2 

o 
2 

92 
47 

2 
7° 

9 
2 

14 
3 

75 
3 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
83,  Abdominal  Dropsy  

84.  Cholera  Morbus  

40 

63 

.      80 
437 

1 

1 
1 

85    Colic 

125 

429 

1 

128 
447 
76 

87.  Dyspepsia  

47 

48 

7,509 

28 

8,  C84 

63 

13,  170 

143 

24,  850 

363 

27,  023 

586 

DURING    THE    YEAR    ENDING    JUNE    30,   1862. 


123 


TABLE  XX.— CENTRAL  REGION— Continued. 


18(31. 

186J2. 

DECEMBER. 

JANUARY. 

FEIJUUAUY. 

MARCH. 

APIUL. 

MAY. 

JUNE. 

TOTAL. 

110,804. 

94,  044.  . 

82,  077. 

91,544. 

181,  920. 

189,  171. 

175,  903. 

99,845. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.     ;  Deaths. 

41 

42 
43 
44 
45 
40 
47 
48 
49 
50 
51 
52 

53 
54 
55 
56 

57 
58 

59 
GO 
Cl 
62 
63 

64 
65 
C6 

67 
68 
69 
70 
71 

72 
73 

74 
75 
76 
77 
78 
79 
80 
81 
82 

83 
84 
85 
80 
67 

20,  C83 

5 
130 
8 
35 

520 
5 

]  9,580 

7 
88 
3 
33 

454 
6 

12,  532 

8 
57 
9 
23 
1 
G 
7 
6 
139 
140 
12 
20 

3 
o 

437 
10 

14,  199 

4 
132 

GOO 
6 

37,  295 

11 
288 

802 
8 

37,  197 

10 

395 
3 
54 
5G 
35 
14 
69 
487 
420 

1,148 
10 

31,975 

18 
451 
6 

48 
91 
22 
9 
48 
455 
322 

954 
17 

236,  203 

75 
2  Oil 

5,  938 
C8 

5 

1 

5 

1 

10 
1 

G 
20 
6 
9 
G 
10 
ooo 

5 

1 
2 

7 

14 
48 
14 
34 
8 
27 

10 
4 

5 
G 
3 
1 
9 

3 

5 
1 
6 

58 
340 
206 
178 
52 
241 

50 
19 
9 

-7 

48 

23 
3 
12 

341 
343 

7 
46 

o 
2 
6 

9 
3 

30 

274 

0 

4 

4 

5 

9 

515 
411 
12 

75 

4 
1 
13 
4 
532 

1 

3,079 
2,  C85 
122 

582 

48 
18 
70 
75 
4,040 
365 

631 
539 
494 
75 

74 

14 
37 
3G 
56 
38 
•300 

1 

101 
82 

3 
1 
14 

186 
6 
18 

0 

1 
2 

o 

1 

1 
6 

4 

16 
90 

8 
G 
13 

12 

1 
2 

31 
114 

7 
3 

6 
2 

13 
27 

5 

3 
3 
5 

5 



11 

240 

23 
525 
27 

441 
44 

61 
75 
71 
13 
3 

1 

373 
30 

04 

299 

533 
40 

100 
54 
78 
10 
31 

1 
9 
3 
10 
14 
61 
38 
18 

48 
610 
257 
1,767 
24 
36 

1 

11 
54 

O"7 

48 

110 
92 

39 
35 

89 

35 

90 
4 

47 

0 

23 

59 
7 
10 

o 
5 

4 
4 
66 
29 

1 

42 

1 

4 
1 

9 
11 

4 
8 
4 
16 
4 
64 
51 
19 

32 
384 
223 
1,518 

18 
24 

o 

3 

4 

1 

1 

3 

12 
5 
21 
2 

3 
3 

1 
2 
1 

0 

5 
3 

14 

20 

32 

1.C79 
114 
4,774 
12 
40 
2 
105 
206 
798 
118 

5 

52 
270 
914 
190 

1 

5 
1 
0 
4 
31 
13 
20 

53 

1,197 
1°5 

1 

3 
3 

G 
1 
11 

1G 
17 

10 
932 
99 
3,333 
2 

1 
1 
5 

5 
1 

4 

1 
1 
3 

5 
2 
1 
11 
14 
13 

17 
683 
63 
2,991 
4 
2G 
1 
102 

1 

3 

2 

1 
1 

1 
2 

1 
3 
2 

1 

255 
179 

312 
8,177 
1,473 
29,  145 
117 
328 
8 
945 
2,021 
6,455 
1,013 

69 
1,612 
4,068 
9,  295 
1.790 

1 
22 

7 
54 
15 
4 

13 
o 

11 
42 
1,545 
146 

oo 
9 
5 

... 

] 

1 
10 

1 

1 

8 
3 

5 

1 
13 
3 
1 

33 

42 
902 
342 
3,501 
20 
49 

8 

2 

1 
3 
2 

10 

5 
4 

1 
1 
2 

4,943 
9 
35 

1 
134 
218 
1,110 
J49 

5 

37 
205 

708 

1 

1 
1 

o 

3 
1 
o 

3 

o 
1 
153 
7 

1 
3 

1 

135 

o 

129 

91 
308 
628 
163 

358 
817 
1,  102 
312 

o 
4 
136 
39 

1 
1 

o 

1 

83 
209 
324 
95 

15 

509 
857 
1,  559 

259 

353 
11 

102 
752 
125 

4 
40 
139 
404 
123 

11 
252 
3 

1 

139 
904 
110 

o 
35 
109 
430 
110 

10 
262 

510 
1,118 
53 

7 
251 
794 

7 
197 
21 

1 

7 

1 

70 
30 

3 

7 
3 
1 



1 

1,243 
251 

1 

133 



' 

31,  755 

724 

30,  078 

801 

19,  059 

756 

21,  771 

987 

49,  109 

1,102 

46,  431 

1,391 

40,  667 

1,129 

320,106     8,133 
i               1 

124 


SICKNESS    AND    MORTALITY   OF   WHITE   TEOOPS 


TABLE  XX.— CENTRAL  REGION— Concluded. 


1861. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

29,  332. 

24,  230. 

41,  675. 

81,  387. 

95,  397. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

7,509 

19 
38 
2 

28 

8,684 

12 
22 
4 

63 
1 

13,  170 

20 

07 

143 
3 

24,  850 

103 
90 
6 
4 
110 
83 
50 
100 
249 

363 

3 
1 

27,  023 

121 
59 
5 
2 
100 
67 
19 
77 
350 
3 
3 
13 
278 
91 

3 

8 
1 
2 

7 

28 

586 

1 
1 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

1 
3 

59 

1 

33 

18 
13 
27 

17 

41 
104 
q 

1 

133 
10 
76 
51 

1 

1 

3 
j 

2 

31 
11 
1 

0 

1 

6 
11 

23 

5 
3 

69 
85 

3 
3 

72 

3 

3 

1 

23 

44 
77 

2 
2 

201 

1 

270 

1 

99 
o 

3 

3 

ORDER  VIL—  Diseases  of  Urinary  and  Genital  Organs. 

3 
1 

7 

4 

o 

o 

3 

10 
2 

5 
13 
14 
1 

2 

12 



3 
1 

20 

1 

17 
o 

2 

o 

8 
19 

3 

o 

4 

11 

1 
3 
o 

3 

ORDER  VIII.—  Diseases  of  Bones  and  Joints. 

113    Exostosis                           

1 
1 

9 
4 

114    White  Swelling  

1 
1 

75 

3 

83 
6 
]9 

72 

3 

108 
14 
20 

7 

JOO 

ORDER  IX.—  Diseases  nf  Integumentary  System. 

71 
1 
12 

6 
9 
59 
55 

7 
34 

118.  Whitlow  

119.  Boil  

55 
39 
48 
1C 

18 
4 
3 
84 
10 

46 

63 
77 
93 
16 

15 

120.  Skin  Diseases  -.  

68 
77 
17 

10 
4 
1 
137 
31 
10 
51 
°9 

182 
114 
16 

30 
10 
4 

181 
41 
15 

121.  Ulcers  

65 

122.  Other  Diseases  of  this  Order  ,  

12 

CLASS    V.—  WOUNDS,   ACCIDENTS,   AND 
INJURIES. 
123.  Bums  

7 

124.  Concussion  of  Brain  

1 

7 

2 

1 
1 
o 

125.  Compression  of  Brain  

4 
80 
7 
5 
39 
27 
20 
14 
213 
2 

1 

180 
31 
<i(j 

3 

127.  Fracture  

o 

128.  Dislocation  

129.  Sprain  

1 

go 

130.  Incised  Wounds  

61 
68 
35 
173 

7 

78 
154 
29 
395 
8 

1  131.  Contused  and  Lacerated  AYouuds  

04 
18 
71 
6 

1 

50 
3 
162 

2 
1 

28 

1 
1 
36 

3 

132.  Punctured  Wounds  

133.  Gunshot  Wounds  

17 

55 

49 

0 

1 

16 

13 

134.  Poisoning  

135.  Suicide  

2 

1 

4 

1 
4 

8 

130.  Others  of  this  Class  

40 
188 

30 
52 

44 

86 

65 

83 

64 
84 

137.  UNCLASSIFIED  DISEASES  

1 

7 

Total  

8,  694            49 

9,878 

129 

14,  940 

187 

27,  269 

434 

30,  030 

690 

DURING    THE    YEAR    ENDING    JUNE    30,  1862 


125 


TABLE  XX.— CENTRAL  REGION— Concluded. 


1861. 

1809. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

110,864. 

94,  644. 

82,  077. 

91,  544. 

181,920. 

189,  171. 

175,  903 

99.  845. 

88 
89 
90 
91 
92 
93 
94 
95 
96 
97 
98 
99 
100 
101 

102 
103 
104 
105 
106 
107 
108 
109 
110 
111 

112 
113 
114 
115 

116 
117 
118 
119 
120 
121 
122 

123 
124 
125 
126 
127 
128 
129 
130 
131 
132 
133 
134 
135 
136 

137 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths  . 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

31,  755 

84 
98 
9 
o 

173 
93 
32 
129 
428 
12 
4 
32 
C88 
136 

r, 

20 
o 

6 
19 
30 
51 
6 
6 
13 

11 
9 
4 
7 

159 
25 
43 
100 
280 
133 
25 

44 
2 

1 

180 
33 

t.1 

57 
83 
110 
14 
173 
6 

724 

6 
3 

30,  078 

40 
44 
5 
8 
164 
42 
22 
124 
629 
10 
4 
18 
508 
156 

5 
19 
3 
1 
14 
61 
9 
3 
2 
10 

7 
1 

801 

7 
3 

19,  059 

10 
1 
70 

12 
71 
469 
4 
15 

380 
96 

2 
11 
1 

756 

7 
2 

21,  771 

46 
48 
12 

987 

4 
1 

49,  109 

47 
82 
18 
10 
374 
145 
147 
197 
1,  235 

1,102 

4 
3 

46,  431 

120 
235 
20 

1,391 

6 

4 

40,  667 

104 
145 
10 
o 

349 
212 
139 
231 
818 
24 
3 

00 

1,129 

7 
3 

320,  106 

743 
911 
108 
48 
1,982 
1,143 
617 
1,371 
5,  894 
126 
196 
180 
3,723 
1,832 

37 
144 
39 
58 
278 
4-10 
10'! 
45 
71 
149 

58 
42 
34 
64 

1,595 
217 
315 
790 
1,  975 
1,151 
213 

8,  133 
49 

11 
88 
63 
69 
103 
492 
8 
36 
4 
392 
139 

3 

8 
4 
3 
6 
38 
6 
1 
4 
6 

5 
421 
171 
95 
205 

1 

12 
13 

3 
31 

1 
4 
1 

2 
1 
1 

1 

1 

1 

3 

2 

1 
11 

o 

2 

3 

0 

7 

1,145 
31 

91 
19 
308 
193 

1 
25 

5 

2 

4 

1 

19 
15 

572 
280 

5 

20 

7 
1 

2 

2 

24 
2 

3 

26 

2 
3 

1 
1 

211 
210 

5 

]9 
7 
26 

G 

1 

~ 

1 



4 

7 
3 
41 
73 
15 
12 

12 
5 
52 

1 

1 

15 
17 
5 
5 
o 

f>7 
64 
7 
5 
6 

1 

1 

1 

90 
9 
12 
10 

24 

4 

13 
15 

8 

6 
3 

4 
4 

60 
9 
15 

1 

2 

3 

9 
5 

1 
7 

189 
35 
45 

8 

6 

4 

8 
o 

5 
3 

8 

298 
51 

1 

1 

120 
19 
23 

15 

1 

2 

86 
4 
13 

1 
1 

1 

224 
40 
25 

1 

1 

7 
1 

48 
61 
275 

69 

000 

24 
131 
55 
10 

91 
259 
135 
14 

29 
8 
15 
189 
108 
14 
79 
84 
707 
CO 
5,  3.17 
14 

94 
74 
14 

31 

1 

293 
152 

1 
3 

1 

97 

1 



108 
31 

29 
7 
1 

ins 

51 
23 

1 

17 

42 
10 
3 
214 
49 
31 
62 
118 
273 
70 
679 
20 

°7 

1 
1 
2 

304 
53 
34 
1,727 
433 
220 
734 
755 
1,796 
323 
7,917 
90 

1 

- 
7 
7 
24 

1 

2 

2 

1 
1 
5 

o 

1 

134 
27 
9 
73 
68 
50 
24 
75 

80 
21 

98 

1 

11 

o 

24 

2 

30 
54 

40 
42 
73 

8 
88 
1 

1 
25 
9 

3D8 

100 
90 
142 
34 
230 
26 

0 

10 
€8 
17 
2,247 
8 
10 
64 

168 

1 

I 

51 
2 

1 
4 

47 
73 
8 
301 
1 

1 
4 

0 

4 

17 
1 

1,  250 

3 
13 

74 

4 
4 
112 

15 

108 

128 
1 
1 
5 

4 

2 

1 
4 

15 

3 

6 

13 

o 

82 
284 

5 
10 

58 
391 

7 
9 

60 
127 

43 

220 

306 
216 

141 
312 

61 
1C8 

3 

SO 

1.C23 
2,151 

35,  738 

823 

33,520 

922       21,  465 

908 

24,  378 

1,  149 

60,  401 

2,  511 

52,  624     1,  878 

45,370 

1,3C9        364,3(17      11,009 

SICKNESS,    ETC.,    DURING   THE   YEAR   ENDING    JUNE    30,  J8C2.  127 


PACIFIC   REGION. 

The  reports  from  the  Pacific  Region  have  been  consolidated  into  two  statistical  tables, 
as  follows: 

1.  The  Department  of  New  Mexico  Table     XXI. 

2.  The  Department  of  the  Pacific  -  Table    XXII. 

To  which  is  added — • 

3.  A  consolidated  table  for  the  Pacific  Region  -    Table  XXIII. 

1.  THE  DEPARTMENT  OF  NEW  MEXICO — TABLE  XXI. 

This  table  embraces  all  reports  received  from  stations  in  New  Mexico  and  Colorado 
Territories.  From  July  3  to  November  9,  1861,  this  region  was  embraced  in  the  Western 
Department.  November  9th  the  Department  of  New  Mexico  was  created  by  General 
Orders  No.  97,  to  consist  of  the  Territory  of  New  Mexico.  February  14,  1862,  Fort 
Garland,  Colorado  Territory,  was  added.  May  2, 1862,  Colorado  Territory  was  transferred 
to  the  Department  of  Kansas.  These  changes  have,  however,  been  disregarded. 

2.  THE  DEPARTMENT  OF  THE  PACIFIC — TABLE  XXII. 

This  table  includes  all  reports  received  from  stations  in  the  region  west  of  the  Rocky 
Mountains  which  are  not  embraced  in  the  Department  of  New  Mexico.  (Table  XXI.) 

The  Department  of  the  Pacific,  as  it  existed  officially  during  the  year,  comprised  the 
country  west  of  the  Rocky  Mountains,  except  those  portions  of  it  included  within  the 
limits  of  the  Departments  of  New  Mexico  and  Utah.  Utah  is  included  in  the  present 
table. 


CONSOLIDATED  TABLE  FOR  THE  UNITED  STATES— TABLE  XXIV. 
This  table  is  prepared  by  consolidating  Tables  XII,  XX,  and  XXIII. 


128 


TABLE  XXI. 

Abstract  of  the  Sickness  and  Mortality 


1861. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

2,  139. 

3,  508. 

2,  908. 

3,  552. 

3,  845. 

LIST  OF  DISEASES. 

Cases. 

deaths. 

Cages. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS    1.—  ZYMOTIC    DISEASES. 
ORDER  I.  —  Miasmatic  Diseases. 

1 

7 
o 

o 

18 

4 

16 

70 

'  r°ni!"t°n  £ 

3 

8 
8 
13 

15 

36 
80 
9 

1 

20 
43 

37 
9 

10 

16 

37 

1 
20 

1 

109 
10 
16 
5 

55 

88 
1 
10 
1 
12 

58 
7 
8 

4 
19 
1 

1 
2 

2 

1 

10 
25 

4 

10 

1 

5 

16    Scarlet  Fever  

1 

18   Epidemic  Catarrh  

19   Debility       

4 
1 

21 

10 

7 

4 

1 

23 

3 

20    Other  Diseases  of  this  Order  

ORDER  II.  —  Enthetic  Diseases. 

47 
59 
7 
1 

33 

41 
6 

34 
41 
6 
1 

47 
1 

47 
6 
1 

23    Orchitis 

ORDER  III.  —  Dietic  Diseases. 
27.  Scurvy  

13 

5 

3 
1 

2 

3 

28.  Delirium  Tremens  

29.  Inebriation  

1 

3 

o 

CLASS    II.—  CONSTITUTIONAL    DISEASES. 

ORDER  I.  —  Diathetic  Diseases. 
30.  Gout  

31.  Acute  Rheumatism  

19 

0 

o 

25 

19 

37 
2 

42 
21 

1 

29 
25 

32.  Chronic  Rheumatism  

33.  Anaemia  

34.  General  Dropsy  

o 

1 

1 

0 

35.  Cancer  

1 

3G.  Tumors  

37.  Other  Diseases  of  this  Order  

1 

ORDER  11.  —  Tubercular  Diseases. 
38.  Consumption  

1 

39.  Scrofula  

CLASS    III.  -PARASITIC    DISEASES. 
40.  Worms  

1 

Carried  forward  

208 

3 

462 

2 

319 

2 

410 

2 

357 

6 

DURING    THE    YEAR    ENDING    JUNE    30,  1862. 


129 


TABLE  XXI. 

of  the  Department  of  New  Mexico. 


1801. 

1862. 

DECEMBER. 

JANUART. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

5,  461. 

6,  026. 

2,  711. 

3,  079. 

3,354. 

2,  018. 

2,  916. 

3,  460. 

i 
2 
3 

4 
5 
C 
7 
8 
9 
10' 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 

21 

22 
/.o 
24 

26 

27 

28 
29 

30 
31 

33 
34 
35 
36 
37 

38 
39 

40 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases,    i  Deaths. 

1 

1 
1 
3 

19 
14 

11 

59 

1 

4 

25 
39 
7 
1 

2 

1 

46 
34 
5 

7 

12 

15 
46 
36 
2 

25 
3 
7 
8 

59 
3 
3 
9 

1 
25 

279 
G96 

1 

9 
3 

1 

148 
64 
2 
536 

°7 

1 

46 

17 

25 

24 

25 

27 
1 
18 
3 

1 

2 
o 

1 
1 

12 

4 

8 
1 
o 

70 
1 

1 
9 

194 
13 
50 
157 
22 

3 

11 
23 

0 

5 

19 

4 
13 

1 
19 

1 

19 

1 

16 
9 

1 

9 

| 

1 

2 

1 
1 

36 

38 
7 
4 

i|  

2 

3 

8 

12 

13 

C7 
3 

343 
432 
76 
16 

36 
48 
11 

34 
33 
10 
5 

20 
16 
8 
3 

12 

29 

18 
29 
2 

1° 

5 

7 
1 

19 

1 

2 
o 

1 

11 

7 

20 

95 
3 
18 

1 

1 

5 

1 

n 

72 
24 
1 

54 

38 

48 
14 

67 

7 

90 

°5 

546 
174 

3 

16 

23 

1 

1 
5 

2 
3 

10 
3 

1 

1 

1 
1 

1 
1 

1 

1 

2 

1 

2 

1 

1 

1 

1 

4 

2 

1 

1 

24 

351 

4 

259 

1 

189 

202 

2 

288 

1 

341 

374 

1    , 

3,  7GO 

17 


130 


SICKNESS   AND   MORTALITY    OF   WHITE    TEOOPS 


TABLE  XXI.— DEPARTMENT  OF  NEW  MEXICO— Continued. 


1801. 

JULY. 

AUGUST. 

SEFTEMBEU. 

OCTOBER. 

NOVEMBER. 

2,  139. 

3,  508. 

2,  908. 

3,  552. 

3,  845. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

ard 

208 

3 

402 

2 

319 

1 
1 

o 
1 

410 

2 

3o7 

0 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.—  Diseases  of  Nervous  System. 

o 

2 

6 

1 

2 

1 

2 

46    I         'tv 

1 

4 
4 

9 
2 
2 

2 

5 
3 

7 
1 

2 

1 

ORDER  II.  —  Diseases  of  Eye. 

• 

4 

*•«'  v  H^B?  d 

0  '     s     h  . 

2 

13 

8 

15 

11 
o 

1 

1 

OKDEK  III.  —  Diseases  of  Ear. 

2 
3 

3 
1 

o 

rn'  T 

4 

2 

1 

I 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

1 

67.  Inflammation  of  Pericardium  

68.  Inflammation  of  Veins  

69.  Varicocele  

70.  Varicose  Veins  

71.  Other  Diseases  of  this  Order  

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
72.  Asthma  

73.  Acute  Bronchitis  

5 

3 
1 

38 

74.  Chronic  Bronchitis  

75.  Catarrh  

7 

16 

10 

40 

76.  Haemorrhage  from  Nose  

77.  Haemorrhage  from  Lungs  

78.  Dropsy  of  Chest  

79.  Inflammation  of  Larynx  

3 
3 

1 

1 
1 
2 
1 

1 

80.  Inflammation  of  Pleura  

2 
2 
1 

0 

81.  Inflammation  of  Lungs  

2 
1 

1 

1 

82.  Other  Diseases  of  this  Order  

1 

2 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
83.  Abdominal  Dropsy  

84.  Cholera  Morbus  

85.  Colic  

5 

18 
4 

18 
35 
2 

3 

18 
3 

C 

5 

48 
5 

86.  Constipation  

87.  Dyspepsia  

1 

Carried  forward  

258 

3 

570 

2 

387 

4 

525 

3 

492 

7 

DURING    THE    YEAR    ENDING    JUNE   30,  18G2. 
TABLE  XXI.— DEPARTMENT  OF  NEW  MEXICO— Continued. 


131 


1861. 

18GQ. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MAKCII. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

5,  4G1. 

6,  026. 

2,  711. 

3,  079. 

3,  354. 

2,  018. 

2,  916, 

3,  46C. 

41 
42 
43 
44 
45 
4G 
47 
48 
49 
50 
51 
52 

53 
54 
55 
56 
57 
58 

59 
CO 
61 
62 
63 

64 
65 
66 
67 
68 
69 
70 
71 

72 
73 
74 
75 
76 
77 
78 
79 
80 
81 
82 

83 

84 
85 
86 

87 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

351 

4 

259 

1 

189 

202 

2 

288 

1 

341 

374 

1 

3,700 

1 

21 
1 
10 
o 
2 
1 

24 
1 

3 

3 

1 
1 

3 

1 

1 

3 

3 

1 

1 

7 

4 
2 

9 

3 

7 

1 

58 
°1 

6 

1 

3 

2 

4 

12 

7 

2 

8 

11 
1 

2 
2 

~3 

19 
1 

2 
1 
3 

141 
5 

24 

3 
1 

1 
3 

8 
1 

19 
5 
o 

1 

1 

1 

1 

2 

1 

o 

1 

1 

1 

1 

1 

o 

4 

1 

4 

2 

3 
n 

24 

3 
353 

1 
3 

52 
1 

28 

26 

51 

47 

°3 

15 

1 

1 

3 

1 

1 
1 
5 

5 
23 
39 
9 

4 

77 

1 
I 
4 

4 

o 

1 

1 

3 

7 

2 
5 
2 

1 
5 

0 

2 

1 

7 

1 

I 

1 

1 
2 
9 

1 

65 

7 

1 
17 

7 

4 
33 
°4 

20 

5 

37 
3 

51 

74 

0 

67 

48!) 

58 

520 

6 

370 

1 

258 

1 

342 

2 

439 

2 

515 

1 

496 

2 

5,  178 

34 

132 


SICKNESS   AND   MORTALITY    OF   WHITE    TKOOPS 


TABLE  XXL— DEPARTMENT  OF  NEW  MEXICO— Concluded. 


1861. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

2,  139. 

3,  508. 

2,  908. 

3,  552. 

3,  845. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

deaths. 
4 

Cases. 

Deaths. 

Cases. 

Deaths. 

f         rd 

258 

3 

57G 

2 

387 

525 

3 

492 

7 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

3 

5 

1 
1 

3 

4 

o 

o 

1 

1 

1 

2 
1 

1 

2 

3 
34 

5 

47 

3 

23 

13 
17 

10J.  Inflamma  101  o 

12 

ORDER  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

1 

'       '                   „      . 

o.    neon  in  n 

1 

1 

3 

"'            h'l'f    T'l         f  P     ' 

0 

2 
1 

1 

1 

a 

OriDEU  VIII.  —  Diseases  of  Bones  and  Joints. 

114    White  Swelling                                                     

1 

15 

ORDER  IX.  —  Diseases  of  Integumentary  System. 

7 

8 

7 

118   Whitlow    

5 

1 

2 

o 

119    Boil                .            .  .          

1 
4 

o 

I 

120.  Skin  Diseases  

1 

2 
1 

7 

3 

4 

1 

a 

n 

121.  Ulcers  

1 
1 

4 

7 
4 

o 

122.  Other  Diseases  of  this  Order  

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 
123   Burns  

8 

C 

125.  Compression  of  Urain  

19 
1 

31 
3 

3 
8 
3 
7 
2 
8 

22 

23 

30 

127    Fracture  

4 
6 
4 
o 

128.  Dislocation  

0 

1 

o 

7 
4 
18 

130.  Incised  Wounds  

13 
6 

131.  Contused  and  Lacerated  Wounds  

9 
3 
12 

21 

132.  Punctured  Wounds  

1 
4 

133.  Gunshot  Wounds  

3 

7 

3 

3 

134.  Poisoning  

135.  Suicide  

13G.  Others  of  this  Class  

1 

41 

0 

137.  UNCLASSIFIED  DISEASES  

6 

23 

G3 

40 

Total  

345 

0 

7GG 

2 

544 

4 

713 

3 

GG7 

7 

DURING    THE    YEAR   ENDING   JUNE    30,  1862. 


133 


TABLE  XXL— DEPARTMENT  OF  NEW  MEXICO— Concluded. 


1801. 

1862. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

5,  461. 

6,  026. 

2,  711. 

3,  079. 

3,  354. 

2,  018. 

2,  916. 

3,  460. 

88 
89 
90 
91 
92 
93 
94 
95 
96 
97 
98 
99 
100 
101 

102 
103 
104 
105 
106 
107 
108 
109 

no 
111 

112 
113 
114 
115 

116 
117 
118 
119 
120 
121 
122 

123 
124 
125 
126 
127 
128 
129 
130 
131 

133 
134 
135 
136 

137 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

520 

6 

370 

1 
3 

1 

258 

1 

342 

2 

439 

1 
1 

2 

515 

1 

496 

2 

5,178 

4 
20 
2 
1 
19 
6 
3 
8 
8 

34 

2 

1 
1 

1 

1 

1 

1 

1 
1 

1 
1 

0 

2 

1 

1 

o 

2 

1 

1 

3 

3 

5 

4 

6 
1 

14 

8 

9 

4 

3 

10 

17 

1 

5 

o 

77 
168 

1 

1 

! 

1 

1 

3 
5 
3 
3 

6 
6 

1 

2 
2 

1 

1 

2 

1 

1 

17 

2 

87 

10 

5 

4 

8 

4 

o 

0 

o 

o 

1 

15 

17 
38 

3 

7 
o 

r> 

0 

6 
1 

8 
2 
1 

3 

7 

o 

3 
1 

3 

1 

5 

33 
10 

33 
6 

1 

1 

17 

2 
3 
9 
15 
2 
4 

16 
3 
4 
5 
15 
6 

5 

10 
o 

8 

3 

2 

1 
1 

16 

IPO 

00 

1 

9 
8 
8 
5 
140 

16 
55 
79 
120 

3 

o 

5 
3 
5 

8 
3 
8 

8 
6 

9 
11 
o 

2 

19 
TTO 
3 

2 

3 

82 

10 

C6 

15 

20 

]9 

2 

1 

1 

1 
14 

7 
21 

10 
22 

4 

10 

or( 

31 

9 

11 

1 

291 

1 

651 

8 

486 

5 

492 

1 

503 

12 

500 

17 

Cll 

o 

588 

5 

6,  Of  0 

72 

134 


SICKNESS   AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  XXII. 

Abstract  of  the  Sickness  and  Mortality 


YEAR  

1801. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

3,  126. 

3,  227. 

2,  636. 

3,  906. 

4,  900. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

deaths. 

Cases. 

Deaths. 

CLASS  I.  -ZYMOTIC   DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

o 
8 
5 
11 
39 
56 
1 

1 

0 

1.  Typhus  Fever  

12 

7 
19 
40 

O4 

o 

6 
11 
13 
5 

3 

1 

7 
7 

9 

12 

i 

2 
1 
93 
15 
17 

1 
75 

74 

104 

134 
1 

38 
3 
2 
4 

2 
12 

1 

7 
1 
1 

1 

10.  Chionic       a 

7 
o 

1 

4 

1 

*  *  I™    I 

'  ^  6 

' 

1 

6 

1 

86 
41 
7 

4 
3 

61 
35 
3 
1 

2 

7 
o 

7 
2 

218 
135 
19 
6 

ORDER  II.  —  Enthetic  Diseases. 

87 
65 
6 
1 

109 
77 
14 
3 

23    Orchitis                                            

ORDER  III.  —  Dietic  Diseases. 
27    Scurvy                                                

1 
1 

4 
20 

2 
30 

2 

17 

3 

10 

1 

CLASS   II.—  CONSTITUTIONAL   DISEASES. 

ORDER  I.  —  Diathctic  Diseases. 
30.  Gout  

31.  Acute  Rheumatism  

27 
12 

23 

05 

i       ru 

65 

00 

32.  Chronic  Rheumatism  

15 

9 

14 

33.  Ansemiii  

34.  General  Dropsy  

1 

3o.  Cancer  

36.  Tumors  

1 

0 

2 

37.  Other  Diseases  of  this  Order  

1 

2 
1 

1 
1 

0 

1 

1 
3 

ORDER  II.  —  Tubercular  Diseases. 

1 

2 

1 

1 

4 
2 

2 

1 

39.  Scrofula  

CLASS   III.—  PARASITIC   DISEASES. 
40.  Worms  

Carried  forward  

310 

1 

335 

329 

1           520 

4 

812 

5 

DURING    THE    YEAR   ENDING    JUNE   30,  18G2. 


135 


TABLE  XXII. 

of  the  Department  of  the  Pacific. 


1861. 

1862. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCII. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

5,  517. 

4,  758. 

4,  596. 

4,  859. 

2,  741. 

1,  904. 

2^248. 

3,  701. 

1 

2 
3 
4 
.-> 
(i 
7 
8 
9 
10 
11 
12 
13 
14 
15 
1C 
17 
18 
19 
20 

21 
22 
23 

24 
25 
26 

27 
28 
29 

30 
31 
32 
33 
34 
35 
36 
37 

38 
39 

•10 

Cases.  ,  Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

>eaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

2 
45 
59 
115 
325 

1 
7 
1 
1 

11 
5 

25 
85 
19 
1 
1 
87 
3 
18 
3 
o 

4  ! 

2 
6 

10 
26 

4 
6 
13 
36 
19 
6 

6 
10 
9 

1 

2 
2 

1 

3 
6 
14 

4 
7 
1° 

15 

12 

12 

°7 

7 

200 
20 
4 
932 
32 
194 
11 
17 
11 
41 

7 

2 

1 

1 

42 

81 
o 

76 
4 
12 

75 

41 

0 

47 
1 
9 
1 

2 

1 

1 

24 

3 

41 

6 

1 

3 

1 
3 

18 

1 
1 
1 

1 

1 

20 

2 

2 
1 

1 

1 

1 

1 

6 

8 

0 

1 

19 
16 
59 

29 

968 
619 
112 
27 

16 
3 

2 

98 
88 
l(i 
6 

8 
2 

84 
47 
5 

6 
4 

86 
40 
13 
o 

7 
1 

C7 
40 
11 

1 

3 

3 

3 

12 

25 
17 
6 
1 

27 
16 
8 
1 

20 

18 
4 

... 

1 

8 
8 

1 
2 
2 

3 

49 
1C2 

8 
9 

7 

13 
32 

3 

4 

1 

1 

82 
28 

104 
32 

12G 

116 
34 
1 

30 
9 

18 
7 
1 

13 
1C 

663 
241 

43 

o 
4 
1 
10 
9 

27 

14 

9 

1 

1 
3 
3 

1 

1 

I 

1 

o 

1 

3 

4 

2 
2 

3 

3 
3 

1 

3 

1 

6 

2 

o 

1 



G20 

4 

1 

462 

537 

2           555 

3 

190 

1 

172 

209 

1           5,  (i51 

"2 

136 


SICKNESS   AND    MORTALITY    OF    WHITE    TKOOPS 


TABLE  XXII.— DEPARTMENT  OF  THE  PACIFIC— Continued. 


YK  vu                             .             

1801. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

3,  126. 

3,  227. 

2,  636. 

3,  906. 

4,  900. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

it  fat  -ard 

310 

I 
4 
1 
2 
1 

1 

1 

335 

1 
5 

329 

1 

520 

4 

812 

5 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.  —  Diseases  of  Sfervous  System. 

1 

^  p      y 

4 
2 
1 

1 

12 

. 

1 

1 
1 

o 

5 

^     P  y 

1 
2 

1 

J   f         f  Af>    b             f  B     i 

3 

'     "  '?l]o.-a 

'    s  r..* 

1 
o 

4 
6 

7 
4 

10 
3 
3 

8 
9 
1 
1 

1 

4 

ORDER  II.  —  Diseases  of  Eye. 

rr   J  fi                   f     . 

1 

o 

1 

1 
10 

14 
2 

8 
1 

17 

32 

58    Other  Diseases  of  this  Order 

ORDER  III.  —  Diseases  vf  Ear. 

1 
1 

1 
1 

0 

o 

1 

6 
1 

61    Otorrhoea 

I 

62    Deafness 

2 
1 

1 

1 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 
64.  Aneurism  

1 

1 

65.  Inflammation  of  Heart  

1 

2 

C6.  Inflammation  of  Endocardium  

67.  Inflammation  of  Pericardium  

1 

1 

68.  Inflammation  of  Veins  

69.  Varicocele  

2 

70.  Varicose  Veins  

2 

o 

71.  Other  Diseases  of  this  Order  

1 

1 
5 

3 

1 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
72.  Asthma  

73.  Acute  Bronchitis  

1 
1 
30 

3 

2 

11 
o 

74.  Chronic  Bronchitis  

75.  Catarrh  

41 

59 

94 

186 

76.  Haemorrhage  from  Nose  

77.  Haemorrhage  from  Lungs  

2 

1 

1 

0 

78.  Dropsy  of  Chest  

79.  Inflammation  of  Larynx  

1 
1 

1 
3 

3 

9 

80.  Inflammation  of  Pleura  

3 

3 
35 
1 

81.  Inflammation  of  Lungs  

3 
1 

8 
3 

82.  Other  Diseases  of  this  Order  

1 

1 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
83.  Abdominal  Dropsy  

84.  Cholera  Morbus  

] 
15 

10 
1° 

2 
11 
40 
9 

5 

o 

'  85.  Colic  

14 
115 

86.  Constipation  

37 

7 

32 
9 

482 

4T 

87.  Dyspepsia  

3 

13 

Carried  forward  

442 

4 

2 

529 

2 

735 

5 

1,  2(19 

7 

DURING    THE    YEAR    ENDING    JUNE    30,   18G2. 


137 


TABLE  XXII.— DEPARTMENT  OF  THE  PACIFIC— Continued. 


18(51.                                                                                              18(53. 

DECEMBER.               JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

5,  517.                           4,  758. 

4,  59C. 

4,859. 

2,  741. 

1,  904. 

2,  248. 

3,  701. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1     Cases. 

Deaths. 

CM 

4 

4G2 

537 

1 
15 

0 

555 

3 

190 

1 

372 

209 

1 

5,051 

3 

97 
3 
20 

3 

oo 

5 

12 

15 

10 

3 

11 

1 
1 

0 

0 

1 

0 

3 

1 

1 

1 

3 

4 

1 

1 

15 

7 

20 
C 

21 
3 
2 
1 

1 
1 

0 

15 

1° 

7 
3 
1 

0 

14 

134 
55 
10 
15 

5 
1 
11 

I 
213 

1 

1 
3 

o 

6 

1 
1 

o 

1 
1 

0 

2 

1 

2 

] 

2 



] 

25 
1 

0 

20 

21 

25 

13 
1 

18 

10 

2 

7 

10 
25 

1 
3 

1 

1 

1 
4 

o 

3 

1 
1 

3 

8 
2 

1 

4 

0 

1 

1 

1 

1 

] 

1 

0 

1 

5 
(I 
15 

1 
7G 
1C 
1,382 

1 
3 

1 

1 

1 

t> 

o 

1 

13 

1 
134 

1° 

10 
4 

34° 

13 

3 
1 

27 

3 

1 

102 

1 

34 

OJO 

31 

2 

2 

1 

11 

14 
11 
0 
1 

1 

8 
7 

8 
9 

C 
15 

1 
3 

1 
C 

3G 

1 

n 

73 

78 
9 

1 
1 

1 

13 

1 

1 

2 

1 
2 

'18 

1 

11 
45 

24 

4 
82 
11 

3 

88 

0 

91 

90 
11 

4G 

21 

739 

! 

10 

1° 

G 

18 

III 

9CO 

5 

858 

1 

1,103 

2 

1,000 

5 

1 

320 

1 

271 

38G 

*    ! 

",370 

35 

18 


138 


SICKNESS    AND    MORTALITY   OF   WHITE    TROOPS 


TABLE  XXIL— DEPARTMENT  OF  THE  PACIFIC— Concluded. 


1861. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

3,126. 

3,  227. 

2,  G36. 

3,  900. 

4,  900. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

ht  forwlrd 

442 

4 

482 

1 
2 
1 

o 

1 

529 

735 

5 

1,269 

7 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

o 

3 
1 

1 

1 

9 

6 

7 

10 

8 

3 
1 

o 

1 

94.  Chronic    n 

1 

1 

1 

3 

1 
o 

1 

o 

1 

1 

.    . 

1 

1 

10 

7 

4 

4 

7 

7 
1 

19 

8 

1 

ORDER  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

1 

104.  Diabetes  

106.  Difficulty  of  Urination  

1 
3 

o 

0 

108.  Hydrocele  and  llajmatoccle  

1 

4 

1 

109.  Sarcocele  

110.  Non-Syphilitic  Ulcer  of  Penis  

1 
4 

4 

5 

1 

OUDEK  VIII.  —  Diseases  of  Hones  and  Joints. 
112.  Anchylosis  

113.  Exostosis  

1 

114.  White  Swelling-  

115.  Necrosis  

ORDEH  IX.  —  Diseases  of  Integumentary  System. 
116.  Abscess  

5 

4 

5 
1 
5 

2 
1 

4 
7 
8 
17 
o 

13 
o 

117.  Carbuncle  

118.  Whitlow  

3 

15 

6 
13 

8 
17 
9 
"0 

119.  Boil  

1C 
6 
4 
2 

120.  Skin  Diseases  

5 

121.  Ulcers  

5 

7 
2 

1 

122.  Other  Diseases  of  this  Order  

4 

2 
2 

CLASS    V.—  WOUNDS,   ACCIDENTS,   AND 
INJURIES. 
123.  Burns  

1 
1 

2 

124.  Concussion  of  Brain  

1 

1 

125.  Compression  of  Brain  

126.  Contusion  

37 
7 
4 
10 
7 
25 

39 

37 
2 

OT 

45 

127.  Fracture  

5 
4 

24 

O 
1 

O, 

1 

8 
2 

128.  Dislocation  

1 
11 
10 
15 

12!).  Sprain  

130.  Incised  Wounds  

4 
23 
1 
1 
3 

13 

15 

131.  Contused  and  Lacerated  Wounds  

11 

3 
1 

1 

132.  Punctured  Wounds  

3 

4 
1 

2 

o 

133.  Gunshot  Wounds  

1 

134.  Poisoning  

6 

135.  Suicide  

136.  Others  of  this  Class  

20              2 

15 

58 

0 

137.  UNCLASSIFIED  DISEASES  

oo 

18 

°5 

Total  

9 

660              7 

728 

4           707 

3           885 

1,  522 

7 

DURING    THE    YEAR    ENDING    JUNE    30,  18(52. 


139 


TABLE  XXII.— DEPARTMENT  OF  THE  PACIFIC— Concluded. 


1861. 

1863. 

.DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUXE. 

TOTAL. 

5,  517. 

4,758. 

4,  596. 

4,  859. 

2,  741. 

1,  904. 

2,248. 

3,  701. 

88 
89 
90 
91 
92 
93 
94 
95 
96 
97 
98 
99 
100 
101 

102 
103 
104 
105 
106 
107 
108 
109 
110 
111 

U2 
113 
114 
115 

116 
117 
118 
119 
120 
121 
122 

123 
124 
125 
126 
127 
128 
129 
130 
131 
132 
133 
134 
135 
136 

137 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

900 

5 

858 

1 

1,  103 

1 

o 

1,006 

5 

326 

1 

274 

386 

1 

8,370 

o 
35 
11 

35 
1 

4 
4 

4 

4 
2 

o 

4 

1 

1 



15 
1 
3 
1 
6 
1 

9 
1 

12 

9 
2 
2 
7 
1 

3 

3 

3 

90 
15 
12 
°7 

1 

2 
1 

2 

1 
2 

8 
2 

1 
1 
3 

16 
4 
4 
3 
1°9 

3 

1 
3 
4 

1 

1 
25 
3 

1 
21 

14 

11 

4 
1 

1 
1 

4 

7 

40 

3 

7 

1 
1 

1 

o 

1 

1 

1 
5 
13 
7 
1 
9 
°1 



3 

2 

1 
1 
1 

1 

2 

1 
1 
3 

1 

2 
1 

1 

1 
o 

2 

1 

1 

1 

2 
2 
1 

1 

1 

16 

5 
4 
8 
5 
12 

9 
3 
3 
6 
6 
8 

3 

1 
o 

13 

8 

6 

4 

88 
13 
39 

JOO 

1 

1 
5 
4 
1 
1 

1 
2 

1 
8 
5 
4 

4 

12 

11 
15 

6 

82 
103 
13 

21 

8 
1 

5 
3 

1 
2 

3 

o 

1 

2 

1 

12 
1 

354 
46 
30 
140 
111 
239 
31 
28 
18 

3 

1 
12 

3!) 
3 
2 
6 
16 
21 
4 
6 
1 

37 
5 
3 
15 

31 
3 
4 
18 
7 
34 
3 
1 

26 

7 

0 

21 
1 
4 
6 

3 
1 
5 
4 
7 
2 
1 
3 

1 

4 
20 
13 

7 
11 
7 

15 

;; 

1 

A*O 

o 

50 
3 

3 

4 
9 

3 

3 

1 

o 
o 

3 

5 

2 

o 

9 

18 

9 
21 

4 
9 

5 

7 

1 
5 

3 

4 

G8 
239 

23 

1 

1,211 

8 

1,076 

2 

1,300 

3 

1,282 

7 

415 

1 

353 

489 

i 

10,(i28 

50 



140 


SICKNESS   AND    MORTALITY    OF   WHITE    TROOPS 


TABLE  XXIII. 

Abstract  of  the  Sickness  and  Mortality 


YEAK  

1861. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

5,  205. 

G,  735. 

5,  544. 

7,  458. 

8,  745. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Jeaths. 

Cases. 

deaths. 

Cases. 

)eaths. 

CLASS  I.—  ZYMOTIC    DISEASES. 
OKDEU  I.—  Miasmatic  Diseases. 

10 
9 

27 
109 

1 
2 

1 

2 
5 

15 

19 
9 
55 

126 

6 

21 

7 
°9 

1 

1 

88 
42 

15 
13 

55 
10 
1 
130 
5 
26 

33 

66 
1 

9 

1 
181 
16 

27 

111 
1 
33 
3 
3 

1 

213 

12 

192 

1 

8 
46 
3 
12 

5 

0 

2 
1 

4 

1 

1 

in 

10 

1 

29 

6 

r  '  c      i  t  r 

.  ,  car  e 

i 

1 

19.  Debility  -10 

14 
3 

108 
94 
10 

9 

i] 

3 

132 

10 

ORDER  II.  —  Enthetic  Diseases. 

107 
83 
8 

120 

106 
12 
1 

124 

176 
25 

20 

4 

7 

ORDER  III.  —  Dietic  Diseases. 

12 

13 
2 
33 

5 
2 

3 

4 
12 

4 
1 
21 

4 
21 

1 

19 

CLASS  II.—  CONSTITUTIONAL    DISEASES. 

ORDER  I.  —  Diathetic  Diseases. 
30    Gout                                   

46 
14 

2 

48 
34 

62 

76 
35 

1 

94 
47 

11 

0 

1 

1 

1 
1 

o 

1 

0 

37    Other  Diseases  of  this  Order  

1 

0 

1 

1 

1 

1 

4 

1 

4 

4 

0 

ORDER  II.  —  Tubercular  Diseases. 

] 

2 

1 

1 

1 

3<j    scrofula                         

CLASS   III.  —  PARASITIC     DISEASES. 
40.  Worms  .  .  .  ,  

1 

4 

518 

797 

0 

648 

3 

930 

6 

1,  169 

11 

DURING   THE    YEAR   ENDING    JUNE    30,  18G2. 


TABLE  XXIII. 

of  the  Pacific  Region. 


1861. 

1863. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MAUCII. 

APRIL. 

MAT. 

JUNE. 

TOTAL. 

10,  978. 

10,  784. 

7,  307. 

7,  938. 

6,  095. 

3,  922. 

5,  1C4. 

7,  1C1. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1 

3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 

*.3 

24 
25 

27 

28 

**J 

30 
31 
32 
33 
34 
35 
36 
37 

38 
3'J 

•10 

o 

56 
118 
394 
721 

1 

8 
1 

11 
9 
50 
1-24 
20 
o 

1 
104 
3 
30 
3 
13 
23 

5 

3 

7 
13 
45 
26 

4 

8 
13 

6 
10 
34 

1 

2 
17 
46 
51 
14 

1 

4 

52 

16 
OC 
15 
10 
9 
1 

45 

48 

34 
10 

348 

7 

7 

8 

64 
C 
1,468 
59 
388 

o 

IOC 
4 

100 
4 
16 

100 
1 
42 

71 
3 
04 

gs 

1 
94 

1 
1 

1 

17 
o 

3 

o 

24 
67 

1C8 
63 

3 

G 

18 

4 

14 
20 

4 
16 
10 

1 

11 
14 

1 

19 

1 

1 
1 

20 
1 

1 

11 

1 

i 

;;;  

1 

6 

9 

2 

1 

21 

16 

4 
3 

134 
126 
23 
10 

» 

126 

8 
2 

120 

8 
4 

120 

10 
1 

87 
56 
19 
4 

11 

15 

16 

32 
1,311 

39 

28 

49 
39 
11 
1 

43 

46 
8 
1 

95 
16 

73 
23 

1,  051 
168 
43 

13 

7 

20 
8 
13 

1 

10 
11 

1 
13 

11 

8 

20 

98 
52 
180 

1 

3 

7 

1 

2 

2 

33 

4 

4 

154 
52 
1 

158 
48 

164 
43 

164 
48 
1 

97 
16 

108 

33 
no 

1,209 
415 
3 
9 
3 
12 

37 
17 

10 

3 

1 

1 

1 
1 

1 

1 

1 

1 
3 
3 

4 

1 

1 

1 
1 

2 

4 
3 

o 

2 
4 

5 

5 

o 

o 

0 

8 

„ 

3 
1 

1 

3 

1 

46 

1)71 

8     j       721 

1 

726 

2 

757 

5 

478              2 

513 

D£3 

2     ;       8,  SI  1 

142 


SICKNESS   AND   MORTALITY    OF   WHITE   TROOPS 


TABLE  XXIII.— PACIFIC  REGION— Continued. 


YEAli  

1861. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

KOVEMBER. 

5,  265. 

6,  735. 

5,  5-14. 

7,  458. 

8,  745. 

LIST  OF  DISEASES. 

Cases. 

deaths. 

Cases. 

Deaths. 

Cases. 

ieaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

~ 

518 

1 
4 
1 
3 
1 

4 
1 

797 

1 

7 

0 

648 

1 

5 

3 
1 

930    i 

6 

1,169 

11 

CLASS    IV.  —  LOCAL    DISEASES. 
ORDER  I.—  Diseases  of  JTervous  System. 

41.  Apoplexy  

3    ! 

18 

42.  Headache  

2 
3 

1 

43.  Inflammation  of  Brain  

1 
1 

2 

6 

44.  Epilepsy  

3 
2 

1 

4 

5 
6 

13 

8 
2 
o 

12 

17 
4 
3 

10 
10 
1 
1 

1 

7 

4 

ORDER  II.  —  Diseases  of  Eye. 

1 

6 

1 

1 
23 

16 
o 

1 
5 

16 
1 

3 
2 

32 

43 
2 

4 

8 
1 

1 
o 

ORDER  III.  —  Diseases  of  Ear. 

o 

5 

1 

1 

1 

2 

1 

1 

o 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

1 

1 

2 

2 

rf  i"fl         f      rf  r          d' 

1 

1 

2 

v    • 

„ 

o 

1 

1 
10 

3 

1 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 

1 

1 
37 

3 

2 

14 
3 
224 

57 

69 

134 

76.  Haemorrhage  from  Nose  

2 

1 

1 

2 

j    78.  Dropsy  of  Chest  

1 
3 
2 
2 

3 

6 
37 

1 

1 

5 
5 
o 

4 
10 
10 
4 

1 
2 

3 

1 

1 

82.  Other  Diseases  of  this  Order  

2 

3 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
83.  Abdominal  Dropsy  

84.  Cholera  Morbus  

1 

20 

10 
30 
67 
11 

o 

5 

18 
71 
4 

83.  Colic  

14 

58 

19 
163 

86.  Constipation  

55 

87.  Dyspepsia  

11 

18 

Carried  forward  

700 

7 

1,058 

4 

916 

6       1,  200 

8 

1,761 

14 

DURING   THE    YEAR   ENDING    JUNE   30,  1862 


143 


TABLE  XXIII.— PACIFIC  REGION— Continued. 


1861. 

1869. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

10,  978. 

10,  784. 

7,  307. 

7,938. 

6,  095. 

3,  922. 

5,  164. 

7,  161. 

41 
42 
43 
44 
45 
46 
47 
48 
49 
50 
51 
52 

53 
54 
55 
56 
57 
58 

59 
60 
61 
62 
63 

64 
65 
66 
67 
68 
69 
70 
71 

72 
73 
74 
75 

76 

78 
79 
80 
81 
82 

83 

84 
85 
8fi 

87 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

971 

8 

721 

1 

726 

1 
15 

g 

757 

5 

473 

2 

513 

583 

' 

8,811 

4 
118 
4 
30 
4 
14 
4 

46 
3 

8 

15 

15 

11 
1 

3 

14 

1 

2 
1 

5 

4 

o 

3 

1 

1 

1 

0 

3 

4 

1 

1 

9 

24 

21 
9 
2 
1 

1 

1 
2 

21 
1 
1 
3 

2 

15 
6 

14 
3 
2 
2 

15 
5 

192 
76 
13 
17 

5 
1 
15 
1 
354 
12 

34 
44 
8 
10 
3 

1 
5 

8 

1 
1 

2 

1 
1 

2 
1 

2 

o 

1 

2     ... 

37 

1 

5 
4 

1 

°7 

23 

33 

2 

24 

51 

29 
1 

3 
5 
3 

0       i 

2 
6 

1 

2 
5 

9 
1 

o 

1 
1 

o 

1 

2 

1 

1 

2 

1 

3 

2 

2 

1 

1 

6 
6 
16 

1 
100 
19 
1,735 

1 
14 

1 
3 

1 
o 

1 

1 

3 

o 

1 

15 
1 

186 
1 

16 
1 
220 

11 
4 

308 

17 

2 
1 

81 

6 
3 

50 

3 
5 

46 

°63 

1 

1 

2 

1 

14 
15 
8 
2 

1 

11 
14 

11 
10 
o 

6 
16 

18 

g 

1 

8 

41 
96 
117 
18 

4 
26 

1 
2 
5 

1 
1 

1 

4 

8 

4 
5 

1 

1 

1 

1 

1 
1 
6 
]31 
36 

1 

o 

1 
16 

112 

5 
147 

18 

3 

G 
107 

18 

20 
97 

11 
95 

168 
1,228 

125 

13 

8 

18 

169 

1,480 

11 

!    1,228 

2 

1,361 

3 

1,348 

7 

765 

3 

789 

1 

882 

3 

13,  518 

69 

144 


SICKNESS   AND   MORTALITY    OF   WHITE   TROOPS 


TABLE  XXIII.— PACIFIC  REGION— Concluded. 


YEAU  

1861. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

5,  2C5. 

C,  733. 

5,  544. 

7,  458. 

8,  745. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

700 

7 

1,058 

1 

7 
1 

4 
1 

91G 

6 

1,2CO 

8 

1,701 

14 

ORDER  VI—  Diseases  of  Digestive  Organs—  Continued. 

3 
1 
1 
10 
1 

2 
1 

5 

8 
1 

9 

7 

14 

10 
1 
3 
1 
3 

5 

2 
3 

2     i 

1 
3 

1 

1 

1 

o 

1 

3 

1 

1 

10 
19 

7 

38 

12 

10 

24 

32 

47 

ORDER  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

1 

1 

1 

1 

1 
3 

o 

3 

1 

4 

1 

3 

2 

0 

1 

1 

4 

C 

3 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

~'           *   . 

1 

| 

1 

19 

ORDEU  IX.  —  Diseases  of  Integumentary  System. 

5 

12 

10 
1 
G 
9 
11 
21 

°0 

'                ] 

1 
C 

18 
8 
5 
3 

G 

o 

3 

1G 
9 
5 

11 
18 
6 
9 
3 

8 

19 
11 

27 
8 

4 

8 

119   Boil                                                  

121    Ulcers 

1°2   Other  Diseases  of  this  Order       

3 

4 
2 

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

9 

1 

1 

1 

•      f  c   ' 

56 

70 
8 

s 

59 

40 
G 
7 
9 
11 
32 

75 
10 

0 

Q 

4 
11 
9 
31 

o 

1 

3 

11 
23 

30 

20 

7 
30 
3 
9 
3 

17 
33 

21 

G 
12 

4 
8 

4 
5 

1 

3 

1 

3 

1 

130    Others  of  this  Class                                    -  -          20 

2 

1G 
99 

o 

o 

137  UNCLASSIFIED  DISE-VSES  :       3f> 

45 

R1 

C5 

Total                                   

I 

-    1,  C05 

13 

1,494 

G 

1,251 

7       1,  598 

12       2,  189 

14 

DURING   THE    YEAR   ENDING    JUNE    30,  J8fi2. 


145 


TABLE  XXIII.—  PACIFIC  REGION— Concluded. 


18(51.                                                                                                    18052. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

31  AY. 

JUNE. 

TOTAL. 

10,  978. 

10,  784. 

7,  307. 

7,938. 

6,  095. 

3,  922. 

5,  104. 

7,  101. 

88 
89 
90 
91 
92 
93 
94 
95 
90 
97 
98 
99 
100 
101 

102 
103 
104 
105 
100 
107 
108 
109 
110 
111 

112 
113 
114 
115 

110 
117 
118 
119 

120 
121 
122 

123 
124 
125 
126 
127 
128 
129 
130 
131 
132 
133 
134 
]35 
13(i 

137 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1,480 

11 

1,228 

1 
7 

o 

1,361 
1 

3 

1,348 

7 

7G5 

1 
3 

3 

789 

1 

882 

3 

13,548 

6 
55 
13 
1 

109 

09 
1 

C 
4 

4 

1 
1 

4 
1 

1 

16 
1 
4 
1 
9 
1 

9 

1 
1 
1 
3 

13 

10 
2 
2 
9 
1 

4 
1 

4 
1 

5 
2 
1 
3 
1 

15 
35 
24 

4 
4 
3 

206 
208 

3 

8 

2 

8 
2 

2 

2 
1 
3 

3 
1 

7 
7 

1 

1 

30 
7 

1 

30 
7 

20 
1 

1 

1 

25 

14 

18 

1 
1 

1 

9 

7 

1 

8 

1 

o 

1 

1 

1 
8 
18 
10 
4 
15 
27 

3 

4 
o 

I 

2 

0 

3 

1 
1 

1 

1 
3 
3 

1 

o 

1 

1 

1 
o 

2 

1 

1 

1 

o 
2 
1 
2 

175 

1 

1 

1 

33 
5 
4 

8 
7 
18 
1 

5 

19 
3 
5 
6 
14 
10 
1 

5 

2 

8 
1 

17 

10 

10 

6 

13 

54 
139 
120 

1 

23 
11 
18 
o 

3 

3 

2 

8 
7 
9 

7 
19 
10 
1 

6 
3 

4 

13 
o 

136 

1 

2 

54 
18 
1 

550 

1 

3 

1 

13 
4 

10 
7 
12 

0 

50 
5 
4 
9 
25 
39 
G 
10 
1 

53 

41 

34 
5 

4 

10 
4 

37 
1 
4 
14 

8 
7 
20 

CO 
46 
195 
190 

1 

27" 

9 

20 

30 
31 
4 
8 

15 
42 

21 

50 

18 

11 
6 

o-O 

359 

2 
3 

8 
141 

3 

50 
398 
21 

39 

3 

1 

84 
o 

10 

09 

15 

3 

1 

2 

1 

2 

3 
o 

1 

9 

49 

10 
35 

4 

18 

7 

44 

15 

5 
]5 

3 
15 

93 
530 

21 

1 

1,  602 

1C 

1,502 

7 

1,792 

4 

1,785 

19 

1,005 

18 

904 

3 

1,077 

G 

17,  584 

120 

146 


SICKNESS    AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  XXIV. 

Abstract  of  the  Sickness  and  Mortality 


1SG1. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH   (not  indud'g  Talles  XIandlCIJC) 

CO,  118. 

109,  054. 

102,  217. 

252,  037. 

290,  G25. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS    I.  —ZYMOTIC    DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

11 

123 
14') 

0 

27 

6 

424 
427 
1,504 
2,205 
1  430 

2 

100 
2 
13 

1 

86 
975 

2  929 
4,041 
2  552 

13 

185 
7 

1 

95 

2,078 
1,  205 
4,  109 

c,  2i;i 

4,  109 
523 
213 

13,  519 
1,  233 
3,  095 
229 
378 
88 
2,080 
0 

8 
3G7 
7 
30 
5 
2 

85 
2  937 
1,  427 
4,  423 
4,834 
2,813 
5-!0 

14 

516 
9 
43 
o 

10 

'  T.°m™°"    p" 

500 
951 

3 

508 

30 

48 
7,401 
154 

213 

250 
159 
9,794 
015 
1,  909 
119 
09 

1,  229 

0 

1 
14 
8 
o 

19 
9 

1 

C 

72 
10,  G75 
371 
1,  593 
127 
90 
7 
802 
4 
209 
92 

3 

1 
3 

10 
11 
1 
4 
6 

27 
13 
14 
39 
14 
1 

Q 

35 

220 
12,211 
823 
2,  COG 
244 
202 
93 
4,  204 
10 
398 

28 
10 
27 
40 
14 
11 
28 
82 

1,  230 
33 

6 

74 
24 
C75 

1 
4 

10 

3 

0 

10    Scarlet  Fever         

159 

1 

179 
97 

230 

20 

8'M 

1  006 

19   Debility                                

437 
129 

1 

1,187 
434 

C19 

1,201 
023 

740 
1,  054 

4 

1,212 
513 

5 

1,  304 

597 

11 

20   Other  Diseases  of  this  Order  

1 

ORDER  II.  —  Enthetic  Diseases. 
°1    Syphilis 

380 
497 

970 

1,287 

1,147 

1,  318 

23.  Orchitis     

83 

8 

140 

145 

OT* 

193 

201 

41 

18 

50 

i 

ORDER  III.  —  Dietic  Diseases. 
27.  Scurvy  

45 

39 
21 

121 

3 

58 

0 

87 
73 

11 

2,  801 
1,890 

1 
4 
o 

28.  Delirium  Tremens  

43 

72 

1 
585 

1 
1 

3 
1 

55 
59 

o 

1 

49 
52 

0 

29.  Inebriation  

CLASS    11.—  CONSTITUTIONAL    DISEASES. 

ORDER  l.—Diathetic  Diseases. 
30.  Gout  

8 
2,  139 
1,2-13 

31.  Acute  Rheumatism  

2 

1,157 

7G9 

1,490 
805 

2 

32.  Chronic  Rheumatism  

33.  Anaemia  

10 

12 

<)0 

08 
19 
1 
34 

70 
23 

0 

77 
34 

1 

34.  General  Dropsy  

o 

35.  Cancer  

1 

10 
90 

49 
20 

9 

1 
41 
186 

98 
38 

1 

39 

30.  Tumors  

og 

37.  Other  Diseases  of  this  Order  

1 
5 

221 

154 
28 

80 
190 

1 

10 

152 

08 

ORDER  II.  —  Tubercular  Diseases. 
38.  Consumption  

5 

11 

42 

39.  Scrofula.  

CLASS    III.  —  PARASITIC    DISEASES. 
40.  Worms  

337 

50 

07 

Carried  forward  

14,  803 

70       20,  119 

175       32,890         310       48,078 

001 

49,  378 

8G5 

DUK1NG    THE    YE  Alt    ENDING    JUNE    30, 


147 


TABLE  XXIV. 

of  the  Army  of  the   United  States. 


1801. 

18tJ3. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JCXE. 

TOTAL. 

33U,  7-15. 

343,  572. 

310,  508. 

314,  961. 

395,  713. 

388,  492- 

307,  952. 

279,  371. 

Cases. 

Deaths. 

Cases. 

!  Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

•  Deaths.    Cases. 

Deaths. 

Cases. 

Deaths. 

1 

3 
4 

5 
K 

7 
8 
9 
10 
11 
12 
13 
1-1 
15 
10 
17 
18 
19 
20 

21 
20 
23 

24 

26 

27 
29 

30 
31 
32 
33 
34 
35 
3G 
37 

38 
39 

40 

59 
2,817 
930 
3,  504 
3,  768 
2,  203 
172 
395 
9,  994 
1,032 
2,  104 
198 
331 
20(3 
4,  957 
43 
937 
2,121 
1,535 
500 

1,008 
1,  350 
290 

48 

20 
555 
7 
45 

56 
2,  325 
799 
2,430 
2,  004 
1,590 
227 

18 
453 
9 
25 
1 
1 

30 
1,  593 
739 
2,  3-18 
1,  980 
1,  138 
117 
168 
7,  401 
502 
1,  044 
107 
192 
182 
1,072 
0 
1,482 
1,  738 
973 
1,412 

708 
818 
202 

15 
425 
0 
20 

1 

38 
1,  204 
092 
2,  045 
1,  738 
1,  29!) 
197 

26 

405 
4 
30 
2 
4 

138 
2,  348 
1,381 
4,  100 
4,215 
2,  578 
488 
199 
24,  800 
2,  970 
5,  154 
252 
321 
108 
1,  072 
0 
2,313 
601 
2,  049 
040 

6C9 

804 
304 

23 
727 
35 
30 
4 
3 

62 
2,701 
1,010 
0,  130 
4,429 
3,253 
3U2 
240 
23,  845 
3,215 
4,  804 
539 
280 
89 
501 
13 
1,203 
311 

16 
;  1,053 
23 
35 
0 
4 
1 
44 
43 
130 
43 
14 
10 
37 
14 

135 

2,  4;;s 

1,678 

5,  853 
3,808 
3,227 
401 
238 
24,  073 
3,1  38 
3,  903 
308 

04 
147 
3 

082 

38 
709 
38 
08 
8 
5 
2 
47 
52 
104 
34 
17 
6 
21 
3 
1 
1 

821 
21,  j;  05 
11,709 
40,  021 
40,  330 
20,  706 
3,  526 
2  233 
164,  414 
15,  815 
32,  220 
2,  009 
2,  052 
1,  307 
21,  672 
133 
11,  271 
11,314 
18,323 
7,454 

9,044 
11,018 
2,  71  ') 

201 
5,  048 
147 

370 

33 
4 
301 
230 
501 
338 
130 
120 
393 
508 
10 
9 
5 
153 
36 

12 

3 

43 
24 
26 
45 

43 

50 
94 

201 
10,  0  17 
870 
1,533 
155 
259 
202 
3,135 
20 
1,  945 
3,  100 
1,  170 
572 

902 
1  4"8 

39 
0 
24 
24 
13 
8 
01 
145 
1 
1 
3 
15 
o 

37 
8 
23 
17 
10 
8 

05 
4 
3 

74 
10,  648 
820 
2,526 
238 
179 
159 
1,  1G2 
18 
1,  534 
1,  049 
1,  304 
509 

094 
089 
214 

19 

10 

13 

59 
62 
1 

1 

21 

7 

59 
33 

37 
10 
18 
02 
20 
3 
1 

1 

12 
3 

1 

11 
3 

26 
5 

1 

2,588 
608 

534 
724 

17 

7 

3 

3,  297 
707 

547 
812 

30 

8 

5 

331 
40 

352 

244 

30 
1 

07 

43 
1 

42 

34 

11 

408 
20 

o 

0 

1 

1 

41 

04 
07 

8 
2,748 
2,  2£8 
88 
50 
3 
44 
195 

243 

72 

00 

oo 

21 
54 
85 

9 
2,  202 
1,017 
81 
48 

1 
3 

35 
0 
131 

n 

2,  156 
1,  308 
73 
50 

211 

48 
02 

14 

3 
3 

2 

301 

38 
70 

17 
2,003 
1,879 
183 
150 
4 
57 
138 

1 

7 
3 

499 
51 

50 

10 
2,350 
2,  022 
23L 
197 
5 
39 
320 

1 
5 

1,  324 
050 
979 

104 
20,  218 
18,  401 
1,227 
758 
33 
447 
2,009 

2,  500 

027 

1,057 

9 
57 
20 

29 
21 
13 
35 
4 

8 
2 

93 
125 

4 

2,887 
2,  174 
88 
51 

40 
115 

253 
03 

0-2 

9 
6 

7 
3 

4 

2 
3 

] 

0 
1 

1 
0 

2,  974 
2,  124 
102 
90 
13 
44 
239 

278 
01 

]•)-, 

1 
3 

5 
5 
1 

7 

5 

8 
3 
9 

1 

7 
2 
1 

3 
1 

3 

3 

1 

33 

1 
49 

100 

237 
54 

1 

04 

155 

58 
02 

1 

97 
2 

5 

554 
10 

39 
o 

4   ; 

208  : 
07 

00 

83 
1 

1 

209 
51 

45 

08 

1     | 

123 

i 

40,081     1,054        41,  5]  1 

1 

923 

3  *  1  *9 

790 

33,  577 

944 

1 
04,137  l  1,270     i  04,CC4 

1                 1 

1,  014       62,  057 

1,419     ,     510,824 

10,065 

148 


SICKNESS    AND    MORTALITY    OF    WHITE    TEOOPS 


TABLE  XXIV.— ARMY  OF  THE  UNITED  STATES— Continued. 


1861. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH,  (not  includ'g  Tables  XI  and  XIX) 

69,  118. 

109,  054. 

162,  217. 

252,  037. 

296,  025. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Brouo-ht  forward 

14,  863 

194 
8 
30 
57 
24 
1 
14 
181 
242 
9 
52 

4 
4 
5 
5 

240 
89 

42 

70 
2 

20,  119 

9 
523 

175 
6 

32  890 

4 
658 
7 
95 
24 
2° 

310 
3 

48,  678 

23 
503 
6 
95 
C 
40 
14 
50 

601 
5 

49,  378 

6 
419 
14 
124 

895 

3 
1 
5 
3 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.  —  Diseases  of  Nervous  System. 

2 
2 
1 

8 
69 
60 
20 
2 
10 
357 
412 

2 

4 
1 
2 

3 
1 

SP  *"  ^ 

4 

1 
5 

47 
10 
61 
656 
695 
32 
142 

oo 

1 
6 

f  i?  • 

3 

16 
6 
347 
509 

1 

4»'  TV"    a"?™a  IOD  °         em   ra   e 

'       ^      "  . 

572 

606 
39 
131 

15 

1 
1 

13 

96 

5 
6 
12 
4 
347 
84 

144 
117 
107 
20 

4 

3 
3 

17 
118 

8 
o 

1 

1 
3 

4 

ORDER  II.  —  Diseases  of  Eye. 

o 

11 

8 
397 

28 

16 
13 

6 

627 

795 
98 

111 
117 
150 
16 
20 

78 

187 
138 
95 

104 

86 
82 

ORDER  III.  —  Diseases  of  Ear. 

32 
39 

7 
9 

1 
2 
5 
2 

61    Otorrhcea 

81 
21 

16 
7 

4 
10 
10 
9 
5 
82 

12 

3 
5 
8 
12 
7 
65 
43 
40 

113 

1,867 
221 
5  125 

ORDEE  IV.  —  Diseases  of  Organs  of  Circulation. 
64.  Aneurism  

2 

2 
8 
9 
19 
2 

65.  Inflammation  of  Heart  . 

12 

1 

66.  Inflammation  of  Endocardium  

1 
7 
1 

54 

1 

67.  Inflammation  of  Pericardium 

1 

o 

3 

68.  Inflammation  of  Veins  

69.  Varicocele  

36 

27 

83 
63 
60 

125 
3,580 
268 
9  350 

70.  Varicose  Veins  

44 
28 

44 
647 
184 
1  422 

65 

71.  Other  Diseases  of  this  Order  

14 

8 
417 
36 
800 
20 
32 

1 

28 

78 
1,043 
155 
2  673 

2 

2 

1 

1 

4 

1 

5 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
72.  Asthma  

73.  Acute  Bronchitis  

1 

74.  Chronic  Bronchitis  

1 

75.  Catarrh  

76.  Haemorrhage  from  Nose  

36 
50 
1 
79 

188 
121 
409 

o 

18 
80 

48 
112 
4 
193 
385 
829 
504 

14 

264 
874 
2,  677 

77.  Haemorrhage  from  Lungs  

84 

1 

1 
2 

4 
1 
129 
8 

78.  Dropsy  of  Chest  

1 

51 

102 
93 
44 

79.  Inflammation  of  Larynx  

2 
3 
9 
o 

1 

53 

184 
313 
527 

3 

409 
720 
2,124 
393 

2 

140 
276 
375 
314 

6 
388 
1,123 
2,  773 
554 

4 
1 
31 
6 

o 

1 

80.  Inflammation  of  Pleura. 

81.  Inflammation  of  Lungs  

5 

10 

10 
3 

82.  Other  Diseases  of  this  Order  

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
83.  Abdominal  Dropsy  

84.  Cholera  Morbus  

223 

385 

1 

480 
592 
1,  654 

2 
1 

3 
1 
1 

85.  Colic  

80.  Constipation  
87.  Dyspepsia  

1,155    
224 

Carried  forward  

19,  831 

98 

34,  982 

210     ;  44,644 

342 

65,  385 

674 

72,  982 

1,081 

DURING    THE    YEAR    ENDING    JUNE    30,   1802. 


149 


TABLE  XXIV.— ARMY  OF  THE  UNITED  STATES— Continued. 


18(31. 

1862. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH:. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

330,  745. 

343,  572. 

316, 
Cases. 

568. 

314,  9G1. 

395,  713. 

388,  492. 

367,  952. 

279,  371. 

Cases. 

Deaths. 

Cases.    Deaths. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.     ;  Deaths. 

41 
42 
43 
44 
45 
40 
47 
48 

50 
51 

52 

53 
54 
55 
50 
57 
58 

59 
60 
61 
62 
63 

64 
65 
66 
67 
68 
69 
70 
71 

72 
73 

74 
75 
76 

77 
78 
79 
80 
81 
82 

83 

84 
85 
,   86 
87 

46,  681 

13 

624 
12 
138 

1,  054 
12 

41,  511 

22 
577 
17 
141 
3 

923 
13 

32,  129 

19 
476 
13 
105 
4 
51 
16 
12 
625 

790 
14 

33,  577 

33 

504 
17 
85 
10 
35 
20 
38 
665 
503 
31 
80 

11 

8 
21 
8 
756 
93 

125 

944 
11 

64,  137 

17 
815 

105 
15 
65 

37 
947 
873 

1,270 
12 

64,  204 

16 

825 

1,614 
14 

62,  657 

29 
1,  OC8 
15 
104 
145 
40 
15 
179 
849 
766 
54 
219 

1,419 

516,  824 

195 
7,126 

151 
1,203 
416 
494 
167 

7,  544 
7,  517 

10,  065 

123 

1 
93 
39 
18 

105 
1 
1 

8 
3 

11 
5 

13 
2 

15 
6 
1 
2 

17 

18 
5 

12 
112 
92 
60 
16 
82 
793 
7F2 

7 
5 
o 

11 
1 

5 
4 
5 

9 

50 
12 
33 
823 
955 
07 

124 

10 
6 
29 
3 

1,001 

158 

218 
191 
159 
37 
12 

40 
20 
50 
729 

13 

1 

13 

1 

18 

9 

1 

581 
26 
167 

11 

8 
47 
4 
900 
96 

194 

102 

593 

2 
4 

24 

94 

11 

9 
39 

16 
756 

4 
2 

3 
13 

117 

7 
7 
21 
10 
987 
119 

162 

5 

30 

178 

1 
3 

6 
4 

330 
1,518 

147 
71 
282 

24 
4? 

5 

9 
32 

8 
21 
41 
861 
68 

154 
106 
85 
31 
27 

18 
886 
95 

136 
8,553 
1,173 

1,770 
1,458 
1,409 
263 

1 

1 

91 

171 
134 
132 

150 

79 
85 
16 

7 

3 

11 
11 
17 
3 

177 
144 

28 

93 

209 
26 
10 

3 

19 
8 
19 
5 
93 

1 

123 
07 

1 

18 
9 

6 

18 
17 

5 

47 
51 

1 

1 
4 
1 
9 

15 

10 
10 

27 
18 
109 

41 

20 
10 
27 
14 
121 

173 

35 

152 
107 

73 

986 
774 
730 

1,169 
26,  160 
3,  893 
83,665 
406 
1,  051 
23 
2  .7)1 

1 

6 
21 
15 
42 
3 

3 
3 
3 

5 
1 

9 
19 
9 
35 

8 
165 

12 
9 

5 

78 
75 
75 

158 
4,  581 
497 
13,  152 
45 
120 
4 
329 
515 
1,  351 
748 

18 
193 
963 

2,714 
027 

4 

1 

1 
1 

7 
1 

1 

o 

6 

5 

6 

3 
1 

53 

61 
101 

152 

4,129 
554 
!  15,212 
32 
103 
4 
458 
643 
1,941 
705 

19 
123 

707 
2,  353 

46 

57 

70 
2,  093 
260 
9,  669 
22 

95 

87 
60 

104 
1,157 
391 
3,858 

117 

58 

111 
792 
311 
2,  946 
56 
89 
2 

100 
410 
452 
217 

20 
909 
1,  806 
2,  865 
594 

1 

4 

1 
3 

8 
2 

I 
4 

1 

46 

11 
102 
36 
5 
4 
23 
5 
34 
84 
2  152 
234 

15 
34 
11 
5 
1 

o 

2 

J 

2 
2 

2 

1 

19 

75 

98 
3,  124 
366 
11,  544 
10 
89 
o 

436 
544 
1,626 
581 

12 
128 
501 
1,897 
543 

3 

1 
14 
5 

10 

19 
6 
1 

134 

108 
2,  124 
630 

7,884 
67 
121 
4 
226 
799 
1,606 
291 

11 

438 
1  421 

9 

1 
12 

8 

7 

1 

4 
7 

1 

40 
88 
1 
156 
548 
877 
387 

30 

617 
1,  502 
2,  620 
644 

1 

1 

2 

7 
1 
5 
19 
361 
16 

2 

83 

5 
2 

4 
13 

259 
27 

3 

7 

3 
2 

245 

15 

2 
5 
1 

2 

5 
477 
32 

3 

2 

364 
453 
1,471 
306 

9 

128 
652 
1,  607 
399 

3 

32 
361 
39 

4 
6 
164 
42 

2 
1 
2 
1 

2 
101 
34 

3 

10 
4 
1 

5,077 
11,055 
5,033 

150 
4,  306 
11,366 
27,  178 
6,  134 

1 

1 

1 

1 

2,739 
652 

1 

L 

77,637       1,408  jl  73,628 

1,  523 

57,  375 

1,285 

55,  194 

1,504 

88,  432 

1,  699 

82,  130 

1,922 

79,  610 

1,670 

751,  830 

13,  422 

150 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TAULE  XXIV.— ABMY  OF  THE  UNITED  STATES— Concluded. 


1861. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STKEXGTH,   (not  indud'g  Tables  JCI  and  XLY) 

69,118. 

109,  054. 

1G2,  217. 

252,  037. 

296,  025. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

1 
Cases. 

Deaths. 

Cases,  i  Deaths.    Cases. 

Deaths. 

Cases. 

Deaths. 

19,  831 

3-1 

70 

98 
1 

34,  982 

56 
119 

43 

216 

4 
2 

44,  644 

53 

101 

28 

342     • 
5 

65,  385 

131 

205 

674 

8 
3 

233 
17 
18 
479 
139 
46 
350 
927 
38 
14 
22 
1,063 
543 

11 

1,081 

' 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

t 

7 
o 

12 

19 
317 
170 
42 

11 

378 

1 

143 

Jj7 

314 
170 
85 
192 

1 

136 

78 
288 

2 

<i4  ri°UtC-  "i  fl-    '     \-      f  I  '  - 

23    

1 

4 
1 
o 

'  .'  T,  irt  1U°  "  an 

8-1 

2') 

57 
19 

1 

259 

857 
19 
18 
31 
620 
657 

8 

10 
o 

1 

A    ' 

o 

35 

8 
4 
210 
410 

5 
2 
2 

20 

4 

13 
10 
364 

818 

1 

25 
4 
10 
64 
56 
19 
12 

5 

9 

11 
1 
1 
5 

360 

1 
1 

101    Other  Diseases  of  this  Order     

2 

468 
13 

2 

6 

ORDER  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

103   Inflammation  of  Bladder       

13 
7 
11 
46 

40 

1 

1 

1(14    Diabetes                

3  

19 
80 
98 
17 

106   Difficulty  of  Urination 

O*J 

65 

15 

1 

73 
1C 
15 

44 

79 

6 

2 

3 

K 

17 
37 

1 

1 
1 

1 

185 

35 

8 
°9 

48 
71 

17 
(• 

1 

59 

16 
5 

1 

90 

5 
13 
6 

1 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

113   Exosto^is 



114.  White  Swelling 

18 
10 

373 

5 

19 

317 

10 

23 

ORDER  IX.  —  Diseases  of  Integumentary  System. 

451 

492 

117.  Carbuncle 

15 
51 
185 
229 

124 

129 

150 
132 

118.  Whitlow  

144 
309 

85 
356 

312 

119.  Boil  

300      

357 
442 
465 

120.  Skin  Diseases  

335 
303 

2!;3              

312            1 
360  :  

121.  Ulcers  

146 
111 

48 
5 
4 
282 
35 
16 

375  !    

122.  Other  Diseases  of  this  Order 

192 

182  ' 

141 

132 

CLASS    V.  —WOUNDS,   ACCIDENTS,   AND 
INJURIES. 
123.  Burns  

51 
8 
6 
388 
43 
33 

60 
11 
8 
543 
93 
32 

50 
1J 
1 
f»72 
109 
75 

]03 

124.  Concussion  of  Brain  

2 

1 
1 

5 

o 

2 
6 

5 
.     796 
111 
51 
379 

1 
4 
3 

125.  Compression  of  Brain  

1 
1 
1 

126.  Contusion  

1 
1 

127.  Fracture  

3 

128.  Dislocation  

129.  Sprain  

103 
192 

157 

1 

200 
266 

251 

130.  Incised  Wounds  

328 
310 
80 
391 

20 

1 
3 
1 

91 

4 
6 

14 

372 

405 
102 
579 

1 
5 

78 
3 
4 

17 

27 
],2<i5 

131.  Contused  and  Lacerated  Wounds  

239 
75 

1 

204 
57 
329 

1 
o 

77 
1 
1 
o 

12 

305 
68 
295 
25 

5 
3 

56 

132.  Punctured  Wounds  

133.  Gunshot  Wounds  

29 

78 
1 
1 
3 

4 

~~ 

134.  Poisoning  

135.  Suicide  

3 
1 

9 

13(3.  Others  of  this  Class  

2G8 
504 

197 
653 

1S8 

556 

236 

673 

273 
578 

83,  436 

137.  UNCLASSIFIED  DISEASE-; 

Total  

23,  904 

194       41,387 

330 

51,810         438 

74,  284         848 

DURING    THE    YEAR    ENDING    JUNE    30,  1862. 


151 


TABLE  XXIV.— ARMY  OF  THE  UNITED  STATES— Concluded. 


1861. 

186Q. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MAUCII. 

APRIL.                  MAY. 

JUNE. 

TOTAL. 

336,  745. 

313,  572. 

316,  568. 

314,  961. 

395,  713. 

3t8,  492. 

1 
367,  952. 

279,  3 

71. 

Cases.  ;  Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 
1,504 

6 
3 

Cases.    Deaths.    Cases. 

Deaths. 

Cases.    Deaths. 

Cases.    ', 

Deaths. 

88; 
89 
90 
91 
92 
93 
94 
95 
96 

98 
99 
100 
101 

102 
103 
104 
105 
106 
107 
108 
109 
110 
111 

112 
,113 
114 
115 

116 
117 
118 
119 
120 
121 
122 

123 
124 
125 
126 
127 
128 
129 
130 
131 
132 
133 
134 

137 

1 
77,637 

127 
355 
34 
13 
627 
169 
94 
366 
945 
27 
13 
45 
1,  671 
700 

11 

45 
18 
20 
85 
82 
61 
16 
21 
67 

14 
13 

]4 
15 

649 
122 
150 
448 

f>';6 

408 
114 

113 
13 
2 
832 
137 
84 
402 
459 
541 
95 
345 

1,408    i 

11         : 

4 

73,  628 

103 
177 
31 

558 

1,523 

14 
5 

57,  375 

57 
134 
23 

1,285 
12 

55,194 

59 

145 
41 
26 

88,  432 

84 

240 
4° 

1,  699 

6 
6 

82,  130 

146 
449 
54 

1,922 

8 
5 

79,  G10 

151 
320 
33 
18 
751 

1,670 

9 
3 

751,830 

1,154 
2  554 

13,  422 

92 
35 

1 

7 
394 

21 

9 

729 
346 
124 
393 

1 

177 
5,784 
2,079 
1,  138 
3,  604 
10,  922 
344 
3.18 
281 
11,  450 
7,212 

93 

401 
124 

685 
932 
303 

6 
40 

404 
115 

142 
306 

690 
243 
193 
388 
1,691 
39 
34 
31 
1,  292 
668 

40 
18 
9 
89 
107 
33 
10 

1 

4 

5 
1 
o 

1 

140 
66 
402 
1,  202 
20 

3 

3 
1 
3 

75 
42 
253 
947 
14 
51 
12 

1 
o 

2 
2 

343 
203 
538 
1,  453 
54 
10 
40 
480 
560 

53 
15 

44 
156 
110 
37 

4 

2 
13 

3 

910 

27 

2 

10 

1,  645 
50 
101 
20 
667 
530 

7 

5 

27 

4 

2 

47 
14 
1,  369 

438 

10 

4 

11 
1 

7 

6 

68 

0 

9 

46 

1,  633 
614 

5 
36 
6 
7 
62 

3 
3 

2 

7 

1 

1 

1 
5 

9 

806 

7 
49 
8 

2 

3 

1 

2 

1 

48 

5 
2 

1 

10 

10 
18 
55 
62 
20 

1 
1 

6 

95 

65 

1 

2 

1 

115  ••          2 
21  ! 

52 
24 

1 

122 
35 

12 

1 

9 

a 

4 
19 

12 

120 
336 

23 

°3 

1 

85 

10 
8 
11 
10 

53 
11 

1 

40 

10 
8 
19 
20 

59 

11 

11 
6 
oo 

3 

58 

10 
7 
3 
30 

527 
1C8 
105 

1 

67 

8 
12 

2 

771 

111 
111 

206 

5,269 
1,187 

1           1    007 

n 

6 
12 

6 
14 

647 
139 

1 

i 

13 

323 

68 
102 
201 

1 

505 
85 

2 

1 

301 
74 
6° 

1 
1 

519 
91 
189 

1 

1 

1 

8 
1 

]09 

311 
518 

116 
305 

230 

301    

225 

;':Y« 

451 

368 
288 
U4 

1 

496 
3:i7 

77 

545 

573 

5,146 
4,  (,1-3 
1,  567 

996 
144 

6:) 
6,  889 
1,  2  16 
637 
3,  150 
4,  052 
.. 
1,  360 
17,  4!'S 

2 
5 

1 

393 
141 

128 
10 
3 
727 
115 
77 
373 

314 
136 

1 

1 

328 
90 

87 
17 
4 
495 
101 
54 
220 
354 
564 

2,672 
34 

1              336 

i 

99 
6 
4 
537 
94 
.    80 
269 

113 

81 
15 
19 
538 
167 
43 

1 
o 

1 

1 

7 

57 

3 
549 
142 
45 

325 
551 
435 
4,641 

4  ; 

i 
i 

3 

11 
5 

19 

17 
23 
51 

o 

6 
1 
530 
99 

47 
267 

1 
2 

3 

4 
1 
1 

1 
5 

1 
12 

4 

3 

257    

1 
1 
30 
9 

995 

0 

15 
112 

28 
4,479 
19 
42 

97 

438 

1 
6 

O 

80 
4 
1 
6 

19 

;         469 
429 
97 
213 
26 

1 
5 

348 
361 
54 
597 
4 

1 
11 
1 
139 

4 
5 

33 

308 
398 
69 
863 
13 

3 
6 

396 
941 
129 
5,  931 

27 

o 

19 
2 

1,363 

0 

8 
18 

132 

1 

20 

5 
1,  156 

43 
o 

5 

7 

28 

303 
o 
3 

6 
10 

53 

., 

294 

2G4 
678 

234 
503 

198 
535 

17 
38 

461 
550 

621 

204             5 
420          69 

3,  254 
7,  049 

8!',8.)2     1,578        85,081  '  1,664 

66,847     1,515       64,4(56 

1,  915     106,  075     3,  331 

95,724     3,077       95,255     3,004          878,16.5 

19,  159 

152  SICKNESS   AND   MORTALITY    OF    WHITE    TROOPS 


SICKNESS  AND  MORTALITY  OF  WHITE  TROOPS  DURING  THE  SECOND 

FISCAL  YEAR  OF  THE  WAR, 

JULY  1,  1862,  TO  JUNE  30,  1863.) 


ATLANTIC   REGION. 

The  reports  of  sick  and  wounded  received  from  troops  in  this  region  are  consolidated 
into  statistical  tables  for  seven  armies  or  departments,  as  follows: 

1.  The  Department  of  the  East  •  Table  XXV. 

2.  The  Middle  Department  •  Table  XXVI. 

3.  The  Department  of  Washington  Table  XXVII. 

4.  The  Army  of  the  Potomac  •  Table  XXVIII. 

5.  The  Department  of  Virginia                               -  -  Table  XXIX. 

6.  The  Department  of  North  Carolina  •  Table  XXX. 

7.  The  Department  of  the  South  •  Table  XXXI. 

To  these  tables  are  added — 

8.  A  table  showing  the  mortality  in  the  general  hospitals  of 

the  Atlantic  Region  •    Table     XXXII. 

9.  A  consolidated  table  for  the  Atlantic  Region    -  -   Table  XXXIII. 

1.  THE  DEPARTMENT  OF  THE  EAST — TABLE  XXV. 

The  Department  of  the  East  was  created  by  General  Orders  No.  2,  January  3,  1863, 
to  consist  of  the  New  England  States  and  the  State  of  New  York,  General  J.  E.  Wool  to 
command.  By  General  Orders  No.  33,  February  6,  1863,  the  State  of  New  Jersey  was 
added.  In  this  table  the  Department  of  the  East  is,  for  geographical  reasons,  made  to 
include  all  the  reports  received  from  the  troops  within  the  above  limits  and  the  State 
of  Pennsylvania.  The  table,  therefore,  embraces  all  reports  received  from  troops  in  the 
New  England  and  Middle  States,  excepting  the  State  of  Delaware.  The  Departments 
of  the  Monongahela  and  the  Susquehanna,  created  June  9,  1863,  by  General  Orders 
No.  172,  have  not  been  separately  consolidated.  The  boundaries  of  these  departments 
were  as  follows:  The  Department  of  the  Monongahela  embraced  that  portion  of  the  State 
of  Pennsylvania  west  of  Johnstown  and  the  Laurel  Hill  range  of  mountains;  the  counties 


DURING    TILE    YEAR   ENDING   JUNE  30,  18G3.  153 

of  Hancock,  Brooke  and  Ohio,  in  the  State  of  Virginia,  and  the  counties  of  Columbiana, 
Jefferson  and  Belmont,  in  the  State  of  Ohio.  The  Department  of  the  Susquelumna 
embraced  that  portion  of  the  State  of  Pennsylvania  east  of  Johnstown  and  the  Laurel  Hill 
range  of  mountains.  The  Department  of  the  Susquelianna  and  that  part  of  Pennsylvania 
embraced  in  the  Department  of  the  Monongahela  have  been  included  in  the  present  table. 
Of  the  remaining  portions  of  the  Department  of  the  Monongahela,  the  Ohio  counties  have 
been  retained  in  the  Northern  Department,  and  those  belonging  to  West  Virginia  in  the 
Department  of  Western  Virginia. 

2.  THE  MIDDLE  DEPARTMENT — TABLE  XXVI. 

This  table  embraces  the  reports  received  from  troops  stationed  within  the  boundaries 
indicated  for  the  Middle  Department  during  the  year  ending  June  30,  1862.  By 
General  Orders  No.  66,  March  16,  1863,  Western  Virginia  was  added  to  the  depart 
ment;  but  in  these  tables  the  reports  from  that  district  are  kept  separate,  and  the 
boundary  has  been  fixed  at  Hancock;  all  Maryland  east  of  this  point,  except  what  is 
included  in  the  Department  of  Washington,  being  embraced  in  the  Middle  Department, 
all  west  of  it  being  consolidated  with  the  Department  of  Western  Virginia.  This 
boundary  is  that  established  by  General  Orders  No.  186,  June  24,  1863,  by  which  the 
Department  of  West  Virginia  was  created,  to  consist  of  that  part  of  the  Middle  De 
partment  west  of  Hancock,  including  the  adjacent  counties  of  Ohio.  General  Wool 
continued  to  command  the  Middle  Department  until  December  17,  1862,  when  General 
K.  0.  Schenck  was  assigned. 


3.  THE  DEPARTMENT  OF  WASHINGTON — TABLE  XXVII. 

The  Department  of  Washington,  which,  on  the  17th  of  August,  1861,  had  been 
merged  into  the  Department  of  the  Potomac,  was  again  made  a  separate  department  by 
General  Orders  No.  26,  of  February  2,  1863.  It  wns  to  consist  of  the  district  of  country 
north  of  the  Potomac  river,  from  Piscataway  creek  to  Annapolis  Junction  and  the  mouth 
of  the  Monocacy,  and  south  by  Goose  creek  and  the  Bull  Eun  Mountains  to  the  mouth 
of  the  Occoquan.  General  S.  P.  Ilcintzclman  was  assigned  to  command.  These  boundaries 
have  been  observed  in  the  present  table  for  February  and  subsequent  months.  Prior  to 
that  time  the  table  embraces,  under  the  same  designation,  the  garrison  of  Washington 
and  the  troops  covering  that  city,  which  arc  not  included  in  the  Army  of  the  Potomac 
Here,  therefore,  is  consolidated  during  July  and  August,  1862,  the  Army  of  Virginia 
under  General  John  Pope.  This  army  was  created  towards  the  close  of  June,  1862.  It 
embraced  the  garrison  of  Washington,  the  Army  of  the  Rappahannock  under  General 
•JO 


154  SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 

McDowell,  and  the  armies  of  Generals  Fremont  and  Banks,  tlien  in  the  Shenandoah 
Valley.  These  armies  were  hastily  concentrated,  with,  reinforcements  from  Western 
Virginia  and  North  Carolina,  and  the  campaign  made  which  led  to  the  battle  of  Cedar 
Mountain,  August  9th,  and  terminated  in  the  second  battle  of  Bull  Run,  August  29th  and 
30th,  and  the  battle  of  Chantilly,  September  1st.  Subsequently  to  these  actions  the 
Army  of  General  Pope  was  consolidated  with  the  Army  of  the  Potomac.  The  confusion 
of  this  campaign  has  led  to  considerable  imperfection  in  the  returns  for  July  and  August. 

% 

4.  THE  ARMY  OF  THE  POTOMAC — TABLE  .XXVIII. 

This  table  embraces  all  reports  received  from  the  Army  of  the  Potomac  during  the 
year.  The  battle  of  Malvern  Hill,  July  1,  1862,  was  followed  by  the  movement  of  the 
army  to  Harrison's  Landing,  on  the  James  river,  where  it  lay  until  about  the  middle 
of  August,  when  General  McClellan  commenced  moving  his  forces  by  water  to  effect  a 
junction  with  the  Army  under  General  Pope  in  front  of  Washington.  Subsequently  to  the 
second  battle  of  Bull  Run  the  Army  of  the  Potomac,  reinforced  from  the  late  Army  of 
Virginia,  crossed  into  Maryland,  and,  marching  by  wav  of  Frederick,  fought  the  battl.es 

O  J  o        J  -J  ™ > 

of  South  Mountain,  September  14th,  and  Antietam,  September  16th  and  17th.  Subse 
quently  to  these  engagements  the  army  remained  in  Maryland  until  near  the  close  of 
October,  when  it  crossed  the  Potomac  into  eastern  Virginia,  and  General  McClellan  being 
relieved  by  General  A.  E.  Burnside,  November  7th,  the  march  was  continued  to  Falmouth, 
on  the  Rappahannock,  opposite  Frcdericksburg.  December  13th  the  battle  of  Fredericks- 
burg  was  fought ;  after  which  the  army  which  had  been  thrown  across  the  Rappahannock 
for  the  attack  was  withdrawn  to  Falmouth.  Towards  the  close  of  January  General 
Burnside  was  relieved  by  General  Joseph  Hooker,  who,  during  the  last  few  days  of  April, 
crossed  the  Rappahannock  and  Rapiclan,  and  brought  on  the  battle  of  Chancel! orsville, 
May  2d,  3d,  and  4th,  after  which  the  army  was  again  withdrawn  to  Falmouth,  in  the 
vicinity  of  which  it  lay  till  the  middle  of  June,  when  General  Hooker  marched  northward 
and  crossed  into  Maryland  to  meet  the  Rebel  Army  under  General  Lee,  which  had  invaded 
Maryland  and  Pennsylvania.  June  27th  General  Hooker  was  relieved  from  command  by 
General  George  G.  Meade,  under  whom  the  battle  of  Gettysburg  was  fought,  July  1st,  2d, 
and  3d.  The  table  terminates,  therefore,  on  the  eve  of  this  engagement. 


5.  THE  DEPARTMENT  OF  VIRGINIA— TABLE  XXIX. 

This  table  embraces  the  reports  received  from  Fortress  Monroe  and  its  vicinity, 
including  Xorfolk  and  Portsmouth.  The  boundaries  recognized  are  those  fixed  by 
General  Orders  Xo.  57,  June  1,  1862,  which  extends  the  Department  of  Virginia  to 


DURING    TEE    YEAR   ENDING    JUNE    30,  18G3.  155 

include  that  part  of  Virginia  south  of  the  Rappahannock  and  cast  of  the  railroad  from 
Fredericksburg  to  Richmond,  Petersburg,  and  Wcldon.  General  J.  A.  Dix  took  command, 
in  September,  1862.  The  most  important  movement  during  the  year  was  the  expedition 
up  the  York  river  to  the  White  House  in  the  latter  part  of  June,  1863. 

6.  THE  DEPARTMENT  OF  NORTH  CAROLINA — TABLE  XXXt 

This  table  includes,  as  during  the  previous  year,  the  reports  received  from  troops  in 
North  Carolina;  General  J.  G.  Foster  was  assigned  to  command  December  24,  1862. 

7.  THE  DEPARTMENT  OF  THE  SOUTH— TABLE  XXXI. 

Here  are  included  the  reports  received  from  the  troops  at  Hilton  Head  and  the 
various  points  occupied  along  the  coast  of  South  Carolina,  Georgia,  and  the  east  coast 
of  Florida,  including  Fort  Jefferson,  Tortugas,  and  Key  West.  Key  \Ycst  and  Tortugas 
were  transferred  to  the  Department  of  the  Gulf  by  General  Orders  No.  66,  March 
16,  1863,  but  are  nevertheless  retained  in  the  table.  General  J.  M.  Brannari  assumed 
temporary  command  of  the  department  September  5,  1862.  September  17th  General  0. 
M.  Mitchel  took  command.  General  Brannan  again  assumed  temporary  command 
October  27th,  and  January  20th  General  D.  Hunter  resumed  command.  In  June, 
1862,  a  landing  on  James  Island  was  effected  by  the  troops  in  this  department,  with  a 
view  to  operations  against  Charleston,  and  in  January,  1863,  reinforcements  arrived  from 
North  Carolina  having  the  same  object  in  view. 


156 


SICKNESS   AND    MORTALITY    OF   WHITE    TROOPS 


TABLE  XXV. 

Abstract  of  the  Sickness  and  Mortality 


YEAR  

18G2. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

1,  C99. 

2,322. 

3,  020. 

4,  191. 

4,  614. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.  ,  Deaths. 

Cases. 

Deaths,  j  Cases. 

Deaths. 

CLASS  1.—  ZYMOTIC    DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

2 

1 

5 

3 

G 

1 

3 

1 

4 
2 
5 

1 

3    Tvpho-M'iHrial  Fever                               

4 

1 

1 

C 
10 
29 

16 
17 
27 

9 

16 
15 

5 
14 

'    °  m  "  c 

4 
16 
G 
2 
39 
10 
7 

21 

9 

5 

9 

56 

C2 

66 
C8 
23 

20 
17 

1 

25 
7 

3 

17 
IG 

5 

3 
1 

1 

1 

3 

2              1 

3 

14 

17.  Scarlet  Fever                     

1 

18.  Diphtheria  

1 

5 
43 

J 

o 

1 
13 
40 

52 

1 

20.  Epidemic  Catarrh  

21.  Other  Diseases  of  this  Order  

109 

13 
12 
3 

77 
21 

33 

35 

^ 

ORDER  ll.—Enthetic  Diseases. 
22.  Syphilis  

28 

23.  Gonorrhoea  

40 
3 

90 
G 
o 

Go    ! 

24.  Orchitis  

_ 

14 
1 

S3.  Stricture  of  the  Urethra  

20.  Purulent  Ophthalmia  

27.  Serpent  Uite  

28.  Other  Diseases  of  this  Order  

0 

4 

C 

ORDER  III.—  Dietic  Diseases. 
29.  Scurry  

5 

4 

1 

30.  Purpura  

31.  Delirium  Tremens  

3 

18 

2 
G 

G 
6 

1 

17 
7 

] 

10 

1 

32.  Inebriation  

33.  Chronic  Alcoholism  

34.  Other  Diseases  of  this  Order  

CLASS  II.—  CONSTITUTIONAL    DISEASES. 
ORDER  I.  —  Diathcfic  Diseases. 
35.  Gout  

36.  Acute  Rheumatism  

12 
23 
3 
4 

1° 

11 
o 

23 

37 
G 
4 

37.  Chronic  Rheumatism  

8 
8 

18 
8 

38.  Anosmia  

39.  G  eueral  Dropsy  

1 

40.  Caneer  

41.  Tumors  

o 

o 

1 
3 

3 
1 

42.  Other  Diseases  of  this  Order  .  .  . 

1 

6 
1 

1 

15 
3 

ORDER  II.—  Tubercular  Diseases. 
43.  Consumpt  ion  

4 

1 

6 
1 

1 
1 

44.  Scrofula  

43.  Other  Diseases  of  this  Order  

CLASS  III.  —  PARASITIC    DISEASES. 
4G.  I  toh  

8 

] 

47.  Tape-worm  

48.  Othor  Intostinsil  Worms  

1 

49.  Other  Diseases  of  this  Order 

Carried  forward  

315 

1 

353 

5 

30G 

5 

545 

3 

498 

12 

DURING   THE    YEAR   ENDING    JUNE   30,  18G3. 


157 


TABLE  XXV. 

of  the  Department  of  the  East. 


1862. 

1803. 

DECEMbEIl. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

4,  916. 

4,  629. 

4,  180. 

3,  738. 

5,  331. 

5,  549. 

4,  337. 

4,  044. 

1 

O 

5 
(i 
7 
8 
9 
10 
11 
12 
13 
14 
15 
1C 
17 
18 
19 
20 
21 

23 
24 
t**) 

27 

29 
30 
31 
32 
33 
34 

35 

36 
37 
38 
39 
40 
41 
42 

43 
44 
45 

46 
47 
48 
49 

Cases.    Deaths. 

Cases. 

Deaths.     Cases 

Deaths. 
1 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 
1 

Cases. 

Deaths. 

9 

0 

15 

1 

8 

1 

13 

1 

6 

2 

4 

75 
5 
20 

15 

4 

4 
13 

3 

12 

13 
10 
14 

1 

13 
14 

7 

18 
19 
13 

1 
1 
50 
8 
7 

6 
6 
4 

32 

15 

143 
167 
208 
31 
5 
goo 

26 

17 
19 

1 

7 
15 

10 
1 
o 

4-1 
17 

2; 

: 

16 

102 

64 
5 
o 

59 
18 
9 

70 

A.3 

9 

118 
5 
25 

1 

7 
4 

1 

2 

223 
147 
6 
44 
25 

13 

1 
4 
1 
1 
4 
1 
23 

1 
I 

9 
o 

4 
3 

5 
4 
4 

3 
2 

9 
13 
17 
34 
67 
16 

Cl 
81 
14 
4 
1 

G 

59 
19 
70 
110 
351 

1 

10 
37 
74 

43 
70 
G 
3 

1 

1 

22 
12 

1 

1 

9 
"8 

3 

1 

1° 

1 
6 

7 

37 
43 
1 

64 
o 

76 
15 

34 

54 

17 
10 

39 
49 
5 

8 
45 

421 

486 
C45 
81 
17 
4 

1 

37 
56 
8 
o 

38 
11 

1 
3 

4 

7 

5 

2 

2 

1 

34 
10 

1 

7 
8 

8 
8 

5 
G 
1 

g 

3 

11 

o 

G 
11 

74 
113 
1 
10 

1 
301 
229 

3 

1 

13 

14 

1 

10 

1 
40 
1G 
4 

28 
23 
4 
3 

18 
30 
11 
1 

30 
11 
7 

33 
43 

0 

2 

36 
oo 

19 
26 

1 

4 

5     

60 
13 
3 
9 
12 

93 
24 

1 

1 

1 

1 

1 

1 
1 

15 
o 

0 

C 

2 

9 

1 

7 

12 
3 

G 
4 

10 

5 
1 
1 

o 

1 

16 

15 

36 
1 

9 

°8 

11 

16 

140 
o 

I 

1 

550 

6 

612 

4 

431 

2 

461 

1 

412 

4 

4^8 

3 

403 

1 

5,317 

47 
I 

158 


SICKNESS   AND    MORTALITY    OF    WHITE    TEOOPS 


TABLE  XXV.— DEPARTMENT  OF  THE  EAST— Continued. 




YE  \U  

1869. 

MONTH  

JULY. 

AUGUST. 

SEITEMBER. 

OCTOKEK. 

NOVEMBER. 

MEAN  STHEXOTII  

1,  C99. 

O    300 

3,  020. 

4,  191. 

4,  014. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases.  |  Deaths. 

Cases.  ;  Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

315 

1 

353 

1 
1 
4 

5 
1 

300 

5 

545 

3 

498 

12 

CLASS    IV.  —  LOCAL    DISEASES. 

ORDER  I.  —  Diseases  of  Nervous  System. 

5 

6 

12 

1 
11 
1 

5 

1 
1 

1 

1 

1 

1 

1 

2 
2 
1 

•-«'  x        f  ' 

3 

2 

3 

2 

„ 

<w   T>6       8- 

3 

' 

1 

1 

ORDER  II.—  Diseases  of  Eye. 

1 

7 

1 

7 

8 

10 

<J 

ORDER  III.  —  Diseases  of  Ear. 
68    F'iriclio                                                            

0 

1 

70    Deafness                            

1 
1 

71.  Otorrhcea  

1 

3 

72.  Other  Diseases  of  this  Order  

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

5 

1 

74.  Valvular  Disease  of  Heart  

1 

75.  Dropsy  from  Heart  Disease  

7i'.  ]  >ropsy  of  Pericardium  

77.  Inflammation  of  Pericardium  

78.  Inflammation  of  Endocardium  

79.  Inflammation  of  Veins  

80.  Varicose  Veins  

C 
o 

4 
7 
9 

4 
30 

0 

0 

4 

5 

81.  Varicocele  

3 
1 

2 

39 

14 
3 

o 

82.  Other  Diseases  of  this  Order  

7 

1 
33 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
83.  Asthma  

1 
05 

84.  Acute  Bronchitis  

GO 
4 

83.  Chronic  Bronchitis  

80.  Dropsy  of  Chest  

87.  Haemorrhage  from  Nose  

i 

88.  Inflammation  of  Larynx  

1 
1 
o 

89.  Inflammation  of  Lungs  

0 

1 
7 
3 

1 
4 
1 

1 

C 
4 
o 

2 

90.  Inflammation  of  P'.eura  

01.  Haemorrhage  from  Lungs  

o 

r 

92.  Other  Diseases  of  this  Order..   . 



0 

3 

30 

°8 

1 

ORDER  VI.—  Diseases  of  Digestive  Organs. 
93.  Colic  

9 
19 
4 

3 

17 
12 

1 
2° 

39 

94.  Constipation  

15 

95.  Cholera  Morbus  

1° 

3 

4 

96.  Cirrhosis  of  Liver  

97.  Dropsy  from  Hepatic  Disease  

1 

11 

2 

10 

98.  Dyspepsia  

G 

17 

99.  Diseases  of  Pancreas  

100.  Diseases  of  Spleen  

101.  Fistula  in  Ano  

1 
4 

1 

13 

1 
8 

102.  Hernia  

4 

103.  Haemorrhage  from  Stomach  

Carried  forward  

431 

1 

501              C 

440 

G 

701 

4 

713 

10 

DURING   THE    YEAR   ENDING    JUNE   30,   1803. 


TABLE  XX^7.— DEPARTMENT  OF  THE  EAST— Continued. 


180^. 

1803. 

DECEMBER. 

JAXUAUV.          FEBRUARY.             MAKCH. 

APRIL. 

MAY. 

JL'XE. 

TOTAL. 

4,  910. 

4,  629. 

4,  180. 

3,  738. 

5,  331. 

5,  549. 

4,  337. 

4,  044. 

50 

.: 

53 
54 

53 

56 
57 
58 
59 
CO 
Gl 

62 
63 
64 

65 
66 
07 

08 
69 
70 
71 
72 

73 

74 

75 
70 

78 
79 
80 
81 
82 

63 
84 

85 
80 
87 
88 
89 
9C 
91 
92 

93 

94 
95 
90 
97 
08 
99 

Oases.    Deaths. 

Cases.  1  Deaths.     Cases.    Deaths.     Cases.  !  Deaths. 

Cases.  '  Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

550 

1 

o 

21 

6 

612 

1 
8 
24 

4 

431 

1 
o 

1 

404 

o 
5 

12 

1 
1 

412 

4 

428 

2 
4 
9 

3 

403 

1 

5,317 

8 
40 
104 
5 
3 
1 
3 
13 
100 
9 
1 
7 

5 
2 
124 

47 
3 

3 

1 
1 

3 

19 

1 

1 

1 

1 

2 
1 

2 

1 

91 

10 
10 

5 

20 

14 

8 
2 

10 
1 

1 

3 

1 

1 

o 

1 

1 

1 

2 

1 

14 

1° 

17 

12 

15 
1 

6 

7 

1 

4 
0 

33 
7 
19 
34 

1 
o 

1 

2 

1 

1 
4 

1 

4 

5 

7 

12 

2 

3 
3 

1 
4 

7 
6 

1 

1 
1 

5 

10 

5 
14 
1 

1 
1 
4 

1 
1 

4 

o 

1 

1 

2 

1 

3 

1 

1 

1 
3 

1 

1 
4 
1 

0 

7;, 

5 

1 
8 
1 

3 

114 
7 
1 

2 

3 
] 

3 

4 
1 

3 

40 
54 
24 

29 

3 

3 

1 

1 

1 
53 
"L 

1 

no 

1 
01 
16 

24 

084 
93 

I 

14 

12 

10 

0 

4 
4 

8 

1 

2 
6 

20 

19 

1 

1 
12 

10 
4 
4 
4 

7 
2o 

i 

4 

13 

0 
4 

23 
6 
6 

7 

9 

40 

4 

0 

1 

4 

91 
44 
30 

58 

144 

358 
40 

14 

1 

1 

1 

1 

1 
4 

6 
39 

1 

.  2 

10 
47 
1 

11 

o<) 

9 
3') 

10 
32 

1 

1 

o 

3 

10 

3 
21 

2 

11 

14 

13 
181 

13 

18 

19 

! 

:  1  00 
10) 
102 
103 

1 

1 
G 

1 

1 
9 

73 
1 

., 

1 

11 

n 

4 

1 

') 

4 

4 

1 

781 

10 

943 

8 

805 

8           750 

4 

683              7 

591 

3 

507 

1     1      7,006 

74 

1GO 


SICKNESS    AND    MORTALITY    OF   WHITE    TROOPS 


TABLE  XXV.— DEPARTMENT  OF  THE  EAST— Concluded. 


186S. 

MONTH  

JULY. 

AUGUST. 

SEPTEMIJEU. 

OCTOBER. 

NOVEMIiElt. 

MF.AX  STRENGTH  

1,  699. 

2  322. 

3,  020. 

4,  191. 

4,  614. 

LIST  OF  DISEASES. 

Cases.  !  Deaths. 

Cases. 

Deaths. 

}ases.    Deaths. 

Cases. 

Deaths. 

Cases.  '  Deaths. 

l 

431 

1 

501 

C 

440 

6 

761 

4 

713 

16 

OUUER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

104.  Haemorrhage  from  Bowels  .  .  . 

5 
3 

11 
2 

00 

21 

44 

105.  Inflammation  of  Tonsils  .  . 

1 
3 
1 

100.  Inflammation  of  Stomach  ... 

107.  Inflammation  of  Bowels  

1 

1 

1 

4 

10'.>.  Acute  Inflammation  of  Liver  

3 

4 
4 

00 

5 

15 

14 
11 
16 

111.  Jaundice  

6 
C 

3 

r 

9 

3 

ORDER  VIL—  Diseases  of  Urinary  and  Genital  Organs. 

1 

o 

o 

3 

1 

1 
o 

I 
1 

1 
3 

1 

1 

3 

1 

3 

1 
3 

4 
5 

4 
o 

OKDEK  \lll.—  Diseases  of  Bones  and  Joints. 

~  '                               Bdies 

• 

"'    "  'imma 

1 

2 

1 

OKDER  IX.  —  Diseases  of  Integumentary  System. 

2 
C 

6 
9 

6 
12 

13 

18 
14 

13°   Boils 

17 

134    Whitlow 

1 
10 

2 

19 

1 
12 

10 

20 

CLASS    V.—  WOUNDS,   ACCIDENTS,  AND 
INJURIES. 

OKDEK  I.  —  Wounds,  Accidents,  and  Injuries. 
I'.Vi.  Burns  

3 

19 
1 

i:;7.  Contusions  

29 

20 

17 

o- 

138.  Concussion  of  Brain  

1 

1 
1 

]  39.  Drowning  

140.  Sprains  

7 
4 
3 

12 

15 

18 

17 
1 
5 

141.  Dislocation  

1 
o 

2 

142.  Simple  Fractures  

1 

14;i.  Compound  Fractures  

144.  Gunshot  Wounds  

54 
1 
8 

<-0 

05 

46 

29 

145.  Incis»d  \Vounds   

4 

7 
6 

5 
11 
1 

14(1.  Lacerated  Wounds  

9 

147.  Punctured  Wounds  

148.  Poisoning  

1 

0 

140.  Other  Accidents  and  Injuries  

1 

]  50.  OKDEK  II.  —  Homicide  

151.  OKDEK  III.—  Suicide  

1 

1 

152.  OKDEK  IV.  —  Execution  of  Sentence  

Total  

r, 

581 

2 

692 

7 

628 

988 

(i 

951 

17 

DURING    THE    YEAR    ENDING    JUNE    30,   18(53. 


1G1 


TABLE  XXV.— DEPARTMENT  OF  THE  EAST— Concluded. 


1802. 

1803. 

DECEMHEK. 

JANUARY. 

FEKKUAKY. 

MAIICII. 

AriiiL. 

MAY. 

JUNE. 

TOTAL. 

4,  91(5. 

4,  C29. 

4,  180. 

3,  738. 

5,  331. 

5,  549. 

4,  337. 

4,  0-14. 

104 
105 
100 
107 
108 
109 
110 
111 
112 
113 

114 
115 
11  (i 
117 
118 
119 
120 
121 
1  '.'-.' 
123 

124 
125 
12G 

128 
12!) 
130 

131 

132 
133 
134 
135 

136 

137 
138 
139 
140 
141 
142 
143 
144 
145 
140 
147 
148 
14!) 

150 

151 

ir,,> 

Cases. 

Deaths. 

Cases,  j  Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases.    Deaths.  1  Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

781 

10 

943 

8 

805 

8 

750 

4 

683 

7 

591 

3 

5G7 

1 

7,  9GG 

74 

37 
1 

81 

0 



60 

3G     j 

41 
1 
2 

33 

20 

411 
11 

8 

<) 
13G 

1 
1 

1 

1 

1 

1 

1 

1 

1 

1 
1° 

1 
6 

9 
4 

12 
0 
4 

1 

10 
32 

1') 

15 
17 

0 

13 
1 

1 

7 
10 

2 

7 

J22 

4 

3 
1 

57 

4 
1 

1 

15 
8 

1 

2 

o 

2 
4 
1 

2 
2 

1 
1 

8 

oo 

3 

1 

3 
3 
o 

9 
15 
3 
23 

i   ::::: 

o 

1 

4 

0 

o 

0 

4 

1 

1 

1 
1 

1 

Ifi 
2 
14 

1 
3 

1 
3 

3 

o 

3 

1 

4 

5 

9 
2 

198 
175 
8 
3<J 
148 

2(i 

3 

o 

1 
24 

1 
25 

14 

9 
3 
5 

3 
35 

17 

1 

24 

28 
14 

°1 

1 

13 
o 

13 
1 
4 
5 

<5 

18 

1 

7 
10 

3 

1 
2 
8 

7 
45 

5 

20 

8 
3 

1 
9 

2 
37 

0 

30 

37 
1 

43 

1 

47 

384 
4 



1 
o 

i 

18 
1 
8 

31 

14 
o 

8 
1 
4 

°3 

00 

15 

200 

! 

1 
3 
o 

13 
39 

3!>8 
51 

G 

o 

3 

41 
3 
6 
4 

9 
4 
1G 
3 

7 
1 
15 

l 

31 
9 
0 

13 

8 
8 

24 
G 
13 
1 
7 
1 

1 

27 
3 

2 

7 

110 
10 
11 
13 

1 

1 
4 

o 

i 

2 

2 

1 

1 
1 

o 

1 

1 

1 

1,  025             12 

1,  254 

8 

1,008 

10 

985 

5 

934 

7 

833 

4 

7G5 

o 

10,704     ;        86 

21 


162 


SICKNESS    AND    MOETALITY    OF    WHITE    TROOPS 


TABLE  XXVI. 

Abstract  of  the  Sickness  and  Mortality 


YE  \K  

1869. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

12,  357. 

9,  135. 

19,  101. 

21,  531. 

21,  099. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths.  '•  Cases. 

Deaths. 

Cases.    Deaths. 

CLASS    1.—  ZYMOTIC    DISEASES. 

ORDER  \.—  Miasmatic  Diseases. 

81 
45 
27 

5 
4 

75 
80 
16 

18 
7 

85 
1 
63 

5 

285 
1 
13 

23 

253 
1 

45 

36 
1 

0      JTp           ' 

•V                  "•• 

150 
139 
1°4 

82 

139 

125 

193 
337 
100 
36 

99 
114 
53 

o 

138 

.  v^uo  i   ii-n 

98 

3 

9 
1,847 

23 
5 
549 
94 
81 
6 
23 

.  Qua   an    n  umi    c       • 

3 

1  0°2 

o 
1 

1 
439 
9 
39 

in  ^onges*nc 

1,215 

3 

1 
1 

'      CU  6. 

71 
111 

34 
143 
1 
8 
1 
19 
1 

4 

94 
181 
11 
33 
3 
86 

, 



'     D  - 

1 

7°.    °      J              y 

10 

4 
1 

3 

'      ry&1              d  V     '  1  'd 

1 

5 

38 

3 

18    Diphtheria 

45 

13 

1" 

1 

15 

5 

3 

12 

196 
94 

77 
179 

209 
2 

82 

21    Other  Diseases  of  this  Order  .   . 

98 

61 
133 

1 

139 
29 

1 

90 

45 

224 

1 

ORDER  II.  —  Enthetic  Diseases. 
22.  Syphilis  

23.  Gonorrhoea  

62 

167 
21 

24.  Orchitis  

3 

7 
o 

10 

25.  Stricture  of  the  Urethra  
26.  Purulent  Ophthalmia  

4 
2 

27.  Serpent  Bite  

28.  Other  Diseases  of  this  Order  

o 

ORDER  III.  —  Dietic  Diseases. 
29.  Scurvy  

4 

3 

2 

9 

3 
o 

30.  Purpura  

31.  Delirium  Tremens  

o 
4 

11 

2 

8 

15 

„ 

33.  Inebriation  

1 

6 

5 
2 

33.  Chronic  Alcoholism  

34.  Other  Diseases  of  this  Order  

CLASS    II.—  CONSTITUTIONAL    DISEASES. 
ORDER  I.—Diathetic  Diseases. 
35.  Gout  

1 

19° 

36.  Acute  Rheumatism  

135 

30 

35 

90 
204 

119 
14.3 

37.  Chronic  Rheumatism  

187 
6 

38.  Anaemia  

26     1 

39.  General  Dropsy  

1 

3 

1 
1 
1 
o 

40.  Cancer  

41.  Tumors  

18 
G 

1 
1 

7 

1 

7 

1° 

1 

4-2.  Other  Diseases  of  this  Order  

ORDER  II.—  Tubercular  Diseases. 
43.  Consumption  

1 

12 
9 

1 

13 

G 

1 

44.  Scrofula  

4 

45.  Other  Diseases  of  this  Order.  .  . 

CLASS    III.  —  PARASITIC    DISEASES. 
46.  Itch  

11 

16 

47.  Tape-worm  

48.  Other  Intestinal  Worms 

] 

10 

1 

49.  Other  Diseases  of  this  Order. 

Carried  forward  

1,294 

2,  323 

15 

0*7 

3,287 

10 

3,675 

25 

2,244 

52 

DURING    THE    YEAR    ENDING    JUNE    30,  1863. 


163 


TABLE  XXVI. 

of  the  Middle  Department. 


1863. 

1863. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAT. 

JUNE. 

TOTAL. 

22,  833. 

31,  551. 

28,  043. 

29,  836. 

27,  390. 

~~,  *>3o. 

9,  518. 

21,  217. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

|    Cases. 

Deaths. 

1 
o 

3 

4 
5 
G 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 

"JO 

23 

24 
25 
26 

29 
30 
31 
32 
33 
34 

35 
36 

37 
38 
39 
40 
41 
42 

43 

44 
45 

46 
47 
48 
49 

99 

21 

89 
3 
11 

31 

0 

127 
3 
6 

19 

15 

24 

0 

o 

122 

19 

151 

11 

12 

2 

1,  655 

142 
237 

194 
18 

3 

20 

18 

0 

44 
74 

48 
20 

3 

204 
46 
50 
5 
9 
494 

155 
30 

27 

183 
40 
56 
2 

0 

173 
145 
100 
5 

282 
125 

1 

27 

1,731 
1  337 

8 

60 
9 
1 
356 

41 
1 

832 

4 

108 
31 
7,446 
691 
1,  030 
126 
218 
86 
694 
14 
155 
433 
3  238 

2 

3 
322 

4 
4 
10 
4 
1 
4 
9 
8 
1 
5 

371 
77 
61 
8 
32 

291 

299 

"41 

65 
58 
11 
34 
16 
235 
5 
17 
74 
574 
17 

118 
158 
37 
7 
11 

66 

65 
15 

1 

53 

2 

85 
68 
31 
16 
20 
70 

1 
1 

15 

106 

1 

*-o 

45 
11 
6 
1 
3 
2 
5 
3 

o 

27 

19 

OO 

3 

5 
63 
378 
3 

68 
126 

1 
1 
1 

18 
61 

11 
5 
14 

1 
3 
1 
1 

o 
1 

4 

141 
3 
40 
112 
502 
39 

89 

153 
10 

1 

5 

10 
52 

15 

2 

57 
760 
31 

87 
131 
17 
1 

7 

398 
6 

98 

209 

12 

1 

519 
001 

4 

69 
133 

58 
69 
10 
3 

121 

1  656 

14 

0 

14 
4 
6 

13 

1 

15 

179 

27 

1 

n 

44 

1 

4 
1 
4 
6 
3 
5 

1 

i 

4 
3 
5 

4 

50 
5 
68 
59 
19 
10 

2 
1,542 
1,  474 
292 
33 
6 
23 

9 

4 

9 

1 
1 
4 
10 
2 

1 

1 

1 
5 
1 
1 
2 

8 
5 

2 

4 

8 
4 

4 
5 
4 

o 

1 

2 
4 
1 

1 

2 

1 

20 

112 

213 
85 
o 

243 
209 
63 

1 
1 

161 
153 

209 

120 

100 
40 
18 
1 

143 
30 
o 

101 

26 
2 

39 

1 

1 

16 
1 
o 

o 

1 
1 

5 
o 

28 
1 

3 

2 
o 

3 

1 

16 
14 

1 

47 

35 

o 

10 

5 

17 
1 

7° 

29 
21 

5 

5 

6 
6 

1 

4 

185 
88 
4 

412 
12 

18 

1 

21 

97 
1 
1 

68 
1 
2 

50 
4 
2 

35 

16 

1 
1 
1 

2,496            32        2,981     ,        26       2,035    ;        29     j  2,760            40       2,227            33     ;  1,666             17 

684 

2          27,872           308 

164 


SICKNESS   AND    MORTALITY    OF   WHITE    TROOPS 


TABLE  XXVI.— MIDDLE  DEPARTMENT— Continued. 


1862. 
y  R  AU  

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

"I  O    ' 

'57. 
Deaths. 

9,  135. 

19,  101. 

21,  531. 

21,  099. 

LIST  OP  DISEASES. 

Cases. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

2,323 

15 

1,  294 

27 

3,287 

1 
11 
31 
o 

10 
1 

3,075 
1 

25 
1 

2  244 

52 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.  —  Diseases  of  Nervous  System. 

8 
71) 

5 
77 
3 

1 

33 

00 
3 

1 

1 

10 
1 

99 

1 
39 
5 

4 
92 

42 
1 

1 
18 

6 
3 
3 

4 

3 

11 
10 

3 

1 

1 

3 

0 
3 

ORDER  II.  —  Diseases  of  Eye. 

1 

31 

11 

13 
1 

40 
2 

55 

8 

4 
C 
C 
4 

o 

C 

9 

14 
2 

ORDER  III.  —  Diseases  of  Ear. 

2 

24 

G 
o 

4 
1 
12 

3 

5 

12 
5 

4 

ORDER  IV.—  Diseases  of  Organs  of  Circulation. 

- 

3 

1 

15 
1 

0 

2 

1 

6 
4 
1 

4 
244 
o 

7 
19 
11 

18 
243 

18 
24 

1 

o 

M 

82.  Other  Discuses  of  this  Order 

1C 

1 

1 

0 

189 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
83.  Asthma  

2 

84.  Acute  Bronchitis  

180 

5 

37 

85.  Chronic  Bronchitis  

30 

30 

86.  Dropsy  of  Chest  

87.  Haemorrhage  from  Nose  

4 
21 

5 

0 
56 
34 
12 
100 

84 
307 
42 

2 
22 

88.  Inflammation  of  Larynx 

5 
3 

89.  Inflammation  of  Lungs  

4 

18 
18 
9 
5 

2 

24 

28 

5 

00.  Inflammation  of  Pleura  

91.  Haamorrharre  from  Lungs  

4 
12 

111 

2  17 

4 

1 

0 
31 

8'3 

92.  Other  Diseases  of  this  Order  

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
93.  Colic  

33 

C8 
29 

C8 
115 

94.  Constipation  

174 
22 

95.  Cholera  Morbua  

23 

2 

121 

2 

1 

90.  Cirrhosis  of  Liver  

97.  Dropsy  from  Hepatic  Disease  „ 

o 

0 

98.  Dyspepsia  

20 

40 

41 

25 

47 

90.  Diseases  of  Pancreas  

]();).  Diseases  of  Spleen  

101.  Fistula  in  Ano  

1 

8 
1 

1 
41 

o 

]  02.  Hernia  

1 

4 

3') 

!  103.  Haemorrhage  from  Stomach  
Carried  forward  

1 

1 

3,159 

10 

1,  590 

30 

4,101 

14 

5,010 

30 

3,311 

59 

DURING   THE    YEAR    ENDING   JUNE    30,   18G3. 


1G5 


TABLE  XXVI.— MIDDLE  DEPARTMENT— Continued. 


1863. 

1803. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

Ai'iiiL.                  MAY. 

JUNE. 

TOTAL. 

22,  853. 

31,  551. 

28,  043. 

2:1,  836. 

27,  390. 

22  553. 

9,  518. 

21,  247. 

50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 
61 

62 
63 
64 
65 

60 
67 

68 
69 
70 
71 
72 

715 
74 
75 
76 
77 
78 
79 
80 
81 
82 

83 
84 
85 
86 

87 
88 
89 
90 
91 
92 

93 
94 
95 
96 
97 
08 
99 
100 
101 
102 
103 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

29 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

2,496 

32 

2,981 

17 
107 

26 

1 

2,  035 

1 

10 
105 
o 

2,760 
o 

40 

2,227 

33 

1,866 

1 
o 

17 

C84 

1 
6 
G 

o 

27  872 

9 
93 

729 

308 

3 
3 

9 

69 

1 
1 
1 
4 
69 
5 

2 

9 
61 
4 
5 

4 
75 

2G 

17 
15 
11 
34 

2 
6 
8 

1 
1 

3 
1 
9 

4 
64 
1 

1 

3 

3 
1 

o 

1 
1 
1 
o 

6 
3 

1 

0 

1 

1 
14 

0 

5 

87 
1 

o 

95 

1 

76 
1 

42 

725 

1 

2 
1 

28 
19 
93 

24 

1 

1 

3 

24 

4 
4 

1 

12 
o 

7 
1 
60 

1 

38 

7 
426 

33 

45 

53 
o 

36 

11 
1 
4 

1 

•V 

1C 
46 

193 

3 
3 

36 

1 
5 

1 
6 

22 

1 

3 
1 

28 

0 

4 
2 

7 

7 

28 

8 
9 
20 

5 

5 

40 
33 
126 

7 

6 
23 

1 

14 

3 

1 

1 

10 

2 
60 
13 
12 
40 
10 
2 
73 
117 
41 

100 
2,007 
310 
3 
30 

1 

17 

1 
2 

4 

1 

1 

1 
4 
2 

1 
3 

1 
1 
1 
1 

7 
1 

3 

10 

4 

0 

12 
3 
2 
6 

• 
1 

7 
2 

1 

1 

1 

1 

1 
1 
4 

3 

2 

1 

1 
4 
13 

1 

1C 
317 
55 

6 
14 

8 
182 
20 

17 
15 

G 
13 
3 

19 
161 
50 

3 

7 

1 

I 
88 
13 
1 
o 

1 
2 

o 

1 

14 
141 
53 

1 

12 

193 

32 

47 

1 

5 

1 

9 
44 
158 
73 
10 
38 

44 
196 

2 

C 
57 
123 
46 
46 
33 

43 

16 
73 
35 
5 
19 

58 

ieo 

5 

37 
138 

26 

15 
33 
31 
6 
64 

32 

254 

5 
1 

11 

]3 

15 

109 
40 
10 

72 

GO 

157 

8 

1 

7 
11 
2 

74G 
398 
121 
45G 

671 

2,019 

GO 
1 
1 
4 

7 
74 

43 

1 

2 

1 

13 

3G 

7 

1G2 

O.JO 

165 

8 
9 
2 

6 
1 
6 
50 

14 
1 
18 
**o 

G 
1 

303 

37 
365 
4 

14 

5 
1 

1 

1 

0*7 

4 
10 

31 

4 

oo 

35 

oo 

5 

0 

0 

8 
48 
1 

3 

37 

1 

48 
1 

3 

14 

17 

6 

"26 
G 

1 

1 

| 

3,  4G8 

40 

4,372 

42 

3  254 

48 

4,  199 

i  ;       3,  264 

45 

2,517 

19 

859 

2 

39,  170 

410 

1GG 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  XXVI.— MIDDLE  DEPARTMENT— Concluded. 


y  K  \u     

1863. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

KOVEMBER. 

MEAN  STRENGTH  

12,  357. 

9,  135. 

19,  101. 

21,531. 

21,  099. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

deaths. 

Cases. 

Deaths. 

3,159 

1G 

1,596 

39 

4..  161 

14 

5,010 

30 

3,311 

1 
113 
5 
6 
1 
5 
4 
681 
63 
1 

3 
1 

59 

OUDEU  VI.—  Diseases  of  Digestive  Organs—  Continued. 

15 
15 
3 

09 

"7 

101 

5 
1 
20 
6 
131 

105.  Inflammation  of  Tonsils  .  .  . 

4 
1 

12 

1 

10G.  Inflammation  of  Stomach  

4 
o 

1 

1 
1 
1 

1 
1 

C 
1 

28 
24 
38 

r> 

3 

101).  Acute  Inflammation  of  Liver  

130.  Chronic  Inflammation  of  Liver  

10 
9 
6 

03 

111.  Jaundice  

28 

33 

47 

42 

ORDER  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

1 

6 

1 
1 

1 

1 

0 

3 

4 

o 

9 

9 

10 
4 

0 

1 

1 

1 
3 

o 
1 

1 

1 

14 

3 

7 

9 

3 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

1 

7 

1 

o 

3 

4 
1 
1 

51 
74 
3 
4 

49 

1 
1 
o 

1 

ORDEH  IX.  —  Diseases  of  Integumentary  System. 

6 
20 
3 
9 
C2 

24 

61 

21 

48 
53 

11 
6 
2 

18 

0 

7 
8 
47 

7 
10 
12 

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
130    Burns 

3 

3 

41 
1 

15 

25 

19 

1 

°7 

138.  Concussion  of  Brain  

o 

1 
1 

133.  Drowning  

] 

140.  Sprains  

3 

o 

9 

3 

1 
4 

50 
1 

0 

49 

141.  Dislocation  

4 
3 

142.  Simple  Fractures  

4 

5 

143.  Compound  Fractures  

1 

20 
18 
10 
1 

7 
13 

17 
4 
2 

18 

2 

7 
7 
8 

108 
10 
6 
3 
1 
14 

10 

49 
4 
3 

3 

1 

145.  Incised  Wounds  

146.  Lacerated  Wounds  

1 

147.  Punctured  Wounds  

3 
19 

149.  Poisoning  

149.  Other  Accidents  arid  Injuries  

] 

4 

1 

5 

1 

2 

0 

130.  OKDEIS  II.  —  Homicide  

151.  OKDEU  III.  —  Suicide  

152.  OHDER  IV.  —  Execution  of  Sentence  

Total 

i 

27 

3,511 

17 

1,797 

30 

4,  650 

5,757 

40 

4,513 

69 

DURING   THE    YEAR   ENDING   JUNE    30,  1863. 


167 


TABLE  XXVI.— MIDDLE  DEPARTMENT— Concluded. 


1863. 

1803. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE.                    TOTAL. 

22,  833. 

31,  551. 

28,  043. 

29,  830. 

27,  390. 

22,  553. 

9,  518. 

21,247. 

104 
105 

10G 
107 

10,- 
l.l)!l 
110 

111 

112 
113 

114 
115 
11C 
117 
118 
119 
120 
121 
122 
123 

124 
125 
120 
127 
128 
129 
130 

131 
132 
133 
134 
135 

130 
137 
138 
139 
140 
141 
142 
143 
144 
145 
146 
147 
148 
141) 

150 
151 
153 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Death  3. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.     ;  Deaths. 

3,408 

1 
200 
] 
3 

40 

4,  372 
o 

42 

3,  254 
1 

48 

4,  199 

05 

3,204 

1 
111 

0 

45 

2,  517 

1 
41 
3 

19 

859 

o 

39,  170 

7 
1  3'*  8 

410 

273 

201 

00 

1 

7 

3 

12 
15 

8 

3 
3 

0 
1 

78 
40 
10 
07 
83 
1,519 
533 
210 

o 

4 
4 
3 

1 

1 
1 

7 
1 
C 
12 

1 
10 
21 
79 
81 
12 

3 
1 
5 

1 

1 
4 
1 
26 

13 
18 
195 

72 
1 

2 

1 

6 
5 

07 
54 
11 

4 
2 
5 
1 
3 

4 

18!) 

3 

83 

1 

20 

3 

73 
11 

44 

3 
3 
5 

32 



1 

11 

1 

1 

1 

o 

11 
27 
4 
31 
141 

25 

14 
49 

6 

10 
30 
4 
17 
14 
6 

407 
483 
09 
130 

6 

5 

1 

1 

15 

7 

1 
9 
3 

4 

o 

15 

25 
o 

4 
1 
o 

5 
1 

1 
1 

7 
3 
1 
3 

3 

2 

3 

4 
2 

3 

7 

3 

4 

3 

3 

1 
5 
1 
3 

1 

1 

3 

4 

1 

1 

4 

1 

3 

o 

1 

1 
1 

20 
48 
5 
10 

38 

10 
38 

o 

1 
o 

3 

1 

1 
1 

13 
39 
8 
11 
16 

1 

o 

" 

1 
33 

48 
C2 

25 

44 

28 

53 
1 
3 

18 

4 

oo 

14 
4 
0 
2 

<j 

17 

3 

23 

17 
19 

45 

35 

301 

97 

11 
37 

0 

18 

19 

3 

20 

13 

328 
11 

1 

1 
0 

1 

o 

o 

0 

1 

1 

45 
3 
7 
1 
11 
10 

4 
2 

50 

40 
4 
9 

44 

03 
3 

4 

44 

8 

408 
24 
04 
6 
335 
122 
71 
40 
27 
70 

3 

15 

1 

<; 

_ 

1 
22 
21 

1 
11 
10 

1 

o 

35 
0 

4 

2 

32 
4 

0 

27 

8 

11 
5 

0 

0 
1 

39 
I 

1 

14 

7 

1 
4 

3 

1 
15 

1 

0 

1 
5 

1 

2 

1 

8 

3 

~ 

3 

0 

13 

o 
1 

0 

o 

1 

4,  330 

48     :    5,423 

47 

3,999 

56 

4,  802 

75 

3,850 

51 

2,871 

29       1,025 

9          40,  594 

498 

168 


SICKNESS    AND   MOKTALITY    OF    WHITE    TKOOPS 


TABLE  XXVII. 

Abstract  of  the  Sickness  and  Mortality 


1863. 

MONTH  

JULY. 

AUGUST. 

SEFTEMTSK. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

70,  086. 

51,  878. 

16,  840. 

35,  055. 

44,  335. 

LIST  OF  DISEASES. 

2ases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Dases.  I 

Deaths. 

CLASS   1.  -ZYMOTIC   DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

C44 
31 
458 

49 
1 
1 

353 

7 
194 

27 

100 

10 

508 
4 
158 

31 
3 
3 

791 
9 
415 

80 
1 

2 

C2 

990 
CCS 
473 
130 
29 
4,543 
437 
554 
85 
y51 

2 

546 
367 
452 

187 
261 

506 
396 
208 

3 

397 
339 

6.  Quotidian  Intermittent  Fever  

260 

156 
7 
4 
2,845 
215 
310 
51 

7.  Tertian  Intermittent  Fever  

37 

8 
2,392 

58 

31 
31 
2,  819 
351 
233 
21 

0 

o 

3 

854 
138 
121 
°1 

3 

1 

5 

2 
4 
3 

272 
GO 

1 

1 

13.  Chronic  Dysentery  

2 

8 
5 
50 

13 

12 
4 
75 
15 
42 
148 
628 

1 

3 

11 

1 

1 

282 
1 
8 
10 
1G4 
189 

120 

41 

3 

1 

1 

1 

99 
256 

10 

C 
103 

C9 
106 

933 
141 

3 

589 
98 

1 

1 

186 

173 
269 

1 

OUDER  II.  —  Enthetic  Diseases. 

248 

124 

8 

7 
1 

19 

5 

10 

30 
10 
11 

5 

~  '  uru  c    p 

o 

13 

G 
o 

3 

6 

OUDER  III.  —  Dietic  Diseases. 

29 

43 

1 

17 
5 

10 
1 

1 

1 

6 
3 
6 

8 

o 

4 
10 
45 

34.  Other  Diseases  of  this  Order  

CLASS   II.—  CONSTITUTIONAL  DISEASES. 
OEDEU  I.—Diathetic  Diseases. 
35.  Gout  

o 

3G.  Acvite  Rheumatism  

CG7 
503 
29 
8 

185 

96 
90 
17 
6 

"r>l 

381 
G01 
34 
7 
o 

1         .... 

37.  Chronic  Rheumatism  

2°0 

305 

1 

24 

41 
3 

1 

3'J.  (  ieueral  Dropsv  

40.  Cancer  

1 

10 
1° 

41.  Tumors  

15 
72 

48 

1 
4 

12 
2 

5 

1 
32 

41 
15 

42.  Other  Diseases  of  this  Order  

16 

29 
7 

13 
1 
6 

ORDEU  II.  —  Tubercular  Diseases. 

i 

15 
6 

o 

o 

2 

2 

44.  Scrofula  

4.").  Other  Diseases  of  this  Order  

CLASS   III.  —  PARASITIC   DISEASES. 
4(5.  Itch  

4 

40 

47.  Tape-worm  

J 

48.  Other  Intestinal  Worms  

20                            c 

6 

14 

49.  Other  Diseases  of  this  Order  

1°  219 

64       6,  303 

34 

2,667 

18 

7,036 

54 

8,390 

116 

DURING   THE    YEAR   ENDING   JUNE   30,  1863. 


169 


TABLE  XXVII. 

of  the  Department  of  Washington. 


1809. 

1803- 

DECEMUER. 

JANUARY. 

FEBRUARY. 

MAUCU. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

— 

51,  862. 

52,  521. 

53,  309. 

54,  817. 

44,  338. 

43,  320. 

23,  779. 

45,  178. 

Cases.    Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

l 

3 
4 
5 
6 
7 
8 
9 
10 
11 

13 
14 

15 
1C 
17 
18 
19 
20 
21 

00 

24 
25 
26 
27 
28 

30 
31 
32 
33 
34 

35 
36 
37 
3t? 
39 
40 
41 
42 

43 
44 
45 

40 

47 

48 
49 

572 
7 
342 

83 
3 
8 

5 

251 

68 
o 

4 

383 
3 

201 

42 
1 
4 

3.10 
1 
153 

44 
1 
4 

120 
2 

49 

26 
2 

159 
3 
83 

18 

0 

56 

9 

4,  381 
72 
2,309 

493 
16 
52 

3 

217 
177 
189 
8 
14 
1,600 
256 
252 
30 
48 
74 
213 
2G 
127 
147 
651 
285 

136 

204 

7 
4 

200 
143 

146 
14 
20 
1,055 
464 
153 

1 

181 
130 
118 
9 
3 
799 
132 
153 
27 
32 
50 
417 
3 
32 
205 

290 

22G 

295 
151 
033 

1 

108 
88 
181 
20 

4,  143 
3,013 
2,787 
372 
127 
20,  374 
2,  519 
2,842 
355 
330 
348 
1,963 
60 
399 
1,201 
3,460 
3,006 

1  393 

7 
1 

164 
176 
10 
2 
919 
105 
187 

33 

77 
226 
7 
51 
171 
541 

189 
189 
4 
7 
671 
80 
171 

1 

44 
6 
874 
76 
145 

G 

1 

1 

1 

1 
1 
1 

12 
12 
13 
15 
5 
4 
29 
19 
o 

11 
5 

1,004 
36 
285 
8 
13 
9 
2 
3 

21 

19 
08 

100 
106 
10 
7 
1 

3 

1 

1 

3 

1 

15 
32 

95 
448 
4 
CG 
210 
48G 
71 

140 
138 
2') 

1 
1 
4 
8 

1 
2 
7 
2 

15 
44 
21 
172 

23 
9 
26 
1 
27 
5G 
124 

8     ; 
o 

8 
2 

1 
1 

0 

5 

1 

1 

25 
124 
325 

1 

1 

4 

260 

1 

15G 

117 
112 

225 

139 

6? 
112 

1 

8 

114 
194 
07 

73 

123 
12 
4 
3 

IG5 
13 
2 
1 

2,  016 
301 
69 
50 
o 

67 
125 

32 

11 

4 

7 

1 

5 

8 

1 

11 

3 

6 
4 
10 
G 
3 

8 
o 

14 

4 
1 

10 
20 

C 

12 

' 

1° 

10 

6 
1 
11 
21 
5 

3 

2 

1 

7 
14 
4 
3 

4 

392 

1 

3 

o 

14 
89 
104 
38 
76 

7 
3,596 
4,630 
419 
75 
5 
50 
3G6 

399 
1G6 
28 

508 
11 
100 
15 

3 
5 

o 

9 
7 
3 

10 
6 

8 
o 

o 

1° 

4 

1 

1 
121 

79 
18 

408 
661 
59 
4 
1 

1 

1 

291 
451 
GO 
7 

1 

362 
469 

250 

24  G 

192 
233 

1 



38 
5 

4° 

10 

47 
1 

2 

12 

1 

G 
48 

43 
22 

0 

1 
35 

44 
11 

1 

70 
1 
8 

7 
23 

o 

38 

03 
27 
5 

59 

12 
13 

59 

50 
10 
7 

51 

13 

15 
15 

14 

13 
9 
3 

17 

1 

3 

4 

o 

4 

26 
18 
2 

46 

1 

1 

24 

o 

4 

53 

153 

1 

11 

1° 

o 

7,  023           12G 

G.010 

105 

4,615 

69 

5,  242 

C8 

3,471 

36 

3,310 

40       2,  4G4 

1 

13 

66,840 

743 

170 


SICKNESS   AND    MORTALITY    OF    WHITE   TKOOPS 


TABLE  XXVII.— DEPARTMENT  OF  WASHINGTON— Continued. 


YEAU  

18GJ2. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NoyEJIBER. 

MEAN  STRENGTH  

70,  080. 

51,  878. 

16,  840. 

35,  055. 

44,  335. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Brou  bt  forward 

12,  219 

4 
18 
2(5!) 
17 
4 
7 

04 
o 

6,393 

1 

17 
90 
7 
2 

4 

34 

1 

1 

2,667 

1 

7 
26 

18 

7,036 

54 

8,390 

1 

°7 

116 

CLASS    IV.  —  LOCAL    DISEASES. 

ORDER  I.  —  Diteases  of  Nervous  System. 

17 

128 

217 

1 

5 

4 
7 

4 

48 
150 
16 

1 
1 

o 
o 

8 
1 
8 
15 
99 
9 
1 
oo 

1 

4 
3 
1 

1 

22 

188 
5 
59 
44 

8 
4 
141 
G 
o 

1 

91 
2 

°  . 

34 
5 

1 
3 

25 
22 

2 
2 
53 
6 

1 

1 

7 

1 

11 

3 

1 
100 
7 
3 
26 

ORDER  II.  —  Diseases  of  Eye. 

1 

2 

^7 

72 

0 

1 
3 

7 

24 

17 

36 
37 
4 
31 
10 

1 

9 

19 
15 

1 

4 
o 

ORDER  III.  —  Diseases  of  Ear. 

73 
21 

10 
19 
0 

3 
1 

14 
7 

70.  Deafness  -     . 

3 
3 

2 

71    Otorrhoea 

3 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

4 

12 

1 
1 
3 
4 

1 

77.  Inflammation  of  Pericardium    

3 
3 

1 
49 

6 
1 

1 

78.  Inflammation  of  Endocardium 

2 

1 

70.  Inflammation  of  Veins  

1 

15 
24 

80.  Varicose  Veins  

12 

8 
7 
o 

48 
50 
8 

44 
909 
42 

81.  Varicocele  

21 
4 

13 
233 

82.  Other  Diseases  of  this  Order  

1C 

34 
5G8 
37 

7 

14 

007 

1 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
83.  Asthma  

10 

78 

84.  Acute  Bronchitis  

1 

85.  Chronic  Bronchitis  

15 

() 

15 

8G.  Propsy  of  Chest  

1 

25 

87.  Haemorrhage  from  Nose  

14 

12 

0 

14 
27 

88.  Inflammation  of  Larynx 

39 
58 
95 

11 
24 
43 
13 

4 
4 

16 
5 
8 

94 
47 
42 

04 

128 

17 
164 

1 

7 
1 

89.  Inflammation  of  Lungs  

3 

180 
76 

1 

90.  Inflammation  of  Pleura  

91.  Haemorrhage  from  Lun^s  

8 
25 

27 
8-3 

005 

92.  Other  Diseases  of  this  Order  

15 

173 

183 
108 

1 

ORDER  VI.—  Diseases  of  Digestive  Organs. 
03.  Colic  

384 

048 
240 

210 

94.  Constipation  

341 
134 

010 

78 

95.  Cholera  Morbus  

2 

1 

1 

96.  Cirrhosis  of  Liver  

97.  Dropsy  from  Hepal  ic  Disease  

9 
204 

4 
143 

1 
97 

4 

108 

98.  Dyspepsia  

40 

99.  Diseases  of  Pancreas  

100.  Diseases  of  Spleen  

9 

1 
3 

o 

101.  Fistula  in  Ano  

4 
90 

„ 

4 

7 
94 
5* 

102.  Hernia  '.  

80 

03 

1 

103.  Haemorrhage  from  Stomach  

o 

i 

Carried  forward  

i 

15,  757 

77 

7,890 

44 

3,198 

19 

9,063 

59 

11,  936 

135 

DURING    THE    YEAR    ENDING    JUNE    30,  18G3. 


171 


TABLE  XXVIL— DEPARTMENT  OF  WASHINGTON— Continued. 


1802. 

18(33. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

AruiL. 

MAY. 

JUNE. 

TOTAL. 

51,  862. 

52,  521. 

53,  309. 

54,  817. 

44,  338. 

43,  320. 

23,  779. 

45,  178. 

50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 

ei 

62 
63 

64 
65 
66 

67 

68 
69 
70 
71 

"TO 

73 

74 
75 
76 
•• 
78 
79 
80 
81 
83 

83 
84 
85 
86 
87 
88 
89 
9C 
91 
92 

93 

94 
95 
96 
97 
98 
99 
100 
101 
100 
103 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

7,  023 

4 

37 
164 
4 
4 
1 
8 
25 
236 
11 

126 

6,010 

5 

33 
133 
5 

10 
7 
19 
10 
195 

105 

1 

1 

4,615 

69 

5,  242 

4 
31 
235 

68 

3,471 

1 

17 
157 

36 
1 

3,310 

2 
9 

40 

2,464 

13 
1 

68,  840 

23 
245 
],842 
58 
49 
33 
67 
164 
1,618 
79 
92 
298 

35 
17 

1  288 

743 

6 
6 

3 

24 
129 
5 
6 
1 
6 
17 
151 
8 

1 

8 
106 
1 

182 

4 

o 
2 
1 
11 
Igi 

o 

3 
4 
2 
1 
8 
95 
3 
3 
7 

2 

8 
3 

o 

2 

1 

2 
2 

1 
2 

3 
1 

1 

27 
13 
1 

1 
1 

7 
133 
1 

65 
2 
4 
5 

1 

11 

6 

1 

2 
2 

7 

44 
3 

81 

7 
3 

158 
2 
3 

7 

54 

13 

4 

1 
137 

1 

33 

3 
4 
125 

o 

9 
3 

161 
4 
3 
12 

84 
32 
13 
31 

7 

1 

20 
o 

88 
1 
2 

97 
1 
4 
5 

43 
4 
1 
23 

60 

2 
3 

7 

88 
8 
8 
39 
1 

1 
15 
5 
1 
6 

2 
4 

s 

34 

°9 

o 

10 

61 

27 

109 

552 
180 
65 
266 
41 

4 

118 
14 
7 
42 
15 
9 
356 
408 
C9 

349 
7,135 
615 
8 
143 
475 
1,541 
835 
168 
2,151 

1,915 

32 
3 

2 
17 

34 
3 

25 

12 

9 
33 
4 

36 
3 

17 
1 



1 
2 

1 
5 

1 
1 
1 
1 

1 
3 
1 

1 
2 

1 

30 
2 
o 

14 
2 

1 

14 
1 
1 
4 

4 

1 

1 

7 
4 
3 
51 
79 
6 

70 
1,  074 
49 
4 
33 
41 
194 
128 
26 
578 

190 
560 
54 

5 

5 

1 

1 
26 
31 
5 

1 

1 
19 

20 

45 

47 
48 
5 

22 

14 
12 
2 

13 
133 
21 

48 
9 

54 

13 

1 

15 

2 

1 

4 

16 
749 
54 

< 

34 

S47 
85 

2 

950              3 
1^3 

1,045 
113 

1 

322 

52 

7 

1 

1 

11 
41 
194 
76 
12 

2 

1 

16 
100 
243 
91 

7 
84 
254 
93 
16 
292 

4 
33 
159 
60 
13 
117 

95 

1 
3.3 

1 
32 

1 
24 
1 
1 

21 

10 
41 
25 
7 
33 

91 
112 
43 
4 

4 
161 

o 
3 

31 

20 

62 
52 
6 
38 

QO 

6 

2 

18 
383 

124 

1 

1 

1 

415 
91 

146 

363 

095 

263 

202 

234 

3,663 
713 
4 

1,297 

4 

5 

9 

17 

9 

4 

148 

3 
1°4 

11 

68 

7 
103 

„ 

139 

83 

40 

3 

8 
85 
6 

1 
9 
33 
1 

1 
2 
35 

22 
00 
824 
34 

6 
116 
4 

8 
114 
4 

4 

71 
1 

3 

23 

1 

1 

11,361 

175 

9,708 

153 

7,640 

106 

8,754 

106 

5,681 

62 

4,879 

51 

3,427 

18 

99,300 

1,  005 

J 

172 


SICKNESS    AND    MORTALITY   OF   WHITE    TROOPS 


TABLE  XXVII.— DEPARTMENT  OF  WASHINGTON— Concluded. 


YEAH  

1863. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

70,  086. 

51,  878. 

16,  840. 

35,  055. 

44,  335. 

LIST  OP  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

ht  f  rwird 

15,  757 

77 

7,896 

44 

3,198 

19 

9,063 

59 

11,  936 

18 
332 

135 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

114 
34 

28 

93 

40 
21 

20 

74 

9 

10 
1 
8 
15 
43 
51 

18 

1 

1 

1 

0 

3 

39 
35 

168 
110 
•  42 

14 
3 

14 
9 

307 
78 
86 

12 

3 

3 

3 

oo 



30 
1,  045 

194 

146 
132 

191 

7 
3 

0 

60 

4 
4 
4 
3 
30 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

2 

1 

2 

7 
1 

ISC        S  0 

T   'fl008                       f  T"  1 

27 

12 

13 
7 
o 

1 

23 

0 

41 
10 

53 

18 
29 

0 

2 

5 
3 
37 

4 
56 

3 

3 

50 

6 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

1 

1 

1 
o 

0 

1 

8 

29 

5 
1 
1 

132 

6 
5 
4 

116 
127 

„ 

o 

2 
1 

38 

130    Other  Diseases  of  this  Order  

ORDER  IX.  —  Diseases  of  Integumentary  System. 
131.  Abscess  

170 
119 
26 

101 
40 

OO 

132   Boils               

95 

133   Carbuncle 

4 
4 
oo 

6 
18 
33 

19 

07 

134    Whitlow  

29 

11 

77 

4 
130 

135.  Skin  Diseases  

ooo 

44 
20 

CLASS    V.—  WOUNDS,   ACCIDENTS,   AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
136.  Burns  

10 
153 
3 

1 

25 

137.  Contusions  

98 

84 

138.  Concussion  of  Brain  

1 

1 

1 

1 

1 

4 

130.  Drowning  

140.  Sprains  

55 
17 
14 

16 
8 
36 

10 

62 

117 
10 
10 
3 

141.  Dislocation  

9 
8 

142.  Simple  Fractures  

4 

8 

143.  Compound  Fractures  

144.  Gunshot  Wounds  

77 
78 

2 

2,609 
24 

149 

13 
11 
20 
4 

11 

o 

14 

41 
24 

o 

34 
105 

143.  Incised  Wounds  

140.  Lacerated  Wounds  

48 
23 
20 

1 
1 

163 
13 
9 
13 

1 
o 

10 
14 

6 
5-1 

147.  Punctured  Wounds  

0 

148.  Poisoning  

4 

149.  Other  Accidents  and  Injuries  

40 

3 

1 

150.  ORDER  II.  —  Homicide  

151.  ORDER  III.—  Suicide  

o 

> 

152.  ORDER  IV.  —  Execution  of  Sentence 

1 

Total  

136 

17,  740 

89 

11,  684 

205 

3,  599 

22 

10,  453 

67 

14,  719 

DURING  THE  YEAR  ENDING  JUNE  30,  18(53. 


173 


TABLE  XX  VII.— DEPARTMENT  OF  WASHINGTON— Concluded. 


18G3. 

1803. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE.                     TOTAL. 

51,802. 

52,  521. 

53,  309. 

54,  817. 

44,  338. 

43,  320. 

2:?,  779. 

45,  178. 

Cases.    Deaths. 

Cases.  I  Deaths. 

Cases.    Deaths. 

Cases.    Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases.    Deaths.  ;     Cases. 

Deaths. 

104 
105 
106 
107 
108 
109 
110 
111 
112 
113 

114 
115 
116 

117 
118 
119 

121 

122 
123 

124 
125 
126 
127 
128 
129 
130 

131 
132 
133 
134 
135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
140 
147 
148 
149 

150 
151 
153 

11,361 

10 
3DO 

17 
4 
25 
21 

791 
254 

4 
3 

7 
3 
9 
23 
10 

5 

20 

1 
8 
6 

175 

9,  708 

7 
339 
13 

153 

7,640 

7 

"10 

106 

8,754 

8 
347 
8 
11 
1 
3 

106 

5,681 

1 

244 

1 

4,879 

3 
134 

51 

3,  427 

18 

99,  300 
54 

1.C05 
1 

73 
13 
17 

13 
9 
2 
17 
14 
402 

13 
4 

9 
G 
3 
5 
7 
132 

1 
1 

233 

159 
24 
200 

r 

12 

1 

I    ; 

10 

2 

o 

15 
19 
610 
183 
147 

20 

13 
9 
150 

144 
9 

4 
1 
1 

16 
4 
22 

19 
297 

204 

4,  107 
1,  000 
739 

66 
22 
38 
11 
89 
315 
102 
153 
52 

172 

165 
120 

108 

58 
13 

68 

7 
1 
3 
2 

6 

4 

1 

10 

1 

9 

3 
3 

G 
6 
7 
5 
1 
3 

1 

1 

15 

13 
34 
7 

°6 

11 

24 

3 
13 
2 
9 
5 
4 

1 

2 

47 
8 

OQ 

1 

11 
17 
9 
9 

o 

3 
3 
3 

10 

18 

1 
4 
30 
1 
11 
1 
o 

6 

7 

3 

1 
24 

13 
22 
156 
3 
53 

11 

1,156 
1,209 

7 
16 

1 

5 

8 

G 

1 

7 
o 

5 

7 

3 

0 

1 

1 

64 

95 

2 

80 
157 

136 

147 

39 

02 

26 

107 

1 

87 

58 
102 

o 

100 
124 

74 
61 
4 
12 

o 

8 

8 

6 
34 

87 

20 

71 

G 
19 

57 

9 

18 
40 

17 
108 
1 

140 
2C5 

r,n 

49 

16 
69 

20 

763 

194 
1,138 
13 

16 

87 

9 

88 

118 

1 

1 

o 

7 

3 

3 

117 
12 
9 

0 

41 
7!) 
49 
10 
o 

55 

VM 

85 

14°  ' 

117 

129 

81 
7 
5 
o 

1,005 

100 
140 
17 
3,  142 
C06 
380 
134 
73 
345 

8 
13 

10 
4 

8 
10 

6 
12 

11 

1 
80 
37 
10 
9 
3 
14 

4 

5 

3 

110 
71 
16 
13 
1 
20 

2 

37 
4° 

-' 

55 

64 

2 

10 

58 
51 

7 

11 

181 

3 
4 
3 

37 

4 

G 
1 

1 

10 
8 
3 
35 

4 
15 
G 
23 

8 
12 
3 
C 

1 
4 
7 
37 

1 

2 

1 
1 

8 
o 

ea 

1 
1 

1 

j  14,012 
I         ; 

164        12,104         101 

9,278 

115 

10,643 

120 

0,968 

75 

G.OC6 

C7 

4,118 

41 

121,  r£4      l,Cf3 

174 


SICKNESS   AND   MORTALITY   OF    WHITE   TROOPS 


TABLE  XXVIII. 

Abstract  of  the  Sickness  and  Mortality 


YE  VK             

1863. 

JIOXTII  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

ME.VS  STUEXOTII  

10G,  OG9. 

G9,  320. 

149,  052. 

171,  258. 

172,  271. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

CLASS    1.—  ZYMOTIC    DISEASES. 

ORDEI:  I.  —  Miasmatic  Diseases. 

938 
11 
7-13 

121 
4 

348 
3 
275 

28 
1 
1 

330 

7 
446 

21 

984 
17 
534 

101 
1 
11 

852 
7 
522 

116 

5 

17 

5.  Remittent  Fever  

1,002 
1,  271) 
115 
40 
1C,  234 
1,  549 
1,683 
310 
55 

20 
7 
1 

1,100 
027 
503 
4° 

8 

1,  5G8 
1,440 

3 

2,004 
2,110 

12 

1,  412 
1,122 

13 

838 

1,089 

1,  124 

177 
40 
13,  746 
1,  992 
1,  21G 
180 
59 

307 
127 
16,  527 
2,078 
2,  029 
292 
03 
1 
239 

76 
40 
10,  408 
1,830 
1,  437 
201 
87 
5 

1OQ 
Jo 

7 
4 
9 
10 
5 

38 
0,  657 
1,410 
770 
74 
47 

8 
3 

11 

o 
1 
4 
o 

8 
8 
22 
15 
4 

5 

0 

46 

X.O 

8 
1 

iromc 

13.  Chronic  Dysentery  

2 

1 

28 

6 

1 

8 
o 

2 
1 

o 

32 

48 
708 
728 

302 

4 
1 

7 

20 
52 
1,436 

308 

245 

1Q    M  P 

38 
12 

8 
30 
818 

05 

13 
91 
1,339 

207 

.          . 

10 

1,  954 
120 

19 

5 

7 

ORDER  IT.  —  Enthetic  Diseases. 

80 
61 
21 

63 

407 
41 
17 

610 
78 
19 
5 
o 

412 

00 
19 
4 

8 

o 

28    Other  Diseases  of  this  Order  

13 

84 
o 

ORDER  III.  —  Dietic  Diseases. 
29    Scurvy  

1,139 

2 

291 

107 

1 

137 
3 

7 
8 

1 

30   Purpura     

3 
3 

3 
4 

1 

13 

18 

11 

25 

1 

0 

33.  Chronic  Alcoholism  

9 

4 
1,622 

40 

1 

1,627 
1,580 
240 
40 
1 
10 
20 

119 

*J7 

CLASS    II.—  CONSTITUTIONAL    DISEASES. 

ORDER  I.  —  Diathetic  Diseases. 
35.  Gout     ...            ...                                    ... 

3 

1  1(J5 

1 

414 
377 

12 

36.  Acute  Rheumatism  

954 

1 
1 

C44 
47 

995 

1  74° 

78 
35 

151 

358 
53 

3 
1 

39.  General  Dropsy  

34 

1 
11 
80 

107 
27 

30 

7 
19 

35 

13 

•11.  Tumors  

10 
90 

59 
24 

^"4 

or 

o 

11 

OKDEH  II.  —  Tubercular  Diseases. 
43.  Consumption  

4 

3 

1 

140 
43 

5 

44.  Scrofula  

45.  Other  Diseases  of  this  Order  

10 

58 
8 
39 

i 

49 
7 
on 

CLASS    III.  —  PARASITIC    DISEASES. 
4G.  Itch  

47.  Tape-worm  

48.  Other  Intestinal  Worms  

31 

15 

42 

4'J.  Other  Diseases  of  this  Order  

Carried  forward  

32,  437 

219 

14,  246 

71 

20,  741 

40 

30,  530 

205 

25,  921 

208 

DURING    THE    YEAR   ENDING    JUNE    30,  1863. 


175 


TABLE  XXVIII. 

of  the  Army  of  the  Potomac. 


18C3. 

1863. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

Al'UII,. 

MAY. 

JUNE. 

TOTAL. 

213,  043. 

200,  714. 

175,  850. 

17(5,  638. 

149,  182. 

128,  009. 

106,  967. 

151,  531. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths.!!     Cases.     'Deaths. 

1 

3 

4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 

22 
23 
24 

20 
27 
28 

30 
31 
32 
33 
34 

35 
36 

37 

38 
39 
40 
41 
42 

43 

44 
45 

40 
47 
48 
49 

1,  388 
0 

899 

287 
2 

57     ! 

1,  195 
01 
906 

192 
11 
38 

757 
43 
509 

141 
15 
32 

767 
35 
418 

173 
10 
33 

468 
10 
279 

86 
5 
17 

217 
16 
300 

50 
2 

7 

198 

0 

7 

'   8,442 
203 
6,  044 

1,  323 
51 
223 

5 

1,070 
1,  026 
762 
219 
40 
12,  043 
2,  728 
1,  640 
398 
142 
12 
115 
1 
30 
97 

o  ~o>7 

441 

328 
407 
56 

10 

11 
1 
2 

5 
5 
111 
17 
15 
1 
o 

5 

1,  790 
870 
819 
70 
41 
10,  874 
2,660 
.   1,540 
319 
132 
30 
203 
o 

3 

1,401 
510 
477 
77 
34 
7,560 
2,  012 
1,  097 
210 
106 
42 
212 

6 
1 
1 

1,325 

539 
544 
36 
27 
6,478 
1,  502 
849 
123 
137 
37 
305 

17 

1,177 
536 
480 
78 
31 
3,  757 
954 
481 
go 

93 
104 
42 

o 

1,081 
621 

4 

824 
450 
309 
45 

1 

18,  184 
10,  919 
9,  383 
1,290 
518 
114,129 
20,  302 
13,  949 
2,  315 
1,  027 
255 
1,341 
12 
240 
647 
12,  039 

106 
9 
4 
3 
61 
39 
441 
93 
CO 
11 
24 
28 
1 
29 
1 

559 
48 
42 
6,272 
580 
781 
46 
55 
9 
19 

1 
1 
3 

23 

1 

10 

11 
4 
00 
9 
6 

4 
4 

4 

12 

3,  513 
461 
426 
20 

8 
00 
5 
5 

0 

r 

5 

1 

4 
2 

78 
4 
15 

0 

5 

10 

13 
3 

1 
6 
1 

1 
o 

1 

51 
12 
26 

1 

11 

36 
73 

3 

39 

3 

42 
93 

2 

24 
94 

o 

7 
47 
321 

1 

10 

29 

1 

2  213 

1,  463 

184 

218 
173 

1  778 

1,140 
313 

130 
153 
39 

120 
57 

88 
131 
21 

14 

234 

247 
187 

5 
1 

1S3 

197 
211 

2 

1 

152 

89 
80 
°4 

1 

6,711 
2,  302 

71 
1 

i 

93 
f>7 

58 
28 

39 

593 

18 
4 

8 
12 

12 

7 

1 
1 

209 
91 
5 
59 

2,377 
56 
65 
133 
23 
155 

43 

15,  795 
15,831 

472 
73 

153 
402 

1,  354 

512 
36 

C!>8 
34 
309 
15 

o- 

23 

3 

10 

137 
4 
2 
15 
3 
40 

3 

2,  219 
2,210 
336 
64 

11 
o*u 

197 
49 
6 

105 
4 
24 

7 

1 

18 

106 
7 
5 

6 
15 

8 
2,  596 
2,  (.48 
358 
47 
8 
18 
39 

190 

4 

120 
10 
9 
10 
3 
30 

1 

1 

0 

5 

79 
13 
5 

10 

3 

59 
14 
4 
10 

6 
4 
6 
6 
2 

5 

37 
1 

1 

1 
1 

0 

1 
1 
1 
4 

3 

0 

8 

1 
342 

1 

8 
4 
1 

0 

1 

1 

6 

6 

1,  350 
1  708 

0 

3 

1 
3 
1 

1 

1,  7  12 

1  S77 

1 

1  029 

o 

735 

8 
5 

19 
8 

1,  051 
231 

4 
19 
17 

83 
43 
3 

70 

1 

075 
235 

1 

324 

129 

6 

4 

306 
48 
4 
10 
20 

o 

47 
10 
17 
36 

193 
70 
8 

114 

4 

1 

1 

8 

10 
11 

37 
39 

1 

26 

1 

4 

1 

*-8 
IS 

4 

107 

18 

155 
77 
4 

17 

16 

2 

o 

1 

3 

3 

4 

o 

1 

50 

6 

1 

35 

10 

11 

1 

1 

1   

32,  090 

593 

31,  020 

410 

21,  884 

317 

19,  671 

358 

13,  172 

158 

13,  269 

95 

7,951 

23    I    273,  r.  44     2.7G3 

176 


SICKNESS   AND   MORTALITY    OF   WHITE    TROOPS 


TABLE  XXVIII.— ARMY  OF  THE  POTOMAC— Continued. 


YKAU  

1863. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

106,  069. 

69,  320. 

149,  052. 

171,  258. 

172,  271. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 
46 

1 

1 

Cases. 

)eaths. 

Cases. 

Deaths. 

32,  437 
5 

219 

14,  246 

7 
16 
132 

71 

5 
o 

26,  741 

4 
54 
371 
32 

7 

3C.536 

11 

99 
485 

205 

6 
1 

25,  921 

8 
7'.) 
339 

268 
8 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.—  -Diseases  of  Ferrous  System. 

40 
429 

3 

15 
o 

1 
1 

5 

1 
1 
o 

26 
10 
16 
21 

10 
5 
7 
17 
57 
433 
33 

3 

1 

4 
1 

2 

18 
243 
28 
73 
41 

10 
1 
136 
7 
18 
27 

58 
41 
14 
27 
1 

6 

1 
136 

8 
254 

51 

463 

13 
53 

19 

5 
1 

09 

1 
1 
1 

15 

48 
81 

11 
4 
168 
8 
33 

36 
13 

76 

15 

o 

1 

40 

9 
5 

ORDER  11.  —  Diseases  of  Eye. 

13 

211 

245 

5 

9 

36 
19 

126 

7 

18 
19 

36 
14 
3 
12 
1 

13 

54 

12 

25 

ORDER  III.  —  Diseases  of  Ear. 

115 

11 

20 

14 

27 

15 

55 
5 

1 
34 
6 
1 
11 
8 
1 
139 
143 
37 

80 
633 
126 

32 

g 

OUDEH  IV.  —  Diseases  of  Organs  of  Circulation. 

8 

~4    V  1  •   1      IV  "      of  Heart 

4 

44 
4 
1 
5 
5 
1 
119 

0 

'   '     ''  ^     dlf            >n     T). 

7f'  D™1?^  ^Pericardium 

7 
6 

3 

o 

7 
30 
40 
19 

13 

462 

1 

j 

4 
69 
76 
47 

1 

2 

1 

1 

66 
114 
41 

46 
1,099 
60 
1 
9 
25 

104 
15 

95 

4 

2 

2 

2 

1 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
83.  Asthma  

84.  Acute  Bronchitis  

937 
74 
1 
13 

20 
59 
144 
28 

1 

1,  521 

85.  Chronic  Bronchitis  

25 

256 

80.  Dropsy  of  Chest  . 

4 
16 
55 
149 
218 

1 

28 

87.  Haemorrhage  from  Noso  

12 

88.  Inflammation  of  Larynx  

20 
26 
69 
9 
14 

567 
468 
334 

1 
3 

1 

114 

234 
293 
50 

1 
11 
o 

89.  Inflammation  of  Lungs  

67 
135 

4 

90.  Inflammation  of  Pleura  

91.  Haniiorrbage  from  Lungs  

26 

34 

236 

916 
657 

92.  Other  Diseases  of  this  Order  

50 

865 
656 

1 

132 
981 

1 

399 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
93.  Colic  

1 

646 
910 
142 
1 
44 
479 
1 
7 
17 
315 
13 

1 

94.  Constipation  

95.  Cholera  Morbus  

5 

3 

499 

7 

280 

2 

1 

96.  Cirrhosis  of  Liver  

97.  Dropsv  from  Hepatic  Disease  

30 

6 

158 

9 

330 

37 
"  410 

98.  Dyspepsia  

42  2 

99.  Diseases  of  Pancreas  

100.  Diseases  of  Spleen  

11 
13 

5 
4 
138 

9 

15 

101.  Fistula  in  Ann  

28 

103.  Hernia  

314 
4 

233 

501 
10 

1 
1 

103.  Haemorrhage  from  Stomach  

7 

() 

Carried  forward  

38,  075 

240 

17,  211 

93 

32,  281 

63 

43,  378 

234 

33,  313 

310 

DURING   THE    YEAR    ENDING    JUNE    30,   18GJ. 


177 


TABLE  XXVIII.— ARMY  THE  POTOMAC— Continued. 


18(53. 

1803. 

DECEMBER. 

JAM:  AH  Y. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JI..NE.                   TOTAL. 

213,  043. 

200,  714. 

175,  856. 

176,  638. 

149,  182. 

128,  009. 

106,  967. 

151,531. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.   |  Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
GO 
61 

62 
63 
64 
65 

66 
67 

68 
69 
70 
71 

73 
74 
75 

76 

77 
78 
79 

t-   ! 

81 
82 

83 
84 
85 
86 
87 
88 
89 
90 
91 
92 

93 
94 
95 
96 
97 
98 
99 
100 
101 
102 
103 

32,  696 

13 

88 
608 

8 
4 
18 
49 
553 
39 

593 

6 
3 

31,  020 

15 
98 
635 

9 
3 

15 

410 

5 
1 

21,  884 

11 
78 
434 
16 
13 
5 
14 
58 
418 
29 

317 

8 
1 

19,  671 

11 
73 

480 

358 

6 
2 

13,  172 

3 

53 
399 
10 
6 

1 

25 
309 
24 
3 
18 

11 
13 
242 

158 

o 

1 

13,  269 

5 
24 
372 

9 
6 
3 

6 
11 
236 

95 
1 

7,951  !        23 
9 

275,  544 

102 
726 
4,  946 
199 
72 
58 
130 
389 
4,  213 
307 
442 
511 

159 

62 

145 
456 
263 

1,084 
195 
219 
383 
27 

32 

448 
87 
27 
148 
71 

1,  222 
952 
276 

1,089 

16,  6:;4 

2,  773 
43 

•     • 
1,391 
2,773 
2,  830 
443 
5,  694 

7,017 

2,763 

48 
17 

24    . 

26° 

1 
9 
1 

2 

g 

4 
41 
9 
1 
4 

6 
1 

7 
2 

8 
8 
2G 
54 
363 
30 

3 
1 

4 

3             1 

1 

1    

1 

56 
658 
38 

o 

1 

1 

147 

3 

1 

'•> 

10 

1  ^  ' 

9 

14 

230 

72 

4 
386 
29 
39 
38 

155 
21 
46 
54 
1 

3 

47 
17 
4 
8 
14 
1 
142 
116 
26 

141 
2,  660 
424 
6 
30 
223 
5x15 
350 
61 
1,  207 

692 
1,  047 
114 
4 
51 
476 

6 

24 
444 
i) 

8 

46 
24 

3 

40 

17 
7 
2'>0 

1 

37 
20 

1 

24 
13 

17 

0 

8 
327 

4 

25G 

165 

93 

15 

20    

19 
29 

10 

11 
81 

7 

46 
4 
6 
8 
2 

0 

5  ' 

39 
40 

28    

53 

37 
126 

7 

79 
17 
11 
32 
1 

3 

68 
11 

6                  ] 

142 

105 
20 

4° 

15 

3 

35 

15 
34 
3 

3 

70 
9 
4 
25 
9 
1 
98 
60 
9 

147 
2,697 
492 
12 

3 

41 
3 

(; 

8 

2 
57 
20 
9 
33 
11 
o 

1 
12 
3 

2 

1 
40 

4 

7 
.   10 

6 
3 

1 
1 

82 
17 
4 

5 
3 

147 

4 

1 

30 
3 
2 

6 

2 

16    . 

1 
1 

1 

1 

1 
3 

21 
3 
3 

98 

1 
1 

2 

1 

177 
318 

231 
2,461 
473 
4 
17 
221 
478 
517 
66 
1,088 

687 
1  172 

76 
32 

61 

1 

84  ' 

40 
4 

99 
1,427 
338 
5 
"4 

25 

3 

2 
3 

41 

108 
1,  864 
389 

1 

1 

13 

43 
623 
72 
1 
11 
67 
102 
140 

230 
283 

3 

18 

3 
9 

2 

4 

1 

34 

1 

i    : 

2 

2 
1 
2 

250  i                { 

44    

8 
19 

8 

i 
61 

3 

1     i 
6 

1 
43 

190 

384 

287 

290 
468 
350 
44 
863 

326 

1 
59 
1 
o 
2 

146 

44 

704 

306 

20 

6 
261 
9 
4 
14 

51 

18 
1 

7 

57            2 
73            2     ! 
6    

O<K) 

50 

1 

2 

724 
440 

1 

807 
49 
o 

47 
426 

"45 

619 

657 

40') 

1 

100 
10 
69. 
512 
1 
17 
23 

42 

59 

70 
3 
15 

90             1 
1 

2,  108 
302 

20 

0 

1 

1 
o 

1 
33 

2!>7 

1 

1 

o 

46 
435 
7 
3 
oo 

1 

.  r 

250 

124 

4,  339 

81 
235 

1 
3 

1 
19 

3 

21 

...... 

oo 

17    

1 

410 
6 

300 

o— 

163 

90        _     ... 

3,240 
77 

li,  346 

8             1 

8 

1 

1 

1     !     

43,838         727 

42,  337 

498 

30,163         401 

20,  090 

445 

19,  5G5 

192 

17,  216 

113 

10,530           30          :..  . 

178 


SICKNESS   AND   MORTALITY    OF   WHITE   TROOPS 


TABLE  XXVIII.— ARMY  OF  THE  POTOMAC— Concluded. 


YEAU  

1869. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

106,  009. 

69,  320. 

149,  052. 

171,  258. 

172,  271. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

, 

38,  075 

240 

17,  241 

93 

32  281 

63 

43,  378 
13 

234 
1 

33,  313 

39 
303 
69 
29 
4 
61 
143 
1,853 
589 
137 

21 

310 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

194 

69 
40 
25 

66 
20 
322 
266 
111 

172 

1 
1 
3 

1 

85 
37 
6 
62 
60' 
329 
398 
214 

3 

16 

1 
2 
o 

125 
35 
5 
72 

1 

142 
53 
9 

90 
89 
844 
811 
204 

19 
8 
9 
3 
23 
124 

1 

6 
1 

2 

2 

1 
1 

110 
430 
437 
210 

6 
o 

o 

1 
1 

o 

1 

1 

3 

1 

ORDER  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

5 

5 

11 
4 

53 
31 
14 
23 
83 

4 

20 

40 
28 
6 
3 
60 

2 

102 

1 

12 

12 

1 

49 
36 
13 

26 
61 
13 
40 

4 

4 
30 

1 

~  "    n  ammtl 

!o->'     "C°D  m®nCO 

3 

43 

7 

3 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

11 
7 
30 
o 

o 

'              , 

~  '  n  a             . 

8 
19 
11 

412 

'  u  am™a  io 

6 
o 

3 

1 

156 

4 
3 

260 
297 

17 

ORDER  IX.—  Diseases  of  Integumentary  System. 

260 

542 

13°    Boils 

155 

114 
38 
26 
98 

1° 

398 

535 

69 
41 
250 

55 
70 
192 

53 
90 
157 

57 

154 
93 

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
136.  Burns 

28 

34 
235 

88 
217 

161 

8 

1 

146 

188 

1 

138.  Concussion  of  Brain  .     .           

7 

1 

3 

1 

140.  Sprains  .     .              

57 

43 
5 

26 
14 
49 

19G 

2G2 

141.  Dislocation  

10 
20 

9 
32 

15 

142.  Simple  Fractures  

10 

1 

32 
3 

127 
54 
23 
7 
67 

143.  Compound  Fractures  

144.  Gunshot  Wounds  

1,  790 
133 

114 

1,  744 
54 

147 

7,  905 
127 

636 

207 

51 

31 
1 

145.  Incised  Wounds  

14G.  Lacerated  Wounds  

97 
13 
35 

87 

3 

70 
17 

5 

184 
161 
14 
91 

6 

A.O 

59 
34 
•  15 

o 
4 

147.  Punctured  Wounds  

1 

143.  Poisoning  

1° 

149.  Other  Accidents  and  Injuries  

XHJ 

o 

4 

47 

I 

3 

1 

2 

150.  ORDER  II.  —  Homicide  

151.  ORDER  ill.—  Suicide  

1 

1 

152.  Olll'EH  IV.  —  Execution  of  Sentence  

Total  

42,  911 

371 

20,  836 

251 

43,  752 

745 

48,  573 

308 

39,  340 

365 

DURING    THE    YEAR   ENDING    JUNE    30,  1863. 


179 


TABLE  XXVIII.— ARMY  OF  THE  POTOMAC— Concluded. 


1802. 

1803. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

M.YUCII. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

213,  043. 

200,  714. 

175,  856. 

176,  638. 

149,  182. 

128,  009. 

106,  967. 

151,  531. 

104 
105 
IOC 
107 
108 
109 

no 

111 
112 
113 

114 
115 
116 
117 
118 
119 
120 
121 

{*,*•* 

123 

124 
125 
126 
127 
128 
129 
130 

131 
132 
133 
134 
135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
146 
147 
148 
149 

150 
151 
13 

1 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

43,  838 

30 

431 
80 
40 
12 
79 
48 
1,  G04 
746 
120 

26 
13 

33 
1 
40 
119 
40 
60 
11 
33 

10 
7 
40 
7 
21 
15 
3 

401 
C04 
69 
158 
206 

141 
391 
12 

727 
3 

42,  337 

41 
525 

498 
1 

30,  163 

35 

402 

401 

29,  096 

22 
522 
71 
82 
10 
97 
58 
562 
520 

445 

1 
1 

19,  565 

18 
340 
58 
32 
7 
53 
39 
251 

192 

1 

17,  216 

13 

122 

113 

10,  530 

4 

CO 

30 

357,  033 

215 
3,417 
890 
482 
87 
834 
741 
8,131 
6,142 
1,493 

237 

3,346 

7 
10 

14 
7 
3 
9 
1 
22 



2 
3 

96 
C2 
19 
111 
04 
1,123 
842 

o 

2 
o 

1 

70 

57 

Q 

77 
60 
529 
goo 

1 

0 

1 
o 

1 

35 

21 
4 
44 
35 

25 
9 

4 

1 

1 

22 
15 

5 

1 

1 

171 

280 

113 
255 

376 
49 

°1 

10 

140 

50 

1 

82 

28 

33 

18 
35 

1 

103 

18 
14 

1 

66 

13 
1 

6 

1 

18 
32 

10 
35 
1 

28 

o 

2 

5 
25 
1 

25 

1 
1 

103 
200 
20 
245 
946 

490 
128 
461 

91 
77 
401 
30 
J24 
139 
71 

3,  492 
4,777 
615 
1,  063 
1,917 

4 
4 

1 

48 
144 
36 
73 
14 
38 

12 

34 
117 

11 
39 

8 
oo 

4 
18 
4 

1 

101 
29 

69 
20 

1 

2 
4 

64 

*.! 

19 

8 
9 
61 
5 
22 
20 
8 

249 

66 
11 

12 

44 
10 

9 
10 

67 

1 
1 

0 

4 
1 

0 

1 

7 

1 

1 

1 

18 

10 
12 

9 
51 

18 

1 

°7 

28 
4 
C 
6 

8 
19 
20 
6 

284 

6 
oo 

11 
10 
13 

243 

10 

0 

17 
6 

257 
525 

1 

179 

287 

249 

622 

SCO 

419 

64 
139 

200 

41 
100 

88 

01 

181 
216 

102 

rr-i 

48 
77 

42 

161 

84 
250 

118 

67 
323 
4 

1 
1 

158 
374 
9 

107 
328 

117 
225 

971 
3,000 
59 

1 

4 
7 
4 

1 
1 
1 

168 
1 

1 
1 

3 

2 

3 

8 

1 

3 

319 
22 
41 
30 
7,908 
244 
164 
33 
31 
132 

384 
36 
48 
3 
180 
343 

301) 

366 

442 

270 

167 
4 

18 

2,861 

19 

2'i 

18 
28 

1 

18 
30 

193 
373 
65 
26,  053 
2,081 
8% 
418 
278 
1,  047 

1 
1 

5 

1,852 
1 
32 
34 

26 

20 
3 

29 
1 
107 
239 

36 
4 

157 
268 

3 

461 

2 

8 

7 

3 

249 
213 

17 

3 

15 

5,  OC8 
88 
30 
oo 

328 

516 
109 
23 

48 

10 

°7 

56 
13 
19 
153 

60 

~o 

24 
111 

37 
19 

1 

4 

1 

1 

17 
85 

1 
5 

1 
3 

41 
84 

41 

86 

4 

1 
7 

o 

81 

o 

1 

1 

1 

1 

3 

3 

,  58,  433  :  1,  246    |    49,  024 

531     ;  34,  896         420 

34,  320 

468 

23,  447 

218 

25,  143         455 

13,045 

85 

433,  720     5,  463 

180 


SICKNESS   AND   MORTALITY    OF   WHITE    TROOPS 


TABLE  XXIX. 

Abstract  of  the  Sickness  and  Mortality 


YEAU  

1863. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOllEU. 

NOVEMBER. 

MEAN  STRENGTH  

12,  966. 

11,  055. 

16,  699. 

17,  985 

18,  629. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS  1.—  ZYMOTIC    DISEASES. 
OUDEK  I.  —  Miasmatic  Diseases. 

08 

1 

75 
1 
111 

6 

40 

C 

152 
1 

15 

152 

26 

8 

4 

84 

1 

3 

70 

12 

507 
203 
35 

1 

250 
84 
235 

2 

2GG 
155 

1 

5G8 
201 
322 

4 
1 

4C8 
202 
312 

11 

j.  Kcmittcn     -c\e 

329 

19 
5 
637 

11 

16 
1,  405 

158 

8 

*-O 

1,  836 
261 

28 

20 
C45 
CO 
87 
16 
4 

8 

3 

1 
o 

1 

1 

3 

8S6 
153 
198 
42 
7 

5 
3 

73 
3 

1 

o 
4 
6 

2 

105 
18 
4 

1 

237 
39 
6 

3 

4 

13.  Chronic  Dysentery  

1 

11 

45 

4 

3 
9 
135 

J 

2 
3 

236 

1 

3 

253 

24 

21 

2 

245 

40 
111 
10 

7 

1 

o 

230 

10 

36 

28 

OKDEU  II.  —  Enthetic  Diseases. 

47 
10 
7 

104 
17 
o 

99 
35 

73 

16 
4 

3 

1 

7 
C 

ORDER  III.—  Dietic  Diseases. 

24 

12 

1 

2 
1 

8 
1 

CLASS  II.—  CONSTITUTIONAL    DISEASES. 
ORDER  I.—Diathettc  Diseases. 
35.  Gout  .                    

106 
57 

35 
65 

89 
99 

213 

160 
103 

ro 

3 

i 
3 

111 

77 

20 

11 
2 

0 

1 

" 

0 

1 
1 

42.  Other  Diseases  of  this  Order  

1C 

o 
5 

8 

4 
10 

1 

32 

0 

OHDER  II.  —  Tubercular  Diseases. 
43.  Consumption  

44    Scrofula 

1 

15 
8 

20 
o 

C 

CLASS  III.—  PARASITIC    DISEASES. 
40.  I  toh  

47.  Tape-worm                  .         

0 

48.  Other  Intestinal  Worms  ! 

11 

6 

1C 

49.  Other  Diseases  of  this  Order    

2,  294            23 

2,  140 

18 

3,220 

14 

4,  579 

44 

3f)\l! 
,  ^uo 

72 

DUKING   THE   YEA.K   ENDING   JUNE   30,  1863. 


181 


TABLE  XXIX. 

of  the  Department  of  Virginia. 


1869. 

1803. 

DECEMUEU. 

JANUARY.           FEBRUARY. 

MAKCII. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

28,  382. 

23,  218.                    43,  153. 

38,  483. 

42,  491. 

42,  086. 

30,  511. 

27,  638. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases   j  Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Casco.    '  Deaths. 

1 

0 

:; 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
10 
17 
18 
19 
20 

23 

24 

2D 

26 
27 
£8 

29 
30 
31 
32 
33 
34 

35 
30 
37 
38 
39 
40 
41 
42 

43 
44 
45 

40 

47 
48 

141 

19 

131 
1 

220 

10 

274 
1 
239 

30 
1 
9 

207 
304 

18 
4 

171 
378 

17 

1 

107 
o 

202 

11 
1 

151 
7 
371 

4 

1,  609 

17 
2,175 

103 
6 

59 

122 

6 

13 

4 

597 
33G 
270 

33 
959 
189 
175 

*,3 
23 
100 

10 

384 
184 
181 

1 

294 
223 

2 

249 
181 
254 

040 

248 

435 

358 

2 

4,528 
2,785 
3,074 
128 

35 

2 

242 

356    ' 

280 

205 

328 

323 

7 

1 

7 
866 
124 
214 

G 
0 

888 
50 
215 

9 

13 
12 
2  454 

1 
1 
]0 
3 

21 
015 
257 
99 

o 
1 
1 

1 

2 

151 
15,116 
1  992 

19 
G 
27 
21 
14 
o 

7 

18 

1,545 
206 

185 

1 

4 

2  380 

5 
o 

122 

294 

940 
33 

40 
19 
82 

1 

5-18 
117 
19 
6 
13 

2 
o 

3,076 

480 
225 
CO 
729 
8 
88 
307 
1,673 
1,  24<> 

080 
1,314 
197 

19 
oo 

1G4 
G 
24 
31 

17 
11 

5 
2,  288 
1,929 

103 

40 
46 
4 
139 
3 
7 
47 
400 
123 

36 

12 

26 

4 

145 

0 

2G 
11 
362 
3 
C 
102 

0 
0 

2 

13 

31 

1 

1 

1 

1 

4 

7 

14 
03 
424 
50 

85 
200 
33 
9 
9 

1 

12 

45 

1 

£7 
44 
358 
19 

77 
100 
10 
14 

3 

8 
40 
46 

1 

11 

8 
78 

5 
1 

181 
49 

73 

104 
3 

'   70 
172 

1 

o 

10 

107 
99 
13 
7 
3 
1 
1 

24 



70 
102 

46 
103 
11 
3 
2 

18 

12 

7 
4 
2 

7 
3 

G 

0 

0 

1 

o 

1 

03 
o 

4 

5 

o 

1 
1 

5 

1 

9 

12 
5 
1 

1 

—•)•> 
192 
45 
G 

1 

o 

] 

1 

1 

1      ! 

1 

3 

1 
10 

o 

G 
4 

4 

1 

0 

1 

191 

1 

201 
251 

o 

413 
374 

274 
206 

210 
123 

1 

137 
137 

18 

1 

211 

43 
3 

07 
9 

1 

29 

0 

]0 

42 

422 
S3 
4 
33 

1 

1 

G 

3 

7 
o 

34 
19 
3 

42 
1 
5 

1 

3 

18 

38 

9 
11 

31 
11 

" 

1 

G 

14 
G 

01 

2-18 
98 
3 

444 
14 

84 

1 
19 

12 
G 

2 

1 

5 

15 
G 

3 

24 

8 

1 

02 
1 
5 

71 

4 
5 

118 

1 
3 

58 
1 
12 

43 

7 

48 
o 

9 

-1!)  

4,  543     ,         55 

3,  30-1 

31 

5,  403 

55       3,  984 

4C 

3,  737            30       5,  706 

• 
1 

5,802 

17 

48,  088 

427 

182 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  XXIX.— DEPARTMENT  OF  VIRGINIA— Continued 


YE  AB  

18l>^. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

12,  9C6. 

11,  055. 

1C,  699. 

17,  985. 

18, 
Cases. 

529. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Deaths. 

for  -ard 

2,294 

23 

2,140 

18 

3,220 

14 

4,579 

44 
1 

3,25G 

1 
5 
57 
4 
1 
3 
7 
5 

72 

CLASS    IV.  —  LOCAL    DISEASES. 

OKDEU  I.—  Diseases  of  Nervous  System. 

5 
24 
1 
6 

0 

3 
80 
2 

1 

4 
1 
10 

1 

1 

1 

1 

3 

2 

1 

1 

o 

1 

°7 

14 

28 

9 
44 
3 

13 

55 

1 

3 

1 

4 

7 
9 

3 

89 

3 
1 

67 

3 

ORDER  II.  —  Diseases  of  Eye. 

1 

10 

23 

13 
3 

29 

1 

3 

3 

9 
4 
3 
2 

1 

8 
2 

53 

1 
6 

ORDER  III.—  Diseases  of  Ear. 

5 

f  I   tt>  n-      F 

3 

70   Deafness                 

3 
6 
1 

3 

2 

7 
27 

1 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

1 

1 

7 

1 
1 
1 

o 

1 

n 

0 

0 

81.  Varicocclc  

1 

3 

70 

3 

8 

4 
154 
3 

19 
19 

3 

182 

5 

82.  Other  Diseases  of  this  Order  

4 

5 
92 

1 

1 

1 

0 

1 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
83.  Asthma  

8 
179 

84.  Acute  Bronchitis  

85.  Chronic  Bronchitis  

7 

13 

19 

11 



86.  Dropsy  of  Chest  

87.  H;einorrhag-e  from  Nose  

17 
3 

31 

or) 

88.  Inflammation  of  Larynx  

o 

1 

20 
14 

89.  Inflammation  of  Lungs  

10 
10 
5 

1 

1 

1 

90.  Inflammation  of  Pleura  

07 

91.  Haemorrhage  from  Lungs  

0 

6 
8° 

92.  Other  Diseases  of  this  Order  

10 

108 
117 
23 

6 

87 
45 

1 

118 

140 
195 

OUDEH  VI.  —  Diseases  of  Digestive  Organs. 
93.  Colic  

133 
103 
43 

47 
98 

94.  Constipation  

93.  Cholera  Morbus  

1 

69 

111 

11 

96.  Cirrhosis  of  Liver  

97.  Dropsy  from  Hepatic  Disease  

o 

1 

33 

1 

5° 

1 

5 

98.  Dyspepsia  

20 

00 

99.  Diseases  of  Pancreas  

„ 

100.  Diseases  of  Spleen  

o 

1 

101.  Fistula  in  Ano  

I 

1 

4(> 

3 

34 

102.  Hernia  

14 

"0 

24 

103.  Haemorrhage  from  Stomach  

Carried  forward  

| 

2,865 

24 

2,699 

23 

3,867 

19 

5,  738 

53. 

4,135 

76 

DURING    THE    YEAR   ENDING    JUNE   30,   I8G3 


TABLE  XXIX.— DEPARTMENT  OF  VIRGINIA— Continued. 


I          1802. 

18G3. 

DECEMBER. 

JANUARY. 

FEliRUAItr. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

28,  382. 

23,  218. 

43,  153. 

38,  483. 

42,  491. 

42,  080. 

36,  511. 

27,  c:;8. 

50 

51 
52 
53 
54 
55 
56 
57 
58 
59 
60 
61 

G2 
63 
64 
65 
66 
67 

68 
69 
70 

71 
72 

73 
74 

75 
76 

77 
78 
7!) 
80 
81 
82 

83 
84 
85 
86 
87 
88 
89 
90 
91 
92 

93 

94 
95 
96 
97 
98 
99 
100 
101 
102 
103 

Cases. 
4,  543 

1 

127 
11 
5 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 
19 

Cases. 

Deaths. 

Cases. 

Deaths. 

55 
1 

3,304 

1 
13 

34 
1 

5,463 

o 
11 

244 

55 

2 
1 

3,984 

1 

18 
313 
4 

2 

40 
1 

3,737 

30 

5,706 

1 
15 

5,862 

3 
16 

211 

17 
2 

48,  088 

10 
118 
1,  081 

427 

8 
3 

'    14 
201 

145 

195 

8 
1 

8 

4 

2 
17 
103 
6 

2 

4 

G 
1 
1 

1 

1 
1 
3 

57 
21 
15 
25 

1 

14 
7 

3 

3 
1 

2 

3 

1 
1 

3 

19 
54 

7 

4 

29 

47 

5 

10 
107 
10 

4 
2 
114 

1 

9 

57 



121 

744 
44 
34 
244 

28 
8 
402 

1 

95 

1 

4 
19 
12 

2 

6 
8 

31 

5 
1 
62 
9 
2 
2 

7 
4 
10 

6 

4 
3 

46 

1 

2 
4 

1 

10 
3 

o 

1 

3 

1 

1 
68 
7 
7 

0 



59 
4 
4 
11 

38 
4 
9 
9 
1 

1 

7 

62 

55 
1 
10 
4 

38 
1 
5 
8 

59 

5 
8 

46 
3 

7 

1 

42 
43 
89 

325 

3 
o 

o 

75 
6 
11 
17 

52 

o 

9 
7 
5 

41 

54 
98 
33 

5 

8 
2 

1 
5 
o 

2 

2 
G 
1 

1 
9 
1 
o 

7 
54 
6 
4 
10 
4 
15 
200 
176 
51 

190 
3,  G4<1 
519 
6 
107 
273 

1 
4 

a 

13 

o 

4 

3 

1 

2 
1 
6 
37 
10 
1 

30 
307 
59 
4 
24 
63 
02 
40 
10 
116 

80 
237 

o 

1 

1 

1 

1 

1 
27 

1 

18 

1 

23 

3 

18 

24 

1 

37 
26 

o 

°7 
23 

21 

17 

1 

9 

^7 

1 

0 

J8 
125 
17 

1 

7 

1 
1 

13 
323 
59 

35 

00 

1 

690 
90 

692 

503 
112 

318 
33 

90 

i 

1 

9 

18 
65 

6 
39 
64 
51 
10 

7 

18 
24 

4 

7 
15 
33 
8 
4 

152 

10 

3 

28 

29 
7 
20 

120 

3 

108 
54 
s 

5 
1 

3 

67 
65 
8 
108 

87 
294 
15 

4 

40 
33 
6 

1 

460 
386 

69 
775 

1.327 

4 

1 

1 

108 

99 

111 

280 
14 

76 

0       | 

1°4 

138 

159 
40 

283 
12 

231 
97 

182 

PS 

o.  ->:;o 

560 

0 

719 
o 

11 
32 

1 

2 

9 

75 

0 

7 
116 

4 

118 

2 

72 

1 
63 

4 

84 

1 

41 

5 
5 
91 

0 

1 
3 

5 

2 

1 

47 

4 

48 
1 

4 

70 





47      
5      

1 

44 
1 

....]            M 

6,251 

65 

4,654 

40 

7,882 

73 

6,363 

54 

5,831 

39 

7,389 

22 

7,  23? 

23    i 

f>4,  008 

511 

184 


SICKNESS    AND    MORTALITY    OF   WHITE    TROOPS 


TABLE  XXIX.- -DEPARTMENT  OF  VIRGINIA— Concluded. 


YE  vu  

1869. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBEU. 

12,  966. 

11,  055. 

16,  699. 

17,985. 

13,  C29. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.  '  Deaths. 

Cases.  ; 

Deaths. 

Cases.  I 

Deaths. 

2,  8G5 

24 

2,699 

23 

3,807 

19 

5,738 

53 

1 

4,  135 

5 
20 

7G 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

11 
10 
o 

17 
4 

13 
12 

19 

1 

3 

2 

17 
3 
44 
23 
1C 

1 

6 
4 
C5 

6 

7 
61 
45 

3 

18 

123 

30 

20 

71 
38 

1 

13 
2 

171 

1 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

• 

» 

1 

1 

4 

o 

15 

1 

4 

1 
1 

ai 

1 

13 

0 

1 

23 

r, 

1 

11 

11 
O 

46 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

3 

l°r>   Caries                                            

1 
10 

1 

1 

2 

3 

4 

130    Other  Diseases  of  this  Order      

ORDER  IX.  —  Diseases  of  Integumentary  System. 
131    Abscess 

26 
14 
6 

39 

38 

1 

203 

132   Boils 

<)5 

133.  Carbuncle  
134.  Whitlow 

19 
o 

10 

12 

135.  Ski  i  Diseases  

11 

1 
7 
1 

18 

38 

1 
°4 

53 
o 

CLASS    V.—  WOUNDS,   ACCIDENTS,   AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
136.  Burns...,  

137.  Contusions  

19 
1 

03 

T8 

138.  Concussion  of  Brain  

1 

1 

139.  Drowning  

1 

140.  Sprains  

14 

3 

1 

3 

34 
1 

8 

0 

141.  Dislocation  

142.  Simpli-  Fractures  

4 

- 

143.  Compound  Fractures  

144.  Gunshot  Wounds  

14 
18 
;j 

H 

5 
12 

18 
8 
7 

0 

28 
19 
1 
•j 

4 

25 
22 

2 

145.  Incised  Wounds   

146.  IjnoprMtod  Wounds  

g 

1 

4 
1 
1 

147.  Punctured  Wounds  

1 

14^.  Poisoning  

1 

C) 

149.  Other  Accidents  and  Injuries  

7 

226 

._- 

45 

150.  ORDER  II.—  Homicide  

151.  ORDER  III.  —  Suicide  

152.  ORDER  IV.  —  Execution  of  Sentence  .. 

Total  

76 

4,  84G 

82 

3,  14!) 

33 

3,014 

24 

4,  464 

6,289 

59 

DURING   THE    YEAR    ENDING    JUNE    30,  1863. 


185 


TABLE  XXIX.— DEPARTMENT  OF  VIRGINIA— Concluded. 


1862. 

1803. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

28,382. 

23,  218. 

43,153. 

38,  483. 

42,  491. 

42,  086. 

36,511. 

27,  638. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

104 
105 
106 
107 
108 
109 
110 
111 
112 
113 

114 
115 
116 
117 

118 
119 
120 
121 

1  -:> 
123 

124 
125 
126 
127 
128 
129 
130 

131 

132 
133 
134 
135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
14(i 
147 
148 
149 

150 
151 
15J 

6,  251 

11 
95 
15 

6 
1 

11 

46 
166 
100 
17 

8 
o 

5 

1 

4 
5 
10 
2 

5 
4 

27 

65 

1 

4,654 

9 

109 
6 
3 
1 
5 
10 
109 
78 
2 

6 

40 

7,882 

4 
171 
10 
4 
1 
7 

73 

6,363 

7 
121 
3 
4 
1 
6 
10 
84 
79 
21 

3 

54 

5,831 

3 
136 
o 

33 

7,389 

4 
CO 
21 
14 

22 

7,232 

5 
67 
16 
4 

23 

64,  906 

48 
820 
118 
43 
5 
71 
144 
1,030 
850 
324 

48 
11 
27 
3 
78 
131 
46 
78 
23 
111 

26 
32 
86 
3 
30 
23 
8 

730 
926 
104 
169 
330 

96 
551 
12 

511 

2 
1 

9 
1 
1 

1 

1 
2 

1 

0 

1 

2 

3 

1 
2 
9 
90 
101 
2 

3 

4 
9 
57 
103 
10 

8 

4 
16 
60 
105 
3 

2 

1 

171 
115 
11 

14 
1 
o 

1 

1 

1 

4 

1 

1 

3 

o 

4 
11 
10 
10 

1 

19 
20 

1 
11 
3 

14 
5 
4 

3 

1 

(j 
11 
<3 

4 
15 
5 
3 
1 
3 

1 

3 
31 
4 
4 
1 
2 

7 
11 
1 
2 

6 
5 
12 

13 
6 
7 

o 

1 

1 

4 
19 
12 
2 
4 
o 

1 

6 
1 
5 
3 

1 

7 

6 

4 

10 
1 

1 

47 
133 
12 
33 
33 

15 
70 
3 

4 
3 
1 

41 
92 
10 
27 
30 

17 
85 

2 
2 
o 

9 

CO 
141 
12 

IW'J 

55 

20 
44 
2 

34 
70 
10 

81 
101 
4 
26 
19 

10 
48 

58 
134 
4 
13 
14 

5 
63 

78 
99 
12 

1 

1 

1 

14 
11 

4 
58 

48 

21 
66 
1 

1 

2 
1 
1 
9 

1 

1 
1 

i 

3 

92 
5 
11 
1 
20 
26 
3 

7 
4 

52 

99 
0 
5 

88 
6 
6 
1 
31 
33 
6 
5 

81 
4 
10 
3 
150 
25 
4 

102 

51 
2 
11 

617 
46 
77 
11 
667 
C88 
72 
46  t 
24  ' 
334 

4 
3 
3 

87 
20 
7 

1 

5 
14 
1 
207 
41 
15 

1 



3 

109     , 

5 

10 

30 
35 
9 
•1 

10 

6 

21 

42 

4(5 

29 
7 
6 
3 

1 

8 

1 

1 

3 
o 
o 

CO 

7 
1 
4 

7 
8 
3 

2 

1 

0 

2 
1 

1 

1 

21 

1 

1 

2 

2 

7,383 

77 

5,513 

53 

9,055 

87 

7,259 

62 

6,828 

C4 

8,  41!» 

73 

8,004 

37 

74,223 

707 

186 


SICKNESS   AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  XXX. 

Abstract  of  the  Sickness  and  Mortality 


1862. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOr.EK. 

NOVEMBER. 

MEAN  STRENGTH  

10,  039. 

10,  095. 

10,  535. 

12,  230. 

14,912. 

LIST  OF  DISEASES. 

Cases. 

deaths. 

Cases. 

ieatlis. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS   1.—  ZYMOTIC   DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

50 

8 

10 

10 

A.5 

3 

44 
13 
150 

11 
10 
11 

41 
1 
31 

13 
2 
5 

30 

58 

87 

3.  Typbo-Malarial  Fever  

230 
100 
54 
2 

5 
416 
35 
44 
2 

4 
1 

0 

4 

253 
356 
°°9 

5 

371 
763 
305 
25 
10 
628 
24 
123 
3 
4 

4 

709 
1,196 
507 
33 
37 
398 
52 
126 
9 
6 

6 

308 
826 

7 

1 

439 
42 

1 

7.  Tertian  Intermittent  Fever  

8 
12 
308 
43 
26 
2 
2 

3 

8 
1 

2 

19 

20 
606 
76 
66 
7 
4 

9 

1 
1 

1 

2 
1 
2 

1 

1 

1 

5 

12 

3 

1 
16 
30 
8 

45 

4 

3 

1 

33 

47 

51 
09 
8 
1 
2 

284 

26 
40 
1 
4 

1 

261 

1 

120 

30 
80 
10 

2 

ORDER  II.—Enthetic  Diseases. 

51 

69 
10 
o 

15 

o 

1 
3 

ORDER  III.  —  Dietic  Diseases. 

3 

9 

5 

3 

o 

1 

2 

1 

4 

12 

1 

0 

2 

briation 

1 

34    Other  Diseases  of  this  Order          ..         

CLASS   II.—  CONSTITUTIONAL   DISEASES. 

ORDER  I.—Diathetic  Diseases. 
35   Gout 

1 
93 
95 
60 
1 

57 
62 

CO 
41 
1 
4 

58 
63 
3 

03 

48 
45 

1 

1 

1 

41.  Tumors  

1 

8 

C 
1 

1 

11 

11 
1 

3 

1 

42.  O<Uer  Diseases  of  this  Order  

3 

9 
2 

ORDER  II.  —  Tubercular  Diseases. 

1 

13 

2 

15 
o 

3 

44   Scrofula             

45.  Other  Diseases  of  this  Order  

o 

9 
9 

CLASS   III.—  PARASITIC   DISEASES. 
40.  Itch  

4 
1 
1 

1 

2 

o 

1 

49.  Other  Diseases  of  this  Order  

Carried  forward  

1,492 

22 

1,819 

26 

2,763 

14 

3,711 

66 

2,  942 

46 

DURING   THE    YEAR   ENDING   JUNE   30,  1863. 


187 


TABLE  XXX. 

of  the  Department  of  North  Carolina. 


1869. 

1803. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

Aruiu 

MAY. 

JUNE.         j|          TOTAL. 

24,  836. 

32,  641. 

20,  361. 

22,  700. 

23,  354. 

20,  962. 

13,  923. 

18,  049. 

1 
o 

3 
4 
5 

C 
7 
8 
9 
10 
11 

13 
14 
15 
16 
17 
18 
19 
20 
21 

oo 
23 
24 
25 

26 
27 
28 

30 
31 
32 
33 
34 

35 
36 
37 
38 
39 
40 
41 
42 

43 
44 
45 

46 

47 
48 
4!) 

Cases. 

deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

46 

4 

94 

1 

67 
1 

3 

39 
1 
35 

30 
10 
37 

1 

7G 
1 

72 

2 

3C 

1 

564 
29 
742 

57 
13 

38 

1 

6 

63 

7 

3 

6 

115 

6 

230 

C56 
298 
22 
8 
910 
78 
182 
15 
12 
10 
3 

1 

224 
670 
332 

186 
349 

210 

183 
394 
265 

191 
391 
234 

1 

301 
622 

2 

545 
302 
2 
1 
1,  197 
101 
176 

2 

3,420 
6,868 
3,527 
273 
164 
9,  590 
931 
1,648 
135 
109 
14 
416 
2 

63 
230 
2  124 

30 
5 
2 

1 

352 

67 

18 
1,  259 
232 
177 
59 

14 
29 
531 
G8 
82 

44 
18 
553 

8 

1,075 
36 
007 

6 

4 
1,709 
137 
322 

4 

5 
1 
2 

1 

1 

1 

1 

1 

1 

55 
4 
15 
8 
2 
1 
3 
2 

0 

3 

2 

49 
97 
8 
12 

1 

1 

2 
oo 

17 
9 

6 
5 
1 

8 

15 

14 

2 

o 

OO 

1 

74 

108 
o 

118 

o 

62 

12 
45 
173 

100 

56 
140 
13 
5 
3 

11 

47 
577 
18 

67 
154 

22 

14 
10 

461 
47 

48 
82 
14 
3 

1 

6 
13 

270 

2 

5 

25 

9 
55 

118 
70 

24 

1 

7 
1 

406 

48 

30 
38 
5 
2 
4 

56 
75 

3 

63 

30 
43 
13 
3 
3 

1,147 

447 
851 

7 

16 
45 

34 
10 
2 

4 
1 
1 

125 

27 
16 

3 

17 

4 
1 

1 

19 

107 
2 
11 

28 
2 
5 

4 

1  529 

9 

15 

5 

11 

23 

1 
1 
2 

1 
2 

1 

3 
1 

2 

2 

1 

1 
4 

1 

3 

116 
183 
57 
4 

296 
196 
54 
2 

309 
3°7 

163 

148 

117 
159 
54 

43 
73 

28 
2 

149 
SO 

1,518 

1 

93 

10 

1 

2 

34 
3 

459 
28 
1 
27 

4 

1 

1 
4 
2 

11 

7 

6 
3 

12 
5 

7 
13 

25 
1° 

1 

8 

16 
8 

1 

36 
1 

1 
1 

17 
9 

2 
5 

12 
3 

3 

7 
1 

57 

2 

o 

154 
53 

10 

12 

172 
8 
15 
2 

11 
3 

0 

16 

43 
o 

17 
1 

33 

3 

3 
o 

0 

1 

3,  026 

20 

4,  974 

19 

2,819 

12 

2,634 

7 

3,304 

11 

4,434 

12 

3,107 

13 

37,675 

2C8 

188 


SICKNESS   AND   MORTALITY    OF   WHITE    TROOPS 


TABLE  XXX.— DEPARTMENT  OF  NORTH  CAROLINA— Continued. 


YE  YK   

1869. 

Movrn  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

10,  039. 

10,095. 

10,  535. 

12,  230. 

14,  912. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1,492 

oo 

1,819 

1 
3 

26 
1 

2,763 

14 

3,711 

1 
5 

66 
1 

2,942 

46 

CLASS    IV.—  LOCAL    DISEASES. 

OHDER  I.  —  Diseases  of  Nervous  System. 

50.  Apoplexy  

4 

40 

4 

47 
2 

1 

8 
68 
3 

51.  Epilepsy  

48 

43 
1 

52.  Headache  

2 

5.i.  Insanity  

1 
3 

1 
2 

1 

54.  Inflammation  of  Brain  

50.  Inflammation  of  Membranes  of  Brain.  .  . 

1 

1 
2 
37 
3 

56.  Inflammation  of  Spinal  Chord  

1 
19 
3 
3 
11 

11 
4 
8 
o 

1 

18 
4 
17 
5 

24 

58.  Neuralgia  

o 

1 

1 

1 

5 

22 

ORDER  II.—  Diseases  of  Eye. 

o 

1 

15 
1 
2 

9 

16 
3 
o 

18 
1 

11 

2 

1 

2 

13 
3 

2 
8 

o 

1 

14 
3 
3 
8 
1 

ORDER  III.—  Diseases  of  Ear. 

20 

3 
4 
1 
6 

3 

2 
20 
2 

3 
3 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

4 
1 

1 

7 

_'     a  va  a 

o.      ropsy  ™ 

'  '         P  y      .                 . 

o 

'    D  a       a 

1 

'                                   y  . 

V    • 

2 
8 
12 

3 
15 

6 
16 

V    ' 

10 

19 
4 

7 
118 
6 

. 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
83    A°thma 

3 

81 
15 

12 

11 
118 
20 

10 
297 

182 

1 

13 

8t>.  Dropsy  of  Chest  

87.  Haemorrhage  from  Nose  

3 

o 

9 
11 
1 
4 

26 

1 
6 
2 
20 
2 
17 

32 

3 

11 
7 
9 
3 
5 

35 
122 

5 
3 

10 
o 

1 

30 
8 
20 
8 
9 

31 

87 
8 

89.  Inflammation  of  Lungs  

3 

1 

92.  Other  Diseases  of  this  Order  

1 

23 
145 

1 

1 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
93.  Colic  

94.  Constipation  

152 

223 

95.  Cholera  Morbus  

13 

10 

5 

o 

97.  Dropsy  from  Hepatic  Disease  

1 
15 

1 
14 

o 

98.  Dyspepsia  

11 

13 

36 

99.  Diseases  of  Pancreas  

100.  Diseases  of  Spleen  

7 

101.  Fistula  in  Ano  

1 
1G 

3 

1 

18 

102.  Hernia  

9 

0 

18 
1 

15 

103.  Haemorrhage  from  Stomach  

Carried  forward  

33 

1,943 

24 

2,395 

3,461 

18 

4,266 

71 

3,700 

47 

DURING   THE    YEAR   ENDING   JUNE    30,   18G3. 


189 


TABLE  XXX.— DEPARTMENT  OF  NORTH  CAROLINA— Continued. 


1863. 

1803. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUKE. 

TOTAL. 

24,  83G. 

32,  641. 

20,  361. 

22,  700. 

23,  354. 

20,  962. 

13,  923. 

18,  049. 

50 
51 
52 
53 
54 
55 
50 
57 
58 
59 
60 
61 

62 
63 
64 
65 
66 
67 

68 
69 
70 
71 
72 

73 
74 
75 
76 

77 
78 
79 
80 
81 
82 

83 

84 
85 
86 
67 
88 
89 
90 
91 
92 

93 
94 
95 
96 

07 
98 
99 
100 
101 

in0 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

3,626 

1 
11 

88 

0 

1 

20 
1 

4,974 

6 

10 
110 
6 
3 

19 

1 
1 

2,819 

12 

2,684 

7 

3,304 

11 

4,434 
o 

12 

3,107 
o 

13 

37,675 

13 

124 
970 
26 

a  - 

4 
1 

12 
80 

8 

99 

6 

90 

50 
147 
3 

3 

110 
3 
1 

4 

1 

4 
1 
1 
1 
39 
1 

2 
2 

11 

20 
19 
434 
38 
39 
53 

6 
7 
370 
23 
20 
18 

182 
38 
30 
109 
g 

5 
6 
o 

1 

1 
2 

1 

0 

1 

1 

5 

1 
1 
49 

10 

o 

3 

11 
68 
5 

1 

1 
21 

73 
3 

30 
G 

45 

1 

4 

1 

1 

1 

o 
o 
1 

5 

5 

1 

1 
3 

3 

0 

0 

3 

1 
51 
3 
7 
5 

16 
5 
5 
9 

32 
1 

1 

67 
1 
1 
3 

26 

32 

35 
1 

42 

42 

8 
1 
1 

15 

1 
1 
1 

10 
6 
1 
7 
2 

1 

4 

1 

18 

19 

o 

9 

7 

4 
2 
12 

3 

7 
12 

1 
10 
2 

1 
5 

2 

' 

13 
1 

1 

7 

1 

14 

18 

10 
1 
4 
3 

1 

7 
1 
2 
2 

7 

1 

G 

1 

86 
5 
9 
25 

4 

1 

0 

1 

3 
1 

1 
28 

1 

3 

4 

2 
7 
125 
178 
47 

139 
2,683 
252 
o 

18 
205 
211 
344 
C4 
COO 

643 
1,953 

:   B 
o 

30 
3« 
4 
27 
17 
300 

1 
19 

12 
1 

21 
571 
24 

5 
13 
17 
2 

13 
14 
4 

11 
199 
23 

16 
11 
10 

9 

290 
40 

10 
17 
o 

15 

16 
3 

G 
143 
24 

9 

32 
407 

1 

1 

13 
177 
19 

1 

4 
80 
6 

1 

1 
1 

62 

1 
6 

47 
44 
74 

2 

07 
<*./ 

27 
10 
12 

76 
117 
18 

1 

16 
23 
36 

1 

11 
31 

62 

1 

19 
56 
28 
10 
111 

110 

215 

1 
4 

16 

39 
9 
243 

15 

5 
8 
1 
G 

39 
157 

2 
23 

2 

1 

2 

5 

5 

1 

11 

57 

6 
11 

59 

1 
214 

46 
004 

1 

o 

10° 

64 
148 
9 

°18 

145 

8 

7 

36 



1 
4 
33 

1 
3 
oo 

0 

32 

6 

r>R 

4 

4° 

„ 

11 
29 

57 

4 
4 
1 

4G 

o 

37 

7 
34 

3 

30 

o 
33 

1 

2 

16 

1 

103 

3 

4,  943 

28 

6,  60C 

29 

3,711 

15 

3,977 

12 

4,382 

21 

1 
5,680 

18 

3,763 

14 

7 

48,  827 

329 

190 


SICKNESS   AND   MORTALITY   OF   WHITE   TROOPS 


TABLE  XXX.— DEPARTMENT  OF  NORTH  CAROLINA— Concluded. 


YEAR  

1802. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

10,  039. 

10,  095. 

10,  535. 

12,  230. 

14,  912. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

forward 

1,943 

24 

2,395 

32 

3,461 

18 

4,266 

71 

3,700 

47 

OKDEK  VI.  —  Diseases  of  Digestive  Organs  —  Continued. 

8 
11 
3 
2 

9 
1 
208 
15 
13 

22 
6 
5 

20 
6 
1 

4G 
12 
4 

1 

79 
6 
1 

2 

1 

o 

14 
4 
132 
32 

4 
1 

42 

1 

1 

8 
46 
34 
12 

2 
1 

2 
1 

58 
40 

1 

og 

24 

21 

1 

ORDER  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

1 
1 

1 

1 
12 

6 

11 
5 

9 
4 

7 
4 
11 

3 

1 
4 

8 
1 

14 
1 

3 

2 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

1 

7 

2 

2 

1 

2 

130    Other  Diseases  of  this  Order 

1 

36 
13 

7 
4 
CO 

ORDER  IX.  —  Diseases  of  Integumentary  System. 

13 
1 

18 
10 
48 

44 

8 
20 

1 

34 

34 
34 
1 
7 
19 

4 
20 

132   Boils 

34 

133.  Carbuncle  

134.  Whitlow  

19 
45 

3 
11 

0 
26 

3 

8 

135.  Skin  Diseases  

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
13C.  Barns  

137.  Contusions  

11 

10 

138.  Concussion  of  Brain  

1 

1 

133.  Drowning  

140.  Sprains  

3 
1 
3 

8 
1 
3 

15 

27 

"8 

141.  Dislocation  

o 

142.  Simple  Fractures  

1 

1 

1 
12 
9 
2 
2 
1 
14 

143.  Compound  Fractures  

144.  Gunshot  Wounds  

19 
11 
13 
3 

14 
10 

7 

1 

17 
14 
0 
6 

2 

22 

o 

143.  Incised  Wounds  

146.  Lacerated  Wounds  

4 
3 

147.  Punctured  Wounds  

148.  Poisoning-  

2 
3 

149.  Other  Accidents  and  Injuries  

12 

1 

1 

49 

130.  ORDER  II.—  Homicide  

151.  ORDER  III.  —  Suicide  

152.  ORDER  IV.—  Execution  of  Sentence 

Total  

2,  395 

27 

2,880 

34 

3,805 

21 

4,639 

76 

4,157 

51 

DURING   THE    YEAR   ENDING    JUNE    30,  1803. 


191 


TABLE  XXX.— DEPARTMENT  OF  NORTH  CAROLINA— Concluded. 


1869. 

1863. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUXE. 

TOTAL. 

24,  836. 

32, 

Cases. 

541. 

20,  361. 

22,  700. 

23,  354. 

20,  962. 

13,  923. 

18,  049. 

104 
105 
106 
107 
108 
109 
110 
111 
112 
113 

114 
115 
116 
117 
118 
119 
120 
121 
122 
123 

124 
125 
126 
127 
128 
129 
130 

131 
132 
133 
134 
135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
146 
147 
148 
149 

150 
151 
152 

Cases. 

Deaths. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

4,943 

28 

6,606 

29 

3,711 

1 

165 
14 
1 
2 
1 
1 
43 
62 

15 

3,977 

1 

166 
5 
1 

12 

4,382 

3 

80 
3 
1 

21 

5,680 

3 

62 

18 

3,763 

14 

48,  827 

8 
968 
107 
37 
10 
87 
62 
812 
627 
137 

27 
7 
5 
1 
17 
134 
74 
66 
7 
41 

3 

16 
54 

323 

124 
4 
1 
1 
9 
1 

C-O 

89 
1 

6 

169 
21 
6 
1 
6 
5 
109 
92 

27 

3 

o 

1 
2 

1 

1 

19 
13 

1 

0 

3 

4 
3 

27 

34 
26 

6 
17 
37 
11 

1 

......... 

45 

37 
73 
5 

4 

1 

1 

57 

68 
9 

2 

26 

5 

3 
1 

10 
2 

1 

2 

6 
1 
2 
1 

3 
20 
14 
10 
2 
4 

1 
5 

14 

1 
] 

1 

1 

4 
4 
5 
11 

2 
13 
9 
11 
1 
o 

3 

11 
6 
6 

3 

14 
16 
8 
1 
1 

0 

24 
5 
4 
1 

3 

1 
2 
1 

1 

2 

9 

4 
8 

3 

6 

1 
3 

3 

o 

1 

5 

2 
2 

1 

1 

5 

2 
1 

o 

20 
7 
4 

4C8 
618 
82 
145 
406 

80 
283 
7 

3 

47 
66 
5 

10 

24 

40 

87 

68 
95 

30 
49 
4 
16 
25 

5 

27 

42 
59 

44 
89 
3 
11 
60 

3 

28 

34 
83 
2 

7 
10 

12 

1 

16 
18 
36 

17 
60 
4 

25 
32 

9 
37 

12 
21 

7 

20 

17 
28 

23 

1 

2 

2 

1 

1 

C 

114 
2 
o 

80 
5 
3 

56 

63 
7 

7 

82 
4 
3 

86 
1 
3 

49 
f> 

CH 
26 
27 
1 
710. 
190 
85 
41 

r,tj 

173 

1 
1 

1 

1 

496 
8 
4 
2 

36 

32 

12 
35 

12 
20 
8 
1 
8 
1 

2 

38 
14 
7 
3 

2 

36 
33 
11 
8 
6 
29 

3 

28 
22 
1 
7 
2 
12 

2 

4 
9 
11 
1 
2 
3 

1 

47 

11 
5 
8 
10 

2 

2 

1 
2 

1 

1 

o 

C 

4 

1 

"" 

6,143 

65 

7,611 

32 

4,328 

18 

4,622 

14 

5,046 

27 

6,400 

24 

4,128 

17 

36,154 

400 

192 


SICKNESS   AND   MORTALITY   OF   WHITE   TROOPS 


TABLE  XXXI. 

Abstract  of  the  Sickness  and  Mortality 


YE  \R             

1869. 

MOXTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

14,  203. 

13,  145. 

13,  837. 

14,  980. 

14,031. 

LIST  OF  DISEASES. 

Cases. 

deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

CLASS    1.—  ZYMOTIC    DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

C8 

14 

85 

33 

40 

3 

36 
4 
95 
70 
573 
521 

5 
1 

20    :          1 

111 
2 
187 
99 
74 

34 
153 
453 
183 
91 
9 
8 
636 
145 
228 
75 
9 

15 
147 
534 
476 
93 
28 
14 
608 
68 
177 
30 
3 

20     

o 
1 

30 
6 

32 
1 

15 
2 

10 
358 
467 
153 
9 
16 
636 
103 
87 
12 
6    ! 
1     ; 
8 

1 

1 

197 
11 
24 
621 

1 

5 
829 

1 

3 

8 

10 

7 

120 
2GO 
41 
8 

1 
9 
2 

3 
3 
2 
1 

90 
181 
33 
5 

3 
1 

4 

5 

4 
5 

2 

'     ^        . 

2 
1 

120 

1 

lp 

2 
14 
255 

9 
15 

o 

3 

163 

291 

8 
8 
7 

0 

8 
243 

6 
240 

4 
3 
6 

1 

238 

7 
8 
4 
3 

ORDER  II.  —  Enthetic  Diseases. 
2°    Syphilis                                        

6 
10 
9 
1 

5 
1 

25.  Stricture  of  the  Urethra  
26   Purulent  Ophthalmia  

27.  Serpent  Bite  

28   Other  Diseases  of  this  Order  

ORDER  III.  —  Dietic  Diseases. 
20    Scurvy           

20 

1 

f~O 

1 

50 

49 

0 

16 

31.  Delirium  Tremcns  

1 
1 

32.  Inebriation  

3 

1 

33.  Chronic  Alcoholism  

34.  Other  Diseases  of  this  Order  

CLASS    II.—  CONSTITUTIONAL    DISEASES. 
ORDER  I.  —  Diathetic  Diseases. 
35.  Gout  

36.  Acute  Rheumatism  

79 
65 

46 
45 

65 
27 
4 

70 
50 
6 
2 

50 
75 

37.  Chronic  Rheumatism  

38.  Anaemia  

2 
2 

1 

2 

15 

39.  General  Dropsy  

4 

40.  Cancer  

41.  Tumors  

1 
8 

23 
3 

3 

o 

42.  Other  Diseases  of  this  Order  

1 
5 

2 
14 

0 

2 
15 

0 

ORDER  II.  —  Tubercular  Diseases. 
43.  Consumption  

11 

5 

o 

17 
2 

3 

44.  Scrofula  

45.  Other  Diseases  of  this  Order  

CLASS    III.—  PARASITIC    DISEASES. 
40.  Itch  

47.  Tape-worm  

48.  Other  Intestinal  Worms  

1 

1 
1 

49.  Other  Diseaaes  of  this  Order  

Carried  forward  

2,309 

37 

2,521 

62 

2,659 

59 

3,141 

46 

2,475 

21 

DURING    THE   YEAR    ENDING    JUNE    30,  18C3. 


193 


TABLE  XXXI. 

of  the  Department  of  the  South. 


1863. 

18t>3. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

15,  724. 

14,  646. 

26,  348. 

20,  538. 

23,  514. 

21,  705. 

22,  231. 

18,  409. 

1 
2 

3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 

23 

24 
25 

27 
28 

30 
31 
32 
33 
34 

35 
30 
37 

38 
39 
40 
41 
42 

43 

44 
45 

46 

47 
48 
40 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.     Deaths. 

Cases.     Deaths. 

17 

1 

12 

23 
1 
25 

2 

15 

1 

18 

1 

15 

54 

10 

403 
5 
503 
382 
3,115 
3,804 
2,299 
397 
106 
7,975 
1,230 
2,010 
293 
62 
o 

37 

51 

1 

80 
H 
1 
1 

14 

1 

44 

3° 

20 

1 

35 

58 

133 

20C 
178 
39 
o 

314 
102 
92 
12 
6 

69' 

186 
111 
10 
fi 
220 

97 
283 
155 
17 
18 
540 
92 

102 

112 

177 
321 
380 
24 

1 

320 
624 

245 

193 

211 
22 

154 

28 

502 

200 
3 
1,310 
192 
350 
8 
4 

4 

8 
1,074 
85 

o 

1 

36 

615 

572 

2 
1 
3 

94 
35 
29 
4 

78 
156 
14 
5 

1 

61 
107 
18 
3 

3 
3 
1 

18 
21 
19 

: 

88 
13 
5 

243 

8 
4 

1 
2 

5 

1 

21 

1 

I 

3 

1 

152 
110 

8 
14 
7 
2 

2 

8 

1 

6 
7 
252 

4 
11 
388 
39 

8 
23 

1 

1 
23 

1 

2 
2 
59 
41 

13 

22 
8 
2 

1 

20 
54 
1  718 

1 

0 

249 
29 

4 
13 
7 
1 

175 

24 

132 

18 

5 

7 
6 
4 

1 

20 

18 
19 
4 
1 

1,548 

92 
155 
82 
oo 

I 

o 

13 

7 

1 

4 

1 

2 
6 

1 

5 

1 

1 

7 

1 

7 
1 

2 
2 

7 

200 
o 

8 
8 

14 

5 

4 

1 

o 

3 

2 

1 
1 

1 

4 

4 

9 

62 
80 
10 
2 

106 
101 
20 

111 
1°3 

149 
117 
22 

43 

78 
66 
33 
1 

es 

944 
874 
226 
23 

70 
39 
3 

23 

51 

i 

2 

1 

1 

0 

18 

6 
1 

1 
5 

13 
o 

3 
6 

9 
3 
1 

10 
1 
6 

n 

2 
1 

16 
4 

i 

6 

8 
4 

15 

59 

151 

29 
8 

79 
4 
21 
1 

9 

10 
o 

1 

21 

o 

1 

9 
4 

1 

o 

r. 

°5 

17 

13 

14 

1 

2 
6 

1 

1 

5 

1,015 

13 

1,  390 

1 

2,012 

6 

2,343 

4 

1,714 

3 

2,  799 

•. 

4,017 

19 

2i?,9L>5 

277 

25 


194 


SICKNESS   AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  XXXI.— DEPARTMENT  OF  THE  SOUTH— Continued. 


YEAH  

180^. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOHEB. 

NOVEMBER. 

MEAX  STRENGTH  

14,  203. 

13,  145. 

13,  837. 

14,  980. 

14,  031. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

t  forward 

2,309 

1 

10 
52 

37 

1 

2,521 

62 

2,659 

59 

3,141 

46 

2,475 

1 
4 
23 
1 

21 
I 

CLASS    IV.  —  LOCAL    DISEASES. 

ORDER  I.—  Diseases  of  Nervous  System. 

5 

58 

2 

3 

32 

3 

41 
9 

o 

2 

1 

1 

1 

1 

40 
5 

1 

18 
4 
9 
9 

5 
2 
19 
4 
7 
1 

8 
5 
1 
4 

15 
4 
5 
4 

1 

29 

28 

9 
9 

2 

1 

1 

2 

1 

5 

J 

5 

6 

2 
1 
23 
3 
5 
6 

1 
2 
o 

4 

1 

ORDER  II.  —  Diseases  of  Eye. 

17 
4 
6 
3 

19 

9 

14 

2 
7 
8 

3 

'  n  °       [l°e  i  •  '' 

4 

5 
5 
1 
2 
o 

ORDER  ill.  —  Diseases  of  Ear. 
68    E'iraclie                                                                 

3 
1 
2 

70    Deafness                       

3 

72    Other  Diseases  of  this  Order  

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

1 

1 
7 

1 
o 

2 

3 

1 

1 

1 

4 
11 
10 

11 
114 

15 

5 
9 
S 

7 
167 
13 

3 

2 
8 

3 

152 

1 

S 
1 
4 

4 
26 
8 

6 
4 

7 

1 
53 

4 

82.  Other  Diseases  of  this  Order 

2 

1 

2 

1 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
83.  Asthma 

84.  Acute  Bronchitis  

1 

86.  Dropsy  of  Chest  

87.  Haemorrhage  from  Nose  

2 
1 
5 
7 
4 
5 

77 
113 
32 

1 
1 
8 
10 
3 
3 

53 

119 

29 

88.  Inflammation  of  Larynx  

1 

1 
3 

11 
o 

89.  Inflammation  of  Lungs  

3 
11 
3 
1 

25 
84 
23 

90.  Inflammation  of  Pleura  

10 
6 
o 

29 
57 
2° 

91.  Hemorrhage  from  Lungs  

92.  Other  Diseases  of  this  Order  

1 

1 

1 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
93.  Colic  

27 

94.  Constipation  

81 
25 

1     95.  Cholera  Morbus  

2 

96.  Cirrhosis  of  Liver  

97.  Dropsy  from  Hepatic  Disease  

1 

17 

3 

14 

1 
2 

3 
3 

o 

98.  Dyspepsia  

6 

99.  Diseases  of  Pancreas  

100.  Diseases  of  Spleen  

1 

(; 

o 

101.  Fistula  in  Ano  

4 
34 
1 

3 

21 

3 

3 
25 

102.  Hernia  

30 
o 

21 

103.  Haemorrhage  from  Stomach  

Carried  forward  

2,950 

41 

3,074 

71 

3,110 

6C 

3,  619 

52 

2,840 

23 

DURING    THE    YEAR    ENDING    JUNE   30,  1863. 


195 


TABLE  XXXI.— DEPARTMENT  OF  THE  SOUTH— Continued. 


1862. 

18(313. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

15,  724. 

14,  646. 

26,  348. 

26,  538. 

23,  514. 

21,  705. 

22,  231. 

18,  409. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

50 
51 
,  52 
53 
54 
55 
56 
57 
58 
59 
60 
61 

62 
C3 
64 
65 
66 
67 

68 
69 
70 
71 

72 

73 

74 
75 
76 
77 
78 
79 
80 
81 
82 

83 
84 
85 
86 
87 
88 
89 
9C 
91 
92 

93 
94 
95 
96 
97 
98 
99 
100 
101 
102 
103 

1,615 

13 

1,390 

1 

2,012 

6 

2,343 

4 

1,714 

3 

4 
69 
6 

3 

1 

2,799 

6 

4,017 

19 

28,  995 

5 
49 
682 
52 
1 
2 
5 
27 
393 
48 
36 
36 

18 
4 
334 

277 

3 

2 

2 
16 
3 

1 

39 
3 

6 

98 
5 

7 
86 
6 

1 

70 
7 

3 

98 
6 

1 

1 

1 

1 

9 
54 
4 

2 
5 
48 
4 

1 
3 

50 

2     1 

2 
34 
3 
1 
4 

1 

4 
40 
3 
5 
o 

16 
2 

21 

1 

6 
5 

o 

1 
3 

1 

4 
1 

1 

2 

3 

1 

1 

o 

1 

42 

18 
1 
7 
3 

6 
3 

15 

30 
4 
6 
3 

13 
4 

31 
4 
11 

45 

61 
6 
28 
6 

10 
2 
4 
2 

4 
3 

1 

5 
3 

1 
9 

1 
16 

1 

12 

43 

117 
38 

90 
31 
13 
37 
4 

16 
o 

11 

3 

o 

2 

5 

1 

2 

8 

5 

3 

2 

1 

1 

1 

1 
1 

4 

5 

13 
1 

1 
13 

18 

77 
66 
61 

94 

1 

1 
1 

1 

1 

3 
1 

2 
10 
11 
3 

16 
111 
35 

1 

1 

2 

3 

1 

1 

6 
3 

9 

4 
86 
5 

6 
4 

4 

9 
137 
13 

3 

7 
2 

15 
158 
30 

4 
6 
1 

7 
104 
18 

10 
4 
4 

1° 

4 
3 

15 

1 

7 

1 

60 
7 
1 
6 
16 
10 
18 
3 
39 

77 
144 
17 

73 

1,241 

157 

2 

8 

1 
]3 
170 
101 
182 
37 
186 

591 
1,391 
210 

1 
42 

1 
37 
34 
32 
2 
o 

53 

1 
16 
8 
24 

3 

4 
12 
2 

6 

34 
93 

14 

10 
3 
11 

43 

8 
7 
7 
24 

60 
151 

1 
2 

15 

2 

09 

o 

3 

21 

8L> 
176 
2? 

1 

33 

16 
71 
6 

50 

58 
144 
9 

1 

5 
1 

1 

158 

9 

2 

3 

5 

1 

26 

3 

37 



5 

ra 

22 
£56 

5 

26 

53 

3 
1 
14 

1 
1 
14 
o 



7 
34 
249 
9 

o 
15 

3 

28 

o 
18 
2 

3 

15 

3 

14 
1 

2,  002 

15 

1,840 

2 

2,864 

8 

3,181 

7 

2,404 

8 

3,521 

6 

4,857 

20     |    36,  262 

3  V.I 

196 


SICKNESS    AND    MORTALITY   OF   WHITE    TROOPS 


TABLE  XXXI.— DEPARTMENT  OF  THE  SOUTH— Concluded. 


YEAK  

186Q. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

ME  AX  STRENGTH  

14,  203. 

13,  145. 

13,  837. 

14,980. 

14,  031. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

2,950 

41 

3,074 

71 

3,  110 

60 

3,619 

52 

2,840 

23 

ORDER  VI.  —  Diseases  of  Digestive  Organs  —  Continued. 

35 

20 

18 

46 
6 
7 

1 

29 
8 
4 

3 

12 

6 

106.  Inflammation  of  Stomach  

o 

1 

37 

8 
260 
28 

o 

12 

4 
4 
156 

28 

5 

109.  Acute  Inflammation  of  Liver  

1 

3 

249 
2G 

6 

189 
21 

1 

74 

15 

5 

4 

2 

1 

1 

ORDER  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

2 

1 
1 

G 
1 

9 
4 

6 
3 

1 
3 

7 

5 

4 
1 

4 

1 
4 

1 

o 

3 

19 

4 
9 

3 

ORDEK  VIII.  —  Diseases  of  Bones  and  Joints. 

!<>.-   r    •  J 

„      . 

~  ' 

2 

1 

1 

106 
20 
8 
11 
14 

2 

1 

74 

ORDER  IX.  —  Diseases  of  Integumentary  System. 
131    Abscess                                                                .... 

103 

85 

135 

74 

°7 

13°    Boils 

18 

JO 

21 

8 
8 
6 

2 

18 

16 
15 

11 

8 
59 

o 

134    Whitlow 

8 
118 

3 

108 

4 
25 

CLASS    V.—  WOUNDS,   ACCIDENTS,   AND 
INJURIES. 

OUDER  I.  —  Wounds,  Accidents,  and  Injuries. 
136.  Burns  

10 

139.  Drowning  

i 

140.  Sprains  

8 

7 

2 

6 
1 

3 

141.  Dislocation  

2 

140.  Simple  Fractures  

5 

2 

2 

3 

143.  Compound  Fractures  

144.  Gunshot  Wounds  

19 
35 

10 
15 

1 

20 
27 

2 

16 
6 
1 

1 
6 

1 

199 
11 
32 

10 

25 
16 
10 

145.  Incised  Wounds  

146.  Lacerated  Wounds  

11 
3 
o 

1 
1 

147.  Punctured  Wounds  

32 

148.  Poisoning  

14'.).  Other  Accidents  and  Injuries  

13 

1 

6 

3 

9 

150.  ORDER  II.  —  Homicide  

151.  OltDEll  III.     Suicide  . 

1 

152.  ORDER  IV.  —  Execution  of  Sentence  

Total  

3,804 

40 

3,802 

77 

3,623 

68 

4,  370 

65 

3,201 

24 

DURING   THE    YEAR    ENDING   JUNE    30,  1863. 


197 


TABLE  XXXI.— DEPARTMENT  OF  THE  SOUTH— Concluded. 


1802. 

1803. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

15,  724. 

14,  C46. 

26,  348. 

26,  538. 

23,  514. 

21,705. 

22,  231. 

18,  409. 

104 
105 
106 
107 
108 
109 
110 
111 
U2 
113 

114 
115 
116 
117 
118 
119 
120 
121 
122 
123 

124 
125 
126 
127 
128 
129 
130 

131 
132 
133 
134 
135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
140 
147 
148 
149 

150 
15] 
152 

Cases. 

Deaths. 

Cases. 

Deaths 

Cases. 

Deaths 

Cases. 

Deaths 

Cases. 

Deaths.   Cases. 

Deaths. 

Cases.    Deaths 

Cases. 

Deaths. 

2,002 

15 

1,840 

2 

2,804 

8 

3,181 

1 

C8 
o 

7 

2,404 
o 

8 

3,521 

6 

4,857 

1 
30 
13 
4 

20 

36,  2C2 

4 
004 
94 
08 
4 
114 
08 
1,132 
362 
59 

16 
2 
o 

1 
18 
61 
31 

319 

53 
3 

34 
5 
5 

88 
10 
o 

45 

38 
13 

67 

1 

G 
4 
1 
7 
14 
21 
28 
10 

5 

3 
2 

11 

7 
28 

1 
1 

1 

1 

4 
1 

1 
9 

8 
09 

2 
9 
37 
19 
4 

12 
5 
34 
38 
6 

o 

13 
4 
33 
37 
12 

3 
1 

2 

•XI 

23 
4 

58 
3 

2 

41 
10 

1 

1 

1 

1 

6 

1 

1 

1 
1 

4 
3 
4 
1 
10 

2 
2 
5 

o 

6 
3 
3 
4 
2 
1 

7 
5 

0 

6 
5 
2 
3 

11 

7 

2 
4 
5 
2 
3 

4 
3 

8 

0 

3 

1 
4 

og 

1 
3 

°3 

4 
3 

78 

6 
5 

15 

1 

1 
2 

1 

2 

6 

3 

3 
5 

8 

1,041 
640 
86 
175 
450 

49 
35!) 
2 

1 
3 

71 
110 
3 

18 
34 

5 
25 

1 

1 

99 
15 
6 
19 
14 

1 

27 

1 

68 
29 

1 
92 

75 

65 

79 
115 
4 

A.O 

21 

83 
5 

19 
29 

10 
53 

1 

39 
2 
21 

78 
9 
17 
22 

2 
6 
9 

1 

40 

16 

3 

33 

1 

7 
38 

9 

47 

1 

1 

2 

11 
1 
4 

28 

39 
4 
5 

37 
1 
4 

37 

42 

39 
1 
3 

259 

3 

0 

17 

36 
3 

394 
262 
113 
106 
17 
87 

3 

3 

3 

16 
29 
5 
17 

18 
7 
5 

14 
12 

16 
20 
8 

24 

2 

18 
11 
3 

9 
42 
5 
9 
5 
3 

1 

17 

1 
1 

7 
4 

9 
8 
1 
5 

2 

14 

1 

4 

G 

15 

3 

1 

2 

1 

2,412 

1 

16 

2,187 

2 

3,477 

e 

3,802 

10 

2,844 

10 

4,121 

9 

5,457 

24 

43,  100          359 

198 


SICKNESS   AND   MORTALITY    OF   WHITE    TKOOPS 


TABLE  XXXII. 

Abstract  of  the  Mortality  in  the 


YEAR  

1803. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

14,  323. 

22,054. 

38,  351. 

35,  140. 

36,  437. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS  1.—  ZYMOTIC    DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

280 

281 
2 

2C5 

270 

300 
9 
10 
8 

1 
51 
8 
oo 

0 

o 

J  ^ 

9 
4 
29 

r     T>                       -r 

18 

11 

1 

0 

1 

3 

2 

0.  Congestive  Intermittent  Fever  

3 

14 
31 
8 
15 

4 
37 
91 
20 

2 
32 
233 

7 
7 
228 
11 
30 
1 
7 
0 

42 

'           °.     ' 

164 

38 

12 
50 

~'             •    T)  . 

oo 

34 

4 
0 

'  E  r°°  CHsJ            J 

4 

1 
2 
1 

8 
5 

17   Scarlet  Fever                         

18    Diphtheria 

4 

13 
2 

17 

12 

20   Epidemic  Catarrh 

1 

11 

1 

9 

1 

9 

30 

31 

ORDER  II.  —  Enthetic  Diseases. 
22.  Syphilis  

23.  Gonorrhoea  

24.  Orchitis  

25.  Stricture  of  the  Urethra  

26.  Purulent  Ophthalmia  

27.  Serpent  Bite  

28.  Other  Diseases  of  this  Order  

1 

5 

1 
4 

2 

2 
1 
4 

OKDEU  III.  —  Dietic  Diseases. 
29.  Scurvy  

4 

5 

30.  Purpura  

31.  Delirium  Tremens  

3 

2 

32.  Inebriation  

33.  Chronic  Alcoholism  

34.  Other  Diseases  of  this  Order  

2 

o 

o 

CLASS  II.—  CONSTITUTIONAL   DISEASES. 
ORDER  I.  —  Diathetic  Diseases. 
35.  Gout  

36.  Acute  Kheumatism  

1 
2 

2 

2 

4 

1 

3 

7 
1 
1 

3 
4 
3 

37.  Chronic  Kheumatism  

38.  Anaemia  

8 

1 

39.  General  Dropsy  

1 

40.  Cancer  

1 

41.  Tumors  

1 

42.  Other  Diseases  of  this  Order  .   . 

2 

24 

7 

40 

1 
1 

3 

04 
1 

3 

47 
1 
1 

ORDER  II.—  Tubercular  Diseases. 

43.  Cnnsnmptinn 

37 
2 
1 

44.  Scrofula  

1 

45.  Other  Diseases  of  this  Order  

CLASS  III.—  PARASITIC    DISEASES. 
46.  Itch  

47.  Tape-worm  t  

48.  Other  Intostin;il  Worms  

49.  Other  Diseases  of  this  Order    . 

Carried  forward  

4°4 

574 

775 

776 

735 

DURING   THE   YEAR   ENDING   JUNE   30,  1863. 


199 


TABLE  XXXII. 

General  Hospitals  of  the  Atlantic  Region. 


1863. 

1863. 

DECEMBER. 

JANUARY.          FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

39,  499. 

33,  184.                    27,  971. 

21,  556. 

20,  383. 

18,  894. 

24,  529. 

27,  744. 

1 

3 

4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
1C 
17 
18 
19 
20 

24 

26 

(yj 

29 
30 
31 
32 
33 
34 

35 
36 
37 

38 
39 
40 
41 

42 

43 
44 
45 

46 
47 
48 
49 

Cases. 

Deaths. 

Cases. 

Deaths.    Cases 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

213 

196 
1 

108 
3 

80 
3 
4 

67 

41 

134 

2,241 
21 
131 
20 
146 
11 
13 
3 
54 
143 
1,481 
]06 
200 
52 
259 
35 
3 
83 
5 
3 
109 

3 

1° 

o 

8 

7 

14 
1 
o 

4 
1 
1 

7 

4 
1 

1 
3 

4 

13 

1 
o 

3 
1 

1 
o 

20 
2 

6 
1 
119 
1 
4 
9 
48 
6 
1 
6 

2 

o 

0 

2 

4 
43 
9 
7 
1 

4 

183 
3 

18 



51 

57 

30 

o 

1 
4 
4 
48 
5 

1 

] 
3 
38 
4 

15 

10 
30 
3 

o 

51 

18 
5 
1 

1 
1 
12 

9 

4 
1 
1 

2 

2 

5 

8 

3 

1 

o 

1 

1 

1 

1 

1 

1 
1 
o 

1 

|j          

6 

24 
6 
19 
1 

o 

1 

0 

1 

1 

1 

1 

4 
1 

1 

1 

2 

0 

10 

o 

1 
o 

14 

29 
5 
4 
o 

28 

426 
9 
3 

4 
3 

0 

1 

1 
1 

0 

1 

2 
1 

o 

] 

1 
3 

57 

! 

3 

57 

1 

6 
30 

1 

15 

25 

17 

7 

1 

1 

593 

375 

233 

212 

138 

246    i 

.">,  730 

200 


SICKNESS   AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  XXXII.— GENERAL  HOSPITALS  OF  THE  ATLANTIC  REGION— Continued. 


y  F.  AK  

1802. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

14,  323. 

22,  654. 

38,  351. 

35,  146. 

36,  437. 

LIST  OP  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

424 

574 

5 
1 

775 

3 
3 

770 

6 

1 

735 

7 
3 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.  —  Diseases  of  Nervous  System. 

1 

1 

1 

2 

1 

2 
3 

4 

o 

'       K, 

3 

3 
1 

5 

2 
1 
4 

5 

2 

2 

G 

ORDEB  II.  —  Diseases  of  Eye. 

'             f  i  •  J 

ORDEK  III.  —  Diseases  of  Ear. 

70   Deafness 

OHDEII  IV.  —  Diseases  of  Organs  of  Circulation. 

1 

9 

0 
o 

1 
1 

1 

1 
2 

2 

3 

78.  Inflammation  of  Endocardium  

1 
1 
1 

79.  Inflammation  of  Veins  

2 

80.  Varicose  Veins  

81.  Varicocele  

82.  Other  Diseases  of  this  Order  

5 

17 

11 

1 

1 

1 
1 
3 

OUDEU  V.  —  Diseases  of  Respiratory  Organs. 
83.  Asthma  

84.  Acute  Bronchitis  

1 

3 
1 

4 
4 

1 

85.  Chronic  Bronchitis  

8C.  Dropsy  of  Chest  

87.  Hsemorrhag-e  from  Nose  

88.  Inflammation  of  Larynx  .  .  . 

1 
20 
o 

2 
11 
2 

1 

24 
4 
2 

8 

4 
41 

0 

o 

89.  Inflammation  of  Lunps 

18 

&0.  Inflammation  of  Pleura  

91.  Hremorrhapc  from  Limps  

1 
6 

92.  Other  Diseases  of  this  Order  , 

3 

9 

ORDER  VI.—  Diseases  of  Digestive  Organs. 
93.  Colic  

94.  Constipation  

95.  Cholera  Morbus  

3 

3 

90.  Cirrhosis  of  Liver  

97.  Dropsy  from  Hepatic  Disease  

1 

3 

1 
1 

3 

o 
1 

98.  Dyspepsia  

99.  Diseases  of  Pancreas  

100.  Diseases  of  Spleen  

101.  Fistula  in  Ano  

102.  Hernia  

1 

1 

103.  HaL'ir.orrhage  from  .Stomach  

1 

Carried  forward  

465 

C46 

847 

856 

8:37 

DURING   THE    YEAR    ENDING   JUNE    30,   18G3. 


201 


TABLE  XXXII.— GENERAL  HOSPITALS  OF  THE  ATLANTIC  REGION— Continued. 


1862. 

1803. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

39,  499. 

33,  184. 

27,  971. 

21,  556. 

20,  383. 

18,  894. 

24,  529. 

27,  744. 

50 
51 
52 
53 
54 
55 
50 
57 
58 
59 
60 
61 

62 
63 
64 
65 
66 
67 

68 
69 
70 
71 

72 

73 

74 
75 
76 
77 
78 
79 
80 
81 
82 

83 
84 
85 
86 
87 
88 
89 
90 
91 
92 

93 
94 
95 
96 
97 
98 
99 
100 
101 
102 
103 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

649 

1 

1 

593 
o 

375 
o 

233 
o 

212 
1 

138 
3 

246 

5,  7:;o 

35 
13 

o 

1 

o 

1 

1 

7 

3 
41 
31 
6 

10 
o 

3 

4 

3 

7 

5 

4 
3 

8 
6 

o 

I 

1 

2 

1 
1 

o 
21 
2 
28 

3 

2 

3 

—  

1 

4 

1 

1 

1 

1 

2 
2 

2 
3 

5 
43 
8 
7 
11 
3 
4 
1 

5 
2 
3 

6 

3 
3 

1 

3 

1 

1 

1 

1 

1 

0 

1 

3 

2 

1 
5 

2 
2 

1 

1 

1 
2 

1 

2 

47 

5 

28 
27 
1 
1 
16 
417 
17 
14 
41 

o 
1 
9 

7 

3 
4 

1 
1 

7 

1 

1 

1 

1 

4 

68 
4 
o 

2 

58 

2 
27 

53 

38 

48 

11 

3 
2 
5 

3 

1 

1 

0 

3 

o 

3 

1 

1 

1 

1 

1 

1 

1 

1 

1 

0 

14 
3 

1 

1 

1 

3 
1 

757 

718 

476 

302 

287 

183 



279 

6,643 

202 


SICKNESS   AND   MORTALITY    OF    WHITE   TROOPS 


TABLE  XXXII.— GENERAL  HOSPITALS  OF  THE  ATLANTIC  REGION— Concluded. 


YEAR        

1803. 

MONTH  

JULY. 

AUGUST. 

SErTEMISER. 

OCTOBER. 

NOVEMBER. 

UNDER  TREATMENT  AT  CLOSE  OF  MONTH  .  - 

14,  323. 

22,  C54. 

38,  351. 

35,  146. 

36,  437. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Oeaths. 

Cases. 

Deaths. 

465 

646 

847 

856 

827 

Brought  forward  
OUDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

2 
2 
3 

1 
3 
11 
1 



4 
7 
5 

105.  Inflammation  of  Tonsils  

1 
1 
3 

4 
4 
4 
3 
1 
1 

10(3.  Inflammation  of  Stomach  

107.  Inflammation  of  Bowels  

5 

108.  Inflammation  of  Peritonaeum  

3 

101).  Acute  Inflammation  of  Liver  

0 

1 
2 

1 

1]0.  Chronic  Inflammation  of  Liver  

1 

1 

111.  Jaundice  

1 
6 

1 

5 

1 

4 

113.  Other  Diseases  of  this  Order  
ORDER  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

1 

2 

1 

5 

1 

0 

1 

1 

3 

1 

1 

ORDER  VIII.—  Diseases  of  Bones  and  Joints. 

1 
o 

1 

ORDER  IX.  —  Diseases  of  Integumentary  System. 

1 

1 

1 

1 

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
136.  Burns      

1 

1 

o 

1 

1 

1 
1 

1 

142.  Simple  Fractures  

1 

3 

4 
6 

702 

1 

°4 

143.  Compound  Fractures  

21 
147 
1 

107 

ir,8 

428 

143.  Incised  Wounds  

i 

1 
1 

147.  Punctured  Wounds  

f> 

4 

1 

149.  Other  Accidents  and  Injuries  

7 

8 

9 

7 
1 
2 

150.  ORDER  II.    Homicide  

151.  ORDER  III.  —  Suicide  

1 

1 

152.  ORDER  IV.  —  Execution  of  Sentence  

Total  

686 

847 

1,595 

1,353 

1,036 

DURING   THE    YEAR    ENDING    JUNE    30,  1863. 


203 


TABLE  XXXII.— GENERAL  HOSPITALS  OF  THE  ATLANTIC  REGION— Concluded. 


18G3. 

1803. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

39,  499. 

33,  184. 

27,  971. 

21,  55G. 

20,  383. 

18,  894. 

24,  529. 

27,  744. 

104 
105 
106 
107 
108 
109 
110 
111 
112 
113 

114 
115 
116 
117 
118 
119 
120 
121 
122 
123 

124 
125 
126 
127 
128 
129 
130 

131 
132 
133 
134 
135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
146 
147 
148 
149 

150 
151 
152 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

737 

718 

470 

392 

287 

183 

279 

1 

1 

6,643 

3 

10 
24 

44 
23 
10 
8 
11 
1 
24 

2 
4 
1 
4 
1 

3 

0 

] 
5 

1 
3 

1 

4 

3 

0 

1 
1 
1 
1 
1 

3 
1 
1 
3 

1 

1 
1 

1 
1 
1 

1 

4 

1 

o 

1 
2 

4 
12 

2 

2 

3 
1 

2 

1 

14 
o 

1 

1 

1 

4 

1 

1 

j| 

o 
11 

3 

1 

1 
1 

0 

3 
9 
10 
5 

1 
1 

1 

0 

o 

3 

0 

1 

1 

2 

1 

li 

0 

11 
72 
2,642 
4 
1 
13 
1 
Co 

3 

10 

6 

277 
1 

5 
333 

1 

56 

o 

3 

172 

4 

34 

16 
1 

1 

I 

6 

18 
1 

o 

1 

2 

1 

5 
1 

1 

2 

3 

'•  

1,073 

|  

1,098 

550 

353 

317 

371 

429 

....     ''.  " 

204 


SICKNESS   AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  XXXIII. 

Abstract  of  the  Sickness  and  Mortality 


YEAR  

18G2. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH,  (not  including  Table  ^JTJTII)  

227,  419. 

160,  950. 

229,  084. 

277,  230. 

289,891. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS   1.—  ZYMOTIC   DISEASES. 
ORDER  I.  —  Miasmatic  Diseases. 

1,851 
87 
1,387 

4,862 
2,215 
2,055 
253 
110 
23,  727 
2,  288 
2,746 
454 
133 
5 
48 

485 
9 
3 

5L 
12 
1 

957 
99 
693 
153 
2,  690 
1,  705 
1,614 
117 
72 
11,  125 
1,  908 
1,425 
214 
84 
1 
59 
1 

386 
10 
19 
30 
32 
1 

626 
8 
758 
147 
3,081 
3,243 
1,956 
304 
92 
19,  150 
2,439 
1,  892 
253 
89 
8 
77 
4 

314 
1 

57 
40 
38 

0 

2,012 
42 
949 
70 
4,622 
4,  837 
3,038 
431 
247 
23,  502 
3,594 
3,010 
408 
128 
6 
607 
3 
90 
86 
1,298 
],019 

702 

457 
17 
37 
19 
50 
1 
4 

2,113 
20 
1,108 
10 
3,047 
3,084 
2,258 
194 

579 
13 
56 
9 
45 
1 
3 

o    T^h 

"'      ^         nr          •       V 

'       °    °^ 

. 

26 
21 
47 
31 
24 
4 

26 
41 
106 
26 
26 

3 
] 

45 
175 
47 
39' 

5 

7 

40 
43 
263 
30 
64 
8 
5 
3 

88 
16,  002 
2,494 
2,201 
379 
141 

318 
15 
82 
243 
2,001 
813 

056 
1,003 
155 

30 
13 
291 
47 
48 
7 
7 
10 
1 
17 

1 

1 

' 

'          ron'C 

15.  Small-pox  and  Varioloid  

4 

13 
2 

24 
o 

1 

28 

159 

285 

28 
38 

21 
106 
2,  162 

405 
1,024 

. 

3,886 

394 

587 

35 

2,372 
283 

39 

45 

ORDER  II.  —  Enthetic  Diseases. 
2°    Syphilis 

468 
97 

1,282 

155 
41 

94 
20 

170 
32 

.  f 

43 
17 

17 
2 
33 

152 
4 
53 
53 
6 
17 

5 
2,436 
2,461 
541 
59 
5 
33 

27    Serpent  Bite 

1 

2 

1,224 

4 

28    Other  Diseases  of  this  Order 

1 
6 

5 

178 

1 

7 

21 

171 
5 
24 
25 
17 
85 

2 
2,  467 
2,603 
443 
56 
5 
19 

3 
1 

5 

ORDER  III.  —  Dietic  Diseases. 

7 

397 

5 

30.  Purpura  

29 
31 

27 
18 

6 

36 
32 

3 

3 

1 

33.  Chronic  Alcoholism  

34.  Other  Diseases  of  this  Order  

o 

^ 

o 

CLASS   II.—  CONSTITUTIONAL  DISEASES. 

ORDER  I.  —  Diathetic  Diseases. 
35.  Gout  

1 

793 
781 
123 
65 
37 

44 

100 

29 

12 

30.  Acute  Rheumatism  

2,221 
1,386 
101 
97 
1 
32 

1 
2 

1 
1 

o 
2 

1,369 
1,480 
177 

48 
1 
14 
109 

129 
37 

4 
o 

8 
1 

1 
3 

10 
2 

1 

4 
*; 

6 

37.  Chronic  Rheumatism  

38.  Anaemia  

39.  General  Dropsy  

1 

40.  Cancer  

1 

41.  Tumors  

1 

42.  Other  Diseases  of  this  Order  

208 

203 
C5 

3 

37 
1 

7 

54 

1 
1 

52 

234 
76 
14 

04 

4 

76 
1 

64 

243 
65 
14 

110 

5 

74 
2 
1 

ORDER  II.  —  Tubercular  Diseases. 
43.  Consumption  

43 
2 
1 

44.  Scrofula  

45.  Other  Diseases  of  this  Order  

CLASS   III.—  PARASITIC   DISEASES. 
40.  Itch  

47.  Tape-worm  

11 

73 

14 
50 

48.  Other  Intestinal  Worms  

53 

35 

57 

49.  Other  Diseases  of  this  Order  

1 

Carried  forward  

53,  D89         805       28,  766 

817 

41,  043 

941 

oO,  *,23 

1,  219 

45,  726 

1,322 

DURING    THE    YEAR   ENDING   JUNE   30,  1863 


205 


TABLE  XXXIII. 

of  the  Atlantic  Region. 


1802. 

]8(>3. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

361,  616. 

359,  920. 

351,  250. 

352,  750. 

315,  600. 

284,  184. 

217,  206. 

2S6,  097. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.      Deaths. 

l 

:; 

4 
5 
6 
7 
8 
9 
10 
11 

13 
14 

15 
1C 
17 
18 
19 
20 
21 

22 
23 
24 
25 
26 

0*7 

28 

29 
30 
31 
32 
33 
34 

35 
36 
37 
38 
39 
10 
41 
42 

43 

44 
45 

4ti 
47 

48 
49 

2,272 
13 
1,390 

030 

5 
84 

1,909 
CO 
1,501 

479 
16 
74 

1,639 
53 
1,032 

346 
22 
50 

1,639 
41 

957 

341 
19 

47 

935 
24 

783 

219 
8 
24 

725 
22 
770 

133 
6 
34 

511 
9 

762 

108 

17,  189 
478 
12,  090 
382 
35,264 
28,  893 
22,110 
2,599 
1,102 
175,  452 
27,  948 
24,702 
3,710 
2,015 
810 
5,239 
115 
1,041 
3,042 
24,  803 
14,598 

6,307 
9  617 

4,537 
120 
507 
100 
343 
29 
20 
0 
241 
208 
2,013 
26S 
302 
76. 
331 
111 
7 
150 
14 
3 
217 

4 

22 

2,895 
2,488 
1,707 
332 
97 
16,  241 
3,447 
2,403 
485 
268 
123 
593 
30 
254 
475 
4,660 
1,  099 

745 
1,188 
167 
51 

27 

39 
2 
4 
2 
13 
14 
377 
28 
36 
11 
44 
11 
2 
24 
0 

2,883 
2,125 
1,049 
172 
117 
14,  619 
3,779 
2,066 
536 
249 
158 
948 
24 
167 
483 
4,347 
434 

710 
829 

9 
1 
1 

1,535 
1,281 
129 
84 
11,  330 
2,  641 
1,072 
308 
234 
118 
886 
13 
104 
410 
3,338 

15 

2 
2 

11 
9 

189 
9 
9 
12 
62 
18 
1 
15 

2,350 
1,577 
1,513 
115 
57 
9,812 
1,929 
1,  584 
230 
239 
140 
849 
14 
135 
401 
4,171 
575 

547 
702 

23 
1 

2,139 
1,715 
1,375 
130 
49 
7,312 
1,274 
1,270 
164 
202 
102 
508 
5 
92 
411 
2,625 
543 

454 
669 
94 

28 

4 

4 

2,416 

1,931 
141 
01 
12,735 
1,038 
2,540 
109 
147 
40 
227 
1 
08 
2(il 

13 
2 
3 
1 

7 
3 
48 
5 

1,  952 
2,096 
1,  073 
281 
28 
9,837 
1,117 
1,861 
170 
101 
31 
59 
5 
49 
64 
350 
250 

358 
519 

18 

1 

6 
4 
84 
3 
1 
0 
51 
10 

6 

6 

51 
19 
10 

0 

7 
4 

40 
4 
208 
7 
34 
8 
63 
23 
2 
21 

15 
5 
119 
10 
11 
8 
61 
19 

3 

6 
1 
9 

13 
o 

1 
3 

6 

4 

978 
310 

420 

23 
1 

14 
1 

535 

033 
667 

143 

47 
35 

3 

2 

2 

o 

1 

559 

84 

205 
59 

123 

65 
23 
9 

1 
5 

118 
4 
22 
32 

7 
18 

3 

707 
720 
255 
29 

1,558 
443 
225 

1 

46 
25 

1 

2 

48 

1 

24 

170 
15 
31 
45 

10 
57 

3 
2,864 
3,  172 

549 
76 
9 
27 

9 
212 

3,  039 
85 
339 
478 
100 
276 

62 
25,  995 
26,  485 
4,  030 
727 
92 
310 
992 

2,  5?4 
970 
91 

2,  455 
85 
549 
34 

34 

175 
10 
31 
55 
15 
50 

4 
3,  378 
3,  575 
593 
83 
3 
32 
96 

355 

104 
14 

330 
11 
45 

20 

52,549 

51 

181 
11 

51 
14 
27 

13 
3,855 
4,298 
026 
70 
9 
30 
116 

328 
112 

8 

310 
9 

2 

o 
4 
4 
o 

14 

109 
10 
18 
41 
10 
11 

6 

2,540 
2,834 
432 
66 
12 
34 
105 

335 

138 

1 

20 

97 
15 
22 
40 
8 
4 

4 
1,831 
1,857 
357 
50 
6 
34 
52 

166 
90 
8 

"83 

3 

67 
5 
19 
55 
13 
7 

4 
1,  474 
1,318 
433 
28 
3 

7 

34 

14 
41 
11 
3 

17 

3 

4 
5 

0 

1 
4 

1 

2 
7 
o 

1 

2 
3 

2 

1 

1 

1 
1 

1 

3 

4 

0 
5 
7 
1 

3 

2 
7 
6 
1 

o 
2 
8 

o 

1 
o 

o 

o 

1 

27 
26 

58 
15 
4 
o 

34 

033 
10 

(! 

1 

7 
1 

2 

1 

1 
11 

20 

84 
40 
3 

142 

1 
4 

92 
1 

3 

89 
1 

89 

292 
131 

8 

4°4 

6 
50 

1 
46 

31 

115 
83 
7 

214 

1 

39 
1 
1 

^ 

15 

51° 

12 

18 
48 
3 

4 

4 
15 

62 

0 

1 

55 
1 

35 

o 

1 

1,  494 

50,  291 

1,192 

39,  259 

865 

37,  148 

757 

28,  037 

487 

31,  812 

330 

24,  488 

334 

492,  331 

10,503 

206 


SICKNESS   AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  XXXIII.— ATLANTIC  REGION— Continued. 


186^. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STKEXGTII,  (not  including  Table  XXXII)  •  • 

227,  419. 

166,  950. 

229,  084. 

277,  230. 

289,  891. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

53,389 

10 
85 
81)8 
37 
12 
11 

805 

4 
3 

28,  766 

10 
44 
394 
14 
3 
13 

817 

13 

G 

41,  643 

6 

87 
588 

941 

5 
5 

59,  223 

13 

1-16 
770 

1,219 
15 

0 

45,  726 

11 

129 
792 

1,  322 

16 

7 

CLASS    IV.  —  LOCAL    DISEASES. 

ORDER  I.—  Diseases  of  Nervous  System. 

52.  Headache  

0 

3 

42 

4 
8 

1 
5 
5 

54 
19 
18 
31 
79 
753 

1 

8 
2 

26 
13 
15 

58 
115 

1 
10 
7 
1 

4 
7 

41 
540 
43 
154 
120 

21 
G 
358 
16 

20 

4 

298 

24 

•  57.  Nostalgia  

392 

804 

58.  Neuralgia  

3 

o 

5 

27 
109 
62 

12 

7 
191 

4 
9 

7 

37 
59 
120 

15 
5 

269 

1 
1 
3 

64 
39 

20 

5 
3 
5 

65 

6 

125 

18 
6 
523 
21 

6 

ORDER  II.—  Diseases  of  Eye. 

18 
364 
oo 

19 

19 
39 

O"7 

53 

92 

37 
GO 

224 

63 
123 

34 

94 
39 
9 
46 
5 

°4 

ORDEK  III.—  Diseases  of  Ear. 

77 

Of) 

189 
35 

93 

41 
35 

31 
75 
11 

7 

00 

47 
5 

94 
46 

7 
42 

7 

20 
16 

181 
20o 

78 
9 

2 

75 
5 
4 
12 
14 
1 
210 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

9 

1 
5 
1 

2 
14 

15 
o 

1 
1 
o 

1  .    a  ^  '  arf  1S<!  jS 

/'      r°ps'v    10       . 

1 

4 
2 
2 

'  '      lopSJ  °  .                 . 

12      

9 
6 
9 
53 

98 
49 

49 
1,132 

72 

3 
1 

19 
11 
4 
92 
103 

3 

2 

12 
1 
126 
192 

2 
1 

1 

70*   •/  fr            f          f  V   * 

'     " 

*           . 

208 

94 

100 
2,167 
139 
1 
42 

12 

2] 

79 

87 
1,786 
89 
1 
20 

16 

81 

132 
1,  489 
222 
4 
39 
101 
401 
349 
84 
553 

1  412 

8 

1 

1 

31 

1G5 
3,213 
356 

2 

1 
3 

ORDEH  V.  —  Diseases  of  Respiratory  Organs. 
83    Asthma                                                                 

1 
1 

3 
1 

6 
4 

°7 

59 
262 
428 
453 
91 
688 

1,073 
1,  988 

78 
160 
279 

o 

25 

40 
73 
155 
41 
39 

964 
1  0-17 

o 
24 

1 
10 

107 
227 
50 
169 

1,288 

0 

12 
2 
1 
13 

2 
33 

4 

0 

9 

6 

68 
5 

1 
1 

48 
103 

1,577 
1  915 

3 

1 

OIIDER  VI.  —  Diseases  of  Digestive  Organs. 
93   Colic 

94.  Constipation  

1,  089 
773 

1,959 

95.  Cholora  Morbus  

6G8 

7 

558 

7 

14 

6C1 

7 

300 
1 
57 
724 
3 

1 

97.  Dropsy  from  Hepatic  Disease  

43 
710 

1 

16 
399 

3 

12 

477 

1 

1 

46 
630 

4 

1 

20 

16 
16 
294 
13 

1° 

20 

9 
33 

'  101    Fistula  in  Ano         

26 

28 

40 
682 
13 

102.  Hernia       

486 
11 

o 

360 
13 

o 
1 

530 
20 

1 

103.  Haemorrhage  from  Stomach  

1 

Carried  forward  

65,  180         888 

35,402 

945 

50,  518 

1,052 

71,  835 

1,359 

59,  948 

1,493 

DURING    THE    YEAR   ENDING    JUNE   30,   18C3. 


207 


TABLE  XXXIII.— ATLANTIC  REGION— Continued. 


1802. 

1803. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

Al'RIL. 

MAY. 

JUNE. 

TOTAL. 

361,  016. 

359,  920. 

351,  250. 

352,  750. 

315,  600. 

284,  184. 

217,  266. 

28G,  097. 

50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 
61 

62 
63 

64 

65 
66 
67 

68 
69 
70 
71 

72 

73 

74 
75 
76 
77 
78 
79 
80 
81 
82 

83 
84 
85 

80 
87 
88 
89 
90 
91 
92 

93 
94 
95 
9G 
97 
98 
99 
100 
101 
102 
103 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths 

Cases. 

Deaths. 

Cases. 

Deaths. 

52,549 

20 
161 
1,093 
43 
20 
6 
41 
97 
1,006 
67 

1,494 

9 

7 

50,  291 

30 
380 
1,193 
44 
25 
16 
49 
109 
1,105 
57 

1,192 

11 
4 

39,  253 

15 

143 
1,115 

865 

13 
6 

37,  148 

20 
151 
1,286 

757 

10 
4 

28,037 

7 
101 
1,072 

487 

5 

1 

31,  812 

13 
105 
1,001 

330 

4 

24,  488 

15 
63 

812 
20 

334 
5 

492,  331 

170 
1,395 
11,  014 
414 
175 
132 
284 
757 
8,  233 
553 
663 
1,242 

°75 

10,  563 

110 
45 

2 
21 
1 

1 

1 
6 

36 
25 
12 
35 
107 
840 
55 

47 
17 
12 
37 
101 
847 
55 

/-O 

20 
5 
19 
39 
719 
32 
4 
47 

19 
14 
539 

26 

1 
12 
12 
1 

A.O 

12 
12 
10 
25 
575 
26 
39 
43 

19 
3 
455 
17 
124 
24 

8 
136 
71 
10 
5 

39 
15 
CO 

27 
7 

14 
13 
6 
1 

13 

7 

13 
3 

5 
4 
4 
16 
354 
25 
259 

7 
4 

o 

1 

o 

1 

5 

1 

3 

1 

2 

155 

31 
6 
711 
44 
55 
59 

325 
70 
66 
115 

8 

6 

97 
oo 

10 
31 
2G 
11 
262 
244 
40 

280 
4,951 
590 
14 
92 
373 
889 
596 
118 
1,942 

1,137 
2,259 
227 
4 
68 
776 

21 
41 
738 
19 

11 

162 

46 
18 

685 

7 

66 
32 

4 

83 

37 
16 
577 

7 

4 

1 

37 
5 

8 
598 

107 
5,612 
°95 

342 

27 

36 
43 

32 

16 
105 

50 
62 

47 
48 

308 

79 
15 

247 
34 
33 
98 
3 

4 
108 
18 
7 
31 
4 
8 
15G 
113 
13 

172 
3,162 
610 
G 
39 
290 
G02 
470 
91 
1,270 

682 
1,648 
107 
2 

685 
569 

2,  4.19 
532 
433 
1,  053 
124 

50 
793 
127 
61 
279 
124 
58 
2,093 
1,  951 
569 

1,990 
34,028 
4,719 
64 
5^7 
2,820 
5,928 
5,019 

10,  010 

12,  308  ' 
20,944 
4,102 
42 
590 
7,519 

163 
408 
5,569 
148 

053,464 

66 

28G 

22 

277 

162 

147 
17 
16 
37 

1 

59 
68 
143 
15 

55 
72 

43 
40 
136 
10 

4 
122 
18 
11 
41 
9 
3 
193 
156 
28 

255 
5,  257 
847 
14 
43 
537 
990 
635 
120 
1,515 

734 
2  157 

17 
20 
54 
2 

4 
55 
7 
3 
17 
1 
1 
166 
102 

130 
9 

3 

132 

8 
34 

9 
7 
230 

1 

1 

1 
18 
6 
5 
1 
5 

4 
125 
25 
15 
45 
15 
4 
29G 
222 

1 
13 
3 

o 
g 

1 
1 

3 
12 
1 
2 
1 

.  o 
5 

10 
99 
1C 
14 
22 
17 
4 
1 

10 
3 
1 
3 
1 

3 

37 

4 

1 
1 

1 

8 
1 

7 
128 

1 

3 
1 



182 

86 
12 

86 
717 

9 

45 

354 

4,  583 
791 
7 
57 
438 
967 
809 
116 
1,649 

1,104 
2,210 
173 
i£JL 

85 

791 

6 

3 

12 

7 

GG 

218 
3,  986 
679 
10 
5° 

3 

3 

6 
4 
1 

3 

1 
3 

A.O 

92 
1,565 

213 
3 
43 
162 

287 
312 
57 
558 

742 

1 

3 

SI 

9 
48 
3] 
7 
1 
29 
960 
34 
23 

5 
1 
42 
3 
22 
4 

10 
0 
4 

4 
3 
2 
1 

143 

0 

G 
5 

1 

1 

111 
2 

14 
70 
139 
174 
26 
115 

682 
1,111 
284 
5 

3.-,e 

1 

2 
1G3 
7 
4 
15 

G 
1GO 
5 
2 

6 

417 
885 
560 
88 
1,409 

833 
1,883 
92 
3 
79 
749 
1 
]7 
40 

3 
1G4 
1 

2 

47 

106 
3 

15 
3 
o 
3 

2 

3 

o 

5 

1 

1 
1 
3 
1 

1,  G78 
232 
4 

O.] 

1 
1 
2 

87 

0 

1 

3 
1 

2 

84 
805 
7 
3 
35 

3 

49 
561 

539 

31 

C 

35 

309 
5 

2 

7 
35 
236 
5 

i 

29 

187 
5 

A 

48 
688 
16 

1 

1 

562 
15 

1 

497 
13 

3 

12,  637 

72,  644     1,  817 

70,  4GO 

1,490 

56,  319 

1,135 

56,320 

995 

41,  810  :      GG1 

41,  793 

415 

31,235 

387     ! 

208 


SICKNESS   AND    MORTALITY    OF   WHITE    TROOPS 


TABLE  XXXIII.— ATLANTIC  REGION— Concluded. 


YEAU  

1863. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH,  (not  including  Table  XXXII)  

227,  419. 

166,  950. 

229,  084. 

277,  230. 

289,  891. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

a 

65,  180 

888 

35,402 

945 

50,  518 

1,052 

71,  835 

13 
543 
230 
86 
14 
129 
119 
1,  409 
993 
519 

39 

11 
3 
23 

1,359 

o 
3 
5 
19 
6 
1 
3 
3 

59,  948 

63 

920 
125 
68 
10 
88 
196 
3,848 
980 
252 

33 
13 

30 
9 
67 

1,493 

QRDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

382 

208 

292 
170 
52 
8 
109 
139 
799 
613 
303 

14 
8 

2 
4 
4 

7 
4 
2 

5 
6 
13 

8 
o 

1 
1 
o 

10 

1C1 
73 
10 
225 
95 
1,067 
C36 
42° 

7 
19 

o 
4 
8 
2 
3 
3 

89 
33 
5 
130 
66 
988 
479 

4 

6 
7 
3 

1 
1 

10o.  In   amma  ion  o 

213 

9 

5 

5 

ORDER  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

11 

1 

1 

1 

5 

97 
49 
17 
31 
179 

9 

1 

1 

56 
31 

17 
10 
103 

11 

3 

92 
39 
13 
11 
107 

5 

1 
1 

187 
73 
54 
19 
194 

16 
9 
42 

1 
1 

207 
55 
108 
24 

4 
1 

"  '    n  a    . 

~  '    "°°U  m<jnce 

3 

1 

105 

10 
9 

83 

1 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

5 

5 

14 
23 

8 

1,081 
638 
89 
98 

17 
31 

727 
879 
98 

11 
2 

580 
400 
138 

8 
1 

505 

7 
5 

513 
413 
103 

97 

428 

130    Other  Diseases  of  this  Order  

1 
3 

1 

ORDER  IX.  —  Diseases  of  Integumentary  System. 

1 

2 

1 

132   Boilg 

133.  Carbuncle  

109 
66 
394 

24 

134.  Whitlow 

109 
711 

46 
414 
12 

155 

13.r>.  Skin  Diseases  

295 

303 
134 

1 

CLASS    V.—  WOUNDS,   ACCIDENTS,   AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
136.  Burns  

38 
340 
9 

123 

137.  Contusions  

2 
1 

372 

1 

1 

0 

o 

2 

405 
5 

423 
12 

138.  Concussion  of  Bruin  

3 

2 

2 

139.  Drowning  

140.  Sprains  

147 
37 
49 

96 
J7 
58 

74 
24 

359 
20 

510 
33 
61 
9 
417 
298 
103 
45 
14 
183 

141.  Dislocation  

142.  Simple  Fractures  

1 

7 

70 

4 
6 
1,351 

49 
3 
555 

007 

o 

500 

143.  Compound  Fractures  

186 
o 

1 

2 

144.  Gunshot  Wounds  

1,  980         322 

289 

4,446 
138 
269 
42 
26 
56 

457 
1 
7 
3 

8,138 

186 
238 
177 
21 
348 

145.  Incised  Wounds  

146.  Lacerated  Wounds  

196 
63 
04 
179 

4 

7 

8 
29 

127 
83 
39 

o 
8 

147.  Punctured  Wounds  

148.  Poisoning  

149.  Other  Accidents  and  Injuries  

13 

11 

69 

152 

10 
1 

5 
1 

4 

150.  ORDER  II.  —  Homicide  

151.  ORDER  III.  —  Suicide  

3 

i 

o 

152.  ORDER  IV.—  Execution  of  Sentence  

1 

Total  

74,091  |  1,271 

44,  705 

1,475 

64,  521 

2,560 

81,  069 

1,974 

71,  727 

1,780 

DUEING   THE    YEAR    ENDING    JUNE    30,  1863 


209 


TABLE  XXXIII.— ATLANTIC  REGION— Concluded. 


1862. 

1803. 

— 

DECEMBEK. 

JANUARY. 

FEUUUA.HY. 

MARCH. 

A  PHIL.                    MAY. 

JrxE.                     TOTAL. 

361,  GIG. 

359,920. 

351,  250. 

352,  750. 

315,  600. 

28  4,  184. 

217,  266. 

286,  097. 

Cases. 

Deaths. 

Cases. 

Deaths     Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths.    Cases. 

Deaths. 

Cases.    Deaths.  :      Cases.      Deaths. 

104 
105 
106 
107 
108 
109 
110 
111 
112 
113 

114 
115 
116 
117 
118 
119 
120 
121 
122 
123 

124 
125 
126 
127 
126 
129 
130 

131 

132 
133 
134 

135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
145 
147 
148 
149 

150 
151 
152 

72,  044 

52 
1,  390 
129 
G7 
18 
140 
143 
2,833 
1,286 
179 

47 
18 
46 
6 
97 
179 
71 
131 
25 
71 

19 

109 

8 
36 
26 
5 

778 
1,051 
117 
281 
428 

210 
C79 
16 

1,317 

G 
4 
4 
9 
5 
4 

70,  4^0 

59 
1,530 
150 
95 
25 
149 
113 
2  172 
1  329 

1,490 
1 

56,  319 

48 
1,  260 
125 
73 
16 
127 
116 

1  123 

1,135 

56,  320 

39 
1,  461 

105 
14 
126 
105 
1,095 
923 

995 

1 
1 

41,  810 

997 
85 
5:5 

86 
86 
G43 

778 
108 

42 

661 
o 

41,  793 

24 
490 

415 

31,  235 

10 
321 
74 
36 
o 

60 
45 
248 
519 
106 

21 
2 
9 

387 

1 
1 
1 
2 
1 
1 
1 
1 

653,  464 

330 

9,794 
1,  537 
867 
142 
3,472 
1,307 
16,  927 
10,  302 
3,019 

432 
164 
299 
40 
487 
1,750 
602 
856 
250 
998 

161 
164 
756 
46 
252 
222 
110 

7,492 
fc,831 
1,104 
1,983 
4,374 

1,513 
6,049 

108 

12,  637 

13 

17 
42 
92 
62 
23 
13 
27 
2 

59 

1 

o 

7 
5 

6 
7 
5 
o 

1 
4 

2 
G 
4 

100 
120 
8 
103 
84 
463 
643 
162 

36 
4 
23 
5 
34 
95 
26 

6 
5 
3 
o 

10 
3 

o 

1 
1 

6 

5 

15 

334 

85 

~ 

182 

58  . 
14 
46 
3 
73 
201 
64 

3 

239 

50 

51 
7 
53 

4 

3 

1 

1 
3 

51 
6 
8-1 
^57 
70 
128 

1 

2 

2 

10 
32 
1 

44 
122 
53 
84 
24 

1 

1 

8 
18 

3 

2 

12 

4 
2 

2 

]00 

2 

67 
13 
33 
9 
11 

6 
3 

50 

18 

7 

58 
111 
28 
50 

oo 

1 

120 

40 
0 
30 

12 
14 
49 
4 
14 
12 
15 

31 
72 

32 
40 

17 

112 
6 

46 

1 
1 

1 

12 

1 

2 

1 

36 
13 

~ 

41 
112 
11 
4° 

1 
1 

32 

13 

1 

1 

102 
35 

92 

3 
31 

16 
17 

565 
741 
59 

17 
6 

28 

26 
10 

580 
964 
89 
250 

^ 

10 

613 
1,  012 

107 

13 

503 
929 
85 
226 

Ifi 

4 
1 

2 

o 

550 
902 

1 

497 
677 
48 
113 
150 

87 
434 



62 

1 

187 
225 

167 
486 

7 

125 

424 

347 

146 
510 
8 

394 

187 
628 
11 

1 
1 

275 

108 
633 

7 

o 

G 
16 
22 
41 

17 
77 
4,889 
6 
43 
54 
10 
211 

43 
C 

2 
4 

243 
725 
18 

1 

1 
3 
1 
12 

1 
4 
3 
5 

3 
1 

5 

G 

5 

4 

1 

716 
46 
82 
34 
8,548 
385 
235 
63 
44 

759 

66° 

748 

845 

695 

410 
17 
40 
6 
624 
209 
73 
48 
59 
131 

6,021 
419 
756 
105 
31,  699 
3,  GOO 
1,733 
795 
466 
2,075 

58 
91 
9 
434 
506 
133 
59 
27 
134 

49 
53 

1 

47 
73 
6 
347 
423 

36 
61 
9 
578 
331 
75 
50 
35 
141 

1 

35 
69 
26 
5,388 
242 
73 
70 
66 
112 

1 
3 
560 

o 
4 
186 
1 
1 
o 

1 

29 

1 
1 
4 

9 

779 
1 
10 

7 
355 

3 

244 
366 

1 
74 

67 
1 
3 

52 

2 

114 
35 

I 

97 
GO 
36 
174 

4 
1 
1 
G 

1 
3 

0 

3 

16 

2 

25 

1 
1 

35 

230 

3 

7 

1 
4 

14 
3 

8 

6 

7 
1 

3 

93,  744 

2,721 

83,116     1,032 

66,  101 

1,264 

66.  493 

1,107 

49,  917 

769 

53,  853 

1,030 

36,!  IS 

644          785,879     18,529 

SICKNESS,    ETC.,    DURING    THE    YEAR   ENDING    JUNE    30,  18G3  211 


CENTRAL   REGION. 

The  reports  of  sick  and  wounded  from  troops  in  tlic  Central  Region  arc  consolidated 
into  statistical  tables  for  eight  armies  or  departments,  as  follows : 

1.  The  Department  of  Western  Virginia  .    Table  XXXIV. 

2.  The  Northern  Department  .    Table  XXXV. 

3.  The  Department  of  the  Ohio  Table  XXXVI. 

4.  The  Department  of  the  Cumberland  -   Table  XXXVII. 

5.  The  Department  of  the  Tennessee  .    Table  XXXVIII. 

6.  The  Department  of  the  Gulf  Table  XXXIX. 
•  7.  The  Department  of  the  Northwest  Table  XL. 

8.  The  Department  of  the  Missouri  -    Table  XLI. 

To  these  tables  are  added — 

9.  A  table  showing  the  mortality  in  the  general  hospitals  of 

the  Central  Region  Table  XLII. 

10.  A  consolidated  table  for  the  Central  Region  Table          XLIII. 

1.  THE  DEPARTMENT  OF  WESTERN  VIRGINIA — TABLE  XXXIV. 

This  table  embraces  the  reports  received  from  troops  in  the  State  of  Maryland  west 
of  Hancock,  and  in  that  portion  of  Western  Virginia  which,  by  the  Act  of  Congress 
approved  December  31,  1862,  was  constituted  the  State  of  West  Virginia.  This  region 
was  embraced  in  the  Mountain  Department  at  the  commencement  of  the  year  now  under 
consideration.  August  12,  1862,  the  Mountain  Department  was  discontinued,  its  troops 
being  merged'  into  the  Army  of  Virginia.  The  greater  portion  of  these  troops  were 
transferred  to  the  Army  of  Virginia,  as  lias  already  been  shown. 

September  19,  1862,  Western  Virginia  was  attached  to  the  Department  of  the  Ohio, 
and  March  16,  1863,  it  was  transferred  to  the  Middle  Department;  these  changes, 
have,  however,  been  disregarded  in  the  construction  of  the  table. 

O 

June  24,  1863,  the  Department  of  West  Virginia  was  created  by  General  Orders, 
No.  186,  to  consist  of  that  portion  of  the  Middle  Department  west  of  Hancock,  including 
the  adjacent  counties  of  Ohio,  General  B.  F.  Kelley  to  command.  The  limits  assigned 
to  the  department  by  this  order  coincide  with  those  used  in  the  table,  witli  (he  exception 
of  the  part  of  Ohio  referred  to,  which  has  been  included  in  the  Northern  Department. 


212  SICKNESS   AND   MORTALITY    OF    WHITE    TROOPS 

•2.  THE  NORTHERN  DEPARTMENT — TABLE  XXXV. 

Tlio  Northern  Department  was  created  by  General  Orders  No.  17,  January  12,  1861, 
to  consist  of  the  States  of  Michigan,  Ohio,  Indiana,  and  Illinois.  In  this  table  the 
designation  is  applied  to  the  same  region,  with  the  addition  of  the  State  of  Wisconsin. 
It  embraces,  therefore,  that  portion  of  the  Central  Region  which  lies  between  the  Mississippi 
and  the  Ohio  rivers. 

3.  THE  DEPARTMENT  OF  THE  OHIO — TABLE  XXXVI. 

Under  this  designation  are  embraced,  after  the  first  of  January,  1863,  all  reports 
received  from  troops  in  that  portion  of  Kentucky  lying  east  of  the  Tennessee  river.  The 
Department  of  the  Ohio,  which,  as  has  been  explained,  was  discontinued  March  11,  1862, 
was  re-established  August  19,  1862,  by  General  Orders  No.  1L2,  and  defined  as  embracing 
the  States  of  Ohio,  Michigan,  Illinois,  Wisconsin,  and  Kentucky  east  of  the  Tennessee 
river,  and  includin0'  Cumberland  Gap  and  the  troops  operating  in  its  vicinity.  General  II. 
G.  Wright  to  command. 

O 

As  shown  above,  all  this  region,  except  the  portion  of  Kentucky  east  of  the  Tennessee 
river,  has,  for  geographical  reasons,  been  embraced  in  a  separate  table  under  the  designa 
tion  Northern  Department.  It  has  also  been  found  most  convenient,  on  account  of  the 
complicated  movements  involved  in  the  retreat  of  the  army  of  General  Buell  to  Louisville 
and  its  subsequent  advance,  to  embrace  this  part  of  Kentucky  in  the  Department  of  the 
Cumberland  until  the  close  of  1862.  March  25,  1863,  General  A.  E.  Burnside  assumed 
command  of  the  Department  of  the  Ohio. 

4.  THE  DEPARTMENT  OF  THE  CUMBERLAND — TABLE  XXXVII. 

In  this  table  are  embraced  all  reports  received  from  the  Army  of  the  Ohio  under 
General  Buell,  the  Army  of  the  Cumberland  under  General  Rosecrans,  and  during  the 
first  six  months  the  reports  from  that  portion  of  Kentucky  lying  east  of  the  Tennessee 
river.  The  Department  of  the  Cumberland,  which,  as  already  mentioned,  had  been  merged 
into  the  Departments  of  the  Missouri  and  the  Ohio  November  9,  L861.  was  re-established 
by  General  Orders  No.  163,  October  21,  1862,  to  consist  of  the  State  of  Tennessee  east 
of  the  Tennessee  river,  and  such  parts  of  northern  Alabama  and  Georgia  as  should  be 
occupied  by  the  troops  of  the  Army  of  the  Cumberland,  General  W.  S.  Rosecrans  to 
command.  Subsequently  to  January  1,  1863,  these  are  the  limits  relied  upon  in  the 
construction  of  the  table.  The  Army  of  the  Ohio  under  General  Buell,  at  the  commence 
ment  of  July,  1862,  wa>  in  motion  in  northern  Alabama  threatening  Chattanooga.  The 
advance  of  Generals  Kirby  Smith  and  Bragg,  after  the  raids  of  Forrest  and  Morgan  in 


DURING    THE    YEAR   ENDING   JUNE  30,  1803.  213 

July  and  August,  compelled  the  retreat  of  General  Buell  to  Louisville,  which  he  reached 
September  25,  1862.  Nashville,  however,  was  still  held  by  its  garrison.  General  Buell 
concentrated  his  army  at  Louisville,  and,  October  1st,  being  well  reinforced,  marched  out 
after  the  united  Rebel  Army  under  General  Bragg.  The  battle  of  Perryville  was  fought 
October  8th,  and  shortly  after  the  Army  was  withdrawn  towards  the  line  of  the  Louisville 
and  Nashville  Railroad,  where  General  Rosecrans  took  command  October  30th. 

General  Rosecrans  advanced  by  way  of  Nashville  towards  Murfreesboro',  near  which 
place  the  battle  of  Stone  River  was  fought,  December  31,  1862,  and  January  1,  2  and  3, 
1863.  After  this  no  further  advance  of  importance  was  made  until  June  24th,  when  the 
army  was  again  put  in  motion  by  way  of  Manchester,  flanking  the  Rebel  Army  under 
General  Bragg,  and  compelling  its  retreat  to  Chattanooga. 

5.  THE  DEPARTMENT  OF  THE  TENNESSEE — TABLE  XXXVIII. 

As  already  explained,  the  Department  of  the  Tennessee  was  created  by  General 
Orders  No.  159,  October  16,  1862,  to  embrace  Cairo,  Forts  Henry  and  Donelson,  northern 
Mississippi,  and  those  portions  of  Kentucky  and  Tennessee  lying  west  of  the  Tennessee 
river,  General  U.  S.  Grant  to  command. 

The  table  embraces  the  reports  received  from  troops  in  this  region  prior  to  the  order, 
as  well  as  subsequently.  At  the  close  of  the  previous  year  the  greater  part  of  the  army 
under  General  Grant  was  in  northern  Mississippi  and  southwestern  Tennessee. 

September  19th  the  battle  of  luka  was  fought,  and  October  4th  the  battle  of  Corinth. 
Subsequently  Vicksburg  became  the  objective  of  the  army.  General  Grant  moved  into 
northern  Mississippi  by  way  of  Holly  Springs,  advancing  as  far  as  Oxford;  but  the  capture 
of  Holly  Springs  December  20th  compelled  his  retreat  to  that  place.  Meanwhile  a  part 
of  the  Army  of  the  Southwest  under  General  Ilovey  had  crossed  from  Helena,  Arkansas, 
into  Mississippi,  and  operated  without  decided  results  against  the  enemy's  communications, 
and  on  the  day  of  the  fall  of  Holly  Springs  a  strong  force  under  General  W.  T.  Sherman 
embarked  at  Memphis,  and  descended  the  Mississippi  to  the  mouth  of  the  Yazoo,  near 
which  it  was  disembarked  for  the  attack  of  Vicksburg.  After  tjie  unsuccessful  assault 
of  December  29th,  this  force  was  re-embarked  and  carried  up  the  Arkansas  and  White 
rivers  to  Arkansas  Post,  which  was  captured  January  llth.  Subsequently  it  returned  to 
the  Mississippi  river,  and  towards  the  close  of  the  month  united  with  the  forces  under 
General  Grant,  which  descended  the  river  on  transports  from  Memphis,  and  landed  at 
Young's  Point  and  Milli ken's  Bend.  General  Grant  established  his  headquarters  at 
Young's  Point  February  2d,  and  after  various  unsuccessful  enterprises,  among  which  may 
be  mentioned  the  Ya/.oo  Pass  and  Steele's  Bayou  expeditions,  began,  March  29th,  to  move 
the  army  by  land  on  the  Louisiana  side  of  the  river  to  Perkins'  Plantation,  a  point  on  (he 
west  bank  of  the  Mississippi  a  few  miles  below  New  Carthage.  Alter  the  naval  demon- 


214  SICKNESS    AND   MORTALITY    OF   WHITE    TROOPS 

stration  against  Grand  Gulf,  the  army  was  inarched  to  a  point  on  tlie  Louisiana  bank 
south  of  that  place,  and  April  30th  the  advance  crossed  the  river  to  Bruinsburg  on 
transports  which  had  run  by  the  Vicksburg  batteries.  This  was  followed  by  the  march  via 
Jackson,  Mississippi,  which,  after  the  battles  of  Port  Gibson,  Raymond,  Jackson,  Cham 
pion's  Kill,  and  Big  Black  River,  terminated  in  the  investment  of  Vicksburg  May  19th. 
The  sico-o  of  Vicksburg  was  then  pressed  till  the  surrender  of  that  place,  July  4,  1863. 

6.  THE  DEPARTMENT  OF  THE  GULF — TABLE  XXXIX. 

This  table  embraces  reports  from  substantially  the  same  region  as  the  table  for  the 
previous  year.  August  8,  1862,  west  Florida  was  annexed,  which,  as  already  explained, 
had  from  the  first  been  consolidated  in  these  tables  with  the  Department  of  the  Gulf. 
March  16,  1863,  Key  AVest  and  Fort  Jefferson,  Tortugas,  were  added;  they  have, 
nevertheless,  been  consolidated  with  the  Department  of  the  South. 

August  5,  1862,  a  rebel  force  attacked  Baton  Rogue,  but  was  repulsed;  the  place 
was,  however,  evacuated  on  the  12th.  Towards  the  close  of  October  General  AVeitzel 
made  an  expedition  into  the  La  Fourche  District,  which  he  occupied. 

December  14th  General  1ST.  P.  Banks  reached  New  Orleans  with  reinforcements,  and 
took  command  of  the  Department.  In  March  he  concentrated  an  army  at  Baton  Rouge, 
and  after  a  demonstration  against  Port  Hudson,  moved  into  the  Teche  District,  penetrating 
as  far  as  Alexandria,  on  the  Red  river,  which  was  reached  early  in  May.  After  the 
termination  of  this  expedition  General  Banks  returned  to  the  vicinity  of  Baton  Rouge, 
and  thence  moved  against  Port  Hudson,  the  siege  of  which  continued  from  the  latter  part 
of  May  till  the  surrender  of  the  place,  July  8,  1863. 

7.  THE  DEPARTMENT  OF  THE  NORTHWEST — TABLE  XL. 

This  table  embraces  the  reports  received  from  troops  within  the  same  limits  as  were 
assigned  in  constructing  Table  XVII,  viz:  the  States  of  Iowa  and  Minnesota,  and  the 
Territories  of  Nebraska  and  Dakota.  The  reports  fro'm  the  State  of  Wisconsin,  which 
officially  formed  a  part  "of  the  Department  of  the  Northwest,  have  been  consolidated  with 
the  Northern  Department.  The  most  important  events  during  the  year  were  the  Indian 
massacres,  during  the  summer  of  1862  and  the  following  spring,  which  led  to  the 
expedition  of -General  Siblcy  in  the  summer  of  1863. 

8.  THE  DEPARTMENT  OF  THE  MISSOURI — TABLE  XLI. 

This  Department  was  reorganized  by  General  Orders  No.  135,  September  19,  1862. 
By  this  order  the  Department  was  composed  of  the  States  of  Missouri,  Arkansas,  Kansas, 
and  the  bordering  Indian  Territory;  Alton,  Illinois,  was  also  attached.  General  S.  R. 


DURING    THE    YEAR    ENDING    JUNE    30,   I8G3.  215 

Curtis  was  assigned  to  command.  The  limits  here  indicated  have  been  observed  in 
constructing  the  table,  with  the  exception  of  Alton,  Illinois,  which  has  been  included  in 
the  Northern  Department,  and  of  the  force  at  Helena,  Arkansas,  which,  on  account  of  its 
position  and  its  intimate  relations  with  the  army  of  General  Grant,  has  been  consolidated 
with  the  Department  of  the  Tennessee. 

October  11,  1862,  the  Territories  of  Colorado  and  Nebraska  were  added  to  the 
Department  of  the  Missouri  by  General  Orders  No.  155.  This  change,  however,  has 
been  disregarded  in  constructing  the  table.  General  E.  V.  Turner  was  assigned  to 

o  o  o 

command  March  9th.  and  General  J.  M.  Schofield  May  13th,  1863. 


216 


SICKNESS    AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  XXXIV. 

Abstract  of  the  Sickness  and  Mortality 


YEAR  

18G;2. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

4,  851. 

2,  377. 

7,  656. 

21,  244. 

25,  462. 

LIST  OP  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

CLASS    1.—  ZYMOTIC    DISEASES. 
OilDER  I.  —  Miasmatic  Diseases. 

31 

11 
3 

18 

11 
o 

38 

11 
2 

C9 

0 

98 

8 

•    yp 

1(3 

56 

53 

1 

13 

14 
40 
6 

3 
10 

27 
9 

90 
52 

200 

141 
79     [ 
154 
4 

246 

G9 

363 
21 
o 

379 
3 
84 
o 

o 

319 
4 
34 

422 

1,384 

84 
257 
18 
10 

741 
43 
140 
9 
oo 

3 

107 



1 

1 

11.  C  iroi 

2 

3 

1 

1 

1 

8 

ir  Ar"'1'!  P°Xa 

39 

12 

165 

137 

9 

20      

35 

1 

3 

5 

73 
215 

83 
638 
51 

og 

20 

2 
1 
10 

1 

14 

166 
25 

168 

27 
92 

o 

OHDEU  II.  —  Enthetic  Diseases. 
22    Syphilis  

35 
4 
1 

108 
4 

24    Orchitis           

0 

12 

25    Stricture  of  the  Urethra  

20.  Purulent  Ophthalmia  

C 

27.  Serpent  Bite  

28.  Other  Diseases  of  this  Order  

1 
3 

4 
1 

2 

1 

OKDEK  III.  —  Dietic  Diseases. 
29.  Scurvy  

31.  Delirium  Tremens  

1 

1 

32.  Inebriation  

33.  Chronic  Alcoholism  

34.  Other  Diseases  of  this  Order  

CLASS    II.—  CONSTITUTIONAL    DISEASES. 
ORDER  I.  —  Diathetic  Diseases. 
35.  Gout  

36.  Acute  Rheumatism  

25 

13 
G 

40 
10 
o 

172 

168 
193 

37.  Chronic  Rheumatism  

8 

146 

38.  Anaemia  

39.  General  Dropsy  

2 

o 

o 

1 
3 

40.  Cancer  

41.  Tumors  

1 

9 

9 
C 

42.  Other  Diseases  of  this  Order  

2 

3 

1 

2 
3 

1 

4 

0 

ORDER  II.—  Tubercular  Diseases. 
43.  Consumption  

1 

4 

11 

5 

44.  Scrofula  

45.  Other  Diseases  of  this  Order  

CLASS    III.  —  PARASITIC    DISEASES. 
46.  Itch  

17 

47.  Tape-worm  

48.  Other  Intestinal  Worms  

6 

3 

3 

49.  Other  Diseases  of  this  Order  

Carried  forward  

718 

20 

499 

14 

1,115 

20 

3,818 

5 

2,981 

10 

DURING    THE    YEAR   ENDING    JUNE    30,  1863. 


217 


TABLE  XXXIV 

of  the  Department  of  Western  Virginia. 


1869. 

1803. 

DECEMBER. 

JANUARY. 

FEBKUAUY.              MAKCII. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

21,844. 

11,511. 

13,  529. 

13,  554. 

14,  103. 

15,  907. 

1G,  408.                     14,  045. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths-     Cases. 

Deaths. 

Cases.  !  Deaths. 

Cases.    Deaths.    Cases. 

Deaths. 

Cases. 

Deaths. 

1 

3 

4 
5 
6 
7 
- 
9 
10 
11 
12 
13 
14 
15 
1G 
17 
18 
19 
20 
21 

00 

23 

24 
25 
2G 

28 

29 
30 
31 

33 
34 

35 
36 
37 
38 
39 
40 
41 
42 

43 
44 
45 

46 

47 

158 

12 

44 

4 

48 
1 
4 

5 

/-8 

5 

2G 

4 

59 

5 

38 

1 

655 

1 
25G 

79 
1 

8 

o 

32 

17 

155 

83 
182 

31 
37 

C)O 

07 

23 

48 
50 
129 

°G 

650 
782 
1,304 

42 

35 
GG 

C5 

£8 

44 
141 
o 

i|        24 

55 

1 

39 
15 
4,985 
520 
1,  099 
139 
111 
15 
616 
3 
99 
452 
1,911 
478 

4 
101 

30 

1 

7 

1G5 

0 

! 

j 

8 

431 
52 

97 
21 

»_  J 

1 
183 

17G 

177 

275 

415 

45 

59 

33 

55 

20 
60 
11 
11 
3 
o 

1 

49 
Gl 
7 
3 
4 
1 

148 
113 

20 

17 

]0 

16 

18 
5 
3 
2 
1 
10 
15 
GC 
1 

17 
G3 

Q 

37 

1 

7 

o 

1 

3 

3 

27 

3 

11 

o 

134 

407 
33 

31) 
70 
5 
3 
11 

11 

10 

41 
195 

0 

3 

19 
47 
38 

21 

C 

24 

1 

G8 

r 

24 

18"i 

85 

3 

1G 
°4 

15 

20 

55 
G 
4 
4 

47 
5 

53 

39 

587 
78 

4 
1 
14 

11 

7 
1 
1 

8 
1 
7 

1 
G 

14 
50 

1 

1 

3 

1 

9 

S8 
5 
10 

3 

1 

I 

900 
863 
1G4 
20 
6 

24 

Fl 
65 

ISO 
]S 

3 

1 

15 

29 

41 
1 

1 

0 

4 

7 
1 

„ 

1 

1 

4 
1 

1 

2 

1 

1 

1 
190 
127 
11 

79 

79 

43 

33 

G7 

59 

59 

G8 
18 

G5 

51 

GG 
33 
G 
1 

o 

10 

10 

1 

1 

1 

1 

1 

1 

1 

o 

9 
o 

C 

9 

1 

35 

1 

9 
15 

1 

C 
4 

2 

8 
9 

] 

G 

7 

4 

7 

1 

11 

21 

. 

1 
64 

19 

9 

1C 

5 

49 

2,491 

1C     !      i'09 

1 
i  

6       1,  147 

10 

793 

11 

855 

8 

1,077 

8       1,  391 

3    ! 

"  j 
17,824           131 

218 


SICKNESS    AND    MORTALITY    OF    WHITE    TEOOPS 


TABLE  XXXIV.— DEPARTMENT  OF  WESTERN  VIRGINIA— Continued. 


VKAK  

18G3. 

J  UI.Y. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

4,  851. 

2,  377. 

7,  G50. 

21,244. 

25,  402. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 
20 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

718 

499 

14 

1,145 

20 

3,818 

5 

2,981 

1 
5 
90 

10 

CLASS    IV.  —  LOCAL    DISEASES. 
OIIDEK  I.  —  Diseases  of  Nervous  System. 

1 
1C 

3 

31 

G 
15 

13 

1 

3 

1 

1 

5 
2 
4 

13 
54 
1 

5 

1 

3 

7 

1 
10 

11 
25 

4 
1 

1 
1 

r,        1                  "    ' 

3 

1 

3 

3 

2 

8 

1 

21 

ORDER  II.  —  Diseases  of  Eye. 
0°    Annurosis 

1 

15 

8 

3 

44 

52 

1 
1 
3 

3 

7 
1 
1 

n 

1C 

10 
5 
1 
3 
3 

3 

ORDER  III.  —  Diseases  of  Ear. 

25 

4 

7 

70    Deafness 

1 

fi 
1 

OIIDEII  IV.  —  Diseases  of  Organs  of  Circulation. 

7").  Dropsy  from  Heart  Disease              

7(1.  Dropsy  of  Pericardium  

1 

78.  Inflammation  of  Endocardium  

1 
1 

1 

4 

4 
8 

1 

q 

81.  Varicoeele 

8 

82.  Other  Diseases  of  this  Order 

1 

10 

9 
C3 
8 
o 

OUDEII  V.  —  Diseases  of  Respiratory  Organs. 
83.  Asthma 

1 

81 

84.  Acute  Bronchitis  

40 

48 
1 

103 

!-•">.  Chronic  Bronchitis  

21 

80.  Dropsy  of  Chest  .    . 

1 
3 

87.  Haemorrhage  from  Nose 

5 

7 
14 

125 
"0 

88.  Inflammation  of  Larynx 

1 

15 

8'.>.  Inflammation  of  Lun^s 

C 

6 
9 
1 
34 

19 
82 

0 

90 
25 
9 
179 

07 
109 
20 

2 

90.  Inflammation  of  Pleura 

91.  Haemorrhage  from  Lunc's 

C 
98 

109 
150 

92.  Other  Diseases  of  this  Order  

1 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
93.  Colic  

4 
30 
3 

10 
30 
15 

94.  Constipation  

9.1.  Cholera  Morbus  

90.  Cirrhosis  of  Liver  

1 

21 

20  ' 

97.  Dropsy  from  Hepatic  Disease 

98.  Dyspepsia  

o 

0 

18 

°0 

90.  Diseases  of  Pancreas  ... 

100.  Diseases  of  Spleen  . 

1         

1 
4 

OT* 

1 
1 

10!.  .Fistula  in  Auo  

1 



1 

c. 

1 

8 

102.  Hernia  

103.  Haemorrhage  from  Stomach 

i 

1 

Can-led  forward  

832 

23 

039 

15 

1,535 

20 

4,700 

8 

4,  057            19 

DURING   THE    YEAR   ENDING   JUNE    30,   18G3. 


219 


TABLE  XXXIV.— DEPARTMENT  OF  WESTERN  VIRGINIA— Continued. 


18(>9. 

1803. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE.                    TOTAL. 

21,  844. 

11,511. 

13,  529. 

13,  554. 

14,103. 

15,  907. 

1G,  498. 

14,  045. 

50 
51 
52 
53 
54 
55 
5(i 
57 
58 
59 
GO 
Gl 

G2 
63 
64 
65 
60 
67 

03 
69 
70 
71 

73 

75 
76 

77 
78 
7!) 
80 
81 
82 

83 
84 
85 
86 

87 
88 

90 
91 
92 

93 
94 

9.-, 
96 

97 
98 

100 
101 
102 
103 

Cases. 

Deaths. 

Cases. 

Deaths.    Cases.    Deaths.    Cases. 

Deaths.    Cases,  j  Deaths.  ;  Cases. 

Deaths. 

Cases.    Deaths. 

|    Cases. 

Deaths. 

3,4,1 

16 

909 

1 
C 
44 
1 

6 
1 

1,147 

1 

8 
43 

1 

10 

793 

1 
o 

53 
1 

11 

855 

1 
5 
38 

8 

1,077 

1 
9 
Gl 
1 
1 

8 

1,391 

3 

17,  624 

6 

51 
5°7 

131 

I 
1 

4 
79 
2 
1 

1 

o 

44 

10 
8 
4 
27 
57 

1 
1 
3 
2 

1 

- 
1 
1 

1 
o 

1 
13 

87 

1 
5 

36 
2 

7 
o 

1 

5 

1 

3 

39 
6 

33 

1 

39 
1 
6 

32 

43 

446 
20 

1 
9 

2 

1 
1 

21 

15 
1 

1 

1 

6 

1 

4 
32 

6 

64 

8 
363 
26 

2 

I 

1 
37 
4 

o 

CO 
3 

28 

30 

40 
4 
5 

34 

11 
1 

1 

0 

1 

1 
4 

16 

32 

157 
47 
17 
45 
6 

3 
46 

9 
1 

3 

IS 
8 
3 
4 

3 

9 
4 

1 

15 
8 
3 
7 

| 

17 

10 

6 

3 

4 

1 
3 

1 

1 
3 

0 

4 

4 

2 
1 

7 

0 

0 

1 

18 
3 

1 
8 
9 

1 
1 

1 

1 

1 

1 

1 

2 

7 

o 

1 

1 

1 

3 

2 

5 

4 

0 

8 
3 

4 
9 

8 
6 

7 
4 

49" 

4 

20 

1,012 
178 
6 
29 

1 

1 
1 

13 
240 
51 
3 
14 
11 
104 
25 
8 
200 

51 
174 
23 

1 
1 

C 

48 
11 

8 
159 

1 
44 

3 

38 

0 

107 

41 
10 

16 

15 

11 

C3 
17 
1 
C2 

21 
CO 
48 

1 

19 

CO 

11 
42 
21 

9 
4G 
15 

1 

1 

113 

65G 
236 

59 
609 

377 
1,023 
148 

23 

4 

4 

4 

7 

°3 

12 

14 

3 

27 

48 
20 

11 

1G 
(J5 

85 

G5 

1 
1 

I 

13 

1 

*_4 

54 
5 

15 

29 

4° 

G8 

63 

7 

90 
20 

7 

] 

1 

0 

., 

20 

23 

34 

"0 

o- 

r>o 

33 

22*.' 

13 

i:>4 

6 

1 
25 

1 

o 

1 

11 

] 
25 

21 

24 
1 

11 

12 

2 

'1 

3,  802 

•>o 

1,427 

12 

1,870 

14 

1,  286 

18 

1,478 

16 

1,552 

9 

1,917 

3 

25,115 

1TO 

220 


SICKNESS   AND   MORTALITY    OP    WHITE    TEOOPS 


TABLE  XXXIV.— DEPARTMENT  OF  WESTERN  VIRGINIA— Concluded. 


YE  A  11  

1869. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

4,  851. 

2,  377. 

7,  050. 

21,  244. 

25,  402. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Csses. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

853 

23 

039 

15 

1,  535 

20 

4,700 

8 

4,057 

19 

ORDER  VI.  —  Diseases  of  Digestive  Organs  —  Continued. 

'      *             5      ,  „, 

1 

5 

17 

44 

99 

1 

8 
o 

' 

2 

4 

11 
35 

4 

1 

'        '                              wMBun 

21 
14 

15 
134 

in 

4 
1 

14 

42 

271 
58 
3 

1 

13 
9 

48 
45 

1 

8 

OUDEii  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

1 

1 

0 

o 

•         f  T     f" 

4 
11 
4 
4 
1 
0 

1 
o 

3 

1 

1 

1 

10>    IT  vdrocele 

14 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

1 
3 

0 

1 
3 

OHDEU  IX.  —  Diseases  of  Integumentary  System. 

7 
1 

19 

59 

47 
°9 

132    Boils 

2 

30 
10 

133    Carbuncle 

5 

134    Whitlow 

1 
o 

4 
21 

11 
33 

9 

27 

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

ORDEK  I.  —  Wounds,  Accidents,  and  Injuries. 
130.  Burns  

o 

17 
°0 

137.  Contusions  

3 

4 

1 

6 

14 

138.  Concussion  of  Brain  

133.  Drowning  

140.  Sprains  

10 
o 

13 

1 

10 

37 

"7 

141.  Dislocation  

- 

142.  Simple  Fractures  

o 

4 

0 

143.  Compound  Fractures  

144.  Gunshot  Wounds  

0 

2 

o 

3 

1 

1 

13 

4 

10 
G 
19 

1 

23 
12 

c 

145.  Incised  Wounds  

1  40.  Lacerated  Wounds  
147.  Punctured  Wounds  

1 

a 

12 

4 

1 

1 
02 

148.  Poisoning  

1 

11 

149.  Other  Accidents  and  Injuries  

1 

150.  ORDER  II.  —  Homicide  

151.  OUDEK  III.  —  Suicide  

152.  ORDER  IV.  —  Execution  of  Sentence  

Total 

907 

29 

707 

17 

1,  784 

30 

5,373 

10 

4,834 

25 

DURING   THE    YEAR   ENDING   JUNE    30,  18G3. 


221 


TABLE  XXXIV.— DEPARTMENT  OF  WESTERN  VIRGINIA— Concluded. 


18G2. 

1803. 

DECEMBEK. 

JANUARY. 

FEUUUARY. 

MAUCH. 

APEIL. 

MAT. 

JUNE. 

TOTAL. 

21,  844. 

11,511. 

13,  529. 

13,  554. 

14,  103. 

15,  907. 

1G,  498. 

14,  045. 

104 
103 
lOfi 
107 
108 
109 

no 

111 

112 
113 

114 
115 
116 
117 
118 
119 
120 
121 

J23 

124 
123 
12G 
127 
128 
129 
130 

131 
132 
133 
134 
135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
14G 
147 
148 
149 

150 
151 
152 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

3,602 

22 

1,427 

12 

1,870 

14 

1,280 

18 

1,478 

10 

1,552 

3 
34 
G 
1 
3 

9 

1,917 

3 

25,  115 

3 

380 
80 
52 
22 
110 
109 
770 
333 
149 

20 

179 

50 
5 
5 

18 
G 
24 
4 
14 
15 

10 
15 

21 

38 

34 
4 
o 

3 
3 

4 
1 

1 
1 
1 

1     i 

8 

14 
19 
120 
42 
1 

5 

G 
13 
G5 
37 
10 

1" 

8 
13 
17 
30 
13 

4 

1 
7 
19 

4 
25 

9 
24 
15 
32 

21 

12 

2G 
13 

1 

0 

1 

5 

1 

1 

4 

7 
4 
12 
78 

1 

4 

1 

1 
1 
21 
o 

6 
5 

C 

1 

8 

3 

12 

o 

12 

12 

1 
3 

1 

3 

0 

2 

1 
1 

23 

4 
33 

3 
4 

21 
1 
8 
13 
15 

203 
240 

7 

0 

3 

1 

1 

2 

1 
5 

1 

1 
1 

7 

1 

2 

1 

2 
3 

1 
2 

9 

50 
4 
6 
37 

5 

18 

1 
1 

1 
2 

1 

1 
1 

1 

1 

3 

17 

15 

14 

°7 

21 

0-1 

20 

"1 

1 

5 

3 

10 

1 
4 

o 

34 

57 

7 

5 
G 

3 

1G 

4 
10 

7 
43 
1 

3 

4 

G 

153 

o 

7 

4 

5 

11 

54 

170 

1 

o 
1 

1 

1 

30 
3. 
1 
1 
9 
12 
8 
1 

1 

G 
C 

17 

1 

10 

17 
1 
1 
1 
8 
1 
1 
1 

18 

29 

242 

1 
4 

00 

10 
3 
128 
61 

120 
17 
3 
109 

1 
34 

2     1 

1 
5 

2 

2 
C 
5 

1 

13 
1 

3 

1 

10 

G 
3 
3 

2 

30  ' 

3 

o 

13 

1 

1 

24 

I 

1 

1 

3 

1 

1 

1 

1 

4,  SCO 

25 

1,  CG(> 

1G 

2,173 

1C 

1,536 

22 

1,748 

18 

1,810 

20 

2,211 

8 

29,  115 

242 

222 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  XXXV. 

Abstract  of  the  Sickness  and  Mortality 


YE  \K                          

1869. 

MONTH                                                               

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MF  \\  STKFNGTII                                               

919. 

929. 

7,  784. 

13,  735. 

9,  406. 

LIST  OF  DISEASES. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS  1.—  ZYMOTIC    DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

3 

1 

11 

29 

4 

121 

7 
47 

22 

59 

17 

3    Tvjiho-MalarHl  Fever 

8 

13 

G7 

1 

19 

2G 

GO 

78 

1 

117 

213 

1 

304 
450 

2 

135 
14G 
69 
5 
5 
«.t>8 
34 
49 
4 
14 
G 
82 

7 
1 

215 

CO 

10 

26 

255 

5 

8 
193 

1 
3 

13 
15 
879 

127 

3 
o 

6 

20 
3 
18G 
6 
29 

1 

1 

4 
4 
1 
1 

4 

1 

4 
47 
1 
14 

33 
45 
5 

4 
1 

1 

1 

1 

1 

63 

1 

10 

3 

1 

11 
84 

129 

18.  Diphtheria 

19 

8 

G 

7 

1G 

337 
140 

47 
114 

47 
1 

20 

CO 

4 
29 

7 

55 

"8 

1 

ORDER  II.  —  Enthetic  Diseases. 
22.  Svphilis  '.  

23.  Gonorrhoea  

106 
13 
3 
6 

24.  Orchitis  

25.  Stricture  of  the  Urethra  

o 

26.  Purulent  Ophthalmia  

o 

27.  Serpent  Bite  

28.  Other  Diseases  of  this  Order  

o 

ORDER  lll.—Dietic  Diseases. 
29.  Scurvy  

1 
5 
3 
3 

31.  Delirium  Tremens  . 

6 
5 

1 

33.  Chronic  Alcoholism  

34.  Other  Diseases  of  this  Order  

CLASS  II.—  CONSTITUTIONAL    DISEASES. 
ORDER  I.  —  Diathctic  Diseases. 
35.  Gout  

18 
18 
3 
1 

72 
C3 

1C 

49 
47 
3 
1 

o 

37.  Chronic  Rheumatism  

10 

14 

38.  Anaemia  

o 

40.  Cancer  

41.  Tumors  

1 

42.  Other  Diseases  of  this  Order  

8 
1 

20 

ORDER  II.  —  Tubercular  Diseases. 
43.  Consumption  

1 
1 

14 
4 

2 

13 

44.  Scrofula  

45.  Other  Diseases  of  this  Order  

CLASS  III.—  PARASITIC    DISEASES. 

40.  Itch 

8 

47.  Tape-worm  

48.  Other  Intestinal  Worms  

49.  Other  Diseases  of  this  Order  

1 

710 

3 

292 

o 

899 

J6 

3,  189 

45 

1,444 

43 

DURING   THE    YEAR   ENDING   JUNE   30,  1863. 


223 


TABLE  XXXV. 

of  the  Northern  Department. 


1862. 

1803. 

DECEMHEU. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

6,  798. 

5,  076. 

3,  249. 

6,  422. 

3,  910. 

4,  075. 

4,  337. 

5,  553. 

Cases. 

Deaths. 

Cases. 

Deaths.  ;  Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases.      Deaths. 

1 

3 
4 
5 
C 
7 
8 
9 
10 
11 

13 
14 

1., 

in 

17 
18 
19 
20 
21 

25 

2<> 
tJt 
28 

29 
30 
31 
32 
33 
34 

35 

5 

4 

12 

G 

9 

7 

25 

6 

9 

3 

11 

3 

16 

5 

310 

7 
207 

78 

~ 

C 

13 

5 

11 

12 

0 

8 

7 

30 
62 
70 

3 

13 
50 
47 
10 
1 
17-1 
21 
13 
3 
10 
38 
2o 

59 
108 
139 

1 

24 
104 
49 

2 

7 
37 
63 

37 
59 
55 
1 
1 
loo 

818 
1,  502 
932 

17 
1 

31 
83 

7 
5 
90 
4 
8 
1 
1 
19 
6 

52 

105 
G5 
2,  170 
57(> 
335 
70 
128 
127 
344 

0 

45 
359 

1 
11 
6 
25 
3 
4 
21 
39 
19 
1 
13 

1 
202 
33 
19 

10 

1 

90 
1 
G 

1C3 

84 

31 
57 
3 
1 
3 

6 
155 
26 

24 

2 

20 
6 

1 
64 
32 
6 

1 

2 

G 

3 

o 

4 

78 
31 
10 
23 
9 
12 

] 
1 

7 
6 

4 
3 
G 

5 

7 
8 

24 

28 
29 

3 

7 
1 
1 

13 

12 
14 

o 
4 
3, 

4 

11 
31 

6 

3 

o 

74 

G 

"7 

1 
5 

i,  9 

28 
133 
137 

10 

108 

16 
74 

117 
10 

10 

ou 

399 
17 

10 

1 

1,649 
570 

241 

1 
9 

1 

8 
13 
o 

G 
28 
5 

20 
45 
5 

57 
73 
15 

43 
5 

536 
52 
11 
37 

4 
1 

1 

1 
5 

3 

10 

10 

1 
3 

1 

4 

43 

6 
28 
34 
6 

1 

1 

3 
5 

16 

21 

1 
4 

1 

3 

j 

3 

2 

1 

4 
15 

1 

4 
6 

1 

3 

30 
37 
38 
39 
40 
41 
42 

43 
44 
45 

40 

47 
48 
49 

80 
53 
22 

40 
39 
10 

28 
27 
5 

5G 
37 
21 

10 

oo 

8 

31 

1 

5 

GO 
12 

372 
433 
101 
11 
3 
7 
42 

72 
29 
23 

161 

3 
3 

1 
1 

1 

1 

3 

1 

2 
o 

1 

1 

1 

o 

10 
5 

4 

4 
4 

G 

7 

1 

1 

12 

3 

6 
5 

o 

1 

10 
6 

3 

13 

3 
1 

24 

27 

38 

1 

31 

31 

4      

0 

7      

1,153 

35 

811             36 

G97 

18 

1,406 

21 

C48 

23 

537 

19 

eco 

23 

12,  646          284 

224 


SICKNESS   AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  XXXV.— NORTHERN  DEPARTMENT— Continued. 


YE  AII  

180^2 

Jl  LY. 

AUGUST. 

SEl'TEXmEU. 

OCTOUKK. 

NOVEMBER. 

919. 

929. 

7,  784. 

13,  735. 

9,  406. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Brought  forward 

710 

3 

292 

0 

899 

16 

3,189 

45 

1,  444 

43 

CLASS    IV.  —  LOCAL    DISEASES. 
OUDEII  I.—  Diseases  of  Xcrvous  System. 

1 
3 

9 
7 
4 
o 

1 

1 
7 
1 

0 

1 

**  '    sa    y 

3 

1 

1 

3 
1 

3 

*  "  '!"  .  °    ""* 

3 

'  ^  . 

4 

9 

30 
3 

16 

'r<}     p.         ,   ." 

1 

1 

3 

0 

OKDEH  II.  —  Diseases  of  Eye. 

1 

(11 

3 
33 

12 

0 

oo 

._'                           f  I  i 

1 

3 
4 

OHUEK  III.  —  Diseases  of  Ear. 

11 
o 

70    Deafness                                    

1 

o 

0 

o 

72    Other  Diseases  of  this  Order  

1 

1 
1 

OltUKil  IV.  —  Diseases  of  Organs  of  Circulation. 

1 

1 

2 

o 

17 

<» 

1 

3 

14 

9 

7 
81 
4 

82.  Other  Diseases  of  this  Order  

1 

3 

1 

9 

4 
97 
15 

OitDEK  V.  —  Diseases  of  Kespiratory  Organs. 
83    Asthma 

35 

8 
3 

47 
4 

85.  Chronic  Bronchitis  

86.  Dropsy  of  Chest  

I 

87.  Haemorrhage  from  Nose  

0 

88.  Inflammation  of  Larynx  

2 

1 
1 

o 

75 
56 
7 
6 
5 

o 

1 

16 

73 
11 

r 

89.  Inflammation  of  Lungs  



10 
1 

0 

18 

90.  Inflammation  of  Pleura  

6 

91.  Haemorrhage  from  Lungs  

1 

92.  Other  Diseases  of  this  Order  

1 

18 
21 

i; 

OllDEH  VI.  —  Diseases  of  Digestive  Organs. 
93.  Colic  

16 

8 

1 

172 

1 

17 
33 
3 

94.  Constipation  ..    . 

20 

95.  Cholera  Morbus  

8 

96.  Cirrhosis  of  Liver  

1 

1 
7 

8 

5 

99.  Diseases  of  Pancreas  

1 

100.  Diseases  of  Spleen   

i 

3 

101.  Fistula  in  Ano  

„ 

4 

•j 

r 

°T 

26 

103.  Haemorrhage  from  Stomach  

4 

1 

820              4 

351 

1,001 

21 

3,  839 

57 

1,  905 

62 

DURING    THE    YEAR    ENDING    JUNE   30,  1863. 


225 


TABLE  XXXV.— NORTHERN  DEPARTMENT— Continued. 


1862. 

18(5;  5. 

DECEMBER. 

JANUARY. 

FEBKTAKY. 

MARCH. 

APRIL. 

MAV.                   JUNE.                     TOTAL. 

6,  798. 

5,  076. 

3,  249. 

6,  422. 

3,  910. 

4,  075. 

4,  337. 

5,553. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 
21 

Cases. 

Deaths. 

Cases. 
537 

Deaths. 

Cases. 

Deaths. 

Cases.      Deaths. 

50 
51 
52 
53 
54 
55 
5  ; 
51 
58 
59 
60 
61 

62 
63 
6-1 
65 
66 
67 

63 
69 
70 
71 

7° 

1,153 

35 
1 

811 

36 

097 

18 

1,  406 

648 

1 
4 
16 

23 

19 

800 

23 

12,  646 

1 
43 
187 

284 

1 

0 

6 
45 

4 
o 

4 
3 

3 

20 
3 

4 
15 

3 
6 

11 
38 
1 
1 

1 

1 

27 

3 

1 
1 

14 

8 

21 
48 
179 
15 
1 
11 

1 

0 

1 
1 

o 

3 

10 

r 

1 

;? 

6 

1 
1 

10 

1 

] 

7 
12 

12 

19 

°4 

11 
1 

12 

1 

0 

3 

1 

2 

2 

1 

3 

o 
45 

|  

fi 

413 
4 

21 

°4 

0-1 

40 

44 

41 

1 

ij 

3 

19 
4 

6 

00 

11 

fi 
1 
10 

6 
4 
1 
4 

7 
3 
1 
4 

6 

6 
3 
1 
4 

1 

10 

5 
55 

3 

9 

1 

0 

11 

5 
11 
24 
4 
50 
50 

73 
74 

7<> 

78 
79 
80 
•- 
82 

83 

84 
85 

86 
87 
88 
89 
% 

i 

93 

i 

1 

1 

1 

1 

1 

1 

3 

1 

1 

12 

1 

5 

_ 

5 

1 

•1 

1 

5 
10 

1 

o 

2 

5 

0 

o 

(i 

c 

1 

o 

0') 

1 
1 

1 
1 

13 
5 

0 

4 
7 

4 
3 

1 

20 

38 
CS2 

102 

0 

7 
30 

6 

3 
24 

1 
12 

36 

15 

111 

8 

1 

96 

3 

4 
o 

40 

21 
11 
70 
15 
4 
33 

33 

78 

L 
04 

7G 
17 

1 
8 
14 

8 
o 

1            30 

01 

10 
15 
5 



1 

18 

18 
24 
6 

3 

11 
1 

356 

92 
23 

3 

93 
4 

(i 

10              5 
5               1 
o 

11 

12 

9 
J 

10 
1     : 

1 

64 

3 
33 
1 

09 

64 
"6 

1 

202 

177 
521 

o 

10 
23 

1 
18 

12 

13 
59 
5 

"9 

27 

5 

5 

96 
97 

98 
01 

3 

1!) 

7 
Tl 

3 

16 

15 

142 

1 

13 

13 

18 

101 

1 

4 

1 

1 

9 

103 

7 

10,  7-JG 

l(i 

0 

o 

3 

' 

3      

1 

1 

38 

•1-J3 

],?•;:!          -M       i,U3 

42 

931 

33       2,  071 

44 

874 

40 

789 

30     i  1.2C9 

1 

22G 


SICKNESS    AND    MORTALITY    OF   WHITE    TROOPS 
TABLE  XXXV.— NORTHERN  DEPARTMENT— Concluded. 


YEAR  

1863. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

919. 

929. 

7,  784. 

13,  735. 

9,406. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

820 

4 

351 

2 

1,061 

2t 

3,839 

57 

1,905 

62 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

3 

3 

o 

32 
12 

50 
1 

12 

1 

1 

1 

o 
2 

1 

2 

1 
1 
1 

4 

8 
6 
176 
"7 

20 

0 

3 

4 

Cl 
5 

70 
17 
5 

10 

31 

2 

ORDER  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

4 

3 
1 

~°         ^        S        f   !» 

5 

o 

3 

1 

11 
1 
1 
1 
4 

2 

4 

'       "     *                  .                                      J 

00 

1 

8 

4 

ORDER  VIII.  —  Diseases  of  Hones  and  Joints. 

1 

10-         '  ^ 

. 

3 

3 
2 

4 
1 
1 

14 

4 

1°9    Necrosis 

O&DEii  IX.  —  Diseases  of  Integumentary  System. 

2 

6 
1 
2 

1 

°7 

132   Boils    ... 

8 
8 
5 

11 

4 
8 
1 

134.  Whitlow  ... 

4 
5 

6 
13 

3 

5 

312 

CLASS    V.—  WOUNDS,   ACCIDENTS,   AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
136.  Burns  

137.  Contusions  

1 

1 

1 

1 

139.  Drowning  

140.  Sprains  

3 
1 
3 

8 

11 
1 
1 

141.  Dislocation  

142.  Simple  Fractures  

4 

1 

143.  Compound  Fractures  

111 

0 

11 

1 
G 
5 

l^; 

1 

145.  Incised  Wounds  

14G.  Lacerated  Wounds  

3 

1 
1 

147.  Punctured  Wounds  

4 

o 

148.  Poisoning  

149.  Other  Accidents  and  Injuries  

11 

1 

4 

1 

150.  OHDEP.  II.  —  Homicide  

151.  OUDER  III.—  Suicide  

152.  ORDER  IV.  —  Execution  of  Sentence  

Total  

33 

2,  198 

70 

839 

4 

384 

4 

1,576 

4,279 

62 

DURING    THE    YEAR    ENDING    JUNE    30,  1863. 


227 


TABLE  XXXV.— NORTHERN  DEPARTMENT— Concluded. 


1869. 

1863. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY.                    JUNE. 

TOTAL. 

6,  798. 

5,  076. 

3,  249. 

6,  422. 

3,  910. 

4,  075. 

4,  337. 

5  553. 

10-1 
105 
IOC 
107 
108 
109 
110 
111 
112 
113 

114 
115 
110 
117 
118 
119 
120 
121 
122 
123 

124 
125 
126 
127 
128 
129 
130 

131 
132 
133 
134 
135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
140 
147 
148 
149 

150 

151 
152 

Cases. 

Deaths. 

Cases. 

Deaths 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths.     Cases.    Deaths. 

Cases. 

Deaths. 

1,703 

1 
88 
11 
8 

44 

1,113 

42 

931 

33 

2,071 

44 

874 

40 

789 

2 
30 

36 

1,209 

38 

1C,  726 

3 

336 
41 
32 

6 
87 
36 
427 
154 
83 

4 
9 

423 

21 

21 

f»7 

49 

15 

4 

1 

1 

2 

1 

1 

] 

G 

5 
5 
4 
1 
1 
1 

1 

5 
2 

6 
3 
3 
13 

o 
5 

C 
15 

2 

1 

14 
10 
33 
12 
33 

1 

12 

18 

1 

G 
42 
10 

7 

3 
G 

15 

14 
15 

4 
9 

1 

17 

1 

1 
2 
4 

G 
o 

o 

1 

5 

1 

6 
12 

7 
5 

18 
45 
9 
7 
4 
14 

10 
5 
16 
5 

C 
6 

107 
97 
14 

1 

0 

3 

4 

1 
1 

1 
1 
1 

3 
3 

1 
1 

2 

r> 

1 
3 
3 

2 
3 

0 

6 
3 

1 

1 

2 
2 

1 

1 

1 
4 

5 
3 

1 

1 

1 

9 
oo 

9 
4 

13 
°5 

G 
4 

8 
13 

7 
13 
2 
4 
61 

1 
22 

2 

7 

g 
5 

1 
8 

3 
15 

3 

3 

1 

1 
G 

3 

1 

20 

G 

437 

15 
83 
1 

0 

.} 

2 

1 
3 

1 

27 

7 

10 
1 

10 

JO 

11 
1 

9 
3 

108 

9 
9 

1 

1 

18 
7 
o 
o 

1 

1 

8 

1 

1 
o 

3 

C 

39 
G 

o 

187 

53 
23 
24 
3 
25 

1!) 

1 

15 
4 

7 

1 

2 

4 

7 

1 
1 



4 

1 

1 

o 

1 

3 

4 

1 

0 

1 

1 

2,  0,-G 

48 

1,277 

42       1,  050 

39 

2  279 

50 

1,010 

4G 

907 

37 

1,441 

41 

1!\  320           -17G 

228 


SICKNESS    AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  XXXVI. 

Abstract  of  the  Sickness  and  Mortality 


YEAR 

MONTH 

MEAN  STREXGTU. 


JULY. 


AUGUST. 


LIST  OF  DISEASES. 


Cases.    Deaths. :  Cases.    Deaths. 


CLASS   I.— ZYMOTIC   DISEASES. 
ORDER  I. — Miasmatic  Diseases. 

1.  Typhoid  Fever 

2.  Typhus  Fever 

3.  Typho-Malariul  Fever 

4.  Yellow  Fever 

5.  Remittent  Fever 

6'.  Quotidian  Intermittent  Fever 

7.  Tertian  Intermittent  Fever 


Intermittent  V* 


8.  Quartan  Intermit 
'.».  Congestive  Intermittent  Fever 
It).  Acute  Diarrhoea • 

11.  Clironie  Diarrhoea 

12.  Acute  Dysentery 

13.  Chronic  Dysentery 

14.  Erysipelas 


SEPTEMBER. 


Cases. 


Deaths. 


OCTOBER. 


NOVEMBER. 


Cases.  ;  Deaths. !  Cases.  !  Deaths 


15.  Small-pox  and  Yarioloid. 


]li.  Measles . 


17.  Scarlet  Fever . 


Diphtheria. 
Mi 


20.  Epidemic  Catarrh. 


21.  Other  Disea 


of  this  Order. 


OKDEK  U.—Entltetic  Diseases, 


22.   Syphilis 

2'!.  Gonorrhoea 

21.  Orchitis 

25.  Stricture  of  the  Urethra 

2t>.  Purulent  Ophthalmia 

27.  Serpent  IViio 

28.  Other  Diseases  of  tliis  Order 

ORDER  III. — Dietic  Diseases. 

29.  Scurvy 


30.  Purpnra 

31.  Delirium  Tremens 

32.  Inebriation 

33.  Chronic.  Alcoholism 

34.  Other  Diseases  of  this  Order 

CLASS    II.— CONSTITUTIONAL   DISEASES. 

ORDER  I. — Diathctic  Diseases. 
33.  Gout 

36.  Acute  Rheumatism 

37.  Chronic  Rheumatism 

38.  Anaemia 

39.  General  Dropsy 

40.  Cancer 

41.  Tumors 

42.  Other  Diseases  of  this  Order 

ORDER  II. — Tubercular  Diseases. 

43.  Consumption 

44.  Scrofula 

45.  Other  Diseases  of  this  Order 


CLASS   III.  — PARASITIC    DISEASES. 

4(1.  Itch 

47.   Tape-worm 

-IS.  Other  Intestinal  Worms 

411.  Other  DUea-.es  of  this  Order.. . 


Carried  forward. 


DURING    THE    YEAR   ENDING    JUNE   30,  18G3. 


229 


TABLE  XXXVI. 

of  the  Department  of  tlic  Ohio. 


1803. 

1803- 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCII. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

30,  549. 

22,  197. 

30,  682. 

45,  956. 

41,  335. 

20,  601. 

32,  886. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases.  I  Deaths. 

Cases.    Deaths.     Cases.    Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

i 

3 

4 
5 
6 
7 
8 
9 
10 
11 
12 
i:i 
i  ; 

15 

10 
17 
18 
1!) 
20 
21 

23 
24 
25 

t*i 

28 

29 
30 
31 
32 
33 
34 

35 

238 

57 

83 
3 

50 

129 
3 
33 

55 

168 

4 
45 

49 

0 

121 
12 
42 

23 
1 

107 

20 

851 
288 

254 
3 
15 

104 

9 

1 

5 

°7 

32C 
4GC 

3 

149 
371 

5 

236 
601 

7 

277 
433 
329 

2 

388 
4°4 

1 

201 
241 

3 

1,  565 
2,  535 
1,387 
131 
91 
7,  426 
900 
953 
79 
458 
76 
1,170 
11 
149 
C58 
1,627 
332 

417 

1 

179 
47 

1 

135 
10 
11 
585 
56 
91 
1 
80 

240 

164 
5 

156 

24 

3 

o 

7 

13 
919 
142 
118 
13 
76 
16 
218 
10 
18 
71 
291 
52 

53 
84 
8 
1 
1 

2 
1 
15 
1 

i««O 

1,  649 
209 
184 
18 
68 
21 
162 
1 
23 
146 
412 

8 
1 
6 

5 

1,881 
20  1 
267 

67 
11 
105 

1 

4 

949 
107 
130 
23 
48 
3 
32 

14 
12 
40 
5 
4 
76 
27 
74 

2 
1 
1 
5 

1,  443 
185 
103 

12 
99 
3 
413 

6 
5 

28 
3 
30 

o 
3 
2 

4 

1 
31 

7 
21 

1 

4 
2 

9 
9 

10 

4 
4 
5 

2 

i 

55 

27 
91 

1 

1 

20 
CO 
146 
178 

107 
145 

6 

47 
48 

1 

178 
11 

37 
59 
6 

1 

4 

8 

65 

8G 
17 
1 
3 

1 

53 

93 

208 

62 

140 
8 

20 

80 
14 
19 

1 
3 

7 
5 

0 

0 

5 

1 
4 

1 

21 

C 

o 

1 

145 
1 
3 
12 
3 

11 

299 
6 

32 

4 

82 

26 
5 

5 
4 
13 

1 

1 

1 
1 

6 

2 
1 

i 

0 

2 
3 
4 

13 

7 
8 
3 

2 

1 

4 
2 

1 

16 

36 
37 
38 
39 
40 
41 
42 

43 
44 
45 

40 

47 

;  48 
49 

216 

104 
95 

1 

192 
144 
80 
5 
1 
3 
3 

8 
4 

232 

195 

89 

1,028 
724 
360 
43 
3 
15 

sa 

109 
43 

334 

1 
1 
4 

155 

170 

101 
69 
14 
1 

0 

1 
2 

59 
18 
5 

71 
5 

1 

26 

90 

1 

1 
4 
9 

32 
13 

3 

o 

1 

8 

8 

7 

17 

11 

1 

72 

1 

25 
0 

3 

19 
4 

11 

9 
1 

8 

3 

3 

1 

37 

44 
1 

05 

53 
1 

33 

4 
4 

0 
8 

i 

0 

1 

i 

5,306 

161 

2,  Oil 

146 

3,820 

125     !  5,393            95 

5,151             48       2,  7c'6 

37        :j5.  07:)         c:2 

230 


SICKNESS   AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  XXXVI.— DEPARTMENT  OF  THE  OHIO— Continued. 


YKAIi  

18<>2. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

CLASS    IV.  —  LOCAL    DISEASES. 

OUDER  I.  —  Diseases  of  Nervous  System. 

1 

ORDER  II.  —  Diseases  of  Eye. 

64    I  ^           f        f  C  i  'un  tiva 

"    °  a                         .^ 

'       &                             . 

ORDER  III.  —  Diseases  of  Ear. 

•                        ^ 

. 

ORDEK  IV.  —  Diseases  of  Organs  of  Circulation. 

82.  Other  Diseases  of  this  Order 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
83.  Asthma  .                                 .     ... 

84.  Acute  Bronchitis  

85.  Chronic  Bronchitis  

86.  Dropsy  of  Chest    . 

87.  Haemorrhage  from  Nose 

88.  Inflammation  of  Larynx 

89.  Inflammation  of  Lungs 

90.  Inflammation  of  Pleura 

91.  Haamorrhage  from  Lungs  ...    . 

92.  Other  Diseases  of  this  Order 

OUDEE  VI.  —  Diseases  of  Digestive  Organs. 
93.  Colic  

94.  Constipation  

93.  Cholera  Jlorbus  . 

1)').  Cirrhosis  of  Liver  

97.  Dropsy  from  Hepatic  Disease 

98.  Dyspepsia  

91).  Diseases  of  Pancreas  

100.  Diseases  of  Spleen  

101.  Fistula  in  Ano  

102.  Hernia  

103.  Haemorrhage  from  Stomach 

Carried  forward  



DURING   THE    YEAR    ENDING    JUNE    30,   1863. 


231 


TABLE  XXXVI.— DEPARTMENT  OF  THE  OHIO— Continued. 


18(>^. 

1803. 

DECEMHEK. 

JANUARY. 

FEIiUfAUY. 

MAUCII. 

Al'itn.. 

MAY. 

JUNE.                    TOTAL. 

30,  549. 

22,  197. 

30,  682. 

45,  956.                    41,  335. 

26/601. 

32,  886. 

50 
51 
52 
53 
54 
55 
5G 
57 
58 
59 
GO 
61 

62 
63 
64 
65 

66 
C7 

68 
69 
70 
71 

72 

73 

74 
75 
76 
77 
78 
79 
80 
81 
82 

83 
84 
85 
86 
87 
88 
89 
90 
91 
92 

93 
94 
95 
96 
97 
98 
99 
100 
101 
102 
103 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

C.-ises. 

Deaths. 

5,306 

1 
14 
252 

161 

2,611 

4 
9 
56 

2 

146 
2 

3,826 

1 

10 
79 
2 
8 
1 
1 
5 
74 
3 

125 
1 

5,393 
3 

95 
1 

5,151 

2 

8 
90 

48 
1 

2,786 

37 

25,  073 

11 
59 
646 
11 
20 
7 
20 
47 
550 
13 
5 
28 

14 
18 

560 
6 
9 
42 

204 

612 
5 

(i 
71 
1 

1 

98 

1 
5 
3 

10 
11 
144 
4 

1 
4 
1 
7 
6 
130 
1 

4 

0 

1 
1 

6 

85 

4 
o 
o 

2 
1 
o 

3 

3 

2 

o 
1 

1 

15 
6 
4 

1 
1 
16 
69 
3 

3 

48 

o 

1 
3 

3 

1 
120 

4 

7 

; 

82 

12 

4 
1 
110 

3 

1 

4 

1 

4 
2 

3 

13 
58 
2 

45 

145 
2 
1 

15 

0 

3 
o 

3 

17 

20 
9 
3 
13 

2 
o 

2 

10 
2 
1 
12 

4 

33 
4 
2 
9 
1 

90 
10 
4 
19 

°7 

24 

7 
6 

0 

34 

18 
80 

1 

1 

3 
4 
4 
6 
3 
63 
56 

„ 

5 

1 
2 

3 

1 
1 

8 

2 

6 

o 

1 
1 
2 

1 
3 
1 

14 
14 
1 

17 
367 
33 
2 

3 

1 

1 

5 

1 

1 
1 

2 

3 
3 

1 

1 

1 
2 

1 

1 

1 

1 
3 
6 
6 

7 

127 
20 

1 

7 
5 

9 
16 
1 

9 

228 
43 

23 

9 

1 

11 
152 

i-t> 

7 
6 

2 

9 

58 
1,186 
173 
4 
24 

2 

9 
253 
44 

5 

59 
8 
2 
1 
12 
32 
22 
3 

1 
1 

o 

1 
1 

4 

8 
2 

8 
61 
272 
47 
9 
273 

91 
174 
oo 

1 
16 
163 
14 
4 
156 

33 

1 

65 
180 
92 
53 
303 

53 

7 
6 
201 
55 
9 

6 
30 
117 
44 

9 

6 
33 
1 

1 
38 

1 
13 
3 

190 
965 
274 
87 
1,117 

410 
597 
141 
5 
33 

8 

4 
1 

8 

83 

50 

6 

1 

1 

7 

270 
03 

97 

101 
121 
33 

18 

39 

1 

27 
7 
1 
1° 

1 

102 
4 
1 
8 
32 

116 
27 
o 

1 
1 

57 
48 

1 

1 

1 
37 

8 
51 

3 

72 

1 
13 

25 

230 

2 

7 
49 

7 
1 

"7 

11 
4 
36 

20 

4 
36 

5 
41 
1 

1 

16 
1 

205 
5 

1 

2 



7,  373 

260 

3,524 

212 

5,  398 

179 

7,241 

146       6,  455 

73 

3,403 

46 

33,  3!>4           916 

232 


SICKNESS   AND   MORTALITY    OF   WHITE    TROOPS 


TABLE  XXXVI.—  DEPARTMENT  OF  THE  OHIO— Concluded. 


YEAH 

JIOXTII 

ME  AX  STRENGTH. 


LIST  OF  DISEASES. 


Brought  forward 

ORDER  VI.— Diseases  of  Digestive  Organs— Continued. 

104.  Haemorrhage  from  Bowels 

103.  Inflammation  of  Tonsils 

100.  Inflammation  of  Stomach 

107.  Inflammation  of  Bowels 

103.  Inflammation  of  Peritonaeum 

10:>.  Acute  Inflammation  of  Liver 

110.  Chronic  Inflammation  of  Liver 

111.  Jaundice 

lie.  Piles 

113.  Other  Diseases  of  this  Order 

ORDER  VII.— Diseases  of  Urinary  and  Genital  Organs. 


Cases. 


114.  Stone  and  Gravel 

115.  Diabetes 

110.  Bright's  Disease 

117.  Diseases  of  Prostate - 

118.  Diseases  of  Testis 

11!).  Inflammation  of  Kidneys 

120.  Inflammation  of  Bladder 

121.  Incontinence  of  Urine 

122.  Ilydrocele 

123.  Other  Diseases  of  this  Order. 


i  >A 
L25. 

i  -  . 
i  .•:. 
i  .-• 
129. 
,  I  I. 


ORDER  VIII. — Diseases  of  Bones  and  Joints. 

Anchylosis 

Caries 

Inflammation  of  Joints 

Inflammation  of  Bones 

Inflammation  of  Periosteum 

Necrosis 

Other  Diseases  of  this  Order 

ORDER  IX. — Diseases  of  Integumentary  System. 


L31. 
L33 
L33 
L34. 
L33. 


Abscess 

Boils 

Carbuncle 

Whitlow 

Skin  Diseases. 


CLASS   V.— WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

ORDER  I. —  Wounds,  Accidents,  and  Injuries. 

136.  Bums 

137.  Contusions 

133.  Concussion  of  Brain 

130.  Drowning 

140.  Sprains -• 

141.  Dislocation 

14.2.  Simple  Fractures 

143.  Compound  Fractures 

144.  Guns'.iot  Wounds 

145.  Incised  Wounds 

140.  Lacerated  Wounds 

147.  Punctured  Wounds 

143.  Poisoning 

149.  Other  Accidents  and  Injuries 

150.  ORDER  II.— Homicide  ... 


Deaths. 


SEPTEMBER. 


Cases.    Deaths. 


OCTOBER. 


Cases. 


Deaths. 


Cases.    -Deaths. 


151.  ORDER  III.— Suicide. 


152.  ORDER  IV. — Execution  of  Sentence. 


Total. 


DURING   THE    YEAR   ENDING    JUNE    30,  1803. 


233 


TABLE  XXXVI.— DEPARTMENT  OF  THE  OHIO— Concluded. 


1803. 

1863. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

30,  549. 

22,  197. 

30,  682. 

45,  956. 

41,  335. 

26,  601. 

32,  880. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

104 
105 
106 
107 
108 
109 

no 

111 
112 
113 

114 
115 
110 
117 
118 
119 
120 
121 

123 

124 
125 
120 
127 
128 
129 
130 

131 
132 
133 
134 
135 

130 
137 
138 
139 
140 
141 
142 
143 
144 
145 
14G 
147 
148 
149 

150 
151 
152 

7,373 

5 

162 
18 
13 
1 
14 
14 
310 
70 
10 

10 
10 

260 

3,524 

212 

5,398 
o 

179 

7,  241 

146 

6,455 

3 

59 

14 

73 

3,403 

2 
19 
4 
2 

46 

33,  394 

17 

590 
76 
31 
11 
98 
55 
748 
361 
77 

27 
14 
9 
4 
18 
73 
"9 

910 

1 

1 
o 

80 
3 

109 
13 

161 

24 
5 

1 

0 

1 

1 

1 

11 
6 
10 
2 
145 
52 
5 

2 
2 
3 

1 

c, 

3 

7 
8 
144 
42 

43 

10 
88 
81 
40 

4 
1 
3 

10 
43 

82 

2 

3 
11 
18 
34 
8 

4 

1 

1 

14 
5 

1 

1 

2 

1 

1 

2 
1 
1 
1 
3 
14 

1 

1 

1 
2 

0 

1 

8 
13 

3 

12 

15 
3 
6 
2 

1 

13 
4 
3 
2 
5 

5 

6 
3 
3 

1 

1 

1 

7 
8 
1 
2 

- 

3 

2 

25 
11 
8 

11 
2 

32 

3 

1 

1 

3 

o 

2 

1 

6 

3 

9 

9 

5 

0 

2 
1 

2 

29 

2 
3 
4 

57 

6 

7 
7 

250 

o 

1 



1 

70 
91 

33 
69 
9 
5 
27 

8 
24 

13 
14 
4 
3 
5 

11 
12 

48 
30 
3 

19 
7 

4 
36 
1 

28 
1 
9 
17 

11 
24 

74 
5 
i  r» 

312 

10 

11 

19 

9 
67 
2 

32 

62 
107 

50 
225 
4 

1         •*> 

7 
62 
1 

1 

1 

2 

1 

1 

o 

0 

40 

18 
1 
1 

1 
8 

°9 

61 
6 

18 
4 

f~J 

16 

19 
8 
o 

70 

36 
2 
3 

0 

65 
10 
4 
3 

262 

1 
3 
1 

28 
8 
4 

7 
9 

49 
14 
11 
11 
C 
4 

17 
38 
11 
186 
00 
49 
23 
9 

4 
1 
11 
7 
4 

1 
o 

1 
4 

o 
3:3 
1 

9 

4 

5 

1 

8 

7 
1 

2 

1 

3 

I 

4 

1 

7 

11 

5 

o 

o 
1 
1 

1 

1 

! 

8,316 

275 

3,967 

218 

5,  999 

190 

8,181 

161 

7,190 

87 

3,817 

58 

37,  470 

r-s!< 

30 


234 


SICKNESS   AND   MORTALITY    OF   WHITE    TROOPS 


TABLE  XXXVII. 

Abstract  of  the  Sickness  and  Mortality 


YEAE  

1869. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

64,  SCO. 

58,  COS. 

63,  112. 

102,  901. 

90,  C47. 

LIST  OP  DISEASES. 

Cases. 

Deaths. 

Cases. 

deaths. 

Cases. 

Deaths. 

Oases. 

deaths. 

Cases. 

Deaths. 

CLASS  1.—  ZYMOTIC    DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

331 
225 

CO 
2 

5 

299 
5 
355 

31 

200 

13 

437 
21 

40 

041 
5 
290 

135 
1 
5 

'    yrno1     e% 

3.  Typho-Malarial  Fever  

2 

100 

1 

299 

5 

935 
708 
G7G 
77 
52 
2,781 
789 
3(59 
65 
07 

7 

713 
059 
C07 
10 
12 
2,  700 
697 
244 
47 
50 

5 

9C3 
1,  493 

2 

1,020 
2,867 
2,077 

3 
1 

1,  520 
2,450 
1,  567 
J74 
C5 
6,321 
1,198 
1,218 
131 
115 
1 
751 
1 
14 
444 
1,895 

13 
1 

4 

emitten       e  e 

895 

231 

213 

8 
4 
15 

1 
5 

7 

31 
5,134 
050 
735 
GO 
Cl 
1 
4 

0 

1 

o 

2 

68 
7,119 

1,876 
151 
79 

4 
8 
3 

11 
2 

17 

0 

17 
8 
7 
1 

.    ' 

2 

5 
1 

1 

7 

285 

1 

13 

1 

185 
733 
490 

220 

o 
1 

1C7 
o 

541 

Co 
149 
36 
6 

47 
8 

G27 

80 
109 
32 

81 
41 
C78 

148 
260 

V  ^    .    „ 

18 

13 

4 

5 

380 
223 

3 

ORDER  II.  —  Enthetic  Diseases. 

JP 

455 

401 
C9 
17 
11 

31 

7 

47 
13 
10 

. 

o 

2 

1 

15 

11 

10 
1 

7 
20 

OKDEU  III.—  Dictic  Diseases. 
29    Scurvy 

56 

30 

9 

12 

2 

o 

5 
4 

8 

1 

2 

11 

2 

1 

9 

1 

8 

0 
34 

0 

784 
883 
125 
69 
7 
3 
51 

34    Other  Diseases  of  this  Order 

CLASS  II.—  CONSTITUTIONAL    DISEASES. 

ORDER  I.—Diathetic  Diseases. 
33    Gout 

1 

288 

24 

30.  Acute  Rheumatism 

142 

331 

317 
20 

603 
G13 

37.  Chronic  Rheumatism 

303 
10 
Cl 

243 

38.  Anaemia  

14 
44 

59 
91 

1 

39.  General  Dropsy  

1 

1 

43 

40.  Cancer  

41.  Tumors  

7 
20 

3 

14 

37 
15 

4 
17 

43 

7 

8 
01 

48 
10 

42.  Other  Diseases  of  this  Order 

ORDER  II.  —  Tubercular  Diseases. 
43.  Consumption  

44 
1C 

G 

0 

3 

109 
21 

0 

1 

44.  fjLTofula  

45.  Other  Diseases  of  this  Order     . 

CLASS  III.—  PARASITIC    DISEASES. 

40.  Itch    .          .  . 

19 
1 
13 

47.  Tape-  worm  

48.  Other  Intestinal  Worms  

8 

6 

3 

15 

49.  Other  Diseases  of  this  Order  

1 

Carried  forward  

1 

8,892 

123 

7,964 

73 

12,  685 

31 

21,  »'.S4 

99 

22,  099         238 

DUKING   THE   YEAK   ENDING   JUNE   30,  1863. 


235 


TABLE  XXXVII. 

of  the  Department  of  tlie  Cumberland. 


1862. 

1803. 

DECEMBEK. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

107,  047. 

90,  543. 

103,  298. 

102,  453. 

104,  885. 

105,  740. 

99,  439. 

91,  349. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1 

3 

4 
5 
G 
7 
8 
9 
10 

11 

12 
13 
14 
15 

16 
17 
18 
19 
20 

23 
24 

26 

27 

29 
30 
31 
32 
33 
34 

35 
30 
37 

38 
3!) 
40 
41 
42 

43 
44 
45 

40 
47 

48 
49 

605 
4 
225 

164 
1 
2 

390 
7 
93 

73 

554 
10 
213 

101 
8 
6 

449 
1] 
211 

79 
4 
8 

382 
12 
170 

84 
4 
8 

300 
12 
378 

55 
7 
2 

151 
o 

82 

10 

4,745 
101 

2,507 

851 

27 
49 

5 

1,290 

1,948 
1,148 
144 
58 
5,697 
829 
981 
108 
161 
4 
888 
4 
35 
594 
1,  985 
400 

201 
358 
50 
12 
12 

8 
1 

1,074 
1,219 
793 
177 
74 
5,141 
1,088 
847 
194 
81 
3 
208 

9 
1 

1,286 
1,  107 
956 
247 
66 
5,323 
1,027 
1,029 
125 
142 
9 
173 
3 
77 
429 
856 
251 

158 
213 

7 
2 

1 
15 

43 
3 

4 
23 
1 
13 
1 
1 
1 

1,295 
1,334 
1,156 
130 
79 
6,008 
1,344 
895 
149 
129 
9 
141 
1 
50 
483 
879 
107 

158 
230 

6 

i 

i 

6 

1,477 
1,603 
1,163 

86 
5,714 
1,132 
8C4 
95 
115 
28 
48 

10 

1,987 
2  068 

5 

1,  316            2 
1  573 

15,482 
19,  095 
13,  618 
1,918 
720 
66,  958 
11,  003 
12,  974 
1,  330 
1,228 
68 
2,546 

301 
3,089 
8,090 
4,121 

1,911 

3,  069 

506 
84 
229 
5 
78 

1,154 
119 
65 
149 
34 
158 

43 
6,241 
6,  729 
1,252 
551 
11 
80 
207 

885 
312 
4 

848 
15 
150 
2 

77 
6 
6 
o 

95 
45 

247 

35 
94 
4 
109 
2 
10 
2 
1 
60 

1 

1,399 
190 
94 
7,800 
1,250 
1,604 
111 
123 
7 
33 
2 
42 
132 
293 
218 

202 

1  181    - 

102 
35 
7,154 
831 
2,312 
94 
105 
6 
3 

14 
6 
37 
6 
12 
32 

11 

35 
2 
5 

11 

9 
6 

<Wl> 

5 
10 
21 
4 
1 
2 

3 
1 

6 
8 

36 
6 
3 
10 
1 
7 
1 

1 
9 
2 
1 

4 

65 

8 

27 
25° 

3 

43 
243 

2 

12 
32 

751 
169 

148 
207 

528 
135 

172 

1 

119 
59 

141 
183 
29 
4 
33 

4 

5 

4 

4 

212 

286 
49 
5 
52 

41 
o 

37 
11 

28 

34 
4 
35 

45 

1 

27 

15 

1 

10 

107 
1 
1 
2 
1 
3 

4 

639 
735 
146 
34 

1 
7 

303 
19 
4 
14 
o 

2 

4 
8 
2 
7 
5 
23 

1 

487 
684 
134 
43 
1 
3 
21 

89 
43 

20 

12 

1 

110 
6 
o 

14 
6 
8 
36 
8 
15 

4 
923 
912 
126 
61 

163 
18 
5 
10 
1 

324 
60 
10 
17 
- 
52 

1 

3 

1 

1 

7 
1 

1 

1 

6 
3 
4 

o 

1 

19 

1 

1 

572 

785 
178 
42 

2 
3 
3 
3 

1 
1 
9 
1 

o 
1 
3 

598 
590 
159 
30 
1 
12 

3 

511 
371 
159 
19 

303 
288 
110 
14 
1 
15 

9 
5 
19 
8 

1 

1 

1 

1 

3 
37 

88 
25 
1 

53 

6 
24 

103 

28 

12 

4 

2 

84 
35 

2 

17 

1 

118 
42 

8 

91 

50 

1 

31 
14 
1 

104 
1 
5 

2 

92 
1 

9 

14 

21 

7 

4 

3 

o 

158 
o 



126 
1 
14 

JOO 

141 
5 
11 

1 

122 
3 
°7 

12 

10 

1 

20,  139 

l_ 

372 

14,  731 

190 

16,  376 

258 

17,  442 

203 

K>,  697 

176 

20,150 

120 

16,  653 

39     i 

195,  512     1,  922 

1 

SICKNESS   AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  XXXVII.— DEPARTMENT  OF  THE  CUMBERLAND— Continued. 


18G^. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

64,  8GO. 

58,  663. 

63,  112. 

102,  901. 

92,  ( 
Cases. 

547. 

LIST  OP  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Deaths. 

8,892 

4 

15 
151 

123 

4 
1 

7,964 

1 
16 
148 
7 
1 

73 

12,  685 

4 

20 

31 

1 

21,  684 

5 
35 

92 

99 
4 

22,  099 

5 
36 

268 

238 

4 
1 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.—  Diseases  of  Nervous  System. 

127 

52.  Headache  

8 
3 

1 
1 

5 
11 

6 

o 

10 
9 
2 

67  , 

OT1 

395 
18 
1 
21 

7 
3 
366 
3 
4 
25 

3 

1 

3 

9 
16 
21 

7 
1C3 
9 
29 
31 

3 
3 

144 
1 
2 

11 

151 

7 
183 
5 
17 
36 

1 
2 

169 

1 
27 

1 

270 

9 
17 
23 

1 
2 

149 

1 

19 
5 
25 

6 
2 

381 

1 

o 

1 

o 

1 

a 

ORDER  ll.—  Diseases  of  Eye. 

9 
3 

26 
15 

14 

~   &             . 

10 

50 
fyy 

30 

C6 
19 
2 
16 
3 

ORDER  III.  —  Diseases  of  Ear. 

Gfi 
18 
18 
28 
4 

1 
3 

96 
26 

7 
29 

6 
31 

4 

42 
4 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

1 

1 

3 

1 

1 

7 
2 

1 

2 

5 
1 

1 
19 
37 
19 

494 
52 
3 
C 
17 
103 
68 
6 
6 

249 
17° 

5 
o 

3 

1 

8 
1 
1 
57 
68 
9 

54 

1 
1 

1 
6 
30 
3 

8 
468 
32 
1 

29 

45 
87 
15 

92 

°9 

82.  Other  Diseases  of  this  Order     

6 

2 

1 
2 

2 

31 
452 
31 
2 
7 
25 

4 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
83.  Asthma  „ 

384 
81 

8C'4 

85.  Chronic  Bronchitis  

1 

117 
44 
9 

o 

86.  Dropsy  of  Chest  

87.  Haemorrhage  from  Noso  

12 

88.  Inflammation  of  Larynx  

8 
94 
47 
12 
26 

264 
231 

42 

110 
599 
206 

89.  Inflammation  of  Lungs  

34 

4 

141 
37 
21 

257 
124 

1C 

49 

90.  Inflammation  of  Pleura  

91.  Hasmorrhafre  from  Lungs  

35 

35 

512 
548 

92.  Other  Diseases  of  this  Order  . 

1 

1 

45 

497 
509 

1 

207 

664 
472 

o 

1 
1 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
93.  Colic  

94.  Constipation  

95.  Cholera  Morbus  

209 

2 

212 

1 

210 

270 
1 
5 
134 

1 

167 
6 
17 
187 

96.  Cirrhosis  of  Liver  

97.  Dropsy  from  Hepatic  Disease  

15 

15 

5 

98.  Dyspepsia  

92 

73 

100 

99.  Diseases  of  Pancreas  „.  .  . 

100.  Diseases  of  Spleen  

4 
7 

70 
1 

14 
9 

14 
10 

177 
6 

35 

101.  Fistula  in  Ano  

6 

72 

17 
185 
4 

102.  Hernia  

112 

103.  Hemorrhage  from  Stomach  

3 

8 

Carried  forward  

11,  268 

156 

10,216 

89 

15,  704 

34 

25,  8:)!) 

]27 

27,  634 

312 

DURING    THE    YEAR   ENDING    JUNE   30,  1863. 


237 


TABLE  XXXVII.— DEPARTMENT  OF  THE  CUMBERLAND— Continued. 


1862. 

1803. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE.                     TOTAL. 

107,  047. 

90,  543. 

103,  298. 

102,  453. 

104,  885. 

105,  740. 

99,  439. 

91,349. 

50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
CO 
01 

C2 
03 
G4 
05 
06 
07 

08 
09 
70 
71 
72 

73 

74 
75 
76 
77 
78 
79 
80 
81 
82 

83 
84 
85 
86 
87 
88 
89 
DC 
91 
92 

93 

94 
95 
90 
97 
98 
99 

:oo 

101 
102 
103 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 
170 

3 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

20,  139 

11 
30 

401 
9 
10 
5 
38 
29 
388 
20 

rl'7f> 

5 
1 

14,  731 

3 
25 

°99 

190 

4 
1 

16,  370 

4 

42 
401 
5 
10 
4 
22 
39 
370 
14 

258 

4 
1 

17,  442 
3 

O"? 

393 
9 
12 
7 
7 
52 
397 
15 

203 
2 

10,  697 

2 

40 
423 

20,150 

5 

50 
420 

120 

2 
2 

10,  053 
27 

39 

] 
1 

195,  512 

49 
369 
3,  495 

1,922 

34 
8 

15 
7 
2 
27 

• 

7 
0 
o 

6 
3 

112 
79 
38 

339 
3,602 

1G8 
97 
434 

73 
81 
3,837 
54 
102 
159 

1,114 
259 
105 
413 
29 

10 
150 
25 
20 
87 
22 
8 
420 
501 
149 

476 
7,684 
1,473 
70 
144 
1,298 
4,174 
1,853 
321 
2,  302 

4,  985 
5,102 
1,839 
29 
2x'4 
1,  857 
1 
150 
10G 
1,  315 

1 
44 
13 
1 
2 

6 
3 

4 

2 

10 
1 
1 
1 

9 
4 

8 
1 

5 

1 
1 

2 

11 
54 

12 

58 

10 

276 

278 

343 
24 
3 

28 

6 
43 
365 
8 
oo 

382 

30 

1 

3 

23 
11 

17 

11 
3 
542 

12 

8 
1 
9 

12 
119 

7 
1 
457 
3 
34 
1C 

81 
8 
2 

18 

8 
4 
3G9 
4 
1 
7 

103 
30 
10 
52 
3 

1 

21 
o 

38 

11 
1 
318 
11 
3 
17 

151 

1 

57 

10 
3 
350 
11 

"„ 

140 
25 

1 

1 

14 
007 

6 
4 
8 

128 

4 
28 

10 

104 
26 
8 
37 
4 

5 

35 
7 
1 

7 

1 

39 
41 
39 

07 
790 
205 
0 

7 

97 
20 
4 
22 



14 
10 
40 
4 

31 
9 

49 
4 

1 

26 

25 

48 

1 

2 

34 
9 
0 
3 
2 
1 
56 
53 
9 

41 

820 

19 
1 

1 

1 
5 
1 

1 
7 
1 

2 

19 
3 

1 
12 
3 
1 

7 
I 

1 

13 
o 

20 
3 
2 

4 
1 

9 
2 
1 
11 
1 
1 
31 
11 
10 

17 
2G1 

1 
7 
8 
7 

2 

10 
3 
2 

22 
38 
11 

43 
1,110 
140 
4 
40 
71 
756 
240 
38 
543 

527 
549 
130 
1 
19 
108 

1 

1 

2 
1 

1 

1 

10 
1 

1 

1 

38 
33 
12 

44 
041 
163 
1 
18 
105 
389 

A.**  I) 

44 
252 

404 
34° 

44 
30 
3 

3° 

40 
38 
11 

25 

3 

2 

1 

o 

19 

4 
12 
4 
o 

3 
1 

4 

999 
178 
3 
9 
102 
4C3 
236 

4 

1 

429 
125 

78 
2 

7 
110 
109 
102 
10 
Cl 

385 
421 

6 
13 

230 
509 
206 
39 
335 

356 
447 
107 
3 

1 

13 
144 
245 
172 

07 

119 

422 
562 

1 

1 

78 
1 

1 

30 

1 
42 

208 
509 
189 
32 
149 

330 
471 
37 
o 

27 

J95 

1 
£8 
o 

3 

1 

1 

10 

5 
424 
G 
0 
14 

1 
9 

01 
1 

20 
2 

1 
2 

1 

1 

14 
337 

375 

1 

o 

1 

~ 

37  j 

1 

71 
2 

71 

0 

1 

185 
11 
10 

OQO 

3 

164 
1 
18 
154 

1 

1 

22 
"04 

39 

180 

o 

3 

109 

1* 

21 
129 

10 
5 

"4 

o 

12 

9 

14 
120 

1 

17 
(1G 

18 
68 

8 
40 

1 

91 

no 

1 

3 

5    

o 

20,  359 

479 

19,  153 

245 

21,  079 

329 

23,009 

301 

21  822 

290 

24,  828 

169 

20,  181 

59 

247,  752 

2,  500 

238 


SICKNESS    AND   MORTALITY   OF   WHITE    TROOPS 


TABLE  XXXVII.— DEPARTMENT  OF  THE  CUMBERLAND— Concluded. 


yjj  ^[j                

1863. 

OCTOBER. 

NOVEMBER. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

MEAN  STEENC.TII  

64,  860. 

58,  C63. 

63,  112. 

102,  901. 

92,  647. 

LIST  OP  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

11,  268 

156 

10,  216 

89 

15,  764 

34 

25,  839 

127 

27,  634 

5 
236 

312 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

68 
20 
13 
1 
41 
20 
232 
101 
60 

1 

2 

52 

70 
47 
24 
2 

113 

126 

105.  luflammation  of  Tonsils  

15 
15 

43 
18 
20'1 

1 

1 
'I 

66 
26 
4 

47 

1^ 

69 
36 
18 
63 

1 

1 

1 

1 

19 
92 

249 

421 

1 

900 
333 

98 

11 

12 

1 

90 

62 

1 
3 

217 

2 

45 

83 

5 
4 

ORDER  VIL—  Diseases  of  Urinary  and  Genital  Organs. 

7 

1 

11 
25 

3 

* 

23 

17 
11 

23 
6 
5 
2 

40 

33 

26 

43 

1 

3 

7 
29 

1 

7 
10 
53 

3 

1 
5 
3 
1 
o 

1° 

l-~o      "C°ntln(jnCe  ° 

4 
51 

13 

~~'     J                             o  , 

1 

38 
3 

0 

20 

OUDEK  VIII.  —  Diseases  of  Bones  and  Joints. 

10^            •    ^ 

. 

1 

2 

mmaMon  of  Bones 

. 

8 
9 
24 

2 
5 

208 
54 
49 
12 

2 
2 

174 
110 
50 

8 
2 

1 

1 

251 

ORDER  IX.  —  Diseases  of  Integumentary  System. 

153 

117 
56 

256 

132   Boils 

200 

168 
61 
43 
59 

42 
117 
5 

46 
04 

134    Whitlow 

23 

85 

19 
42 

135.  Skiu  Diseases  

101 
26 

99 
20 

79 

56 
114 
3 

CLASS    V.—  WOUNDS,   ACCIDENTS,   AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
136    Burns 

2 

59 
6 

1 
1 

69 
G 

1 

133.  Drowning  

140    Sprains 

36 
8 
11 

14 
13 
9 

34 
5 

20 

151 

112 

141.  Dislocation  

12 

9 

20 

29 

1 

143.  Compound  Fractures  

4 
734 
47 
65 
26 
8 
55 

144.  Gunshot  Wounds  

145 
27 
43 
8 
4 
18 

12 

77 
34 
35 
4 
27 
20 

10 

73 

°7 

6 

254 

109 
41 
71 
12 

43 

112 

145.  Incised  Wounds  

14G.  Lacerated  Wounds  

1 

31 

20 
4 
28 

1 

2 

3 
1 

2 
1 
1 
1 

1 
1 

147.  Punctured  Wounds  

148.  Poisoning  

149.  Other  Accidents  and  Injuries  

1 

1 

1 

150.  ORDER  II.  —  Homicide  

151.  ORDER  III.—  Suicide  

1 

1  152.  ORDER  IV.  —  Execution  of  Sentence  

Total  

12,  718 

174 

11,  562 

106 

17,  272 

43 

28,936 

392 

30,  883 

439 

DURING   THE    YEAR   ENDING    JUNE    30,  1863. 


239 


TABLE  XXXVII.— DEPARTMENT  OF  THE  CUMBERLAND— Concluded. 


1869. 

18G3. 

DECEMBER. 

JANUARY. 

FE13UUAUY. 

MAKCII. 

APRIL. 

MAT. 

JUNE. 

TOTAL. 

107,  647. 

90,  543. 

103,  298. 

102,453. 

104,  885. 

105,  740. 

99,  439. 

91,  349. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths  - 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.      Deaths. 

104 
105 
10G 
107 
108 
109 
110 
111 
U2 
113 

114 
115 
116 
117 
118 
119 
120 
121 
122 
123 

124 
125 
12G 
127 
128 
129 
130 

131 
132 
133 
134 
135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
14G 
147 
148 
149 

150 
151 
152 

2G,  359 

11 
382 
73 
24 
18 
125 

930 
308 
5(J 

25 
4 
2 

0 

19 

77 
31 
30 
11 
22 

4 

479 

1 

1 
1 
1 

1 

19,153 

22 
206 

47 
49 
15 
71 
G7 
442 
251 
58 

21 

245 

21,  679 

32 

308 
55 
43 
6 
81 
63 
340 
296 

329 
1 

23,  009 

18 
2G4 

301 

21,  822 

14 

207 

29G 
1 

24,  828 

4 
237 

169 

20,181 

10 
118 
31 
20 
C 
38 
43 
159 

59 

247,  752 

116 
2  274 
561 
384 
83 
786 
568 
4,055 
3,110 
793 

142 
90 
56 
24 
99 
549 
184 
148 
92 
288 

33 
13 

184 
11 
69 
60 
67 

2,040 
2,015 

2,596 

3 
1 

20 
24 
8 
5 

1 
C 
1 

1 

1 
1 
2 

GO 
54 
8 
71 
86 
195 
270 
102 

25 

8 
3 
2 

44 

3 
53 

42 
177 
270 
71 

14 
6 
13 
2 
10 
61 
9 
18 
4 
5 

2 
3 
19 
3 
14 
7 
14 

95 

1 
3 

34 
55 

3 

4 

3 

2 

1 

40 
GO 
111 
293 
51 

11 
5 

8 

1 

o 

3 

1 

8 

2GO 
21 

12 

4 

1 

.80 

16 
14 
9 
1 
11 
94 
10 
14 
11 
17 

2 
1 
25 
1 
7 
6 
1 

120 
147 
17 
34 

3 

1 

1 

1 

13 

2 

1 

21 
14 
7 
10 
63 
35 

1 

10 

0 

2 

7 
1 
15 

« 

3 

30 
6 
9 
4 
9 

4 

3 

19 
7 
10 
5 
4 

3 

1 
20 
o 

G6 
17 

00 

3 

4 

1 

1 

18 
12 
3 

o 

9 
17 

3 
1 

20 

1 

2G 

21 

2 
12 
5 
3 

116 
191 
19 
40 
35 

44 

109 
2 

3 

8 
5 

211 
150 
oo 

22 
52 

39 

141 
4 

5 
o 

13 
7 
1 

167 
279 
SO 
56 
43 

29 

6 

0 

1 

"• 

8 

103 
14G 
12 

1 
156 

2 

2 

199 
34 
49 
54 

27 
138 
2 

254 
14 
40 
71 

23 

108 
7 

410 
396 
783 

411 
1,226 
41 

31 
30 

47 
104 
4 

75 

39 

87 

1 

2 
3 

6 

11 

1 

1 

138 
1 

1 

1 
7 

2 
2 

0 

101 
9 
G3 
14 
3,  020 
45 
287 
23 

89 

63 

132 

127 

196 
6 
15 
1 
78 
6'T 
25 

156 
5 

1,211 

11 
12 

4 
13 
4 
147 
35 
22 
12 

12 

96 
250 
41 
7,114 
400 
723 
174 
62 
540 

1 

39 
9 
2,  132 

1 

9 
5 

144 
53 

10 
2 

3 

12 
953 
1 
44 
7 
2 
34 

3 

13 

3,785 

9 
126 

0 

56 
33 
22 
8 
1 
2G 

2 

12 

1 

353 

12 

5 
1 

399 

26 

11 

*-O 

26 
2 

77 
1C 
3 
18 

10 

1 

24 
19 
o 

15 
4 

A.0 

1 

1 
3 

1 
2 

2 

28 

237          16 

3 

1 

24 

-' 

o 

1 

15 

3 

2 

1 

o 

„ 

1 

1 

33,  103 

893 

23,  482 

410 

23,  983 

3G5 

25,358         334 

23,  949 

333 

27,  021 

194 

22,317 

102 

280,  584 

240 


SICKNESS   AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  XXXVIII. 

Abstract  of  the  Sickness  and  Mortality 


1862. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

80,  C47. 

70,  997. 

82,  972. 

Ill,  891. 

136.  503. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS   |.  -ZYMOTIC   DISEASES. 
ORDER  I.—  Miasmatic  Diseases. 

364 
8 
448 

184 
5 
12 

216 
2 
•      249 

79 

207 
8 
204 

59 
4 
o 

354 

53 
4 
6 

404 
9 
232 

78 
3 

7 

4 

377 

1,927 
1,406 
1,258 
313 
68 
5,146 
1,252 
782 
11!) 
79 
]8 
21 

28 
1 
2 

1,725 

1,882 
1,110 
190 

16 
5 

1,702 
2,874 
2,540 
326 

18 

1,669 
3,958 
2,969 

20 
4 

1,643 
3,236 
3,104 
336 
107 
5,536 
1,038 
1,662 
304 
122 
12 
1,  395 
1 
25 
578 
1,832 
704 

191 
451 

17 
3 
1 
o 
25 
13 
60 
24 
30 
4 
1 
19 
1 
1 

1 

8.  Quartan  Intermittent  Fever  
9.  Congestive  Intermittent  Fever  

24 

103 
16 
5 
3 
4 

63 
3,303 
731 

868 
163 
75 
14 
6 

16 
10 
76 
29 
22 
1 
4 

158 
4,302 
877 
2,039 
240 
64 
10 
51 

43 
25 
«1 
62 
43 
1 

129 
4,897 
953 
2,366 
437 
70 
8 
250 

35 
24 
57 
40 
32 
1 

5 

! 

5 

185 
947 
660 

92 
292 
38 
8 

1 
1 
1 

53 

1 
2 

44 

14 
1 
643 

86 
193 

39 
29 
653 

155 
244 
35 
2 

3 

39 

1,001 

55 
166 
26 

33 

13 

48 

1 

10 
1 

ORDER  Il.—Snthetic  Diseases. 

18 
4 

67 
6 

8 

6 

1 

o 

1 

0 

OUDEU  III.  —  Dictic  Diseases. 

256 

1 

94 

55 

2 

48 
1 
13 

7 

•u    D  r  ' 

7 
13 

3 

16 
23 

13 

1 

6 
14 

'      L 

1 

'               1' 

2 

o 

CLASS   11.—  CONSTITUTIONAL   DISEASES. 

ORDER  I.  —  Diathetic  Diseases. 

7 
366 
514 
63 
119 

3 

453 
439 

2 

o 

3 

o 

264 
199 
52 
73 

1 

329 

308 
47 
64 
1 
10 
47 

62 

18 

1 

716 
706 

3 

'    * 

1 
1 

76 
61 
8 

134 
70 
1 
9 

3 

4 

28 
40 

59 
34 

1 
27 

66 

20 

1 

7 

°1 

ORDER  II.  —  Tubercular  Diseases. 

10 

o 
1 

93 
14 

14 

124 
18 

9 

3 

CLASS   III.—  PARASITIC   DISEASES. 
45   itch                  

15 

07 

1 
8 

48    Other  Intestinal  Worms  

3 

1 

32 

4'J    Other  Diseases  of  this  Order  

399 

355 

16,  014 

475 

32,  396 

286 

17,  715 

22,229 

24,  !)15 

318 

DURING    THE    YEAR   ENDING   JUNE   30,  1863. 


241 


TABLE  XXXVIII. 

of  the  Department  of  the  Tennessee. 


1869. 

1863. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

133,  119. 

143,  942. 

141,  158. 

146,  790. 

143,  367. 

140,  277. 

152,  954. 

123,  718. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.      Deaths. 

i 

3 

4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 

22 
23 
24 

25 
26 
27 
28 

29 
30 
31 

33 
34 

35 
36 
37 
38 
39 
40 
41 
42 

43 
44 
45 

46 

47 

48 
49 

416 
19 

278 

77 
13 

653 
22 

409 

181 
2 

666 
21 
493 

228 
6 
59 

716 
58 
371 

159 
12 
35 

405 
5 
358 

104 
3 
46 

219 
9 
199 

50 
4 
27 

217 
13 
407 

82 
3 

27 

4,837 
174 
4,025 

1,334 

59 
248 

1,405 
2,386 
2,020 
158 
79 
6,224 
1,146 
1,  241 
147 
177 
CO 
1,217 

16 

1,891 
2,367 
1,820 
487 
97 
10,  788 
2,352 
1,615 
254 
314 
221 
1,189 

1C 
1 
2 

1,715 
2,260 
1,982 
222 
102 
7,699 
1,820 
1,516 
266 
198 
230 
556 
1 
69 
459 
1,703 
513 

157 
293 
50 
14 
15 

43 
2 

6 
3 

30 

67 
140 
32 

25 
35 
75 
1 
5 
1 
2 
68 

1,919 
2,639 
2,050 

281 
106 
7,615 
1  822 
1,327 
196 
235 
281 
153 
2 
81 
273 
1,174 
382 

204 
381 
50 
20 

16 
9 

1,  736 
2,301 

1,991 
224 
179 
6,963 
1,386 
1,  394 
114 
223 
212 
67 
8 
31 

29 
2 

1,565 
1,930 
1,717 
204 
60 
5,972 
951 
2.204 
164 
170 
57 
12 

7 
1 

3,266 
5,491 
3,658 
404 
162 
10,  220 
1,  645 
2,483 
241 
196 
34 
23 

39 
6 
4 

22,163 
32,  730 
26,  219 
3,427 
1,310 
78,665 
15,  973 
19,  497 
2,645 
3,923 
1,157 
4,  940 
12 
308 
3,794 
10,  759 
6,353 

1,658 
3,629 
536 
110 
331 
9 
GO 

1,607 
57 
148 
158 
21 
61 

6,522 
6,032 
2,009 
720 

2G5 
34 
17 
9 
352 
254 
1,181 
342 
275 
104 
126 
257 
3 
17 
4 
7 
238 

3 

1 

o 

25 
7 
147 
23 
14 
11 
19 
20 

2 

18 
2 

145 
22 
28 
15 
4 

40 
8 
36 
5 
19 

7  ! 

44 

26 
43 
51 
29 
14 
24 
19 
93 

22 
8 
136 
19 
13 
14 
24 

48 
15 
139 
41 
34 
3 
7 
1 

1 

1 

17 
1,144 
2,085 
535 

161 
371 

87 
10 

7 

o 

44 
639 
1,770 
795 

178 
393 
54 
6 
38 

4 
1 

1 
5 

17 
154 
186 
70 

87 
233 
25 

1 

19 
40 
240 

2 

1 
5 

1 

792 
251 

148 
,  310 

13 

3 

1 

146 

144 
302 

1 

52 

18 
66 

34 
9 
95 
2 
12 

1 

7 
50 
2 
6 

67 
6 
12 
9 
6 
22 

51 

1 

50 
1 
4 
13 

4 

32 
4 
18 
12 
2 
6 

0 

4 

221 
8 
16 
14 
2 

1 

28 

319 
27 
25 
11 
4 
6 

4 

739 
667 
425 
111 

293 
8 
11 
15 
2 

2 

1 
525 
425 
209 
36 

3 

1 
1 

6 
3 
1 

1 

9 

1 

119 
2 
7 
27 
5 

1 

23 
5 
9 
3 
1 

1 

1 

1 

1 

1 

1 

oo 

3 

798 
696 
15G 
39 
3 
11 
52 

103 

27 

0 

161 
1 
12 

o 

1 

378 
247 
283 
30 

1 

896 
850 
216 
49 
4 
10 
67 

129 
32 

751 
717 
155 

GO 

7 
2 
3 

1 

o 
1 
3 

307 
264 
U'3 

8 

18 
6 
27 
11 

1 
1 

1 

1 

3 

1 

6 
2 

3 

11 
45 

141 
45 
3 

127 

12 
35 

212 
99 
7 

o-jg 

16 
25 

3 
9 

62 
19 
3 

134 
1 

8 

10 
10 

99 
32 

1 

157 

133 
403 

1,294 
407 
24 

1,129 

1 

14 
1 

11 
30 

13 

197 
8 

r 

n 

30 

144 
49 
6 

141 

0 

31 
1 

23 
1 

16 
4 

o 

129 

4 
14 

5 

19 
110 
15 

10 
5 

13 
fi 

10 

19 

4 

911 

23,523 

300 

30,  875 

554 

25,  361 

25,382 

556 

21,  381 

473 

17,  405 

356 

30  961 

475 

268,  rJl 

5,  <53 

31 


242 


SICKNESS   AND    MORTALITY    OF   WHITE    TROOPS 


TABLE  XXXVIII.— DEPARTMENT  OF  THE  TENNESSEE— Continued 


YKAU                   -                                          

1863. 

MONTH            

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

80,  647. 

70,  997. 

82,  972. 

Ill,  891. 

136,  503. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

16,  014 

11 
37 
1C7 
32 

475 

5 
4 

12,  396 

1 
22 

69 

286 

17,  715 

5 

27 
80 
16 

399 

2 
4 

22  229 

4 

39 
123 

355 
o 

24,  915 

6 
56 
148 
15 
8 
o 

73 

318 
6 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.  —  Diseases  of  Nervous  System. 

1 

10 
4 
3 

37 
18 
246 

54    Inflammition  of  Brain 

4 
4 

4 

4 
2 

5 
1 

1 

5 

2 

45 

2fiO 

59 
196 

23 

22 

203 

349 
17 
1 
37 

9 
5 

621 
5 
7 
26 

1 

f,O 

49 
48 

7 
5 

356 
4 
36. 

7 

102 
59 
3 
36 
5 

5 

o 
2 
2 

12 
21 
39 

\ 

3 

359 
8 
6 
13 

57 
49 
6 
40 
7 

3 

11 

10 
42 

10 
6 
428 
11 
8 
17 

59 
37 
5 

oo 

11 

13 

4 
1 

525 
4 
3 

29 

76 
26 
2 

31 
1 

1 
2 

5 
6 

1 
3 

61    Other  Diseases  of  this  Order 

2 

OUDEII  II.  —  Diseases  of  Eye. 

63    Cataract 

OKDEK  III.  —  Diseases  of  Ear. 
68    Earache 

102 

32 

70    Deafness 

5 

38 
2 

1 

1 
2 

20 
3 

72    Other  Diseases  of  this  Order 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

1 

76.  Dropsy  of  Pericardium  

4 

10 
1 
17 
67 
18 

31 
633 
64 
1 

5 

8 
3 
o 

4 

1 

6 
1 

2 

4 
3 
1 
49 
53 

3 
1 

1 

15 
51 

80.  Varicoso  Veins  

14 
47 
14 

51 
480 
31 
3 
7 
7 
74 
43 
13 

28 
59 

82.  Other  Diseases  of  this  Order  

1 

35 
483 
41 

4 

11 

41 
384 
60 

1 

15 
5° 

1 

OUDEU  V.  —  Diseases  of  Respiratory  Organs. 
83.  Asthma  

84.  Acute  Bronchitis  

1 

1 
1 

1  229 
142 
2 
16 

64 
705 
183 
41 
3C8 

3°7 

3 

2 

85.  Chronic  Bronchitis  

8<i.  Dropsy  of  Chest  

87.  Haemorrhage  from  Noso  

14 
6 
88 
75 
15 

8 
32 
231 
118 
22 
20 

419 

88.  Inflammation  of  Larynx 

12 

1 
9 

4 
9 

1 

77 
1 
1 
2 

8'.).  Inflammation  of  Lungs 

147 
105 
23 

33 
1 

6 

1 

90.  Inflammation  of  Pleura  . 

91.  Haomorrhape  from  Lunps  

\ 

2 

92.  Other  Diseases  of  this  Order  

21 

473 
628 
335 

12 

276 
403 
214 

1 

16 
302 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
93.  Colic  

1 

94.  Constipation  

343 

188 

415  ' 

510 

95.  Cholera  Morbus  

6 

3 

4 

107 

1 

119 

1 

96.  Cirrhosis  of  Liver  

97.  Dropsy  from  Hepatic  Disease     . 

oo 

14 

118 

1 

10 
102 

9 

147 

05 

98.  Dyspppsia  

209 

1 

°04 

99.  Diseases  of  Pancreas  

100.  Disease*  of  Spleen      . 

39 

19 
T° 

30 

39 

1" 

100 

00 

101.  Fistula  in  Ano  

12 

13 

102.  Hernia  

149 
13 

117 
o 

130 
5 

1 

159 

179 
4 

1 

103.  Haemorrhage  from  Stomach  

Carried  forward  

20,  370 

543 

15,  360 

303 

20,  713 

427 

25,  793 

395 

30,  8(52 

431 

DURING    THE    YEAR   ENDING   JUNE    30,   18G3. 


243 


TABLE  XXXVIII.— DEPARTMENT  OF  THE  TENNESSEE— Continued. 


1802. 

1863. 

DECEHREK. 

JANUARY. 

FEBRUARY. 

MARCH. 

Al'RIL. 

MAY. 

JUNE.                   TOTAL. 

133,  119. 

143,  942. 

141,  158. 

146,  790. 

143,  367. 

140,  277. 

152,954. 

123,  718. 

50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 
61 

62 
63 
64 

G5 
66 
67 

68 
69 
70 
71 
70 

73 
74 
75 
76 
77 
78 
79 
80 
81 
82 

83 
84 
85 
86 
87 
88 
89 
90 
91 
92 

93 
94 
95 
96 
97 
98 
99 
100 
101 
102 
103 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.      Deaths. 

23,  523 

11 
45 

276 
10 
7 
9 
42 
78 
415 
16 

300 
5 

30,  875 

10 
45 
216 
24 
11 
8 
53 
88 
450 

554 

5 
1 

25,  361 

14 
50 

179 

911 

10 
5 

25,392 

17 
53 
224 

556 

14 

1 

21,381 

11 
43 
251 

473 

5 
3 

17,  405 

5 
22 
206 
3 
5 
3 
8 
35 
280 
4 
98 
10 

6 
3 

601 
8 
26 

356 
2 

30,  961 

9 
30 

,       450 

475 
6 

268,  157 

104 
469 
2,389 
184 
99 
71 
348 
595 
3,986 
221 
260 
470 

97 
48 
6,624 

173 

278 

1,032 
436 
107 
490 
42 

31 

87 
30 
24 
99 
46 
38 
398 
601 
185 

529 

8,014 

1,642 
29 
139 
776 
5,775 
1,939 
3H5 
1,816 

4,274 
6,680 
J.897 
12 
379 
2,216 
8 
394 
166 
1,731 
101 

5,458 

62 
19 

1 
4 
3     ; 
1 

1 

18 
12 

18 
44 
85 
398 

1 
13 
10 

29 
22 
10 
57 
48 
460 
29 

1 

6 
3 

10 
17 
1 
21 

12 

3 

70 
38 
8 
o 

1 
12 
14 
23 

10 
8 
1 
1 

6 

3 
3 

9 
7 
13 
66 
353 

9 
3 

1 

376 
19 
13 

16 

13 

7 
675 

1 

32 

4 

2 

2 
1 

10 
57 
18 

8 
8 
656 
6 
39 
25 

62 

1 
3 
1 

2 

34 
6 

1 

71 

14 
3 
526 
6 
4 
44 

102 

2 

81 

8 
3 

541 

7 
7 
36 

109 
48 
15 

2 

61 

8 
4 

726 

4 

610 
13 
1 
19 

93 
52 
4 
79 
5 

1 

9 

14 
13 
29 

6 
23 

11 

55 
18 
10 
17 

1 

94 
25 
20 

121 
29 
16 
29 
1 

o 
11 
10 

9 
7 
4 
65 
43 
15 

31 

709 
154 
4 
14 
84 
492 
182 
39 
123 

257 
634 
85 
o 

45 
16 
66 
4 

2 
4 
4 

4 
14 
4 
7 
49 
63 
13 

68 
1,174 
353 
4 

8 
65 
812 
237 
78 
356 

396 
637 
125 
4 
33 
208 

16 
5 
21 

56 
5 

4 
14 
9 
3 
17 
1 
4 
35 
59 
17 

50 
1,116 
295 

57 
5 

7 
18 
1 
10 

2 

12 

3 

3 
19 
3 
5 
5 
3 

1 
1 

1 
4 
1 
1 
2 

1 
2 

3 

12 
5 
4 

2 

9 

1 

1 
1 
3 

1 

2 

1 
2 

1 
1 
3 

8 
4 

8 
6 
6 

00 

2 

1 

2 

22 
56 
39 

40 
1,021 
79 
1 
11 
66 
808 
264 
25 
182 

444 
556 
102 

35 

44 

17 

73 
945 
261 
9 
14 
82 
847 
260 
39 
250 

330 
701 
90 

40 
"9 

30 
15 

20 
382 
78 
2 
14 
84 
239 
113 
31 
58 

270 

1 

1 

5 

o 
13 
13 

1 

1 
5 

8 
30 

1 

18 

3 

34 
50 
5 

3    i 

4     , 

5 
5 

4 
5 
2 

o 
4 

358 
84 
3 
18 
48 
179 
117 
26 
66 

437 

1 

11 

3 

226 
1,153 

242 
43 

404 

343 
582 
83 
4 
46 
235 

1 

107 

1 
133 
6 
1 
1 

7 

186 
9 
3 

7 

1 
1 

4 
102 
o 

1 
1 

1 
53 
1 
o 

2 

20 
760 

—  1 

11 
20 

o 
1 

24 

29 

16 

1 
2 

1 

i 

i 

1 

507 
184 

764 
265 

2 

1 

1 

i 

4 

34 
167 
1 

23 
13 

158 
5 

1 

1 
1 

70 
229 
6 
24 
15 

1 

46 
184 

3 

26 

208 

4 

46 
205 

11 

1 
15 
6 

86 

31 
14 
223 
5 

33 

18 
168 
18 

1 

20 

15 

1 
1 
2 

10 
130 
9 

1 

19 



150 

82 

o 

31 

6 

572 

29,  493 

440 

37,  695 

740 

32,  352 

1,  219 

31,  971 

729 

26,  506 

21,  279 

412 

35,  729 

539 

328,  116     6,  75l) 

244 


SICKNESS    AND   MORTALITY    OF   WHITE    TROOPS 


TABLE  XXXVIII.— DEPARTMENT  OF  THE  TENNESSEE— Concluded. 


YEAR  

180:2. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

80,  C47. 

70,  997. 

82,  972. 

Ill,  891. 

136,  503. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

20,  370 

543 

15,  3CO 

303 
2 

20,  713 

427 

25,  793 

0 

395 

30,  862 

8 
277 
74 

6 

70 
82 

431 

ORDER  VI.  —  Diseases  of  Digestive  Organs  —  Continued. 

104.  Hffimorr  age  ro 

G4 
73 
39 
10 
75 
72 
532 
230 
147 

1 
5 

o 

4 
4 

43 
34 

7 

70 
39 
234 
179 
172 

68 
35 
11 
4 
94 

166 
59 
19 
9 

8G 
312 
284 
225 

3 

6 

1 

3 
1 
o 

10j   /V"1                f  St        eh 

1 
o 

g 
3 
3 

1 

5 

1  ,  '    "  amTafl.          t-        f  T  •  ., 

10n'  ClCUt6'  "l  'tl"  mmation  of  I  iver 

2 
2 
1 

1 
1 

73 
214 
244 

1 
1 

111    T  T°'A\ 

702 

2 

1 

280 
GO 

1 

1G7 

3 

7 

ORDER  VII.  —  Diseases  qf  Urinary  and  Genital  Organs. 

1 

1 

0 

19 

'         r  ^                 t   1> 

1 
1 

42 

1 

8 
49 
17 
5 
7 
41 

f] 
] 
5 

11  .      iseas               • 

36 
14 
25 
8 
40 

o 

36 

8 
4 
G 

44 

1 

43 

1 

1 
1 

9 

0 

7 
1 
15 
45 

120.    n  amma  ion  o 

~  '    °°^n     *jeC 

8 
27 

4 



~~    n^       iv               f  tl  '    O   1 

OKDEE  VIII.  —  Diseases  of  Bones  and  Joints. 

2 
1 
5 

5 

1 

*•    "                      f  B 

~  '    n  amlr                     . 

1 

7 

1 

321 
107 
27 

0 

~  '  j?  *    f 

9 
4 

2G8 
113 
41 
33 
1G2 

21 

8 

10 

8 

1 

ORDER  IX.  —  Diseases  of  Integumentary  System. 

2 

209 

94 

1 

207 
75 

1 

1 

226 
117 
36 
44 
103 

33 

13°    Boils                     '                                         

47 
30 
133 

23 

28 
81 

20 
108 
12 

149 

39 
74 
3 

CLASS   V.  —WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
130    Burns 

20 
82 

1 

83 
5 

^57 
3 

1 
1 
3 

138.  Concussion  of  Brain  

1 

133.  Drowning  

140    Sprains 

39 
13 
30 

°3 

25 

53 

18 

101 
35 

141.  Dislocation  

G 
22 

11 

18 

142.  Simple  Fractures  .     .             

32 
1 

159 
57 
C7 
29 
14 
31 

2 

143.  Compound  Fractures  

1 

2,037 
CO 
433 
62 
9 
51 

144.  Gunshot  "Wounds  

nr 

57 
G2 

13 

90 
51 
91 
28 
45 
42 

14 

773 
50 
C9 
15 
13 
51 

40 
o 

258 
49 
127 
24 

35 

145.  Incised  Wounds  

14G.  Lacerated  Wounds  

1 

3 

147.  Punctured  Wounds  

10 
24 

81 

148.  Poisoning  

1 
5 

1 

149.  Other  Accidents  and  Injuries  

5 

11 

16 

150.  ORDER  II.  —  Homicide  

151.  OUDER  111.—  Suicide  

1 

o 

152.  ORDER  IV.  —  Execution  of  Sentence.  

Total  

30,  619 

22,  919 

585 

17,  250 

334 

23,358 

491 

883 

33,  870 

491 

DURING    THE    YEAR   ENDING   JUNE   30,  1863. 


245 


TABLE  XXXVIII.— DEPARTMENT  OF  THE  TENNESSEE— Concluded. 


18G^. 

1803. 

DECEMUEU. 

JAM:  AU  Y. 

FEBRUARY. 

MARCH.                 APRIL. 

MAY. 

JL'XE. 

TOTAL. 

133,  119. 

143,  942. 

141,  158. 

146,  790. 

143,  3C7. 

140,  277. 

152,  954. 

123,  718. 

104 
105 
106 
107 
108 
109 
110 
111 
112 
113 

114 
115 
116 
117 
118 
119 
120 
121 
122 
123 

124 
125 
126 
127 
128 
129 
130 

131 
132 
133 
134 
135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
146 
147 
148 
149 

150 
151 
152 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

29,  493 

5 
311 
88 
47 
29 
56 
76 
543 
310 
71 

16 
7 
10 
4 
8 
80 
13 
5 
10 
52 

7 
1 
9 

440 

37,  695 

/-3 
341 
90 

56 
6 
110 
101 
440 
432 
95 

23 
11 

7 
o 

740 
1 

32,  352 

16 
376 
76 
68 
10 
70 
99 
446 
421 

1,219 
3 

31,  971 

29 
325 
100 
66 
6 
95 
86 
644 
459 
173 

2° 

729 

2 
1 
4 
2 

26,  506 

35 

270 
112 
100 
14 
71 
94 
402 
362 
106 

15 

572 

1 

21  272 

12 
148 
71 
72 
9 
52 
57 

412 

35,  729 

37 

119 
121 
92 
15 

85 
53 

176 
384 
58 

13 
7 
13 
1 
13 
86 
16 
oo 

539 
8 

328,  116 

167 
2,508 
933 
598 
120 
920 
918 
4,824 
3,  903 
1,530 

140 
115 
83 
17 
97 
774 
183 
124 
91 
426 

74 
14 
123 
22 
55 
111 
27 

2,664 
1,838 
389 
444 
1  232 

6,  750 

17 
6 
36 
66 
22 
13 
9 

11 
10 

6 

1 
1 
1 

1 

1 
1 
6 
o 

1 
2 
1 
1 
1 

1 
3 

4 
1 

3 
9 
1 
1 

4 
13 
3 
4 
1 
1 

5 
o 

3 

1 

9 
13 
4 

1 
1 

0 

1 
1 

1 

179 
318 
133 

8 
5 
10 
1 
6 
63 
11 
8 
1 

1 
1 

1 
1 

123 

2 

24 

11 
15 
3 
23 

16 
11 
o 

17 
73 
12 

19 
17 

1 

1 

9 

70 
29 

1° 

1 

76 
23 
11 
8 
56 

15 

2 

1 

120 
24 
17 
4 
12 

1 

6 
1 

1 

12 

12 

9 

66 

12 

3 

17 

2 

1 

14 
14 

1 

o 

7 

0 

2 

1 

10 

0 

6 
1° 

19 
1 
7 
7 

30 

17 

16 
1 
13 

1 
15 
15 

8 
9 
6 

187 
131 
33 

1 

7 
8 
1 

165 

181 

1 
1 

8 
3 

259 
193 
29 

36 
97 

35 

108 
13 

15 

7 
1 

178 
379 
32 

C 

266 
131 

22 

3 

167 
191 
24 
39 

89 

50 
145 
5 

0 

1 

211 
126 
44 
45 

82 

1 

1 

10 



42 

25 

46 
40 

4"5 

55 
91 

101 

67 
148 
13 

104 
34 

34 
113 

3 

53 
123 

8 

3 
1 
1 
3 

429 
1,373 

89 

7 
3 
10 
24 

86 

1 
7 

146 
15 

2 

1 
3 

10 

2 

4 

3 

1 

110 

39 
1 

823 
80 
92 
29 
16 
48 

124 

81 
15 

116 
14 

1°4 

137 
14 
42 
13 
6,489 
72 
39 
116 

113 

1,046 

16 
25 
5 

10 
31 

7 
32 

8 
076 
82 

171 
348 
34 
12,  492 

807 
1,  087 
405 
215 
630 

21 
1 
218 
60 
60 
18 
20 
47 

o 
1 
15 
2 

1 

1 
3 

2?1 

1 

127 

6 
6 

9!  6 
60 
148 
28 
5 
64 

3 

18 
1 

4 
128 
70 
47 
26 
31 
52 

45 

847 
91 
51 

00 

58 
5 
1 

25 
1 

5 
1 

136 

77 
47 
18 

11 

1 
3 

32 
24 

2 

1 

4 

1 

2o 

146 

1 
8 

1 
1 

7 

25 

3 

37 

1 

19 

3    : 

6 

4 

1 

1 

I 

33,  282 

522 

I  41,820 

837 

35,  506 

1,  28<i 

35,  376 

769 

29,  567 

628 

30,  126         720 

39,  043 

725    .1    37->,736 

8,271 

246 


SICKNESS   AND    MORTALITY    OF   WHITE    TROOPS 


TABLE  XXXIX. 

Abstract  of  the  Sickness  and  Mortality 


YEAR  

1863. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

10.027. 

13,  203. 

18,558. 

13,  168. 

15,  480. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

De-iths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS  1.—  ZYMOTIC    DISEASES. 
ORDER  I.  —  Miasmatic  Diseases. 

49 

15 

85 
11 

2 
2 

100 
6 
G9 

41 
4 

53 

22 

70 

17 

jp  o 

108 

o 

27 

1 

36 

1 

172 
296 
126 
20 
39 
1,009 
100 
71 
13 

2 

205 
341 

5 

346 
566 
838 
fyy 

26 

1,  432 
289 
226 
43 

J2 
o 

1 
1 
6 
5 
10 
9 
5 
o 

355 
704 
1,127 
44 
35 
874 
185 
171 
41 
6 

13 

249 
71G 
1,  066 
45 

11 

1 

6                         •       *  T^ 

1 

500 
18 
12 
962 
163 
4G 
22 
o 

15 
4 
3 
4 

4 

5 
5 

15 
1 
5 

12 
1 
21 
3 
13 
1 

926 
254 
169 
34 
6 

11 

1 
41 
2 
11 
1 

r 

«!    JS/                 d  V      ' 

.     ma     po 

3 

1 

66 

1 

12 

1 

5 
40 
328 

73 
65 
13 
3 

0 

6 
10 

297 

101 
125 

. 

20 

97 
134 

87 
68 
21 

145 

1 

251 
C6 

12 

14 

J_ 

6 

205 

103 

87 
18 
3 

10 
1 

ORDEK  11.  —  Enthetic  Diseases. 
22    Syphilis 

71 
13 
o 

°4    Orohiti 

19 

1 

o 

OUDEU  III.  —  Dietic  Diseases. 
29    Scurvy 

4 

42 

o 

178 

24 

13 

1 

4 

0 

4 
1 

1 

5 
1 

1 

1 

13 

\ 

CLASS  II.—  CONSTITUTIONAL    DISEASES. 
ORDER  I.  —  Diathctic  Diseases. 
35.  Gout  

15 

GO 
95 
8 
26 

116 
155 

2 

64 
74 

42 
27 

59 

00 

109 
13 
32 

46 
9 

1 

1 
1 

72 
45 
2 
2 
5 

34 
5 

2 

1 
1 

1 
3 

39.  General  Dropsy  

1 

3 

10 

36 

1 
2 

16 
o 

1 
o 

1 
3 

13 
1 

42.  Other  Diseases  of  this  Order  

1 
4 

1 
5 

ORDER  II.  —  Tubercular  Diseases. 

7 

11 
2 

1 

3 

44.  Scrofula  

45.  Other  Diseases  of  this  Order  

CLASS  III.  —  PARASITIC    DISEASES. 
46.  Itch  

2 
1 
1 

47.  Tape-worm  

1 

n 

n 

49.  Other  Diseases  of  this  Order  

2,758 

60 

3,144 

87 

5,  158 

125 

4,286 

97       4,  488 

120 

DURING   THE   YEAR   ENDING   JUNE   30,  18«3. 


247 


TABLE  XXXIX. 

of  the  Department  of  the  Gulf. 


1862. 

1863. 

DECEMBER. 

JANUARY.           FEBRUARY. 

MARCH. 

APRIL. 

MAT. 

JUNE. 

TOTAL. 

23,  931. 

39,  789. 

41,  804. 

42,  832. 

35,501. 

30,  928. 

29,  108. 

26,  199. 

l 

3 

4 
5 
6 
7 
8 
9 
10 
11 

13 
14 
15 
1(5 
17 
18 
19 
20 

23 
24 

26 
27 
28 

29 
30 
31 
32 
33 
34 

35 
36 

37 
38 
39 
40 
41 
42 

43 
44 
45 

4C 

47 
48 
49 

Cases. 

Deaths. 

Cases. 

Deaths.    Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

158 
10 
307 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

165 
36 
53 

16 
8 
6 

304 
8 
352 

39 
3 
11 

316 
9 
622 

62 
2 

323 
12 
623 

56 
4 
23 

279 
o 

381 

50 
1 
]0 

55 
4 
24 

99 

34 

2,001 
94 
2,852 

432 

28 
106 

192 

4 

236 
817 
1,142 
54 
18 
1,405 
299 
385 
34 
12 
7 
118 
1 
28 
43 
217 
302 

314 

209 
15 
5 
3 

3 

468 
828 
850 
44 
32 
4,  465 
435 
279 
63 
31 
3 
77 
o 

57 
137 
288 
135 

269 

3 
1 

609 
650 
699 

1 

552 
626 

6 

449 
586 

10 

395 

568 

19 

345 
663 

1 

4,  381 
7,  361 
9,  873 
688 
303 
31,  332 
4,011 
2,  681 
377 
163 
10 
678 
6 
299 
397 
1,  592 

86 
5 
5 
1 
83 
79 
299 
61 
60 
10 
4 
4 

35 

1 

695 

89 

1 

855 
105 

865 
50 
13 
2,817 
561 
224 
15 
14 

1,110 

65 
19 
1,830 
177 
261 
21 
9 

121    

4 
13 
45 
3 
2 

10 
8 
16 
6 

4 

42 
4,376 

374 
358 
26 
18 

7 
4 
15 
4 
4 

33 
6,304 
515 
570 
43 
29 

8 
11 
28 
5 
2 
2 

3 

12 
4,932 
659 
301 
22 
24 

1 
5 
15 
5 
3 

3 

16 
57 
14 
6 
2 

1 
6 
33 
5 

1 

1 
1 
1 
2 

178 

132 

40 

56 

3 

7 

7 

38 
64 
267 

4 

56 
56 
313 

7 

42 
58 
100 
131 

117 
102 

6 

39            5 
°4 

27 

3 

48 
122 

78 
97 
6 
3 
0 

47 
15 

73 
70 

2 

114 

210 

157 
203 

1 

1 

2,  191 

1,694 
1,  501 

47 

2 
1 

296 
33 

4 

7 

1 

175 
34 

106 

30 
6 

12 

16 

0 

3 
4 
8 

40 
49 

6 

4 

1 

31 
4 
5 
6 
1 

1 
18 

1 
8 

0    I 

1 
28 

8 

409 
12 
49 
53 

18 

4 

2,  314 
2,  129 
483 
J87 
5 
15 
77 

291 
94 
3 

170 

10  ; 

29 

10  ; 

19 

1 

13 

31 
3 

9 

1 
1 

5 

2 

4 
2 

5 
1 
1 

1 

3 

7 

8 
7 
1 

1 

3 
3 

1 
1 

5 

8 
o 

1 

6 

1° 

1 

409 
365 

o 

1 
126 

123 

158 
36 
24 

1 

459 
355 

75 

487 
286 
68 

243 

153 
85 

3 

1 

9 
10 

1 

1 

118 

159 

1 
3 

53 

7 

17 
5 
2 
1 

1 

22 

18 

35 

1 

18 
3 

1 

4 
1 

1 
4 

12 
3 

o 

2 

15 

37 

19 

1 

20 

14 

34 
15 

1 
3 

1 

22 
8 

3 

40 

8 

39 
16 
2 

43 

2 

3 

1 

7 

15 
5 

o 

1 

29 

18 

36 
3 
1 

18 
1 
6 
8 

13 

1 

11 
1 
4 

1 

8 

0 

2 

0 

121 

6,  134 

10,483         113 

10,  339 

130 

12,  551 

163 

9,  779         111 

6,  912         218 

5,  398 

90 

81,430     1,4:15 

248 


SICKNESS   AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  XXXIX.— DEPARTMENT  OF  THE  GULF— Continued 


YE  \u  

MONTH  !             J  L'LY- 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

10,  027. 

13,203. 

18,  558. 

13,  168. 

15,  480. 

LIST  OF  DISEASES. 

Cases. 

Deaths.    Cases. 

Deaths. 

Cases.    Deaths.     Cases.    Deaths. 

Cases. 

Deaths. 

2,758 

3 

5 

60 
3 

3,144 

4 
4 
42 

87 

5,158 

5 

70 

125 

4,286 

4 
4 

97 
3 

4,488 

4     ! 
6 
40 
3 

120 

1 

CLASS    IV.  —  LOCAL    DISEASES. 
ORDER  I.—  Diseases  of  Nervous  System. 

1 

150 
2 
3 

4 
1 

1 

3 

1 

1 
4 

1 
1 

1 

4 
36 
3 
1 
3 

4 
3 

0 

6 
10 
3 
13 
9 

o 

1 

1 

49 
4 
7 
6 

13 
7 
38 
11 

2 

54        

1 
2 

1 

3              1 

5 

1 

1 

29              1 

ORDER  II.  —  Diseases  of  Eye. 

10 

13 
3 
6 

..         1        21 

8 
3 

15 

3 
4 
3 

5 
7 
1 
3 

3 

2 

3 
3 

4 
6 

5 
4 

5 

7 

ORDER  III.  —  Diseases  of  Ear. 

5 

0 

2 
9 

1 
6 

'    '     ' 

~n   i"  aj"ma 

3 
o 

71    Of6 

6 
1 

~i             TV                   '    O  d 

1 

ORDER  IV.—  Diseases  of  Organs  of  Circulation. 

.    . 

1 

7G    Dr°rS>    T  P  »  '  a  dium 

'      r°pSJ  °..                   . 

1 

2 

1 
1 

1 
2 

2 
1 

2 

.    n  am  nation  °       e       ^ 

1 

79    Inilamm-itionof  Veins 

.                . 

7 
14 
5 

10 
12 

3 

23 
6 

3 

99 

8 

3 
7 
5 

6 
128 
24 
o 

6 
4 

1 

5 
37 

8 

o 

• 

7 
4 

7 
66 
o 

1 

2 

1 

OitDEit  V.—  Diseases  of  Respiratory  Organs. 

1 

1 

. 

1 

1 
5 
8 
19 
3 

6 
10 
31 

0 

1 

5 

10 
7 
1 
4 

25 

4 
10 

7 
12 

83 
054 

7 
13 

2 
1 

o 

6 

8 

28 

36 
113 
20 

92.  Other  Diseases  of  this  Order 

4 

12 

43 
76 
14 

2 

14 

59 
132 

4 

1 

1 

OUDEK  VI.  —  Diseases  of  Digestive  Organs. 
93    Colio 

74 

25 

24 

45 

1 

96.  Cirrhosis  of  Liver  

1° 

10 
12 

13 

10 

29 

17 

1 

100    Diseases  of  Spleen   

2i 

1 

1 

8 
38 

1 

0 

3 

2 

4 
24 

102    Hernia                    

18 

11 

103.  Haemorrhage  from  Stomach  

1 

: 

i                                                              i 

3,626 

78 

3,619 

102       5,  900           136 

4,  658           106 

5,  090           133 

DURING    THE    YEAR   ENDING    JUNE   30,  1863. 


TABLE  XXXIX.— DEPARTMENT  OF  THE  GULF— Continued. 


18e3^. 

1863. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

23,  931. 

39,  789. 

41,864. 

42,  832. 

35,  501. 

30,  928. 

29,  108. 

26,  199. 

Cases. 
6,  134 

3 

11 
40 
3 

Deaths. 

Cases. 
10,  483 

0 

21 
103 
2 
o 

1 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths 

Cases. 

Deaths 

Cases. 

Deaths. 

Cases. 

Deaths. 

50 
51 
52 

53 
54 
55 
56 
57 
58 
59 
60 
61 

62 
63 

64 
65 
60 
67 

68 
69 
70 
71 

72 

73 
74 
75 
76 
77 
78 
79 
80 
81 
82 

83 
84 
85 
86 
87 
88 
89 
9C 
91 
92 

93 

94 
95 
96 
97 
98 
99 
100 
101 
102 
103 

121 

1 

2 

113 

1 

10,  339 

3 

10 
247 
3 
2 

0 

130 

1 
1 

12,  551 

4 

17 
200 
19 
o 

1 

163 

9,779 

111 

6,912 

1 
3 

140 
2 
2 

218 
1 

5,398 

90 

81,  430 

30 
103 
1,  466 
52 
10 
11 
10 
110 
702 
71 
149 
298 

21 
8 
519 
31 
102 
61 

197 
79 
34 
118 
7 

1 
63 
22 
3 
15 
6 
9 
185 
243 

1,435 

12 
6 

1 

7 
282 

1 
124 
3 
1 

8 
o 

1 

o 

o 
1 

1 

1 

1 

11 
5 

o 
o 
3 
63 
5 

1 

1 

29 

27 

15 

14 
84 
3 
7 
47 

1 

6 
59 
4 

32 

6 

42 

1 

75 

116 

8 
I 

27 

5 
1 

80 
o 

101 
13 

1 

15 

2 

1 

1 

3 

57 
14 

2 
1 
37 
1 
17 
1 

26 

8 
6 

1 

3 

1 

5 

1 

52 

1 

63 
4 

1 

3 

30 
o 

3 

5 

4 
7 
1 

8 

3 

94 
5 
5 

6 

24 
1C 
12 

94 
5 
16 
8 

23 
5 

65 

46 
3 
10 
15 

14 
3 
3 
3 
1 

4 
24 
6 

33 
4 

6 
11 

53 
10 
5 
20 

6 
] 
9 

1 

3 

24 
1 

1 
13 
3 

21 

10 

5 

15 

4 

12 
5 
1 
5 

1 

9 
2 

1 

4 
3 

5 
4 

7 
4 
1 
2 
o 

4 

2 
1 

1 

1 

i 

27 

1 

1 

0 

2 
32 

1 
15 
37 

13 
15 
5 

17 
157 
22 

38 
36 
4 

20 

21 

18 
"0 

40 
15 

18 
8 

19 
145 

8 
4° 

1 

61 

184 
2,296 
354 
6 
44 
163 
384 
399 
92 
339 

1,453 
2,424 
375 
15 
107 
409 
1 
C2 
69 
471 
15 

5 

21 

520 
94 

17 
103 
19 
1 
6 
19 

23 
18 
5 

1°5 

11 
64 
30 

548 
47 

332 
52 

3 

5 

o 

36 
1 
5 

1 

1 
G 

49 
60 
64 
4 
18 

18° 

4 
16 

52  ! 
26 

97 

109 
214 
10 

9 

24 
80 
60 

77 
232 

5 

19 
65 
82 
14 
51 

21° 

2 
1 
10 

15 

1 
6 

8 
25 
48 
8 
15 

1 

3 

42 
8 
2 

12 

5 

9 
2 

9 
3 

1 

3 
1 

1 

1 

G 

135 
228 

21° 

313 
60 

319 
21 
1 
13 

98 

278 
34 

°64 

159 
35 
11 
19 

68 
1 
17 

58 

1 

2 

19 

1 

5 

10 
11 

8 
63 
1 
1 

8 
CO 
2 

1 

11 

90 

7 
34 

1 

34 

3 
6 
45 

13 

8 
58 
6 

3 

10 
73 



1 

7 
45 

11 

7 
30 

3 

7 
40 

. 

1 

5 

1 

1 

7,181 

133 

12,719 

132 

12,  725 

149 

14,  563 

181 

11,  424 

118 

8,004 

234 

6,452 

96 

95,  961 

1,528 

250 


SICKNESS    AND   MORTALITY    OF   WHITE    TROOPS 


TABLE  XXXIX.— DEPARTMENT  OF  THE  GULF— Concluded. 


YEAH  

1863. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

10,  027. 

13,  203. 

18,  558. 

13,  168. 

15,  480. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.  1 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

htfor    ard 

3,626 

78 

3,619 

102 

5,900 

136 

4,658 

4 
12 

106 

5,090 

1 

33 

22 

133 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

°8 

19 
14 
5 
2 

27 
20 

10 
4 
1 
63 
1 
156 
44 
25 

1 

14 
11 

5 
16 
35 
81 

42 

6 
1 
41 

28 
230 
74 
33 

I 

1 
1 

13 

6 
18 
31 
76 
33 
83 

1 

2 

1 

n  am    t               ^ 

20 

1 
1 

1 

175 
41 
15 

1 

1 

1 

2 

1 

9 

1 

ORDER  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

'          ° 

2 

1 

1 

2 
3 

13 

11 

8 

* 

6 
5 

13 
3 

1 
o 

'     TDflaiT1                               f  jj,. 

1 
2 
1 
24 

~                                                          f       ,    . 

4 
18 

1 

31 

o 

o 

„ 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

2 

1 

1 

1 

1 
1 

51 
52 

4 

o 

4 
4 

43 
7 
5 
2 
10 

I 

9 

130    Other  Diseases  of  this  Order  

ORDER  IX.  —  Diseases  of  Integumentary  System. 
131.  Abscess     ..„  

47 
54 
3 
7 
37 

1 

13 

64 
56 
8 
20 

1 

57 
5 
6 
o 

2 

132   Boils      .   ..                



133.  Carbuncle  

1 

10 
10 
30 

2 
15 



134.  Whitlow  

70 

17 

1 

11 

CLASS    V.—  WOUNDS,   ACCIDENTS,   AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
136    Burns 

25 

139.  Drowning  .   . 

1 

140    Sprains    .   

6 
1 
3 

3 

3 
11 

o 

12 

141.  Dislocation  

o 

1 

I 

1 

143.  Compound  Fractures  

1 

76 
17 
12 

144.  Gunshot  Wounds  

7 
17 
7 
6 
3 
1 

184 
6 
16 
6 

7 

12 

67 

17 

11 
5 

7 
2 

0 

145.  Incised  Wounds  

14(i.  Lacerated  Wounds  

5 

1 

4 

147.  Punctured  Wounds  

16 

148.  Poisoning  

1 

1 

9 

149.  Other  Accidents  and  Injuries  

7 

7 

7 

3 

150.  ORDER  II.  —  Homicide  

151.  ORDER  III.—  Suicide  

1 

1 

152.  ORDER  IV.  —  Execution  of  Sentence  

Total  

4,201 

84 

4,369 

111 

6,805 

153 

5,090 

130 

5,563 

145 

DURING   THE    YEAR    ENDING    JUNE    30,  1863. 


251 


TABLE  XXXIX.— DEPARTMENT  OF  THE  GULF— Concluded. 


1863- 

1863. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUJCE. 

TOTAL. 

'  23,  931. 

39,  7S9. 

f     41,  864. 

42,  832. 

35,  501. 

30,  928. 

29,  108. 

26,  199. 

104 
105 
106 
107 
108 
109 
110 
111 
112 
113 

114 
115 
116 
117 
118 
119 
120 
121 
122 
123 

124 
125 
126 
127 
128 
129 
130 

131 
132 
133 
134 
135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
14<i 
147 
148 
149 

150 
151 
152 

Cases. 

Deaths. 

Cases.    Deaths 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

7,181 

G 
134 
23 
8 
6 
16 
35 
104 
80 
15 

2 
2 

133 

12,  719 

3 

205 

132 

12,725 

6 

151 
25 
7 

149 

14,  563 

4 
113 
8 
4 
3 
16 
27 
217 
152 

181 
1 

11,  424 

20 
78 
11 
7 
2 

118 

8,004 

8 
54 
7 

21 
7 
326 
102 

234 

6,452 

12 
35 
2 

7 
10 
8 
8 
262 
128 
6 

5 

96 

95,  961 

64 
889 
206 
97 
45 
260 
239 
2,294 
1,119 

1,598 
1 

1 

50 
20 
7 
6 
12 
172 

1 

1 

4 
4 
9 
4 
4 
8 

1 

1 

1 
3 
3 

1 

o 

1 

11 

19 
171 
137 
74 

8 
4 
4 
3 
11 
28 
17 
17 
5 
o 

2 

1 

16 
324 

1 

2 

131 

27 

155 

1 

28 

8 
5 
5 
1 
9 
21 
11 
9 
2 
4 

12 

-t 

1 

348 

35 
19 
14 
27 
58 
173 
87 
74 
42 
120 

15 
13 
59 
2 
15 
27 
17 

744 
975 
75 
176 
411 

G9 

415 
4 

5 

7 
1 
4 
23 
19 
2G 
11 
15 

3 

1 

1 

1 
1 

1 

7 
12 

9 
14 

7 

Q 
1 

-    2 
1 

3 
10 
4 
3 
3 
1 

17 
5 
1 
4 
23 

3 
1 
o 

1 

1 

2 

17 
2 
3 

4 
1 
11 

1 
4 

17 

8 

3 
3 
12 

4 
11 
1 
3 
3 
7 

73 

137 
14 
30 
49 

10 
59 

4 
10 

5 

6 

G 
5 



1 
1 
1 

80 
119 
10 
16 
50 

20 
40 
1 

1 

5 
1 

63 

20 
6 
14 

18 

o 
17 
1 

i 

3 

89 
114 

4 
24 

48 

~- 

1 

2 

73 
116 
5 
21 

49 
110 

16 
23 

13 

42 

55 

185 
3 

14 

28 

4 

79 

6 



1 

31 

10 
G5 

34 

1 

1 

3 

11 

1 

1 

1 

18 

15 
C 
1 

58 

93 

84 
3 

C8 

46 

35 
1 
4 
34 
1,345 
15 

425 
35 
48 
69 
3,432 
174 
135 
75 
20 
101 

6 

3 
2 

5 

2 
6G 
3G 
11 
4 
1 
6 

6 

19 
30 
1,169 
7 
15 

1 
63 
19 
9 
11 

1 
394 
20 

15 
14 
14 
G 
1 
8 

o 

5 

35 
16 
y 

1 

1 

22 

85 

99 

253 

2 
5 

1 
26 

28 

4 
1 
5 

1 

12 
3 
9 

4 
5 
12 

2 
5 
o 

4 
1 

7 

i 

1 

1 

i 
i 

1 

6 

1 

7,  895         141 

14,  013 

144 

14,  009 

156 

15,  787         199 

13,  005 

146 

10,  160 

334 

8,805 

198 

109,  702 

1,041 

252 


SICKNESS    AND   MORTALITY    OF    WHITE   TROOPS 


TABLE  XL. 

Abstract  of  the  Sickness  and  Mortality 


YE  AII  

1863. 

M  OXTII  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

3,258. 

1,  297. 

1,437. 

4,  042. 

5,  473. 

LIST  OF  DISEASES.                                 |  Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deuths.    Cases,  j  Deaths.  '  Cases.    Deaths. 

CLASS    1.—  ZYMOTIC    DISEASES. 
ORDER  I.  —  Miasmatic  Diseases. 

3 

14 

1 

3 

s 
1 
1 

2 
1 

1 

1 

14 

5 

10 

i 

13 
3 
5 

7 
5 
4 

•JO      .  -  -  

53 
95 
6 

21 
6 
13 

3 

4 

1 
1 

1 

44 

1 
182 

1 

58 
3 
5 
1 

7 

22 

31 

1 
6 

0 

15 

- 

34 

1 

1 
o 

0 

5 
47 

1 

,'  '  |1K  l 

0 

90 

0 

~      0          IV 

18   Diphtheria                           •           

47 
3 

8 

•V  E   'd^   '     Catirrh 

84      

4 

3 

1 

G 
6 
1 

7 

2 

07 

8 



ORDER  II.  —  Enthetic  Diseases. 

•>0       ^vpllilU                                                                             

4 

5 
3 

9 

0 

3 

1 

ORDER  III.  —  Dittie  Disease*. 
29    Scurw                                                     

1 

1 

1 

11 
1 

5 

1 
3 

1 

1 

2 

3 

5 

34    Other  Disease^  of  thN  Order 

CLASS    II.—  CONSTITUTIONAL    DISEASES. 
ORDER  I.—Diathetic  Diseases. 
35    Gout    .  .  .   .,  

1 
5 

6 

10 
4 

23 

37 
30 
fi 

14 
5 

1 

1 

ORDER  II.  —  Tubercular  Diseases. 

44    Scrofula    

45.  Other  Diseases  of  this  Order  

CLASS    III.  —  PARASITIC    DISEASES. 
46    itch                                         

1 

1 

1 

•m 

79 

114     1  562 

4 

454              9 

DURING   THE    YEAR   ENDING    JUNE    30,  18C3. 


253 


TABLE  XL. 

of  the  Department  of  the  Northwest. 


18f5y. 

18G3. 

DECEMIIEU. 

JANUARY.      |     FEBRUARY. 

MAUCII. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

7,  4K). 

8,  506. 

8,  291. 

0,  980. 

8,  182. 

5,464. 

5,  429. 

5,320. 

Cases. 

deaths. 

Cases. 

deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

l 

3 

4 

0 
7 
8 
9 
10 
11 
12 
13 
14 
15 
1G 
17 
18 
19 
20 
21 

22 

23 
24 

20 

"7 
28 

29 
30 
31 

:)2 

33 
34 

35 
36 
37 
38 
39 
40 
41 
42 

43 

44 

45 

40 
47 

48 
49 

38 

4 

35 

1 

5 

22 
1 
11 

1 
2 

17 

3 

15 

3 

6 

1 

9 

107 
5 
45 

22 
3 
1 

2 

2 

8 
35 
1 

1 

102 
23 
9 

Gl 

80 

3d 

14 

1 

35 
38 
10 
1 
1 
35 
17 
23 

54 
43 
4 

44 
25 
3 

523 
287 
119 
5 
14 
801 
62 
174 
4 
154 
45 
468 
34 
91 
630 
902 
242 

54 
194 
23 
9 
25 

4 

15 

1 
0 
45 
11 
4 

1 
50 

7 
10 
1 
28 
1 
74 
9 
9 
193 
113 

1 

3 

51 
5 
9 

1 

2 

83 

61 
11 

6 

139 
5 
50 

5 
1 

28 
7 
175 

1 

2 

31 

17 

23 

9 
3 
13 
4 

7 
25 

2 
3 

11 

4 
7 
6 
3 
42 
82 

3 

5 

3 

44 
2 
5 
190 
107 
39 

9 
21 

10 
12 

1 

14 
53 
252 
14 

7 
14 

1 

1 

11 
35 

6 

2 

19 

1 

98 

110 
24 

21 
112 
21 

3 

15 
] 

30 

4 

1° 

82 

7 
30 

7 
30 
3 

o 

3 
3 

1 
3 

1 
o 

2 
1 

1 
2 

17 

1 

4 
1 

1 

43 
3 
10 
42 
1 
10 

3 

450 

6 

2 



4 

4 
1 
3 

8 

1 

3 

3 
7 
1 
o 

2 
2 

1 

1 

6 

1 

2 

2 

1 

1 

12 

1 
27 

1 

70 
65 
4 

40 
22 

1 

85 

42 

50 
53 
9 
3 
1 
1 
8 

9 

55 
25 
1 

1 

38 

4 

98 
0 

35 

20 

380 

57 

5 
2 
8 
21 

61 
33 



1 

1 
2 

7 
7 
8 

32 

2 
4 

14 
5 
JO 

31 

3 

1. 
4 

6 

7 

2 

3 
3 

9 
1 

2 

1 

1 

1 

8 
6 

1 

G 

4 
30 

13 

29 

28 

192 

1 

4 

1 

2 

7 



3 

878 

11 

898 

13 

854 

5 

790 

5 

658 

4 

518 

3 

530 

3 

6,  443 

57 

254 


SICKNESS   AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  XL.— DEPARTMENT  OF  THE  NORTHWEST— Continued. 


YEAK  

1869. 

JULY. 

AUGUST. 

SEVTEMBEK. 

OCTOBER. 

NOVEMBER. 

1,  258. 

1,  297. 

1,  437. 

4,  042. 

5,  473. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

113 

79 

114 

562 

1 
o 

4 

454 

9 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.  —  Diseases  of  Nervous  System. 

3 

TT1    if  ? 

1 

1 

~' 

1 
1 

1 
1 

0 

1 

o.    n  am                   ^ 

3 

1 

w"  x  &t     •            '  P 

ra     XT           f  • 

1 

1 

12 

6 
1 

'       £tfa  J 

2 

ORDER  II.  —  Diseases  of  Eye. 

1 

66 

8 

5 
1 

4 
2 

20 

!r*  T^fl"1        f             '  J         ^ 

' 

^    *      •                S  e       -     n 

OKDER  III.  —  Diseases  of  Ear. 

3 
1 

4 

3 

1 
1 

2 

1 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

74    V  1     1      D'             f  H      t 

f                   TV 

76    Dro^  of  Pericardium 

*   y                       . 

1 

1 

1 

78    I  fl            f         f  E  d 

1 
1 

1 

82.  Other  Diseases  of  this  Order 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
83.  Asthma  

84.  Acute  Bronchitis  

6 

11 
1 

13 

238 

115 
6 

85.  Chronic  Bronchitis  

86.  Dropsy  of  Chest  .  .     . 

1 

1 

87.  Haemorrhage  from  Nose  

1 

12 
39 
12 

88.  Inflammation  of  Larynx  

2 
24 
1 
16 
3 

6 
43 
o 

89.  Inflammation  of  Lungs  

1 
1 

5 

90.  Inflammation  of  Pleura  

91.  Haemorrhage  from  Lungs  

92.  Other  Diseases  of  this  Order  

1 

1 

17 

1 

1 
15 
2 

1 

3 
17 
1 

80 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
93.  Colic  

94.  Constipation  

15 

95.  Cholera  Morbus  

96.  Cirrhosis  of  Liver  

98.  Dyspepsia  

4 

1 

0 

10 

JO 

99.  Diseases  of  Pancreas  

100.  Diseases  of  Spleen  

101.  Fistula  in  Ano  

102.  Hernia  

1 

4 

7 

103.  Haemorrhage  from  Stomach  

169 

1 
1 

123 

161 

1 

L006 

4 

797 

14 

DURING   THE    YEAR   ENDING   JUNE    30,   1863. 


255 


TABLE  XL.— DEPARTMENT  OF  THE  NORTHWEST— Continued. 


1863. 

1863. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

7,  413. 

8,  566. 

8,  291. 

6,  986. 

8,  182. 

5,  464. 

5,429. 

5,320. 

50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 
61 

62 
63 
64 
65 
66 
67 

68 
69 
70 
71 

73 
74 
75 
76 

77 
78 
79 
80 
81 
82 

83 
84 
85 
86 
87 
88 
89 
90 
91 
92 

93 
94 
95 
96 

97 
98 
99 
100 
101 
102 
103 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

878 

1 
1 
32 

11 
1 

898 

13 

854 

5 

790 

2 

8 

27 

5 

658 

4 

518 

3 

530 

3 

6,448 

4 
29 
196 
10 
3 
9 
22 
16 
129 
15 

57 
1 

4 
38 

7 
35 
2 

3 

24 
1 

1 

28 
1 

10 
3 

1 

1 

1 

2 
4 

1 

2 
2 
1 
34 
1 

1 

1 

2 

2 

1 

6 

1 

2 

2 

4 

8 
11 
3 

4 
1 
5 

3 

17 
2 

3 
13 
1 

16 
1 

13 
6 

2 

2 

1 

1 

4 
o 

3 

3 

1 

47 

2 
4 

2 
1 

18 

10 
3 

470 
6 

1 

1 
76 
1 

43 

60 

49 
1 

46 

46 
1 

1 

15 
7 
1 
13 

o 

3 

15 
4 
1 
13 

6 

1 
2 
2 
4 

17 

70 
44 
8 
55 
1 

15 

7 

16 
12 

2 
2 
1 

3 
1 
1 
3 

1 
]6 

1 

3 

1 

2 
1 

4 

1 

8 
1 

1 

7 

1 

2 

1 

1 

1 

24 
4 

4 

1 
1 

3 

4 

1 
2 

11 
8 
3 
23 
22 

1 
1 

4 
2 

1 
5 
9 

1 

o 

1 

o 

6 
5 

1 

5 

1 
o 

3 

o 

0 

2 

2 

304 
33 

2 

7 
136 

1 

7 
20 

4 
110 
41 

83 
60 

54 
50 

15 

41 

41 

1,126 
267 
1 
2 
88 
644 
105 
45 
322 

67 
518 
23 
4 

0 

109 
6 
1 
10 
83 

1 

13 

1 
1 

1 

8 
129 

11 

8 

12 

13 
94 
3 
1 
1 

5 
41 

15 

12 

11 
63 
16 
3 
56 

13 

06 

7 
26 
5 
2 

8 
11 
8 
1 
6 

O- 

150 
13 
4 

99 

1 
49 
1 

5 

107 
23 
7 
66 

16 
62 

3 
1 

6 

4 

2 

27 
1 

... 

1 

1 
1 

1 

5 
39 

1 
2 

73 
o 

81 

2 
1 

1 
1 

15 

1 
19 

9 

9 

14 

6 

8 

6 

1 

0 

3 

13 

1 
7 

3 

25 

1 
3 

8 

1 

10 

5 

1 

1,365 

17 

1,775 

21 

1,510 

11 

1,463 

12 

1,172 

12 

737 

6 

852 

4 

11,  130 

103 

256 


SICKNESS   AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  XL.— DEPARTMENT  OF  THE  NORTHWEST— Concluded. 


YEAR  

186^. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

1,  258. 

1,  297. 

1,  437. 

4,  042. 

5,  473. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1C9 

1 

123 

161 

I 

1,006 

4 

797 

14 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

ffimoTiago  r  n 

2 

1 
3 

2 
1 

17 
5 

34 
25 

j.     n  am 

07    iV*  1     "f          fli 

'  Tnflam  a.!°    f  PI  .. 

1n<>'  AD  TT'fi'      °  f  * 

1 
1 

6 
1 
I 
5 
2 

4 
o 

"  _,cu  e.  Q  "'      l 

2 

1]      t  ironic    n  amir 

24 

4 
10 

1 

1 

42 

ORDER  VII.  —  Diseases  of  Urinary  and  G&iital  Organs. 

... 

1 
1 

1 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

1 

1 

1 

1 

1 

! 

130    Other  Diseases  of  this  Order       

1 

ORDER  IX.  —  Diseases  of  Integumentary  System. 

3 
3 

4 
4 

9 
4 

132.  Boils  

8 

133.  Carbuncle  

1 

134.  Whitlow  

1 

7 

1 

7 
1 

3 
3 

1 

11 
1 

135.  Skin  Diseases  

4 

2 
13 

2 

4 

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
136.  Burns  

137.  Contusions  

2 

7 

1  38.  Concussion  of  Brain  

133.  Drowning  

140.  Sprains  

5 

r 

0 

8 

10 

141.  Dislocation  

1 
1 

142.  Simple  Fractures  

5 

3 

143.  Compound  Fractures  

144.  Gunshot  Wounds  

15 
3 

5 

1 

5 
6 
5 

3 

3 
2 

1 

145.  Incised  Wounds  

0 

146.  Lacerated  Wounds  

4 

5 
1 

15 

147.  Punctured  Wounds  

o 

o 

148.  Poisoninp-  

1 
2 

149.  Other  Accidents  and  Injuries  

1 

150.  ORDER  II.—  Homicide  

151   ORDER  III.—  Suicide  

152.  ORDER  IV.  —  Execution  of  Sentence  

Total  

223 

1 

170 

200 

2 

1,127 

8 

1,003 

15 

DURING   THE    YEAR   ENDING    JUNE    30,  1803. 


257 


TABLE  XL.— DEPARTMENT  OF  THE  NORTHWEST— Concluded. 


1802. 

1803. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APUIL. 

MAY. 

JUNE. 

TOTAL. 

7,413. 

8,566. 

8,  291. 

6,2 
Cases. 

86. 

8,  182. 

5,  404. 

5,  429. 

5,  320. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

104 
105 
10G 
107 
108 
100 
110 
111 
112 
113 

114 
115 
110 
117 
118 
119 
120 
121 

123 

124 
125 
126 
127 
128 
129 
130 

131 
132 
133 
134 
135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
146 
147 
148 
149 

150 
151 
152 

1,365 

17 

1,775 

21 

1,  510 

1 
70 
31 
1 
1 
9 
8 
4 
11 
1 

1 
I 

1 

11 

1,403 

3 

69 
12 
1 

1 
G 
14 

12 

1,  172 

0 

12 

737 

G 

852 

4 

11,130 

6 
413 
177 
G 
6 
51 
52 
46 
S7 
262 

10 
3 
4 
1 
17 
24 

103 

73 
53 

1 

77 

34 

IS.O 

1 
3 
1 

14 

16 

8 

18 
7 
1 

2 

2 

1 
1 
9 
4 
14 
2 
111 

3 

1 

1 

1 

1 

4 

4 
3 

10 
5 

11 

1 

1 

3 
1 
11 
26 

1 
1 

20 
20 

18 
28 

1 

11 
16 

1 

5 

2 

.      ..            H  

0 

1 

1 
3 

1 

o 

8 
5 
1 
1 

3 
5 

o 

3 
2 

4 

4 
1 
1 

5 
6 

1 

1 

2 

1 

2 
I 

1 

3 
3 
3 

15 

1 

1 
1 

20 

9 
10 
11 
1 
3 
2 
3 

120 

1 

3 

1 

1 

2 

i 

1 

1 

1 

1 

1 

1 

2 

10 
11 

1 
7 
15 

1 

oo 

11 
23 
1 

G 
6 

4 
28 
1 

19 
18 

13 

20 

10 
15 

9 
9 

7 
1C 

1 
1 

7 

1 

28 

131 
5 

1 
3 

G 

3 

8 

4 
G 

2 
10 
1 

7 

3 

42 

15 
229 

37 

09 

1 

5 

1 

1 

15 

13 
4 

7 

15 

0 

21 
3 
7 
o 

25 

9 
3 

o 

5 

133 

17 
41 
3 
109 
6G 
57 

4 

3 

6 

2 

1 

23 
0 

G 

7 
7 
1 

9 
10 
5 
1 

1 

15 

5 

16 

11 
G 

1 

7 
0 

5 
3 

7 

1 
4 

4 

15 

1 

7 

0 

4 

107 

0 

1 

18 

36 

00 

18 

1 

1 

! 

1 

]  ,  (150 

18        2,  145 

23 

1,820 

12 

1,807 

14 

1,464 

16 

899 

8 

1,027 

4 

13,  535 

121 

33 

258 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  XLL 

Abstract  of  the  /Sickness  and  Mortality 


YEAR  

1809. 

JIOMH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

21,018. 

21,  572. 

31,  588. 

44,  799. 

45,  979. 

LIST  OF  DISEASES. 

Cases,  j  Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS  1.—  ZYMOTIC    DISEASES. 

OIIPEU  I.  —  Miasmatic  Diseases. 

C4 
7 
83 

10 

106 
16 
34 

16 
5 

140 

4 
107 

12 

281 
10 
208 

31 

220 

1C 
159 

35 
5 
2 

8 

r                  '     Fever 

404 
262 

355 

275 
359 
28 

4 

1 

682 
655 
817 

5 

857 
1.329 

8 
o 

474 
1H2 

3 

'  j;  °  *  ia 

238 
14 

1 

1,568 

742 

'          '                        F    _ 

115 

187 
74 
2,  029 
416 
851 
112 

1 

498 

175 

11 
824 

3 

14 
603 
56 
209 
13 
11 
1 
3 

1 

1,  191 

247 
352 
42 
26 
6 
57 

2 
1 
5 
5 
1 
1 

20 
7 
6 
14 
12 

1,184 

342 

84 
34 
7 
391 
8 
6 
365 
385 

11 
2 
16 
1 
5 
o 

6 
-.3 

•    TV 

78 
344 
9 
31 
3 
15 

0 

1 

4 

'    D  - 

i   r-    •    i    ^          ^ 

1 

15.  Small-pox  and  Varioloid  

5 

1 

179 
332 

34 

2° 

12 

1     . 

11 

212 

123 

'      |!    °                          . 

163 

40 
61 
13 

161 

94 
10 

3 

231 

57 
162 

8 
1 

139 

52 
104 
44 
6 

0 

o 

ORDER  II.  —  Enthetic  Diseases. 
22    Syphilis                                                                

34 
G9 
12 

°4    Orcliitis                                                                            

17 
4 
3 

27    Serpent  Bite                             .                         

1 
9 

27 

1 

o 

ORDER  III.  —  Dictic  Diseases. 

°4 

6 

5 

7 
4 

8 
1 
6 
9 

30   I'urpura 

8 
3 

1 

5 

1 

4 
I 

1 

- 

34.  Other  Diseases  of  this  Order                                  

4 

12 

CLASS  II.—  CONSTITUTIONAL    DISEASES. 

ORDER  I.—Diathetic  Diseases. 
35.  Gout 

1 

74 
124 

3 

184 
214 
59 

7 

36.  Acute  Rheumatism 

68 
66 

65 

183 
262 



122 

38.  Anosmia  

8 
14 

39 
24 

39.  General  Dropsy 

6 
1 
3 

6 

1 

i 

40.  Cancer  

2 
11 

21 
4 

4 
11 

38 
15 

42.  Other  Diseases  of  this  Order 

1 

6 

24 

00 

ORDER  II.  —  Tubercular  Diseases. 

12 

50 
10 

2 

. 

i 

44.  Scrofula  

3 

5 

45.  Other  Diseases  of  this  Order  

CLASS  III.  —  PARASITIC    DISEASES. 
40.  Itch  

36 

54 

47.  Tape-worm  

48.  Other  Intestinal  Worms  

1 

4 

3 

49.  Other  Diseases  of  this  Order  

1 

Carried  forward  

2,  970 

18 

2,  652 

34 

5,170 

37 

10,  083 

124 

6,892 

115 

DURING   THE    YEAK   ENDING   JUNE   30,  1803. 


259 


TABLE  XLL 

of  tJie  Department  of  the  Missouri. 


18G2. 

1863. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

52,  961. 

42,  922. 

43,  090. 

32,  864. 

31,  030. 

37,  808. 

29,  078. 

36,226. 

1 

0 

3 
4 
5 
G 
7 
8 
9 
10 
11 
12 
13 
14 

is 

16 

17 
IS 
19 
20 
21 

22 

24 
23 

27 

29 
30 
31 
32 
33 
34 

35 
30 
37 
38 
39 
40 
41 
42 

43 
44 
45 

4<; 

47 
48 
49 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

187 
3 
97 

3 
3 

75 

14 
1 
3 

114 
3 

7G 

24 
1 
2 

50 
2 
19 

14 

34 
1 

27 

7 

11 

10 
1 

15 

3 

1,297 
G2 
907 

208 
18 
23 

82 

4 

1 

6 

9 

5]  9 
053 
758 
128 
23 
1,  330 
431 
263 
48 
50 
54 
183 
g 

195 
571 
112 

33 
96 
34 
3 
11 

6 

255 
452 

5 

233 
337 
380 
77 
21 
994 
2DO 
203 
53 
43 
73 
75 

6 

1 

276 
342 
280 
44 
17 
677 
154 
128 

3 
1 

1 

192 
319 
208 

3 

218 
358 
396 
20 

4 

166 
382 

1 

4,  C91 
G,27fi 
G,  455 
£81 
317 
12  203 
2,752 
3,  375 
563 
476 
538 
1,537 
10 
55 
1,483 
3,956 

48 
G 
4 

352 

1 

357 

40 
58 
1,106 
243 
205 
43 
44 
84 
102 

31 
10 
1,159 

254 
204 
99 
33 
15 
18 

G 

5 

2 
24 
1 
8 

7 
4 
9 

7 

4Qo 

3 

614 
109 
133 
7 
38 
121 
30 

3 

1 
1 
2 
1 

o 

17 
3 

o 

70 
17 
1C!) 
31 
40 
14 
57 
78 

19 
2 
o 

1 

0 

14 

8 

92 
141 
12 
97 
77 
53 

8 

4 
1 
1 
1 
3 

o 
10 

7 

41 
40 
96 

8 
1 
8 
4 

3 

3 
5 

4 

17 

1 

13 

221 
575 
33 

50 
64 
12 

1 

15 
161 

851 
28 

29 
80 
11 
1 
30 

4 
59 
486 
8 

35 

1 

8 
70 
309 
21 

1 

2 

117 
249 

4 

48 

FA 

16 

70 
160 
7 

13 

1 

15 

1,139 

494 
1,152 
202 

27 
o 

1 

24 

49 
125 

68 
9 
1 
14 

69 
18 

15 

3 
12 

20 
135 
3 

26 

269 
6 
G3 
99 
30 
22 

7 
1,  894 
1,875 
464 
114 
4 
33 

11 

ID 

33 
1 
4 

5(3 

o 

1 

22 

1 

13 
1 
5 
6 
13 

5 
39 

o 

23 
1 
5 
27 

11 

1 
1 
8 

1 

35 

1 
1 
9 
1 
1 

1 
8 
13 

1 

1 

1 

1 

1 
1 

5 
9 

4 

1 

1 

148 
109 
40 
4 

4 
11 
10 

2 

5 
8 
1 

1 

2 

3 

1 

243 

192 

1 
165 
161 
38 
5 
1 
4 
11 

26 
24 

237 
189 
91 
24 

250 
211 
70 
9 
1 
2 
7 

35 
17 
12 

199 

1 

1 

167 
124 

90 
101 
25 

2 

1 

56 
9 

38 
5 

1 
4 

2 

1 

1 
2 

7 

24 
13 

8 
9 

32 
18 
2 

53 

6 

19 

41 
5 

1 

1 
2 

8 
8 

1 
5 

105 

329 
138 
15 

787 
1 

9 
57,294 

2 

21 

1 
1 

3 

3 

6 

18 
16 
1 

73 

1 

1 

1 

151 

40 

47 

134 
1 

6 

1 

O 

2 

3 

2 

1 

4 

792 

2 

0,517         113 

4,936 

95 

5,100 

83 

3,419 

71 

2,  783          37 

3,174 

48 

3,598 

17 

260 


SICKNESS   AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  XLI.— DEPARTMENT  OF  THE  MISSOURI— Continued. 


YI:AU  

186^ 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER.            NOVEMBER. 

21,  018. 

21,572. 

31,588. 

44,  799. 

45,  979. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

2,970 

2 
4 
19 
3 

0 

18 
2 

2,052 

1 

28 
1 

34 
1 

5,170 

0 

7 
37 
5 

37 
1 

10,  083 

3 
15 

124 
1 

G,892 

8 
55 

115 
1 

CLASS    IV.  —  LOCAL    DISEASES. 

ORDER  I.—  Diseases  of  Nervous  System. 

70 

8 
6 
1 
2 

1 

7 
1 
5 
10 
75 

0 

0 

(i 

1 

jo.  Innamina  ion  '                '  • 

r~     K      M™8 

o 

1 

52 

9 

69 

5s'  X     ril"  ia 

22 

28 

'  T>C.        . 

5 
15 

4 
1 
5 

2 

1 

109 

0 

3 
1 

14 
1 
o 

1 

9 

2 

'    '             •[ 

9 

3 

1 
133 
n 

6 
o 

1 

OUUEH  II.  —  Diseases  of  Eye. 

1 
1 
168 

3 

63   Cataract                                        

7 
209 

2°9 

r    \lft    "motion  of  Iris' 

5 

4 
3 
4 

18 
19 
2 

17 

3 

9 

16 

3 

9 
5 

6 
1C 

10 

48 
18 
6 
16 

ORDER  III.  —  Diseases  of  Ear. 
G8    Earache                                      

1 
11 
1 

5 
3 

7 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

'/ 

3 

4 
1 

2 

3 

1 

1 

1 

2 
3 

0 

27 
17 
4 

18 
225 

19 

1 

81.  Taricocele  

6 
3 

12 

4 
2 

9 
152 
30 

7 
4 

9 
113 

50 

82.  Other  Diseases  of  this  Order                                  .... 

ORDEU  V.  —  Diseases  of  Respiratory  Organs. 
83.  Asthma  

84.  Acute  Bronchitis  

135 

1 

288 
77 

3 

1 

85.  Chronic  Bronchitis  

19 

80.  Dropsy  of  Chest  

3 
3 
9 
55 
36 
12 

1 

40 
35 
113 
65 
9 
34 

157 

87.  Haemorrhage  from  Nose  

0 

3 

4 

27 
280 
72 
8 
165 

104 
236 

88.  Inflammation  of  Larynx  

3 

58 
24 
3 
1 

"39 

o 

1 
1 

1 
35 
3 

89.  Inflammation  of  Lungs  

2 

35 
13 
3 

3 

14 

90.  Inflammation  of  Pleura  

91.  Haemorrhage  from  Lungs  

92.  Other  Diseases  of  this  Order  

1 

1 
1 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
93.  Colic  

55 
255 

9° 

94.  Constipation  

170 
40 

105 

95.  Cholera  Morbus  

22 

1 

(Jl 

1 

80 
1 
6 
93 

1 

50 

9fi.  Cirrhosis  of  Liver  

97.  Dropsy  from  Hepatic  Disease  

4 
48 

I 

7 
44 

30 
67 

98.  Dyspepsia  

49 

99.  Diseases  of  Pancreas  

100.  Diseases  of  Spleen  

8 
3 
29 
1 

7 
3 
25 

23 

GO 

1 
58 

11 
3 

61 

101  .  Fistula  in  Ano  

102.  Hernia  

38 
6 

103.  Haemorrhage  from  Stomach  

6 

Carried  forward  

| 

3,850 

25 

3,  540 

39 

6,260 

43 

12,  003 

148 

8,  917 

173 

DURING   THE    YEAR   ENDING    JUNE    30,  1863. 


261 


TABLE  XLL—  DEPARTMENT  OF  THE  MISSOURI— Continued. 


18(32. 

1803. 

DECEMCEU. 

JAN'CAHY. 

FEUUUAllY. 

MAUCH. 

AFIIIL. 

MAY. 

JUNE. 

TOTAL. 

52,  901. 

42,  022. 

43,  01)0. 

32,  864. 

31,  030. 

37,  808. 

29,  078. 

30,  226. 

50 

51 
52 
53 
54 
55 
56 
57 
58 
59 
60 
61 

62 
63 
64 
65 
66 
67 

68 
69 
70 
71 

72 

73 
74 

75 
70 
77 
78 
79 
80 
81 
82 

83 
84 
85 
80 
87 
88 
89 
9C 
91 
92 

93 
94 
95 

96 
97 

98 
99 
100 
101 
102 
103 

Cases. 

Deaths. 

Cises. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

6,517 

2 
8 
55 

4 
4 

8 
11 
90 
4 

113 

4,936 

95 

5,100 

83 

3,419 

3 

12 

71 
2 

2,783 

5 

9 
60 
o 

37 

1 
1 

3,174 

3 

11 
83 

48 
o 

3,598 

3 

4 
85 
3 

17 
1 

57,  294 

27 
101 
728 

792 

13 

2 

6 
55 
2 
6 
3 
6 
10 
90 
5 

16 
80 
3 
5 
10 
10 
23 
113 

101 

1 

8 
4 

30 
43 
26 
60 
79 
817 
64 
24 
100 

24 

dj 
g    OOO 

1    ; 
42 
11 

2 
3 

3 
3 

6 
3 

16 
3 
104 
6 

5 
2 

3 

10 
7 
61 
5 

5 
1 

5 
1 
1 
3 
73 

5 

o 

1 

1 

40 

4 
o 

5 

3 

0 

2° 

2 
4 
239 
8 
o 

1 

17 

1 

1 
220 

15 

15 

o 

7 

1 

1 
178 
6 

2 

3 

5 
21G 
19 

2 
1 

179 
11 

0 

2 
3 

231 

3 

181 
10 

14 

3 

84 
7 
85 

207 

12 

31 
17 
4 
16 

8 

19 
10 
6 

7 
45 

10 

18 
4 
4 
10 

15 

5 

15 

2 

27 

12 
5 
4 
4 

8 
4 
13 

4 

5 

116 
31 
121 
4 

4 
41 
4 
1 
36 
15 
6 
121 
116 
34 

150 
2,  867 
690 
11 
86 
321 
2,071 
582 
85 
750 

911 

5 

5 

3 

9 

1 
1 
1 

5 

3 

1 

5 

6 
1 
1 
6 
o 

5 

1 

1 

1 

5 

9 
2 
o 

15 
17 
4 

10 
3G1 
105 

1 

4 
1 

1 

3 
3 

1 
1 

o 

1 

1 
13 
o 

13 
12 

13 
10 
5 

14 
441 
87 
1 
3 
49 
363 
58 
11 
54 

92 

" 

7 
8 

1 

10 

248 
40 

1 
3 
1 

3 

144 
45 



0 

2 

15 
353 

71 

1 

9 

100 
29 

19 
307 
62 
1 
1 
36 
249 
70 
4 
78 

52 

1 
1 
o 

1 
1 

1 

2 
U 

8 

2 
2 

1 

1 

1 

5 
42 
300 
74 

1 
183 

121 
223 

27 

11 
42 

6 
50 
184 
41 
10 
78 

37 

103 

5 
13 
109 
31 

44 

58 

3 
13 

59 
29 
5 
26 

01 
184 
33 

1 
44 
1 
1 

3 

304 

14 
4 
8 

1 

52 
1 
1 

41 
3 

47 
1 

206 
61 
12 

54 

o 

9 
2 

2 

1 

1 

87 

43 
174 

5 

202 

222 

228 

14 

9 

6 

4 
1 

12 

10 

1 

362 

114 
U48 
3 
145 

27 
455 
oo 

4 

13 
53 
3 
20 
3 
39 
1 

16 
45 

10 
66 

6 
44 

5 

52 

1 

3 

37 

1 

50 

10 
1 
50 
o 

1 

4 
1 

07 

1 
4 
28 

1 

38 
1 

43 

13 

1 

4 

1 

8,666 

177 

6,708 

159 

7,254 

142 

5,212 

143 

4,191 

97 

4,401 

69 

4,  64,". 

23 

75,  047 

1,238 

262 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  XLL— DEPARTMENT  OF  THE  MISSOURI— Concluded. 


y  EAK  

1863. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

21,  018. 

21,  572. 

31,588. 

44,  799. 

45,  979. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

3,850 

25 

3,  540 

39 

6,260 

43 

12,  003 

148 

8,917 

1 
81 
15 
17 
1 
56 

173 

ORDER  VI.  —  Diseases  of  Digestive  Organs  —  Continued. 

°8 

9 
5 

50 
14 

65 

oo  : 

40 
9 
o 

45 

1 

14 

5 

2 

1 

11 

16 
29 
14 
6 

4 
1 

12 

17 
oo 

21 

0 

78 
391 

37 

608 
92 

45 

37 
°7 

212 

1 

11°    Piles 

79 
12 

1 

98 
79 

0 

113    Oth^r  Diseases  of  this  Order 

18 

3 
3 
1 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

115    Diabetes                           

2 

1 

8 

lit1    Diseases  of  Testis  

... 

1 
21 
6 
2 
1 
9 

1 

12 

15 

16 
1 

2 

23 

29 
8 
1 
3 
3 

3 

121)    Inflammation  of  Bladder  

3 
1 
o 

1 

121.  Incontinence  of  Urine  

1 

10 

1 

49 

5 
1 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

3 

1 

0 

o 

127.  Inflammation  of  Bones  

1 

1 
3 
4 
3 

73 
54 
10 
21 

i  129.  Necrosis  

5 
o 

5 

1 

4 
2 

135 

130.  Other  Diseases  of  this  Order  

ORDER  IX.  —  Diseases  of  Integumentary  System. 
131.  Abscess  

37 
C 
7 
15 
45 

3 

38 
6 

2 

38 
11 
13 
10 
38 

1 
38 
4 

81 
36 
5 

132.  Boils  

56 
GO 
16 
35 

10 
07 

133.  Carbuncle  

134.  Whitlow  

8 
16 

1 
16 

8 

135.  Skin  Diseases  

49 

7 
50 
3 

CLASS    V.—  WOUNDS,   ACCIDENTS,   AND 
INJURIES. 

ORDER  I.—  Wounds,  Accidents,  and  Injuries. 
136.  Burns  

137.  Contusions  

138.  Concussion  of  Brain  

139.  Drowning  

3 

140.  Sprains  

7 
4 
10 

6 
3 
18 

4 
5 

7 

18 
10 
9 

35 
13 
13 
1 

88 
I9 

141.  Dislocation  

142.  Simple  Fractures  

143.  Compound  Fractures  

144.  Gunshot  Wounds  

45             1 

oo 

130 
10 
41 
1 

8 

78 
10 
13 
11 
1 
1 

9 

90 
34 
31 
4 
1 
2 

8 

3 

143.  Incised  Wounds  

146.  Lacerated  Wounds  

57 

24 

147.  Punctured  Wounds  

3 

6 
15 

1 

6 

2 

3 

2 

7 

148.  Poisoning  

1 

1 

149.  Other  Accidents  and  Injuries  

2 

150.  ORDER  II.—  Homicide  

151.  ORDER  III.—  Suicide  

1 

o 

152.  ORDER  IV.—  Execution  of  Sentence  

Total  

4,  350          30 

4,  085 

51 

7,026 

59 

13,506 

165 

10,  392 

180 

DURING    THE    YEAR    ENDING    JUNE    30,  1863. 


263 


TABLE  XLL— DEPARTMENT  OF  THE  MISSOURI— Concluded. 


1863. 

1803. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUKE. 

TOTAL. 

52,  9C1. 

42  922. 

43,  0:)0. 

32,  864. 

31,  030. 

37,  608. 

29,  078. 

36,  226. 

Cases. 

Deaths. 

Cases. 

Deaths 

Cases. 

Deaths. 

Cases.  ;  Deaths. 

Cases. 

Deaths  . 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

104 
105 
106 
107 
108 
109 
110 
111 
112 
113 

114 

115 
116 
117 
118 
119 
120 
121 
122 
123 

124 
125 
126 

127 
128 
129 
130 

131 
132 
133 
134 
135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
145 
147 
148 
149 

150 
151 

152 

8,666 

5 
72 
17 
15 
9 
85 
55 

G9 

7 

1 
2 
1 
1 
6 
25 
5 
1 

e 

177 

6,708 

3 

108 
9 
13 
o 

2L 
28 
1C4 
91 
19 

8 
1 
4 
3 
13 
30 
5 
3 
1 
4 

4 
6 
4 

159 

7,  254 

3 

78 
26 
17 
1 
7 
22 
150 
92 

142 

5,212 

5 
47 
12 
9 
1 
19 
20 
72 
77 
16 

14 

143 

4,191 

97 

4,401 

4 
55 
3 

14 
1 
9 
28 

69 

4,  645 

23 

75,  647 

33 

681 
182 
139 
19 
304 
363 
1,985 
813 
241 

CO 
17 
26 
9 
84 
226 
45 
24 
29 
91 

31 
11 
35 
3 

37 
17 

683 
613 
134 
192 

392 

110 

585 
29 

1,  238 

1 
1 
1 

54 
11 
11 

34 
8 
13 
2 
3 
15 

1 

6 
11 
5 
2 
4 
5 
1 
1 

1 

1 
1 

1 

0 

1 

1 

1 
1 

3 

2 

1 

19 
21 
19 
53 

1 
1 

1 

1 

o 

33 

61 
25 

6 

10 
50 
11 

5 
2 

1 

1 

9 

9 
3 
3 

8 
o 

1 

0 

5 
1 
7 
17 
2 
o 

o 

i 

1 

9 
23 

9 
14 
1 
6 

7 

10 
8 
4 
o 

4 
15 
1 

1 

7 
6 
3 
3 

7 
o 

1 

2 

3 

1 

1 
1 
3 

2 
5 

1 

4 
1 

1 



o 

1 
3 

7 

1 

9 
1 
3 
3 
5 

26 

3 

o 

7 
2 
4 

46 
61 
2 
14 
31 

15 
39 
1 

o 

4 
3 

1 
1 

6 
1 

46 

57 
8 
20 
60 

10 

28 

3 

85 
54 
9 
12 
35 

11 
63 
3 

1 

38 
54 
7 
23 
30 

23 

2 

46 
4° 

32 

86 
6 
10 
oo 

1 

6 

96 
3 
17 
17 

9 

82 

4 

26 

14 

1 

1 
1 

8 
67 
1 

o 

1 
11 

55 

1 

1 

1 

1 

1 

1 

5 

1 

1 

35 

28 
9 

1,044 
13 
44 
12 
1 
G 

52 

47 
7 
6 
2 
41 
24 

56 
7 
8 

43 
9 
9 

1 
59 
4 
8 
6 
1 
o 

73 
7 
7 
1 
66 
14 
11 
4 
1 
6 

43 
8 
9 
1 
54 
6 
16 
7 
5 

419 
104 
110 
11 
1,813 
182 
313 
63 
19 
89 

3 

5 

1 

1 
1 
1 

220 

1 

3 

95 
17 
26 
2 

1 

18 

85 

52 

8 

23 
16 
9 
5 
1 
7 

4 

15 

9 

3 

33 

5 

3 

1 

7 
9 
1 
10 

2 
4 

1° 

26 

1 

2 

1 
1 

4 

1 

3 

1 

1 

;  10,777  ;      273 

7,  703         224 

8,148 

159 

5,  903         159 

4,787 

119 

5,144 

98 

5,214 

38           67,035     1,555 

264 


SICKNESS   AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  XLII. 


Abstract  of  Mortality  in  the 


YEAR  

1863. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

9,586. 

8,  988. 

9,  482. 

16,  763. 

1«,  675. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS    1.—  ZYMOTIC    DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

124 
10 

7 

82 

JOO 

226 
7 
20 

308 
12 

T3Ti°  r   - 

10 
4 

10 
7 

-     3  r 

•    •  ^  °    a  a 

'     °  °™ 

14 

17 
14 
14 
2 
12 

23 

28 

33 
]7 
3 

t,mi    en     ' 

2 
9 

3 
9 
4 
11 

28 

5 

12 
102 
5 

12 

Ifj 
34 
27G 
21 
44 

o 
<J7 

19 

111 
17 
11 

1 

3:i 

'      CU  S. 

88 
22 

242 

'        ""'I"1!-, 

47 

78 

'       *"  6.     n          t 

'         '''""I     >S            J 

6 
6 

1 
2 
4 

1 

36 

1 

2 

5 

1 

28 

1 

1 

38 

3 

o 
35 

14 

14 

ORDER  II.  —  Enthctis  Diseases. 
22    Syphilis                     

24    Orchitis                   

27    Serpent  Bite                     

28.  Other  Diseases  of  this  Order  

ORDER  III.  —  Dietic  Diseases. 

1 

1 

4 

2 

1 

4 

34.  Other  Diseases  of  this  Order  

CLASS    II.—  CONSTITUTION  AL    DISEASES. 
ORDER  I.  —  Diathetic  Diseases. 
35.  Gout  

36    Acute  Rheumatism  

1 
2 

3 
1 

1 
6 

37.  Chronic  Rheumatism  

1 

0 

1 

1 
3 

53 

42    Other  Diseases  of  this  Order  

2 

31 
1 

1 

09 

4 

25 

3 

87 

ORDER  II.  —  Tubercular  Diseases. 

1 

45.  Other  Diseases  of  this  Order  

CLASS    III.  —  PARASITIC    DISEASES. 
46    itch  

48    Other  Intestinal  Worms  

nr>3 

370 

400 

849 

1,043 

DURING   THE    YEAR   ENDING    JUNE    30,  1863. 


265 


TABLE  XLII. 

General  Hospitals  of  the  Central  Region. 


1862. 

1863. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

Al'HIL. 

MAY. 

JUNE. 

TOTAL. 

17,  662. 

22,  844. 

21,  737. 

22  908. 

20,  110. 

20,  179. 

25,  695. 

17,  886. 

Cases. 

)eaths. 

Cases. 

Deaths. 

Cases. 

Jeaths. 

}ases. 

Deaths. 

Cases. 

Jeaths. 

Cases. 

icaths. 

Cases. 

ieaths. 

Cases.      Deaths. 

1 

3 

4 
5 
6 

7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 

22 
2c 
24 
25 
26 
27 
28 

21 
30 
31 
32 
33 
34 

°85 

264 
4 
5 

326 
15 
21 

345 
17 
43 

290 
3 
39 

152 

157 

2.G81 
105 
217 

5 
5 

o 

4 
33 

21 

36 
6 
13 
13 
14 
29 
269 
14 
23 
53 
11 
263 

31 
5 
2 

°1 

38 
1 
2 

21 
4 
2 

20 

1 
1 

20 

302 
57 
63 
19 
153 
317 
3,640 
195 
3G9 
410 
356 
643 
4 
56 
8 
7 
257 

13 
5 
2 

3 
6 

1 
2 

9 
23 

14 
19 
409 
14 
35 
71 
63 
38 
3 
8 
4 
1 
4 

14 
8'J 
541 
4 
65 
63 
102 

15 
20 
486 
9 
19 
58 
64 
14 
1 
8 

12 
6 
373 
9 
14 
35 
59 

17 
11 
423 
18 
23 
18 
10 

3°0 

15 

23 

78 
37 
129 

59 

2 

7 

6 
1 

8 
1 
1 
62 

1 

4 
1 

7 
1 

1 
13 

1 

5 

3 
3 

1 

23 
1 

19 

2 
1 

2 

1 

1 

1 

2 

8 
1 
4 

14 
8 
32 
1 
2 
1 

1 
2 

1 

4 

1 

1 

4 

3 

5 
1 

2 

1 

1 

1 

35 
36 
37 
38 
39 
40 
4 
4 

4 
4 
4 

4 
4 
4 
4 

3 

1 
5 

2 
8 
5 

4 

4 

1 
6 
3 
4 

1 

3 

1 
1 

17 
1 

24 
26 

59 
8 
3 
1 
46 

950 
8 
4 

3 
5 

o 

5 
1 

11 
1 

1 

1 

3 

106 

7 
116 

5 

127 
2 
2 

9 

148 
2 

3 

90 

6 

77 

61 

2 





1 

1 

1,111 



1,227 

1,625 

1,197 

636 

842 

11,054 

34 


266 


SICKNESS   AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  XLII.— GENERAL  HOSPITALS  OF  THE  CENTRAL  REGION— Continued. 


YEAU  

1862. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

9  ,  586. 

8,  988. 

9,  482. 

16,  763. 

18,  675. 

UNDER  TREATMENT   A 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Jascs. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

358 

1 
3 

370 

400 

849 

3 
1 

1,043 

CLASS    IV.  —  LOCAL    DISEASES. 

ORDER  I.  —  Diseases  of  Nervous  System. 

o 

2 

1 
1 

4 

1 
4 

5 

4 

12 
4 
2 

2 

1 

2 

1 
2 

1 
1 
1 

o 

1 

1 

1 

4 

8 

ORDER  II.  —  Diseases  of  Eye. 

OKDEB  HI.—  incases  of  Ear. 

'     ' 

OKDEK  IV.  —  Diseases  of  Organs  of  Circulation. 

'      "               .             f  11      t 

3 

2 
3 

7-'  1  'fl'1'^  °tion  of  Pericardium 

1 

2 

| 

1 
3 

'         d                    „                  ,. 

4 

~S    li          mation  of  Veins 

1 

i 

..    t  :  .... 

82   Other  Diseases  of  this  Order       

1 

1 

4 

1 
1 

1 

3 

1 
5 
3 
4 

OKDEU  V.  —  Diseases  of  Respiratory  Organs. 

1 
1 
3 

1 

Ofi    Dropsy  of  Chest 

1 

87.  Haemorrhage  from  Nose  

1 

88.  Inflammation  of  Larynx  

1 

17 

1 
46 
5 
2 
3 

4 

2i36 
7 
1 
50 

17 

00 

1 
1 
1 

91.  Haemorrhage  from  Luniys  

92.  Other  Diseases  of  this  Order  

2 

1 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
93.  Colic  

94.  Constipation  

) 

i 

93.  Cholera  Morbus  

1 

1 

3 

1 
1 

2 

2 

96.  Cirrhosis  of  Livor  

97.  Dropsv  from  Hepatic  Disease  

5 

2 

1 

4 

98.  Dyspepsia  

99.  Diseases  of  Pancreas  

100.  Diseases  of  Spleen  

] 

!  

101.  Fiatulain  Ano  

102.  Hernia  

i 

1 

j 

103.  Haemorrhage  from  Stomach  

Carried  forward  

400 

408 

475 

937 

1,  391 

DURING    THE    YEAR    ENDING    JUNE   30,  1863. 


267 


TABLE  XLI1.— GENERAL  HOSPITALS  OF  THE  CENTRAL  REGION— Continued. 


186^2. 

1863. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE.                    TOTAL. 

17,  6C2. 

22,  844. 

21,  737. 

23,  908. 

20,  110. 

20,  179. 

25,  695. 

17,886. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 
61 

62 
63 
6-1 
65 

66 
67 

68 
69 
70 
71 
72 

73 
74 
75 

76 

77 
78 
79 
80 

M 
82 

83 
84 
85 
86 
87 
88 
89 
9C 
91 
92 

93 
94 

95 
96 
97 
98 
99 
100 
101 
102 
103 

1,184 

1 

1 

1,111 

2 
3 

1,227 

1,625 

1 
5 

1,  197 

4 
4 

636 
2 

842 

11,  064 
23 

3 

4 

1 

3 

1 
11 
9 
o 

1 

18 
4 
2 

2 
9 
10 
1 

6 
96 
53 
15 
1 

—3 
6 
27 

3 

'    7 

9 
o 

14 
4 

6 
5 

5 

1 

1 
3 

2 
1 
2 
2 

1 

5 

4 

1 

3 

3 

3 

3 

2 

" 

1 



1 

1 

1 
3 
o 

1 
3 
3 

3 
36 
20 
10 
21 
15 
1 

7 
1 
2 
1 
3 

3 
2 

4 
3 

1 
3 

1 

11 
3 
2 
3 

3 

1 
4 

1 

4 

1 

5 
3 

2 

1 
15 

3 

1 
14 
7 
3 

2 

5 

9 
15 

1 

0 

5 

24 

10 
81 
89 
16 
o 

29 
1,900 
72 
36 
86 

1 

10 
1 
29 
4 

21 

10 
1C 

5 
4 
1 

14 

22 

6 

2 

1 
4 
220 

6 

274 
9 
2 
15 

3 

308 
5 
2 

3 
°75 

6 
3°4 

1 
103 
4 
3 
o 

C8 
3 

26 

9 
3 
4 

3 

2 
4 

3 

1 

1 

1 

1 

1 

1 

3 

4 
4 

0 

o 

1 

2 

1 

6 

1 
2 

9 
o 

5 
3 

1 

1 
o 

1 
1 

'  

1  557 

1  502 

1,635 

2,065 

1,515 

998 

958 

13,841 

1 

268 


SICKNESS    AND    MORTALITY    OF   WHITE   TROOPS 


TABLE  XLIL— GENERAL  HOSPITALS  OF  THE  CENTRAL  REGION— Concluded. 


YEAH  

186^. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

9,  586. 

8,  988. 

9,  482. 

16,  763. 

18,  675. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases- 

Deaths. 

400 

408 

475 

937 
1 

1,391 

1 

2 
4 

7 
4 
7 
1 
3 
o 

11 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

1 
1 
2 

1 

1 

1 
3 
3 

3 
9 
4 
o 

0 

1 

4 

1 

1 

2 

2 

1 
8 
1 

2 

1 

4 

3 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

1 

2 

] 

1 

o 

1 

1 

122   Hydrocele                   

123    Other  Diseases  of  this  Order        

ORDEK  VIII.  —  Diseases  of  Bones  and  Joints. 

125.  Caries     

128.  Inflammation  of  Periosteum  

129.  Necrosis  

130.  Other  Diseases  of  this  Order  

1 
1 

ORDEIJ  IX.—  Diseases  of  Integumentary  System. 
131.  Abscess  

2 

2 

1 

132.  Boils  

133.  Carbuncle  

134.  Whitlow  

135.  Skin  Diseases  

i 

o 

CLASS    V.—  WOUNDS,   ACCIDENTS,   AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
136.  Burns  

1 
1 

137.  Contusions  

2 

1 
2 

138.  Concussion  of  Brain  

3 

139.  Drowning  

1 

140.  Sprains  

141.  Dislocation  

142.  Simple  Fractures  

1 
1 
41 

143.  Compound  Fractures  

3 

42 

144.  Gunshot  Wounds  

19 

37 

38 

145.  Incised  Wounds  

1 

146.  Lacerated  Wounds  

1 
1 

2 

2 
3 

147.  Punctured  Wounds  

1 

148.  Poisoning  

149.  Other  Accidents  and  Injuries  

o 

2 

3 
1 

150.  ORDER  II.—  Homicide  

151.  ORDER  III.  —  Suicide  

1 

152.  ORDER  IV.—  Execution  of  Sentence  

Total  

437 

462 

537 

1  022 

1,492 

DURING   THE    YEAR   ENDING   JUNE    30,  1863. 


269 


TABLE  XLIL— GENERAL  HOSPITALS  OF  THE  CENTRAL  REGION— Concluded. 


1863. 

1803. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

17,  6C2. 

22,  844. 

21,737. 

22,908. 

20,110. 

20,  179. 

25,  695. 

17,  886. 

104 
105 
IOC 
107 
108 
109 
110 
111 
112 
113 

114 
115 
116 
117 
118 
119 
120 
121 
122 
123 

124 
125 
126 
187 

128 
129 
130 

131 
132 
133 
134 
135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
140 
147 
148 
149 

150 
151 
152 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1,557 

1 
1 
6 
8 
7 
1 
3 
14 

1,502 

1,635 

2,065 

1,515 

998 

958 

4 
1 

13,  841 

10 
14 
50 
67 
39 
29 
32 
56 
6 
47 

3 

6 
15 

1 

1 

8 
5 

2 
1 
13 
12 

4 
4 

8 
1 
3 

7 
7 

1 
5 
4 

5 
3 
3 
6 

4 
5 
2 

4 

7 
3 
7 
6 
1 

5 
3 

5 

4 

3 

5 

2 
14 

1 

4 

4 

4 

1 
1 

1 
2 
3 

1 
1 

2 
1 

1 
1 

2 

4 

2 
2 

2 
23 
5 

3 

3 

1 

5 

1 

4 

1 

1 

1 

1 

1 

2 

^ 

1 

1 
3 
1 
2 
1 
1 

23 

1 

1 

1 

1 

2 

1 

3 

1 

4 

o 

6 

1 

1 

1 

1 

4 

5 

8 
16 
6 

2 

o 

1 
1 

1 
3 

o 

4 
1 

1 

1 
2 

1 

0 



1 

1 

4 

182 

2 

7 
88 

1 
2 

66 

1 

o 

7 
37 
1,419 
4 
9 
7 
1 
23 
o 

4 

17 
390 

1 

82 

25 

409 

1 

2 
1 
1 
1 

1 

1 
o 

1 

1 

4 

3 

3 

4 
1 
1 

o 

1,644 

1,954 

3,878 

2,237 

1,621 



1,124 



1,424 

•  15,  832 

270 


SICKNESS   AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  XLIII. 

Abstract  of  the  Sickness  and  Mortality 


YEAR  

1869. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

183,  580.                  1G9,  038. 

213,  107. 

311,  780. 

330,  950. 

LIST  OF  DISEASES. 

Cases. 

Deaths.  :  Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

CLASS   1.—  ZYMOTIC   DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

842 
27 

877 

405 
22 
26 

735 
35 

7GJ 

214 
25 
12 

723 

18 
679 

262 
20 
11 

1,329 
39 
1,011 

405 
11 
41 

1,500 

31 

750 

600 

3,491 
2,930 
2,369 
442 
191 
10,  186 
2,408 
1,671 
237 
178 
21 
143 
1 

51 

1 
4 

3,008 
3,250 
2,  G17 
255 
101 
7,979 
1,699 
1,408 
259 
139 
15 
38 
1 

48 
20 
14 
2 
35 
39 
209 
51 
40 
5 
4 
1 

3,920 
5,857 
5,186 
705 
246 
12,  705 
2,099 
3,511 
391 
175 
17 
120 

61 
4 
11 
2 

68 
65 
200 
104 
71 
5 
5 
.4 

5,070 
9,  649 
8,365 
760 
324 
17,  364 
2,524 
5,682 
761 
199 
16 
1,252 
1 
35 
662 
2,665 
1,830 

532 
1,210 

74 
10 
9 
4 
83 
72 
333 
117 
138 
7 
1 
47 

4,183 
7,551 
6,  715 
739 
232 
15,  004 
2,952 
3,585 
567 
320 
26 
2  912 
11 
135 
1,559 
5,  108 
1,548 

636 
1,266 
217 
38 
33 

87 
24 
9 
o 

84 
53 
411 
57 
98 
29 
9 
154 
1 
15 

56 
54 
223 
30 
21 
9 
10 
2 

1 

5 
3 
1 
114 

5 

291 
42 

93 

40 
1,771 

269 

157 

208 
2,016 

460 
799 

4 

88 

2 

61 
4 

2,100 
240 

67 

52 

OKI)  Ell  II.  —  Enthetic  Diseases. 
22    Syphilis 

447 
101 
15 

442 

24.  Orchitis 

80 
8 

100 
13 

135 
°9 

25.  Stricture  of  the  Urethra  

00 

27.  Serpent  Bite 

4 

10 

347 

4 

4 

198 

1 
4 

249 

1 
19 

105 
2 
35 
5° 

28.  Other  Diseases  of  this  Order     

15 

84 
4 
38 
41 
9 
48 

9 

1,997 
2,187 
395 
180 
11 
17 
93 

309 
62 

ORDER  III.  —  Dietic  Diseases. 
29.  Scurry  

2 

o 

2 

3 

1 

30.  Furpura  

31.  Delirium  Tremens  

22 
32 

8 
1 

28 
42 

3 

25 
5 

5 

3 

7 
1 

32.  Inebriation  

33.  Chronic  Alcoholism  

1 

8 

3 
1,  570 
1,611 

237 
207 
8 
22 
135 

227 
52 

34.  Other  Diseases  of  this  Order  

4 

2 

CLASS    II.—  CONSTITUTIONAL   DISEASES. 

ORDER  l.—Diathetic  Diseases. 
35.  Gout  

9 

774 
1,057 
125 
197 
1 
41 
80 

157 
54 

05 

36.  Acute  Rheumatism  

2 
3 
5 
5 

552 
623 
74 
151 

2 

2 

2 
3 

929 
934 
152 
169 
3 
16 
76 

168 
36 

5 
1 

1 
1 

1 

7 
1 
12 
5 

37.  Chronic  Rheumatism  

38.  Anaemia  

3 

5 

39.  General  Dropsy  

40.  Cancer  

41.  Tumors  

8 
56 

143 
41 

1 

3 

75 
1 
3 

42.  Other  Diseases  of  this  Order  

3 

46 
1 

4 

47 

4 

40 
1 

3 

106 
1 

ORDER  II.  —  Tubercular  Diseases. 
43.  Consumption  

44.  Scrofula  

45.  Other  Diseases  of  this  Order.  .   .  . 

CLASS   III.  —  PARASITIC    DISEASES. 
46.  Itch  

55 

128 
3 
05 

47.  Tape-worm  

48.  Other  Intestinal  Worms  

15 

12 

10 

49.  Other  Diseases  of  this  Order  

2 

Carried  forward  

1,057 

32,  175 

27,  026 

866 

42,  886 

1,050 

65,  851 

1,578 

63,  273 

1,896 

DURING   THE    YEAR   ENDING   JUNE   30,  1863. 


271 


TABLE  XLIII. 

of  the  Central  Region. 


18G2. 

1803- 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUKE. 

TOTAL. 

353,  713. 

372,  898. 

376,  676. 

382,  583. 

386,  934. 

381,  534. 

363,  444. 

318,  8o3. 

Cases. 

deaths. 

Cases. 

Deaths. 

Cases. 

ieaths. 

Cases. 

Deaths. 

Cases.  .Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.      Deaths. 

1 

3 

4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 

22 
23 
24 
25 

26 
27 
28 

30 
31 
32 
33 
34 

35 
3f 
37 
38 
39 
40 
41 
42 

4 
4 
4 

4 
4 
4 
40 

1,574 
62 

657 

594 
30 

24  ', 

1,751 
38 
1,061 

C43 
10 
54 

1,817 
48 
1,461 

804 
34 
111 

1,  737 
86 
1,272 

722 
37 
118 

1,318 
24 
1,025 

594 
13 
104 

885 
43 
789 

354 
19 
74 

652 
15 

742 

312 
7 
64 

14,  863 

466 
11,  087 

5,  939 
250 

667 

3,662 
5,956 
5,361 
487 
179 
15,  372 
2,  790 
2,791 
361 
461 
134 
2,854 
8 
134 
2  222 
5,080 
1,540 

786 
1,175 
200 
35 
50 

73 
6 
16 
13 

78 
56 
408 
30 
58 
92 

401 
1 
16 

4,160 
5,451 
4,074 
605 
299 
23,  268 
4,367 
3,158 
590 
615 
357 
2,185 
11 
218 
1,776 
4,354 
1,186 

740 
1,110 

167 
19 
92 

67 
8 
5 

4,205 
4,870 
4,305 
685 
260 
19,277 
3,627 
3,268 
489 
525 
353 
1,299 
8 
241 
1,469 
4,  290 
1,093 

623 
909 
149 
40 
91 
1 
18 

396 
10 
42 
49 
7 
4 

r 

83 
9 
13 
4 

76 
98 
626 
53 
67 
152 
120 
157 
5 
19 
6 
4 
82 

4,450 
5,740 
4,564 
602 
256 
21,  915 
4,047 
3,123 
458 
557 
413 
754 
25 
229 
],091 
3,737 
749 

699 
1,085 
144 
36 
129 

77 
12 
4 
3 
64 
102 
777 
39 
92 
98 
148 
103 
1 
18 
2 
3 
72 

2 

4,213 
5,454 
4,693 
596 
328 
20,  014 
3,535 
2,979 
272 
609 
374 
381 
15 
154 
808 
2,459 
696 

588 
1,012 

77 
8 
4 

4,650 
5,442 
4,  997 
489 
188 
19,  474 
3,164 
4,508 
316 
437 
215 
264 
8 
126 
525 
1,210 
629 

570 
985 
129 
18 
150 
3 
17 

508 
35 
36 
50 
°4 

56 
2 
1 
2 
43 
35 
605 
51 
51 
60 
91 
13 

5,401 
8,478 
6,661 
629 
231 
21,  988 
3,245 
5,604 
506 
426 
95 
97 
1 
75 
209 
693 
268 

566 
1,010 
104 
21 

66 
7 
6 

50,473 
70,  628 
59,  907 
7,194 
2,835 
204,  546 
36,  457 
41,288 
5,207 
4,641 
2,036 
12,299 
90 
1,347 
10,  862 
30,  486 
15,426 

6,709 
11,450 
1,  698 
302 
875 
17 
197 

3,922 
214 

398 
579 
121 
292 

81 
19,  787 
19,  171 
4,890 
1,  651 
55 
296 
957 

3,125 
1,121 

94 

3,801 
51 
342 
50 

820 
111 
96 
32 
779 
732 
5,534 
696 
788 
735 
619 
1,203 
11 
138 
15 
17 
646 

20 
6 
3 

63 
82 
457 
55 
56 
149 
70 
294 

58 
41 
677 
33 
36 
94 
104 
26 
3 
19 

71 
35 
608 
76 
60 
35 
29 
1 

21 
2 
1 
11 

4 
4 
1 

12 
1 
1 
20 

12 
1 

2  j 
1 

1 
46 

1 

31 

1 

2 

1 

172 
30 

1 

125 

183 
3 
19 

529 
10 
28 
67 
14 
38 

4 

1,164 

947 
525 
59 
2 

31 
25 

181 
84 

0 

115 
9 
26 
91 
13 
25 

8 
2,403 
2,157 
444 
156 
3 
26 
106 

253 
85 
5 

343 
1 
33 

11 

89 
17 
26 
41 
10 

5 

2,455 
2,379 
573 
114 
0 
24 
144 

338 
125 
9 

647 
7 
34 
11 

56 

og 

o 

6 
2 
6 

3 

4 
5 
1 
2 

532 
52 

48 
44 
22 
8 

8 
2,296 
2,243 
818 
168 
7 
37 

6 
4 

7 
3 

1 

770 
75 
44 
65 
21 
59 

2 
1,839 
1,634 
543 
92 
8 
37 
58 

336 

159 
10 

488 

11 
5 

8 
1 

5 
3 
6 
2 

10 
2 
5 

o 

1 

53 
20 
68 
11 
5 
3 

5 

1 

I 

66 

3 

1,428 
1,126 
505 
49 
o 

15 
13 

97 
4 

457 
6 
39 
5 

6 
4 
11 

7 
1 

4 
10 
19 
5 
1 

2,380 
2,273 
499 
109 
4 
oo 

14 
7 
10 

8 
3 
14 
3 

6 
7 
9 
4 

4 
1 
17 
1 

1 
2 

18 
2 

60 
41 
122 
41 
5 
1 
66 

1,373 
19 
10 

2 
139 

9 

156 
3 

102 

355 
129 
25 

612 

18 

194 
o 

4 

69 

433 
197 
39 

568 

10 

223 
3 
1 

141 

f 

1 

6 

117 
1 

89 
4 

1 

503 
8 
30 
4 

1 

1L 
44 
]1 

8 

3° 

35 

1 

2 

15    

60,835       2,152  ,    68,949 

2,279 

62,  485 

2,788 

65,  609 

2,  780     58,  194 

2,124 

54,924 

1,656 

62,177 

1,529 

664,  384 

21,  755 
.        ... 

"272 


SICKNESS   AND    MORTALITY    OF    WHITE   TROOPS 


TABLE  XLIII.— CENTRAL  REGION— Continued. 


YBAIi  

1869. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

r  67  xz/7) 

183,  580. 

169,  038. 

213,  107. 

311,  780. 

330,  950. 

MEAN  oIHEXilU,  (                         J                        y 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 
866 

3 
3 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

32,  175 

20 
62 
503 
47 
13 
7 

1,057 

15 

8 

27,  026 

8 
43 
30] 
18 
2 

3 

42,  886 

13 
63 

348 
28 
12 

1,050 

6 

5 

65,  851 

17 
110 
336 
32 
14 
13 
65 
60 
701 
64 
18 
55 

13 
5 
1,314 

1,578 
13 

63,  273 

18 
115 
608 
31 

1,896 
15 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.  —  Diseases  of  Nervous  System. 

11 

•     1      1  J 

1 
17 
3 

1 

3 

5 

1 

5 
5 
1 

17 

32 
9 

157 
96 
949 
51 

114 

18 
18 
1,316 

31 
7 
2 
1 
1 
7 
] 
15 

.    n  amn         no. 

55 
472 

81 
390 

1 

43 

522 

49 
132 
102 

15 
9 
671 
7 
41 
22 

164 
113 
14 

78 
8 

6 

8 
3 

29 
53 

77 

9 
6 
644 
14 
21 
19 

97 
74 
15 

2 
4 
6 

23 
39 

89 

12 

2 
3 

5 
6 

9 

ORDER  II.  —  Diseases  of  Eye. 

10 

827 

17 
41 
60 

149 
75 
9 
54 

14 
21 
70 

206 

16 
18 
61 

260 
94 

ORDEK  III.  —  Diseases  of  Ear. 

77 
29 
9° 

go 

109 
8 

8 
3 

8 

8 

2 
5 

ORDER  IV.—  Diseases  of  Organs  of  Circulation. 

TV                      f  TI 

1 

5 

12 
4 
1 
15 
9 
o 

136 

182 

3 
3 
1 
6 
4 

-r    r>    P  ^     f  i>    •      ,r 

13 
17 
3 
46 
126 

7 
1 

17 
7 
3 
23 

3 

10 
3 
1 
47 
102 

4 

1 

18 
4 
5 
125 
167 
50 

134 
1,412 
236 
5 
69 
205 
816 
351 
95 
371 

1,406 
1,583 
512 

32 
424 

4 

7 

1 

V     '            V    ' 

v    •    S 

107 
25 

71 
1,266 
106 
10 
20 
21 
211 
116 
28 
51 

665 
1  024 

46 

75 
1,434 
147 
4 

20 

9 

3 
1 
1 
2 

4 
2 

15 

85 
1,3]7 
150 
8 
30 
47 
309 
178 
60 
111 

990 
1  2')9 

9 

1 
2 
1 
1 
1 
2 
31 

1 

6 

1 

"' 

49 

186 
2  722 
380 
47 
39 

9 

1 
12 

8 
6 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 

2 
1 
3 

2 

86    Dropsy  of  Chest                         

39 
318 
213 
40 
41 

871 
1  297 

1 
66 
1 

1 
35 
1 

7 
91 
6 
3 

8 

1 

254 
1,823 
531 
106 

988 

1,  065 
1  624 

6 
418 
11 
2 

56 

f 

89.  Inflammation  of  Lungs  

8 
1 

5 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
93    Colic          

623 

10 

479 

6 

528 

8 

4 
1 

385 
6 
83 
509 

4 

41 

366 

5 

31 

252 

3 

22 
291 

1 

4 

68 
24 
280 
18 

31 

68 
33 
331 
19 

1 

118 
20 

ir>o 

49 

102   Hernia                              

235 
3 

2 

459 
18 

1 

508 
10 

1 

40,  955 

1,230 

33,  MH 

958 

51,  394 

1  157 

77,  838 

1,782 

79,  262 

2,535 

1 

DURING   THE    YEAR   ENDING   JUNE    30,  1863. 


273 


TABLE  XLIIL— CENTRAL  REGION— Continued. 


18C3. 

1863. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

353,  713. 

372,  898. 

376,  676. 

382,  583. 

386,  934. 

381,  534. 

363,  444. 

313,  853. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

50 
51 

53 
54 
55 
56 
57 
58 
59 
60 
61 

62 
63 
64 
65 
66 
C7 

68 
69 
70 

71 

73 

74 
75 
76 
77 
78 
79 
80 
81 
82 

83 

84 
85 
86 
87 
88 
89 
90 
91 
90 

93 
94 
95 
96 
97 
98 
99 
100 
101 
102 
103 

60,  835 

28 
111 
928 
30 
24 
26 
94 
140 
1,086 
52 

2,152 

14 

1 
15 
20 

i 
i 

68,  949 

17 
125 
1,022 
45 
32 
20 
100 
173 
1,122 

2,279 

6 

1 
38 
19 
8 
2 

62,  485 

26 
154 
1,047 
34 
29 
36 
84 
207 
1,143 
64 
3 
172 

26 
10 
1,309 
46 
17 
73 

407 
115 

2,788 

20 
11 

65,  609 

31 
140 
1,115 
62 
51 
24 
96 
125 
1,212 
75 
2 
210 

28 
oo 

2,780 

20 

7 

58,  194 

23 
123 
1,192 

2,124 

14 
9 

54,924 

17 
104 
1,037 
40 
20 
5 
27 
107 
935 
41 
146 
66 

26 
10 
1,670 
°4 

1,656 

10 
2 

62,  177 

14 

74 
1,197 
27 
15 
7 
33 

1,529 

12. 
2 

664,  384 

232 
1,224 
9  634 

21,  755 

154 
61 

g 
42 

28 
7 
o 

2 
9 

2 

48 
18 
6 

29 

9 
58 
124 
1,060 
56 
29 
110 

29 
58 
1,548 
31 
72 
81 

320 

84 
40 
117 
5 

8 
69 
26 
5 

27 
21 
7 
157 
142 

2 
35 

15 
2 

1 

18 
8 

423 
276 
171 
720 
1,297 
10,411 
617 
557 
1,423 

241 

12 
298 
139 
29 
7 
6 
56 
33 
73 

29 
9 

86 
819 
30 
133 
171 

20 

1 
9 

2 
3 

8 

4 

2 

83 

9 

3 
1 
3 

3 
3 
3 

76 

18 
14 
1,379 
41 
5 
47 

303 
121 
23 
187 
11 

1 
32 
1 

6 

181 
27 

n 

4 

6 

26 
1,314 
29 

200 

1,575 
46 
45 
68 

357 
75 
56 
167 
9 

10 
87 
21 
24 
26 
11 
18 
163 
149 
37 

192 
2,  947 
790 
16 
47 
565 
2,133 
747 
172 
1,076 

1,018 
1,869 
249 
5 
142 
641 
12 
41 
58 
4(i3 
44 

1,531 

18 
98 
51 

235 
43 
14 
70 
5 

5 

43 
10 
6 
24 
14 
2 
108 
95 
26 

68 
1,064 
300 
7 
31 
196 
443 
337 
61 
248 

1,  101  - 
1,884 
554 
5 

78 
500 

15,  098 
303 

469 
680 

3,113 
1,  037 

18 
73 

396 
110 
52 

72 
55 

219 
56 
22 
72 
3 

5 

GO 
10 
2 

23 

18 
7 
i:iG 

39 

174 
10 

5 
77 
16 
11 
37 
17 
7 
135 

325 
1,377 
91 

49 
430 
102 
58 
271 
136 
71 
1,315 
1,643 
485 

1,505 
25,767 
4,879 
133 
498 
3,178 
15,025 
5,480 
1,107 
7,657 

12,  654 
19,380 
4,  814 
67 
876 
5,  POO 
19 
789 
478 
4,  557 
215 

175 

1 

1 

8 

2 
45 

14 
9 
32 
5 
11 
154 
105 

1 
9 

1 
2 

3 

4 

1 
10 
4 
2 
10 
o 

3 
11 
4 
3 
9 
2 

1 
24 
4 
5 
5 
4 

2 
9 
9 
4 
3 

1 
6 
4 
2 
5 

9 
86 
32 
21 
65 
30 
o 

8 
3 
2 

6 
5 

29 
10 
5 
•85 
136 
60 

129 
3,  098 

478 
8 
95 

2,  184 
647 
79 
1,239 

1,270 
1,835 
298 
1 
79 
453 
4 
73 
59 

1 

158 
50 

140 
3,  540 
712 
4 
21 

114 

fcO 

86 
1,231 

309 
5 
45 
314 
828 
411 
99 
350 

1,008 
1,706 
466 
24 

5 

24 
21 

34 

179 
3,286 
727 
(i 
44 
398 
2,025 
6fe3 
154 
1,261 

1,192 
1,792 
301 
7 
79 
612 

4 

1 

26 
.   14 
3 

10 

8 
29 
30 
2 

6 

65 

154 
2,450 
544 
13 
37 
396 
1,540 
558 
115 
776 

967 
1,789 
226 
8 
113 
589 

4 

o 
15 

26 
3 

1 
9 
466 
8 
6 
7 

3 

6 

71 

20 
150 
158 
24 
2 
73 
3,798 
130 
40 
152 

10 
6 
54 
1 
46 
6 

27 
28 
2 

14 
9 
o 

4 
17 

8 
528 
11 
o 
20 

2 

6 
621 
15 
4 
3 

515 
2,  395 

708 
98 
1,145 

1,  101 
1,678 
193 
9 
107 
649 

12 
625 
39 
7 
11 

1 
2 
1 

17 
611 
17 
•      5 

18 

1 

1 
2 

3 

194 
13 
7 
6 

1 

1 
112 
6 

4 

1 

1 
3 

1 

7 

3 

6 

2 

5 

5 

5 

5 

5 

69 
614 
o 

6 

2 

1 

1 

61 
36 

5J3 

32 

70 
47 
454 
30 

7 

49 
44 

17 

1 
3 

32 
41 

294 

°8 

10 
4 
8 
6 

1 
1 
1 

35 

425 
9 

1 

0 

4 

1 

3 

12 

78,  629 

2,  869 

',  87,963 

3,113 

81,  845 

3,744 

81,  973 

3,  672 

74,  708 

2,812 

68,038 

2,006 

74,  388 

1,766 

833,  841 

27,  (i44 

274 


SICKNESS   AND   MORTALITY    OF   WHITE   TROOPS 


TABLE  XLIII.— CENTRAL  REGION— Concluded. 


YEAH  

1862. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

183,  580. 

169,  038. 

213,  107. 

311,  780. 

330,  950. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases,  j  Deaths.' 

Cases.    Deaths. 

Cases. 

Deaths. 

40,  955 

1,230 

33,  848 

958 
2 

51,  394 

1,157 

77,  838 

18 
462 
225 
70 
31 
2^9 
244 
1,  344 
925 
474 

12 
16 
1 
1 
16 
119 
44 
11 

1,782 
1 

79,  262 

15 
810 
214 
101 
31 
252 
S2o 
2,651 
818 
309 

28 
39 
5 
16 
57 

2,535 

1 
3 
6 
15 
7 
10 
o 

6 
3 

14 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

191 

128 
70 
12 
190 
109 
959 
407 
249 

6 
10 

3 
5 

4 
2 
2 
4 
2 

8 

132 
73 
32 
12 
147 
99 
C93 
353 
285 

1 
5 

1 
3 
0 
3 
4 
4 

234 
119 
50 
7 
269 
144 
851 

266 

3 

18 
8 

1 
1 
9 
3 

1nr'  *ujjammd*!° 

7 
15 
11 
3 
1 
10 
3 
4 

107'  n  {mma!°    „  "    .  T 

n     mm    i  " 

1  ,  '    D  amma  ion           .1    c    ae  ^ 

3 

4 
1 
4 

1 

1 

11°    Piles                                      

2 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

J]  '  ^)t.,,e|l 

"•     Tt   •         '     TV 

I 

2 

'        *  * 

1 

102 
32 
9 
12 
107 

8 

77 
24 
28 
20 
87 

6 

1 
1 
1 

73 

6 
11 

129 

o 

1 

149 
53 

4 
1 

1 

1 

27 

1 

167 

14 
4 
15 

99 

16 

6 

30 
1 

18 
29 
40 

668 
383 

OUDEli  VIII.  —  Diseases  of  Bones  and  Joints. 

io~     0      '    ^ 

. 

7 

* 

ination  of  Bon 

4 

5 

17 
11 

565 
23° 

1C 
3 

485 
269 

23 

17 
5 

2 

1 

3 

o 

ORDER  IX.  —  Diseases  of  Integumentary  System. 

6 

1 

529 
288 

4 

875 
414 
163 

74 
257 

92 
329 
17 

2 

13°    Boils 

100 
67 
361 

53 

209 
17 

1 

108 
67 
311 

43 
175 

7 

116 
84 
655 

41 

206 
1C 

117 

128 

134    Whitlow 

1 

o 

1 

1 
3 

2G2 

CLASS   V.  —WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
136.  Burns  

o 
1 
3 

107 
12 

3 
1 

1 
3 

1 

3 
5 

139.  Drowning  

140.  Sprains  

100 

64 
26 

81 
33 

50 

0-7 

308 
63 
81 
o 

395 
147 
190 
55 
20 
106 

141.  Dislocation  

28 
54 

42 

142.  Simple  Fractures  

51 

71 
5 
2,944 
161 
563 
98 
21 

1 

3 

583 
50 
134 

28 

4 
1 

201 

143.  Compound  Fractures  

1 
1,129 
113 
206 
64 
18 
92 

315 

127 

48 

497 
104 
190 
41 

74 

77 

121 

0 

13 
8 

145.  Incised  Wounds  

178 
27 
37 
115 

3 
1 
3 

7 

4 

2 

7 
4 

8 
4 

8 

11 

188 

20 

150.  ORDER  II.  —  Homicide  

101.  ORDER  III.—  Suicide  

2 

0 

3 

132.  ORDER  IV.  —  Execution  of  Sentence  

Total 

46,  157 

1,344 

38,  527 

1,085 

58,  021 

1,354 

88,  930 

2,672 

88,  743 

2,  857 

DURING   THE    YEAR   ENDING   JUNE    30,  1863. 


275 


TABLE  XLIIL— CENTRAL  REGION— Concluded. 


1863. 

1803. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

353,  713. 

372,  898. 

376,  676. 

382,  583. 

386,  934. 

381,  534. 

363,  444. 

318,853. 

104 
105 
106 
107 
108 
109 
110 
111 
112 
113 

114 
115 

116 
117 
118 
119 
120 
121 
122 
123 

124 
125 
126 
127 
128 
129 
130 

131 
132 
133 
134 
135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
146 
147 
148 
149 

150 
151 
152 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

78,  629 

28 
1,116 
270 
108 
62 
314 
270 
1,990 
831 
188 

50 
15 
14 
7 
39 
208 
CO 
45 
07 

110 

17 
6 
51 

2,869 

2 
3 

10 
19 

3 

8 
19 
1 
10 

87,  963 

56 
1,138 
226 
177 
36 
257 
247 
1,613 
1,011 
329 

1  "- 

26 
22 
30 
63 
210 
75 
57 

3,113 

o 
2 

15 

24 
10 

6 

8 

81,  845 

58 
1,  100 
232 
144 
18 
209 
232 
1,334 
1  051 

3,744 

4 

5 
12 
23 
6 
10 
8 
9 

84,  973 

61 
978 
209 
148 
27 
234 
245 
1,313 
1,075 
357 

82 
48 
38 
11 
56 
215 
77 
57 
35 
25 

31 
16 

67 
5 

27 

8 

512 
575 
84 
148 
238 

137 
392 
14 

3,672 

5 
o 

28 
20 
12 
4 
11 
8 
1 
4 

74,  708 

76 
891 
234 
155 
26 
224 
213 
1,030 
988 
291 

49 
29 
41 
6 
49 
231 
53 
60 
16 
26 

23 
10 
76 
5 
42 

2,812 
o 

68,  038 

36 
633 
143 
147 
16 
159 
171 
720 
891 
269 

28 
12 
24 
4 
31 
143 
27 
34 
10 
44 

11 
3 
68 
6 
24 
19 
8 

515 

799 
67 
157 
149 

2,006 

74,388 

61 
392 
183 
137 
34 
138 
143 
651 
908 
149 

42 
19 
18 
3 
25 
156 
33 
41 
17 
26 

7 
3 
55 
3 
24 
11 
t> 

1,766 

12 
1 
13 
19 
11 
4 
1 

0 

4 
15 

1 

833,  841 

409 
8,  077 
2,256 
1,339 
312 
2,622 
2,340 
15,  149 
9,  890 
3,483 

438 
271 
204 
86 
403 
1,942 
567 
431 
273 
1,000 

186 
72 
481 
45 
190 
263 
159 

6,871 
6,221 
1,093 
1,380 

27,  644 

31 

129 
184 
94 
56 
51 
91 
17 
79 

6 
10 
19 
1 
3 
36 
9 
"  1 

2 

16 
5 
6 
5 
6 
1 
3 

1 
1 
4 

17 
11 
10 
8 

6 
1 
6 

5 

1 
1 

o 

317 

65 
34 
33 
8 
66 
259 
67 
60 
28 
83 

26 

4 

2 
3 
6 
1 

1 

2 

o 
1 

1 

1 

1 
3 

7 

5 
1 

8 

5 

1 

1 

1 
1 

42 

1 

97 
25 

1 

1 

2 

6 

13 

59 

11 

45 
16 
28 
25 
18 

464 
531 
72 
119 
292 

116 
336 
3 

1 

1 
3 
1 
3 
4 
1 

47 

1 

1 

1 

1 

4 
23 
19 

699 
512 
71 
98 
252 

98 
380 

18 

3 

o 

30 
21 

22 

6 

586 
560 
56 
128 

4 

1 

8 

468 
668 
76 
163 
232 

r» 

6 

505 
990 
63 
147 

297 

3 

1 

o 

284 

144 
338 
18 

1 

3 
3 
3 

4 

3,590 

1,  153 
4,312 

174 

4 

18 
19 

38 
79 

1 

18 
58 
3,855 
67 
225 
55 
14 
141 

13 

48 
7 

1 

1 
6 

3 

1 
6 
23 

110 
512 
9 

111 
502 
20 

0 

101 
506 
19 

5 
2 
5 
13 

2 
13 

2 
4 
9 

1 
9 

1 
1 
6 

485 
3 
3 
6 
4 
8 

6 
10 
1 

339 

58 
117 
18 
4,935 
178 
454 
74 
18 
329 

395 

344 
41 
50 
6 
376 
149 
137 
53 
24 
131 

464 
34 
64 
13 
429 
177 
103 
47 
35 
140 

477 
44 
79 
13 
790 
182 
103 
61 
8 
113 

562 
38 
94 
48 
7,  898 
184 
109 
158 
39 
94 

426 
27 
64 
47 
2,595 
154 
101 
59 
43 
62 

3,846 
471 
860 
172 
25,  461 
1,863 
2,513 
796 
365 
1,633 

37 
85 
19 
3,  158 
187 
179 
59 
29 
189 

2 

1 

7 
232 
2 
3 

4 
7 
118 
1 
1 

3 
4 
151 
3 
2 

2 
4 

684 

26 
643 
5 
14 
1 
2 
12 

1 
5 

512 
1 
39 
3 
2 
22 

1 
3 
1 

o 

1 

10 

1 
2 
1 

14 

10 
1 
10 
3 

11 
1 
4 

3 
1 

93,  153 

3,564 

100,  422 

li 

3,925 

90,  656 

4,129 

94,  045 

3,974 

83,  711 

3,088 

83,  263 

2,622 

83,  875 

2,598 

949,  503 

33,  212 

SICKNESS,   ETC.,   DURING   THE   YEAR   ENDING   JUNE   30,  18G3.  277 


PACIFIC    REGION. 

The  reports  from  the  Pacific  Region  have  been  consolidated  into  two  tables,  as 
follows : 

1.  The  Department  of  New  Mexico  -     Table  XLIV. 

2.  The  Department  of  the  Pacific  -     Table     XLV. 

To  which  is  added — 

3.  A  consolidated  table  for  the  Pacific  Region  -     Table  XL VI. 

1.  THE  DEPARTMENT  OF  NEW  MEXICO — TABLE  XLIV. 

This  table  embraces  all  reports  received  from  stations  in  New  Mexico  and  Colorado. 
January  14,  1863,  the  district  of  western  Arizona  was  added  to  the  Department  by 
General  Orders  No.  13.  It  has  still,  however,  been  consolidated  with  the  Department 
of  the  Pacific. 

2.  THE  DEPARTMENT  OF  THE  PACIFIC — TABLE  XLV. 

This  table  includes  all  reports  received  from  stations  west  of  the  Rocky  Mountains 
which  are  not  embraced  in  the  Department  of  New  Mexico. 


CONSOLIDATED  TABLE  FOR  THE  UNITED  STATES— TABLE  XLVII. 
This  table  is  prepared  by  consolidating  tables  XXXIII,  XLIII,  and  XL VI 


278 


SICKNESS   AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  XLIV. 

Abstract  of  the  /Sickness  and  Mortality 


YEAR  

18G2. 

MOXTIf  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

4,313. 

3,  856. 

3,  143. 

3,501. 

3,  814. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS    1.—  ZYMOTIC    DISEASES. 

OKDER  I.  —  Miasmatic  Diseases. 

2 

2 
1 
2 

16 

3 

1 

1 
1 
6 

17 

2 

o'  'rJTP>10    v 

10 

5 

1 

4 

5.  Remittent  Fever  

16 
32 

25 
43 
47 
21 

1 

55 
47 
12 

33 

8 
11 

42 
C 

7 

7 

68 
2 
140 

145 

87 
6 
14 

75 
1 
34 
3 

C2 
22 
3 

1 
15 

2 

.   ' 

1 

'  °u  \  ^sr    Jr 

3 
6 

1 
1 
1 

1 

1 
9 

1 
13 

4 

55 
16 

37 
49 
9 

79 
16 

48 
56 
8 

23 

q 

20 

31 
69 
5 

ORDEH  II.  —  Enthetie  Diseases. 
22    Syphilis               

20 

38 
43 

7 

38 
2 

24.  Orchitis                

27.  Serpent  Bito                    

28.  Other  Diseases  of  this  Order  

ORDER  III.  —  Dietic  Diseases. 
29.  Scurvy. 

90 

517 

20 

7 

5 

30.  Purpura  

1 

15 

1 
1 

32.  Inebriation  

1 

2 

5 

33.  Chronic  Alcoholism  

34.  Other  Diseases  of  this  Order  

CLASS    II.—  CONSTITUTIONAL    DISEASES. 
ORDER  I.—Diathetic  Diseases. 
35.  Gout  

47 
14 

40 
14 

53 

37 
21 

31 
21 

37.  Chronic  Kheumatism  

38.  Anaemia  

39.  General  Dropsy  

40.  Cancer  

1 

1 

41.  Tumors  

3 
3 

o 

2 

2 

1 

42.  Other  Diseases  of  this  Order  

1 

1 

1 

ORDEU  II.  —  Tubercular  Diseases. 
43.  Consumption  

4 

1 

44.  Scrofula  

1 

45.  Other  Diseases  of  this  Order  

CLASS    III.  —  PARASITIC    DISEASES. 
46.  Itch  

47.  Tape-worm  

48.  Other  Intestinal  Worms  

1 

3 

| 

1 

1 

1 

49.  Other  Diseases  of  this  Order  

548 

1 

987 

1 

489 

4 

419 

1 

452 

4 

DUKING    THE    YEAR   ENDING    JUNE    30,  18G3. 


279 


TABLE  XLIV. 

of  the  Department  of  New  Mexico. 


1863. 

1863. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

4,  133. 

4,  758. 

4,  567. 

4,  294. 

3,  057. 

3,  244. 

2,  468. 

3,  762. 

1 

3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 

22 

24 
25 
20 

28 

29 
30 
31 
32 
33 
34 

35 
36 

37 

38 
39 
40 
41 
42 

Dases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

2ases. 

Deaths. 

3ases. 

Deaths. 

Uases. 

Deaths. 

3ases. 

Deaths. 

Cases. 

Deaths. 

4 

3 
1 

0 

1 

1 

49 
3 

92 

'5 
1 
1  ' 

26 

6 

4 

7 

7 

15 

14 
11 
6 
4 
2 
57 
12 
9 
4 

4 

1° 

1 
25 

3 
24 

9 
6 
1 

54 
7 
4 
5 

15 

10 
14 
6 

4 
11 
8 
] 
1 
61 
4 
9 

230 
242 
149 
58 
8 
812 
73 
275 
24 

I 

6 
12 

15 

2 

7 

Ifi 

3 
3 
33 
o 

9 

1 

1 

77 
3 
20 

1 
1 

4 
1 

51 
5 
16 

1 

42 

1 

8 
2 

1 

7 
8 
3 

2 

2 
4 

2 

22 
46 
10 

5 

4 

1 

50 
4 
185 
6 

48 
77 
6 
2 

30 

60 
4 
800 
160 

473 
604 
82 
9 

75 
27 

36 
50 
8 
1 

1°8 

90 
9 

63 

44 
10 
1 

82 

78 
2 

37 
33 
10 
2 

°8 

8 

58 
Cl 
7 
1 

11 

44 
7 

7 

34 
40 
3 
2 

1 

1 

2 

8 

7 

6 
3 

2 
17 

1 

1 

1 
5 

19 
732 

3 

32 

26 

1 
7 

8 
11 

3 
3 

1 
9 
1 

1 

0 

16 

68 
1 
1 

6 

6 

1 

42 
16 

61 
09 

51 
20 

35 

20 
18 

41 
15 

23 
15 
2 
1 

481 
226 
8 
1 
4 
11 
8 

13 
13 

31 

4 

2 

1 

3 

1 

2 

1 

1 

1 

43 

4 
45 

40 
47 

48 
49 

1 

1 

o 

1 

1 

1 

1 

3 

3 

1 

1 

1 

o 
1 
9 

1 

1 

1 

1  

C54 

18 

423 

1 

477 

2 

440 

1 

345 

396 

1 

289 

2 

5,919 

280 


SICKNESS   AND   MORTALITY    OF   WHITE   TKOOPS 


TABLE  XLIV.—  DEPARTMENT  OF  NEW  MEXICO— Continued. 


YKAI;  

1863. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

4,  313. 

3,  856. 

3,  143. 

3,  501. 

3,  814. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

548 

1 

987 

1 

489 

4 

419 

1 

452 

4 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.—  Diseases  of  Nervous  System. 

•     I    ei  y 

8 

4 

10 
1 

1 

1 

1 
1 

56.  Inflammation  o      p 

o 

4 

7 

16 

5 
1 

3 

„    1 

2 

2 

1 

1 

OUDER  II.  —  Diseases  of  Eye. 

19 

20 

18 

20 

9 

'  n  a     •    *•  •  J 

1 
1 

3 

7 

4 

8 
3 

5 
3 

ORDER  III.  —  Diseases  of  Ear. 

1 
1 

1 
3 

6 

7 

6 

2 

1 

ORDER  IV.—  Diseases  of  Organs  of  Circulation. 

~r  n          f       IT 

rSJ    f  P    •  a  r    ^ 

~-  i  fl  l  y    f       f  P   •  •   i' 

78    Inflann  fen  of  Eudo  •   dium 

80   Vorieo      V  ' 

o 

1 

1 

25 

1 

1 

o 

4 
1 

OUDER  V.  —  Diseases  of  Respiratory  Organs. 
83    Asthma                                                             

31 

34 

3 

86.  Dropsy  of  Chest              

88.  Inflammation  of  Larynx                   

2 
4 
3 

1 
3 

1 
1 

1 

3 

4 

1 

90.  Inflammation  of  Pleura                                  

91.  HEBmorrhajrc  from  Lunps  

.  2 

92.  Other  Diseases  of  this  Order                                

o 

3 

8 
52 

1 

ORDEII  VI.  —  Diseases  of  Digestive  Organs. 
93.  Colic  

5 
65 
6 

G 

48 
6 

94.  Constipation  

49 
1 

16 

9,").  Cholera  Morbus  
90.  Cirrhosis  of  Liver  

9 

97.  Dropsy  from  Hepatic  Disease  

98.  D  vspepsia  

3 

1 

8 

G 

5 

99.  Diseases  of  Pancreas  

100.  Diseases  of  Spleen  

1 

101  .  Fistula  in  A  no  

1 

1 

1 
3 

1 

102.  Hernia  

4 

3 

103.  Haemorrhage  from  Stomach  

Carried  forward  

722 

1 

1,157 

2 

653 

4 

529 

1 

511 

5 

1 

DURING   THE    YEAK   ENDING   JUNE    30,  1863. 


281 


TABLE  XLIV.— DEPARTMENT  OF  NEW  MEXICO— Continued 


1869. 

1863. 

DECEMBER. 

JANUART. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

4,  133. 

4,  758. 

4,  567. 

4,  294. 

3,  057. 

3,  244. 

2,  468. 

3,  762. 

50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 
61 

62 
63 
64 
65 
66 
67 

68 
69 
70 
71 
72 

73 
74 
75 

76 
77 
78 
73 
80 
81 
82 

83 
84 
85 
86 
67 
88 
89 
90 
91 
92 

93 

94 
95 
96 
97 
98 
99 
100 
101 
102 
103 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

423 

C54 

1 

477 

2 

440 

1 

345 

1 
2 
2 
1 

396 

1 

289 

1 
2 
4 

2 

5,919 

2 
10 
52 
6 
3 
1 

0 

2 
65 
5 

18 

1 
1 

3 

4 
1 

1 
8 
1 
1 

1 
3 

7 
1 

2 

1 

1 

2 

1 

3 
1 

6 

4 

4 

5 

5 

3 
3 

o 

2 

6 

1 
1 

229 
11 
o 

18 

25 
26 
2 
26 
3 

1 
2 

1 

1 
24 

22 

23 
4 

24 
2 

21 
o 

18 
2 

11 

1 
1 

4 

1 
1 

1 

2 

1 

3 

2 

3 

1 
3 

1 
1 

6 

1 
1 

1 

2 

2 
1 

1 

1 

1 

2 

2 

1 

1 

1 
1 

1 

4 
1 

2 

1 

1 
1 

12 

4 

156 
5 

1 

3 

1 

1 

1 

1 
6 
2 

13 
1 

3 

G 

11 

17 
2 

5 

1 

1 

o 
12 

78 
28 
4 
109 

52 
653 
25 

1 
5 
2 
1 

41 

8 
6 
o 

4 

1 

6 
5 

1 

31 
7 

1 

2 

6 
3 

3 

5 

5 

1 

8 

1 

1 
32 

13 

1 
43 
1 

43 

8 
45 

1 

4 

6 
71 

1 

4 
83 

1 

2 

6 

72 

77 

2 

6 

1] 

4 

7 

C 

5 

4 

66 

1 

o 
3 
33 



3 

8 
1 

3 

1 

1      

523 

2 

803 

3 

6C6 

7 

622 

3 

492 

5 

5C8 

o 

426 

4 

7,  672            3D 

282 


SICKNESS   AND   MORTALITY    OF   WHITE    TROOPS 


TABLE  XLIV.— DEPARTMENT  OF  NEW  MEXICO— Concluded. 


YEAR  

1869. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

4,313. 

3,  856. 

3,  143. 

3,  501. 

3,  814. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

722 

1 

1,157 

o 

C53 

4 

529 

1 

511 

5 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

\m    ®morr  ?*e  r°" 

6 

7 

5 

1 

1 

107   iV"11'""^!!  of  Bowels 

1 

1 

1 

1 
1 
o 

1 

'    U  a                            . 

2 

3 

4 
5 
6 
1 

1 

4 

16 

'       ir°"C 

1 

16 
2 

1 

7 
2 

8 
6 

1 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

118    Diseases  of  Testis                                     

r> 

1 

122    Hydrocelo          .             

1 

123    Other  Diseases  of  this  Order       

11 

2 

7 

4 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

o 

127.  Inflammation  of  Bones  

129.  Necrosis  

130.  Other  Diseases  of  this  Order        

ORDER  IX.  —  Diseases  of  Integumentary  System. 
131.  Abscess  .       .   . 

G 
5 

13 
3 
1 
o 

17 

32 

14 

132.  Boils  

1 

133.  Carbuncle  

134.  Whitlow  

7 
22 

\ 
5 

3 
5 

135.  Skiu  Diseases  

16 

1 
17 
1 

4 

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
136.  Burns  

137.  Contusions  

9 

27 

14 

16 

138.  Concussion  of  Brain  

1 

139.  Drowning  

140.  Sprains  

2 

4 

3 

1 
1 

3 
1 

3 

141.  Dislocation  

142.  Simple  Fractures  

1 

2 

3 

143.  Compound  Fractures  

144.  Gunshot  Wounds  

9 

1 

19 
o 

2 

3 

10 
6 
13 
1 
o 

1* 

11 
10 
11 
1 

15 
3 

1 

145.  Incised  Wounds  

_ 

146.  Lacerated  Wounds  

r 

8 
1 
1 

147.  Punctured  Wounds  

1 

2 

148.  Poisoning  

149.  Other  Accidents  and  Injuries  

1 

4 

150.  ORDER  II.—  Homicide  

151.  ORDEB  III.—  Suicide  

152.  ORDER  IV.  —  Execution  of  Sentence  

Total  

841 

5 

1,285 

4 

775 

6 

651 

1 

594 

6 

DURING    THE    YEAR   ENDING    JUNE    30,  1863. 


283 


TABLE  XLIV.— DEPARTMENT  OF  NEW  MEXICO— Concluded. 


1863. 

1803. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

4,133. 

4,758. 

4,  567. 

4,  294. 

3,  057. 

3,  244. 

2,  468. 

3,  762. 

104 
105 
106 
107 
108 
109 

no 

111 

112 
113 

114 
115 
116 
117 

118 
119 

!•.'!> 
121 
122 
123 

12-1 
125 
126 
127 
128 
129 
130 

131 
132 
133 
134 
135 

1:11; 
137 
138 
139 
140 
141 
142 
143 
144 
145 
146 
147 
148 
149 

150 
151 

152 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

523 

o 

803 

3 

666 

7 

622 

3 

492 

5 

568 

o 

426 

4 

7,672 

39 

6 
g 

16 
o 

7 

13 
2 

8 
6 
1 

11 
4 
1 

11 
1 
1 

92 
17 
6 
2 
11 
19 
61 
89 
15 

4 

2 

1 
1 

2 

1 
1 
6 
18 
2 

3 

1 
2 

1 
2 

1 

8 
6 

1 

10 
10 

3 
5 

7 

1 
5 

1 

6 
1 

3 
2 

1 

1 
1 

1 

I 

2 

1 

5 
5 

1 
1 
27 

1 

2 

1 

1 

1 

1 

1 

1 

1 

2 

1 

1 

2 

5 

159 
31 
12 
20 
83 

10 
270 
3 

1 

1 
3 

1 

13 
3 

1 

13 
4 
o 

13 

8 
6 

7 
6 
7 
2 
1 

2 

11 
3 

2 
2 

1 

32 

1 

8 

2 
4 

o 

4 

1 

28 

5 

3 

27 

7 

42 

23 

21 

14 

1 

1 

1 

2 

24 
9 
2 

20 
2 
6 

9 

1 
2 

20 

11 
o 

10 

4 
1 
2 

113 
17 
21 

1 

1 

7 
1 
9 
3 

7 
11 
22 

7 
3 
8 
o 

8 
9 
12 

3 

1 
19 

1 

6 
4 
14 
4 

6 
5 
6 
3 
4 

110 

59 

6 

146 
22 
12 
16 

2 

1 

1 

1 
3 

1 

o 

o 

3 

1 

1 

C51 

0 

975 

3 

777 

7 

89 

4 

603 

6 

689 

3 

514 

5 

9,144 

52 

284 


SICKNESS    AND.  MORTALITY    OF    WHITE    TROOPS 


TABLE  XLV. 

Abstract  of  the  Sickness  and  Mortality 


YEAR  

1869. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

5,  359. 

5,  166. 

5,  792. 

6,  671. 

6,  037. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

ieaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS   1.—  ZYMOTIC   DISEASES. 
ORDER  I.  —  Miasmatic  Diseases. 

16 
o 

1 

12 

20 

3 
1 
5 

1 

9 

19 

9 

16 

5.  Remittent  Fever  

7 
36 
23 
1 

35 

79 
61 
35 
1 
1 
143 
5 
44 
6 
7 

38 
38 
54 
5 

14 
41 
48 
6 
1 
135 

27 

17 

2 
153 
11 
26 
8 
4 

1 

138 
2 
29 
4 
3 

128 
8 

*,O 

4 
2 
1 

6 

O1? 

5 
6 

1 

1 

.       *L 

1 

3 

1 

1 

12 
48 

C3 
54 
6 

1 

45 
62 

35 

67 
64 
13 
4 

16 

77 
89 
10 
5 

36 

78 
61 
9 
o 

ORDER  II.  —  Enthetic  Diseases. 

64 
14 
4 

2 

1 

ORDER  III.  —  Dietic  Diseases. 
29    Scurvy                

13 

10 

1 

1 

8 

30.  Purpura  

7 
10 

3 

9 

4 

8 

3 

6 

C 
17 

33.  Chronic  Alcoholism  

34.  Other  Diseases  of  this  Order  

CLASS   11.—  CONSTITUTIONAL  DISEASES. 

ORDER  I.  —  Diathetic  Diseases. 
35   Gout           

1 
33 

60 
32 

55 
43 

81 

63 

97 
71 

39.  Getitral  Dropsy  

o 

1 

1 
2 

6 
3 

1 

1 

2 

2 
5 

6 

1 

3 

4 

3 

5 
o 

ORDER  II.  —  Tubercular  Diseases. 

1 

1 
9 

2 

45    Other  Diseases  of  this  Order  

CLASS   111.—  PARASITIC   DISEASES. 
4G   Itch.            

48    Other  Intestinal  Worms  

1 

2 

2 

1 

573 

o 

638 

2 

704 

716 

4 

698 

2 

DURING   THE    YEAR    ENDING   JUNE   30,  1863. 


285 


TABLE  XLV. 

of  the  Department  of  the  Pacific. 


1862. 

1863. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

5,  709. 

5,  437. 

5,  276. 

5,  153. 

5,  666. 

6,  757. 

4,  332. 

5,  613. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Case*. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1 

3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
1!) 
20 
21 

23 
24 
25 
26 
27 
28 

29 
30 
31 

33 
34 

35 
36 
37 
38 
39 
40 
41 
42 

43 

44 
45 

46 
47 

48 
49 

3 

1 

o 

2 

1 

65 
5 

77 

o 
1 

2 
3 

8 

o 

2 

4 

• 

13 
30 
22 
2 

70 
4 
9 
3 

4 

3 

26 

6 

11 

15 

14 
9 
16 
3 
1 
34 
5 
8 
1 
3 

20 
31 
19 

26 
36 
14 
1 
5 
56 

18 
35 

273 

381 
294 

23 
1 

8 
1 
2 
53 
4 
8 
2 

21 

14 
1,069 
53 
225 
38 
50 
1 
12 
2 
1 
227 

1 

43 
5 

18 
o 

28 

88 
1 
15 
1 
1 

3 

10 

2 

8 

6 

C 

1 

1 

2 

1 

3 

4 

1 
2 

1 
6 
23 

6 

46 
115 

70 
106 
18 

68 
35 
21 
3 

52 

°8 

14 
68 
5 

53 
96 
10 
1 
o 

78 
18 

43 

48 
8 
2 

75 
4 

58 
64 

12 

477 

260 

789 
748 
124 

12 

73 

58 
10 
o 

20 

1 

3 

61 
73 
4 
2 
2 

o 

1 

86 
42 

1 

7 
5 

1 

1 

29 
4 
3 
5 

36 

62 
1G4 
4 

1 

4 

1 
1 

0 

1 
1 

17 
11 

1 

1 
6 
11 
1 

1 
31 

3 

18 

0 

2 
19 

1 

8 
9 
3 

1 

15 

3 

46 
34 

10 
29 
37 

1 
40 
41 
3 

15 
640 
522 

55 
44 

66 
37 

34 
35 

44 
33 
6 

9 

4 

0 

29 

2 

2 
1 

3 

1 
5 

1 
3 

o 

1 

2 

4 

4 

6 
3 

1 

1 
2 

1 

o 

6 
1 

2 

3 

40 
31 

7 

1 

o 

1 
1 

.-> 

5 
5 
13 

3 
1 

1 

1 

4 

1 

421 

471 

2 

588 

2 

490 

o 

463 

553 

3 

527 

1 

6,842 

20 

286 


SICKNESS   AND   MORTALITY    OF    WHITE   TROOPS 


TABLE  XLV.— DEPARTMENT  OF  THE  PACIFIC— Continued. 


YEAU  

180^. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

5,  359. 

5,  166. 

5,  792. 

6,  671. 

6,  037. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Brou  ht  forward 

573 

3 
1 
27 
1 

o 
1 

638 

2 

704 
1 

716 

4 

698 

0 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.  —  Diseases  of  Nervous  System. 

2 

3 

16 

o 

10 
1 

14 
1 

10 

1 

'          '                      f  Af  '    V>               f  T5     ' 

o 

X          1 

18 

oo 

30 
3 

18 
1 

O"7 

rq                      *"• 

0 

1 

4 

1 

o 

1 
1 

5 

ORDER  II.—  Diseases  of  Eye. 

1 

2 
1 
18 
3 

33 
3 

21 
3 

21 
o 

20 

'           ^            a    .              f  T    •    J 

4 
2 
1 

1 
3 

1 

3 
6 
1 
1 

2 

4 
10 
3 
4 

1 

1 

3 

4 
1 

ORDER  III.  —  Diseases  of  Ear. 

5 
1 

o 

1 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

1 
1 

2 

1 

1 

1 
1 

o 

1 

4 

6 
142 

82.  Other  Diseases  of  this  Order        

11 

1 

65 
4 

1 

3 

2 
61 
5 

o 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
83    Asthma 

4 
102 

3 

107 
o 

85.  Chronic  Bronchitis  ..     ..         

7 

1 

86.  Dropsy  of  Chest                                          

87.  Hccmorrhage  from  Nose  

o 

88.  Inflammation  of  Larynx        ..         

1 
4 
7 
3 
2 

6 
74 
5 

1 
3 

4 

4 

2 
5 
3 
3 

2 

20 
75 

1 

1 

6 
2 
o 

11 
1 
18 
3 

89.  Inflammation  of  Lungs  

90.  Inflammation  of  Pleura  

91.  Haemorrhage  from  Lun^s  

92.  Other  Diseases  of  this  Order  

2 

10 
121 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
93.  Colic  

7 
98 
8 

11 

75 

94.  Constipation  

95.  Cholera  Morbus  

6 

1 

96.  Cirrhosis  of  Liver  

'"^7.  Dropsy  from  Hepatic  Disease  

1 
25 

1 

98.  Dyspepsia  

16 

13 

11 

7 

99.  Diseases  of  Panorcas  

100.  Diseases  of  Spleen  

1 
2 

4 

1 

101.  Fistula  in  Ano  

o 

3 

1 

102.  Hernia  

3 

1 

3 

7 

103.  Hajmorrhags  from  Stomach  

4 

Carried  forward  

874 

4 

939 

o 

1,073 

1,021 

5 

1,116 

4 

DURING   THE    YEAR    ENDING    JUNE   30,  1863. 


287 


TABLE  XLV.— DEPARTMENT  OF  THE  PACIFIC— Continued. 


1863. 

18G3. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCII. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

5,  709. 

5,  437. 

5,  276. 

5,  153. 

5,  666. 

6,  757. 

4,  332. 

5,  613. 

50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 
61 

62 
63 
64 
65 
66 
67 

68 
69 
70 
71 

72 

73 

74 
75 

76 
77 
78 
79 
80 
81 
82 

83 

84 
85 
86 
87 
88 
89 
90 
91 
92 

93 
94 
05 
96 
97 
98 
99 
100 
101 
102 
103 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

)eaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

471 

o 

588 

1 
1 

8 

2 

490 

** 

463 

553 

3 

527 

1 
1 

421 

6,842 

5 
23 

20 
2 

4 

8 

1 

12 

2 
11 
2 

4 
8 

1 

1 
24 

10 

153 
9 
1 
2 
3 
1 
232 
15 
1 
24 

6 
3 

259 
21 
3 
16 

27 

1 

1 

1 

1 

1 
19 
2 

1 

1 

14 

o 

18 
2 

11 
1 

12 

21 

22 
1 
1 
o 

"  1 

3 

1 

1 

1 

1 

3 

1 

1 

i 
21 
2 

1 
35 
1 
1 
3 

3 
1 

2 
o 

23 
1 

17 

14 
2 

15 

21 

3 

2 
2 
1 
o 

3 

4 

2 

2 
1 
3 
1 

2 
1 
1 

4 

32 
23 
15 
1 

o 

4 

3 

1 

1 

1 

o 

3 
1 

0 

1 

1 

1 

1 

12 
3 
3 

4 
9 

27 

24 
841 

48 

1 

1 

1 
1 

4 

2 
182 
3 

1 

1 

1 

1 
1 

2 

2 

1 

2 
21 

3 
57 
4 

1 

40 
7 

17 
4 

11 
2 

36 
9 

1 

10 
8 
7 
1 
37 

4 

77 

1 
10 

9 
11 

I 
8 

8 
74 
3 

1 
1 
3 
6 
1 

5 
75 
50 
97 
23 

20 
9 
11 

6 

0 

12 

0 

3 
7 
1 
4 

4 
67 
o 

2 

1 

3 

7 
2 
2 

6 
50 

0 

10 
o 

1 

5 
83 
1 



3 

3 
44 
1 

80 

97 
898 
oq 

13 
60 

1 

160 

1 
1 

8 

1 

7 

G 

8 

13 

29 

17 

If  

1 

2 
8 
50 
G 

9 

5 

0 

3 

3 

2 

1 

4 

1 

880 

3 

761 

2 

645 

3 

642 

842 

5 

822 

3 

661 

1 

10,  276 

32 

288 


SICKNESS    AND   MORTALITY   OF   WHITE    TROOPS 


TABLE  XLV.— DEPARTMENT  OF  THE  PACIFIC— Concluded. 


YEAK  

1863. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

5,  359.     . 

5,  166. 

5,  792. 

6,  671. 

6,  037. 

MEAN"  bTRENGTH  

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

874 

4 

939 

2 

1,073 

1,021 

5 

1,116 

4 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

17 
11 

14 

22 

19 
19 
2 
1 
3 
4 

18 
8 
2 

16 
8 

1 

1 

1 
1 

3 
2 
1 
14 
1 

6 
2 

3 
1 

7 
1 

1 
3 

3 

19 
5 

19 
1 

1 

18 

7 

ORDER  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

0 

1 

1 

2 

6 

1 

4 

1 

16 

1 
11 

1 

0 

123    Other  Diseases  of  this  Order     .   ...     

1 

7 

8 

fi 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

125   Caries       .          

129.  Necrosis  

130.  Other  Diseases  of  this  Order  ..  

1 

12 

ORDER  IX.  —  Diseases  of  Integumentary  System. 
131.  Abscess  

1° 

1° 

16 
19 
1 
3 
15 

19 
18 
1 
4 
10 

3 
44 

1 

132.  Boils  

20 
2 

1° 

15 
6 
8 
21 

133.  Carbuncle  

3 

14 
21 

134.  Whitlow  

7 
oo 

135.  Skin  Diseases  

CLASS    V.—  WOUNDS,   ACCIDENTS,   AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
136.  Burns  

4 
43 
1 

3 

1 

29 

1 

35 
1 

137.  Contusions  

40 

138.  Concussion  of  Brain  

139.  Drowning  

140.  Sprains  

13 
2 
3 

18 
3 
3 

15 

20 
1 
5 

23 

141.  Dislocation  

1 

7 

142.  Simple  Fractures  

6 

143.  Compound  Fractures  

144.  Gunshot  Wounds  

5 
11 
19 
o 

7 
10 
24 
3 
11 
2 

7 
14 
17 
2 
7 
o 

1 

4 
16 
15 

12 

3 

145.  Incised  Wounds  

146.  Lacerated  Wounds  

1 

17 
3 
4 

8 

147.  Punctured  Wounds  

4 

148.  Poisoning  

3 
4 

149.  Other  Accidents  and  Injuries  

3 

150.  ORDER  II.  —  Homicide  

151.  ORDER  III.  —  Suicide  

152.  ORDER  IV.  —  Execution  of  Sentence  

Total  

1,  109              6 

1,204 

5 

1,319 

1 

1,263 

7 

1,375 

8 

DURING   THE    YEAR   ENDING    JUNE    30,  1863. 


289 


TABLE  XLV.— DEPARTMENT  OF  THE  PACIFIC— Concluded. 


1869. 

1803. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

5,  709. 

5,  437. 

5,  276. 

5,  153. 

5,  666. 

6,  757. 

4,332. 

5,  613. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths  - 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

104 
105 
106 
107 
108 
109 
110 
111 
112 
113 

114 
115 
116 
117 
118 
119 
120 
121 
122 
123 

124 
125 
126 
127 
128 
129 
130 

131 
132 
133 
134 
135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
140 
147 
148 
149 

]50 
151 

152 

880 

3 

761 

o 

645 

3 

642 

842 

5 

822 

3 

661 

1 

10,  276 

32 

17 

4 

0 

1 

7 
7 
1 
20 

7 

1 

18 
2 
2 

23 
3 

15 
3 

23 
2 
2 

22 
1 
1 
1 
4 
4 

12 

220 

91 
21 
3 
36 
36 
17 
163 
55 

3 

8 
2 
2 
o 
18 
10 
1 
7 
73 

6 

1 
5 
1 

1 

1 

2 
3 
3 

1 

1 
2 

I 

8 
1 
3 

9 

8 

2 
1 
1 

7 
4 

2 
1 

1 
4 

1 

4 
5 
16 

7 

15 

13 

6 
3 

4 

7 

1 
1 

1 
2 

2 

2 

0 

3 
1 
1 
1 

1 

1 

1 
1 

I 

1 

1 

1 

2 

1 

1 
5 

1 

7 

3 

1 
o 

3 

1 
1 
3 

1 

1 

1 
1 

1 

1 

1 
4 

215 

1 

14 
3 
1 
4 
9 

1 

10 

8 
1 
8 
9 

5 
63 
I 

1 

17 

14 

13 

11 

35 

19 

21 

34 

]0 

3 

154 
17 
59 
146 

38 
502 
10 

2 
3 
6 

2 

11 

5 
51 

3 
3 

8 

3 

10 

o 

9 

4 

44 
1 

36 

60 

28 
5 

1 

2 

1 

4 

14 

15 

15 

11 

14 
1 
2 

25 

20 

203 

1 
8 

1 
5 

3 

1 

18 
54 

6 

6 

o 

6 
17 
17 
3 
1 
10 

1 

48 
9 
13 
4 

2 

8 
8 
23 
o 

8 

6 
12 

o 

10 
7 
8 
1 
2 
3 

1 

9 
7 
5 
2 
2 
4 

4 

3 
7 
3 
1 
o 

1 

125 
130 
181 
30 
41 
134 

23 

20 

1 

3 
5 
5 

o 

81 

7 

1 

1 
1 

8 

5 
1 

1,  120 

7 

1,107 

4 

831 

11 

850 

2 

1,047 

8 

1,042 

13 

846 

5 

13,  119 

77 

37 


290 


SICKNESS    AND   MORTALITY    OF   WHITE    TROOPS 


TABLE  XLVI. 

Abstract  of  the  Sickness  and  Mortality 


YEAR  -  • 

1863. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEA\  STRENGTH         

9,672. 

9,  022. 

8,  935. 

10,  172. 

9,  851. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS  1.—  ZYMOTIC    DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

2 

18 
3 
°1 

1 

28 

3 
1 

27 
1 

20 
1 
9 

o 
1 

19 

14 

1 

°3 

60 
70 

1 

134 

108 
47 
1 
1 
230 
11 
58 
6 
8 
1 
9 

71 

56 
47 
55 

68 
45 

46 

64 
21 

65 
5 

8 

6 
1 

197 
28 
30 
10 
7 
13 

o 

298 

1 

206 

203 

4 
169 
4 
6 
6 

12 

9 
62 
7 
o 

o 

1 

1 

41 
8 
5 
1 
o 

1 

5 

3 

1 
55 
32 

114 
138 
19 
5 

1 

79 
52 

12 

71 

83 
92 

1 

54 

100 
107 
21 
4 

61 

D8 
133 
18 
4 

OKDEII  II.  —  Enthetic  Diseases. 
22    Syphilis             

126 

117 
17 
2 

24.  Orchitis  

8 

25.  Stricture  of  the  Urethra  

27.  Serpent  Bite       

2 

1 

28.  Other  Diseases  of  this  Order  

ORDER  III.  —  Dietic  Diseases. 
29.  Scurvy                                                         ... 

103 

527 

20 

8 

1 

13 

30.  Purpura  

31.  Delirium  Tremens  

7 
11 

3 

11 

5 
23 

3 

11 

7 
18 

32.  Inebriation  

33.  Chronic  Alcoholism  

34.  Other  Diseases  of  this  Order  

CLASS  II.—  CONSTITUTIONAL    DISEASES. 
ORDER  I.  —  Diathetic  Diseases. 
35.  Gout  

1 

73 

36.  Acute  Rheumatism  

107 
46 

108 
55 

118 
84 

128 

37.  Chronic  Rheumatism  

66 

92 

38.  Anaemia  

39.  General  Dropsy  

2 

40.  Cancer  

1 

1 
o 

o 

41.  Tumors  

4 
5 

4 

7 

7 

3 
3 

6 
2 

42.  Other  Diseases  of  this  Order  . 

o 

ORDER  11.  —  Tubercular  Diseases. 
43.  Consumption  

10 
3 

1 

3 

10 

4 

o 

44.  Scrofula  

45.  Other  Diseases  of  this  Order  

CLASS  III.—  PARASITIC    DISEASES. 
40.  Itch  

47.  Tape-  \vorm  

48.  Other  Intestinal  Worms  

2 

5 

1 

3 

0 

49.  Other  Diseases  of  this  Order  

Carried  forward  

1,121 

3 

1,625 

3 

1,193 

4 

1,135 

5 

1,150 

6 

DUBING   THE   YEAR   ENDING   JUNE   30,  1863. 


291 


TABLE  XLVI. 

of  the  Pacific  Region. 


1862. 

18G3. 

DECEMBEU. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

9,  842. 

10,  195. 

9,  843. 

9,  447. 

8,  723. 

10,  001. 

6,  800. 

9,  375. 

1 

o 
3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 

22 
23 
24 
25 
20 
27 
28 

29 
30 
31 
32 
33 
34 

35 
36 
37 
38 
39 
40 
41 
42 

43 

44 
45 

46 

47 
48 
49 

Cases. 

deaths. 

Cases. 

>eaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

7 

1 

5 
1 
o 

4 

1 
2 

7 

2 

114 
8 
169 

7 
2 
1 

34 

8 

11 

7 

15 

27 
41 
28 
6 
4 
127 
16 
18 
7 
6 
4 
2 

15 
32 
35 
17 

7 
36 
17 
3 
3 
61 
2 
12 

17 
33 
25 
9 
2 
88 
12 
12 

35 
46 
26 

36 
50 
20 

°2 

503 
623 
443 
79 
22 
1,881 
126 
500 
62 
72 
47 
22 
2 
81 
231 
1,277 
420 

1,262 
1,352 
206 
38 
4 
3 
24 

768 

78 
232 

1 

46 
16 
2 
3 
114 
8 
17 
2 
2 

1 
6 
133 
5 
30 
2 
8 
4 
1 
2 

1 

2 
1 
4 
3 

94 
10 
34 
9 
16 
3 

1 

130 

1 

9 
17 
1 
3 
1 
4 

1 

6 
3 
4 
3 

6 
5 
1 

1 

1 

50 
50 
300 
26 

30 
70 

234 

1 
6 
51 
10 

95 
113 
7 
4 
2 

6 
75 
39 

109 
108 
18 
3 

52 

28 
157 
15 

14 
146 
7 

90 
129 
20 

168 
27 

106 
92 

26 

126 
96 
28 
4 

1 

2 
3 

134 
119 
13 
5 

1 

1 

81 
108 
19 
1 

1 

18 
3 

1 

3 

2 

1 

8 

7 

6 
3 

2 

19 

1 

33 
1 

17 
17 

5 

2G 

2 
6 

3 

1 

1 
7 
13 
1 

38 

11 

29 

5 

18 

3 

28 
1 

1 

8 
15 
3 

1 

5 

1 

15 
1  121 

1 

3 

81 
65 
2 

10 
49 
55 

1 
81 
56 
3 

97 
60 

127 
66 
4 
2 

85 

f>7 
48 
8 
1 

55 

748 
17 
5 
6 
23 
37 

53 
44 

2 

1 

o 

2 
1 

4 

4 
6 

1 
6 

3 

o 

4 

1 
3 

4 

6 
4 

1 

7 

0 

1 

1 

1 

2 

3 

4 

1 

8 

1 

1 

o 

1 
1 
1 

o 

7 
6 
22 

3 
1 

0 

o 

4 

1 

894 

2 

1,242 

3 

967 

4 

903 

1 

898 

3 

923 

2 

710 

2 

12,  761 

?8 

292 


SICKNESS   AND    MORTALITY    OF    WHITE    TKOOPS 


TABLE  XLVI.— PACIFIC  REGION— Continued. 


YKAK  

1862. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH      

9,672. 

9,  022. 

8,  935. 

10,  172. 

9,  851. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1,121 

3 

1 
35 
1 

3 
1 

1,  G25 

3 

1,193 

1 

2 
24 

4 

1,135 

5 

1,150 

6 

CLASS    IV.—  LOCAL    DISEASES. 

ORDEU  I.  —  Diseases  of  Nervous  System. 

o 

3 

17 

o 

14 

10 
1 

1 

1 

°_"     n  am       .                                           . 

2 

1 
1 

2 

23 

29 
o 

46 
3 

30 

e- 

2 

3 

6 
1 

3 
1 

2 

5 
o 

OKDEU  H.  —  Diseases  of  Eye. 

1 

1 

27 

3 

41 
3 
1 
2 

6 
13 
1 
8 

39 
2 

40 
4 
o 

65    I  fl                 i  of  I  '  J 

3 

4 

13 
4 
2 
6 

7 

7 
10 
3 
10 

1 
o 

1 
o 

OKDEH  III.  —  Diseases  of  Ear. 

4 

6 
4 
o 

*a       n  °    ° 

71 

3 

ORDEH  IV.  —  Diseases  of  Organs  of  Circulation. 

74    Vilvulnr  Di-ease  of  Heart 

~"    D          -f-                -ID'- 

7C    DroV  of  Pericardium 

. 

1 
1 

2 

1 

78    Inflammation  of  Fiidop-irdium 

1 
2 

60    Varicose  Vein 

1 
1 
1 

o 

1 

8 

7 
145 

82.  Other  Diseases  of  this  Order 

13 

1 
96 

4 

1 

3 

2 

95 

3 

4 
109 
2 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
83.  Asthma  

84.  Acute  Bronchitis  

127 

85.  Chronic  Bronchitis  

5 

7 

1 

86.  Dropsy  of  Chest  

87.  Haemorrhage  from  Nose  

2 
3 

7 
7 
4 
8 

15 

88.  Inflammation  of  Larynx  

1 
5 
8 
3 
4 

11 
139 
11 

2 
8 
3 
5 
2 

26 

2 
4 
6 
o 

11 

18 
3 

fa9.  Inflammation  of  Lungs  

1 

1 

90.  Inflammation  of  Pleura  

91.  Hocmorrhape  from  Lunps  

92.  Other  Diseases  of  this  Order  

3 

16 

124 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
93.  Colic  

12 

94.  Constipation  

350 
17 

123 
12 

137 

1 

95.  Cholera  Morbus  

1 

96.  Cirrhosis  of  Liver  

97.  Dropsy  from  Hepatic  Disease  

1 
33 

1 

98.  Dyspepsia  

19 

14 

17 

1° 

99.  Diseases  of  Pancreas  

100.  Diseases  of  Spleen  

1 
3 
9 
1 

1 
1 
8 
4 

101.  Fistula  in  Ano  

3 
4 

4 

10 

102.  Hernia  

7 
1 

j  1,596 

103.  Haemorrhage  from  Stomach  

5 

2,096 

4 

1,726 

4 

1,550 

6 

1,627 

9 

DURING   THE    YEAR    ENDING   JUNE    30,  18G3. 


293 


TABLE  XLVL— PACIFIC  REGION— Continued. 


18(^3. 

18(53. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

9,  842. 

10,  195. 

9,  843. 

9,  447. 

8,  723. 

10,  001. 

6,  800. 

9,  375. 

50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 
61 

62 
63 
64 
65 
66 
67 

68 
69 
70 
71 

72 

73 
74 
75 
76 

77 
78 
79 
80 
81 
82 

83 
84 
85 
86 
87 
88 
89 
90 
91 
92 

93 
94 
95 
96 
97 
98 
1)9 
100 
101 
102 
103 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.     1  Deaths. 

894 

2 

1,242 

1 
4 
12 

3 

967 

4 

903 

1 

898 

1 
4 
13 
3 

3 

923 

1 

710 

1 
3 

2 

12,  761 

7 
33 
210 
15 
4 
3 
5 
3 
297 
20 
1 
30 

7 
4 
488 
32 
5 
34 

52 
58 
25 
41 
4 

1 
4 

38 

5 
9 

2 

20 

5 
11 

1 

17 
1 
2 

3 
1 

1 

1 

1 

1 

1 

1 
1 
23 

1 

1 

17 
3 

24 

15 

1 

17 

26 

25 
4 
1 
o 

o 

0 

1 

2 

2 

3 

1 

1 

1 

1 

3 

1 

2 

1 
39 
4 

o 

45 
1 

40 
4 

38 
4 

36 
o 

59 
1 
1 
6 

3 
2 
3 

2 

32 

1 
1 

3 

0 

8 
1 
2 

4 

1 
5 

3 

7 

3 

o 

4 
1 
3 
1 
1 

3 

4 
o 

1 

4 
o 

2 
1 

3 
2 

1 

1 

1 

1 

1 

0 

1 

1 

5 
1 

2 

1 

1 

2 

1 

2 

1 

1 

Ifi 
4 
3 
5 
10 
39 

3 

1 

1 
1 
7 

0 

195 

4 

1 

2 

1 

1 
1 

o 

1 

1 

2 

1 
23 
6 

1 

1 

57 
9 

2 

2 

24 

3 

68 
4 

17 
2 

41 
9 

997 

53 

"         0 

1 
18 
15 
13 

o 

7 

87 
128 
125 
27 

20 
13 
11 

6 

8 
12 

13 

8 
9 

10 
14 
10 
1 
41 

10 
148 

1 
8 
11 
o 

1 

1 

33 

17 
2 

46 

11 
89 
3 

1 
o 

5 

1 

11 

o 

1 
9 

12 
157 
3 

2 

6 
115 
1 

15 

45 

4 
139 
o 

1 

12 

189 

149 
1,551 
54 

1 

7 
93 
3 

o 

19 

137 

1 
2-J6 

1 

I 

14 

1 

18 

]0 

15 

19 

34 

21 

0 

4 
11 
83 
7 

12 

13 

5 

4 

2 

1 

4 

1 

1 
1,564 

1,  403 

5 

5 

1,311 

10 

1,264 

3 

1,334 

10 

1,390 

5 

1,087 

5 

17,  948 

71 

294 


SICKNESS   AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  XLVL— PACIFIC  REGION— Concluded. 


YEAR  

1869. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

9  672. 

9,  022. 

8,  935. 

10,  172. 

9,  851. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1,596 

5 

2,096 

4 

1,726 

4 

1,550 

6 

1,627 

9 

ORDER  VI.  —  Diseases  of  Digestive  Organs  —  Continued. 

femo  T  ago 

23 
11 
1 

21 

27 

20 
19 
2 
1 
3 
8 
16 

19 
8 
o 

22 
o 

1 

1 
5 
1 
35 

16 

8 

1 

1 

1 

1 
1 

2 
3 

1 
15 
7 

1 
3 

6 
6 
6 
20 
2 

1 
1 

6 
2 
7 
20 

1 

7 

2 
1 

7 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

2 

1 

4 

6 
2 

4 

1 

27 

1 
13 

1 

2 
14 

1 

6 

1 

12 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

o 

1 

18 
25 

ORDER  IX.  —  Diseases  of  Integumentary  System. 
131.  Abscess  

25 

29 
15 

48 
20 

33 

18 
1 
7 
15 

3 
60 
1 

132.  Boils  .     .   . 

15 
4 
16 
37 

4 
57 

1 

o 

6 
9 
26 

1 
56 

1 
3 
19 

1 
49 
1 

134.  Whitlow  

14 
44 

4 
52 
1 

135.  Skin  Diseases  

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
136.  Burns  

137.  Contusions  

138.  Concussion  of  Brain  

1 

139.  Drowning  

140.  Sprains  

15 
o 

22 

18 
6 

7 

23 

26 
1 
10 

141.  Dislocation  

3 
5 

o 

142.  Simple  Fractures  

4 

5 

143.  Compound  Fractures  

144.  Gunshot  Wounds  

14 
12 
38 
4 
5 
4 

3 

17 
16 
37 
4 
13 
3 

1 

18 
24 

1 

21 

27 
15 

4 

145.  Incised  Wounds  

146.  Lacerated  Wounds  

1 

28 
3 

°0 

147.  Punctured  Wounds  

5 

4 
4 

4 

148.  Poisoning  

7 
2 

149.  Other  Accidents  and  Injuries  

3 

8 

150.  ORDER  II.  —  Homicide  

151.  ORDER  III.  —  Suicide  

152.  ORDER  IV.  —  Execution  of  Sentence  

Total  

1,950 

11 

2,  489 

9 

2,094 

7 

1,914 

8 

1,969 

14 

DURING   THE    YEAR   ENDING    JUNE    30,  3863. 


295 


TABLE  XLVL-- PACIFIC  REGION— Concluded. 


1803. 

1803. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

9,  842. 

10,  195. 

9,  843. 

9,  447. 

8,  723. 

10,  001. 

6,800. 

9,  375. 

104 
105 
106 
107 
108 
109 
110 
111 
112 
113 

114 
115 
116 
117 
118 
119 
120 
121 
122 
123 

124 
125 
126 
127 
128 
129 
130 

131 
132 
133 
134 
135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
146 
147 
148 
149 

150 
151 
152 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1,403 

5 

1,564 

5 

1,311 

10 

1,264 

3 

1,334 

10 

1,390 

5 

1,087 

5 

17,  948 

71 

6 
2 

1 
7 
8 
9 
26 
7 

2 

34 
4 
3 
1 

8 
o 

30 
3 

28 
5 

31 
8 
3 

33 
5 

0 

23 

1 
2 

312 
108 
27 
5 
47 
55 
78 
252 

1 

4 
3 
3 
1 
1 

1 

2 

1 
7 
5 
o 

1 

2 
4 
6 
14 

4 

3 

2 
6 
33 
6 

1 
4 
6 
18 
7 

1 

1 
6 
5 
19 
9 

1 

13 

19 
8 

1 

1 

12 
4 

70 

7 
10 
2 

0 

2 

23 
15 
2 
8 
100 

7 
1 
7 
1 
1 
3 
9 

374 

185 
29 
79 
229 

I 

1 
1 

1 
2 

2 

2 
1 

2 
2 
1 

4 
1 
1 
1 
2 

1 

1 

1 

1 

1 

3 

2 

3 

1 

6 

1 
5 

1 

8 

3 

1 

1 
2 

3 

1 
1 
3 

1 

1 

1 

1 

1 

1 

1 

1 
4 

26 
3 
1 

4 
16 

1 

34 
6 

2 

1 

28 
17 

26 
11 

43 

25 

0 

41 

18 
9 
5 

7 

4 
78 
1 

1° 

3 

9 

17 

2 
15 

6 
79 

n 

3 

8 

11 
56 

5 
14 

4 
42 

11 

5 
76 
1 

48 
772 
13 

83 

84 

0 

1 

5 

4 

1 

2 

1 

38 
9 
8 

35 

24 

31 

25 
3 
2 

35 
1 
6 

24 
4 
3 

316 
35 
75 

3 

14 

1 

8 

3 



! 

13 
18 
26 
6 

1 
11 

1 

55 
20 
35 

2 

15 
11 
31 
4 
2 
9 

8 

14 
21 
32 
5 
5 
7 

2 

13 

8 
27 

2 

]5 
11 
19 
6 
o 

4 

9 
12 

1 

235 
189 
327 
52 
53 
150 

29 

9 
4 
6 

8 

1 
1 

4 

1 
84 

3 

2 

6 

1 

1 

4 

1 
1 

1 

5 
1 
1 

2,082 

1,777 

9 

7 

1,608 

18 

1,639 

6 

1,^50 

14 

1,731 

16 

1,360 

10 

1 

22,263 

129 

296 


SICKNESS   AND   MORTALITY    OF    WHITE   TROOPS 


TABLE  XLVII. 

Abstract  of  the  Sickness  and  Mortality 


YE  AII  

1869. 

JULY. 

A  UGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH,  (not  including  Tables  XXXII  and  JTLII) 

420,671. 

345,  010. 

451,  126. 

599,  182. 

630,  692. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS    1.—  ZYMOTIC    DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

2,695 
114 
2,283 
o 

8,376 
5,213 
4,469 
703 

890 
31 
29 
o 

102 
13 
5 

1,710 
137 
1,477 
153 
5,818 
5,085 
4,295 
393 
175 
19,  402 
3,619 
2,874 
481 
228 
17 

99 
o 

631 
35 
31 
30 
81 
21 
14 
2 

62 
80 
315 

77 
66 
7 
7 
2 

1,377 
26 
1,451 
147 
7,135 
9,208 
7,189 
1,010 
339 
32,  085 
4,549 
5,461 
650 

0*7  O 

26 
206 
4 

579 
22 
68 
40 
99 
6 
13 
2 
89 
110 
375 
151 
110 
10 
12 
4 

3,368 
82 
1,982 
70 
9,763 
14,  532 
11,468 
1,196 
571 
41,  069 
6,127 
8,754 
1,176 
329 

1,859 
4 
125 
749 
4,038 
3,481 

1,348 
o  (j3o 

862 
28 
79 
19 
130 
11 
13 
4 
123 
115 
596 
154 

15 
6 

50 

3,633 
52 
1,867 
10 
7,286 
10,  682 
9,028 
939 
321 
31,  263 
5,  474 
5,816 
956 
458 
51 
3,230 
26 
217 
1,803 
7,788 
2,413 

1,438 
o  44p 

1,181 
36 
84 
9 
132 
25 

o 
114 
66 
704 
105 
146 
36 
16 
170 

32 

3 

82 

5 

9.  Congestive  Intermittent  Fever  

301 
34,  119 
4,700 

4,586 
695 
317 
32 
191 
1 

S2 
75 
270 
62 
45 
13 
10 
2 

17.  Scarlet  Fever  

18.  Diphtheria  

4 

34 

4 
333 

2 

29 
5 
2 

142 
5 

450 

134 

178 
314 
4,239 

963 
1  956 

339 
6,057 

717 
1  1°6 

78 

21    Other  Diseases  of  this  Order  

103 

4,197 
65'1 

91 

ORDER  II.  —  Enthetic  Diseases. 
22    Syphilis                        

23.  Gonorrhoea  

1,017 
398 
40 

24.  Orchitis  

264 
56 

°12 

330 
66 
39 
4 

265 
6 
91 
116 
7 
25 

8 
4,124 
4,156 

778 
266 
13 
59 
194 

468 
128 
14 

149 

389 

25.  Stricture  of  the  Urethra  

37 

83 
50 

2G.  Purulent  Ophthalmia  

27.  Serpent  Bite  

7 
12 

1,674 

8 
4 

1,122 

1 
9 

447 

28.  Other  Diseases  of  this  Order  

1 

8 

1 
11 

36 

268 
9 
69 
84 
26 

2 

4 

1 
12 
3 

ORDER  III.  —  Dietic  Diseases. 
29.  Scurvy  

9 

7 

30.  Purpura  

31.  Delirium  Tremens  

58 
74 

8 
2 

58 
71 

9 

66 

60 

8 

6 

3'2.  Inebriation  

33.  Chronic  Alcoholism  

34.  Other  Diseases  of  this  Order  

4 
12 

2 

2 

133 

11 
4,592 
4,882 
838 
236 
18 
39 
160 

558 
129 
14 

°44 

4 

CLASS    II.—  CONSTITUTIONAL    DISEASES. 
ORDER  l.—Diathetic  Diseases. 
35.  Gout  

14 
3,102 
2,489 
226 
294 
3 
74 
290 

370 
122 

27 
1,418 
3,470 
197 
218 
37 
33 
105 

246 
80 

36.  Acute  Rheumatism  

3 

5 
6 
6 

4 
4 

g 

4 

2,406 
2,469 
329 
217 
4 
30 
187 

301 

78 

9 
3 
10 
2 
1" 

o 
3 
13 

7 
1 
1 

7 

153 
o 

3 

11 
7 
18 
5 
1 

37.  Chronic  Rheumatism  

38.  Anaemia  

39.  General  Dropsy  

40.  Cancer  

41.  Tumors  

1 
4 

90 
2 
1 

42.  Other  Diseases  of  this  Order  

6 

84 
2 

11 

94 
2 

1 

8 

180 
3 
1 

ORDER  II.—  Tubercular  Diseases. 
43.  Consumption  

44.  Scrofula  

45.  Other  Diseases  of  this  Order  

CLASS    III.  —  PARASITIC    DISEASES. 
46.  Itch  

47.  Tape-worm  

11 

109 

17 
77 

48.  Other  Intestinal  Worms  

70 

52 

68 

49.  Other  Diseases  of  this  Order  

3 

Carried  forward  

86,  685 

1,865 

57,  417 

1,686 

85,  722 

1,995 

126,  209 

2,802 

110,149 

3,224 

DURING    THE    YEAR    ENDING   JUNE    30,  18G3. 


297 


TABLE  XLVIL 

of  the    United  States  Army. 


1862. 

1803. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

725,  171. 

743,  013. 

737,  769. 

744,  780. 

71  1,  257. 

675,  719. 

587,  510. 

614,  325. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1 

3 

4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 

22 
23 
.24 

*.t> 

26 

27 

29 
30 
31 
32 
33 
34 

35 
36 
37 
38 
39 
40 
41 
42 

43 

44 
45 

46 

47 
48 
49 

3,  853 
75 
2,081 

1,225 
35 

108 

3,665 
99 
2,564 

1,  122 
26 
128 

3,460 
101 
2,501 

1,  L50 
56 
161 

3,377 
129 
2,236 

1,063 
56 
165 

2,253 

48 
1,819 

813 
21 
128 

1,610 
65 
1,566 

'487 
108 

1,165 
24 
1,519 

480 
86 

32,166 
952 
23,346 
382 
86,  240 
100,  144 
82,  460 
9,872 
3,959 
381,  879 
64,  531 
66,  490 
8,  979 
6,728 
2,893 
17,  560 
207 
2,469 
14,  135 
56,566 
30,  444 

14,  278 
22,  419 
3,462 
783 
1,104 
29 
433 

7  729 
301 
815 
1,289 
226 
569 

158 
46,  903 
46,  404 
9,537 
2,383 
153 
629 
1,986 

5,762 
2,135 
185 

6,263 

142 
913 

84 

10,483 
378 
1,  175 
100 
1,  164 
140 
116 
38 
1,022 
941 
7,556 
967 
1,090 
812 
950 
1,314 
18 
288 
'29 
20 
865 

27 
6 
3 
3 

6,584 
8,485 
7,156 
825 
280 
31,  740 
6,253 
5,232 
853 
735 
261 
3,449 
38 
388 
2,  703 
10,  421 
2,678 

1,640 
2  471 
385 
69 
77 

112 

8 
20 
15 
91 
70 
785 
58 
94 
103 
72 
412 
3 
40 
6 
1 
C9 

2 

7,058 
7,608 
5,758 
994 
416 
37,  981 
8,156 
5,258 
1,135 
880 
518 
3,133 
35 
435 
2,  309 
9,  001 
1,646 

1,  584 
2,  058 
385 
83 
140 

76 
9 
6 

6,539 

6,  441 
5,603 
817 
347 
30,  668 
6,270 
4,  952 
797 
765 
476 
2,  186 

375 

1,949 
7,  8G2 
•1,  654 

1,382 
1,672 
320 
91 
126 

98 
11 
15 
6 
68 
107 
816 
62 
76 
164 
182 
175 
6 
34 
6 
4 
86 

6,817 
7,  350 
6,  102 
726 
315 
31,  815 
5,  988 
4,719 
694 
799 
557 
1,  606 
39 
364 
1,544 
8,076 
1,  351 

1,  352 
1,  939 

100 
13 
4 
3 
79 
107 
896 
49 
103 
106 
209 
122 
1 
31 
4 
4 
75 

3 

6,387 
7,215 
6,094 
726 
377 
27,  456 
4,818 
4  ™72 
437 
814 
537 
953 
20 
246 
1,247 
5,  241 
1,254 

1,123 
1,789 

81 
12 
4 
1 
64 
45 
761 
36 
37 
100 
155 
36 
3 
25 

7,102 
7,  705 
6,948 
631 
255 
32,  342 
4,207 
7,084 
427 
592 
265 
492 
11 
194 
800 
2,334 
946 

1,080 
1,673 
233 
46 
174 
3 
25 

69 
4 
4 
3 
50 
38 
654 
56 
51 
64 
112 
19 
1 
21 
1 
1 
22 

7,375 
10,  620 
8,350 
912 
262 
31,  939 
4,370 
7,  482 
678 
529 
126 
156 
6 
125 
279 
1,094 
528 

1,  019 
1,642 
176 
48 
194 

84 
7 
6 

103 
87 
725 
62 
90 
157 
133 
317 

0 

42 

2 

1 

25 

6 
4 
1 
1 

77 
41 
659 
95 
70 
37 
36 
5 

16 
1 

33 
1 

4 
3 

2 

1 
1 

285 
85 
154 

285 
59 
150 

1 

1 

o 

4 

26 

36 

293 
19 
59 
184 

28 
75 

12 
5,878 
5,792 
1,037 
239 
6 
60 
203 

612 
189 
.     19 

673 

80 
20 

70 

277 
28 
64 
121 
24 
59 

18 
6,437 
6,743 
1,203 
186 
15 
58 
266 

667 
243 

17 

958 

48 

569 
25 

78 
112 
17 
62 

8 
5,329 
5,  500 
1,048 
185 
15 
49 
193 

648 
265 
33 

1,037 
19 
91 
3 

2 

5 

8 
9 
3 

o 

4 

TO 

660 
68 
69 
113 
33 
19 

17 

4,917 
5,  142 
1,252 
234 
19 
71 
178 

769 
338 
54 

1,080 
"9 

1 

6 
5 
9 
3 

1 

43 

900 
91 
83 
122 
29 
63 

16 
3,  719 
3,  546 
900 
142 
15 
73 
114 

508 
253 

18 

773 
13 

7 

88 
34 
110 
22 
8 
20 

5 
4 
10 
2 
2 
4 

6 
4 
13 

11 

7 
12 

1 

C01 
41 
62 
118 
38 
73 

8 
2,983 
2,500 
941 
77 
5 
38 
45 

347 
182 
11 

702 
11 
61 
5 

5 
3 
8 
3 

653 

14 
58 
114 
24 
56 

7 
1,998 
1,715 
788 
89 
3 
45 
51. 

268 
128 
5 

647 
14 
45 

11 
2 
6 
3 

o 

4 

12 
9 
18 
8 
1 
1 
7 

232 
1 
3 

7 
12 
26 
11 
2 

16 
9 

18 

1 

8 
3 
21 

4 

8 
8 
11 
6 
2 

6 
2 

17 
1 

1 
2 
20 

o 

87 
67 
180 
56 
9 
3 
100 

2,014 
29 
16 

12 

245 
4 

24 

245 
o 

4 

11 

269 
3 
1 

3 

182 
3 
•> 

7 

142 

I 

98 
4 

16 
96 
17 

1 

93 

14 

71 
17 

1 

5 

114,278 

3,648 

120,  482 

3,474 

102,  711 

3,  657 

103,  660 

3,538 

87,  129 

2,  614 

87,  659 

1,988 

87,  375 

1,865 

1,169,  476 

32,  356 

298 


SICKNESS   AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  XLVIL— UNITED  STATES  ARMY— Continued. 


YEAR  

186^. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH,  (not  including  Tables  XXXII  and  XLII) 

420,671. 

345,  010. 

451,  126. 

599,  182. 

630,  692. 

LIST  OP  DISEASES. 

Cases. 

Deaths. 

Jases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

ut  forward 

80,  685 

33 

148 
1,436 
85 
25 

18 

1,865 

20 
11 

57,  417 

13 

89 
709 

1,686 

16 
i) 

85,  722 

20 
152 
960 

72 
1C 
20 

1,  995 

11 
10 

26,  209 

30 
259 
1,123 
86 
33 
33 
96 
141 
1  477 

2,802 

2o 
4 

10,  149 

ivJ 

246 
1,  410 
58 
45 
25 
216 
211 
1,783 
116 
2 
244 

38 
25 

3,224 

31 
9 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.—  Diseases  of  Nervous  System. 

r  '     '  ^ 

3 

19 
6 

33 
5 
16 

1 
7 
12 

2 
10 
10 

1 

1 

4 
o 

2 
41 
14 
3 
1 
1 
13 
1 
21 

^  f         f  B     i 

f  Brain 

«5    TUfl'J      '"  /•        f  s   '   •  1  Ch    d 

r7    N    I"!'"0  l°U  °       P1°' 

96 
1,034 

92 
286 
225 

36 
15 
1,081 
26 

85 
717 
58 
162 
145 

22 

1 

67 
9CO 
63 
98 
212 

28 

'                ^f. 

1    K' 

5 

10 

8 

6 
13 
13 

3 
3 

6 

130 

57 
279 

34 

10 
9 
14 

ORDER  II.  —  Diseases  of  Eye. 

13 

876 
36 
49 
55 

197 

15 

1  135 

1,718 
40 
76 
163 

397 
116 
50 
189 
54 

1,866 
40 
55 

l^o 

'    "  ' 

38 
80 
91 

233 

67 
89 

300 

210 
47 
159 

ORDER  III.  —  Diseases  of  Ear. 

486 
141 
51 

126 

114 
34 
111 
13 

9 

25 

71    Otorrhoea  

136 
13 

180 

19 
13 

17 

4 
87 
9 
5 
29 
23 
3 
346 
391 
88 

358 
6,080 
737 
49 
98 
527 
2,256 
1,002 
200 
1,678 

2,150 
3,749 
686 
7 
140 
1,245 
3 
160 
83 
1,046 
34 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

3 

1 
5 
1 

9 
47 
7 
o 

38 
20 
7 
306 

2 
19 

] 

18 
5 

O 

8 
6 

1 
8 
9 
2 

30 
6 
172 
318 
153 

176 
3,697 
290 
5 
62 
118 
483 
500 
91 
148 

2,459 
3,353 

7 
3 

1 
1 

26 
13 
12 
76 
207 

6 

1 
1 

30 
15 
5 
140 
206 
95 

177 
3,230 
246 
9 
50 
101 
424 
408 
115 
282 

2,304 
2,  511 

3 

402 

82.  Other  Diseases  of  this  Order     

22 

3 

o 
2 

77 

122 
2,493 
183 
10 
49 
64 
291 
278 
73 
98 

1,644 
2  221 

25 

3 
3 

25 

1 

8 
5 
1 
1 
4 
43 
4 

19 
1 

134 

270 
3,010 
460 
9 
108 
308 
1,221 
706 
181 
927 

2,914 
3,  666 
1,114 
2 
78 
1,071 

10 

1 
3 
1 
3 

11 

14 
11 
6 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
83.  Asthma  

84.  Acute  Bronchitis  

85.  Chronic  Bronchitis  

86.  Dropsy  of  Chest  

87.  Haemorrhage  from  Nose  

88.  Inflammation  of  Larynx  

3 

91 
1 

3 
60 
3 
1 
15 

9 
124 
10 
5 
17 

1 

11 
1 

7 

12 

487 
16 
4 
57 

3 
5 

89.  Inflammation  of  Lungs  

90.  Inflammation  of  Pleura  

91.  Haemorrhage  from  Lungs  

92.  Other  Diseases  of  this  Order  

11 
2 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
93.  Colic  

94.  Constipation  

95.  Cholera  Morbus  

i,  :502 

17 

1,054 

13 

1,313 

22 

96.  Cirrhosis  of  Liver  

97.  Dropsy  from  Hepatic  Disease  

84 
1,  095 

6 

47 
665 

6 

35 

801 

3 
2 

6 
1 

98.  Dyspepsia  
99.  Diseases  of  Pancreas  

100.  Diseases  of  Spleen  

88 
50 

47 
42 

80 
61 

1 

139 

101.  Fistula  in  Ano  

102.  Hernia  

773 
3U 

2 

533 
16 

701 
32 

1 

1,150 
32 

2 

2 

103.  Haemorrhage  from  Stomach  

107,  731 

2,123 

71,346 

1,907 

103,  638 

2,213 

151,  223 

3,147    140,837 

4,037 

DURING   THE    YEAR    ENDING   JUNE    30,  1803. 


299 


TABLE  XLVII.— UNITED  STATES  ARMY— Continued. 


1868. 

1863. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

725,  171. 

743,  013. 

737,  769. 

744,  780. 

711,  257. 

675,  719. 

587,  510. 

614,  325. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
CO 
61 

62 
63 
64 
65 
66 
67 

68 
69 
70 
71 

73 
74 
75 
76 

77 
78 
79 
80 
81 
82 

83 
84 
85 
86 
87 
88 
89 
90 
91 
92 

93 
94 
95 
96 
97 
98 
99 
100 
101 
102 
103 

114,278 

48 
277 
2,030 
73 
44 
32 
135 
237 
2,109 
122 

3,648 
11 

120,  482 

48 
309 

3,474 

23 
10 

102,711 

41 
297 
2  179 

3,657 

33 
17 

103,  660 

51 
293 
o  40^ 

3,538 

30 
11 

87,128 

31 
228 
2,277 
55 
52 
14 
77 
163 
1,  796 
88 
33 
158 

48 
73 

2,614 

19 
10 

87,  659 

30 
214 
2,049 
69 
32 
17 
38 
132 

1,988 

15 
2 

87,  375 

30 
140 
2,037 
47 
20 
11 
37 
102 

1,865 
17 

1,  1C9,  476 

409 
2,  652 
20  858 

32,  356 

266 
106 

3 

36 
21 
3 
2 
1 
8 

92 

58 
36 
156 
282 
2,251 
142 

1 
65 
26 
8 
4 
1 
11 

71 
56 
48 
120 
315 
2,006 
121 
3 
239 

58 
18 
1,945 

57 
41 
13 
3 
2 
14 

111 
69 
36 
134 
226 
2,  074 
131 

0 

2 
62 
25 
6 
1 
1 
10 

3 
47 
27 
3 

1 
12 

852 
455 
306 
1,009 
2,057 
18,  941 
1,  190 
1,221 
2,695 

523 

436 
210 
39 

8 
97 
48 
134 

42 

12 

1,  536 

68 
185 
112 

45 
15 

1,198 
59 
393 
210 

25 

2 
7 
8 
4 

6 
1 

7 

4 
3 
4 

234 

49 
20 
2,  135 
86 
CO 
109 

630 
199 

17 

344 

73 
44 

2,039 

18 

9 

293 

67 
38 
2,188 

13 

12 

311 

2,126 

2,184 

1,905 

21,  198 
630 
1,159 
1,283 

5,  624 
1,627 
783 
2,471 
219 

100 
1,227 
229 
119 
566 
264 
132 
3,413 
3,604 
1,093 

3,523 
60,792 
9,651 
197 
1,  032 
6,085 
21,  081 
10,  624 
2,066 
17,856 

25,111 
41,875 
8,989 
109 
1,467 
13,  626 
41 
956 
897 
10,  209 
370 

60 
68 
139 

674 
174 
120 

86 
60 
139 

697 

80 
92 

61 
151 

42 

35 

204 

197 
85 

119 

672 

99 

569 

73 

385 
64 
32 

384 
75 
45 
123 
5 

9 
115 
17 
5 
42 
20 
8 
304 
216 

171 
114 
305 

118 
98 
304 
19 

14 
211 
39 
35 
69 
20 
21 
356 
306 
66 

447 
8,221 
1,639 
30 
90 
1,  115 
3,  131 
1,  391 
294 
2,636 

1,  75C 
4,165 
338 
7 
226 
1,  461 
19 
44 
93 

119 

77 
217 
9 

12 

178 
44 

59 
25 
16 
313 

257 
78 

329 
5,680 
1,  158 
19 
78 
696 
2,156 
1,036 
207 
2,087 

1,659 
3,585 
333 
10 
162 
1  169 

90 
304 
19 

7 
12!) 
23 
10 
65 
37 
16 
348 
381 
113 

411 
8,244 
1,072 
22 
187 
621 
3,086 
1,  254 
197 
3,183 

2,413 
4,209 
526 
5 
147 
1,243 
10 
94 
100 
1,  175 
28 

321 

1 

1 

108 
6 

5 
81 
10 
7 
32 
15 
9 
236 

o 

25 

20 

o 
27 
7 
7 
4 
9 

7 
170 
39 
24 
79 
20 
15 
451 

o 

6 
4 

•  8 
6 
1 

8 
209 
41 
19 

26 
14 
365 

1 
20 
7 
3 
14 
3 

6 
23 
5 
5 
10 
2 

3 
29 
4 
5 
8 
5 

o 
12 
9 
5 
5 

1 
10 
4 
3 
5 

20 
18,") 
48 
35 
90 
47 
6 
1 

1 

397 

341 

116 

366 
7,  550 
1,  391 
14 
73 
932 
3,313 
1,  285 
188 
2,600 

1,945 

182 

15 

o 
34 

27 
4 

81 

534 
7,892 
1,  524 
13 
101 
842 
3,000 
1,504 
272 
2,925 

2,303 
4,095 

477 
28 
164 
1,421 
6 
92 
84 
1,214 
49 

10 

4 

38 

3 

13 

11 
35 
34 
3 

9 

6 

3 

18 
26 
3 
1 
9 
577 
11 
6 
12 

2 
1 
5 

54 

179 
2,873 
531 
8 
89 
494 
1,130 
736 
157 
917 

1,762 
3,541 
701 

28 
93 
1,187 

4 

38 

154 
1,822 
420 
9 
47 
267 
590 
522 
91 
375 

1,802 
3,  132 

838 
10 
105 

879 

9 

159 

29 
204 
189 
31 
3 
102 
4,769 
166 
63 
225 

17 

96 

4 

69 
11 

31 
31 
4 
1 
19 
754 
19 
11 
24 

2 
1 

14 
10 
2 

4 

18 

10 
692 
18 
9 
35 

2 

12 
782 
20 
6 
9 

15 
790 
42 
7 
13 

1 

o 

1 

5 
241 
13 

10 
6 

1 
1 
7 
o 

6 

1 

128 
9 

7 

1 
8 

1 
1 
1 

8 
1 

3,650 

288 
12 
186 
1,408 
1 
87 
89 

4 

5 

2 

7 
5 

8 

5 

2 

1 

7 

1 
1 

1 

55 
79 
686 

3 
3 

41 
76 
5?2 

8 

29 

4 

16 
9 

64 
414 
17 

2 

1 
1 

1,021 
45 

5 

964 

57 

1 

152,676 

4,691 

159,  987 

4,608 

139,475 

4,  889 

142,  557 

4,670 

117,  852 

3,483 

111,  221 

2,426 

106,  710 

2,158 

1,  505,  253 

40,  352 

300 


SICKNESS   AND   MORTALITY   OF   WHITE   TROOPS 


TABLE  XLVIL— ARMY  OF  THE  UNITED  STATES— Concluded. 


YEAH  

1863. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH,  (not  including  Tables  ICXXII  and  XLII) 

420,  671. 

345,  010. 

451,  126. 

599,182. 

630,  692. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

107,  731 

2,  123 

71,  346 

1,907 
o 

103,  638 

2,213 

151,223 

31 
1,  025 
474 
158 
46 
361 
371 
2,859 
1,  939 
995 

52 
37 
12 
4 
39 
312 
119 
65 

3,147 

3 
3 

34 
18 
5 
4 
13 
3 
9 

140  837 

4,037 

1 

8 
12 
29 
15  ' 

3 

7 
5 
24 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

78 
1,749 
347 
171 
41 
346 
421 
6,506 
1,818 
568 

61 
53 
35 
25 

590 
300 
144 
22 
417 
207 
2,027 
1,058 
C78 

14 
32 

3 

7 

12 
4 

5 
7 
o 

10 

361 

184 
67 
18 
278 
170 
1,682 
867 
505 

1 

18 

1 

7 
13 
10 
7 
5 
3 

553 

305 
110 
15 
384 
289 
1,656 
1,205 
571 

18 

27 
8 

3 
5 
13 

10 
4 
5 
7 
1 
9 

1 
1 
1 

11 

OKDEU  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

'  '    ° 

1 

o 

7 

1 

198 
71 
oo 

124 

174 
73 
45 
52 

2 
2 

129 
53 
/-3 

4 

1 

1 
2 

360 
108 
131 
52 

8 
o 

1"°    Ilydrocelo                                            

05 

47 
373 

30 
13 
57 
9 

123    Oth°r  Diseases  of  this  Order       -,  

293 
15 

4 

215 
14 

1 

228 
13 

1 

210 
26 

1 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

15 

12 

o 

8 

113 

1 

3 
35 

60 
62 

1,428 
1,280 
216 

19 
40 
13 

2,004 
1  072 

oq 

30 
7 

1,071 
710 
225 

o 
1 

4 

130.  Other  Diseases  of  this  Order          

14 

1,163 
C57 
240 
190 
1,116 

103 
G75 
30 

4 

1,015 

509 
221 
149 

742 

71 
604 
9 

1 
4 

1 
2 

ORDER  IX.  —  Diseases  of  Integumentary  System. 
131.  Abscess  

7 

6 

132.  Boils  

133.  Carbuncle  

1 

253 

134.  Whitlow  

190 
1,109 

80 
602 
25 

175 

290 

135.  Skin  Diseases  

1 

2 

1 
3 
6 

571 

216 
783 
23 

580 

244 
860 
25 

1 

CLASS    V.     WOUNDS,   ACCIDENTS,   AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
13G.  Burns  

3 

4 
8 

137.  Contusions  

5 

2 

2 
5 

1 
5 

7 

136.  Concussion  of  Brain  

139.  Drowning  

140.  Sprains  

271 

182 
46 
114 

173 
63 
127 
1 
9,  285 
323 
472 
244 
46 
442 

059 

844 
97 

141.  Dislocation  .  .  . 

67 
107 

64 
125 
8 
3,524 

409 
710 
186 
04 
344 

142.  Simple  Fractures  

1 

7 

4 
6 
1,  473 
o 

21 
37 

3 

27 
1,  083 
50 
136 
36 

30 
1 
8 
1 

152 
11 
839 
460 

318 
104 
39 
297 

4 
22 
391 
o 

8 
6 
2 
13 

3 

8 

143.  Compound  Fractures  

144.  Gunshot  Wounds  

2,  309           373 

428 

4,960 
258 
496 
87 
112 
133 

535 
1 
11 
5 

145.  Incised  Wounds  

146.  Lacerated  Wounds  

412 
94 
106 
298 

8 
8 
3 
20 

147.  Punctured  Wounds  

148.  Poisoning  

149.  Other  Accidents  and  Injuries  

22 

80 

150.  ORDER  II.  —  Homicide  

151.  ORDER  III.  —  Suicide  

3 

4 

4 

152.  ORDER  IV.  —  Execution  of  Sentence,  

Total  

122,  198 

2,  026 

85,  721 

2,569 

124,  636 

3,921 

171,  913 

4,054 

162,  439 

4,651 

DURING   THE    YEAR   ENDING    JUNE    30,  1863. 


301 


TABLE  XLVIL— ARMY  OF  THE  UNITED  STATES— Concluded. 


1862. 

1803. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCII. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

725,  171. 

743,  013.      ' 

737,  769. 

744,  780. 

711,  257. 

675,  719. 

587,  510. 

.614,325. 

104 
105 
106 
107 
108 
109 
110 
111 
112 
113 

114 
115 
116 
117 
118 
119 
120 
121 
122 
123 

124 
125 
126 
127 
128 
129 
130 

131 
132 
133 
134 
135 

136 

137 
138 
139 
140 
141 
142 
143 
144 
145 
140 
147 
148 
149 

150 
151 
152 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

152,  676 

80 
2,529 
405 
177 
81 
461 
421 
4,832 
2,143 
374 

99 
33 
60 
13 
136 
389 
133 
177 
52 
189 

36 

27 
160 
'      8 
40 
50 
24 

1,  503 
1,574 

188 
381 
695 

314 
1,138 
38 

4,691 

8 
7 
14 
2o 
18 
9 
8 
25 
1 
25 

159,987 

115 
2,  702 
380 
275 
62 
414 
362 
3,798 
2,359 
671 

158 
50 
73 
36 
147 
467 
148 
185 
73 
172 

47 
54 
171 
16 
60 
61 
32 

1,242 
1,597 
165 

4,608 

3 

2 

21 
31 
15 
4 
7 
12 

139,  475 

106 
2,390 
360 
217 
34 
338 
352 
2,612 
2  188 

4,889 

4 
6 
14 
30 
11 
10 
8 
14 

142,  557 

100 
2,467 
313 
253 
41 
363 
352 
2,414 
2,031 
602 

132 
69 
89 
18 
109 
405 
138 
168 
64 
80 

54 
48 
169 
12 
63 
47 
18 

1,133 

1,  557 
182 
403 
639 

328 
1,098 
26 

4,670 

6 
3 
28 
30 
15 
6 
12 
9 
1 
8 

117,  852 

104 
1,919 
327 
211 
38 
311 
303 
1,679 
1,784 
406 

92 

3,483 
4 

111,221 

60 
1,156 
248 
275 
25 
269 
260 
1,185 
1,546 
435 

64 
16 
48 
11 
65 
242 
54 
75 
17 
76 

24 

2,426 

106,  710 

71 
736 
258 
175 
36 
199 
194 
904 
1,446 
264 

63 
22 
28 
3 
37 
224 
47 
74 

2,158 

13 
2 
14 
22 
12 
5 
o 

10 
4 
16 

1 

1,  505,  253 

745 
18,  183 
3,901 
2,233 
459 
4,141 
3,702 
32,154 
20,  444 
6,572 

877 
445 
505 
128 
892 
3,715 
1,184 
1,289 
531 
2,098 

354 

237 
1,244 
92 
443 

488 
278 

14,  737 
15,  237 
2,226 
3,442 
8,193 

2,714 
11,  133 
295 

40,352 

44 
40 
171 
280 
159 
82 
65 
119 
19 
138 

6 
18 
37 
1 
3 
55 
16 
1 
1 
19 

o 
18 
21 
9 
8 
6 
6 
1 
6 

1 
1 
4 

19 
17 
14 

8 

6 
1 
6 

7 

1 
1 
5 

503 

123 
49 
79 
11 
139 
460 
133 
180 
61 
129 

43 
33 

157 
oo 

7 

o 
4 

8 

1 

5 

4 
1 

39 
73 
7 
95 
355 
107 
144 
40 
63 

38 
23 
169 
9 
73 
47 
4° 

2 
2 

2 

1 

7 
o 

7 
1 

7 

1 

8 
2 

7 
1 

1 

2 
1 

1 

1 

26 
40 

14 
7 
108 
3 
41 
17 
5 

1,030 
1,684 
111 
265 

2 

o 

2 

3 

2 

1 

2 

17 
118 
10 
38 
31 
25 

1,088 
1,713 
132 

1 

o 
4 
1 
3 
4 
3 

63 
3 

1 

1 

1 

74 
53 

3 

o 

32 

1,001 
1,466 
157 
348 
647 

273 
902 
11 

6 

4 

5 
I 

10 
1 

1,059 
1,412 
136 
354 
473 

277 
1,081 
16 

5 

7 

3 

400 
719 

392 
1,189 
37 

291 
441 

224 
1,219 
29 

1 

4 
3 

8 
10 

1 

1 
2 

4 
11 

461 

192 
982 
26 

G 

24 
35 
62 
124 

3 
5 
6 
5 

3 

1 
10 
04 

3 
3 
2 

G 
6 

8 

19 

2 

17 

1,093 
113 
207 
52 
13,  496 
581 
715 
143 
63 
575 

1,189 
98 
190 
28 
3,647 
713 
347 
122 
57 
407 

1,030 
91 
111 
9 
635 
526 
282 
92 
61 
370 

1  243 

1,347 

83 
142 
22 
1,381 
521 
205 
114 
45 

1  292 

860 
48 
107 
53 
3,228 
375 
183 
111 
108 
201 

10,  183 
925 
1,691 
277 
57,  395 
5,652 
4,573 
1,643 
884 
3,858 

1 
1 

8 
314 
2 
4 

81 
140 
19 
790 
621 
232 
112 
76 
321 

1 
3 
6 

220 
4 
5 

74 
169 
74 
13,  301 
437 
201 
234 
107 
210 

1 
2 

9 
1,049 
3 

7 
7 
5 
15 

8 
14 
1 

3 

35 
135 
8,773 
73 
26'.) 
110 
24 
357 

26 
92 
13 

2 
9 
1,292 
2 
49 
3 
5 
38 

4 
10 
o 

4 
7 
172 
1 
1 
o 

4 
8 
871 
1 
3 
5 
1 
40 
o 

33 
1,000 
5 
16 
1 
4 
37 
o 

4 
17 
g 

28 

260 

17 
1 
13 
3 

6 

6 
1 

11 
1 

5 

4 

188,  674 

6  294 

185,  620 

5,  864 

158.  365 

5,411 

162,  177 

5,087 

135,  278 

3,871 

138,  847 

3,670 

121,  777 

3,252    1,757,645 

51,  870 

SICKNESS.    ETC.,    DURING   TUB   YEAR   ENDING    JUNE    30,  1864.  303 


SICKNESS  AND  MORTALITY  OF  WHITE  TROOPS  DURING  THE  THIRD 

FISCAL  YEAR, 

(FROM  JULY  1,  1863,  TO  JUNE  30.  1864.) 


ATLANTIC  REGION. 

The  reports  received  from  troops  in  this  region  are  consolidated  into  statistical  tables 
for  seven  armies  or  departments,  as  follows: 

1.  The  Department  of  the  East  •  Table  XLVIII. 

2.  The  Middle  Department  -  •  Table  XLIX. 

3.  The  Department  of  Washington  -----  Table  L. 

4.  The  Army  of  the  Potomac  •  Table  LI. 

5.  The  Department  of  Virginia    -  -  Table  LII. 

6.  The  Department  of  North  Carolina  -  Table  LIII. 

7.  The  Department  of  the  South  -  -  Table  LIV. 

To  these  tables  are  added — 

8.  A  table  showing  the  mortality  in  the  general  hospitals  of 

the  Atlantic  Region  •    Table  LV. 

9.  A  consolidated  table  for  the  Atlantic  Region      -  -    Table         LVI. 

1.   THE  DEPARTMENT  OF  THE  EAST — TABLE  XLVIII. 

In  this  table  are  included  the  reports  received  from  troops  within  the  boundaries 
indicated  in  the  remarks  on  Table  XXV,  viz :  The  New  England  States  and  the  Middle 
States,  excepting  the  State  of  Delaware. 

Officially  the  Department  of  the  East  continued  throughout  the  year,  to  consist  of 
the  New  England  States,  the  State  of  New  York,  and  the  State  of  New  Jersey.  General 
J.  A.  Dix  was  assigned  to  command  July  15,  1863.  The  State  of  Pennsylvania,  which  is 
also  here  included,  was  divided  between  the  Department  of  the  Susquehanna  and  the 
Department  of  the  Monongahela,  as  has  already  been  shown.  By  General  Orders  No.  152, 
April  6,  1864,  the  Department  of  the  Monongahela  was  merged  into  the  Department 
of  the  Susquehanna.  It  has  not  been  considered  necessary  to  represent  these  departments 
by  separate  tables. 


304  SICKNESS   AND   MORTALITY    OF   WHITE    TEOOPS 

2.    THE  MIDDLE  DEPARTMENT — TABLE  XLIX. 

As  during  the  previous  year  this  table  includes  the  reports  received  from  troops  in 
the  State  of  Delaware,  the  Eastern  Shore  of  Virginia,  and  those  portions  of  the  State  of 
Maryland  east  of  Hancock,  which  are  not  embraced  in  the  Department  of  Washington. 

These  boundaries  are  essentially  those  fixed  by  General  Orders  No.  186,  June  24, 
1863.  (See  remarks  on  Table  XXVI.) 

By  General  Orders  No.  226,  July  23,  1863,  the  county  of  St.  Mary's,  Maryland, 
was  detached  from  the  Middle  Department  to  form  a  separate  military  district.  December 
21,  1863,  the  District  of  St.  Mary's  and  the  Eastern  Shore  of  Virginia  were  annexed  to 
the  Department  of  Virginia  and  North  Carolina,  and  March  12,  1864,  Fort  Delaware, 
Delaware,  was  detached.  These  changes  have,  however,  been  disregarded  in  constructing 
the  tables.  General  II.  II.  Lockwood  assumed  command  of  the  department  December  5, 
1863,  and  March  12,  1864.  General  Lew  Wallace  was  assigned  to  command. 

3.   THE  DEPARTMENT  OF  WASHINGTON — TABLE  L. 

Here  are  embraced  the  reports  from  the  garrison  of  Washington  and  the  troops  in  its 
immediate  vicinity.  The  boundaries  of  the  department  continue  to  be  those  fixed 
February  2,  1863.  (See  remarks  on  Table  XXVII.)  General  0.  0.  Augur  was  assigned 
to  command  October  14,  1863.  By  General  Orders  No.  214,  June  21,  1864,  the  Depart 
ment  was  extended  to  embrace  that  portion  of  Maryland  between  the  Patuxent,  Chesapeake 
bay,  and  the  Potomac  river,  including  the  Prisoners'  Camp  at  Point  Lookout.  This 
change  has  been  disregarded  in  the  construction  of  the  table. 

4.   THE  ARMY  OF  THE  POTOMAC — TABLE  LI. 

Subsequently  to  the  battle  of  Gettysburg,  July  1,  2,  and  3,  1863,  the  Army  of  the 
Potomac,  under  General  Meade,  crossed  into  Virginia  and  moved  towards  the  Rappahannock; 
fell  back  subsequently  to  the  line  of  the  Bull  Run — the  Second  Corps  being  involved  in 
the  action  of  Bristoe  Station  on  the  way — after  which,  again  advancing,  the  passage  of  the 
Rappahannock  was  forced  November  7th,  and  the  Mine  Run  movement  made  towards  the 
close  of  the  month;  no  considerable  operations  occurred  subsequently  until  the  following 
spring. 

March  10,  1864,  Lieutenant  General  Grant  made  his  headquarters  with  the  Army 
of  the  Potomac,  which,  on  the  3d  of  May,  crossed  the  Rappahannock  and  made  the 
campaign  by  way  of  the  Wilderness,  Spottsylvania  Court-house,  and  Cool  Arbor,  to 
Petersburg.  The  chief  engagements  were  in  the  AVildcrness,  May  5th,  6th.  and  7th;  at 
Spottsylvania  Court-house,  May  9th,  10th,  12th,  and  14th;  at  Bethesda  church,  May  30th, 
and  at  Cool  Arbor,  June  1st  and  2d.  June  14th  and  15th  the  Army  crossed  the  James 


DURING   THE   YEAR   ENDING  JUNE  30,  18G4.  305 

river,  and  on  the  16th,  17th.  and  18th,  assaulted  the  works  of  Petersburg.     The  close  of 
the  year  found  the  army  still  besieging  that  place. 

The  Eleventh  and  Twelfth  Corps  were  detached  from  the  Army  of  the  Potomac 
September  24,  1863,  and  ordered  to  the  Department  of  the  Cumberland.  The  reports  of 
these  corps  for  September  are  consolidated  with  the  Army  of  the  Potomac,  for  October 
with  the  Department  of  the  Cumberland.  The  Ninth  Corps  was  brought  from  the  Depart 
ment  of  the  Ohio  and  effected  a  junction  with  the  Army  of  the  Potomac  in  April,  1864. 
It  remained  a  separate  command  until  May  24,  1864,  when  it  was  consolidated  with  the 
Army  of  the  Potomac.  In  these  tables  the  reports  from  the  Ninth  Corps  for  March  are 
consolidated  with  the  Department  of  the  Ohio;  those  for  April,  May,  and  June,  with  the 
Army  of  the  Potomac. 

5.   THE  DEPARTMENT  OF  VIRGINIA — TABLE  LII. 

The  boundaries  of  this  Department  continue  the  same  as  during  the  previous  year. 
(See  remarks  on  Table  XXIX.) 

General  Orders  No.  217,  July  15,  1863,  consolidated  the  Departments  of  Virginia 
and  North  Carolina,  assigning  General  J.  G.  Foster  to  command.  October  28,  1863,  he 
was  succeeded  by  General  B.  P.  Butler.  In  these  tables,  however,  the  reports  from  troops 
in  North  Carolina  have  been  kept  separate. 

May  5,  1864,  the  Tenth  and  Eighteenth  Corps  were  moved  from  Gloucester  and 
Yorktown  on  transports  down  the  York  and  up  the  James  river  to  Bermuda  Hundred, 
participated  in  the  battle  of  Cool  Arbor,  and  after  the  arrival  of  the  Army  of  the 
Potomac  before  Petersburg,  in  the  operations  against  that  place. 

6.   THE  DEPARTMENT  OF  NORTH  CAROLINA — TABLE  LIII. 

As  during  previous  years  this  table  embraces  the  reports  from  troops  operating  in 
North  Carolina. 

7.   THE  DEPARTMENT  OF  THE  SOUTH — TABLE  LIV. 

As  during  previous  years  this  table  includes  the  troops  operating  on  the  coast  of 
South  Carolina  and  Georgia,  and  on  the  east  coast  of  Florida,  including  Fort  Jefferson 
and  Key  West. 

July  16,  1863,  General  Q.  A.  Gillmore  was  assigned  to  command;  May  5,  1864,  he 
was  succeeded  by  General  J.  G.  Foster. 

Besides  the  operations  against  Charleston,  which  were  protracted  throughout  the 
year,  the  most  important  movement  was  the  Florida  expedition  in  February,  1864,  which 

led  to  the  battle  of  Olustee,  February  20th. 
39 


306 


SICKNESS    AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  XLYIII. 

Abstract  of  the  Sickness  and  Mortality 


YEAR  

1803. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

14,  107. 

25,  818. 

18,  387. 

16,  505. 

12,  221. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS   1.—  ZYMOTIC   DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

48 
1 
55 

3 

1 

87 

9 

53 

14 

44 

1 
19 

5 

28 
1 

3 

14 

16 

1 

4  v^n     V 

' 

60 
99 
25 
12 

241 
106 
221 

121 
292 

1 

109 
129 

37 
73 
90 
] 

.  Quo  •  cia                      _    r 

318 
18 
3 
638 
98 
75 
3 
6 
1 

OO;L 

7.      er  ion    n  e          e       < 

16 
1 
1,387 
122 
95 

o 

1 

775 
92 
86 
16 
19 
1 
3 

2 
312 

'     °  g 

136 
69 
22 
4 
6 

1 

3 

122 

36 
19 
3 
o 

5 
1 
o 

0 

16 

17 
1 

*                                      *                      ^ 

1 

r     e    "   n                       V     • 

1 

2 

8 

71 
44 

105 
110 
11 
1 
2 
1 

3 

8 
30 
37 

138 
205 
0 

3 

7 
80 
12 

8 
34 
119 
24 

16 
33 

31 

173 
209 

1  . 

o     nPh     TV            f  tv.'   o  d  ' 

ORDER  II.  —  Enthetic  Diseases. 

182 

125 
183 

198 
36 
5 

°4    Orehitis                                                                          -   -  - 

20 
2 
6 

8 
3 

5 

3 

28   Other  Diseases  of  this  Order                                   

4 

3 

7 

14 
10 

1 
1 

5 

1 
3 

29 

10 

OUDEU  III.  —  Dietic  Diseases. 
29.  Scurvy  

18 

n 

20 
11 

1 

3 

2 
1 

31 
10 
6 

20 
10 

0 

2 

13 

Q 

1 

33.  Chronic  Alcoholism  

34.  Other  Diseases  of  this  Order  

I 

K 

CLASS   II.—  CONSTITUTIONAL   DISEASES. 

ORDER  I.  —  Diathctic  Diseases. 
35.  Gout  

1 

84 
56 
11 
3 

1 

85 

60 
8 

30.  Acute  Rheumatism  

51 
70 
13 

78 
45 
24 

75 
74 
9 

37    Chronic  Rheumatism  

39.  General  Dropsy  

1 
3 
1 

11 
4 

1 

1 

41.  Tumors  

1 
2 

13 

9 

42.  Other  Diseases  of  this  Order  

2 

24 
5 

13 

26 
5 
4 

27 

3 

15 
1 

ORDER  II.  —  Tubercular  Diseases. 

1 

4 

g 

1 

45.  Other  Diseases  of  this  Order  

CLASS   III.  —  PARASITIC   DISEASES. 
4G   Itch.  

15 

10 

21 

32 

47.  Tape-worm  -  

1 
1 

1 

48.  Other  Intestinal  Worms  

49.  Other  Diseases  of  Uiis  Order  

1  

1,8(57 

9 

3,057 

13 

2,390 

22 

1,  843 

17 

1,248 

8 

DURING   THE    YEAR   ENDING    JUNE   ;iO,  1804. 


107 


TABLE  XLYin. 

of  the  Department  of  the  East. 


1863. 

1804. 

DECEMISER. 

JANUARY. 

FEBRUARY. 

MARCH. 

AriUL. 

MAY. 

JUNE. 

TOTAL. 

14,  397. 

19,  070. 

25,  739. 

28,  018. 

19,  521. 

11,  035. 

12,  143. 

18,  080. 

Cases.  !  Deaths.  : 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1 

3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 

22 
23 
24 
25 
20 
27 
28 

29 
30 
31 
32 
33 
34 

35 
36 
37 
38 
39 
40 
41 
42 

43 
44 

45 

46 
47 
48 
49 

22 

3 

31  . 

4 

40 

9 

68 
0 
3 

17 

2 

26 

5 

7 

7 

2 

461 
9 
141 

74 
3 
7 

3 

2 

1 

1 

6 

2 

8 

1 

14 

o 

40 
31 
38 
3 

40 
40 
go 

59 
64 
40 
8 
1 
325 

o 

65 
88 
71 
14 

67 
65 
102 

2 

32 
50 
106 
13 

31 

914 
1,142 

5 

39 
97 
10 

1,397 
115 
9 
5,037 
851 
516 
87 
263 
141 
1,  062 
20 
137 
736 
1,589 

9 
1 
310 
46 

9 

1 

1 

1 
18 
1 
2 
4 
13 
29 

111 

50 
17 
o 

8 
1 

351 
83 
33 
8 
55 

1 

2 

233 
66 
31 
7 
54 
48 
208 
5 
12 

178 
21 

281 
44 
54 

1 

1 

38 
29 

3 

17 
10 
18 

54 

1 
4 
48 
04 
31 

216 
157 
18 
3 

2 

0 

29 
13 

8 

1 
58 

2 

35 
13 

279 
5 

*.o 
172 
270 
56 

169 
26*5 
31 
4 
5 

1 
5 
6 

13 
12 
10 
1 

o 
4 

21 
499 
5 
15 
152 

1 
17 

3 
1 

2 
1 

2 
4 
19 

105 
8 

95 
153 
21 
3 

1 

1 

04 
2°0 

155 

270 

53 

38 
67 

175 
148 
26 
7 

4 

283 
100 

270 

45 

184 
208 

1 

1 

49 

229 
261 
49 
5 
2 

1 
1 

1 

504 

2,  (Mil 
2,384 

4 

1 

306 
38 
4 
11 

29 

307 
40 
03 
1 
45 

40 
18 
295 
251 
92 
13 

12 
1,223 

908 
107 
3 
8 
21 
25 

4 

8 

1 

7 
2 

0 

11 

9 
C 
26 
34 

4 
3 

1 

1 

1 

12 
12 
6 

C 

2 

25 

17 
8 

2 
1 

38 
30 

7 

3 

35 

48 
7 

0 

2 

2 

18 

28 
10 

20 

18 
4 
1 

24 
21 

9 

187 
81 
18 

1 
63 

92 

1 

80 
80 

1 

148 
89 

146 
68 
19 

102 

64 
91 

7 

136 

12 

1 
3 

10 
9 

1 
3 

1 

4 
1 

18 
9 
1 

71 

1 
1 

1 
o 

4 

1 

2 

20 

8 

3 

9 
11 

4 

4 

13 
11 

1 

17 
10 
1 

29 

4 

11 
1? 

o 

187 
94 
0 

400 
5 
43 

28 

20 

50 

85 

39 
1 
1 
3 

49 

— 

1 

1 
35 

1 

1 

3 

1 

1 

3 
1,443 

1,001 

9 

1,836 

16 

2,391 

30 

3,081 

47 

2,446 

20 

1,  378            10 

9 

23,  981 

210 

308 


SICKNESS   AND    MORTALITY    OF   WHITE   TROOPS 


TABLE  XLVIIL—  DEPARTMENT  OF  THE  EAST— Continued. 


YKAI;  

1803. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

14,  107. 

25,  818. 

18,  387. 

16,  505. 

12,  221. 

LIST  OF  DISEASES. 

Cases. 

deaths. 

Cases. 

ieaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases.    Deaths. 

1,867 

9 

3,057 

1 
26 
47 

13 
1 

2,390 

1 
14 
41 

22 
1 

1,843 

1 

24 
13 

17 

1 
1 

1,248 

8 

CLASS    IV.  —  LOCAL.    DISEASES. 

ORDER  I.  —  Diseases  of  Nervous  System. 

13 

80 
1 
1 

1 

11 
16 
1 

'     l      ]  ?| 

o'  T  Ca  •+  . 

1 

3 
o 

2 

1 

2 

r'         °     *               "                     f    Af    "      1                                                  ' 

J'  j"^"1"         ''°f  c  C-J,i  Cord 

2 

2 
5 

28 

•r'  N 

4 
58 
6 
35 
2 

4 
29 

1 
10 

r                     . 

29 

^  '              _g. 

5 
19 
1 

5 

3 
1 

1 

1 

1 
5 

5 

2 

ORDER  II.  —  Diseases  of  Eye. 

2 

21 

20 

32 

18 
6 

1 
2 

18 

f  t  T              f             '  J     ° 

1 

1 

3 

3 

OUDER  III.  —  Diseases  of  Ear. 

12 
2 
2 

3 
2 

8 

2 

7 
3 
3 

19 

1 
3 
1 

3 

o 

'  '  "  ^  n  a  °n  °  n    a 

~i 

14 

7 
4 

1 
8 
1 
1 
1 
] 

6 
12 

•                          •    r> 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

1 
3 

74    Valvul-  r  Diseas    of  Heart 

5 

15 

o 

1 
1 

2 

2 

5 

78    I  itV           f         f  F    1 

I 

79    Inflammation  of  V  in 

1 
1 
4 

7 
6 
5 

4 
40 
13 

3 

7 
4 

4 
74 
17 
2 

2 
6 

7 
5 

6 
3 

2 

245 

4 

9 
94 
25 

2 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
83.  Asthma..   .                                       

7 
80 
11 
1 
1 
1 
17 
1° 

84.  Acute  Bronchitis                               

85.  Chronic  Bronchitis          

23 

86.  Dropsy  of  Chest                             

1 
1 

87.  Haemorrhage  from  Nose 

o 

o 

88.  Inflammation  of  Larynx                               .               ... 

12 

13 

50 
16 
2 
23 

1 
3 

89.  Inflammation  of  Lung's                  .   .                    

17 
10 
3 
6 

77 
71 
33 

20 
12 

3 

2 

40 
14 

90.  Inflammation  of  Pleura 

91.  Haemorrhage  from  Lung's  . 

5 
3 

44 

68 
8 

1 

53 

92.  Other  Diseases  of  this  Order  

5 

106 
101 
27 

ORDER  VI.—  Diseases  of  Digestive  Organs. 
93.  Colic  

27 
76 
7 
1 
1 
45 

10 
54 

94.  Constipation  

95.  Cholera  Morbus  

96.  Cirrhosis  of  Liver  

97.  Dropsy  from  Hepatic  Disease.  ..   . 

8 
23 

4 
38 

13 
30 

98.  Dyspepsia  

30 

99.  Diseases  of  Pancreas  

100.  Diseases  of  Spleen  

101.  Fistula  in  Ano  

1 

27 

3 

18 
1 

1 
24 

3 

21 

102.  Hernia  

17 

103.  Haemorrhage  from  Stomach  

Carried  forward  

2,427 

11 

3,  765 

22 

2,902 

25 

2,  419 

25 

1,854 

13 

DURING   THE   YEAR   ENDING   JUNE    30,   18G4. 


309 


TABLE  XLVIIL— DEPARTMENT  OF  THE  EAST— Continued. 


1803. 

1804. 

DECEMBER. 

JANUARY. 

FEIiRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

14,  397. 

19,  070. 

25,  739. 

28,  018. 

19,  5'21. 

11,  035. 

12,  143. 

18,  080. 

50 
51 

53 
54 
55 

56 
57 
58 
59 
60 
61 

62 
63 
64 
65 
66 
67 

68 
69 
70 
71 

73 
74 
75 
76 
77 
78 
79 
80 
81 
82 

83 
84 
85 
86 
87 
88 
83 
90 
91 
92 

93 
94 
95 
96 

97 
98 
99 
100 
101 
102 
103 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1,001 

9 

1,836 

1C 

2,391 

1 
19 

86 
5 

30 

1 

3,081 

1 

26 
94 

47 

1 

1 

2,446 

2 

15 

56 

26 

1,378 

10 

1,443 

2 

17 
61 

1 

9 
1 

23,  981 

9 
199 
633 
19 
7 
15 
8 
45 
47G 
33 
65 
42 

13 
10 
459 
17 
16 
35 

12 
67 
35 
176 
69 

6 

103 
4 
2 
21 
7 
2 

100 
55 

216 

6 
4 

16 

*.8 

2 

1 

13 

78 
2 
1 
2 
1 
o 

5 
33 
1 

1 

2 

1 
8 
9 
2 

1 

1 
1 

1 
3 
2 
11 

70 
3 

1 
3 

2 

o 

2 

4 

3 

1 

1 
3 

°7 

1 

3 
45 
3 

2 
67 
1 

1 
37 
1 
1 
4 

9 
33 
3 
8 
3 

1 
3 

40 

34 

1 

1 
1 
4 

1 

3 

3 

1 
63 
2 

1 

7 
o 

1 

7 

o 

2 

2 

24 

1 
40 
3 
3 
2 

1 

72 

1 
64 
1 
1 
6 

1 

47 
2 

3 
1 
2 

1 

2 

1 
6 

1 
4 

10 

7 
1 
6 
15 

1 
4 

14 
3 
18 
12 

10 

1 
34 
4 

7 
6 
33 

9 
13 

f>0 

5 

2 

14 

11 
1 

1 

12 

1 

10 

1 

5 

2 

9 
o 

1 

3 

14 

1 
1 

15 

10 

1 

3 
1 

0 

3 

3 

1 

1 
1 

1 
6 
5 

1 

1 
1 

3 
1 

1 

3 

0 

8 

17 
6 
o 

12 

14 
8 
o 

8 
513 

57 

17 
1 

11 
4 
3 

19 
64 
53 

1 

1 

1 

6 
290 
92 

25 
oo 

4 

4 
252 
25 
o 

5 

7 
47 
22 
5 
23 

17 
51 
16 

5 

117 
69 

629 
75 

o 

538 
70 

3 

o 
1 

o 

1 

2,942 
530 
5 
38 
331 
845 
291 
47 
317 

543 
1,339 

129 

10 
1 
1 
1 
5 
92 
o 
1 
39 

3 

179 
163 
57 

3 
22 
169 
46 
o 

10 
40 
151 
41 
5 
52 

39 

238 
0 

7 
39 

0 

1 

0 

13 

19 

7 
31 
J4 
5 

27 

34 

77 

1 

20 
2 
1 
38 

110 
34 
5 

49 

20 

24 

5 

30 
13 
7 
6 

49 
104 
04 

2 

2 

27 

68 
149 
o 

1 

43 

46 
124 

200 
2 

1 

1 
33 
539 

2 
4 
21 
245 
7 

2 
35 

0 

3 
1 
10 

1 

42 

2 

67 

1 
5° 

1 

58 

77 

42 

1 
o 

3 

3 
14 
1 

1 
36 
2 

o 

1 

]9 

°T 

9 

1 

1 

1 

1,706 

14 

3,556 

39 

3,891 

G3 

4,733 

121 

3,664 

59 

2,014 

18 

2,  116 

13 

35,  047 

423 

310 


SICKNESS    AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  XLVIIL— DEPARTMENT  OF  THE  EAST— Concluded. 


YEAU  

18(33. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

14,  107. 

25,  818. 

18,  387. 

16,  505. 

12  221. 

LIST  OF  DISEASES. 

Cases. 

deaths. 

Cases. 

deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

deaths. 

2,427 

11 

3,765 

6 
23 

22 

2,902 

25 

2,  419 

1 

47 
7 

25 

1,  854 

3 

G4 

13 

OCDKii  VI.  —  Diseases  of  Digestive  Organs  —  Continued. 

49 
1 
8 
o 

37 

7 

5 

0 

1 

"rt"                     f  V*  't 

1 
°1 

o 
10 
5 

1 

1 
3 
16 
29 
9 

3 
1 

2 
8 
44 
45 
y 

o 

0 

1 
14 

O*7 

25 

15 

41 
20 

1 
1 

20 
5 

O"? 

OHUER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

3 

1 
2 

1 

118    Diseases  of  Testis                         

5 

8 
5 
3 

3 
1 

0 

11 
1 
6 
2 

0 

1 

2 
1 

1 

3 
3 

3 

122    Hydrocele    

123    Other  Diseases  of  this  Order     

3 

3 

1 

OIIDEU  VIII.  —  Diseases  of  Bones  and  Joints. 

1 
1 
1 
3 

4 

4 

2 

7 

2 

2 

3 

1 

88  . 
170 
18 
36 
15 

14 
71 
1 

ORDER  IX.  —  Diseases  of  Integumentary  System. 

Of^ 

50 
76 
10 
7 
4 

7 
5° 

57 

52 

132   Boils 

20 

31 
8 
8 
23 

11 
4° 

43 
1 
8 
21 

133.  Carbuncle 

9 
9 

24 

134.  Whitlow  ..     .           

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

OKDEII  I.  —  Wounds,  Accidents,  anil  Injuries. 
136.  Burns  

6 
45 
1 

137.  Contusions  

43 

138.  Concussion  of  Brain  

1 

139.  Drowning  

1 

3 

1 

140.  Sprains  

24 
2 
47 

45 

30 
1 
3 

28 
6 
8 
1 
135 
18 
9 

34 

0 

141.  Dislocation  

4 
9 
1 

44 

22 

142.  Simple  Fractures  

7 

143.  Compound  Fractures  

144.  Gunshot  Wounds  

266 
15 
15 
11 

3 

2 

124 
13 
o 

1 

3 

2fi 
19 
17 

0 

o 

145.  Incised  Wounds  

146.  Lacerated  Wounds  

6 
2 
2 
4 

147.  Punctured  Wounds  

1 
1 

22 

8 
1 
8 

148.  Poisoning-  

149.  Other  Accidents  and  Injuries  

5 

1 

1 

3 

1 

150.  ORDER  II.  —  Homicide  

151.  ORDER  III.  —  Suicide  

152.  OUDEU  IV.—  Execution  of  Sentence  

Total  

3,  115 

16 

4,492 

28 

3,478 

27 

2,957 

29 

2,  295 

17 

DURING   THE    YEAR   ENDING   JUNE    30,  1864. 


311 


TABLE  XLVIIL—  DEPARTMENT  OF  THE  EAST— Concluded. 


1803. 

1804. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE.                    TOTAL. 

14,  397. 

19,  070. 

25,  739. 

28,  018. 

19,  521. 

11,  035. 

12,  143. 

18,  080. 

Cases. 

Jeaths.  • 

Cases. 

Deaths. 

3ases. 

ieaths. 

3ases. 

)eaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

2ases. 

ieaths. 

Cases. 

Deaths. 

104 
105 
106 
107 
108 
103 

no 

111 
112 
113 

114 
115 
116 
117 
118 
119 
120 
121 
122 

,706 

3 

103 
3 
1 
1 
3 

14 

3,556 

1 
223 
3 

0 

39 

,891 

63 

.733 

1 

256 
1 

1 

121 

3,664 

1 
159 
1 
1 
2 
1 

59 

2,014 

18 

2,116 

13 

35,  047 

16 
1,319 
41 
26 
9 
49 
26 
182 
429 
338 

23 

12 
13 
10 
29 
54 
24 

423 

238 

75 

45 
2 
3 



9 

1 

1 
2 

5 

3 

2 

1 

1 
1 

2 

1 

6 
1 

15 
63 

42 

2 
2 

7 
38 
20 

4 
12 

9 
22 
1 

6 
37 

74 

4 
4 
4 

14 
27 
53 

1 
1 
2 

5 

36 
68 

5 
1 

44 
10 

2 

2 

1 

3 

1 

o 

2 

8 
6 
3 
3 
16 
o 

o 

4 
3 

o 

9 
10 
1 
12 

1 
4 
3 
9 

1 
2 
1 
4 

4 
1 
o 

1 

4 

1 

4 
7 

69 
17 
44 

8 
7 
43 
4 
7 
20 
12 

531 
752 
94 
212 

1 
23 

1 

3 
4 

1 
4 
3 
1 

1 
3 

4 

1 

2 

1 

1 
5 

1 

2 

1 
4 

1 

124 

126 
127 
128 

[0( 

130 

131 
132 
133 
134 
135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
14, 
14 
14 
14 
14 

15 
15 
15 

1 

1 

3 

6 

3 

o 
1 

64 
46 

13 

25 

12 
67 
1 

1 

2 

o 

4 

5 
1 

46 
82 

1 
3 

32 

1 

1 

5 

24 
64 

25 

78 
6 
29 

1 

40 
33 

8 
20 
71 

6 
58 
o 

18 
53 
6 
14 

54 

5 

64 

1 

56 
10 
10 
107 

8 

77 

16 
29 
86 

4 

90 

°9 

67 

11 
89 
4 

113 
12 

610 

101 
806 
10 

108 

1 
3 

1 
1 

2 

11 

1 

1 

43 

1 
7 

96 
4 
5 
1 
35 

65 

71 
4 
11 
4 
37 
41 
oo 

79 
10 
9 

75 

76 

666 
38 

JOO 

7 
1 

29 

24 
7 

5 

4 

13 
917 
259 
172 
64 
15 
136 

44 
20 
17 

10 

1 

1 

3 

1 

o 
2 

27 
25 
9 
8 
2 
5 

34 

!oo 

18 
3 

00 

2G 

1 

20 
2 

1 

5 

2 

1 



6 
1 
4 

1 
1 
1 

1 

5 
6 
4 

1 
3 

C 

7 

43 

30 

1 



2 

1 

1 

2 

1 

5 

0 

2,253 

17 

4,469 

42 

4,849 

74 

5,730 

130 

4,450 

67 

2,591 

22 

2,717 

1C 

43,  396 

485 

312 


SICKNESS    AND   MORTALITY    OF   WHITE   TROOPS 


TABLE  XLIX. 

Abstract  of  the  /Sickness  and  Mortality 


YEAR  

18G3. 

MONTH  

JULY. 

AUGUST. 

SEI'TEMBER. 

OCTOBER. 

NOVEMBER. 

7,  529. 

6,  560. 

6,002. 

6,509. 

10,  497. 

LIST  OP  DISEASES. 

Cases. 

Deaths. 

Cases.   I  Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS    1.—  ZYMOTIC    DISEASES. 

OKDEH  I.  —  Miasmatic  Diseases. 

23 

18 

3 

14 

4 

1 
oo 

1 
1 

9 

1 

11 

1 

o 

30 

29 

1 

3.  Typho     a  a 

'     e  °™  ' 

42 
43 
31 

59 
76 
21 
19 

o 

56 
112 
39 

2 

15 
113 

81 
5 

50 
67 
71 
1 
1 
131 
26 
9 
3 
16 
17 
2 

m'   eu 

1 

8 
184 
16 

27 

326 
51 
42 
2 
9 

2 
2 

1 

230 
23 
26 
6 
5 

98 
28 
16 
7 
17 
10 
3 

'     °      . 

5 
1 

2 
1 

2 

' 

'            .    ^         J 

'       r°.  10     JS         y 

7 

^  I/              d  V     '  1  "d 

2 

1 

'  '  "ia     P°X 

3 

3 

3 

11 

7 

1 

o 

o 

3 

6 
97 
9 

79 
77 
1U 

6 

3 

4 
28 

r    .                 , 

4 

39 

49 
7 

ORDER  II.  —  Enthetic  Diseases. 
2°    Syphilis                             

36 
53 
5 

37 
48 
3 

56 
59 
5 
o 

24    Orchitis           

25    Stricture  of  the  Urethra  

1 

26   Purulent  Ophthalmia     

2 

27.  Serpent  Bite               

28.  Other  Diseases  of  this  Order  

3 

1 

OKDER  III.  —  Dietic  Diseases. 
29    Scurvy 

29 

7 

12 

4 

30   Purjmra                                                     

1 
3 

1 
4 

3 

4 

4 
1 
3 

3 

8 
1 
3 

3 
1 

33.  Chronic  Alcoholism       

34.  Other  Diseases  of  this  Order         

CLASS    II.—  CONSTITUTION  AL    DISEASES. 
ORDEU  I.  —  Diathetic  Diseases. 
35.  Gout  

51 

30 

00 

19 

54 

43 

39 
14 
1 

36 
6 

24 

15 

38.  Anaemia  

17 

8 
2 

17 

39.  General  Dropsy  

40.  Cancer  

41.  Tumors  

42.  Other  Diseases  of  this  Order  

1 

2 

o 

ORDER  11.—  Tubercular  Diseases. 
43.  Consumption  

3 

2 

2 

8 

5 

44.  Scrofula  

0 

8 

45.  Other  Diseases  of  this  Order  

CLASS    III.  —  PARASITIC    DISEASES. 
46.  Itch  

50 

7 

24 

17 

31 
1 

47.  Tape-worm  

48.  Other  Intestinal  Worms  

49.  Other  Diseases  of  this  Order  

Carried  forward  

697 

7 

830 

10 

731 

9 

713 

5 

877              5 

DURING    THE    YEAR   ENDING    JUNE    30,  1864. 


313 


TABLE  XLIX. 

of  the  Middle  Department. 


18G3.                                                                                              18(3-1. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

11,191. 

10,  797. 

10,  005. 

15,  819. 

7,  736. 

6,860. 

7,  800. 

8,  941. 

Cases. 

Deaths. 

Cases. 

Deaths.     Cases.  '  Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

1 

3 

4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 

22 

26 

27 
28 

29 
30 
31 
32 
33 
34 

35 
36 
37 
38 
39 
40 
41 
42 

43 

44 
45 

4C 
47 
48 
49 

11 

4 

15 

1 

7 

2 

19 

3 

1 

5 
1 
7 

16 
1 
14 

1 
1 

150 
14 
150 

20 

15 

8 

1 

7 

8 

7 

72 
5fi 
38 
7 
5 
199 
16 
18 
1 
23 
39 

50 
60 
37 
3 
8 
154 
13 
11 
1 
21 

61 
36 
25 
17 
o 

174 

85 

47 
89 
40 
2 

40 
20 
70 
1 
1 
142 

60 
50 
76 

637 
812 
604 
56 
25 
2,451 
251 
413 
24 
205 
169 

3 

45 
261 

4 
1 

90 

75 

1 

1 

1 
3 

7 

1 

137 

93 

583 
19 
187 
3 
12 

1 

13 

8 

14 
13 

11 
1 

4 

4 

14 

30 

*.O 

94 

26 

1 

1 
16 
3 

4 

34 
11 

5 

12 
65 

0 

1 

1 

1 

0 

2 
2 

5 

11 

1 

58 

1 

7 
101 
2 

99 
135 
26 
3 

1 

„ 

5 
17 
139 
107 

66 
36 

15 

1 

9 
°2 

8 
33 
30 
16 

24 
27 

2 

5 

% 

55 
42 

110 

131 

129 

40 
12 

58 
55 
11 
1 
3 

709 
436 

785 
821 

122 

33 

80 
65 
10 

1 

1 

1 

77 

140 
11 

1 

14 
2 

6 

125 

3 

13 
13 

1 

6 

1 

1 

5 

56 
3 
43 
67 
19 
3 

1 
647 
453 

o 

2 
3 
1 

1 

3 

0 

4 
7 
2 

7 
16 

9 
6 

4 
4 
3 

1 
2 
3 

2 

1 

1 

1 

1 
36 
33 
6 

92 
57 
14 

79 
44 
6 

100 
44 
3 

r~ 

68 
48 
1 

44 
10 
5 

49 
4 

101 
5 
1 

5 

8 

49 
29 

1 
1 
1 

8 

„ 

2 

1 

5 

5 

1 

7 

2 

4 
5 

4 

3 

1 
o 

5 

3 

47 

47 

44 

°7 

10 

19 

346 
3 
1 

1 

1,110 

9 

1,056 

14 

1,026 

4 

1,404 

4 

837 

4 

686              5 

1,328 

7 

11,  295 

:-:, 

40 


314 


SICKNESS   AND   MORTALITY    OF    WHITE    TEOOPS 


TABLE  XLIX.— MIDDLE  DEPAETMENT— Continued. 


YEAR  18G3' 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

7,  529. 

6,  560. 

C,  002. 

6,  509. 

10,  497. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

697 

7 

830 

10 
1 

731 
1 

9 
1 

713 

5 

877 

5 

CLASS    IV.  —  LOCAL    DISEASES. 

ORDEU  I.  —  Diseases  of  Nervous  System. 

7 
32 

7 
18 
1 

36 
1 

14 

7 

1 

7 

1 

26 

3 

9 

1 

3 

15 

58*  \  urif  i-i 

12 

oo 

rn     T>     .   1     8- 

3 
10 
1 

1 

1 

ORDER  II.  —  Diseases  of  Eye. 

18 

17 

15 

18 

8 
1 
1 

2 

ORDER  III.  —  Diseases  of  Ear. 

19 

9 
1 

1 

6 

0 

4 

6 
3 

1 

o 

5 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

1 
3 

1 

1 

6  * 

1 

1 

1 

5 

2 

8 
6 

6 
o 

4 
5 

81.  Varicocelc  

2 

1 

1 
35 

10 

82.  Other  Diseases  of  this  Order      

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
83.  Asthma  

o 

1 

37 

7 

2 

31 
16 

12 

84.  Acute  Bronchitis 

19 
1 

126 

85.  Chronic  Bronchitis  

17 
1 
o 

86.  Dropsy  of  Chest  

87.  Haemorrhage  from  Nose  

1 
3 
5 
1 

1 

88.  Inflammation  of  Larynx                .     ..         

1 
4 
5 

o 

4 
17 
13 

1 

89.  Inflammation  of  Lungs  

o 

2 
13 
3 

2 

7 
5 
1 

2 

90.  Inflammation  of  Pleura  

1 

91.  Hsemorrhage  from  Lungs  

3 

92.  Other  Diseases  of  this  Order  .  . 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
93.  Colic  

27 

11 

61 

13 
19 

10 
55 

10 
57 

94.  Constipation  

108 
39 

95.  Cholera  Morbus  

14 

1 

96.  Cirrhosis  of  Liver  

97.  Dropsy  from  Hepatic  Disease  ! 

1 
9 

98.  Dyspepsia  

40 

17 

2 

16 

99.  Diseases  of  Pancreas  

100.  Diseases  of  Spleen  

101  .  Fistula  in  Ano  

1 
6 

1 
2 

I  

1 
9 

102.  Hernia  

0 

103.  Haemorrhage  from  Stomach  

Curried  forward  

1,118 

10 

1,071 

12 

911 

12 

898 

7 

1,245 

7 

DURING   THE    YEAR    ENDING    JUNE   30,  1864. 


315 


TABLE  XLIX.— MIDDLE  DEPARTMENT— Continued. 


1863. 

1864. 

DECEMBER. 

JANUARY. 

FEHKUAUY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

11,  191. 

10,  797. 

10,  005. 

15,  819. 

7,  726. 

6,  860. 

7,800. 

8,  941. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases.    Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

50 
51 

53 
54 
55 
56 
57 
58 
59 
60 
C<] 

62 
63 
64 
65 
66 
67 

68 
69 
70 

71 
72 

73 
74 
75 

70 
77 
78 
79 
80 
81 
82 

83 
84 
85 
86 
87 
88 
89 
9C 
91 
92 

93 

94 
95 
96 
97 
98 
99 
100 
101 
102 
103 

1,110 

9 

1,056 

14 

1,026 

4 

1,404 

4 

837 

4 
1 

686 

5 

1,328 

7 

11,295 

1 
47 
312 
14 
11 

83 
3 

2 
25 
3 

10 

3 

20 

4 

28 

3 

29 
2 

4 
33 
2 
3 

5 

4° 

1 

1 

1 
1 

1 

1 

1 

1 

3 

1 

1 
1 
18 
3 

2 
9 

217 

1 

11 
2 

1 

28 

24 

20 
1 

14 

18 

1 

1 

1 

13 
12 
6 

7 

2 

1 

2 
o 

1 

1 

1 

1 

2 

17 
2 
1 
2 

3 

27 
1 
2 

15 

28 

21 

00 

23 

2°9 

1 

0 

1 

6 
]0 
4 

38 

29 

1 

1 
o 

5 

o 

7 
3 
11 
2 

4 
1 
7 
1 

1 
o 

3 

1 
13 
6 

4 
13 

8 

17 
57 
°2 

5 

1 

1 

1 

2 
13 
7 
8 
3 
7 

it 

3 
1 

1 
1 

3 

1 

o 
1 
1 
1 
1 

1 

1 

1 

1 

1 

10 
9 

4 
5 

4 
o 

2 

3 

41 
31 
3 

34 
1,036 
175 
3 
12 
67 
219 
156 
26 
96 

179 
goo 

o 

5 
1G2 
13 

3 

172 

26 

o 

2 
103 
27 

137 
19 
1 

1 

124 
36 

45 

45 
1 
1 

1 

2 

1 
13 
13 
14 
1 
4 

9 

88 
1 

7 
12 

11 
29 
15 
4 

12 

14 
45 
24 

4 

28 
19 
4 
10 

17 
Cl 

1 

12 
9 
1 
3 

15 
56 
6 

1 

1 
34 

o 

1 

4 

1 

4 

G 

49 
30 
3 
42 

10 

2 

8 
8 
3 
20 

29 

1 

10 
109 
4 

17 
117 

11 

84 

107 
31 

1 

108 

1 

2 

18 

3 

193 

18 

18 

8 

9 

17 

21 

1 

1 
7 

1 

9 

1 
10 

1 

f. 

1 
2 

o 

I 

4 

11 

66 

1,575 

16        1,567 

19 

1,  567 

13 

1,932 

15 

1,228 

9 

945 

11 

1,721 

8 

15,  778 

139 

316 


SICKNESS    AND    MORTALITY    OF   WHITE    TROOPS 


TABLE  XLIX.— MIDDLE  DEPARTMENT— Concluded. 


YEAR  

1863. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

7,  529. 

6,  560. 

6,  002. 

C,  509. 

]  0,497. 

LIST  OF  DISEASES. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases,  j  Deaths. 

«  t  forward 

1,118 

1 

13 
2 
1 

10 

1,071 

12 

911 

12 

808 

7 

1,245 
o 

7 

OUDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

11 
3 
1 
.     i 

OK 

59 
1 

51 

o 

1 

1 

1 

2 

1 

1 

1 

7 

1 

110.  Chrome 

31 
42 

12 
9 

8 
18 
7 

9 

15 

16 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs.    • 

1 

1 
1 
1 

7 

1 
2 
o 

0 

3 

3 
1 

5 

1 

123    Other  Diseases  of  this  Order       

1 

OuuEB  VIII.  —  Diseases  of  Hones  and  Joints. 

1 

1 
] 

1 

1 

3 

1 

1 

1 

1 

130.  Other  Diseases  of  this  Order     

ORDEU  IX.  —  Diseases  of  Integumentary  System. 

19 
33 

17 
35 
1 
2 

20 

16 
17 

4 

39 
26 
4 
6 
10 

9 

132.  Boils  

31 
1 
G 
1 

133.  Carbuncle            .                                       

134.  Whitlow  

3 
I 

8 
16 

135.  Skin  Diseases  

11 

1 

17 

CLASS    V.     WOUNDS,   ACCIDENTS,   AND 
INJURIES. 

OilDEit  I.  —  Wounds,  Accidents,  and  Injuries. 
136.  Burns.  . 

4 
5 

137.  Contusions  . 

7 

13 
1 

1 

1 

140.  Sprains  

10 
1 

0 

7 

11 

27 

2 

142.  Simple  Fractures 

9 

2 
1 
1 
10 
1 
2 

7 

143.  Compound  Fractures  .. 

1 

9 
4 

1 

6 
3 
1 

1 

1 

144.  Gunshot  Wounds... 

280 
1 
2 
1 

43 

] 

1 

10 
6 
4 

4 

145.  Incised  Wounds  

146.  Lacerated  Wounds  

147.  Punctured  Wounds  

2 

148.  Poisoning  

2 

149.  Other  Accidents  and  Injuries  

1 

150.  OUDER  II.  —  Homicide  

1 

151.  Ol'.DUi:  III.—  Suicide  

152.  ORDER  IV.  —  Execution  of  Sentence  

Total  

1,589 

55 

1,  214 

15 

1,062 

17 

1,088 

10 

1,523 

8 

DURING   THE    YEAR    ENDING    JUNE    30,  1804. 


317 


TABLE  XLIX.— MIDDLE  DEPARTMENT— Concluded. 


1863. 

1864. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE.                     TOTAL. 

11,  191. 

10,  797. 

10,  005. 

15,  819. 

7,  726. 

6,  860. 

7,  800. 

8,  041. 

104 
105 
10(3 

Cases.    Deaths. 

Cases.    Deaths 

Cases.    Deaths. 

Cases. 

deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths.  ||     Cases.      Deaths. 

1,575 

16 

1,567 

0 

19 

1,567 

13 

1,932 

15 

1,228 

9 

945 

11 

1,721 

8 

15,  778    - 

5 

706 
15 
13 
3 
14 
10 
105 
258 
°7 

139 

102 

86 
3 

113 
1 

113 

75 

42 
1 
1 
1 
2 
1 
5 

16 

0 

1 

o 
3 
2 

107 
108 
109 
110 
111 
112 
113 

114 
115 
11(5 
117 
118 
119 
120 
121 
122 
123 

124 
125 
126 
127 
128 
129 
130 

131 

132 
133 
134 
135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
14G 
147 
148 
149 

150 
151 

152 

8 

i 

1 

1 
3 

9 
30 

o 

1 

1 

4 
29 
2 

1 

3 

1 

1 

1 
3 

18 

1 

1 
19 

35 

3 

14 

30 
1 

1 

o 

o 

9 
1 
1 
1 
3 
24 
8 
19 
8 
7 

8 
5 
14 

1 

2 
o 

1 
3 

3 

1 
4 
3 
1 
2 

1 

3 
1 
4 
o 

1 
1 

3 

1 

4 

3 

1 

1 
4 

1 

2 

3 

„ 

1 
] 

5 
2 

205 
413 
23 

1 
1 

14 
29 
3 
8 
18 

5 
13 

1 

1 

20 
43 

29 
43 

8 
45 
2 
9 
9 

4 
16 

1 

C 
39 
2 
9 

27 

3 

39 

7 
35 

10 
37 
1 
2 

"       " 

2 
6 
29 

4 
32 

] 

10 

7 
35 

5 
15 

1 
30 
1 

58 
153 

47 
254 

1 
31 

3 

3 

1 

1 

7 

40 
3 

I 
4 
23 
5 

8 

35 
f> 

39 

36 
1 
2 

27 
1 
2 

21 

21 
3 

079 

15 
32 
5 
340 

ior> 

"7 

3 

1 
1 
7 
11 

6 

1 

52 

1 

13 

1 

1 

7 
13 

1 

4 
4 
4 

6 
5 

o 

o 
7 
1 

6 

1 
1 
3 
1 

19 
6 
11 

1 

o 
5 

o 

3 

2 

1 

3 

1 

3 

2 

1 

] 

1,948 

20 

1,877 

25 

1,861 

15 

2,284 

16 

1,  506 

11 

1,157 

17 

1,935 

9 

19,  044 

218 

318 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TAELE  L. 

Abstract  of  the  Sickness  and  Mortality 


YEAR  

1863. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

27,  657. 

31,  788. 

30,  902. 

28,  998. 

33,  964. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

CLASS  1.—  ZYMOTIC    DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

138 
o 

22 

187 
245 

20 
1 
7 

181 

29 

87 

20 

02 

10 

115 

127 

13 

189 

6 

41 

2 

153 
16G 
193 

473 

718 
477 
17 
5 
1,914 
116 
399 
30 
14 

2 

586 
724 

o 

251 
508 
650 

183 
489 
947 
57 
5 
1,113 
111 
209 
26 
35 

2 

659 

15 

15 
11 
1,541 
140 
325 
52 
7 
5 
2 

127 
17 
829 
63 
183 

3 
4 

1 

1 

1 

1,330 

78 

1 

1 

o 
5 
1 
1 

2 

352 
13 

9 

6 
3 

2 
1 

3 

17 
2 
4 

1 

4 
4 
3 
21 
10 
298 

1*5.  Measles                                   

17.  Scarlet  Fever         

18.  Diphtheria 

8 
20 
24 

22 
19 
31 

71 

152 

1 

25 

17 
17 
74 

1C8 
136 
17 
5 

6 

22 
13 

.83 
46 

142 

o 
1 

3 

27 

99 
138 
24 
6 
4 
1 

1 

24 

241 

244 
°8 

1 

ORDER  II.  —  Enthctic  Diseases. 
22.  Syphilis  

175 
17 
4 
o 

145 

24.  Orchids  

32 

25.  Stricture  of  the  Urethra  

3 

4 

9 

2G.  Purulent  Ophthalmia  

27.  Serpent  Bite  

28.  Other  Diseases  of  this  Order  

6 
8 

4 
1 

ORDER  III.  —  Dietic  Diseases. 
29.  Scurvy  

4 
3 
19 

11 
2 
1 

1 

4 

30.  Purpura  

31.  Delirium  Tremens             

i 

3 

28 

1 

7 
7 
3 

1 

11 
6 

2 

12 
7 

32.  Inebriation  

33.  Chronic  Alcoholism  

1 

34.  Other  Diseases  of  this  Order  

1 

CLASS  II.—  CONSTITUTIONAL    DISEASES. 
ORDER  I.  —  Diathetic  Diseases. 
35.  Gout  

36.  Acute  Rheumatism  

151 
86 
13 
1 
1 

172 

150 
57 

236 

211 

37.  Chronic  Rheumatism  

125 

95 

166 

1 

38.  Anaemia  

53 

13 

26 

45 

39.  General  Dropsy  

1 

1 

1 

40.  Cancer  

41.  Tumors  

4 

2 
9 

14 

8 

1 

8 

16 
7 
5 

31 

5 

42.  Other  Diseases  of  this  Order 

12 

9 
7 
6 

30 

15 

10 
3 

1 

ORDER  II.—  Tubercular  Diseases. 
43.  Consumption  

17 
7 

1 

44.  Scrofula  

45.  Other  Diseases  of  this  Order  

CLASS  III.  —  PARASITIC    DISEASES. 
40.  Itch  

7 

6 

40 

47.  Tape-worm  

48.  Other  Intes!  inal  Worms  

1 

4 

1 

10 

0 

49.  Other  Diseases  of  this  Order  

Carried  forward  

3,285 

34 

5,  524 

37 

5,  143 

63 

3,  896 

42 

4,685 

25 

DURING   THE    YEAR   ENDING   JUNE    30,  1864. 


319 


TABLE  L. 

of  the  Department  of  Washington. 


1863. 

1864. 

DECEMBEU. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

33,  923. 

32,  163. 

32,  946. 

36,  292. 

37,  400. 

21,  536> 

19,  027. 

30,  550. 

1 

3 

4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 

23 
24 
25 

26 
27 
28 

29 
30 
31 
32 
33 
34 

35 
36 
37 
38 
39 
40 
41 
42 

43 
44 
45 

46 

47 
48 
49 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases.  ! 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

44 
5 
24 

14 
5 

64 
3 

44 

18 

66 
5 
23 

20 
1 

34 

12 
1 
4 

70 

14 

8 

4 

37 
3 

68 

24 

978 
20 
953 

207 
8 
41 

34 

28 

1 

15 

2 

6 

148 
411 
oog 

7 
1 
656 
172 
80 
10 
24 
15 
33 
o 

15 
31 
302 
114 

217 
209 
35 
7 

0 

134 
206 
189 
15 
10 
384 

1 

171 
21° 



198 
341 
360 
13 
5 
522 

1 

185 
426 
429 

94 
320 



329 

348 
151 



2,905 
4,869 
4,  593 

7 
1 

205 
42 

104 
6 
5 

762 

10 

4 
582 

324 

6 

7 
329 

2 

2 

13 

1,846 
65 
221 

83 
11,808 
992 
2,100 
196 
422 
264 
1,254 
36 
372 
1,574 
2,738 

13 
2 

32 
22 
14 
15 
10 
13 
3 
22 
2 

1 
4 

10 

55 
37 
17 
37 
89 
170 
6 
45 
153 
263 

7 

36 
29 
3 
76 
51 
311 
13 
61 
191 
326 

1 

69 
57 

100 
57 
365 
11 
61 
512 
944 
162 

272 
340 
33 
5 

3 
2 

41 

71 

4G 
137 

0 

2 

1 
3 

o 

1 

1 
3 

13 
21 

1 

4 
1 
6 
o 

3 
1 

66 
34 
190 
1 
27 
447 
335 

2 
o 

3 

22 
3 

27 

1 
1 

3 

1 

148 

1 

1 

5 

12 

53 
89 
40 
163 

121 
125 

1 

7° 

76 
102 

133 
130 
14 

1 
1 

179 

142 
169 
21 

8 
17 

1 

167 

ISO 
151 

102 

1,231 

2,103 
2,231 

4 
2 

1 

236 
269 

39 
11 

37 
6 
2 

12 
1 
3 

i 

311 
65 

38 
1 

58 

35 
7 
98 
133 
14 
2 

1 
2,  245 
1,437 
402 
29 
3 
35 
186 

199 
86 

22 

4 

15 

29 
1 

1 

1 

6 
4 
3 

12 

1 

2 
2 

1 

4 

4 

10 

13 

5 
16 
3 

1 

8 
7 
3 

3 

1 

11 

1 

4 
3 

1 

5 
11 

11 

1 

1 
233 

201 
1C8 
64 

185 
]65 
18 

258 
125 

1 

302 
149 
21 

68 

78 
72 

1 
3 
1 
1 

1 

174 

58 

1 

55 
11 

1 

38 

43 

2 
4 
5 

16 
5 

9 

24 

3 

24 

18 
6 

3 

36 

23 
11 

4 
1] 

12 
.      8 

40 

15 
8 

1 
21 

2 

1 

31 
6 

2 

6 

4 

o 

18 

10 
9 

49 

3 

37 

38 
1 

53 

101 

93 

35 

529 
7 
26 
3 

5 
1 

1 

1 

3 

1 

4 

1 

3,365 

38 

2,949 

42 

3,274 

41 

5,  152 

51 

4,259 

28 

o  312 

14 

4,174 

43 

48,  018 

458 

320 


SICKNESS   AND    MORTALITY    OF   WHITE    TROOPS 


TABLE  L.— DEPARTMENT  OF  WASHINGTON— Continued. 


YKAU  ISO**- 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

27,  657. 

31,  788. 

30,  902. 

28,  998. 

33,  964. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

3,285 

34 

5,524 

1 
14 

156 
1 
o 

37 

5,143 

1 
5 

63 

3,  896 

1 
12 
106 

42 

0 

4,685 

2 
9 
100 
2 
o 

2 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.  —  Diseases  of  Nervous  System. 

9 
116 
3 

100 

1 

2 

...J       . 

o 

2 
9 
61 
3 
1 
2 

1 

4 
3 

1 

8 
48 
1 

1 

4 
56 
1 
20 
4 

2 

3 

78 
8 
39 
13 

1 
1 
70 

40 
5 

1 

4 
1 

o 

5 

ORDER  II.  —  Diseases  of  Eye. 

1 
1 

49 

52 

54 

1 
11 

30 

o 

1 

0 

3 

1 

36 
8 
2 
14 

14 

0 

5 

12 

ORDER  III.  —  Diseases  of  Ear. 

43 
2 
2 
30 
1 

1 
17 

22 

1 
3 

7 

1 
3 
6 
1 

4 
1 
10 
°4 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

'  *                                          r 

5 

1 

3 

5 
2 
1 

0 

6 
o 

'        "            L 

~G  r>  PS*    f  P   '     d' 

„          p  ^             c      . 

,. 

1 

1 
6 
20 
3 

41 
167 
15 

1 

e   s 

10 
19 

10 
9 
1 

22 

7 
5 
1 

10 
2;12 

31 
3 
1 

20 

81    V     ' 

1 

1 

OKDER  V.  —  Diseases  of  Respiratory  Organs. 
83    Asthma                                                                        

18 
123 

172 
36 

278 
27 

1 

11 

1 

18 

86    Dropsy  of  Chest 

7 
7 
26 

9 
8 
15 
45 

11 

18 
18 

11 

19 
18 
10 
16 

140 
145 

1" 

I 

20 
17 

34 

11 
9 

164 
239 

92.  Other  Diseases  of  this  Order 

20 

1 

78 

89 
146 
14 

57 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
93.  Colic  

159 

86 

94.  Constipation 

178 
73 

185 

95.  Cholera  Morbus  

72 

42 

2 

5 

96.  Cirrhosis  of  Liver 

2 
5 

1 

97.  Dropsy  from  Hepatic  Disease  .... 

1 

54 

4 
43 

8 
48 

98.  Dyspepsia  

149 

59 

99.  Diseases  of  Pancreas  

100.  Diseases  of  Spleen  

1 

p 

1 

0 

101.  Fistula  in  Ano.  

3     1 

3 

18 
1 

o 

102.  Hernia  

41 

1 

38 
1 

20 

80 

103.  Hjemorrhago  from  Stomach  

1 

Carried  forward  

I  " 

4,395 

35 

7,044 

47 

6,181 

66 

4,853 

47 

5,903 

! 

29 

DURING   THE    YEAR   ENDING   JUNE    30,   1864. 


321 


TABLE  L.— DEPARTMENT  OF  WASHINGTON— Continued. 


1863. 

1864. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

33,  923. 

32,  163. 

32,  946. 

36,  292. 

37,  400. 

21,  536. 

19,  027. 

30,  550. 

50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 
61 

62 
63 
64 
65 
66 
67 

68 
69 
70 
71 
72 

73 
74 
75 

76 
77 
78 
79 
80 
81 
82 

83 
84 
85 
86 
87 
88 
89 
90 
91 
92 

93 
94 
95 
96 

97 
98 
99 
100 
101 
102 
103 

Cases.   I 

Deaths. 

Cases. 

)eaths. 

„           i 

Cases. 

Deaths. 

Cases. 

deaths. 

Cases. 

deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

3,365 

1 
17 
73 
3 
2 

38 

1 
1 

2,949 

42 

3,274 

2 

14 
93 
1 
3 
1 
1 
7 
76 
f> 

41 

2 
1 

5,152 

51 

4,259 

2 

18 
84 
4 
1 
2 

28 

2,312 

1 
16 
52 

14 

4,  174 

3 
21 
113 

43 
1 

48,  018 

14 
165 
1,208 

458 

8 
3 

9 
11° 

21 
103 
5 

1 

2 
2 
1 
2 

7 
81 
2 

1 
1 

3 
1 

1 
1 

3 

4 
1 
3 

50 
50 
1 
34 
1 

2 
4 
43 

29 
19 
6 
16 
100 
725 

o 
6 
5 
3 

1 

1 
2 

1 

1 

1 

2 

1 
1 
61 
2 

1 

1 

5 
76 
3 

3 

79 
3 

19 
1 
13 
6 

1 

32 

107 
71 

18 
13 
774 
18 
47 
19 

113 
126 

o 
4 
4 

11 

1 

2 

74 
2 

1 

4 
1 

3 

1 

2 
107 

14 

8 
3 
98 
4 
3 
1 

1 

6 

1 

66 
o 

99 
4 
6 
2 

32 

2 
2 

1 

5 

3 

4 
3 

13 
37 

13 
1 

45 

37 
10 
33 
3 

6 
5 
34 

18 

o 

3 
4 
3 
o 

6 

38 
16 

1 

15 

10 
5 

1 

50 
214 

42 

145 

3 

142 
10 
2 
9 
1 
8 
173 
123 
17 

ooo 
3,513 
382 
10 
57 
202 
916 
494 
97 
1,200 

1,051 
1,966 

1 
14 
2 

7 
1 

3 

21 
1 
1 

0 

2 

7 
2 

25 

2 

17 

1 

2 

13 

1 

1 

1 

4 

2 

2 

1 

1 
15 
13 
4 

13 
636 
34 

1 

15 
15 
5 

10 
345 

62 

5 

12 
6 

1 

4 

27 
10 

1 

21 
468 
33 

11 
15 

8 
4 

2 

1 

2 

6 

1 
6 
2 

17 
469 
72 

6 
26 
75 
43 
8 
83 

46 
128 
3 
1 
3 
70 

1 

6 
64 
10 

23 

84 
16 

2 
1 

485 
48 

2 

1 
1 

9 
22 

188 
60 
3 

7 
31 
200 
93 
6 
239 

67 
168 
2 

3 
13 
174 
57 
9 
221 

7° 

o 

1 

7 
40 
J7 
13 

8 
7 
39 
33 

1 

28 
101 
59 
5 
261 

65 

1 
209 
o 

1 
10 

10 

29 
1 

59 

47 
1 

10 

1 

1 
1 

20 

201 

40 
138 
3 

5 

3 

7 
45 

8 

78 

215 

207 
3 

61 

156 
80 

1 

319 
3 
35 
661 

0 

4 
35 

450 
14 

3 

1 
1 

3 

46 

1 

48 

1 

5 

30 

2 

20 

3 

48 

46 

i 

3 
52 
3 

1 
24 

3 

20 

1 
37 
1 

6 
44 

0 

1 
41 
1 

03 

-^ 

o 

1 

3 

1 

4,816 

57 

4,648 

82 

5,318 

115 

7,020 

114 

5,  936 

85 

2,847 

27 

5,207 

51 

64,168 

755 

322 


SICKNESS   AND   MORTALITY    OF    WHITE   TROOPS 


TABLE  L.— DEPARTMENT  OF  WASHINGTON— Concluded. 


YEAR  

18G3. 

MOXTU  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

27,  657. 

31,  788. 

30,  902. 

28,  998 

33,  964. 

LIST  OF  DISEASES. 

•Cases. 

Deaths. 

Cases. 

deaths. 

Cases. 

Deaths. 

Cases.  1  Deaths. 

Cases. 

Deaths. 

rd 

4,395 

35 

7,044 

5 
60 
13 
25 

47 

6,181 

66 

4,853 

1 
81 
4 
4 

47 

5,903 

29 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

78 
13 
14 
1 
7 
1 
38 
79 
40 

3 

69 
16 
10 
2 

7 

161 
5 

2 
1 
1 

1 

2 
2 

6 

0 

"  amn    "  c     . 

108.  In  amma  10 

20 

4 

0 

3 

10J.  Acute    ii  am                           ^ 

4 
47 
102 
5 

2 

1]0.  Chrome 

89 
92 

92 

73 

118 

3 

71 
4 

o 

1 

7 
C 

1 

2 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

o 

1 

g 

1 

1 

3 

3 

14 
1 
3 
1 

4 

6 
15 

1 

16 

3 
5 

o 

6 
8 
9 
2 
4 

2 

2 
7 
3 

8 

11 
1 
1 

4 

1°2    Hydrocele                               

3 

OliDEit  VIII.  —  Diseases  of  Bones  and  Joints. 

C     '? 

8 
6 

15 
10 
1 
3 

1 

3 

2 
3 
1 
1 
1 

112 
152 

3 
4 
3 
1 
1 

127 

10 

1 

130    Other  Diseases  of  this  Order                           

3 

304 

ORDER,  IX.  —  Diseases  of  Integumentary  System. 

161 
143 
6 
25 
30 

10 
133 

66 
97 
6 
6 
22 

13°    Boils                                                               .           

295 
11 

09 

100 
8 
oo 

19 
10 
18 

13 

134    Whitlow 

55 

61 
136 
1 

26 

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

ORDER  I.—  Wounds,  Accidents,  and  Injuries. 
136.  Burns  

1 

9 

99 

20 

137.  Contusions  

112 

138.  Concussion  of  Brain  

2 

1 
1 

1 

133.  Drowning  

5 

140.  Sprains  

78 

106 
4 

9 

59 

C2 

85 

141.  Dislocation  

3 
8 
1 
112 
35 
9 
5 
11 
4 

2 
9 
1 

8 
52 

6 
9 
2 
19 

26 
o 

4 
11 

142.  Simple  Fractures  

143.  Compound  Fractures  .             

1 

98 
29 
9 
6 
18 
1 

144.  Gunshot  Wounds  

29 
1 

4 

1 
1 

18 
26 
7 
4 
3 
7 

o 

145.  Incised  Wounds  

146.  Lacerated  Wounds  

10 
8 
3 
3 

147.  Punctured  Wounds  

5 

7 
4 

1 

148.  Poisoning  

149.  Other  Accidents  and  Injuries  

1 

1 

150.  ORDER  II.  —  Homicide  

1 
2 

151.  ORDER  III.  —  Suicide  

152.  ORDER  IV.  —  Execution  of  Sentence 

1 

Total  

5,  370 

78 

8,562 

56 

7,211 

73 

5,606 

53 

6,913 

31 

DURING   TRE    YEAR   ENDING   JUNE    30,  1864. 


323 


TABLE  L.— DEPARTMENT  OF  WASHINGTON— Concluded. 


1803. 

1804. 

DECEMBEU. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

33,  923. 

32,  163. 

32,  946. 

36,  292. 

37,  400. 

21,  536. 

19,  027.                       30,  550. 

Cases. 

Deaths. 

Cases. 

Deaths.    Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

104 
105 
lOii 
107 
108 
109 
110 
111 
112 
113 

114 
115 
116 
117 
118 
119 
120 
121 
122 
123 

124 
125 
126 
127 
128 
129 
130 

131 
132 
133 
134 
•135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
140 
147 
148 
149 

150 
151 
152 

4,816 

57 

4,648 

351 
6 

82 

1 

5,318 

1 

472 

115 

7,020 

114 

1 
1 

5,936 

6 
325 
4 
3 

85 

2,847 

27 

5,207 

3 

37 
4 
3 

1 
2 
13 
29 
79 
1 

9 
5 
o 

51 

64,  168 

29 
2,339 
86 
87 
9 
76 
38 
580 
1,049 
161 

59 
22 

755 

2 

4 

7 
4 

1 
1 

310 
6 
1 

359 

8 
7 
1 
5 
8 
37 
105 
5 

5 

I 

36 

1 
1 

1 

5 
7 
2 

8 

1 
1 
1 

1 

1 

4 

11 

1 

3 

o 

45 

77 
35 

8 
7 
1 

0 

1 

o 
10 
36 
4 

7 
1 

62 

88 

7 

6 
1 
3 

27 
105 
43 

3 

31 

97 
8 

5 
3 

1 

5 

3 

2 

1 

15 

2 

4 

21 
6 
11 
5 
3 

1 

9 
19 

24 

17 
9 
3 

7 
o 

If! 
5 

13 

94 
116 
30 
86 
24 
31 

11 

56 

1 
6 
3 
5 

o 
12 
3 
1 
4 
4 
1 

135 
143 
9 

20 
30 

18 
121 

6 
4 
9 
2 
1 

1 

6 
3 

4 

7 

1 

12 

1 

0 

1 

o 

3 

4 
1 

14 
o 

1 
2 

1 

* 

1 

3 

1 

7 

3 
9 
o 

1 
1 

3 

69 
15 
39 
17 
9 

1  336 

0 

2 

4 
3 

3 

3 

3 

I 

22 

1 
121 

1 

39 
104 
6 
8 
73 

4 
65 

88 
131 
3 
16 
96 

°4 

85. 

56 
112 

140 
9 
36 
117 

07 

144 
15 

83 

1,644 
95 
253 

o 

1 
7 
46 

C, 

68 
1 

42 
73 

29 
140 

32 

127 

713 

230 
1,359 

8 

9 
123 

1 

107 
1 

180 
1 

1 

1 

9 

1 

1 

I 

147 
6 
11 
2 
24 
38 
20 
3 
3 
5 

72 
3 

8 

131 

125 

JOO 

44 

38 

1,069 
48 
107 
16 
409 
426 
101 
51 
65 
70 

6 
8 
o 

21 
56 
9 
o 

1 
5 

4 
9 
1 

20 
35 

5 
4 

16 

9 

1 
1 

1 
50 
3 

5 

17 
46 
11 
4 

1 

1 

3 

30 
48 
9 
5 
1 
4 

1 

20 
15 

1 

20 

2 

9 
4 

3 

3 

1 
1 

4 
15 

1 
3 

7 

2 
4 
6 

4 

1 

3 
1 

26 

4 

1 

2 

1 

0 



6,086 

66 

5,915 

89 

6,911 

125 

8,371 

119 

7,217 

92 

3,325 

31 

5,828 

57 

77,  315 

870 

324 


SICKNESS   AND   MORTALITY   OF   WHITE   TROOPS 


TABLE  LI. 

Abstract  of  the  Sickness  and  Mortality 


YEAR  

1863. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

104,  395. 

102,  489. 

107,  541. 

97,  402. 

100,  430. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths.    Cases. 

Deaths. 

CLASS    1.—  ZYMOTIC    DISEASES. 
ORDER  I.  —  Miasmatic  Diseases. 

246 

6 

216 

32 

174 

17 

146 

11 

172 

22 

„'  r^1*,10    p 

286 

322 

3 

190 

1 

191 

2 

222 

15 

916 
480 
400 

5 

1,347 
642 

6 

1,233 

862 

"    8 

988 
818 
581 
42 
10 
3,654 
517 
648 
35 
38 

4 

936 
606 
421 

3 

421 
67 
26 
7,001 
577 
645 
31 
57 

512 

1 
1 
3 
5 
3 

61 

5,843 
491 
975 
58 
37 

82 

7 
4,668 
553 

1 

4 

8 
4 

1 
o 

2 
4 
1 

17 
4,043 
626 
478 
54 
32 

3 
1 

20 
4 
2 

601 
68 
50 
3 
4 

2 

1 

1 

2 

8 

1 

13 
1 

4 

7 
104 
104 

138 
171 
13 
5 

24 

19 

18    Diphtheria                                                          

7 
12 

1 

1 

7 
11 
279 

1 

20 
9 
243 
39 

276 
260 

15 
36 
235 

89 

183 
130 
24 
7 
3 

1 

81 
117 

92 

62 
324 

1 

3 

ORDER  II.  —  Enthetio  Diseases. 
30    Syphilis 

121 

490 
36 
5 
10 

18 
5 
2 
1 

2 

45 
1 

25.  Stricture  of  the  Urethra  

6 
2 

27    Serpent  like 

28.  Other  Diseases  of  this  Order  

12 
102 

5 
51 

3 

36 
1 
3 
13 
3 

4 

41 
1 
3 
9 
7 
1 

16 
441 
263 

ORDER  III.  —  Dictic  Diseases. 
29.  Scurvy  

30.  Purpura  

4 

31.  Delirium  Tremens  

o 

5 

2 

1 

1 

32.  Inebriation  

4 
1 
12 

5 
2 

1 

33.  Chronic  Alcoholism  

34.  Other  Diseases  of  this  Order  

CLASS    II.—  CONSTITUTIONAL    DISEASES. 
ORDER  I.  —  Diatltetic  Diseases. 
35.  Gout  

5 

517 
234 

36.  Acute  Rheumatism  .       .   . 

305 

382 

427 

1 

1 

37.  Chronic  Rheumatism 

245 

250 

38.  Anaemia  

100 

1 

134 

108 

44 

55 

1 

39.  General  Dropsy  

40.  Cancer  

1 

1 

1 
1 

19 

24 
°0 

41.  Tumors  

3 

10 

03 

4 
22 

2 

17 

24 
21 
5 

46 
1 
1 

42.  Other  Diseases  of  this  Order  

OKDEE  II.  —  Tubercular  Diseases. 
43.  Consumption  

47 
23 
2 

39 
15 

o 

1 

2 
1 

44.  Scrofula  

5 

45.  Other  Diseases  of  this  Order 

8 
35 

CLASS    III.  —  PARASITIC    DISEASES. 
46.  Itch  

6° 

21 

47.  Tape-worm  

3 

2 

o 

1 

7 
o 

4 
6 
1 

48.  Other  Intestinal  Worms  

4 
o 

49.  Other  Diseases  of  this  Order  

Carried  forward  

9,628 

16 

12,  929 

56 

12,  656 

50 

9,541 

30 

9,379 

81 

. 

DURING   THE   YEAK   ENDING    JUNE    30,  18G4. 


325 


TABLE  LI. 

of  the  Army  of  the  Potomac. 


1803. 

18(34. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE.                   TOTAL. 

99,  625. 

89,241. 

98,  127. 

104,  916. 

136,115. 

115,  385. 

98,  384. 

104,  504. 

1 

3 

4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 

23 
24 
25 

26 
27 

30 

31 
32 
33 
34 

35 
36 
37 
38 
39 
40 
41 
42 

43 
4- 

4j 

4f 

47 
4 
4 

Cases. 

Deaths.  ; 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

147 

28 

124 

34 

44 
1 
92 

10 
1 
2 

68 

10 

Ill 

1 
142 

19 
1 

7 

109     | 
3 
182 

2 

136 

29 

1,693 
7 
2,434 

220 
o 

65 

171 

8 

179 

11 

96 

5 

361 

11 

594 
436 
373 
35 
9 
3,594 
584 
380 
42 
38 
13 
6 

5 

-118 
320 
207 
15 
11 
2,362 
512 
184 
33 
52 
36 
83 

7 
2 

1 
1 

0 

5 
63 
6 
5 
1 
7 
1 

389 
288 
174 
9 
4 
1,367 
333 
100 
17 
59 
44 
273 
3 
17 
75 
435 
376 

283 
353 

44 
10 
3 

1 

640 
457 

3 

920 
751 

4 

693 
637 

5 

1,073 
650 
577 

1 

10,  147 
6,947 
5,120 
505 
157 
46,  222 
5,814 
5,809 
423 
664 
277 
1,806 
14 
218 
1,638 
4,  165 
1,  641 

3,278 
3  4°9 

52 
3 
1 
2 
14 
25 
180 
45 
16 
5 
30 
62 
1 
16 
1 

260 

678 
97 
30 
2,840 
416 
420 
16 
118 
99 
686 
5 
49 
763 
584 
300 

712 
721 

516 

8 
13 
1,242 
249 
108 
15 
94 
56 
509 
4 
33 
397 

34 
1 
4,142 
362 
467 
21 

27 
17 
5,  466 
594 
803 
33 
35 

2 

2 
1 
4 
3 

1 

1 
7 
5 
4 

1 

58 
11 
3 

1 
4 
3 
3 

10 

1 

1 

1 

8 
30 
1 
2 

4 

14 

54 
24 
145 
1 
9 
215 

1 

6 
15 

1 

1 

36 

13 
460 

95 

179 

107 
29 

4 

2 

21 

27 

2 

2 

3 

8 
73 
63 
251 

226 
170 
30 
4 

1 

1 

499 
144 

108 
116 
17 

6 

860 
234 

495 

ooo 

1 

2 

230 
262 

1 

29 

37 
1 

1 

527 

263 

73 

14 

142 
16 
12 
1 
14 

11 
1 
14 
13 
8 
3 

56 
G 
1 

303 
89 
41 
2 

61 

428 

o 

37 
o 

7 
9 

2 

540 
256 
60 

3 

34 
4 

6 

24 
4 
16 
13 
3 
1 

6 
oo 

4 

2° 

1 

3 

1 

1 

0 

1 
1 

18 
8 
2 
2 

4 
3 

1 
2 

1 

63 
81 
41 
36 

26 

9 
10 
1 

6 

4 
7 

3 
1 

o 

1 

1 

1 

565 
289 
54 

411 

256 

383 
285 
25 

o 

1 

C36 

2°7 

196 

5,030 
3.1J4 

846 

4 
1 
4 

434 

180 
70 

140 
45 

] 

52 

1 

99 

1 
2 
23 

34 

12 

2 
10 
G 

43 
21 
1 

61 
2 

„ 

1 
2 
6 

11 

14 

8 
56 
191 

388 
194 
18 

C66 

25 
56 
16 

11 
15 

36 

20 

8 
35 

26 

14 

9 

8 

64 
23 

3 

1 
5 

7 

17 
G 

1 

30 

1 

4 

11 

2 

2 

1 

2 

168 
3 
11 
6 

58 
3 
1 

63 

47 
1 
3 

34 

46 

3 

8 

4 

0 

4 

1 

5 

| 

13 

8,  390 

125 

6,416 

165 

5,487 

55 

7,574 

87 

12,  159 

71 

9,317 

11,132          91 

114,  COS 

640 

326 


SICKNESS   AND    MORTALITY    OF   WHITE   TEOOPS 


TABLE   LI.  —ARMY  OF  THE  POTOMAC— Continued. 


YK.H  1»«8. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

104,  395. 

102,  489. 

107,  541. 

97,  402. 

100,  430. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

9,628 

2 
20 

16 
1 

12,929 

2 
38 
358 
10 

56 

2 
1 

12,  656 

4 
41 
243 

50 
o 

9,541 

3 

180 
4 

30 

1 
1 

9,379 

o 
44 
132 

81 
2 

CLASS    IV.  —  LOCAL    DISEASES. 

OHDER  I.  —  Diseases  of  Nervous  System. 

392 

7 
3 

7 
4 

11 

1 

1 

1 
1 
15 

1 
1 
6 

120 

1 

1 
3 
140 
4 
215 
5 

2 

0 

3 

7 
147 
11 
18 
4 

3 

1 
98 
4 
37 

11 
161 
11 
90 
15 

6 
3 

84 
2 
52 
5 

1 

('  os  '  g  . 

143 
6 
5 
2 

3 
1 
72 
3 

°2 

6 

1 

1 

1 

1 

7 
2 

ORDER  11.  —  Diseases  of  Eye. 

70 
4 
45 
7 

100 
4 
19 
o 

'    n  a    l             f        J 

4 

ORDER  III.  —  Diseases  of  Ear. 

16 
2 

9 
3 

44 

97 

4 
1 

32 

5 
6 

10 
56 

2 

18 
1 
3 
1 
2 

1 

15 
39 

~1     0 

"••>'  Oth      D°                       ' 

44 

1 
9 
1 
1 
1 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

1 
19 
2 
1 
6 
1 
2 
18 
19 
9 

3^ 

1 
3 

~4   Valvul'  r  Diseise  of  He-irt 

11 
3 

1 

12 
o 

o 

n-  D       ^f-      ii     tir 

1 

70    DroV  of  Pericardium 

1 

1 

2 
2 

2 

2 

70    Jnflammitiou  of  V  ins 

1 
63 

26 
9 

24 

32 

28 
15 
1 

35 
518 
70 
3 
1 
31 
74 
77 
11 
60 

246 

21 
16 
2 

29 
477 
53 
1 
3 
38 
68 
72 
7 
45 

240 

27 
5 

11 
239 

1 

1 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 

1 

180 
39 

361 
42 

85.  Chronic  Bronchitis                                           

48 

86.  Dropsy  of  Chest 

87.  Haemorrhage  from  Noso                                     -            

10 
9 
24 
53 
23 

6 

20 
32 
91 
10 

75 

2 
27 
48 
76 
5 
35 

319 
457 

88.  Inflammation  of  Larynx                               

89.  Inflammation  of  Lungs    .         

1 

o 

1 

1 
1 

5 

90.  Inflammation  of  Pleura 

91.  Haemorrhage  from  Lungs  

92.  Other  Diseases  of  this  Order 

38 

389 
301 
138 

o 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
93.  Colic  

390 

94.  Constipation  

444 
159 
2 

205 

333 
17 
3 

9 

83 

95.  Cholera  Mortms  

2 

101 
] 
6 
155 

1 

43 

1 
13 

96.  Cirrhosis  of  Liver  

97.  Dropsy  from  Hepatic  Disease  

o 

8 
205 

98.  Dyspepsia  

114 

118 

99.  Diseases  of  Pancreas  

100.  Diseases  of  Spleen  

101.  Fistula  in  Ano  

11 

66 
1 

10 
59 
1 

8 
67 
1 

7 
67 
1 

6 
44 
1 

102.  Hernia  

103.  Haemorrhage  from  Stomach  

Carried  forward  

12,  155 

21 

15,  826 

68 

15,  233 

56 

11,  827 

42 

11,  478 

96 

DURING   THE    YEAR   ENDING   JUNE    30,  1864. 


TABLE   LI.  —ARMY  OF  THE  POTOMAC— Continued. 


18(53. 

18(54. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

Al'IUL. 

MAY. 

JUNE. 

TOTAL. 

99,  625. 

89,  241. 

98,  127. 

104,  916. 

136,115. 

115,  385. 

98,  384. 

104,  504. 

50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 
61 

62 
63 
64 
65 

66 
67 

68 
69 
70 
71 

72 

73 

7-1 
75 
76 
77 
78 
79 
80 
81 
82 

83 
84 
85 
86 
87 
88 
89 
90 
91 
92 

93 

94 
95 
96 
97 
98 
99 
100 
101 
102 
103 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.      Deaths. 

8,390 

3 

29 
133 

8 
5 

125 

3 

1 

6,416 

3 
21 
103 
3 
3 

165 

3 
1 

5,487 

1 
37 
137 

8 
3 

1 
4 
14 
158 
12 

55 
1 

7,574 

1 
46 
192 
17 
7 
2 

3 

16 
172 

87 
1 

12,  159 

.  1 

68 
285 

71 

1 
1 

9,317 

3 

24 
100 

0 

13 
2 

11,132 

2 
20 
137 
4 
1 

91 
1 

114,  608 

27 
420 
2,392 
92 
31 
10 
28 
115 
1,685 
101 
902 
133 

42 
17 
1,301 
63 
345 
44 

840 

20 
9 

1 
2 

11 
1 

4 
5 
10 

219 

1 

16 
6 
4 
3 

4     i 

2 

4 
1 

1 
4 

2 

1 

1 

2 

10 
149 
4 

5 

11 
125 
6 

2 
1 

2 

1 
3 

82 

1 

9 
69 
9 
320 
10 

2 
1 
69 
4 
35 
3 

10 

1 

10 

8 
48 

11 
g 

1 
1 
1 

12 

246 
8 

2 
2 

65 

3 

18 
4 

3 

12 

12 

2 
1 
106 
4 
16 
2 

1 

9 

3 

4 
82 

9 
1 

4 

5 
o 

1 

99 
3 
7 
3 

180 
10 
14 
2 

276 

17 
13 

8 
24 

61 
2 

4 

5 

6 
8 
22 
32 

10 
2 

10 
4 
33 

O 

17 
8 
41 
7 

1 

21 
4 
1 

7 
2 
2 
27 
9 
4 

70 
909 
94 
1 
1 
136 
246 
137 
9 
324 

21 

15 
52 

5 
5 
15 

6 
11 
5 

109 
66 
304 
364 

7 
191 
25 
11 
51 
15 
11 
372 
211 
65 

389 
5,931 
754 
17 
56 
580 
1,346 
1,00] 
137 
1,364 

2,829 
3,813 
579 
15 
99 
1,305 
4 
6 
84 
754 
21 

4 
o 

1 

o 

3 

15 
1 
3 

1 

10 
6 

2 

17 
1 
1 

4 

3 

16 
5 
1 
4 
3 
1 
25 

2 

41 
3 

1 

10 
1 

7 

1 

2 

1 

17 
3 

2 
57 
26 
16 

55 
910 
97 

I 

3 
13 
10 

8 

28 
648 
66 
o 
o 

18 
8 
1 

67 
708 
128 

35 

36 

14 

8 

17 
704 
52 
7 
3 
69 
171 
74 
9 
239 

25 

16 
2 

12 

1 

1 
1 

2 

1 

6 

2 
9 
1 

o 

9 

150 
50 

4 

2 

2 
1 

127 
15 
3 
9 
8 
43 
30 
15 
3 

261 
187 
38 

o 

6 
64 
141 
84 
9 
91 

239 
262 
19 
5 
14 
103 
1 
1 

38 
2 

5 

119 
289 
163 
20 
351 

207 
505 
12 

8 
19 
67 
53 
9 
7 

231 
•    227 

1 

26 
1 

40 
143 
91 
10 
96 

111 

236 

8 

1 

17 
1 

1 

16 

28 
o 

3 

131 
5 
1 

7 

1 

29 

1 

4 

1 

1 

2 

2 

90 

106 
326 

1 

270 
11 
1 
10 

77 

10 

1 

2 
4 

79 

4 

• 

1 

16 
93 
1 

1 

o 

11 
12° 

4 
43 

2 

113 
o 



1 
9 

61 

1 

4 

58 

1 

o 

1 

3 

83 
3 

3 

59 

16 
80 
o 

5 

1 

72 

1 

3 

10,  975 

170 

8,584 

205 

7,985 

85 

10,  958 

130 

16,  374 

118 

11,095 

21 

12,  752 

112    II    145,242     1,122 

328 


SICKNESS   AND   MORTALITY    OP   WHITE   TROOPS 


TABLE    LI.— ARMY  OF  THE  POTOMAC— Concluded. 


YEAU  

1863. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBEU. 

NOVEMBER. 

104,  395. 

102,  489. 

107,  541. 

97,  402. 

100,  430. 

LIST  OF  DISEASES. 

Cases. 

eaths. 

ases. 

eaths. 

Cases.    Deaths. 

3ases.    Deaths. 

Cases. 

Deaths. 

2,155 

15 
54 
6 
10 
1 
30 
1 
81 
249 
16 

10 

21 

5,826 

6 
85 

66 
1 

15,233 

7 
85    . 

56 
1 

1,827 

3 

94 

42 

1,478 

96 

OHDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

84 
15 
10 
1 
42 

15 

3 

35 

1 
3 

13 
5 
3 

22 

o 

17 
4 
2 
30 
13 
91 
226 

1 

o 

1 

1 

25 

22  j  

16 
105 

119 
257 

104 
229 

204 
16 

13 

40 

11 
1 

7 
1 
10 
21 

30 

9 
3 
3 

1 
7 
27 
8 
6 
6 
4 

2 
1 
10 
1 
4 
2 

18 

5 

8 
8 

2 

OUDEU  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

1 

7 

8 
1 
5 
13 

4 
33 
9 
1L 
1 
5 

2 
3 
11 

5 

iseas.s 

28 
8 
6 
7 
7 

1 
1 
10 
o 

11J.  In        ma   i          B1,ld(1gr 

6 

20 

•    n  urama 

18 
o 

1~^'  ~*C°n     1 

3 
4 

2 

1 
8 
1 
13 

4 

2 

1 
15 

OEDEB  VIII.  —  Diseases  of  Bones  and  Joints. 

L  r  •  J 



. 

~  '                   ti      of  Bo  e 

9«                       V          f  P     ' 

3 

1 

4 
2 

6 

212 

8 
3 
1 

223 

451 

•  a 

1 
3 

363 
1,096 
67 
171 

89 

2 

353 
733 

48 
78 
33 

38 
152 

ORDEK  IX.  —  Diseases  of  Integumentary  System. 

174 
429 

13°    Boils 

437 
23 
47 
61 

°9 

35 
44 
76 

44 

30 
76 

36 
59 

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

OUDEK  I.  —  Wounds,  Accidents,  and  Injuries. 
136.  Burns  

43 

172 

e 

166 

137 

133 

138.  Concussion  of  Brain  ...             

1 
3 

5 

139.  Drowning  

4 

0 

140.  Sprains  

120 
12 

122 

160 
10 
19 

152 
2 
23 

173 
4 
16 

1,209 
179 

141.  Dislocation  .              

142.  Simple  Fractures  

°2 

16 

86 
97 
17 
18 
6° 
3 

143.  Compound  Fractures  

68 
10,  569 
102 

2 
441 

0 

3 

806 
104 
19 

10 
35 

1 

51 

144.  Gunshot  Wounds  

6 

230 
73 

20 

15 

49 

145.  Incised  Wounds  

146.  Lacerated  Wounds  

66 
1 
3 
3 

26 

147.  Punctured  Wounds  

2 

12 

O1? 



1 

14 
7 
34 

1 

148.  Poisoning1  

149.  Other  Accidents  and  Injuries  

29 

4 

150.  OUDEK  II.  —  Homicide  

1 

1 
9 

151.  ORDER  III.  —  Suicide  

152.  OUDEr,  IV.  —  Execution  of  Sentence 

3 

Total  

24,  732 

470 

19,00 

92 

17,  871 

83 

14,549 

97 

14,  753 

151 

DURING   THE    YEAR    ENDING    JUNE    30,  1864. 


329 


TABLE    LI.  —ARMY  OF  THE  POTOMAC— Concluded. 


18G3.                                                                                         18G4. 

DECEMBEU.               JANUARY. 

FEBRUARY. 

MARCH. 

Al'RIL. 

MAY. 

JUNE.                    TOTAL. 

99,  625.                        89,  241. 

98,  127. 

104,916.                  136,115. 

115,  385. 

98,384.          j:          104,504. 

104 
105 
106 
107 
108 
109 
110 
111 
112 
113 

114 
115 

116 
117 
118 
119 
120 
121 
122 
123 

124 
125 
126 
127 
128 
129 
130 

131 
132 
133 
134 
135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
146 
147 
148 
149 

150 
151 
152 

Cases. 

Deaths.     Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths.  ]|    Cases. 

Deaths. 

10,  975 

2 
117 
19 
8 
2 
23 
19 
76 
162 
9 

8 
5 
11 
3 
5 
14 
7 
14 
4 
4 

g 
1 
6 

170 

8,584 

2 
113 

18 
9 
2 
11 
25 
97 
116 
25 

205 

7,985 

7 
180 
13 
9 
3 
14 
9 
107 
111 
8 

10 
4 
10 
1 
6 
26 
9 
8 

85 

10,  958 

8 
313 
17 
C 
.      1 

130 

16,  374 

3 

383 
18 
8 
3 
37 
18 
101 
236 
83 

3 
3 
15 

118 

1 
I 

11,  095 

1 
113 
6 

21 

12,  752 

3 

35 
6 
2 

112 

145,  242 

57 
1,656 
163 
93 
21 
273 
168 
1,104 
2,341 

1,122 

3 
1 
4 
14 
4 
3 
1 
1 

2 
1 

4 
1 

2 

1 

1 

14 
13 
04 
143 
15 

9 
1 
14 

1 

3 
3 

79 
197 
4 

7 
2 
3 

12 
4 
80 

211 

1 

1 

1 

2 

11 
9 

97 
29 
103 
9 
110 
270 
104 
142 
41 
67 

33 

29 
129 
14 
78 
33 
27 

3,009 
5,469 
338 
920 
753 

635 
2,421 
31 

4 

3 

1 
13 

1 

1 

o 
2 

2 

4 

8 
24 

14 

9 
3 

8 

1 
1 
8 
1 
8 
7 
1 

234 

282 

14 
26 
13 

36 
29 
16 
18 
4 
12 

9 
4 
27 

5 
12 

5 
17 
5 
6 
3 
4 

o 

7 
3 
5 
1 

4 

! 

1 

11 

5 
9 
9 

1 
2 
4 
o 

3 

1 
6 
13 
3 

4 
3 

1 

245 

1 
7 

5 
1 
3 
1 

2 

4 
17 
5 

3 
2 

9 
2 
1 

90 

262 

8 

402 
503 
30 

250 
408 
25 
87 
43 

68 
19-1 
3 

350 

113 

284 
17 
61 
50 

43 
224 
1 

353 

18 
99 

231 
9 
43 
95 

43 

256 
5 

15 

82 

21 
40 
90 

24 

86 
91 

113 

33 

55 
182 

50 

i 

1 

76 
302 
1 

o 
6 
6 

15 

1 

321 
5 

1 
o 

0 

2 

182 
o 

0 

1 

i 

1 

1 

o 

187 
7 
16 
2 
80 
2-19 
20 
14 

24 

167 
13 
17 

231 
9 
21 
1 
226 
242 
31 
13 
4 
48 

238 

405 
23 
40 
7 
123 
275 
50 
38 
10 
29 

96 
5 

85 

2  186 

15 

4 

107 
255 

9 
60 
22,  596 
52 
11L 
13 
17 
34 

4 
54 
298 
36 
6 
5 
53 

5 
87 
287 
33 
23 
6 
41 

1 

8 

1 

1 

9 

322 
1 
5 

23 
13,  173 
39 
42 
13 

00 

181 
49,  239 
1,997 
471 
190 
216 
422 

6 
1,488 
3 
6 
I 
1 
17 

G 
5 
16 

15 

6 

1 

17 

549 

1 

1 
3 

1 

3 

1 
1 

3 

1 

1 

23 

1 

3 

1 

13,  185 

199 

10,  649 

225 

10,  313 

113 

13,  757 

144 

20,005 

140 

35,  350         357 

27,361 

608 

221,  548 

*''"' 

330 


SICKNESS   AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  ML 

Abstract  of  the  Sickness  and  Mortality 


YEAR  

1863. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

16,  634. 

13,  148. 

13,  567. 

16,  666. 

17,  588. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths.    Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS   1.—  ZYMOTIC   DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

33 

1 
248 

13 

19 

9 

57 
5 
12 

12 

17 

8 

9 

] 

1 

7 

3 

2 

17 

1 

18 

1 

373 

470 

5 

867 

759 

2 

217 
1,189 
899 
404 
6 
<<74 
95 
132 
7 
3 

4 

259 
1,246 
1,111 

3 
3 

63 
743 
1,254 

665 

0 

1,264 
20 
5 
965 
46 
149 
5 
5 

33 
3 
633 
99 

175 
26 
11 
1 

1 

1] 
27 
640 
109 
157 
35 
8 
1 

'  r  Uai                                   V 

3 
1 

2 
o 

6 
7 
1 

1 

992 
49 
143 
3 
G 

1 

4 

o 
6 
3 

1 

5 
1 

3 

'  „  J    '                        . 

15 

1 

o 

24 
2 
61 
19 

47 

67 
1 
1 

1 

120 
1 
43 

13 

115 

4 

28 

2 

26 
9 
89 
7 

73 
115 

. 

42 

78 
12 

60 
98 
11 

21    Oth     D               f  thi    Order 

1 

28 

16 
37 

8 

4 

29 

ORDER  II.  —  Enthetic  Diseases. 

55 
4 
1 
1 

20 

2 

•>6            1     t  O  hthalmi' 

27    Serpent  Bite 

! 

1 

13 
13 

2 

7 

OKDEU  III.  —  Dietic  Diseases. 
29    Scurvy                                               ..         

8 
16 

20 

35 

31.  Delirium  Tremeus  

1 

3 

33.  Chronic  Alcoholism  

34.  Other  Diseases  of  this  Order  

CLASS   11.—  CONSTITUTIONAL   DISEASES. 

OKDEU  I.  —  Diathetic  Diseases. 
35.  Gout  

0 

36.  Acute  Rheumatism 

58 
49 

1 

34 
34 
9 
9 

35 
67 
16 

76 
66 
16 
2 

96 
"70 
3 

37.  Chronic  Rheumatism  

38.  Ansemia  

1 

39.  General  Dropsy  

40.  Cancer  

1 

41.  Tumors  

o 

1 

49,.  Other  Diseases  of  this  Order  

OKDEU  II.  —  Tubercular  Diseases. 
43.  Consumption  

11 
3 

9 
10 

2 

14 
3 

4 
2 

9 
3 

3 

44.  Scrofula  

45.  Other  Diseases  of  this  Order  

CLASS   III.  —  PARASITIC   DISEASES. 
46.  Itch  

11 

6 
o 

1 

10 
1 
o 

44 

47.  Tape-worm  

48.  Other  Intestinal  Worms  

4 

1 

:          3 

1 

49.  Other  Diseases  of  this  Order  

Carried  forward  

1  

3,396 

28 

3,906 

39       4,  428 

40 

4,120 

28 

3,656 

10 

DURING   THE    YEAR   ENDING   JUNE   30,  1864. 


331 


TABLE  LIL 

of  the  Department  of  Virginia. 


1863. 

1804. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

19,  484. 

18,  335. 

19,  032. 

22,  362. 

47,  257. 

44,  747. 

50,  436. 

24,  938. 

Cases.  !  Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

1 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.      Deaths. 

1 
2 

3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
1C 
17 
18 
19 
20 
21 

22 

23 
24 
25 
26 
27 
28 

29 
30 
31 
32 
33 
34 

35 

36 
37 
38 
39 
40 
41 
42 

43 
44 
45 

46 

47 

48 
49 

17 
3 

18 

3 

10 

1 

12 
1 
5 

4 

33 

1 

5 

40 
2 

42 

8 
1 

41 

3 

55 

10 

343 
13 
538 

77 
1 
16 

16 

3 

3 

38 

117 

2 

29 
471 
673 
39 
41 
367 
56 
72 
15 
7 
3 

21 
376 
422 

23 
400 
355 
20 
3 
304 
43 
74 
9 
19 
56 
82 

24 
382 

582 

159 
882 
1,444 
53 
47 
1,507 
106 
217 
C 
25 
24 
137 
10 

228 
557 

1 

175 
911 
913 
28 
23 
2,673 

1 

439 
987 
860 
108 
34 
6,007 
293 
1,233 

2,049 
8,  816 
10,  442 
735 
232 
15,644 
1,168 
2,890 
28€ 
176 
132 
805 
10 
420 
592 
1,435 
735 

1,060 
1,508 
256 
28 
20 
4 
55 

108 
78 
8 
9 
3 
1 

7 
1,492 
1,101 
171 
15 
o 

22 

16 
3 

18 
19 
290 
83 
44 
10 
14 
17 
3 

1 

24 
292 
42 
38 
6 
23 
11 
208 

2 

1 

2 
3 

11 
7 
16 
20 
9 
1 
6 
12 

1 
o 

1 

1 

1 

147 
456 
108 
28 
15 
52 

58 

1 

27 
4 
304 

3 

2 

1 

1 
2 

5 

4 

15 
11 
109 
10 

62 
91 

18 

1 

9 

1 

12 
18 
97 
31 

100 
107 
20 

1 

18 
100 
234 
18 

135 
159 

1 

13 

102 

12 
120 
42 
235 

22 

83 
212 

133 
209 
48 
1 
1 

130 

65 

89 
7 
5 

29 
226 

1 

2 

114 
111 
27 
5 

390 

5: 

8 

0 

38 

7 

• 

o 

4 

5 
2 

5 

1 

5 
2 
1 

30 

2 

8 
1 

7 

19 
o 

25 
3 

14 
3 

1 
1 

1 

2 

0 

i 

2 

1 

2 
3 

1 

1 
137 
147 
10 

4 
325 
191 
20 

128 
80 
16 
3 

107 
C7 
17 

110 
37 
5 

1 

221 

165 

i 

132 
27 

161 
20 

I 

2 

1 
4 

3 

1 
3 

8 

1 

5 
14 

20 

7 

4 

2 

17 

129 

57 

1 

440 
12 
31 
1 

o 
5 

6 
4 

1 

30 

19 
5 

3 

o 

18 
2 

9 
12 

1 

11 

17 

35 

°9 

88 
3 
3 

69 
2 

300 

0 

2 
2 

1 

14 

1 

2,396 

8 

1,913 

9 

2,002 

12 

2,722 

15 

6,  939 

19 

6,915 

6 

11,  706 

22 

54,099 

236 

332 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  LIL— DEPARTMENT  OF  VIRGINIA— Continued. 


YE  AU  

1803. 

MOXTII  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOHEIl. 

NOVEMBER. 

16,  634. 

13,  148. 

13,567. 

16,  666. 

17,  588. 

MEAN  STRENGTH  ... 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

3,  396 

28 

3,906 

1 

11 
75 
1 
3 
1 

3'J 

1 
1 

4,428 

2 
13 
38 
4 

40 
o 

4,120 

28 

3,656 

10 

CLASS    IV.—  LOCAL    DISEASES. 
OUDER  I.—  Diseases  of  Nervous  System. 

9 

48 

6 
55 
2 

5 

59 
1 

o 

2 

1 

1 
1 
39 
1 
1 

5 
18 
1 
11 
1 

o 

2 

38 

•58*  N        f  ' 

33 
3 
20 
5 

41 
3 

*  i>e  V  s. 

1 

ORDER  II.  —  Diseases  of  Eye. 

"    "' 

16 

14 

15 

15 

18 

1 
13 
1 

3 

7 
3 

16 

6 
1 

14 

5 

2 
1 

13 

ORDER  III.  —  Diseases  of  Ear. 
68    Earache                                          

5 
4 
2 
o 

70.  Deafness  

3 

8 
1 

4 

7 

5 

o 

4 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

3 

1 

1 

7 

2 

7 

] 

2 
o 

1 

1 

2 

2 

1 

13 

8 

13 

7 

13 

20 

12 

12 
3 

18 
61 
11 

11 

9 
1 

12 

82.  Other  Diseases  of  this  Order                       

1 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
83.  Asthma  

8 

48 
7 

7 
20 
6 

17 
139 
9 
1 
2 
3 
9 
11 

1 

192 
26 

85.  Chronic  Bronchitis      .                                  

86.  Dropsy  of  Chest 

1 

87.  Haemorrhage  from  Nose    

2 

2 

88.  Inflammation  of  Larynx  

8 
1 
7 
1 

3 

21 

19 

89.  Inflammation  of  Lungs 

1 
4 

13 
11 
1 

2 

1 

90.  Inflammation  of  Pleura  

91.  Haemorrhage  from  Lungs  .   . 

2 

92.  Other  Diseases  of  this  Order  

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
93.  Colic  

12 

68 
65 
50 
1 

80 
53 
21 

70 
81 
11 

38 
98 
1 

94.  Constipation  

114 

41 

2 

9").  Cholera  Morbus  

96.  Cirrhosis  of  Liver  

1 

97.  Dropsy  from  Hepatic  Disease  

1 
15 

2 

98.  Dyspepsia  

4° 

20 

8 

99.  Diseases  of  Pancreas  

100.  Discuses  of  Spleen  

1 

1 

j 

7 

101.  Fistula  in  Ano  

2 

3 

20 

3 

20 

102.  Hernia  

31 

SI 

27 

103.  Haemorrhage  from  Stomach  

1 

1 

Carried  forward  

4.00R 

31 

4,369 

44 

4,907 

47 

4,712 

34 

4,315 

11 

DURING   THE    YEAR   ENDING    JUNE   30,  1864. 


TABLE  LII.-DEPARTMENT  OF  VIRGINIA— Continued. 


18G3. 

1864. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

19,  484. 

18,  335. 

19,  032. 

22,  362. 

47,  257. 

44,  747. 

50,  436. 

24,  038. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 
61 

62 
63 
64 
65 
66 
67 

68 
69 
70 
71 
72 

73 
74 

7,~> 
76 
77 
78 
79 
80 
81 
82 

83 
84 
85 
86 
87 
88 
89 
9C 
91 
92 

93 
94 
95 

96 
97 
98 
99 
100 
101 
102 
103 

2,396 

1 
9 
52 
2 

8 

1,913 

9 

2,002 

1 
10 
18 
1 
1 
1 

12 

2,  722 

15 

6,939 

1 
22 

19 

6,915 

1 
12 
148 
2 
1 
1 

6 
1 

11,  706 

22 

54,  099 

7 
143 

942 

236 

4 
1 

5 

65 

20 

21 

51 
1 
1 

142 
8 
2 
1 

191 

1 

1 

1 

o 

10 
5 
1 
61 
544 
31 
205 
61 

9 
3 

396 
15 
2oo 

6 
2 

i  

1 

1 

1 

39 
o 

0 

o 

1 
31 
2 

12 
08 
3 

5 

67 

104 
24 

o 

°8 

52 

22 

96 
6 
69 
11 

1 

2 

3 

1 

1 
1 

0 

1 

4 

6 

6 
1 

1 

4 
5 

03 
3 
6 

. 

1 
23 
9. 

1 

77 
2 
20 

31 

1 
4 

18 
3 

21 

85 
3 
54 
1 

5 

1 

o 
7 

5 

» 

58 
47 
34 
71 
40 

5 

71 
9 
2 
8 
o 

160 
111 
18 

'  133 
1,904 
243 

1 

6 

1 
2 
6 

o 

18 
5 
11 
5 

6 

5 

8 
14 

1 

1 
3 

7 

10 
12 

10 
3 

1 
11 

1 
19 
.1 

1 

8 

1 
3 

1 
1 
1 
1 

4 
2 
1 

1 

15 

2 

2 

o 

1 
1 

1 

1 
1 

1 

1 

3 

11 
6 
1 

7 
122 

15 
6 

12 
205 
30 

11 

9 

7 

14 
11 

16 
17 
2 

15 
355 

13 
12 

.... 

8 

9 
188 
11 
1 
o 

1 

13 

237 

1 

o 

1 
1 

6 
164 

45 

9 
173 
24 

1 

31 

1 
1 
56 
89 
45 
5 
57 

81 
259 
3 

18 

*-O 

2 

12 

6 
30 

252 
344 
206 

2 
14 
34 
16 
3 

2 
45 
73 
34 

7 
41 

32 

5 
101 
30 
26 
1 
10 

87 
214 
18 
1 

6 
24 
4 
2 
43 

54 
106 
1 

2 

14 
18 
23 
12 

2 

31 
6 
4 

50 

28 
103 

1 

2 

11 

8 

4 

31 

1 

38 
224 

see 

1,  655 
233 
4 
6 

3G8 

3 

1 

17 
210 

1 

28 

9G 

125 

0 

341 
85 
o 

1 

~""|l  

1 

29 

1 

14 

1 

76 

9 

35 

44 

24 

8 
24 
339 
3 

j 
19 

1 
5 

2 

4 

41 

4 
30 

o 

26 

o-. 

74 
1 

i 

3,110 

10     1  2,584 

11 

2,  575 

15 

3,533 

'   31 

8,457 

30 

8,271 

17 

13,  387 

2t; 

64,  226 

307 

334 


SICKNESS    AND   MORTALITY    OF   WHITE   TROOPS 


TABLE  LII. -DEPARTMENT  OF  VIRGINIA— Concluded. 


YEAH  

1803. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

16,  634. 

13,  148. 

13,  567. 

16,  660. 

17,588. 

LIST  OF  DISEASES. 

3ases. 

Deaths. 

Jases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

4,006 

31 

4,369 

3 
14 
3 
3 

44 

4,907 

1 

24 
5 
2 
1 
4 
3 
53 
31 

47 

4,712 

34 

4,315 

1 
59 

11 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

13 

32 

3 

o 

1 

1 

2 

7 
1 
35 
57 
11 

5 

5 

3 

7 
2 
38 
44 

40 
18 
2 

36 
59 

ORDER  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

1 

3 
1 

1 

1 

o 

1 

3 

2 
8 
2 

2 
1 
3 
3 

3 
1 
2 
9 

1 
3 

11 

4 
11 
1 
1 

2 
1 
3 

17 

1 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

5 

3 

2 

5 

1 

1 

130   Other  Diseases  of  this  Order  

1 

61 
133 

7 
11 
24 

5 

62 

ORDER  IX.  —  Diseases  of  Integumentary  System. 

146 
140 
6 
14 
55 

9 
36 

233 

50 
133 
1 

58 
105 
3 
16 
56 

3 

31 

132   Boils                                                     

170 
3 
31 

17 

2 

30 

133.  Carbuncle                               

134.  Whitlow                                                        

16 
18 

1 

CLASS    V.     WOUNDS,   ACCIDENTS,   AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
136.  Burns.... 

18 

138.  Concussion  of  Brain 

1 

140.  Sprains 

22 

21 
1 
7 

28 

34 

52 

141.  Dislocation  

1 
6 

o 

1 

5 
1 
5 
11 

9 
1 

1 
1 
7 
5 
5 

o 

143.  Compound  Fractures  .  .   . 

1 
11 
11 
5 
1 

144.  Gunshot  Wounds  

30 
19 
4 
3 
4 
9 

6 

11 
11 
5 
5 

2 

2 

2 

1 

145.  Incised  Wounds  

146.  Lacerated  Wounds  

147.  Punctured  Wounds  

148.  Poisoning  

1 

149.  Other  Accidents  and  Injuries  

1 

3 

1 

1 

1 

150.  ORDER  II.  —  Homicide  

151.  ORDER  III.—  Suicide  

152.  ORDBR  IV.  —  Execution  of  Sentence  

1 

Total  

4,656 

40 

5,021 

46 

5,357 

51 

5,202 

38 

4,892 

13 

DURING   THE    YEAR   ENDING    JUNE    30,  18G4. 


335 


TABLE  LII. -DEPARTMENT  OF  VIRGINIA— Concluded. 


18G3. 

1804. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE.                    TOTAL. 

19,  484. 

18,  335. 

19,  032. 

22,  362. 

47,  257. 

44,  747. 

50,  436. 

24,  938. 

Cases.  :  Deaths. 

Cases. 

Deaths. 

Cases 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.      Deaths. 

104 
103 
106 
107 
108 
109 
110 
111 
112 
113 

114 
115 
116 
117 
118 
119 
120 
121 
122 
123 

J24 
125 
126 
127 
128 
129 
130 

131 
132 
133 
134 
135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
14'J 
147 
148 
149 

150 
151 
152 

3,110 

10 

2,584 

11 

2,575 

1 

74 
2 
5 

15 

3,533 

31 

8,457 

30 

8,271 

17 

13,  387 

26 

64,226 

6 
842 
46 
34 
4 
69 
18 
467 
C76 
42 

34 
2 
8 
2 

27 

307 

53 
5 
2 

55 

117 
o 

233 

7 
8 

102 
2 
4 
1 
11 
3 
66 
96 
4 

1 

66 

10 

1 

2 

6 
1 
6 
o 

1 

4 

1 
3 

6 
4 
37 
41 
5 

5 
o 

9 

3 

1 
61 
78 
8 

6 

36 
38 

11 
36 
6 

1 

21 
35 

33 
143 
6 

14 

3 
1 

1 

1 

2 

12 
7 
8 
9 

1 
3 

1 

7 
4 

1 
6 
] 
9 

4 
9 

1 
10 
4 

8 
2 
3 

1 

2 

66 
27 
77 
8 
6 

12 
10 
40 
11 
8 
8 
6 

934 
1,764 
53 
ogo 

4 
1 

o 

1 

3 

2 
3 
11 

1 

1 

1 

1 

1 

1 
1 

1 
2 
5 
11 

2 

1 
1 

82 
174 
11 
34 
75 

1 
4 

2 

5 

1 



1 

1 

1 

2 
o 

] 

2 

2 

33 

89 

2 

99 
279 

43 
148 
3 
20 
33 

9 

79 

29 

23 

77 
182 
6 
31 
56 

10 
126 
1 

119 
4 

92 
1 
16 
45 

3 

77 

3 

°6 

21 
24 

4 
74 

56 
133 

7 
100 

44 

9 
53 

1 

580 

83 
833 
3 

21 

1 

1 

1 

147 
1 

o 

1 
2 

1 

50 
3 
4 
I 
11 
25 
17 
13 

40 

23 

48 
2 
1 
2 
19 
15 

1°5 

87 
1 
11 
24 
3,008 
34 
20 
7 
5 
9 

88 
4 
6 
21 

618 
19 
CO 
55 
6,302 
219 
128 
72 
16 
41 

4 
12 

... 

11 
5 
11 
2 

3 

1 
8 
1° 

2 
23 
35 

1 

1 

48 

2 

1 

1 

10 

3,158 
36 
24 

21 

15 
2 

1 

7 
6 

6 
23 

1 

9 
7 
2 

1 
\ 

1 

1 

2 

1 

7 

6 

1 

1 

n 

1 

7 

3,743 

14 

!  3,086 

12 

3,059 

17 

4,099 

33 

9,840 

40 

12,  279 

30 

17,620 

49 

78,854 

383 

336 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  LIIL 

Abstract  of  the  /Sickness  and  Mortality 


YEAR  

1863. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

10,  844. 

11,  651. 

12,  607. 

9,  986. 

9,  336. 

MEAN  OTRENGTH 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS  1.—  ZYMOTIC    DISEASES. 

OUDEK  I.  —  Miasmatic  Diseases. 

18 

1 

30 
1 
92 

3 
1 
3 

18 
1 
31 

o 

48 
12 
19 

7 
1 
2 

17 

'                 „ 

53 

7 

1 

10 

1 

1,007 
1,549 

2 

741 
2,152 

0 

31  •! 
1,315 

1 

144 
1,449 
806 
13 
4 
307 
45 
104 
4 
1 

463 
358 
24 
8 
409 
45 
93 
21 

7'  T  °f  d  T 

1,448 
108 
15 
520 
68 
62 
7 
12 

1,621 

57 

1,  329 

231 

1 
1 

1 

4 

9 
514 

2 

15 

374 
42 
110   ' 
8 
1 

6 

2 

1 

54 
164 
25 

7 

1 
1 

1 
3 
1 

1 

2 

1 

2 

7 

18    Diphtheria                                                      

1 

4 

46 

O"7 

12 

O7 

1 

1 

43 
95 

13 
41 
4 

1 
35 
95 

21 
58 
8 
1 
1 

1 

44 
75 

19 
30 
6 

44 
62 

01    nt>     IT     '             •   o  a 

1 

1 

ORDER  II.  —  EntUetic  Diseases. 
22    Syphilis                               

18 
38 
3 

24    Orchitis                                     

25    Stricture  of  the  Urethra 

26   Purulent  Ophthalmia                  

1 

27.  Serpent  Bite                 

28.  Other  Diseases  of  this  Order 

2 
16 

ORDER  III.  —  Dietic  Diseases. 
29.  Scurvy.                                                           

7 

11 

10 

30.  Purpura  

31.  Delirium  Tremens 

5 

1 

1 

3 
1 

32.  Inebriation  

33.  Chronic  Alcoholism 

1 

34.  Other  Diseases  of  this  Order  

13 

CLASS  II.—  CONSTITUTIONAL    DISEASES. 
ORDER  l.—Diathetic  Diseases. 
35.  Gout  

1 
32 

36.  Acute  Rheumatism  

30 
41 
20 

33 
43 
41 
1 

31 

17 
60 

42 
17 
90 

37.  Chronic  Rheumatism 

36 
63 
3 

38.  Anaemia  

39.  General  Dropsy  

40.  Cancer  

j 

41.  Tumors  

42.  Other  Diseases  of  this  Order  

5 

4 

1 

ORDER  II.—  Tubercular  Diseases. 
43.  Consumption  

3 

3 

1 

5 
3 

1 

2 
2 

44.  Scrofula  

45.  Other  Diseases  of  this  Order  

CLASS  III.  —  PARASITIC    DISEASES. 
46.  Itch  

1 

5 

1 

6 

47.  Tape-worm  

48.  Other  Intestinal  Worms  

1 

2 

49.  Other  Diseases  of  this  Order  

Carried  forward  

2,238 

12 

5,283 

17 

5,724 

12 

4,114 

23 

3,180 

9 

DURING   THE   YEAR   ENDING   JUNE    30,  1864. 


337 


TABLE  LIII. 

of  the  Department  of  North  Carolina. 


1863. 

1864. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

9,  414. 

11,  030. 

12,  953. 

12,  446. 

8,  027. 

7,  288. 

7,  126. 

10,  226. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1 

3 

4 
5 
G 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 

24 

26 

27 
28 

29 
30 
31 
32 
33 
34 

35 

36 
37 
38 
3'J 
40 
41 
42 

43 
44 
45 

4fi 
47 
48 
49 

1 

7 

1 

16 
4 

4 

23 

1 

3 

o 

11 

1 

19 

4 

211 
18 
213 

26 
o 

16 

1 

2 

4 

2 

1 

41 
716 
639 
15 
5 
162 
57 
60 
3 
7 

55 

64 
703 
570 
14 
1 
163 
22 
34 
4 
11 
4 
41 
1 
17 
3 
45 

1 

47 
809 
789 
3 
6 
163 
22 

52 

612 

1 

31 
472 
253 
6 

78 
389 
250 

2,989 
11,  193 
9,075 
519 

7 

564 
588 
17 
4 
165 
25 
46 

424 

18 
5 
177 
25 

13 

1 

1 

2 

4 

72 
4,361 
451 
898 
85 
79 
15 
167 
2 
27 
51 

19 
1 
14 
7 
5 

700 

685 
31 
55 

'1 

o 

2 

15 

108 

1 

1 

41 
10 
9 
2 
13 

1 
14 
4 

78 

4 
4 
21 

3 
1 
5 
1 

3 

1 

9 

1 

2 
5 
72 
1 

17 
32 
2 

1 

1 

4 
15 

3 
3 

8 
46 

19 
29 

2 

1 
38 
1 

12 
24 
1 
2 

3 

14 

7 
1 

00 

384 
439 

220 
392 
51 

8 

0 

1 

24 

2 

31 

25 

1 

11 

15 
31 
2 

1 

23 

21 
16 
5 
1 

1 

5 

41 
8 
3 

10 

o 

1 

1 

| 

4 
1 

16 

1 
1 

1 

1 

48 

1 
1 

1 
1 

11 
3 
1 
13 

1 
446 
311 
381 
4 

1 

1 

1 

26 
21 

24 
27 
23 

48 

47 
23 
16 

78 
26 

28 

27 

17 
12 

18 

1 

22 

1 

11 

1 

2 

i 

1 

0 

0 

1 

6 

7 

48 
23 

I 

3 

1 

4 

2 

I 

5 
1 

5 

1 

7 
4 

1 

5 

7 

o 

8 

7 

2 

38 

15 

18 
1 

14 

28 

17 

145 
1 
8 

1 

o 

2 

1,865     1          G 

1 

1,756 

4 

1,906 

10 

2,215 

3 

1,601 

10 

1,810 

4 

1,717 

6 

33,409 

116 

338 


SICKNESS   AND    MOETALITY    OF    WHITE    TROOPS 


TABLE  LIIL— DEPARTMENT  OF  NORTH  CAROLINA— Continued. 


YEAU  

18(33 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

10,  844. 

11,  651. 

12,  607. 

9,  986. 

9,  336. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

O    OQQ 

/;,  /:oH 

12 

5,283 

17 

5,  724 

1 
3 

67 
1 

12 

1 

4,114 

5 

1 
22 

, 

3,180 

9 

CLASS    IV.  -LOCAL    DISEASES. 

ORDER  I.—  Diseases  of  Nervous  System. 

5 

13 
85 

8 

81 
1 

1 
1 

1 

1 

o 

1 
16 

'  ^      _  g  . 

16 
1 
16 

22 

10 
1 

22 

Q'  "e       *. 

2 

-n   q    '  t    k 

°5 

1 

ORDER  II.  —  Diseases  of  Eye. 

o 

03    Cataract                         

13 

» 

15 

8 
2 
1 
o 

4 

1 
4 
3 

9 
2 
1 
5 

6 

7 
2 

1 

67    Other  Diseases  of  this  Order  

ORDER  III.  —  Diseases  of  Ear. 
68    Earache                

14 
3 

11 
3 

1 

70    Deafness                                -  -  

3 

1 
1 

2 
5 

1 
4 

72   Other  Diseases  of  this  Order  

1 

ORDER  IV.  —  Diseases  of  Oryans  of  Circulation. 

3 

3 

4 

5 
1 

1 

1 

1 

i 

1 

79.  Inflammation  of  Veins  

! 

7 
3 

9 
5 

4 

1 
4 

7 
62 

5 

5 
1 

3 

4 

130 
11 

81.  Varicocelo  

82.  Other  Diseases  of  this  Order  

5 

3 

1G8 
2 

1 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
83.  Asthma  .     . 

5 
43 
1 

C 

72 

84.  Acuto  Bronchitis 

85.  Chronic  Bronchitis  .. 

7 

21 

86.  Dropsy  of  Chest  

87.  Hwmorrhagc  from  Nose  

1 

3 

7 
9 
6 
4 
o 

6 

2 
7 
8 
1 

„ 

88.  Inflammation  of  Larynx  

15 

16 
10 
5 

1 
12 

89.  Inflammation  of  Lungs  

18 
3 

1 

1 

12 
9 

1 

4 

00.  Inflammation  of  Pleura  

91.  Haemorrhage  from  Lun^s  

92.  Other  Diseases  of  this  Order.  . 

o 

ORDER  VI.—  Diseases  of  Digestive  Organs. 
93.  Colic  

31 
123 
6 

47 
129 

44 

25 

14 

94.  Constipation  

89 
3 

53 

71 
1 

95.  Cholera  Morbus  

3 

96.  Cirrhosis  of  Liver  

2 

10 

7 

97.  Dropsy  from  Hepatic  Disease    . 

11 

20 

3 

17 

1 

5 
35 

4 

11 

98.  Dyspepsia  

99.  Diseases  of  Pancreas  

!  

100.  Diseases  of  Spleen  

2 
3 

7 
1 

3 
1 

10 

7 

8 
1 

r 

101.  Fistula  in  Ano  

1 

10 

102.  Hernia  

11 

103.  Hiemorrhage  from  Stomach  

Carried  forward  

2,693 

13 

5,817 

18 

6,177 

14 

4,521 

26 

3,573 

13 

'DURING   THE    YEAR    ENDING    JUNE   30,  1804. 


339 


TABLE  LIU.— DEPARTMENT  OF  NORTH  CAROLINA— Continued. 


1863. 

1864. 

DECEMBER. 

JANUARY. 

FEHRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

9,  414. 

11,  030. 

12,  953. 

12,  446. 

8,  027. 

7,  288. 

7,126. 

10,  226. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 
01 

62 
63 
64 
65 
60 
67 

68 
69 
70 
71 
72 

73 

74 
75 
76 
77 
78 
79 
80 
81 
8-2 

83 
84 
85 
8C 
87 
88 
89 
9C 
91 
92 

93 
94 
95 
96 
97 
98 
<1<) 

1,865 

1 
3 
40 
1 

6 

a 

1,756 

4 

1,  906 

1 
2 
33 

10 
1 

2,215 

3 

1,601 

10 

1,810 

1 
3 

27 

4 

1 

1,717 

6 

33,  409 

9 
49 
540 
9 
3 
8 
1 
8 
197 
17 
5° 

11G 
5 

3 

42 

1 
46 
1 

0 

4 

4 
34 

3 
35 

2 

1 
2 

2 

2 
1 

1 

10 
o 

8 

21 

25 
2 

13 

15 

19 

0 

2 

3 
1 
1 

1 



9 

1 

4 
2 
139 
8 
°9 

1 

1 
10 
1 

1 
15 

12 

21 

17 

ft 

5 

2 

4 

1 

4 

1 

1 

8 

36 
22 

2 

1 

3 

3 
1 
3 

3 
4 

3 
o 

c, 

3 

2 
9 

13 

23 
30 

4 
42 
0 
1 
7 
3 
2 
55 
19 
15 

62 
1,059 
111 

1 

1 

6 

1 
8 

o 

1 

5 

1 

1 
1 

1 

0 

4 

5 

1 

6 
1 

i   

1 

1 

1 
2 

3 

1 

1 

1 

1 
1 
1 

0 

1 
12 
2 
2 

7 
193 
9 

o 

3 

2 

3 

2 

o 

1 

1 

1 

4 
105 

1 

3 

1 
1 

7 
75 

7 

i 

12 
121 
5 

1 
30 
23 

4 
39 
6 

o 

1 

21 

13 

6 

|| 

1 
15 

1 

9 
27 
18 
] 
114 

17 
71 

2 

16 
102 
210 
113 
14 
358 

290 

25 
13 
11 
1 
14 

15 
30 

6 
21 
9 
2 
17 

10 
24 

2 
49 
13 

i 

o 

30 
13 
2 

77 

14 

47 

1 

4 

6 

10 
IS 

1 

4 
6 

2 

24 

2 

44 

24 

60 

21 
46 

16 

28 
75 

77 

840 
35 
2 
47 

ir.<j 

15 

1 

1 

5 

16 

o 

4 
11 

2 
1° 

1 
S 

1 

9 

4 

9 

100 
101 
102 
103 

1 

3 
1 
3 
1 

3 

o 

5 
1 
<j 

3 

40 
13 

90 
8 

1 

6 
2 

5 

1 

12 

5 
1 

4 

1 



2,  J79 

10 

2,090 

8 

2,459 

14 

2,748 

11 

1,952 

16 

2,139 

6 

1,992 

9 

38,340 

158 

340 


SICKNESS    AND    MORTALITY   OF   WHITE    TROOPS 


TABLE  LIII.—  DEPARTMENT  OF  NORTH  CAROLINA— Concluded. 


y  EAII  

18133. 

MOXTU  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

10,  844. 

11,  651. 

12,  607. 

9,  986. 

9,336. 

LIST  OF  DISEASES. 

3ases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases,  j  Deaths. 

Cases. 

Deaths. 

2,693 

13 

5,817 

18 

6,177 

14 

4,521 

26 

3,573 

13 

OiutER  VI.—  Disease*  of  Digestive  Organs—  Continued. 

17 
7 
1 

14 
4 

16 
1 
1 
1 
3 
14 
34 
22 
10 

37 
1 

38 

2 

1 

0 

1 

0 

7 
4 
28 
21 

3 
4 

10 
20 

0 

1 

50 
40 
18 

1 

36 
24 
14 

1 

1     .     a 

13 

2 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

D-  b  (  , 

1 

3 

2 
8 

1 

1 

7 

3 
3 

1 
4 
1 
1 
1 

1 
1 
2 

2 

1 

1 

1 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

1 

29 

4 

2 

1 

1 
1 

1 

1 

1 

1 

ORDER  IX.  —  Diseases  of  Integumentary  System. 
131.  Abscess  

31 

Og 

35 

78 
5 

20 
53 
3 
13 
6 

9 

132.  Boils  

97 
4 
11 
20 

139 
8 
32 
9 

1 
33 

07 

133.  Carbuncle  ..         

134.  Whitlow  

17 
16 

2 

6 
9 

2 

135.  Skin  Diseases  

CLASS    V.     WOUNDS,   ACCIDENTS,   AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
136.  Burns  

137.  Contusions  

3° 

23 

13 

138.  Concussion  of  Brain 

1 

139.  Drowning  

o 

1 

i 

140.  Sprains  

55 

19 

00 

11 
1 

9 

141.  Dislocation  

1 

3 

142.  Simple  Fractures  

o 

1 

143.  Compound  Fractures  

1 
5 

2 
1 
1 

144.  (tunsUot  Wounds  

21 
5 
3 

1 
1 

12 
5 

2 
1 

6 
4 

2 

5 

1 

145.  Incised  Wounds  

146.  Lacerated  Wounds  

1 

147.  Punctured  Wounds.  

3 

1 

7 

148.  Poisoning  

5 
6 

1 
1 

1 
1 

149.  Other  Accidents  and  Injuries  

1 

1 

1 

150.  ORDER  II.—  Homicide  

151.  OHDER  III.  —  Suicide  

1 

152.  ORDER  IV.—  Execution  of  Sentence. 

Total  

3,128 

17 

6,269 

25 

6,514 

18 

4,791 

27 

3,  760 

16 

DURING    THE    YEAR    ENDING    JUNE    30,  18(34. 


341 


TABLE  LIIL— DEPARTMENT  OF  NORTH  CAROLINA— Concluded. 


1803. 

18(54. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNK. 

TOTAL. 

9,  414. 

11,  030. 

12,  953. 

12,446. 

8,  027. 

7,  288. 

7,  126. 

10,  226. 

104 
105 
106 
107 
108 
109 
110 
111 
112 
113 

114 
115 
116 
117 
118 
119 
120 
121 
122 
123 

124 

125 
126 
127 
128 
129 
130 

131 
132 
133 
134 
135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
14G 
147 
148 
149 

150 
151 
152 

Cases. 

Deaths. 

Cases. 

Deaths 

Cases 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths.     Cases.    Deaths. 

Cases.      Deaths. 

2,179 

2 
21 
4 

1 

10 

2,090 

8 

2,459 

1 
CO 
o 

14 

2,  748 

1 

60 
<) 

11 

1,  952 

1 

25 

16 

2,139 

2 

19 
4 

6 

1,992 
o 

9 

38,340 

9 
302 
38 
14 
9 
30 
C4 
20G 

158 

41 
1 
1 
1 

14 
3 
5 

1 

1 

1 

1 
o 

1 
2 

] 

1 

1 
5 

2 
5 
9 
9 

1 

1 

6 

2 

1 
15 

5 
4 
14 

5 
10 
14 
3 

10 
14 

7 
7 
19 
1 

3 

12 
3 

1 

13 
2 

1 

68 
4 

0 

1 

2 

1 

1 

1 

1 

10 

; 

1 
3 

1 
6 
1 
o 

1 
3 

2 
1 

o 

11 
37 
11 
19 
6 
7 

o 
1 

48 

o 

1 
1 
1 

2 

1 

1 

5 

o 

1 

1 

3 

1 

1 
1 

1 

o 

1 

o 

1 

1 
1 

14 
71 
1 
o 

10 

5 

310 
749 

1 

"•       . 

1 

2 

2 

27 
37 
3 
11 
45 

3 

37 

1 

28 

1 
12 

41 
43 
3 
4 
6 

9 
20 

41 
58 
1 
8 
43 

9 

48 
] 
4 
17 

53 

45 

3 

8 
19 

32 
132 
°G3 

16 
41 

2 
34 
1 

32 

12 

45 
3°0 

33 

32 

23 

]3 

1 
o 

1 
13 

5 

1 

1 

1 

25 

19 

41 

23 

7 

14 

267 

1 
3 

10 
20 

6 
1 

*-8 

4 
1 
5 

14 

1 

3 

105 
95 
24 
18 
21 

6 
2 
1 

1 

2 

3 

21 

G 

1 

9 
13 

0 

2 
10 
5 

1 

3 

7 

0 

15 

4 

1 

2 

i 

3 

4 

0 

5 
10 
1 

1 

2 

1 

4 

21 

0 

1 

48 

G 

1 

2,841 

i 

2,402 

M 

2,384 

13 

20 

3,118 

J5 

2,198 

17 

2,358 

9 

2,237 

12          42,  000 

203 

342 


SICKNESS    AND   MORTALITY    OP    WHITE    TROOPS 


TABLE  LIV. 

Abstract  of  the  Sickness  and  Mortality 


YEAR  

1863. 

MOXTU  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

21,  917. 

28,  160. 

28,  339. 

28,  948. 

30,  503. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases.  I  Deaths.    Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS   |.—  ZYMOTIC   DISEASES. 
ORDER  I.—  Miasmatic  Diseases. 

66 
1 
132 

13 
1 
4 

96 
5 

11 
2 
5 

97 
1 
247 

19 

39 

12 

28 
o 
76 

5 
2 
5 

'          ^^     °       T^ 

9 

126 

7 

326 

480 
836 
803 
116 
3 
4,450 
268 
477 
32 
6 

3 

381 

596 
662 

7 

376 
508 
649 
52 

o 
1 

242 
481 
531 
40 
45 
2,039 
268 
274 
55 
8 

4 

937 
1,059 

R'  Q611  a     I      rmittent  Fever 

104 
19 
2,249 

47 
15 
4,942 

560 
788 
51 
5 

4 

2 
5 

4 
5 

4 
9 
16 

14 

7 

10 

3,168 
410 
485 
50 
3 

6 
4 
47 
12 
6 

1 
28 
]1 
3 

122 
460 
11 
4 

3 
3 
1 

1 

10 

i-O 

1 

29 

13 

F 

6 

4 
6 
80 
6 

4 
10 
6 

1 

4 

2 

9 

4 

95 
4 

17 
28 
3 

1 

113 
2 

38 
36 
3 
5 
1 
2 

293 

252 

13 

16 

24 

OKDEH  11.  —  Enthetic  Diseases. 

51 
81 
7 
1 
2 
1 
4 

40 

4 
1 
1 

28    Other  Diseases  of  this  Order 

1   

ORDER  III.  —  Dietic  Diseases. 
29.  Scurvy  . 

4 

47 

94 

2 

34 

1 
3 

1 
1 

1 

30.  Purpura  

31.  Delirium  Tremens  

1 

32.  Inebriation  

1 

33.  Chronic  Alcoholism  

34.  Other  Diseases  of  this  Order  

1 

3 

96 

38 
105 
21 

I 

1 

CLASS    II.—  CONSTITUTIONAL   DISEASES. 

ORDER  l.—Diathetic  Diseases. 
35.  Gout  

3 

146 
90 

68 

30.  Acute  Rheumatism.. 

155 

149 
75 

82 

168 
59 

37.  Chronic  Rheumatism  

79 
77 

1 

38.  Anaemia  

53 

5 

39.  G  eneral  Dropsy  

40.  Cancer  

41.  Tumors  

4 
9 

12 
4 

2 
14 

15 

4 
3 

9 
3 

42.  Other  Diseases  of  this  Order  . 

10 

9 
1 

ORDEll  II.—  Tubercular  Diseases. 
43.  Consumption  

14 
2 

2 

1 

2 

o 

4 

44.  Scrofula  

45.  Other  Diseases  of  this  Order  

CLASS   III.  —  PARASITIC   DISEASES. 
46.  Itch  

55 

1 

1 

0 

10 

47.  Tape-worm  

1 
10 

48.  Other  Intestinal  Worms  

6 

3 

1 

4 

49.  Other  Diseases  of  this  Order  

Carried  forward  

5,995 

31 

8,413 

39 

8,973 

93 

6,626 

102 

4,889 

72 

DURING   THE    YEAR   ENDING    JUNE   30,  18G4 


343 


TABLE  LIY. 

of  the  Department  of  the  South. 


1803. 

1804. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE.                    TOTAL. 

32,  307. 

26,  033. 

29,  442. 

27,  738. 

9,  589. 

9,  788. 

10,  125.                       23,  574. 

Cases.    Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

deaths. 

Cases.    Deaths. 

Cases. 

Deaths.  :  Cases.     Deaths. 

Cases. 

Deaths. 

1 

3 

4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 

22 

24 
25 
26 

28 

29 
30 
31 
32 
33 
34 

35 
36 
37 
38 
39 
40 
41 
42 

43 

44 
45 

46 

47 
48 
49 

18 

3    : 

7 

1 

6 

5 

1 

4 

9 

1 

21 

2 

396 
9 
1,011 

68 
5 
38 

43              4     i 

19 

o 

26 

28 

10 

1 

66 

1 

129 
338 
509 
58 

1,255 

294 
194 
18 
17 
7 
9 

1 

57 
333 

72 

78 
344 
431 

33 
114 

85 

44 
158 
150 

187 
147 
160 
4 
8 
C57 

2     i 

2,405 
5,070 
5,  826 

19 

I 

278 

407 
71 
8 
661 
138 
74 
8 
12 

360 
31 

0 

26 
14 
750 
103 
96 
3 
24 
34 
75 
1 
4 
43 
213 
14 

43 

99 
8 
1 
o 

4 

553 

1     ! 

3 

13 

525 

1 

139 
21,  530 
2,315 
3,265 
232 
108 
70 
246 
2 
80 
141 
1  918 

22 
139 
53 
20 
4 
10 
4 

1 

7 

549 
69 
116 

2 
1 

1 

285 

28 
3 
2 

4 
1 

9 

60 

19 
127 

55 
114 
4 
4 

1 

o 

1 

1 

10 

8 

3 

9 
4 

6 
1 
3 

16 

10 
3 

1 

7 

11 

2    i 

4 
262 

1 

1 

5 

48 
30 
16 

24 
26 

3 

8 
31 
20 

11 

1 
31 

329 
11 

54 
109 
12 
1 
1 

190 

15 

90 

30 
29 
10 

215 

20 

33 

18 
7 
1 

1 

24 

25 

354 
497 
86 
15 
13 
4 
29 

269 
2 
8 
5 
4 
16 

6 
1,596 

1 

24 

13 

7 
1 

6 

1 

3 

1 
16 

12 
1 

3 

o 

17 

0 

5 

10 

4 

6 

1 

3 

2 

1 

0 

1 

1 
1 

1 

1 

1 

0 

4 

11 

1 

261 
116 
60 

193 
112 

109 

144 
76 
4 

75 
30 

8 

49 
32 

51      

80 
1 

33 

820 
496 

1 
5 

3 

14 

1 

1 
26 
71 

302 

33 

4 

19 

7 
5 

1 
3 

4 

o 

3 

9 

7 

5 

6 
5 

5 

11 
•2 

1 

1 

1 

5 
o 

5 

14 

0 

24 

43 

31 
g 

3 
3 

5 

4 

200 

1 

9 
26 

1 

1 

, 

3,  936 

45 

2,685 

12 

2,168 

8 

2,734 

24 

895 

0 

1,299 

4 

1,629 

9          50,242     ,      411 

344 


SICKNESS   AND    MORTALITY    OF    WHITE    TEOOPS 


TABLE  LIV.— DEPARTMENT  OF  THE  SOUTH— Continued 


YHAU  

1803. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBEK. 

NOVEMBER. 

MEAN  STRENGTH  

21,  917. 

28,  160. 

28,  339. 

28,  948. 

30,  503. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

5,995 

31 

8,413 

39 

8,973 

93 

6,626 

102 

4,889 

72 

CLASS    IV.—  LOCAL    DISEASES. 

OKDER  I.—  Diseases  of  Nervous  System. 

3 

153 

1 
132 

3 

91 
o 

83 

1 

1 

4 

C8 
1 
1 

1 
I 

4 
1 

1 

1 

1 

j6.  Inflammation  o    ,  p 

9 

49 
8 
22 

3 

41 
3 

1 
30 

1 

3 

61 
1 
1 

45 

''     °S     "  . 

26 
3 
25 

o 

20 

44 
1 

W   P        -• 

'          '  ' 

1 

51 

1 

ORDER  II.  —  Diseases  of  Eye. 

1 
64 

1 

50 
1 
4 
1 

38 

°7 

31 
5 

~  u         n  f  I;..sJ 

1 

4° 

67 
1 

19 
3 
3 
3 

55 
4 

12 

1 

OUDKR  111.  —  Diseases  of  Ear. 

3 

1 
3 
13 

0 

1 
1 
4 

1 

8 
8 

11 

28 

OHDEE  IV.  —  Diseases  of  Organs  of  Circulation. 

"4   V  1  -  1      Di             f  H 

6 

19 

O 

11 

3 

4 

1 
2 

. 

6 

„_                 f        H       t  I)' 

1 

"G    D    l   ^     f  P     ' 

2 

P  J                  '       . 

1 

2 

o 

o 

2 

10 
16 

6 
13 
1 

10 
80 
1° 

8 
10 
o 

1] 

179 
9 

4 
7 
1 

21 

12 

4 

3 

1 

OllDEK  V.  —  Diseases  of  Respiratory  Organs. 
83.  Asthma 

13 

120 

9 
230 

340 
13 

1 

15 

8G.  Dropsy  of  Chest 

87.  ]  hemorrhage  from  Xosc 

88.  Inflammation  of  Larynx 

7 
7 
4 
3 

11 
19 

21 
4 
5 

14 

22 
7 

33 

119 
140 

00 

7 
10 
21 

12 

89.  Inflammation  of  Lungs  

1 

1 

3 

13 

17 
4 
64 

113 

75 

1 

90.  Inflammation  of  Pleura 

91.  Haemorrhage  from  Lungs 

1 

2 

181 

120 

92.  Other  Diseases  of  this  Order 

OHDEU  VI.—  Diseases  of  Digestive  Organs. 
93.  Colic  

150 

170 
139 
51 

1 

94.  Constipation  

104 
38 

97 

93.  Cholera  Morbus  

1 

6 

9G.  Cirrhosis  of  Liver  

97.  Dropsy  from  Hepatic  Disease 

1 
31 
1 

5 

10D 

19    !  

13 

55 

3 

62 

98.  Dyspepsia  

120 

99.  Diseases  of  Pancreas  

100.  Diseases  of  Spleen  

1 

101  .  Fistula  in  Ano  

3 

o 

102.  Hernia  

15 

"1 

27 

11 

0 

1° 

103.  Haemorrhage  from  Stomach  

Carried  forward  

6,958 

35 

9,563 

43 

10,  028 

106 

7,806 

110 

5,821 

75 

DURING   THE    YEAR   ENDING   JUNE    30,   18G4. 


345 


TABLE  LIV.— DEPARTMENT  OF  THE  SOUTH— Continued. 


18(5(3. 

1804. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCU. 

APRIL.                   MAY. 

JU.NE. 

TOTAL. 

32,  307. 

26,  C33. 

29,  442. 

27,  738. 

9,  589. 

9,  788. 

10,125. 

23,  574. 

50 
51 
52 
53 
54 
55 
56 
57 
58 
59 

eo 

Gl 

62 

63 
64 
65 
66 
67 

68 
69 
70 
71 

72 

73 
74 
75 

76 
77 
78 
79 
80 
81 

83 

84 
85 
86 
87 
88 
89 
90 
9] 
92 

93 
94 
95 
96 

97 
08 
99 
100 
101 
102 
103 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths.    Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

3,936 

1 

7 
87 
4 

45 

2 

2,685 

o 
7 
75 

4 

12 
2 

2,168 

1 

10 

48 

8 

2,734 

8 
43 
30 
2 

24 
1 

895 

2 

1,299 

4 

1,629 

1 
2 

40 

9 
1 

50,242 

15 
92 

862 
20 

441 

8 
1 

4 

6 
32 

1 
3 

7 
2 

2 

1 

1 

2 

69 
1 

3 

55 
1 

1 
40 

1 
1° 

1 
15 

23 

46 

8 

4G6 
24 
62 
153 

26 
2 
530 
13 
203 
22 

19 

28 

1 

3 
11 

1 

1 
1 
1 

15 

2 

4 

1 
1 

3 
1 

1 

64 

45 

50 

54 
5 

36 

39 

3° 

1 
3 

3 

3 
2 

4 

1 

1 

6 

1 

1 

8 
4 
3 
8 

1 
2 
8 
6 

4 

2 

2 
4 

3 

17 
62 
121 

G 

18 

10 
2 

2 
4 

5 

5 
1 

7 

6 
1 

3 

7 
1 
1 

74 
6 
3 
9 

5 
1 
2 
2 

1 

0 

1 

1 

3 

85 
68 
6 

132 
2,111 
154 
2 
6 
200 

12 

0 

12 

12 

7 
5 

1 

1 

1 
o 

5 
1 

18 
301 
20 

3 

1 

14 
177 
15 

1 

5 

20 
278 
6 

9 
177 

25 

1 

97 
C 

4 
53 
3 

1 

79 
8 
2 
1 
9 
14 
11 
4 
2 

26 

1 
1 

1 
29 
07 

19 

0 

31 

83 
98 
4 

1 
10 
28 
15 
2 
28 

26 

I 

1 
7 
36 
14 
5 
14 

31 

50 
4 

78 

5 

38 
10 
2 
10 

39 
85 

11 

4 
8 

3 

20 
25 

1 

5 

3 

1 

238 
172 
30 
431 

947 
1,  143 

19 

1 

39 
42 

12 

19 
50 

1 

59 

71 
5 

79 
14 

7 

1 

5 

179 

2 

3 

42 

1 
42 

1 
36 

1 

07 

2 
36 

1 
33 

50 
617 
1 
1 
16 
154 
3 

24 

g 

1 

3 

9 

2 

1 
11 

1 

7 

17 

2 

10 

4,896 

50 

3,586 

15 

2,806 

14 

3,423 

31 

1,230 

2 

1,682 

5 

2,053 

11 

59,  852 

497 

44: 


346 


SICKNESS   AND   MORTALITY    OP    WHITE   TROOPS 


TABLE  LIV.— DEPARTMENT  OF  THE  SOUTH— Concluded. 


1 

YEAR  

1803. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

21,  917. 

28,  160. 

28,  339. 

28,  948. 

30,  503. 

LIST  OF  DISEASES. 

Cases. 

deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

rd 

6,958 

35 

9,563 

5 
26 
3 

17 

8 

43 

10,  028 

3 

50 
13 
17 
3 
7 
o 

106 

7,806 

110 

5,821 
o 

75 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

18 
C 
13 

42 
14 
5 
1 
4 
2 
35 
72 

43 

4 
o 

1 

o 

1 
1 

1 

1 
1 

4 

5 

28 
56 

1 

67 
91 
6 

3 

1 
4 
1 
6 
12 
4 
6 

54 
100 
2 

3 

40 

46 
6 

1 

1 

4 
1 

OBDEIt  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

7 
1 
6 
6 

3 
3 

o 

6 

11  .     ngi  s 

11«'  ^!sea°es  f  T  ,,- 

1 
11 
5 
5 
1 

1 
6 
1 
4 

1 

3 
3 
2 

lo?'  T"  ""f              f  U  i 

14 

'  Jj1^n  ln. 

1 
3 

3 

1 

1 
3 
3 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

1 

1 

7 

1 
3 

4 
3 
1 
3 

C 

1"7   I  fl  mmition  of  B  nes 

'         '                    f  p    '     t 

4 

1 

1 
3 

'    °  a   ,. 

1 

1 

"103 
124 

7 
39 
38 

11 
16 

1 

ORDER  IX.  —  Diseases  of  Integumentary  System. 

75 
171 
19 
26 
24 

8 
81 

195 
350 
13 

68 
66 

16 
56 

172 
22  L 
10 

27 

126 

132   Boils                                                     

130 
4 
29 

134    Whitlow                                                                   .... 

27 

8 
38 
2 

25 

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
136.  Burns  

7 
25 
1 

137.  Contusions  

138.  Concussion  of  Brain  . 

133.  Drowning  

0 

1 

140.  Sprains  

45 
1 
1 
1 

540 
23 
22 

20 
1 
1 

43 
1 
4 
1 
104 
15 
5 
1 

25 

41 

141.  Dislocation  

2 

1 

4 

142.  Simple  Fraatures  

143.  Compound  Fractures  

144.  Gunshot  Wounds  

40 

202 
2G 
7 
4 
1 
3 

48 

34 

40 
15 
6 
1 

5 

9 
21 

145.  Incised  Wounds  

146.  Lacerated  AVound.i  

147.  Punctured  Wounds  

6 

1 
21 

3 
1 

148.  Poisoning  

1 

149.  Other  Accidents  und  Injuries  

1 

5 

150.  OlJDBU  II.  —  Homicide  

151.  ORDER  ill.—  Suicide  

152.  ORDER  IV.  —  Execution  of  Sentence... 

1 

Total  

8,189 

81 

10,  865 

97 

11,040 

142 

8,440 

117 

6,430 

77 

DURING   THE    YEAR   ENDING   JUNE    30,  1864. 


347 


TABLE  LIV.— DEPARTMENT  OF  THE  SOUTH— Concluded. 


1803. 

18(34. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUXE. 

TOTAL. 

32,  307. 

26,  033. 

29,  442. 

27,  738. 

9,589. 

9,  788. 

10,  125. 

23,  574. 

104 
105 
106 
107 
108 
109 
110 
111 
112 
113 

114 
115 
116 
117 
118 
119 
120 
121 
122 
123 

124 
125 
126 
127 
128 
129 
130 

131 
132 
133 
134 
135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
146 
147 
148 
149 

150 
151 
152 

Cases. 

Deaths.  ! 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

4,896 

50 

3,586 

15 

2,806 

14 

3,423 

31 

1,230 

2 

1,682 

5 

2,053 

11 

59,  852 

10 
456 
56 
66 
10 
46 
17 
355 
602 
26 

15 
4 
28 
7 
21 
67 
25 
45 
7 
18 

7 
36 
40 
2 
13 
7 
7 

1,117 
1,923 
102 
374 
554 

88 
497 
6 

497 

58 
1 
2 

57 
1 

55 

57 
8 
5 

21 

16 
1 

13 
3 
1 

1 
1 

1 

o 
2 

1 

3 
6 
5 
3 

1 

2 
1 
3 

21 

38 
4 

1 

1 

•      2 
1 
21 
11 

2 

2 
3 

36 
62 
2 

1 
2 

3 

1 

3 

1 

4 
1 
14 
46 

1 

5 

16 
49 
1 

10 

10 

1 

2 

11 
21 

1 

2 

l' 
1 

2 

3 

1 

3 

4 
1 
4 
1 
5 

1 
6 
1 
o 

1 
3 
1 
1 

4 
1 
2 
2 

2 
1 
3 
o 

4 

6 
2 
o 

1 

2 

1 
1 
3 

1 

2 

1 
3 
2 
1 

1 

2 
6 
2 

3 
3 

1 
3 

3 

4 

4 
8 

2 

1 

1 

1 
3 

89 
142 

1 
1 

68 
167 
10 
54 

89 

8 
74 
1 

1 

2 

149 
226 
15 
29 
46 

11 
49 

| 

67 
181 
8 

28 
51 
5 

16 
28 

23 
59 
3 
16 
35 

22 
101 
4 
11 
29 

o 

4 
33 

90 

5 

43 

57 
o 

3 

21 

7 
17 

55 

00 

1 

1 

2 

6 

66 
4 
1 
1 
20 
07 

7 
1 
1 
3 

42 

32 

49 
4 
o 

20 

17 
3 

13 
1 
1 

413 
20 
25 
4 
1,668 
219 
69 
33 
5 
69 

o 

4 

4 

3 

1 
13 

OO 

3 

20 
8 
2 
1 
4 

2 
1 

679 
19 
3 
2 

10 

2 

11 
11 

14 
10 
4 
2 

1 

4 
10 
4 
6 

145 
1 
1 

1 
2 

1 

3 

1 

4 

31 

2 

1 

1 

1 

1 

1 

2 
6 

1 

3 

1 

5,752 

56 

4,254 

20 

4,109 

:vj 

4,145 

37 

1,491 

5 

1,959 

6 

2,357 

16 

69,  031 

636 

348 


SICKNESS   AND   MORTALITY    OF   WHITE   TROOPS 


TABLE  LV. 

Abstract  of  Mortality  in  the 


YEAR  

1863. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

-TR 

37,  096. 

34,  183. 

30,  790. 

25,  758. 

26,  186. 

LIST  OP  DISEASES. 

Cases. 

Deaths. 

Cases. 

Jeaths. 

Cases. 

ieaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS  1.—  ZYMOTIC    DISEASES. 
OIIDER  I.  —  Miasmatic  Diseases. 

221 

171 

89 

79 

53 

1. 
3 

11 

7 

9 

10 

'          6       -                    T^ 

20 

19 

13 

2 

3 
3 

o 

2 

7 

7 
58 

3 
2 

94 
9 
8 
1 
2 

1 
1 

98 
12 

4 
2 
183 
8 
1C 
f> 

4 
3 

166 
3 
10 
4 
6 

'     TV 

• 

10 
3 
2 
8 

0 

15 

'                        J              y 

1 
3 

'      r>     *      ,                     .       ., 

2 

1 
10 

1 

7 

9 

4 

1 

7 

4 
2 

o 

OUDEH  II.  —  Enthetic  Diseases. 
22    Syphilis                                  ....              

3 

1 

24.  Orchitis  

25.  Stricture  of  the  Urethra      

26.  Purulent  Ophthalmia  

27.  Serpent  Bite                          

ORDER  III.  —  Dietic  Diseases. 
29.  Scurvy  

1 

4 

6 
o 

2 

30.  Purpura  

31.  Delirium  Tremens  

1 

4 

2 

1 

32.  Inebriation  

33.  Chronic  Alcoholism  

34.  Other  Diseases  of  this  Order  

3 

8 

CLASS  II.—  CONSTITUTIONAL    DISEASES. 
ORDER  I.  —  Diathetic  Diseases. 
35.  Gout  .  .  . 

- 

36.  Acute  Rheumatism  

1 

1 

37.  Chronic  Rheumatism  

2 

4 

38.  Anaemia  

1 

2 

39.  General  Dropsy  

40.  Cancer  

1 
1 

1 

19 

41.  Tumors  

1 

42.  Other  Diseases  of  this  Order  .  . 

3 

12 
1 

1 

17 
1 

OUDEH  II.  —  Tubercular  Diseases. 
43.  Consumption  

16 

15 

44.  Scrofula  

45.  Other  Diseases  of  this  Order  

2 

CLASS  III.—  PARASITIC    DISEASES. 
46.  Itch  

47.  Tape-worm  

48.  Other  Intestinal  Worms  

49.  Other  Diseases  of  this  Order  

Carried  forward  

371 

369 

272 

351 

302 

DURING   THE    YEA.K   ENDING   JUNE   30,  18G4. 


349 


TABLE  LY. 

General  Hospitals  of  the  Atlantic  Region. 


1863. 

1864. 

DECEMBER. 

JANUARY.          FEHUUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

21,  749. 

17,  550.                    18,  332. 

18,  -1'JO. 

20,  518. 

43,  264. 

49,  391. 

28,  till. 

Cases. 

Deaths. 

Cases.    Deaths.    Cases. 

deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases,  i  Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1 
o 

3 
4 
5 
6 
7 
8 
9 
10 
11 

13 
14 
15 

16 
17 
18 
19 
20 
21 

23 
24 

26 

27 
28 

29 
30 
31 

33 

34 

35 
36 
37 
38 
39 
40 
41 
42 

43 
44 
45 

46 
47 

48 
49 

27 
1 
5 

19 

1 

3 

30 

°9 

55 

60 

155 
2 
13 

988 
6 
72 

1 
7 

4 

"| 

3 

1 
2 

1 

2 
1 

10 
1 
1 
1 
3 

4 

10 

85 
10 
8 
2 
31 
60 
1,108 
59 
90 
44 
361 
117 
6 
64 
2 
2 
43 

7 

i 

1 

2 

1 
1 
5 

69 

i  ! 

6 
3 

68 
1 

3 

5 
9 
100 
5 
10 
6 
11 
11 
1 
13 

6 
112 
3 

7 
4 
28 

1 

57 
2 

53 

53 
2 
1 
4 
CO 
36 
1 
3 
1 

66 
3 
4 
7 
40 
11 

1 
10 
5 

65 
J2 

5 
68 
44 

1 
5 

3 

5 

4 

1 

1 

1 

14 

7 

4 

4 

1 

1 

1 

1 
1 
4 
1 

12 
4 
45 
3 

1 
3 

3 

6 

7 

10 
2 

2 

11 

3 

5 

SO 

1 

1 

1 
1 

4 
4 
14 

1 

1 

1 

4 

1 

3 

8 

257 
o 

6 

1 

1 

35 

2 

38 

20 

16 

21 

24 

29 

1 

1 

2 

1 

1 

229 

206 

213 



275 



309 

263 

401 

3,  501 

350 


SICKNESS   AND    MORTALITY    OF    WHITE    TEOOPS 


TABLE  LV.— GENERAL  HOSPITALS  OF  THE  ATLANTIC  REGION— Continued. 


y  EAH   •  

1803. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

37,  096. 

34,  183. 

30,  790. 

25,  758. 

26,1 
Cases. 

86. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Deaths. 

371 

0 

369 
o 

272 

351 

3 
o 

302 
3 

CLASS    IV.  —  LOCAL    DISEASES. 
ORDER  I.—  Diseases  of  Nervous  System. 

2 

1 

1 

2 

51.  Epilepsy  

2 
1 
4 

53.  Insanity  

9 

3 
3 

1 
1 

1 

1 

58.  i  e        t 

2 
1 
1 

2 

1 

3 

4 

1 

ORDER  II.  —  Diseases  of  Eye. 

'       -        f  r<     • 

V  x"   hTim* 

r\lS     iv              f  tv    o 

ORDER  III.  —  Diseases  of  Ear. 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

2 
1 
2 
1 
1 

o 

3 

2 
] 

76   D™^  of  P    ^  rdium 

1 

1 

1 

2 

1 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
83.  A  sthma                                                         

1 

1 

1 
4 

86   Dropsy  of  Chest 

87.  Hsomorrhago  from  Nose      

88.  Inflammation  of  Larynx  

1 
15 
o 

15 
2 
1 

12 

19 
3 

21 

90.  Inflammation  of  Pleura  

91.  Haemorrhage  from  Lungs  

2 
1 

2 

1 

92.  Other  Diseases  of  this  Order 

3 

ORDEK  VI.  —  Diseases  of  Digestive  Organs. 
93.  Colic  

94.  Constipation  

o 

95.  Cholera  Morbus  

! 

1 
1 

1 

96.  Cirrhosis  of  Liver  

1 

1 
1 

97.  Dropsy  from  Hepatic  Disease  

1 
1 

98.  Dyspepsia  

99.  Diseases  of  Pancreas  .... 

100.  Diseases  of  Spleen  

101  .  Fistula  in  Ano  

1 

102.  Hernia  

103.  Htemorrhage  from  Stomach  

1 

Carried  forward  

409 

417 

302 

39  L 

344 

DURING   THE    YEAR   ENDING    JUNE   30,  18i>4. 


351 


TABLE  LV.— GENERAL  HOSPITALS  OF  THE  ATLANTIC  REGION— Continued. 


18(33. 

1804. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

21,  749. 

17,  550. 

18,  332. 

18,  490. 

20,  518. 

43,284. 

49,  331. 

28,  611. 

50 
51 

53 

54 
55 
56 
57 
58 
59 
60 
61 

62 
63 
64 
65 
66 
67 

68 
69 
70 
71 

•JO 

73 

74 
75 
76 
77 
78 
79 
80 
81 
62 

83 
84 
85 
86 
fc7 
88 
89 
9C 
91 
92 

93 
94 
95 
96 
97 
98 
99 
100 
101 
102 
103 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

229 

206 

1 

2 

213 

275 

309 

2 
3 

263 

401 
o 

3,501 

24 

18 

•' 

1 

1 
1 

5 
3 

1 

2 

1 
9 
2 

3 
52 
34 
3 

0 

o 

5 

7 
10 

8 
1 

4 
2 

1 

10 
1 

1 

1 

1 
14 
9 
26 

1 

4 

1 

1 
1 
5 

2 
4 
5 

1 

0 

7 

1 

1 
2 

1 
4 

1 

4 

24 
7 
3 
9 
2 
1 

o 

4 
1 

1 
1 

2 

1 
1 

1 
1 

il  

0 

1 

1 
1 

2 

1 

! 

1 

2 

1 

2 
5 

2 

8 
3 

19 

1 

1 

4 
3 

6 
2 

7 
2 

1 
1 

3 

3 

1 

10 

2 
29 
6 

0 

2 
129 
4 

2 
144 
3 
2 

1 
39 
1 
1 
2 

11 
559 
26 
11 
12 

62 

64 
4 
1 
1 

1 
1 
1 

2 

2 

4 
4 

10 
1 

1 
1 

1 

1 

1 

2 

1 

1 

2 

1 
1 

0 

1 

1 

254 



277 



305 



459 

497 

359 

482 

4,496 

352 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  LV.— GENERAL  HOSPITALS  OF  THE  ATLANTIC  REGION— Concluded. 


YEAH  ;  

1863. 

MONTH  

JULY.. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

37,  096. 

34,  183. 

?0,  790. 

25,  758. 

26,  186. 

USX  OP  DISEASES. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.  :  Deaths. 

Cases.    Deaths. 

409 

417 

302 

391 

344 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

V 

1 

1 
2 

1 

3 
5 
1 
1 

1 

1 

6 

4 

o 

2 

1 

110.  Chrome  In  amrati 

1 

112    Piles                        

3 

2 

OUDEU  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

i 

1 

o 

1 

3 

1 

1 

1°2   Ilydrocele                                

123    Other  Diseases  of  this  Order  

1 

1 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

1 

ORDEU  IX.  —  Diseases  of  Integumentary  System. 
131.  Abscess  

1 

1 

132.  Boils  

133.  Carbuncle  

134.  Whitlow  

135.  Skin  Diseases  

CLASS   V.     WOUNDS,   ACCIDENTS,   AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
13G.  Burns  

2 
1 
3 

3 

138.  Concussion  of  Braiu 

o 

1 

139.  Drowning.  .  . 

1 

3 

140.  Sprains  

141.  Dislocation  

142.  Simple  Fractures  

2 
9 

283 

o 

143.  Compound  Fractures 

7 
236 
1 
2 

0 

3 
63 

144.  Gunshot  Wounds  

81 
o 

88 

145.  Incised  Wounds  

1 

146.  Lacerated  Wounds  

1 

1 

147.  Punctured  Wounds  

148.  Poisoning  

o 
3 

1 

149.  Other  Accidents  and  Injuries  

4 

4 
1 

1 

1 

150.  OKDER  II.—  Homicide  

151.  ORDER  III.  —  Suicide  

1 

1 

152.  ORDER  IV.—  Execution  of  Sentence  

Total  

! 

677 

738 

409 

491 

428 

DURING   THE   YEAR   ENDING    JUNE    30,  1864. 


353 


TABLE  LV.— GENERAL  HOSPITALS  OF  THE  ATLANTIC  REGION— Concluded. 


1863. 

18G4. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY.                  JUNE.                    TOTAL. 

— 

21,  749. 

17,  550. 

18,  332. 

18,  490. 

20,  518. 

43,  284. 

49,391. 

28,  Gil. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases.      Deaths. 

104 
105 
IOC 
107 
108 
109 
110 
111 
112 
113 

114 
115 
116 
117 
118 
119 
120 
121 
122 
123 

124 
125 
126 
127 
128 
129 
130 

131 
132 
133 
134 
135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
145 
147 
148 
149 

150 
151 
152 

254 

277 

305 

459 

497 

1 
1 
4 
1 
3 

359 

482 

3 
3 

4,496 

4 
8 
15 
24 
32 
6 
9 
6 
4 
7 

1 
2 

1 

1 
2 
4 
3 

1 
1 
3 

3 
2 

4 
3 
1 
3 

4 
4 
1 

1 
1 
1 

1 
1 

2 

1 

2 

1 
4 
1 

1 

1 

1 

1 

1 

1 

8 
1 

& 

1 

8 
1 

1 

2 

1 

1 

1 

7 

1 

1 

1 

1 

1 

2 

1 

2 

1 

4 

10 

1 
1 

1 

1 

8 

10 

1 

1 

1 



3 

3 

1 

2 

1 

o 

6 
89 
3,438 

9 

6 
4 
67 

3 
4 

3 

81 
3 

o 

1 

16 

1 
19 

1 
13 

1 

42 

18 
1,833 

19 

706 
1 

1 

2 
1 
1 
1 

1 

2 

1 

1 
14 

2 



4 

3 

1 

3 

28 

1 

1 

355 

312 

337 

505 

534 

1,145 



2,404 



8,328 

354 


SICKNESS   AND   MORTALITY   OF    WHITE    TROOPS 


TABLE  LVI. 

Abstract  of  the  Sickness  and  Mortality 


YEAR  

1803. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

. 

20.°.,  083. 

219,  614. 

217,  345. 

205,  014. 

214,  539. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS    1.—  ZYMOTIC    DISEASES. 

OltDEli  I.  —  Miasmatic  Diseases. 

572 

18 
890 

279 
3 
15 

653 
8 
920 

258 
4 
32 

594 
7 
653 

18G 

393 
14 
583 

143 
28 

325 
3 

396 

95 
2 
35 

2.  Typhus  Fever  

33 

2,285 
2,658 
2,731 
183 
43 
10,  607 
955 
1,762 
131 
110 
6 
29 

30 
4 

3,  874 
4,746 
4,655 
363 
55 
16,  563 
1,248 
1,869 
123 
120 
1 
27 
1 
149 
42 

36 

3,335 
5,927 
4  710 

39 

0 

2,312 

4,637 
4  G22 

13 

8 

1,  655 
3,908 
4  120 

9 
2 

C.  Quotidian  Intermittent  Fever  

''     ' 

1 
14 
13 
307 
23 
13 
4 
2 

602 
56 
14,  682 
1,461 
2,485 
202 
70 
6 
59 

4«2 

205 

12 
10 
72 
25 
4 
4 
9 
2 

11 

16 
137 
44 
27 
o 

3 
1 

57 
9,068 
1,281 
1,  653 
173 
76 
17 
53 

18 
8 
239 
40 
32 
o 

4 

99 
8,409 
1,  254 
1,253 
181 
106 

°7 

10 
5 
222 
20 
22 
4 
8 

17    Scarlet  Fever                                 

1 
25 

3 

83 
101 
1,136 

18   Diphtheria                   

58 
50 
375 
310 

412 

3 

153 
54 
495 
252 

754 

978 
92 

19 

79 
35 

849 
184 

750 
810 
112 
17 

15 
1 

13 

355 

1 
o 

3 

8 

337 

539 
735 
60 
15 

5 
2 

2 

204 

7G4 
657 

5 
1 

OilDEli  II.  —  Enthetic  Diseases. 
oo    Syphilis 

554 

68 
14 
9 
3 

113 

15 

18 

9 
o 

8 
1 

O7 

25 

6 

170 
36 
43 
23 
15 

8 

109 
5 
50 
37 
14 

OKDEU  III.  —  Dietic  Diseases. 
29.  Scurvy  

115 
20 

47 
31 
4 
27 

3 

742 

602 

196 
°4 

1 

2 

5 

90 
3 
33 
37 
10 
10 

19 
1,086 

674 
248 
1 
1 
11 
38 

74 
41 
5 

218 

6 
2 
5 

30.  Purpura  

31.  Delirium  Tremens  

6 

29 
48 
17 

7 
1 

4 

3 

2 

32.  Inebriation  

33.  Chronic  Alcoholism  

34.  Other  Diseases  of  this  Order  

3 

1 

8 

CLASS    II.—  CONSTITUTIONAL    DISEASES. 
OUBEK  l.—Diathetic  Diseases. 
35.  Gout  

5 

5 
1,103 
615 

3 

o 

8 
52 

92 
40 
17 

JOO 

36.  Acute  Rheumatism  

1 

890 
595 

896 
571 
287 
34 
2 

5 

48 

111 
31 
o 

1 
1 

1 
2 
4 
1 

1 
1 
6 

37.  Chronic  Rheumatism  

38.  Anaemia  

269 

3 

355 

11 

2 

39.  General  Dropsy  

40.  Cancer  

0 

8 
28 

75 
24 
6 

°23 

1 
1 
1 

23 

41.  Tumors  

13 

36 

103 
53 
2 

57 
4 
13 

1 

1 

25 
1 
2 

42.  Other  Diseases  of  this  Order  

3 

14 
1 

1 

23 
1 

ORDEK  II.  —  Tubercular  Diseases. 
43.  Consumption  

26 

44.  Scrofula  

45.  Other  Diseases  of  this  Order.  .  . 

CLASS    III.—  PARASITIC    DISEASES. 
46.  Itch  

78 
2 

47.  Tape-worm  

4 
18 

8 
10 
1 

2 
16 
o 

48.  Other  Intestinal  Worms  

18 

0 

49.  Other  Diseases  of  this  Order  

o 

Carried  forward  

27,  106 

508 

39,  942 

580 

40,  045 

561 

30,  853 

598 

27,914         512 

DUKING    THE   YEAR   ENDING    JUNE    30,  1864. 


355 


TABLE  LYI. 


of  the  Atlantic  Region. 


1863. 

1864. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

220,  341. 

206,  669. 

228,  244. 

247,  591. 

265,  635. 

216,  639. 

205,  041. 

220,  813. 

Jases.  1  Deaths. 

Cases. 

Deaths. 

Cases. 

Oeaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Jeaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

1 

3 

4 
5 
6 
7 
8 
9 
10 
11 

13 
14 
15 
16 
17 
18 
19 
20 

22 

24 
26 

26 

30 
31 
32 
33 

34 

35 
36 
37 
38 
39 
40 
41 
42 

43 
44 
45 

4 
4 
4 
4 

260 
8 
275 

82 
6 

17     i 

258  1 
3 
270 

79 
1 
20 

191 
11 
154 

79 
6 

250 

7 
169 

78 
4 
16 

255 
3 
229 

103 

190 
4 

261 

71 

291 
4 
640 

227 
3 
35 

4  232 
90 
5,440 

1,680 
29 
207 

8 

1,  059 
2,  45!) 
2,  499 
164 
63 
6,  344 
1  229 
821 
91 
124 
78 
48 
4 
74 
82 
1,444 
241 

718 
808 
142 
20 
16 

9 
1 
o 

781 
1,  899 
1,912 
148 
61 
4,326 
872 
417 
71 
169 
209 
296 
7 
164 
259 

9 

1 
2 
11 
11 
151 
7 
12 
9 
85 
o 

1 
8 

839 
1,981 
1,  755 
141 
20 
3,211 
554 
390 
33 
224 
188 
1,126 
25 
147 
503 
1,502 

6 
1 

1,137 
2,511 

2,568 
66 
62 
3,457 
589 
357 
35 
340 
211 
I,  828 
21 
135 
1,315 
2,651 
660 

1,366 
1,592 
211 

3 

1 

1 

1,463 
2,939 
3,  202 
193 
86 
5,717 
677 
853 
39 
307 
233 
1,263 
22 
123 
1,  699 
1,826 

18 
1 
1 
1 
9 
25 
58 
6 
J 
9 
74 
63 
1 
6 
1 

1,109 
2,574 
2,  112 
88 
43 
9,144 
621 
1,  364 
143 
156 
77 
297 
3 
50 
481 
616 
630 

856 
848 
159 
13 
11 

10 

2,197 
2,610 
2,171 
162 

13 

1 
2 

22,  046 
38,  849 
37,  057 
2,807 
717 
107,  053 
11,842 
15,  891 
1,335 
1,917 
1,068 
5,618 
87 
3,299 
4,993 
12,938 
5,401 

9,861 
11,  262 

195 
19 
11 
4 
111 
121 
1,  519 
214 
156 
74 
446 
241 
10 
140 
5 
2 
96 

2 
8 
212 
20 
15 
4 
34 

1 
3 

64 
5 
14 
10 
77 
35 
1 
16 

7 
2 
76 
6 

8 

70 
3 
4 
9 
44 
14 

72 
15,  525 
1,101 

2,667 
113 
115 
18 
565 
1 
84 
372 
252 

8 
20 
111 
15 
12 
7 
17 
16 
1 
15 
1 

10 
89 

106 
5 
7 
1 

9 

4 
1 

1 
1 

3 

1,437 
711 

628 
720 

4 

554 

849 
962 

16 

540 

1,  522 
1,763 
301 
33 
24 

12 
1 

7 
1 

778 

703 
635 
109 
18 

34 

1 

100 
27 
35 
1 
85 

172 
30 
15 

1,639 

1 

34 

264 
190 
13 

277 

984 
129 
526 
549 
174 
84 

54 
12,  679 
8,  204 
2,  564 

171 
505 

1,102 
521 
47 

2,788 
62 
191 
32 

1 

21 

4 
34 

42 

2 
9 

45 
3 

26 
41 
27 

26 

57 
9 
31 
32 
14 
15 

2 

1,328 
784 
248 
5 
o 

11 

87 

76 
44 

14 

36 
4 

68 
57 
15 
6 

36 

34 

6 
64 
84 
11 
15 

11 
1,439 
814 
127 

1 

5 

40 
4 
26 
39 
16 
1 

1 
700 
518 
140 

1 

16 
4 
87 
18 
3 
31 

1 
11 
9 

28 

1 

3 

10 

373 
3 

6 

50 
6 

39 
51 
16 
7 

1 
1 
9 
5 
3 

1 
1 
5 
1 

9 
65 
69 
15 

5 

1 

13 

1 

14 
3 

14 
4 

o 

11 

3 

7 
1,577 
1,039 
219 

3 

5 

1 
1 

1 
617 
548 
136 

1,147 
760 
149 

1,154 
684 
113 

3 

o 
o 

1 
1 
2 

1 
1 

1 

1 
1 

1 

2 

1 

4 

4 

18 
24 

99 
47 

1 

315 

1 
24 

68 

93 
37 

4 
25 
36 

120 
52 

1 

3 

18 
18 

74 
38 
1 

210 
3 

8 
4 

1 

7 
6 

57 
58 
9 

284 

1 

\ 

1 
43 

64 

128 
56 

f) 

433 
10 
1C 
9 

1 
47 

o 

39 

29 

33 

31 

40 

1 

1 

o 

211 
5 
5 

283 
8 
9 
3 

355 

8 
44 

f) 

6 

1 

28    

1 

4 

22,  063 

469 

18,  611 

468 

18,  254 

373 

24,  882 

506 

29,136 

469 

23,  717 

319 

33,  129 

588          335,652      5,951 

356 


SICKNESS   AND    MORTALITY    OF   WHITE   TROOPS 


TABLE  LVL— ATLANTIC  REGION— Continued. 


VEAii  

18<>3. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

. 

203,  083. 

219,  614. 

217,  345. 

205,014. 

214,  539. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

27,  10G 

2 
66 

902 

508 
3 

39,  942 

5 
103 
889 
17 
11 
3 
2 
37 
395 

580 

7 
3 

40,  045 

12 
81 
594 

561 

11 
2 

30,  853 

10 
77 
466 
10 
2 
2 
7 
28 

598 

7 
5 

27,  914 

4 
88 
421 

512 

7 

CLASS    IV.—  LOCAL    DISEASES. 

OKDEU  I.—  Diseases  of  Nervous  System. 

14 
15 
1 
3 
13 
326 
20 
325 
18 

24 

0 

6 
5 

18 
6 

17 
3 
1 
2 
20 
330 
13 
2 
62 

5 
o 

12 
1 

4 
3 

4 
1 

2 

1 

2 

1 

8 
25 
351 
21 
23 
59 

6 
1 
256 
8 
110 
10 

55 
18 
15 
62 
95 

1 
54 
4 
1 
10 
1 
3 
54 
57 
20 

98 
950 
140 
1 

17 
58 

r!'  ^fl*°Jm.atl°n  °     '  P 

1 

'8*  N  M    -I   ii 

315 

3 

3 
1 

36 
222 
31 

7 
5 
282 
o 

2 

18 
7 
40 

9 

1 

1()2 

2 

2 

10 
5 

1 

1 

1 

ORDER  II.  —  Diseases  of  Eye. 

228 

2-17 
7 
°9 

4 

129 

18 
43 
15 

18 
16 
14 
33 

74 

3 

48 
6 
8 
5 
4 

139 
12 

68 
28 
12 

13 

104 
33 
18 
51 

9 

19 
7 
3 
44 

102 

ORDER  III.  —  Diseases  of  Ear. 

*  '  D  ^. 

h 

91 
153 

5 

54 
4 

"•'>               IV                     '    O 

49 

1 
36 
6 
7 
4 
6 
6 
113 
81 
15 

71 
533 
84 

OltUER  IV.  —  Diseases  of  Organs  of  Circulation. 

3 
4 

2 

1 
1 

1 
11 

3 

30 
6 
o 

6 
5 

1 

1 
1 

5 

5 
o 

3 

o 

10 
4 
3 
73 
82 
12 

83 

729 

o 

1 

77 
45 
12 

97 
1,512 
153 
4 
8 
75 
172 
154 

91 
41 
9 

88 
1,678 
172 
10 
12 

82.  Other  Diseases  of  this  Order                

2 

2 

6 

4 

1 
1 
4 

OUDEK  V.  —  Diseases  of  Respiratory  Organs. 
83.  Asthma 

84.  Acute  Bronchitis 

2 

85.  Chronic  Bronchitis                                     

122 

86.  Dropsy  of  Chest 

1 
13 

48 
89 
100 
40 

78 

025 

o 

54 

98 
192 
37 
96 

956 
1  178 

1 
1 

87.  Haemorrhage  from  Nose 

88.  Inflammation  of  Lary  nx                                   

1 
20 

2 
1 

112 

206 
17G 

1 
36 

89.  Inflammation  of  Lung's 

21 
2 
1 
1 

1 

131 
133 
26 

87 

759 
977 
211 
1 
44 
41'i 
o 

21 

25 

90.  Inflammation  of  Pleura 

91.  Haimorrhag-e  from  Lungs 

3 

372 

596 

778 
99 
4 
42 
285 

o 
5 

15 

201 

511 

873 
30 
3 
26 
302 

1 

9f!.  Other  Diseases  of  this  Order   .. 

OitUEit  VI.  —  Diseases  of  Digestive  Organs. 
93.  Colic  

94.  Constipation  

1,089 
368 

0 

3 

1 

o 

95.  Cholera  Morbus  

1 

367 
5 
25 
555 

4 
2 

96.  Cirrhosis  of  Liver  

1 
1 

97.  Dropsy  from  Hepatic  Disease  .  . 

23 

1 
1 

98.  Dvspepsia  

324 

99.  Diseases  of  Pancreas  

1 
4 
26 
193 
3 

100.  Diseases  of  Spleen  

4 
19 
169 
3 

7 
18 
177 

15 
13 
154 

8 
18 
196 

101.  Fistula  in  Ano  

1 

102.  Hernia  

103.  IIiBinorrhage  from  Stomach  
Carried  forward  

1 

5 

33,  752 

565 

47,  455 

669 

46,  339 

628 

37,  036 

682 

34,  189 

588 

DURING   THE   YEAR   ENDING   JUNE    30,  18G4. 


357 


TABLE  LVL— ATLANTIC  REGION— Continued. 


18(>3. 

1804. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

220,  341. 

206,  669. 

228,  244. 

247,  591. 

265,  635. 

216,639. 

205,  041. 

220,  813. 

50 
51 
52 
53 

54 
55 
56 
57 

58 
59 
60 
Gl 

62 
63 
64 
65 
66 
67 

68 
69 
70 
71 
72 

73 
74 
75 
76 

77 
78 
79 
80 
81 
82 

83 
84 
85 
86 
87 
88 
89 
90 
9] 
92 

93 
94 
95 
96 
97 
98 
99 
100 
101 
102 
103 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.      Deaths. 

22,  063 

7 
83 
438 
23 
7 
o 

4 
17 
401 
14 

469 

9 
3 

18,  611 

5 

68 
503 
16 
6 
3 
.     9 
26 
373 
16 

468 

6 
3 

18,254 

7 
95 
435 

373 
6 

24,  882 

10 
161 
544 

506 

8 
6 

29,  136 

€ 
134 
653 

469 

4 
5 

23,  717 

6 

70 
425 

319 

4 

1 

33,  129 

8 
89 
619 
10 
5 
2 
4 
91 
313 
28 
379 
So 

9 
9 
293 
4 
121 

588 

6 
2 

335,  652 

OA/ 

1,115 
6,889 
208 
88 
46 
56 
361 
4,310 
251 
1,405 
467 

119 
47 
3,828 
140 
772 

5,951 

78 
36 

1 
5 
12 
3 
1 
1 
1 

18 
7 
5 
5 
27 
395 
22 

1 
8 
5 
3 

27 
12 
11 
5 
33 
444 
21 

1 
16 
17 
1 

*w7 
4 
13 
6 
26 

11 
10 
3 

1 
18 

1 
8 

1 

1 
12 
2 

1 

7 
95 
CO 
12 
4 
1 
25 
35 
41 

8 
1 
1 
1 

10 
10 

444 
20 
9 
63 

19 
4 
576 
19 
47 
14 

1 

7 

1 

9 

438 
46 

6 
3 
292 

2 
5 
5 

3 

16 
6 

43 

5 

f. 
320 
10 
22 
10 

12 
19 
13 
57 
102 

3 
32 
9 
3 
12 
2 

0 

19 

7 
6 
324 

2 

29 

5 

4 
344 
9 
16 

7 

3 

34 

17 
6 
474 

00 

5 

24 
20 
°0 

13 

67 
15 

13 

9 

147 
276 

51 
13 

gl) 

7-1 

77 

61 
42 
133 
29 

2 
92 

4 

19 
23 
49 
9 

1 
55 
1 

25 
30 
36 

428 
232 

21 

130 
51 

1 
58 
11 
2 

132 

907 
791 

O1? 

636 
67 
29 
108 
35 
34 
986 
618 
149 

1,064 
18,  496 
2,349 
43 
215 
1,734 
4,118 
2,433 
389 
3,990 

6,707 
11,  658 
1,582 
25 
273 
3,842 
9 
64 
202 
2,098 
56 

90 

o 
57 
4 
4 
13 

29 

2 

50 

7 
1 

3 
2 

8 

3 

64 
5 
1 
4 
1 
8 
76 
35 
6 

67 
542 
124 
8 
31 
38 
156 
124 
61 

7O 

681 
1,049 
287 

0 

3 

9 

1 
5 
1 

8 
78 
11 
9 
20 
5 
2 

6 

8 

0 

9 

1 

7 
1 

6 
1 
1 
1 

3 

4 

7 
3 
3 

94 
47 
16 

67 
2,584 
261 
7 
17 
175 
677 
281 
24 
631 

288 

4 

3 
2 

24 
4 
5 
98 
65 
25 

90 
2,136 
338 
1 
15 
259 
670 
341 
39 
800 

436 
1,  33') 

1 

1 
o 

1 
75 
45 
1 

41 
705 
158 

2 

3 

78 
37 
19 

102 
2,492 
229 
4 
16 
338 
595 
263 
25 
448 

309 
818 
17 

1 

1 

81 
35 
3 

132 
2,  149 
281 
4 
19 
170 
340 
197 
28 
289 

463 
763 
44 
6 
30 

31  :; 

3 
5 
10 
146 
7 

76 
48 
11 

128 
2,486 
287 
1 

3 

1 
8 
3 
o 

7 

16 

] 

6 
1 
3 

2 

1 

34 

8 
56 

3 

1 
21 
1,099 
37 
19 
69 

o 
4 
16 
5 

14 

1 

2 

1 
2 
3 

4 

2 

1 

3 

19 
147 
226 
145 
36 
112 

467 

762 

2 
57 
2 

5 

96 
8 
1 

8 

5 

170 
1 

1 
4 

260 
758 
327 
36 
804. 

316 
1,344 

28 

3 

258 
6 
2 
39 

2 
259 
6 
3 

1 

88 
4 
1 
3 

1 
48 

1 

3 
1 

3 

893 

2 

1 
1 

1 

30 

o 

80 
3 
9 
243 

1 

2 

1 
16 
269 

23 
259 
1 
4 
13 
134 
9 

1 

2 

7 
317 
2 
6 
11 
174 
6 

2 

18 

288 

1 

1 

10 
2-71 

0 

4 

20 
162 

5 
30 

2UO 

1 
15 

1 
9 
242 
6 

1 
o 

3 

1 
1 

151 
5 

1 

1    

7 

1 

712 

29,  257 

581 

26,  615 

656 

26,  601 

624 

34,  347 

912 

38,  841 

816 

28,  993 

464 

39,228 

422,  653 

7,897 

358 


SICKNESS   AND   MORTALITY    OF   WHITE    TROOPS 


TABLE  LVL— ATLANTIC  REGION— Concluded. 


YEAH  

1803. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH,  (not  including  Table  LV)  

203,  083. 

219,  614. 

217,  345. 

205,014. 

214,  539. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

33,  752 

16 
242 
35 
47 
4 
49 
13 
265 
536 
GO 

27 
1 
8 
1 
16 
61 
15 

565 

47,  455 

25 
233 

669 
1 

46,  339 

]6 
306 

628 
1 

37,  036 

5 
392 

682 

34,  189 

8 
500 
29 
23 
3 
63 
25 

588 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

1 
o 

5 

0 

3 
5 

7 

46 
72 
8 
79 
38 
379 
502 

6 

11 

1 

1 

57 
37 
12 
64 
45 
367 
533 
76 

19 
4 
13 
o 

3 
4 

7 

47 
15 
5 
58 
25 
306 
484 
44 

10 
1) 
17 
3 
1° 

1 
5 

107.  In  amma  ion 

1 
1 

110.  Chrome   n  amma  10 

o 

298 
481 
53 

20 

11  .     a 

4 

80 
20 

1 

4 

2 

~ 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

3 

16 

4 

20 

0 

1° 

1 

1 

1 

2 

1 

''     -9e      *    f  T-r- 

26 
75 
18 
44 
8 
17 

3 
11 

27 

17 
64 
16 
51 

1 

3 

1 

46 

20 

1 

47 
23 

30 
5 
13 

4 
1 

59 

32 

37 
15 

15 

12 

11 
9 

8 
21 

6 

12 

3 

1° 

1 

2 

OUDEU  VIII.  —  Diseases  of  Bones  and  Joints. 

6 
24 

,   . 

35 

03 

3 

8 
7 
1 

592 
1,042 

1 

27 

3 
10 
4 
2 

841 
1  415 

9 

1 

6 

8 

7 

552 
864 

2 

7 

1,229 
2  255 

9 
3 

651 

ORDER  IX.  —  Diseases  of  Integumentary  System. 

1 

1 

13°    Boils 

910 
54 
158 
151 

94 

121 

81 
176 
129 

66 
428 
9 

54 
12'.) 

134.  Whitlow 

117 
218 

369 

251 

217 

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
136.  Burns  

88 
457 
8 

141 
496 
5 

1 
3 
2 

11 

73 
365 

107 
401 

137.  Contusions  

2 
1 

18 

138.  Concussion  of  Brain  

2 
3 

1 
2 

133.  Drowning  

3 

140.  Sprains  

354 
20 
88 
70 
11,818 
200 
121 
40 
60 
83 

338 
15 

349 
17 
39 
11 
501 
168 
45 
23 
34 
60 

323 

421 

141.  Dislocation  

17 
44 
8 
1,  017 
184 
43 
29 
19 
49 

12 

142.  Simple  Fractures  

38 
7 
462 
194 
44 
40 
84 
53 

2 
9 
348 
o 

2 

2 

151 
1 
1 
1 
1 
1 

1 
1 

1 

53 
6 
1,  282 
204 
66 
29 
11 
46 

143.  Compound  Fractures  

0 
799 
3 
2 

o 
136 
2 

3 

118 

144.  Gunshot  Wounds  

145.  Incised  "Wounds  

146.  Lacerated  Wounds  

1 
1 
3 
6 

1 

147.  Punctured  Wounds  

148.  Poisoning  

6 
1 

0 

149.  Other  Accidents  and  Injuries  

6 
3 
2 

8 
2 
1 
10 

150.  ORDBR  II.  —  Homicide  

151.  ORDER  III.  —  Suicide  

152.  ORDER  IV.  —  Execution  nf  Sentence  

4 

Total  

50,  779 

1,434 

55,  426 

1,097 

52,  533 

813 

42,  633 

863 

40,  506 

741 

DURING   THE    YEAR   ENDING    JUNE    30,  1864. 


359 


TABLE  LVL—  ATLANTIC  REGION— Concluded. 


1803. 

1864. 

DECEMBER. 

JAXUA11Y. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

220,  341. 

206,  609. 

228,  244. 

247/591. 

265,  635. 

216,639. 

205,  041. 

220,813. 

104 
105 
100 
107 
108 
109 
110 
111 
112 
113 

114 
115 
116 
117 
118 
119 
120 
121 
122 
123 

124 
125 
126 
127 
128 
129 
130 

131 
132 
133 
134 
135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
146 
147 
148 
149 

150 
151 

152 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

29,  257 

7 
704 
38 
15 
3 
41 
34 
238 
414 
25 

16 

11 
20 
3 
11 
39 
14 
31 
10 
14 

6 
16 
18 
1 
12 
10 
5 

711 
1,057 
57 
175 
193 

134 
565 
4 

581 

26,  615 

13 

920 
43 
20 
6 
28 
33 
193 
378 
149 

11 
6 
20 
2 
15 

656 

1 
1 
4 
4 
4 
2 
2 

26,  601 

10 
1,192 
34 
24 
8 
31 
19 
185 
348 
76 

21 

624 

34,347 

10 
1,275 
45 
22 
4 
40 
29 
166 
436 
66 

20 
5 
14 
9 
46 
58 

63 
9 
19 

8 
15 

28 

912 

1 

2 

38,  841 

11 
1,221 
31 

21 
5 
49 
32 
239 
468 
197 

24 

816 

2 
3 
4 
3 
5 
1 
3 
1 

28,  993 

3 

403 
15 
9 
4 

21 
200 
415 

464 

39,228 

8 

226 
25 

«.O 

3 

30 

26 

712 

3 
3 

422,  653 

132 
7,680 
445 
333 
65 
557 
341 
2,  999 
5,578 
937 

243 

7,897 

9 
11 
31 
62 
53 
13 
12 
9 
4 
18 

1 
2 

7 
4 

2 
4 
4 
1 
1 
1 

3 
6 
3 

1 

1 

5 
3 
2 
3 

7 
7 
2 

2 

164 
523 
56 

36 
5 
10 

1 
4 

1 

1 

o 

1 

17 
3 

7 

1 
1 

3 

8 
16 
1 
20 

1 

11 
17 
4 
67 
57 
31 
45 

70 
178 
29 
295 

o 
13 
1 

1 

1 

1 

1 

07 

26 

45 

69 
21 
43 
12 

3 

1 

33 

13 

1 

40 
13 

27 

634 
229 

457 
111 
180 

81 
144 
383 
46 
149 
100 
68 

7,442 
12,  714 
737 
o  04^ 

11 
1 

24 
30 
11 
36 

6 
14 
22 
5 
18 
10 
8 

477 
859 

1 

21 
8 
5 

7 
6 
16 
1 
5 
7 
3 

291 
671 
29 

6 
17 

15 
12 

10 

8 

5 

9 
29 
11 
15 
6 
4 

275 

803 

o 

15 

4 

21 
47 
4 
8 
10 
6 

558 
823 
41 
191 

3 

1 

2 

11 

1 

1 
1 

55 
6 
23 
12 

1 

5 

15 

1 

2 

7 

616 
9°7 

15 

1 

1 

649 
1,089 
57 
214 
534 

2 

1 

4 

11 

35 
194 
364 

106 

548 
7 

64 
275 

50 
117 
375 

62 

126 

449 

104 
690 
2 

410 

131 
732 
4 

335 

3,626 

1,229 
6,490 
63 

1 
1 
1 

1 

1 

1 
5 

144 
706 

7 

73 

578 
10 

4 
16 

24 
73 

3 
5 

7 

3 
3 

524 
3 

2 

4 
8 

4 
o 

9 

555 
25 
44 
7 
189 
384 
87 
50 
11 
45 

477 
23 

540 
19 

658 
32 
56 
14 
188 
427 
76 
43 
7 
60 

801 
47 
82 

347 
10 
35 
84 
25,  680 
149 
164 
30 
42 
67 

335 

5,498 

14 
50 
46 
16,  484 
141 
61 
39 
49 
37 

257 

42 
6 
140 
415 
98 
18 
6 
133 

50 
7 
992 
381 
87 
27 
8 
120 

2 
43 

1,042 
o 

5 
1 
1 

20 

621 
*.  1  7 
58,  980 
3,  318 
992 
447 
344 
797 

6 
98 
5,254 
33 
17 
11 
17 
115 

13 
24 
31 

3 

110 
3 

o 
31 
3 

2 
54 

1 
3 
1 
1 
7 

2 

1 
3 

o 
37 
3 
o 

2 

2 

6 
1 
2 
1 

11 

227 
411 
80 
79 
13 
44 

3 

23 

1 
1 

•18 
2,405 

1 
4 
12 

2 
3 

4 

o 
2 

7 

2 

1 
5 

31 

1 

3 

10 

3 
1 

35,  369 

741 

32,  634 

738 

33,  943 

733 

4],  504 

999 

46,  727 

906 

59,  019 

1,617 

60,055 

3,  231 

551,188  !  13,912 

SICKNESS,    ETC.,    DURING    THE    YEAR   ENDING    JUNE    30,  J8C4. 


361 


CENTRAL   REGION. 


The  reports  from  troops  in  the  Central  Region  are  consolidated  into  statistical  tables 
for  nine  departments,  as  follows: 

1.  The  Department  of  West  Virginia  - 

2.  The  Northern  Department  - 

3.  The  Department  of  the  Ohio  -  - 

4.  The  Department  of  the  Cumberland         - 

5.  The  Department  of  the  Tennessee    -  - 

6.  The  Department  of  the  Gulf  - 

7.  The  Department  of  the  Northwest  - 

8.  The  Department  of  the  Missouri      -  - 

9.  The  Department  of  Arkansas 

To  these  tables  are  added — 

10.  A  table  showing  the  mortality  in  the  general  hospitals  of 

the  Central  Region 

11.  A  consolidated  table  for  the  Central  Region 


Table     LXVI. 
Table   LXVII. 


1.  THE  DEPARTMENT  OF  WEST  VIRGINIA — TABLE  LVII. 

This  table  embraces  for  July  the  reports  from  troops  in  the  State  of  West  Virginia 
and  in  Maryland  west  of  Hancock;  subsequently  the  reports  from  West  Virginia  and 
Maryland  west  of  the  Monocacy. 

The  boundaries  for  July  are  those  fixed  by  General  Orders  No.  186,  June  24,  1863. 
(See  remarks  on  Table  XXXIV.)  They  were  extended  by  General  Orders  No.  266, 
August  3,  1863,  to  include  all  of  the  State  of  Maryland  west  of  the  Monocacy,  and  that 
part  of  Virginia  in  the  vicinity  of  Harper's  Ferry. 

General  F.  Sigel  was  assigned  to  command  February  29,  1864,  and  General  D. 
Hunter  May  19,  1864. 

The  most  important  movements  during  the  year  were  the  advance  of  General  Sigel 
up  the  Shenandoah  valley  in  May,  and  the  movement  of  General  Hunter  against  Lynch- 
burg  in  June. 

2.  THE  NORTHERN  DEPARTMENT — TABLE  LVIII. 

As  for  the  previous  year  this  designation  is  here  applied  to  the  region  north  of  the 

Ohio  and  cast  of  the  Mississippi  river,  comprising  the  States  of  Ohio,  Indiana,  Illinois, 
46 


3G2  SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 

Michio-nn,  and  Wisconsin.  The  department  was  created  by  General  Orders,  No.  17, 
January  12,  186-1,  to  consist  of  the  above  States,  excepting  the  State  of  Wisconsin,  which 
officially  formed  part  of  the  Department  of  the  Northwest,  General  S.  P.  Heintzelman  was 
placed  in  command. 

3.  THE  DEPARTMENT  OF  THE  OHIO — TABLE  LIX. 

This  table  embraces  the  reports  received  from  troops  in  Kentucky  east  of  the  Ten 
nessee  river,  and  from  the  Army  of  the  Ohio  in  East  Tennessee.  The  boundaries  are 
those  fixed  by  General  Orders,  No.  369,  November  16,  1863,  by  which  the  department 
was  declared  to  consist  of  the  State  of  Kentucky  east  of  the  Tennessee  river,  and  such 
parts  of  the  State  of  Tennessee  as  might  be  occupied  by  the  troops  of  that  army. 

In  August,  1863,  General  A.  E.  Burnside  moved  with  the  Army  of  the  Ohio  into 
East  Tennessee,  occupying  Knoxville  September  1st. 

In  November,  Knoxville  was  besieged  by  a  rebel  force  under  General  Longstreet, 
who  arrived  before  the  place  November  17th.  The  siege  was  raised  December  4th  on  the 
arrival  of  a  force  from  the  Armies  of  the  Tennessee  and  the  Cumberland,  under  command 
of  General  Sherman. 

November  16th  General  J.  G.  Foster  was  assigned  to  the  command  of  this  depart 
ment,  and  January  28,  1864,  General  J.  M.  Schofield. 

The  Army  of  the  Ohio,  or  Twenty-third  Army  Corps,  subsequently  moved  southward, 
formed  a  junction,  during  April,  with  the  Armies  of  the  Cumberland  and  the  Tennessee, 
and  accompanied  them  in  the  campaign  against  Atlanta. 

The  term  Department  of  the  Ohio  was  understood  to  embrace  this  Army  of  the  Ohio, 
as  well  as  the  garrisons  and  detachments  left  in  portions  of  Kentucky  and  Tennessee 
embraced  within  the  boundaries  above  indicated.  The  Ninth  Corps  is  consolidated  with 
this  table  from  August  to  March,  inclusive;  during  April,  May,  and  Jane,  it  is  consolidated 
with  the  Army  of  the  Potomac. 

4.  THE  DEPARTMENT  OF  THE  CUMBERLAND — TABLE  LX. 

This  table  includes  the  reports  from  troops  in  Tennessee  east  of  the  Tennessee  river, 
and  west  of  the  Cumberland  mountains,  and  from  the  Army  of  the  Cumberland. 

The  Army  of  the  Cumberland,  under  General  W.  S.  Rosecrans,  had  occupied  Chatta 
nooga  and  advanced  into  Georgia,  when  the  battle  of  Chickamauga,  September  19th  and 
20th,  compelled  its  retreat  to  Chattanooga. 

On  the  24th  of  September  the  Eleventh  and  Twelfth  Army  Corps  were  detached  from 
the  Army  of  the  Potomac  and  sent  to  reinforce  the  Army  of  the  Cumberland.  October 
16,  1863,  the  Military  Division  of  the  Mississippi  was  created  by  General  Orders  No.  337, 


DUEING    THE    YEAR    ENDING    JUNE    30,    1864.  363 

to  consist  of  the  Departments  of  the  Ohio,  the  Cumberland,  and  the  Tennessee;  General 
U.  S.  Grant  was  placed  in  command.  The  same  order  assigned  General  G.  II.  Thomas 
to  the  command  of  the  Army  of  the  Cumberland. 

General  Sherman  with  a  part  of  the  Army  of  the  Tennessee  was  now  brought  across 
to  form  a  junction  with  the  Army  of  the  Cumberland,  and  the  combined  force  fought  the 
battle  of  Chattanooga,  November  23d,  24th,  and  25th. 

After  the  battle  of  Chattanooga  General  Sherman  was  sent  with  a  force  to  the  relief 
of  Knoxville,  as  already  mentioned.  The  siege  of  that  place  having  been  raised  he 
returned  to  his  position  on  the  right  of  the  Army  of  the  Cumberland. 

March  12,  1864,  General  Grant  was  assigned  to  the  command  of  the  Armies  of  the 
United  States,  and  General  W.  T.  Sherman  to  the  command  of  the  Military  Division  of 
the  Mississippi,  which  was  extended  to  embrace  the  Department  of  Arkansas.  May  7th 
the  Department  of  Arkansas  was  transferred  to  the  Military  Division  of  West  Mississippi. 

At  the  beginning" of  May  the  Army  of  the  Cumberland  lay  in  the  neighborhood  of 
Ivinggold,  Georgia;  the  Army  of  the  Tennessee,  under  General  McPherson,  was  a  few  miles 
to  the  right,  while  the  Army  of  the  Ohio,  under  General  Schofield,  had  been  brought  from 
East  Tennessee  and  lay  a  short  distance  to  the  left. 

Simultaneously  with  the  movement  of  the  Army  of  the  Potomac  these  armies  also 
moved  and  made  the  campaign  which  resulted  in  the  occupation  of  Atlanta  September  2d. 

The  close  of  the  year  represented  in  the  table  finds  the  combined  army  in  the 
neighborhood  of  Kenesaw  mountain.  The  most  important  engagements  up  to  this  time 
had  been  the  battle  of  Resaca,  May  14th  and  15th,  the  battles  around  Dallas,  and  the 
battles  in  the  neighborhood  of  Kenesaw  mountain,  including  the  assaults  of  June  27th. 

5.  THE  DEPARTMENT  OF  THE  TENNESSEE — TABLE  LXI. 

The  boundaries  of  the  Department  of  the  Tennessee  continue  the  same  as  during  the 
previous  years ;  portions  ol  the  Army  of  the  Tennessee  were,  however,  moved  long  distances 
beyond  these  boundaries  during  the  year. 

The  first  of  July,  1863,  found  the  Army  of  the  Tennessee,  under  General  U.  S.  Grant, 
engaged  in  the  siege  of  Vicksburg,  which  surrendered  July  4th.  After  the  fall  of  that 
place  a  portion  of  the  troops  were  transferred  to  other  departments.  During  the  latter 
part  of  July  General  Steele  was  detached  on  the  Arkansas  expedition;  August  3d  the 
Ninth  Corps  commenced  leaving  for  the  Department  of  the  Ohio;  August  10th  the 
Thirteenth  Corps  began  to  embark  for  the  Department  of  the  Gulf,  with  which  its  reports 
are  consolidated  for  September  and  subsequent  months. 

Early  in  October  General  Sherman,  with  the  Fifteenth  Corps,  which  had  been  brought 
on  transports  to  Memphis,  marched  eastward  and  effected  a  junction  with  the  Army  of 
the  Cumberland. 


36'4  SICKNESS    AND   MORTALITY   OF   WHITE    TROOPS 

After  the  Military  Division  of  the  Mississippi  was  created,  October  16th,  General 
Sherman,  who  was  now  placed  in  command  of  the  Department  of  the  Tennessee,  continued 
his  march,  arriving  in  time  to  participate  in  the  battles  before  Chattanooga,  November  23d, 
24th,  and  25th,  and  subsequently  moved  to  the  relief  of  Knoxville,  returning  during  the 
month  of  December  to  Northern  Alabama. 

March  12,  1864,  General  J.  B.  McPherson  was  assigned  to  the  command  of  the 
department — General  Sherman  being  placed  in  command  of  the  Military  Division  of  the 
Mississippi. 

Towards  the  close  of  April  the  Seventeenth  Corps  was  sent  from  Vicksburg  on  trans 
ports,  by  way  of  Cairo,  to  join  the  Fifteenth  Corps  on  the  right  of  the  Army  of  the 
Cumberland.  The  Army  of  the  Tennessee,  as  this  force  was  designated,  accompanied  the 
Armies  of  the  Cumberland  and  the  Ohio  on  the  campaign  against  Atlanta,  as  already 
stated.  (See  remarks  on  Table  LX.) 

6.  THE  DEPARTMENT  OF  THE  GULF — TABLE  LXIL 

The  boundaries  of  this  department  remain  unchanged. 

The  beginning  of  the  year  represented  in  this  table  found  General  Banks  still  engaged 
in  the  siege  of  Port  Hudson,  which  surrendered  July  8th.  During  August  the  Thirteenth 
Corps  was  transferred  from  the  Department  of  the  Tennessee.  September  4th  the 
expedition  to  Sabine  Pass  under  General  Franklin  set  out  from  New  Orleans.  October 
26th  a  force  was  sent  from  New  Orleans  to  Brownsville,  Texas,  occupying  that  place 
November  6th. 

In  March  General  Banks  made  an  expedition  to  Alexandria,  and  thence  up  the  Red 
river;  a  force  from  the  Department  of  the  Tennessee,  under  General  A.  J.  Smith,  being 
sent  on  transports  up  the  Red  river  with  the  fleet  to  cooperate.  After  the  engagement 
near  Sabine  Cross-roads,  April  8th,  and  that  near  Pleasant.  Hill,  April  9th,  the  expedition 
retired,  General  Banks  returning  to  New  Orleans  and  General  Smith  to  Vicksburg. 

7.  THE  DEPARTMENT  OF  THE  NORTHWEST — TABLE  LXIII. 

As  during  previous  years  this  table  embraces  the  reports  received  from  troops  within 
the  States  of  Iowa  and  Minnesota  and  the  Territories  of  Nebraska  and  Dakota.  The 
most  important  military  event  was  the  Indian  expedition  of  Generals  Sibley  and  Sully 
during  the  summer  of  1863. 

8.  THE  DEPARTMENT  OF  THE  MISSOURI — TABLE  LXIV. 

This  table  embraces  the  reports  received  from  troops  within  the  limits  of  the  States 
of  Missouri  and  Kansas.  The  reports  from  troops  'in  the  neighborhood  of  Fort  Smith, 


DURING   THE   YEAR   ENDING   JUNE   30,    1864.  365 

Arkansas,  and  the  adjacent  Indian  Territory  for  the  month  of  July,  1863,  are  also  embraced; 
but  for  August  and  subsequent  months  they  are  consolidated  with  the  Department  of 
Arkansas. 

Officially  the  limits  of  the  department  continued  as  fixed  by  General  Orders  No.  155, 
(see  remarks  on  Table  XLI,)  until  January  1,  1864,  when  the  Department  of  Kansas  was 
created  by  General  Orders  No.  1,  to  consist  of  the  State  of  Kansas,  the  Territories  of 
Nebraska  and  Colorado,  and  the  Indian  Territory,  including  the  military  post  of  Fort 
Smith. 

January  22,  1864,  General  W.  S.  Rosecrans  was  assigned  to  the  command  of  the 
Department  of  the  Missouri. 

9.  THE  DEPARTMENT  OF  ARKANSAS — TABLE  LXV. 

This  table  embraces,  after  the  month  of  July,  1863,  the  reports  from  troops  in  the 
State  of  Arkansas  and  Indian  Territory.     The  Department  was  created  by  General  Orders 
No.  14,  January  6,  1864,  to  consist  of  the  State  of  Arkansas,  except  the  military  post  of 
Fort  Smith;  General  F.  Steele  was  assigned  to  command. 

April  17,  1864,  the  Indian  Territory  and  the  military  post  of  Fort  Smith  were  added. 
The  boundaries  thus  established  are  those  employed  for  the  table. 

After  the  fall  of  Vicksburg  an  expedition  under  General  Steele  was  organized,  which 
occupied  Little  Rock  September  10th.  This  expedition  and  the  troops  at  Helena  belonged 
officially  to  the  Department  of  the  Tennessee  until  the  Department  of  Arkansas  was 
created  by  General  Orders  No.  14. 

General  Orders  No.  192,  May  7,  1864,  united  the  Departments  of  Arkansas  and 
of  the  Gulf  into  the  Military  Division  of  West  Mississippi,  General  E.  R.  S.  Canby  to 
command.  In  these  tables,  however,  the  departments  have  been  kept  separate. 


366 


SICKNESS   AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  LVII. 

Abstract  of  the  Sickness  and  Mortality 


YEAH  

1863. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

17,  137. 

2o,  296. 

24,  801. 

26,  058. 

27,  587. 

LIST  OF  DISEASES. 

Jases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

)eaths. 

Cases. 

Deaths. 

CLASS  1.—  ZYMOTIC   DISEASES. 
ORDER  I.  —  Miasmatic  Diseases. 

78 

1 

138 
1 
115 

16 

102 

6 

130 

7 

67 
19 
33 

5 
1 

4 

49 

1 

59 

1 

3.  Typho  .a  ar  a 

'      e   °.™       ^ 

28 
33 
1C9 
6 

151 
132 
189 

122 

120 
230 
233 
o 

3 

85 
109 
148 
2 
3 
379 
38 
127 
12 

r   o0""!'61    I          'tt   itFev  r 

146 
165 

.  QUO      mn 

1 

753 
99 
288 

(j 

483 
76 
177 
33 
8 

1 

10'  A    tTiy*  hcea 

325 
68 
159 
31 
8 
1 
3 

1 

551 
62 

1 

1 

0 

1 

o 

2 

2 

146 
22 

1 

'      lr°UiC1   ,J            y 

12 

4 

13 

1 

17 
1 
4 

1 

1 

4 
3 
11 
11 
32 

18   Diphtheria                                           

8 
1 
13 
14 

33 
54 
10 

9 
2 
1 

50 

66 
155 

1 

14 
4 
124 

10 
4 

298 

21    Other  Diseases  of  this  Order  

7 

63 

128 

2 

44 
93 
13 

15 

OHDER  II.  —  Enthetic  Diseases. 

1 

44 
66 
6 

24    Orchitis                           

15 

11 

1 
1 

25    Stricture  of  the  Urethra 

26.  Purulent  Ophthalmia     

5 

1 

9 

2 

27.  Serpent  Bite  

... 

1 
10 

ORDER  III.  —  Dietic  Diseases. 
29.  Scurvy  

10 
1 
3 
6 
4 

0 

30.  Purpura  

1 

1 
1 

0 

31.  Delirium  Tremens  

3 

1 

32.  Inebriation  

1 

1 

33.  Chronic  Alcoholism  

34.  Other  Diseases  of  this  Order  

1 

CLASS   II.—  CONSTITUTIONAL   DISEASES. 

ORDEU  I.  —  Diathetic  Diseases. 
35.  Gout  

3G.  Acute  Rheumatism  

58 
32 

95 
85 

67 
71 
5 

7 

85 

82 

65 
76 
19 
o 

37.  Chronic  Rheumatism  

38.  Anaemia  

29 

44 

5 
1 

1 

1 
1 

8 

39.  General  Dropsy  

40.  Cancer  

3 

2 

41.  Tumors  

1 

42.  Other  Diseases  of  this  Order  

ORDER  II.—  Tubercular  Diseases. 
43.  Consumption  ... 

o 

6 
6 

7 
9 

7 
,j 

1 

44.  Scrofula  

4 
1 

3 

45.  Other  Diseases  of  this  Order 

CLASS   III.  —  PARASITIC   DISEASES. 
46.  Itch  

% 

31 

26 

43 

47.  Tnpe-v.-orm  

1 
3 
1 

48.  Oilier  Intestinal  Worms  

o 

3 

3 

49.  Other  Diseases  of  this  Order. 

1 

Carried  forward  

!                   j 

1,  194 

5 

2,547 

20 

1,843 

10 

2,  OD7            15 

1,713 

11 

DURING    THK    YEAR    ENDING    JUNE    30,  1864. 


367 


TABLE  LYII. 
of  the  Department  of  Western  Virginia. 


18(53. 

18(>4. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

30,  385. 

25,  377. 

34,  403. 

31,  405. 

26,  142. 

36,  802. 

20,  073. 

27,  122. 

Cases,  j  Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1 

3 

4 

:. 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
1C 
17 
18 
19 
20 

23 

25 
2G 

28 

29 
30 
31 
32 
33 
34 

35 
36 
37 
38 
39 
40 
41 
42 

43 
44 
45 

46 
47 
48 
49 

49 
1 
34 

7 
1 

7o 

10 
1 

1 

7 

1 

32 
1 

17 

6 
1 

49 
1 
14 

15 
1 

46 
2 
31 

9 
1 

4 

18 

812 
30 
389 

83 
6 

8 

47 
40 
82 
8 

225 
37 
56 
9 

12 

1 

62 
86 
79 
5 
1 
282 
33 
53 
14 
13 
28 
10 
3 
18 
6 
107 

34 

48 
67 
17 
o 

70 
113 
109 
5 

1 

86 

135 

276 

45 
93 
81 
6 
1 
1,324 

985 
1,481 
1,575 

67 

,VV> 

6,270 
701 
1,576 
226 
180 
122 
980 
11 
175 
485 
1,500 
310 

795 
1,  It8 
134 
16 
40 
2 
5 

58 
6 

38 
15 
1 

1 
1  039 

5 
1 

1 

87 
8 
2 
421 
55 
91 
6 
17 
15 
296 

166 
6 
5 
1,036 
50 
208 
8 
19 
1H 
201 

3 

4 

8 
12 
2 
1 
22 
6 

254 

237 

1 

1 

36 
69 
7 
21 
17 
73 
3 
23 
43 
121 

44 
75 

n 

24 
22 
345 
1 

1 

1 

2 

1 

103 
127 

1 

•  1 

1 

21 
6 
5 
44 

1 

1 
4 
2 

7 

3 
1 

2 
o 

4 

1 

1 

6 

178 
30 

CO 
93 
8 
1 
5 

1 

30 
137 
195 
17 

91 
132 

15 
76 
62 

o 

2 

176 
359 
19 

93 
137 
12 

19 

10 

43 

10 

71 
84 
19 
1 

1 

1 

73 

95 
12° 

1 

3 
1 

72 

99 

10 
1 

18 
1 
3 

9 
6 
4 
1 

3 
3 

8 

1 
3 

6 

1 

2 
3 

4 

4 
1 
3 

7 

8 

7 

7 

2 

1 

1 
3 
2 

1 

1 
1 

3 

1 

8 
9 
6 
1 

3 
5 

1 

1 

3 

1 

5 

1 
108 
69 
10 

95 
80 
6 

110 
G7 
10 

74 
112 
10 

105 
64 
18 

101 
103 

12 

76 

07 

868 
173 
12 
5 
9 
38 

73 

80 
1 

497 
o 

26 

1 

5 

1 

1 

1 
1 

9 
9 

3 
3 

12 
8 

1 

3 

4 
3 

1 

3 

8 

1 

13 

15 

2 

8 

1 

1 

1 

4 
1 

1 

1 

01 
1 
3 

Cl 

4:3 

49 

50 

70 

34 

1 

r 

2 

1 

3 

1,288 

12 

1,387 

23 

1,321 

9 

2,218 

16       2,  237 

i 

26 

2,  996 

22 

2,208 

•1     ;     23,049           173 

368 


TABLE  LVIL— DEPARTMENT  OF  WESTERN  VIRGINIA— Continued. 


YEAli  

18G3. 

MO.VTU  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

17,  137. 

2o,  296. 

24,  801. 

26,  058. 

27,  587. 

LIST  OP  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

forward 

1,194 

5 

2,547 

20 

1,843 

1 

7 
94 
1 
o 

10 
•   1 

2,097 

15 

1,713 

11 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.—  Diseases  of  Nervous  System. 

1 
62 

5 
144 
3 

10 
60 
1 

8 
59 
1 
1 

1 



2 

3 

7 
52 

1 
2 
41 
1 
o 

3 
4 
51 

1 

7 
50 

o 

ro'   t-°Sta  f  j 

21 

1 

°4 

1 

1 

5 

I 

o 

ORDER  II.  —  Diseases  of  Eye. 

63   Cataract                          

24 

79 
3 
7 
4 

52 

45 

45 

2 
1 

o 

1 

3 

3 

ORDER  111.  —  Diseases  of  Ear. 
gR    Earache                    --         

4 
1 

14 
3 
1 
3 

11 
o 

7 
4 

o 

1 

o 

71    Otorrhcea  

6 
23 

6 

72.  Other  Diseases  of  this  Order  

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

o 

6 

2 

1 

3 

2 
1 
2 

3 

1 

1 

6 

o 

1 

5 
6 

17 
13 

9 
o 

7 
5 

0 

4 

82.  Other  Diseases  of  this  Order  

2 

3 

48 
14 
1 
4 
14 
12 
17 
3 
17 

51 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
83.  Asthma  

o 

8 
37 
15 

10 
115 

8 
135 
23 

15 
2 

85.  Chronic  Bronchitis  

26 

86.  Dropsy  of  Chest 

87.  lleemon  hage  from  Nose  

2 
6 
17 
14 
3 
8 

34 
55 

1 
5 
20 
12 

: 

10 
36 
32 

0 

88.  Inflammation  of  Larynx       

18 
24 
42 

89.  Inflammation  of  Lungs  ..           .       

2 

1 

1 

90.  Inflammation  of  Pleura  

91.  Haemorrhage  from  Lungs  

1 

0 

9 

5 
43 

35 

51 

1 

3 

23 

79 
6 

92.  Other  Diseases  of  this  Order  

1 

OHDER  VI.  —  Diseases  of  Digestive  Organs. 
93.  Colic  

73 

94.  Constipation  

69 
61 

65 

93.  Cholera  Morbus  

20 

25 

6 

96.  Cirrhosis  of  Liver  

97.  Dropsy  from  Hepatic  Disease  .. 

2 
1° 

6 

r 

4 
23 

1     98.  Dyspepsia  

28 

17 

18 

99.  Diseases  of  Pancreas  

100.  Diseases  of  Spleen  

1 

2 

101.  Fistula  in  Ano  

1 

7 

1 
14 
1 

102.  Hernia  

5 

23 

15 

103.  Haemorrhage  from  Stomach  

Carried  forward  

1,528 

6 

3,306 

23 

2,398 

11       2,709 

17 

2,349 

14 

DURING   THE    YEAR   ENDING    JUNE   30,  1864. 


369 


TABLE  LVIL—  DEPARTMENT  OF  WESTERN  VIRGINIA— Continued. 


1803. 

1804. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MAECH. 

AritiL. 

MAY. 

JUNE. 

TOTAL. 

30,  385. 

25,  377. 

34,  403. 

31,  405. 

26,  142. 

3G,  802. 

20,  073. 

27,  122. 

50 
51 

53 
54 
55 
56 
57 
58 
59 
f>0 
61 

62 
63 
64 
65 
66 
67 

68 
69 
70 
71 
72 

73 
74 
75 

70 
77 
78 
79 
80 
81 
82 

83 
84 
85 
86 
87 
88 
89 
9C 
91 
92 

93 

94 
05 
96 

97 
98 
oq 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1,288 

12 

1,387 

A.3 

1,321 

9 

2,  218 

16 

2,237 

1 
5 
88 
1 

26 
1 

2,996 

22 

2,208 

4     i 

23,  049 

68 
941 
18 
10 
7 
12 
44 
528 

173 

2 
1 

3 

70 

6 
25 

3 

53 

5 
77 
1 
o 

10 
139 
3 

1 

5 

70 
2 



5 

1 
2 
5 

i 

1 

1 

1 

1 

1 

1 
3 

53 

1 

1 

4 

3 

1 

1 
2 

46 

2 

6 
37 
o 

1 

55 

8 
54 

0 

.  58 

30 
2 
22 

1 
4 
1 

1 
13 

11 
71 
9 

3 
3 

622 
14 
71 
7 

47 
48 
12 
65 
93 

1 

2 

1 

1 

1 

1 

1 

1 
o 

1 

61 

27 
1 
1 

42 

69 
1 
5 

71 
o 

71 
o 

36 
1 

14 

3 

1 

1 
o 

10 

22 

11 

7 

3 

4 

1 
9 
18 

g 

3 
2 

18 
7 

1° 

5 

1 

O 

4 
5 
2 

4 

5 

14 

7 
29 

8 

o 

1 

7 

4 
1 

1 

4 

4 

44 
5 

1 
20 
5 

3 

3 

4 

o 

1 

o 

1 

3 

1 

G 
4 
1 

10 
135 

48 

5 
3 

6 
1 

12 
3 

'  8 
G 

6 

15 

6 

89 
62 
3 

81 
1,519 

11 
295 

8 

OQO 

1 

8 

6 
163 
31 

5 
94 
14 
1 
4 
15 
75 
38 
10 
31 

2 

1 

22 

19. 

94 

4 

305 
29 

o 

4 
57 
GO 
42 
8 
35 

27 
7° 

1 
39 
81 
40 
5 
42 

36 

4 
13 

59 
32 
11 
18 

28 

4 
1 
4 
8 

0 

27 
27 
20 
5 
4G 

20 
50 
6 

37 
45 
34 

4 
79 

24° 

1 

1 

4 

13 
1 

11 
3 
I 
3 

10 

3 

440 
331 
61 
351 

524 

894 
185 

47 
4 
3 
5 

1 

1 

P7 

25 

61 

105 
2 

61 
G 

153 
19 

53 

4 

25 

16 

2 
17 

7 
29 

o 

3 

52 

33 

247 

11 

13 

11 

100 
101 

102 

103 

1 

0 

4 

» 

168 

5 

2 

8 

0 

1 
16 

3 

38 

2 

3 

7 
1 



17 
1 

13 

1 

1 

1 

1 

1,901 

14     ||  3,  213 

25 

2,147 

16 

3,239 

34 

2,982 

47 

3,991 

37 

2.C59 

7     !    31,  422 

251 

47 


370 


SICKNESS    AND    MORTALITY   OF   WHITE    TEOOPS 


TABLE  LVIL—  DEPARTMENT  OF  WESTERN  VIRGINIA— Concluded. 


YEAR  

1863. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

17,  137. 

25,  296. 

24,  801. 

26,  058. 

27,  587. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

rd 

1,528 

6 

3,306 

23 

2,398 
1 

11 

2,709 

1 

G8 

17 

2,349 

14 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

20 

45 

28 

71 
1 

4 
3 

106.  Inflammation  of  Stomach  

1 

1 

3 

1 
9 
34 
33 

1° 

1 

6 
29 
37 
53 

1 

6 
15 

28 

o 

3 

59 
51 
41 

12 

1 

36 
12 

4 
1 

1 

ORDER  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

1 
1 

2 

o 

1 

2 

2 
15 
1 

3 
4 
1 
1 

4 

8 
1 
1 
1 
2 

1 

1 

8 

1  9.     n  amnid  101                    J 

2 

<> 

6 

1 

1 
o 

ORDEK  VIII.  —  Diseases  of  Bones  and  Joints. 

1 

1 

6 

'                 . 

1 

1 

1 

1 

1 

107'  TUfl           ^          f  B 

~  '                        .                     .      .   um 

1 

1 

o 

3 

"   '     °    amma 

1 

1 

OHDEU  IX.  —  Diseases  of  Integumentary  System. 

20 

49 
53 

40 
44 

71 
7° 

39 

13°   Boils 

24     '   

41 
3 
8 
27 

5 
4 

1 

6 
3 

18 

7 
27 

2 
9 
23 

8 
40 

134    Whitlow                                                 

7 
21 

1 

39 
1 

CLASS    V.     WOUNDS,   ACCIDENTS,   AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 

46 
1 

27 
2 

0 

2 

23 

0 

°8 

18 
1 

4 

57 
3 

7 

0 

33 

141.  Dislocation  

0 

4 

4 

1 
14'! 
5 

8 

6 
1 

113 
7 
1 
3 

144.  Gunshot  Wounds  

54 
7 
5 

9 

12 

39 
9 
o 
o 

10 

47 
26 
2 

12 

8 

145.  Incised  Wounds  

140'.  Lacerated  Wounds  

1 

1 

147.  Punctured  Wounds  

1 

148.  Poisoning  

1 
3 

2 

2 

1 

140.  Other  Accidents  and  Injuries    . 

1 

o 

150.  ORDER  II.  —  Homicide  

1 

151.  ORDER  III.  —  Suicide  

152.  ORDER  IV.—  Execution  of  Sentence  

1 

Total  

1,  809            17 

3,795 

40 

2,772 

22 

3,343 

33 

2,844 

- 

DUKING   THE    YEAR   ENDING    JUNE    30,  1864. 


371 


TABLE  LVIL— DEPARTMENT  OF  WESTERN  VIRGINIA— Concluded. 


1863. 

18(54. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

30,  385. 

25,  377. 

34,  403. 

31,  405. 

26,  142. 

36,  802. 

20,  073. 

5i7  122. 

104 
105 
106 
107 
108 
109 
110 
111 
112 
113 

114 
115 
116 
117 
118 
119 
120 
121 
122 
123 

124 
125 
126 
127 
128 
129 
130 

131 
132 
133 
134 
135 

136 

1S7 
138 
139 
140 
141 
142 
143 
144 
145 
140 
147 
148 
149 

150 
151 
152 

Cases. 

Deaths. 

Cases. 

Deaths 

Cases 

Deaths- 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1,901 

14 

2,213 

1 

74 
5 
3 

25 

2,147 

2 
76 
4 
1 
1 
2 
7 
9 
33 
2 

3 

16 

3,239 

1 
125 

34 

2,982 

1 
135 
11 
1 
1 
3 
3 
20 

47 

3,  991 

1 

79 
7 
5 

37 

2,659 

3 
22 

7 

31,  422 

11 
840 
41 
20 
5 
40 
61 
243 
486 
111 

22 
6 
6 
4 
21 
76 
12 
31 
10 
11 

3 

11 
29 
2 
24 
10 
5 

411 
612 
51 
126 
302 

69 
477 

7 

251 

97 
2 
1 

• 

3 

1 

1 

1 
] 

1 
1 

1 
1 
7 
46 
4 

1 

3 

1 

6 
2 
13 
33 
19 

2 

1 

10 
13 

3 

9 
22 

5 

34 
1 

18 
42 

1 

4° 

71 
12 

3 
1 
1 
1 
5 
4 

1 
4 

o 

1 

4 
1 

1 
1 

1 

3 

6 
10 
1 
5 

2 

1 

3 

11 
Q 
5 
1 
3 

1 

3 

1 

4 

4 
3 

1 

o 

• 

3 

3 

1 

6 
1 

2 

o 

1 

1 

1 

5 
4 

1 
1 

1 
4 
1 

4 
1 

1 

24 

1 

2 

4 

4 

0 

1 
1 

1 

35 

8 
3 

2 

1 
1 
3 

14 
31 

1 

23 
32 
3 
6 
13 

3 

55 

30 
66 
8 
19 
37 

0 

41 
48 
1 
13 
40 

6 
90 
3 

53 

62 

87 
9 
25 

8 
19 

6 
9 

28 

11 
26 

4 
15 

57 

10 

40 

6 

30 

10 
24 

33 

1 

1 
1 

1 

7 

2 

1 

6 

o 

37 
1 
7 

66 

CO 
4 
7 
o 

C8 
3 

44 
3 
3 

77 
1 
6 
6 
921 
17 
5 
4 
1 
23 

32 

543 

1 
5 

o 

51 
38 
2,262 
146 
58 
23 
26 
259 

1 

38 
13 
4 
2 

o 
12 

20 
749 
8 
19 

0 

1 
4 

3 

97 

35 

15 

3 

61 
£0 

8 

44 
9 

7 

1 

15 

6 

18 
10 
1 

3 

10 

4 
4 
2 
100 

1 

3 

1 
3 
9 

1 

3 

3 

1 

11 

4 
23 

86 

1 

1 

6 

2 

2 

1 

1 

1 

1 

1 

2,415 

26 

2,788 

36 

2,625 

29 

3,  885 

50 

3,523 

52 

5,  531 

61 

3,716 

16 

39,046 

406 

372 


SICKNESS   AND   MORTALITY    OF   WHITE    TROOPS 


TABLE  LVIIL 

Abstract  of  the  Sickness  and  Mortality 


YEAH  

1863. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

6,  550. 

6,  733. 

6,  787. 

6,  044. 

5,  949. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS  I.—  ZYMOTIC    DISEASES. 
OKDEK  I.  —  Miasmatic  Diseases. 

2 

0 

7 

14 

9 

4 

7 
3 
10 

2 

o     i1  * 

1 

2 

o 

1 

2 

C8 
71 

271 

152 

27G 

1 

65 

°87 

2 

78 
22G 

1 

223 

100 
17 

356 

502 

243 

12 

169 
16 
6 
293 

F 

6 
1 
1,000 

320 
5 
17 
5 

9 
2 

210 

409 
19 
144 
7 

I 

1 

275 

1 

o 

425 

4 
3 

40 
100 
15 
5 
5 

138 

3 

120 
36 

6 

8 
8 

7 

10 

9 
43 

1 
1 
1 

1 

1 

3 

1 

o 

18    Diphtheria 

1 

7 
C2 
18 

9 
34 
9 

1 

13 
48 
3 

70 
54 
5 

1 

C 
42 

1 
5 

171 
70 

23 
42 

17 
65 
1 

15 
39 
3 
1 

130 
31 

75 
112 

ORDER  II.  —  Enthetic  Diseases. 
22.  Syphilis             

23.  Gonorrhoea  

25.  Stricture  of  the  Urethra  

26.  Purulent  Ophthalmia 

3 

6 

2 

27.  Serpent  Bite  

28.  Other  Diseases  of  this  Order  

OUDEK  III.  —  Dictic  Diseases. 
29.  Scurvy  

3 

1 

1 

1 

30.  I'urpura  

1 

31.  Delirium  Tremeus  

1 

7 
3 

1 

1 

1 

1 

32.  Inebriation  

1 

33.  Chronic  Alcoholism  

1 

1 

34.  Other  Diseases  of  this  Order  

CLASS  II.—  CONSTITUTIONAL    DISEASES. 
OKDEH  I.—Diathetic  Diseases. 
35.  Gout  

3fi.  Acute  Rheumatism  

22 

55 

37 
17 

8 

72 

66 
32 

37.  Chronic  Rheumatism  

16 
o 

10 
2 

38 

38.  Anaemia  

oo 

39.  General  Dropsy  

1 

40.  Cancer  

41.  Tumors  

2 

42.  Other  Diseases  of  this  Order 

1 

7 
8 

ORDER  II.  —  Tubercular  Diseases. 
43.  Consumption  

12 

6 
2 

7 
15 

1° 

44.  Scrofula  

5 

1 

10 

45.  Other  Diseases  of  this  Order  

CLASS  ML  —  PARASITIC    DISEASES. 
4(5.  Itch  

5 

14 

24 

48 

80 

47.  Tape-worm  

48.  Other  Intestinal  Worms  

49.  Other  Diseases  of  this  Order  

Carried  forward  

1,055 

3 

2,489 

14 

2,040 

6 

1,668 

11 

1,590 

10 

DURING   THE   YEAR   ENDING   JUNE    30,  1864 


373 


TABLE  LYIII. 

of  the  Northern  Department. 


1863. 

1864. 

DECEMBER. 

JANUARY.          FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

7,  721. 

21,  869. 

22,  649. 

30,  135. 

24,  834. 

17,  268. 

19,  527. 

14,  672. 

Cases. 

Deaths. 

Cases,  i 

Deaths.    Cases.    Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases.  :  Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

51 
12 

10 

1 

3 

4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 

24 

20 

27 

29 
30 
31 
32 
33 
34 

35 
3G 
37 
38 
39 
40 
41 
42 

43 

44 
45 

4G 
47 
48 
4< 

11 

1 

1 

1 

69 
2 

10 

20 
5 
3 

5 
5 

54 
8 
33 

14 
3 
3 

35 
3 

12 

6 
1 
1 

26 
1 
6 

2 
1 

38 
4 

4 
1 

292 
27 
104 

1 

55 
122 
125 
18 
3 
194 
119 
15 
11 
15 
4 
19 

114 

137 
321 

234 
213 

4 

270 

134 

195 

1 

167 

127 

1,745 
2,510 

9 

178 
301 

231 
50 
10 
531 
68 
50 

1 

311 
34 
3 
356 
96 
35 
4 
145 
132 
995 
11 
34 
350 
572 

373 

42 

189 
35 
8 
609 
39 
174 
I 
47 
14 
54 

210 

3,110 
501 

1 

20 

64 
318 
287 
54 
81 
60 
56 
208 
1 
44 
246 

1 
1 
3 
3 

o 

2 
3 
7 
1 
1 
6 
23 
20 
1 
3 
1 

7 
395 
84 
42 
2 

109 
87 
251 
5 
25 
207 
391 
38 

107 
216 

6 

1 

7 
758 
59 

77 

1 
4 

112 
5,364 
1,484 
947 
279 
513 
394 
2,  ICO 
20 
168 
1,250 
3,022 
378 

765 
1,580 
148 
17 
92 

17 
10 

8 

0 

19 
71 
62 

6 
2 

1 
2 

2 

1 

1 

1 

1 
1 
2 
4 

1 
3 

47 
64 
443 
3 
24 
204 
560 
16 

75 

3 

19 
14 

7 
13 
10 

31 
10 

138 

5 
1 
1 

3 

11 

4 

185 
97 

19 

61 
11 

1 
1 

1 

8 
54 
107 
31 

59 
89 
13 
1 
25 

13 

41 
110 
46 

61 

117 

j 

621 
11 

16° 

1 

16 

90 

289 

2 

- 

330 

197 
24 

33 
5 

16 
3 
17 

„ 

5 

21 

5 

1 

12 

10 

1 

10 

14 
4 
99 
96 
68 

0 

1 

1,008 
615 
102 

1 
11 
2 

133 
84 

874 
1 

1 

2 

1 

1 
1 

19 
33 

8 

3 

1 
5 

1 

H 

1 

8 

3 
5 

8 
11 
23 

17 
1 
2 
1 

33 

30 

1 

o 

1 

16 
5 

1 

1 

149 
79 
26 

104 
35 
19 
4 

113 

41 
28 

94 
88 
39 

1 
1 

135 
94 
16 

74 
83 
17 

87 
82 

1 

1 

13 

1 
1 

1 

1 

3 
1 

13 

„ 

1 

8 
1 

3 

14 
16 

2 

3 

3 
1° 

o 

1 

14 

6 

13 

4 

1 

15 
3 

17 

19 

129 

155 

146 



164 

54 

36 

1 

3 

9 





i,:!«i; 

13 

3,883 

28 

3,506 

62 

4,593 

109 

3,575 

55 

2,  178 

15 

2,343 

14 

30,  220 

340 

374 


SICKNESS   AND    MORTALITY    OF   WHITE    TROOPS 


TABLE  L  VIII.— NORTHERN  DEPARTMENT— Continued. 


YRAU  

18(33. 

MOJfTII  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

6,550. 

6,  733. 

6,  787. 

6,  044. 

5,  949. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

ard 

1,055 

3 

2,489 

14 
1 

2,040 

6 

1,608 

11 

1,590 
1 

10 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.  —  Diseases  of  JVervous  Si/stem. 

2 
45 

2 
22 

6 
15 

oo 

07 

3 

4 

1 

1 

i 

o 

1 

4 

0 

1 
3 

54 

2 
5 
35 

i 

16 
31 

r~'    x"    a'"ma  1                    1 

'            S        g. 

39 
1 

66 

'         °           K. 

2 

1 

2 
1 

ORDER  II.  —  Diseases  of  Eye. 

39 

1 

66 

45 

68 

66 

1 
1 

1 

7 

ORDER  III.  —  Diseases  of  Ear. 

5 

5 

2 

70    Deafness                                                             

1 
1 

7 
11 

8 
9 

4 

1 
3 

OUDEH  IV.  —  Diseases  of  Organs  of  Circulation. 

4 

2 

1 

1 

1 

1 

2 

1 
5 

0 

1 

1 

1 

4 
2 

1 

2 

82.  Other  Diseases  of  this  Order                                      .... 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
83.  Asthma  

1 
10 

0 

3 

92 

7 
62 

°7 

84.  Acute  Bronchitis                                          

94 
20 

55 
o 

85.  Chronic  Bronchitis                                 

6 

3 

86.  Dropsy  of  Chest 

o 

87.  Haemorrhage  from  Nose  

1 
13 
16 
3 
1 
4 

32 

88.  Inflammation  of  Larynx                             

4 
9 
16 
5 

5 

15 
2° 

18 
33 
13 
3 

16 
60 
11 
4 

89.  Inflammation  of  Lungs 

1 

1 

1 

8 

90.  Inflammation  of  Pleura                                       

91.  Haemorrhage  from  Lungs 

4 

92.  Other  Diseases  of  this  Order  

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
93.  Colic  

9 

47 
14 

60 
68 
13 

18 
25 
3 

15 

94.  Constipation  

41 

7 

6° 

95.  Cholera  Morbus  

5 

96.  Cirrhosis  of  Liver  

97.  Dropsy  from  Hepatic  Disease  ... 

o 

1 

11 

1 

1 
8 

5 

19 

1 

98.  Dvspepsia  

35 

10 

99.  Diseases  of  Pancreas  

100.  Diseases  of  Spleen  

1 

101.  Fistula  in  Ano  

102.  Hernia  

5 
1 

7 

9 

7 

19 
1 

103.  Haemorrhage  from  Stomach  

Carried  forward  

1,360 

4 

2,992 

17 

2,  415 

7 

2,075 

13 

2,035 

20 

DURING   THE    YEAR   ENDING   JUNE    30,   1864. 


375 


TABLE  LVIIL— NORTHERN  DEPARTMENT— Continued. 


1803. 

18G4. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

7,  721. 

21,  869. 

22,  649. 

30,  135. 

24,  634. 

17,  268. 

19,  527. 

14,  672. 

50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 
61 

62 
63 
64 
65 
66 
67 

68 
69 
70 
71 
72 

73 
74 
75 

76 
77 
78 
79 
80 
81 

83 
84 
85 
86 
87 
88 
89 
90 
91 
92 

93 
94 
95 
96 

97 
98 
99 
100 
101 
102 
103 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1,  306 

13 

3,883 

2 
18 
79 
1 
4 

28 

1 

3,506 

1 
9 
63 
2 
7 
1 
7 
21 

62 

2 

1 

4,593 

2 
13 
73 
1 
3 
6 
6 
33 
71 
4 

109 
2 

3,575 

55 

2,178 

15 

2,343 

1 
16 
68 
1 
1 
8 
3 
3 
57 
5 
o 

14 

30,226 

7 
92 
503 
18 
18 
21 
31 
118 
699 
23 
6 
17 

14 
7 
1,064 
23 
5 
8 

21 
50 
40 
139 

340 

6 

1 

3 

10 

8 
50 
1 
1 
6 
1 
24 
84 
4 

15 

29 

4 
1 

4 

7 
1 

3 
4 
4 

10 
16 
6 

4 

1 

3 

o 

55 
2 

o 
6 
91 
1 

1 

3 

55 

61 
4 

o 

2 
1 
3 

1 
1 
92 

1 

3 

1 
6 

0 

3 

1 

7 

4 
3 

91 

2 

1 
160 
4 

65 
6 

141 

100 

109 

3 

3 

1 

6 

9 

1 
6 

27 

8 
3 
15 

12 

12 

1 
6 

9 
8 
6 

1 

8 
3 

6 
34 

10 
16 
1 

46 

1 
4 

13 

18 

3 

108 

1 

64 
3 
7 
23 
10 

1 

1 

3 

5 
1 

5 

18 

20 

1 

2 

1 
1 

I 

| 

5 
1 

1 
1 

4 

0 

3 

4 

1 

o 

1 

1 

1 

2 

12 

9 

1 

27 
11 
1 

5 

°8 

9 
17 

6 
5 

99 
44 
1 

83 
1,471 
225 
3 
21 
212 
1,640 
407 
89 
77 

391 
1,404 

91 

1 

5 

12 

174 

4 
313 
102 

5 

99 

9 

58 
4 

5 
53 

8 

77 
18 
1 

1 
1 

384 
4 

2 

3 
1 

31 

5 

3 
17 

247 
69 
1° 

6 

1 

18 
88 
20 
8 
3 



13 
50 
1C 
1 

24 

25 

7 
71 
30 

5 

368 
63 
22 

8 

56 
1 

504 
86 
16 
13 

33 

311 
4 

108 
o 

179 

58 
8 
41 

32 

40 

20 
1 

8 

256 
4 

9 

64 
145 

7 

41 
166 
3 

1 

1 
1 

8 
85 

1 

27 
189 

169 
6 

96 
17 

<> 

15 

4 
75 

5 

4 
34 

10 
39 

0 

34 
433 

o 

38 

34 

79 

51 

6 

1 
1 
22 

3 
7 
21 

7 

38 

1 
36 

4 

26 

16 
22 
220 
5 

8      

3      

22 

1 

1 

1,  799 

18 

5,377 

40 

4,951 

139 

6,580 

238 

4,676 

99 

2,920 

37 

3,174 

23 

40,  354           655 

376 


SICKNESS   AND    MORTALITY    OF   WHITE   TROOPS 


TABLE  LVIIL— NORTHERN  DEPARTMENT— Concluded. 


YEAH  

18(>3. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

6,  550. 

6,  733. 

6,  787. 

6,  044. 

5,  949. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

ieaths. 

Cases. 

Deaths. 

Uases. 

Deaths. 

Cases. 

Deaths. 

1,360 
o 

4 

2,992 

3 
5 

17 

2,415 

7 

2,075 

13 

2,035 

20 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

11 
o 

84 

25 

63 
7 
1 
3 
9 
7 
64 
11 

4 

1 

9 
1 

6 

4 
3 
5 

8 
1 
45 

C 

0 

6 

12 

1 

43 
14 

79 
23 

1 

11 

23 

ORDER  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

1 

0 

2 

3 
1 
1 

6 

0 

0 

5 

8 

7 

7 
1 

9 
7 
5 

7 
7 

1 

2 

1°3    Other  Diseases  of  this  Order  

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

3 

1 

1 

8 

4 

3 

1 

1 

2 

1 

ORDEU  IX.  —  Diseases  of  Integumentary  System. 

1° 

7 
42 

48 
13 
4 
3 

23 
29 

132.  Boils  

7 
4 
3 
9 

1 
G 

33 
8 
4 

1 

0 

133.  Carbuncle                                                       

3 

6 
15 

1 

03 

134.  Whitlow  

133.  Skin  Diseases  

16 

0 

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

OllDER  I.  —  Wounds,  Accidents,  and  Injuries. 
136.  Burns  

1 
34 

4 

7 

137.  Contusions  

24 

5 

138.  Concussion  of  Brain  

133.  Drowning  

2 

140.  Sprains  

5 
3 

18 
o 

12 
1 
o 

15 

10 

141.  Dislocation  

1 

o 

142.  Simple  Fractures  

1 

143.  Compound  Fractures  

144.  (lunshot  Wounds  

24 
1 

1 

10 
5 

1 

30 
1 
3 

n 

145.  Incised  Wounds  

2 

146.  Lacerated  Wounds  

147.  Punctured  Wounds  

1 

148.  Poisoning  

149.  Other  Accidents  and  Injuries  

3 

130.  OllDBll  II.  —  Homicide  

1 

151.  ORDER  III.—  Suicide  ... 

1 

1 

I 
132.  ORDER  IV.  —  Execution  of  Sentence  ...   . 

Total  

1,482 

8 

3,200 

18 

2,678 

12 

2,351 

14 

2,352 

21 

DURING   THE    YEAR   ENDING    JUNE    30,  1864. 


377 


TABLE  LVIIL— NORTHERN  DEPARTMENT— Concluded. 


1HG3. 

1864. 

DECEMBER. 

JAXUAIIY.           FEBBUAUY. 

MARCH. 

Al'UIL. 

MAY. 

JUNE.                    TOTAL. 

7,  721. 

21,869. 

22,  649. 

30,  135. 

24,  834. 

17,  268. 

19,  527.         I 

14,  672. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths.  1  Cases. 

l 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

104 
105 
106 
107 
108 
109 
110 
111 
112 
113 

114 

115 
116 
117 
118 
119 
120 
121 
122 
123 

124 
125 
126 
127 
128 
129 
130 

131 
132 
133 
134 
135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
146 
147 
148 
14!) 

150 
151 
152 

1,  799 

18 

5,377 

-    40 

4,  951 

139 

6,580 

238 

4,676 

99 

2,920 

37 

3,174 

23 

40,354 

r 

1,046 
122 
33 
24 
190 
66 
381 
289 
31 

43 
15 
14 
1 
7 
107 
53 
53 
14 
4 

13 
5 

28 

655 

67 
3 

115 

170 
22 
4 
9 
51 

307 
1!) 
8 
8 
14 
7 
24 

155 

48 
15 

56 
11 
5 
1 
21 
7 
9 
23 

19 

7 
1 
29 

4 

1 
1 

1 

7 
3 
1 
13 
7 
24 
33 

1 
2 

1 

1 

1 

9 
4 
3 
1 

2 

1 
24 

5 

4 
30 
42 

4 

15 

21 

10 

2° 

1 

31 

10 

10 
7 
6 
1 

51 

17 
3 

18 

I 

3 

0 

4 

1 
1 
o 

3 

3 

7 
9 
7 
13 

1 

10 

13 
9 
20 
4 
1 

4 
4 

6 
10 

7 

1 

17 
1 
4 
1 

11 
1 

5 
3 

1 

1 

3 

1 

1 

2 

2 

4 

1 
1 
3 

2 

5 

o 

| 

3 

1 

4 
1 

4 
1 

15 

8 

1 

1 

0 

15 
24 
6 
6 
115 

9 
21 

39 

26 

6<i 

35 

48 
72 

13 
32 

00 

309 
505 
88 
91 
525 

71 
15 

71 
9 
12 

42 
8 
5 
48 

6 
31 
1 

12 

13 
11 

90 

7 
51 

5 

9 

49 

33 

57 
2 

o 

93 
25 

57 

00 

3° 

3 
36 

122 
366 
6 

54 

40 
1 

1 

1 

4 

13 

51 

45 
11 
7 
1 
46 
18 
1 
4 
1 
9 

5° 

46 

30 
3 
3 

35 

34  L 
35 
40 
1 
428 
89 
36 
15 
2 
162 

9 
5 

1 

7 

4 

5 

4 

6 
o 
o 

1 

9 
18 
5 
o 

1 

34 
13 

e 

1 

23 
11 
7 
4 

1 

31 
9 
7 
2 

213 
9 
4 

2 

7 

1 

1 

1 
9 



138 

4 

1 

2 

1 

5 
1 
2 
2 

1 

1 

2,148 

19 

6,222 

45 

5,772 

144 

7,  424 

242 

5,346 

105 

3,277 

38 

3,770 

30 

46,  082 

69C 

48 


378 


SICKNESS   AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  LIX. 

Abstract  of  the  Sickness  and  Mortality 


YEAR  

18G3. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

23,  134. 

37,  684. 

39,  942. 

44,  669. 

41,112. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

deaths. 

Cases.    Deaths. 

3ases. 

Deaths. 

CLASS    1.—  ZYMOTIC    DISEASES. 
OHDEK  I.  —  Miasmatic  Diseases. 

41 

4 

110 

0 

11 

90 

14 

65 

14 

92 

13 

20 

3 

204 

18 

49 

5 

43 

4 

88 

5 

183 

226 

(129 
975 

4 

460 
619 
657 

306 
514 

558 

215 

419 
347 

47 
3 
1,025 
157 
215 
22 
28 
12 
68 

1 

°                     •»*        v 

144 
10 

760 
97 
58 
1,960 
23G 
411 
96 
19 
1 
1G 

51 
14 
1,  609 

36 
11 
1,511 

192 
402 

29 
1 
358 

8.  Quartan    n  e.m 

13 

7 

1 

onges  n  e 

£07 

1 
I 

3 

00 
138 
8 
15 

1 

1 

3 
] 

142 

356 
19 
17 

1 
4 
1 
2 

6 
1 

0 

1 

o 
1 

"•  r,cuto.  I?    7 

3 

'    r  .  °  y      y 

1 

215 

o 

o 

'  ' 

3 

1C 
33 

4 

55 

121 
5 

1 

C 
13 
99 
14 

83 

7 
10 
147 
1 

119 

197 

1 

8 
114 
235 

(i 

29 
35 

2 

1 

42 
121 

36 

86 
170 
11 

ORliER  II.  —  Enthetic  Diseases. 

208 

8 
o 

13 

26 

3 

7 
1 
1 

oo 

9 

5 

10 

1 

1 
1 
5 
3 
4 

ORDER  III.  —  Dietic  Diseases. 
29    Scurvy                                   

16 

12 

7 

. 

30   Purpura                    

1 

G 
5 

1 

10 

7 
1 

5 

1 

0 

6 
1 

7 
1 

33.  Chronic  Alcoholism  

1 

34.  Other  Diseases  of  this  Order  

CLASS    II.—  CONSTITUTIONAL    DISEASES. 
ORDER  I.  —  Diathetic  Diseases. 
35.  Gout  

36.  Acute  Rheumatism  

57 

93 

96 

145 

156 

37.  Chronic  Rheumatism  

21 

63 

112 

51 
33 

93 
25 

78 
39 

38.  Anaemia  

10 

39.  General  Dropsy  

2 

6 
1 

1 
1 
i 

40.  Cancer  

1 

41.  Tumors  

0 

1 

42.  Other  Diseases  of  this  Order  

4 

11 
3 

1 

17 
7 

o 

OllDEll  II.  —  Tubercular  Diseases. 
43.  Consumption  

1 

1 

8 
8 

5 

fi 

3 

19 

13 

1 

44.  Scrofula  

45.  Other  Diseases  of  this  Order  

CLASS    III.  —  PARASITIC    DISEASES. 
46.  Itch  

40 

40 
2 

7 

49 
1 

7!} 

274 

47.  Tape-worm  

48.  Other  Intestinal  Worms  

7 

3 

49.  Other  Diseases  of  this  Order  

1 

Carried  forward  

!  •  

2  099 

15 

6,349 

56 

5,  074 

39       5,  199 

34 

4,  001             30 

DUKING    THE    YEAR   ENDING    JUNE    30,  18G4. 


379 


TABLE  LIX. 


of  the  Department  of  the  Ohio. 


1863. 

1804. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

45,  345. 

48,  047. 

49,  007. 

46,  820. 

38,  990. 

34,  914. 

37,  552. 

40,  601. 

Cases. 

Deaths. 

Cases. 

deaths. 

3ases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1 

3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
1G 
17 
18 
19 
20 
21 

22 

2-1 
25 
26 

28 

2G 
30 
31 
32 
33 
34 

35 
36 

37 
38 
30 
40 
41 
42 

43 

44 

122 
1 
33 

22 

70 
o 

16 

72 
10 
46 

19 

7 

83 

19 
2 

4 

134 

11 

89 
4 

47 

6 

91 

5 

1,059 
19 

729 

154 
4 
52 

1 

28 

1 

35 

52 

4 

84 

248 
345 
277 
40 
13 
1,355 
168 
181 
8 
40 

51 

1 

252 
266 

243 

406 
471 
44 
9 
1,168 
160 
229 
10 
48 
57 
218 

288 
536 
455 

1 

1 

338 
476 
436 
77 
13 
991 
103 
249 

1 

408 
466 
437 
37 
10 
1,342 

543 
524 
466 
25 

2 

4,113 

5,772 
5,348 
533 
153 
16,  466 
2,117 
3,865 
294 
455 
276 
2,303 
1 
191 
1,153 
3,013 
646 

1,083 
1,949 

9 
2 

340 
32 
4 
1,392 
165 
185 
14 
47 
57 
100 
1 
20 
87 
499 
48 

89 
121 

37 
10 
1,159 
177 
244 
17 
38 
44 
649 

1 

3 

1 

8 

1 

4 

2 

2 

8 
2,147 
385 
651 
47 
66 
4 
41 

3 

36 
3 
36 
12 
12 
11 
21 
24 

1 

6 
2 

4 
1 
1 
3 

3 

142 
604 
22 
51 
50 
96 

1 

2 

2 
51 
21 

490 

J 

1 
3 
4 

1 

2 
10 
2 

1 
3 
5 

1 

o 

o 

2 

2 

39 
12 
27!) 
19 

70 
107 
13 

1 

16 
165 

23 

17 
229 

1 

17 
143 
105 
75 

111 
199 
23 

4 
11 

6 
98 

76 

1 

10 

231 

518 

185 

1 

52 
92 

2 

104 

84 
170 
20 

48 

68 
131 
17 

2 

203 

105 
212 

1 

7 

158 
19 

21 
3 
11 

17 
o 

193 
15 
75 

C 

C 

4 

2 

1 
2 
5 

100 

3 

71 

444 
5 
44 
48 
20 
16 

1,981 
905 
403 
9 
4 
20 
32 

170 
91 
1 

1,724 
7 
60 
1 

26 

1 

37 

58 

3 

91 

1 

50 
1 
4 

65 

1 
1 
9 
1 
1 
2 

1 

6 

1 
3 

2 

3 
3 
3 

o 

4 
2 

o 

6 
3 
5 

1 

3 

3 

1 

o 

6 

2 

172 
C6 
23 

219 

219 

272 
100 
16 

3 

216 
80 
9 

170 
96 
38 

166 
105 

3 

67 

26 

85 

18 

54 

1 
o 

4 

1 

9 
12 

1 
8 

12 
10 

7 

6 

15 

2 

1 
3 

3 

14 
8 

2 

17 
13 

1 

3 

5 

2 

13 

8 

• 

1 

30 
1 

3 

45 

4 
4 
4 
4 

1 

167 

161 

241 

248 
1 
16 

150 
1 
3 

157 

124 
2 
4 



10 

3 

1 

3 

3,951 

46 

4,461 

47 

4,836 

54 

5,733 

44 

4,710 

31 

5,058 

15 

6,411 

20 

57,  882 

437 

380 


SICKNESS   AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  LIX.— DEPARTMENT  OF  THE  OHIO— Continued. 


YEAII  

1863. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

23,  134. 

37,  C84. 

39,  942. 

44,  669. 

41,  112. 

LIST  OF  DISEASES. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

2,  099 

1 
6 
57 
3 

15 
1 

6,  34'J 

1 
14 

124 

56 
1 

5,074 

1 

8 
101 

39 

5,199 

34 

4,001 

36 

CLASS    IV.  -LOCAL    DISEASES. 

ORDER  I.—  Diseases  of  Nervous  System. 

11 

08 

16 

75 

3 
1 
3 
3 
06 
g 

1 

3 
3 

1 
1 

1 
1 

25 

4 

82 

8 
79 
1 

9 
87 
3 

1 
3 
2 

1 

2 

'r      <z        * 

1 
4 

o 

.              f      .    n   , 

3 

3 

1 
92 

2 

1 

1 

ORDER  II.  —  Diseases  of  Eye. 

89 

1 

112 

129 

114 
3 

o 

1 

1 

6 

10 

27 
4 
3 

11 

1 

1 
30 

ORDER  III.—  .Diseases  of  Ear. 

32 

3 

5 

70   Deafness                              

3 
6 

11 

5 

8 

6 

4 

oo 

ORDEU  IV.  —  Diseases  ef  Organs  of  Circulation. 

1 
2 

1 

1 

6 
1 

2 

1 

5 

1 

I 

p  y       . 

„ 

o 

1 

1 

7 

11 
4 
1 

5 

50 
18 
3 
o 

16 
33 
22 
10 
55 

10 
4 
2 

9 
63 
16 

4 
4 
1 

13 

82 
14 

11 
6 

1 

10 
143 

82   Other  Diseases  of  this  Order                       

1 
31 
11 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
83    Asthma 

87.  Haemorrhage  from  Nose  

1 
3 

18 
17 

1 

1 
10 
59 

48 
7 
81 

151 

69 

1 

51 
118 
62 
5 
115 

88.  Inflammation  of  Larynx                      

1 
1 

31 
51 
43 
5 
69 

120 

89.  Inflammation  of  Lungs  

1 
1 

5 

10 

5 

1 

91.  Haemorrhage  from  Lungs 

4 
9 

61 
43 
34 

92.  Other  Diseases  of  this  Order  

2 

ORDER  VI.—  Diseases  of  Digestive  Organs. 
93.  Colic  

100 
128 

72 

94.  Constipation  

121 

147 
18 

95.  Cholera  Morbus  

1 

81 
12 
4 
32 

35 

24 

96.  Cirrhosis  of  Liver  

i 

97.  Dropsy  from  Hepatic  Disease 

2 
12 

3 

36 

1 
33 

44 

99.  Diseases  of  Pancreas  

100.  Diseases  of  Spleen  

1 

101.  Fiatula  in  Ano  

1 

8 

5 

29 
1 

5 
29 

27 

102.  Hernia  

°3 

103.  llajmorrhagc  from  Stomach  

1 

1 

Carried  forward  

i 

2,578 

20 

7,383 

61 

6,078 

50 

6,  179 

45 

5,216 

45 

DURING    THE    YEAR   ENDING    JUNE    30,   18G4. 


381 


TABLE  LIX.— DEPARTMENT  OF  THE  OHIO— Continued. 


1808. 

1864. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

45,  345. 

48,  047. 

49,  007. 

40,  820. 

38,  990. 

34,  914. 

37,  552. 

40,  601. 

50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 
61 

C2 
63 
64 
65 
66 
67 

68 
69 
70 
71 

72 

73 
74 

77 
78 
79 
80 
81 
82 

83 
84 
85 
86 
87 
88 
89 
90 
91 
92 

93 
94 

'.!.-) 

96 
97 

98 
99 
100 
101 
102 
103 

Cases. 

Deaths. 

Oases. 

Deaths. 

Cases.    Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.      Deaths. 

3,  951 

2 
10 
79 
1 

0 

46 
3 

4,461 

47 
1 

4,836 

2 

6 
52 

54 

5,733 

44 

4,710 
o 

31 

5,058 

15 

6,411 

1 

12 
163 
2 

20 

57,  682 

10 
155 

1,  168 
17 
21 
13 
17 
65 
1,077 
28 
56 

437 

10 
o 

16 
97 

20 

16 
79 
2 
4 
1 
1 
9 
75 

20 

108 
4 
o 

165 

1 
3 

1 
9 

108 

2 
4 

1 
1 

1 

18 
6 

3 
I 

1 
1 

3 

4 
1 

3 

1 

4 

4 
5 

124 

2 
3 
5 
139 
3 
oo 

o 

4 
75 
5 

1 
5 

109 
1 

1 
3 

108 
5 

1 

1 

1 

1 

8 

o 

1 

1 

2 

18 

12 
2 

1  308 

1 

1 

3 

2 

o 

1 
116 
5 
1 

82 

143 
5 
2 

110 

100 
3 
1 

1 

122 

99 

n 

23 

°7 

1 

9 

7 

1 

1 

15 

89 
90 
41 
126 
108 

1 
50 
7 

12 

9 

19 

4 

26 

4 
3 

26 

8 
10 
9 

6 
1 

14 
4 

1 

4 
23 

14 

8 

o 

17 

13 

2 

1 

6 

o 

2 

4 
1 

1 

7 
3 

12 
1 

3 
2 

1 

3 

o 

1 
9 
C 

4 

2 
1 
1 

1 

2 

1 
1 
1 
17 
10 

1 

16 

7 
3 
107 
54 
15 

92 
1,832 

307 
8 

A.O 

297 
1,  532 
582 
80 
880 

1,042 
1,  664 

10 
6 

4 
3 

9 
2 

10 
3 

6 

4 

10 
199 
33 

4 

152 

14 
321 

2 

12 
275 
34 

2 
1 

28 

8 
361 
57 
o 

2 
91 
35 

4 

64 
21 

2 
4 

1 

3 

20 

1 
6 

37 

3 

1 
10 
101 
53 
8 
29 

4 
22 

67 
38 

1 

2 

185 
3 

29 
180 
45 
10 

89 

79 
103 
37 

35 

1 
6 

19 

208 
64 
4 
109 

70 
150 

33 

184 
64 
3 

92 

79 
245 

23 

1 

306 
72 

15 

49 

171 
54 
3 
97 

49 

118 
7 

26 

7 

6 

24 

135 

228 
58 

1 

1 
1 

111 

53 
147 
4 

1 

5 
3 

1 

73 
159 
16 

1 

... 

16 

7 
1 
4 
34 

1 

1 

1 

337 
13 
33 
352 

4 

3 
31 

6 
54 

3 

16 

2 
13 

1 

5 
15 

1 

1 

1 
4 
21 

2 

;:;  i 

* 

47 

321 
11 

4 

r 

5 

47 

nr~> 

29 

07 

31 
2 

5 

1 

1 

1 

\v» 

73 

6,  063 

89 

6,312 

86 

7,424 

101 

5,879 

65 

6,221 

20 

7,646            32         72,003 

C93 

382 


SICKNESS    AND    MORTALITY   OF    WHITE   TROOPS 


TABLE  LIX.— DEPARTMENT  OF  THE  OHIO— Concluded. 


YEAU  

1863. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STKEXGTII  

23,  134. 

37,  684. 

39,  942. 

44,  669. 

41,  112. 

LIST  OF  DISEASES. 

Cases.  |  Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

2,578 

4 
21 
4 
2 
1 
8 

20 

7,383 

7 
39 
16 
9 
3 
27 

61 

6,078 
2 

50 

6,179 

1 

56 

0 

45 

5,216 

45 

OHDEU  VI.—  Diseases  of  Digestive  Organs—  Continued. 

49 
6 
8 
o 

80 
2 
4 

1 

1 

1 

1 

1 

8 
16 
138 
70 
6 

1 

I 

11 

1 

172 

6 

54 
83 
29 

9 
103 
96 
20 

110.  Chronic 

31 
36 
2 

o 

1 

1 

67 
6 

6 
1 

1 

OUDEII  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

6 
3 

3 

1 
1 
5 
13 

7 
7 
1 
2 

1 

3 

2 
3 
5 

2 
4 
1 
3 
2 

3 
1 
1 

6 

1 

3 

0 

o 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

1 

125   Caries                                          

1 
o 

6 

3 
1 

3 

1 

1 

1 

1 

1 
1 

117 
196 

130.  Other  Diseases  of  this  Order  

3 

73 
110 
6 
10 
16 

9 
36 

ORDER  IX.  —  Diseases  of  Integumentary  System. 
131.  Abscess  

23 

68 
134 
11 
18 
17 

6 
35 

60 
76 
6 

132.  Boils  

40 
4 
4 
18 

4 
31 

1 

133.  Carbuncle  ..         

14 
36 
49 

14 

5° 

134.  Whitlow  

135.  Skin  Diseases  

0 

CLASS    V.     WOUNDS,   ACCIDENTS,   AND 
INJURIES. 
ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
136.  Burns  

'     12 

137.  Contusions  

1 

27 

1 

136.  Concussion  of  Brain  

o 

1 
4 

1 

139.  Drowning  

3 

o 

1 

140.  Sprains  

23 
3 

37 
3 
3 
3 
19 
41 
8 
4 

3° 

38 

00 

141.  Dislocation  

o 

2 

142.  Simple  Fractures  

r 

4 
4 

132 
19 
1 
4 

143.  Compound  Fractures  

3 

80 
5 
3 
2 

1 
3 
1 

4 

612 
7 
7 
5 
1 
2 

144.  Gunshot  Wounds  

13 

60 
8 

11 

13 

61 

145.  Incised  Wounds  

146.  Lacerated  Wounds  

147.  Punctured  Wounds  

4 

1 

148.  Poisoning1  

149.  Other  Accidents  and  Injuries  

6 

15 

10 

3 

150.  ORDER  II.  —  Homicide  

151.  ORDER  ill.—  Suicide  

152.  ORDER  IV.—  Execution  of  Sentence  

Total  

2,  951 

38 

8,  320 

73 

6,840 

64 

6,963 

62 

6,438 

108 

DURING   THE    YEAR   ENDING    JUNE    30,  18G4. 


TABLE  LIX.— DEPARTMENT  OF  THE  OHIO— Concluded. 


1803. 

18(54. 

UECEMUER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

45,  345. 

48,  047. 

49,  007. 

46,  820. 

38,  990. 

34,  914. 

37,  552. 

40,  601. 

104 
105 
100 
107 
108 
109 
110 
111 
112 
113 

114 
115 
116 
117 
118 
119 
120 
121 
122 
123 

124 
125 
126 
127 
128 
129 
130 

131 
132 
133 
134 
135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
146 
147 
148 
149 

150 
151 
152 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases 

Deaths- 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

5,114 
70 

C) 

3 
1 
5 
C 

202 
68 

73 

6,063 

14 
74 
3 

89 

6,  312 

1 
134 
6 
5 

86 

7,  424 

G 
121 
5 
4 

101 

5,879 

65 

6,221 

14 
65 
1 
3 

26 

7,  616 

3 
33 
3 
G 

32 

72,  093 

50 
800 
61 
46 
8 
129 
104 
1,  "3 
786 
94 

56 
14 
19 
5 
°9 

/ 

693 

58 
11 
2 

4 

2 

1 

6 
6 

137 
72 

6 
10 
119 
67 
3 

10 
1 
6 

6 
11 
136 
47 
6 

8 
o 

9 
15 
90 
75 
1 

1 
2 

4 
6 
12° 

16 

18 
48 
59 

1 

3 

56 
3 

6 
1 
1 

32 

3 
3 

10 
1 
o 

1 
o 

7 
2 

3 

0 

1 

1 
13 

8 
27 
3 
4 

0 

o 

1 

24 

11 
1 

4 
4 

10 

16 
1 
1 
1 
2 

139 
19 
34 
19 
15 

6 
10 
27 
3 

12 
6 
5 

633 
1,032 



1 
3 
5 

4 
1 
5 

1 

2 
o 

1 
1 





1 

1 

1 
5 
2 

3 

1 

5 

1 
3 
1 

3 

1 

4 

1 

o 

1 

1 

C9 
72 
7 
8 
7 

6 

24 

25 
76 
3 

47 
70 
15 

39 
90 
4 
9 
40 

8 
42 

1 

35 

47 
7 
13 
60 

8 

34 

58 
8 
14 
118 

7 
35 

1 

43 
63 
9 
4 
81 

11 
55 
1 

2 

94 
138 
559 

111 
424 
15 

12 

85 

39 

6 
31 
4 

20 

28 
1 

1 
3 

2G 

1 

3 

1 
o 

1 

1 

10 

1 

0 

17 
4 
4 
2 
165 
16 
5 
4 
4 
6 

21 

36 

7 
1 
39 
11 
5 
1 

44 
3 
5 

39 
G 
5 

34 

29 

34 

56 
22 
2,822 
148 
4:3 
38 
Si 
205 

6 

10 

0 

115 

10 

0 

1 
6 
1 
928 
4 
4 

26 

3 

o 

3 
20 

1 
18 
12 
3 
3 
1 
11 

1 
14 

1 

638 
5 
J 

5 
179 

27 

7 
1 

o 

16 
10 
1 

o 

6 

1 

2 

1 

3 

1 
5 

3 
6 

1 

95 

4 

20 

3 

8 

5,  929 

106 

6,  933 

127 

7,076 

95 

8,141 

108 

6,468 

68 

7,821 

45 

8,833 

40 

82,  713 

934 

384 


SICKNESS   AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  LX. 

Abstract  of  the  Sickness  and  Mortality 


YEAR  

1863. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

98,  806. 

103,  234. 

95,  108. 

110,  177. 

107,  898. 

LIST  OF  DISEASES. 

Cases. 

Deaths.    Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS  1.—  ZYMOTIC   DISEASES. 
ORDER  I.  —  Miasmatic  Diseases. 

142 

24 

98 

18 

59 
1 
30 

10 

52 

13 

53 

4 

100 

3 

62 

o 

82 

91 

3 

1,379 
1,108 

2 

1,218 
1,539 

4 

834 
1,275 

3 

912 
1,456 
1,521 
172 

o 
3 

713 
1,178 
1,192 
142 

6 

1,056 

1,064 

162 

1 

1,163 

}OO 

2 

1 

86 

36 
6,186 
631 
1,567 
117 
91 
4 
8 

o 
2 

17 
20 
8 
1 

17 
5,399 
773 
1,  4C3 
112 
73 
3 
1 

3 
5 

25 

7 

35 
3,095 

438 
889 
61 
28 

14 
4,910 
947 
1,380 
133 
62 

2 
4 

49 
12 
8 

36 
3,  785 
905 
935 
136 
43 
18 

4 
3 
105 
18 
5 
2 

12 
11 
3 

21 

8 

1 

1C   Measles                            

1 

17.  Scarlet  Fever  

18   Diphtheria            

15 

14 
10 
136 

9 
87 
63 
30 

83 

124 

1 

23 
10 

256 

31 
11 

280 

1 

17 
99 
88 

116 

177 

1 

1 

55 

144 
183 
9 
2 
57 
1 
3 

17 
3 
7 
10 
1 
21 

4 

305 
189 
88 

1 

130 

136 
154 

1 

113 

110 

202 

ORDER  II.  —  Enthetic  Diseases. 

24.  Orchitis  

33 

4 
30 
4 

18 
o 

27 

19 
6 

17 

25.  Stricture  of  the  Urethra  

3 

15 

20.  Purulent  Ophthalmia  

36 
3 
1 

13 

27.  Serpent  Bite  

1 

28.  Other  Diseases  of  this  Order  

18 

1 

13 
4 

1 
4 

ORDER  III.  —  Dietic  Diseases. 
29.  Scurvy  

41 
6 
4 
5 

1 

30.  Purpura  

1 
1 

3 
3 

31.  Delirium  Treraens  

1 

32.  Inebriation  

33.  Chronic  Alcoholism  

34.  Other  Diseases  of  this  Order.  .   . 

4 

CLASS   !!.—  CONSTITUTIONAL   DISEASES. 

ORDER  l.—Diathetic  Diseases. 
35.  Gout  

36.  Acute  Rheumatism  

0"() 

1 

247 
80 

434 
251 

1 

500 
24° 

1 

37.  Chronic  Rheumatism  

192 

38.  Ananmia  

106 

32 

54 

2 

54 

39.  General  Drops}'  

40.  Cancer  

1 
3 
9 

1 

1 
o 

1 
1 
10 

20 

41.  Tumors  

6 
11 

17 

7 
1 

56 

42.  Other  Diseases  of  this  Order  

9 

32 

14 

3 

10 
8 

ORDER  II.  —  Tubercular  Diseases. 
43.  Consumption  

2 

2 

1 

3 

44.  Scrofula  

5 

45.  Other  Diseases  of  this  Order.  . 

CLASS   III.—  PARASITIC   DISEASES. 
46.  Itch  

26 
1 
4 
1 

41 
1 

7 

4 

30 

47.  Tape-  worm  

48.  GUier  Intestinal  Worms  

1 

6 

4 

8 

49.  Other  Diseases  of  this  Order  

Carried  forward  

13,  740 

83 

13,  350 

92 

8,887 

46 

13,  285 

99 

10,  967 

156 

DURING   THE    YEAR   ENDING   JUNE   30,  1864. 


385 


TABLE  LX. 

of  the  Department  of  the  Cwnberlajid. 


1803. 

18G4. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAT. 

JUNE.                   TOTAL. 

114,746. 

95,  860. 

93,  772. 

110,  150. 

127,  328. 

123,  359. 

115,  315. 

107,  979. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths.    Cases.    Deaths.  : 

Cases.      Deaths.  I 

1 
o 

3 
4 
5 
6 
7 
8 
3 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 

22 

23 
24 
25 
26 
27 
28 

29 
30 
31 
32 
33 
34 

35 
36 
37 
38 
39 
40 
41 
42 

43 
44 
45 

46 

47 
48 
49 

G4 

7 

82 
6 
41 

11 

1 
43 

10 
1 
4 

62 
1 
58 

19 

51 
1 

70 

13 
1 
3 

70 
5 
109 

30 

89 

59 

851 
15 
952 

218 
2 
24 

91 

5 

2 

1 

175 

1 

543 

862 
919 
75 
18 
3,  421 
874 
656 
124 
42 
62 
2 

2 

465 
656 
686 
100 
6 
o  4^0 

438 
583 
489 
65 

780 
925 
1  028 

2 

1,055 

1,279 
1,  334 
84 
12 
2,984 
426 
604 
74 
143 
256 
413 

1 

1 

1,  328 
1,336 
1,352 
118 
20 
4,406 
585 
1,667 
&7 
114 
110 
217 
5 
10 
285 

1 

1,619 
1,563 
1,202 

269 

12 

11,  284 
13,  760 
13,  006 
1,514 

35 

4 

7 

2 

1 

119 

31 

2  233 

394 
532 
54 
101 
194 
763 
6 
44 
559 
772 

3 

6 
1  292 

1 

6 
1 
14 
1 

I 

1 
8 
4 
2 

5 
24 

<vJ 

1 
3 

17 
6 
12 
5 
39 
9 

48 
6,265 
740 
1,873 
131 
95 
29 
79 

5 

8 
29 
11 
3 
13 
9 
5 

279 
46,388 
7,541 
12,  642 
1,184 
890 
887 
1,856 
12 
371 
2,123 
4,067 

28 
29 
426 
113 
63 
28 
123 
128 

2 

98 
4 
8 

526 
518 
91 
50 
91 
54 

38 
2 
3 

302 
358 
64 
48 
99 
290 
1 
37 
250 
434 
116 

123 

14 
1 
4 
1 
6 
36 

1 
29 
53 

4 

11 

42 

00 

422 

120 

375 
234 

23 
25 

28 
1 
9 

38 

1 

61 
70 
521 

71 
656 

1 

14 

146 
131 

274 

205 
276 

4 

1 

1 

735 
233 

386 
603 
64 
9 
36 

218 
389 

376 
445 

136 

118 
221 

1 

258 

370 
651 

2 
3 

1,942 

2,342 
3,  493 

346 
70 
358 
14 
177 

1,705 
121 
70 
49 
12 
54 

7 
5,  028 
2,766 
563 

6 
4 

223 

19 
1 
32 

29 
1 

8 

62 

38 
7 
44 
1 
80 

395 
15 
10 
5 
4 
6 

25 

7 
21 

3 

34 
2 
10 

549 
41 
2 
2 

1 

1 

88 
15 

1 

109 
o 

1 

165 
11 

17 
9 

52 



1 
1 
1 

256 
20 
9 
8 
4 
10 

1 

624 

2 

7 

1 

1 
1 

4 
3 
1 
12 

1 

11 
1 
1 

4 

1 

1 

1 

1 
419 
224 

1 

389 
180 
38 

599 
239 
40 

337 

210 

467 
308 
19 

446 
266 
46 

3 
1 
3 

385 

29 

1 

1 

22 

35 

1 
7 
1 

31 

11 

4 

52 

72 

288 
160 
2 

1,  527 
0 
46 
12 

I 

5 
19 

3£ 
17 

4 
1 

26 
17 
1 

101 

4 

3 

9 

22 

8 

9 

1 

o 

18 
16 

1 

7 

30 

18 

3 

20 
20 

4 

26 

1 

1 

64 

92 

156 
4 
4 

195 
3 

454 

308 

4 

3 

8 

o 

1 

| 

9,  919         131 

7,907 

78 

6,171 

85 

11,264 

138 

13,  437 

89 

15,  120 

130 

16,864 

164 

140,911 

1,291 

386 


TABLE  LX.— DEPARTMENT  OF  THE  CUMBEELAND— Continued. 


—  _  —  —  
VKAK  

1863. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

98,  806. 

103,  234. 

95,  108. 

110,  177. 

107,  898. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

rd 

13,  740 

3 

10 

294 

83 
1 

13,  350 
15 

92 
2 

8,887 

1 
20 

46 

13,  285 

17 
226 

99 
5 

10,  967 
2 

156 
1 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.—  Diseaus  of  Nervous  System. 

°44 

108 

1C8 
16 

2 

7 
1 
2 

6 
11 
294 
6 
31 
20 

5 
1 

3 

2 

3 

37 
240 

3 

1 

1 
1 
2 

1 
1 

1 
o 

3 

en' 

1 
5 

o 

3 

7 
250 

13 
173 
3 
11 
3 

1 
7 
184 
3 
23 
1 

234 

6 
29 
6 

4 

7 

9 

11 

3 
3 

191 
4 
27 

4 

3 
2 

286 

ORDER  II.  —  Diseases  of  Eye. 

1 
1 
330 
13 
31 
6 

303 
4 
26 
9 

'    n  ammd  °              J 

0 

'    "  " 

14 
4 

'      e                            . 

ORDER  III.—  diseases  of  Ear. 

23 

1 
29 
77 

36 
6 
37 
145 

5 

19 

7 
1 

16 
50 

70   r'  >  ^      a 

71 

12 

17 
64 

' 

70 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

1 
14 

74   Vil  ular  Disease  of  Heart 

6 
1 
1 
1 
2 

2 

1 

13 

o 

1 

8 
1 

o 

1 

7" 

P  7  f  p  >  •  •   r 

1 
7 
1 

p  y 

3 

1 

1 
1 

17 

15 

17 
21 
4 

33 

8 
6 

10 
4 

7 
11 
1 

19 
406 
32 
1 
4 
48 

81 
8 
107 

231 

1 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
83.  Asthma 

13 

207 

27 

198 
45 

157 
9 

273 

52 

37 

1 

86.  Dropsy  of  Chest 

5 
45 

G 
40 
49 
83 

3 

14 
99 
71 
10 
63 

302 

88.  Inflammation  of  Larynx 

89.  Inflammation  of  Lungs 

83 

80 
12 
40 

377 
325 

5 

1 

35 
51 
8 
19 

293 

12 

11 
1 

9 
1 

90.  Inflammation  of  Pleura 

91.  Hsemorrhape  from  Lunps 

10 
19 

432 

92.  Other  Diseases  of  this  Order 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
93.  Colic  .„  

94.  Constipation  

310 
316 

141 

119 

258 

364 
5L 
4 

95.  Cholera  Morbus  

190 

1 

4 

88 

96.  Cirrhosis  of  Liver  

97.  Dropsy  from  Hepatic  Disease.  

9 
120 

13 
93 

4 

59 

8 
99 

98.  Dyspopsi  a  

72 

1 

99.  Diseases  of  Pancreas  

100.  Diseases  of  Spleen  

o 

4 
12 

101.  Fistula  in  Ano  

11 
30 
1 

6 

27 

3 

8 
53 
1 

102.  Horuia  

4° 

38 



103.  Haemorrhage  from  Stomach  

o  i 

1 

Carried  forward  

16,  504 

97 

16,  359 

105 

10,  532 

61 

15,  580 

121 

13,513 

173 

DURING   THE    YEAR   ENDING   JUNE    30,   18G4. 


387 


TABLE  LX.— DEPARTMENT  OF  THE  CUMBERLAND— Continued. 


18(>3. 

1804V 

DECEMBEU. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE.                   TOTAL. 

114,  746. 

95,  860. 

93,  772. 

110,  150. 

127,  328. 

123,  359. 

115,  315. 

107,  979. 

50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 
61 

62 
63 
64 
65 
66 
67 

68 
69 
70 
71 
72 

73 
74 
75 

76 
77 
78 
70 
80 
81 
82 

83 

84 
85 
86 
87 
88 
8D 
90 
93 
92 

93 
94 
95 
96 
97 
98 
99 
100 
101 
102 
103 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 
1,291 

5 

9,919 

3 
19 

177 
4 
4 

131 
4 

7,907 
,1 

78 

6,171 

1 

23 

146 
2 

85 

1 
1 

11,  264 

28 

230 

138 
1 

13,  437 

1 
31 
279 
13 
5 
o 

3 

42 

89 

1 
2 

15,  120 

3 

28 
299 

130 

2 
1 

16,  8G4 

4 
24 
338 
10 
6 
6 
1 
33 
263 

164 

4 

1 

140,  911 

25 
258 
2  662 

153 

3 

2 
2 
5 

18 
230 

7 
2 

2 
14 
252 

73 
27 
20 
35 
229 
2,870 
73 
181 
96 

34 
28 
3,231 
75 

508 
64 

2 

1 
1 

2 

1 

4 

6 
2 

2 
o 

1 
1 

3 
3 
3 

27 
1C 

7 

1 

2 
2 
16 
209 
7 
1 
10 

1 
5 

227 
7 
11 
5 

3 

16 
246 
9 

1 

2 
10 

170 
1 

303 
6 
1 
11 

4 
o 

7 
1 
4 

3 
3 

303 
14 

°7 

4 
54 

1 
1 

8 
53 
5 

4 
2 

258 
4 
120 

1 

2 
4 

1 
1 

14 

2 
2 

189 
4 
5 
5 

8 

3 

1 
233 
1 

403 

7 

2 

1 

5 

439 
2 
59 

288 
17 
142 
1 

11 

10 

3 

11 
2 

19 

55 

1 
8 
4 
1 
3 

21 

18 
7 
26 
4 

26 

33 
13 
36 
4 

1 
15 
1 
2 
9 

15 
5 
19 
4 

22 
7 
33 
3 

23G 
57 
323 
504 

3 

115 
12 
7 
36 
15 
3 
184 
136 
29 

270 



5 
23 

8 
56 
15 

7 

1 
1 

1 
14 
4 
1 
5 

13 

6 
1 

1 

1 

7 
1 
1 
4 

1 

1 

1 
2 

15 

9 
3 

2 

] 

3 

1 

3 

1 
9 

1 

1 
1 

2 

o 

12 
9 
12 

19 

727 
106 

18 
15 

1 

28 

9 
7 
1 

13 

384 
45 
1 
6 
81 
188 
82 
6 
213 

108 
259 

8 
10 
5 

21 

31 
17 
3 

26 
523 

o- 

2° 

12 
1 

27 

9 

1 

20 

2 

1 

1 

1 

6 

1 

533 
72 
o 

760 
60 
4 
7 
132 

216 
38 
o 

1 
1 

208 
31 
2 

4,  592 
628 
15 
54 
672 
2,101 
1,343 
184 
1,424 

3,129 
4,376 

2 
2 
1 

101 
3 
4 
67 
279 
161 
19 
120 

214 
5°6 

1 

3 

70 
217 
177 
25 
230 

196 
422 

27 

6 
81 
220 
250 
33 
357 

5 
43 
166 

108 
14 
17 

288 

0.) 

16 

16 
1 

19 
1 

515 
119 
18 
215 

153 
430 
2° 

62 
3 

46 
4 
1 

7 

3G 
4 

128 
81 
21 
24 

361 
5G6 
124 

30 
4 
1 

1 

2G3 
19 
o 

15 

1 

2 
1 

5 

174 
322 

453 

14 
1 
13 
73 

1 

9 
2 
8 
45 

40 
1 
9 

85 

75 

1,075 
12 
135 

1,058 

6 

7 
79 

1 
1 

10 

26 

5 

1 
3 

1 

114 

139 

o 
9 
62 
1 

1 
7 
41 

1 

6 



1 
10 
56 
1 

3 
6 
52 

0 

21 
88 
549 
22 

5 

43 
2 

5 

68 
o 

1 

5 

1 

4 

0 

13,137 

1G3 

10,922 

100 

8,380 

116 

14,  889 

219 

17,  063 

168 

18,003 

185 

19,  926 

218 

174,  808 

1,726 

388 


SICKNESS    AND   MORTALITY    OP    WHITE   TROOPS 


TABLE  LX.— DEPARTMENT  OF  THE  CUMBERLAND— Concluded. 


YEAH  

1803. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBEU. 

NOVEMBER. 

98,  800. 

103,  234. 

95,  108. 

110,  177. 

107,  898. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

16,  504 

10 
55 

97 
1 

16,  359 

6 
58 
17 
12 
2 
31 

105 

1 

10,  532 

7 
36 
7 
6 

27 
32 

61 

15,  580 

7 

69 

]S1 
1 

13,  513 
o 

no 

5 

7 
1 
23 
16 
50 
187 
4 

4 
3 
o 

173 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

28 
20 
1 
31 

26 

11 

14 
3 
31 
23 

77 
199 
4 

8 
o 

4 

2 

1 

1 
3 

3 
1 
1 

107.  In  amnia  1011  c 

1 

10.).  Acute   11     mma  ion  t 

1 
1 

151 

143 

210 

89 
157 
16 

2 

202 

14 

6 
4 
2 
1 
1 
33 
5 
10 
1 
2 

1 

0 

28 

8 
o 

OUDEU  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

6 
1 
2 
16 
6 
4 
1 
6 

1 

11 
1 

3 

17 
6 
12 

1 
2 
34 

20 
1 
7 

........ 

5 
7 
3 
o 

122    Hydrocele    

1 
3 

4 
1 
7 

0 

3 

123    Other  Diseases  of  this  Order  

6 

1 
1 

7 

OUDEU  VIII.  —  Diseases  of  Bones  and  Joints. 

1 
12 
5 

1 

12 

10 

C 
2 

2 

6 
7 
o 

o 

3 

1 

130.  Other  Diseases  of  this  Order  

1 

214 
491 
35 

1 

143 
256 

OUDEU  IX.  —  Diseases  of  Integumentary  System. 
131.  Abscess  

200 

1 

171 
280 
"0 

140 
236 
16 
41 
20 

39 
141 
6 

132.  Boils  

385 
40 
54 
41 

133.  Carbuncle  

18 
25 

134.  Whitlow  

54 
39 

45 
9G 

36 
30 

31 
85 
1 

135.  Skin  Diseases  

11 

32 
157 
3 

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

OUDEU  1.  —  Wounds,  Accidents,  and  Injuries. 
130.  Burns  

4 
1 

137.  Contusions  

94 
o 

1 

1 

138.  Concussion  of  Brain  . 

2 
9 

139.  Drowning  

2 

4 

1 

140.  Sprains  

104 
11 
9 

141 
15 
16 
1 

54 
43 
35 

19 
20 
26 

74 

91 
o 

107 
2 
4 
9 
2,990 
56 
10 

141.  Dislocation  

3 

17 

20 

142.  Simple  Fractures  

1 

5 
1 

374 
49 
13 
9 
1 
12 

143.  Compound  Fractures  

o 

168 

144.  Gunshot  Wounds  

91 
39 

21 

9 

8,030 
11 
85 
7 
3 
10 

184 

148 

145.  Incised  Wounds  

146.  Lacerated  Wounds  

17 
11 
5 
10 

1 

1 

147.  Punctured  Wounds  

1 

9 

0 

148.  Poisoning  

149.  Other  Accidents  and  Injuries  

1 

1 

1 

4 

10 

150.  OKDRU  II.  —  Homicide  

151.  OliDER  III.  —  Suicide  

0 

1 
1 

l.~>2.  OUDEU  IV.—  Execution  of  Sentence  

1 

Total  

18,  269 

129 

18,  318 

1  90 

19,  871 

200 

17,  316 

282 

17,  853~ 

353 

DURING   THE    YEAR   ENDING    JUNE    30,  1804. 


389 


TABLE  LX.— DEPARTMENT  OF  THE  CUMBERLAND— Concluded. 


18(33. 

18(>4. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

Al'lUL. 

MAY. 

JUNE.                   TOTAL. 

114,  746. 

95,  860. 

93,  772. 

110,  150. 

127,  328. 

123,  359. 

115,  315.                    107,  97!?. 

104 
105 
106 

107 
108 
109 

no 
111 

112 
113 

114 
115 
116 
117 
118 
119 
120 
121 
122 
123 

124 
125 
126 
127 
128 
129 
130 

131 
132 
133 
134 
135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
146 
147 
148 
149 

150 
151 
152 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.  I  Deaths. 

1 

Cases. 

Deaths. 

Cases. 

Deaths. 

]3,  137 

1 

119 
27 
2 
2 
21 
18 
51 
201 
10 

8 
1 
5 

163 

10,  922 

10 

125 

100 
1 

8,380 

3 

126 

116 

14,  889 

1 

030 

219 

17,  063 

6 

240 

168 

18,  003 

13 
145 
11 
23 
3 
43 
21 
118 
215 
4 

15 

185 

19,  926 

6 

84 
8 
20 
3 

24 

218 

174,  808 

1,399 
144 
127 
24 
299 
247 
960 
2  115 

1,726 
6 

1 
1 

17 
1 
1 
9 
17 
31 
135 
13 

9 
o 

5 

3 
3 
1 

14 
10 
33 
86 
4 

5 
3 

4 
1 
3 
20 
4 
4 
4 
2 

1 
3 

1 
3 

9 

16 
1 
29 
28 
64 
201 

1 
o 

1 
1 

3 

24 
10 
6 
1 

1 
1 
1 

3 
2 

3 

2 

1 

1 

16 
21 

47 
121 

1 

106 
201 

1 

14 

0 

50 

30 

8 
3 
3 

193 

89 
28 
48 
8 
48 
368 
77 
110 
26 
42 

2? 
22 

112 
11 

41 
30 
7 

1,819 
3,227 
259 
515 
1,288 

475 
1,321 
60 

1 

14 
3 
1 

1 

1 

6 
1 
3 

26 

4 
2 
2 
7 
21 
11 
17 
1 
3 

1 

3 

22 
5 
5 
3 
1 

5 
1 
13 
1 
5 
7 
1 

159 
230 
20 
37 
23 

50 
76 
3 

6 
53 

10 
12 

0 

12 
52 
9 
14 

2 

6 
54 
4 
10 
5 
9 

1 

2 
5 
1 
2 
1 

2 

2 

2 

6 

11 
8 
3 
6 

3 

4 
11 

1 

1 

o 

6 

0 

6 
11 
1 
4 

1 

1 

6 
1 
C 

11 

7 

3 
3 

1 

140 
176 

2 
2 

2 
o 

1 

1 

78 
141 
6 
33 
74 

44 
49 
3 

91 

152 
283 

153 
2°1 

178 
338 
36 
32 
204 

25 

1 

2 

190 
14 
47 
110 

53 

67 

1 

20 

9 
37 

248 

1 

64 

141 

38 
73 
1 

55 
347 

42 

48 
164 
15 

4 
3 
5 
32 

133 
3 

1 
1 
1 

181 
11 

1 

1 

1 

4 

4 

145 
3 
3 
5 

170 
66 
11 
14 
10 
13 

108 
9 
7 

0 

106 
5 
11 
2 
266 
3!) 
15 

1^4 

2C1 

132 

127 
6 
9 
81 
4,  219 
42 

1,  590 
100 
116 
172 
22,  564 
624 
515 
133 
74 
244 

10 
14 
4 
70 
70 
11 
19 
4 
49 

22 

9 

9 
43 
6,064 
76 
39 
13 
6 
8 

i 

12 

1 

8 
1,041 
2 
4 

0 

1 

A.S 

6 
2 

2 
9 

2 
5 
1 

4 
104 
83 
11 
14 

0 

16 

1 
143 

1 

17G 

142 

132 
50 
9 
5 
4 
46 

A.O 

1 

8 

2 

53 
13 

5 

1 

38 

1 

1 

16 
6 

6 

4 
1 
1 

o 

5 
1 
2 

2 

; 

' 

14,  7]  3 

316 

12,  349 

136 

9,644 

139 

16,  535 

210 

19,  413 

190 

1 

25,  987         348 

26,  111 

407         210,  379 

2,932 

390 


SICKNESS   AND   MORTALITY    OF   WHITE    TKOOPS 


TABLE  LXL 

Abstract  of  the  Sickness  and  Mortality 


YEAR  

1863. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

148,  167. 

99,  C42. 

80,  566. 

87,  807. 

85,  944. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

50 
1 
64 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS  1.—  ZYMOTIC    DISEASES. 
OHDEU  I.  —  Miasmatic  Diseases. 

324 

1 
6G4 

140 
5 
102 

215 
1 
315 

70 

158 
7 
203 

79 
1 
88 

21 

37 

7 

67 

e 

44 

3 

r      jy 

4,370 
9,441 
6,447 
790 
454 
7,798 
1,920 
2,566 
354 
145 
33 
24 

98 
2 

o 

140 
40 
166 
88 
31 
8 
2 

2,947 
7,152 
5,  443 
636 
335 
5,487 
1,468 
2,286 
261 
74 
22 
5<v 

54 
11 
3 
1 
97 
18 
127 
83 
40 
4 
1 
12 

1,912 
5,401 
4,452 
502 
192 
3,580 
1,188 
2,320 
267 
56 
13 
8 

30 

1,  0:26 
4,330 
3,  467 
420 
60 
2,656 
926 
1,477 
230 
30 
30 
11 

13 
1 
1 
1 

21 
13 
30 
29 
19 

581 
2,438 
2,714 
258 
19 
2,  089 
779 
956 
198 
CO 
48 
3 

1 

1 

49 
10 
88 
81 
33 
1 
4 

4 
9 
32 
14 
5 
1 

1 

18.  Diphtheria  

17 
26 
150 
106 

129 

280 

2 
1 

17 
35 
123 
52 

122 

205 

3 

9 

11 
115 
66 

109 
213 

1 

5 
6 

134 

94 
206 

2 

8 
6 
314 
35 

138 
°14 

20.  Epidemic  Catarrh  

1 

4 

1 

11 

45 

ORDER  II.  —  Enthetic  Diseases. 
22.  Syphilis  

1 

29 

20 
12 

20 

18 
9 
34 

1 

25.  Stricture  of  the  Urethra  

8 

77 
1 
6 

111 
2 
5 
3 
2 
10 

5 

320 
253 

8 
34 
o 

3 
°4 

26.  Purulent  Ophthalmia  

1 

51 

27.  Serpent  Bite               

o 

28.  Other  Diseases  of  this  Order  

2 

112 
3 
4 
6 
4 

1 

38 
5 
14 
3 
1 
11 

1 
245 

3 

ORDER  III.  —  Dietic  Diseases. 
29.  Scurvy  

3 

2 
o 
o 

5 
1 
1 

1 

43 

34 

30.  Purpura  

31.  Delirium  Tremens  

2 

2 
11 
3 
1 

1 

307 
189 
165 

6 

1° 

32.  Inebriation  

33.  Chronic  Alcoholism  

1 
3 

o 

34.  Other  Diseases  of  this  Order  

CLASS  II.—  CONSTITUTIONAL   DISEASES. 
OUDEP.  l.—Diathetic  Diseases. 
35.  Gout  

2 
191 
179 

36.  Acute  Rheumatism  

1 

303 
244 
103 

1 

37.  Chronic  Rheumatism  

150 

38.  Anajmia  

9 

318 

4 

183 

o 

2 

1 

39.  General  Dropsy  

40.  Cancer  

6 
2 
24 

96 
18 
o 

3 

7 
33 

3° 
14 

41.  Tumors  

3 

44 

80 
26 
1 

95 

4 
15 

59 
14 
1 

1 

9 

5 

42.  Other  Diseases  of  this  Order  

1 

10 
1 

1 
11 

OKDEH  II.—  Tubercular  Diseases. 
43.  Consumption  
44.  Scrofula  

9 
1 
1 

1 

3 

45.  Other  Diseases  of  this  Order  

CLASS  III.—  PARASITIC    DISEASES. 
46.  Itch  

46 
4 
21 

39 

126 

47.  Tape-  worm  

4 
6 

1 

2 

48.  Other  Intestinal  Worms  

4 

49.  Other  Diseases  of  this  Order  

Carried  forward  

37,  398 

914 

28,361 

622 

21,  671 

474 

16,  190 

162 

11,  882 

83 

DURING   THE   YEAK   ENDING   JUNE   30,  1864. 


391 


TABLE  LXI. 

of  the  Department  of  the  Tennessee. 


1863. 

18G4. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

90,  010. 

88,  105. 

80,  999. 

91,  649. 

86,  199. 

90,  510. 

93,  830. 

94,  625. 

1 
o 

3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 

22 

24 
25 

2G 
27 

20 
30 
31 
32 
33 
34 

35 
36 
37 
38 
39 
40 
41 
42 

43 
44 

45 

46 

47 
48 
49 

Cases. 

Deaths. 

Cases. 

Deaths.  ''  Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

30 

9 

77 

11 

36 
1 

20 

12 

75 
39 

17 
1 

4 

49 
19 
44 

14 
14 
1 

48 
1 
94 

10 
1 
5 

109 
11 
90 

22 

1,243 
44 
1,  655 

383 
22 
261 

25 

3 

29 

2 

1 

3 

407 
2,081 
1,  952 
204 
13 
1,980 
500 
002 
151 
08 
88 
42 

3 
1 

427 
1,506 
1,820 
145 
20 
1,746 
500 
543 
112 
73 
240 
51 
1 
14 
03 
325 
10 

93 
172 

2 

797 
1,583 
1,438 

197 

3 

596 
2  016 

583 
2,043 

3 

837 
1,875 
2,057 
172 

2 

],327 
2,210 
1,732 

8 
1 

15,  870 
42,  136 
35,  102 

3,927 
1,243 
44,611 
9,708 
15,  922 
1,981 
1,107 
1,296 
1,392 
7 
192 
1,901 
2,700 
1,104 

1,725 

o    OQO 

217 

19 

4 
349 
108 
577 
352 
160 
32 
67 
91 

0 

10 
1 
1 
72 

2 

2,118 

1,  516 
140 
24 
2,  185 
372 
594 
39 
150 
179 
255 

192 

211 

1 
6 
1 
3 

6 
3 
31 
5 
6 
2 
2 
2 
1 

20 
1,928 
413 
512 
09 
75 
143 
261 
4 
13 
618 
254 

5 
3 

27 

35 

2,513 
410 
585 
89 
128 
221 
457 

10 
2 
9 
5 
o 

4 
31 
25 

4 

19 
4,717 
408 
1,397 
93 
104 
230 
119 

4 
4 
5 
12 
3 
4 
4 
9 
1 

52 
7,932 

758 
2,084 
118 
144 
49 
109 

7 
5 
9 

*wl 

6 

9 

8 

3 

o 

8 
8 

5 
9 
31 

3 

1 

21 
42 
408 
13 

107 
223 
31 
3 
38 

1 

28 
447 
260 

22 
343 
338 

185 

152 
356 

42 

1 

20 

180 
115 
167 

204 
373 
38 

18 
124 

104 
254 

276 

1 

105 

80 
216 
17 
2 
22 

1 

159 

161 

381 
18 

9 

1 

443 

21 

29 

308 
59 
474 
5 
127 

793 
17 
70 
68 
18 
32 

19 
3,945 
2,265 
1,432 

1 

3 

22 

2 
32 

4 

40 

63 

37 

1 

14 

25 
1 
13 
3 
4 

6 
44 

0 

11 
53 

0 

£7 

Si 

1 

8 
C 

1 

55 

110 
1 
4 
3 

1 

78 
1 
6 
3 

1 
7 

3 

88 
1 
4 
12 

1 

13 
3 

10 
4 

1 

C 
5 

4 
] 
1 

3 

1 

1 

1 
361 
275 
85 

1 
351 
171 
64 

1 

2 

4 

384 
209 

1 
4 
1 

566 
142 
42 

350 
159 
17 

201 
172 
35 

2 

306 

1 

3 

1 

55 

93 

1 
10 

35 

17 

1 
2 

1 
3 
3 

21 
17 
15 

1 
4 
1 

11 

14 
29 
164 

488 
108 
20 

1,220 

1 
13 

34 
14 

1 

1 
12 

70 
3 
1 

3 

8 
1 

20 
12 

7 

4 

5 

5 

39 

8 

4 

1 

109 

99 

1 
1 

149 
1 

112 

131 
1 
4 

129 

128 

1 
1 

20 
40 

1 

1 

1 

10,  229 

74 

8,955 

87 

9,  796 

81 

11,  818 

i 

129 

10,  385 

107 

14,  124           70 

19,  321 

92 

200,130 

2,  695 

392 


SICKNESS   AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  LXL—  DEPARTMENT  OF  THE  TENNESSEE— Continued. 


1863. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBEK. 

NOVEMBER. 

MEAN  STKEXGTII  

148,  1G7. 

99,  642. 

80,  566. 

87,  807. 

85,  944. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

37,  398 

17 
24 
398 
7 
8 
6 
9 
59 
366 
11 
208 
19 

4 
] 
651 
8 
41 
12 

914 

6 
1 

8,361 

6 
So 

215 

622 

4 
1 

21,  671 

3 

19 
151 
9 
10 
4 
5 
23 
187 
13 
21 
1 

3 
5 

446 
10 
18 
17 

474 

16,  190 

3 

11 
104 

162 
1 

11,  882 

4 
13 

83 
3 

CLASS    IV.  —  LOCAL    DISEASES. 

ORDER  I.—  Diseases  of  Nervous  System. 

4 

51.  Epilepsy  

105 
6 
1 
1 
8 
6 
158 
10 

52.  Headache  

10 
9 
3 

1 
4 
1 

0 

53.  Insanity  

3 

2 

5 
1 

4 

1 

4 

1 

1 
1 

19 
211 
14 
36 
11 

6 
3 

443 
C 
32 

1 

18 
157 

7 

0 

9 
3 

1 
2 

8 
3 

OHDEK  II.  —  Diseases  of  Eye. 

4 
1 

400 

424 

13 
9 

17 

6 

8 

9 

ORDER  III.  —  Diseases  of  Ear. 

29 

33 
4 
31 
105 

28 

10 
3 
11 
53 

1 
13 
1 

o 

8 
33 
123 

3 
15 

5 
9 
62 

71 

2 
4 
3 
1 
2 

OUDEU  IV.—  Diseases  of  Organs  of  Circulation. 

22 

3 
1 
4 

] 

17 
3 
1 
5 

3 
1 

2 

0 

1 

.  Va  vu  ai 

_d'    r°psy         ' 

5 
6 
1 

2 

'  •    ropsy  °            . 

1 

2 

- 

7«'     "fl         Qtt  •OU  °f  F°  Id' 

'          a         & 

1 
11 
12 

v          'v  • 

30 
21 
3 

27 
263 

25 

19 

25 

'       . 

19 
5 

32 

15 

6 
8 

20 
474 
132 

1 

1 

3 

21 
205 
74 
1 
13 
19 
81 
57 
2° 

5 

16 
334 

OHUEK  V.  —  Diseases  of  Respiratory  Organs. 
83    Asthma 

1 
1 

172 
84 
3 
10 
20 
93 
57 
16 
27 

301 
527 

1 

109 
3 

21 

4 

107 

10 
39 
126 
54 
14 

5 

79 
190 
76 

41 
137 
7G 
25 
50 

472 
797 
365 
5 

1 
20 
1 
1 
1 

1 

1 
10 

o 

1 

69.  Inflammation  of  Lungs  

15 
1 

10 

1 

92.  Other  Diseases  of  this  Order  ..   .. 

18 

230 

385 

93 

135 
269 
31 

1 

218 

119 

264 

1 

OilDEK  VI.  —  Diseases  of  Digestive.  Organs. 
93.  Colic  

1 

94.  Constipation  

5 

212 
1 
45 

1 

123 
2 
35 

19 

96.  Cirrhosis  of  Liver  

97.  Dropsy  from  Hepatic  Disease  

57 

o 

00 

18 
71 

167 
1 
10 
11 

83 

133 

104 

77 

100.  Diseases  of  Spleen  

8 
54 
7 

1 

23 
10 
43 

10 
10 
36 
6 

17 

102.  Hernia  

36 
1 

1 

103.  Haemorrhage  from  Stomach  

2 

4 

1 

42,  250 

982 

31,  496 

662 

24,  242 

500 

18,  498 

183 

14,  509 

116 

DURING   THE    YEAR   ENDING    JUNE   30,  18G4. 


393 


TABLE  LXL— DEPARTMENT  OF  THE  TENNESSEE— Continued. 


18(33. 

1864. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

96,  010. 

88,165. 

86,  999. 

91,  649. 

86,  199. 

90,  510. 

93,  836. 

94,  625. 

50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
CO 
61 

62 
63 
64 
65 
66 
67 

68 
69 
70 
71 

"TO 

73 

74 
75 
76 
77 
78 
79 
80 
81 
82 

83 
84 
85 
86 
87 
88 
.89 
9C 
91 
92 

93 
94 
95 

96 
97 
98 
99 
100 
101 
102 
103 

Cases. 

Deaths. 

Oases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

10,229 

2 
13 
96 
4- 
6 

74 

o 
1 

8,955 

87 

9,796 

81 

11,  818 

129 

10,  385 

o 
17 
88 
3 
2 

107 
1 

14,  124 

2 
23 

70 
2 

19,  321 

2 
24 
238 
8 
3 
2 
4 
14 
213 
8 
120 
11 

1 
1 
496 
9 
16 
4 

92 

2 

1 

200,  130 

41 
210 
1,863 

2,895 

21 
9 

11 
120 
7 
4 
2 
3 
4 
145 

13 
95 

17 
84 
4 
5 
3 
1 
10 
172 

1 

169 
4 
5 
1 
o 

4 
3 

6 

2 

68 
60 

52 
184 
2,202 
95 
423 
78 

30 
28 
5,014 
82 
201 
100 

1 
39 
14 
1 
1 

4 

4 

3 

1 

2 

2 

f 

o 

8 
11 

169 
7 

1 

3 

2 
110 
3 

2 

6 

177 
6 
2 
3 

1° 

137 
6 
34 

6 

1 

4 

1 

12 
7 

2 

11 

4 
401 
13 
1 
9 

o 

8 

4 
4 
377 
3 
9 
16 

o 

4 

2 
3 

282 

1 
4 
430 
3 
32 
o 

2 
321 

343 

7 
8 

5 

14 
1 

15 
5 

8 
1 
26 
32 

9 

o 

9 

1 
19 

17 
1 
25 

16 
1 

5 

1 
6 
o 

10 
3 
25 

28 
4 
°7 

199 
36 
269 
525 

5 

99 
16 
12 
29 
4 
4 
221 
116 
40 

198 
4,256 
1,028 
14 
115 
548 
2,449 
1,067 
175 
1,134 

2,  318 
4,428 

19 
30 

14 

5 

20 

1 
4 
1 
3 
1 

5 

1 

1 
10 
3 
6 
4 

8 
1 
1 
5 
1 
2 
26 
12 

0 

15 
456 
110 
1 
5 
55 
233 
101 
9 
1C5 

119 
260 

1 
11 
81 

8 

1 

5 
1 

10 

1 

1 

3 

1 
3 

1 

1 

1 

3 

1 

1 
10 
4 

14 

11 
4 
1 

13 

562 

18 
5 

14 
3 
1 

11 
253 

18 
10 
1 

13 
243 
96 

1 

H 

398 
40 

10 

6 
265 

48 

2 

I 
1 

5 

o 

4 

7 

13 

631 
90 
1 
6 
58 
280 
107 
8 
135 

117 
256 
18 
1 
9 
103 
1 
1 
14 
43 

2 
1 

2 

94 
1 
6 
77 
344 
137 
13 
153 

117 
283 

39 
2 
19 
38 
202 
93 
8 
23 

227 
359 

67 
1 
8 
58 

2 
38 
407 
133 
9 
82 

92 

192 

4 

49 
242 
72 
8 
151 

102 
257 
15 

14 
35 
114 
104 
18 
19 

287 
579 
123 
3 
12 

4 

284 
11 
3 
11 

5 

*vi> 

1 
1 

36 
1 

21 

4 

53 

1 

53 

13 

7 

1 
3 

1 

3 

1 

1 

1 

1 

1 

19 

1 

1 

1,045 
15 
249 
1,  069 

127 
103 
551 
30 

9 

1 
9 
56 

11 
52 

12 

1 

3 



112 



18 
6 
45 
1 

1 

7 
10 
31 
1 

3 

5 
10 

48 
3 

5 

3 

6 
53 

~ 

8 
43 

36 
1 

1 

1 

4 

12,  840 

117 

11,657 

134 

11,935 

113 

14,  482 

193 

12,  491 

172 

16,541 

94 

22,  439 

112 

233,380 

3,378 

50 


394 


SICKNESS    AND    MORTALITY    OF   WHITE    TROOPS 


TABLE  LXL—  DEPARTMENT  OF  THE  TENNESSEE— Concluded. 


y  KAK  

18(33. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

148,  1C7. 

99,  642. 

80,  56C. 

87,  807. 

85,  944. 

LIST  OP  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

42,  250 

32 
139 
57 
66 
6 
78 
92 
310 
371 
20 

14 
5 
11 
1 
7 
57 
27 
15 

982 
3 

31,  496 

51 
59 
33 

19 
4 

70 
70 
177 
270 

662 

3 
3 
5 
4 

24  242 

17 
73 
26 
15 
7 
39 
35 
206 
253 
5 

9 
2 

500 

1 

18,  498 

35 
59 

183 

14,  509 

2 

105 

116 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

1 
9 
4 
5 
2 
7 

25 
9 
3 
32 
25 

5 

1 
1 

10 
10 

18 
31 

77 
186 
7 

3 

8 
1 

4 
1 

o 
1 

3 
1 

1 

1 

127 
213 
8 

5 

2 

8 

3 

16 

9 
4 
5 

* 

OKDEK  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

'  T,- 

1 

5 

'     "!       '       S 

6 

0 

5 

2 

36 
14 
7 
6 
8 

o 

20 

17 
5 
6 
3 

3 

10 
9 

8 
3 
3 
1 

1 
9 
6 

11 
6 
5 

5 
4 

5 

2 
19 

1 
2 
5 

1 

6 
1 
7 
1 
3 
3 

OllDEll  VIII.  —  Diseases  of  Bones  and  Joints. 

125   Caries                                       

15 

11 
1 
4 
C 

1 

307 
317 
20 

8 
4 

11 
3 
2 

130    Other  Diseases  of  this  Order     

ORDER  IX.  —  Diseases  of  Integumentary  System. 
131.  Abscess  .... 

238 
6G4 
Cl 
96 

72 

74 
142 
4 

2 

148 
329 

114 
218 
18 
40 
29 

12 

144 
232 
21 
50 
24 

29 

132.  Boils  

133.  Carbuncle  

24 

134.  Whitlow  

97 
56 

44 
89 
3 

42 

L35.  Skin  Diseases  

36 

21 

CLASS    V.     WOUNDS,   ACCIDENTS,   AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
136.  Burns  

137.  Contusions  

87 
1 

117 
o 

64 
o 

1 

13S.  Concussion  of  Brain  

1 
3 

1 
9 

139.  Drowning  

5 

o 

2 

140.  Sprains  

98 
8 
17 
4 
826 
5') 

77 
6 
17 

91 
o 

89 
6 
14 

0 

146 

141.  Dislocation  

142.  Simple  Fractures  

14 
2 
34 
19 

20 

143.  Compound  Fractures  

4 
1,  132 
40 
8 
13 
3 
4 

1 
73 

144.  Gunshot  Wounds  

112 

67 
31 
20 
8 
18 
6 

15 

7 

180 
31 
12 
15 

7 
5 

19 

145.  Incised  Wounds  

146.  Lacerated  Wounds  

28            1 
18            2 
°2 

13 
13 
9 

8 

1 

147.  Punctured  Wounds  

148.  Poisoning  

143.  Other  Accidents  and  Injuries  

16            6 

2 
2 
o 

-1 

1 

1 

150.  ORDER  II.—  Homicide  

151.  ORDER  III.  —  Suicide  

2 
1 

152.  ORDER  IV.  —  Execution  of  Sentence 

Total  

714 

46,108     1,149 

33,  577 

25,  920 

520 

20,  029 

215 

Ifi,  980 

198 

DURING   THE    YEAR   ENDING   JUNE    30,  1864. 


TABLE  LXL— DEPARTMENT  OF  THE  TENNESSEE— Concluded. 


1803. 

18<>4. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

96,  010. 

88,  165. 

86,  999. 

91,649. 

86,  199. 

90,  510. 

93,  836. 

94,  625. 

104 
105 
106 
107 
108 
109 
110 
111 
112 
113 

114 
115 
116 
117 
118 
119 
120 
121 
122 
123 

124 
125 
126 
127 
128 
129 
130 

131 
132 
133 
134 
135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
140 
147 
148 
149 

150 
151 
152 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases 

Deaths- 

Cases. 

Deaths. 

Cases. 

Deaths 

Cases. 

Deaths. 

Cases. 

Deaths 

Cases. 

Deaths. 

12,  840 

2 
143 
15 
17 

117 

11,  657 

8 
153 
16 
12 
3 
25 
21 
48 
118 
11 

7 
5 
2 

134 

1 
1 

11,  935 

8 
129 
5 
6 
7 
26 
16 
27 

113 

14,  482 
6 

OOQ 

193 

12,  491 

3 

125 
9 
6 
3 
29 
14 
36 
102 
4 

7 
3 
5 

172 
1 

16,541 

4 
95 
8 
5 
1 

«-O 

17 
22 
138 
24 

94 

22,439 

8 
91 
9 
15 
1 
43 
26 
90 
213 
30 

18 
1 
4 

112 

233,  380 

176 
1,391 
220 
187 
39 
449 
389 
1,230 
2,250 

3  378 

9 
4 
14 
27 
13 
14 
6 
10 

7 
7 
2 
24 
13 
35 
128 

o 

1 
1 
1 

1 
1 

2 

2 

1 

4 

1 
3 

1 

37 
29 
75 
170 
8 

11 
6 
1 

1 

1 

1 

88 
10 

7 
6 
1 
1 
4 
21 
7 
6 
2 
4 

3 
9 
3 
1 
1 
3 

7 

8 
3 
4 

150 

103 
45 
49 
4 
47 
334 
125 
87 
44 
39 

38 
79 
95 
10 
47 
41 
34 

1,657 
2,991 
275 

577 
769 

385 
1,166 

32 

5 

1 
1 

1 

5 

2 

2 
3 

11 
4 
7 
6 
3 

1 
1 
6 
1 
4 
4 

6 
29 
9 
12 
3 
3 

7 
13 
19 

3 
19 
14 
6 
3 
1 

4 

1 

29 

2 
17 
3 
3 
3 
7 

3 
5 
4 
2 

8 
52 

2 

3 

4 

2 

8 
13 

2 

2 
11 
3 

0 

1 
3 
2 

1 

1 

6 
1 
5 

4 
4 
1 

128 
211 
21 
49 
27 

25 
83 
4 

5 
4 

1 

1 

2 

29 

112 
246 
27 
32 
149 

34 

147 
6 

1 

1 

93 
161 
36 
52 

1 

71 
112 
15 
23 

1 

73 
169 
5 

38 

68 

28 
85 

78 
154 
10 

91 
178 
17 
30 
100 

29 

4 

66 

24 
90 
3 

70 

43 

66 
1 

72 

22 
84 
1 

1 

1 

2 
1 
5 
39 

112 

1 
2 

1 
2 

5 

1 
3 

1 

5 

3 

o 

143 
8 
12 
1 
84 
48 
12 
13 
10 
7 

134 
3 

18 
3 
52 
59 
16 
16 
1 
157 

114 
5 
10 
6 
188 
32 
31 
7 
3 
43 

114 
9 
10 

100 
3 
12 

141 
3 
12 
8 
1,  622 
32 

130 
5 
15 
2 
1,461 
51 
15 

1,377 
63 
171 
32 
6,269 
502 
215 
152 
105 
318 



1 

10 

1 

17 

1 

45 

1 
132 

5 

481 

24 

16 

122 
47 
13 
12 

50] 
53 
11 
10 
3 
10 

11 

1 

36 
14 

18 

3 
o 
1 

33 

8 

1 

13 
22 
34 

4 
10 

1 
2 

1 

2 
1 

6 

1 

2 

7 

3 

1 
2 



1 

1 

1 

14,350 

151 

13,  135 

158 

13,  176 

143 

15,806 

218 

14,045 

203 

19,391 

156 

25,  621 

253 

258,  138 

4,078 

396 


SICKNESS   AND   MORTALITY    OF   WHITE    TROOPS 


TABLE  LXIL 

Abstract  of  the  Sickness  and  Mortality 


YEAH  

1863. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

25,  763. 

48,  059. 

47,  384. 

42,  686. 

45,  507. 

LIST  OP  DISEASES. 

Cases. 

Deaths. 

2ases. 

deaths. 

Cases. 

Deaths. 

Cases. 

deaths. 

3ases. 

Deaths. 

CLASS  I.—  ZYMOTIC   DISEASES. 

OHDEK  I.  —  Miasmatic  Diseases. 

83 
9 

238 

11 

124 
4 
412 

38 

78 
4 
246 

20 

54 

8 

48 
o 

10 

9 

55 

18 

183 

15 

168 

10 

487 
1,330 
1,040 
56 

7 

1,174 
3,  423 
3,330 
174 
192 
4,460 
1,168 
1,216 
132 
29 

22 
1 

825 
2,088 
2,330 
191 
101 
2,956 
942 
812 
100 
21 

14 

608 
1,717 
1,898 
244 

1 
1 

379 
1,  411 
1,158 
139 
34 
1,853 
446 
294 
60 
23 

3 
5 
1 

49 
1,683 
355 
207 
37 
14 

12 
4 
10 
4 
1 

79 
27 
81 
20 
8 

19 
5 
43 
6 
7 

75 
2,228 
586 
476 
64 
16 

11 
3 
66 
25 

7 
2 

4 
o 

78 
5 
6 

TV 

9 

4 

4 

2 

33 

14 
68 
51 

4 

35 
13 

7 

34 

1 

10 

1 
68 
1 

201 
221 

1 

21 
6 

1 

'                     P 

207 

100 
199 

1 

130 

188 
305 
20 
8 
21 

162 

193 
239 
17 
1 
19 
2 
1 

29 
3 
4 
6 

ORDER  II.  —  Enthetic  Diseases. 
22    Syphilis 

62 

I 

76 
5 
4 
6 

20 
8 
12 

15 

3 

20 

1 
223 

1 

45 
7 
4 
2 
1 

ORDER  III.  —  Dietic  Diseases. 
29    Scurvy 

75 
2 
12 
1 

270 
9 
3 
3 

2 

1 

8 
20 
9 

3 

1 

1 

4 
95 
100 
53 

3 

2 

164 
172 

2 

CLASS   II.—  CONSTITUTIONAL   DISEASES. 
ORDER  I.  —  Diathetic  Diseases. 
35.  Gout  

1 
190 
136 
79 

36.  Acute  Rheumatism  

004 

004 

37.  Chronic  Rheumatism  

147 

48 

163 

47 

38.  Anaemia  

2 

154 

5 

1 

39.  General  Dropsy  

40.  Cancer  

13 

1 
3 

36 
14 

4 
5 

18 

27 
°1 

4 
2 

17 
2 
1 

13 

41.  Tumors  

42.  Other  Diseases  of  this  Order  

2 
4 

1 
1 

12 

19 
5 

2 
4 

ORDER  II.  —  Tubercular  Diseases. 
43.  Consumption  

15 
19 

3 

4 

44.  Scrofula  

45.  Other  Diseases  of  this  Order  

CLASS   III.  —  PARASITIC   DISEASES. 
46.  Itch  

7 

6 

10 
2 
4 

31 

47.  Tape-worm  

1 

48.  Other  Intestinal  Worms  

o 

<3 

1 

49.  Other  Diseases  of  this  Order  

Carried  forward  ±. 

6,302 

67 

17,  274 

354 

12,  186 

139 

9  23' 

143 

7,224 

133 

DURING   THE    YEAR   ENDING    JUNE   30,  18G4. 


397 


TABLE  LXIL 

of  the  Department  of  the  Gulf. 


1863. 

3804. 

DECEMUER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE.                    TOTAL. 

47,  049. 

47,  253. 

52,  278. 

48,  999. 

51,  300. 

54,  797. 

53,  287. 

47,  035. 

l 

3 

4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
10 
17 
18 
19 
20 
21 

22 
23 
24 
25 
26 
27 

A.O 

29 
30 
31 

33 

34 

35 
36 
37 
38 
39 
40 
41 
42 

43 
44 
45 

40 
47 
48 
49 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

21 

8 

20 

5 

21 

1 

19 
1 

86 

3 

37 
4 
63 

15 
1 
4 

63 
5 
90 

24 

115 
22 
137 

40 
2 
14 

683 
51 
1,858 

189 
3 
155 

85 

4 

83 

5 

07 

3 

7 

11 

303 
1,076 
995 
117 
17 
1,526 
369 
275 
36 
17 
20 
8 

2 

298 
82  L 
1,155 
136 
14 

3G2 
240 
40 
27 
53 

1 

1 

288 
1,  095 
1  440 

322 
1  151 

2 

462 
1,  239 

2 

678 
1,  232 
1  505 

4 
2 

809 
1,682 
1,521 
144 
39 
4,696 
711 
819 
128 
52 
13 
18 

9 
1 
1 

6,633 
18,  265 
19,  627 
1,898 
576 
31,  812 
6,300 
6,369 
793 
342 
238 
709 

229 

4-18 
912 
988 

2,555 
2  933 

67 
11 
2 

1,648 

1,  547 
160 
16 
3,014 
265 
526 
44 
34 
28 
132 

183 
7 
1,295 
295 
280 
31 
23 
59 
110 
1 
12 
72 

193 
15 
2,040 

161 
17 
4,849 
530 
665 

58 
30 
95 

6 
5 

57 
o 

10   ; 
i 

2 

2 

3 

3 
1 
19 
5 
4 

6 
12 
15 
8 
1 
1 
1 
1 

9 
8 
23 
10 

17 

1 

1 

154 

68 
451 
99 
72 
8 

5 

1 
34 
10 
8 
1 
5 

15 
1 
1 

271 
553 
39 

35 
322 

10 
3 
2 
1 
4 
2 

7 

1 
1 

1 

21 

3 

1 

0 
134 
137 
6 

10 
67 
80 
23 

15 

105 
86 
9 

281 

14 
29 

15 

4 

271 
10 

ooo 

143 

12 

351 

59 
68 

272 
250 
.  35 

309 

177 

205 
30 
3 

7 

1 

2 

2 

288 

1 

280 
32 
6 
4 

300 
17 
8 
21 

207 

279 

309 
37 
12 

31 
4 
9 

32 
4 
12 

21>1 

6 
13 
L 

8 

128 
3 
7 
11 
1 
1 

1 
264 

67 
166 
7 
37 

938 
36 
88 
94 
8 
23 

2,574 
1,  456 
692 

oo 

1 
23 

3 

17 

2 
14 

3 

35 
1 
4 
3 
1 
2 

1 

249 

77 
79 

17 

44 
3 
10 
12 
3 
6 

2 

°74 

35 

1 
1 

4 
1 
6 
2 

4 
9 

7 
6 

6 

10 

7 
22 

1 

1 

1 
1 

2 

3 

5 

1 

196 
132 
21 

279 

211 

204 

139 

27 

104 
11 

104 

81 
56 

101 

94 

1 

2 

11 

6 
1 
2 

12 
6 

1 

0 

28 
60 

2-15 
170 

800 
18 
50 

2 
6 

14 

10 

5 

4 
6 

24 
31 

1 
5 

1 

16 
15 

5 

26 
13 

1 
1 

4 

17 

15 

7 
37 

4 

2 

22 
19 

o 

4 

3 

1 

59 
1 
11 

39 

50 
1 
0 

GO 
1 

007 

161 

137 
9 
6 

1 

2 
1 

3 

4 

0,007  j      101 

5,890 

78 

6,653 

34 

8,  152 

40 

9,038 

fil 

11,  724 

90 

12,  383 

152 

112,  127 

1,392 

398 


SICKNESS   AND    MORTALITY    OF    WHITE   TROOPS 


TABLE  LXIL— DEPARTMENT  OF  THE  GULF— Continued. 


YKAIi  

1803. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

25,  763. 

48,  059. 

47,  384. 

42,  686. 

45,  507. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

hi  forward 

6,302 

6 
5 
140 
2 
o 

67 
o 

17,  274 

1 
11 
160 
5 
6 
] 

354 

12,  186 

139 

9,234 

1 
6 
81 

143 

7,224 

133 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.—  Diseases  of  JTervous  System. 

10 
119 
4 
5 
1 
1 
13 
84 
14 
11 
18 

8 
3 

84 
5 
25 
4 

17 
41 
o 

1 

1 

•u'  T  fl       ^  f        f  B    in 

4 

3 

1 

1 
1 

1 

1 
1 
11 
63 
6 

1 

1 
40 
3 
49 
23 

11 

97 
7 
38 
6 

6 

1 
98 
9 
32 

2 

85 

7 
2 

33 

1 

4    ke 

2 
o 

1 

1 

3 

5 

ORDER  II.  —  Diseases  of  Eye. 

1 
34 

3 

78 
6 
4 
3 

1 

96 
3 
11 
5 

27 
3 

1 

ORDER  III.  —  Diseases  of  Ear. 

6 
5 
8 
35 

16 

1 
7 
72 

7 
4 

8 
38 

4 
3 
5 

29 

3 

1 

7 
26 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

12 
1 

5 

10 
1 

2 
1 

10 

1 

4 
4 

1 

8 
1 
1 
1 
2 

o 
1 

2 
1 
1 
3 
38 
13 
1 

22 
134 
59 

5 

1 

o 

6 
45 
15 
2 

16 
107 
39 
1 
7 
13 
31 
24 

2 

23 
13 
1 

7 
87 
23 

22 
11 

19 
6 

82.  Other  Diseases  of  this  Order 

1 

2 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
83.  Asthma 

13 
134 
15 

13 
177 
15 

84.  Acute  Bronchitis 

1 

1 

1 

86.  Dropsy  of  Chest 

1 
3 
9 
34 
33 
5 
20 

1 
5 

4 
12 

3 

21 

89.  Inflammation  of  Lungs  ... 

13 

17 

1 

1 

39 
30 
8 
4 

124 
146 
27 
2 
28 
46 

1 
1 

28' 
30 
5 
4 

•I  OQ 

1 

1 

90.  Inflammation  of  Pleura 

91.  Haemorrhage  from  Lungs 

10 
11 

197 
214 
75 

1 
1 

1 

92.  Other  Diseases  of  this  Order 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
93.  Colic  

104 
142 
53 

116 
95 

98 
15 

95.  Cholera  Morbus    . 

3 

33 

96.  Cirrhosis  of  Liver  

1 
7 
24 

97.  Dropsy  from  Hepatic  Disease  

19 
35 

57 
80 

1 

25 

o 

98.  Dyspepsia  

99.  Diseases  of  Pancreas  

100.  Diseases  of  Spleen  

15 

4 
7 
61 
o 

5 
10 
60 
1 

3 

101.  Fistula  in  Ano  

3 

42 

6 

40 
2 

5 
40 

102.  Hernia  

103.  Haemorrhage  from  Stomach  

Carried  forward  

7,312 

80 

18,  900 

371 

13,  482 

149 

10,  206 

151 

8,201 

143 

DURING   THE    YEAR    ENDING   JUNE    30,   1864. 


399 


TABLE  LXIL— DEPARTMENT  OF  THE  GULF— Continued. 


18(>3. 

18(>4. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

47,  049. 

47,  253. 

52,278. 

48,  999. 

51,  360. 

54,  797. 

53,  287. 

47,  035. 

50- 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 
01 

62 
63 
64 
65 

66 
67 

68 
69 
70 
71 
72 

73 
74 
75 
76 

77 
78 
79 
80 
81 

83 

84 
85 
86 
87 
88 
83 
90 
91 
92 

93 
94 
95 
96 
97 
98 
99 
100 
101 
102 
103 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

6,067 

1 
10 
51 
4 
1 

101 

5,890 

3 
14 
59 
3 
o 

1 
1 

11 
72 

78 
3 

6,653 

1 
21 
59 
4 

34 

1 

1 

8,152 

o 

16 
87 
5 
2 

40 
1 

9,038 
4 

61 
1 

11,  724 

o 
20 
158 
4 
8 
1 
1 
7 
139 
9 
38 
1 

5 
2 

256 
4 
21 
5 

90 

12,  383 

3 

10 
2JO 
8 
4 

1 
o 

14 
113 
7 
29 
31 

1 

152 

1 
1 

112,  127 

24 
152 
1,255 

1,  392 

9 
3 

90 
o 

43 
31 
7 
11 
91 
1,015 

1 
14 
4 
4 
1 

1 

1 

1 
1 

4 

1 

2 
3 

80 
5 

1 
5 
75 

7 
1 

1 

o 
3 
75 
5 
4 

1 

1 

10 
92 

1 

3 

9 
1 

4 

3 

2 
116 

4 
12 
6 

4 

1 

1 
2 

83 
173 
124 

47 
17 
1,599 
C2 
207 

6 
8 
5 

1 

1 

3 

5 
1 

151 

7 
1 

88 
1 
11 

7 

5 
o 

181 
7 
14 
3 

199 
9 
12 
5 

218 
10 

4 

16 

1 



1 

39 

8 
2 
3 

29 

6 
2 

17 
18 

1 
13 
4 

4 

2 
15 

4 
2 
10 
38 

1 
9 

9 
4 
8 
2G 

13 

7 
8 
29 

7 
1 

20 
38 

1 
10 

87 
34 
116 
409 

3 

114 
15 
5 
2f> 

6 
17 
286 
101 
14 

202 

31 

1 
2 

1 
16 
2 

8 
1 

1 

17 
1 
1 
1 

1 

8 
2 

1 

5 

1 
1 
2 
1 
19 
10 
1 

20 
175 

1 

1 

6 

o 

1 

4 
1 

1 

2 

3 
1 

1 

1 

20 
4 

o 

14 
279 
13 
3 
5 
20 
67 
36 
3 
18 

87 
105 
31 
1 
11 
27 

2 

28 
7 
2 

21 

12 
4 

32 

13 
5 
o 

15 

6 
1 

21 

281 

7 
2 

20 
191 

12 

1 

1 

5 

17 
314 
21 

18 
171 
19 
1 

234 

2,  284 

279 
8 
35 
173 
677 
36!) 
79 
159 

1,463 
2,019 
407 
7 
1S1 
517 

o 
3 
1 

1 
1 

1 

30 

9 
2 
1 
13 
78 
43 
10 
1 

183 
289 

1 

20 
92 
40 
13 
41 

59 
97 
10 

2 
14 
101 
34 

8 
8 

63 
178 
5 
1 
7 
33 

4 
14 
91 
26 
5 

4 
13 
56 
25 

1 
6 
1 

19 
47 
31 
1 
27 

1 
6 

o 
48 
3 
1 

10 

4 

1 

5 

8 

4 

9 

1 

25 

1 

87 
1G1 
12 

0 

3 

34 

101 
191 
33 

214 

303 

67 

2 

46 

4 

9 
1 
4 

1 

10 

28 

3 

47 

1 

1 
39 

23 
99 

2 

7 
31 

7 
8 
40 

2 
9 
4° 

0 

9 
1 
°6 

9 

6 
3 
47 

61 

71 
520 
7 

4 
36 

8 
55 

' 

7,173 

118 

7,114 

95 

7,969 

43 

9,461 

50 

10,  296 

77 

13,  484 

104 

14,  262 

172 

127,860  !  1,553 

400 


SICKNESS   AND   MORTALITY    OF   WHITE    TROOPS 


TABLE  LXIL— DEPARTMENT  OF  THE  GULF— Concluded. 


YEAH  

1863. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

25,  763. 

48,  059. 

47,  384. 

42,  686. 

45,  507. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

7,312 

21 
28 
o 

80 
1 

18,  900 

14 
45 
20 

371 
2 

13,  482 

11 
45 
27 
J9 
11 
41 
32 
82 
160 
12 

149 

1 
1 

2 

10,  206 

4 
30 
6 
12 
1 
6 
11 
52 
126 

151 

8,201 

9 
42 
6 
8 
1 
26 
17 
59 
107 
4 

3 

343 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

1 

1 

8 

1 

20 
4 

47 

3 

1 
4 

4 

107.  luilamma  ion  o         \ 

32 

7 
132 
117 
6 

6 
2 
4 
8 
5 
12 
4 
5 
4 
6 

1 

10  J.  Acu  e    n  ami                  f  T  •  r 

2 
1 

1 

112 
166 
10 

4 
3 
5 
1 
6 
22 
16 
17 
7 
4 

6 

1 
4 

2 

2 

2 
1 
6 
1 
3 
19 
3 
15 
3 
5 

ORDER  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

4 
3 

2 
1 

2 
31 
10 
20 

115   Diabetes                                      

5 
18 
5 
10 
2 
4 

1 

5 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

5 

125   Caries                                        

4 

7 
2 
2 
1 
1 

118 
192 
20 
36 

28 

9 

45 

1 

13 
2 
1 
1 
1 

71 
154 
7 
18 
39 

74 
82 

5 

7 
2 

1 
1 

ORDER  IX.  —  Diseases  of  Integumentary  System. 

99 

248 

1G4 
394 
19 
48 
34 

15 
47 

54 
185 

1 

132.  Boils  

133.  Carbuncle 

5 

19 

20 

14 
25 

1 

134.  Whitlow  

22 

14 
29 

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

ORDER  I.—  Wounds,  Accidents,  and  Injuries. 
136.  Burns  

8 

17 
2 

11 

137.  Contusions  

138.  Concussion  of  Brain  

1 

1 

3 

139.  Drowning  

1 

4 

4 

4 

140.  Sprains  

27 

56 
4 
o 

50 
1 
3 

o 

80 
20 

55 

61 
4 
14 
4 
102 
18 
7 
8 
5 
6 

141.  Dislocation  

1 
1 

3 

7 
1 
38 
15 

142.  Simple  Fractures  

143.  Compound  Fractures  

1 
5 

144.  Gunshot  "Wounds  

119 
.     7 

11 

72 
18 
14 
8 
11 
3 

3 

7 

14 

145.  Incised  Wounds  

146.  Lacerated  Wounds  

5 
6 
4 
3 

1 

5 

12 

10 
12 

4 
18 

2 

147.  Punctured  Wounds  

148.  Poisoning  

1 
5 

1 

149.  Other  Accidents  and  Injuries  

1 

1 

1 
1 

2 

1 

1 

150.  ORDER  II.—  Homicide  

151.  ORDEK  III.  —  Suicide  

152.  ORDER  IV.  —  Execution  of  Sentence  

Total  

8,321 

99 

20,  379 

392 

14,  645 

170 

11,  024 

169 

9,286 

179 

DURING   THE    YEAR   ENDING    JUNE    30,  1864. 


401 


TABLE  LXIL—  DEPARTMENT  OF  THE  GULF— Concluded. 


1803. 

1804. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUKE. 

TOTAL. 

47,  049. 

47,  253. 

52,  278. 

48,  999. 

51,  SCO. 

54,  797. 

53,  287. 

47,  C35. 

104 
105 
106 
107 
108 
100 

no 

in 

112 
113 

114 
115 
116 

117 
118 
119 
120 
321 

123 

124 
123 
120 
127 
128 
129 
130 

131 
132 
133 
134 
135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
146 
147 
148 
149 

150 
151 
152 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.      Deaths. 

7,  173 

118 

7,114 

4 

78 
12 
6 
1 
17 
11 
23 
109 
6 

3 

o 

95 

7,909 

43 

9,461 
1 

50 

10,  296 

1 
49 
8 
11 
1 

77 

13,  484 

9 
69 
25 
13 
5 
31 
17 
74 
17° 

104 

14,  262 

C 
64 
21 
14 
o 

25 

172 
1 

127,  860 

80 
673 
161 
139 

31 

287 
169 
822 
1,619 
113 

46 
12 
35 
14 
81 
214 
72 
129 
38 
34 

15 
19 
89 
13 
29 
16 
14 

1,117 
2,  515 
171 
394 
455 

209 
932 
14 

1,553 

5 

7 
19 
7 
5 
4 
3 

47 
8 
13 
3 
10 
13 
37 
124 
9 

1 

101 
15 
4 
1 
17 
13 
22 
108 
6 

4 

2 
2 

11 

11 
1 
14 
4 
29 

1 

o 
o 

1 

o 

1 

1 

1 



1 

2 
35 

15 
165 

1 

1 

12(i 

125 

176 
15 

12 

2 

11 

1 
1 
2 

20 

1° 

4 

3 

3 

1 

2 

2 

o 

1 

4 
I 
9 
17 
8 
12 

1 

3 

1 

9 
15 
4 
11 

2 

1 

1 
7 

10 
12 

: 

4 

8 
10 

0 

11 
18 
7 
9 
3 
1 

10 
21 

3 

19 
4 
6 

1 

6 
9 
3 
4 

1 

7 
1 

3 

2 

4 

1 

1 

i 
3 

1 
2 

1 
1 

C 
1 
1 

0 

7 

20 

5 

1 
11 
4 
3 
1 
1 

139 
2]  3 

6 

1 
1 
3 

1 

51 
170 
14 
25 
41 

7 
82 

1 

3 

1 
1 

89 
148 
22 
33 
34 

9 

67 
2 



1 
4 

o 

6 

7° 

2 

1 

106 
271 
15 
45 
57 

C3 

108 

91 

1 

140 

8 
27 

202 
12 
40 
36 

14 

121 

20 

15 

1 

36 

32 

42 

50 

13 
93 

11 
113 
o 

16 

97 
1 

19 

11 
2 
2 
63 

1 

] 
1 
3 

119 

1 

1 

2 

24 

3 

13 

75 
7 
4 

84 
7 
4 

117 
o 

116 

4 
7 
o 

43 
36 
13 
14 

'11 

114 
8 
8 
2 
228 
<) 

76 

922 
61 
76 
12 
1,810 
276 
179 
128 
m 
114 

8 

7 

i; 

24 
31 
18 
11 

8 



1 

4 

141 
1 
3 
1 

10 
3 

14 
25 
24 

5 
8 
8 

5 

21 
"4 

4 

3 

1 

967 

44 

08 

39 

48 

3 

33 

13 

15 

1 

6 
3 

8 

2(> 

°6 

23 
12 

1 

OG 

4 

1 

8 

] 

1 

19 

7 

21 

1 

2 
1 

1 
1 

1 

o 

8,089 

132 

8,073 

110 

9,027 

52 

10,  467 

84 

12,  301 

127 

14,  977 

153 

15,  731 

195 

142,320  :  1,862 

51 


402 


SICKNESS   AND   MORTALITY   OP   WHITE   TROOPS 


TABLE  LXIII. 

Abstract  of  the  Sickness  and  Mortality 


YEAU  

1863. 

JULY. 

AUGUST. 

SEI-TEMUER. 

OCTOliEE. 

NOVEMBER. 

8,  808. 

7,  756. 

6,  080. 

4,  030. 

6,  152. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

CLASS    1.—  ZYMOTIC    DISEASES. 
ORDER  I.  —  Miasmatic  Diseases. 

11 

3 

43 

1 

53 
o 

10 

8 

1 

39 

1 
2 

1 

23 

1 
4 

5 

o     ,JP'      r 

5 

1 

8 

2 

1 

'      ^   °  V 

72 

107 

O"7 

53 

54 

40 
81 
23 
13 
1 
179 
10 
82 

1 

53 

£8 

44 
44 

1 

13 
1 

49 

29 
1 

5 

1 
129 

1 

724 

390 

143 

27 
14 

47 
2G5 
9 
7 
5 
8 

10 
84 
7 
7 

33 

12    Acute  D  -sonter  > 

] 

34 
3 
4 

1 
I 

5 
3 

5 

1 

is'  S      11             d  V    '  1  id 

1 

16    Measles                                                               

18    Diphtheria       

3 

31 

28 
10 

18 
70 
11 
1 
50 
1 

1 

1 
1 
14 

2 
G 

11 
11 
Cl 
2 

1 

27 

3 

2 
25 

1 

2 

ORDER  II.  —  Enthetic  Diseases. 
22    Syphilis 

o 

5 

41 
1 

16 
2 

30 
1 

24    Orchitis 

11 

3 

1 

4 

27.  Serpent  Bito 

ORDEH  III.  —  Dietic  Diseases. 
29.  Scurvy  

4 

3 

3 

10 

6 

30.  Purpura  

31.  Delirium  Tremens  

o 

1 
1 

o 

32.  Inebriation  

7 

1 

33.  Chronic  Alcoholism  

34.  Other  Diseases  of  this  Order  

13 

20 

13 

CLASS   II.—  CONSTITUTIONAL    DISEASES. 
OKUER  I.—Viattietic  Diseases. 
35.  Gout  

36.  Acute  Rheumatism  

62 
88 
6 

52 

33 
30 
4 

46 
31 
4 

37.  Chronic  Rheumatism  

41 
10 

23 

38.  Anaemia  

1 

1 

39.  General  Dropsy  

40.  Cancer  

41.  Tumors  

1 

42.  Other  Diseases  of  this  Order 

4 

4 
7 

1 

1 
1 
3 

8 

ORDER  II.  —  Tubercular  Diseases. 
43.  Consumption  

1 

5 
1 
12 

16 

3 

2 
10 

15 

44.  Scrofula  

45.  Other  Diseases  of  this  Order.  .  . 

9 

4 
1 



CLASS    III.  —  PARASITIC    DISEASES. 
46.  Itch  

°9 

47.  Tape-worm  

48.  Other  Intestinal  Worms  

49.  Other  Diseases  of  this  Order  

i                i 

Carried  forward  

i                i 

1,747 

7 

891 

4 

040 

11 

545 

4 

587 

8 

DURING   THE    YEAR   ENDING    JUNE    30,  1864. 


403 


TABLE  LXIII. 

of  the  Department  of  the  Northwest. 


18(53. 

18(34. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUXB. 

TOTAL. 

5,  242. 

C,  700. 

5,  791. 

5,118. 

6,  350. 

4,  626. 

5,  104. 

5,  981. 

1 

3 

4 
5 
r, 

7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 

24 
25 
26 

29 
30 
31 
32 
33 
34 

35 
36 
37 
38 
39 
40 
41 
42 

43 

44 

45 

46 
47 
48 
49 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.      Deaths. 

8 

4 
1 

8 

5 

2 

11 

4 

4 

3 

5 

1 

208 
5 
42 

28 
1 
5 

2 

1 

2 

1 

21 

4 
6 

Hi 

23 
13 
13 

15      

9 

35 

38  G 
491 

2 

22 

3° 

3G 
19 

44 
15 
1 

29 

6 
1 

25 

254 

5 
1 

46 
18 
12 

29 
3 

2  008 

1 

52 
8 
14 
3 

4 

34 

8 
4 

41 

1 

37 
1 
7 
1 
11 
34 
13 
1 
3 
58 

17S 
4 

1 

o 

5 
10 
3 
14 
26 
10 

177 
558 
34 
77 
05 
4G 
1 
41 
242 
008 
45 

81 
322 
30 
2 

4 
2 
1 

0 

13 
1 

j 

o 

1 

9 
7 

2 

7 
2 

1 
6 
o 

5 
5 
13 

1 
8 
1 

1 

1 

5 
4 
65 

2 

17 

2 

2 

48 
128 

3 

o 

7 
10 
13 
3 

15 

1 

32 

CG 

23 

17 
33 
3 

20 

78 
16 

3 

24 

83 
4 

8 
18 
3 

1 

3 
10 
1 

4 

14 

2 

31 
2 

1 

2 

o 

0 

1 

7 

206 

1 
3 

6 

0 

15 

42 

20 

50 

44 

o 

3 

1 

4 
1 

1 

4 

1 

19 

12 
o 

•17 
465 

1 
1 

1 

1 

1 

23 
19 

07 

23 

23 
33 

50 
38 

39 
36 

G4 
19 
1 

24 
4 

16 
1 

1 

398 

33 

1 

1 

1 

g 

1 

1 
19 

37 
10 
34 

2 

2 
2 

2 
2 

1 

4 

1 

I 

3 

o 

G 
8 

1 

3 

1 

1 

9 

11 

21 

15 

10 

1(3 

11 

108 

1 

1 

1 

287 

1 

378 

2 

412 

o 

36'J 

7 

520 

18 

411     [          <1 

537 

3 

7,  :V21 

71 

404 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  LXIIL— DEPARTMENT  OF  THE  NORTHWEST— Continued. 


18(53 

MONTH  

JULY. 

AUGUST. 

SEL-TEMBER. 

OCTOHEU. 

NOVEMBER. 

MEAN  STRENGTH  

8,  808. 

7,  75C. 

6,  086. 

4,  030. 

6,  152. 

LIST  OF  DISEASES. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1,747 

I 
19 

97 

7 

891 

4* 

640 

11 

545 

4 

587 

8 

CLASS    IV.  -LOCAL    DISEASES. 
OUDER  I.—  Diseases  of  jVereous  System. 

50.  Apoplexy  

8 
34 

1 

1 

1 

38 

4 

38 
1 
1 

3 

15 

51.  Epilepsy... 

53.  Insanity  

1 

C 

1 
3 
1 

1 
17 

9 

8 

1 

9 
1 
2 
3 

1 

7 

5 
3 

5 
1 

1 

2 

1 

1 

1 

OUUEK  II.  —  Diseases  of  Eye, 

1 
1 

36 

1 
23 

145 
3 

102 

48 

1 

j 

1 

o 

1 

ORDER  III.—  Diseases  of  Ear. 

g 

3 

10 
19 

1 

n 

3 

'„  ' 

o 

1 

1 

3 

5 

-•>'    •>,                     .    of  this  Order 

3 

OltDEU  IV.  —  Diseases  of  Organs  of  Circulation. 

1 

7      vT*1?      TV 

o 

0 

3 

1 

0 

•"'  D''  %     af  om  Heart  Dise-ise 

1 

1 

<j.      roi  s\^ 

~7   1  ^^  °fon  of  Pericardium 

3 

6 
o 

3 

1 

0 

1 

1 

1 
1 

4 

19 
17 

OUUEK  V.  —  Diseases  of  Respiratory  Organs. 
83    Asthma 

2 

39 

28 

1 

27 
21 

3 

71 

9 
13 

86.  Dropsy  of  Chest  

87.  Haemorrhage  from  Nose  

G 

3 

4 
16 
3 

1 
20 

11 
50 

1 

88.  Inflammation  of  Larynx  

1 

7 
o 

1 

89.  Inflain  mation  of  Lungs  

13 
6 
4 

1 

8 
1 

1 

o 

15 

8 
3 

47 

11 
36 

o 

90.  Inflammation  of  Pleura  

1 

91.  lltcrnorrhage  from  Lun^s  

92.  Other  Diseases  of  this  Order  

0 

1 

OHDEH  VI.  —  Diseases  of  Digestive  Organs. 
93    Colic     

25 

11 

91 
5 

204 

59 

13 

4 

96.  Cirrhosis  of  Liver  

! 

35 

oo 

9 

14 

26 

101.  Fiutula  in  Ano  

o 

102    Hernia 

19 

3 

6 

7 

5 

10'.}.  Iltemorrhiige  from  Stomach  

i  2,490 

8 

1,  260 

7 

870 

13 

816 

9 

925 

10 

DURING    THE    YEAR    ENDING    JUNE    30,   1804. 


405 


TABLE  LXIIL— DEPARTMENT  OF  THE  NORTHWEST— Continued. 


1B(>3. 

1864. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCII. 

APRIL. 

MAY.                   JUNE.                     TOTAL. 

5,  242. 

C,  706. 

5,791. 

5,  118. 

(i,  350. 

4,  026. 

5,  104.                         5,  981. 

50 
51 

53 

54 
55 
56 
57 
58 
59 
CO 
61 

62 
63 
64 
65 
60 
67 

<;> 
69 
70 
71 
72 

73 

74 
75 
76 

78 
79 
80 
81 
82 

83 
84 
65 
80 
.^ 
88 
89 
90 
91 
92 

93 
94 
95 
90 
97 
98 
99 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths.       Cases. 

Deaths. 

287 

1 

378 

o 
1 

412 

2 

3C6 

7 

520 

18 

411 

4 

537 

3 

7,321 

1 
51 
314 
10 
1 
7 
8 
13 
109 
14 
7 
17 

6 
3 
555 
5 
5 
10 

71 

1 
1 

4 

5 

1 

2 
12 

5 
15 

1 

3 

°7 

1 

3 

1 

18 

12 

1 

1 

1 

1 
2 
1 

1 

! 

I 

1 

1 
1 
4 
o 

1 

i 

1 
9 
3 

8 

7 

13 

14 

8 

1 

6 

o 

1 

1 

4 

o 

1 

15 

28 

25 

16 

16 
1 

34 

67 

3 
1 

1 
1 

4 

!  

1 

1 
1 
3 
o 

2 

3 

22 

4 
24 
43 

1 

3 

4 

1 

2 

1 

1 
1 
1 

3 

2 

1 

2 

i 

3 

2 

0 

23 
3 
1 
o 



1 

1 

1 

i 

1 

0 

o 

0 

o 

3 
3 

2 

3 
31 

7 

21 

1 
1 

1 

50 
12 

1 
1 

1 
1 

1 

40 
14 

1 

18 
9 

20 

| 

1 

1 

1 

50 
14 

45 
3 

20 
9 

18 
°4 

1 

425 

187 

1 

10 
48 
235 
94 
15 
250 

109 
677 
29 

6 

24 
11 

3 
49 

19 
1 

6 
19 

7 
1 
18 

8 

48 

g 

8 
41 
13 
1 

54 

11 

55 
1 

6 
13 
11 
1 
23 

1 

37 
1 

5 

17 
8 

2 

54 
3 

3 

13 

70 
4 

1 
34 

3°  - 

1 

o 

11 

27 

21 

15 

1 

1 

1 

1 

1 
1 
167 

1 

1 
13 

1 

8 

7 

13 

3 

9 

8 

100 
101 
102 
103 

!    i 

1 

1 

3 
3 

58 

1 
4 

i 

3 

3 

4 

4 

6 

514              2 

625 

10 

671 

3 

545 

10 

855 

78 

613 

8 

775 

5 

10,959 

103 

406 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  LXIIL—  DEPARTMENT  OF  THE  NORTHWEST— Concluded. 


YEAtt  

1<S03. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

8,  808. 

7,  756. 

6,  086. 

4,  030. 

C,  152. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 
8 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

2,490 

2 
2G 
3 
6 

1,260 

7 

870 

13 

816 

1 

9 

925 

10 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

11 
5 

6 

2 

71 
1 

4 

7.     n  .inirna  ion  o       o\\ 

2 
6 
11 

21 

1 
4 
o 

1 

1 

3 

1 
13 
3 

1 
14 
13 

110.  Chrome    n   amma 

o 

13 

7 
10 

5 

34 

o 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

2 

2 

r  P 

D              of  Test!  ' 

3 

5 

1 
5 

1 
o 

1 

11 

"     "          "''  .                        J 

1 
3 



. 

2 

1 

1 

2 

1 

1 

T"J 

2 

o 

1 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

1 

10-    f      •    3 

. 

1 

4 

ti 

1°8   lull'     it  -iti  n    f  P  rio  touin 

1 

lof)    Necrosis 

130    Other  Diseases  of  this  Order 

ORDER  IX.  —  Diseases  of  Integumentary  System. 

11 
26 

13 

10 

o 

6 
11 

11 
9 
2 
2 
9 

5 
16 
1 

132.  Boils    

7 

133    Curb  uncle 

134.  Whitlovr 

12 
10 

2 

1° 

g 

3 

9 

8 

2 
12 

1 

CLASS    V.     WOUNDS,   ACCIDENTS,   AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
136.  Burns. 

18 

34 

133.  Concussion  of  Brain 

139.  Drowning.  

1 

140.  Sprains  

22 

7 

6 

7 
1 
3 

8 
1 

141.  Dislocation  ..   .. 

o 

142.  Simple  Fractures  

5 

0 

143.  Compound  Fractures  

144.  Gunshot  Wounds  

20 

r 

2 

11 
7 
4 
4 
13 
11 

1 

35 
3 
1 

4 

5 
6 
2 
4 

1 

5 
9 
2 

145.  Incised  Wounds  

14G.  Lacerated  Wounds  

1 

147.  Punctured  Wounds  

3 
10 
11 

148.  Poisoning  

2 

8. 

149.  Other  Accidents  and  Injuries  

1 

7 

150.  ORDER  II.—  Homicide  

151.  ORDER  III.  —  Suicide  

1 

152.  ORDER  IV.—  Execution  of  Sentence  

Total  

1,013 

2,778 

11 

1,451 

10 

18 

949 

12 

1,124 

10 

DURING    THE    YEAR    ENDING    JUNE    30,  18G4. 


407 


TABLE  LXIII.— DEPARTMENT  OF  THE  NORTHWEST— Concluded. 


1803. 

1804. 

DECEMBER. 

JANUARY. 

Fi:iiRfARY.             MARCH. 

ATKIL.                   MAY.                    Jrxic. 

TOTAL. 

5,  242. 

G,  706. 

5,  791. 

5,  118. 

6,  350. 

4,  62G. 

5,  104. 

5,181. 

104 
105 

10G 
107 
108 
109 
110 
111 
312 
113 

114 
115 
116 
117 
118 
119 
120 
121 

1  «>O 

123 

124 

125 
126 
127 
128 
129 
130 

131 
132 
133 
134 
135 

13C 
137 
138 
139 
140 
141 
142 
143 
144 
145 
140 
147 
148 
149 

150 
151 

Cases. 

Deaths. 

Cases.    Deaths 

Cases     Deaths. 

Cases.    Deaths.    Cases.    Deaths. 

Cases.     Deaths.    Cases. 

Deaths. 

Cases.      Deaths. 

514 

2 

625 

10 

671 

3 

545             10 

855 

1 
35 

o 

1 

3 
4 
1 
3 
2 

78 

613 

8 

775 

5 

10,  959 

4 
333 

57 
14 
9 
20 

1C3 

30 
4 

34 

1 

°9 

°8 

14 
2 

28 

8 
1 
5 

2 

0 

1 
1 
1 

o 

18 

1 

1 

0 

o 

1 

1 

1 

1 
3 

5 
11 
15 

1 

1 

1 

1 

1 

\ 
6 
9 

1 

1 
5 
7 
3 

1 
1 

8 

2 
1 

09 
94 
115 

13 
1 
5 

4 

8 

\ 

1 

1 

0 

3 

2 

2 

16 
29 
3 
11 
6 
10 

1 
3 
17 
1 
3 
1 
2 

84 
126 

5 

1 

1 

2 

1 

1 
1 

1 

1 
1 

r, 

o 

1 

1 

2 
2 

3 

1 

3 

3 

1 

1 

1 

1 
1 

3 
5 

1 

3 

7 
2 

11 
12 

1 
3 

1 

o 

10 

4 

8 

11 
2 
1 
2 
o 

7 
15 
1 
7 
11 

4 
18 
1 

5 

12 

40 
92 

29 

4 

9 

4 

o 

3 

24 

3 

18 

3 

4 
10 

1 

12 
i 

o 

14 

182 
5 

1 

1 

13 
2 

2 

4 
3 

14 

8 
1 

17 
1 

1° 

12 
1 
3 
3 
6 
4 

130 
15 
20 

1 
3 

0 

,, 

0 

103 
71 
24 
17 

4 
11 

]     j 

1 
6 
1 

I 

2 

6 
9 

7 

1 

1 
6 
3 

12 

2 

2 
1 

1 

1 

4 

1 

2 

1G 

2 

36 

5 

1 

1 

1 

1 

98 

4 

1 

o 

ii 

681               5 

778 

11 

803 

3 

C54 

14 

•  989 

81 

742 

9 

941 

6     |    12,903 

190 

408 


SICKNESS    AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  LXIV. 

Abstract  of  the  Sickness  and  Mortality 


YEAR  

1863. 

MONTH  

JULY. 

AUGUST. 

SEl'TEMISER. 

OCTOBER. 

NOVEMBER. 

27,  144. 

24,  475. 

24,  134. 

25,  388. 

23,  429. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS   1.—  ZYMOTIC    DISEASES. 

OKDEK  I.  —  Miasmatic  Diseases. 

17 
1 
16 

1 

19 

12 

36 

5 

*.3 

5 

40 
1 
o 

9 

1 

6 

9 

6 

1 

282 
390 
328 
41 
11 
1,512 
170 
300 
26 
40 
15 
7 

5 

312 
473 
438 
56 
7 
646 
148 

78 
17 

1 
1 

2 

350 

6G9 

2 

258 
429 

1 

332 

445 

1 

' 

5GO 

359 

430 
123 

70 

633 
104 
273 
50 
30 
3 

46 
45 
532 
107 
222 
76 
24 
2 

8.  Quartan  Intern)  itte 

2 
1 
3 
5 
3 

o 
1 
5 
2 

3 

1 

35 

449 
80 
100 
40 
26 

3 

'  .""^V^.0  h 

4 

2 
5 

4 
1 

7 

1 

S  J-  I/  i  •       d  V'irioloid 

o 

1 

3 
1 

1 

'  MUa,  \ 

2 
32 

77 
19 

63 
128 

1 
8 
16 
24 

3 
10 
31 
9 

83 
192 

9 
5 

186 
2 

1 

641 

OllDEK  11.  —  Enthetic  Diseases. 
22    Syphilis                             

80 
139 
7 

82 

56 

245 

210 
10 
1 
4G 

7 

3 

1 
37 

6 

26   Purulent  Ophthalmia 

8 
2 
1 

43 

12 

31 

27.  Serpent  Bite 

1 

2 

5 

7 
2 
2 

7 

1 

2 
1 
6 

OliDEU  III.  —  Dietic  Diseases. 
29.  Scurvy 

9 

31.  Delirium  Tremens  

7 
7 
5 

10 
1 

7 

3 

32.  Inebriation  

1 

33.  Chronic  Alcoholism  

1 



4 
5 

1 

10 

34.  Other  Diseases  of  this  Order 

CLASS  II.—  CONSTITUTIONAL    DISEASES. 
OHDEII  l.—Diathetic  Diseases. 
35.  Gout  

36.  A  cute  Rheumatism  

80 
58 

78 

40 
48 

60 
43 

70 
54 

145 

37.  Chronic  Rheumatism  

51 

°9 

38.  Anaemia  

26 

28 

39.  General  Dropsy  

40.  Cancer  

1 

1 
1 

0 

41.  Tumors  

1 

42.  Other  Diseases  of  this  Order  

5 

11 
4 

OliDEU  II.  —  Tubercular  Diseases. 
43.  Consumption  

o 

7 
21 

2 

6 
16 

21 
23 

2 

44.  Scrofula  

8 

45.  Other  Diseases  of  this  Order  

1 

82 

CLASS  III.  —  PARASITIC    DISEASES. 
46.  Itch  

65 

28 

45 



28 

47.  Tape-worm  

1 
1 

48.  Other  Intestinal  Worms  

" 

49.  Other  Diseases  of  this  Order  

Carried  forward  

i 

22 

3,861 

24 

2,926 

27 

3,483 

2,901 

13 

3,  495 

25 

DUItlXG    THE    YEAR    ENDING    JUNE    30,  18C4. 


409 


TABLE  LXIV. 

of  the  Department  of  the  Missouri. 


1803.                                                                                          18G4. 

DECEMBER. 

JANUARY.          FEBRUARY. 

MAUCU. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

23,  138. 

22,  762. 

22,  801. 

34,  573. 

28,  706. 

17,  606. 

19,  470. 

24,  469. 

Cases. 

Deaths. 

Cases.    Deaths.     Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1 
o 

3 
4 

O 

c 

7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 

23 

24 
25 

26 
27 

28 

29 
30 
31 
32 
33 
34 

35 
3(5 
37 
38 
39 
40 
41 
42 

43 
44 
45 

46 
47 

48 
4U 

55 

2 

54 
2 
5 

10 
1 

21 

6 

46 
24 
3 

5 

25 
1 
21 

8 

17 
1 
9 

7 

16 

5 

369 
30 
127 

75 
1 
8 

49 

2 

] 

3 

1 

125 
317 
367 
71 
35 
424 
67 
80 
17 
51 
32 
155 

124 
226 

1 

115 
205 
148 
58 
8 
275 

153 
391 

261 
19 

302 

201 
388 
445 

130 
215 

2 

250 
183 
226 
9 
7 
637 

274 
17 
35 
7 
181 

1 

U,  632 
4,331 
3,985 
680 
246 
6,640 
1,171 
2,007 
439 
515 
454 
1,446 
11 
52 
1,041 
3,065 
162 

1,069 
2,033 

14 

213 
108 
5 
384 
89 
87 
29 
47 
96 
301 
5 
10 
225 

1E8 
37 
11 
361 
44 
136 
25 

1 

1 

42 

2 

3 

1 

29 
395 

a 

4 

1 
2 
4 
4 
1 

21 
4 
44 
18 
16 
5 
24 
66 
1 
1 

2 

o 

80 
65 
17 
42 
38 
132 
1 
6 
101 
249 
3 

58 
115 
9 
o 

2 

98 
90 
19 
65 

3 
1 

72 
152 
45 

3 

5 
3 

1 

1 
1 
3 

8 

1 

95 
143 
343 

4 
3 
18 

43 
37 
96 
2 
4 
54 
171 
18 

48 
74 
7 
1 
12 

1 
2 

13 
1 

5 

4 
6 

77 
227 
1 
7 
192 

3 

5 

16 

8 
265 

1 

114 
516 
11 

92 
182 
11 

558 
3 

60 
158 
13 
o 

333 
1 

109 
230 

250 
45 

37 
20 

124 
157 
8 
2 
16 



214 

203 

1 

1 

f. 

10 

8 
1 

28 

99 
10 
267 
3 
103 

147 
9 
62 
48 
40 
5 

*.o 

25 

10 

14 

1 
2 

C 

1 

3 
1 

e 

2 
1 

39 
8 

23 

8 
15 

4 

18 

21 

4 

7 

1 

5 
3 
3 

4 

5 
2 

6 
4 
1 

9 

7 

3 

7 

1 
1 

1 

5 

1 

3 

4 
2 

1 
1 

1 

135 
66 
11 

114 

77 

31 

91 
56 

18 

129 

122 
69 
29 

1 

73 
51 

80 
65 
29 

1 

1,139 
733 

347 

1 

1 

1 

1 

95 

18 

15 

1 

1 
1 
4 

10 
34 

„ 

1 
1 
6 

11 
9 

1 
2 
6 

9 
6 

7 
12 

62 

124 
183 
3 

1,334 
6 
5 
1 

2 
6 

14 
33 

1 
3 

8 
10 

3 

3 

16 
9 

2 

9 
10 

1 
3 

3 

16 

3 

1 

3 

2 

146 

123 

237 

26° 

134 

1 

86 
1 
1 
1 

98 

1 

1 

3,  232 

18 

3,  247 

30 

2,241 

27 

3,360 

i 

20 

3,841 

46 

2,052 

44 

2,615 

38 

37,  254 

334 

52 


410 


SICKNESS    AND    MORTALITY    OF    WHITE    TEOOPS 


TABLE  LXIV.—  DEPARTMENT  OF  THE  MISSOURI— Continued. 


VRAii  

1863. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOUEU. 

XOVEMBEll. 

MEAN  STRENGTH  

27,  144. 

24,  475. 

24,  134. 

25,  388. 

23,  42:). 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

3,861 

1 

8 
90 
1 

24 

2,926 

1 
4 
50 
o 

07 

«v  t 

3,483 

22 

2,901 

13 

3,495 

. 

CLASS    IV.—  LOCAL    DISEASES. 
OUDER  I.  —  Diseases  of  Nervous  System. 

6 
30 
o 

4 

20 

5 
36 

1 

1 

1 

1 

1 

1 
9 
3 
50 
3 

3 

1 

1 

5 

38 

14 
43 

6 
64 
2 

36 

1 
7 

5 

6 
6 

1 

1 

0 

3 

OKDEU  11.  —  Diseases  of  Eye. 

1 
1 

187 
13 
1 

1 
1 

199 

194 
1 
1 

228 
13 

192 

G"'  InflimmatioD  of  Ins 

7 

1 

9 

1 

8 

OUDEII  III.  —  Diseases  of  Ear. 

9 

2 

1 

3 

4 
3 

7 
22 

70    Deafness                                                            

3 

21 

7 
19 

9 
8 

3 

7 

7°    Oth  r  Di        e    of  this  Order 

OKDEU  IV.  —  Diseases  of  Organs  of  Circulation. 

1 
3 

5 
3 

4 

5 

1 

6 
1 
1 

1 

1 
1 

3 

1 

1 

1 

3 

3 
1 

0 

2 

4 
3 

1 
1 

•5 

95 

o 

82    Other  Diseases  of  this  Order                                    

OIIDEU  V.  —  Diseases  of  Respiratory  Organs. 
83.  Asthma 

7 
49 
39 

4 

1 

6 

59 
12 

8 
243 
32 

4 

346 
46 

84.  Acute  Bronchitis 

85.  Chronic  Bronchitis  ..                                   

1 

66.  Dropsy  of  Chest 

o 

87.  Hsemorrhage  from  Nose                  ..           .             

! 

1 
oo 

6 
38 
203 
38 
11 
72 

34 

68.  Inflammation  of  Larynx 

9 
30 
28 
5 
16 

11 

66 
13 
4 
4 

40 

118 
27 

89.  Inflammation  of  Lungs 

1 
1 

32 
16 
1 
4 

31 
101 

19 
1 

4 

89 
23 
6 
12 

33 
139 

4 

0 

1 

9 

90.  Inflammation  of  Pleura  

91.  Hsfimorrhape  from  Lunps 

1 

92.  Other  Diseases  of  this  Order  

2 

OIIDEU  VI.  —  Diseases  of  Digestive  Organs. 
93.  Colic  

80 
137 

94.  Constipation  

155 

95.  Cholera  Morbus  

34 

13 

1 

96.  Cirrhosis  of  Liver  

97.  Dropsy  from  Hepatic  Disease  

1 
35 

1 

1 
31 

3 

16 

2 

98.  Dyspepsia  

29 

31 

99.  Diseases  of  Pancreas  

100.  Diseases  of  Spleen  

2 

1 
1 
11 
1 

4 
1 

14 

2 

3 
3 

18 
1 

101.  Fistula  in  Ano  

102.  Hernia  

20 
1 

11 

1 

103.  Haomorrhage  from  Stomach  

Carried  forward  

4,804 

31 

3,633 

30 

4,273 

27 

3,843 

21 

4,894 

37 

DURING   THE    YEAR   ENDING   JUNE    30,   18G4. 


411 


TABLE  LXIV.— DEPARTMENT  OF  THE  MISSOURI— Continued. 


1WU3. 

18(>4. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MAHCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

23,  138. 

22,762. 

20,  801. 

34,  573. 

28,  706. 

17,  606. 

19,  470. 

24,  469. 

50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 
61 

62 
63 
64 
65 
66 
67 

68 
69 
70 
71 

73 

74 
75 
76 
77 
78 
79 
80 
81 
82 

83 
84 
85 
86 
87 
88 
83 
90 
9] 
92 

93 
94 
95 
96 
97 
98 
99 
100 
101 
102 
103 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.      Deaths. 

3,232 

18 

3,247 

6 

7 
31 
1 

2 
4 

30 

2,  241 

1 
11 
37 

O'? 

3,360 

20 

3,841 

1 
21 

46 

2,052 

44 

2,615 

38 

37,254 

12 
78 
465 
13 
1C 
9 
20 
40 
735 
22 
17 
52 

11 
2,445 

74 
6 
69 

334 

6 
13 

1 
4 

1 

1 

3 

41 

5 

49 
1 

1 

1 
1 
2 
4 
5 
96 
2 

4 

1 

2 

1 
1 

2 

6 

9 
1 

1 

1 

4 

o 

1 
2 

90 

1 

1 

1 
65 

1 
1 
9 

1 
1 
164 
9 

4 
57 
1 

41 

80 

75 
3 
3 

7 

1 

1 

2 
6 

3 
o 

3 

1 
2 
165 
2 

o 

9 

o 

5 

1 
1 
227 

2 

5 

2 

232 

2 

244 
6 
2 

7 

1 
231 
4 

182 
7 

9 

o 



2 
o 

7 

3 

1 

31 

20 

2 
1 
20 
13 

1 
5 

1 

5 
1 
9 
17 

3 

1 
20 
28 

3 

0 

3 

56 
8 
106 
193 

4 
20 

10 
18 

6 
15 

8 
5 

49 

7 
15 
3 

1 
53 
27 
5 

59 
o  32i 

579 
]0 
°0 

4 
3 

4 

5 

4 

1 

1 

3 

2 

1 
4 

4 

4 

1 

1 
2 

1 

1 
3 

1 

1 

1 
1 
4 

1 

8 
296 

5!) 

i 

51 
2]  9 
46 
8 
31 

29 
112 
3 

8 
2 

11 
4 
2 

7 
268 
•  52 

5 

0 

3 

5 
1 

2 

6 
2 

5 
1 



6 

301 
92 

5 

3 

75 
17 
1 

1 

283 
112 

1 

242 
73 

1 

o 
1 

64 
So 

4 

2 
27 
308 
56 
3 

1 

6 
46 
256 
47 

2 
9 
56 
37 
4 
7 

33 
335 
4 
1 

49 
192 
104 
3 
12 

14 
34 
22 
4 

2 

20 
285 

303 
1,692 

474 
54 
251 

408 
1,917 
130 
7 
]9 
321 

14 

15 

1 

207 
44 
3 
24 

11 
1?2 

13 

15 
3 

29 
2 

8 
1 

8 

118 
9 
1 
3 

30 

27 

1 

37 

32 

38 
192 

226 

195 

1 

4 
3 
33 

8 

3 

1 

11 

1 

3 
11 

o 

0 

1 

30 

°9 

38 

17 

21 



1 

1 
14 

1 
3 
8 

3 

2 
o 

3 

22 
17 
162 
4 

4 
13 

2 
11 

9 
1 

12 

21 

1 

4,  503 

37 

4,696 

4!) 

3,418 

43 

4,873 

44 

5,261 

85 

2,871 

54 

3,588 

48 

50,  657 

50fi 

412 


SICKNESS   AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  LXIV.— DEPARTMENT  OF  THE  MISSOURI— Concluded. 


YEAK  

1863. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

27,  144. 

24,  475. 

24,  134. 

25,  388. 

23,  429. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 
27 

Cases. 

Deaths. 

Cases. 

Deaths. 

rd 

4,804 

1 
18 
6 
1 

31 

3,633 

30 

4,273 

3,843 

21 

4,894 

37 

ORDER  VI.  —  Diseases  of  Digestive  Organs—  Continued. 

34 

19 
4 
4 
1 
4 

36 
48 
I 

1 

29 
3 
3 

56 

4 

8 

3 
I 

2 

2 
5 
1 

27 

2 

11 
13 

6 
6 

27 

12 
13 
31 
50 
9 

10J.  Acute    u  amm     ion  o        \ 

I 

o 

110.  Chrome    n  arama 

9 
G5 

79 
38 

29 
5 

4 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

2 

1 
18 

1 

1 

2 

1 
o 

3 
6 
3 

3 

24 

2 
12 
o 

17 
1 
1 

7 
3 

1 

4 

122    Hydrocele           .          .           .         ..       ... 

1 

123    Other  Diseases  of  this  Order  

2 

1 
I 

4 

1 

1 
I 
5 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

1 
I 
3 

2 
1 

2 
I 

127.  Inflammation  of  Bones  

1 
3 

1 

0 

4 
o 

130.  Other  Diseases  of  this  Order. 

6 

33 
114 
3 
7 
10 

2 
53 
o 

1 

48 
65 

ORDER  IX.  —  Diseases  of  Integumentary  System, 
131.  Abscess  

32 

29 

34 
64 
7 
9 
13 

20 
60 
o 

132.  Boils  

115 
6 
9 
16 

9 
52 

86 
3 
11 
14 

7 
47 
1 

133.  Carbuncle  

16 
6 
49 

10 
60 

134.  Whitlow  ... 

135.  Skin  Diseases  

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
136.  Burns  

137.  Contusions  

138.  Concussion  of  Brain  

4 

0 

133.  Drowning  

140.  Sprains  

57 
4 
6 

0 

50 
5 
10 
7 
5 
2 

37 
o 

°3 

03 

51 

141.  Dislocation  

4 

11 
1 

50 
8 
16 
9 

4 
9 

3 

142.  Simple  Fractures  

11 
,1 
30 
13 
6 
7 
3 
3 

3 

143.  Compound  Fractures  

1 
4 

1 
6 

1 
3 

144.  Gunshot  Wounds  

5;i 
15 
4 

7 
1 

42 
18 
oo 

4 

145.  Incised  Wounds  

146.  Lacerated  Woundi  

2 

147.  Punctured  Wounds  

14 

5 

148.  Poisoning  

149.  Other  Accidents  and  Injuries  

2 

1 

18 

1 
I 

o 

150.  ORDBR  II.  —  Homicide  

2 

1 

151.  ORDER  III.  —  Suicide  

2 

152.  ORDER  IV.  —  Execution  of  Sentence 

1 

Total  

5,349 

42 

4,105 

44 

4,798 

34 

4,372 

35 

5,574 

42 

DURING   THE    YEAR   ENDING    JUNE    30,  1864. 


413 


TABLE  LXIV.— DEPARTMENT  OF  THE  MISSOURI— Concluded. 


1803.                                                                                         18(>4. 

DECEMUEK.                JANUARY.           FEBRUARY. 

MAUCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

23,  138. 

22,  702. 

22,  801. 

34,  573. 

28,  706. 

17,  006. 

19,  470.                       24,  409. 

104 
105 
100 
107 
108 
109 
110 
111 
112 
113 

114 
115 
116 
117 
118 
119 
120 
121 

123 

124 
125 
126 
127 
128 
129 
130 

131 
132 
133 
134 
135 

130 
137 
138 
139 
140 
141 
142 
143 
144 
145 
14f> 
147 
148 
149 

150 
151 

152 

Cases. 

Deaths.  I  Cases,  j  Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths.       Cases. 

Deaths. 

4,503 

37 

,  4,  C96 

49 

3,418 

1 

83 
o 

3 
1 

4 
17 
32 

43 

4,873 

4 

71 

44 

5,261 

1 

74 
16 
6 

85 

2,871 

54 

3,588 

1 

°9 

48 

50,057 

8 
030 
76 
62 
8 
158 
141 
380 
498 
U0 

506 

91 
1 
15 

99 
7 
5 
2 
8 
10 
49 
37 

33 

4 
1 

1 
4 
4 
12 
35 
18 

7 
2 

1 

1 

2 
3 

6 

8 

8 
10 
1 
o 

5 

2 

3 
2 

40 
5 
18 
49 

1 

1 
1 
1 

20 
12 
72 
44 
3 

6 
31 
17 
30 

1 

2 

10 
6 
4 
41 
16 

1 

1 

1 

1 

1 

3 

1 

1 

7 

1 

o 

28 
25 
18 

0 

3 
3 

4 

3 

2 

1 
4 
4 
2 

3 
11 
5 
2 

2 
15 

1 
10 
2 
1 
3 
2 

1 
1 

4 

1 
1 

3 

15 

3 
7 
1 
4 
2 

o 

°8 

1 

10 

1 
4 

138 
21 

1 

1 
1 
1 
1 

5 
3 

4 

1 

2 

19 
12 

14 

14 
14 
36 
1 
19 
10 
8 

475 

957 

3 
o 

2 

1 

4 
o 

1 

1 

1 

7 

2 

1 

1 

o 

6 
1 
1 

4G 
63 
2 
9 
12 

1 
1 

1 
1 

2 

33 
58 
3 
8 
7 

13 
46 

1 

37 
49 
4 
5 
9 

8 
52 

34 

75 

40 
60 
5 

8 
48 

3 

68 

34 

68 
4 
7 
96 

3 

90 
2 

90 
3 
11 
7 

3 

64 

105 
3 
10 
26 

10 
66 
1 

59 

100 
307 

100 
722 
36 

12 

1 

64 

1 
o 

3 

1 

2 

1 

41 
2 

2 
3 
23 
7 
6 
5 
1 
10 

05 
6 
3 

39 

44 
1 
11 

32 

44 
2 
4 
2 
56 
12 
8 
6 

•13 

499 

3 
5 
2 

47 
16 

5 

38 
73 
14 
439 
ICG 
113 
69 
14 
184 

5 
1 

21 
19 

3 
2 
31 
9 
12 

1 
7 

0 

5 

0 
52 
1 

1 

1 
5 

4 
o 
o 

o 

3 
20 

1 

o 

21 
24 

6 

5 

:     i 

1 

7 

5 

1 
2 

1 
2 

5 

0 

1 

123 

1 

1 

6 

11 

1 

| 

1 

5,  007            44 

5,400 

53 

3,892 

46 

5,459 

52 

5,888 

101 

3,387 

66 

4,181 

56     j    57,472 

015 

414 


SICKNESS   AND   MOKTALITY    OF    WHITE   TROOPS 


TABLE  LXV. 

Abstract  of  the  Sickness  and  Mortality 


YEAR  

1863. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

21,  368. 

24,  034. 

27,  606. 

28,  117. 

MEAN  feruE>iGTH  

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths.     Cases. 

Deaths.     Cases. 

Deaths. 

CLASS    1.—  ZYMOTIC    DISEASES. 

ORDKU  I.  —  Miasmatic  Diseases. 

50 

9 

57 

8 

27 

7 

15 
o 

5 

G2 

7 

74 

16 

55 

3 

24 

1 

1,093 
2,691 

10 

784 
2,663 

18 

390 
1,764 
1,263 

3 

1,  284 
926 

o 

1,341 

1,  253 

'  er  ia             ' 

175 
161 
1  268 
277 
360 
64 
19 
1 

259 
117 
1,  057 
328 
357 
48 
36 
3 

256 
45 
1,231 

267 

39 
1 
5 
5 
2 

25 

8 

16 
900 
236 
303 
8-1 
32 

1 

8 
8 

* 

17 
21 
12 
1 

281 
418 
58 
16 
14 
1 

8 
10 
10 

'  .  °m°   '  t  ^  , 

*      .  ^  | 

*   ir  .  l°  J      J 

'  „  3  J           . 

3 

1 

. 

1 
15 

1 

4 

68 
14 

27 

2 
8 
181 
19 

253 

17 
30 

11 
23 
4 

1 
4 
2 
1 

20 

14 
10 

39 
33 
1 
1 
3 
1 

1 

OEDEU  II.  —  Enthetic  Diseases. 
22    Syphilis 

86 
8 
4 

18 
2 

1 

7 

73 
7 
3 
12 

24    Orchitis 

ORDER  III.—  Dietic  Diseases. 
29.  Scurvy  

3 

10 

30.  Purpura  

31.  Delirium  Tremens  

1 

2 
1 

1 

3 
1 

2 

32.  Inebriation  

33.  Chronic  Alcoholism  

1 

34.  Other  Diseases  of  this  Order  

CLASS    II.—  CONSTITUTIONAL    DISEASES. 
ORDER  I.  —  Diathetic  Diseases. 
35.  Gout  

36.  Acute  Rheumatism  

68 
3° 

1 

64 
35 

93 

47 
03 

108 
46 

1 

37.  Chronic  Rheumatism  

38.  Anaemia  

39 

o 

125 

74 

1 

39.  General  Dropsy  

o 

40.  Cancer  

1 
3 
2 

1 

i     1 

41.  Tumors  

1 
2 

4 

42.  Other  Diseases  of  this  Order  

6 

3 
6 

ORDER  II.  —  Tubercular  Diseases. 
43.  Consumption  ,  

1 

5 

1 

8 
2 

1 

2 

44.  Scrofula  

45.  Other  Diseases  of  this  Order  

CLASS    III.  —  PARASITIC    DISEASES. 
46.  Itch  

10 

4 

18 

41 
2 

47.  Tape-worm  

48.  Other  Intestinal  Worms  

" 

o 

49.  Other  Diseases  of  this  Order  

Carried  forward  

7,866 

1 

83 

7,381 

119       6,  334 

54 

5,  171            55 

DURING    THE    YEAR   ENDING    JUNE    30,  1864. 


415 


TABLE  LXV. 

of  the  Department  of  Arkansas. 


1863. 

1804. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE.                   TOTAL. 

30,  G83. 

30,  558. 

28,  475. 

22,  717. 

28,  973. 

33,  647. 

34,934. 

28,  283. 

Cases. 

Deaths,  i  Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths.       Cases.      Deaths. 

1 

3 
4 
«6 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 

22 
23 
24 
25 

26 

°7 
28 

29 
30 
31 
32 
33 
34 

35 

36 
37 
38 
39 
40 
41 
42 

43 
44 
45 

46 
47 
48 
49 

11 

<j 

17 
6 
16 

3 

LI 
2 
24 

3 

16 
9 
18 

2 

15 

3 

30 

9 

65 

1 
86 

1 
22 

321 
34 
402 

73 

15 

1 

1 

2 

6 

22 

4 

2 

37 

1G3 

860 
887 
163 
12 
83!) 
204 
243 
54 
44 
5 
10 

3 

12 
238 
22 

57 
112 

8 
1 
20 

1 

185 

8G1 
689 
158 
9 
642 

2 

133 

764 
656 
207 

1 

195 
602 

205 
686 
961 
158 
38 
742 
90 
362 
34 
42 
20 
178 

412 

593 
1  022 

2 

4,380 
14,  177 
10,  762 
2  140 

37 
2 

i 

980 
995 

1 

777 
146 
12 
475 

1,014 

214 

137 
11 
2,030 
183 
773 
68 
73 
90 
209 

7 

2 

8 
502 

o 

4 

3 
1 
3 

4 

3 

1 
4 
3 

1 
4 
5 
8 

19 
3,049 
345 

821 
76 
89 
16 
212 

10     i 
3 

1~         , 

14 

2 

10 
16 

448 
12.  735 
2,252 
4,183 
566 
454 
186 
7D3 

57 
507 
1,490 

585 

60b 
1,006 
113 

17 
159 

105 
7 
103 
69 
47 
13 
20 
42 

12 

135 
190 
32 
32 
13 
14 

14 
o 

1 
1 
1 

81 
148 
24 
32 
15 
53 

4 
1 

92 
208 
24 

3 

1 

11 

39 
9 
115 

2 

3 

1 

2 

5 

11 

4 

59 
319 
16 

34 
103 
17 

5 

69 
327 
61 

28 

14 
80 
161 
14 

39 
117 
17 

3 

117 
75 

16 
77 
50 
132 

52 

5 
63 

40 
222 

1 

45 

44 
152 

1 
1 

1 

114 
113 
8 
o 

66 
9 
1 
20 

128 

13 

2 

21 

20 

18 

17 
1 
192 

167 
8 
o 

15 
2 

104 

150 
1 
3 
2 

1 

9 
326 

1 

33 
2 
2 

0 

3 
4 
1 

32 

57 

64 

545 
13 
19 
9 
7 
2 

1 

1 
1 

1 

1 

4 

! 

5 

1 

1 

1 

1 

175 
79 
55 

138 
67 
43 

135 

121 

152 
73 
9 

166 
87 
26 

194 
76 

1,414 
629 
572 
o 

6 
14 

go 

1 
4 

41 
2£ 

46 
14 

1 

1 

1 

1 
1 
6 

8 
3 

1 

1 
4 

12 
6 

2 
1 

11 
10 

6 

n 

3 

14 

7 

3 

3 

10 
6 

1 

6 
9 

1 

10 
22 

91 
71 

13 



57 

179 

164 
1 
1 

97 
2 

127 

118 

66 

1 
o 

881 
7 
11 

1 

1 

1 

4,387 

39 

4,  058 

29 

3,667 

16       3,  555 

20 

4,475 

30 

7,311 

43 

8,918 

96 

63,  123 

584 

416 


SICKNESS   AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  LXV.— DEPARTMENT  OF  ARKANSAS— Continued. 


YEAR  

1863. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

21,  3C8. 

24,  034. 

27,  606. 

28,  117. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

7,866 

1 

8 
68 
1 

0 

1 

3 

83 
1 

7,381 

119 

1 

6,334 

2 
9 

27 

54 
1 

5,171 

o 
4 
64 
1 
3 

55 
1 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.—  Diseases  of  Nervous  System. 

3 

44 
1 

1 
3 

1 

0 

2 

2 

1 
2 

47 
1 

3 

7 

76 

1 

1 

o 

88 

69 

1 

20 

8 

1 

3 

7 
75 

31 
3 

oo 

ORDER  II.  —  Diseases  of  Eye. 

1 

90 
2 
5 

86 

109 
] 
1 
3 

10 
o 

171 
6 
2 
1 

2 

ORDEU  III.—  Diseases  of  Ear. 
68   Earache          

4 
3 

4 

18 

1 

1 
2 
15 

5 

70   Deafness                                  

3 
5 

71.  Otorrhoea       

72.  Other  Diseases  of  this  Order  

18 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

0 

1 

1 

3 

1 

1 

3 

1 

2 

79.  luflammation  of  Veins  

80.  Varicose  Veins  

9 
1 

6 

f> 

3 

81.  Varicocele  

2 

5 

82.  Other  Diseases  of  this  Order  

1 

ORDEH  V.  —  Diseases  of  Respiratory  Organs. 
83.  Asthma  

2 

57 
15 

4 
70 
14 
2 

2 

208 
44 

84.  Acute  Bronchitis  

51 

7 

1 

1 

85.  Chronic  Bronchitis  

1 

86.  Dropsy  of  Chest  

87.  Haemorrhage  from  Nose  

3 
3 

18 
20 
4 
2 

57 
140 
39 
1 
1 

0 

88.  Inflammation  of  Larynx  

8 
26 
23 
2 
8 

81 
170 
36 

7 
71 
3G 

15 

89.  Inflammation  of  Lungs  

7 

3 

89 

5 

90.  Inflammation  of  Pleura  

91.  Haemorrhage  from  Lungs  

8 
3 

60 
127 

1 

92.  Other  Diseases  of  this  Order 

ORDER  VI.—  Diseases  of  Digestive  Organs. 
93.  Colic  

55 
122 

1 

94.  Constipation  

95.  Cholera  Morbus  

1 
1 

17 

13 
1 

8 
18 

96.  Cirrhosis  of  Liver  

97.  Dropsy  from  Hepatic  Disease  

9 

42 
1 
°8 

11 
34 

1 

98.  Dyspepsia  

99.  Diseases  of  Pancreas  

100.  Diseases  of  Spleen  

1 
3 

11 

7 
1 
13 
1 

5 

101.  Fistula  in  Ano  

3 

5 

102.  Hernia  

18 
3 

103.  Haemorrhage  from  Stomach  .•  

Carried  forward  

63 

8,580 

96 

8,217 

131 

7,071 

6,257 

67 

DURING   THE    YEAR    ENDING    JUNE   30,  1864. 


417 


TABLE  LXV.— DEPARTMENT  OF  ARKANSAS— Continued. 


1803. 

1804. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY.                   JI/XE.                     TOTAL. 

30,683. 

30,  558. 

28,  475. 

22,  717. 

28,  973. 

33,  047. 

34,  934.                       28,  283. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 
61 

62 
63 
64 
65 
66 
67 

68 
69 
70 
71 

73 

74 
75 
76 
77 
78 
79 
80 
81 
8-2 

83 
84 
85 
80 
87 
88 
89 
9C 
91 
92 

93 
94 
95 
96 
97 
98 
99 
100 
101 
102 
103 

4,387 

1 

8 
67 
1 
5 
4 
2 
9 
90 
3 

39 

1 

4,058 

29 

3,667 

16 

3,  555 

0 

20 

4,475 

1 
5 

68 
1 
1 
1 

30 
1 

7,311 

1 

7 
110 
3 

43 

8,918 

1 

8 
335 
1 
o 

3 

96 

63,  123 

11 
63 
808 
10 
31 
13 
10 
56 
955 
12 
44 
139 

38 
3 
1  742 

584 

6 
3 

4 
110 

1 

5 
59 

2 

2 

56 

3 

4 

4 

4 

7 
2 

5 
1 

2 
1 
1 
2 
58 
1 

3 

1 
1 

1 
1 

25 
8 
I 

1 

10 
119 
1 

5 
92 

6 
101 

3 
112 

5 
103 
4 
13 
1 

18 
2 
°48 

1 

1 
3 

4 

1 

1 
2 

1 
1 

178 
3 

1 

7 

4 

164 
1 

171 
4 

144 
5 
2 
I 

150 
6 
10 
2 

231 

7 

8 
1 

1 
9 

38 
44 
20 

4 

7 

1 

10 

77 
"4 

1 
3 

O7 

1 
3 

5 
2 

4 

13 
5 
11 

9 

6 
1 

8 
14 

13 
4 
16 
9 

22 

4 
10 
3 

1 

19 

77 
163 

1 
24 
1 
1 
9 
3 
5 
63 
34 
3 

51 

31 

2 

1 

4 

3 

6 
1 

3 

1 

1 

1 

5 

1 

1 

I 

1 

1 

3 
2 

3 

5 

9 

3 

3 

2 

5 
2 

13 

4 

7 
5 

1 

5 
1°4 

J| 

2 

3 

°02 

1 

2 

6 

280 
25 

12 

6 

238 
34 

7 
179 
19 

1 
2 

12 

4 
ooo 

I 
1 

305 
38 

1,  936 

280 

j 

193 

3 

2 

25 

25 

34 
3 

10 

20 

1 

11 
21 
88 
62 
5 

o 

18 
15G 
57 
5 

3 
37 

103 
43 
6 
7 

29 
131 

7 

5 
18 
109 
47 
6 
31 

40 

10° 

I 

1 

34 

200 
100 
4 
32 

44 
142 
12 

10 

15 
2 

6 

10 
8 

140 
40 
5 
1 

55 

21 

15 
1 
1 

48 
50 
25 

1 

116 
271 

^O 

3 

1,048 
533 
72 
85 

676 
1,658 

95 
11 
o 

3 

1 

2 

1 

48 
126 
4 

91 
206 
37 

121 

10 

217 
4 

62 
276 

89 
15 
1P3 

1 
1 

1 

7 
16 

4 

°7 

3 

" 

4 

24 

1 
10 

8 

27 

16 

43 

6 
o 

29 

15 

o 

6 

8 
1 
05 

1 

2 
26 
1 

3 

15 

... 

13 

00 

19 

1 

6 

5,586 

59        5,542 

II 

53       4,  737 

32 

4,  525 

45 

5,520 

54 

8,707 

60 

10,359 

103 

75,  101 

763 

53 


418 


TABLE  LXV.—  DEPARTMENT  OF  ARKANSAS— Concluded. 


YEAK  

1803. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

21,  368. 

24,  034. 

27,  606. 

28,  117. 

LIST  OF  DISEASES. 

Cases,  i  Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

8,580 

3 

11 
3 
10 

96 

8,217 

3 
10 
10 
10 
3 
12 
5 
76 
85 

131 

7,071 

1 

11 
6 

7 

63 

6,  257 

1 
51 
3 

7 
1 
18 
10 
48 
71 

67 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

i 

1 
3 

3 
4 

j 

1 

6 
8 
65 

1 

8 
10 
83 
83 
2 

3 

2 

52 

1 
4 

OUIJEK  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

10 
1 

2 
1 

1 

1 
1 
11 
5 

4 
6 
2 
3 
1 
1 

o 

1° 

6 
4 
6 

5 
3 

1 

"  '             .   ' 

~      *; 

4 

J                   . 

1 

1 
1 
3 

1 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

I 

1 
1 

7 

125   Caries 

1 

2 

1°8   Inflammation  of  Periosteum 

j 

2 
2 

2 
1 

3 

4 
1 

47 
135 
8 
16 
10 

10 

2 

40 
164 
4 
13 

22 

ORDER  IX.  —  Diseases  of  Integumentary  System. 

31 
116 
5 

35 
150 
3 
13 

1 

13-2.  Boils  

134.  Whitlow   ...   . 

9 
3 

1 

CLASS    V.     WOUNDS,   ACCIDENTS,   AND 
INJURIES. 

ORDER  I.—  Wounds,  Accidents,  and  Injuries. 
136.  Burns  

5 

1° 

9 
14 
1 

137.  Contusions  

138.  Concussion  of  Brain  

0 

13y.  Drowning  

0 

140.  Sprains  

15 

30 
o 

30 

32 

141.  Dislocation  

1 
1 

2 
11 

142.  Simple  Fractures  

1 
2 
38 
10 
4 
1 
1 
7 

n 

143.  Compound  Fractures  

0 

144.  Gunshot  Wounds  

42 
6 
1 
1 
8 

1 

4 

37 
6 
4 

7 

32 
8 
1 

4 

145.  Incised  Wounds  

146.  Lacerated  Wounds  

147.  Punctured  Wounds  

148.  Poisoning  

2 

149.  Other  Accidents  and  Injuries  

1 

5 

2 

6 

150.  ORDER  II.—  Homicide  

151.  ORDER  III.  —  Suicide  

152.  ORDER  I  V.—  Execution  of  Sentence  

Total  

9,  017 

101 

8,  782 

147 

7,660 

74 

6,866 

74 

DUEING    THE    YEAR    ENDING    JUNE    30,  1864. 


419 


TABLE  LXV.—  DEPARTMENT  OF  ARKANSAS— Concluded. 


1863. 

18(>4. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

30,  C83. 

30,  558. 

28,  475. 

22,  717. 

28,  973. 

33,  C47. 

34,  9C1. 

28,  28-J. 

104 
105 
100 
107 
108 
109 
110 
111 
112 
113 

114 
115 
116 
117 
118 
119 
120 
121 
122 
123 

124 
125 
126 

127 
128 
129 
130 

131 
132 
133 
134 
135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
146 
147 
148 
149 

150 
151 
152 

Cases. 

Deaths. 

Cases. 

Deaths 

Cases 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

5,586 

1 

CO 

1 
4 

59 

5,542 

1 

85 

53 

4,737 

32 

4,525 

45 

5,520 

54 

8,707 

4 
59 

7 
7 

60 

10,  359 

3 

38 

f~L 

14 

4 

103 

75,  101 

17 
489 
97 
93 
14 
86 
100 
515 
764 
23 

43 

8 
8 
o 

21 
118 
41 
32 
11 
6 

7 
8 
27 

763 

57 
10 
11 
1 
6 
7 
27 

56 
16 
11 
4 
12 
11 
36 
46 
6 

5 

51 
13 
7 
1 
3 
7 
33 
49 

1 

1 

7 
9 

7 
5 

1 

1 

1 

1 

10 
6 

48 
86 

6 
5 

40 
60 

1 

1 

3 

3 
1 
2 

1 

19 
38 

98 

21 
80 

54 
2 

3 
2 

10 

4 
1 
o 

3 
1 

4 
1 

1 

3 
2 

5 

1 

1 

1 

3 

9 
2 
4 

o 

9 
3 
o 

4 
14 
6 
3 
1 

2 
6 
6 
2 

0 

21 
1 
1 

8 
3 
5 

16 
4 
3 
1 
1 

1 

1 
1 

3 

1 

1 
1 
3 

1 
1 

1 

1 

o 

1 

1 

1 

1 
3 

1 

2 

1 

1 

4 

1 

1 

1 

1 
1 
1 

21 
138 
G 
14 
47 

37 
38 

1 
o 

9 
15 
7 

381 
1,396 

1 

0 

1 
2 

35 
66 
8 
14 
S3 

4 

30 

1 

1 

7 
86 
2 
15 

22 
141 
4 

16 
38 

13 

34 

14 
94 
5 
15 



71 
133 

58 
173 
8 
20 

1 

7 
13 
62 

9 
52 

60 
158 
357 

83 
318 
10 

41 
3 

10 

0 

101 

10 
40 
3 

33 
1 

1 

1 

1 

4 

1 

9 

72 
5 

8 

49 
2 
4 

51 
1 
4 

55 
2 
4 

34 
2 
1 
1 

807 
6 

1 

63 
3 
3 

41 
5 

4 

4S 

43 
5 
1,151 
113 
34 
18 
3!) 
82 

1 

1 

1 

37 
13 
6 

6 

15 
12 
3 
2 

] 

20 
14 

1 

1 

1 

22 
12 

•> 

25 

36 
11 
5 
o 

8 

65 
15 
4 
6 

3 

63 

4 
3 

r 
" 

1 
3 

1 

o 

24 

51 

8 

1 

1 

1 

1 
1 

1 

1 

6 
3 

1 

1 

1 

6,  253 

67 

6,  197 

55 

5,226 

35 

5,038 

50 

6,747 

83 

9,400 

76 

11,  221 

113 

82,  407 

875 

420 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  LXVI. 

Abstract  of  the  Mortality  in  the 


YEAR  

1803. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

26,  419. 

27,  013. 

28,  561. 

29,  320. 

25,  757. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS  1.—  ZYMOTIC    DISEASES. 
OKDEK  I.  —  Miasmatic  Diseases. 

218 
3 
31 

257 

160 

306 

76 
11 

r.3 

3 

60 

57 

34 

<-'  e 

23 

54 
6 
20 

46 
3 

9 
1 
20 

32 

4 
7 
o 

15 
3 
1 
1 
15 
30 
447 
29 
48 
8 
30 
7 

11 
15 

'  er 

1 

10 
31 
541 
56 

3 
37 
44 
743 

61 
47 
8 
10 
5 

19 
36 

467 
47 
74 
4 
13 

16 
608 
46 
55 

•    ir- 

o   A  '      n 

~'           .   ^          * 

8 
16 
3 

14  F!r°-  °i  ,J      y 

7 
5 

„  J  ,'                   . 

'  '.."'''.,,  ' 

17    Sc  rlet  Fever 

12 

1 

5 
1 

7 

2 

5 

8 
2 

90 

10 

14 

5 

ORDER  II.  —  Enthetic  Diseases. 

1 

24    Orchitis                                                     

1 

27    Serpent  Bite                              .                     

ORDER  III.  —  Dietic  Diseases. 
29    Scurvy 

2 
1 

4 

1 

3 

0 

2 
1 

2 

1 

1 

34.  Other  Diseases  of  this  Order        

1 

CLASS  II.—  CONSTITUTION  AL    DISEASES. 
OUDEH  l.—Diathetic  Diseases. 
35.  Gout  

4 

7 
7 

1 
1 
6 

1 
1 

8 

1 

2 
15 

2 
3 

9 

39.  (Jeueral  Dropsy  

40.  Cancer  

1 

1 

41.  Tumors  

42.  Other  Diseases  of  this  Order 

3 

1 

49 
3 

4 
41 

3 

45 

OHDEU  II.  —  Tubercular  Diseases. 
43.  Consumption  
44.  Scrofula  



75 

0 

36 
2 

45.  Other  Diseases  of  this  Order  

1 

CLASS  III.  —  PARASITIC    DISEASES. 
46.  Itch  

47.  Tape-worm  

48.  Other  Intestinal  Worms  

49.  Other  Diseases  of  this  Order  

Carried  forward  

j 

1  121 

1  456 

],106 

927 

823 

J 

DURING    THE   YEAR   ENDING   JUNE   30,  1864. 


421 


TABLE  LXYI. 

General  Hospitals  of  the  Central  Region. 


1863. 

1804. 

DECEMBER. 

JANUARY.          FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

25,  109. 

25,  382. 

25,  278. 

23,  237. 

23,  826. 

32,  175. 

33,  115. 

27,  099. 

1 

3 
4 

5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 

22 
23 
24 

26 
27 

29 
30 
31 
32 
33 
34 

35 

36 
37 
38 
39 
40 
41 
42 

43 

44 
45 

46 

47 
•18 
49 

Cases. 

Deaths. 

Cases. 

Deaths.     Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

1     Cases.     Deaths. 

90 

83 
7 
14 

73 
3 
15 

86 
8 
13 

105 

115 

164 
4 
55 

1  S0*} 
43 

•" 

8 

14 

°1 

"*" 

7 
2 
1 
1 
5 
8 
362 

8 
1 
3 

12 

1        14 
6 
3 

97 

°6 

261 
56 
78 
12 
200 
267 
4,674 
342 
400 
217 
1,  343 
602 
10 
63 
7 
4 
79 

14 

3 
3 

6 
4 

1 
12 

6 

7 
o 

5 

°5 

6 
8 
209 
6 
15 
30 
243 

25 
14 
194 
5 
13 
35 

16 
10 
165 

10 
42 

6 
314 

20 

993 

401 
33 
18 
17 
70 
28 

16 
21 

10 
14 
39 
269 

PI 

39 

14 
118 
22 
2 
3 

~8 
30 
195 
62 

17 
84 
7 
1 
4 

1      

290 

124 

179 

1 

5 
g 

165 

1 

7 

4 
4 

1 
2 
1 

7 

1 

1 

1 

2 

1 
5 

5 

1 
o 

n 

3 
1 

7 
1 

1 

1 

1 

1 

1 

1 
2 
6 

1 

3 

4 
1 

16 

36 
3 
3 

2 

1 

2 
5 

1 

1 
6 

6 
1 
1 

2 

1 

2 
1 
4 

1 

5 

4 
4 
o 

4 

o 

6 
3 
6 

33 
33 

78 

4 
o 

6 

4 

9 

1 

1 

1 

5 
1 
18 

602 
22 

1 

3 

40 

1 

1 

40 
6 

2 

48 
2 

1 
K9 

64 

1 

68 
1 

44 
o 

„ 

1 

1 

I 

| 

1 

1 

I 

0 

1 

691 

737 

840 

i 

981 

934 

835     '.»?:)       IVl-.M 

1 

422 


SICKNESS   AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  LXVI.— GENERAL  HOSPITALS  OF  THE  CENTRAL  REGION— Continued. 


Yr,  AU  

1803. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

26,  419. 

27,  013. 

28,  561. 

29,  320. 

25,  757. 

UJS'DEK  TKEATMLM  AI 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1,121 

1,456 

3 

1 

1,106 

0 

927 

823 
o 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.  —  Diseases  of  Nervous  System. 

9 

2 
1 

1 

2 

l      l  * 

~'  j 

0 

o 

3 
4 
1 

r           '      J              ,  „     . 

10 

10 
3 
2 

7 
6 
1 

4 
1 
1 
3 

1 

1 
1 

1 

o 

1 
4 
o 

60    Suu-stroke                      

5 
2 

5 

4 

ORDER  11.  —  Diseases  of  Eye. 

63   Cataract                                    

66    Ni^ht  Blindness     

67    Other  Diseases  of  this  Order  

ORDER  111.  —  Diseases  of  Ear. 
68.  Earache       

OllDEU  IV.  —  Diseases  of  Organs  of  Circulation. 
73.  Aneurism  

1 
4 

1 
6 

9 
2 

6 
1 
1 
1 

3 

o 

2 
1 

7S.   Tnflnnunntinn  of  F.n<V">ardium 

79.  Inflammation  of  Veins                                  

| 

80.  Varicose  Veins  

61.  Varioocele  ... 

82.  Other  Diseases  of  this  Order   

4 

3 

1 

2 

OUDEU  V.  —  Diseases  of  Respiratory  Organs. 
83.  Asthma  

84.  Acute  Bronchitis  

3 

7 

3 

9 

o 
4 
2 

7 
2 
1 

85.  Chronic  Bronchitis  

3 

86.  Dropsy  of  Chest  

87.  Haemorrhage  from  Nose  

88.  Inflammation  of  Larynx 

1 

42 

1 

°9 

1 

42 

1 
85 
3 
1 
1 

89.  Inflammation  of  Lung's 

28 

00.  Inflammation  of  Pleura   . 

3 
1 

1 
1 

91.  HsBinorrhag'e  from  Lungs  

o 

1 

92.  Other  Diseases  of  this  Order. 

4 
1 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
93.  Colic  

94.  Constipation  

95.  Cholera  Morbus  

2 

1 

1 

96.  Cirrhosis  of  Liv<>r  

1 
1 
1 

97.  Dropsy  from  Hepatic  Disease  

1 

5 
1 

3 
1 

5 

98.  Dyspepsia  

99.  Diseases  of  Pancreas  

100.  Diseases  of  Spleen  

10!..  Fistula  in  Ano  

102.  Hernia  

1 

1 

103.  Haemorrhage  from  Stomach 

Carried  forward!  

1,219 

1,554 

1,180 

1,005 

949 

DURING    THE    YEAR    ENDING    JUNE    30,   1804. 


423 


TABLE  LXVL— GENERAL  HOSPITALS  OF  THE  CENTRAL  REGION— Continued. 


18<>;3.                                                                                               18(>4. 

DliCEMlJER. 

JANUARY. 

FEUKUAUY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

25,  109. 

25,  382. 

25,  278. 

23,  237. 

23,  826. 

32,  175. 

33,  115. 

27,  099. 

50 
51 
52 
53 
54 
55 
5H 
57 
58 
59 
60 
61 

62 
63 

64 
65 
66 
67 

68 
69 
70 
71 
72 

73 
74 
75 

7G 
77 
78 
79 
80 
81 
82 

83 
84 
85 
86 
67 
88 
83 
90 
9J 
92 

93 
94 

95 
96 
97 
98 
99 
100 
101 
102 
103 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

691 

737 
1 

840 

2 

1 

981 

1 

1 

934 

4 
4 

835 

973 

11,  424 

S3 

20 

3 

1 

5 

3 

1 
14 

10 

1 

1 
11 
8 

9 
128 

81 

8 
3 
13 

11 
39 

6 
1 
5 

°3 

16 
10 
3 

11 

21 

12 
5 
3 

15 
3 
3 

1 
1 

1 

1 

1 

2 

1 
5 

1 

1 

1 

12 

4 

1 

1 

1 

1 
3 
1 
1 

3 

57 
17 
7 
18 
9 
2 

5 

3 
3 

4 

1 

3 

6 

3 
1 

1 
1 

1 
3 
4 

1 
4 
1 
1 

0 

6 
3 
1 

1 

2 

1 

3 

1 

6 
10 

o 

19 

0 

101 
92 
8 
1 
21 
1,  563 
74 
29 
41 

o 
1 
9 

30 
7 

1 

6 

8 

13 
10 
o 

34 

17 
7 
1 

- 

g 
1 

13 

11 
1 

1 

0 

] 

97 

4 

230 

3 

3 

276 

„ 

o 

IG'S 

335 
16 

152 

84 
6 
o 

4 
3 
2 

11 

9 

0 

14 
4 
3 

1 

1 
1 

3 

8 

8 
15 

5 

o 

1 

4 

1 

1 
1 

1 

1 
1 

o 

3 

1 

3 

3 

., 

1 

1 

1 

1 

1 
1 

•-- 

j 

4 

1 

! 

- 

813 

985 

1,  166 

1,475 

1,307 

1,  080      ...".... 

1,139 

13,902 

I 

SICKNESS   AND   MORTALITY    OP   WHITE    TEOOPS 


TABLE  LXVL— GENERAL  HOSPITALS  OF  THE  CENTRAL  REGION— Concluded. 


YEAU  

1803. 

MOXTII  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

26,  419. 

27,  013. 

28,  561. 

29,  320. 

25,  757. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1,219 

1,554 
3 

1,180 
3 

0 



1,005 
1 

949 
2 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

1 
3 

8 
8 
o 

5 

14 
2 
5 
1 
9 

7 
10 
1 
2 
7 
5 

5 

7 
2 

3 
3 
2 

2 

1 
5 
8 

3 
3 

2 

1 

3 

ORDER  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

V  '  V. 

1 

1 

3 

1 

o 

3 

1 

1 

2 

3 

1 

OUDEU  VIII.  —  Diseases  of  Hones  and  Joints. 

1 

1 

1 
3 

ORDER  IX.  —  Diseases  of  Jnlegumentary  System. 

3 

1 

2 

1 

132.  Boils  

133.  Carbuncle  

134.  Whitlow  

135.  Skin  Diseases  .           

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
136.  Burns  

3 

137.  Contusions  

1 
2 

1 

138.  Concussion  of  Brain  

1 
1 

135    Drowning  

1 

1 

1 

140.  Sprains  

141.  Dislocation  

142.  S  miple  Fractures  

3 

o 

1 

1 

0 

165 

143.  Compound  Fractures  

13 

87 
1 

C 
342 

144.  Gunshot  Wounds  

°78 

96 

145.  Incised  Wounds  

146.  Lacerated  Wounds  

147.  Punctured  Wounds  

1 
1 
8 

1 

148.  Poisoning  

1 
6 

149.  Other  Accidents  and  Injuries  

14 

3 

2 
1 
1 

150.  ORDER  II.  —  Homicide  

151.  OHDEH  lit.—  Suicide  

1 

152.  ORDER  IV.  —  Execution  of  Sentence  

Total  

1  568 

1,713 

1,331 

1,391 

1,143 

l 

DURING    THE    YEAR   ENDING    JUNE    30,  1864. 


4.25 


TABLE  LXVL— GENERAL  HOSPITALS  OF  THE  CENTRAL  REGION— Concluded. 


1863.         ||                                                                                1804. 

DECEMBER.               JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

25,  109. 

25,  382. 

25,  278. 

23,  237. 

23,  826. 

32,  175. 

33,  115. 

27,  099. 

104 
105 
lOfi 
107 
108 
109 
110 
111 
112 
113 

114 
115 
116 
117 
118 
119 
120 
121 
122 
123 

124 
125 
126 
127 

1  OQ 

129 
130 

131 
132 
133 
134 
135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
146 
147 
148 
149 

150 
151 
152 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

843 
1 

985 

1,160 

1,475 

1,307 

1  080 

1,139 

2 
1 
4 
1 
4 

13,  902 

16 
12 
48 
71 
30 
20 
33 
34 

1 
1 
4 
6 
5 
3 
1 
2 

1 
3 
5 
4 
1 
4 

1 
I 
3 

1 

1 
3 
4 
3 
4 
1 

2 
4 
5 

2 
2 

1 
5 

0 

3 
2 

4 

3 

2 

1 

3 

1 

1 

1 

4 

13 

^ 

1 
2 

1 
1 

4 

19 

2 

1 

4 
1 

2 

2 

1 

1 

4 

20 
2 

1 

1 

1 

4 

1 

1 

!i 

1 

2 
1 

1 
2 

21 

1 

1 

1 

2 

1 

3 

4 

1 

1 

1 
1 
o 

1 
g 

5 
11 
8 
11 
1 

1 
1 
2 

3 

1 
1 

2 

1 

1 

3 
1 

1 

I 
3 

47 
1 
1 
1 

7 
47 
1,895 
9 
2 
9 
4 
42 

1 
8 

2 

122 

3 

87 
2 

1 

53 
1 

2 

187 

8 

389 
2 

42 

1 
2 

2 

2 

1 
2 

1 
o 

3 

1 

1 

1 

0 

1 

2 

996 

1,099 

1,246 



1,552 



1,393 



1,310 

1,575 



16,  317 

54 


426 


SICKNESS   AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  LXVII. 

Abstract  of  the  Sickness  and  Mortality 


YEAR  

18(33. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH,  (not  including  Table  LXVI)  

355,  509. 

374,  247. 

348,  842. 

374,  465. 

371,  695. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS  1.—  ZYMOTIC   DISEASES. 
ORDER  I.  —  Miasmatic  Diseases. 

698 
11 
1,048 

404 
8 
150 

610 
10 
1,186 

432 
3 

213 

647 
14 
671 

281 
4 
161 

478 
o 

518 

186 

382 
28 
464 

136 
12 
49 

'      3  J1  ° 

63 

6,809 
12,  706 
9,311 
1,011 
550 
19,  460 
3,321 
5,  302 

325 
65 
60 

135 
13 
40 
3 
166 
78 
759 
176 
74 
17 
24 
3 

7,848 
16,  662 
12,  934 
1,307 
772 
21,  369 
4,  210 
6,  650 
807 
267 
37 
74 

150 
18 
24 
4 
268 
98 
992 
200 
109 

13 
17 

5,  479 
13,  218 
11,111 
I,  219 
500 
13,  802 
3,697 
5,285 
727 
206 
21 
236 
3 
75 
143 
464 
256 

756 
1,262 

115 
5 
11 
1 
124 
34 
774 
173 
114 
11 
12 
2 

3,738 
10,  755 
9,591 
1,  190 
252 
14,  023 
3  272 
4,580 
C21 
202 
77 
385 

57 
9 
8 
3 

64 
58 
628 

128 

6 
20 

2,  654 
7,  554 
7,  119 
995 
152 
10,  916 
2,  788 
2,  !>80 
562 
256 
91 
132 

28 
12 
3 
i 

45 

697 

75 
14 
34 
9 

18.  Diphtheria            

82 
144 
530 
310 

485 
946 
85 

20 

0 

83 
114 

484 
43G 

643 

1,123 
95 

17 
1 
1 
28 

2 

12 
2 

81 
195 
1  213 

8 

114 

98 

9 

2  228 

20 
3 

57 

235 

785 
1  331 

15 

o 

459 

915 
1  281 

G 
1 

ORDER  II.  —  Enthetic  Diseases. 
22.  Syphilis 

23.  G  onorrhcea  .         

24.  Orchitis  

93 

120 

85 
19 
131 

1 

17 
179 

22 

25 

18 
144 
4 
21 

142 
13 

26.  Purulent  Ophthalmia  

138 
6 
9 

434 
15 
55 
46 

45 

8 
1,063 

819 
602 
o 

2 

164 
4 
5 

334 

27 
13 
12 
24 

1 



27.  Serpent  Bite  

8 
8 

303 
11 
39 
29 
7 

9 
933 

760 
556 

28.  Other  Diseases  of  this  Order  

r 

ORDER  III.—  Dietic  Diseases. 
29.  Scurvy  

6 
3 
3 
3 

9 
1 

14 
2 
1 

o 

1 

109 
8 
23 
37 
13 
5 

1 

30.  Purpura  

31.  Delirium  Tremens  

5 

19 

11 
10 

3 

1 

0 

5 

32.  Inebriation  

33.  Chronic  Alcoholism  

1 
1 

34.  Other  Diseases  of  this  Order  

1 

CLASS    II.—  CONSTITUTIONAL   DISEASES. 

ORDER  l.—Diathetic  Diseases. 
35.  Gout  

o 

3G.  Acute  Rheumatism  

5 

7 
18 

3 
1 

17 

1,  039 
613 
495 
7 
5 
13 

1 
1 
11 

1,453 
924 
419 
9 
11 
13 
67 

108 
66 
13 

291 
3 
03 

2 
2 
19 

1,635 
963 
391 
4 
4 
14 

5 
3 

12 

37.  Chronic  Rheumatism  

38.  Anaemia  

39.  General  Dropsy  

40.  Cancer  

3 
6 

67 

153 
76 
2 

270 
6 
13 
1 

2 

23 
10 
49 

205 
79 
5 

219 
10 
47 

1 

41.  Tumors  

42.  Other  Diseases  of  this  Order  .  . 

4 

89 
3 

4 

68 
4 

43 

130 
83 
10 

228 
4 
15 

5 

43 

38 

130 
t!9 

5 
61 

ORDER  II.—  Tubercular  Diseases. 
43.  Consumption  

54 
3 
1 

44.  Scrofula  

45.  Other  Diseases  of  this  Order 

12 

748 
4 
13 

] 

CLASS   III.—  PARASITIC   DISEASES. 
46.  Itch  

47.  Tnpe-worm  

48.  Other  Intestinal  Worms  

49.  Other  Diseases  of  this  Order  

1 

1 

8 

Carried  forward  

67,396       2,239     82,053       2,728 

63,  205 

1,972 

57,  453       1,  462 

46,  630       1,  340 

DURING   THE    YEAR   ENDING    JUNE   30,  1864. 


427 


TABLE  LXVII. 

of  the  Central  Region. 


1HO3. 

1864- 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCU. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

400,  319. 

386,  597. 

396,  175. 

421,  566. 

418,  882. 

413,  529. 

399,  098. 

388,  410. 

l 

3 
4 
5 
6 
7 
& 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 

22 

24 
25 
26 

28 

29 
30 
31 
32 
33 
34 

35 
36 
37 

38 
39 
40 
41 
42 

43 

44 
45 

46 
47 
48 
49 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths.    Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

377 
3 

334 

149 

0 

20 

4G5 
19 

2;;o 

159 
9 
29 

240 
20 
213 

130 
H 
31 

392 
46 
289 

173 
15 
35 

406 
29 
283 

194 
18 
30 

393 
31 

408 

215 
5 
43 

550 
42 
614 

328 
7 
75 

5,838 
255 
6,258 

2,787 
94 
899 

1,  972 
5,  707 
5,610 
756 
113 
10,  016 
2,  406 
2,128 
4J3 
309 
248 
287 
3 
145 
219 
2,291 
623 

819 
1,  234 
137 
33 
139 
1 
29 

124 
6 

42 
30 
10 
1 

2 
1,860 
991 
202 
6 
8 
11 
55 

138 
90 

17 
3 
3 
1 
26 
14 
560  : 

64 

99  ' 

15 
1 
6 

1,943 
4,  682 
5,318 
931 
124 
8,  4134 
2,  121 
1,  8£2 
415 
356 
636 
743 
12 
194 
792 

11 
5 
3 

2,190 
5,  037 
4,  946 
822 
70 
7,  279 
1,  443 
1,721 
2~2 
337 
498 
1,582 
13 
138 
1,570 
2,771 
375 

882 
1,433 
145 
17 

88 
o 

12 

1 
5 

2,  661 
5,  960 
6,  720 
745 
127 
9,  4-16 
1,582 

257 
573 
739 
3,  90<i 

182 
2,  192 
3,190 
593 

1,  169 
2  206 

6 
5 

3,215 
6,593 
6,718 
711 
141 
11,  164 
1,468 
2,  827 
247 
652 
783 
2,371 
6 
195 
2  139 
2,332 
638 

3,358 
2  090 

21 
7 
3 

4,071 
6,601 
6,984 
703 
101 
19,  401 
2,046 
5,  634 
389 
523 
603 
1,097 
7 
107 
991 
947 
897 

1,233 
1  759 

37 
B 
6 
1 
36 
40 
272 
53 
47 
46 
253 
109 
3 
3 
1 

5,388 
7,448 
6,467 
899 
181 
26,  984 
3,  157 
6,758 
539 
527 
140 
822 
2 
80 
553 
640 
1,111 

1,215 
1  624 

59 
8 
8 
2 
46 
72 
481 
94 
48 
35 
95 
72 

48,  028 
102,  923 
92,  829 
11,  289 
3,  083 
172,  294 
31,  511 
48,  069 
5,  796 
4,533 
3,938 
11,685 
:  7 
1,476 
9,150 
20,377 
6,220 

11,113 
17  786 

664 
95 
119 
16 
915 
498 
6,344 
1,027 
775 
337 
1,  725 
1,027 
15 
113 
11 
6 
173 

26 

37 
14 
446 
35 
59 
21 
162 
37 
4 
4 

21 
12 
279 
12 

37 
295 
196 
1 
10 
2 
1 
11 

5 

55 
20 
245 
17 
18 
50 
386 
299 
2 
8 
3 

37 
13 
211 
33 

65 
332 
266 
4 
8 

8 

1  , 
1 

1  j 

3,287 

286 

853 
1,  497 
175 
23 
1H 

1 
2 

o 

3 
2 

13 
1 

6 
o 

11 
5 

1 

192 

213 

191 

32 

131 

1,662 

2 

oo 

160 

142 

172 

135 

1,706 
44 
863 

4,850 
211 
505 
462 
190 
182 

44 
18,  593 
10,635 

4,  407 

170 

497 

J,C49 

1,023 
75 

9,025 
71 
251 
18 

2 
1 
1 

38 
17 
87 
19 
9 
5 

1 
47 

40 
121 

3 

15 

607 
23 
62 
74 
24 
13 

2 
1,  914 
1,  052 

224 

3 

320 

7 

209 

1,055 
46 
34 
34 
1 
8 

6 

1,704 
864 
399 

15 

—  >w«J 

17 
38 
33 
30 
15 

0 

1,770 

877 
255 

55 

301 
7 
49 
31 
10 
11 

92 

419 
13 
68 
78 
42 
13 

2 

1 

5 
2 
13 
3 

1 

2 
o 
7 
2 
o 

1 
3 

14 
4 

2 
3 
9 
1 
1 

797 
28 
49 
35 
9 
13 

6 
1,649 
925 
265 

5 
1 
3 
1 

4 
1 
4 
1 

1  i 
7 
1 
1 
2 

1 

1 
1 

1 

7 

1 

9 

1,  750 
854 
196 

5 
6 
4 

1,823 

993 
143 

8 
6 

o 

7 
3 
10 

o 

5 
4 

6 
4 

8 

1 

2 
11 
33 

129 
112 
3 

1,047 

3 

12 
16 

109 
86 

1 

1,  051 
2 
5 

1 

4 
21 

3 

1 
11 
14 

134 
90 
1 

1,  100 
6 
24 
1 

52,218 

4 
20 
46 

138 
94 

3 

28 
46 

148 
78 
1 

864 
7 
29 

8 
1 
31 

811 
28 
4 

1 

87 
1 

4 

61 
1 

64 
7 
1 

o 

69 
3 

127 
100 

0*7 

1 

56 
2 
1 

2 

70 

84 
2 

655 

18 
3 

1,331 
10 
35 

1,221 
15 
13 
3 

10 

1 

1 

2 

40,  666       1,  126 

40,  166 

1,  139     38,  603       1,  210 

51,  059 

1,  504 

1,  397 

60,  974 

1,268 

71,  600 

1,556 

672,  023     18,  94J 

428 


SICKNESS   AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  LXVIL— CENTRAL  REGION— Continued. 


1 

YliAU  

1863 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

355,  509. 

374,  247. 

348,  842. 

374,  465. 

371, 
Cases. 

695. 

LIST  OF  DISEASES. 

Cases.    Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Deaths. 

C7,  396 

29 
75 
1,183 

2,230 

12 

2 

82,  053 

12 
90 
*  1,067 
33 
21 
8 
21 
60 
915 
32 
180 
52 

17 
7 
1,487 
48 
114 
32 

O    7OQ 
/-]  ItSO 

12 
3 

63,  205 

6 

76 
707 
21 
24 
7 
11 
73 
724 

1,  972 

4 
6 

57,  453 

8 
78 
639 
11 
11 
2 
15 
60 
756 
30 
5 
89 

9 
7 
1,259 
35 
42 

1,462 

9 

1 

46,  630 

9 
87 
590 

1,  340 

7 
1 

CLASS    IV.  —  LOCAL    DISEASES. 

ORDER  l.—Diseasts  of  Nervous  System. 

20 
15 
15 

104 
798 
27 
305 
59 

15 
2 
1,479 
18 
96 
25 

3 

17 
6 
1 

4 
22 
6 
4 

3 

14 
4 

28 
10 
6 
19 
74 
768 
35 

20 
11 
1 
1 

10 
6 

3 

'              S. 

0 

13 
6 

o 
11 
4 

35 
55 

105 

14 
15 

2 
5 
3 

1 

ri   ^    '  ^ 

•                 •                  •   n  i 

9 

34 

10 
6 
1,413 
22 

5 

OBDEK  II.—  Diseases  of  Eye. 

1  285 

34 
73 
32 

36 

29 

56 
44 
17 
55 
156 

1 

38 
9 
1 
5 
1 
3 
72 
42 
7 

100 
1,364 
282 
2 

22 

OIIDEU  III.—  Diseases  of  Ear. 

4 
77 

20 

34 
97 
17 
112 
393 

1 
59 
9 
3 
23 
4 
6 
130 
77 

14 
54 

39 

35 

9 
6° 

16 
54 
192 

90 

287 

1 
52 
2 
8 
9 
3 
2 
89 
62 

72    Other  Diseases  of  this  Order  

234 

2 

23 
6 
3 
7 
4 
4 
88 
42 

OUUEU  IV.  —  Diseases  of  Organs  of  Circulation. 

1 
15 
3 
1 
2 
2 

1 
5 

1 
2 

1 
12 
2 

1 
44 
5 
5 
20 
5 

19 
4 
6 
o 

9 
3 

I 

1 

74 
41 
10 

106 
2,015 
340 
o 

0*7 

81.  Varicocole  

11 

56 
747 
249 
7 
36 
113 
320 
254 
60 
L23 

1,102 
1,750 
723 
7 
92 
457 
1 
30 
°6 

5 

12 

105 
783 
274 
11 
30 
108 
298 
257 
58 
127 

1,262 
1,668 
821 
15 
J21 
433 

4 

9 

94 
794 
215 
o 

29 
137 
334 
238 
53 
145 

983 
1,246 
403 
4 
84 
360 
1 
65 
36 

o 

3 

3 

1 
9 
3 
1 

OUDEU  V.  —  Diseases  of  Respiratory  Organs. 
83.  A  sthma  

84.  Acute  Bronchitis  

3 
11 

5 

10 

3 
5 
2 

1 
4 

86.  Dropsy  of  Chest  

87.  Hsemon  hago  from  Nose  

1 
1 
51 
2 
3 
5 

2 

10 
1 
9 

1 

3 

70 
6 
3 
1 

1 
9 

1 

69 

2 
2 

1 
1 

145 
537 
310 
53 
31G 

868 
1,081 
190 
3 
64 
337 

1 
83 
3 
2 
4 

1 

279 
855 
406 
72 
604 

681 
1,  329 
158 
5 
08 
309 

3 

146 
6 

3 

89.  Inflammation  of  Luugs  

90.  Inflammation  of  Pleura  

91.  Haemorrhage  from  Lungs  ... 

92.  Other  Diseases  of  this  Order  

OUDEB  VI.  —  Diseases  of  Digestive  Organs. 
93.  Colic  

94.  Constipation  

1 
1 

95.  Cholera  Morbus  

9fi.  Cirrhosis  of  Liver  

1 
3 

1 

97.  Dropsy  from  Hepatic  Disease  

2 

3 

1 

98.  Dyspepsia  

'J9.  Diseases  of  Pancreas  

100.  Diseases  of  .Spleen  

35 
39 
225 
!          13 

1 

07 

29 

101.  Fistula  in  Ano  

oo 

102.  Hernia  

205 
5 

1 

207    '        198 

8              1             11 

2 

236 

8 

1 

IU',5.  Hicinorrlia<re  from  Stomach  

Carried  forward 


78,826  '     2,447     93,909       2,926     72,507       2,129 


DURING   THE   YEAR   ENDING   JUNE   30,  1864. 


429 


TABLE  LXVIL— CENTRAL  REGION— Continued. 


18<>3. 

18G4. 

DECEMBER. 

JANUAUT. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

400,319. 

386,  597. 

396,  175. 

421,  506. 

418,  882. 

413,  529. 

399,  098. 

388,  410. 

50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 
61 

62 
63 
64 
65 
66 
67 

68 
69 
70 
71 
72 

73 

74 
75 
76 
77 
73 
79 
80 
81 
82 

83 
84 
85 

eo 

fi7 
88 
89 
9G 
91 
92 

93 

94 
95 
96 
97 
08 
99 
100 
101 
102 
103 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

40,  666 

9 

76 
5G8 
16 
22 
5 
22 
54 
840 
35 

1,126 
10 

40,  166 

12 
100 
G86 
21 
19 
9 
13 
57 
848 
27 
6 
34 

17 
17 
1,390 

1,139 

7 
3 

38,603 

6 
96 
579 
17 
25 
3 
15 
56 
752 
17 
1 
27 

15 
7 
1,398 
28 

1,210 

8 
6 

51,  059 

10 

108 
768 
18 
20 
12 
18 
79 
861 
30 
3 
21 

19 
5 
1  522 

1,504 

5 
3 

52,  218 

12 
109 
790 
25 
14 
13 
14 
98 
978 
25 
7 
23 

16 
8 
1.C22 

1,397 

11 
6 

60,  974 

8 
127 
1,113 
27 
18 
13 
10 
50 
942 

1,268 

4 
7 

71,  COO 

12 
105 
1  289 

1,556 

10 
6 

672,  023 

133 
1,  127 
9,979 
270 
215 
120 
196 
840 
10,  190 
361 
978 
550 

196 
102 
17,580 
396 
1  074 

18,  941 

99 
40 

1 
23 
7 
8 
2 

1 

29 
28 
7 

1 

22 
17 
3 
1 

33 

16 
27 
13 
75 
1,002 
43 
264 
63 

30 

1 
22 
18 
3 
1 
1 
1 
6 
6 

14 
3T1 

100 
42 
12 
3 
27 
38 
66 

31 
21 
5 
4 
1 
2 

33 
20 
4 

28 
16 
4 

1 
3 

8 

2 

2 

1 
7 

25 
152 
9 

19 
11 
1,768 
41 
239 
16 

2 
2 
1 

34 

15 
8 
1,213 
33 

18 
28 

20 
68 
9 
76 
197 

41 
9 
3 
13 
3 
5 
63 
50 
18 

77 
2,452 
425 
7 
16 
289 
1,179 
509 
66 
611 

587 
1,  297 
14-2 

44 

307 

3 

3 

3 

16 

9 
1,744 
31 
190 
40 

31 
41 
41 

47 
56 
19 

28 
109 
29 

•    60 
14 

332 

167 
865 
256 

1 

66 

22 

52 

106 

29 

91 
43 
147 
89 

0 

52 
9 
2 
21 
6 

117 
48 
21 

81 
1,881 
363 
6 
22 
267 
1,  350 
5ti5 
59 
521 

630 
1,  690 
121 

39 
321 
1 

75 
32 

100 
25 
107 
56 

1 
76 
9 

0 

10 
5 

1 

17 
112 
129 

150 

182 

175 
145 

1 
41 
3 
5 
17 
2 
7 
100 
43 
12 

84 
3,034 
485 
7 
40 
422 
2  223 
5t« 
80 
659 

553 

1  749 

105 
86 

1 
60 
4 
4 
10 
14 
o 

109 
74 
3 

80 
1,191 
211 
8 
44 
173 
807 
405 
68 
134 

1,023 

1,887 
282 
o 

1  245 

2,146 

16 
582 
74 
41 
175 
53 
33 
1,  123 

2 

4 
o 
o 
2 

3 

52 
4 
2 
20 
o 

1 

78 
37 
3 

115 
2,919 

383 
4 
28 
321 
1,800 
733 
92 
814 

585 
1,426 

1 

8 
4 
1 
8 
5 

1 
10 
5 
1 
2 
1 

7 

no 

30 
14 
39 
19 
2 

3 

38 
5 
3 
20 
4 
1 
91 
33 
6 

83 
2,439 
355 
3 

300 
1,516 
518 
56 
486 

458 
1  413 

6 
3 

7 
2 

7 

1 
1 
6 
2 

1 

3 
3 

1 

11 
4 

1 

92 

43 
7 

75 
1,017 
230 
8 
36 
134 
535 
363 
92 
71 

1,208 
2,501 
466 
3 
53 
504 

2 

2 

1 
15 
11 
3 

5 

2 

: 

8 
11 

4 

1 
5 
11 

1 

119 

1,056 
20,  636 
3,818 
67 
352 
2,  088 
11,814 
5,  2UO 
809 
4,611 

10,  060 
19,  037 
3,  516 
59 

4,440 
4 
351 
383 
2,742 
90 

38 

7 
124 
109 
10 
3 
29 
2,929 
142 
41 
88 

M 
1 
39 
4 
44 
JO 

3 

9 
10 

7 
12 
2 

40 
13 

19 
8 
1 

1 
3 

298 
13 
1 
5 

2 

1 
3 

652 
34 
8 
25 

1 
197  ; 
5 
4 
3 

1 

4 
376 
19 
3 
14 

3 

3 

564 
21 
5 

18 

1 

3 

270 
21 
5 
4 

2 

3 

153 
10 
3 
4 

1 

10 

1 
1 
o 

2 

81 
4 
48 
408 
1 
33 
41 
209 
1 

I 

55 
9 
43 

285 

74 
3 
38 
352 

1 
1 
3 
1 

o 

3 

1 
1 

3 
1 

5 

1 

56 
367 

4 

2 

29 
32 

1 

17 
31 
189 
12 

1 

18 
32 

216 
6 

27 
33 

16 
28 
301 
8 

3 

.,g 

1 

1 

1 

2-17 
6 

1 

283 
7 

7 

1  : 

1 

1 

52,  507 

1,444       54,209 

1,  580 

50,  520       1,  757 

66,  018       2,  409 

65,  023 

2,152 

73,351 

1,085 

si,.-.- 

I,--'1' 

816,634     23,  590 

430 


SICKNESS    AND    MORTALITY   OF    WHITE    TROOPS 


TABLE  LXVIL— CENTRAL  REGION— Concluded. 


YE  AU  

1863. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

'                 I  lie  LXVI) 

353,  509. 

374,  247. 

348,  842. 

374,  465. 

371,  695. 

MEAN  bTRE>GTI  ,  (no  me  u  i  g 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.  !  Deaths. 

Cases. 

Deaths. 

Br  u  lit  for    ard 

78,  826 

318 
102 
104 
8 
106 
153 
604 
841 
83 

32 
13 

23 
10 
19 
125 
40 
35 
13 
13 

7 
6 
43 
1 
15 
12 

2,447 

6 
3 

9 
22 
6 
7 
7 
17 

93,  909 

64 

307 
102 
83 
13 
196 
147 
637 
882 

2,926 

9 
3 
15 

O"7 

4 
12 
3 
10 

72,  507 

41 
290 
95 
60 
32 
154 
146 
671 
853 
76 

40 
9 
10 
3 

2,129 

5 
3 
12 
24 

5 
9 
7 

66,  977 

50 

»>OO 

65 
48 
8 
115 
114 
659 
818 
74 

24 

1,  028 

2 
1 
13 

14 

7 

4 
6 

57,  899 

14 
649 
37 
42 
9 
136 
91 
592 
717 
55 

26 

1,574 
4 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

.      ffiinorr  age   lorn       w 

1U"-'    "  1                °                  ch 

6 
10 
5 
4 
1 
o 

.    u  amma  ion 

no'  rh^6'  ^i  'lmmJl    iou  of  Liver 

'     ro"!c 

7 

129 

35 
11 

3 

o 

1 

1 

3 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

1 
3 

1 
1 

9 
31 

31 
12 
3 

20 

1 

2 

3 

15 
135 
37 
41 
11 
15 

12 

11 

104 
29 
48 
13 
14 

7 
12 

3 

138 
53 

42 

4 

4 
1 

106 
39 
33 
16 
8 

14 
6 
48 
4 
16 
14 
6 

576 
1,006 

76 
166 
215 

185 
436 
18 

122    Hydrocele                                .            ..         ..... 

19 

25 

9 
22 
46 
7 
18 
12 
3 

931 
1,713 
105 
266 
236 

136 
416 

18 

123    Other  Diseases  of  this  Order 

1 

1 

ORDER  VIII.  —  Diseases  of  Hones  and  Joints. 

13 
36 
2 
15 
9 
8 

608 
1,259 
87 
155 
133 

85 
470 
8 



2 
24 

1 

1 

1 

5 

11 
6 

618 
J  088 

1 

1 

130.  Other  Diseases  of  this  Order 

ORDER  IX.  —  Diseases  of  Integumentary  System. 

695 
1  509 

4 

1 

3 

2 

132.  Boils  ... 

!  133.  Carbuncle  

130 

201 
187 

126 

79 
148 
144 

108 
436 
8 

1 

134.  Whitlow  

135.  Skin  Diseases  

CLASS    V.     WOUNDS,   ACCIDENTS,   AND 
INJURIES. 
ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
136.  Burns  

4 
2 
4 
23 

3 

2 
4 
7 

11 
2 

137.  Contusions  

400 
14 

138.  Concussion  of  Brain  . 

1 
12 

3 

139.  Drowning  

8 

140.  Sprains  

359 
34 
47 
9 
1,270 
128 
08 
49 
47 
51 

416 
35 

3'36 

405 

479 
22 

141.  Dislocation  

16 

59 
27 
8,396 
89 
131 
48 
20 
50 

I  142.  Simple  Fractures  

3 
3 

451 

4 
3 

55 
6 
454 
169 

97 
51 
80 
64 

1 
15 
137 
2 
3 
1 
1 
14 

5 
1 

1 
7 
324 

51 
12 

806 
1C9 
48 
58 
12 
63 

60 
22 
5,090 
163 
64 
46 
13 
37 

1 
5 

497 

143.  Compound  Fractures    . 

6 
556 
1 

4 

144.  Gunshot  Wounds.   . 

145.  Incised  Wounds  

146.  Lacerated  Wounds  .  . 

1 

147.  Punctured  Wounds  

3 

148.  Poisoning  

2 
14 

1 

149.  Other  Accidents  and  Injuries 

24 
o 

11 
1 
1 
1 

4 
2 
1 
3 

150.  ORDER  II.—  Homicide... 

151.  ORDER  III.—  Suicide  

8 
1 

152.  ORDER  IV.—  Execution  of  Sentence 

Total  

102,  222 

87,  319 

87,  OG7       3,  061 

3,237 

2,  578 

74,  007 

2,287 

69,  317 

2,  152 

DURING    THE    YEAR    ENDING    JUNE    30,  1804. 


431 


TABLE  LX VII.— CENTRAL  REGION— Concluded. 


1803. 

1H(>4. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MAUCH. 

Al'RIL. 

MAY. 

JUNE. 

TOTAL. 

400,  319. 

386,  597. 

396,  175. 

421,  566. 

418,  882. 

413,  529. 

399,  098. 

388,410. 

104 
103 
10G 
107 
1(18 
109 
110 
111 
112 
113 

114 
115 
116 
117 

118 
119 
120 
121 
122 
123 

124 
125 
126 
127 
128 
129 
130 

131 

133 
134 
135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
146 
147 
148 
149 

150 
151 
152 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases   !  Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

52,  567 

8 
724 
G3 
55 

123 

88 
52-1 
747 
64 

40 
12 
17 

116 

28 
37 
9 
9 

16 
23 
47 

22 
14 
4 

549 
928 
87 
ICG 
265 

130 
436 
10 

1,444 
1 

54,  209 

38 
837 
87 
41 
9 
101 
75 
3G7 
613 
73 

32 

1,580 

o 
o 
9 
9 
6 
2 
4 
1 

50,  520 

15 

905 
75 
38 
26 
131 
92 
299 
504 
44 

44 
19 
22 
5 

29 

1,757 

66,  018 

19 
1,235 

85 
49 
18 
137 
86 
345 
617 
54 

37 
11 
13 
4 
37 
115 
38 
49 
*«i3 
16 

8 
17 
49 
o 

2,409 

65,  023 

13 
922 
86 
53 
9 
116 
111 
320 
660 
80 

33 
11 
13 

2,152 

3 

o 

8 
14 
10 
3 
3 
2 

73,351 

45 
607 
85 
59 
11 
141 
90 
408 
785 

1,685 

1 
1 
9 
14 
12 
5 
2 
3 

84,  828 

30 
445 
97 
83 

142 
105 

472 
864 
108 

49 
7 
18 

1,859 

3 

2 

8 
8 
5 
2 
o 
3 

816,  634 

429 
7,007 
979 
721 
1G2 
1,658 
1,208 
5,  958 
8  901 

23,  590 

36 

19 
99 
173 

69 

50 
56 

1 
3 

8 
4 
4 
6 

1 
3 
9 
6 
6 
2 
1 

4 
14 
o 

7 
4 

3 

1 

1 
1 

80 

46 
8 
8 
3 
31 
105 
28 
45 
17 
21 

5 
7 
36 
6 
7 
9 
2 

585 
948 
67 
150 

1 

4 

920 

443 
154 

202 
40 
298 

**4 

i 

6 
21 

1 
4 

14 
14 

2 
2 

1 
2 

2 

1 

26 

41 
145 
32 
44 
11 
11 

11 
13 
35 

00 

4 

1 

137 
40 
57 

2 

112 
31 
34 
17 
11 

7 
14 
35 

2 

3 
1 

4 

3 

185 

5 

1,525 
423 

506 
180 
175 

120 
171 
400 
41 
199 
137 
82 

6,886 
13,  361 
1,069 
2  139 

34 
4 

41 
16 
20 

6 
18 
21 
3 
9 
9 
33 

574 
1,267 

15 
12 

18 
20 
35 
4 
26 

1 
1 

1 

7 

1 

1 

2 

1 

1 

2 
1 
2 
1 
4 
2 

31 

1 

6 
18 
11 
6 

356 
794 
82 
144 
409 

155 
426 
11 

2 

11 
12 

1 

18 
16 
2 

422 
949 
70 
201 
423 

119 

471 
8 

1 
1 

8 
10 

426 
900 
92 
196 

1 

2 

546 
1,000 
86 
190 
716 

111 
565 
11 

2 

1 

3 

1 

4 

5 

1 

1 

108 
156 
762 

122 

3 

442 

700 

4,654 



182 
475 
8 

2 
1 
3 
13 

1 
1 
3 

37 

1 
2 

0 

11 

124 
672 

25 

1,583 
5,908 

165 

20 
2G 
210 
1 
1 
8 
7G 
3.9C8 
15 
19 
19 
12 
147 

29 
34 
10 

2 
o 

10 

6 
4 

20 

705 
26 

2 

17 

29 

556 
32 
46 
11 
538 
203 
66 
45 
31 
149 

582 

582 

695 
34 
58 
8 
371 
230 
68 
62 
10 
92 

664 
50 

647 
32 

525 
32 
50 
109 
7,421 
191 
130 
66 
98 
112 

1 
1 

6,  24G 
3!>3 
6-16 
30G 
37,848 
2,  135 
1,016 
5i>8 
420 
1.66C 

45 

39 
65 
14 
648 
175 
82 

52 
12 

418 
219 
76 
44 
30 
758 

1 
6 
94 
1 
1 
4 

50 
9 
2,489 
223 
64 
37 

56 

1 
4 
149 
1 
2 
1 
o 

12 
o 

53 
67 
9,887 
176 
122 
54 
45 
91 

2 
333 

7 
159 
3 

3 

98 
3 

7 
450 

11 

720 

1 
2 

1 
9 

3 
1 

2 

1 
14 

2 
1 

1 

1 
1 
12 

3 

1 

38 
8 
143 

2 
3 

11 

2 
1 

1 
16 

4 
7 
1 

6 
2 
3 

6 
1 

59,  645 

1,862 

61,  875 

1,830 

57,  241 

1,932 

73,  409 

2,610 

74,  720 

2,403 

90,  513 

2,262 

100,  125 

2,691 

9.T7,  4GO 

28,  905 

SICKNESS,    ETC.,    DURING   THE   YEAR   ENDING   JUNE   30,  1804.  433 


PACIFIC   REGION. 

The  reports   from  the  Pacific  Region  have  been   consolidated  into  two  tables,  as 
follows : 

1.  The  Department  of  New  Mexico     -  -     Table  LXVIII. 

2.  The  Department  of  the  Pacific  -     Table      LXIX. 

To  these  are  added — 

3.  A  consolidated  table  for  the  Pacific  Region      -  -     Table        LXX. 

1.  THE  DEPARTMENT  OF  NEW  MEXICO — TABLE  LXVIII, 

This  table  embraces  the  reports  received  from  stations  in  New  Mexico  and  Colorado. 
January  1st,  1864,  Colorado  Territory  was  transferred  to  the  Department  of  Kansas. 
This  change,  however,  has  been  disregarded  in  the  construction  of  the  table. 

2.  THE  DEPARTMENT  OF  THE  PACIFIC — TABLE  LXIX. 

This  table  includes  the  reports  received  from  all  stations  west  of  the  Rocky  Moun 
tains  which  are  not  embraced  in  the  Department  of  New  Mexico. 


This  table  is  prepared  by  consolidating  Tables  LVI,  LXVII,  and  LXX. 


55 


434 


SICKNESS   AND   MORTALITY   OF   WHITE   TKOOPS 


TABLE  LXVIIL 

Abstract  of  the  Sickness  and  Mortality 


YE  AU  

1863. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

3,  569. 

3,  961. 

3,  194. 

3,  647. 

4,  004. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS    1.—  ZYMOTIC    DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

1 

1 

8 

' 

7 

2 

1 

1 

4 

27 
9 
6 
1 
1 
74 
8 
19 
3 
5 

31 

8 
7 

32 

69 
14 
6 

91 
10 

1 

23 

1 

6.  Quotl  mn    n  em  ' 

.  Quartan^  n 

2 
53 
12 

1 
1 

1 

in'  *Tnges  lve  ,"  e 

99 
3 
34 
4 

89 
8 
24 

57 
2 
8 
3 
2 

r°     •    IT- 

'     l  ° 

1 

13 

4 

1 

'     cu  °.   ^        y 

4 
3 

'            °    ys       ^ 

17    Scarlet  Fever                              -                    

34 
5 

30 
C6 
9 
4 

12 
12 

45 
49 
13 
1 

33 

7 

38 
51 
7 
4 

45 

12 

53 
32 

55 
6 

35 
55 
11 
1 

1 

ORDER  II.  —  Enthetic  Diseases. 
22    Syphilis 

24    Orchitis                                  

7 
D 

2 
1 

8 

28   Other  Diseases  of  this  Order 

1 
9 

3 

6 

ORDER  III.  —  Dietic  Diseases. 
29.  Scurvy  

1 

1 

30.  Purpura  

31.  Delirium  Treinens  

6 

24 

2 
4 

2 
4 

2 

6 

33.  Chronic  Alcoholism  

34.  Other  Diseases  of  this  Order  

1 

CLASS    II.—  CONSTITUTIONAL    DISEASES. 
OKDEH  I.  —  Diathetic  Diseases. 
35.  Gout  

36.  Acute  Rheumatism  

37 
19 

1 

30 
15 

33 

14 

52 
19 

23 

51 

37.  Chronic  Rheumatism  

38.  Ansemia  

39.  General  Dropsy  

40.  Cancer  

3 

1 

3 

41.  Tumors  

o 

42.  Other  Diseases  of  this  Order  

2 

1 
2 

ORDER  II.  —  Tubercular  Diseases. 
43.  Consumption  

1 

2 
2 

1 

44.  Scrofula  

1 

1 

45.  Other  Diseases  of  this  Order  

CLASS    III.  —  PARASITIC    DISEASES. 
46.  Itch  

1 
1 

1 

47.  Tape-worm  

1 

48.  Other  Int.estinal  Worms  

49.  Other  Diseases  of  this  Order  

2 

Carried  forward  

413 

1 

380 

1 

393 

1 

412 

4 

434              1 

DURING    THE    YEAR   ENDING    JUNE    30,  1864. 


435 


TABLE  LXVIII. 

of  the  Department  of  New  Mexico. 


1H03.                                                                                          1804. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE.                  TOTAL. 

3,  883. 

4,  460. 

4,  802. 

4,  893. 

5,  483. 

4,  504. 

4,  108. 

4,224. 

Cases. 

deaths. 

Cases. 

deaths. 

Cases. 

>6!4thS. 

Cases. 

>eaths. 

Cases.  ]  Deaths. 

^ases. 

Deaths. 

}ases. 

Deaths. 

Cases. 

Deaths. 

1 

3 
4 
5 

6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
10 
17 
18 
19 
20 

22 
24 

20 
27 

28 

29 
30 
31 
32 
33 
34 

35 

30 
37 
38 
39 
40 
4 

1 

4 

1 

o 

1 

2 
1 

17 
1 
19 

4 

0 

1 

1 

1 

1 

18 
14 
2 

15 

C 
8 
4 
1 
1 
30 
1 
9 
3 

14 
10 
6 
4 

10 
39 
3 
4 

15 
34 
2 

11 
23 

339 

204 

1 

14 
3 
2 
36 
5 

53 

13 
6 
610 
54 
148 
24' 

1 

3 

1 
4 
1 

30 
2 
3 

23 

40 
3 

15 

42 
3 
4 
1 
3 

31 
5 
2 

2 

0 

2 

1 

1 

11 

2 
4 

2 

1 

1 

3 

24 

1 

] 

1 

9 

2 

12 
1 
1 
9 
696 
90 

544 
719 

08 

1 
1 
17 
1 

51 
68 
9 
o 

8 
11C 

7 

53 

7 

39 
50 
0 

81 
8 

30 
49 
6 
1 

84 
9 

45 
44 
5 

124 

42 
5 

08 
98 
7 

1 

11 
52 

2 

52 
88 
6 
3 

09 
12 
1 

1 

1 

2 

10 
127 

1 
4 

3 
3 

1 

3 

29 

3 

15 

40 

0 

5 

2 
6 

1 

2 
9 

1 

4 

8 
7 

8 
5 

1 

3 

10 

38 

87 

o 

10 

1 

27 
34 

34 
30 

34 

21 

1 

22 
31 

27 
29 

1 

24 
17 

31 
9 

374 

289 

0 

1 

7 
7 
9 

8 
15 

1 

1 

1 

2 
2 

2 
2 

1 
2 

42 

4 
4 
4 

4 
4 
4 
4 

1 

1 

1 
3 

1 
2 

1 

1 

1 

1 

2 

3 

1 
1 
1 

3 

5 
1 
8 

1 

1 

3 

3 

311 

4 

332 

3 

357 

4 

472 

494 

3 

383 

1 

323 

2 

4,704 

25 

436 


SICKNESS   AND   MORTALITY    OF   WHITE   TEOOPS 


TABLE  LXVIII.— DEPARTMENT  OF  NEW  MEXICO— Continued 


YUAU  

1863. 

MOXTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MBAN  STBENGTU  

3,569. 

3,  961. 

3,  194. 

3,  6-17. 

4,004. 

LIST  OP  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

413 

1 

380 

1 

393 

1 

412 

4 

434 

1 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.—  Diseases  of  Nervous  System. 

1 
9 

1 
5 

1 
3 

2 

1 

2 

4 

1 

r> 

5 

1 

.                           , 

1 

*              S          % 

6 

2 

1 
2 

9 
1 

^  

5 

7 

1 

*          6U          ff. 

1 

' 

4 
1 

1 

2 

ORDER  II.  —  Diseases  of  Eye. 

63   Cataract                            

12 

24 

14 

13 

7 
2 

20 

1 

4 

ORDEH  III.—  Diseases  of  Ear. 

3 

1 

1 

3 

2 

4 

1 

2 

OUDER  IV.  —  Diseases  of  Organs  of  Circulation. 

1 
1 

1 

0 

2 

1 

82.  Other  Diseases  of  this  Order       

4 

1 

1 

30 
1 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
83.  Asthma  ... 

1 
5 

2 
11 

2 

6 
G 
4 
1 
1 
2 
2 
4 

84.  Acute  Bronchitis    .                         

5 

86.  Dropsy  of  Chest  ...                

87.  Haemorrhage  from  Nose  

1 
1 
4 
1 

88.  Inflammation  of  Larynx 

4 
2 
5 
2 

89.  Inflammation  of  Lungs  

1 

2 
7 

1 

1 

90.  Inflammation  of  Pleura 

5 
1 
7 

3 

84 
7 

91.  HsBinorrhage  from  Lungs  

92.  Other  Diseases  of  this  Order 

1 

5 
57 

ORDER  VI.—  Diseases  of  Digestive  Organs. 
93.  Colic  

6 
C6 
1 

5 

59 

9 
48 
1 

94.  Constipation  

95.  Cholera  Morbus  

96.  Cirrhosis  of  Liver  

97.  Dropsy  from  Hepatic  Disease  

98.  Dyspepsia  

5 

9 

11 

6 

14 

99.  Diseases  of  Pancreas  

100.  Diseases  of  Spleen  

101.  Fistula  in  Ano  

1 

102.  Hernia  

2 

1 

1 

2 

103.  Haemorrhage  from  Stomach  

Carried  forward  

583 

2 

525 

1 

518 

2 

545 

6 

630 

2 

DURING   THE    YEAR   ENDING   JUNE    30,  18G4. 


437 


TABLE  LXVIIL— DEPARTMENT  OF  NEW  MEXICO— Continued. 


18(>3. 

1804. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

Al'RIL. 

MAY. 

JUNE. 

TOTAL. 

3,683. 

4,  460. 

4,  862. 

4,  893. 

5,  483. 

4,564. 

4,  168. 

4,  224. 

50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 
61 

62 
63 
64 
65 
66 
67 

68 
69 
70 
71 
72 

73 

74 
75 

76 
77 
78 
79 
80 
81 
82 

83 
84 
85 
86 
87 
88 
89 
90 
91 
92 

93 
94 
95 
96 
97 
98 
99 
100 
10 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

311 

4 

332 

3 

357 

4 

472 

494 

3 

383 

1 

323 

2 

4,704 

25 

1 
1 
1 

3 
o 

1 

1 
6 

13 
44 
5 
1 
1 
2 
5 
70 
6 

9 
1 

5 

2 

2 
1 

1 

1 

1 

1 

1 

3 

4 

2 
6 

.5 
1 

3 

10 

8 
2 

5 

1 

2 

1 

1 

14 

14 

14 

20 

17 

9 

11 

182 
9 
2 
23 

1 

1 

5 

1 
5 

1 

3 

1 

4 

5 

1 
2 

1 
2 

1 
o 

3 

1 

o 

2 
2 

6 
8 
11 

1 
3 

1 

1 

1 

1 

1 

1 
1 

1 

2 
1 

3 

1 

1 

12 
4 

3 

1 

1 

3 
2 
9 

16 
139 
13 
1 
4 
31 
ti3 
61 
6 
103 

74 
581 
16 

1 

2 

0 

1 

1 

13 
3 

1 

1 
7 
1 

1 

28 

1 
9 

11 

7 

7 
2 

1 
1 

7 
2 

1 

6 
9 
5 

1 
1 

6 
40 
1 

1 
4 
6 

3 

5 
5 

1 

o 

3 
9 
12 

1 
1 

5 

15 

8 

5 
4 
1 

o 

14 

2 

5 

1 

2 
'> 

32 

7 
46 

1 

22 

3 

45 

4 

11 
•27 

1 

2 

7 
40 
4 

2 

10 
29 

n 

40 
2 

1 

7 

3 

8 

1 

4 

94 

1 

6 

4 

4 

1° 

8 

1 
3 

1 

1 

4 

:s 
i 

102 
103 

1 

3 

1 

483 

6 

463 

5 

457 

9 

609 

2 

622 

8 

508 

5 

441 

3 

0,364 

a 

438 


SICKNESS   AND   MORTALITY   OF   WHITE   TROOPS 


TABLE  LXVIIL— DEPARTMENT  OF  NEW  MEXICO— Concluded. 


YEAK  

1863. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

3,  569. 

3,  961. 

3,  194. 

3,  G47. 

4,  004. 

MEAN   £>1 

LIST  OF  DISEASES.                                   Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

a 

583 

S 

525 

1 

518 

2 

545 

6 

C30 

2 

ORDER  VI.  —  Diseases  of  Digestive  Organs—  Continued. 

8 

11 

C 

15 

13 

7 

1 

1 
1 
1 
1 
5 
8 
3 

1 

1 
2 

1 

3 
3 

4 
6 
4 

1 

o 

3 

2 

6 
9 

1 

1 

44 
8 
1 

3 

6 
2 

1 

ORDER  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

3 

3 
1 

1 

1 

2 

1 

1°2    Hydrocele    

1 

1 

1 

8 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 
124    Anchylosis  

125.  Caries  

127.  Inflammation  of  Bones  -  -  

2 

130.  Other  Diseases  of  this  Order  

1 

19 
2 
2 

ORDER  IX.  —  Diseases  of  Integumentary  System, 
131.  Abscess  

11 

19 
4 

13 

5 

9 
2 

132.  Boils  

133.  Carbuncle  

134.  Whitlow  

1 
6 

1 

1 

4 
3 

1 
2*> 

135.  Skin  Diseases  

1 

4 

4 

°8 

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
136.  Burns  

137.  Contusions  

26 

23 
1 

138.  Concussion  of  Brain  

1 

133.  Drowning  

140.  Strains  

11 

22 

17 

19 

19 

141.  Dislocation  

142.  Simple  Fractures  

2 

1 

3 

1 

3 

143.  Compound  Fractures  

144.  Gunshot  Wounds  

20 
11 
15 
2 
3 
3 

3 
2 

5 
8 
9 
6 
18 

1 
1 

4 
7 
14 
2 
3 

3 
4 
19 
5 
1 

1 

3 

9 
8 
4 
1 
5 

145.  Incised  Wounds  

146.  Lacerated  Wounds  

147.  Puncturnd  Wounds  

148.  Poisoning  

149.  Other  Accidents  and  Injuries  

1 

150.  ORDBR  II.  —  Homicide  

151.  ORDER  III.—  Suicide  

152.  ORDEK  IV.  —  Execution  of  Sentence 

Total  

741 

7 

676 

3 

649 

3 

689 

7 

800 

3 

DURING   THE    YEAR   ENDING    JUNE    30,  1 804. 


439 


TABLE  LXVIII.—  DEPARTMENT  OF  NEW  MEXICO— Concluded. 


18G3. 

1804. 

DECEMBER. 

JANUAUY. 

FEBRUARY. 

MARCH. 

Al'KIL. 

MAY. 

JUNE.                   TOTAL. 

3,  883. 

4,  460. 

4,  862. 

4,  893. 

5,  483. 

4,564. 

4,168.           |             4,224. 

104 
105 
106 
107 
108 
109 
110 
111 
112 
113 

114 
115 
116 
117 
118 
119 
120 
121 
122 
123 

124 
125 
126 

127 

128 
129 

i:iO 

131 
132 
133 
134 
135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
140 
147 
148 
149 

150 
151 
152 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

483 

6 

463 

5 

457 

9 

609 

2 

622 

8 

508 

5 

441 

2 
9 
3 

3 

6,384 

o 
155 
34 
5 
4 
19 
10 
78 
85 
27 

6 

1 
1 

51 

20 

19 

15 
2 

13 
6 
3 

00 

8 
1 
1 

1 

10 

1 

2 

1 
1 
1 

1 
2 

1 

2 

1 
1 
4 
12 

1 

1 

1 

1 

1 

1 

I 

4 

12 
6 
2 

1 
9 

C 
3 

9 
3 

3 

3 
6 

3 

1 
1 

1 
1 

1 
13 
5 

1 
1 

27 

1 

1 

1 

1 

1 

1 

* 

4 

4 

1 

1 

4 

1 

2 

1 

1 

1 

3 
2 

145 
31 
15 
22 

1 

6 
6 

18 
2 
3 

5 
3 
1 
3 

8 

13 
1 
1 
3 

14 

8 

1 
1 

10 
4 
1 
4 
7 

1 
2 
2 

8 

3 

17 
o 

5 

71 

14 
256 
4 

3 

DO 

31 

°7 

13 

13 
1 

1 

1 

1 

17 

9 
2 
2 

9 
4 
2 

19 
1 
3 

11 

6 

7 

]66 
9 
26 

2 



2 
1 
7 
5 

1 

4 

1 

80 
89 
150 

6 
7 
16 
5 

1 

4 
9 

12 
8 

•     4 

6 
9 

3 

4 
9 
3 
1 
1 

11 
7 
13 

2 

11 

3 

9 
7 

0 

8 

1 

38 
38 
44 

1 

1 

10 
4 

1 

13 

11 

3 

3 

652 

7 

603 

5 

589 

10 

758 

6 

738 

13 

603 

5 

568 

5 

8,06(5 

74 

440 


SICKNESS   AND   MORTALITY    OF   WHITE    TEOOPS 


TABLE  LXIX. 

Abstract  of  the  Sickness  and  Mortality. 


YEAR  

1863. 

MONTH  

JULY. 

AUGUST.       j     SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

5,  599. 

c    OQQ 
O,  ^Oo. 

6,  294. 

5,  930. 

5,  985. 

LIST  OF  DISEASES. 

Cases.    Deaths.  '.  Cases. 

Deaths.    Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS   L—  ZYMOTIC   DISEASES. 
OUUER  I.—  Miasmatic  Diseases. 

3 

3 

1 

8 
1 

4 

1 

2 

19 
86 
19 
3 

0 

16 
98 
31 
1 

33 

108 
97 
9 

39 
100 
110 
6 
o 

25 
111 
32 
1 
o 

136 
17 
10 
1 
o 

84 
13 
11 
1 
2 

89 
6 
18 

93 
2 
16 

59 
7 
8 
o 

1 

o 

1 

4 

1 

2 

10 

~         . 

1 
6 
9 

5 

8 

9 

'    * 

p 

8 
2 

83 
83 
5 
1 

19 
o 

32 

172 

11               •                      t  fh-      f\   A 

o 

ORDER  II.  —  Enthetic  Diseases. 

87 
68 
4 
2 
3 
1 
1 

88 
70 
6 
2 

S7 
76 
12 

82 

74 
10 

o 

1 

6 

2 

1 

3 

1 
1 
3 
19 
3 

2 

ORDER  III.  —  Dietic  Diseases. 
gg    Scurvy 

7 
26 
7 

8 
18 
2 

5 

17 

5 

18 

1 

34    Other  Diseases  of  this  Order 

1 

CLASS   II.—  CONSTITUTIONAL   DISEASES. 
ORDER  I.  —  Diathetic  Diseases. 
35.  Gout  

1 
72 

36.  Acute  Rheumatism  

51 
30 
4 

46 
24 
4 

52 
34 
3 

56 
34 
o 

37.  Chronic  Rheumatism  

31 
1 

38.  Anaemia  

39.  General  Dropsy  

40.  Cancer  

41.  Tumors  

1 

1 
4 

2 
1 

42.  Other  Diseases  of  this  Order  

3 

8 

1 

3 

1 

ORDER  II.  —  Tubercular  Diseases. 
43.  Consumption  

4 
2 

1 

4 

1 

1 

1 

44.  Scrofula  

45.  Other  Diseases  of  this  Order  

CLASS   III.  —  PARASITIC   DISEASES. 
46.  Itch  

2 

1 

47.  Tape-worm  

48.  Other  Intestinal  Worms  

49.  Other  Diseases  of  this  Order  

1 

Carried  forward  

614 

I 

550 

1 

707 

1 

725 

743 

2 

DUEING   TUE    YEAR    ENDING    JUNE   30,  1864. 


441 


TABLE  LXIX. 

of  the  Department  of  the  Pacific. 


1803. 

1864- 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

AritiLr 

MAY. 

JUNE. 

TOTAL. 

6,  291. 

6,  706. 

6,  867. 

5,  984. 

6,539. 

6,  644.                      6,  951. 

0,  256. 

1 

3 

•1 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 

24 
25 
26 

28 

29 
30 
31 
32 
33 
34 

35 
36 
37 
38 
39 
40 
41 
42 

43 
44 
45 

4G 

47 
48 
49 

Cases.  [  Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths.    Coses.    Deaths. 

Cases.    Deaths.    Cases.    Deaths. 

Cases.      Deaths,  j 

3 

2 

1 

2 

1 

5 
1 

1 

29 
3 
12 

4 

o 

4 

1 

1 

i 

19 
77 
10 
4 
2 
47 
1 
11 

1 

15 

49 
23 
4 

5 

49 
17 
5 

11 
49 
32 

12 

26 
41 
41 

46 
52 

51 
50 

305 
870 
472 
66 
12 
839 
70 
168 
16 
33 
1 
81 
2 
70 
23 
740 
°4 

39 
5 

21 

16 

o 

62 
5 
9 

32 

43 

1 
16 
2 
1 

43 
6 
33 

60 

91 
5 
5 
o 

2 
11 
3 
G 

1 

20 
1 
2 

5 

4 

3 

21 

16 
1 

8 
1 

115 

0 

8 

7 

11 

o 

4 

1 

15 
1 
173 
o 

94 
62 
9 
3 

o 

10 
1 
64 

1 

11 
7 
44 
4 

1 

1 
4 
30 

4 

92 
42 

2 

3 

oo 

52 

2 

45 
61 
9 
1 
2 

4 

75 
47 
3 
1 

85 
63 
9 
o 

78 
54 
11 
4 

1 

968 
751 
99 
31 
10 
2 
27 

15 

1 
70 
185 
29 
1 

5 

728 
451 
29 

1 

51 
10 
6 

11 
5 
1 

1 

1 

4 

0 

1 

4 

3 

3 
3 

5 

3 

5 
13 
3 

9 
16 
6 

1 

5 
15 

1 

8 
12 
4 

1 

5 
5 
1 

7 
13 
2 

3 
13 

4 

1 

1 

1 

1 
76 
31 

1 
57 
43 
1 

2 
62 

54 
34 
5 

1 

67 
42 

1 

69 
53 
4 

66 
52 

1 

43 

4 

1 

1 

1 

2 

2 
1 
o 

2 
2 

4 

6 

1 

8 
14 

35 
23 
3 

10 
4 
1 
2 

7,338 

2 

2 

1 

1 
2 

3 

1 

1 

1 
1 

1 

3 
5 

1 

1 
1 

1 

7 

1 

1 
1 
1 

3 

1 
1 

1 

1 

075 

4 

628 

-' 

454 

2 

544 

3 

553 

2 

594 

3 

551 

1 

22 

442 


SICKNESS   AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  LXIX.— DEPARTMENT  OF  THE  PACIFIC— Continued. 


YEAR  

1863. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

5,  599. 

5,  283. 

6,  294. 

.5,930. 

5,  985. 

LIST  OP  DISEASES. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths.  : 

614 

1 

550 

1 
3 
16 
2 

1 

707 

1 

725 

1 
1 
5 

743 

o 

CLASS    IV.—  LOCAL    DISEASES. 

OilDER  I.—  Diseases  of  Nervous  System. 

1 

1 
9 

2 
17 
1 

2 
9 
4 
1 
1 

1 

o 

3 

56.  Inflammation  o      pma 

1 
18 

1 

'  *           g^. 

11 
2 
1 
1 

13 
5 

16 

0 

1 

1 

2 

0 

10 
2 

OKDEK  II.  —  Diseases  of  Eye. 

20 
2 
1 
1 

15 

15 
2 

15 

13 

66    Night  Blindness       

1 

1 

3 

ORDER  III.  —  Diseases  of  Ear. 

3 

1 
1 

1 

3 

1 
1 

71.  Otorrhoea  

72.  Other  Diseases  of  this  Order  

1 

7 

3 

OUDER  IV.  —  Diseases  of  Organs  of  Circulation. 

74.  Valvular  Disease  of  Heart  

2 

1 

1 

76.  Dropsy  of  Pericardium  

1 

2 

1 

1 
1 

2 

1 

78.  Inflammation  of  Endocardium  

79.  Inflammation  of  Veins  

80.  Varicose  Veins  

2 

2 

3 

81.  Varicocele  

1 

82.  Other  Diseases  of  this  Order  

2 

2 

3 

82 
9 

ORDER  V.  —  Diseases  of  Itespiratory  Organs. 
83.  Asthma  

1 
37 
5 

o 

2 
69 
°4 

:     84.  Acute  Bronchitis  

25 
8 

34 
15 

;     85.  Chronic  Bronchitis  

86.  Dropsy  of  Chest  

87.  llajmon  hage  from  Xose  

1 
24 

88.  Inflammation  of  Laryux  

7 
4 
10 
1 
2 

9 

76 
5 

9 
4 
9 
2 
9 

16 
7° 

16 
18 
14 
3 
32 

6 
74 
1 

89.  Inflammation  of  Lungs  

1 
o 

10 
16 

1 

4 

;     90.  Inflammation  of  Pleura  

91.  Haemorrhage  from  Lungs 

1 

I 

92.  Other  Diseases  of  this  Order  

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
93.  Colic  

26 
94 
3 

13 
91 
1 

94.  Constipation  

93.  Cholera  Morbus  

4 

96.  Cirrhosis  of  Liver  

97.  Dropsy  from  Hepatic  Disease  

98.  Dyspepsia  

21 

17 

24 

21 

9 

99.  Diseases  of  Pancreas  

100.  Diseases  of  Spleen  

1 
3 
3 

1 

101.  Fistula  in  Ano  

1 
4 

102.  Hernia  

6 

0 

103.  Hemorrhage  from  .Stomach  

Carried  forward  

861 

1          801 

3 

981 

2 

1,074 

3 

1,082 

7 

DURING    THE    YEAR   ENDING    JUNE   30,  1864. 


443 


TABLE  LXIX.— DEPARTMENT  OF  THE  PACIFIC— Continued. 


18133. 

18G4. 

DECEMBEK. 

JANUARY. 

FEHUUAKY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

6,  291. 

6,  706. 

6,  867. 

5,  984. 

6,  539. 

6,  644. 

6,  951.                        6,  256. 

50 
51 

53 
54 
55 
56 
57 
58 
59 
60 
61 

C2 
63 
64 
65 
66 
07 

IV 

69 
70 
71 

72 

73 

74 
75 
76 
77 
78 
79 
80 
81 
82 

83 
84 
85 
86 
87 
88 
89 
90 
91 
92 

93 

94 
95 

96 
97 
98 
99 
100 
101 
102 
103 

Cases.    Deaths. 

Cases. 

Deaths.     Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

675 

1 
2 

y 
i 

4 

628 

1 

o 

454 

o 

544 

3 

553 

2 
1 
6 
1 

2 

594 

3 

551 

1 
1 

7,338 

6 

15 
127 

22 

0 

1 

19  ' 
4 

1 
14 

1 
9 
1 

•5 

1 

6 

17 
2 
4- 
3 
6 
199 
22 
3 
30 

'? 

182 
14 
6 
9 

6 
15 
6 
15 
27 

1 
1 

1 

1 

i 

o 

1 
13 
2 

1 

19 
2 

1 
13 
1 

7 
1 

1 
o 

28 
3 

28 

o 

1 

1 
1 

3 

5 
2 

2 
2 

1 

K 

1 

1 

2 
1 
13 
2 

1 

10 
2 
1 

9 
o 

15 

19 
1 
1 

2 

16 
2 

22 

1 
2 
1 

I 

1 

2 
I 

1 

2 
2 

1 

1 

1 
6 
3 

2 

2 

1 

2 
2 

1 
4 

3 
4 

2 
1 

2 

5 

1 

1 

9 

2 

1 

1 

i 

1 

8 
2 

1 
o 

1 
1 

1 

1 

1 

i 

0 

1 

1 

2 

1 

1 
1 
1 

2 
40 
11 

14 
5 

7 

20 

1 

1 

0 

1 

80 
8 
1 

3 

95 

2 

60 
4 

1 

60 
15 

3 

39 

8 

29 
7 

650 
123 
1 
3 
133 
107 
150 
32 
167 

132 
731 
35 
3 
6 
216 

9 

1 

1 

1 
] 

1 

18 
9 

12 

1 
12 

11 
16 
16 

0 

13 

6 
49 
2 

7 
17 
23 
4 
25 

9 
41 
1 

0 

10 
10 
11 
1 
11 

17 
37 

10 
11 
16 
4 
11 

7 
59 
6 

9 
5 
7 
1 

7 

10 
37 

4 

3 

2 
14 

8 
8 

6 
51 

1 
1 

13 
1 
1 

1 

3 

21 

7 
50 

1 

1 

1 

1 

i 

1 
28 

4 

14 

1 

19 

10 

19 

13 

21 

3 

1 
4 

1 

1 
2 
o 

7 
9 
29 
1 

1 
I 

1 
2 



2 

1 

0 

1 

958 

7 

936 

9 

701 

4 

790 

6 

866 

9 

844 

3 

775 

5 

10,  669 

52 

444 


SICKNESS    AND    MORTALITY    OF    WHITE    TEOOPS 


TABLE  LXIX.—  DEPARTMENT  OF  THE  PACIFIC— Concluded. 


YL'  .A  «  

18(38. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

5,  599. 

5,283. 

6,  294. 

5,  930. 

5,  985. 

" 

LIST  OP  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

861 

1 

801 

3 

981 

2 

1,074 

3 

1,082 
1 

7 

O  KUEII  VI.—  Diseases  of  Digestive  Organs—  Continued. 

9 
4 

9 
3 
3 

7 
3 
1 
1 
1 

0 

1 

1 

1 
1 

1 

1 

1 

1 

1 
1 
2 
14 
11 

U.  .  Acute    u  a 

1 
1 
10 

4 
13 

4 
10 
1 

2 

3 

11°    Piles                                                  

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

1 

2 

1 

1 
1 

1 
3 

0 

1 

1 
4 

. 

„ 

1 

2 

1 

1 

1 
1 

122    Hydrocele 

1 

1 

1 

1 

OKDEK  VIII.  —  Diseases  of  Bones  and  Joints. 

125.  Caries  

5 

6 

3 
6 

1 

I 

1 

1 

1 

1 

130.  Other  Diseases  of  this  Order     ... 

1 

17 
24 
1 
1 
oo 

1 

12 
19 
o 

ORDER  IX.  —  Diseases  of  Intcyumentary  System. 
131.  Abscess  

25 

23 

28 

20 

132.  Boils  

11 
4 
<> 

12 

2 
53 

17 
3 
3 

133.  Carbuncle  

1 
8 
9 

1 
°9 

134.  Whitlow   

5 

21 

o 

135.  Skin  Diseases  

CLASS    V.     WOUNDS,   ACCIDENTS,   AND 
INJURIES. 
ORDER  I.  —  Wounds,  Accidents,  anil  Injuries. 
136.  Burns.  

4 

38 

o 

137.  Contusions  

•!0 

41 

138.  Concussion  of  Brain  

139.  Drowning  

1 

1 

140.  Sprains    

40 
1 

31 
6 

24 

32 

32 

141.   Dislocation  

3 

142.  Simple  Fractures  

4 

o 

143.  Compound  Fractures  

144.  Gunshot  Wounds  

14 

7 
8 

0 

2 

1 

14 
4 
7 
7 
6 

4 
10 
10 
3 
5 
7 

3 

18 
0 
4 

10 
o 

7 
18 
10 
4 
4 
3 

145.  Incised  Wounds   

140.  Lacerated  Wounds  

147.  Punctured  Wounds  

148.  Poisoning  

5 

I 

149.  Other  Accidents  and  Injuries  

150.  ORDEK  II.  —  Homicide  

151.  ORDER  III.—  Suicide  

152.  ORDER  IV.—  Execution  of  Sentence    . 

1 
5 

Total  

1,110 

1,  023              5 

1,  217 

3 

1,281 

1 

:,300 

8 

DURING   THE    YEAR    ENDING   JUNE    30,  1804. 


445 


TABLE  LXIX.— DEPARTMENT  OF  THE  PACIFIC— Concluded. 


i8«3. 

18(>4. 

DECEMBER. 

JANUAUT. 

FEBRUARY. 

MARCH. 

APRIL.                   MAY.                    JUNE.                     TOTAL. 

6,  291. 

6,  700. 

6,  807. 

5,  984. 

6,  539. 

6,  044. 

6,  951.                         6,  250. 

104 
105 
IOC 
107 
108 
101) 
110 
111 
1112 
113 

114 
115 
110 
117 
118 
119 
120 
121 

123 

124 
125 

126 
127 
128 
129 
130 

131 
132 
133 

134 
135 

136 

137 
138 
13'J 
140 
141 
142 
143 
144 
145 
140 
147 
148 
149 

150 
151 
15'J 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases     Deaths. 

Cases.    Deaths' 

Cases. 

Deaths. 

Cases.  .Deaths.    Cases. 

Deaths.       Cases.      Deaths 

958 

7 

936 

9 

701 

4 

7HO 
1 

6 

860 

2 

844 

3 

775 

5 

10,  669 

2 
164 

19 

19 

1 
1 

16 

14 
3 
3 

12 
3 
1 

9 
3 

3 

4 

1 

1 

14 
3 
14 
9 
22 
150 

2 
1 

2 
1 

0 

12 
2 

1 

0 

3 

1 

1 

1 
2 

1 
20 

0 

3 

7 

0 

1 

9 
C 

1 

2 

14 

4 

3 

1 

JO 
4 

19 
3 

2 

1 

o 

35 

12 
2 

1 

1 

1 

1 

1 
2 

1 
2 

1 

5 
11 
21 
14 
7 
4 
13 

o 
23 

1 

4 

1 
3 
3 

1 
1 
1 

1 
1 
3 

2 

1 

1 
1 

1 

2 

2 

3 
1 

1 
3 

1 

3 

2 

1 
3 
1 



3 
1 

2 
1 

1 
2 

2 
o 

1 

1 

1 

23 
1 
7 
2 
3 

215 
195 
21 
41 
149 

°7 

2 

1 

1 

... 

1 
1 

18 
17 

20 
17 
1 
1 

3 

47 

:» 

17 
23 

11 
12 

18 
4 
1 
3 
2 

1 

44 

21 
15 
2 
3 
15 

13 

8 
5 
2 
21 

1 
4 
13 

3 
34 

J 

3 

42 

3 

12 

1 

41 

5 

40 

50 

491 
o 

1 

1 

1 
5 

0 

1 

27 
2 
6 

25 

29     i 

3° 

25 

"8 

27 
o 

352 

3 
2 

7 
C 

4 
1 
1 
4 
8 
2 
6 
6 

1 
C 

4 

10 

30 
50 
1 
02 
147 
76 
51 

2 

5 
15 

7 
2 

20 

1 
1 

5 
9 
3 
4 
4 
9 

4 
7 
o 

1 

7 
14 
5 

1 
1 

3 

12 
7 
6 

5 

9 
6 

2 
i 

o 

3 
3 
1 

8 
3 
1 

51 
02 

I 
1 

1 

1 
o 

1 
1 

1     | 

3 

1 

1,185             12 

1,153 

10 

908 

5 

975 

8 

1,062 

4 

1,084 

7 

982 

7 

13,286 

78 

446 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  LXX 

Abstract  of  the  Sickness  and  Mortality 


YEAH  

1883. 

MONTH  -  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

9,  168. 

9,  244. 

9,  488. 

9,  577. 

9,  989. 

MEAN'  oTKEIiGTH.. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

CLASS  1.  —ZYMOTIC    DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

3 

3 

1 

9 
1 

1 

1 

12 
1 
4 

].  Tjp  o      • 

7 

o 

3 

.      e   ov\ 

46 
95 

47 
106 

65 

308 
114 
116 
6 
4 
146 
14 
29 

116 

121 

131 

98 

25 

38 
i 

33 
1 

116 
9 
16 

ft'  o^    l        C>     'tt    t  F    - 

4 
3 

210 

9 
2 
178 
14 
42 

1 
1 

9.  Congestive  Intermittent  Fever  

1 

183 
16 
45 
5 
2 

" 

25 

1 

t 

29 
4 
7 

1 

~'      C       .    f>         t 

6 
5 

1 

4 

5 
6 

^            ^ 

y811                        '  1  'd 

1C*  MP%  * 

2 

10 

17    Scarlet  Fever                                                              

1 
6 
43 
5 

117 
134 
13 
6 
3 
3 
2 

8 

5 

8 

9 

20 

52 
9 

126 

.77 
14 

140 
108 
19 
4 

007 

14 

128 

1 

6 

117 
129 

OKDEK  II.  —  Enthetic  Diseases. 

OO     Syphilis 

132 
18 
2 

121 

13 
6 

3 

1 
fi 

3 

2 
9 

6 

7 
1 

o 

OUDEH  III.—  Dietic  Diseases. 
29    Scurvy                                                              .  .         

1 

13 

50 

7 

8 
20 
2 

7 
21 

5 

24 

1 

23 
3 

1 

1 

CLASS  II.—  CONSTITUTIONAL    DISEASES. 
ORDER  I.  —  Diathetic  Diseases. 
35.  Gout 

1 
105 
45 
1 

88 
49 
5 

76 
39 
4 

104 
53 

79 
85 

0 

3 

3 
\ 
2 

4 

1 

3 
1 
4 

2 

41.  Tumors  

o 

42.  Other  Diseases  of  this  Order  

3 

10 
3 

4 
3 

OKDEK  II.  —  Tubercular  Diseases. 
43.  Consumption  

1 

4 
2 

2 

1 

1 

44.  Scrofula  

45.  Other  Diseases  of  this  Order  

CLASS  III.  —  PARASITIC    DISEASES. 
40.  Itch  

3 

1 

1 

1 

1 

48.  Other  Intestinal  Worms  

49.  Other  Diseases  of  this  Order  

3 

Carried  forward  

1,027 

2 

930 

o 

1,100 

2 

1,137 

4 

1,  177 

3 

DURING   THE    YEAR   ENDING   JUNE    30,  18G4. 


TABLE  LXX. 

of  the  Pacific  Region. 


1868.                                                                                              1864. 

DECEMBER. 

JANUAUY. 

FEBBUAKT. 

MAHCH. 

Al'HIL. 

MAY. 

JUNE.                     TOTAI,. 

10,  174. 

11,106. 

11,  729. 

10,  877. 

12,  022. 

11,208. 

11,119. 

10,  480. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths.       Cases. 

Deaths. 

1 
o 

3 
1 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 

•v4 
27 

29 
30 
31 
32 
33 
34 

36 
37 
36 
39 
40 
41 
42 

43 
44 
45 

40 
47 
48 
49 

3 

3 

4 

1 

o 

o 

2 

1 

5 
1 
2 

o 

46 
4 
31 

8 

1 
1 

2 

2 

1 

1 

1 

1 

37 
91 
12 
4 
o 

83 

3 
14 

3 

30 

11 

57 
21 

25 

36 
80 
44 
4 

61 
86 
41 
5 

62 

644 
1,074 

61 

24 

59 
38 
16 

73 

35 

19 

4 

6 
3 

62 

79 
18 
1,  449 
124 
316 
40 
57 
1 
93 
3 
71 
32 
1,  436 
114 

1,512 
1,470 
197 
54 
10 
4 
43 

142 

1 
108 
272 
29 
2 

5 
1,102 
740 
31 

1 

3 

1 
5 
1 

85 

83 
4 
31 
4 
5 

85 
9 
37 
1 

7 

91 

127 

7 
15 

2 

3 

20 

1 

1 

10 
oo 

10 
16 

6 

6 

1 

5 

6 

1 

3 

1 

21 

16 
1 
8 
1 
196 
10 

121 

9 
1 
2 

7 

20 

2 

6 
1 
1 
4 
39 
5 

126 
115 
12 

15 
1 

226 
9 

133 
112 
15 
5 

10 
1 

188 
11 

130 
123 

1 

11 
15 

1 

1 
4 

2 

136 
11 

90 
105 
14 
1 
o 

160 
11 

124 
139 

1 

9 

160 
140 
18 
7 
1 

2 
1 

1 

112 

15 

1 

23 
5 

16 
9 

1 
1 

3 

4 

1 

3 

1 

4 

5 
5 

2 

44 

6 

29 

6 
18 

5 
6 

8 

7 
19 
3 

1 

11 

1 

6 
15 
1 

1 

12 
o-> 

1 

13 
12 

15 

18 
o 

1 

6 
23 

6 

1 

6 

4 

1 

1 

1 
110 
61 

1 
91 
64 
o 

o 

81 
68 
5 

1 

84 
74 

94 
71 
1 

1 

93 
70 
4 

97 
61 
4 

2 

15 
23 

43 
38 
3 

13 
9 

10 

o 

1 

3 
4 

3 

o 

2 
3 

4 
9 

3 
o 

1 
1 

1 

2 
2 

1 

10 

o 
3 

4 
3 
1 

1 
2 

1 

4 

7 

1 

i> 

o 

1 

1 

1 
1 

3 

1 

o 

1 

„ 

t  '  '  ' 

1 
1 

3 

3 

986 

8 

900 

5 

811 

6 

1,OJ  0 

3       3,047 

5 

977 

4 

874 

3 

12,  042 

47 

448 


SICKNESS   AND   MORTALITY    OF   WHITE   TROOPS 


TABLE  LXX.— PACIFIC  REGION— Continued. 


YKAK  

1863. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

9,  168. 

9,  244. 

9,  488. 

9,  577. 

9,  989. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Brou  htf.nvard 

1,027 

2 

930 

1 
4 
21 
2 

2 

1,100 

1,137 

1 
3 
9 
1 

4 
1 

1,177 

3 

CLASS    IV.  —  LOCAL    DISEASES. 

ORDER  I.  —  Diseases  of  J\'ervous  System. 

2 

18 

3 

20 
3 
1 

4 
14 
4 
1 
1 



1 

1 

o^.     u  a.n    a                     ,              f  „     . 

0 

jj.  Inflamma  ion  o       tm  ra 

1 

3 

j       n   ainma  ion  o    ,  p  n 

1 

27 
1 

1 
1 

1 
17 
2 

"*•-'  N         \r 

17 
o 

15 
6 
o 

23 
1 

>w  p1"  i  g' 

1 

1 
5 

3 

2 

1° 

OEDEK  11.—  Diseases  of  Eye. 

1 

o 

32 

39 

29 
2 

28 
7 
2 
1 

1 
3 

33 

1 

f  I  '  J 

0 

1 
5 

3 

OuDEii  III.  —  Diseases  of  Ear. 

3 
1 
1 
1 
1 

4 
1 
4 
1 

„ 

5 

70 

71 

7 

5 

OUDEH  IV.  —  Diseasesof  Organs  of  Circulation. 

2 

1 

1 

0 

2 

1 

2 
1 

2 

1 

o 

1 

4 
1 
2 

2 

3 

1 
4 

o 

82.  Other  Diseases  of  this  Order 

3 

4 

112 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
83.  Asthma 

1 
30 

8 

3 

48 
7 

8 
75 
28 
1 
o 

84.  Acute  Bronchitis  

39 
15 

85.  Chronic  Bronchitis  

10 

86.  Dropsy  of  Chest  

87.  Haemorrhage  from  Nose  

,j 

8 
10 

9 
21 

88.  Inflammation  of  Larynx 

7 
6 
17 
1 
2 

15 

14° 

26 
12 
20 

20 
20 
19 
5 

89.  Inflammation  of  Lung's  

1 

7 

1 

2 

5 

90.  Inflammation  of  Pleura  

91.  Hemorrhage  from  Lungs  

1 

0 

29 

92.  Other  Diseases  of  this  Order  

7 

29 
178 

64 
15 

OKUER  VI.  —  Diseasesof  Digestive  Organs. 
93.  Colic  

18 
148 
1 

94.  Constipation  • 

131 
4 

95.  Cholera  Morbus  

10 

6 

2 

96.  Cirrhosis  of  Liver  

97.  Dropsy  from  Hepatic  Disease  

! 

98.  D  vspepsia  

26 

20 

35 

27 

23 

99.  Diseases  of  Pancreas  

100.  Diseases  of  Spleen  

1 
3 

1 
1 

101.  Fistula  in  Ano  

1 
5 

i  102.  Hernia  

7 

4 

10.3.  Haemorrhage  from  Stomach  

1,444 

3 

1,326 

4 

1,499 

4 

1,619 

9 

1,712 

9 

DUEING   THE    YEAR   ENDING   JUNE    30,   1864 


449 


TABLE  LXX.— PACIFIC  REGION— Continued. 


1803. 

1864. 

DECEMBER. 

JANUARY. 

FEIIRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TUTAL. 

10,:  74. 

11,  166. 

11,  729. 

10,  877. 

12  022. 

11,  208. 

11,119. 

10,  480. 

50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 
61 

62 
63 
64 
Co 
66 
67 

68 
69 
70 
71 

73 
74 
75 
76 
77 
78 
79 
80 
81 
82 

83 
84 
85 
86 

87 
68 
89 
90 
91 
92 

93 

94 
95 
9f 

97 
08 
99 
100 
10 
10! 
10 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

3ases. 

)eaths. 

Cases. 

Deaths. 

Cases. 

deaths. 

Cases. 

Jeaths. 

Cases.      Deaths. 

98G 

1 
3 

10 
o 

8 

960 
1 

5 

811 

C 

1,016 

3 

1,047 

2 
2 
6 
1 

5 

977 

4 

874 

3 
1 

12,042 

6 
28 
171 
22 

47 
2 

1 

21 

4 

16 

1 
11 
2 

1 

12 

13 
3 
1 

4 

3 
5 
5 

11 
269 
<v8 
5 
39 

16 
1 
364 
23 
8 
32 

7 
38 
12 
23 
38 

2 
o 

2 

o 

1 
1 

20 
3 

4 

17 
2 

0 

1 

22 

1 
18 
1 

13 
1 
1 
2 

2 
1 

27 
2 

38 
3 

36 
4 

1 

2 

1 

3 

2 

1 

4 

5 

o 

0 

1 
5 

1 

1 

1 

0 

24 

1 
5 

3 
6 
1 

23 

35 
1 
\ 
3 



36 
1 
1 
3 

25 
2 

33 

1 
2 
6 

o 

1 

1 

4 

3 
4 

0 

4 
1 
6 
4 

2 
2 
3 
4 

3 

3 

2 

3 

4 

4 

7 

2 

3 

5 

1 

1 

9 

2 

1 

1 
1 

1 
1 

1 
20 
6 

1 
5 

0 

1 

1 

o 

1 

3 

1 

1 

1 

I 

1 

1 

0 

2 

1 
o 

17 
7 
16 

36 

789 
130 
2 
7 
104 
170 
211 
38 
270 

206 
1,312 

1 

0 

1 

1 

1 
4° 

3 

2 
67 
16 

1 

3 

49 
11 

108 
8 
1 

3 

4 

67 
4 

3 

46 
10 

106 
9 

1 
1 

10 

1 
1 

1 
11 
17 
13 
1 
11 

27 

1 

21 
18 
°4 

o 

]2 
20 
22 
2 
45 

13 
95 
2 

10 

28 

1 
2 

1 
4 

15 
26 
24 
4 
15 

18 
86 
C 

18 
11 
19 
9 
9 

14 
9 
8 
1 
9 

17 
77 
16 

o 
27 
1 
1 
3 

6 

5 

1 

1 
1 

4 

47 

12 

o 

23 

1 

9 
90 
o 

86 
1 
2 

66 

91 
1 

1 

51 
3 
10 
310 

1 

1 

1 

28 

4 
30 

4 

2G 

1 

1 
27 

] 

16 

23 

17 

... 

3 
1 
5 

1 

1 
3 

7 
13 
44 

0 

0 

4 

1 

1 
5 

•^ 

0 

4 
1 

1 

I 

1,441 

13 

1,399 

14 

1,158 

13 

1,399 

8 

1,488 

10 

1,352 

,- 

1,216 

6 

17,  053 

103 

57 


450 


SICKNESS   AND   MORTALITY    OF    WHITE   TROOPS 


TABLE  LXX.— PACIFIC  REGION— Concluded. 


VEAR  1863' 

MOXTH  j         JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

9,  1G8. 

9,  244. 

9,  488. 

9,  577. 

9,  989. 

LIST  OF  DISEASES.                                   Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

)eaths. 

j 

1,444 

3 

1,326 

4 

1,499 

4 

1,619 

9 

1,712 

1 
29 
1 

9 

ORDER  \l.—Diseatet  of  Digestive  Organs—  Continued. 

17 
15 

15 
3 
4 
1 
1 
2 
6 
24 
3 

2 

22 

18 
1 

4 
1 
1 
3 
2 

6 
19 
2 

3 

106.  In  J.  i 

1 
1 

1 
4 

10 
19 

1 

2 

2 
3 

1 

103.  In  amma  .on 

4 
4 
6 
20 
15 

1 

WJ.  Acute    u  amma  101                   ^ 

1 

47 
20 

1       1-1 

1 
3 

ORDER  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

11-    TV  I 

' 

1 

117  ir'^1  >"    f°P-  -t 

1 
1 
3 
1 

1 
3 
3 
2 

1 

fi'                       f  T     f 

1 
7 
1 

.      isease 

4 
1 

1 

0 

IOQ'  ["fl  mmaf°      f  131    \\ 

2 

1-n'  Incontinence  of  L'riue 

1 
1 

2 

1 

1 

9 

ORDER  VIII.  —  Diseases  of  Hones  and  Joints. 

1°5   Caries 

5 
6 

3 
6 

1 

1 

1 

1 
2 
1 

28 
24 
I 

2 
28 

5 
64 

1 

1 

n 

ORDEU  IX.  —  Diseases  of  Integumentary  System. 

31 
21 
4 
5 
°2 

44 
15 
4 
7 
12 

36 
33 
3 

8 
13 

5 
57 

29 

132    Boils     .                    

19 
3 

7 
8 

3 

64 
1 

133.  Carbuncle  .          

134.  Whitlow  

135.  Skin  Diseases  

CLASS   V.  —WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
136.  Burns  

2 

58 

o 

137.  Contusions  

76 
1 

138.  Concussion  of  Brain  

133.  Drowning  

1 

1 

140.  Sprains  

51 
1 
2 

53 

41 

51 

51 
3 

8 

141.  Dislocation  

3 

7 

142.  Simple  Fractures  

7 

3 

143.  Compound  Fractures  

144.  Gunshot  Wounds  

34 
18 
23 
4 
9 
o 

5 

2 

6 

13 
13 
25 

1 
1 

8 
30 

6 

1 

10 
0*7 

145.  Incised  Wounds  

14f>.  Lacerated  Wounds  

o- 

18 
8 
5 
8 

147.  Punctured  Wounds  

9 
11 

0 

148.  Poisoning  

8 
8 

1 

149.  Other  Accidents  and  Injuries  

6 

150.  ORDER  II.  —  Homicide  

151.  ORDER  III.—  Suicide  

152.  ORDER  IV.—  Execution  of  Sentence  

1 

Total  

1,851 

12 

1,699 

8 

1,866 

6 

1,970 

11 

2,106 

11 

DUKING   THE   YEAR   ENDING   JUNE   30,  1864. 


451 


TABLE  LXX.— PACIFIC  EEGION— Concluded 


1803. 

1804. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

Al'UIL. 

MAY. 

JUNE.                   TOTAL. 

10,  174. 

11,1 
Cases. 

06. 

11,  729. 

10,  877. 

12,  022. 

11,  208. 

11,  119. 

10,  480. 

104 
105 
10G 
107 
108 
109 
liO 
111 
112 
113 

114 
115 
116 
117 
118 
119 
120 
121 

123 

124 
125 
126 

127 
128 
129 
130 

131 
132 
133 
134 
135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
146 
147 
148 
149 

150 
151 
152 

Cases. 

Deaths. 
13 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.      Deaths. 

1,441 

1,399 

14 

1,158 

13 

1,  399 

1 

36 
9 
4 

8 

1,488 

10 

1,352 

8 

1,216 

8 

17,  053 

4 

319 
59 
19 

33 
19 
100 
241 

103 

39 

38 
1 
1 
1 
3 
3 
3 
13 
5 

31 
o 

36 

20 

18 
6 

1 

13 
3 

1 

1 

4 
2 

2 

4 

1 

4 
1 
14 

18 
4 

1 

3 
1 

2 
1 
4 
22 

2 

„ 

1 

1 
1 

I 

3 
1 

4 

2 

12 

1 

28 
3 

2 

1 

23 

7 

3 
1 

7 

6 

1 

8 

62 

18 
3 

1 
5 

34 
19 
8 
5 
40 

4 
23 
24 
1 
7 
5 
5 

300 
226 
36 
63 

1 

1 

1 

1 
1 

1 

1 
2 
1 
3 

1 

1 
4 

1 
4 
3 
1 
2 
2 

1 
1 
3 

3 
3 

o 
2 

1 
1 

1 

3 

1 
4 

1 

1 

7 

1 
<> 

3 

1 

3 

6 

2 
3 
1 

3 
1 

1 
o 

„ 

o 

1 

2 

1 

1 

2 

1 
1 

1 

1 
2 

24 

38 
19 
4 
3 

3 

78 
1 

22 

04 

32 

29 
16 
3 
5 
32 

26 

13 

5 
3 
5 
10 

4 
56 
1 

1° 

°3 

1 
5 

23 

6 
6 

28 

5 
63 

o 

7 
25 

3 

17 

1 
54 
1 

3 

69 
1 

G 

5(3 

o 

41 

747 
6 

5° 

1 

1 

2 

5 

!  

2 

1 

44 
2 

8 

34 
5 
4 

38 
11 
8 

51 

30 

34 

4 
11 

34 
4 
6 

518 
39 
76 

0 

142 
230 
22( 

1 
8 
1 
11 

4 
1 
10 
17 
oo 

16 
5 

11 
22 
23 
7 
2 

33 

2 
1 

9 
18 
15 
12 

9 
18 
13 

4 

14 
18 
14 
11 
4 
2 

1 
1 

14 
19 
20 
6 
10 
7 

o 

10 
3 
4 
1 

4 
1 

8 

7 
6 
3 

89 
89 
106 

4 

1 

1 
1 
1 
o 

1 
1 
1 

20 

1 

1,  837 

19 

!  1,756 

15 

1,497 

15 

1,733 

14 

1,800 

17 

1,687 

12 

1,550 

12 

21,352 

152 

452 


SICKNESS   AND   MORTALITY    OF   WHITE    TEOOPS 


TABLE  LXXI. 

Abstract  of  the  Sickness  and  Mortality 


YE  AR  

1863. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

567,  760. 

603,  105. 

575,  075. 

589,  056. 

590,  2-23. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths.    Cases.    Deaths. 

Cases. 

Deaths. 

CLASS    1.—  ZYMOTIC    DISEASES. 
ORDER  I.  —  Miasmatic  Diseases. 

1,273 
°0 
1,945 

683 
11 

165 

1,406 
18 
2,108 

690 
7 
245 

1,242 

1,  327 

467 
4 
194 

880 
17 
1,102 

330 
2 
91 

719 
864 

231 
14 

84 

o    'rJT) 

~"      >P 

J  P  o     a  aria 

9,200 
15,  459 
12,  067 
1,198 
5% 
30,  277 
4,301 
7,093 
732 
442 
71 
89 

105 
13 
44 
3 

178 
88 
831 
202 
78 

33 
5 

11,  769 
21,  514 
17,  627 
1,671 
827 
38,115 
5,474 
8,564 
935 
389 
38 
101 
1 
232 
156 
859 
787 

1,  310 
1,  990 
173 

186 
18 
24 
5 
282 
111 
1,100 
223 
122 
16 
15 
17 
1 
42 
1 
1 
34 

4 

8,  879 
19,  276 
15,  919 
1,830 
558 
28,  602 
5,  172 
7,812 
935 
281 

295 
3 
233 

197 
1,011 
517 

1,  030 
2,301 
198 
46 
182 
4 
17 

511 
61 
75 
59 
30 
24 

8 
2,040 
1,229 

783 
41 
10 
19 
95 

243 
116 
12 

307 
6 
33 
6 

154 
7 
11 
1 
135 
50 
911 
217 
141 
13 
15 
3 

6,158 
15,  506 
14,  329 
1,  Ofc8 
313 
23,  237 
4,567 
6,262 
798 
280 
94 
440 

70 
17 
8 
3 
83 
67 
807 
168 
154 
8 
24 
2 

4,425 
11,  583 
11,  L'72 
1,201 
253 
19,  441 
4,051 
4,249 
748 
308 
115 
159 
3 
2UO 
199 
3,591 

37 
14 
3 
1 
46 
50 
919 
97 
97 
18 
42 
9 

'tt  >      F  >  - 

yuo     mil    i 

'  M    itt  nt  pever 

'      °U  6.        . 

18   Diphtheria        -            

141 

200 
948 
C25 

1,014 
1,634 

166 
37 
191 
14 
12 

23 

o 

28 
3 

31 

0 

1 

59 
3 

108 
230 
2,139 
434 

1,675 
2,249 
251 

1 

22 

17 
o 

609 

1,  790 
2,207 
219 
50 

11 
1 

ORDER  11.  —  Enthetic  Diseases. 
22    Syphilis                    

39 
147 
8 
36 

639 
39 
92 
114 
40 
45 

8 
2,029 
1,453 
1,  101 
13 
24 
23 
85 

312 
134 

7 

°77 

39 

2 

150 
4 
31 

252 
18 
76 
80 

11 

8 
2,660 
1,592 
695 
12 
13 
03 

139 

27.  Serpent  bite 

1 

4 

38 

202 
11 
CO 
98 
23 
1C 

21 

OKUER  III.  —  Dietic  Diseases. 
29.  Scurvy  

420 
31 
99 
110 
18 
51 

12 
1,763 
1,411 
830 

6 
3 
9 
3 

10 

1 

3 
1 
3 

4 

6 

7 

5> 

11 

30.  Purpura  

31.  Delirium  Tremens  

9 

6 
3 

32.  Inebriation  

33.  Chronic  Alcoholism  

1 

9 

34.  Other  Diseases  of  this  Order  

1 

1 

CLASS    II.—  CONSTITUTIONAL    DISEASES. 
ORDER  l.—Diathetic  Diseases. 
35.  Gout  

36.  Acute  Rheumatism  

6 

7 
hi 

3 

1 
19 

o 
2 
11 

3 
4 
23 

1 

2,800 
1,  722 
C41 
5 
5 
25 
80 

207 
110 
17 

900 
6 
29 

6 
4 

18 

37.  Chronic  Rheumatism  

38.  Anajmia  

39.  General  Dropsy  

40.  Cancer  

8 
15 

o 

1 
1 
5 

91 
4 

1 

1 
6 

87 
1 
3 

41.  Tumors  

42.  Other  Diseases  of  this  Order  

97 

232 

102 

8 

490 
11 
31 
1 

7 

104 
4 

122 

210 
109 
30 

413 
12 

6 

72 
1 

ORDER  II.  —  Tubercular  Diseases. 
43.  Consumption  

82 
3 
1 

44.  Scrofula  

45.  Other  Diseases  of  this  Order  

CLASS    III.  —  PARASITIC    DISEASES. 
46.  Itch  

47.  Tape-worm  

14 
00 

0 

48.  Other  Intestinal  Worms  

33 

49.  Other  Diseases  of  this  Order  

0 

10  '.. 

Carried  forward 95,529       2,749122,925       3,310104,350       2, 535  j  8;),  443  j    2,064  |  75,  721  .     1,855 


DURING   THE   YEAR   ENDING   JUNE    30.  1864. 


453 


TABLE  LXXI. 

of  the   United  /States  Army. 


1803. 

1864. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

630,  834. 

604,  432. 

636,  148. 

680,  034. 

696,  539. 

641,  376. 

615,  258. 

619.  703. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Jeaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1 

3 

4 
5 
6 
7 
8 
9 
in 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 

23 

24 
25 
26 

28 

30 
31 
32 
33 
34 

35 
36 
37 
38 
39 
40 
41 
42 

43 
44 
45 

46 
47 
48 
49 

640 
11 
611 

234 
8 
37 

727 
22 
502 

239 
10 
49 

433 
31 
372 

211 
13 
37 

644 
53 

459 

251 
19 

51 

661 
513 

298 
20 
42 

588 
36 
671 

2SG 
5 
51 

843 
47 
1,255 

555 
10 
111 

10,  116 
349 
11,  729 

4,475 
123 
1,157 

3,068 
8,  257 
8,121 
924 
178 
16,  443 
3,638 
2,  963 
506 
436 
326 
356 
7 

302 
3,  961 

873 

1,670 

2,154 
294 
58 
155 
1 
56 

165 
15 
80 
81 
27 
16 

4 
3,  269 
1,843 
515 
11 
10 

142 

216 

137 

26 
4 
5 

22 
772 
49 
79 
27 
133 
17 
1 
15 

2,754 
6,642 
7,  254 
1,083 
185 
12,  845 
3,  000 
2,314 
486 
531 
845 
1,  055 
20 
3G6 
1,052 
4,  920 
1,007 

1,002 
2,  329 
290 

20 
7 
4 
2 
48 
25 
599 
42 
71 
30 
247 
39 
5 

3,040 
7,075 
6,722 
969 
93 
10,  552 
2,000 
2,  131 
261 
567 
686 
2,717 
39 
287 
2,073 
4,409 
940 

1,821 
2,500 
331 

48 
105 
2 
71 

381 
11 

123 
103 
26 
17 

1 
2,  995 
1,602 
311 

18 
2 
5 

3,823 
8,530 
9,326 

827 

25 
7 
6 

4,714 
9,612 
9,964 
908 
227 
16,  966 
2,154 
3,717 
287 
966 
1,016 
3,654 
28 
329 
3,  853 
4,318 
1,189 

3,004 
3,992 
530 
64 
166 
7 
135 

667 
32 
140 
155 
40 
16 

9 
3,585 
2,162 
444 

39 
8 
4 
1 
46 
38 
270 
39 
22 
75 
406 
329 
5 
15 
1 
2 
15 

3 

5,241 
9,261 
9,137 
796 
144 
28,  636 
2,  677 
7,020 
533 
664 
680 
1,  396 
10 
158 
1,476 
1,635 
1,536 

2,249 

2,747 
368 
52 
184 
3 
330 

843 
32 
90 
92 

O"7 

14 

7 
2,  442 
1,513 
409 

47 
8 
6 
1 
44 
40 
342 
56 
51 
55 
297 
123 
3 
7 
2 

7,647 
10,  131 
8,673 
1,060 
255 
42,  636 
4,  268 
9,441 
654 
645 
158 
1,393 
4 
165 
929 
931 

72 
9 

10 
2 

54  j 
92 

592  ; 
109 
60  ; 

112  ! 

88  I 

23  ; 

1 

70,  718 
142,  846 
130,411 
14,  175 
3,818 
280,  796 
43,  477 
64,  276 
7,171 
6,507 
5,007 
17,  396 
157 
2,846 
14,  175 
34,  751 
11,  735 

22,486 
30,518 
3,  498 
591 
1,906 
61 
1,163 

5,976 
341 
1,139 
1,283 
393 
268 

103 
32,374 

19,579 

7,  002 
105 
101 
356 
1,  025 

2,794 
1,582 
125 

11,  826 
142 
444 
60 

859 
111 
130 
20 
I,  029 
620 
7,868 
1,  242 
931 
412 
2,171 
1,268 
25 
255 
16 
8 
271 

39 

3 

2 
o 

1 
2 

54 
21 

180 
37 
13 
36 

60 
49 
149 
1 
10 
4 
42 

1,  194 
31 
10 

23 

15 
344 

17 
38 
47 

231 
2 
26 
o 

1 
11 

G 
2 

189 
12,  986 
2,175 
2,710 
296 
918 
950 
5,741 
42 
327 
3,508 
6,  029 
1,264 

2,665 
3,  921 

426 
62 

62 
22 
321 
23 
18 
CO 
475 
405 
7 
16 
4 

3 

A 

1 

6 

2 

29 
1 

13 
4 

1,894 

2,044 
2,374 

252 
43 
147 
9 
218 

45 
5 

1 

53 

153 
3 
105 

1 

181 
2 
134 

482 
19 
144 

184 
57 

*-o 

15 

5 
2 

O.O 

6 
1 
11 

280 
23 

88 
109 
52 
22 

3 
3,027 
1,  6;>8 
404 

3 
3 

17 
7 
5 

1 
3 

5 

2 
3 
23 
5 
1 
3 

6 
2 
9 
2 

1,108 
49 
66 
98 
28 
8 

7 
2,418 
1,473 
539 

4 

1 
6 

1 

1 
13 

2 

1 
3 

1 
11 

6 

1 

0 

1 

8 

8 
8 
6 

3,346 

1,881 
270 

9 

7 
4 

9 
4 
11 

3 
6 
5 

6 
4 

12 

1 
1 
5 

91 

1 

6 
31 

58 

230 
161 
4 

1,  363 
5 

4 
37 
84 

206 
126 

0 

1,335 
1° 

1 

8 
49 
63 

249 
155 
31 

1,687 
19 

3 

36 

81 

266 
155 
3 

1,532 

17 
40 
13 

7 
41 
66 

216 
139 
1 

1,  434 
19 

4 
35 

1 

1 
o 

1 
1 

2 

97 
7 
1 

2 

100 
3 

1 

128 
2 

104 
2 

52 

207 
138 
10 

1,150 
14 
58 
5 

4 

111 

866 

7 

3 



14 
3 

1 

80 

o 

3 

6 

7 

63,  715       1,  603 

59,  737 

1,612     57,  668 

1,589 

76,  957 

2,013 

82,  401 

1,871 

85,668 

1,51)1    105,603 

2,147 

1,  019,  717     24,  939 

454 


SICKNESS   AND    MORTALITY    OF    WHITE    TEOOPS 


TABLE  LXXI.— UNITED  STATES  ARMY— Continued. 


YEAH  

18(>3. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOliER. 

NOVEMBER. 

MEAN  STRENGTH  

567,760. 

603,  105. 

575,  675. 

589,  056. 

596,  223. 

LIST  OP  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.  I 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

95,  529 

31 
143 

2,103 
34 
30 
18 
29 
117 
1,141 
49 
631 
82 

40 
2 

2,749 

15 
4 

122,  925 

18 
197 
1,  977 

3,310 

19 

6 

04,  350 

18 
160 
1,321 

2,535 

15 

8 

89,  443 

19 

158 
1,114 

2,064 

17 
6 

75,  721 

13 

179 
1,025 

1,855 

14 
3 

CLASS    IV.  —  LOCAL    DISEASES. 
OIIDEK  I.—  Diseases  of  Nervous  System. 

52.  Headache  

5 

11 
1 

52 
32 
11 
26 
97 
3,325 

4 
34 
7 
4 
1 

42 
31 

7 
19 
99 
1,102 

13 
4 

89 
1,088 
50 
12 
131 

18 
8 
1,479 
60 
87 
45 

3 

18 
5 

49 
14 
8 
21 
94 
1,121 

25 

14 
1 

1 

13 
7 
4 
4 

5 

16 
7 

74 
404 
86 

24 
12 

21 
9 

57 
79 
165 

20 

4 
5 
4 

4 

49 
2 

2 

a  •  7 

10 

108 

17 
8 
1,693 
30 
65 
39 

58 
47 
19 
98 

6 

OUDEH  II.—  Diseases  of  Eye. 

16 
1,  570 

1,739 

1,808 
50 
253 

44 

105 
126 

24 
226 

44 
183 
42 

69 

n  ami  a 

43 

108 
114 
39 
145 

OltDER  111.  —  Diseases  of  Ear. 

75 

63 
31 

88 
230 

4 
86 
]5 
9 
12 

3 

152 

30 
204 
547 

24 
124 

337 

2 

88 
8 
15 
15 
10 
8 
206 

336 

299 

OKDEK  IV.  —  Diseases  of  Organs  of  Circulation. 

6 
115 
13 
3 
35 
8 
9 
205 

4 
20 
5 
o 

4 
2 

3 

83 
10 
4 
19 
6 
7 
14" 

1 
10 
1 
2 
o 

2 
23 

3 
4 

4 
81 
11 
7 
28 
10 

20 
5 
7 
2 

14 
5 

1 
1 

165 

144 

28 

128 

159 

100 
33 

194 
1,783 
370 
3 
47 
205 
473 
381 
81 
241 

1,763 
2,354 

618 
5 
128 
811 
3 
72 
55 
389 
10 

87 
19 

205 

82 

82   Other  Diseases  of  this  Order 

7 

24 

191 
1,560 
403 
13 
52 
169 
402 
466 
96 
225 

2,233 

0    Cjgg 

6 

8 

7 

198 
3,  805 
522 
12 
39 
411 
1,081 
601 
92 
869 

1,207 
2,  324 
190 
8 
94 
634 

4 

2 

11 
7 
1 

OllUEU  V.  —  Diseases  of  llespiratory  Organs. 
83.  Asthma     

84.  Acute  Bronchitis  

1,310 
341 
8 
49 
161 
410 
361 
102 
208 

2,116 
3,017 
1,  101 
7 
115 
807 
2 
35 
55 

3 

11 

5 
10 
1 
o 

1 
72 
4 
4 
6 

3 

3 
5 
2 

2,  951 
463 
7 
3° 

3 
6 

86.  Dropsy  of  Chest 

87.  Haemorrhage  from  Nose  

4 
91 
8 
5 
2 

1 

1 
90 
2 

6 

1 
2 
4 
1 
3 
1 

246 
721 

484 
77 
717 

1,482 
2,007 
290 
7 
106 
649 

1 
110 
8 
4 
9 

1 

4 

187 
6 
3 
3 

89.  Inflammation  of  Lungs  

90.  Inflammation  of  Pleura  

91.  Hemorrhage  from  Lungs  

92.  Other  Diseases  of  this  Order  

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
93.  Colic  

94.  Constipation  

1 

1 
8 
1 

10 

1,  194 
20 
146 
1,014 

14 
3 
11 
1 

96.  Cirrhosis  of  Liver  

1 
4 

2 

2 

99.  Diseases  of  Pancreas  

100.  Diseases  of  Spleen  

39 
58 
401 
16 

1 

1 



43 
36 
352 
16 

37 

101.  Fistula  in  Ano  

43 

102.  Hernia  

403 
8 

1 

2 

436 
10 

1 

103.  II.Temorrhage  from  Stomach  

o 

114,  022 

3,015  '  142,  690 

3,599 

120,  345 

2,761 

105,  632 

2,319 

93,  800 

2,171 

DURING   THE    YEAR    ENDING   JUNE   30,  18G4. 
TABLE  LXXL— UNITED  STATES  ARMY— Continued. 


455 


1803. 

18G4. 

DECEMBER. 

JANUARY. 

FKURUARY.              MARCH. 

APRIL. 

MAY. 

JUNE.                     TOTAL. 

(i30,  834. 

604,  432. 

636,148. 

680,  034. 

696,  539. 

641,  376. 

615,258.                    61P,  ?rs. 

50 
51 
52 
53 

54 
55 
56 
57 

58 
59 
60 
61 

62 
63 
64 
65 
66 
67 

68 
69 
70 
71 
72 

73 
74 
75 
76 

77 
78 
79 
80 
81 
82 

83 
84 
85 
86 
87 
88 
89 
9C 
91 
92 

93 
94 
95 
96 
97 
98 
9D 
100 
101 
10-2 
103 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases.  '  Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

63,  715 

17 
162 
1,016 
41 
29 
7 
27 
72 
1,273 
52 

1,603 

19 
5 

59,  737 

18 
168 
1,202 

1,612 

13 
6 

57,  668 

13 
192 
1,  035 

1,589 

14 
8 

76,  957 

20 
273 
1,328 

?,013 

13 
9 

82,  401 

20 
245 
1,  449 
53 

18 
26 
20 
124 

1,871 

15 
11 

85,  668 

14 

198 
1,549 
40 

<wO 

10 

11 

68 
1  201 

1,591 

8 
8 

2 
30 

19 
4 

1 

105,  603 

20 
195 
1,  920 
43 

29 
17 
107 
1,333 

643 

87 

44 
18 
2,070 
30 
313 
55 

2,147 

17 
8 

2 
34 
20 
4 
1 
1 
4 

22   : 

13  ' 

1,  019,  717 

221 
2,  270 
17,  039 
500 
306 
171 
257 
1,212 
14,  709 
640 
2,388 
1,050 

331 

150 
21,772 

24,  939 

179 
82 

I    ! 

31 
8 
9 
3 

40 
26 

12 

87 
1,238 
45 
6 
57 

24 

1 
36 
33 

8 
5 
o 

3 

39 
32 
10 
20 
85 
1,  160 
40 
2 
58 

22 

1 
41 

27 
7 

45 
32 

23 
113 
1,327 
53 
3 
55 

37 
11 
2,031 
70 
86 
35 

45 
45 

8 

21 
368 
222 
54 
16 
4 
55 
73 
108 

38 
26 
4 

1 
3 

1,400 

10 

9 

48 
16 
91 

37 

12 

4 
o 

16 

51 

590 
57 

°7 

5 

7 
C 

79 

14 
1,557 
45 
41 
43 

35 

93 

133 
299 

5 

78 
18 
6 
27 
6 
5 
166 
86 
21 

211 
4,709 
714 
12 
35 
471 
1,539 
728 
96 
945 

1,063 
2,155 
188 
8 
74 
630 
3 
34 
44 
37G 
12 

5 

5 

6 

21 

23 

12 

14 

1,737 
57 

1,769 
39 
76 
22 

2,234 
48 
157 

2,085 
50 
306 
35 





61 
62 

1  854 

46 

511 

450 
1,331 
500 
0  175 

1 

120 
39 

128 
40 
245 

187 
58 
313 
178 

3 

91 
10 
6 
31 
6 
9 
178 
91 

154 
87 
283 
122 

4 
144 
13 
2 

48 
10 

7 
217 

97 
55 
158 

128 
55 
145 

1 

239 

275 

184 

1 
97 
10 
6 
28 
8 
4 

102 

66 

4 
140 
14 
3 
15 
6 
8 
109 
80 
14 

145 
1,008 
305 
10 
67 
180 
700 
495 
154 
152 

1,900 
3,627 
709 
5 
64 
802 

2  975 

2 
13 
2 
5 
3 

5 
109 
8 
6 
33 
3 
4 
157 

3 

17 

1 
3 

1 

17 
5 
1 
10 
6 

2 
115 
5 
4 
12 
16 
3 
184 
120 

1 
10 
6 
2 
4 

i  ! 
i 

43 
1,227 
141 
71 
303 
94 
07 
2  126 

15 
190 
41 
24 
64 
24 
4 

14 
5 
1 

7 

1 

14 
2 
1 
6 
4 
1 

7 
3 
1 

14 
6 

1 

74 

81 
24 

154 
5,  090 
620 
10 
40 
480 
2,210 
812 
81 
1,128 

773 
2)  372 

76 
11 
59 
571 

113 
49 

173 
4,  G84 
717 
7 
37 
541 
2,046 
930 
102 
1,330 

1,  084 
3,110 
157 

61 
645 
1 
31 
68 
449 
13 

1  217 

o 
7 
15 
o 

22 

220 
5,  517 
627 
8 
44 
669 
2,417 
1,  024 
121 
1,309 

906 
2,  330 
99 
6 
71 
690 
2 
37 
55 

3 

4 

]7 
14 
3 
1 
8 
400 
21 
2 
13 

2 
o 

9 

3 
31 

12 
3 

24 

213 
5,562 
782 
8 
67 
703 
2,999 
933 
121 
1,486 

878 
2,983 
104 
3 
46 
697 
2 
24 
4'5 

11 

1 
52 
16 

4 

4 

124 
1,  942 
379 
8 
65 

6 

o 

10 
14 

5 

7 
12 

1 

284 

2,150 
39,  921 
0,  303 
112 
574 
4,580 
10,  102 
7,  844 
1,  230 
8,871 

10,  973 
32,  007 
5,149 
87 
1,035 
8,  592 
13 
422 
598 
4,  884 
148 

72 

15 
180 
134 
14 
4 
52 
4,055 
180 
61 
160 

16 
5 
56 
9 
59 
11 

31 

12 
1 

1 

7 
914 
40 
10 
64 

3 

254 
7 
4 
8 

1 

3 
2 
3 

2 

10 
548 
20 
4 
18 

3 

5 

828 
27 
8 
20 

1 
4 

338 
1,104 
629 
113 
255 

1,502 
2,740 
363 

4 
359 
25 
6 
8 

o 
4 

4 
202 
12 
5 

7 

1 
1 
12 

2 
1 
5 
1 

2 
1 

5 

1 

6 

1 

71 
630 

6 

4 

1 

24 
52 

1 

29 

17 
38 
548 
15 

3 
1 

9 
10 

51 

1 

2 

345 
10 

1 

356 
13 

391 
12 

101,764 

1 

1 

1 
o 

438 
13 

1. 

1 

1 

1 

83,  265 

2,  038      *-,',  2J3 

2,250 

78,  279 

2,394 

3,329 

105,  352 

2,978 

103,  696 

2,157 

125,  272 

2,579 

1,256  340 

31,590 

456 


SICKNESS    AND    MOETALITY    OF    WHITE    TEOOPS 


TABLE  LXXL— UNITED  STATES  ARMY— Concluded. 


YEAU  

1808. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

567,  760. 

603,  105. 

575,  675. 

589,  056. 

596,  223. 

LIST  OF  DISEASES. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

htfon-ard 

114,  022 

68 
577 
152 
151 
12 
219 
170 
935 
1,  397 
188 

60 
13 
31 
12 
36 
189 
56 
65 
18 
28 

11 

12 
108 
4 
24 
21 
2 

1,315 
2,575 

3,015 

C 
3 

27 
13 

7 
7 
19 

142,  690 

109 
555 
151 
159 
22 
276 
187 
1,022 
1,408 
212 

57 
14 
37 
5 
48 
220 
72 
86 
27 

3,599 

10 
3 
21 
39 
7 
13 
4 
10 

120,  345 

57 
618 
156 
104 
45 

193 
1,044 
1,405 

2,761 

6 
3 

15 
28 
9 
5 
11 
8 

105,  632 

55 

778 
113 
63 
14 
177 
142 
975 
1,321 
119 

36 

18 
48 
6 

2,319 

2 
1 
15 
15 
12 
2 
4 
6 

93,  800 

23 
1,178 
67 
65 
14 
202 
116 
937 
1,  218 
109 

49 
35 
32 
5 
32 

2,171 

4 
1 

8 
15 
8 
6 
1 

ORDER  VI.—  Diseases  of  Digestive  Organs  —  Continued. 

lt«'  T  ®m°rriage     f°T        .j. 

'     "    '                  10         °. 

'  n  '     a  ! 

)')'   A"   8     -TV000  f         f  L"  -  r 

in'  n°U  6-                   •  f         f  L'  • 

111 

11°   Piles                                                  

11 

3 

154 

62 

5 

3 

5 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

1 

13 
23 
6 
35 

202 
55 
92 
.  23 

1 
3 

2 

4 

3 

1 

4 
1 

7 

5 

1 

154 
50 
81 
19 

27 

10 
25 
52 

1 

155 
64 
70 
31 
32 

26 
13 

1~2    Hydroeele 

123   Other  Diseases  of  this  Order 

1 

43 

12 

36 
79 
8 
45 

2 

2 

OKDEIJ  VIII.  —  Diseases  of  Hones  and  Joints. 

20 
35 
71 
5 
25 
14 
10 

1,493 
2  689 

2 
30 
19 
13 

1,206 
1  ('85 

1 

13 

29 

1 

129.  Necrosis  

1 

1 

6 

14 
12 

2,191 
3,989 
230 
640 
509 

279 
970 
23 

1 

23 

-     9 

1 

130.  Other  Diseases  of  this  Order  

ORDER  IX.  —  Diseases  of  Integumentary  System. 
131.  Abscess  

4 

2 

3 

1,  256 
1  935 

2 

132.  Boils  

133.  Carbuncle  

225 
3;>0 

172 

136 
285 

1 

133 
331 
374 

295 
901 

134.  Whitlow  

338 

135.  Skin  Diseases  

433 

219 
921 
22 

374 

186 
858 
10 

CLASS    V.     WOUNDS,   ACCIDENTS,   AND 
INJURIES. 
ORDER  I.—  Wounds,  Accidents,  and  Injuries. 
136.  Burns  

5 
5 
6 
34 

153 

974 

18 

3 

o 

5 
10 

11 
2 

137.  Contusions  

2 

2 
31 

138.  Concussion  of  Brain  

5 
26 

139.  Drowning  

11 

140.  Sprains  

764 
55 

807 
53 

726 

779 

141.  Dislocation  

33 

105 
38 
8,905 
280 
206 
76 
62 
118 

39 

98 
20 
1,889 
375 
116 
96 
42 
114 

37 

121 
28 
6,382 
454 
148 
83 
29 
91 

142.  Simple  Fractures  

137 
79 
13,  122 
346 
212 
93 
116 
142 

3 

1,255 
7 
6 
3 

100 
13 
922 
385 
154 
104 
189 
123 

3 

24 
486 
5 
5 
1 
1 
22 

7 

1 
9 
460 
o 

1 

o 

8 
708 
2 
5 
1 
3 
15 

1 

8 
615 

143.  Compound  Fractures  

144.  Gunshot  Wounds  

145.  Incised  Wounds  

146.  Lacerated  Wounds  

1 
4 
4 
10 

3 
1 
3 

147.  Punctured  Wounds  

148.  Poisoning  

2 

17 

2 
3 
5 

149.  Other  Accidents  and  Injuries  

30 
5 
10 
o 

150.  ORDER  II.  —  Homicide  

151.  ORDER  III.—  Suicide  

1 
1 

152.  ORDER  IV.—  Execution  of  Sentence 

11 

Total  

139,  697       4,  507 

159,  347 

4,342 

141,  718 

3,397 

118,  610 

3,160 

111,  989 

2,904 

DURING   THE    YEAR   ENDING   JUNE    30,  18G4. 


457 


TABLE  LXXL— UNITED  STATES  ARMY— Concluded. 


1803. 

18(54. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCII. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

630,  834. 

604,  432. 

636,148. 

680,  034. 

696,  539. 

641,  376. 

615,  258. 

619,  703. 

104 
105 
10G 
107 
108 
109 
110 
111 
112 
113 

114 
115 
116 
117 
118 
119 
120 
121 
122 
123 

124 
125 
126 
127 
128 
129 
130 

131 
132 
133 
134 
135 

136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
140 
147 
148 
149 

150 
151 
152 

Cases. 

Deaths, 

Cases. 

Deaths. 

Cases 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

83,  265 

15 

1,527 
101 
70 
10 
168 
123 
776 
1,179 
93 

57 
23 
37 
5 

157 
44 
73 
19 
26 

22 
.     42 
66 
3 
36 
24 
9 

1,298 
2,004 
148 
344 

4CO 

267 
1,079 
15 

2,038 
1 

82,  223 

51 
1,801 
131 
62 
16 
132 
111 
562 
1,004 
227 

44 
20 
34 
2 

4*2 

2,250 

3 
3 
13 
13 
10 
4 
6 
1 

78,  279 

25 
2,128 
111 
66 
34 
165 
112 
484 
875 
127 

68 
28 
38 
7 
51 
182 
55 
77 
30 
33 

2,394 

101,  764 

30 
2,546 
139 
75 

179 
116 
515 
1,075 

127 

57 

3,329 

1 
3 

4 
14 
9 
8 
6 
o 

105,  352 

24 
2,179 
130 
77 
15 
167 
143 
561 
1,140 
283 

62 
23 
30 
10 
108 
203 
64 
89 
17 
31 

26 
27' 
92 
8 
34 
24 

2,978 

5 

5 
13 
17 
15 
4 
7 
3 

103,  696 

48 
1,030 
104 
70 
15 
168 
111 
609 
1,228 

2,157 

1 
2 
11 

16 
5 
2 
5 

125,  272 

40 
689 
128 
111 
15 
174 
134 
637 
1,410 
172 

85 

2,579 

6 
5 
8 
15 
12 
4 
2 
5 
4 
5 

1,  256,  340 

565 
15,  606 
1,483 
1,073 
234 
2,248 
1,658 
9,057 
14,  720 
1,919 

702 
227 
381 
74 
605 
2,191 
671 
971 
2'J6 
395 

205 
338 
867 
88 
355 
242 
155 

14,688 
26,  301 
1,842 
4,  443 
8,500 

2,853 
13,  145 
234 

31,  S90 

45 
30 
132 
£37 
124 
65 
66 
67 
4 
43 

1 

8 
35 
1 

1 
6 
15 
7 
6 
8 
1 

6 
18 
6 
1 
8 
5 

3 

2 

2 

1 

2 

1 

108 

65 
11 
15 
3 
59 
142 
44 
67 
27 
28 

13 
14 
55 

7 
12 
16. 
5 

899 
1,631 
102 
282 
1,085 

202 
1,313 
35 

1 

2 
5 

2 
5 

1 
3 

16 
27 
13 
83 
173 
60 
112 

1 
2 

13 

29 

1 

2 

1 

51 

228 
43 
69 
26 

4 
1 

186 
64 
90 
27 
52 

24 
34 
59 
10 
45 
18 
18 

925 
1,785 

2 

2 
1 

6 
1 

5 

4 

5 

45 
5 

32 
36 

16 
33 
79 
4 
24 
31 
9 

1 
1 

1 
18 

2 

4 

1 

3 

34 

13 
30 
51 
14 
24 
16 
39 

873 
2,092 
360 
276 
1,154 

185 
1,283 
30 

2 

37 
83 
10 

27 

1 

1 

1 
1 

1 

3 

o 

2 
3 
4 
2 

42 
3 

1 

1 

1 

1 

°2 

1 

12 

938 
1,630 
125 

17 

1,224 
2,105 
146 
409 
1,282 

257 
1,323 
18 

2 

2 

1,070 

1,881 
137 
481 
843 

254 
1,259 
13 

4 

1 

3 

5 

9 

1 

128 
395 

342 

829 

291 
1,092 
16 

883 

265 
1,172 
13 

1 
5 
7 
18 

26 
36 
52 
288 
1 
1 
14 
174 
9,238 
53 
36 
30 
31 
263 

43 

59 
46 

1 
3 
3 

10 

1 

3 
3 

4 
18 

1 
1 
8 
39 

9 
7 

4 
4 
38 
1 
1 

1 
26 

1,155 
59 
98 
18 
738 
609 
176 
102 
47 
227 

1,  093 

1,160 
69 
1°3 

1,404 
71 
118 
23 
569 
674 
166 
112 
23 
155 

1,501 

98 
140 
21 
2,727 
646 
154 
139 
40 
101 

1,028 



894 
50 
106 
155 
23,  919 
351 
231 
111 
157 
156 

689 
1,.343 
585 
96,  970 
5,689 
2,234 
1,134 
853 
2,569 

73 

98 
18 
567 
652 
189 
74 
40 
911 

1 
8 
131 
4 
3 
6 
3 
12 

3 
5 

2 

1 

7 
176 
2 
3 
1 
3 
17 

2 
9 
11 

99 
151 
35,  581 
343 
300 
95 
91 
160 

2 
50 
1,493 
3 
6 
1 
2 
36 

4 
12 
1 

5 

445 
4 

3 

5 

0*7 

5 

5 

4 

9 
190 
6 

21 
1,  6"49 
574 

1S2 
69 
17 
271 

5 
152 
4 
3 
3 
4 

18 
4 

3 

29 
3,127 
14 
1 
4 
1 
40 

3 
4 

1 

3 
3 

19 

3 

2 

96,  851 

2,622 

96,  265 

2,583 

92,681 

2,680 

116,  646 

3,623 

123,  247 

3,326 

151,  219 

3,891 

161,  730 

5,934 

1,  510,  OCO 

42,  969 

58 


458  SICKNESS   AND   MOETALITY    OF   WHITE    TEOOPS 


SUPPLEMENT  TO  THE  TABLES  OF  THE  THIRD  FISCAL  YEAR, 


On  account  of  the  great  interest  attaching  to  the  Atlanta  campaign  it  has  been 
thought  desirable  to  add  a  supplementary  table,  in  which  are  consolidated  all  reports  for 
May  and  June,  1864,  received  from  such  of  the  troops  belonging  to  the  Military  Division 
of  the  Mississippi  as  were  engaged  in  the  operations  from  Chattanooga  southward.  (See 
remarks  on  Table  LX,  page  363.) 

This  supplement  will  serve  as  an  introduction  to  Table  LXXXV,  (Military  Division 
of  the  Mississippi,  Part  II,  year  ending  June  30,  1865.)  It  is  to  be  borne  in  mind, 
however,  that  the  regimental  reports  here  consolidated,  have  been  included  in  the  tables 
already  presented  for  the  Departments  of  the  Ohio,  the  Cumberland,  and  the  Tennessee  for 
the  same  months. 


DURING   THE    MONTHS    OF   MAY   AND    JUNE,    18G4. 


459 


TABLE  LXX1L— SUPPLEMENTARY  TABLE. 

Abstract  of  the  Sickness  and  Mortality  of  the  Military  Division  of  the  Mississippi  for 

the  months  of  May  and  June,  1864. 


YEAR  

1864. 

MOVTH              

MAY. 

JUNE. 

TOTAL. 

142,  206. 

141,  749. 

141,  978. 

LIST  OP  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS  1.—  ZYMOTIC   DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

108 
4 
142 

8 
1 
1 

177 
1 
229 

18 

285 
5 
371 

26 
1 
2 

1 

'           7 

1,444 
1,955 
1,802 
163 
46 
5,325 
558 
2,336 
120 
97 
75 
113 
8 
8 
178 
98 
253 

252 

2,173 

2,490 
2,075 
321 
48 
7,264 
819 
3,003 
206 
122 
16 
15 

6 

3,617 
4,445 
3,877 
484 
94 
12,  589 
1,377 
5,339 
326 
219 
91 
128 
8 
14 
243 
178 
733 

422 
6C8 
62 
4 
45 
3 
51 

999 
56 
12 
2 
1 
6 

14 

918 
455 
109 

6 

.  Quo  i  ia"                     Fever 

2 

4 
1 
4 
9 
2 
6 

6 
1 
7 
13 
2 
8 
6 
1 

3 

4 

2 
6 
1 

18   Diphtheria                       

6 
65 
80 

480 

170 
234 
20 
2 
16 
2 
8 

636 
41 

19    Mumps           

1 

1 

ORDER  II.  —  Enthetic  Diseases. 
22    Syphilis                          

434 
42 
2 
29 
1 
43 

3G3 
15 
12 
1 
1 
6 

4 

401 
236 
52 

24    Orchitis        -   

27    Serpeut  Bite                        

28    Other  Diseases  of  this  Order  

ORDER  III.  —  Dietic  Diseases. 

1 

34    Oth°r  Diseases  of  this  Order 

CLASS   II.—  CONSTITUTIONAL   DISEASES. 
ORDER  I.  —  Diathetic  Diseases. 
35   Gout                   

10 

497 
219 
57 

1 

1 

39.  General  Dropsy  

1 
3 
9 

22 
9 

1 

7 
9 

47 
19 

41.  Tumors  

4 

42.  Other  Diseases  of  this  Order  

ORDER  II.  —  Tubercular  Diseases. 
43.  Consumption  

25 
10 

44.  Scrofula  

45.  Other  Diseases  of  this  Order  

CLASS   III.—  PARASITIC   DISEASES. 
4G.  Itch  

78 
3 

60 

138 
3 
5 

48.  Other  Intestinal  Worms  

5 

49.  Other  Diseases  of  this  Order  

Carried  forward  

16,  872 

29 

21,  fi07 

52 

38,479 

81 

460 


SICKNESS   AND   MOETALITY    OF   WHITE    TEOOPS 


TABLE  LXXIL— SUPPLEMENTAEY  TABLE— Continued. 


YRAK  

1864. 

MONTH  

MAY. 

JUNE. 

TOTAL. 

MEAN  STBENGTH  

142,  206. 

141,  749. 

141,  978. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

forward 

16,  872 

29 
294 
9 
3 

29 

2 

1 

21,  607 

3 

42 
384 
16 
5 
2 
4 
30 
31C 
7 
130 
3 

5 
1 

266 
8 
123 
2 

52 

o 
1 

38,  479 

5 
71 
678 
25 
8 
o 

8 
42 
575 
16 
204 
3 

5 
1 

538 
16 
278 
6 

5 

27 
13 
48 
4 

81 

4 
o 

CLASS    IV.—  LOCAL    DISEASES. 

OKDER  I.  —  Diseases  of  Nervous  System. 

r  r      y 

rf)      l      *  y 

• 

1 

1 

2 

r_                       .                     .               f  B     ' 

r                                         . 

4 
12 
259 
9 

74 

58               1   i 

-S- 

1 

1 

OKDEK  II.  —  Diseases  of  Eye. 

63    Cataract                                                           

272 
8 
155 

4 

5 

14 
6- 
18 
2 

OUDEK  III.  —  Diseases  of  Ear. 

13 
7 
30 
o 

72   Other  Diseases  of  this  Order 

OllDEK  IV.  —  Diseases  of  Organs  of  Circulation. 
73.  Aneurism  .                   

74.  Valvular  Disease  of  Heart 

8 

7 
2 

1 

15 

2 

1 

75.  Dropsy  from  Heart  Disease      

1 
1 

2 

3 

1 

79.  Inflammation  of  Veins  

80.  Varicose  Veins  

31 
13 

1 

26 
231 

24 
10 
1 

25 
205 
42 
1 
1 
24 
142 
129 
16 
33 

479 
530 

167 

55 
23 
2 

52 
436 
78 
1 
13 
53 
352 
?25 
34 
56 

835 
983 
255 

81.  Varicocele  

82.  Other  Diseases  of  this  Order  

1 

1 

OUDEH  V.  —  Diseases  of  Respiratory  Organs. 
83.  Asthma  

84.  Acute  Bronchitis  

85.  Chronic  Bronchitis  

36 

86.  Dropsy  of  Chest  

87.  Haemorrhage  from  Nose  

12 
29 
210 
96 
18 
23 

356 
453 

88 

88.  Inflammation  of  Lary  nx  

89.  Inflammation  of  Lungs  

3 

4 

7 

90.  Inflammation  of  Pleura  

91.  Haemorrhage  from  Lungs  

.  92.  Other  Diseases  of  this  Order  

OKUEH  VI.  —  Diseases  of  Digestive  Organs. 
93.  Colic  

94.  Constipation  

95.  Cholera  Morbus  

l' 

1 

2 

96.  Cirrhosis  of  Liver  

97.  Dropsy  from  Hepatic  Disease  

7 
108 

9 
118 

16 
226 

98.  Dvspepsia  

99.  Diseases  of  Pancreas  

100.  Diseases  of  Spleen  

6 
6 
56 
3 

1 

8 
64 
1 

7 
14 
120 
4 

101.  Fistula  in  Ano  

102.  Hernia  

103.  Hemorrhage  from  Stomach  

Carried  forward  

19,  670 

39 

25,048 

62 

44,  918 

101 

DURING   THE    MONTHS    OF   MAY   AND    JUNE,   1864. 


461 


TABLE  LXXIL— SUPPLEMENTARY  TABLE— Concluded. 


YEAlt  

1804. 

MAT. 

JUNE. 

TOTAL. 

MEAN  STRENGTH  

142,  206. 

141,  749. 

141,  978. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

19,  870 

9 

100 
6 
19 
3 
29 
11 
6G 
214 
6 

11 
3 

o 
4 
23 
7 
5 
3 
1 

2 

1 
7 

39 

25,  048 

5 

77 
8 
14 
1 
40 
11 
100 
202 

62 

44,  918 

14 
177 
14 
33 
4 
69 

166 
416 
23 

26 
4 
7 
o 

9 
74 
15 
17 
6 
9 

3 

4 
14 
o 

6 
5 
24 

324 
554 
29 
57 
424 

98 
466 
40 

101 

ORDER  VI.  —  Diseaset  of  Digestive  Organs  —  Continued. 

1 
o 

1 
2 

1 

1 

11°    Piles                                                             

17 

15 
1 
5 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

5 
51 

8 
12 
3 

8 

1 
3 

7 
g 

4 
3 

24 

178 
344 
15 
27 
201 

122    Hydrocele    

123.  Other  Diseases  of  this  Order  

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

2 

130.  Other  Diseases  of  this  Order  

ORDEK  IX.  —  Diseases  of  Integumentary  System, 

146 
210 

132.  Hoils  

133    Carbuncle                                             .         -.           

14 
30 
223 

54 

205 
22 

134.  Whitlow  

135.  Skin  Diseases  

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
136.  Burns        

44 
261 

18 

1 

1 

1 

1 

162 
4 
10 
43 
8,254 
53 
52 
15 
8 
23 

148 
5 
11 
80 
5,765 
61 
54 
15 
20 
13 

310 
9 

123 
14,  019 
114 
10G 
30 
28 
36 

143.  Compound  Fractures  '  

1 

188 

1 
426 
2 

238 

2 

147.  Punctured  Wounds  

1 
2 

1 
6 

2 

2 

149.  Other  Accidents  and  Injuries  

4 

2 
2 

150.  ORDBU  II.  —  Homicide  

151.  ORDER  III.  —  Suiaide  

15°   ORDFR  IV     Execution  of  Sentence 

Total            

29,  936 

239 

32,  935 

309 

62,  871 

548 

462 


SICKNESS    AND    MORTALITY   OF    WHITE   TROOPS 


SICKNESS  AND  MORTALITY  OF  WHITE  TROOPS  DURING  THE  FOURTH 

FISCAL  YEAR, 

(FROM  JULY  1,  1864,  TO  JUNE  30,  1865.) 


ATLANTIC   REGION. 

The  reports  received  from  troops  in  this  region  are  consolidated  into  statistical  tables 
for  eight  armies  or  departments,  as  follows : 


1.  The  Department  of  the  East  - 

2.  The  Middle  Department 

3.  The  Department  of  Washington   - 

4.  The  Middle  Military  Division 

5.  The  Army  of  the  Potomac  - 

6.  The  Department  of  Virginia 

7.  The  Department  of  North  Carolina 

8.  The  Department  of  the  South 

To  these  tables  are  added — 

9.  A  table  showing  the  mortality  in  the  general  hospitals  of 

the  Atlantic  Region 
10.  A  consolidated  table  for  the  Atlantic  Region 


LXXIII. 

LXXIV. 

LXXV. 

LXXVI. 

LXXVII. 

LXXVIII. 

LXXIX. 

LXXX, 


Table      LXXXI. 
Table    LXXXII. 


1.   THE  DEPARTMENT  OF  THE  EAST — TABLE  LXXIII. 

This  table  embraces  the  reports  received  from  troops  in  the  New  England  States  and 
in  the  Middle  States,  not  including  the  State  of  Delaware.  Officially  the  boundaries 
of  the  Department  of  the  East  were  the  same  as  during  the  year  ending  Jane  30,  1864; 
the  State  of  Pennsylvania,  which  is  here  included,  being  embraced  in  the  Department 
of  the  Susquehanna,  until  December  1,  1864,  after  which  that  Department  was  designated 
the  Department  of  Pennsylvania. 


DURING   THE   YEAR   ENDING    JUNE    30,    1865.  463 

2.   THE  MIDDLE  DEPARTMENT — TABLE  LXXIV. 

Tiiis  table  embraces  the  reports  received  from  troops  in  the  State  of  Delaware,  the 
eastern  shore  of  Virginia,  and  those  portions  of  the  State  of  Maryland  east  of  Hancock 
which  are  not  embraced  in  the  Department  of  Washington,  or  occupied  by  portions  of  the 
army  under  the  immediate  command  of  General  Sheridan.  (See  remarks  on  Table 
LXXVI.)  Officially  the  boundaries  of  the  department  remained  the  same  as  during  the 
previous  year.  General  E.  0.  C.  Ord  was  assigned  to  command,  July  11,  1864.  After 
August  7,  1864,  the  Middle  Department  formed  a  part  of  the  Middle  Military  Division. 

3.  THE  DEPARTMENT  OF  WASHINGTON — TABLE  LXXV. 

This  table  embraces  the  reports  received  from  troops  within  the  boundaries  indicated 
in  the  remarks  on  Tables  XXVII  and  L.  There  was  no  change  in  the  official  limits 
of  the  department  during  the  present  year. 

4.  THE  MIDDLE  MILITARY  DIVISION — TABLE  LXXVI. 

The  Middle  Military  Division  was  created  by  General  Orders  No.  240,  August  7, 1864, 
to  consist  of  the  Middle  Department,  the  Department  of  Washington,  the  Department 
of  the  Susquehanna,  and  the  Department  of  West  Virginia,  General  P.  H.  Sheridan  to 
command.  In  preparing  these  tables  the  Middle  Department  and  the  Department  of 
Washington  have  been  separately  presented,  and  the  troops  within  the  limits  of  the 
Department  of  the  Susquehanna  have  been  consolidated  with  the  Department  of  the  East. 
The  present  table,  therefore,  has  been  made  to  embrace  simply  the  Department  of  West 
Virginia  and  the  troops  operating  under  the  immediate  command  of  General  Sheridan  in 
the  Shenandoah  valley.  This  disposition  of  the  Department  of  West  Virginia  is  rendered 
necessary  by  the  intimate  connection  between  the  operations  of  the  Army  of  West 
Virginia  and  those  of  other  troops,  under  General  Sheridan,  in  the  Shenandoah  valley. 

The  movements  of  General  Early,  threatening  Washington,  led  to  the  6th  Corps 
being  sent  thither  from  the  Army  of  the  Potomac  July  6th,  and  the  first  and  second 
divisions  of  the  19th  Corps,  recently  from  the  Department  of  the  Gulf,  also  arrived  there 
from  the  13th  to  the  29th  of  the  same  month.  After  General  Early  retired,  these  troops 
followed  him  to  the  Shenandoah  valley,  uniting  with  a  force  belonging  to  the  Department 
of  West  Virginia,  and  reinforcements  from  other  sources.  It  has  therefore  been  found 
convenient  to  consolidate  the  reports  from  the  6th  Corps,  and  the  portions  of  the  19th 
referred  to,  with  those  from  the  Department  of  West  Virginia  for  the  month  of  July  in 
the  present  table,  although  the  Middle  Military  Division  was  not  organized  until  the 
following  month. 


464  SICKNESS    AND   MORTALITY    OF    WHITE    TEOOPS 

Amono-  the  chief  eno-ao-ements  during  General  Sheridan's  operations  in  the  Shenandoah 
valley  may  be  mentioned  that  at  Opequan  creek,  September  19th,  that  at  Fisher's  hill, 
September  22d,  and  that  of  Cedar  creek,  October  19,  1864. 

Early  in  December  the  6th  Corps  was  transferred  to  the  Army  of  the  Potomac,  with 
which  its  reports  are  consolidated  for  that  month  and  subsequently. 

Towards  the  close  of  February,  1865,  General  Sheridan  moved  up  the  Shenandoah 
valley  with  the  1st  and  3d  Cavalry  divisions  of  his  army,  and  effected  a  junction  with  the 
Army  of  the  Potomac  near  City  Point,  March  26th.  The  reports  of  these  divisions  for 
February  and  March  are  embraced  in  the  present  table ;  subsequently  they  are  consolidated 
with  the  Army  of  the  Potomac. 

5.   THE  AEMY  OF  THE  POTOMAC — TABLE  LXXVII 

At  the  commencement  of  the  year  the  Army  of  the  Potomac  was  still  before 
Petersburg  The  operations  against  that  place  were  continued  until  April  2,  1865,  when 
General  Lee  abandoned  his  defensive  works  and  surrendered,  April  9th,  near  Appomattox 
Court-house.  The  Army  of  the  Potomac  was  subsequently  marched  to  the  vicinity  of 
Washington,  where,  after  the  review  of  May  22d,  its  muster-out  commenced. 

6.   THE  DEPARTMENT  OF  VIRGINIA — TABLE  LXXVIII. 
j 

The  boundaries  of  this  department  continue  the  same  as  during  previous  years.  (See 
remarks  on  Tables  XXIX  and  LII.)  Officially  united  with  North  Carolina,  it  formed 
the  Department  of  Virginia  and  North  Carolina  until  January  12,  1865,  when  the  State 
of  North  Carolina  was  transferred  to  the  Department  of  the  South  and  the  Department  of 
Virginia  restored.  General  E.  0.  C.  Ord  was  assigned  to  the  command,  February  6,  1865. 

The  portion  of  the  troops  of  this  department  constituting  the  Army  of  the  James, 
continued  to  cooperate  with  the  Army  of  the  Potomac  in  the  siege  of  Petersburg  until  the 
fall  of  that  place.  The  troops  composing  the  expedition  against  Fort  Fisher,  in  December, 
1864,  were  from  this  Department,  as  were  also  those  of  the  second  expedition  in  January. 
Fort  Fisher  was  captured  January  15,  1865,  and  the  troops  of  the  expedition  which 
remained  there  are  embraced  for  subsequent  months  in  the  Department  of  North  Carolina. 

7.   THE  DEPARTMENT  OF  NORTH  CAROLINA — TABLE  LXXIX. 

This  table  includes  the  reports  received  from  troops  stationed  in  North  Carolina, 
which  State  was  embraced  in  the  Department  of  Virginia  and  North  Carolina  until 
January  12,  1865,  when  it  was  transferred  to  the  Department  of  the  South.  January  31st, 
the  Department  of  North  Carolina  was  created  to  consist  of  the  State  of  North  Carolina, 
and  General  J.  M.  Schofield  assigned  to  command.  During  the  latter  part  of  the  month 


DURING   THE    YEAR   ENDING   JUNE    30,  1865.  4G5 

of  January,  the  Army  of  the  Ohio  had  been  transferred  from  the  West,  arid  is  embraced 
in  the  table  for  February  and  subsequent  months.  Wilmington,  North  Carolina,  was 
occupied  February  22d.  General  Schofield  subsequently  moved  from  Newborn  by  way 
of  Kingston  to  Goldsboro,  which  he  entered  March  21st,  and  effected  a  junction  with  the 
Army  of  General  Sherman. 

8.   THE  DEPARTMENT  OF  THE  SOUTH- — TABLE  LXXX. 

The  boundaries  of  this  department  continued  as  during  the  previous  year,  with  the 
exception  of  the  temporary  transfer  during  January  of  the  State  of  North  Carolina — a 
change  which  has  been  disregarded  in  constructing  the  table. 

The  district  of  Savannah  is  embraced  in  the  table  for  January  and  subsequent  months. 


SICKNESS   AND   MORTALITY   OF   WHITE   TROOPS 


TABLE  LXXIIL 

Abstract  of  the  Sickness  and  Mortality 


YFAR  

1864. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

7,  238. 

9,  231. 

13,  648. 

9,  542. 

10,  102. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths.    Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS    1.—  ZYMOTIC    DISEASES. 
ORDER  I.  —  Miasmatic  Diseases. 

12 

o 

24 

2 

13 
2 

20 
1 

1 

2 
1 

14 
7 

3 

3.  Typho-Malarial  Fever  

4.  Yellow  Fever  

27 
39 
5-1 
6 
1 
391 
53 
53 
1 
10 
1 
7 

40 
41 
97 
5 

29 
158 
124 

14 
146 
34 
1 
1 
201 
38 
18 
7 
6 
6 
7 

21 
115 

6.  Quotidian  Intermittent  Fever  

85 
3 

1 

9.  Congestive  Intermittent  Fever  

452 

300 
36 
51 

175 
44 
20 
9 
7 
21 

40 
83 
7 
10 
3 
4 

1 

1 

5 

7 
20 

1 

1 

11 

1 

2 

2 
1 
59 
34 

146 
120 

5 

o 

6 

4 
13 
109 
7 

166 
147 
16 

62 
50 

158 

103 
59 

144 
190 
13 

0 

131 
45 

ORDER  II.  —  Enthetio  Diseases. 

121 

127 

125 
22 

14 
1 
4 

22 

3 

1 
4 

6 

1 

1 

4 
3 

2 

3 
1 

6 
4 

OllDER  lll.—Dietic  Diseases. 
29   Scurvy                                                             .   .  . 

1 

11 
29 
11 

13 
36 

3 

7 
31 

o 

13 
4 
3 
o 

2 

°3 

34.  Other  Diseases  of  this  Order  

1 

1 

CLASS    II.—  CONSTITUTIONAL    DISEASES. 
ORDER  I.  —  Diathetic  Diseases. 
35.  Gout  

1 

77 

46 
43 
10 

48 
29 
°1 

88 
25 

77 
34 

8 

37.  Chronic  Rheumatism  

24 
2 

o 

39.  Cancer  

40.  Tumors  

1 
o 

o 

2 

41.  Other  Diseases  of  this  Order  

1 

10 
4 

ORDER  II.  —  Tubercular  Diseases. 
42.  Consumption  

2 

5 

7 

1 

14 
3 

1 

1 
1 

3 

1 

43.  Scrofula    

44.  Other  Diseases  of  this  Order  

CLASS    III.—  PARASITIC    DISEASES. 
45.  Itch  

2G 

29 

37 

24 

39 

46.  Tape-worm  

47.  Other  Intestinal  Worms  

3 

48.  Other  Diseases  of  this  Order  

1,276 

4 

1,399 

7 

1,485 

2 

1,138 

5 

1,156            11 

DURING    THE  TYEAE   ENDING   JUNE    30,  18C5. 


467 


TABLE  LXX1IL 

of  the  Department  of  the  East. 


1864. 

1865. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

9,  630. 

8,  699. 

11,  505. 

13,  6J  0. 

12,  392. 

12,  275. 

13,  489. 

10,  947. 

1 

3 

4 
5 
6 
7 
8 
9 
10 
11 

13 
14 
15 

16 
17 
18 
19 
20 
21 

22 

24 
B5 
26 

28 

29 
30 
31 
32 
33 
34 

35 
36 
37 
38 
39 
40 
41 

42 
43 
44 

45 
46 
47 

48 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

22 

2 

12 

3 

9 
2 

1 

9 
3 

2 

o 

16 
2 

5 
3 

6 

3 

16 
2 
3 

o 

173 
19 
6 

27 
6 
1 

1 

1 

1 

8 
59 
34 
9 

13 

18 
26 

33 

28 
39 

45 

58 
50 

1 

40 
63 
63 
13 
2 

207 
17 
12 

41 

58 
96 
14 

43 

5(> 

354 
842 
760 
C7 
9 
2,915 
383 
343 
54 
178 
95 
246 
13 
69 
208 
1,319 

1 

58 
15 

1 

1 

161 
22 
13 
6 
15 
C 
3 
1 
9 
11 
153 
17 

167 
143 
19 

1 

88 
12 
8 
4 
11 
4 
27 

125 

179 
24 
8 
1 
20 
14 
45 

177 
13 
18 
4 

459 

2    i 

3 

61 
53 
6 
8 

2 
1 

14 
1 
2 

6 

1 

o 

21 

27 

4 

15 
37 

3 

18 
83 
5 

1 

7 
21 
1 
5 
25 

5 
2 

13 
2 

3 

5 
39 

118 
48 

184 
137 
30 
3 
1 

1 
1 

11 
54 
36 

80 
80 
9 
4 

12 
6 
104 
18 

102 

11 
23 
97 
20 

127 
117 
18 
4 
1 

7 
75 

1 

1 

189 
82 

247 
185 
34 
3 

140 
46 

170 
135 
11 

1 

1 

3 

4 

9 

462 

1,812 
1,612 

18 

100 
8 

216 
24 

1 

1 

20 

1 
2 

3 
1 

1 

4 

1 
6 

21 
42 

3 

5 

7 
13 
5 

8 
9 
2 

18 
4 

1 

14 

7 

8 
8 
2 

7 
6 
4 
1 

2 

120 

8 
4 
1 

116 
174 

28 
6 

C, 
973 

6 

1 

1 

1 
2 

1 
93 
33 

55 

85 

104 

9G 
35 
15 

84 
43 

1 

0 

20 
1 

28 
1 

34 

373 
86 
5 
11 
13 

89 
53 

13 

12 
1 
1 
1 

9 
4 

1 

1 

2 

1 
3 

U 
4 

1 

3 
1 

4 

8 

8 
6 
1 

45 

1 

8 
4 

o 

1 

1 

1 

9 
7 

0 

7 
5 

1 

3 

1 

15 

3 

543 

57 

54 

63 

93 

41 

35 

o 

5 
1 

1 

1,099 

7 

749 

9 

967 

9 

1,281 

11 

1,668 

23 

1,  267 

16 

1,262 

6     \      14,747 

110 

468 


SICKNESS    AND    MOETALITY    OF    WHITE    TROOPS 


TABLE  LXXIII.—  DEPARTMENT  OF  THE  EAST— Continued. 


YE  vu  

18(54. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

7,  238. 

9,  231. 

13,  648. 

9,  542. 

10,  102. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases,  j  Deaths. 

rd 

1,276 

4 

1,399 

7 

1,485 

2 

1,138 

5 

1,156 

11 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.—  Diseases  of  Nervous  System. 

49.  Apoplexy  

16 

6 
41 

13 
23 

9 
18 
1 

10 
60 
1 
1 

50.  Epilepsy  

1 

1 

1 

1 

1 
4 

26 

1 

2 
31 
1 

1 

5 
20 
2 

07 

19 
1 
1 

4 
3 

1 

9 
2 

5 

1 

o 

ORDER  II.  —  Diseases  of  Eye. 

1 

23 

22 
1 

23 
o 

14 

20 

1 
1 

6 
o 

5 

2 

3 

2 
8 

1 
2 

ORDER  111.  —  Diseases  of  Ear. 

3 

2 
2 

3 

5 

5 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

9 
1 

1 
1 

8 

1 

6 
1 

4 

1 

74    D™1)35-  of  Pcric-mlium 

*   J                        .  _ 

o 

o 

76    InfHir           n  of  End<  nrdium 

1 

1 

7 

2 
2 

7 
8 

16 
2 

o 

80.  Other  Diseases  of  this  Order  

ORDER  V.  —  Diseases  of  Respiratory  Organs. 

3 
34 

7 

5 
42 
11 

45 

1 

4 
57 
9 

5 

74 

20 

9 

84.  Dropsy  of  Chest  

85.  Haemorrhage  from  Nose  

1 
3 

7 
8 
o 

1 
9 
14 
14 
o 

3 

2 

38 

86.  Inflammation  of  Larynx  

1 
9 

9 
1 
1 

35 
103 
3° 

6 
12 
3 
i 

87.  Inflammation  of  Lungs  

1 

88.  Inflammation  of  Pleura  

89.  Haemorrhage  from  Lungs  

6 
6 

3 

90.  Other  Diseases  of  this  Order  

1 
25 

4 

14 
62 
1 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
91.  Colic  

20 
75 
37 
1 
1 
68 

92.  Constipation  

87 
18 

93.  Cholera  Morbus  

1 

94.  Cirrhosis  of  Liver  

1 

95.  Dropsy  from  Hepatic  Disease  

2 
53 

3 

27 

21 

1 

63 

97.  Diseases  of  Pancreas  

98.  Diseases  of  Spleen  

1 
1 
8 

2 
1 
26 

99.  Fistula  in  Ano  

1 

9 
1 

100.  Hernia  

12 

9 

101.  Haemorrhage  from  Stomach  

3 

0 

1,  690 

4 

1,864 

9 

1,927 

6 

1,440 

5 

1,568 

14 

DURING    THE    YEAR    ENDING   JUNE    30,  1865. 


4G9 


TABLE  LXXIIL— DEPARTMENT  OF  THE  EAST— Continued. 


1864. 

1805. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE.                    TOTAL. 

9,  636. 

8,  699. 

11,  505. 

13,  610. 

12,  392.                    12,  275. 

13,  489. 

10,  947. 

49 
50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 

61 
62 
63 
64 
65 
66 

67 
68 
69 
70 

71 
72 
73 

74 
75 

76 
77 
78 
79 
80 

81 
80 
83 
84 
85 
86 
87 
88 
89 
9C 

91 
92 
93 
94 
95 
96 
97 
98 
99 
100 
101 

Cases. 

Deaths. 

Cases. 

Deaths.    Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths.     Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1,099 

7 

749 

9 

967 

3 

10 
27 
2 

9 
1 

1,281 

11 

1 

1,668 

23 

1,  267 

Ifi 

1,262 

6 

14,  747 

3 

107 
4G5 

7 

0 

6 
6 
13 
357 
14 
20 
14 

7 
2 

?57 

110 

4 

72 

4 
24 

19 
49 
1 

7 
35 

4 
33 

61 

1 

1 
9 

1 

2 

o 

5 

3 

1 

1 
1 
29 

1 

30 

1 

30 

1 

26 
1 

35 
1 

51 

33 
1 

0 

1 
1 
2 

1 

1 

2 
1 

2 
1 

o 

3 
2 

1 

1 

1 

1 

29 
2 

1 

29 
5 

13 
1 

18 
1 

15 
3 

41 
6 

10 
2 
1 
4 

4 

23 
o 

18 

37 
14 
74 
o 

4 

4 

2 
4 

4 
4 

2 

0 

1 

1 

2 
12 

7 

1 

7 

2 

4 

6 

8 

8 

1 

1 

5 

1 

3 

3 
1 
1 

4 

5 

50 
4 
o 

7 
7 
1 
50 

3 

1 

1 

1 

1 

1 

1 

5 

1 

6 
2 

1 

5 

94 
25 

2 

4 

0 

1 

1 

1 
3 

3 

155 
29 

3 

1 

1 

C4 

18 

20 
14 

51 
981 
207 

3 

3 
130 

1 

6 
150 
25 

5 

4 

46 
20 

1 

90 
14 

20 

1 
13 

28 
7 
o 

3 

15 

1 

1 
10 
42 
23 
3 
29 

°9 

3 

6 
31 

29 

0 

161 

39 
131 

8 

13 
108 
294 
189 
31 
475 

281 

1 

13 

29 
9 
5 
23 

15 
56 
1 

S7 

3 
19 
7 
5 

1 

2 

36 
43 

1 
1 

4 

6 
1 

29 

0 

1 

1 

17 
2 

1 
3 

1 

25 

20 
37 

3 

159 

19 
61 

34 
20 

42 

58 

127 

145 

<1')7 

3 

15 

116 

o 

20 
569 
3 
7 
14 
139 
9 

3 

32 

0 

5 

56 

1 

2 
50 

o 

28 

42 
3 

58 

71 

1 

4 
14 

3 

2 
15 

i  r 

3 

6 

6 

9 

1° 

13 

0 

1 

1,898 

1,564 

10 

1,168 

15       1,  659 

18 

23 

2,435 

31 

1,822 

17 

1,803 

8 

20,858 

160 

470 


SICKNESS   AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  LXXIII.— DEPARTMENT  OF  THE  EAST— Concluded. 


1 
YEAH  

18t)4. 

MONTH  

JULT. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

7,  238. 

9,  231. 

13,  648. 

9,  542. 

10,  102. 

LIST  OK  DISEASES. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

0 

1,690 

4 

1,864 

9 

1,927 

6 

1,440 

5 

1,568 

14 

ORDKR  VI.—  Distaus  of  Digestive  Organs—  Continued. 

34 

33 
1 
3 

33 
4 
1 

60 
1 
2 

JOO 

1 

1 

4 

o 

5 

3 

o 

„ 

1 
17 
35 

C 
35 

4 
30 
1 

3 

23 
15 

7 

1 
1 

10 
19 
11 

2 
7 

5 
5 

ORDER  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

1 

0 

1 

<•  i  •  K        f  I' 

5 
2 
5 

ll!;    I  •  •"•«  "•    f  T    -ti 

o 

5 
o 

>f  K'di 

0 

26 

f  Bl    Id  ' 

3 
2 
1 

1 
1 
.   1 

5 
3 

6 
1 

1 

3 
2 

1 

ORDEH  VIII.  —  Diseases  of  Hones  and  Joints. 

1 

123    Caries 

C 

o 

o 

1 

1 

1 

7 

2 

1 

13 

29 

1 

3 

44 

OUL)EH  IX.  —  Diseases  of  Integumentary  System. 
129.  Abscess  

20 
44 
5 
10 

19 
50 
8 
31 
23 

2 
43 
1 

130.  Boils  

35 

131.  Carbuncle  

3 

10 

28 

17 
CO 

4 
11 
53 

15 

5 

! 

132.  Whitlow  

4 

59 

10 

78 

133.  Skin  Diseases  ,  

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
134.  Burns  

3 

4° 

54 

136.  Concussion  of  Brain 

137.  Drowning  '  

• 

138.  Sprains  

40 
3 

40 

or> 

39 

51 
1 

131).  Dislocation  

140.  Simple  Fractures  

9 

6 
1 

99 
9 
21 

4 
1 

95 
11 
1° 

141.  Compound  Fractures 

1 

95 
11 
9 

3 

142.  Gunshot  Wounds  

1(14 
24 

1 

1 

1 

o 

51 
9 
7 
6 

3 

143.  Incised  Wounds  

144.  Lacerated  Wounds.  .. 

11 

21 

14.r>.  Punctured  Wounds.  ... 

0 

140.  Poisoning  

3 
3 

8 
11 

1 
5 

1 
3 

147.  Other  Accidents  and  Injuries 

5 

1 

1 

1 

148.  ORDKU  II.  —  Homicide  

149.  ORDF.U  III.—  Suicide  

1 

1 

150.  ORDER  IV.—  Execution  of  Sentence  . 

Total  

j 

2,152 

G 

2,300 

12 

2,397 

8 

1,924 

9 

2,116 

17 

DURING    THE   YEAR   ENDING   JUNE    30,  18G5. 


471 


TABLE  LXXIII— DEPARTMENT  OF  THE  EAST— Concluded. 


1804. 

1805. 

DECEMBER. 

JANUAKY. 

FEBHL'AUY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

9,636. 

8,  699. 

11,  505. 

13,  610. 

12,  392. 

12,  275. 

13,  489. 

10,  947. 

102 
103 
104 
105 
106 
107 
108 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

deaths.    Cases. 

Jeaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases.      Deaths. 

1,584 

10 

1,108 

2 

1°5 

15 

1,  659 

1 
146 

18 

1,898 

23 

2,435 

3 
166 
1 
1 

31 

1,  822 

17 

1,803 

8 

20,858 

6 
1,101 

14 
21 

160 

107 
o 

156 
3 
3 

73 
1 
3 

46 

1 
1 

1 
1 

1 

2 

5 
1 
17 
10 

7 

4 
3 

1 

1 

6 

4 

8 

7 
27 

28 
18 
135 
°56 

1 

15 

2 
4 
11 
7 

o 

3 

6 

27 
12 

109 

20 

6 
22 
18 

2 

110 

9 
10 

2 

16 
7 

4 

111 

112 
113 
114 

15 

102 
°7 

2 
1 
3 

12 
13 
5 
23 
C4 
22 
32 
12 
5 

9 
4 
19 
2 
13 
9 
4 

212 
522 
70 
106 
564 

01 

4 

1 

115 
116 
117 

o 
5 

3 
5 

0 

1 

7 

o 
7 
4 
4 

2 
o 

4 
1 
1 

o 

118 
119 

1 
5 
3 
1 

3 

o 

4 

1 

2 
1 
1 

1 
o 

3 

120 
121 

122 
123 
124 
125 
126 
127 
128 

129 
130 
131 
132 
133 

134 
135 
136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
146 
147 

148 
149 

150 

1 

1 

1 

1 

2 
g 

1 

1 

1 

1 

1 

1 

1 

2 
1 
1 

o 

1 

2 
1 

1 

2 

2 

15 
45 

1 

14 

48 
8 
9 
64 

15 

67 

21 
34 
10 
4 
44 

7 
34 

18 
30 
3 
15 

16 
69 
6 
13 

59 

4 
49 
1 

29 

23 
'  49 
3 

45 

1 

15 

44 

11 
33 

14 

0 

47 

4 
46 

67 

3 
43 

1 

54 

64 

613 
3 



1 

1 

50 
2 
6 
1 
68 
13 
9 
1 

1    ™ 

30 

44 

69 
1 
3 
3 
26 
20 

51 
3 
6 
3 
41 
11 
8 
4 

43 

0 

512 
19 

52 

750 
160 
133 

49 
18 

117 

4 
4 
41 
4 

7 

1 

„ 

2 
1 
43 
8 
11 
2 
1 
5 

3 
3 

20 
27 

1 

1 
1 
15 

1 

67 
13 
16 
1 

1 

1 

1 

1 

1 

2 

1 

C 
3 
1 

5 

16 
3 
3 
15 

5 

16 

28 

16 

3 

1 

2 

2,135 

11 

1,623 

17 

2,185 

19       2,  387 

23       3,  034 

33     I  2,320 

19 

2,254 

11 

26,  827 

185 

472 


SICKNESS   AND   MORTALITY   OF   WHITE    TROOPS 


TABLE  LXX1V. 

Abstract  of  the  Sickness  and  Mortality 


YEAR  

1864. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

11,  737. 

8,  761. 

C,  830. 

7,  512. 

3,087. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS   1.—  ZYMOTIC   DISEASES. 
ORDER  I.  —  Miasmatic  Diseases. 

21 

4 

28 

7 

17 

5 

27 

3 

6 

3 

^* 

35 

1 

30 

59 

1 

15 

97 
102 
142 

1 

120 
172 

74 

119 
214 
167 
16 
3 
463 
21 
20 
7 
12 
7 
35 

27 
36 
48 
10 

198 

99 

197 
1 
4 
716 
4 
42 

1 

11 
1,044 
8 
80 
3 
9 
5 
21 

2 
1 
2 
2 

1 

618 
18 
86 
3 
9 
12 
62 

63 
14 
9 

0 

1 
1 

2 
1 
1 

1 

1 

•    r      J      J 

1 

o 

. 

2 
4 

6 
22 

1 

7 
6 

1 

3 

16 

15 

11 
1 

9 

2 

10 
1 

54 
74 

56 
45 

1 
1 
3 
4 

35 
13 
3 

8 
151 

47 
77 
5 
1 
1 

18 
80 

30 

29 

118 

75 
73 

15 

ORDER  II.  —  Enthetic  Diseases. 
22    Syphilis 

24    Orchitis 

13 

7 
3 

27    Serpent  Bite 

ORDEH  Tll.—Dietic  Diseases. 
29.  Scurvy  

18 

1 

1 
1 
1 
3 

30.  Purpura  

31.  Delirium  Tremens  

1 
2 

1 

1 

1 

1 

32.  Inebriation  

2 

33.  Chronic  Alcoholism  

1 

1 

1 

34.  Other  Diseases  of  this  Order  

CLASS   II.—  CONSTITUTIONAL   DISEASES. 
ORDER  I.  —  Dialectic  Diseases. 
35.  Gout  

6 
31 
24 
4 

3C.  Acute  Rheumatism  

25 

40 

28 
6 

24 

20 
2° 

37.  Chronic  Rheumatism  

45 

38 
1 

38.  Anaemia  

7 

39.  Cancer  

40.  Tumors  

1 

1 

41.  Other  Diseases  of  this  Order  

ORDER  II.  —  Tubercular  Diseases. 
42.  Consumption  

3 

o 

4 
1 

2 
1 

3 

1 

5 

43.  Scrofula  

44.  Other  Diseases  of  this  Order  

CLASS   III.—  PARASITIC   DISEASES. 
45.  Itch  

3 

4 

7 

13 

3 

46.  Tape-worm  

47.  Other  Intestinal  Worms  
48.  Other  Diseases  of  this  Order  

6 

3 

Carried  forward  

1,619 

12 

2,057 

17 

1,  597 

16 

1,462 

12 

342 

5 

DUEING   THE    YEAR   ENDING   JUNE   30,  1865. 


473 


TABLE  LXXIV. 

of  the  Middle  Department. 


1864. 

38(55- 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE.                   TOTAL. 

3,  069. 

4,  791. 

5,  682. 

6,  834. 

8,  262. 

9,  940. 

4,  502. 

6,  801. 

Cases,  j  Deaths. 

Cases.  |  Deaths. 

Cases. 

Deaths. 

Cases.  :  Deaths. 

Cases.     Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.     'Deaths. 

1 

3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
1C 
17 
18 
19 
20 
21 

22 
23 
24 
25 
2fi 
27 
28 

29 
30 
31 
32 
33 
34 

35 

6 
1 

o 

5 

1 

10 

1 

8 

3 

19 

6 

20 

1 

8 

7 

2 

177 
1 
153 

40 
1 
5 

1 

3 

1 

1 

6 

2 

1 

11 

59 

47 

24 

23 
137 
33 

59 
59 
36 

44 
29 

50 
146 
80 
6 

30 

87 
47 

678              1 
1,  304      

95 

89 

86 
7 
2 

84 
7 
16 

1,071 
41 
S4 
3,642 
132 
390 
14 
99 
77 
24C 
3 
65 
190 
215 
619 

561 
407 
94 
5 
3 

1 

58 
4 
4 

2 
61 
5 
6 

0 

1 

1 

268 
6 
69 

6 
2 
9 
5 

4 
9 
7 

58 
1 
8 
1 
1 
4 
11 

69 

140 
25 

1 

19 

7 

1 

1 

43 

r 

8 

7 

1 

2 

14 
14 
35 

1 
1 

18 
7 
16 

17 
6 

1 
1 

4 
1 
11 

1 

G 
8 
1 

1 

1 

1 
16 

1 
7 
91 
24 
20 

62 

1 

1 

38 
9 
37 

46 

20 

3 

19 
9 
14 

19 
'    18 
8 

2 

3 

r 

10 

29 

34 

20 
4 

14 
7 

48 

7 
19 

49 
26 
3 

66 

60 
21 

41 
15 

3 

8 

10 

1 
1 

1 

1 
5 

1 

49 

12 

17 
2 
1 

6 
452 
340 
36 

1 

4 

6 

3 

1 

1 
1 

1 

1 

1 

1 
2 

1 
1 

1 
1 

3 

3 
1 
1 

1 

o 

1 

36 
37 
38 
39 
40 
41 

42 
43 

44 

45 

4( 

47 
48 

27 
34 
6 

24 
47 

30 

OS 

54 

61 
12 

91 
21 
1 

°5 

20 

24 

i     2 

1 

3 

o 

1 

5 

1 
1 

4 
1 

1 

8 
2 

o 

1 

3 

1 
4 

37 
14 

7 

3 

| 

7 

8 

14 

13 

17 

94 

1 

10 

385 

H 

502 

o 

471 

10 

648 

9 

596 

6 

947 

5 

693 

3 

11,319 

105 

60 


474 


SICKNESS   AND    MOETALITY    OF    WHITE    TEOOPS 


TABLE  LXXIY.— MIDDLE  DEPAETMENT— Continued. 


YKAIL  

1864. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

11,  737. 

8,  701. 

6,  830. 

7,  512. 

3,  087. 

LIST  OF  DISEASES. 

Cases. 
1,019 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

bt  f  rward 

2,057 

17 
1 

1,  537 

16 

1,462 

1 
11 

20 

12 
1 

342 

' 

CLASS    IV.—  LOCAL    DISEASES. 
ORDER  I.  —  Diseasesof  Nervous  System, 

7 
31 

7 
18 
1 

o 

4 
6 

13 
1 

1 

1 

8 
34 

4 
36 

6 

16 

9 

4 
o 

7 

1 

0 

1 

1 

OuDEii  11.  —  Diseases  of  Eye. 

35 

1 
1 

9 
5 

13 
1 
1 

05 

15 

... 

1 
1 

2 
1 

8 
1 

8 

GG    Otf   -D'         >•           '-  O  d>- 

OUDER  111.  —  Diseases  of  Ear. 

C 

3 

1 
1 
1 

o 

o 

1 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

3 

1 

5 
1 

1 

4 

4 

74    D    1  }-    f  P     ' 

1 

75    Inflammation  of  Peric-irdium 

7G    Infl         •  f        f  r    1 

7 
G 

2 
1 

1 
3 

80.  Other  Diseases  of  this  Order 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 

1 

6 
43 
9 

3 
10 
12 

4 
60 

15 

3 

40 
9 

84.  Dropsy  of  Chest 

86.  Inflammation  of  Larynx 

| 

4 
9 

87.  Inflammation  of  Lungs   

11 
IS 

1 

8 
11 

4 

2 

5 

7 

1 

8 
8 
5 

1 

5 

1 

5 

1 

90.  Other  Diseases  of  this  Order 

9 

40 
134 
3G 

OHDER  VI.  —  Diseases  of  Diyestive  Oryans. 
91.  Colic  

79 

28 

38 
34 

6 
23 

92.  Constipation  

94 

43 

93.  Cholera  Morbus  

24 

10 

2 

94.  Cirrhosis  of  Liver  

95.  Dropsy  from  Hepatic  Disease  

1 

3G 

1 
4G 

4 
15 

1 
5 

90.  Dyspepsia  

14 

97.  Diseases  of  Pancreas  

98.  Diseases  of  Spleen  

9ft.  Fistula  in  Ano  
100.  Hcruia  

3 
10 
1 

1 

6 

<) 

1 

1 
1 

10  1.  Haemorrhage  from  Stomach  

I                i              

i 

2,094 

13       2,  500 

22 

1,778     i         18        1,703     :         15 

483            10 

DURING   THE    YEAR    ENDING   JUNE   30,    18G5. 


475 


TABLE  LXXIV.— MIDDLE  DEPARTMENT— Continued. 


18O4. 

!8<>r>. 

DECEMBER. 

JANUARY. 

FEBHUAUY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

3,  669. 

4,  791. 

5,  682. 

6,  834. 

8,  262. 

9,  940. 

4,502. 

6,  801. 

49 
50 
51 
52 
53 
54 
55 
50 
57 
58 
59 
60 

61 
62 
63 

64 
65 
60 

67 

68 
69 
70 

71 
72 
73 
74 
75 
76 
77 
78 
79 
80 

81 
82 
83 

84 
85 
8<J 
87 
88 
89 
90 

91 
92 
93 
94 
95 
96 
97 
98 
99 
100 
101 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.      Deaths. 

385 

8 
1 

502 

471 

10 

648 

9 

590 

6 

947 

5 

693 

3 

11,  319 

1 

59 

105 
3 

4 
9 

1 

3 

14 

3 
6 
1 

5 
4 

4 
6 
3 
1 

4 

18 

11 

2 

156 
9 

1 
7 

2 

1 
7 

1 
1 

1 

1 

4 

3 

1 

1 

1 

1 

o 

!                i 

1 
12 

15 
209 
1 
14 
15 

8 
1 
191 

19 
1 

28 

7 

12 

18 

17 

25 
1 

17 

1 
1 

3 

o 

1 

e 

4 
1 

1 

2 

4 

4 
3 

2 

1 
8 
1 

16 

10 

12 

16 
2 

12 

20 
2 
3 

1 

0 

o 

2 

1 

1 

1 
1 

1 
13 

5 

31 

1 

1 
22 

1 

3 

4 

3 

1 
1 

1 

3 

1 

2 

2 
2 
1 

1 

1 

1 

1 

i 

1 

1 

1 

1 

1 

1 
2 

1 

5 

16 
18 

4 
77 
4 

o 

0 

1 

91 
5 

26 

53 

4 

74 
14 

107 

7 

89 
20 

18 

684 
99 

1 
14 
2 
1 

8 
29 
6 
3 

18 
6 

8 
26 
15 
1 
10 

9 

20 

1 
2 

1 

5 
18 
5 
3 
34 

10 
04 

1 

29 
18 
o 

27 

0 

1 

2 

9 
1 
12 

10 
15 

46 
182 
99 
29 
123 

244 

i 

25 
3 
1 
1 

2 

3 

6 

1 

o 

1    i 

1 
1 

31 

4 

14 

7 
28 
4 

5 
23 
1 
1 

67 
1 

519 

3 

1 

14 

1 

103 
1 
8 
149 

1 

1 

4 

1 

9 

3 

8 

6 

3 

1 
5 
1 

5 

68 
3 

3 

4 

2 

8 

11 

8 

554 

11 

714 

8 

717 

15     ;      931 

18 

881 

16 

1,298 

8 

842 

7 

14,  505           161 

476 


SICKNESS    AND    MORTALITY    OF   WHITE    TROOPS 


TABLE  LXXIV.— -MIDDLE  DEPARTMENT— Concluded. 


VEAR  18(>4- 

MONTH  JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  11,737. 

8,  761. 

6,  830. 

7,  512. 

3,  087. 

LIST  OF  DISEASES.                                   Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases.  ]  Deaths. 

2,  09-1 

13 

2,500 

1 

19 

22 

1,778 

18 

1,763 

15 

483 

10 

ORDEU  VI.—  Diseases  of  Digestive  Organs—  Continued. 

13 

19 
1 

57 

19 

1 
6 

1 

3 

1 

1 

.'} 

3 

i 

8 
6 
15 

16 
11 

19 
5 

73 
16 

1 

3 

1 

14 
5 

28 

ORDER  VII.—  Diseases  of  Vrinary  and  Genital  Organs. 

2 

• 

1 

*V  re  " 

'                       °fT    -f 

G 
6 
o 

m'  I   fl6      i  ti  nof  Kiclne  -s 

4 

o 

o 

1 

4 

1 

ORDER  V11L—  -  Diseases  of  Bones  and  Joints. 

1 
3 

1 

1 

1 

1 

1 

! 

ORDEU  IX.  —  Diseases  of  Integumentary  System, 
129.  Abscess  

19 
34 

7 
69 



11 
30 
1 
1 
4 

4 
3 

8 
09 

0 

130.  Boils    ..     . 

16 

131.  Carbuncle  

2 
]2 
66 

6 
18 

1 
3 

18 

o 

132.  Whitlow  

5 
46 

5 

3 

2 

1 

10 

133.  Skin  Diseases  .       ... 

CLASS   V.—  WOUNDS,    ACCIDENTS,   AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
134.  Burns  

135.  Contusions  

10 

13t>.  Concussion  of  Brain  

1 

137.  Drowning  

1 

1 

138.  Sprains  

23 

36 

17 

19 

7 

139.  Dislocation  

140.  Simple  Fractures  

3 

0 

1 

i  141.  Compound  Fractures  

• 

142.  Gunshot  Wounds  

21 
14 
4 
6 

30 
9 
5 

1 

3 

8 
8 

14 
6 
6 
o 

143.  Incised  Wounds  

1 

6 

144.  Lacerated  Wounds  

145.  Punctured  Wounds..,  

1 

1 

146.  Poisoning  

147.  Other  Accidents  and  Injuries  

1 

11 

148.  ORDER  II.  —  Homicide  

1 

149.  O  RDER  III.—  Suicide  

150.  OUDER  IV.  —  Execution  of  Sentence  

1 

1 

Total  

2,398 

16 

2,825 

24 

1,912 

20 

2,029 

15 

591 

11 

DURING   THE    YEAR   ENDING   JUNE   30,  18G5. 


477 


TABLE  LXXIV.— MIDDLE  DEPARTMENT— Concluded. 


1804. 

1805. 

UECEMUER. 

JANUAUY. 

FEBRUARY. 

MARCH. 

APIUL. 

MAY. 

JUNE. 

TOTAL. 

3,  669. 

4,  791. 

5,  682. 

6,  834. 

8,  262. 

9,  940. 

4,  502. 

6,  801. 

102 
103 
104 
105 
lOli 
107 
108 
109 
110 
111 

112 
113 
114 
115 
110 
117 
118 
119 
120 
121 

122 
123 
124 
125 
126 
127 
128 

129 
130 
131 
132 
133 

134 
135 
136 
137 

138 
139 
140 
141 
142 
143 
144 
145 
146 
147 

148 
140 
150 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

554 

11 

714 

8 

717 

15 

931 

18 

881 

16 

1,298 

8 

842 

7 

14,  555 
1 

161 

38 

31 

34 

32 

32 

28 

6 
o 

7 
13 

o 

1 

1 

1 

2 

1 

1 

1 

1 
8 
8 
13 
1 

1 

„ 

11 

°6 

1 

3 

7 
4 
2 

2 

6 
4 
9 
6 

1 

o 

4 
9 
5 

1 
1 

3 

8 
1 

155 

o 

99 
46 

9 
3 
4 

2 

1 

1 

2 

3 

1 

9 
36 
5 
19 
2 
3 

1 

1 
3 

0 

o 

5 

7 
1 
3 

6 
1 
2 
1 
1 

2 

1 

1 
1 

1 

1 

3 

11 
2 
3 
2 
1 

99 
318 
14 
49 
240 

1 

o 

1 

1 

1 

1 

1 

1 

1 

1 

1 

6 
32 

5 
14 
1 
o 

10 

3 

11 

6 
11 

9 
12 
1 
3 
13 

4 
14 

9 
oo 

8 
33 
1 
5 
35 

2 

9 
16 
2 
4 
10 

1 

11 

3 
6 
15 

o 

2 
2 
11 

2 

3 

10 

9 
18 

1 

41 
185 
1 

1 

23 

25 

18 

2 

4 

15 

15 

9 

12 

13 

31 

18 
o 

215 

17 
2 

97 
89 
34 
17 
18 
38 

1 
1 
4 
10 

1 

2 

- 

3 

3 
1 
1 

11 
6 

1 

1 

1 
1 
1 

11 
6 

10 

4 
4 

1 

7 
4 
1 

4 
9 
4 
o 

4 

1 

I 

1 
9 

4 

3 

2 

3 

7 

1 

2 

I 

o 

1,098 

684 

12 

866 

8 

842 

16 

19 

1,062 

16 

1,539 

12 

983 

7          16,829 

176 

478 


SICKNESS   AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  LXXV. 

Abstract  of  the  Sickness  and  Mortality 


YEAR  

1804. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

19,  063. 

18,  054. 

17,  270. 

20,  100. 

20,  263. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

CLASS  1.—  ZYMOTIC    DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

147 

34 

84 
2 
134 

24 
o 

8 

CO 
6 
131 

5 

90 

16 

89 
1 
24 

1 
1 

555 

31 

170 

3 

538 
387 

6 

304 

299 

1 

323 

655 
589 

320 

264 

483 

397 

255 
11 
17 
1,  330 
111 
214 
33 
17 
5 
9 

1 

357 
o 

562 

345 

34 

8 
616 

69 
8 
697 

114 
o 
402 

1 

2 

4 
4 

3 
1,  359 
302 

*-*-8 

*.o 

14 

2 

o 

o'    OD^es  ^e  h^ 

9 

1-20 
119 
10 
6 

12 
5 
1 
2 

190 
111 
20 
12 

6 

1 

1 

125 
113 

28  ' 

1 

1 

8 
1 
56 
33 

70 
250 

0 

5 

1 

6 
1 

14 
247 

136 

1 

8 
26 

1 

o 

25 
9 
5 
154 

1 

1 

24 
535 

21 

251 
qo 

1 

OUDEK  II.  —  Enthetic  Diseases. 
22.  Sv]>liilis           

85 

134 

114 
133 

76 
13 
2 

85 
15 
4 
3 

n0 

119 
15 
1 
5 

24.  Orcliitis        .              .           

18 
3 
10 

4 

1 

4 

27.  Serpent  Bite  

28.  Other  Diseases  of  this  Order  

6 

26 

1 

10 
6 
5 
1 

1 

17 

OUDEK  III.  —  Dietic  Diseases. 
29.  Scurvy  .           .   . 

16 

20 

30.  Purpura  

31.  Delirium  Tremeng  

r 

3 

1 

32.  Inebriation  

1 
1 
3 

2 

1 
1 

33.  Chronic  Alcoholism  

34.  Other  Diseases  of  this  Order  

CLASS  11.—  CONSTITUTIONAL   DISEASES. 
OKDEH  I.  —  Diathetic  Diseases. 
35.  Gout  

1 
64 
68 
4 

36.  Acute  Rheumatism  

107 
52 
15 

74 
96 
1 
1 

144 

165 

124 

1 

37.  Chrouic  Rheumatism  

145 

38.  Anaemia  

7 

2 

39.  Cancer  

1 

7 

40.  Tumors  

4 

n 

41.  Other  Diseases  of  this  Order  .  .  . 

OUDEK  II.  —  Tubercular  Diseases. 
42.  Consumption  

10 
9 

1 

16 
3 

3 

6 

16 
6 

2 

14 
14 

1 

43.  Scrofula  

44.  Other  Diseases  of  this  Order  

CLASS  III.  —  PARASITIC    DISEASES. 
45.  Itch  

43 

0 

17 

°9 

56 

63 

46.  Tape-worm  

47.  Other  Intestinal  Worms  

3 

3 

3 

48.  Other  Diseases  of  this  Order  

3 

Carried  forward  

3,836 

4,667 

85 

52 

3,  461 

43 

3,606 

32 

3,043 

19 

DUEING    THE    YEAR   ENDING   JUNE    30,  1865. 


479 


TABLE  LXXV. 

of  the  Department  of   Washington. 


1804. 

1865. 

DECEMUER. 

JANUARY. 

FEURUAKY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

1  OTAL. 

10,  518. 

21,  207. 

19,  296. 

21,  840. 

35,  458. 

68,  912. 

52,  519. 

27,  792. 

Cases. 

Deaths. 

Cases.    Deaths.     Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases.     Deaths. 

1 

3 
4 
5 

6 
7 
8 
9 
10 
11 

13 
14 
15 
16 
17 
18 
19 
20 

22 

24 
~5 

27 
28 

29 
30 
31 
32 
33 
34 

35 
36 
37 
38 
39 
40 
41 

42 
43 

44 

45 

4(i 
47 
46 

48 

10 

54 
1 

12 

8 
1 

79 

14 

34 
1 
33 

4 

17 
6 
11 

o 
2 

36 
1 

67 

8 

36 

3 

774 

18 
1,253 

147 
8 
59 

22 

3 

11 

2 

83 

6 

196 
168 
30J 
3G 

044 

138 
68 
186 
9 
3 
271 

110 
125 

180 

411 

524 

2 

474 
578 
409 
39 
2 
2,917 
393 
560 
68 
36 
6 
10 

3,502 
4,059 
4,549 
395 
53 
10,  766 
1,740 
1,975 
248 

GO 
314 
6 
310 
331 
1,104 
2,217 

1,032 
1,811 
240 
36 
61 
3 
13 

332 

43 
74 

9 

113 

194 
10 

242 

348 
13 

7GO 
26 

1 

33 

5 
214 

1 

1 

o 

1 
341 
39 
61 
2 
23 
5 
119 

2 

4 
1,  9G4 

3 

1 
5 
o 

16 
3 

43 
19 
4 
5 
3 
1 
3 
6 
1 

400 
82 
68 
15 
33 
7 

049 

3 

35 

39 
14 
15 
4 

19 
1 
54 
54 
1G8 
51 

28 
42 

47 
50 
17 
13 

268 
350 
11 
43 
9 
56 

2 
3 

1 

0 

14 
19 
15 

1 

1 

1 

1 

4 
71 
1 
23 

29 

1 
1 

0 

41 
45 

158 
7G 

112 
132 
11 
3 

7 

1 
1 

o 

48 

20 

21 
42 

1 

6 
5 
30 

259 

210 

57 
67 

189 
46 

go 

183 
6G 

1°3 

175 

200 

1 

2 

go 

179 

273 

124 
12 

125 

157 

231 

319 
55 
3 

178 

1° 

17 
4 
8 
1 

0 

48 
7 
4 

0 

2 

2 
6 

1 
1 

1 

18 

1 

1 

15 

1 

49 
4 
2 

1 

38 

20 
1 
3 
4 
1 

20 

83 
1 

8 
7 

1 

4 
1 

1 

2 

3 

3 

40 
4 

12 

4 
4 

7 

20 

3 

4 
1,973 

1,  339 
95 

1 

298 

179 
119 
13 

197 
74 

1 

1G3 

177 
SO 

1 

174 
92 

231 

3 

209 
10 

195 

10 

1 

16 

14 

1 

7 

5 
53 

8 

162 
117 
1 

784 

4 

7 
2 

18 
10 

5 
3 

10 
9 
1 

77 

3 
1 

7 
3 

7 

7 

15 

18 

1 

o 

13 
9 

10 

15 

1 

21 
15 

11 

58 

69 

68 

77 
1 
1 

1G9 

58 
1 

9 
20 
3 

1 

4 

1 

1 

2 

2,  435 

19 

1,  973 

14 

1,816 

19 

2,003 

8 

2,  522 

9 

6,417 

So 

7,006 

22 

42,  785 

345 

480 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  LXXV.—  DEPARTMENT  OF  WASHINGTON— Continued. 


YEAtt    

18(34. 

MtXNTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

19,  063. 

18,  054. 

17,  270. 

20,  100. 

20,  263. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases.  1 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

4,667 

85 

3,836 

52 

3,461 

43 

3,606 

32 

3,043 

19 

CLASS    IV.—  LOCAL    DISEASES. 
ORDER  I.—  Diseases  of  Nervous  System. 

49.  Apoplexy  

4 
133 
1 

17 

72 

21 
56 
1 

14 
19 
1 
1 
1 
3 
10 
11 
5 

I 

24 
57 
o 

50.  Epilepsy  

1 
o 

52.  Insanity  

1 
1 
1 

1 
1 

0 

1 

3 

10 
40 
6 

1 

1 

1 

9 
40 
2 
22 

2 
30 
3 

24 

1 

17 
7 
3 

14 

1 

1 

0 

1 

1 

3 

1 
4 
35 
1 
C 
2 

4 

8 
9 
1 

4 

1 
1 
1 

ORDER  II.  —  Diseases  of  Eye. 

5 
3 

22 

3 
1 

37 
1 
17 

1 
o 

1 
°7 

42 
1 
6 
1 

3 
6 
7 

1 
13 

8 
1 

3 

4 
9 



fi     C\°       TV                              ' 

ORDER  III.  —  Diseases  of  Ear. 

2 
4 
4 

4 
4 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

1 
10 
3 

1 
01 

21 

28 
6 
1 
4 

1 

1 

1 

0 

0 

1 

10 
11 

o 

6 

°4 

13 
16 

11 
12 

79.  Yaricoeele  

29 

9 

14 
•  35 

8 

13 

58 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
81.  A  sthma  

1 

76 
9 

30 
138 
41 
1 
4 
16 
62 
39 
7 
37 

61 
118 
11 
6 
6 
47 

9 

165 



83.  Chronic  Bronchitis  

25 

1C 
1 
5 
15 
25 

84.  Dropsy  of  Chest  

85.  Haemorrhage  from  Nose  

1 
5 

8 
21 
12 

6 
12 
14 

40 
7 
18 

52 
105 

1 

18 
64 

6 

86.  Inflammation  of  Larynx  

87.  Inflammation  of  Lungs  

4 

1 
1 

3 

88.  Inflammation  of  Pleura  

32 

89.  Hamiori  huge  from  Lungs  

5 

90.  Other  Diseases  of  this  Order  

42 
145 

7 

90 

248 

17 

15 
129 

ORDER  VI.—  Diseases  of  Digestive  Organs. 
91.  Colic  

1 

1 

92.  Constipation  

S3.  Cholera  Morlms  

18 

18 

15 

5 

94.  Cirrhosis  of  Liver  

95.  Dropsy  from  Hepatic  Disease  

4 

0 
68 

4 
33 

6 
CO 

96.  Dyspepsia  

97.  Diseases  of  Pancreas  

98.  Diseases  of  Spleen  

4 
3 

44 
1 

11 
3 

99.  Fistula  in  Ano  9. 

6 
56 

5 

100.  Hernia  

3(i 

59 

34 

101.  Hsemorrhage  from  Stomach  

1 

2 

Carried  forward  

5,394 

90 

4,  811 

58 

4,  145 

49 

4,  499 

41 

3,949 

23 

DURING    THE    YEAR    ENDING    JUNE    30,   1865 


481 


TABLE  LXXV.— DEPARTMENT  OF  WASHINGTON— Continued. 


1864. 

1805. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

AriUL. 

MAY. 

JUSE. 

TOTAL. 

19,  518. 

21,  207. 

19,  296. 

21,  840. 

35,  458. 

68,  912. 

52,  519. 

1:7,  792. 

49 
50 
51 

53 
54 
55 
56 
57 
58 
59 
60 

61 
62 
63 
64 
65 
66 

67 

68 
69 
70 

71 
72 
73 
74 
75 
76 
77 
78 
79 
80 

81 
8-3 
83 
84 
85 
86 
87 
88 
89 
90 

91 
92 
93 

94 
95 
96 
97 
98 
99 
100 
101 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases.      Deaths. 

2,435 

19 

1,973 

14 
1 

1,  816 

19 

2,003 

8 

2,522 

9 

1 
1 

6,417 

1 
11 
195 
5 
1 
2 

, 

7,006 

2 
19 

22 
1 

42,  785 

6 
174 
1,189 
22 
19 
13 
15 
84 
699 
48 
90 
29 

19 
21 
676 
14 
X 

53 
60 
126 
5 

f) 
179 
17 
8 
19 
6 
9 
139 
131 
27 

345 

6 
2 

10 
105 
2 

1 

1 
15 
65 
5 

6 

58 
1 

7 

8 
73 
3 
2 
1 
1 
7 
88 
2 

37 

64 

3 

116 
4 
2 
3 

241 

1 

1 

1 
2 
4 

1 

1 
1 

6 
6 
o 

1 

1 

1 

3 
11 
43 
3 

1 

o 

33 
115 
6 
10 
2 

1 
1 
132 
6 
15 

4 

106 
3 
30 

1 

2 

1 
102 

70 

74 
6 

1 

1 

1 

o 

70 
1 
8 
1 

6 
11 
« 

1 

2 

2 

2 

2 
o 

2 

7 

2 

48 

1 

1 
63 
2 
3 

43 
1 
2 

55 

1 
] 

3 
1 
21 

3 

14 
2 

7 
1 
14 
1 

4 

9 
3 
13 

6 
13 
19 
1 

9 
3 
9 
2 

1 
f> 

11 

15 
2 
3 
3 
o 

3 

17 

7 

11 

1 

9 
3 

1 
2 

°1 

5 

10 

2 

5 

4 

1 

2 
2 

1 

1 

1 

1 

1 

1 

1 

3 

o 

1 
5 
4 

2 

12 
°41 

8 
o 

8 
3 
2 

4 
397 
60 

6 
6 

6 
14 
2 

27 
234 
50 

25 

15 

1 

15 

3 

11 

306 
49 

18 
249 
61 

5 
255 
37 

170 
2,331 

1 

177 

37 

25 
o 

492 
4 
29 
274 
540 
539 
89 
378 

701 
2,  266 

187 
6 
84 
606 

3 

28 

47 
7 
44 

34 
169 

15 

4 
36 

28 
66 
5 
38 

36 
195 

4 
22 

1 
12 

3° 

31 
91 
52 
8 

47 

23 
1°9 

47 
42 
31 
9 
20 

4 
1 

1 

99 
56 
5 
44 

21 
167 
1 

8 

8 

5 

5 

31 

67 
12 

1 

24 
CO 
6 
19 

177 

3 

42 
2 
2 
1 

1 
1 

04 

119 
405 

31 

121 

335 

1 

13 

23 

67 

3 

3 

6 

84 

13 

56 

0 

15 

2 

50 

10 
121 

10 
46 

52 

54 

2 

3 
4 

29 

1 
17 

1 
6 

18 
1 

3 
2 

17 
1 

1 

0 

1 

7 
33 

42 

391 
7 

46 

1 

435 

3,  654 

25 

3,091 

25       3,  018 

30 

2,989 

15 

3,628 

18 

8,229 

30 

8,641 

31    ; 

56,  048 

482 


SICKNESS    AND    MORTALITY    OF    WHITE    TEOOPS 


TABLE  LXXV.— DEPARTMENT  OF  WASHINGTON— Concluded. 


V  KAlt,  

1804. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

19,  063. 

18,  054. 

17,  270. 

20,  100. 

20,  263. 

LIST  OF  DISEASES. 

Cases.  ;  Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.  :  Deaths. 

Cases. 

Deaths. 

htfo      -ml 

5,394 
5 

90 

4,811 

1 
4° 

58 

4,145 

3 

37 
9 
7 
1 
3 
7 
114 
68 
3 

3 
3 
1 

49 

1 

4,499 

1 
47 
4 
2 

41 

3,  949 

23 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

46 
8 
4 

65 
5 
4 

15 

13 

4 
3 

1 

1 
18 
38 
120 

1 

12 

6 
28 
40 
3 

7 
4 

8 

105 
83 
1 

4 
1 
5 

247 
77 

1 

6 
1 

1 

82 

1 

5 

2 

o 

ORDER  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

|     '     "8     * 

f  T     ti 

4 
7 
1 
8 
4 

4 
21 
fj 
17 
2 
o 

1 

10 
3 

8 

7    I    H                          f  K'rt 

18 
1 
14 
2 

1° 

10 
7 
1 

4 
2 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

5 
2 

2 
3 
3 

o 

2 

1 
1 
1 
1 

o 

2 

1 
4 

5 

128    Other  Diseases  of  this  Order 

j 

41 
120 

ORDER  IX.  —  Diseases  of  Integumentary  System. 

50 
150 
13 
37 
81 

13 
61 

42 

2-1 

-11 

131.  Boils  

125 

68 
8 
9 
50 

8 
58 

66 
°9 

131.  Carbuncle  

7 
oo 

132.  Whitlow  

26 

6 
68 

7 
70 

133.  Skin  Diseases  

35 
o 

60 

5 
43 

CLASS    V.     WOUNDS,   ACCIDENTS,   AND 
INJURIES. 
OBDER  I.  —  Wounds,  Accidents,  and  Injuries. 
134.  Burns  

135.  Contusions  

54 

136.  Concussion  of  Brain  

1 

137.  Drowning  

3 

2 

i         ' 

138.  Sprains  

38 

49 

30 
4 
'» 

30 

44 

0 

139.  Dislocation  

°0 

140.  Simple  fractures  

10 
1 

70 
30 
4 

7 

3 

8 
112 
5 

1 
o 

7 
2 
36 
6 
4 
3 

141.  Compound  Fractures  

1 
1 

142.  G  unshot  Wounds  

o 

62 
14 
2 
1 
6 
1 

4 

50 
17 
6 

3 

3 

143.  Incised  Wounds  

144.  Lacerated  Wounds  

145.  Punctured  Wounds  

146.  Poisoning  

3 
1 

147.  Other  Accidents  and  Injuries  

1 

6 

3 

148.  ORDER  II.  —  Homicide  

1 

1 

149.  ORDER  III.—  Suicide  

150.  ORDEU  IV.—  Execution  of  Sentence  . 

Total  

44 

4,809 

6,022 

94 

5,683 

i 

66 

4,888 

56 

5,268 

28 

DURING   THE    YEAR    ENDING    JUNE    30,  18G5. 


483 


TABLE  LXXV.— DEPARTMENT  OF  WASHINGTON— Concluded. 


18G4. 

1805. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCII. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

19,  518. 

21,  207. 

19,  296. 

21,  840. 

35,  458. 

68,  912. 

52,  519. 

27,  792. 

Cases. 

Deaths. 

Cases.    Deaths 

Cases     Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths 

Cases. 

Deaths. 

102 
103 
104 
105 
106 
107 
108 
109 
110 
111 

112 
113 
114 
115 
llfi 
117 
118 
119 
120 
121 

122 
123 
124 
125 

126 
127 
128 

129 
130 
131 
132 
133 

134 
135 
136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
145 
147 

148 
149 
150 

3,654 

25 

3,  091 

1 
125 

25 

3,018 

30 

2,989 

15 

3,628 

18 

8,229 

5 

126 

30 

8,641 

31 

56,048 

18 
1,068 
86 
63 

87 
107 
1,109 
835 

435 
1 

173 
10 
1 
1 
5 
7 
159 
56 
4 

2 

108 
4 
14 
2 

114 
4 
1 

108 
8 
2 

77 

1 

2 

10 
4 
1 
13 
21 
100 
133 
7 

4 

1 

7 
11 
1 
8 
6 
87 
111 
3 

6 
1 
4 

1 
3 
3 

1 
1 
1 

1 

1 
2 

4 
1 
32 

12 
7 
26 

1 

7 
2 
25 

5 
66 
34 
2 

6 

1 

2 

36 
1 

5 
1 

61 
6 

4 

54 

8 

3 
1 

1 

44 

52 
14 
26 

1 

166 

60 
107 
22 
12 

20 
15 
41 
5 
12 
16 
8 

539 
1  502 

2 

3 

4 

1 

1 

6 
15 
14 
12 
1 

0 

4 
16 
2 
6 

1 
13 
7 
9 
1 
2 

6 
8 
5 

3 

27 
7 
11 
4 
2 

1 

6 
6 
6 

15 

6 
2 
3 

1 
6 

2 

2 

3 

1 

9 
3 
6 
3 
1 

47 
89 
21 
16 
33 

13 
64 

2 

5 

6 

1 

3 

1 

2 

1 

2 
5 

1 

80 
288 
16 
33 
99 

16 
180 

1 

28 
71 
1 
13 
34 

8 
75 

34 
60 

46 
80 
7 
17 
43 

6 
92 

38 
119 
4 
20 
45 

68 
266 
10 
27 
98 

126 

19 
41 

11 
57 
1 

251 

687 

115 
980 
5 

14 
141 

85 
1 

1 

1 

1 

1 

6 

41 
3 
3 
o 

10 

13 
7 

61 
2 

8 

42 

74 
4 
6 

88 
8 
5 
3 
16 
50 
11 
2 
2 
6 

170 

102 

771 
58 

o 

7 
11 

6 
10 
1 
15 
46 
7 
10 
29 
13 

72 
19 
454 

292 

2 
11 
21 
3 
2 
1 
6 

1 

28 

1 

13 
15 

1 

1 

27 
24 

7 

3 

32 

51 

2 

8 
3 

13 

9 
10 
15 
39 

77 

60 
126 

0 

5 

18 

26 

1 

2 
3 
1 

1 
1 

| 

1 

4,515 

28 

3,720 

26 

3,  576    |        31 

3,725 

23 

4,381 

22 

9,766 

33 

9,892 

40 

66,245 

491 

484 


SICKNESS   AND   MORTALITY    OF   WHITE    TROOPS 


TABLE  LXXYI. 

Abstract  of  the  Sickness  and  Mortality 


YEAR.  

1864. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

49,  835. 

60,  689. 

60,  722. 

64,  340. 

67,  123. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS    1.—  ZYMOTIC    DISEASES. 
OKDEK  I.  —  Miasmatic  Diseases, 

132 

14 
1 
5 

101 
122 

30 

92 
1 

258 

29 

118 

36 

116 
15 

151 

39 
3 
4 

147 

1 

1 

34 

1 

484 
487 
387 
28 
8 
3,920 

2 

682 
660 
574 

3 

561 
780 
700 
57 
30 
2,412 
310 
367 
34 
23 

2 

480 
533 

4 

473 
635 

2 

.  Quo      uin    n 

544 
22 
6 
2,377 
264 
294 
23 
24 
10 

425 

«'                               'tt 

23 
8 
3,963 
464 
524 
39 
29 
22 
3 

1 

9 
6 
2,614 
290 
338 
30 
30 
1 

1 
1 
1 
12 

yuartau   n  e 

1 

3 

1 

11 

1 

12 
4 
1 
1 
1 

463 
574 

8 

4 

25 
43 
5 
36 

3 
2 

1 
1 

1 

•^           ^ 

3 

4 

4 

1 

18    Dipht  heria      

24 
41 
15 

177 

143 

1 

5 
16 
24 

12 
15 

1 

5 
16 
71 
153 

115 

107 
29 

1 

15 
20 

1 

27 
160 

138 
124 

80 
119 

157 

194 

153 
153 

1 

1 

1 

2 

ORDER  II.  —  Enthetic  Diseases. 
oo    Syphilis 

147 
12 

147 
29 

18 
1 
o 

23 

25.  Stricture  of  the  Urethra  

1 
5 

1 

4 
3 

:j 

l 

27.  Serpent  Uite 

2 
29 

1 

22 

l 
3 

ORDER  \\L~-Dietic  Diseases. 
29.  Scurvy  

65 

og 

30.  Purpura  

6 

1 
4 
3 

3 
3 

31.  Delirium  Tremens  

2 
6 
1 

3 
1 
o 

32.  Inebriation  

3 

1 

33.  Chronic  Alcoholism  

34.  Other  Diseases  of  this  Order  

2 
o 

12 

1 
331 
21') 

1 

CLASS    II.—  CONSTITUTIONAL    DISEASES. 
OIIDKK  I.—Diathetic  Diseases. 
35.  Gout  

36.  Acute  Rheumatism  

145 

157 

207 

222 

37.  Chronic  Rheumatism  

234 
62 

180 
111 

208 
35 

148 
25 

38.  Anaemia  

18 

0 

39.  Cauuer  

40.  Tumors  

1 

5 

4 

1 

6 

6 

r 

41.  Other  Diseases  of  this  Order  

°      i  

1         :t 

ORDER  11.—  Tubercular  Diseases. 
42.  Consumption  

10 
16 

11 

14 

13 

12 

1 

10 
13 

1 

4'.!.  Scrofula  

1 

41.  Other  Diseases  of  this  Order  

0 

CLASS    III.  —  PARASITIC    DISEASES. 
45.  Itch  

28 

38 
1 

64 

78 

1°3 

46.  Tape-worm  

JO 

47.  Other  Intestinal  Worms  

o 

43.  Other  Discuses  of  this  Order  

Carried  forward  

8,330 

7,880 

40 

51 

6,  703 

43     i  5,764 

65 

6,  467             73 

DURING   THE   YEAR    ENDING   JUNE    30,  18C5. 


485 


TABLE  LXXVI. 

of  the  Middle  Military  Division. 


1864. 

1865. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

46,  985. 

42,  496. 

38,  661. 

40,  727. 

39,  824. 

33,  105. 

29,  030. 

47,  795. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1 

3 

4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 

22 

24 
25 
26 

0*7 

28 

29 
30 
31 
32 
33 
34 

35 
36 
37 
38 
39 
40 
41 

42 
43 
44 

45 

41 
47 

48 

60 

31 

32 
4 
12 

17 
1 
4 

28 
1 
8 

12 
1 

2 

17 
1 
5 

22 
1 

35 
1 

18 

22 
1 
1 

32 

4 

56 

25 

819 
35 
800 

281 
8 
26 

6 

8 

1 

31 

6 

217 
328 
295 
28 
1 
1,  361 
383 
155 
17 
26 
6 
5 
1 
2 
11 
101 
750 

157 
116 
18 
1 
3 

2 

244 

207 
174 
6 
10 
1,080 
130 
124 
15 
17 
2 

3 

1 

201 
163 
112 

2 

214 
224 

322 
515 
289 

1 

302 
424 
334 
9 

1 

428 
273 
341 

1 

4,608 
5  229 

21 

145 

4,320 

11 

6 
563 
111 
73 
9 
24 

28 

20 

15 
1 
1,112 
44 
291 
3 
25 

249 
91 
22,  783 
2,  582 
3,397 
209 
359 
82 
635 
1 
123 
897 

o 
14 
6 
90 
9 
10 
8 
18 
13 

1 

1 

1 
9 

1 

8 
627 

3 

6 
1,200 

3 

1 
1,548 
36 
414 
3 
43 
3 
136 

2 

16 
1 
4 

7 
2 

47 
95 

6 

40 

148 
11 
41 
9 
227 

4 

1 
2 
1 

32 
11 
213 

1 
4 
4 

1 
1 

2 

2 

9 

5 

1 

3 

6 

7 

c> 

13 
43 
143 
67 

82 
86 
13 
3 
1 

1 

20 
217 
226 

11 
346 
262 
135 

192 

6 
127 
141 
73 

92 
71 
14 
1 

10 

8 
22 
54 
123 

5 

23 

293 

1  437 

98 

136 
14J 

61 
127 

o 

1 

2,110 
1  553 

8 

61 
59 
12 
1 
16 

161 
12 

130 
29 
10 

1,442 

230 

3 
1 

3 
1 
1 
9 

7 

32 
43 
1 
15 

°°2 

1 

10 
1 
2 

10 

1 
14 

11 

10 

10 

12 

11 
21 
76 
6 
15 

3 

2,634 
1  854 

1 

17 

4 

7 

I 

2 

1 
g 

1 
2 

1 

o 

16 
2 
1 

3 

1 

251 
284 
2 
2 
1 
1 

12 
9 

309 
163 
4 

169 
112 
10 

1 

204 
95 

247 
70 

246 
84 
3 
1 
19 

146 
57 

1 

9 

1 

280 
3 
52 

2 

1 
3 

17 

4 

3 

7 

4 
1 

6 
5 

1 

123 

1 

14 

120 
101 
3 

905 
21 
14 
2 

1 

3 

8 
2 

4 

5 
11 

1 

2 

12 
6 

10 
4 

2 

15 

1 

100 

120 

105 

45 

54 
1 
1 

47 
1 
1 

1 

3 
1 

1 
2 

1 

4 

0 

3 

1 

4,  74ti 

57 

3,  415 

39       2,  216 

34       2,899     j        47       4,483 

44     i  4,272            12 

3,  265 

38 

60,  439 

543 

486 


SICKNESS    AND    MOETALITY    OF    WHITE    TROOPS 


TABLE  LXXVL— MIDDLE  MILITARY  DIVISION— Continued. 


YKAK  

1804. 

3IOXTII  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

49,  835. 

60,  689. 

60,  722. 

64,  340. 

67,  123. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Brou  ht  forward 

7,880 

40 

8,330 

1 

15 
238 
4 

51 

1 

1 

6,703 

3 
11 
94 
3 
3 

43 
3 

5,764 

1 
14 
103 
6 
1 

65 
1 

6,407 

20 
143 
o 

73 
1 

CLASS    IV.—  LOCAL    DISEASES. 

OUDEK  I.  —  Diseasesof  JXervous  System. 

'    !      'y 

13 
210 
1 

'      ^a     J     .                  . 

1 

o 
1 

'     "    a  "                   f  At       1                 f  R     ' 

'  "!  "miitiou  °  /_  cm  ™'  ^ 

'    1 

6 

79 

0 

174 

8 

1 

10 
95 
3 
156 
17 

4 

2 
75 
3 
10 

1 

5 
63 
4 

6 
100 
3 

r        g  .' 

rg     p.       j  ,gj 

1 
2 

5 

6 

1 
3 

ORDER  11.  —  Diseases  of  Eye. 

1 
80 
5 
14 
1 

10 
4 
6 

1 

1 

4 

82 

75 

57 
1 

7 

8'} 

o 

9 
30 
1 

9 
6 
11 

5 
5 
1 

35 
I 

8 
2 
7 
6 

ORDER  111.  —  Diseases  of  Ear. 

3 
3 

16 

68.  Deafness  

6 
1° 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

72.  Valvular  Disease  of  Heart     

10 

3 
1 

1 

8 
1 

1 

9 
4 

2 

74.  Dropsy  of  Pericardium    

3 

77.  Inflammation  of  Veins 

2 
16 
6 
1 

16 

303 

78.  Varicose  Veins  .  . 

36 
23 

32 
16 
2 

16 
120 

S3 

16 
19 

79.  Varicocele  

12 

80.  Other  Diseases  of  this  Order  

OUDER  V.—  Diseases  of  Respiratory  Organs. 
81.  Asthma  

14 
141 
13 

21 
132 
42 

14 
209 
32 

82.  Acute  Bronchitis  

8.'}.  Chronic  Bronchitis  
84.  Dropsy  of  Chest  

34 

1 

56 

1 

85.  Haemorrhage  from  Nose  

10 
15 

11 
13 
29 
30 
6 
8 

298 
217 

5 

3 
13 

39 
45 
3 

3 

86.  Inflammation  of  Larynx 

8 
15 
29 
5 
2 

171 

lr>9 

<) 

87.  Inflammation  of  Lungs  

14 
40 
11 

5 

o 
1 

1 

1 
1 

57 
47 
8 
30 

148 
201 
33 

7 

88.  Inflammation  of  Pleura.  . 

89.  Hasrnorrhage  from  Lungs  

1 

90.  Other  Diseases  of  this  Order  

1 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
91.  Colic  

266 
''14 

1 

171 
197 
51 

92.  Constipation  

93.  Cholera  Morbus  

123 

1 

144 
4 
3 
44 

1 
1 

46 

1 

94.  Cirrhosis  of  Liver  

95.  Dropsy  from  Hepatic  Disease  

5 

68 

4 

78 

12 
51 

96.  Dyspepsia  

81 

97.  Diseases  of  Pancreas  

98.  Diseases  of  Spleen  

99.  Fistula  in  Ano  
100.  Hernia  

1 
35 

2 

46 

3 
43 
1 

1 
55 
2 

4 
40 
1 

101.  Haemorrhage  from  Stomach  

Carried  forward  

9,612 

50     10,096 

66 

7,824 

51 

7,017 

71 

7,930 

86 

DURING   THE    YEAR    ENDING    JUNE   30,    18G5. 


487 


TABLE  LXXVL— MIDDLE  MILITARY  DIVISION— Continued. 


18(34. 

1805. 

DECKMUER. 

JANUARY. 

FEBIU'AKY. 

MARCU. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

46,  985. 

42,  496. 

38,  661. 

40,  727. 

39,  824. 

33,  105. 

29,  030. 

47,  795. 

49 
50 
51 

53 
54 
55 
56 
57 
58 
59 
60 

61 
62 
63 
64 
65 
66 

67 
68 
69 
70 

71 

73 
74 
75 
76 

77 
78 
79 
80 

81 
82 
83 
84 
85 
86 
87 
88 

ao 

90 

9] 
92 
93 
94 

Cases. 

deaths. 

Cases. 

ieaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

deaths. 

Cases. 

Deaths. 

Cases.      Deaths. 

4,746 

57 

3,  415 

39 

2,216 

1 
17 
101 
I 

34 
3 

2,899 

47 

1 
1 

4,482 

44 

4,272 

12 

1 

3,265 

38 
1 

60,  439 

8 
183 
1,537 
26 

543 

13 
5 

83 

20 

14 

127 

16 
117 
3 
1 
3 

14 
84 
4 

8 
99 
1 
2 

132 

1 
2 

1 
1 

1 

2 
3 
9 

2 
4 

1 

1 
1 

12 
12 

08 
9C8 

8 
10 

3 

3 

1 

1 
11 
90 
1 

1 

1 
4 

50 
5 
10 

11 
93 
6 

7 
69 

o 

1 

101 
1 
1 
5 

2 

3 

89 

1 

64 
1 
1 
2 

2 

2 

31 
356 
43 

oo 

1 
7 

4 

3 

1 

1 
3 

1 

1 
1 
72 
(i 
o 

2 

4 

863 
38 
119 
10 

71 
37 
122 

56 
2 
4 

43 
4 
6 
1 

3 
3 
6 

80 

91 

84 

60 
2 
1 
1 

4 
1 
8 

4 
2 

7 
7 
11 

5 
1 

12 

C 
1 

5 
1 
6 

5 
1 
15 

1 
10 

2 

14 

7 

o 
103 

'; 

11 
i 

179 
109 
8 

143 
2,476 
473 
4 

95 

1 
11 
1 

1 
1 

1 

2 
9 

14 
1 

1 

12 

2 

o 

6 

13 
3 

1 

11 

1 

5 

1 

1 

1 

£> 

..     I 

2 
1 

1 

1 

1 
14 

4 

1 
30 

1 

12 
5 

4 

3 

104 
30 

3 
4 

8 
4 
1 

8 
313 
33 
1 
2 
35 
105 
43 

3 
3 

6 

8 

24 
287 
62 

1 
37 
56 
60 
7 
13 

79 

286 

13 
384 
30 
1 
50 
121 

9 

292 

2 

147 

78 

3 

44 
10 

1 
5 

1 

1 

3 
7 
3 

1 

1 

53 

1 

1 
74 
80 
38 

6 
37 

0 

1 

8 

34 

7 
25 

76 
201 
og 

7 
55 
35 

377 

10 
3 

133 
30 
6 
70 

75 
196 
13 

11 

17 

1 

106 
59 
18 

79 
289 

7 

3 

3 
1 

741 
490 
90 
245 

1,510 
2  562 

89 
7 
1 
1 

o 

9 

4 

64 

228 

27 

13 
39 

1 

44 

128 

226 

1 

1 

7 

14 

10 

21 

513 
5 
44 
485 

5 
1 

1 
3 
21 

95 
96 
97 
98 
99 
10( 
101 

6 

29 

4 
34 

3 

15 

1 
30 

1 
15 

2 

19 

1 
4 
19 

1 
34 

4 

27 

6 

4 
14 

2 

24 

3 
24 

°3 

379 

1 

1 

5 

1 

6,  105 

84 

4,  973 

57 

3,304 

58       4,  132 

68 

5,770 

60       5,  223 

20 

4,092 

46 

76,  078 

737 

488 


SICKNESS    AND   MORTALITY    OF    WHITE    TEOOPS 


TABLE  LXXVL— MIDDLE  MILITARY  DIVISION— Concluded. 


YEAH  1«64. 

JULY. 

AUGUST. 

SEPTEMBEB. 

OCTOBER. 

NOVEMBER. 

49,  835. 

60,  689. 

60,  722. 

64,  340. 

67,  123. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

9,612 

4 
47 
8 
9 
1 
9 
16 
91 
190 
30 

14 
1 

50 

10,  096 

1 
40 

66 

7,824 

1 
44 
7 
2 
1 
8 
4 
205 
148 
10 

11 

51 

7,017 

1 
96 
10 
3 

71 
1 

7,930 

86 

ORDER  VI.  —  Diseases  of  Digestive  Organs  —  Continued. 

90 
10 
5 
2 
14 
10 
251 
136 
16 

8 

1 
3 

'6 
8 

•          a!       " 

1 

2 

°.'  "  '*  l  a  .     PI,- 

17 
9 
187 
168 
25 

15 

11 
166 
148 
4 

8 

i!fi  i.hr0d'-c 

1 

1 

110    Piles                                                       

ORDER  VII.—  Diseases  of  Vrinary  and  Genital  Organs. 

8 

4 

10 
1 
8 
5 
1 
3 
o 

4 

3 

2 

7 

2 
19 

6 
10 
1 
6 
2 
5 

i 

7 
o 

1 

5 

8 

1 

5 
1 

18 
3 
3 

4 
1 
9 

120    Ilydrocele  

121    Other  Diseases  of  this  Order  »-.. 

3 
4 

o 

OKDER  VIII.  —  Diseases  of  Bones  and  Joints. 
122.  Anchylosis  

1 

1 

123.  Caries  

124.  Inflammation  of  Joints  

1 

11 

3 

9 
3 

5 

123.  Inflammation  of  Bones  

126.  Inflammation  of  Periosteum  

2 

2 
2 

e 

9 

0 

127.  Necrosis  

128.  Other  Diseases  of  this  Order  

ORDER  IX.  —  Diseases  of  Integumentary  System 
129.  Abscess  

86 
193 
18 
45 

160 
400 
32 

107 
260 
°0 

86 
244 

68 
261 
17 
51 

130.  Boils  

131.  Carbuncle  

132.  Whitlow  

77 
92 

56 
84 

14 
202 

40 

97 

19 
144 

133.  Skin  Diseases  

65 

103 

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
134.  Burns  

19 

25 

135.  Contusions  

91 
1 

95 

1 

146 

136.  Concussion  of  Brain  

1 

1 

137.  Drowning  

4 

1 

1 

138.  Sprains  

82 
1 
4 
1 
1,216 
11 
4 
2 

6 

29 

71 
2 
8 

90 
4 
12 

70 
3 
10 

87 
4 
13 
3 
213 
96 
9 
7 
3 
18 

139.  Dislocation  

140.  Simple  Fractures  

141.  Compound  Fractures  

14 
4,388 
33 

142.  Gunshot  Wounds  

54 

984 
39 
16 
6 
o 

82 

186 

3,505 

235 

129 
1 
1 
1 

143.  Incised  Wounds  

144.  Lacerated  Wounds  

48 
5 
o 

2 

25 
6 
2 
20 

2 

145.  Punctured  Wounds  

1 

146.  Poisoning  

2 
2 

147.  Other  Accidents  and  Injuries  

1 

*-O 

3 

7 

3 

3 

148.  ORDBR  II.  —  Homicide  

149.  OUDEK  III.—  Suicide  

1 
3 

1 

i 

o 

,  150.  OHIIEU  IV.  —Execution  of  Sentence  

Total  

11,  920         115 

12,  649 

156 

13,  655 

246       11,  872 

316 

9,669 

DUEING   THE    YEAR   ENDING   JUNE    30,  1865. 


489 


TABLE  LXXVL— MIDDLE  MILITARY  DIVISION— Concluded. 


1804. 

1865. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MAKCH. 

APIHL. 

MAY. 

JUKE. 

TOTAL. 

46,  985. 

42,  496. 

38,  C61. 

40,  727. 

39,  824. 

33,  105. 

29,  030.                      47,  795. 

102 
103 
104 
105 
10(3 
107 
108 
100 
110 
111 

112 

113 
114 
115 
116 
117 
118 
119 
120 
121 

122 
123 
124 

125 
12ti 
127 
128 

129 
130 
131 
332 
133 

134 
135 
136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
146 
147 

148 
14'J 
150 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

6,105 

84 

4,973 

57 

3,304 

1 

105 
4 

58 

4,  132 

88 

5,770 

60 

5,223 

20 

4,  093 

1 
°7 

46 

76,  078 

9 
906 
70 
46 
13 
128 
87 
1,282 
1  °90 

737 

1 

86 
2 
8 
3 
4 
11 
119 
107 
11 

6 

111 
3 
1 
1 
5 
4 
74 
°0 

118 
5 
3 

91 
9 

1 

51 
4 
3 
3 

20 
1 
27 
50 
2 

0 

1 
1 
3 

1 
1 

1 

o 
2 

2 
1 

5 
12 
4 

1 

2 

5 
6 

76 
72 

1 

10 
3 

46 
62 

4 

4 
23 

61 
8 

1 
1 
2 

17 
8 
17 
55 
o 

2 

6 
3 

1 
2 

1 

117 

67 
3 
37 
1 
40 
131 
48 
96 
19 
22 

17 
7 
47 
3 
39 
17 
4 

864 
2  481 

1 

4 

1 
2 

•j* 

3 

1 

1 

1 

1 

^ 

24 

5 
2 

1 

2 
6 
22 

4 
10 
3 
16 
1 
3 

2 
3 

4 
1 

1 

5 

o 

1 

14 
4 
2 

10 
o 

2 
1 

1 

6 

6 

2 

1 

1 

1 
2 

1 

4 

2 

4 
3 

2 

1 

3 

1 

4 

4 

7 
3 
2 

84 
182 
13 

50 
85 

31 
104 
1 

4 
4 

o 

1 

1 

1 

o 

76 
213 
19 
34 
96 

27 

37 
138 
10 
31 
65 

74 
158 
6 
30 
51 

18 
75 
1 

26 

22 



136 
8 
31 
4° 



14" 

5 

26 

14 
12 
13 

3 

52 

184 
483 
830 

201 

37 

4 
52 

13 

17 

8L 

1 

o 

116 
4 

104 

1 

1,262 
11 

4 

4 
11 

1 

1 

1 
1 

1 

1 

72 
7 
14 
3 
126 
115 
13 
5 

94 

68 
3 
11 

97 
4 

78 
11 
8 

83 
6 
10 

56 
4 
5 

948 
51 
106 
53 
10,  765 
563 
167 
56 
36 
635 

.       | 

6 
2 

43 
73 
13 
5 
1 
181 

1 

7 

34 
58 
9 
3 
1 
46 

1 

7 

2 
135 
47 
6 

0 

1 
11 
2<5 

2 
756 
1 
5 
2 

27 

10 

100 

25 

12 

10 
16 

7 
7 

4 

3 

11 
3 
13 

6 
5 
6 
6 

275 

3 

10 

4 

13 

1 

5 

2 

1 

1 

' 

! 

1     | 

8 
5 
1,591 

0 

1 

7,721 

123 

6,370 

68       4,259 

71       5,061    |       108 

6,675 

77 

5,  651     I        30 

4,  615 

54 

100,  320 

SICKNESS    AND   MORTALITY    OF    WHITE    TKOOPS 


TABLE  LXXVH. 

Abstract  of  the  Sickness  and  Mortality 


YEAR  

1804. 

MONTH  -  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STEEXGTH  

74,  589. 

55,  105. 

60,  897. 

72,  581. 

74,  561. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths.    Cases.    Deaths. 

Cases. 

Deaths.    Cases. 

Deaths. 

CLASS  1.—  ZYMOTIC   DISEASES. 
ORDER  I.  —  Miasmatic  Diseases. 

171 

105 

151 
10 
646 

52 

56 
1 
350 

11 

85 

32 

100 
1 
393 

41 

•      iP 

571 

25 

2'} 

21 

442 

19 

19 

1,010 
810 
789 
55 
6 
7,276 
1,175 

795 

78 
44 
9 
4 

23 

1,478 
534 
597 
49 
4 
5,  552 
950 
734 
36 
59 
4 
4 

28 
3 
1 

1,  101 
659 

769 
109 

10 

971 

i,  o:;s 

12 

8:59 
1,315 

633 
45 

10 
2 

1 

1 

1 

773 
40 
12 
4,005 
000 
650 
48 
38 

1 
16 
24 
15 

1 
1 
7 

3 

17 
2L 
9 
4 

30 
5,  062 
899 
662 

58 
26 

1 
6 
53 
9 

6 

3 

7 
45 

0 

7 

15 

2,  912 
595 
476 
63 
59 
4 
40 

a 

3 

30 

4 
1 
1 
1 

10'  ^ODffes|!^c  .j"  ^ 

1 

1 
3 

1 

1 

18   Diphtheria                     

15 

27 
51 
447 

176 
121 
32 

2 

10 
11 
60 
405 

118 
76 
16 
9 

9 
13 
51 
453 

152 

3 

10 

o 

12 
90 

1 

99 

228 

14 

8 

8 

284 
206 

8 

48u 

161 
123 

5 

ORDER  II.  —  Enthetic  Diseases. 

189 

°6 

202 

30 
10 
1° 

35 

17 
7 
4 
1 

43 

1O 

7 

'j 

27    Serpent  Bite 

1 
1 

65 
1 
1 
4 

1 
3 

28    Other  Diseases  of  this  Order 

ORDER  III.  —  Dietic  Diseases. 
29    Scurvy 

48 
6 
1 
3 

19 

1 
1 
3 

31.  Delirium  Tremcns  

0 

32.  Inebriation  

1 

33.  Chronic  Alcoholism  

1 
o 

(i 

34.  Other  Diseases  of  this  Order  

1 
1 

375 

CLASS   II.—  CONSTITUTIONAL   DISEASES. 

ORDER  l.—Diathetic  Diseases. 
35.  Gout  

2 
236 
249 
101 

3G.  Acute  Rheumatism  

298 
203 
99 

1 

1 

273 
228 
55 
o 

433 

37.  Chronic  Rheumatism  

270 

443 

38.  Anaemia  

1 

19 

1 

yj.  Cancer  

40.  Tumors  

4 
4 

27 
15 
1 

CO 
4 

8 

2 

1 

1 

18 
16 

10 

41.  Other  Diseases  of  this  Order  

1 

ORDER  II.—  Tubercular  Diseases. 
42.  Consumption  

1 

OQ 

17 
15 

o 

16 
15 

4 

43.  Scrofula  

44.  Other  Diseases  of  this  Order  

4 

30 
4 
•J 

CLASS   III.  —  PARASITIC   DISEASES. 
4.").  Itch  

38 
1 
7 

50 
3 

1 

4G.  Tape-worm  

3 
12 

47.  Otlicr  Intestinal  Worms  

1 

46.  Other  Diseases  of  this  Order  

15,  082         238 

12,  346 

181 

11,452 

130       10,  378 

140 

9,671 

126 

DURING    THE    YEAR    ENDING   JUNE   30,  1865. 


491 


TABLE  LXXVII. 

of  the  Army  of  the  Potomac. 


18H4. 

18(55. 

DECEMHER. 

JANUARY. 

FEBRUARY.             MARCH.        |         APRIL. 

MAY. 

JUNE. 

TOTAL. 

97,  233. 

104,  436. 

105,  635. 

109,  707. 

110,2:!3. 

76,992. 

29,  807. 

80,  {'82. 

Cases. 

Deaths. 

Cases.  ;  Deaths. 

Cases.  !  Deaths.    Cases.  \  Deaths.  !  Cases.     Deaths.     Cases. 

Deaths.    Cases.    Deaths. 

Cases.      Deaths. 

] 
•2 
3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 

22 
23 
24 
25 
26 
27 
28 

29 
30 
31 
32 
33 
34 

35 
36 
37 
38 
39 
40 
41 

42 
43 

44 

45 
46 
47 

48 

155 
4 
277 

45 

213 
1 
269 

73 

1 
21 

157 
1 

214 

1 

10 

115 

1 
174 

36 

88 

22 

156 
3 
160 

37 

108 
3 
116 

36 

1,561 
37 
3,761 

498 
175 

6 

9 

141) 

3 

4 

12 

823 
864 
612 
43 
15 
2,958 
571 
344 
45 
55 
4 
42 

13 
3 

1 

8J8 
706 
445 
44 
7 
2,875 
501 
296 
36 
74 
8 
43 

10 
1 
1 

607 
562 
4:53 
32 
5 
1,802 
370 
200 
14 
64 
22 
23 
1 
11 
78 
117 
322 

180 
138 
35 
9 
3 

7 

779 
837 
502 

4 

708 
615 
470 
58 
o 

3,  747 
396 
527 
15 
48 
11 
121 

2 
1 

748 
824 
469 
45 
11 
4,009 
450 
447 
23 
57 
4 
87 

3 
1 
1 

328 
293 
185 
18 

10,  870 
9,  Oti3 
6,677 
592 
118 
44,  203 
7,142 
5,588 
431 
606 
79 
482 
2 
146 
585 
1,705 

122 

12 

7 

1 

54 
11 
2,267 
399 
311 
10 
64 
12 
89 
1 
19 
105 

1 
6 
23 

o 

1 
3 

7 
2 
54 
2 
4 

3 
o 

24 
o 

2 
1 
3 

2 
1 

11 

2 
7 
12 

1 

8 
10 
4 

26 
77 
322 
49 
31 
13 
14 

2 
14 
1 

2 

15 

2 
3 
2 
3 

1,  7;!8 
230 
146 
5 
18 

2 
3 
1 
o 

1 

2 

23 

16 

57 
400 
317 

ICO 
131 
40 
5 
8 

26 
48 

1 

1 

7 
66 
20 

1 
1 

9 
50 
38 
445 

134 

123 

2 

12 

1 

66 
250 

199 

18 

86 

67 
54 

2 

282 

164 
10° 

2 

1 

o 

4 

285 

149 
169 
26 

1 

3 

1 

4,062 

1,866 
1  ti°0 

58 
1 

189 
41 
9 

22 
5 

12 
2 

344 
93 

47 
7 
20 

453 

26 
19 
28 
15 
7 

8 
4,725 
3,  462 
542 
6 
75 
21 

168 
6 

892 
39 
59 

8 
6 

1 

\ 

60 
6 
2 
o 

1 
5° 

1 

30 
4 
1 
o 

4 
20 

32 
2 

0 

6 

36 

2 

26 

2 
o 
3 

4 

2 

3 

2 

5 
3 

0 

1 

1 
1 

1 

4 

0 

0 

1 
426 
007 

626 
449 
29 
1 
11 
3 

25 
13 

511 
365 
29 

505 
332 
34 

1 

509 
39° 

388 
238 

3 

85 
60 
17 

2 

9 

1 
5 

1 

42 

36 

56 
3 
5 

1° 

12 

12 

5 

1 

1 
o 

5 

34 

17 

8 

28 
1° 

2 

23 

9 

5 

32 
]5 

4 

14 

1 

17 
10 

3 

6 

1 

112 

71 

112 

125 

111 
o 

94 
3 
5 

37 
5 
1 

4 

4 

4 
o 

6 
o 

. 

1 

8 

1 

9,217 

111 

8,714 

192 

6,  495 

94 

7,685 

84 

8,  519 

64 

9,241 

73 

3,710 

56 

112,  510     1,  489 

492 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  LXXVII.— ARMY  OF  THE  POTOMAC— Continued. 


YEAR  

18(34 

JiO.HTII  

JULY. 

AUGUST. 

SEl'TEMHEU. 

OCTOHKR. 

NOVEMISEII. 

74,  589. 

55,  105. 

GO,  897. 

72,  581. 

74, 
Cases. 

561. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases,   j  Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Deaths. 

tf>rward 

15,  082 

o 
22 
3j.'2 
4 
1 

238 

12,  346 

4 
25 

215 

181 

3 
1 

11,  452 

36 

170 
12 

130 
3 

10,  378 

3 

41 
136 
8 

140 

o 

o 

9,  071 

5 

54 
181 
4 

126 

2 
1 

CLASS    IV.  —  LOCAL    DISEASES. 
ORDER  I.—  Diseases  of  Nervous  System. 

3 
4 

1 

5 

1 

1 

1 

96 
8 
244 
1 

7 
135 
7 
166 

5 
95 

4 
109 
9 
o 

21 

108 
6 

11 
4 
1 

1 

1 

1 

9 

5 
1 

1 
1 

4 

3 

1 
102 
<> 

1 

OBDEU  II.—  Diseases  of  Eye. 

4 
3 

109 
4 
76 
1 

10 
12 

K2  r"-      t" 

2 

.       .  r 

90 
2 

75 

105 
13 

°°f  Jr°DJ 

. 

36 

2 

12 
4 
19 

38 
1 

7 
6 

13 
3 

7 
11 
30 

ORDER  III.  —  Diseases  of  Ear. 

5 

,1 

68    Deafness                                                       

69    Otorrhoea         

11 
1 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

1 
14 
6 

i 

i 

2 

2 

8 
1 

5 

8 
4 
4 
1 

4 

3 

2 

16 
3 
o 

o 

75.  Inflammation  of  Pericardium  

2 

76.  Inflammation  of  Endocardium  



1 
1 
24 

77.  Inflammation  of  Veins  *.  

2 

37 
o-> 

78.  Varicose  Veins  

30 
32 

28 

31 
21 
2 

22 

79.  Varicocele  

16 

18 

80.  Other  Diseases  of  this  Order  

o 
15 

1 

1 

20 
124 
33 

1 

16 
207 

1 

1 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
81.  Asthma  

44 

82.  Acute  Bronchitis  

170 

29 

277 

583 

83.  Chronic  Bronchitis  

43 

6° 

84.  Dropsy  of  Chest  

2 
11 
61 
5(> 

85.  Hamion  hage  from  Nose  

3 

21 
45 
61 
9 
5 

314 
405 
132 

18 
14 
32 
3° 

o 

3 

40 
12!) 
100 
11 
98 

219 
4°0 

86.  Inflammation  of  Larynx  

35 

36 
4 
5 

244 
°85 

87.  Inflammation  of  Lungs  

6 

o 

0 

12 

88.  Inflammation  of  Pleura  

89.  Hemorrhage  from  Lungs  
90.  Other  Diseases  of  this  Order  

8 
30 

331 

349 
99 
1 
16 
98 

1 
2 

1 

10 

46 

196 
362 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
91.  Colic  

1 

1 

92.  Constipation  

83.  Cholera  Morons  

1 

I 

53 
2 

1 

39 

2 

24 

94.  Cirrhosis  of  Liver  

95.  Dropsy  from  Hepatic  Disease  

17 
88 

12 

21 

96.  Dyspepsia  

110 

114 
o 

7'? 

97.  Diseases  of  Pancreas  

98.  Diseases  of  Spleen  

1 

1 
15 

99.  Fistula  in  Ano  

0 

5 

70 
1 

6 

64 
1 

100.  Hernia  

84 

0 

54 

80 

101.  Haemorrhage  from  Stomach  

1 

Carried  forward  

17,  4G1 

259 

14,  443 

208 

13,  186 

143 

12,  262 

156 

12,  229 

144 

DURING    THE    YEAR    ENDING    JUNE    30,   18G5. 


493 


TABLE  LXXVIL— ARMY  OF  THE  POTOMAC— Continued. 


1804. 

1805. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

97,  235. 

104,  436. 

105,  635. 

109,  707. 

110,  233. 

76,  992. 

29,  807. 

80,  982. 

49 
50 
51 
52 
53 
54 
55 
5(i 
57 
58 
59 
CO 

61 
02 
63 
64 
65 
66 

67 
68 
69 
70 

71 

73 
74 
75 

76 
77 

78 
79 
80 

81 
82 
83 
84 
85 
86 
87 
88 
89 
90 

91 
92 
93 
94 
95 
96 
97 
98 
99 
100 
101 

Cases. 

Deaths. 

Oases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

9,  217 

69 
241 
3 
1 

1 

18 
158 
4 

Ill 

4 
1 

8,714 

3 

64 
252 

192 

3 
1 

6,  495 

1 

48 
183 
8 
2 

94 

1 

0 

7,685 

7 
39 
258 
8 
2 
2 
4 
4 
170 
6 
3 
4 

2 

1 

149 
6 
5 

7 

13 

12 
24 

84 

4 

1 

8,519 

4 
162 

64 
3 

9,241 

1 

17 
2°4 

73 
1 

3,710 

56 

112,  510 

34 

455 

1,489 

26 
11 

17 
91 
4 

5 

5 
2 
2 

10 

1 
3 

7 
100 
9 
99 
11 

1 

74 
17 
8 
10 
03 
1,413 
84 
550 
35 

19 
20 
1  198 

1 

2 

3 

3 
3 
3 

1 

1 

1 
1 

20 
8 
4 
o 

1 

10 
158 
o 

1 

10 

157 

4 

95 

6 
3° 

1 

11 

9 
16 
3 

1 

1 
1 
1 

2 
16 

3 

17 

7 

2 

4 

3 

124 
2 
13 

4 

8 
9 
29 

4 

3 
3 
126 

2 
I 

3 

1 

130 
1 

8 
7 

10 
8 
31 

83 
4 
30 

77 
1 
12 

og 

3 
8 
3 

9 
12 
31 

2 

0 

30 
234 

n 

30 

96 
98 
260 

J 

19 

6 
11 
21 

6 
5 
10 

1 

2 

5 
138 

32 
11 
18 
6 
12 
341 
204 

1 
9 
4 

1 
1 
3 

1 

1 
32 
o 

13 

0 

2 

17 
6 

o 

18 

4 

19 

o 

8 

4 

2 

2 
2 

2 
3 

1 

2 
1 
1 

20 

1 

1 

2 

3 

3 

1 

1 

39 
23 

41 
841 
55 

4 

22 

8 

3 

42 

31 
20 
3 

37 

936 
152 

28 

9 
5 

13 

26 

16 
12 

10 
5 

°4 

1 

1 

54 

321 

5,  600 
744 
8 
63 
452 
1,  0,;8 
914 
113 
2,  050 

2,  705 
4  313 

5 

37 
1,085 
167 
2 

39 

722 
59 

15 
303 
37 

11 

82 

2 

3 

2 

1 

270 
15 

7 

1 

3 

2 

93 
174 
1C3 
15 
255 

2 

7 
82 
155 
100 
15 
413 

188 
503 
28 

4 

32 
158 
132 
11 
177 

260 

409 
16 
1 
33 
105 

15 

3 

14 
40 
61 
9 
46 

245 
345 
42 

2 

7 
19 
14 

1 
8 

128 

88 
146 
102 
13 

891 

162 

1 
29 
1 

12 
57 
54 
7 
76 

207 
301 
12 

1 

11 

2 
160 
11 
5 
5 

4 

4 

37 
5 
o 

33 
1 
2 

6 

1 

21.1 
476 

1 

339 

149 

18 

12 

47 

522 

199 
1  087 

5 

1 

7 
96 

o 

18 
126 

15 

10 
54 

16 

74 

12 

... 

115 
1 

34 

3 
3 

80 
813 
17 

1 
8 
91 

9 

87 

1 

7 
68 

1 

11 

<)7 

r 

5 
54 
1 

0 

49 
1 

1 

15  i 

1 



4 

12,373 

149        12,271 

249 

10,  447 

140 

11,022 

143 

10,  224 

94 

11,197 

6- 

4,  498          60 

Ml,  613      1,832 

494 


SICKNESS    AND    MORTALITY    OF   WHITE    TROOPS 


TABLE  LXXVIL— ARMY  OF  THE  POTOMAC— Concluded 


V.AB  18(i4' 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

74,  589. 

55,  105. 

60,  897. 

73,  581. 

74,  561. 

LIST  OF  DISEASES. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

17,  461 

2 

83 
41 
1 
1 
18 
7 
294 
869 
9 

19 
1 
10 
1 
9 
21 
4 
18 
4 

n 

3 
3 

7 

259 

14,  443 

3 

56 
27 
21 
1 
39 
7 
488 
186 
16 

18 
2 
16 

208 

13,  186 

5 

56 
2'> 
9 

19 
5 
316 
199 
5 

143 

12,  262 
5 

156 

12,  229 

3 

98 
27 
7 
1 
15 
20 
262 

144 

ORDER  VI.  —  Diseases  of  Digestive  Organs—  Continued. 

94 

15 
7 
2 

21 

1 
1 

1 

1 

1 
1 

3 

2 

1 
1 
1 

1 
1 

7 
235 
166 
4 

10 
1 

8 

•  a  ' 

184 
9 

9 
2 

1 

ORDER  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

3 

5 
1 
1 
15 
5 
21 
1 
1 

2 
1 

7 

1 

8 

-     T    '  ^               f  V 

4 

18 
6 
18 
5 
2 

7 
24 

5 
14 
7 
13 
3 
4 

6 

•       ^r 

1 

119   Iticoutine  ce  of  Uriue 

11 
1 

1->0    Hvdrocele 

OUDEli  VIII.  —  Diseases  of  Bones  and  Joints. 

3 
1 
11 
3 

11 
1 
4 
4 
2 

6 
1 
6 
3 
1 

144 
345 

8 

1 

7 

1 
5 

ORDER  IX.  —  Diseases  of  Integumentary  System. 
129.  Abscess  

167 
404 
23 

145 
384 
14 
76 
124 

133 
346 
Ic 

328 

131.  Boils  

355 
19 
55 
123 

131.  Carbuncle  

27 
74 

132.  Whitlow  

97 
128 

56 

133.  Skin  Diseases  

95 

07 

157 

CLASS    V.     WOUNDS,   ACCIDENTS,   AND 
INJURIES. 
ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
134.  Burns  

48 
156 

35 
132 
4 

36 

178 
2 

56 

135.  Contusions  

1 

94 
2 

159 

136.  Concussion  of  Brain  

4 

0 

1 

2 

2 
1 

137.  Drowning  

2 

138.  Sprains  

119 

98. 
5 
1° 

85 

151 

1°5 

131).  Dislocation  

3 

6 

4 
20 
10 
1,477 
67 

8 
8 
7 
299 
98 
15 

140.  Simple  Fractures  

'I 

2,043 
63 

29 

141.  Compound  Fractures  

3 

124 

1 
2,322 
43 

41 
8 
15 

1 
101 

1 
56 

142.  Gunshot  Wounds  

198 

958 
54 

43 

143.  Incised  Wounds  
144.  Lacerated  Wounds  

1 

22 
f; 

18 
11 
3 

21 

115.  Punctured  Wounds  

C 
11 
45 

13 

0 

l4ti.  Poisoning  

6 
4 

147.  Other  Accidents  and  Injuries  

2 
1 

25 

2 

2 

1 

24 

148.  ORDER  II.  —  Homicide  

149.  ORDER  III.—  Suicide  

2 

1 

100.  ORDER  IV.—  Execution  of  Sentence  

1 

Total  

21,  650        394 

18,  882 

418 

15,  813 

195 

15,  587 

268  _ 

]4,  506 

208 

DURING   THE   YEAE   ENDING    JUNE    30,  18G5. 


495 


TABLE  LXXVIL— ARMY  OF  THE  POTOMAC— Concluded. 


1804. 

1805. 

DECEMBER. 

JAXUAUT. 

FEBRUARY. 

MARCH. 

AlMUL. 

MAY. 

JUNE. 

TOTAL. 

97,235 
Cases. 

• 

104,  436. 

105,  635. 

109,  707. 

110,  233. 

76,  992. 

29,  807. 

80,  <)S2. 

Deaths. 

Cases. 

Deaths. 

Cases 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.      Deaths. 

102 

l,Ki 
104 
105 
106 
107 
108 
109 
110 
111 

112 
113 
114 
115 
lit) 
117 
118 
119 
120 
121 

123 
124 
125 

126 
127 

128 

129 
130 
131 
132 
133 

134 
135 
136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
145 
147 

148 
149 
150 

12,  373 

7 
168 
15 
6 

14 
10 
257 
173 
65 

13 

149 
1 

12,  271 
2C5 

249 

10,  447 

3 

215 

140 

11,  022 

3 

179 
19 
9 
2 
26 
27 

143 

10,  224 

3 

69 

7 
10 

94 

11,  197 

7 
93 

10 

87 

4,  498 

60 

141,  613 

43 
1,409 
231 
117 
14 
237 
112 
3,170 
2,  121 
209 

115 
18 
118 
6 
42 
236 

1,832 
3 

33 

6 
13 

1 

11 
13 
1 
13 

8 
327 
1G7 
15 

7 
4 
18 
3 
5 
31 
13 
23 
6 
4 

5 

7 
8 
1 
4 
4 
5 

15 
11 
2 

1 

1 
1 

1 
1 

7 
12 
3 
5 
o 

5 

3 

1 

15 

10 
301 
181 

O4 

1 

2 

23 
5 

138 
1G5 

18 
1 
154 
20G 

16 
5 

o 

311 
180 
9 

6 

1 

87 
45 
5 

6 

1 

- 

20 

o 

8 
1 
5 

1 
9 

3 
19 

6 

2 

4 
1 

1 

10 

4 

1 

18 
JO 
27 

4 

6 
5 

C 
5 

o 
0 

1 
30 
4 

11 

2 
o 

2 
3 
6 
1 
1 
4 
o 

1 
16 
6 
3 
5 
3 

1 
15 
1 
13 
3 
5 

2 
2 
10 

2 

1 

33 
7 
20 
5 
3 

3 

1 

C8 

ieo 

38 
30 

37 

28 
89 

48 
33 

18 

1,700 
4,  220 

2 

2 
1 

1 

1 

3 

2 

1 

8 

9 

5 
3 

2 

151 
453 
16 
99 
142 

C8 

7 

6 

4 

1 

1 

56 
129 
4 
16 
32 

2 

129 
335 

0 

151 
425 

96 

100 

101 
239 
1 

1 

1G6 
410 

155 
SOT 

175 
331 
23 
63 
145 

46 
221 
1 

1 

19 

215 
921 
1,523 

606 
2,  095 
38 

116 
130 

G9 
184 
2 

119 

54 
150 

46 
200 
6 

137 

C8 
234 

7 

6 
41 

i 

2 
1 

1 
1 
3 

2 

7 
8 
10 

1 
1 

1 

205 
9 
13 

349 

248 

8 
7 
197 

195 

161 
6 
14 
4 
1,158 
227 
24 
7 
13 
47 

282 

189 
2 
]3 

236 
5 
9 
2 
94 
55 
32 
6 
66 
103 

68 
1 
3 
1 
9 
22 

1,  914 
63 
133 
51 
16,  280 
1,3:8 
324 
109 
183 
654 

15 

12 

132 
254 

i 

13 
5 
3,082 
168 
44 
14 
3 
25 

1 
]() 
1,135 
1 

4 

1 

51 

2 
153 

15 
4,  357 
79 

2 

26 

78 
1 

293 

24 
12 

1 

1 

53 
16 
17 

71 

1 

1 
o 

1 
4 

7 
88 

1 

4 

33 
4 

0' 

30 

- 
15 

2 

5 

1 

0 

6 

2 

1 

8 

1 
1 

1 

3 

15,  45G         222 

15,  072 

287 

14,  Oil         235 

16,  741         313 

16,  484 

397 

13,  434         112 

5,163 

63 

182,  799 

3,  112 

496 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  LXXVIIL 

Abstract  of  the  Sickness  and  Mortality 


YEAH  

1864. 

JIOM'JI  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

44,  165. 

32,  074. 

36,  451. 

44,  569. 

38,  591. 

LIST  OF  DISEASES. 

Cases.    Deaths. 

Cases. 

Jealhs. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS  1.—  ZYMOTIC    DISEASES. 
ORDER  I.  —  Miasmatic  Diseases. 

97 

1 
231 

30 

120 
3 
]90 

18 

85 

10 

63 

16 

60 

18 

'      -  1 

38 

30 

179 

20 

136 

16 

80 

18 

3.  Typho  -  anrKl 

•          v 

805 
1  453 

17 

417 
1,  521 
733 
67 
60 
4,144 
445 
519 
44 
33 
1 

19 

1 

•122 
1,854 
1,012 
448 
47 
2,  983 

488 
66 

7 

611 

2  289 

2 

1  385 

3 

• 

j.  Quotidian    nte 

812 
102 

1,  251 
145 
16 
2,647 
259 
458 
47 
26 
1 
3 

1 

838 
78 
7 
1,691 
225 
248 
42 

fl'  0^  1     I"*6       'it    it  Fever 

.  Quar  an    n  t 

48 
6,468 
492 
780 
76 
33 
3 
33 

1 
2 

21 
10 

5 

8 

20 

6 
o 

20 

7 
1 

1 

5 

g 

8 
1 

3 
5 
15 
3 

1 

1  •> 

'       ^    '              ,  v     . 

G'   M  ••       J 

5 

18 

17    Scarlet  Fever                                

13 
32 

1 

1 
12 

3 

7 
30 
344 

66 
115 

1 

3 

47 
163 

11 
14 
QOT- 

1 

52 

76 

331 

85 

422 

267 

107 
202 

1 

170 

117 

171 

1 

OIIDEK  II.  —  Enthetic  Diseases. 
22    Syphilis                                  

58 
64 
17 
4 
3 
1 
1 

35 
1 

81 
20 

24    Orchitis 

10 
4 
3 

°4 

17 
3 
4 

4 
1 

5 
4 

28.  Other  Diseases  of  this  Order 

2 

26 

3 

8° 

1 

19 
2 
3 
3 

OUDEK  III.  —  Dietic  Diseases. 
29.  Scurvy  ... 

40 
1 
1 

30.  Purpura  

31.  Delirium  Trerueus  ..     . 

0 

3 

1 

3 

32.  Inebriation  

2 
1 

1 

33.  Chronic  Alcoholism  

1 

1 

34.  Other  Diseases  of  this  Order  

CLASS  II.—  CONSTITUTIONAL    DISEASES. 
ORDER  I.  —  Diathetic  Diseases. 
35.  Gout  

36.  Acute  Rheumatism  

192 

185 

108 

214 

371 
191 

37.  Chronic  Rheumatism  

167 
84 

119 
19 

156 

214 

38.  Acajmia  

40 
1 
3 
1 

8 
6 

°3 

39.  Cancer  

40.  Tumors  

11 

14 

1 

3 

18 

9 

5 

0 

4 

41.  Other  Diseases  of  this  Order  
ORDER  II.  —  Tubercular  Diseases. 
42.  Consumption  

2 

1 

1 

6 

11 

1 

43.  Scrofula  

6 

44.  Other  Diseases  of  this  Order  

1 
44 

CLASS  III.  —  PARASITIC    DISEASES. 
45.  I  tcli  

70 
1 
11 

43 

104 

7G 
1 

46.   Tape-  worm  

47.  Other  Intestinal  Worms  

1° 

12 

1 

48.  Other  Diseases  of  this  Order  

i 

12,637 

128 

9,410 

115 

9,004 

76 

9,  398 

77 

6,387 

71 

DURING   THE   YEAE   ENDING   JUNE    30,   1865. 


497 


TABLE  LXXYIII. 

of  the  Department  of  Virginia. 


1864. 

1865. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

Al'RIL. 

MAY. 

JUNE. 

TOTAL. 

45,  032. 

43,  315. 

38,  648. 

34,  748. 

36,  677. 

50,  991. 

36,  932. 

40,  183. 

Cases. 

Deaths. 

Cases. 

)eaths.    Cases. 

)eaths. 

Cases. 

deaths. 

Cases. 

deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    'Deaths. 

1 

3 

4 
5 

6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 

22 
23 

24 
25 

26 
27 
28 

29 
30 
31 
32 
33 
34 

35 

3( 
37 
38 
39 
40 
41 

42 

43 
44 

45 

46 
47 
48 

47 

12 

42 

21 

31 
1 
23 

25 

25 
1 
26 

13 

17 

14 

37 

16 

36 

5 

660 
8 
1,110 

198 

49 

10 

47 

6 

8 

1 

19 

1 

71 

2 

59 

7 

157 

182 
1,004 

677 
44 

1,781 
218 
239 
11 
34 

142 
949 
521 

2 

141 
644 
342 
23 

1,002 
132 
137 
20 
23 

1 

125 
797 
339 
45 
3 
945 
98 
148 
13 
26 

23 

1 

115 
546 
496 
24 
2 
1,154 
89 
156 
16 
14 

212 
98?. 

1 

240 
613 
675 

3 

1 

3,664 
,  14,037 
8,460 
1,099 
200 
28,957 
2,962 
3,978 
400 

19 
290 

56 
2 
1 
1 
31 
42 
203 
55 
9 
5 
4 
13 

764 
32 
8 
2,348 
276 
367 
23 
28 
3 
65 

39 
4 
1  979 

1 

52 

2 

6 

1 
4 
19 
1 
o 

1 

1 
4 
4 
2 

1 
1,815 
161 

209 

15 
3 

1 

19 
2 
1 

309 
229 
30 
28 
3 
68 

41 
1 
2 

22 

2 

1 

2 
1 
5 

25 
4 
6 

2 

12 

1 
2 

36 

1 

26 

6 
15 
385 

183 

1G4 
176 

6 
5 

8 
74 
5G2 

1 

5 
26 
426 

o 

3 

22 
243 

2 

2 

5 

29 
67 
137 

156 

9 
10 

57 

67 
299 
2,357 

10 

11 
69 
62 

147 

120 
117 
14 
4 
4 

162 

78 
51 

1 

122 

50 
49 
13 
6 

7 

202 

106 
181 
25 

2,549 

1,  166 
1,485 
199 
50 
33 
o 

11 

30C 
11 
16 
38 
9 

3 

59 
93 

185 
21 

9 

7 

8 
3 
2 

1 

3 

1 

1 
14 

1 
14 

o 

15 

26 
4 
1 

7 
1 

18 

1 

10 

1 

2 

1 
5 

1 
3 

1 

1 
o 

3 

16 

1 

o 

1 

1 
1 

3 

2 

2 

o 

2 

190 
182 
13 

6 
218 
163 
19 

10 
2,757 
1,  974 

422 
164 
16 

295 

229 

1 

126 
113 
10 

117 
104 
15 

1 

2 

236 
15 

165 

13 

279 
1 
52 
24 

122 
85 

1 

863 
9 
46 

1 
3 

13 
6 

4 

5 

3 

3 

4 

6 

1 

18 
1 

2 

9 

3 

17 
8 

3 

7 
7 

o 

7 
4 

o 

10 
15 

o 
1 

7 
7 

120 

1 
2 

76 
3 

2 

44 

7° 

47 

91 

76 

1 
4 

1 

1 

6,053 

48 

6,115 

86 

3,799 

70 

3,639 

45 

3,306 

22 

6,373 

42 

4,866 

36 

80,  987 

816 

498 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  LXXVIIL—  DEPARTMENT  OF  VIRGINIA— Continued. 


YKAii  

1864. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

44,  165. 

32,  074. 

36,  451. 

44,  569. 

38,  591. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Brou  lit  forward 

12,  637 

1 

11 
350 
o 

0 

128 

9,410 

115 

9,004 

1 
13 
105 

76 

9,398 

1 

38 
200 

77 

1 
2 

6,  387 

1 
19 
110 

71 

1 

1 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.  —  Diseases  of  Nervous  System. 

13 
232 
o 

1 

'     *    el  y 

O 

4 

2 

2 

1 
1 

1 

I 

1 

3 
12 
136 
1 
104 

1 

1 

12 
68 
3 
144 
5 

2 

5 
66 
4 
11 

4 
103 
o 

86 
6 
1 

g. 

1 

3 

1 

4 
1 

3 

1 

ORDER  II.  —  Diseases  of  Eye. 

1 

2 

1 

69 
3 
91 

37 
1 
73 

42 

65 

46 

10 

57 

23 

5 

1 

11 
4 
22 

4 

7 

OKDER  III.  —  Diseases  of  Ear. 

9 
5 
25 
2 

0 

7 
1 

5 
3 
°4 

4 
15 

69    Otorrhcea 

21 

70.  Other  Diseases  of  this  Order       ...              .... 

1 

1 

o 

1 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

1 

1 
1 

o 

10 
3 

1 

7 
o 

1 
1 

11 
g 

1 

„ 

1 

1 
1 
14 
3 
1 

35 

1 

40 
9 
1 

12 
130 
21 

1 

28 

78.  Varicose  Veins  

32 

15 

79.  Varicocele  

18 

8 

13 

80.  Other  Diseases  of  this  Order  

1 

• 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
81.  Asthma  

29 

230 

29 
150 
32 

16 
231 
62 
1 
3 
16 
29 
24 
4 
11 

17° 

82.  Acute  Bronchitis 

1 

404 
57 

83.  Chronic  Bronchitis         

27 
12 

1 

1 

84.  Dropsy  of  Chest  

85.  Haemorrhage  from  Nose  

1 
9 

27 
22 

1 

4 
6 
29 
3 
8 

154 
207 
21 
1 
44 
64 

86.  Inflammation  of  Larynx 

15 
28 
39 
14 
21 

19 
56 
58 
5 
30 

134 

87.  Inflammation  of  Limps  

7 

1 
1 

4 

9 
1 

88.  Inflammation  of  Pleura     

89.  Haemorrhape  from  Lungs  

3 

10 

314 

67 

1 

90.  Other  Diseases  of  this  Order  

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
91.  Colic  

342 

1 

92.  Constipation  

254 

26° 

162 

93.  Cholera  Morbus  . 

116 

38 
3 
12 

16 
o 

94.  Cirrhosis  of  Liver  

95.  Dropsy  from  Hepatic  Disease  

9 

74 

6 

56 

11 
45 

96.  Dyspepsia  

51 

97.  Diseases  of  Pancreas  

98.  Diseases  of  Spleen  

7 
8 
53 

1 

1  

2 
2 

48 

99.  Fistula  in  Ano  

4 
40 
1 

3 

38 

4 
57 

100.  Hernia  

101.  Haemorrhage  from  Stomach  

14,810 

145 

11,  049 

124 

10,  205 

82 

10,  892 

89 

7,841 

86 

DURING    THE    YEAR    ENDING    JUNE   30,  1805. 


TABLE  LXXVIIL— DEPARTMENT  OF  VIRGINIA— Continued. 


18(54. 

18(>5. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

45,  032. 

43,  315. 

38,  648. 

34,  748. 

36,  677. 

50,  991. 

36,  932. 

40,  183. 

49 
50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 

61 
62 
63 
64 
65 
66 

67 
68 
69 
70 

71 

•7O 

73 

74 
75 

76 
77 

78 
79 
80 

81 
82 
83 
84 
85 
86 
87 
88 
80 
90 

91 
92 
93 
94 
95 
96 
97 
98 
99 
100 
101 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

6,053 

1 
23 
129 
2 
1 

48 

1 

6,115 

2 
39 
145 

86 

3,799 

1 

27 
88 
I 
1 

70 

3,639 

45 
o 

3,306 

22 

6,373 

42 

4,866 

36 

80,  987 

8 
217 
1  814 

816 

5 
11 

2 

1 

15 
119 
2 

o 

2 

64 
2 

9 
144 
1 

8 
128 

6 

1 

25 

7 
4 
7 
69 
1,088 

2    | 

1 

1 

6 
o 

1 

1 

1 

„ 

1 

4 
12G 
1 

o 

6 
103 
3 

5 
67 
3 

5 

70 
1 
9 

14 

69 

143 
1 

51 
5 
2 

1 

32 

297 
27 

15 

10 
705 
27 
306 
9 

88 
44 
198 
4 

5 

90 
23 
4 
11 
2 
4 
204 

8 
3 

1 

26 
12 

3 

0 

2 

2 

4 
o 

1 

1 

2 
65 

67 

0 

4 

1 

10 
3 
15 

66 
1 
3 

59 

45 
4 
10 
o 

84 
3 
10 

60 
1 

18 

3 

9 

1 
4 

8 
6 
13 

17 
4 
20 

1 
2 
6 

5 

9 
1 
14 

13 
1 

10 

o 

9 
2 
2 
1 

6 

6 
3 

1 
1 

1 

7 
4 

2 
1 

11 
o 

1 

2 

9 
o 

9 
2 

5 
1 

1 

2 
3 

1 

1 

0 

2 

1 

1 
6 
5 

o 

17 
718 
42 

17 
11 
2 

21 
501 
89 

13 
3 

g 

11 
82° 

11 
3 
1 

19 

441 

71 

5 
2 

8 
8 
1 

7 
°°2 

15 

10 
1 

13 

134 
39 
1 

93 

11 

OJO 

1 

1 

3 

3 

193 

*-5 

o 

1 

4,176 
617 
21 
36 
275 
376 
518 
59 
355 

1,802 
2,  740 
451 
8 
125 
646 

2 

1 

92 

60 
1 
o 

1 

12 
3 
25 

2 
40 
43 
63 
8 
20 

120 
237 
8 

4 
27 
51 
73 
6 
113 

91 

188 
4 
1 
13 
48 

2 
40 
30 
57 
2 
11 

69 
201 

r 

1 

29 
15 
24 

34 
17 
34 
5 
5 

103 
243 

17 
7 
16 
3 
10 

149 
187 
86 
1 
2 
76 

5    i 

67 
79 
4 
112 

131 

285 
29 

16 

21 

8 

1 

5 

77 
2 
4 

2 

2 
4 

90 
200 

7 

3 

2 

1 

54 

1 

1 

o 

11 
45 

8 
50 

1 

4 

46 

3 

34 

1 

2 

57 

1 

3 

1 
6 

44 
2 

10 
53 
426 

8 
36 

1 

6 
24 

3 
21 

4 

27 
2 

19 
1 

19 
2 

I 

11 

39 

7,747 

60 

8,362 

109 

5,589 

99 

5,006 

59 

4,176 

24 

7,630 

54 

6,043 

99,  .'150 

970 

500 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  LXXVin.— DEPARTMENT  OF  VIRGINIA— Concluded. 


YEA.ll  

18(54. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

44,  165. 

32,  074. 

36,  451. 

44,  569. 

38,  591. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.  ; 

Deaths. 

14,  810 

1 
56 
10 
9 

145 
1 

11,  049 

124 

10,  205 

82 

10,892 

9 
96 
9 
6 

89 

7,811 

4 

83 

18 
8 

86 
1 

OUDEK  VI.—  Diseases  of  Digestive  Organs—  Continued. 

36 

8 
16 

51 
7 
13 
1 
3 
11 
211 
148 
8 

9 

2 
2 

1 
1 

1 

1 
1 

'  luttam    tl 

4 
5 
134 
210 

11 
8 
204 
151 

4 
5 

137 

1 

20 
10 
132 

1 

1 

159 
10 

5 
1 

114 
4 

11 
o 

16 

9 
1 
4 

13 

10 
2 

ORDER  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

. 

9 
1 
3 
14 
4 
21 

5 

-       rg           e  o' 

3 

24 

1 
15 

1 
15 
o 

'   1    H-               •           f  K  '  1     > 

38 
1 
18 
1 
1 

motion  of  Bladder 

1 
20 

'  j"  a  t-              f  r  • 

19 
3 
1 

6 
2 

7 
1 

1 

1 

1 
1 
1 
6 
2 

1 
o 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

1"3    Caries 

2 
3 

10 

1 

1 
o 

7 

7 
1 
2 
1 

1 

6 

2 

1 

1 

1 

66 
254 
17 
53 

85 

15 

103 
1 

128    Other  Diseases  of  this  Order 

1 

81 
230 
10 
59 

72 

ORDER  IX.  —  Diseases  of  Integumentary  System 
129    Abscess 

95 
292 

55 
236 
12 



80 
243 

130    Boils 

18 
42 
103 

18 

115 
2 

18 
41 

84 

14 
87 
1 

13°.  Whitlow 



35 
66 

10 
86 
1 

133.  Skin  Diseases  .. 

CLASS   V.—  WOUNDS,   ACCIDENTS,    AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
134.  Burns  

135.  Contusions  

2 
1 
3 

71 
2 

136.  Concussion  of  Brain  

1 
1 

1 

137.  Drowning  

o 

1 

138.  Sprains  

69 
1 

74 
1 

10 
24 
1,277 
18 
16 
7 
2 
6 

65 

77 
6 
1 
3 
1,030 
33 
20 

96 
4 
4 

139.  Dislocation  

3 

6 
5 
1,184 
16 
26 
1 
3 

140.  Simple  Fractures  

141.  Compound  Fractures  

5 
783 
20 
6 

22 
7 
1 

142.  Gunshot  Wounds  

31 

25 

12 

37 

30 

57 

15 

143.  Incised  Wounds  

144.  Lacerated  Wounds  

1 

10 
4 
4 
6 

145.  Punctured  Wounds  

6 

146.  Poisoning  

147.  Other  Accidents  and  Injuries  

1 

1 

17 

1 

148.  ORDER  II.  —  Homicide  

149.  ORDER  III.—  Suicide  

1 
1 

150.  ORDER  IV.  —  Execution  of  Sentence  

1 

1 

Total  

1 

16,  945 

185 

13,  604 

158 

12,550 

100 

13,  146 

129 

9,053 

104 

DURING    THE    YEAR    ENDING    JUNE    30,  1865. 


501 


TABLE  LXXVIII.— DEPARTMENT  OF  VIRGINIA— Concluded. 


18G4. 

1865. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

45,  032. 

43,  315. 

38,  648. 

34,  748. 

36,  677. 

50,  991. 

36,  932.                      40,  183. 

102 
103 
104 
105 
10G 
107 
108 
109 
110 
111 

112 
113 
114 
115 
116 
117 
118 
119 
120 
121 

122 
123 
124 
125 
126 
127 
128 

129 
130 
131 
132 
133 

134 
135 
136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
146 
147 

148 
149 
150 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths.    Cases. 

Deaths. 

Cases.    Deaths. 

Cases.    .Deaths,  j     Cases. 

Deaths. 

7,747 

60 

8,362 

1 

177 
10 
19 

11 
20 
105 
99 
9 

15 
1 
1 

109 

5,589 

1 

152 

99 

5,006 
2 

59 

4,176 

24 

7,630 

1 
62 

54 

6,043 

39 

99,350 

19 
994 
152 
95 
14 
136 
103 
1,363 
1,397 
85 

87 
18 
28 

970 

87 
17 
5 
5 

13 
114 
125 

7 

13 
3 
o 

118 
10 
o 

43 
4 
5 
1 
5 
o 

33 

1 
1 

6 
1 
19 
3 

72 

13 
6 

1 
13 
15 

82 

o 

1 
2 

5 
5 
6 

1 

1 

1 
3 

2 

1 

00 

3 
10 
63 
97 

1 

61 
54 
4 

o 

48 
61 

72 

107 
6 

3 
3 

1 

6 

7 
1 
o 

1 

2 
3 

1 

2 

2 

1 

00 

1 

17 
4 
16 
o 

1 

3 

1 

7 

3 

16 

4 

9 
o 

1 
15 

1 
6 
1 
6 

3 
10 
1 

7 
1 
1 

4 
2 
3 

1 
2 

1 

1 
9 
1 
3 
3 
3 

3 
1 
5 
1 
3 
2 

1 

188 
19 
162 
31 

18 

19 
12 
55 
22 
30 
11 
3 

793 
2,786 

1 

25 

15 

6 
2 

6 
3 

4 
1 
10 

3 

5 

o 

2 
5 

1 
o 

3 

1 

3 
2 

3 
1 

4 
o 

1 

1 

89 
281 
14 
48 
74 

21 

109 
1 

70 
260 
29 
55 
83 

28 
173 
1 

79 

208 

51 
203 

45 
139 
5 
35 

40 
240 

42 
200 
5 
27 
55 

9 

76 
4 

13 

7° 

4 
52 
91 

31 

71 

8 
30 
82 

153 
549 
961 

224 
1,103 

14 



106 

24 
80 
1 

60 

12 

1 

57 

75 

1 
2 

4 
5 
14. 

1 

4 

78 
1 
5 
2 

82 
85 
9 
1 
4 
45 

101 
2 
11 
2 
510 
86 
14 
7 
2 
90 

122 

94 
1 
5 
3 
157 
55 
11 
7 
7 
8 

88 
4 
8 

108 
o 

76 

1,048 

6 
5 

1 
6 

32 
77 
44 
6,112 
574 
149 
91 
51 
242 

11 

1 

1 

5 
208 
1 
1 

5 

48 

8 

o 
1 

50 
85 
12 

3 

5 

939 
41 
7 
10 
4 
21 

37 
37 
8 
7 
3 
8 

18 

33 
41 
10 
13 
11 
11 

4 

6 
4 
29 

1 

1 

1 
10 

2 

9 

1 
1 

1 

2 

1 

] 

1 

1 

1 

4 

1 

9,  162 

75 

10,  432 

117 
- 

6,907 

110 

6,170 

68 

5,847 

79 

H.6K7 

82 

6,934 

50    I    119,437 

II 

1,  257 

502 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  LXXIX. 

Abstract  of  the  Sickness  and  Mortality 


YEAR  -  

1864. 

JULT. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

6,  453. 

7,  257. 

7,  174. 

6,750. 

6,  713. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases,  i  Deaths 

Cases. 

Deaths.    Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS    1.—  ZYMOTIC    DISEASES. 
ORDER  1.  —  Miasmatic  Diseases. 
\    Typhoid  Fever  

24 

4 

13 

3 

5 
1 
9 
174 

657 
1  628 

1 

27 

6 

21 

10 

4 

12 

1 

24 
493 
597 
1,863 
877 
87 
11 
337 
23 
74 

7 
74 
9 

9 
38 
212 
1  126 

1 
3 
2 

8 
1 

71 
473 

314 

1  415 

200 

429 
6 

6 

257 

491 

657 

10 
o 

18 

7 
228 

1 
314 
22 

1 

2 

2 

498 
26 
84 
4 
1 

1 
2 

6 

12 
47 
3 
4 

6 
2 

70 

65 
6 
4 

1 

2 

]5.  Small-pox  and  Vurioloid  

5 

17.  Scarlet  Fever  

1 
2 
3 

18.  Diphtheria  

1 
4 

1 

8 
27 

38 

34 

26 

84 
45 

67 
36 

80 
32 

ORDER  II.  —  Enthttio  Diseases. 
22    Syphilis 

40 
51 
7 
o 

44 
3 

35 
2 

24.  Orehitis  

1 

5 
1 
1 

27.  Serpent  Bite 

1 

1 

28.  Other  Diseases  of  this  Order  

ORDER  III.  —  Dietic  Diseases. 
29.  Scurvy  .'..   . 

2 

11 
5 

G 

1 

4 

3 

30.  Purpura  

31.  Delirium  Tremens  

1 

32.  Inebriation  

33.  Chronic  Alcoholism  

34.  Other  Diseases  of  this  Order  

CLASS    II.—  CONSTITUTIONAL    DISEASES. 
ORDER  I.  —  Diathetic  Diseases. 
35.  Gout  

30.  Acute  Rheumatism  

34 

14 
18 

42 

22 

21 

^7 

37.  Chronic  Itheumatism  

21 
8 

15 
4 

8 
9 

4 
6 

38.  Anaemia  

39.  Cancer  

40.  Tumors  

1 

1 

! 

1 

41.  Other  Diseases  of  this  Order  

ORDER  II.—  Tubercular  Diseases. 
42.  Consumption  

1 

3 
1 

2 

1 

43.  Scrofula  

1 

44.  Other  Diseases  of  this  Order  

CLASS    III.  —  PARASITIC    DISEASES. 
45.  Itch  

7 

9 

4 

5 

3 

46.  Tape-worm  

47.  Other  Intestinal  Worms  

48.  Other  Diseases  of  this  Order  

Carried  forward  

5 

1,377 

2,786 

5 

3,822 

13 

4,  002 

105 

2,  578            26 

DURING   THE   YEAR   ENDING   JUNE    30,  18G5. 


503 


TABLE  LXX1X. 

of  the  Department  of  North  Carolina. 


18G4. 

18(55. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE.                   TOTAL. 

6,  831. 

7,  521. 

32,  133. 

34,  760. 

41,  207. 

39,  154. 

32,  587. 

19,  045. 

1 
o 

3 

4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 

22 
23 
24 
25 
26 
27 
28 

29 
30 
31 
32 
33 
34 

35 
36 
37 
38 
39 
40 
41 

42 
43 

44 

45 
46 

47 
48 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases.    Deaths. 

Cases.      Death.-*. 

8 
1 
3 

5 
1 
1 

11 

2 

104 
3 
90 

o 

78 

3 

91 

4 

108 
1 
187 

16 
2 
4 

72 

16 

56-2 
t> 
7,r)i,> 
7U5 
4,175 
I     11,  766 
6,765 
413 
115 
10,790 
1,303 
1,667 
131 
150 
63 
278 
1 
37 
431 
770 
1,248 

698 
954 

72 
3 

42 
85 
35 
2 
4 

2 

1 

162 

202 

3 

48 

24 

102 
5-26 
409 
11 

211 
12 
18 
2 

1 
1 

80 
299 
266 

289 
663 
512 
51 
16 
1,147 
147 
152 

1 

498 
696 
620 

1 

542 
977 
730 
41 
2G 
1,693 

3 

1 

435 
1,078 
998 
53 
11 
2,  781 
336 
396 
48 
17 
4 
24 

2 

378 
1  022 

15 

1 

576 
34 

3 

10 

87 
20 

1 

1 

13 

1,929 
267 
301 
10 
33 
4 
9 

3 

11 
39 
1 
1 
1 
1 

10 
14 
100 
8 
2 
4 
8 
9 

115 
22 
32 

8 

2 
1 

1,280 
196 
237 
17 
28 
30 
31 

1 

24 
2 

5 

218 
191 
20 

18 

1 

13 

24 
13 

124 

o 

33 
12 

85 

1 
5 

4 

1 
1 

1 

4 

2 

14 
178 
391 
114 

74 
107 
12 

7 
98 
158 
150 

106 
138 

2 

3 
62 

6 
7 
60 
119 

91 
150 
7 
1 
2 

1 
2 
60 

24 

77 
68 
198 

97 
128 
14 
7 
1 

83 
262 

100 
187 
17 
2 
3 

49 

19 
21 
3 

1 

10 

2 

13 

40 
4 
2 

12 

-       88 
18 
8 
2 
5 

329 
16 
4 
2 
4 
9 

1 

1,327 
724 

2 
1 

3 

21 
5 
1 

1 
96 

1 

87 
2 

3 

i  

31 
1 
1 

65 
2 

1 

1 
1 

1 

1 

2 

9 

1 

42 

1 
1 

1 

29 
9 
5 

224 

234 

300 
153 
12 

2:38 
112 

114 
62 
3 

1 

26 

115 
10 

185 

1 

4 

80 

<t 

1 

1 

11 

3 

20 

1 

2 

1 
5 

1 

2 
2 

7 
11 

8 
4 

8 
5 

7 
11 

9 
2 

2 

49 
41 

25 

1 

57 
1 

64 

87 

104 
1 
1 

73 

0 

513 
6 
4 

1 
2 

1 

1,477            15 

1,112 

4 

4,703 

13 

5,203 

6 

Pi,  079 

50 

7,792 

58 

5,499 

120 

47,030 

420 

504 


SICKNESS   AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  LXXIX.— DEPARTMENT  OF  NORTH  CAROLINA— Continued. 


YEAU  

18O4. 

MONTH  

JULY. 

AUGUST. 

SEITEMBEU. 

OCTOBER. 

NOVEMBER. 

C,  453. 

7,  257. 

7,  174. 

6,750. 

6,7 
Cases. 

13. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Deaths. 

1,377 

5 

2,786 

5 

3,822 

13 

4,602 

105 

2,578 

26 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.—  Diseases  of  Nervous  System. 

2 
25 

1 

51 
1 

6 
14 
1 

1 

48 

o 

17 
1 

oo.  Inl  animation  o      j 

1 
3 
2 

k  . 

16 

23 

6 

1 

9 

1 

'              ff 

J 

2 

4 

1 

ORDER  II.—  Diseases  of  Eye. 

' 

1 
9 

'      E      '         •          *  n      • 

2 

9 
1 
3 

9 

7 
2 

1 

10 

'       .  " 

7 

1 

ORDER  III.  —  Diseases  of  Ear. 

1 

2 
5 

3 

1 

1 

1 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

2 

2 

1 

1 

77.  Inflammation  of  Veins  

78.  Varicose  Veins  

2 

o 

4 
3 

1 

2 

o 

g 

o 

80.  Other  Diseases  of  this  Order  

7 

3 
32 

1 

1 
23 

1 

o 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 

1 

5 
33 

4G 
o 

3 

4 

1 

84    Dropsy  of  Chest 

85.  Haemorrhage  from  Nose  

1 
3 
6 

1 

1 
41 

45 
9° 

1 

1 
5 
8 
3 
2 
34 

7 
49 

86.  Inflammation  of  Larynx  

1 
6 
4 

2 

1 

o 

3 
o 

3 
1 

89.  Haemorrhage  from  Lungs     .   . 

90.  Other  Diseases  of  this  Order 

oo 

1° 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
91.  Colic  

29 

77 

1 

14 

<)O 

92.  Constipation 

99 

93.  Cholera  Morbua  

9 

3 

1 
1 

94.  Cirrhosis  of  Liver  

1 
1 
30 

1 

95.  Dropsy  from  Hepatic  Disease  . 

1 

1 
10 

2 
1 

96.  Dyspepsia  

3 

97.  Diseases  of  Pancreas  

98.  Diseases  of  Spleen  

99.  Fistula  in  Ano  

100.  Hernia  

G 
o 

G 
2 

7 
1 

3 

4 

101.  Haemorrhage  from  Stomach  

Carried  forward  

1,667 

7 

3,160 

5 

4,061 

13 

4,855 

105 

2,790 

27 

DURING   THE    YEAR    ENDING   JUNE    30,  18G5. 


505 


TABLE  LXXIX.— DEPARTMENT  OF  NORTH  CAROLINA— Continued. 


1864. 

18G5. 

DECEMBER. 

JANUARY. 

FEllRL'AUY. 

MARCH. 

Ai'RiL.                     MAY. 

JUNE.                     TOTAL. 

6,  831. 

7,  521. 

32,  133. 

34,  760. 

41,207. 

39,  154. 

32,  5S7. 

19,045. 

49 
50 
51 

53 
54 
55 
50 
57 
58 
59 
(iO 

61 
62 
63 
64 
65 
66 

67 
68 
69 

70 

71 
72 
73 

74 
75 
76 
77 
78 
79 
80 

81 
82 
83 
84 
85 
80 
87 
88 
89 
90 

91 
92 
93 

94 
95 
96 

97 
98 
99 
100 
101 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases.    Death?. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

JJea'.hs. 

1,477 

2 
•i 

12 

15 
2 

1,112 

4 

4,703 

1 
9 
58 
1 
2 

13 

1 

5,203 

6 

6,079 
1 

50 

7,792 

1 
2° 

58 
o 

5,499 

120 

47,030 

5 
95 
755 
6 
8 
1 
6 
18 
459 
18 
27 
5 

6 
8 
374 
14 
99 
9 

49 
29 
38 
1 

5 
34 

10 
5 
7 
2 

1 
54 
31 
15 

54 
1,464 
163 
5 
oo 

420 

5 
1 

15 

14 
143 

1 

4 

76 
1 
1 

1 

127 

180 
1 
2 

1 

1 

1 

1 

1 

1 

1 

3 

1 

5 

2 
81 
1 

1 
2 

104 
4 

1 

3 

78 
2 

5 
75 

1 

5 
50 
2 
13 
3 

1 
54 

2 

6 
1 

8 
1 

3 

8 

1 
1 

1 
1 

1 

2 

2 
67 
1 
24 

I 

1 
1 
85 

1 
2 
56 
1 
17 
g 

g 
8 
9 

9 
1 

13 
1 

49 
o 

1 
4 
4 

10 
o 

3 

11 
1 

3 
5 
7 

23 

1 

1 

9 
3 
6 

11 
3 
6 

1 

8 

1 
2 

1 
3 
1 

1 

8 
2 
1 
3 

2 
6 
o 

4 

2 

1 

1 

4 

5 
2 

3 

4 
1 
1 

1 

1 

0 

1 

1 

1 

1 

1 

15 

2 
1 

2 
2 

3 
4 

8 
3 
1 

16 
238 
20 

10 
4 
4 

5 

175 
29 

3 

6 

2 

1 
o 

1 

1 

1 

82 

13 
°63 

5 

82 

44 
2 

491 

1 

1 

2 

56 

28 
4 

7 
32 
76 
59 

16 
1 
3 
3 

2 
3 
12 
4 
1 
51 

3 

36 

1 
15 

271 

8') 

2 

7 
84 
47 
5 

7 

120 

4 
8 
31 
42 
o 

3 

7 
1 
1 

48 

12 
42 

1 
10 

82 
524 
283 
26 

1 
25 

1 

5 

2 

21 
27 
2 
3 

145 

6 

7 
67 

5° 

2 

17 
122 

329 

647 
1,469 
171 
2 
53 
203 

77 
178 
18 

1 

148 
?' 

210 
16 

204 
45 

242 

1 

72 

1 
1 

0 

2 

2 
3 

'  16 
12 

8 
3° 

11 

27 

6 
32 

3 

1 

23 

1 

3 
2 
3° 

1 

2 
5 
4° 

11 
19 
200 

3 
32 

4 

7 
1 

10 

10 

41 
1 

7 

1,691 

17 

i  1,362 

5 

6,195 

27 

6,341 

8 

7,332 

57 

8,988 

67 

6,516 

134 

54,  058 

472 

f.4 


506 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  LXXIX.— DEPARTMENT  OF  NORTH  CAROLINA— Concluded. 


YUAU  

1S(>4. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

6,  453. 

7,  257. 

7,  174. 

6,  750. 

6,  713. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths 

Cases. 

Deaths. 

Brou  ht  forward 

1,667 

7 

3,160 

5 

4,061 

13 

4,855 

105 

2,790 

2 

5 

27 

ORDER  VI.  —  Diseases  of  Digestive  Organs  —  Continued. 

11 
4 

15 
2 

14 

4 
1 

1 

1 

105    Inflammation  of  Bowels  

106    Inflammation  of  Peritonaeum  

2 
2 
6 
9 
1 

4 

1 
30 

18 
2 

1 

6 

1 
49 
14 

1 
1 

27 

1 

24 

110    Piles                                     



14 
o 

10 
6 



ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs, 

1 

1 

2 

2 

G 

o 

2 

2 

2 

4 

3 

I'M.  Hydrocele 

o    ! 

1 

1 

ORDER  VIII.  —  Diseases  of  Hones  and  Joints. 
122.  Anchylosis  

1 

123.  Caries  

124.  Inflammation  of  Joints 

1 

1 

2 

125.  Inflammation  of  Bones  

1 

127.  Necrosis  

128.  Other  Diseases  of  this  Order  

ORDER  IX.  —  Diseases  of  Integumentary  System. 
129.  Abscess  

14 
83 
3 
6 

18 

2 
12 

26 

18 
69 

18 
21 

8 

90 

131.  Boils  

89 
o 

131.  Carbuncle  

1 

5 
7 

132.  Whitlow  

19 
40 

12 

7 

7 

1 

14 

133.  Skin  Diseases  

13 
o 

CLASS    V.     WOUNDS,   ACCIDENTS,   AND 
INJURIES. 
ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
134.  Burns  

135.  Contusions  

17 

21 

136.  Concussion  of  Brain  

137.  Drowning  

1 

1 

138.  Sprains  

10 

14 
3 

9 

5 

139.  Dislocation  

140.  Simple  Fractures  

1 

141.  Compound  Fractures  .. 

142.  Gunshot  Wounds.... 

5 
10 
3 

1 
5 
2 

1 

4 
12 

" 

o 

1 

143.  Incised  Wounds  
144.  Lacerated  Wounds  

8 
1 

2 

9 

1 
1 
1 

1 

345.  Punctured  Wounds  

1 

146.  Poisoning1  

147.  Other  Accidents  and  Injuries  . 

1 

148.  ORDEU  II.—  Homicide  

149.  ORDER  III.—  Suicide 

150.  ORDER  IV.  —  Execution  of  Sentence 

5 

Total  

1,  881            9 

3,466 

12 

4,310 

14 

4,997 

105 

2,930 

30 

DURING   THE    YEAR    ENDING   JUNE    30,   1805 


507 


TABLE  LXXIX.— DEPARTMENT  OF  NORTH  CAROLINA— Concluded. 


1804. 

1805. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

A  PHIL. 

MAY. 

JUNE. 

TOTAL. 

102 
103 

104 
105 
106 
107 
108 
109 
110 
111 

112 
113 
114 
115 
116 
117 
118 
119 
120 
121 

122 
123 
124 
125 
126 
127 
128 

129 
130 
131 
132 
133 

134 
135 
136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
145 
147 

148 
149 
150 

6,  831. 
Cases. 

7,  521. 

32,  133. 

34,  7GO. 

41,  207. 

39,154. 

32,  587. 

19,  C45. 

Deaths. 

Cases. 

Deaths 

Cases     Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases,  j  Deaths. 

Cases.     |  Deaths. 

1,  691 

17 

1,302 

5 

6,195 

27 

6,341 

1 
57 
5 

8 

7,  332 

1 

64 
11 
5 
2 
14 
8 
106 
98 
6 

9 

57 

8,988 

0 

67 

6,516 

134 

54,958 

6 
381 
74 
13 
2 
C9 
73 
654 
462 
26 

38 
5 
17 

472 

18 
9 

23     ' 

54 
23 

42 

8 

10 

1 
4 

1 

6 

2 

2 

1 

3 

C 

11 
1 

6 
15 

81 
63 
3 

5 

21 
15 
131 
67 
1 

4 

6 
12 

6 
9 
91 
51 

o 

17 
23 

65 
84 
1 

6 

2 
8 

3 

13 
3 

1 

1 

3 

4 

1 

2 

1 
15 
2 
6 
1 

2 
10 
3 
4 
1 
1 

3 

2 
6 
2 
2 

7 
56 
13 
38 
6 
9 

8 
3 

14 
3 
7 
3 
14 

446 
1,126 

1 

5 
1 
3 

5 
5 
9 
4 
o 

2 

1 

1 

2 

1 

1 

1 

2 
2 

1 

1 

1 

1 

3 

4 

2 

1 
1 

1 

2 

3 

1 
1 

50 
82 
8 
15 
48 

8 
40 
1 

1 

13 

51 
161 
4 
13 
59 

21 
35 

2 

6 
42 

°3 

80 
143 
11 
14 

71 

16 
47 
1 

8G 
205 

66 
154 

57 
10 
7 
21 

8 

0.) 

6 
9 

47 

10 
30 

53 
137 
501 

83 

342 
4 

8 
69 

3 

29 

101 

15 
55 

1 

1 

5 
81 

1 
2 

1 
8 

2 

2 

20 
1 
1 
1 
9 
6 
6 

1 
20 

19 
1 
4 

34 
1 
3 

50 
5 

1 

307 
2° 

09 
7 
2 

68 
8 
4 

51 
5 
4 

355 
27 
24 



2 
557 
174 
47 
33 
30 
96 

1 

4 
10 
2 
2 
1 
6 

104 
24 
3 
3 
3 
20 

7 

7 

56 
23 
8 

6 

56 

28 

0 

8 
17 
8 
7 
9 
2 

3 

28 



6 
7 
1 
21 

8 
7 
6 
8 

1 

1 

3 

8 

1 

1 

2 

1 

1 

7 

1 

1 
6 

1 

1,  998 

19 

1,637 

5 

6,  915 

34 

7,479 

20 

8,355 

66 

9,  839 

75 

7,189 

143 

60,  996 

532 

508 


SICKNESS    AND    MORTALITY    OF    WHITE    TEOOPS 


TABLE  LXXX. 

Abstract  of  the  Sickness  and  Mortality 


YEAR  

1864. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

9,  859. 

7,  619. 

6,  643. 

6,  574. 

7,  539. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cages. 

Deaths. 

Cases. 

Deaths. 

CLASS  1.—  ZYMOTIC    DISEASES. 

OHDEU  I.  —  Miasmatic  Diseases. 

*v  J 

1 

152 
64 
240 
11C 
443 
19 
1 
502 

3 

21 
1 
186 
14 
111 
3,00 
87 
19 
13 
289 
31 
44 
10 
11 

3 

10 

5 

12 

3 

5 

5 

'  ,  *  P  °  l  , 

5 

17 
5 

7 
4 
4 

30 

1 

114 

16 

3.     ypho-    aaria 

•          r 

130 
253 
216 

2 

57 
335 
256 

1 

61 

252 

272 

2 

2° 

1 

3 
1 
1 

3 

329 
57 
84 
3 
3 

1 

6 

419 
51 
186 
1 
3 

o 

8 
296 
46 
105 
2 
1 

49 
115 
8 
6 

1 
o 

3 
1 

1 

5 

I 

7 
o 

1 
1 

5 

8 

17.  Scarlet  Fever  

18    Diphtheria               -            

1 
1 
18 
2 

17 
18 
10 

3 

1 

5 
1 
19 
oo 

1 

2 

4 

18 

4 

4 

14 
oo 

oo 

33 

OuiJER  II.  —  Enthetic  Diseases. 
22    Syphilis                                 .   .                     . 

7 

8 

0 

9 
2 

11 
18 
1 
1 
1 
2 

24.  Orchitis  

25.  Stricture  of  the  Urethra  

1 

1 

2 

26.  Purulent  Ophthalmia  

1 

27.  Serpent  Bite  

28.  Other  Diseases  of  this  Order  

1 

2 

1 

ORDER  lll.—Dietic  Diseases. 
29.  Scurvy  

5 

9 

1 

30.  Purpura  

31.  Delirium  Tremens  

4 

32.  Inebriation  

33.  Chronic  Alcoholism  

34.  Other  Diseases  of  this  Order  

3 

CLASS  II.—  CONSTITUTIONAL   DISEASES. 
ORDER  I.—Diathetic  Diseases. 
35.  Gout  

36.  Acute  Rheumatism  

49 
30 
32 
1 

32 
10 
13 

22 

35 

44 
7 
o 

37.  Chronic  Rheumatism  

10 
15 

17 

38.  Anaemia  

1 

39.  Cancer  

40.  Tumors  

41.  Other  Diseases  of  this  Order  

1 

1 
4 

OKDEU  II.  —  Tubercular  Diseases. 
42.  Consumption  

2 

1 

1 

2 

o 

1 

2 

43.  Scrofula  

44.  Other  Diseases  of  this  Order  

CLASS  III.  —  PARASITIC    DISEASES. 
45.  Itch  

5 

1 

1 

1 

8 

46.  Tape-\vorm  

47.  Other  Intestinal  Worms  

1 

48.  Other  Diseases  of  this  Order  

Carried  forward  

18 

1,948 

36 

1,260 

26 

1,254 

L8 

1,612 

13 

1,242 

DUKING    THE    YEAR    ENDING    JUNE    30,    18G5. 


509 


TABLE  LXXX. 

of  the  Department  of  the  South. 


1864. 

18G5. 

DECEMBER. 

JANUARY.      |     FEBRUARY. 

MARCH. 

Al'RIL. 

MAY. 

JUNE. 

TOTAL. 

6,  715. 

11,  151.                   11,  502. 

10,  033. 

14,  267. 

10,  641. 

18,  906. 

10,  121. 

Cases. 

Deaths. 

Cases. 

deaths.  :  Cases. 

)eaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.      Deaths. 

1 

3 
4 
5 

6 
7 
8 
9 
10 
11 

13 
14 
15 
Ifi 

17 
18 
19 
20 
21 

*-3 
24 

20 

27 
28 

29 
30 
31 

33 
34 

35 

36 
37 
38 
31) 
40 
41 

42 

43 
44 

4."> 

'    40 
47 
48 

3 

1 

17 
1 
10 

2 

2 
o 

4 

14 

1 

1 

1 

o 

4 

13 

4 

131 
3 

541 
78 
1,231 
2,307 
2,577 

32 

o 

19 
21 
37 
1 

17 

2 

1 

1 

5 

3 

6 

2 

48 
144 
79 
7 
1 
221 
52 
83 
15 
4 

2 

88 
140 
144 
6 

4 

85 
102 

2 

35 

2 

39 

91 
158 
18 
11 

717 

107 
179 
198 

1 

230 

248 

19 

1 

163 

4 
2 

176 
15 

285 
61 
3 
1,134 
54 
104 
6 
10 
5 

8 

6 
3 

560 
81 
91 
7 
9 
11 
23 

°2° 

1 

1 
2 

3 

o 

1 

51 
5,337 
020 
1,098 
60 
73 
52 
227 

10 
6 
71 
19 
6 
1 
10 
6 

310 
53 
68 
3 
2 
1 
2 

1 
14 
1 
1 

271 
42 
66 
5 
7 
12 
1 

2 
4 

283 
67 
56 

12 

4 
1 

10 

37 

96 

5 
1 

6 
5 

6 
4 

11 
19 
157 

1 

3 

2 

2 

3 

1 

2 

2 

7 

3 

7 
17 
15 

3 

37 
85 

5 

8 
33 
39 

22 

1 

8 
17 
40 

51 
60 
14 
1 

32 
76 
338 
264 

169 
289 

o 

9 

29 

41 
13 

2 
4 
3 

39 

14 

9 
13 
3 

3 

14 

6 
14 
5 

32 

17 
53 
10 
3 

3 

1 

14 
41 
5 

1 

54 
6 

66 
13 
9 
3 
3 

105 

3 

3 

1 
1 

34 

21 

1 

7 

4 

4 

17 

1 

1 

1 

1 

1 

7 
3 
1 
6 

2 

3 

1 
3 

48 
32 
1 

89 
40 

1 

74 
38 
1 

83 

«.C 

l 

88 
19 

64 

27 

1 

98 

726 
286 
92 
1 
11 
4 

22 
22 

2 
1 
1 

1 

5 

1 

3 

2 

3 

6 

1 

1 
3 

3 

2 

2 
3 

3 

2 

1 

o 

1 

7 

1 

9 

2 

10 

14 
2 

1 

14 

13 

12 

8 
1 
2 

89 
3 

4 

8-17 

29 

1,091 

30 

986 

10 

1,044 

18 

1,734 

11 

1,  585 

20 

2,649 

3r> 

17,  252 

202 

510 


SICKNESS    AND    MOKTALITY    OF    WHITE    TEOOPS 


TABLE  LXXX.— DEPARTMENT  OF  THE  SOUTH— Continued. 


YEAU  

1864. 

MOXTU  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

9,  859. 

7,  619. 

6,  643. 

6,  574. 

7,  539. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.  I  Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

1,948 

36 

1,260 

I 

2 
19 
2 

26 

1 

1,254 

18 

1,612 

13 

1,242 

1 
1 
30 
2 

18 

1 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.  —  Diseases  of  Nervous  System. 

1 
C3 
3 

3 

28 

44 
2 

1 

1 
o 

1 

1 

20 

6 
6 

21 

13 

10 

1 

2 

35 

4 

1 

1 

1 

ORDER  II.  —  Diseases  of  Eye. 

28 

25 

16 

17 

15 

f  I 

1 

2 

65    Ni   ht  Blindne* 

8 

C 

16 

3 

ORDER  111.  —  Diseases  of  Ear. 

1 

4 
1 
2 
2 

4 

68    Deafness 

1 
4 
2 

69    Otorrhcea 

2 

2 

5 
5 

3 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

7°    VilvuHr  Disc-       of  H       t 

3 

1 

3 

1 

73    D 

2 

1 

1 

74    DroP8y  of  Pericirdiu 

1 

1 

1 

1 
3 
2 
1 

3 

67 
2 

1 
3 
o 

1 
1 
1 

1 

1 

80.  Other  Diseases  of  this  Order 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
81.  Asthma     

2 
35 
3 

1 
53 
1 

6 
70 

82.  Acute  Bronchitis 

27 
2 

84.  Dropsy  of  Chest  . 

85.  Haemorrhage  from  Nose 

1 
4 
5 
2 
2 
7 

38 
99 
20 

0 

86.  Inflammation  of  Larynx 

9 

20 
8 

4 

22 
15 
1 

87.  Inflammation  of  Lungs  

o 

19 
7 
3 
2 

17 
18 

1 

88.  Inflammation  of  Pleura 

3 
1 

1 

15 

89.  Haemorrhage  from  Lungs 

90.  Other  Diseases  of  this  Order  . 

1 
23 

ORDER  VI.—  Diseases  of  Digestive  Organs. 
91.  Colic  

31 
19 
1 

92.  Constipation  

20 
o 

33 
4 

93.  Cholera  Morbus  

94.  Cirrhosis  of  Liver  

95.  Dropsy  from  Hepatic  Disease  

o 

3 

11 

90.  Dyspepsia  

33 

15 

13 

7 

97.  Diseases  of  Pancreas  

98.  Diseases  of  Spleen  

!>!).  Fistula  in  Ano  

100.  Hernia  

6 

7 

6 

1 

2 

101.  Haemorrhage  from  Stomach  

Carried  forward  

2,414 

42 

1,454 

27 

1,471 

20 

1,873 

15 

1,  494 

19 

DURING   THE    YEAR    ENDING    JUNE    30,    18G5. 


511 


TABLE  LXXX.— DEPARTMENT  OF  THE  SOUTH— Continued. 


1804. 

1805. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY.           |          JUNE.                    TOTAL. 

6,  715. 

11,  151. 

11,  502. 

10,  033. 

14,  267. 

10,  641. 

18,  906. 

10,121. 

49 
50 
51 

53 
54 
55 
5ti 
57 
58 
59 
60 

61 
62 
63 
64 
65 
66 

67 
68 
69 
70 

71 
72 
73 
74 
75 
76 
77 
78 
79 
80 

81 
82 
83 
84 
85 
80 
87 
88 
83 
90 

91 
92 
93 

94 
95 

96 
97 

98 

:     99 

100 
101 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

847 

29 

1,091 

30 

986 

10 

1,044 

1 
o 

18 

1,734 

11 

1,585 

1 
3 

81 
7 

20 

1 
1 

2,649 

33 

17,  252 

4 
27 

631 
20 

262 

3 

1 

1 
28 

4 
36 

4 
47 

3 

3 

172 

31 
1 

3 

1 

| 

1 

1 
3 
11 

o 

1 

0 

10 

24 

21 

17 
1 

21 

O1? 

30 
1 

4 

3 

60 

0 

3 

1 
295 

18 

5 
2 

1 

2 

2 

1 

1 
35 

10 

17 

18 
1 
3 

27 

38 

49 
2 

8 

4 

72 

o 

1 

5 

8 

10 

2 
1 
1 

3 

4 
1 

7 

8 

1 
1 

5 

38 
G 
29 

1 
5 

3 

2 

4 
o 

16 

1 
23 
3 
o 

6 
1 

1 

1 

4 

1 

5 

1 

1 

2 

3 

o 

1 

1 

1 

2 

1 
1 

2 

1 
1 

1 

5 

4 

5 

1 
2 

3 

2 

15 
4 

68 
1,032 
63 

3 

49 
5 

7 
290 
8 

7 
169 
12 

11 
67 

8 

10 
46 
10 

11 
77 
3 

7 
82 
9 

1 

1 

1 

1 

1 
9 
8 
10 
2 
1 

20 
47 

4 
95 
141 
91 

17 
16 

25 

17 
10 
8 

10 
13 
17 
4 

10 
2 

1 

1 

9 
6 

7 
8 

1 

4 

1 

14 

12 

392 
683 
70 

17 
15 
1 

29 
38 
3 

34 

47 

35 

64 
139 
11 

69 
140 
20 

1 

1 

68 
4 

1 

1 

1 
1 

1 
3 

1 

11 

1 
11 

1 

2 
8 

2 

13 
141 

1 

9 

19 

1 
4 

0 

1 

7 

2 
3 

4 
64 
6 

4 

5 

9 
1 

10 
1 

1,016 

30 

1,616 

33 

1,386 

10 

1,352 

19 

2,104 

15 

2,  145 

22 

3,  348 

36 

21,  C72           288 

SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  LXXX.— DEPARTMENT  OF  THE  SOUTH— Concluded. 


YEAR  

1864. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

9,  859. 

7,  619. 

6,  643. 

6,  574. 

7,  539. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

2,414 

42 

1,454 

27 

1,471 

20 

1,  872 

1 
12 

15 

1 

1,494 

1 
15 

1 

19 

ORDER  VI.  —  Diseases  of  Digestive  Organs  —  Continued. 

102.  Haemomage  ro 

6 

6 
3 

10 
2 
1 

104.  In  a       a             . 

1 

n 

5 

9 

1 
49 
10 

1 

6 

2 

o 

2 

61 
18 
2 

13 
15 

1 

12 
14 

40 
9 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

4 

1 

f  P 

1 
5 
1 
1 
1 

1 

2 

1 

2 

1 
2 

1 
2 

o 

1 

2 

1 
2 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

1 

1  i!3    Caries                                        

6 

3 

2 

1 

1 

2 

2 

3 

128    Other  Diseases  of  this  Order  

1 

10 
51 

ORDER  IX.  —  Diseases  of  Integumentary  System 
129.  Abscess  

41 
13(5 

8 
21 

37 
48 
1 
11 
30 

27 
57 

17 
49 
C 
4 
21 

130.  Boils  

131.  Carbuncle  

4 
11 
24 

8 
5 
17 

1 

16 

132.  Whitlow  

133.  Skin  Diseases  

4° 

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

ORDER  1.  —  Woundt,  Accidents,  and  Injuries. 
134.  Burns  

]2 
19 

4 
6 
1 

135.  Contusions  

136.  Concussion  of  Brain  

17 

13 

137.  Drowning  

138.  Sprains  

10 
1 

4 

7 

0 

16 

10 

i 

139.  Dislocation  
140.  Simple  Fractures  

1 

1 

2 
8 
4 
1 
3 

2 

1 
1 
275 
9 

1 

141.  Compound  Fractures  

142.  Gunshot  Wounds  

50 
4 
4 
5 

8 

3 

5 

3 

7 
5 

1 

143.  Incised  Wounds  

144.  Lacerated  Wounds  

1 

145.  Punctured  Wounds  

146.  Poisoning  

147.  Oilier  Accidents  and  Injuries  

3 

1 

148.  ORDRi:  II.  —  Homicide  

149.  ORDER  III.—  Suicide  

2 

1 

150.  ORDER  IV.—  Execution  of  Sentence  

Total  

19 

2,879 

54 

1,717 

31 

1,679 

25 

2,063 

18 

1,972 

DUEING   THE   YEAR   ENDING   JUNE    30,  1865. 


513 


TABLE  LXXX.— DEPARTMENT  OF  THE  SOUTH— Concluded. 


1804. 

1805. 

DECEMBER. 

JANUAUY. 

FEBRUARY. 

MARCH. 

AFBIL. 

MAY. 

JUNE. 

TOTAL. 

.  6,  715. 

11,  151. 

11,  502. 

10,  033. 

14,  267. 

10,641. 

18,  906. 

10,  121. 

102 
103 
104 
105 
106 
107 
108 
109 
110 
111 

112 
113 
114 
115 
116 
117 
118 
119 
120 
121 

122 
123 
124 
125 
12H 
127 
128 

129 
130 
131 
132 
133 

134 
135 
136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
14<i 
147 

148 
149 
150 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 
15 

Cases.  ;  Deaths. 

Cases. 

Deaths. 

Cases.      Deaths. 

1,016 
3 

30 

1.6J6 

33 

1,386 

10 

1,352 

19 

2,104 

2,  145 

22 

3,348 

36 

21,672 

4 
204 

288 

1 

"7 

38 

31 
17 

26 

11 
5 

19 

1 

1 

6 
1 

37 
9 
1 
61 
6 
379 
251 
7 

21 

8 
4 

1 
1 
1 
2 
1 
2 

4 
1 

4 

1 
1 

1 
1 

26 
13 

3 

9 
1 
14 
oo 

1 

6 

2 

12 

1 

1 
64 

47 

49 
8 
1 

1 

30 

1 

9 
27 

21 

38 

2 
4 

2 

6 
4 

4 

2 

1 

3 

1 

2 

2 

0 

3 

6 
56 
10 
18 
7 
3 

4 

1 

3 
1 

2 
1 
2 

14 

10 

9 

8 
2 
3 
1 

! 

4 

1 
2 

j            ; 

2 
1 

1 

i 

1 

1 

"    " 

1 

3 

1 

8 

4 

28 
1 
11 

4 
1 

269 
715 
56 
119 
265 

46 
209 
1 

219 

1 

2 

2 

0 

10 
24 
1 
3 
3 

8 

12 
34 

9 
19 
20 

7 
23 

20 

12 
41 
1 
10 
22 

3 
15 

17 
41 

17 
77 
12 

49 
125 
5 
11 
31 

6 
33 

32 
1 
6 

21 

6 
14 

6 
14 

3 
15 

20 

0 

30 

1 

o 

3 

6 

12 

1C 

30 
1 
3 
1 
46 
8 
5 
1 

°0 

30 
1 
3 
1 
27 
13 

25 

39 
4 

1 

1 

1 
1 
4 
9 
1 
2 

1 

12 
15 
10 
685 
103 
21 
21 

1 
1 

1 
32 

1 
3 

257 

1 

1 

1 

1 
1 

1 

13 

2 
11 
o 

1 

3 

4 

2't 

9 
3 
2 
1 

1 

0 

5 
4 
7 
2 

1 

1 

8 
21 

3 

7 

6 

1 

1 

3 

1 

! 

4 

! 

1,423 

49 

1,861 

35 

1,683 

12 

1,  622 

20 

2,382 

19 

2,457 

25 

3,873 

41 

25,  611 

348 

514 


SICKNESS   AND   MORTALITY   OF    WHITE    TEOOPS 


TABLE  LXXXI. 

Abstract  of  the  Mortality  in  the 


YE  AU  

1864. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

54,254. 

58,  225. 

52,  316. 

52,  554. 

48,  848. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS    1.—  ZYMOTIC    DISEASES. 
ORDER  I.  —  Miasmatic  Diseases. 

285 

366 
3 
29 

171 
1 
11 
62 

165 

97 

0 

18 
15 
15 

0     T^l 

29 

20 

126 

'     e 

21 

27 
1 
3 

23 
1 

15 

4 

4 

2 

4 
9 

268 

8 
35 
421 

27 

7 

14 
25 

2 
11 
303 
5 
8 
3 
4 

.. 

. 

428 

475 

10 
18 
5 
3 

1 

14 
34 
6 

11 
41 
3 
5 

26 

4 
3 

18   Diphtheria 

15 

10 
1 

6 

8 

10 

1 

20   Epidemic  Catarrh  

21    Other  Diseases  of  this  Order     

30 

1 

24 

1 

11 

36 

10 
2 

OKDEH  II.  —  Enthetie  Diseases. 
2°    Syphilis 

24    Orchitis 

27    Serpent  Uite 

28.  Other  Diseases  of  this  Order 

ORDER  III.  —  Dietic  Diseases. 
29.  Scurvy  

2 
1 

o 

3 

30.  Purpura  

1 
1 

31.  Delirium  Tremens  

1 

32.  Inebriation  

1 

33.  Chronic  Alcoholism  

1 

1 

34.  Other  Diseases  of  this  Order  

1 

CLASS    II.—  CONSTITUTIONAL    DISEASES. 
ORDEU  I.  —  Diathetic  Diseases. 
35.  Gout  

36.  Acute  Hheumatism  

2 

1 

3 
o 

o 

1 

37.  Chronic  Hheumatism  

1 

4 

1 

38.  Anaemia  

o 

39.  Cancer  

1 

40.  Tumors  

1 

41.  Other  Diseases  of  this  Order  

1 
48 

1 
38 

OKDEH  II.—  Tubercular  Diseases. 
42.  Consumption.  

51 

56 

27 

43.  Scrofula  

44.  Other  Diseases  of  this  Order  

CLASS    III.—  PARASITIC    DISEASES. 
45.  Ztch  

46.  Tape-worm  

47.  Other  Intestinal  Worms  

48.  Other  Diseases  of  this  Order  

Carried  forward  

771 

1,049 

848 

1,018 

534 

DURING  THE  YEAE   ENDING  JUNE   30,  1865. 


515 


TABLE  LXXXI. 

General  Hospitals  of  the  Atlantic  Region. 


1864.           ||                                                                                   18(55. 

DECEMBEU. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

44,  225. 

38,  237. 

38,  176. 

36,  155. 

43,  948. 

40,  773. 

19,  190. 

43,  908. 

1 

3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 

22 

24 
25 
26 

O"7 

28 

29 
30 
31 
32 
33 
34 

35 
3fi 
37 
38 
39 
40 
41 

42 
43 
44 

45 
46 

47 
48 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.  ,  Deaths. 

Cases. 

Deaths. 

81 
1 
16 

57 

66 
1 
6 

119 

146 
o 

158 
17 
12 

10° 

1,813 
50 
171 
203 
164 
9 
11 

8 
3 

1 

10 

8 

9 

6 
1 

7 

13 

14 

12 

6 

6 
1 

1 

1 

4 

4 
556 

4 
7 
237 
2 
10 

6 

2 
11 
379 
3 
20 

1 
4 
253 
3 
6 
17 
17 
36 

C 
10 
216 

3 
13 

61 
156 
3,947 
J07 
191 
93 
133 
96 
4 
84 
2 

192 
3 
q 

219 

8 
11 
4 
10 
2 
3 
6 

4 

17 
6 
4 
11 
5 

4 
14 
5 

11 
20 
13 

7 
25 

25 
21 

12 

1 

4 

4 

6 

7 

6 

0 

76 
1 

26 

13 
1 

34 

17 

1 

21 

7 
1 

305 
10 

21 
1 
1 

9 

5 

11 

7 

2 
1 
1 

1 

63 
4 
12 
3 
3 
6 

1 

3 

4 

1 

1 

1 

4 

1 

2 

1 
1 

2 

1 

1 
4 

1 

13 
8 
20 
5 
1 
7 

558 
5 
4 

1 
1 

o 

2 
2 

1 

1 

1 

2 

48 
2 

1 
45 

2 

57 
1 

4° 

43 

56 
1 

1 

47 

1 

2 

1 

::::::::|  :::::::::: 

867 

446 

414 

718 

607 

585 

465 

8O*H> 
,  i£!X! 

516 


SICKNESS    AND    MOKTALITY    OF    WHITE    TROOPS 


TABLE  LXXXL— GENERAL  HOSPITALS  OF  THE  ATLANTIC  REGION— Continued. 


VEAH  •  — 

1864 

MO.VTII  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

54,  254. 

58,  225. 

52,  316. 

52,  534. 

48,  848. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

771 

2 
1 

1,049 

848 

5 
2 

1,018 

534 
4 

CLASS    IV.—  LOCAL    DISEASES. 
ORDER  l.—Diseaset  of  Nervous  System. 

3 
o 

4 
2 

11 
3 
3 

9 
3 

1 

4 

3 

o 

3 

2 

2 

'  *          g  . 

&. 

1 
8 
7 

4 
4 
1 

2 
1 
2 

6 
3 

3 

OKUEU  II.  —  Diseases  of  Eye, 

TA    !U           ^.°      f  i  -  J 

ORDER  III.  —  Diseases  of  Ear. 

68   Deafness    

69    Otorrhtea                 

OUDEU  IV.  —  Diseases  of  Organs  of  Circulation. 

1 

0 

1 
2 

1 
3 

6 

7 

74.  Dropsy  of  Pericardium  

1 
1 

75.  Inflammation  of  Pericardium  

2 

1 

76.  Inflammation  of  Endocardium  

1 

77.  Inflammation  of  Veins  

1 

78.  Varicose  Veins  

79.  Varicocele  

80.  Other  Diseases  of  this  Order  

3 

1 
1 
4 

5 

o 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
81.  Asthma  

82.  Acute  Bronchitis  

3 

2 
1 

2 
1 
1 

83.  Chronic  Bronchitis  

1 

o 

1 
1 
1 

48 

1 
6 

84.  Dropsy  of  Chest  

85.  Haemorrhage  from  Nose  

1 
1 

2<) 

86.  Inflammation  of  Larynx  

1 

46 
4 
1 

1 
35 
6 
3 

87.  Inflammation  of  Lungs  

58 
2 

88.  Inflammation  of  Pleura  

3 
2 
o 

89.  Ilifirnorrhage  from  Lungs  

90.  Other  Diseases  of  this  Order  

9 
1 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
91.  Colic  

1 

92.  Constipation  

1 
1 

S3.  Cholera  Morbus  

I 

1 

1 

1 

94.  Cirrhosis  of  Liver  

95.  Dropsy  from  Hepatic  Disease  

o 

1 

3 

4 
1 

5 

96.  Dyspepsia  

U7.  Diseases  of  Pancreas  

98.  Diseases  of  Spleen  

09.  Fistula  in  Ano  

1 

100.  Hernia  

n 

101.  Haemorrhage  from  Stomach  

1 

1 

Carried  forward  

!                           !                          I 

888 

1,159 

921 

1,102      

621 

1 

DURING   THE    YEAR    ENDING   JUNE    30,   1805. 


517 


TABLE  LXXXI.— GENERAL  HOSPITALS  OF  THE  ATLANTIC  REGION— Continued. 


18(34. 

1805. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

44,  225. 

38,  237. 

38,  176. 

36,  155. 

43,  948. 

40,  773. 

19,  190. 

43,  908. 

Cases. 

Deaths.  •  Cases. 

Deaths. 

Cases.    Deaths. 

Cases.    Death?. 

Cases. 

Deaths.     Cases. 

Deaths. 

Cases.    Deaths.       Cases. 

Deaths. 

49 
50 
51 

53 
54 
55 
56 
57 
58 
59 
(iO 

61 
62 
63 
64 
65 
66 

67 
68 
69 
70 

71 
72 
73 

74 
75 
76 

77 
78 
79 
80 

81 
82 
83 
84 
85 
86 
87 
88 
8!) 
90 

91 
92 
93 
94 
<i5 
96 
97 
98 
99 

867 

446 

4 
1 

414 

718 

1 
1 

607 
5 

585 

465 

8,322 

32 
13 

4 
1 

2 

1 

1 
6 
6 
3 

1 
6 
1 
o 

66 
34 
30 
1 

o 

2 
4 
1 

7 
4 
4 

11 
5 
8 
1 

2 
4 
6 

1 

2 

10 
20 
36 

1 
4 

2 

3 

5 

2 

1 

3 

1 

1 
2 
1 
1 
1 

1 
9 
2 

1 
4 
5 
1 
3 

6 
45 
12 
6 
10 
4 
1 

3 

1 

0 

5 

1 
1 
1 

1 

1 

1 
1 

1 

1 

| 

1 

2 

1 
3 

10 

1 

o 

1 

1 

17 

3 

40 
40 
6 
2 

14 
SCO 
44 
13 
50 

3 

1 
7 
3 
45 
3 

1 

4 
3 

6 

9 
o 

6 
3 

5 
6 

1 
1 
1 

1 

1 

3 

153 

1 

1 
113 

4 
71 
4 

1 
38 
5 
1 
1 

4~> 

5° 

1 

o 

7 

3 
1 
4 

1 

5 

4 
6 

""s"\  

3 

7 

2 

1 

1 

1 
6 

1 
2 

1 
6 
1 

4 

6 

3 

3 

1 

1 

100 
101 

1 

3 
3 

1 

949 

541 

624 

944 

eoo 

718 

540 

!>,807 

518 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  LXXXL— GENERAL  HOSPITALS  OF  THE  ATLANTIC  REGION— Concluded. 


YliAK  

18O4. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

54,  254. 

58,  225. 

52,  316. 

52,  554. 

48,  848. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

888 
1 

1,159 

921 

1,102 

621 

ORDEU  VI.—  Diseases  of  Digestive  Organs^  Continued. 

1 

1 
1 
6 
8 
6 

o 

2 
1 

7 
2 
1 

1 

7 
7 
2 

4 

12 
3 

2 

0 

1 
12 

F: 

2 

6 

4 

3 

1 

2 

3 

2 

OUDEU  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

1 

1 
2 

1 

5 

2 

1 

1 

2 

'  "c°n  me  ce 

OltDER  VIII.  —  Diseases  of  Hones  and  Joints. 

1 

1 
6 

ORDEH  IX.  —  Diseases  of  Integumentary  System. 
129    Abscess. 

4 

4 

3 

3 

131.  Boils  .... 

131.  Carbuncle  

132.  Whitlow  .    .. 

133.  Skin  Diseases     .. 

0 

1 

1 

CLASS    V.     WOUNDS,  ACCIDENTS,   AND 
INJURIES. 
ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
134.  Bums  

3 
2 
1 
3 

135.  Contusions  

2 

3 

2 
1 

136.  Concussion  of  Brain  

1 
1 

137.  Drowning  

138.  Sprains  

139.  Dislocation  

140.  Simple  Fractures  

141.  Compound  Fractures  

1 

1,327 

1 

703 

1 

360 

1 

298 

142.  Gunshot  Wounds  

392 

143.  Incised  Wounds  

144.  Lacerated  Woucds  

1 

]45.  Punctured  Wounds  '  

1 

1 

14(5.  Poisoning-  

1 
4 

1 

4 

147.  Other  Accidents  and  Injuries  

9 

3 

3 

148.  ORDER  II.  —  Homicide  

149.  OlUJEll  III.—  Suicide  

3 

1 

150.  ORDER  IV.—  Execution  of  Sentence  . 

Total  



2,264 

1,910 

1,357 

1  505 

956 

DURING   THE    YEAR    ENDING   JUNE    30,  1865. 


519 


TABLE  LXXXL— GENERAL  HOSPITALS  OF  THE  ATLANTIC  REGION— Concluded. 


1864. 

1805. 

DECEMBEU. 

JANUAUY. 

FEHKUARY. 

MA  UC  11. 

Al'KIL. 

MAY. 

JUNE. 

TOTAL. 

44,  225. 

38,  237. 

38,  176. 

36,  155. 

43,  948. 

40,  773. 

19,  190. 

43,  908. 

102 
103 
104 
105 
106 
107 
108 
109 
110 
111 

112 
113 
114 
115 
116 
117 
118 
119 
120 
121 

122 
123 
124 
125 
126 
127 
128 

129 
130 
131 
132 
133 

134 
135 
136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
146 
147 

148 

149 
150 

Cases. 

Deaths. 

Cases. 

Deaths 

Cases 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths 

Cases.      Deaths. 

949 

541 

624 

944 

800 

718 

540 

1 

9,807 

6 
5 

86 
45 
13 
4 
23 

1 
1 
6 
3 

1 
3 
3 
1 
1 

2 
2 
2 

2 
7 
3 

1 
9 
5 
3 
1 

1 

5 
11 
2 

6 
1 

1 

1     

1 
2 

2 

3 

1 

o 

0 

1 

3 

16 

" 

o 

16 

2 

1 

1 

2 

2 

2 

1 

1 

1 

1 

1 

2 

14 
1 

1 

1 

o 

1 

4 

1 

1 

1 
2 

34 

1 

1 

1 

5 

1 

2 

3 

1 

1 

2 
3 
1 

5 

6 
17 
4 
11 

1 
1 

o 

1 

1 

4 

3 

1 

1 
6 

16 
4,184 
5 
5 
o 

4 
52 

5 
9 
1 

2 

1 
140 
3 

1 

1 
1 

95 

1 
1 
407 
1 
4 

1 
o 

2 
7° 

5     ' 

89 

192 

49 
1 

! 

o 

2 

5 
2 
2 

4 

8 

4 

4 
1 
1 

2 

1 

1 

1 

1 

1,111 

650 

745 

1,074 

1,304 

937      . 

628 

14,441 

1 

1 

520 


SICKNESS   AND   MOKTALITY    OF   WHITE    TROOPS 


TABLE  LXXXIL 

Abstract  of  the  Sickness  and  Mortality 


YKAR  i4t- 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH,  (not  including  Table  LS3CXI)  

222  939. 

198,  790. 

209,  635.                  231,  968.                 227,  979. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths.  ;  Cases. 

Deaths. 

CLASS  I.—  ZYMOTIC   DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

633 
14 
1,695 
64 
3,872 
3,873 
3,082 
227 
82 
20,  831 
2,383 
2,687 
224 
164 
35 
161 

481 
13 
134 

17 
75 

542 
28 
1,320 
14 
3,466 
4,  962 
2,973 
171 
105 
17,  060 
2,  262 
2,277 
173 
169 
35 
34 

505 
5 
102 
4 
82 
5 
4 

338 
11 
1,016 
374 
3,357 
6,185 
4,  098 
682 

244 
3 
60 
70 
45 
1 
2 

442 
1 
936 
493 
3,169 
6,901 
4,464 
403 
63 
11,  146 
1,452 
1,811 
153 
121 

61 

279 
3 
66 
200 
43 
4 
5 
1 
29 
35 
577 
28 
53 
4 
7 

417 
24 
673 
38 
2,149 
5,  261 
3,303 
299 
45 
8,381 
1,351 
1,  356 
177 
161 
34 
73 
o 

228 
6 
61 
18 
34 

1 

1 
10 
20 
381 
15 
14 
8 
5 
1 

4 

10 
29 
326 
42 
24 
8 
11 
10 

19 
62 
478 
60 
34 
5 
10 
4 
1 
11 
1 

124 
12,  916 
1,710 
1,897 
182 
102 
10 
33 
1 
47 
38 
257 
1,449 

718 
831 
102 

<v<* 

31 
523 
40 
45 
10 
1 

16    Measles  

1 
14 
1 

18   Diphtheria                              

80 
148 
230 

20 
1 

31 
46 
°79 

64 
103 
542 
1,066 

784 
837 

13 

103 
174 

12 

739 
1,149 

793 
779 

21.  Other  Diseases  of  this  Order  

1,731 

745 
676 

108 
°7 

44 
1 

1,469 

686 
632 

34 
1 

20 

46 

18 
2 

ORDER  II.  —  Enthetic  Diseases. 
22.  Syphilis                         

24.  Orchitis      

112 

134 

26 

124 

25.  Stricture  of  the  Urethra  

oo 

2° 

26.  Purulent  Ophthalmia  

00 

15 

13 

28 

21 

27.  Serpent  Bite  

4 
7 

100 
1 
17 
41 
14 
8 

3 
6 

187 
13 
20 
47 
3 
1 

1 

14 

188 
8 
2-1 
40 
8 
1 

7 
905 
734 
159 
3 
14 
1 

69 
43 

4 

1 

11 

107 
11 
14 
28 
6 
3 

3 

2 

8 

66 
3 
24 
14 
6 
14 

28.  Other  Diseases  of  this  Order  

ORDER  III.  —  Dietic  Diseases. 
29.  Scurvy  

2 
1 
1 

2 

1 
4 
1 

3 

30.  Purpura  

31.  Delirium  Tremens  

2 

3 

32.  Inebriation  

1 

33.  Chronic  Alcoholism  

o 

1 
1 

34.  Other  Diseases  of  this  Order  

1 

CLASS   II.—  CONSTITUTIONAL   DISEASES. 
OUDEH  I.  —  Diathetic  Diseases. 
35.  Oout  

3C.  Acute  Rheumatism  

8<16 
788 
327 
1 
16 
6 

76 
1 

1 
1 

4 

874 
732 
280 
1 
13 
20 

73 
53 
1 

4 
1 
4 

1 
3 
4 

1,112 
680 
114 

o 
1 
3 
1 

1,468 
1,  034 
67 
1 
07 

2 

37.  Chronic  Rheumatism  

38.  An.Temia  

o 

39.  Cancer  

40.  Tumors  

1 
1 

57 

1" 

41.  Other  Diseases  of  this  Order  .  .  . 

1 

56 
1 

2 
41 

9 

56 
35 

3 

56 
54 

ORDER  II.—  Tubercular  Diseases. 
42.  Consumption  

63 

37 

43.  Scrofula  

44.  Other  Diseases  of  this  Order  

o 

CLASS   III.  —  PARASITIC   DISEASES. 
45.  Itch  

319 
3 
11 

46.  Tape-worm  

7 
28 

6 
31 

4 

16 
6 

47.  Other  Intestinal  Worms  

1 

46.  Other  Diseases  of  this  Order  

3 

Carried  forward  

46,  4P6 

1,319 

41,  424 

1,503 

38,778 

1,189     37,960 

1,467 

30,886 

8€3 

DUEING   THE    YEAR    ENDING    JUNE   30,  1865 


521 


TABLE  LXXXII. 

of  the  Atlantic  Region, 


1HH4. 

18(>5. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

235,  G21. 

243,  610. 

263,  062. 

272,  259. 

298,  320. 

302,  010. 

217,  772. 

243,  664. 

Cases,  l 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths.    Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.      Deaths. 

1 

3 

4 
5 
6 
7 
f 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 

22 
23 
24 
25 
20 
27 
28 

30 
31 
32 
33 
34 

35 
36 
37 
38 
39 
40 
41 

42 
43 
44 

45 
40 
47 

48 

349 
6 
377 

192 
3 
39 

391 
7 
353 

184 
5 
42 

420 
8 
348 

151 
3 
26 

311 
404 

206 
11 
13 

£85 
11 
405 

217 
8 
18 

385 
5 

502 

246 
19 

fji 

344 
5 
347 

175 
1 
67 

4,857 
127 
8,376 
783 
29,082 
48,037 
35,179 
3,078 
661 
129,  393 
16,  864 
18,  436 
1,547 
2,045 
527 
2,718 
26 
849 
3,017 
9,245 

3,108 
80 
655 
309 
446 
26 
24 
3 
175 
30C 
4,799 
272 
257 
133 

159 
9 
124 
4 

1,587 

3,  152 
2,  455 
178 

7,151 
1,341 
948 
112 
170 
27 
97 
4 
79 
139 
1,248 
1,  434 

815 
743 
119 
16 

23 

24 

5 
1 

1,  653 
2,  527 
1,  859 
115 
22 
0,  700 
1,  000 
800 
110 
154 

170 

114 
214 
1  739 

24 
1 

1,  517 
2,3S7 
1,  820 
130 

25 
1 

1,  805 
2,923 
2,110 

23 

1,  990 
3,078 
2,640 

18 
3 

2,306 

4,215 
3,099 
184 
38 
13,  527 
1,485 
2,  126 
119 
237 
47 
424 

16 
1 
2 

2,151 
3,173 
2,  070 
234 

37 
3 
3 

202 

193 
52 
9,  143 
843 

1,207 
60 
220 
81 
834 
5 
51 
707 
769 
913 

986 

1,  009 
148 
30 
11 
1 
8 

136 
4 
14 
64 
10 
1 

o 

1 
9 
6 

300 
6 

8 

33 
47 

11 

10 
630 
]7 
18 
7 
11 

3 

8 

18 
11 
355 
6 
18 
4 
23 
8 
1 
6 

30 
5,  242 
858 
682 
63 
185 
94 
227 
3 
102 
387 
1  3')') 

14 
15 
247 
8 
13 
16 
29 
21 

9 

52 
5,  804 
897 
912 
58 
203 
91 

s:;o 

(i 
81 
533 
1,  043 

778 

803 
893 

10 
12 
429 
4 
20 
11 
35 
36 
1 
10 

13 

27 
261 
13 
2 

31 
33 
25 

21 
11,372 
1,216 
1,  733 
110 
159 
20 
74 
1 
36 
94 
299 

10 
48 
2S6 
33 
8 
6 
14 
5 

10 
I 

61 
434 
701 
1  222 

1,009 
1,115 
161 
18 

8 

3 

82 
1 

677 

695 
601 
94 
19 
15 

29 
1 

704 

678 
004 
1U7 

20 
1 

44 
2 

38 
1 

24 

879 

685 
7SO 

11 
2 

13,531 

9,457 
9,620 
1,477 
271 
224 
18 
89 

1,838 
78 
238 
412 
85 
47 

38 
15,  567 
10,  352 

1,490 
21 
279 
84 

853 
601 
14 

4,683 
67 
162 
6 

410 

12 

133 

"4 

135 
19 
23 

14 

1° 

1 
13 

118 
() 

1 
9 

271 
11 
16 
23 
11 
13 

10 
1,  701 
677 
105 

4 
3 

261 
(i 
23 
30 
2 

122 

15 
39 
10 
1 

1 

1,675 
1,  124 
72 
5 
17 
9 

79 
54 
1 

428 

0 

8 

101 
4 

17 
20 
2 

1 

9 

3 

121 
6 
25 
29 

0 

1 

66 
6 

28 
8 
5 
7 

1 

32 
10 
29 
5 
1 
11 

666 
7 
4 

1 

4 
1 

5 

13 

7 

3 

1 
2 

1 

1 

29 
31 
11 
1 

4 
1,  555 

1,017 
82 
1 
30 

3 

o 

3 

4 

2 

2 

4 

4 

1 

3 
1,522 

971 
64 

1 
3 

1 
5 

o 
900 
573 
58 
2 

23 

2 

2 
1 
2 

1,  479 
890 
72 
o 

3 

o 

2 

1,480 
732 
90 

5 

5 

2 
1 

2 
o 

1 
1 

°7 

26 

19 
6 

51 
40 

1 

3 

56 
2 

13 

98 
49 

1 
62 

13 

85 
47 
2 

470 

2 

85 
57 

2 

67 
1 

1 

68 
65 

1 

64 
2 

1 

1 

57 
52 
2 

339 

58 
1 

52 

53 

2 

1 

509 

488 
6 
6 
1 

582 

1 

8 
13 

9 
6 

r 

8 
13 



1 
1 

13 

| 

7 

26,  259       1,  161 

23,  671 

822 

21,  453 

673 

24,  402 

946 

28,  906 

836 

37,  894 

634 

28,950 

779 

387,069     12,412 

GO 


522 


SICKNESS   AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  LXXXII.— ATLANTIC  REGION— Continued. 


V'EAU  

18(>4. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH,  (not  including  Table  LXXXI)  — 

222,  939. 

198,  790. 

201),  635. 

231,  968. 

227,  979. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases.  1  Deaths. 

Cases. 

Deaths. 

u  lit  fon  ard 

46,  486 

4 
76 
1,  162 

1,319 

3 
1 

41,  424 

7 
86 
886 

1,503 

10 

4 

38,778 

7 
105 
503 

4 
1 

1,  189 

12 

7 

37,  960 

6 

128 
588 
22 
2 
4 
5 
21 
320 

1,467 

9 

7 

30,  886 

9 
134 

604 
12 

883 

10 
3 

CLASS    IV.—  LOCAL    DISEASES. 

ORDEK  I.  —  Diseases  of  Nervous  System. 

1      J  * 

5°    Insanit  • 

11 
3 
2 
3 

47 
481 
14 
516 
14 

10 
10 
370 

1 

15 
4 
5 

14 
9 

1 
16 
5 
1 

1 
5 
I 

4 
3 
3 
1 

6 
3 
4 
49 
406 
19 

4 
2 
1 

5o'               mution  of  S  lin-il  Cord 

o 
34 

387 
19 
585 
24 

9 
3 

304 

15              1 

309  !  

1 
24 
4 

1 
24 
10 

32 
33 

16 

6 
5 

2 

26 
5 
9 

6 
2 
334 

4 
1 
6 

60    Other  Diseases  of  this  Order 

12 

9 
5 
323 

5 

OliDEU  II.  —  Diseases  of  Eye. 

62.  Cataract  

10 

285 

12 

20 

18 
141 
7 

33 
23 

235 

167 

60 
2 

3° 

3 

40 

28 

6 

37 

26 

8 
34 

ORDER  111.  —  Diseases  of  Ear. 
67.  Inflammation  of  Internal  Ear  

68.  Deafness  

21 

31 

69.  Otorrhoea  

58 
11 

5 
49 
8 
1 
7 
3 
1 
118 
97 
19 

82 
731 
10S 
2 

59 

69 

7 

0 

58 
9 
4 
1 
2 

3 

119 
61 
3 

94 

670 
161 

15 

70 
95 
165 
27 
48 

712 
1,  003 
166 
3 
80 
363 

70 
o 

4 

1 

40 
7 
1 

7 

4 

4 
63 
11 
4 
3 
2 
6 
70 

ORDER  IV.  —  Diseasesof  Organs  of  Circulation. 
71.  Aneurism  

0 

5 

1 
13 

1 

8 
1 
1 
1 

3 

72 
16 
o 

4 

1 
9 
o 

72.  Valvular  Disease  of  Heart 

13 
3 

73.  Dropsy  from  Heart  Disease  

74.  Dropsy  of  Pericardium  

75.  Inflammation  of  Pericardium  

2 

1 

1 

76.  Inflammation  of  Endocardium  

1 

77.  Inflammation  of  Veins  

1 

138 
85 

1 

o 

83 

78.  Varicose  Veins  

79.  Varicocule  

71 
2 

96 
1,  058 

3 
13 

71 
233 
189 
31 
121 

689 
1,  160 
152 
10 
44 
346 
2 
1° 

41 
3 

1°0 

80.  Other  Diseases  of  this  Order  

5 

1 
1 
5 

14 

75 

577 
136 
1 
38 

5 

1 
3 
2 

3 

1 
1 
1 

1 

OiiUEK  V.  —  Diseasesof  Respiratory  Organs. 
81.  Asthma  

82.  Acute  Bronchitis  

3 
1 

1,  685 

280 

83.  Chronic  Bronchitis  

2 
1 
1 
1 
84 
3 
2 

6 

84.  Dropsy  of  Chest  

85.  llajmurrhape  from  Nose  

1 
1 

36 
5 
o 

2 
1 
3 

11 
101 
383 
263 
40 
221 

563 
1,  058 
82 

55 

263 

86.  Inflammation  of  Larynx 

67 

55 

138 
140 
29 
98 

1,140 
1,437 
395 
6 
33 
418 

1 

52 
5 
o 

6 

3 
1 
3 
1 
1 

1 

45 
8 
4 
2 

1 

87.  Inflammation  of  Lungs  

1-24 
187 
55 

78 

88.  Inflammation  of  Pleura 

89.  Hemorrhage  from  Lunps  

90.  Other  Diseases  of  this  Order  

109 

1,097 
1  4°'i 

9 
5 

ORDER  VI.—  Diseases  of  Digestive  Organs. 
91.  Colic  

92.  Constipation  

1 
1 

6 

93.  Cholera  Morbus  

482 
o 

4 

94.  Cirrhosis  of  Liver  

95.  Dropsy  from  Hepatic  Disease  

33 
435 

0 

3 

4 
1 

96.  Dyspepsia  

97.  Diseases  of  Pancreas  

98.  Diseases  of  Spleen  

7 
16 
24° 

1 

18 
007 

14 

_ 

99.  Fistula  in  Ano  

16 

07 

100.  Hernia  

253 
3 

2 

235 
6 

101.  Haemorrhage  from  Stomach  

10 

9 

4 

1 

1 

Carried  forward  

55,  142       1,  498     49,  377       1,  678     44,  5!)7       1,  303 

44,600       1,599     38,284       1,030 

DUKING   THE    YEAR    ENDING   JUNE   30,    18G5. 


523 


TABLE  LXXXIL— ATLANTIC  REGION— Continued. 


1864. 

1805. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

235,  621. 

243,  616. 

263,  062. 

272,  259. 

298,  320. 

.      302,  010. 

217,  772. 

243,  664. 

49 
50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 

61 
62 
63 
64 
65 
66 

67 
68 
69 
70 

71 

73 

74 
75 
76 
77 
78 
79 
80 

81 
82 
83 
84 
85 
86 
87 
88 
89 
90 

9] 
92 
93 

94 
95 
96 
97 
98 
99 
100 
101 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths.  ! 

Cases. 

Deaths. 

26,  259 

5 

133 
679 
8 
3 
10 
2 
48 
495 
18 

1,161 

8 
5 

23,  671 

5 

140 
665 
12 

822 

8 
4 

21,453 

7 
126 
583 
17 
8 
4 
6 
33 
567 
19 

673 

6 
4 

24,  402 

8 
146 

728 

946 

9 
5 

28,  906 

5 
78 
705 
18 
7 
8 
2 
11 
522 
26 
19 
17 

9 
3 

836 

9 
1 

37,894 

4 

87 
961 

834 
9 

28,950 

2 
78 
918 

779 

2 
1 

387,  069 

69 
1,317 
8,  982 

12,  412 

95 
44 

14 
6 
10 
10 
16 
518 
14 
4 
12 

9 
5 
456 
16 
39 
15 

1 

12 

18 
16 

28 
5 
3 
3 
33 
526 

1 

12 
3 
4 

1 

3 
1 
2 
35 
378 
15 
101 
19 

11 
4 
376 
13 

189 
66 
52 
49 
376 
5,413 
231 
1,414 
1/J 

99 
65 

4  559 

5 

111 
79 
50 
9 

6 
7 

10 
6 
10 
34 
504 
9 

6 
11 
1 

12 
7 
4 
2 

15 
12 
9 
1 

4 
6 
6 

o 

1 

1 

1 

3 
1 

7 

20 
151 

18 

9 
5 
517 
18 
73 
9 

46 
27 
71 
2 

1 
52 
9 
4 
9 

1 
2 
4 

18 
60 

68 

3 

5 

9 

5 

7 
397 
14 
29 
6 

31 
25 
75 

2 

10 
9 

4 

10 

11 
4 
408 
9 
27 
12 

12 

7 

7 
349 
8 
17 
9 

28 
°4 

440 
17 
60 
3 

162 
947 
89 

458 
293 

67 
9 

48 
11 
67 
3 

2 
37 
6 
1 
6 
5 

4fi 

40 
11 
79 

33 

33 
73 

82 

100 

1 

1 
56 
8 
1 
7 
1 
o 

878 
38 

25 
639 

102 
35 
81 
26 
33 
1,008 

4 

1 

69 
7 
4 
6 
6 
2 
75 

2 
50 

6 
7 
16 
3 
5 
98 
48 
5 

112 
2,118 
303 
o 

10 
154 
369 
316 
40 
325 

544 
1,242 
67 
1 
62 
307 

2 

5 
1 

0 

1 

56 
10 
1 
6 
4 
3 

2 

37 
5 
5 
9 

2 
13 
3 
1 
1 
1 

1 

9 
5 
o 

3 

1 

9 

11 
108 
18 
10 
18 
6 
1 

5 

12 
2 

7 
1 
2 
2 

1 
2 

1 

3 

2 

4 
51 

4 

80 
48 
17 

78 
1,235 

225 
1 
15 
130 
242 
290 
41 
197 

739 
I  758 

67 
33 
11 

87 
3,027 
357 
16 
58 
312 

46 
29 
32 

84 
3,306 
429 
2 
12 
277 
706 
413 
43 
1,336 

415 
1  054 

63 
51 

35 

621 
133 

1,045 
18,  744 
2,858 
42 
262 
1,709 
3,836 
3,123 
451 
3,967 

8,282 
15,  579 
2,133 
31 
546 
3,  976 
8 
56 
251 

1 

3 

1 
6 
11 
1 

2 

19 

107 
2,309 

7 
19 
254 
485 
334 
37 
501 

476 
1  354 

2 

1 
9 
3 
1 

1 

52 
1,363 
226 
2 
31 
157 
346 
292 
42 
345 

616 
1,418 
71 

2 

2 

7 

58 
665 
141 
4 
12 
61 
157 
184 
29 
109 

796 
1,  414 
350 

0 

26 

5 
55 
52 
10 
3 
18 
1,299 
71 
27 
63 

15 
1 
25 
5 
52 
4 

7 
10 
2 

10 
2 

9 
4 
1 

6 

7 

1 
2 
1 

1 

5 
242 
9 

2 
246 
6 
4 
6 

1 

2 
155 
6 
4 
6 

1 

4 
90 
4 
4 
3 

1 

1 
53 
6 
2 
2 

1 

88 
10 
1 
5 

1 

558 
350 
37 
557 

495 
1    1  258 

130 

7 

0 

8 

8 

1 
1 
6 

65 
1 
47 
306 

1 

33 

1 
50 
290 
4 
3 
16 
165 
3 

70 
1 
41 
333 

200 

3 

7 

1 
3 

1 
7 
1 

5 

30 

247 

8 

39 
373 
2 
o 

3 
2 

293 

4 

5 
24 
223 
2 

1 

27 
193 
4 

3 
37 
215 

8 
14 
164 
4 

5 
16 
145 
9 

26 

1 

1 
1 

200 
3 

2,480 
65 

4 
4 

8 

1 

34,  724 

1,  335 

33,  557 

1,042 

32,  315 

1,021 

33,671 

1,317 

36,550 

1,115 

46,  532 

1,023 

35,  783 

901 

485,132  :  14,862 

524 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  LXXXIL— ATLANTIC  REGION— Concluded. 


v     r                                                                                                                               18U4. 

MONTH  !         JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH,  (not  including  Table  LXXXI)  2~>2,  939. 

198,  790. 

209,  635. 

231,  968. 

227,  979. 

LIST  OF  DISEASES. 

Cases.     Deaths. 

Cases. 

deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

55,  142 

1  - 

290 

1,498 

49,  377 

6 
247 

1,678 
1 

44,  597 

9 
264 

50 
33 
5 

48 

944 
632 

1,303 

2 
1 
6 
10 
7 
3 
2 
7 

44,  600 

17 
4G6 
40 
22 
3 
02 
04 
795 
014 
33 

29 

1,  599 
4 

38,284 

497 
63 
28 
3 
04 
40 
983 
554 
47 

36 

12 
16 

1,030 

3 

2 
10 
2 

1 

OltDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

1G-.  Hsemoir  age  ron 

72 
30 

43 
46 
626 

780 
91 

49 
7 
25 
1 
27 
72 
14 
56 
18 
4 

6 
7 
20 

3 

11 
9 
2 

62 
04 
5 
91 
28 
1,  083 
657 
58 

50 
5 
30 
1 
15 
79 
17 
68 
11 

8 
15 
6 
4 
3 
8 

1 

1C 
5 
1 

3 

104.     n   anil)                  . 

10d.  In  amn  a 

10  .     n  amnia  ion                     •> 

1U7.     ^ute    niainm         i  o 

3 

2 

1 

0 

31 

30 

8 
20 
o 

4 

o 

OUDER  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

1 

0 

12 

10 
69 
20 
59 

1 
3 

1 

1 

5 

ir'  I*)1  —         >f  P- 

13 

91 
20 
04 
6 

7 

15 

2 

1 

1 

1 

3 

79 
15 

50 
16 
15 

15 

8 
9 

4 
32 

3 

ORDER  V11I.  —  Diseases  of  Bones  and  Joints. 

8 
4 
31 

7 
14 
8 
3 

510 
1,444 
89 
296 

2 
21 

10 
13 
3 

1 

483 
1,306 
80 
252 
459 

102 
513 
8 

9 
9 
11 
1 

374 
1,038 
78 
170 
453 

95 
558 
3 

o 

10 
12 

oo 

1 

10 
4 

357 
1,033 

97 
207 

128    Other  Diseases  of  this  Order                  

1 
6 

OilDEli  IX.  —  Diseases  of  Integumentary  System, 

4 

4 

414 

1,158 
GO 
203 

3 

3 

L30.  Boils  .                       .                           .   . 

131.  Carbuncle  

132.  Whitlow  

133.  Skin  Diseases  ..                     ... 

541 

90 
486 
7 

2 

374 

83 
515 
fi 

1 

485 
121 

1 

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
134.  Burns  

3 

4 
3 
13 

135.  Contusions  

3 
1 
6 

3 
6 

3 
o 

571 
5 

136.  Concussion  of  Brain  

3 
3 

137.  Drowniag  

138.  Sprains  

391 
6 
41 
8 
4,292 
170 
65 
63 
35 

380 

328 

410 
33 

425 

139.  Dislocation  

13 

46 
28 
4,  7G6 
148 
103 
29 
31 
73 

19 

140.  Simple  Fractures  

1 

4 
1,548 
1 
1 
2 

°8 

41 
47 
6,236 
155 

39 
16 

918 
2JO 

36 
10 
54 

141.  Compound  Fractures  

1 

1,016 

0,685 
145 

1 

638 

2 

739 

o 
505 
1 
2 
1 

142.  Gunshot  Wounds  

143.  Incised  Wounds  

144.  Lacerated  Wounds  

2 

112 
20 
24 
31 

2 
1 

81 
25 
8 
65 

o 

145.  Punctured  Wounds  

140.  Poisoning  

1 

11 

3 
9 

a 

147.  Other  Accidents  and  Injuries  

82 

13 
o 

11 
1 

7 
1 
3 
2 

148.  ORDRR  II.—  Homicide  

149.  ORDER  111.  —  Suicide  

6 

3 

9 

2 
2 

150.  ORDER  IV.  —  Execution  of  Sentence  

3 

Total  

65,  847 

3,137 

61,126 

2,787 

57,  204 

2,021 

50,  880 

2,409 

45,  646 

1,600 

DURING    THE    YEAR    ENDING   JUNE    30,  1865. 


525 


TABLE  LXXXIL— ATLANTIC  REGION— Concluded. 


1804. 

1805. 

DECEMBER. 

JANUAUY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

235,  621. 

243,  616. 

263,  062. 

272,  259. 

298,  320. 

302,  010. 

217,  772.                    243,  664. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

102 
103 
104 
105 
IOC 
107 
1  i  :,- 
109 
110 
111 

112 
113 
114 
115 
116 
117 
118 
119 
120 
121 

122 
123 

124 
125 
126 

127 
128 

129 
130 
131 
132 
133 

134 
135 
136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
146 
147 

148 
149 

150 

34,  724 

9 
G60 
55 
24 
12 
57 
48 
738 
492 
96 

39 
6 
20 

1,335 
1 

33,  557 

6 

884 
3G 
36 
6 
33 
40 
G39 
444 
50 

38 
G 
30 
3 
17 
68 
44 
65 
15 
9 

15 

1,042 

32,  315 

C 

872 
58 
34 

7 
52 
37 

51)8 
472 

1,  021 

33,  671 

6 

805 
G3 
18 
4 
101 
56 
596 
465 
31 

24 

1,317 

36,  550 

7 
599 
46 
26 
3 
59 
27 
362 
500 
66 

31 
8 
10 

1,115 

46,  532 
15 

1,023 

35,  783 

1 

283 
40 
30 
1 
68 
53 
420 
442 

901 
1 

485,  132 

106 
6,391 
671 
377 
56 
757 
532 
8,  247 
6,711 
636 

416 
81 
247 
14 
174 
933 
245 
652 
137 
102 

114 
72 
304 
50 
163 
95 
53 

4,  922 
13,  G70 
871 
2,615 
5,571 

1,407 
6,  789 

77 

14,  8G2 

14 
5 
50 
124 
63 
26 
8 
35 

1 
1 
12 
3 
3 

498 
80 
32 
5 
79 
58 

1 
9 
9 
3 
1 

6 
6 
10 

4 
8 
3 
o 

1 
o 

o 
10 
6 

7 
1 

o 
3 
G 
I 

6 
14 
3 
1 

1 

3 

3 

463 
653 
55 

3^ 

1 

1 

1 

1 

45 
26 

o 

4 

2 

33 
32 

3 

22 

4 
16 
1 
9 
75 
13 
59 

9 
33 

8 
17 

o 

24 

4 

3 

1 

12 
1 
14 
108 
15 
46 
12 

1 

3 

2 

14 
82 
31 
80 
11 
7 

15 
6 

28 
8 
22 
8 
4 

40G 
1,  105 
80 

2:;2 

4i!8 

189 
G31 
3 

7 
67 
19 
33 
6 
7 

7 
1 

7 

74 

45 

20 

1 

o 

2 
1 

1 

1 
1 

1 

1 

69 
15 
21 

2 

17 
4 

11 

11 

5 

7 
22 

13    

10 
9 

10 
5 
18 
3 

8 
10 
6 

335 
1,063 
49 
1G8 
340 

49 
448 
4 

1 

4 

5 
5 
21 
1 
13 

1 

2 

15 

1G 
16 
32 

1 

8 

1 

13 

26 

1 

3 

1C 
10 
5 

402 
1  120 

1 
9 
8 
5 

402 
865 
60 
280 

2 
11 
4 
3 

411 

i,  o;;s 

4 
10 

9 
4 

402 
1  123 

1 
2 

35 

1 

o 

17 

42G 
1,317 

1 

5 

1 

2 

3 

1 

101 

OKI 

51 

43 

188 
491 

121 

83 

184 
544 

106 
654 
5 

244 

1       4:w 

1 

2 
5 
3 
1 

478 

137 
.r89 
10 

470 
154 

1 

6 

7 
33 
22 

71 

2 
3 

160 

644 
8 

4 
1 
1 

619 
9 

1 
4 

5G1 
9 

3 

2 
10 

3 

1 
3 

10 

14 

493 
23 
43 
13 
912 
468 
G8 
18 
12 
5G1 

531 
14 
47 
11 
749 
469 
70 
32 

496 
19 

673 
26 

624 

77--) 

453 
25 
33 
6 
104 
214 
57 
46 
101 
53 

5  P82 

34 

45 
22 
5,528 
255 
98 
38 
40 
131 

31 
55 
7 
271 
218 
81 
43 

2 
2 

5 

62 
1 

2G4 
496 
203 
35,  700 
3,  333 
955 
408 
404 
1  929 

2 
10 
37 
6,387 
9 
1C 
5 
'J 
129 

14 
35 

2 
242 
3 

1 
4 
109 
1 
1 

39 

10 
1,480 
438 
7G 
23 

1 
1 

187 
1 

39 
13 
3,  759 
337 
92 
35 
15 
110 

1 
3 

278 

1 
7 
833 
1 
5 

1 
5 

230 

1 
1 

1 
11 

1 
3 

9 

11 

409 

22 

1 

10 

95 
184 

1 

2 

6 
1 
6 

8 
2 
3 
3 

176 

11 

1 
4 
5 

20 
1 
1 
4 

1 

1 
1 

"8 

43,  0'J7 

1,  650 

41,581 

1,213 

40,  378 

1,  273 

44,  283 

1,668 

48,  220 

2,013 

53,  893 

1,  325 

40,  903 

1,037        599,064 

22,  133 

526 


SICKNESS   AND    MORTALITY    OF   WHITE   TROOPS 


CENTRAL    REGION. 

The  reports  from  troops  in  the  Central  Region  are  consolidated  into  statistical  tables 
for  seven  armies  or  departments,  as  follows: 

1.  The  Northern  Department  Table  LXXXIII. 

2.  The  Military  Division  of  the  Mississippi— Part  I  -     Table  LXXXTV. 

3.  The  Military  Division  of  the  Mississippi— Part  II  Table  LXXXV. 

4.  The  Department  of  the  Gulf  -     Table  LXXXVI. 

5.  The  Department  of  the  Northwest  Table  LXXXVII. 

6.  The  Department  of  the  Missouri  Table  LXXXVIII. 

7.  The  Department  of  Arkansas  -     Table  LXXXIX. 

To  these  are  added — 

8.  A  table  showing  the  mortality  in  the  general  hospitals 

of  the  Central  Region  -     Table  XC. 

9.  A  consolidated  table  of  the  Central  Region  Table  XCL 


1.  THE  NORTHERN  DEPARTMENT — TABLE  LXXXIII. 

As  for  the  previous  year,  this  table  embraces  all  reports  received  from  troops  in  the 
States  of  Ohio,  Indiana,  Illinois,  Michigan,  and  Wisconsin.  The  latter  State  is  here 
included  for  geographical  reasons,  though  officially  forming  part  of  the  Department  of  the 
Northwest.  General  J.  Hooker  was  assigned  to  the  command  of  the  Northern  Department 
September  28,  1864. 

2.  THE  MILITARY  DIVISION  OF  THE  MISSISSIPPI,  PART  I — TABLE  LXXXIY. 

The  Military  Division  of  the  Mississippi  was  created  by  General  Orders  No.  337, 
October  16,  1863,  to  consist  of  the  Departments  of  the  Ohio,  the  Cumberland,  and  the 
Tennessee.  In  preparing  the  tables  for  the  fiscal  year  ending  June  30,  1864,  these 
departments  were  separately  presented,  but  a  separate  table  was  given  for  May  and  June 
(Table  LXXII)  in  which  were  consolidated  the  reports  from  all  troops  directly  cooperating 
with  General  Sherman  south  of  Chattanooga.  For  the  present  year  it  has  been  thought 
best  to  consolidate  the  reports  from  the  Military  Division  of  the  Mississippi  in  two  tables, 
of  which  the  first  embraces  the  garrisons  and  detachments  left  behind  when  the  army 
under  General  Sherman  moved  into  Georgia,  while  the  second  represents  this  army. 


DURING   THE    YEAR   ENDING   JUNE    30,    1865.  527 

Part  I  therefore  embraces  all  reports  from  troops  in  the  Departments  of  the  Ohio,  the 
Cumberland,  and  the  Tennessee  left  north  of  Chattanooga.  It  includes  those  stationed  in 
the  States  of  Kentucky  and  Tennessee,  in  northern  Mississippi  and  in  northern  Alabama. 
The  army  of  the  Ohio,  (23d  Corps,)  with  the  4th  Corps  from  the  Department  of  the 
Cumberland  and  a  portion  of  the  Cavalry  Corps  which  had  accompanied  General  Sherman 
on  the  Atlanta  campaign,  were  detached  about  the  close  of  October  to  join  General  Thomas 
at  Nashville;  they  are  therefore  included  in  this  table  for  November  and  subsequently. 
About  the  middle  of  January  the  23d  Corps  was  sent  east  to  the  Department  of  North 
Carolina,  with  which  it  is  consolidated  for  February  and  subsequent  months. 

The  troops  belonging  to  the  Department  of  the  Ohio,  left  behind  when  the  23d 
Corps  was  ordered  east,  were  united  with  the  Department  of  the  Cumberland  by  General 
Orders  No.  5,  January  17,  1865,  by  which,  also,  the  Department  of  the  Cumberland  was 
extended  to  embrace  such  parts  of  Mississippi,  Alabama,  and  Georgia  as  may  be  occupied 
by  troops  under  the  command  of  General  Thomas.  By  General  Orders  No.  21,  February 
10,  1865,  the  Department  of  Kentucky  was  constituted  to  consist  of  the  State  of  Kentucky. 
It  is  included  in  the  present  table.  By  the  same  order  the  portion  of  the  State  of 
Tennessee  not  already  embraced  in  the  Department  of  the  Cumberland  was  added  to  that 
department;  this  portion  of  the  State  was  that  lying  west  of  the  Tennessee  river.  It  was 
detached  from  the  Department  of  the  Tennessee  November  28,  1864,  by  General  Orders 
No.  28,  which  constituted  the  Department  of  the  Mississippi  to  comprise  the  State  of 
Mississippi,  and  that  portion  of  Tennessee  west  of  the  Tennessee  river.  The  reports 
received  from  the  Department  of  the  Mississippi  have  been  consolidated  in  the  present 
table. 

The  most  important  movements  of  the  troops  embraced  in  this  table  were  those 
connected  with  the  concentration  of  troops  at  Nashville,  rendered  necessary  by  the  advance 
of  General  Hood  against  that  place,  which  led  to  the  battle  of  Nashville,  December  15th 
and  16th,  and  the  subsequent  pursuit;  and  the  cavalry  expeditions  under  General  Stoneman 
from  Knoxville  into  North  Carolina,  and  under  General  Wilson  from  Nashville  through 
Alabama  and  Georgia,  during  March  and  April,  1865. 

3.  THE  MILITARY  DIVISION  OF  THE  MISSISSIPPI,  PART  II — TABLE  LXXXV. 

This  table  embraces  the  army  immediately  under  General  Sherman,  which  at  the 
commencement  of  the  year  was  engaged  in  the  Atlanta  campaign.  (See  remarks  on 
Table  LXXII,  p.  459.)  Atlanta  was  occupied  by  the  forces  of  General  Sherman 
September  2d.  The  chief  engagements  occurred  in  the  vicinity  of  Atlanta  July  20th 
and  22d,  and  near  Jonesboro'  September  1st. 

The  fall  of  Atlanta  was  followed  in  October  by  the  movement  of  General  Hood  to 
the  north,  threatening  the  communications  of  General  Sherman,  who,  towards  the  close 


528  SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 

of  October,  detached  the  4th  and  23d  Corps  to  reinforce  General  Thomas  at  Nashville, 
and  breakino-  off  from  his  base  prepared  for  the  march  through  Georgia  to  the  sea.  The 
last  train  for  the  north  left  Atlanta  November  llth,  and  the  march  commenced  November 
16th,  the  moving  column  consisting  of  the  14th,  15th,  17th,  and  20th  Corps,  and  a  division 
of  cavalry.  By  the  10th  of  December  the  army  was  before  Savannah,  Georgia;  Fort 
McAllister  was  carried  by  assault  December  loth,  and  Savannah  was  evacuated  on  the 
nio-ht  of  the  20th,  From  Savannah  the  army  moved  northward  February  1st,  marching 
through  South  Carolina  and  North  Carolina  to  Goldsboro',  N.  C.,  which  was  occupied 
March  21st  by  General  Schofield  with  troops  belonging  to  the  Department  of  North 
Carolina. 

Setting  out  from  the  neighborhood  of  Goldsboro'  on  the  10th  of  April,  Raleigh  was 
reached  on  the  13th.  The  army  of  General  Johnston  surrendered  April  26th,  and 
subsequently  the  army  of  General  Sherman  was  marched  to  the  neighborhood  of  Wash 
ington,  whence,  after  the  review  of  May  23d,  the  troops  were  moved  to  convenient  points 
for  muster-out. 

4.  THE  DEPARTMENT  OF  THE  GULF — TABLE  LXXXVI. 

This  department  continued  to  constitute  a  portion  of  the  Military  Division  of  West 
Mississippi  until  May  17,  1865.  It  is  however  here  presented  as  a  separate  table, 
embracing  the  reports  from  troops  within  the  same  general  boundaries  as  during  former 
years. 

Among  the  more  important  movements  of  troops  may  be  mentioned  the  expedition 
against  the  forts  at  the  mouth  of  Mobile  harbor  in  the  summer  of  1864,  and  that  against 
Mobile  in  the  spring  of  1865.  Fort  Gaines  surrendered  August  8  and  Fort  Morgan 
August  23,  1864.  Mobile  was  evacuated  April  11,  1865, 

5.  THE  DEPARTMENT  OF  THE  NORTHWEST — TABLE  LXXXVII. 

This  table  embraces  the  reports  received  from  troops  within  the  States  of  Iowa  and 
Minnesota,  and  the  Territories  of  Nebraska  and  Dakota. 

6.  THE  DEPARTMENT  OF  THE  MISSOURI — TABLE  LXXXVIII. 

As  during  the  previous  year,  this  table  embraces  the  reports  received  from  troops 
within  the  States  of  Missouri  and  Kansas.  Officially  the  State  of  Kansas  was  included  in 
the  department  of  that  name  until  January  30,  1865,  when  the  Department  of  Kansas 
was  added  to  the  Department  of  the  Missouri  by  General  Orders  No.  11.  By  the  same 
order  the  Departments  of  the  Missouri  and  of  the  Northwest  were  united  under  the 


DUKING   THE    YEAR   ENDING   JUNE    30,  1865  529 

designation  of  the  Military  Division  of  the  Missouri.  It  has,  however,  been  thought  best 
to  adhere  to  the  geographical  boundaries  indicated,  which  are  those  employed  in  compiling 
the  tables  of  the  Departments  of  the  Missouri  and  of  the  Northwest  for  previous  years. 

7.  THE  DEPAETMENT  OF  ARKANSAS — TABLE  LXXXIX. 

This  table  embraces  the  reports  from  troops  in  the  State  of  Arkansas  and  the  Indian 
Territory.  General  J.  J.  Reynolds  was  assigned  to  command  November  29,  1864.  By 
General  Orders  No.  44,  March  21,  1865,  this  department  was  added  to  the  Military 
Division  of  the  Missouri.  It  has,  however,  been  thought  best  to  present  it  separately  in 
these  tables. 


67 


530 


SICKNESS   AND   MOKTALITY    OF   WHITE   TROOPS 


TABLE  LXXXIIL 

Abstract  of  the  Sickness  and  Mortality 


YEAR  1SG4. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCT01JER. 

NOVEMBER. 

10,  517. 

22,  187. 

23,' 

26. 

26,  269. 

14,  006. 

LIST  OF  DISEASES. 

Cases,  j  Deaths. 

Cases. 

Deaths. 

Cases. 

deaths.     Cases.    Deaths. 

Cases.    Deaths. 

CLASS    1.—  ZYMOTIC    DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

8 

5 

2 

56 

9 

49 

11 

47 

1 
4 

13 

6 

4° 

34 

1 

26 

4'  V*lV      V 

138 
71 
54 
18 
5 
893 
61 
98 
8 

2 

322 
3°9 

3 

192 
662 

1 

276 
609 

1 

88 
144 

2 

250 

125 

277 

210 

•  .  trtul  '   '  e            F 

1 
1 
3 
5 

3 

1,520 
151 
265 
13 
24 

8 
11 
923 
127 
205 
6 
15 
6 
6 

19 
4 
701 
137 
254 
2.". 

19 
7 
238 

1 
o 

16 
3 

3 

1 
13 
1 

2 

o 

34 
3 

68 
68 

15 
2 

iT  n      '    i)  • 

2 

'      r  .  c    J          J 

1 

28 
2 
16 

29 
9 
11 
1 

10 
26 

]-    si-  \\  10      nd  Varioloid 

1 

1 

o 
22 
1 
11 

13 
100 
334 

101 

148 



1 

If'  M  -      *• 

27 

1 

18    Diphtheria 

12 

10 
9 
1G9 

11 

16 
291 

8 
18 
34 

25 
55 

1 

193 

70 

194 

83 
136 

53 

OllDEK  II.  —  Enthetie  Diseases. 

59 
103 

40 
70 
4 

24    Orchitis 

1 

16 
5 
9 

8 

17 
1 
13 

7 

8 

1 

27.  Serpent  Bite 

1 

8 

o 

1 
o 

OUDER  III.  —  Dietic  Diseases. 
29.  Scurvy  

28 

8 

30.  I'urpura  

31.  Delirium  Tremeas  

1 

1 
1 

18 
1 
3 

13 
1 

1 

1 

18 
G 

1 

1 
1 

1 

32.  Inebriation  

33.  Chronic  Alcoholism  

34.  Other  Diseases  of  this  Order  

CLASS    II.—  CONSTITUTIONAL    DISEASES. 
OltDEH  I.  —  Diathetic  Diseases. 
35.  Gout  

9 

86 
G6 

36.  Acute  Rheumatism  

44 
30 

97 
73 
37 

51 

78 
1 

73 

/.O 

5 

37.  Chronic  Rheumatism  

1 

38.  Anaemia  

39.  Cancer  

1 
1 

40.  Tumors  

o 

5 

o 

41.  Other  Diseases  of  this  Order 

1 

10 
2 

4 

8 
8 
C 

3't 

1 

1 
1 

1 
9 

OUUEH  II.—  Tubercular  Diseases. 
42.  Consumption  

6 

4 

4 

20 

3 

43.  Scrofula  

44.  Other  Diseases  of  this  Order  .  . 

4 
51 

CLASS    III.  —  PARASITIC    DISEASES. 
43.  Itch  

18 

47 

18 

40.  Tape-  worm  

3 
o 

47.  Other  Intestinal  Worms  

1 

8 

1 

48.  Other  Diseases  of  this  Order  

Carried  forward  

1,675 

27 

4,061 

36 

2,997 

37 

3,490 

62 

1,  183     ;        28 

DURING   THE   YEAE    ENDING   JUNE    30,  1865 


531 


TABLE  LXXX11I. 

of  the  Northern  Department. 


1864. 

1865. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

A  PHIL. 

MAY. 

JUNE. 

TOTAL. 

14,  492. 

13,  844. 

28,419. 

19,  610. 

14,833. 

14,  740. 

12,917. 

17,  9G3. 

1 

i 

5 
0 

8 
9 
10 
i 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 

23 

24 

26 

27 
28 

29 
30 
31 
32 

33 

34 
35 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases.    Deaths. 

Cases.     Deaths. 

Cases. 

Deaths. 

48 

9    | 

63 

7 

40 

5 

69 

12 

9 
4 
21 

6 

11 

4 

o 

415 
4 
215 

83 
3 
21 

2 

2 

2 

35              4 

5 

48 

3 

1 

! 

14,-) 
157 
221 

8 
1 
27'.) 
50 
90 

2 

91 
150 

1 

488 
370 

214 
269 

I 

144 

1 

91 
103 

75 
128 
57 
2 
2 
254 
82 
69 
fi 
13 
5 
1 

2,264 
3,375 

2,  199 
187 
74 
'  6,  840 
1,414 
1,  334 
74 
535 
280 
1,188 
16 
181 
752 
4  388 

14 
3 
1 
1 
20 
0 
123 
J3 
3 
18 
50 
130 
1 
5 
2 

3 

200 

313 

176 
17 
3 
309 

1 

78 
9 

8 

O"7 

31 

7 
442 

525 

5 

4 

3 

441) 
186 
71 
1 
46 
44 
38 

1 

1 

310 
102 

58 

14 

4 

135 

86 
o 

5 

1 

235 
37 
4 
113 

35 
498 

1 
42 
318 
871 

7 
1 
1 
7 
4 
39 

80 
33 
9 
50 
46 
141 

1 

0 

5 

4 

37 
31 
105 

1 
9 

64 
41 
130 
1 

2fi 

1 

7 

3 

104 
56 
193 
12 

2 

5 
9 

1 

13 
55 
1 

0 

4 

8 
20 

1 
1 
1 

8 
£6 
294 

77 

C7 
98 
15 

34 
81 
1,506 

2 
1 

11 

128 
242 

5 

66 
125 
127 

77 
127 

1 

1 
14 
31 
66 

33 
54 
1 
1 
2 

45 

548 
70 

82 

71 
173 
14 
1 
3 

2 

189 
go 

11 

123 

80 
108 
16 
1 
1 

3 

1,419 

797 
1  285 

16 

111 

7 

102 

30 

9 

138 
11 
73 
5 
5 

381 
4 
105 
23 

3 

1 

IS 

- 

1 

33 
1 
11 

4 

40 

97 

106 
1 
3 
3 

52 

1 

10 
3 

18 
1 

1 

1 

6 

2 

4 
1 

0 

6 

5 

0 

1 

10 

8 

10 
1,011 
758 
99 

1 

o 

6 

1 
124 

36 
37 
38 
39 
40 
41 

42 
43 
41 

40 

4i 
47 
•Ir 

119 
60 

7 
1 

105 

91 
111 
10 

89 
86 

7 

1 

81 

61 
3 

51 
15 

1 
1 
1 

84 

66 

1 

14 
16 

no 

51 
12 

70° 

1 
1 

15 
6 
2 

81 

o 

1 

8 

1 

1 

1 

8 

1 

21 
1 

r 

4 

4 

o 

4 

9 

8 

3 

9 

5 

10 

8 

63 

145 

84 

164 

10 

• 

3 

11 

] 

i             ! 

41 

4,510 

49 

2,038 

2,  476 

27 

36 

4,517 

100 

2,446 

93       2,  198 

997 

11          32,  888           547 

532 


SICKNESS   AND    MOKTALITY    OF   WHITE    TROOPS 


TABLE  LXXXUL— NORTHERN  DEPARTMENT— Continued. 


YEAH  

18(34 

MONTH  

JULY. 

AUGUST. 

SEL'TEMBER. 

OCTOHER. 

NOVEMBER. 
14,  006. 

10,  517. 

22,  187. 

23,  726. 

26,  269. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.  !  Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Brought  forward 

1,675 

27 

4,061 

36 

1 

2,997 
1 

37 
1 

3,  490 

62 
1 

1,483 

28 

CLASS    IV.—  LOCAL    DISEASES. 

OUDEU  I.—  Diseases  of  Nervous  System. 

4 
26 
1 

8 
101 
o 

9 

8 
13 



5.4 

'        42 

1 
3 

1 

1 

1 

1 
o 

1 

1 

1 

1 

2 
33 

10 

65 
1 
10 
1 

1 
30 
1 

1 

51 
1 

\           ^ria 

50 
3 

'  ^     J  * 

2 
3 
1 

5 

o 

1 

ORDER  II.  —  Diseases  of  Eye. 

1 

53 

62 
1 
3 
4 

3 
3 

4 

54 

76 

32 

1 

1 

0 

* 

66.  Other  Diseases  of  this  Order  

ORDER  III.  —  Diseases  of  Ear. 

1 

3 

o 

3 

1 
4 
1 

68.  Deafness  

61).  Otorrlioea  

7 

1° 

6 

70.  Other  Diseases  of  this  Order  

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 
71.  Aneurism  ;  

72.  Valvular  Disease  of  Heart  

13 
1 

8 

8 
1 

1 

2 

' 

73.  Dropsy  from  Heart  Disease  

1 

74.  Dropsy  of  Pericardium  

75.  Inflammation  of  Pericardium  

2 
1 

4 
1 

1 

70.  luflammat.on  of  Endocardium  

1 
1 
1 
1 

4 
8 
1 
1 

1 

77.  Inflammation  of  Veins  

78.  Varicose  Veins  

9 
11 
31 

6 
62 

7 
5 

1 
3 

6 

70 

79.  Varicocele  

1 

80.  Other  Diseases  of  this  Order  

1 
1 

1 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
81.  Asthma  

4 
36 

5 

82.  Acute  Bronchitis  

78 

83.  Chronic  Bronchitis  

44 

24 

17 

84.  Dropsy  of  Chest  

1 

85.  Haemorrhage  from  Nose  

9 

23 
6 

3 
3 
34 

31 

1 

11 
98 
47 
10 
56 

1 

o 

80 
9 
1 
14 

86.  Inflammation  of  Larynx  

5 
15 
8 
3 
3 

39 

87.  Inflammation  of  Lungs  

2 

2 

1 

2 

5 

88.  Inflammation  of  Pleura  

89.  Haemorrhage  from  Lungs  

3 

10 

48 
1°5 

90.  Other  Diseases  of  this  Order.  .  . 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
91.  Colic  

89 

°6 

92.  Constipation  

102 

1% 

148 
15 

64 

7 

93.  Cholera  Morbus  

31 

(!5 

°3 

94.  Cirrhosis  of  Liver  

95.  Dropsy  from  Hepatic  Disease  

0 

0 

3 

1 

52 

96.  Dyspepsia  

9 

22 

7 

97.  Diseases  of  Pancreas  

98.  Diseases  of  Spleen  

1 

'   i 

99.  Fistula  in  Ano  

r 

1 
13 
1 

2 

14 
1 

100.  1  1  i-rriia  

6 

30 

5 

101.  Hseinorrhage  from  Stomach  

Carried  forward  

2,  054 

29 

5,002 

42 

3,593 

42 

4,310 

69 

1,916 

35 

DURING    THE    YEAR    ENDING    JUNE    30,  1865. 


533 


TABLE  LXXXIIL— NORTHERN  DEPARTMENT— Continued. 


18(54. 

1805. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUSE. 

TOTAL. 

14,  492. 

13,  844. 

28,  419. 

19,  610. 

14,  833. 

14,  740. 

12,917.          (             17,963. 

Cases. 

Deaths. 

Cases. 

Deaths.    Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

49 
50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
fiO 

61 
62 
63 

64 
65 
66 

67 
68 
69 
70 

71 
72 
73 
74 
75 
76 
77 
78 
79 
80 

81 

82 
83 
84 
85 
80 
87 
88 
89 
90 

91 
92 
93 

94 
95 
96 
97 
98 
99 
100 
101 

2,038 

41 

2,476 

27 

4,510 

36 

4,517 

100 

2,  446 

93 

2,  198 

49 

997 

1 
4 
6 

11 
1 

32,  fc88 
90 

547 

4 

9 
22 

9 
36 
4 
1 
1 

0 

15 
73 
3 

14 
3 

7 
1 
97 
1 

6 
65 
1 
15 
1 

0 
34 
5 

5 
34 

0 

506 
20 

1 

1 

4 

6 
1 
12 

4 
1 

5 

1 

39 

13 
33 
587 
17 
15 
32 

o 
1 

767 
11 

19 
5 
16 

1 

1 
4 
31 

2 

2 

10 
60 
3 

4, 

1 
38 
1 

1 
20 

60 
1 

52 

1 

1 
3 

1 

1 

10 

1 
1 

58 

8 

5 

5 

0 

1 

19 

45 
1 
6 

35 

101 
3 

84 
5 

117 
1 

50 

0 

1 

o 

0 

o 

1 
1 

11 

51 
15 
120 

5 
I 

10 

14 
2 
19 

14 
o 

1 

o 

4 

» 

2 

16 

19 
4 



10 

6 

y 

5 
1 

8 
1 

2 

3 

0 

1 
1 

i 

i 

1 

11 
1 

1 

1 
2 

03 
12 
5 
9 
7 
1 
23 

4 
1 
1 
1 
1 

1 

4 
o 

1 

1 

i 

1 

1 

| 

1 
C 

1 

1 

o 

3 

4 
1 

7 
o 

43 
39 

66 
1,  200 
277 
4 
19 
123 
1,239 
343 
57 
318 

415 
1,318 

1 

10 
187 
20 

1 

o 

5 

1 
5 
0 
1 

5 

142 
4 

5 
137 
21 

10 
129 
48 
1 
7 
20 

3 

40 
11 

1 

o 

45 

90 
30 

0 

1 

1 

1 

1 

1 

3 

9 
73 

1 
3 

6 

6 
97 
31 

8 
21 

26 
126 
3 

8 
119 
°9 

20 

1 

11 

• 

1 
196 

1 

10 

11 

241 
GO 
7 
42 

53 

11 
1 

297 
00 
3 

9 

81 

136 

18 
3 
24 

20 

00 

8 
45 

5 

15 

4 

2 

4 

14 
39 

6 

19 
94 
1 
1 
1 
13 

20 

94 

143 

103 
3 

84 
o 

4 

0 

13 

169 
1 

51 

4 
11 

0 

1 

50 

3 
31 

3" 

31 

11 

6 

278 

1 

18 
131 

3 

9 



2 
8 

2 

25 

3 

2 

8 

8 

3 

i 

5,686 

2,  722 

53        3,190 

40       5,  620 

07 

214 

3,  298 

163 

2,847 

73 

1,262 

13 

41,500 

8-10 

534 


SICKNESS    AND    MOETALITY    OF    WHITE    TROOPS 


TABLE  LXXXIIL—  NORTHERN  DEPARTMENT— Concluded. 


YUA.lt  

1864. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOIJER. 

NOVEMBER. 

10,  517. 

22,  187. 

23,  726. 

26,  26!>. 

14,  006. 

LIST  OF  DISEASES. 

Cases.    Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

2,034 

29 

5,002 

1 

51 

g 

42 

3,593 

42 

4,310 

3 

f® 

69 

1,916 

1 

26 

35 

OUDER  VI.  —  Diseases  of  Digestive  Organs  —  Continued. 

102.  I  aiinorr  iane   ron 

1° 

40 
3 

3 

o 

10 
3 
3 

24 

2 
1 

10-    l" 

0 

'•'     "          ia 

1 

8 
1 
28 

1 

1 

1  ~     \        •  1   «•  nutrition  of  Liver 

4 
3 

8 
28 

3 
11 
51 

17 

-•'  '-CU     '                    •    '         f  1  '  • 

1 
104 
42 

j    L  'r0111.°i 

37 
20 

48 
21 

3d 

18 

7 

3 

1 

23 

(i 
1 

ORDER  VII.  —  Diseases  of  Urinary  anil  Genital  Organs, 

1 

113    Dribetes                                               

8 

4 

4 

2 

7 

117    1  fl          •  f  >      >f  K'd 

2 

5 

8 

4 

o 

3 
3 
2 

1 
1 

2 
2 
1 

120    Hydrocele 

1 

3 

1 

ORDKK  VIII.  —  Diseases  of  JJones  and  Joints. 

123    Curies 

124.  Inflammation  of  Joints  

1 

5 

1 

1 

12(5.  Inflammation  of  Periosteum  

2 

3 

1 
1 

22 

1 

1 

1V£.  Other  Diseases  of  this  Order     -         -                                  ;       

ORDER  IX.  —  Diseases  of  Integumentary  System. 
129.  Abscess  

19 
45 

10 

4^ 

131.  Boils  

19 

5 

7 
57 

o 

87 
5 

r)l 

131.  Carbuncle  

o 

(j 

132.  Whitlow.  

9 
52 

2 

11 

38 

7 
16 

7 

133.  Skin  Diseases  

37 

8 

CLASS    V.     WOUNDS,   ACCIDENTS,   AND 
INJURIES. 
ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
134.  Burns  

7 
41 
1 

135.  Contusions  

10 

136.  Concussion  of  Brain  

4 

137.  Drowning  

138.  Sprains  

37 

O() 

°1 

13 

139.  Dislocation..    

4 
6 
1 
39 

8 
3 
1 

14U.  Simple  Fractures  

1 

8 

2 

141.  Compound  Fractures  .  . 

1 
o 

142.  Gunshot  Wounds... 

17 
6 

0 

ii 

0 

1 

46 

14 
1 
1 
] 
5 

1 

o 

23 
q 

143.  Incised  Wounds   .  . 

144.  Lacerated  Wounds  .. 

7 
2 

]45.  Punctured  Wounds. 

3 

l4ti.  I'oisoning  

o 

4 
o 

147.  Other  Accidents  and  Injuries 

2 

3 

1 

148.  ORDER  II.—  Homicide.   . 

149.  ORDER  III.  —  Suicide  

1 



150.  ORDKR  IV.  —  Execution  of  Sentence 

Total  

4,002 

2OQQ 
,  ~co 

34 

5,590 

48 

45 

4,882 

73 

2,  193 

39 

DURING   THE    YEAR    ENDING   JUNE    30,  1805. 


535 


TABLE  LXXXIIL— NORTHERN  DEPARTMENT— Concluded. 


1864. 

1805. 

DECEMBER. 

JANUARY. 

FEBRUAUY. 

MAKCII. 

ATIUL.                   MAY. 

JINK.                     TOTAL. 

14,  492. 

13,  844. 

28,  419. 

19,  610. 

14,  833. 

14,  740. 

12,  917.                         17,  9G3. 

102 
103 
104 
105 

ion 

107 
108 
109 
110 
111 

US 
113 
114 
115 
116 
117 
118 
119 
120 
121 

122 
123 
124 
125 

126 
127 

128 

129 
130 
131 
132 
133 

134 
135 
136 
137 
138 
139 
140 
141 
142 
143 
14-5 
145 
146 
147 

148 
149 
150 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases     Deaths.     Cases. 

i 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths  j      Cases. 

Deaths. 

2,722 

1 
97 
6 
3 

53 

3,  190 

13 

98 

o 

14 

« 

20 

40 

5,620 

1 

198 
7 
5 
3 

0 

67 

5,686 

214 

3,298 

163 

2,847 

73 

1,262 
5 

13 

41,500 
°5 

840 

250 

83 

56 
5 
7 
1 
35 

15 

994 
51 
48 
13 

121 
4] 
34i 
343 

1 
1 
1 

5 
8 

1 

4 

4 

8 

2 

17 
3 
3 
3 
10 
32 

2 
1 

3 

15 
1 
28 

4 

6 
1 
2 

8 
7 
15 

22 
20 

2 

1 

8 

1 

30 

4 

28 

33 
3 

1 

7 
3 

1 
o 

1 

5 
3 

0 

107 

33 
12 

21 

1 

4 

3 

7 

1 

! 

I 

1 

3 

80 
14 

5 
2 

3 

o 

7 
1 

1 

11 

3 

o 

12 

... 

o 

3 
2 

4 

1 

3 
1 

15 
4 

3 
3 
19 
3 
10 
16 
1 

173 

471 

38 

2 

1 
4 

1 

3 

1 

1 

2 

o 

o 

1 

5 

3 

3 

1 

1 

9 
37 

4 
7 
43 

9 
24 

15 
25 
1 
8 
32 

8 

21 

18 
14 
3 
17 
36 

<> 

13 
39 
1 
13 
38 

7 
23 

16 
40 
2 
14 

18 

82 

6 
20 

1 

52 

G 
8 
54 

7 

103 

2 

1 

8 
1 

1              49P! 

146 
°83 

17 

24 

1 

o 

5 

14 

i 

3 

fi    • 

18 

22 

32 

26 
1 
3 

23 
1 
2 

39 

17 

0<)<( 

1 
4 
1 
59 
7 
1 
4 
1 
10 

13 

48 
3 
431 
132 
39 

5 

6 

3 

3 

1 

18 

5 

1 
13 

1 

19 

12 
4 

1 

51 
14 

o 

32 

18 
3 

1 

1 

44 
12 

6 
9 
5 

<; 
4 

1 



00 

1 

1 

9 
52 

1 
3 

4 

19 

4 

3 

0 

1 

" 

3,  122 

53 

3,  606 

45 

6,235 

69 

<>,  192 

221 

3,707 

169 

3,314 

74        1,414 

16          46,  545 

836 

536 


SICKNESS   AND   MOKTALITY    OF    WHITE    TROOPS 


TABLE  LXXXIY— PART  I. 

Abstract  of  the  Sickness  and  Mortality 


YEAK  

18G4. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

8G,  232. 

85,  244. 

69,  638. 

72,  613.                  130,  029. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths.    Cases. 

Deaths. 

CLASS  1.—  ZYMOTIC   DISEASES. 
ORPEII  I.  —  Miasmatic  Diseases. 

166 

202 

72 
3 
10 

206 

53 
o 

102 

44 

106 

00 

157 
1 
83 

10 

261 

19 

148 

22 

57 

14 

3 

1,600 

2,145 
1,720 
156 

17 
3 
1 

2,378 
2,911 
2,125 
244 

21 
4 

1,  009 
2,440 
1,508 

9 
3 

764 
2,583 
1,257 
°44 

9 
4 

1 

1,  096 
2,  238 
1,  453 
217 

4 

132 

59 
5,  849 
051 
1,  278 
127 
123 
12 
128 
3 
37 
209 
1G3 

12 
9 
53 
33 

1 
2 
4 
14 

69 

5,  444 
653 
1,008 
108 
81 
13 
07 
3 
20 
120 
209 

10 
23 
30 
28 
5 
1 

129 
3,  351 
031 
990 
128 
55 
4 
37 

14 

10 
26 
32 
14 

33 

3,798 
565 
1,103 
116 
59 

8 
8 
35 
15 
13 

30 
4,620 
553 
1,  089 
119 
71 
17 
151 
o 

8 
1 
16 
6 
5 
3 
4 
4 

14.  Ervsipelas  

1 
1 

14 
96 

3 

Iti.  Measles  .   . 

4 

17.  Scarlet  Fever  

18.  Diphtheria  

1 
1 

15 
38 
181 

328 

233 

13 

105 

37 

1  9.  Mumps  

164 

87G 

20.  Epidemic  Catarrh  

400 
360 

211 
372 

21.  Other  Diseases  of  this  Order  

523 
2-12 

2 

372 

288 

4 

5 

1 
1 

385 

307 
533 

~ 

OUUEII  H.—Enthetic  Diseases. 
22.  Syphilis  

23.  Gonorrhoea  

490 

513 

290 
29 

24.  Orchitis  

32 

24 
3 

1 

O*i 

31 

25.  Stricture  of  the  Urethra  

9 

6 

5 
41 

20.  Purulent  Ophthalmia  

44 

1 
3 

81 

44 
1 
3 

69 
4 

8 
g 

23 

27.  Serpent  Bite  

3 

15 

1 
3 

28.  Other  Diseases  of  this  Order  

20 
102 

9 
9 
o 

OICDEU  Ill.—Dietic  Diseases. 
29.  Scurvy  

38 
6 
3 
6 
1 

1 
1 
1 

30.  Purpura  

31.  Delirium  Tremens  

13 

7 

o 

1 

1 

14 

32.  Inebriation  

33.  Chronic  Alcoholism  

16 

34.  Other  Diseases  of  this  Order  

CLASS   II.—  CONSTITUTIONAL   DISEASES. 
OKDEH  l.—Diathetic  Diseases. 
35.  Gout  

1 
349 

239 
82 

1 
355 

05 

3C.  Acute  Rheumatism  
37.  Chronic  Rheumatism  
38.  AnaMiiia  
39   Cancer 

1 

246 
41 

329 
6 

576 
20 

40.  Tumors  • 
41.  Other  Diseases  of  this  Order  . 
OltDEK  II.—  Tubercular  Diseases. 
42.  Consumption  

7 

38 
17 

4 
1 

13 

40 

17 

5 

1 
3 

14 
15 

o 

7 

31 
3 

2 

10 
15 

6 

43.  Scrofula  

44.  Other  Diseases  of  this  Order  . 

CLASS   III.  —  PARASITIC   DISEASES. 
45.  Itch  

190 
1 
9 
1 

107 
2 

58 

142 

197 

46.  Tape-worm  
47.  Other  Intestinal  Worms.     . 
46.  Other  Diseases  of  this  Order.   . 

1 

3 

1 
10 

1 

Carried  forward  

17,017 

250 

18,  287 

12,545 

183 

13,  208 

136 

15,  623 

83 

DURING   THE    YEAR    ENDING   JUNE   30,  1865. 


537 


TABLE  LXXXIY— PART  I. 

of  the  Military  Division  of  the  Mississippi. 


1HU4. 

18(>5. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

AritiL. 

MAY. 

JUNE. 

TOTAL. 

135,221. 

155,  998. 

108,  707. 

124,  534. 

125,  603. 

130,  269. 

87,  791. 

109,  330. 

1 
o 

3 

4 
5 
0 
7 
8 
9 
10 
11 
12 
13 
14 
15 
10 
17 
18 
19 
20 
21 

24 
25 
20 

28 

29 
30 
31 
32 
33 
34 

35 
30 
37 
38 
39 
40 
41 

42 
43 
44 

45 
40 
47 

48 

Cases.  . 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

103 

29 

230 
7 
174 

27 

134 

8 

78 

34 

150 
1 

185 

27 

151 

35 

145 

33 

113 
2 

257 

18 
1 
5 

1,895 
21 
2,012 

410 
6 
112 

231 

9 

3 

6 

3 

202 

7 

134 

5 

1,275 
2,  375 
2,002 
251 
47 
6,  C83 
1,285 
1,  151 
144 
136 
100 
040 

1 

1,  231 
1,  852 
1,082 

6 

804 
1,280 
1,340 

109 

1 

1,302 

2,042 
1  803 

6 
3 

907 
1,  792 
1,081 
181 
20 
5,000 
555 
1,050 
80 
105 
148 
409 

6 
3 
2 

1,501 
2,  197 
1,  852 
207 
130 
5,809 
1,415 
1,  029 
137 
135 
95 
152 

10 
5 

1,129 

1,108 
154 
53 
4,173 
529 
988 
90 
97 
25 
30 
1 
15 

6 

15,  236 
25,  087 
19,  651 
2,357 
601 
58,475 
9,  200 
12,  694 
1,  328 
1,426 
818 
3,542 
15 
373 
2,752 
8  104 

96 
27 
6 
3 
95 
91 
407 
144 
50 
49 
81 
189 
1 
6 
2 

2 
1 
3 
3 
26 
3 
3 
3 
3 
2 
1 

1 
5 

2 

13 

233 
30 
5,405 

880 
908 
127 
114 
79 
449 

109 
23 
5,428 
7C8 
803 
81 
201 
207 
1,  088 
3 
48 
54  8 

1 

10 
32 
3 
1 
9 
20 
58 

4 
11 
35 
10 
2 

10 
11 

38 
2,849 
709 
577 
05 
187 
104 
289 
1 
38 
105 

6 
1 
46 
5 
5 
6 
0 
13 

9 
5 
44 

7 

8 
14 
41 

8 
8 
45 
2 

7 
8 
12 

3 

8 
8 
29 

36 

253 
1,  425 
633 

467 
601 

55 
1 

02 
1 

i 
1 

49 
200 
1,  433 
500 

304 
427 

3 

47 
498 

1 

18 
274 

118 
289 

700 
481 

281 
330 
36 

1  284 

030 

440 
528 

3 

1 

493 

459 
254 

2 

2 

463 
195 

5,  o?.*> 

3,402 
5,006 

428 
64 
641 
8 
57 

1,952 
111 

71 
73 
32 
6 

19 
6,204 
4,113 
431 
5 
80 
34 

303 
235 
14 

2,914 
33 

09 
8 

21 
3 

1 

303 
444 

42 

309 
43 

368 

39 

263 

40 
3 
41 

26 

1 

11 

01 

10 
70 

9 
62 

119 

52 

1 
4 

497 
47 

7 
8 

1 

106 
6 
3 
2 

1 

88 
8 
2 
4 

3 

132 
0 

0 

1     ..   . 

4 

204 
2 

83 

8 

n» 

2 

1 

427 

1 

2 

5 
1 
4 

2 

1 

13 
4 

0 
2 
4 

4 
043 

457 
38 

1 
1 

I 

2 

1 
5 

1 

1 
332 

202 
12 

o 
818 
513 

4 

590 
209 
50 

1 
634 
310 
43 
1 
9 
1 

42 
33 
4 

333 
2 
6 

782 
049 
10 

1 

544 
371 
33 

1 

1 

1 

5 

1 

1 

1 

1 

1 
4 
2 

24 
17 
7 

182 

9 

18 

25 
17 
1 

200 
3 
5 
3 

5 

1 

27 
15 

0 

r 

0 
1 

29 
43 

f 

1 

33 
11 

1 

2 

1 

1 

56 
4 

1 
1 

8 

4 
1 

35 
32 
2 

418 
4 
0 

13 

6 

3 

317 

°74 

370 
o 

!  



5 
4 

11 

4 

17 

3  L 

2    



21,!>78 

114 

18,  44C 

135 

12,  134 

138 

19,  428 

192 

16,  656 

195 

19,  695 

152 

12,  528 

86 

197,  545 

1,889 

68 


538 


SICKNESS   AND    MORTALITY    OF   WHITE    TEOOPS 


TABLE  LXXXIV— PART  I.— MILITARY  DIVISION  OF  THE  MISSISSIPPI— Continued. 


VKAU  

1804. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

86,  252. 

85,244. 

69,  638. 

72,  Oi3. 

130,  029. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Brou  ht  forward 

17,  017 

5 
33 
374 
13 
3 

250 

4 
1 

18,  287 

4 
30 
334 
4 
2 

1 

225 
o 

12,  54.5 

2 

15 
138 

183 

1 
2 

13,  208 

1 
33 
244 

136 

15,  623 

1 
53 
175 
5 
3 
1 
o 

83 

CLASS    IV.—  LOCAL    DISEASES. 
ORDKH  I.  —  Viseasesof  Xtrvous  System. 

P  P      y 

o 

1 

P     '  ^ 

1 
3 

7 

5 

y                      . 

o 

0 

1 

1 

. 

1 

'    "  a              U°f  «6 

1 
32 
317 
10 
101 

1 
33 

56    No  f  1   i                 P 

1J 

OOQ 

17 
110 
o 

11 

1 

3 
3 

362 

33 

2°0 

K  . 

128 

58    i'aral  -sis 

1 
5 

3 

17 

1 

1 
2 

1 

3 

3 

2 

1 

OKUEK  11.  —  Diseases  of  Eye. 
61.  Amnurosis  

4 
3 

420 

4 

9 
4 
300 
14 
13 
1 

23 

62.  Cataract  

3 
331 

307 
6 
23 

64.  Inflammation  of  Iris  

43 

28 
4 

56 

o. 

65.  Night  Blindness  

26 

17 
3 

15 

66.  Other  Diseases  of  this  Order  

8 

OUUEK  111.—  Diseases  of  Ear. 
67.  Inflammation  of  Internal  Ear  

29 

68.  Deafness  

15 

t) 

54 
5 

7 
13 
1 

5 

69.  Otorrluea  

37 

20 

70.  Other  Diseases  of  this  Order  

1C 

1 
9 
3 
1 
3 
3 

OKDEK  IV.—  Diseases  of  Organs  of  Circulation. 
71.  Aneurism  

72.  Valvular  Disease  of  Heart  

3 

1 
1 
5 
1 
3 

1 

o 

7 
1 

1 

1 

7 
5 

73.  Dropsy  from  Heart  Disease    

74.  Dropsy  of  Pericardium  

1 
1 

75.  Inflammation  of  Pericardium  

2 

2 

o 
1 

76.  Inflammation  of  Endocardium  

3 

77.  Inflammation  of  Veins  

78.  Varicose  Veins 

23 

15 

2 

14 
10 
16 

oo 

79.  Varicocele  

14 
1 

29 

30 

1 

28 

5 
ft 

00 

80.  Other  Diseases  of  this  Order  

1 



3 

ORDER  \.-Viseasesof  Respiratory  Organs. 
81.  Asthma  

82.  Acute  Bronchitis 

1GO 

*      : 

83.  Chronic  Bronchitis  

39 
3 

12 

o 

85 
1 
o 

53 
3 
4 

57 
235 

1 

84.  Dropsy  of  Chest  

1 

4 

85.  HiBinorrhagc  from  Nose  

1 
1 

10 

86.  Inflammation  of  Larynx 

7 
73 
75 

17 
18 

87.  Inflammation  of  Lunps 

80 
85 
13 

33 
1 

10 

41 
72 
7 
17 

171 

3 
1 
2 

89 
59 
17 
14 

198 

414 
38 

7 

88.  Inflammation  of  Pleura 

89.  Httiiiorrliofre  from  Lunps 

17 

87 

248 

90.  Other  Diseases  of  this  Order.  . 

42 
336 

o:;8 

176 

2 

5 

ORDER  VI.—  Diseases  of  Digestive  Organs. 
01.  Colic  

1 

92.  Constipation  

1 

494 
177 

93.  Cholera  Morbus  

1 

79 

1 

62 
1 
11 

1 

94.  Cirrhosis  of  Liver  

9j.  Dropsy  from  Hepatic  Disease.  .                 . 

17 

140 

o 
1 

19 
121 
1 
6 
6 

1 
1 

10 
73 
1 
3 

2 

10 
64 

7 

1 

96.  Dyspepsi.-v  

97.  Diseases  of  Pancreas  
!'H.  Diseases  of  Spleen  
!>:>.  Fistula  in  Ano  

15  '  

1(H.  Hemorrhage  from  Stomach  
Carried  forward  

82 
2 

20,  5G3 

312 

1 

21,  1G5 

2.32 

14,476  :      203 

58 
1 

15,  567 

55    

18,786         101 

151 

DURING   THE    YEAR   ENDING   JUNE   30,    1805. 


539 


TABLE  LXXXIV— PART  I.— MILITARY  DIVISION  OF  THE  MISSISSIPPI— Continued. 


18(54. 

1B()5. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

135,  221. 

155,  998. 

108,  767. 

124,  534. 

125,  603. 

130,  209. 

87,  791. 

109,  330. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.   Deaths. 

49 
50 
51 
52 
53 
54 
55 
50 
57 
58 
59 
60 

61 
62 
63 
64 
65 
CO 

67 
68 
69 
70 

71 
7° 
73 
74 
75 
70 
77 
78 
79 
80 

81 
82 

83 

84 
65 
86 
87 
88 
89 
90 

91 
92 
93 

94 
95 
90 
97 
98 
99 
100 
101 

21,  978 

3 

47 
229 
6 

6 
4 

8 
18 

OQQ 

14 

114 

2 
1 

18,  446 

3 
35 

304 
4 

135 
1 

12,  134 

2 
36 
284 
9 
6 
4 
6 
47 
200 
24 
1 
6 

2 
1 
320 

138 

4 
1 

19,  428 

2 
49 
324 

192 

16,  656 

5 

34 
344 
3 
1 

195 

3 

1 

19,  695 

3 

46 
408 
7 
2 
2 
1 
43 
345 
20 

152 

12,  528 

86 
1 

197,  545 

31 
463 
3,421 
76 
31 
19 
34 
332 
3,121 
118 
159 
49 

55 
33 

4  528 

1,889 

18 
12 

2 

1 

52 
263 

2 
2 

1 

6 
6 
3 

4 
38 
328 

7 

3 

22 
166 
6 
17 
6 

2 
5 

305 
12 
40 
3 

14 
5 
30 
1 

3 

23 
15 
3 
4 
1 
5 
6 
4 

4 
1 
1 
1 

4 
1 

1 

4 
1 

2 

1 

1 
3 

2 
5 
18 
349 

8 

1 
1 
1 

3 

20 

2 
1 

271 

1 

1 

14 

12 

4 
5 

4 
o 

7 
6 

7 
1 
474 
29 

1 

12 

6 
3 

406 
9 
17 
4 

21 
7 
33 
6 

6 
4 
407 
9 
8 
4 

32 

7 

6 
4 

386 
21 
15 

3 

450 

8 
8 
3 

20 
13 

9 

17 

171 
241 
35 

329 
130 
404 
55 

7 
168 
40 
14 
39 
18 
7 
223 
153 
41 

396 
5,823 
1,  201 
43 
144 
764 
3,034 
1,507 
220 
634 

2  994 

29 
2 

36 
11 
39 
1 

6 
30 
1 

1 

34 
23 

26 

11 
43 

19 
31 
11 

39 
4 

42 

7 

3 

15 
5 

0 

5 

1 

14 
7 
1 
4 

1 

13 
5 
2 
6 

1 
3 
2 

23 
3 
1 
3 

4 
o 

20 
4 
1 
6 
2 

2 

1 

23 
4 
1 
o 

2 

14 
5 
6 
7 
1 

1 
o 

1 
1 

2 

5 
2 
1 
13 
13 
1 

37 
419 
132 
3 
11 
50 
215 
130 
18 
27 

312 

1 

1 

oo 

1 

19 

30 
13 
4 

51 
937 
140 
10 
14 
126 
437 
213 
27 
109 

3G4 
720 
74 
1 
18 
98 

07 

24 
20 
1 

29 
433 
69 
3 

12 
10 
1 

29 

4 

17 
o 

46 

700 
201 
4 
37 

9 
32 

1 

1 

1 
1 

1 

4 

1 
6 
7 
2 
1 
3 
325 
9 
o 

15 

1 
1 
8 

45 
849 
180 
3 

£ 

504 
205 
27 
73 

269 

0 

642 
176 
1 

1 

1 
1 

200 
48 
6 
9 
14 
70 
70 
23 
10 

004 

2 

1 

1 

o 
50 
2 

84 
411 
144 
<) 

146 
529 
200 
29 

56 

284 
129 
16 
CO 

214 
704 
48 
4 
29 
75 

20 

48 
o 

66 

1 

44 
2 

25 

3 

2 

1 

118 

144 
435 

59 
201 

1 

o 

548 
46 

39 

108 

1  0°3 

879 
100 

560 
112 
1 
12 

7,283 
976 
13 
238 
1,093 

40 
102 
868 
22  : 

1 

31 
1 

38 
52 

33 

1 

1 

1 

1 

18 
83 

1 

17 
116 

7 
1 

81 

1 
6 

77 
1 

8 
<> 

3 

15 

1 
14 
114 
4 

4 

9 
74 
2 

9 

99 
4 

8 
06 

1 

58 

04 
4 

1 

20,  700 

150 

22,  977 

206 

15,716 

207 

24,  281 

277 

20,255 

262   23,  887 

192 

15,  114 

99 

239,  547  ;  2,  412 

540 


SICKNESS    AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  LXXXIV— PART  I.— MILITARY  DIVISION  OF  THE  MISSISSIPPI— Concluded. 


VEAK  1««4. 

MONTH  JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  8<>.  252. 

85,  244. 

GO,  638. 

72,  613. 

130,  029. 

LIST  OF  DISEASES.                                  Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

forward 

20,  563 

9 
10G 
31 
13 
3 
3G 

312 
1 

21,  105 

11 

69 

252 

14,  476 

7 
79 
12 
5 

203 
1 

15,  507 

3 

77 
7 

151 
1 

18,  786 

4 
144 
14 
8 

101 

OitDKR  VI.  —  Distant  of  Digestive  Organs—  Continue  d. 

ffitiioTiagt  ro 

10>!    l'' 

15 

15 
4 
45 
49 
439 

1 
5 

1 

o 

1 
1 

1 

1 

1 

2 

10-'  1  '                  11  of  Bowels 

5 
5 

f  r    ' 

1 

107     \                             f         f      i  '  -r 

1 

35 

41 
6 

09 

.  '  <  '•'«    n 

211 

249 

1 

05  ! 

3 

245 
144 
4 

10 

265 

433  ' 

110     Piles                                                                                             

144 
14 

13 
3 

12 

234 

22 
13 

1 

24 

17 
7 
5 

16 

14 
8 
6 

OB.DEK  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

11 
1 
4 
45 
12 

3 

11 
44 
2 
8 
4 

4 

5 
33 
7 
6 
3 
1 

26 

118.  Inflammation  of  Bladder  

4 

15 

7 
7 
2 

119.  Incontinence  of  l.'riue  

20 
7 
3 

4 
3 

10 
3 

120.  Ilydrocele  

121.  Other  Diseases  of  this  Order  

4 

3 

8 
3 

OUDEii  VIII.  —  Diseases  of  Bones  and  Joints. 
122.  Anchylosis  

4 

o 

5 

123.  Caries  

o 

124.  Inflammation  of  Joints  

9 

r 

7 

125.  Inflammation  of  Bones  

1 

126.  Inflammation  of  Periosteum  

3 

o 

7 
3 

127.  Necrosis  

] 

1 

128.  Other  Diseases  of  this  Order  

2 

246 
471 
37 
136 

155 

30 
100 
6 

104 

ORDER  IX.—  Diseases  of  Integumentary  System. 
129.  Abscess  

1 

161 

419 
31 
88 
133 

17 
83 
1 

72 

113 

266 

134 

130.  Boils  

185 
14 

131.  Carbuncle  

132.  Whitlow  

40 

98 

18 

133.  Skin  Diseases  

118 

54 
3 
146 

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

ORDER  I.—  Wounds,  Accidents,  and  Injuries. 
134.  Burns  

135.  Contusions  

1 
2 
5 

88 
110 

2 
1 
12 

136.  Concussion  of  Brain  
137.  Drowning  
138.  Sprains  

1 
3 

o 

67 

5 

1 

140.  Simple  Fractures  
141.  Compound  Fractures 
142.  (iunshot  Wounds  

6 
11 
6 

028 
40 
18 
16 
6 
34 

1 
91 

4 
11 
4 
329 
32 
6 
8 
10 
6 

39 

6 
9 

0 

139 
21 
11 

1 
14 
2 

18 
20 
258 
23 
23 

1 

20 

1 

10 
2° 
8 
1,157 
78 
31 

26 

143.  Incised  Wounds.  
144.  Lacerated  Wounds  
145.  Punctured  Wounds.  .  .  . 

146.  Poisoning-  
147.  Other  Accidents  and  Injuries 

M8.  OKDBR  II.—  Homicide... 

1 

6 
1 
1 

8 
5 

1 
1 

1 

o 

8 

1 

o 
15 

4 
1 

149.  ORDER  \l\.—  Suicide 

1 

150.  OUUER  IV.—  Execution  of  Sentence 

2 

Total  23,408 

431 

23,  591 

313 

16,  040 

*.o3 

17,185 

179 

22,  113 

152 

DURING   THE    YEAR   ENDING   JUNE    30,  1 865. 


541 


TABLE  LXXXIV— PART  I.— MILITARY  DIVISION  OF  THE  MISSISSIPPI— Concluded. 


1804. 

1805. 

' 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE.                   TOTAL. 

135,  221. 

155,  998. 

108,  767. 

124,  534. 

125,  603. 

130,  269. 

87,  791. 

109,  330. 

102 
lOli 
104 
105 
106 
107 
108 
109 
110 
111 

112 
113 
114 
115 
116 
117 
118 
119 
120 
121 

123 
124 
125 
126 
127 
128 

129 
130 
131 
132 
133 

134 
135 
136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
146 
147 

148 
14!) 
150 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths 

Cases. 

Deaths 

Cases. 

Deaths. 

Cases. 

Deaths. 

26,  760 

5 

169 
27 
10 
1 
23 
58 
459 
325 
17 

26 
4 
3 

150 

22,  977 
20 

206 

15,  716 

14 

192 

207 

24,  281 

11 
363 
18 
24 
2 
55 

277 
1 

20,  255 

10 
247 
14 
24 
1 
75 

262 

23,  887 

9 
151 
24 
23 
o 

75 

192 

15,  114 

10 
67 
19 
4 
4 
43 

273 
153 

99 

239,  547 

113 
1,874 
2'55 
179 
2' 
549 
375 
3,425 

2,  412 
4 

210 

07 
21 
3 
52 
38 
373 
310 
15 

7 
8 
17 

1 

2 
3 
2 

27 
20 
4 
40 
28 
206 
106 
11 

3 

8 
16 
3 
7 
32 
11 
12 

1 

2 
2 

1 

1 

1 
1 

0 

2 
1 

13 

22 
15 
4 
4 
11 

2 

28 
160 
200 
12 

2 
1 

18 
170 
180 
13 

16 
9 
7 
1 
7 
43 
4 
5 
4 
4 

1 
1 
10 
1 
6 
1 
1 

113 
249 
13 
61 
107 

24 

45 

1 

2 

1 

1 

191 

225 

2 

9 
oo 

1 

13 

12 
3 
3 

170 

161 
64 

87 

63 

4C4 
97 
124 
48 
58 

58 
44 
108 
10 
27 
35 
9 

1,663 
3,575 

265 

2 

8 
4 
2 

6 

5 
44 
8 
15 
4 
23 

o 

5 

9 
55 
10 
10 

e 

2 

5 
1 
4 

4 
48 
13 
5 

1 
7 

16 
8 
9 
1 
6 
6 
3 

156 
311 

2 
30 
9 
7 
4 
5 

9 

41 
10 
14 
4 
2 

5 
3 

20 

1 

1 

7 
5 

4 

18 

7 
4 

C 

1 
5 

1 

6 

1 

2 
1 

136 
320 
2!) 
49 
184 

59 
190 
4 

5 

5 

2 

125 

141 
342 

155 

91 
23° 

1 

218 

264 

16 
53 
136 

65 
128 
1 

11 
43 

100 

41 
88 
5 

12 
47 
164 

44 

148 
4 

17 

59 

53 

713 
1,434 

97 

40 
159 
o 

83 

34 

100 
4 

1 
1 
2 

4 

447 
1.4C9 
33 

1 
7 
14 
59 

1 

1 
4 
6 

148 
1 

1 

1 
3 

1 

2 

7 

7 

6 

206 
11 
24 
30 
2,231 
99 
48 
13 
6 
125 

163 

12 

156 
12 
20 

232 

176 
11 
25 

234 

130 

11 
16 

1  7% 

1 

14 
23 
10 
124 
78 
19 

24 

133 

228 
98 
5,600 
739 

133 

69 
477 

1 
1 
5 
266 

7 
1 
1 
1 
37 

15 

7 

0 

19 
4 
84 
120 
8 
15 

30 
5 
76 
54 
19 

1 
4 

5 

82 
82 
17 
6 
3 
38 

1 

7 

4 
438 
68 
13 
16 
3 
20 

1 
15 
1 

21 
2 

8 
1 

17 
1 

54 
44 
19 

4 

10 
3 
32 

1 

22 

8 
38 

5 
17 
66 

1 
2 

1 

90 

1 

7 
o 

il 

4 

6 

1 

o 

4 
1 
1 

i 
i 



2 

2 



31,  7«iC 

186 

25,  585 

230 

17,611 

232 

26,659 

311 

22,  dl8 

299 

26,  153 

230 

Hi,  821 

119          8tI9,G10     2,915 

542 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  LXXXV— PAKT  II. 

Abstract  of  the  Sickness  and  Mortality 


YEAR  

1SG4. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER.          OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  "-  

137,  176. 

132,  296. 

129,  405. 

118,  800. 

78,  927. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS    1.—  ZYMOTIC    DISEASES. 

ORDEit  I.  —  Miasmatic  Diseases. 

149 
1 

212 

77 

4 

188 

40 
o 

5 

51 
1 
111 

35 

71 

26 

30 

4 
22 

5 

I 

4 

79 

6 

2,  154 
2,491 

8 

2,056 

2,278 
1,964 
232 

13 
1 

1,518 
2,181 
2,  114 
166 
43 
5,170 
673 
1,893 
149 
86 

13 
1 
1 
1 
13 
11 
116 
37 
14 

I,  012 
1,623 
1,380 
143 
42 
3,111 
400 
1,  123 
107 
60 
3 
15 

15 
4 

531 
675 
704 
43 
10 
2,022 
224 
485 
60 
49 

4 

2,056 
199 
49 
7,  016 
808 
2,371 
185 
108 
1 
9 

1 

1 

4 
10 
135 
43 
11 

9.  Congestive  Intermittent  Fever  

6 
20 
75 
21 
10 

46 
6,994 
880 
2,670 
170 
128 
2 
5 

3 

8 
106 
14 
20 

1 

5 
2 
4 
6 

8 

1 

73 

1 

18    Diphtheria              

9 
53 

1 

12 
31 
105 

11 
15 

1 

7 
23 
94 

270 

83 
125 
31 
2 

1 

51 
56 

135 

120 

587 

1C1 

220 

5 

569 
127 

0 

126 

3 

2 
1 

117 

58 
74 
8 
3 
3 

1 

OKDEH  II.  —  Enthetie  Diseases. 
22.  Syphilis  

1C5 

173 
15 
1 
26 

24.  Orchitis 

17 
3 

5 

26 

1 

1° 

27.  Serpent  Bite  

4 
6 

914 
11 
1 
3 

2 

o 

2 

28.  Other  Diseases  of  this  Order  

3 

869 
2 

15 

620 
1 

1 
"S2 

ORDER  III.—  Dietic  Diseases. 
29.  Scurvy  

5 

1 

229 
3 

2 

30.  Purpura  

31.  Delirium  Trcmens  

2 
3 

32.  Inebriation  

1 
1 

1 

1 

33.  Chronic  Alcoholism  

34.  Other  Diseases  of  this  Order  

15 

CLASS   II.—  CONSTITUTIONAL    DISEASES. 
ORDER  I.  —  Diathetic  Diseases. 
35.  Gout  

1 

478 

1 

520 
278 
50 

30.  Acute  Rheumatism  

507 
311 
54 

3 
3 

477 
200 
35 

1 
3 

302 

129 
7 

37.  Chronic  Rheumatism  

287 
96 

3 
1 

1 

38.  Anaemia  

39.  Cancer  

1 

40.  Tumors  

5 
3 

22 
22 

_ 

9 
2 

25 

2 

41.  Other  Diseases  of  this  Order... 

3 

23 
°2 

20 
14 

1 
9 

OUUEH  II.—  Tubercular  Diseases. 
42.  Consumption  

4 

4 

1 

3 
1° 

43.  Scrofula  

44.  Other  Diseases  of  this  Order.  .  . 

1 

80 
1 
2 

CLASS    III.  —  PARASITIC    DISEASES. 
45.  Itch  

110 
2 
5 

54 

80 

33 
1 
4 

46.  Tape-worm  

1 

7 

47.  Other  Intestinal  Worms  

3 

48.  Other  Diseases  of  this  Order  

Carried  forward  

230 

20,  992 

233 

20,  673 

16,  826 

253 

10,  889 

275 

5,  859           30 

DURING    THE    YEAR    ENDING    JUNE    30,  1865. 


543 


TABLE  LXXXV— PART  II. 

of  the  Military  Division  of  the  Mississippi. 


18G4. 

1865. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APUIL. 

MAY. 

JUNE. 

TOTAL. 

77,  585. 

75,  851. 

70,  707. 

69,  818. 

75,  184. 

78,  514. 

28,  339. 

89,  384. 

1 

3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 

22 
24 

as 

20 
27 

28 

29 
30 
31 
32 
33 
34 

35 
36 

37 
38 
39 
40 
41 

42 
43 

44 

45 

4(i 
47 
48 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.  .Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

44 

23 

71 
1 

67 

16 

13 

21 

30 

15 

18 

18 
2 
2 

13 

15 

9 

C21 
11 

9G7 

291 
4 
45 

56 

3 

8 

16 

3 

60 

10 

107 

32 

g 

17 

1 

480 
654 
682 

44 

C 
1,980 
220 
473 
39 
41 
4 
148 

15 

783 
1,093 
979 

11 
1 

346 
588 
522 
20 
6 
1,  495 
168 
235 

vO 

25 
37 

6 

435 
609 
530 
31 
15 
2,061 
290 
310 
42 
35 
6 
19 

10 
2 

700 
1,  056 
901 
58 
8 
2,245 
376 
433 
43 
51 
13 
36 

4 

733 
926 
793 
52 

2 

305 
323 
300 
18 
4 
1  277 

11,  113 
14,  494 
12,  925 
1,104 
252 
38,  275 
4,880 
11,294 
947 
701 
99 
451 

101 
11 
3 
3 
58 
89 
660 
J74 
85 
12 
13 
23 

1 
1 

4 
5 
61 
9 
6 
3 
3 
4 

98 
8 
2,450 
349 
578 
40 
48 
37 
67 

2 
7 
23 
16 
11 
1 

4 
11 

47 
20 
9 
1 
1 
5 

10 
13 
39 
6 
3 
1 
6 

4 
o 

34 
1 
1 
4 
3 
4 

15 

2,  454 
288 
488 
50 
46 

1 

o 

13 

1 

210 
235 
37 

3 
5 

1 

1 

8 

29 

14 

0 

1 

12 
35 
99 

1 

54 

62 

9 
17 
47 
192 

36 

2 

67 
314 
979 
2,865 

670 
1  260 

4 

14 
53 

59 

48 
40 
4 

5 

11 

94 
51 

26 

7 
23 
40 

41 
114 
4 

155 
115 

79 

3 

o 

244 

53 

95 

10 

1 

29 
1 

90 
13 

40 
6 
3 
1 

59 

65 

6 
1 

7 

20 
3 
14 
1 
3 

56 
1 
1 
1 

8 
2 
13 

101 
27 
148 
11 
33 

2,992 
°4 

1 

4 

9 

1 
65 

2 

14 

1 

94 
1 
1 
1 
1 

35 

11 
1 

1 

33 

9 

0 

1 

1 
3 

7 
16 
o 

19 

6 
4,409 
2,  2C8 
328 

40 
26 

147 
139 
1 

763 
16 
33 

1 

1 

1 

1 

~ 

1 

3 

1 

381 
254 
20 

1 

360 
162 

275 
103 
6 

1 

487              2 
204 

292 

102 

236 

1 

94 

- 
12 
1 

135 
1 
1 

2 

43 

10 

15 

4 

30 

1 
1 

10 

8 

6 
1 

5 

12 

1 
9 

13 

4 

1 
1 

3 

5 

3 
4 

6 
6 

1 

1 

2 

1 

3 
3 

3 

14 
1 

2 

78 

82 

I 

2'' 

36 
2 

97 

75 
3 
3 

9 

3 

0 



2 

; 

5,  619 

118 

8,05fi 

140 

4,206 

130 

5,173 

119       7,  498 

90       7,051             42 

3,211 

6    :    ll(i,  053    i  1,666 

544 


SICKNESS   AND    MORTALITY    OF    WHITE    TROOPS 
TVBLE  LXXXV-PART  XL-MILITARY  DIVISION  OF  THE  MISSISSIPPI— Continued. 


1864. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

137,  176. 

132,  296. 

129,  405. 

118,800. 

78,  927. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.  '  Deaths. 

,20,  992 

3 
16 
457 
10 
2 

233 
4 

20,  673 

26 
457 

230 

6,826 

3 
35 
303 
7 
2 
1 
3 
21 
242 
16 
5 
3 

11 
o 

253 

2 
1 

10,  889 

2 

17 
188 

275 

5,  859 

1 
15 
85 
2 
1 

30 
1 

CLASS    IV.—  LOCAL    DISEASES. 
ORDER  I.—  Diseases  of  Xervous  System. 
49.  Apoplexy  
50.  Epilepsy  

51.  Headache  
52.  Insanity  
53.  Inflammation  of  Brain  

2 

9 
4 

1 
1 

2 

5 

1 

1 
1 

1 

54.  Inflammation  of  Membranes  of  Brain  

o 

3 

11 
453 
4 
68 
4 

1 
1 

3! 
11 
165 

55.  Inflammation  of  Spinal  Cord.   

16 

4 
93 

383 
9 

57.  Neuralgia  

10 
4 

1 

3 

56.  Paralysis  
59.  Sun-stroke  

182 
4 

4 

1 

1 

2 

OUBE'U  II.  —  Diseases  of  Eye. 

3 

%6 

4 

246 

239 

177 
2 
125 

106 
1 
42 

13 

216 
7 

38 
6 
39 

8 

2 
6 
6 

1 

2 
5 
19 
17 
3 

25 

3 
293 
5 

22 

13 
164 
5 

20 

3 

3 
2 
6 
3 

OitUEU  III.  —  Diseases  of  Ear. 

12 
4 
15 

48 

O 

7 
29 

'      e 

Ouitiill  IV.  —  Diseases  of  Organs  of  Circulation. 

~o   V'              D'  •  ••  •      f  H  •  rt 

12 
2 
1 
2 

7 
1 

10 
2 

1 
3 

7 
1 

5 

1 

1 

2 

01  ^  of  Pericardium 

5 

1 

3 
1 

1 
2 

1 

11 
11 
o 

37 
311 

45 

30 
20 
1 

15 

17 
11 
4 

33 

269 
35 
1 
o 

16 
7 
1 

13 
239 
23 
2 
1 
15 
98 
43 
7 
5 

247 
85 
46 

60.  Other  Diseases  of  this  Order  

1 

3 

OIIUER  V.  —  Diseases  of  Respiratory  Organs. 
81.  A  sthma  

239 
42 
1 
4 
35 
124 
80 
17 
25 

516 
60° 

1 
1 

281 
21 

1 

1 

o 

84.  Dropsy  of  Chest  

85.  Ilienioi-ihage  from  Xoso  

1 

°0 

r 

86.  Inflammation  of  Larynx  

°0 

20 
96 
65 
19 
29 

351 

252 
87 
3 

1 
o 

6 

86 
84 
30 
26 

597 
580 
239 
1 
20 
125 

9 

83 
75 
15 

26 

467 
420 
134 

7 
1 
o 

8 

68.  Inflammation  of  Pleura  

89.  Haemorrhage  from  Lungs  

1 
1 

90.  Other  Diseases  of  this  Order  

1 

ORIJER  VI.  —  Diseases  of  Digestive  Organs. 
91.  Colic  

1 

1 

92.  Constipation  

1 

1 
2 

1 
1 

93.  Cholera  Morbus  

191 

1 

94.  Cirriiosis  of  Liver  

93.  Dropsy  from  Hepatic  Disease  

28 

20 
85 

2 

11 
6° 

4 
"2 

96.  Dyspepsia  

97 

1 

97.  Diseases  of  Pancreas  

3    

98    Diseases  of  Spleen 

4    
11    

C.I 

1 

8 
71 
2 

3 

7 

1 

99.  l'i:itula  in  Ami  

V 

1 

3 

40 

100.  Hernia    '           61 

101.  lltemorrhage  from  Stomach  !            1 

2 

231 

24,  613         258 

19,  828         283 

13,  067         290 

7,157  i        43 

DURING    THE    YEAR    ENDING   JUNE   30,   18G5. 


545 


TABLE  LXXXV— PART  II.— MILITARY  DIVISION  OF  THE  MISSISSIPPI— Continued. 


1864. 

1865. 

DECEMBER. 

JANUARY. 

FEHRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

77,  585. 

75,  851. 

70,  707. 

69,  818. 

75,  184. 

78,  514. 

28,  339. 

89,  384. 

49 
50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 

61 
62 
63 
64 
65 
66 

67 
68 
69 
79 

71 
72 
73 

74 
75 
76 

77 
78 
79 
80 

81 
82 
83 
84 
85 
86 
87 
88 
89 
90 

91 
92 
93 
94 
95 
96 
97 
98 
99 
100 
101 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Death?. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

5,619 

118 

8,056 

1 
12 
136 
3 
o 

140 

1 

1 

4,206 

1 

8 
59 

130 

1 
1 

5,173 

1 

8 
33 
1 

119 

1 

1 

7,498 

o 

144 
5 

90 
2 

7,051 

1 
9 
1°7 

42 
2 

3,211 

6 

116,  053 

15 
170 
2,108 
47 
17 
3 

i'3 

1  079 

1,666 

13 
5 

9 
84 
2 
4 

3 
35 
1 
1 

1 
1 

2 

1 

1 
3 

2 
17 
3 
1 
3 

3 

1 

1 

1 

1 

1 
1 

1 

1 
4 

81 
4 

4 
8 
147 
8 
23 
1 

5 

9 

121 

1 
54 
4 

1 

5 
79 
3 

1 

1 
47 
1 
3 

114 
2 
81 
6 

3 
1 

100 
1 
8 
2 

2 
2 
3 

6 

1 

1 

1 

67 
366 
25 

37 
11 
1,596 
45 

889 
27 

2 
4 

1 

1 

2 
1 

109 
o 

1 

1 

4 

78 
1 

0 

48 

79 

105 

43 
0 
1 
3 

2 
1 
5 

1 

5 

11 

2 

3 
2 

8 

6 
3 
3 

9 
7 
4 

5 
2 
3 

1 

2 

123 

42 
166 
15 

3 

71 
10 
8 
17 
7 
6 
173 
92 
12 

215 
2,515 
315 

7 

3 

1 

9 
1 

3 

o 

4 

0 

2 
1 

2 

1 
1 

2 

3 

2 

1 

5 

G 

1 

17 
10 

1 
o 
o 

1 

1 

1 

1 

I 

1 

1 
1 

1 

1 

1 

3 
o 

13 

6 

15 

°2 

19 
4 

2 
6 

4 

5 

1 

14 

310 
39 

0 

1 

5 

1 
4 
6 
1 

16 
137 
13 

1 

9 

206 
18 

11 
138 
23 
1 

19 
170 
20 

14 
167 
31 

9 

48 

1 

1 
1 

1 

1 

1 

oo 

1 
8 
59 
38 
6 
18 

104 

62 

3 
4 
45 
52 

4 
9 
43 
45 
5 
5 

170 

7 
85 
30 
11 
6 

195 
92 
33 

2 
35 
30 
6 

8 

105 

2 
12 
15 
4 
3 

69 

1 

164 
844 
639 
126 
193 

3,  180 
2,  928 

885 

181 
G4G 
3 
20 

1 

87 
5 
4 
4 

3 
3 

12 

12 
1 
1 

78 
70 
4 
24 

5 

17 

9 
1 

4 

7 

1 

18 
182 

1 

1 

177 
192 

77 
18 

211 

243 

112 

1 

18 

20 

3 

1 

3° 

36 

31 

1 

1 
13 
75 

30 

1 

29 
34 

1 

18 

14 

23 

3 

15 

60 

1 

- 
1 

15 

4 
6 
15 

„ 



8 
24 
1 

3 
11 

I 

0 

4 

26 

60 
418 

10 

1 
1 

11 
1 

1 

37 

1G 

1 

2 

6,<;n) 

140 

9,565 

154       4,  987 

162 

5,944 

145 

8,917 

105 

8,440 

54 

3,728 

10 

137,  703 

1,895 

C9 


546 


SICKNESS    AND    MORTALITY    OF    WHITE    TEOOPS 


TABLE  LXXXV— PART  II.— MILITARY  DIVISION  OF  THE  MISSISSIPPI— Concluded. 


VKAH  

1864. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

137,  17C. 

132,  296. 

129,  405. 

118 
Cases. 

800. 

78,  927. 

LIST  OF  DISEASES. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Deaths. 

Cases. 

Deaths. 

Brou  ht  forward 

24,838 

12 
87 
13 
10 

251 

1 
1 

24,  613 

258 
1 

19,  828 

6 
80 
7 
14 
3 

283 

1 

13,  067 

3 

78 
8 
7 
1 
15 
10 
237 
188 
14 

4 
1 
4 

290 

1 
1 
2 
1 
2 

7,157 

43 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

63 

15 

17 

32 
6 

0 

1 

4 
9 
96 
117 
3 

1U3.     n  am 

1 
1 

o 

5 

3 

f  P    'f 

11X>     "  a                              f  T  '  • 

39 
°1 

48 
17 
248 
280 
12 

39 
17 
327 
255 

1 
1 
2 

\CUtC.        H             •              • 

2 
1 

187 
249 
64 

11 

1 
1 

33 

9 
4 

8 

1 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

10 
2 

8 

11 
49 
11 
14 
3 

113   Diabetes 

1 

1 
3 

9 

1 

7 
37 
8 
9 
2 
3 

o 

6 
36 
6 
12 

4 

28 
4 
9 

4 
8 
5 
6 
2 

118.  Inflammation  of  Bladder  

I'M.  Hydrocele  

5 
4 

1 

0 

121.  Other  Diseases  of  this  Order  

3 

4 

ORDER  VIII.  —  Diseases  of  Hones  and  Joints. 
122.  Anchylosis  

2 
2 
11 

1 
1 
11 

123.  Caries  

1 
5 

— 

124.  Inflammation  of  Joints  

1° 

13 

125.  Inflammation  of  Bones  

o 

1 

4 

126.  Inflammation  of  Periosteum  

5 
1 

7 
5 

1 

1^7.  Necrosis]  

3 
o 

128.  Other  Diseases  of  this  Order  

1 

137 

1 

79 

ORDER  IX.  —  Diseases  of  Integumentary  System. 
129.  Abscess  

259 
G°6 

232 

798 

207 

1 

131.  Boils  

131.  Carbuncle  

5°  ' 

85 
65 

1 

65 

58 

37 
36 

154 

11 
05 

132.  Whitlow  

7° 

133.  Skiu  Diseases  

1C9 

50 
157 
3 

183 

43 
158 
12 

169 

43 
3 

68 

CLASS    V.     WOUNDS,  ACCIDENTS,   AND 
INJURIES. 
ORDER  I.—  Wounds,  Accidents,  and  Injuries. 
134.  Burns  

1 
3 

1 

1 

o 

1 
1 
1 
1 

31 

128 
1 

13").  Contusions  

1 

86 
1 

130.  Concussion  of  Brain 
137.  Drowning  

139.  Dislocation  
140.  Simple  Fractures  

131 
8 
9 
17 
5,331 
51 
26 
13 
20 
64 

153 
4 
16 
9 
2,  690 
67 
53 

133 
4 
9 

3 
1,415 
43 
20 

20 

180 
6 

190 
5 
13 
1 
234 
36 
14 
9 
1 
5 

142.  Gunshot  Wounds  

2 
355 

5 
447 
4 

8 

256 

14 

520 
50 

84 

20 

143.  Incised  Wounds  ... 

145.  Punctured  Wounds  

1 

1 

25 
10 

7 
24 

147.  Other  Accidents  and  Injuries 

7 

9 

17 

4 

18 
9 

1 
1 
1 

2 

4 

148.  ORDKK  II.  —  Homicide 

140.  ORDER  III.—  Suicide 

1 

150.  ORDER  IV.—  Execution  of  Sentence 

1 

32,  685 

629 

30,065 

741 

23,689 

556 

15,  487 

389 

8,549 

69 

DURING   THE    YEAR    ENDING   JUNE    30,  1865. 


547 


TABLE  LXXXV— PART  II.— MILITARY  DIVISION  OF  THE  MISSISSIPPI— Concluded. 


1804. 

18(55. 

DECEMBER. 

JANUARY. 

FEBUUARY. 

MARCH. 

APRIL. 

MAY. 

Jf.NE.                    TOTAL. 

77,  585. 

75,  851. 

70,  707. 

69,  818. 

75,  184. 

78,  514. 

28,  339. 

89,  384. 

102 
103 
104 
105 
106 
107 
108 
109 
110 
111 

112 
113 
114 
115 
116 
117 
118 
119 
120 
121 

122 
123 
124 

125 
126 
127 
128 

129 
130 
131 
132 
133 

134 
135 
136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
140 
147 

148 
149 
150 

Cases. 

Deatha. 

Cases. 

Deaths. 

Cases     Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths  . 

Cases.      Deaths. 

6,619 

140 

9,  565 

4 
64 
5 

7 

154 

4,987 

162 

5,944 

1 
23 

6 
2 
1 
7 
6 
124 

145 

8,917 

1 

42 

105 

8,440 

6 
25 
3 
14 

54 

0     70  Q 
O,    /~O 

10 

137,  703 

33 

557 
76 
89 
10 
214 
106 
1,801 
1,817 
160 

69 

59 
1 
48 
211 

1,895 
4 

0 

4 
17 
2 
o 

4 
4 
2 
3 

1 
1 
2 

28 
4 
4 
1 
11 
6 
93 
123 
4 

5 
5 

8 

24 
o 

5 

11 
1 

3 

1 
1 

6 
4 
1 
13 
6 
124 
115 
4 

13 
1 
5 

3 

1 

10 

8 
1 
96 
60 
2 

o 

1 

17 
10 
72 

3 

1 

158 
155 
10 

3 

39 
36 
3 

3 
1 
o 

1 

108 
2 

o 

131 
9 

5 
1 

1 

1 

1 

1 

5 

6 

1 

3 
8 
5 
6 
3 
1 

4 
6 
4 

4 
4 
5 

1 

1 
5 

2 

1 
4 
4 
3 
3 
1 

3 

1 
3 
1 

1 

1 
o 

2 
3 
1 
1 

1 

1 
5 

55 
73 
23 
18 

16 
11 
82 
3 
35 
15 
8 

i,  ar)i 

4,277 

4 
2 

1 
3 

1 
1 

4 

1 
1 

2 

19 

2 

3 
1 

o 

4 
1 

4 
1 
o 

3 
2 

1 

1 

1 

o 

89 
242 
20 

29 
71 

31 
65 

68 

287 

55 

174 
16 
42 

64 
246 

91 

301 
34 

"4 

58 
243 
25 

12 

1 

43 

20 

23 

8 
3 

396 
453 
1,133 

400 
1,  093 
23 

1 

50 
121 

23 

26 

40 

47 
1 

38 

25 

75 
1 

59 

30 
53 
1 

49 

41 

96 

12 

21 

72 

1 

1 

o 

0 

5 
6 

17 

1 

29 

1 

4 

1 

3 

o 

1 

101 
5 
5 
3 
356 
38 
23 
6 
8 
5 

109 
2 
4 
3 
53 
89 
12 

176 
7 
12 

128 
6 
9 
35 

121 

251 

32 

1,705 
54 
107 
P9 
12,  545 
569 
222 
150 
125 
303 

5 

9 

0 

3 

6 

1 
37 

3 

227 
52 

1 
15 
13 

1 
I 

11 
1,425 
5 
13 

12 

29 

1,648 
48 
8 
14 
19 
10 

155 
1 

1 

47 
50 
8 
14 
11 
7 

28 

9 

32 

1 

24 
11 

12 

1 

1 

4 
7 
8 
123 

5 

5 

8 
12 

1 
5 

4 

1 

1 

7 

1 

1 

1 

2 

0 

2 

1 

8,038 

J81 

10,  965 

173 

6,213 

198 

8,669 

317 

10,163 

139 

9,752 

61 

4,034 

16      ! 

168,309 

3,  469 

548 


SICKNESS    AND   MORTALITY    OF    WHITE   TROOPS 


TABLE  LXXXVI. 

Abstract  of  the  Sickness  and  Mortality 


YEAR  

1864. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

38,  485. 

40,  496. 

36,  277. 

35,  869. 

36,  432. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS  1.—  ZYMOTIC   DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

137 
105 

153 

25 

4 

75 
8 
139 

21 

374 
7 
126 

19 

47 
1 
117 

8 

62 

12 

21 

24 

20 

61 

4 

048 
1,  390 
1,  017 
254 
91 
2,  935 
4li3 
662 
68 
29 

8 

1,  3.59 
1,847 
1,681 
346 
76 
3,242 
519 
886 
93 
34 
8 
4 

18 
1 
1 

779 
1,413 
1,820 
216 

4 

567 

1,  557 
1  543 

12 

1 

344 
95° 
1  195 

3 

3 
1 

7 
6 
42 
12 
6 

186 
59 
2,087 
386 
'  731 
83 
22 
18 
1 

185 

22 
6 
67 
23 
19 

58 
2,  492 
608 
862 
115 
15 
9 

11 
9 
78 
14 
18 
1 

14 
5 
58 
14 
9 
1 

44 
1,517 

298 
523 
69 

56 
4 

7 
3 
34 
12 
1 

8 
30 

1 
1 

1 

1 

17.  Scarlet  Fever  

18.  Diphtheria  

19 
1C 
48 
35 

155 

2U4 

1 

13 

10 

72 

6 

4 

1° 

6 
9 
113 

82 

101 
90 
21 

19.  Mumps  

2 

1 

13 
7° 

20.  Epidemic  Catarrh  

3 

21 

176 
142 

2 
1 

47 

125 
116 

] 

99 

104 
101 
18 
1 
1° 

2 

1 

1 

OKDEK  II.—Enthetic  Diseases, 
22.  Syphilis  

23.  Gonorrhoea  

24.  Orchitis  

21 

20 
1 
15 

10 

23.  Stricture  of  the  Urethra  

C 
9 

4 
11 

20.  1'urulent  (  >phthalmia  

15 

1 
3 

715 
3 
4 
19 

27.  Serpent  Bite  

1 

14 

346 
4 
6 
16 

28.  Other  Diseases  of  this  Order  

6 

191 
6 

7 
19 

3 

1 

209 

OKDEK  III.  —  Dietic  Diseases. 
29.  Scurvy  

1 

21 

232 
3 
6 
13 

3 

8 

30.  Purpura  

1 

31.  Delirium  Tremens  

6 
5 

32.  Inebriation  

1 

1 

33.  Chronic  Alcoholism  

34.  Other  Diseases  of  this  Order  

CLASS   II.—  CONSTITUTIONAL   DISEASES. 
OKDER  l.—Diathetic  Diseases. 
35.  Gout  

1 

191 
121 
84 
1 
11 
17 

15 
14 

36.  Acute  Rheumatism  

198 
51 

131 
92 
67 

207 
82 
30 
1 

37.  Chronic  Rheumatism..   . 

1 

1 
1 

66 

41 

39.  Caucer  
40.  Tumors  

97 
2 

1 

41.  Other  Diseases  of  this  Order  
OKDEU  II.—  Tubercular  Diseases. 
42.  Consumption  

1 

26 
9 

2 

2 
6 

8 

23 
9 

5 

14 
12 

4 

o 

13 
5 

5 

43.  Scrofula  

CLASS   III.—  PARASITIC   DISEASES. 
4.").  Itch  

7 
6 
2 

48 
3 
6 

28 

53 

68 
3 

47.  Other  Intestinal  Worms. 

6 
5 



2 
3 

48.  Other  Diseases  of  this  Order. 

Carried  forward.  .  . 

10,  033 

146 

11,886 

216 

10,410 

208 

8,  435 

i. 

6,407 

91 

DURING  :THE   YEAR    ENDING    JUNE   30,  1865. 


TABLE  LXXXVI. 

of  the  Department  of  the  Gulf. 


1864. 

j                                                                                    18G5. 

DECEMBER. 

JANUARY. 

FEHRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE.                     TOTAL. 

38,  8(iO. 

37,  374. 

51,  366. 

54,  605. 

57,  743. 

53,  908. 

66,  127. 

45,  629. 

1 

3 
4 

5 
G 

8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 

22 

24 
25 
26 

OV 

28 

20 
30 
31 

33 
34 

35 
36 
37 
38 
39 
40 
41 

42 
43 

44 

45 
46 
47 
48 

Cases. 

Deaths. 

1  Cases. 

Deaths. 

Cases.     Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases.    Deaths. 

Cases.    Deaths.       Cases. 

Deaths. 

21 
5 
14 

5 

29 

2 

17 

o 

20 

2 

22 

3 

36 
1 

21 

10 

53 
2 

54 

17 
1 
7 

893 
129 
764 

126 

108 

1 

17 

3 

18 

1 

22             1 

22 

3 

o 

293 
575 
715 
116 

8 
1,148 
256 
277 
47 
19 
39 
8 
1 
7 
17 
73 
106 

90 
106 
16 
4 

7 

1 

203 
626 

327 

874 
737 

1 

314 

887 
934 
139 

7 
1 

429 
1,123 
1,  134 

1 

438 
1,023 
1  273 

13 

939 
1,876 
1  544 

8 

6,940 
14,143 
15,  079 
2,  0(18 
575 
26,  159 
4,  632 
8,086 
892 
401 
360 
294 
3 
120 
233 
1  293 

76 
3 
4 
1 
78 
56 
4J3 
113 
76 
9 
25 
10 

G86 
110 
22 
1,034 

172 
343 
40 
28 
66 
32 

104 
19 
1,  C07 
299 
397 
40 
41 
76 
59 

112 

133 

167 
C6 
3,441 
579 
799 
84 
55 
22 
26 

1 

1 

4 
4 

1 
2 
9 
2 
2 
3 
6 

2 
1 
8 
3 
4 

3 
1 

38 
1,802 
352 
613 
54 
31 
33 
64 

3 
2 
17 
2 
3 

20 
2,270 
3«2 
1,050 
5G 
54 
14 
51 

74 
2,584 
368 
943 
143 
45 
11 
13 

3 

5 
26 
8 
6 
1 

7 

27 
17 
3 

4 

25 
o 

1 
1 
4 
3 

1 

6 
3 

4 

30 
17 
117 
119 

100 
112 
14 

10 
49 
288 
110 

156 

158 
27 

r 

5 

26 
124 

3 

20 

4 
20 
150 

274 

1 
3 

32 

91 
80 

130 
141 
15 

70 

188 

132 
121 

2 

1 

1 

204 

124 
123 

2 

1,  365 

1,  623 
1,  750 
223 
30 
130 
5 
28 

2,385 
73 
55 

148 
4 

15 

230 

336 

17 
1 
7 
1 

18 

26 

7 
11 

5 

15 
1 

11 

JO 

1 

1 

32 

28 
4 
8 

. 

03 
12 
1 
3 

1 

2 

40 

G 
o 

5 

95 
2 

185 
o 

98 
3 

1 

179 
4 
11 

27 

37 
1 

1 

1 

1 

3 

12 

_ 

16 
1 

1 

1 

1 
1G7 
65 
29 

5 

314 
97 
14 

2 
282 

102 
32 

9 

2,701 
1,139 
453 
5 
49 
35 

17i> 
109 

1,005 
33 
25 
4 

196 
100 

253 

303 
154 

3 

250 
103 
4 
1 
7 
1 

9 
10 

2 

5 

1 

106 

15 

19 

1 

!                2 

6 
1 

7 
8 
1 

}OO 

4 
1 

5 
9 

10 
1 

13 

8 

3 

12 
6 

35 

15 
7 

2 

3 

2 

1 

24 
15 

5 

1 
159 

85 

126 

76 

89 

119 

4 

1 

1 
o 

1 

1 

o 

4,415 

43 

4,  462 

36 

6,063 

32 

6,388 

48 

8,  2~2 

54 

8,271 

SO 

11,  576 

108 

96,  62^       !,:.'!  4 

SICKNESS   AND   MORTALITY    OF   WHITE    TROOPS 


TABLE  LXXXVI.— DEPARTMENT  OF  THE  GULF— Continued. 


1804. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAK  STRENGTH  

38,  485. 

40,  496. 

36,  277. 

35,  869. 

36,  432. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

)eaths. 

Cases. 

Deaths. 

10,  033 

146 
1 

11,  886 

6 
19 
119 
3 
3 

216 
6 

10,410 

3 

14 
111 
4 
1 
1  1 
9 

208 

2 
2 

8,495 

152 

6,407 

91 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.  —  Diseasesof  Xervous  System. 

49.  Apoplexy  
50.  Epilepsy  

10 
121 
3 

8 

16 
73 
1 
2 

6 
66 
1 
2 
1 

1 

52.  Insanity  

1 
2 

1 

1 

2 
1 

8 
10 
113 
3 
25 

4 
13 

77 
5 
o 

1 
4 

55.  Inflammation  of  Spinal  Cord  
56.  Nostalgia  

20 
181 
5 
33 

1 

1 

25 
120 
5 
11 
3 

5 
5 

142 

2 

6 
93 
1 

58.  Paralysis  

1 
4 
1 

1 
1 

1 
1 

2 
4 

OKDER  II.  —  Diseases  of  Eye. 

177 
5 
25 
3 

8 

176 
7 
48 
1 

15 
3 

18 
44 

156 
5 

110 
3 

10 

5 

55 
1 

24 
o 

ORDER  III.—  Diseases  of  Ear. 

10 

4 
11 

1 

15 
13 

'    "  a 

17 
33 

20 
37 

o 

ORDER  IV.  —  Diseasesof  Organs  of  Circulation. 

8 
3 

2 

2 
2 
4 
1 

8 
1 
1 

2 
1 

1 

1 

5 
o 

' 

2 

P  J              . 

1 

1  y                       .  _ 

3 

1 
1 
12 
7 
13 

9 
140 
15 
3 
6 
3 
37 
°7 

6 

4 

. 

1 

77    I                          f  V  ' 

1 

7H    V    ico      V   ' 

0 

14 
9 

1 

26 

7 
5 

12 

7 

4 
3 

26 

2 

1 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 

8 
125 

14 
171 

99 
26 
4 
o 

250 

83.  Chronic  Bronchitis  

21 

1 

1 

15 

33 

1 

84.  Dropsy  of  Chest 

1 

1 

85.  Haemorrhage  from  Nose  

4 

17 
29 
30 
10 
14 

119 

128 

14 
34 
16 
8 

1 
2 

15 

87.  Inflammation  of  Lungs  

2 

34 
24 

2 

5 

46 
37 
3 
24 

92 
119 

17 
1 
17 
36 

5 

88.  Inflammation  of  Pleura  

89.  Haemorrhage  from  Lungs  

15 

8 
16 

167 
208 
44 



1 

1 
1 

90.  Other  Diseases  of  this  Order  

9 

223 
282 
60 

1 

ORDER  VI.  —  Diseasesof  Dif/estire  Organs. 
91.  Colic  

149 

1 

92.  Constipation  

93.  Cholera  Morbus  

24 

1 

24 

1 

94.  Cirrhosis  of  Liver  

95.  Dropsy  from  Hepatic  Disease  

24 
49 
1 
6 
4 
41 
1 

1 

24 

44 

29 
33 

1 

26 
41 

2 

96.  Dyspepsia  

97.  Diseases  of  Pancreas  

98.  Diseases  of  Spleen  

3 

4 
41 
o 

6 
7 
35 

7 
4 
23 

5 
5 

18 

99.  Fistula  in  Ano  

100.  Hernia  

101.  Haemorrhage  from  Stomach  

1 

1 

11,685 

160 

13,  306 

229 

11,  789 

231 

9,585 

165 

7,  528 

103 

DUEING   THE    YEAR   ENDING    JUNE   30,    18G5. 


551 


TABLE  LXXX VI.— DEPARTMENT  OF  THE  GULF— Continued. 


18(54. 

1865. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

38,860. 

37,  374. 

51,  366. 

54,  605. 

57,  743. 

53,  908. 

66,  127. 

45,  629. 

49 
50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 

61 
62 
63 
64 
65 
66 

67 
68 
69 
70 

71 

73 
74 
75 
76 

77 
78 
79 
80 

81 
82 
83 
84 
85 
86 
87 
88 
89 
90 

91 
92 
93 

94 
95 

96 
97 
98 
99 
100 
101 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths 

Cases.    Deaths. 

Cases.      Deaths. 

4,415 

1 
11 
61 

43 

4,462 

o 
14 

57 

0 

36 
1 

6,063 

2 
16 
73 
1 
1 
1 
1 

32 

6,388 

1 
16 

79 
4 
2 

48 

1 

1 

8,222 

1 
11 
119 

54 

1 
2 

8,271 

80 

11,  576 

108 

96,  628 

16 
173 

1  177 

1,214 

12 
8 

1 

18 
109 
5 

1 

22 

189 

3 

7 

34 

26 
8 
37 
119 
1,415 
48 
97 
17 

39 
18 
o  ijg 

1 
4 

I 
1 
5 
4 

88 

4 
3 
6 
11 
88 
11 

3 
1 

1 

1 

1 

1 

2 

o 

2 
3 

130 

1 

5 

85 

3 

157 

19 
154 
3 

18 

5 

129 

8 

4 

o 

1 
6 

1 

3 

7 
2 

o 

2 

1 
3 

1 
'l 

3 

1 
o 

1 

7 
1 
130 
4 
3 

3 

10 
205 

2 

8 

133 
1 
6 

190 
6 
31 
9 

13 
5 
14 
1 

190 
3 

78 

277 
13 

49 

272 

7 
5 

15 

74 
385 
31 

163 
38 
184 
123 

o 
55 

17 
15 
21 
7 
4 
87 
69 
23 

194 
2,356 
329 
20 
35 
173 
615 
395 
101 
266 

1,639 
2,711 
464 
16 
184 
516 

99 

63 
1 

27 
6 
30 
1 

2 
5 
3 
2 
5 

11 

10 
1 
10 

1 

1 
1° 

2 

9 

1 
16 

4 
6 
15 
3 

16 
o 

3 

10 

10 

. 

o 
3 
3 

o 

1 

4 
1 

7 

1 

2 

1 

1 

6 

5 

1 

1 

8 
2 
3 

1 

1 
1 

1 

1 

1 

1 

2 
3 

1 

1 

1 

1 
5 
4 

I 

6 
3 

14 
163 
30 
4 
2 

12 
52 
31 

10 

21 

76 
130 
10 
8 
8 
36 

6 

8 

4 
5 

6 
6 

8 
7 
2 

12 

4 
2 

11 
164 
32 

3 

16 

206 

15 
385 

38 

1 

14 

178 
33 

29 

1 

171 
16 

214 

1 
1 

24 

46 
1 
6 
18 
59 
42 

2 
10 

23 
51 
33 
8 
59 

66 
134 
10 
1 

12 
26 

3 

2 
5 
56 
45 

3 

16 
85 
36 
8 
4 

158 

1     j 
6 

33 

94 
52 
9 
71 

71 
195 

12 

o 
48 
6 
3 
o 

1 

8 
1 

4 

38 
oo 

2 

2 
o 

6 

4 
3 

1 

5 
15 

96 

218 

8 
151 

20 

271 

384 
3-1 
4 
4 
54 

283 

407 
163 

1 

8 

4 

66 

1 

2 

5 

1 
7 

1 

1 

o 

13 
26 

5 

7 
50 

15 

55 

66 
1 

i 

1 

4 
18 
3 

17 

1 
3 
22 

24 

0 

42 

5 

0 

. 

4 

28 

o 

48 
307 
10 

I 

13 

15 

36 

1 

1 

j 

5,414 

51          5,  653 

53 

7,613 

42 

7,605 

55 

9,846 

64         9,  933 

92 

13,  831 

122         113,  7rf     ],3(,7 

552 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  LXXXVi.— DEPARTMENT  OF  THE  GULF— Concluded. 


YEAH  

1804. 

MONTH  

JULY. 

AUGUST. 

SEl'TEMBEB. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  38,485. 

40,  496. 

36,  277. 

35,  869. 

36,  432. 

LIST  OF  DISEASES.                                   Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

11,  685 

4 
56 

1GO 

13,  306 

5 
48 
10 

5 

38 
9 
244 
107 
8 

6 
o 

. 

11,  789 

15 
37 
14 
13 
3 
32 
34 
93 
115 

231 
1 

9,585 

3 

49 

17 
1 

22 
9 
75 
108 
7 

10 
4 
4 

165 

7,528 

2 
41 
3 
9 

103 

ORDER  VI.  —  Diseases  of  Digestive  Organs—  Continued. 

1 
1 
2 

1 

1 

15 
15 
2 

1 

2 

r 

3 

1 

o 

. 

44 
11 
313 
1G1 
21 

5 
5 
1 
1 
4 
34 
12 
20 
2 

1 

1 
2 

14 

61 
93 

1 

1 

2 

109.     a 

3 

3 
3 
5 

9 

7 

OBDER  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

T  -  • 

114         '   It1    D' 

£ 

1 

3 

11-    i  TK..          f  i>. 

()f  Testis 

5 
14 
1 
6 
5 
2 

1 

2 

3 

19 

6 

12 

3 

.           K.,n 

1 

6 

9 
2 

4 
3 

4 
1 

1 

121    Other  Diseases  of  this  Order  

ORDER  V11I.  —  Diseases  of  Bones  and  Joints. 
122    Anchylosis  

5 
4 
3 
1 
1 
2 

123    Caries 

3 
6 

1 

1 
4 

124.  Inflammation  of  Joints  

1 

2 

126.  Inflammation  of  Periosteum  

1 

3 
3 
5 

127.  Necrosis  

128.  Other  Diseases  of  this  Order  

1 

47 
157 

ORDER  IX.  —  Diseases  of  Integumentary  System. 
129.  Abscess  

136 
335 
20 
49 
94 

20 
99 
4 

141 
354 

75 
256 

85 

130.  Boils  

171 
14 
30 

81 

8 
51 

131.  Carbuncle  

10 
43 

04 

5 

132.  Whitlow  

60 
124 

133.  Skin  Diseases  

153 

44 

17 

67 

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
134.  Burns  

oo 

135.  Contusions  

G9 
2 

45 

136.  Concussion  of  Brain  

3 
3 

1 

137.  Drowning  

11 

7 

1 

3 

138.  Sprains  

74 
4 
11 
10 
41 
35 
15 
22 
9 
4 

61 
1 

1 

49 

59 
4 

8 

87 
o 

139.  Dislocation  

140.  Simple  Fractures  

3 

0 

4 

141.  Compound  Fractures  

2 
4 

142.  (lunshot  Wounds  

60 
34 

16 
14 
15 
1 

G 

36 

8 

44 

18 
5 

7 

r 

8 

20 
34 
10 

7 
12 
8 

2 

143.  Incised  Wounds  

144.  Lacerated  Wounds  

1 

7 
7 
16 
4 

1 

145.  Punctured  Wounds  

14G.  Poisoning  

1 

1 
3 

147.  Other  Accidents  and  Injuries. 

6 

148.  OUDKU  11.—  Homicide  

1 

149.  ORDER  III.—  Suicide  

1 

15U.  OltDER  IV.  —  Execution  rtf  Sentence 

1 

Total  

13,409         184 

14,  852 

257 

12,  964 

255 

10,  539 

184 

8,353 

110 

DURING   THE    YEAR    ENDING   JUNE    30,  1865. 


553 


TABLE  LXXXVI.-DEPARTMENT  OF  THE  GULF— Concluded. 


18G4. 

1866. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MAKCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

38,860. 

37,  374. 

51,  366. 

54,605. 

57,  743. 

53,908. 

66,127. 

45,  629. 

102 
103 
104 
10;-) 
106 
107 
108 
109 
110 
111 

112 
113 
114 
115 
116 
117 
118 
119 
120 
121 

122 
123 
124 
125 
126 
127 
128 

129 
130 
131 
132 
133 

1C4 
135 
136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
146 
147 

148 
149 
150 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

5,414 

3 

46 
11 
5 
1 
13 
18 
55 
74 
2 

2 
3 
4 

51 
1 

5,653 

12 
41 
4 

53 
1 

7,613 

13 

57 
3 

1 

42 

7,605 

55 

9,846 

3 

37 
9 
5 
3 

17 

64 

9,933 

3 
34 
12 
1 
1 
19 
8 
56 
116 
15 

92 
1 

13,  831 

1 
44 
18 
19 
1 
39 
35 
80 
156 
10 

3 
1 
1 

1 
2 
30 
4 
12 

122 

113,  788 

64 
549 
116 
113 
21 
271 
157 
1,196 
1  29° 

1,367 

4 
1 
5 
14 
3 
2 
2 
5 

59 
1 
6 
o 

1 
1 

1 

2 

1 

0 

1 

1 

13 

8 
51 
79 

9 
4 

49 
80 
2 

11 
4 
42 

77 
128 
34 

3 

1 
1 

75 

7 

5 
1 
1 

8 
2 

126 

56 
23 
33 
3 
33 
226 
45 
101 
30 
20 

16 
14 
47 
8 
18 
13 
8 

949 
2,493 
140 
451 
917 

205 

8 

1 
3 

1 

1 
1 
1 
16 
4 
6 
4 

1 

3 
11 
4 
10 
3 

3 
19 

1 
4 

3 
30 
1 

11 
5 

8 

i£5 

3 

6 
3 

1 

o 

4 
6 

3 
2 
9 
1 

3 

4 

1 

5 

3 

1 

5 

1 
1 

1 

3 

5 

2 

5 

5 

1 

0 

5 

3 

4 

3 

2 

57 
223 
8 
34 
61 

16 
130 

41 
118 
18 
32 
41 

9 

62 
I 

57 
101 
11 
28 
70 

17 

72 

63 
145 
10 
35 
52 

47 
120 

101 
247 
9 
42 

99 

266 

4 
26 
43 

8 
87 
3 

7 
43 
93 



61 

26 
100 
1 

26 
97 

54 
4 

933 
21 

1 
2 

1 
1 

5 

1 
14 

6 

60 

2 

6 

6 

4 

66 
4 
6 
1 
119 
22 
5 
7 
15 
6 

79 
8 
6 
6 
14 
24 
9 
6 
G 
8 

95 
4 
4 
2 
20 
34 
29 

101 
3 
10 

105 
5 

110 

7 
o 

J05 

991 
48 
78 
32 
1,389 
385 
185 
118 
241 
93 

9 
13 
1 
19 

47 
18 
10 
36 

8 

5 

3 
609 
33 
18 
15 
58 
13 

1 
2 

3 

102 
1 
4 
2 
2 
28 

3 
9 
1 

3 

2 

1 
1 

3<>5 
39 
13 
6 
23 
19 

37 

45 

12 
43 
40 
13 
4'J 

4 

1 

1 
2 

4 

2 
12 

1 

2 

10 

o 

5 

0 

1 

3 

o 
1 
4 

1 

6,25!) 

59 

6,445 

66 

8,  499 

49 

8,804 

86 

11,  662 

121 

J  1,060 

108 

15,  210 

149 

i28,o:x; 

1,628 

70 


554 


SICKNESS   AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  LXXXVII. 

Abstract  of  the  Sickness  and  Mortality 


YEAR  

3864. 

MONTH  

JULY. 

AUOUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

6,  877. 

6,  330. 

6,  695. 

5,  248. 

5,  753. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cas«s. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

7 

CLASS  1.—  ZYMOTIC    DISEASES. 
ORDER  I.  —  Miasmatic  Diseases. 

20 

1 

60 
2 

5 

76 

12 

61 
1 

7 

8 
1 

12 

1 

~        'J*l       Ml      '•  1   V 

5 

2 

'     *l       ' 

48 
89 

53 

41 

35 
74 

38 

18 
32 

~'  ,p"°     m,     ,               K 

56 

34 

1 

95 

29 

- 

1 

3 

1 
2-14 

3 

1 
94 

1 

27,"> 

488 
34 
173 
7 
3 

418 
43 
111 
4 
8 

90 

37 
40 
9 
15 

9 
1 

43 

6 
7 
1 

3 

498 

1 

1 

15 

1 

18.  Diphtheria  

0 

3 

19.  Mumps  

6 

15 

3 

11 

17 
28 

4 
10 

37 
40 
1 

6 
21 

63 

4 

26 

21.  Other  Diseases  of  this  Order  

ORDER  II.  —  Enthetic  Diseases. 
22.  Syphilis  

31 
36 

23.  Gonorrhoea  

38 
5 

2° 

24.  Orchitis  

1 

3 

25.  Stricture  of  the  Urethra  

26.  Purulent  Ophthalmia  

OS 

1° 

7 

0 

3 

1 

27.  Serpent  Bite  

28.  Other  Diseases  of  this  Order  

1 

14 

ORDER  III.—  Dietic  Diseases. 
29.  Scurvy  

1 

20 

4 

30 

12 

30.  Purpura  

31.  Delirium  Tremeus  

o 

1 

32.  Inebriation  

1 
1 

" 

33.  Chronic  Alcoholism  

2 

1 

34.  Other  Diseases  of  this  Order  

CLASS  II.—  CONSTITUTIONAL    DISEASES. 
ORDER  l.—Diathetic  Diseases. 
35.  Gout  

1 

40 

36.  Acute  Rheumatism  

53 

34 

46 
11 

1 

38 
36 

37.  Chronic  Rheumatism  

17 
1 

38.  Amemia  

r 

14 

3 

3!t.  Cancer  

40.  Tumors  

0 

1 

" 

1 

41.  Other  Diseases  of  this  Order  .  . 

1 

3 
3 

ORDER  II.—  Tubercular  Diseases. 
42.  Consumption  

R 

3 

1 

8 
1 

1 

6 
1 

1 

43.  Scrofula  

44.  Other  Diseases  of  this  Order  

CLASS  III.  —  PARASITIC    DISEASES. 
45.  Itch  

10 

15 

9 

8 

46.  Tape-worm  

3 

•     47.  Other  Intestinal  Worms 

1 

48.  Other  Diseases  of  this  Order    . 

Carried  forward  

1,327 

3 

1,103 

5 

1,075 

15 

805 

21 

499    j         13 

DURING   THE    YEAR   ENDING   JUNE    30,   1865. 


555 


TABLE  LXXXVII. 

of  the  Department  of  the  Northwest. 


1864. 

1865. 

DECEMBER. 

JANUARY.           FEBRUARY. 

MAUCII. 

APRIL. 

MAT. 

JUNE. 

TOTAL. 

5,  749. 

6,  41G.                      8,  100. 

8,  106. 

8,  702. 

8,  736. 

10,  C23. 

7,278. 

Cases. 

Deaths,  i 

Cases.    Deaths.    Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1 

o 

3 
4 
5 
6 

7 
8 
9 

5 

2 

7 

1 

1 

8 

19 

1 

7 

4 

8 

2 

284 
6 
23 

43 
1 
2 

6 

5 

9 
31 

'      27 
8 

"4 

oq 

24 

38 
4G 
28 

53 

81 
48 
18 
3 
145 
27 
38 
2 

72 

443 

729 

50 

14 

| 

40 
oo 

33 
37 

102 

51 
4 
3 

1G1 

479 
61 
11 
2,247 
463 
1,001 
54 
186 
31 
80 
1 
57 

15 

8 
1 
100 
32 
14 
6 
30 
15 
22 

1 

2 
1 
33 
2 

3 

7 

10 

11 

13 

14 
15 

1C 
17 
18 
19 
20 

23 
24 

26 

28 

29 
30 
31 

33 
34 

35 

36 
37 
38 
39 
40 
41 

42 
43 
44 

45 
46 

47 
48 

78 
43 
18 

2 
3 

8 

82 

74 
25 
3 

88 
33 
11 
11 
24 
2 

1 

5 

34 
18 
2 
12 

6 

1 

4 

5 

55 

1 

5 
23 

1 

1 

24 

1 

2 

1 

23 
8 
3 

1 

10 

16 
1 
27 
7 
53 

19 

o 

1 

1 

2 

0 

4 
8 
91 
37 

15 

30 

7 

12 

5 

11 
31 

47 

S 

6 
1 
4 

14 
CO 
4 

1C 
11 

o 

6 

9 
24 

48 
481 
230 

252 
332 
38 
5 
90 

0 

96 
5 

12 

9 
5 

59 

1 

4 

10 

17 
1 

48 

13 

40 

1 
1 

1 

27 

20 

7 
4 
11 
1 

i 

8 

8 

o 

i" 

1 

27 

2 

129 

4 

822 
2 
9 
13 
4 

63 
1 

2 

102 

3 

201 

10 

12 

230 
1 

7 

60 

35 

1 

1 

1 
3 

2 

0 

I 

1 
585 
429 
152 

41 
43 
1 

63 
34 
2 

4° 

42 

55 

69 

82 
49 
39 

49 
42 

18 

1 

1 

37 

£> 

47 

1 

23 

1 

1 

3 
1 

5 
1 

7 
1 

9 
5 

o 

1 

21 
9 

81 
30 

0 

4 

3 

7 

9 

1 

9 
3 

2 

0 

12 
3 

o 

1 

1 

6 
1 

11 

12 

24 

20 

40 

14 

24 

ooo 

1 

4 

7 

11 

6 

1 

24 

501 

9 

570 

13 

594 

8 

872 

19 

884 

20 

1,  059             15 

821 

5 

10,  116 

"   146 

556 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  LXXXVII.—  DEPARTMENT  OF  THE  NORTHWEST— Continued. 


1804. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

6,  877. 

6,  330. 

6,  695. 

5,  248. 

5,  753. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

1,  327 

3 

1,103 

5 

1,075 

15 

805 

21 

499 

13 

CLASS    IV.  —  LOCAL    DISEASES. 
ORDER  I.—  Diseases  of  Nervous  System. 

49.  Apoplexy  

3 

17 

1 

1 

18 

1 
41 

2 
12 

50.  Epilepsy  

26 
1 

52.  Insanity  

1 

1 

1 

2    i          2 

54.  Inflammation  of  Membranes  of  Brain  

1 

16 

1 
20 
3 

4 

13 

3 
1 
4 

31 

1 

9 

ORDER  II.  —  Diseases  of  Eye. 

3 

29 

67 
1 

3-1 
1 
1 

28 

17 
1 

' 

'  0  f     ,r.             f  th- 

4 
7 

ORDER  III.  —  Diseases  of  Ear. 

3 
3 

1 

2 

I 

68    Deafness                                               

69    Otorrhoea                                                  

2 

1 

1 
2 

1 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

1 

1 

1 
1 

3 

2 

1 
2 

1 

1 

76.  1  n  tliuu  mat  .  HI  of  Endocardium  

77.  Inflammation  of  Veins  

78.  Varicose  Veins  

9 

2 

I 

79.  Varicocele  

1 

80.  Other  Diseases  of  this  Order  

1 

1 
18 
3 

1 

3 
25 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
81.  Asthma  

2 

1° 

6 
29 
10 

82.  Acute  Bronchitis  

13 
13 

83.  Chronic  Bronchitis  

12 

7 

84.  Dropsy  of  Chest  

85.  Haemorrhage  from  Nose  

1 
1 
20 
11 
1 
9 

9 

27 

86.  Inflammation  of  Larynx  

1 

12 
4 

1 

1 
14 
5 

87.  Inflammation  of  Lungs  

10 
4 

1 

2 

1 

88.  Inflammation  of  Pleura  

4 
o 

89.  Haemorrhage  from  Lungs  

90.  Other  Diseases  of  this  Order  

1 

14 
49 
25 

OUDEU  VI.  —  Diseases  of  Digestive  Organs. 
91.  Colic  

20 

1  ^ 

92.  Constipation  

82 
8 
1 
1 
19 

53 

42 

93.  Cholera  Morbus  

o 

1 

94.  Cirrhosis  of  Liver  

j 

95.  Dropsy  from  Hepatic  Disease  

1 
13 

2 

14 

4 
16 

1 

2 
3 

96.  Dyspepsia  

97.  Diseases  of  Pancreas  

98.  Diseases  of  Spleen  

1 

1 
4 

99.  Fistula  in  Ano  

100.  Hernia  

4 

6 

4 

2 

101.  Haemorrhage  from  Stomach  

Carried  forward  

i 

1,641 

3 

1,319 

5 

1,297 

16 

1,075 

27 

702 

16 

1 

DURING   THE    YEAR   ENDING   JUNE   30,   1865. 


557 


TABLE  LXXXVII.— DEPARTMENT  OF  THE  NORTHWEST— Continued. 


1864. 

1865. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE.                   TOTAL. 

5,  749. 

6,  416. 

8,100. 

8,106. 

8,  702. 

8,  736. 

10,  623. 

7,278. 

49 
50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 

01 
62 
63 
64 
65 
66 

67 
68 
69 
70 

71 

•7O 

73 
74 

75 
76 
77 
78 
79 
80 

81 

sa 

83 
84 
85 
8') 
87 
88 
89 
90 

91 
92 
93 

94 
95 
96 

97 
98 

.'. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Death? 

Cases. 

Deaths 

Cases. 

Deaths 

Cases. 

Deaths. 

Cases. 

Deaths. 

501 

9 

576 

13 

594 

8 

872 

19 

884 

20 

1,059 

15 

821 

5 

10,  116 

146 

10 
15 

1 

4 

17 

1 

3 
35 

1 

5 

43 

o 

6 
°4 

37 
317 

5 
3 

3 

20 
2 

49 
1 

1 

1 

3 
3 

1 

1 
19 
8 

2 

42 

1 
31 

1 

24 

11 

"70 

21 

18 

32 

2 

o 

17 
16 
11 

3 

586 
33 

17 

43 
25 

2 

1 

1 
1 

1 
1 

2 

2 

3 

7 

45 
1 

"9 

30 
4 

55 
9 

68 
11 
17 

1 

14 
4 

93 
3 

6 
1 

5 
6 
5 

61 
2 
10 

8 

2 
7 
4 

3 

o 

1 
1 
3 

2 
3 
3 

4 

1 
1 

4 
1 

29 
10 

2 

2 

4 

2 

1 

1 

3 

20 
4 
2 
5 

3 

1 

1 

1 

1 

1 
2 

1 

1 

1 

1 

1 

1 
1 

1 
32 
14 
40 

40 
4°<1 

1 

1 
2 

2 
39 
11 

3 

4 

2 

3 
1 
31 

1 
70 

3 

7 
6 
2 

9 
14 
12 

3 

3 

47 

0 

1 

3 

61 
25 

8 
74 
24 

1 

o- 

6 

1 

18 

1 

103 
3 
3 
52 
248 
124 
21 
1C4 

161 

607 
40 

13 
139 

1 

2 

1 
5 
27 
10 

1 
6 
12 

17 
4 
8 

14 
57 

1 
21 

8 
1 
o 

11 
42 

5 
26 
9 
o 

29      

1 

49 
23 

2 
19 
8 

1 
oo 

1 

2 

38 
21 
2 
37 

13 
31 

2 

4 

1 

1 

15 

i  i 

1 

5 

39 

7 
44 

44 

G 
53 

21 

14 
CO 

67 

4 

i 

1 

o 
11 

1 

8 

i 

7 

4 

8 

15 

21 

! 

1 
6 
09      - 

1 
5 

13 

1 
8 

0 

100 
101 

o 

5 

1 

7 

9 

1 

7GO 

12 

855 

15 

915 

13 

1,303 

23 

1,412    j        26 

1,533 

16 

1,191 

8      ;     14,0<r,           180 

558 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  LXXXVIL— DEPARTMENT  OF  THE  NORTHWEST— Concluded. 


YI;AU       

1864. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STUBNGTII  

6,  877. 

6,  330. 

6,  695. 

5,  248. 

5,  753. 

LIST  OF  DISEASES. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

1,641 

3 

1,319 

5 

1,297 

16 

1,075 

27 

702 

16 

OiniER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

16 

6 

8 

7 
10 
o 

13 
5 
4 

8 
3 
1 

10 
1 
1 
1 
1 
1 
7 
4 

103.  Inflammation  of  Tonsils  

2 

J04.  Inflammation  of  Stomach  

105.  Inflammation  of  Bowels  

8 

9      

4 
1 
16 

1 

1 

30 
15 

8 
20 
22 

3 

o 

8 
16 
15 

3 

1 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

1 

1 

1 

2 

1 

1 

2 
1 

7 
1 

1 

2 

1 

2 

1 
1 

1 

ORDER  VIII.—  Diseases  of  Hones  and  Joints. 

1 

3 

1 

1 

1 

1 
1 

1 
4 

4 

1 

! 

Ili8    Other  Diseases  of  this  Order     

ORDER  IX.  —  Diseases  of  Integumentary  System. 
120    Abscess 

8 

6 

7 

1 
9 

6 
3 

131.  Hulls  

11 

131.  Carbuncle  

132.  Whitlow  

6 

29 

1 
8 

1 

6 

4 

8 
10 
2 

„ 

3 
6 

1 
9 

1 
10 

4 
15 

133.  Skin  Diseases  

11 
1 

18 

CLASS    V.     WOUNDS,  ACCIDENTS,   AND 
INJURIES. 
OllDEU  I.  —  Wounds,  Accidents,  and  Injuries. 
134.  Burns  

135.  Contusions  

136.  Concussion  of  Brain  

137.  Drowning  

138.  Sprains  

18 

5 

8 
1 
C 
1 
11 
3 
4 

7 

8 

13'J.  Dislocation  

140.  .Simple  Fractures  

2 

5 
1 
11 
1 
6 

1 
1 
13 

5 

141.  Compound  Fractures  

142.  Gunshot  Wounds  

9 
3 
3 
2 
2 
1 

2 

1 

15 
3 
1 
3 

1 

143.  Incised  Wounds  

144.  Lacerated  Wounds  

1 
1 
1 

145.  Punctured  Wounds  

2 

l4(i.  Poisoning  

3 

8 

147.  Other  Accidents  and  Injuries  

1 

1 

6 

MS.  ORDER  II.—  Homicide  

14D.  ORDER  III.    Suicide  

1 

150.  ORDEH  I  V.—  Execution  of  Sentence  

Total  

1,  852     ;          8 

1,  498 

5 

1,441 

19 

1,198 

29 

818 

18 

i  

DURING   THE    YEAR    ENDING    JUNE    30,  1805. 


559 


TABLE  LXXXVIL— DEPARTMENT  OF  THE  NORTHWEST— Concluded. 


1864. 

1805. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

Al'UIL. 

MAY. 

JUXE.                    TOTAL. 

5,  749. 

6,  416. 

8,100. 

8,  106. 

87no 
,  /u~. 

8,  736. 

10,  623.                        7,  278. 

102 
103 
104 
105 
100 
107 
108 
109 
110 
111 

112 
113 
114 
115 
116 
117 
118 
119 
120 
121 

122 
123 
.124 
125 
126 
127 
128 

129 
130 
13  L 
132 
133 

134 
135 
136 
137 
138 
139 
140 
141 
142 
143 
144 
14.-) 
140 
147 

148 
149 
150 

Cases. 

Deaths. 

Cases.  1 

Deaths 

Cases 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

7GO 

12 

855 

15 

915 

13 

1,303 

23 

1,  412 

26 

1,535 

16 

1,  191 

8 

14,005 

180 

29 

51 

33 
1 
1 

63 
1 

39 
1 
o 

30 

14 
2 
2 

313 

42 

o 
34 
12 
104 
1"4 

1 

3 

1 

1 

! 

1 

! 

1 
1 

4 
4 
18 

7 

6 

1 

1 

2 

9 
3 
9 

18 

0 

2 

1 

1 
3 

3 
o 

1 
3 

12      - 

15 

8 
3 

3 

0 

1 

o 

1 

2 

18 
5 
4 

1 

o 

1 

1 

3 

1 
11 
2 
1 

7 
41 
11 

8 

10 

4 
1 

14 
1 
9 
9 
4 

80 
174 
16 
39 
171 

38 

1 
1 
1 
1 

5 
1 

5 

5 
1 
3 

2 

1 

1 

4 

1 

1 
2 

1 

1 

1 
1 

2 

2 

3  ' 

1 

2 

3 
1 

3 

1 

1 
11 

9 
3 

7 
18 
3 
1 

18 

G 
14 

4 

27 

20 

8 
33 

1 
3 

12 

1 
1 
6 

6 

16 

19 
4 
6 
31 

4 

178 

2 
5 

4 

7 

0 

1 

6 

1 
15 
1 

18 

2 

27 

25 

24 

350 
4 

... 

2 

2 

6 

3 
G 
1 
2 
1 
3 
2 

10 
2 
1 
1 
o 

16 

13 
1 

10 

58 

" 

14 
1 
5 

179 
10 
45 
7 
119 
50 
30 
20 

11C 

1 

1 

1 
5 

7 
2 

1 
5 
8 
7 
7 
1 

16              2 
12     ' 

o 

11 
5 

1 
4 

2 

19 
ti 

2 

12 

5 
1 
3 

1 
4 
2 

7 

1 

2 

1 

1 

7 

1 
13 

o 

59 

1 

1 

13 

1 

2 

5 

3 

1 

G 

! 

1 

2 

i 

932 

13 

>     1,010 

15 

1,  062            17 

1,522 

28 

1,  624            31 

1,986            18 

1,405 

16 

16,348 

217 

560 


SICKNESS   AND   MORTALITY    OF   WHITE    TROOPS 


TABLE  LXXXVni 

Abstract  of  the  Sickness  and  Mortality 


1864. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

17,  256. 

22,  578. 

22,  435. 

28,  200. 

23,  511. 

LIST  OF  DISEASES. 

Cases. 

eatbs. 

Cases. 

Deaths. 

Cases. 

)eaths. 

Cases. 

Deaths. 

3ases. 

Deaths. 

CLASS    I.—  ZYMOTIC    DISEASES. 
ORDEK  I.  —  Miasmatic  Diseases. 
1.  T  yphoid  Fever  

8 
1 
3 

2 

26 

12 

52 

10 

53 

16 

83 
o 

25 

2.  Typhus  Fever  

3.  Typbo-Malarial  Fever  

28 

3 

20 

1 

24 

1 

18 

3 

5.  Ileniittent  Fever  

320 
221 

1 

394 
330 
302 
50 
8 
967 
84 
338 
15 
41 
8 
28 

1 

412 
366 
443 
70 

921 
145 
496 
41 
38 

346 
429 
516 
73 
8 
951 
138 
340 
51 
42 
15 
152 
4 
4 
10 

3 

276 

274 

o 

6.  Quotidian  Intermittent  Fever  

343 
42 

374 
33 
31 
687 
161 
149 
38 
25 
11 
177 

7.  Tertian  Intermittent  Fever  

8.  Quartan  Intermittent  Fever  

15 

1 

2 
1 
3 
I 

2 
1 
4 

8 
2 

1 

2 
4 
5 
6 

4 
2 
3 
4 
1 

1,118 
49 
362 
25 
42 

1 

0 

6 
1 

13.  Chronic  Dysentery  

15.  Small-pox  and  Varioloid  
l(i.  Measles  

5 
46 

2 

5 
15 

1 
1 

1 

11 

18.  Diphtheria  

8 
38 
31 

3 
13 
60 
33 

74 
140 
4 

7 
9 
51 
23 

90 
218 
16 
4 

7 

3 

22 

1 

181 
68 

98 
159 
8 
4 
11 

362 
109 

70 
160 
7 
3 

8 

11 

53 
163 
8 
1 
6 

1 

4 

OHDEK  II.  —  Enthetit  Diseases. 

o 

17 

KtfO 

22 

1 
9 

Oui>ER  III.  —  Dietic  Diseases. 

13 

8 

14 

1 
2 

0 

1 

2 
1 
1 

4 
4 
1 

1 

5 

4 
11 
1 

2 

. 

3 

CLASS    II.—  CONSTITUTIONAL    DISEASES. 
OUUEH  I.  —  Diathetic  Diseases. 
35   Gout 

82 

76 
39 
29 

110 
69 
33 
1 

125 

77 

1 

1 
1 

44 
IS 

44 
30 

38.  A  ii.j  'iiiiu  

1 
1 

3 

4 

40    Tutnors 

19 
6 

5 
16 

3 

11 

ORDER  II.  —  Tubercular  Diseases. 

1 

10 
21 

1 

14 
9 

7 
12 

7 
9 

43    Scrofula     

44.  Other  Diseases  of  this  Order  

1 

58 
1 

CLASS    III.  —  PARASITIC    DISEASES. 
45.  Itch  

64 

49 

45 

76 
4 
1 

46.  Tape-worm  

o 

1 

2 

1 

48.  Other  Diseases  of  this  Order  

3  220 

18 

3,229 

25 

3,702 

30 

4,021 

41 

3,  404            65 

DURING   THE    YEAR    ENDING   JUNE    30,  1865. 


561 


TABLE  LXXXVI1L 

of  the  Department  of  the  Missouri, 


1864. 

1865. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

21,174. 

15,  356. 

18,  760. 

18,  624. 

16  ,  720. 

18,  409. 

20,  550. 

20,  298. 

1 

3 
4 
5 
C 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 

22 
23 
24 

25 
26 
27 

28 

30 
31 
32 
33 
34 

35 
36 
37 
38 
39 
40 
41 

42 
43 
44 

45 

4(i 
47 
•18 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases.    Deaths. 

Cases.  !  Deaths. 

Cases. 

Deaths. 

25 

11 

17 

5 

14 
6 
2 

7 
G 
1 

18 
1 
5 

4 

10 

7 

12 

7 

7 

325 
12 

127 

106 
6 
18 

9 

1 

2 

3 

3 

4 

o 

11 

1 

182 
256 
232 
41 
12 
412 
231 
12G 
35 
61 
24 
108 

121 

167 

39 
G 
226 
92 
59 
—3 
41 
80 
125 

101 
181 
184 
25 
5 
204 
84 
G7 
5 
40 
6G 
75 
3 
6 
65 

13G 

212 

113 
196 
137 
16 
5 
235 
55 
75 
6 
62 
37 
113 

o 

149 
20G 

141 

215 
293 
12 
1 
1,005 
100 
355 
14 
21 
11 
19 
3 
1 
60 
66 
103 

58 
78 
11 
2 
12 

3 

2,691 
3,  053 
3,329 
437 
126 
7,389 
1,317 
2,  557 
301 
533 
330 
1,074 
9 
87 
6J5 
1  95fi 

12 

5 

21 
56 
35 
10 
9 
33 
48 
1 
4 

167 
29 

191 
7 
8 
432 
111 
134 

o 
1 
3 
3 

' 

3 

4 
o 

3 

4 
1 
6 

1 

15 
231 
67 
56 
23 
69 
42 
161 

2 
1 
5 

2 
7 
1 

i"j 

i 
i 

c 
1 

9 

1 
1 
5 
9 

o 

1 
3 
7 

51 
26 
55 

1 
4 
2 

1 

1 
1 
4 

1 
o 

6 
6 

10 
24 
207 
121 

95 
157 
14 
4 
16 

1 

28 
34 
327 

4 
80 
250 
62 

13 

144 

1 

1 

11G 
95 

152 

174 
88 

52 
103 
10 

1 

124 

53 
121 

1 

92 

54 
9° 

127 

66 
121 

1 

961 

829 
1  615 

8 

C6 
103 
9 
8 
11 

14 

1 

7 
3 

9 
1 

16 

117 
35 
Igg 

8 

15 

4 
23 

1 

21 

2 

32 

1 

46 

73 
90 

20 

130 

369 
4 
45 
43 
12 

9 
1 

7 
8 
1 

82 

4 
1 

0 

1 
1 

1 

4 
C 

0 

7 

2 

7 

1 

3 
o 

6 
o 

1 

1 

1 

J 

1 

o 

1 
135 

5 

1,326 
761 
175 
6 
54 
9 

109 
137 
1 

977 

124 
94 
11 

102 
62 
5 

1 

105 
74 
8 
1 

131 

160 
35 

103 

3 
1 
1 

1 

70 
3 
1 
4 

72 

8 

1 

81 
7 

8 

4 

5 
3 

8 
4 

4 

17 
10 

1 

4 

11 

o 

6 

1 
1 

8 
6 

1 

14 

21 

o 

9 
C 

9 
1 

104 



102 

84 

136 



103 

103 

53 
1 

2 

| 

9 
10 

1 

ij 

3 

2,7113            41     jl  2,  174 

'id       1,  852 

41 

2,  241 

28 

2,041 

49       2,492 

23       2,967             24     |j     34,136     }       4-,'l 

71 


562 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  LXXXVIII.— DEPARTMENT  OF  THE  MISSOURI— Continued. 


VKAU  

18G4. 

MONTH  JULY. 

AUGUST. 

SEPTEMBER. 

OCTOHEIi. 

NOVEMBER. 

MEAN  STRENGTH  17»  256< 

22,  578. 

22,  435. 

28,  200. 

23,  511. 

LIST  OF  DISEASES.                                  Cases.    Deaths.    Cases.    Deaths. 

Cases.  ;  Deaths. 

Cases.  !  Deaths. 

Cases. 

Deaths. 

forward 

3,220 

18 
o 

3,229 

25 

3,  702 

30 

4,021 

41 

3,404 

65 
1 

CLASS    IV.  —  LOCAL    DISEASES. 
OUDER  I.  —  Diseases  of  Nervous  System. 

5 

64 
1 

o 

4 
67 
3 
1 

4. 

102 

9 
71 
2 

1 
1 

47 
1 
1 

2 

1 

1 
1 
1 

1 
1 

1 
1 
4 
54 
5 
4 
17 

1 

2 

1 

8 
53 
3 

7 
8 

3 

1 

1 

69 

8 
51 
2 
2 

5 

2 

46 
1 

rp°  i>C      K- 

1 
1 

1 

1 

9 

10 
1 

OUDER  11.  —  Diseases  of  Eye. 

62    Cataract                              

218 

186 

202 

169 
3 

186 
4 
3 
3 

5 

1 
9 
1 

2 

6 

43 

5 

4 
23 

3 
1 

6 

7 

1 
1 

1 

4 
1 
10 
4 

ORDER  111.—  Diseases  of  Ear.  . 
67.  Inflammation  of  Internal  Ear  

C8.  Deafness  

10 
15 

1 
1 

4 
13 

70.  Other  Diseases  of  this  Order  



ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 
71.  Aneurism  

72.  Valvular  Disease  of  Heart  

1 

1 

2 

73.  Drops}-  from  Heart  Disease  

1 

74.  Dropsy  of  Pericardium  

73.  Inflammation  of  Pericardium  

76.  Inflammation  of  Endocardium  

1 

1 

1 
1 
7 
7 
1 

6 
4° 

1 

1 

2 

1 

77.  Inflammation  of  Veins  

76.  Varicose  Veins  

7 
3 

14 

2 

79.  Varicocele  

5 

60.  Other  Diseases  of  this  Order  

1 

OIIDEU  V.  —  Diseases  of  Respiratory  Organs. 
81.  Asthma  

4 

13 

3 

1 

106 
30 

82.  Acute  Bronchitis  .  . 

CO 
°6 

1 
1 

63.  Chronic  Bronchitis  

34 

16 

14 

84.  Dropsy  of  Chest  

1 
3 

85.  Haemorrhage  from  Nose  

1 

7 
26 
9 
4 
10 

do 

- 

0 

66.  Inflammation  of  Larvnx 

C 

56 
14 
5 

20 

80 
268 

9 
37 
23 

c, 

10 
54 

87.  Inflammation  of  Lunps 

7 

1 
1 

21 
18 
11 

8 

68 
284 

4 

4 
1 

13 

88.  Inflammation  of  Pleura 

89.  HifiinoiTliape  from  Limps  .  .  . 

1 

90.  Other  Diseases  of  this  Order 

11 

87 
233 

OIIDEU  VI.—  Diseases  of  Digestii-e.  Organs. 
91.  Colic  

92.  Constipation  034 

190 
11 

94.  Cirrhosis  of  Liver  

2G 

23 
11 
2 

60 

1 

4 

19 

93.  Dropsy  from  Hepatic  Disease 

1 

9 

0 

1 

" 

96.  Dyspepsia  

11 

"0 

!<7.  Diseases  of  Pancreas  

1 

3 
31 

'J8.  Disc.ises  of  Spleen  .  .  . 

1 

1 

0 

90.  I'i.stiJuin  An.)  

100.  Hernia  

13 

1 

17 

15 

101.  Ilcemorrhage  from  Stomach  

Carried  forward  

4,166 

29 

4,  193 

35 

4,761 

36 

5,  016 

50     ,  4,338            85 

--    -       _ 

DUKING   THE    YEAR   ENDING    JUNE   30,    18G5. 


563 


TABLE  LXXXVI1I.— DEPARTMENT  OF  THE  MISSOURI— Continued. 


1804. 

18(55. 

DECEMBER. 

JANUARY.           FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

Jl  NE. 

TOTAL. 

21,  174. 

15,  356. 

18,  760. 

18,  624. 

16,  720. 

18,  409. 

20,  5.50. 

20,  298. 

49 
50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 

01 
62 
63 
64 
65 
66 

67 
68 
<J9 
70 

71 

73 
74 
75 
76 

77 
78 
79 
80 

81 

82 
83 
84 
85 
66 
87 
88 
83 
90 

91 
92 
93 
94 
95 
96 
97 
98 
99 
100 
101 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases.      Deaths. 

2,  793 

41 

2,174 

36 

1,  852 

41 

2,241 

28 

2,041 

49 

2,492 

1 
5 

23 
1 

2,967 

24 

34,  136 

1 
55 
716 
16 
9 
7 
10 
45 
677 
20 
19 
79 

11 
5 

1  090 

421 

4 
o 

6 
50 
2 

1 

1 
o 

3 

71 
1 

4 
52 

4 
25 

2 

62 

1 

5 
70 
1 

1 

5 
34 

2 
1 
1 

1 
10 
11 
8 

1 

2 

1 

2 
1 

1 

1 

1 
2 

2 
2 
2 

1 
1 

1 

1 

1 

2 

1 

1 

f) 

I 

32 

9 

1 
53 

1 

42 

7 
63 

65 

78 

4 

3 

5 

2 
1 

1 
7 

1 
2 
147 
7 
4 

8 

1 
1 
174 
6 

8 

0 

1 

3 

o 

1 

1 
134 

1 
132 

153 
4 

164 
o 

125 

2 

6 
1 

1 

4 
5 

2 

10 
1 

8 
4 
5 

56 
36 
108 

66 
41 
149 
54 

6 

28 

7 
4 
6 

88 
49 
7 

69 
1,423 
383 
5 

28 

1 

2 

6 
11 

13 

14 
4 
12 

1 

7 
6 

3 

5 
3 

°1 

3 
5 
16 
1 

1" 

2 

3 

3 

1 

2 

1 
3 
1 
1 

4 

2 

4 

8 
1 
3 

1 
1 
1 
^ 

1 

2 
1 

1 

1 

1 

1 

I 

7 
6 
2 

9 
216 
54 

5 
4 

o 

5 

9 
4 

10 
1 

6 
2 

12 

7 
7 

1 

1 

3 

237 
48 

1 

1 

6 

97 
14 
3 
1 
10 
46 
42 
10 
41 

30 

3 

8 
186 
56 

8 
Ml 
°T 

3 

1 

165 
53 

2 

2 

1 

1 

8 
1 
3 

15 

1 

1 

1 

1 

3 

25 
128 
24 
4 
17 

20 

168 
10 

1 

6 
77 
37 
6 
24 

15 

4 
11 
104 
28 
3 
10 

38 

6 

11 
79 
50 
5 

4 

77 
32 
4 
34 

17 
140 
1 

33 

17 
28 
43 
3 
5 

131     ' 

16 

16 
2 

14 

19 

9 

1 

7 

733 
352 
68 
243 

507 
2,456 

143 
5 
1 

1 

1 

10 
34 

33 

206 

96 
4 

147 
I 

198 

1 

3 

16 

150 
15 
15 
357 

33 

1 

4 

o 

1 

24 

1 

o 

9fi 

1 
45 

1 
30 

1 

30 

45 

1        "~ 

3 

00 

1 
3 

0 

1 

4 

1 

8 

1 

1 

9 
1 

3 

17 

21 

21;) 
3 

I 

3,  954 

65        3,  112 

78 

2,678 

65 

3,  176 

47       3,  097 

74 

3,517 

39 

3,713 

32         45,721           r,:c> 

II 

564 


SICKNESS   AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  LXXXVIIL— DEPARTMENT  OF  THE  MISSOURI— Concluded. 


VEAI!  

1804. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

17,  256. 

22,  578. 

22,  435. 

28,  200. 

23,  511. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

rd 

4,166 

29 

4,  193 

1 

16 
3 
6 
1 
15 
6 
31 
64 
45 

35 

4,761 

4 
18 
17 

A*3 

36 

5,016 

0 

50 

4,338 

6 
41 
1 
3 
1 
16 
oo 

85 

OiiUER  VI.—  Diseates  of  Digestive  Organs—  Continued. 

23 

23 

7 
17 

1 
o 

9 

1 

3 
1 

1 
1 

3 

1 
11 
3 
172 
65 

1 

1 

14 

8 
8 
46 
37 

2 

19 
7 
123 
63 

1 

1 

1 

211 

41 
6 

4 

9 

3 
3 

1 

OUDEU  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

3 
1 

o 

o 

0 

-       •  P          f  P 

°'      •                 T    -  '• 

1 
13 

2 

12 

o 

I"  ' 

9 
o 

1 

9 
3 
3 
1 

11 

1 

1 
1 

o 

g 

1 

1 

1 
1 
1 

OUDEU  V11I.  —  Diseases  of  Hones  and  Joints. 
1  2°    Anchylosis                                                       

1 

1 
3 
o 

1 
3 

4 

1 

3 
4 
1 

1 

8 

1 

4 
1 

11:7.  Necrosis  

OUUEU  IX.  —  Diseases  of  Integumentary  System 

31 
113 
1 
17 
55 

6 
54 

46 
102 
o 

51 
107 
7 
9 
19 

4 

58 

31 
91 
5 

18 
44 

°4 

130.  Boils  

70 
8 
13 
39 

q 

131.  Carbuncle  

132.  Whitlow  

11 
30 

7 
CO 
1 

133.  Skin  Diseases  

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

ORDER  I.—  Wounds,  Accidents,  and  Injuries. 
134.  Burns  

7 
68 
1 

13.").  Contusions  

1 

08 
1 

1 
2 

130.  Concussion  of  Brain  

1 
1 

1U7.  Drownbtf  

5 

138.  Sprains  

41 
3 
6 
1 
24 
15 
6 
1 
11 
2 

60 
3 
5 
1 
31 
17 
16 

54 

61 

a 

40 
6 
4 

13'J.  Dislocation  

4 
5 
3 
172 

14 
7 
4 
5 

1 

1 

140.  Simple  Fractures  

141.  Compound  Fractures  

i 

254 

142.  Gunshot  Wounds  

1 

5 

13 

24 

58 
11 

8 

6 

143.  Incised  Wounds  

144.  Lacerated  Wounds  

J4 
6 

145.  Punctured  Wounds  

14(i.  Poisoning  

12 

147.  Other  Accidents  and  Injuries  

1 

1 

2 

1 

1 

11 

2 

1  id.  OKDBK  II.  —  Homicide  

143.  OUDKlt  III.—  Suicide  

1 

15(.>.  OUUEU  IV.—  Execution  (if  Sentence, 

2 

Total  

4,  734 

36 

4,819 

51 

5,  607 

53 

5,962 

83 

5,  093 

102 

DURING   THE   YEAR   ENDING   JUNE    30,  1865. 


565 


TABLE  LXXXVIIL— DEPARTMENT  OF  THE  MISSOURI— Concluded. 


18G4. 

18(55. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

AruiL. 

MAY. 

JUNE.                   TOTAL. 

21,  174. 

15,  356. 

18,  760. 

18,  624. 

16,  720. 

18,  409. 

20,  550. 

20,298. 

102 
103 
104 
105 
106 
107  | 
108 
109 
110, 
111 

112 
113 
114 
115 
116 
117 
118 
119 
120 
121 

122 
123 
124 
125 

12(i 
127 

128 

129 
130 
131 
132 
133 

134 
135 
136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
146 
147 

148 
14(1 
L5I 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases.     ;  Deaths. 

3,  95  1 

3 

99 
3 

1 

7 
4 
142 
37 

12 

7 
5 

« 

6a 

1 

3,112 

78 

2,678 

1 

158 

65 

3,176 
o 

47 

3,097 

74 

3,517 

2 
43 
3 
7 
o 

8 
7 
04 

39 

3,713 
o 

32 

45,  721 

23 
640 
50 
86 

7 
121 

82 
871 
526 
158 

30 

635 

1 

1 
3 

9 

7 
3 
2 

1 

84 
1 

72 

49 
16 

1 
1 

14 

1 

4 

1 

1 
3 

1 

1 

1 

1 
10 
3 
32 

2 

3 
35 

0 

10 
12 

6 
3 

1 

5 
37 

2G 

38- 
33 

7 

3 

18 
34 
9 

1 

41 
5 

1 

32 

44 
10 

2 
o 

1    ] 

10 

1 

1 

4 

2 
1 

I 

1 

16 
8 
1 
29 
109 
16 
17 
15 
6 

10 
10 

20 

1 

o 

2 

1 
1 
9 
1 
4 

0 

12 

7 
8 
1 
1 
3 

„ 

6 
1 

11 
1 

6 

8 

1 

7 

2 

1 

1 
1 

1 

1 
3 

1 
4 
4 

o 

1 

:    i 

i 

o 
1 

0 

1 
1 

1 

2 
1 
1 

1 

2 

o 

4 
31 
8 
4 

427 

2 
1 

45 

70 
4 
10 
49 

11 
01 
1 

1 
1 

1 

29 

3 

() 

1 
1 

3 
2 

33 

31 

57 
o 

30 

47 
75 

29 
60 
8 
10 
60 

12 

5ifi 

56 
4 
6 

47 

o 

915 
46 
123 
499 

95 
645 
13 

o 

o 

1 

7 
64 

9 
41 
3 

7 
34 

4 
35 

11 

0 
40 

0 

10 
30 

73 
j 

36 
1 

56 

1 

3 
4 

19 

1 

0 

11 

52 

7 
9 

53 
2 
6 
1 
44 
12 

; 

34 
3 
5 

44 
o 

29 

58 
7 
6 

38 
4 
10 
1 
19 
13 

56-1 
47 
67 
10 
721 
173 
88 
34 
46 
64 

4 
3 

o 

6 

39 

10 
5 

0 

18 

1 

o 

39 

11 
4 

1 

21 
17 
6 

0 

o 
1 

16 
5 
6 

6 

1 

3 

11 
12 

5 

63 
1 
1 

1 

9 

3 

o 

10 
3 

3 

0 

13 

4 

1 

3 

7 

1 

12 
5 

0 

1 
1 

1 

4,730 

73        3,  (150 

l! 

63 

3,211 

68 

3,643 

54       3,525 

82 

4,059            44 

1 

4,163 

54          53,  196 

7,i;j 

566 


SICKNESS   AND   MORTALITY    OF   WHITE    TROOPS 


TABLE  LXXXIX. 

Abstract  of  the  Sickness  and  Mortality 


YEAH  

1864. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

3G,  109. 

35,  7G4. 

31,  533. 

30,  G28. 

29,  554. 

LIST  OF  DISEASES. 

3ases. 

Deaths. 

Cases. 

deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS   1.—  ZYMOTIC   DISEASES. 
OKDEK  I.  —  Miasmatic  Diseases. 

112 

7 
118 

2-1 
6 

22 

63 
3 

120 

33 

59 

22 

48 

11 

23 

0 

32 

113 

28 

79 

11 

52 

9 

'  '    .*  *  10  ,, 

951 
1,  932 

12 
4 

1,309 
2,481 
3,283 

4 

946 
3,  053 
2,511 
33G 
92 
1,539 
35G 
645 
145 
33 
11 
o 

15 

444 
2,  322 

9 

314 
1,512 

2 

.'     e 

1,669 

179 

1,153 

122 

'"     er 

241 
60 
3,  272 
4C6 

884 
115 

12 
128 

215    

32 
20 
42 
31 
9 
1 
3 
19 

110 
1,972 
341 
838 
118 
69 
9 
29 

39 
7 
54 
52 
13 

44 
12 
54 
34 
5 

63 
993 
242 
599 

97 
20 
4 
4 

15 

39 
14 
14 
1 
1 

16 
740 
169 
438 
63 
35 
4 
6 

5 
1 
26 
5 
6 
1 

S  "  I/  >o         d  V     ioloicl 

3 

1 

18   Diphtheria 

C 
41 
96 

260 

7 
40 
64 
208 

38 
100 
20 

1 

26 
51 

6 
9 
69 
168 

1 

17 
101 
125 

23 
80 
g 

1 

11 
1 

3 

224 

63 
89 
15 
10 
19 

7 

6 

3 

ORDER  II.  —  Enthetic  Diseases. 
22    Syphilis                 

58 
124 

83 
7 
4 
4 

24    Orchitis 

23 

13 
20 
1 
57 

253 
G 
4 
1 

6 
18 
1 

•21.  Serpent  Bite  

1 
4 

135 
3 
2 
3 

28.  Other  Diseases  of  this  Order  

1 

o 

ORDER  III.—  Dietic  Diseases. 
23.  Scurvy  

3 

301 
o 

6 
4 
1 

4 
1 

1 

1 

72 

2 

101 

30.  Purimra  

31.  Delirium  Tremens  

3 

32.  Inebriation  

1 
1 

33.  Chronic  Alcoholism  

1 

34.  Other  Diseases  of  this  Order.  .  .. 

CLASS   II.—  CONSTITUTIONAL   DISEASES. 
OUDEU  l.—Diathetic  Diseases. 
35.  Oout  

3 
141 

74 

2 
112 
66 
44 
1 
4 

1 

129 
76 

36.  Acute  Rheumatism  

1 

140 
57 
68 
1 
5 

1 

37.  Chronic  Rheumatism  

1 

38.  Anspinia  

73 

(i 
1 
1 

1G 
14 

2 

102 

39.  Cancer  

1 

40.  Tumors  

1 

3 

1 

41.  Other  Diseases  of  this  Order  

1 

7 
2 

OKDER  11.—  Tubercular  Diseases. 
42.  Consumption  

9 
24 

1 

8 
10 

10 
G 

5 

5 

43.  Scrofula  

44.  Other  Diseases  of  this  Order       .   . 

CLASS   III.—  PARASITIC    DISEASES. 
4.').  ItHi  

GO 
3 
6 

43 

19 

4G.  Tape-worm  

1 

4 

32 

47.  Other  Intestinal  Worms  

6 

1 

48.  Other  Diseases  of  this  Order. 

! 

Carried  forward  

131 

11,  910 

234 

12,  129 

279 

10,  813 

225 

7,495 

5,394 

69 

DURING   THE    YEAR   ENDING   JUNE   30,  1865. 


567 


TABLE  LXXXIX 

of  the  Department  of  Arkansas. 


1864. 

18U5. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

Al'UIL. 

MAY. 

JUNE. 

TOTAL. 

29,  509. 

32,  502. 

26,  189. 

23,  589. 

23,  863. 

23,  419. 

21,030. 

28,  641. 

Cases.    Deaths. 

Cases.    Deaths. 

Cases.    Deaths.    Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1 

3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 

20 
21 

22 
23 

24 

26 

28 

29 
30 
31 
32 
33 
34 

35 

26 

3 

18 
1 
25 

9 

4 

o 

11 

4 

9 

4 

10 

3 

11 
3 

12 

394 
16 
631 

117 
6 
135 

31 

5 

6 

20 

29 

5 

14 

3 

21 

11 

3 

164 
981 
87° 
87     • 
9 
786 
177 
289 
54 

9 

21 

5 

118 
761 
910 
106 
10 
669 
196 
261 
60 
32 
27 
1 

1 

110 
524 

I'll 
668 
822 

138 
967 

1 

186 

792 

1 

241 
831 
748 
51 

5,062 
16,  824 
16,  491 
l,  7:  io 

74 
8 
1 

1 

761 
160 
23 
540 
157 
220 
58 
36 
28 
28 

774 

816 

110 
6 
508 
148 
274 
62 
32 
33 
60 

72 

51 
7 
P56 

2 

35 
3 
4 
1 
2 

1 

3 

4 

875 
144 
542 
101 
58 
19 
44 

4 

2 

768 

142 
280 
61 

52 
25 
14 

2 

427 
13,  618 
2,680 
5,  737 
990 
556 
200 
368 

149 
44 
324 
151 
64 
19 
19 
29 

14 
2 

1 

2 
2 

15 
o 

3 
1 
2 

17 

12 
3 
6 
6 
1 
3 

142 
467 
56 
91 
19 
31 

3 

4 
3 
3 

4 
2 
1 
1 

1 

3 

2 
9 
203 
15L 

31 

7 
1 

10 
17 
451 
133 

44 
84 
14 

o 

11 
51 
344 

88 

14 
51 

17 
43 
131 

106 

27 
59 
8 

1 

9 
32 

o 

73 
298 
1,982 

3 

"91 

10 
74 
118 

24 

1 

107 
135 

37 

63 
11 

2 

4 

1 

101 
50 

1 

1 

1,817 

421 
913 
135 
39 
120 
4 
64 

1,  723 

29 

33 
10 
12 

8 
1,529 
770 
477 
9 

27 
1 

58 
3 
1 

9 

13 

| 

•        1° 

11 

7 

4 

o 
64 

1 

1 

68 
3 

2 

14 
1 
2 

55 
1 
1 

1 

53 

7 

232 
3 

1 

258 
1 
6 
13 

1 

131 

1 
o 

2 
3 
1 

2 

1 

5 
1 

1 

2 

! 

0 

1 

1 

12 

1 
111 
43 

1 

118 
63 
17 

36 
37 
38 
39 
40 
41 

42 
43 
44 

46 
47 
48 

i 

164 
69 
19 

1 

159 

101 
27 

134 

111 
66 
34 

3 

1 
o 

87 
47 
11 

7 
3 

5° 

30 

25 

1 
o 

7 
6 

6 

1 

4 

0 

1 
1 

4 
3 

2 

3 

1 

4 
5 
1 

43 
3 

1 

7 

2 

1 

8 
10 

i 

9 

89 
89 
1 

596 
10 

18 
1 

77,  05D 

1 
3 

1 

3 

1 

7 
5 

1 

49 
1 

66 

84 

66 

56 
1 

57 
1 

" 

1 

1      

4,  379 

68        4,  397             45 

3,539 

26 

4,021 

37       4,  679 

48     ,  4,453 

49       3,850             17 

1,226 

568 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  LXXXIX.—  DEPARTMENT  OF  ARKANSAS— Continued. 


YE-VU    

1864. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOHF.R. 

NOVEMBER. 

MEAN  STRENGTH  

36,  109. 

35,  764. 

31,  533. 

30,  628. 

29,  554. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

rd 

11,910 

5 

18 
195 
4 
3 
10 
3 
22 
158 
o 

37 

1 
3 

306 
11 

2') 

234 

6 
1 

12,  129 

3 
6 
153 
1 
3 
o 

279 
3 

10,  813 

4 

14 
59 
C 
10 
1 

225 

3 
1 

7,495 

1 
3 
50 
3 
1 
1 

131 

1 
2 

5,394 

2 

60 

8 

! 

o 

G9 
1 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.—  Diseases  of  Nervous  System. 

.          y 

1 
4 

1 

3 

o 

2 

1 

1 

1 

23 

140 
4 
15 

1 

10 

90 

5 

62 

84 
4 

7 
10 

1 
1 

2 

2 

7 
1 
253 
4 

1 

ORDER  II.  —  Diseases  of  Eye. 

o 

1 

196 
7 
18 
1 

10 
5 

16 
1 

2 

157 

0 

1 

157 

7 

3 

4 

36 
11 

46 

5 

oo 

OHUEU  III.  —  Diseases  of  Ear. 

22 

7 
2 
14 
1 

1 
I 

9 
43 
3 

1 
8 
1 

3 

12 

(',:<.  Oturrhoea  

70.  Other  Diseases  of  this  Order  

15    

OitDKit  IV.  —  Diseases  of  Organs  of  Circulation. 

Tx.'.  Valvular  Disease  of  Heart  

9 
1 
1 
1 

2 

1 

4 
o 

1 

3 
1 

o 
1 

7!i.  Dropsy  from  Heart  Disease  

74.  Dropsy  of  Pericardium  

75.  Inflammation  of  Pericardium  

1 

70.  inflammation  of  Endocardium  

77.  Inflammation  of  Veins  

3 

7 

2 

1 

G 
8 

1 
2 

78.  Varicose  Veins  

9 
9 
1 

15 

124 
41 

16 
9 
51 
42 
16 
4 

162 
386 
53 

9 
6 

79.  Varicocele  

1 
1 

1° 

K).  Other  Diseases  of  this  Order  

2 

14 
131 
26 

2 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
81.  Asthma  

1 

1 

5 

79 

13 
180 
33 

82.  Acute  Bronchitis  

o 

132 
24 

1 

83.  Chronic  Bronchitis  

84.  Dropsy  of  Chest  

6 

7 
4 
53 
GO 
6 

2 

7 
4 
13 

O7 

40 

8 

3 

13 
52 

Of) 

1 

1 

1 
11 
106 
41 
12 
8 

55 

65.  llaemorihage  from  Nose  

2 
1 
3 

86.  Inflammation  of  Larynx  

1 
23 
1 

87.  Inflammation  of  Lungs  

7 
1 
1 
1 

1 

4 

8 

88.  Inflammation  of  Pleura  

89.  Hsemorrbnge  from  Lungs  

8 

'JO.  Other  Diseases  of  this  Order  

OKIIER  VI.  —  Diseases  of  Digestive  Organs. 
91.  C..lic  

150 
490 
77 
4 
1C 
31 

66 
162 
23 
2 
5 
39 

1 

1'2.  Constipation  

'.'3.  Cholera  Morbus  

1 

38 
o 

8 
38 

16 

1 

94.  Cirrhosis  of  Liver  

1 

95.  Drops)-  from  Hepatic  Disease  
9l>.  Dyspepsia  

12 
54 

1 

1 

2 

1)7.  Diseases  of  Pancreas  



UK  Diseases  of  .Spleen  

8 
2 
36 
1 

9 

I 

Nil).  Hernia  

1 
20 
6 

1 

1 

101.  Haemorrhage  from  Stomach  

1 



Carried  forward  13  994 

264 

13,  899 

298 

11,  9G2 

244 

8,  449         152 

6,  424           98 

DURING   THE    YEAR    ENDING   JUNE   30,  1865. 


569 


TABLE  LXXXIX.— DEPARTMENT  OF  ARKANSAS— Continued. 


1864. 

1865. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUKE. 

TOTAL. 

29,509. 

32,502. 

26,  189. 

23,589. 

23,  863. 

23,  419. 

21,  030. 

28,641. 

49 
50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 

61 
62 
63 
64 
65 
66 

fi7 
68 
69 
70 

71 

73 
74 
75 
76 

77 
78 
79 
80 

81 
82 
83 

84 
85 
8G 
87 
88 
89 
90 

91 
92 
93 

94 
95 
9G 

97 
98 
99 
100 
101 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Death?. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

4,379 

1 
4 
C6 
1 

68 
1 

4,397 

7 

45 
1 

3,539 

26 

4,021 

4 
13 

66 

37 
1 

4,679 

2 
4 
70 

48 
o 

4,453 

o 
6 
126 

49 
2 

3,850 

1 
4 
109 

17 

1 

77,059 

32 
91 
1  051 

1,228 

22 
4 

6 

50 

47 

18 
32 
24 
11 
91 
1,155 

1 
15 
8 
5 
1 

1 
1 
1 
3 
74 
6 

1 

1 

1 

2 

7 

2 
1 

3 

1 

1 

1 

1 

4 

1 
71 
10 

1 

2 
92 

3 

1 

6 
105 

4 
90 
2 
2 

11 
92 
1 
3 

97 

, 

3 

43 

79 
6 

20 

1 
1 
2 

12 

2 

1 
1 
176 
4 
4 
2 

9 
1 
9 

1 
2 

1 

4 

1 

2 

1 
266 
1 
6 

10 
2,535 
45 
130 
13 

165 
44 
192 
21 

3 

44 
6 
1 
5 
3 
7 
49 
58 
8 

111 
1,907 
352 
33 
47 
242 
752 
479 
104 
61 

863 
2,670 

240 

7 

175 

197 

170 
o 

242 

2 

4 

3 

15 

10 
1 

6 

2 
8 

11 

15 

5 
o 

7 
2 
8 
1 

12 

14 

6 
9 

1 

7 

11 

9 

1 

1 
1 

9 

2 

3 

2 

2 

6 
3 

1 

1 

1 

1 

o 

1 

3 

1 

1 

5 
4 

4 

8 

2 
4 

3 

0 

2 
o 

o 

1 

1 

5 
202 

37 

3 
o 

3 

1 

7 

6 

177 
29 
10 

48 
74 
28 
9 
4 

38 
136 

8 

7 
195 
21 

6 
153 
14 

5 
62 
13 
1 
5 
4 
30 

7 
1 

62 

304 
65 
o 

1 

1 

228 
23 
1 
1 
12 
60 
34 
11 
1 

47 
192 

1 

3 
2 
3 

132 
5 
3 
9 

3 

4 
63 
107 
42 
4 
32 

56 
190 
9 

0 

2 
19 
53 

46 
8 

20 

26 
78 
41 
9 
8 

23 

1 

12 

1 

25 
1 

13 

61 
53 

11 

15 

9 

1 
1 

2 

6 
3 

23 
149 
4 
1 
6 
16 

1 

o 

1 

2 

1 

2 

1 

68 
256 
17 

184 
4 

192 

2 

6 

2t; 

280 
13 

70 
345 

4 
1 
4 

4 
15 

1     j 

7 
31 

1 
15 

1 

3 

°6 

4 
32 

o 

18 

i 

1 
5 

18 

3 
3 

1C 
1 

o 

o 

0 

1 
o 

31 
23 
230 
9 

1 
17 

4 
6 

1 

9 

12 

5 

5,368 

99 

5,  KM 

66 

4,473 

40 

5,089 

61 

5,734 

70 

5,685 

64       4,822 

24     !     91,  733 

1,480 

570 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  LXXXIX.— DEPARTMENT  OF  ARKANSAS— Concluded. 


~ 

18(54. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOIJER. 

NOVEMBER. 

MEAN  STRENGTH  

36,  109. 

35,  764. 

31,  533. 

30,  628. 

23,  554. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

ht  fir  Tin! 

13,  994 

9 
56 
17 
6 
2 
20 
29 
190 
100 
5 

3 

1 
1 
1 
9 
oo 

264 

12 

13,  899 

44 
41 
15 
15 
4 
30 
23 
258 
124 

298 
3 

11,  962 

5 
37 

20 
12 
2 

29 
11 
236 
83 
1 

3 

244 
1 

8,449 

152 
1 

6,424 

98 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

23 

12 
9 
3 
11 
13 
104 
87 
o 

29 

2 

1 

5 
1 

3 

4 

5 
10 
1 
14 
9 
38 
52 

5 

1 
1 

1 
1 

1 
1 

0 

1 

1 

1 
1 

1 

10.).     .1  11 

8 
15 

3 

4 
1 
1 

ORDER  VIL—  Diseases  of  Urinary  and  Genital  Organs. 

8 

o  e 

o 

3 

1 

3 

i  •  e     r  i> 

1  .'  .sea     ,  ...  . 

1 

43 
4 
13 
o 

1 
9 
3 
5 
2 

30 

y 

1 

14 
6 
2 
3 

1 

3 

5 

6 
o 

ORDER  VIII.  —  Diseases  of  Hones  and  Joints. 

1 
1 
1 
o 

2 

123   Caries                                                            

2 
5 

1 
1 

o 

7 

7 

r 

1 

o 

1 

ORDER  IX.  —  Diseases  of  Integumentary  System. 
129.  Abscess  

108 
283 
22 

89 

68 
185 

1 

31 
110 
5 
18 
49 

9 
38 

39 

131.  Boils  

211 

131.  Carbuncle  

12 

0 

132.  Whitlow  

45 

40 
82 

43 
37 

o 

13 
40 

133.  Skin  Diseases  

62 

4 

54 

CLASS    V.     WOUNDS,   ACCIDENTS,   AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  anil  Injuries. 
134.  Burns  

6 
45 

135.  Contusions  

44 

45 

136.  Concussion  of  Brain  

1 

2 

1 

137.  Drowning  

3 

138.  Sprains  

60 

49 
1 
3 

38 
o 

45 

49 

0 

139.  Dislocation  

1 
4 

140.  Simple  Fractures  

4 
1 
69 
17 
5 
15 
7 
4 

3 

4 

141.  Compound  Fractures  

1 

36 
11 
4 

7 

142.  Gunshot  Wounds  

5 
1 

65 
19 
11 

20 

9 

3 

31 
1 

7 

24 
26 
9 
3 
1 
2 

4 

143.  Incised  SVounds  

144.  Lacerated  Woucds  

145.  Punctured  Wounds  

1 

146.  Poisoning  

3 

147.  Other  Accidents  and  Injuries  

3 

3 

1 

4 

2 
1 

1 

1 

148.  ORDER  II.—  Homicide  

1 

149.  ORDER  III.—  Suicide  

1 

150.  OKDER  IV.—  Execution  of  Sentence  . 

Total  

i 

1  r)  °5° 

295       15,206  !      321 

12,  962 

203 

9,127 

170 

6,  986 

107 

DURING    THE    YEAE    ENDING    JUNE    30,  1865. 


571 


TABLE  LXXXIX.— DEPARTMENT  OF  ARKANSAS— Concluded. 


1804. 

1805. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

29,  509. 

32,  502. 

26,  189. 

23,  589. 

23,  863. 

23,  419. 

21,030. 

28,  641. 

102 
103 
104 
105 
106 
107 
108 
109 

110 

111 

112 
113 

114 
115 
116 
117 
118 
119 
120 
121 

122 
123 
124 
125 
126 
127 
128 

129 
130 
131 
132 
133 

134 
135 
136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
140 
147 

148 
149 
150 

Cases. 

Deaths. 

Cases. 

Deaths 

Cases     Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths 

Cases.      Deaths. 

5,368 

99 

5,  634 
5 

66 

1 
4,473 

40 

5,089 

1 

69 
10 

o 
5 

6 
16 
52 

61 

5,734 

2 
44 
3 
5 
1 
6 
4 

70 

5,685 
5 

64 

4,822 

1 
30 
1 
13 

24 

91,733 

72 
511 
103 
88 
20 
143 
140 
978 
812 
39 

49 
21 
17 
5 
17 
176 
45 
52 
£0 

1,480 

17 

33 

61 

7 
5 

43 

45 
4 
5 
2 

9 
8 
15 

rt 

3 

2 

2 
3 

1 

3 

18 
45 

2 

1 
1 
1 

9 
18 
5 
5 

7 
7 

1 

1 

1 

8 
9 

24 
49 

3 

16 
2° 

1 
2 

6 
9 
35 

40 

1 

2 

1 

62 

42 

76 

4 

1 
1 
3 

1 

1 

3 

8 
3 

1 

5 
1 

0 

1 
5 

4 

6 
1 
1 

0 

1 

1 

1 
1 

1 

1 

1 
2 
8 
2 

1 
8 
3 
3 
3 

1 

18 
3 
2 

1 

7 
1 
5 
2 

11 

0 

3 
4 
6 

1 

3 

3 

2 

1 

8 
1 

1 

1 

5 

13 
7 
28 
3 
17 
9 
o 

579 
1,510 
82 
304 

580 

91 
486 
5 

1 

1 

2 
1 

1 

3 

o 

1 

2 

I 

4 

3 

0 

1 

1 

2 

1 

3 

1 

2 

1 

45 

96 
6 
18 
50 

10 
21 

47 
88 
7 
39 

23 

28 

28 
76 
2 
18 

45 
101 
5 
16 
31 

6 
32 

1 

75 
3 
25 

83 

105 
8 
12 
44 

14 
45 

17 
57 

50 
15 

50 

4 
36 

9 
46 

3 

36 

44 

1 
6 

1 

1 

1 

62 
3 
1 
1 
23 

5 

6 
4 
18 

40 
3 
1 

24 

44 
4 
4 
1 
18 
32 

51 

52 

45 

559 
29 

2 
2 

0 

3 
1 

5        

4 

36 
6 
385 
267 
69 
66 
35 
41 

1 

6 

1 

58 
1 

1 

8 

30 
32 
3 
1 
o 

4 

34 

15 
5 
2 

1 
3 

5 

24 
24 

o 

18 
25 

4 

13 
17 

7 

1 

2 

3 
5 

9 
1 
3 

7 
6 
1 
1 



3 
2 

1 

2 

1 

1 

9 
o 
2 

1 

| 

5,  931 

111 

f>,461           78 

1 

4,920 

49 

5,636 

70 

6,  209            77 

ti,2C4 

70 

5,301 

28 

100,  255 

1,639 

572 


SICKNESS   AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  XO. 

Abstract  of  the  Mortality  in  the 


YEAR  

3864. 

MONTH  

JULY. 

AUOUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

34,  551. 

32,  829. 

28,  027. 

24,  363. 

30,  512. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS  1.—  ZYMOTIC    DISEASES. 
OKDElt  I.  —  Miasmatic  Diseases. 

255 

164 
1 

48 

125 

87 
3 
40 

103 

4 

62 

50 

37 

K                                         V 

58 
7 
8 

52 
7 
9 

46 
4 
6 

38 
2 
2 
3 
20 

20 
10 
1 
1 
4 
28 
346 
44 
42 
4 
39 
9 

6.  Quot  dia 

ft'  O                        'tt     t  V 

or            •                            v 

20 

24 
53 

18 
30 
431 
56 

48 
•      7 
11 
7 

'         K* 

81 
493 

24 

. 

460 
53 
46 
8 
15 
7 

389 

41 
69 
10 
23 
15 

56 

"'             .    j            ^ 

41 
5 
10 

7 

14    F       i   °1    ^              y 

17   Scarlet  Fever 

18    Diphtheria 

1 

1 

3 

o 

2 
1 

2 

2 

21.  Other  Diseases  of  this  Order 

15 
2 

9 
1 

8 
o 

6 

6 
2 

ORDER  II.  —  Enthetic  Diseases. 
22.  Syphilis  

23.  Gonorrhoea  

24.  Orchitis  

25.  Stricture  of  the  Urethra  

26.  Purulent  Ophthalmia  

27.  Serpent  Bite  

28.  Other  Diseases  of  this  Order  

1 
1 

ORDER  III.—  Dietic  Diseases. 
29.  Scurvy  

1 

1 
4 

7 

3 

2 

30.  Purpura  

31.  Delirium  Tremens.. 

1 

2 

32.  Inebriation  

1 

33.  Chronic  Alcoholism  

1 

34.  Other  Diseases  of  this  Order  

CLASS  II.—  CONSTITUTIONAL   DISEASES. 
ORDER  l.—Diathetic  Diseases. 
35.  Gout  

36.  Acute  Rheumatism  

4 
1 
32 

1 
1 
10 

1 

1 
5 

1 

1 
4 

1 
3 
6 

37.  Chronic  Rheumatism  

38.  Anaemia  

39.  Cancer  

40.  Tumors  

1 

41.  Other  Diseases  of  this  Order  

1 

36 
1 

ORDER  II.  —  Tubercular  Diseases. 
42.  Consumption  

44 
3 

34 

°6 

28 

43.  Scrofula  

44.  Other  Diseases  of  this  Order  

CLASS  III.  —  PARASITIC    DISEASES. 
45.  Itch  

46.  Tape-  worm  :  .  .  . 

47.  Other  Intestinal  Worms  

48.  Other  Diseases  of  this  Order 

Carried  forward  

1 

1    w>1 

1,014 

906 

783 

741 

DUKING   THE    YEAR   ENDING   JUNE    30,   1865. 


573 


TABLE  XC. 

General  Hospitals  of  the  Central  Region. 


1864. 

1865. 

DECEMBER. 

JANUARY.          FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

34,274. 

30,434. 

28,  513. 

29,  389. 

27,  293. 

19,  174. 

11,549. 

27,  576. 

Cases. 

Deaths. 

Cases. 

Deaths.    Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.     Deaths. 

1 
g 

3 

4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 

24 

26 

27 
28 

29 
30 
31 

33 
34 

35 
36 
37 
38 
3'J 
40 
41 

42 
43 
44 

45 

46 

47 
48 

123 

179 

116 

94 
5 

24 

97 

80 

81 

1,504 
13 
371 

16 

29 

27 



21 

7 

10 

23 
5 
2 

26 

17 
2 

21 
10 
2 
1 
6 
23 

20 

23 
1 

33 

1 
1 

377 
56 
36 
5 
127 
358 
3,779 
340 
363 
238 
698 
404 
3 

5 

2 
3 

5 
2 

14 

7 
27 

4 
18 
214 
9 
23 
33 
138 
49 

6 
18 
235 

2 
10 
206 

2 

21 

319 
19 
18 
19 
66 
23 

287 

218 
2 
16 
35 
125 

181 
19 
14 
9 
24 
4 

16 
25 
39 
109 
58 
1 
1 

7 
16 
42 

18 
5 
27 
69 
25 

69 
86 

204 
2 
5 

4 
1 

4 

1 

5 

4 

1 

3 

1 

1 

2 

1 

7 
1 

CT 
10 

1 

34 
6 

21 
1 

1 
1 

4 
1 
3 

2 

3 

1 
4 

3 
1 
3 

6 
1 
2 

o 

1 

1 

1 

1 

6 
1 
4 

3 
4 
3 

4 

3 
4 
2 

5 
1 
2 

4 

1 

34 
17 
49 

1 

1 

1 
2 

46 

3 
6 

477 
11 
3 

o 

1 
52 

53 
3 

54 
1 
1 

52 

34 
2 

18 

1 

759 

883 

712 

804 

693 

527 

431 

9,  531 

574 


SICKNESS    AND    MOETALITY    OF    WHITE    TROOPS 


TABLE  XC.— GENERAL  HOSPITALS  OF  THE  CENTRAL  REGION— Continued. 


YKAK  

1864. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

34,  551. 

32,  829. 

28,  027. 

24,  363. 

30,  512. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1  °°1 

1,014 

906 

783 

741 
1 

CLASS    IV.—  LOCAL    DISEASES. 
ORDER  I.  —  Diseases  of  Nervous  System. 

4 
4 

4 
1 

1 

o 

0 

1 
5 

o 
8 
6 

15 

8 
3 

7 
4 
o 

4 
1 
1 
1 
2 
4 
6 

1 

1 

1 

2 
2 
3 

2 

2 

1 

1 

ORDER  II.  —  Diseases  of  Eye. 

62   Cataract                                                       

j 

ORDER  III.  —  Diseases  of  Ear. 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

2 
o 

5 
2 

1 

4 

4 
2 
1 

3 

73.  Dropsy  from  Heart  Disease              

1 
1 
1 
1 

74.  Dropsy  of  Pericardium 

1 
1 

2 

75.  Inflammation  of  Pericardium  

7C.  Inflammation  of  Endocardium  

77.  Inflammation  of  Veins  

78.  Varicose  Veins  

79.  Varicocele  

80.  Other  Diseases  of  this  Order  

1 

1 
5 
5 
1 

1 

1 
2 

7 

1 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
81.  Asthma  

1 
3 

10 

1 
3 
4 
o 

82.  Acute  Bronchitis  

2 
3 

83.  Chronic  Bronchitis    . 

84.  Dropsy  of  Chest  

85.  Haemorrhage  from  Nose  

1 
1 
35 

86.  Inflammation  of  Larynx 

2 
61 
5 

1 
70 
5 

87.  Inflammation  of  Lungs 

49 
1 
1 

22 
4 
2 
2 

88.  Inflammation  of  Pleura 

2 

89.  Haemorrhage  from  Lungs 

90.  Other  Diseases  of  this  Order  

5 

5 

3 
1 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
91.  Colic  

1 

92.  Constipation  

93.  Cholera  Morbus  

3 

1 

2 

1 

94.  Cirrhosis  of  Liver  

95.  Dropsy  from  Hepatic  Disease  

3 

3 

4 

9 

7 

96.  Dyspepsia  

1 

97.  Diseases  of  Pancreas  

!     98.  Discuses  of  Spleen  

99.  Fistula  in  Ano  

1 

1 
1 

100.  Hernia  

1 

101.  Haemorrhage  from  Stomach 

Carried  forward  

1,364 

1,111 

976 

871 

863 

.  

DURING   THE    YEAR    ENDING    JUNE   30,    18G5. 


575 


TABLE  XC.— GENERAL  HOSPITALS  OF  THE  CENTRAL  REGION— Continued. 


18(>4. 

1865. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APKIL. 

MAY. 

JUNE.                   TOTAL. 

34,  274. 

30,  434. 

28,  513. 

29,  389. 

27,  293. 

19,  174. 

11,549. 

27,  576. 

49 
50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 

61 
62 
63 
64 
65 
66 

67 

68 
&j 
70 

71 
72 

73 
74 
75 
76 
77 
78 
79 
80 

81 
82 
83 
84 
85 
86 
87 
88 
89 
90 

91 
92 
93 
94 
95 
96 
97 
98 
99 
100 
101 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

759 
3 

883 

2 
2 

712 

864 
5 

693 

527 

431 

9,534 

20 
17 

1 

1 

4 

1 

1 

1 
4 
4 
3 

o 

1 
6 
6 
3 

9 
97 
55 
55 

3 

14 
8 
20 

10 

10 
3 
17 

8 
11 
20 

10 
3 
5 

6 
6 
3 

1 

2 

2 

2 

1 

2 

1 

1 

1 

2 

3 

1 

1 

1 

1 

1 
2 

1 
5 
2 
1 
4 
1 

4 
36 
9 
11 
17 
5 

1 

2 
1 
o 

5 
1 
1 
3 

1 

3 

1 

4 
1 

0 

o 

I 

1 

1 

.... 

1 
10 

8 
73 
84 
4 
1 
12 
1,305 
45 
14 
45 

3 
1 
11 
1 
56 
1 

3 
o 

2 

1 

o 

6 

7 

10 

17 

8 
7 

13 

8 

1 

12 

6 
3 

3 
3 

10 

o 

1 

206 
1 

3 

209 

1 
191 

7 
1 
o 

1 
37 

1 

133 

213 

79 
3 

3 
3 

8 

8 
3 
5 

5 
6 

2 
2 

4 

3 

1 
1 
1 

o 

1 

1 
10 

6 

4 

0 

5 

2 

1 

1 



3 
1 

1 

958 

1,180 

984 

1,178 



958 

045 

511 

11,5'.HI 

576 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  XC.— GENERAL  HOSPITALS  OF  THE  CENTRAL  REGION— Concluded. 


1864. 
YEAH  

1IOST1I  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOIJER. 

NOVEMBER. 

34,  551. 

32,  829. 

28,  027. 

24,  363. 

30,  512. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1,364 

2 
1 

1,111 
5 

976 

871 
2 

863 

ORDER  VI.—  Disease*  of  Digestive  Organs—  Continued. 

2 
5 

4 

8 

0 

4 
2 

4 
4 
4 

1 

11 
6 
1 
1 
8 

0 

1 
1 
3 
1 
1 

2 
1 

0 

4 

1 

1 

2 

3 

2 

OBDEU  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

1 
3 

1 
1 

o 

o 

1 

•  iv  -g        f  p 

1 

2 

1 

2 

2 

1 

1 

OEDEU  VIII.  —  Diseases  of  Bones  and  Joints. 

123.  Caries  

124.  Inflammation  of  Joints  

1 

125.  Inflammation  of  Bones  

12C.  Inflammation  of  Periosteum  

li:7.  Necrosis  

128.  Other  Diseases  of  this  Order  

1 
2 

OHDEK  IX.  —  Diseases  of  Integumentary  System, 
129.  Abscess  

4 

1 

3 

1 

130.  Boils  

131.  Carbuncle  

132.  Whitlow  

133.  Skin  Diseases  

2 

2 

5 

1 

1 
1 
1 

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
134.  Burns  

135.  Contusions  

3 

13tJ.  Concussion  of  Brain  

1 

1 
I 

137.  Drowning  

0 

2 

138.  Strains  

13'J.  Dislocation  

140.  Simple  Fractures  

1 

141.  Coinj>ound  Fractures  

•j 

1 
95 
o 

142.  Gunshot  Wounds  

55) 

286 
2 

171 
1 
1 

84 

143.  Incised  Wounds  

1 

1 

144.  Lacerated  Wounds  

145.  Pirhctured  Wounds  

1 

140.  Poisoning  

1 
5 

147.  Other  Accidents  and  Injuries  

3 

2 

3 

4 

3 

1 
1 

lie!.  ORDER  II.  —  Homicide  

149.  OUDER  III.—  Suicide  

1 

1 

1 

150.  OUDEK  IV.—  Execution  of  Sentence 

Total  

1  985 

1  438 

1,187 

991 

DURING   THE    YEAR    ENDING   JUNE    30,  1865. 


577 


TABLE  XC.— GENERAL  HOSPITALS  OF  THE  CENTRAL  REGION— Concluded. 


1864. 

1865. 

DECEMBKR. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNK. 

TOTAL. 

34,  274. 

30,  434. 

28,  513. 

29,  389. 

27,  293. 

19,  174. 

11,  549. 

27,  576. 

102 
103 
104 
105 
106 
107 
108 
109 
110 
111 

112 
113 
114 
115 
116 
117 
118 
119 
120 
121 

122 
123 
124 
125 
126 
127 
128 

129 
130 
131 
132 
133 

134 
135 
136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
146 
147 

148 
149 
]50 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases.      Deaths. 

958 

1,180 

984 

1,178 

958 

645 

511 

1 

11,  599 

12 
5 
35 
71 
49 
14 
11 
31 
3 
10 

1 

1 
1 
4 
5 
1 
1 
3 

1 

2 
1 
6 
6 

1 
2 

9 

1 

3 
3 
10 
4 

4 
11 
7 
3 

3 

1 
1 
1 

2 
7 
3 

1 

2 
2 

1 

2 

7 

1 

[_" 

1 
1 

2 

3 

1 

1 

1 

4 
11 

1 

1 

1 
3 

1 
13 

2 

1 

1 

2 

2 
1 

1 

1 

1 
2 

2 
23 

2 

3 

1 

4 

1 

1 

2 

2 
1 

5 

29 
15 
11 
9 

1 

16 
3 
2 
1 

7 

1 

1 
2 

4 

1 

;•  T 

II  

1 
11 
1,851 
18 
4 

2 
28 

4 

8 

2 

308 

.  ] 

1 

71 
1 

1 
31 
2 

0 

152 

51 
o 

04 

23 

2 
1 

1 

1 

r; 

1 
1 

2 
1 

1 

1 

3 

1 

i 

1 

1 



1,309 

1,359 

1,065 



1,244 



1,078 

703 

559 

13,  905 

578 


SICKNESS   AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  XCI. 

.Abstract  of  the  Sickness  and  Mortality 


YEAR  

1864. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

332,  672. 

344,  895. 

319,  709. 

317,  627. 

318,  212. 

MEAN  STRENGT  ,  (no  inc         g 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths.    Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS    1.—  ZYMOTIC    DISEASES. 
OHDEH  I.  —  Miasmatic  Diseases. 

600 
116 
699 

461 
15 
110 

668 
17 
778 

337 
5 
128 

763 
10 
552 

278 
4 
144 

433 
4 

389 

190 
5 
96 

380 
8 
236 

173 

~'     JI 

56 

4    Y^VI         F     ' 

6,159 
8,339 
8,018 
911 
285 
21,  358 
2,558 
6,153 
5*.o 
402 
38 
368 
3 
93 
365 
499 
1,465 

722 
1,300 

106 
14 
13 
2 
78 
140 
712 
145 
98  • 
13 
32 
52 

7,671 
10,  252 
9,839 
1,109 
312 
20,627 
2,662 
6,178 
521 
380 
42 
155 
4 
66 
227 
613 
1,548 

821 
1  236 

136 
17 
10 

4,957 
10,  190 
8,616 
928 
345 
14,  814 
2,583 
5,  202 
588 
250 
35 
70 

88 
8 
7 
1 
105 
74 
722 
182 
101 
10 
12 
9 

3,444 

9,197 
6,680 
847 
210 
11,  885 
1,  905 
4,190 
488 
246 
56 
284 
4 
53 
176 
1,173 

87 
11 
3 
4 
65 
53 
704 
152 
88 
8 
15 
10 

2,667 
5,827 
5,118 
622 
139 
9,918 
1,516 
2,774 
355 
244 
103 
422 
3 
57 
289 
1,764 
875 

625 
1  029 

37 

1 
1 
36 
37 

447 
79 
56 
8 
46 
26 

106 
101 
740 
176 
104 
10 
18 
13 

17.  Scarlet  Fever     

18.  Diphtheria                  ....                 .           .... 

3 

1 

4 
4 

53 

101 
651 

3 

4 

1 

3 

20.  Epidemic  Catarrh  

26 

20 
2 

1,224 

733 
1  029 

24 
2 

1,180 

649 
1  012 

17 
2 

17 
3 

ORDER  II.  —  Enthetic  Diseases. 
22.  Syphilis  

24.  Orchitis  

107 
32 

114 
oo 

1 

94 
17 
105 

106 
18 
76 
3 
8 

664 
6 
33 
35 

7 

83 
16 
78 
2 
22 

498 
2 

22 
32 
5 

25.  Stricture  of  the  Urethra  

1 

26.  Purulent  Ophthalmia  .   

142 
6 
102 

1,483 
24 
30 
33 
6 

141 
5 
22 

27.  Serpent  Bite  

7 
39 

1,  523 
13 
27 
37 
4 
15 

28.  Other  Diseases  of  this  Order  

2 

12 
1 
6 
1 
1 

ORDER  III.  —  Dietic  Diseases. 
29.  Scurvy  

6 
I 

7 
1 

1,620 
12 
40 
30 
°3 

16 
2 
2 
1 

26 

9 

30.  Purpura  

31.  Delirium  Tremens  

3 

1 
1 

32.  Inebriation  

33.  Chronic  Alcoholism  

34.  Other  Diseases  of  this  Order  

CLASS    II.—  CONSTITUTIONAL    DISEASES. 
ORDER  l.—Diatltetic  Diseases. 
35.  Gout  

5 
1,336 

737 
368 
9 
35 

o 

1 
1,  193 
784 
312 
4 
21 
11 

97 

76 
1 

1° 

1 
1,450 
784 
104 
3 
13 
7 

70 
44 
5 

447 

36.  Acute  Rheumatism  

6 
4 
14 

1,406 
915 
345 

4 
5 
12 

o 
3 
6 

1,363 

718 
195 
2 

3 
5 
5 
1 

o 
5 
6 

37.  Chronic  Hheumatisrn  

38.  Anaemia  

39.  Cancer  

40.  Tumors  

40 
22 

125 
100 

1 
2 

52 
1 

41.  Other  Diseases  of  this  Order  

116 

85 

1 

62 
5 
2 

6 

98 
56 
6 

3 

58 
2 

ORDER  11.—  Tubercular  Diseases. 
42.  Consumption  

37 

45 

43.  Scrofula  

44.  Other  Diseases  of  this  Order.  .  . 

CLASS    III.  —  PARASITIC    DISEASES. 
45.  Itch  

484 
13 

°7 

46.  Tape-worm  

8 
22 

JO 
24 

13 
19 

47.  Other  Intestinal  Worms  

0 

4 

48.  Other  Diseases  of  this  Order 

3 

Carried  forward  

66,  174 

2,132 

71,  3C8 

2,030 

58,  368 

1,  857       48,  403 

1,601 

38,  669     1,  120 

DURING   THE   YEAR   ENDING   JUNE    30,  18G5. 


579 


TABLE  XCI. 

of  the  Central  Hegion. 


1864. 

18(35. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

322,  590. 

337,  341. 

312,  308. 

318,886. 

322,  648. 

327,  995. 

247,  377. 

318,  522. 

l 

2 
3 

4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
1C 
17 
18 
19 
20 
21 

22 
23 
24 
25 
26 
27 
28 

30 
31 
32 
33 
34 

35 
36 

37 
38 
39 

40 
41 

42 
43 
44 

45 

•]•; 

47 

48 

Cases. 

deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.      Deaths. 

332 
5 
341 

205 
36 

441 
11 

285 

246 

223 
•14 
134 

187 
6 
38 

312 
2 
336 

158 
5 
49 

238 
4 
375 

171 
o 

44 

234 

1 
265 

149 

203 
7 
352 

125 
2 

27 

4,  827 
199 
4,742 

2,680 
44 
812 

52 

32 

2,548 
5,029 
4,811 
555 
83 
11,  366 
2  262 
2,424 
321 
323 
210 
1,044 
1 
65 
345 
2,351 
1,152 

810 
1,083 
116 
12 
98 
1 
1 

276 
21 

22 
3 
1 

1 
1,672 
1,083 
89 
1 
15 
23 

85 
47 
1 

651 
4 
8 
3 

47 
5 
2 
1 
27 
37 
446 
47 
41 
32 
92 
61 

2,571 
4,  699 
4,656 
594 
76 
10,  176 
1,831 
2,285 
292 
339 
333 
814 
1 
159 
413 
3,091 
1,065 

735 
956 
108 
8 
73 

45 
3 
4 

2,204 
3,857 
3,766 
505 
98 
7,211 
1,577 
1,585 
195 
460 
357 
697 
17 
119 
381 
3,090 
921 

621 
860 
96 
20 

2 
1 
1 

17 
25 
359 

43 
48 
163 
82 
1 
7 

2,  626 
4,720 
4,606 
524 
127 
10,  643 
1,  893 
2,164 
277 
505 
358 
1,909 
6 
115 
1,049 
2,966 
1,048 

642 
930 
122 

45 
16 
2 
2 
29 
50 
341 
15 
24 
56 
165 
309 
3 
7 
1 

15 
1 

2,589 
5,473 
4,831 
464 
61 
11,  040 
1,604 
3,197 
307 
470 
292 
816 
o 

106 
895 
1,428 
1  272 

602 
897 

35 
8 
5 
3 
29 
33 
358 
22 
27 
66 
111 
204 
1 
4 

3,211 
5,418 
5,  051 
477 
240 
12,  886 
2,537 
3,770 
414 
437 
203 
321 

49 
8 

2,902 
4,704 
4,  161 
408 
150 
11,079 
1,664 
2,781 
297 
282 
91 
97 
3 
23 
235 
642 

50 
4 
3 
1 
19 
38 
248 
43 
22 
15 
36 
7 
1 

43,  749 
77,  705 
70,  153 
7,941 
2,  126 
153,  OU3 
24,  592 
42,  703 
4,  586 
4,338 
2,118 
6,997 
44 
958 
5,012 
19,  183 

750 
108 
51 
18 
551 
666 
5,795 
972 
660 
361 
919 
923 
7 
45 
13 

2 
19 
26 
310 
32 
15 
46 
89 
64 

21 
52 
408 
50 
41 
49 
140 
86 
1 
1 

6 
2 

10 
1 

49 
536 
915 
1,344 

626 
906 

5 

17 
3 

5 

16 

9 
1 

1,088 

608 
923 

8 

14,  182 

8,194 
12  161 

184 
18 

116 
17 
101 

100 
13 

175 

78 
17 
106 
1 
25 

1,240 
211 
1  331 

1 
1 

19 
129 

107 
6 
4 

366 

16 
26 
14 
3 
1 

12 

0 

35 
321 

10,  694 
247 
320 
349 
74 
45 

58 
17,  71  i5 
10,  178 
2,  115 
29 
283 
138 

1,075 
790 
31 

7,  269 
108 
166 
37 

8 

375 
45 
24 
16 
5 

1 
3 

7 

803 
13 
13 
22 
7 
9 

5 

78 

1,192 
56 

36 
5 

3 

134 
9 
41 
9 

7 

1 

6 

1 
3 

6 

15 
1 
6 

o 

1,207 
30 
35 
33 

6 

8 
1,  695 
910 
152 

16 
1 
3 
1 

17 
1 
3 

2 
1 

687 
9 
21 
39 
4 
13 

3 

998 
533 
92 

2 

1 

2 

1 

4 

1 

1 

o 

7 
1,  540 
947 
113 

4 
1,660 
826 
144 
2 

25 

7 

88 
89 
4 

835 
6 
10 

8 
3 
4 

1,930 
1,  098 
100 

7 
4 
4 

1,  522 
844 
101 
1 
18 
5 

69 
44 
3 

698 

4 

1 
2 

4 
6 
2 

14 
1 
3 

7 
4 

3 

64 
41 
58 
2 
3 
13 

656 

20 
3 

1 

1 
20 

20 
8 

79 
52 

1 

1 

64 

1 

17 
9 

89 
75 
2 

906 
11 

1" 
±~ 

27 

3 

62 
4 

13 

85 
71 
1 

915 

1 
63 

15 

74 

51 
8 

440 
7 
7 
2 

1 

25 
o 

71 
1 
1 

74 
2 

43 

o 

789 
8 
9 

7 

15 

7 
20 

4 
11 

2 

8 

3 

41,723 

1,193        40,587 

1,315 

32,  898 

1,123 

42,640 

1,407 

42,  426 

1,242 

45,  219 

937       35,  950         688          564,425      16,6-15 

580 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  XCI.— CENTRAL  REGION— Continued. 


1804. 

JlON'TU    

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOHKK. 

NOVEMBER. 

MEAN  STRENGTH,  (not  including  Table  J.'C)... 

332,  672. 

344,  895. 

319,  709. 

317,  627. 

318,  212. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

3ases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

66,  174 

13 

86 
__  1,  2(53 
33 
16 
12 
7 
97 
1,142 
33 
369 
23 

1) 
9 
1  507 

2,132 
6 

71,  368 

13 
94 

1  °°8  ' 

2,030 
1 

58,368 

13 
90 
750 
27 
14 
4 
14 
83 
663 
36 
39 
17 

24 

1,857 

9 

8 

48,  403 

4 
83 
740 
17 
7 
1 
11 
63 
582 

7 
13 

17 
6 
1,  082 

1,601 

6 
5 

38,  669 

4 
101 
482 
13 
15 
7 
3 
5~ 
600 
10 

1,120 

3 
3 

CLASS    IV.  -LOCAL    DISEASES. 
OKDEK  I.—  Diseases  of  Nervous  System. 

50.  Epilepsy  

51.  Headache  

1 
24 
9 
3 
2 

1 
3 

10 
6 

21 
14 
3 
12 
73 
1,056 
19 
146 
16 

17 

4 
19 

10 
1 
3 

1 
8 

3 
3 

1 
13 
9 
o 

o 
13 

12 

1 
1 
1 
1 

58.  Paralysis  

4 
4 
4 

6 
9 
1 

1 

59.  Sun-stroke  

20  ' 

9 

.!-> 

1 

OUDEK  II.  —  Diseases  of  Eye. 

11 
1,223 



1  324 

951 
17 
80 
9 

47 
16 

74 

75 

34 

395 
46 

91 
32 
173 
52 

33 

269 

^7 
161 
2 

74 
20 

305 
65 

24 

1 

OitUEK  JII.  —  Diseases  of  Ear. 

151 

89 

158 

102 

66 
9 

87 

4 
34 
15 
4 
9 
8 
11 
64 
56 
22 

86 
834 
160 
14 

30 
79 
347 
273 
59 
89 

1,  333 
2,  436 
574 

OltUEK  1\'.  —  Diseases  of  Organs  of  Circulation. 

0 

2 
36 
6 
3 

8 
4 
2 

o 
9 
5 
1 
3 
2 

1 
23 
9 

12 
3 
3 
1 

38 
8 
10 
5 

5 
3 

7° 

13 
3 

1 
1 
1 

8 
5 

0 

1 

31 
5 
1 
9 

o 

1 
r>7 

3 

1 

1 
2 

9 
9 

1 

•          v  • 

56 

62 

8r> 

41 
5 

107 
810 
205 
13 
21 
88 
250 
256 
54 
66 

1,036 
1,.647 
323 
13 

74 
338 

35   

31 

7 

87 
1,475 
194 
7 
9 
111 
633 
292 
47 
191 

716 

;    3,153 

160 
4 
38 
200 

80   Other  Diseases  of  this  Order 

4 

1 
6 

8 
3 

35 

80 
806 
240 
5 

3 

9 
1 

5 

2 
6 

1 

0 

2 
43 
6 

4 

24 

96 

1,  159 
139 
8 
19 
9'3 
421 
264 
71 
133 

882 
1,364 
206 
5 
58 
309 
1 

5 

OKUEU  V.  —  Diseases  of  Respiratory  Organs. 
81.  Asthma  

1 
4 

6 

1 
3 

135 
6 
1 

1 
3 

3 

3 
o 
1 

65 
5 

84.  Dropsy  of  Chest  

85.  1  1  ;ru  H  »  i  hage  from  Nose  

86.  Inflammation  of  Larynx  

o 

118 
7 
o 

9 

0 

1 
6 

56 
323 

26(5 

84 
97 

1,  422 

2,181 
628 

87.  Inflammation  of  Lungs  

77 

2 
6 

1 

1 

4 

88.  Inflammation  of  I'lcuni  

89.  Haemorrhage  from  Lungs  

90.  Other  Diseases  of  this  Order  

5 
3 

OKDEIC  VI.  —  Diseases  of  Digestive  Organs. 
91.  Colic  

92.  Constipation  

1 

6 
1 
9 

I:!.  Cholera  :.iorbn.s   

3 

!>4.  Cirrnosis  of  Liver  

',     95.  Dropsy  from  Hepatic  Disease  

8<J             4 

Tvl 

80 
390 
1 
13 

27 
260 
o 

3 

13 

8 

!'ii.   Dyspejisia      

'.»?.   Diseases  of  Pancreas  4 

98.  Diseases  of  Spleen  

''4 

21 
28 
216 
6 

!  

6 

158 

<»9.  Fistula  in  Ano  

P 

1 

23 

208 

2 

1 
1 

100.   Hernia  !         24H 

1 

101.  Haemorrhage  from  Stomach  

(, 

1 

5 

Carried  forward  

J  

78  941 

2,412       83,  497     2,230 

1 

67,  706     2,  031 

57,  069     1,  775 

46,  851 

1,  344 

DURING   THE    YEAR    ENDING   JUNE    30,  1865. 


581 


TABLE  XCI.— CENTRAL  REGION— Continued 


18(34. 

1865. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH.                 APRIL. 

MAY. 

JUNE. 

TOTAL. 

322,  590. 

337,  341. 

312,308. 

318,  886. 

322,  648. 

327,  995. 

247,377.                     318,522. 

-49 
50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 

61 
62 
63 
64 
65 
66 

67 
68 
69 
70 

71 

74 
75 
76 

v, 
78 
79 
80 

81 

82 
83 
84 
85 
86 
87 
88 
89 
90 

91 
92 
93 

94 
95 
96 
97 

98 
99 

ID  i 
101 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases.    Death?. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths,  j  '    Cases.      Deaths. 

41,  723 

5 

96 
527 
11 
13 
8 
20 
40 
790 
32 

1,  193 
o 

40,587 

13 
83 

649 
13 
8 
7 
13 
56 
807 
40 

1,  315 

6 
4 

32,  898 

5 
85 
584 
17 
24 
9 
15 
53 
685 

1,123 

6 
3 

42,  640 

8 
97 
664 
12 

27 

14 
50 
746 

1,407 

8 
7 

42,  426 

10 

77 
824 

1,242 

8 
8 

45,219 

7 
91 
925 

937 

5 
3 

35,950 

2 
96 
660 
19 
6 

0 

6 
47 
540 
15 

57 
7 

21 
5 
1  098 

688 

3 
1 

564,  425 

97 
1,079 

Q    O(UJ 

16,  645 

93 
51 

o 

16 
8 
2 

o 
10 
9 
4 
2 

1 

24 
5 

2 

2 
23 
14 
37 
1 
1 

17 
4 
10 
10 
42 
753 
28 
32 
17 

13 
5 
1,199 
37 
146 
10 

74 
36 
84 
17 

1 
42 
7 
3 
9 
3 

63 
40 
37 

83 
1,  532 
239 
5 
26 

17 
11 
6 
o 

68 
840 
25 
100 
26 

18 
5 
1,474 

1 

16 
10 
4 
2 
1 
1 
2 

3 

217 
159 
76 
127 
754 
9,  204 
330 
751 
219 

176 
81 
14,  160 
435 
1,736 
242 

940 
335 
1,250 

287 

21 
449 
97 
52 
100 
48 
28 
675 
478 
170 

1,  091 
15,713 
3,080 
115 
298 
1,649 
7,465 
3,  839 
697 
1.879 

9,  759 
19,  973 
2,964 
65 

3,374 
9 

2'.V>    - 

17 
196 
104 
88 
15 
4 
27 
29 
47 

19 
6 
7 

11 
10 
3 

2 

3 

43 
1 

6 
13 
970 
23 

18 
10 

63 
25 

101 

7 

4 

o 
1 
10 

3 

24 

12 
5 
1,057 
23 
35 
19 

60 
23 

85 
9 

1 
29 
11 
9 
8 
2 

2  : 

20 

18 
6 
1,103 
26 
18 
18 

89 
36 
111 
18 

2 

9 

11 
12 

5 

4 
1  172 

1 

1 

45 
68 
15 

55 
102 

69 
20 
96 
2 

6 
62 
3 
6 
13 
3 
3 
54 
33 
6 

84 
1,  164 
277 
13 
23 

40 
139 

17 

68 
23 
89 
2 

3 

43 
10 
4 
9 
3 



65 

45 

i 

111 

1 

1 
5 
2 

1 
38 
6 
3 
4 

1 
10 
5 
4 
5 
1 

4 
89 
31 
24 
32 
13 
2 

2 

43 
11 
3 
7 
3 

0 

30 
6 
6 
10 
1 
o 

6 
5 
4 

4 

11 
2 

2 
3 
3 

1 

3 

7 

3 

2       : 

1         ; 

2 
1 

1 

5 
1 

5 

1 

53 

35 

10 

103 
1,811 
281 
24 

225 

894 
365 
70 
180 

730 
1,  434 
138 
9 
63 
223 

52 

44 
23 
12 

84 
1,  790 
379 
3 
34 

62  ' 

36 
38 
5 

70 
639 
150 
9 
24 

32 
3 

108 
2,086 
3i»4 

y 

27 
280 
1,  023 
427 
55 
306 

611 
1,342 
85 
5 
89 
243 

1 

2 

29 

1 

13 

104 
106 
16 
4 
22 
2,251 
77 
27 
83 

11 

5 
41 
3 
84 
3 

3 

3 

7 

l\ 

1 

1 

13 
9 

4 

103 
1,  607 
422 
5 
4'i 

3 

19 
12 
1 

2 

1 
14 
11 
3 

5 

1 

16 
18 

10 
5 

1 

3 
5 
1 

3    1 

6 
4 
12 

1 
4 

2 

340 
11 

2 

9 
1 

1 
1 
15 

176 
969 
393 
45 
320 

416 
1,  084 
71 
4 
64 
177 

1 
315 
fi 
1 

8 

252 
1,113 

408 
57 
209 

485 
1,823 
62 

4 

395 
8 
1 
12 

121 
738 
342 
50 
119 

676 
1,  859 
128 
12 
54 

1 

339 
11 
1 
6 

104 
505 
337 

59 
118 

765  : 
2,077 
224 
4 
74 
344 

1 
147 
5 
3 
o 

64 
243 
216 
46 
51 

687 
1,573 
365 
1  I 
30 
237 

1 
55 

4    .' 
3 
5 

1 

i  ; 

4 

3 

4 

1 

1 
6 

2 

10 

4 

39 

260 

7 

2 

1 

1 
8 
19 

165 
3 

31 
30 
183 

7 

7 
26 
164 
4 

11 
20 
146 

'11 

9 

43 

"17 

1 
1 

31 
118 
6 

287  j            5 
2,  242  i            4  I 

57              2  ' 

1 

164 
2 

1 

7  j  

51,597  :  1,528        51,186 

1,  792       42,  002 

1,580 

53,  084 

2,000     j  52,559      1,722 

55,844      1,175       43,661         819      ,     683,997      20,408 

582 


SICKNESS   AND    MORTALITY   OF    WHITE    TROOPS 


TABLE  XCL— CENTRAL  REGION— Concluded. 


1804. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBEK. 

NOVEMBER. 

332,  672. 

344,  895. 

319,  709. 

317,  627. 

318,  212. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

u  ht  forward 

78,  941 

34 
356 
92 
69 
9 
165 
101 
925 
853 
174 

38 
15 

2  412 

16 
2 
9 
22 
11 
o 

3 
13 
1 
3 

83,  497 

62 

295 
70 
79 
14 
188 
115 
1,279 
862 
133 

52 

2,230 

9 

1 
4 
25 
5 
6 
5 
8 

07.7CG 

37 
304 
78 
71 
9 
166 
93 
1,068 
708 
71 

34 
17 

2,031 
4 

57,  069 

14 
326 

65 
52 
9 
124 
43 
987 
649 
64 

43 

18 
27 

1,775 

5 

1 
11 
12 
6 
3 

3 
1 

1 

46,  851  ; 

13 
323 
32 
34 
4 
95 
78 
883 
561 
43 

33 
17 

1,344 

OlU>EU  VI.—  Diseases  of  Digestive  Organs—  Continued. 

10 
19 
4 
4 
6 
11 

8 
8 
8 
1 
1 
1 
1 

0 

101          mnc 

105.  In  amma  101  o 

100.  In   aiiiina  im  o       e 

'    ,°"  C.  "     . 

3 

3 

OHUEK  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

15 
28 
1 
31 

1 
3 

1 
3 

1 
o 

24 
3 

26 

2 

o 

(  T       ' 

16 

12 

15 

117    1    fl-            f              I"d 

156 
4° 

2 

170 
18 
45 
18 
4 

10 
8 
°9 

3 

125 

2 

98 
31 

2 
1 

71 
17 
25 

2 

53 

45 

T'O    Hydrouele                                                         

13 

8 

12 

1 

17 
11 

6 
16 

29 
6 
19 
14 
5 

539 
1  516 

2 

10 
6 

13 
3 

28 
3 
8 
1 
1 

389 
1  022 

9 
4 

C 
7 
33 
1 
12 

OKUEU  VIII.  —  Diseases  of  Bones  and  Joints. 

123   Curies                                              

11 
25 

1 

4 
14 
4 
6 

797 
1  8;"8 

2 

15 

10 
3 

699 
1  992 

1 
3 

o 

339 
929 

OUUEU  IX.  —  Diseases  of  Integumentary  System. 
129.  Abscess  

5 

1 

4 

1 

131.  Boils  

131.  Carbuncle  

137 
33° 

143 
262 

1 

145 
214 

81 
148 
431 

83 
419 
8 

51 
140 
335 

136 
453 

5 

132.  Whitlow  

133.  Skin  Diseases  

621 

113 

488 
15 

o 

2 
7 
2 
26 

637 

110 
46G 
21 

495 

1 

1 
4 
4 
15 

CLASS    V.     WOUNDS,   ACCIDENTS,   AND 
INJURIES. 

OUDEU  I.  —  Wounds,  Accidents,  and  Injuries. 
134.  Burns  

1 
4 
6 
12 

91 

367 

8 

1 
o 
o 
13 

135.  Contusions  

1 
1 
8 

136.  Concussion  of  Brain  

137.  Downing  

138.  Sprains  

450 

437 
13 
46 
15 
3,  263 
186 
108 
74 
58 
38 

378 

483 
31 
51 

533 

13'J.  Dislocation  

19 

1 

25 
54 
9 
1,531 

197 
80 
39 
16 
47 

1 

140.  Simple  Fractures  

44 
35 
6,119 
167 
75 
71 
07 
109 

o 

4 
1,015 

3 
3 

141.  Compound  Fractures  

8 
794 

7 
8 

12 
1,  855 
128 
54 
47 
53 
30 

1 

466 
3 

37 
1,159 

143 

26 
42 

3 

230 

2 
156 

142.  Gunshot  Wounds  

143.  Incised  Wounds  

144.  Lacerated  Wounds  

2 
1 
1 
10 

3 
3 

145.  Punctured  Wounds  

1 
16 

1 
1 
4 

146.  I'oisoning  

1 

8 

3 

147.  Other  Accidents  and  Injuries  . 

1C 

7 
f, 

24 
1 
4 

148.  OuiiKK  II.  —  Uumicide  
14'J.  OliUKH  III.     Suicide..      . 

150.  O&DSR  IV  .—Execution  of  Sentence 

1 

1 

Total  

93,  688 

3,602 

95,  621 

3,174 

76,  705 

2,611 

64,380 

2,094 

54,  105 

1,588 

DURING   THE    YEAR    ENDING    JUNE    30,  18(35 


583 


TABLE  XCL— CENTRAL  REGION— Concluded. 


18G4. 

1865. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

322,  590. 

337,  341. 

312,  308. 

318,  886. 

322,  648. 

327,  995. 

247,  377. 

318,  522. 

Cases. 

Deaths, 

Cases. 

Deaths 

Cases     Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

102 
103 
104 
105 
106 
107 
108 
109 
110 
111 

112 
113 
114 
115 
116 
117 
118 
119 
120 
121 

122 
123 
124 
125 
126 
127 
128 

129 
130 
131 
132 
133 

134 
135 
136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
14G 
147 

148 
149 
150 

51,  597 

12 
501 
58 
32 
4 
79 
96 
802 
632 
39 

52 
20 
18 
3 
12 
85 

44 
15 
24 

4 
2 

18 
5 
8 
7 
4 

3GO 
900 
81 
149 
445 

131 

445 
6 

1,528 
2 

51,  186 

54 
609 
46 
37 
9 
95 
68 
656 
675 
39 

21 
15 
26 
1 
14 
95 
20 
32 
6 
13 

1,792 

o 
1 
7 
9 
9 
4 
4 
4 

42,  002 

29 
705 
42 
36 
8 
63 
42 
437 
413 
27 

10 
11 

00 

1,580 

53,  084 

15 
899 
38 
51 
11 
91 
50 
396 
514 
35 

18 
11 
9 

2,000 

1 

52,  559 

16 
541 
40 
64 
6 
129 
54 
451 
528 

1,722 

55,844 

25 

381 
63 
57 
9 
144 
89 
366 
638 
59 

47 
15 
16 
1 
15 

1,  175 
2 

43,  661 

19 

195 

819 
1 

683,  997 

330 
5,  438 
673 
624 
97 
1,  453 
913 
8,716 
7,477 
815 

416 
162 
229 
15 
200 
1,307 
283 
400 
153 
121 

120 
90 
318 
32 
147 
105 
36 

5,222 
13,  415 
983 
2,186 

20,  408 

42 
9 
76 
160 
87 
32 
31 
59 
5 
27 

2 

7 
16 

2 
3 

14 

8 

o 
6 
15 
3 
2 
2 

2 

3 

6 
13 
4 
2 

7 

5 

17 
10 
4 
o 

2 

6 
5 

49 
42 
5 
114 
84 
466 
444 
42 

25 
5 
10 
1 
7 
83 
20 

4 

10 
5 
1 
2 

5 

2 
1 
1 

2 

1 
3 

1 

1 

1 
1 

4 

1 

89 

43 
13 
15 
2 
24 
130 
16 
19 
12 

4 

2 

1 

1 

1 
1 

1 

3 

16 
99 
21 

12 

88 
21 

1 
4 

1 
20 
3 

1 

1 

1 

107 

27 

1 

1 

2 

33  ! 

33 

12 

21 

21 
12 

17 
15 

g 

34 
3 
9 

10 
2 

329 
723 

12 
9 

27 

3 
1 

6 

7 
4 
11 
1 
8 
6 

5 

3 
2 

25 

1 

16 

13 
14 
14 
5 
8 
13 
2 

290 
755 
47 
134 
306 

83 
346 

10 

7 
32 

8 
40 
1 
17 
11 
7 

382 
1,016 
75 
152 

1 

1 
21 

8 
18 
1 

362 
911 
58 
186 
449 

1<*4 

1 

1 

2 

1 

26 

1 

6 
3 

380 
991 
63 
174 
334 

102 
417 
3 

1 
2 

2 

350 

802 

3 

1 

4 

1 

50 
160 

349 

123 
334 

14 

2 

135 
391 

100 
427 
10 

2 
3 

0 

2 
3 

364 

206 
673 
10 

5,157 

1,422 

5,  265 
113 

5 

35 
31 

38 

178 

3 
1 
5 
11 

16 
3 
6 
15 

7 

1 

1 

7 
36 

3 

430 
3 

1 
3 
13 

11 

15 

511 
33 
56 
36 
2,789 

98 
42 
35 
235 

476 
30 
41 
16 
286 
289 
36 
44 
18 
148 

533 

588 

521 

802 

381 
29 
57 
3 
145 
149 
54 
22 
66 
81 

6,093 

30 
50 
10 
462 
220 
82 
28 
20 
110 

1 

31 

67 
53 
2,  229 
228 
56 
37 
56 

38 
50 
10 
175 
186 
92 
62 
60 
176 

334 
609 
245 
21,190 
2,321 
865 
549 
537 
1,146 

3 

32 
3,790 
31 
25 
13 
7 
152 

30 
38 

• 

5C 

9 
1,177 
203 
58 
57 
76 
48 

3 

378 

7 

1 
177 

1 

98 
4 
2 

o 
214 
4 
3 

o 
30 
2 
1 

1 
169 
2 
3 
6 

o 
55 
3 

4 

38 

2 

1 
1 
9 
o 

1 

1 
7 

1 
3 

7 
3 
1 

10 
1 
1 

6 
3 
4 

9 
3 
C 

5 

60,  778 

1,985 

57,  722 

2,049 

47,  751 

1,747 

61,  125     2,  331 

59,  508     1,  9'j6 

62,588 

1,308 

48,  348 

957      !     780,  31  it     25,442 

SICKNESS,    ETC.,    DURING   THE    YEAE   ENDING   JUNE   30,  1865.  585 


PACIFIC    REGION. 

The  reports  from  the  Pacific  Region  have  been  consolidated  into  two  tables,  as 
follows : 

1.  The  Department  of  New  Mexico  Table     XCII. 

2.  The  Department  of  the  Pacific  Table  XOIII. 

To  these  are  added — 

3.  A  consolidated  table  for  the  Pacific  Region  -     Table  XCIV 

1.  THE  DEPARTMENT  OF  NEW  MEXICO — TABLE  XCII. 

This  table  embraces  the  reports  received  from  stations  in  New  Mexico  and  Colorado. 

2.  THE  DEPARTMENT  OF  THE  PACIFIC — TABLE  XCIII. 

This  table  embraces  the  reports  received  from  all  stations  west  of  New  Mexico  and 
Colorado. 


CONSOLIDATED  TABLE  FOR  THE  UNITED  STATES— TABLE  XCV. 
This  table  is  prepared  by  consolidating  Tables  LXXXII,  XCI,  and  XCIV. 


586 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  XCIL 

Abstract  of  the  Sickness  and  Mortality 


YEAH  

1864. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

4,  445. 

4,  622. 

3,  722. 

4,  857. 

3,  943. 

LIST  OF  DISEASES. 

Cases. 

)eaths. 

Cases. 

deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS  1.—  ZYMOTIC    DISEASES. 

OHDER  I.  —  Miasmatic  Diseases. 

3 

1 

2 

7 

1 

1 

11 

4    Y^]110  V     d 

'       6     . 

16 
26 
13 
2 

29 
41 
5 
1 

7 
16 
14 

60 
42 

15 
24 
C 

1 

•                            • 

10 

'       er    a 

8.  Quart 

6 

10    A^rjiarrktea 

112 

77 

191 
1 

7 
1 

123 
4 
23 
2 

1 
1 
1 

51 
7 
10 
1 
4 
o 

. 

' 

12 
4 
3 

21 

~'    ^  e.  i  .    .y 

1 
1 

1 

J            ^ 

1 

1 

1 

1 

8 
1 

46 
60 

1 
4 
2 

70 
43 
4 

1 
1 
2 

61 
43 
11 
1 

1 
10 
5 

65 
37 
5 

13 
17 

63 

ORDER  II.  —  Enthetic  Diseases. 
22.  Syphilis 

1 

10 
1 

3 
1 

1 
6 

4 

26.  Purulent  Ophthalmia 

1 

27.  Serpent  Bite         

1 

3 

1 

3 
3 

1 
4 

OBDEU  III.  —  Dietic  Diseases. 
29.  Scurvy  

30.  Purpura  

31.  Delirium  Tremens  

0 

4 
5 

1 
o 

32.  Inebriation  

7 

14 
1 

9 

33.  Chronic  Alcoholism  

1 

1 

1 

34.  Other  Diseases  of  this  Order  

CLASS  II.—  CONSTITUTIONAL    DISEASES. 
OUDEU  l.—Diathetic  Diseases. 
35.  Gout  

36.  Acute  llheumatism  

26 
21 

30 

18 
1 

30 

7 

45 

21 
16 

37.  Chronic  Hheumatisrn  

15 

38.  Anaemia  

1 

39.  Cancer  

1 

1  

40.  Tumors  

41.  Other  Diseases  of  this  Order  . 

4 

OltDEU  II.—  Tubercular  Diseases. 
42.  Consumption  

2 
3 

1 
1 

43.  Scrofula  

• 

44.  Other  Diseases  of  this  Order  

CLASS  III.—  PARASITIC    DISEASES. 
45.  Itch  

5 

2 
3 

3 

40.  Tape-worm  

47.  Other  Intestinal  Worms  

1 

48.  Other  Diseases  of  this  Order  

Carried  forward  

396 

1 

365 

1 

432 

1 

479 

5 

297 

3 

DUKING   THE   YEAK   ENDING   JUNE    30,   1865. 


587 


TABLE  XCII. 

of  the  Department  of  New  Mexico. 


1864. 

1865. 

DECEMBER. 

JANUARY.          FEBRUARY. 

MAKCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

3,  098. 

3,  404. 

3,  601. 

3,  931. 

3,  228. 

3,  052. 

4,  486. 

3,  866. 

1 

3 

4 
5 
6 
7 
8 
9 
10 
11 

13 
14 
15 

16 

17 
18 
19 
20 

22 
23 
24 

26 
27 
28 

29 
30 
31 
32 
33 
34 

35 
36 
37 
38 
34 

Cases. 

Deaths. 

Cases. 

deaths.    Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.      Deaths. 

4 

2 

2 

1 

1 

1 

21 

5 

1 

1 

12 

1 



4 
4 
18 

4 

15 
21 

I 

3 
25 
10 

8 
13 

7 

5 

4 
10 
2 
6 
26 
1 
2 

15 
12 
13 

3G 

74 
24 

202 
296 

1 

. 

151 
5 
19 
809 
35 
130 
13 
28 
3 
47 
3 
1 
7 
194 
69 

679 
402 
77 
8 
6 
3 
28 

206 

o 
15 
3 
3 

1 

1 

28 

3 

37 
3 
3 
1 
o 

28 

89 
8 
38 
o 

1 
4 
1 
2 

2 
1 

1 

4 
6 
1 
5 

1 

1 

4 

1 

4 

4 

1 

2 

o 

4 

9 

7 

26 

3 

1 

1 

1 
19 
1 

29 
19 
3 

2 
10 
11 

73 
25 

50 
6 

51 
26 

46 
4 

45 

19 
1 

CO 
37 

9 
1 

1 

8 

1 

68 

6 

18 

48 
33 
4 

1 

2 

30 
1 

9 

o 

7 

2 

1 
o 

2 

1 

3 

4 

5 

3 

120 

30 

40 

2 
5 

2 

7 

1 
1 
2 

5 
1 
2 

1 

1 
3 

1 

18 
48 
9 

2 

1 

2 

1 

1 
19 
10 
1 

1 
357 
173 
10 
1 

30 
13 
1 

27 
16 
4 

41 
13 
1 

27 

30 
12 

31 
20 

12 

1 

1 

1 

40 
41 

42 
43 
44 

45 
46 

47 

48 

4 
\. 

4 
o 

1 

2 
1 

13 

10 
8 

2 

o 

2 

3 

1 
o 

1 
1 

12 

i 

0 

1 

0 

i;;;    . 

11 
1 

• 

183 

2 

•_"  '  1 

2 

270 

248 

4 

286 

3 

289 

2 

590 

4,  126            24 

588 


SICKNESS   AND   MORTALITY    OF   WHITE    TROOPS 


TABLE  XCIL— DEPARTMENT  OF  NEW  MEXICO— Continued. 


VKAU  

18G4. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STISEXGTU  

4,  445. 

4,  622. 

3,  722. 

4,  857. 

3,  943. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Brou  ht  forward 

396 

1 

365 

1 

432 

1 

479 

5 

297 

3 

CLASS    IV.—  LOCAL    DISEASES. 

OUDER  I.  —  Diseases  of  Nervous  System. 

1 
8 
1 

1 
10 
1 

1 
5 

1 
3 

1 

6 

. 

.    n        ma  ion  o       em  ra 

oo.    n  ammat  on  o    ,.  i     c 

3 

7 

4 

1 

10 

7 

J  '  '  ^       g. 

» 

1 

2 

7 

ORDEH  II.  —  Diseases  of  Eye. 

13 
1 
1 

4 

1 

12 

22 

36 
1 

1 

1 

28 

8 
1 

3 
1 

2 

OKDEU  III.  —  Diseases  of  Ear. 

68.  Deafness  

69.  Otorrhoea  

1 
o 

1 

4 

1 

1 

1 
1 

70.  Otber  Diseases  of  this  Order      

ORDEU  IV.  —  Diseases  of  Organs  of  Circulation. 
71.  Aneurism  

72.  Valvular  Disease  of  Heart  

4 

1 

1 

2 

1 

73.  Dropsy  from  Heart  Disease  i  

74.  Dropsy  of  Pericardium  

75.  Inflammation  of  Pericardium  

1 
1 

76.  Inflammation  of  Endocardium  

1 

77.  Inflammation  of  Veins  

78.  Varicose  Veins  

79.  Varicocele  

80.  Other  Diseases  of  this  Order  

1 

1 

7 

ORDEK  V.—  Diseases  of  Respiratory  Organs. 
81.  Asthma  

1 
10 
3 

3 
3 

1 

82.  Acute  Uronchitis  

13 

5 
1 

83.  Chronic  Uronchitis 

84.  Dropsy  of  Chest  . 

85.  Haemorrhage  from  Nose  

8C.  Inflammation  of  Larynx 

1 
1 

7 

4 
3 
(j 

n 

2 

6 
7 
5 
1 

1 
1 

1 
22 
3 

1 

7 

3 

87.  Inflammation  of  Lungs 

1 

88.  Inflammation  of  Pleura 

1 

1 

89.  Haemorrhage  from  Lungs  

90.  Other  Diseases  of  this  Order..   .. 

2 

10 
107 
4 

ORDER  VI.—  Diseases  of  Digestive  Organs. 
91.  Colic  

13 

9 

92.  Constipation  

57 

38 

93.  Cholera  Morbus  

1 

9 

o 

1 

94.  Cirrhosis  of  Liver  

95.  Dropsy  from  Hepatic  Disease. 

1 
13 

1 

9IJ.  Dyspepsia  

21 

10 

9 

97.  Diseases  of  Pancreas  

98.  Diseases  of  Spleen  
99.  Fistula  in  Auo  

i  

1 

1 

1 

100.  Hernia  
101.  Haemorrhage  from  Stomach 

3 
1 

1 

4 

0 

Carried  forward.  .  . 

GIG 

0 

523 

1 

544 

2 

616 

7 

438 

6 

DURING   THE    YEAR   ENDING   JUNE   30,    18G5. 


589 


TABLE  XCIL— DEPARTMENT  OF  NEW  MEXICO— Continued. 


1864. 

1865. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

Al'RIL. 

MAY. 

JUNE. 

TOTAL. 

3,  098. 

3,  404. 

3,  601. 

3,  931. 

3,  228. 

3,  052. 

4,  486. 

3,  866. 

49 
50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
CO 

61 
62 
63 
64 
C5 
66 

67 
68 
69 
70 

71 
72 
73 

74 
75 
76 
77 
78 
79 
80 

81 
82 
83 
84 
85 
86 
87 
88 
89 
90 

91 
92 
93 
94 
95 
96 
97 
<>fc 
09 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

183 

2 

291 

2 

270 

1 
1 
1 
1 

248 

1 
3 
5 

4 

1 
1 

286 

3 

289 

1 
1 
4 
1 

2 

590 

4.12G 

3 

16 
86 

7 

24 

2 
1 

1 

1 
1 

2 
1 

2 
4 

2 
38 
2 

1 

1 

1 

1 

2 
5 
3 

108 
5 
1 
17 

3 
1 
174 
9 
7 
23 

11 
3 
12 
9 

3 

1 

1 

4 

10 

7 
1 

15 

21 
1 

15 

7 
1 

2 

7 

1 
2 

1 

1 
2 

6 
1 
1 

1 

6 
3 
1 

0 

10 

4 
1 

10 
1 
1 

25 

1 
1 
2 

3 
1 

1 



5 

1 

3 

1 
1 

1 
1 

1 

2 

1 

1 

o 

1 

11 

3 

1 

1 
1 
1 

1 
o 

1 

2 
4 

1 

1 
1 

1 

2 
1 
3 

8 
158 
30 

1 

2 
4 
1 

1 

1 

1 

1 

15 

18 
4 

31 
3 

12 

°3 

4 

1 

2 

11 

1 
1 

1 

1 

2 
27 
1 

17 
6 
6 

3 

8 

6 
6 
3 

0 

58 
106 
38 
6 
39 

81 
481 
21 

1 

11 

0 

9 
4 

3 

10 
1 

1 

1 

1 

5 
1 

1 

1 

7 

4 

2 

25 

15 

(i 
30 

3 

2 

27 
1 

1 

4 

0 

23 

30 

46 

52 

1 

1 

2 

88 

4 

4 

6 

1 

5 

6 

2 

]     ' 

18 
o 

100 

101 

0 

1 

1 

0 

1 

265 

2 

385 

4 

397 

7 

376 

8 

416 

6          411 

3          806 

•J 

5,  793             50 

590 


SICKNESS   AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  XCIL— DEPARTMENT  OF  NEW  MEXICO— Concluded. 


VEAH  

1804. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

4,  445. 

4,  622. 

3,  722. 

4,  857. 

3,  943. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

C16 

2 

523 

1 

544 

o 

616 

7 

438 

1 
10 
1 
1 

6 

ORDER  VI.  —  Diseases  of  Digestive  Organs  —  Continued. 

4 

3 

17 
1 
o 

17 

' 

1 
1 
o 

1 
1 

A     t    I  fl            f         f  I  '  • 

o 

1 

2 

1 

'            6. 

1 

o 

2 
6 

1 

o 

110    Piles                                                                

13 
1 

1 

C 

1 

7 
2 

3 

Ill    Other  Diseases  of  tbis  Order                       .       ... 

OBDBR  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

1 
1 
1 

I 

1 

1 

. 

117.   Inflammation  of  Kidneys  

2 

1 

118.  Inflammation  of  Bladder  

119.  Incontinence  of  Urine  -•  

1 

1 

120.  Hydrocele  

121.  Other  Diseases  of  this  Order  

1 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 
122.  Anchylosis  

123.  Caries  

1 

1 
1 

124.  Inflain  ination  of  Joints  

125.  Inflammation  of  Bones  

1 

1  26.  Inflammation  of  Periosteum  

127.  Necrosis  

128.  Other  Diseases  of  this  Order  

1 

7 
7 
1 
o 

ORDER  IX.  —  Diseases  of  Integumentary  System 
129.  Abscess  

5 

6 
2 
1 
C 

1 

20 

4 

4 
8 
o 

4 
12 

130.  Boils  

131.  Carbuncle  

132.  Whitlow  

3 

7 

5 
4 

o 

0 

133.  Skin  Diseases  

3 

1 
26 

6 

CLASS   V.  —WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

ORDER  I.—  Wounds,  Accidents,  and  Injuries. 
134.  Burns  

135.  Contusions  

°7 

37 

0_ 

136.  Concussion  of  Brain  

137.  Drowning  

1 

138.  Sprains  

16 

3 
3 

11 
2 

1 

11 

<) 

13i).  Dislocation  

1 
4 
1 

20 
7 

140.  Simple  Fractures  

2 

3 

141.  ComjMjund  Fractures  

142.  Gunshot  Wounds  

7 
8 
13 
3 
8 

1 

2 
14 
6 

5 
9 

7 

50 
10 
1 
1 

1 

4 

5 

143.  Incised  Wounds  

144.  Lacerated  Wounds  

145.  Punctured  Wounds  

14G.  Poisoning  

7 
2 

6 
3 

1 

147.  Other  Accidents  and  Injuries.  .  . 

3 

148.  ORDBR  II.  —  Horn  icide  

14'J.  ORDER  III.—  Suicide  

150.  ORliER  IV.—  Execution  of  Sentence. 

Total  

i 

743 

4 

623 

1 

685 

2 

776 

14 

554 

11 

DURING   THE   YEAR   ENDING   JUNE    30,  1865. 


591 


TABLE  XCH.— DEPARTMENT  OF  NEW  MEXICO— Concluded. 


18G4. 

18(35. 

DECEMBER. 

JANUAHY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

3,098. 

3,404. 

3,601. 

3,  931. 

3,228. 

3,  052. 

4,  486. 

3,  8G6. 

102 
103 
104 
105 
106 
107 
108 
109 
110 
111 

112 
113 
114 
115 
116 
117 
118 
119 
120 
121 

122 
123 
124 
125 
126 
127 
128 

129 
130 
131 
132 
133 

134 
135 
136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
14H 
147 

148 
14!) 

ir>o 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases.      Deaths. 

265 

2 

385 

4 

397 

7 

376 

1 

16 

8 

416 

6 

411 

3 

806 

1 
10 
3 
3 

2 

5,793 

5 
110 
6 
10 
1 
20 
10 
15 
67 
12 

5 
1 
1 
1 
5 
17 
3 
2 

50 

8 

14 

7 

1 

3 

1 

3 

1 

1 

1 

1 
2 

1 
1 
2 
4 

] 

1 
1 
5 

2 
1 
•    3 
2 

1 

3 

2 

3 

4 
1 
3 

7 

3 

8 
7 

1 

3 

1 

1 

1 

1 
3 
1 

1 
1 

1 

1 

2 

3 

o 

1 

1 

3 

1 
6 

3 

46 

1 

1 

1 

5 

12 

20 

1 

j 

• 

1 
1 

2 
6 

1 
3 

2 
o 

51 
88 
11 
24 



o 

7 
o 

1 

8 

2 

10 
1 
1 

4 

1 
20 

2 

1 

9 
6 

6 
4 

4 
16 
2 
1 
28 



2 

1 

5 
20 

i  r 

1 
16 

1 
4 

4 
3 

7 

4 
14 

94 
18 

21 

27 

31 

!  

.1 

4 

6 

9 

17 
2 
3 

8 
1 
6 

7 
o 

7 
1 
1 
1 
1 
2 
3 
1 

3 
1 

36 

137 
13 

1 
1 
40 
1 
4 
5 

1 
] 

7 

3 

4 
163 
83 
47 
17 
29 
28 

2 

9 
10 
5 

2 

5 

C 
5 

1 

1 

5 
3 
1 
1 

1 

1 
1 
3 
5 
1 

3 

20 

1 
1 

2 

2 
4 

1 
4 

i 

5 

1 

5 

2 

4 

1 

2    ! 

o 

397 

7 

503 

8 

480 

g 

500 

9 

492 

9 

485 

Q 

i.oo-; 

7 

7,  245 

90 

592 


SICKNESS   AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  XCIII. 

Abstract  of  the  Sickness  and  Mortality 


YEAR  

1864. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRBNC.TH  

7,  790. 

7,  699. 

7,  512. 

6,  209. 

6,  402. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths.  :  Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS  1.—  ZYMOTIC   DISEASES. 
ORDEll  I.  —  Miasmatic  Diseases. 

1 

7 

1 

1 

3 

1 

5 

1 

5 

'      e 

50 

77 
81 
45 
11 

1 

36 
67 
35 

32 
93 
31 
5 

4 
55 
20 

1-2 

0- 

9 

7 

1 
92 

uffcstne         r 

136 
4 
10 

250 
3 
24 
1 
3 

115 

123 

1 

4 
44 

1 

11 
30 
2 
3 

5 

1 

19 

"                           -A 

5 

1 

2 

1 

1 

5 

3 

2 

18   Diphtheria                                   

1 
1 
27 
1 

74 
37 
10 

1 
2 

4 

1 

2 

30 

40 
1 

100 
41 
6 
4 
2 

24 

82 

y 

114 
78 
15 
o 

1 

OUDEH  II.  —  Enthetic  Diseases. 
22    Syphilis 

92 
35 

103 

58 
7 

24    Orchitis 

6 
3 

1 

25    Stricture  of  the  Urethra  

1 



27.  Serpent  Bite  

28.  Other  Diseases  of  this  Order  

1 
2 

2 
2 

OUDEK  III.  —  Dietic  Diseases. 
29.  Scurvy  

8 
1 
8 
19 
5 

30.  I'urpura  

1 

4 
18 

31.  Delirium  Tremens  

1 

8 
°0 

1 

1 

15 
3 
1 

0 

32.  Inebriation  

15 

33.  Chronic  Alcoholism  

1 

1 

34.  Other  Diseases  of  this  Order  

4 

CLASS   II.—  CONSTITUTIONAL   DISEASES. 
ORDER  I.  —  Diathetic  Diseases. 
35.  Gout  

36.  Acute  Rheumatism  

58 
39 

63 

38 

70 
31 

54 
64 

7 

66 

37.  Chronic  Rheumatism  

43 
1 

38.  Anaemia  

2 

39.  Cancer  

1 

40.  Tumors  

2 

1 
2 

o 

1 

0 

2 
1 

41.  Other  Diseases  of  this  Order  

T 

1 

1 

4 
3 

1 

ORDER  II.—  Tubercular  Diseases. 
42.  Consumption  

1 

4 
3 

1 

6 
1 

43.  Scrofula  

2 

44.  Other  Diseases  of  this  Order  

CLASS   III.—  PARASITIC   DISEASES. 
45.  Itch  

2 

1 
1 

46.  Tape-worm  

1 

" 

47.  Other  Intestinal  Worms  

1 

48.  Other  Diseases  of  this  Order  

1 

Carried  forward  

569     j          4 

814 

5 

654 

1 

691 

1 

673 

DURING   THE    YEAE    ENDING   JUNE   30,  1865. 


593 


TABLE  XCIIL 

of  the  Departme7it  of  the  Pacific. 


18B4. 

!                                                                                1865- 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MAUCU. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

8,  282. 

9,  114. 

9,  480. 

7,  761. 

7,  806. 

8,  951. 

8,  633.                        7,  970. 

1 

o 

3 
4 

5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 

22 
23 

24 
25 
26 

28 

29 
30 
31 
32 
33 
34 

35 
36 
37 
38 
39 
40 
41 

42 
43 
44 

45 

46 
47 

48 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths.    Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths.       Cases.      Deaths. 

1 

5 
2 
4 

1 

4 

2 

2 

1 

5 

3 

2 

34 

o 

19 

5 

o 

1 

10 
37 
25 
10 
1 
79 
5 
9 
3 
3 

28 

22 
61 
27 
o 

23 

oo 

31 

18 
89 
21 
18 
1 
158 
12 
4 

3G3 

755 

1 

51 
17 
9 

53 

68 
41 
17 

77 
36 

28 

351 
105 
8 
1  375 

5 
1 
52 
12 

1 

97 

3 

139 

1 

1 

68 
7 
14 
1 
4 

66 
5 

4 

1 

13 
20 
3 
9 
1 
13 

o 

83 
201 
13 
45 
1 
36 

2 
3 

1 

15 
1 

7 

8 
2 
3 

6 

1 

8 

3 

1 
3 
101 
3 

148 
80 
8 

£ 

o 

3 

4 
80 
15 

93 

81 
20 

2 

18 
1°6 

1 
11 
125 
40 

117 
57 

2 
1 
1°5 

16 
47 
875 
159 

1,317 
825 
117 
31 
15 

4 
72 

19 

125 

1 
43 

14 

116 
80 

7 
7 
1 

14 

101 
98 
14 
2 

43 

134 
90 
11 
4 
6 

1 
o 

2 

90 
8 
2 
1 

5 
o 

1 

1 

9 
13 

0 

2 
oo 

1 

49 

1 

3 

1 

5 
25 

1 
5 

3 

3 
1 
1 
13 

0 

14 

106 
8 
65 
210 
17 
7 

5 
915 
706 

46 

9 

12 

57 
30 
4 

51 

1 

9 
1 
6 
13 
1 

1 

o 

1 
5 

0 

1 

9 
23 

7 
34 
3 

1 

3 
2 

2 

1 

1 

1 
61 
64 
3 

o 

71 
95 
6 

105 

60 

po 

99 
78 
4 

79 
75 
14 

107 

52 

58 

1 

1 

1 

1 

1 
1 

2 

1 
1 

4 
2 

1 

3 

7 

3 

8 
3 
2 

4 
1 

1 

5 
1 

3 

5 
3 

1 

7 
1 

2 
1 

3 

8 
o 

1 

3 
3 

o 

1 

14 
1 

4 

11 
1 

5 

1 

1 

1 

15     . 

1 
1 

3     . 

'             1      . 

712 

7 

793 

5 

816 

4 

807 

1 

887 

4 

859 

4 

790 

3    !       9,065            39 

75 


594 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS  , 


TABLE  XCIII.— DEPARTMENT  OF  THE  PACIFIC— Continued. 


YEAR             

1804 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

7,  700. 

7,  699. 

7,  512. 

6,  209. 

6,  402. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases,  j  Deaths. 

569 

4 

814 

5 

654 

1 

691 

2 
o 

1 

673      

CLASS    IV.—  LOCAL    DISEASES. 
ORDER  I.  —  Diseases  of  Nervous  System. 

49.  Apoplexy  

1 

10 
1 

1 
25 

3      

50.  Epilepsy  

13 
3 

1 

7 

3    !  

3 

3     ;  

1 

1 

! 

1 

1 

11 

20      

19 
3 

9 

4 

13      

1 

3      

1 

1 

4 

4 

1 

1 
3 

ORDER  II.  —  Diseases  of  Eye. 

1     !  

18 
1 
7 
2 

1 

15 

13 
1 

17 
3 

20      

64    InVmnAion  of  Iris"" 

0 

2      

1 

' 

5 

„ 

ORDER  III.  —  Diseases  of  Ear. 

1 
1 
1 

4 

1 

3      

3 

0 

69.  Otorrhcea  

2 
2 

1 
1 

1 

2 

5        

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

1 

3 

1 

3 

1 

! 

73.  Dropsy  from  Heart  Disease  

76.  Inflammation  of  Endocardium  

77.  Inflammation  of  Veins  

78.  Varicose  Veins  

1 

2 

3 

1 

o 

79.  Varicocele  

1      ... 

80.  Other  Diseases  of  this  Order  .  . 

1 

3 
34 
C 

1 

3 

24 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
81.  Asthma  

2 

o 

o 

82.  Acute  Bronchitis  

°4 

73 

118      

83.  Chronic  Bronchitis  

6 

14 

15 

5      .. 

84.  Dropsy  of  Chest  

1 

85.  Haemorrhage  from  Nose  

86.  Inflammation  of  Larynx 

10 
5 
1C 

3 
3 

11 
3 
30 

2 
7 
9 

5 
9 
13 

14 

87.  Inflammation  of  Lungs  

1 

6 

88.  Inflammation  of  IMeura  . 

13 

89.  Haemorrhage  from  Lungs  

1      ... 

90.  Other  Diseases  of  this  Order 

5 

14 
69 

14 

17 

14 
09 
5 

7 

ORDER  VI.  —  Diseases  of  Digestive  Oryans. 
91.  Colic  

11 

92.  Constipation  

64 

14 

48 
7 

93.  Cholera  Morbus  

i 

94.  Cirrhosis  of  Liver  

93.  Dropsy  from  Hepatic  Disease 

96.  Dyspepsia  

21     I  

17 

16 

17 

14 

97.  Diseases  of  Pancreas  

98.  Diseases  of  Spleen   

1 

99.  Fistula  in  Ano  

1 

7 

1 
8 

1 

100.  Hernia  

4 

5 

•          3 

101.  Haemorrhage  from  Stomach  

Carried  forward  

828              6       1,094              6    i      911              3       1,001              2           999        

DURING    THE    YEAR    ENDING    JUNE    30,  1865. 
TABLE  XCIII.— DEPARTMENT  OF  THE  PACIFIC— Continued. 


595 


18(34. 

1865. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

8,  282.    * 

9,  114. 

9,  480. 

7,  761. 

7,  806. 

8,  951. 

8,  633. 

7,  970. 

49 
50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 

61 
62 
63 
64 
65 
66 

67 
68 
69 

70 

71 
72 
73 
74 
75 
76 
77 
78 
79 
80 

81 
82 

83 
84 
85 
86 
87 
88 
89 
90 

91 
92 
93 
94 
95 
96 
97 
98 
99 
100 
101 

Cases. 

Deaths. 

Cases. 

Deaths. 
5 

Cases. 

Deaths. 

Cases.    Death?. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

712 

7 

793 

816 

1 
6 
12 

4 

807 

2 
2 
13 
2 
1 

1 

887 

4 
1 

859 

4 

790 

1 
8 
11 
1 

3 

9,065 

6 
40 
160 
19 
3 
2 

1 
7 
256 
21 
2 
18 

18 

1 
291 

39 
1 

5 

19 

3 

10 
3 

3 
15 

6 

3 

1 

1 
1 

1 

4 

1 

1 

1 

1 

20 
5 

1 

25 

1 

17 
2 

3 

16 

33 
1 

35 

38 

1 

o 

1 

2 
o 

1 

1 

2 
1 

1 

2 

1 

2 

3 
3 

1 

1 
1 

40 
o 

1 

20 
2 

1 

2 

2 

22 

3 
1 

3 
6 
1 
i) 

28 

34 
4 

32 
4 
1 

32 

3 

31 

18 
27 

30 
15 
24 
31 

4 
21 

2 
2 

7 
2 

4 

6 
1 
1 

4 

5 

1 

3 
3 

1 
3 

2 
1 

2 
5 

6 
3 

1 
3 

3 

! 

1 

o 

1 

1 
4 

o 

2 

1 

1 

1 

I          ! 

0 

2 

: 

19 
6 
2 

38 
1,200 

257 

y 

1 

1 

1 



'        ; 

4 

5 

1 

0 

1 

. 

2 
195 

13 

1 
232 
46 
1 

o 
160 
34 

3 

83 
17 
1 

8 
1°5 

3 

68 
4° 

7 
64 

1 

1 

44 
1 

15 

i 

4 

152 
218 
233 
24 
289 

173 
945 

1 

1 

15 
12 
35 
4 
23 

11 
115 

1 
6 
9 
15 
1 
28 

14 
89 
2 

10 
29 
23 
1 

15 
63 
o 

18 
52 
20 

14 
52 
25 
2 
46 

9 
94 
1 

27 
17 
°6 

28 

3 
I 

0 

3 

3 

17 
28 
3 
39 

15 

2 

14 
4 

1 

2 

7 
31 

]3 

27 

1 

1 

2 

7 
93 
4 

73 
o 

96 
o 

o 

43 

1 

1 
208 

1 

1 

17 

12 

27 

16 

12 

17 

1 
1 

8 

1 

3 
1 

10 

6 

8 
78 

1 

2 

7 

1 

6 

i  

4 

6 

10 
1 



1,206             12        1,406 

7       1,398 

9 

1,256 

5 

1,446 

10 

1,327 

7 

1,154              7          14,026 

74 

596 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  XCIIL— DEPARTMENT  OF  THE  PACIFIC— Concluded 


YEAR  

1864. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

7,  790. 

7,  699. 

7,  512. 

C,  209. 

6,  402. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

828 

6 

1,094 

6 

911 

3 

1,001 

o 

999 

1 
11 
1 
1 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

11 

7 

8 
3 

1° 

10 
o 

2 
2 

6 

1 
23 

o 

1 

1 
1 

o 

1 

o 

17 
6 

1 

16 
1 

03 

6 

1 

8 

1 

1 

ORDER  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

1 

1 

1 

1 
1 
3 

2 

1 
1 

4 

1 
3 

1 
1 
1 
1 
1 

1 

118.  Inflammation  of  Bladder  

I'M.  Hydrocele  

1 

121.  Other  Diseases  of  this  Order  

0 

ORDEU  VIII.  —  Diseases  of  Hones  and  Joints. 
122.  Anchylosis  

1 

123.  Caries  

1 

1 

124.  Inflammation  of  Joints  

4 

1 

1 

125.  Inflammation  of  Bones  

126.  Inflammation  of  Periosteum  

2 
1 

1 

127.  Necrosis  

1 

128.  Other  Diseases  of  this  Order  

ORDEK  IX.  —  Diseases  of  Integumentary  System. 
129.  Abscess  

16 
10 
1 
4 
15 

r 

14 
21 
1 
12 

14 
25 

19 

16 

131.  Boils  

25 

131.  Carbuncle  

2 
3 
13 

1 
4° 

132.  Whitlow  

3 

16 

3 
36 

6 
12 

1 
46 
1 

133.  Skin  Diseases  

16 

1 

49 

CLASS    V.     WOUNDS,   ACCIDENTS,   AND 
INJURIES. 

ORDER  I.—  Wounds,  Accidents,  and  Injuries. 
134.  Burns  

13;").  Contusions  

56 

2 

136.  Concussion  of  Brain  

1 

137.  Drowning  

1 

1 

138.  Sprains  

2° 

36 

139.  Dislocation  

7 

o 

1 

5 

2 
3 

140.  Simple  fractures  

4 

4 

141.  Compound  Fractures  . 

142.  (runshot  Wounds.... 

3 
6 
4 
3 

3 
10 
6 
4 

7 
11 
6 
6 
1 

5 
11 
4 
5 
3 
1 

5 
7 
4 
4 
44 

1 
1 

143.  Incised  Wounds  .  .  . 

144.  Lacerated  Wounds  

145.  Punctured  Wounds. 

1 

1 
1 

146.  Poisoning  

147.  Other  Accidents  and  Injuries 

2 

6 

148.  ORDER  II.—  Homicide 

1 

149.  ORDEU  HI.—  Suicide 

150.  OUUEK  IV.—  Execution  of  Sentence 

Total  

1,059 

9 

1,319 

8 

1,136 

4 

1,207 

0 

1,  255 

3 

DURING   THE    YEAR    ENDING    JUNE    30,  18G5. 


597 


TABLE  XCIIL— DEPARTMENT  OF  THE  PACIFIC— Concluded. 


1804. 

1865. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE.                     TOTAL. 

8,282. 

9,  114. 

9,  480. 

7,  761. 

7,  806. 

8,  951. 

8,633. 

7,  970. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases.      Deaths. 

102 
103 
104 
105 
106 
107 
108 
109 
110 
111 

112 

113 

!!  1 

115 
116 
117 
118 
119 
120 
121 

122 

123 
124 
125 
126 

127 

128 

129 
130 
131 
132 
133 

134 
135 
130 
137 
138 
139 
140 
141 
142 
143 
144 
145 
146 
147 

148 
149 

ir>o 

1,206 

1 

22 

12 

1,406 

1 

42 
2 

1 

7 

1,398 

9 

1,256 

5 

1,446 

10 

1,327 
04 

7 

1,154 

1 
13 
3 
3 
1 
6 
3 
4 
10  ' 
2 

7 

14,026 

5 
290 
38 
24 
2 
32 
16 
29 

74 

59 

41 
6 
2 

37 
5 
4 

5 
2 

6 
1 
3 
1 
1 
11 
2 

2 

2 

1 

1 

3 

4 

: 
'! 

4 
6 
5 
5 

3 

1 

1 

3 

1 

4 
1 

1 

1 
13 
3 

2 
3 

5 
20 

6 
24 
1 

198 
37 

5 

7 
o 

2 

1 

4 

i 

2 

1 

1 

1 

1 
4 
3 

3 
5 

1 

2 
3 
1 

1 
1 
1 
2 

o 

5 
8 
1 
3 
1 

22 

38 
16 
10 
4 

7 

4 

12 
12 
1 
5 
2 
8 

202 

3 
1 
1 

8 

3 
1 

1 

1 

2 

1 
2 

1 

1 

1 
3 

1 

1 
2 

2 
2 

1 

1 

2 

2 

14 
20 
3 
3 
15 

4 

59 

1 

19 
33 

1 

36 
26 
3 
9 
16 

8 
43 

2 

13 
30 
6 
5 
26 

1 

24 
27 
5 
4 
oo 

1 

13 
33 

8 
16 

288 
21 

6 

18 

4 

G8 

6 
30 

5 

76 

4 

28 

65 
2°7 

7 
45 

3 

47 

1 
79 

43 
646 
3 

1 

3 

1 

1 

1 

1 

5 

26 

66 

37 
3 
o 

59 

43 

67 
4 

7 

38 
1 
3 

48'J 
22 

2 

4 
2 
3 

7 
ff 

2 

4 

8 

51 

69 
150 
74 
57 
64 
48 

1 
18 
16 
8 
1 
10 

7 
10 
3 
1 

6 

25 

1 

13 
10 
3 
6 
3 
9 

o 

4 
24 
5 
7 
3 

1° 

4 
2 

1 

11 

9 
3 
1 

13 
2 
4 
2 

1 

3 
1 

1 

16 

1 
1 

1 

1,470 

14 

14 

1,732 

8 

1,715             11 

1,590 

8 

1,764 

1,695 

12 

1,431 

10          17,373     |       107 

598 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  XCIV 

Abstract  of  the  Sickness  and  Mortality 


1864. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER.           NOVEMBER. 

MEAN  STRENGTH  

12,  235. 

12,  321. 

11,  234.                    11,  066.                   10,  345. 

LIST  OF  DISEASES. 

Cases.    Deaths.     Cases.    Deaths. 

Cases.    Deaths.     Cases.    Deaths.     Cases.  ;  Deaths. 

CLASS   1.—  ZYMOTIC    DISEASES. 
ORDER  I.  —  Miasmatic  Diseases. 

4 

l 

g 

8 

2 

3 

1 

l 

5 

12 

5 

66 

49 

106 
122 

1 

43 
83 
49 
7 
6 
306 
5 
51 
1 
1 
1 
5 

9° 

19 

79 
26 

1 

135 

36 
11 

50 
12 

41 
5 

12 

1 

143 
12 
29 
1 
6 
o 

248 
4 
22 

327 
5 
45 
2 
4 

246 
15 
53 
4 
3 

1 
1 

1 

1 

1 

1 
1 

4 

8 

2 

1 

3 

2 

1 

0 

1 

1 
3 
34 
2 

162 

4 
1 
34 
5 

168 
95 

1 

1-1 

3 

41 
3 

161 
84 
17 
5 
4 

35 

95 

o  '  ] 

2 
120 

1 

26 

OKDEK  II.  —  Enthetic  Diseases. 
°2   Syphilis 

177 
99 
25 
3 

1 

97 

78 
10 
3 
2 

12 

3 
2 
1 
6 

1° 

1 

2 

4 
3 

5 

1 

4 
1 
5 

20 

OIJDEII  III.  —  Dietic  Diseases. 
29.  Scurvy  

1 
10 

1 

12 
05 

1 

1 

29 

o 

32.  Inebriation  .   . 

17 
2 

5 

2 

4 
1 

1 

34.  Other  Diseases  of  this  Order  

4 

CLASS  II.—  CONSTITUTIONAL   DISEASES. 
OHLEK  l.—Diathetic  Diseases. 
35.  Gout  

36.  Acute  Rheumatism  

84 
60 
o 

93 
56 
3 

100 
38 

99 

79 
7 

87 
59 
1 

37.  Chronic  Rheumatism  

38.  Anaemia  

1 

39.  Cuncer  

1 

1 

1 
1 
2 

3 
3 

40.  Tumors  

0 

1 

i) 

2 
5 

8 
o 

41.  Other  Diseases  of  this  Order  

1 

3 
4 
1 

4 
3 
1 

OKDEK  II.  —  Tubercular  Diseases. 
42.  Consumption  

1 

4 
3 

1 

6 

43.  Scrofula  

1 

44.  Other  Diseases  of  this  Order  

CLASS  III.  —  PARASITIC    DISEASES. 
45.  Itch  

2 

5 
1 

2 

4 
1 

4G.  Tape-worm  

5 

47.  Other  Intestinal  Worms  

1 

1 

48.  Other  Diseases  of  this  Order  

Carried  forward  

965 

5 

1,179 

6 

1,086 

o 

1,170 

6           970              3 

DURING    THE    YEAR    ENDING   JUNE    30,   18G5. 


599 


TABLE  XCIV. 

of  the  Pacific  Region. 


1864. 

18G5. 

DECEMBER. 

JANUARY.          FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE.                     TOTAL. 

11,  380. 

12,  518.                    13,  081. 

11,  692. 

11,034. 

12,  003, 

13,  119.                      11,  836. 

Cases. 

Deaths. 

Cases. 

Deaths.  '  Cases.    Deaths. 

Cases. 

Deaths. 

Cases.    Deaths 

Cases.    Deaths. 

Cases. 

Deaths.       Cases.      Deaths. 

l 

3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
l(i 
17 
18 
19 
20 

22 
23 
24 

2G 
27 
28 

29 
30 
31 
32 
33 
34 

35 
36 
37 

38 
39 
40 
41 

42 
43 

44 

45 

46 
47 

48 

5 

2 

5 

2 
5 

1 

4 

2 

4 

1 

6 

1 

4 

2 

55 
31 

10 

2 

1 

1 

1 

14 
41 
43 
10 
3 
94 
8 
12 
3 
7 

32 
60 

38 
9 

25 
86 
37 
o 

31 
66 
35 
5 
2 
80 
12 
19 
1 
8 

27 

46 
89 
49 

54 
163 

555 
1,051 

2 

72 

51 

45 

502 
110 
27 
2,184 
118 
331 
26 
73 
4 
83 
3 
17 
54 
1,069 
228 

1,  996 

1,227 

19 

6 
92 

18 
1 
247 
20 
42 
2 
3 

6 
176 
5 
11 
3 
3 

1 

1 
1 
6 
4 
2 

129 
15 
21 
3 

96 
11 
20 
2 
9 

1 

1 

1 

6 
6 

1 

1 

1 

13 

1 
17 

8 

8 
3 
1 
4 
120 
4 

177 
99 
11 
3 
2 

3 

9 

7 

26 

4 
4 
130 

21 

144 
107 
29 

2 
18 
172 

1 
13 
135 

0 

1 

1 

144 
44 

194 

127 

4 
80 
20 

193 
118 
15 
2 
2 
2 
1 

45 

1 
49 
32 

18 

146 
128 

51 

1 
4 

2 

100 
82 
7 
4 

1 

164 
113 

1] 
7 
1 

15 

'    20 
5 

7 

.... 

194 
39 
21 
3 
42 

312 

8 
83 

258 

7 

6 
1  °7° 

2 

1 

1 

0 

11 

18 

4 

9 
1 

8 
20 

1 

0 

22 

4 
53 

6 

33 
1 

0 

28 

6 
123 

1 

1 

> 

1 
6 
3 
2 

1 
1 
13 
4 

1 

14 

24 

1 

1 
o 

7 
35 
3 
1 

1 

98 
85 
15 

5 
1 

3 

1 

1 

91 
77 
4 

0 

98 
111 
10 

146 

109 
70 
5 

129 

138 
72 

90 
5 

879 
56 

9 
25 

2 

1 

1 

2 

1 

1 

3 

7 

3 

8 
3 
2 

4 
3 

5 

4 

10 
o 

3 

7 
3 

1 

8 
3 

2 
1 

3 

6 
1 

3 

3 

6    ! 

o 

6 
3 

1 

67 
38 
4 

63     . 

16 
1 

4 

13 

11 
2 

5 
4 

1 
o 

0 

26      

1 
1 

4 

1      . 

895              9 

1,084 

7 

1,086 

4 

1,055 

5 

1,173 

7 

1,148 

6 

1,380 

3 

13,  191 

63 

GOO 


SICKNESS   AND   MORTALITY    OF    WHITE    TEOOPS 


TABLE  XCIV.— PACIFIC  REGION— Continued. 


YKAK  

1804. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

12,  235. 

12,  321. 

11,  234. 

11,  066. 

10,  345. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

965 

5 

1,179 

6 

1,086 

2 

1,170 
o 

6 

970 

3 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.  —  Diseasesof  Xervous  System. 

0 

18 
2 

1 

1 
31 
3 

3 

4 
6 
4 

4 
1 

1 

1 

1 

3 

27 

1 

12 

03 

19 
4 

20 

1 

3 

3 

1 
4 

1 

3 

1 
4 

1 
3 

7 

1 

ORDER  11.  —  Diseases  of  Eye. 

31 
2 

8 
6 

2 

27 

35 
1 
2 

8 

1 
3 
3 
3 

53 
4 
1 
3 

1 
o 

48 
2 

2 
1 
8 

2 
1 
2 

8 

2 
3 

ORDER  111.  —  Diseases  of  Ear. 

68    Deafness 

69    Otorrhcea 

3 
4 

1 
5 

1 

1 
6 

ORDER  IV.  —  Diseasesof  Organs  of  Circulation. 

1 

3 

1 

3 

1 

2 

2 

1 

1 
1 

1 

1 

0 

3 

1 

o 

79.  Varicocele  

1 

80.  Other  Diseases  of  this  Order 

1 

4 

44 
9 

I 
3 

1 
6 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
81.  Asthma  

2 

79 
15 

2 
123 
6 

82.  Acute  Bronchitis  

31 
6 

83.  Chronic  Bronchitis  

15 

84.  Dropsy  of  Chest  

1 

85.  Haemorrhage  from  Xose  

86.  Inflammation  of  Larynx  

11 
6 
23 

7 
6 
17 
3 

13 
9 
10 

1 
14 

11 
16 
17 
3 
17 

23 

1 
1 

15 
28 
16 
2 
14 

14 
104 
1 

87.  Inflammation  of  Lungs 

1 

1 

88.  Inflammation  of  Pleura 

89.  Harnnorrhage  from  Lungs  

90.  Other  Diseases  of  this  Order  

7 

24 
176 
6 

30 
34 

OUDER  VI.  —  Diseasesof  Digestive  Organs. 
91.  Colic  

92.  Constipation  

86 
10 

93.  Cholera  Morbus  

1 

23 

7 

94.  Cirrhosis  of  Liver  

95.  Dropsy  from  Hepatic  Disease  

1 
30 

1 

96.  Dyspepsia  

42 

27 

23 

97.  Diseases  of  Pancreas  

} 

98.  Diseases  of  Spleen  

1 
1 

7 

1 

1 
1 

99.  Fistula  in  Ano  .    . 

2 
5 

100.  Hernia  

n« 

i 

:  •"  

101.  Haemorrhage  from  Stomach  

' 

Carried  forward  

i 

1,444 

8 

1,617 

7 

1,455 

5 

1,617 

9 

1,437 

6 

DURING   THE    YEAR    ENDING    JUNE    30,    18G5. 


601 


TABLE  XCIV.— PACIFIC  REGION— Continued. 


1804. 

1805. 

DECEMBER. 

JANUARY.           FEBRUARY. 

MARCH. 

Al'ltli.. 

MAY. 

JUNE. 

TOTAL. 

11,  380. 

12,  518. 

13,  081. 

11,  692. 

11,  034. 

12,  003. 

13,  119. 

11,  836. 

49 
50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 

61 
62 

63 
64 
65 

66 

67 
68 
69 
70 

71 

73 
74 
75 

76 
77 
78 
79 
80 

81 

82 
83 
84 
85 
86 
87 
88 
S'J 
90 

91 
92 
93 
94 

<r> 

Cases. 

Deaths. 

Cases. 

Deaths.    Cases.    Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

895 

9 

1,084 

7 

1,086 

2 

7 
13 
4 

4 

1 

1,055 

3 

5 
38 
2 
1 

5 

1 

1 

1,173 

7 

1 

1,148 

1 

7 
26 

6 

1,380 

1 
10 
49 
3 

3 

13,  191 

9 

56 

246 

63 

3 

1 

6 

20 

5 
11 
3 

5 
19 

1 

26 

3 
4 
6 
10 
364 
26 
3 
35 

21 

1 

1 

1 

1 

1 

1 
3 

1 

1 
3 

24 

1 

35 

1 

32 

40 

50 

0 

59 
2 

2 

1 

0 

1 

1 
22 

o 

2 
I 

1 
2 

1 

9 

3 
3 

1 

3 
1 
50 
3 

0 

1 

2 

465 
40 
25 
50 

41 
18 
36 
40 

4 
32 

28 
2 
4 
o 

34 
6 
1 
6 

6 
o 

44 

8 
1 
4 

5 

36 
5 
1 
5 

5 

57 
3 
1 
o 

3 

2 

3 

6 

0 

7 
2 
8 
3 

1 
3 

4 
1 
3 

1 
3 
5 

4 

4 

1 
4 

4 
4 

2 
1 

o 

1 

0 

1 

1 
7 

3 

2 

1 

3 

2 

1 

1 

1 

1 

2 
1 

1 
o 

1 

4 

8 
1 
21 
7 
5 

46 
1,358 

287 
4 
o 

210 
324 
271 
30 
328 

254 
1,426 
64 
1 
3 
296 

3 

1 

o 

5 
1 

5 

1 

1 

o 

1 

1 

4 

199 
14 

1 

1 

1 

1 
247 
50 
1 

4 
107 
19 
1 

8 
156 

47 
1 

3 
80 
42 

7 
87 
26 

1 

178 
38 

1 

1 
2 

1 

1 

1 

1 

21 

1 
8 
14 
16 
3 
28 

37 
141 
3 

56 
24 

1 
20 

17 
88 
o 

35 

58 
26 

19 

61 
29 

0 

°7 

31 
25 
28 
4 
46 

20 

1 
25 
4 

3 

1     i 

4 

6 

27 

4 

1 
1 

18 
38 
4 
24 

13 
161 
2 

1 
o 

3 

7 
34 

15 

27 

61 

15 
1°4 

1 

1 

" 

11 
102 
4 

100 
3 

1 

1°6 

L 

1 

1 
03 

96 

07 
'.18 
99 
100 
101 

17 

16 

31 

<x> 

17 

03 

1 

] 
8 

1 

•5 

8     ! 
9 
96     ' 
3 

1 
11 

2 

9 

1 

7 

6 

6 

" 

1,471 

14 

1,791 

11 

1,795 

16 

1,632 

13 

1,862 

16 

1,738 

10 

1,960 

9 

19,819           121 

7*5 


G02 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  XCIV.— PACIFIC  REGION— Concluded. 


VKAU  1««4- 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

12,  235. 

12,  321. 

11,  234. 

11,  006. 

10,  345. 

LIST  OF  DISEASES.                                   Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

1,444 

2 
15 

8 

1,617 

7 

1,455 

5 

1,617 

9 

1,437 

2 
21 
o 

C 

OKDEU  VI.  —  Diseases  of  Digestive  Organs—  Continued. 

...      aei  orr     g 

11 
3 
2 

29 

27 

103.    n  am    a 

7 

3 
4 

o 

1     '                               ' 

2 

1  "•    T                         f  1>    't 

1 

o 

1 
1 

'    "  a       a                       .     .  , 

8 

3 

o 

1 

1 

4 
20 

'      CU  6.                              f  T  '  -  > 

3 
\ 

27 
9 

3 

30 

7 

1 
I 

o 

o 

110    Piles                                                                 

"3 

23 
3 

7 
1 

1 

1 

1 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

1 
1 
1 

113    Diabetes 

1 

115.  Diseases  of  Prostate  '  

110.  Diseases  of  Testis  2 

2 
2 

0 

4 

o 

3 

3 
1 

1 
1 
2 

118.  Inflammation  of  Bladder  

3 
1 

3 

119.  Incontinence  of  Urine  

120.  Hydrocele  

1 
1 

1 
1 

1 
1 

121.  Other  Diseases  of  this  Order  

o 

OKDEU  V11I.  —  Diseases  of  Bones  and  Joints. 
122.  Anchylosis  

123.  Caries  

0 

1 

124.  Inflammation  of  Joints  

4 

1 

1 

2 

1 

125.  Inflammation  of  Bones  

12G.  Inflammation  of  Periosteum  

1 

127.  Necrosis  

1 

128.  Other  Diseases  of  this  Order  

1 
26 

ORUEH  IX.  —  Diseases  of  Integumentary  System 
129.  Abscess  

21 

18 
°6 

18 
33 
o 

16 
37 
o 

130.  Boils  

°2 



"3 

131.  Carbuncle  

3 



1 
15 

1 
8 
15 

132.  Whitlow  

8 
°0 

_ 

}33.  Skin  Diseases  

21 

23 

1 

70 

19 

1 
07 
1 

' 
CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
134.  Burns  

G 
70 

0 

135.  Contusions  

2 

7'i 

7° 

130".  Concussion  of  Brain 

1 

137.  Drowning  

1 

13*.  Strains  

38 
7 

31 

43 

45 

13;>.  Dislocation  

3 

140.  Simple  Fractures... 

4 

C 

6 

• 

8 
1 
25 
14 
4 
4 
44 
3 

141.  Compound  Fractures  ... 

142.  (Juushot  Wounds  

10 

14 
17 
6 

2 

1 

5 

°4 

55 
21 

4 

0 

1 

143.  Incised  Wounds  

144.  Lacerated  Wounds.  .. 

JO 

n 

145.  Punctured  Wounds  

4 

7 
8 

1 

8 

7 

G 
5 
2 

1 
o 

146.  Poisoning:  

147.  Other  Accidents  and  Injuries 

lit?.  OKDER  II.—  Homicide  

1 

149.  ORDEH  III.—  Suicide..    . 

150.  OUDEH  IV.—  Execution  of  Sentence 

Total  

1,802            13 

1,942 

9       1,  821 

6 

1,983 

20 

1,809 

14 

.    _ 

DURING   THE   YEAR    ENDING   JUNE    30,  1865. 


G03 


TABLE  XCIV.— PACIFIC  REGION— Concluded. 


18O4. 

1805. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APUIL. 

MAY. 

JUNE. 

TOTAL. 

11.380. 

12,  518. 

13,  081. 

11,  692. 

11,  034. 

12,  003. 

13,  119. 

11,  836. 

102 
103 

104 
105 
106 
107 
108 
109 
110 
111 

112 
113 
114 
115 
116 
117 
118 
119 
120 
121 

122 
123 
124 
125 
126 
127 
128 

129 
130 
131 
132 
133 

134 
135 
136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
146 
147 

148 
149 
150 

Cases.  |  Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.  ,  Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1,471 

1 

30 

14 

1,791 

1 

56 

11 

1,795 

16 

1,632 

1 

57 
6 
3 

13 

1,862 

16 

1,738 

1 
27 
6 
o 

10 

1,960 
o 

9 

19,  819 

10 
400 
44 
34 
3 
52 
26 
44 
265 

124 

66 
2 
1 

38 
5 
4 

23 

6 
6 
1 
10 
4 
7 
17 

9 
1 
4 
y 

3 

15 
2 

3 

2 

1 

1 

1 

4 
1 
6 
1 

6 

7 
8 
7 
5 

1 

6 

0 

4 

1 

3 

1 

3 
o 

1 

1 

16 

6 

27 

20 

1 

1 
1 

3 
o 

9 

1 
2 

1 

1 

49 

10 
8 
3 
1 

27 
55 
19 

4 
10 

4 
15 
58 
2 
5 
4 
10 

253 

4 

3 

1 

1 

1 

1 
1 

4 
1 
2 

1 

G 
3 

4 
8 
o 

0 

3 

5 
10 
1 
3 
1 

1 
9 

3 
1 

4 
1 
1 

3 
1 
2 

1 

1 

2 
1 

1 
3 

1 
1 

1 
3 

3 

8 

1 

20 

6 
1 

13 

1 
2 

16 

5 
4 
23 

4 

80 

1 
2 

15 

1 

21 
43 
1 

7 

1 

38 
27 
3 
11 
17 

13 
63 

2 
oo 

1 

30 
31 
5 
5 
38 

4 
51 

12 

36 
6 
7 
30 

10 

72 

39 
1 
9 
37 

32 

376 
32 
89 
321 

2 
5 

56 

1 

110 

5 

88 

9 
90 

61 
918 
3 

1 

3 

1 

1 

1 

1 

1 

4 

11 

35 

83 
2 
7 
i 

45 

66 
o 

50 
1 
9 
1 
14 
1° 

70 
5 

74 
1 
6 

626 

4 

8 

35 
76 
6 
232 
233 
121 

3 
1 

41 
19 
20 
13 
1 
15 

5 

7 

1 
13 
37 
14 
3 
4 
6 

2 

12 
17 

2 

16 
8 
1 
1 
20 

o 

3 

9 

27 
6 
8 
3 

1 
1 

24 
12 
4 
12 

3    : 

24 

6 
7 
3 
9 

2 

2 

0 

1 
1 

74 
93 
76 

3 
4 

1 
3 

8 
2 

1 

6 

2 

1 

1 

2 

1,867 

21        2,235            16 

2,195 

20 

2,090 

17 

2,256 

23 

2,180 

21 

2,438            17          24,618 

197 

604 


SICKNESS   AND   MORTALITY   OF   WHITE   TKOOPS 


TABLE  XCV. 

Abstract  of  the  Sickness  and  Mortality 


YEAH  

1864. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOUEU. 

NOVEMBEU 

5G7,  846. 

556,  006. 

540,  578. 

560,  661. 

556,  536. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS    1.—  ZYMOTIC    DISEASES. 

OUDEU  I.  —  Miasmatic  Diseases. 

1,237 
130 
2,394 
64 
10,097 
12,  261 
11,138 
1,149 
367 
42,  437 
4,945 
8,862 
756 
574 
73 
531 
3 
174 
515 
764 

942 

244 
17 
181 
14 
17 

88 
169 
1,  039 
187 
122 
21 
43 
62 

1,211 
45 

2,  099 
14 
11,  443 
15,  336 
12,  862 
1,  292 
417 
38,014 
4,  9L'9 
8,500 
699 
553 
77 
1110 
4 
98 
276 
r>26 

842 
10 
230 
4 
219 
22 
14 

125 
163 

1,218 
237 
139 
15 
28 
17 
1 
15 
5 

1,110 
21 
1,  573 
174 
8,  357 
16,  458 
12,  763 
1,  617 
475 
28,  036 
4,298 
7,150 
771 
353 
46 
108 
1 
100 
142 
949 

204 
70 
13.3 
9 
9 
1 
127 
105 
1,246 
222 
146 
20 
13 
9 
1 
17 
5 

883 
5 
1,337 
493 
6,  705 
16,  233 
11,185 
1,  255 
273 
23,  277 
3,  372 
6,054 
645 
370 
81 
348 
4 
121 
280 
1  749 

471 
8 
162 
200 
130 
15 
8 
5 
94 
89 
1,  282 
181 
141 
12 
22 
10 

800 
32 
914 
38 
4,  835 
11,167 
8,447 
933 
185 
18,  442 
2,879 
4,159 
533 
411 
139 
497 
5 
161 
463 
2  5U8 

402 
6 
117 
18 
72 
14 
o 

46 
57 
828 
94 
70 
16 
51 
27 

17.  Scarlet  Fever  

18.  Diphtheria  

24 

15 
1 

15 

20.  Epidemic  Catarrh  

3,  198 

1,587 
2,073 

70 
3 

3,  0-19 

1,  C69 
1,  946 
236 
48 
158 

55 
3 

2,676 

1,612 
1  944 

44 
2 

2,251 

1,601 

1,  944 
252 

63 

2 

2,050 

1,595 
1,  907 
232 

35 
6 

OitUEit  11.  —  Enthetie  Diseases. 
22.  Syphilis  

23.  Gonorrhoea  

24.  Orchitis  

237 

1 

213 
44 

25.  Stricture  of  the  Urethra  

62 

44 
104 
4 
24 

41 
99 
4 
31 

568 
6 
51 
66 
11 
18 

3 

3,  005 

1,877 
172 
4 

1 

26.  Purulent  Ophthalmia  .   

166 
11 
115 

27.  Serpent  liite  

8 
29 

8 
57 



28.  Other  Diseases  of  this  Order  

2 

12 
1 
9 
1 

OUDEU  III.—  Dietic  Diseases. 
29.  Scurvy  

1,655 
26 

57 
100 
25 

8 
o 

9 
1 

1,809 
25 
72 
102 

18 
3 

7 

1,714 
21 
52 
106 
16 
17 

8 
2,198 
1,  556 
471 
8 
36 
14 

169 
122 
5 

29 

776 
17 
49 
80 
15 
3 

9 

30.  I'urpura  

31.  Delirium  Tremens  

3 

-1 

1 

1 

3 
1 

32.  Inebriation  

33.  Chronic  Alcoholism  

34.  Other  Diseases  of  this  Order  

1 

6 
2,  373 
1,703 
6x!8 
3 
55 
42 

202 
156 
1 

CLASS    II.—  CONSTITUTIONAL    DISEASES. 
OUDEU  I.—Oiathetic  Diseases. 
35.  Gout  

3tj.  Acute  Rheumatism  

2,316 
1,585 
697 
11 
51 

7 
5 
18 
1 

8 
6 
16 

3 

6 
10 

2,574 
1,677 
316 
2 

45 

17 

160 
92 
6 

5 
6 
9 

4 
5 

8 

37.  Chronic  Rheumatism..   . 

38.  Aiijemia  

39.  Cancer  

40.  Tumors  

2 
3 

110 
1 

41.  Other  Diseases  of  this  Order  

19 

195 
141 
2 

730 

119 
6 

2 

78 

3 

121 
2 

15 

134 
100 
7 

OUDI:I:  H.—  Tubercular  Diseases. 
42.  Consumption  

82 

43.  Scrofula  

44.  Other  Diseases  of  this  Order.  .  . 

CLASS    III.  -PARASITIC    DISEASES. 
45.  Itch  

4(>.  Tape-worm  

<)•; 

14 
54 

/43 

47.  Other  Intestinal  Worms  

56 
3 

1 

44 
3 

2 

31 

10 

48.  Other  Diseases  of  this  Order 

Carried  forward  

113,  625 

3,456 

113,971 

3,  539 

98,  232 

3,048  '  87,533 

3,  074 

70,  525       2,  U06 

DURING   THE   YEAR   ENDING   JUNE    30,  1865. 


605 


TABLE  XCV. 

of  the    United  /States  Army. 


1864. 

1865. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

569,  591. 

593,  475. 

588,  451. 

602,  837. 

632,  002. 

642,  008. 

478,  268. 

574,  022. 

Cases. 

ieaths.  ] 

Cases. 

Deaths. 

Cases. 

ieaths. 

2ases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

l 

3 

4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 

23 
"4 

O(- 

27 
28 

or 
30 
31 
32 
33 
34 

35 

3b 
37 
38 
39 
40 
41 

686 
11 
720 

399 
3 
75 

837 
20 
643 

431 
5 
95 

647 
22 
482 

338 
9 
64 

625 
9 
740 

364 
16 

62 

527 
15 

781 

389 
10 
62 

625 
6 

767 

396 
19 
59 

551 
12 

699 

302 
3 
94 

9,739 
328 
13,  149 
783 
73,  386 
127,  393 
105,  834 
11,  132 
2,814 
284,  580 
41,  574 
61,  470 
6,159 
6,456 
2,649 
9,798 
73 
1,824 
8,083 
29,497 

5,798 
124 
1,468 
309 
1,198 
134 
75 
21 
727 
973 
10,  600 
1,248 
919 
494 
1,131 
1,082 
16 
170 
17 

4,149 

7,309 
743 
107 
18,  611 
3,  611 
3,384 
436 
500 
237 
1,  149 
8 
145 
488 
3,719 
2,590 

1,802 
1,  925 
246 
31 
123 
1 
4 

399 

54 
79 
13 

o 

3 
3,438 
2,284 
165 
6 
32 
33 

167 
108 

1,083 
6 
If 

71 
10 
3  1 
1 
38 
47 
1,082  ; 
65 
59 
39 
103 
63 
3 
14 
2 

4,256 

7,  292 
6,553 
718 
100 
17,  065 
2,912 
3,106 
405 
506 
362 
1,001 
3 
277 
631 
4,960 
1,763 

1,574 
1  724 

69 
4 
6 

3,746 
6,330 
5,623 
637 
134 
12,  549 
2,446 
2,287 
260 
654 
451 
927 
20 
223 
786 
4,661 
1,703 

1,445 
1  652 

50 
3 
1 
1 
31 
40 
606 
37 
56 
64 
192 
103 
3 
16 

4,522 
7,709 
6,751 
791 
181 
16,  587 
2,802 
3,  095 
336 
716 
449 
2,439 

197 
1,595 
4,144 

1,877 

1,695 
1,905 

262 

68 
16 
2 
2 

39 
62 
771 
19 
45 
67 
200 
345 
4 
17 
1 

4,606 
8,623 
7,522 
676 
119 
20,  275 
2,453 
4,410 
373 
698 
373 
1,  659 
7 
159 
1,603 
2,341 

53 

11 
5 
4 
38 
39 
658 

35 

89 
144 
251 
1 
14 
1 

5,  563 
9,722 
8,799 
661 
284 
26,  589 
4,027 
5,  907 
536 
677 
250 
75i* 
2 
110 
974 
1,696 
2,586 

1,  828 
2,139 

276 

65 
9 
2 
o 
33 
53 
572 
45 
17 
77 
122 
89 

5,107 
8,040 
6,882 
660 
172 
22,  698 
2,900 
4,  556 
409 
444 
111 
197 
4 
59 
330 
990 
1,999 

1,457 
1,816 
2°4 

87 
7 
6 
1 
29 
86 
534 
76  | 
30 
21 
50 
12 
1 
3 

39 
63 
764 
57 
59 
53 
163 
94 
2 
7 

13 

92 

4 

46 
4 

25 
1 

59 

4 

2,229 

1,782 
2,  033 

54 
1 

33 
1 

19 
3 

27,  941 

19,647 
23,  008 
2,  911 
521 
1,576 
56 
452 

12,  844 
333 
641 
1,  019 
185 
99 

102 
34,  604 
21,409 
3,661 
52 
571 
247 

1,  995 
1,  429 
49 

12,015 
221 
332 

44 

595 
34 

231 

29 

218 

284 
52 

1 
1 

47 
121 

47 
141 
1 
24 

974 
22 
56 

77 

10 

13 

3,204 
2,  034 
200 
3 
47 
16 

180 
133 
o 

33 

204 
5 

88 

1,508 

67 
44 
94 
19 
14 

15 
3,459 

1,788 
264 
7 
82 

43 
130 

89 

119 
3 
19 

1,376 
35 
55 
125 
12 
8 

10 
3,304 
1,732 
247 
2 
46 
23 

146 
113 
o 

6 

10 

509 
23 
57 
46 
7 
5 

14 
3,147 
1,816 
175 

17 

485 
50 
49 
56 

8 

1 

15 
o 

1 

1 

8 

34 

1,071 
16 
45 
88 
10 
13 

5 
2,036 

1,177 
152 
3 
44 

18 

137 
106 
10 

780 

4 

202 
15 
74 
19 
13 
8 

1 

96 
51 
89 
8 
4 

1,338 

28 

1 

"3 
1 

7 
1 
1 

29 
1 
10 

4 
o 

4 

23 
1 
7 
3 

20 
2 
5 

3 

1 
6 
2 

7 
1 

1 

4 
1 

1 
10 
5 
6 
1 

1 

5 

3,  550 
2,  180 
174 

10 
3 
4 

9 
5 
6 

7 
3 
2 

6 
6 
4 
1 

19 
1 
5 

o 

8 

1 
1 

47 

21 

184 
104 
1 

1,306 

1 
1 

135 
2 

3 

44 
21 

162 
94 

1  172 

1 
o 

6 

121 
6 

3 

133 
1 

8 

159 
160 
4 

1  422 

1 

109 
4 
1 

1 

79 
1 

42 
4: 
44 

4o 

4( 
4 

•18 

126 
2 

1,407 
19 

1,478 
14 
33 
3 

1 

19 

0' 

18 
23 

10 
11 

18 
i) 

15 
3 

7 

' 

2,144 

! 

G8,  877       2,  363 

65,  342 

55,437 

1,800 

68,,  097 

2,358 

72,505 

2,  085 

84,  261 

1,  777     66,  280 

1,470  !     964,685     2:>,  ICO 

606 


SICKNESS   AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  XCV.— UNITED  STATES  ARMY— Continued 


1804. 

MONTH  

JULY. 

AUGUST. 

SEITEMHER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

5G7,  846. 

556,  006. 

540,  578. 

560,  661. 

556,  536. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

13,  625 

17 
1G4 
2,443 
46 
19 
14 
10 
147 
1,650 
47 
885 
40 

19 
19 
1,908 
89 
548 
74 

193 

CO 
219 
102 

3,456 

24 

13,  971 
20 

3,539 

98,  232 
20 

3,048 

21 
15 

87,  533 

12 
214 
1,  340 
39 
9 
5 
17 
84 
921 
54 
12 
23 

26 

3,  074 

15 
12 

70,525  j 

13 

239 
1,092 

2,006 

13 
6 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.—  Diseases  of  Nervous  System. 

7 

181 
2,137 

5 

196 
1,284 

51.  Headache  

2 

39 
13 
8 
2 

1 
5 
34 
10 

39 
24 
3 

14 
107 
1,466 
41 
731 
41 

30 
8 
1,655 

5 
35 
15 

3 

51 
18 
5 
14 
99 
984 
68 
73 
37 

27 
21 

2 
14 
3 
3 
4 

1 
18 
12 
5 
1 
1 
5 
2 

7 

29 
21 
10 
7 
101 
1,  026 
32 

2 
17 
14 
1 

51.  Innamma  ion  o  ^  .  en     .      & 

5 
28 
14 

12 
14 
3 

1 

^    i 

39 

19 
12 

6 

ORDER  II.  —  Diseases  of  Eye, 

8 
1,469 
36 
ooo 

1,543 

1,  322    

56 

563 
60 

130 
59 
234 

74 

3 

81 
15 
11 
12 
5 
4 
212 

52 

31    

412 

112    

M  01?  *              f  tr  o  a 

39 
123 

7 
98 

19 

84 
47 
150 

OUDEK  III.  —  Diseases  of  Ear. 

'    " 

47 
174 
65 

4 
97 
15 
7 
9 
6 
5 

43 

137 

69    Otorrhcea                                       

11 

3 
105 
21 
3 
14 
3 
3 
143 

17 

5 
68 
20 
4 
12 
11 
6 
134 
7° 

ORIJEU  IV.  —  Diseases  of  Organs  of  Circulation. 

10 

88 
23 
5 
16 
11 
12 
183 

2 
18 
3 
3 
3 

1 
27 
3 
1 
1 

O 

1 
17 
6 
3 
2 

2 
22 
8 
1 
4 
o 

1 
13 
3 

2 
3 

1 

1 

78.  Varicose  Veins  

79.  Varicocole  

153 

170 
50 

158 
1,414 
382 
6 

5Q 

102 

107 
26 

194 
2,  296 
376 

32 
175 

670 
470 
105 
271 

1,  594 
2,  621 
365 
15 
102 
682 
3 
34 
40 
473 
8 

80.  Other  Diseases  of  this  Order  

42 

172 
1,  609 
275 
16 
58 
157 
477 
483 
114 
205 

2,  454 
4,  035 
1,  062 
7 
122 
831 
4 
31 

9 

2 
7 
13 
3 

7 

3 

6 
11 
3 

9 

207 
1,507 
381 
15 
36 
171 
354 
431 
82 
128 

1,779 
2,736 
499 
16 
155 
728 

0 

8 

3 

7 
13 
1 
3 
3 
80 
11 
9 
6 

1 
1 
9 

1 
12 

6 

11 

209 
3,  283 
480 
7 
20 
227 
1,044 
571 
89 
426 

1,293 
2,315 
243 
6 
93 
486 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
81.  Asthma  

1 
4 
8 
3 

o 

4 
220 
9 
3 
11 

o 

1 
4 

1 

14 

82.  Acute  Bronchitis  

5 
6 
3 
1 
4 
111 
13 
4 
7 

4 

83.  Chronic  Bronchitis  

84.  Dropsy  of  Chest  

85.  Haemorrhage  from  Nose  

86.  Inflammation  of  Larynx  

2 

196 
9 
o 

18 

7 
1 
11 

118 
467 
423 
116 
225 

2,596 
3,739 
1,  046 
9 
114 
838 
1 
15 

1 
129 

7 
4 
12 

2 
7 
1 
6 
3 

87.  Inflammation  of  Lungs  

88.  Inflammation  of  Pleura  

89.  Hiemorrhnge  from  Lungs  

90.  Other  Diseases  of  this  Order  

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
91.  Colic  

92.  Constipation  

93.  Cholera  Morbus  
94.  Cirrhosis  of  Liver  

5 

95.  Dropsy  from  Hepatic  Disease  

6 

17 

1 

96.  Dyspepsia  

'J7.  Diseases  of  Pancreas  

98.  Diseases  of  Spleen  

j  

2 
o 

11 
55 

398 
6 

'.'9.  Fistula  in  Ano  

orj 
492 

1 

46 
494 

18 

1 
1 
1 

100.  Hernia  

1 

440 
10 

101.  Haemorrhage  from  Stomach  

17 

2 

Carried  forward  

3,383 

135,  527 

1 

3,  918 

134,  491 

3,915 

113,  758 

3,339 

1 

103,  286 

86,  572 

2,380 

DUEINQ   THE    YEAR   ENDING   JUNE   30,  1865. 


607 


TABLE  XCV.— UNITED  STATES  AEMY— Continued. 


18(>4. 

18G5. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUXE.                   TOTAL. 

569,  591. 

593,  475. 

588,  451. 

602,  837. 

632,  002. 

642,  COS. 

478,  268.                    574,  022. 

49 
50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 

61 
62 
63 
64 
65 
66 

67 
68 
69 
70 

71 
72 
73 
74 
75 
76 
77 
78 
79 
80 

81 
82 
83 

84 
85 
86 
87 
88 
89 
90 

91 

92 
93 
94 
95 
96 
97 
98 
99 
100 
101 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Death?. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases.  I  Deaths.  '      Cases.     Deaths. 

68,  877 

10 
235 
1,  226 
19 
16 
18 
22 
89 
1,309 
55 

2,  3G3 

14 
7 

2 

22 
15 

0 

1 

65,  342 

18 
228 
1,325 
28 
18 
14 
23 
91 
1,  316 
51 

2,144 

14 

8 

2 

16 
20 
5 
2 

55,  437 

14 
218 
1,180 
38 
32 
14 
21 
86 
1  292 

1,800 

13 

7 

1 
36' 
12 
Of; 

4 

68,  097 

19 
248 
1,410 
28 
34 
17 
*.5 
66 
1,314 
41 
4 

21 

2,358 

18 
13 

3 
36 
32 
53 

1 
1 
1 

72,  505 

15 
160 
1,548 
35 
12 
20 
12 
53 
1,334 
56 
51 
37 

25 

2,085 

18 
9 

84,  261 

12 
185 
1,912 
46 
16 
9 
5 
102 
1,  398 
47 
251 
45 

30 
11 
2,041 

76 
178 
18 

1,777 

14 
5 

2 
28 
13 
8 
3 
1 
2 
4 
7 

66,  280 

5 
184 

1,627 
34 
9 
3 
9 
85 
941 
31 
160 
28 

34 

9 
1,531 
56 
207 
28 

1,470 

5 
2 

964,  685 

175 
2,452 
18,  524 
432 
228 
132 
182 
1,110 
14,  981 
587 
2,  168 
424 

296 

29,  120 

191 
96 

22 
312 
184 

138 
24 
4 
46 
69 
116 

36 
19 
16 
1 

15 
16 

9 

2 

3 

64 
1 
36 

19 
17 
1,  41-2 
38 
46 
28 

121 

5 

5 
2 
17 

5 

8 

34 

18 
13 
1,476 

39 
66 

93 
48 
164 
13 

4 
83 
17 
16 
24 
5 
6 
153 
83 
16 

219 
4,128 
596 
26 
31 
391 
1,319 
705 
111 
531 

1,  291 
2,764 

207 
10 
125 
547 

4 

32 

28 

6 

22 

12 

13 

9 
1  672 

8 
1,675 

118 
19,  184 
637 
2  708 

1,480 
36 
39 

1 

1 

69 
108 
34 

116 

78 

59 
207 
18 

119 
48 
166 
22 

29 

381 

1,439 
646 
2,  164 
365 

50 
1,  120 
199 
87 
185 
82 
62 
1,704 
1,105 
309 

2,182 
35,815 
6,  225 
161 
562 
3,568 
11,  625 
7,  233 
1,178 
6,174 

18,  295 
36,  978 
5,161 
97 
1,  301 
7,646 
17 
289 
547 
4,818 
125 

120 

120 

66 
195 
20 

o 
101 
21 
4 
13 
10 
5 
124 

60 
205 

55 
175 

35 
159 

1 

186 
17 

2 
110 
13 

7 

12 
4 

14° 

1 

1° 

7 

8 
117 
12 
10 
22 
3 
7 
135 
81 
23 

165 
2,479 
544 
14 
39 
255 
765 
665 
104 
339 

1,517 
3,996 
426 
6 
113 
734 
2 
45 

5 

5 
83 

16 
5 
15 
8 

2 

/ 

5 
4 
1 

1 
10 
2 

1 

7 
3 

1 
86 
14 
7 
17 
3 
4 
90 
54 
45 

170 
5,  274 
846 
5 
46 
47J 
1,  736 
835 
90 
1,717 

846 
2,262 
105 
5 
114 
498 
4 
14 
36 
317 
5 

1 
18 

7 
5 
7 

1 
17 
6 
6 
7 
1 

3 

81 

8 
19 
5 
6 
114 
62 

o 
25 
5 
3 
5 
4 

1 
12 
5 
4 
4 
1 

1 

18 

16 
204 
49 
35 
51 
20 
3 

1 
5 
3 

99 
90 
12 

135 
1,391 
317 
13 
37 
133 
414 
416 
78 
188 

1,500 
3,128 
718 
3 
62 

f--O 

1 

13 
35 
322 

66 

14 

196 
5,360 
801 
26 
8) 

1 
5 

1 

22 

29 

1 

65 

1 
60 

18 
160 
159 
28 
7 
41 
3,575 
152 
54 
148 

26 
6 
67 
8 
136 
7 

4 

3 

15 
18 
3 

1 
23 
12 

23 

214 
4,023 
7J3 
13 

533 
1,631 

769 
101 
744 

976 
3,277 
135 
2 

80 
615 

5 

3 

28 
15 
3 

38 

143 
3,051 
512 
8 
57 
309 
1,  109 
662 
96 
510 

1,  312 
3,  403 
201 
12 
85 
569 

4 

1 
23 
15 
4 

7 

1 

16 
12 
1 

4 
7 
3 

1 
6 
563 
15 
1 
16 

O 

313 
17 
5 
17 

o 

5 
1 
16 

627 
1,  639 
803 
92 
890 

1,117 
2,  702 
154 
6 
133 
565 

474 
18 
4 
17 

1 

o 
1 
20 

6 
645 
14 
5 

18 

1 

4 
1 
14 
1 

3 

495 
18 
5 
13 

1 

1 
1 
14 

5 

238 
11 
7 
6 

1 

2 
111 
10 
5 
7 

2 
1 
11 

3 
I 

7 

5 

5 
o 

5 

37 
55 
414 
9 

9 
53 

363 

8 

37 
69 

17 
3) 

5 

8 

1 
1 

52 
424 
10 

1 
1 

344               1 
14    

337               1 
6               1 

1 

14    

87,792       2,877 

86,534 

2,  845     76,  112 

2,617 

88,387 

3,330 

90,  971 

2,853 

104,  114 

2,208 

81,  404 

1,  729 

,  188,  948 

35,  394 

608 


SICKNESS   AND    MORTALITY   OF    WHITE    TROOPS 


TABLE  XCV.— UNITED  STATES  ARMY— Concluded. 


y  EAR  

1864. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

567,  846. 

556,  006. 

540,  578. 

560,  661. 

556,  536. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases,  i 

Deaths. 

Cases. 

Deaths. 

Brou  ht  forward 

135,  527 

48 
667 
171 
99 
11 
216 
149 
1,554 
1,675 
272 

88 
23 
49 
4 
55 
231 
56 

3,918 

18 
2 
12 
33 
20 
4 
3 
16 
1 
4 

34,  491 

68 
553 
135 
145 
19 
282 
143 
2,364 
1,542 
198 

103 
20 
64 
2 

3,915 

10 
1 
12 
40 
11 
10 
8 
16 

113,  758 

46 
597 
137 
108 
14 
216 
125 
2,013 
1,367 
111 

04 
20 
38 
o 

3,339 

6 
1 
16 
29 
11 
7 
8 
18 

103,  286 

31 

819 
107 
74 
13 
188 
109 
1,784 
1,286 
100 

72 

3,383 

9 
1 
12 
28 
12 
5 
o 

6 

1 

86,  572 

27 
841 
97 
64 
7 
160 
125 
1,870 
1,141 
90 

70 
25 
34 

2,380 

3 

o 

10 

18 
10 

1 
3 
1 
4 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

10,.  I  aeniorr  age 

103.  Inflamnc 

10  .    n  amir 

6 

8 

OBDEK  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

2 
3 

1 
4 

24 
39 
5 

28 

2 
5 

3 

7 

48 
251 
38 
114 
29 
9 

18 
1° 

31 
219 
49 
109 
23 
20 

14 

34 

152 
35 

75 

4 

4 
1 

3 

108 
52 
90 

5 
1 

2 

109 
32 
13 

19 
18 
55 
14 

O1? 

1 

o 

19 
16 

18 
5 
62 
12 

25 

19 
21 

3 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

123   Caries 

10 
54 
3 
35 
15 
6 

712 
1,999 
150 
352 
839 

258 
1,  091 
11 

61 
10 
31 
19 
6 

1,227 
3  462 

54 
6 
35 

1 

17 
3 

789 
2,083 

8 
7 

1,301 
3,186 
2°0 

26 

1 

128.  Other  Diseases  of  this  Order 

1 
6 

1 

ORDEU  IX.  —  Diseases  of  Integumentary  System. 
129.  Abscess  

9 

5 

971 
2,707 
207 
425 

7 

131.  Boils  

131.  Carbuncle  

233 
573 
1,201 

201 
1,028 

28 

1 

160 
326 

899 

180 
1,049 

132.  Whitlow  

589 
1,101 

221 
1,077 

*,<J 

133.  Skin  Diseases  

o 

5 
13 
5 

41 

2 

1 

7 
7 
18 

889 

179 
955 
14 

1 

2 

1 
4 

7 
19 

CLASS    V.     WOUNDS,  ACCIDENTS,   AND 
INJURIES. 
ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
134.  Burns  

1 
5 
4 
19 

135.  Contusions  

4 
3 
11 

136.  Concussion  of  Brain  

137.  Drowning  

138.  Sprains  

879 
40 
92 
43 
10,  421 
357 
157 
140 
100 
193 

854 

75° 

936 

1,003 
47 
101 
26 
2,  474 
501 
130 
79 
70 
104 

139.  Dislocation  

31 
96 
43 
8,034 

358 
223 
107 
96 
119 

43 

CO 
98 
84 
7,  450 
319 
158 
57 
35 
109 

1 

1 

140.  Simple  Fractures  

3 

8 
2,5G4 
3 
4 
5 

141.  Compound  Fractures  

9 
1,810 
7 
10 
1 
1 
35 

1 

7 
9 

34 
8,552 
293 
17!) 
75 
84 
64 

2 
1,104 
3 
4 
1 
1 
19 

4 

5 
973 

4 

667 
4 
2 

1 
1 
23 

2 
4 
6 

142.  Gunshot  Wounds  

143.  Incised  Wounds  

144.  Lacerated  Wounds  

4 

6 
19 

6 
5 
o 

]  45.  Punctured  Wounds  

14G.  Poisoning1  

147.  Other  Accidents  and  Injuries  

29 
9 
19 

148.  ORDER  II.  —  Homicide. 

149.  ORDER  III.—  Suicide  

150.  ORDER  IV.  —  Execution  of  Sentence                                                            -\ 

4 

Total  

161,  337       6,  752 

158,  689 

5,  970 

135,  730 

4,638 

123,  249       4,  523 

101,560       3,202 

DURING   THE    YEAR    ENDING   JUNE    30,  1865. 


609 


TABLE  XCV.—  UNITED  STATES  ARMY— Concluded. 


1864. 

1865. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

569,  591. 

593,  475. 

568,  451. 

602,  837. 

632,  002. 

642,  008. 

478,  268. 

574,  022. 

102 
103 
104 
105 
106 
107 
108 
109 
110 
111 

112 
113 
114 
115 
116 
117 
118 
119 
120 
121 

122 
123 
124 
125 
126 
127 
128 

129 
130 
131 
132 
133 

134 
135 
136 

137 
138 
139 
140 
141 
142 
143 
144 
145 
14G 
147 

148 
149 
150 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases, 

Deaths. 

Cases.    Deaths. 

Cases.    Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

87,  792 

1,211 
113 
65 
17 
140 
146 
1,543 
1,139 
137 

94 
26 
39 
3 

173 

56 
130 
26 
32 

19 
9 
47 
13 
32 
16 
10 

788 
2,032 
166 
385 
906 

324 
1,  156 
9 

2,877 
3 

86,  534 

61 
1,549 

84 
74 
15 
133 
111 
1,  297 
1,139 
90 

60 
22 
56 

4 

2,845 

2 
1 
11 
17 
12 
6 
5 
6 

76,  112 

35 
1,643 
102 

71 
15 
121 
86 
1,043 
892 
77 

36 

15 
38 
4 
°7 

2,617 

88,  387 

22 
1,761 
107 
72 
15 
198 
108 
993 
995 
69 

44 
16 

2 
27 
200 
37 
81 
24 

3,330 

1 

90,  971 

23 

1,178 
91 
94 
9 
192 
81 
818 
1  056 

2,853 

104,  114 

41 
909 
149 
91 
14 
224 
147 
835 
1,318 
115 

79 
24 
49 
1 

27 

2,208 

2 
1 
15 
13 

8 
5 

81,  404 

501 
95 
78 
7 
192 
141 
893 
903 
77 

57 
13 
27 
1 
28 
161 
37 
45 
°3 

1,729 
2 

1,  188,  948 

446 
12,  229 
1,388 
1,  035 
156 
2,262 
1,471 
17,  007 
14,  453 
1,500 

842 
251 
479 
30 
401 
2,  295 
547 
1,064 

35,394 

56 
14 
126 
288 
151 
64 
40 
94 
5 
53 

2 
10 
40 

3 
4 

26 
11 
4 
2 
4 
1 

2 
8 
18 
9 
3 
3 
5 

9 
14 
23  j 
4 
3 
9 

7 
27 
16 
11 
3 
o 

10 
25 
8 
3 
2 
6 

3 
1 
5 

1 

2 

1 
1 

6 

5 

5 

164 

75 

5 

5 

1 
1 

1 

1 

23 
25 
2 
34 
201 
36 
53 
18 
14 

11 
5 
53 
4 
32 

1 
4 

1 
2 

3 

1 

1 
5 

1 
37 

7 

1 
2 

171 
G6 
97 
21 

3 

177 
35 

92 

3 

1 

2 
1 

191 
50 
69 
26 
24 

43 
24 

2 
1 

3 

28 
26 

12 
16 
59 
4 

18 
18 
8 

769 
1,615 
113 
451 

294 
233 

238 
177 
660 
84 
315 
204 
99 

10,  397 
27,  461 

3 

9 

1 

11 
12 

1 

2 

2 

27 

23 
20 
52 

28 
23 
58 
3 
24 
28 
7 

785 
2,074 
1GO 
444 
909 

309 
1,  162 
11 

1 

1° 

1 
1 

40 
o 

85 
5 

O1? 

14 
26 

823 
2  372 

8 
16 
23 
8 

637 
1,850 

98 
247 
702 

133 

904 
14 

1 

21 
15 
6 

774 
1,961 
109 
386 
891 

264 
1,118 
20 

1 

2 

2 

61 

1 

10 

7 

821 
2,120 
111 
367 
863 

227 
1,029 
12 

1 
2 

1 

7 

3 

4 

3 

7 

1 

1 

159 

1,886 
4,  890 
11,  049 

2,890 
12,  972 
193 

2 

345 

1 

2 
6 
6 
15 

844 

27.3 

986 
24 

2 

3 
6 
3 
5 

945 

1 

1 
3 

10 
46 

11 

42 
67 
60 
260 

2 
6 

3 

o 

7 
16 

16 

6 
8 
26 

321 
1,417 
15 

7 
5 

11 

33 

1,  039 
56 
102 
50 
3,742 
732 
186 
73 
48 
811 

1,090 
46 
95 
29 
1,047 
775 
118 
78 
31 
563 

1,074 
53 
97 
20 
1,  954 
674 
166 
52 
43 
306 

1  327 

1,195 

1,644 
74 

908 
55 
90 
9 
273 
375 
115 

12,  701 

1 
1 

285 
5 
2 
1 
1 
21 
o 

59 
111 
G7 
6,001 
602 
162 
75 
75 
198 

63 

o 
9 
103 
1 

633 
1,181 
454 
57,  122 
5,887 
1,941 
1,  031 
1,  034 
3,151 

5 
12 
69 
10,  201 
45 
41 

19 

45 

7'i 
44 

2 
5 
622 
10 

1 
5 

288 
1 
3 

1 
5 
494 
4 
4 
o 

2 
50 

3 
3 
4 

104 
32 
6,719 
470 
162 
102 
119 
188 

1 

8 
1,005 
3 
8 
6 
1 
17 

3 
5 

112 
17 
455 
431 
179 
113 
158 
360 

1 

7 
286 
4 

o 
1 

19 

4 

4 
9 

1 

4 
6 
1 

80 
175 
136 

I 
15 
4 
14 

1 

17 

3 
6 
3 

5 

105,  742 

3,  656 

101,538 

3,278 

90,  324 

3,040   107,498 

4,016 

109,  984 

4,032 

118,  661 

2,  654     91,  689 

2,011     1,406,001  j  47,772 

77 


SICKNESS,    ETC.,    DURING   THE   YEAR   ENDING   JUNE   30,  I860.  611 


SICKNESS  AND  MORTALITY  OF  WHITE  TROOPS  DURING  THE  FISCAL 

YEAR  FOLLOWING  THE  WAR, 

(FROM  JULY  1,  1865,  TO  JUNE  30,  1866.) 


The  surrender  of  the  Confederate  armies  in  April,  1865,  was  followed  by  the  rapid 
disbanding  of  our  volunteer  forces;  but  as  many  regiments  were  not  mustered  out  until 
after  June,  1865,  it  has  been  thought  advisable  to  present  a  brief  synopsis  of  the  sickness 
and  mortality  during  the  year  succeeding  the  war. 

This  is  here  done  in  the  following  tables : 

1.  The  Atlantic  Region  Table      XCVI. 

2.  The  Central  Region  Table    XCVII. 

3.  The  Pacific  Region  Table  XCVIII. 

4.  Consolidated  table  for  the  United  States  Table     XCIX. 

The  boundaries  observed  in  the  construction  of  these  tables  are  the  same  as  those 
employed  for  the  previous  fiscal  year. 

To  these  tables  has  been  added— 

A  General  Summary    -  Table   C, 

which  completes  the  tables  on  the  sickness  and  mortality  of  white  troops. 


612 


SICKNESS   AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  XCVI. 

Abstract  of  the  Sickness  and  Mortality 


YEAR  

1805. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

118,  546. 
7,  340. 

73,  293. 
3,  272. 

50,  386. 
1,  750. 

42,  786. 
916. 

33,  310. 

486. 

IN  GENERAL  HOSPITALS  

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS  1.—  ZYMOTIC   DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

203 
2 
171 

140 
0 
32 

136 
4 
123 

16 
1,223 
2,  731 
1,  970 
125 

48 
2 
18 

84 

27 

Ill 

30 
1 
18 

48 
1 
17 

11 
1 
5 

79 

17 

72 

1,587 
2.  096 
2,439 
237 

41 
1 
4 

11 
3 

1 

1,101 
2,316 
1,906 
99 
52 
1,  429 
109 
230 
27 
23 
5 
1 

0 

22 
2 
6 

684 
2,090 
1,676 
158 
42 
976 
204 
196 
20 
18 
6 

14 
7 
1 

218 
1,041 
9(;7 
93 
8 
699 
71 
133 
10 
9 
5 

5 

1 
o 

o.     emi   en     • 

.  Quotii  lan    i  e 

72 
4,  723 
620 
961 
49 
98 
4 
8 
1 
14 
30 
152 
682 

500 
C33 

57 
7 
10 

24 
109 

28 

8 

48 
2,438 
315 
418 
40 
38 
4 
3 

11 

12 
75 

18 
7 

21 
14 
34 
13 
3 

20 
5 
38 
9 
3 
1 
1 

4 
33 

0 

4 

lr'  S  '  11  i         ndV  rioloid 

2 
I 

1 

2 

2 

^ 

1 

5 
16 

70 
382 

408 
600 
65 
7 
16 

4 

7 
72 

4 
8 
92 

4 
8 

19 
128 

334 

1 

1 

17 

0 

5 
1 

256 

403 
450 
03 
6 
21 

5 

144 
413 

5 

2 

ORDER  II.  —  Enthetic  Diseases. 

O-)     Syphilis 

417 
53 

352 

37 

24    Orchitis                                                      

6 
11 

1 

4 

28   Other  Diseases  of  this  Order 

3 

108 
1 
44 
83 
15 

1 

1 

o 

4 
11 

1 
3 

OllDER  III.  —  Dietic  Diseases. 
29.  Scurvy  

52 
1 
37 
64 
19 

9 

30.  Purpura  

31.  Delirium  Tremens  

5 
4 
1 
1 

35 
31 
3 

6 

27 

2 

29 
21 

1 

33.  Chronic  Alcoholism  

1 

3 

1 

34.  Other  Diseases  of  this  Order  

CLASS   II.—  CONSTITUTIONAL   DISEASES. 
ORDER  I.  —  Diathetic  Diseases. 
35.  Gout  

2 

1 

248 
151 

30.  Acute  Rheumatism  

4GG 
254 

1 

1 

134 
98 
24 

142 
103 

115 

97 
6 

37.  Chronic  Rheumatism  

38.  Anaamia  

48 
2 
2 

2 

41 

1 

9 

39.  Cancer  

40.  Tumors  

1 

0 
3 

11 
11 

o 

4 

41.  Other  Diseases  of  this  Order  

0 

ORDER  II.—  Tubercular  Diseases. 
42.  Consumption  

31 
23 

31 

20 
14 
1 

76 

12 

12 

12 

15 

8 
6 

6 

43.  Scrofula  

41.  Other  Diseases  of  this  Order  

CLASS   III.  —  PARASITIC   DISEASES. 
45.  Itch  

187 
5 
9 
2 

41 
1 
2 

69 

65 

40.  Tape-worm  

1 

47.  Othf-r  Intestinal  Worms  

1 

1 
3 

4ri.  Other  Diseases  of  this  Order  

Carried  forward  

17,  247 

546 

11,  928 

227 

9,276 

186       7,  820 

171 

4,502 

60 

DUKING   THE    YEAR    ENDING   JUNE   30,  1866. 


613 


TABLE  XCVI. 

of  the  Atlantic  Region. 


1865. 

I860. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

28,  504. 
315. 

22,  352. 
219. 

17,  784. 
147. 

17,  267. 
87. 

13,  048. 
79. 

10,  404. 
61. 

12,  187. 
52. 

36,  G56. 
1,  227. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1 
2 

3 
4 
5 
G 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
2J 

22 
23 
24 
25 
26 

28 

29 
30 
31 
32 
33 
34 

35 
3C 
37 
38 
39 
40 
41 

42 
43 
44 

45 
4G 

47 

48 

22 

5 

: 
11 

2 

9 
1 
5 

12 

4 
1 

5 

2 

4 

1 

5 

2 

650 
8 
478 
16 
5,307 
12,  481 
10,  590 
831 
242 
12,  315 
1,603 
2,274 
166 
275 
121 
25 
G 
47 
110 
675 
2,313 

3,363 
3,  G16 
423 

272 

94 

1 

0 

7 

1 

i 

1 

2 

1 

132 
600 

467 
3!) 
6 
471 
56 
G8 
4 
31 

1 

0 

1 

54 

195 
198 
21 

37 
122 

1 

53 
163 
184 
4 
2 
218 
40 
31 

0 

59 
180 
174 
16 
1 
186 
12 
54 

53 

106 
163 
237 
20 

96 
15 
14 

184 
144 
10 
8 
220 
25 



1G8 
9 

0 

1 

1G 

1 
1 
1 

3 

75 
60 
381 
70 
26 
5 
22 
1 

252 
4<i 
Gl 
5 
14 
17 
3 
1 
8 

194 
18 
30 

509 
21 
46 
3 
6 
3 

8 

4 

3 

1 

46 
4 
11 
3 

1 
7 
1G 
1 
2 
1 

1 
9 
9 

1 
3 

11 
22 

1 

6 

1 
1 

3 

3 

1G 
30 

102 

302 
26G 
31 
6 

7 

3 

1 
7 
33 

2 
1 

G 
39 
56 

170 
168 

25 

1 

1 

5 

42 
148 

140 
142 

2 

25 

199 

161 

128 

30 

118 

214 
l'»0 

71 
43 

ICO 
134 

1 

1 

55 

158 
136 

1 

37 
4 

1 



24 

17 

20 

1 

0 

~ 



16 

o 

40 

77 

1 

3 

3 

! 

4 
1 
15 

3 

1 
3 
13 
11 
4 

o 

11 

3 

4 

1 

3 

4 
1 

8 
8 
1 

27 

219 
9 
263 
346 
55 
1 

3 

1,  567 
949 
142 
3 
31 
13 

114 
81 
4 

812 
13 

15 
30 

1 

1 



1 
14 
17 
3 
1 

1 

12 
1 

1 

20 

24 

2 

9 
24 
1 

1 

17 
6 
6 
1 

1 

" 

1 

3 

2 

104 
57 
8 
1 
1 

82 

Gl 
31 
5 

71 
GO 

54 

46 
20 

44 
15 

2 
1 
3 

4° 

1 

1 

1 

„ 

3 
4 

4 

6 

4 
4 

4 

1 
2 

!!8 

1 
5 

0 

1 

5 

2 

G 

4 

G 

2 

4 

5 

1 

4 

4 

3 

2 

0 

1 

37 

71 
1 

43 
1 

4° 

G9 

49 
1 
1 
4 

G3 

1 
5 

6 

5 

5 

1,327 

2,  '.183 

40 

1,690 

18 

1,230 

ie 

1,490 

22 

1,311 

7 

1,405 

5 

1,801 

9        G2,  7  ij 

614 


SICKNESS   AND   MORTALITY    OF   WHITE    TEOOPS 


TABLE  XCVL— ATLANTIC  REGION— Continued. 


VKAU  

1865. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTODEU. 

NOVEMBEK. 

118,  546. 
7,  340. 

73,  293. 
3,  272. 

50,  386. 
1,  750. 

42,  786. 
916. 

33,  310. 

486. 

Ix  GENERAL  HOSPITALS  

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases,  j  Deaths. 

f         rd 

17,  247 

4 
49 
513 
4 
3 

546 
3 

11,  928 

3 
31 

274 

227 
o 

9,276 
o 

186 
2 

7,820 

1 
14 
103 
4 
5 

171 

1 
1 

4,562 

80 

CLASS    IV.  —  LOCAL    DISEASES. 
OKUEII  I.—  Diseases  of  Nervous  System. 

9 

51 

137 

5 
1 

1 
9 
2 

3 
4 

1 

4 
2 

o 

2 
3 

1 

1 
1 

1 

°J"  lnflamma                                          . 

4 
16 
221 

13 

107 
C 

14 

0 

o 

1 

1 

1 

11 

129 
5 
29 

7 

4 

15 

4 
40 

1 

69 
3 
4 
3 

4 
1 

84 
7 
8 
1 

9 
4 
20 
2 

75 

1 

9 
o 

1 

2 
1 

1 

1 
2 

1 

4 

3 
1 

52 

3 

OBDEK  11.  —  Diseases  of  Eye. 

o 

203 

145 
8 
°4 

77 
11 
8 
4 

'    °                           .  J 

2 

64 
G 

20 

1 
4 
1 

4 
o 

' 

rr  n  f     iv                   •-  o 

1 

13 
6 

18 
7 

OitDElt  III.  —  Diseases  of  Ear. 

5 
3 

11 

68    Deafness 

13 

56 

69    Otorrhcea                                                                 

13 

OltDEU  IV.—  Diseases  of  Organs  of  Circulation. 

1 
4 
1 

34 

8 

3 
1 

12 

.       3 

10 

1 
1 

2 

7 
1 

o 

o 
3 

1 

1 
1 

1 

o 

3 

3 

1 

1 

45 

05 

15 

(i 
4 
o 

19 

5 
o 

24 
2 

46 
360 
96 

9 
2 

32 
149 

55 

7 
5 

17 

118 
34 

80.  Other  Diseases  of  this  Order 

1 

1 

9 
256 

Oui>EU  V.  —  Diseases  of  Respiratory  Organs. 
81.  Asthma  

o 

1 

2 

82.  Acute  lirunchitis  

1 

147 
50 

83.  Chronic  Bronchitis  

35 

84.  Dropsy  of  Chest  

o 
12 

48 
77 
84 
20 
90 

394 
723 

1 

1 

1 
8 
9 
26 
18 
5 
8 

132 

1"8 

1 

7 

85.  Haemorrhage  from  Nose  

5 
18 
39 
37 
9 

1 

1 
14 
24 
21 

86.  Inflammation  of  Larynx  
87.  Inflammation  of  Limps  

14 
1 
3 

11 

7 

33 
33 
3 
14 

99 
151 
21 

8 
1 
1 

6 

88.  Inflammation  of  Pleura  

89.  Hscrnorrhagfe  from  Lungs  

1 

90.  Other  Diseases  of  this  Order  

34 

OKDEK  VI.  —  Diseases  of  Digestive  Organs. 
91.  Colic  

o 

204 
403 
194 
1 
5 
115 

2 

40 
115 

92.  Constipation  

93.  Cholera  Morbus  

220 

3 

3 

100 
1 
8 
56 

2 

94.  Cirrhosis  of  Liver  

1 

6 

95.  Dropsy  from  Hepatic  Disease  

6 

O]O 

3 

0 

2 

9 

48 

3 

9G.  Dvspcpsia  

97.  Diseases  of  Pancreas  

98.  Diseases  of  Spleen  

1 
12 

85 

09.  Fistula  in  Ani>  

q 

3 
33 

3 
15 

3 

14 

100.  Hernia  

36 

101.  Ha-morrliage  from  Stomach  

4 

3 

Carried  forward  

21,  197 

610 

14,  037 

264 

10,  502 

212 

8,850 

187 

5,378 

97 

DURING   THE    YEAR    ENDING    JUNE   30,    1866. 


615 


TABLE  XCVL— ATLANTIC  REGION— Continued. 


1865. 

18(>6. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

26,  504. 
315. 

22,  352. 
219. 

17,  784. 
147. 

17,267. 
8V. 

13,  048. 
79. 

10,  404. 
61. 

12,  187. 
52. 

36,  656. 
1,227. 

49 
50 
51 
52 
53 
54 
55 
50 
57 
58 
59 
CO 

61 
62 
63 
64 
65 
60 

67 
€8 
6'j 
70 

71 
72 
73 
74 
75 
76 
77 
78 
79 
80 

81 
82 
83 
84 
85 
86 
87 
88 
80 
90 

91 
92 
93 
04 
95 
96 
97 
98 
99 
100 
101 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths 

Cases 

Death 

Cases. 

Death 

Cases 

Deaths 

Cases. 

Deaths. 

2,983 

2 
6 
45 
2 
1 
1 

40 
2 

1,690 

18 
1 

1,236 

16 

1,490 

. 

1,311 

7 

1,405 

1 
10 
25 

5 
1 

1,801 

2 
8 
27 
2 
1 

9 

62,  749 

15 

178 
1,289 
31 
22 
4 
9 
69 
701 
31 
150 
58 

33 
7 
794 
46 
120 
So 

70 
43 
170 

12 

1 

65 
11 
6 
17 
3 
o 

100 
53 

1,327 

12 
3 

r 

2 
33 
3 
1 

9 
37 
1 
1 

1 

7 
°1 

1 

23 

2 
1 

1 

2 

2 

3 

19 
9 
1 
1 
1 
3 
10 
9 

1 

1 
1 

1 

1 

1 
1 
15 
1 

1 

1 
14 
1 
2 
10 

3 

51 
3 

3 

23 

o 

1 

25 

21 
1 

18 
1 

1 

7 
9 

1 
3 

4 

9 
1 

1 

3 
2 

2 

1 

28 

47 
3 

26 
1 

42 

24 

29 

37 
o 

3 

1 
1 
1 

2 
1 

2 

3 

2 
4 

2 
5 

5 
I 

11 

8 

1 

2 

1 

2 

4 

1 
3 
9 

3 
3 

8 

3 
4 

2 
6 
1 

10 
1 

1 

1 
1 

4 

2 

4 

5 

3 

1 

1 

32 
4 
1 

o 

1 

1 

2 
1 
1 
1 
1 
2 

3 

138 
20 

1 

2 

1 

4 

1 

1 
204 
23 

1 

1 
o 

1 
4 

1 

61 
12 

1 

2 

23 

140 
1,992 
374 
4 
39 

o 

2 
o 

4 

1 

4 
165 
16 

o 

4 

83 

7 

245 

46 
10 

o 

10 

t 

o 

3 

4 
14 

1 
1 
6 

7 
4 
19 

30 
45 

14 
23 
14 
3 

oy 

35 
113 
5 

4 
31 
12 

3 

29 
19 
8 
49 

37 
117 
3 

3 

15 
11 
3 
14 

50 
77 

3 

32 
16 
3 

22 

4 

1 

4 

0 

3 

349 
295 
62 
361 

1,080 
2,160 

67 
2 

6 
1 

4      • 

o 

1 

*»4 

19 
64 
9 

39 

16 

83 

1 

1 

°4 

71 

a 

1 

63 

625 
3 

40 
557 

8 
1 
11 

1 

1 

20 

i 

12 

3 

15 
2 

1 

1 
15 

12 

14 

10 

5 

38 
215 

1 
1 

0 

1 
1 
4 

2 
12 
3 

o 

3 
4 

3 
2 

r 

0 

1 

12 

1 

3,075 

51     • 

2,  167 

26 

1,821 

18 

2,105 

32 

1,695 

15 

,726 

10 

,266 

11     i      75,  -119 

533 

616 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  XCVL— ATLANTIC  REGION— Concluded. 


YEAR  

1865. 

MONTU  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  IN  FIELD  AND  GARRISON  

118,  540. 
7,340. 

73,  293. 
3,  272. 

50,  386. 
1,750. 

42,  786. 
916. 

33,  310. 
486. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

21,  197 

4 
154 

18 
2 

30 
19 

338 
290 
48 

22 

610 

3 

3 
2 

6 
4 

14,  037 

3 

80 
15 
17 
4 
24 
11 
307 
103 
13 

13 
1 
1 

264 

10,  502 

1 
53 

212 

8,850 

2 
65 
18 
6 
4 
5 
7 
145 
77 
4 

4 
1 

187 

5,378 

97 

ORDER  VI.  —  Distant  of  Digestive  Organs  —  Continued. 

g       f  T       •'! 

114 
9 
1 
2 

11 

8 
50 
40 
1 

o 

1 
2 

1 

2 
1 
1 

10 
13 
3 
11 
11 
196 
67 
6 

6 

2 
3 

2 

2 
1 
2 

2 

-'    A"             V-                        f  T  • 

IDs'  Chro*1  °I  flammation  of  Liver 

1 

1 

3 

1 

110    Piles                                                                 

1 

2 

ORDER  VH.  —  Diseases  of  Urinary  and  Genital  Organs. 

1 

113    Diabetes                                      

4 
5 

1 
2 

1 

1 

1 

110.  Diseases  of  Testis  

3 

32 

1 
5 
3 

9 

24 
15 

4 
4 
5 
o 

5 
1 

7 

118.  Inflammation  of  Bladder  

10 

21 
8 
5 

5 
2 
0 

1 

1 

14 
1 
2 

1 
1 
2 

120.  Hydrooele  

1 
1 

121.  Other  Diseases  of  this  Order  

2 

2 

7 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 
122.  Anchylosis  

1 
1 

1 

4 

124.  Inflammation  of  Joints  

3 

125.  Inflammation  of  Bones  

120.  Inflammation  of  Periosteum  

3 
5 

1 
2 

1 
3 

3 
3 

o 

Ia7.  N  ecrosis  

4 

128.  Other  Diseases  of  this  Order  

2 
1 

ORDER  IX.  —  Diseases  of  Integumentary  System 
129.  Abscess  

221 
703 
48 
147 
241 

39 
378 
0 

147 
488 
°4 

1 

95 
274 
19 
51 

74 
135 

51 

130.  Boils  

123 

131.  Carbuncle  

12 

4 

28 
54 

9 
107 

132.  Whitlow  

102 

158 

17 
248 
2 

31 
63 

15 

133.  Skin  Diseases  

1 

1 
1 

1 
7 

CLASS   V.—  WOUNDS,    ACCIDENTS,   AND 
INJURIES. 
ORDER  1.  —  Wounds,  Accidents,  and  Injuries. 
134.  linras  

135.  Contusions  

1 
2 
1 

115 

109 

1 
1 

130.  Concussion  of  Brain  .... 

137.  Drowning  

2 

0 

138.  Sprains  

220 
19 
44 

00 
110 
41 
25 

48 
8 

130 
7 
20 
1 
50 
72 

109 
6 
14 

39 
25 
27 
5 
4 
6 

ff> 

60 
4 
11 
2 

13 

A.O 

20 
3 

13'J.  Dislocation  

1 

10 
6 
3 
31 
34 
15 
5 
1 
7 

140.  Simple  Fractures  

1 

24 

1 

141.  Compound  Fractures  

2 

28 

3 

7 
3 

1 

14 

142.  Gunshot  Wounds  

143.  Incised  Wounds  
144.  Lacerated  Wounds  

1 

45 
18 
11 
9 

145.  Punctured  Wounds  

1 

140.  Poisoning  

1 
3 

1 
2 

147.  Other  Accidents  and  Injuries  

9 

o 
1 

1 
1 

o 

148.  ORDISU  11.—  Homicide  

149.  ORDER  III.—  Suicide  

3 

150.  ORDER  IV.—  Execution  of  Sentence  

Total  

! 

24,028 

C91 

10,  301 

315 

11,  805 

240 

9,  835 

214 

6,  160 

107 

DURING   THE    YEAR    ENDING   JUNE    30,  1866. 


617 


TABLE  XCVL— ATLANTIC  REGION— Concluded. 


1865. 

1866. 

DECEMBER.                JANUARY. 

FEBRUARY. 

MARCH.                 AI>UIL. 

MAY. 

JUNE. 

TOTAL. 

28,  504. 
315. 

22,  352. 
219. 

17,784. 
147. 

17,  207. 
87. 

13,  048. 
79. 

10,  404. 
61. 

12,  387. 
52. 

36,  056. 
1,227. 

Cases.    Deaths.     Cases. 

Deaths,  j  Cases. 

Deaths. 

Cases.    Deaths.    Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

102 
103 
104 
105 
106 
107 
108 
109 
110 
111 

112 
113 
114 
115 
110 
117 
118 
119 
120 
121 

122 
123 

124 
125 
12(i 

127 
128 

129 
130 
131 
132 
133 

134 
135 
136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
146 
147 

148 
149 
J50 

3,075 

51 

2,107 

1 
83 

26 

1,821 

18 

2,  105 

32 

1,  095 

15 

1,  726 

10 

2,266 

11 

75,  419 

11 
992 
100 
01 
16 
114 
09 
1,145 
786 

1,533 

3 

3 

11 

10 

3 

o 

5 

126 
5 
1 

• 

133 

5 
1 

. 
80 
5 

49 
4 
1 
1 
4 

0 

35     i 

20 
4 

1               4 
':          3 

1 

0 

1 

8 
7 
05 
33 

1 


1 

7 
4 
4 
22 

3 

8 

11 

20 

11 
29 

5 

4 
10 
2 

3 

9 
12 

17 
13 

1 

»    1 

3 
6 

5 

4 

101 

04 
11 
11 
1 
11 
92 
42 
80 
14 
34 

8 
10 
41 
5 
10 
19 
5 

830 
2,  242 

3 

1 

5 

1 

1 

1 

1 

2 

1 
5 
10 
5 
10 
1 
3 

o 

1               4 

1 

3 

•2 
4 

1 
2 
5 

1 

0 

I 

1 
1 
3 

3 

4 

3 

3 

1 
3 
o 

o 

3 

1 

4 
1 

4 

0 

6 

4 

3 

3 

1 
o 

6 

1 

3 

1 
1 

04 
114 

20 
96 

17 
141 
3 

1 

1 

1 
1 
1 

0 

1 
23 

o 
3 

34 
R2 

30 
59 
6 
14 
63 

4 

94 

1 

39 

49 

63 
3 
15 
56 

80 
4 
9 

0 
19 

4 
13 
35 

10 

137 
408 
1,  012 

170 
1,049 
16 

19 
61 

20 

66 

57 

1 

1 
3 

7 
23 

4 
89 
1 

118 
! 

95 

70 
1 

84 

1 

1 

1 
1 

1 
o 

3 

1 

4 

48 
4 
10 

1 
20 
38 
18 
10 
1 
10 

48 
1 
10 
1 
14 
20 
34 
9 

60 
3 
0 

57 

49 
1 

7 

53 

') 

63 

908 

1 
9 

58 
149 
13 
303 
474 
293 
121 
70 
118 

1 
3 
9 
80 
5 
1 

1 

20 

6 

9 

8 

4 

] 

18 
36 
26 

1 

o 

1 
2 

1 

2 
1 
1 
1 

16 

29 
18 

7 

3 

15 

20 

8              2 

07        ! 

13 

1 

20 

13 
6 

16 
11 
4 
5 

14 
1 

8 

3 
1 

34 

11 

5 

9 

1 


0 

1 

4,  590 

59 

2,825 

36 

2,446 

26 

2,737 

38       2,  156 

18 

2,170 

17 

2,  704 

17 

88,  417 

1,778 

78 


618 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  XCVII. 

Abstract  of  the  Sickness  and  Mortality 


1865. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER.           NOVEMBER. 

165,  740. 
7,  661. 

116,  069. 
4,  891. 

74,  197.                    56,  735.                    37,  073. 
2,  588.                      1,  544.                         745. 

IN  GENERAL  HOSPITALS  

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths.    Cases. 

ieaths.    Cases. 

Deaths. 

CLASS   1.—  ZYMOTIC   DISEASES. 
OUUER  I.  —  Miasmatic  Diseases. 
1.  T  vphoid  Fever  

188 
7 
746 

145 
4 

77 

127 

J 

91 
2 
41 

86 
1 

51 

69 

30 

22 
2 
33 

13 

2.  Typhus  Fever  

24              62 

12 

5 

3,202 
5,  3:28 
4,631 
370 
177 
7,341 
1,  101 
2,002 
196 
173 
15 
64 

65 
5 
6 

3,030 
5,625 
4,490 
341 
140 
4,352 
590 
1,286 
105 
100 
7 
10 

47 
3 
1 
1 
50 
27 
129 
54 
19 
2 
1 
1 

1,612 
4,090 
2,690 
278 
75 
2,  633 
452 
915 
86 
40 
4 
3 

30 
6 
2 

1,098 
2,484 
2,  354 
004 

17 

305 
1,  357 
1,  179 
142 

L 
1 

3 

fa.  Quotidian    n  er 

8.  Quartan  Intermittent  Fever  

33 

44 
214 
66 
33 
4 
10 
9 

34 
12 
108 
43 
22 
4 
3 

61 
1,  623 
291 
624 
53 
30 
8 
5 

21 
9 
72 
31 
17 
1 
5 

30 
780 
153 
239 
17 
17 
28 
16 

6 
4 

37 
11 
12 

'      °U  G.      * 

'           . 

6 

.     m       l 

20 
68 
257 
791 

578 
775 
57 
5 
93 
3 
11 

334 
21 

1 

5 
15 

155 
659 

361 
508 

8 
10 

89 

3 

4 

2 

8 
71 
200 

178 
202 

8 

4 

1 

431 

204 
2<)4 

2 
1 

276 

175 
199 

4 
1 

ORDEU  II.  —  Enthetic  Diseases. 
2°    Syphilis                                                                    

49 
16 
37 
9 
5 

343 
6 
23 

49 
10 

24 
5 

20 

21 

9 
13 

1 

18 

14 

4 

371 
3 
12 
31 
2 

1 
2 

13 

213 
3 

12 
13 
o 

ORDER  III.  —  Dietic  Diseases. 
29.  Scurvy  

4 

7 

1 

113 

1 

27 
69 
12 

1 
3 
1 

1 

2 

16 
20 

1 

2 

5 

34    Other  Diseases  of  thi«  Order 

CLASS   II.—  CONSTITUTIONAL   DISEASES. 
ORDER  I.—Diathetic  Diseases. 
35.  Gout  

11 

380 
145 
47 
1 
17 
2 

33 
21 

1 
209 
136 
28 

] 

36.  Acute  Rheumatism  

544 
392 
107 

4 
1 
1 

0 

2 
1 

2 

199 

148 
67 
H 

37.  Chronic  Rheumatism  

111 
54 

38.  Anaemia  

1 

39.  Cancer  

40.  Tumors  

19 
3 

i  

4 

1 

11 

7 

4 
1 

., 

41.  Other  Diseases  of  this  Order  

OKDKII  11.—  Tubercular  Diseases. 
42.  Consumption  

54 

24 
1 

10 

10 

13 

4 

6 

4 

3 

43.  Scrofula  

37 

44.  Other  Diseases  of  this  Order  

CLASS   111.  —  PARASITIC   DISEASES. 
4.">.  Itch  

283 

13° 

09 

en 

54 

46.  Tape-worm  

4 

3 

47.  Other  Intestinal  Worms  

11 

1    1                                      9 

1 

48.  Other  Diseases  of  this  Order  

4                             3                             i                                                                      

Curried  forward  

.    30  125 

764       23,  460 

498 

15,  021 

358 

10,  462         234         5,  474 

100 

DURING   THE    YEAK    ENDlJNG    JUNE   30,   18G5. 


619 


TABLE  XCYII. 

of  the  Central  Region. 


18(35. 

1866. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNK. 

TOTAL. 

34,  126. 
470. 

31,  045. 
317. 

26,  433. 
294. 

21,  444. 
209. 

20,  518. 
93. 

15,  078. 
47. 

14,  650. 
20. 

51,  092. 
1,  590. 

Cases.    Deaths. 

Cases. 

Deaths.    Cases.    Deaths.    Cases,  i  Deaths.    Cases. 

Deaths.     Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1 
o 

3 
4 
5 
G 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 

23 

24 
25 

26 

29 
30 
31 
32 
33 
34 

35 
36 
37 

:;- 
39 
40 
41 

IJ 
43 
44 

45 

46 

47 
48 

12 

7 

10 
1 
4 

6 

11 

2 

8 

1 

7 

4 

8 

o 

5 

553 
20 
1,152 

352 
6 

165 

10 

o 

1 

1 

1 

1 

2 

18 

2 

174 
719 
025 
45 
6 
584 
89 
170 
12 
23 
24 
9 

109 
444 
506 

108 
413 
237 
18 
4 
506 
43 
83 
o 

17 
30 

4 

84 
380 
231 
18 
3 
382 

90 
275 

229 

1  O 

94 
190 
233 

1 

168 
243 

1 

10,  074 
21,  548 
17,  728 
1,536 
516 
20,620 
2,935 
5,779 
503 
482 
213 
131 
2 
76 
144 
1  061 

162 
16 
12 
1 
151 
99 
637 
212 
119 
12 
49 
10 
I 
1 

1 

j  

3°3  • 

16 
2 
539 
34 
97 
5 
14 
2 
n 

4'i 

3 
1 

30 
4 
7 

1 
8 

6 
6(i2 
71 

no 

4 
14 

29 
5 

2 

1 

441 
30 
80 
9 
12 

1 

10 

777 
50 
91 
9 
19 
3 

1 
3 
1 

1 

1 
2 
1 
1 

22 

8 
1 

31 
82 
5 
23 
38 
•  11 

6 

6 

2 

1 

2 

1 

5 

5 

25 
2 
1 

5 

1 

1 
3 
3 
17 
31 

142 
110 
14 
3 

12 
6 
92 

70 

192 
249 
21 

5 

14 
10 
66 
37 

154 
144 
22 

4 
6 
33 

67 

148 
106 
17 
2 
5 

3 

129 

7 
57 
30 

142 

4 
23 

99 

2,713 

2,591 
3,057 
312 
53 
220 
17 
54 

2,088 
40 
153 
358 
51 
1 

21 
2,203 
1,196 
267 
8 
58 
16 

178 
125 

18 

5 

162 
158 
26 

155 
127 

2 

185 

16 
2 
4 

3 

11 

4 

3 
4 

14 

1 

89 

2 

1 

156 

2 

183 
1 
5 
23 

3 

67 

7 
29 

1 
25 

1 

102 
o 

2 

88 
4 
9 
27 
3 

1 

5 

1 

5 
2 

5 

16 
1 

19 
77 
C 

2 

8 
14 
7 
1 

1 
65 
36 
1 
1 

12 

6 
4 
4 

1 

7 
1 

1 

110 
4') 

5 

1 
94 
51 
3 

152 
60 
8 

137 
51 
1 

1 

98 
59 
2 

1 
o 

67 
39 
4 

9 
3 
3 
1 

1 

1 

1 
1 

5 
o 

14 
3 

3 
2 

5 
4 

1 
2 

1 
1 

5 

0 

3 

6 

4 
4 

2 

5 
13 

1 

1 

10 
5 

1 

11 

67 
1 

81 

90 

81 

77 

50 
1 

34 

50 

1,061 

2 

O 

14 

1 

1 

i 

1 

9 

! 

2,004 

20 

3,593 

69          3,  021 

44 

2,317 

28 

2,276 

23 

1,823 

13 

2,386            8          101,962     2,153 

620 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  XC VII.— CENTRAL  REGION— Continued. 


y  F  V  i;             

1865. 

M  o  x  r  1  1  JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

1G3,  740. 
7,  861. 

116,  069. 

4,891. 

74,  197. 
2,  588. 

56,  735. 
1,544. 

37,  073. 

745. 

Is  GE.NEKAL  HOSPITALS  

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases.  ;  Deaths. 

Cases. 

Deaths. 

Cases.  !  Deaths. 

. 

30,125 

33 

571 

764 

5 
1 

23,  4GO 

7 

314 
11 

4 

254 
8 
65 
3 

7 
1 

5GO 
15 

45 

498 

6 

o 

15,  021 

1 

23 

196 

358 

1 
1 

10,  462 

1 

36 
9G 
4 

234 

1 
1 

5,474 

1 

4 
78 
4 
1 
2 
1 

100 
1 

CLASS    IV.  -LOCAL    DISEASES. 
ORDER  I.  —  Diseases  of  Nervous  System. 

' 

J  '  C1  bj 

14 
3 

G 

48 
391 
8 
109 

7 

8 
1 

738 

1 

8 
3 
1 
o 

8 
4 
1 
2 
8 
138 
7 
9 
1 

o 

o 
3 

6 

2 

3 

1 

1 

54.  Inflammation  of  Membranes  of  Brain  

1 
1 

5 
5 
114 
3 

I 

1 

85 

13 
1 

1 
o 

1 

1 

G 
2 

1 

ORDER  II.—  Diseases  of  Eye. 

4 

1 
1 

139 
4 

7 

o 

232 

177 
4 
16 
1 

16 
2 
17 
1 

J 

15 
92 

5 
41 
2 

20 

' 

••   <    \                            • 

4 
57 

ORDER  111.  —  Diseases  of  Ear. 

• 

54 

8 
1 
11 

68    Deafness 

11 

80 
9 

4 
25 

4 

0 

9 
59 

3 
30 

6 

1 

15 

1 
3 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

3 
] 

6 
1 

8 

o 

0 

1 

4 
1 
1 

1 

7 
2 

1 
1 

3 

1 

4 
3 

1 

3 

24 
14 
2 

31 
260 
33 

1 

11 
4 

34 
22 
3 

30 
478 
71 
6 
14 
19 
116 
151 

7 
4 

o 

80.  Other  Diseases  of  this  Order 

1 

1 

7 
178 
24 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
81.  Asthma  

9 
139 
17 
1 
6 
15 
23 
41 
7 
4 

215 

14 
196 
43 
1 

4 

82.  Acute  Bronchitis  

1 

83.  Chronic  Bronchitis  

1 

2 

0 

84.  Dropsy  of  Chest  

85.  Hemorrhage  from  Nose  

]2 

2 

18 
18 
28 
5 
24 

70 
114 
18 

o 

1 
35 

86.  Inflammation  of  Larynx  

1 

28 

14 

51 
68 
21 
18 

3GO 

748 

1 

10 
o 

1G 
47 
35 
8 
11 

171 
219 

87.  Inflammation  of  Lungs 

10 

5 

1 

13 
1 

88.  Inflammation  of  Pleura  

89.  Haemorrhage  from  Lungs  

26 

26 

466 
1,067 

248 
3 

1 
1 

3 

JO.  Other  Diseases  of  this  Order  

1 

ORDER  VI.—  Diseases  of  Digestive  Organs. 
91.  ('olic  

92.  Constipation  

406 
133 

93.  Cholera  Morbus  

3 

173 
G 
16 

102 

G 

o 

59 

1 

1 

94.  Cirrhosis  of  Liver  

95.   Drops  v  from  Hepatic  Disease  24 

3 

10             5 

82  i          1 

14 

44 
4 
4 
2 

14 
1 

1 

90.  Dvspcpsia  142 

97.  Diseases  of  Pancreas  '            3 

98.  Diseases  of  Spleen  4 

" 

1 

7 
21 

&9.  Fistula  in  Ano  

14 

Q 

7             1 

100.  Heruia  110 

57 

101.  Haemorrhage  from  Stomach  2 

o 

o 

Carried  forward  

.i.->  4.  -.7 

846 

'27,  003 

549 

16,  931         396 

11,  889 

2o2 

6,411 

125 

DURING   THE    YEAR    ENDING    JUNE   30,    I860. 


621 


TABLE  XCVII.— CENTEAL  REGION— Continued. 


1805. 

18(56. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

34,  126. 
470. 

31,  045. 
317. 

26,  433. 
294. 

21,  444. 
209. 

20,  518. 
93. 

15,  078. 
47. 

14,  650. 
20. 

51,  092. 
1,590. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

49 
50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 

61 
62 
63 
64 
65 
66 

67 
68 
69 
70 

71 

73 

74 
75 
76 

77 
78 
79 
80 

81 
82 
83 
84 
85 
86 
87 
88 
89 
90 

91 
92 
93 
94 
95 
96 
97 
98 
99 
100 
101 

3,  593 

o 
6 
44 
2 

69 
1 

3,021 

44 
1 

2,317 

1 
7 
61 
6 
1 

22 
1 

2,276 

23 

2,004 

1 

5 

28 
5 

20 

1,823 

13 

2,386 

8 

101,  962 

16 

167 

2,153 

17 
6 

9 

38 
1 
1 

7 
29 
3 

1 

8 
19 
1 
2 

6 
51 

3 

62 
14 
10 
19 
113 
1,278 
33 
191 
23 

32 
7 
2,  453 

1 

8 
3 
4 

1 
1 

2 

1 

1 

1 

1 

18 
42 

1 
3 
57 
3 

1 
2 
62 

1 

45 

1 
29 

4 

24 

2 
37 

1 

3 

22 

8 

1 

1 

7 
2 

1 

3 

4 
1 

119 

0 

2 
10 

3 
1 

5 

1 

5 

1 

1 

1 

3 

3 

1 

70 

145 
4 
5 
1 

4 
1 
11 
1 

85 
7 
7 

69 
3 

68 
3 
3 
2 

51 

64 
230 

6 
3 

3 

1 
5 
2 

1 
1 

3 

2 

7 
1 
4 
3 

35 

183 
36 

5 

2 

11 

3 
1 
5 

3 
4 
4 

1 
4 

242 
26 

4 
3 

10 

66 
11 
8 
11 
4 
7 
112 
50 
15 

121 

3 

g 

5 
1 

3 
1 
1 

1 

3 

1 

6 

16 
6 
3 

1 

1 

2 

1 

1 

1 

1 

4 
1 

4 
2 

6 
210 
35 

6 
1 

7 
1 
1 

8 
159 

3 

5 
1 

1 

3 

1 

134 
8 

2 
6 

1 

4 

264 

240 

57 
4 

2,  393 

1 
6 

1 

i 

22 

15 

10 

16 

298 
9 
55 

1 
4 

17 
*.3 

11 
i 

4° 

1 

o 
14 
42 
14 
3 
38 

43 

157 
3 

3 

24 

*-o 

15 

o 

5 

8 
4 

1 

9 
8 
9 

i 

6 

25 
33 
15 

1 
4 

1 
8 

10 
18 
18 
1 
32 

18!) 
417 
417 
85 
335 

1,  577 

5 
96 
4 
o 

3 

6 

4 

o 

1 

1 

32 

4 

26 

3 

80 

36 

109 
6 

37 

54 

20 

33 

72 

116 
6 

8') 

96 
15 

142 

3,385 
692 
11 
77 
530 
7 
17 
56 
285 

] 

5 

7 

19 

14 
1 

1 

! 

6 

17 

2 

2 
19 

1 

2 

15 

o 

16 

8 

9 

21 

o 
3 
10 

1 
2 
9 

1 
1 

4 

3 

3 

o 

3 

1 

7 

8 

7 

1 

12 

4,456 

86 

3,895 

54 

3,182 

36 

2,975 

33 

2,551 

25 

2,299 

15 

2,  954 

11         120,003       2,428 

622 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  XCVIL— CENTRAL  REGION— Concluded. 


1865. 

MONTH  JULY- 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

1G5,  740. 
7,  861. 

116,  069. 
4,  891. 

74,  197. 
2,  588. 

56,  735. 
1,  544. 

37,  073. 
745. 

ix  GENERAL  HOSPITALS  

LIST  OF  DISEASES.                                   Cases.    Deaths. 

Cases.    J 

Deaths. 

Cases. 

Deaths. 

Cases.    ] 

Deaths. 

3ases.  1  Deaths. 

35,  457         846 

21  j          4 
11° 

27,  003 
3    . 

549 

16,  931 

46 
9 
15 

15 
17 
202 
131 

7 

8 
1 
3 

396 
1 

1,889 

4 
62 

252 
1 

6,411 

3 

38 
4 
2 
3 
4 

125 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

1C2.  Haemorrhage  from  Bowels  

73 
24 
33 

40 
22 
390 
217 
15 

11 
o 

103.  Inflammation  of  Tonsils  

22 
23 
6 

68 
88 
437 
377 

74 

20 

5 

8 
6 
3 

o 

4 

3 

6 
4 
1 

1 

8 
g 

1 
1 
3 

12J 
9  : 
1 
11 
29 
130 
78 

o 
o 

1 

5 

78 
60 
3 

o 

1 

109.  Jaundice  

4 

1 

110.  Piles  
111.  Other  Diseases  of  this  Order  

ORDEK  VII.—  Disease  sof  Urinary  and  Genital  Organs. 

1 

2 

3 
5 

1 

1 

3 

6 

1 

o 

1 
11 
57 
12 
11 
3 
10 

5 

24 
1 
11 

1 

049 

1 

0 

13 
5 

6 

22 
21 
10 
9 
13 

1 
1 

8 
2 
3 

o 
26 
1 
7 
1 
1 

2 

1 
1 

30 
8 
7 
1 

1 

1 
1 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

1 

8 
o 

5 

3 

2 

o 

! 

1 

3 
1 

69 
209 
10 
39 

2 

.                     . 

1 

228 

ORDER  IX.  —  Diseases  of  Integumentary  System. 

109 

3 

32 
94 
4 
32 
53 

13 

106 
1 

787 
63 
165 

699 
51 

195 

1 

419 
18 

1 

13°    Whitlow 

!  

177 

112 

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
134.  Burns  

42 
239 
3 

17 
192 
1 

3 

If 
86 

10 
66 
o 

3 
1 

10 

1 

136.  Concussion  of  Brain  

1 

137.  Drowning  

6 

3 

1 

89 

79 

75 

4 
7 

139.  Dislocation  

25 
34 
1            8 
103 
n» 

10 
30 
4 
65 
78 
36 
32 

3 

1G 
1 
33 
38 
14 
6 
5 

140.  Simple  Fractures  

15 

141.  Compound  Fractures  

3 

18 
1 

1 

7 
1 

142.  Gunshot  Wounds  

14 
3 

67 
56 
20 

11 
4 

10 
1 

5 

0 

1 

1 

(i 
1 

1 

3 
1 

30 
40 
14 
7 
6 
6 

143.  Incised  Wounds  

144.  Lacerated  Wounds  OQ 

145.  Punctured  Wounds  

47 

9T 

2 

3 



146.  Poisoning  

147.  Other  Accidents  and  Injuries  [          55 

9 
3 

34 

3 

4 

9 

1 

US.  OBDBR  ll.—IInmicide  

1 
149.  ORDER  III.—  Suicide  

7 

1 

., 

130.  ORDER  IV.—  Execution  of  Sentence  . 

I 

Total  .    39354 

938 

29,  999 

609 

18,  657 

440 

12,  998 

275 

7,172 

143 

DURING    THE    YEAR   ENDING   JUNE    30,  1866. 


TABLE  XCVIL— CENTRAL  REGION— Concluded. 


1805. 

1866. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APUIL. 

MAY. 

JUNE. 

TOTAL. 

34,  120. 
470. 

31,  045. 
317. 

26,  433. 
294. 

21,  444. 
209. 

20,  518. 
93. 

15,  078. 
47. 

14,  650. 
20. 

51,  092. 
1,590. 

! 

Cases.    Deaths,  j    Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.  !  Deaths.    Cases. 

Deaths. 

Cases.    Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

102 
103 
104 
105 
LOO 
107 
108 
109 
110 
111 

112 
113 
114 
115 
116 
117 
118 
119 
120 
121 

122 
123 
124 
125 
120 
127 
128 

129 
130 
131 
132 
133 

13-1 
135 
136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
14(i 
147 

148 
149 
150 

4,450 

1 
08 
3 
1 
2 
7 
4 
37 
52 
4 

5 

0 

1 

86 

3,895 

2 

58 
o 

54 

3,182 

9 

64 

1 
1 

36 

2,975 

1 
60 
5 
1 

33 

2,551 

3 

24 
1 
1 
1 
4 
3 
8 
17 
3 

3 
2 

25 

2,299 

1 
30 
3 
3 

15 

2,  954 

1 
31 

4 

11 

120,  003 

61 
066 
90 
90 
23 
169 
175 
1,345 
1  119 

2,  428 

6 
1 
11 
20 
16 
8 
6 
14 

1 

1 

1 
1 

4 
4 

19 
40 

1 

2 
2 
1 

1 

2 

1 
2 

1 

5 

4 
1 
14 

37 
01 

4 

1 

3 

2 

16 
37 

9 

28 

5 

o<) 

1 

1 

3 

9 

3 

2 

27 
1 

149 

62 

18 
16 

42 

176 
60 

58 

5 

2 

1 

3 

1 

i 

3 

8 

7 

3 
3 
3 
C 

3 

7 
2 
5 

5 
3 

1 
4 
I 
3 
1 

1 
1 

2 

4 

1 

5 

1 
3 

2 

1 
2 

1 
1 
3 

17 
41 

13 

8 
82 
9 
22 

1 

2 

j 

5 

1 

2 

2 

1 

.  0 

4 

4 

7 
1 

2 

14 

i 

1 

o 

„ 

1 
3 
1 

37 

11G 
9 

20 
49 

15 
]35 
3 

1 
1 

42 

1 
1 

2 
1 

18 
97 

23 

7 

894 
2,681 

1 

1 

41 
94 
10 
13 
31 

20 

20 

19 

80 

30 

3 

118 
12 

93 

o 

16 
44 

9 
110 
1 

187 
648 
1,066 

2 

10 
35 

13 

161 

2 

28 

28 
°7 

16 
42 

51 

8 
119 
1 

6 
92 

7 
103 
1 

176 
1,  510 
20 

3 

7 
4 
37 

101 
1 

o 
1 

0 

1 

1 

2 

0 

1 

2 

1 

9 

82 
3 
15 
2 
15 
38 
8 
15 
4 
140 

83 
4 
13 

81 
10 
9 
3 
13 

101 
5 

14 
] 
12 
43 

02 

03 

51 
1 
5 
1 
9 
38 
8 
8 

1,  153 
79 
175 
20 
3119 
018 
199 
172 
104 
401 

1 

6 
10 

1 

O 

14 
38 

1 
19 

46 
20 
10 
2 

46 

1 
2 

5 

78 
7 

o 

7 

3 

3 

19 

40 
10 
4 
1 
3 

3 

3 



n 

7 
2 
93 

10 
11 
3 
12 

19 
4 
6 

2 

1 
1 
1 

14 
3 
31 

17 
19 

1 

o 

3 

8 
3 
1 

3 
1 

3 

1 

3 

1 

5,  381 

98        4,  703 

70 

3,914 

58 

3,640 

48 

3,072 

36 

2,832 

,-, 

3,532             20        135,254       2,761 

624 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  XCVI1I. 

Abstract  of  the  Sickness  and  Mortality 


YEAR  

1865. 

MONTH  -.  

JULY. 

AUCJCST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

11,  251. 

12,  134. 

12,  946. 

12,  883. 

12,  146. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS  1.—  ZYMOTIC    DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

3 

1 

7 

1 
1 

9 

o 
1 

7 

1 

11 

1 
1 

3 
1 
o 

3 

1 

38 
97 
95 

43 

20G 

65 
477 

72 

o 

60 
373 

39 
347 

98 
11 

1 
1 
1 

52 

145 

11 
9 
233 

1 
31 
241 
48 
38 
4 
3 

1 
3 

258 

11 

5 
283 

1 

2 

1 

160 
oo 

35 
17 

19 

1 
1 

38 
50 
8 
6 

1 
1 
1 
1 

49 
37 
4 
11 

3 
1 

1 

1 

28 

o 

2 

5 

1 

16.  .Measles  

10 

20 

7 

18.  Diphtheria 

1 

5 

4 
1 
40 

19.  Mumps  

o 

20.  Epidemic  Catarrh 

44 
32 

21 

23 

41 
23 

199 

89 

21.  Other  Diseases  of  this  Order  

36 

175 
89 
13 
1 

22 

1 

17 
14'3 

2 

OliDEK  II.—Enthetic  Diseases. 
22.  Syphilis  

142 

171 
73 

1 

23.  Gonorrhcea  

78 

24.  Orchitis  

10 

15 
2 
1 

14 
1 
4 

14 
3 

25.  Stricture  of  the  Urethra  

26.  Purulent  Ophthalmia  

1 

8 

27.  Serpent  Bite  

28.  Other  Diseases  of  this  Order  

5 

1 
10° 

7 
47 

0 

5 

29 

5 
21 

ORDER  III.—  Dietic  Diseases. 
29.  Scurvy  

2 

30.  Purpura  

31.  Delirium  Tremens 

4 
47 
1 

4 
21 
2 

4 
20 

1 

5 

1 

5 

15 

32.  Inebriation  

1 
1 

1 

33.  Chronic  Alcoholism  

o 

34.  Other  Diseases  of  this  Order  

1 

CLASS  II.—  CONSTITUTIONAL   DISEASES. 
ORDER  1.  —  Diathetic  Diseases. 
35.  Gout  

1 
96 

36.  Acute  Rheumatism  

.      ()[ 

85 

108 
91 

107 

37.  Chronic  Kheumatism  

56 

57 

go 

38.  AnuMnia  

4 

4 

1 

3 

o 

39.  Cancer  

40.  Tumors  

41.  Other  Diseases  of  this  Order 

o 

4 

8 
8 

1 

13 
1 

3 

6 
1 

ORDER  11.  —  Tubercular  Diseases. 
42.  Consumption  

6 

2 

6 
3 

1 

5 

43.  Scrofula  

41.  Other  Diseases  of  this  Order  

CLASS  III.  —  PARASITIC    DISEASES. 
45.  Itch  

1 
1 

1 

3 

3 

10 

46.  Tape-worm  

47.  Other  Intestinal  Worms  

1 

4s!.  Other  Diseases  of  this  Order  

Carried  forward  

1,136 

7 

1,321 

7 

1,574 

13 

1,688 

11 

1,281 

16 

DURING    THE    YEAR   ENDING   JUNE    30,   1866. 


625 


TABLE  XCVHI. 

of  the  Pacific  Region. 


1865. 

18GG. 

DECEMBER. 

JANUARY.           FEBRUARY. 

MAKCII. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

13,  390. 

12  972. 

11,  701. 

11,  774. 

8,  392. 

7,  823. 

8,  511. 

11,  332. 

Cases. 

Deaths. 

Cases. 

Deaths.  •  Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

l 

0 

3 

4 
5 
(i 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 

23 

24 

26 

27 
28 

39 

30 
31 
32 
33 
34 

35 
36 

37 
38 
39 
40 
41 

42 
43 
44 

45 
46 

47 

:    -18 

2 
1 

1 

0 

4 

1 

12 

8 

11 

8 

4 

3 

17 

11 
3 

1 

1 

4 

41 
200 
100 
4 

0 

217 
30 
35 
3 
13 

1 

28 
116 

39 
12 

2f) 

38 
59 

72 

21 

20 
58 
84 

20 

442 
2,127 
908 
80 
55 
2  100 

4 
1 
1 

43 
43 

04 
88 
4 
1 
118 
9 
8 
1 
11 

87 
80 
10 

9 
1 
105 
18 
11 
1 
13 

1 

88 
6 
8 

4 

145 
21 
11 
1 
14 

154 
13 
31 
3 
11 

158 
10 
17 
o 

2 

0 

1 

2 

1 

1 
1 

289 
309 
31 
111 

15 
4 
7 
2 

2 

1 

3 

4 

3 

40 

5 

15 

1 

20 

1 
30 
19 

92 

9 
133 

8 

126 

14 
465 
242 

1,557 
675 
128 

59 
23 

100 
04 
9 

3 

17 
17 

88 

15 
10 

79 
30 
11 
o 

10 
15 

84 
42 

2 

20 

92 
45 

1 

6 
o 

1 

59 
11 
4 
6 

10 
1 

7 

9 
4 

3 

3 

25 
35 
1 

28 

516 
14 
44 

258 
10 

1 

4 
1,051 

0 

1 
1 
1 

48 
1 
3 
13 
3 

1 
20 

1 
40 

., 

1 

43 

0 

1 

26 
4 
5 
24 

50 
5 
o 

or) 

... 

4 
1 
4 

1 

1 

7 
14 

1 

3 

11 
1 

1 

o 

7 

23 

38 
1 

1 
130 
90 
2 

1 

87 
70 

a 

1 

GO 
49 
1 

02 

74 

79 

71 
58 
3 

80 
34 
4 

01 
6 

802 
42 

1 

3 

1 

2 

3 

1 

2 
2 

4 
1 

10 
6 

1 
1 

o 
1 

1 

o 

29 

^ 

4 
3 
4 

8 

1 

22 

07 
33 
6 

103 
16 
1 
3     i 

3 

4 

1 

3 

3 

1 

5 
4 

o 

1 

19 

17 

0 

15 

10 
1 

11 

13 
1 

1 

1 

1 

2 

1 

92 

1,  i!!-:.' 

12 

840 

4 

023 

7 

943 

5 

704 

3 

75<; 

:t 

773 

4     i     12,  921 

626 


SICKNESS   AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  XCVIIL— PACIFIC  REGION— Continued. 


YI:AR  

1865. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

11,  251. 

12,  134. 

12,  946. 

12,  883. 

12,  146. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

rd 

1,136 

1 
9 

12 
3 

7 

1,321 

7 

1,574 

13 

1,688 

11 

1,281 
2 

16 

CLASS    IV.  —  LOCAL    DISEASES. 

ORDER  I.—  Diseases  of  Nervous  System. 

6 
9 
2 
1 

6 
14 
1 
1 
1 

9 
19 
3 

27 

3 
1 
3 

1 

1 

4 

1 

1 

1 
23 

2 
34 
3 

0 

.     ost    gia   ^ 

27 
4 
o 

30 
4 
o 

26 

i     Z- 

1 

1 

o 

1 

14 

17 

o     i 

3 

1 

ORDER  II.  —  Diseases  of  Eye. 

o 

j 

1 
45 

1 

°9 

38 
9 
3 
2 

32     \ 

13 
1 

5 

o 

2 

1 

4 

4 

3 

0 

I 

ORDER  III.  —  Diseases  of  Ear. 

1 

o 

6 

0 

68.  Deafness  

2 

69.  Otorrhosa  

8 
1 

6 
2 

4 

2 

1 
3 

6     ' 

10 

1 

70.  Other  Diseases  of  this  Order  

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

72.  Valvular  Disease  of  Heart  

3 
1 
o 

3 

4 

1 

3 

73.  Dropsy  from  Heart  Disease  

74.  Dropsy  of  Pericardium  

75.  Inflammation  of  Pericardium  

o 

3 

1 

1 

1 

1 

76.  Inflammation  of  Endocardium  

1 

77.  Inflammation  of  Veins  

78.  Varicose  Veins  

2 

1 

1 

1 
1 

I 

79.  Varicocele  

80.  Other  Diseases  of  this  Order  

o 

1 

3 

go 

1 

1 

5 
75 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
81.  Asthma  

3 

50 
7 

2 

1 

38 

82.  Acute  Bronchitis  

38 
5 

83.  Chronic  Bronchitis  

... 

14 

19 

84.  Dropsy  of  Chest  

85.  Haemorrhage  from  Xose  

2 

86.  Inflammation  of  Larynx  

1 
1 
16 
4 

1 
12 

9 

7 
14 
20 

9 
15 

87.  Inflammation  of  Lungs  ..   .. 

19 

o 

3 

88.  Inflammation  of  Pleuni  

1 

89.  Haemorrhage  from  Lungs  . 

4 

'20 

°8 

90.  Other  Diseases  of  this  Order  

6 

8 
115 
4 
3 
3 
24 

30 

15 

11 
74 
1 

ORDER  VI.  —  Diseases  of  Digestive,  Organs. 
91.  Colic  

24 

92.  Const  ipation  

128 

118 

107 
o 

93.  Cholera  Mortms  

19 

94.  Cirrhosis  of  Liver  

1 

5 

18 

95.  Dropsy  from  Hepatic  Disease  

1 

1 

96.  Dyspepsia  

19 

19 

97.  Diseases  of  Pancreas  

98.  Diseases  of  Spleen  

1 

1 

1 

99.  Fistula  in  Ano  

4 

100.  Hernia  

3 

4 

5 

7 

101.  Haemorrhage  from  Stomach  

Carried  forward  

9 

1     r>00 

1,  719 

10 

1,  988 

17 

2,  140             13 

1,C,M             22 

DURING    THE    YEAR    ENDING   JUNE   30,  I860. 


627 


TABLE  XCVIIL—  PACIFIC  REGION— Continued. 


1805. 

18GG. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

13,  396. 

12,  972. 

11,  761. 

11,  774. 

8,  392. 

7,  823. 

8,511. 

11,332. 

49 
50 
51 

53 
54 
55 
56 
57 
58 
59 
60 

Cl 
62 
63 
64 
65 
66 

67 

68 
69 
70 

71 

73 

74 
75 
7(i 
77 
78 
79 
80 

81 
82 
83 
84 
65 
86 
87 
88 
89 
90 

91 

93 
94 

95 
96 
97 
98 
qq 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Death?. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1,282 

1 
5 

1 

12 

840 

1 
5 
13 
2 

4 

623 

7 

943 

o 

7 
28 

5 

1 

704 

1 
1 
19 
1 

3 

756 

3 

773 

4 

12,  921 

8 
65 
22i 

92 
1 

3 

16 

4 

17 

8 
25 

3 

10 

5 
8 
3 
15 
312 
20 
9 

6 
5 
338 
40 

27 
22 

1 

1 

1 

1 

4 
3 

1 

3 

1 

30 
1 

1 
21 
1 

6 
28 
3 

2 
29' 
1 
2 
3 

1 

28 
1 

13 

23 

1 

1 

1 
1 
3 

3 

1 

1 

1 

1 
2 

3 

1 

3 

1 
24 

22 

27 
3 

18 
2 
3 
3 

7 
1 
6 

31 

2 
8 
1 

4 

28 

31 

7 
5 

0 

n 

6 
o 

1 
o 

1 

3 
1 
4 

1 

1 
3 

2 
1 
5 

1 
1 
1 

1 

1 
3 

33 

10 
58 
9 

8 
33 
5 
3 

10 

1 
2 

i 

3 

2 

1 
5 

2 

1 

1 
1 

1 
3 
1 
1 

1 

5 

3 

2 

1 

I 

1 

1 

1 

1 

1 

::  i;;;;;: 

1 

1 
4 
3 

5 
90 
1° 

1 

1 

10 
10 

41 
922 
135 
1 
5 
81 
155 
193 
16 
137 

212 
1,  115 
51 

1 
17 
182 

3 

i 

1 

3 

o 

5 

148 
11 

8 
117 
9 
j 

1 
8 
39 
25 
1 
15 

i 

90 
8 

o 

1 
40 

9 

00 

1 

M 
,3 

1 



00        I 

1 

1 

1 
14 
22 
19 

1 

11 

19 
18 
4 
16 

17 
85 

4 

11 
14 
20 
o 

7 
7 
14 

7 
6 
5 

1      ; 

4 

2 

I 

1 

4 
5 

15 
2 

1 
9 

24 

1 

17 
89 

9 
12 

r 

11 
22 



16 

89 

11 
6° 

87 
1 

79 

8L>        . 

1 

o 

12 



1 
4 

2 

7 

1 

1 
5 

1 

23 

| 

o 

a 

13 

1 

8 

14     ! 

17 

1 

0 

1 
1 

3 

5 

9 

46      . 

1 
1 

1 
2 

100 
101 

9 

r 

0 

1 
o 

1    

:: 



1,748 

18    :    1,881 

11 

990 

12 

1,392 

9 

1,033 

7 

1,076 

5 

1,081                        5         : 

17,034 

™ 

628 


SICKNESS    AND    MORTALITY    OF    WHITE    TROOPS 


TABLE  XCVIIL— PACIFIC  REGION— Concluded. 


YEAR  

1H05. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

11,  251. 

12,  134. 

12,  946. 

12,  883. 

12,  14G. 

LIST  OP  DISEASES. 

Cases.    Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases.  :  Deaths. 

Cases.  '  Deaths. 

Brou  ht  forward 

1,522 

9 

1,719 
1 

10 

1,988 

17 

2,140 

1 
44 
1 
o 

1 
G 
3 
3 

13 

1,  GG4 

22 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

13 
3 

20 

0 

3 

2G 
1 

7 
2 



4 
4 

1 

1 

1 

2 

1 

4 
1 

2 
18 
1 

13 
1 

oo 

o 

1 
1 

G 
14 
2G 

107.  Acute       > 

3 
4 

29 
3 

I 

o 

4 
1 

OiiUElt  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

1 

1 
1 

1 

1 

1 

115    IV  -•          f  I» 

1 
3 
2 

2 
4 

o 

7 

1 

4 
3 

1 
1 
3 

3 
1 

1 
1 

o     | 

120    Hydroeele                                                 -   - 

3 

2 

1 

8 

1 

o 

3 

ORDER  VIII.  —  Diseases  of  Hones  and  Joints. 

1 
o 

123.  Caries                                          -  .          

2 
2 

2 
1 

7 

125.  Inflammation  of  Bones  

2 

1 

1 

1 

127.  Necrosis  

1 

128.  Otber  Diseases  of  this  Order  

3 

11 

54 

ORDER  IS.  —  Diseases  of  Integumentary  System. 
129.  Abscess  

17 
34 

19 
49 

17 
°G 

32 

131.  Boils  

30 
o 

131.  Carbuncle  

o 

132.  Whitlow  

7 
32 

4 
G5 

10 
37 

8 
03 

10 
39 

1 
85 

9 
35 

133.  Skin  Diseases  

CLASS    V.     WOUNDS,  ACCIDENTS,   AND 
INJURIES. 
ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
134.  Burns  

7 
78 

C 
90 

135.  Contusions  

72 

13G.  Concussion  of  Brain  

137.  Drowning  

1 

1 

138.  Sprains  

48 

5° 

51 

8 

44 
3 
9 
3 
20 
13 
10 

53 

139.  Dislocation  

140.  Simple  Fractures  

9 

1 
22 
12 
8 
6 
1 
2 

7 

G 

141.  Compound  Fractures  

1 

23 
21 
6 

1 
1 
1 

142.  Gunshot  Wounds  

19 

1 

1 

3 

21 
3 

143.  Incised  Wounds  

14  4.  Lacerated  Wounds  

3 

8 

145.  Punctured  Wounds  

l4fi.  Poisoning-  

6 
3 

1 
2 

4 
2 

147.  Other  Accidents  and  Injuries  

1 

2 

1 

148.  ORDER  II.—  Homicide  

1 

2 
1 

149.  ORDER  III.  —  S'uicWc.. 

1 

130.  ORDER  IV.  —  Execution  of  Sentence 

Totnl  

2,344 

*• 

1,850 

13 

2,138 

15 

21 

2  558 

19 

2,  081) 

30 

DURING   THE    YEAE    ENDING   JUNE    30,   18GG. 


G29 


TABLE  XCVIII.— PACIFIC  REGION— Concluded. 


1805. 

1866. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUXE. 

TOTAL. 

13,  396. 

12,  972. 

11,761. 

11,  774. 

8,  392. 

7,  823. 

8,511. 

11,  332. 

102 

103 
104 
105 
106 
107 
108 
109 
110 
111 

112 
113 
114 
115 
116 
117 
118 
119 
120 
121 

122 
123 
124 

125 
126 
127 
128 

129 
130 
131 
132 
133 

134 
135 
136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
I4(i 
147 

148 
149 
150 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases,  j  Deaths. 

Cases.    Deaths. 

Cases.  ;  Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1,748 

1 
G5 
1 

o 

18 

1,281 

11 

990 

12 

1,  392 

9 

1,033 

1 

21 

7 

1,076 

4 
15 
4 

1 

5 

1,081 

5 

17,  634 

8 
355 
27 
27 
6 
*i9 

138 

47 

15 
3 

48 
2 

19 

1 

1 

1 

2 
o 

1 
2 
4 
11 
4 

3 
5 

1 

1 
5 

1 

1 
4 
3 
23 
o 

4 
3 

9 

0 

1 
10 
28 
2 

0 

4 
19 

5 

1 

2 
3 

11 
1 

23 
58 
047 

1 
o 

1 

3 
19 
5 

1 
1 
1 

lii 

70 

o 
8 
11 
1 
16 
40 
13 
14 
9 
32 

2 
6 
18 
4 
4 
1 
11 

227 
431 
17 
96 
371 

61 
957 
8 

1 

1 

1 
1 

3 

~ 

0 

0 

1 
3 

0 

1 

0 

1 
4 

1 

1 
'4 
1 
3 

3 
5 

1 

3 
2 

1 
1 
1 

1 

3 

1 

o 

1 
1 
1 

2 

3 
1 
3 

3 

3 

0 

1 

1 

1 

1 

o 

1 

1 

1 

19 
40 
4 
9 
38 

6 
90 
3 

4 

27 
oo 

2 
20 

17 
30 

17 
37 
1 
8 
3° 

18 
37 
o 

13 
37 

1 

10 
31 

10 
85 

7 
24 

o 

6 
23 

5 

99 

10 
23 

34 

4 
6') 

11 

66 

70 

88 

1 

1 

4 

1 
4 

1 

1 

66 
3 
10 

31 

5 
6 
1 

8 
17 
7 

: 
. 

37 

40 
9 
3 

37 

40 

34 

533 

o 

41 
69 
17 
197 

"S 

61 

(17 

147 

4 
o 

4 

7 

0 

1 

1 
12 
1 

15 
24 
5 

(i 

2 

19 
21 
(; 

1 

18 
30 

1 

10 
18 
7 
3 

13 
15 

1 

9 
30 
7 
6 
12 

1 



8 

1 

1 

13 

2 

3 

1 

4 

1 

7 



56 

1 

2 

12 

10 

1 
1 

5 

o 
2 

2 

9 

7 
3 

1 

2,  274 

25 

i 

i,t;;>4          14 

1,318 

17 

1,827 

12 

1,  346 

11 

1,4011             12     j  1,436 

7     J     W,2!<! 

196 

630 


SICKNESS    AND    MORTALITY    OF    WHITE    TEOOPS 


TABLE  XCIX. 

Abstract  of  the  Sickness  and  Mortality 


YEAR  

1805. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  IN  FIELD  AND  GARRISON  

295,  537. 
15,  201. 

201,  496. 
8,  163. 

137,  529. 
4,  338. 

112,  404. 
2,  460. 

82,  529. 
1,  231. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS   1.—  ZYMOTIC   DISEASES. 
OKDEU  I.—  Miasmatic  Diseases. 

394 
10 
924 

286 
11 
109 

272 
13 
322 
16 
4,  296 
8,562 
6,  512 
467 
219 
7,031 
953 
1,  742 
149 
141 
11 
13 

141 
5 

59 

177 
1 
156 

79 

191 

Cl 
o 

30 

73 

4 
52 

27 
1 
10 

41 

134 

4,  827 
8,121 
7,165 
618 
258 
12,  297 
1,746 
2,  991 
247 
276 
19 

1 

34 
100 
453 

106 
6 
10 

58 
6 
2 
1 
62 
39 
205 
73 
26 

o 
1 

6,883 

4,723 
378 
130 
4,320 
659 
1,195 
121 
69 
9 
14 
o 

54 
8 
8 

1,  842 
4,  947 
4,175 
393 

31 

7 
4 

5G2 
2,  745 
2,244 
246 
38 
1,  639 
246 
407 
on 

43 
33 
23 

7 
3 
3 

tF  -v 

54 
68 
383 
94 
41 
5 
12 
10 

57 
26 
143 
57 
26 
5 
5 

108 
2,  882 
514 
857 
77 
59 
14 

42 
14 
113 
41 

6 

6 

8 
71 
13 
18 

8 

1G    Measles 

18    Diphtheria 

2 

11 

31 

2  16 

12 

12 

10 
17 
130 

1 

17 
184 
709 

778 
817 
102 

205 

1,505 

1,220 
1,486 
124 

25 

1,077 

944 
1,  197 
127 

9 
2 

7 

0 

443 

787 
705 

10 

1 

345 

G55 

60') 

4 

ORDER  II.  —  Enthetic  Diseases. 
22.  Syphilis.                 

24.  Orchitis  

87 
1G 
°8 

12 

24 
53 
9 
6 

497 
7 
64 
134 
31 

13 

1 

4 
30 

104 
3 

36 

27.  Serpent  Bite  

28.  Other  Diseases  of  this  Order  

19 

497 
22 

1 
5 

13 

427 

1 

4 

22 

253 
3 

44 
G6 

6 
137 

ORDER  III.  —  Dietic  Diseases. 
29.  Scurvy  

7 

1 

1 

30.  Purpura  

31.  Delirium  Tremens  

75 

199 

28 

3 

1,106 
702 
159 

7 

5 

91 
60 

6 
8 
3 
1 

1 

0 

1 

51 
82 
5 
1 

1 

428 
316 
53 

7 

5 

50 

5G 

32.  Inebriation  

33.  Chronic  Alcoholism  

1 

7 

2 

5 

1 

34.  Other  Diseases  of  this  Order  

CLASS   II.—  CONSTITUTIONAL   DISEASES. 
ORDER  I.—Diathetic  Diseases. 
35.  Gout  

1 

449 

36.  Acute  Rheumatism  

5 
1 
3 

719 

353 
92 
1 

3 

1 

o 

37.  Chronic  Rheumatism  

38.  Anafttnia  

0 

66 

39.  Caucer  

40.  Tumors  

15 

8 

41.  Other  Diseases  of  this  Order  .  . 

57 
1 

6 

61 

43 
1 

209 
6 
6 
3 

11 

28 
21 

ORDER  II.—  Tubercular  Diseases. 
42.  Consumption  

22 

22 

38 
10 
2 

132 

22 

26 
11 

14 

43.  Scrofula  

44.  Other  Diseases  of  this  Order  

CLASS   III.  —  PARASITIC   DISEASES. 
45.  Itch  

471 
10 
20 
6 



112 

7 

129 
1 
1 

4G.  Tape-worm  

47.  Other  Intestinal  Worms  

4 
3 

48.  Other  Diseases  of  this  Order 

!  

1    

Carried  forward  

48,  508 

1,  317 

36,  709 

732 

25,  871 

557 

19,  970 

416 

11,  317 

196 

DURING   THE    YEAR   ENDING   JUNE    30,    1866. 


631 


TABLE  XCIX. 

of  tJie    United  States  Army. 


1805. 

18()6. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

76,  026. 
785. 

66,  369. 
536. 

55,  978. 
441. 

50,  485. 
296. 

41,  958. 
172. 

33,  305. 
108. 

35,  348. 
72. 

99,  CEO. 
2,  817. 

1 

i 

6 

8 

10 
11 
12 
13 
14 
15 
1C 
17 
18 
19 
20 
21 

23 

24 
25 

26 
27 
28 

29 
30 
31 
32 
33 
34 

35 
36 

37 
38 
39 
40 
41 

42 
43 
44 

45 
4G 

47 

48 

Cases. 

Deaths 

Cases.    Deaths 

Cases. 

Deaths 

Cases. 

Deaths 

Cases. 

Deaths 

Cases. 

Deaths 

Cases.    Deaths. 

Cases.      Deaths. 

36 
1 

18 

14 

25 
1 
5 

9 

32 
1 
5 

2 
1 
2 

/-O 

5 

1 
1 

23 

6 

20 

3 

14 

2 

1,285 
31 
1,  G47 
16 
15,  823 
36,  15G 
29,  286 
2,447 
813 
35,  095 
4,827 
8,  362 
7CO 
8G8 
334 
196 
8 
138 
268 
*.,  201 
5,  2(18 

7,511 
7,  348 
863 
118 
333 

635 
21 
259 

3 

1 

1 

2 

4 

24 

3 

347 
1,519 
1,  192 

88 
14 

181 
273 
19 
67 
51 
13 

3 

1 

191 

755 

743 

174 
578 
448 
27 

1 

1 

175 

602 
487 
31 
6 
705 

170 
519 

167 
432 

1 

294 
493 

1 

32 

27 
1 
230 
159 
1,  033 
*}fift 

.c  J 

152 

ig 

71 
11 
1 
3 
1 

491 
32 

461 
26 

640 

62 



5 

48 
4 
10 
2 
9 

6 

1,  059 
138 
182 
10 
42 
46 
8 
1 
13 
9 

2 

5 

788 
67 
121 
3 
27 
46 
5 
o 

1 

4 
745 
51 
142 
11 
32 
34 
4 
1 
1 
11 
7-3 

10 
913 

174 

36 
5 
4 
1 
3 
8 
74 
189 

361 
282 

1 

15 
1,  444 
81 
154 
14 

G 
2 

1 
4 
1 

1 

1 
4 
2 
1 
1 
1 

32 

13 
1 
3 

89 
124 
8 
47 
GO 
13 

11 

6 

2 

1 
4 

1 
1 
11 

0 

8 

5 

1 

20 
22 
181 
195 

6(50 
579 
61 
8 
24 

1 

8 
164 
92 

17 

25 

238 

4 

8 
C8 
281 

393 

1 

| 

185 

3 

237 

4  68 
393 

101 

450 
371 

1 

94 

401 
286 

2 

01 
11 

1 

394 
347 

47 
7 
5 

o 

1 

CO 
4 
1C 

58 

43 
6 
13 

40 
10 

8 
1 
5 

127 
2 
23 

50 
11 

1 

1 
182 

42 
G 

8 
10 

1 

18 
109 

2,  823 
G3 
460 
962 
116 
3 

4 

113 
1 

38 
4 

6 
149 

7 

131 

7 
2.5 
51 
6 

1 

.    1 

6 

193 
4 

44 
125 

5 

237 
6 
16 
70 
1 

10 

62 

2 

30 
1 
27 
12 
11 
1 

2 

o 

2 

5 

1 
1 

1 

20 
53 

o 

21 

38 
6 

1 
1 
1 

4 

1 

1 

9 

2 

3 

1 

386 
207 
18 
1 
8 

23 
11 

1 
306 
163 
10 



5 
243 

2 

1 

233 
141 
12 

208 

mi 

4,821 
2,  9-17 
451 
11 
118 
5J 

359 
239 
10 

11 
4 
7 
1 

184 
1 

1 
1 

198 

5      ; 
} 

8 
1 

20 

181 

111 

88 
8 

5 

4 
1 

1 

6 
4 

12 

8 

1 
4 

13 
9 
4 

]3i 

5 
6 

12 
17 

G 

10 

8 

9 

5 

G 

17 
13 

6 

18 
13      . 

3    1 

i 

1 

i 

169 
3 

148 
1 

158 

109 

108 

inn 

i 

i  DTI; 

4     ! 

n                             4:!    i 

0       I 

3 

1      ... 

41     :  ' 

42 

6 

5 

Q 

3                                 5      . 

7,858 

77,  63.'        I 

121      ,  5,551 

66 

4,  176 

45 

4,709 

50 

4,  019 

30       3,984     j         21     .  4,  900             21 

,-.-' 

632 


SICKNESS   AND    MORTALITY    OF   WHITE   TROOPS 


TABLE  XCIX.— UNITED  STATES  ARMY— Continued. 


y  KAU  

18G5. 

iloxill  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

295,  537. 
15,  201. 

201,  496. 
8,  163. 

137,  529. 
4,338. 

112,  404. 
2,  460. 

82,  529. 
1,231. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases,  i  Deaths. 

48,  508 

7 
91 
1  096 

1,317 

8 
1 

36,  709 

10 
60 
597 
16 
7 
4 
4 
32 
410 
17 
96 
24 

11 
3 

737 
28 
69 
10 

71 
15 

732 

8 
2 

25,  871 

3 

57 
347 
13 
10 
3 

237 
14 

15 
21 

6 
4 

361 
14 

557 

3 

1 

19,  970 

2 

59 
218 

416 
o 

11,  317 

3 

15 
156 
9 
3 
6 
1 
6 
151 

196 

1 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.  —  Diseases  of  Nervous  System. 

l   l       J 

•    i    i  y 

21 
6 

10 
65 
635 
22 
218 
15 

22 

18 
5 
1 
3 

1 
7 
5 

11 
5 
5 
G 
19 
003 

8 
3 
1 

1 

3 
1 

2 

4 

2 

tl°  i'               t'         f  AI  **1               f  B     in 

r.'   "              tt°fs  "ic 

v'  \  ^i  •             1 

1 

1 

° 

3 

22 

4 

3 

2 

8 
1 
4 

6 
3 

283 
17 
24 

1 

1 

• 

7 
4 

1 

7 

4 
o 

4 

ORDER  II.  —  Diseases  of  Eye. 

3 

979 
26 

Inflammation  of  Con'unctiva 

204 
G 
11 
5 

159 

50 
5 

31 
7 
54 
4 

1 

21 

12 

8 

ORDER  III.  —  Diseases  of  Ear. 

78 
24 

18 
5 

68    Deafness 

7 
34 
1 

1 
9 
2 
1 
4 

69    Otorrhcea 

144 
10 

6 
62 
13 

6 
9 
4 
2 

81 
46 

7 

79 
908 
174 
8 

83 

34 

1 

15 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

1 

30 
G 
3 
9 
2 
3 
50 

6 

o 

9 
1 
1 

1 

3 
3 

1 

3 

17 
3 

1 
3 

4 
o 

1 

3 

1 

1 

27 
12 
5 

78.  Varicose  Veins  

13 
8 
3 

36 

9 

79.  Varicocele  

80.  Other  Diseases  of  this  Order 

4 

65 
447 
93 

1 

1 

3 

509 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
81.  Asthma  

2 
o 
1 

82.  Acute  Bronchitis  

1 
1 
1 

295 
57 

14 

25 
67 
68 

42 
369 

4P5 

83.  Chronic  Bronchitis  
84.  Dropsy  of  Chest  

107 

2 

78 

2 

85.  Haemorrhage  from  Nose  

17 
33 
91 
121 
34 
39 

588 

1 

11 
35 
94 
88 
15 
45 

3 

41 
57 
72 
5 
73 

86.  Inflammation  of  Larynx 

72 

195 

1 
42 
1 
4 
1 

5 

1 
21 
3 
1 
1 

87.  Inflammation  of  Lungs  

19 

13 

o 

1 

1 

88.  Inflammation  of  Pleura  

254 
46 
122 

868 
1  905 

89.  Hsmriorrhage  from  Lungs  
90.  Other  Diseases  of  this  Order  

ORDER  VI.—  Diseases  of  Digestive  Organs. 
91.  Colic  

298 

92.  Constipation  

i       mi    

93.  Choli-ru  Morbus  •  

472 
6 
33 
378 

C 

386 
9 

9 
1 

238 
3 
#33 

156 

4 

82 

1 

24 
3 

8 
78 

1 
1 
4 

9  1.  Cirrhosis  of  Liver  

95.  Dropsy  from  Hepatic  Disease  

6 

8 
1 

23 
111 
4 

1 

96.  Dyspepsia  

97.  Diseases  of  Pancreas  *  

3 

6 
26 

98.  Diseases  of  Spleen  

0 

" 

o 

'.'9.  Fistula  in  Ano  

19 

97 

12 

60 

1 

5 
34 

4 

10 
42 

10').  Hernia  

198 

101.  Hemorrhage  from  Stomach  

6 

Carried  forward  

58,176     1,465 

42,  759 

823 

29,  421 

625 

22,  879 

452 

13,  453         244 

DURING   THE    YEAR    ENDING   JUNE   30,    I860. 


633 


TABLE  XCIX.— UNITED  STATES  ARMY— Continued. 


18(55. 

18(56. 

DECEMBEK. 

JANUAUY. 

FEliliUAUY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

76,  026. 

785. 

66,  369. 
536. 

55,  978. 
441. 

50,  485. 
296. 

41,  958. 
172. 

33,  305. 

108. 

35,  348. 
72. 

99,  C80. 
2,  817. 

49 
50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 

61 
62 
63 
64 
65 
66 

67 
68 
69 
70 

71 
72 
73 

74 
75 
70 
77 
78 
70 
80 

81 
82 
83 
84 
85 
86 
87 
88 
83 
90 

91 
92 
93 

94 
95 

96 
97 
98 
99 
1.0!) 
11)1 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.      Deaths. 

7,858 

5 
17 
111 
5 

1 

1 
1 

123 
4 

121 
3 

5,551 

1 
19 
74 
5 
2 

66 
2 

4,176 

1 
12 

45 

1 

4,709 

o 

94 
4 
2 

50 

1 
2 

4,019 

2 
13 

68 
8 

30 

3,984 

1 
22 
61 
3 
2 

21 
1 

4,960 

2 
22 

21 

177,  632 

39 
410 
3,  035 

3,572 

30 
9 

1 

110 
9 
3 

103 

8 

1 

1 
2 

112 
42 
22 
31 
197 
2,291 
84 
350 
133 

71 
19 
3,585 
150 
377 

4 
50 
20 
4 
5 
1 
9 
32 
20 

1 
3 

2 

3 

1 

1 
1 

1 

4 
6 
108 
4 

2 
4 

98 

1 
5 
51 
1 
3 
14 

7 
94 
4 

5 

3 

85 
4 
15 
14 

76 

2 
6 

f\ 

1 

3 

1 

1 

6 

8 
1 

188 
8 
2 
10 

8 
5 
18 

1 
5 

1 

10 

1 

11 

3 
1 

143 

2 

1 

1 

131 
14 
12 

1 
112 
4 
10 
4 

6 
5 

198 
8 

121 

128 

7 
14 
8 

8 
4 
17 
4 

6 
12 

12 
9 
4 

6 
4 
11 
1 

4 

7 

4 

7 
5 
19 
2 

1 
12 
1 

10 

17 
4 
28 

5 

13 
4 
11 
4 

85 

286 
89 
470 
47 

19 
204 
27 
17 
38 
11 
9 
22° 

17 
5 

1 
9 
1 

5 

1 

0 

1 

1 

1 

2 
6 

1 
31 
11 
5 
2 

3 

2 

3 

12 

1 
1 

14 

1 

1 

1 

1 

1 

0 

3 

1 

1 

0 

2 

1 

2 

1 
1 

8 
5 
6 

16 

337 
58 

1 

1 
4 
1 

I 
6 
1 
3 

3 
143 

7 
8 
3 

12 
562 
69 

7 
6 
5 

11 
599 
37 
1 
4 
3-J 
68 
43 
5 
go 

6 
1 
3 

6 
307 

4 
1 
6 

9 

197 
41 

115 

48 

302 
5,307 
807 
14 
99 
405 
921 
905 
163 
833 

2,869 
6,660 
1,368 

134 
1,269 
9 
27 
103 
546 

1 

1 

5 

2 
4 
10 
4 
1 
5 
178 
8 
8 
3 

7 

17 
5°8 

1 

3 

47 
1 
1 
38 
104 
56 
5 
69 

77 
ogo 

23 

1 

1 

2 
39 
84 
46 
10 
61 

95 
355 
12 

6 
41 
79 
53 
13 
138 

8"i 

5 

6 
16 
16 
24 

2 

1 

11 
1 
1 

1 
12 

1 

11 

n 

39 
55 
3 
61 

50 
°15 

10 

4 

27 
25 
7 
45 

o 

i 

8 
56 

85 

1 

87 
ogg 

146 
301 
94 

313 

10 

•so   L.  

1 
1 

8 

8 

18 

K; 

O-l 

3 

27 
1 

9 
44 

3 

39 

2 

3 
3:> 

4 
54 
2 

i 

3<i 

5 
49 

1 

36 

3 
7 
31 

3 

1 

4 
1.1 

4 

1" 

(; 

3 
14 

1 

14 

9 

6 

1 

2 

1 

9,  879 

155        7,  343 

91 

5,993 

66 

6,472 

74 

5,279 

47 

5,101 

30 

6,301 

27    i    213,  056 

4,  099 

634 


SICKNESS    AND   MORTALITY    OF    WHITE    TROOPS 


TABLE  XCIX.— UNITED  STATES  ARMY— Concluded 


YEAR  1805. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOUER. 

NOVEMBER. 

MEAN  STRENGTH  IN  FIELD  AND  GARRISON  

295,  537. 
15,  201. 

201,  496. 
8,  163. 

137,  529. 
4,  338. 

112,  404. 
2,  4GO. 

82,  529. 
1,231. 

LIST  OF  DISEASES.                                   Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

58,  176 

05 

279 
50 
41 
8 
102 
108 
777 
C85 

1,465 

7 
3 
7 
14 
11 
3 
3 
4 

42,  759 

7 
175 
43 
54 
11 
77 
34 
704 
402 
30 

24 
4 

6 

823 

29,  421 

13 

119 
21 
31 
5 
28 
31 
402 
227 

625 
1 

22,  879 

7 
171 
31 
17 
6 
22 
39 
278 
183 
11 

10 

1 

0 

452 
1 

13,  453 

3 

178 
14 
10 
7 
16 
14 
134 
114 
30 

4 
5 

4 
2 
5 
20 
7 
10 

244 

ORDER  VI.  —  Diseases  of  Digestive  Organs  —  Continued. 

5 
8 
5 
3 
1 
6 

3 

12 
2 
1 
1 
6 

1 
1 
2 

2 
5 
4 

1 

109    Jaundice                                                      

110    Piles                 .   .               

123 

42 

2 

1 

* 

16 

14 
1 
5 

1 

1 

OKDEU  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 
1  1  2.  Stone  and  Gravel  

113.  Diabetes  

114.  Bright's  Disease  

7 
1 
16 
93 

22 

1 

1 

115.  Diseases  of  Prostate  

116.  Diseases  of  Testis  

6 
53 
37 
°4 

7 
38 
15 
13 
4 
12 

1 
1 
9 
4 
3 
6 

3 

34 
5 
16 
2 
4 

1 
3 
9 
1 
3 
6 
4 

154 
398 
22 
80 
214 

117.  Inflammation  of  Kidneys  

2 

1 
1 

1 

118.  Inflammation  of  Bladder  

1 

1 

119.  Incontinence  of  Urine  

34 
14 

17 

10 
9 
32 
1 

15 

120.  Hydrocele  

11 
23 

3 

0 

121.  Other  Diseases  of  this  Order  

2 

2 

4 

1 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 
122.  Anchylosis  

123.  Caries  

124.  Inflammation  of  Joints  

1° 

13 

125.  Inflammation  of  Bones  

3 

4 
2 
1 

394 
1,236 

80 
307 
397 

41 
518 
3 

126.  Inflammation  of  Periosteum  

3 
6 

127.  Necrosis  

12 

1 

128.  Other  Diseases  of  this  Order.  . 

1 

487 
1  524 

2 
1 

ORDER  IX.—  Diseases  of  Integumentary  System 
129.  Abscess  

1 

719 
39 
133 
292 

3 

115 
047 

130.  Boils  

131.  Carbuncle  

111 
319 
516 

85 
682 
9 

1 

1 

10 
69 
142 

132.  Whitlow  

133.  Skin  Diseases  

1 

1 
4 
o 

18 

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 
ORDER  I.—  Wounds,  Accidents,  and  Injuries. 
134.  Burns  

3 

1 
2 

7 

30 
273 
4 

135.  Contusions  

260 
2 

1 

303 

1 

1 

136.  Concussion  of  Brain  

137.  Drowning  

6 

3 

138.  Strains  rna 

188 
16 
31 

139.  Dislocation  

44 
87 
11 
191 
260 
78 
78 
72 
65 

1 

22 

57 
5 
134 

170 
84 
58 
40 
44 

17 
32 
6 

129 
102 
53 
26 

13 

10 
24 

o 

64 

89 
37 

140.  Simple  Fractures  

2 
1 
39 
3 

1 

8 
3 

141.  Compound  Fractures 

5 
46 
1 

3 

18 
4 

84 
85 
39 
16 

14 

1 
23 
1 

142.  Gunshot  Wounds... 

143.  Incised  Wounds.  - 

144.  Lacerated  Wounds.  .. 

145.  Punctured  Wounds 

3 

3 
1 

8 

5 
4 

5 
2 
3 

3 
1 

1 

15 
10 
10 

140.  Poisoning;  

147.  Other  Accidents  and  Injuries 

18 
3 
11 

3 

4 
3 
L 

1 

2 

3 

148.  OniiKlt  II.—  Homicide 

149.  ORDER  III.  —  Suicide 

150.  OUDEH  IV.—  Execution  of  Sentence 

Total  

25,  391 

65,  832 

1,642 

48,  438 

939 

32,  806 

701 

508 

15,  421 

280 

DURING   THE   YEAE   ENDING   JUNE    30,  1866. 


635 


TABLE  XCIX.— UNITED  STATES  ARMY— Concluded. 


186/5. 

18(>6. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

76,  026. 

785. 

66,  369. 
536. 

55,  978. 
441. 

50,  485. 
296. 

41,  958. 
172. 

33,  305. 
108. 

35,  348. 
72. 

99,  080. 
2,  817. 

102 
103 
104 
105 
106 
107 
108 
109 
110 
111 

112 
113 
114 
115 
116 
117 
118 
119 
120 
121 

122 
123 
124 
125 
126 
127 
128 

129 
130 
131 
132 
133 

134 
135 
136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
14f 
147 

148 
149 
150 

Cases. 

Deaths.  i 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths.    Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

9,879 

2 
259 
9 
4 
2 
15 
12 
112 
113 
6 

10 
4 
3 
1 
9 

14 
12 
2 
3 

155 

7,343 

3 

188 
6 
4 
1 
7 
8 
33 
95 
8 

3 

91 

5,993 

9 

212 

66 

6,472 

1 

188 
12 
3 

74 

5,279 

4 
94 

47 

5,101 

5 

80 
9 
4 

30 

6,301 

1 
70 
13 
2 

1 

16 

27 

213,056 

80 
2,013 
223 
178 
45 
322 
267 
2,548 
2  152 

4,099 

9 
4 
25 
43 

28 
11 
9 

1 
o 

1 

9 
4 

3 

1 

6 
4 
4 
9 

7 
17 
45 
20 

4 
2 
3 

1 

1 
1 

1 

3 

1 
2 
1 

1 

6 
4 
31 
85 
11 

6 
4 
1 

15 

9 
o 

1 

8 
27 

1 

16 
49 
3 

5 
3 

17 
70 
36 

2 
1 
1 

1 

84 
26 

1 

320 

128 
37 
38 
4 
69 
308 
115 
156 
40 
107 

23 
24 
141 
18 
42 
43 
23 

1,957 
5  554 

8 

1 
o 

4 
5 

1 

2 
3 

1 

4 

8 
4 
3 
11 
2 
8 

o 

4 

8 

2 

10 
5 
7 
1 

8 

6 
3 

5 
2 

7 

1 
3 

7 

9 
2 
10 
1 
1 

o 

1 

7 
3 

2 

8 

8 

1 
12 

I 

1 

8 

3 
3 

6 
1 

1 

5 

3 

9 

5 

8 

10 
3 
3 

21 

2 
1 
1 

7 

103 

O-'W) 

3 

2 
3 
3 

81 
202 

4 
4 
4 

120 
276 
15 
55 
183 

38 
366 
9 

3 
1 

0 

1 
2 

6 

1 

88 
18"3 

1 

64 
183 
8 
43 
96 

1 

54 
180 
8 
37 
121 

1 

76 
184 
9 
55 
149 

31 
281 
5 

18 
45 

16 
34 

118 

28 
264 
3 

341 
l,s>12 

2 

35 
124 

127 

2,479 

407 
4,116 
44 

1 

4 

10 
12 
64 

43 
364 

17 
286 
1 

13 

287 
2 

o 
o 
3 

232 
3 

1 

3 

1 
M 

5 

3 

3 

196 
10 
35 
3 
50 
100 
31 
31 
5 
206 

162 

178 
15 
19 

l')8 

148 
7 
21 

156 
9 
<x> 

148 
3 
10 
3 
31 
97 

2,654 

10 
29 

1 

15 

"6 

178 
393 
56 
899 
1,334 
587 
354 
201 
tKSG 

2 
3 

]5 
176 
13 
1 
20 
4 
60 

30 
31 
1 

3 

41 
83 
61 
24 
4 
125 

7 
48 
109 
61 

4 
34 

1 
6 

1 
5 

4 
35 
80 
40 
11 
6 
14 

1 
4 

5 

9 
1 
1 
3 

48 
75 
35 
27 

7 

44 
84 
37 
15 
2 
15 

6 

1 

31 
25 

1 

2 

1 
1 
1 

4 
3 

6 
1 
1 

5 

116 

8 
4 
3 

4 
2 

2 

10 

1 

o 

1       .... 

12,  245 

182 

9,222 

12(> 

7,678 

10) 

8,204 

98 

6,574 

65 

6,411 

50 

7,732 

49        245,  954 

4,  735 

636 


SICKNESS    AND    MOETALITY    OF    WHITE    TROOPS 


TABLE  C. 

General  Summary  of  the  Sickness  and  Mortality 


May  and  June,  1861. 

Year  ending  Jone  30,  1862, 

41,  556. 

279,  371. 
9,  548. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS    1.—  ZYMOTIC     DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

97 
20 
129 

17 
3 

21,  905 
821 
11,  769 

•f: 

5,648 
201 

147 

0      rp     '  l'           T.^ 

* 

?"  VH  '°   i' 

o.  xeuoH  i  c 

302 
389 
413 
71 
30 
8,  402 
264 
994 
52 
65 
46 
1,141 

40,  021 
40,  330 
2G,  7G6 
3,526 
2,  233 
164,414 
15,  815 
32,  220 
2,  609 
2,  052 
1,307 
21,  072 
133 
* 

11,  271 
11,  314 
18,  323 
7,454 

9,044 
11,018 

370 
32 
33 
4 
361 
230 
501 
338 
130 
120 
393 
508 
10 

9 
5 
153 
36 

7      l\                     "      If              °tt         t    VfVPT 

7.  yuotiaian  in  c 

<l     O       rf         It          'tt      t    F 

in   S          ,•       I           -fj-  ,  Pover 

1 

11).  congestive    11  ti 

19*  P)C          •   !)'•      1 

vi    A  '"il  "n     * 

3 
1 
3 
1 
3 

14    (')         '      I)  •        t" 

,r'  ,,    .  .      ,     •              ' 

If    S  mil       x  ii  1  Varioloid 

* 
196 
68 
459 
208 

416 
922 
111 

17 

8 

** 

18 

33 

57 

11 
631 

387 
14 
4 
25 
9 
78 

89 
30 

** 

24 

* 

"°    Debility                                                                                           •                                    

23    Other  Diseases  of  this  Order                                                                               

ORDER  II.  —  Enthetic  Diseases. 

26    Orchitis 

2,719 
408 

20 

1,324 

* 

656 
979 

** 

104 
26,  218 
18,  461 
1,227 
758 
33 
447 
2,009 

2,500 
627 

* 
1,057 

27    Stricture  of  the  Urethra                                                                                         

* 

1 

** 

9 

57 
20 

29    Serpent  Bite                            .                                ..              .                     

30.  Other  Discuses  of  this  Order     

ORDER  III.  —  Dietic  Diseases. 
31.  Scurvy  

2 

33.  Delirium  Tremens  

34.  Inebriation  

35.  Chronic  Alcoholism  .      .               .  .   .    . 

** 

36.  Other  Diseases  of  this  Order  

CLASS    II.—  CONSTITUTIONAL     DISEASES. 

ORDER  I.  —  Diathetic  Diseases. 
37.  Gout  

38.  Acute  Rheumatism  

29 
21 
13 
35 
4 

39.  Chronic  Kheumatism  

40.  Anajmia  

41.  General  Dropsy  

42.  Cancer  

43.  Tumors  

44.  Other  Diseases  of  this  Order  

5 

554 
10 

ORDER  II.  —  Tubercular  Diseases. 
45.  Consumption  

2 

46.  Scrofula  

47.  Other  Diseases  of  this  Order  

* 

CLASS    III.  —  PARASITIC     DISEASES. 
48.  Itch  

50.  Worms  

51.  Other  Intestinal  Worms  

*** 

*; 

52.  Other  Diseases  of  this  Order  

Carried  forward  

16,  336 

36 

516,  824 

10,  065 

*  Spaces  marked  with  single  stars  indicate  that  the  disease  or  injury  opposite  was  not  printed  on  the  blank  forms  of  sick  report 
**  Double  stars  opposite   "Other  Diseases  of  this  Order"  indicate  that  on  the  classification  of  the  sick  reports  used  during  the 


FROM    MAY,    1861,    TO    JUNE    30,    J866. 


637 


TABLE  C. 

of  White  Troops  during  the    War. 


Year  'ending  June  30,  1863. 

Year  ending  June  30,  1861 

Year  ending  June  30,  1865. 

Year  ending  June  30,  1866. 

TOTAL. 

614,325. 
45,  630. 

619,  703. 
55,  710. 

574,  022. 
71,  484. 

99,  080. 
2,  817. 

431,  237. 
37,  038. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1 

3 
4 
5 

6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
1C 
17 
18 
19 
20 
21 
22 
23 

24 
25 
2G 
27 

28 

30 

31 

33 
31 
35 
36 

37 
38 
39 
40 
41 
42 
43 
44 

45 
46 

47 

48 
49 
50 
51 

32,  166 
952 

23,  346 
382 
86,  240 
100,  144 
62,  460 
9,  872 
3,  959 
381,879 
64,  531 
66,  490 
8,979 
6,  728 
2,  8!)  3 
17,  560 
207 
2,  469 
14,135 
56,  566 

30,  444 

14,  278 
22,419 
3,  462 
783 
1,104 
29 
433 

7,729 
301 
815 
1,289 
226 
569 

158 
46,  903 
46,  404 
9,  537 
2,  383 
153 
629 
1,  986 

5,762 
2,135 

185 

6,263 
142 

913 

84 

10,  483 

378 

1,175 
100 
1,164 
140 
116 
38 
1,022 
941 
7,556 
967 
1,090 
812 
950 
1,314 
18 
288 
29 
20 

865 

27 
6 
3 
3 

10,  116 
349 

11,  729 

4,475 

123 

1,157 

9,739 
328 

13,  149 
783 
73,  386 
127,  393 
105,  834 
11,  132 
2,814 
284,  580 
41,  574 
61,470 
6,  159 
6,456 
2,649 
9,798 
73 
1,824 
8,083 
29,  497 

27,941 

19,  647 
23,  008 
2,  911 
521 
1,576 
56 
452 

12,  844 
333 
641 
1,019 

185 
99 

102 
34,  604 
21,409 
3,  661 

52 
571 

247 

1,995 
1,  429 
49 

12,015 
221 

* 

x« 

44 

5,798 
124 

* 

1,468 
309 
1,198 
134 
75 

727 
973 
10,  600 
1,248 
919 
494 
1,131 
1,082 
16 
170 
17 

1,285 
31 

1,647 
16 
15,  823 
36,  156 
29,286 
2,447 
813 
35,  095 
4,827 
8,  362 
700 
868 
334 
196 
8 
138 
268 
2,201 

635 

21 

259 

75,  368 
2,  501 
11,  898 
49,  871 
1,181 
286,  490 
447,  258 
375,  170 
41,223 
13,  673 
1,  155,  226 
170,  488 
233,  812 
25,  670 
23,  276 
12,  235 
67,  763 
578 
7,277 
48,  128 
134,  397 
18,  782 
83,  110 

73,382 
95,833 
13,  564 
2,438 
4,918 
192 
2,177 

30,  714 
1,038 
3,744 
5,  589 
920 
939 

506 
145,  551 
1  09,  187 
21,892 
3,  250 
375 
2,130 
5,  396 

13,  499 
6,  022 
369 

32,  080 
548 
1,081 
1,730 
230 

27,  056 
850 
147 
4,  059 
409 
3,  853 
452 
381 
84 
3,370 
2  923 
27^558 
4,084 
3,22!) 
1,  860 
4,717 
4,246 
70 
716 
72 
33 
153 
1,828 

123 
6 

7 
7 
o 

0 

15 

3P3 
71 
450 
110 
45 
65 

3 

283 
192 
438 
92 
32 
13 
173 

5,286 
99 
33 

70,  718 
142,  846 
130,411 
14,  175 
3,818 
280,  796 
43,  477 
64,  276 
7,171 
6,507 
5,  007 
17,  396 
157 
2,846 
14,  175 
34,751 

11,735 

22,  486 
30,518 
3,  498 
591 
1,  906 
(il 
1,183 

5,976 
341 

1,  139 
1,283 
393 

268 

103 
32,  37  1 
19,  579 
7,002 
105 
101 
356 
1,025 

2,794 
1,582 
125 

11,826 
142 

444 
60 

859 
114 
130 
20 
1,  029 
620 
7,868 
1,  242 
931 
412 
2,  171 
1,  268 
25 
255 
16 
8 

271 
39 

262 
32 
27 
1 
230 
159 
1,  033 
286 
152 
19 
71 
11 
I 
3 
1 

* 
595 

34 

* 
5,268 

7,511 
7,348 
863 
118 
332 
18 
109 

2,823 
63 
460 
962 
116 
3 

28 
4,  821 
2,  SI47 
451 

11 
118 
51 

359 
239 
10 

1,976 
43 

41 
42 

61 
11 

3 
2 

1 

54 
21 
180 
37 
13 
36 

2 
60 
49 
149 
1 
10 
4 
42 

1,194 
31 
10 

1 
1 

1 

7 

88 
34 
110 

8 

20 

4 

202 
15 
74 
19 
13 
8 

1 
96 
51 

89 

8 
4 
24 

1,338 

28 
7 

....... 

* 
3 

o 

30 
1 
27 

11 
1 

87 
67 
180 
56 
9 
3 
100 

2,014 
29 
16 

11 
4 
7 

1 

184 
1 

1 

* 
1 

3 

* 

7 

1,169,476 

32,356 

1,  019,  717 

24,  939 

964,685 

29,120 

177,  (02 

3,572 

3,  864,  670 

100,088 

used  for  the  year,  the  cases  being,  as  a  rule,  reported  under  the  head  of  "  Other  Diseases"  of  the  order  to  which  they  belong, 
year  the  order  did  not  exist. 


638 


SICKNESS    AND    MOETALITY    OF    WHITE    TROOPS 


TABLE  C.— GENERAL  SUMMARY— Continued. 


VTPAT?                                                                               

May  and  June,  1861. 

Year  ending  June  30,  1862, 

41,  556. 

279,  371. 
9,  548. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

f 

16,  336 

6 
42 

280 

36 

1 

516,  824 

195 
1,  203 
7,126 
494 
151 
167 

572 
7,544 
7,517 
330 
416 
1,518 

147 
71 
8,553 

282 
136 
1,173 

1,770 
1  458 

10,  065 

123 

39 
1 
12 
93 
105 

1 
1 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.  —  Diseases  of  Nervous  System. 

f..    t?-i     .  . 

r>fi'    T 

20 
50 

7 

65 
248 

327 
6 
74 
59 

3 
1 
351 

5 
55 

64 
51 
8 
49 
12 

g 
5 

* 
3 

7 

57    T   fl             t'       of  15  i' 

10 

Vt    T                            f  M      1           •  of  Brim 

XX'  in  j!                   ™  °f  a  C-    .1   (jn  ,1 

* 

wi   ~n    t  i  ' 

fii  x    ••  SI 

GH    Toothache                                       

24 
18 
47 

K4     S          t  nl-p 

1 
1 

ORDER  II.  —  Diseases  of  Eye. 

67.  Cataract            

68    Ophthalmia                                                      

1 

* 

ORDER  III.—  Diseases  of  Ear. 
73.  Earache  

74.  Inflammation  of  Internal  Ear  

75.  Deafness  

263 
1,409 
173 

35 

152 

107 
73 
774 
986 
730 

1,169 
26,  160 
3,893 
83,  665 
23 
406 
2,  591 
11,  055 
5,077 
1,051 
5,033 

11,  366 
27,  178 
150 
4,306 

6,134 

281 
375 
3,804 
344 
177 

76.  Otorrhcea  

1 
1 

6 

42 
15 
3 
1 

77.  Other  Diseases  of  this  Order  .... 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 
78.  Aneurism  

79.  Inflammation  of  Heart  

80.  Valvular  Disease  of  Heart  

* 
1 

81.  Dropsy  from  Heart  Disease  

82.  Dropsy  of  Pericardium  

83.  Inflammation  of  Pericardium  

84.   Inflammation  of  Endocardium  

85.   Inflammation  of  Veins  

86.  Varicose  Veins  

19 
33 
23 

33 

720 
33 
2,012 
1 
49 
83 
418 
169 
51 
140 

484 
1,262 

87.  Varicocele  

88.  Other  Diseases  of  this  Order  

1 

46 

11 
102 
36 
5 
5 
4 
34 
2,152 
84 
23 
234 

11 
5 
15 
34 

1 

2 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
89.  Asthma  

90.  Acute  Bronchitis    

91.  Chronic  Bronchitis  

1 
1 

92.  Catarrh  

93.  Dropsy  of  Chest  

94.  Haemorrhage  from  Nose  

95.  Inflammation  of  Larynx 

96.  Inflammation  of  Lungs  .  . 

9 

97.  Inflammation  of  Pleura  

98.  Haemorrhage  from  Lungs 

99.  Other  Diseases  of  this  Order  

ORDER  VI.—  Diseases  of  Digestive  Organs. 
100.  Colic  

101.  Constipation  

102.  Abdominal  Dropsy  

103.  Cholera  Morbus  

"42 

104.  Cirrhosis  of  Liver  
1  05.  Dropsy  from  Hepatic  Disease  

247 
* 

16 

92 
22 
20 

* 

107.  Diseases  of  Pancreas  
10H.  Diseases  of  Spleen  
109.  t  istula  in  Ano  

* 

111.  Prolapsus  Ani  

112.  Hzemorrhage  from  Stomach  

6 
3 

Carried  forward  

24,  309 

62 

756,  811 

13,  433 

—  

Spaces  marked  with  single  stars  indicate  tha',,  the  disease  or  injury  opposite  was  not  printed  on  the  blank  forms  of  sick  report 
Double  stars  opposite   "Other  Diseases  of  this  Order"  indicate  that  on  the  classification  of  the  sick  reports  used  during  the 


FROM    MAY,    1861,    TO    JUNE    30,    1866. 


639 


TABLE  C.— GENERAL  SUMMARY— Continued. 


Year  ending  June  30,  1863. 

Year  ending  June  30,  1861 

Year  ending  June  30,  1865. 

Year  ending  June  30,1866. 

TOTAL. 

614,325. 
45,  630. 

619,  703. 
55,  710. 

574,  022. 
71,  484. 

99  080. 
2,  817. 

431,  237. 
37,  038. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

53 

54 
55 
56 
57 
58 
59 
60 
61 
6J 
63 
64 
65 

66 
67 

68 
69 
70 

71 
72 

73 
74 
75 
76 

77 

78 
79 
80 
81 
82 
83 
84 
85 
86 
87 
88 

89 
90 
91 
92 
93 
94 
95 
96 
97 
98 
99 

100 
101 
102 
103 
104 
105 
106 
107 
108 
109 
HO 
111 
112 

1,169,476 

409 
2,652 
20,858 
852 
455 
306 
1,  009 
2,  057 
18,  941 

1,190 
1,221 
2,695 

523 
311 

21,  198 
630 
1,159 
1,283 

5,624 

1,627 
783 
2,  471 
219 

100 

1,2:27 
229 
119 
566 
264 
132 
3,413 
3,  604 
1,093 

3,  523 

60,  792 
9,651 

197 
1,032 
6,  085 
21,081 
10,  624 
2,  066 
17,856 

25,  111 

41,  875 

8,989 
109 
1,467 
13,  626 
41 
956 
897 
10,  209 

370 

32,  356 

266 
106 

1,019,717 

221 

2,270 
17,  039 
500 
306 
171 
257 
1,212 
14,  769 

640 
2,388 
1,056 

331 

150 

°1  77° 

24,  939 

179 

82 

964,  685 

175 
2,452 
18,  524 
432 
228 
132 
182 
1,110 
14,  981 

587 
2,168 
424 

296 
148 

* 

19,  184 
637 

2,708 
381 

1,439 
646 
2,164 
365 

50 

1,120 

199 
87 
185 
82 
62 
1,704 
1,105 
309 

2,182 
35,  Hi  5 
6,225 

161 
562 
3,568 
11,625 
7,  233 
1,178 
6,174 

18,  295 
36,  978 

5,161 
97 
1,  301 
7,  646 
17 
289 
547 
4,818 

125 

29,  120 

191 
96 

177,  632 

39 
410 
3  035 

3,572 

30 
9 

3,  864,  670 

1,045 
9,029 
66,  862 
2,410 
1,  232 
805 
1,479 
5,213 
58,774 
7,844 
2,837 
6,  617 
5,885 

1,371 
700 
8,904 
65,  739 
2,  263 
6,  236 
3,488 

7,908 
6,  192 
2,289 
8,738 
3,791 

249 
157 
3,778 
596 
294 
1,  319 
565 
343 
8,  258 
7,060 
2,487 

9,365 
163,  715 

26,  912 
85,  677 
508 
2  722 
17^  318 
61,202 
31,852 
5,745 
38,907 

75,  093 
145,  9GO 
150 
25,  215 
314 
3,937 
37,  514 
80 
1,977 
2,  536 
24,353 
366 
867 

100,  088 

790 
332 
1 
80 
1,269 
741 
235 
58 
18 

436 
210 

39 
12 

8 

97 
48 
134 

21 
368 
222 

54 
16 
4 

55 
73 

108 

22 
312 
184 
138 
24 
4 

46 
89 
116 

112 
42 
22 
31 
197 
2,291 

84 
350 
133 

71 
19 

3,585 
150 
377 
85 

286 
89 
470 

47 

19 

204 
27 
17 
38 
11 
9 
222 
115 
48 

302 
5,307 
807 

14 
99 
405 
921 
905 
163 
833 

2,869 
6,  G60 

1,368 
21 
134 
1,  269 
9 
27 
103 
546 
* 

'     27 

4 
50 
20 
4 
5 
1 

9 
32 
20 

231 
261 
426 

* 

* 

1 

* 

1 
1 

559 
1,854 
511 

450 
1,  331 
500 
2,375 
2  975 

* 

* 

1 

1 

2 

1 

4 

1 

58 
21 
610 
149 
99 
250 
109 
16 

1 
343 

75 
650 
529 
6 
82 
19 
234 
14,  738 
590 
209 
770 

77 
23 
15 
275 

291 
31 

20 

185 
48 
35 
90 
47 
6 
1 

43 

1,  227 
'l41 
71 
303 
94 
67 
2,  126 
1,  217 
284 

2,  156 
39,  921 
6,303 

112 
574 
4,586 
16,  102 
7,844 
1,  236 
8,871 

16,  973 
32,  007 

5,149 
87 
1,  035 
8,  592 
33 
422 
598 
4,884 

148 

15 

190 
41 
24' 
64 
24 
4 

16 

204 
49 
35 
51 
20 
3 

1 

31 
11 
5 

0 

3 

1 
GO 

18 
160 

159 

28 
7 
41 
3,  575 
152 
54 
148 

26 
6 

67 
8 
136 

7 

159 

29 
204 

189 

31 
3 
102 
4,  769 
166 
63 
225 

17 

7 

96 
4 
69 
11 

72 

15 
180 
134 

14 

4 

4,  055 
180 
61 
160 

16 
5 

56 
9 
59 
11 

5 

2 
4 
10 

4 
1 
5 

178 
8 
8 
3 

7 

22 
3 

27 

1 

12 
4 
16 

* 

9 

3 
1 
9 

10 

17 
11 
39 

5 

8 

G 

1 

1 

29 

1,  505,  253 

40,  352 

1,  256,  340 

31,590 

1,  188,  948 

35,  394 

213,  056 

4,099 

4,  944,  717 

124,930 

used  for  tho  your,  the  cases  being,  as  a  rule,  reported  under  the  head  of 
year  tho  order  did  not  exist. 


1  Other  Diseases  "  of  the  order  to  which  they  belong:. 


640 


SICKNESS    AND    MORTALITY    OF    WHITE    TEOOPS 


TABLE  C.— GENERAL  SUMMARY— Concluded. 


VTP  AT?                                                                                       

May  and  June,  1861. 

Tear  ending  June  30,  1862, 

41,  556. 

279,  371. 
9,  548. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Brought  forward 

24,  309 

430 
54 
29 
42 
68 
24 
3 
192 
187 

1 

1 

* 

23 
3 
1 

19 
3 
12 

A.8 
26 

4 

62 

756,  811 

11,  450 
2,  554 
1,154 
358 
2,079 
1,138 
10,  922 
5,784 
7,212 

93 

13,  433 

9 
35 

92 
68 
21 

40 
2 
46 

OKDEU  VI.—  Diseases  of  Digestive  Organs  —Continued. 

'       T11,,^                                                     f.     T>            .    ,1    , 

1  "o"   7        1  ' 

l'*l    Piles                                                              

ln°    Other  Diseases  of  this  Order        .-         

OKDEU  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

124    Diabetes                                                    

124 

932 
401 
170 
885 
303 
126 
336 
771 

125 
111 

111 
206 

5,289 
3  534 

10 
5 
1 
1 

* 

126.  Diseases  of  Prostate         

127    Diseases  of  Testis                                                               

131.  Difficulty  of  Urination  

132.  H  ydrocele  

135.  Other  Diseases  of  this  Order  

11 

OKDEU  VIII.  —  Diseases  of  Bones  and  Joints. 
136.  Anchylosis  

137.  Exostosis  •_  

138.  Caries  

3 

22 

178 
116 

78 
118 
62 
298 
27 

34 

184 
7 
1 

91 
24 
41 

134 
164 
157 
91 
23 
267 

* 

1 

139.  Inflammation  of  Joints  

140.  White  Swelling  

141.  Inflammation  of  Bones  

* 

142.  Inflammation  of  Periosteum  

143.  Necrosis  

144.  Other  Diseases  of  this  Order  

8 

OKDEU  IX.  —  Diseases  of  Integumentary  System. 
145.  Abscess  

146.  Boils  

147.  Carbuncle  

1,  187  ' 
4,083 
1,  297 
5,148 
1,567 

996 
6,889 
144 
60 

3,150 

637 
1,  2<1<; 

17,  498 
4,  052 
5,248 
1,  386 
293 
3,254 

1 
5 

148.  Ulcers  

149.  Whitlow  

150.  Skin  Diseases  

2 

151.  Other  Diseases  of  this  Order     .  . 

CLASS    V.—  WOUNDS,    ACCIDENTS,    AND    INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
152.  Burns  

2 
23 

19 
17 

153.  Contusions  

154.  Concussion  of  Brain  

155.  Compression  of  Brain 

l.><3.  Drowning  

* 

157.  Sprains  

158.  Dislocation  

159.  Fractures  

o 
40 

51 

4,479 
15 

112 

OQ 

19 
97 

* 
42 

433 

160.  Simple  Fractures  

161.  Compound  Fractures  ... 

162.  Gunshot  Wound? 

163.  Incised  Wounds.... 

lf>4.   Lacerated  Wounds  

1 

165.  Punctured  Wounds 

166.  Poisoning.  .  . 

167.  Other  Accidents  and  Injuries  .  . 

1 
* 

1 
* 

11 

168.  ORDER  II.—  Homicide  . 

169.  ORDER  HI.—  Suicide 

170.  ORDER  IV.  —  Execution  of  Sentence 

138 

7,049 

171.  UNCLASSIFIED  DISEASES  

Total  

27,  717 

118 

878,  163 

19,  159 

Spaces  marked  with  single  st 
Double  stars  opposite   "  Ott 


stars  indicate  that  the  disease  or  injury  opposite  was  not  printed  on  the  blank  forms  of  sick  repo 
her  Diseases  of  this  Order"  indicate  that  on  the  classification  of  the  sick  rerjorts  used  during  tt 


irt 
ig  the 


FROM    MAY,    1861,    TO    JUNE    30,    18G6. 


641 


TABLE  C.— GENERAL  SUMMARY— Concluded. 


Year  ending  June  30,  1863. 

Year  ending  June  30,1861 

Year  ending  June  30,  1865. 

Year  ending  June  30,1866. 

TOTAL. 

61  4,  325. 
45,  630. 

619,703. 
55,  710. 

574,  022. 
71,  484. 

99,  080. 
2,  817. 

431,  237. 
37,  038. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

113 
114 
115 
116 
117 
118 
119 
120 
121 
122 

123 

12-1 

126 
127 
128 
129 
130 
131 
132 
133 
134 
135 

136 
137 
138 
13!) 
140 
ML 
142 
143 
144 

145 
140 
147 
J48 
14!) 
150 
151 

153 
154 
155 
150 
157 
158 
15!l 
160 
161 
16  J 
163 
164 
165 
166 
167 

168 
160 
170 
171 

1,  505,  253 

745 
18,183 
3,  901 
2,  233 
45'.) 
4,141 
3,  702 
32,  154 
20,  444 
6,  572 

877 
445 
505 
128 
892 
3,715 
1,184 
1,289 

531 
2,  008 

354 

237 
1,244 

92 
443 
488 

278 

14,737 
15,  237 

3,  442 
8,  193 

2,714 
11,  133 
21)5 

40,  352 

44 
40 
171 
280 
159 
82 
65 
119 
19 
138 

6 
18 

37 
1 
3 
55 
16 
1 

1 

19 

1,  256,  340 

565 
15,606 

1,  483 
1,  073 
234 
2,248 
1,  658 
9,  057 
14,  720 
1,  919 

702 
227 
381 
74 
605 
2,  191 
671. 
971 

296 
395 

205 

338 

867 

88 
355 
242 
155 

14,  688 
26  301 

31,  590 

45 
30 
132 
237 
124 
65 
66 
67 
4 
43 

1 
8 
35 
.    1 

1,  188,  948 

446 
12,  229 
1,388 
1,  035 
156 
2  262 
]  ,'  471 
17,  007 
14,  453 
1,500 

842 
251 
479 
30 
401 
2,  295 
547 
1  064 

35,  394 

56 
14 
126 
288 
151 
64 
40 
94 
5 
53 

o 
10 

40 

213,  036 

80 
2,  013 
223 
178 
45 

267 
2,  548 
2,152 
320 

128 
37 
38 
4 
69 
308 
115 
158 

40 
107 

23 

24 

141 

18 
42 
43 
23 

1,957 

4,099 

9 
4 
25 
43 
28 
11 
9 
21 

4,  944,  717 

1,836 
59,911 
9,  603 
5,702 
1,  2'J4 
11,  120 
8,260 
71,  691 
57,  745 
17,  710 

2,643 
1,085 
1,  403 
236 
1,  967 
9,  464 
2  021 
3^  653 

s;o4 

1,  467 
138 
364 
3,630 

94<) 
111 
776 
2,  032- 
114 
282 
1,  155 
1,  205 
555 

47,  246 
78,  203 
7,  5(iO 
4,  201 
15,  346 
35,  667 
1,594 

9,  894 
48,  439 
917 
61 

124,  930 

154 
97 
489 
940 
530 
243 
203 
341 
30 
288 

11 
39 
114 

0 

4 
154 
36 
2 
1 
5 

8 

2 

1 

1 
37 

7 

45 
5 

7 
3 

1 

18 

294 
233 

238 

177 
680 

84 
315 
204 
99 

10,  397 
27  461 

3 

9 

* 

5 

62 

o 
4 

1 
3 

4 
3 

63 

3 

0 

3 
4 

42 

1 
1 

* 

6 
7 
I 
3 
8 
11 
11 

180 

* 

4 
61 

1 

fi 

3 

1,  842 
4  443 

3 

1,886 

4,890 
11,049 

2,800 
12,  972 
193 

2 

341 

1,212 
2,  479 

407 
4,116 
44 

* 

11 

r 

(i 

24 
35 

6:3 

124 

8,  500 

2,  853 
13,  145 
2:!4 

11 

42 
67 
60 

260 

1 

4 
10 
12 

64 

20 

26 
36 

52 

288 

98 
171 
205 
17 
736 
3 
11 
53 
64 
3!>3 
32,  007 
199 
460 
211 
117 
1,063 

144 
301 
104 
449 

10  183 

12,262 
680 

1,343 

585 
06,  970 
5,  68!) 
2,  234 
1,334 
853 
2  569 

1 
1 

14 
174 
9,  238 
53 
36 
30 
31 
263 

43 
59 

12,  701 
633 

1,181 
454 
57,122 
5,  887 
1,  941 
1,031 
3,034 
3,  1  51 

2  654 

41,041 
3,  OSO 
1,  287 
4,  608 
1,  372 
230,0)8 
22,  778 
14,  740 
5,  63!) 
3,  288 
13,  765 

925 

1,691 

277 
57,  395 
5,  652 
4,  573 
1,  643 
884 
3,858 

3 

35 
135 
8,  773 
73 
269 
110 
24 
357 

26 

5 

69 

10,  201 
45 
41 
o;j 

10 
285 

45 
76 
44 

178 

303 
56 

8!  19 
1,  334 
567 
354 
201 
66(i 

3 
15 

176 
13 
1 
20 
4 
60 

30 
31 

1 

. 

02 

13 

47; 

* 

* 

* 

* 

7,187 

1,757,645 

51,870 

1,510,000 

42,  969 

1,406,001 

47,  772 

245,  954 

4,  735                5,  f-25,  480 

166,  623 

used  for  the  year,  the  enses  boiiifr,  as  a  rule,  reported  under  the  head  of  "Other  Diseases"  of  (he  order  to  which  they  belong, 
year  the  order  did  nut  exist. 


DISCHARGES   OF  WHITE   TROOPS 


ON 


DISCHARGES    OF   WHITE    TROOPS,  ETC.  645 


DISCHARGES  OF  WHITE  TROOPS  ON  SURGEON'S  CERTIFICATE  OF 

DISABILITY, 


Table  01  presents  a  summary  view  of  the  causes  of  the  discharges  from  the  service 
on  surgeon's  certificate  of  disability  during  the  war.  It  has  been  drawn  from  the  lists 
of  names  on  the  monthly  sick  reports,  and  it  has  been  thought  that  the  facts  would  be 
best  expressed  by  modifying  somewhat  the  tabular  form  employed  in  Table  C  and  pre 
viously.  The  reasons  for  this  change  are  given  in  full  on  the  remarks  introductory  to  this 
volume. 


0*46 


DISCHARGES    OF    WHITE    TROOPS 


TABLE  CL 

Discharges  of  White  Troops  on  /Surgeons  Certificate  of  Disability. 


YEAR                                     ) 

MAY  AND 
JUNE,  1861. 

YEAR  END 
ING  JUNE 

30,  1862. 

YEAR  END 
ING  JUNE 
30,  1863. 

YEAR  END 
ING  JUNE 
30,  1864. 

YEAR  END 
ING  JUNE 
30,  1865. 

YEAR  END 
ING  JUNE 
30,  1866. 

TOTAL. 

CLASS    1.—  ZYMOTIC    DISEASES. 

OUDEK  I.  —  Miasmatic  Diseases. 

15 

ft 

12 
16 
6 

4 
1 
6 

258 
70 
56 
865 
118 
17 

81 
4 
3,139 
12 

399 
9 
49 
60 
1 

7 
4 
20 

4 
3,565 
42 
237 
5 
6 
40 
41 

3,161 
177 

496 
227 
181 
8,267 
677 
133 
15 
30 
10 
7,737 

61 
29 
83 
3,795 
183 
49 
2 
13 
9 
1,691 

59 
35 
114 
2,443 
163 
20 
9 
13 
1 
1,542 

246 
11 
24 
31 

20 
7 
34 
799 
57 
6 
3 
1 

909 
373 
480 
16,  185 
1,204 
228 
55 
144 
24 
14,  500 
15 

1,779 
41 
302 
241 
4 

171 
18 
131 

109 
13,779 
347 
2,224 
61 
39 
210 
202 

20,  403 

907 

6 

23 
191 
3,872 
42 
819 
35 
31 
£61 

8.  Measles  J  

9    Diphtheria 

]0   Debility                                                         

2 
1 

24 
6 
2 
3 

389 

ORDER  II.  —  Entketic  Diseases. 
12.  Syphilis                                

667 
8 
189 
104 
3 

47 
4 
41 

73 
5,344 
152 
1,306 

27 
97 
103 

9,984 

448 

3 

15 
76 
1,621 
25 
432 

339 
4 
29 
31 

104 
3 

9 

12 

13.  Gonorrhoea  

14.  Orchitis  

15.  Stricture  of  the  Urethra  

16.  Other  Diseases  of  this  Order  

ORDER  III.  —  Dietic  Diseases. 
17.  Scurvy  

7 
7 
37 

19 
1,460 
72 
327 
14 
3 
24 
34 

4,206 
127 

2 

0 

35 
752 
4 
66 

57 
1 

24 

12 
1,  023 

48 
296 
17 
2 
42 
14 

2,575 
130 

1 

4 
58 
707 
1 
56 

53 
1 

7 

1 
296 
32 
52 
3 

1 

o 

19.  Alcoholism  

CLASS  II.—  CONSTITUTIONAL   DISEASES. 
ORDER  I.  —  Diathetic  Diseases. 
20.  Gout  

21.  Rheumatism  

71 
1 
6 

22.  Anaemia  

23.  Dropsy  

24.  Cancer  

23.  Marasmus  

1 

26.  Tumors  

7 
8 

394 
23 

27.  Other  Diseases  of  this  Order  

o 

83 
2 

ORDER  II.—  Tubercular  Diseases. 
28.  Consumption  

23.  Scrofula  

CLASS    III.  —  PARASITIC    DISEASES. 
30.  Tape-worm  

CLASS    IV.  —  LOCAL    DISEASES. 

ORDKR  I.—  Diseases  of  Nervous  System. 
31.  Apoplexy  

1 

18 
669 
8 
246 
25 
8 
39 

1 
4 
82 
4 
13 

32.  Chorea  

33.  Epilepsy  

41 

34.  Headache  

3,).  Insanity  

6 
10 
2 

8 

36.  Inflammation  of  Brain  

37.  Nostalgia  

15 
149 

4 
39 

o 
18 

38.  Neuralgia  

8 

Carried  forward  

339 

13,506 

38,  727 

13,559 

9,801 

2,433 

1 

78,  365 

ON   SUEGEON'S    CERTIFICATE    OF    DISABILITY. 


647 


TABLE  CL— DISCHAEGES  OF  WHITE  TROOPS,  ETC.— Continued. 


YEAR                        < 

MAY  AND 

YEAR  END- 

YEAR  END- 

YEAR  END- 

YEAR  END- 

YEAR  END- 

JUNE,  1861. 

30,  1802. 

SO,  18C3. 

SO,  1804. 

30,  1805. 

30,  1800. 

339 

13,  506 

38  727 

13  559 

9  801 

2  433 

78  305 

ORDER  I.  —  Diseases  of  Nervous  System  —  Continued. 
39    Paralysis                   

6 

252 

1,386 

492 

618 

84 

2  838 

40    Sun-stroke 

1 

129 

25 

55 

11 

24° 

5 

193 

278 

225 

202 

35 

938 

ORDER  II.  —  Diseases  of  Eye. 

2 

109 

105 

109 

89 

13 

517 

43    Cataract           

63 

64 

58 

13 

198 

11 

139 

477 

244 

46° 

130 

1  403 

45.  Night  Blindness  

8 

5 

3 

10 

2 

281 

1  032 

250 

3°4 

83 

1  97° 

ORDER  III.—  .Diseases  of  Ear. 

3 

3 

6 

22 

g 

30 

14 

260 

461 

196 

193 

33 

1  157 

3 

1 

11 

10 

17 

7 

49 

51.  Oilier  Diseases  of  this  Order  

o 

55 

376 

4 

439 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 
52.  Aneurism  

13 

16 

4 

33 

53.  Heart  Disease  
54.  Inflammation  of  Pericardium  

17 

824 

6,370 

2,192 

41 

1,111 
32 

122 

10,  636 

78 

55.  Inflammation  of  Endocardium  

106 

37 

o 

145 

" 

299 

1  164 

219 

239 

41 

1  969 

9 

287 

946 

64 

56 

"8 

1  390 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
58.  Aphonia  

4° 

276 

110 

116 

24 

568 

7 

°44 

617 

174 

150 

28 

1  °°0 

GO.  Bronchitis  

°7 

803 

1  837 

497 

456 

109 

3  7°9 

<n  .  Dropsy  of  Chest  

19 

1 

5 

3 

02.  Haemorrhage  from  Xose  

1 

2° 

23 

03.  Inflammation  of  Larynx  

o 

07 

86 

24 

00 

3 

164 

26 

253 

617 

83 

1  09° 

65.  Inflammation  of  Pleura  

G 

97 

29° 

54 

38 

g 

4ri5 

14 

151 

307 

67 

oo 

634 

07.  Other  Diseases  pf  this  Order  

5 

147 

44° 

100 

79 

16 

789 

ORDER  VI.  —  Diseases  of  the  Digestive  Organs. 
68.  Colic  

3 

1 

1 

4 

9 

69.  Constipation  

o 

11 

13 

70.  Cirrhosis  of  Liver  

3 

9 

71.  Dyspepsia  

09 

23° 

64 

115 

15 

495 

72.  Diseases  of  Spleen  

13 

132 

11 

14 

1 

171 

73.  Fistula  in  A  no  

o 

62 

220 

80 

81 

404 

54 

2  300 

4  934 

509 

002 

213 

0  002 

75.  Loss  of  Teeth  

1 

37 

31 

42 

(i 

117 

70.  Prolapsus  Ani  

0 

38 

108 

40 

50 

12 

325 

77.  Haemorrhage  from  Stomach  

2 

78.  Inflammation  of  Tonsils  

1 

14 

1 

1  • 

0 

19 

79.  Inflammation  of  Stomach  

3 

37 

181 

76 

48 

350 

80.  Inflammation  of  1  Jewels  

4 

I'M 

14 

16 

3 

182 

81.  Inflammation  of  Peritoneum  

14 

39 

25 

16 

8 

102 

82.  Inflammation  of  Liver  

0 

no 

7°9 

259 

171 

57 

1,354 

P3.  Jaundice  

17 

4° 

1 

1 

1 

84.  Piles  

7 

°lr> 

QOf) 

1(!4 

208 

1,555 

Carried  fomard  

586 

20  07') 

63  008 

20,  342 

16,019 

3  053 

125,487 

I 

G48 


DISCHARGES    OF   WHITE    TROOPS,   ETC. 


TABLE  CL—  DISCHARGES  OF  WHITE  TROOPS,  ETC.— Concluded. 


YEAR                       < 

MAT  AND 
JUNE,  1861. 

YEAR  END 
ING  JUNE 
30,  1862. 

YEAR  END 
ING  JUNE 

30,  1863. 

YEAR  END 
ING  JUNE 

30,  1864. 

YEAR  END 
ING  JUNE 

30,  1865. 

YEAR  END 
ING  JUNE 

30,  1866. 

TOTAL. 

586 
3 

20,  979 
26 

8 
13 
33 

63,  908 
192 

62 
80 
154 
6 
120 
633 
128 
113 
36 
381 

770 
113 
121 
211 
58 
1,099 
343 
543 

110 
367 
68 
5 

14 
44 
266 
194 
975 
11,810 
986 
81 
265 
6 
2,500 
18 

114 
69 
411 
142 
1,138 
67 
14 

15,037 

20,342 
75 

8 
37 
57 

16,  019 
46 

5 
18 
35 
1 
31 
116 

A.8 

21 
28 
65 

525 

40 
19 
70 
18 
123 
179 
110 

60 
253 
16 
1 

8 
24 
44 
107 
384 
13,  220 
2,810 
3 

3,653 
11 

6 
10 
9 
1 
3 
21 
o 

6 
5 
17 

75 
8 
3 
9 
1 
16 
2J 
13 

17 
27 
4 

125,  487 
353 

89 
159 
289 
8 
194 
1,069 
198 
235 
84 
727 

1,838 
217 
188 
464 
109 
1,  547 
836 
909 

283 
1,138 
143 
20 

30 
102 
445 
555 
2,138 
33,  458 
5,  832 
142 
423 
9 
4,878 
362 

323 
119 

883 
425 
2,  598 
71 
20 

25,915. 

OlU>Elt  VI.  —  Diseases  of  Digestive  Organs—  Continued. 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 
86    Gravel                                            

1 
1 

7 
112 
5 
36 

33 

180 
34 
58 
14 
99 

267 
28 
23 
78 
9 
270 
1J5 
138 

48 
207 
18 
1 

4 
11 
58 
121 
343 
3,889 
1,041 
15 
35 
1 
949 
10 

76 
17 
98 
99 
689 

7 
1 
1 

1 

2 
3 

163 

199 

22 
93 
20 
39 
161 
101 

39 

268 
35 

12 

3 

10 
57 
103 
277 
825 
85 
37 
72 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

98   Exostosis 

3 
3 

9 

4 

9 
16 

1 

ORDER  IX.  —  Diseases  of  Integumentary  System. 

105.  Ulcers  - 

107.  Other  Diseases  of  this  Order  

CLASS    V.     WOUNDS,   ACCIDENTS,   AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
108.  Burns  and  Scalds  

1 
13 

19 
21 
146 
3,698 

905 

11 

109.  Frost  Bite  

110.  Sprains  

1 
9 
13 
16 
5 
4 
8 

111.  Dislocations  

112.  Fractures  

113.  Gunshot  Wounds  

1  14.  Amputations  

115.  Incised  Wounds  

116.  Contused  and  Lacerated  Wounds.. 

117.  Punctured  Wounds  

118.  Wounds  unspecified  ..  - 

179 

289 

9 

238 
128 
274 
4 

1,016 

94 
21 
110 

432 

234 

7 

14 
3 

19 
4 
65 

119.  Other  Accidents  and  Injuries 

17 

CLASS  VI.  —  DEVELOPMENTAL   DISEASES. 

m  Atrophy  
121.  Hvpertrophv  

122.  Deformities  -.  

7 

1  23.  Under  Ape  

124.  Old  A^e  « 

1  25.  Feebleness  .  . 

126.  Stammering  

3 

4,  289 

1 

2,  433 

370 

127.  UNCLASSIFIED  AND  CAUSE  NOT  STATED  
Total  

171 

3,  609 

908 

28,  620 

103,  772 

33,  887 

38,  645 

9,  480             215,  312 

! 

,  

II. -COLORED   TROOPS. 


SICKNESS  AND  MORTALITY  OF  COLORED  TROOPS. 


82 


SICKNESS,   ETC.,    DURING   THE   YEAK   ENDING   JUNE  30,  1864.  651 


The  monthly  reports  of  sick  and  wounded  from  such  colored  troops  as  were  mustered 
into  service  prior  to  July  1,  1863,  are  too  few  and  fragmentary  to  serve  as  the  basis  of  a 
table.  Those  received  during  the  year  ending  June  30,  1864,  are  here  presented  consoli 
dated  into  three  statistical  tables;  one  for  the  Atlantic  Region,  one  for  the  Central 
Region,  and  a  consolidated  table  embracing  both  regions.  There  were  no  colored  troops 
in  the  Pacific  Region.  These  tables  present  the  strength  and  diseases  of  the  colored  men 
of  the  organizations  represented  in  the  reports.  The  white  officers  are  not  included. 

1.  ATLANTIC  REGION — TABLE  OIL 

The  colored  troops  represented  by  this  table  were  chiefly  stationed  in  the  Department 
of  Virginia  and  ^North  Carolina  and  the  Department  of  the  South. 

2.  CENTRAL  REGION — TABLE  GUI. 

The  colored  troops  represented  by  this  table  were  chiefly  stationed  in  the  Department 
of  the  Tennessee  and  in  the  Department  of  the  Gulf,  the  majority  of  them  reporting  from 
stations  along  the  Mississippi  river. 

3.  CONSOLIDATED  TABLE  FOE,  THE  UNITED  STATES — TABLE  CIV. 
This  table  is  prepared  by  consolidating  Tables  CII  and  CIII. 


652 


SICKNESS   AND    MORTALITY    OF    COLOEED    TEOOPS 


TABLE  On. 

Abstract  of  the  Sickness  and  Mortality 


YEAE  

1863. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

2,  250. 

4,587. 

6,  217. 

9,  035. 

10,  498. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS  1.—  ZYMOTIC    DISEASES. 

OEDER  I.  —  Miasmatic  Diseases. 

3 

31 

9 

37 
12 
45 

16 
1 
3 

35 

13 

36 

8 

47 

3 

43 

4 

33 

3 

4   Y^ri  °  p8  3 

. 

51 

59 
100 
81 

C8 
174 
231 
1 
1 
979 
13 
139 
3 
1 
7 
11 

59 
342 
161 
17 
4 
747 
41 
96 
15 
1 
9 
36 

1 

o 

45 

194 
225 

52 

6.  Quotidian 

11 

1 

'     er  a                . 

8 

7uar  a  .      *;          . 

2 

2 
2 
5 
2 
1 

3 

2 
9 

Ifl'  A°D*t  ^U^  r  -hoe- 

140 

883 

g 

593 
22 

87 
4 
8 
26 
23 

3 

8 
1 
1 

52 

110 

3 

'     ^      .    *            y 

1 
1 
4 

3 

J 

„  J    P                      . 

2 

1 

P 

26 

1 

6 

28 
29 
150 
63 

1 

G2 

13 

31 
5 
97 

16 
20 

57 

1 

56 

71 

31 

28 

130 
53 

55 
43 

35 

3 

13 
5 

ORDER  II.  —  Enthetic  Diseases. 
22    Syphilis 

50 
41 
4 

1 

24    Orchitis 

6 
5 

6 

1 

26    Purulent  Ophthalmia 

1 

1 
34 

1 
23 

ORDEH  III.  —  Dietic  Diseases. 
29.  Scurvy 

21 

1 

2 

16 

30.  Purpura 

3 

34.  Other  Diseases  of  this  Order 

o 

CLASS  II.—  CONSTITUTIONAL   DISEASES. 

OKDER  l.—Diathetic  Diseases. 
35.  Gout  .  . 

36.  Acute  Rheumatism  . 

20 

8 
11 

145 
21 
4 

253 

233 

175 

100 
20 

37.  Chronic  Rheumatism  

26 

88 
38 

0 

38.  Anosmia  

1 

3 

39.  Cancer  

40.  Tumors  

2 
2 

1 
4 

1 

9 
9 

41.  Other  Diseases  of  this  Order 

3 

7 

6 

15 

1 

7 

5 

12 

ORDER  II.—  Tubercular  Diseases. 
42.  Consumption  

1 

3 

1 
1 

43.  Scrofula  

44.  Other  Diseases  of  this  Order  

CLASS  III.—  PARASITIC    DISEASES. 
45.  Itch  

1 

16 

47.  Other  Intestinal  Worms  

14 

48.  Other  Diseases  of  this  Order 

Carried  forward  

428 

4 

1,717 

20 

2,329 

36 

2,408 

43 

2,009 

30 

1 

DURING    THE    YEAR   ENDING   JUNE    30,   18C4. 


653 


TABLE  Oil. 

of  Colored  Troops  in  the  Atlantic  Region. 


1863. 

1804. 

DECEMIJEU. 

JANUARY.           FEBUUAKY. 

MAUCII. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

12,  584. 

16,  323.                    19,  270. 

10,  718. 

22,  957. 

22,  165. 

24,781. 

13,  449. 

Cases. 

Deaths. 

Cases. 

Deaths.     Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.      Deaths. 

1 
o 

3 

4 
5 

C 
7 
8 
9 
10 
11 
12 
13 
14 
15 
l(i 
17 
18 
19 
20 
21 

23 
24 
25 

07 

29 
30 
31 

33 
34 

35 
36 

37 
38 
39 
40 
41 

42 

43 
44 

45 
46 

47 
48 

2G 

7 

43 

66 

13 
1 

12 

27 
6 
64 

12 
1 
16 

30 
11 

42 

11 
4 
2 

26 
1 
31 

14 
1 

25 
6 
102 
98 
294 
196 
209 
13 
9 
1,615 
60 
323 
15 
22 
42 
106 

9 
1 
7 
11 
3 

53 

26 

10 
1 
8 
1 

372 
38 
628 
132 
1,453 
2,478 
1,734 
72 
208 
9,420 
348 
1,715 
68 
152 
457 
1,374 

138 
11 
65 
12 
29 
3 
1 

49 

5 

106 
34 
332 
358 
214 
20 
14 
2,021 
86 
421 
19 
19 
29 
29 

51 
181) 
121 
1 
87 
394 
18 
63 
6 

32 
252 

81 
182 

176 
235 
110 
3 
17 
395 
38 
46 
1 
9 
104 
179 

3 

111 
235 

13 

126 

OO]^ 

1 

105 

130 
1 
32 
633 
33 
115 
2 
15 

136 

7 
8 
661 
17 
192 

1 
36 

359 
20 
68 

21 
61 
199 

1 
6 
4 

1 
1 
1 
14 

9 
1 
4 

6 

12 
3 
8 
1 

1 

2 
5 
5 
5 
2 
1 
11 

4 
1 
3 
8 
5 
1 
7 

64 
£0 
50 

13 
6 
69 
43 

1 

1 
9 

7 

32 

79 
262 

0 

8 
10 

20 
4 

64 
243 

10 

7 

3 

52 
23G 
26 

35 
30 

7 

6 
455 
150 
166 

82 
85 
11 
3 
2 

1 

306 
124 

4 
109 
31 
52 

35 
52 

3 

87 
31 
92 

30 
28 
15 

1 

57 
1,697 
1,166 

918 

486 
553 
130 
20 
12 

2 

1 
1 
11 

3 

135 

134 

174 

33 

61 
6 

361 
113 
32 

1 
1 

1 

2 
o 

57 

45 
68 
39 
4 
5 

2 

5 

71 
84 
13 

18 
4 
1 

3 

j 

1 

4 

6 

147 

2 

8 

1 

27 

15 

3 

0 

2 

5 

2 

o 

276 
107 
27 

220 
142 
13 
1 
1 
15 

1 

196 
162 

181 
167 

1 

147 
171 
54 

1 

179 
99 

18 

173 
131 
35 

1 
1 

2,  198 
1,222 
281 
14 
10 
57 

140 

281 

4 
1 
5 
1 
1 
4 

77 
2 

1 

37 

24 
10 

1 

1 
3 
4 

28 
35 

3 
1 

12 
26 

1 

4              2 

13            15 
45 

19 
50 

1 

•    10 

27 

1 
8 

0 

19 
20 

6 
1 

18 
22 

9 

8 

14 

12 

7 

12 
15 

18 

0 

44 

30 
5 

32 

26 
1 
2 

186 

0 

43 

1 
5 

2,102 

72 

2,252 

68 

2,  568             82 

3,162 

85 

2,  907 

52 

3,843 

76 

4,499 

97 

30,  284 

665 

654 


SICKNESS   AND    MORTALITY    OF    COLOEED    TEOOPS 


TABLE  CIL— ATLANTIC  REGION— Continued. 


YEAlt  

18(33. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

2,  250. 

4,  587. 

6,  217. 

9,035. 

10,498. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

428 

4 

1,717 

20 

2,329 

36 

2,408 

1 
24 
61 
1 
2 

43 
1 

2,009 

1 
9 
105 
o 

30 
1 

CLASS    IV.  -LOCAL    DISEASES. 

ORDER  I.  —  Diseases  of  Nervous  System. 

5 
87 

14 
135 
3 

17 

1 

1 

1 

1 

o 
5 

21 

1 

3 

48 
1 

5 
°3 

2 

13 
2 
1 
1 

1 

3 

1 

5 

OltDEil  II.  —  Diseases  of  Eye. 

1 

24 

63.  Inflammation  of  Conjunctiva  

9 

19 

46 

32 

4 
1 

1 

o 

3 

0 

1 

ORDER  III.  —  Diseases  of  Ear. 

2 

1 
1 

o 

69    Otorrhcea 

9 

1 

3 

19 

6 
6 

10 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

72.  Valvular  Disease  of  Heart  

1 

2 

4 

1 

9 
1 

1 

73.  Dropsy  from  Heart  Disease  
74.  Dropsy  of  Pericardium 

1 

1 

1 

76.  Inflammation  of  Endocardium  

77.  Inflammation  of  Veins 

78.  Varicose  Veins  

o 

o 

3 
1 

7 

79.  Varicocele  

0 

_ 

80.  Other  Diseases  of  this  Order  

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
81.  Asthma 

1 

16 
8 

1 

44 

16 
147 

7 

9 

329 
22 

8 
218 
10 

82.  Acute  Bronchitis  

1 

2 

1 

83.  Chronic  Bronchitis  

84.  Dropsy  of  Chest  

85.  Haemorrhage  from  Nose 

86.  Inflammation  of  Larynx 

1 
13 

12 

2 
29 
35 

40 
44 
27 

°4 

87.  Inflammation  of  Lung's 

2 
3 

1 

7 

11 

2 

27 
2 

79 

88 
151 

1 

8 

88.  Inflammation  of  Pleura  

89.  Haemorrhage  from  Lungs  

1 
4 

7 
44 
10 

1 

80 

73 
9° 

3 

106 

154 

1 

90.  Other  Diseases  of  this  Order.   . 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
91.  Colic  

133 
161 
3 

92.  Constipation  

145 

7 

93.  Cholera  Morbus  

8 

94.  Cirrhosis  of  Liver  

9j.  Dropsy  from  Hepatic  Disease  

3 

9 

1 

1 
14 

%.  Dyspepsia  

6 

97.  Diseases  of  Pancreas  

i     

98.  Diseases  of  Spleen  

99.  Fistula  in  Ano  

100.  Hernia  

9 

8 

11 

4 

18 

101.  litemorrhagc  from  Stomach  

Carried  forward  

566 

5 

2,204 

21 

3,310 

44 

3,393 

C3 

2,931 

43 

DURING   THE    YEAK   ENDING   JUNE   30,    1864. 


655 


TABLE  CIL— ATLANTIC  KEGION— Continued. 


1863. 

1864. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

12,  584. 

16,  323. 

19,270. 

10,  718. 

22,  957. 

22,  165. 

24,  781. 

13.  449. 

49 
50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 

61 
62 
63 
64 
05 
66 

67 
68 
69 
70 

71 
72 
73 
74 
75 
76 
77 
78 
79 
80 

81 
82 
83 
84 
85 
86 
87 
88 
89 
90 

91 

92 
93 

94 
95 
96 

97 
98 
99 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Death?. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

2,  162 

1 
11 
113 
1 

72 
2 

2,252 

68 

2,568 

82 
1 

3,162 

1 
11 
430 
7 

85 

1 
1 

2,907 

52 

3,843 

1 

7 
291 

76 
1 

4,499 

3 

6 
225 

97 

30,  284 

8 
120 
2,161 
25 
11 
3 
5 
52 
454 
17 
36 
30 

14 
19 
463 
11 
77 

665 

7 
2 

9 
167 
2 
1 

13 

186 
2 

11 
344 
2 
2 

1 

1 

1 
1 

4 
4 
1 

1 
14 
4 
6 

2 
1 
1 

1 

2 

1 

3 

3 

4 
1 
1 

2 

I 
2 
55 
3 

1 
1 
51 
3 

1 

4 
33 
3 

5 

60 

11 
44 
2 
6 

16 
51 

53 

2 

2 

2 
29 
8 

4 

4 

2 

3 
1 

3 

2 
5 

57 
1 
8 
2 

o 

6 

1 

3 

1 

6 

4 
61 

4 
53 
1 
18 

' 

1 

1 

19 

27 

91 

2 
2 

7 
2 

1 
3 
16 
11 

28 

3 

6 
2 

8 
9 

9 

15 
16 
85 
166 

1 

2 

. 

1 
3 
3 

2 

2 

12 
32 

3 

18 
2 

4 

28 

11 

25 

2 
1 
1 

2 

;; 

3 
3 
5 

1 
1 

4 

5 

3 

7 

4 

1 
3 
1 

6 

1 

44 
6 
4 
5 
6 
1 
43 
27 

1 
1 
1 

I 

o 

3 

1 

1 

2 

1 

1 
1 

4 

1 

1 
5 

2 
1 

6 
493 
30 

1 

o 

6 
3 

6 
2 

3 

6 

7 
6 

1 

1 

74 
3,081 
310 
o 

71 
271 
1,510 
710 
42 
582 

1,248 

1 

6 
298 
7 
1 
2 
30 
95 
61 
o 

120 

75 
100 
1 

6 
459 

47 

3 

287 
85 

8 
138 
9 

10 
155 
14 

o 

497 
71 
1 
4 
14 
262 
99 
6 
86 

65 

2 
1 

23 
3 

5 

o 

1 

1 

1 
1 

1 
1 

36 
9 
3 
1 
6 
353 

"! 

o 

1 

10 
30 
307 
140 
9 
20 

124 
194 
4 

12 

3 

224 
89 
5 

28 

115 

27 

13 

1 

77 

74 
265 
82 
4 
44 

105 

5 

62 
o 

1 
1 

15 
97 
55 
4 
8 

158 

12 

47 
3 

64 
6 
1 

35 
1 

100 
80 
5 

7 

151 

29 

1 

1 

1 

128 
21 

409 
5 

321 
9 

128 
15 

252 

2,125 

31 

115 

2 
31 

4 

18 

o 
17 

3 

7 
28 

3 

8 
53 

1 

27 
236 

8 

17 

19 

11  

r 

3 

14 

8 
20 

2 

21 

0 

20 

215 

100 
101 

1 

16 

2(> 

17 

30 

1 

1 

3,229 

91 

3,  880 

122 

4,314 

170 

5,363 

192 

4,691 

143 

5,027 

126       5,954 

142          44,802     :   1,  162 

656 


SICKNESS   AND    MORTALITY    OF    COLOEED    TROOPS 


TABLE  CIL— ATLANTIC  REGION— Concluded. 


YEAU  

1863. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

2,  250. 

4,587. 

6,  217. 

9,035. 

10,  498. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

566 

5 

2,204 

21 

3,310 

44 

3,  393 

63 

2,931 

1 
35 
2 

43 
1 

ORDER  VI.  —  Diseases  of  Digestive  Organs—  Continued. 

t         f  T 

8 

27 
5 

12 

81 

1 

4 

1 

3 

2 

1 

1 
5 

1 

21 

15 

29 

11 
21 

110   Piles                                                                 

14 
38 

15 

18 

3 

6 

1 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

113.  Diabetes  

4 

2 

1 

114.  Bright's  Disease  

115.  Diseases  of  Prostate  

116.  Diseases  of  Testis  

0 

5 

1  17.  Inflammation  of  Kidneys  

10 

1 
1 

7 

5 
1 
4 

118.  Inflammation  of  Bladder  

119.  Incontinence  of  Urine  

2 

1 

120.  Ilydrocele  

121.  Other  Diseases  of  this  Order  

3 

9 

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 
122.  Anchylosis  

123.  Caries  

G 
6 

124.  Inflammation  of  Joints  

4 

125.  Inflammation  of  Bones  

2 

o 

126.  Inflammation  of  Periosteum  

1 

1 

127.  Necrosis  

1 

128.  Other  Diseases  of  this  Order  

ORDER  IX.  —  Diseases  of  Integumentary  System 
129.  Abscess  

8 
13 

14 
24 
2 
6 
6 

20 

11 

17  * 
1 
7 

10 
8 
1 
3 
10 

8 
18 

130.  Boils  

* 

131.  Carbuncle  

_ 

132.  Whitlow  

1 

1 
3 

4 

133.  Skin  Diseases... 

CLASS   V._  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 
ORDER  I.—  Wounds,  Accidents,  and  Injuries. 
134.  Burns  

5 

136.  Concussion  of  Brain  

5 

20 

27 

41 

1J7.  Drowning  

1 

2 

138.  Sprains  

9 

50 
1 

1 

93 
1 

1 

50 

139.  Dislocation  

140.  Simple  Fractures 

2 

141.  Compound  Fractures  .. 

142.  Gunshot  Wounds  

198 
5 
o 

9 

22 

12 

11 

5 
18 
1 
4 

5 

12 
2 
1 

5 

12 
16 
1 
3 

3 

143.  Incised  Wounds  

145.  Punctured  Wounds  
146.  Poisoning  

5 
5 

147.  Other  Accidents  and  Injuries  
148.  ORDER  II.—  Homicide  ... 

3 

1 

149.  ORDER  III.—  Suicide  

150.  ORDER  IV.—  Execution  of  Sentence 

1 

Total  

815            15 

2,466 

33 

3,632 

51 

3,723 

69 

3,135 

52 

DURING   THE    YEAR    ENDING   JUNE    30,  1864. 


657 


TABLE  CII.— ATLANTIC  REGION— Concluded. 


1863. 

18(>4. 

— 

DECEMBER. 

JAXUAUY. 

FEBRUARY. 

MAKCir. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

12,  584. 

1C,  323. 

19,  270. 

10,  718. 

22,  957. 

22,  1C5. 

24,  781. 

13,  449. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases 

Deaths. 

Cases. 

Deaths. 

Cases,  i  Deaths. 

Cases.    Deaths. 

Cases,  i  Deaths.  1      Cases.      Deaths. 

102 
103 
104 
105 
100 
107 
11)8 
109 
110 
111 

112 
113 
114 
113 
116 
117 
118 
119 
120 
121 

ion 

124 
125 
126 

127 

128 

129 
130 
131 
132 
133 

134 
135 
130 
137 
138 
139 
140 
141 
142 
143 
144 
145 
140 
147 

148 

H9 
J  50 

3  229 

5 
52 

91 
1 

3,880 

122 

4,314 

170 

5.3G3 

192 

4,  C91 

143 

5,027 

6 
55 

12G 

5,  954 
1° 

142 

44,  8C2 

24 
710 

1,  1C2 
2 

83 

138 

111 

85 
5 
C 

35 

18 

12 
o 

1 

3 
1 
6 
3 
19 
22 

8 

48 
3 
80 
52 
382 
318 
C2 

O.J 

5 

0 

2 

1 

1 

o 

1 
15 

oo 

2 
8 
14 
35 
1 

3 

1 

4 

4 

57 
28 

18 

1 

24 
28 

3 

17 

1 

47 
40 
o 

2 

136 

1 

G4 
G 

4 

1 

1 

5 

1 
1 
4 

1 

1 

8 
3 
3 

4 

1 
1 

10 
24 

o 
1 

5 

1 

2 

7 

o 

1 
2 

0 

1 
5 

1 

2 
1 

1 

0 

1 

7 

7 
7 

4 

20 

1 

1 

53 

7 
42 
7 

2 

3 
2 
5 

5 
1 

1 

8 
1 
3 

1 

3 

1 

1 

1 
8 
30 

0 

7 
o 

1 

220 
3')2 

1 

2 

1 
3 

iJ 

1 

o 

5 

1 

2 

1 

1 

1 

1 

18 
29 

17 
34 

28 

2G 
45 

1 

20 
54 

1 
11 

1 

42 

CO 
3 
14 
43 

8 
70 

45 

1 
10 
51 

G 

78 

15 
89 
244 

4 

11 

10 

21 

9 

28 

19 

38 

12 

4 

8 
66 

8 
38 

7 
57 

70 
496 
1 

1 

1 

1 

1 

1 

8 

o 

15 

07 

81 

74 
1 
2 

8') 

83 

56 

04 

745 

1 

6 

20 
17 
1,411 
158 
88 
42 

87 

4 

4 

1 

„ 

3 

7 
41 
18 
12 
i 
1 
4 

1 
9 
522 
m 

1 

84 
1 
1 

1 
18 
14 
11 
9 

11 

23 
8 

1 

7 

8 
1C 

- 

531 
11 
20 

1 
1 

1C 
9 
11 
4 

8 

4 

18 

1 

go 

2 

2 

i           3 

1 

i 

1 
o 

22 

1 

16 

07 

4 

1 

8 

1     ' 
1 

' 
•> 

4 

50,  948 

3,572 

100 

4,308 

127 

5,410 

180 

5,  907 

205 

5,23(5 

151 

5,514 

149     i  7,140 

100 

1,288 

83 


G58 


SICKNESS    AND    MORTALITY    OF    COLORED    TROOPS 


TABLE  GUI. 

Abstract  of  the  Sickness  and  Mortality 


YEAR  

1803. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

9,  799. 

15,  604. 

17,  827. 

21,  486. 

25  421. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

CLASS  1.—  ZYMOTIC    DISEASES. 
OUDER  I.  —  Miasmatic  Diseases. 

71 

38 

125 
1 

190 

54 
1 
59 

102 
6 
209 

53 
6 
61 

134 
3 

202 

51 

48 

91 
3 

79 

25 

189 

39 

2J 

140 
540 

12 

337  !        30 
1,  329 

350 
1,399 
717 
45 

55 

1,286 
1,  063 
177 
116 
1,273 
245 
411 
68 
13 
48 
519 

20 
4 
1 
5 
44 
55 
82 
51 
24 
o 

14 
90 

504 
1,385 
1,080 
78 
69 
1,451 
230 
311 
94 
17 
30 
100 

8 
3 
1 

274 

897 
°7 
30 
1,213 
225 
327 
70 
11 

236 

1 

7 

30 
93 
857 
140 
217 
74 
C 
14 
325 

1 

8 
22 
15 
23 
20 

17 
59 
65 
39 
30 
1 
5 
17 

87 
1,  085 
256 
323 
35 
6 
61 
340 

41 
32 
55 
72 
10 
1 
8 
39 

21 
31 
47 
43 
21 

8 
5 



30 

17.  Scarlet  Fever  

18.  Diphtheria  

2 

224 

1 

6 

69 
70 
57 

20 

16 
167 

42 

21 
68 
8 

2 

38 
190 

224 
32 

38 
70 

o 
o 

17 
218 
146 
118 

37 
10G 

1 

20.  Epidemic  Catarrh  

80 
15 

13 

1 
3 

2 

0 

1 

21.  Other  Diseases  of  this  Order  

24 

4 
o 

ORDER  II.  —  Enthetic  Diseases. 
22.  Syphilis  

23.  Gonorrhoea  

36 
1 

59 

24.  Orchitis  

3 
5 
6 

10 
3 
9 

19 

25.  Stricture  of  the  Urethra  

2G.  Purulent  Ophthalmia  

o  l 

4 

7 
1 
3 

288 

27.  Serpent  Bite  

28.  Other  Diseases  of  this  Order  

n 

1 

8 

OUDEII  HI.—Dietic  Diseases. 
29.  Scurvy  

93 

12 

129 
o 

100 

2 

4 
1 

154 
3 

5 

30.  I'urpura  

1 

31.  Delirium  Tremens  

i 

1 

1 

32.  Inebriation  

33.  Chronic  Alcoholism  

1 
25 

34.  Other  Diseases  of  this  Order 

r 

8 

1 

10 

3 

CLASS  II.—  CONSTITUTIONAL    DISEASES. 
OUDEU  l.—Diathetic  Diseases. 
35.  Gout  

36.  Acute  Rheumatism  

148 
69 
9 

138 
58 
32 

1 
1 
5 

167 
78 
60 
1 
2 
32 

25 
17 

1 
2 
7 

320 

157 
57 
1 

6 

7 
4 
1 

312 
310 
91 

1 
o 

1 
7 
9 

37.  Chronic  Rheumatism  

4 

38.  Ana;mia  

39.  Cancer  

40.  Tumors  

o 

41.  Other  Diseases  of  this  Order  .  .  . 

1 

G 
14 

1 
G 

51 

13 
5 

6 

13 

57 

33 
13 

9 
17 

48 
19 

9 

9 
2 

OKDEU  II.—  Tubercular  Diseases. 
42.  Consumption  

o 
1 

43.  Scrofula  
44.  Other  Diseases  of  this  Order  

CLASS  III.  —  PARASITIC    DISEASES. 
45.  Itch  

1 

9 
1 
11 

40.  Tape-worm  

1 
15 

47.  Other  Intestinal  Worms  

24 

_ 

16 

48.  Other  Diseases  of  this  Order 

Carried  forward 

3,725 

244 

5,791 

416 

5,951 

483 

7,356 

554 

7,319 

292 

DUKING    THE   YEAK   ENDING   JUNE    30,    1864. 


659 


TABLE  CIII. 

of  Colored  Troops  in  the  Central  Region. 


1863. 

18G4. 

DECEMBER. 

JANUARY.      >     FEBRUARY. 

MARCH. 

APRIL. 

MAT. 

JUNE. 

TOTAL. 

32,  146. 

36,  301.                    37,  146. 

43,  816. 

47,  333. 

49,  251. 

44,  571. 

31,  725. 

Cases. 

Deaths. 

Cases. 

Deaths.     Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

l 

o 
3 
4 
5 
G 
7 
,- 
9 
10 
11 
12 
13 
14 
15 
l(i 
17 
18 
19 
20 

23 
26 

A.7 

28 

29 
30 
31 
32 
33 
34 

35 
30 

37 

:;,- 

39 

40 
41 

42 
43 

44 

4r> 
46 

47 
48 

i 

132 
3 

84 

29 

182 

52 

20 

102 

88 

50 
1 
15 

114 

49 
8 
26 

145 

64 
10 
45 

135 
5 

165 

58 
12 
25 

161 
9 
199 

91 

7 
44 

1,494 
32 

1,887 

614 
49 
434 

23 

121 

190 

171 

344 
1,246 
7U2 
40 
72 
1,372 
244 
317 
42 
2'i 
172 
406 

18 

392 
1,020 

734 
63 
55 
1,  4GO 
195 
347 
27 
22 
287 
265 

20 
2 
1 

370 
865 
915 
101 
50 
1,  662 
246 
294 
17 
48 
329 
213 

7 
1 

432 
1,170 
875 
76 
99 
2,751 

558 
72 
73 
435 
491 

17 
o 

462 
1,146 
1,146 
124 

38 
o 

702 
1,  304 
955 

25 
1 

747 
1,  065 
1,201 
90 
68 
4,529 
422 
802 
120 
45 
204 
239 

17 

1 

0 

5,132 
13,  761 
10,  649 
1,001 
850 
25,  431 
3,311 
5,500 
779 
390 
2,  303 
4,  069 

267 
18 
18 
6 
T;93 
483 
734 
471 
207 
55 
691 
525 

147 
58 
4,325 
406 
884 
94 
51 
315 
344 

18 
C4 
15 
11 
1 
30 
22 

23 
56 

14 
6 
26 
35 

17 

A.1 

44 
]6 

8 
66 
73 

21 

47 
41 
9 
8 
169 
59 

47 
3,453 
327 
709 
66 
75 
383 
589 

30 
42 
62 
51 
12 
12 
151 
90 

20 
82 
78 
47 
24 
10 
144 
43 

22 
88 
119 
52 
21 
4 
68 
22 

51 
490 
340 
23 

56 
108 
12 
5 
3 

36 

488 
477 

1 

26 
342 

264 

o 

20 
555 
330 

1 

13 

714 
327 

3 

43 
564 
305 

21 

289 
4,  320 
2,  7<;2 
1,443 

539 
1,170 
141 
33 
114 
7 
68 

2,835 
18 
5 
5 
4 

13 
4 
3 

114 

10 
1 
1 

299 

157 

63 

97 
12 

1 
1 

175 

57 
104 
18 
3 
9 

11 

200 

43 
111 
11 
3 
6 

10 

252 

73 
171 

23 
o 

63 
114 
16 
o 

25 

245 

76 
120 

11 
o 

1 

1 

9 
2 

18 
1 

48 

379 

2 

8 

14 

28 

3      

1 

150 

3 

141 
1 

3 

8 
432 

0 

1 

60 
6 

355 

8 

1 

235 

4 

4 
3 

371) 
4 

3 

4 

11 

1 

1 

1 

1 

1 

o 

2 

8 

8 

1 

6 

411 
312 

78 

6 

0 

7 

370 
282 
70 

3 

2 

16 

375 

212 
96 

4 
1 
3 

398 
318 
69 

6 
5 

381 
319 
102 
1 
•1 

6 
5 

337 

263 
169 

6 

9 

16 

346 
252 

1 
9 

33 
74 
11 

17 
19 

1 

16 
13 

3,703 
2,  630 
1,070 
5 

*-7       : 

511 

320 
413 
11 

201 

37 
59 
90 
1 

1 

47 

40 
36 

1 
19 

fcO 

27 

0 

4 
47 

43 
63 

25 

22 
17 

5 

10 

1 

4 
1 

2 
20 

105 

24 
42 

5 

18 

51 

29  , 
86 

1 
21 

2 

30 
1 

3 

29 
3 

47 

190 
15 

5 

12 

23 

32 

48 

41 

1 

6 
333 
o 

6 

11 

6 
1 

53 

85 
1 

3 

83 

2 

5 

7,609 

298 

7,417 

332 

7,236 

374 

10,285 

539 

11,  032 

681 

12,  744 

666 

12,  314 

C47           99,679     5,526 

G60 


SICKNESS   AND    MOETALITY    OF    COLOEED    TROOPS 


TABLE  CHI.— CENTRAL  REGION— Continued. 


YliAU  

1803. 

MOXTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOUF.K. 

NOVEMBER. 

9,  799. 

15,  C04. 

17,  827. 

21,  480. 

25, 
Cases. 

121. 

LIST  OF  DISEASES. 

Cases. 

Deaths,  j  Cases,  j  Deaths. 

Cases.    Deaths.     Cases.    Deaths. 

Deaths. 

3,725 

1 
3 

ICO 
4 
20 

244 

1 
1 

5,  791 

416 

5,951 

483 

7,356 

3 

8 
120 

554 

1 
2 

7,319 

1 

12 
192 

292 

1 
1 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.  —  Diseases  of  Nervous  System. 

'      '    \  ^  '_ 

4 
S3 

7 
119 
1 
4 
3 
1 
10 
81 
4 
1 
5 

1 

r. 

10 
5 
2 
1 

o 

4 
2 

4 

I 

2 
15 
60 
5 

4 
9 
1 

11 
o 

3 

1 

3 
o 

6 
1 

r(]    N     t-  ifi                '  l 

3 

40 
2 

17 

10 

115 
2 

r~      'v  ,          ?.• 

30 
4 
13 

4 

i-s  i>     i  -  • 

1 

1 

59    Sun  sirol-e 

2 

1 

5 

1 

6 

ORDER  II.  —  Diseases  of  Eye. 

2 

40 
3 

7 
1 

0°    Cataract 

1 
50 
1 
13 
3 

3 

16 

3 

1 

3 

4 
5 

27 

ro 

4L 
5 

0 

8 
3 

G 

4 
12 
20 

15 

0 
3 
oo 

ORDER  III.  —  Diseases  of  Ear. 

2 
6 

45 

09.  Otorrlioea   .   

1 

6 
'    46 

70.  Other  Diseases  of  this  Order 

40 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 
71.  Aneurism  

72.  Valvular  Disease  of  Heart 

3 

2 

1 

3 

2 

6 
o 

o 
1 

73.  Drops}-  from  Heart  Disease  

74.  Dropsy  of  Pericardium 

1 

o 

1 
1 

1 
3 

1 

4 

1 

73.  Inflammation  of  Pericardium 

4 
3 
1 

2 

70.  Inflammation  of  Endocardium  

I 

77.  Inflammation  of  Veins 

2 
10 
3 

0 

78.  Varicose  Veins  

1 

10 

70.  Varicoccle  .  

3 

1 
11 

6 

520 
22 

0 

80.  Other  Diseases  of  this  Order  

10 

8 
50 

4 

ORDER  V.—  Diseases  of  Respiratory  Organs. 
81.  Asthma  

o 

0 

159 
20 
4 

82.  Acute  Bronchitis  

42 

97 
18 

4 
4 

128 

4 
10 

108 
118 
2 
1 
14 

3 

1 
1 

2 

4 

83.  Chronic  Bronchitis 

7 
1 
1 

84.  Dropsy  of  Chest 

1 

1 

i-.">.  Haemorrhage  from  Nose 

0 
14 

70 
30 
4 
1 

90 
171 

60.  Inflammation  of  Larynx 

18 
337 
81 
4 
7 

101 
142 
10 

1 
93 

10 
1 

18 
443 
130 
14 
01 

129 

87.  Inflammation  of  Lungs 

1C 
2 

117 
43 
7 
20 

46 
2 

38 
3 

89 
7 
2 

88.  Inflammation  of  Pleura 

89.  Ilanmorrhajre  from  Limps  

90.  Other  Diseases  of  this  Order 

ORDER  VI.—  Diseases  of  Digestive  Organs. 
01.  Colic  ... 

C8 
£8 

1 

I!'J.  Constipation  . 

1 

217 
0 

1 

1 

93.  Cholera  Morbus  

11 

9).  Cirrhosis  of  Liver  

95.  Dropsv  from  Hepatic  Disease  

7 
1') 

4 
1° 

2 

1 

25 

26 

18 

4 

90.  Dyspepsia  .  .  . 

97.  Diseases  of  Pancreas  . 

98.  Diseases  of  Spleen 

4 
3 

"7 

99.  Fistula  in  Ano  

4 
17 

1 

3 

35 

100.  Hernia  

37 

i 

101.  Haemorrhage  from  Stomach.  . 

1 

1 

Carried  forward.  .  .  . 

4,580 

281 

0,  541 

478 

6,912 

538 

8,  721         681 

9,447 

42L 



DUEING   THE    YEAR    ENDING   JUNE   30,    18G4. 


G61 


TABLE  Cm.— CENTRAL  REGION— Continued. 


1803.                                                                                          180-1. 

DECEMBER. 

JANUARY. 

FEIiKUAKY. 

MAKCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

32,  146. 

30,  301.                    37,  146. 

43,  816. 

47,333.                   49,251.                    44,571. 

31,  725. 

49 
50 
.->] 
52 
53 
54 
55 
56 
57 
58 
50 
GO 

Gl 
02 
63 
C4 
Co 
66 

07 
68 

09 
70 

71 

72 
73 
7-1 
7") 
7(i 

78 
79 
80 

81 
82 
83 
84 
8.") 
86 
87 
88 
89 
90 

ill 

!)3 

94 
95 
90 
97 
98 
99 
100 
101 

Cases. 

Deaths. 

Cases. 

Deaths.     Cases. 

Deaths. 

Cases.    Death?. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.  ,  Deaths. 

Cases. 

Deaths. 

7,609 

3 
9 

138 

6 

7 

23 

1 
3 

118 
3 

238 
3 

7,  417 

12 
218 
1 
8 
9 

332 
3 

7,230 

1 
33 

374 
4 

10,  285         539 

8  i          8 
9  j          1 
322    

11,932 

5 
9 
299 

681 

4 
1 

12,  744 

4 
19 
245 

600 

12,314 

0 

18 
320 

047 

3 
1 

99,  679 

30 
143 
2  353 

5,526 

31 
16 

1 
3 

o 
8 
3 

4 

3 
6 
4 

18 
144 

3 

i 

13 

8 
1 
13 
172 

8 
14 

4 
3 
7 
147 
5 
31 
1 

8 

50 
102 
08 
17 
94 
1,282 
38 
75 
147 

28 
8 
1,019 
44 
20° 

3 

97 
39 
8 
9 
3 
11 
8 
25 

7 

15 
4 
1 

3             0 

8  ,          5 
4             3 
9             2 
130 

0 
5 

1 
1 

4 
7 
1 
4 

7 
4 
1 

6 

128 
4 

0 

1 

| 

111 
1 

1 
1 

2             1 
1 

3 
9 
4 

I 
3 

3 
3 

1 
3 

3 

o 

20 
r? 

3 

00 
1 

8 

32             1 

7 

3 
o 

3 

1 
174 
10 

51 

49 
1 

8 

0 

10 
43 

75 

78 
1  "' 

123 

156 
4 
38 
23 

159 

3 

70 
8 

10 
5 
15 

12 

15 

37 

1 
3 

12 

18 

11 

8 
1 

97 

64 
32 
145 
3°8 

3 

67 
39 

34 
8 
8 
72 
33 
44 

117 
5,217 
020 
'21 
41 
4SG 
6,611 
1,803 
94 
1,058 

1,554 

3,  162 
138 
6 
. 
421 
1 
24 
35 

9 
1 

7 

00 

8 

6 
] 
10 

38 

13 
4 
3 

5  ' 

11 
30 

12  ' 

1 

30 

12 

17 

1 

4 

7 

6 

1 
1 
1 
3 
6 
1 

1 
3 
1 

1 
6 
4 

3 

26 
17 
13 
16 
4 

4 

o 
3 
1 

1 
1 
3 

3 

1 
3 

9  1          1 
4             3 

6            3 

10 

7 

1 

7 

6 
4 
6 
3 

1 

1 
1 
0 

1 

1 

0 

1 

1 

1 
2 

5 

10 
810 
42 

4 
;t 

11 

9 

7 

597 
85 
3 
15 
50 
882 
20  L 
10 
73 

181 
429 

10 
4 
4 

15 
388 
78 
4 

4 

0 

(i 

11 
604 

41 

1 

1  .           1 
10            2 

004         e 

79             5 

1 

18 
5 

o 

9 

4 

77 
37 
12 
1 
10 
2,081 
144 
11 
9 

o 

7 
3 

~ 

8 
973 
123 

14 

307 
1GO 
7 

0 

1 

13 

17 
1 

7 
0 
5 

16 

1 

•i 

4  !           1 
55            4 
997         324 
314  :        19 

o   '•             o 

95  ;        i 

1-.T                 1 

46 

658 

190 
7 
220 

110 
205 
1 
1 
10 
20 

• 

71 
826 
189 
13 

200 

92 

3 
274 
14 

53 

071 
140 

12 
173 

2 
247 
13 

1 

98 
324 
136 
11 
3 

"13 

J-13 
10 

1,  152 
225 
6 
350 

i  :«) 

243 

19 
1 
3 

407 
30 
o 

101 
15 

3 

1 

270 

328                          -'-Hi' 

408 
33 
1 
05 
0° 

404    

1 

•;-, 

1 

7  ' 

90 

5 

39 

60 
77 

1 

11 

1 

16 

3     '           30 

30 

2 

3 

40            10               47 
r>0                             r~~ 

20 

1    ,             1 



1 

2 

4 
•( 

3             1 

o 

4 

4 

41 

1 

I 
38 

4 
33 

4 

33 

4 

43 

jwO                   «- 

1 

40:) 
11   j 

3     | 

b,  345 

1 

1 

2             1 

2 

15,  050 

897 

i  10,444 

485 

11,394 

002     !  10,201 

1 

738 

13,969  j       955 

15,579     1,190 

1,019        15,108 

123,  072 

662 


SICKNESS   AND   MOETALITY    OF    COLORED    TROOPS 


TABLE  CIII.— CENTRAL  REGION— Concluded 


YEAU  

1803. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

9,  799. 

15,  004. 

17,  827. 

21,  480. 

25,421. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases,  j  Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

4,580 

4 
38 

281 
1 

0,541 

4 
31 

10 
9 
1 
15 
6 
88 
40 

478 
1 

0,912 

43 
7 
8 
3 
1C 

538 

8,  721 

8 
71 
24 
30 
1 
18 
18 
131 
45 

081 
1 

9,447 

3 

85 

421 
1 

ORDER  VI.  —  Diseases  of  Digestive  Organs—  Continued. 

. 

19 

1 
1 

6 

14 
10 
1 
10 
15 

2 

2 

5 

1 
1 

25 
4 
45 

2 

3 

1 

109    Jaundice                                                    

o 
1 

148 
44 

7 

4 
8 
4 
o 

0 

9 

79 
31 
31 

1 

110    Piles 

28 

o 
1 

1 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

1 

4 
1 

2 

113    Diabetes     ..         

2 

114.  Bright  's  Disease  

1 

7 

0 

115.  Diseases  of  Prostate  

o 

110.  Diseases  of  Testis  

3 

10 
4 
C 
4 

3 

11 
10 
4 
o 

1 
9 
5 

5 
7 
4 
10 

1  17.  Inflammation  of  Kidneys  

0 
3 
12 
4 
1 

1 

118.  Inilam  iiiation  of  Bladder  

119.  Incontinence  of  Urine  

1 

7 
3 

1 

13 

8 
10 

120.  Ilydrocele  •  

121.  Other  Diseases  of  this  Order  

5 
o 

ORDER  VIII.  —  Diseases  of  Hones  and  Joints. 
122.  Anchylosis  

1 
1 
4 

123.  Caries  

1 
5 

1 
1 

1 

124.  Inflammation  of  Joints  

1 

3 

125.  Inflammation  of  Bones  

120.  Inflammation  of  Periosteum 

3 

3 

4 

1^7.  Necrosis  

3 

1 

128.  Other  Diseases  of  this  Order  

ORDER  IX.  —  Diseases  of  Integumentary  System, 
129.  Abscess  

32 
31 
0 
4 
11 

1 

1 

21 
°7 

2 

17 

12 
37 

130.  Boils  

13 

7 
7 
4 

4 
13 

131.  Carbuncle  

5 

2 

0 
2 

7 
19 
1 

132.  Whitlow  

4 
1 

3 
5 

13 

133.  Skin  Diseases  

CLASS   V.  -WOUNDS,    ACCIDENTS,    AND 
INJURIES. 
ORDER  1.  —  Wounds,  Accidents,  and  Injuries. 
134.  Burns  

1 

133.  Contusions  

130.  Concussion  of  Brain  .  .  . 

1 



1 
1 

1 

137.  Drowning  

4 

1 

1 

138.  Sprains  

42 

41 
3 

139.  Dislocation  

1 

1 

1 
1 

140.  Simple  Fractures  

1 

3 

4 
28 

1 

141.  Compound  Fractures  

1 
4 

1 

11 
8 
4 
0 

1 
5 

142.  Gunshot  Wounds  

45 
6 

1 

5 

29 
3 
1 
8 
1 

8 

14 

Q 

4 

0 

11 

143.  Incised  Wounds  

144.  Lacerated  Wounds.  ... 

8 
5 

1 

145.  Punctured  Wounds  

147.  Other  Accidents  and  Injuries. 

5 

2 

1 

3 

1 
1 

148.  ORDER  II.  —  Homicide 

149.  ORDER  HI.—  Suicide  

1 

130.  ORDER  IV.—  Execution  of  Sentence 

1 

Total  

7,419 

4,905 

290 

6,973 

490 

502 

9,303 

712 

9,  994 

440 

DURING   THE    YEAR    ENDING   JUNE    30,  186-1. 


GG3 


TABLE  CIIL— CENTRAL  REGION— Concluded. 


18G3. 

18(54. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

Amu,.                    MAY. 

JUXE.                     TOTAL. 

32.  146. 

36,  301. 

37,  146. 

43,  81C. 

47,  333. 

49,  251. 

44,  571.                        31,  725. 

Cases. 

Deaths. 

Cases.  |  Deaths. 

Cases,    Deaths. 

Cases.    Deaths. 

Cases.    Deaths.     Cases.    Deaths.  !  Cases.     Deaths.       Cases.      Deaths. 

102 
103 
104 
105 
106 
107 
108 
109 
110 
111 

112 
113 
114 
115 
116 
117 
118 
119 
120 
121 

122 
123 
124 
125 
126 
127 
128 

129 
130 
131 
132 
133 

134 
135 
136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
140 
147 

148 
149 

150 

10,  444 

2 
132 
28 
17 
3 
34 
10 
74 
37 
11 

2 
o 

3 

485 

11,  394 
o 

662 

10,261         738 

13,  969 
o 

955 

0 

15,  579 

1,190 

1 
2 
1 
4 
o 

1 
2 

2 

15,  656 

1 
121- 
20 
23 
4 
30 
9 
68 
71 
10 

6 
o 

6 

1,019 

1 
3 

8 

15,  168 

7 
113 
28 
34 
1 
40 
8 
309 
86 
36 

8 

28 
1 
9 
28 
6 
14 
3 
3 

1 
3 

7 
1 
1 

897 
1 

128,  072 

35 
1,  550 
226 
201 
23 
299 
138 
1,200 
607 
170 

44 
19 
58 
10 
82 
148 
56 
90 
33 
26 

30 
19 
90 
5 
15 
19 
1 

414 
020 
49 
118 
319 

138 
409 
17 

8,345 

S 
3 
19 
46 
9 
32 
10 
34 
5 
3 

199 
12 
10 
1 
42 
10 
60 
40 
22 

7 
1 
o 

241 

282 

194 

8 

1 

31 

107 
78 
20 

4 
1 
3 
o 

~ 

1 
2 

1 

1 
o 

18  i          2 
6  j          1 
5             2 
20  '          2 
14             1 
65             5 
49    

28 
17 

8 
80 
46 
16 

3 
1 
1 

4 

2 
14 
1 
G 

2 

1 
2 
o 

1 

1 
1 

8 
2 
o 

3 

1 

2 

15    

1 

1 
1 

2 

1  1  

1 
1 

1 
13 

1 

12 
11 
3 

7 
5 

28 

C    



6 
13 
6 
7 
3 
3 

6 

8 
23 
6 
11 
3 
3 

1 

10 

5 

8    .... 

1 

1 

3 

3    

1 

8 
1 
7 

1 
5 

6 

0 

4    

1 
1 

1 

1 

3 

3 

4 
3 

1 

1 

9 

G    

12  !. 

25 

1 

1 

1 

1 

1 
1 

o 

1 

1 
1 



2             1 

1 

25 
39 

1 
6 
6 

7 
21 
1 

33 

42 

46    

37 
58 
1 
14 
15 

10 
50 
1 

1 

47 
94 
9 
24 

61 
70 
G 
10 

4 

57    

127 

4 
10 
4 

30 
36 

4    

4 

20 

10    

48 

1 
1 

112 

18 

62 

1 

59 
12 

2 

2 
1 
0 
35 

13 

14 
42 
4 

46 

43 
4 

! 

1 
2 

10 

3 

1 

1 

2 

3 

7 

4 

86 

64 
4 
3 

74 

113 

0 

136 
3 

114: 
5  ; 

48 
44  i 
13 

100 

•105 

0 

23 
31 
14 

528 
268 

3 

1 

» 

1 

3 
70 
31 

1 

2 
16 

., 

6 
119 

3 

1          1 

92          20 

1 

14 

38 
27 
4 
1 
o 

3 

8 

28 
23 

6 

51           13 

18      . 

9 

74 
47 
11 
16 

4 
14 

9 

11 

1 

47 

10 
8 
3 
3 

80 
95 
12 

4i?0 

3 

2 

1 
o 

1 
3 

15 

1 

1 

C 
10 
20 

4 

7 

2            5 
47             1 

346 

7 
1 

3 

2              21 

' 

4     ! 

1    i 
1 

i 

11,121 

503 

12,541 

685 

11,171         777 

15,  023     1,  005 

10,  768 

1,237 

16,090      1,081     !  10,  5»S 

956           138,512     8,756     j 

664 


SICKNESS    AND    MOKTALITY    OF    COLOKED    TROOPS 


TABLE  C1Y. 

Abstract  of  the  Sickness  and  Mortality 


YEAR  

1803. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

12,  049. 

20,  191. 

24,  044. 

30,  521. 

35,  919. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases.  ;  Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS  1.—  ZYMOTIC    DISEASES. 
OKDEU  I.  —  Miasmatic  2)iscascs. 

74 

38 

156 
1 
237 

63 
1 
62 

139 
18 
254 

69 
64 

169 
3 
215 

64 
o 

52 

127 
3 
112 

33 

189 

39 

32 

191 

12 

396 
1,429 

30 

418 
1  573 

55 

411 
1,  628 
1,  224 
194 
120 
2,020 
286 
507 
83 
14 
57 
555 

21 
6 
1 
5 

47 
57 
91 
51 

f)7 
o 

14 

90 

549 
1,  579 
1,305 
86 
69 
2,  044 
252 
3C8 
98 

56 
123 

8 
3 
1 

285 

978 
27 
36 
2,  090 

437 
70 
11 

•.O 

264 

1 

948 
40 
88 
2,064 
209 
462 
38 
7 
68 
351 

8 

30 
93 

997 
140 
2G9 

7 
18 

OO7 

1 

10 
22 
15 
23 
20 

9.  Congestive  Intermittent  Fever  

17 
61 
65 
42 
30 
1 
5 
18 

43 
34 
60 
74 
11 
1 
9 
39 

21 
34 
55 
44 
22 
2 

8 

4 
30 

17.  Scarlet  Fever  

18.  Diphtheria  

237 

1 

6 

100 
75 
154 

30 
79 
9 
10 
6 

16 
2°4 

o 

66 
219 
380 
95 

88 
117 
14 
3 
10 

2 

o 

18 

280 

1 

111.  Mumps  

20.  Epidemic  Catarrh  

80 
50 

16 
49 
C 

1 
3 

128 

113 

52 
96 

14 

2 
2 

1 

21.  Other  Diseases  of  this  Order  

85 

4 

171 

92 
149 
19 
6 
7 
1 
3 

304 

O  RUE  u  II.  —  Enthetic  Diseases. 
22.  Syphilis  

1 

23.  Gonorrhoea  

24.  Orchitis  

25.  Stricture  of  the  Urethra  

20.  Purulent  Ophthalmia  

o 

4 

L>7.  Serpent  Bite  

28.  Other  Diseases  of  this  Order  

0 

1 
134 

0 

1 

177 
3 

1 
8 

OltDER  III.  —  Dietic  Diseases. 
29.  Scurvy  

93 

12 

150 

5 

1 

7 

30.  I'urpura  

o 
1 

31.  Delirium  Tremens.. 

1 
3 

1 
3 

1 

32.  Inebriation  

33.  Chronic  Alcoholism  . 

1 

34.  Other  Diseases  of  this  Order 

5 

8 

1 

10 

3 

CLASS  II.—  CONSTITUTIONAL    DISEASES. 
ORDER  l.—Diathetic  Diseases. 
35.  Gout  

30.  Acute  Rheumatism  

1C8 
77 
°0 

283 
79 
36 

1 

1 
5 

420 
104 
60 
1 

1 

7 

553 
245 
95 
3 
1 
66 

42 
38 

6 
7 
5 
1 

487 
410 
111 
1 

1 
7 
12 

37.  Chronic  Rheumatism  

4 

38.  Anaemia  

39.  Cancer  

40.  Tumors  

2 

4 

G 
14 

0 

41.  Other  Diseases  of  this  Order  . 

6 

53 

14 
9 

39 

31 
32 

7 

13 
o 

9 
20 

55 

29 
31 

9 

10 
3 

OltDEU  II.—  Tubercular  Diseases. 
40.  Consumption  

43.  Scrofula  

44.  Other  Diseases  of  this  Order  

CLASS  III.  —  PARASITIC    DISEASES. 
4.'..  Itch  

1 

6 

6 
1 

46.  Tape-worm  

1 
11 

'!/.  Other  Intestinal  Worms  

24 

r 

48.  Other  Diseases  of  this  Order 

Carried  forward  

4,153 

248 

7,  508         436 

8,280 

519 

9,764 

597 

9,  328 

322 

DITKING   THE   YEAR   ENDING    JUNE    30,   1864. 


665 


TABLE  CIY. 

of  Colored  Troops  in  the    United  States  Army. 


1863. 

18G4. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

3IAI1CII. 

Al'RIL. 

MAY. 

JUNE. 

TOTAL. 

44,  730. 

52,  G24. 

50,  410. 

54,  534. 

70,  290. 

71,416. 

C9,  352. 

45,  174. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.  .Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1 

3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
|    20 
21 

*>O 

24 

20 

O*7 

30 
31 

33 
34 

35 
36 
37 
38 

39 
40 
41 

42 

43 
44 

45 

4(1 
47 
48 

158 
3 
133 

33 

225 

187 

63 
3 
32 

129 
8 
152 

G2 
o 

31 

144 
11 
232 

GO 
12 

28 

171 
1 
202 

78 
11 
45 

ICO 
11 
267 
98 
996 
1,  500 
1,164 
160 
67 
5,940 
466 
1,207 
109 
73 
357 
450 

G7 
13 
32 
11 

fjj 

1 

214 
9 
305 
34 
1,  079 
1,423 
1,415 
110 
82 
6,550 
508 
1,  220 
139 
04 

2G8 

117 
9 
54 
1 
25 

0 

2 

1,866 
70 
2,515 
132 
6,  5S5 
16,  239 
12,  383 
1,  073 
1,058 
34,  851 
3,  G59 
7,  215 
847 
542 
2,760 
5,443 

752 
GO 
499 

296 

19 
0 
357 
503 
784 
490 
220 
Gl 
760 
568 

28 

395 

1,435 
913 
41 
159 
1,766 
262 
380 
48 
40 
204 
C58 

18 
1 

473 
1,  202 
839 
04 
91 
1,819 

415 
iJ9 
43 
348 
464 

20 
1 

546 

1,100 
1,  025 
107 
G7 
2,057 
284 
340 
18 
57 
433 
392 

10 
1 

543 
1,405 

1,005 
77 
131 
3,384 
408 
G73 
74 
88 
499 
734 

30 
2 

588 
1,  3G7 
1,282 
131 

39 
o 

48 
19 
70 
19 
12 

31 
30 

32 
13 
GO 

14 
7 
35 
42 

21 
44 
16 
5 

8 
80 

77 

37 
24 
55 
42 
9 
8 
179 
00 

55 
4,  114 
344 
901 
GG 
107 
402 
851 

31 

42 
G4 

12 
14 
159 
100 

22 
87 
83 
52 
20 
11 
155 
43 

26 
89 
122 
60 
26 
5 
75 

54 
512 
576 

49 

91 
138 
19 
5 
3 

30 
023 
Oil 
237 

75 
158 
18 

1 

20 

703 
377 
207 

128 
188 
31 
0 
9 

o 
3 
1 
11 

2G 
1,010 
480 
3GG 

125 
19G 
oo 

o 

1,029 

3 

47 
G73 
336 

24 
386 
188 
337 

106 
148 
24 

1 

346 
6,017 
3,  958 
2,361 

1,025 
1,  723 
271 
53 
126 
7 
74 

2,982 
18 
7 
10 
4 
77 

15 
5 
4 
125 

13 
1 

1 

451 
309 

118 
239 

10 

2        ! 

1 

1 
1 

4 

25 
o 

273 

98 
166 
34 
6 

25 

1 

Gl 
7 
19 

1 

0 

8 

10 

19 
1 

48 

394 

3 

8 

459 
2 

1 

152 

7 

141 

1 

3 

243 

4 

1 

63 
6 
2 

or  .~ 

8 

1 

4 
3 

380 
4 

3 

4 

11 

1 

3 

1 
1 

o 

2 

8 

8 

1 

G 

087 
419 
105 

6 
2 

8 

590 
424 
83 
1 
2 
02 

58 
58 

4 
2 

1C 

571 
374 
133 

4 
1 
3 

1 

579 
485 
€3 
10 
o 

3 
G 

5 

528 
490 
156 
1 
4 
52 

39 
113 

7 
5 

5J6 
362 

187 

6 
9 

1G 

519 
383 
272 

0 

0 

17 
13 

5,901 
3,  852 
1,351 
19 
37 
568 

460 
Gi>4 
11 

387 

41 
CO 
95 
2 

1 

51 

267 
17 

3 

20 

34 

43 

1 
4 

21 
1 

1 
23 

41 

4 

49 

62 
83 

12 

5 
10 

4 
35 

0 

107 

43 
92 

5 

0 

32 

44 
1 

32 

61 
109 
11 

43 
3 

3 

41 

3     j 

12 

24 

41 

7G 

78 

1 
87 

8 
376 

t; 

<><; 

8 
1 

53 

90 

1 

3 

2 

5 

9,669 

624 

9,771 

370 

400         9,  804 

456 

13,  447 

14,  H39 

733 

1(5,  587 

742 

16,813 

744 

\^\\\r,    c,i  :'i 

666 


SICKNESS   AND    MORTALITY    OF   COLOKED    TKOOPS 


TABLE  CIV.— UNITED  STATES  ARMY— Continued. 


YEAU  

1863. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

12,  049. 

•:;>,  191. 

24,  044. 

30,  521. 

35,919. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

4,lr>3 

1 
3 

177 
4 
*     20 
o 

1 
3 
42 
o 

248 

1 
1 

7,508 

436 

8,280 

519 

9,764 

4 
32 
181 
5 

597 

o 
o 

9,328 

21 

297 

322 

o 
1 

CLASS    IV.—  LOCAL    DISEASES 

ORDER  I.  —  Diseases  of  J\~ervous  System. 

9 

170 
10 
5 

1 

21 
254 

1 

5°    Ir  saiiit  - 

o 

4 
o 

4 
4 
3 
1 
13 

6 
10 
1 
o 
15 
136 
3 


11 

o 

1 

3 

1 

7 
1 
o 

20 

4 
2 

6 
1 
1 

57    Neunl-na 

49 
6 
14 
5 

120 

83 
5 

r^      p              ."•  , 

5 

1 

8 

1 

1 

17 

0 

1 

6 
1 

6 

5 

1 

ORDER  II.  —  Diseases  of  Eye. 

0 

62   Cataract 

1 
96 
1 
15 

71 
o 

73 
9 
1 
16 

6 
3 

70 
3 
7 
1 

1 

11 
3 

6 
*4 

14 
36 

60.  Other  Diseases  of  this  Order  

1 

3 

4 
3 

ORDER  III.  —  Diseases  of  Ear. 

4 

7 
68 

2 
12 

60.  Otorrhcea  

6 

27 

1 

70.  Other  Diseases  of  this  Order 

59 

51 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 
71.  Aneurism  

72.  Valvular  Disease  of  Heart 

3 

3 

0 

1 
1 

7 
5 
4 

3 

15 
3 
1 
4 
3 
1 
12 

11 

14 
738 
32 
2 

0 

o 

73.  Dropsy  from  Heart  Disease  

1 

1 
1 

74.  Dropsy  of  Pericardium  

1 
4 

1 

1 

75.  Inflammation  of  Pericardium  

o 

76.  Inflammation  of  Endocardium  

77.  Inflammation  of  Veins.   .. 

" 

n 

78.  Varicose  Veins  

1 
o 

1° 

1° 

8 
4 

79.  Varicocelo  

0 

8 

80.  Other  Diseases  of  this  Order  

10 

9 

72 

4 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
81.  Asthma  

3 

16 
244 

15 

82.  Acute  Bronchitis 

86 
7 
1 
1 
1 
130 
55 
8 
100 

141 
]90 

3 

488 
42 
4 
2 

2 

3 

o 

5 

83.  Chronic  Bronchitis  

13    

84.  Dropsy  of  Chest  .  .  . 

1 

2 
4 
6 
157 

57 
7 
122 

1 

85.  Hsomorrhage  from  Nose  

6 
14 
78 
33 
5 

86.  Inflammation  of  Larynx 

58 
381 
108 
4 
7 

234 
303 
13 

1 

104 

1 

42 
515 
157 
16 
140 

217 

87.  Inflammation  of  Lungs 

16 

0 

47 
2 

45 
3 

97 
7 
3 

88.  Inflammation  of  Pleura 

89.  Harnnorrhage  from  Lung's 

90.  Other  Diseases  of  this  Order.  .  . 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
01.  Colic  

103 

262 

1 

92.  Constipation  

1 

368 
7 

1 
1 

93.  Cholera  Morbus  

°1 

15 

o, 

94.  Cirrhosis  of  Liver 

1 
14 
29 

95.  Dropsy  from  Hepatic  Disease  

7 
19 

4 

18 

2 

1 

35 

1 

19 

26 

4 

96.  Dyspepsia  

97.  Diseases  of  Pancreas  . 

98.  Diseases  of  Spleen  

r 

o 

4 
3 
46 
1 

99.  Fistula  in  Ano  

4 

1 
31 

3 

46 
4 

100.  Hernia  

__ 

101.  Haemorrhage  from  Stomach.. 

1 

Carried  forward  

5,  146         286 

8,745 

499 

10,  222 

582 

12,  114 

744 

12,  378 

464 

CUBING   THE    YEAR   ENDING    JUNE   30,    18G4. 


667 


TABLE  CIV.— UNITED  STATES  ARMY— Continued. 


1863. 

18G4. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

44,  730. 

52,  624. 

561,  416. 

54,  534. 

70,  290. 

71,410. 

69,  352. 

45,17 

4. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deatli*. 

Cases. 

Deaths. 

Cases. 

Deaths. 

742 

4 

4 

Cases.    Deaths. 

Cases. 

Deaths. 

49 
50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 

61 
02 
63 
64 
65 
66 

67 
68 
69 
70 

71 
72 
73 
74 
75 
70 

78 
79 
80 

81 
82 
83 
84 
£5 
80 
87 
88 
89 
90 

91 
92 
93 
94 
95 
90 
97 

99 
100 
101 

9,771 

4 
20 

251 
7 
7 
23 
1 
7 
151 
6 

370 
5 

9,669 

o 
21 
385 

400 

3 

o 

9,804 

1 

1 
1 
46 
323 

456 
5     ! 

13,  447 

9 

20 

752 

624 

9 
2 

14,  839 

5 
20 
643 
5 
8 
4 
3 
19 
195 

733 

4 
2 

16,  587 

5 
26 
530 
4 
14 
8 
1 
24 
216 
5 
15 
4 

16,  813 

5 
24 
545 

744 

3 

1 

129,  963 

38 
263 
4  514 

6,191 

38 
18 

3 
9 
9 
3 
8 
183 
7 

1 
27 
4 
1 
2 
2 
1 

4 
8 
5 

11 
.      3 
8 
4 
14 
190 
o 
1 
35 

4 
8 
180 
1 
45 

1 
6 
5 
3 
2 

12 

75 
113 
71 
22 
146 
1,  736 
55 
111 
177 

42 
27 
1  482 

4 

111 
43 
14 
9 
3 
15 
8 

*-O 

7 
2 

16 
6 
2 

9 
»      5 
2 

1 

7 
7 
1 
4 

18 
5 
3 
23 

198 
7 
60 
9 

1° 

11 
5 

164 
1 
2 
66 

7 

1 

1 

2 

1 

6 

1 
13 

3 

0 

217 
4 

45 

2 
1 
3 

3 

o 

4 

3 
3 

3 
3 

2 

23 

4 

3 

8 

1 

5 

227 
11 
69 
11 

9 

4 
26 



5 
250 

74 
2 
9 

0 

14 

71 

94 

2 
17 

1 

5 

105 

14 
17 

12 

5 

98 
11 

16 
7 
23 

55 
339 
106 

79 
48 
230 
554 

3 

111 
45 
«2o 

39 
14 
9 
115 
60 
45 

191 
8,298 
930 
29 
115 
757 
8,121 
2,  513 
130 
1,  040 

2,802 
5,287 
253 
6 
305 
657 
1 
24 
55 
623 



20  i 

24 

9 
3 
19 

54 

1 

7 
7 

0 

7 

10 
•8 
30 
38 

4 

32 

00 

1 

61 

49 

17 
4 
3 
2 
1 

14 

20 

1 
] 

1 
3 
7 
1 

3 

4 

1 
7 
4 
5 
1 

5 
29 
20 
16 
21 
5 
1 

8 

3 

4 

0 

0 

1 
1 

3 

3 

1 
3 

10 
4 
3 
8 
3 
2 
10 
0 

16 
1,  157 
109 

1 
3 
o 

5 

11 
10 
3 
1 

7 
o 
2 
1 
3 

12 
4 
6 
3 

1 
5 
1 
6 

2 

1 

1 

1 
5 

8 

3 

o 

5 

16 
1,  108 
49 
1 
o 

70 
753 
257 
9 
340 

185 
305 
2 
1 
10 
4:i 

10 
6 
6 

17 
1,063 

88 
o 

13 

11 

7 

30 
884 
170 
3 
18 
85 
1,100 
350 
15 
.     101 

296 

750 

17 
10 
4 

25 

1 

2 

2 
31 

8 

1 

2 
23 

7 
3 

o 

10 

4 
113 
46 
15 
2 

16 
2,434 
159 
15 
11 

o 
2 
7 
3 
80 

8 
1,470 
194 
1 
7 
67 
1,414 
324 
12 
430 

195 

22 
445 
109 
7 
32 
68 
768 
201 
9 
20 

331 
530 

8 
1 

13 

19 
2 

8 
6 
6 

543 
92 
4 
15 
110 
424 
216 
10 
10 

364 

716 

1 
17 
o 

1 

rjo 

16 

10 
101 
1,  133 
329 
22 
220 

216 

16 
129 
1,262 
420 
13 
139 

258 
715 

1 

9 
380 
21 
3 
o 

1 

4 
351 
14 

2 

282 
14 
3 
1 

155 
10 
] 
3 

290 
22 
1 
3 

471 
36 
3 

0 

404 

522 

6 
1 
10 
53 

1 

12 
1 
42 
67 

29 

48 
1 
72 
90 

5 

70 
1 
08 
130 

2 
11 

1 

17 

3 

38 
61 

2 

3 

13 

47 
86 
1 

23 

1 

; 

1 

4 

8 
50 

3 

6 

57 

1 

"  I 

4 
0 

77 

1 

1 
54 

4 

59 

1° 

„ 

49 
1 

0 

1 

3 

2 

1 

1 

4 

2            1 

1 

13,  673 

576 

15,  274 

>! 

14,  575 

908 

19,332 

1,  147 

20,270 

1,  333       20,  683 

1,145 

21,  122 

1,039     i     173,534  '  9,507 

668 


SICKNESS   AND   MORTALITY    OF    COLORED    TROOPS 


TABLE  CIV.— UNITED  STATES  ARMY— Concluded. 


VEAU  

1803. 

JIO.VTII  

JuiA'. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

12,  049. 

20,  191. 

24,  044. 

30,  521. 

35,919. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.  ' 

Deaths. 

Cases.    Deaths. 

5,140 

4 
38 
23 
19 

286 
1 

8,745 

4 
39 

499 

1 

10,  222 

o 
70 
12 

582 

12,  114 

8 
152 

744 
1 

12,  378 

4 
120 

464 

ORDER  VI.  —  Diseases  of  Digestive  Organs  —  Continued. 

UU.      cemorr  age  ro 

1 
1 

10 
9 
1 
16 

6 

109 
60 
38 

4 
1 
o 

24 
34 
1 

18 
18 
160 
63 

1 

4 
7 

7 

16 
19 
1 
10 
15 
90 
52 

4 

o 

20 
3 
17 
10 
163 
59 
13 

5 

C 
1 

1 

•     T    ft                           -  f  P      ' 

107     \"   "tin            f         f  L'  - 

25 
•      4 
46 
30 
3 

1 

2 

3 

1 

•                          •          FT' 

1 

C 

9 

1 

1 

31 

0 

ORDER  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

113    Diabetes                                      

8 
4 
o 

4 

1 

1 

0 

3 

10 
4 
C 
4 

6 
10 
6 
14 
3 
1 

33 
14 
16 

(^ 

12 

117 

6 
3 

14 
4 
4 

1 

21 
10 
5 

118    Inflammation  of  Bladder 

5 
14 

1 

121    Other  Diseases  of  this  Order 

14 

0 

ORDER  V11I.  —  Diseases  of  Bones  and  Joints. 
122    Anchylosis 

1 
1 

4 

1 

10 
3 
3 

1 

1 

7 

3 

1 
3 

1 

3 
5 

127.  Necrosis  

1 

128    Other  Diseases  of  this  Order 

ORDER  IX.    Diseases  of  Integumentary  System. 
129.  Abscess  

20 

46 

1 

41 

48 
7 
5 
4 

7 
40 

2 

28 
42 

45 
1 
6 
15 

21 
54 

130.  Boils  

°G 

131.  Carbuncle  

7 
8 
4 

4 

18 

8 
10 
17 

1 
4° 

3 

13 

7 

12 

132.  Whitlow  

133.  Skin  Diseases  

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
134.  Burns  

1 

135.  Contusions  
136.  Concussion  of  Brain  

CO 
1 

1 

1 
1 

1 

137.  Drowning  

4 

o 

1 

0 

Io8.  Sprains  

51 
1 
1 

70 

134 
4 
4 
1 
16 

100 
1 
3 

68 

13'.).   Dislocation  

1 

140.  Simple  Fractures  

3 
4 
40 
40 
9 
8 
1 

1 

141.  Compound  Fractures  

1 

15 

1 

10 

142.  Gunshot  Wounds  

243 
11 
3 

14 

51 
ig 

13 

20 
°0 

14 

143.  Incised  Wounds  

144.  Lacerated  Wounds  

(; 

_ 

6 
3 

145.  Punctured  Wounds  

7 

13 

1 
o 

10 

0 

146.  Poisoninff  

1 
1 

147.  Other  Accidents  and  Injuries  

5 

2 

3 

148.  ORDER  II.—  Homicide  

149.  ORDER  III.—  Suicide  

1 
1 

150.  ORDER  IV.—  Execution  of  Sentence.   ... 

1 

Total  

| 

5,780 

311 

9,  439 

529 

11,051 

613 

13,  026 

781 

13,  129 

498 

DURING   TTIE    YEAR    ENDING   JUNE    30,  1864. 


GG9 


TABLE  CIV.— UNITED  STATES  ARMY— Concluded. 


1863. 

1804. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

44,  730. 

52,  624. 

56,  416. 

54,  534. 

70,  290. 

71,416. 

69,  352. 

45,  174. 

102 
103 
104 
105- 
10G 
107 
108 
109 
110 
111 

112 
113 
114 
115 
110 
117 
118 
119 
120 
121 

122 
1  "'" 
124 
125 
12G 
127 
128 

129 
130 
131 
132 
133 

134 
135 
136 

l'J7 
138 
13'J 
140 
141 
142 
143 
144 
145 
146 
147 

148 
149 

150 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases,    Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases.     ;  Deaths. 

13,  673 

7 
184 
28 
17 
3 
3G 
11 
89 
Cl 
11 

10 
5 
G 

57G 
1 

15,274 

o 

ogo 

784 

14,  575 

908 

19,  332 

2 
393 

28 
17 
2 

24 
16 
94 
81 
17 

8 

1,147 

20,  270 

1,333 

1 
2 

I 
4 
3 
1 
2 
2 

20,  683 

7 
17G 
25 
31 
4 
48 
9 
115 
117 
12 

8 
13 

1,145 

21,  122 

19 
148 
46 
34 
1 
C4 
30 
445 
150 
42 

12 

1,039 
1 

173,  534 

59 
2,260 

261 
249 
26 
379 
190 
1,  642 
925 
232 

68 
29 
82 
10 
106 
201 
63 
138 
40 
47 

31 
27 
120 
7 
22 
21 
2 

G34 
1,012 
G4 
207 
5G3 

214 
905 

18 

1  710 

9,507 

10 
3 
19 
51 
11 
34 
10 
35 
5 
4 

379 
18 
9 
6 
26 
17 
84 
71 
20 

279 
13 
18 
1 
31 
35 
1G4 
106 
20 

8 
1 
5 

2 
7 
15 
7 
14 
3 
4 

G 

1 
3 

8 

2 

22 
3 
64 
13 
83 
75 
23 

8 
1 

7 

1 
3 

1 
2 

1 

2 
1 
3 
o 

1 

3 

1 
1 
5 

o 
14 
1 
6 
o 
o 

1 
2 

2 

1 
1 
1 

9 
2 
o 

3 

1 

2 

1 

1 

1 

1 

1 

1 

1 
1 

o 

30 
1 
13 

48 
G 
oo 

4 
3 

2 
1 
3 

14 
1 
13 

1 

13 
13 

5 
7 
5 

29 
15 

7 
8 
3 

15    

1 

1 

29 
6 
16 
6 
3 

2 

1 

1 

5 

7 
9 
4 
5 

4 
1 
3 

1 

2 
1 
2 

1 
2 

4 
6 

1 

,* 

7 

1 
1 

6 

3 

1 
11 

o 

4 
5 

o 

1 

9 
o 

10 

27 

1 

1 

1 

1 

3 

1 

;j 

! 

1 
1 

1 
I 

1 
74 

1 

1 

70 
139 

43 

C8 
1 
10 
17 

17 
45 
1 

50 

62 

118 
4 
23 
58 

24 

120 

1 

97 

1 

81 
1°4 

5 

76 
C 
19 

99 

11 
43 

150 

30 
114 
1 

4 

24 

7 
21 

20 
1C2 

19 
124 

32 

38 

109 

1 
1 

1 

80 
20 

77 

21 
99 
4 

2 

o 

9 
50 

81 
4 

o 
2 

12 

3 

o 

1 
6 

2 
3 

3 

15 

4 

153 

1G5 
4 

7 

148 
3 
3 
•j 

202 

219 

170 

2°4 

1 

3 

3 
3 

4 

88 
48 

17 
3 
11 

6 
8 
9 
92 
62 
25 

1 
7 

9 
596 
66 
33 
19 
I 
21 

29 
51 
31 
1,939 
426 
168 
137 
14 
567 

7 

7 
1 
108 
35 
oo 

1 
o 

20 

3 
8 
203 
1 
1 
6 
11 

4 

8 

8 

1 

28 

o 

20 

1 

32 

01 

35 
5 
1 
o 

2o 

15 

36 
39 
4 
16 

8 

582           14 
29             1 
29 

1 
o 

1 
3 

16 
1 
51 

o 
1 
3 

1 
2 
2 

1 

1 

7 

1 

2 
74 

5 
1 

O 

1 

362 

1 

4 

2 

0 

4 

i 

! 

14,  G'J3 

G03        l(i,  00!) 

812 

16,581         L'57 

20,  930     1,  210 

22,004 

1,388 

22,  240 

1,230       23,678     1,122     !     189,400     10,054 

SICKNESS,   ETC.,   DUKING   THE   YEAR   ENDING   JUNE  30,  1865.  671 


SICKNESS  AND  MORTALITY  OF  COLORED  TROOPS  DURING  THE  YEAR 

ENDING  JUNE  30,  1865, 


The  monthly  reports  of   sick  and  wounded  received  during   the  year  have  been 
included  in  three  statistical  tables,  as  follows: 

1.  ATLANTIC  REGION — TABLE  CV. 

The  colored  troops  represented  by  this  table  were  chiefly  stationed  in  the  Department 
of  Virginia  and  North  Carolina  and  the  Department  of  the  South. 

2.  CENTRAL  REGION — TABLE  CVI. 

The  colored  troops  represented  by  this  table  were  chiefly  stationed  in  the  Department 
of  the  Gulf  and  at  stations  along  the  Mississippi  river. 

3.  CONSOLIDATED  TABLE  FOR  THE  UNITED  STATES — TABLE  GVII. 
This  table  is  prepared  by  consolidating  Tables  CV  and  CVI. 


672 


SICKNESS   AND   MOETALITY   OF   COLOKED   TKOOPS 


TABLE  CV. 

Abstract  of  the  Sickness  and  Mortality 


YEAR  

1804. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRBXGTH  

25,  107. 

25,  475. 

25,  431. 

31,  212. 

32,  517. 

LIST  OF  DISEASES. 

Cases,  j  Deaths. 

Cases.  :  Deaths. 

Cases.  [Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS  1.—  ZYMOTIC    DISEASES. 

ORDER  I.  —  Miasmatic  Diseases. 

44 

1 
336 
17 
601 
355 
361 

10 
2,772 
127 
444 
20 

51 

36 

26 

1 
17 

26 

31 

35 

46 

28 

17 

J.  Tjp  01 

13 

203 
3 

436 
429 
402 
61 
37 
2,710 
174 
378 
55 
3 
2 
39 

94 
6 
462 
797 
458 
34 
13 
1,651 
196 
364 

*5O 

6 

] 
73 

16 
o 

10 

96 

455 
1,  131 
858 
29 

1,  380 
132 
409 
34 
10 
40 
184 

13 

~   i 
1 

56 
4 
339 
596 
852 

8 

20 
1 

13 

0 

1 

8 

G.  Quotidian    n  or.ni 

1 
4 
5 
31 
10 
1 

70 
21 
1,056 
127 
176 
13 
6 
8 
32 

3 
14 

29 
9 

5 
14 
59 
14 

4 

7 
0 
67 
18 

1 
1 
4 

3 
4 
70 
3 
9 
3 
2 
1 

13.  Chronic  Dysentery  

4 
20 

3 
1 

1 

1 
4 

7 
51 

7 
19 

83 

3 

297 

3 

83 

65 
211 

57 
32 

231 

1 

97 
316 

65 
75 

60 
218 

62 
61 
13 

89 

10 

5 

164 

53 
66 
4 

3 

1 

5 

235 

50 
44 
8 

0 

3 
1 

ORDER  II.  —  Enthetic  Diseases. 
22    Syphilis 

2 

4 
4 
1 

1 

26   Purulent  Ophthalmia 

4 

5 

2 
64 

1 

42 

2 

51 

ORDER  III.—  Dielic  Diseases. 
29.  Scurvy  

72 

1 

58 

1 

30.  Purpura  

31.  Delirium  Tremons  

32.  Inebriation  

33.  Chronic  Alcoholism  

I 

34.  Other  Diseases  of  this  Order  

CLASS   II.—  CONSTITUTIONAL   DISEASES. 
ORDER  I.  —  Diathetic  Diseases. 
35.  Gout  

1 

1G3 
107 
37 
3 
2 
5 

15 
34 

1 

15 

1 

124 
174 

11 

36.  Acute  Rheumatism  

1 
3 

241 

199 
170 
12 

305 
268 
8 

3 

1 

117 
30 

1 
2 

38.  Anannia  

39.  Cancer  

40.  Tumors  

o 

41.  Other  Diseases  of  this  Order  . 

4 

6 
20 

1 

11 
2 

14 

8 
32 

2 

15 

1 

17 
18 

1 
13 

0 

ORDER  II.  —  Tubercular  Diseases. 
42.  Consumption  

14 

20 
30 

17 

43.  Scrofula  

44.  Other  Diseases  of  this  Order  

CLASS  III.  —  PARASITIC    DISEASES. 
45.  Itch  

14 

11 

1 
6 

44 

55 

46.  Tape-  worm  

47.  Other  Intestinal  Worms  

3 

1 

1 

48.  Other  Diseases  of  this  Order  

Carried  forward  

6,051 

1 

170 

6,011 

ice 

5,133 

185 

6,082 

218 

4,  785 

154 

DURING   THE   YEAR   ENDING   JUNE    30,   1865. 


673 


TABLE  CY. 

of  Colored  Troops  in  the  Atlantic  Region. 


1864. 

1865. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MAIICH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

33,  G02. 

37,  127. 

33,  C06. 

34,  982. 

39,  604. 

35.  443. 

25,  100. 

31,600. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1 
o 

3 

4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 

24 
25 
20 

fJl 

28 

29 
30 
31 
32 
33 
34 

35 

36 
37 
38 
39 
40 
41 

42 
43 
44 

45 
46 
47 

48 

32 

25 
1 
4 

31 

42 

29 

43 

47 

22 

36 
1 
44 

50 
1 
27 

54 

56 

44 

41 
2 
15 

442 

0 

1,251 
5« 
4,485 
6,414 
5,907 
365 
216 
20,  642 
1,683 
3,774 
276 
125 
344 
733 

450 
5 
159 
15 
96 
9 
4 
1 
44 
127 
712 
90 
58 
29 
87 
55 

52 

72 

3 

45 

9 

55 

3 

95 

32 

103 

385 

525 
577 
9 
21 
1,  155 
127 
214 
19 

17 
37 
1 
5 

152 
159 

174 

48 
12 
1 

2 

391 
558 
803 
17 
17 
2,  245 
146 
443 
14 
21 
28 
3 

3 

229 
340 
308 
44 
31 
998 
112 
227 
17 
17 
41 
33 

4 
o 

2G6 
381 
293 

4 

245 

400 
273 
39 
6 
1,521 
93 
298 
15 
17 
57 
86 
10 
4 
72 

7 

409 
534 
413 
30 
18 
2,368 
216 
384 
22 
17 
75 
175 
o 

14 

267 
368 
399 

9 
1     i 
1 

1 

1 

8 
5 
1,  266 
148 
210 
14 
10 
43 
42 

o 
2 

70 
5 
8 

7 
9 
62 
4 
3 
4 
4 
3 

5 

10 
89 
2 
2 
4 
14 

6 
C8 
3 
1 
6 
12 

4 

8 
45 
1 
3 
4 
12 
5 

o 
34 
60 

8 
6 

6 

4 

1,  514 
85 

OO7 

t+f.  i 

21 
11 
2fl 
9 
o 

15 
62 
9 
5 
1 
21 
30 

4 
1 

6 

75 
140 
004 

5 

1 
148 
3°2 

I 

1 

5 
123 
66 
302 

109 
117 
14 

111 
1,535 
1,420 

13 

1 

156 
160 
174 

68 
29 
13 
1 

63 
23 
342 

68 
79 
2 
1 
5 

1 

72 

3 

154 

51 
52 

9 

145 

48 
45 

5 
2 

50 
1 

266 

73 
65 
14 

o 

15 

5    ! 

2,701 

776 
713 
102 
19 
30 
3 
10 

815 
o 

115 
5 

7 
3 
4 

9 
3 
3 

1 

11 
3 
1 

101 

3 

4 

112 

29 

40 

G4 
1 

70 
1 

1 

106 

3 

1 
1 

1 

1 

I 

o 
3,  144 
2,889 
177 
7 
48 
27 

216 
357 
1 

743 

41 

298 
332 

7 

1 

432 

3Go 

378 
0(^4 

2 

315 
316 
7 
1 
15 

1 
1 

221 
244 
12 
2 

291 
388 
28 
1 
13 

1 
1 
3 

177 
129 

7 

1 
j 

1 

11 
14 

8 

0 
1 

6 

19 

4 

o 

3 
2 

13 

7 

1 

]7 
17 

0 

1 

31 
1 

1 
32 

8 

247 
9 
1 

11 

10 
1 

19 
1 

23 
20 

17 
53 

35 

44 
75 

15 
18 

27 
2 

1 

35 

59 

56 

1 
1 

131 

173 

95 

5 

2 

7 

3 

12      

62,  725 

4,538 

139 

6,  439 

184       4,  053 

214 

4,220 

218 

4,  501 

213       0,  Cf3 

295 

4,  213 

251 

£,  379 

85 


G74 


SICKNESS    AND    MORTALITY    OF    COLORED    TROOPS 


TABLE  CV.— ATLANTIC  REGION— Continued. 


YE  \K  

1864. 

MONTH  

JULY. 

AUGUST. 

SEl'TEMUER. 

OCTOliEK. 

NOVEMBER. 

MEAN  STRENGTH  

25,  107. 

25,  475. 

25,  431. 

31,212. 

32,  517. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

id 

G,  051 

170 

6,011 

1 

14 
231 

138 
1 

5,133 

3 

21 

185 
3 

6,082 

3 

21 
292 

218 
3 

4,785 

2 
20 
231 
1 

154 

4 
1 

CLASS    IV.—  LOCAL    DISEASES 

ORDER  I.  —  Diseases  of  Nervous  System. 

io 

243 
4 
2 

300 
10 

5 

1 
o 

6 

1 
1 
1 

3 

0 

3 

1 

1 

1 
4° 

1 

8 
47 
o 

1 
9 
69 
o 

18 
47 
4 
*>o 
4 

3 

2 
61 

1 
5 

1 

1 

1 

73 

2 

3 

1 

1 

1 

ORDER  II.  —  Diseases  of  Eye. 

4 

2 

67 
2 

72 

o 

C5 
o 

62 

86 

69 
1 
34 
5 

5 
3 
5 

J 

57 

71 

58 

1 

ORDER  111.  —  Diseases  of  Ear. 

1 

2 
1 
5 

8 
1 
8 
3 

68    Deafness 

4 
8 
5 

2 

8 
5 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

1 

3 
1 

14 
8 

6 
1 

1 

1 

12 
3 

2 
2 

8 
1 

1 

1 

1 

2 
1 

1 

1 

1 

1 

1 

1 

"1 

78.  Varicose  Veins  

6 
3 

4 
5 

5 

10 
1 

5 
131 
12 
1 
2 
10 
32 
40 

2 
-    6 

4 
2 
1 

29 

79.  Varicocele  

80.  Other  Diseases  of  this  Order  

1 

1 

17 
268 

1 

2 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
81.  Asthma 

6 
217 
10 
2 

4 
133 
10 

82.  Acute  Bronchitis 

2 
1 

358 
50 
1 

5 
2 

S3.  Chronic  Bronchitis  

3 

1 
1 

26 

84.  Dropsy  of  Chest  . 

H5.  Haemorrhage  from  Nose 

1 

0 

1 

13 
3 

16 
106 
62 
o 

7 
159 
87 
1 

7 

86 
161 
2 

87.  Inflammation  of  Lung's    . 

6G 
55 
1 
1C 

177 

29 
3 

45 
42 

29 
2 

20 
o 

33 
1 
1 
2 

88.  Inflammation  of  Pleura 

89.  HifiTnorrhage  from  Limps  

90.  Other  Diseases  of  this  Order  

12 

7 
15> 

2 
135 

1 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
91.  Colic  

92.  Constipation  

"05 

°00 

171 
19 

lc>5 

93.  Cholera  Jlorbus  

CO 

34 
3 

1 

7 
57 

1 
1 
3 

94.  Cirrhosis  of  Livor  

95.  Dropsy  from  Hepatic  Disease  

13 
2° 

2 

12 
65 

1 

14 
17 

1 

9 

50 

1 

96.  Dyspepsia  

97.  Diseases  of  Pancreas  

D8.  Diseases  of  Spleen  i          o 

99.  Fistula  in  Ano  i           o 

3 
23 

" 

6 
30 
1 

o 

100.  Hernia  

41 

7 

41 

36 

101.  Haemorrhage  from  Stomach 

1 

Carried  forward  

! 

7,  495 

214 

7,371 

185 

6,377 

218 

7,625 

258 

6,  287 

214 

DURING   THE    YEAR   ENDING   JUNE   30,   18C5. 


675 


TABLE  CV.— ATLANTIC  REGION— Continued. 


18(34.                                                                '                             1805. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

33,  602. 

37,  127. 

33,  606. 

34,  982. 

39,  604. 

35,  443. 

25,  100. 

31,  COO. 

49 
50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
GO 

Gl 
62 
63 
64 
05 
66 

07 
68 
69 
70 

71 

73 
74 
75 
76 
77 
78 

79 

80 

81 
82 
83 
84 
£5 
86 
87 
88 
89 
90 

91 
92 
93 
94 
05 
96 
97 
98 
99 
100 
101 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

4,533 

1 
28 
249 
6 

1 

139 

1 
3 

6,439 

4 
17 
325 
4 
4 
1 
3 
2 
157 

184 

7 
1 

4,033 

3 

23 
187 
1 
1 
1 

214 
o 

4,226 

6 

19 
108 
5 

218 

7 
2 

4,501 

3 

17 
159 
1 
2 

213 

6,683 

2 

22 

295 
5 

4,243 

1 

14 
287 

251 

1 
1 

62,  705 

29 

226 
2  987 

2,379 

36 

8 

279 
9 
6 

52 
20 
4 
10 
56 
914 

-.O 

124 

15 

15 
9 
803 
23 

2 
29 
4 
2 

1 

1 

2 

1 
1 

3 

5 

3 

4 

3 

1 

2 
2 

88 
2 

1 

1 

1 

8 
75 

6 
90 

110 
1 

77 
3 
5 

7 

3 

2 
68 
7 
1G 
1 

1 
3 

5 

51 

3 

2 
4 

1 

4 

1 

1 

3 
o 

4 
11 

1 
2 

4 
9 
6 

1 

1 

1 
2 

1 

1 

1 
1 
65 

1 

64 
o 

17 
4 

5 
4 
14 

C2 
1 
9 

G7 
3 

28 

78 
4 
15 
3 

50 

1 
oo 

32 
1 

'  o 

431 
18 

35 

4 

2 
10 
7 
2 

1 

5 

4 
2 

2 

8 
9 
1 

7 
16 



8 
1° 

54 
95 

21 

2 
95 
45 
5 
10 
6 
2 
84 
55 
5 

171 
4,315 
414 
5 

20 

207 

i,5:)6 

1,203 
T:2 
123 

1,787 
2,533 

1 
5 
4 
1 
1 

1 
2 
3 

0 

1 

1 
31 
15 

12 
13 
7 

9 

0 

1 

15 
4 
1 
o 

3 
3 

7 
11 

o 

1 
2 

1 

1 

9 
6 

1 

0 

6 
1 
3 
2 

5 

1 

9 
o 
2 

1 

4 
1 

2 
2 
1 
1 
1 

1 

1 

1 

1 
2 

1 

0 

3 
5 

11 
4 

7 
3 

13 

4 

7 
o 

13 
3 
1 

15 

9 
8 
1 

17 
115 
29 

1 

] 
3 
3 

1 

1 

1 

2 

10 

1 
21 
23 
5 
1 

659 
30 
9 

ftrO 

1 

1 

3 
2 
32 

17 
509 
37 

18 
838 
56 

30 
58 

8 
483 
47 
1 
o 

5 

3 

3 

3 

298 
3G 

3 

o 

2 

313 
43 

2 
1 

0 

3 

o 

3 
42 
194 
13G 
10 
5 

12G 
200 
12 

1 
1 
58 
3 
] 

4 
32 
277 
177 
7 
30 

170 
3(17 
6 

4 

47 
257 
137 
9 
18 

107 
20T 

1 
14 
144 
100 
1 
8 

179 

o 

1 
3 

54 
37 
3 

23 

15G 
207 
5 
!) 

127 

OOT 

G 
10G 
123 
8 
9 

1G4 

108 
3 
o 

G 

140 
4 
2 
3 

1 

92 

1 

1 

68 
1 
1 
G 

42 
6 

27 

1 
3 

1 

140 
244 

1 

212 

3 

o 

13 
1 
17 
56 

14 

2 

189 
5 
285 
540 

1 
3 
1 

23 

29 

92 
57 

54 

20 
53 

3 

8 
G4 

~ 

11 

16 
34 

5 


36 

1 

1 

1 

4 

42 
405 
15 

G 
28 
1 

4 
34 

1 

20 

G 
G2 

27 

40 
1 

23 
1 

1 

1 

G,  156 

1 

1 

6,  425 

224 

9,  2GO 

325 

387 

6,089 

352 

5,  931 

321 

8,419 

380 

5,  479           310 

82,  914       3,  3s8 

G76 


SICKNESS    AND   MORTALITY    OF    COLORED    TROOPS 


TABLE  CV.— ATLANTIC  REGION— Concluded 


Y  E  A  U  

18(31. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

25,  107. 

25,  475. 

25,  431. 

31,212. 

32,  517. 

LIST  OF  DISEASES. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases.    Deaths. 

7,495 

7 
10 
5 

214 

7,371 
5 

185 

6,377 

218 

1 

7,625 

258 

6,287 

214 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

79 
20 

1 

23 
1 

1 

78 
4 
14 
1 
12 
14 
133 
74 
5 

1 

1 

o 

4 
1 
1 

65 
3 
1 

1 
2 

1  -       n'          •       f  v 

8 

*J'    u  a         .                . 

1 

33 

17 
119 
51 
8 

8 

1 

1 

45 
28 
175 

19 
6 
1GO 
62 

'  I,01'  e.  ni  '       '             f 

1 

2 

203 
61 
2 

1 

'       rou'c       am 

1 

55 
9 

4 

1 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

113    Diabetes                                           

7 

13 

1 

8 

1 

4 

25 

2 

9 
8 
1 
1 
3 

2 

4 
2 
o 

12 
1 

3 

1 
1 

23 
1 
17 
1 

1 

5 
3 

13 

0 

10 
4 
3 

120.  Ilydrocele    

121.  Other  Diseases  of  this  Order  

o 

OUUEH  VIII.  —  Diseases  of  Hones  and  Joints. 
1  •-.'•,'    Anchylosis 

1 

0 

123.  Caries  

4 
5 

8 

8 
1 
1 

8 

9 

125.  Inflammation  of  Bones  

o 

1 
1 

1  ^7.  N  ecrosia  

1 

1 

128.  Other  Diseases  of  this  Order  -1 

3 

ORDER  IX.    Diseases  of  Integumentary  System 
129.  Abscess  

12 

22 

11 

07 
7 
7 
49 

4 
87 

07 

36 
68 
3 
12 

130.  Boils  

40 
2 
5 

28 

G 
33 

1 

91 

131.  Carbuncle  

1 
8 
48 

o 
40 

132.  Whitlow  

16 
35 

11 

77 
4 

133.  Skin  Diseases  

52 

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

ORDER  \.—  Wounds,  Accidents,  and  Injuries. 
134.  Burns  

1 

16 

135.  Contusions  

1 

136.  Concussion  of  Brain  

1 

1 

1 

137.  Drowning  

!          '" 

3 

138.  Sprains  

32    !        " 

47 

59 
6 

5° 

67 

131).  Dislocation  

o 

140.  Simple  Fractures  

1 

o 

3 

141.  Compound  Fractures  

1 
247 

7 
387 
22 
11 
5 
5 
1 

142.  Gunshot  Wounds  

844 
C 
11 

1C 

33 

111 

000 
19 
74 

32 

1 

90 

170 
37 
4 
9 

44 

143.  Incised  Wounds  

144.  Lacerated  Wounds  

15 
10 
1 

145.  Punctured  Wounds  

!  

146.  Poisoning  

1 
5 

2 

147.  Other  Accidents  and  Injuries  

5 

* 

1 

a 

3 

148.  ORDER  II.  —  Homicide  

1 

1  19.  ORDER  III.—  Suicide  

150.  ORDER  IV.—  Execution  of  Sentence  

1 

Total  

8,840     ;       273 

8,  353 

303 

8,048 

2G1 

8*776 

3C4 

7,  191 

2G6 

DURING   THE    YEAR    ENDING   JUNE    30,  18G5. 


677 


TABLE  CV.— ATLANTIC  REGION— Concluded. 


1804. 

18G5. 

DECEMBER. 

JAXUART. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE.                    TOTAL. 

33,  G02. 

37,  127. 

33,  006. 

34,  P82. 

39,  604. 

35,  443. 

25.  100. 

31,  600. 

102 
103 
104 
105 
10G 
107 
IOC 
109 
110 
111 

112 
113 
114 
115 
116 
117 
118 
119 
120 
121 

123 
124 
125 
126 
127 
128 

129 
130 
131 
132 
133 

134 
135 
136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
14<J 
147 

148 
149 
150 

\ 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases,    Deaths. 

Cases.  |  Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.      Deaths. 

6,425 

1 
105 
4 
4 
2 
8 
5 
74 
44 
10 

C 

224 

9,260 

3 

81 
10 
14 
4 
5 
10 
98 
72 

325 

6,156 

9 

126 
6 

387 

6,069 

2 

96 
7 
7 
4 
11 
13 
88 
66 
21 

4 

1 
5 

352 

5,  931 

3 

60 
7 
7 
6 
9 
13 
59 
58 
3 

5 

321 

1 

8,419 

3 

112 

380 

5,479 

2 
39 
1 
8 
6 
18 
1 
110 
59 
6 

6 

310 

82,  914 

35 

874 
83 
75 
29 
203 
123 
1  3'JO 
727 
140 

62 
8 
119 
2 
47 
95 
53 
113 
21 
18 

11 
32 
137 
8 
12 
5 
9 

297 
793 
°9 

3,388 

4 
3 
17 
22 
19 
11 
4 
6 
2 
4 

1 

1 
3 
1 

1 

1 

1 
1 
3 
1 

2 
1 
2 

9 
11 
5 
34 
12 

5 
5 
1 
2 

5 
5 

7 
4 
1 
1 

1 

1 
10 

101 
37 

3 

1 

07 
88 
43 

0 
1 
8 
2 
1 
10 
12 

2 

2 

1 

19 

10 
1 
14 

10 

10 
4 
12 

1 

1 

1 

1 

6 

1 

8 

12  . 

1 

0 

1 

5 

9 
8 
4 
11 
3 
1 

11 
5 
8 
11 

4 

10 
8 
10 
1 
1 

2 
12 

1 
8 
5 
3 

3 
4 
6 

14 
2 

12 
1 
4 
1 
3 

1 

•1 

1 

4 

7 
3 

1 

3 

1 

2 

- 

o 

4 

• 

3 

25 

10 

14 

2 

17 
3 

I 
3 
4 
5 

8 

13 

19 

1 

2 

1 

1 

6 

34 

71 
2 
12 

19 
C3 

8 
8 
37 

11 

00 

23 

23 
53 
3 
30 
45 

13 

61 
1 

59 

1 

1 

38 
97 
o 

- 

03 
56 
1 

2 

71 

8 
57 

23 

14 
31 

19 

24 

146 
555 

133 
661 
10 

1 
1 

73 
15 

72 

28 

1 

2 
3 
5 
32 

7 
57 

6 
36 
1 

111 
2 

48 

o 

1 
1 

1 

1 
1 

6 

<;G 

3 
4 

4 

302 
20 
8 
8 

101 

60 
7 
4 

73 
3 

04 

94 
8 
2 

52 

767 

34 
24 
13 
3,245 
244 
162 
100 
15 
926 

1 
1 

6 
1 
39 
1 

o 

2 

C 
4 

420 

0 

1 

C) 

1 
26 
"3 

1 
16 

51 

8 
5 

10 

163 

11 

83 
14 

7 
13 

87 

21 

13 

15 

9 

10 

00 

4 

1 

5 
6 

5 
158 

7 
7 
1 
44 

10 
12 

o 



1 

1 

1 

3 

25 

5 

100 

461 

7 

1 

4 

3 

3 
1 

1 

1 

1 

1 

4 

7,  51  1 

277 

10,  612 

358 

7,215          410 

6,  839           383 

6,  746 

357 

!>,  336 

411       6,  032 

3-1'J          <i.'>,  4'.'9     ,  4,012 
I 

G78 


SICKNESS   AND   MORTALITY    OF    COLOKED    TROOPS 


TABLE  CYI. 

Abstract  of  the  Sickness  and  Mortality 


YEAH  

1804. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN*  STRENGTH  

50,  90C. 

50,  750. 

48,  9GO. 

53,  232. 

57,  421. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS  I.—  ZYMOTIC    DISEASES. 
ORDER  I.  —  Miasmatic  Diseases. 

192 
5 
19G 

Ill 

15 
C6 

176 
3 
355 

86 
10 
G9 

194 
2G5 

70 
5 
42 

129 
10 

57 

93 
1 
96 

57 
1 
15 

'          ^J       °       T? 

44 

1,168 
1,  940 
1,  4GG 
203 
120 
3,755 
473 
882 
96 
30 
158 
345 

54 
3 
4 
1 
39 
88 
138 
92 
24 
5 
33 
34 

1,367 
1,819 
1,570 
103 
124 
3,070 
579 
953 
99 
14 
51 
147 

53 
1 
o 

3 
35 

75 
152 
83 
20 
1 

30 

1,  198 
2,200 
1,G4G 
245 
100 
2,  G63 
571 
838 
1GO 
14 
41 
176 

35 
3 

1,023 
2,208 
1,  425 
97 
8G 
2,073 
346 
6G9 
115 
16 
76 
168 
1 
11 
40G 
107 
303 

71 
125 

3G 

G31 
1,896 

69 

23 
3 
1 

*'                                                     *  V 

1 

1 
35 
61 
157 
74 
20 
1 
13 
16 

30 
51 

127 
51 
20 

0 

20 
22 

3G 
3,  182 
3G4 
527 
80 
56 
83 
71 

17 
14 
71 
19 
31 
8 
28 
40 

47 
203 
GO 
303 

80 
157 

1 

14 

2C9 
15G 
274 

93 
170 

2 
1 
1 

18 

1 

14 
181 

106 
258 

77 
137 
oo 

1 
3 

499 

o 

F  *i^  •  r 

495 

13 

26 
1 

16 
2 

2G7 

111 

153 

11 

OKOEU  ll.—Enthetic  Diseases. 

21 

18 

12 

5 
i 

1 

4 

G 

0 

1 
11 

3    

6 

5 

4 

1 

1G 

3 

1,046 

4 

413 
1 
o 

8 

204 
1 

ORDER  III.  —  Dietic  Diseases. 
29.  Scurvy  

457 
1 

714 
5 

42 

70 

26 

7 

30.  Purpura 

31.  Delirium  Trcmcns  

1 

32.  Inebriation  

1 

1 
1 

33.  Chronic  Alcoholism  

34.  Other  Diseases  of  this  Order  

0 

CLASS  II.—  CONSTITUTIONAL    DISEASES. 
ORDER  l.—Dialhetic  Diseases. 
35.  Gout  

1 

4G1 
2GG 
202 

1 

324 
328 
171 

36.  Acute  Rheumatism  

G 
9 
21 

6 

18 

344 
237 
73 
2 
G 
2 

43 
75 

3 

0 

18 

43G 
319 
92 

1 
4 
16 

518 
418 
73 

0 

1 
3 
14 

37.  Chronic  Rheumatism  

38.  Anosmia  

39.  Canoer  

40.  Tumors  

10 
25 

33 

G8 

12 

29 

40 
82 

7 
15 

37 

58 

10 
5 

40 
5D 

41.  Other  Diseases  of  this  Order 

4 
29 
1 

5 

23 

4 

3 

33 
3 

2 
31 

ORI>i:u  II.—  Tubercular  Diseases. 
42.  Consumpt  ion  

30 
o 

43.  Scrofula      .... 

41.  Other  Diseases  of  this  Order  

CLASS  III.  —  PARASITIC    DISEASES. 
45.  Itch  

28 

17 
1 
33 

25 

29 

4G.  Tape-worm  

1 

47.  Other  Intestinal  Worms  

20 

! 

9 

5 

48.  Other  Diseases  of  this  Order  

Carried  forward  

13,  007 

689 

13  482 

811 

13,  8GO 

770 

11,  136 

566 

10,  353 

401 

DURING   THE   YEAR   ENDING   JUNE    30,    1865. 


670 


TABLE  CYI. 

of  Colored  Troops  in  the  Central  Region. 


18G4. 

1805. 

DECEMBER. 

JANUARY.          FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

54,  734. 

55,  463.                    56,  359. 

58,  703. 

61,  203. 

62,  873. 

79,  909. 

57,  543. 

Cases. 

Deaths.  \\  Cases. 

Deaths.    Cases. 

Deaths.     Cases.    Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

l 

o 
3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
l(i 
17 
18 
19 
20 
21 

2-2 
23 
24 
25 

27 
28 

29 
30 
31 
32 
33 
34 

30 
37 
38 
39 
40 
41 

42 
43 
44 

45 

46 
47 
48 

73 
5 

77 

62 
1 

16 

79 
6 
80 

64 

51 

52 

69 

40 

37 
2 

107 

38 
1 
12 

67 
4 
153 

36 
24 

90 
5 
176 

66 
1 
16 

1,  250 
44 
1,  880 

739 
36 
332 

13              66 

7 

80 

8 

50G 
1,  345 
928 
114 
24 
2,070 
253 
454 
67 
102 
104 
175 

10 
1 
3 

373 

1,218 
918 
80 
24 
1,976 
185 
414 
36 
48 
227 
145 

9 
1 
1 

378 
1,078 
756 

6 

544 
1  373 

7 

7~'l 
1,  239 
1,066 
107 
22 
2,  544 
256 
719 
32 
70 
193 
177 
14 
1 
331 

18 

1 

1 
12 

48 

13 
73 
23 

885 
1,483 
847 
144 
62 
3,688 
341 
856 
66 
54 
129 
138 
51 
10 
223 

2 

1,219 
1,583 
1,014 
85 

45 
2 

3 

10,  013 
19,  082 
13,658 
1,  438 
713 
33,  944 
4,  222 
8,  465 
970 
541 
1,  604 
2,  098 
97 
204 
3,  415 
2,981 
3,576 

1,419 
1,756 
226 
36 
64 
4 
23 

4,625 
12 
2 

4 
1 
56 

2 
5,905 
4,215 
837 
10 
104 
105 

392 
676 
7 

713 
6 

141 
'.) 

» 

19 
6 
261 

481 
1  ,  076 
494 
197 
132 
683 
279 

20 
4 
1 

16£ 

7 

1 

793 
74 

1 

9 
23 

68 
28 
19 
20 
40 
16 

13 
19 

68 

18 
20 
122 
12 

30 
1,611 
192 
394 
53 
36 
259 
83 
20 
19 
306 
468 
190 

97 
1°4 

10 
13 
50 
16 
9 
12 
130 
8 

1 

2,  313 
199 
580 
45 
48 
211 
214 
10 
21 
340 
427 

10 
26 
60 
16 
7 
20 
13^ 
g 

24 
38 
60 
24 
9 
15 
52 
35 

58 
5,  393 
463 
1,149 
121 
53 
72 
259 
1 
4 
197 

27 
44 
77 
47 
13 
15 
18 
34 

Of) 

351 
316 
240 

125 
155 
17 
5 
1 

6 

12 

199 

1 

3 

1 

2 

343 

229 

161 

349 

167 
148 
19 
6 
3 

113 
388 

250 
210 

7 
1 

237 

94 
113 

8 

11 

400 
123 

15 

367 

131 
136 
23 

11 
1 

13 
1 

19 

128 
17 
1 
9 

9 
1 
4 

1 

35 

4 

7 

1 
1 

1 
6 

3 

1 

76 

1 

o 

1 

70 

1 

325 
1 

3 

335 
1 

1 
6 

2 

663 
1 

3 

187 
1 
1 
1 
1 

119 
1 

3 

1 

203 

1 

6 

1 

7 

1 

1 

1 
1 

19 

OS 

10 

518 
358 
42 

4 
7 
5 

29 
73 

1 
1 
4 

1 

503 
257 
16 

3 

1 
6 

396 
332 
15 

2 
3 
3 

358 
12 

3 

1 
5 

587 
310 
19 
1 
10 
1 

79 

3 
3 
4 

1 

650 
435 
49 

o 
4 
6 

576 
597 
73 
1 
13 

4 
4 
5 

31 
41 
120 

8 

1 

(i 

14 

7 

~o 
73 

2 

31 
4 

1 

44 
4 

1 

41 
4 

16 

47 
95 

18 

392 
41 
1 

20 
3 

20 
61 
1 

46 

36 
4 

21 
57 

29 
96 
6 

gg 

36 
3 

38 
C 

36 

41 

97 

109 

191 
1 

o 

1 
3 

12 

6 

0 

1 
3 

14      

1    

6,  12'i 

8,7-11 

363 

7,879 

444 

7,242 

374 

9,354 

403 

9,  992 

380 

11,772         434        15,257         491 

i:;2,  075 

680 


SICKNESS   AND    MORTALITY    OP   COLORED    TROOPS 


TABLE  C VI.— CENTRAL  REGION— Continued. 


YEAH  

1864. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

50,  900. 

50,  750. 

48,  960. 

53,  232. 

57,  421. 

LIST  OF  DISEASES. 

Cases.  ; 

Deaths. 
811 

6 
3 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases,  j  Deaths. 

Brou  ht  forward 

13,  482 

7 
15 
383 
1 
18 
5 
2 
10 
127 
5 
31 
13 

5 
1 

120 

13,  860 

9 
31 
323 

770 

5 
3 

13,  007 

6 
43 

228 

689 

4 

2 

11,136 

22 

231 

560 

1 
1 

10,  353 

1 
15 
248 

401 

2 
o 

CLASS    IV.—  LOCAL    DISEASES. 

OKDER  I.  —  Diseases  of  Ferrous  System. 

1 
13 
4 

4 
17 
4 
3 
5 
114 

45 
7 

3 
1 
159 
5 

C8 
10 

19 

3 
6 
2 

1 
5 
147 
5 
16 

7 
5 

10 
11 
4 
200 
4 

1 
3 

10 
1 

8 
3 

14 
3 
1 

9 

2 

1 

2 

<-r'  K*  a'    /'               '  ^ 

3 

•57    N°       f  '• 

123 

58    I'-  ralvsis 

4 
9 
1 

2 
2 

1 

3 
2 

1 

~ 

5 

o 

5 
1 
92 

1 

OKUEII  II.  —  Diseases  of  Eye. 

1 

2 
154 
1 
32 

126 

3 

77 

18 

7 
56 
3 

23 

1 
17 
5 

24 

10 
3 

1 
3 
6 
1 
1 

7 

14 
16 
30 

OIIUER  III.  —  Diseases  of  Ear. 

6 
41 
35 

5 

69    Otorrhcea 

15 

18 

10 

14 

OltUEH  IV.  —  Diseases  of  Organs  of  Circulation. 

72.  Valvular  Disease  of  Heart 

1 

o 
10 
3 

5 
2 

1 
6 

1 

2 

6 

0 

2 

18 
8 
4 
4 
1 

7 
4 
3 
2 

15 
13 

2 
3 

3 

6 
1 

0 

2 
4 

73.  Dropsy  from  Heart  Disease  

7G.  Inflammation  of  Endocardium  . 

1 

77.  Inflammation  of  Veins  

1 
2 
4 
5 

14 
323 
62 
4 
10 
119 
294 
112 
3 
17 

211 
635 

34 
3 

54 
147 

78.  Varicose  Veins  

12 

17 
6 

1 

29 

14 
9 

4 
5 
1 

26 
475 
146 
1 
1 
117 
435 
177 
11 
28 

204 
389 
7 

79.  Varicocele  

6 

20 

18 
293 
58 
9 
6 
51 
188 
113 
8 
4 

319 
578 
44 

80.  Other  Diseases  of  this  Order  

1 

1 

8 
1 

1 
3 

107 

7 

2 

1 

1 
9 
1 
2 

OltDER  V.  —  Diseases  of  Respiratory  Organs. 
81.  Asthma  

34 

414 
104 
6 
15 

1 

0 
8 

82.  Acute  Bronchitis  

5 
4 
1 
1 
1 
74 

3 
2 

314 
55 
8 
2 

98 
160 

125 

15 
1 

2°4 

1 
3 
5 

83.  Chronic  Bronchitis 

84.  Dropsy  of  Chest  .  . 

85.  Haemorrhage  from  Nose  

8G.  Inflammation  of  Larynx 

161 

132 

18 
10 

15° 

2 
67 
4 
3 
1 

3 

92 
8 

8!.  Inflammation  of  Lungs 

55 
2 

1 

o 

o 

88.  Inflammation  of  Pleura 

89.  Haemorrhage  from  Lungs  

CO.  Other  Diseases  of  this  Order.  . 

10 

1 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 

ni.  Colic  

92.  Constipation  

1 

424 
21 

415 
13 

1 

93.  Cholera  Morbus  

1 

1 

94.  Cirrhosis  of  Liver  

1 
12 
1 

95.  Dropsy  from  Hepatic  Disease  

14 
1 

69 
87 
6 

10 

6 
1 

28 
54 
1 
1 

7 
GO 

14 

38 
48 

34 
76 

8 

96.  Dyspepsia  

97.  Diseases  of  I'ancreas  

98.  Disenses  of  Spleen  

3 

1 
6 

49 

2 

99.  Fistula  in  Auo  

5 
71 
3 

(j 

100.  Hernia  

58 

101.  Hemorrhage  from  Stomach  

1 

0 

Carried  forward  

i 

16,  521 

1,028 

1C,  761 

911 

15,  415 

806 

13,  704 

700 

13,  238 

556 

DURING   THE    YEAR   ENDING   JUNE   30,   1865. 


681 


TABLE  CVL— CENTRAL  REGION— Continued. 


1864. 

1865. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

54,  734. 

55,  463. 

56,  359. 

58,  783. 

61,  203. 

62,  873. 

79,  909. 

57,  543. 

49 
50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 

61 
62 
63 
64 
65 
06 

07 
68 
69 
70 

71 
72 
73 

74 
75 
7(i 
77 
78 
79 
80 

81 
82 
83 
84 
£5 
8G 
87 
88 
89 
90 

91 

92 
93 

94 
95 
96 
97 
98 
99 
100 
101 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

8,741 

3 

39 

228 
o 

5 
9 

7 

162 
11 

3G3 

3 
3 

7,  879 

3 

19 
215 

444 

4 

o 

7,242 

1 
23 
230 
2 
4 

374 

1 
1 

9,354 

4 

32 
219 
3 
4 
1 
2 
5 
102 
5 
1 

403 

3 
5 

9,992 

6 
25 

284 
4 

1 

380 

5 
4 

11,  772 

3 

18 
363 
3 
•2 

1 

434 

5 
3 

15,  257 

3 
41 
408 
3 
8 
o 

2 
15 
167 
3 

13 

6 
2 

183 
13 
122 

491 

5 
1 

132,  075 

48 
323 
3,420 
35 

87 
52 
31 
79 
1,903 
79 
128 
92 

37 
13 
1  609 

6,126 

44 
30 

3 
3 
3 

2 
1 
141 
5 

1 
3 
3 
1 

3 
80 

42 
24 
5 
2 

19 
23 
19 

4 
5 

9 
1 

6 
2 

7 

8 
4 
1 

6 
3 
6 
1 

11 
4 
2 
1 
1 
1 
4 
1 

4 

166 
19 

00 

6 
156 
1 
11 
3 

6 
3 

197 
5 
75 

2 

1 
1 

238 

1 

44 
2 
196 

4 

1 

1 
1 

1 

2 

5 
1 

1 

1 
2 

88 
4 

1 

4 
1 

1 

12 

1 

98 
4 
23 

69 
7 
19 
2 

16 
3 
9 

127 

3 
30 



65 
608 
48 

203 
66 
217 
98 

8 
119 
81 
27 
29 
10 
2 
112 
67 
33 

230 
6,355 
856 
73 
72 
1,  292 
4,669 
2,102 
153 
282 

2,041 
5,370 
370 
9 
498 
851 
8 
19 
90 
710 
19 

68 
5 

17 
3 
16 
1 

3 
8 
4 
I 

2 

16 
2 
4 
3 

5 

13 
3 

6 
22 

i 

9 
5 

14 
7 

12 
5 

11 
17 
3 

o 
13 
17 
6 
3 
2 

18 
3 

1 

8 
4 

i 

18 
1 

1 
17 
6 
2 

3 
3 

1 
2 

11 
6 
4 
1 

1 

40 
67 
28 
18 
8 
1 
1 

9 

7 

2 

5 
5 
1 
1 

5 
3 

4 
5 

1 
3 

6 
3 

4 
1 

2 
1 
3 

8 
4 
o 

5 
6 
4 
1 
2 
1 

4 

1 
1 

2 

1 

1 

3 

1 

G 
11 

1 

G 
902 
62 
7 
5 
282 
445 
207 
11 
9G 

209 
351 
11 
1 
33 
55 

9 
3 

0 
o 

10 
4 

1 

18 
524 
29 
2 
7 
49 
454 
217 
8 
5 

oog 
500 
42 

11 
4 

15 
5 

1 

19 
381 
93 
9 
12 

1 

8 
2 

16 
958 
48 
7 
5 
119 
702 
241 
10 
51 

185 

1 

o 

3 

21 
9 

1 

10 
G.-)5 
94 
9 
3 

1 

1 

2 

1 

o 

8 
o 

11 

9 
97 
62 
23 
2 
17 
1,642 
73 
24 
38 

2 

7 

1 

96 
3 

14 

734 
63 
2 
o 

1 

15 
7 
3 

26 
382 
42 
9 
4 
90 
251 
136 
19 
9 

213 
527 

1 
4 
3 
3 

8 
6 
1 

15 
6 
3 

3 
6 
1 

1 

151 
11 
3 

1 

2 
292 
7 
3 
8 

110 
680 
23!) 
23 
23 

ra 

"82 

1 

211 
8 
2 
7 

1 

40 
548 
190 
8 
10 

179 
3°5 

2 
208 
10 
1 
2 

1 

147 
3 
0 

1 

138 
5 

1 
2 

50 
282 
213 
13 
22 

343 
669 

100 
6 

1 
o 

269 
9 
2 
36 
30 

1 

G 

2 

33 
3 
45 
64 

149 

3 

4 

3 

38 
5" 

4 

30 
51 

2 

27 
73 

11 

5 

60 
114 
1 
3 
13 
71 

13     | 

1 

1 
4 

50 

0 

6 
9 

52 

1 

8 
62 
1 

11 
50 

<) 

2 

GO 

56 

2 

5 

4 

1     I 

12,  167 

579 

:  i  .  m  - 

826 

10,353 

657 

12.26-1 

688 

13,  235         612 

14,  632 

646 

18,975         684     '|     168,473  ;  8,693 

682 


SICKNESS   AND   MORTALITY    OF    COLORED    TROOPS 


TABLE  CVI.— CENTRAL  REGION— Concluded 


YEAU  

18(34. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STKEXGTH  

50.  906. 

50,  750. 

48,  960. 

53,  232. 

57,421. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

ard 

16,521 

7 
131 
16 
20 
3 
29  i 
6 
151 
81 

0 

1,028 
1 

16,  761 

5 
190 
31 
25 
4 
42 
17 
228 
78 
5 

911 

2 
1 

9 
1 
3 
2 
3 
1 

15,  415 

3 
72 
16 
33 

806 

13,  704 

4 

218 

700 
1 

13,  238 

1 
241 
45 
11 
3 
30 
17 
108 
75 

556 

1 
4 
4 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

o 
6 

43 
16 
6 
23 
12 
117 
81 
11 

13 

4 
3 

1 

10 

.                   ,   „         - 

2 
3 
4 
2 

26 
12 
175 
92 
16 

10 
3 
11 

1 
4 

1 

1 

15 

9 
1 
8 
1 
3 
34 
8 
14 
5 
6 

1 
3 

8 
1 

4 

ORDER  VII.—  Diseaies  of  Urinary  and  Genital  Organs. 

11 
1 
17 
2 

11 
2 

2 

13 
1 
11 
33 
9 
12 
5 
1 

3 

6 
17 
3 
1 
3 
1 

81 
140 
3 
23 

3 

1 

3 

2 

S 

13 

14 
4 
16 
2 
3 

2 

10 
24 

11 
28 
10 
13 
4 
11 

1 

1 

1 

1 

16 
9 
10 
3 

2 

120   Ilydrocele                                

ORDER  VIII.  —  Diseases  of  Bones  and  Joints. 

8 
14 
o 

1 

14 
3 
2 
3 

4 

64 
139 
16 

12 
98 

8 
62 

10 
1 

1 

1 

0 

7 

1 

1 

ORDER  IX.  —  Diseases  of  Integumentary  System 
129.  Abscess  

1 

62 
112 

50 
84 
o 

C2 
119 
1 

2 

130.  Boils  

131.  Carbuncle  

10 
11 
52 

132.  Whitlow  

13 
53 

133.  Skin  Diseases  

101 

11 

56 
1 

50 

27 

1 

CLASS   V.  —WOUNDS,    ACCIDENTS,    AND 
INJURIES. 
ORDER  1.  —  Wounds,  Accidents,  and  Injuries. 
134.  Burns  

3 

48 

14 

78 

1 

133.  Contusions  

1 

g 

v  1 

101 
5 

136.  Concussion  of  Brain  

2 

1 
9 

137.  Drowning  

1 

2 

138.  Sprains  

1°8 

13° 

98 
1 
3 

1°6  ! 

163 

131>.  Dislocation  

3 

4 

1 

o  ! 

140.  Simple  Fractures  

3 

2 
138 
4G 
27 
26 

4 
o 

123 
56 
16 
14 
1 
4 

10 
2 
69 
50 

141.  Compound  Fractures  

4 

12 

142.  Gunshot  Wounds  

19 

73 
4° 

22 

46 
38 

16 

12 

143.  Incised  Wounds  

144.  Lacerated  Wounds  

17 
22 

20 

145.  Punctured  Wounds  

16 

22 
1 
11 

1 

146.  Poisoning  

3 

25 

1 

147.  Other  Accidents  and  Injuries.  . 

4 

1 

68 

1 
1 

148.  ORDER  II.  —  Homicide  

149.  OUDER  111.—  Suicide  ...     . 

150.  ORDER  IV.—  Execution  of  Sentence  

1 

5 

Total  

17,879  i  1,084 

18,231 

972 

16,569 

848 

14,  984 

732 

14,  623 

590 

DURING   THE    YEAR   ENDING   JUNE    30,  18G5. 


683 


TABLE  CVL— CENTRAL  REGION— Concluded. 


1864=. 

1805. 

L)ECEMI<ER. 

JANUARY. 

FEBRUARY. 

MAUCH. 

APRIL. 

MAY. 

JUNE.                    TOTAL. 

54,734. 

55,  463. 

56,  359. 

58,  700. 

61,  203. 

62,  873. 

79,  909. 

57,  543. 

102 
103 

hi} 
105 
106 
107 
108 
109 
110 
111 

112 
113 
114 
115 
116 
117 
118 
119 
120 
121 

122 
123 
124 
125 
126 
127 
128 

129 
130 
131 
132 
133 

134 
135 
136 
137 
138 
139 
140 
141 
142 
143 
144 
14.") 
14G 
147 

148 
149 
150 

Cases. 
12,167 

1 

264 
17 
10 
2 
32 
12 
89 
81 

0 

22 

Deaths. 

Cases. 

Deaths. 

Cases,    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

579 

11,  208 

2 
189  \ 
29 
17 
3 
31 
7 
64 
49 
11 

9 
1 

12 
1 
6 
16 
8 
15 

826 

10,  353 

657 

12,  2G4 

2 
165 

688 

13,  235 

612 

14,  632 

17 
163 
15 
34 
9 
43 
23 
77 
77 
17 

15 

646 
1 

18,  975 

4 
132 
19 
39 
6 
38 
23 
146 
115 

684 

5 
1 
4 
14 
4 
1 
1 
2 

168,  473 

46 
2,146 
260 

256 
46 
387 
190 
1,399 
866 
154 

153 

129 
7 
101 
297 
120 
164 
43 
56 

22 
34 
149 
19 
26 
35 
8 

716 
1,223 

8,693 

12 
3 

31 
73 

17 
18 
22 
26 
4 
1 

173 
16 
10 
6 
18 
11 
59 
33 
5 

10 

1 
8 

208 
9 
5 
3 
57 
11 
96 
41 
21 

3 
2 

1 
2 

1 

2 

4 
6 
3 

4 
36 
1 

18 
39 
89 
63 
5 

9 
2 
11 

3 
9 
2 

3 

4 
1 

3 

o 

1 

2 
2 

2 
5 
2 
3 
1 
2 

3 

1 
4 
2 
1 
1 

o 
2 

44 

17 
6 
16 
1 
9 
31 
13 
17 
2 
6 

4 
5 

27 
3 

17 
3 
5 

1 

4 

3 
14 

1 
4 

2 
32 

11 
1 
16 

8 
16 
4 
4 

4 
4 
17 
1 
1 
3 
2 

48 
75 
3 
13 
51 

34 
99 
1 

5 

2 

8 

1 

5 
23 
12 
11 
2 

2 
19 
13 
20 
2 
4 

2 

4 
20 
7 
8 
1 
7 

1 
o 

11 
32 
12 
13 

1 

7 
6 

1 

1 

1 

2 

1 
1 

1 
1 

1 

2 
7 

I 
o 

4 
4 

1 
1 
8 

1 
3 

* 

1 

o 

3 
11 
2 
3 
3 

1 

2 

1° 

3 

8 
3 
2 
3 
1 

56 
95 

1 

1 
3 

1 

1 
2 

4 
3 

1 
2 

1 

1 

41 
80 
8 
17 
53 

55 
103 

1 

48 
80 
1 

17 
66 

41 
84 

1 

70 
55 

1 

53 
95 

o 

81 
149 
5 

9 

25 

6 
11 
74 

20 

6 
16 
fl9 

17 
113 
3 

65 
203 
862 

266 

33 

82 

14 
118 
5 

1 

83 

2 

OO 

1 
1 

1 

1 

117 
o 

105 
1 

1 
o 

4 

1 
1 
9 

1,083 
21 

6 
8 
43 

1 
1 

2 

1 

8 

166 
2 
3 
1 
246 
48 
34 
24 
3 
163 

171 
4 
3 
1 
47 
60 
24 
24 
2 
260 

147 
5 

163 

174 
4 
6 

170 
5 
2 
3 
41 
60 
34 
23 
5 
10 

202 

1,840 
45 
56 
11 
1,262 
635 
265 

38 
C81 

o 

6 

12 

I 
G 
7 
299 

1 

4 

1 

8 

1 
27 

2 

14 

52 

33 

48 
56 
14 
19 
14 
94 

20 

87 

15 

."3-1 
53 

52 

30 
74 
21 
32 

1 

19 
16 

1 
1 

24 
1 
9 

1 

3 

6 
o 

3 

25 

3 

1 
4 

1 

6 
15 

1 
4 

5 

6 

18 

2 
1 

2 

1 

13 

20 

13,828 

662 

12,659 

895 

11,518 

71] 

13,520  !      731 

1 

14,  778 

6'J5 

15,982 

724       20,  592 

753 

185,  1C3     9,  399 

684 


SICKNESS   AND    MORTALITY    OF    COLORED    TROOPS 


TABLE  CVII. 

Abstract  of  the  Sickness  and  Mortality 


1864. 

MONTH  

JULY. 

AUGUST. 

SEl'TEMNEU. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

76,  013. 

76,  225. 

74,  391. 

84,  444. 

89,  938. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

3ases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Jeaths. 

Cases. 

>eaths. 

CLASS  1.     ZYMOTIC    DISEASES. 

OKDER  I.  —  Miasmatic  Diseases. 

236 
6 
532 
17 
1.769 
2,295 
1,  8x!7 
224 
138 
6,527 
COO 
1,326 
116 
35 
162 
305 

102 

"12 

112 

220 

101 
5 

58 
o 

45 
3 

164 
10 
325 

103 

121 
1 
152 
4 
970 
2,492 
2,081 
139 

74 
1 
23 

15 
79 

3 

558 
3 
1,803 
2,  £48 
1,972 
224 
101 
6,  386 
753 
1,331 
154 
17 
53 
186 

11 
86 

3 

359 
6 
1,  COO 
2,997 
2,104 
280 
113 
4,314 
767 
1,202 
192 
20 
42 
249 

56 
13 
38 
1 
1 

^  1  P  °  -  d  ar 

28' 
1,478 
3,339 
2(  -^83 
126 
111 
3,459 
478 
1,078 
149 
26 
116 
352 
1 
18 
703 
167 
521 

133 

186 

3 

16 

74 
4 
4 
2 
43 
93 
109 
102 

.5 
36 
35 

66 
3 
3 
3 

38 
89 
181 
92 

1 
28 
30 

31 
5 
1 

j.     *<           n                           ^ 

. 

1 

40 
75 
216 
88 
24 
1 
14 
20 

37 
57 
194 
69 
32 
3 

26 

57 
3,238 
491 
703 
93 
62 
91 
103. 

20 
18 
141 
22 
40 
11 
30 
41 

J.  Conges  ve   i  ^ 

"'     c"  C.    j  .       J 

''      'r°n  °    J          J 

47 
286 
1-25 
514 

137 
189 
23 
5 
1 
4 

1 

200 
253 
590 

158 
245 

2 
1 
1 
23 

1 

200 
189 
422 

130 

203 

4 
3 

3 

22 

730 
584 
502 

161 

197 

2 

23 

29 
2 

21 
2 

14 
1 

OllDEK  II.  —  Enthetic  Diseases. 
00    Syphilis                                                    

"4*  O    hit' 

oo 

26 
4 
10 

1 

20 
5 
5 

tr 

1 

8 
7 

!_ 

1 
17 

2 

778 
5 

3 

1,104 

5 

10 

255 
1 

OUDER  III.  —  Dietic  Diseases. 
29    Scurvy                                                  

529 
1 

42 

71 

455 
1 
2 

26 

7 

1 

1 

1 
1 

2 
2 

CLASS  II.—  CONSTITUTIONAL   DISEASES. 
ORDER  I.  —  Diathetic  Diseases. 
35.  Gout  

2 
624 
373 
239 
3 
12 
30 

48 
102 
1 

43 

3G.  Acute  Rheumatism  

7 
12 
21 

518 
502 
182 

2 

7 
18 

585 
354 
103 
2 
6 
16 

51 
107 

3 
2 

18 

635 

489 
104 

1 
5 
18 

823 
686 
81 
o 

12 
5 

60 

89 

4 
3 
14 

38.  Anaemia  

39.  Cancer  

40.  Tumors  

12 

7 
16 

54 
76 

4 

43 
o 

1 

33 

46 

102 

6 

34 
6 

2 

45 
2 

4 

46 
5 

o 

48 
2 

OKDER  II.  —  Tubercular  Diseases. 

43    Scrofula 

44.  Other  Diseases  of  this  Order  

CLASS  III.  —  PARASITIC    DISEASES. 
45.  Itch  

39 

28 

69 

84 

40.  Tape-worm  

1 

18 

47.  Other  Intestinal  Worms  

20 

39 

10 

6 

48.  Other  Diseases  of  this  Order  

19,  533 

981 

19,  871 

908 

18,  140 

874 

17,  218 

784 

15,  138 

555 

DURING   THE    YEAK   ENDING   JUNE    30,    18G5. 


685 


TABLE  CYII. 

of  Colored  Troops  in  the   United  States  Army. 


1864. 

18G5. 

DECEMBER. 

JANUARY.          FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

88,  336. 

92,  590.                    89,  965. 

93,  685. 

100,  807. 

98,  316. 

105,  009. 

89,  143. 

Cases. 

Deaths. 

Cases,  j  Deaths.     Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1 

o 
3 
4 

;. 
c 

7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 

23 

24 

2G 
28 

29 
30 
31 
32 
33 
34 

35 
36 
37 
38 
39 
40 
41 

42 
43 
44 

45 

40 
47 

48 

105 
5 
129 

87 
2 
20 

110 
6 

152 

106 

80 

95 

116 

62 

73 
3 

151 

88 
2 
39 

121 
4 

248 

92 

0 

56 

134 
5 

279 

107 
3 
31 

1,692 
46 
3,131 
58 
14,  498 
25,  796 
19,  655 
1,803 
929 
54,586 
5,  905 
'    12,239 
1,246 
666 
1,948 
2,831 
118 
315 
4,980 
4,401 
6,277 

2,195 
2,469 

1,189 
41 
491 
15 
421 
26 
23 
7 
305 
608 
1,788 
584 
255 
161 
775 
334 
2 
33 
5 
1 
283 

12 

16     ;        111 

16 

135 

11 

891 
1,870 
1  505 
123 
45 
3,  235 
380 
668 
86 
104 
121 
212 
1 
34 
503 
475 
414 

197 
203 
29 
6 
1 

12 
1 
3 

7C4 
1,776 
1,721 
97 
41 
4,221 
331 
887 
50 
69 
255 
148 

12 
1 

o 

607 
1,418 
1,064 
100 
61 
2,609 
304 
621 
70 
53 
300 
116 
20 
20 
454 
790 
335 

145 

169 
18 
4 

7 

10 
2 
1 

810 
1,  754 
1,086 

82 

11 

966 
1,639 
1,339 
137 
28 
4,065 
349 
1,017 
47 
87 
250 
263 
24 
5 
403 
301 
633 

204 
201 

25 
1 
3 

1 
16 
37 
93 
23 
10 
17 
85 
28 

1,294 
2,017 
1,260 
174 
80 
6,056 
557 
1,240 
88 
71 
204 
313 
53 
15 
346 
227 
651 

276 
265 

43 
2 

1,486 
1,951 
1,413 
97 
62 
6,907 
548 
1,376 
142 
64 
100 
268 
3 
4 
260 
136 

54 
3 
4 

1 

11 
25 
138 
33     i 
27 
20 
44 
17 

20 
28 
130 
26 
21 
24 
126 
15 

15 
23 
139 
18 
11 
16 
144 
8 
2 
2 

32 
3,579 
347 
790 
59 
58 
254 
256 
16 

496 
587 
574 

191 
157 
30 

0 

12 
33 
128 
19 
8 
26 
144 
9 

26 
72 
120 
36 
17 
21 
64 
41 

27 
59 
139 
56 
18 
16 
39 
64 

6 

87 
339 
567 
391 

145 
165 
28 
4 
10 

6 

4 

1 

2 

1 

10 
1 

17 

16 
2 

65 
1 

13 

1 

28 
1 

730 

318 
289 

24 

37 
3 

33 
6 
6 

1 

37 
5 
12 

328 
55 
100 
7 
33 

5,440 
14 
2 
4 
1 
56 

4 
9,049 

7,104 
1,014 
17 
152 
132 

608 
1,233 
8 

1,456 

> 
182 
9 

o 
1 

9 

16 
3 

2 

426 
1 

1 
122 

1 
2 

1 

134 
1 

7 

447 

1 

1 
6 

0 

769 
1 

3 

190 

2 
1 
1 

143 
1 

3 

1 

273 

1 

o 

6 
1 

7 
1 

1 

1 

1 

1 

1 

19 

"5 

10 

816 
690 
49 
4 
11 
5 

40 
94 

1 

4 
1 

9:55 
617 
22 

3 

1 
6 

774 
616 

27 

4 
3 
3 

837 
674 
19 
1 

5 

0 

6 

808 
554 
31 
3 
10 
1 

42 

132 

3 

9 
5 
1 

941 
623 
77 
1 
27 
7 

72 

148 

3 
5 

9 

753 
726 
80 

1 
20 

5 
5 
6 

42 
55 

128 

0 

10 

1 

37 

78 
1 

105 

4 
2 

44 

70 

2 

59 
4 

2 
50 

r 

1 

67 
4 

1 

79 
4 
1 

2 

73 
4 

16 

62 
113 

26 

639 
50 
2 

30 
4 

52 
6 

1"4 

65 
8 

71 

97 
1 
3 

228 
1 
10 

282 

286 
1 
33 

1 

o 

17 

6 

3 
3 

17 

13,  279 

502 

14,  318 

628 

11,  275 

588 

13,580 

C21 

14,  4G3 

593 

18,455 

729 

19,500 

742 

194,  800     8,  505 

680 


SICKNESS   AND    MORTALITY    OF   COLORED    TROOPS 


TABLE  CVIL— UNITED  STATES  ARMY— Continued. 


YEAK  

1804. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

76,  013. 

76,  225. 

74,  391. 

84,  444. 

89,  938. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

forward 

19,  533 

7 
626 

981 

6 
3 

19,  871 

10 
45 
554 
9 
17 
4 
3 
23 
161 
16 
70 
11 

6 

1 
2°1 

908 

6 
3 

18,  140 

9 
64 
534 
13 
6 
4 
2 
6 
189 
6 
21 
1 

5 
o 

874 

7 
o 

17,  218 

5 
43 
523 

784 

4 

1 

15,  138 

3 
35 

479 
8 
5 
10 
11 

261 
4 

555 

: 

CLASS    IV.—  LOCAL    DISEASES. 

ORDEH  I.  —  Diseases  of  Nervous  System. 

H         ^ 

¥>'         °   ?f  . 

5 

20 
5 
3 

18 
174 
7 
104 
13 

9 
1 

185 
5 
134 
3 

19 
4 
16 
23 

1 
16 
4 

1 

10 
3 
3 

6 

14 
3 
2 
9 

192 

o 
4 
11 
1 

r3    Infl  mmation  of  Brain 

2 
2 
2 

12 
2 

1 

r                 . 

3 

}   • 

4 
11 
1 

3 
o 

5 
2 

2 

n 

8 

f  th'    O   1 

3 

5 
1 
161 
2 
51 

o 

ORDEH  II.  —  Diseases  of  Eye. 

1 
4 

240 

62.  Cataract                                  

193 

5 

139 

9 

128 
3 

23 

1 
90 

7 

16 
18 
38 
19 

66.  Other  Diseases  of  this  Order  

10 

27 

1 

10 
29 

ORDER  111.—  Diseases  of  Ear. 
67.  Inflammation  of  Internal  Ear.            

68.  Deafness  

49 
38 

9 
33 
15 

8 
15 

69.  Otorrhcea  

70.  Other  Diseases  of  this  Order  

3 

1 
11 
7 
1 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 
71.  Aneurism  

1 

2 

7 
2 

3 

72.  Valvular  Disease  of  Heart  

15 
9 
4 

2 
11 
3 

1 

19 
10 
1 
7 
1 

24 
9 
4 
5 
1 

8 
5 
5 
3 

27 
16 
o 

3 

5 

8 
1 
2 

3 

4 
2 
1 
1 

73.  Dropsy  from  Heart  Disease  

74.  Dropsy  of  Pericardium  

75.  Inflammation  of  Pericardium  

7C.  Inflammation  of  Endocardium  

77.  Inflammation  of  Veins  

1 
8 
7 
5 

20 
540 
72 
6 
10 
121 
3GO 
1C7 
4 
33 

388 

78.  Varicose  Veins  

16 
11 
20 

22 
426 
G8 
9 
7 
56 
233 
155 
8 
16 

540 
787 
78 
3 
81 
152 
6 
2 
13 
85 

2° 

16 
15 

7 
2 

55 
833 
196 
2 

1 
124 
594 
204 
12 
35 

°90 

79.  Varicocele  

16 
2 

34 

80.  Other  Diseases  of  this  Order  

1 

1 

8 
4 
2 
1 
3 
136 
10 

2 

1 

1 

51 
682 
130 
6 
15 

1 

1 

6 

8 

3 

1 
14 
3 
2 

OUDEU  V.  —  Diseases  of  Respiratory  Organs. 
81.  Asthma  

82.  Acute  Bronchitis  

7 
5 
1 
1 
1 
103 
4 
3 
2 

445 
67 
9 
4 
108 
192 
165 
20 
8 

379 
595 
40 

1 
4 
6 

83.  Chronic  Bronchitis  
84.  Dropsy  of  Chest  

85.  Haemorrhage  from  Nose  

86.  Inflammation  of  Larynx 

1 

68 
5 

1 
o 

2 

177 
330 
194 
20 
12 

287 
610 
35 
1 
45 
105 

2 

87 
6 
3 
o 

3 

125 
9 

1 
3 

87.  Inflammation  of  Lungs 

88.  Inflammation  of  Pleura.  .. 

89.  Haemorrhage  from  Lungs  

90.  Other  Diseases  of  this  Order  

10 

ORDER  VI.—  Diseases  of  Digestive  Organs. 
91.  Colic  

92.  Constipation  

840 
94 
3 

67 
169 

1 

1 
1 
2 
15 
1 

550 
9 

93.  Cholera  Morbus  

1 

1 

94.  Cirrhosis  of  Liver  

95.  Dropsy  from  Hepatic  Disease  

16 
1 

7 

1 

42 
71 
1 
1 
12 
101 

15 

43 
126 

9 

96.  Dyspepsia  

!)7.  Diseases  of  Pancreas  .  .  . 

98.  Diseases  of  Spleen  

5 
7 
112 
10 

1 

2 

8 
94 

f>9.  Fistula  in  Ano  

100.  Hernia  

79 
1 

101.  Haemorrhage  from  Stomach  

1 

3 

Carried  forward  

24,  016 

1,242 

24,  132 

1,096 

21,  792 

1,024 

21,  329 

958 

19,  525 

770 

DURING   THE    YEAR   ENDING   JUNE   30,    18G5. 


687 


TABLE  C VII.— UNITED  STATES  ARMY— Continued. 


18O4. 

1865. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

88,336. 

92,  590. 

89,  965. 

93,  685. 

100,  807. 

98,  316. 

105,  009. 

89,  143. 

49 
50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 

61 

62 
63 
64 
65 
66 

67 

68 
69 
70 

71 

73 
74 
75 
76 
77 
78 
79 
80 

81 
83 
83 
84 
£5 
86 
87 
88 
89 
90 

91 
92 
93 
94 
95 
96 
97 
98 
gg 

100 
101 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

13,279 

4 
67 
477 
8 
6 
9 
9 
4 
250 
13 

502 

4 
6 

14,  318 

7 
36 
540 
7 
7 
4 
5 
3 
298 

628 

11 
3 

11,  275 

4 
46 
417 
3 
5 
1 

588 

3 
1 

13,  580 

10 
51 
417 
8 
4 
1 
3 
5 
239 
8 
6 
7 

4 

0 

621 

10 

7 

14,  493 

9 
42 
443 
5 
3 
12 

593 

7 
4 

18,  455 

5 
40 
642 

729 

10 
3 

19,500 

4 
55 
755 
3 
12 
2 
3 
15 
218 
7 
32 
13 

6 
2 
233 

742 

6 

o 

194,  800 

77 
549 
6,407 
87 
107 
56 
41 
135 
2,817 
107 

107 

52 
22 
2  41^ 

8,505 

60 

38 

1 
4 
3 

1 

12 
8 
1 

r 

109 
46 

2* 

r 

2 

23 
32 
25 

5 
5 

11 
2 
1 

9 

o 

8 

33 
4 
1 

9 
3 
6 
1 

14 
5 
2 
1 
1 
2 
6 
1 

4 

276 
20 

30 
313 
8 
5 

44 

3 

1 
263 
15 
96 
5 

21 
5 

12 

246 

1 
1 

2 

8 

4 

1 
2 

2 

5 
12 
4 

9 
5 
275 

3 
o 

6 
1 

1 

1 

1 

1 

4 
o 

1 

12 

1 
134 
8 
41 
6 

18 
13 
16 
2 

162 
6 
40 
4 

14 
9 

28 
7 

150 

195 

5 
21 

.T 

10 
55 
6 

14 
6 
23 
3 

1 
17 
10 

6 

9 
90 
3 

13 
154 

7 

24 

88 
1  039 

66 

238 
120 
312 
119 

10 

214 
126 
32 
39 
16 
4 
196 
122 
38 

401 
10,  670 
1,270 
78 
92 
1,499 
6,265 
3,305 
205 
405 

4,408 
7,903 
559 
14 
783 
1,391 
8 

13-> 
1,115 

34 

1- 

21 
10 
13 

12 

19 

°9 

18 
1 

3 
13 
5 

1 
1 
1 

34 
1 

2 
22 
10 
3 
4 
3 
o 
04 

4 

3 

3 
15 

20 
8 
4 
2 

1 
4 

13 
7 
5 
2 

2 
71 
82 
40 
31 
15 
1 
1 

18 
9 

0 

6 
5 
1 
3 
1 

20 
7 
1 
6 
1 
1 
17 
1° 

7 
8 
1 
4 

13 
14 

6 
2 

0 

o 
2 

8 
2 

6 
o 

5 

11 
10 
6 
3 

9 

7 
4 
2 
4 

1 

1 

9 

16 
1 

23 
1,411 
99 
7 
8 
324 
639 
343 
21 
101 

335 
551 
23 
1 
56 
84 

16 
6 

19 
6 

1 

18 
1,138 
141 

1 

69 
704 
397 
13 

306 
530 

17 
6 

24 
13 
2 

36 
496 
122 
9 
13 
53 
336 
250 
16 

483 
913 

1 

7 
1 

41 
695 
85 
9 
6 
96 
357 
259 

rJi 

18 
377 

1 

31 

1,796 
104 
7 
9 
151 
979 
418 
23 
81 

355 

2 

3 
24 
12 

1 

2 
18 
10 
3 

2 

1 

23 
82-J 
65 

8 
63 
598 
317 
9 
13 

408 
661 
44 

"~ 

1 
4 
9 
4 

2 

1 
4 
5 
3 

10 
118 
85 
28 
3 
19 
2,301 
103 
33 
63 

4 
3 
10 
3 
128 
5 

44 
1,386 
121 
2 
6 
157 
943 
376 

41 

280 
491 
3 

8 
9 
1 
1 
2 
209 
14 
4 
3 

18 
8 
3 

6 
8 
3 

o 

400 
10 
5 
14 

1 
351 
12 
4 
10 

o 

2 

300 
12 

3 

1 
815 
4 
7 
6 

1 

180 
11 
1 
3 

127 
6 
2 
5 

1 

636 
15 
2 
128 

87 

739 
46 
4 
62 
120 

9 

2 

163 

5 

1 
7 

1 

3 

92 

88 

4 
] 

50 
104 

5 

35 
137 

13 

16 

82 
148 
1 
3 
13 

18 

1 
11 
83 
4 

1 

i 
100 

1 
5 

6 
15 
114 
5 

1 

14 
90 

0 

15 

93 
5 

70    

94 
1 

1 

1 

1 

1   

2    

18,  592 

803 

20,  468 

1,151 

16,509 

1,044 

18,353 

1,040 

19,166 

933 

23,051 

1,026 

24,454 

994 

251,387 

12,081 

688 


SICKNESS   AND   MORTALITY    OF    COLORED    TROOPS 


TABLE  CVII.— UNITED  STATES  ARMY— Concluded. 


1SG4. 
YEAH  

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

76,013. 

7G,  225. 

74,  391. 

84,  444. 

89,  938. 

LIST  OF  DISEASES. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.  !  Deaths. 

rd 

24,  016     1,  242 

14            1 
141    

24,  132 

10 

269 
57 
25 
4 
87 
45 
403 
133 
14 

11 

1,096 

o 

2 
o 

9 
2 
3 
2 
3 
1 

21,792 

3 

95 

17 
34 

1,024 
1 

21,  329 

4 
296 
47 
30 
7 
35 
26 
250 
155 

958 

1 
1 
6 
7 
2 
1 

19,  525 

1 
306 
48 
12 
3 
30 
19 
314 
136 
17 

10 
1 
33 
1 
3 
39 
11 
°7 

770 

1 
4 
4 
2 

ODDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

1C*.  Hsemorr  age    om 

21    

3 

8 

in-    l"fla                   f  13 

28           10 
3    

°'        "                              •                       T>         '. 

61             3 
23            4 
270            4 
132            2 
10    

45 
18 
333 
154 
20 

1 
3 

4 

1 

2 

16 
14 

1 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

19    

15 

1  ••  

3 

19 

24            2 

2  ' 

26 
1 
13 
33 
11 
22 

4 

2 

7 

0 

o 

'      ' 

00 

14 
26 
18 
21 
11 
3 

2 

8 
22 

0 

14 
51 
11 
30 
5 
11 

1 

4 
15 
1 

1 

1 

22 

1 
3 

1 

5  i          1 
17  : 

120    Ilydrocele                                                

5    

9 
4 

3 

6 

25 

5 

8 

1 
3 

17 
1 
9 
5 

1°1    Other  Diseases  of  this  Order 

3 

ORDEU  VIII.  —  Diseases  of  Bones  and  Joints. 

3    

1 

22 

1 

3  ! 

4 
2 
3 
4 

103 

192 

3    

4 

8 

1 

o 

4 

ORDER  IX.  —  Diseases  of  Integumentary  System 
129.  Abscess  

76 

1 

73 
179 
17 
18 
101 

7 
135 

77 
175 

98 
187 
4 

o 

130.  Boils  

179 

131.  Carbuncle  

18 

4 
31 
149 

13 
90 
1 

2 

29 

132.  Whitlow  

17 

133.  Skin  Diseases  

126 

88 

102 

43 

125 
6 

1 

CLASS   V.  —WOUNDS,    ACCIDENTS,    AND 
INJURIES. 
ORDER  1.  —  Wounds,  Accidents,  and  Injuries. 
134.  Burns  

14             1 
95 

135.  Contusions  

1 
2 

8 

1 

155 
5 

1 
1 

13C.  Concussion  of  Brain  

3            1 

30 

1 
o 

137.  Drowning  

1 

138.  Strains  

160 

179 
5 
6 
1 
320 
57 
32 

157 

178 
4 
7 
9 
510 
78 
°7 

230 

139.  Dislocation  

1 

7 
3 

140.  Simple  Fractures  

4 

13 

209 

87 

141.  Compound  Fractures  

o 

4 

102 

142.  Gunshot  Wounds  

982          52 

PK> 

133 

996 
57 
86 
18 
1 
73 

48 
1 

56 

143.  Incised  Wounds  

144.  Lacerated  Wounds  T« 

24 
31 
1 
13 

145.  Punctured  Wounds  

40 

3° 

19 
6 
5 

1 

14G.  Poisoning  

3            1 

30            2 

1 

4 

1 

3 
1 

147.  Other  Accidents  and  Injuries.    . 

1 
^ 

3 

148.  ORDER  II.  —  Uom.  icide  

149.  ORDER  III.—  Suicide  

150.  ORDER  IV  .—Execution  of  Sentence 

1 

' 

1 

Total  

26,719     1,357 

26,  584     1,  275 

24,  617 

1,109 

23,760  :  1,096 

21,  814 

856 

DURING    THE    YEAR    ENDING    JUNE    30,   18U5. 


689 


TABLE  CVIL— UNITED  STATES  ARMY— Concluded. 


1804. 

18(35. 

DECEMBER. 

JANUARY. 

FEURUAUY. 

MARCH. 

APRIL. 

MAY. 

JUNE.                     TOTAL. 

88,  336. 

92,  590. 

89,  965. 

93,  685. 

100,  607. 

<J8,  316. 

105,  009. 

69,  143. 

102 
103 
104 
103 
106 
107 
108 
109 
110 
111 

112 
113 
114 
115 
116 
117 
118 

m> 

120 
121 

122 

1  O'l 

124 
125 
126 

127 
128 

129 
130 
131 
132 
133 

134 
135 
13<j 
137 
138 
139 
140 
141 
142 
143 
144 
145 
14<J 
147 

148 
149 
1  50 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases.    Deaths.     Cases.    Deaths. 

Cases. 

Deaths.       Cases.      Deaths. 

18,  592 

o 

3C9 
21 
14 
4 
40 
17 
103 
125 
12 

28 

803 

20,  468 

5 

270 
39 
31 
7 
36 
17 
162 
121 
30 

19 

1,151 

2 

16,509     i,044 
9 

18,  353 

4 
261 
11 
43 
5 
29 
52 
177 
129 

1,040 

19,  106 

3 

268 
16 
12 
9 
66 
24 
155 
99 
24 

2° 

933 
1 

23,  051 
20 

1,026 

1 

24,454 

C 
171 
20 
47 
12 
56 
24 
256 
174 
50 

23 
6 
3Z 

i 

12 

994 

5 
1 

9 
19 
11 
5 

3 

251,  367 

81 
3,020 
343 
331 
75 
590 
313 
2,789 
1,  593 
294 

215 

12,081 

16 
G 
48 
95 
3fi 
29 
26 
32 
6 
5 

299             1 
22            4 
10             6 
7             6 

4 
5 

0 

4 

0 

3 

4 
10 
5 
4 
4 
1 

5 
3 
3 
o 

2 

24 
45 
14 
77 
35 
144 
165 
60 

7 
10 
3 
5 
1 
4 
2 

4 

1 
4 

1 

2 

13             2 

160  ;       3 

70 

15  |          1 
20    

26 

13 
3 
16 

1 

5             1 
20            8 

4 
11 

1 
6 

4 
22 

0 

1 
5 

31 
248 
9 
148 
392 
173 
277 

3 

40 

23 
1 
16 
35 
9 
20 
5 
7 

4 
4 

1 
2 
3 
2 

67 
138 
11 
21 
88 

45 

159 
1 

5 

26 
1 
15 
24 

3 

1 

16    

6 
29 
21 
30 
3 
5 

4 
12 

5 

28 
12 
11 
3 
7 

3 
4 
25 

12 

1 
11 
8 

1 

2 

1 

3 

42 
24 
20 
7 
9 

5 
1 

27 

1 
1 

35 
19 
31 
4 
6 

4 
6 
30 
7 
9 
3 

1 
1 

20            1 
22    

20 
5 
8 

1 
5 
37 

1 
1 

o 

64 
74 

33 
66 
280 
27 
38 
40 
17 

1,013 
2,016 
94 
319 
1,417 

399 
1,744 
31 

1 
5 

0 

3    

1 

1 

2    

13 

1 

1 

2 

25 

16 

1 

6 
o 

1 
4 

3 

3 

1 
3 

1 
2 

1 

3 

3 

7 

90 
166 
8 
23 

1 

64 
151 

1 

71             1 

138 

97 
114 
4 
39 

1 

2 

91 
192 
8 
40 
171 

2 

106 
205 
6 
35 
110 

20 

11 



0 

4 

47      ... 

110 

78 
214 

0 

1 

Ill  !         1 

54             1 
145      ... 

114 

41 
144 

0 

147 

35 
153 
1 

3 

9 
13 
75 

24 

1 

1 

1 

g 

1 
3 

169 
3 

2 

154 
C 

1     j 
1     ' 
15 

1 

1 

1 

8 

232 
5 
7 
5 
548 
68 
42 
32 
3 
3~3 

070 

207 

236 
8 
6 
1 
113 
75 
26 
23 
3 
62 

2'.;s 

264 

254 
13 
9 

2  G07 

1 
91 

1 

1 

5 
1 
98 
83 
32 
29 

7:31 

12 

6 
8 

13 

79 
80 
24 
4,527 
879 
427 
362 
53 
1,007 

1 
12 
11 
719 
2 
7 

6 

50 

8 

4 
o 

48 

8  ,  

1 

1 
31 

4 
3 
54 

1 
36 

18 

210           31 
84 

417 
67 
34 
37 
3 
90 

73 

40 
96 
23 
39 
6 
15 

1 

19    

1 

1 

1 

44 
35 

3 

25 

1 

4 

1 

19 

1 
3 
o 

5 
13 

1 

7 

1 

12 

252            8 
1 

4 

0 

1 

0 

14 

1 

21 

21,33!) 

939     •    23,271     1,253 

18,  733     1,  121 

20,359     1,114 

21,  524 

1,052 

25,  318 

1,135 

26,  C24 

1,104          280,602     13,411 

SICKNESS,    ETC.,    DURING   THE   YEAR    ENDING   JUNE   30,  18G6.  691 


SICKNESS  AND  MORTALITY  OF  COLORED  TROOPS  DURING  THE  FISCAL 

YEAR  FOLLOWING  THE  WAR, 


JULY  1,  1865,  TO  JUNE  30,  1866.) 


As  in  the  case  of  the  white  troops,  it  has  been  thought  advisable  to  present  a  synopsis 
of  the  sickness  and  mortality  of  the  colored  troops  during  the  year  following  the  war, 
This  is  done  in  three  tables,  as  follows: 

1.  The  Atlantic  Region  -         -  -     Table  OVIII. 

2.  The  Central  Region  -     Table       CIX. 

3.  Consolidated  table  for  the  United  States     ...         -     Table        CX. 

*. 
To  these  has  been  added — 

A  General  Summary  .......     Table      CXI, 

which  completes  the  tables  on  the  sickness  and  mortality  of  colored  troops. 


692 


SICKNESS   AND    MORTALITY    OF    COLOEED    TROOPS 


TABLE  CYIII. 

Abstract  of  the  Sickness  and  Mortality 


TEAK  

1805. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

22,  584. 

21,  547. 

16,  883. 

12,  735. 

12,  162. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases.  ;  Deaths. 

Cases. 

Deaths. 

Cases.  '  Deaths. 

Cases. 

Deaths. 

CLASS  1.     ZYMOTIC    DISEASES. 
ORDER  I.  —  Miasmatic  Diseases. 

88 

31 
1 
28 

27 

15 

20 
4 
329 

23 

o 

18 

24 

20 

9 

7 

1.  TJI  10 

67 

219 

27 

135 

30 

34 

7 

-  '    °  " 

4GS 
533 

9 

429 
632 

20 

463 
750 
392 
84 
°2 
369 
45 
81 
5 
4 
6 
4 

10 
4 
1 

291 
430 
619 
89 

174 
41 
49 
5 

1 

27 

11 
1 

92 
355 
317 
58 
12 
204 
6 
73 
4 

5 

'       ''                                             •*»        *T.' 

425 

1 

401 
43 
8 
C96 
3G 
165 
11 

6 

23 

1 
1 
4 
2 

14 
5 
2 

1 
4 
1 

1 

.     er  an 

9 
1,023 
45 
209 

4 
65 

1 
10 
45 
17 
6 

3 

7 
15 
4 
1 

2 

13 

10 
4 
0 

o 
1 

19 

3 

12 

8 

17 
1 

6 

1 
91 

7 
259 

100 
141 
9 
4 
1 

7 
107 
17 
219 

87 
153 
10 
3 

0 

14 

115 

1 

88 
19 
162 

71 
82 

o 

75 

11 

88 

94 
130 

31 
70 

80 
76 

8 

3 

6 

5 

1 

ORDER  11.  —  Enthetic  Diseases. 
22.  S  vi'liilis  

23.  Gonorrhoea  

24.  Orchitis  

12 
o 

23 

9 

25.  Stricture  of  the  Urethra  

1 

26.  Purulent  Ophthalmia  

27.*Serpent  Bite  

28.  Other  Diseases  of  this  Order  

3 

75 

7 

1 

49 
1 

ORDEU  Hl.—Dietic  Diseases. 
29.  Scurvy  

1 

o 

33 

6 

1 

30.  Purpura  

31.  Delirium  Treraens  

32.  Inebriation  

1 

33.  Chronic  Alcoholism  

34.  Other  Diseases  of  this  Order  

CLASS  II.—  CONSTITUTIONAL   DISEASES. 
ORDER  I.—Diathetic  Diseases. 
35.  Gout  

30.  Acute  TJheumatism  

122 
54 
25 

1 
2 

1 

92 
31 

8 

67  _ 
20  ' 
4 

29 
20 
9 
1 
6 

1 
1 
1 
1 

43 
46 

37.  Chronic  Rheumatism  

38.  Anajmia  

1 

3!).  Cancer  

40.  Tumors  

0 

3 

3 

0 

41.  Other  Diseases  of  this  Order  

ORDER  II.  —  Tubercular  Diseases. 
42.  Consumption  

11 

17 
1 

11 
20 

11 
1 

10 
25 

10 

9 
10 

10 
1 

6 
8 

5 
1 

43.  .Scrofula  

44.  Other  Diseases  of  this  Order  

CLASS  III.  —  PARASITIC    DISEASES. 
45.  Itoli  

60 

45 

45 

r"> 

4(i.  Tape-worm  

47.  Other  Intestinal  Worms  

3 

3 

3 

1 

i 

48.  Other  Diseases  of  this  Order    ..   . 

Carried  forward  

3,  9C4           192 

3,543 

116       3,282 

113 

2,481 

137 

1,787 

62 

DUKING    THE    YEAK   ENDING   JUNE    30,    I860. 


693 


TABLE  CVIIL 

of  Colored  Troops  in  the  Atlantic  Region. 


1805. 

1866. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL.                  MAY. 

JUNE. 

TOTAL. 

9,  205. 

C,  251. 

4,  907. 

5,  371. 

4,  522. 

2,  370. 

2,  001. 

10,  055. 

1 
o 

3 

4 
5 
6 

7 

H 

9 
10 
11 
12 
13 
14 
15 
10 
17 
18 
19 

20 

•-."' 
23 
24 

2<; 

27 
28 

29 
30 
31 

33 
34 

35 
30 
37 
38 
39 
40 
41 

42 
43 
44 

45 
46 

47 
48 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

1 

1 

2 

1 

1 

o 

1 

1 

179 
4 
801 

101 
3 

118 

6 

1 

4 

1 

1 

1 

55 
220 
233 
8 

37 
91 

2 

17 
23 

16 

34 
53 

7 
25 
18 
9 

1 
0 

5 
9 
0 
50 

1,  851 
3,120 
2,604 
372 
80 
3,030 

651 
59 
21 
301 
90 

03 
5 
4 
1 

122 
34 
18 
1 

148 

1 

71 
1 

75 

o 

1 

1 
77 
13 
13 

1 
101 
6 
13 

1 

90 
6 
15 
1 
3 
85 

107 

108 
3 

10 

1 

30 
2 

4 

39 
4 
4 

2 

14 
10 
3 

3 

2 

1 

3 

2 

2 

o 

3 

44 

27 

43 
o 

i--<J 

08 
1 

24 

24 

30 

10 

3 

8 

5 

1 
37 

<-O 

10 

74 
94 

7 

3 

30 

3 

8 
33 

0 

7 
33 

7 

88 
38 
6 
1 
4 

4 

12 
8 

28 

1 
3 
3 

10 
8 
1 

27 

7 

53 
39 
3 

2°1 

1 

11 

83 

7 

17 
10 
3 

851 
7<>1 

24 

CO 
3 
1 

19 
1 
1 

808 
87 
13 

Q 

1 

1 

o 

g 
23 

1 

9 
o 

3 

1 

1 

4 

34 

244 
1 
3 
4 

23 

1 

4 

5 

1 

1 

1 

3 

1 

1 

29 
24 

29 

10 

10 

11 

6 
4 

0 
14 
1 

472 
284 
54 
1 
17 

o 
5 
4 

1     i 

8 
5 

l 

•12 

24 

1 

1 



i  "" 

] 

4 

1 
1 

28 

4 

3 
3 

5 

1 

5 
3 

1 

3 

1 

1 

1 
1 

1 

CO 
97 
1 

459 

C9 
6 

1 

3 

1 

29 

33 

53 

38 

17 

18 



11 

1,105 

38 

696 

40           504 

26 

575 

34 

375 

15 

133 

10 

226 

3          18,071           780 

694 


SICKNESS   AND    MORTALITY    OF    COLORED    TROOPS 


TABLE  CVIII.— ATLANTIC  REGION— Continued. 


• 

1805. 

MONTH  

JULY. 

AUGUST. 

SEPTEMISEU. 

OCTOBER. 

NOVEMBER. 

MEAN  STRENGTH  

22,  584. 

21,  547. 

16,  883. 

12,  735 

12,  162. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

3,964 

1 
4 

257 

192 

1 

3,543 

116 
1 

3,282 

1 
116 

113 

1 

1 

2,481 

1 

2 
59 

137 

1,  757 

1 

66 

62 

CLASS    IV,—  LOCAL    DISEASES. 
ORDER  I.  —  Diseases  of  Nervous  System. 

o 

1 

135 

1 
o 

oo 

3 
7 
1 

2 
12 
1 
10 

18 

o 

1 

1 

1 
3 

1 
1 

1 

| 

19 

20 

31 
1 

°8 

1 

1 
15 

1 

7 

1 

0 

1 

59.  Sun-stroke  

3 
4 

0 

1 

ORDER  II.  —  Diseases  of  Eye. 

1 

1 

0 

19 

31 

1 
21 

14 

1 
20 
1 

6 

9 

6 
1 

''  "               . 

1 

1° 

ORDEU  111.  —  Diseases  of  Ear. 

3 

1 

3 
1 
3 

1 

1 

11 

5 

o 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

7 
3 

3 

4 
o 

1 

0 

3 

1 

3 
3 
1 

4 
4 

2 

73.  Dropsy  from  Heart  Disease  

1 

o 

1 

2 

1 

1 

1 

.       .       1 

o 

4 

1 

3 

1 

1 
3 
2 

3 

58 
•   1 

4 



3 

60.  Other  Diseases  of  this  Order  

1 

1 

OUDEU  V.  —  Diseases  of  Respirator  ij  Organs. 
81.  Asthma 

6 
89 
43 

4 
105 
5 

3 
34 
2 

7 
83 

1 

2 

1 
1 

£3    Chronic  Bronchitis 

1 

8 

1 

1 

o 

o 

86.  Inflammation  of  Larynx 

1 
45 
33 
6 

8 
33 
26 
3 

18 
22 

3 

50 
9 
1 
3 

33 
35 

6 
47 
17 
2 

87.  Inflammation  of  Lungs  

14 
4 

1 

12 
1 
1 

11 

2 
3 

16 

68.  Inflammation  of  Pleura  

89.  Haemorrhage  from  Limps 

90.  Other  Diseases  of  this  Order  

ORDER  VI.—  Diseases  of  Digestive  Organs. 
91.  Colic  

102 
159 

69 
121 
9 

44 
64 
15 

25 

9?.  Constipation  

1 

41 
1 

93.  Cholera  Morbus  

21 

2 

4 

91.  Cirrhosis  of  Liver  

95.  Dropsy  from  Hepatic  Disease  

9 

14 

1 

6 

4 

3 

19 

2 
8 

1 

5 

7 

1 

96.  Dyspepsia  

97.  Diseases  of  Pancreas  

!'R  Diseases  of  Spleen  

1 

1 

f'9.  Fistula  in  Ano  

1 
9 

0 

100.  Hernia  

19 
1 

1 

c 

101.  Haemorrhage  from  Stomach  

1 

Carried  forward  

4,899 

240 

4,225 

148 

3,743 

138 

2,850 

150 

2,197 

81 

DUEING  THE  YEAR  ENDING  JUNE  30,  180(5. 


695 


TABLE  CVIIL— ATLANTIC  REGION— Continued. 


1865. 

1866. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE.                    TOTAL. 

9,  263. 

6,  251. 

4,  907. 

5,  371. 

4,  522. 

2,  370. 

2,  001. 

10,  055. 

49 
50 

51 
52 
53 
54 
53 
56 
57 
58 

60 

61 
62 
63 
G4 
65 
66 

67 
68 
69 
70 

71 
72 
73 
74 

76 

78 
79 
80 

H 
83 
83 
84 
£5 
80 
87 
88 
89 
90 

91 

92 
93 
94 
95 
96 
97 
98 
99 
100 
101 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases,  i  Deaths. 

Cases. 

Deaths. 

1,105 
1 

38 

1 
1 

C96 

40 

504 

26 

575 

34 

375 

15 

133 

10 

226 
1 

3 

18,  671 

6 

15 
8u8 
5 

30 
1 
10 
J53 
4 
48 

3 

130 
4 
110 
3 

°0 

78S 

4 
3 

j 

1 
33 
1 

2 

20 

53 

1 

0}        ' 

21 

13 

11 

! 

l 

1 

1 

1 

1 

10 
11 
1 

10 

11 

7 

2 

3 

1 

3 

1 

7 
6 

1 

1 

4 

15 

5 

10 

9 

7 

1 

3 

0 

1 
1 

2 

1 

1 

3 

1 

1 
3 

3 
3G 

2 

2 

3 

2 

1 

1 
1 

2 



1 

2 

2 

26 
14 
C 
4 

8 
3 

1 
1 

5 

3 

1 

18 
8 
3 

29 
550 
80 
1 
4 
45 
271 
179 
14 
31 

3L>7 

1 

1 

1 
4 

1 

1 

58 

;) 

o 

3 

35 

33 

00 

5 

7 

1" 

7 

3 

12 
10 

1 
4 

5 

20 
19 

1 
G 
2 

1 

79 
8 
5 

7 
1 

14 
12 

5 

11 

12 

G 

6 

8 

0 

3 
3 

2 

7 
35 

13 

G 

8 
51 

2 

3 

11 
1 

; 

]9 
38 

1 

6 
30 

31 

5 

13 

0 

G35 
56 

•vO 

78 

1 
4 

1 

1 

1 

7 

1 

- 

1 

2 

2 

9 

3 

i 

2 

2 
4 

59 
3 

1 
3 

1 

4 

3 

1 

5     i 

1 

1 

1 

1,292 

48    | 

944 

49 

665 

32 

762 

40 

504 

19 

183 

10 

284 

G          22,  551 

961 

i 

696 


SICKNESS    AND    MORTALITY    OF    COLORED    TROOPS 


TABLE  CVIIL— ATLANTIC  REGION— Concluded. 


YEAR  

18(35. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

22,  584. 

21,547. 

16,  883. 

12,  735. 

12,  162. 

LIST  OF  DISEASES. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

4,899 

1 
19 
6 
10 
1 

11 
106 

25 

240 
1 

4,225 

5 
31 
7 
1 
1 
16 
6 
61 
22 

148 

3,743 

1 

49 
3 

7 

138 

2,850 

5 
12 

1 
3 
o 

5 

150 

2,197 
o 

81 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

1 

1 
1 
1 

15 
6 

8 

3 

1 
1 

2 

o.     u  urn    a   o 

1 
1 

2 

1 

15 
8 
45 
16 
3 

3 
1 

1 

1 
21 
12 
1 

3 

1 
1 

Acme    in.   ii 

1 

41 
11 
1 

1 

1 

1 

2 
o 

1 

ORDER  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

2 

1 

o 

2 

1 

3 

1 

1 

1 

7 
4 

1 

8 
3 
o 

6 
o 

4 
o 

4 

o 

1 

1 
5 

120.  llydrocele  

1 

1 

1 

1 

1 

1 
3 

ORDER  V11I.  —  Diseases  of  Bones  and  Joints. 

1 

o 

3 

4 

1 

o 

126.  Inflammation  of  Periosteum  

1 
1 

2 

11:7.  Necrosis  

1 

2 

1 

2 

128.  Other  Diseases  of  this  Order  

1 

ORDER  IX.  —  Diseases  of  Integumentary  System 
1:29.  Abscess  

26 
60 
1 
G 

28 

21 
62 
4 
5 

49 

5 

1° 

14 
33 

0 

12 
16 
1 
3 
9 

8 

1 

130.  Hoils  

50 

131.  Carbuncle  

IC2.  Whitlow  

3 

23 

2 
13 

4 
7 

1 
6 

133.  Skiu  Diseases  

1 

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

OBDER  I.  —  Wounds,  Accidents,  and  Injuries. 
134.  Burns  

1 
26 

135.  Contusions  

136.  Concussion  of  Brain  

1 

lr>7.  Drowning  

" 

1L£.  Sprains  

21 

°5 

18 
1 
1 

8 

. 

139.  Dislocation  

1 
1 

1 
1 

1 

2 
1 
1 
5 
13 

1 

140.  Simple  Fractures  

1 

141.  Compound  Fractures  

1 

o 

142.  (iunshot  Wounds  

22 
15 
7 
5 

2 

9 
13 
3 

8 

5 

10 
18 
2 
5 

6 
5 
2 
3 

o 

3 

143.  Incised  Wounds  

144.  Lacerated  Wounds  

1 

145.  Punctured  Wounds  

3 

140.  Poisoning-  

147.  Other  Accidents  and  Injuries  

1 
1 

<> 

o 

2 

1 

0 

148.  ORDER  II.—  Homicide  
1  49.  ORDER  III.    Suicide  

1 

1*><>.  ORDER  IV.—  Execution  of  Sentence.  

o 

Total  

3,046 

5,  353     •      256 

4,620 

163 

4,072 

151 

157 

2,376 

94 

DURING   THE    YEAR    ENDING   JUNE    30,  18GC. 


697 


TABLE  C VIII.— ATLANTIC  REGION— Concluded. 


1865. 

1866. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE.                     TOTAL. 

9,  265. 

6,  251. 

4,  907. 

5,  371. 

4,  522. 

2,  37G. 

2,  OG1. 

10,  055. 

102 
103 
104 
105 
100 
107 
108 
109 
110 
111 

112 
113 
114 
115 
110 
117 
118 
119 
120 
121 

122 
123 
124 
125 
12C 
127 
128 

129 
130 
131 
132 
133 

134 
135 
136 

137 
138 
139 
140 
141 
142 
143 
144 
145 
14'j 
147 

148 
149 
150 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases,    Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.      Deaths. 

1,292 

48 

944 

49 

* 

6G5 

32 

7C2 

40 

504 

19 

186 

10 

284 

6 

22,  551 

14 
231 
26 
37 
4 
GO 
30 
315 
106 
14 

12 
o 

11 

9G1 
1 

0 

5 

5 
1 
5 
1 
2 

24 
1 

20 

23 

24 

8 

5 

1 

0 

1 

1 

5 

2 

o 
1 

18 
8 

1 

3 

1 

6 
G 

4 
2 

9 
2 

2 
o 

2 

1 
1 

1 

1 

1 

1 

1 

8 

1 

2 

1 

1 

4 

1 
1 

33 
13 

20 

1 
1 

1 

1 

2 
o 

4 
1 
20 

3 

1 

3 

3 
6 
11 

124 
321 

1 

1 

2 

5 

6 
6 
1 
3 

8 

7 
13 

2 

1 

4 
9 

3 
4 

9 

l(i 

9 
22 

5 

°0 

1 

o 
15 
3 
2 
2 

1 
3 
4 

15 
41 
16G 

38 
139 
1 

o 
G 

3 

8 

7 
12 

4 
1° 

3 

10 

1 

o 

14 

15 

4 

C 

0 

1 

1 

G 

13 

G 

13 

14 

5 

1 

4 

133 

7 
8 
1 
87 
110 
30 
35 

2 

1 

1 

1 

1 

11 
2 
3 

4 

4 
9 
1 
4 

1 

4 
7 
2 

3 

9 
10 
9 
3 

6 
5 

, 

0 

o 

1 

1 

1 

1 

1  

j 

26 

1 

o 

2 

3G 

5 
3 

1     1 

.  j!  

2 

1,  4"8 

55 

1,097 

53 

778 

36 

916 

4U 

574 

£2 

227 

10    |      3£» 

7     I    24,820 

1,044 

88 


698 


SICKNESS   AND    MORTALITY    OF    COLOKED    TROOPS 


TABLE  CIX. 

Abstract  of  the  Sickness  and  Mortality 


YEAR  

1865. 

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

81,  020. 

74,  388. 

74, 

Cases. 

335. 

C3.291. 

53,  844. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS  1.     ZYMOTIC    DISEASES. 
ORDER  I.  —  Miasmatic  Diseases. 

137 

71 

75 
2 

252 

47 
o 

38 

53 
1 
173 

38 

36 

30 

13 

19 

3C7 

49 

25 

112 

41 

52 

12 

1,830 
2,806 
1,990 
75 
45 
5,246 
496 
1,  059 
135 
51 
40 
98 

49 
3 
3 
1 
t£i 
56 
116 
81 
14 
3 
9 
22 

1,  627 
3,  226 
2,577 
123 
84 
3,554 
392 
839 
87 
24 
oy 

26 

52 
1 
o 

1,407 
3,853 
3,222 
132 

47 
2 

1,040 
3,678 
3,039 

33 

628 
1,716 
1,776 
"83 

17 

1 

133 
112 
2,696 
263 

787 
76 
14 

82 

11 
67 
109 
77 
12 
3 
11 
4 

119 
3,274 
557 
644 
176 
13 
49 
13 

24 
56 
94 
64 
35 
1 
10 
1 

19 
18 
94 
56 

c»O 

35 

1,470 
175 
439 
65 
11 
180 
10 

13 
13 
50 
36 

1 
44 

25 

18    Diphtheria 

5 

192 

o 

19 
101 
110 
437 

196 
238 
44 
3 
10 
4 
5 

3,  2r,2 
4 

9 

58 
63 
418 

213 
205 

3 

10 
83 

105 

1 

11 
14 
94 

4 
1 

19    Mumps 

1 

42 

21.  Other  Diseases  of  this  Order  

512 
251 

18 

22 

25 

1 

411 

2-13 
241 

16 
1 

165 

229 
193 

3 

ORDER  II.  —  Enthetic  Diseases. 
22.  Syphilis  

23.  Gonorrhoea  

264 
38 
3 
9 

24.  Orchitis  

31 
2 

34 
2 
1 

40 
6 
o 

25.  Stricture  of  the  Urethra  

26.  Purulent  Ophthalmia  

27.  Serpent  Bite  

1 
o 

28.  Other  Diseases  of  this  Order  

3 

1,646 
5 

1 

392 
1 

17 
112 

ORDER  III.  —  Dietic  Diseases. 
29.  Scurvy  

1,  964 
o 

23 

69 
3 

17 
4 

10 

4 

30.  Purpura  

31.  Delirium  Tremens  

32.  Inebriation  

1 

o 

33.  Chronic  Alcoholism  

34.  Other  Diseases  of  this  Order... 

1 

~ 

CLASS  II.—  CONSTITUTIONAL    DISEASES. 
OIIDEU  l.—Diathetic  Diseases. 
35.  Gout  

30'.  Acute  Kheumatism  

583 
533 
97 

3 

4 
o 

411 
438 
78 
1 

4 

1 

39 

83 

5 
4 
10 

402 
330 
80 

1 
1 

4 

316 
236 
51 

1 
4 

8 

270 
252 
17 

37.  Chronic  Kheumatism  

38.  Anaumia  

1 

39.  Cancer  

40.  Tumors  

7 
6 

43 

9(i 

4 
3 

76 

6 

9 
1 

14 
42 

41.  Other  Diseases  of  this  Order 

1 
39 

1 

31 
2 
1 

1 

30 
1 

OUDI:U  11.—  Tubercular  Diseases. 
42.  Consumption  

15 
37 

29 
1 

*»C 

1 

43.  Scrofula  

44.  Other  Diseases  of  this  Order  

CLASS  III.  —  PARASITIC    DISEASES. 
43.  Itch  

46.  Tape-worm  

1 
7 

47.  Other  Intestinal  Worms  

18 

10 

1 

5 

6 

48.  Other  Diseases  of  this  Order  

Carried  forward  

19,  168 

590 

18,  477 

585 

17,  347 

488 

14,  322 

415 

8,  223 

260 

DURING   THE   YEAR   ENDING   JUNE   30,    1866. 


699 


TABLE  CIX. 

of  Colored  Troops  in  the  Central  Region. 


1805. 

18GG. 

DECEMBEK. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

55,  955. 

47,  G22. 

37,  029. 

28,  506. 

18,  088. 

13,  H43. 

10,  825. 

4G,  562. 

1 

o 

3 

4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
1G 
17 
18 
19 
20 

22 
23 
24 
25 

27 

29 
30 
31 

33 
34 

36 
37 
38 
39 
40 
41 

42 
43 
41 

45 
46 
47 
18 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

18 

12 
I 

10 

12 

4 

3 

1 
5 

4 

6 

o 

G 

o 

1 

0 

2 

357 
3 
1,082 

2:>8 
4 
193 

50 

35 

6 

18 

17 

4 

5 

0 

1 

1 

2'JG 
1,324 
1,132 
26 
20 
1,675 
143 
403 
32 
44 
273 
9 

7 

215 

783 
781 
56 
31 
1,153 
137 
282 
25 
61 
253 
9 

6 

175 
576 
608 
16 

2 

187 
3GO 
380 
5 
6 
531 
34 
1GG 
7 
24 
281 
5 

2 

104 
180 
2G3 
4 

3 

90 
157 

o 

112 

172 

o 

7,711 
18,  831 
16,  343 
675 
4G3 
21,  334 
2,313 
5,154 
629 
307 
1,647 
185 

222 
6 
8 
1 
107 
235 
584 
378 
133 
24 
658 
28 

1 

1 

227 
18 
7 
273 
5 
84 
1 
5 
39 

288 

4 
3 

305 
5 
87 
3 
1 
27 

4 
6 
47 
28 
15 
4 
145 
1 

5 

8 
29 
13 
10 
7 
117 

1 

790 
89 
213 
16 
48 
2G7 
3 

4 
8 
.     18 
9 
5 
3 
109 

4 
1 
16 
6 
1 

2 

3G7 
17 
91 
G 
11 
129 

2 
5 
4 
1 
1 
62 

5 
2 

1 
2 

1 
7 

108 

11 

10 
84 
307 
156 

342 

2(17 
37 

6 
43 
171 

5 
25 
157 

4 
2 

1 

85 
652 
1,289 

10 
2 

36 
114 
46 

148 
96 
15 

14 
2T 

16 
32 

41 
50 
6 
1 
1 
o 

81 
7 

29 

6 

128 

230 

3 

65 

172 
1"0 

4 
1 

2 

102 

3 

1 

2,  398 

2,196 
2,000 

103 
3 

224 

G3 
4 
1 
3 

39 
9 

26 

20 
1 

304 
22 
37 
7 
114 

7,  551 
17 

3 
3 

6 

12 
CO 

15 

12 

17 
25 

5 
14 

13 
23 

12 

1 

o 

38 

2 

o 

17 

130 
8 

1 

! 

1 

1 

4 
1 
20 

3 

2,977 
2,480 
352 

0 

63 
11 

203 
4P4 

1 

1 

18 

1 

1 

3 

3 

326 
190 

244 

187 
9 
1 
4 

203 
132 
5 

1 
3 

98 
88 
o 

51 
37 

1 

43 
37 

30 
26 

1 

13 
17 
31 

1 

1 

0 

2 

1 

1 

C 

1 

6 

3 

4 

1 
4 

236 
8 
1 

1 
7 

13 

35 

14 

21 
39 

24 
1 

15 
34 

12 

6 

24 

17 

1 

0 

G 

2 

4 
] 

4 
4 

1 

P5 

110 
1 

6 

!          82 

93 

53 

15 

5 

854 
2 
55 
1 

1 

j            1 

I 

1 

7,474 

305 

5,332 

237         3,  976 

189 

2,828 

168 

1,590 

102 

1,202            29 

1,  285 

23          101,22-1 

3,391 

700 


SICKNESS   AND    MORTALITY    OF   COLORED    TROOPS 


TABLE  CIX.— CENTRAL  REGION— Continued. 


YEAR  

1805. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

8.1,020. 

74,  388. 

74,  835. 

63,  291 

53,  844. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

19,  108 

1 

29 
C8G 
4 
6 
1 
1 
I'J 
171 
9 
110 

0 

16 

5 

2(iO 

590 
1 

18,  477 

o 
16 

546 

585 

3 

2 

17,  347 

5 
20 
394 
7 
9 

488 
3 

14,  322 

4 
9 
354 
3 
2 

415 

4 

2 

8,  223 

1 
12 
221 

260 

1 
2 

CLASS    IV.—  LOCAL    DISEASES. 
OUDER  I.  —  Diseases  of  Nervous  System. 
49.  Apoplexy  

'  1      P  > 

1 

1 

11 

1 

7 

3 

4 

1 
1 
1 

. 

1 
1 

1 
4 
137 
3 
9 
4 

6 
1 
134 

7 
59 

1 

1 
5 
362 

•if"  N^l  1   '               '  i 

8 
226 
3 
48 
6 

oo 

1 

1 
133 

r~      N             T  • 

58    Paralysis 

3 

3 

1 

9 

3 

2 

3 

119 

1 

ORDER  II.  —  Diseases  of  Eye. 

4 
1 
85 

6°    Cataract 

208    

16 
102 

10 
83 

1 
15 

16 

10 
38 

O 

40 
6 

4 

18 
3 
19 

ORDER  111.  —  Diseases  of  Ear. 

26 

6 
5 

8 

3 

68.  Deafness  

11 
39 
1 

2 
12 

(i'J.  Otorrhcea  

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

72.  Valvular  Disease  of  Heart  

8 
11 
2 
2 

6 
9 

4 
2 

1 

5 

| 

1 

4 

8 
6 

5 
2 
4 

3 
3 

4 
2 
1 

1 
1 

2 

74.  Dropsy  of  Pericardium  

75.  Inflammation  of  Pericardium  

1 

1 

7G.  Inflammation  of  Endocardium  

1 

77.  Inflammation  of  Veins  

2 
5 

78.  Varicose  Veins  

13 

8 
19 

42 

•; 

7 

4 
2 

79.  Varicocele  

... 

3 

7 

11 
411 
68 

f) 

40 
154 
114 
4 
11 

146 

80.  Other  Diseases  of  this  Order  

1 

2 

I 
2 

1 

16 

43 
1 
1 

°S 

2 

1 
2 
1 

OuDEll  V.  —  Diseases  of  Respiratory  Organs. 
81.  Asthma  

A.«) 

282 
56 
5 
15 

14 
300 

59 

3 

45 
111 
105 
9 

O 

280 

82.  Acute  Bronchitis  

300 

1 
1 

1 

1 
27 
3 
1 

83.  Chronic  bronchitis  

90 
11 
19 

29 
180 
1150 
7 

4 
1 

4 

2 

84.  Dropsy  of  Chest  

85.  Haemorrhage  from  Nose  

86.  Inflammation  of  Larynx 

1 
04 
6 

36 
143 
132 
8 
1 

87.  Inflammation  of  Limps 

50 
4 
1 

119 
110 
6 

7 

35 

4 

31 
3 
1 
2 

88.  Inflammation  of  Pleura  

89.  Haemorrhage  from  Limps  .  . 

90.  Other  Diseases  of  this  Order  

o 

3 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
01.  Colic  

445 

1 

02.  Constipation  

675 

507 

93.  Cholera  Morbus  

86 
10 
74 
75 

4 

61 

o 

49 
3 
44 

1 

14             2 

15 
1 
23 

38 

91.  Cirrhosis  of  Liver  

95.  Dropsy  from  Hepatic  Disease  

16 

49 
84 

8 

9 

23 

71 

5 

1 

90.  Dvspepsia  

97.  Diseases  of  Pancreas  

98.  Diseases  of  Spleen  

1 

18 

3 

'.'9.  Fistula  in  Auo  
100.  Hernia  

8 

10 

6 

o<- 

101.  Haemorrhage  from  Stomacli  

1 

3 

1 

Carried  forward  

23,  092 

739 

21,  565 

676 

19,  845 

569 

16,  539         479 

10,  068 

313 

DURING   THE    YEAR   ENDING   JUNE   30,    18CG. 


701 


TABLE  CIX.— CENTRAL  KEGIOX— Continued. 


1805. 

18(K>. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

55,  955. 

47,  622. 

37,  029. 

28,  500. 

18,  G88. 

13,  313. 

10,  825. 

46,  562. 

49 
50 
51 
52 
53 
54 
55 
56 
57 
58 
59 
60 

61 
62 
63 
64 
65 
06 

07 
68 
09 
70 

71 

72 
73 
74 
75 
70 
77 
> 
7'J 
80 

81 
8:3 
83 
84 
65 
80 
87 
88 
89 
90 

91 

92 
93 
94 
95 
96 
97 
98 
99 
100 
101 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

7,474 

305 

5,332 

1 
5 
186 

237 

3,976 

189 

2,828 

1 
4 
121 

168 

1 
1 

1,  590 

J02 

1,202 

1 
3 

44 
2 

1 

1,285 

23 

101,  224 

18 
121 
3,003 
20 

3 
4 
43 
1,312 

172 

27 

54 
9 
1,  129 
43 
363 
19 

120 
35 
155 
11 

3,391 

15 
10 
3 

1 
32 
8 
4 
2 

11 

213 
2 

1 

1 

1 

10 
115 

o 
84 

39 

1 

1 
1 

0 

1 

3 

1 

1 

1 

1 

1 

3 

123 

1 

88 
1 

1 
57 
1 

1 
24 

108 
1 

61 

1 

16 

1 
o 

1 

11 
4 

1 

2 

1 

1 

3 

9 

o 

1 

56 

84 

50 

51 
1 
4 

24 
3 
4 
1 

24 

34 

1 
8 

4 

2 

1 

12 

12 
2 

8 
1 

6 
3 

10 

g 

0 

5 

4 

4 

5 

1 

0 

3 

0 

5 

o 
1 

1 
1 

2 
5 

1 
5 

6 

1 

3            2 
2-          1 

0 

1 
1 

1 

•1 

40 
34 
8 
12 

o 

60 
20 
36 

141 
3,130 
453 
21 
46 
437 
1,476 
1,  17P 
50 
13.T 

1,843 
3,379 

28 
10 
8 
2 

1 

1 

1 

1 

1 

1 

2 

2 

1 

17 
1 
3 

9 

400 
41 
1 

1 

1 

1 
1 

1 

6 

8 
500 
50 

2 

C 

3 

20 
10 
5 
1 
4 
419 
34 
7 
10 

3 

5 
289 
24 

4 
108 
17 

3 

58 

4 
35 
o 

4 
1 

4 

6 

1 
1 

55 
3 

1 
1 
1 

1 

" 

1 

26 

1 
I 

23 
33 
3 
14 

21 

2 
1 
11 
12 

82 
265 
163 
1 
35 

133 
?09 
6 

2 

57 
6 

52 
399 
181 
3 
20 

go 

()7 

3 
1 

49 
3 

1 

1 

152 

94 
5 

-.8 

49 
°01 

36 
2 
1 

108 
81 
4 
10 

24 
140 
8 
3 
4 
18 

43 

: 

19 

11 
23 

5 

2 

4 

0<J 

24 

31° 

91 

04 
10 

48 



3 

10 

283 
20 
2-~4 
481 

9 

3 

1 
3 

12 
33 

6 

12 
4'} 

2 

7 

1 

" 

3 

°7 

4 

2 

1 

1 

1 

56 

6 
49 
416 
11 

29 

1 
j-; 

1 

on 

6 
1 

1 

1 

1 

1 
4,  148 

9,  552 

393          7,  225 

309 

5,276 

238 

3,  653 

224 

2,061 

134 

1,  524 

39 

1,  560           35 

121,960 

702 


SICKNESS   AND   MORTALITY    OF    COLORED    TROOPS 


TABLE  CIX.— CENTRAL  REGION— Concluded. 


18(35. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

MKAX  STRENGTH  

81,  020. 

74,  388. 

74,  835, 

63,  291. 

53,  844. 

LIST  OF  DISEASES. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

rd 

23,  092         739 

6            4 
89    

21,  565 

5 

109 

676 

19,  845 

6 
131 
16 

10 

o 

51 
14 
123 
87 
11 

10 
4 

14 

569 
2 

16,  539 

3 

125 

479 
2 

10,  068 

2 
143 

313 
1 

ORDER  VI.—  Diseases  of  Digestive  Organs—  Continued. 

103.  Inflammation  of  Tonsils  

16  ,          4 
34            5 
2            3 
46            4 
12            1 
165            1 
120            1 
15  '  

17 
25 
5 
36 
20 
162 
110 
15 

4 
13 
5 
4 
1 
1 

2 
5 
4 
2 

12 
17 
1 
9 
8 
103 
64 
15 

8 
6 

1 

2 
1 

2 

6 

1 
6 
1 

13 

14 
79 
63 
6 

4 

107.  Aeu  e  In  amma   o 

1 

ORDER  VIL—  Diseases  of  Urinary  and  Genital  Organs, 

10    

14 
2 

19 
1 

7 
1 
3 

3            1 
13  \          4 

1 
o 

1 

1 

3 

3 

*•  K     f  P 

lo.       sc  ises 

1 
13 
3 
14 
3 
2 

2 

.-, 

f  K'l 

32            2 

12            1 

18  !...   . 

23 
12 
35 

26 
8 
21 
1 
2 

2 
2 

12 
1 
2 
2 

2 

1 

9 
3 
4 
1 
3 

0 

1 

1 

5    

3 

4 

4 
2 
13 

3    . 

1 

~ 

ORDER  V11I.  —  Diseases  of  Bones  and  Joints. 

123    Caries                                                   -                         -   -     '--  

1 

3 

4 

27  :. 

5 

4 

4 

2 

2 

3 
1 

1 

8 

102 
245 
6 
51 
160 

17 
129 
1 

1 

56 
170 
6 
22 

240 

ORDER  IX.  —  Diseases  of  Integumentary  System 

106 

87 
335 
17 
80 
189 

18 
112 
2 

1 

53 

130.  Boils       

254 

125 

131.  Carbuncle    . 

11  ' 

7 
15 

132.  Whitlow  

49 

133.  Skin  Diseases  

133 

104 

19 
146 

2 

CLASS   V.  —WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
134.  Burns  

23 

135.  Contusions  

136.  Concussion  of  Brain  

114  ;          1 
1            2 
U 

1 

7 

93 

1 

1 

137.  Drowning  

o 

138.  Sprains  

19° 

201 

15° 

149 
6 
6 

146 
4 

139.  Dislocation  

9 

10 
3 

3 
3 

1 
48 
102 
26 
44 
1 
14 

140.  Simple  Fractures  

s 

141.  Compound  Fractures  o 

2 
42 
126 
27 
54 
10 
10 

1 

34 
69 
18 
33 
1 
2 

142.  Gunshot  Wounds  

27  ',          8 
109    

rii 

9 

14 

39 
106 
20 
31 
1 
5 

10 
1 

14 

1 

143.  Incised  Wounds  

144.  Lacerated  Wounds  

2 

145.  Punctured  Wounds  39 

1 

146.  Poisoning  7 

147.  Other  Accidents  and  Injuries  TA 

2 

3 

1 

1 

148.  ORDER  II.  —  Homicide  

i 

2 

1  49.  O  RDER  1  1  1.  —  Suicide  

1 
3 

150.  ORDER  IV.—  Execution  of  Sentence  !                         9 

Total  

j 

24,  855  j      797 

23,  534 

731 

21,  516 

613 

17,917 

515 

11,  225 

342 

DURING   THE   YEAR   ENDING   JUNE    30,  18GO. 


703 


TABLE  CIX.— CENTRAL  REGION— Concluded. 


1865. 

18<>(3. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNK. 

TOTAL. 

55,  955. 

47,  622. 

37,  029. 

28,  503. 

18,  068. 

13,  343. 

10,  825. 

46,  5G2. 

102 
103 
104 
105 
10G 
107 
108 
109 
110 
111 

112 
113 
114 
115 
116 
117 
118 
119 
120 
121 

122 
123 
124 
125 
126 
127 
128 

129 
130 
131 
132 
133 

134 
135 
136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
140 
147 

148 
149 
J50 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases     Deaths. 

Cases.    Deaths. 

Cases. 

Deaths 

Cases. 

Deaths. 

Cases.     Deaths 

I     Cases.      Deaths. 

9,552 

393 

7,225 

309 

5,276 

3 

167 
4 
6 

238 

3,653 

224 

2,061 

134 

1,524 

1 
2° 

39 

1,  560 

35 

121,  %0 

26 
1,243 

100 
131 
13 
2-10 
141 
7<>9 
589 
82 

64 
12 
63 
1 
7 
152 
55 
110 
13 
29 

12 
16 
86 
5 
29 
9 
11 

605 
1,618 

.  4,148 

9 
1 
16 

40 
2L 
1C 
14 
4 
1 
1 

161 
10 
11 
1 
18 
5 
61 
49 
10 

8 

155 
9 
10 
1 
28 
3 
28 
25 

1 

78 
4 
3 
1 

4° 

21 
2 
4 

3 

o 

2 

1 
o 

1 

1 
1 

1 
4 

1 
1 

1 

6 
1 
1 

1 
1 

1 

11 

10 
38 
32 

8 
12 

6 
10 
4 
7 
1 

0 

1 
1 

2 

15 
14 
12 
1 

1 

1 

18 
4 
2 
1 

2 

18 
18 
3 

3 

4 
4 

1 

1 
3 

1 
1 

4 
17 

4 

4 

1 

2 

1 

1 

i 

1 

14 
7 
8 

1 
10 
3 
5 

1 

19 
5 
2 

o 

1 

3 
1 

1 

7 
o 

1 

1 

3 

3 

6 

1 
1 

1 

1 

3 

1 

1 

1 

2 

3 

2 

1 
2 

3 

11 

? 

4 
1 

2 

1 

4 

1 

1 
1 

n 

45 
123 

0 

25 
91 

19 
137 

49 
10° 

o 

45 

69 

"4 

18 
44 

9 
35 

11 
4° 

3 

74 

2 

17 

55 

4 
9 
39 

23 
89 
1 

f, 

3 

8 
18 

3 

31 

3 
1 

17 

4 

27 

67 
301 
1,133 

175 
1,  093 
10 

10 
51 

10 
56 

14 
36 

4 

50 

°3 

1 

1 

0 

3 

6 
26 

10J 
1 

1 
1 
1 



2 

1 

1 

1 

1 

138 
4 
8 

33 
79 
24 
33 

130 

g-> 

83 

47 
o 

34 
o 

41 
1 
o 

1,395 
47 
55 
9 
341 
855 
207 
350 
22 
125 

3 

4 

1 
3 

9 
1 
23 
62 
14 
24 

4 

6 

1 

1 

3 

08 
3 

5 

14 

32 
72 
22 
30 

1C 
1 

6 

37 
48 
10 
16 

3 

1G 
36 

5 
26 
6 
.  •  12 
1 

1 

5 

20 

2 

3 

6 

1 

22            3 

1 

23 

22 

1 
1 

24 

3 

5 

4 

1 
1 

7            i 
o 

3 

15 
15 

1 
5 

1 

1 

|    j 

10,  720 

425 

8,212 

342 

6,101 

261 

4,243 

238 

2,  481         116 

1,784  I        42         1,812 

1 

43 

134,406  :  4,4'.r, 

i 

704 


SICKNESS   AND    MORTALITY    OF    COLORED    TROOPS 


TABLE  CX. 

Abstract  of  the  Sickness  and  Mortality 


YEAR  

1865. 

MONTH  

JULY. 

AUGUST. 

SEPTEMBER. 

OCTOBEH. 

NOVEMBER. 

103,  604. 

95,  935. 

91,  718. 

76,  02C. 

66,  006. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases,  i  Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

CLASS  1.     ZYMOTIC    DISEASES. 
OHDEU  I.  —  Miasmatic  Diseases. 

225 

102 
1 

77 

102 
2 
471 

62 

0 

65 

79 
5 

502 

61 
o 

43 

60 

50 

oo 

2G 

434 

247 

77 

86 

19 

2,268 
3.  339 
2,415 
97 
54 
6,  209 
541 
1,  208 
160 
55 
61 
163 

58 
3 
4 
1 
22 
66 
161 
98 
20 
3 

22 

2,056 
3,858 
2,978 
166 
92 
4,250 
428 
1,004 
98 
26 
33 
49 

72 
1 
3 
1 
15 
69 
123 
82 
14 
4 
15 
5 

1,870 
4,609 
3,  614 
216 
151 
3,643 
602 
725 
181 
17 
55 
17 

63 
6 
1 

1,  331 
4,108 

3,658 
222 
135 
2,870 
304 
836 
81 
15 
109 
12 

44 
1 

720 
2,071 
2,123 
141 
47 
1,074 
181 
512 
69 
13 
197 
11 

DO 

2 

27 
63 
109 
68 
36 
1 
12 
1 

32 
20 
110 
60 
34 

15 

14 
69 
38 
15 
1 
50 

33 

18    Diphtheria 

6 

283 
49 
771 

351 

405 
47 
7 
10 
1 
5 

2,039 
2 

2 

26            2 

208             1 

127    --- 

23 
173 
74 

506 

307 
341 
43 
4 
2 

4 

12 
171 
124 

1 

13 

89 
125 

4 
1 

20   Epidemic  Catarrh 

26 

656 

283 
391 
54 
6 
10 
4 
12 

3,254 
4 

25 

31 
1 

573 

314 
3°3 

21 
1 

235 

315 
269 

4 

OitUEii  11.  —  Enthetic  Diseases. 
22.  Syphilis  . 

24.  Orchitis  

57 

4') 

25.  Stricture  of  the  Urethra  

3 

1 

6 
2 

26.  Purulent  Ophthalmia  

27.  Serpent  Bite  

28.  Other  Diseases  of  this  Order  

-    71 
3 

3 

1,679 
5 

1 

398 
1 

18 

161 
1 

OIIDEII  III.  —  Dietic  Diseases. 
29.  Scurvy  

24 

17 

4 

10 

5 

30.  Purpura  

31.  Delirium  Tremens  

32.  Inebriation  

1 

0 

33.  Chronic  Alcoholism  

34.  Other  Diseases  of  this  Order  

1 

0 

CLASS  II.—  CONSTITUTIONAL    DISEASES. 
OUDEK  l.—Diathetic  Diseases. 
35.  Gout  

36.  Acute  Rheumatism  

705 
587 
122 

4 
6 
3 

503 
4G9 
86 
1 
7 
1 

50 
109 

5 

4 
10 

469 
350 
84 

1 

1 

4 

345 
262 

60 
1 

o 
5 
9 
1 

313 
298 

lit 

37.  Chronic  Rheumatism  

38.  Anajmia  

2 

31).  Cancer  

40.  Tumors  

9 
6 

54 

118 

7 
3 

39 
101 

11 

1 

20 
50 

41.  Other  Diseases  of  this  Order  

1 

56 
1 

1 

42 
3 
1 

1 

40 
1 

OiiDCit  11.  —  Tubercular  Diseases. 
42.  Consumpt  ion  

24 

47 

39 
o 

33 
o 

43.  Scrofula  

44.  Other  Diseases  of  this  Order  

CLASS  III.  —  PARASITIC    DISEASES. 
45.  Itch  

18o 

132 

116 
1 
10 

SO 

141 

46.  Tape-worm  

1 

47.  Other  Intestinal  Worms  "1  ' 

13 

1 

6 

7 

48.  Other  Diseases  of  this  Order                                                 i 

Carried  forward  

23,  132         782 

22,  020 

701 

20,629 

601 

16,  80J 

552 

10,  010 

322 

DUHING   THE   YEAR   ENDING   JUNE    30,    1866. 


705 


TABLE  OX. 

of  Colored  Troops  in  the    United  States  Army. 


1865. 

1866. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

C">,  220. 

53,  873. 

41,  936. 

33,  877. 

22,  610. 

15,719. 

12,  886. 

56,  017. 

1 

3 

4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 

23 
24 
25 
26 
27 

29 
30 
31 
32 
33 
34 

35 
36 
37 
38 
39 
40 
41 

42 
43 
44 

45 
46 

47 
48 

Cases. 

Deaths. 

Cases. 

Jeaths. 

Cases. 

deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths, 

18 

13 
1 

11 

13 

6 

4 

2 
1 
5 

5 

8 

3 

6 

o 

1 

3 

2 

536 
7 
1,883 

339 
7 
311 

56 

39 

6 

19 

22 

4 

6 

3 

1 

1 

351 

1,550 
1,  365 
34 
20 
1,771 
149 
478 
33 
47 
358 
9 

7 

252 
874 
852 
57 

8 

192 
605 
743 
16 
2 
867 
102 

16 
48 
335 
4 

2 

203 
394 
433 

2 

111 

205 

3 

91 
163 

o 

117 
181 
294 

2 

9,562 
21,  957 
19,007 
1,047 
549 
24,  364 
2,534 
5,  805 
688 
3C'8 
2,008 
281 

285 
11 

2 
132 
257 
706 
412 
151 

806 
29 

1 

281 
13 

1 

251 
18 
7 
309 
7 
88 
1 
5 
42 

7 
7 
632 
40 
178 
9 
27 
325 

60 
3 
344 
9 
91 
5 
1 
32 

5 

6 
49 
23 
15 
4 
172 
1 

31 

1,260 
151 
298 
28 
61 
296 
11 

5 

8 

15 

10 
7 
140 

4 
8 
19 
9 
5 
3 
133 

5 
1 

19 
6 
1 

2 

475 

20 
101 
7 
13 
165 

7 
4 
1 
1 

5 

2 

I 

132 

19 

11 
121 
335 
166 

416 
3G1 
44 

6 
51 

4 
3 
19 
35 

51 
58 
7 
1 
1 
2 
16 

24 

4 

115 
1,189 
1,  510 

13 
2 

27 
184 
72 

225 
159 
23 

43 

147 
53 

236 
134 

21 

18 
41 

130 

204 

81 
14 

46 
55 

12 

7 

139 
313 

3 

4 
1 

o 

3 

1 

3,249 

2,087 
2,868 

127 
.3 

290 

82 

2J 
4 
3 

2 
3 

391 
35 
46 
7 
148 

7,  795 
18 
3 
8 
1 
20 

3 

3,  449 
2,  770 
406 
3 
80 
11 

263 
581 
1 

1,313 

60 
1 

1 
1 

1 
4 

1 

8 

21 
89 

15 
45 

13 

40 

26 

27 

5 

18 

13 

21 

1 

3 

o 

2 

135 
8 

1 

1 

1 

1 

1 

4 

1 

1 

1 

18 

1 

1 

3 

3 

117 
112 

355 
214 

12 

273 

O-")O 

144 
5 

1 
3 

6-' 
58 

1 
1 

49 
41 

36 
40 
2 

1 

15 
22 
35 
1 
1 
4 

r>o5 

14 
2 

1 
1 

195 
14 
1 
4 

1 

1 

1 

C 

1 

6 

fi 

3 

4 

1 

8 

17 
3(i 

113 

18 

24 
42 

29 

20 
37 

13 

6 

27 

20 
1 

3 

8 

o 

5 

4 

4 

2 

1 

139 

n-. 

146 

91 

32 

23 

1 
G 

1 

1 

1 

8,  579 

343 

6,028 

277         4,  480 

215 

3,403 

202 

1,905 

in 

1,335 

39 

1,  511 

26 

11  !!,  895     4,177 

89 


706 


TABLE  CX.— UNITED  STATES  ARMY— Continued. 


YEAU  

18G5. 

MONTH  

JULY. 

AUGUST. 

SEL'TEMIlEll. 

OCTOHER. 

NOVEMBER. 

103, 

G04. 

95,  935. 

91,  718. 

7G,  026 

GG,  006. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

23,  132 

33 

943 
5 
8 
23 
1 
19 
190 
10 
135 

17 
5 
279 
16 
174 
10 

41 
9 
42 

782 

3 

1 

22,  020 

2 

18 
681 
7 
3 
12 
1 
18 
244 

701 

4 
2 

20,  G29 

6 

510 
7 
10 
1 
1 
4 
157 

G01 

4 
1 
1 

16,  803 

5 
11 

413 
3 

0 

552 

4 
3 

10,  010 

2 
14 
287 
1 
1 
1 

322 

1 

o 

CLASS    IV.—  LOCAL    DISEASES. 
OltDER  I.  —  Diseases  of  Nervous  System. 

14 
11 
1 

9 

4 
3 
1 

4 
1 

1 

f        . 

1 
1 

1 
5 
193 
4 

)"'    "  a<  J   .a*  °    °    '  * 

1 

1 
101 

K 

4 
C3 
8 

4 
16 
4 

6 
1 

148 
8 
79 
5 

24 

1 
2 
4 

1 

12 
4 

2 
1 

3 
3 

128 

1 

ORDER  11.  —  Diseases  of  Eye. 

91 

239 
11 
104 

ti   nof  lri-J 

1 

39 

2 
42 

65    Ni  ht  Blindness 

ORDER  111.—  Diseases  of  Ear. 

9 
6 

11 

4 

68    Deafness 

11 
50 
1 

3 

24 

69    Otorrhcea 

14 

70   Other  Diseases  of  thi«  Order 

G 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

72.  Valvular  Disease  of  Heart  

15 

14 

3 

9 
9 
4 
4 

9 
6 
4 
1 
1 

3 

G 

11 

8 

1 

6 
2 
4 
1 
1 

G 
6 
1 
1 

4 
2 
1 

1 

4 
5 
2 

4 

73.  Dropsy  from  Heart  Disease  

o 

1 

o  i 

15 

15  ! 

10 
1 
1 

19 

31G 
45 
1 
1 
4G 
143 
132 
8 
7 

358 
495 
G4 

9    

19 

48 
389 
133 
11. 
19 

G 

5 

17 
378 
GO 
2 
5 
48 
161 
114 
10 
G 

313 

410 
18 

3 

18 
494 
76 

46 
201 
131 
G 
11 

171 
301 
16 

1 

28 
45 

80.  Other  Diseases  of  this  Order  

3 
2 

1 
3 

2 

1 

1 
1 

1 
1 
1 

5 

4 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 
81.  A  sthma  

29 
387 
Gl 
5 
17 
44 
17G 
158 
11 
1 

366 

G28 
70 

82.  Acute  Bronchitis  

1 
4 
1 

83.  Chronic  Bronchitis  

4 
3 

84.  Dropsy  of  Chest  

85.  1  lajmorrhage  from  Nose  

86.  Inflammation  of  Larynx 

30 
13 

1 
78 
10 
1 
2 

2 

87.  Inflammation  of  Lunps     .   . 

62 

46 
4 

47 
3 
1 
2 

88.  Inflammation  of  Pleura  

89.  Ilatmorrhafre  from  Lun^s  

90.  Other  Diseases  of  this  Order  

3 

ORDER  VI.  —  Diseases  of  Digestive  Organs. 
91.  Colic  

547 
834 
107 
10 
83 
89 

1 

92.  Constipation  

1 
4 

93.  Cholera  Morbus 

G 

1 

0 

91.  Cirrhosis  of  Liver  

0 

95.  Dropsy  from  Hepatic  Disease  

17 

55           11 

4G 

78 

'•» 

25 

79 

6 

90.  Dyspepsia  

97.  Diseases  of  Pancreas  

98.  Diseases  of  Spleen  

1 

8 
08 

1 
19 

86 

o 

1 

G 

G5 

1 
5 
31 

!*9.  Fistula  in  A  no  

10 

100.  Hernia  

1 

101.  Haemorrhage  from  Stomach  

3 

3 

1 

Carried  forward  

L 

27,  991 

979 

25,  790 

824 

23,  588 

707 

19,  389 

G29 

12,  265 

394 

DURING   THE    YEAR   ENDING   JUNE   30,    18G6. 


707 


TABLE  CX.— UNITED  STATES  ARMY— Continued. 


1805.    • 

18(>(>. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL.                    MAY. 

JUKE. 

TOTAL. 

65,  220. 

53,  873. 

41,930. 

33,  877. 

2.2,  610. 

15,  719. 

12,  886. 

50,  C17. 

49 
50 
51 

53 

54 
55 
56 
57 
53 
59 
60 

Gl 
j    02 
63 
64 
65 
GO 

1)7 

68 
09 
7U 

71 
72 
73 

74 

7(5 

77 
78 
7!) 
80 

81 
8:2 
83 
84 
65 
8(i 
87 
88 
89 
90 

91 
92 
93 
94 
95 
96 
97 
98 
99 
]()() 
101 

Cases. 

Deaths. 

Cases. 

Deaths, 

Cases.    Deaths. 

Cases.    Deaths.    Cases.     Deaths. 

Cases. 

Deaths.     Cases.    Deaths. 

Cases. 

Deaths. 

8,579 

1 
11 
233 
2 

1 

343 
] 

6,028 

1 

5 
239 

277 

4,480 

2 
10 
139 

215 

3.4U3 

1 
5 
154 

202 

1 
1 

1,965 

117 

1,335 

1 
3 

57 
o 

39 
1 

1,511 
1 

20 

119,895 

24 
136 
3,811 

29 
39 
5 
53 
1  465 

4,177 

19 
13 
1 
1 
42 
19 
5 
2 

1 

4 
105 

50 

3 
1 

1 

1 

1 

1 

4 

1 

1 

1 

2  - 

1 

2 

1 

3 
139 

1 

95 
1 

1 
59 
1 

1 
25 

119 

1 

64 
1 

19 
1 
3 

1 

30 
29 

57 
11 
1,  259 
47 
473 
22 

140 
38 
191 
11 

3 

18 
10 

1 

o 

1 

0 

3 

9 

1 
71 

1 

88 

55 

61 
1 
5 
1 

1 
7 

33 

5 
2 

31 

4 

35 

1 

8 

5 
1 

15 
14 

10 

6 
3 
12 

i            2 

2 
5 

1 
8 

3 

o 

4 

2 

5 

3 

1 
1 

4 
5 
1 
1 
1 

1 
5 

7 

1 

; 

2 
1 

1 
1 

2 

3 

1 

66 

48 
14 
16 
2 
2 
78 
28 
39 

170 
3,680 
533 
22 
50 
482 
1,747 
1,357 
64 
164 

2,170 
4,014 
339 

279 
559 

33 

31 
10 
13 
2 

1 

1 

1 

1 

1 

1 

0 

2 

17 
1 
3 

10 
548 
43 
1 

3 

1 

i 

1 

1 
1 



1 

6 

10 

535 

62 

2 

1 

7 

4 

18 
6 
1 
5 
498 
42 
12 
10 

3 
1 
13 

5 
322 

94 

7 
129 
24 

3 

63 

4 
42 

4 
1 

4 

6 

1 
1 

77 
3 

1 
1 
1 

1 

2 

.> 

1 

26 

1 

1 
29 
41 
3 
19 

27 

2 

0 

85 
OTV 

179 
1 
37 

140 
304 
8 

3 

61 
C 

57 
219 
200 
3 
20 

101 

350 
4 

97 

56 
4 
I 
1 

166 
106 
5 
41 

55 

41 
2 

1 

119 
93 
4 
l(i 

32 

49 
2 
2 

21 

14 
26 

5 

17 
14 

3 
1 

o 

6 

31 

75 

29 

°37 

197 
8 
3 
4 

122 

61 
23 

10 

11 

3    

12 

34 

7 

12 
45 

2 

7 
31 

1 

2 

4 
34 

5 

4 

1 

1 
5 

1 

R4 

2 

I 

8 
53 

475 
14 

0 

33 

2 

n 

1 
3 

1 

1 

1 

I- 

23 
1 

11 

1 

1 

! 

1 



10,  844 

441     I     8,  169 

358 

5,  941 

270 

4,  415         264 

2,  565         153 

1,710 

49 

1,844  ;        41          144,511 

5,109 

708 


SICKNESS   AND   MORTALITY    OF    COLORED    TROOPS 


TABLE  CX.— UNITED  STATES  ARMY— Concluded. 


1865. 

Mo.vrit  JULY- 

AUGUST. 

SEPTEMBER. 

OCTOBER. 

NOVEMBER. 

31  KAN  STRENGTH  103'  G04' 

95,  935. 

91,  718. 

70,  026. 

60,  006. 

LIST  OF  DISEASES.                                   Cases.    Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.    Deaths. 

27,  901         979 

7            5 
108           

25,  790 
10    . 

824 

23,  588 

7 
180 
19 
17 

60 

108 
103 

707 

2 
1 
3 
3 
5 
4 

19,  389 

8 
137 
13 
20 
3 
14 
10 
144 
75 

029 

12,  265 

4 
158 
14 
14 

394 
1 

OIIDEK  \1.—  Diseases  of  Digestive  Organs—  Continued. 

140 
24 
26 
6 

r,O 

26 
223 

17 

16 

21 
j 
o 

1 
4 
15 
5 
5 
1 
2 

103.  Inflammation  ot  Tonsils  .  .  . 

22  :          7 
44            7 
3            3 
08  j          0 
23            1 
271            1 
145            1 

3 
1 
3 
1 

6 
1 

6 

15  1 
15 
100 
75 

14 

1 

16 

8 
1 
6 

7 
7 

1 

ORDER  VII.—  Diseases  of  Urinary  and  Genital  Organs. 

11  ! 

3             1 
15            5 

5 

1 
3 

3 

15 

2 

4 

4 

| 

1 
17 

O 

18 
3 
3 

3 
1 
8 

0 

3D             3 

10  ''          1 
23    .  . 

31 
15 
37 
4 
4 

32 
10 
23 
1 

4 
o 

13 
1 
o 

1 
1 

1 

11 
4 
9 

1 

r 

1 
3 

0 

4 

1 

o 

ORDER  VIII.  —  Diseases  of  Hones  and  Joints. 

17 

1 

3 

30 

0 

Jv  "  a    a  .° 

4 

7 

4 
2 

0 

5 

4 

8 

114 
295 

1 

70 
203 

3 

1 

1 

•       • 

ORDER  IX.  —  Diseases  of  Integumentary  System, 

132      

108 
397 
21 

05 
141 
8 
18 
113 

<V7 

1 

130    Boils 

314 

12 

8 
54 

8 

85 

133    Skin  Diseases 

161 

238 

183 

19 
142 
1 

1 

247 

13 

99 

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJURIES. 

ORDER  I.  —  Wounds,  Accidents,  and  Injuries. 
134.  Burns  

24 

140            1 
2            2 
1  1 

124 

1 

158 

1 
3 



7 

2 

I'.iS.  Sprains  I         213 

or>6 

170 
4 
4 
1 
58 
120 
28 
40 

157 
6 

7 

45 
111 
22 
34 
1 
5 

151 
6 
3 
o 

39 

82 
18 
30 
1 
4 

13'.).  Dislocation  10 

11 
4 

51 
13!) 
30 
62 

1 

1 

140.  Simple  Fractures  6  ' 

141.  Compound  Fractures  » 

1 

16 

142.  (lunshot  Wounds  40           10 

14 

12 
1 

17 
1 

14'!.  Incised  Wounds  '         124 

144.  Lacerated  Wounds  i           38             1 

2 

14.").  Punctured  Wounds  44 

1 
3 

140.  Poisoning  7 

10 
12 

1 
16 

3 
1 

147.  Other  Accidents  and  Injuries  14            i 

4 

0 

14d.  ORDER  II.  —  Honieidc  

o 

14!).  ORDER  III.—  Suicide  

1 
•} 

130.  ORDER  IV.  —  Execution  of  Sentence  o 

2 

Total  

nn  "(is     i  fm 

28,154 

894 

25,588 

704 

20,  963 

672 

13,  601         436 

DURING   THE    YEAR   ENDING   JUNE    30,   I860. 


709 


TABLE  CX.— UNITED  STATES  ARMY— Concluded. 


1805. 

180G. 

DECEMBER. 

JANUARY. 

FEBRUARY. 

MARCH. 

APRIL. 

MAY. 

JUNE. 

TOTAL. 

65,  220. 

53,  873. 

41,  936. 

33,  877. 

22,  610. 

15,  719. 

12,886. 

56,  017. 

Cases. 

Deaths,  j  Cases.    Deaths. 

Cases.    Deaths. 

Cases.    Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.      Deaths. 

102 
103 
104 
105 
106 
107 
108 
109 
110 
111 

112 
113 
114 
115 
110 
117 
118 
119 
120 
121 

1  i)'» 

124 
125 

126 
127 
128 

129 
130 
131 
132 
133 

134 
135 
136 
137 
138 
139 
140 
141 
142 
143 
144 
145 
146 
147 

148 
149 

150 

10,  844 

441 

8,169 

358 

5,  941         270 
3 

4,415 

264 

2,565 

.  153 

1,710 
1 

O7 

49 

1,844 

41 

144,  511 

40 
1,474 
126 
108 
17 
306 
171 
1,114 
695 
96 

76 
14 
74 
1 
7 
185 
68 
130 
15 
31 

16 
17 
106 
5 
32 
15 
22 

729 
1,939 
62 
342 
1,299 

213 
1,232 
11 

5,109 

10 
3 
21 
47 
22 
21 
15 
6 
1 
2 

185 
11 
11 
1 

20 
6 
79 
57 
10 

8 

175 
9 
10 
1 

A<O 

3 

34 
31 
4 

4 
1 

4 

190             1 
4  !  

102 
6 
8 
1 
15 
15 
23 
14 
1 

1 

50 
1 
1 

22 

3 

2 

1 

1 

1 

4 

6 

1 
1 
1 

6 
1 

1 

7             2 
1 

1 

12 

8 
12 
£0 

(i 
10 
6 
7 
1 

1 

I 

2 
19 
4 

1 

1 

10             2 
42 

1 



34 

20 

3 
8 

0 

o 

1    ... 

3 

1 
3 

1 

1 

5 
25 

5 

3 

3             1 

'    1 

1 

1 

15 
7 
9 

l  ! 

1 

23 
5 
3 

11 

2 

1 

3 
1 

1 

8 
3 

1 

4 

1 

3 

3 

6 

4 

1 

1 

3 

1 

1 
1 

1 

Q 

1 

2 

8 

3 
3 

2 

1 
2 

3 

11 

4 

1 

2 
1 

4 

1 

1 
1 

1 

1 

5 

7  ! 

2 
°9 

1 
53 

3 

15 
54 
4 
4 

21 

54 
139 

27 
97 

19 
151 
2 

58 
124 

o 

51 

1 

11 
50 
6 
10 
20 

75 

<)4 

C 
14 
63 

12 
71 

20 

12 

17 
46 

9 

03 

30 
121 
1 

1 

3 
6 
32 

30            1 

io-> 

1 

3 

35 

4 
33 

1 
1 
1 

2 
3 

1 

1 

1 

0 

1 

151 
4 
9 

45 
90 
26 
36 

136 
3 

97 
1 
4 

r.) 

35 

45 

1,  528 
54 
63 

10 
428 
965 
237 
385 

00 

101 

4  i 

O 

o 

1 
o 

2 

4 

6 

1 

1 
1 

. 

4 
120 
3 
3 
5 

18 

36 
81 
23 

17 
1 

27            9 
69 

46 
58 
19 
19 

3 

41 
4 
22 

5 

28 

1 

5 
22 
6 

o 

16  ' 

7 
13 
1 

34 

1 

3 

1 

22 

1 

0 

50 

1 
1 

25            3 

6 

1 
1 

7            1 
o 

3 

20 

18 
1 

7 

1 

12,104 

480 

9,309 

395 

6,  879         297 

5,159 

278 

3,055  j      168 

2,  Oil           52         2,  141 

50 

159,  232 

5,  539 

710 


SICKNESS   AND   MOBTALITY    OF    COLOEED    TKOOPS 


TABLE  CXI. 

General  Summary  of  the  Sickness  and  Mortality  of  Colored  Troops  during  the  War. 


VI^  \  T?                                                  

Ending  June  30,  1861 

Ending  June  30,  1865. 

Ending  June  30,1866. 

TOTAL. 

43,  952. 
1,  222. 

83,  571. 
5,  572. 

55,  039. 
1,  578. 

60,  854. 
2,  791. 

LIST  OF  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases.          Deaths. 

CLASS  1.—  ZYMOTIC   DISEASES. 
ORDER  I.  —  Miasmatic  Diseases. 

1,866 
70 
2,515 
132 
6,585 

752 
60 

499 
12 
296 

19 
6 

357 
503 
784 
496 
220 
61 
760 
568 

1,692 
46 
3,131 
58 
14,  498 
25,  796 
19,  655 
1,803 
929 
54,  586 
5,905 
12,  239 
1,  246 
C06 
1,  948 
2,831 
118 
315 
4,980 
4,401 
6,  277 

2,  195 
2,469 
328 
55 
100 
7 
33 

5,440 
14 
2 
4 
1 
56 

4 
9,049 

7,104 
1,014 
17 
152 
132 

608 
1,  233 
8 

1,456 
8 
182 
9 

1,189 
41 
491 
15 
421 
26 
23 
7 
305 
608 
1,788 
584 
255 
161 
775 
334 
o 

33 
5 

1 
283 

12 

536 

7 
1,883 

339 
7 
311 

4,094 
123 
7,  529 
190 
30,  645 
63,  992 
51,  045 
3,  923 
2,536 
113,  801 
12,  098 

2'3j     2t>J 

2,781 
1,  536 
6,  7J6 
8,  555 
118 
776 
12,  186 
9  869 

2,280 

108 
1,  301 

O"7 

1,  002 

58 
54 
15 

71'4 

i,  3:;s 

3,278 
1,  492 
626 
247 
2,341 
931 

61 
12 
5 
535 

28 
1 
3 
1 

r 

9,  562 
21,  957 
19,  007 
1,047 
549 
24,  364 
2,534 
5,805 
688 
328 
2,008 
281 

285 
11 
12 

132 
257 
706 
412 
151 
25 
806 
29 

16,  239 
12,  383 
1,073 
1,058 
34,  851 
3,659 
7,215 
847 
542 
2,760 
5,443 

17.  Scarlet  Fever  

18    Diphtheria 

346 
6,017 
3,958 
2,361 

1,025 
1,723 
271 
53 
126 

15 
5 
4 
125 

13 

1 
1 

115 
1,189 
1,510 
3,249 

2,987 
2  868 

13 

20.  Epidemic  Catarrh  

3 

11,  887 

6,  207 
7,060 
990 
143 
2/2 
21 
255 

16,  217 
50 
12 
22 
6 
153 

7 
18,  399 
13,  726 

2,771 
39 
269 
711 

1,  331 
2,508 
20 

3,  156 

18 
624 
12 

OHDER  II.  —  Enthetic  Diseases. 
22.  Syphilis  

213.  Gonorrhoea  

24.  Orchitis  

o 

1 

391 
35 

46 
7 
148 

7,795 
18 
3 
8 
1 
20 

3 
3,449 
2,770 
406 
3 
80 
11 

263 

581 
1 

1,  313 

66 

1 

25.  Stricture  of  the  Urethra  
26.  Purulent  Ophthalmia  

27.  Serpent  Bite  

7 
74 

2,982 

18 
7 
10 

4 
77 

28.  Other  Diseases  of  this  Order  

1 

63 
6 
2 

3 

190 
o 

2 
1 

1 

4 

388 
16 
4 

1 
5 

ORDER  III.  —  Dietic  Diseases. 
29.  Scurvy  

135 
8 

30.  Purpura  

31.  Delirium  Tremens  

32.  Inebriation  

1 

33.  Chronic  Alcoholism  

34.  Other  Diseases  of  this  Order  

2 

3 

CLASS   II.—  CONSTITUTIONAL   DISEASES. 
ORDER  I.  —  Diathetic  Diseases. 
35.  Gout  

36.  Acute  Rheumatism  

5,901 
3,  852 

1,351 
19 
37 
5C8 

4GO 
694 
11 

387 
8 
370 

41 
GO 
95 

1 

51 

267 
17 

42 
55 

128 
2 

15 

35 
1 
1 
4 

305 
14 

98 
137 

258 
5 

81 

1,211 
81 
4 

37.  Chronic  Rheumatism  

38.  Anaemia  

39.  Cancer  

40.  Tumors  

41.  Other  Diseases  of  this  Order  . 

26 

639 
50 
2 

OHIIER  II.  —  Tubercular  Diseases. 
42.  Consumption  

43.  Scrofula  

44.  Other  Diseases  of  this  Order  

CLASS   III.—  PARASITIC   DISEASES 
45.  Itch  

46.  Tape-worm  

47.  Other  Intestinal  Worms  

5 

1 

6 

48.  Other  Diseases  of  this  Order. 

Carried  forward  

129,  963 

6,  191 

194,  800 

8,505 

119,  895 

4,177 

444,  658 

18,  873 

_  _ 

DURING   THE    YEARS    ENDING   JUNE  30,  1864,  1865,  1866. 


711 


TABLE  CXI.— GENERAL  SUMMARY— Continued. 


VF1,  AT? 

Ending  June  30,  1861 

Ending  June  30,1865 

Ending  June  30,1866 

TOTAL. 

43,  952. 
1  222. 

83,  571. 
5,  572. 

55,  039. 
1,578. 

GO,  854. 
2,791. 

LIST  OP  DISEASES. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

129,  903 

38 
2(53 
4  514 

0,191 

38 
18 

194,  800 

77 
549 
0,407 

8,505 

80 
38 

119,  895 

24 
130 
3,811 
31 
29 
39 
5 
53 
1,405 
30 
220 
29 

57 
11 
1,259 

4,177 

19 
13 
1 
1 
42 
19 
5 

444,  058 

139 
948 
14,  732 
193 
249 
100 
08 
334 
6,018 
192 
583 
313 

151 
00 
5  153 

18,  873 

137 
60 
1 
10 
202 
108 
45 
10 
5 
41 
58 
03 

CLASS    IV.—  LOCAL    DISEASES. 

ORDER  I.  —  Diseases  of  Nervous  System. 

75 
113 
71 

140 
1,730 
55 
111 
177 

42 

4 
111 
43 
14 
9 
3 
15 
8 

87 
107 
50 
41 
135 
2,817 
107 
252 
107 

52 

5 

109 
46 
20 
5 

23 
3:2 
25 

57.  Neuralgia  

3 

18 
10 

5!'.  Sun-stroke  

ORDER  11.  —  Diseases  of  Eye,. 
01.  Amaurosis  

02.  Cataract  

03.  Inflammation  of  Conjunctiva  

1,  482 

2,412 

G4.  Inflammation  of  Iris  

88 
1,039 
00 

238 

47 
473 
22 

140 

38 

190 
1,851 
194 

457 
200 
733 
081 

13 
391 

21.9 
74 
94 
32 
15 
380 
210 
122 

702 
22,048 
2,  733 
129 
257 
2,738 
16,  133 
7,  175 
405 
2,209 

9,400 
17,  204 
1,  1.-51 
42 
1,  427 
2,607 
9 
55 
240 
2,213 
64 

05.  Night  Uliiidncss  

339 
100 

79 
48 
230 
554 

3 

111 
45 
28 
39 
14 
9 
115 
00 
45 

101 
8,  21:8 
030 
29 
115 
757 
8,  12  1 
2,313 
130 
1,  040 

2,802 
5,287 
253 
0 
3(J5 
057 

GO.  Other  Diseases  of  this  Order  

1 

1 

OKUER  111.—  Diseases  of  Ear. 
07.  Inflammation  of  Internal  Ear  

08.   Deafness  

120 

GO.  OturrhoL'fi  

1 

312 
119 

10 
214 
120 
32 
39 
10 
4 
100 
12° 

]91 
11 

1 

70.  Other  Diseases  of  this  Order  

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 
71.  Aneurism  

5 
29 
20 
10 
21 
5 
1 

2 

71 
82 
40 
31 
15 
1 
1 

7 
133 
133 
60 
05 

2 

1 

72.  Valvular  Disease  of  Heart  .  

CO 
48 
14 
10 

2 

78 
28 
39 

170 
3,030 
533 
22 
50 
482 
1,747 
1,357 
04 
104 

2,170 
4,014 
339 
22 
279 
559 

33 
31 
10 
13 
2 

71.  Dropsy  of  Pericardium  

71!.  Inflammation  of  Endocardium  

78.   Varicose  Veins  

79.  Varicocele  

60.  Other  Diseases  of  this  Order  

10 

4 
113 
40 
15 
2 
10 
2,434 
159 
15 
11 

o 

* 

3 

80 

38 

401 
10,  070 
1,  270 
78 
02 
1,  409 
0,  205 
3,  305 
205 
405 

4,428 
7,  003 
559 
14 
783 
1,301 
8 
23 
j'j.> 

21 

10 
J18 

85 
28 
3 
19 
2,301 
103 
33 
03 

4 
3 

10 
3 
128 
5 

7 

4 

24 
18 
0 
1 
5 
498 
42 
12 
10 

3 

1 
13 

38 

18 
255 
149 
49 
6 
40 
5,233 
304 
00 
84 

9 
6 
30 
6 
272 
5 
1 
3 

OitDEit  V.  —  Diseases  of  Respiratory  Ort/ans, 
81.  Asthma.... 

82.  Acute  Bronchitis         

83.  Chronic  ISroncliitis 

81.   Dropsy  of  Chest  

80.  Inflammation  of  Larynx 

87.  Inflammation  of  Limps  

88.  Inflammation  of  Pleura   . 

81).  Hiemorrhage  from  Limps 

90.  Other  Diseases  of  this  Order 

ORDER  VI.  —  Diseases  (if  Digestive  Organs. 
91.  Colic  

02.  Constipation  

93.  Cholera  Morbus  
9-1.  Cirrhosis  of  Liver  

95.  Dropsy  from  Hepatic  Disease  
00.  Dyspepsia  

04 

07.  Diseases  of  Pancreas  

1 
2» 

1 
2 

08.  Diseases  of  Spleen  

1                    8 
r,:i 

i'O.  Fistula  in  Ano. 

!(>'>.   Hernia  

023 
10 

3 
2 

1,115                 1 
34                2 

475 
14 

1 

1 

5 
5 

101.  Hasmorrhnge  from  Stomach  

Carried  forward  

173,  534 

9,507 

251,  387 

12,081     j     144,511          5,  109 

500,  432 

20,  097     ; 

712 


SICKNESS   AND   MORTALITY    OF   COLORED    TROOPS,    ETC. 


TABLE  CXI.— GENERAL  SUMMARY— Concluded. 


YEAR                                      -•  Enilindui 

B  30,1861 

Ending  June  30,1865.EndiDgJnD630J866 

TOTAL. 

MEAN  STRENGTH  i\  FIELD  AND  GARRISON  >            43,  £ 

52. 
22. 

83,  571. 
5,  572. 

55,  039. 
1,  578. 

CO,  854. 
2,  791. 

I\  GENFUAL  IIosriT\Ls  1|S 

LIST  OF  DISEASES.                                    Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

9,507 

10 
3 
19 
51 
11 
34 
10 
35 
5 
4 

•   251,387 

81 
3,020 
343 
331 
75 
590 
313 
2,  789 
1,  593 
294 

215 

12,  081 

1G 
G 
48 
95 
3G 
29 
2G 
32 
G 
5 

144,  511 

40 
1,474 
12G 
1G8 
17 
306 
171 
1,114 
G95 
96 

76 
14 
74 
1 
7 
185 
C8 
130 
15 
31 

1C 

17 
106 
5 
32 
15 
22 

729 
1,939 
82 
342 
1,299 

213 
1,  232 
11 

5,109 

10 
3 

21 
47 
22 
21 
15 
6 
1 

569,  432 

180 
6,  754 
730 
748 
118 
1,275 
674 
5,  545 
3,213 
622 

359 
74 
404 
20 
261 
778 
304 
545 
119 
152 

80 
110 
512 
39 
92 
76 
41 

2,376 
4,  9G7 
240 
898 
3,279 

826 
3,881 
GO 

26,  697 

36 

12 
88 
193 
69 
84 
51 
73 

11 

ORDER  VI.  —  Diseases  of  Digestive  Organs  —  Continued.  ; 

103    Inflammation  of  Tonsils               .       -                 .                      2,  260 

109.  Jaundice  1,  642 

110.  Piles  925 

111.  Other  Diseases  of  this  Order                                                      232 

ORDER  VII.  —  Diseases  of  Urinary  and  Genital  Organs.  I 
112.  Stone  and  Gravel  .                         G8 

113.  Diabetes  29 

4 
3 

31 

248 
9 
148 
392 
173 
277 
(14 
74 

33 

CG 
286 

27 

3 

40 

25 

12 
G8 

114.  Bright's  Disease  .   !             82 

115.  Diseases  of  Prostate  10 

110.  Diseases  of  Testis  100 

1 

11 
8 

1 
24 
11 
3 

10 

117.  Inflammation  of  Kidneys  201 

5 

8 
3 

1 

116.  Inflammation  of  Bladder  G3 

119.  Incontinence  of  Urine  138 

1 
2 

120.  Hydrocele  40 

1 
5 

121.  Other  Diseases  of  this  Order  47 

3 
3 

ORDER  VIII.—  Diseases  of  Hones  and  Joints. 
122.  Anchylosis  !              31 

123.  Caries  27 

1 

2 
2 

6 
o 

124.  Inflammation  of  Joints  ;            120 

125.  Inflammation  of  Bones.                                                                       7 

12C.  Inflammation  of  Periosteum..                                         ;              22 

1 

1 

38 
40 
17 

1,013 
2  01G 

1 

o 

2 
4 
1 

127.  Necrosis  oj 

1 

1 

5 

128.  Other  Diseases  of  this  Order  ,               2 

ORDER  IX.—  Diseases  of  Integumentary  System 
139.  Abscess  634 

5 

11 

130.  Boils  1  01° 

131.  Carbuncle  g4 

94 
349 
1,417 

399 
1,744 
31 

132.  Whitlow  OQ7 

133.  Skin  Diseases  563 

o 
2 
9 
50 

3 

2 
9 

13 
75 

1 

2 
3 

6 
32 

C     1 

6 
14 
—o 
157 

CLASS   V.—  WOUNDS,    ACCIDENTS,    AND 
INJUH1ES. 
ORDER  I.—  Wounds,  Accidents,  and  Injuries. 
134.  Burns  

135.  Contusions.  on- 

13(J.  Concussion  of  Brain                                                                           ,„ 

137.  Droivnia" 
138.  Sprains  "i~~io~ 

139.  Dislocation  '    „„ 
140.  Simple  Fractures  ^ 

3 

8 
203 
1 
1 
G 
11 
22 

4 

8 
8 

2,  607 
79 
80 

4,  527 
879 
427 
362 
53 
1,607 

1 

12 
11 
719 

0 

7 
2 
G 
50 

8 

1,528 

54 
63 
10 
428 
965 
237 
385 
22 
161 

0 

5,845 
1G2 
194 
G5 
6,  694 
2,  270 
832 
88$ 
89 
2,  335 

3 
15 

1,042 
6 
11 
13 
17 
92 

30 
9 
39 

141.  Compound  Fractures  ^ 

4 
120 
3 
3 
5 

142.  Gunshot  Wounds  ^  93y 

143.  Incised  Wounds  '  40f 

144.  Lacerated  Wounds.  .                                                                       ^o 

145.  Punctured  Wounds 

14C.  Poisoning-  j  . 

147.  Other  Accidents  and  Injuries  5(7 

20 
18 
1 

7 

148.  ORDER  II.  —  Homicide  .  .. 

149.  ORDER  III.—  Suicide 

I.")!).  ORDER  IV.—  Execution  of  Sentence 

24 

Tota!  189,460 

10,  054         280,  GG2 

13,411 

159,  232 

5,539 

629,354 

29,  004 

OF   COLORED    TROOPS 


ON 


SURGEON'S  CERTIFICATE  OF  DISABILITY. 


90 


DISCHARGES    OF    COLORED    TROOPS,    ETC  715 


Table  GXII  presents  a  summary  view  of  the  causes  of  the  discharges  from  the 
service  on  surgeon's  certificate  of  disability  among  the  colored  troops,  drawn  up  in  the 
same  manner  as  was  done  for  the  white  troops  in  Table  UI. 


716 


DISCHARGES    OF    COLORED    TROOPS 


TABLE  0X11. 

Discharges  of  Colored  Troops  on  Surgeons  Certificate  of  Disability. 


\ 

ENDING                  ENDING                  ENDING                   TOTAI 
JUNE  30,  1864.       JUNE  30,  1865.       JUNE  30,  1866.    [ 

(. 

CLASS    1.—  ZYMOTIC    DISEASES. 
ORDER  I.  —  Miasmatic  Diseases. 

o 
1 
7 
128 

8 
10 
7 
149 
31 

10 
12 
18 
302 
57 

1 

540 

86 

0 

12 
6 

29 
1 

5 
874 
35 
109 
3 
18 
6 

592 

147 

2 

6 

174 
34 

(59 
1 
90 

1 
4 

25 
4 

•>•     >s 

1 

287 

"7 

5 

3 

1 
1 

43 
11 

210 
38 

ORDER  II.  —  Enthetic 

Diseases. 

3 

4 
3 

ORDER  III.  —  Dietic 

Diseases. 

6 

CLASS  II.—  CONSTITUTIONAL   DISEASES. 

ORDER  I.  —  Diatlietic  Diseases. 
15   Gout 

5 

120 

377 
1 
52 
1 
9 
2 

282 
57 

2 

4 
92 
19 
1 

41 

375 
34 
47 
1 

7 

1 

234 

76 

18.  Dropsy 

10 
1 

3 

76 
14 

]  9    Cancer 

20.  Tumors 

21    Other  DNeases  of  this  Order 

ORDElt  II.  —  Tubercular  Diseases. 

23    Scrofula 

CLASS    III.  —  PARASITIC    DISEASES. 
24.  Tape-worm  

CLASS    IV.  —  LOCAL    DISEASES. 

OUHF.R  I.  —  Diseases  of  Nervous  System. 

1 

29 
8 

1 
53 

7 
4 
21 
1 
25 

2P.   Xounil'na 

2  '    Paralysis                       .                 .   . 

7 

30.  Sun-stroke  

31.  Other  Diseases  of  this  Order 

8                                 57 

Carried  forward..  . 

3R3                           1.4'M                           1.371                            3,248 

ox  SURGEON'S  CERTIFICATE  OF  DISABILITY. 


717 


TABLE  CXIL— DISCHARGES  OF  COLORED  TROOPS,  ETC.— Continued. 


YEAR                                       £ 

ENDING 

ENDING 

ENDING 

TOTAL 

JUNE  30,  18C4. 

JUNE  30,  1865. 

JUNE  30,  18C6. 

383 

1  494 

1  371 

3  248 

ORDER  II.  —  Diseases  of  Eye. 

14 

13 

29 

33.  Cataract                 

., 

11 

8 

21 

34    Ophthalmia    . 

13 

12 

25 

35.  Night  Blindness  

3 

1 

1 

5 

30.  Other  Diseases  of  this  Order  

4 

44 

43 

91 

ORDER  III.  —  Diseases  of  Ear. 
37.  Deafness  

4 

22 

12 

38 

38.  Otorrhoea  

3 

3 

30.  Other  Diseases  of  this  Order  

11 

11 

ORDER  IV.  —  Diseases  of  Organs  of  Circulation. 

1 

1 

41.  Heart  Disease  

°7 

73 

fil 

161 

o 

2 

4 

7 

0 

9 

30 

20 

(  

13 

69 

21 

4 

25 

1 

1 

ORDER  V.  —  Diseases  of  Respiratory  Organs. 

5 

5 

4?.  Asthma  

5 

19 

18 

42 

9 

31 

56 

96 

;")0.  Dropsy  of  Chest              .  .                                                                

1 

1 

2 

o 

4 

11 

10 

25 

J 

7 

10 

18 

1 

a 

1 

4 

3 

20 

6 

29 

ORDER  VI.  —  Diseases  of  the  Digestive.  Organs. 

8 

10 

1 

3 

10 

l(i 

26       ; 

63 

1W 

133 

3:>8 

(H).  Prolapsus  Ani  

:; 

3 

1 

7 

ill.  Inflammation  of  Tonsils  

1 

1 

<i2.  Inflammation  of  Stomach  

0 

1 

4 

7 

<i3.  Inflammation  of  15o\vels  

2 

lit.  Inflammation  of  Peritoneum  

„ 

0 

4 

;{ 

15 

11 

29 

<;.;.  riles  

3 

10 

21 

43 

13 

12 

25 

Carried  forward.  .  . 

! 

5r>9 

•'Oil 

1  ,  ,«7i« 

I.47H 

718 


DISCHARGES    OF    COLORED    TROOPS,   ETC. 


TABLE  CXII.— DISCHARGES  OF  COLORED  TROOPS,  ETC.— Concluded. 


YEAR. 


ENDING 


ENDING 


ENDING 


JUNE  30,  1864.       JUNE  30,  1865.       JUNE  30,  18G6, 


559 

2,041 

o 
3 
12 
10 
5 
3 
7 
7 

50 
4 
1 
5 

1,878 

Oitnuu  VII.  —  Diseases  of  Urinary  and  Genital  Organs. 

3 

2 
4 

0 

4 
13 
3 

0 

o 

49 
6 
2 
8 
1 
18 
4 
8 

3 
23 

2 
8 
3 

41 
280 
120 

1 
2 

6 

OUDEH  VIII.  —  Diseases  of  Hones  and  Joints. 

78.  Caries     

79.  Exostosis  '  

80.  Inflammation  of  Joints  

82.  Diseases  of  Spine  

3 
4 
4 

10 
5 
21 

5 

20 

2 
3 

1 
12 

39 
430 
200 

83.  Necrosis  

84.  Other  Diseases  of  this  Order  

ORDER  IX.  —  Diseases  of  Integumentary  System. 
85.  Abscess  

86.  Ulcers  

3 

CLASS  V.     WOUNDS,   ACCIDENTS,   AND   INJURIES. 

ORDER  1.—  Wounds,  Accidents,  and  Injuries. 
87.  Burns  and  Scalds  

88.  Frost  Bite  

2 

89.  Sprains  

90.  Dislocations  

1 
9 

41 
7 

33 

91.  Fractures  

92.  Gunshot  Wounds  

93.  Amputations  

94.  Incised  Wounds  

95.  Wounds  unspecified  

119 

0 

98 

5 

22 
5 

205 

96.  Other  Accidents  and  Injuries 

CLASS    VI.—  DEVELOPMENTAL   DISEASES. 
97.  Atrophy  

58.  Hypertrophy  

99.  Deformities  

5 
1 
36 

1 

145 

60 
105 
217 
2 

933 

100.  Under  Ago  .... 

101.  Old  Age  

102.  Stammering1  

103.  UNCLASSIFIED  AND  CAUSE  NOT  STATED 



148 

Total  

874 

4,  340                         3,  009 

1 

•2 

8 

18 

27 

8 

5 

10 

11 


105 

10 

3 

13 

1 

31 
13 
33 


4 

13 
4 

34 

89 

751 

327 

154 
101 


7 
1 

87 

111 

478 

3 

i,226 


V  I  X  T  S 


PART  I.— WHITE  TROOPS. 


SICKNESS  AND  MORTALITY  OF  WHITE  TROOPS. 


ATLANTIC  REGION. 

Remarks  explanatory  of  the  Tables. 

Page. 

For  May  and  June,  18G1 3 

For  the  year  ending  June  30,  1862 13 

"   "   "    "    "   "  1863 152 

"   "   "    "    "   "  1864 303 

"   "   "    "    "   "  1865 462 

"   "  1866 611 

Statistical  Tables. 

For  May  and  June,  1861,  Table  1 4 

For  the  year  ending  June  30,  1862,  Table  XII 66 

"     1863,  Table  XXXIII 204 

"      "      "        "        "      "     1864,  Table  LVI 354 

"       "'    1865,  Table  LXXXII 520 

"      "     1866,  Table  XCVI 612 

CENTRAL  REGION. 

Remarks  explanatory  of  the  Tables. 

For  June,  1861 3 

For  the  year  ending  June  30,  1862 73 

"      "       "         u         "       "     1863  211 

"       "    1864 361 

"     1865 526 

"      "    1866 on 

Statistical  Tables. 

For  June,  1861.  Table  II 7 

For  the  year  ending  June  30,  1862,  Table  XX 120 

•'       "     1863,  Table  XLIII 270 

"     1864,  Table  LXVII 426 

1865,  Table  XCI .r>78 

"      "      •'        "        "      '•'    1866,  Table  XCVII..  Old 


720  INDEX. 

PACIFIC  REGION. 


Remarks  explanatory  of  the  Tables. 


Page. 

For  the  year  ending  June  30,  1882 . . ,                                                                       1~' 

>'      «       ••         "         ••       •'     1883 277 

••       •'    1864 433 

.'      •  ••      ••        ••        "      ••'    1865 585 

n      "      ••        <<        "      "    1866 fill 

Statistical  Tables. 

For  the  year  ending  June  30,  1862,  Table  XXIII .  -  140 

..      «      «        «        "      "    1833,  Table  XLVI 290 

"      "      «        "        "       «    1864,  Table  LXX 446 

"      «       •'        "        "       "     1865,  Table  XCIV 598 

«      "      "        "        "       -     1866,  Table  XC  VIII 624 

CONSOLIDATED  TABLE*  FOR  WHITE  TROOPS. 

For  May  and  June,  1881,  Table  HI 10 

For  the  year  ending  June  30,  1862,  Table  XXIV 146 

"       '•     1863,  Table  XL VII 298 

"       "     1864,  Table  LXXI 452 

••       "     1885,  Table  XCV 604 

"      "      "        "        "      "     1836,  Table  XCIX 630 

For  White  Troops  during  the  War,  Table  C 636 

MORTALITY  IN  GENERAL  HOSPITALS  OF  THE  ATLANTIC  REGION. 

For  the  year  ending  June  30,  1862,  Table  XI 60 

"      "      "        "        "      "    1863,  Table  XXXII 198 

"      "      "        "        "      "     18G4,  Table  LV - 348 

"      "       "         "         "       "     1865.  Table  LXXXI 514 

MORTALITY  IN  GENERAL  HOSPITALS  OF  THE  CENTRAL  REGION. 

For  the  year  ending  June  30,  1862,  Table  XIX 114 

"       "     1863,  Table  XLII 264 

"    1864,  Table  LXVI 420 

"      "'      "        "        "       "    1865,  Table  XC 572 

DEPARTMENT  OF  THE  EAST. 

Remarks  explanatory  of  the  Tables. 

For  the  year  ending  June  30,  1863 152 

"      "      "        "        "       "     1864 303 

"      "      "        "        "      "    1865...  4G2 


Statistical  Tables. 


For  the  year  ending  June  30, 1863,  Table  XXV 156 

••      "       "         "         "       "     1864,  Table  XLVIH 306 

•'      ;'       "         "         "       "     1865.  Tahlc  FA'XIIL.  466 


INDEX.  721 

MIDDLE  DEPARTMENT. 

Remarks  explanatory  of  i/ie  Tables. 

Pago. 
For  the  year  ending  June  30,  16G2 13 

"     '•    1863 ir>3 

•       '•     18.G4 304 

1805 463 

Statistical  Tables. 

For  the  year  ending  June  30,  186.2,  Table  IV 18 

'•       "       "         -         "       "     18G3,  Table  XXVI 162 

"       "     18-34.  Table  XLIX 312 

"      "       "         "         "       "     I80r,.  Tahle  LXXIV 472 

DEPARTMENT  OF  Till]  SIIENANDOAIf.  ' 

Remarks  explanatory  of  the,  Table. 

For  the  year  ending  June  30,  18(52 14 

Statistical  Table. 

For  the  year  ending  June  30,  18G2,  Table  V ^4 

-MIDDLE  MILITARY  DIVISION. 

Remarks  explanatory  of  //te  Table. 

For  the  year  ending  June  30.  18G5 463 

/Statistical  Table. 

For  the  year  ending  June  30,  1 -().".  Table  LXXVI 4S4 

DEPARTMENT  OF  WASHINGTON. 

Remarks  explanatory  of  t/tc  Tables. 

For  the  year  ending  June  :><>;  l.-'(53 153 

HGJ 304 

"       "     I.*<M 463 

/Statistical  Tables. 

I'or  the  year  ending  June  30,  lr-T.3.  Table  XXVII 168 

"       "       "         "         "       "     18;)l,TableL 318 

••      "  IS;;."),  Tal)le  LXXV 478 

DEPARTMENT  OF  THE   RAPPAIIANN*  )('K. 

Remarks  explanatory  of  tJic  Table. 

For  the  year  ending  June  3d.  181-?.. .  1C. 


Statistical  Tahle. 


For  the  yea i-  ending  June  "l>.  I  W'J'2,  Table  VII . 

91 


722  INDEX. 

ARMY  OF  THE  POTOMAC. 

Remarks  explanatory  of  ike  Tables. 

Page. 
For  the  year  ending  June  30,  1662.. 

..      .- "      <•     1863 154 

"       "     1854 =504 

..      "      '     1835 464 

Statistical  Tables. 

For  the  vein-  ending  J  une  30,  1862,  Table  VI  - .  M 

«      «       «         "         '•       "     1883,  Table  XXV1H 174 

«        "      "     1864,  Table  LI 324 

<•      -       «         «         »       "     1865,  Table  LXX VII 490 

DEPARTMENT  OF  VIRGINIA. 

Remarks  explanatory  of  the  Tables. 

For  tlie  year  ending  June  30,  1832 .  16 

"      "      "        "        "       "     1883 154 

«      «       «        «        >•       '•     1864 305 

«      "      "        "        "       "     1865 484 

Statistical  Tables. 

For  the  yeur  ending  June  30,  1862,  Table  VIII 42 

"      "      "        "        "       '•     18G37  Table  XXIX 180 

"      "       '•         "         '•       "     1864,  Table  LII 330 

"      "       -         "         '•       "     1885,  Table  LXXVIII 496 

DEPARTMENT  OF  NORTH  CAROLINA. 

Remarks  explanatory  of  the  Tables. 

16 

155 

305 

464 

Statistical  Tables. 

For  the  year  ending  June  30,  1882,  Table  IX 48 

"     1883,  Table  XXX 186 

"      "       ''         "         "       "     1864,  Table  LIII 336 

"      "       "         "         "       "     1835.  Table  LXXIX 502 

DEPARTMENT  OF  THE  SOUTH. 

Remarks  explanatory  of  the  Tables. 

For  the  year  ending  June  30,  1862 1? 

"       "     1863 155 

•'      "       "         -         ';       "     1834 305 

"       "     1885 465 

Statistical  Tables. 

For  the  year  ending  June  30,  1832,  Table  X C4 

"      ''       "'         "         "       '•     1883,  Table  XXXI 192 

"      "       "         '•         '•       "     1884.  Table  LIV 342 

"      "       "         "         "       "     1865,  Table  LXXX..                                                                                                        ....  508 


For  the  year  ending  June  30,  18j'2 


INDEX.  723 

DEPARTMENT  OF  WEST  VIRGINIA. 

Remarks  explanatory  of  the  Tablet. 

Pope. 
For  the  year  ending  Juiu'  30,  1832  .......................................................................          73 

'  .......     133.5  .......................................................................       211 


.'Statistical  Tables. 

For  tin-  year  ending  June  30,  186.2,  Table  XIII  ............................................................          78 

.........  •       "     183:5.  Table  XXXIV  .........................................................       216 

.....  '     18G4,  Table  LVII  ..............  v  ............................................       366 

NORTHERN  DEPARTMENT. 

Remarks  explanatory  of  the  Tables. 

For  the  year  ending  June  30,  1833  .......................................................................   212 

-   "  1854  .......................................................................   361 

"   "   "    .....  '  1865  .......................................................................   526 

Statistical  Tables. 

For  the  year  ending  June  30,  Id  03,  Table  XXXV  ...........................................................        222 

"      "       "         "         "       "     1864,  Table  LVIII  ..........................................................       372 

'  .....     1865,  Table  LXXXIII  ............................................  '  ...........       530 

DEPARTMENT  OF  THE  OHIO. 

Remarks  explanatory  of  the  Tables. 

For  the  year  ending  June  30,  1833  ......................................................................  .  .        212 

"     ••      ........    1834  .......................................................................      ;;«>> 

Statistical  Tables. 

For  the  year  ending  .June  30,  1833,  Table  XXXVI  .........................................................        223 

"      "       "         "         "       -     1864,  Table  L1X  ............................................................       378 

DEPARTMENT  OF  TIIF  CFMBERLAND. 

Remarks  explanatory  of  the  Tables. 

For  the  year  ending  June  30.  18-32  .......................................................................          74 

"      .......  '       "     1863  ......................................................................       212 

"      ..........     18o4  ...........................................  .  ............................       362 

Statistical  Tables. 

For  the  year  ending  June  30.  \?:r>.  Table  XIV  ........  ....................................................          84 

............     1833,  Tal.le  XXXVII  ........................................................        234 

"      .........  •'     1861.  Table  LX  ............................................................       384 

DEPARTMENT  OF  THE  TENNESSEE. 

Remarks  explanatory  of  the  Tables. 

For  the  year  ending  June  30,  1S62  ......................................................................    75 

"   "   ........  1863  .......................................................................   213 

............  186!  .......................................................................   363 

Statistical  Tables. 

For  ihr  year  ending  June  3d,  1  ,<;,>.  TaM,.  XV  .............................................................          i'O 

••       •'     ls;,i.  Table  XXXV1I1  .......................................................        24U 

•'         '•      l,-:i.  Table  I.  XL.  ••',1111 


794  INDEX. 

MILITARY  DIVISION  OF  THE  MISSISSIPPI.     FART  I. 

Remarks  explanatory  of  the  Tables. 

Page. 

For  the  year  ending  June  30,  1885.  .  . 
Supplementary  remarks  for  May  and  June.  1834.. 

Statistical  Tables. 

For  the  year  ending  June  30,  1835.  Table  LXXX1V  ...... 

Supplementary  Table  for  May  and  June.  1834,  Table  LXXII  ----  459 

MILITARY  DIVISION  OF  THE  MISSISSIPPI.     PART  II. 

Remarks  explanatory  of  the  Table. 

For  the  year  ending  June  30,  1833  ..............................  ............................   527 

Statistical  Table. 

For  the  year  ending  June  30,  1835,  Table  LXXXV  .................................  ......       542 

DEPARTMENT  OF  THE  GULF. 

Remarks  explanatory  of  the  Tables. 

For  the  year  ending  June  30,  1862  .......................................................................  76 

"'   "   "    "    "   •'  1833  .......................................................................  214 

'  ...........  1834  .......................  ................................................  364 

"   "   "    .....  '  1865  .......................................................................  528 

Statistical  Tables. 

For  the  year  ending  June  30,  1802,  Table  XVI  ......  .  ..............  .  .....................................  90 

"      "       "         -         "       •'     1803,  Table  XXXIX  .........................................................  246 

"       "     1834,  Table  LX  II  ...........................................................  396 

'•      "       '  .......     1805,  Table  LXXX  VI  ..........................  .............................  548 

DEPARTMENT  OF  THE  NORTHWEST. 

Remarks  explanatory  of  the  Tables. 

For  the  year  ending  June  :;o.  id-32  ..................  76 

"   "   "    '  .....  1863  .......................................................................  214 

'  .....  1864  .......................................................................  364 

"   "   ........  1835  ......................................................................  528 

Statistical  Tables. 

For  the  year  ending  June  30,  1H32,  Table  XVII  .........................................................  102 

"       "         "         "       "     1863,  Table  X  I  .......................  .  ......................................  252 

"       "         "         "       "     18G4,  Table  LXIII  ...........................  .  ....................  .  .........  402 

"       "     18C5.  Table  LXXX  VI  I  .......................................................  554 

DEPARTMENT  OF  THE  MISSOURI. 

Remarks  explanatory  of  the  Tables. 

For  the  year  ending  June  30,  ]*&>  .........  75 


1«33  ......................................................................        214 

1864  ...................................................................  .....       364 

1865  ..........  528 


INDEX.  725 
DEPARTMENT  OF  THE  MISSOURI.—  Continued. 

Statistical  Tables. 

Page. 

For  the  year  ending  June  30,  Id6:,>,  Table  XVIII  ..........................................................  108 

"       "         "         "       "     1383,  Table  XLI  .............................................................  258 

"      "       "         "         "       "     1864,  Table  LXIV  ...........................................................  408 

"      ........       "     1805,  Table  LXXXVIII  ......................................................  5GO 

DEPARTMENT  OF  ARKANSAS. 

Remarks  explanatory  of  the  Tables. 

For  the  year  ending  June  30,  1864  ........................................................................  365 

"      "       "         "         "       "     1835  .......................................................................  529 

Statistical  Tables. 

For  the  year  ending  June  30,  18(54,  Table  LXV  ............................................................  414 

18J5,  Table  LXXXIX  ..............................................  '_  ........  506 

DEPARTMENT  OF  NEW  MEXICO. 

Remarks  explanatory  of  the  Tables. 

For  the  year  ending  June  30,  1862  .......................................................................  127 

"   "   ''    '•    "   "  1863  .......................................................................  277 

"   "   "    "    "   "  1864  .......................................................................  433 

"   "   '  .......  1865  .......................................................................  585 

Statistical  Tables. 

For  the  year  ending  June  30,  183:2,  Table  XXI  .............................................................  128 

.....  '     1863,  Table  XLIV  ...........................................................  278 

"       "     1861,  Table  LXVIII  .........................................................  434 

.....  '     1865,  Table  XCII  ...........................................................  586 

DEPARTMENT  OF  THE  PACIFIC. 

Remarks  explanatory  of  the  Tables. 

For  the  year  ending  June  30,  l,-"j  1  ........................................................................  127 

"      '  .........     1^3  .......................................................................  277 

"      "       "         "         "       "     186-i  .......................................................................  433 

"      '•       ''         "'         "       "     I8in  ..............................    ........................................  585 


Statistical  Tables. 

For  tlie  year  ending  June  30,  186  >,  Tal.le  XXII  ...........................................................  134 

'  ...........     186:?,  Table  XLV  ...........................................................  284 

"       "      18:54,  Table  LXIX  ..........................................................  440 

"       "     1*T>.  Table  XCIII  ..........................................................  592 


DISCHAKCJES  OF  WHITE  TROOPS  OX  si'UG  EON'S  CERTIFICATE  OF  DISAH1IJTV. 

.Remarks  e.i-planatory  of  the  Table. 


Suiniiiiirv  of  Discharges,  Table  Cl  .  .  646 


726  INDEX. 

PART  n— COLORED  TROOPS. 


SICKNESS  AND  MORTALITY  OF  COLORED  TROOPS. 


ATLANTIC  REGION. 

Remarks  explanatory  of  the  Tables. 

Page. 

For  the  year  ending  .June  150,  1834 651 

"   '•   '•    •'•'    •'   ''  18G3 671 

"   "   "    '•    "   "  1853 691 

Statistical  Tables 

For  the  year  ending  June  30,  1834,  Table  CII 652 

'•      '•       "         '•         "       "     13;'55,  Table  CV 672 

"      " •'      "     1833,  Table  CV1II 692 

* 

CENTRAL  REGION. 

Remarks  explanatory  of  the  Tables. 

For  tlie  year  ending  June  30.  1834 651 

"      "       '"'         1X0 671 

"      "       ' •     ISb'u 691 

Statistical  Tables. 

For  the  year  ending  June  30,  1804,  Table  CIII 658 

'         "         "       "     1865,  Table  CVI 678 

' "       "     1886,  Table  CIX 698 

CONSOLIDATED  TABLES  FOR  COLORED  TROOPS. 

For  the  year  ending  June  30.  18G4,  Table  CIV 664 

"       "         "         "       "     1865,  Table  CVII 684 

"       "     18G6,  Table  CX 704 

For  Colored  Troops  during  the  War,  Table  CXI 710 

DISCHARGES  OF  COLORED  TROOPS  ON  SURGEON'S  CERTIFICATE  OF  DISABILITY. 

Remarks  explanatory  of  the  Table. 715 

Summary  of  Discharges,  Table  CXII 716 


END  OF  VOLUME  I,  CF  THE  MEDICAL  HISTORY. 


THE 


WAR  OF  THE  REBELLION. 


APPENDIX 


PART  I. 


CONTAINING 


REPORTS  OF  MEDICAL  DIRECTORS,  AND  OTHER  DOCUMENTS. 


Edited,  under  the  direction  of  Surgeon  General  JOSEPH  K,  BARNES,  United  States  Army, 


'Pr 

BY 

Assistant  Surgeon  J.  J.  WOODWARD,  United  States  Army, 

AND 
Assistant  Surgeon  GEORGE  A.  OTIS,  United  States  Army. 


NOTE  BY  THE  EDITORS. 


The  Appendix  to  .Part  1,  of  the  Medical  and  Surgical  History  of  the  War  of  the 
Rebellion  contains  such  portions  of  the  reports  of  Medical  .Directors  and  other  Officers, 
received  during  the  \Var  by  the  Surgeon  General,  as  have  appeared  to  possess  historical 
interest. 

In  preparing  these  documents  for  publication,  the  Editors  have  endeavored  to  place 
on  record,  in  the  language  of  the  original  observers,  such  of  the  official  statements 
relating  to  the  operations  of  the  medical  department  of  the  Union  Army,  as  illustrate  the 
Medical  and  Surgical  volumes.  They  have  omitted  nearly  all  detailed  descriptions  of 
cases,  remarks  on  special  diseases,  on  hospital  construction,  and  transportation  of  the 
wounded,  and  many  observations  which  will  more  advantageously  appear  in  other  parts 
of  the  work,  as  well  as  some  paragraphs  relating  to  subjects  fully  discussed  in  antecedent 
reports.  Asterisks  indicate  where  omissions  occur. 

During  the  first  vear  of  the  war,  medical  officers  were  guided  by  the  General  Reu'U- 

«,  O  J  o 

lations  only  in  making  their  reports;  but.  as  the  organization  of  the  army  progressed,  such 
instructions  were  given  as  secured  comprehensive  accounts  of  the  operations  of  the  Medical 
Staff  by  the  senior  medical  officers  of  corps,  divisions,  and  brigades. 

The  Editors  have  sought  to  observe  either  a  chronological  or  geographical  sequence 
in  the  arrangement  of  the  documents,  in  order  to  approximate  a  connected  narrative;  but, 
when  it  has  appeared  advisable,  either  in  order  to  connect  sub-reports  with  those  of  the 
chief  medical  officers,  or  for  other  reasons,  they  have  frequently  deviated  from  this 
course.  They  have  not  felt  at  liberlv  to  alter,  materially,  the  phraseology  of  the  Reports 
except  where  obvious  grammatical  inaccuracies,  due  to  hasty  composition,  were  apparent. 
They  have  diligently  searched  the  files  of  the  Adjutant  General's  Office  as  well  as  those  of 
the  Surgeon  General,  and  believe  that  no  reports  of  importance  have  been  overlooked, 
though  portions  of  many  have  been  reserved  for  publication  in  the  body  of  the  work. 

A  few  wood-cuts  and  photo-lithographic  maps  have  been  inserted,  to  indicate  the 
positions  of  hospitals,  the  direction  in  which  the  sick  and  wounded  were  taken  to  the 
rear,  and  the  like:  but  facilities  for  original  illustrations  of  this  kind  have  been  very 
limited. 

The  Circulars  and  Orders  printed  with  the  prefatory  remarks  of  the  Surgeon  General, 
will  explain  the  reasons  of  tin-  frequent  repetitions  in  relation  to  the  supplies  ot  food, 
water,  medicines,  stores,  shelter,  and  transportation  which  will  be  observed  in  some  oi  the 


APPENDIX 


TO 


PART  I 


MEDICAL  AND  SURGICAL  HISTORY  OF  THE  REBELLION, 


CONTAINING 


REPORTS  OF  MEDICAL  DIRECTORS  AND  OTHER  DOCUMENTS. 


Edited,  under  the  direction  of  Brevet  Major  General  J.  K.  BARNES,  Surgeon  General,  United  States  Army, 

1SY 

Brevet  Lieutenant  Colonel  J.  J.  WOODWARD,  Assistant  Surgeon,  U.  S.  Army, 

AND 
Brevet  Lieutenant  Colonel  GEOKGE  A.  OTIS,  Assistant  Surgeon,  U.  S.  Army. 


I.     Report  of  the  Events  connected  with  the  First  Bull  Run  Campaign.     By  Surgeon  W.  S. 
KING,  U.  S.  A.,  Medical  Director  of  the  Army  under  General  McDowell. 

The  first  battle  of  Bull  Run  will  ever  be  memorable  in  the  annals  of  the  country  as  the  great  contest  at  the  commencement 
of  the  struggle  now  going  on  for  the  maintenance  of  the  supremacy  of  the  Union.  Having  arrived  in  Washington,  from  a 
distant  frontier  station,  a  few  weeks  previously,  I  was  detailed  to  report,  as  medical  director,  to  the  General  in  command  of  the 
Department  of  Northeast  Virginia.  Upon  reaching  the  headquarters  at  Arlington,  where  our  forces  were  assembling,  I  became 
painfully  impressed  with  the  vastness  of  the  work  to  be  done  to  prepare  for  t'ie  coining  conflict,  and  with  the  very  short  time, 
apparently,  that  would  be  allowed  for  the  purpose.  I  found  the  army  with  which  we  were  to  meet  the  enemy  composed  of 
the  best,  and  also  of  the  worst  material  I  had  ever  met  with.  This  force  had  been  hastily  collected;  many  of  the  men  had 
never  been  examined  by  medical  officers,  and  were  inferior  to  those  in  the  regular  army,  where  the  physical  defects  are  more 
carefully  regarded.  Impressed,  by  the  lessons  of  the  Crimea,  with  the  importance  of  hygienic  measures  in  the  camps,  I  began 
my  visits  to  them,  and  pointed  out,  particularly  to  those  Who  possessed  the  power  to  enforce  them,  the  necessity  of  observing 
these  precautions. 

It  is  while  engaged  in  the  labor  of  introducing  sanitary  reforms  that  the  want  of  substantial  rank  is  most  sensibly  felt 
by  the  medical  officer,  and  more  or  less  paralyzes  all  his  efforts.  If  he  finds  an  unusual  number  of  cases  of  disease  in  a  regi 
ment,  and  ascertains  that  the  walls  of  the  tents  are  seldom  if  ever  raised  to  admit  fresh  air,  that  the  straw  is  saturated  with 
emanations  from  the  bodies  and  breaths  of  the  men.  and,  that  low  forms  of  fever  are  thus  engendered,  should  he  naturally 
desire  to  instantly  change  this  condition  of  things,  he  will  learu,  by  bitter  experience,  the  extreme  difficulty  of  inducing  those  in 
authority  to  listen  to  his  requests  or  to  act  on  his  suggestions.  When  we  learn  that  diseases  destroy  more  soldieiH  than  do 
powder  and  the  sword,  it  cannot  be  too  often  repeated  that  these  disastrous  results  may  be  easily  prevented  by  simple  hygienic 
precautions,  for  the  institution  of  which  there  must  be  united  and  harmonious  action  between  the  field  officer  and  the  surgeon. 

1 


2  APPENDED    DOCUMKNTS- — FIRST    BUM,    RUN. 

This  can  be  effected  in  no  other  way  than  by  adopting  the  practice  of  admitting  the  chief  medical  officer  of  each  separate  army 
to  a  sent  in  the  council  of  war.  As  a  general  rule,  such  officers  would  bring  with  them  tried  experience  and  extended  and 
varied  information  on  many  branches  of  knowledge,  to  the  benefit  of  the  service.  To  give  weight  to  his  opinion,  the  chief 
medical  officer  should  have  a  higher  rank  than  that  of  major,  his  present  status,  there  being  no  provision,  at  present,  where!)}' 
it  is  possible  for  him  to  hope  for  promotion.  He  is  the  best  judge  as  to  the  condition  of  the  men,  as  to  their  capability  to  sustain 
a  forced  march,  and  whether  the  plivsical  endurance  proposed  to  be  exacted  of  them  will  not  so  overtask  their  powers  as  to  unfit 
them  for  the  duty  required.  The  selection  of  a  camping  ground  for  the  night  is  also  a  matter  of  great  importance.  A  spot  thus 
fixed  upon  may,  from  necessity,  be  occupied  for  weeks;  and,  should  it  prove  unhealthy,  the  evil  must  be  suffered;  whereas,  in 
a  majority  of  cases,  a  more  healthy  location  would  have  answered  equally  well  for  all  military  purposes. 

Every  medical  director  at  least,  should  have  the  authority  to  order  the  prompt  removal  of  a  nuisance  that  is  contaminating 
the  air;  and  such  military  assistance  should  be  furnished  him  as  he  may  require  for  the  immediate  carrying  into  effect  of  any 
measures  lie  may  deem  essential  to  the  prevention  of  disease  in  camps,  provided  they  do  not  interfere  with  the  military  necessity 
of  the  position.  The  orders  of  medical  directors  relating  to  sanitary  matters  should  be  binding  upon  all,  and  should  not  be 
disregarded  unless  satisfactory  reasons  be  given.  On  landing  at  Rangoon,  during  the  first  Burmese  war,  the  superintending 
sunreon  of  the  Bengal  division  there  had  warned  the  officer  commanding,  that  without  fresh  food  and  vegetables  the  soldiers 
must  perish  from  scurvy.  The  reply  was:  ''medical  opinions  are  very  good  when  called  for.''  Is  not  this  answer  characteristic 
atso  of  the  opinions  entertained  by  many  at  the  present  time  in  regard  to  the  advice  of  medical  officers  in  similar  cases? 

In  the  Bull  Run  campaign,  Assistant  Surgeon  Magruder  and  myself  were,  with  few  exceptions,  the  only  medical  officers 
who  had  served  with  troops,  and  our  advice  and  assistance  were  eagerly  sought  in  relation  to  the  details  of  camp  life  and  the 
mode  of  procuring  the  necessary  medical  supplies.  In  preparing  for  the  expected  battle,  a  limited  number  of  ambulances  which 
had  been  furnished,  were  distributed  with  great  care,  so  as  to  equalize  the  amount  of  transportation  among  the  regiments.  I 
made  an  estimate  of  twenty  wagons  for  our  medical  supplies,  which,  although  approved  by  the  commanding  ollicer,  did  not 
result  in  their  being  sent.  A  few  days  before  the  forward  movement,  directions  were  issued  by  the  General  commanding,  to 
have  the  army  put  in  light  marching  order;  that  all  officers  and  soldiers  should  carry  with  them  three  and  a  half  days 
cooked  rations,  and  that  all  baggage  and  stores  of  every  kind  should  be  left  behind  in  camp,  to  be  subsequently  sent  for.  As 
the  conveyances  estimated  for  had  not  been  furnished,  these  arrangements  made  it  impossible  to  transport  any  medical  supplies 
except  such  as  could  be  placed  in  the  ambulances  or  forage  wagons,  and  this  I  directed  the  medical  officers  to  do. 

The  command  moved  on  the  Fairfax  road  on  the  afternoon  of  the  16th  of  July,  1861,  and  after  a  march  of  seven  miles 
halted  for  the  night.  At  daylight,  the  following  morning,  the  advance  was  resumed.  The  day  was  unusually  hot,  and  the 
troops  plucked  with  avidity  the  blackberries  growing  abundantly  by  the  roadside,  as  a  means  of  relieving  both  thirst  and 
hunger,  for  which  purpose  this  fruit  is  eminently  fitted.  The  road  we  found  impassable  in  many  places,  owing  to  felled  trees 
which  the  rebels  had  placed  in  our  way.  Arriving,  at  length,  near  Fairfax,  we  discovered  that  the  enemy  had  abandoned  their 
works,  and  that  a  small  force,  left  evidently  to  watch  our  movements,  had  just  gone,  leaving  behind,  in  their  haste,  carpet-bags, 
trunks,  a  keg  of  whiskey,  and  half  eaten  meals.  Our  troops  were  in  excellent  health,  and  no  cases  of  disease  were  reported  to 
me  or  came  under  my  observation. 

We  encamped  for  the  night  near  Fairfax.  July  19th,  was  spent  by  the  General  and  staff  in  making  a  reconnaissance  of 
the  roads  between  Fairfax  and  Centreville.  In  the  afternoon,  heavy  firing  was  heard  on  our  left,  towards  Blackburn's  Ford. 
Riding  rapidly  in  that  direction,  to  ascertain  the  cause,  we  found  that  the  division  of  General  Tyler  had  been  smartly  engaged 
with  the  enemy.  We  pursued  our  course  on  the  road  leading  to  the  ford,  and  soon  met  the  ambulances  with  the  dead,  wounded, 
and  disabled  men.  One  soldier  had  had  his  face  shot  away  completely.  Some  in  the  ambulances  were  not  wounded,  but  were 
disabled  from  sunstroke  or  exhaustion.  The  ambulances  were  stained  with  blood,  evincing  the  terrible  earnestness  with  which 
the  rebels  had  commenced  their  struggle.  I  dispatched  Assistant  Surgeon  Magruder  to  accompany  the  forward  ambulance 
to  Centreville,  and  to  select  suitable  buildings  for  hospital  purposes,  and  I  followed  him  with  the  remainder,  after  picking  up 
all  the  wounded  we  coidd  find.  A  hotel,  a  church,  and  a  large  dwelling,  were  selected  by  Assistant  Surgeon  Magruder,  and  some 
wounded  were  placed  in  them  before  my  arrival.  Unfortunately,  two  of  the  ambulances  had  been  drawn  up  on  the  wrong  side  of 
the  road,  and  the  division  of  General  Tyler,  of  twelve  thousand  troops,  marching  in  close  order,  filled  the  passage  between  our 
wounded  and  the  church  hospital,  and  we  were  obliged  to  wait,  for  two  hours,  for  men  and  wagons  to  pass,  before  the  wounded 
could  be  taken  out.  Several  attempts  were  made  to  cross  the  road,  but  such  was  the  press  and  confusion  that  it  was  found  to  be 
impossible,  and  we  were  obliged  to  desist.  An  unexpected  difficulty  was  now  encountered,  in  the  great  scarcity  of  water. 
There  were  very  few  wells  in  Centreville,  and  these  had  been  so  exhausted  by  our  thirsty  men  that  they  were  nearly  all  dry. 
W  ater,  procured  with  great  difficulty  and  placed  in  basins  for  the  purpose  of  washing  the  wounded,  was  snatched  up  and  drank 
by  stragglers,  as  they  passed,  before  they  could  be  prevented.  By  9  o'clock  p.  M.,  through  great  exertion  on  the  part  of  Dr. 
Magruder  and  myself,  we  succeeded  in  organizing,  to  some  extent,  our  improvised  hospitals.  Several  amputations  were 
performed;  one,  I  remember,  of  the  thigh,  which  resulted  fatally  the  next  day,  and  one  of  the  leg,  which  did  well. 

To  give  an  idea  of  some  of  our  difficulties  on  this  night,  I  might  mention  that  the  hospital  in  the  church,  as  soon  as 
emptied,  became  filled  again  by  men  stepping  out  of  the  ranks  as  they  passed,  in  search  of  their  companions,  or  for  something 
to  eat  or  drink.  Having  no  guard,  we  were  very  much  embarrassed  and  incommoded  by  this  crowd,  and  it  required  a  great 
amount  of  exertion  before  order  and  quiet  could  be  secured.  And  here  I  would  recommend  all  medical  directors  to  wear  con 
spicuously  the  insignia  of  their  rank  while  on  duty,  as  I  found  it  rather  awkward,  notwithstanding  I  had  on  the  usual  undress 
uniform  of  an  officer,  to  have  my  right  to  give  orders  repeatedly  questioned  by  surgeons,  hospital  stewards,  and  others,  who, 
having  had  directions  from  those  known  to  them,  were  unwilling  to  obey  strangers  if  the  commands  appeared  different  from 
those  they  had  been  receiving.  A  medical  director  should  always  have  with  him  at  least  two  mounted  orderlies  to  convey  his 
orders,  and,  if  necessary,  to  enforce  them. 

As  soon  as  General  Tyler,  who  commanded  the  division  which  had  engaged  the  enemy,  arrived,  I  sought  him  and 
obtained  a  sufficient  number  of  men  as  a  guard  for  all  our  hospitals,  and  to  procure  a  supply  of  water  for  our  wounded.  An 


EEPORT    OF    MEDICAL    DIRECTOR    KING.  3 

incident  winch  occurred  at  Centreville  will  show  how  the  distinction  so  often  made  between  Federal  and  State  soldiers  may 
operate  injuriously  to  the  service.  I  had  directed  an  ambulance  with  two  wounded  soldiers  to  he  taken  to  a  large  dwelling 
selected  as  a  hospital,  and  to  have  them  placed  in  charge  of  the  medical  officer  in  attendance.  Passing  some  hours  after,  I  found 
these  men  still  in  the  ambulance,  and,  on  inquiry,  was  informed  that  the  surgeon  had  declined  to  receive  them  because  they  did 
not  belong  to  his  regiment,  I  requested  the  surgeon,  who  appeared  at  the  door,  to  inform  me  why  he  had  not  taken  the  soldiers 
into  the  hospital,  when  he  commenced  an  explanation  by  stating  that  he  considered  his  obligation  to  extend  no  further  than  to 
hi.s  own  regiment,  and  he  was  proceeding,  in  the  most  serious  and  emphatic  manner,  to  justify  his  course,  when  I  cut  short  his 
argument  by  promptly  ordering  the  removal  of  the  men  from  the  ambulance,  and  I  remained  long  enough  to  see  that  they 
received  the  necessary  attention. 

Assistant  Surgeon  Magruder  and  I  made  frequent  visits  to  all  the  hospitals,  assisting  in  their  organization  and  operations, 
and  helping  to  make  the  wounded  as  comfortable  as  our  means  would  admit.  This  task  we  completed  near  midnight,  and 
completely  worn  out  with  fttigue,  having  eaten  nothing  since  daylight,  we  sallied  out  to  find  our  camp  at  headquarteis. 
wherever  that  might  be.  In  a  strange  country,  on  a  dark  and  rainy  night,  without  any  information  as  to  where  the  camp  had 
been  removed  since  morning,  it  seemed  hopeless  to  seek  it,  Presuming  it  must  be  somewhere  in  the  rear,  we  rode  in  that 
direction,  and  fortunately,  after  going  a  mile  across  the  fields,  towards  a  light,  we  stumbled  upon  the  object  of  our  search. 

The  19th  and  2Uth  of  July  were  occupied  in  camp,  waiting  for  the  arrival  of  supplies.  We  embraced  the  opportunity  to 
repair  our  ambulances,  and  again  to  visit  the  hospitals  at  Centreville.  Sensible  of  the  want  of  additional  medical  supplies  which 
would  be  needed  in  the  event  of  the  expected  battle,  and  knowing  that  the  sympathy  of  the  entire  country  had  been  aroused  to 
the  importance  of  providing  with  the  utmost  liberality  for  our  sick  and  wounded,  I  felt  it  my  duty  to  make  known  our  needs  to 
the  .Surgeon  General,  stating  the  circumstances  in  which  our  army  had  been  left,  and  the  impossibility  of  bringing  with  us,  for 
want  ot  adequate  transportation,  a  larger  amount  of  medical  stores.  These  points  I  urged  with  earnestness,  and  expressed  my 
anxiety  that  nothing  should  be  wanting  on  my  part  to  the  fulfilment  of  the  just  expectation  of  the  country;  and  I  requested 
that  everything  should  be  sent,  without  stint,  that  would  be  required  by  an  army  in  the  field,  and  on  the  eve  of  battle.  This 
appeal  was  responded  to.  I  was  informed  that  the  needed  supplies  would  be  sent  next  day  to  Fairfax  Station,  seven  miles 
distant,  the  railroad  having  been  repaired  to  that  place. 

All  our  wounded  in  the  Blackburn's  Ford  affair  that  could  be  removed  were  forwarded,  on  July  2(!th,  in  ambulances, 
with  a  proper  escort,  to  Fairfax  Station,  to  be  sent  by  rail  to  Alexandria,  where  I  had  established  a  hospital  but  a  few  days 
before,  for  the  special  purpose  of  receiving  our  sick  and  wounded. 

On  the  night  of  the  20th,  all  the  division  commanders  were  assembled  at  headquarters,  to  arrange  the  plan  of  battle. 
After  receiving  their  orders,  the  council  broke  up,  about  llth  o'clock,  P.  M.,  with  directions  to  take  up  the  line  of  march  to 
Bull  Run,  before  daylight,  by  the  various  routes  designated. 

The  chances  of  the  battle  to  ensue  next  day  were  gravely  discussed  by  the  staff  officers  till  a  late  hour  of  the  night.  All 
seemed  deeply  impressed  with  the  magr.itude  of  the  events  that  hung  upon  the  success  or  defeat  of  our  arms,  and  longed  for  the 
moment  when  the  suspense  would  be  ended,  as  AVC  hoped,  in  a  glorious  victory.  It  was  late  before  I  closed  my  eyes  in  sleep, 
as  I  could  not  help  thinking  of  the  strangeness  of  my  position,  and  could,  with  difficulty,  realize  that  the  army  of  the  Federal 
Government  was  menaced  by  another  composed  of  our  countrymen,  the  chief  leaders  of  which  I  had  been  associated  with  for 
many  years  at  a  distant  post,  and  with  some  of  whom  I  had  parted  but  a  few  weeks  before  in  New  Mexico. 

On  the  morning  of  July  21st,  1661,  the  General  commanding,  accompanied  by  his  staff,  passed,  at  daylight,  through  our 
columns,  already  moving  in  the  direction  of  Bull  Run,  until  he  reached  a  point  beyond  Cub's  Bridge,  where  a  road  inclined 
to  the  right,  through  a  dense  body  of  timber,  and  crossed  the  run  a  short  distance  above  Sedley  Church.  Here  we  halted  in 
the  shade,  as  the  day,  even  thus  early,  promised  to  be  one  of  the  hottest  of  the  season.  While  observing  the  troops  passing,  we 
discussed  the  prospects  of  the  day  before  us.  I  perceived  that  our  troops  marched  at  double  quick,  and  some  at  a  full  run,  while 
many,  overcome  by  the  heat,  threw  away  their  blankets  and  haversacks.  I  expressed  my  opinion  to  the  General,  that  owing  to 
their  rapid  movement,  the  men  would  be  exhausted  before  they  arrived  on  the  scene  of  action.  In  this  view  he  acquiesced,  and 
directed  the  men  not  to  run  ;  but,  as  the  officers  behind,  from  an  idea  that  great  haste  was  necessary,  constancy  repeated  the 
command  to  close  up,  the  troops  were  kept  at  a  run  a  great  part  of  the  way.  The  weather  was  excessively  hot,  and,  as  one  of 
the  causes  of  the  Bull  Run  failure,  I  desire  to  record  my  belief  that  the  exhaustion  of  our  forces,  by  the  long  and  forced  march, 
contributed  as  much  as  anything  else  to  the  disasters  of  the  day.  The  comparative  freshness  of  the  rebel  troops  gave  them  great 
and  decided  advantage.  It  is  often  the  case  that  on  what  may  be  termed  little  things,  if  there  can  be  such  in  a  battle,  the  fortune 
of  war  depends.  I  observed,  on  several  occasions  where  our  men  faltered,  apparently,  or  did  not  pursue  with  vigor  an  advantage 
gained,  that  it  was  manifestly  owing  to  complete  exhaustion,  rather  than  to  any  want  of  spirit  or  courage.  At  one  time,  when 
a  small  body  of  troops  was  called  upon  by  the  General  and  staff  to  renew  the  attack,  I  saw  at  a  glance  that  their  failure  to  do 
so  was  from  inability  for  further  exertion.  The  spirit  of  these  men  was  willing,  but  the  flesh  was  weak. 

After  Colonel  Hunter's  Division  had  filed  along  the  road  on  the  right,  as  mentioned,  General  McDowell  rode  rapidly 
ahead,  crossing  Bull  Run  just  as  the  advance  of  Hunter's  column  was  in  the  act  of  passing.  Advancing  through  the  woods 
about  half  a  mile  after  crossing  the  creek,  we  emerged  into  an  open  field  a  short  distance  beyond  Sedley  Church.  At  this 
moment  we  were  saluted  with  a  volley  of  musketry  and  artillery  by  the  enemy  concealed  in  the  woods  on  our  left.  Fortunately, 
the  bullets  fell  harmlessly,  knocking  up  the  dust  under  our  horses'  feet,  while  the  cannon  balls  passed  over  our  heads. 
Immediately  wheeling  round,  we  had  the  first  view  of  the  rebel  forces,  in  a  long  line  on  the  slope  of  a  hill.  On  the  General's 
remarking,  there  they  are,  I  beheld  the  array  of  grey-coated  soldiers  who  were  evidently  watching  us,  and  I  became 
impressed  with  a  sense  of  that  determined  resistance  to  federal  authority  on  the  part  of  the  rebels  that  has  since  been  manifested 
so  repeatedly.  Our  troops  now  hurried  forward,  the  artillery  was  placed  in  position,  and  the  action  soon  became  general. 
I  >e.-iious  of  seeing  all  that  was  going  on,  I  accompanied  the  General  in  his  visits  to  those  places  where  the  contest  raged  fiercest. 
I  was  thus  enabled  to  give  a  comprehensive  supervision  of  affairs  connected  with  the  medical  department  of  the  army,  and  to 
see  that  the  wounded  were  being  attended  to  by  the  regimental  officers.  I  found  the  medical  officers,  as  a  general  rule,  on  the 


4  APPENDED    DOCUMENTS FIRST    BULL    EUN. 

alert,  and  many  performing  their  duties  coolly  mider  the  fire  of  the  enemy.  My  impression  at  the  commencement  of  the  battle 
was/that  there  would  be  a  brisk  skirmish,  and  then  the  rebels  would  most  probably  fall  back  and  take  up  a  new  position.  I 
thought  it  would  be  a  small  task,  therefore,  to  make  out  a  list  of  the  killed  and  wounded,  and  with  notebook  in  hand  I  began  to 
count  the  number  of  each.  It  is  a  singular  fact  that  I  observed  near  one  hundred  dead  before  one  wounded!  Soon  I  became 
convinced  that  a  most  desperate  engagement  was  at  hand,  and  I  directed  Assistant  Surgeon  Magruder,  who  had  thus  far 
remained  at  the  headquarters,  to  proceed  to  Sedley  Church,  which  was  near  by,  yet  out  of  the  line  of  fire,  and  to  prepare  it, 
and  if  necessary,  a  couple  of  houses  close  to  the  church,  for  the  reception  of  our  wounded,  and  to  send  forward  the  ambu 
lances  as  rapidly  as  possible.  These  orders  were  promptly  executed,  and  the  drivers  brought  their  conveyances  as  close  to 
the  points  where  the  wounded  were  as  the  nature  of  the  ground  would  permit.  Having  my  saddlebags  well  supplied  with 
instruments,  dressings,  and  stimulants.  I  found  frequent  occasion  for  their  use  in  restraining  haemorrhage,  and  in  relieving 
exhaustion  and  suffering  on  the  spot  where  the  wound  was  received. 

Twice  our  men  drove  the  rebels  over  the  crest  of  the  hill,  and  victory  seemed,  for  a  brief  period,  to  perch  upon  our 
banners,  and  shouts  of  triumph  went  up  as  the  General  and  staff  rode  along  our  lines,  during  a  few  brief  moments,  while  the 
enemy's  batteries  seemed  to  have  been  silenced.  But  this  exultation  was  of  short  duration :  the  rebels  again  appeared,  and 
their  artillery  opened  more  fiercely  than  ever.  Our  men  could  not  be  again  rallied,  from  sheer  exhaustion  mostly,  I  believe, 
and  we  commenced  slowly  and  sadly  to  retire.  As  I  followed  General  McDowell,  and  about  six  of  the  staff  officers,  to  the  right 
of  the  enemy,  it  did  not  occur  to  me  that  all  was  over  and  the  battle  was  lost,  until  we  had  crossed  the  creek  at  five  o'clock  p.  M. 
We  then  entered  a  field,  and  dismounted.  Hardly  had  we  alighted  when  some  one  exclaimed:  "General,  the  enemy  are  upon 
us."  Turning  to  look,  we  saw  the  enemy  not  more  than  two  hundred  yards  distant.  A  cannon  ball,  that  struck  the  ground  a 
few  paces  from  us,  informed  us  that  we  were  observed ;  and,  remounting  hastily,  we  galloped  across  the  field,  and  our  steeds 
leaping  over  the  fence  into  a  dense  forest,  we  were  soon  concealed.  Pushing  our  way  as  rapidly  as  possible  through  the  thick 
nnderirrowth,  without  heeding  scratches  or  blows,  in  the  direction  of  Centreville,  and  avoiding  all  roads,  we  finally  reached,  at 
Cub  Creek,  the  way  along  which  we  had  inarched  in  the  morning,  and  arrived  at  Centreville,  tired  and  disappointed,  near 
sundown.  Here  we  waited  for  the  coining  of  our  straggling  troops.  After  sending  them  on  in  advance,  followed  by  all  the 
wagons,  we  left  at  half-past  ten  o'clock  P.  M.,  for  Fairfax,  where  we  intended  to  remain  till  morning. 

The  weather,  for  some  time  past,  had  been  excessively  dry  and  hot,  and  the  dust  of  the  turnpike,  between  Centreville 
and  Fairfax,  raised  by  our  soldiers  and  wagons  in  passing,  floated  over  the  road  like  a  thick  fog,  and  made  it  impossible  to  see 
for  a  distance  of  more  than  ten  paces.  In  this  passage,  horse,  foot,  and  vehicles  were  jammed  in  great  confusion;  upturned 
wagons  and  their  contents  blocked  the  way  at  short  intervals,  making  it  necessary  for  horsemen  to  leave  the  road  and  return 
again  in  order  to  go  round  the  obstructions.  1  may  say  it  was  one  of  the  most  unpleasant  marches  of  the  campaign,  and  so  slow 
was  our  progress  that  we  did  not  reach  Fairfax,  a  distance  of  only  seven  miles,  till  two  o'clock  in  the  morning.  I  soon  became 
separated  from  the  General  and  staff,  until  on  Hearing  Fairfax.  I  recognized  Major  Brown,  one  of  the  General's  aids.  Finding 
we  could  see  nor  hear  anything  of  the  General,  or  any  one  to  inform  us  of  the  plan  of  march,  we  lay  down  in  a  field  close  by 
till  daylight.  As  soon  as  morning  dawned,  we  saddled  our  horses,  and  finding  the  whole  army  on  the  march  to  Washington,  we 
followed,  overtaking  the  General  on  the  roadside,  about  seven  miles  from  the  city.  Fearing  that  the  supplies  which  had  been 
ordered  to  Fairfax  Station  might  fall  into  the  hands  of  the  Confederates,  I  obtained  permission  from  General  McDowell  to 
ha>ten  forward  to  Washington  to  inform  the  Surgeon  General,  if  not  too  late,  to  have  them  returned  to  Alexandria.  Fortunately 
there  had  been  some  delay,  and,  on  inquiry,  it  was  found  that  the  supplies  had  not  left  the  latter  place. 

A  report  of  Assistant  Surgeon  Magruder,  U.  S.  A.,  as  given  below,  in  regard  to  our  wounded,  conveyed,  during  the 
action,  to  Sedley  Church,  will  show  all  that  was  done  up  to  the  time  of  our  defeat,  and  compelled  abandonment  of  the  field. 
Our  retreat  from  the  ground  occupied,  operated  like  a  curtain  to  conceal  from  view  all  knowledge  of  the  subsequent  history 
of  our  cases,  or  the  results  of  our  ministrations.  So  rigidly  and  effectually  were  all  avenues  closed  by  the  rebels,  that  no 
attempt  to  obtain  information  met  with  any  success. 

A  few  days  after  the  battle,  General  Wadsworth,  with  a  flag  of  truce,  entered  the  enemy's  lines  to  bring  away  the 
remains  of  one  or  two  distinguished  officers,  and  also  to  succor,  and,  if  possible,  to  remove  our  wounded.  I,  and  Assistant 
Surgeon  Schell,  U.  S.  A.,  followed  with  thirty-nine  ambulances,  and  arrived  at  midnight  at  Bailey's  Cross  Roads,  which  was  in 
possession  of  our  pickets,  there  to  await  the  return  of  the  General,  when  we  were  to  be  informed  of  the  result  of  his  mission. 

At  daylight  next  morning,  finding  that  he  had  not  come  back,  T  took  several  ambulances  and  procured  everything  that  I 
thought  would  be  required  for  wounded  men  on  the  way,  and  hastened  back  again  to  Bailey's  Cross  Roads.  Arriving  in  that 
vicinity,  I  met  Dr.  Schell  with  the  remainder  of  the  ambulances,  proceeding  back  to  Washington.  He  informed  me  that  General 
McDowell  had  completely  failed  to  obtain  the  permission  desired,  and  that  the  enemy's  cavalry  having  driven  in  our  pickets, 
he  was  fearful  lest  the  ambulances,  with  their  supplies,  should  be  captured.  All  the  knowledge  gained  was,  that  the  wounded 
would,  probably,  be  removed  to  Richmond.  A  few  days  after,  I  was  ordered  to  report  for  duty  with  General  Banks's  Division, 
and  I  therefore  close  this  narrative.  I  am  aware  that  this  medical  history  of  the  campaign  is  very  meagre ;  yet,  imperfect  as  it 
is,  it  may  serve  as  a  record  of  events  not  supplied  by  other  reports. 


ARLINGTON  HKIGHTS,  VIRGINIA, 

July  25<A,  1861. 

"DOCTOR  :  In  compliance  with  your  wishes,  expressed  during  a  conversation  this  morning,  I  have  the  honor  to  submit  the 
following  very  brief  report  in  relation  to  the  engagement  at  Bull  Run  : 

On  the  morning  of  the  21st  inst,,  as  you  are  aware,  I  accompanied  General  McDowell,  as  one  of  his  staff,  to  the  battle 
field,  when  I  remained  with  yourself  and  the  other  members  of  his  staff,  in  close  attendance  upon  the  General,  until  ordered  by 


REPORT    OF    MEDICAL    DIRECTOR    KING.  0 

you,  as  medical  director,  to  go  in  search  of  some  bouse  or  houses,  as  near  the  field  as  possible,  suitable  to  be  converted  into 
a  hospital  for  the  wounded.  After  only  a  short  search,  I  found  and  took  possession  of  a  stone  church,  pleasantly  situated  in  a 
grove  of  timber,  directly  on  the  side  and  to  the  right  of  the  road  we  had  passed  on  advancing  to  tbe  attack.  I  then  ordered 
that  the  ambulances  should  proceed  to  the  field,  as  quickly  as  possible,  to  bring  oft'  the  wounded  to  the  hospital,  which  order 
was  executed  very  promptly. 

Upon  taking  possession  of  the  church,  I  set  men  to  work  at  removing  the  seats  from  the  body  of  the  church,  with  as  little 
injury  to  them  as  practicable;  had  the  floor  covered  with  what  blankets  could  be  found,  buckets  of  water  brought,  instruments 
and  dressings  placed  in  convenient  places  for  use,  an  operating  table  improvised,  and  sent  off"  men  to  the  fields  near  by  to  bring 
hay  for  bedding.  Very  soon  after  the  work  of  fitting  up  the  building  had  begun  the  ambulances  commenced  returning  from 
the  field  loaded  with  wounded  men.  In  about  two  hours  the  church,  both  upon  the  main  floor  and  in  the  gallery,  was  com 
pletely  filled,  and  I  was  obliged  to  take  possession  of  three  other  unoccupied  buildings,  which  are  situated  about  seventy-five 
paces  further  down  and  on  the  opposite  side  of  the  road  towards  the  creek.  So  soon  as  I  could  get  them  cleared  out,  wounded 
men  were  carried  into  them  until  they  were  filled  also.  For  want  of  other  buildings,  I  was  obliged  to  order  many  of  the 
wounded  to  be  laid  under  the  trees,  in  the  grove  immediately  around  the  church. 

As  soon  as  I  had  established  the  hospitals,  and  the  work  of  removing  the  wounded  to  them  had  commenced,  quite  a 
number  of  medical  officers  of  different  regiments  came  in,  offered  their  services,  and  betook  themselves  immediately  to  work  in 
rendering  all  the  assistance  in  their  power.  Among  those  particularly  distinguished,  it  affords  me  pleasure  to  mention  the  names 
of  Assistant  Surgeons  C.  C.  Gray,  II.  R.  Silliman  and  G.  M.  Sternberg  of  the  medical  corps  of  the  regular  army,  Surgeon  C. 
Gray,  llth  New  York  Volunteers,  Surgeon  Foster  Swift,  and  Assistant  Surgeons  Winston  and  l)e  Graw  of  the  8th  Regiment  New 
York  Militia.  Several  others  also  distinguished  themselves  in  their  assiduous  attentions  to  the  wounded,  but,  as  their  names 
are  unknown  to  me,  I  am  unable  to  mention  them  as  I  should  wish  to  do. 

I  had  no  opportunity  to  ascertain  correctly  the  number  of  wounded  brought  to  the  hospitals,  but  think  there  could  not 
have  been  less  than  two  hundred  and  fifty. 

Several  capital  operations  were  performed,  and  many  of  a  minor  character  also,  before  the  rush  of  the  retreating  columns 
crowded  the  hospitals  so  completely  that  work  for  the  time  being  was  suspended. 

After  the  retreat  commenced,  and  it  was  found  impossible  to  carry  off  the  wounded,  it  became  a  question  as  to  which  of 
the  medical  gentlemen  present  would  remain  to  take  care  of  the  wounded.  Assistant  Surgeons  Gray  and  Sternberg,  of  the 
regular  army,  volunteered  to  surrender  themselves  as  prisoners,  for  the  purpose  of  taking  charge  of  the  regular  soldiers,  and 
Surgeon  Swift  and  Assistant  Surgeons  Winston  and  De  Graw,  of  the  8th  Regiment  New  York  Militia,  also  gave  themselves  up 
to  attend  the  wounded  of  their  regiment  and  others  of  the  volunteer  forces.  These  gentlemen  all  staid  at  the  hospital  located  by 
me  in  accordance  with  your  order. 

I  have  the  honor  to  be,  Doctor,  very  respectfully,  your  obedient  servant, 

D.  S.  MAGTU'DEK," 
Dr.  W.  S.   KING,  Assistant  Suryeon  U.  S.  A. 

Medical  Director,  Dcjmrtinent  If.E.  Virginia,  Arlington  Heijlits,  Va. 


The  following  very  imperfect  resum6  is  added: 

1st.  Our  troops,  in  the  action  of  July'  18th,  18(51,  were  exposed  to  the  fire  of  artillery  at  long  range.  In  the  battle  on  the 
21st  of  July.  18(51,  of  Hull  Run,  the  troops  were  exposed  to  the  fire  of  artillery  and  musketry  at  long  and  short  range. 
Duration  of  battle,  seven  hours. 

2d.  The  casualties  of  the  action  at  Black!>uru's  Ford,  July  18th,  1861,  were  as  follows,  (approximately): 

Killed 10 

Wounded 3:$ 

Aggregate 415 

Three  of  the  wounded  died  within  twenty-four  hours  after  the  reception  of  their  wounds.  The  wounded  in  the  above  action  were 
sent,  on  the  evening  of  the  20th  of  July,  in  ambulances  to  Alexandria. 

3d.  Many  of  the  wounded  of  the  Hull  Run  fight  found  their  way  to  Alexandria,  and  accompanying  our  army  in  its  retreat, 
were  helped  along  to  the  hospitals  in  the  vicinity  of  Washington  ;  many  who  gave  out  by  the  way,  were  brought  in  the  day 
following  in  ambulances  sent  out  for  them.  I  can  form  no  idea  of  their  number.  Immediately  after  the  action,  I  directed  the 
regimental  medical  officers  to  send  in  a  report  of  the  casualties  of  their  respective  regiments. 

As  large  numbers  who  were  at  first  reported  killed  are  found  to  have  straggled  only,  a  long  time  usually  is  required  to 
obtain  correct  results  after  a  battle.  I  was  ordered  to  join  General  Hanks's  division  before  the  reports  were  received  sufficient 
for  an  approximation  even.  I  must,  therefore,  refer  you  to  reports  of  General  McDowell,  or  to  Assistant  Surgeon  Magruder, 
U.  S.  A.,  who  remained  with  the  command. 

The  wounded,  during  the  action,  were  removed  from  such  portions  of  the  field  as  were  accessible,  to  Sedley  Church  and 
vicinity,  as  described  in  the  report  of  Assistant  Surgeon  Magruder.  The  maps  will  show  the  situation  of  this  church. 

I  am  unable  to  make  any  report  as  to  our  wounded  on  the  field  in  possession  of  the  enemy,  and  have  no  knowledge  as 
to  where  they  or  those  left  ill  the  hospital  at  Sedley  Church  and  buildings  near  by,  were  removed. 

The  report  of  the  General  commanding  will  show  the  strength  of  the  command. 

\V    S.   KING, 

(SV »•.'/""'  <l lid  Mnllr.il   Dinrtnr. 


6  APPENDED    DOCUMENTS FIRST    BULL    RUN. 

II.  Report  to  Gen.  L  McDowell,  Commanding  the  Department  of  Northeast  Virginia,  relative 
to  the  Operations  of  the  Medical  Department  at  the  Battle  of  Bull  Run.     By  Surgeon 

^,Y.  S.  KING,  Medical  Director. 

ARLINGTON,  DEPARTMENT  N.E.  VIIJOINFA, 

Jitl;/  2fit/,,  1861. 

Sin :  Being  chief  of  the  medical  staff  serving  with  the  army  in  the  department  of  Northeast  Virginia,  I  have  the  honor 
to  make  the  following  report  of  so  much  of  the  results  of  the  action  on  the  21st,  at  Bull  Run,  as  came  within  my  charge.  As 
the  officers  of  the  medical  staff  were  attached  to  the  different  regiments,  and  on  duty  witli  them,  I  deemed  it  proper  to  remain 
with  and  accompany  the  general  commanding  and  staff,  from  the  beginning  to  the  termination  of  the  battle,  in  order  that  I 
niinlit  be  present  if  any  were  wounded,  and  also  that  I  might  be  enabled  to  visit,  in  this  way,  every  part  of  the  field  where  the 
killed  and  wounded  might  be  found.  After  the  action  had  fairly  commenced,  and  the  wounded  and  dead  were  lying  on  the 
field  in  every  direction,  I  dispatched  Assistant  Surgeon  D.  L.  Magruder,  U.  S.  A.,  to  the  rear,  with  directions  to  prepare  a 
church,  which  I  had  observed  as  we  passed  to  the  scene  of  action,  for  the  reception  of  our  wounded,  and  also  to  send  the  ambu 
lances  forward,  as  rapidly  as  possible,  to  pick  up  the  wounded  and  dead.  In  a  very  few  minutes  the  ambulances  made  their 
appearance,  and  continued  throughout  the  day  to  visit  every  part  of  the  ground  which  was  accessible,  in  order  to  be  within 
reach  of  those  parts  of  the  field  where  the  fighting  was  going  on,  and  wounded  were  to  be  found.  It  is  due  to  the  ambulance 
drivers  to  say  that  they  performed  their  duties  efficiently,  and  the  results  of  their  operations  also  show  how  absolutely  necessary 
these  means  of  conveyance  are  to  the  comfort  and  relief  of  the  wounded  in  giving  them  shelter  and  water,  when  they  are  ready 
to  perish  with  heat  or  thirst.  By  means  of  the  ambulances,  also,  the  men  who  go  to  the  relief  of  their  wounded  comrades  are 
separated  but  a  short  time  from  their  companies,  as,  having  deposited  them  in  the  ambulances,  they  can  return  to  their  proper 
positions.  As  the  general  commanding  visited  almost  every  part  of  the  ground  during  the  conflict,  with  a  view  to  encourage 
or  direct  the  movements  of  the  troops,  my  position,  as  a  member  of  his  staff,  gave  me  every  opportunity  of  seeing  the  results  of 
the  action.  I  therefore  embraced  the  opportunity  thus  offered  to  give  directions,  when  needed,  to  the  drivers  of  ambulances, 
where  to  find  the  dead  and  wounded,  and  also  to  those  carrying  off  the  wounded,  where  they  could  find  the  needed  conveyances. 
The  stretchers  were  found  very  useful  and  comfortable  to  the  wounded,  and  were  in  constant  requisition  in  carrying  them  to  the 
nearest  ambulances.  So  far  as  I  am  informed,  the  medical  staffs  belonging  to  the  different  volunteer  regiments  discharged  their 
duties  satisfactorily.  I  observed  Acting  Assistant  Surgeon  Miles  busily  engaged  in  dressing  wounded  men  under  the  shade  of 
a  tree  in  a  part  of  the  field  where  the  fire  from  the  enemy  was  very  hot.  He  addressed  me  a  brief  inquiry  as  I  passed  relative;  to 
the  safety  of  his  father,  and  then  resumed  his  occupation.  Surgeon  C.  C.  Keeney,  U.  S.  A.,  of  Col.  Hunter's  division,  and  Assistant 
Surgeon  D.  L.  Magruder,  U.  S.  A.,  attached  to  the  commanding  general's  staff,  did  good  service  in  the  hospital  church  I  have 
mentioned,  and  also  in  two  houses  near  the  church  where  the  wounded  were  placed  after  the  church  had  been  filled.  These 
officers  remained  busily  engaged  in  their  duties  until  the  enemy's  cavalry  made  their  appearance,  and  but  narrowly  escaped  cap 
ture  when  they  left.  Drs.  Swift  and  Winston,  attached  to  the  Eighth  New  York,  remained  with  their  sick,  sacrificing  all  selfish 
considerations  for  their  own  safety,  in  order  that  the  wounded  might  not  be  neglected,  and  are  now  prisoners.  I  am  informed 
that  Assistant  Surgeons  Gray  and  Sternbeig,  of  the  regular  army,  and  Drs.  Homiston  and  Swalm,  of  the  Fourteenth  New  York, 
also  preferred  to  remain  rather  than  abandon  their  charge;  the  conduct  of  these  officers  is  worthy  of  all  commendation.  It 
would  be  premature  in  me,  in  the  absence  of  sufficient  data,  the  reports  of  the  regimental  surgeons  not  yet  being  received,  to 
express  a  positive  opinion  as  to  the  number  killed  and  wounded  in  the  action  of  the  21st ;  there  were,  no  doubt,  many  concealed 
from  observation  under  cover  of  the  woods  and  bushes  ;  but,  judging  from  the  number  I  saw  in  various  parts  of  the  field,  and 
allowing  a  wide  margin  for  those  unobserved,  I  should  think  that  the  killed  and  wounded,  on  our  side,  did  not  exceed  from 
eight  hundred  to  one  thousand.  The  impossibility  of  making  a  careful  survey  of  the  field,  after  the  battle  had  ceased,  must  be 
my  apology  for  the  brevity  and  want  of  detail  in  this  report.  It  may  not  be  amiss  to  mention  that  I  met  on  the  field  Col.  Heint- 
zelman,  U.  S.  A.,  with  a  Minie  ball  in  his  arm.  I  extracted  the  ball  as  he  sat  on  his  horse,  and  applied  the  necessary  dressings; 
he  could  not  be  persuaded  to  leave  his  command.  As  I  carried  with  me  a  case  of  instruments  and  a  supply  of  dressings,  I 
attended  to  a  number  of  cases  on  the  field,  where,  from  haemorrhage  and  other  circumstances,  immediate  attention  seemed  to  be 
necessary. 

I  am,  sir,  very  respectfully,  your  obedient  servant, 

(Signed)  W.  S.  KING, 

iSurr/con  and  Medical  Director. 
Captain  .1.  B.  Fi:v, 

Assistant  Adjutant  General,  U.  S.  A. 


III.  Extract  from  a  Report  of  Services  at  the  First  Battle  of  Bull  Run.     By  Assistant  Surgeon 
C.  C.  GRAY,  U.  S.  Army. 

1  left  Arlington  on  July  loth,  1861,  with  the  advance  of  the  army  upon  Manassas,  having  the  medical  care  of 
five  companies  of  regular  cavalry,  commanded  by  Major  I.  N.  Palmer,  U.  S.  A.     Nothing  of  interest  transpired  until  the  18th, 
when  a  fight  took  place  at  Blackburn's  Ford  between  a  reconnoitering  force  under  General  Tyler  and  a  Confederate  force  under 
the  immediate  command  of  General  Bonham,  of  South  Carolina.     This  affair  lasted   for  about  three  hours.     Our  fire  was  prin 
cipally  from  artillery.      Supplies   for  the   wounded  on    the   field   were  sufficient.     There   was,  however,  difficulty  in  obtaining 
The  wounded  were  immediately  removed  to  Centreville,  ambulance  wagons  being  sent  forward  for  the  purpose.     The 
wounds  were  chiefly  from  small  arms  loaded  with  round  balls.     I  saw  no  operations  performed  on  the  field;  but  several  ampu- 
is  were  made  at  Centreville.    Our  loss  was,  1  think,  about  litty  killed  and  wounded.     The  Confederate  loss,  I  subsequently 
ied.  was  sixty-eight.     Our  forces  were  reproached  by  the  Confederates  for  having  fired  upon  a  hospital  situated  about  a  mile 


REPORT    OF    ASSISTANT    SURGEON    GRAY.  7 

from  our  advanced  battery.  No  damage  was  done,  I  believe,  and  the  firing  was  from  ignorance  of  the  meaning  of  the  flag  flying 
over  the  hospital.  I  know  this  to  be  true,  as  I  was  standing  by  the  officer  who  sighted  the  piece.  My  attention,  during 
the  engagement,  was  mainly  directed  to  the  removal  of  wounded  from  the  field.  I  performed  no  operations.  The  only 
case  of  interest  under  my  immediate  care  was  that  of  Lieutenant  Lorraine,  od  U.  S.  Artillery,  shot  through  the  tarsus,  by  a 
musket  ball.  There  was  profuse  and  troublesome  primary  haemorrhage  in  this  case.  On  Sunday,  July  21st,  the  army  moved 
upon  the  rebel  position.  I  was  attached  to  Colonel  Porter's  Brigade  of  General  Hunter's  Division.  We  made  a  long  detour  to 
the  right,  turned  the  enemy's  left,  and  became  engaged  about  noon.  The  cavalry  not  being  brought  into  action,  I  left  them,  by 
permission,  and  gave  assistance  to  the  wounded  of  Colonel  Burnside's  Brigade,  immediately  in  advance  of  us.  and  suffering 
severely.  Few  ambulances  could  come  up,  and  our  attentions  consisted  chiefly  in  conveying  the  injured  men  into  the  shade, 
giving  them  water,  extracting  balls,  etc.  About  two  in  the  afternoon,  I  received  an  order  from  Assistant  Surgeon  Magruder, 
U.  S.  A.,  to  report  immediately  at  Sedley  Church,  a  small  building  surrounded  by  farm  houses,  about  half  a  mile  in  the  rear  of 
Bull  Run.  Here  was  the  principal  depot  for  wounded.  I  remained  here  till  the  retreat  commenced,  about  five  in  the  afternoon. 
At  that  time  not  more  than  a  tenth  of  the  wounded  had  received  attention,  and  I  determined  to  remain,  if  practicable.  I  sug 
gested  this  to  Dr.  Magr.ud.er,  and  received  his  permission.  After  our  retreating  column  had  passed  this  hospital,  I  went  out  to 
meet  the  advance  of  the  rebels,  to  explain  the  nature  of  the  duties  on  which  my  companions  and  I  were  engaged,  and  to  ask 
permission  to  continue  them  unmolested,  for  shot  were  beginning  to  fly  near  the  hospital.  The  officer  to  whom  I  surrendered, 
a  lieutenant  of  Virginia  cavalry,  was  an  unreasonable  man,  and  would  neither  permit  me  to  return  to  our  wounded,  nor  promise 
any  protection  to  our  hospital.  I  was  compelled  to  accompany  his  party  to  Manassas  Junction,  eight  miles  distant,  which  place  we 
reached  about  ten  at  night,  when  I  was  turned  over  to  the  chief  medical  officer,  Dr.  Gaston,  of  South  Carolina.  Observing  my 
exhausted  condition,  he  obtained  permission  for  me  to  sleep  on  the  floor  of  a  Confederate  hospital.  In  the  morning,  he  sent  me, 
with  Dr.  Lewis,  of  the  Wisconsin  Volunteers,  with  a  captured  two-wheeled  ambulance  of  the  Coolidge  pattern,  to  assist  in 
collecting  and  caring  for  our  wounded  on  the  field.  It  was  raining,  and,  on  reaching  the  battle-ground,  we  found  these  unfor 
tunates  suffering  much  from  cold.  We  soon  found  that  many  must  perish  before  we  could  possibly  remove  them,  and,  accord 
ingly,  we  were  obliged  to  select  such  for  immediate  removal  as  it  seemed  possible  to  save  by  treatment  and  shelter.  AVe  were 
told  to  seek  that  shelter  for  ourselves,  and  we  bore  most  of  the  patients  to  a  farm  house  called  the  Lewis  House,  already  nearly 
full  of  rebel  wounded.  Here  we  found  Colonel  AVilcox  and  Captain  Ricketts,  severely  wounded.  The  house  a:id  outbuildings 
were  soon  packed  with  wounded,  and  still  many  were  left  on  the  field,  and  numbers  doubtless  died  for  want  of  timely  assistance. 
AVe  were  unable  to  operate  in  many  cases  urgently  requiring,  as  our  instruments  had  been  taken  from  us.  AAre  suffered  much  for 
want  of  food,  water,  and  blankets.  For  the  first,  we  were  dependent  upon  the  precarious  bounty  of  our  enemies,  themselves 
short  of  provisions,  and  upon  the  knapsacks  of  the  dead;  for  the  second,  upon  a  small  muddy  spring  half  mile  distant,  a  broken 
pitcher  IK  ing  our  best  means  of  transportation.  AVe  had  blankets  for  but  five  or  six  men.  AVe  found  a  large  supply  of  linen 
in  a  chest  of  drawers,  and  turned  it  to  account  for  dressings.  The  amputations  performed  were,  with  one  exception,  done  by 
Dr.  Darby,  of  Hampton's  South  Carolina  Legion.  Dr.  Darby  was  very  kind,  and,  I  believe,  did  bis  best  to  alleviate  our  situa 
tion.  Our  instructions  were  to  forward  the  patients  to  Manassas,  as  fast  as  possible,  for  removal  to  Richmond;  and  a  peculiar 
vehicle,  known  as  a  Virginia  wagon,  and  eminently  adapted  for  an  instrument  of  torture,  called  daily  to  take  such  as  could  be 
moved.  In  a  week,  all  of  our  surviving  patients,  excepting  the  two  officers,  Colonel  AA'ilcox  and  Captain  Ricketts,  had  been 
sent  to  Manassas  Junction,  and,  on  Sunday,  July  28th,  I  accompanied  the  last  load  to  that  depot.  At  Manassas.  I  met  Surgeon 
Thomas  II.  AVilliams,  medical  director  of  General  Beauregard's  army,  and  was  informed  by  him  that  I  should  remain  at  the 
Station,  and  assist  in  placing  our  wounded,  as  they  arrived,  upon  the  cars  destined  to  transport  them  to  Richmond.  During  the 
few  days  that  I  was  thus  employed,  I  witnessed  suffering  which  I  shudder  to  remember.  Our  wounded  arriving  from  the  field, 
from  which  they  came  crowded  in  rough  army  wagons,  and  under  a  scorching  sun,  had  to  be  thrust  into  freight  cars,  in  which 
they  were  obliged  to  lie  on  the  bare  floor.  Often  they  had  been  a  whole  day  without  food,  and  time  was  barely  allowed  us  to  " 
furnish  them  with  water.  These  railroad  trains,  having  no  right  of  track,  were  sometimes  two  days  in  reaching  Richmond. 
Numbers  died  on  the  road.  I  do  not  think  that  Surgeon  Williams  was  responsible  for  this  state  of  affairs  ;  nor  am  I  certain  that  it 
could  have  been  entirely  avoided.  I  proceeded  to  Richmond  on  a  train  with  Colonel  AATilcox  and  about  sixty  wounded  privates. 
Two  of  the  latter  died,  exhausted,  before  reaching  the  end  of  the  journey,  the  trip  taking  twenty -four  hours  ;  neither  food,  water, 
nor  medicine,  were  provided.  At  Richmond,  I  was  sent  by  General  AVinder  to  assist  in  the  treatment  of  our  wounded  at  the 
tobacco  warehouse  hospital,  now  become  historical  and  infamous,  at  which  place  I  remained,  with  some  eight  or  ten  federal 
surgeons,  till  the  l(!th  of  September,  when,  an  order  having  been  issued  to  send  South  all  field  and  regular  officers  able  to  travel, 
I  was  included  in  a  part}'  of  thirty-three  officers  and  about  one  hundred  privates,  to  go  to  Fort  Pinckney,  Charleston  harbor. 
At  the  battle  of  Bull  Bun,  our  medical  supplies  were  good,  but  inaccessible.  T,.e  rebels  had  few  of  their  own.  and  did  not 
make  a  very  judicious  use  of  what  they  captured.  The  greater  number  of  our  wounded  were  injured  by  round  musket  balls. 
The  wounds  inflicted  on  the  Confederates  were  of  a  graver  character,  a  large  proportion  of  them  being  from  conoidal  rifle 
balls  and  canister  shot.  I  saw  no  cases  of  excisions;  amputations  prevailed,  and,  as  a  rule,  resulted  badly.  I  learned  of  no 
deaths  from  chloroform,  the  anaesthetic  generally  employed.  I  do  not  think  that  the  number  of  our  wounded  readied  one 
thousand.  Although  circumstances  apparently  favored  the  development  of  tetanus,  no  cases  were  observed.  Gunshot  fractures 
of  the  thigh  were  particularly  fatal,  whether  a-mputated  or  treated  conservatively.  Cases  were  about  equally  divided  between 
the  two  methods  of  treatment.  I  saw  about  twelve  treated  conservatively;  one  only  survived.  In  penetration  of  a  single  lung, 
the  results  were  favorable,  half  recovering.  I  saw  no  cases  of 'erysipelas  or  gangrene.  At  Richmond,  our  wounded,  except 
those  that  were  crowded,  were  as  well  cared  for  as  could  have  been  expected.  The  few  medicines  we  needed  were  at  command. 
Water  was  abundant,  a  bath  tub  on  each  floor;  dressings  were,  generally,  plentiful;  and  food,  though  coarse  and  lacking  in 
variety,  was  supplied  in  sufficient  quantity." 

[Assistant  Surgeon  Gray  then  recounts  the  circumstances  attending  his  incarceration  in  Richmond,  Charleston,  Columbia, 
and  Salisbury,  and  his  release  on  July  xWth,  18G2,  and  then  resumes  the  relation  of  his  surgical  experiences.  The  latter  part  of 
his  report  will  be  printed  in  connection  with  documents  relating  to  the  battle  of  Antietam.  ] 


8  APPENDED    DOCUMENTS — FIRST    BULL    RUN. 

IV.  Extract  from  a  Report  on  the  Duties  assigned  to  him,  from  the  Outbreak  of  the  Rebellion 
till  May  1st,  1863.     By  Assistant  Surgeon  G.  M.  STERNBERG,  U.  S.  Army. 

*  *  *  "I  was  ordered  to  report  for  duty  with  five  companies  of  the  Third  United  States  Infantry,  two  companies  of  the 
Second  Infantry,  and  one  company  of  the  Eighth  "infantry,  forming  a  hattalion  under  the  command  of  Captain  G.  Sykes,  U.  S.  A. 
*  *  *  This  battalion  of  regulars  was  attached  to  the  division  of  Colonel  D.  Hunter,  IT.  S.  A.,  and  took  up  the  line  of  inarch 
at  davhreak  on  the  21st  of  July.  After  proceeding  some  distance  beyond  Centreviile,  a  road  to  the  right  was  taken,  which, 
followed  through  open  fields  and  woods  for  about  ten  miles,  brought  the  head  of  the  column  to  Bull  Run  at  a  point  above  the 
enemy's  position.  'The  stream  was  forded,  and  the  column  proceeded  at  double-quick  towards  the  field  of  action.  The  battalion 
ofregulare  was  soon  engaged;  the  enemy  was  driven  some  distance,  and  many  of  their  dead  and  wounded  were  left  on  the 
"round.  The  fight  continued  until  between  three  and  four  o'clock  in  the  afternoon,  when  our  troops  began  to  give  way,  and 
were  soon  in  full  retreat.  *  *  *  I  followed  the  retreating  army  as  far  as  Sedley  Church,  where  I  found  nearly  three  hun 
dred  of  our  wounded,  and  determined  to  remain.  Several  medical  officers  of  volunteer  regiments  also  remained  at  this  place. 
We  at  once  raised  a  white  flag,  and  commenced  doing  what  we  could  for  the  wounded.  Shortly  after  the  last  of  our  troops 
passed  the  church,  a  company  of  the  enemy's  cavalry  rode  up  and  took  possession.  The  following  morning  a  cold  rain  com 
menced,  which  continued  almost  without  intermission  for  two  days.  The  church  would  not  hold  all  of  our  wounded,  and  many 
wre  Ivin'f  around  in  front  of  it.  I  obtained  a  detail  of  men  from  the  commander  of  the  cavalry  troop  to  erect  a  shelter.  We 
made  a  frame  about  thirty  feet  in  length  by  twenty  in  width,  and  covered  it  with  rubber  blankets,  great  numbers  of  which  had 
been  left  on  the  road  by  the  men  in  their  retreat.  A  number  of  capital  operations  were  performed  at  the  church,  but,  owing  to 
the  want  of  food  and  stimulants,  and  to  the  unfavorable  circumstances  under  which  the  men  were  placed,  most  of  these  cases 
terminated  fatally  within  twenty-four  hours.  On  Monday,  July  22d,  a  small  quantity  of  corn  meal  was  obtained  from  a  house 
near  the  church,  and  some  gruel  was  made.  A  cup  of  this  was  given  to  nearly  every  man,  and  this  was  all  the  food  we  were 
able  to  obtain  for  them  till  Monday  evening,  when  all  the  medical  officers  were  taken  from  Sedley  Church  to  Manassas.  How 
the  wounded  fared  after  we  were  taken  from  them  I  do  not  know.  At  Manassas  we  were  lodged  in  a  barn  with  some  thirty  or 
forty  other  prisoners,  officers  and  privates,  under  guard.  On  Tuesday,  all  but  three  of  our  number  took  a  parole  not  to  serve 
again  during  the  war.  Those  of  us  who  refused  to  take  this  parole,  were  shortly  after  allowed  to  go  out  and  attend  our  wounded, 
upon  giving  a  parole  not  to  attempt  to  escape  for  five  days.  I  found  a  large  number  of  wounded  lying  under  a  shed  by  the 
railroad  depot,  and  more  were  constantly  brought  in  from  the  field.  On  July  25th,  I  was  sent  to  Centreviile,  where  I  found  a 
number  of  men  who  were  wounded  at  the  affair  at  Blackburn's  Ford.  They  were  generally  doing  well.  On  Sunday  evening, 
the  28th  July,  my  parole  having  expired  the  evening  before,  and  a  favorable  opportunity  offering,  I  made  my  escape  from  Cen 
treviile,  and.  after  a  tedious  tramp,  arrived  in  Washington  on  the  following  Tuesday,  July  oOth,  18iil,  footsore  and  weary.''  *  * 

[Other  extracts  from  Assistant  Surgeon  Sternberg's  report  will  be  printed  in  connection  with  the  reports  on  the 
Peninsular  campaign.] 


V.  Extract  from  a  Narrative  of  Services.     By  Surgeon  ZENAS  E.  BLISS,  U.  S.  Volunteers. 

"The  skirmishers  of  General   Richardson's   Brigade  engaged  the  enemy  at  Blackburn's  Ford,  about  noon,  on 
July  18th,  1861.     ;  The  first  wounded  were  taken  to  a  ravine  a  little  to  the  left  of  the  position  of  the  Federal  battery; 

but  this  place  becoming  too  hot,  the  surgeon  and  his  assistants  retired  to  a  point  two  hundred  yards  to  the  left  and  rear. 
There  was  a  great  scarcity  of  water.  After  primary  dressing,  the  wounded  were  conveyed  to  Centreviile,  about  two  miles 
distant.''  *  *  * 


VI.  Extract  from  a  Narrative  of  Services.     By  Assistant  Surgeon  0.  S.  DE  GRAW,  U.  S.  Army. 

"1  had  the  position  of  assistant  surgeon  to  the  Eighth  New  York  State  Militia.     *     *     *     On  the  memorable 
21st  of  July,  my  regiment  went  into  action  about  the  middle  of  the  forenoon.     *  *     In  following  it  to  the  field,  I  entered  a 

thicket  in  which  lay  a  large  number  of  wounded,  with  only  an  assistant  surgeon  of  the  71st  New  York  Infantry  attending  them. 
As  he  had  more  than  lie  could  possibly  care  for  by  himself,  I  remained  to  assist  him.     Here  many  wounded  were  brought  us, 
who  were  temporarily  dressed  and  forwarded  to  the  hospital  at  Sedley  Church.     About  the  middle  of  the  afternoon,  I  placed  a 
severely  wounded  man  of  my  regiment  in  an  ambulance  and  accompanied  him  to  the  division  hospital.     Here  I  was  detailed  as 
an  assistant.     In  the  course  of  an  hour  I  observed  large  bodies  of  troops  passing  in  a  disorderly,  hurried  manner.    The  question 
immediately  arose  among  the  surgeons  whether  we  should  remain  to  take  care  of  the  wounded.'  After  deliberation,  some  medical 
eeided  to  join  the  retreat.    Surgeon  Stewart.  1st  Minnesota,  Sergeant  Peugnet,  71st  New  York,  Surgeon  Swift,  Assistant 
Surgeon  Winston  and  myself,  of  the  Hth  New  York,  and  a  number  of  others,  decided  to  remain,  and  proceeded  in  the  discharge 
About  dusk,  a  detachment  of  cavalry,  under  command  of  Lieutenant  Cameron,  surrounded  the  church. 
re  ordered  to  repoit  to  this  officer.     Upon    doing  so,  we  were  informed  that  we  were  to  consider  ourselves  prisoners  of 
ie  army  of  the  Confederate  States  of  America.     We  were  then  requested  to  give  our  parole  not  to  attempt  an  escape. 
I, {.on  doing  so,  we  were  allowed  to  proceed  with  our  duties,  each  surgeon  being  allowed  to  choose  one  from  among  the  prisoners 
is  an  attendant.     On  Monday,  July  2v!d,  an  order  arrived  transferring  us  to  Manassas.     We  reached  the  Junction  at  midnight, 
were  informed  that  a  mistake  had  been  marie,  and  that  no  order  had  been  issued  taking  us  from  the  wounded.     The  circum 
stances  of  the  case  rendered  this   statement  rather  doubtful.     On  July  23,1,    Col     Preston,  of  Gen.  Beauregard's  staff,  came 


EXTRACTS    FROM    REPORTS    OF    MEDICAL    OFFICERS.  U 

to  us,  bringing  a  parole  for  us  to  sign.  Upon  asking  if  we  would  bo  allowed  to  return  to  our  hospital  to  attend  to  our 

wounded  if  we  did  not  sign  this  parole,  we  were  emphatically  answered  in  the  negative.  Many  of  the  medical  officers  captured 
at  Sedley  Church  then  signed  the  parole,  and  were  immediately  returned  to  the  hospital.  A  heavy  rain  had  prevailed  during 
our  absence,  and  the  wounded  had  suffered  greatly,  having  had  no  surgical  attendance.  On  July  25th,  the  Confederate  authori 
ties  ordered  that  the  wounded  should  be  conveyed,  as  rapidly  as  possible,  to  Richmond  and  other  points  where  general  hospitals 
had  been  established.  There  was  such  haste  in  transportation,  that  many  died  in  transit.  The  wounded  being  all  removed  by 
August  2d,  we  ourselves  were  transferred  to  Manassas  Junction  to  be  sent  to  Richmond.  Gen.  Beauregard  forwarded  with  us 
a  request  to  the  Confederate  Secretary  of  War  that  we  should  be  sent  home  as  soon  as  our  services  were  no  longer  required, 
inasmuch  as  we  were  non-combatants  and  had  given  ourselves  up  voluntarily  for  the  purpose  of  attending  our  wounded.  Upon 
our  arrival  in  Richmond  we  were  ordered  by  the  Secretary  of  War  to  find  quarters  until  our  cases  were  decided  upon.  On 
August  10th,  we  were  ordered  to  report  immediately  to  Gen.  Winder,  commanding  the  post,  to  be  sent  home  the  next  day. 
From  Gen.  Winder  we  received  a  copy  of  a  parole,  witnessed  by  himself.  On  August  llth,  we  were  sent  to  Fort  Monroe  under 
flag  of  truce.  At  Sedley  Church  hospital  we  had  a  plentiful  supply  of  water,  there  being  a  good  spring  close  by. 

For  the  first  day  or  two,  food  and  soups  were  very  much  needed,  inasmuch  as  we  had  no  means  of  supplying  ourselves.  By 
that  time,  some  of  the  inhabitants  of  the  surrounding  country,  recognizing  our  wants,  began  bringing  soup,  chickens,  eggs, 
milk,  butter,  etc.,  so  that,  considering  the  circumstances,  the  wounded  fared  quite  well.  There  being  some  two  hundred 
wounded  at  this  hospital,  for  want  of  room  in  the  buildings,  many  were  necessarily  exposed  for  a  day  or  two.  Owing  to  the 
surgeons  being  removed  to  Manassas  Junction  the  day  after  the  battle,  the  exposure  was  protracted  longer  than  it  would  other 
wise  have  been.  Immediately  after  our  return,  we  made  shelter  for  those  exposed,  using  blankets,  overcoats,  and  whatever  else 
was  attainable  that  would  serve  our  purpose.  The  heat  was  intense,  and  the  men  suffered  excessively  therefrom." 


VII.     Extract  from  a  Report  of  h'ts  Medical  Services.     By  Assistant  Surgeon  "W.  W.  KEEN,  jr. 
Fifth  Massachusetts  Volunteers. 

"  The  5th  Massachusetts  infantry  left  Alexandria,  on  July  16th,  1831,  in  the  brigade  of  Colonel  A.  E.  Bnrnside. 
Our  supply  of  medical  stores  was  amply  sufficient;  but  we  had  no  means  of  transporting  them,  and  they  had  to  be  left  in  the 
teams  of  the  quartermaster  to  be  forwarded  from  Alexandria.  The  first  hospital  I  was,  at  during  the  battle,  was  at  a  spriner,  about 
half  a  mile  beyond  Sedley  Church,  near  which  our  brigade  crossed  Bull  Run.  Here  we  had  instruments  and  dressings,  water, 
and  a  canteen  of  brandy.  Afterwards,  I  went,  by  order,  to  the  church.  Our  drum  corps  was  with  the  ambulances  in  the  field, 
and,  so  far  as  I  know,  there  was  no  other  detail  made  to  attend  to  the  fatigue  duties  at  this  hospit.il,  such  as  removing  wounded, 
preparing  food,  bringing1  water,  etc.  I  left  this  hospital  between  four  and  five  o'clock  in  the  afternoon,  on  the  approach  of  the 
Confederates,  with  Colonel  Lawrence,  who  was  wounded  The  wounded  were  exposed  that  night  to  rain ;  but  it  was  not 
uncomfortably  cold.  The  operations  I  saw  were  all  amputations  or  extractions  of  balls,  but  the  main  thing  done?  was  to  apply 
primary  water  dressings.  There  were  many  cases  where  simple  cerate  was  unwisely  used.  It  is  proper  to  state,  in  extenuation 
of  the  faults  observed,  that  they  were  mostly,  in  my  opinion,  due  to  the  utter  lack  of  experience  on  the  part  of  medical  officers, 
and  I  would  by  no  means  exclude  myself,  of  both  the  mode  of  obtaining  supplies  and  the  proper  persons  to  apply  to.  In 
Jime  of  peace  and  order  it  is  difficult,  at  first,  to  understand  the  forms  of  the  regulations ;  but  in  the  excitement  of  such  times  as 
July,  IHfil,  and  in  the  urgency  of  battle,  with  no  books  at  command  among  officers,  to  most  of  whom  army  regulations  were  a 
mvth,  many  defects  may  be  excused.  Comparing  the  present  admirable  regulations,  what  progress  is  exhibited  and  what  credit 
reflected  on  the  wise,  humane,  and  energetic  men  who  have  brought  such  order  and  system  out  of  chaos  and  confusion  !'' 


VIII.  Extract  from  Report  of  Services  after  the  Eirst  Battle  of  Bull  Run.     By  Assistant 
Surgeon  CHARLES  11.  GREENLEAF,  (I.  S.  A. 

*  "After  the  first  battle  of  Bull  Run  I  was  detailed  to  bring  the  wounded  to  the  hospitals  in  Washington.  A 
number  had  received  no  surgical  care,  and  the  great  majority  had  been  exposed  to  heavy  rain.  Ambulances  being  placed  at 
my  disposal  by  Colonel  D.  H.  Rucker,  Quartermaster,  U.  S.  A.,  the  wounded  were  removed  to  the  Union  Hotel  Hospital,  at 
Georgetown,  and  to  the  Columbian  College,  E  Street,  C  Street,  and  Liberty  Hall  Hospitals,  Washington.  Wounded  prisoners 
were  conveyed  to  the  hospital  of  the  Old  Capitol  Prison,  an  hospital  of  which  I  then  had  the  immediate  charge.  The  number 
of  wounded  whose  removal  I  supervised  was  about  two  hundred.'' 

IX.  Ertract  from  a  Narrative  of  Services  from  the  Commencement  of  the  Rebellion  till  July 
ISM,  18113.     By  Surgeon  II.  P.  STEARNS,  U.  S.  Volunteers. 

••  I  received,  April  18th,  1HG1,  a  commission  as  Surgeon  of  the  1st  Connecticut  Volunteers.  Colonel  D.  Tyler, 
commanding,  to  serve  for  the  period  of  three  mouths.  The  regiment  was  mustered  out  of  service  in  August,  without  the  deatli 
of  any  per.-on  connected  with  it.  In  the  early  part  of  June  the  regiment  received  orders  to  proceed  to  Virginia,  and, 

soon  after,  to  the  advance  of  the  army,  remaining  at  Falls  Church  till  the  movement  of  the  army  to  Ceiitreville  and  Bull  Hun. 
During  the  first   two  days,  the  1st  and  vM  Connecticut  led  the  advance  under  command  of  Colonel  E.  D.  Keyes,  U.  S.  A.     At 


IQ  APPENDED  DOCUMENTS BALLS  BLUFF. 

the  battle  of  Bull  Kun,  the  1st  Connecticut  was  in  the  reserve,  and  received  orders  to  advance  to  the  field  at  ten  in  the  forenoon. 
After  it  had  advanced  about  one  mile,  I  selected  a  h:>use  to  be  used  as  an  hospital,  and  hoisted  the  hospital  Hag,  and  gave  orders 
to  the  musicians  of  the  band,  who  had  been  detailed  for  that  purpose,  to  follow  the  regiment  and  bring  the  wounded  to  the 
hospital.  The  regiment  was  not  hotly  engaged  during  the  day,  and  consequently  only  a  few  were  slightly  wounded.  The 
morale  and  general  condition  of  the  regiment  was  as  good  as  could  be  expected  of  any  troops  who  had  seen  so  little  service, 
and  the  time  of  whose  enlistment  expired  upon  the  day  of  the  battle.  Their  approximate  strength  was  between  600  and  700. 
The  supplies  of  medicines  and  hospital  stores  were  ample.  There  was  one  four-wheeled  two-horse  ambulance,  no  hospital 
tent,  and  but  two  ordinary  wall  tents  for  hospital  uses.  I  cannot  give  the  precise  location  of  the  house  chosen  by  me.  It  was 
not  within  the  range  of  the  enemy's  guns,  and  had  four  rooms.  Water  was  abundant,  but  we  had  no  soups,  and  no  food,  during 
the  time  I  remained  upon  the  field,  except  such  as  was  in  the  knapsacks.  The  wounded  in  my  regiment  were  so  slightly 
injured  that  they  walked  from  the  field.  The  wounds  were  in  the  upper  extremities.  The  wounded  of  other  regiments,  who 
were  brought  for  care  to  the  hospital  established  by  me,  were  generally  borne  upon  blankets  fastened  to  poles,  as  the  nature  of 
the  giound  was  such  that  they  could  not  be  conveyed  in  ambulances.  The  regiment  was  upon  the  field  about  five  and  a  half 
hours.  The  wounded  were  taken  care  of  by  me  until  the  regiment  was  mustered  out  of  service.  No  operations  were  required, 
except  the  amputation  of  one  finger,  for  those  wounded  in  my  regiment.  Chloroform  was  given  sufficiently  to  quiet  pain  in  the 
extraction  of  balls.  There  were  no  deaths.  The  number  of  wounded  was  about  eight  or  ten." 

[Other  extracts  from  the  narrative  of  Surgeon  Stearns  will  be  printed  with  documents  relating  to  the  western  campaigns.] 


X.    Extract  from  a  Report  of  Services  from  April,  1861,  to  June,  1863.    By  Surgeon  C.  F.  II. 
CAMPBELL,  U.  S.  Volunteers. 

*  *  *  "On  the  17th  of  April,  1331,  I  left  Philadelphia,  with  the  23d  Pennsylvania  Volunteers,  as  assistant  surgeon. 
On  the  2d  of  July,  the  whole  army,  under  Major  General  Patterson,  advanced  across  the  Potomac  river  at  Williams- 
port,  Maryland.  '  The  enemy  were  reported  to  be  in  force,  a  few  miles  to  our  front,  to  resist  our  advance  on  Martinsburg. 
t'pon  advancing  about  three  miles,  to  a  place  called  llainesville,  or  Falling  Waters,  they  opened  upon  us  with  artillery  and 
musketry,  and  thus  was  the  first  action  of  the  war  in  Northern  Virginia  initiated.  The  enemy,  in  line  of  battle,  two  thousand 
seven  hundred  strong,  were  under  Col.  T.  J.  Jackson,  the  celebrated  '' Stonewall '' of  later  fame,  while  our  advance  brigade. 
Colonel  George  If.  Thomas,  2d  U.  S.  Cavalry,  commanding,  numbered  about  two  thousand  men  of  all  arms.  The  action  was 
sharp  and  vigorous  for  about  one  hour,  when  the  enemy  broke  and  retreated  in  confusion,  pursued  by  our  cavalry.  The 
casualties  attending  this  skirmish  did  not  amount  to  more  than  eight  men  killed  and  fifteen  wounded.  *  *  A  small  house  on 
tlie  roadside,  contiguous  to  the  field,  was  converted  into  a  temporary  hospital,  where  the  wounded  were  received.  The  wounds 
were  all  from  gunshot,  and  principally  of  the  lower  extremities,  produced  by  round  musket  balls,  buckshot,  and,  in  one  or  two 
instances,  by  sphero-conical  balls,  fired  at  a  range  of  from  sixty  to  two  hundred  or  three  hundred  yards.  These  wounds  were, 
in  no  instance  which  presented  itself  to  the  writer,  of  a  necessarily  fatal  character.  As  fast  as  the  facilities  of  ambulance  trans 
portation  offered,  these  men  were  removed  to  the  general  hospital  at  Hagerstown,  Maryland,  arrangements  for  their  reception 
having  been  carefully  provided  by  Surgeon  C.  S.  Tripler,  U.  S.  A.,  medical  director  of  the  army." 


XL    Extracts  from  Reports   of  the    Wounded  at  the  Engagement  at  Ball's  Bluff,  Virginia, 
October  2lst,  1861.     By  Surgeon  A.  B.  CROSBY,  U".  S.  Volunteers. 

"  Early  in  the  day,  anticipating  an  action,  I  ordered  forty-two  fresh  beds  made  in  the  brigade  hospital,  at  the 
time  nearly  completed,  and  took  possession  of  two  large  halls  in  town,  and  caused  them  to  be  abundantly  supplied  with  fresh 
straw.  An  ambulance  train  was  ordered  to  Edwards's  Ferry,  and  another  to  Conrad's  Ferry,  to  await  orders ;  it  being  doubtful 
where  the  engagement  might  occur. 

I  took  a  position  with  General  Stone,  on  a  height  near  Edwards's  Ferry.  The  engagement  took  place  on  a  bluff,  opposite 
Harrison's  Island,  between  the  two  ferries,  probably  four  miles  above  Edwards's,  and  a  mile  and  a  halt  below  Conrad's.  When 
it  became  evident  that  an  engagement  was  taking  place,  I  asked  permission  ot  General  Stone  to  repair  to  the  scene,  and  was 
ordered  to  do  so  at  once.  Brigade  Surgeon  Bryant  accompanied  me.  We  arrived  when  the  retreat  had  fairly  commenced,  and 
each  boat,  coming  from  the  island,  brought  wounded  men.  A  horse  and  barn  on  the  island  were  used  as  a  hospital,  where  the 
severer  injuries  were  cared  for.  The  difficulties  in  the  way  of  getting  off  the  wounded  were  very  great.  They  were  to  be 
transported  from  the  Virginia  shore  to  the  island,  thence  to  the  main  land,  where  they  were  landed  on  the  tow-path  of  the  canal. 
The  tow-path  was  entirely  filled  witli  artillery,  and,  unfortunately,  the  regimental  ambulances  had  been  taken  across  the  canal 
on  to  the  bank  of  the  river  by  a  flat  boat,  which  was  afterwards  put  into  the  river  to  transport  troops,  so  that  they  were 
rendered  useless. 

Requesting  Brigade  Surgeon  Bryant  to  stop  the  wounded  at  the  point  where  they  crossed,  and  a  skiff  being  discovered 

further  down  the  canal,  I  ordered  the  wounded  to  be  put  across  the  canal  as  rapidly  as  possible.     Pushing  my  horse  by  the 

artillery  to  Conrad's  Ferry.  I  went  through  an  arch  under  the  canal,  and  ordered  the  ambulance  train  there  to  take  down  the 

inces  and  to  drive  to  the  point  where  the  wounded  were  being  put  across  the  canal.     It  was  now  quite  dark,  but  we  were  so 

fortunate  as  to  find  two  barns  about  a  mile  from  this  point.     These  were  rapidly  cleared,  and  the  floors  were  covered  with 

I  ordered  fires  to  be  lighted  along  the  path  through  the  woods  as  a  guide  to  the  ambulances,  and,  returning  to  the 

lal,  ordered  Assistant  Surgeons  Fassard  and  McNiel,  to  repair  to  the  barns  and  receive  the  wounded.     Then  crossing  on  to 

the  island,  I  found  Brigade  Surgeons  Bryant  and  Lidell  together  with  Surgeon  Hay  ward  and  Assistant  Surgeon  Huven.    These 


REPORT    OF    SURGEON    A.    P>     CROSBY.  11 

gentlemen  were  untiring  in  their  relief  of  the  wounded,  and  in  supervising  their  subsequent  removal.  Directions  were  given 
that  all  the  wounded  on  the  island  should  he  removed  and  transported  by  canal  boat  to  Edwards's  Ferry  during  the  night,  and 
thence,  by  ambulances,  to  Poolesville.  Returning  to  the  barns  I  busied  myself  with  the  wounded,  and  promising  to  send  an 
ambulance  train  early  the  next  morning  to  remove  them  to  Poolesville,  I  returned  to  headquarters  in  season  to  receive  the  first 
wounded  that  arrived,  and,  by  six  o'clock  A.  M.,  commenced  performing  the  necessary  operations  at  the  Brigade  Hospital. 
Surgeon  Osborne  and  some  other  surgeons,  whose  names  I  am  not  familiar  with,  did  good  service  at  Conrad's  Ferry  and  other 
points. 

I  have  already  furnished  General  Stone  with  an  official  list  of  one  hundred  and  sixty  wounded,  and  there  are,  undoubt 
edly,  more  in  private  houses,  and  among  those  who  have  straggled.  Of  these,  about  a  hundred  are  provided  for  here,  and  the 
remainder  in  their  regimental  hospitals. 

It  is  greatly  to  the  credit  ot  the  surgeons  that  there  were  tew  amputations;  I  think  not  more  than  ten  in  all.  Most  ot 
the  balls  have  been  removed.  None  have  died  who  underwent  amputation,  and  only  five  or  six  since  the  wounded  were  first 
dressed.  There  was,  with  very  few  exceptions,  an  entire  absence  of  shock,  and  the  men  are  now  well  cared  for  and  cheerful. 
Most  of  the  wounds  were  about  the  shoulders  or  the  extremities.  Thus  far  the  wounds  are  looking  healthy,  and,  apparently, 
very  few  secondary  operations  will  be  necessary.  It  is  believed  that,  almost  without  exception,  the  wounded  were  covered, 
and  their  wounds  well  dressed,  within  the  first  four  and  twenty  hours. 

The  advantage  of  a  drilled  ambulance  corps,  short  as  our  drill  in  that  respect  has  been,  was  very  observable,  and  the 
ambulance  trains  did  their  work  well.  * 

Pardon  the  hasty  and  desultory  character  of  this  communication." 
**###*##*  ******** 

''  The  whole  number  comprised  in  the  list  of  wounded  is  one  hundred  and  sixty-nine.     The  following  rough  table 
gives  the  number  of  wounds  in  the  different  regions  of  the  body: 


Wounds  of  the  Head  and  Face 93 

"  "  "  Neck 4 

"  "  Chest 10 

"  "  "  Abdomen 15 

"  "  Back 5 

"  "  "  Shoulder 18 

"  "  "  Arm '2(3 

"     "    Elbow 4 

".  "  Wrist 4 

"  "  "  Hand..  .  9 


Wounds  of  the  Hip 11 

"     "    Thigh 32 

"     "     Knee 7 

"         "     "     Leg 14 

"     "     Ankle 7 

"         "     "     Foot 10 

"         "     "     Testicle 1 

Deaths  since  the  engagement 12 

Compound  fractures 4 

Large  amputations 8 


Under  wounds  of  the  chest,  several  wounds  of  the  lungs  are  included.  None  of  these  cases  have  proved  fatal,  and  all 
now  bid  fair  for  recovery.  Veratrum  viride  has  been  freely  exhibited  in  these  cases,  and  the  pulse  thoroughly  controlled.  In 
the  most  interesting  of  these  cases  the  ball  entered  above  the  nipple,  and,  passing  downward  and  inward,  fractured  a  rib  and 
lodged  in  the  left  lung.  A  good  deal  of  gangrenous  matter  discharged  from  day  to  day,  and,  on  the  tenth  day,  secondary 
haemorrhage  occurred  from  the  external  mammary  artery.  As  the  vessel  could  not  be  reached,  the  wound  was  plugged  with 
persulphate  of  iron.  In  four  da  s  suppuration  brought  away  the  plug  without  any  lenewal  of  haemorrhage.  The  patient 
breathes  very  little  with  the  left  lung,  but  is  improving. 

All  the  wounds  of  the  abdomen  which  penetrated  the  cavity,  some  four  or  five,  proved  fatal.  From  two  men  I  removed, 
within  twenty-four  hours,  conical  balls,  which  had  passed  through  the  back  and  lodged  in  the  abdominal  wall.  In  both  cases 
pus  followed  the  knife,  and  they  died  in  a  few  hours.  One  man  was  wounded  through  the  liver  and  diaphragm.  He  was 
troubled  with  constant  hiccough,  became  very  yellow,  and  died  of  peritonitis  on  the  sixth  day.  The  remaining  cases  proved 
fatal  in  the  same  way.  In  all  these  cases  opium  was  exhibited  very  freely. 

The  wounds  of  the  shoulders  were,  generally,  not  severe.  The  case  of  most  interest  was  one  where  a  conical  musket 
ball  struck  the  scapula  beneath  the  spine,  shattering  the  bone,  and,  apparently,  bruising  the  axillary  artery  ;  it  passed  out 
anteriorly.  On  the  tenth  day,  secondary  haemorrhage  occurred  from  the  subscapular  artery,  which,  as  it  could  not  be  secured, 
the  wound  was  plugged  with  a  styptic.  Three  days  afterwards,  the  haemorrhage  recurred  moderately.  In  two  days  more,  the 
axillary  artery  lost  two  inches  by  a  slough,  and  the  man  died.  Tiie  wounds  of  the  arms  are,  many  of  them,  flesh  wounds, 
and  are  doing  finely.  Two  are  complicated  with  fractures  of  the  fore-arm,  and  two  with  fractures  of  the  humerus.  In  two 
instances  balls  passed  through  the  elbow-joint.  Lieutenant  Colonel  Wistar  had  a  ball  to  pass  through  the  joint,  knocking  oft  a 
portion  of  the  olecranon.  For  fourteen  days  there  was  no  sign  of  disturbance  about  the  wound.  At  the  end  of  which  time 
severe  inflammation  was  lighted  up,  under  which  he  is  still  suffering.  The  wounds  of  the  hands  were  generally  not  severe;  a 
few  fingers  were  lost;  but  no  operations  of  moment  were  necessary  in  this  region.  The  hip  and  thigh  were  the  seat  generally 
of  flesh  wounds,  and  are  doing  well.  One  case  is,  however,  worthy  of  mention  :  a  private,  shot  in  the  neck,  was  making  his 
way  to  the  hospital  on  the  island,  when  a  ball  struck  his  bayonet,  in  the  sheath  by  his  side,  was  flattened  somewhat,  and 
entered  the  posterior  surface  of  the  left  thigh,  passing  downward  and  forward  in  the  middle  line  of  the  limb.  On  the  third 
day  the  biceps  muscle  took  on  a  spasmodic  action;  two  days  afterwards  the  extensor  muscles  became  rigidly  contracted.  By 
(lie  most  careful  examinations.  I  could  get  no  trace  of  the  ball.  The  tetanic  spasm  gradually  affected  all  portions  of  the  body. 
One  night,  at  midnight,  the  respiratory  muscles  became  rigidly  contracted,  and  before  they  relaxed  the  man  died.  An  autopsy 
showed  that  the  hull  had  split  the  great  sciatic  nerve,  leaving  a  slit  an  inch  and  a  half  long,  and  then,  striking  the  femur,  had 
glanced  downwards  between  one  and  two  inches  entirely  away  from  the  nerve. 

Of  the  wounds  of  the  knee,  only  two  penetrated  the  joint;  one  of  these  I  amputated  above  the  knee,  and  the  patient  is 
making  a  most  rapid  recovery.  In  the  other  case,  I  advised  amputation,  but  was  overruled.  The  patient  died  last  night  of 


12 


APPENDED    DOCUMENTS BALLS    BLUFF. 


traumatic  inflammation  of  the  knee  joint.     Many  of  the  wounds  of  the  legs  passed  through  the  calf,  and  arc  simple  in  their 
character.     Lieutenant  Colonel  Ward  lost  a  foot  by  amputation,  the  ankle  being  shattered  and  the  circulation  cut  off. 

The  remaining  case  of  particular  interest  is  one  where  a  ball  passed  through  the  left  buttock,  through  the  scrotum, 
grazing  the  testicle,  and  entering  the  penis  at  its  anterior  third,  ploughed  its  way  out  through  the  urethra.  Two  days  afterwards 
the  contraction  of  the  dartos  had  forced  the  testicle  through  the  opening  in  the  scrotal  Avail ;  I  removed  it  and  the  case  is  doing 
well.  All  the  stumps  and  all  the  wounds  are  perfectly  healthy.  Water  dressings  have  been  used  almost  exclusively.  Plenty 
of  air  and  an  abundance  of  cold  water  have  been  the  principal  adjuvants  in  the  treatment.  I  have  taken  care  of  a  hundred 
here;  about  fifty-four  have  been  cared  for  in  the  hospitals  of  Lander's  brigade,  and  the  balance  in  the  hospitals  of  Baker's 
brigade.  There  are  very  few  cases  which  now  seem  in  any  particular  danger,  and  our  mortality,  thus  far,  has  certainly  not 
been  very  great.  I  attribute  this  to  the  fact  that  the  enemy  inflicted  but  few  minie  wounds.  Their  cartridges  generally 
contained  a  round  ball  and  three  buck  shot.  No  doubt  the  splendid  morale  of  the  men  contributed  much  towards  the  favorable 
results  in  these  cases.  It  was  a  defeat,  a  route,  but  there  was  no  panic,  no  depression,  no  shock.  On  the  contrary,  the  wounded 
bore  their  sufferings  without  complaint,  and,  in  many  instances,  with  a  great  deal  of  cheerfulness.  An  amputation  at  the 
shoulder  joint,  of  a  leg  and  of  a  fore  arm,  were  done  on  the  island,  mainly,  I  believe,  by  Surgeon  Nathan  Hayward.  I  per 
formed  three  large  amputations  myself,  and  in  all  these  I  neither  heard  of,  nor  saw,  any  appreciable  shock,  before  or  after  the 
operations.  None  of  the  cases  in  which  amputation  was  done  terminated  fatally." 

Your  obedient  servant, 

A.  B.  CROSBY, 
Brigade  Suryeon,  U.  8.  I'. 
Surgeon  C.  S.  TJ:IPLEI:,  U.  S.  A., 

Medical  Director  of  the  Army  of  the  Potomac. 

XII.  Extracts  from  a  Narrative  of  the  Surgery  at  Ball's  Bluff,  Virginia,  and  from  a  Report 
of  the  Wounded  of  Gen.  Baker's  Brigade  at  the  Affair  of  October  21st,  1861.  By  Surgeon 
JOHN  A.  LIDELL,  U.  S.  Volunteers. 

•'  On  October  21st,  1861,  I  was  surgeon  of  Gen.  Baker's  brigade,  consisting  of  the  (59th,  71st  72d,  and  lOlith 
Pennsylvania  Volunteers,  with  one  company  of  cavalry.  The  brigade  was  quartered  at  Camp  Observation,  Maryland,  four  and 
a  half  miles  above  Poolesville,  on  the  road  to  Nolan's  Ferry,  at  the  mouth  of  the  Monocacy  River.  At  early  dawn,  a  battalion 
of  the  71st  Pennsylvania,  commanded  by  Lieut.  Col.  Isaac  J.  Wistar,  was  sent  to  Conrad's  Ferry.  The  remainder  of  the  brigade 
was  put  in  marching  order.  After  making  provision  for  the  medical  wants  of  the  regiments  remaining  in  camp,  I  proceeded  to 
Conrad's  Ferry  and  joined  Wistar's  battalion,  but  found  that  the  crossing  of  the  Potomac  had  taken  place  a  mile  lower  down 
the  river,  opposite  the  lower  part  of  Harrison's  Island.  This  island  is  separated  from  the  Maryland  shore  by  a  channel  two 
hundred  and  fifty  yards  wide,  and  from  the  Virginia  shore  by  a  channel  seventy-five  yards  wide,  and  the  river  flows  through 
these  channels  with  a  swift  current.  About  noon  Col.  Baker  prepared  to  cross  the  river.  To  increase  his  transporta 

tion  he  got  a  scow  out  of  the  canaf  and  launched  it  in  the  river.  He  also  took  tow  lines  from  several  canal  boats,  and,  fastening 
them  together,  had  the  cable  thus  formed  stretched  across  the  river  at  Harrison's  Island  to  facilitate  crossing  the  swift  current. 
He  sent  Wistar's  battalion  across,  ^oing  himself  with  the  advance,  and  ordered  up  the  rest  of  his  brigade.  I  crossed  with  this 
battalion,  numbering  about  six  hundred  men.  I  established  a  hospital  at  a  farm  house  near  the  Virginia  shore  at 

Harrison's  Island;  but  such  wounded  as  could  walk  I  directed  to  cross  the  island  to  a  barn  near  the  Maryland  shore  and  our 
ferry.  Dressings  were  applied  and  operations  performed  mainly  at 
the  farm  house.  Fighting  ceased  at  dark.  The  enemy  had  no  artil 
lery,  and  most  of  the  wounds  of  our  men  were  inflicted  by  round 
musket  balls.  About  two  hundred  wounded  had  to  be  provided  for. 
I  determined  to  remove  them  that  night,  lest  they  might  be  captured 
the  next  morning.  I  deemed  it  of  the  first  importance  to  get  the 
wounded  to  the  Maryland  shore,  as  the  enemy  could  command  the 
island  with  artillery,  or  occupy  it  with  infantry.  Late  at  night,  accom 
panied  by  Surgeon  Martin  Rizer,  72d  Pennsylvania  Volunteers,  I 
carefully  searched  the  Virginia  shore  of  the  island  for  any  wounded 
that  might  have  been  overlooked.  The  enemy's  pickets  did  not  fire 
on  us,  though  we  were  less  than  one  hundred  yards  distant,  and  car 
ried  lanterns.  We  were  evidently  recognized  as  searching  for  the 
wounded.  We  were  much  delayed  in  the  removal  of  the  wounded 
by  the  stragglers,  who  crowded  our  boats  with  their  worthless  car 
cases.  Surgeon  Justin  Dwinelle,  106th  Pennsylvania  Volunteers, 
rendered  efficient  assistance.  At  midnight  I  crossed  to  the  Maryland 
shore.  Most  of  the  wounded  were  sent  to  Edwards's  Ferry  by  canal 
boat,  and  thence  by  the  brigade  ambulance  train  to  the  general  hos 
pital  at  Poolesville,  under  the  direction  of  Surgeon  A.  B.  Crosby,  U.  FH;.  l.-Map  of  Ball's  Bluff,  with  the-  location  of  the  Hospitals 
S.  V.  A  number  were  sent  to  our  field  hospital  in  our  brigade  ambu-  on  Harris""'s  Islan<1- 

Of  Baker's  brigade  only  one  battalion,  six  hundred  strong,  was  engaged.     I  brought  off  sixty-five  of  their  wounded. 
ul  dressings  and  anodynes  in  plenty  on  the  island.     The  morning  after  the  battle  was  rainy.     During  that  day  the  wounded 
were  all  comfortably  cared  for.     About  thirty-five   remained   at  the  field  hospital  until  they  were  convalescent*     The  balance 
were  treated  at  Poolesville. 


REPORTS    OF    SURGEONS    LIDELL,  WEIR,    AND    WRIGHT.  13 

Lieut.  Col.  Isaac  J.  Wistar  had  a  gunshot  wound  of  the  right  elbow-joint.  Capt.  Robert  C.  Hicks,  71st  Pennsylvania, 
a  wound  of  right  shoulder,  and  Sergt.  Maj.  Hubert  Bastian,  a  wound  of  right  elbow-joint,  and  were  sent  to  private  quarters. 
The  following  were  sent  to  the  field  hospital  of  the  California  regiment:  Capt.  L.  Bierel,  contused  wound  of  back;  Lieut.  R. 
Tenipleton,  Privates  E.  Wisner  and  John  Stanley,  wounds  of  the  shoulder.  Privates  E.  Mann,  B.  Watson,  R.  Joslin,  R.  Hart 
ley,  W.  Thomson,  J.  Tallon,  P.  Smith,  and  A.  Mink,  with  wounds  of  the  lower  extremity;  Corporal  Lambert,  Privates  Makey, 
Heckley,  Piper,  Fisher,  Lipseth,  Bouton,  and  Calligan,  with  gunshot  wounds  of  the  upper  extremity ;  and  Sergeant  John 
Thatcher,  with  a  wound  of  the  breast.  The  following  were  sent  to  general  hospital  at  Poolesville  :  Lieut.  T.  Wade,  Privates 
Hooper,  Randall,  Hooper,  Schafer,  Brunt,  Steinbeck,  Holland,  Mahan,  Ellis,  Fulton,  Kelly,  Patterson,  Coles,  Thenble,  Mur 
phy,  Coles,  Rich,  Pilley,  Sloan,  Taylor,  Harvey,  Burr,  Paul,  Lutze,  McKenny,  Wood,  Nichols,  Smith,  Rand,  Pilley,  and 
Sloan." 


XIII.     Extract  from  a  Narrative  of  Services.     By  Assistant  Surgeon  R.  F.  WEIR,  IT.  S.  Army. 

"  The  narrative  of  my  field  services  under  General  Patterson  and  General  Banks,  comprises  only  the  ordinary 
events  of  marches,  from  Harper's  Ferry  to  Darnestown,  and  thence  to  Conrad's  Ferry,  on  October  21st,  1861,  the  dav  of 
the  repulse  at  Ball's  Bluft*.  '  I  assisted  in  conveying  a  portion  of  the  wounded  from  Conrad's  Ferry,  by  means  of  wretched 

one-horso  ambulances,  to  the  general  hospital  at  Poolesville.     I  did  not  assist  at  any  operations." 


XIV.  Extracts  from  Reports  relative  to  the  Operations  of  the  Medical  Department  in  the  Cam 
paign  in  Western  Virginia  in  the  /Summer  of  ~L8G1.  By  Surgeon  J.  J.  B.  WEIGHT,  U.  S.  A., 
Medical  Director  of  the  Department  of  Ohio. 

"I  reported  to  Major  General  G.  B.  McClellan,  U.  S.  V.,  at  Cincinnati,  Ohio,  on  May  28th,  1861,  under 

an  order  of  the  War  Department,  as  medical  director  of  the  Department  of  Ohio.  Gen.  McClellan  had  been  assigned  to  that 
command  but  recently,  and  the  duty  devolved  on  me  of  organizing  the  affairs  of  the  medical  department.  My  first  efforts  wen- 
directed  towards  providing  hospital  outfits  for  the  new  regiments,  so  hastily  organized  and  sent  to  the  Held  in  Western  Virginia, 
where  the  rebels  were  massing  their  troops  under  Garnett  and  Pegram.  Through  the  agency  of  the  very  efficient  purveyor  at 
New  York,  Surgeon  Satterlee,  my  object  was  promptly  and  satisfactorily  attained.  :  '  [After  a  series  of  inspections  of 
troops  and  hospitals,  Surgeon  Wright  returned  to  Cincinnati.].  Before  the  affairs  of  the  purveying  department  were  fully 
regulated,  I  was  ordered  to  accompany  Gen.  McClellan  to  Western  Virginia.  I  understood  that  1  went  to  make  an  inspection  of 
the  hospitals  at  Graf'ton,  Clarksburg,  etc.,  but  found  that  we  had  entered  on  an  active  campaign.  To  obviate  the  necessity  of 
returning  to  Cincinnati,  I  instructed  Assistant  Surgeon  J.  P.  Wright,  U.  S-  A.,  who  was  on  duty  with  a  battery  at  that  city, 
to  supervise  the  requisitions  and  issues  of  medical  supplies.  The  campaign  culminated  in  the  defeat  of  Gen.  Garnett  at  I'ar- 
rick's  Ford,  and  of  Gen.  Pegrarn  at  Rich  Mountain.  Nothing  of  special  interest,  worthy  to  be  noted  in  the  Medical  History  of  the 
Rebellion,  occurred  in  the  department  until  the  period  of  the  engagements  alluded  to.  The  diseases  prevailing  were  such  as 
miuht  have  been  expected  among  raw  troops,  having  inexperienced  officers  to  care  for  them.  The  prevalent  disorders  were 
diarrhoea,  dysentery,  intermittent  fever,  and  rheumatism. 

The  attack  on  the  enemy's  work  at  Rich  Mountain  was  made  by  infantry  against  artillery,  cavalry,  and  infantry.  The 
wounds,  therefore,  were  inflicted  by  round  shot,  grape,  and  minie  balls,  and  were  of  every  description  and  character.  A  large 
three-story  house  on  the  battle  field  was  occupied  temporarily  as  an  hospital,  and  tents  were  pitched  in  the  vicinity.  Having 
organized  this  hospital,  and  witnessed  the  performance  of  the  principal  necessary  operations,  I  proceeded  to  join  the  headquarters 
at  Beverly,  distant  seven  miles,  where  immediate  arrangements  were  made  for  the  permanent  accommodation  of  the  sick  and 
wounded.  A  general  hospital  was  established  in  several  commodious  houses  in  this  town,  and  Assistant  Surgeon  H.  R.  Wirtz 
was  placed  in  charge  of  it,  aided  by  Assistant  Surgeons  Dunster,  Willie,  and  Eastman,  U.  S.  A.  So  soon  as  transportation  could 
be  furnished,  the  wounded  from  Carrick's  Ford  were  transferred  to  this  hospital.  The  enemy's  wounded  received  the  same 
attention  as  our  own,  though  they  were,  for  the  most  part,  kept  separate.  For  a  particular  description  of  the  wounds,  and  of 
the  operations  performed  in  this  hospital,  I  have  to  refer  to  the  monthly  consolidated  reports  from  the  medical  director's  office, 
and  to  the  quarterly  reports  of  Assistant  Surgeon  Wirtz  and  of  Assistant  Surgeon  Dunster,  who  succeeded  him  in  charge  of  the 
hospital.  Besides  sundry  amputations  of  the  leg  and  arm,  rendered  necessary  on  the  battlefield  of  Rich  Mountain,  the  femoral 
artery  was  ligated  in  one  instance  for  haemorrhage  of  the  popliteal,  caused  by  a  bullet  passing  through  the  hamstrings  of  the 
right  leg.  Among  the  extraordinary  cases,  was  that  of  an  Indiana  soldier  who  was  wounded  in  the  upper  part  of  the  thigh  by 
a  grape  shot,  which  penetrated  over  the  track  of  the  femoral  artery,  emerged  through  the  nates,  and  lodged  in  the  man's  cartouch 
box,  from  which  the  brave  fellow  coolly  removed  it,  and  exhibited  it  as  a  trophy  of  the  battlefield.  A  fortnight  after  the  battle 
I  left  him  in  the  hospital  in  a  fair  way  of  recovery.'' 

[Other  portions  of  this  report  of  Medical  Director  Wright  will  he  printed  in  connection  with  documents  relative  to  the 
establishment  of  military  hospitals  at  the  West.  The  following  extracts  are  taken  from  a  letter  to  Surgeon  John  IF.  Brinton, 
U.  S.  V..  dated  Carlisle  Barracks,  March  17th,  ISGti,  in  answer  to  a  series  of  questions.  The  author  observes  that  his  position 
had  not  permitted  him  to  notice  minutely,  or  to  investigate  closely,  individual  cases  of  surgery,  and  modestly  declares  himself 
unprepared  to  contribute  a  paper  that  could  advance  surgical  knowledge.] 

"The  troops  engaged  at  Rich  Mountain  had  not  been  in  action,  but  were  animated  by  the  spirit  which  induced 
some  (if  the  first  volunteers  from  Indiana  solemnly  to  swear  that  they  would  prosecute  the  war  until  they  had  fully  vindicated 
the  character  of  Indiana  volunteers  from  the  aspersions  of  alleged  misconduct  before  the  enemy  at  Kuena  Vista.  I'nder the 
lead  of  the  brave  K'osecrans.  and  the  intrepid  Lander,  they  charged  the  enemy's  battery  and  long  line  of  breast-works  over  an 
open  field  five  hundred  yards  wide,  and  drove  him  fiom  his  position  and  captured  all  his  artillery.  The  engagement  lasted 


14 


APPENDED  DOCUMENTS MIKOE  ENGAGEMENTS. 


Bcarcelv  more  than  half  an  hour.  The  troops  on  this  campaign  were  generally  well  supplied  with  medicines,  hospital  stores, 
tents,  and  other  necessary  field  equipments.  Ambulances  in  sufficient  number  were  improvised  by  the  purchase,  by  order  of 
Gen.  McClellan,  of  li<*ht  two-horse  spring  wagons.  Soon  after  the  engagement  at  Rich  Mountain,  several  of  the  regulation  one 
and  two-horse  ambulances  were  furnished  to  the  army.  *  *  Most  of  the  medical  officers  discharged  their  duties  very 
well,  except  as  relates  to  making  returns,  reports,  etc.  *  *  The  battle  of  Rich  Mountain  was  fought  on  July  llth,  1861. 
The  wounded  suffered  somewhat,  I  suppose,  for  want  of  nicely  prepared  food,  for  a  day  or  two  after  the  battle,  as  is  always  the 
case  durin<>-  the  organization  of  the  temporary  hospitals.  Everything,  however,  was  done  for  their  comfort  which  circumstances 
permitted,  and  on  the  arrival  of  the  wounded  at  Beverly,  on  the  third  day,  they  were  well  cared  for  in  all  respects.  There  was 
an  abundant  supply  of  good  water  near  the  battle  field.  The  wounded  were  not  exposed  to  any  uncomfortable  degree  of  cold. 
Their  wounds  were  inflicted,  principally,  by  solid  and  grape  shot,  and  minie  balls.  The  wounded  were  conveyed  to  Beverly  in 
ambulances  and  spring  wagons,  a  distance  of  seven  miles,  over  a  smooth  road.  The  principal  operations  were  primary  ampu 
tations  of  the  thigh,  leg,  and  arm.  No  excisions  were  performed.  Chloroform  was  administered  in  all  operations  involving 
much  pain.  There  were  no  fatal  results  from  the  use  of  this  anaesthetic." 


XV.     Statement  of  the  Killed  and  Wounded  at  the  Battle  of  Carnifex  Ferry ,  September 

1861.     By  Assistant  Surgeon  HORACE  K.  WIRTZ,  U.  S.  A.,  Acting  Medical  Director  during 
the  Action. 


COMMAND. 

KILLED. 

WOUNDED. 

9th  Ohio  Volunteers                      -        -  --•          

1 

8 

10th     "                                      

9 

50 

12th     "                                  -                                 

1 

1 

13th    "            "                     

1 

12 

28th     "                       

2 

29 

Ohio  Artillery  (McMullin's)  

4 

'  '     Cavalry  

3 

37 

TOTAL  .   . 

17 

141 

XVI.  Extract  from  a  Report  on  the  Duties  assigned  him  from  the  Outbreak  of  the  War  till 
July  14M,  1863.     By  C.  C.  DUMREICHER,  Surgeon  U.  S.  Volunteers. 


"In  the  summer  of  1861,  I  was  commissioned  as  Assistant  Surgeon  of  Illinois  Volunteers.  I  served  two 
months  in  a  camp  of  organization  near  Springfield,  and  was  then  ordered  to  Western  Virginia,  with  a  detachment  of  Illinois 
cavalry.  I  was  present  at  the  engagement  at  Carnifex  Ferry,  between  the  forces  under  General  Rosecrans,  and  Hie  rebel  troops 
under  General  Floyd.  After  the  engagement  I  was  placed  in  surgical  charge  of  the  hospital.  I  met  with  a  number  of  inter 
esting  cases,  but  do  not  recollect  the  details  of  them.  The  regiments  engaged  were  all  from  western  states,  and  their  ranks  were 
nearly  full.  Their  supplies  of  medicines,  hospital  stores,  ambulances,  and  tents  were  limited,  and,  in  several  instances, 
insufficient.  The  wounded  were  removed,  on  litters  and  by  ambulances,  to  a  house  a  little  more  than  half  a  mile  from  the  field 
of  action.  Urgent  cases  were  attended  to,  under  fire,  within  a  few  hundred  yards  of  the  troops.  The  supply  of  water, 
materials  for  soups,  and  other  food,  were  procured  in  sufficient  quantities.  The  wounded  were  not  exposed  to  cold  or  rain,  but 
were  made  quite  comfortable  within  a  short  time.  The  troops  were  under  fire  nearly  four  hours.  *  *  The  wounded  were 
removed  to  Cincinnati  at  periods  varying  from  two  to  six  weeks  after  the  battle,  being  sent  thirty-five  miles  in  ambulances  or 
wagons,  and  then  placed  on  steamboats.  To  my  personal  knowledge,  seven  capital  operations  were  performed  within  twenty- 
four  hours  after  the  battle.  These  were  amputations  of  the  thigh,  and  all  proved  fatal.  The  men  had  been  on  forced  marches 
for  several  days,  and  were  quite  exhausted  when  they  went  into  action.  Chloroform  was  used  in  most  of  the  operations;  in 
some,  a  mixture  of  one  part  of  chloroform  with  two  of  ether."  *  * 


XVII.  Memorandum  relative  to  the  Wounded  at  the  Affair  at  Great  Bethel,  Virginia,  June  10M, 
1861.     By  Surgeon  A.  II.  HOFF,  3d  New  York  Volunteers. 

•'At  the  main  fight  we  had  only  four  or  five  killed,  and  twelve  wounded.     In  the  collision  at  night  between 

own  troops,  there  were  thirty  wounded.     The  wounded  were  taken  to  the  Seminary  Hospital  near  Hampton,  and  to  the 

Hygeia  Hospital  at  Fort  Monroe.     Most  of  them  soon  returned  to  duly.    A  few  of  the  severely  wounded  were  sent  to  New  York." 


REPORTS    OF    MEDICAL    OFFICERS.  15 

XVIII.  Extract  from  Report  from  St.  Aloysius  Hospital,  Washington.     By  Assistant  Surgeon 
ALEXANDER  INGRAM,  U.  S.  Army. 

*  *  *  "A  few  wounded  of  the  1st  Ohio  regiment  were  received  at  this  hospital  from  one  of  our  earliest  collisions 
with  the  enemy.  I  refer  to  General  Schenck's  skirmish  at  Vienna,  June  17th.  1861.  The  wounds  were  mostly  slight  in 
character;  no  operations  of  magnitude  were  necessary;  and  all  the  patients  did  well." 


XIX.  Extract  from  a  Report  of  his  Services  from  June  1st,  1861,  to  June  19^A,  1863,  relative 
to  the  Battle  of  Wilson's  Creek.     By  Assistant  Surgeon  PHILIP  C.  DAVIS,  U.  S.  Army. 

"  On  June  1st,  1861,  I  was  ordered  to  report  to  the  commanding  officer  at  Fort  Leavenworth,  Kansas,  at  which 
post  an  expedition  was  then  fitting  out  for  a  campaign  in  Missouri.  I  reported  on  June  6th,  and  was  assigned  to  duty  with  the 
troops  about  to  take  the  field.  We  left  Fort  Leavenworth,  on  June  10th,  and  proceeded  to  Kansas  City,  where  we  went  into 
camp.  Our  forces  consisted  of  one  battery,  one  battalion  of  infantry,  and  one  squadron  of  regular  cavalry.  We  were  after 
ward  joined  by  two  regiments  of  infantry,  the  1st  and  2d  Kansas  Volunteers;  the  whole  being  under  the  command  of  Major 
S.  D.  Sturgis.  We  remained  in  camp  until  July  1st,  when  orders  were  received  to  join  General  N.  Lyon,  who  was  then  on  the 
way  to  Springfield,  Missouri.  We  broke  camp,  and  moving  rapidly  across  the  country  in  a  southeasterly  direction,  commu 
nicated  with  General  Lyon,  near  Papinsville,  on  the  right  bank  of  the  Osagc  River,  at  which  place  he  was  then  crossing,  after 
much  delay,  in  consequence  of  the  destruction  of  the  bridge.  The  combined  forces  then  took  up  the  line  of  march  for  Spring 
field,  whicli  place  was  then  held  by  a  small  force  under  Colonel  Franz  Sigel.  In  the  latter  part  of  July  the  expedition  joined 
Colonel  Sigel,  and  went  into  camp.  Nothing  of  interest  occurred  during  the  march ;  the  weather  was  good,  the  water  abundant, 
and  the  health  of  the  troops  excellent.  Our  forces,  under  the  command  of  General  Lyon,  now  amounted  to  an  effective  of 
about  five  thousand.  On  August  2d,  a  reconnaissance  was  ordered  by  General  Lyon,  and  our  men  proceeded  to  "  Dug  Spring,'' 
where  a  sharp  skirmish  ensued.  Our  loss  was  twelve  or  fourteen  killed,  and  about  forty  wounded.  The  wounded  were  sent 
to  Springfield.  The  loss  of  the  enemy  was  not  known.  Our  forces  then  returned  to  camp,  near  Springfield.  Typhoid  fever 
and  dysentery  having  made  their  appearance,  General  Lyon  ordered  Surgeon  E.  C.  Franklin,  U.  S.  V.,  to  establish  a  general 
hospital  in  the  village  for  the  benefit  of  the  forces  stationed  in  the  vicinity,  as  the  hospital  accommodations,  although  good,  were 
inadequate  for  the  increasing  number  of  sick.  The  unfinished  court  house  building  was  taken  for  the  purpose,  and  I  was 
assigned  to  duty  in  this  hospital.  We  had  scarcely  commenced  our  labors,  when  the  enemy,  in  large  force,  under  Generals 
Price,  McCulloch,  and  Rains,  moved  up  the  Fayetteville  road,  and  took  up  a  strong  position  along  Wilson's  Creek,  about 
five  cr  six  miles  from  the  village.  It  was  decided  to  attack  them,  and  our  column  moved  on  the  night  of  August  9th,  and  next 
morning  opened  fire  upon  the  enemy.  The  right  wing  was  commanded  by  Major  Sturgis,  the  left  by  Colonel  Sigel,  the  whole 
under  General  Lyon. 

This  battle  was  the  most  severe  and  well  contested  that  had  occurred  up  to  that  time  since  the  outbreak  of  the  rebellion  ; 
the  fight  raged  furiously  for  six  or  seven  hours  ;  General  Lyon  having  fallen,  the  command  was  taken  by  Colonel  Sigel.  About 
noon  the  fire  of  both  sides  slackened,  the  enemy  fell  back  a  mile,  and  our  forces  retreated  to  Springfield,  where  they  remained 
a  short  time,  and  then  fell  back  to  Rolla,  the  southwest  terminus  of  the  St.  Louis  Railroad.  We  succeeded  in  carrying  away 
everything  except  the  medicines,  hospital  stores,  and  supplies,  which  had  been  accumulating  at  Springfield  for  the  use  of  the 
general  hospital  at  that  place.  Our  dead  and  wounded  fell  into  the  hands  of  the  enemy.  Our  loss  was  estimated  at  two  hun 
dred  and  fifty  killed,  eight  hundred  wounded,  three  hundred  prisoners  and  missing;  or  a  total  of  thirteen  hundred  and  fifty. 
Thus,  after  a  six  hours'  fight,  our  casualties  amounted  to  the  high  figure  of  thirteen  hundred  and  fifty  out  of  the  small  force  of 
five  thousand.  I  was  ordered  by  Colonel  Sigel  to  remain  to  assist  in  taking  care  of  the  wounded.  Our  column  having  retreated 
towards  Rolla,  the  enemy  came  in  about  day-break  and  took  possession  of  the  village,  and  immediately  proceeded  to  appropriate 
everything  that  was  deemed  by  them  necessary,  either  for  their  comfort  or  convenience,  and  we  were  consequently  left  without 
many  articles  for  the  benefit  of  the  wounded  under  our  charge.  Our  supplies  of  medicines,  hospital  stores,  &c.,  were  taken, 
and  but  little  to  work  with  was  left  us.  The  wounded  were  brought  from  the  field  in  wagons,  carriages,  ambulances,  litters,  and, 
in  fact,  every  kind  of  conveyance  which  could  be  brought  into  requisition.  Our  ambulances  were  few,  and  it  occupied  five  or 
six  days  before  they  were  all  brought  in,  as,  after  the  enemy  arrived,  they  took  all  the  means  of  transportation  that  could  be 
found  in  tin;  neighborhood.  The?  fire  to  which  our  men  were  exposed  was  principally  from  musketry  at  very  short  range,  the 
artillery  doing  but  little  execution.  The  Confederates  used  the  minie  rifle,  while  the  Missouri  State  Guards,  and  other  irregular 
troops,  were  armed  with  smooth-bore  muskets,  western  rifles,  and  double  barrel  shot  guns  ;  this  last  being  very  effective  at  short 
range.  In  consequence  of  the  severity  of  the  engagement  and  the  constant  changing  of  position  by  the  troops,  no  operations 
were  performed  on  the  field  as  far  as  I  could  learn  or  observe.  Primary  dressings  were  applied  and  the  wounded  were  sent  to  the 
village.  With  regard  to  supplies,  I  would  here  remark  that  nothing  was  furnished  us  hy  the  Confederates.  We  purchased 
everything  for  the  use  of  our  own  wounded,  for  whom  we  had  an  abundance;  only  medicines  being  deficient,  most  of  the  hospital 
stores,  dressings,  etc.,  being  appropriated  by  the  Confederates  for  their  own  wounded,  we  being  allowed  the  privilege  of  using 
only  such  as  would  not  benefit  them.  I  have  said  that  the  number  of  our  wounded  was  eight  hundred  ;  although,  in  conse 
quence  of  the  great  confusion  incident  to  the  enemy  taking  possession  of  the  village,  it  was  extremely  difficult  to  keep  anything 
in  order,  or  to  he  exact  as  regards  numbers.  The  churches,  hotels,  court  house,  and  nearly  all  of  the  private  dwellings  were 
tilled  with  wounded  of  both  sides.  It,  therefore,  required  several  davs  before  we  could  arrange  the  patients  with  any  degree  of 
comfort,  but  we  finally  succeeded  in  bringing  partia^  order  out  of  utter  chaos.  Tim  sum  of  $'>,()()(),  turned  over  tor  the 
use  of  the  wounded,  enabled  us  to  procure  every  comfort  that  could  be  purchased  in  that  part  of  the  country.  The  operations 
were  mainly  secondary.  The  mortality  was  very  great  in  cases  of  amputations  for  compound  comminuted  fracture  of  the  femur  ; 
better  success  being  mot  with  by  using  splints  and  other  appliances  adapted  to  the  nature  of  the  cases.  The  cases  requiring 
amputation  for  wounds  of  the  upper  extremities  and  leg  all  did  well ;  the  number  of  cases  treated  I  am  unable  to  give  at  this 


16 


APPENDED    DOCUMENTS — WILSON'S    CREEK. 


late  dav.  The  anaesthetic  we  employed  in  all  cases  was  chloroform,  from  which  I  did  not  observe  a  single  untoward  symptom  ; 
it  was  the  only  agent  of  its  class  that  we  had.  But  one  case  of  tetanus  occurred,  and  this  supervened  upon  a  very  slight  wound 
about  ten  days  after  the  receipt  of  the  injury.  Death  followed  in  forty  hours.  This  was  the  only  case  of  tetanus  that  came 
under  niv  notice,  nor  do  I  recollect  of  any  other  being  reported.  In  the  case  referred  to  above,  the  injury  was  so  slight  as  to 
he  called  rather  an  abrasion  than  a  wound.  The  ordinary  duties  incumbent  upon  surgeons  were  attended  to,  and  nothing  of 
interest  transpired.  Of  the  whole  number  of  deaths  I  am  ignorant,  as  patients  were  visited  by  other  surgeons  in  various 
parts  of  the  village,  and  no  record  was  kept  by  them,  owing  to  the  unsettled  condition  of  affairs.  On  September  20th,  a  flag  of 
truce  was  sent  from  Rolla.  by  Colonel  Wyman,  13th  Illinois  Volunteers,  when  I  left  Springfield,  with  about  fifty  patients  who 
were  able  to  travel.  After  many  interruptions  from  roaming  bands  of  Confederates,  we  arrived  safely  at  Kolla.  Remaining  a 
few  days,  I  proceeded  to  St.  Louis,  Missouri,  at  which  place  I  reported  to  the  medical  director,  who  had  the  men  placed  in 
hospital  in  that  city.''1 

[Other  extracts  from  Assistant  Surgeon  Davis's  report  will  be  printed  in  connection  with  documents  relating  to  the 
Peninsular  campaign,  Antietam,  and  Fredericksburg.] 


XX.  Extracts  from  Observations  on  the  Battle  of  Wilson's  Creek.    By  Assistant  Surgeon  H.  M. 
SPBAGUE,  U.  S.  Army. 

:  "This  engagement  was  fought  nine  miles  south  of  Springfield,  Missouri,  on  August  10th,  1861,  between  the 
United  States  forces  under  Brigadier  General  Nathaniel  Lyon,  U.  S.  V.,  and  the  enemy  under  General  Ben.  McCullocli.  * 
The  sanitary  condition  of  the  troops  was  excellent.  None  of  the  regulars  had  been  seriously  sick.  Surgeon  E.  C.  Franklin, 
I'.  S.  V.,  in  charge  of  the  general  hospital  at  Springfield,  had  received  medical  supplies  for  five  thousand  men  for  three  months, 
and  had  distributed  among  the  regiments  what  they  needed.  Of  instruments,  1  am  inclined  to  think  there  was  a  lack.  The 
limited  time  given  to  the  different  regiments  to  prepare  themselves  for  the  fight,  and  the  small  supply  of  the  purveyor  at  St. 
Louis  at  the  time  the  regiments  were  organized,  forced  each  surgeon  to  rely  on  his  private  instruments.  But  if  any  regiments 
lacked  medicines  and  medical  stores,  it  was  through  the  inefficiency  of  the  medical  officers.  Of  ambulances,  there  were  but  two 
in  the  command.  These  were  large  spring  wagons  drawn  by  six  mules.  It  was  only  at  the  earnest  solicitation  of  Major  Sturgis, 
that  even  these  were  allowed  to  move  with  the  troops,  so  great  was  the  fear  of  General  Lyon  that  the  rumbling  of  teams  might 
give  notice  to  the  enemy  of  our  approach.  Of  the  names  and  efficiency  of  the  medical  officers  it  is  difficult  to  speak, 

as  few  were  personally  known  to  me.  Assistant  Surgeon  S.  H.  Melcher,  U.  S.  V.,  was  on  the  field,  and  was  said  to  have  been 
very  active.  The  2d  Kansas  was  represented  by  Assistant  Surgeon  Patee,  the  surgeon  being  sick  at  the  time.  Drs.  Cornyn 
and  Feehan,  both  efficient  and  able  men,  were  with  the  1st  Missouri  Regiment.  Acting  Assistant  Surgeon  Lyon  was  on  duty 
with  .Major  Ostcrhaus's  battalion,  and  was  said  to  have  been  quite  inefficient.  Of  the  regular  staff,  there  were  on  the  field, 
Assistant  Surgeon  P.  V.  Schem-k,  and  myself;  Assistant  Surgeon  P.  C.  Davis,  U.  S.  A.,  being  on  duty  in  the  general  hospital 
at  Springfield  An  imperfect  idea  of  the  ground  may  be  obtained  from  this  very  rough  sketch  of  the  field.  (FlG.  2.) 

General  Lyon's  forces,  early  in  the  fight,  were  divided 
into  two  columns:  the  larger  at  A,  and  the  battalion  of 
regulars,  under  Captain  Plummer,  at  B.  The  latter  were 
repulsed  early  in  the  fight.  As  many  of  the  wounded 
as  could  walk  came  across  the  open  field,  and  were  cared 
for  at  a  ravine  back  of  the  line  of  battle  at  A.  at  a  point 
indicated  by  a  flag.  Colonel  Sigel's  wounded  were  left 
on  the  field,  and  \\ere  brought  in  during  the  night  fol 
lowing  the  battle.  The  attention  shown  the  wounded 
was  good,  but  not  specially  praiseworthy.  The  only 
medical  officer  that  I  knew  to  be  actually  on  the  field  of 
battle,  was  Surgeon  Cornyn,  1st  Missouri  Volunteers. 
Assistant  Surgeon  Patee  and  myself  were  at  the  hospital 
station  in  the  ravine.  The  supply  of  water  was  abundant, 
a  large  stream  running  through  the  valley.  There  were 
no  subsistence  supplies  except  the  cooked  rations  in  the 
haversacks  of  the  men.  The  fire  was  from  musketry 
::nd  artillery  at  long  range.  :  Most  of  the  wounded 

were  removed  to  Springfield.  About  two  hundred  were 
carried  along  with  the  troops  in  their  retreat,  and  were 
sent  to  hospitals  at  St.  Louis.  Not  only  the  slightly 
wounded,  hut  those  with  compound  fractures,  wounds 
through  the  chest  andtestes,  were  conveyed  on  baggage 
wagons,  caissons,  and  the  six-mule  spring  wagons. 
Through  a  fiag  of  truce,  an  arrangement  was  made  to 
remove  all  of  the  wounded  who  could  be  moved  between 
half-past  eleven  A.  M.,  the  day  of  the  fight,  and  midnight. 
Most  of  them  were  provided  for  before  the  truce  expired.  FK;.  2.— Map  of  the  Vicinity  of  Sj,rine-fiold,  Missouri,  with  the  Positions  of 

No  operations  were  performed  on  the  field  beyond     '  r""|1K  ut  "'"  Acti""  of  AuguJt  1mh'  18<il" 

st i  action  of  balls.     At  no  time,  during  the  engagement,  was  the  situation  of  the  ambulances  considered  safe.     The  enemy's 
ralry  were  continually  threatening  our  rear.     No  one  acted  as  medical   director,  and  there  was  no  drilled  ambulance  corps, 


REPORTS    OF    MEDICAL    OFFICERS.  17 

and  the  wounded  were  not  systematically  carried  from  the  field.  The  severely  wounded  could  only  be  moved  on  stretchers, 
and  were  not  carried  off  until  after  the  engagement.  Those  brought  to  the  hospital  stationed  in  the  rear,  were  wounded  in  the 
upper  extremities,  or  had  flesh  wounds  of  the  lower.  There  were  about  twelve  hundred  killed  and  wounded,  and  few  prisoners 
except  the  wounded.  The  percentage  of  casualties  was  very  large.  General  Lyon's  command,  excluding  Colonel  Sigel's, 
probably  did  not  number  more  than  twenty-seven  or  twenty-eight  hundred.  Colonel  Sigel's  loss,  in  killed  and  wounded, 
amounted  to  only  thirty-five ;  so  that  in  a  force  of  less  than  three  thousand,  eleven  hundred  and  seventy-five,  or  nearly  forty 
per  cent,  of  the  men  engaged,  were  wounded.  Taking  into  consideration  the  facts  that  the  skirmishing  commenced  at  half-past 
five  in  the  morning,  the  battle  proper  opening  at  eight,  and  closing  at  half-past  eleven,  the  casualties  are  very  numerous,  and 
speak  volumes  in  praise  of  officers  and  men.  The  great  want  in  the  medical  department  was  a  head.  There  was  no  medical 
director.  The  regiments  had  no  community  of  action  or  feeling.  Had  the  commanding  general  designated  an  officer  Of  rank 
as  his  medical  director,  there  could  have  been  no  reason  why  nine-tenths  of  the  wounded  could  not  have  been  cared  for  and 
sent  to  general  hospital  by  the  time  our  forces  retreated." 


XXL    Extract  from  a  Report  in  regard  to  the   Operations  of  the  Medical  Department  in  the 
Action  at  Wilson's  Creek.     By  Surgeon  E.  C.  FRANKLIN,  IT.  S.  Volunteers. 

"I  transmit  the  following  information  relative  to  the  engagement  at  Wilson's  Creek,  Missouri,  August  10th, 
1861.     '  The  troops  engaged  were  the  1st,  3d,  and  5th  Missouri  Infantry,  the  1st  and  2d  Kansas,  detachments  of  regular 

and  volunteer  artillery  and  cavalry,  one  company  of  "  home  guards ;"  about  four  thousand  five  hundred  men  in  the  aggregate, 
one  thousand  of  whom  were  under  command  of  Acting  Brig.  Gen.  F.  Sigel,  U.  S.  V.  Medical  supplies,  at  the  period  of  the 
battle,  were  abundant.  Ambulances  and  hospital  tents  were  scarce.  The  medical  officers  present  were  :  Surgeon  F.  M.  Cornyn, 
and  Assistant  Surgeon  Feehan,  1st  Missouri  Volunteers;  Surgeon  F.  Heussler,  and  Assistant  Surgeon  Charles  Ludwig,  3d  Mis 
souri  Volunteers ;  Surgeon  E.  C.  Franklin,  and  Assistant  Surgeon  S.  H.  Melcher,  5th  Missouri  Volunteers ;  Surgeon  S.  D. 
Smith,  and  Assistant  Surgeon  Patee,  1st  Kansas  Volunteers ;  Surgeon  A.  B.  Massey,  and  a  German  assistant  surgeon  of  the 
2d  Kansas  Volunteers;  Surgeon  W.  H.  White,  and  Assistant  Surgeon  Reichenbach,  1st  Iowa  Volunteers;  Assista7it  Surgeons 
P.  V.  Schenck,  H.  M.  Sprague,  and  P.  C.  Davis,  of  the  regular  army ;  and  Acting  Assistant  Surgeon  G.  D.  Lyon.  The  fire 
was  from  artillery  at  long  and  short  range,  and  from  rifled  and  smooth-bore  muskets.  Most  of  the  wounded  were  conveyed  to 
Springfield.  They  received  as  good  attention  on  the  field  as  was  possible  under  the  circumstances.  There  were  no 

primary  resections  on  the  field,  and,  I  think,  no  amputations;  but  quite  a  large  number  of  operations  of  all  kinds  in  the  hospitals 
at  Springfield." 


XXII.      Extracts  from  a  Report  on  the  Regimental  Hospital  of  the  22<#  Iowa  Volunteers 
at   Wilson's  Creek.     By  Surgeon  W.  II.  WHITE,  22d  Iowa  Volunteers. 

*  "As  to  the  condition  of  medical  supplies,  ambulances,  and  hospital  tents,  the  1st  Iowa  Volunteers  will  furnish 
a  fair  specimen.  Our  medical  supplies  consisted  of  a  few  drugs,  stored  away  in  a  dry-goods  box.  My  instruments  were  good, 
as  I  had  my  own  general  operating  and  pocket  cases.  My  transportation  for  the  wounded  consisted  of  a  single  wagon.  I  had 
no  hospital  tents.  I  partially  supplied  the  deficiency  by  giving  up  my  own  wall  tent.  Personally,  I  was  without  assistance, 
my  assistant  surgeon  being  inefficient,  and  I  was  so  closely  confined  to  the  wounded  of  my  own  regiment  that  I  had  little 
contact  with  other  members  of  the  medical  staff.  ;  On  the  field,  I  was  on  the  descending  ground  back  of  the  line  of  battle 

of  the  1st  Iowa  Volunteers.  The  wounded  men  were  brought  back  to  me  by  their  comrades.  I  had  them  placed  in  three  divisions, 
forming  a  triangle,  and  I  passed  from  one  to  another,  simply  stopping  to  check  haemorrhage,  or  to  .apply  primary  dressings. 
Sometimes  I  used  digital  compression,  and,  in  other  cases,  1  used  a  tight  bandage,  and  placed  over  the  course  of  the  feeding 
artery  a  small  roller  or  pebble.  By  an  order  from  Major  Schofield,  I  removed  most  of  the  wounded,  a  half  an  hour  before  the 
battle  terminated,  to  a  ravine.  Here  I  hud  to  reapply  the  temporary  dressings.  From  this  place  they  were  removed  by 
commissary  wagons  to  Springfield,  and  were  placed  in  a  large  brick  hotel,  a  church,  and  two  private  houses.  I  made  two 
amputations,  and  extracted  many  balls.  Nine  men  of  the  1st  Iowa  Volunteers  received  balls  in  the  shoulder.  I  was  strongly 
urged  to  amputate,  but  refused.  In  time,  all  of  these  men  recovered.'' 


XXIII.   Extracts  from  a  Report  of  his  Services  at  the  Battle  of  Wilson's  Creek.     By  Assistant 
Surgeon  S.  H.  MEI.CHER,  5th  Missouri  Volunteers. 

'•The  Third  and  Fifth  Missouri  Volunteers,  with  two  companies  of  artillery  recently  organized,  had  marched 
from  Rolla  to  Carthage,  by  way  of  Neosho.  in  eighteen  days.  The  distance  was  over  two  hundred  miles.  On  one  day,  not  less 
than  twenty  men  fell,  sun-struck,  on  the  road.  In  the  streets  of  Carthage,  on  July  4th,  1861,  six  men  were  sun-struck,  and  had 
grave  cerebral  symptoms.  The  Fifth  Missouri  Volunteers  had  no  medical  supplies.  I  furnished  all  the  medicines  and  instru 
ments,  procured  wagons  on  the  road  for  the  sick,  and  treated  one  hundred  and  eighty-five  patients  without  aid  from  the  army 


]3  'APPENDED  DOCUMENTS BELMONT. 

medical  department,  at  Mount  Vernon.  I  received  a  small  supply  of  medicines  from  Surgeon  E.  C.  Franklin,  U.  S.  V.  *  * 
The  wounded  were  sent  to  the  rear  in  wagons  as  the  fight  progressed.  The  attendance  they  received  was  trifling,  consisting  of 
water  dressings  or  adhesive  plasters.  Surgeon  Heussler,  Third  Missouri  Volunteers,  sent  one  of  his  stewards,  early  in  the 
action,  to  the  front  with  his  amputating  case,  which  was  captured,  thus  depriving  the  command  of  the  few  surgical  instruments 
there  were.  For  the  first  two  hours  the  fire  was  from  artillery,  and  at  long  range.  Two  men  were  killed  by  spent  solid  shot 
striking  the  abdomen.  One  was  in  great  agony,  with  excessive  tumefaction,  for  four  hours.  The  other  lived  twenty  hours  in 
great  pain.  There  was  no  abrasion  of  the  skin  in  these  cases.  On  the  retreat,  the  fire  was  from  small  arms  and  artillery  com 
bined.  The  wounded  were  taken  to  the  general  hospital  at  Springfield.  There  were  no  resections  on  the  field,  and  but  one 
amputation,  which  was  of  the  arm,  for  fracture  of  the  elbow.  In  a  case  of  fracture  of  the  right  humerus  by  a  minie  ball,  I 
removed  spiculse  and  used  splints.  The  arm  recovered,  one  inch  short,  and  the  patient  is  now  in  Company  L,  First  Missouri 
Artillery.  The  injured  arm  is  as  useful  as  the  other.  '  There  were  plenty  of  secondary  amputations  in  the  hospital.  All 

above  the  knee  resulted  fatally,  from  secondary  haemorrhage  or  typhoid  fever.  There  were  twelve  cases  of  compound  fracture 
of  the  femur.  All  but  two  resulted  fatally.  Some  were  amputated;  others  were  treated  with  splints,  generally  arranged  as 
double  inclined  planes.  I  treated  two  cases  with  Liston's  straight  splint.  Both  of  the  patients  are  living.  Michael  Sullivan, 
First  Missouri,  is  now  [February  10th,  1803]  in  St.  Louis.  The  other,  Private  John  O'Brien,  First  U.  S.  Infantry,  is  at  the 
Marine  Hospital,  St.  Louis,  and  can  walk  about.  He  has  two  inches  shortening.  Sullivan  has  about  three  quarters  of  an  inch 
shortening.  The  Hies  were  exceedingly  troublesome  after  the  battle,  maggots  forming  in  the  wounds  in  less  than  an 

hour  after  dressing  them,  and  also  upon  any  clothing  or  bedding  soiled  by  blood  or  pus.  The  wounded  left  on  the  field  in  the 
enemy's  hands  were  swarming  with  maggots  when  brought  in.  After  several  ineffectual  attempts  to  extirpate  these  pests, 
I  succeeded  perfectly  by  sprinkling  calomel  freely  over  the  wounded  surfaces.  When  the  sloughs  separated,  clean  granulating 
surfaces  were  presented,  and  by  using  balsam  of  copaiba  as  a  dressing,  smearing  the  bandages  with  this  oleo-resin,  I  could  keep 
the  wounds  free  from  maggots.  For  this  purpose  it  is,  in  my  opinion,  one  of  the  most  valuable  agents  supplied  by  the  medical 
department.  Surgeon  E.  C.  Franklin,  U.  S.  V.,  had  charge  of  the  hospital  at  Springfield.  On  the  night  of  the  retreat  he  was 
ordered  to  remain,  with  Surgeon  S.  D.  Smith,  1st  Kansas  Volunteers,  Assistant  Surgeon  P.  C.  Davis,  U.  S.  Arniy,  and  Assistant 
Surgeon  S.  H.  Melcher,  U.  S.  Volunteers,  as  assistants.  On  September  7th,  Surgeon  Franklin  left  us,  and  on  September  20th, 
Surgeon  Smith,  and  Assistant  Surgeon  Davis,  left.  I  remained  with  two  hundred  and  nine  wounded  and  sick,  and,  with  help 
obtained  from  convalescents,  they  were  made  very  comfortable.  During  October,  I  sent  one  hundred  and  fifty  of  these  patients 
to  Kolla.  On  November  llth,  in  obedience  to  an  order  from  General  Sigel,  I  started  with  the  remaining  wounded,  all  of  whom 
arrived  safely  in  St.  Louis  on  November  19th.  The  history  of  the  Springfield  general  hospital  from  that  time  till  about  the 
middle  of  February,  1862,  cannot  readily  be  obtained,  the  town  having  been  occupied  by  the  rebels,  until  they  were  driven  out 
at  that  date  by  the  forces  under  General  Curtis." 


XXIV.  Account  of  the  Operations  of  the  Medical  Department  at  the  Battle  of  Belmont, 
Missouri.  By  Surgeon  JOHN  H.  BRINTON,  U.  S.  Y.,  Medical  Director  of  the  Troops  under 
General  Grant,  stationed  in  the  District  of  Cairo  and  its  Dependencies. 

'•The  battle  of  Belmont  was  fought  on  the  7th  of  November,  1851.  The  national  forces  engaged  consisted  of  Illinois  and 
Iowa  troops,  and  amounted,  in  the  aggregate,  to  about  twenty-nine  hundred  men  of  all  arms.  The  expedition  started  from 
Cairo  on  the  afternoon  of  the  6th  of  November,  and  proceeded  down  the  Mississippi  in  transports.  During  the  night  the  boats 
laid  to  on  the  Kentucky  shore,  eight  or  ten  miles  above  Columbus.  This  was  done  for  the  purpose  of  deceiving  the  enemy,  and 
leading  him  to  the  belief  that  the  fortifications  of  Columbus  were  the  threatened  points.  Early  on  the  following  morning  the 
boats  crossed  to  the  Missouri  side  of  the  river,  and  the  troops  debarked  at  a  point  three  miles  distant  from  the  enemy's  camp 
at  Belmont,  The  latter  place  was  directly  opposite  to  the  town  of  Columbus,  and  was  commanded  and  protected  by  numerous 
heavy  guns,  planted  on  the  high  bluffs  of  the  Kentucky  bank  of  the  Mississippi.  As  soon  us  the  light  batteries  were  landed, 
the  troops  moved  forward,  skirmishers  being  thrown  to  the  front  to  feel  the  enemy's  position. 

In  a  very  few  minutes,  his  pickets  were  driven  in,  and  the  engagement  became  general.  The  wounded  shortly  began  to 
appear  in  the  rear,  and  to  gather  around  the  hospital  stations.  The  advance  of  the  national  troops  was  steadily  pushed  on,  and 
the  enemy  were  driven  from  tree  to  tree,  from  behind  the  bushes,  and  across  the  corn  fields,  until  their  camp  at  Belmont  was 
reached,  when  they  sought  the  cover  of  the  river  bank.  It  was  in  dislodging  the  enemy  from  the  rolling  corn  fields  that  the 
chief  loss  was  sustained.  The  standing  corn  screened  him  perfectly  from  the  observation  of  the  national  troops  as  they  ascended 
the  cleared  slopes  to  the  attack,  whilst  the  latter  presented  a  target  against  which  every  shot  told ;  at  the  same  time  the  enemy 
opened,  with  fearful  execution,  from  his  batteries  planted  on  the  ridges.  A  subsequent  observation  of  the  fallen  on  the  hill  side 
revealed  numerous  bodi.-s  of  men  who  had  been  slain  by  round  shot,  grape,  and  canister.  As  soon  as  the  enemy  were  driven 
from  their  camp,  it  was  immediately  fired  and  destroyed,  by  order  of  General  Grant.  Three  of  their  guns  were  here  captured, 
one  of  which  was  spiked,  and  the  others  drawn  off.  During  the  conflagration  of  the  camp,  and  when  the  scattered  troops  of  the 
enemy  had  found  .shelter  under  the  river  bank,  the  heavy  guns  mounted  on  the  Kentucky  bluffs  above  Columbus,  opened  their 
Every  foot  of  the  low  plain  of  Belmont  was  commanded  by  these  batteries;  but,  fortunately,  the  necessary  depression  of 
the  guns  was  not  obtained,  and  tin-  shot  and  bursting  shells  passed  high  above  the  heads  of  the  national  troops',  doing  little  or 
no  damage. 

One  of  the  objects  of  the  expedition,  the  destruction  of  the  camp,  having  thus  been  completely  accomplished,  the  General 

nmanding  directed  his  forces  to  full  back  toward  their  transports,  and  to  re-embark.     In  the  meantime,  an  attempt  had  been 

e  enemy  to  land  a  large  force  in  General  Grant's  rear,  and  thus  to  cut  him  off  from  his  boats.     The  backward  path 

,-as.  consequently,  the  scene  of  fierce  conflict;  but  General  Grant  finally  succeeded  in  reaching  his  transports,  which  lay  at  the 


REPORT    OF  MEDICAL    DIRECTOR    BRINTON. 


19 


original  landing,  under  the  protection  of  the  gunboats  Tyler  and  Lexington.  In  attempting  to  prevent  and  embarrass  the 
embarkation,  a  few  battalions  of  the  enemy  unwarily  exposed  themselves  to  the  fire  of  the  gunboats  at  a  distance  of  not  more 
than  two  or  three  hundred  yards;  the  resulting  carnage  is  reported  to  have  been  terrible.  The  expeditionary  force,  having 
been  safely  put  on  the  transports,  returned  in  the  night  to  Cairo. 

The  resources  of  the  medical  department  during  this  battle  were  limited.  The  enterprise  had  been  hastily  undertaken, 
and  the  water  transportation  was  insufficient  for  the  carriage  of  wagons.  Not  one  ambulance  or  spring  wagon  of  any  description 
was,  at  that  time,  in  the  possession  or  at  the  command  of  the  author,  the  medical  director  of  the  expedition.  In  fact,  the  medical 
officers  of  the  troops  stationed  at  Cairo  did  not,  until  a  period  long  subsequent  to  the  battle  of  Belmont,  receive  from  the  quar 
termaster's  department  a  single  vehicle  suitable  for  the  transportation  of  invalids.  The  want  of  the  essential  facilities  for  the 
removal  of  wounded  was,  in  this  action,  most  severely  felt,  and  caused  many  of  the  injured,  especially  those  who  had  been  hurt 
in  the  body  or  lower  extremities,  to  fall  into  the  hands  of  the  enemy.  Two  or  three  road  wagons,  obtained  from  the  quarter 
master's  train,  were  the  only  vehicles  for  conveyance  of  the  wounded  to  the  rear.  In  many  cases,  the  injured,  unable  to  walk, 
were  placed  on  the  horses  of  the  medical  officers,  and  thus  sent  back  to  the  boats. 

A  sufficient  medical  force  had  been  left  on  the  river  bank,  near  the  transports,  to  administer  to  the  surgical  necessities  of 
those  wounded  who  might  arrive  there.  A  hospital  had  also  been  established  at  a  small  house  on  the  edge  of  a  wood  on  the 
line  of  advance.  Surgeon  Bowman,  27th  Illinois  Volunteers,  and  Surgeon  A.  Witter,  7th  Iowa  Volunteers,  were  placed  in  charge. 
These  gentlemen  discharged  their  duty  zealously;  and,  although  the  hospital  subsequently  fell  into  the  enemy's  possession, 
they  succeeded  in  transporting  to  the  boats  nearly  all  of  the  wounded  under  their  care.  All  those  injured  during  the  advance 
of  our  troops  from  the  landing  place  towards  Belmont,  were  removed  in  time  to  the  boats.  Unfortunately,  it  was  not  so  with 
those  who  were  hit  on  the  retreat.  Efforts. were  made  by  the  author  to  carry  away  as  many  as  possible  by  emptying  ammuni 
tion  wagons  and  filling  them  with  the  disabled;  but  the  number  so  conveyed  was  necessarily  limited.  Undoubtedly,  most  of 
those  who  fell  on  the  backward  march  were  abandoned.  The  fighting  occurred  in  the  woods  and  amongst  thick  bushes,  so  that 
the  loss  of  the  men  could  not,  at  the  time,  be  readily  discerned.  Had  the  medical  officers  been  well  supplied  with  ambulance 
wagons,  the  abandonment  of  the  wounded,  a  most  mortifying  circumstance,  might  have  been  obviated. 

The  entire  national  force  engaged  in  this  action  numbered  somewhat  less  than  twenty-nine  hundred  men,  of  these  eighty 
were  killed,  and  about  three  hundred  and  fifty  wounded.  Of  these  latter,  the  injuries  of  about  forty  were  so  slight  as  not  to 
require  surgical  mention.  These  casualties,  as  reported,  were  distributed  as  follows: 


COMMAND. 

KILLED. 

WOUNDED. 

27th  Illinois  Volunteers                 .             

11 

47 

30th       "               "                                                          

9 

27 

31gt       "              "                         .                   ...                                                                     

10 

70 

22d        "              "                                 

23 

74 

7th  Iowa                         

26 

93 

Cavalry  and  Artillery                   

1 

11 

TOTAL  

80 

322 

There  were,  therefore,  in  all,  eighty  killed  and  three  hundred  and  twenty-two  wounded.  The  number  of  missing  was 
fifty-four.  The  total  number  of  killed,  wounded,  and  missing  forming  thus  a  little  more  than  fifteen  per  cent,  of  the  entire 
force  engaged. 

On  the  return  of  the  expedition  to  Cairo,  the  wounded  were  properly  cared  for.  Ninety-eight  were  conveyed  to  the 
depot  hospital,  under  the  charge  of  Surgeon  W.  R.  Burke,  U.  S.  V.,  and  one  hundred  and  twenty  were  received  into  their 
respective  regimental  hospitals.  The  wounded  unavoidably  left  on  the  field,  and  captured  by  the  enemy,  were  all  subsequently 
exchanged,  and  brought  to  Cairo  from  Columbus,  on  November  13th,  under  a  flag  of  truce.  Of  these,  one  hundred  and  three 
were  conveyed  to  the  Mound  City  hospital,  in  charge  of  Brigade  Surgeon  E.  C.  Franklin,  U.  S.  V.  Most  of  these  cases  had 
been  very  severely  injured,  and  had  lain  for  many  hours  uncared  for  on  the  field,  before  being  removed.  They  had  been 
partially  stripped  by  the  enemy,  and  had  suffered  much  from  exposure  and  hunger.  Little  attention  had  been  paid,  during 
their  stay  in  Columbus,  to  the  dressing  of  their  wounds,  and  the  operations  which  had  been  performed  reflected  but  slight 
credit  on  the  enemy's  surgeons. 


20 


APPENDED  DOCUMENTS BELMONT. 


In  the  accompanying  tables  a  concise  view  is  presented  of  the  nature,  treatment,  and  results  of  three  hundred  and 
twenty  cases  of  gunshot'wounds,  admitted  into  the  hospitals  of  Cairo  and  its  vicinity  immediately  after  the  battle  of  Belmont. 
The  surgical  operations  and  their  results,  are  also  exhibited  in  tabular  form.  By  reference  to  these  tables,  it  will  be  seen  that 
out  of  three  hundred  and  twenty  cases  of  wounded  reported  in  this  action,  thirty-five  died  subsequently  of  their  wounds,  in 
hospital,  while  two  hundred  and  eighty-five  recovered;  of  the  thirty-five  deaths,  five  occurred  after  operation: 

Tabular  Statement  of  Gunshot   Fractures,  received  at  the  Battle  of  Belmont,  Missouri,  and 
treated  in  Hospitals  at  Cairo,  Illinois,  and  its  Vicinity. 


£ 

FlfACTL'RKS   OK  — 

o 

£ 

,0 

£ 
1 

TREATMENT. 

RESULT. 

o 
WHKRK  TREATED.                        '•£ 

1         -i 
£-         3 
5          x 
^         H 
>>         >* 

«       PQ 

By  Simple  Dress 
ing. 

Recovered. 

T3 

V 

Q 

In  Quarters  

1 
1 
1 

1 
1 

1 
1 

1 

1 
1 
2 

2 

1 

1 

j 

Denot,  Hosnital.  Cairo... 

Parietal  Bone                                          1           Tfpmmpnt.nl  Hosnital      -              .                             

Do.             do  

1 
2 
1 
3 
4 
2 
6 
1 
1 
1 

(  Upper  Third                                          2 

Mound  Citv  General  Hospital  1      

'£ 

§   \  Middle  Third                                           1 

Depot  Hospital  .......        1      

\  Lower  Third  3 

Mound  City  General  Hospital  

3 
1 

2 

r 
«_i 

i 

i 

S 
I      ""......                             4 

Depot  Hospital   ..                 '3ci    

Ulna  2 

Regimental  Hospital  .     

Hand  ...                      6 

Do.             do.       .                        .                  1      

Clavicle  1 

Mound  City  General  Hospital          .          

"       1 

Depot  Hospital 

Scapula  1 

["Upper  Third  

Middle  Third  3 

\ 

3 

2 

K            n            it                                                   -, 
jj                                  1 

Regimental  Hospital                                          Ic 

~     Lower  Third  .  .                                      2 

Mound  Citv  General  Hospital                          '£d 

"    1 

Depot  Hospital 

1 

2 

\ 

1 

1 
2 

1 

1,  Point  of  fracture  not  stated  2 
Upper  Third  !       1 

Mound  Citv  General  Hospital 

1 
1 
2 
2 
1 

1             Reonrnpntftl  TTnsnitnl 

w  \  Middle  Third  3 

Do.            do                                                2e 

H^ 

Lower  Third  3 

Depot  Hospital                                                   If 

Consecutive  operations  j       1 

Enemy's  Surgeon                                                  1 

TOTAL  43 

-!•>                    1 

29 

32 

11 

NOTES.— a  Two  at  middle  third  of  arm;  one  at  lower  third  of  arm.  b  Partial,  r  Upper  third  of  thigh,  d  One  at 
middle  third  of  thigh  ;  one  at  upper  third,  e  One  amputation  of  lower  third  of  thigh  ;  one  amputation  of  upper  third  of  thigh. 
f  Died. 


REPORT    OF  MEDICAL    DIRECTOR    BRINTON. 


21 


Tabular  Statement  of  Wounds  of  Joints,  received  at  the  Battle  of  JBelmont,  Missouri,  and 
treated  in  Hospital  at  Cairo,  Illinois,  and  its  Vicinity. 


JOINTS. 

Number  of  Cases. 

WHERE  TREATED. 

TREATMENT. 

RESULT. 

By  Amputation. 

By  Excision. 

A 

I 

Q 

if> 

s-- 

02 
& 

Recovered. 

i 

5 

Shoulder  Joint  

1 
1 
2 
1 
1 
1 
2 
3 
2 

14 

Depot  Hospital  

1 

i 
i 

i 
i 

Do.          do  

Regimental  Hospital  

la 

Elbow        do. 

Depot  Hospital  .... 

2 

2 
1 
1 

Do.          do. 

Regimental  Hospital  

1 
A 

1 

2 
3 
1 

Wrist         do  

Do.             do  

Do.          do. 

Mound  City  General  Hospital  

Depot  Hospital  

Ic 
3 
2 

Do.          do  

Mound  City  General  Hospital  

Ankle         do. 

Depot  Hospital  

16 

TOTAI  

3 

1 

10 

10 

4 

NOTES. — a  Patient  refused  to  be  operated  upon,     b  Syme's  amputation,     r  Penetrating  wound  of  joint,  without  fracture. 

Tabular  Statement  of  Miscellaneous  Wounds,  received  at  the  Battle  of  Belmont,  Missoum,  and 
treated  in  Hospital  at  Cairo,  Illinois,  and  its  Vicinity. 


TREATMENT. 

RESULT. 

LOCALITY  OF  INJURY. 

Cases. 

By  Simple 
Dressing. 

Recovered.   1        Died. 

Gunshot  wounds  of  Lung  

4 

4 

2                      2 

"            "         "  Intestines  

1 

1 

...   .                          1 

Other  wounds  of  Abdominal  Cavity  

4 

4 

1                       3 

Gunshot  flesh  wounds  of  Head  

28 

28 

26                      2 

"          "         "         "   Neck  

'2 

2 

2 

"   Upper  Extremities  

71 

71 

71 

"         "         "Trunk  

35 

35 

32                      3 

"  External  Genitals 

1 

1 

1 

"  Lower  Extremities  

96 

96 

87                      9 

Contusions,  etc  

«> 

;{ 

3 

Miscellaneous  

18 

18 

18 

TOTAI  

263 

263 

243                    20 

1 

22 


APPENDED    DOCUMENTS BELMONT    AND    MILL    SPRING. 


Tabular  Statement  of  Operations  performed  and  their  Results,  after  the  Battle  of  Belmont, 
Missouri,  and  treated  in  Hospital  at  Cairo,  Illinois*  and  its  Vicinity. 


LIST  OF  OPERATIONS.                                 Cases. 

FOR  WHAT 
PERFORMED 

PERIOD  OF 
OPERATION. 

Secondary 
Operations. 

RESULT. 

Gunshot 
Wounds. 

Recovered. 

Died. 

W  AMPl'TATIONS. 

F' 

1 

7 
1 
1 
1 
3 
1 
1 

1 
7 
1 
1 
1 
3 
1 
1 

1 
7 

1 
1 

1 
3 
1 

\rm                     _...;             7 

Ankle  Joint  (Byrne's)         1 

f  Lower  Tliirtl             1 

TliK>h       <(  Middle  Third                           ...                 1 

^  Upper  Third         3 

(  Shoulder                      1 

SECTIONS.  < 

f  Scapula  (partial)  1 

1 

TOTAI  16 

16 

16                     11 

5 

In  all  of  these  operations  anaesthesia  was  previously  induced.  Washed  sulphuric  ether  was  the  agent  generally  employed, 
and  in  no  case  was  any  untoward  result  observed.  When  the  fact  is  considered  that  those  of  our  soldiers  who  were  wounded 
in  the  lower  extremities  underwent  considerable  privations  and  exposure,  and  were  subjected  to  much  rough  transportation,  the 
final  results  must  be  considered  as  exceedingly  favorable.  In  this  engagement  two  of  our  medical  officers,  Surgeon  Gordon, 
30th  Illinois  Volunteers,  and  Assistant  Surgeon  Whitenall,  31st  Illinois  Volunteers,  fell  into  the  hands  of  the  enemy.  They 
were  retained  and  treated  as  prisoners  of  war  for  many  months. 

On  the  10th  of  January,  an  expedition,  under  the  command  of  General  Grant,  left  Cairo,  and  passed  down  on  the 
opposite,  or  Kentucky  shore  of  the  Mississippi,  toward  Columbus.  No  attack  was,  however,  made;  the  movement  was  simply 
one  of  reconnaissance,  and  after  a  few  days  the  forces  returned  to  their  respective  camps  in  and  around  Cairo." 


XXV.  /Second  Extract  from  a  Narrative  of  Services  from  the  Commencement  of  the  Rebellion 
till  July  18*A,  1863.     By  Surgeon  H.  P.  STEARNS,  U.  S.  V. 

'  "  On  the  evening  previous  to  the  battle  of  Belmont,  November  6th,  1861,  I  received  orders  to  accompany  the 
first  and  second  brigades,  then  stationed  at  Bird's  Point,  Missouri,  upon  an  expedition,  the  destination  of  which  was,  at  that 
time,  unknown  to  me.  During  the  afternoon  and  evening,  the  forces  at  Cairo,  Illinois,  and  Bird's  Point,  were  embarked  upon 
steamers.  I  accompanied  Surgeon  J.  H.  Brinton,  U.  S.  V.,  medical  director  of  the  forces  under  General  Grant.  The  forces 
were  debarked  about  three  miles  above  Belmont,  Missouri,  upon  the  west  bank  of  the  Mississippi  river,  at  about  eight 
o'clock  in  the  morning  of  November  7th.  The  lines  were  formed,  and  the  forces  marched  towards  Belmont.  The  pickets  of 
the  enemy  were  encountered  about  one  and  a  half  miles  from  the  town,  and  quickly  driven  in.  Very  soon  afterwards,  the  enemy 
appeared  in  force,  and  the  battle  commenced  with  much  spirit  upon  both  sides.  As  I  was  engaged  in  providing  for  the  wounded, 
and  in  superintending  the  care  they  received  previous  to  sending  them  to  the  steamers,  I  am  unable  to  furnish  any  detailed 
account  of  the  action.  The  troops  appeared  to  be  in  excellent  spirits,  and  very  eager  to  meet  the  enemy.  Their  soldierly 
appearance,  neatness,  and  proficiency  in  field  manoeuvres  were  not  satisfactory  The  approximate  strength  of  our  troops  was 
twenty-eight  hundred.  There  were  no  hospital  stores,  or  ambulances.  There  was  a  sufficient  supply  of  morphine,  chloroform, 
instruments,  and  dressings.  The  wounded  were  attended  to  at  a  log  house,  about  one  mile  in  the  rear  of  Belmont.  All  that 
were  conveyed  to  this  place  were  well  cared  for,  and  after  their  wounds  were  dressed,  were  immediately  sent  to  the  steamers. 
There  was  abundance  of  water;  no  soup  and  no  food  except  such  as  the  men  had  in  their  knapsacks.  When  the  troops  left 
Belmont  to  again  return  to  the  steamers  they  were  in  danger  of  being  flanked  by  the  enemy,  and,  consequently,  some  of  the 
wounded  were  left  upon  the  field,  and  many  of  them  remained  till  the  next  day,  when  we  removed  them  under  a  flag  of  truce. 
There  was  no  rain,  and  the  night  was  not  cold.  The  wounded  were  removed  from  the  field  upon  wngons,  stretchers,  and 
blankets  fastened  to  poles  and  muskets.  The  action  lasted  about  two  hours  before  the  enemy  were  driven  from  their  encamp 
ment.  There  was  some  fighting  also,  by  detachments,  in  returning  to  the  steamers.  The  enemy  used  both  the  smooth  musket 
with  round  ball,  shot  guns  with  ball  and  buck  shot,  and  riHes  with  conoidal  ball.  Most  of  the  wounded  were  conveyed  by 
steamers  to  general  and  regimental  hospitals  at  Cairo,  Illinois,  during  the  night.  The  remainder  of  the  men,  severely  wounded, 
about  fifty  in  number,  were  conveyed  to  the  same  hospital  the  next  day.  Some  of  the  more  slightly  wounded  were  captured 
and  remained  prisoners  a  few  days  before  they  were  released.  I  performed  an  amputation  of  the  fore-arm  ;  also,  of  a  part  of  the 


REPORT    OF    MEDICAL    DIRECTOR    MURRAY. 


23 


hand,  and  two  amputations  of  fingers,  at  the  hospital  before  mentioned,  upon  the  field.  I  cannot  say  if  any  others  were 
performed  till  after  the  removal  of  the  wounded  to  Cairo,  Illinois.  A  number  of  balls  were  extracted,  and  all  wounds  were 
temporarily  dressed  before  the  patients  were  sent  to  the  steamers.  Chloroform  was  the  anaesthetic  employed.  No  deaths 
occurred  from  its  use.  Between  three  and  four  hundred  were  wounded." 


XXYI.     Reports  on  the  Battle  at  Mill  Spring,  Kentucky,  and  thz  Hospitals  at  Nashville, 
Tennessee.     By  Surgeon  ROBERT  MUKEAY,  U.  S.  Army,  Medical  Director  of  the  Department 

of  the  Ohio. 

HEADQUARTERS  DEPARTMENT  OF  THE  OHIO, 
MKDICAI,  DIRECTOR'S  OFFICK,  LOUISVILLE,  January  22d,  1862. 

Siu  :  I  have  the  honor  to  report  that  telegraphic  information  has  been  received  of  a  battle  between  General  G.  H. 
Thomas's  command,  and  General  F.  Zollicoffer's  forces,  at  Mill  Spring,  near  Somerset.  The  victory  of  General  Thomas  was 
complete.  Our  loss  was  thirty-nine  killed,  and  one  hundred  and  twenty-seven  wounded.  That  of  the  enemy  was  one  hundred 
and  fifteen  killed,  and  one  hundred  and  sixteen  wounded.  The  wounded  of  the  enemy,  together  with  a  large  number  of  horses, 
wagons,  guns,  and  stores,  were  captured.  General  Thomas's  command  made  a  march  of  over  one  hundred  miL-s  over  almost 
impassable  roads,  and  were  nearly  destitute  of  ambulances.  1  have  daily  representations  made  to  me  from  surgeons  of  regiments, 
brigades,  and  divisions  of  the  absolute  need  of  ambulances.  I  have  made  every  effort  to  have  them  furnished  by  the  quarter 
masters  here,  but  they  cannot  procure  them.  Would  not  a  representation  from  you  induce  the  quartermaster  general  to  send 
them  from  Washington,  or  some  eastern  city  f  At  least  a  hundred  four-wheeled  ambulances  are  needed.  The  two-wheeled  are 
not  strong  enough  for  the  rough  country  and  bad  roads  here.  Our  army,  of  nearly  one  hundred  thousand  men,  is  a  moving 
army,  and  the  demand  for  transportation  for  the  sick  is  imperative.  We  have  much  sickness,  principally  measles,  typhoid 
fever,  and  diseases  of  the  lungs.  The  average  of  men  excused  from  duty  is  thirteen  and  a  half  per  cent. 


MEDICAL  DIRECTOR'S  OFMCE, 
DEPARTMENT  OF  THE  OHIO,  NASHVILLE,  March  5th,  1862. 

SIR  :  I  have  the  honor  to  report  that  I  arrived  at  this  place  on  the  2d  instant.  I  found  that  ample  accommodations  had 
been  prepared  here  by  the  Confederates  for  their  sick.  The  hospitals  which  were,  and  had  been  occupied  would  hold  thirty- 
five  hundred  men.  Many  of  the  buildings,  however,  were  not  suitable  for  hospitals  as  they  were  warm  houses  with  low 
ceilings,  and  long  ill-ventilated  rooms.  On  the  hill,  near  the  town,  the  university  barracks,  blind  asylum,  and  high  school,  all 
in  the  same  neighborhood,  with  a  new  and  commodious  factory  building,  will  make  most  admirable  hospitals,  and  all  have  been 
used  as  such,  except  the  latter.  I  propose  to  speedily  occupy  all  these,  and  have  recommended  that,  on  the  same  hill,  hospitals 
be  built  to  accommodate  fifteen  hundred  men ;  so  that  we  may  have  accommodations  for  at  least  three  thousand,  and  in  the 
same  healthy  location.  My  experience  in  Louisville  has  satisfied  me  that 
warm  houses  cannot  be  made  available  for  large  hospitals  with  any  regard  for 
the  lives  of  patients.  1  have  recommended  frame  buildings  with  single  wards 
in  each,  and  good  ventilation,  as  these  hospitals  will  be  used  mostly  in  summer. 
The  troops  made  a  forced  march  from  Green  River  to  this  place,  and  many  of 
the  regiments  left  their  supplies  behind  them.  They  have  been  sent  across  the 
river  also,  without  tents,  and  are  exposed  at  night  to  rain,  without  shelter. 
We  have  to  look  after  over  twelve  per  cent,  of  sick  from  the  command  in 
Kentucky,  and  the  men  here  are  fast  falling  sick.  It  is  evident,  from  the 
preparations  for  the  sick  made  in  this  city  and  at  Bowling  Green,  and  from  the 
accounts  we  have  received,  that  the  sickness  in  the  Confederate  army  has  been 
greater  than  ours,  and  that  much  of  it  was  produced  by  the  same  epidemic, 
that  is,  by  measles.  In  an  army  which  never  exceeded  forty  thousand  men, 
they  must  have  had  six  thousand  in  the  hospitals  as  an  average,  and  they  lost, 
at  least,  seven  thousand  by  death.  I  regret  that  I  cannot  send  in  reports  of 
sick.  Our  army  has  been  so  scattered  that  not  more  than  one-half  of  the 
regimental  surgeons  could  be  reached  by  brigade  surgeons  and  medical  direct 
ors,  and  their  reports  have  been  very  partially  received.  1  had  hoped,  now 
that  they  are  nearly  all  here  together,  I  could  get  all  reports  in  for  January  and 
February  at  least,  but  many  surgeons  have  left  all  their  records  behind  them. 
There  is  a  great  scarcity  of  medical  officers.  The  average  is  about  three 
medical  officers  to  two  regiments,  many  surgeons  being  absent  sick,  or  having 
resigned.  I  sliaM  adopt  the  same  hospital  system  here  as  in  Louisville.  But 
the  citizen  physicians  who  have  remained  Union  men  are  but  few,  perhaps 
eight  in  all,  and  our  soldiers  will  have  a  great  repugnance  to  be  attended  by 
the  disloyal.  While  the  army  is  near  us,  perhaps  fora  fortnight,  we  can  employ 
regimental  surgeons  in  the  hospitals.  I  find  sick  men  left  in  such  miserable 


r 


D-^ 


„„,,._  F.J! 


Fn;.  :).— Map  of  thr  Battlefield  of  Mill 


condition,  a.s  I  follow  the  rear  of  the  army,  that  1  have  determined  to  give  supplies  to  each  division  in  the  hands  of  a  division 
medical  purveyor  to  fit  up  hospitals..  The  transportation  of  the  army  is  very  limited,  and  one  wagon  only  is  allowed  a  regiment, 
and  but  two  ambulances;  so  that  the  sick  cannot  be  carried  along,  and  must  be  left  in  every  village  that  is  passed.  The 


24  APPENDED    DOCUMENTS MILL    SPRING    AND    FORT    DONELSON. 

regimental  surgeons  cannot  spare  bedding,  or  even  medicines,  from  their  small  supply,  and  the  men  are  sometimes  found  on  the 
floor  with  no  medicines,  bedding,  or  any  other  comforts.  The  army  is  still  encumbered  with  soldiers  who  Avill  never  be  fit  for 
dutv.  I  have  recommended  to  General  Buell  to  appoint  a  commission,  consisting  of  the  medical  director,  an  adjutant  general, 
and"  a  paymaster,  to  visit  each  regiment,  and  at  once  discharge  and  pay  off  all  those  presented  by  the  regimental  surgeons,  and 
found  to  be  proper  cases  for  discharge. 

Very  respectfully,  your  obedient  servant, 

R.  MURRAY, 

Surgeon  U.  S.  A.,  and  Medical  Director. 
Colonel  C.  A.  FINLEY, 

Surgeon  General,  U.  S.  A. 

XXVII.  Extract  from  a  Narrative  of  Services  in  the  Medical  Staff]  from  July,  1861,  to  May 
28th,  1863.     By  Surgeon  DAVID  P.  SMITH,  IT.  S.  Volunteers. 

*  *  *  "I  first  entered  the  service  in  July,  1861,  as  Surgeon  of  the  18th  Massachusetts  Volunteers.  '  In 

December,  1861,  I  was  commissioned  Brigade  Surgeon.  Reporting  for  duty  on  January  23d,  1862,  to  Brigadier  General  D.  C. 
Buell.  at  Louisville,  I  was  ordered  to  proceed,  with  all  possible  despatch,  to  General  G.  H.  Thomas,  the  news  of  whose  victory 
over  Zollicoifer,  at  Fishing  Creek,  had  just  reached  Louisville.  Purchasing  strong  horses,  I  essayed  the  mud  embargo.  From 
Lebanon,  the  railroad  terminus,  to  Somerset,  Kentucky,  where  I  found  the  General,  the  road  to  be  traversed  by  all  supplies  for 
the  General's  division  was  of  a  most  atrocious  character.  It  spoke  volumes  for  the  hardihood  of  the  men  who  could  get, 
not  only  infantry,  but  artillery  and  supply  trains,  over  it.  Although  but  seventy -five  miles,  a  wagon  was  often  a  fortnight  on 
the  road.  Reaching  Somerset  on  tlie  29th,  I  found  the  little  village  crowded  with  sick  and  wounded.  Churches  and  the  town- 
house  had  been  pressed  into  the  service.  The  wounded  belonged  to  the  10th  Indiana,  4th  Kentucky,  2d  Minnesota,  and  9th 
Ohio  Volunteers.  Going  out  to  the  battle  ground,  ten  miles  distant,  to  see  if  all  the  wounded  had  been  brought  in,  I  became 
aware  of  the  terrible  trial  it  had  been  to  the  sufferers  to  be  brought  in  by  wagons  The  roads  were  of  such  a  wretched 
description  that,  taking  into  account  the  continual  rain,  it  was  wonderful  that  transportation  of  them  to  Somerset  had  been 
effected.  Returning  thither,  I  commenced  service  with  the  wounded.  With  the  exception  of  a  few  primary  amputations,  no 
operations  had  been  done,  and  none  seemed  thought  of.  The  chief  medical  officer  was  sick  ;  and  the  others,  new  in  the  contem 
plation  of  the  ravages  of  the  conical  ball,  maintained  the  most  heterodox  and  opposite  theories.  It  was  a  lamentable  example 
of  the  tendency  of  the  human  mind  to  pass  over  the  golden  truth  present  to  the  eye,  and  amuse  itself  with  fatuitous  theories. 
The  dreadful  roads  over  which  all  of  the  wounded  had  been  brought  had  induced  profuse  suppuration.  All  the  food  that  could 
be  procured  was  beef,  pork,  and  hard  bread.  Shortly  after  my  arrival,  I  saw  one  man  die  from  the  irritation  produced  by 
fragments  of  the  upper  jaw;  which,  although  split  in  every  direction  by  the  passage  of  a  mini6  ball,  had  been  left  without 
excision.  The  same  state  of  things  existed  also  in  the  case  of  a  fractured  lower  jaw,  and  was  followed  by  the  same  result. 
Two  cases  of  gunshot  wounds  of  knee-joint,  in  which  amputation  had  not  been  performed,  also  came  to  a  rapidly  fatal  termi 
nation.  In  four  cases  of  gunshot  fracture  of  humerus,  reported  to  me  as  doing  well,  I  found  such  complete  comminution  that 
in  two  cases  I  excised  large  portions  of  the  shaft,  and,  in  the  remaining  two,  the  head  of  the  bone.  One  of  the  last  named  two 
died;  the  three  remaining  recovered,  as  I  afterward  heard,  and  had  very  useful  arms.  In  one  of  these  cases  a  ball  striking  at 
about  the  insertion  of  the  deltoid,  drove  a  splinter  of  bone  down  between  the  head  of  the  radius  and  external  condyle.  One 
man,  with  a  buckshot  in  his  brain,  near  the  base,  remained  for  one  fortnight  after  the  reception  of  the  injury  in  a  very  comfort 
able,  intelligent  state;  then  convulsions,  gradually  increasing  in  severity,  closed  the  scene.  Two  stumps  of  amputations  in  the 
continuity  of  the  fore  arm  came  under  my  notice,  whether  done  for  good  and  sufficient  reasons  I  could  not  ascertain.  I  saw  no 
living  thigh  stump.  Of  two  amputations  at  the  knee-joint,  done  by  me,  one  for  sloughing  stump  and  protruding  tibia,  the 
other  for  gunshot  fracture  of  tibia,  I  never  was  able  to  learn  the  results.  I  twice  ligated  the  femoral  artery  in  Hunter's  canal 
for  secondary  haemorrhage.  In  one  case,  in  which  the  external  wound  had  nearly  healed,  the  muscles  had  been  so  dissected 
up,  and  the  entire  limb  so  infiltrated  with  blood  that  gangrene  followed.  The  other  recovered  from  the  operation,  but  I  after 
ward  heard  died  of  diarrhoea  about  a  month  after  the  operation.  I  found  the  rat-toothed  bullet  forceps  of  Tiemann's  peculiar 
pattern  of  very  great  use,  enabling  me  to  extract  bullets  with  great  facility.  I  saw  here  no  case  of  injury  of  elbow-joint. 
Several  cases  of  gunshot  fracture  of  the  femur,  of  men  belonging  to  the  9th  Ohio  Volunteers,  were  doing  well  when  I  last  saw 
them  ;  and,  as  I  afterward  learned  from  the  surgeon  of  the  regiment,  they  reached  Cincinnati  in  safety.  From  Somerset 
General  Thomas's  division  was  ordered  back  to  Louisville,  and  thence  was  sent  around  by  steamboat  to  Nsishville.  Nothing  of 
interest,  surgically,  occurred  during  this  voyage,  or  during  our  stay  in  Nashville." 

[Other  extracts  from  the  report  of  Surgeon  Smith  will  be  printed  with  documents  relative  to  the  Battle  of  Shiloh.] 

XXVIII.  Account  of  the  Campaign  of  the  Army  of  the  Tennessee,  from  February  to  June, 
1862,  including  the  Capture  of  Forts  Henry  and  L>oneUon,  and  the  Battles  of  Shiloh  and 
CorintL     By  Surgeon   JOHN  II.  BRINTON,  U.  S.  V.,  Medical  Director  of  the  Army  of  the 
Tennessee. 

"  In  the  latter  part  of  the  month  of  January,  1862,  preparations  were  completed  for  the  departure  of  most  of  the  troops 


EEPORT    OF    MEDICAL    DIRECTOR    BRINTON. 


25 


transport  steamers,  and  proceeded,  on  the  same  day,  up  tlie  Ohio  River  as  far  as  Padncah,  Kentucky.  Here  the  expedition 
laid  to  during  the  night,  and,  on  the  following  morning,  having  been  reinforced  from  Paducah  by  an  equal  body  of  troops  under 
General  C.  F.  Smith,  steamed  slowly  up  the  Tennessee  River,  toAvards  Fort  Henry.  This  fort  was  erected  on  the  right  or 
Tennessee  bank  of  the  river,  and  was  so  situated  as  to  command  completely  the  navigation  of  the  stream.  The  waters  of  the 
Tennessee  at  this  period  had  risen  forty  feet  above  the  ordinary  level,  an  almost  unprecedented  height.  In  consequence  of  the 
swollen  stream,  the  ileet  was  enabled  to  pass  safely  over  the  torpedoes  numerously  planted  by  the  enemy  along  the  bed  of  the 
river.  On  the  morning  of  February  4th,  the  transports  were  moored  in  safety  to  the  bank,  within  ten  miles  of  the  rebel  fort, 
and  the  debarkation  of  the  main  body  of  the  troops  was  effected.  During  this  day  and  the  one  following,  the  gunboat  fleet, 
consisting  of  the  Essex,  the  Carondelet,  the  St.  Louis,  the  Cincinnati,  the  Conestoga,  the  Tyler,  and  the  Lexington,  which  had 
acted  as  the  armed  guard  of  the  transports,  were  occupied  in  clearing  the  river  of  the  torpedoes  and  infernal  machines.  The 
attack  on  the  fort  was  fixed  for  the  6th  of  February.  In  the  meantime,  General  C.  F.  Smith's  Division,  consisting  of  the  7th, 
9th,  12th,  28th,  and  41st  Illinois,  the  llth  Indiana,  the  7th  and  12th  Iowa,  and  8th  and  13th  Missouri  Volunteers,  with  cavalry 
and  artillery,  were  debarked  on  the  left  bank  of  the  river  for  the  purpose  of  occupying  Fort  Hindman,  which  crowned  a  hill 
on  the  opposite  bank,  overlooking  and  commanding  Fort  Henry.  Early  on  the  morning  of  the  6th,  General  McClernand's 
Division,  composed  of  the  8th,  18th,  llth,  20th,  27th,  29th,  30th,  31st,  45th,  and  48th  Illinois  infantry,  the  4th  Illinois  cavalry,  four 
batteries  of  artillery,  and  four  companies  of  detached  cavalry,  were  ordered  to  march  towards  the  Dover  road,  in  order  to  come 
in  the  rear  of  Fort  Henry.  At  the  same  time  the  gunboats  were  directed  to  open  upon  the  works,  and  to  drive  the  cannoneers 
from  their  guns.  A  heavy  storm  on  the  previous  day  rendered  the  march  of  General  McClernand  difficult  and  tedious;  and  it 
was  with  the  greatest  labor  that  his  guns  could  be  dragged  along.  In  the  meantime,  the  attack  had  been  commenced  by  the 
gunboats,  and,  after  one  hour's  cannonading,  the  fort  surrendered  to  Commodore  Foote.  It  was  by  him  turned  over  to  Brigadier 
General  Grant,  commanding  the  expedition.  After  the  fall  of  Fort  Henry,  the  major  part  of  the  U.  S.  forces  encamped  on  the 
hills  overlooking  the  fort.  A  few  companies  were  placed  within  the  work  and  on  the  low  ground  in  its  immediate  vicinity.  A 
small  garrison  was  subsequently  stationed  here.  These  troops  occupied  the  log  huts  of  the  enemy,  and  were  sufficiently 
protected  from  the  inclemency  of  the  weather.  They  suffered  much,  nevertheless,  from  disease,  especially  typhoid  pneumonia 
and  typhoid  fever.  On  the  llth  of  February,  all  of  the  sick  who  had  accumulated  were  dispatched  on  board  the  hospital 
transport  City  of  Memphis  to  the  hospitals  established  at  Paducah  and  Mound  City.  The  men  who  had  been  scalded  by  the 
explosion  of  the  boiler  of  the  gunboat  Essex  had  been  previously  sent  to  the  hospital  established  at  the  latter  place.  On  the 
12th  of  February,  one  portion  of  the  army  rfioved  in  two  columns  and  by  different  roads,  from  Fort  Henry  on  the  Tennessee, 
towards  Fort  Donelson  on  the  Cumberland  River.  Another  embarked  on  transports,  and,  under  cover  of  the  gunboats, 
steamed  down  the  Tennessee,  and  up  the  Ohio  and  Cumberland  Rivers,  and  landed  on  the  left  bank  of  the  latter  stream,  about 
three  miles  below  Fort  Donelson.  The  reinforcements, 
which  were  then  on  their  way  from  St.  Louis,  Cincin 
nati,  and  other  points  on  the  Mississippi  and  Ohio  Rivers, 
were  also  ordered  to  this  landing-place.  The  march  from 
Fort  Henry  across  to  the  Cumberland  River  was  readily 
accomplished,  the  road,  for  the  most  part,  being  in  good 
condition.  The  transportation  and  baggage  had  been 
reduced  as  much  as  possible,  and  the  army  moved  with 
out  tents,  bivouacking  in  the  woods.  The  hospital  de 
partment,  in  consequence  of  the  limited  number  of  wagons 
and  animals  at  its  disposal,  carried  but  the  scantiest  sup 
plies.  It  was  intended  that  the  residue  of  its  stores  should 
be  forwarded  by  water  to  the  landing  on  the  Cumberland 
River. 

The  force  which  moved  from  Fort  Henry  by  land, 
in  all  some  twenty-eight  or  thirty  regiments,  advanced 
to  within  two  miles  of  the  enemy's  stronghold.  Here  his 
pickets  were  driven  in,  and  a  line  of  investment  was 
formed.  On  the  13th,  this  line  was  contracted.  On  the 
14th,  the  skirmishing  was  heavy,  and  the  enemy  was 
gradually  dislodged  from  the  hills  and  woods  and  forced 
within  his  line  of  rifle  pits.  During  the  morning  of  this 
day  an  attempt  was  made  by  the  gunboat  fleet  to  force  the 
passage  of  the  river.  This,  however,  failed,  as  the  fire 
from  the  water  batteries  of  the  enemy  proved  too  severe. 
One  or  two  of  the  gunboats  were  disabled,  and  the  fleet 
dropped  down  beyond  the  range  of  the  heavy  guns.  On 
the  morning  of  the  15th  of  February,  a  vigorous  sortie 
was  made  by  the  enemy,  who  endeavored,  in  force,  to  cut 
liis  way  through  the  investing  lines  on  our  rhrht  This  r""  f--M;1!>  <>''  tllp  Ficld  of  Operations  of  the  Army  of  the  Tennessee,  from 

.  February  to  June,  1^02. 

attempt  on  Ins  part  was,  however,  stoutly  resisted,  and 

during  the  afternoon  and  evening  he  again  retired  to  his  works.  The  action  of  this  day  was  the  most  severe  and  bloody 
which  occurred  during  the  attack.  In  the  meantime,  General  C.  F.  Smith,  by  a  determined  assault,  succeeded  in  occupying 
a  portion  of  the  line  of  defence,  from  whence  his  guns  could  enfilade  the  remainder  of  the  rebel  works.  Early  on  the  morning 
following,  Sunday,  the  l(Jth  of  February,  the  fort  surrendered. 


26 


APPENDED    DOCUMENTS FORT    DONELSON1. 


Before  entering  into  any  detailed  account  of  the  action  of  the  medical  department  throughout  the  siege  of  Fort  Donelson,  it 
mav  be  well,  for  a  moment,  to  allude  to  its  general  condition  at  the  commencement  of  the  campaign.  The  medical  resources  of  the 
expeditionary  force  of  the  Cumberland  and  Tennessee  were  altogether  insufficient.  Irregularities  in  the  quartermaster's  depart 
ment  had  for  months  existed  in  the  District  of  Cairo,  and  the  supply  of  ambulance  wagons  and  hospital  tents  to  the  troops 
composing  the  force,  did  not  equal  the  average  amount  distributed  to  the  other  armies  of  the  United  States.  The  number 
of  medical  officers,  also,  was  too  small;  but  t\vo,  a  surgeon  and  assistant  surgeon,  were,  at  that  time,  allowed  to  each  regiment, 
while  the  regiments  were,  for  the  most  part,  of  nearly  maximum  strength.  The  amount  of  labor  which  subsequently  devolved 
upon  the  medical  officers  was  immense,  and  when  it  is  considered  that  the  campaign  about  to  be  initiated  was  to  be  sustained 
in  a  malarious  country,  and  that  the  troops  were  to  be  subjected  to  every  privation  and  exposure,  it  will  readily  be  seen  how 
unenviable  was  the  position  of  the  medical  staff.  In  addition  to  the  ordinary  hardships  of  the  march  and  bivouac,  great  battles 
were  to  be  fought,  and  the  wants  of  vast  numbers  of  men,  placed  suddenly  kors  de  combat,  were  to  be  met  and  supplied.  The 
theatre  of  the  bloody  drama  was  almost  a  wilderness.  Towns  and  villages  were  comparatively  few,  and  the  region,  to  a  great 
extent,  was  uncultivated.  Farm  houses  were  encountered  only  at  intervals,  and  the  country  had  been  impoverished  and 
drained  of  its  resources  by  the  enemy.  The  distances  to  be  traversed  were  great,  and  the  bases  of  supplies  remote.  At  no 
time,  during  the  early  part  of  this  campaign,  were  the  conveniences  for  the  establishment  of  large  general  hospitals  to  be  found; 
in  fact,  the  drugs,  medicines,  and  hospital  stores  absolutely  essential  for  the  field,  were,  with  difficulty,  obtained.  Fortunately 
for  the  Army  of  the  Tennessee,  Surgeon  J.  Simons,  U.  S.  A.,  the  medical  director  of  the  district  of  Cairo,  had,  at  an  early 


FIG.  5.— Side  view  of  the  Finley  two-wheeled  one-horse  Ambulance. 


FIG.  6. — Rear  view  of  the  same. 


period,  organized  a  general  hospital  at  Mound  City,  Illinois,  with  a  capacity  of  one  thousand  beds.  After  the  surrender  of  Fort 
son,  and  the  battle  of  Shiloh,  the  capacity  of  this  hospital  was  augmented  to  seventeen  hundred  beds.  The  hospitals  at 
.raaucan  were  also  en 
larged  to  the  utmost,  and 
it  was  the  endeavor  of  the 
surgeons  to  keep,  at  all 
times,  a  certain  number 
of  beds  vacant  and  in  re 
serve.  The  regimental 
medical  supplies,  as  a 
general  rule,  were  less 
than  the  quota  allowed 
by  regulations.  Usually 
every  regiment  possessed 
one  or  two  two-wheeled 
ambulances  of  the  pat 
tern  figured,  and  one, 
or  sometimes  two,  four- 
wheeled  ambulance  wag 
ons.  The  former  vehicles 
proved,  practically,  fail 
ures  ;  they  were  too  light 
in  their  construction,  un- 
suited  to  the  rough,  miry 
roads  of  the  country,  — 
and  were  easily  broken. 

FIG.  7.— Side  view  of  the  Wheeling  or  Kosecrans  Ambulance. 


REPORT   OF   MEDICAL    DIRECTOR    BRLNTON. 


27 


They  accommodated  but  two  or  three  invalids,  and,  especially  in  rainy  weather,  required  two  horses  to  draw  them.  The  four- 
wheeled  spring  ambulance,  figured  on  the  preceding  page,  fulfilled  its  purpose  better.  Every  regiment  was  furnished  with  the 
ordinary  hospital  knapsack,  intended  to  be  carried  by  the  orderly  accompanying  the  surgeon,  in  action.  Most  of  the  regiments 
possessed,  also,  in  addition,  a  medicine  chest,  filled  with  drugs.  This  chest  was  carried  in  one  of  the  ambulance  wagons. 

The  surgeons  of  regiments  were  ordered  by  the  medical  director  of  the  expedition  to  carry  with  them,  each  some  fifteen 
or  twenty  extra  blankets.  The  number  of  hospital  teuts  did  not  exceed  two  to  a  regiment,  and  frequently  there  was  but  one. 
Of  hand-litters  or  stretchers,  two  or  three  were  usually  carried.  The  very  great  degree  of  dampness  and  cold  during  the 
commencement  of  this  campaign  rendered  some  permanent  means  of  warmth  necessary  for  the  comfort  of  the  sick  and  wounded 
in  the  hospital  tents.  The  stove  usually  adopted  was  the  ordinary  funnel-shaped  one  of  sheet  iron,  open  at  the  bottom,  and 
placed  directly  on  the  ground.  It  answered  the  purposes  of  heating  a  small  tent  sufficiently  well,  but  was  too  small  for  the 
larger  tents.  Each  regiment  was  also  furnished  with  an  hospital  mess  chest. 

The  arrangements  for  tke  accommodation  and  relief  of  the  wounded,  during  the  siege  and  assault  of  Fort  Donelson,  wTere 
as  efficiently  conducted  as  was  possible  under  the  circumstances.  The  medical  department  suffered  great  privations.  The 
supplies  of  stores  and  medicines,  for  the  reasons  previously  given,  were  but  scanty,  and  the  number  of  medical  officers  was 
hardly  sufficient.  Still,  under  the  efficient  supervision  of  Surgeon  H.  S.  Hewit,  U.  S.  Volunteers,  at  that  time  medical  director 
of  the  expedition,  such  disposition  was  made  of  the  men  and  means  at  hand,  that  all  the  wounded  were  rapidly  removed  from 
the  field,  and  promptly  and  properly  dressed.  To  accomplish  this  result  the  following  system  was  adopted  :  every  regiment,  as 
it  passed  into  action,  was  accompanied  by  one  medical  officer.  This  officer  remained  with  the  regiment  and  shared  its  fortunes 
and  its  dangers.  In  all  cases  of  severe  injury,  and  when  the  peril  to  life  was  imminent,  the  necessary  surgical  attentions  were 
rendered  on  the  spot,  and  under  fire.  When  the  case  was  less  grave,  and  especially  when  the  patient  was  able  to  walk,  he  was 
sent  some  two  or  three  hundred  yards  to  the  rear  of  his  regiment  to  the  most  advanced  point  attained  by  the  ambulance  train. 
This  depot  was  generally  so  placed  as  to  be  removed  from  the  immediate  range  of  fire.  The  locality  selected  was  commonly  a 
ravine,  and  the  route  was  so  chosen  as  to  wind  in  and  out  the  valleys,  with  but  little  exposure.  The  fire  from  the  enemy's 
guns,  mounted  on  works  cresting  the  hills,  was  apt  to  be  high,  and  this  fact  contributed  to  the  ease  and  security  with  which  the 
wounded  were  transported  from  the  field  to  the  large  hospitals  established  in  the  rear,  at  points  completely  out  of  range.  These 
hospitals  were  four  in  number.  Three  of  them,  A,  B,  and  C,  under  the  direction,  respectively,  of  Surgeons  H.  P.  Stearns,  D. 
W.  Hartshorn,  and  Horace  Wardner,  U.  S.  V.,  were  established  in  small  log  huts  and  out-buildings.  A  fourth  was 
formed  of  hospital  tents,  and  wras  in  charge  of 
Surgeon  C.  Goodbrake,  20th  Illinois  Volunteers. 
The  author  acted  as  consulting  surgeon. 

A  building  occupied  as  headquarters,  near 
the  intersection  of  Hickman  Creek  and  the  Fort 
Henry  road,  was,  during  the  progress  of  the  siege, 
turned  over  to  the  medical  department,  and  was 
also  used  as  a  hospital.  To  these  hospitals  all  the 
wounded  were  transported  as  soon  as  they  fell ; 
those  from  the  left  wing  to  the  hospitals  at  B  and  C  ; 
those  from  the  centre  to  the  hospital  at  A,  and  those 
from  the  right  wing  to  an  hospital  near  to  A.  As 
tke  division  of  General  McClernand  moved  to  the 
right,  and  when  the  severe  fighting  occurred  on  this 
wing,  additional  field  hospitals  were  established 
by  Surgeon  H.  P.  Stearns  at  some  small  houses  on 
the  roadside. 

All  of  the  ambulances  of  the  various  regi 
ments  in  the  -field  were  collected  together  for  the 
formation  of  the  ambulance  trains.  Each  one  of 
these  trains  was  placed  under  tlie  charge  of  a  non 
commissioned  officer,  whose  business  it  was  to  see 
that  a  continuous  line  of  wagons  should  ply  be 
tween  the  scene  of  conflict  and  the  general  hos 
pitals.  These  orders  were  strictly  followed,  and, 
as  a  result,  the  majority  of  the  wounded  on  the 
field  were,  in  a  few  minutes,  transported  to  points 
where  every  surgical  attention  could  be  rendered, 
and  where  their  cases  could  be  definitively  acted 
upon.  At  the  general  hospitals,  the  accommoda 
tions  afforded  by  the  log  lints  and  stables  were 
found  to  be  utterly  insufficient,  and  it  became 
necessary  to  extemporize  shelter  for  the  injured. 
This  was  effected  by  littering  the  ground  with 
hay  and  straw,  and  spreading,  as  a  protection, 
canvass  covers  obtained  from  the  quartermaster's 
trains.  Large  fires  were  built,  bullocks  killed,  soup, 
tea,  and  coffee  prepared,  and  thus  the  wounded 


C~\  r-f  •  J 

w-^-  -  < - " 11 - - •  11  -  T  "  11  —  ""  1  -  -  '  "  V  V 


FK;.  8.— Map  of  Fort  Donrlson  ana  its  Approaches,  and  the  Hospital  Stations  of 
the  besieffiiitf  Army. 


2$  APPENDED    DOCUMENTS FORT    DONELSON. 

were  placed  in  a  state  of  comparative  comfort,  despite  the  inclemency  of  the  weather.  The  inmates  of  these  field 
hospitals  were  allowed  to  remain  four  or  five  days,  at  the  expiration  of  which  time  arrangements  were  perfected  for  their 
transportation  to  other  points.  They  were  shipped  in  steamers,  sent  down  the  Cumberland  River,  and  were  distributed  to 
the  hospitals  at  Paducah,  Mound  City,  Cincinnati,  Louisville,  and  St.  Louis.  Many  of  the  operations  performed  in  the  field 
hospitals  were  of  the  most  serious  character,  and  the  surgeons  in  charge  labored  incessantly  for  several  days.  The  immediate 
results  of  these  operations  were,  as  far  as  known,  successful.  No  case  of  death  occurred  under  the  knife,  or  following 
immediately  any  major  operation.  In  almost  every  instance  anesthetics  were  employed,  chloroform  being  commonly  selected. 
No  untoward  result  followed  its  use.  In  many  cases  of  compound  fracture  of  the  lower  extremity,  and  especially  of  the  femur, 
attempts  were  made  to  save  the  limbs.  These  efforts,  in  some  instances,  were  attended  with  remarkable  success.  At  this  period 
of  the  war  in  the  West,  the  want  of  a  number  of  hospital  steamers,  properly  fitted  up  and  well  officered,  became  painfully 
manifest.  The  lack  of  such  means  of  transportation  was,  in  many  cases,  the  cause  of  great  misery  to  our  poor  invalids,  and, 
to  the  certain  knowledge  of  the  author,  many  lives  were,  in  consequence,  sacrificed.  It  was  not  until  some  weeks  after  the 
events  described  that  this  deficiency  was  remedied  by  the  action  of  the  military  authorities. 

The  strength  of  the  national  forces  engaged,  during  the  three  days'  attack  upon  Fort  Donelson,  was  about  thirty  thousand 
men.  The  loss,  as  stated  officially,  amounted  to  four  hundred  killed,  and  one  thousand  seven  hundred  and  eighty  five  wounded. 
The  casualties  resulting  from  cannon  shot  or  shell,  in  this  action,  were  comparatively  small ;  by  far  the  majority  of  the  wounds 
were  indicted  bv  the  rifle.  In  many  cases,  the  missile  employed  was  the  conoidal  ball  fired  from  the  improved  arm.  In  other 
instances,  the  wounds  were  produced  by  the  round  ball  fired  from  the  ordinary  western  rifle.  The  great  predominance  of  injuries 
from  small  arms,  as  noticed  at  Fort  Donelson,  arose  from  the  fact  that  the  action  was  essentially  one  of  sharpshooters.  The 
enemy,  from  behind  his  earthen  breastworks  surmounted  with  logs,  kept  up  an  incessant  fire,  to  which  the  Federal  troops  were 
unavoidably  exposed  for  a  protracted  period.  The  only  shelter  of  which  they  could  avail  themselves  was  the  abatis  of  felled 
timber  on  the  hillsides  in  front  of  the  enemy's  works.  This  cover  was  slight  and  precarious,  and  to  extricate  a  wounded  man 
from  the  intertwined  branches  and  prostrate  trunks  was  painful  and  difficult  for  him,  and  perilous  for  the  litter  bearers.  Despite 
these  difficulties,  the  wounded  who  could  not  drag  themselves  off  were  borne  away  early  in  the  evening  of  each  day  by  the 
ambulance  attendants,  whose  courage  and  perseverance  was  worthy  of  the  highest  praise.  In  many  instances  they  succeeded 
in  removing  the  wounded  from  within  a  very  short  distance  of  the  enemy's  lines.  The  loss  sustained  in  this  action  Avas  dispro 
portionately  divided  among  the  investing  forces.  Some  divisions  suffered  far  more  than  others.  The  casualties  in  General 
McClernand's  first  division  were  greatly  in  excess  of  the  average.  This  was  probably  due  to  its  exposed  position,  forming, 
as  it  did,  the  extreme  right  wing,  stretching  toward  the  Cumberland  river  and  across  the  road  leading  from  the  fort  to 
Clarksville,  the  path  by  which  the  enemy  endeavored  to  effect  his  retreat. 

The  loss  of  the  enemy  during  the  siege  and  assault  was  probably  not  quite  as  heavy  as  that  experienced  by  the  national 
troops.     The  former  fought  behind  earthworks  deliberately  and  carefully  constructed,  and  for  the  first  two  days  they  were  but 
slightly  exposed.     During  all  this  time,  they  were  able  to  observe  every  movement  of  their  assailants,  and  to  mass  their  forces 
and  direct  their  fire  wherever  an  assault  was  threatened.     Most  of  their  wounded  were  rapidly  conveyed,  by  steamers,  to  Clarks 
ville  and  Nashville.     At  the  subsequent  capture  of  these  towns,  many  of  them  fell  into  our  hands.     When  the  village  of  Dover, 
in  the  immediate  rear  of  Fort  Donelson,  was  occupied  by  General  Grant,  only  a  few  of  their  injured  were  found,  and  the  wounds 
of  these  were  generally  so  severe,  as  to  have  forbidden  their  previous  removal.     During  the  vicissitudes  of  the  fight  of  Febru 
ary  15th,  one  or  two  small  temporary  depots  of  the  Federal  wounded  fell  into  the  hands  of  the  enemy.      These  patients  were 
sent  by  the  enemy,  with  their  own  injured,  to  Nashville,  and  a  few  days  later  were  recaptured  by  the  national  force  which 
occupied  that  city.     Immediately  after  the  occupation  of  Dover,  all  of  the  slightly  wounded  were  placed  in  hospital  in  the 
houses  of  that  town.     The  seriously  injured,  as  has  been  already  stated,  were  despatched  in  transports  to  large  general  hospitals, 
prepared  for  their  reception,  in  the  cities  on  the  Ohio  and  Mississippi  Rivers.     The  exposure  of  the  troops  during  the  siege  was 
very  great.    The  weather  was,  at  first,  excessively  cold ;  a  light  fall  of  snow,  degenerating  into  a  sleet,  then  occurred.     The  troops 
resting  on  their  arms  during  the  night  in  the  presence  of  the  enemy  were,  of  course,  unprotected  by  tents.     But  their  greatest 
suffering  arose  from  the  total  absence  of  fires  during  the  night,  an  absolute  military  precaution.     Each  morning,  at  sunrise,  the 
firing  recommenced,  and  it  was  with  the  greatest  difficulty  that  provisions  could  be  prepared.     The  suffering  of  the  wounded 
during  this  protracted  battle,  although  unquestionably  great,  was,  however,  not  to  be  prevented.     The  hospital  accommodations 
afforded  by  the  two  or  three  mean  farm  houses  in  the  neighborhood  were,  at  best,  but  insignificant,  and  of  hospital  tents  there 
were  scarcely  any.     Transportation  for  the  few  tents  in  the  possession  of  the  medical   staff,  when  at  Fort  Henry,  had  been 
denied,  simply  because  it  could  not  be  procured.    In  fact,  the  teams  and  wagons  were  too  few  in  number  to  meet  the  wants  of  the 
army.     Those  at  command  were  employed  day  and  night  in  bringing  up  food  and   ammunition,  and   this  was  with  difficulty 
accomplished.     It  was,  however,  a  noticeable  fact,  that  despite  the  benumbed  condition  of  the  men  before  being  wounded,  and 
their   comparative  exposure  afterwards,  not  a  single  case  of  tetanus  occurred    during  their  sojourn  in  the  vicinity  of  Fort 
Donelson.     Nor  does  this  affection  appear  to  have  been  met  with  subsequent  to  the  removal  of  the  same  wounded  to  the  general 
hospitals.      At  least  no  cases  were  reported,  and  the  author  has  every  reason  to  believe  that  they  did  not  occur.     The  unavoid 
able  exposure  sustained  by  the  troops  at  Fort  Donelson  resulted,  ultimately,  in  grave  diseases,  which  materially  thinned  the 
ranks  of  the  army.     Diarrhoea,  dysentery,  and  pneumonia  of  a  typhoid  type  became  fearfully  prevalent,  and  thousands  of 
Idiers  were  broken  down,  and  were  then  sent  down  the  river  to  the  general   hospitals.     During  the  two  weeks  following  the 
surrender  of  the  fort,  the  army  lay,  for  the  most  part,  on  the  surrounding  heights.     Detachments  were  pushed  up  the  Cumber- 
iver  to  Clarksville,  and  about  the  same  time  the  division  of  Brigadier  General  Nelson,  which  had  been   detached  from 
'sarmy  to  reinforce  General  Grant,  was  directed  by  the  latter  to  proceed  in  transports,  under  convoy  of  a  gunboat, 
simile.     This,  General   Nelson   accomplished,  reaching  Nashville   simultaneously  with  the   arrival  of  General  Buell  at 
field,  on   the  opposite  bank  of  the  Cumberland.     General    Buell,  with   the  army  of  the   Ohio,  had  advanced  by  way  of 
Green.     General  Nelson  immediately  landed  his  troops  and   occupied  the  town,  which,  on  the  following  day,  was 
tormally  surrendered  by  its  mayor  and  prominent  citizens  to  General  Buell. 


REPORT    OF    SURGEON    J.    II.    BRINTON,    U.    S.    V.  29 

By  tlio  early  part  of  March,  all  obstructions  to  the  free  navigation  of  the  Cumberland  River  were  removed,  and  the  army 
was  withdrawn  from  Fort  Donelson,  and  was  again  concentrated  around  Fort  Henry  on  the  Tennessee.  The  waters  of  this  river 
still  continued  at  an  inordinate  height,  and  its  banks  were,  in  many  places,  overflown.  Fore  Henry  itself  was  almost  completely 
submerged.  Towards  the  middle  of  this  month  the  entire  force,  mustering  nearly  fifty  thousand  men,  and  filling  eighty  trans 
port  steamers,  proceeded,  under  the  command  of  Major  General  Smith,  up  the  Tennessee  River,  as  far  as  Savannah,  on  the 
right  bank  of  the  stream.  The  distance  from  Fort  Henry  to  Savannah  is  about  one  hundred  and  twenty  miles.  On  the  arrival 
of  the  expedition  at  this  place,  the  debarkation  of  the  troops  was  effected,  although  but  slowly.  For  military  reasons  the  troops 
were  kept  for  several  days  closely  packed  on  the  transports.  Many  of  these  steamers  carried  a  thousand  men,  and  some  few 
even  more,  together  with  the  accompanying  equipage  and  animals.  Sufficient  accommodation  had  not  been  provided  for  the 
troops  on  the  boats;  and.  as  the  result  of  the  overcrowding  and  exposure  to  the  night  air,  the  same  disastrous  sickness  and 
mortality,  which  had  prevailed  below,  accompanied  them  here.  An  epidemic  typhoid  fever  of  the  most  aggravated  form 
appeared,  and  the  daily  deaths  were  numerous.  To  add  to  the  difficulties  of  the  situation,  the  supplies  of  drugs  and  medical 
comforts  ran  short,  while  sufficient  shelter  and  accommodation  could  not  be  provided  for  the  sick.  The  town  of  Savannah 
became  one  vast  hospital,  and  nearly  every  dwelling  was  occupied  by  invalids.  Hospital  tents,  so  badly  needed,  could  not  be 
procured,  and  the  transportation  by  the  boats  at  the  disposal  of  the  medical  department,  was  sadly  inadequate.  In  fact,  but 
one  steamer,  the  City  of  Memphis,  was  available  for  this  purpose,  and  that  but  to  a  limited  degree,  the  lower  deck  of  the  vessel 
being  occupied  by  the  quartermaster's  department,  As  a  consequence,  the  sick,  riot  being  removed  with  sufficient  rapidity, 
accumulated  on  the  hands  of  an  already  overworked  medical  staff.  To  remedy  this  evil,  the  author  was  despatched  by  Major 
General  Grant,  who  had  reassumed  the  command  of  the  army  at  Savannah,  to  St.  Louis,  the  headquarters  of  the  department, 
and,  after  some  delays,  succeeded  in  procuring  other  steamers,  the  first  of  the  noble  hospital  fleet  of  the  western  waters.  The 
full  description  of  the  organization  of  this  hospital  transport  system  will  be  found  elsewhere. 

About  the  first  of  April,  the  main  body  of  the  army  moved  to  a  point  on  the  opposite  or  left  bank  of  the  river,  known  as 
"Pittsburgh  Landing,"  shortly  to  become  the  scene  of  one  of  the  most  desperate  conflicts  of  the  war,  the  battle  of  Shiloh  Chapel. 
The  physical  condition  of  the  men  about  to  engage  in  this  severe  action  was  unpromising  in  the  extreme.  Many  of  them  had 
been  for  weeks  suffering  from  the  diarrhoea  peculiar  to  the  Tennessee  River.  This  is  said  to  result  from  the  large  amount 
of  animal  decomposition  which  takes  place  on  the  mussel  beds  or  shoals,  a  few  miles  above  Pittsburgh  Landing.  Whether  this 
explanation  be  or  be.  not  correct,  it  is  certain  that  almost  every  one  drinking  the  waters  of  the  river  suffered  from  a  profuse 
diarrhoea  which  resisted  obstinately  the  ordinary  therapeutic  means.  These  persistent  discharges  greatly  augmented  lassitude 
already  resulting  from  the  general  malarious  influence,  and  contributed  to  weaken  the  most  robust. 

On  the  morning  of  Sunday,  April  6th,  18(52,  the  national  forces,  commanded  by  Major  General  Grant,  were  attacked  by 
the  enemy,  led  by  Generals  A.  Sidney  Johnston  and  Beauregard.  The  disposition  of  General  Grant's  command  on  this  morning 
may  be  thus  briefly  stated.  His  left  wing  rested  on  Lick  Creek,  and  his  right  on  Owl  Creek,  two  streams  emptying  into  the 
Tennessee  River,  nearly  at  a  right  angle  to  the  course  of  the  latter.  The  main  body  of  the  army  lay  between  these  streams, 
nearly  parallel  with  the  direction  of  the  river,  and  was  arranged  in  two,  or  rather  three,  parallel  lines.  The  front  line  was 
composed  of  the  divisions  of  Prentiss  and  Sherman,  two  and  a  half  miles  distant  from  the  landing.  The  rear,  near  the  river, 
was  formed  by  the  divisions  of  Hurlbut  and  Smith.  Between  these  two  lines  were  posted  the  forces  under  McClernand,  the 
1st  division  of  the  army.  On  the  4th  and  5th  of  April  some  preliminary  skirmishes  occurred  on  the  extreme  front,  and  at  day 
break  on  the  6th,  General  Johnston  attacked  in  force.  His  command  was  disposed  in  three  lines,  at  intervals  of  from  five  to 
eight  hundred  yards.  His  first  line  was  led  by  Hardee,  his  second  by  Bragg,  and  his  third  by  Polk.  A  powerful  reserve, 
under  Breckenridge,  followed  in  the  rear.  The  assault,  fierce  and  impetuous,  commenced  on  General  Grant's  right,  and  rapidly 
extended  along  his  entire  front.  After  a  brief  resistance,  the  division  of  Prentiss,  on  the  left,  was  pierced,  and  partially  sur 
rounded,  several  of  its  regiments,  with  the  General  commanding,  were  captured,  and  the  remainder  of  the  command  was  driven 
back.  Sherman's  division,  fighting  desperately,  was  also  obliged  to  retire,  and  its  camp  was  captured.  The  second  line, 
McClernand's  command,  for  a  short  period  held  their  ground.  But  the  attack  of  the  enemy  was  furiously  pushed,  and  their 
supporting  lines  were  successively  brought  into  action.  By  noon,  the  front  and  middle  lines  of  the  Federal  force,  throughout 
their  whole  extent,  were  pushed  back  on  the  rear  lines  in  the  vicinity  of  the  landing.  The  brunt  of  the  assault  was  now 
sustained  by  the  divisions  of  Hurlbut  and  Smith,  the  latter  commanded  by  General  W.  H.  L.  Wallace,  who  soon  fell,  mortally 
wounded.  The  career  of  the  enemy  was  constantly  and  persistently  onward,  until  he  was  confronted  and  held  at  bay  by  batte 
ries  of  heavy  artillery,  hastily  placed  in  position.  In  the  meantime,  the  army  of  the'  Ohio,  under  Major  General  Buell,  was 
rapidly  hurrying  to  the  scene  of  action;  and  by  half-past  four  o'clock  in  the  afternoon  the  first  regiments  of  Nelson's  division 
crossed  and  advanced  to  the  support  of  the  heavy  battery.  At  the  same  moment,  the  guns  of  the  Lexington  and  Tyler,  wooden 
gunboats,  opened  on  the  enemy,  who  incautiously  approached  too  near  the  river  on  the  left.  Darkness  coming  on.  the  attacking 
columns  withdrew  for  a  short  distance.  The  condition  of  affairs  on  the  bluffs  at  the  landing  was,  on  this  night,  most  gloomy. 
All  of  the  camps,  with  the  exception  of  General  W.  H.  L.  Wallace's,  had  fallen  into  the  enemy's  hands.  Many  of  the  regiments 
were  disorganized,  and  the  division  of  General  Prentiss  was  annihilated.  The  capture  of  the  camps  produced  great  suffering 
among  the  troops,  and  very  materially  interfered  with  the  can;  of  the  wounded.  Despite  all  the  misfortunes  of  the  day,  one 
consolation  remained:  the  enemy  had  failed  to  prevent  the  junction  of  the  armies  of  the  Ohio  and  of  the  Tennessee.  The  fresh 
troops  of  the  former  were  constantly  arriving  from  Savannah,  and  rapidly  passing  to  the  front,  Every  moment  of  this  night  was 
spent  in  preparation  for  the  coming  contest  of  the  morrow.  Early  in  the  morning,  the  united  forces  under  Generals  Grant  and 
Buell.  the  former  reinforced  by  the  division  of  General  Lewis  Wallace,  which  arrived  in  the  evening,  moved  forward  to  the  attack. 
The  enemy,  obstinately  disputing  the  ground,  slowly  retreated,  and  the  national  army  again  parsed  over  and  held  the  ground 
lost  on  the  previous  day.  By  tour  o'clock,  on  Monday  afternoon,  the  enemy  had  been  driven  from  the  field,  and  was  in  full 
it-treat  on  Corinth,  abandoning  bis  dead,  and  very  many  of  his  wounded.  The  Federal  army  regained  its  camps,  and  that  night 
the  troops  occupied  .their  old  quarters  without  fear  of  molestation.  The  labors  of  the  medical  officers  during  the  battle  of  Shiloh, 
and  subsequently,  were  most  arduous,  and  were  effected  under  evwry  disadvantage.  The  capture  of  the  camps  had  stripped  the 


30  APPENDED    DOCUMENTS — SIIIL01I. 

regimental  officers  of  all  their  medical  supplies  and  instruments,  which  were  carried  off  by  the  enemy  in  their  retreat.  The 
stores  which  had  been  forwarded  from  St.  Louis  had  not  yet  arrived.  The  number  of  medical  officers  was  scanty,  and  very  many 
of  them,  who  remained  at  their  posts  in  local  hospitals,  had  been  captured  during  the  Sunday's  fight.  Under  such  circum 
stances  the  medical  director  of  General  Grant's  army,  Surgeon  H.  S.  Hewit,  U.  S.  V.,  was  called  upon  to  provide  for  wounded 
as  numerous  as  those  of  Waterloo.  It  must  be  remembered  that  this  was  to  be  done  in  a  wilderness,  that  no  depots  existed  in 
the  viciuitv,  and  that  no  towns  or  cities  of  any  size  were  accessible.  The  only  building  on  the  field  which  could  be  taken  for  a 
hospital  was  a  single  log  hut,  fifteen  by  thirty  feet,  near  the  landing,  which  had  been  originally  used  as  headquarters.  This, 
with  a  few  tents,  was  the  only  shelter  for  the  injured  which  could  be  afforded  in  the  first  day's  fight.  The  removal  of  the 
wounded  was  a  matter  of  very  great  difficulty.  In  the  early  capture  of  the  camps  the  wagons  and  stretchers  were  lost,  and  the 
rapid  advance  of  the  enemy  precluded  the  transportation  of  the  injured  to  the  rear  by  hand.  Indeed,  during  the  battle,  and  for 
the  two  days  following,  men  could  not  be  spared  from  the  ranks.  Military  necessity  required  that  every  man  should  be  at  his 
post  in  the  field.  The  mass  of  the  wounded  in  Sunday's  fight,  who  received  the  attentions  of  the  surgeons,  had  dragged  them 
selves,  as  best  they  might,  to  the  high  bluffs  between  the  middle  and  hospital  landings.  Here,  in  the  vicinity  of  the  log  hut 
previously  mentioned,  such  tents  as  were  procurable  had  been  pitched,  and  such  dispositions  as  the  circumstances  admitted  were 
made.  A  limited  amount  of  hay  had  been  obtained  from  the  transports,  and  this,  littered  on  the  earth,  served  as  a  bed  for  those 
most  grievously  hurt.  All  others  lay  on  the  soaked  ground.  To  feed  the  sufferers,  bullocks  were  killed,  and  soups  prepared 
with  great  difficulty,  for  neither  cooking  utensils  nor  hospital  furniture  could  be  obtained.  The  weather  was  terrible,  the  rain 
incessant,  and  the  mud  almost  knee  deep.  The  medical  officers  of  the  command  labored  faithfully,  and  all  that  was  possible 
was  done  to  alleviate  the  horrors  of  that  fearful  night.  To  add  to  the  terrors  of  the  situation,  it  must  be  stated,  that  even  the 
plateau  occupied  by  the  wounded  had  become  a  thoroughfare,  and  was  swept  over  by  the  retreating  masses  of  our  troops,  many 
of  whom,  a  panic  stricken  mob,  sought  the  shelter  of  the  cliffs  to  escape  the  fire  of  the  enemy.  On  the  afternoon  of  the 
Sunday's  action,  the  shot  of  the  enemy,  also,  fell  freely  among  the  writhing  masses  of  wounded,  whose  further  removal  or  pro 
tection  was  impossible.  During  the  latter  part  of  the  same  day,  large  numbers  of  the  injured  were  conveyed  by  boats,  and 
especially  by  the  hospital  transport  City  of  Memphis,  to  the  town  of  Savannah,  seven  miles  below,  on  the  opposite  side  of  the 
river.  On  the  following  morning,  Monday,  the  advance  of  our  troops  and  the  retreat  of  the  enemy  commenced.  During  this 
forward  movement,  vast  numbers  of  wounded  were  brought  in  to  the  main  hospital  depot.  These  were  not  only  those  who  had 
been  hit  on  that  day,  but  also  our  own  and  many  of  the  enemy's  wounded  from  the  Sunday's  fight.  Surgeon  Goldsmith,  U.  S. 
Volunteers,  was  placed  in  charge  of  the  main  hospital.  By  the  authority  of  General  Grant,  all  tents  that  could  be  found  were 
at  once  pitched,  and  the  hospital  shelter  was  extended  to  its  utmost,  and  an  operating  staff  of  the  most  efficient  surgeons  was 
detailed.  These  gentlemen,  among  whom  were  Brigade  Surgeons  M.  Goldsmith,  S.  W.  Gross,  Maylert,  Smith,  Mussey,  and  John 
ston,  Surgeon  Stephens  of  the  Gth  Ohio,  and  Assistant  Surgeon  D.  Bache,  U.  S.  A.,  rendered  efficient  service,  and  are  especially 
mentioned  in  the  report  of  Surgeon  E.  Murray.  A  separate  hospital  for  three  hundred  men  was  improvised  by  Assistant  Surgeon 
B.  J.  D.  Irvvin,  U.  S.  A.,  who,  by  prompt  seizure  of  tents,  camp  kettles,  cooking  utensils,  etc.,  from  a  camp  adjacent  to  the 
fighting  ground  of  his  division,  was  enabled  to  place  it  in  admirable  working  order.  Dr.  Irwin  was  ably  and  faithfully  assisted 
by  Surgeon  Menzies  of  the  1st,  Surgeon  Griffith  of  the  2d,  and  Surgeon  Welch  of  the  20th  Kentucky  Volunteers. 

On  the  morning  of  Tuesday,  Surgeon.  Murray,  by  virtue  of  his  rank,  assumed  the  medical  directorship  of  the  united 
•  armies.  The  general  arrangements  of  Surgeon  Hewit  were  approved  and  continued,  and  every  exertion  was  made  to  send  away 
the  wounded.  The  organization  and  fitting  up  of  the  boats  was  entrusted  to  Brigade  Surgeon  A.  P.  Maylert,  U.  S.  V.  The 
regular  hospital  boat,  the  City  of  Memphis,  under  charge  of  Assistant  Surgeon  Turner,  1st  Illinois  Artillery,  was  immediately 
laden  with  seven  hundred  wounded,  who  were  transported  to  Mound  City  Hospital.  The  steamers  Hiawatha,  J.  J.  Roe,  War 
Eagle,  and  Crescent  City,  were  turned  over  to  the  medical  department.  These  boats  were  at  once  fitted  up,  as  Avell  as  the  circum 
stances  would  permit,  and  on  Tuesday,  Wednesday,  and  Thursday  following  the  battle,  were  filled  to  their  utmost  capacity 
and  despatched  down  the  river  to  the  general  hospitals  at  Louisville,  Cincinnati,  Evansville,  New  Albany,  and  St.  Louis. 
Every  boat,  on  leaving,  was  placed  under  the  charge  of  an  experienced  surgeon,  and,  in  their  downward  trips,  many  important 
operations  wtre  performed.  Towards  the  end  of  the  week,  other  boats  arrived  :  the  government  hospital  boats  Louisiana,  D.  A. 
January,  Empress,  and  Imperial,  all  of  which  left  full  of  wounded  for  the  hospitals  of  the  great  western  cities.  The  able  presi 
dent  of  the  western  sanitary  commission,  Mr.  Yeatman,  and  Dr.  Douglass,  of  the  United  States  sanitary  commission,  soon 
arrived,  and,  by  the  distribution  of  the  stores  at  their  command,  contributed  much  to  assist  the  efforts  of  the  medical  officers. 
In  addition  to  the  civil  aid  thus  rendered,  volunteer  boats  from  a  distance  shortly  made  their  appearance.  The  one  from  Louis 
ville  deserves  special  mention.  The  officers  of  this  vessel  cooperated  in  the  most  satisfactory  manner  with  the  medical  director, 
receiving  and  caring  for  the  wounded  of  their  own  and  other  states,  and  also  wounded  Confederate  prisoners.  It  is  to  be  regretted 
that  this  same  liberal  spirit  did  not  animate  all  of  the  volunteer  and  aid  societies  who  hurried  to  this  scene  of  carnage.  It  unfortu 
nately,  however,  happened  that,  in  some  cases,  boats  fitted  out  by  the  governors  of  states,  and  by  local  sanitary  committees, 
d  to  distinguish  between  the  wounded  of  their  own  and  other  states,  in  favor  of  the  former,  and  refused  to  receive;,  or 
received  unwillingly,  those  whom,  in  the  estimation  of  these  charitable  philanthropists,  were  not  entitled  to  their  aid.  In  short, 
BO  greatly  did  this  illiberal  conduct  conflict  with,  and  prejudice  the  action  of,  the  medical  department,  that  it  became  necessary 
for  the  director  authoritatively  to  declare  that,  as  regarded  the  wounded,  all  state  distinctions  should  be  ignored,  and  that 
the  helpless  soldier,  friend  or  foe,  should  alike  be  cared  for. 

Despite  the  paucity  of  resources,  the  action  of  Surgeons  Hewit  and  Murray,  the  medical  directors  of  the  two  great  armies, 

was,  under  these  trying  circumstances,  so  energetic  that,  by  the  expiration  of  the  week  of  the  battle,  all  the  injured  were  sent 

to  permanent  city  hospitals.     The  total  force  carried  into  this  action  by  General  Grant  amounted,  probably,  to  fifty-five 

usand  men.     Of  these,  probably  some-  twenty  thousand  were  raw  troops  who  had  never  before  been  under  fire.     Eight 

gnnents  behaved  badly,  and   sought  the  shelter  of  the  river  bluffs  in  an  earlv  staire  of  the  action.     They  scattered 

ie  river  side  m  complete  disorganization,  and  were  of  no   service  whatever  in  "resisting  the   enemy.     The  number  of 

.s  which  Btood  to  their  colors,  and  did  faithful  soldiers'  duty  on  these  two  trying  days,  did  not  exceed  fifty.     The  force 


REPOKT    OF    SURGEON    J.    H.   BRINTON,    U.    S.    V.  31 

General  Buell  engaged  on  Monday  was  about  thirty-five  thousand.  Tlie  number  of  killed,  wounded,  and  missing,  in  the 
Federal  armies,  amounted  to  about  twelve  thousand ;  by  far  the  greater  proportion  of  these  occurred  in  the  army  of  the 
Tennessee.  The  casualties  in  the  army  of  the  Ohio  were  two  hundred  and  thirty-six  killed,  and  one  thousand  seven  hundred 
and  twenty-eight  wounded.  It  must,  however,  be  remembered,  that  the  bulk  of  General  Buell's  force,  arriving  on  Sunday 
night,  participated  only  in  the  action  of  Monday.  The  attack  of  the  enemy  on  Sunday  was  met  by  General  Grant's  forces 
alone,  with  the  exception,  perhaps,  of  two  regiments  of  the  army  of  the  Ohio,  who,  on  Sunday  night,  marched  to  the  support 
of  the  batteries  on  the  left. 

As  has  been  already  remarked,  the  supplies  of  medicines  and  hospital  stores  in  the  possession  of  the  army  of  the  Ten 
nessee,  on  the  morning  of  the  6th  of  April,  were  but  scanty,  and  most  of  the  regiments  lost  all,  including  their  instruments,  at 
the  time  of  the  capture  of  their  camps.  The  sufferings  of  our  wounded,  when  carried  to  the  rear,  were  necessarily  much  aggra 
vated  by  this  existing  destitution.  This  will,  perhaps,  be  partially  appreciated,  if  the  reader  will  imagine  thousands  of  human 
beings,  who  had  been  wounded  and  lacerated  in  every  conceivable  manner,  on  the  ground,  under  a  pelting  rain,  without  shelter, 
without  bedding,  without  straw  to  lay  upon,  and  with  but  little  food.  The  situation  of  a  hale  man,  stricken  down  by  violence, 
is  at  all  times  pitiful  in  the  extreme,  even  when  surrounded  by  those  who  sympathize  and  render  the  aid  they  can.  But  the 
circumstances  attending  the  battle  of  Shiloh  were  fearful,  and  the  agonies  of  the  wounded  were  beyond  all  description.  They 
were,  moreover,  fearfully  increased  by  the  dearth  of  those  nourishments  and  stimulants  so  essential  to  relieve  the  shock  of 
injury.  It  must  not  be  inferred  from  these  remarks  that  blame  was  to  be  imputed  to  the  medical  officers  of  the  two  commands. 
Far  from  it;  they  did  much,  and  all  that  was  in  their  power.  The  difficulty,  at  all  events,  so  far  as  the  army  of  the  Tennessee 
was  concerned,  lay  in  the  absence  of  supplies.  This  contingency  had  been  foreseen,  and  strenuous  efforts  had  been  made  by  the 
medical  directors  to  anticipate  it.  Requisition  following  requisition  had  been  made  for  the  very  stores,  medicines,  and  hospital 
tents,  the  want  of  which  proved  so  disastrous  upon  the  6th  and  7th  of  April.  Unfortunately,  at  this  time  the  medical 
department  of  the  United  States  army  had  not  yet  freed  itself  from  that  system  of  blind  routine  which,  serving  well  the  wants 
of  a  small  army,  in  time  of  peace,  yet  failed  utterly  to  meet  the  necessities  of  a  gigantic  war.  With  regard  to  the  army  of  the 
Ohio,  the  latter  part  of  their  march  from  Nashville  had  been  a  forced  one,  and  their  transportation,  limited  to  but  one  hospital 
wagon  to  each  regiment,  was  insufficient.  As  this  command  approached  Pittsburgh,  the  medical  officers  were  obliged,  from 
military  reasons,  to  leave  their  ambulances  and  hospital  supplies  behind,  and  hurry  on  in  pressing  haste.  Instruments,  and 
such  supplies  as  could  be  carried  on  horse-back,  were  hastily  brought  to  the  field,  and  thus,  to  a  certain  extent,  immediate  wants 
were  supplied.  A  day  or  so  after  the  battle,  the  trains  arrived,  and  also  a  storeboat  laden  with  supplies,  under  the  charge  of 
Assistant  Surgeon  B.  Howard,  U.  S.  A.,  the  medical  purveyor  of  this  army.  The  advent  of  this  boat,  which  had  been  ordered 
from  Louisville  up  the  Tennessee  river,  was  most  opportune.  The  supplies  thus  furnished,  to  a  great  extent,  sufficed  to  meet 
the  wants  of  the  destitute  and  impoverished  hospitals. 

The  nature  of  the  wounds  caused  by  the  fire  to  which  the  troops  were  subjected  at  the  battle  of  Shiloh,  was  of  the  most  varied 
kind.  At  times  they  were  exposed  to  that  of  artillery,  both  light  and  heavy,  from  which  almost  every  species  of  projectile  was 
thrown — solid  shot,  round  and  conical ;  grape  and  canister,  spherical  case  and  shell.  At  othertimes,  the  fire  was  from  musketry,  both 
at  long  and  short  range.  The  small  arms  used  by  the  enemy  was  the  improved  rifle,  throwing  the  conoidal  ball ;  the  western 
rifle,  and  the  old  fashioned  smooth-bore  muskets.  The  cartridge  for  the  latter  was-  generally  composed  of  ball  and  buck  shot. 
The  smooth-bore  musket  was  largely  used  at  Shiloh,  and  there,  as  elsewhere,  proved  itself  a  formidable  weapon.  Its  destruc- 
tiveness  arises,  possibly,  from  the  fact  that  troops  armed  with  it  most  frequently  close  with  their  opponents.  The  small  balls  in 
the  cartridge  also  scatter  to  a  considerable  extent,  and  the  chances  of  striking  an  enemy  at  short  range  are  largely  increased. 

As  has  been  observed  by  Surgeon  Murray,  in  his  report  of  this  battle,  a  large  proportion  of  our  wounded  were  hit  in  the 
lower  extremities.  The  killed  were  mostly  shot  through  the  head  and  abdomen.  No  case  was  reported  to  Surgeon  Murray  of 
death  from  haemorrhage,  and  only  one  instance  of  active  bleeding  from  a  vessel  of  large  size.  Surgeon  Goldsmith,  U.  S.  V., 
mentioned  to  the  author,  that  being  desirous  of  learning  whether  external  hfcmorrhage  often  occurs  as  the  instant  result  of 
gunshot  wound,  he  had  placed  himself  immediately  in  the  rear  of  a  line  exposed  to  a  heavy  concentrated  fire.  As  well  as  be 
could  observe,  of  the  many  men  injured  at  this  time,  but  one  such  instance  of  haemorrhage  occurred,  and  that  was  in  the  case  of  a 
soldier  stricken  in  the  neck  by  a  fragment  of  shell.  The  carotid  artery  was  severed,  and  death  was  instantaneous,  before  the 
observer,  in  close  proximity,  could  reach  him.  The  death  of  General  A.  Sidney  Johnston,  commanding  the  enemy,  probably 
resulted  from  haemorrhage.  It  is  stated  in  the  despatch  of  Colonel  Preston,  who  had  his  body  in  charge,  that  he  received  a 
wound  from  a  mirii6  ball  which  cut  the  popliteal  artery,  but  he  rode  on,  until,  from  loss  of  blood,  he  fell,  exhausted,  and  "died 
without  pain,  in  a  few  moments."  But  very  few  bayonet  or  sabre  wounds  presented  themselves;  a  remarkable  fact  in  an  action 
of  this  magnitude,  in  which  the  losses  on  both  sides  were  so  heavy,  and  in  which  the  forces  engaged  were  at  such  close  quarters. 
The  medical  corps,  throughout  the  whole  of  this  bloody  conflict,  behaved  with  the  utmost  gallantry.  Brigade  Surgeon  Everett 
was  instantly  killed  by  a  ball  striking  him  in  the  forehead,  and  other  medical  officers  were  severely  injured.  The  operations 
performed  on  the  field  were,  many  of  them,  of  the  gravest  nature ;  among  these  were  a  large  number  of  amputations  and 
excisions.  The  surgeons  of  the  principal  hospital  depots  were  heavily  tasked,  and  worked  for  three  days  and  nights,  with  but 
little  remission.  No  amputations  of  the  hip  joint  occurred  on  the  field.  Two,  however,  were  performed  subsequently  on  the 
transports  ;  one  at  the  hands  of  Brigade  Surgeon  George  C.  Blackmail,  U.  S.  V.,*  of  Cincinnati,  on  board  of  the  volunteer  boat  sent 
by  the  city  of  Cincinnati.  The  patient  died  in  six  days.  The  other  was  performed  by  Surgeon  1).  P.  Smith,  U.  S.  V.,  on  his  way 
down  the  Tennessee  River,  in  charge  of  a  boat-load  of  wounded.*  The  patient  lest  but  four  or  five  ounces  of  blood,  and  reached 
St.  Louis  in  safety,  but  died,  as  the  author  has  been  informed  by  Surgeon  Smith,  six  days  afterwards.  The  results  of  the  surgical 
operations  performed  at  the  battle  of  Pittsburgh  Landing  cannot  be  satisfactorily  arrived  at.  The  present  system  of  surgical 
reports  had  not,  at  that  time,  been  adopted,  and  the  one  then  followed  was  extremely  faulty.  But  little  information  concerning 
the  action  of  the  medical  department  was  transmitted  to  the  chief  of  the  bureau,  and  that  which  was  furnished  was,  to  a  great 
degree,  destitute  of  professional  interest.  The  rapid  removal  of  the  patients  from  the  scene  of  action  precluded  the  observation 

*Cnscs  xxiii  and  xxiv  of  Circular  7,  S.  G.  O.,  1867,  p.  31. 


32  APPENDED    DOCUMENTS SHILOH. 

even  of  immediate  chance*,  and  subsequent  results  were  lost  from  the  reasons  above  stated.  As  far.  however,  as  the  author  hag 
been  enabled  to  learn  from  verbal  inquiries  in  many  hospitals,  the  results  of  the  surgery  of  the  battle  of  Shiloh,  were,  on  the  whole, 
unfavorable.  The  exposure  of  the  men  immediately  following  the  receipt  of  their  injuries,  the  absence  of  proper  nourishment, 
the  scarcity  of  medical  supplies,  and  the  prolonged  transportation  in  over-crowded  boats,  all  tended  so  to  depress  the  vital 
powers  as  "to  favor,  to  a  marked  degree,  the  development  of  pyaemia,  and  death  from  exhaustion.  At  the  time  of  this  battle,  it 
was  utterly  impossible  to  provide  permanently  for  the  wants  of  the  wounded  on  the  spot.  The  necessity  for  their  transportation 
was  unfortunate,  but  it  was  inevitable.  A  certain  number,  some  eighteen  hundred,  were  conveyed  to  the  village  of  Savannah, 
Tennessee,  on  the  opposite  bank  of  the  river.  Early  in  the  month,  and  immediately  following  the  occupation  of  the  place  by 
the  United  States  troops,  a  number  of  regimental  hospitals  had  been  located  at  this  place.  Shortly  afterward,  the  organization 
of  a  general  hospital  was  directed  by  Medical  Director  Hewit.  On  the  morning  of  the  6th  of  April,  Surgeon  Murray,  in 
passing  through  the  town,  ordered  all  buildings  to  be  at  once  converted  into  hospitals.  This  was  done  by  the  afternoon  of  the 
same  day,  by  which  time  many  of  the  wounded  from  the  battlefield  above  commenced  to  arrive,  and  the  number  subsequently 
increased  to  eighteen  hundred.  Of  these,  about  one  thousand  were  placed  in  large  and  well  ventilated  buildings,  tolerably  well 
suited  for  their  reception.  Two  hundred  were  placed  in  the  houses  of  the  inhabitants,  and  the  remaining  six  hundred  accom 
modated  in  tents.  The  location  and  drainage  of  the  hospital  camp  was  good,  cleanliness  was  strictly  observed,  and  the  general 
police  was  satisfactory.  The  result  of  the  cases  treated  in  the  tents  was  better,  and  their  recovery  more  speedy  than  those  who 
were  treated  in  the  houses.  Surgeon  Stearns,  U.  S.  V.,  medical  director  oi  hospitals  at  Savannah,  in  his  report,  draws  especial 
attention  to  this  fact.  This  experience  at  Savannah  is  only  one  of  the  many  instances,  during  the  war,  in  which  the  treatment 
of  wounded  in  tents  in  the  vicinity  of  the  battlefield  has  proven  highly  beneficial.  Great  difficulty  was  experienced, 
during  and  after  this  action,  in  procuring  the  necessary  hospital  attendants  and  nurses.  No  ambulance  corps  had  ever  been 
organized,  and  no  details  of  men  or  nurses  could  be  made  from  the  ranks.  The  constant  expectation  of  a  renewal  of  the 
conflict  obliged  the  military  commanders  to  retain  every  able  bodied  man.  The  medical  department  was,  therefore,  forced  to 
depend  for  hospital  attendants  entirely  upon  the  panic  stricken  crowd  who  had  ignominiously  abandoned  their  colors  and 
fled  to  the  river  for  protection.  It  is  probable  that  no  battle  of  equal  magnitude,  where  the  numbers  of  wounded  were  so  great, 
has  ever  occurred,  in  which  the  medical  department  was  so  destitute  as  on  the  bloody  field  of  Shiloh.  It  is  equally  probable 
that,  in  no  like  conflict,  have  the  wounded  been  so  rapidly  removed  from  the  scene  of  action;  a  result  mainly  due  to  the  energy 
and  ability  of  Medical  Directors  Murray  and  Hewit. 

As  soon  as  the  army  at  Shiloh  had  been  disencumbered  of  its  wounded,  immediate  steps  were  taken  to  perfect  the 
organization  of  the  medical  department.     This  work  \va»  commenced  by  Surgeon  James  Simons,  U.  S.  A.,  and  energetically 
continued  by  Surgeon  Charles  McDougall,  U.  S.  A.,  successively  the  medical  directors  of  the  united  forces  of  the  armies  of  the 
Tennessee,  the  Ohio,  and  the  Mississippi.     The  latter  corps,  under  General  Pope,  had  been  operating  along  the  Mississippi, 
and,  about  the  middle  of  March,  had  captured  New  Madrid,  and  Island  No.  10.     General  Pope  was  then  ordered  by  General 
Halleck  to  ascend  the  Tennessee  Kiver  to  Pittsburgh,  and  to  join  the  troops  already  concentrated  at  that  point.     He  arrived  in  a 
convoyed  fleet  on  the  20th  of  April,  with  a  force  of  twenty  thousand  men.     His  troops  were  then  incorporated  with  those  of 
Generals  Grant  and  Buell,  and  formed  a  part  of  the  forces  thereafter  known  as  the  armies  of  the  Tennessee.     About  the  20th 
ot  April,  Major  General  Halleck,  the  department  commander,  arrived  from  St.  Louis,  and  pei-sonally  assumed  the  direction  of 
the  field  movements   of  the  united  armies.      By  his  order,   full   powers  for  procuring  supplies  were  delegated  to  Surgeon 
McDougall,  who  vigorously  applied  himself  to  the  work  before  him.     At  the  time  of  Dr.  McDougall's  arrival  at  headquarters, 
the  medical  supplies  of  the  united  armies  were  exceedingly  meagre.     Great  hospitals  were  absolutely  needed,  and  yet  but  sixty- 
five  hospital  tents,  some  two  or  three  hundred  bedsacks,  and  a  few  cots  were  on  hand.     In  the  midst  of  this  destitution,  the  sick 
commenced  to  arrive  upon  the  river  bank,  singly  and  by  hundreds.     Orders  had  been  issued  for  the  command  to  prepare  to 
advance,  and   these  orders  were  interpreted   by  many  medical  officers  as  a  permission   to  neglect  and  abandon  their  sick. 
The  type  of  disease,  at  this  time  prevailing,  was  chiefly  a  camp  fever,  assuming  a  more  or  less  typhoid  form,  and  attended 
with  great  fatality.     The  violence  of  this  affection  arose  from  several  causes,  the  chief  of  which  were  the  insalubrity  of  the 
imp  sites,  the  impure  water,  and  the  scanty  supply  of  fresh  meat  and  vegetables.     The  ground,  too,  on  which  the  army  was 
imped  was  the  field  of  battle.     On  this,  and  in  its  close  vicinity,  thousands  of  men  and  animals  had  been  buried,  and  in 
ns  of  the  plain  the  effluvia  were  most  disagreeably  perceptible  to  the  passer  by.     As  the  result  of  these  combined 
nek  list  of  every  regiment  was  rapidly  increasing;  and  it  unfortunately  happened,  that  the  regimental  hospitals 
lose  in  which  the  invalid  could  best  be  cared  for.     They  were  generally  formed  of  an  insufficient  number  of  tents 
e  woods,  on  damp  soil,  with  scanty  supplies,  and  with  inadequate  medical  attendance.     The  medical  officers  in  the 
scarcely  averaged  one  to  a  regiment,  and  none  were  detailed  to  batteries.     The  care  of  the  sick  in  these  latter  com- 
s  consequently  devolved   upon  the   nearest  regimental  surgeon,  who,  generally,  was  already  overworked.     To  remedy 
eon  McDougall  directed  the  formation  of  large  general  hospitals,  intended   especially  for  convalescents.     The 
.sly  ,11  were  received  upon  the  hospital   boats.     The  largest  of  these  convalescent  hospitals  was  established  at  the 
.rg,  three  miles  above  Pittsburgh  Landing.     An  effective  force  of  medical  officers  was   detailed  for  its 
«ement,  and  supplies  were  furnished.     A  similar  hospital  was  also   established  in  the  neighborhood  of 
others,  also,  in  the   respective  divisions.     When  the   number  of  medical   officers  was  insufficient  for  the 
il  physicians  were  engaged  on  contract  by  the  medical  director,  and  were  assigned  to  different  posts  of 
e  meantime,  ample  stores  of  medicines  and  hospital  comforts  had  arrived. 


The  boat  of  the  medical  purveyor  lay 


e  nui  il'S>  medichle?'  a»d  lM»Ptal  -tores  had  been  furnished  to  the  regiments,  and  the  vast  army  of  more  than 

men  was  again  ready  to  take  the  field.     In  the  meantime,  the  enemy,  after  the  battle  of  Shiloh,  retreated 


EEPORT    OF    SURGEON    J.    H.    BRINTON,    U.    S.    V.  33 

to  the  town  of  Corinth,  twenty-live  miles  distant.  They  there  fortified  themselves,  and  awaited  an  attack.  The  possession 
of  this  place  was  of  vital  importance  to  them;  it  was,  in  fact,  the  gate  through  which  an  invading  force  must  pass  to  reduce 
Memphis,  and  to  threaten  Mississippi.  The  town  itself  is  situated  at  the  juncture  of  the  Mobile  and  Ohio  and  Memphis  and 
Charleston  railroads,  and,  once  occupied,  the  fall  of  Memphis  would  become  inevitable.  It  was,  in  fact,  as  stated  by  Beauregard, 
in  his  report  of  the  battle  of  Shiloh,  the  strategic  point  of  the  campaign.  Its  capture  became  the  object  of  General  Halleck's 
further  operations.  To  accomplish  this  end,  the  national  army  moved  forward  in  the  early  part  of  May.  The  troops  advanced 
slowly  and  with  great  caution,  throwing  up  breastworks  tit  night  to  guard  against  surprises.  The  headquarters  were  first 
established  at  Monterey,  a  deserted  village  twelve  miles  distant  from  Pittsburgh  Landing.  During  the  succeeding  two  or  three 
days,  the  advance  was  continued  until  the  enemy's  works  were  approached.  Fortifications  were  then  erected,  guns  placed  in 
position,  and  all  preparations  made  for  a  final  assault.  Before,  however,  this  was  undertaken,  the  enemy  evacuated  the  place, 
and,  on  the  30th  of  May,  it  was  occupied  by  the  national  troops.  During  the  time  consumed  by  the  advance  from  Pittsburgh 
Landing  towards  Corinth,  every  efl'ort  had  been  used  to  prepare  suitable  accommodations  for  the  wounded  of  the  anticipated 
battle.  By  the  directions  of  the  General  commanding,  and  under  the  supervision  of  the  chief  medical  director,  vast  field 
hospitals  were  established  for  each  separate  army.  These  hospitals  were  composed  of  hospital,  wall,  and  Sibley  tents.  Where 
these  could  not  be  procured,  resort  was  had  to  tarpaulins  stretched  on  poles.  These  latter  answered  admirably,  and  were  used, 
to  a  large  extent,  by  Surgeon  Maylert,  U.  S.  Volunteers,  in  charge  of  the  general  hospital  of  the  army  of  the  Ohio. 

The  hospital  of  the  army  of  the  Mississippi  was  under  the  charge  of  Brigade  Surgeon  O.  M.  Bryan  U.  S.  V.  The 
largest  of  these  tent  hospitals  was  located  at  Monterey,  five  miles  in  the  rear  of  Corinth.  This  hospital  was  composed  of  several 
hundred  tents,  situated  on  the  slopes  of  two  hills,  in  the  vicinity  of  a  running  stream.  It  was  under  the  charge  of  Brigade 
Surgeon  N.  R.  Derby.  One  object  in  the  establishment  of  these  field  hospitals  was,  not  only  to  provide  for  the  reception  of  future 
wounded,  but  also  to  furnish  accommodation  for  the  numerous  sick  of  the  command.  The  number  of  the  latter  was,  at  this 
time,  very  large,  amounting  to  thousands.  The  medical  director,  in  his  report  of  May,  1862,  computes  the  number  sent  at  that 
time  from  Pittsburgh  Landing  to  be  not  less  than  eleven  thousand.  It  was  desirable  to  check  this  exodus  of  troops;  for  it  had 
been  found  that,  of  the  vast  numbers  who  left,  but  few  returned.  This  pernicious  custom  of  leaving  the  command  on  the  plea  of 
sickness  was  becoming  too  prevalent,  and  had  been  much  encouraged  by  the  presence  of  boats  fitted  out  by  governors  of  states 
and  by  volunteer  commissions.  When  it  was  once  understood  by  any  command  that  a  boat  from  their  own  state  lay  at  the 
Landing  for  the  reception  of  the  state's  sick,  it  was  found  impossible  to  prevent  the  flocking  on  board  of  many  whose  only  com 
plaint  was  nostalgia.  The  really  sick  were  left  behind,  and  the  convalescent,  and  often  the  malingerer,  was  sent  away.  When, 
however,  the  large  hospitals  had  been  once  established,  these  difficulties  were  remedied.  The  sick  from  the  regiments  were  at 
once  received  into  general  hospital,  and,  when  perfectly  convalescent,  they  were  returned  to  duty.  In  this  manner,  many  men 
were  preserved  to  the  army  who  otherwise  would  have  been  lost.  The  town  of  Corinth  was  evacuated  by  the  enemy  about  the 
1st  of  June.  The  headquarters  of  the  army  were  then  moved  to  that  place.  About  the  10th  of  June,  the  army  of  the  Ohio, 
Wilder  the  command  of  Major  General  Buell,  received  orders  to  march  towards  East  Tennessee,  by  way  of  Florence,  Alabama. 
Surgeon  R.  Murray,  U.  S.  Army,  accompanied  this  force  as  medical  director.  The  occupation  of  Corinth,  the  strategic  centre  of 
the  Tennessee  campaign,  having  been  effected  by  the  national  army,  the  enemy  fell  back  in  the  direction  of  Okolona,  Mississippi, 
and  there  massed  his  forces.  The  surrender  of  Memphis  rapidly  followed.  The  position  of  the  command  of  General  Halleck 
at  Corinth,  on  the  line  of  the  Memphis  and  Charleston  railroad,  completely  cut  off  the  railroad  communication  of  Memphis  with 
the  forces  at  Okolona.  The  fall  of  the  former  city  became  thus  a  mere  matter  of  time.  Its  reduction  was  finally  effected  by 
the  gunboat  flotilla.  Immediately  after  the  surrender  of  Island  No.  10,  the  enemy  collected  his  forces  at  Fort  Pillow,  fifty  miles 
above  Memphis.  This  fort  was  strongly  garrisoned,  and  it  was  supposed  that  it  could  effectually  check  the  progress  of  the 
Federal  fleet  down  the  Mississippi.  On  the  8th  of  May  the  gunboats  approached  this  position.  The  enemy  had  collected  under 
the  guns  of  the  fort  a  fleet  of  six  vessels,  four  of  them  being  rams.  On  the  approach  of  the  Union  vessels,  the  Confederate  fleet 
came  out  and  offered  battle.  After  an  hour's  sharp  contest,  three  of  them  were  sunk,  and  the  rest  retired.  The  national  gun 
boats  did  not,  however,  pass  the  fort.  On  the  31st  of  May,  synchronously  with  the  evacuation  of  Corinth,  Fort  Pillow  was 
abandoned,  the  guns  carried  off,  and  the  stores  destroyed.  The  fort  was  taken  possession  of  by  the  United  States  troops,  and 
the  flotilla  dropped  down  the;  river  towards  Memphis.  On  the  (ith  of  June,  a  severe  naval  conflict  occurred  between  eight  of 
the  enemy's  gunboats  and  rams  and  the  government  fleet.  Seven  of  the  former  were  taken  or  sunk,  and  one  escaped  by  superior 
speed.  The  surrender  of  Memphis  followed  on  ihe  same  day.  About  the  10th  of  June,  a  considerable  force  was  posted  in 
Memphis  under  the  command  of  Major  General  Grunt.  The  general  headquarters  were,  however,  located  at  Corinth,  Mississippi, 
and  there  remained  until  the  General  in  command  of  the  department  was  called  upon  to  assume  the  command  of  the  armies  of 
the  United  States.  The  health  of  the  forces  in  the  department  of  the  Mississippi,  during  the  period  in  which  the  headquarters 
were  established  at  Corinth,  underwent  a  gradual  and  marked  improvement.  This,  as  appears  by  the  report  of  the  medical 
director  of  the  department,  dated  July  28th,  was,  to  a  great  degree,  due  to  the  care  and  attention  bestowed  upon  the  sanitary 
condition  of  the  camps  and  hospitals;  to  an  improved  and  properly  prepared  diet ;  and,  especially,  to  the  unwearied  exertions 
of  the  medical  officers  of  the  several  corps.  In  truth,  the  admirable  system  inaugurated  by  Surgeon  McDougall  had  produced 
its  legitimate  effect.  The  medical  officers  felt  their  responsibilities,  and  learned  from  him  not  only  how  to  avoid,  but  also  how 
to  remedy,  errors  which  had  crept  into  the,  regimental  medical  administration.  By  orders  of  the  director,  regular  inspections 
of  camps  and  hospitals  were  made  by  medical  officers  detailed  for  that  purpose ;  a  rigid  police  was  insisted  upon,  and  all  failures 
in  this  respect  were  faithfully  reported." 

[Other  extracts   from   the   reports  of  Surgeon   John   II.   Brinton,   U.  S.  Volunteers,  will   be  printed   in  connection  with 
documents  relating  to  the  operations  of  the  medical  departments  of  the  armies  in  Virginia.] 


34  APPENDED    DOCUMENTS FORT    DONELSON. 

XXIX.'      Third  Extract  from  a  Narrative  of  Services  from  the   Commencement  of  the 
Rebellion  till  July  18th,  1863.     By  Surgeon  H.  P.  STEARNS,  U.  S.  Volunteers. 

*  *  *  "  One  week  after  the  capture  of  Fort  Henry,  February  10th,  1862,  the  forces  of  General  Grant,  in  two  divisions, 
respectively  under  command  of  Generals  McClernand  and  C.  F.  Smith,  moved  towards  Fort  Donelson.  They  approached  and 
surrounded  the  fort  upon  the  second  day  after  leaving  Fort  Henry,  having  had  very  little  skirmishing.  On  Thursday,  February 
12th,  at  about  11  o'clock,  General  McClernand  ordered  three  or  four  regiments  to  make  a  charge  upon  a  redoubt  which  had 
apparently  been  silenced  by  our  artillery.  When  the  regiments  were  within  a  short  distance  of  the  redoubt,  the  enemy  suddenly 
opened  upon  them  with  musketry  and  artillery.  The  troops  responded,  and  pressed  on  till  within  a  short  distance  of  the  works, 
when  the  fire  of  the  enemy  became  so  severe  as  to  cause  them  to  fall  back  a  short  distance  in  some  confusion.  They  soon  rallied, 
however,  and  ayaiu  approached  and  held  their  position  till  ordered  to  retire.  In  this  engagement,  there  were  wounded  from 
two  to  three  hundred.  They  were  immediately  conveyed  to  a  farm-house  in  the  rear,  which  had  been  appropriated  and  used  as 
an  hospital.  There  were  from  twelve  to  twenty  major  amputations  performed  at  this  hospital.  Early  upon  Saturday,  February 
15th,  the  enemy  attacked  the  right  of  General  Grant's  forces,  the  First  Division,  and  a  very  severe  action  was  fought,  which  lasted 
five  hours.  As  I  was  engaged  at  the  different  houses  used  as  hospitals,  and  in  superintending  the  removal  of  some  of  the  more 
severely  wounded  from  the  field,  during  the  engagement,  I  can  give  no  detailed  account  of  it.  I  herewith  subjoin  answers, 
requested  by  a  circular  letter  from  the  Surgeon  General,  in  reference  to  the  battle,  and  also  forward  a  copy  of  my  official  report 
to  the  division  commander,  of  the  battle,  exceedingly  regretting  that  some  of  the  different  points  are  so  imperfectly  filled  up. 
The  reason  of  this  imperfection  was  the  impossibility  of  obtaining  reports  from  regimental  surgeons,  as  the  forces  were  soon 
after  ordered  to  leave  to  proceed  up  the  Tennessee  Kiv'er.  The  spirit  of  the  troops  was  excellent,  in  consequence  of  the  recent 
victory  at  Fort  Henry.  The  approximate  strength  of  the  First  Division  was  about  eight  thousand  men.  The  supplies  of  medicine 
were  abundant,  but  hospital  stores  were  exceedingly  limited.  Most  of  the  regiments  had  one  or  two  ambulances,  and  two  or 
three  common  wall  tents  to  be  used  as  hospital  tents.  The  wrounded  were  conveyed  to  three  farm-houses  in  the  rear  of  the 
army.  The  most  distant  was  about  two  and  a  half  miles  from  Fort  Donelson.  They  received  sufficient  and  kind  attention  from 
the  surgeons.  There  was  an  abundant  supply  of  water;  but  the  supplies  of  food  were  such  as  the  surgeons  could  get  from  the 
surrounding  country.  Some  young  beef  cattle  were  found  and  killed,  and  soups  \vere  prepared  for  the  wounded.  The  weather 
was  very  cold  during  most  of  the  time,  and  a  severe  snow-storm  occurred,  so  that  it  was  impossible  to  provide  comfortable 
quarters  for  the  wounded.  They  must  have  suffered  exceedingly,  many  of  them.  The  wounded  were  moved  upon  stretchers 
and  ambulances  to  the  field  hospitals,  and  were  thence  sent  to  general  hospitals  at  Paducah,  Kentucky;  St.  Louis,  Missouri; 
Evansville,  Indiana,  and  Cincinnati,  Ohio.  The  wounded  were  all  removed,  during  the  five  days  succeeding  the  surrender  of 
the  fort,  by  steamers.  Amputations  and  exsections  of  bones  were  performed  at  the  field  hospitals.  There  were  but  few  amputa 
tions  upon  the  field.  More  were  performed  on  the  hospital  steamers.  The  anaesthetic  employed  was  chloroform.  No  deaths 
from  its  use  were  reported.  The  approximate  number  of  wounded  was  eleven  hundred." 

[Surgeon  Stearns  then  encloses  a  copy  of  his  report  to  General  J.  A.  McClernand,  commanding  the  First  Division  of  the 
Army  of  the  Tennessee.  The  following  extracts  are  taken  from  this  document :] 

"  On  the  morning  of  February  llth,  1862,  information  received  from  you,  General,  induced  me  to  direct  the  chief 
medical  officers  of  the  different  brigades  of  the  First  Division  to  see  that  ambulances,  stretchers,  medicines,  and  supplies  should 
at  once  be  put  in  condition  for  march  and  battle.     The  men  unable  to  march  were  ordered  to  be  provided  for  at  Fort  Henry. 
These  directions  were  carried  out.    On  the  evening  of  the  llth,  three  brigades  moved  forward  about  four  miles  from  Fort  Henry. 
On  the  morning  of  the  12th,  the  enemy's  pickets  were  driven  in  by  our  skirmishers,  and,  about  this  point,  I  designated  a  farm 
house  as  a  hospital  for  the  wounded  of  your  division.     This  hospital  was  used  by  the  wounded  of  our  forces  on  the  13th,  in  the 
assault  on  the  enemy's  redoubt  No.  2.     It  was  in  charge  of  Surgeon  H.  Wardner,  U.  S.  V.,  and  his  assistants.     As  our  right 
wing  advanced,  other  farm-houses  came  within  our  lines  and  were  appropriated  as  hospitals.     Surgeon  C.  Goodbrake,  20th 
Illinois,  and  Surgeon  Phipps,  8th  Illinois,  were  placed  in  charge  of  two  of  these  hospitals.     Here,  nearly  all  of  the  wounded  in 
the  assault  of  February  15th  and  16th  were  cared  for,  until  they  could  be  removed  in  steamers  designated  by  the  medical  director 
for  their  reception.     My  personal  attention  was  divided  between  these  three  hospitals,  and  I  am  happy  to  testify  that  the  medical 
officers  were  efficient  in  their  duties.    It  has  been  my  intention  to  report  fully  upon  the  eight  following  points  ;  but,  after  awaiting 
reports  from  regimental  surgeons  for  several  days,  I  am  compelled  to  submit  a  very  imperfect  statement:  1,  mean  strength   of 
regiments  on  leaving  Fort  Henry;  2,  number  of  ambulances  and  stretchers  ;  3,  supply  of  blankets  and  rations;  4,  number  of 
cases  of  frost-bite ;  5,  number  of  killed,  wounded,  and  missing  in  action ;   6,  nature  and  results  of  wounds  ;   7,  number  and 
character  of  amputations ;  8,  mean  strength  of  regiments  five  days  after  the  battle.     In  the  First  Brigade,  the  strength,  on 
leaving  P^ort  Henry,  was:  for  the  8th  Illinois  volunteers,  751  rank  and  file;    for  the  18th  Illinois,  671;  29th  Illinois,  542; 
30th  Illinois,  568;  31st  Illinois,  598.     In  the  Second  Brigade,  the  numbers  were:  llth  Illinois,  579;  20th  Illinois.  758;  48th 
tlhnois,  512 ;  45th  Illinois,  615.     In  the  Third  Brigade,  the  17th  Illinois  numbered  750  ;  49th  Illinois,  645.     The  strength  of 
the  58th  Ohio  was  not  reported.     The  First  Brigade  had  six  ambulances  and  eight  stretchers ;    the  Second  Brigade,  five 
ambulances  and  five  stretchers.     The  Third  Brigade  reported  one  stretcher,  and  made   no  report  on  ambulances.     The  First 
s  suffered  from  the  want  of  blankets  and  rations  for  thirty-six  hours  ;  the  Second  Brigade  was  without  blankets,  rations, 
knapsacks  for  thirty  hours.     The  Third  Brigade  was,  during  part  of  the  march,  destitute  of  blankets,  rations,  and  overcoats. 
,  Brigade,  144  cases  of  frost-bite  were  reported;  in  the  Second,  23  by  name,  and  a  large  number  not  designated  by 
cnption  ;  in  the  Third,  only  two  cases  were  reported.     The  killed  in  the  First  Brigade  numbered  181 ;  the  wounded, 
ssing.  47.      In  the   Second  Brigade,  the  numbers  were:    killed,  95;  wounded,  398;  missing,  34.     In  the  Third 
ailed  ;  116  wounded ;  15  missing.     The  aggregate  loss  of  the  Division  was  1,491.     The  position  and  nature  of  the 
•e  not  fully  reported.      Those  regiments  furnishing  reports  supplied  the  following  figures  :  gunshot  wounds  of  the 
:aa,  ob ;  wounds  of  chest,  33 ;  wounds  of  abdomen,  14  ;  wounds  of  pelvis,  13 ;  wounds  of  upper  extremity,  61  ;  wounds  of 


REPORTS    OF    MEDICAL    OFFICERS.  35 

lower  extremity,  30.  But  these  reports  are  very  imperfect.  Except  that  the  31st  Illinois  reported  four  amputations,  no  return 
of  operations  was  made  by  the  regimental  surgeons.  Only  three  regiments  made  a  report  of  their  mean  strength  after  the  battle. 
These  were  the  8th  Illinois,  which  reported  520  rank  and  file,  and  the  30th  and  31st  Illinois,  which  reported,  respectively,  534 
and  569." 


XXX.     Report  of  the  Operations  of  the  Medical  Department  of  the   Third  Division  of  the 
Army  of  the  Ohio  at  the  attack  on  fort  Donelson.     By  Surgeon  T.  W.  FRY,  U.  S.  Y. 

*  "I  take  great  pleasure  in  bearing  testimony  to  the  faithfulness  with  which  the  surgeons  of  this  Division  of  the 
army  performed  their  duties.  They  followed  their  regiments  into  the  midst  of  danger,  and  exposed  their  lives  to  aid  the 
wounded.  '  Several  surgeons  were  exposed  to  a  terrible  fire,  having  been  ordered  to  follow  their  men  into  the  line  of 

battle.  ;     On  the  morning  of  February  15th,  during  most  of  the  forenoon,  I  was  engaged  at  the  hospital,  in   a  narrow 

valley,  on  the  extreme  right,  where  the  wounded  from  General  McClernand's  Division  were  crowding  in.      *  The  enemy's 

fire  was  presently  directed  on  the  hospital.  ;  '  Officers  of  the  rebel  army  have  informed  me  that  this  fire  was  accidental, 
and  ceased  the  moment  the  hospital  flag  was  seen.  About  noon,  on  February  15th,  I  established  a  hospital  on  the  extreme  left, 
at  the  headquarters  of  General  Grant,  who  generously  offered  them  for  that  purpose.  *  *  By  dint  of  perseverance,  a 
sufficiency  of  food  was  secured  from  regimental  quartermasters.  *  *  There  were  three  amputations  above  the  knee,  and  a 
number  of  minor  amputations,  extractions  of  ball,  and  dressings  of  lacerated  wounds  at  the  hospital  last  mentioned."  *  *  * 


XXX I.     Extract  from  a  Report  of  his  Services  in  the  Fort  Donelson  Campaign.     By  Surgeon 
J.  G.  KEENON,  U.  S.  Volunteers. 

"I  repaired  to  Major  General  W.  T.  Sherman,  at  Louisville,  Kentucky,  and  was  ordered  to  report  to  General 
T.  L4  Crittenden,  at  Calhoun.  '     General  Crittenden  was  then  in  command  of  about  seven  thousand  men,  freshly  recruited. 

Measles  and  diarrhoea  were  particularly  prevalent,  and,  in  many  cases,  proved  fatal,  in  consequence  of  the  extremely  wet 
weather  and  impurity  of  the  water.  '  After  the  capture  of  Fort  Henry,  the  13th  Brigade  of  the  Army  of  the  Ohio  was 

ordered  to  report  to  General  Grant.  ;     Colonel  Charles  Cruft,  31st  Indiana  Volunteers,  commanding  the  brigade,  received 

orders  to  proceed  to  Fort  Donelson.  ''  ''  On  Saturday,  February  14th,  the  brigade  of  Colonel  Cruft  was  engaged,  and  was  sub 
jected  to  a  heavy  loss  in  killed  and  wounded.  The  troops  were  in  good  condition,  considering  the  inclemency  of  the  weather  and 
the  scarcity  of  provisions.  They  were  in  a  heavy  snow-storm  on  Friday  night,  and  many  suffered  severely.  Yet  they  manifested 
an  anxiety  to  meet  the  enemy,  and  right  well  did  they  indicate  their  zeal.  The  approximate  strength  of  this  brigade  was  two 
thousand  officers  and  men.  The  supply  of  medicines  and  hospital  stores  was  not  wanting  in  any  of  the  essential  articles 
requisite  for  the  care  of  the  sick  and  wounded.  There  was  a  fair  supply  of  ambulances.  '  '  No  hospital  tents.  *  The 

wounded  were  taken  to  houses  in  the  vicinity  of  the  battlefield,  and  cared  for  until  removed  to  steam  hospital  transports,  and 
transferred  to  northern  hospitals.  '  The  fire  to  which  the  brigade  was  exposed  was  from  musketry  and  artillery,  and  was 

severe.  Many  primary  operations  were  performed.  Chloroform  was  the  anaesthetic  employed  universally,  and  in  no  case  Were 
any  bad  results  observed  from  its  administration." 


XXXII.  Extract  from  a  Report  of  Medical  Operations  i?i  the  Second  Brigade  of  the  first 
Division  of  t/ie  A  rmy  of  the  Tennessee,  in  the  attack  on  fort  Donelson.  By  Surgeon  C. 
GOODBRAKE,  20th  Illinois  Volunteers. 

"On  February  14th,  1802,  I  was  with  my  regiment.  On  the  15th,  I  took  possession  of  the  house  of  Mrs. 
Rollins  for  hospital  purposes.  The  wounded  soon  began  to  arrive,  and  we  had  between  one  hundred  and  fifty  and  two 
hundred  brought  to  our  hospital.  It  was  a  well  chosen  place,  a  large  double  house,  with  several  outhouses,  and  a  large  shed, 
which  sheltered  many.  We  provided  an  abundance  of  excellent  soup  from  veal  and  poultry  which  we  found  on  the  premises. 
An  excellent  spring  supplied  us  plentifully  with  water.  I  performed  many  minor  operations,  such  as  cutting  out  bullets  and 
buckshot.  I  performed  one  amputation  of  the  thigh  and  three  of  the  arm.  The  second  brigade  was  poorly  supplied 

with  hospital  tents.  The  llth  Illinois  had  one  regulation  hospital  tent  and  two  small  ones,  and  one  ambulance  wagon;  the  18th 
Illinois  had  one  hospital  tent,  one  Fremont  tent,  and  one  broken  ambulance;  the  2(lth  Illinois  had  three  hospital  tents  and  two 
ambulances,  and  a  full  supply  of  medicines  and  hospital  stores;  the  45th  Illinois  had,  also,  three  hospital  tents  and  two 
ambulances." 


X  XXII  I.    Report  of  the  Regiments  constituting  the  Garrison  at  fort  Donelson,  February,  1862. 

[This  statement  <>f  the  killed,  wounded,  missing,  and  prisoners,  in  the  engagements  of  February  12th.  13th,  14th,  and 
15th,  1SC2.  at  Fort  Donelson,  Stewart  County,  Tennessee,  was  forwarded  to  the  Surgeon  General's  Office  on  March  13th.  18(>G, 
by  Surgeon  11.  Z.  (Jill,  I'.  S.  V.,  with  the  following  endorsement:] 

'•  This  is  an  exact  copy  of  a  report,  in  my  possession,  made  by  Major  Johnson,  1st  Mississippi  regiment.  I  procured  the 
report  at  tin-  house  of.  Dr.  .Jeter,  the  father-in-law  of  Major  Johnson,  in  the  spring  of  IrilM,  and  believe  it  to  be  correct.  There 
is  a  remarkable  item  in  it.  In  the  4th  Mississippi  regiment,  there  were  forty  killed  and  but  thirty-eight  wounded.  The  only 
instance  of  the  kind  I  have  known.'' 


36 


APPENDED    DOCUMENTS FORT    DONELSON. 


Regiment. 

Commander. 

Engaged, 

Wounded,         Killed, 

Surrendered- 

558 
700 
615 
730 
557 
301 
552 
465 
270 
351 
547 
185 
382 
500 
290 
300 
270 
279 
267 
600 
550 
554 
484 
334 

Missing  and 
Escaped, 

Colonel  Brown  

650 
750 
685 
751 
586 
400 
.    575 
498 
291 
372 
650 
200 
420 
618 
350 
385 
304 
280 
352 
624 
665 
658 
562 
443 
350 
280 

76 
5 
40 
10 
25 
85 
1 
9 
11 
14 
6 

12 
1 
4 
9 
3 
11 
2 
2 
1 
7 
2 

4 
44 

26 
2 
1 
3 
20 
22 
9 

Colonel  Ileiman  

Colonel  Palmer  

Colonel  Head  

Colonel  Cook.  ...-  -  - 

Colonel  Lillard  

Colonel  Farquharson  .  -  

Colonel  Quarles  

Colonel  Voorhies  

Colonel  Bailey.       --- 

Colonel  Sugg  

95 
15 

10 

48 

Colonel  Browder  

Colonel  Abernethy  

20 
57 
41 
34 
23 
1 
66 
19 
38 
84 
59 
71 

8 
13 
'       19 
20 
11 

Colonel  Hanson  

Colonel  Burnett  ... 

Colonel  Gregg  

31 

Colonel  Gee                       ... 

Twent    seventh  Alabama 

19 

5 

40 
17 
19 
12 

Fourth  Mississippi 

Colonel  Drake  

27 
3 

Fourteentli  Mississippi. 

Colonel  Baldwin  

Colonel  Russell 

Twenty-sixth  Mississippi  

Colonel  Reynolds  

28 
350 
280 
324 
225 

Fiftieth  Virginia 

400 
275 
270 
60 
15 
600 
340 
100 
116 
113 
70 
76 
54 
58 

68 
45 

8 
5 

Fifty-first  Virginia 

Battalion  Tennessee  Infantry 

270 
60 
14 
100 
303 
60 
110 
90 
50 
40 

Battalion  Tennessee  Infantry 

Company  of  Tennessee  Infantry  
Battalion  Tennessee  Cavalry 

Captain  Milton 

J 
15 
5 
9 
2 
4 
4 
1 

Lieutenant  Colonel  Forrest. 
Lieutenant  Colonel  Gantt  .. 
Captain  Maney  

8 
I 
5 

2 

7 

477 
31 
26 
2 
12 
16 
35 
54 
58 

Battalion  Ninth  Tennessee  Cavalry  . 
Company  of  Tennessee  Artillery.  .  . 
Company  of  Tennessee  Artillery.  .. 
Company  of  Tennessee  Artillery  
Company  of  Kentucky  Artillery  
Company  of  Kentucky  Artillery.  .. 
Company  of  Virginia  Artillery  
Company  of  Virginia  Artillery  

Captain  Ross.  

Captain  Porter  

Captain  Graves  

Captain  Green  

Captain  Jackson 

Captain  Guy  

SUMMARY. 


State, 

Engaged, 

Wounded, 

Killed. 

Surrendered. 

Missing  and 
Escaped. 

Tennessee  

8   449 

'ns 

85 

7  290 

799 

Kentucky  

1    114 

103 

32 

880 

99 

Texas  

385 

34 

9ft 

300 

31 

Arkansas  

QfU 

OQ 

270 

Alabama  

280 

1 

279 

Mississippi  

3  '504 

337 

2  789 

66 

Virginia  

1,417 

113 

13 

1,291 

Total  

15,  246 

949 

273 

11,738 

2,286 

EEPORTS    OF    MEDICAL    OFFICERS.  37 

XXXIV".  Extract  from  a  Report  relative  to  the  Wounded  on  the  Hospital  Transport 
Gladiator,  after  the  Battle  of  Fort  Donelson.  By  Surgeon  D.  A.  Dow,  4th  Illinois 
Cavalry. 

*     *     *     "On  the  evening  of  February  15th,  1862,  the  wounded  began  to  come  on  board  the  transport  without  any 
medical  officer  to  care  for  them.     *  I  observed  that  some  limbs  had  been  too  tightly  bandaged,  and  were  greatly  swollen  in 

consequence.  *  *  After  the  surrender,  on  Sunday,  I  visited  the  vicinity  of  the  fort,  where  many  of  the  wounded  were  still 
lying  near  the  rebel  works.  I  administered  temporarily  to  their  wants,  and  procured  ambulances,  and  superintended  their 
removal  to  the  hospitals  at  Dover." 


XXXV.     Extract  from  a  Report  on  the   Wounded  of  the  Eleventh  Illinois  Infantry  in  the 
Assault  on  Fort  Donelson.     By  Surgeon  OWEN  M.  LONG,  llth  Illinois  Volunteers. 

"  I  enclose  a  list  of  killed  and  wounded  of  this  regiment  at  the  action  of  February  15th.     ;  The  wounded 

are  so  scattered  about  the  field  hospitals  as  to  be  beyond  my  immediate  supervision,  and  I  am  unable  to  transmit  a  classification 
of  their  wounds.  There  were  amputations  and  other  operations  at  the  field  hospital,  but  only  four  major  amputations  came  under 
my  observation.  One  was  at  the  lower  third  of  the  thigh  for  a  fracture  of  the  head  of  the  tibia,  another,  at  the  lower  third  of 
the  arm  for  a  wound  through  the  elbow  joint,  the  others  were  of  the  forearm.  Many  smaller  operations,  such  as  finger  and  toe 
amputations  and  extractions  of  balls  were  made,  but  are  scarcely  worth  particularizing.  :  I  understand  that  five  of  our 

wounded  have  died  since  they  left  for  the  several  base  hospitals  to  which  they  were  removed." 


XXXVI.  Iteport  of  tJie  Operations  of  the  Medical  Department  of  the  Army  of  the  Ohio, 
during  and  after  the  Battle  of  Shiloh,  Tennessee,  on  April  Qth  and^t/i,  1862.  By  Surgeon 
ROBERT  MURRAY,  U.  S.  A.,  Medical  Director  of  the  Army  of  the  Ohio. 

"SiR:  I  have  the  honor  to  submit  the  following  report  of  the  operations  of  the  medical  department  during  and  after  the 
battle  of  the  6th  and  7th  instant: 

"On  the  morning  of  the  6th,  I  was  at  Savannah,  and  being  ordered  to  remain  there,  I  occupied  myself  in  procuring  all 
the  hospital  accommodations  available  in  that  small  village,  and  in  directing  the  preparation  of  bunks  and  other  conveniences  for 
wounded.  In  the  afternoon,  the  wounded  were  brought  down  in  large  numbers,  and  I  then  superintended  their  removal  to 
hospitals,  and  did  all  in  my  power  to  provide  for  their  comfort.  One  of  our  Divisions,  that  of  General  Nelson,  reached 
Savannah  on  Saturday  evening.  This  was  ordered  to  march  to  a  point  on  the  Tennessee  River,  opposite  Pittsburgh  Landing, 
at  noon  on  Sunday.  This  was  done  over  a  bad  road,  leading  through  swamps  and  low  marshes,  through  which  it  was 
impossible  to  take  wagons  or  ambulances.  Three  of  the  Divisions  were  close  behind;  but,  owing  to  recent  heavy  rains,  their 
trains  and  ambulances  could  not  be  brought  up.  These  were  ordered  to  move  on  as  rapidly  as  possible,  to  be  sent  up  to  the 
scene  of  action  on  transports,  which  were  sent  down  from  Pittsburgh  Landing  on  Sunday  evening  and  Monday  morning.  As  our 
medical  and  hospital  supplies  were  thus,  necessarily,  left  behind,  I  ordered  the  surgeons  to  take  with  them  their  instruments, 
hospital  knapsacks  filled,  and  such  stimulants  and  important  medicines  as  could  be  carried  on  horseback.  I  left  Savannah  by 
the  first  boat  on  Monday  morning,  and  arrived  at  Pittsburgh  Landing  at  10  A.  M.  I  found  the  main  depot  for  the  wounded 
established  at  a  small  log  house  near  the  .river,  about  half  a  mile  from  the  line  of  battle  at  the  commencement  of  Monday 
morning's  engagement,  and  a  little  over  a  mile  from  our  lines  at  that  time.  The  wounded  were  being  brought  in  very  rapidly 
and  in  large  numbers.  I  found  Brigade  Surgeon  Goldsmith,  under  directions  from  Brigade  Surgeon  Hewit,  endeavoring  to 
provide  sufficient  accommodations  for  them.  This  was  a  matter  of  great  difficulty,  for,  as  our  army  advanced,  not  only  the 
wounded  of  that  day,  but  those  of  the  day  before,  both  of  our  own  army  and  the  Confederates,  were  found  on  the  field  and  were 
transported  to  the  rear  by  hundreds.  The  only  house  in  the  neighborhood  was  a  log  hut,  fifteen  by  thirty  feet,  and  the  few 
tents  which  had  been  pitched  were  already  filled.  We  sought  General  Grant,  and  obtained  his  order  to  press  into  our  service 
any  men  that  could  be  found,  and  to  take  possession  of  any  tents  that  we  could  find  and  have  them  pitched.  Leaving  Brigade 
Surgeon  Goldsmith  to  perform  this  duty,  I  rode  to  the  front  and  reported  to  General  Buell.  After  remaining  with  him  a  short 
time,  I  rode  around  our  lines  to  ascertain  that  there  were  a  sufficient  number  of  surgeons  in  position  to  give  immediate  care  to 
the  most  severely  wounded,  and  then  returned  to  the  principal  depot.  Most  of  the  wounded  were  at  once  transferred  to  that 
point,  and  I  ordered  all  the  surgeons  that  could  be  spared  from  the  front  on  duty  there.  Brigade  Surgeon  Hewit,  medical 
director  of  General  Grant's  army,  was  then  in  the  field  in  front,  and  I  was  unable  to  find  him.  The  thick  woods  and  under 
growth  in  every  part  of  the  field  rendered  it  difficult  and  almost  impossible  to  ascertain  definitely  the  position  of  any  of  the 
troops.  During  the  remainder  of  the  day  and  night  of  Monday,  I  was  occupied  in  providing  sufficient  accommodations  for  the 
the  wounded,  in  distributing  surgeons  to  the  different  depots  established  in  tents  pitched  on  the  hills  bordering  the  river,  and  in 
dressing  and  in  administering  stimulants,  or  restoratives,  to  the  most  urgent  cases. 

Early  the  next  morning,  Brigade  Surgeon  Hewit  reported  to  me,  and  requested  me  to  take  the  general  management  of  the 
medical  department  of  the  two  armies.  General  Grant  having  informed  ine  that  this  was  his  wish,  I  did  so;  but.  with  the 
exception  of  directing  the  fitting  up  of  the  steamboats,  which  were  turned  over  to  me  tor  the  purpose  of  transporting  wound. -d. 
I  depended  on  Surgeon  Hewit  for  the  management  of  details.  He  was  better  known  by  the  officers  of  the  issuing  departments, 
and  by  the  men.  and  was  more  familiar  with  the  resources  at  hand.  His  untiring  exertions  and  persevering  efforts  to  provide 
all  possible  comforts  for  the  wounded  had  won  my  highest  commendation.  Many  of  the  wounded  had  been  put  on  board  th  • 


gg  APPENDED  DOCUMENTS — SHILOH. 

quartermaster  and  commissary  storeships  at  the  Landing,  and,  in  the  confusion,  numbers  had  found  their  way,  or  had  been 
carried  without  authority  on 'board  small  steamers,  and  it  was  no  easy  task  to  find  out  all  these  and  to  provide  for  them 
medical  attendance,  food,  and  nursing. 

The  hospital  boat  Citv  of  Memphis,  after  taking  two  loads  of  wounded  to  Savannah,  was  sent  off  with  seven  hundred 
more  to  Mound  Citv.  The  Minnehaha,  Commodore  Perry,  John  J.  Roe,  War  Eagle,  Crescent  City,  and  Hiawatha  were  turned 
over  to  us  on  Tuesday,  Wednesday,  and  Thursday.  They  were  fitted  up  as  well  and  rapidly  as  possible,  filled  to  their  utmost 
capacity  with  wounded,  and  sent  to  the  general  hospitals  at  St.  Louis,  Evansville,  Louisville,  New  Albany,  and  Cincinnati- 
About  the  latter  part  of  the  week,  Surgeon  J.  Simons,  U.  S.  A.,  arrived,  and  I  relinquished  to  him  the  duties  of  medical  director. 
About  the  same  time,  the  hospital  boats  D.  A.  January,  Louisiana,  Empress,  and  Imperial  arrived,  and,  also,  several  boats  fitted 
up  by  state  or  local  sanitary  commissions  from  different  cities,  and  one  under  the  direction  of  the  United  States  sanitary 
commission.  I  regret  exceedingly  that  we  had  not  enough  boats  under  the  entire  control  of  the  Government  to  transport  all 
our  wounded;  for,  owing  to  the  unhealthfulness  of  this  location  and  the  absence  of  all  hospital  accommodations,  this  transporta 
tion  was  unfortunately  necessary.  Some  of  the  volunteer  boats,  especially  the  one  under  the  control  of  the  United  States 
sanitary  commission  and  the  one  from  Louisville,  gave  us  most  satisfactory  assistance,  taking,  with  equal  readiness,  the  sick  and 
wounded,  both  National  and  Confederate.  But  those  fitted  out  by  governors  of  states  and  by  some  of  the  local  sanitary 
committees  caused  much  irregularity.  They  sought  eagerly  for  wounded  from  their  own  states,  received  very  reluctantly,  or 
declined  to  receive,  wounded  from  other  states  or  Confederate  wounded,  no  matter  how  uncomfortable  they  were  on  shore. 
Notice  would  be  sent  to  regiments  that  a  boat  was  at  the  Landing  ready  to  receive  and  take  to  their  homes  the  wounded  or 
sick  of  a  particular  state.  This,  of  course,  would  bring  down  many  who  were  not  sufficiently  sick  to  be  sent  to  hospital,  or 
who  were  very  slightly  wounded,  and  many  of  this  class  succeeded  in  getting  off  without  detection.  Even  were  none  carried 
away  but  proper  hospital  cases,  much  irregularity  and  unnecessary  cost  to  the  Government  will  arise  from  this  system.  The 
wounded  are  not  left  by  the  state  authorities  at  regularly  established  military  hospitals,  but  are,  in  most  instances,  put  in  private 
hospitals  or  houses  at  a  much  greater  cost  to  the  Government,  and  are  separated  entirely  from  the  army,  probably  never  to 
return  to  duty.  I  fear,  too,  that  many  unnecessary  operations  are  performed  by  the  amateur  surgeons  on  board  these  boats. 

The  whole  affair  was  most  unsatisfactory  to  me.  Our  army  was  hurried  up  to  take  part  in  a  terrific  battle,  leaving  all 
the  tents,  bedding,  ambulances,  and  medical  supplies  behind.  I  arrived  when  the  second  day's  fight  was  half  over,  and  found 
some  five  or  six  thousand  wounded  to  be  provided  for,  with,  literally,  no  accommodations  or  comforts,  not  even  the  necessaries 
of  life,  no  bedding,  no  cooking  utensils,  or  table  furniture,  not  even  cups,  spoons,  or  plates,  or  knives  and  forks,  no  vegetables, 
nor  even  fresh  beef  for  the  first  day.  It  was  raining  incessantly,  and  the  mud  was  very  deep;  it  was  impossible  to  obtain  tents 
enough  to  shelter  the  wounded,  or  straw  for  them  to  lie  upon.  The  battle  was  raging  a  mile  and  a  half  in  front,  and,  for  two 
days  after  the  fight,  all  the  effective  and  well  organized  soldiers  were  held  in  readiness  for  another  conflict.  The  only  details  of 
men  procured  to  act  as  police  for  the  hospital  depots,  and  as  nurses,  cooks,  and  attendants,  were  from  the  panic-stricken  mob 
who  had  sought  safety  on  the  banks  of  the  river,  and,  these  men,  it  was  impossible  to  keep  at  work.  There  was  some  hay  on 
board  vessels  at  the  Landing,  but  the  roads  and  banks  were  blocked  up  with  teams,  some  mired  in  the  deep  mud,  others 
hurrying  on  with  provisions,  ammunition,  etc.,  for  the  troops  in  the  advance.  We  could  not  get  teams,  and  not  men  enough  to 
carry  hay  to  the  tents,  except  in  very  insufficient  quantities.  We  were,  also,  very  short  of  medical  officers;  the  whole  command 
averaged  little  over  one  to  a  regiment.  Much  of  the  time  of  the  few  we  had  was  occupied  in  procuring  food  and  attendants  for 
the  wounded,  and  even  in  pressing  in  details  of  men  to  bury  the  dead,  who  were  left  for  days  nnburied  about  the  hospital 
depots.  Many  of  the  wounded  were  not  even  dressed  before  they  were  sent  off.  I  placed  an  experienced  surgeon,  with 
assistants,  on  each  of  the  boats  sent  under  my  orders,  and  the  necessary  operations  and  dressings  were  performed  in  transit  to 
general  hospitals.  By  the  sad  experience  of  this  battle,  I  am  confirmed  in  the  opinion  of  the  absolute  necessity  of  the  addition 
to  the  medical  department  of  a  sufficient  corps  of  medical  purveyors,  who,  in  addition  to  furnishing  medical  supplies,  shall  act 
as  quartermasters  and  commissaries  to  the  medical  department  in  furnishing  quarters,  transportation,  furniture,  provisions,  etc., 
for  the  sick  and  wounded.  And,  also,  that  there  should  be  a  large  number  of  enlisted  hospital  attendants  attached  to  the  medical 
department.  They  should  have  no  other  duty  but  to  nurse  and  attend  on  the  sick,  should  have  a  distinctive  uniform,  and  be 
thoroughly  instructed  in  their  duties.  This  would  obviate  much  of  the  confusion  and  difficulty  in  providing  for  the  wounded 
after  a  battle,  and  the  enlisted  attendants  having,  as  part  of  their  duty,  to  remove  the  wounded  from  the  field,  the  great  evil 
of  half  a  dozen  men  leaving  the  ranks  to  remove  even  one  slightly  wounded  man  would  be  avoided.. 

^  I  enclose  a  list  of  the  number  of  killed  and  wounded  from  each  regiment,  brigade,  and  division  of  the  Army  of  the  Ohio, 
showing  a  total  in  the  three  divisions  of  our  army  which  were  engaged  of  two  hundred  and  thirty-six  killed,  and  one  thousand 
seven  hundred  and  twenty-eight  wounded.     The  number  of  killed,  wounded,  and  missing  in  General  Grant's  army  is,  I  am 
informed,  very  large;  nearly  eight  thousand.     I  think  that  his  loss  in  killed  and  wounded  was  about  three  times  as  great  as 
,  and  that  the  whole  loss  is  nearly  twelve  thousand.    A  large  proportion  of  the  wounds  were  in  the  lower  extremities.    Most 
tilled  were  shot  through  the  head  or  abdomen.     No  instance  was  reported  to  me  of  death  from  hamiorrhage,  and  but  one 
e  bleeding  from  a  large  artery.     The  arm  was  taken  off  at  the  shoulder  joint  in  many  instances,  and  a  large  number  of 
resections  of  portions  of  the  bones  of  the  arm,  and  some  excisions  of  the  shoulder  and  elbow  joints,  were  made.     It  was  unfor 
tunate  that  we  were  obliged  to  send  off  our  patients  a  day  or  two   after  the   operations  were '  performed,  making  it  difficult  to 
trace  the  cases.     The  subjects  of  the  capital  operations  were  generally  doing  well  when  delivered  at  hospitals.     Verbal  reports 
e  be.-n  made  to  me  that  pyjcmia  followed  in  many  instances,  but  I  have  no  definite  information  on  that  head.     The  medical 
with  few  exceptions,  active  and  zealous  in   the  performance  of  their  duties.     Brigade   Surgeon   H.  S.  Hewir, 
al  director  of  General  Grant's  army  corps,  was  most  earnest  and  energetic  in  his  efforts  to  provide  for  the  wounded  under 
<t  adverse  circumstances.     I  have  every  reason  to  believe,  from  the  testimony  of  the  medical  purveyor  and  others,  that 
of  supplies  was  not  owing  to  lack  of  effort  on  his  part,  but  that  he  made   urgent  and  repeated  requisitions  for  large 
Many  of  the  regiments  in  his  command  had  lost  all  their  hospital  tents  and  supplies  on  Sunday,  they  having  been 
•ed,  with  many  of  the  surgeons,  also,  by  the  enemy.     It  was  impossible  for  me  to  have  had  adequate   supplies  for  our 


REPORT   OF    MEDICAL    DIRECTOR    MURRAY.  39 

army.  Even  if  our  transportation  could  have  been  brought  up,  we  would  not  have  had  an  adequate  outfit,  as  we  were 
restricted  to  one  wagon  to  a  regiment  for  the  hospital  department.  Until  about  the  time  we  left  Nashville,  I  did  not  know  our 
destination.  I  then  ordered,  from  Louisville,  ample  supplies  of  bedding  and  stores,  for  the  Army  of  the  Ohio.  These  arrived  a 
week  after  the  battle,  and  were  turned  over  to  Surgeon  McDougall  for  the  benefit  of  the  three  armies  under  his  medical 
direction. 

The  division  medical  directors  of  General  Buell's  army,  Brigade  Surgeons  Maylert  and  Goldsmith,  and  Assistant  Surgeon 
B.  J.  D.  Irwin,  U.  S.  A.,  were  very  efficient  in  performing  all  their  duties.  Brigade  Surgeon  Maylert  has,  for  seven  months, 
been  medical  director  of  our  largest  Division,  the  Second,  and,  by  his  admirable  method  and  tact  in  organization,  and  his 
familiarity  with  the  regulations  and  his  duties,  has  brought  its  medical  department  to  a  most  effective  condition.  Although  quite 
sick  at  the  time  of  the  action,  he  performed  his  duties  thoroughly,  and  was  afterwards  of  great  assistance  to  me  in  fitting  out 
and  organizing  the  boats  for  the  reception  and  transportation  of  the  wounded.  Brigade  Surgeon  Goldsmith,  also  very  sick  at 
the  time,  rendered  invaluable  service.  After  giving  proper  instructions  to  the  surgeons  of  the  Fifth  Division,  in  the  field,  he 
was  of  great  assistance  in  establishing  the  main  depots  for  the  wounded,  and  his  services  were  afterwards  of  the  utmost 
benefit,  not  only  in  directing  the  most  important  operations  on  board  the  boats,  but,  also,  in  preventing  the  too  indiscriminate  use 
of  the  knife.  Assistant  Surgeon  Irwin  deservts  very  great  credit  for  his  admirable  management  on  the  field,  as  well  as  for  bis 
promptness  and  professional  skill  in  the  care  of  the  wounded.  He  found  a  house  on  the  left  of  the  field,  where  his  Division  was 
engaged,  and,  by  securing  tents  from  the  neighboring  camps,  and  collecting  camp  furniture,  he  succeeeded  in  organizing  and 
putting  in  good  working  order  a  hospital  for  three  hundred  patients,  partly  of  the  wounded  of  his  own  command,  partly  of 
those  of  General  Grant's  army,  who  were  wounded  in  that  part  of  the  field  on  Sunday,  and  partly  of  Confederate  wounded. 
These  were  so  well  taken  care  of  in  every  way,  that  I  designated  them  as  the  last  to  send  on  board  of  the  boats.  Surgeon  Irwin 
speaks  in  high  terms  of  Surgeon  Menzies,  1st  Kentucky,  Surgeon  Griffiths,  2d  Kentucky,  Surgeon  Welch,  20th  Kentucky,  and 
others,  who  assisted  him.  Brigade  Surgeon  S.  W.  Gross  was  put  in  charge  of  the  principal  depot  for  the  wounded.  He 
worked  zealously  day  and  night  for  three  days,  and,  by  his  surgical  dexterity  and  his  excellent  management,  rendered  the 
greatest  service.  He  was  ably  assisted  by  Brigade  Surgeons  Bradford  and  Johnson,  and  several  regimental  surgeons.  Brigade 
Surgeon  N.  Gay,  and  Surgeon  Sherman,  9th  Indiana,  in  charge  temporarily  of  another  depot,  and  Surgeon  L.  D.  Waterman, 
"i9th  Indiana,  who  worked  incessantly,  night  and  day,  with  the  wounded  at  another  large  depot,  all  rendered  most  valuable 
services.  Surgeon  Stephens.  Gth  Ohio,  who  had  charge  of  the  first  depot  at  the  log  house,  was  conspicuous  for  his  skill  and  his 
steadiness  at  his  post.  For  four  days  and  nights  lit-  could  be  seen  at  his  work  at  all  hours  ;  and,  during  this  time,  he  scarcely  ate 
or  slept.  Assistant  Surgeon  D.  Bache,  U.  S.  A.,  attached  to  Ten-ill's  battery,  performed  his  duty  faithfully  and  well.  He 
not  only  attended  to  the  wounded  of  his  own  battery,  but  to  nearly  one  hundred  Confederates,  whom  he  picked  up  in  the 
neighborhood  of  his  camp. 

The  urgent  necessity  for  my  presence  at  the  principal  depots  made  my  stay  on  the  field  short,  and  I  had  little  oppor 
tunity  of  seeing  how  the  regimental  medical  officers  performed  their  duties;  they  are  spoken  of,  however,  in  high  terms  by  the 
medical  directors  and  regimental  commanders. 

Nearly  one  thousand  of  the  Confederate  wounded  fell  into  our  hands,  and  I  am  happy  to  say  that  our  medical  officers 
and  men  showed  them  the  same  attention  that  they  did  our  own  ;  indeed,  the  men  were  mure  ready  to  nurse  and  to  attend  to 
the  wants  of  the  wounded  of  the  enemy  than  to  our  own  men.  I  regret  to  say,  that  they  showed  the  utmost  apathy  and 
indifference  to  the  sufferings  of  their  fellow  soldiers,  and  were,  with  difficulty,  forced  into  doing  them  any  service,  while  their 
curiosity  and  wish  to  converse  with  the  wounded  Confederates,  in  some  measure,  overcame  their  inertness. 

As  the  enemy  advanced  on  Sunday,  they  took  charge  of  many  of  our  wounded,  and  some  were  sent  back  to  hospitals 
near  Corinth,  and  have  only  recently  been  recovered.  They  all  testify  to  the  kind  treatment  which  they  had  received  from 
the  surgeons  and  men  on  the  other  side. 

But  one  instance  of  mutilation  was  reported  to  me.  A  Confederate  soldier  was  found  with  his  throat  cut;  but,  as  one  of 
our  colonels  claims  to  have  taken  a  battery,  and  to  have  cut  off  the  head  of  a  gunner  with  a  knife  which  he  wrested  from 
another  rebel,  this  was  perhaps  the  man.  Our  dead  were  buried  by  our  own  men,  as  were  also  the  dead  of  the  enemy,  and  I 
have  heard  of  no  instance  of  mutilated  bodies  being  found.  Two  of  the  Divisions  of  our  army,  the  first  and  sixth,  did  not 
arrive  until  after  the  battle.  Brigade  Surgeons  Mussey  and  Smith,  chief  medical  officers,  and  the  surgeons  under  them,  gave 
valuable  assistance  in  operating  and  dressing  the  wounded,  particularly  of  the  enemy.  Brigade  Surgeon  D.  P.  Smith  was  put 
in  charge  of  the  Crescent  City,  and  was  sent  to  St.- Louis  with  a  number  of  badly  wounded  men.  Among  other  important 
operations  on  the  trip,  he  amputated  at  the  hip  joint.  The  patient  did  not  lose  four  ounces  of  blood,  and,  when  left  at  St. 
Louis,  was  doing  well,  his  condition  having  improved  after  the  operation.* 

It  is  remarkable  that  the  conical  balls  extracted,  both  from  our  own  wounded  and  the  Confederates,  were,  in  almost  every 
instance,  bent  and  twisted,  and,  in  some  cases,  split.  They  must  be  made  of  softer  material  than  the  European  minie  balls;  or, 
probably,  the  difference  may  be  owing  to  ours  being  molded  and  not  pressed. 

I  have  the  honor  to  be,  very  respectfully,  your  obedient  servant, 

R.  MURRAY,  Suryeon  U.  S.  A., 

Medical  Director  of  the  District  of  the  Ohio. 
To  Surgeon  R.  C.  WOOD,  U.  S.  A.,  Acting  Surf/eon  General, 

Washington,  I).  C. 


*  SlCi:  CASK  xxiii,  p.  34.   Circular  No.  7,  S.  G.  O.  1«G7 


^Q  APPENDED  DOCUMENTS SHILOH. 

XXXVII. Extracts  from  Letter*  to  the  Surgeon   General,  relative  to  the   Operations  of  the 

Medical  Department  subsequent  to  the  Battle  of  Shiloh.     By  Surgeon  CHARLES  McDouoALL, 
U.  S.  Army,  Medical  Director  of  the  Army  of  the  Tennessee. 

*  *  *  '-On  beiii"  assigned  to  duty  on  April  28th,  1862,  as  medical  director  of  the  armies  of  the  Tennessee,  I  found  the 
purveying  store-houses  almost  destitute  of  hospital  supplies,  especially  of  bedding,  so  much  needed,  and  without  which  we  were 
helpless  in  providing  for  the  comfort  of  the  sick.  My  embarrassment  was  great,  when  orders  were  issued  to  establish  a  conva 
lescent  hospital  at  Hamburgh,  four  miles  above  Pittsburgh  Landing,  with  sixty-five  hospital  tents,  two  hundred  bedsacks,  and 
two  hundred  and  forty  cots.  Before  the  medical  officers  and  attendants  arrived  at  Hamburgh,  the  sick  were  pouring  in  from 
all  quarters,  and  the  hospital  boats  on  the  river  were  fast  filling  up.  Orders  had  been  given  for  a  forward  movement.  For 
five  days,  from  morning  until  night,  the  unfortunate  sick  were  thrown  on  the  bank  of  the  river,  in  parties  of  from  two  to  fifty, 
and.  in  most  instances,  without  any  report  in  their  cases,  other  than  that  they  were  sick.  Three  or  four  assistants  and  myself 
wen-  engaged  during  the  five  days  in  attentions  to  them,  and  distributing  them  to  the  floating  and  convalescent  hospitals.  Two 
thousand  were  sent  oft'  to  hospitals  in  Missouri,  Indiana,  Kentucky,  and  Ohio,  and  two  thousand  five  hundred,  to  the  convalescent 
hospital  at  Hamburgh.  Half  of  the  latter  were  without  shelter,  for  want  of  tents.  The  imperfect  arrangements  of 

the  medical  department,  the  insufficiency  of  supplies,  the  want  of  attention  to  the  regulations,  on  the  part  of  medical  officers, 
and  the  deplorable  state  of  the  sick  will  perhaps  account  for  this  state  of  affairs.  I  have  earnestly  endeavored  to  rectify  this 
condition  of  things,  and  believe  that  in  a  few  weeks  our  department  will  be  in  an  improved  condition.  AVithin  the  last  six  days, 
about  three  thousand  sick  and  wounded  have  been  sent  to  the  different  hospitals  in  the  western  country.  A  convalescent  hospital 
has  been  established  at  Hamburgh,  where  there  are  about  three  thousand  men,  and  about  two  thousand  are  yet  to  be  sent  off. 
We  have  two  small-pox  hospitals,  with  about  thirty  cases  in  each;  and  I  am  gratified  in  stating  that  this  infectious  disease  is  on 
the  decrease.  From  careful  inquiry,  I  find  that  at  least  one-half  of  the  sick  are  cases  of  chronic  diarrhoea,  which  should  have 
been  discharged  for  disability  or  sent  to  general  hospitals.  The  great  majority  of  such  cases  cannot  get  well  in  camp  or  in  this 
climate.  Remaining  in  the  immediate  proximity  of  the  army,  such  patients  only  retard  its  operations,  and  divert  the  services  of  the 
r>!<nniental  surgeons  and  assistant  surgeons  from  their  special  duties  in  the  field.  *  *  The  medical  supplies  from  the  several 
points  indicated  by  your  letter  here  have  mostly  arrived.  The  purveying  department  can  now  meet  any  exigency.  Had  we  tents 
and  cuts,  the  sick  and  wounded  could  be  made  as  comfortable  as  is  possible  in  the  field.  The  reports  required  from  the  prin 
cipal  medical  officers  of  the  number  of  brigade,  regimental,  and  assistant  regimental  surgeons  have  not  been  received,  and 
reports  of  the  number  of  ambulances,  hospital  tents,  and  litters  have  also  been  neglected.  This  may  be  owing  to  the  confusion 
consequent  upon  an  advance.  The  arrangements  by  the  several  medical  directors  for  an  impending  battle  have  been  judicious, 
and  I  am  indebted  to  their  experience  arid  aid  in  making  the  details  for  field  and  hospitals.  The  three  senior  brigade  surgeons 
of  tlie  convalescent  hospital  at  Hamburgh  were  constituted  a  board  to  examine  and  report  upon  such  cases  as  were  proper 
subjects  for  transfer  to  distant  hospitals.  The  medical  officers  at  Pittsburgh  post  performed  the  same  service.  Deeming  it 
better  that  this  should  be  a  special  duty,  and  connected  with  inspections  of  the  sanitary  conditions  of  the  camps  and  hospitals, 
Surgeon  W.  R.  Thrall,  27th  Ohio,  has  been  assigned  thereto  as  acting  medical  inspector.  He  has  just  returned  from  Memphis, 
Tennessee,  as  a  paroled  prisoner,  taken  in  the  skirmish  of  the  8th.  From  approximative  estimates,  nearly  eleven  thousand 
have  already  been  sent  off.  The  number  diminishes  daily.  I  believe  the  health  of  the  army  improves  as  it  recedes  from  the 
Tennessee  River.  My  recommendation  to  establish  hospitals  in  the  rear  of  the  several  armies  has  been  approved,  and  is  now 
being  carried  into  effect.  The  centre  hospital  will  be  the  largest  of  the  three.  This  arrangement  will  prevent  the  ill  consequences 
ensuing  from  the  hauling  of  sick  in  wagons  long  distances  over  rough  roads.  The  many  deaths  occurring  on  the  bank  of  this 
river  after  the  advance,  were  mostly  confined  to  the  sick  affected  with  typhoid  fever.  Orders  have  been  given  that  no  fever 
patients  should  be  moved  until  after  convalescence." 


XXXVIII.     Extract  from  a  Narrative  of  his  Service  in  the  Medical  Staff.     By  Surgeon  N.  11. 
DERBY,  U.  S.  Volunteers. 

"In  obedience  to  tin  order  from  the  War  Department,  dated  September  4th,  1861,  I  reported  for  duty  to  Major 

General  Hunter,  at  Rolla,  Missouri.     Being  directed,  September  23d,  to  open  a  general  hospital  at  that  place,  I  took  possession 

of  an  unfinished  court-house,  designing  to  have  it  put  in  complete  repair  for  hospital  purposes;  but  a  general  movement  of  the 

different  commands,  the  day  following,  threw  a  large  number  of  sick  upon  my  hands,  for  whose  comfort  no  adequate  provision 

had  been  made.     Everything  had  to  be  extemporized,  and  that  from  the  rudest  materials.     The  building  consisted  simply  of 

four  bare  walls,  with   no  outbuildings  of  any  kind.     The  medicines  and  hospital  stores  required  for  immediate  use  had  not 

arrived  from  St.  Louis.     The  departing  regiments  took  with  them  their  medical  officers  and  hospital  attendants,  leaving  simply 

;ith  which  the  court-house  was  immediately  filled.     To  accommodate  all,  it  was  found  necessary  to  take  possession  of 

some  dwelling  houses  in  the  place.     The  physical  and  mental  labor  necessary  to  make  this  large  body  of  sick  at  all  comfortable 

•  the  circumstances,  brought  on,  in  less  than  a  month,  an  attack  of  low  continued  fever,  from  which  I  did  not  recover,  so 

,s  to  be  again  fit  for  duty,  until  the  last  of  January,  lri6L>,  when  an  order  from  Major  General  llalleck  gave  me  charge  of  the 

Hospital  of  the  Sisters  of  Charity  at  St.  Louis,  and  an  order  from  the  same  headquarters,  dated  February  6th,  1863,  assigned 

me  to  the  additional  duty  of  acting  on  the  arrny  medical  board  for  the  examination  of  volunteer  surgeons.     In  March  following, 

lered  to  report  to   Major  General    Grant,  then  at   Savannah,  on   the   Tennessee  River.     Finding  Colonel   Sweeny's 

fFering  very  much  from  sickness,  and  entirely  without  medical  officers,  by-  consent  of  the  medical  director,  I  served 

e  regiment  as  volunteer  for  a  few  days,  until  their  medical  officers  arrived.     On  April  2d,  I  was  detailed  on  the  hospital 

Lity  of  Memphis,  and,  in  this  capacity,  passed  through  the  battles  of  the  6th  and  7th  of  April.     With  the  assistance  of 


Positions  «/  Maj.GentCLmnl-s  Fot-ff*,  Mfirning  A'pri 

and.  the  D<vifion» 

Gen1.?  kelson  .wirf  Cj-ittejtden  ,  £ 'vexing  April  fffc 
Position*  of  My.  Gen^r  Gj-nnt  **,#.  £tmU,Mai-nir>JAf>r. 

£venisijf  April]  !* 


MAP 

BATTLEFIELD  OF  SHILOH 


'i '  f'"f-  of  the  £n 


REPORT  OF  SURGEON  N.  R.  DERBY,  U.  S.  V.  41 

a  corps  of  surgeons,  I  took  charge  of,  and  cared  for,  over  fifteen  hundred  of  the  wounded  from  the  bloody  field  of  Shiloh. 

Meat  of  these  cases  needed  operations  of  some  character,  and  several  of  a  formidable  nature.      The  wounds  were  altogether 

from  musket  balls,  cannon  shot,  and  shell  fragments.     The  majority  were  from  conoidal  musket  balls,  the  next  most  numerous 

were  from  round  musket  balls,  and  there  were  a  few  from  buckshot.     On  April  6th,  the  steamer  City  of  Memphis  was  lying  at 

Pittsburgh   Landing.     Early  on   that  morning,  firing  was  heard.      At  ten,  the  wounded  began  to  arrive  from   the  field   in 

ambulances.      By  four,  several  hundred  had  been  received,  which  crowded  the  boat  very  much  ;  and  shells  from  the  enemy's 

riirht  beginning  to  fall  in  the  water  near  by,  the  hospital  transport  was  ordered  to  proceed  to  Savannah,  seven  miles  below,  and 

to  leave  the  wounded  at  the  general  hospital  at  that  place.     The  remainder  of  the  afternoon   and  the  following  night  wus 

consumed  in  debarking  the  men.     As  early  as  possible  on  the  7th,  the  boat  was  again  at  Pittsburgh,  receiving  the  wounded. 

During  the  7th  and  8th,  over  eight  hundred  were  placed  on  board.      They  were  all  brought  to  the  Landing  in  ambulances  or  on 

litters,  and  were  of  a  more  serious  class  of  wounded  than  those  received  on  the  first  day  of  the  battle.      The  lighter  cases  were 

retained  with  the  commands ;  all  the  grave  cases  being  sent  direct  from  the  field  to  the  Landing.      Large  numbers  of  those 

received  during  the  7th  and  8th  had  been  wounded  on  the  6th,  and  had  lain  on  the  field  held  by  the  enemy  since  the  morning 

of  that  day.     A  large  proportion  of  these  patients  had  been  wounded  in  the  lower  extremities;  many  of  them  by  shells  or 

cannon  balls;  the  latter,  in  three  instances,  making  a  complete  amputation  of  the  thigh.     Most  of  the  regimental  surgeons  had 

remained  with  their  commands.     Many  of  the  medical  attendants  doing  duty  on  the  hospital  steamer  during  these  three  days 

were  volunteers,  and,  as  they  had  come  down  to  operate,  and  were  greatly  desirous  of  doing  so,  I  found  it  necessary  to  dedicate 

some  portion  of  my  time  to  the  preservation  of  limbs  that  were  about  to  be  unnecessarily  placed  under  the  knife.     I  desire 

here  to  mention  the  great  relief  I  experienced  when,  on  the   afternoon  of  the  second  day  of  the  battle,  Surgeon  H.  Wardner, 

U.  S.  V.,  reported,  with   an   assistant,  and  desired  to  be  put  to  work.       Knowing  that  in  his  case  there  was  no  need  of  any 

supervision,  I  placed  him  upon  the  hurricane  deck,  where  four  hospital  tents  had  been  pitched,  and   sent  up  fifty  wounded, 

most  of  them  needing  capital  operations.     The  hurricane  deck,  the  ciibin,  the  guards,  the  boiler  deck,  and  the  hold  were 

crowded  with  the  wounded."    The  boat  was  loaded  and  ready  to  start  on  the  evening  of  the  8th,  when  she  proceeded  to  Mound 

City,  Illinois,  and  delivered  the  patients  at  the  general  hospital  in  that  place.     Primary  operations  had  not  been  performed  upon 

any  of  these  patients.     Many  of  them  reached  the  boat  without  having  seen  a  surgeon;  upon   others,  where  the  haemorrhage 

was  profuse,  a  temporary  bandage  had  been  placed.     In  two  cases  where  the  thigh  had  been  carried  away  by  cannon  balls,  the 

men  were  upon  the  field  for  man}'  hours  before  they  were  found,  and  then  reached  the  boat  in  the  same  condition  in  which  they 

fell.     The  sh:>ck;  the  torn  condition  of  the  arteries,  and  the  cold  rain  and  night  exposure  had  prevented  much  haemorrhage. 

The  constant  arrival  of  the  wounded,  demanding  as  constant  attention  from  every  medical   officer  present,  entirely  prevented 

making  any  proper  register  of  cases.     All  the  wounded  were  brought  from  the  field  to  the  Landing,  and,  after  the  hospital  boat 

was  filled,  they  were  placed  as  rapidly  as  possible  on  board  the  Government  transports,  until  these  were  crowded  to  their 

utmost  capacity.     Tents  were  pitched  upon  the  bank,  and  hundreds  of  the  wounded  were  cared  for  in  these,  and  awaited  the 

coming  of  boats  from  below.     Many  of  the  wounded  were  exposed  to   the  cold  rain  of   Sunday  and  Monday  nights.     No 

systematic  arrangement  had  been  made  to  supply  them  with  soup  or  food  of  any  kind,  and  they  suffered  much  on  this  account. 

No  excisions   were  performed  on   the   boat,  and  I  know   of  none  having  been  performed  on   the   field.     Amputations  were 

abundant;  and,  as   usual  in  very  many  cases  in   the  upper   extremities,  entirely  unnecessary.     I  form  this  judgment  after 

examining  very  many  arms  lying  outside  the  tents  on  the  Landing.     Cbloroform  was  used  to  produce  anaesthesia,  and  I 

observed  no  ill  effects  from   its   use.     Returning  from  the  transfer  of  the  wounded  to  the  general  hospital  at  Mound  City,  an 

order  from  General  Grant,  dated  April  2Hth,  assigned  me  to  temporary  duty  with  the  Fourth  Division,  of  Brigadier  General 

Hurlbiit.     This  formed  a  part  of  the  force  about  to  advance  on  Corinth,  and  was  composed  of  Iowa,  Illinois,  Ohio,  and  Indiana 

troops;  all  in  good  condition  for  active  duty.     The  arrival  of  a  medical  purveyor  at  Pittsburgh  Landing  enabled  the  regimental 

medical  officers  to  obtain  full   medical   and  hospital  supplies,  and  voluntary  aid  societies  promptly  forwarded  clothing  and 

comforts  for  the  sick.     *     *     On  May  14th,  ld(3'2,  I  was  directed  to  report  to  Monterey,  to  establish  a  general  field  hospital  for 

the  army  before  Corinth.     The  original  design  contemplated  an  hospital  at  this  point  sufficient  for  the  sick  of  the  three  columns  ; 

but  this  was  abandoned  on  account  of  the  long  distance  it  would  compel  tbose  from  the  extreme  left  to  travel,  and  an  hospital 

was  placed  in  the  rear  of  each  column.     Four  hundred  tents,  three  hundred  and  forty  of  the  wall  pattern,  and  sixty  of  the 

regulation  hospital  size,  were  forwarded  from  the  Landing,  and  pitched  as  rapidly  as  possible.     Into  this  camp,  while  yet  in  its 

formative  stage,  before  suitable  provision  could  possibly  be  made  for  their  comfort,  the  sick  from  the  regiments  were  poured  in 

a  continual  stream  ;  s.>  that,  in  less  than  twenty  days  from  the  time  the  first  tent  was  pitched,  I  had  received  one  thousand  four 

hundred  and  sixteen  patients,  and,  by  the  middle  of  June,  one  thousand  seven  hundred  and  ninety-two.     The  weather  being 

warm  and  the  ground  dry,  the  patients  did  not  suffer  much  from  the  unavoidable  exposure  to  which  they  were  subjected ;  for 

it  was  found  impossible,  with  the  detail  of  attendants  allowed,  to  pitch  the  tents  as  rapidly  as  they  were  filled;  but  the  sick 

suffered  from  the  want  of  a  sufficient  number  of  nurses,  and  for  suitable  food.     I  found  here,  as  elsewhere  in  the  field,  that  when 

commanders  of  regiments  were  ordered  to  send  nurses  for  duty  in  hospitals,  they  selected  the  weak  and  disabled  men  for  that 

service.     Of  forty  ordered  to  report  to  me  at  one  time  for  duty  at  this  camp,  only  fifteen  were  of  any  service;  the  rest  only 

added    more  patients  to  the  large  number  already  in   hospital.     All  the  country  for  miles  around  had  been  so   thoroughly 

gleaned  by  the  armies  that  no  delicacy  in  the  way  of  food  could  be  obtained.     The  sick  were  necessarily  confined  to  army 

rations,  and  a  lew  dried  and  canned  fruits.      Many  of  the  sick  sent  to  this  hospital  died  on  the  way,  and  many  reached  the 

camp  in  a  moribund  condition.     Owing  to  these  reasons,  the  mortality  was  large,  amounting  to  9.7(1  per  centum.     An  order, 

received  June  IHth   from    the   department  medical   director,  directed    that   men    should   be    scut    to    Pittsburgh    Landing   and 

Hamburgh  for  transportation  to  northern  general   hospitals,  and    the  c-imp  hospital  at  Monterey  was   gradually  broken   ii|>. 

The  army  wagons  and   ambulances  on   their  way  to  the   Lauding  for  forage  and   medical    supplies  were    used    to    transport 

the   sick."  *  * 


42  APPENDED    DOCUMENTS SIITLOH. 

XXXIX.     Fourth  Extract  from  a  Narrative  of  Services  from   the    Commencement  of   the 
UebdUon  till  July'lSth,  1863.     By  Surgeon  II.  P.  STEARNS,- U.  S.  Volunteers. 

*  *  *  "I  was  only  present  on  the  field  of  the  battle  of  Shiloli  on  the  first  clay.  The  battle  commenced  early  in  the 
morninir.  and  the  enemy  soon  drove  our  forces  hack  towards  the  river,  and  two  temporary  hospitals  were  abandoned.  I  then 
gave  orders  that  the  wounded  should  he  brought  to  the  hank  of  the  river.  I  was  engaged  in  attendance  upon  the  wounded  at 
the  river  during  April  6th,  and  at  night  went  to  Savannah,  Tennessee,  seven  miles  below,  by  order  of  Surgeon  H.  S.  He  wit, 
medical  director,  with  orders  to  provide  all  hospital  accommodations  possihle  at  that  place.  The  general  condition  and  morale 
of  the  First  Division,  under  command  of  General  McClernand,  was  good;  its  approximate  strength  was  nine  thousand. 
Supplies  of  medicines  and  hospital  stores  were  very  limited.  There  were  no  hospital  tents.  Most  of  the  regiments  were 
supplied  with  one  ambulance,  and  one  or  two  stretchers.  The  wounded  were  nearly  all  cared  for  upon  the  river  bank,  and 
upon  the  hospital  steamer  City  of  Memphis,  as  fast  as  they  could  be  transported.  Water  and  food  were  abundant,  and  the 
wounded  were  not  exposed  to  rain  or  cold  during  the  first  day  of  the  battle.  During  the  succeeding  night  and  day,  a  severe 
storm  occurred.  *  f  Savannah  is  situated  on  the  east  bank  of  the  Tennessee  River,  ten  miles  below  Pittsburgh  Landing, 
on  a  hifh  bluff.  The  town  extends  some  three-quarters  of  a  mile  back  from  the  river,  and  usually  contains  a  population  of 
from  six  to  eight  hundred.  There  are  two  large  springs  of  excellent  water  in  the  immediate  vicinity  of  the  village,  hut  the 
wells  contain  water  impregnated  with  iron.  Upon  the  arrival  of  our  troops  there,  in  March,  1862,  a  number  of  regimental 
hospitals  were  established,  and  two  or  three  buildings  were  fitted  up  for  a  general  hospital,  by  order  of  General  C.  F.  Smith, 
commanding.  Immediately  after  the  battle  of  Shiloh,  some  twenty  of  the  largest  public  and  private  houses  in  the  town  were 
used  exclusively  as  hospitals.  Besides  these,  nearly  all  the  houses  were  occupied  by  the  wounded ;  not,  however,  to  the  entire 
exclusion  of  the  owners  and  tenants.  The  buildings  exclusively  devoted  to  hospital  purposes  contained  about  one  thousand 
beds-  the  other  houses,  some  two  hundred;  while  about  six  hundred  were  made  comfortable  in  tents  fitted  up  for  hospital  use. 
Ten  of  the  buildings  were  of  good  size  and  well  ventilated,  and  a  good  police  could  be  maintained  without  difficulty.  Most  of 
the  other  buildings  used  were  divided  into  small  rooms,  and  the  ventilation  was  miserable.  The  location  of  the  tent  hospital 
was  good.  The  ground  was  easily  drained  and  policed.  An  abundance  of  hay  and  blankets  were  provided  for  these  at  first, 
and,  later,  bunks  and  stoves.  The  recoveries  of  those  placed  in  tents,  upon  the  whole,  were  more  speedy  than  of  those  in 
houses;  so  much  so,  that  I  should  recommend  only  large  and  well  ventilated  rooms  to  be  used  in  preference  to  tents,  in  that 
climate,  for  wounded.  About  eighteen  hundred  of  those  wounded  in  the  battle  of  Shiloh  were  brought  to  Savannah,  but  the 
larger  portion  of  them  were  only  slightly  wounded.  No  epidemics  occurred  during  the  continuance  of  the  hospitals.  There 
were  a  few  cases  of  erysipelas,  which  yielded  very  readily  to  treatment.  There  were  also  six  cases  of  variola,  all  of  which 
recovered.  The  hospitals  were  finally  abandoned  about  the  20th  of  June." 


XL. — Extract  from  a  Narrative  of  Service  iji  the  Volunteer  Medical  Staff,  from  June  21st, 
1861,  to  July  1st,  1863.     By  Surgeon  GEORGE  H.  HUBBARD,  U.  S.  Volunteers. 

"I  was  assigned  to  duty  as  medical  director  of  the  division  commanded  by  General  Lewis  Wallace,  then  at 
Crump's  Landing,  six  miles  below  Pittsburgh  Landing.     This  division  did  not  reach  the  scene  of  action  in  season  to  join  in  the 
battle  of  April  6th,  but  was  actively  engaged  on  the  7th.     The  moral  and  physical  condition  of  the  several  regiments  composing 
this  division  was  excellent.     Arriving  on  the  field  at  night,  they  were  well  rested  when  led  to  the  attack  the  following  morning. 
The  division  had  no  hospital  tents  on  or  near  the  field,  but  was  well  supplied  with  ambulances,  and  sparingly  supplied  with 
dressings,  medicines,  and  hospital  stores.     I  took  possession  of  the  tents  of  a  regiment  absent  on  duty,  about  half  a  mile  from 
Pittsburgh. Landing,  and  received  all  the  wounded  brought  to  me.     Being  near  the  main  highway,  wounded  from  all  divisions 
were  brought  in,  and,  in  twenty-four  hours,  about  four  hundred  were  received  and  treated.     The  complete  outfit  of  a  regiment 
which  was  scattered  in  the  action  of  the  first  day  was  placed  at  my  disposal,  and  supplied  our  greatest  necessities.     Water  was 
abundant,  and  abundant  supplies  of  soups  and  hard  bread  were  furnished  on  the  second   day.     The  first   soup  was  prepared 
from  a  sheep  shot  by  my  own  hand  on  the  battlefield,  but  afterward  beef  was  abundant  and  of  good  quality.     The  wounded 
were   exposed   to   a   severe   rain    the   nights   after   each    day's   fight.      The   wounded   were    all    brought    to    the   hospital  in 
ambulances.     I  think  a  large  proportion  lay  on  the  field  over  night,  and  many  passed  a  second  night  before  being  brought 
in.     Most  of  the  wounds  were  from  the  conoidal  musket  ball,  and  from  long  range;  but  there  were  many  wounds,  also,  from 
shells  and  musket  balls  at  short  range.     The  men  were  carried  down  the"  Tennessee  on   transports  as  rapidly  as  possible, 
and   were  taken    to   the   large   general   hospitals   on    the   Ohio  and  Mississippi,   some  three  weeks  being   occupied   in    the 
transfers.     Amputations  were  performed   on   the  field   in   all   cases   absolutely  demanding  them,  the   doubtful    cases   being 
simple   dressings.     Chloroform  was   freely   used  without   any  unpleasant   results.       During   the   campaign    from 
tsburgh  Landing  to  Corinth,  I  was  director  of  the  division  commanded  by  General  Jeff.  C.  Davis.     This  campaign  was  barren 
especial  professional  interest.     The  few  wounds  received  by  the  men  on  picket  duty  were  promptly  treated,  and  with  better 
than  after  large  engagements,  when  delay  is  unavoidable.     Chronic  diarrhoea,  the   natural  consequence   of  an   inactive 
Te  and  full  diet,  was  the  prevalent  disease,  and  proved  fatal  in  a  large  number  of  cases.     1  was  myself  a  sufferer  from  tins 
rom  March  to  June,  and  became;  so  much  debilitated  that  I  was  ordered  by  Surgeon  Charles  McDougall,  U.  S.  A., 
medical  director,  to  Paducah,to  enlarge  the  hospital  accommodations  there,  he  very  wisely  considering  it  a  very  desirable  point 
r  large  hospitals.     The  marine  hospital,  which  had  been  converted  into  barracks,  was  renovated  and  restored  to  its  legitimate 
But  early  in  July,  I  was  ordered  to  break  up  the  hospitals,  and  to  ship  all  the  public  property  to  Surgeon  C.  Sutherland, 
dical  purveyor,  at  Columbus,  Kentucky."  * 


use. 
me 


REPORTS    OF    MEDICAL    OFFICERS.  43 

XLI. — Second  Extract  from  a  Narrative  of  Ids  Services  in  the  Medical  Staff  from   October, 
1861,  to  June,  1863.     By: Surgeon  J.  G.  KEENON,  U.  S.  Volunteers. 

*  *  *  "Soon  after  the  battle  of  Fort  Donelson,  I  was  ordered  to  report  to  General  S.  A.  Hurlbut,  U.  S.  V.,  and  I 
accompanied  his  division,  numbering  about  seven  thousand  men,  in  tbe  engagement  at  Sliiloh  on  April  Gth  and  7th,  1862.  The 
command  was  exposed  to  a  hot  fire  from  seven  in  the  morning,  till  four  in  the  afternoon,  wlien  it  retreated  under  cover  of  the 
siege  guns,  and  the  enemy  fell  back  from  the  heavy  fire  of  this  battery,  aided  by  the  gunboats.  *  *  The  medical  and  hospital 
stores  of  General  Hurlbut' s  Division  were  good  and  ample.  .Many  of  the  wounded  were  treated  at  the  field  stations,  near  the 
line  of  battle,  and  were  then  transported  in  ambulances  to  steamboats,  in  which  they  were  well  cared  for.  There  were  many 
primary  amputations.  The  number  of  wounded  was  so  great  that  all  could  not  have  primary  operations.  Chloroform,  so  far 
as  I  am  aware,  was  the  only  anaesthetic  employed.  The  division  lost  about  seventeen  hundred  in  killed  and  wounded.  The 
wounds  were  inflicted  by  grape  and  canister,  and  shell  fragments  in  some  instances;  but  the  majority  were  from  musketry  at 
short  range." 

XLII. — Second  Extract  from  a  Narrative  of  Services  in  the  Medical  Staff  from  Jidy,  1861,  to 
May  28,  1863.     By  Surgeon  DAVID  P.  SMITH,  U.  S.  Volunteers. 

*  *  "  The  advance  of  General  George  II.  Thomas's  division  from  Nashville  to  Pittsburgh  Landing  was  unmarked 
by  any  incident  worthy  of  note  until  the  noise  of  the  first  day's  fight  at  Sliiloh  reached  our  ears,  when  we  were  distant  nearly 
forty-five  miles.  The  roads  were  heavy,  and  our  large  artillery  train  impeded  our  progress  very  much.  The  next  day  rain 
conYmenced,  impeding  us  still  more.  By  sundown  on  the  second  day  of  the  battle,  the  division,  still  distant  from  the  scene  of 
conflict  some  fifteen  miles,  was  completely  worn  out.  General  Thomas  and  staff,  then,  with  an  escort  of  forty  cavalry,  pushed 
on  through  a  pouring  rain.  I  took  out  a  few  of  the  most  essential  instruments  from  my  field  case,  and,  putting  them  into  my 
saddle  valise,  followed  the  general.  The  road  was  nearly  impassable,  and  the  beating  storm  and  swollen  streams  delayed  us  so 
much  that  we  did  not  reach  Columbia  until  two  in  the  morning.  Thence  by  steamer,  early  in  the  morning,  we  reached  the  field, 
ten  miles  up  the  Tennessee  River.  I  there  found  Surgeon  R.  Murray,  U.  S.  A.,  medical  director  of  the  Army  of  the  Ohio. 
The  incessant  rains  had  rendered  the  field,  at  best  swampy,  almost  impassable.  However,  under  all  discouragements  and 
difficulties,  the  wounded  were  rapidly  placed  undercover,  and  pressing  operations  were  done.  On  the  part  of  General  Grant's  army 
there  appeared  to  have  been  want  of  foresight  in  providing  for  the  probable  wants  of  the  wounded.  The  most  painful  feature, 
however,  that  I  encountered  was  the  inhumanity  shown  by  state  agents.  One  steamboat  captain,  I  remember,  who  came 
from  Cincinnati,  with  a  steamboat  finely  fitted  with  every  hospital  convenience,  and  who  flatly  refused  to  receive  any  but 
Ohio  wounded  on  his  boat,  and  entirely  ignored  the  authority  of  any  medical  officer.  '  I  reported  to  Surgeon  R.  Murray 

for  duty,  and,  after  about  two  days'  service  in  the  field,  was  given  charge  of  the  Crescent  City,  a  large  Mississippi  River 
steamer  Clearing  her  of  freight,  I  first  brought  mattresses,  sheets,  and  pillows  on  board,  and  then,  obtaining  eighteen  or 
twenty  bales  of  hay,  I  filled  therewith  about  three  hundred  and  fifty  bed-sacks.  Also  finding,  I  forget  where,  the  medical 
supplies  of  one  or  two  regiments,  after  sending  for  the  respective  surgeons,  I  divided  with  them,  so  as  to  obtain  what  I  wanted. 
I  made  requisition  for  rations  for  three  hundred  and  fifty  men  for  seven  days,  and  made  an  agreement  with  the  steamboat 
captain  to  feed  his  men  in  return  for  the  services  of  his  cooks  and  other  attendants.  Running  the  steamboat  to  the  river 
bank,  I  began  to  receive  the  wounded,  taking  those  from  the  field,  where  some  few  still  remained,  in  preference.  I  soon  had  on 
board  four  hundred  and  thirty,  and,  on  the  Friday  evening  after  the  battle,  steamed  down  the  river.  Such  was  the  confusion  and 
hurry  on  shore  and  on  the  fleet  of  steamboats,  that  I  could  keep  no  notes  of  operations.  How  many  I  did  while  at  Pittsburgh 
Landing.  I  cannot  now  remember;  but  no  casualty,  I  am  sure,  occurred  as  the  result  of  operation,  or  of  chloroform.  On  my 
voyage  down  the  Tennessee  and  up  the  Mississippi,  I  was,  with  my  assistants,  among  whom  1  may  mention  as  particularly 
indefatigable,  Surgeons  H.  P.  Stearns,  U.  S.  V.,  and  T.  W.  Fry,  U.  S.  V.,  and  Assistant  Surgeon  M.  C.  Tolnian.'Jd  Minnesota, 
intently  engaged  in  performing  such  operations  as  were  needed.  I  attempted  to  employ  due  discretion  in  cases  of  gunshot 
fracture  of  the  femur,  and  amputated  those  only  in  which  the  shaft  of  the  bone  had  been  most  extensively  shattered  and  split. 
In  some  of  these  instances,  upon  dissection  of  the  amputated  limb,  it  seemed  as  if  a  minute  shell  must  have  exploded  in  the 
limb,  to  such  distances  among  the  muscles  were  the  fragments  of  bone  driven.  I  amputated  twice  at  the  knee-joint  by  lateral 
flaps.  One  case  of  most  complete  shattering  of  the  upper  half  of  the  femur,  I  amputated  at  the  hip-joint,  with  loss  of  only  about 
four  ounces  of  blood,  and  with  but  very  little  shock  to  the  patient.  The  m.-thod  was  by  a  long  anterior  and  short  posterior  flap, 
the  arteries  in  the  posterior  flap  being  tied  first.  This  patient  was  taken  on  shore  at  St.  Louis  in  a  very  comfortable  condition, 
but  1  learned  afterward  that  he  expired  at  the  end  of  eight  days  after  the  operation.*  I  amputated  the  leg  in  two  or  three 
instances  for  complete  shattering  to  bits  of  the  ankle.  The  upper  arm  was  amputated  once  for  destruction  of  the  lower  third  of 
bumertis,  together  with  the  elbow  joint.  We  were  greatly  overworked  during  our  passage,  and  it  was  impossible  to  keep  even 
rough  notes  of  our  cases ;  and,  on  arriving  at  St.  Louis,  the  patients  were  distributed  among  the  hospitals  of  that  city,  and  any 
attempt  at  a  tabular  statement  of  operations  and  results  would  be  futile.  One  death  occurred  on  the  passage,  six  hours  after  an 
amputation  of  the  thigh  in  the  upper  third,  and  one  death,  also,  in  a  case  of  fractured  femur,  about  one  hour  after  the  patient 
was  brought  on  board.  We  arrived  at  St.  Louis  on  Monday.  I  and  my  assistants,  having  had  no  change  of  clothing  for  nine 
days,  having  been  continually,  while  on  the  field,  drenched  with  rain  and  covered  with  mud,  and  having  been  constantly 
engaged,  with  but  little  wholesome  food,  were  completely  worn  out.  Before  the  end  of  the  week,  I  had  rejoined  the  army,  now 
slowly  advancing  on  Corinth.  A  few  days  after  my  return,  our  lines  enclosed  a  rebel  hospital,  and,  by  orders  of  General 
Ilalleek,  I  proceeded  to  care  for  the  wounded  and  provide  for  their  transmissal  to  a  hospital  transport.  I  found  about  one 
hundred  men  in  charge  of  four  Confederate  surgeons,  and  so  negligent  had  they  become  that  the  wounded  begged  me  to 
examine  their  wounds.  Several  terribly  shattered  femurs,  1  at  once  amputated,  that  the  men  might  be  removed  with  greater  ease. 

"CASK  xxiii,  Circular  No.  7,  S.  O.  (>.,  IHtiT,  p.  :H. 


44  APPENDED    DOCUMENTS PENINSULAR    CAMPAIGN. 

In  one  case,  shown  me  as  a  trifling  wound,  my  suspicions  being  aroused  by  these  three  facts:  that  there  was  no  wound 
of  exit ;  that  the  wound  of  entrance  was  in  the  popliteal  space,  and  the  knee  joint  was  becoming  very  painful,  I  found  that 
a  minie'ball  was  deeply  lodged  in  the  femur,  between  the  eondyles,  close  to  the  posterior  portion  of  the  joint.  I  amputated 
at  the  knee-joint,  and  sawing  off  two  inches  of  the  femur,  found  the  ball  immovably  fixed  between  the  condyles,  and  pushing 
tlic  cartilage  of  the  joint  before  it.  A  case  here  came  under  my  notice,  illustrating  the  fallacious  character  of  injuries  said  to 
be  received  from  the  wind  of  a  passing  ball.  One  of  the  rebel  wounded  averred  that  he  had  been  thus  hurt,  and  showed,  what 
he  termed,  the  injury  upon  one  of  his  ankles.  A  glance  was  sufficient  to  show  that  it  was  a  varicose  ulcer,  which  broke  out  the 
dav  after  the  battle  in  consequence  of  several  days'  hard  marching.  Indeed,  the  cicatrices  of  similar  ulcers  were  plainly  visible 
on'  both  limbs.  During  the  advance  upon  Corinth,  the  list  of  casualties  was  extremely  small.  But  one  case  is  worthy  of 
comment.  Briefly  this :  a  man  shot  through  the  knee-joint  from  front  to  rear,  the  ball  passing  just  between  the  ends  of  the 
bones  and  slightly  splintering  both  tibia  and  femur.  I  made  long  incisions,  opening  the  joint  freely,  and  removing  all  spiculaj. 
When  I  last  heard  of  the  case,  about  three  weeks  subsequently,  it  was  doing  remarkably  well.  Shortly  after  our  troops 
occupied  Corinth,  I  fell  sick." 


XLIII.     Extracts  from  Memoranda  for  the  Surgical  History  of  the  War.     Communicated  by 
Assistant  Surgeon  B.  HOWARD,  U.  S.  Army. 

*  *  *  ''Immediately  after  the  battle  of  Shiloh,  the  medical  supplies  were  very  insufficient,  General  Buell's  army 
having  marched  to  the  field  unaccompanied  by  any  transportation  except  for  ammunition.  On  the  Saturday  following  the 
engagement,  a  medical  purveyor  arrived  from  Louisville  with  a  large  amount  of  medical  supplies,  cooking  utensils,  etc.,  which 
were  of  immense  service,  and  further  supplies  afterwards  arrived  from  St.  Louis  and  New  York,  sufficient  to  meet  every 
demand.  The  majority  of  operations  were  neither  primary  nor  secondary,  but  intermediate,  being  performed  chiefly  on  the 
hospital  transports  within  the  two  weeks  succeeding  the  engagement." 


XL IV.  Extract  from  a  Report  of  the  Operations  of  the  Medical  Department  of  the  Second 
Brigade  of  the  First  Division  of  Illinois  Volunteers  at  the  Battle  of  Shiloh.  By  Surgeon 
C.  GTOODBRAKE,  20 th  Illinois  Volunteers. 

*  "On  the  morning  of  Sunday,  April  Gth,  1862,  when  our  position  was  attacked,  I  was  with  the  brigade  until 
the  line  of  battle  was  formed,  and  then  took  measures  that  the  hospital  effects  of  the  20th  Illinois  regiment  should  be  properly 
stored  in  our  hospital  wagons  and  taken  to  the  rear.  I  next  collected  as  many  of  the  surgeons  of  this  brigade  as  I  could  find, 
and  took  possession  of  a  ravine  in  the  rear  of  General  Oglesby's  encampment ;  where  we  remained  about  an  hour,  dressing  a 
great  number  of  wounded,  until  we  were  forced  to  retire  by  the  enemy's  shot  and  shell.  We  then  went  in  the  direction  of  the 
river  landing,  taking  our  wounded  with  us.  At  a  house  in  an  open  field  on  the  right  of  the  road,  we  made  another  stand,  and 
here  again  a  great  many  wounded  men  were  brought  to  us,  who  were  all  temporarily  dressed  and  sent  to  the  boats;  but,  in  a 
short  time,  we  were  again  compelled  to  leave,  and  to  retreat  to  the  Landing.  I  remained  at  the  Landing  until  Monday 
evening,  and  did  all  in  my  power  to  relieve  the  wounded.  On  the  evening  of  April  7th,  after  the  enemy  had  been  repulsed, 
General  Grant  directed  me  to  ride  out  to  our  encampment  to  relieve  the  wounded  who  had  been  left  on  the  field,  and  about  this 
time,  I  received  similar  orders  from  Colonel  Marsh.  I  immediately  obeyed,  and  for  several  days  was  very  busily  engaged  in 
attending  to  the  wounded,  both  National  and  Confederate.  I  performed  six  amputations,  in  addition  to  a  great  number  of  minor 
operations."  *  *  * 


XLV.  Report  of  the  Operations  of  the  Medical  Department  of  the  Army  of  the  Potomac,  from 
its  Organization  in  July,  18(51,  until  the  Change  of  Base  to  the  James  River  in  July,  1862. 
By  Surgeon  CHARLES  S.  TRIPLER,  U.  S.  A.,  Medical  Director. 

GENERAL:  In  compliance  with  your  instructions,  I  have  the  honor  to  submit  the  following  report  of  the  operations  of 
the  medical  department  of  the  Army  of  the  Potomac,  during  the  time  I  was  connected  with  it  as  medical  director. 

This  time  naturally  divides  itself  into  two  periods:  the  first,  embracing  the  time  from  the  beginning  of  the  organization 
of  that  army  to  that  of  its  taking  the  field;  the  second,  from  the  latter  time  to  the  completion  of  the  change  of  base  to 
Harrison's  Landing,  on  the  James  River.  I  joined  the  Army  of  the  Potomac.  August  12th,  1861,  and  was  immediately  charged 
with  the  organization  of  its  medical  department.  At  that  time,  the  three  months  volunteers  were  mustered  out  of  service,  and 
the  new  levies  were  rapidly  assembled  in  Washington,  and  its  vicinity.  A  number  of  camps  were  formed  on  both  sides  of  the 
Potomac,  and  the  construction  of  field-works  was  commenced.  There  were  some  five  or  six  hotels,  seminaries,  and  infirmaries 
in  Washington  and  Georgetown  occupied  as  general  hospitals,  and  one  or  two  in  Alexandria,  the  fruits  of  the  exigencies  of  the 
three  months  campaign.  These  were  under  capable  officers,  were  well  regulated  and  conducted ;  but  with  no  system  in  reference 
to  the  admission  or  discharge  of  patients.  Every  regimental  surgeon  sent  what  men  he  pleased  to  the  general  hospitals  without, 
knowing  whether  there  was  room  for  them  or  not,  and  men  were  discharged  from  the  hospitals  with  no  means  provided  to  ensure 
their  return  to  their  regiments.  It  was  not  an  unusual  circumstance  for  sick  men  to  pass  the  night  in  ambulances,  wandering  the 
streets  from  hospital  to  hospital  seeking  admission.  I  could  find  no  information  anywhere  as  to  what  regiments  were  present, 
or  whether  they  had  medical  officers  or  not.  My  first  endeavor  was  to  find  out  who  were  the  medical  officers  of  the  several 
regiments,  how  the  hospital  departments  were  supplied,  and  what  was  the  strength  of  the  regiments;  how  many  of  the  men 


REPORT    OF    MEDICAL    DIRECTOR    TRIPLER.  45 

were  sick,  and  what  were  the  prevailing  diseases.     For  this  purpose  I  applied  for  and  had  an  order  issued,  directing  all  the 
medical  officers  to  report  to  me  in  person  without  delay ;  from  them  I  required  the  other  items  of  information  I  have  indicated. 
A  singular  state  of  things  was  revealed.     In  General   Orders  No.  25,  War  Department,  May  25th,  1861,  the  President  had 
directed  that  a  surgeon   and  an    assistant  surgeon  should  he  appointed,  for  each  regiment  of  volunteers,  by  the  governors  of 
their  respective  States,  and  that  these  officers  should  he  examined  by  boards,  to  be  appointed  by  the  governors,  as  to  their 
qualifications,  the  appointments  to  be  subject  to  the  approval  of  the  Secretary  of  War.     The  3d  section  of  the  act  of  Congress 
of  August  6th,  1861,  required  vacancies  among  the  volunteer  officers  to  be  filled  by  the  governors  in  the  same  manner  as  the 
original  appointments.     Some  of  the  state  authorities  had  appointed  these  boards,  but  many  others  had  entirely  neglected  it. 
The  Secretary  of  War  had  also  accepted  what  were  termed  independent  regiments,  the  colonels  of  which  asserted  a  right  to 
appoint  their  own  medical  officers,  and,  notwithstanding  the  act  of  Congress,  to  fill  vacancies.     In  other  instances,  colonels  of 
state  regiments  refused  to  receive  the  medical  officers  appointed  in  conformity  with  the  law  and  the  orders  of  the  President, 
and  went  so  far  as  to  put  these  gentlemen  out  of  their  camps  by  force,  when  they  reported  in  obedience  to  the  orders  of  the 
governors  and  of  the  Headquarters  of  the  Army  of  the  Potomac.     The  state  authorities,  especially  of  New  York  and  Pennsyl 
vania,  remonstrated  strongly  against  this  course,  and  I  used  every  effort  to  correct  it;  but  in  vain.     I  was,  at  last,  officially 
notified,  on  the  1'Jth  of  November,  1861,  that  the  medical  officers  of  regiments,  accepted  directly  by  the  Secretary  of  War,  had 
acquired  rights  that  could  not  be  set  aside  by  the  governors  of  the  states.     These  irregularities  created  great  embarrassment 
and  confusion  in  organizing  my  department,  and  many  regiments  were  thus  left  with  surgeons  as  to  whose  competency  nothing 
was  known.     In  other  instances  regiments,  or  parts  of  regiments,  were  sent  on  without  their  medical  officers,  the  colonels 
assuming  authority  to  leave  them  at  home  under  various  pretexts.     *     *     Another  source  of  embarrassment  was,  that  neither 
the  law  nor  orders  had  provided  medical  officers  for  batteries  or  detachments  of  cavalry;  in  these  cases  I  could  only  direct 
that  such  bodies  should  be  attended  to  by  the  medical  officers  of  the  regiments  nearest  to  them.     To  remedy  the  irregular  and 
doubtful  appointments  made  by  colonels,  and  to  give  the  troops  confidence  in  their  medical  officers,  I  determined  to  assemble 
boards  for  the  examination  of  the  incompetent,  as  rapidly  as  their  cases  were  brought  to  my  notice.     This  I  did  under  authority 
ot  General  Order  No.  H5,  War  Department,  June  20th,  1861.     On  September  7th,  1861,  I  assembled  such  a  board  and  ordered 
twelve  medical  officers  before  it  for  examination.     From  that  time  forward,  whenever  a  medical  officer  was  complained  of  for 
incompetency,  a  board  was  ordered.     In  many  cases  the  complaints  were  ascertained  to  be  well  founded,  and  the  officers  were 
discharged.     The  third  section  of  the  act  of  Congress  of  July  22d,  1861,  having  provided  for  a  surgeon  for  each  brigade,  a  board 
was  assembled  in  Washington  to  examine  candidates ;  a  number  of  those  appointed,  under  that  act,  were  assigned  to  duty  with 
the  Army  of  the  Potomac.     The  act  had  not  defined  the  duties  of  these  officers,  nor  had  any  regulations  in  reference  to  them 
emanated  from  the  War  Department.     Their  position  was  doubtful,  and  it  was  necessary  to  define  it.     The  regimental  medical 
officers  were,  for  the  most  part,    physicians  taken  suddenly  from  civil  life,  with  little  knowledge  of  their  duties,  which  had 
to  be  taught  them  from  the  very  alphabet.     The  line  officers  were  equally  ignorant  with  themselves  in  this  respect,  and  hence 
confusion,  conflict  of  authority,  and  discontent,  very  seriously  impaired    efficiency  in  the  medical  department.     The  general 
idea  seemed  to  be  that  it  was  the  duty  of  the  doctor  to  physic  every  man  who  chose  to  report  sick,  and  to  sign  such  papers 
as  the  colonel  directed  him  to  sign.     To  superintend  the  sanitary  condition  of  the  regiment,  to  call  upon  the  commanding  officers 
to  abate  nuisances,  to  take  measures  for  the  prevention  of  disease,  Avas,  in  many  instances,  considered  impertinent  and  obtrusive, 
and  the  suggestions  of  the  medical  officer  to  these  ends  were  too  frequently  disregarded  and  ignored. 

It  occurred  to  me  that  the  brigade  sifrgeons,  being  very  generally  taken  from  those  who  had  seen  some  service  in  the 
three  months  campaign,  might  be  made  useful  in  remedying  these  evils,  and  in  carrying  out  my  views  for  increasing  the 
efficiency  of  the  department.  Bearing  the  commission  of  the  President,  I  was  of  opinion  that  they  were  the  superior  officers  ot 
the  state  surgeons,  and  had  authority  to  control  them  in  the  medical  staff.  I  therefore  assigned  these  gentlemen  to  the 
staff's  of  the  several  brigades,  and  prepared  an  order  defining  their  duties. 

By  conversations  with  the  brigade  surgeons,  I  endeavored  to  impress  upon  them  the  importance  of  the  trust  confided  to 
them,  and  to  show  them  how  much  the  efficiency  of  the  army  depended  upon  the  fidelity  and  success  with  which  they  should 
discharge  their  duties.  Every  item  of  the  order  was  explained  to  them,  and  they  were  urged  to  be  active  and  zealous  in 
imbuing  the  regimental  surgeons  with  a  thorough  understanding  and  just  appreciation  of  the  hygienic  suggestions  it  contained. 
It  was  impossible  for  me  to  see  and  instruct  inch  a  number  of  regimental  medical  officers  as  our  army  included;  and  I  was 
therefore  obliged  to  rely  upon  the  brigade  surgeons  to  attend  to  the  training  of  these  officers  in  their. routine  duties.  This 
arrangement  was  the  most  promising  I  could  command,  and  I  hoped  its  advantages  would  be  readily  seen  and  appreciated; 
still,  some  were  found  to  place  impediments  in  the  way  of  these  officers  in  the  performance  of  their  duties. 

I  had  thus  established  a  hierarchy,  which  though  imperfect,  enabled  me  to  keep  myself  tolerably  well  informed  of  the 
condition  of  the  medical  department  of  this  army.  The  insularities  prevailing  in  relation  to  the  sending  of  men  to  the  general 
hospitals,  and  to  discharging  them  therefrom,  were  corrected  by  paragraphs  four  and  nine  of  General  Orders  No.  9,  Army  of  the 
Potomac,  September  Dth,  1861. 

In  suggesting  this  order,  I  had  another  object  in  view:  to  control  and  to  diminish,  as  far  as  possible,  the  number  of  men 
sent  from  the  regimental  to  the  general  hospitals  The  experience  of  all  armies  had  shown,  and  my  personal  observation  has 
convinced  me,  of  the  fact  that  the  sick  do  much  belt ;M- in  regimental  than  in  general  hospitals,  the  latter  being  nuisances  to 
be  tolerated  only  because  there  are  occasions  when  they  are  absolutely  necessary,  as,  for  instance,  when  the  army  is  put  in 
motion,  and  cannot  transport  its  sick.  It  is  a  singular  fact,  but  one  as  to  which  I  believe  all  military  surgeons  of  experience 
will  agree  with  me,  that  the  sick  report  of  a  regiment,  under  ordinary  circumstances,  is  a  constant  quantity;  that  alter  a 
regiment  has  been  in  the  field  a  month,  that  quantity  will  be  ascertained;  and.  that  if  the  regimental  hospital  is  evacuated,  in  a 
short  time  it  will  l»e  found  to  contain  again  its  habitual  number  of  inmates,  so  that  we  may  have  as  many  successive  crops  ot 
sick  as  we  choose,  by  repeating  the  process  of  evacuating  the  rcirimental  upon  the  general  hospitals.  A  leading  object  with 
me.  was.  to  keep  up  the  fighting  force  to  its  maximum,  and.  then  tore,  as  well  as  for  the  more  speedy  recovery  of  the  men 
themselves,  I  discouraged  the  practice  of  sending  them  to  the  general  hospitals.  If  I  had  permitted  the  practice  I  found 


46  APPENDED    DOCUMENTS PENINSULAR    CAMPAIGN. 

existing  to  continue,  of  sending  men  promiscuously  and  without  control  to  the  general  hospitals,  the  only  limit  of  these  would 
have  been  establishments  adequate  to  contain  the  whole  army.  I  stopped  it,  and  thus  kept  a  healttiy  army  in  the  field. 

Havm"  thus  established  some  order  and  system  in  the  personnel  of  the  medical  department,  and  some  method  in  instruct- 
h»g  the  officers  in  their  duties,  my  attention  was  turned  to  the  means  of  keeping  them  supplied  with  medicines,  instruments, 
and  stores.  In  this  I  met  with  many  difficulties.  The  volunteer  medical  officers  could  not  readily  accommodate  themselves  to 
the  rigid  system  of  the  army  in  regard  to  their  supplies.  To  meet  this  difficulty,  I  attempted,  within  reasonable  limits  to 
disregard  supply  tables,  and  to  give  the  surgeons  articles  of  medicine  and  hospital  stores  to  suit  even  their  caprices,  if,  in  my 
judgment,  such  articles  could  be  of  any  avail  in  the  treatment  of  disease.  In  this  effort,  I  first  felt  the  inconvenience  of  being 
in  Washington.  The  medical  purveyor  was  restricted  by  the  regulations,  and  although  my  order  ought  to  have  been  sullbient  to 
relieve  him  from  all  responsibility,  still,  to  be  perfectly  safe,  he  would  refer  such  requisitions  to  the  Surgeon  General;  the 
consequence  was,  my  orders  were  countermanded,  and  he  was  finally  ordered  by  the  Surgeon  General  not  to  issue  anything 
disallowed  by  the  supply  table,  without  the  sanction  of  the  Surgeon  General  previously  obtained. 

The  pressure  upon  the  purveyor,  consequent  upon  the  intlux  of  so  large  a  body  of  troops,  caused  great  delay  in  the 
issuing  of  supplies.  Complaints  of  this  delay  were  made  to  me  as  early  as  the  beginning  of  September.  I  offered  the  purveyor 
more  assistance  if  it  would  expedite  his  issues.  That  officer  replied  on  the  Cth  of  September,  that  any  additional  aid  to  that 
then  employed  was  unnecessary  and  would  in  nowise  facilitate  the  matter.  Subsequently,  a  different  conclusion  was  arrived  at 
and  additional  aid  was  furnished.  Another  difficulty  was  encountered,  in  getting  the  supplies  to  the  regiments  after  they  were 
put  up.  Ordinarily,  the  purveyor  turns  over  his  supplies  to  the  quartermaster,  and  it  is  the  duty  of  that  officer  to  transport 
them  to  their  destination.  It  was  soon  perceived  that  this  mode  would  not  answer  in  the  confusion  then  reigning  in  Washington  ; 
the  regular  quartermasters  were  charged  with  duties  considered  of  more  importance,  the  volunteer  quartermasters  did  not  know 
how  to  perform  what  was  required.  We  were  therefore  obliged  to  require  the  medical  officers  to  call  for  and  to  transport  their 
own  supplies  to  their  camps.  Much  was  accomplished  in  this  way;  though,  in  many  instances,  great  negligence  and  indifference 
was  manifested  on  the  part  of  the  surgeons  themselves. 

Another  difficulty  to  overcome,  was,  the  supplying  the  regiments  witli  hospital  tents.  I  determined  to  issue  three  of 
these  tents  to  a  regiment;  which  would  accommodate  comfortably  thirty  men.  The  demand  for  tents  and  the  scarcity  of  canvas 
made  it  necessary  to  reduce  the  allowance  to  the  minimum  that  could  be  made  to  suffice.  I  approved  of  requisitions  for  this 
number,  whenever  they  were  presented,  and  I  ordered  requisitions  to  be  made  in  all  cases,  when  I  discovered  it  had  been 
neglected.  These  tents,  however,  were  frequently  taken,  by  arbitrary  authority,  for  other  purposes,  such  as  store  tents,  guard 
tents,  and  the  like.  Whenever  an  abuse  of  this  sort  was  brought  to  my  notice,  I  took  every  means  in  my  power  to  correct  it, 
and  I  believe,  from  the  best  information  I  could  get,  that  when  the  army  moved  to  Fairfax  Court  House,  every  regiment  in  it 
had  its  full  supply  of  hospital  tents.  When  the  medical  officers  reported  to  me,  I  required  them  to  submit  to  me  an  inventory 
of  the  supplies  of  all  sorts  they  had  on  hand.  These  were  carefully  revised,  and  whenever  they  were  defective,  requisitions 
were  immediately  called  to  meet  the  deficiencies.  Great  difficulty  was  experienced  in  enforcing  obedience  to  this  simple 
requirement.  By  firmness  and  patience  I  believe  it  was  overcome,  so  that  I  had  every  assurance,  short  of  personal 
inspection,  which  was  impossible,  that  nearly  every  regiment  in  the  army  was  fully  supplied  for  three  mo-.iths.  At  the  time 
we  moved,  a  few  had  succeeded  in  neglecting  this  duty  and  escaping  the  vigilance  of  the  inspectors  and  brigade  surgeons. 
These  applied  for  issues  during  the  few  days  we  remained  at  Alexandria  after  our  return  from  Fairfax.  The  purveyor  was  then 
engaged  in  packing  and  shipping  his  stores  for  Fort  Monroe,  of  course  I  could  not  arrest  this  work  to  remedy  the  faults  of  half 
a  dozen  idlers. 

My  next  step  was  to  attempt  to  improve  the  condition  of  the  camps,  so  as  to  promote  the  health  of  the  army  by  correcting 
InX'ienic  errors  and  by  removing,  as  far  as  practicable,  the  causes  of  disease.  On  the  19th  of  August,  I  directed  all  the 
prisoners  at  the  Capilol  prison  to  be  vaccinated,  a  bath  to  be  fitted  up  for  their  use,  and  such  out-door  exercise  to  be  allowed 
them  as  was  consistent  with  their  safe  keeping.  On  the  22d  of  August,  I  sent  a  surgeon  to  remedy  the  defects  in  the  police  of 
$  camp  of  the  Pennsylvania  Cavalry,  on  7th  street.  This  camp,  at  the  time,  was  a  nuisance.  The  same  day,  I  recommended 
the  removal  of  the  troops  encamped  upon  the  fiats  near  Arlington  to  the  higher  ground,  if  practicable.  Thirty-three  per  cent. 
>f  the  regiments  there  were  reported  sick  with  diarrhoea,  and  intermittent  and  typhoid  fevers.  The  chief  surgeon  of 
Division,  who  had  been  some  weeks  at  Arlington,  expressed  his  doubts  to  me,  in  a  report  on  the  subject,  whether 
fiats  were  more  .insalubrious  than  the  high  woodland  of  that  district.  I  represented  to  the  Adjutant  General  that  I 


and  were  hours  in  waiting  for  their  breakfasts,  and  feeling  that  this  had  much  to  do  with  the  prevalence  of  malarial  fevers.  I 

blamed  an  order,  that  reveille  should  not  be  beat  till  after  sunrise,  and  that  hot  coffee  should  be  issued  to  the 

Soon  after  this.  I  was  directed  to  provide  a  reasonable  allowance  of  cots  for  the  sick  in  the 

I  ordered  them  to  be  purchased  immediately,  and  as  soon  as  they  were  procured,  I  directed  the  regimental 

the  purveyor  for  their  quoU.     Strange  to  say,  I  experienced  difficulty  in   leading  these  officers  to  make 

December  stfth,  I  was  obliged  to  compel  some  of  tluj  surgeons  to  supply  themselves.    The  want  of  military 

L'd.cal  officers:  and  their  consequent  helplessness,  made  it  extremely  difficult  to  discover  the  real  causes  of 


"".'°          v:">  nun  n  BIIOUIU.  lie  roasicu  in  :i  mess  pa 

:ith  the  company  funds;  that  the  quantity  issued  was  fixed  by  law.  and  was  deemed  ample;  and  so  it  was,  but  it 
•1  a  little  judgment  to  discover  it,  1  made  constant  and  diligent  inquiries  of  the  surgeons  as  to  their 
t)i  disease  ,„  i.heir  regiments,  and  whenever  an  undue  proportion  of  sick  was  reported  in  any  regiment,  a 


REPORT    OF    MEDICAL    DIRECTOR   TRIPLER.  47 

special  report  was  invariably  called  for.     If  I  could  have  had  competent  medical  inspectors  at  that  time,  the  average  health  of 
the  army  might  have  been  more  rapidly  improved. 

First  among  the  causes  assigned  for  the  number  on  the  sick  report,  and  the  one  to  which  there  was  a  general  concurrence 
of  opinion,  was  the  recklessness  with  which  the  men  had  been  enlisted.  General  Orders  No.  51,  War  Department,  August  3d, 
1861,  commanded,  that  when  volunteers  were  mustered  in,  they  should  be  minutely  examined  by  the  surgeon  and  assistant 
surgeon  of  the  regiment,  as  to  their  physical  qualifications.  I  question  whether  this  most  important  order  has  ever  received  the 
adequate  attention  from  the  persons  whose  duty  it  was  to  execute  it.  So  notorious  was  the  neglect  of  its  behests,  or  the  incom- 
petency  of  those  -who  pretended  to  obey  it,  that  another  general  order  from  the  same  authority  was  demanded  and  issued  mi 
December  3d,  of  the  same  year,  which  declares  that  the  evidence  was  abundant  that  this  duty  was  neglected;  and  threatened  to 
make  the  derelict  officers  pecuniarily  responsible  for  disregarding  it.  The  effect  of  this  neglect,  incompetency,  or  dishonesty, 
has  been  always  to  swell  excessively  the  ratio  of  sick  to  the  whole  force.  The  surgeon  of  the  61st  New  York  reported  to  me  as 
a  reason  for  his  large  sick  report,  that  he  had  a  large  number  of  broken-down  men :  many  sixty  to  seventy  years  old,  many 
affected  with  hernia,  old  ulcers,  epilepsy,  and  the  like.  Another  acting  brigade  surgeon  reported  that  there  has  been  no  medical 
examination  of  many  of  the  regiments  before  they  were  enrolled ;  another,  that  there  were  eighty  men  with  hernia  and  epilepsy 
in  the  5th  New  York  Cavalry. 

During  the  months  of  October,  November,  and  December,  3,939  men  were  discharged  from  the  Army  of  the  Potomac 
upon  certificates  of  disability:  of  these,  2,831  were  for  disabilities  that  existed  at  the  time  the  men  were  enlisted.  These  men, 
cost  the  Government  not  less  than  $200  each,  making  nearly  §200,000  a  month,  out  of  which  the  people  had  been  defrauded  in  a 
single  army,  through  the  faithlessness  of  those  to  whom  the  duty  of  bringing  none  but  able-bodied  men  into  the  field,  had  been 
confided.  It  seemed  as  if  the  army  called  out  to  defend  the  life  of  the  nation  had  been  made  use  of  as  a  grand  eleemosynary 
institution  for  the  reception  of  the  aged  and  infirm,  the  blind,  the  lame,  and  the  deaf,  where  they  might  be  housed,  fed,  paid, 
clothed,  and  pensioned,  and  their  townships  relieved  of  the  burden  of  their  support.  The  general  prevalence  of  measles  was 
an,other  element  increasing  the  ratio  of  the  sick.  I  know  of  no  means  of  preventing  the  occurrence  of  this  disease.  After 
more  than  thirty  years  experience  and  observation,  I  can  only  say,  that  I  have  rarely  seen  a  regiment  of  irregular  troops, 
in  which  it  did  not  appear  sooner  or  later  after  they  had  been  assembled  in  camp.  In  many  of  our  regiments  it  broke  out 
before  they  left  their  homes ;  some  were  more  severely  scourged  than  others,  but  nearly  all  suffered  to  some  extent.  Among 
regular  soldiers  the  disease  is  rarely  seen.  I  do  not  doubt  it  is  due  to  the  difficulty  of  securing  the  same  attention  to  police,  to 
cooking,  to  clothing,  to  ventilation  of  tents,  among  volunteers,  that  is  habitual  with  regular  soldiers 

Complaints  were  made  to  me  in  several  instances  of  the  inferior  quality  of  the  blankets  issued  to  the  men.  This  was. 
perhaps  to  some  degree,  a  cause  of  disease,  but  I  knew  it  to  be  irremediable.  It  was  impossible  for  the  clothing  department  to 
furnish  the  heavy  army  blankets  instantaneously  to  600,000  men.  The  same  remarks  apply  to  a  considerable  portion  of  the 
tents  in  use.  Some  regiments  suffered  for  want  of  good  and  sufficient  clothing.  A  singular  circumstance  presents  itself  in  this 
connection.  On  the  8th  November,  1861,  the  surgeon  of  the  8th  Illinois  Cavalry,  reported  to  me  that  200  of  the  men  had 
received  no  overcoats  from  the  United  States;  many  of  them  were  almost  destitute  of  clothing.  He  had  three  hospital  tents, 
floored,  and  furnished  with  stoves ;  his  regiment  was  unusually  healthy,  no  deaths  had  occurred  in  it  in  three  months.  The 
location  of  the  regiment  was  afterwards  changed;  it  was  encamped  in  low  grounds  that  became  intolerably  muddy  in  the  course 
of  the  winter;  the  part  occupied  by  the  horses  was  a  perfect  quagmire,  never  policed  at  all,  the  men  became  discouraged  and 
careless,  and,  in  January,  1862,  there  were  207  cases  of  typhoid  fever  among  them.  These  were  removed  to  the  general 
hospital  in  Alexandria,  but  the  sick  lists  remained  large,  and  in  March,  when  preparing  to  take  the  field,  132  men  of  that 
regiment  were  reported  unfit  for  duty. 

Another  cause  of  disease  was  the  heavy  details  for  labor  in  the  field  works,  and  the  severe  nature  of  that  labor;  another, 
the  exposure  incident  to  picket  duty.  Regular  officers  and  soldiers  know  how  to  make  themselves  comfortable  on  picket  duty  ; 
volunteers  do  not.  The  frequent  alarms  in  some  portions  of  our  line  were  considered  bv  some  of  the  medical  officers  as  a  cause 
of  disease;  this  was  particularly  the  case  in  front  of  some  of  the  Vermont  troops  in  General  Brooks's  brigade.  It  is  possible  that 
this  may  have  had  an  unfavorable  effect  upon  men  predisposed  to  disease  from  other  causes.  The  principal  causes  of  disease, 
however,  in  our  camps,  were  the  same  that  we  have  always  to  deplore,  and  find  it  so  difficult  to  remedy,  simply  because  citizens 
suddenly  called  to  the  field  cannot  comprehend  that  men  in  masses  require  the  attention  of  their  officers  to  enforce  certain 
hygienic  conditions,  without  which  health  cannot  be  preserved.  The  individual  man.  at  home,  finds  his  meal  well  cooked  and 
punctually  served,  his  bed  made,  his  quarters  policed  and  ventilated,  his  clothing  washed  and  kept  in  order  without  any  agency  of 
his  own,  and  without  his  ever  having  bestowed  a  thought  upon  the  matter.  The  militia  officer,  in  n;nety-nine  cases  in  a  hundred, 
has  given  no  more  reflection  than  the  private  to  these  important  subjects.  When  the  necessity  for  looking  after  these  things 
is  forced  upon  his  attention,  he  is  at  loss  how  to  proceed ;  too  frequently  he  lacks  the  moral  courage  and  the  energy  to  make 
his  men  do  what  neither  he  nor  they  apprehended  or  understood  when  they  entered  service.  To  bad  cooking,  bad  police,  bad 
ventilation  of  tents,  inattention  to  personal  cleanliness,  and  unnecessarily  irregular  habits,  we  are  to  attribute  the  greater 
proportion  of  the  disease  that  actually  occurred  in  the  army.  My  attention  was  given  to  these  evils  from  the  beginning.  By 
precept  and  by  orders,  the  necessity  and  the  methods  of  correcting  them  were  urged  upon  the  commanders  and  the  medical 
officers  of  the  several  regiments.  When  the  brigade  surgeons  were  assigned,  the  first  paragraph  of  tlie  order  defining  their 
duties  impressed  the  paramount  importance  of  hygienic  morality  upon  their  consciences,  and  no  opportunity  was  omitted  by 
me  of  urging  upon  both  commanders  and  surgeons  their  obligations  in  this  respect.  Some  of  the  regimental  surgeons.  I  know, 
faithfully  performed  this  duty.  Copies  of  their  reports  made  to  their  commanding  officers,  creditable  alike  to  their  intelligence 
and  their  zeal,  were  sent  to  me.  The  attention  of  commanding  officers  is  earnestly  called  in  these  reports  to  the  drainage  of 
their  camps,  the  clothing  and  cleanliness  of  their  men,  to  the  situation  of 'their  sinks,  and  the  like.  One  surgeon  reports  that 
he  cannot  strike  the  tents  as  I  had  enjoined,  because  thev  were  too  old,  and  urges  his  colonel  to  get  new  ones,  if  possible.  The 
prophylactic  use  of  quinine  and  whiskey  having  been  suggested  as  a  means  of  preventing  malarial  disease,  I  determined  to  test 
its  efficacy.  There  being  no  warrant  for  such  an  issue  in  the  regulations  of  the  army,  I  procured  a  small  quantity  from  a 


43  APPENDED    DOCUMENTS — PENINSULAE    CAMPAIGN. 

sanitary  aid  society,  and  received  favorable  reports  of  its  effects.  Upon  representing  this  to  the  Surgeon  General,  I  was  authorized 
to  issue  it,  in  reasonable  quantities,  to  regiments  whose  condition  seemed  most  to  demand  it,  I  required  reports  as  to  the  effect. 
These  reports  were  eenerallv  favorable;  so  much  so,  that  I  was  induced  to  keep  it  constantly  on  hand,  afterwards,  in  the 
purveyor's  store.  The  surgeon  of  the  Cameron  dragoons  reported,  that  by  its  use  he  had  reduced  his  sick  report  from  126  to  74, 
in  two  weeks.  The  surgeon  of  the  (5','d  Pennsylvania  reported  as  favorably,  and  stated  that  two  companies  of  the  regiment, 
who  had  used  it  faithfully  for  two  weeks,  presented  a  sick  report  of  only  four  men.  Much  prejudice  and  aversion,  however, 
had  to  be  overcome  in  inducing  the  men  to  take  this  medicine,  and  I  scarcely  think  it  would  have  been  practicable  to  have 
forced  it  upon  the  whole  army.  Fortunately,  there  was  no  necessity  for  this. 

In  order  to  secure  some  comforts  for  the  sick  in  the  regimental  hospitals,  I  attempted  to  show  the  surgeons  how  to  create 
and  use  a  hospital  fund.  The  regimental  commissaries  strenuously  opposed  this,  on  account  of  the  inconvenience  to  themselves. 
The  first  paragraph  of  General  Orders  No.  9,  Army  of  Potomac,  September  9th,  1851,  however,  enjoined  it  upon  them  as  a 
duty  ;  and,  in  the  course  of  some  four  or  five  months,  we  succeeded  in  getting  the  system  pretty  generally  established.  As  cold 
weather  came  on,  I  judged  it  necessary  to  make  some  provision  for  warming  the  tents.  A  very  ingenious  plan  having  been  pro 
posed  b  v  Brigade  Surgeon  McXulty,  which  had  received  the  approval  of  General  Heintzleman  and  of  other  officers  of  experience, 
I  directed  Dr.  McNulty  to  visit  every  division  in  the  army,  and  to  construct  one  of  his  furnaces  for  a  model.  This  duty  he 
performed.  Some,  of  course,  were  found  to  object  to  it,  but  it  was  generally  well  received,  and  was  found  to  contribute  much  to 
the  comfort  of  the  men.  A  few,  however,  still  used  the  Crimean  pit,  and  others  succeeded  in  getting  stoves.  A  cheap  and 
convenient  stove,  and  one  readily  transported,  the  make  of  Mr.  Harrisworth,  of  Newport,  Kentucky,  was  introduced  into  the 
armv,  and  was  found  to  answer  well.  It  was  the  general  understanding  that  the  army  was  not  to  go  into  winter  quarters,  and. 
therefore,  I  did  not  recommend  the  housing  of  the  men  until  the  middle  of  January,  1862  ;  but,  in  December,  1881,  learning  that 
some  of  the  regiments  were  excavating  pits  in  the  ground  and  covering  them  with  their  tents,  I  hastened  to  object  strenuously 
to  this  plan.  I  suggested  inclosures  of  rails  or  palisades,  some  three  feet  high,  to  be  roofed  over  with  the  tents.  The 
excavations  could  not  be  kept  dry  or  well  ventilated,  and  certainly  would  not  be  kept  in  good  police ;  all  of  which  objections 
would  be  obviated  bv  the  above-ground  inclosure.  This  plan  was  adopted  in  a  number  of  camps  I  visited,  and  they  presented 
an  air  of  comfort  that  was  very  gratifying.  Later  in  the  season,  I  recommended  the  Chester  Hut,  with  roof  ventilation,  as  used 
so  satisfactorily  at  Balaklava. 

Protection  of  the  men- against  the  contagion  of  the  small-pox,  of  course,  received  constant  attention.  While  the  Army  of 
the  Potomac  was  in  process  ol  organization,  small-pox  was  prevailing  rather  extensively  in  several  of  the  districts  from  which 
the  troops  were  recruited.  It  was  unsafe  to  travel,  without  protection,  over  any  railway  in  the  country.  The  city  of  Wash 
ington  was  infected,  as  I  know  from  the  number  of  applications  made  to  me  by  the  authorities  for  the  use  of  our  small-pox 
ambulances  to  convey  city  patients  to  the  pest-house.  An  eruptive  fever  hospital  had  been  established  before  I  took  charge  as 
director.  Under  the  excellent  arrangements  made  in  that  establishment  by  Dr.  Thomas,  the  surgeon  in  charge,  but  little  risk 
was  incurred  of  the  propagation  of  the  disease  to  the  camps.  Orders  were  issued  and  reiterated  for  the  vaccination  of  all 
volunteers  unprotected.  I  also  recommended  that  an  order  should  be  published,  requiring  that  all  recruits  for  the  Army  of  the 
Potomac  should  be  vaccinated  before  they  were  started  from  their  rendezvous ;  and  that  they  should  be  carefully  inspected 
as  to  this  immediately  upon  their  arrival.  Not  satisfied  with  what  had  been  done,  I  asked  for,  and  obtained,  another  order,  in 
December  1881,  requiring  division  and  brigade  commanders  to  cause  the  brigade  surgeons  to  again  inspect  all  the  men,  vaccinating 
such  as  were  still  unprotected,  and  to  report  the  results  to  me.  At  this  late  period,  most  of  the  brigades  were  found  to  have 
some  men  unprotected;  in  a  few,  the  number  was  serious.  In  Slocum's  brigade,  there  were  fifteen  hundred,  in  Blenker's,  twelve 
hundred  and  fifty,  and  in  Sickles's,  seven  hundred  and  fifty.  Crusts  were  furnished,  and  the  vaccination  completed.  As  the 
result,  small-pox,  though  rife  in  the  community,  never  gained  any  foothold  in  the  army.  A  sporadic  case  would  occasionally 
occur  sometimes  in  the  most  unaccountable  way.  There  are  individuals  so  susceptible  that  neither  vaccination  nor  a  former 
attack  of  small-pox  secures  them  against  the  disease.  An  alarming  report  of  the  dangers  to  which  the  army  was  exposed 
from  the  system  adopted  at  the  hospital  having  been  made  by  the  sanitary  commission,  with  suggestions  of  some  few  modifica 
tions  to  suit  its  views,  I  inquired  into  the  statistics  of  the  disease  in  our  army  up  to  that  time,  and  found  that  in  seven  months 
we  had  had  but  one  hundred  and  sixty-eight  cases,  the  majority  of  whom  were  ill  when  they  reached  Washington.  I  adopted 
such  of  the  suggestions  of  the  commission  as  were  not  already  in  use,  but  with  no  perceptible  effect.  In  fact,  the  precautions 
already  adopted  had  made  the  number  of  cases,  considered  in  reference  to  the  size  of  the  army,  too  insignificant  to  give  the 
least  uneasiness  to  any  one  at  all  informed  on  the  subject. 

I  had  long  been  solicitous  to  get  possession  of  a  few  experienced  regular  medical  officers  to  be  employed  as  inspectors 
of  the  field  hospitals,  through  whom  I  might  be  assured  that  the  measures  devised  for  the  preservation  of  the  health  of  the  men 
were  faithfully  and  intelligently  carried  out.  This  was  accomplished  at  last.  In  the  middle  of  November,  1861,  two  officers 
were  assigned  to  me  for  that  purpose;  and,  some  weeks  afterwards,  a  third.  I  prepared  instructions  for  them,  and  set  them  at 
work  at  once. 

These  inspections  extended  from  P.udd's  Ferry  to  Cumberland,  including  General  Lander's  division  at  Cumberland,  and 
General  Burnside's  expedition  fitting  out  at  Annapolis.  From  the  reports  made  by  these  officers,  I  was  enabled  to  correct  many 
errors  in  hygiene,  as  well  as  to  improve  the  discipline  of  my  department,  and  to  keep  it  always  in  readiness  for  an  advance. 
All  faults  in  police,  cooking,  clothing,  location  of  camps,  &.c.,  were  promptly  reported  by  me  to  the  Adjutant  General,  and  by 
him  as  promptly  ordered  to  lie  corrected. 

I  com.-  now  to  speak-  of  the  regimental  and  brigade  hospitals.      The  regulations  of  the  army  recognize  only  regimental 

/•eneral  hospitals.     The  regimental  hospitals  in  the  field  were  established  in  tents,  or  in  such  buildings  as  might  chance  to 

thin  the  limits  or  in  the  immediate  vicinity  of  each  camp.     The  general  hospitals  available  for  the  Army  of  the  Potomac 

few  old  hotels,  or  other  similar  buildings,  occupied  as  hospitals  in  the  cities  of  Alexandria,  Washington,  Georgetown, 

small  portion  of  the  Naval  Academy  buildings  at  Annapolis.     There  was  no  authority  for  any  hospital  establishment  in 

ie  vicinity  of  the  divisions  or  brigades,  that  might  relieve  the  hospital  tents  if  crowded,  or  that  might  keep  the  men  near  their 


EEPORT    OF    MEDICAL    DIRECTOR    TRIPLEE.  49 

camps,  so  that  they  could  be  readily  returned  to  duty  when  sufficiently  recovered.  It  is  true,  I  might  have  authorized  such 
establishments  ;  but  I  was  dependant  upon  the  provisions  of  Army  Regulations  for  the  necessary  stewards,  cooks,  and  nurses  for 
such  service.  Several  intelligent  and  zealous  brigade  surgeons  pressed  these  hospitals  upon  my  attention.  Their  advantages  were 
obvious,  and  I  determined,  when  I  could  get  the  buildings,  to  put  them  in  operation.  I  required,  however,  that  the  necessary 
personnel  should  be  furnished  from  the  regimental  details  authorized  by  Regulations,  and  that  the  brigade  hospitals  should 
be  considered  and  conducted  as  aggregations  of  the  regimental  hospitals;  and  that  their  stewards  should  be  mustered  on  the 
regimental  rolls.  In  this  way,  a  number  of  them  were  organized  and  served.  Brigade  Surgeon  Suckley  organized  one  for 
Kearney's  brigade,  near  Alexandria ;  another  was  fitted  up  for  Blenker's  brigade,  at  Hunter's  Chapel ;  another  in  Hooker's 
division,  at  Budd's  Ferry;  afterwards,  others  in  Fitz  John  Porter's  division,  and  several  more.  A  very  nice  building  was  put 
up  at  Poolesville  for  Stone's  command,  upon  plans  furnished  by  Brigade  Surgeon  Crosby,  and  approved  by  the  Surgeon  General. 

About  the  1st  of  February,  1862,  my  attention  was  called  by  General  Seth  Williams,  A.  A.  G.,  to  the  condition  of 
Gen.  Lander's  division,  at  Cumberland.  This  was  the  first  intimation  I  had  that  there  were  any  troops  there.  I  sent  one  of 
my  inspectors  immediately  to  examine  into  the  facts,  with  authority  to  provide  at  once  for  their  necessities,  to  hire  buildings,  or 
to  put  up  hospital  huts,  if  required.  On  the  5th  of  February,  Brigade  Surgeon  Suckley  was  assigned  to  Lander's  division,  and 
instructed  to  use  every  exertion  to  put  things  in  order.  He  was  informed  that  the  condition  of  the  sick  in  that  division  was 
represented  as  scandalous,  and  that  no  effort  must  be  spared  to  reform  it.  On  the  8th,  I  received  the  report  of  the  inspector; 
and  it  confirmed  all  that  had  been  reported  as  to  the  shocking  state  of  affairs.  The  regiments  comprising  the  command  were 
scattered  in  all  directions  for  some  forty  miles  over  the  hills  ;  the  sick,  numbering  twelve  hundred,  were  abandoned  in  the  city  of 
Cumberland,  and  were  in  a  wretched  condition.  They  were  ''  quartered  in  close,  compact,  ill-ventilated  rooms,  where  the 
police  is  bad,  food  badly  cooked  and  improperly  served  out,  men  of  different  reciments  reeling  and  staggering  through  the 
streets  with  fevers,  seeking  shelter  and  medical  attendance."  The  inspector  had  succeeded  in  getting  comfortable  and  roomy 
quarters  for  five  hundred  of  the  sick  at  the  time  of  his  report ;  had  employed  a  number  of  women  in  making  bed  sacks,  and  had 
contracted  for  several  hundred  bunks.  Dr.  Suckley  was  in  position  on  the  7th  ;  on  the  9th,  he  had  collected  ten  hundred  and 
seventy-nine  of  the  sick;  on  the  llth,  he  had  fourteen  hundred.  He  found  affairs  in  the  town  in  a  wretched  condition;  no 
discipline,  no  system;  the  commissary  had  no  funds.  There  were  nineteen  regiments  of  infantry,  besides  cavalry  and  artillerv, 
in  the  division.  On  the  18th,  he  asked  for  authority  to  build  two  pavilions  to  contain  fifty  patients  each.  This  was  immediately 
granted.  On  the  20th,  he  had  succeeded  in  making  things  more  comfortable;  had  procured  eight  Sisters  of  Charity  for  nurses; 
had  classified  his  patients,  and  had  provided  proper  medical  attendance.  He  reported,  also,  that  the  mortality  and  the  gravity 
of  diseases  were  diminishing.  He  had  received  authority  to  build  as  many  pavilions  as  were  necessary.  Measures  were  taken 
by  me,  upon  the  receipt  of  these  reports,  to  provide  instantly  for  all  the  necessities  of  the  case.  I  applied  to  the  Commissary 
General  to  place  funds  in  the  hands  of  the  commissary.  On  the  19th,  Colonel  Taylor  informed  me  that  he  had  sent  $5,000. 
I  ordered  a  supply  of  ambulances  to  be  forwarded,  loaded  with  bedding,  from  Baltimore.  Medical  and  hospital  stores  were 
also  forwarded  by  myself,  as  well  as  by  the  Surgeon  General.  On  March  3d,  I  received  a  telegram  from  the  railroad  agent  at 
Wheeling,  informing  me  that  one  hundred  and  forty-nine  boxes  of  hospital  stores  would  be  at  Cumberland  the  next  day.  There 
was  no  more  trouble  with  that  establishment.  The  brigade  and  field  hospitals  of  the  Army  of  the  Potomac  were,  at  last, 
organized  and  in  working  order. 

The  next  subject  I  shall  glance  at  is  that  of  ambulance  transportation.  Previously  to  this  war,  the  army  of  the  United 
States  had  never  been  supplied  with  carriages  expressly  des-gned  for  the  transportation  of  the  sick  and  wounded.  A  board, 
assembled  by  the  Secretary  of  War,  some  two  years  before  the  rebellion,  had  adopted  a  four-wheeled  carriage  and  two  models 
of  two-wheeled  carriages  for  experiment.  The  four-wheeled  carriage  had  been  tested  upon  the  plains,  in  an  expedition  to  New 
Mexico,  and  had  been  favorably  reported  upon  by  the  medical  officer  in  charge  of  it.  The  two-wheeled  carriages,  though  a  few 
had  been  built,  had  never  been  used.  Some  doubts  were  entertained  as  to  their  suitableness  for  these  purposes;  but  they  were 
adopted  and  recommended  as  the  best  for  badly  wounded  men.  Experience,  however,  has  shown  that  they  are  utterly  unfit  for 
any  such  purpose.  When  the  present  exigency  came  upon  us,  the  quartermaster's  department  lost  no  time  in  having  the 
carriages  built  as  rapidly  as  possible.  They  were,  of  course,  ordered  in  the  proportions  recommended  by  the  board;  viz:  five 
two-wheeled  to  one  four-wheeled.  The  two-wheeled  were  the  basis  of  the  system  ;  a  most  unfortunate  decision.  It  was  my  duty, 
however,  to  supply  the  Army  of  the  Potomac  with  as  many  of  these  carriages  as  would  suffice  for  the  probable  necessities,  if 
they  could  be  had.  A  considerable  number  of  the  two-wheeled  had  already  been  accumulated  in  Washington,  before  my  arrival, 
and  had  been  distributed  to  the  several  camps.  I  found  them  in  general  use  as  pleasure  carriages  for  idlers,  and  accommoda 
tion  cabs  for  conveying  officers  and  men  from  their  camps  to  the  city  of  Washington.  A  large  number  of  them  had  already 
been  broken  down  in  this  service.  This  was  immediately  stopped.  An  order  was  promulgated  directing  all  ambulances,  with 
the  exception  of  one  two-wheeled  to  each  regiment,  to  be  turned  into  the  quartermaster's  department  in  Washington,  and  the 
use  of  that  one  was  strictly  limited  to  the  service  for  which  it  was  intended.  We  were  enabled,  by  this  means,  to  find  out  what 
we  had,  and  to  keep  most  of  them  in  order.  October  5th,  18b'l,  the  depot  quartermaster  reported  one  hundred  and  nine  two- 
wheeled,  and  twelve  four-wheeled  ambulances  in  use,  and  two  hundred  and  twenty-four  two-wheeled,  and  thirty-eight  four- 
wheeled  not  in  use.  The  absurd  notion  that  a  two-wheeled  was  an  easier  carriage  than  a  four-wheeled  had  been  exaggerated 
in  providing  the  vehicles.  The  quartermaster  had  issued  two  hundred  and  twenty-eight  two-wheeled  since  July  1st.  One 
hundred  and  nineteen  of  these  carriages  had  disappeared  in  a  little  more  than  three  months;  showing  both  how  recklessly 
they  had  been  used,  and  how  incapable  they  were  of  standing  the  hard  work  of  our  campaigns.  December  31st,  18(il,  there 
were  in  Washington  three  hundred  and  fourteen  two  wheeled,  and  seventy-one  four-wheeled  ambulances.  Each  regiment  had 
its  own  two  wheeled  in  addition  to  these.  The  two  wheeled  carriages  being  so  generally  condemned,  I  endeavored  to  have  a 
number  of  cacolets  collected  to  replace  them,  in  the  Army  of  the  Potomac.  The  Quartermaster  General  had  already  procured 
some  of  them,  made  after  the  French  model.  They  weighed  one  hundred  and  forty  pounds.  I  thought  this  too  heavy,  and 
that  their  weight  might  be  materially  reduced  without  compromising  their  strength  or  durability.  This  I  recommended  to  be 
dune.  Several  other  models  were  presented  lo  me  afterwards  that  were  much  lighter,  and  I  requested  the  quartermaster's 
7 


50  APPENDED    DOCUMENTS PENINSULAE    CAMPAIGN. 

department  to  procure  a  limited  number  of  two  of  thorn.  I  thought  I  had  secured  two  hundred  altogether  for  our  army,  but  I 
received  but  forty,  and  most  of  these  after  we  had  reached  the  Chickahominy.  As  early  as  August  21st,  18(51,  I  requested 
the  Quartermaster  General  to  introduce  these  litters  iu  the  proportion  of  one  to  a  regiment.  On  the  8th  of  October,  I  asked 
for  fifty  of  Davies's  plan  ;  and,  on  the  19th  of  November,  I  recommended  Kohler's  to  the  attention  of  General  Van  Vliet.  I 
instituted  some  experiments  with  these,  from  which  I  was  led  to  doubt  whether  they  could  entirely  replace  the  two-wheeled 
ambulances.  There  was  more  motion  than  I  expected  when  the  litters  were  placed  horizontally ;  in  a  sitting  position,  the 
wounded  man  could  ride  very  comfortably.  They  have  the  advantage  of  being  readily  carried  wherever  a  horse  or  a  mule  can 
be  led,  and  the  disadvantage  of  affording  no  protection  against  the  weather.  In  a  report  upon  the  distribution  of  ambulances, 
dated  January  7th,  1862.  I  recommended  that  a  suitable  number  of  horses  should  be  trained  to  carry  these  litters,  and  on  Feb 
ruary  13th,  I'repeated  this  suggestion.  This  was  approved  and  ordered  to  be  carried  into  effect,  but,  for  some  reason,  it  was  not 
done.  *  In  estimating  the  number  of  ambulances  required  for  the  Army  of  the  Potomac,  it  was  at  once  apparent  that  the 

army  allowance  was  altogether  in  excess  of  what  could  be  obtained,  or  what  could  be  managed,  even  if  it  were  to  be  had.  This 
allowance  would  have  made  a  train  of  four-wheeled  ambulances  five  miles  in  length,  and  of  two-wheeled  ambulances,  about 
twenty  ;  making  a  total  train  of  twenty-five  miles.  To  mention  this  shows  how  preposterous  the  rule  would  be.  The  schedule 
was  never  intended  for  an  army  of  one  hundred  thousand  men,  but  for  a  regiment  or  detachment  making  a  long  march  over  the 
plains,  or  in  an  Indian  country.  Still,  great  discontent  was  manifested  by  a  number  of  officers,  whose  responsibilities  were 
limited  to  a  single  regiment  or  brigade,  that  the  whole  number  was  not  furnished.  Here,  I  estimated  for  two  hundred 

and  fifty  four-wheeled.  I  hoped  this  number  might  be  obtained.  It  was,  however,  never  reached,  and  I  was  obliged,  afterwards, 
to  contrive  the  best  I  could  to  make  the  number  furnished  serve  in  emergencies.  The  events  in  the  peninsula  convinced 
me  that  my  original  estimate  was  the  minimum  that  would  have  enabled  us  to  get  along  without  serious  discomfort.  The 
atrocious  roads  in  that  region  destroyed  a  considerable  portion  of  those  we  had,  embarrassing  the  operations  of  my  department 
very  materially.  General  Van  Vliet  having  reported  the  number  of  ambulances  of  both  sorts  he  had  in  depot  and  in  the 
possession  of  the  troops,  after  comparing  the  latter  with  the  reports  of  my  inspectors,  I  found  he  could  furnish  only  twelve  of 
the  four-wheeled  and  twenty-two  of  the  two-wheeled  to  each  division  of  the  army,  with  a  proportionate  number  to  commands 
of  less  size.  I,  accordingly,  submitted  that  plan  of  distribution  to  General  Williams  on  the  5th  of  March,  and,  in  the  same 
letter,  I  repeated  an  estimate  I  had  made  on  the  27th  of  February  for  one  ordinary  transportation  wagon  to  each  regiment,  for 
the  conveyance  of  medicines,  stores,  mess  chests,  and  hospital  tents.  The  latter  were  ordered,  and  very  generally  furnished. 
On  the  10th  of  March,  1862,  having  received  orders  to  move  the  ambulances  to  Fairfax  Court  House,  I  called  upon  General 
Van  Vliet  to  make  the  distribution  according  to  my  plan,  and  inclosed  him  a  copy  of  my  letter  to  General  Williams  as  his 
guide.  I  moved  with  the  headquarters  to  Fairfax  Court  House  the  next  day.  When  the  army  was  assembled  there,  the  ambu 
lances  were  not  in  position.  The  army  being  ordered  to  fall  back  upon  Alexandria,  I  hastened  to  Washington,  and  had  an 
interview  with  General  Van  Vliet  on  this  subject.  He  informed  me  he  had  ordered  thirty-six  four-wheeled  ambulances  from 
Perryville  to  Fort  Monroe,  and  that  he  would  send  on  eighty-six  more  from  Washington.  That  would  have  given  us  one 
hundred  and  seventy-seven  for  the  whole  army,  including  McDowell's  Corps  and  Blenker's  Division.  This  was  too  few,  but  it 
was  the  best  that  could  be  clone  with  the  number  reported  on  hand.  Colonel  Ingalls  being  under  the  impression  that  there  was 
still  a  large  number  at  Perryville,  I  telegraphed  to  Washington  to  have  fifty  more  added  to  our  allotment,  but  I  did  not  get 
them;  in  fact,  the  last  of  the  original  eighty-six  did  not  reach  us  till  the  1st  of  May.  Twelve  were  received  April  9th  ;  sixteen, 
April  loth,  and  fifty-eight,  May  1st.  In  the  meantime,  the  divisions  of  Stone,  at  Poolesville ;  Banks,  at  Sandy  Hook;  Lock- 
wood,  on  the  eastern  shore  of  Maryland,  and  Lander,  at  Cumberland,  had  been  furnished  with  as  many  carriages  of  each  sort 
as  we  could  spare,  and  they  were  likely  to  need.  Stone  had  fifty-nine  two-wheeled,  seven  four-wheeled,  and  seven  transport 
carts.  They  proved  amply  sufficient  to  remove  his  wounded,  after  the  action  at  Ball's  Bluff,  with  the  greatest  speed  and  safety  to 
his  hospitals.  ):  *  My  report  from  Brigade  Surgeon  Crosby,  who  conducted  the  hospital  administration  on  that  occasion, 
an  officer  who  has  no  superior  in  the  corps  to  which  he  belongs,  shows  that  his  carriages  were  as  near  the  field  as  they  could  be 
brought.  He  could  not  very  well  cross  the  canal  or  the  Potomac  River  with  his  train. 

The  most  feasible  plan  for  organizing  a  force  to  act  as  an  ambulance  corps  engaged  my  attention  at  an  early  period. 
Several  propositions  were  made  by  foreigners  to  raise  and  to  command  such  a  corps.  They  were  mere  repetitions  of  the  conti 
nental  systems,  and,  however  serviceable  they  might  have  promised  to  be,  they  could  not,  under  the  then  existing  laws,  have 
been  used  for  our  army.  The  only  plan  that  appeared  to  be  within  my  reach  was  that  adopted  and  established  by  the  sixth 
paragraph  of  Order  No.  20.  The  regulations  of  the  army  authorized  a  detail  of  ten  men  from  each  regiment  for  hospital 
attendants,  and  the  bands  of  the  regiments  had  long  been  used  for  the  purpose  I  wanted  them  for  in  time  of  action  in  our 
service;  and  I  could,  by  the  plan  indicated,  expect  to  command  about  twenty-five  men  to  a  regiment  to  serve  an  ambulance 
when  wanted.  They  required,  however,  to  be  instructed  in  that  duty ;  and,  with  that  view,  they  were  ordered  to  be  drilled 
regularly  every  day  by  the  medical  officers,  under  the  superintendance  of  the  brigade  surgeons.  Whenever  this  order  was 
obeyed,  the  progress  of  the  men  in  the  drill  was  quite  satisfactory.  It  was,  at  least,  the  beginning  of  an  ambulance  corps. 
Perhaps  a  distinct  ambulance  corps  may  yet  be  made  a  part  of  our  military  establishment.  I  am  satisfied  it  would  contribute 
essentially  to  the  efficiency  of  the  hospital  department.  The  Surgeon  General  of  Pennsylvania,  under  date  of  September  lt)th, 
1861,  requested  authority  to  organize  such  a  corps  at  Camp  Curtin  for  the  troops  of  his  State.  I  indorsed  his  proposal  favorably, 
and  referred  it  to  the  Secretary  of  War,  but  no  action  was  taken  upon  it.  An  elaborate  project  for  an  ambulance  corps  was 
submitted  to  the  Surgeon  General  by  Mr.  Piersding,  and  by  him  referred  to  me  for  examination  in  March,  1862.  *  * 

When  I  took  charge  of  the  Army  of  the  Potomac,  I  supposed  that  the  general  hospitals  within  the  limits  of  that  army 
were  under  my  control,  and  that  it  devolved  upon  me  so  to  extend  their  capacity  as  to  provide  accommodations  for  the  number 
of  sick  and  wounded  that  we  should  be  likely  to  have.  The  buildings  already  provided  and  occupied  were  seen  at  once  to  be 
totally  inadequate.  The  entire  hospital  establishments  in  Washington,  Georgetown,  Alexandria,  Baltimore,  and  Annapolis 
contained  but  two  thousand  seven  hundred  beds.  A  Sanitary  Commission  being  in  session  at  Washington  about  the  1st  of 
September,  an  invitation  was  extended  to  me  to  assist,  which  I  accepted.  They  were  then  discussing  the  subject  of  general 


REPORT    OF    MEDICAL    DIRECTOR    TRIPLER.  51 

hospitals.  They  seemed  to  be  of  the  opinion  that  there  should  be  as  many  as  five  thousand  beds  in  Washington.  I  explained 
to  the  gentlemen  at  some  length  my  views  upon  the  subject,  and  endeavored  to  show  them  that  twenty  thousand  beds,  at  least, 
would  be  required.  After  several  days'  consideration,  the  commission  decided  to  appoint  a  committee  to  wait  upon  the  Secretary  of 
War,  to  request  him  to  have  frame  buildings  erected  sufficient  to  accommodate  fifteen  thousand  men,  and  to  request  your  approval 
of  the  same.  The  subject  was  brought  to  your  notice  in  a  letter  from  Mr.  Goo.  Gibbs,  of  the  commission,  which  letter  was  referred 
to  me,  and  was  the  occasion  of  my  first  report  to  you  in  reference  to  general  hospitals.  '  *  I  had  at  that  time  taken  some 
steps  to  increase  the  existing  establishment  to  meet  immediate  wants,  when  I  was  informed  by  the  Surgeon  General  that  the 
Secretary  of  War  had  charged  him  with  the  superintendence  and  control  of  this  matter,  and  that  he  should  have  all  that  was 
necessary  provided  in  due  season.  My  report,  however,  with  a  letter  from  the  Sanitary  Commission,  was  submitted  by  you  to 
the  Secretary  of  War,  accompanied  by  a  letter  from  yourself.  In  the  course  of  a  month,  it  was  returned  to  you,  with  authority 
to  make  your  own  arrangements  for  providing  hospitals.  I  was  then  directed  by  you  to  go  on  with  this  work,  but,  first,  to 
submit  my  plans  to  you.  I  was,  as  I  stated  in  my  first  report,  decidedly  in  favor  of  putting  up  cheap  frame  buildings,  expressly 
designed  for  hospitals,  in  preference  to  relying  upon  hotels,  school-houses,  and  the  like,  as  seemed  to  be  the  existing  plan.  I 
fully  believed  suitable  buildings  could  be  erected  at  a  cost  not  exceeding  $25  per  bed.  I  had  seen  such  a  plan  in  the  possession 
of  Doctor  E.  Harris,  of  the  Commission,  and  had  been  promised  a  copy  of  it.  The  Commission,  however,  objected  to  his  furnishing 
it,  agreeing  to  send  me  a  much  better  plan,  and  one  sufficiently  economical  to  suit  my  views.  After  tedious  delays,  their  draw 
ings  were  at  last  sent  to  Washington.  They  were  the  design  of  an  architect  in  New  York,  taken  from  the  general  plan  of  the 
Lariboisiere  in  Paris,  excellent  in  itself,  but  too  costly,  I  feared,  for  our  purposes.  The  expense,  as  estimated  by  the  architect, 
was  $75  per  bed.  Time  pressing,  and  it  being  too  late  to  wait  for  other  plans,  I  reluctantly  determined  to  adopt  it,  after  having 
made  certain  modifications  that  would  not  impair  its  advantages,  but  would  reduce  the  cost  to  about  $60  for  each  bed,  if  the 
architect's  estimate  could  be  relied  on.  I  submitted  the  plan  to  you,  accompanied  with  a  report.  I  adhered  in  this  report 
to  my  original  estimate  for  twenty  thousand  men  as  a  minimum.  To  the  plan  proposed,  you  objected,  on  account  of  the 
expense,  in  the  then  condition  of  the  Treasury;  but  you  thought  that  one-fourth  of  the  buildings  I  had  recommended  might  be 
put  up.  I  then  proposed  to  go  to  Annapolis,  Baltimore,  and  Philadelphia,  to  see  what  could  be  done  there  to  increase  our 
accommodations ;  hoping  that,  by  evacuating  all  our  hospitals  in  the  vicinity  of  Washington,  with  the  addition  of  the  five  thousand 
beds  to  be  provided  in  the  new  buildings,  we  might  be  able  to  get  along  with  tolerable  comfort  in  the  event  of  a  battle.  *  * 

When  the  Quartermaster  General  advertised  for  proposals  to  put  up  the  new  buildings,  instead  of  $15,000  for  each  two 
hundred  beds,  as  estimated  by  the  architect,  the  bids  ranged  from  $30,000  to  $80,000.  This  expense  could  not  be  incurred, 
and  two,  only,  of  the  buildings,  sufficient  for  four  hundred  men,  were  attempted,  and  it  was  many  months  bufore  they  were 
completed. 

In  the  meantime,  some  of  the  Philadelphia  hospitals  were  put  in  order.  In  February,  1832,  nine  hunlra!  b^.ls  w^re 
ready  in  that  city.  In  November,  1881,  a  new  hospital  in  Alexandria  was  prepared,  capable  of  receiving  nine  hundred  patients. 
In  the  same  month,  three  large  houses  in  Washington  were  seized  and  fitted  up,  and  I  succeeded  in  securing  two  hundred  beds  in 
the  St.  Elizabeth  Asylum.  These  hospitals  were  fitted  up  with  great  care,  and  made  as  comfortable  as  such  buildings  could  be 
made.  They  were  well  organized,  aild  provided  with  a  competent  medical  staff  and  good  nurses.  They  gave  us  a  total  accom 
modation  of  about  six  thousand  beds,  and  were  sufficient  to  receive  the  sick  of  the  Army  of  the  Potomac  when  it  Was  put  in 
transit  for  the  Peninsula.  It  was  a  source  of  deep  regret  to  me  that  I  was  unable  to  accomplish,  at  least  so  much  of  my  original 
plan  as  had  received  your  approval ;  but,  at  that  time,  such  a  thing  was  impossible  in  Washington  ;  anywhere  else,  it  could,  and 
would,  have  been  done.  Subsequent  events  have  shown  that,  if  it  had  been  done,  much  inconvenience  and  suffering  might  have 
been  spared. 

The  sanitary  condition  of  the  army,  during  this  season,  was  very  satisfactory.  My  records  show  a  constantly  increasing 
immunity  from  disease. 

The  Army  of  the  Potomac,  during  this  period,  included  the  divisions  of  Gen.  Stone,  at  Poolesville;  of  Gen.  Banks,  at 
Harper's  Ferry  and  Frederick  ;  of  Gen.  l)ix,  at  Baltimore,  and  the  forces  in  the  vicinity  of  Washington. 

August  '22d,  1801,  thirty-three  per  centum  of  the  troops  encamped  on  the  flats  near  Arlington  were  reported  sick  with 
diarrhoea  and  malarial  fevers.  I  have  already  alluded  to  the  action  taken  in  reference  to  these  men.  They  belonged  to  McDowell's 
Division.  On  the  115th  of  February,  18(52,  this  same  division  had  but  nine  serious  cases  in  a  force  often  thousand  men.  There 
were,  in  addition,  some  two  hundred  cases  of  catarrh  and  a  few  of  measles.  There  had  been,  in  the  meantime,  as  in  other 
portions  of  the  army,  some  typhoid  fever,  but,  at  the  last  date,  it  had  almost  entirely  disappeared. 

I  have  already  remarked  upon  the  constantly  recurring  outbreaks  of  measles  among  volunteers.  We  had  more  or  less  of 
it  among  different  commands  during  the  whole  period.  In  February,  1862,  it  was  prevailing  in  the  Railroad  Brigade;  in 
January,  it  was  rife  in  Dix's  Division  in  Baltimore.  September  14th,  18151,  Stone  had  six  thousand  men  at  Poolesville,  with  but 
fifty-four  sick  in  hospital,  one-filth  of  whom  had  measles;  the  remainder  typhoid  and  intermittent  fevers.  September  2 1st,  nine 
thousand  men  are  reported  at  Poolesville,  with  ninety-one  in  hospital,  and  two  hundred  and  fifty-four  in  quarters.  February 
3d,  186:2,  measles  alone  kept  up  the  number  of  men  in  hospital  in  ({en.  F.  J.  Porter's  Division.  On  the  8th  of  the  same  month, 
measles  are  reported  as  having  disappeared,  while  the  number  of  sick  in  quarters  is  reported  as  materially  reduced,  notwith 
standing  the  inclemency  of  the  weather.  Typhoid  fever  appeared  in  some  of  the  camps  during  the  autumn,  but  gradually 
disappeared  as  winter  advanced.  This  disease  is  now,  and  has  been  for  years,  endemic  in  the  United  States.  We  could  not 
hope  to  escape  it  altogether.  In  some  few  regiments,  under  peculiar  circumstances,  there  wer«  a  good  many  cases;  but,  taken 
as  a  wh  de.  and  considering  the  number  of  men  in  the  camps,  the  cases  were  so  few  we  might  almost  ignore  it  altogether.  In 
Hunt's  Artillery  Reserve,  during  the  last  quarter  of  18:51,  it  prevailed  to  some  extent,  but,  in  .January,  it  had  entirely  disappeared. 
This  command  had,  during  this  time,  one  of  the  largest  sick  reports  in  the  army.  On  the  .'Ust  of  January,  18i52.  the  prevalent 
diseases  in  it  were  reported  to  tie  catarrh  and  bronchitis,  attributed  to  the  effects  of  the  rains  and  thaws. 

In  Ortoher  and  November,  18(51.  with  an  army  averaging  one  hundred  and  thirty  thousand  men,  we  had  seven  thousand 
nine  hundred  and  thirty-two  cases  of  fevers  of  all  sorts.  Of  these,  about  one  thousand  were  reported  as  cases  of  typhoid  fever. 


52  APPENDED    DOCUMENTS PENINSULAR    CAMPAIGN. 

I  know  that  errors  of  diagnosis  were  frequently  committed,  and,  therefore,  this  must  be  considered  as  the  limit  of  typhoid  cases. 
If  any  army  in  the  world  can  show  such  a  record  as  this,  I  do  not  know  when  and  where  it  was  assembled. 

The  most  striking  contrasts  were  exhibited  in  the  relative  health  of  the  troops  from  different  states,  and  sometimes  among 
regiments  from  the  same  state.  Thus,  in  November,  1861,  with  a  menn  ratio  of  six  and  five-tenth  per  centum  sick  in  the  whole 
aimy,  twelve  Massachusetts  regiments  gave  an  average  of  fifty  sick  in  each,  five  Vermont  an  average  of  one  hundred 
and  forty-four  each,  and  thirty-five  Pennsylvania  an  average  of  sixty-one  each.  In  January,  1862,  the  12th  Massa 
chusetts,  one  thousand  and  five  strong,  had  but  four  sick;  the  13th,  one  thousand  and  eight  strong,  but  eleven;  while  the 
15th,  eight  hundred  and  nine  strong,  had  sixty-eight.  In  the  same  month,  the  5th  Vermont,  one  thousand  strong,  had 
two  hundred  and  seventy-one  sick ;  the  4th,  one  thousand  and  forty-seven  strong,  had  two  hundred  and  forty-four  sick  ;  while 
the  2d,  one  thousand  and  twenty-one  strong,  had  but  eighty-seven,  and  the  3d,  nine  hundred  strong,  had  but  eighty-four. 
All  these  regiments  were  in  the  same  brigade,  and  encamped  side  by  side.  The  10th  Pennsylvania  Reserves,  nine  hundred  and 
sixty-five  strong,  had  seven  sick ;  the  1st  Pennsylvania  Rifles,  eight  hundred  and  eighty-nine  strong,  had  sixty-seven  sick ; 
and  the  1st  Pennsylvania  Cavalry,  eight  hundred  and  ninety  strong,  had  ninety-six  sick. 

The  health  of  some  of  the  regiments,  under  adverse  hygienic  circumstances,  seemed  to  set  all  reasoning  at  defiance. 
Thus,  in  February,  1862,  Colonel  Geary's  Pennsylvania  regiment,  of  Banks's  Division,  that  had  been  serving  all  summer  upon 
the  banks  of  the  Potomac  and  the  canal,  had  but  two  and  five-tenths  per  centum  sick.  There  was  a  constant  improvement  in 
the  health  of  the  whole  army  as  tlie  season  progressed,  and,  at  the  time  the  march  to  Fairfax  Court-house  was  ordered,  with  a 
very  few  exceptions,  every  regiment  in  it  was  in  the  most  satisfactory  condition.  Some  of  them  showed  a  most  extraordinary 
improvement.  Thus,  in  four  regiments  of  Pennsylvania  troops  in  McCall's  Division,  there  were  but  sixty-eight  men  on  the  sick 
report  on  the  1st  of  March,  1862.  The  records  in  my  possession  show  that  in  : 

September,  1861,  among    84,788  men,  we  had    6,007  sick — 7.00  per  centum. 

October,  "       116,763    "      "     "       7,443    "      6.07     "        " 

November      "         "       142,577     "      "    "       9,281     "      6.50     "        " 

January,      1862,      "       181,082     "      "     "     11,225     "      6.18     " 

Of  these,  the  men  sick  in  the  regimental  and  general  hospitals  were  less  than  one-half;  the  remainder  were  slight  cases 
under  treatment  in  quarters.  The  health  of  particular  regiments  was,  at  this  time,  very  remarkable.  Thus,  the  2d  Rhode 
Island  had  but  .45  per  centum  sick  ;  the  7th  Massachusetts,  1.99 ;  the  98th  Pennsylvania,  1.21 ;  the  1st  Long  Island,  1.46 ;  and  the 
mean  of  Reyes's  Division  was  but  3.29.  During  this  time,  so  far  as  rumor  was  concerned,  the  Army  of  the  Potomac  was  being 
decimated  by  disease  every  month.  The  reports  from  the  regimental  headquarters  were  only  less  erroneous  than  rumor. 
The  statistics  I  have  given  are  from  the  weekly  and  monthly  reports  of  the  medical  officers.  It  was  ascertained  to  be  the  general 
habit  of  the  captains  to  report  every  man  sick  who  found  it  convenient  to  report  himself  so.  The  difference  between  these  reports 
and  the  facts  is  illustrated  in  my  letter  to  General  Williams,  of  January  28th,  1862.  *  f  During  this  period,  there  were  frequent 
skhmishes,  giving  a  number  of  wounded  men.  Two  affairs  of  importance  took  place:  on  the  21st  October,  1861,  the  battle  of 
Ball's  Bluff,  and  on  the  2Cth  of  December,  General  Ord's  affair  at  Drainesville.  In  the  former,  two  hundred  and  eighty  men 
were  leporttd  wounded;  in  the  latter,  thirty-four.  Of  the  wounded  at  Ball's  Bluff,  ninety-three  were  in  the  head  and  face; 
a  very  large  proportion,  and  showing  the  accuracy  of  fire  of  the  enemy,  as  well  as  the  skill  with  which  they  availed  themselves 
of  the  advantages  they  possessed  on  that  occasion.  This  concludes  the  first  period  of  the  operations  of  the  medical  department 
of  the  Aimy  of  the  Potom»c.  I  hope  to  resume  the  subject,  and  to  report  upon  the  second  period  in  a  few  days. 

The  army  being  about  to  take  the  field,  certain  measures  preparatory  to  the  movement  suggested  themselves.      *      * 

There  were  a  number  of  medical  officers  on  duty  in  the  hospitals  in  Washington  who  should  have  joined  the  army  when 
it  moved,  though  their  eei vices  weie  previously  needed  to  instruct  others  destitute  of  military  experience. 

Early  in  March,  the  sick  were  removed  from  the  field  to  the  general  hospitals.  Convalescents  were  left  in  the  camps, 
that  they  might  the  more  readily  be  returned  to  duty  when  well,  and  that  they  might  form  a  part  of  the  garrison  of  the  works 
when  the  army  was  put  in  motion.  Instructions  for  the  government  of  medical  officers  in  battle  were  prepared,  in  which  minute 
directions  were  given  as  to  the  manner  of  forming  field  depots  for  the  wounded,  the  organization  of  the  parties  of  medical 
officers  to  serve  at  each,  the  methods  of  preparing  for  the  refreshment  and  professional  care  of  the  wounded  when  brought  in, 
the  distribution  and  employment  of  the  ambulance  corps,  etc.  I  succeeded  in  getting  a  small  supply  of  portable  soup  from  the 
subsistence  department,  which  was  distributed  to  the  regimental  surgeons,  and  its  use  strictly  limited  to  times  of  battle. 

The  different  regiments  being  all  supplied  with  medicines,  stores,  hospital  tents,  etc.,  and  a  wagon  each  to  transport  their 
supplies,  and  the  sick  requiring  it  having  been  removed  from  the  camps  to  the  hospitals,  the  army,  so  far  as  my  department  was 
conceined,  was  reaely  to  move.  On  the  llth  day  of  March,  it  was  put  in  motion  for  Fairfax  Court  House.  The  enemy  having 
disappeared  from  our  front,  a  return  to  Alexandria  was  ordered,  and,  after  an  interview  with  yourself,  in  which  1  received 
instructions  to  govern  me  for  further  arrangements,  I  left  Fairfax  Court-house  for  Washington  at  nightfall  of  the  14th  of 
March.  In  the  meantime,  orders  had  been  issued  in  Washington  limiting  your  command  to  the  Army  of  the  Potomac  in  the 
field,  and  organizing  that  aimy  into  corps.*  The  latter  order  so  changed  the  organization  as  to  make  it  necessary  and  expedient 
to  assign  an  experienced  medical  officer  to  each  corps  as  a  medical  director;  the  idea  of  an  army  corps  being  that  it  should  be 
a  complete  army  in  itself.  Here,  I  intended  to  bring  in  the  senior  medical  officers  of  the  army,  in  the  hospitals  at  Washington, 
as  medical  directors.  I  intended  so  to  distribute  them,  to  break  up  the  Washington  arrangements,  to  send  purveyor,  as  well  as 
hospital  surgeon  into  the  field;  in  short,  to  transfer  everything  in  Washington  to  Fort  Monroe,  whither  you  informed  me  we 
were  to  proceed.  On  my  arrival  in  Washington,  the  Surgeon  General  informed  me  that  he  had  resumed  the  control  of  hospitals 
and  purveyor;  that  I  must  use  my  inspectors  for  medical  directors  and  appoint  another  purveyor,  as  the  one  in  Washington 
coulel  not  be  spared.  I  was  further  informed  that  I  could  not  strip  Washington  of  supplies  ;  that  I  could  take  part  of  what  was 
there,  and  that  the  remainder  of  what  1  wanted  would  be  ordered  from  New  York,  to  meet  me  at  Fort  Monroe.  I  was  obliged 
to  acquiesce.  * 


'  President  Lincoln's  WAU  OlUJKlt  No.  2,  March  8th,  1802.     EDS. 


. 

MA  Pof  the  OPERATIONS 

or  THE: 

ARM  Yof  th.  POTOMAC 

ON   THE 


ON   THE 

PENINSULA. 

March  -And  ust  186 


Compiled  from  the  }j 

Campaign  Maps  Arinv  of  the  Potomac 

and  tl*   '  j 

Military  Maps  of  South-  Eastern  Virginia. 


REPORT    OF    MEDICAL    DIRECTOR   TRIPLER.  53 

A  medical  purveyor  was  appointed,  and  ordered  to  report  to  me  from  Baltimore.  This  officer  promptly  obeyed,  but  was 
in  too  feeble  health  to  undertake  the  duty.  I  then  substituted  Assistant  Surgeon  R.  H.  Alexander,  of  the  army,  who  entered 
upon  and  continued  to  discharge  the  duty  up  to  the  time  I  was  relieved  at  Harrison's  Bar. 

On  the  17th  of  March,  1  saw  General  Van  Vliet  in  Washington  in  reference  to  ambulances.  He  told  me  that  thirty-six 
four-wheeled  were  then  in  transit  from  Perryville  for  Fort  Monroe;  that  he  would  send  eighty-six  more  from  Washington,  and 
one  hundred  and  forty  two-wheeled,  in  addition  to  those  then  in  possession  of  the  regiments.  This  was  the  best  that  could  be 
done.  Those  from  Perryville  reached  Fort  Monroe  in  good  season,  and  were  distributed  by  Captain  Sawtelle;  the  others  did 
not  arrive  until  from  April  9th  to  May  1st.  March  29th,  the  headquarters  were  transferred  to  the  steamer  Commodore,  at 
Alexandria. 

April  1st,  the  headquarters  left  Alexandria,  and  arrived  at  Fort  Monroe  on  the  2d,  at  6  p.  M.  The  next  day,  I  had  an 
interview  with  Surgeon  Cuyler,  U.  S.  A.,  and  arranged  for  the  reception  of  one  thousand  wounded  in  the  hospitals  under  his  charge. 
I  had  been  in  hopes  of  getting  more  room,  but  was  convinced  it  could  not  be  safely  relied  upon.  On  the  4th,  we  marched  to 
Great  Bethel;  and,  on  the  5th,  through  a  heavy  rain,  to  a  cluster  of  huts,  some  five  miles  from  Yorktown.  On  the  6th,  I 
visited  Heintzelman's  position,  in  front  of  Yorktown,  inspected  his  hospital  department,  and  found  that  his  medical  director, 
Milhau,  had  made  excellent  arrangements  for  his  field  hospitals  in  case  of  a  battle.  Some  of  the  depots,  however,  proved 
afterwards  to  be  within  range  of  the  enemy's  guns,  and  we  were  obliged  to  abandon  them.  On  the  7th,  I  went  to  Ship  Point, 
and  inspected  the  rebel  huts  there.  We  had  then  three  large  clusters  of  huts,  most  of  them  nearly  new  and  in  good  condition : 
one  at  Ship  Point,  one  about  four  miles  from  there,  on  the  road  to  Yorktown,  and  the  third  at  our  own  camp,  near  the  road  to 
Fort  Monroe.  These,  with  a  few  small,  dilapidated  meeting-houses  and  private  dwellings,  scattered  from  Young's  to  Cheesman's 
Creek,  were  afterwards  used  as  hospitals.  The  accommodations  afforded  by  these  buildings,  it  was  evident,  would  not  be 
adequate  for  our  wants,  even  with  the  one  thousand  provided  for  at  Fort  Monroe,  in  case  of  a  severe  action  at  Yorktown.  The 
country,  also,  from  Warwick  Court-house  to  the  York  River,  at  our  position,  was  but  a  succession  of  swamps,  that  in  warm 
weather  would  be  too  prolific  of  malarial  poisons  to  admit  of  our  establishing  military  hospitals  there.  I,  therefore,  determined 
to  arrange,  if  possible,  with  the  department  at  Washington,  for  the  reception  of  all  wounded  in  excess  of  the  one  thousand,  at 
some  of  the  hospitals  north.  Colonel  Ingalls  agreed  promptly  to  transmit  my  men  from  any  point  on  York  River  to  such 
hospitals  as  I  might  indicate.  With  this  understanding,  I  telegraphed  and  wrote  to  the  Acting  Surgeon  General  on  the  14th  of 
April.  April  20th,  I  received  a  reply  from  Surgeon  Wood,  acceding  to  my  proposal,  and  making  certain  suggestions  as  to 
sending  certain  classes  of  patients  to  particular  points,  which  seemed  to  me  to  be  difficult  of  execution,  if  not  impracticable. 
I  had  at  that  time  made  arrangements  to  keep  a  hospital  steamer  constantly  at  Cheesman's  Landing,  for  the  reception  of  wounded 
only.  It  was  necessary  that  this  hospital  should  receive  all  the  wounded  indiscriminately. 

On  the  Kith,  six  civilian  surgeons,  deputed  by  the  Governor  of  Massachusetts,  by  authority  of  the  Secretary  of  War, 
arrived  in  camp  and  offered  their  services.  They  were  particularly  charged  to  look  after  the  Massachusetts  volunteers ;  but, 
with  a  zeal  as  creditable  as  it  was  rare,  and  a  patriotism  as  conspicuous  as  it  was  disinterested,  they  expressed  their  readiness 
and  their  desire  to  render  their  services  wherever  they  could  be  most  useful.  The  party  consisted  of  Doctors  Cabot,  Hodges, 
Gay,  Park,  Heartwell,  and  Homans.  Some  of  these  gentlemen  were  assigned  to  the  Massachusetts  troops  in  Simmer's  corps  ; 
the  others  fitted  up  a  portion  of  the  huts  on  the  Ship  Point  Road  as  a  field  hospital  for  the  regulars.  They  had  precisely  the 
same  supplies  as  the  other  surgeons.  With  these  moans,  they  were  soon  at  the  head  of  a  model  establishment  for  the  field. 
After  the  evacuation  of  Yorktown  and  the  battle  of  Williamsburg,  they  repaired  promptly  to  the  town,  and  there  rendered 
important  services  to  the  wounded. 

On  the  19th,  Professor  Henry  H.  Smith,  Surgeon  General  of  Pennsylvania,  arrived  with  the  steamer  William  Whildeu, 
completely  fitted  up  with  bedding,  stores,  instruments,  a  corps  of  eighteen  surgeons  and  dressers,  and  a  large  number  of 
Sisters  of  Charity  for  nurses.  He  brought  with  him,  also,  the  means  of  embalming  the  bodies  of  the  dead  ;  which  kind  office  he 
cheerfully  performed  for  numbers  of  men  from  various  States.  Surgeon  General  Smith,  upon  being  informed  of  my  plans, 
entered  into  them  with  hearty  good  will,  and  seconded  them  with  an  earnest  zeal  and  intelligence  that  showed  he  had  not 
acquired  a  knowledge  of  hospital  administration  in  vain.  Soon  after  his  arrival,  the  steamer  Commodore  was  assigned  to 
me  by  the  quartermaster's  department.  Doctor  Smith  took  charge  of  her  equipment,  and,  in  a  short  time,  had  her  ready  to 
receive  nine  hundred  wounded.  This  vessel  and  the  William  Whilden  then  became  our  receiving  ships,  one  of  which  was  to 
be  constantly  in  position  to  receive  the  wounded. 

Soon  after  our  arrival  in  front  of  lorktown,  malarial  and  typhoid  fevers  again  appeared,  though  not  with  any  alarming 
rapidity.  The  greatest  proportion  occurred  in  Keyes's  corps,  on  our  left.  The  country  occupied  by  him  was  the  worst  on  the 
peninsula,  and,  in  addition  to  that,  one  of  his  divisions  was  composed  of  our  newest  troops.  Desirous  of  keeping  the  army  as 
little  encumbered  ns  possible  with  sick,  that  its  movements  might  not  be  embarrassed  on  that  account,  I  took  measures  to  send 
to  the  north  those  too  ill  to  move  with  us.  On  the  17th  of  April,  three  hundred  and  fifteen  such  patients  were  reported  to  me, 
a  very  small  number,  considering  the  strength  of  the  army,  the  wretched  weather,  and  the  character  of  the  country.  The 
transport  Massachusetts  was  prepared  for  them,  and,  on  the  20th,  was  despatched  for  Annapolis.  Adhering  to  the  same  plan, 
as  other  men  fell  sick,  I  provided  the  means  of  transporting  them  also;  and  I  availed  myself  of  the  services  of  the  volunteer 
aid  societies.  On  May  1st,  Mr.  Olmstead,  the  secretary  of  one  association,  had  a  boat,  the  Daniel  Webster,  No.  1,  in  his 
possession;  a  steamer  on  which  he  could  carry  two  hundred  and  fifty  patients.  At  his  request,  I  procured  the  Ocean 
Queen,  a  steamer  of  the  larger  class  of  sea-going  ships,  and  turned  her  over  to  him.  He  agreed  to  fit  her  up  in  forty-eight 
hours  alter  getting  possession  of  her.  It  took  rather  longer  than  that,  however,  and  then  she  carried  but  three-fifths  of  the 
number  she  should  have  carried.  Of  course,  in  inaugurating  a  system  of  this  kind,  under  our  circumstances,  some  delays,  some 
awkwardness,  and  some  confusion  were  to  be  expected.  If  I  had  had  at  my  disposal  a  few  medical  officers  of  experience,  these 
arrangements  could  have  been  made  with  more  rapidity  and  precision.  As  it  was,  with  the  exception  of  the  Surgeon  General 
of  Pennsylvania,  1  had  no  one  on  the  water  who  had  the  faculty  of  rapid  systematization  ;  but  all  seemed  disposed  to  do  the 
best  they  could,  and  I  believe  the  operations  at  Yorktown  were  fully  as  successful  as  could  have  been  hoped  for.  In  the 


54  APPENDED    DOCUMENTS — PENINSULAR    CAMPAIGN. 

meantime,  a  few  of  our  men  were  wounded  and  were  treated  in  our  hospitals.  On  the  16th  of  April,  General  Smith  had  an 
important  affair  on  our  left,  in  which  thirty-two  men  were  reported  to  me  as  killed,  and  one  hundred  wounded.  The  wounded 
were  sent  to  the  hospital  ships.  On  the  26th,  twelve  men  of  a  Massachusetts  regiment  were  wounded  and  sent  to  the  ships. 
In  irregular  firings,  during  the  siege,  several  more  of  our  men  were  wounded  and  were  disposed  of  in  the  same  manner. 

I  have  already  stated  that  the  army  was  well  supplied  with  medical  stores  and  the  means  of  transporting  them  before  it 
was  put  in  motion.  What  was  my  surprise,  then,  as  soon  as  we  were  in  position  before  Yorktown,  to  find  my  office  flooded 
with  requisitions  for  more.  Upon  inquiry,  I  found  that,  in  many  instances,  these  things  had  been  left  by  the  troops  in  their  old 
camps.  Spirits  had  very  generally  disappeared.  Various  excuses  were  rendered  that  were  not  satisfactory.  The  medical 
oflicers  seemed  to  suppose  that  the  medical  purveyor  would  furnish  them  with  fresh  supplies  at  every  change  of  position,  and 
had  taken  no  pains  to  transport  their  stores  from  Washington  to  the  peninsula.  Many  days  passed  before  I  could  remedy  this 
unwise  improvidence.  My  store  ship,  after  having  reached  Fort  Monroe,  was  detained  there  by  a  storm,  and  when  she  reached 
Ship  Point,  it  was  found  very  diilicult  to  land  her  supplies.  I  succeeded,  finally,  in  getting  her  a  berth  at  Cheesman's  Creek, 
and  was  then  enabled  to  proceed  more  rapidly.  My  supplies  of  stimulants,  however,  being  very  limited,  those  ordered  from  New 
York  not  arriving  till  very  late,  I  was  compelled  to  refuse  to  issue  to  the  regiments  the  little  on  hand,  for  the  purpose  of  being 
sure  of  having  some,  at  least,  in  the  event  of  a  battle.  I  distributed  what  we  had  to  the  medical  directors  of  corps,  with 
instructions  for  its  prudent  use.  The  first  of  the  large  supply  from  New  York  reached  Fort  Monroe  April  14th;  the  last  did 
not  reach  the  purveyor  till  the  1st  of  May.  These  supplies  were  shipped  by  different  vessels,  and  were  mingled  with  other 
stores,  so  that  they  could  not  be  landed  until  after  tedious  and  vexatious  delays. 

On  the  9th  of  May,  I  wrote  and  telegraphed  to  the  Surgeon  General  for  bedding,  hoping  it  might  be  ordered  up 
immediately  from  Fort  Monroe.  It  was  despatched  from  Washington]  the  next  day,  and  reached  us  at  White  House,  but  at  a 
much  later  date  than  I  had  hoped  for. 

To  avoid  the  delay  attendant  upon  sending  requisitions  to  me  during  the  important  operations  before  Richmond,  on  the 
2?th  of  May,  I  authorized  the  medical  directors  of  corps  to  approve  them,  and  directed  the  purveyor  to  issue  upon  their 
orders.  On  the  23d  of  May,  I  directed  the  purveyor  to  purchase  a  large  quantity  of  extract  of  beef,  and  to  distribute  it  to  the 
several  corps.  On  the  llth  of  June,  I  directed  the  medical  directors  of  the  corps  to  see  to  it  that  their  regiments  were  supplied 
with  everything  necessary  and  to  fill  up  all  deficiencies  immediately.  This  done,  there  seemed  to  be  no  more  that  I  could  do  to 
ensure  that  a  sufficiency  of  all  necessary  supplies  should  be  on  hand  in  the  c  riflicts  soon  to  occur.  If  any  regiment  suffered 
afterward  for  the  want  of  these  things,  it  was  due  to  the  negligence  or  inefficiency  of  their  own  officers.  There  was  an 
abundance  of  supplies  at  White  House.  The  way  to  procure  them  was  not  only  indicated,  but  the  medical  officers  were 
repeatedly  enjoined  to  provide  themselves  in  season,  and  corps  directors  were  instructed  to  see  that  they  did  so  provide. 

The  works  in  front  of  Yorktown  being  nearly  ready  for  the  bombardment  and  assault,  on  the  27th  of  April,  I  proceeded, 
by  your  order,  to  select  positions  for  the  field  depots  for  our  wounded.  On  the  right,  I  was  accompanied  by  Captain  Abbott, 
of  the  Engineers,  and  was  governed  by  his  advice  as  to  protection  from  the  fire  of  the  enemy.  While  engaged  in  this  duty, 
several  shot  were  thrown  by  the  enemy  at  our  working  parties,  and,  from  observation  of  their  effect  and  direction,  I  was  satisfied 
that  the  positions  selected  would  afford  all  the  protection  required  for  our  operations.  On  the  29th,  I  proceeded  to  Sumner's 
position,  and,  with  the  assistance  of  General  Sedgwick,  a  similar  selection  of  depots  was  made  for  the  front  of  that  corps. 

Immediately  afterwards,  the  embarkation  of  the  sick  was  commenced.  Simmer's,  Heintzelman's,  and  a  part  of  Reyes's 
corps  were  relieved.  *  *  May  2d,  I  telegraphed  to  the  medical  director  of  Keyes's  Corps  to  break  up  his  hospital  at  Young's 
Mills ;  and,  on  the  4th,  to  concentrate  his  sick,  with  a  suitable  allowance  of  medical  officers,  nurses,  and  subsistence,  and  to 
keep  his  transportation  well  in  hand  for  any  further  movement.  The  same  day,  I  inquired  for  how  many  men  he  would  want 
accommodation.  The  next  morning,  the  officer  left  in  charge  of  the  sick  at  Warwick  Court-house  reported  two  hundred  and 
thirty-two  men;  before  night  the  number  increased  to  eight  hundred.  I  then  sent  an  assistant  to  see  to  the  matter,  and 
before  his  task  was  completed,  more  than  twelve  hundred  were  collected  in  the  woods  and  elsewhere  from  that  corps  alone. 
I  mention  these  things  to  show  how  little  reports  of  sick,  even  when  they  could  be  had,  were  to  be  depended  upon  in  making 
my  estimates  for  transportation  and  for  hospitals.  Not  that  untrue  reports  were  made  by  the  surgeons ;  but,  whenever  a  march 
was  undertaken,  straggling  was?  permitted  to  go  on  unrestrained,  and,  I  fear,  was  sometimes  even  encouraged  by  officers  whose 
duty  it  was  to  have  prevented  it.  I  had  frequent  occasions  to  ask  attention  to  this  evil  during  the  campaign.  The  boats  of  the 
Sanitary  Commission  were  employed  in  transferring  some  of  the  sick  to  the  north,  and,  by  the  9th  of  May,  they  had  relieved  me 
of  nine  hundred  and  fifty.  We  then  had  two  thousand  in  hospital  at  Yorktown.  I  placed  Assistant  Surgeon  Greenleaf,  of  my 
staff,  at  this  hospital,  who  organized  and  conducted  it  admirably  well.  When  the  pressure  was  over,  he  was  relieved,  and 
rejoined  me  at  headquarters. 

May  4th,  the  enemy  evacuated  Yorktown.  General  Stoneman  was  sent  in  pursuit,  and,  on  that  day,  he  lost  three  killed 
and  twenty-eight  wounded.  The  latter  were  brought  to  the  rear  and  placed  on  the  Commodore.  The  next  day  the  battle  of 
Williamsburg  took  place.  In  the  night,  I  was  directed  to  send  transportation  to  Queen's  Creek  for  three  hundred  wounded. 
The  Commodore  was  immediately  despatched  in  charge;  of  one  of  my  assistants.  At  noon,  of  the  b'th,  she  returned  to  Yorktown, 
having  been  unable  to  effect  a  landing  on  account  of  shoal  water.  I  procured  a  lighter  from  Colonel  Ingalls,  and,  taking  charge 
of  the  Commodore  myself,  proceeded  witli  her  to  Queen's  Creek.  Surgeon  General  Smith  accompanied  me.  The  water  was 
so  shallow  the  steamer  could  get  no  nearer  to  the  landing  than  two  miles.  Lieutenant  Eeamy,  of  the  Navy,  boarded  us,  and 
courteously  offered  to  land  us  in  his  boat.  Leaving  orders  for  the  lighter  to  follow  up  the  creek  as  soon  as  she  came  up..  Doctor 
nth  and  myself  went  ashore,  set  the  ambulances  in  motion,  and  collected  from  the  depots  one  hundred  of  our  wounded,  and  got 
Jliem  comfortably  on  the  Commodore  by  ;5  A.  M.  One  hundred  wounded  prisoners  were  collected  in  one  of  the  field  works  near 
the  landing.  The  next  morning,  having  organized  the  ambulance  train,  I  left  Doctor  Smith  to  embark  the  rest  of  the 
rounded,  including  the  prisoners,  and.  boarding  a  tug,  I  hastened  back  to  Yorktown,  to  make  further  arrangements.  Here  I 
was  i  t  by  an  order  to  hasten  to  Williamsburg.  to  care  for  the  wounded  there.  Having  dispatched  the  Pennsylvania  steamer 

len  to  Queen's  Creek,  accompanied  by  my  senior  assistant,  Doctor  A.  K.  Smith,  of  the  army,  1  hastened  to  Williamsburg. 


REPORT    OF    MEDICAL    DIRECTOR   TRIPLER.  55 

Here  I  was  joined  by  a  party  of  able  and  distinguished  surgeons  from  New  York,  consisting  of  Doctors  James  R.  Wood,  David 
L.  Rogers,  Krackowitzer,  Stone,  Ayers,  and  others.  Doctors  Cabot,  Hitchcock,  and  Bronson,  of  Massachusetts,  were  also 
promptly  on  the  ground.  The  hospitals  were  distributed  among  these  gentlemen.  I  need  scarcely  say  that  the  wounded 
received  at  their  hands  the  most  prompt  and  skilful  attention.  All  the  wounded  in  Williamsburg,  comprising  about  seven 
hundred  of  our  own  men  and  three  hundred  and  thirty-three  of  the  enemy,  had  the  benefit  of  their  care.  The  remainder  of  the 
wounded  were  attended  to  in  the  field  depots  near  the  James  and  York  rivers.  The  whole  number  of  killed  in  that  conflict, 
reported  to  me,  was  four  hundred  and  sixty,  and,  of  wounded,  one  thousand  four  hundred  and  seventy-four.  Four  hundred  and 
thirty-three  wounded  prisoners  were  left  upon  our  hands.  Many  of  our  men  were  so  slightly  wounded  it  was  not  necessary  to 
send  them  to  the  hospitals.  Of  the  prisoners,  sixty  were  too  bad:y  wounded  to  be  removed  They  were  left  in  Williamsburg, 
under  the  care  of  Doctor  D.  L.  Rogers,  of  New  York.  The  remainder  were  ordered  to  Fort  Monroe,  on  the  transports.  Eight 
hundred  of  our  men  and  one  hundred  prisoners  were  sent  to  Fort  Monroe  on  the  Commodore,  and  four  hundred  and  twenty- 
seven  of  our  men  and  two  hundred  and  seventy-three  prisoners  on  the  William  Whilden  and  other  transports.  The  Whilden 
sailed  direct  for  Philadelphia.  On  the  llth  of  May,  the  embarkation  of  our  own  wounded  was  completed.  The  prisoners  from 
the  town  of  Williamsburg  were  embarked  the  next  morning. 

When  the  enemy  was  brought  to  bay  at  Williamsburg,  the  corps  of  Sumner,  Heintzelman,  and  Keyes  advanced  rapidly 
upon  their  position.  A  drenching  rain  began  in  the  night  of  the  5th,  and  continued  the  next  day.  I  was  informed  that  many 
of  the  regiments  left  their  camps  with  nothing  in  their  haversacks.  They  had  no  shelter  from  the  rain,  and  nothing  to  eat. 
The  roads  were  shocking;  it  seemed  almost  impossible  to  get  supplies  to  them.  Their  privations  were  consequently  extreme. 
As  a  natural  result,  when  the  columns  were  again  put  in  motion,  a  large  number  of  men  were  thrown  on  my  hands ;  some  of 
them  sick  ;  most  of  them  tired  and  exhausted.  They  came  straggling  in  from  the  rear  of  the  army,  without  reports,  nurses,  or 
subsistence.  It  was  impossible  to  create  hospitals  for  all  these  men  at  Williamsburg.  I,  therefore,  caused  a  selection  to  be 
made  for  transportation  to  the  rear,  and  ordered  up  one  of  the  boats  in  charge  of  the  Sanitary  Commission,  from  Yorktown,  to 
receive  them.  This  boat,  the  Elm  City,  reached  me  during  the  afternoon  of  the  12th.  I  directed  her,  after  she  was  filled  up, 
to  proceed  to  Washington.  The  remainder  of  the  sick  were  left  in  Williamsburg,  under  the  care  of  Doctor  Bronson  and  the 
medical  officers  of  General  Grover's  Brigade.  :  :  About  the  same  time,  to  afford  further  relief  for  our  hospitals,  a  few  more 
of  our  sick  were  sent  north.  On  the  llth  of  May,  two  hundred  and  twenty-five  were  dispatched  from  Yorktown,  and,  on  the 
1'Jth,  five  hundred  more.  On  the  13th.  the  steamer  Donaldson  reported  to  me  at  Williamsburg  from  Franklin's  Division.  She 
was  ordered  to  take  subsistence  and  hospital  stores  on  board  at  Yorktown,  and  then  to  proceed  to  Alexandria.  The  number  of 
men  she  had  on  board  was  not  reported,  nor  the  authority  by  which  she  came  down. 

On  the  7th  of  May,  General  Franklin  fought  at  West  Point.  Doctor  Hamilton,  his  medical  director,  reported  forty-nine 
killed  and  one  hundred  and  thirty-one  wounded.  He  reported,  also,  the  great  efficiency  of  the  ambulance  corps,  organized 
under  your  orders  October  3d,  1861.  One  of  .the  men  of  that  corps  was  killed  while  engaged  in  removing  the  wounded. 

On  the  7th  of  May,  we  had  six  men  wounded  in  a  cavalry  skirmish  near  New  Kent  Court-house.  They  were  cared  for 
in  the  houses  in  the  neighborhood. 

Matters  being  arranged  at  Williamsburg,  I  moved,  on  the  evening  of  the  13th,  to  rejoin  headquarters.  Bivouacking  at 
night  on  the  road,  I  reached  Cumberland  at  noon  on  the  14th.  Here  I  found  a  number  of  sick  reported  as  unable  to  go  on.  It 
was  raining  hard,  and  the  roads  were  almost  impracticable.  It  was  necessary  to  make  some  provision  for  the  sick.  I  took  a 
stearn  tug  at  night,  and  went  down  the  river  until  I  reached  the  steamer  Commodore.  The  master  of  the  vessel  refused  to  go  up 
the  river  without  a  pilot,  as  it  would  vitiate  his  insurance.  I  applied  to  the  provost  marshal  at  Eltham  for  a  pilot.  He  knew 
of  none.  Chancing  to  hear  of  the  mate  of  a  brig  about  sailing  for  home,  who  was  said  to  know  the  river,  I  sent  him  an  order, 
'n  your  name,  to  repair  on  board  the  Commodore  immediately  to  pilot  her  up.  I  succeeded  in  getting  her  to  Cumberland,  and 
:hus  provided  a  hospital.  Leaving  her  in  position,  on  the  16th,  I  moved  with  the  headquarters  to  White  House.  This  being 
the  new  base  of  operations,  it  was  necessary  to  establish  a  general  hospital  there.  There  were  no  buildings  at  all  fit  for  the 
purpose,  so,  to  meet  present  necessities,  I  resorted  to  the  use  of  tents.  A  detail  of  soldiers  was  ordered  to  pitch  them.  It 
was  furnished  reluctantly,  and  was  most  inefficient.  Under  the  superintendence  of  Brigade  Surgeon  J.  II.  Baxter,  with 
one  hundred  and  fifty  men,  I  learned  that,  after  two  day's  work,  there  were  but  thirty-four  tents  pitched.  At  the  end  of 
four  days,  one  hundred  were  ready ;  all  that  we  could  command.  Cooking  cauldrons  were  got  in  readiness,  subsistence  was 
procured,  and  bed  sacks  filled,  without  delay.  The  army  being  again  in  motion,  more  sick  and  a  multitude  of  stragglers  rushed 
in  upon  us.  Our  store  ships  and  the  hospital  transports  being  up,  1  detailed  the  Daniel  Webster,  No.  1,  to  convey  a  party  of 
the  worst  cases  to  Boston.  These  men  were  ordered  to  be  selected  with  great  care  from  those  in  the  hospital  tents.  Two 
hundred  and  sixty  was  the  number  to  be  received.  Before  one-half  this  number  was  sent  from  the  hospital,  the  ship  was 
reported  full.  Stragglers  had  rushed  on  board  without  authority  and  had  taken  possession.  I  sent  a  brigade  surgeon  to  expel 
them,  but  without  avail.  I  then  determined  t.o  send  no  more  men  from  the  peninsula  on  account  of  sickness,  if  there  were  any 
means  of  avoiding  it.  Orders  in  relation  to  the  selection  of  cases  were  useless.  I  am  sure  that  hundreds  of  malingerers 
niicceeded  in  deserting  their  colors  on  the  hospital  transports,  in  spite  of  every  effort  of  mine  to  prevent  it.  The  regimental 
officers  might  have  prevented  it.  I  could  not.  After  the  two  hundred  and  sixty  had  left  on  the  Daniel  Webster,  I  found  ten 
hundred  and  twenty  in  the  hospital  tents,  and  of  these,  nine  hundred  were  reported  to  me  by  the  medical  officers  in  charge  as 
men  with  such  trilling  ailments  that  they  should  never  have  been  permitted  to  fall  to  the  rear. 

While  still  at  White  House,  I  received  a  telegram  from  the  front  that  scurvy  had  appeared  in  two  brigades  of  the  army, 
one  of  which  were  the  regular  troops.  I  could  scarcely  credit  tiie  accuracy  of  the  information.  I  knew  that  the  brigade  had 
obeyed  the  orders  issued  in  relation  to  the  use  of  vegetables,  and  the  manner  of  cooking  their  rations;  still  I  did  not  think  it 
prudent  to  disregard  the  report,  and,  accordingly,  I  telegraphed  to  Washington  for  lemons  and  potash.  I  procured  a  few  boxes 
of  lemons  from  the  stores  of  the  sanitary  commission  at  once,  and  carried  them  with  me  to  the  front.  Having  set  the  hospital  at 
\\hite  House  in  motion,  Brigade  Surgeon  Baxter,  in  charge,  I  loaded  three  wagons  with  hospital  supplies,  and,  on  May  21st, 
started  once  more  in  pursuit  of  the  army.  I  found  headquarters  at  Tunstall's  Station  ;  the  next  day  they  were  advanced  to 


56  APPENDED    DOCUMENTS — PENINSULAR    CAMPAIGN. 

Cold  Harbor.  Here  I  investigated  the  report  with  regard  to  scurvy,  and  found  it  to  be  erroneous.  I,  however,  requested  (he 
Adjutant  General  to  compel  the  men  to  use  desiccated  vegetables,  and  to  make  and  use  soup  daily,  unless  that  were  rendered 
impossible  by  reason  of  being  actually  on  the  march ;  the  use  of  tried  fresh  meat  to  be  absolutely  forbidden,  boiled  or  roasted 
beef  to  be  substituted.  On  the  23d,  I  returned  to  White  House,  and  tlie  next  day  proceeded  to  Yorktown  to  inspect  the  hospitals 
there.  I  found  them  in  want  of  some  articles  of  clothing  and  bedding,  but  generally  in  good  order  and  well  managed.  One  of 
these,  in  the  Nelson  House,  with  Miss  Dix  for  housekeeper,  was  very  neat.  On  my  return,  I  inspected  the  hospital  ships,  made 
arrangements  for  completing  their  equipments,  and  directed  the  sanitary  commission  to  send  one  thousand  shirts,  three  hundred 
wrappers,  three  hundred  pairs  of  slippers,  and  one  thousand  sheets  to  the  Yorktown  hospital.  I  then  inspected  the  hospital  at 
White  House,  made  contracts  with  nineteen  physicians  from  Massachusetts,  sent  promptly  by  Surgeon  General  W.  J.  Dale, 
in  answer  to  a  telegram  from  me,  placed  eight  of  them  on  duty  at  White  House,  and  sent  the  remainder  to  Yorktown  to  relieve  as 
many  regimental  medical  officers,  who  were  forthwith  ordered  to  their  regiments.  I  found  stragglers  still  coming  in  to  the  hospital, 
some  really  sick,  who  said  they  had  been  sent  by  their  surgeons.  On  my  return  to  headquarters,  I  met  one  hundred  and  twenty- 
five  just  coining  in  to  Despatch  Station  to  take  the  train,  sent  down  in  ambulances  in  direct  violation  of  the  standing  orders  of  the 
army.  I  inspected  these  men  on  the  spot,  and  sent  a  number  back  to  their  regiments.  When  I  reached  my  tent.  I  again  brought 
this  matter  to  the  notice  of  headquarters,  feeling  convinced  we  should  soon  have  no  army  unless  this  practice  was  stopped. 

May  27th  General  F.  J.  Porter  fought  and  defeated  the  enemy  at  Hanover  Court-house.  In  this  battle,  there  were 
reported  to  me  sixty-two  killed,  and  two  hundred  and  ten  wounded.  Of  the  latter,  one  hundred  and  thirty-eight  only  went 
into  the  hospital.  One  hundred  and  twenty-three  wounded  prisoners  fell  into  our  hands. 

Ambulances  were  promptly  sent  for  the  wounded,  and  hospitals  prepared  for  them  in  William  Gaines's  and  Hogan's 
houses  and  out-houses.  Hogan's  house  being  under  fire,  I  was  afterwards  obliged  to  remove  the  wounded  prisoners  to  Doctor 
Gaines's  buildings.  The  wounded  having  been  collected  and  attended  to,  I  requested  Colonel  Ingalls  to  order  the  steamer 
Knickerbocker  to  be  in  readiness  to  receive  them  on  May  3()th.  I  also  directed  the  Elm  City  to  carry  four  hundred  sick  from 
White  House  to  Yorktown.  These  boats  were  in  possession  of  the  Sanitary  Commission,  and  neither  of  them  were  ready.  I 
then  directed  our  own  boat,  the  Commodore,  to  be  placed  in  condition  to  receive  the  wounded,  and  requested  Surgeon  H.  H. 
Smith  to  take  the  general  direction  of  affairs  at  that  point.  I  then  substituted  the  Daniel  Webster,  No.  2,  for  the  Elm  City  to 
convey  the  sick.  This  was  met  by  further  objection,  and  I  was  obliged  to  reiterate  the  order  peremptorily,  with  instructions 
to  the  surgeon  in  charge  of  the  hospital  to  call  upon  Colonel  Ingalls  to  direct  the  embarkation  if  there  was  any  trouble. 
One  hundred  and  four  wounded  were  sent  down  and  received  by  Dr.  Smith  on  the  Commodore  that  day;  of  these,  forty- 
seven  were  prisoners.  It  was  intended  to  remove  the  remainder  of  the  wounded  the  next  day,  but  a  heavy  rain  coming 
on,  we  were  obliged  to  defer  it.  That  day,  at  2  P.  M.,  the  enemy  attacked  our  left  flank  at  Fair  Oaks.  The  action  lasted  till 
nightfall.  It  was  resumed  the  next  morning,  and  continued  till  11  A.  M.  Immediately  after  the  commencement  of  the  battle,  the 
boats  at  White  House  were  ordered  to  be  in  readiness  to  receive  the  wounded.  Surgeons  were  placed  on  board  those  in  need 
of  them;  other  surgeons,  volunteer  and  contract,  of  whom  I  had  a  supply  at  White  House,  were  brought  up  to  the  field  depots. 
The  transportation  of  the  wounded  was  begun  that  night  and  kept  up  steadily  until  completed.  This  was  accomplished  by  the  7th 
of  June.  I  never  received  complete  returns  of  the  losses  in  this  action.  In  Keyes's  corps,  three  hundred  and  eighty -two  were 
killed,  and  one  thousand  seven  hundred  and  thirty-one  wounded.  In  Sumner's,  the  wounded  were  about  one  thousand,  and, 
in  Heintzelman's,  seven  hundred  and  fifty.  The  whole  number  sent  from  White  House  by  the  steamers  was  three  thousand 
five  hundred  and  eighty.  Of  these,  one  hundred  and  sixty-seven  were  conveyed  to  Philadelphia  by  the  William  Whilden. 

June  8th,  a  skirmish  took  place  in  front  of  Sumner's  position,  in  which  we  had  four  killed  and  twenty-three  wounded. 
During  all  this  time,  there  were,  of  course,  some  men  sick  in  the  field  hospitals;  it  was  perceived  that  they  would  be  more  and 
more  in  the  way  as  new  conflicts  occurred,  and  it  became  necessary  to  devise  some  means  of  getting  them  to  the  rear.  For  this 
purpose,  I  directed  the  establishment  at  Yorktown  to  be  enlarged  to  the  capacity  of  two  thousand  five  hundred,  or  three  thousand 
beds,  so  that  I  might  relieve  White  House  hospital,  and  keep  it  clear  for  an  emergency.  *  *  I  \\-as  in  hopes  I  should  have 
received  before  this  the  four  hundred  hospital  tents  I  had  asked  for  while  we  were  at  Yorktown.  About  one-half  of  them 
arrived  the  middle  of  June.  I  requested  General  Van  Vliet  to  have  one  hundred  pitched  at  White  House  for  an  extension  of 
that  hospital,  and  to  deposit  seventy-five  at  Savage's  and  Fair  Oaks  Stations  for  use  in  another  battle.  *  *  June  19th,  I 
authorized  Mr.  F.  L.  Olmstead  to  fill  the  Steamer  Daniel  Webster,  No.  1,  and  the  steamer  Spalding  from  the  White  House 
and  Yorktown  hospitals,  and  to  proceed  with  them  to  New  York. 

A  very  large  number  of  rebels,  killed  at  Fair  Oaks,  were  interred  by  our  troops ;  yet  many  were  left  unburied.  They 
had  fallen  in  the  woods,  or  had  been  carried  thither,  and  escaped  observation.  In  the  course  of  time,  the  remains  were  so 
offensive  as  to  seriously  discommode  our  camps.  Disinfectants  were  sent  to  be  strewn  over  the  grounds,  and  every  exertion 
was  made  to  abate  this  evil.  Still  it  had  not  entirely  ceased  when  we  left  the  vicinity. 

June  14th,  scurvy  was  again  reported  as  having  appeared  in  Sumner's  corps.     I  sent  an  able  medical  officer  to  investigate 

it,  who  found  six  cases  in  the  19th  and  20th  Massachusetts  regiments,  and  several  others  "  acquiring  the  predisposition  to  the 

At  this  time,  I  found  it  necessary  to  ask  that  so  much  of  General  Orders  102,  March  19th,  1862,  as  authorized 

commanders  of  corps  to  grant  leaves  of  absence  for  fifteen  days  to  medical  officers,  should  be  rescinded.     Fifteen  days  would 

take  them  home,  but  it  was  a  rare  thing  to  find  them  at  their  posts  at  the  expiration  of  it.     Notwithstanding  we  had  under 

contract  nearly  a  hundred  civilian  physicians,  the  regiments  were  scarcely  much  better  provided  than  when  we  began  to  fill 

vacancies  in  this  way.     Several  of  the  contract  physicians  themselves  soon  repented  of  their  bargains  and  begged  to  be  relieved. 

As  their  contracts  could  be  determined  at  their  own  pleasure,  I  could  only  refuse  to  terminate  them  myself,  but  could  not  prevent 

:ieir  doing  so.     To  obviate  this  inconvenience  for  a  reasonable  time,  at  least,  I  wrote  to  the  Surgeon  General  to  request  him,  for 

iiture,  to  stipulate  with  these  gentlemen  that  they  should  not  terminate  their  contracts  in  less  than  three  months.     My 

suggestion  was  adopted,  und  we  were  thus  enabled  to  retain  several  who  would  otherwise  have  left  us. 

Desiring  to  leave  nothing  undone  that  would  promote  and  preserve  the  health  of  the  army  at  this  critical  period,  I 
solved  to  call  upon  the  whole  body  of  medical  officers  for  their  opinions  and  advice.     For  this  purpose,  I  addressed  to  the 


EEPORT    OF    MEDICAL    DIRECTOR    TRIPLER.  57 

medical  directors  a  circular,  under  date  of  June  18th.  I  received,  before  the  final  conflicts,  reports  from  several  of  these,  and  all 
agree  that  nothing  of  any  consequence  had  been  left  undone  that  the  medical  department  could  do.  Better  shelter  for  the  men, 
less  work,  and,  in  a  few  instances,  new  clothing  was  all  that  seemed  to  be  wanting.  June  12th,  the  headquarters  were  removed 
to  the  right  bank  of  the  Chickahominy,  near  Dr.  Trent's  house.  Some  firing  and  shelling  took  place  from  day  to  day,  but  without 
any  damage  to  us.  On  the  13th,  the  enemy  made  a  raid  to  our  rear,  doing  hut  little  harm;  our  railway  communications  were 
not  interrupted.  On  the  15th,  the  roads  then,  for  the  first  time,  admitting  of  it,  I  succeeded  in  transferring  the  remainder  of 
the  Hanover  wounded  to  the  floating  hospitals  at  White  House.  June  10th,  I  took  measures  for  providing  a  receiving  hospital 
for  the  wounded  at  Savage's  Station,  the  headquarters  of  General  Heintzelman.  Doc-tor  Swinburne,  of  Albany,  New  York,  a 
surgeon  known  to  me  by  reputation,  and  one  who  had  rendered  some  service  at  White  House  and  Fair  Oaks,  having  reported  to 
me,  under  contract,  I  directed  him  to  prepare  this  depot  under  the  supervision  of  Surgeon  Milhau,  medical  director  of  Heintzel- 
man's  corps.  Every  facility  was  given  Doctor  Swinburne  for  this  purpose ;  large  details  of  men,  all  the  tents  we  could  command, 
abundance  of  subsistence  stores.  There  were  several  out-houses  at  the  station  that  were  directed  to  be  vacated ;  some  sick  in 
them  belonging  to  Keyes's  corps  were  transferred  to  VV^hite  House.  An  ice-house,  near  Savage's  house,  was  filled  with  ice.  In 
twelve  days,  with  a  detail  of  one  hundred  men,  or  as  many  of  them  as  chose  to  report,  Doctor  Swinburne  succeeded  in  getting 
the  buildings  cleaned,  twenty-five  tents  pitched,  two  or  three  cauldrons  for  making  soup,  in  position,  water  casks  prepared  and 
filled  with  water,  hospital  stores  and  dressings,  and  was  prepared  to  receive  the  wounded.  June  17th,  six  hundred  sick  were 
ordered  from  White  House  to  Yorktown,  to  make  room  for  wounded  I  expected  soon  to  be  called  upon  to  provide  for.  The 
same  day  the  medical  officers  were  ordered  again  to  provide  themselves  with  portable  soup.  Tents  were  also  ordered  to  be 
pitched  near  the  railway  terminus  at  White  House,  for  the  reception  of  wounded  upon  the  arrival  of  the  cars.  On  the  2(.'th,  I 
visited  White  House  again  and  inspected  the  arrangements.  I  met  there  Mr.  Brunot,  of  Pittsburgh,  Pennsylvania,  who  had  come 
on  with  a  party  of  well  qualified  nurses,  to  offer  their  services.  No  more  devoted  band ;  none,  perhaps,  so  devoted,  had  ever 
presented  themselves.  I  quartered  them  temporarily  upon  the  hospital  steamer  Louisiana.  At  the  right  time,  they  repaired  to 
Savage's  Station,  performed  ever  memorable  service,  and  crowned  their  self-sacrifice  by  cheerfully  remaining  with  the  wounded 
we  were  obliged  to  leare  in  the  hands  of  the  enemy  when  we  retired  to  James  River. 

Returning  to  headquarters  on  June  21st,  I  sent  Doctor  D.  L.  Rogers,  of  New  York,  who  had  rejoined  me  some  days 
before,  the  hospital  at  Williamsburg  having  been  broken  up,  to  the  left  bank  of  the  Chickahominy,  to  evacuate  upon  White 
House  all  the  field  hospitals  upon  that  side.  This  duty  was  zealously  performed,  and  all  that  could  be  removed  was  removed. 
From  this  time  events  hurried  on  with  great  rapidity.  I  sent  an  order  to  the  purveyor  at  White  House  to  send  a  large 
quantity  of  supplies  to  Savage's  Station.  By  telegraph,  I  received  the  reply  that  all  was  packed  up  and  the  boat  ordered  to 
fall  back  to  West  Point.  This  was  exceedingly  vexatious.  We  were  tolerably  well  supplied,  and  I  had,  as  before  reported,  a 
reserve  of  three  wagon  loads  in  my  own  camp;  nevertheless,  this  misunderstanding  was  a  great  disappointment,  and  caused  me 
much  anxiety.  In  a  few  days  the  boat  returned.  As  soon  as  I  heard  of  this,  I  repeated  my  order  of  June  '27th,  and  telegraphed 
to  the  sanitary  commission  to  send  up  supplies.  The  effort  was  made,  but  too  late.  On  the  28th,  our  communications  were  cut 
off.  I  received  nothing  from  below  but  some  hospital  tents,  and  they  came  in  just  in  time  to  be  burnt,  or  to  fall  into  the  hands  of 
the  enemy.  On  the  25th,  we  had  a  smart  skirmish  on  our  left.  The  wounded,  who  were  very  few,  were  sent  to  White  House. 
On  the  26th,  General  McCall  fought  at  Mechanicsville.  His  division  had  joined  on  .Tune  18th.  I  could  not  succeed  in  getting 
a  report  from  it  of  any  sort.  The  sick  were  sent  into  the  camp  at  headquarters  without  notice,  without  a  report,  a  nurse,  or  a 
crust  of  bread.  I  was  obliged  to  send  them  to  Savage's  Station  to  occupy  room  I  wanted  for  wounded  men.  On  the  27th, 
General  Porter  fought  at  Gaines's  Mill.  Ambulances  were  sent,  and  his  wounded  were  brought  in  to  Savage's  Station.  The 
cars  were  kept  in  motion,  and  as  many  as  could  be  sent  down  were  sent  to  the  floating  hospitals.  A  large  train  was  loaded  at 
10  A.  M.  on  the  28th,  when  we  found  that  the  railway  was  in  possession  of  the  enemy,  and  I  was  reluctantly  compelled  to  take 
the  men  back  to  the  hospital.  All  this  time,  the  services  of  every  one  that  could  be  commanded  were  employed  in  attending  to 
the  wounded.  There  were  about  thirteen  hundred  in  the  tents,  buildings,  and  on  the  lawn.  My  assistants,  Doctors 
McClellan  and  Greenleaf,  with  some  of  Mr.  Brunot's  party,  were  most  active  and  efficient  in  providing  for  the  refreshment  and 
subsistence  of  the  wounded.  Surgeon  A.  K.  Smith,  of  the  army,  with  Doctor  J.  Swinburne,  and  a  number  of  medical 
officers  of  volunteers  and  contract  physicians  were  employed  in  the  necessary  operations  and  dressings.  No  exertions  seemed 
to  be  too  great,  no  fatigue  too  exhausting,  for  the  self  sacrificing  zeal  of  every  one  of  these  gentlemen.  In  the  afternoon,  I 
received  orders  to  leave  all  that  could  not  walk,  with  a  supply  of  surgeons,  nurses,  subsistence,  and  hospital  stores,  to  fall  into 
the  hands  of  the  enemy.  I  caused  the  wounded  to  be  carefully  examined,  and  six  hundred  and  fifty  were  reported  to  me  as 
unable  to  move.  A  number  of  these,  however,  did  contrive  to  get  off  and  to  march  to  James  River  in  safety.  I  then  called  for 
volunteers  to  remain  with  the  wounded,  and,  to  the  credit  of  the  medical  gentlemen,  be  it  said,  all  that  I  wanted  immediately 
expressed  their  readiness  to  undertake  the  duty.  •  One  of  them,  Doctor  H.  J.  Milnor,  of  New  York,  lost  his  life  from  exhaustion 
in  this  self-abnegation. 

Doctor  Swinburne  having  had  the  organization  of  the  hospitals,  I  constituted  him  chief  of  the  party,  and  furnished  him 
with  a  letter  to  the  Confederate  commander,  in  these  words: 

"  HEADQUAUTKKS  ARMY  OF  POTOMAC,  June  28th,  1862. 
To  the  Commanding  General  of  the  Confederate  Forces,  or  Commanding  Ojficer  : 

Doctor  Swinburne,  a  volunteer  surgeon,  with  a  number  of  other  surgeons,  nurses,  and  attendants,  have  been  left  in 
charge  of  the  sick  and  wounded  of  this  army  who  could  not  be  removed.  Their  humane  occupation  commends  itself,  under 
the  law  of  nations,  to  the  kind  consideration  of  the  opposing  forces.  It  is  requested  that  they  may  be  free  to  return  as  soon  as 
tlic  discharge  of  their  duties  with  the  sick  and  wounded  will  permit,  and  that  the  same  consideration  shown  to  the  Confederate 
sick,  wounded,  and  medical  officers,  that  have  been  captured  by  our  forces,  may  be  extended  to  them.  A  large  amount  of 
clothing,  bedding,  medical  stores,  &c.,  have  been  left,  both  at  Savage's  Station  and  Doctor  Trent's  house. 

By  command  of  Major  General  MC-CLKLLAN. 

CIIAKI.KS  S.  Tuii'LKi:, 
Sun/ton  ami  Mcdii-al  hirvctor  .Irnu/  of  Pofoiiiar.'" 

8 


5g  APPENDED    DOCUMENTS PENINSULAR    CAMPAIGN. 

On  the  morning  of  June  29th,  the  headquarters  moved  in  the  direction  of  James  River,  and  arrived  at  Haxall's  Landing 
the  next  day.  The  actions  at  Savage's  Station,  White  Oak  Swamp,  and  Halve-in  Hill  occurred  in  quick  succession.  So  far  as 
circumstances  would  admit,  the  wounded  were  conducted,  or  found  their  way,  to  this  point,  to  Carter's,  and  to  Harrison's  Bar. 
To  the  hitter  position,  the  headquarters  were  transferred  in  the  night  of  July  1st.  The  next  day  a  heavy  rain  fell,  deluging  our 
wounded,  many  of  whom  had  no  shelter.  Some  of  our  hospital  ships  having  reached  Harrison's  Bar  at  that  time,  I  procured  a 
lighter  from  the  quartermaster,  and  commenced  shipping  the  wounded;  but  I  was  obliged  to  suspend  this  operation  by  orders 
from  yourself,  as  the  wharf  was  absolutely  necessary  for  landing  subsistence  stores.  Every  thing  possible,  however,  was  done  for 
the  comfort  of  the  wounded;  tea,  coffee,  soup,  and  stimulants  were  being  constantly  prepared  and  issued.  My  train  of  reserve 
stores  had  happily  succeeded  in  reaching  the  position,  and  the  supplies  held  out  until  we  were  able  to  get  more  from  the  purveyor's 
store-ship  in  the  river.  On  July  3d,  my  successor,  Dr.  Lettermun,  having  reported,  I  turned  over  the  department  to  him. 

The  reports  of  killed  and  wounded  in  this  series  of  conflicts,  I  presume,  were  made  to  Dr.  Letterman;  I  left  the  army 
before  there  was  time  to  prepare  them. 

During  this  campaign,  the  army  was  favored  with  excellent  health;  no  epidemic  disease  appeared.  Those  scourges  of 
modem  armies,  dysentery,  typhus,  cholera,  were  almost  unknown.  We  had  some  typhoid  fever,  and  more  malarial  fevers;  but 
even  these  never  prevailed  to  such  an  extent  as  to  cause  any  alarm.  The  sick  reports  were  something  larger  than  we  had  hoped 
to  have  them,  but  the  greater  majority  of  the  cases  reported  were  such  as  did  not  threaten  life  or  permanent  disability. 

In  reflecting  upon  the  history  of  the  medical  administration  of  the  army  ot  the  Potomac,  many  defects  are  perceived.  Some 
of  them  may  be  remedied  in  the  future  ;  others,  I  fear,  can  not  be.  For  the  first  time,  the  United  States  has  assembled  very  large 
armies ;  our  staff  system  has  been  severely  tried. '  I  am  not  called  upon,  nor  am  I  prepared  to  say,  whether  the  other  departments 
have  proved  successes  or  failures.  My  own  department  was  neither  a  complete  success  nor  a  very  decided  failure.  The  most 
serious  impediment  in  the  way  of  its  success  was,  undoubtedly,  the  want  of  military  habits  and  training  in  the  medical  officers. 
The  general  impression  among  the  people  seems  to  he  that  a  good  civilian  physician  is  fully  competent  to  discharge  the  duties  of 
a  regimental  surgeon  ;  and  I  have  no  idea  that  anything  I  can  pay  will  be  effective  in  disabusing  the  public  mind  of  a  notion  that 
I  believe  to  be  as  mischievous  as  it  is  erroneous.  In  my  opinion,  it  is  impossible  to  improvise  an  efficient  medical  staff;  no  nation  in 
the  world,  except  our  own,  has  ever  attempted  it.  So  little  was  known  among  us  about  a  medical  department  for  an  army  when 
the  present  rebellion  grew  serious,  that  in  the  first  project  for  a  grand  army,  one  assistant  surgeon  only  was  provided  for  a 
regiment  of  twelve  hundred  men;  and,  so  little  importance  was  attached  to  his  position  and  character,  that  all  sorts  of 
doctors,  even  advertising  quacks,  were  sometimes  commissioned  as  medical  officers ;  men,  innocent  of  any  such  vulgar 
acquirement  as  orthography;  men,  who  had  never  even  seen,  much  less  performed,  a  surgical  operation.  The  great  majority  of 
the  medical  officers  were  certainly  highly  respectable  members  of  the  profession ;  but  still  there  were  enough  of  the  ignorant  or 
illiterate  to  prove  what  I  have  said :  that,  so  far  as  the  public  notion  of  what  was  required  for  a  medical  officer  was  concerned, 
almost  any  one  was  considered  competent  to  perform  the  duties  of  a  military  surgeon.  I  see  no  remedy  for  this  unless 
a  large  permanent  staff'  is  hereafter  kept  up.  In  so  vast  an  establishment  as  the  Army  of  the  i'otomac,  without  a  rigid 
adherence  to  system,  nothing  could  have  been  accomplished.  It  would  have  been  impossible  to  supply  it ;  to  know  whether  it 
was  supplied  or  not;  to  reduce  its  supplies  to  a  minimum  bulk  so  that  they  could  be  transported  ;  so  to  limit  the  extent  of  the 
trains  that  the  supply  wagons  should  be  accessible.  Now  this  system  was  derisively  termed  "  red  tape,"  and  medical  men, 
fresh  from  civil  life,  who  ought  to  have  been  learners,  were  encouraged  by  so-called  philanthropists  to  disregard  a  restraint 
they  found  irksome,  and  to  assert  a  practical  independence  of  it  as  a  work  of  a  strong  will.  By  firmness,  and  the  aid  of  the 
better  instructed  brigade  surgeons,  a  fair  progress  was  made  in  controlling  and  corn  cling  this  evil;  but  there  were  some 
medical  officers  who  were  incorrigible. 

Transportation  for  medical  supplies  was  provided  but,  as  we  have  seen,  these  were  in  many  instances  left  behind 
under  the  plea  of  want  of  transportation.  The  colonels  took  the  doctor's  wagon  to  carry  other  baggage;  at  least,  that 
was  the  excuse  offered.  Want  of  discipline  was  seriously  felt  in  the  difficulty  of  getting  reports  from  the  medical  officers.  It 
was  inconvenient  to  make  them;  inconvenient  to  send  them  in;  the  necessity  for  them  was  not  apparent.  The  habit  of 
obedience  to  orders,  whether  the  reason  for  them  is  comprehended  or  not,  is  one  of  slow  growth,  and  particularly  among 
medical  men  brought  up  in  civil  life.  I  never  could  get  complete  reports,  even  while  we  were  in  Washington.  After  we  took 
the  field,  that  difficulty  was  much  increased.  Still,  for  the  successful  administration  of  the  department,  these  reports  were 
absolutely  necessary.  There  was  unquestionably  a  deficiency  of  hospital  tents  upon  the  Peninsula;  but,  if  all  that  were  issued 
to  the  regiments  at  Washington  had  been  carefully  transported  by  them,  they  would  have  had  enough.  The  tents  were  left 
behind  in  many  instances,  both  on  the  I'otomac  and  at  Yorktovvn.  Want  of  transportation  was  again  the  excuse.  Some 
one  will  ask,  '  Why  were  not  the  medical  officer's  who  were  derelict  arrested,  tried,  or  dismissed  2'  How  much  better  off' should 
e  have  been  with  that  resort?  Who  were  to  take  their  places?  When  would  they  reach  us?  Would  the  new  staff'  have 
ecu  any  better  than  the  old,  appointed  under  the  same  auspices,  drawn  from  the  same  sources,  and  with  no  experience  at  all* 
a  fault  was  not  with  them  ;  it  was  the  fault  of  the  system.  Original  vice  cannot  be  atoned  for,  nor  its  consequences  averted, 
"The  evils  which  flow  from  injudicious  counsels  can  seldom  be  removed  by  the  application  of  partial  severities." 
;  failure  of  the  medical  department  of  the  Army  of  the  I'otomac  to  meet  a  just  public  expectation,  if  it  did  so  fail,  which  I 
dispute,  was  due  to  a  deficiency  in  the  number  of  officers,  to  the  denial  to  them  of  a  proper  official  position,  they  being  consid 
ered  only  as  "  doctors,"  to  be  called  upon  to  prescribe  for  a  man  reporting  sick,  but  not  authorized  to  meddle  in  any  way  with 
the  police  customs  of  the  camps,  or  to  insist  on  any  measure  for  the  preservation  of  the  health  of  the  men;  to  their  not  being 
permitted  to  control  the  means  of  transportation  furnished  to  them,  and  to  the  professional  incompetency  of  a  certain  number 
of  the  officers.  *  * 

cannot  close  this  report  without  expressing  my  appreciation  of  the  conspicuous  services  of  Surgeons  J.  F.  Hammond, 

3rown,  and  J.  J.  Milhau,  the  medical  directors  of  Generals  Sumner's,  Reyes's,  and  Heintzehnan's  corps;   Surgeon  11.  H. 

al  purveyor;  Surgeon  A.  K.  Smith,  and  Assistant  Surgeons  E.  McClellan,  and  C.  R.  Greenleaf,  my  own  aids. 

1  am  justified  in  asserting  that  there  was  no  duty  that  these  officers  were  called  upon  to  perform  that  was  not  well  and 


Appendix  to  PartI,Med.&.  Surg.  History  of  the  Rebellion . 


K         MAP  of  Ae  OPERATIONS 

OF  THE 

ARMY  OFTHE  POTOMAC 

before 

RICHMOND, 

Dttj-ifi,^  Maty,  tfune   c*n<i 


SUB-REPORTS    OF    MEDICAL    DIRECTOR    TRIPLER.  59 

promptly  done;  that  their  zeal  never  faltered  ;  their  ability  never  failed.  If  my  department  was  conducted  to  your  satisfaction, 
the  efforts  of  these  gemlemen  contributed  most  essentially  to  that  result.  Among  the  volunteer  medical  officers,  in  my  opinion, 
Brigade  Surgeons  Lyman,  Crosby,  Baxter,  Bentley,  and  Dougherty  deserve  special  notice  for  their  ability  and  efficiency. 

I  am,  General,  very  respectfully,  your  obedient  servant, 

CHARLES  S.  TRIPLER, 

Surgeon  U.  S.  Army,  Medical  Director  Army  of  Potomac. 
To  Major  General  GEORGE  B.  McCi.ELLAN,   U.  S.  Army, 

Commanding  General  Army  of  Potomac." 


XL  VI.  Memorandum  of  Instructions  to  Inspectors  of  Hospitals  in  the  Army  of  the  Potomac, 
given  by  command  of  General  G.  B.  McClellan.  By  Surgeon  C.  S.  TKIPLEB,  U.  S.  A., 
Medical  Director  of  the  Army  of  the  Potomac. 

"Inspectors  of  hospitals  assigned  to  duty  with  the  Army  of  the  Potomac  will  proceed  to  the  camps  of  such 
divisions  of  the  army  as  they  may  be  directed  to  visit,  and  will  institute  careful  and  rigid  inspections  as  to  the  following  points : 
1st.  Whether  there  is  a  brigade  surgeon  on  duty  with  each  brigade;  his  name  and  date  of  commission  ;  whether  he  is  active, 
competent,  and  attentive- to  his  duties?  :  *  2(\.  Whether  each  regiment  *  *  is  provided  with  a  surgeon  and  assistant 
surgeon  ;  whether  they  are  present  and  for  duty  with  their  regiments ;  or,  if  absent,  by  what  authority,  for  what  reason, 

and  how  long?  3d.  The  number  of  hospital  tents  received,  and  from  what  source  ;  whether  they  are  used  for  the  sick  ;  or  it 
diverted  to  any  other  use,  by  what  authority  this  was  done  ?  Whether  the  hospital  tents  are  properly  located,  sufficiently 
wanned  and  ventilated,  furnished  with  bunks  and  bedding,  and  properly  policed?  4th.  Whether  a  competent  hospital  steward 
and  a  sufficient  number  of  hospital  attendants  are  attached  to  each  regiment,  and  if  they  are  well  selected?  5th.  How  many 
men  are  sick  in  hospital  ;  how  many  in  quarters;  what  are  the  prevailing  diseases  in  each?  6th.  Whether  there  is  a  brigade 
hospital ;  if  so,  how  it  is  situated  and  served  as  to  stewards  and  attendants  ?  The  character  of  building,  its  condition 
of  repair,  and  its  provision  of  bunks  and  bedding  should  also  be  noted,  and  the  following  questions  answered :  Can  it  be 
advantageously  dispensed  with  'I  Should  any  of  the  patients  be  sent  to  the  general  hospitals?  How  many  patients  does  it 
contain,  and  what  are  the  diseases  ?  Is  the  building  sufficiently  ventilated  and  warmed  f  7th.  What  is  the  condition  ot 
medicines,  hospital  stores,  instruments,  and  dressings  ?  Are  they  sufficient  to  enable  the  regiment  to  take  the  field  ?  If  deficient, 
in  what  respect  1  Has  any  record  been  kept  of  the  supply  received  ?  Have  they  been  judiciously  and  faithfully  used  ?  8th.  Has 
the  hospital-fund  account  been  kept  in  accordance  with  orders,  and  if  not,  who  is  responsible  for  the  neglect?  9th.  How  many 
and  what  kind  of  ambulances  are  on  hand  I  What  is  their  condition  ?  From  what  source  were  they  received  ?  Is  their  use 
strictly  confined  to  the  transportation  of  the  sick,  and  to  the  ambulance  drills  i  If  not,  who  is  to  blame?  10th.  Are  the  records 
of  hospitals  properly  kept  ?  Do  the  surgeons  send  in  their  weekly  reports  ?  llth.  What  is  the  condition  of  the  camp?  Is  it 
well  located  '(  If  not,  can  its  location  be  advantageously  changed  ?  Is  it  well  drained  and  well  policed  ?  Are  the  tents  in  good 
order  and  well  ventilated  ?  l'2th.  Are  the  men  well  clothed  ?  Are  their  persons  kept  clean  ?  13th.  How  is  the  cooking  done  ? 
Are  the  messes  inspected,  and  by  whom  ?  Are  the  provisions  good  ?  14th.  Are  the  men's  sinks  properly  located  and  attended 
to  ?  15th.  What  means  are  resorted  to  for  warming  the  camps,  and  are  they  effective  ?  Ib'th.  What  is  the  strength  of  the 
regiment  ?  17th.  What  is  the  general  sanitary  condition  of  the  regiment?  How  many  would  have  to  be  sent  to  the  general 
hospital  if  the  regiment  were  ordered  to  march  ?  Upon  all  these  points  a  systematic  report  will  be  made  to  the  medical  director 
immediately  after  each  inspection.  Where  the  inspectors  perceive  hygienic  errors  to  exist,  they  will  call  the  attention  of  the 
proper  authority  to  them  at  once,  and  state  in  the  report  of  inspection  that  they  have  done  so.  The  inspectors  will  also 
examine  medical  officers  in  relation  to  their  duties,  ascertaining  whether  they  understand  them,  taking  the  Regulations  as  their 
guide.  They  will  instruct  the  medical  officers  in  their  duties,  being  careful  to  correct  any  errors,  and  to  point  out  to  them  the 
scope  and  correct  manner  of  performing  their  duties.  The  surgeon's  call  should  be  beaten  in  the  presence  of  the  inspector,  to 
enable  him  to  judge  whether  the  routine  of  duty  is  understood,  and  to  decide  whether  the  men  attending  surgeon's  call  correspond 
with  the  official  reports,  and  whether  they  are  judiciously  treated.  The  inspector  will  also  institute  an  inquiry  into  the  cases  of 
the  men  who  are  recommended  for  discharge.  The  number  of  certificates  sent  to  headquarters  indicate  either  great  facility  in 
granting  these  discharges  or -great  carelessness  in  the  inspection  of  the  men  at  the  time  of  their  enlistment.  It  is  the  desire  of 
the  General  that  a  thorough  medical  inspection  of  the  army  be  made  as  speedily  as  possible,  that  no  possible  deficiency  may 
exist  in  the  medical  department  when  the  army  advances  upon  the  enemy;  and  to  this  end  he  commands  all  officers,  of  whatever 
rank,  to  afford  the  inspectors  of  hospitals  every  facility  in  conducting  their  inspections." 


XL VII.  Memorandum  of  Instructions  to  Brigade  Surgeons  of  Volunteers  of  the  Army  of 
the  Potomac,  promulgated  by  Command  of  General  G.  JL  McClellan ;  being  General 
Order  JVo.  30,  Headquarters  of  the  Army  of  the  Potomac,  October  ?>d,  1801. 

"The  following  regulations  respecting  the  duties  of  Brigade  Surgeons  are  published  for  the  government  of  all  concerned: 

1.  The  brigade  surgeons  will  frequently  inspect  the  police,  cooking,  clothing,  and  cleanliness  of  the  camps  and  men  in 
their  respective  brigades;   the  position  and  condition  of  the  sinks;   the  drainage  of  the  campgrounds;  the  ventilation   of  the 
tents,  etc.;  making  written  reports  to  the  brigade  commanders  whenever,  in  their  opinion,  any  errors  in  these  respects  require 
correction,  and  sending  duplicates  of  these  reports  to  the  medical  director  of  the  army. 

2.  They  will  see  that  the  medicines,  hospital   stores,  instruments,  and  dressings  of  the  several  regimental  surgeons  are 
kept  constantly  sufficient  in  quantity,  in  good  order,  and  always  ready  for  active  service. 


50  APPENDED    DOCUMENTS PENINSULAR    CAMPAIGN. 

3.  Tliov  will  collect  from  the  several  regimental  surgeons,  and  transmit  every  Saturday  morning  to  the  medical  director, 
a  copy  of  their  morning  report  made  to  the  commanding  officers  of  their  regiments,  and  will  accompany  these  with  remarks 
showing  the  character  of  the  principal  diseases  prevailing. 

4.  They  will  promptly  report  to  the  medical  director  all  changes  in  station,  or  location  of  themselves,  or  any  of  the 
medical  officers  in  their  brigades,  with  the  number,  date,  and  authority  of  the  order  by  which  such  changes  were  made. 

5.  Thev  will  inspect  carefully  all  men  receiving  certificates  of  disability  for  discharge,  and,  if  they  approve,  they  will 
countersign  such  certificates. 

6.  The  hospital  attendants,  to  the  number  of  ten  men  to  a  regiment,  and  the  regimental  bands  will  be  assembled  under 
the  supervision  of  the  brigade  surgeons,  and  will  be  drilled  one  hour  each   day,  except  Sunday,  by  the  regimental  medical 
officers,  in  setting  up  and  dismantling  the  hand  stretchers,  litters,  and  ambulances;  in  handling  men   carefully,  placing  them 
upon  the  litters  and  ambulance  beds,  putting  them  into  the  ambulances,  taking  them  out,  etc.;  carrying  men  upon  the  hand 
stretchers,  observing  that  the  leading  bearer  steps  off  with  the  left  foot,  and  the  rear  bearer  with  the  right;  in  short,  in  every 
thing  that  can  render  this  service  effective  and  the  most  comfortable  for  the  wounded  who  are  to  be  transported. 

7.  Brigade  surgeons  will  see  that  the  orders  of  the  commanding  general,  in  relation  to  the  uses  to  which  ambulances 
are  to  be  applied,  are  strictly  obeyed,  and  they  will  report  promptly  to  the  brigade  commanders  all  infractions  of  these  orders. 

8.  Whenever  a  skirmish  or  affair  of  outposts  occurs,  in  which  any  portion  of  their  brigades  is  engaged,  they  will  see 
that  the  ambulances  and  stretchers,  properly  manned  with   the    drilled   men,  are    in  immediate   attendance  to  bring  off  the 
wounded,  and  that  the  regimental  medical  officers  are  at  their  posts  with  their  instruments,  dressings,  and  hospital  knapsacks  in 
complete  order  and  ready  for  immediate  use,  so  that  no  delay  may  occur  in  rendering  the  necessary  surgical  aid  to  the  wounded. 

9.  They  will  report  in  writing  to  the  medical  director,  within  twenty-four  hours  after  any  affair  with  the  enemy,  the 
name,  rank,  and  regiment  of  each  of  the  wounded;  the  situation  of  the  wound,  and  the  surgical  means  adopted  in  the  case. 

10.  Brigade  surgeons  will  be  held  responsible  that  the  hospital  service  in  their  brigades  is  kept  constantly  effective  and 
in  readiness  for  any  emergency.     No  remissness  in  this  respect  will  be  tolerated  or  overlooked. 

By  command  of  Major  General  McCL.EL.LAN. 

(Signed)  S.  WILLIAMS, 

OFFICIAL.  Assistant  Adjutant  General. 

NOTE. — The  medical  director  desires  that  exsection  of  the  shoulder  and  elbow-joints  shall  be  resorted  to,  in  preference  to 
amputation,  in  all  cases  offering  a  reasonable  hope  of  success,  and  that  PirogofTs  operation  at  the  ankle  should  be  preferred  to 
Chopart's,  or  to  amputation  above  the  ankle,  in  cases  that  might  admit  of  a  choice." 


XLVIIL  Extract  from  General  Order  No.  9,  from  the  Headquarters  of  the  Army  of  the 
Potomac,  in  relation  to  the  Duties  of  Commissaries  of  Subsistence  in  connection  with 
Brigade  and  Regimental  Hospitals. 

"Subsistence  officers  must  make  issues  to  the  hospitals  and  keep  the  accounts  of  hospital  funds  in  strict 
conformity  with  the  requirements  of  the  Regulations  [Par.  1073,  1074,  1075].  *  *  Leaves  of  absence  to  medical  officers 
are  prohibited,  unless  granted  from  these  headquarters.  '  Patients  will  not  be  sent  from  the  regimental  to  the  general 

hospital  without  the  authority  of  the  medical  director.     Applications  for  this  authority  must  be  made  in  writing,  specifying  the 
names  and  diseases  of  the  patients,  and  be  handed  in  to  the  office  of  the  medical  director  between  the  hours  of  9  and  10  A.  M. 
The  reveille  will  not  be  beaten  until  after  sunrise,  and  hot  coffee  will  be  issued  to  the  troops  immediately  after  reveille 
roll-call,  as  a  preventive  of  the  effects  of  malaria." 


XLIX.  Extracts  from  a  Report  to  the  Surgeon  General  on  the  Sanitary  Condition  of  the 
Army  of  the  Potomac  in  November  and  December,  1862.  By  Surgeon  C.  S.  TKIPLEE, 
U.  S.  A.,  Medical  Director. 

Until  October,  1861,  but  a  small  proportion  of  the  regiments  made  reports,  and.  few  with  sufficient  accuracy 
to  be  considered  useful  or  reliable.  As  the  medical  officers  learn  more  of  their  duties,  greater  punctuality  is  observed  in  this 
respect.  I  received  for  October,  reports  from  one  hundred  and  twenty-nine  regiments,  seven  battalions,  fourteen  batteries,  and 
eight  general  hospitals.  The  aggregate  strength  of  the  force  from  which  these  reports  were  received  was  one  hundred  and 

itecn  thousand  seven  hundred  and  sixty-three.  Of  these,  thirty-eight  thousand  two  hundred  and  forty-eight  were  under 
treatment  during  the  month  in  the  field  and  general  hospitals;  twenty-seven  thousand  nine  hundred  and  eighty-three  were 
returned  to  duty;  two  hundred  and  ninety-five  died,  and  seven  thousand  four  hundred  and  forty-three  remained  under 
treatment  at  the  end  of  the  month;  five  hundred  and  ten  were  discharged  on  surgeons'  certificates  of  disability.  These  men 
never  should  have  been  enlisted.  They  were  simply  impositions  upon  the  government,  and  were  received  through  the  careless- 

ss  or  incompetency  of  the  recruiting  or  inspecting  officers.     The  same  remarks  may  apply  to  those  who  will  be  presently 

noticed  as  having  been  discharged  in  November.     The  rates  of  the  sick  remaining  at  the  end*  of  the  month  to  the  whole  force 

5.07   per  centum ;  the  ratio  of  deaths  is  3.0:5  per  centum  per  annum.     For  the  month  of  November,  I  have  reports   from 

one   hundred    and   fifty-six    regiments,  six    battalions,  twenty   batteries,  and   eight   general   hospitals.        From    the    division 

commanded  by  General  Dix,  I  have  no  reports.      The  aggregate  strength  of  the  forces  from  which  I  have  received  reports  is 

e  hundred  and  forty-two  thousand  five  hundred  and  seventy-seven.     Of  these,  forty-seven  thousand  eight  hundred  and  thirty- 

x  have  been  under  treatment  in  the  field  and  general  hospitals;  thirty-five  thousand  nine  hundred  and  fifteen  of  whom  have 
een  returned  to  duty,  and  two  hundred  and  eighty-one  have  died;  nine  thousand  two  hundred  and  eighty-one  remained  under 


SUB-REPORTS    OF    MEDICAL    DIEECTOR    TRIPLER.  Gl 

treatment  at  the  end  of  the  month ;  six  hundred  and  eighteen  have  been  discharged  upon  surgeons'  certificates  of  disability. 
The  number  remaining  is  considered  the  constant  diminution  of  force  due  to  sickness.  This  is  6.5  per  centum.  Of  these, 
however,  more  than  one-half  are  probably  capable  of  taking  the  field,  and  would  do  so  in  case  of  an  advance  or  an  attack. 
The  proportion  of  serious  cases  to  the  whole  number  treated  is  about  one-third,  and  this  I  should  consider  as  the  true  number 
of  the  sick  who  would  be  unfit  for  any  duty  at  any  given  time.  This  would  give  2.3  per  centum  as  inefficient. 

The  deaths  in  November  were  two  hundred  and  eighty-one,  which  gives  a  mortality  for  the  whole  force  of  2.36  per  centum 
per  annum.  The  diseases  from  which  our  men  have  suffered  most  have  been  continued  remittent  and  typhoid  fevers,  measles, 
diarrhoea,  dysentery,  and  the  various  forms  of  catarrh.  Of  all  the  scourges  incident  to  armies  in  the  field,  I  suppose  that 
chronic  diarrhoea  and  dysentery  have  always  been  the  most  prevalent  and  the  most  fatal.  In  this  army,  they  are  almost 
unknown.  We  have  but  two  hundred  and  eighty  cases  of  chronic  diarrhoea,  and  sixty-nine  of  chronic  dysentery,  reported  in 
the  mouth  of  November.  No  other  army  that  has  ever  taken  the  field  can  show  such  a  record.  We  have  one  thousand  three 
hundred  and  thirty-one  cases  of  measles  repoiied  in  November.  This  disease  almost  invariably  appears  among  irregular  troops 
in  a  few  weeks  after  they  are  assembled  in  camp.  The  regiments  in  which  these  cases  have  occurred  are  those  recently  arrived. 
Most  of  them  reached  Washington  with  the  disease  prevailing.  It  has  been,  generally,  of  a  mild  form,  soon  running  through 
the  regiment,  and  then  disappearing.  I  do  not  consider  its  propagation,  under  the  circumstances,  as  due  to  contagion.  On  the 
contrary,  it  springs  np  from  local  causes,  to  which  all  the  men  are  equally  exposed,  and  those  susceptible  become  its  subjects,  as 
a  matter  of  course.  Among  regular  troops,  it  is  very  rarely  seen.  Of  fevers  of  all  sorts,  we  have  had  seven  thousand  nine 
hundred  and  thirty-two  cases.  Of  these,  four  thousand  and  fifty-one  were  remittents  and  typhoids.  The  proportion  of  the 
latter  to  the  former  is  stated  to  be  one  to  two  and  three  tenths.  I  have  every  reason  to  believe  that  this  is  greatly  exaggerated 
by  errors  in  diagnoses.  I  do  not  look  upon  typhoid  fever,  to  the  extent  it  has  prevailed  in  this  army,  as  being  of  any  great 
moment.  From  the  reports  of  inspectors  of  hospitals,  so  far  as  inspections  have  yet  been  made,  I  am  satisfied  this  disease, 
if  it  ever  prevailed  to  that  extent,  is  now  considerably  declining.  The  regiments  that  have  suffered  most  from  fevers  in 
November  have  been  the  Vermont,  one  from  Maine,  one  or  two  from  Pennsylvania,  and  one  from  Indiana.  In  all  these 
regiments,  disease  is  now  sensibly  abating,  and  we  have  every  reason  to  hope  that  in  a  few  months  their  sanitary  condition  will 
be  equally  as  good  as  that  of  the  rest  of  the  army.  I  think  there  is  abundant  reason  to  be  satisfied  with  the  progress  that  has 
been  made  in  this  army  in  introducing  something  of  a  system  of  hygienic  precautions;  in  instructing  its  medical  officers  in  their 
duties;  in  keeping  them  supplied. with  sufficient  medicines,  hospital  stores,  and  instruments;  in  exacting  from  them  a  proper 
accountability  for  public  property,  and  insisting  upon  its  being  used  with  economy ;  in  preventing  the  army  from  being 
burdened  with  articles  that,  however  convenient  they  may  be,  are  not  absolutely  necessary,  and  cannot  be  transported  in  any 
possible  supply  train  when  the  men  are  required  to  march ;  in  requiring  reports,  at  short  intervals,  of  the  sanitary  condition  of 
the  regiments,  and  in  instituting  regular  and  thorough  sanitary  inspections  by  officers  of  experience  of  the  medical  department 
of  the  army,  who  are  competent  to  peifoim  that  duty;  who  understand  what  is  necessary  and  what  superfluous,  and  upon 
whose  reports  we  can  undertake  to  correct  errors  and  abuses  understandingly.  The  result  of  this  great  effort  is  seen  in  the 
statistics  above  recorded.  While  the  ratio  of  cases  of  disease  to  the  whole  force  does  not  differ  for  the  two  months  reported, 
the  ratio  of  mortality  is  sixty-seven  per  centum  per  annum  less  in  November  than  October.  Important  information  is  being 
constantly  received  from  the  inspectors  of  hospitals  as  to  all  matters  relating  to  the  comfort  and  health  of  the  troops,  thus 
affording  opportunities  for  correcting  errors  and  irregularities  wherever  they  may  be  found  to  exist." 


L.  Extracts  from  a  Report  to  General  G.  B.  McClellan  on  the  Hospitals  of  the  Army  of  the 
Potojnac.  in  December,  1861,  and  January,  1862.  By  Surgeon  C.  S.  TRIPLER,  U.  S.  A., 
Medical  Director. 

"  In  obedience  to  instructions,  I  have  the  honor  to  report  what  I  conceive  to  be  the  true  state  of  the  hospitals  of  this 
army.  I  hasten  to  present  this  letter,  in  anticipation  of  the  completion  of  all  the  inspections  ordered. 

The  importance  of  the  subject  seems  to  me  to  demand  this,  to  allay  unnecessary  apprehensions,  and  to  afford  an 
opportunity  for  correcting  existing  irregularities,  as  well  as  to  offer  suggestions  as  to  the  means  of  preventing,  as  far  as 
practicable,  any  increase  of  disease  during  the  winter  and  spring. 

I  have  observed  some  regiments,  after  arriving  here  in  wretched  sanitary  condition,  that  have  steadily  improved,  until  their 
sick  lists  would  compare  favorably  with  the  rest.  This  might  be  accounted  for  by  acclimation  ;  by  improvement  in  discipline 
and  police;  by  acquaintance  with  the  wants  of  a  soldier  in  camp.  But  other  troops,  and  those,  too,  from  particular  sections  of 
country,  have  not  improved.  The  Vermont  regiments  in  General  Urooks's  brigade  are  examples  of  this.  They  give  us  the 
largest  ratio  of  sick  of  all  the  troops  in  this  army,  and  that  ratio  lias  not  essentially  varied  for  the  last  three  months.  They 
suffered  in  the  first  place  from  measles,  sharing  the  lot  of  all  irregular  troops.  Since  then,  they  have  been  the  subjects  of 
remittent  and  typhoid  fevers.  Surgeon  C.  C.  Keeney,  U.  S.  A.,  reports  the  police,  clothing,  and  tents  of  all  these  regiments 
as  good,  with  the  exception  of  those  of  the  2d  and  3d  regiments,  which,  strange  to  say,  are  in  decidedly  the  best  sanitary 
condition.  *  The  camping  ground  of  the  3d  Vermont  Volunteers  is  bad.  The  soil  is  clay,  the  face  of  the  country  rolling; 

but  presenting  many  plains  sufficiently  extensive  for  camps.  *  *  We  are  now  called  upon  to  guard  against  the  diseases  of 
winter  and  spring.  The  principal  diseases  we  have  to  fear  are  typhus  and  typhoid  fevers  and  pneumonia.  These  diseases  prevail 
in  this  district  during  the  present  and  the  approaching  season.  A  heady  a  number  of  cases  have  occurred.  These  diseases 
arise  from  fiml  air,  bad  clothing,  imperfect  shelter,  exposure  to  cold  and  wet.  and  imperfectly  drained  and  badly  policed  camps. 
The  indispensable  conditions  for  securing  the  health  of  men  in  the  field  are.  good  clothing,  good  food,  and  good  water,  dry  camp 
grounds,  and  an  abundant  supply  of  pure  air.  For  the  shelter  of  our  men,  we  are  to  choose  between  tents  and  huts.  1  here  are 
clusters  of  buildings  within  our  limits  that  might  be  occupied  bv  our  troops  ;  but,  having  been  erected  for  a  diHerent  purpose, 
they  are  in  nowise  adapted  to  this.  They  are  ill  constructed  and  ill  ventilated.  I  should  prefer,  if  it  is  practicable,  that  the 


62  APPENDED    DOCUMENTS — PENINSULAR    CAMPAIGN. 

troops  should  be  sheltered  by  the  Chester  hut  used  at  Balaklava.  These  huts,  with  the  independent  roof  ventilation,  were 
found  well  adapted  fur  hospitals,  as  well  as  quarters,  and  the  results  of  their  employment  were  altogether  satisfactory.  But  it 
will  take  time  to  erect  these,  and  our  necessities  seem  to  be  too  pressing  to  admit  of  this  delay.  They  might,  however,  be  put 
up  to  some  extent  in  the  worst  of  our  camping  grounds,  if  military  necessity  requires  that  our  men  shall  be  kept  in  those 
positions.  Next  to  these  .huts,  I  would  invite  attention  again  to  the  plan  of  improving  our  tents  that  I  recommended  in 
December  last:  by  building  a  pen  of  logs  and  slabs  the  size  of  the  base  of  the  tent  some  three  feet  high,  and  then  securing  the 
tent  upon  this  as  a  roof.  This  plan  is  now  in  use  in  several  camps,  and,  whenever  it  has  been  adopted,  it  has  been  found  to 
contribute  very  much  to  the  comfort,  of  the  men.  In  some  of  the  camps,  pits  have  been  dug  as  in  the  Crimea,  and  tents  placed 
ever  them.  This  I  condemned  emphatically.  I  should  add  that,  in  my  opinion,  board  floors  should  be  furnished  to  all  the 
tents,  and  fresh  straw  or  hay  for  the  men  to  sleep  upon.  These  tents  must  not  be  overcrowded,  as  is  a  common  and  pernicious 
practice  in  all  armies.  The  ventilation  of  tents,  a  more  difficult  matter  than  is  generally  supposed,  should  be  secured  by 
windows,  as  they  are  termed,  in  the  tent  roofs,  and  by  frequently  opening  the  tent  doors,  or  keeping  them  open  during  the  day. 
The  tent  foundation  should  not  be  allowed  to  be  banked  up  with  dirt.  There  can  never  be  a  dry  soil  under  the  tent  floors  where 
this  practice  obtains.  Most  of  the  subsoil  upon  the  banks'of  the  Potomac  is  of  clay.  This  is  particularly  observed  in  camps 
presenting  the  largest  sick  reports,  and,  therefore,  the  greater  attention  is  required  to  be  paid  to  drainage.  I  do  not  believe 
such  a  soil  can  be  drained  sufficiently  to  dispense  with  floors  to  the  tents.  But,  to  secure  as  good  a  drainage  as  ^practicable,  I 
would  recommend  that  each  company  street  should  be  surrounded  by  a  ditch  not  less  than  a  foot  deep ;  the  ditch  to  be  four  feet 
from  the  tents.  Ditches  of  a  few  inches  depth  should  surround  the  tents  and  lead  to  the  main  ditches.  The  floors  of  the  tents 
should  be  raised  at  least  three  inches  from  the  ground  ;  lime  or  charcoal  should  be  strewn  beneath,  and  the  floors  laid  without 
pinning,  that  it  may  be  readily  taken  up,  and  the  ground  under  it  policed. 

Pure  air  cannot  exist  in  camp  without  good  police  regulations.  I  recommend  that  all  impurities  collected  in  the  camps 
shall  be  buried  not  less  than  a  foot  below  the  surface.  In  cavalry  camps,  the  manure  must  be  got  rid  of  in  some  way,  or  the 
men  will  get  sick.  Camping  grounds  long  occupied  get  saturated  with  putrescent  exhalations  that  engender  and  aggravate 
disease.  A  change  of  camp  diminishes  an  endemic  until  a  new  saturation  of  the  soil  renews  the  source  of  disease.  This  was 
exemplified  in  General  Brooks's  brigade.  A  change  of  camp  seemed  to  have  checked  the  endemic  in  a  regiment,  yet  gradually 
it  reappeared.  The  camping  ground  of  Colonel  Berdan's  sharpshooters  should  be  changed,  for  its  drainage  is  bad.  This 
regiment  is  suffering  from  measles,  followed  by  lung  complications.  A  dry  camp  is  necessary  for  the  command.  If  a  suitable 
ground  is  selected,  and  the  tents  are  pitched  as  I  have  suggested,  I  should  anticipate  favorable  results.  I  recommend  an 
immediate  change  of  the  camp  grounds  of  the  brigades  that  show  an  excessive  proportion  of  sick  ;  that  these  grounds  shall  be 
selected  with  relation  to  their  suitable  drainage  and  exposure,  both  to  storms  and  to  malaria.  The  food  of  the  men  is  good,  and 
they  are  gradually  improving  in  cookery.  Severe  dysenteries  or  diarrhoeas  are  rare  in  our  camps.  The  clothing  of  the  men  is 
generally  good.  I  think  deficiencies  in  this  respect  have  nothing  to  do  with  the  fevers  that  scourge  the  Vermont  troops.  If  it 
Avere  practicable,  it  would  be  desirable  that  our  men  should  be  furnished  with  high  water-proof  boots,  that  their  feet  and  legs 
might  be  kept  dry  when  conipelled  to  walk  through  the  deep  mud  of  the  Virginia  side  of  the  Potomac.  I  recommended  that, 
in  September,  hot  coffee  should  be  issued  to  the  men  immediately  after  reveille.  This  was  ordered.  I  doubt  whether  the  order 
is  now  observed,  but  I  think  the  matter  so  important  that  the  order  might  be  advantageously  reiterated.  Picket  duty  involves 
great  exposure  at  this  season.  The  shelter  tents  might  be  used  much  to  the  comfort  of  the  soldier  on  outpost.  I  would  give  a 
whiskey  ration  twice  a  day  to  men  thus  exposed,  and  they -certainly  should  be  furnished  with  the  high  boots  I  have  suggested. 
They  could  have  a  comparatively  dry  bivouac  by  using  rubber  blankets  to  lie  upon.  I  think  if  we  do  all  this,  or  as  much  of  it 
as  possible,  we  shall  have  done  all  we  can  to  secure  the  health  of  our  men.  It  may  not  meet  the  whole  difficulty  in  the  case  of 
the  Vermont  troops,  but  it  will  alleviate  it.  I  fear  there  is  a  nostalgic  element  affecting  this  brigade  unfavorably.  This  cannot 
be  remedied  while  the  spectacle  of  their  sick  and  dying  comrades  is  before  them.  We  shall  diminish  disease  by  the  course  I 
have  pointed  out,  and  this  will  act  favorably  upon  the  other  men.  The  process  of  acclimation  has  been  more  tedious  in  these 
troops  than  in  any  other;  but  now  the  sickness  in  these  regiments  occurs  among  the  recruits  mainly,  and  those  longest  here  are 
the  healthiest.  While  upon  this  subject,  I  ask  leave  to  suggest,  that  it  is  advisable  to  forbid  soldiers  coming  into  the  cities  of 
Washington  and  Georgetown,  unless  upon  duty,  with  written  orders.  Small-pox  is  quite  prevalent  in  those  cities,  and  I  have 
reason  to  believe  that  cases  that  have  occurred  of  late  have  originated  from  exposure  in  town.  Eevaccination  has  been  practiced 
as  generally  as  practicable  among  our  troops,  yet  cases  of  variola  still  occur.  Men  have  the  disease  who  have  been  vaccinated 
and  revaccinated  very  recently.  Such  occurrences  impair  our  confidence  in  the  immunity  afforded  by  vaccination.  I  know 
no  means  of  preventing  them  except  to  keep  our  men  out  of  the  way  of  infection  altogether.  I  also  earnestly  recommend  that 
all  recruits  intended  for  the  army  shall  be  revaccinated  before  they  leave  the  rendezvous  where  they  are  enlisted  to  join  their 
regiments.  Hundreds  of  recruits  have  joined  this  army  lately  who  have  never  been  vaccinated.  *  *  It  is  notoriously  unsafe 
to  travel  over  any  railroad  in  the  country,  at  the  present  day,  unprotected  by  vaccination." 


LI.     Instructions  to  Medical   Directors  of  Army   Corps  of  the  Army  of  the  Potomac.     By 
Surgeon  CHARLES  S.  TKJPLER,  U.  8.  A.,  Medicul  Director  of  the  Army  of  the  Potomac. 

"  Having  been   assigned   as   medical  director  of  the  Army  Corps   of  General    ,   you  will  please   to  observe  the 

following  instructions : 

I  have  reason  to  believe  great  improvidence  exists  in  relation  to  the  accumulation,  care,  and  expenditure  of  medicines 
and  hospital  stores.  You  will  require  brigade  and  other  senior  surgeons  in  your  corps  to  inspect  personally  the  supplies  of  the 
several  regiments  or  detachments  under  their  supervision,  and  to  certify  to  you  that  they  have  done  so,  and  find  the  supplies 
already  furnished  to  have  been  faithfully  and  economically  used,  and  that  any  new  supply  required  is  really  necessary  before 
you  approve  a  requisition.  After  you  have  rigorously  scrutinized  these  requisitions,  you  will  endorse  your  action  upon  them, 
and  then  forward  them  to  this  office.  You  will  specially  forbid  any  requisition  to  be  sent  to  this  office  directly,  or  through  any 


SUB-REPORTS    OF    MEDICAL    DIRECTOR    TRIPLER.  63 

other  channel  than  yourself.  None  will  be  noticed  or  supplied  by  me  unless  thus  transmitted.  You  will  inspect  frequently 
the  several  commands  under  your  supervision,  and  see  that  their  hospital  departments  are  kept  in  perfect  order,  and 
always  ready  for  any  emergency.  It  will  be  a  never  ending  source  of  mortification,  if,  in  the  approaching  conflicts,  anything 
really  necessary  for  the  proper  care  of  the  wounded  that  the  medical  department  has  the  power  to  supply,  shall  be  found 
wanting.  There  is  a  disposition  among  inexperienced  medical  officers  to  accumulate  superfluous  drugs,  and  to  transport  them 
to  the  exclusion  even  of  surgical  appliances  of  infinitely  inure  importance.  It  will  be  your  duty  to  watch  and  guard  carefully 
against  this  error.  When  your  corps  is  ordered  to  move,  there  will  be,  of  course,  some  men  unable  to  march.  These  must  be 
left  in  the  general  hospital.  Upon  the  late  march  to  Fairfax,  a  large  number  of  men  were  sent  into  the  general  hospital.  In  a 
great  many  instances,  these  men  were  selected  without  any  judgment.  Hundreds  were  received  with  no  disease  that  should 
have  excused  them  from  duty.  Your  attention  is  called  to  this,  that  you  may  take  vigorous  measures  to  prevent  such  an  abuse 
in  future.  Instructions  for  medical  officers  in  battle  have  been  prepared  and  issued  from  headquarters.  You  will 

endeavor  to  carry  these  into  effect,  and  see  that  the  officers  concerned  are  instructed  in  the  several  duties  therein  assigned  to 
them.  The  reports  required  to  be  made  by  chief  medical  officers  of  divisions  will  be  made  through  you,  and  transmitted  with 
as  little  delay  as  practicable.  You  will  make  a  monthly  return  of  the  medical  officers  of  your  corps  to  me.  You  will  see  that 
the  monthly  reports  of  sick  and  wounded  are  promptly  made  out  at  the  end  of  each  month,  and  handed  to  you  to  be  transmitted 
to  me.  You  need  not  consolidate  these,  but  send  them  all  to  me  without  delay.  You  will  see  that  the  weekly  reports  of  the 
sick  of  the  several  regiments  are  regularly  sent  in  and  forwarded  to  me ;  the  diseases  prevailing  must  be  stated  in  these  reports. 
This  information  is  absolutely  necessary  at  these  headquarters.  Certificates  of  disability,  approved  by  the  division  boards, 
whenever  practicable,  will  also  be  forwarded  to  this  office  through  you.  A  medical  purveyor  has  been  appointed  for  this  army, 
and  will  accompany  it  into  the  field.  He  will  establish  a  depot  as  near  the  seat  of  operations  as  practicable.  Sufficient  supplies 
for  this  army  have  been  ordered  to  that  depot,  and  it  is  therefore  unnecessary  for  regimental  medical  officers  to  send  in  daily 
trifling  requisitions,  that  only  encumber  the  files  and  embarrass  the  operations  of  the  purveying  department.  *  *  The  medical 
officers  of  your  corps,  you  will  require  to  transact  their  business  with  you,  and  through  you  with  this  office.  When  additional 
medical  aid  is  required  anywhere  within  the  limits  of  your  corps,  you  will  assign  any  medical  officer,  including  the  brigade 
surgeons,  whose  services  can  be  commanded  with  the  least  inconvenience  to  that  duty.  Frequent  communication,  both  person 
ally  and  by  letter,  with  this  office  is  invited  and  enjoined.  Your  suggestions  will  always  be  carefully  considered.  Every 
facility  in  my  power  will  be  afforded  you  in  the  performance  of  your  duties,  and  in  sustaining  your  authority."  * 


LIL      Telegram  to  the  Surgeon   General,  dated   White  House,  May  ISt/i,  1862.     By  Surgeon 
C.  S.  TRIPLER,  U.  S.  A.,  Medical  Director  of  the  Army  of  the  Potomac. 

"It  is  absolutely  necessary  that  not  less  than  thirty  contract  physicians  should  be  sent  to  this  army  at  once,  to  fill  the 
places  of  medical  officers  sick  and  on  detached  service.  The  supplies  that  left  Washington  on  May  llth  have  not  yet  reached 
here.  We  are  nearly  exhausted.  I  suggest  that  medical  supplies  be  sent  in  charge  of  a  special  agent,  to  be  delivered  to  the 
purveyor  to  whom  they  are  directed.  Medical  supplies  have  been  found  stored,  under  other  supplies,  in  the  hold  of  vessels,  and 
detained  there  for  weeks,  in  this  river.  We  must  have  four-wheeled  ambulances  ;  two-wheeled  are  good  for  nothing.  I  asked 
for  one  hundred  and  forty  four-wheeled  some  time  ago.  A  lot  of  two-wheeled  have  been  received  since,  but  are  altogether 
insufficient.  We  want  steamer  hospitals,  properly  fitted  up  for  five  thousand  wounded,  provided  with  physicians,  nurses,  and 
stores." 

LIII.     Extracts  from  a  Narrative  of  his  Service  in  the  Peninsular  Campaign.     By  Surgeon 
J.  F.  HAMMOND,  U.  S.  A.,  Medical  Director  of  the  Second  Army  Corps. 

"  March  24th,  1862,  I  was  assigned  to  duty  on  the  staff  of  General  E.  V.  Sumner  as  the  medical  director  of 
the  Second  Army  Corps.  I  reported  for  duty  as  the  medical  director  on  March  25th,  at  Warrenton  Junction,  Virginia.  Whilst 
there,  a  reconnaissance  was  made  to  the  Rappahannock  River  by  General  O.  O.  Howard.  The  1st  of  April,  the  Second  Corps 
began  its  march  to  the  lines  of  Yorktown,  by  way  of  Alexandria  and  Fort  Monroe.  We  embarked  at  Alexandria  the  6th  of 
April,  and  arrived  before  Yorktown  the  8th.  From  that  time  to  the  4th  of  May,  our  pickets  were  engaged  with  the  enemy, 
more  or  less,  day  and  night.  Numbers  were  wounded  by  rifle  balls  and  shrapnel,  and  were  transported  on  steamers  to  the 
North.  The  character  of  the  country  where  we  encamped  was  low,  flat,  moist ;  the  soil  argelo-arenacious,  covered  with  heavy 
timber  of  pine  and  oak  and  dense  undergrowth.  There  were  numerous  ponds  of  water,  and  water  could  be  obtained  a  few 
inches  beneath  the  surface  everywhere.  Early  in  the  morning  of  the  4th  of  May,  it  was  announced  that  the  lines  of  Yorktown 
were  evacuated,  and  the  enemy  in  full  retreat,  and  General  Sumner  was  ordered  to  take  command  of  the  pursuit.  Late  in  the 
afternoon  of  that  day,  he  came  up  with  General  Stoneman's  brigade  of  cavalry,  close  upon  the  enemy,  before  the  defences  of 
Williamsburg.  General  Stoneman  had  just  been  checked  and  driven  ba?k.  The  brigades  of  General  Hancock  and  General 
Brooks  arriving  soon  after,  General  Sumner,  supposing  that  reinforcements  were  close  in  his  rear,  determined  to  dislodge  the 
enemy  at  once.  Two  lim-s  of  battle  were  formed  of  these  brigades,  and  the  order  to  advance  was  given  by  the  tap  of  a  drum. 
It  was  just  at  dark,  and  the  woods  between  our  line  and  the  enemy's  works,  which  the  cavalry  had  reported  as  practicable, 
were  found  so  dense  that  the  troops  lost  their  line  of  direction,  and  were  compelled  to  halt.  General  Sumner,  in  the  meantime, 
had  advanced  with  his  staff  even  within  the  enemy's  line  of  pickets,  and  narrowly  escaped  capture.  He  returned,  and  ordered 
the  troops  to  bivouac  where  they  were,  saying,  "They  shall  not  retreat  an  inch."  The  5th  of  May,  the  battle  of  Williamsburg 
was  fought.  It  commenced  in  the  morning,  and  continued,  with  short  intervals,  during  the  day.  Though  General  Sumner  was 
in  command  until  the  arrival  of  General  McClellan,  in  the  afternoon,  none  of  the  Second  Corps  were  on  the  ground,  except  the 
8th  Illinois  Cavalry,  and  they  were  not  engaged.  The  enemy  were  strongly  intrenched  in  a  series  of  field  works.  Our  troops, 
being  in  pursuit,  and  detained  by  the  bad  condition  of  the  roads,  by  wagons,  and  various  other  obstacles,  arrived  slowly  and 


54  APPENDED    DOCUMENTS PENINSULAR    CAMPAIGN. 

irregularly.  *  *  On  the  6th  of  May,  General  Sumner  and  staff  returned  to  Yorktown,  to  embark  Avith  his  corps  for  West 
Point,  Virginia-  Thence  the  corps  marched  by'the  White  House,  on  the  Pamnnky,  to  the  Chickahominy,  where  it  arrived  on 
the  21st  of  Mav.  The  afternoon  of  the  31st  of  May,  the  Second  Corps  received  orders  to  move  across  the  Chickahominy 
immediately,  to  the  support  of  the  Third  and  Fourth  Corps,  which  had  been  engaged  with  the  enemy  for  some  hours.  Orders 
from  general  headquarters  were  then  in  force  for  no  wagon  of  any  description  to  cross  the  Chickahominy  in  the  event  of  a  forward 
movement.  The  medical  officers  had  orders  from  the  same  source  to  take  no  supplies  except  their  hospital  knapsacks  filled, 
and  the  men's  haversacks  were  kept  constantly  supplied  with  two  days'  rations.  We  moved  accordingly  with  only  our  full 
hospital  knapsacks.  About  three  miles  beyond  the  Chickahominy,  at  Fair  Oaks,  finding  that  the  enemy  had  scattered  the 
Third  Corps,  and  was  approaching,  flushed  with  victory,  the  Second  Corps  was  formed  for  battle,  and  met  the  enemy  in  a 
terrible  shock,  hurling  him  back  at  the  point  of  the  bayonet.  That  night  our  corps  slept,  without  cover,  upon  their  arms. 
The  battle  was  renewed  vigorously  the  next  day,  and  the  enemy  was  completely  defeated  and  driven  back  by  the  Second 
Corps.  *  *  The  Second  Corps  remained  encamped  at  Fair  Oaks  until  the  29th  of  June.  The  character  of  the  country  was 
very  similar  to  that  about  Yorktown ;  not  so  low  nor  so  flat.  During  our  stay  at  Fair  Oaks  our  pickets  were  daily  and  nightly 
engaged  will:  the  enemy,  involving  various  casualties. 

The  27th  or  28th  of  June,  General  French's  and  General  Meagher's  and  General  Caldwell's  brigades  were  detached, 
under  General  French,  to  the  support  of  General  Porter,  east  of  the  Chickahominy. 

The  morning  of  the  29th  of  June,  after  a  night  of  incessant  watching,  a  telegraphic  dispatch  was  received  from  general 
headquarters,  ordering  the  Second  Corps  to  fall  back  three-quarters  of  a  mile  to  the  rear,  and  connect  on  the  left  with  General 
Heintzelman's,  and  on  the  right  with  General  Franklin's  Corps.  The  movement  was  effected  in  good  order,  without  firing  a  shot. 
Here  the  enemy  came  upon  us,  and  the  engagement  of  Allan's  Farm  was  fought.  The  enemy  was  repulsed,  and  our  three  corps 
fell  back  to  Savage's  Station,  two  miles  to  the  rear.  That  afternoon,  was  fought  the  battle  of  Savage's  Station,  in  which  the 
enemy  were  repulsed  with  great  loss.  During  that  night,  the  three  corps  moved  across  the  White  Oak  Swamp. 

On  June  30th,  the  battle  of  Glendale  was  fought,  the  enemy  attacking  us.  They  were  signally  defeated,  with  heavy 
loss.  That  night,  we  inarched  to  the  James  River,  and  encamped  upon  its  bank. 

The  next  day,  the  1st  of  July,  retracing  our  steps  for  three  or  four  miles,  we  fought  the  battle  of  Malvern.  The  enemy 
attacked,  and  were  defeated  and  driven  back  with  great  slaughter.  That  night,  we  moved  down  the  James  River  to  Harrison's 
Landing. 

At  the  battle  of  Fair  Oaks  the  Second  Corps  numbered  more  than  twenty-two  thousand  men.  The  primary  dressings 
were  applied  by  the  medical  officers  who  accompanied  the  troops  into  the  fight,  wherever  they  could  obtain  cover  in  the 
immediate  neighborhood  of  their  respective  regiments.  The  wounded  were  thence  transported  to  the  houses  nearest  the  battle 
field,  where,  after  filling  the  rooms,  they  were  placed  upon  the  ground  outside  of  the  houses,  and  bowers  were  built  over  them. 
Here  those  who  had  not  been  dressed  where  they  fell,  had  their  wounds  cared  for,  and,  in  other  cases,  dressings  were  reapplied 
or  readjusted.  The  attention  they  received  was  all  that  could  be  rendered  them  by  the  medical  officers  of  the  corps.  Without 
exception,  the  latter  were  incessant  in  their  efforts  to  relieve  the  wounded,  and  no  body  of  men  whatever  could  be  more 
faithful  in  the  discharge  of  their  duties.  The  supply  of  water  was  sufficient  and  good.  Food  was  scarce,  as  we  had  left  camp 
with  but  two  days'  rations  in  the  haversacks,  and  wagons  were  not  allowed  to  accompany  the  troops,  and  all  supplies  were  cut 
off  by  the  freshet  in  the  Chickahominy,  the  loss  of  the  bridges,  and  the  state  of  the  roads.  The  supply  of  canned  soups  was 
inadequate,  and  I  found  it  necessary  to  give  orders,  with  the  approval  of  General  Sumner,  to  slaughter  horses  for  soup  for 
the  wounded.  The  weather  was  cool  at  night,  and  warm  at  midday,  and  much  lain  fell  befoi-e  the  wounded  were  removed  to 
the  White  House.  All  the  ambulances  of  the  corps  were  absent,  detached  by  orders  from  general  headquarters,  before  we 
crossed  the  Chickahominy,  to  transport  the  wounded  of  General  Porter's  battle  at  Hanover  Court-house.  The  medical  director 
of  the  Army  of  the  Potomac  sent  a  medical  officer  to  assure  me  that  transportation  by  the  railroad  would  be  afforded  the  next 
day.  It  was  agreed  that  the  cars  should  arrive  at  a  near  station  at  noon,  the  following  day,  prepared  to  take  all  of  my  wounded 
at  once,  and  I  was  required  to  have  them  all  at  the  station  by  that  time.  The  removal  of  them  was  commenced  at  daylight, 
and  they  were  at  the  railroad  at  the  appointed  hour;  but  the  destruction  of  a  part  of  the  railroad  by  the  rain,  which  fell  in 
torrents,  and  the  timidity  of  the  conductors  prevented  the  cars  from  taking  the  wounded  for  more  than  forty-eight  hours  after 
the  time  appointed.  The  wounded  were  protected  from  the  weather  as  well  as  was  practicable,  and  every  other  attention  was 
amply  rendered.  I  believe  that  the  mortality  was  not  increased  by  the  exposure.  But  two  or  three  deaths  occurred  during 
that  time.  Most  of  the  wounded  went  on  foot  from  the  field  to  the  field  hospitals;  the  balance  were  all  transported  on  hand 
litters.  They  were  removed  from  the  field  hospitals  to  the  cars,  a  mile  or  more,  on  foot  or  in  ambulances,  a  few  of  which  had 
then  arrived  on  hand  litters  and  on  horse  litters.  The  horse  litters,  which  permitted  the  recumbent  position,  served  admirably 
for  transporting  the  most  painfully  wounded.  The  fire  to  which  our  troops  were  subjected  at  Fair  Oaks  was  chiefly  from  small 
arms,  and  the  range,  from  thirty  yards  to  five  hundred.  Its  duration  was  not  more  than  three  hours  the  first  day,  and  nine  or 
ten  the  second.  The  enemy  used  the  improved  conoidal  ball  and  the  ball  and  buck  cartridge.  Other  projectiles  could  not  be 
distinguished  by  the  characters  of  the  wounds.  The  wounded  were  transported  by  railroad  to  the  White  House,  011  the  Pamunky, 
and  we  never  knew  to  which  general  hospitals  they  were  distributed.  Primary  amputations  and  a  few  exsections,  all  after 
reaction  had  taken  place,  were  performed.  They  were  lost  sight  of  on  their  removal  for  the  general  hospital.  Chloroform  and 
ether,  not  mixed,  were  the  anesthetics  employed.  Xo  death  was  observed  from  an  anesthetic. 

The  Second  Corps  lost,  in  the  battle  of  Fair  Oaks,  two  hundred  and  seven  killed,  and  nine  hundred  and  four  wounded; 
total,  one  thousand  one  hundivd  and  eleven.  The  28th  of  June,  orders  were  received  from  general  headquarters  for  all  the 
wounded  that  were  able  to  walk  to  go  forward  on  the  line  of  march  to  the  James  River,  by  way  of  the  White  Oak  Swamp;  for 
those  who  could  not  walk  to  be  abandoned  to  the  enemy;  for  medical  officers  and  attendants  to  be  detailed  to  remain  with  them, 
and  fall  with  them  into  the  hands  of  the  enemy,  and  for  hospital  supplies  of  every  kind  to  be  left  with  them.  This  was  done 
accordingly,  except  that  every  man  unable  to  walk  who  could  find  a  place  to  ride  went  along,  and  very  few  were  left  to  the 
enemy.  Whilst  at  Fair  Oaks,  the  command,  enveloped  in  malaria,  illy  supplied  with  antiscorbutics,  much  exposed  to  the 


EEPORTS    OF    MEDICAL    DIRECTOR    HAMMOND.  65 

weather,  and  almost  nightly  harassed  by  the  enemy,  suffered  ranch  from  intermittent  fevers,  diarrhoea,  and  scurvy.  A  surgeon 
of  brigade  reported  to  me  that  he  had  cured  some  of  his  cases  of  diarrhoea  with  raw  Irish  potatoes  in  vinegar.  The  condition 
of  the  command  was,  therefore,  not  so  good  at  the  succeeding  battles  on  the  march  to  the  James  River.  Yet  the  morale  w;  s 
excellent.  The  supplies  of  medicines  and  hospital  stores  were  such  as  could  be  taken  in  the  knapsacks  and  in  the  hands. 
From  the  28th  June  until  the  3d  of  July,  we  did  not  see  our  wagons  or  ambulances.  They  were  sent  in  advance  of  the  column, 
filled  with  sick  and  wounded.  Litters  were  borne  by  the  attendants  with  the  troops.  At  Allan's  farm,  the  Second  Corps  were 
engaged  generally  for  about  five  hours.  The  fire  was  from  small  arms  and  artillery.  The  range,  a  few  hundred  yards  The 
wounded  were  taken  to  Savage's  Station.  But  one  wounded  man  was  abandoned  there  to  the  enetnv ;  he  was  wounded  in  the 
head ;  the  brain  was  protruding,  and  he  was  insensible,  though  still  living.  Our  loss  there  was  estimated  at  about  two 
hundred  and  fifty  killed  and  wounded.  The  same  day,  our  corps  was  engaged  in  the  battle  of  Savage's  Station  for  four  to  five 
hours.  The  arms  and  range  were  about  the  same  as  at  Allan's  farm.  The  battle  continued  until  after  dark.  The  wounded 
were  taken  to  the  neighboring  houses,  which  were  converted  into  hospitals,  and  medical  officers  and  supplies  were  left  with 
them.  The  march  through  the  White  Oak  Swamp  was  made  between  seven  at  night  and  dawn,  the  next  day.  The  battle  of 
Glendale,  June  30th,  continued  from  three  in  the  afternoon  until  some  time  after  dark.  General  Sumner's,  General  Heintzel- 
man's,  and  General  Franklin's  Corps,  comprising  six  divisions  and  twenty-five  batteries,  or  one  hundred  and  fifty  pieces  of 
artillery,  were  all  simultaneously  encaged.  The  wounded  were  disposed  of  in  the  same  manner  as  at  Savage's  Station.  But 
two  brigades  of  the  Second  Corps  were  actually  engaged  with  the  enemy  in  the  battle  of  Malvern  Hill.  The  arm  used  on  both 
sides  in  that  battle  was  chiefly  the  artillery.  The  casualties  in  the  Second  Corps  in  the  battles  from  Fair  Oaks  to  James  River, 
viz.,  Allan's  Jarm,  Savage's  Station,  Glendale,  and  Malvern,  were  estimated  at  one  hundred  and  seventy-three  killed,  one 
thousand  and  two  wounded  ;  total,  one  thousand  one  hundred  and  seventy-five.  This  is  only  an  approximation  to  the  true 
number.  It  was  wholly  impracticable  to  obtain  it  more  accurately.  It  was  estimated  that  three-fourths  of  the  wounded  were 
brought  away  by  our  column.  Every  attention  was  rendered  to  the  wounded  by  the  medical  officers  of  the  corps  that  it  was 
possible  to  give  them.  I  do  not  believe  that  there  was  an  instance  where  a  medical  officer  hesitated  for  an  instant  to  make  any 
sacrifice  of  self,  when  the  circumstances  required  it,  for  the  wounded.  Some  of  the  wounded  and  sick  were  sent  to  a  general 
hospital  established  at  Harrison's  Landing,  on  our  arrival  there,  but  nearly  all  of  them  were  shipped  on  steamers  down  the 
James  River.  Notwithstanding  the  climate  and  the  weather,  and  the  exposure,  and  the  want  of  vegetable  diet,  and  the 
harassing  march,  the  health  of  the  command  remained  comparatively  good  until  after  getting  into  camp  at  Harrison's  Landing, 
when  the  daily  sick  report  rose  rapidly  to  about  ten  per  cent." 


LIV.     Report  from  the  Depot  Hospital  of  the  Fair  Oaks  Battle-ground.     By  Surgeon  J.  F. 
HAMMOND,  U.  S.  A.,  Medical  Director  of  the  Second  Army  Corps. 

"  SIR  :  I  have  the  honor  to  make  to  you  the  following  report  of  the  killed  and  wounded  in  the  recent  battles  of  the  31st 
of  May  and  1st  of  June.  In  General  Sedgvvick's  division,  there  were  thirty-three  killed  and  one  hundred  and  fifty-six  wounded 
in  the  1st  brigade,  commanded  by  General  Gorman  ;  five  killed  and  thirty  wounded  in  General  Burns's  2d  brigade;  fifteen  killed 
and  ninety-two  wounded  in  the  3d  brigade,  under  General  Dana,  and  one  killed  and  four  wounded  in  battery  I  of  the  First 
Artillery ;  a  total  of  three  hundred  and  thirty-six.  In  General  Richardson's  division,  General  Howard's  brigade  lost  one 
hundred  and  fifteen  killed  and  three  hundred  and  ninety-four  wounded  ;  General  Muagher's  brigade  lost  four  killed  and 
twenty-nine  wounded;  General  French's  brigade  had  thirty-four  killed  and  one  hundred  and  eighty-one  wounded,  and  the 
batteries  had  eight  wounded;  a  total  of  seven  hundred  and  sixty-five.  In  General  Sedgwick's  division,  fifty-four  were  killed 
and  two  hundred  and  ninety-two  were  wounded ;  in  General  Richardson's  division,  one  hundred  and  fifty-three  were  killed 
and  six  hundred  and  twelve  wounded ;  making  an  aggregate  of  two  hundred  and  seven  killed  apd  nine  hundred  and  four 
wounded  in  the  corps.  Besides  these,  the  medical  officers  of  the  corps  dressed  over  one  hundred  wounded  of  other  corps,  and 
about  an  equal  number  of  Confederate  wounded.  Each  medical  officer  discharged  his  duty  in  the  utmost  during  and  after  the 
battle.  Surgeon  D.  W.  Hand,  U.  S.  V.,  and  John  A.  Lidell,  U.  S.  V.,  and  Assistant  Surgeon  Matthew  Rjzer,  72d  Pennsyl 
vania  Volunteers,  distinguished  themselves. 

Very  respectfully,  your  obedient  servant, 

J.  F.  HAMMOND, 

Surgeon  U.  S.  A.,  Medical  Director  Second  Army  Corps. 
To  Surgeon  C.  S.  TRIPLEU,  U.  S.  A., 

Medical  Director  Army  of  the  Potomac. 


LV.  Extract  from  a  Letter  to  the  Surgeon  GcneraVs  Office  in  relation  to  the  Ilosjntal  Arrange 
ments  of  the  Second  Corps  in  the  Peninsular  Campaign.  By  Surgeon  J.  F.  HAMMOND, 
U.  S.  A.,  Medical  Director  of  the  Second  Army  Corps. 

"  The  sick  of  General  Richardson's  division  of  the  Second  Corps  were  placed  in  comfortable  log  huts  at  Ship 
Point.  '  '  General  Sedgwick's  Division,  encamped  seven  miles  nearer  Yorktown,  near  Power's  house,  had  its  general 
field  hospital  in  regulation  hospital  tents.  Another  temporary  general  hospital  was  organized  with  similar  tents,  and  the  sick 
of  both  divisions  and  of  any  corps  were  here  admitted.  This  hospital  was  under  the  charge  of  Surgeon  Nathan  Hay  ward,  2Uth 
Massachusetts  Volunteers.  He  was  soon  relieved,  however,  by  several  medical  gentlemen  from  Massachusetts,  sent  by  the 
governor  of  that  State,  in  anticipation  of  a  battle  before  Yorktown,  and  conducted  to  headquarters  by  Governor  Sprague,  of 
Rhode  Island.  General  McClellan  assigned  these  gentlemen  to  the  Second  Corps,  and,  in  accordance  with  their  own  wish, 
they  were  assigned  by  me  to  hospital  service.  *  *  There  was  a  brick  church  in  the  rear  of  Williamsburg  used  a  few  days  as 
a  brigade  field  hospital  for  the  Second  Corps;  but,  when  we  moved  to  the  front,  the  field  hospitals  were  all  regimental,  and  were 


66  APPENDED    DOCUMENTS PENINSULAR    CAMPAIGN. 

exclusively  under  canvas.  Such  was  the  case,  also,  on  the  Cliickaliominy,  until  shortly  before  the  advance  of  the  corps  to  Fair 
Oaks.  There  an  effort  was  made  to  establish  a  general  field  hospital  for  the  corps  on  the  largest  scale  that,  as  a  corps,  we 
were  able  to  attempt.  Several  hospital  turts  were  pitched  in  a  fine  grove,  on  an  eminence,  near  a  comfortable  and  roomy 
house,  called  Turner's  house,  with  an  ample  supply  of  well  water.  I  measured  the  capacity  of  this  hospital,  and  found 
that  there  was  space  for  one  hundred  and  twenty  patients.  Before  an  order  was  given  by  proper  authority  for  the 
admission  of  a  patient,  and  without  my  knowledge,  it  had  received  over  five  hundred.  My  object  then  was  to  break  it  up, 
because  I  saw7  that  it  was  impossible  to  prevent  its  being  a  receptacle  of  deserters  in  reality,  under  the  name  of  sick,  and  a 
nuisance  to  the  corps.  I  had  half  succeeded  in  this  when  the  evacuation  of  Fair  Oaks  took  place.  The  whole  hospital  was 
destroyed  by  fire  on  the  approach  of  the  enemy,  the  2Sth  of  June,  the  patients  and  inmates  having  all  escaped  to  our  lines 
before  the  conflagration.  At  Fair  Oaks,  the  field  hospitals  were  all  regimental,  and  were  generally  in  hospital  and  shelter 
tents.  A  lew  cabins  had  been  constructed  by  some  of  the  regiments,  and  two  or  three  houses  vacated  by  the  inhabitants,  and, 
nearest  the  line,  some  were  under  split  log  sheds,  supposed  to  be  bomb-proof  until  a  piece  of  shell  pierced  one  of  them  at  the 
apertures  of  the  logs  and  scattered  the  brains  of  one  of  its  occupants.  These  hospitals  were  placed,  generally,  in  some  cool, 
pleasant,  shaded  spot,  where  the  air  had  free  access  to  them,  a  little  remote,  and  yet  sufficiently  near  their  respective  regiments. 
The  bedding  of  the  sick  consisted  necessarily  of  only  their  blankets  upon  branches  cut  from  the  boughs  of  the  trees — pine-tree 
branches  were  directed  to  be  used,  and  their  knapsacks  for  pillows.  The  tents  were  well  trenched,  and  constantly  thoroughly 
ventilated  and  dried.  The  mortality  was  exceedingly  small.  Frequent  inspections  and  minute  attention  to  camps  was  insisted 
on.  The  police  was  good,  and  the  shelter  tents  were  well  trenched,  and  the  ventilation  kept  unimpeded  ;  and  the  tents  were 
directed  to  be  struck  every  third  day,  their  floors  dried,  and,  if  practicable,  the  site  changed  a  little.  Notwithstanding, 
scorbutus  made  its  appearance  in  the  19th  Massachusetts  Volunteers,  in  General  Sedgwick's  division  of  the  Second  Corps,  arid 
the  command  was  very  generally,  indeed,  almost  universally,  affected  by  symptoms  allied  to  that  disease.  *  *  The  medical 
director  of  General  Richardson's  division  also  reports  to  me,  verbally,  that  there  are  similar  cases  in  General  Caldwell's 
brigade.  General  Dana  says  that  he  cannot  comprehend  why  the  men  should  have  scurvy  with  their  present  rations  ;  but  I  am 
informed  that  the  desiccated  vegetables  are  so  disagreeable  to  the  taste  that  the  men  cannot  eat  them.  *  On  June  18th,  I 

wrote  to  Captain  Putnam,  assistant  quartermaster,  to  send  from  White  House  twenty  boxes  of  lemons,  fifty  pounds  of  cream  of 
tartar,  and  half  a  barrel  of  chloride  of  lime,  ordered  by  the  medical  director  of  the  army,  which  could  be  had  on  application  to 
Assistant  Surgeon  1?.  11.  Alexander,  medical  purveyor  on  the  steamship  James  S.  Green,  at  White  House  Landing.  Hulf 
of  these  supplies  were  turned  over  to  Surgeon  John  A.  Lidell,  U.  S.  V.,  chief  medical  officer  of  General  Sedgwick's  division, 
and  the  other  half  to  the  chief  medical  officer  of  General  Richardson's  division.  More  antiscorbutics  than  those  mentioned 
would  have  been  sent,  had  the  stores  at  the  White  House  afforded  it.  The  commissary  was  also  immediately  ordered,  from  the 
headquarters  of  the  army,  to  furnish  supplies  of  potatoes." 


LYI.     Extracts  from  a  Narrative  of  his  Services  from  the  Outbreak  of  the  Rebellion  to  June 
29^,  1863.     By  Surgeon  J.  13.  EEOWN,  IT.  S.  A.,  Medical  Director  of  the  Fourth  Army  Corps. 

"From  my  recollection,  and  from  the  very  brief  memoranda  in  my  possession,  I  will  furnish  to  the  best  of  my 
ability  the  information  required.  I  arrived  in  New  York  on  the  4th  of  January,  1862,  from  six  years'  service  in  Washington 
Territory  and  Oregon.  The  command  with  which  I  was  on  duty  having  been  assigned  to  the  Army  of  the  Potomac,  I  reported, 
by  direction  of  Surgeon  General  Finley,  to  Surgeon  Tripler,  U.  S.  A.,  its  medical  director,  and  was  assigned  to  duty  as  senior 
surgeon  of  the  artillery  reserve,  under  command  of  Colonel  H.  J.  Hunt,  U.  S.  A.,  and  reported  to  him  immediately  for  duty  at 
Camp  Duncan.  The  winter  was  spent  on  duty  connected  with  this  command  in  the  vicinity  of  Washington,  and  in  organizing 
its  medical  service,  procuring  supplies,  and  perfecting  the  appointments  belonging  to  my  duty  for  the  expected  campaign.  I 
cannot  now  give  more  than  an  approximate  strength  of  the  command.  When  the  artillery  reserve  left  Washington,  on  the  16th 
of  March,  for  Manassas,  it  consisted,  I  think,  of  seventeen  batteries  selected  from  the  several  regular  artillery  regiments,  and 
its  numerical  strength  was  not  far  from  two  thousand  men.  Assistant  Surgeons  J.  W.  S.  Gouley,  Joseph  S.  Smith,  and  John 
P.  Jaquette,  U.  S.  A.,  were  my  assistants.  The  morale  and  condition  of  the  command  were  admirable,  and  the  supplies  in  every 
item  complete  and  ample.  The  ambulances  which  had  been  assigned  to  the  reserve,  and  which  were  promised,  failed  to  report, 
but  I  was  informed  they  would  be  furnished  at  Fairfax  Court-house.  The  artillery  reserve  received  orders  to  halt  at  Anandale, 
Virginia,  when  further  efforts  to  procure  the  ambulances  still  failed.  Two  good  wagons  with  excellent  teams  were  here 
procured,  to  replace  the  indifferent  ones  before  furnished  for  the  transportation  of  the  medical  supplies  and  hospital  property. 
The  plan  of  the  campaign  having  been  changed,  on  the  20th  of  March  the  artillery  reserve  was  ordered  to  Alexandria.  On 
the  2Gth  of  March,  I  was  relieved  from  duty  with  the  artillery  reserve,  and  was  ordered  to  report  to  General  Keyes  as  medical 
director  of  the  Fourth  Army  Corps.  This  corps  was  composed  of  the  divisions  commanded  severally  by  General  Couch, 
General  W.  F.  Smith,  and  General  Silas  Casey,  and  numbered,  approximately,  forty  thousand  men.  I  reported  immediately  in 
person  to  General  Keyes,  in  Washington,  and,  on  the  same  day,  embarked  with  his  headquarters  and  the  division  of  General 
Couch  for  Fort  Monroe,  at  which  point  we  arrived  on  March  28th.  The  second  division  of  the  Fourth  Army  Corps, 
commanded  by  General  W.  F.  Smith,  had  preceded  us  by  a  few  days.  After  debarking  the  first  division,  we  joined  them, 
and  encamped  in  their  vicinity  on  the  same  evening,  about  four  miles  beyond  Hampton.  The  camp  occupied  by  the  second 
division,  in  great  part,  was  low  and  wet,  and  deficient  in  natural  facilities  for  drainage.  The  camp  selected"  by  the  first 
division  was,  in  every  respect,  better.  My  time  here,  until  the  3d  of  April,  was  devoted  to  the  organization  of  the  medical 
staff' under  my  charge.  The  condition  of  the  regiments  was,  in  general,  excellent;  better  in  the  first  division  than  in  the 
second.  Their  supply  of  medicines,  hospital  stores,  ambulances,  and  hospital  tents  was  not  as  ample  as  desirable;  but  every 
effort  was  used  to  complete  the  necessary  outfit.  *  *  After  we  advanced  up  the  Peninsula,  the  positioir  which  the  Fourth 
Army  Corps  occupied  on  the  left,  with  the  James  River  blockaded  by  the  enemy,  and  access  to  the  purveying  depot,  afterwards 
established  on  the  York  River,  virtually  prohibited  by  the  condition  of  the  roads,  it  became  a  matter  of  extreme  difficulty  to 


REPORT    OF    MEDICAL    DIRECTOR    BROWN.  67 

supply  the  want  of  many  essential  articles  when  they  were  exhausted.  On  the  4th  of  April,  the  first  and  second  divisions  of 
the  Fourth  Corps  advanced  up  the  James  River  road.  The  third  division  of  the  corps  had  just  arrived,  and  remained  behind,  to 
complete  its  train  and  supplies.  The  condition  of  this  division  was  inferior  to  that  of  the  first  and  second.  It,  was  composed, 
in  great  part,  of  recruits;  and,  from  the  inexperience  of  its  medical  and  regimental  officers,  was  deficient  in  many  material  medical 
and  hospital  supplies.  Every  effort  was  made  to  complete  its  outfit ;  but,  from  the  absence  of  a  depot  from  which  to  draw  the 
required  supplies,  it  was  at  last  forced  to  follow  the  remainder  of  the  corps,  with  its  requisitions  unfilled,  and  almost  destitute  ot 
ambulances  and  hospital  tents. 

At  Young's  Mills,  the  pickets  of  the  enemy  were  first  encountered,  and  skirmished,  in  falling  back,  with  the  advance  of 
the  second  division.  The  position  at  Young's  Mills  was  a  very  strong  one.  It  had  been  occupied  by  General  Cumming's 
Confederate  brigade  all  winter.  Very  neatly  constructed  tents,  with  glass  windows,  were  here  found.  The  largest  and  best 
ventilated  of  these  were  policed  and  converted  into  hospitals,  and  two  surgeons  were  detailed  to  remain  with  a  number  of  sick 
and  the  wounded  men.  On  April  5th,  the  enemy  were  encountered  in  force  by  General  Smith's  advance,  about  two  miles 
beyond  Warwick  Court-house,  and  a  sharp  skirmish  of  pickets  ensued.  Information  was  given  that  an  attempt  was  being 
made  to  turn  our  left  flank,  and  the  brigades  of  General  Graham  and  General  Peck  were  formed  to  prevent  this.  General 
Keyes  returned  from  the  front,  and  established  his  headquarters  at  Warwick  Court-house.  A  house  about  half  a  mile  in  the 
rear  of  General  Smith's  line  was  occupied  as  a  field  hospital  in  the  event  of  a  serious  engagement,  which  was  expected.  In 
these  affairs,  two  men  were  killed  and  sixteen  wounded.  The  wounded  were  removed  on  litters  to  the  hospital  near  the  front, 
where  their  wounds  were  dressed.  They  were  generally  not  severe.  On  April  8th,  two  men  were  wounded  by  fragments  of 
shells;  one  receiving  a  fracture  of  cranium,  and  the  other,  of  both  bones  of  the  leg,  which  was  amputated  primarily.  A 
hospital  was  established  at  Warwick  Court-house  under  charge  of  Surgeon  Wheaton,  2d  Rhode  Island  Volunteers.  The 
hospital  at  Young's  Mills  was  also  extended,  by  preparing  and  occupying  other  huts,  in  order  to  receive  the  numerous  cases  of 
enteric  fever  and  diarrhoea.  Heavy  rains  had  rendered  the  roads  quite  impassable,  without  corduroying,  to  permit  the  passage 
of  the  supply  trains  and  artillery.  On  April  16th,  General  Smith  made  an  attempt  to  penetrate  the  enemy's  line  of  works  at 
Lee's  Mills,  but  was  repulsed  with  a  loss  of  sixty  killed  and  one  hundred  and  sixty-four  wounded.  The  surgeons  Avere 
occupied  all  night  in  attending  to  the  wounded  of  this  affair,  which  occurred  just  before  sunset.  The  wounds  were  almost 
entirely  from  musketry  at  short  range,  and  chiefly  from  conoidal  balls.  I  directed  two  amputations  of  the  thigh  for  severe 
knee-joint  wounds.  These  amputations  were  done  on  the  morning  after  the  fight,  at  the  hospital  established  in  the  camp  of  the 
Vermont  regiments,  and  were  well  borne,  under  chloroform.  Several  minor  amputations  and  excisions  were  made  by  Surgeons 
Janes  and  Chandler,  of  Vermont  regiments,  which  chiefly  suffered  in  this  assault.  The  wounded  were  rapidly  made 
comfortable,  and  those  who  could  bear  transportation  were  sent  off  that  day  and  the  next  by  ambulances  to  Cheesman's 
Landing,  on  York  Kiver,  for  transportation  to  Fort  Monroe.  The  rough  corduroy  roads  prevented  the  transportation  of  many; 
and  the  Fourth  Army  Corps  was  thus  continually  burdened  by  the  unavoidable  accumulation  of  sick  and  wounded,  a  source  of 
embarrassment  not  experienced  by  the  divisions  of  the  army  nearer  the  transports  on  the  York  River.  The  same  cause 
obstructing  communication  with  the  purveying  depot,  then  established  at  Cheesman's  Landing,  our  supply  of  stimulants  could 
not  be  promptly  replenished,  and  the  rapidly  increasing  numbers  of  remittent,  intermittent,  and  typhoid  fever  cases  could  not 
be  satisfactorily  treated  with  the  limited  provision  on  hand.  The  requisitions  for  quinine,  to  procure  which  special  messengers 
were  sent  on  horseback,  could  be  only  very  inadequately  filled.  I  am  satisfied  that,  could  a  liberal  issue  of  quinine  or  qninia  in 
whiskey  have  been  possible  for  prophylactic  purposes  and  treatment,  one  half  of  the  sickness  which  prevailed,  chiefly  in  the 
second  and  third  divisions,  could  have  been  prevented.  Th'e  causes  which  produced  this  undue  proportion  of  sickness  in 
these  divisions  may  be  easily  found. 

The  division  of  General  W.  F.  Smith  was  always  in  the  front,  constantly  upon  the  alert,  doing  fatiguing  picket  duty, 
encamped  in  the  midst  of  a  swamp,  harassed  by  night  and  by  day,  performing  unceasing  labors  to  keep  the  roads  in  condition 
to  permit  the  passage  of  the  necessary  supply  trains  for  their  subsistence.  I  learned  that  this  division  had  not  had  the 
advantage,  during  the  previous  winter,  of  the  admirable  sanitary  regulations  which  were  enforced  in  the  organization  of  the 
first  division.  The  division  of  General  S.  Casey  was  composed  in  great  part  of  men  in  the  field  for  the  first  time;  many  of  their 
ollicers  too  inexperienced  to  appreciate  the  importance  of  sanitary  precautions,  or  to  instruct  their  men  in  preparing  or  cooking 
their  rations,  or  how  to  take  advantage  of  the  few  facilities  for  obviating  the  many  discomforts  of  their  camps.  The  men  fell 
sick  by  scores.  The  hospital  at  Young's  Mills,  at  Wai-wick  Court-house,  and  the  field  hospital  in  charge  of  Surgeon  Augustus 
Campbell,  77th  New  York  Volunteers,  contained  over  six  hundred  patients,  and  the  division  and  regimental  hospitals  more  than 
that  number;  so  that  when,  on  the  morning  of  May  4th,  the  Fourth  Army  Corps  moved  on  Williamsburg,  over  one  thousand 
four  hundred  sick  were  unable  to  march,  and  were  left,  with  surgeons  to  attend  to  their  removal,  under  charge  of  Surgeon 
F.  L.  Wheaton,  '2<1  Rhode  Island  Volunteers,  to  the  hospitals  established  by  Medical  Director  Tripler,  at  Yorktown. 

On  the  morning  of  May  4th,  it  was  discovered  that  the  enemy  had  evacuated  their  works  in  our  front.  General  Smith 
immediately  occupied  those  in  his  front  without  resistance.  The  works  at  Lee's  Mills,  the  scene  of  General  Smith's 

affair  of  the  16th  of  April,  were  found  to  be  of  immense  strength,  and  the  certainty  that  any  persistent  attempt  to  pierce  the 
lines  of  the  enemy  at  that  point  would  have  been  followed  by  an  immense  loss  of  life,  was  apparent  to  all  who  witnessed  the 
consummate  skill  with  which  the  defences  had  been  planned,  and  the  vifst  labor  which  had  been  expended  to  take  advantage 
of  the  formidable  natural  obstacles  which  the  position  afforded.  The  enemy  here,  as  at  Yorktown,  had  planted  torpedoes  in  the 
works,  and  along  the  road  leading  to  Williamsburg,  designing  that  they  should  explode  by  the  pressure  of  the  feet  of  those 
passing  over  them.  A  casualty  occurred  here  in  General  Casey's  division  from  the  explosion  of  one  of  these,  and  one  man  was 
killed  and  five  wounded.  The  wagon  track  and  side  paths,  for  a  mile,  were  studded  with  these  buried  shells;  but  they  were 
guarded,  as  soon  as  discovered,  by  men  detailed  to  remain  near  them,  to  point  them  out  to  the  passing  troops.  I  passed  near 
several  of  them,  and  observed  the  ingenuity  with  which  they  were  concealed. 

The  battle  of  Williamsburg  has  been  variously  described  by  witnesses,  whose  observations  were  made  fiom  different 
points  of  view;  but  I  am  satisfied,  froi y  personal  knowledge  of  the  facts,  that  had  Fort  Magruder  been  turned,  as  was 


68  APPENDED    DOCUMENTS PENINSULAR    CAMPAIGN. 

strongly  urged  by  some  of  the  generals,  and  had  the  advance  of  General  Hancock  in  that  direction  bf  en  strongly  supported, 
the  position  would  have  been  taken  early  in  the  day,  with  comparatively  email  losses  on  our  part.  As  soon  as  it  was  evident 
that  the  rear-guard  of  the  enemy  intended  to  dispute  our  advance,  I  took  possession  of  the  extensive  barns  and  tobacco  houses 
which  were  in  the  vicinity  of  our  position,  and  about  three-fourths  of  a  mile  from  the  front,  arid  had  them  policed  and  prepared 
for  the  reception  of  the  wounded.  Assisted  by  Assistant  Surgeon  W.  C.  Spencer,  U.  S.  A.,  I  had  ample  time,  before  any 
wounded  were  brought  in,  to  make  very  complete  preparations.  Temporary  cots  were  made  from  the  boards  of  the  fences 
surrounding  the  barn-yards,  and  stacks  of  straw  afforded  abundance  of  material  to  make  very  comfortable  beds  for  two  hundred, 
who  mi"ht  be  seriously  wounded.  Medical  officers,  stewards,  and  cooks,  with  dressings  and  all  necessary  supplies  and  utensils, 
were  detailed  and  in  readiness.  The  action  was  obstinate  all  day,  and  our  hospitals  were  filled  to  overflowing,  when  night  put 
an  end  to  the  contest.  The  wounded  were  brought  from  the  field  on  litters.  The  rain  poured  ceaselessly  all  day,  and  as  the 
enemv  temporarily  gained  some  advantage,  the  shells  began  to  pass  over  and  in  front  of  the  larger  hospital ;  but  the  enemy  were 
driven  back,  and  few  of  the  busy  surgeons  knew,  or  perhaps  cared,  that  the  hospital  had  been  under  fire.  The  wounded  of 
General  Reyes's  Fourth  Army  Corps,  under  my  immediate  supervision,  were  all  dressed  and  rendered  as  comfortable  as  the 
nature  of  their  wounds  would  allow,  by  ten  o'clock  at  night.  They  all  had  soup,  and  were  faithfully  nursed  through  the  night. 
A  detail  of  surgeons  and  litter  bearers,  with  lanterns,  was  sent  out  to  search  the  field,  and  a  number  were  discovered  and 
brought  in.  From  the  absence  of  my  reports,  I  cannot  now  state  the  exact  number  of  those  whose  wounds  were  dressed  under 
my  supervision;  but  the  entire  number,  whose  wounds  were  of  so  serious  a  character  as  to  require  ambulance  transportation  the 
next  and  following  day,  was  over  three  hundred  and  fifty.  The  ambulances  removed  them  to  Queen's  Landing,  on  York  River, 
a  distance  of  three  and  a  half  miles,  to  the  hospital  transports,  by  which  they  were  carried  to  northern  hospitals.  Not  having 
retained  copies  of  my  reports  in  my  possession,  I  cannot  state  the  number  of  the  operations  performed,  but  can  only  recollect 
those  with  which  I  was  personally  interested.  Among  these  were  two  excisions  of  the  head  of  the  humerus  and  an  amputation 
of  both  legs,  in  the  same  subject,  rendered  necessary  by  terrible  lacerations  of  bones  and  soft  parts  from  shell  wounds.  The 
first  amputation  was  done  in  a  few  hours  after  the  receipt  of  the  injury,  by  the  circular  method,  at  the  junction  of  the  middle  and 
lower  third  of  the  leg.  The  second  amputation  was  done  about  eight  hours  after  the  first,  by  a  modification  of  Teale's  method, 
and  nearly  through  the  middle  of  the  leg.  Both  operations  were  done  under  the  influence  of  chloroform,  and  with  the  most 
satisfactory  effect  from  its  use.  The  wounds  were  chiefly  from  musketry  in  this  engagement ;  but  there  were  quite  a  number 
of  frightful  mutilations  from  fragments  of  shells.  On  the  second  day,  from  the  terrible  state  of  the  roads,  which  prevented  the 
approach  of  the  supply  trains,  I  anticipated  some  difficulty  in  feeding  the  wounded  who  remained  in  the  hospitals ;  but,  by  halting 
a  passing  wagon  which  contained  rations,  I  took  almost  forcible  possession  of  a  sufficient  supply.  Leaving  Brigade  Surgeon 
D.  Prince,  U.  S.  V.,  to  complete  the  removal  of  the  wounded  who  remained,  I  joined  General  Keyes  at  Williamsburg,  where 
the  army  was  halted  for  two  days,  to  enable  the  trains  of  provisions  and  ammunition  to  come  up.  Williamsburg  was  found 
filled  with  the  Confederate  wounded.  Not  only  the  churches  and  public  buildings  were  occupied  by  them,  but  numbers  were 
found  in  private  houses  suffering  for  want  of  attention,  and  were  cared  for  by  our  medical  officers.  On  the  morning  of  May  9th, 
the  army  was  again  in  motion.  A  large  number  of  sick  belonging  to  the  Fourth  Army  Corps,  chiefly  to  the  third  division,  had 
to  be  left  at  Williamsburg  in  hospitals  established  by  Medical  Director  Tripler.  On  the  14th,  I  established  a  hospital  in  New 
Kent  Court-house  for  the  sick  of  the  corps.  One  hundred  and  fifty  sick  were  also  sent  from  this  place  for  transportation  to 
northern  cities.  These  were  all  protracted  cases  of  fevers  and  diarrhoea.  The  malaria  of  the  marshy  camps  about  Warwick 
Court-house,  with  which  the  men  were  saturated  as  it  were,  and  the  other  causes  which  have  been  above  enumerated,  were 
producing  their  fruits,  and  continued  to  do  so  after  the  corps  had  crossed  the  Chickahominy,  where  the  camps  were  compara 
tively  dry  and  salubrious.  General  Peck's  brigade,  and  a  portion  of  General  Naglee's,  in  a  reconnaissance  in  force,  drove  the 
pickets  of  the  enemy  across  the  Chickahominy,  which  was  crossed,  on  the  21st,  by  the  7th  Massachusetts  Volunteers,  at  the  rail 
road  bridge.  On  the  23d  of  May,  the  Fourth  Army  Corps  crossed  at  Bottom's  Bridge,  being  the  first  army  corps  to  cross  the 
Chickahominy.  On  the  25th,  General  Keyes's  headquarters  were  established  at  Savage's  Station.  On  the  26th,  the  division 
of  General  Casey  moved  in  the  advance  to  Seven  Pines.  A  statement  of  the  condition  of  this  division  was  made  by  me,  on 
this  day,  to  Assistant  Inspector  General  N.  II.  Davis,  for  the  information  of  Major  General  McClellan,  with  an  account  of  the 
causes  which  had  conspired  to  produce  so  great  a  reduction  of  its  numbers  from  sickness  and  straggling.  *  *  On  the  28th 
of  May,  I  received  an  order  of  General  McClellan  transferring  me,  as  medical  director,  to  the  army  corps  of  General  Franklin. 
I  reported  for  duty  to  General  Franklin  on  May  30th.  During  that  night,  a  terrific  thunder  storm,  Avith  a  deluging  rain, 
occurred.  The  Confederates  took  advantage  of  the  swollen  state  of  the  Chickahominy,  resulting  from  this  storm,  to  make  an 
attack  upon  the  Fourth  Army  Corps,  expecting  to  defeat  it  before  it  could  be  reinforced  from  the  other  bank  of  the  stream,  now 
converted  into  an  impassable  torrent.  Before  the  bridges  were  entirely  impracticable,  General  Sumner,  with  difficulty, 
succeeded  in  crossing  with  his  corps,  and  soon  the  enemy  were  forced  back.  This  was  the  battle  of  Fair  Oaks,  or  Seven  Pines. 
The  division  of  General  Casey,  greatly  reduced  in  numbers,  received  the  terrible  and  desperate  onslaught  of  the  enemy,  but 
fought  gallantly  till  reinforced. 

Heavy  rains  continued  at  intervals  until  the  5th  of  June,  when  the  division  of  General  Smith  was  thrown  across  the 
Chickahominy.  Four  hundred  and  fifty  sick,  belonging  to  his  division,  were  unable  to  accompany  the  march,  and  were  sent  to 
the  Liberty  Hall  field  hospital,  which  I  had  established  on  the  plantation  said  to  have  been  the  birth-place  of  Patrick  Henry, 
about  one  and  a  half  mile  from  general  army  headquarters.  This  number  of  sick  was  soon  increased  to  six  hundred,  who  were 
accommodated  in  the  old  mansion,  the  barns,  which  had  been  policed  and  rendered  comfortable  hospitals,  and  in  hospital  tents 
erected  in  the  pleasant  and  shaded  lawn  surrounding  the  house.  The  cases  were  mainly  typhoid  fevers,  diarrhoea,  and  dysentery. 
Field  hospitals  were  also  established  for  the  reception  of  the  sick  of  General  Slocum's  division,  also  belonging  to  General 
Franklin's  Corps,  under  the  superintendence  of  Surgeon  George  Burr,  U.  S.  V.  On  June  18th,  I  crossed  the  Chickahominy  with 
the  headquarters  of  General  Franklin  and  the  division  of  General  Slocum,  which  took  its  position  near  that  of  General  Smith, 
on  the  right  of  our  line,  on  the  right  bank  of  the  Chickahominy. 

The  whole  of  the  succeeding  week  was  devoted  to  the  ordinary  routine  of  my  duties,  but  chiefly  to  the  preparation  of 


REPORT    OF    MEDICAL    DIRECTOR   BROWN.  69 

hospitals  for  the  reception  of  wounded,  which  the  relative  position  of  the  two  armies  assured  us  might  be  required  at  any  hour. 
Doctor  Trent's  house,  which  had  been  used  as  an  hospital  for  the  sick  of  General  Smith's  division,  was  selected  for  this  purpose. 
The  sick  were  transported  by  ambulances  and  railroad  to  the  White  House  hospitals.  The  buildings  were  thoroughly  policed 
and  ventilated  by  additional  windows,  temporary  beds  were  prepared,  supplies  were  accumulated,  and  the  whole  put  in  charge 
of  Assistant  Surgeon  Childs,  5th  Vermont.  Accommodations  were  thus  completed  for  the  reception  of  six  hundred,  who  might 
be  severely  wounded,  in  the  house  and  the  extensive  barns  and  negro  quarters.  As  many  hospital  tents  as  could  be  procured 
were  also  pitched.  Important  assistance  was  rendered  in  this  work  by  Surgeon  T.  R.  Spencer,  U.  S.  V.  The  removal  of  the 
sick  was  objected  to  by  the  division  commander;  but,  with  the  approval  of  Medical  Director  Tripler  and  the  sanction  of  General 
Franklin,  the  measure  was  accomplished,  and  the  hospitals  were  prepared.  The  propriety  of  this  action  was  soon  apparent, 
and  I  am  confident  that  great  suffering  was  by  this  means  prevented. 

On  June  27th,  General  F.  J.  Porter  had  his  desperate  fight  at  Gaines's  Mill,  in  which  the  losses  on  both  sides  were  very 
great.     The  wounded  were  brought  over  throughout  the  night;  and  our  temporary  hospitals  were  soon  filled  to  overflowing. 
The  position  of  General  Smith  had  been  fired  upon  by  artillery  all  day,  at  intervals,  while  the  other  battle  was  progressing.     I 
was  occupied  the  entire  night  in  superintending  the  dressings,  operations,  and  other  matters  pertaining  to  the  comfort  of  the 
wounded,  and  in  forwarding  the  ambulances,  as  they  crossed,  to  Savage's  Station,  where  extensive  hospitals  had  been  prepared 
by   Medical  Director  Tripler.     Before  daybreak,  all  the  wounded  received  into  the  hospitals  prepared  in  the  vicinity  of  the  Trent 
House  were  dressed,  and  rendered  as  comfortable  as  possible  under  the  circumstances.     As  soon  as  it  was  light,  I  rode  over  to 
Savage's  Station,  to  communicate  with  Medical  Director  Tripler,  and  to  request  that  the  ambulances  might  be  directed  to  report 
to  me  for  the  purpose  of  removing  the  wounded  further  to  the  rear,  as  the  enemy  occupied  the  opposite  bank  of  the  Chick- 
ahominy,  and  the  hospitals  at  Doctor  Trent's  house  were  immediately  under  the  fire  of  their  batteries.     The  ambulances  were 
promptly  sent,  and,  by  four  o'clock  P.  M.,  the  wounded  were  collected  at  Savage's  Station.     I  remained  till  dark,  removing  the 
hospital  property  that  was  valuable,  and  then  went  to  the  headquarters  of  General  Franklin,  at  the  front,  and  now  the  extreme 
right  of  our  line.     At  two  o'clock  in  the  morning,  orders  were  given  to  abandon  the  position,  and  to  fall  back  silently  upon 
Savage's  Station.     The  movement  of  the  army  towards  James  River  had  already  commenced.     We  arrived  at  Savage's  Station 
about  daybreak.     By  eight  o'clock,  the  entire  train  was  in  motion  for  White  Oak  Swamp,  which  the  advance  corps  had  already 
crossed  upon  bridges,  prepared  some  days  before  in  anticipation  of  this  movement.     The  trains,  which  had  been  steadily  passing 
for  many  hours  already,  were  eight  hours  in  passing  the  point  at  which  I  was  stationed,  on  the  elevated  plain  opposite  Savage's 
Station.     Just  before  sunset,  a  portion  of  General  Sumner's  corps,  and  General  Smith's  division  of  General  Franklin's  corps, 
were  formed  to  repel  an  advance  of  the  entmy.     This  was  the  battle  of  Savage's  Station.     Surgeon  J.  V.  Hammond,  U.  S.  A., 
the  medical  director  of  General  Sumner's  corps,  and  I  worked  in  concert,  preparing  hospitals  in  the  rear  of  this  engagement. 
The  enemy  were  decisively  repulsed.     Our  hastily  prepared  hospitals  soon  rapidly  received  the  wounded,  carried  in  litters  from 
the  field,  and  the  surgeons  detailed  were  busily  engaged  at  their  duties,  again  operating  and  dressing  wounds  by  the  uncertain 
light  of  candles  and  lanterns.     Instructions  were  received  by  Surgeon  Hammond  and  myself  to  leave  surgeons  to  attend  to  the 
wounded,  with  ample  supplies,  and  to  join  the  column  when  it  fell  back.     About  ten  o'clock,  the  head  of  the  column  of  the 
rear  guard  of  the  army,  consisting  of  General  Richardson's  division  of  General  Sumner's  corps  and  General  Smith's  division 
of  General  Franklin's  corps,  appeared,  passing  our  hospitals.     A  night  march  was  made  with  regularity  and  rapidity;  and  we 
crossed  the  White  Oak  Swamp  bridges  before  daybreak,  and  bivouacked  on  the  opposite  side  of  the  swamp,  upon  the  elevated 
ground  commanding  the  bridge  head.     It  was  raining  when  the  divisions  reached  their  position,  and  the  rain  continued  until 
dawn.     General  Smith's  division  was  left  to  destroy  the  bridges,  and  to  cover  the  rear.     About  noon,  the  enemy  placed  batteries 
on  the  opposite  bank,  and  opened  upon  the  position  of  General  Smith,  preparatory  to  attempting  a  crossing.     This  was  the  most 
critical  day  of  the  passage  to  James  River.     The  wagon  train  was  in  motion  rapidly  and  steadily;  but  was  extended  along  our 
whole  line,  which  was  threatened  from  the  front,  from  the  Charles  City  road,  and  from  various  points  at  which  the  enemy  were 
attempting  to  cross  the  swamp.     The  artillery  fire  at  the  bridge  was  the  most  terrible  we  had  yet  experienced,  and  many 
frightful  shell  wounds  were  received.     The  men  were  made  to  lie  down  in  gullies,  in  order  to  shelter  them.     The  fight  at  the 
bridge  continued  till   dark.     Hospitals  were  prepared  in  houses  in  the  rear,  where  the  wounded  were  carried,  and  received 
every  possible  attention.     The  shelling  of  the  bridge,  where  the  enemy  were  still  endeavoring  to  effect  a  crossing,  was  continued 
after  dark,  for  this  point  must  be  held  by  us  until  the  trains  were  far  in  advance      Rumors  reached  us  that  our  retreat  on  the 
main  body  was  cut  off.     But  sometime  after  midnight  the  columns  came  silently  moving  by  the  hospitals.     The  wounded  had 
been  dressed,  and  medical  attendants  detailed  to  remain  with  them,  and  AVC  joined  the  silent  column.     It  was  intensely  dark, 
and  a  man  was  scarcely  visible  to  his  neighbor;  but,  without  confusion,  the  mass  moved  on,  the  silence  scarcely  broken,  except 
by  the  echo  of  a  single  gun,  which  had  been  left  at  the  bridge  to  induce  the  enemy  to  believe  that  we  were  still  holding  that 
position.     All  night  we  marched  through  narrow  roads,  sometimes  slightly  revealed  by  the  starlight,  as  the  clouds  lifted,  or  the 
continuous  heavy  forest  on  either  side  receded,  hearing  the  sound  of  that  single  cannon,  at  intervals,  till  it  ceased,  having  done 
its  work,  and  limbered   up  and  overtook  the  column.     As  dawn  appeared,  we  were  met  by  aids  of  General  McClellan,  who 
indicated  the  position  for  the  bivouac  of  the  men ;  and  when  the  daylight  broke,  we  saw  the  camps  of  the  army  and  the  James 
River.     But  this  cheering  sight  brought  no  rest.     The  lines  of  battle  were  formed  all  day.     This  was  the  day  of  Malvern  Hill, 
when  the  pursuing  enemy  met  their  repulse.     The  corps  of  General  Franklin  was  not  closely  engaged  in  this  most  bloody  fight 
of  the  seven  days ;  but  was  continually  under  arms,  day  and  night ;  for  General  Franklin  was  again  to  cover  the  rear.     It  was 
daylight  when  we  again  commenced  our  march.     This  march  was  a  most  trying  one  to  the  men,  for  the  rain  poured  heavily, 
and  the  quicksand  roads  were  almost  impassable,  rendering  a  pursuit  bv  the  enemy  impracticable,  even  if  they  had  been  able 
to  pursue,  after  their  frightful  losses  at  Malvern  Hill.     On  July  2d,  at  about  nine  o'clock,  we  arrived  at  Harrison's  Lauding. 
On  July  3d,  the  army  was  again  in  motion,  to  occupy,  and,  with  the  aid  of  the  gunboats,  to  render  impregnable  the  crest 
extending  across  Harrison's  Point.     On  July  4th,  the  lines  were  complete,  and  the  enemy,  after  one  or  two  ineffectual  attempts 
to  annoy  us,  ceased  from  their  efforts." 


70  APPENDED    DOCUMENTS PENINSULAS    CAMPAIGN. 

LVIL     Extract  from  a  Narrative  of  his  Services  in  the  Volunteer  Medical  Staff.     By  Surgeon 
CHARLES  O'LEARY,  U.  S.  Volunteers. 

*  *  *  "On  July  27th,  1862,  I  was  assigned  to  the  charge  of  an  hospital  transport,  then  conveying  sick  from 
Harrison's  Landing.  I  was  subsequently  assigned  as  medical  director  of  General  D.  N.  Couch's  independent  brigade,  in 
Maryland,  and  joined  that  command  on  September  5th.  In  October,  this  brigade  was  attached  to  the  Sixth  Army  Corps.  On 
December  4th,  I  was  appointed  medical  director  of  that  corps.  General  Couch's  brigade  of  infantry  consisted  of  the  2d  Rhode 
Island  Volunteers,  numbering  seven  hundred  and  eighty,  rank  and  file;  7th  Massachusetts  Volunteers,  nine  hundred  and  sixty 
strong;  10th  Massachusetts  Volunteers,  recruited  to  the  maximum  of  one  thousand  and  thirty-six;  and  the  36th  New  York 
Volunteers,  numbering  seven  hundred.  The  sanitary  condition  of  this  brigade,  while  encamped  at  Brightwood,  near  Wash 
ington,  had  been  reported  as  the  best  in  the  Army  of  the  Potomac,  according  to  the  medical  dii'ector's  returns,  and  the  camp 
regulations  were  pronounced  by  Surgeon  Charles  McCormick,  U.  S.  A.,  the  best  that  came  under  his  notice  in  his  inspections 
in  the  winter  of  1861.  This  high  morale  was  preserved  by  these  troops  during  the  peninsular  campaign.  The  brigade  was 
engaged  at  the  battles  of  Williamsburg,  Seven  Pines,  Gelding's  Farm,  Malvern  Hill,  and  in  many  skirmishes. 

The  brigade  went  into  action  at  Williamsburg  on  May  5th,  1862,  about  ten  o'clock  ;  part  being  sent  to  support  General 
Hooker  on  the  left,  and  part  to  General  Hancock  on  the  right.  None  of  the  regiments  were  hotly  engaged  on  either  wing, 
and  the  loss  was  trifling.  The  wounded  were  cared  for  in  an  hospital  established  by  Surgeon  J.  B.  Brown,  U.  S.  A.,  medical 
director  of  the  Fourth  Corps.  During  the  three  days  we  halted  after  the  battle,  the  medical  officers  of  the  Sixth  Corps  took 
charge  of  the  wounded  of  the  enemy,  left  near  Fort  Magruder,  and  of  about  one  hundred  and  sixty  of  the  wounded  of  General 
Hooker's  Division.  Our  supplies  were  ample.  The  operations  performed  were  all  accompanied  with  the  administration  of 
chloroform,  without  any  unpleasant  results.  Amputations  at  the  upper  third  of  the  thigh  proved  fatal  within  a  short  time  in 
all  cases.  The  results  of  this  operation  were  such  as  to  dissuade  us  from  resorting  to  it  in  subsequent  battles,  except  when  a 
limb  was  in  such  a  condition  as  to  make  its  removal  a  relief  to  the  patient.  The  wounded  of  our  army  were  removed  on  May 
9th  to  the  nearest  landing  on  the  York  River.  The  wounded  of  the  enemy  were  left  in  the  hands  of  Confederate  surgeons, 
with  a  medical  officer  of  the  Union  army  to  supervise  their  removal. 

On  May  31st,  1862,  the  battle  of  Seven  Pines,  the  bloodiest  I  have  witnessed  during  the  war,  was  fought.  The  fury  of 
the  conflict  fell  most  heavily  upon  the  division  of  General  Couch.  Our  supplies  were  in  good  condition,  and  abundant ;  our 
regimental  hospitals  were  established,  and  in  good  order.  The  battle  was  so  close  to  our  cainp  that  we  had  the  wounded  at 
first  transferred  to  these  hospitals.  Very  early  in  the  fight,  however,  it  became  necessary  to  shift  our  position  further  to  the 
rear,  and  three  times  during  the  fight  we  had  to  retreat.  Our  hospital  tents  and  supplies  were  safely  removed  without  much 
difficulty  A  want  of  ambulances  greatly  embarrassed  us  in  transferring  the  wounded.  By  great  efforts,  we  had  all  the 
wounded  that  we  rescued  from  the  battlefield  safely  sheltered  at  night,  in  the  hospitals  established  at  Savage's  Station,  two 
miles  in  our  rear,  by  Surgeon  F.  H.  Hamilton,  U.  S.  V.  Many  circumstances  interfered  with  the  proper  treatment  of  the 
wounded  during  the  action  and  subsequent  to  it,  such  as  the  want  of  organization  in  the  medical  department  Though  the 
brigade  and  even  corps  organizations  existed,  the  regiment  was  still  regarded  as  the  unit,  and  regimental  medical  officers  were 
half  the  time  busied  in  looking  for  their  own  wounded,  to  the  neglect  of  those  of  other  regiments.  There  was  a  lack  of 
ambulances  to  bring  the  wounded  to  one  point.  The  great  number  of  wonnded  scattered  in  rear  of  the  battlefield  precluded 
concert  of  action  to  provide  for  their  wants.  The  utterly  demoralized  condition  of  General  Casey's  ti'oops,  who  straggled  from 
the  field  and  crowded  around  every  place  wearing  the  appearance  of  a  hospital,  was  another  difficulty.  Better  organization  of 
the  medical  corps  would  have,  as  it  has  since,  prevented  most  of  these  evils.  The  two  regiments  most  hotly  engaged,  the 
10th  Massachusetts  and  the  36th  New  York,  lost  heavily  in  this  engagement.  The  wounds  were  generally  of  a  slight  character, 
being  chiefly  of  round  ball  and  buckshot.  Of  two  hundred  and  ninety  wounded,  only  two  required  amputation ;  one  of  the 
arm,  one  of  the  leg.  Chloroform  was  administered  in  both  cases.  Fractures,  where  no  great  destruction  of  bone  or  tissue 
occurred,  were  dressed  in  splints.  During  the  two  days  subsequent  to  the  action^  many  medical  men  from  civil  life  flocked  to 
the  ground,  and,  owing  to  the  absence  of  any  hospital  organization  in  the  corps,  went  to  work  as  they  thought  proper.  The 
abuse  of  the  authority  they  had  obtained  was  more  apparent  here  than  in  any  battle  I  have  seen.  Amputations  were  performed 
recklessly,  by  irresponsible  persons,  without  any  thought  bestowed  as  to  the  subsequent  treatment  of  the  patient.  It  was  chance 
or  accident,  frequently,  that  the  wounded  man  whose  limb  had  been  amputated  obtained  either  an  opiate  or  stimulant.  Some, 
exhausted  by  lying  on  the  field  wounded  from  twelve  to  thirty-six  hours,  died  on  the  table;  some  within  a  few  hours  after  the 
operation.  I  was  placed  in  charge  by  Surgeon  F.  H.  Hamilton,  but  received  no  authority  from  him  to  stop  a  course  that  seemed 
to  him  and  to  me  reckless  and  unjustifiable.  His  impression  was  that  these  men  were  there  by  order  of  the  War  Department. 

The  last  of  the  wounded  of  the  Fourth  Corps,  amounting  to  about  eleven  hundred,  were  removed  to  White  House  four 
days  after  the  battle.  Any  view  of  the  surgical  history  of  the  battle  I  can  hardly  give,  further  than  that  our  organization 
here  seemed  most  defective,  and  bad  care  of  the  wounded  necessarily  resulted  therefrom.  The  wounds  were  principally  by 
smooth  musket  balls  at  short  range.  Subsequent  to  this  action,  sickness  increased  heavily  among  us;  many  men  were  sent  to  the 
rear,  and  the  command  was  thereby  greatly  reduced  in  numbers.  A  laxity  in  discipline,  also,  in  two  regiments,  the  36th  New 
York  and  10th  Massachusetts,  arising  from  the  loss  of  their  best  officers,  had  the  worst  effect  on  the  health  and  morale  of  the 
men;  an  effect  which  was  not,  however,  of  long  duration. 

The  battle  of  Golding's  Farm,  on  June  2">th,  is  scarcely  mentioned  as  more  than  a  heavy  skirmish  in  front  of  General 
Hooker's  lines,  near  Seven  Tines.  That  part  of  it  in  which  our  brigade,  now  commanded  by  General  Devens,  was  engaged, 
was  altogether  an  artillery  fight.  We  lost  seventy-four  men  in  killed  and  wounded,  out  of  a  force  of  two  thousand  two  hundred 
and  sixty.  The  wounds  were  chiefly  from  shells  and  round  shot.  Our  position  being  on  the  road  that  penetrated  the  woods 
towards  the  enemy's  front,  and  being  very  Avell  known  to  him,  exposed  us  very  much  to  his  fire.  The  wounds  were  in  great 
proportion  of  a  very  serious  character,  and  amputations  were  in  greater  proportion  to  the  number  of  cases  than  in  any  other 
engagement  I  have  seen.  Anaesthetic*,  composed  of  a  mixture  of  chloroform  and  ether,  were  invariably  administered,  and  no 


REPORTS    OF    SURGEONS    o'LEARY    AND    JUDSON.  71 

bad  result  followed.  The  wounded  were  transferred  from  the  field  hospital  to  Savage's  Station,  whence  they  were  removed  to 
White  House  on  the  day  following.  All  seemed  to  he  doing  favorably  when  removed  from  us.  A  curious  fact  was  observed 
here  in  regard  to  one  regiment,  the  10th  Massachusetts.  A  number  of  men  came  in  from  the  action  with  wounds  of  the  hand  or 
mutilated  fingers,  the  number  in  all  amounting  to  fourteen.  The  discontent  and  the  murmuring  of  the  regiment  for  some  time 
previous,  coupled  with  the  nature  of  the  firing,  it  being  principally  artillery,  led  us  to  suspect  that  the  wounds  were  produced 
by  the  men  themselves.  The  fighting,  moreover,  lasted  for  some  time  after  dark.  Supplies  in  no  instance  failed  us,  as  was 
witnessed  by  Surgeon  C.  S.  Tripler,  U.  S.  A.,  medical  director,  who  visited  us  on  the  field. 

Being  on  the  left,  the  brigade  was  in  the  advance  in  the  change  of  base  to  James  River,  and  reached  Haxall's  on  the 
morning  of  June  30th.  The  troops  halted  here  until  four  in  the  afternoon,  when  two  regiments  of  the  brigade  were  ordered  out 
to  Turkey  Bridge,  where  the  enemy  was  supposed  to  be  approaching,  and  two  were  ordered  up  to  support  General  Sumner,  who 
was  then  fighting  the  battle  of  Nelson's  Farm.  The  action  was  over  when  we  reached  the  ground,  the  enemy  having  fallen 
back.  We  were  then  ordered  in  front  of  General  Stunner's  line,  to  cover  his  retreat,  which  commenced  at  midnight.  At  two 
o'clock  A.  ir.,  July  1st,  we  were  ordered  to  follow  in  the  line  of  retreat.  We  reached  Malvern  Hill  at  four  o'clock  A.  M.,  and 
were  put  in  line  of  battle  at  half-past  five.  The  enemy  first  appeared  at  nine  o'clock.  A  house  one-quarter  of  a  mile  in  rear 
of  the  batteries  of  General  Couch's  line  was  selected  as  a  hospital.  Firing  commenced  on  both  sides  about  ten  o'clock  with 
artillery.  The  house  selected  for  a  hospital  proved  to  be  very  much  exposed,  and  had  to  be  given  up.  We  had  to  fall  back  to  a 
house  selected  by  Surgeon  J.  J.  Milhau,  U.  S.  A.,  medical  director  of  the  Third  Corps,  which  was  two  miles  further  from  the 
field;  a  distance  too  great,  but  unavoidable  in  this  instance,  as  no  fit  and  secure  place  could  be  secured  nearer.  The  assistant 
surgeons  of  regiments  posted  themselves  close  to  the  field,  and  rendered  very  good  service,  both  in  furnishing  the  wounded  with 
necessary  stimulants,  and  immediate  dressing,  as  they  were  on  the  way  back  from  the  field.  The  combat  was  confined  to 
artillery,  and  the  wounded  were  consequently  few,  until  four  in  the  afternoon,  when  the  engagement  of  the  day  commenced,  and 
proved  most  sanguinary  for  two  hours,  with  musketry  fire.  The  wounds  from  shells  were  all  of  a  most  serious  character; 
those  of  the  musket  firing,  of  the  usual  nature.  The  former,  in  great  proportion,  demanded  amputation ;  the  latter,  rarely. 
In  the  hospital,  supplies  of  stimulants,  beef  tea,  anodynes,  and  dressings  were  abundant  The  scarcity  of  ambulances,  the 
command  I  belonged  to  having  none,  enabled  me  to  move  to  the  rear  but  few  of  the  wounded.  Ambulances  not  being  furnished 
to  the  brigade,  we  had  to  apply  to  the  medical  director  of  the  corps  for  one  when  required,  and  at  this  time  there  Avas  no 
opportunity  of  reaching  corps  headquarters,  which  was  seven  miles  back.  The  wounded  were  consequently  put  in  the  best 
condition  possible,  and  a  medical  officer  from  each  separate  command  was  selected  to  remain  with  them.  The  retreat  was 
ordered  at  one  o'clock  A.  M.,  on  the  morning  of  the  2d.  All  the  supplies  we  could  spare  were  left  behind,  in  charge  of  the 
surgeons  \vho  remained  with  the  wounded.  The  report  given  afterwards,  both  by  the  medical  officers  and  the  recovered 
wounded  who  rejoined  their  regiments,  declares  that  they  were  not  subjected  to  any  great  hardship  or  privation  whilst  in 
hospital." 


LVIIL    Extract  from  a  Narrative  of  his  Services  in  the  Volunteer  Medical  Staff.     By  Surgeon 
O.  A.  JUDSON,  U.  S.  Volunteers. 

*  *  *  "In  October,  1861,  I  was  commissioned  as  brigade  surgeon  of  volunteers,  and  assigned  to  the  1st  brigade, 
General  J.  Hooker's  division,  at  that  time,  and  for  six  months  subsequently,  encamped  near  Budd's  Ferry,  OH  the  lower 
Potomac,  opposite  the  Confederate  batteries  which  blockaded  the  river.  In  March,  1862,  General  Hooker's  division  rejoined 
the  main  body  of  the  Army  of  the  Potomac,  in  front  of  Yorktown,  leaving  the  sick  in  the  log  barracks  at  Budd's  Ferry  vacated 
by  the  troops.  Early  in  April,  a  successful  assault  was  made  on  a  redoubt  in  front  of  our  right  by  three  hundred  men, 
commanded  by  Lieutenant  Colonel  Wells.  I  witnessed  the  attack  of  the  storming  party,  and  attended  most  of  the  wounded  on 
the  field.  Four  men  were  killed  and  twenty  wounded.  The  balls  extracted  were  the  pattern  used  in  the  Enfield  musket. 
Later  in  the  month  of  April,  General  H.  M.  Naglee  having  applied  to  have  me  transferred  with  himself  to  the  first  brigade  of 
General  Casey's  division,  I  was  assigned  to  that  command.  I  may  say  in  relation  to  the  morale  and  general  condition  of  the 
troops  with  whom  I  had  the  honor  to  serve  my  first  six  months  in  the  field,  that  they  could  not  be  surpassed.  This  was  the 
brigade  that  General  Hooker  originally  commanded,  and  was  composed  of  choice  troops,  all  of  whom  had  been  carefully 
recruited,  and  all  the  regiments  had  seen  a  year's  service.  General  Casey's  division,  at  the  time  of  my  assignment  there,  was 
composed  of  the  newest  troops  in  the  field,  and  had  begun  to  suffer  severely  from  the  malarious  influence  of  the  peninsular 
swamps.  Consequently,  when  Yorktown  was  evacuated,  a  large  number  of  the  sick  were  left  behind,  and  the  number  increased 
as  they  continued  their  march.  Encamped  in  front  of  Lee's  Mills,  on  the  Sunday  on  which  Yorktown  was  evacuated,  they 
were  early  to  enter  the  abandoned  works,  and,  in  so  doing,  two  men  were  killed  by  the  explosion  of  torpedoes  which  had  been 
placed  in  the  road  by  the  enemy.  *  *  Our  command  did  not  suffer  seriously  in  the  engagement  at  Williamsburg,  on  May 
5th,  1862,  and  was  encamped  for  several  days  subsequently  near  Fort  Magruder.  I  devoted  myself  exclusively  to  the  wounded 
enemy,  of  whom  large  numbers  fell  into  our  hands.  They  were  brought  from  the  field  on  stretchers,  and  most  of  them  were 
placed  in  the  large  tobacco  barn  of  the  mayor  of  Williamsburg,  Mr.  Saunders.  The  provisions  for  treating  this  large  number 
of  prisoners  were  very  limited.  Corn  husks  were  strewn  plentifully  on  the  floor,  in  lieu  of  mattresses,  and  the  men  were  laid 
upon  them  as  they  were  brought  in.  Fires  were  built,  and  cooked  rations  were  dealt  to  them,  after  some  delay;  but  for  a  day 
tin-re  was  a  good  deal  of  suffering  for  want  of  food.  Stimulants  were  supplied  in  sufficient  quantity,  and  there  was  a 
reasonable  number  of  surgical  assistants.  Within  forty-eight  hours  after  the  action,  a  large  portion  of  the  patients  were 
transported  by  ambulance  trains  to  the  York  River,  where  steamers  were  in  readiness  to  convey  them  northward.  There  were, 
j>erhaps,  seven  hundred  or  eight  hundred  of  these  prisoners,  and  I  had  the  opportunity  of  witnessing  and  assisting  in  most  of 
the  major  surgical  operations.  My  opinion  was  expressed  in  favor  of  amputation  rather  than  excisions,  for  the  following 
reasons :  1st.  As  prisoners  of  war,  to  be  confined,  possibly,  in  close  quarters,  their  chance  of  life  would  be  diminished  by  tedious 


72  APPENDED    DOCUMENTS — PENINSULAR    CAMPAIGN. 

and  exhausting  suppuration.  2d.  They  were  men  of  dusky  and  leaden  complexion,  apparently  long  inured  to  the  ravages  of 
malaria,  and  unfit  to  bear  protracted  suppuration.  3d.  The  means  of  transportation  during  the  period  of  operative  procedure 
were  entirely  unknown,  and  there  was  a  dearth  of  surgical  apparatus  in  which  to  enclose  wounded  limbs.  Moreover,  the 
surgical  corps  was  so  small,  in  proportion  to  the  amount  of  work  to  be  done,  that  there  was  not  the  requisite  time  to  perform 
such  slow  operations  and  make  such  tedious  dressings.  4th.  The  splintering  of  the  bones  was  so  extensive  from  our  minie  ball 
that  resections  were  generally  impracticable.  These  considerations  were  entirely  apart  from  the  question  of  the  relative 
advantages  of  resection  and  amputation,  other  things  being  equal.  General  Casey's  division  suffered  severely  from  sickness 
during  the  march  up  the  Peninsula.  Day  by  day,  the  sick  list  increased,  and  the  removal  of  men  to  the  rear  became  a  serious 
problem.  The  number  of  ambulances  at  my  disposal  was  entirely  inadequate  to  the  accumulating  numbers  of  sick  men,  and  I 
was  repeatedly  obliged  to  use  wagon  trains  for  this  purpose,  after  placing  a  large  amount  of  hay  in  each  wagon.  The  sick 
very  generally  preferred  this  rude  conveyance  to  the  unpleasant  motion  and  risks  of  the  one-horse  ambulance." 


LIX.   Extract  from  a  Narrative  of  his  Services  in  the  Volunteer  Medical  Staff.     By  Surgeon 
EDWIN  BENTLEY,  U.  S.  Volunteers. 

*  *  *  "On  the  1st  of  October,  1861,  I  was  assigned  to  duty  with  the  brigade  in  General  F.  J.  Porter's  division, 
commanded  by  General  Butterfield.  It  was  composed  of  four  regiments  of  New  York,  Pennsylvania,  and  Michigan  volunteers, 
and  numbered  thirty-eight  hundred  men.  It  was  stationed  at  Hall's  Hill,  in  Virginia,  till  March  10th,  1862,  when  it  moved  to 
Fairfax  Court-house  and  Manassas,  and  then  returned  to  Alexandria  and  embarked  for  Fort  Monroe,  arriving  there  on  the  23d 
of  March.  On  the  following  day,  it  encamped  near  Hampton,  Virginia.  The  first  march  of  this  brigade  was  a  reconnaissance 
to  Great  Bethel.  The  men  were  in  fine  spirits.  '  *  The  enemy  hastily  retreated,  leaving  their  camp-fires  burning,  and  there 
was  but  a  slight  skirmish,  without  casualties.  On  April  5th,  the  command  arrived  in  front  of  Yorktown,  and  an  artillery 
combat  immediately  ensued.  Two  men  were  killed  and  several  wounded.  During  the  siege,  the  brigade  lost  nearly  five 
hundred  men  by  sickness.  *  *  Yorktown  was  evacuated  on  May  3d,  1882.  After  having  relieved  the  brigade  of  sick  and 
wounded,  who  were  unable  to  inarch,  to  the  number  of  two  hundred  and  thirteen  men,  it  embarked  with  the  division  for  West 
Point,  where  it  remained  for  a  few  days.  The  division  hospital  was  broken  up,  and  its  sick  and  wounded  were  put  on  board 
transports  lying  in  York  River.  From  West  Point,  the  command  marched  to  Tunstall's  Station,  Cold  Harbor,  and  Gaines's 
Mill,  where  it  encamped  on  the  26th,  and,  on  the  following  morning,  May  27th,  marched  to  Hanover  Court-house,  and  here 
fought  in  General  Porter's  only  successful  battle  during  the  peninsular  campaign. 

The  strength  of  the  third  brigade  was  now  nearly  four  thousand  men,  another  regiment,  the  12th  New  York  Volunteers, 
having  joined  it  near  Hampton.  In  this  engagement,  the  44th  New  York  Volunteers  suffered  more  severely  than  any  other 
regiment  of  the  brigade,  having  nineteen  killed  and  seventy  wounded,  all  of  whom  were  very  well  cared  for  on  the  field,  and 
conveyed,  on  the  second  day,  to  hospitals  near  Gaines's  Mill,  and  afterwards  furloughed,  or  sent  to  general  hospitals,  by 
transports  from  White  House.  The  supplies  of  water,  food,  and  soup  were  abundant ;  the  wounded  were  not  exposed  to  cold 
or  rain,  arid  the  supplies  of  medicines  and  hospital  stores  were  in  good  condition.  The  wounded  were  removed  from  the  field 
in  ambulances.  Primary  operations  were  performed  on  the  field  and  at  the  hospitals.  The  only  anaesthetic  used  was  chloroform, 
with  no  unpleasant  effects,  except  in  one  case,  that  of  a  rebel  soldier,  a  very  robust,  large,  muscular  North  Carolinian.  While 
preparing  this  man  for  amputation  of  the  thigh,  a  large  amount  of  chloroform  had  been  administered  without  the  patient's 
becoming  at  all  unconscious,  when  the  surgeon  of  the  16th  Michigan  Volunteers,  who  was  the  operator,  forced  him  to  large  and 
free  inspirations,  and  he  came  immediately  under  its  influence.  The  operation  was  performed  in  the  open  air,  and  very  little 
blood  was  lost;  but  the  pulse  sank  rapidly.  All  efforts  at  recuscitation  were  unavailing,  and  he  ceased  to  breathe  almost 
simultaneously  with  the  effect  of  the  anaesthetic.  *  *  On  the  26th  of  June,  the  battle  of  Mechanicsville  commenced,  and, 
during  the  night,  wounded  were  received  at  General  Porter's  division  hospital,  which  consisted  of  a  dwelling-house,  two 
temporary  barracks,  and  several  hospital  tents,  of  which  I  was  in  charge.  On  the  morning  of  the  27th,  this  hospital  was 
broken  up,  and  as  soon  as  the  sick  and  wounded  could  be  removed,  the  buildings,  tents,  many  hospital  stores,  and  much  other 
property  were  burned  by  Lieutenant  Bacheldor,  General  Porter's  aide,  to  prevent  their  falling  into  the  hands  of  the  rebels.  *  * 
On  the  afternoon  of  this  day,  the  battle  of  Gaines's  Mill  was  fought,  which  ended  in  the  retreat  of  the  right  wing  of  the  Army 
of  the  Potomac  across  the  Chickahominy.  The  physical  condition  of  this  command,  at  this  time,  was  most  excellent ;  but  the 
morale  was  impaired  by  the  unfortunate  diffusion  of  information  throughout  the  line  that  it  was  intended  only  to  make  a  brief 
stand,  and  then  to  retreat.  They  were  continually  expecting  this  order,  and  grew  impatient  at  its  delay,  instead  of  expecting 
and  purposing  to  advance  or  stand  with  a  determined  and  irrevocable  will.  The  strength  of  this  brigade,  at  this  engagement, 
was  a  little  over  four  thousand  men. 

The  supplies  of  medicines,  hospital  stores,  and  tents,  which  were  in  good  condition  and  abundant,  had  either  been 
destroyed  or  transported  across  the  Chickahominy.  The  ambulances  were  engaged  in  removing  wounded  as  fast  as  possible 
to  Savage's  Station,  and  other  convenient  or  accessible  depots  in  the  rear.  The  wounded  were  taken  to  hospitals  provided  on 
the  field,  and  were  accommodated  in  and  around  a  half  dozen  dwellings,  embracing  the  principal  buildings  in  the  vicinity. 
The  supply  of  water  was  abundant  and  good,  from  springs  and  running  streams.  The  wounded  that  were  unable  to  walk 
were  removed  thither  on  litters. 

The  fire  commenced  soon  after  twelve,  noon,  and  continued,  with  scarce  an  interruption,  until  dark,  when  the  rebels 
swept  over  the  field,  embracing  within  their  lines  our  hospital  depots  and  a  field  strewn  with  wounded.  The  wounded  remained 
at  these  depots  for  nearly  three  weeks,  many  of  them  without  shelter  or  protection  from  cold  or  rain.  They  were  attended  by 
Union  surgeons  who  had  been  captured,  but  nominally  were  in  charge  of  a  rebel  surgeon,  a  Doctor  Maddox.  They  were 
finally  taken  to  Savage's  Station  and  thence  to  Richmond  in  ambulances  and  army  wagons  provided  by  the  rebel  authorities. 


EEPORTS    OF    ASSISTANT    SURGEONS    WOODHULL    AND    GREENLEA.F.  73 

The  operations  were  amputations,  excisions,  and  ligations  of  the  femoral  artery.  The  operations  were  primary,  or 
as  nearly  so  as  possible.  The  only  anaesthetic  was  chloroform,  which  was  used  with  no  unfavorable  results.  The  supply 
became  exhausted  before  the  operations  were  completed,  and  many  were  performed  without  its  aid,  and  often  with  as  little 
apparent  suffering  as  would  have  been  manifested  had  the  subjects  been  under  its  influence. 

The  number  of  casualties  at  the  different  depots  to  which  I  was  attached  was  nearly  fifteen  hundred  ;  a  tabular  statement 
of  which  was  taken  at  the  time,  but,  during  my  imprisonment,  was  unfortunately  lost.  After  ten  days,  when  all  suitable 
operations  had  been  performed,  and  the  men  cared  for  as  well  as  the  limited  commissariat  of  the  rebels  would  allow,  I  was 
taken  to  Richmond,  at  the  request  of  all  the  medical  officers  who  remained  on  the  field  after  being  captured,  for  the  purpose 
of  communicating  with  the  Confederate  government,  in  order  to  obtain  supplies  for  our  wounded;  but  my  appeals  and 
solicitations  to  rebel  authorities  were  in  vain.  I  was  sent  under  guard  to  Libby  prison,  and  put  on  duty  in  a  room  containing 
a  hundred  wounded  officers,  where  I  remained  until  the  22d  of  July,  1802,  when  we  were  exchanged,  and  forwarded  in 
transports  by  the  James  River,  and  I  reported  at  Harrison's  Landing." 


LX.     Extracts  from  a  Personal   Contribution  to  the  Medical   and   Surgical  History  of  the 
Rebellion.     By  Assistant  Surgeon  A.  A.  WOODHULL,  U.  S.  Army. 

"  I  entered  upon  the  spring  campaign  of  the  Army  of  the  Potomac  as  medical  officer  of  the  2d  U.  S.  Infantry. 
In  the  trendies  before  Yorktown,  the  regiment  was  under  a  heavy  artillery  fire,  without  casualties.  It  engaged,  four  hundred 
and  forty-six  strong,  at  the  battle  of  Gaines's  Mill,  Virginia,  '27th  June,  1382.  Its  condition  ami  discipline  were  of  the  first 
order.  At  that  action,  I  was  on  field  duty  with  the  regiment.  There  were  sufficient  medical  supplies  with  the  trains ;  but 
on  the  spot  nothing,  excepting  water,  more  than  the  hospital  knapsack  afforded.  Our  band  and  field  music  were  the  litter- 
bearers  to  my  station.  From  the  field  hospital,  a  third  of  a  mile  further  to  the  rear,  ambulances  carried  the  wounded  to 
Savage's  Station  hospital.  Some  of  the  very  severe  cases  were  left  on  the  field  as  the  line  of  battle  receded.  The  regiment 
was  under  fire  five  or  six  hours,  four  of  which  it  was  hotly  engaged  against  artillery  at  long,  and  musketry  at  moderate,  range. 
I  performed  no  capital  operation,  and  used  no  anaesthetic.  Our  loss  was  nearly  one  hundred  and  thirty,  being  more  than  twenty- 
eight  per  centum  of  the  force  engaged.  The  Chickahominy  was  crossed  in  the  night,  and  the  next  morning  all  the  wounded 
on  the  south  side  were  sent  to  Savage's  Station.  *  '  After  an  exceedingly  harassing  march,  Malvern  Hill  was  reached 
Monday,  30th  June.  Tuesday  evening,  the  regiment  was  under  fire  in  the  battle,  and  held  the  left,  though  without  loss.  I 
rendered  what  aid  I  could  with  a  knapsack  and  field  case,  on  the  field,  until  midnight.  The  missiles  were  both  round  and 
conoidal  bullets,  and  the  range  close.  All  the  Federal  wounded  were  borne  off  on  stretchers,  and  the  most  reached  Harrison's 
Landing  in  ambulances.  The  army  retired  at  daylight.  Before  leaving  the  Peninsula,  the  10th  infantry  was  placed  in  th  e 
same  battalion  with  the  2d." 


LXI.     Second  Extract  from  a  Narrative  of  his  Medical   Services.     By  Assistant  Surgeon 
CHARLES  R.  GREENLEAF,  U.  S.  Army. 

*  *  *  "During  the  stay  of  the  army  before  Yorktown,  I  was  assigned  to  the  charge  of  the  hospital  for  regulars. 
This  was  in  log  huts  erected  by  the  enemy,  and  distant  about  tsvo  miles  from  the  front.  But  three  wounded  were  received,  all 
shell  wounds,  very  severe,  and  all  died  a  few  hours  after  admission.  The  other  cases  were  fevers  and  the  like.  :  After 

the  battle  of  Fair  Oaks,  I  was  ordered  to  take  supplies  and  ambulances  to  Surgeon  J.  F.  Hammond,  U.  S.  A.,  medical  director 
of  General  Sumner's  Corps.  *  *  After  the  battle  of  Hanover  Court-house,  I  was  ordered  to  the  front,  and  assigned  to  duty 
in  charge  of  three  field  hospitals  near  headquarters.  The  medical  supplies  here  were  abundant.  The  hospitals  were  sixteen 
miles  from  the  scene  of  action.  The  supply  of  water  was  plenty,  and  the  wounded  were  well  cared  for.  There  were  no  deaths. 
Amputation  and  extraction  of  balls  were  the  only  operations  performed.  :  During  the  battle  of  Mechanicsville,  I  was 

assigned  as  medical  purveyor  at  Savage's  Station  ;  but,  the  railroad  being  used  for  the  transportation  of  ammunition,  supplies 
could  not  reach  me  before  the  line  of  communication  was  broken  by  the  enemy.  I  assisted  Surgeon  Milhau,  U.  S.  A.,  medical 
director  of  General  Heintzelman's  Corps,  to  receive  the  wounded  at  that  point.  Nearl  y  all  were  wounded  in  the  upper  portion 
of  the  body  by  the  minie  balls  and  fragments  of  shells.  Supplies  of  all  kinds,  as  well  as  hospital  accommodations,  were  limited. 
Many  of  the  men  were  exposed  to  the  weather.  The  station  was  nearly  eight  miles  from  the  scene  of  action,  and  the  wounded 
received  such  care  and  attention  as  those  who  were  present  could  give  them.  They  came  in  ambulances  and  on  foot.  A 
thousand  or  fifteen  hundred  were  sent  in  open  cars  to  White  House,  by  order  of  Surgeon  C.  S.  Tripler,  medical  director.  The 
remainder  were  left,  and  fell  into  the  hands  of  the  enemy.  *  *  The  operations  performed  at  Savage's  Station  were  principally 
amputations  and  excisions,  and  were,  of  course,  primary.  The  approximate  number  of  wounded  at  Savage's  Station,  when 
headquarters  moved,  was,  I  think,  three  thousand.  I  was  ordered  by  Surgeon  Tripler,  during  the  actions  at  Savage's  Station 
and  White  Oak  Swamp,  to  take  a  train  of  ambulances  forward,  and  was  on  that  duty  until  the  battle  of  Malvern  Hill,  when  I 
was  ordered  to  assist  Assistant  Surgeon  A.  K.  Smith  at  Haxall's  Station,  in  the  care  of  such  wounded  as  should  come  to 
headquarters.  The  field  of  action  was  about  three  miles  from  the  temporary  hospital  ;  the  supplies  of  medical  stores  were 
ample ;  and  the  wounded  received  every  attention.  Supplies  of  water,  fuel,  and  soup  were  abundant.  The  men  received  at 
headquarters  were  brought  in  ambulances  and  came  on  foot.  The  fire  in  those  actions  was  heavy,  and  lasted  nearly  all  day. 
Artillery  and  musketry  were  both  used,  and  at  various  ranges.  The  enemy  used  both  buckshot  and  the  conoidal  ball,  judging 
from  the  character  of  the  injuries.  As  many  as  could  be  were  sent  to  Harrison's  Landing  from  this  point ;  but  some  fell  into 
the  hands  of  the  enemy.  The  operations  were  principally  amputations,  excisions  of  small  joints,  and  extractions  of  bullets. 
I  should  judge  that  at  least  one  thousand  men  were  received  at  Haxall's  Landing." 

10 


74  APPENDED    DOCUMENTS PENINSULAR    CAMPAIGN. 

LXII.     Second  Extract  from  a  Report  of  his  Services  in  the  Medical  Staff.     By  Assistant 
Surgeon  ALEXANDER  INGRAM,  U.  S.  Army. 

*  *  *  "I  Was  ordered  to  report  to  Captain  A.  Pleasonton,  commanding  four  companies  of  regular  cavalry,  encamped 
at  tlie  park  on  Seventh  street,  Washington,  in  the  autumn  of  1861.  These  troops  were  quartered  in  comfortable  and 
commodious  buildings,  and  none  of  these  soldiers  were  ill.  Early  in  the  winter,  five  more  companies  of  cavalry  joined  the 
command.  A  hospital  containing  sixteen  beds  was  then  prepared,  and  proved  ample  for  the  necessities  of  the  command,  which 
numbered  about  five  hundred  officers  and  men  ;  all  of  whom  were  inured  to  the  hardships  of  a  soldiers  life  by  frontier  service, 
and  the  march  to  Utah  Territory.  We  had  but  few  cases  of  serious  illness  during  the  winter,  though  the  site  of  the  quarters 
was  not  good,  in  a  hygienic  point  of  view,  being  very  level,  and  rendered  marshy  by  frequent  rains.  During  the  greater  portion 
of  the  winter  I  had,  in  addition  to  the  above  duty,  to  attend  the  camp  of  eight  companies  of  the  First  United  States  Dragoons, 
quartered  in  huts  at  the  terminus  of  New  York  Avenue.  The  health  of  this  command  remained  good  during  the  winter,  and 
no  death  occurred  up  to  the  time  that  I  was  relieved  from  the  charge  of  it.  *  *  On  March  31st,  we  were  ordered  to  proceed 
to  Alexandria  and  to  embark  for  the  Peninsula.  '  ;  On  May  4th,  we  commenced  to  struggle  through  the  mud  towards 
Williamsburg.  *  *  We  proceeded  immediately  to  Williamsburg,  where  I  found  four  or  five  hundred  wounded,  almost 
exclusively  Confederates,  our  own  wounded  having  been  left  further  back,  near  the  field,  poorly  provided  with  hospital  and 
commissary  stores,  our  trains  not  being  able  to  get  up.  A  number  of  Confederate  surgeons  had  been  sent  back  from  General 
Longstreet's  division,  but  being  found  on  the  streets  without  credentials,  they  had  been  picked  up  by  guards  and  confined  as 
prisoners.  The  facts  being  made  known,  they  were  at  once  released,  and,  with  the  few  Union  surgeons  in  the  town,  proceeded 
to  make  the  \vounded  as  comfortable  as  possible  with  our  scanty  means.  The  Confederate  surgeons  were  entirely  unprovided 
with  instruments  and  stores,  but  the  necessary  instruments  and  a  few  essentials,  such  as  chloroform,  stimulants,  and  morphia, 
that  had  been  carried  on  saddles,  were  provided  by  us.  Beef  was  soon  obtained  and  distributed,  which,  with  contributions 
from  the  residents,  nourished  the  wounded  until  the  following  day,  when  our  trains  began  to  come  in.  The  wounded  were 
sheltered  in  churches  and  other  buildings,  and  did  not  suffer  from  exposure.  A  number  of  amputations  and  a  few  extractions 
of  balls  were  performed,  the  Union  and  Confederate  surgeons  working  very  amicably  together.  *  *  On  May  8th,  I  left 
Williamsburg.  The  wounded  had  not  all  been  sent  off.  *  *  During  the  battle  at  Gaines's  Mill,  June  27th,  the  greater 
portion  of  the  command  was  detailed  to  guard  the  bridges,  and  to  destroy  them  after  the  passage  of  our  troops.  I  spent  a 
portion  of  the  day  on  the  battlefield;  but  can  give  no  detailed  account  of  the  engagement,  not  being  familiar  with  the  position 
of  the  troops.  They  were  exposed  to  an  artillery  fire,  at  long  range,  throughout  the  day,  and  to  a  severe  musketry  fire  at 
different  times  during  the  day.  The  majority  of  the  wounds  on  this  occasion,  and  during  the  whole  campaign,  were  indicted  by 
the  conoidal  musket  ball,  but  many  also  by  the  round  musket  ball.  On  the  morning  of  June  28th,  all  our  troops  had  crossed 
the  Chickahominy,  and  the  enemy  opened  with  round  shot  from  the  other  side,  and  the  bridges  were  blown  up.  We  went  into 
camp  at  Savage's  Station,  a  depot  for  the  wounded.  The  supplies  of  food,  water,  and  hospital  stores  were  abundant,  though 
many  of  the  patients  were  not  sheltered.  Late  in  the  afternoon  of  this  day,  the  command  proceeded  to  James  River,  in  advance 
of  the  army,  and  communicated  with  the  gunboats.  Without  meeting  the  enemy,  we  reached  Carter's  Landing  on  the  evening 
of  June  29th.  During  the  night  the  wounded  that  had  been  able  to  walk  from  Savage's  Station,  together  with  many  stragglers, 
collected,  and  they  continued  to  pour  in  during  June  30th,  until  some  thousand  sick,  wounded,  and  deserters  were  assembled. 
Three  hundred  of  the  worst  cases  were  selected  and  sent  to  Fort  Monroe  on  a  gunboat.  The  buildings  on  Carter's  place  were 
used  to  receive  those  requiring  shelter;  the  remainder  congregated  about  those  buildings.  On  July  1st,  the  wounded  from  the 
battle  of  White  Oak  Swamp  and  Malvern  Hill  came  in  upon  ambulances.  Early  in  the  day,  Surgeon  F.  H.  Hamilton,  U.  S.  V., 
arrived,  with  instructions  from  Medical  Director  Tripler  to  establish  general  hospitals.  Straw  being  abundant,  some  seven 
hundred  were  very  comfortably  accommodated,  a  number  of  medical  officers  that  had  been  detached  from  their  commands  were 
assigned  to  different  buildings,  and  to  the  care  of  those  in  the  yard.  I,  being  left  in  charge  of  the  hospital,  received  a  sufficient 
number  of  cooks  and  attendants  from  stragglers  collected  from  the  crowd  of  deserters.  I  also  received  an  abundant  supply  of 
commissary  stores  from  a  steamer  unloading  at  Carter's  Landing.  An  abundant  supply  of  beef  was  also  provided,  and  good 
water  being  easily  accessible,  the  men  did  not  suffer  for  want  of  nourishment,  though  medical  supplies  and  dressings  were 
limited.  During  the  day,  some  operations  were  performed,  and  all  the  wounds  wTere  dressed,  and  the  men  were  cheered  by  the 
prospect  of  going  down  the  river  on  hospital  transports  the  following  day.  At  daylight,  the  next  morning,  it  commenced  raining. 
The  steamer,  with  its  stores,  had  gone,  and  the  tone  of  everything  was  changed.  The  army  had  passed  us  on  the  way  to  Harrison's 
Landing.  I  was  ordered  to  rejoin  my  command.  After  starting  those  able  to  walk  for  Harrison's  Landing,  and  loading  the 
ambulances,  of  which  a  number  had  accumulated,  and  directing  them  to  the  same  point,  I  left  the  few  remaining  patients  in  the 
hands  of  Surgeon  M.  Rizer,  72d  Pennsylvania  Volunteers,  and  joined  the  command  to  which  I  was  attached."  *  *  * 


LXIII.     Extracts  from  a  Report  of  his  Services  in  the  Medical  Staff,  from  May,  1861,  to 
May,  1803.     By  Assistant  Surgeon  C.  E.  GODDARD,  U.  S.  Army. 

"  I  reported  at  Fort  Hamilton  on  May  28th,  1861,  to  Captain  A.  Doubledny,  and,  on  the  following  day,  went 
with  companies  E  and  H,  1st  U.  S.  Artillery,  just  returned  from  Fort  Sumter,  South  Carolina,  and  joined  General  Patterson's 
column  at  Chambersburg,  Pennsylvania.  *  Throughout  the  summer,  the  command  suffered  but  little  sickness,  none  of  the 

soldiers  being  attacked  by  anything  more  grave  than  ordinary  summer  diarrhoea.  *  *  On  September  3d,  the  command 
proceeded  to  Washington.  While  there,  we  had  few  sick.  *  *  We  were  joined  by  company  K,  4th  U.  S.  Artillery,  under 
Captain  De  Russy,  and  by  Captain  Tidball's  battery.  We  remained  on  Capitol  Hill  until  October  30,  1861.  I  had  few  cases 
of  illness.  Diarrhoea,  gonorrhoea,  and  syphilis  were  the  principal  diseases  I  had  to  treat.  *  *  On  October  30th,  we  moved 
to  Hudd's  Ferry,  Captain  Getty's  battery  having  joined  us,  and,  on  the  3d  of  November,  we  arrived  at  General  Hooker's  position 
on  the  Potomac  River.  :  Soon  after,  typhoid  fever  began  to  show  itself  in  the  command,  and,  during  the  winter,  I  had 


REPORTS    OF    ASSISTANT    SURGEONS    GODDARD    AND    SMITH.  75 

six  men  and  one  officer  ill  with  this  disease.  The  type  of  fever  was  mild,  hut  I  was  obliged  to  send  the  patients  to  the  division 
hospital.  The  other  diseases  noted  were  catarrhs  incident  to  exposure  and  remittent  fever.  On  March  4th,  18G2,  the  battery 
with  which  I  was  serving  proceeded  with  General  Hooker's  division  to  Fort  Monroe,  but  did  not  land,  because  an  attack  was 
feared  by  the  rebel  iron-clad  Merrimac ;  and  the  transports,  therefore,  landed  on  the  north  side  of  the  Peninsula,  at  the  mouth 
of  Cheesmaii's  Creek.  We  encamped  here  until  March  15th,  and  then  moved  to  the  lines  before  Yorktown.  Here,  the 
artillerymen  had  much  night  duty,  but  none  of  them  were  wounded.  But  five  cases  of  typhoid  fever  occurred,  and  twenty  of 
camp  diarrhoea.  After  the  evacuation  of  Yorktown,  the  command  moved  with  General  Hooker's  division,  and  met  the  enemy 
at  Williamsburg.  Two  of  the  batteries  to  which  I  was  attached  were  placed  in  front  of  Fort  Magruder,  and  I  was  occupied 
with  them  during  the  whole  of  the  day,  and  had  no  opportunity  to  see  anything  of  the  rest  of  the  battle.  Fifteen  of  the  men 
were  wounded,  and  two  of  the  officers.  Battery  K,  the  only  regular  battery,  lost  four  of  its  pieces,  and  after  the  capture  of 
these  and  the  withdrawal  of  our  infantry  supports,  I  could  no  longer  be  of  service  with  them,  and  reported  to  the  medical 
director  at  the  division  field  hospital,  established  at  Allen's  Farm,  about  two  miles  from  Williamsburg.  This  I  did  at  five  in  the 
afternoon,  and  was  occupied  here  for  five  days  in  dressing  wounds  and  assisting  in  operations.  I  observed,  during  this  battle, 
that  the  morale  of  the  men  of  the  command  was  good,  their  strength  being  four  hundred  men,  including  the  two  volunteer 
batteries.  Their  medical  supplies  were  sufficient.  The  wounded  were  removed  to  the  field  depots  on  stretchers,  and  from 
there  to  the  field  hospital  in  ambulances.  The  men  of  the  batteries  were  exposed  to  the  fire  of  round  shot  and  spherical  case 
from  Fort  Magruder,  and  the  fire  of  the  sharpshooters  in  the  rifle  pits,  from  seven  in  the  morning  till  three  in  the  afternoon. 
After  the  necessary  dressings,  the  wounded  were  removed  to  the  general  hospitals  in  Baltimore  and  Washington.  The 
operations  in  my  command  were  those  of  minor  surgery,  with  the  exception  of  one  primary  amputation,  in  the  case  of  an 
officer.  Chloroform  was  the  anaesthetic  used.  Out  of  the  four  hundred  men  serving  with  the  command,  fifteen  men  and  two 
officers  were  wounded.  *  *  On  May  10th,  we  were  put  in  position  to  guard  the  bridge  at  White  Oak  Swamp.  During  our 
stay  there,  one  officer  of  the  command  died  of  typhoid  fever,  and  six  men  were  sent  to  the  division  hospital  with  that  disease. 
On  May  31st,  we  were  ordered  to  Fair  Oaks,  to  reinforce  General  Heintzelman.  We  arrived  late,  and  did  not  go  into  action. 
We  encamped  here  until  June  528th,  and  then  retreated  to  Harrison's  Landing,  and  were  only  engaged  at  Malvern  Hill  on  .July 
1st,  where  but  two  men  of  battery  K,  4th  artillery,  were  wounded.  I  was  occupied  nearly  all  day  in  the  general  hospital,  at 
the  brick  house,  on  the  summit  of  Malvern  Hill."  * 


LXIV.     Extracts  from  a  Narrative  of  the  Services  in  the  Afedical  Staff,  from  December  20M, 
1861,  to  May  ZM,  1863.     By  Assistant  Surgeon  A.  H.  SMITH,  U.  S.  Army. 

"  My  connection  with  the  army  began  as  assistant  surgeon  of  the  43d  New  York  Volunteers.  I  reported  for  duty 
December  20, 1861.  The  regiment  was  with  the  Army  of  the  Potomac,  near  Chain  Bridge.  Little  of  interest  occurred  until 
the  Army  was  transferred  to  the  Peninsula.  Being  required  to  leave  our  hospital  tents  at  Alexandria,  we  were  without  any 
special  accommodations  for  the  sick  during  the  advance  to  Yorktown,  hospital  tents  being  issued  to  us  about  the  first  of 
April.  Fortunately,  although  the  weather  was  wet  and  cold,  \ve  had  but  little  sickness  during  that  period.  On  April  3d,  I  was 
detailed  to  take  medical  charge  of  the  6th  Maine  Volunteers,  during  the  temporary  absence  of  the  medical  officers  of  that 
regiment.  During  a  reconnaissance  on  April  6th,  three  men  were  wounded  by  one  of  the  enemy's  shells,  one  requiring 
amputation  of  the  arm,  which  I  performed  on  the  field.  Returning  to  the  43d  New  York  Volunteers,  I  was  near  the  scene 
of  action  at  Lee's  Mills,  and  assisted  in  caring  for  the  wounded.  The  first  surgical  attendance  they  received  was  at  a  small 
house  about  a  mile  from  the  field.  The  attention  consisted  in  the  extraction  of  balls,  the  application  of  cold-water  dressings, 
the  administration  of  food  and  stimulants,  and  the  free  use  of  morphia.  Water,  tea,  coffee,  and  commissary  stores  were 
abundant,  but  no  soup  was  on  hand.  The  wounded  were  removed  to  the  hospitals  on  stretchers,  and  some  in  the  arms  of  their 
comrades.  Both  conoidal  and  round  musket  balls  were  extracted.  About  the  '23d  of  April,  I  was  detailed  as  assistant  in  the 
field  hospital  of  the  brigade,  a  mile  in  the  rear.  This  consisted  of  four  tents  and  four  flies,  capable  of  accommodating  sixty-four 
patients.  Rude  bunks  were  constructed  with  poles  resting  on  crotches.  We  had  about  twenty  bed-sacks,  which  were  used 
for  the  worst  cases.  The  principal  diseases  were  diarrhoea  and  typhoid  fever.  But  few  wounded  were  received.  After  the 
evacuation  of  Yorktown,  1  was  left  alone,  and  the  number  of  sick  was  increased  to  one  hundred  and  twenty-five,  the  greater 
portion  of  them  sleeping  in  shelter  tents.  We  had  a  large  cooking  stove  and  two  good  cooks,  and,  as  there  was  an  abundance 
of  fresh  beef  and  flour,  beef  tea  and  flour  grutd  were  furnished  to  the  sick.  A  few  days  subsequently,  I  was  ordered  to  remove 
my  sick  to  Yorktown.  The  distance  was  ten  miles,  much  of  it  over  a  corduroy  road,  and  the  weather  was  very  sultry.  A 
quantity  of  hay  was  placed  in  the  wagons,  and  about  forty  of  the  most  feeble  patients  were  placed  upon  it.  One  man,  with  a 
gunshot  fracture  of  both  bones  of  the  leg,  was  carried  the  whole  distance  on  a  stretcher  ;  while  another,  shot  through  the  lung, 
ten  days  before,  rode  my  horse,  with  a  man  walking  on  each  side  to  hold  him  on.  Both  recovered.  The  remainder  walked, 
some  of  them  not  reaching  Yorktown  until  the  third  day ;  but  all  eventually  reported  in  safety.  But  one  death  occurred  as  the 
immediate  result  of  the  transportation,  while  many  recoveries  seemed  actually  to  date  from  the  journey.  After  two  weeks  of 
hospital  duty  at  Yorktown,  I  was  placed  in  charge  of  the  steamer  Louisiana,  with  orders  to  fit  her  up.  and  take  a  load  of  sick 
to  Washington.  Though  a  large  boat,  the  ventilation  was  so  defective  that  only  two  hundred  and  fifty  patients  could  be  carried 
with  safety.  Returning  to  Yorktown,  I  resumed  my  hospital  duties.  The  buildings  in  Yorktown  were,  for  the  most 

part,  ill  adapted  for  use  as  hospitals.  The  town  was  also  in  an  utterly  indescribable  condition  of  filth.  This  evil  was  rapidly 
corrected  by  the  efforts  of  the  medical  director  and  the  provost  marshal,  a  large  number  of  negroes  being  employed  in  policing. 
The  supply  of  medicine  and  hospital  stores  was  at  first  very  inadequate,  but  the  deficiency  was  soon  remedied.  On  May  '27th, 
I  was  ordered  to  rejoin  my  regiment,  then  on  the  Chickahominy.  There  I  found  an  appointment  as  surgeon  of  the  94th  New 
York  awaiting  me.  As  that  regiment  was  at  Manassas,  I  started  for  Fort  Monroe  on  my  way  to  join  it.  At  the  White  House, 
I  was  placed  on  a  boat  having  on  board  nearly  six  hundred  wounded  from  the  battle  of  Fair  Oaks.  The  condition  of  these 
men  was  pitiable.  They  were  in  the  clothes  in  which  they  fell,  generally  saturated  with  blood,  ami  their  wounds  were,  in 


76  APPENDED    DOCUMENTS — PENINSULAR    CAMPAIGN. 

many  cases,  filled  with  mnggots.  There  were  five  medical  officers  on  board,  besides  dressers  and  female  nurses.  By  the  time 
we  reached  Fort  Monroe,  every  man  had  been  washed,  had  his  wounds  dressed,  and  been  supplied  with  clean  under-clothing. 
On  arriving  at  Fort  Monroe,  I  received  orders  from  the  medical  director  to  proceed  with  the  boat  to  New  York.  Returning 
thence  to  Washington,  I  passed  my  examination  for  the  position  of  assistant  surgeon  in  the  regular  army,  before  the  board 
then  in  session,  after  which,  I  joined  the  94th  New  York  Volunteers  at  Manassas." 


LXV.     Extracts  from  a  Narrative  of  his  /Services  in  the  Medical  Staff.     By  Assistant  Surgeon 
H.  S.  SCHELL,  II.  S.  Army. 

*     *     *     "On  July  16lh,  1801,  I  was  ordered  by  Surgeon  W.  S.  King,  U.  S.  A.,  medical  director  of  General  McDowell's 
army,  to  proceed  to  Alexandria,  and  organize  a  general  hospital  in  a  building  that  had  been  used  as  a  seminary.     '  On 

the  evening  of  the  Sunday  on  which  the  battle  of  Bull  Run  was  fought,  I  was  ordered  by  Surgeon  General  Finley  to  report  to 
General  McDowell.     In  the  middle  of  August,  I  was  ordered  to  report  to  General  W.  T.  Sherman,  and  was  assigned  to  duty 
with  the  regular  troops  in  his  division,  consisting  of  two  batteries  of  the  2d  and  3d  U.  S.  Artillery,  and  a  squadron  of  cavalry. 
*     *     We  embarked,  with  the  rest  of  the  army,  at  Alexandria  for  Fort  Monroe,  and  reached  Yorktown  on  April  6th,  1862. 
On  this  day,  we  had  five  men  wounded  by  the  artillery  fire  directed  on  our  batteries.     One  of  these,  perhaps  the  first  man 
wounded  on  the  Peninsula,  had  his  left  thigh  crushed  in  the  middle  third  by  a  fragment  of  shrapnel.     I  performed  immediate 
amputation,  but  the  shock  was  too  great,  and  the  man  expired  shortly  afterwards.     I,  fortunately,  had  abundant  supplies  of  all 
kinds  for  the  men.     *     *     A  division  hospital  was  established,  and  the  wounded  were  removed  there  that  evening.     *     *     On 
the  27th  of  May,  we  moved  to  Hanover  Court-house  and  engaged  a  force  of  the  enemy,  estimated  at  seven  thousand.     General 
F.  J.  Porter's  division,  to  which  we  were  attached,  lost  about  two  hundred  and  fifty  men.     On  this  occasion,  as  on  several 
others,  I  found  it  impracticable  to  attend  more  than  a  single  battery  in  the  time  of  action,  because  of  the  distance  intervening 
between   batteries  of  the  same  division,  and  their  frequent  changes  on  the  field.      Another  difficulty  was   packing  up   and 
transporting  soiled  and  bloody  instruments,  dressings,  and  other  appliances,  to  attend  to  cases,  perhaps  a  mile  apart.     I  would 
respectfully  recommend  that  medical  officers  of  batteries,  in  time  of  action,  should  attach  themselves  to  a  single  one,  and  leave 
others  to  be  attended  to  by  the  medical  officers  of  the  supporting  regiment  of  infantry.     ;       :     I  took  possession  of  a  small 
house  in  advance  of  the  position  of  our  guns,  and  it  was  soon  filled  with  wounded  Confederates.     Only  one  man  was  wounded 
in  our  battery.     I  obtained  an  abundance  of  water  and  food  for  these  patients,  and  the  next  day  had  them  removed  to  a  hospital 
near  Gaines's  Mill,  about  twenty  miles  distant.     The  fight  lasted  scarcely  thirty  minutes.     The  fire  of  the  enemy  was  from 
musketry  at  short  range,  from  fifty  to  one  hundred  yards.     The  operations  performed  were  primary  amputations.     *     *     We 
camped  at  Gaines's  Mill  until  June  26th,  and  then  marched  to  Mechanicsville,  but  did  not  participate  in  the  engagement.     We 
returned  to  Gaines's  Mill  during  the  night,  and  were  attacked  the  next  day.     The  strength  of  the  command  was  five  officers 
and  one  hundred  and  thirty-three  men.     Owing  to  various  debilitating  circumstances,  their  grade  of  vitality  was  lowered.     At 
the  commencement  of  the  engagement  at  Gaines's  Mill,  the  batteries  were  close  together,  and  I  established  a  depot,  for  the  care 
of  the  wounded  in  their  midst,  in  a  house  belonging  to  one  Adams.     Two  of  the  batteries  moved  off  presently,  and  I  lost  sight 
of  them,  being  preoccupied  by  the  wounded  brought  to  me.     My  depot  had  become  a  hospital  for  the  surrounding  infantry 
regiments,  and  nearly  three  hundred  wounded  men  were  accumulated,  while  five  or  six  surgeons  came  to  assist  in  attending 
them.     These  wounded  had  the  necessary  primary  dressings  and  operations,  and  two  bundled  of  them  were  sent,  immediately 
afterwards,  to  the  other  side  of  the  Chickahominy,  some  in  ambulances  and  some  on  foot.     Most  of  the  medical  supplies  had 
been  previously  sent  across  the  Chickahominy,  so  that  our  stores  were  deficient.     *     *     In  company  with  Assistant  Surgeon 
E.  J.  Marsh,  U.  S.  A.,  I  remained,  during  the  falling  back  of  our  forces  from  the  battle-ground  of  Gaines's  Mills,  at   a 
house  used  as  a  hospital,  and  situated  very  near  the  centre  of  our  lines  during  the  action.     In  consequence  of  this  position,  the 
hospital  was  surrounded  by  dead  bodies  of  men  and  horses,  and,  together  with  its  outhouses,  was  filled  to  overflowing  with 
wounded.     Among  the  cases,  numbering  in  all  one  hundred  and  twenty,  there  was  a  large  portion  of  very  severe  ones, 
so  that  nearly,  if  not  fully  three-fourths  of  them  were  unable  to  move  without  assistance.     These  comprised  four  cases  of 
fracture  of  the  skull,  ten  cases  of  wounds  of  the  abdomen,  twenty  of  the  chest,  six  of  the  pelvis,  nine  of  the  larger  joints, 
and  thirty-nine  cases  of  fracture  of  the  long  bones.      For  five  days  after  the  engagement,  we   had  but  three   assistants; 
scarcely  enough  to  carry  water;  and,  in    consequence,  was  obliged  to  use   every  man  who  was  but  slightly  wounded  only 
in  an  arm  as  a  nurse.     At  the  teimination  of  the  above-named  period,  we  succeeded  in  obtaining  six  prisoners,  who  were 
paroled  not  to  escape.     These  men  were  detailed  for  nurses,  but  a  more  worthless  half  dozen  it  would  have  been  difficult  to 
find.     The  ration  furnished  for  the  patient  by  the  Confederate  authorities  consisted  of  flour  and  bacon,  with  a  small  proportion 
of  beans,  salt  beef,  and  salt.     The  quantity  was  exceedingly  small,  and  many  of  the  poor  wretches  forgot  the  pain  of  their 
injuries  in  the  more  terrible  pangs  of  hur/ger.     But  while  food  was  scarce,  maggots  were  abundant,  crowding  and  rolling  in 
every  wound,  and  searching  beneath  the  dressings  to  fasten  upon  every  excoriation.     Oil  of  turpentine  and  infusion  of  tobacco 
and  of  the  flowers  of  the  elderberry  were  tried,  for  the  purpose  of  getting  rid  of  this  pest;  but  the  most  effectual  means  was 
found  to  be  the  dressing  forceps ;  and  to  keep  a  wound  clean,  it  required  to  be  examined  every  two  or  three  hours.     A  solution 
of  camphor  in  oil,  is  an  excellent  remedy,  if  applied  directly  to  the  bodies  of  the  intruders,  the  secretions  of  the  wound 
having  been  previously  removed  by  a  piece  of  sponge.     It  seems  to  me  that  the  maggot  actually  does  damage  in  a  wound ; 
although  not  by  attacking  the  living  tissues,  but  only  by  the  annoyance  created  by  the  continual  sensation  of  crawling  and 
irritation  which  it  occasions,  and  of  which  the  patient  often  complains  bitterly.     In  certain  states  of  the  system,  the  nervous 
excitement  or  irritability  thus  engendered  must  react  injuriously  upon  the  parts.     The  large  number  of  severe  cases  rendered 
some  crowding  necessary,  although  the  men  were  kept  as  much  in  the  open  air  as  possible.     The  fierce  rays  of  a  July  sun  soon 
started  the  usual  series  of  changes  in  the  dead  bodies  of  horses  and  half-buried  men,  which  strewed  the  earth  for  a  mile  around 
the  house.     Every  hot  breath  of  wind,  as  it  swept  over  the  field,  came  saturated  with  the  disgusting  odor  of  putrescent  animal 
matter.     All  night,  when  the  air  was  quiet,  it  became,  on  this  account,  peculiarly  oppressive.     In  a  few  days,  a  feeling  of  languor 


REPORT    OF    ASSISTANT    SURGEON    BROWN.  77 

and  debility  seized  upon  the  surgeons,  assistants,  and  patients.  Every  fractured  leg,  or  other  part  of  the  body  that  required  to 
be  kept  in  one  position,  excoriated  and  sloughed  wherever  it  touched  a  point  of  support.  Many  of  the  wounds  began  to  look 
badly  ;  typhous  symptoms  rapidly  developed ;  operative  cases  showed  little  or  no  disposition  to  heal ;  three  or  four  cases  of 
pure  typhus  occurred,  and  one  half  of  the  whole  number  of  these  unfortunate  men  died  during  the  month.  Of  five  major 
amputations,  two  only  survived,  and  the  same  result  occurred  in  a  like  number  of  resections.  With  this  frightful  mortality,  let 
me  contrast  the  result  of  the  cases  in  a  hospital  situated  about  a  mile  in  the  rear  of  the  foregoing  one,  on  the  summit  of  a  hill, 
and  in  a  perfectly  sweet  and  pure  atmosphere.  I  had  in  this  building  and  its  out-houses  one  hundred  and  six  cases,  among 
which  there  were  two  cases  of  fractures  of  the  skull,  twelve  cases  of  gunshot  wounds  of  the  chest,  two  cases  of  wounds  of  the 
abdomen,  three  cases  of  wounds  of  the  pelvis,  seven  cases  of  fractures  of  the  long  bones,  three  cases  of  wounds  of  the  larger 
joints,  ten  major  amputations,  and  one  resection.  In  the  entire  number,  only  four  died,  and  the  operative  cases  all  did  well. 
In  the  one  case  of  resection,  I  removed  the  shattered  head  of  the  humerus  and  three  and  a  half  inches  of  the  shaft, ;  and  when 
I  last  saw  the  patient  he  was  almost  well.  In  the  hospital,  a  mile  in  the  rear,  there  was  not  so  large  a  proportion  of  severe 
cases  as  in  the  former;  but  the  chief  cause  of  the  striking  difference  in  the  results  lay,  I  think,  in  the  purity  of  the  atmosphere 
surrounding  it.  The  attendants  whom  I  had  here  were  fewer  in  number  than  in  the  other,  and  the  diet  was  precisely  the  same. 
In  both  cases,  there  was  a  plentiful  supply  of  fresh  water  in  the  vicinity.  On  my  return  to  the  command  with  which  I  was 
serving,  I  found  it  encamped  at  Harrison's  Landing,  James  River,  on  a  slight  swell  of  ground,  about  half  a  mile  from  the 
stream.  The  intervening  surface  was  ilat,  destitute  of  trees,  intersected  by  ditches,  and,  after  rains,  covered  by  pools  of  standing 
water,  which  dried  up  very  gradually.  The  principal  affection  was  some  disturbance  of  the  digestive  system,  commonly 
diarrhoea,  and  this  particularly  liable  to  run  into  the  chronic  form." 


LXVI.     JExtract  from  a  Narrative  of  his  Services  in  the  Medical  Staff,  from  April  24M, 
1861,  to  June  17M,  1863.     By  Assistant  Surgeon  H.  E.  BROWN,  U.  S.  Army. 

"I  was  appointed,  on  April  '26th,  assistant  surgeon  of  the  1st  regiment  of  the  Excelsior  Brigade,  a  regiment 
subsequently  designated  as  the  70th  New  York  Volunteers.  ''  '  In  addition  to  my  daily  duty  as  regimental  medical  officer, 
I  was  assigned  to  the  duty  of  examining  recruits  for  the  brigade.  All  recruits  were  thoroughly  inspected  according  to  the  plan 
pursued  in  the  regular  service.  The  brigade  was  stationed  at  Camp  Scott,  Staten  Island,  New  York,  until  June  23d,  1861. 
Its  strength  increased  from  three  to  five  thousand,  and  not  a  single  death  occurred  in  the  command  during  the  two  months;  to 
which  I  refer  as  an  instance  of  exemption  from  disease  worthy  of  note,  and  due  to  a  thorough  system  of  policing.  On  June 
23d,  the  70th  New  York  was  ordered  to  Washington,  and  was  stationed  on  Meridian  Hill  until  August  15th,  and  then  moved  to 
Good  Hope,  D.  C.,  where  they  remained  throughout  the  autumn.  The  health  of  the  command  while  at  Good  Hope  was 
remarkably  good.  The  camp  was  on  the  side  of  a  hill,  with  good  drainage,  and  excellent  spring  water  near  by.  The  men 
were  employed  in  drilling,  and  in  the  duty  of  building  fortifications.  The  prevalent  diseases  were  diarrhoea  and  dysentery, 
brought  on  by  imprudent  indulgence  in  luxuries  furnished  by  the  sutlers.  Not  a  single  death  occurred,  not  a  man  was 
discharged  for  disability,  and  but  one  was  sent  to  general  hospital  during  this  period.  About  the  1st  of  September,  the 
regiment  was  ordered  to  make  a  march  through  Prince  George,  Charles,  and  St.  Mary's  counties,  Maryland,  for  the  purpose 
of  breaking  up  the  contraband  trade  across  the  lower  Potomac.  They  were  absent  about  a  month,  marching,  on  an  average, 
about  ten  miles  a  day,  and  bivouacking  at  night  without  tents.  During  the  march,  the  health  of  the  regiment  was  excellent,  and 
in  several  companies  not  a  single  man  reported  sick.  In  the  latter  part  of  the  autumn,  the  regiment  marched  with  General 
Hooker's  column  to  Sandy  Point,  in  the  lower  Potomac,  and  was  there  stationed  until  their  embarkation  for  Yorktown  in 
April,  1862.  The  health  of  the  command  was  good  throughout  this  whole  period,  with  the  exception  of  a  short  epidemic 
of  typhoid  fever  in  December  and  January,  from  which  six  deaths  resulted.  The  strength  of  the  regiment  at  this  time  was 
one  thousand  and  eighty-three,  and  about  thirty  were  discharged  on  surgeon's  certificate  of  disability,  and  a  number  were 
transferred  to  other  regiments,  to  reduce  the  strength  to  the  maximum  of  one  thousand  and  thirty-six  allowed  by  law.  It  is 
worthy  of  remark  that  the  sickness  during  this  time  was  almost  entirely  confined  to  those  companies  of  the  regiment  which 
were  recruited  in  the  country.  Thus,  a  company  from  the  woods  of  Michigan  suffered  more  than  any  other,  while  city  companies, 
composed  of  a  lower  grade  of  men,  were  the  healthiest.  I  would  also  remark  that  those  who  were  most  sick  most  frequently 
visited  the  sutlers.  The  vile  trash  sold  by  this  pest  of  the  army  producing  dysentery,  diarrhoea,  and  other  diseases  of  the 
alimentary  canal,  while  those  who  confined  their  diet  to  the  strict  soldiers'  rations  were  healthy  and  hardy  men.  The  winter 
quarters  of  the  men  were  of  logs,  filled  in  with  mud,  a  detailed  report  of  the  construction  of  which  I  forwarded  in  October, 
1863,  at  his  request,  to  Lieutenant  Colonel  E.  P.  Vollum,  medical  inspector  United  States  Army,  and  which  will  probably  be 
found  in  that  bureau.  During  the  winter,  and  subsequent  to  the  evacuation  of  the  Confederate  batteries  on  the  Potomac,  the 
regiment  twice  crossed  the  Potomac  for  reconnaissance.  The  first  time  to  Dumfries,  and  the  last  to  Stafford  Court-house, 
Virginia,  in  the  latter  case,  having  a  severe  skirmish  with  a  large  body  of  cavalry,  defeating  them  and  burning  their  camps, 
with  a  loss  to  them,  as  acknowledged  by  rebel  newspapers,  of  upwards  of  a  hundred  in  killed,  wounded,  and  missing.  Our 
loss  being  one  wounded  and  four  missing. 

About  the  first  of  April,  the  division  embarked  on  transports  for  Yorktown,  landing  first  at  Ship  Point,  and  marching 
thence  to  the  front.  Their  position  in  line  was  on  the  right  of  the  army,  in  the  Third  Corps,  between  the  division  of  General 
Porter  and  that  of  General  Hamilton.  General  Porter  held  the  extreme  right,  resting  on  the  York  River.  During  the  month 
which  followed,  the  regiment  was  actively  engaged  in  the  duties  incident  to  the  siege.  The  casualties  during  this  time  being 
one  killed  and  two  wounded.  On  May  4th,  1862,  Yorktown  was  evacuated  by  the  enemy,  and  General  Hooker's  division,  with 
General  Stoneman's  cavalry,  formed  the  advance  in  pursuit.  By  General  Hooker's  order,  I  was  directed  to  remain  behind,  in 
charge  of  the  sick  of  the  division.  The  sick  of  the  division,  embracing  thirteen  regiments,  numbered  three  hundred  and 
ninety-three,  ;is  near  as  I  can  remember.  Of  these,  about  seventy-five  were  serious  cases  of  typhoid  fever  and  typhoid 


78  APPENDED    DOCUMENTS PENINSULAE    CAMPAIGN. 

dysentery,  the  remainder  being  convalescents,  rheumatic  cases,  and  malingerers.  I  established  my  camp  on  the  site  of  General 
Hooker's  headquarters,  placing  the  men  on  the  ground,  not  having  any  bunks,  in  hospital  tents,  as  far  as  I  could,  and  placing 
the  less  serious  cases  in  wall  and  shelter  tents.  I  was  at  first  very  inefficiently  supplied  with  food  and  medicines,  but  obtained 
a  supply  for  temporary  use  from  the  post  medical  director  at  Yorktown.  I  remained  at  this  place  until  the  20th  of  May,  when, 
our  camp  having  been  attacked  by  guerrillas,  I  was  ordered  by  General  Van  Allen,  military  governor  of  Yorktown,  to  remove 
my  sick  to  that  place,  which  I  accordingly  did,  and,  on  reporting  to  Assistant  Surgeon  Greenleaf,  U.  S.  A.,  post  medical 
director,  was  by  him  assigned  to  the  charge  of  the  warehouse  hospital.  During  my  stay  at  Camp  Winfield  Scott,  there  were 
thirteen  deaths,  one  hundred  and  ten  transferred  with  me  to  Yorktown,  and  the  remainder  returned  to  duty  with  their 
regiments.  On  May  27th,  by  orders  of  Medical  Director  Tripler,  I  proceeded  to  rejoin  my  regiment,  at  that  time  stationed  at 
White  Oak  Swamp,  on  the  extreme  left  of  the  army  in  front  of  Richmond. 

On  May  31st,  occurred  the  battle  of  the  Seven  Pines.  The  second  and  third  brigades  of  General  Hooker's  division  were 
ordered  at  four  in  the  afternoon,  to  reinforce  General  Casey  and  General  Couch,  and  mai-ched  for  that  purpose  to  the  battlefield, 
arriving  just  at  dusk.  The  third  brigade  was  ordered  to  the  trenches,  and  our  brigade  bivouacked  for  the  night  within  a 
quarter  of  a  mile.  At  6  a.  m.,  on  June  1st,  the  enemy  renewed  the  attack,  and  the  third  brigade  being  ordered  to  the  right  to 
the  line  of  the  railroad,  the  second  brigade,  comprising  the  1st,  2d,  3d,  4th,  and  5th  Excelsior  regiments,  were  ordered  to 
advance,  to  repel  the  attack.  The  enemy  were  posted  in  the  woods,  at  the  edge  of  a  ravine,  about  a  mile  in  advance  of  where 
the  attack  had  been  made  on  General  Casey,  the  previous  day.  Our  troops  had  to  advance  across  an  open  field  fronting  these 
woods,  which  thev  did  in  gallant  style,  firing  one  volley,  and  then  charging  in  line  of  battle  into  the  woods,  and  driving  the 
enemy  before  them.  After  this,  severe  artillery  firing  was  heard  throughout  the  day,  until  towards  evening,  when  a  reconnais 
sance  proved  that  the  enemy  had  retired  towards  Richmond.  The  next  morning,  Monday,  an  advance  was  ordered,  and  the 
division,  marching  on  the  old  Williamsburg  turnpike,  advanced  to  within  six  miles  of  Richmond,  without  meeting  any  signs  of 
the  enemy,  except  the  countless  slain  and  wounded  of  the  two  previous  days,  which  lay  scattered  thickly  in  every  direction. 
At  this  point,  they  were  met  by  an  order  from  headquarters,  directing  them  to  fall  back  and  occupy  a  camp  at  that  locality 
known  as  the  Seven  Pines.  At  the  commencement  of  this  engagement,  the  general  depot  for  wounded  of  the  division  was 
established  at  a  house  directly  in  the  rear  of  the  field,  where  the  action  commenced  on  Sunday.  To  this  depot,  all  the  medical 
officers  reported,  and  Surgeon  T.  Sim,  medical  director,  from  time  to  time,  detailed  such  to  go  on  the  field  and  assist  in  removing 
the  wounded  as  were  needed,  retaining  the  others  as  operating  surgeons  and  assistants.  The  wounded  were  brought  in  at 
first  on  stretchers,  but  afterwards,  as  the  tide  of  battle  receded,  in  ambulances.  The  want  of  a  properly  instructed  ambulance 
corps  was  severely  felt  here,  as  well  as  at  all  subsequent  engagements  which  came  under  my  notice.  The  regular  hospital 
attendants  were  needed  as  cooks  and  assistants  at  the  general  depot,  and  the  bands  of  the  various  regiments  proved  utterly 
worthless  in  bringing  off  the  wounded,  behaving  with  the  utmost  cowardice,  and  required  more  persons  to  wratch  and  see  that 
they  did  their  duty  than  their  services  were  worth.  As  a  natural  consequence  of  this,  whenever  a  man  fell  out  of  the  ranks, 
wounded,  four,  and  sometimes  six  of  his  comrades,  would  fall  out  for  the  purpose  of  carrying  him  away,  thus  seriously 
depleting  the  ranks,  and  affording  opportunity  to  the  skulkers  and  cowards  to  sneak  away.  The  supplies  for  the  wounded 
were  abundant,  and  the  arrangements  were  excellent.  A  fine  well  on  the  spot  furnished  water,  an  outhouse  was  converted 
into  a  kitchen  and  supply  store,  and  a  competent  man  was  placed  in  charge.  Soup,  coffee,  and  crackers  were  ready  at  all 
hours  for  such  as  needed  them.  The  medical  stores  of  our  regiment  furnished  a  sufficiency  of  whiskey  and  other  stimulants, 
and  I  believe  this  was  the  case  with  the  other  regiments.  The  only  articles  deficient  were  chloroform  and  ether;  and  this.  I 
think,  was  not  due  to  any  neglect,  but  to  the  fact  of  the  unusually  large  number  of  wounded,  we  having  to  attend  not  only  to 
those  of  our  own  division,  but  to  all  of  those  wounded  in  the  battle  of  May  31st,  the  ground  of  which  was  occupied  by  the  enemy 
until  Saturday  afternoon.  Nearly  all  of  our  men  brought  in  were  wounded  with  the  conoidal  or  mini6  ball.  I  saw  but  one  by 
cannon  or  round  balls.  There  was  one  case  of  bayonet  wound,  and  this  man  had  two  wounds  from  gunshot  and  five  bayonet 
wounds;  and  these  last,  he  asserted,  he  received  while  lying  on  the  field,  after  being  wounded.  The  rebels  captured  by  us  were 
wounded  with  the  bayonet,  with  round  "ball  and  buck  shot,  and  with  the  conoidal  ball,  and  some  few  had  shell  wounds,  the 
conoidal  ball,  however,  preponderating.  The  wounded,  immediately  after  being  attended  to,  were  placed  in  ambulances  and 
removed  to  Savage's  Station,  to  be  sent  thence,  by  railroad,  to  the  White  House,  for  transportation  north.  So  far  as  I  saw, 
the  operations  were  chiefly  primary  amputations,  the  excisions  being  but  few  in  number.  Chloroform  was  chiefly  employed, 
or  chloric  ether,  and  I  neither  saw  nor  heard  of  any  deaths  from  either.  On  Monday,  June  2d,  the  enemy  having  been  driven 
from  the  battlefield,  the  general  depot  was  moved  two  miles  further  in  front,  and  many  of  the  wounded  who  had  lain  forty-eight 
hours  on  the  field  were  here  attended  to.  These  poor  unfortunates  were  in  a  most  pitiable  condition,  weak  and  faint  from  loss 
of  blood  and  want  of  food,  and  nearly  dead  of  the  horrible  thirst  which  their  wounds  and  the  hot  sun  had  produced  ;  while,  to 
add  to  their  misery,  maggots  appeared  in  large  numbers  in  their  wounds.  These  men  were  tenderly  cared  for,  as  far  as  our 
means  would  allow,  and  forwarded,  like  the  rest,  to  the  WThite  House.  *  *  Until  June  25th,  I  was  engaged  with  the  daily 
duties  of  the  regiment,  encamped  on  the  battlefield  of  May  31st,  and,  in  conjunction  with  the  other  regiments  of  the  division, 
picketed  the  left  of  the  line.  A  more  horrible  place  for  a  camp  could  not  be  conceived.  Over  three  thousand  dead  had  been 
buried  there  ;  the  ground  was  covered  with  the  remains  of  clothing  and  commissary  stores.  Dead  horses,  which  had  been  but 
insufficiently  buried  or  burnt,  filled  the  air  with  a  noxious  effluvium,  and  the  only  water  was  that  obtained  from  the  surface,  or 
by  digging  down  a  few  feet,  and  this  infiltrated  with  the  decaying  animal  matter  of  the  battlefield.  The  duties  of  the  men  were 
very  laborious,  enough  to  break  down  a  strong  man  under  the  most  favorable  circumstances.  Under  this  combination  of 
circumstances,  therefore,  it  is  not  to  be  wondered  that  sickness  broke  out  in  the  command.  So  far  as  my  observation  went,  it 
took  chiefly  the  form  of  a  low  typhoid  diarrhoea  or  dysentery,  which  did  not  yield  in  the  least  to  the  ordinary  remedies  for  such 
diseases.  The  prescription  which  I  found  of  most  value  was  a  powder  composed  of  five  grains  of  the  mercury  and  chalk  of  the 
plmrmacopaeia,  six  grains  of  Dover's  powder,  and  two  grains  of  sulphate  of  quinia,  administered  several  times  a  day,  according 
to  circumstances.  Avoidance  of  exposure  to  the  sun  was  a  very  necessary  precaution.  Under  this  treatment,  most  of  the  cases 
recovered  in  from  three  to  five  days.  Intermittent  fever  at  one  time  threatened  to  be  a  serious  evil,  but  a  liberal  administration 


REPORTS    OF    ASSISTANT    SURGEONS    WHITTINGHAM    AND    WATERS.  79 

of  quinia  dissolved  in  whiskey,  to  the  whole  command  checked  its  progress.  During  this  period,  the  average  number  of  sick 
was  one  hundred  and  twenty,  in  a  regiment  hut  two  hundred  and  fifty  strong. 

On  June  25th,  General  Hooker's  and  General  Kearney's  divisions  were  ordered  to  advance  on  the  enemy's  pickets.  The 
pickets  being  driven  in,  a  severe  engagement  took  place,  which  lasted  about  six  hours,  and  ended  in  our  driving  the  enemy 
about  two  miles,  when  an  order  was  given  for  us  to  fall  back  to  our  line  of  entrenchments.  Our  depot  for  wounded  in  this 
engagement  was  placed  at  Peach  Orchard  Station,  on  the  railroad,  and  about  half  a  mile  in  the  rear  of  the  field  of  battle.  The 
supplies  were  good,  the  tents  sufficient,  and,  in  fact,  the  remarks  made  in  reference  to  the  engagement  at  Seven  Pines  will  apply 
here.  During  the  engagement,  I  took  two  hundred  wounded  to  the  White  House  on  rail  cars.  On  my  return,  the  battle  of 
Gaines's  Mill  had  been  fought  and  lost,  and  the  order  for  retreat  was  in  contemplation.  The  enemy  had  appeared  at  Bottom's 
Bridge,  threatening  the  hospitals  in  that  vicinity.  I  was  detailed  by  General  Hooker  to  proceed  thither,  and  to  break  up  the 
hospital  of  his  division,  and  to  proceed  with  such  of  the  men  as  could  travel  to  the  nearest  point  on  the  James  River,  and  to 
await  further  orders.  At  three  o'clock  A.  M.  on  June  27th,  I  removed  about  two  hundred  and  fifty  of  the  slight  cases,  leaving 
behind  seventy-five  very  sick  men  in  charge  of  Acting  Assistant  Surgeon  J.  W.  Powell  and  Assistant  Surgeon  McAllister,  71st 
New  York  Volunteers.  All  of  them,  including  the  medical  officers,  were  made  prisoners. 

I  proceeded,  with  my  command,  across  White  Oak  Swamp  Bridge,  reaching  the  estate  of  Hill  Carter,  opposite  City 
Point,  Virginia,  about  six  A.  M.  on  June  28th,  and  reported  to  Major  Pleasonton,  U.  S.  A.,  in  charge  of  that  point  Large 
numbers  of  sick  and  wounded  from  other  points  coming  in  during  the  day,  and  there  being  no  order  or  discipline  in  regard  to 
them,  many  large  bodies  being  without  any  medical  officer  whatever,  I  was  detailed  by  Major  Pleasonton  as  local  medical 
director,  with  instructions  to  organize  the  men,  and  separate  them  into  their  appropriate  corps,  and  to  provide  food  for  them  ; 
a  work  of  great  difficulty,  but  which,  with  the  valuable  assistance  of  Chaplain  W.  H.  Cudworth,  1st  Massachusetts  Volunteers, 
I  at  length  succeeded  in  doing,  issuing  about  seven  thousand  rations,  which  I  obtained  from  the  steamer  Spaulding,  which 
opportunely  arrived  at  this  time.  Here  I  remained  until  the  evening  of  June  31st,  when,  our  army  having  all  passed  by  during 
the  night,  Major  Pleasonton  directed  me  to  send  my  men  to  Harrison's  Landing,  five  miles  below."  * 


LXVII.     Extract  from  a  Narrative  of  his  /Services  in  the  Medical  Staff,  from  December  3 d, 
1861,  to  June  3d,  1863.     By  Assistant  Surgeon  EDWARD  T.  WHITTINGHAM:,  U.  S.  Army. 

*  "On  the  14th  of  May,  1862,  I  relieved  Assistant  Surgeon  J.  J.  Woodward,  U.  S.  A.,  of  his  duties  with  the 
artillery  of  the  first  division  of  the  Third  Corps,  Army  of  the  Potomac.  General  Kearney  commanded  the  division  ;  General 
Heintzelman,  the  corps.  I  continued  with  that  command  until  February  20th,  1863,  when  Surgeon  Letterman,  U.  S.  A., 
medical  director  of  the  army,  assigned  me  to  the  3d  regiment  U.  S.  Infantry,  attached  to  General  Sykes's  division,  the  second 
of  tbe  Fifth  Corps.  From  December  20th,  1862,  until  February  20th,  1863,  I  acted  as  medical  director  of  the  Third  Corps. 
The  division  to  which  I  had  the  honor  to  belong,  *  in  all  its  many  marches,  bivouacs,  encampments,  battles, 

retreats,  and  defeats,  it  appears  to  me  that  its  sanitary  condition,  under  the  circumstances,  has  always  been  excellent.  Previous 
to  the  battle  of  Fair  Oaks  it  was  all  that  could  be  desired,  and  more  than  could  be  expected.  The  sultry  heats  which  ensued, 
alternating  with  cold  and  severe  rains;  the  previous  exposure  in  the  swamps,  and  labor  in  the  trenches  in  front  of  Yorktown; 
the  miserable  location  of  many  of  the  camps  on  the  very  battlefield ;  the  badness  of  the  water  and  air,  rendered  fetid  by  the 
emanations  from  the  ill-made  and  numerous  graves  around,  and  the  constant  state  of  mental  excitement  and  watchfulness 
caused  by  the  nearness  of  the  enemy,  combined,  at  that  time,  to  damage  seriously  the  health  of  the  troops,  and  proportionately 
their  spirits.  To  these  causes,  and  the  endemic  malaria  of  the  climate,  may  be  attributed  the  fever  and  diarrhoea  of  the 
Chickahominy,  since  become  but  too  well  known.  At  Banks's  Ford,  despite  the  hardships  of  winter  exposure,  despite  the 
fatigues  and  despondencies  of  two  long  and  unfortunate  battles,  the  health  of  the  men  was  good,  chiefly  in  consequence,  as  far 
as  my  observation  goes,  of  the  excellence  and  plentifulness  of  the  commissariat  and  of  the  clothing  issued.  At  no  time  have  I 
seen  the  command  at  all  demoralized  by  disaster,  by  disease,  or  by  the  inaction  of  camp  life.  The  strength  of  the  artillery  of  a 
division  is,  generally,  about  four  hundred  men,  belonging  to  three  batteries.  *  *  More  than  two  batteries  of  the  division 
were  never  engaged  at  one  time,  while  I  served  with  them.  On  the  Peninsula,  the  supplies  of  medicines  and  hospital  stores 
were  ample.  Sometimes,  during  an  engagement,  there  would  be  a  temporary  deficiency,  after  those  carried  in  the  knapsacks 
had  been  exhausted,  from  the  difficulty  of  getting  at  the  wagons  in  which  they  were  conveyed.  Ample  accommodations  in  the 
way  of  ambulances  and  tents  could  be  procured,  but  were  not  always  available,  from  the  fortunes  of  war.  At  the  battle  of  Fair 
Oaks,  many  of  the  wounded  were  attended  in  a  house  immediately  behind  the  last  line  of  battle.  My  command  not  being 
engaged,  I  was  able  to  render  my  services  in  that  hospital.  I  estimate  the  number  I  dressed  at  fifty.  The  operations  were 
there  limited  to  those  where  immediate  surgical  interference  was  necessary,  sucli  as  the  extraction  of  balls  and  dressing  of 
wounds.  A  few  amputations  and  excisions  were  performed.  The  majority  of  injuries  were  inflicted  by  conoidal  balls,  round 
musket  balls,  and  buckshot.  The  necessity  of  keeping  the  roads  open  for  the  passage  of  troops,  in  the  last  four  of  the  Seven  days' 
battles,  rendered  the  transportation  of  the  wounded  in  ambulances  difficult.  Most  of  those  able  to  walk  found  their  way  to 
hospitals  in  the  rear ;  while  those  who  were  severely  hurt  could  not  be  collected  or  carried  from  the  field,  because  the  army 
retired  after  each  engagement.  *  At  the  battle  of  Nelson's  farm,  I  was  ordered  to  establish  a  hospital  on  the  Charles  City 

road,  about  half  a  mile  from  the  field.  I  had  no  supplies  but  such  as  could  be  carried  in  a  hospital  knapsack.  Nearly  one 
hundred  men,  however,  were  there  dressed  and  attended  to.  Water  was  plenty  and  good.  *  *  At  Nelson's  farm,  the 
approximate  strength  of  the  artillerymen  of  the  Third  Corps  was  two  hundred  and  fifty  men.  They  were  under  fire  of  both 
artillery  and  musketry  about  three  hours.  The  casualties  numbered  twenty-three,  mostly  from  small  arms.  '  '  At  Malvern 
Hill,  the  hospitals  were  half  a  mile  in  the  rear.  The  men  present  for  duty  in  the  artillery  reserve  of  the  Third  Corps  numbered 
two  hundred  and  fifteen.  There  were  but  four  casualties,  two  from  round  shot  and  two  from  conoidal  musket  balls. 


80  APPENDED    DOCUMENTS PENINSULAR    CAMPAIGN. 

LXVIII.     Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant  Surgeon 
"W.  E.  WATERS,  U.  S.  Army. 

*  *  *  "On  March  27th,  1862,  the  division  of  General  F.  J.  Porter,  accompanied  by  the  commander  of  the  Third 
Corps,  General  Heintzelman,  made  a  reconnaissance  to  Big  Bethel  and  beyond,  the  advance  proceeding  nearly  as  far  as  Lee's 
Mill.  A  few  cavalry  pickets  were  seen  near  Big  Bethel,  who  rapidly  retired  as  our  forces  approached.  The  same  day,  the 
enemy  abandoned  their  works  on  the  James  Eiver,  below  Yorktown,  and  those  between  the  river  and  the  direct  route  to  that 
place.  The  division  returned  to  camp  near  Hampton,  and,  on  April  4th,  led  the  advance  of  the  right  wing  of  the  army  to 
Yorktown,  by  wav  of  Big  Bethel.  When  near  Yorktown,  a  few  shots  were  fired  by  the  enemy  from  a  light  battery  within  their 
works  at  that  place.  This  fire  was  promptly  responded  to  by  one  of  our  batteries,  when  the  enemy  fell  back.  No  casualties 
occurred  on  either  side.  Our  forces  then  advanced  a  few  miles  and  bivouacked  for  the  night,  and,  on  the  following  day,  marched 
to  the  front  at  Yorktown.  When  within  about  a  mile  of  the  fortification,  the  enemy  commenced  firing,  to  which  our  light 
batteries  replied,  with  little  effect,  however,  in  consequence  of  the  long  range.  The  firing  continued,  at  intervals,  throughout 
the  day,  and,  in  the  brigades  of  General  Martindale  and  General  Morell,  about  five  men  were  killed  and  twenty  wounded.  The 
casualties  were  all  produced  by  artillery  missiles ;  some  by  round  shot  and  others  by  fragments  of  shell.  The  division  of  General 
Porter  held  the  extreme  right  of  the  line  resting  on  York  River,  and  the  next  was  the  division  of  General  Hamilton.  A 
few  earth  works  were  thrown  up  the  first  night,  for  the  protection  of  our  batteries.  After  bivouacking  for  two  or  three  days  in 
the  woods,  our  infantry  retired  to  a  camping  ground  not  directly  within  the  range  of  the  enemy's  guns,  and  commenced  the 
work  of  building  batteries,  trenches,  and  roads.  This  proved  to  be  a  work  of  great  magnitude,  and  was  continued  uninterruptedly 
for  a  month.  One  of  these  batteries  mounted  100  and  200-pound  Parrott  guns,  having,  in  easy  range,  the  enemy's  works, 
both  at  Yorktown  and  Gloucester  Point,  opposite.  During  the  siege,  occasional  casualties  were  reported ;  but,  considering  the 
number  of  men  constantly  at  work,  and  the  almost  as  constant  firing  by  the  enemy,  our  loss  was  very  small  indeed.  When  our 
formidable  works  were  completed,  the  ordnance  in  them  ready  to  open  upon  the  enemy,  after  a  night  of  the  most  terrific  firing, 
during  which  the  missiles  from  the  enemy's  guns  fell  thick  around  our  works  and  throughout  our  camps,  the  morning  of  May 
4th,  1862,  dawned  upon  the  deserted  fortifications  of  Yorktown.  One  of  the  most  barbarous  practices  of  civilized  warfare  was 
adopted  by  the  enemy,  in  placing  on  all  the  approaches  to  the  abandoned  fortifications  numerous  torpedoes,  which,  when  trod 
upon,  exploded,  killing  and  wounding  men  and  horses.  The  barracks,  houses,  tents,  and  streets  of  the  deserted  town  exhibited 
a  most  shameful  want  of  cleanliness,  and  the  large  number  of  graves  in  the  vicinity  bore  evidence  of  its  effect  upon  the  health 
of  the  troops.  The  hospitals  were  found  empty.  *  *  On  May  27th,  the  division  was  engaged  in  the  battle  of  Hanover 
Court-house.  The  general  condition  of  the  men,  their  health,  and  power  of  endurance,  together  with  their  courage  and 
determination,  were  such  as  to  cause  their  general  to  expect  much  of  them.  *  *  The  strength  of  the  command  I  would 
estimate  at  thirteen  thousand.  The  amount  of  medical  supplies  was  sufficient,  but  hospital  stores  were  not  so  abundant, 
as  the  command  moved  in  light  marching  order  without  any  wagons.  Very  suitable  food  was  procured  from  the  resources 
of  the  country,  and  the  wounded  received  an  abundance.  The  fight  was  of  short  duration,  and  ample  accommodations 
were  found  in  houses  in  the  immediate  vicinity  of  the  field  for  hospital  purposes,  and  the  wounded  received  prompt  and 
proper  attention.  Abundance  of  water  and  food  were  furnished,  and  the  patients  were  not  exposed  to  cold  or  rains.  The 
wounded  were  removed  on  stretchers  to  the  nearest  hospitals,  and  in  ambulances  to  those  more  remote.  The  fire  was  principally 
musketry  at  ordinary  range.  The  smooth-bore  musket  was  mostly  used  by  the  enemy.  The  wounded  were  removed  to  hospitals 
established  to  receive  them  in  houses  and  barns,  near  Gaines's  Mill.  The  casualties  consisted  of  about  sixty  killed  and  about 
two  hundred  wounded.  In  addition  to  these,  more  than  a  hundred  badly  wounded  rebels  fell  into  our  hands.  The  enemy 
was  routed.  On  the  next  day,  having  accomplished  all  the  expedition  was  intended  to  accomplish,  we  fell  back  to  camp, 
removing  all  the  wounded,  both  our  own  and  those  of  the  enemy.  *  *  The  battle  of  June  27th  was  fought  late  in  the 
afternoon,  and  the  troops  were  well  prepared  for  it,  having  eaten  their  rations,  and  rested  after  the  march  of  the  morning. 
The  men  appeared  willing  to  meet  the  enemy,  and  were  sanguine  of  success.  *  *  At  Gaines's  Mill,  the  principal  hospital 
for  the  division  was  a  large  house  about  one-third  of  a  mile  in  the  rear  of  the  line  of  battle.  *  *  At  Malvern  Hill,  though 
our  soldiers  had  lived  for  several  days  principally  on  hard  bread,  and  were  weary  from  marching  and  loss  of  rest,  when  they 
were  brought  to  confront  the  enemy  they  displayed  the  bravery  and  determination  which,  with  their  regard  for  discipline, 
made  it  one  of  the  very  best  divisions  in  the  army.  The  strength  of  the  command  was  probably  less  than  ten  thousand  of  such 
as  could  go  into  action.  At  Malvern  Hill,  a  hospital  for  the  corps  was  established  about  a  mile  and  a  half  from  the  field, 
and  was  abundantly  supplied  with  soup,  etc.  *  *  The  wounded  were  much  exposed  to  a  cold  rain  after  the  battle  at 
They  were  removed  to  Harrison's  Landing  in  ambulances,  where  a  shelter  was  soon  improvised.  *  *  The 
number  of  operations  performed  on  the  field  during  the  Seven-days  battle  was  comparatively  few,  as  our  forces  were  either 
In  ven  from  their  positions  or  abandoned  them  for  strategic  purposes.  At  Gaines's  Mill,  our  troops  were  routed,  after  a  battle 
of  two  hours,  and  at  Malvern  Hill  the  heat  of  the  fight  occurred  late  in  the  afternoon.  Here  the  enemy  were  handsomely 
Iriven  back,  yet  our  forces  retired  during  the  night,  leaving  many  wounded  to  fall  into  the  hands  of  tlie  enemy.  Many  medical 
ire  remained  with  them  on  both  battle  fields.  *  The  official  reports  of  these  battles  showed  four  hundred  and  sixteen 

lied,  including  twenty  officers,  and  eighteen  hundred  and  seventy-one  wounded,  among  whom  were  eighty-six  officers,  making 
an  aggregate  of  two  thousand  two  hundred  and  eighty-seven,  or  one-fourth,  probablv,  of  the  effective  strength  of  the  division 
when  it  went  into  action  on  June  27th."  *  *  * 


REPORTS    OF    SURGEONS    SPENCER    AND    HAND.  81 

LXIX.     Extract  from  a  Personal  History  of  his  Services  daring  the  War.    By  Assistant  Surgeon 
\V.  C.  SPENCEK,  U.  S.  Army. 

"On  March,  1862,  I  was  assigned  to  the  4th  United  States  Infantry,  in  the  regular  division,  and  with  it  served 
throughout  the  peninsular  campaign.     *  The  principal  actions  at  which  I  have  been  present,  and  in  which  the  division 

of  regular  infantry  was  engaged,  were  those  of  Gaines's  Mill  and  Malvern  Hill.  In  each  of  these  engagements,  I  was  detailed 
with  Surgeon  Bigelow,  U.  S.  V.,  and  Assistant  Surgeon  J.  V.  D.  Middleton,  U.  S.  A.,  for  duty  at  the  division  field  hospital. 
The  strength  of  the  4th  Infantry  was  about  four  hundred  and  fifty  men  ;  that  of  the  division,  from  five  to  six  thousand.  The 
morale  was  excellent,  and  the  supplies  of  every  description  ample.  The  wounded  were  attended  by  the  medical  officers  under 
fire,  while,  in  each  instance,  the  hospital  was  exposed  to  artillery.  The  wounded  men  were  removed  from  the  field  by  an 
organized  body  of  litter-bearers  and  ambulances.  The  men  were  exposed  to  both  artillery  and  musketry  fire  at  short  range, 
and  the  majority  of  the  wounds  were  produced  by  conical  balls;  few,  by  the  round  ball  or  buckshot.  After  the  battle  of 
Gaines's  Mil),  the  wounded  of  the  division  were  conveyed  in  charge  of  a  medical  officer  to  the  hospital  at  Savage's  Station, 
where  most  of  them  subsequently  fell  into  the  hands  of  the  enemy.  After  the  action  at  Malvern  Hill,  they  were  sent,  upon 
receiving  surgical  attendance,  to  Harrison's  Landing,  and  placed  on  board  of  transports.  Their  condition,  upon  their  arrival, 
was,  in  general,  remarkably  good,  and  this  principally  attributable  to  good  surgery,  and  to  the  free  use  of  brandy,  beef  essence,  and 
anodynes  at  the  hospital,  and  in  the  ambulances.  In  each  of  these  engagements,  I  performed  a  large  number  of  operations. 
They  included  but  few  excisions.  I  employed  an  anaesthetic  in  every  case  which  required  it.  No  accident  was  observed  to 
result  from  the  use  of  chloroform.  Throughout  the  campaign,  the  division  was  the  most  healthy  one,  I  believe,  in  the  army,  and 
this  was  almost  entirely  due  to  the  severity  with  which  the  sanitary  measures  of  the  medical  officers  were  enforced."  *  *  * 


LXX.     Extracts,  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Surgeon  D.  W. 
HAND,  U.  S.  Volunteers. 

"I  wras  appointed  brigade  surgeon  of  volunteers,  December  30th,  1861,  and  ordered  to  report  to  Brigadier 
General  Gorman,  commanding  a  brigade  in  the  Second  Corps.     *     *     During  the  month  of  April,  1852,  I  was  with  the  brigade 
in  front  of  Yorktown.     There  was  no  formal  battle,  but  we  had  a  few  men  wounded  every  day  by  conical  balls  from  sharp 
shooters.     These  were  conveyed  to  a  corps  hospital  in  the  rear,  when  their  wounds  were  dressed,  and  whence  they  were 
transferred  to  hospital  steamers  on  York  River.     *     *     On  May  31st  and  June  1st,  I  was  actively  engaged  at  the  battle  of  Fair 
Oaks.     General  Suirmer's  corps  fought  on  the  right  of  the  York  River  railroad,  and  maintained  its  position  throughout.     Two 
field  hospitals  were  established  by  Surgeon  J.  F.  Hammond,  U.  S.  A.,  medical  director  of  the  corps.     The  hospital  immediately 
on  the  field  was  placed  under  my  charge,  and  the  other,  half  a  mile  in  the  rear,  under  charge  of  Surgeon  J.  A.  Lidell,  U.  S.  V. 
The  wounded  were  brought  to  these  depots  rapidly  on  stretchers  and  extemporized  litters.     Large  numbers  of  Confederate 
wounded  were  brought  to  the  hospital  under  my  charge,  and  were  cared  for  the  same  as  our  own,  two  captured  medical  officers 
being  assigned  to  the  particular  charge  of  them.     All  the  major  operations  were  performed  by  experienced  surgeons  designated 
for  the  purpose,  and  two  assistant  surgeons  were  kept  constantly  engaged  looking  after  food  and  shelter  for  the  wounded.     A 
large  number  of  amputations  of  the  thigh  were  here  performed.     No  excisions  were  made.     Chloroform  was  used  in  all  cases, 
I  believe,  and  with  no  injurious  effect.     There  was  no  lack  of  surgical  appliances  and  medicine,  but,  owing  to  the  rise  of  the 
Chickahominy,  after  our  corps  crossed,  there  was  a  great  scarcity  of  provisions,  and  the  wounded  were  in  danger  of  dying  for 
want  of  sustenance.     At  the  suggestion  of  Medical  Director  Hammond,  I  had  two  cavalry  horses  killed  and  made  into  soup 
for  them.      This,  with  the  addition  of  small  quantities  of  rice  and  salt  that  I  was  enabled  to  get  from  the  ambulance  and 
ammunition  wagons,  made  a  very  nutritious  diet.     Water  was  abundant.     The  wounded  were  sheltered,  as  far  as  possible,  in 
the  farm  houses  and  barns,  and  under  rude  sheds  of  boards  and  boughs  of  trees ;  but  many  were  exposed  to  the  rain  the  second 
night  after  the  battle.     We  had  no  hospital  tents.     All  the  ambulances  of  the  Second  Corps  were  under  my  direction,  and 
were  sufficient  in  number.     As  the  roads  were  in  so  bad  a  condition,  and  we  could  for  several  days  get  no  cars  to  the  nearest 
station  on  the  railroad,  the  men  were  not  removed  to  White  House  until  four  or  five  days  after  the  action.    They  were  placed  on 
board  hospital  boats  and  sent  to  Philadelphia,  and  elsewhere.     My  brigade  of  four  regiments,  and  at  that  time  about  two  thousand 
seven   hundred  strong,  lost  forty-four  killed   and   two   hundred   wounded.      They  were   exposed   to   musketry  fire    at    short 
range,  and  were  mainly  injured  by  conical  balls.     *     *     During  the  retreat,  at  Peach  Orchard,  Savage's  Station,  White  Oak 
Swamp,  and  Malvern    Hill,  we   encountered  the  fire  of  the  enemy's  infantry  and    artillery,  and  drove  them  back.      As  our 
men  would  fall  they  were  carried  to  convenient  depots,  their  wounds  dressed,  and  then  left  under  charge  of  certain  detailed 
assistant  surgeons  each  evening  as  we  continued  to  retreat.     Several  medical  officers  of  my  brigade  absented  themselves  from 
their  regiments  during  the  whole  of  this  movement.     The  ambulances  also  were  badly  managed,  and  of  no  use  to  us.     The  loss 
in  my  brigade,  during  the  retreat,  was  sixteen  killed  and   sixty  wounded.     *     *     I  was  relieved  from    duty  with  General 
Gorman's  brigade  at  Harrison's  Landing,  and  took  charge  of  the  brick  hospital,  near  the  wharf,  for  ten  days.     I  was  then 
ordered  to  report  to  General  Sedgwick,  and,  on  July  24th,  136'2,  I  was  sent  by  order  of  General  McClellan  to  take  charge  of 
the  general  hospital  at  Newport  News,  Virginia.     I  assumed  charge  there  on  July  27th,  and  immediately  made  preparations 
for  the  reception  of  patients  from  the  Army  of  the  Potomac.     During  the  month  of  August,  patients  were  sent  to  me  in  large 
numbers,  and  I  had  at  one  time  as  many  as  two  thousand  patients.     Old  barracks  and  barns  were  the  buildings  used,  and,  as 
everything  required  was  allowed  me,  the  sick  and  wounded  wen;  made  quite  comfortable.      Many  of  the  sick  had  chronic 
diarrhoea,  and,  as  it  became  confirmed  in  many  cases,  and  frequently  fatal,  it  was  thought  best  to  discharge  a  great  many  of  these 
men.     No  epidemic  prevailed  at  the  hospital,  and  most  of  the  patients  did  well.     On  October  30,  18G2,  this  hospital  was  closed, 
and  the  remaining  patients  and  attendants  were  sent  to  the  general  hospital  at  Hampton.     On  November  4th,  I  was  ordered 
to  Suffolk,  as  medical  director  of  the  forces  commanded  by  General  Peck.      This  command  varied  from  fifteen  thousand  to 
thirty-five  thousand  men  during  the  next  six  months,  and  was  kept  on  active  duty,  in  throwing  up  intrencbments  and  making 
11 


82  APPENDED    DOCUMENTS PENINSULAS    CAMPAIGN. 

excursions  to  the  Blackwater  River,  and  into  North  Carolina.     During  the  winter,  we  had  many  wounded  at  various  times,  and 
took  care  of  them  all  at  the  regimental  hospitals  in  and  about  Suffolk.     These  cases  nearly  all  did  well. 

On  January  30,  1803,  we  had  a  brisk  fight  with  the  Confederate  forces  under  General  Pryor,  at  Deserted  House,  above 
Newport  News,  and  for  three  hours  received  a  heavy  artillery  fire.  During  this  engagement,  we  had  twenty-four  men  killed 
and  eighty  wounded.  The  men,  after  their  wounds  were  dressed  and  the  necessary  operations  performed,  were  sent  to  the 
regimental  hospitals  in  Suffolk.  All  the  amputations  did  well,  except  one  amputation  at  the  shoulder  joint.  In  this  case,  the 
parts  were  so  badly  torn  by  a  shell  that  it  was  difficult  to  make  a  sufficient  flap.  The  stump  sloughed,  and  secondary  haemorrhage 
from  the  axillary  artery  resulted  on  the  seventh  day,  when  the  subclavian  artery  was  immediately  tied.  No  blood  followed 
the  scalpel  in  this  operation,  and  the  artery  was  secured  without  having  occasion  to  use  the  sponge.  Under  the  best 
supporting  treatment,  the  patient  revived  for  a  time,  but  the  wound  made  in  tying  the  artery  sloughed  as  well  as  the  stump, 
and  the  patient  died  from  exhaustion,  twenty-eight  days  after  the  reception  of  the  injury,  and  twenty-one  days  after  ligating 
the  artery*."  * 

LXXI.     Extracts  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant  Surgeon 
J.  V.  D.  MIDDLE-TON,  U.  S.  Army. 

*  "  On  the  28th  of  May,  1862,  I  Avas  ordered  to  report  to  the  medical  director  of  the  Army  of  the  Potomac,  and 
upon  my  arrival  at  White  House,  Virginia,  telegraphed  to  Surgeon  Tripler,  U.  S.  A.,  that  I  would  not  be  able  to  obtain 
transportation  so  as  to  report  to  him  in  person  within  forty-eight  hours.  He  directed  me  to  remain  there  until  further  orders, 
and  to  assist  in  taking  care  of  the  wounded,  then  arriving  in  great  number  from  the  battle  of  Fair  Oaks.  After  these  were  all 
shipped,  which  occupied  about  ten  days,  I  received  an  order  to  report,  without  delay,  to  General  Sykes,  for  duty  with  the 
batteries  of  his  division,  companies  L  and  M  of  the  Third  and  I  of  the  Fifth  U.  S.  Artillery. 

After  the  battles  of  Gaines's  Mill  and  Malvern  Hill,  in  both  of  which  we  were  engaged,  we  marched  to  Harrison's 
Landing  and  encamped.  On  the  1st  of  August,  I  was  relieved  by  Assistant  Surgeon  S.  Adams,  U.  S.  A.,  and  transferred  to  the 
second  brigade  of  the  artillery  reserve,  where  I  had  charge  of  five  batteries  of  light  artillery.  On  the  night  of  the  16th  of 
August,  we  broke  up  camp  and  moved  to  Hampton,  Virginia,  which  place  we  reached  on  the  20th.  After  remaining  there 
several  days,  we  embarked  on  transports  for  Aquia  Creek.  From  there,  we  marched  to  Falmouth,  where  we  remained  until 
the  evacuation  of  Frederick sburg  by  our  troops.  We  next  proceeded  to  Alexandria,  Virginia,  and  from  thence  marched  into 
Maryland,  through  Frederick  City,  and  engaged  in  the  battles  of  South  Mountain  and  Antietam.  In  the  reorganization  of  the 
army,  which  took  place  at  about  this  time,  two  batteries  of  the  reserve  were  transferred  to  General  Burnside's  Ninth  Corps,  and 
I  was  ordered  with  them.  After  remaining  six  weeks  at  Pleasant  Valley,  Maryland,  we  crossed  the  Potomac  at  Berlin,  and 
proceeded  by  rapid  marches  to  Warrtnton,  Virginia.  On  the  14th  of  November,  I  was  relieved  by  Assistant  Surgeon  Pooley, 
U.  S.  A.,  and  was  directed  to  report  to  Surgeon  R.  O.  Abbott,  U.  S.  A.,  assistant  medical  director  Army  of  the  Potomac, 
Washington,  D.  C.,  in  whose  office  I  have  remained  until  the  present  date.  The  command,  in  which  I  served  during  nearly  the 
whole  of  the  Peninsula  and  Maryland  campaigns,  was  composed  of  batteries  numbering  eight  officers  and  two  hundred  and 
sixty  men.  All  the  batteries  were  engaged  at  the  battle  of  Gaines's  Mill  and  Malvern  Hill ;  but  at  South  Mountain  and 
Antietam  only  one  of  them  was  in  action.  *  *  The  command  was  always  very  well  supplied  with  medicines  and  hospital 
stores,  which  were  in  good  condition,  as  were  also  the  ambulances  and  hospital  tents.  The  wounded  were  first  hurriedly 
examined,  immediately  in  the  rear  of  the  batteries,  just  back  of  the  caissons;  but  as  the  field  hospitals  were  usually  near  at 
hand,  they  were  conveyed  thither  without  delay,  by  means  of  hand  stretchers.  WTater  was  not  easily  obtained  on  the  field  in 
the  peninsula  battles,  but  the  field  hospitals  were  usually  very  well  supplied  from  wells  and  springs  in  the  neighborhood  of  the 
houses  selected.  Of  Soyer's  soup  and  hard  bread  there  was  almost  always  a  sufficient  supply.  *  *  The  majority  of  wounds 
that  came  under  my  observation  in  the  field,  as  in  the  field  hospital,  were  caused  by  the  conoidal  ball.  Our  loss  at  Gaines's  Mill 
and  Malvern  Hill  was  six  killed  and  twenty-one  wounded ;  at  Antietam,  only  three  slightly  wounded.  I  did  not  perform  any 
operations  on  the  field,  as  there  was  no  necessity  for  immediate  action  in  any  case  that  came  directly  under  my  charge.  Two 
cases  of  compound  fracture  of  the  lower  extremity  which  occurred  at  Gaines's  Mill,  and  one  at  Malvern,  were  all  that  required 
amputation  ;  and  these  were  performed  during  the  day  at  the  field  hospital.  The  other  cases  were  comparatively  slight, 
requiring  simply  cold  water  dressings.  At  Gaines's  Mill,  as  well  as  at  Malvern,  our  wounded  were  captured  by  the  enemy,  in 
whose  hands  they  remained  for  over  a  week,  after  which  they  were  transported  by  steamers  from  City  Point  to  general  hospitals 
in  Washington.  Of  the  three  wounded  at  Antietam,  one  of  them,  a  flesh  wound  of  the  arm,  was  furloughed  by  order  of  General 
Burnside.  The  others  remained  with  the  battery,  and  were  treated  in  my  hospital  tent.  At  the  close  of  each  engagement,  I 
visited  the  field  hospitals,  and,  by  invitation  of  the  surgeons  in  charge,  assisted  in  the  many  operations  that  were  made,  including 
a  great  number  of  amputations  and  excisions.  Chloroform  and  sulph.  ether  were  both  used  as  anaesthetics;  the  former,  in  the 
majority  of  cases.  I  did  not  observe  a  single  death  from  its  administration." 


LXXII.     Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Surgeon  JOHN 
W.  FOYE,  U.  S.  Volunteers. 

"I  entered  the  service  on  May  13th,  18G1,  as  assistant  surgeon  of  the  llth  Massachusetts  Infantry,  which 
reached  the  front  in  time  to  participate  in  the  battle  of  Manassas.  The  troops  were  new  and  unaccustomed  to  marching,  and 
had  accomplished  only  sixty  miles  in  six  days,  one  of  which  was  passed  in  bivouac.  They  occupied  the  extreme  right  of  the 
line,  and  were  engaged  at  about  eleven  o'clock  A.  M.,  numbering  seven  hundred  and  fifty  bayonets,  driving  the  enemy  till  about 

*  This  refers  to  the  case  of  Private  Augustus  Reed,  Co.  B,  Cth  Massachusetts  Volunteers,  which  is  fully  described  by  Surgeon  Otis  M.  Humphrey, 
U.  S.  V.,  in  an  article  entitled:  "Remarks  on  axillary  and  subvlacian  legations."     American  Medical  Times,  Vol.  viii,  p.  161,  April,  1864.— EDS. 


REPORT  OF  SURGEON  J.  W.  FOYE,  IT.  S.  V.  83- 

two  o'clock  in  the  afternoon,  up  to  which  time  the  Confederate  wounded  at  the  hospital  station  nearly  equaled  our  own.  The 
regiment  was  accompanied  with  one  ambulance  well  provided  with  stimulants  and  surgical  appliances,  but  without  medicines  or 
tents.  The  field  hospital  was  established  about  a  quarter  of  a  mile  from  the  front  line  when  we  engaged,  but  late  in  the  day  it 
was  three-quarters  of  a  mile  in  the  rear.  There  were  four  capital  operations  at  this  hospital.  Wounds,  unaccompanied  by  fracture, 
were  treated  by  extracting  balls  when  practicable,  and  the  application  of  water  dressings.  The  hospital  was  located  one  hundred 
yards  from  Sedley's  Ford,  where  an  abundance  of  muddy  water  could  be  obtained,  but  no  food  of  any  description.  The  weather 
was  fine  on  July  21st.  On  the  following  day,  about  six  in  the  morning,  it  commenced  raining.  Until  two  in  the  afternoon,  but 
few  wounded  were  brought  off  by  their  comrades ;  but  later  it  was  not  unusual  to  find  a  flesh  wound  escorted  by  half  a  dozen  able 
men.  It  is  needless  to  say  that  they  did  not  return  to  the  field.  The  enemy's  fire  was  chiefly  from  musketry,  continuous,  and  ot 
short  range;  missiles  from  smooth-bore  muskets  predominated.  At  three  in  the  afternoon,  a  medical  officer  of  rank,  visited  this 
hospital  on  his  way  to  the  rear,  and  left  it  optional  with  the  medical  officers  at  this  hospital  station  to  join  him  or  to  remain.  A 
few,  Surgeon  Luther  V.  Bell,  llth  Massachusetts  Volunteers,  Dr.  Curtis,  a  civilian  surgeon,  and  Chaplain  Parker,  of  the  2d 
New  Hampshire  Volunteers,  remained  until  six  in  the  afternoon,  when  all  the  wounded  capable  of  moving  had,  at  that  time,  been 
sent  off  to  the  rear.  Nearly  all  the  surgeons  left  us  at  about  half  past  three  P.  M.  Three  ambulances  went  away  at  that  time. 
The  only  remaining  ambulance,  belonging  to  my  regiment,  was  captured  at  about  half  past  five,  within  a  hundred  j-ards  of  the 
hospital.  I  estimate  the  number  of  wounded  left  at  about  one  hundred  and  eighty.  All  of  them  fell  into  the  hands  of  the  enemy. 
I  saw  no  excisions  practiced.  The  major  amputations,  four  in  number,  were  by  the  circular  method.  The  casualties  in  the 
regiment  to  which  I  was  attached  were  thirteen  killed  and  forty-five  wounded.  The  large  proportion  of  killed  indicate  the  range 
at  which  we  engaged.  *  *  On  November  6th,  the  regiment  moved  to  Budd's  Ferry,  on  the  lower  Potomac,  where  we  passed  the 
winter  of  1861-62.  While  here,  the  regiment  was  recruited  to  the  maximum  standard,  and  the  men  attained  a  fine  degree  ol 
proficiency  in  drill  and  discipline ;  they  were  constantly  on  the  alert;  the  rebel  batteries  on  the  opposite  bank  kept  their  minds 
employed,  and  but  little  sickness  prevailed.  We  lost  but  one  man  by  disease  during  the  five  months  we  remained  at  this  post. 
On  April  6th,  the  command  embarked  for  the  Peninsula,  and  debarked  on  the  10th,  near  Yorktowii.  On  April  23d,  I  was 
commissioned  surgeon  of  the  regiment.  On  April  26th,  at  ten  p.  M.,  I  received  an  order  to  get  in  readiness  to  accompany  a 
storming  party  in  an  attack  to  be  made  at  daybreak.  The  party  consisted  of  two  companies  of  the  1st  Massachusetts 
Volunteers  as  stormers,  and  three  companies  of  my  own  regiment  as  sappers.  The  redoubt  to  be  carried  was  protected  at  the 
rear  by  a  swamp,  and  overlooked  a  plain  of  six  hundred  yards  extent,  skirted  by  woods.  The  stormers,  under  cover  of  the  night, 
obtained  a  position  in  the  edge  of  the  woods  facing  the  redoubt.  The  attack  was  made  at  dawn.  The  attacking  party,  one 
hundred  and  fifty  strong,  moved  forward  in  line  of  battle  at  double  quick,  receiving  one  volley  from  the  enemy  at  seventy  yards, 
and,  before  they  could  reload,  occupied  the  work,  which  was  levelled  by  the  sappers  in  twenty  minutes.  We  captured  twenty 
one  prisoners,  armed  with  the  Austrian  rifle.  There  were  six  killed  and  twenty-three  wounded,  who  were  brought  off  on 
muskets,  under  a  cross  fire  of  artillery  from  an  adjacent  work.  They  were  taken  to  one  of  the  hospital  steamers  on  York  River, 
near  the  camp.  On  May  4th,  at  noon,  the  regiment  formed  in  column  to  pursue  the  enemy,  Yorktown  having  been  evacuated 
during  the  previous  night.  We  marched  till  eleven  at  night  and  bivouacked.  At  daylight  on  May  5th,  we  marched  one  mile, 
and  came  in  front  of  Fort  Magruder  and  the  redoubts  before  Williamsburg.  The  regiment  numbered  about  nine  hundred,  rank 
and  file,  in  excellent  condition,  and  attacking  a  retreating  foe.  We  were  destitute  of  ambulances,  stores,  or  tents,  having  made 
a  forced  march.  The  surgical  appliances  were  very  limited.  The  field  hospital  at  which  I  served  was  located  on  the  Yorktown 
road,  half  a  mile  in  the  rear  of  the  line  of  battle.  The  wounded  were  attended  as  fast  as  they  arrived.  Seven  capital  operations 
were  performed.  Shelter  tents  were  pitched  for  the  reception  of  the  wounded.  We  were  destitute  of  food,  but  water  was 
plenty  enough,  as  it  rained  nearly  all  day.  The  wounded  were  taken  to  the  field  hospital  on  stretchers  made  by  the  pioneers 
of  poles  and  blankets,  the  regimental  drum  corps  acting  as  bearers.  At  about  two,  in  the  afternoon,  the  ambulances  arrived, 
and  the  wounded  were  taken  to  the  nearest  house,  one  and  a  half  miles  distant.  •  The  character  of  the  fire  was  continuous  till 
dark,  and  mostly  from  musketry  at  common  range.  The  balls  extracted  were  mostly  conoidal,  and  the  bone  injuries  were  of  a 
very  severe  character.  On  May  7th,  the  wounded  were  taken  in  ambulances  to  Cheesman's  Creek,  and  there  embarked  on 
hospital  transports.  There  were  no  excisions.  The  amputations  of  the  thigh  and  upper  arm  were  by  the  circular  method, 
and  by  the  flap  in  the  forearm  and  leg.  In  my  regiment,  there  were  twelve  killed  and  sixty-five  wounded. 

The  initiatory  fi»ht  of  the  Seven  days'  battles  commenced  at  about  ten  in  the  forenoon.  The  scene  of  the  fight  was 
three-quarters  of  a  mile  in  front  of  General  Casey's  battle  ground  at  Seven  Pines.  The  brigade  advanced  in  line  of  battle  at 
half-past  nine  in  the  forenoon,  and  met  the  enemy  strongly  posted  in  the  woods.  The  firing  was  desultory  on  both  sides,  and 
continued  from  ten  in  the  morning  till  five  in  the  afternoon,  at  about  which  time  the  enemy  was  dislodged  and  we  occupied  the 
western  edge  of  the  battle  ground,  having  advanced  half  a  mile  during  the  fight.  The  strength  of  the  command  composing 
the  brigade  had  been  much  reduced  by  disease.  The  morale  was  good.  The  approximate  strength  for  duty  in  the  brigade  of 
five  regiments  was  twenty-live  hundred.  The  proximity  of  the  brigade  encampment  to  the  field  of  battle  gave  us  an  abundant 
supply  of  every  thing  necessary  for  the  comfort  of  the  wounded.  The  field  hospital  was  within  half  rille  shot  of  our  line  at  the 
commencement  of  the  fight,  which  distance  was  gradually  widened  by  the  falling  back  of  the  enemy.  The  wounded  were 
brought  from  the  woods  on  hand  stretchers,  borne  by  the  several  regimental  bands  and  drum  corps,  to  the  field  hospital,  where 
they  received  the  attention  that  the  nature  of  their  injuries  demanded.  Those  cases  requiring  amputation  were  immediately 
operated  upon.  The  fire  was  from  musketry,  desultory,  lasting  seven  hours.  The  missiles  used  were  principally  conoidal 
musket  balls.  After  the  firing  had  nearly  ceased,  ambulances  were;  brought  down,  and  all  the  wounded  were  taken  to  Savage's 
Station  for  transportation  to  White  House,  on  the  York  River.  Chloroform  was  used,  and  no  bad  results  were  observed.  The 
killed  and  wounded  numbered  three  hundred  and  twenty-five.  At  Savage's  Station  on  June  29th,  the  trains,  with  commissary 
stores  and  camp  equipage,  were  ordered  to  be  destroyed,  and  a  train,  with  such  wounded  as  could  be  moved,  was  started  at 
daylight.  The  hick  of  my  command  accompanied  this  train.  Later  in  the  morning,  the  regiment  fell  back  to  Savage's  Station, 
about  two  miles  from  the  line  we  had  occupied,  and  took  a  position  to  cover  the  retreat.  About  nine  in  the  forenoon,  the  enemy 
brought  up  their  field  artillery.  The  engagement  was  one  of  artillery  exclusively.  It  lasted  about  three  hours.  At  two,  in 


34  APPENDED    DOCUMENTS PENINSULAR    CAMPAIGN. 

the  afternoon,  the  right  of  our  army  having  crossed  the  position  we  were  ordered  to  maintain,  the  division  of  General  Hooker, 
to  which  in  v  regiment  was  attached,  retreated.  Such  of  the  wounded  as  were  unable  to  march  fell  into  the  hands  of  the  enemy. 
I  have  neve'r  seen  an  estimate,  but  judge  it  to  have  been  about  thirty-five  killed  and  seventy-five  wounded.  The  supports  were 
very  strongly  disposed  in  front  of  our  batteries,  and  quite  a  number  of  our  men  were  killed  by  the  premature  bursting  of  one 
of  our  shells.  The  regiment  with  which  I  was  then  serving  had  seven  men  wounded  ;  none  seriously.  They  were  all  brought 
off,  and  put  on  the  train  the  following  morning.  They  reached  Harrison's  Landing  on  July  1st,  and  were  transferred  to  an 
hospital  transport  steamer  on  September  1st.  Five  of  them  had  rejoined  the  command.  On  June  30th,  the  battle  of  Glendale 
was  fought.  The  men  were  much  worn  down  from  want  of  rest,  but  were  well  in  hand,  and  not  dispirited.  The  llth 
Massachusetts  Volunteers  numbered  about  six  hundred.  The  supplies  were  limited  to  those  articles  carried  in  the  haversacks 
of  the  hospital  attendants.  The  field  hospital  was  at  the  Quaker  Church,  half  a  mile  from  the  scene  of  the  fight.  There  was 
good  water  near  the  hospital,  and  the  weather  was  fine.  We  were  without  food  other  than  that  contained  in  haversacks.  The 
wounded  were  removed  on  sti-etchers  and  by  the  regimental  bands.  The  fight  opened  at  three  in  the  afternoon  with  artillery, 
the  enemy  attacking.  The  infantry  soon  after  engaged,  and  the  firing  was  rapid  and  continuous,  terminating  at  dark  in  the 
repulse  of  the  enemy.  We  occupied  the  field  all  night,  and  brought  off  all  our  own  and  most  of  the  enemy's  wounded. 
Two  surgeons  were  detailed  to  remain  with  those  unable  to  accompany  the  column.  A  few  ambulances  were  procured  and 
loaded  for  the  river,  about  five  miles  distant.  The  whole  number  of  our  brigade  left  at  the  hospital  was  about  one  hundred  and 
fifty.  No  primary  capital  operations  were  performed.  Water  dressings  wrere  applied  in  most  cases,  and  the  patients  were 
directed  to  proceed  to  the  river,  if  able  to  walk.  Few  anaesthetics  were  used ;  we  had  scarcely  nny  chloroform,  and  our  supply 
of  bandages  was  exhausted  before  the  wounded  were  all  attended  to.  In  my  regiment,  there  were  seventeen  wounded  ;  none 
killed.  A  sister  regiment  on  the  right,  the  1st  Massachusetts  Volunteers,  lost  heavily,  fifty?  in  killed  and  wounded.  At  about 
half-past  four  in  the  afternoon  we  retreated  four  miles,  reaching  Malvern  Hill  at  six  on  the  morning  of  July  1st,  and  received 
rations.  At  nine  o'clock,  the  regiment  wras  detached  from  the  division  and  taken  to  the  extreme  right,  as  supports  to  a  battery 
then  engaged.  The  position  was  an  excellent  one,  in  a  deep  valley,  strengthened  by  a  small  stream  in  front,  and  finely  wooded. 
While  the  sanguinary  battle  of  Malvern  was  being  fought,  one  mile  to  the  left,  the  regiment,  having  established  its  picket  lines, 
bathed  by  detail,  and  obtained  the  sleep  and  rest  they  so  much  needed.  The  battery  they  supported  lost,  in  killed  and  wounded, 
nine  men,  mostly  from  shell  wounds.  At  daylight  on  July  2d,  the  enemy  having  been  again  repulsed,  we  fell  in  and  reached 
Harrison's  Landing  at  half-past  two  in  the  afternoon.  The  wounded  artillerymen  were  brought  off  on  gun  carriages  and 
caissons.  The  killed  were  buried  where  they  fell.  General  Hooker's  division,  to  which  we  were  attached,  broke  camp  at  four 
in  the  afternoon,  and,  making  a  detour,  entered  Charles  City  road,  three  miles  from  the  summit  of  Malvern,  a  little  after 
midnight,  and  here  rested  until  daybreak.  The  column  advanced,  under  an  artillery  fire,  and  occupied  the  hill.  The  troops 
were  in  excellent  condition,  and  had  such  confidence  in  their  commander  that  their  success  seemed  assured.  The  regiment 
numbered  about  six  hundred  ;  the  whole  division  about  five  thousand  five  hundred  men.  There  was  a  good  supply  of  medicines 
and  stores,  and  a  good  train  of  ambulances.  The  fight  lasted  one  hour,  when  the  enemy  being  dislodged,  we  occupied  his 
headquarters,  where  we  found  good  water,  shelter  from  the  sun,  and  every  convenience  for  preparing  food  necessary  for  a  field 
hospital.  The  wounded  were  removed  on  stretchers  from  the  field,  and  from  thence,  in  ambulances,  to  the  landing,  but  not  until 
their  wounds  had  been  carefully  dressed.  Artillery  was  the  only  arm  used  against  us.  A  few  shell  wounds  were  treated,  but  the 
larger  proportion  of  the  injuries  were  from  case  shot.  The  enemy  opened  with  their  artillery  at  six  hundred  yards,  to  which 
we  replied.  Their  fire  soon  slackened,  and  our  infantry  was  advanced  and  formed  in  brigade  line,  about  two  hundred  yards 
from  the  enemy's  guns,  at  which  distance  we  received  their  last  fire.  The  wounded  were  all  sent  to  Harrison's  Bar,  and  there 
transferred  to  the  hospital  boats,  reaching  their  destination  on  the  afternoon  of  the  fight.  I  saw  but  little  service  at  the  field 
hospital,  and  am  unable  to  give  the  nature  of  the  operations.  I  accompanied  the  cavalry  in  pursuit  of  the  enemy.  In  my 
regiment,  there  were  two  killed  and  seven  wounded.  I  never  saw  the  report  of  the  division  loss,  and  have  no  data  on  which  to 
form  an  estimate.  We  occupied  the  field  that  night,"  * 

LXXIII.  Report  of  the  Operations  of  the  Medical  Staff  of  General  Sedgwictts  Division  of 
the  Second  Army  Corps  at  the  Battle  of  Fair  Oaks.  By  Surgeon  JOHN  A.  LIDELL,  U.  S. 
Volunteers. 

'  On  Saturday,  May  31st,  1802,  General  Sedgwick's  division,  belonging  to  General  Sumner's  corps,  was  encamped  on 
the  north  side  of  the  Chickahominy  River,  near  Tyler's  house.  Early  in  the  afternoon,  we  heard  heavy  firing  of  both  artillery 
and  infantry  across  the  river,  in  the  direction  of  the  position  occupied  by  General  Keyes's  corps  at  Seven  i'ines  and  Fair  Oaks. 
About  three  in  the  afternoon,  we  received  orders  to  move  immediately  to  the  support  of  General  Keyes,  who  was  reported  to 
be  badly  handled  by  the  enemy,  who  were  engaging  him  wuh  superior  numbers.  We  started  without  delay,  and  crossed  the 
Chickahominy  by  a  rude  bridge  which  had  recently  been  constructed  of  logs  by  the  troops,  under  orders  of  General  Sumner. 
The  bridge  was  designated  the  Grape-vine  bridge.  The  river  was  much  swollen  by  recent  rains,  and  was  reported  to  be  still 
rising.  After  crossing  the  bottom,  which  was  quite  broad  on  the  south  side  of  the  river,  we  ascended  the  bluff  to  Trent's  house, 
and  then  marched  past  Gokling's,  and  past  Courtney's  Rock  Hill  farm,  to  his  brother's  place,  where  we  found  some  of  General 
Couch's  men  in  position.  General  Sedgwick's  division  was  immediately  deployed  into  Hue  of  battle,  and,  ten  minutes  after 
arriving  on  the  ground,  the  action  commenced  by  the  enemy's  firing  upon  our  right,  at  about  six  o'clock  in  the  evening. 
Battery  I,  1st  United  States  Artillery,  only  one  section  of  which  had  arrived,  was  immediately  wheeled  into  position.  Another 
section  came  up  hi  a  little  while.  The  enemy  did  not  use  artillery,  but  he  endeavored  to  capture  our  guns  with  the  bayonet,  but 
was  repulsed  with  great  slaughter.  Lieutenant  Kirby,  commanding  the  battery,  fired  nothing  but  canister  at  short  range,  and 
fully  avenged  the  disaster  his  battery,  then  known  as  Rickets's,  had  suffered  at  Bull  Run.  The  battle,  which  was  fought 
mainly  by  infantry,  was  terribly  magnificent  for  the  numbers  engaged.  The  sharp,  rattling  crash  of  the  musketry,  firing  rapidly 


REPORTS    OF    SURGEONS    UDELL    AND    BLISS.  85 

by  battalions,  the  tongues  of  flame  and  smoke  leaping  forth  from  the  long  lines  of  infantry,  made  it  a  scene  of  grandeur 
unsurpassed.  At  dark,  the  firing  ceased,  and  General  Sedgwick's  division  had  repulsed  the  enemy  at  all  points.  The  men  lav 
on  their  arms  that  night,  expecting  the  battle  to  be  renewed  in  the  morning.  During  the  night,  General  Richardson's  division 
of  the  Second  Corps,  which  had  crossed  the  Chickahominy  by  another  bridge,  and  marched  by  a  different  road,  came  up  to 
our  support.  In  this  action,  General  Sedgwick's  division  suffered  a  loss  of  fifty-four  killed  and  two  hundred  and  eighty-two 
wounded.  I  took  Courtney's  house  at  Rock  Hill  for  a  hospital.  There  I  found  a  well,  which  afforded  an  abundant  supply  of 
excellent  water.  All  our  wounded  were  dressed  and  made  comfortable  before  midnight.  A  large  number  of  the  wounded 
belonging  to  General  Couch's  and  General  Casey's  division  of  General  Keyes's  corps  also  fell  into  our  hands.  On  Sunday, 
June  1st,  the  battle  was  renewed.  The  fighting,  on  our  part,  was  done  by  General  Richardson's  division,  now  engaged  for  the 
first  time.  A  large  number  of  the  wounded  were  brought  to  my  hospital.  I  filled  the  house,  the  bams,  and  the  sheds  with 
them  and  those  received  before,  and  then  placed  others  in  the  yard,  under  the  trees  and  in  their  shade.  I  think  General 
Richardson's  division  suffered  a  loss  of  about  five  hundred  killed  and  wounded.  The  wounds  were  inflicted  mainly  by  the  old 
round  bullet  and  buckshot  cartridge.  There  was,  however,  a  goodly  number  of  wounds  made  by  the  conical  bullet;  but  the 
majority  were  inflicted  by  the  former  missiles.  During  Saturday  night,  the  bridges  across  the  Chickahominy  were  carried  away 
by  the  swollen  waters,  and  our  communication  with  the  ambulance  train  and  with  our  base  of  supplies  were  destroyed.  Our 
wounded  were  likely  to  suffer  for  want  of  subsistence,  on  that  account,  on  Sunday  morning.  A  quantity  of  freshly  killed  horse 
meat  was  furnished  by  order  of  Surgeon  J.  F.  Hammond,  U.  S.  A.,  medical  director  of  the  Second  Army  Corps.  I  discovered 
and  seized  a  quantity  of  salt  and  corn  meal  at  Courtney's.  Doctor  Harris,  chaplain  of  the  106th  Pennsylvania  Volunteers, 
having  offered  his  services  for  the  purpose,  I  put  him  in  charge  of  the  cooking  and  the  furnishing  of  subsistence  to  the  wounded. 
He  discharged  that  duty  greatly  to  my  satisfaction  and  to  the  advantage  of  the  wounded  all  the  while  the  hospital  remained 
open.  The  next  day,  Monday  June  2d,  I  obtained  a  plentiful  supply  of  fresh  beef  of  good  quality  from  the  neighborhood. 
Rations  began  to  arrive  on  the  ground,  and  we  were  no  longer  anxious  on  the  subject  of  subsistence.  The  fresh  meat  made 
excellent  soup  and  beef  tea.  The  boiled  meat,  both  horse  and  beef,  was  also  eaten  with  much  relish,  apparently.  A  sufficient 
supply  of  dressings,  anodynes,  and  stimulants  had  been  brought  along  witli  us  in  the  hospital  knapsacks.  For  the  purpose 
of  economizing  the  labor  of  the  medical  staff  as  much  as  possible,  I  made  a  detail  of  medical  ofiicers  early  on  Sunday  morning, 
to  attend  exclusively  to  the  performance  of  the  capital  operations  at  my  hospital.  I  placed  them  in  charge  of  Surgeon  A.  A. 
Dougherty,  U.  S.  V.  The  arrangement  worked  much  to  my  satisfaction.  The  operating  room  was  a  shed,  entirely  open  on  one 
side  and  partly  open  on  another  side,  made  so  by  removing  some  boards,  so  as  to  secure  a  free  circulation  of  air.  An  unhinged 
door  made  an  operating  table.  Twenty-eight  minor  amputations  were  performed  at  this  hospital,  and  many  of  the  lesser 
amputations.  About  eight  hundred  cases  of  wounded  passed  through  our  hands.  The  hospital  was  kept  open  till  Saturday 
morning,  June  7th,  when  the  last  of  the  wounded  were  sent  down  to  the  White  House  by  railroad.  Chloroform  was 
administered  in  all  the  capital  operations.  One  death  occurred,  which  I  think  may  be  fairly  attributed  to  it.  A  soldier, 
belonging  to  General  Richardson's  division,  was  placed  on  the  table  for  the  purpose  of  undergoing  amputation  of  the  thigh  for 
gunshot  fracture  of  the  femur,  with  much  comminution  in  the  neighborhood  of  the  knee  joint.  I  saw  him  after  he  was  placed 
upon  the  table,  and  then  noticed  that  his  general  condition  was  good.  At  that  moment,  I  was  called  away,  as  my  presence 
had  become  necessary  in  another  part  of  the  establishment.  On  returning  a  short  time  afterwards,  I  found,  to  my  surprise, 
that  the  man  was  dead.  On  inquiry,  I  learned  that,  while  inhaling  the  chloroform,  he  had  suddenly  become  pale,  pulseless, 
and  ceased  to  breathe,  dying  on  the  operating  table  while  the  amputation  was  going  on.  As  the  patient  did  not  belong  to  my 
command,  and  his  regimental  surgeon  was  present,  and  wished  to  operate  upon  and  take  care  of  him,  I  am  not  so  thoroughly 
informed  upon  all  the  points  of  his  case  as  I  would  otherwise  have  been.  He  was  operated  on  after  the  officers  detailed  for 
amputations  had  got  through  with  their  special  duty,  and  had  been  sent  about  other  duty. 

(Signed)  JOHN  A.  LIDELL, 

Surgeon  U.  S.  V." 
Surgeon  C.  S.  TIUPLKK,  U.  S.  A., 

Medical  Director  Army  of  Potomac. 


LXXIV.     Second  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Surgeon 
ZENAS  E.  BLISS,  U.  S.  Volunteers. 

"  I  was  mustered  into  service  on  May  10th,  1861,  as  assistant  surgeon  of  the  Ud  Michigan  Volunteers.  The 
regiment  remained  in  the  state  encampment  one  month  and  seven  days,  and  was  in  crowded  barracks;  and  over  one  hundred 
cases  of  measles  occurred  during  this  time,  some  very  severe  cases,  but  only  one  proved  fatal,  and  that  not  until  the  lapse  of 
several  months' protracted  pulmonary  inflammation.  None  of  the  cases  were  marked  by  anything  unusual;  but  all  suffered 
from  bronchial  irritation.  The  ordinary  treatment  consisted  in  the  mild  aperient  early  in  the  disease,  frequent  sponging  of  the 
surface,  mucilaginous  drinks,  tablvspoonful  doses  of  a  solution  of  three  grains  of  tartarized  antimony,  and  two  grains  of 
morphia  in  three  pints  of  water,  administered  every  two  hours  for  the  first  few  days,  after  which  quinine,  wine  whey,  milk 
punch,  beef  tea,  and  a  HUpporting  treatment  were  employed.  Many  of  the  convalescent  cases  had  mumps,  and  several  cases  of 
metastasis  occurred,  but  without  serious  results.  Warm  anodyne  fomentations  to  the  testes  and  parotid  glands  generally  gave 
relief.  At  the  end  of  June,  1861,  the  regiment  moved  to  Washington,  and  encamped  near  the  Chain  Bridge.  The  duties 

were  daily  drill,  and  work  on  the  fortifications  about  Washington.  There  was  much  diarrhoea  while  in  camp,  which  was 
attributed  to  the  water,  diet,  and  the  great  changes  of  temperature,  the  days  being  very  warm  and  the  nights  cold.  The 

regiment  was  attached  to  General  Berry's  brigade,  of  General  Kearney's  division,  of  the  Third  Army  Corps,  and  arrived  at 
Fort  Monroe  on  March  20th,  1852,  and  shortly  after  moved  to  Yorktown,  and  encamped  in  a  thick  woods,  intermingled  with 
patches  of  swamp  and  pools  of  water,  the  ground  being  covered  with  fragments  of  fallen  trees  and  decaying  vegetable  matter. 


36  APPENDED    DOCUMENTS PENINSULAR    CAMPAIGN. 

Water  could  be  obtained  only  by  digging  holes  from  two  and  a  half  to  three  feet  in  depth,  and  the  surface  water  obtained  from 
these  was  all  that  the  men  had.  The  regiment  remained  in  this  camp  about  five  weeks,  and  was  doing  picket  and  fatigue  duty 
on  trenches  and  fortifications  all  that  time.  A  few  intermittents  and  remittents  occurred,  as  also  about  forty  cases  of  typhoid 
fever,  all  very  severe,  marked  by  epistaxis  tympanitis,  and,  after  a  few  days,  haemorrhage  from  the  bowels,  the  blood  being 
evidently  impoverished.  Several  of  these  cases  proved  fatal.  *  *  One  case  of  typhus,  marked  by  haemorrhage  from  the 
nose  and  bowels,  and  with  petechia?  and  hemorrhagic  spots  on  the  surface,  occurred  in  the  regiment  and  proved  fatal.  All  of 
these  patients  had  active,  supporting  treatment  throughout.  The  sick  were  cared  for  at  a  hospital,  about  a  mile  and  a  half  to 
the  rear,  composed  of  log  huts  or  barracks,  built  and  formerly  occupied  by  the  53d  Virginia  Volunteers  (Confederate),  upon  a 
eandv  soil,  where  we  obtained  an  abundance  of  excellent  well  water.  These  barracks  were  well  ventilated,  and  accommodated 
a  large  number  of  sick  and  wounded  from  both  the  regulars  and  volunteers.  I  saw  all  of  the  sick  and  what  few  wounded  there 
were  at  this  hospital,  and  had  immediate  charge  of  very  many  sick  who  were  members  of  various  regiments ;  and  nearly  all  of 
the  cases  were  either  low  remittents  or  typhoid  fever.  I  say  remittents,  because  some  of  them  might  be  easily  classed  as  such; 
but  I  believed  then,  as  now,  that  they  were  almost  invariably  pure  enteric  fever.  I  held  autopsies  of  all  that  died  who  were 
under  my  charge,  six  in  number.  No  post  mortem  was  held  on  the  case  of  typhus.  All  the  deaths  from  typhoid  fever  occurred 
late  in  the  course  of  the  disease,  and  the  majority  from  haemorrhages  from  the  bowels,  one  from  coma,  and  the  others  apparently 
from  pure  exhaustion.  The  abdominal  viscera  were  those  principally  examined.  Peyer's  glands  were  found  in  each  case  in  a 
state  of  ulceration ;  some  very  large  ulcers;  some  healing  while  others  were  in  an  inflamed  condition.  Some  of  the  ulcerations 
extended  nearly  through  the  coats  of  the  intestines.  I  preserved  the  specimens  in  each  case,  but  subsequently  lost  them  during 
the  campaign.  The  small  intestines,  through  their  entire  length,  gave  evidence  of  previous  inflammatory  action  ;  but  all  the 
other  abdominal  viscera  gave  no  evidence  of  either  organic  or  serious  functional  disease,  and  the  soft  parts  and  glands,  when 
divided  with  the  scalpel,  seemed  to  be  almost  exsanguined.  I  wish  the  blood  could  have  been  analyzed,  because  I  feel  confident 
that  the  primary  trouble  was  there.  In  cases  of  epistaxis,  the  blood  gave  only  a  faint  coloring  to  the  spots  on  linen,  and  it  did 
not  give  to  the  linen  that  stiffened  feel  that  we  get  when  it  is  saturated  with  ordinary  blood,  from  both  of  which  I  infer  that  the 
blood  was  deficient  in  plasma  and  coloring  matter,  or  defibrinated.  In  these  cases,  quinine,  brandy,  ammonia,  and  small  doses 
of  opium  were  given  with  a  view  to  support  the  patient.  Essence  of  beef  and  beef  tea,  of  good  quality,  and  in  abundance,  was 
furnished  and  given.  The  supply  of  medicines  at  this  time  was  ample,  but  at  times  we  were  deficient  in  hospital  stores.  ' 
On  May  5th,  during  a  heavy  rain  storm,  the  division  arrived  within  four  miles  of  Williamsburg,  and  the  roads  being  uninten 
tionally  blockaded  with  artillery  and  wagons,  so  that  an  ambulance  could  not  get  through,  I  ordered  eight  of  the  hospital  corps 
to  take  from  the  transport  wagon  the  field  stretchers,  instruments,  chloroform,  bandages,  brandy,  candles,  and  lanterns,  and  was 
enabled  to  render  service  to  a  large  number  of  the  wounded,  the  ambulances  not  arriving  on  the  field  until  the  next  day,  May 
6th,  at  one  o'clock  p.  m.  On  the  evening  of  the  5th,  by  direction  of  Surgeon  J.  ,T.  Milhau,  U.  S.  A.,  medical  director  of  the 
corps,  I  erected  an  extemporaneous  table,  in  a  large  frame  barn,  situated  about  one  mile  in  the  rear  of  the  battlefield.  During 
the  evening  and  night  of  the  5th,  by  the  valuable  assistance  of  Doctor  Sparks,  a  volunteer  surgeon  from  Boston,  we  dressed  the 
wounds  of  over  eighty  officers  and  soldiers.  Among  the  operations  performed  were  one  amputation  of  the  foot,  and  two 
amputations  of  the  arm.  Surgeon  Milhau,  U.  S.  A.,  being  present  early  in  the  evening,  kindly  performed  one  of  these. 
There  were  also  one  amputation  of  the  forearm  and  one  of  the  hand,  besides  a  number  of  cases  which  required  the  removal  of 
the  whole  or  a  portion  of  one  cr  more  fingers.  The  wounds  were  mostly  received  by  musketry.  On  Tuesday  afternoon,  I 
dressed  wounds  of  both  Union  and  Confederate  soldiers,  at  a  barrack  near  Fort  Magruder,  and  on  Wednesday,  May  8th,  I 
dressed  wounded  of  both  armies  in  a  church  and  at  William  and  Mary  College  in  Williamsburg.  I  am  not  able  to  recall  the 
number  of  capital  operations  which  I  performed  during  the  two  days;  but,  as  near  as  I  can  remember,  two  amputations  of  the 
leg,  one  of  the  arm,  and  one  of  the  thigh,  at  the  junction  of  the  middle  with  the  upper  third.  The  patient  on  whom  the  latter 
operation  was  practiced  survived  only  thirty-six  hours.  No  exsections  were  performed  under  my  observation.  A  number  of 
bullets  were  extracted.  I  believe  I  dressed  the  wounds  of  about  two  hundred  at  this  battle.  The  supply  of  soup  and  food  was 
very  deficient  during  the  first  twenty-four  hours,  because  the  roads  were  in  such  condition  that  the  supply  trains  could  not 
move  up.  Pack  mules  would  have  been  of  great  service  here.  Indeed,  we  sent  footmen  back  to  meet  the  trains,  and  bring  up 
hard  biscuit,  sugar,  and  coffee.  The  wounded  were  removed,  on  May  7th,  in  ambulances.  Some  few,  seriously  wounded,  were 
carried  on  field  stretchers  to  York  River,  a  distance  of  some  seven  miles,  and  placed  aboard  of  transports.  Chloroform  was 
given  in  all  capital,  and  other  severe  operations.  Twenty-five  days  after  the  battle  of  Williamsburg,  the  regiment  arrived  at 
Savage's  Station.  During  this  time,  one  officer  and  eighteen  men  with  fever  were  sent  north  on  a  hospital  transport.  On  May 
31st,  the  battle  of  Fair  Oaks  was  fought.  :  *  Early  in  the  engagement,  I  established  a  field  depot  near  the  field  of  action ; 
but  later  in  the  day,  I  moved  back  to  Savage's  Station.  For  the  triple  reason  of  securing  an  abundance  of  good  water,  better 
security  for  the  wounded,  as  well  as  to  have  them  near  the  railroad  station  for  removal  after  operations,  I  established  a  depot, 
erected  a  table  in  a  large  log  tobacco  house,  without  floors,  about  fifteen  rods  from  the  railroad  depot,  and  night  and  day  was 
almost  constantly  engaged  in  dressing  and  operating  upon  the  wounded  from  various  regiments,  indiscriminately,  from  Saturday 
evening,  May  31st,  until  Wednesday  evening,  June  4th.  Here,  as  at  Williamsburg,  a  comparatively  few  were  wounded  with 
shell  and  grape,  a  large  proportion  being  wounded  with  the  conical  rifle  ball ;  but  not  a  few  were  wounded  with  the  round 
musket  biill  and  buckshot,  I  had  one  disarticuiation  of  a  shoulder  joint,  the  case  not  admitting  of  excision,  and  several  other 
amputations,  including  one  of  the  arm  for  haemorrhage,  in  a  case  where  excision  of  the  elbow  joint  had  been  performed  the  night 
before  by  some  surgeon  to  me  unknown.  There  was  an  ample  supply  of  water  of  good  quality  at  the  station,  and  an 

abundance  of  food,  including  Soycr's  concentrated  soup  and  fresh  beef.  I  noticed  that  Surgeon  Frank  H.  Hamilton,  IT.  S.  V., 
in  his  report  of  the  battle  of  Fair  Oaks,  published  ill  the  American  Medical  Times,  states  that,  "  Such  was  the  scarcity  of  food, 
that  General  Simmer  ordered  several  horses  belonging  to  his  orderlies  to  be  killed/'  to  be  used  as  food  for  the  wounded.  I  am 
happy  to  say  that  no  such  exigencies  occurred  at  the  depot  where  I  was  operating." 


EEPOET  OF  SURGEON  F.  H.  HAMILTON.  87 

LXXV.     Report  of  the  Operations  of  the  Medical  Department  at  the  Battle  of  Fair  Oaks. 
By  Surgeon  FRANK  H.  HAMILTON,  U.  S.  Volunteers. 

HEADQUARTERS  OF  THE  FOURTH  CORPS, 

NEAR  SEVEN  PINES,  VIRGINIA,  June  14<A,  1862. 

SIR:  The  foregoing  reports  have  been  forwarded  to  you,  as  they  were  received  by  me,  from  the  several  brigade  and 
division  medical  officers.  The  gentlemen  who  made  the  reports  have  already  explained  to  you  the  difficulties  under  which  they 
labored  in  their  attempts  to  obtain  full  and  correct  returns.  The  wounded  were  not  all  left  in  our  possession,  and  those  who 
were  brought  in  during  and  after  the  battle  were,  generally,  sent  first  to  Savage's  Station,  and  subsequently  to  the  White  House, 
so  that  the  regimental  surgeons  found  it  impossible  to  make  an  exact  record  of  their  wounded,  and  their  reports  are  made  up, 
in  part  at  least,  from  the  adjutants'  returns.  As  soon  as  the  battle  had  commenced,  I  determined  to  establish  a  hospital  at 
Savage's  Station,  at  which  point  there  is  a  large  two-story  house,  and  fourteen  outhouses,  including  negro  quarters,  barns, 
corn-cribs,  and  sheds,  which,  together,  would  furnish  comfortable  shelter  for  three  hundred  men,  and  in  which  we  had,  during 
most  of  the  second  and  third  days  after  the  battle,  from  five  to  eight  hundred  men.  Of  course,  at  such  times,  the  buildings 
were  greatly  crowded ;  yet  the  wounded  came  in  so  rapidly,  on  the  second  day,  the  number  was  greatly  increased  from  Heint- 
zelman's  and  Simmer's  corps,  that  the  buildings  were  insufficient  even  to  cover  the  men.  No  hospital  tents  were  to  be  had, 
and  we  were  compelled  to  lay  several  hundred  upon  the  grass,  within  the  enclosure  surrounding  Mr.  Savage's  house,  which 
ground  was,  fortunately,  elevated,  and  partially  shaded  by  large  trees.  At  first,  our  corps  of  medical  officers  and  of  nurses 
was  very  inadequate,  the  surgeons  were  nearly  all  occupied  in  dressing  wounds  upon  the  field,  and  we  had  almost  no  supplies, 
either  in  the  way  of  commissary  stores,  clothing,  blankets,  medicines,  or  instruments.  I  had  been,  but  two  days  before  the 
battle,  assigned  to  this  corps  as  medical  director,  and  could  not  have  made  the  necessary  provision,  even  if  I  had  anticipated 
so  terrible  a  conflict.  We  were  soon  able,  however,  to  obtain  the  assistance  of  several  regimental  surgeons,  and  before  the  day 
closed,  and  during  the  following  day,  several  contract  and  volunteer  surgeons  came  up  from  the  White  House,  and  continued, 
from  this  time,  to  render  us  important  and  valuable  aid.  The  contract  surgeons  who  reported  to  me  were  Drs.  Jacks, 
Middleton,  Good,  Lodge,  Monroe,  Keeley,  Esten,  Underwood,  Seymour,  Millett,  and  Green,  to  whom  were  added  the  following 
volunteer  surgeons :  Drs.  Page,  Hall,  Swinburne,  Skinner,  Hitchcock,  Burr,  and  Everts,  with,  perhaps,  some  others,  whose 
names  were  not  reported  to  me.  Drs.  Prince  and  O'Leary,  brigade  surgeons,  with  surgeons  Kerr,  Chamberlain,  Robinson, 
Tindle,  and  Emanuel,  were,  after  the  first  two  hours,  also,  almost  constantly  at  the  station,  operating  and  dressing  wounds, 
until  their  services  were  no  longer  necessary,  when  they  returned  to  their  respective  commands.  With  a  corps  of  medical 
officers,  numbering  from  twenty-five  to  thirty,  it  was  still  impossible  to  make  the  necessary  operations  and  dress  the  wounds 
as  rapidly  as  the  men  were  brought  in,  and,  in  many  cases,  several  hours  elapsed  before  they  received  surgical  aid.  The 
surgeons  were  assigned  by  me  to  various  positions  on  the  ground  and  in  the  buildings,  each  having  his  separate  duty  to 
perform,  aided  by  such  nurses  and  cooks  as  we  could  temporarily  impress ;  while  to  one  surgeon  was  assigned  the  duty  of 
distributing  the  wounded  as  they  came  in.  At  three  points,  depots  were  established  for  major  operations,  the  minor  operations 
being  made  on  the  open  field,  under  the  shade  of  the  trees,  or  wherever  the  men  were  laid.  The  surgeons  were  all,  after  a 
little  delay,  by  your  orders,  I  believe,  and  from  other  sources,  supplied  with  instruments,  chloroform,  or  ether,  dressings,  and 
sponges.  One  large  iron  cauldron  was  kept  constantly  filled,  night  and  day,  for  three  days,  with  hot  coffee,  and  another  with 
boiled  rice  or  with  portable  soup,  the  latter  of  which  we  did  not  obtain  until  the  second  day.  On  the  second  day,  several  boxes 
of  lemons  were  sent  to  us,  from  which  pails  full  of  lemonade  Avere  made  and  constantly  distributed  in  every  direction.  Hard 
tack,  sugar,  and  whiskey,  we  had  in  abundance,  with,  also,  a  small  quantity  of  good  brandy.  The  trains  ordered  to  remove  the 
wounded  to  the  White  House  were  not  brought  up  as  rapidly  as  the  men  were  ready  for  removal,  and,  consequently,  a  large 
portion  were  compelled  to  remain  one  or  two  days  after  their  wounds  had  been  dressed,  or  their  limbs  had  been  amputated ; 
some  of  whom  had  no  covering  whatever,  not  even  blankets.  During  Sunday  and  Monday  nights,  there  were  heavy  thunder 
showers,  and  these  poor  fellows  were  completely  drenched.  I  was  with  them,  with  many  of  the  surgeons  and  nurses,  both  of 
these  nights,  and  we  did  for  them  all  that  lay  in  our  power.  Fortunately,  on  the  second  day,  we  found  one  bale  of  blankets 
which  we  were  permitted  to  use,  and  which  went  a  good  way  in  protecting  them  from  the  rain  and  cold  at  night.  The  first 
train  of  cars  started  with  the  wounded  for  White  House  on  Saturday,  and  from  this  time  some  twelve  or  fifteen  trains  arrived 
and  were  sent  down;  they  were,  however,  necessarily  irregular.  At  first,  and  until  several  trains  had  gone,  we  placed  a  surgeon 
in  each  car  to  assist  in  getting  the  wounded  on  board,  and  to  take  the  rank,  name,  regiment,  company,  nature  of  wound,  and 
character  of  operation  in  case  of  each  man,  and  also  to  prevent  stragglers  from  getting  on  board.  The  pressure  of  Sunday  and 
Monday  compelled  us  to  abandon  this  arrangement  so  desirable  in  every  point  of  view,  and  thereafter  we  attempted  only  to 
obtain  the  numbers  sent  down.  Two  or  more  surgeons  performing  the  duty  of  seeing  them  on  board,  and,  generally,  one 
surgeon  accompanying  the  train  to  the  Wrhite  House.  In  these  labors,  having  reference  only  to  my  duties,  relating  to  my  own 
corps,  I  was  greatly  aided  by  the  volunteer  services  of  Surgeon  Milhau,  U.  S.  A.,  medical  director  of  the  Third  Corps,  and 
who  had,  in  addition,  after  the  first  day,  the  duty  of  attending  to  his  own  wounded.  Indeed,  it  was  generally  impossible  to 
distinguish  to  which  corps  the  wounded  belonged,  and  we  were  eventually  occupied  in  attending  to  all  who  were  brought  to  ua. 
To  the  sanitary  commission,  I  wish  to  render  especial  thanks  for  the  promptitude  and  liberality  with  which  they  sent  to  us  such 
supplies  as  were  at  their  command.  I  have  taken  a  copy  of  the  reports  herewith  transmitted  to  you,  and  I  shall  endeavor, 
from  time  to  time,  to  make  such  corrections  and  additions  as  may  be  reported  to  me  by  the  regimental  surgeons,  so  that,  if,  at 
some  future  time,  you  think  it  desirable,  you  may  receive  a  more  complete  and  accurate  account  of  the  killed  and  wounded,  and 
of  the  nature  of  their  wounds,  the  operations  performed,  and  the  results.  The  following  recapitulation  is  presented :  killed, 
three  hundred  and  eighty-two;  wounded,  one  thousand  seven  hundred  and  thirty-one;  missing,  sixty-seven ;  a  total  of  two 
thousand  one  hundred  and  eighty.  The  surgeons'  report  of  missing  is,  probably,  incomplete. 

Very  respectfully,  yours,  FRANK  H.  HAMILTON, 

To  C.  S.  Tluri.ER,  Medical  Director  of  the  Army  of  the  Potomac.  Suryeon  U.  «S'.  V.,  Medical  Director  Fourth  Corps. 


88  APPENDED    DOCUMENTS PENINSULAR    CAMPAIGN. 

LXXVI.     Second  Extract  from  a   'Report  on  the  Duties  assigned  to  him  from  the   Outbreak 
of  the  Rebellion  till  May  1st,  1863.     By  Assistant  Surgeon  G.  M.  STERNBEEG,  TJ.  S.  Army. 

*  *  *  "The  sanitary  condition  of  the  3d  Infantry,  to  which  I  was  attached  during  the  Peninsular  campaign,  and  of 
all  the  regular  troops  in  General  Sykes's  division  was  at  all  times  excellent ;  and  the  5th  and  10th  New  York  Volunteer 
regiments,  which  were  comprised  in  the  division  during  the  greater  part  of  the  campaign,  were  little,  if  at  all,  inferior  to  the 
regulars  in  health  and  morale.  *  *  In  the  battles  at  Gaines's  Mill  and  Malvern,  the  division  of  General  Sykes  was  composed 
of  batallions  of  the  2d,  3d,  4th,  6th,  10th,  llth,  12th,  14th,  and  17th  U.  S.  Infantry,  and  5th  and  10th  New  York  Volunteers, 
forming  an  aggregate  of  about  five  thousand  men.  The  supplies  of  medical  and  hospital  stores  and  tents  were  ample,  and 
the  number  of  ambulances  was  at  all  times  sufficient,  except  during  the  retreat  from  the  front  of  Richmond  to  Harrison's 
Landing.  *  *  In  these  actions  I  kept  as  near  my  regiment  as  possible,  giving  my  attention  to  the  removal  of  the  wounded 
from  the  field,  operating  only  in  urgent  cases.  *  Most  of  the  Confederate  surgeons  were  inclined  to  do  all  they  could  for  our 

wounded  ;  but  their  supplies  of  medicine  were  entirely  inadequate.  They  seemed  to  be  poorly  supplied  with  ambulances,  and 
to  have,  indeed,  scarcely  any,  save  those  captured  from  our  army.  *  *  I  have  seen  but  few  operations  performed  under 
tire,  and  think  that  when  it  is  possible  to  wait  until  the  patient  can  be  removed  to  a  field  hospital  in  the  rear,  it  is  best  to  do  so. 
I  have,  however,  in  these  urgent  cases,  amputated  on  the  field  with  none  but  my  hospital  steward  to  assist  me." 


LXXVIL     Extract  from  a  Rerjort  on  the  Surgery  at  Fair  Oaks.     By  Surgeon  C.  S.  WOOD, 
66th  Kew  York  Volunteers. 

*  *  *  "On  the  afternoon  of  May  31st,  General  Sumner's  corps  crossed  the  Chickahominy,  to  support  the  Third  and 
Fourth  Army  Corps,  engaged  at  Fair  Oaks.  The  river  was  very  much  swollen,  and  the  lower  bridge,  in  General  Sumner's 
front,  had  been  washed  away;  but  the  upper  bridge  of  logs  was  stayed  by  cables  of  grape-vines.  Though  insecure,  it  sufficed 
for  the  passage  of  the  artillery  trains  and  ambulances.  Then  trees  were  cut  down,  and  a  corduroy  road  was  built  across  the 
swamp.  By  the  time  the  road  was  completed,  it  was  daylight.  The  artillery  first,  and  then  the  ambulance  train,  hurried 
forward,  and  reached  the  battle-field  about  nine  on  Sunday  morning,  June  1st.  After  the  artillery  was  placed  in  position,  the 
battle  lasted  less  than  two  hours.  A  large  frame  house  near  the  field  was  selected  as  a  hospital,  and  the  wounded  of  both 
friend  and  foe  were  brought  in  by  hundreds,  filling  the  house  from  garret  to  basement,  the  barns  and  outhouses,  even  densely 
crowding  the  lawn,  which  was  over  an  acre  in  extent.  The  first  peculiarity  observable  in  the  wounded  was  the  largo 
proportion  of  injuries  of  the  upper  part  of  the  body,  and  the  variety  of  wounds  from  large  projectiles.  It  resulted,  probably, 
from  the  fact  that  the  fighting  was  chiefly  in  the  forest,  with  an  undergrowth  of  bushes  from  three  to  four  feet  in  height,  where 
the  enemy  could  not  use  artillery  advantageously.  *  *  The  men,  fatigued  by  marches  through  muddy  roads,  in  building 
corduroy  roads  and  intrenchments,  depressed  by  exposure  and  the  use  of  bad  water,  had  their  powers  of  vital  resistance 
diminished,  and  many  died  from  shock  of  their  injuries,  or  from  the  operations  required,  who,  under  more  favorable  circum 
stances,  might  have  rallied  and  recovered.  We  were  far  from  our  base  of  supplies,  and  could  give  the  wounded  but  few  of 
those  comforts  which  were  urgently  needed.  Soups,  made  from  beef  extract,  were  our  principal  resource  in  the  way  of 
nourishment.  There  were  some  frightful  wounds  of  the  face,  with  comminuted  fracture  of  both  maxillae.  Among  them  were 
examples  in  which  the  hard  and  soft  palate  were  destroyed,  and  the  tongue  almost  cut  in  two.  Many  of  these  would  live  for 
days,  unable  even  to  swallow  water.  By  keeping  the  fauces  moistened,  their  thirst  was  allayed,  and  many  of  them  ultimately 
recovered.  Instead  of  removing  nearly  detached  fragments  of  bone,  the  parts  were  coaptated  as  far  as  possible,  the  lower 
jaw  placed  in  a  pasteboard  splint,  and  water  dressings  were  applied,  in  cases  in  which  it  would  seem  that  half  of  the  face  was 
shot  away.  Recovery  would  ensue,  with  comparatively  small  cicatrices,  illustrating  wonderfully  the  recuperative  power  of 
nature  in  wounds  in  this  region.  Another  important  and  interesting  class  of  injuries  here  observed  was  the  penetrating  wounds 
of  the  chest.  The  nrinie'  ball  generally  passed  through  and  lodged  beneath  the  integument  on  the  opposite  side.  From  the 
Russian  and  Crimean  statistics,  we  inferred  that  all  such  cases  would  die;  on  the  contrary,  a  number  lived  and  completely 
recovered.  Two  men,  whom  I  knew  personally,  who  were  thus  wounded,  returned  to  duty  while  our  regiment  was  stationed 
at  Harper's  Ferry,  after  the  battle  of  Antietam,  their  health  being  entirely  restored,  after  an  interval  of  about  five  months.  The 
treatment  adopted  in  these  cases,  despite  the  advice  of  English  surgeons  and  systematic  writers  to  bleed  freely  and  largely, 
was  to  enjoin  perfect  rest,  absolute  silence,  and  to  administer  an  occasional  opiate,  to  repress  the  inclination  to  cough.  Both  of 
these  patients  preferred  resting  in  a  sitting  posture.  The  greatest  fatality  occurred  where  the  ball  passed  through  the  apex  or 
root  of  the  lung.  The  wounds  of  the  right  lung  were  more  favorable  than  corresponding  wounds  of  the  left  lung,  as  I  have 
good  reason  to  believe.  A  few  patients  recovered  where  both  lungs  were  traversed  by  the  same  ball.  They  were  doing 
remarkably  well  when  transferred  to  general  hospital.  AVhen  great  inflammatory  reaction  occurred,  bleeding  was  resorted  to; 
but  the  cases  in  which  we  considered  this  remedy  indicated  were  few.  The  great  inconvenience  experienced  was  from  maggots 
infesting  wounds.  In  twelve  hours  after  dressing  a  stump  or  lacerated  wound  it  would  be  literally  covered  with  these  loath 
some  larvae,  and,  in  twenty-four  hours,  the  stump  would  look  as  though  a  swarm  of  bees  had  settled  upon  it.  In  penetrating 
wounds  of  the  cavities,  when  the  dressings  were  removed,  these  worms  could  be  seen  crawling  through  the  body ;  and  the 
patient  would  be  conscious  of  this,  and  have  great  despondency  from  the  belief  that,  as  they  expressed  it,  they  were  being 
eaten  up  alive.  Turpentine  seemed  the  most  effectual  means  of  getting  rid  of  them;  but  this  was  only  of  temporary  service. 
Had  we  then  known  the  value  of  coal  oil  in  such  cases,  as  we  did  at  Gettysburg,  we  would  have  had  less  trouble.  After  a  few 
days,  when  all  the  more  important  wounds  had  received  attention,  the  patients  were  transferred  to  the  depot,  half  a  mile 
distant,  where  they  were  immediately  ordered  to  be  removed  by  the  railway  cars;  but,  through  some  misunderstanding,  they 
lay  by  hundreds  on  either  side  of  the  railway  track,  and  much  of  the  time  exposed  to  a  drenching  rain,  without  shelter. 
Shivering  from  the  cold,  calling  for  water,  food,  and  dressings,  these  sufferers  afforded  the  most  heart-rending  spectacle  that  it 
has  been  my  lot  to  witness.  Many  died  from  this  exposure,  and  others  prayed  for  death  to  relieve  them  from  their  anguish. 
All  fields  of  carnage  are  horrid  enough,  but  this  one  was  pre-eminently  so." 


EEPORTS    OF    SURGEONS    BRUMLEY,    DAVIS,    AND    REILY.  89 

LXXVIII.     Extract  from  a  Report  of  his  Services  in  the  Medical  Staff.     By  Surgeon  J.  D. 
BKUMLEY,  U.  S.  Volunteers. 

*  *  *  a.  rp]ie  actjon  at  Peach  Orchard  was  a  small  affair,  lasting  about  two  hours,  to  cover  the  retreat.  A  part  of 
General  Sumner's  corps  were  all  the  troops  engaged.  The  point  where  the  wounded  were  taken  first  was  about  one  and  a  half 
miles  from  Savage's  Station,  to  which  place  they  were  all  carried  afterwards.  The  affair  at  Savage's  Station  was  of  greater 
magnitude  than  the  last.  It  continued  about  three  hours.  General  Sumner's  and  General  Franklin's  corps  were  engaged. 
Darkness  put  an  end  to  the  contest,  and  our  forces  continued  the  retreat,  and  were  followed,  soon  after  daylight  the  following 
morning,  by  that  portion  of  the  Confederate  army  commanded  by  General  Stonewall  Jackson.  I  was  detailed  by  Surgeon  J.  F. 
Hammond,  U.  S.  A.,  medical  director  of  the  Second  Corps,  to  remain  at  a  house  on  the  field  where  the  battle  had  been  fought, 
near  the  Williamsburg  road,  and  about  three-fourths  of  a  mile  from  Savage's  Station,  in  charge  of  about  one  hundred  and  sixty 
wounded  men  that  had  been  collected  there.  No  food  or  medical  supplies  of  any  kind  was  left.  I  remained  here  about  four 
days,  when  I  succeeded  in  getting  the  men  removed  to  Savage's  Station,  where  a  considerable  amount  of  medical  and  hospital 
supplies  had  been  left.  The  only  transportation  I  could  possibly  obtain  was  the  common  army  wagon,  without  springs,  and 
only  for  such  as  could  not  possibly  get  there  themselves.  The  men  exhibited  great  energy  and  perseverance  in  hobbling  along 
on  such  rude  crutches  as  we  could  make  for  them.  We  remained  about  two  weeks  at  Savage's  Station,  until  the  supplies  were 
nearly  exhausted,  and  were  then  taken  on  freight  and  platform  cars  to  Richmond,  where  the  men  were  distributed  to  the 
different  prisons.  All  of  these  that  I  visited  were  greatly  crowded  and  very  filthy.  The  diet,  issued  uniformly  to  all,  consisted  of 
fresh  beef  and  soft  bread.  There  was,  apparently,  a  great  destitution  of  all  kinds  of  medical  supplies  and  surgical  appliances. 
I  remained  about  four  days  in  the  Libby  prison,  attending  tbe  sick  and  wounded  prisoners,  when  I  was  permitted  to  leave  with 
them,  and  again  joined  the  Army  of  the  Potomac,  at  Harrison's  Landing." 


LXXIX.     Second  Extract  from  a  12eport  of  Ms  /Services  from  June  1st,  1861,  to  June  19th, 
1863.     By  Assistant  Surgeon  PHILIP  0.  DAVIS,  U.  S.  Army. 

*  *  *  "In  November,  1861,  I  was  assigned  to  duty  at  the  Columbia  College  Hospital,  Washington,  under  Surgeon 
E.  H.  Abadie,  U.  S.  A.,  and  remained  there  until  February,  1862.  Tlie  cases  I  attended  presented  nothing  of  particular  interest, 
the  majority  being  typhoid  and  eruptive  fevers.  There  were  many  patients  from  northern  regiments  with  rubeola.  '  On 

March  1st,  I  was  ordered  to  take  medical  charge  of  the  artillery  brigade  of  General  Franklin's  division,  consisting  of  one 
regular  and  four  volunteer  batteries.  *  *  We  embarked  at  Alexandria  for  the  Peninsula,  and  landed  at  Ship  Point,  in 
Pequosan  Bay,  and  encamped  till  May  4th,  when  the  enemy  evacuated  York  town,  and  we  embarked  for  West  Point.  On  March 
6th,  before  the  whole  column  had  debarked,  we  were  attacked  by  General  Lee.  The  fight  lasted  about  five  hours,  when  the 
enemy  fell  back.  But  one  battery  of  the  brigade  of  which  I  had  charge  was  under  fire,  and  only  one  man  was  wounded,  he 
receiving  only  a  flesh  wound  from  a  rifle  ball,  was  dressed  on  the  field,  and  was  then  sent  to  the  field  hospital.  A  few  days  after 
the  battle,  we  again  resumed  our  march,  and  finally  went  into  camp  near  Gaines's  Mill,  Virginia.  While  here,  three  deaths 
occurred  ;  one  from  typhoid  fever,  two  from  accident.  We  then  crossed  the  Chickahominy  at  Woodbury's  bridge,  and  formed 
the  second  line  of  defence,  General  Smith  forming  the  first.  On  the  day  of  the  battle  at  Gaines's  Mill,  we  were  ordered  across 
the  Chickahominy,  to  support  General  Porter.  We  arrived  on  the  field  about  four  o'clock  in  the  afternoon.  Our  loss  was 
small,  being  only  nine  or  ten  wounded  slightly.  We  then  recrossed  the  river,  and  took  up  our  former  position  at  about  nine 
o'clock,  P.  M.,  .June  28th.  The  whole  army  then  commenced  the  retreat  toward  the  James  River.  On  the  afternoon  of  the 
30th,  while  at  Charles  City  Cross  Roads,  we  were  attacked  by  the  enemy.  At  this  fight,  our  casualties  were  two  killed  and 
twelvu  or  fourteen  wounded.  We  were  exposed  to  an  artillery  fire  at  short  range,  the  enemy  using  case-shot  and  shell.  The 
wounded  were  promptly  attended  to,  but  as  we  were  compelled  to  fall  back  during  the  night,  and  under  cover  of  the  darkness, 
I  was  compelled  to  leave  the  patients  in  the  hands  of  the  enemy,  except  those  whose  wounds  were  slight.  At  Malvern,  on 
July  1st,  our  brigade  was  not  engaged  at  all,  although  in  position  all  day.  *  *  At  Harrison's  Landing,  the  health  of  the 
troops  was  good  ;  but  few  deaths  occurred,  and  most  of  these  were  cases  of  typhoid  fever.  There  were  a  few  of  scurvy,  which 
yielded  readily  to  appropriate  remedies.  Diarrhoea  was  prevalent,  and  some  cases  resisted  all  remedies." 


LXXX.    Extract  from  a  Narrative  of  his  /Services  in  the  Medical  Staff.     By  Assistant  Surgeon 
JOHN  T.  REILY,  U.  S.  Army. 

"On  July  22d,  1861,  I  was  employed,  under  contract,  by  the  Surgeon  General,  and  ordered  to  assist  in 
removing  the  wounded  from  the  battlefield  of  Bull  Run  to  the  hospitals  in  Washington  City.  On  the  completion  of  which  duty, 
I  was  ordered  to  report  to  Surgeon  J.  R.  Smith,  U.  S.  A.,  at  that  time  in  charge  of  Seminary  hospital,  when  I  was  assigned  to 
duty  in  charge  of  a  ward.  The  hospital  at  that  time  was  principally  filled  with  wounded  men.  The  wounded  recovered 
rapidly  and  were  sent  away,  and  the  hospital  was  refilled  with  patients  from  the  neighboring  camps.  There  a  rare  opportunity 
was  offered  for  observing  the  results  of  the  various  modes  of  treatment  of  the  most  terrible  injuries  and  fatal  diseases  to  which 
the  soldier  is  exposed.  Having  served  in  this  excellent  school  for  four  months,  I  received  an  order,  on  November  28th,  1861, 
to  report  for  duty  with  the  batteries  of  General  Win.  F.  Smith's  division  of  the  Army  of  the  Potomac.  The  command  consisted, 
at  that  time,  of  four  batteries  of  light  artillery:  battery  F,  Fifth  U.  S.  Artillery,  the  Third  New  York  battery,  First  New  York 
Independent  battery,  and  one  Pennsylvania  battery.  The  latter  was  ordered  away  from  the  command  in  January,  1862,  and 
replaced  by  battery  E,  Third  Regiment  New  York  Artillery;  all  under  command  of  General  R.  Ayres.  The  command  received 
orders  on  the  lltli  of  March  to  move  to  Fairfax  Court-house,  and  thence  to  Alexandria,  when  it  was  embarked  for  Fort 
Monroe.  The  health  and  morale  of  tbe  troops,  at  that  time,  was  excellent.  Tbe  division  was  placed  in  advance  of  the 


90  APPENDED    DOCUMENTS PENINSULAR    CAMPAIGN. 

main  army,  and  moved  in  that  position  during  the  march  toward  Eiclimond.  Nothing  of  interest  occurred  during  the  advance, 
except  occasional  cavalry  skirmishes,  until  the  5th  of  April.  On  that  day,  being  close  upon  the  enemy,  the  third  brigade, 
under  command  of  Brigadier  General  J.  W.  Davidson,  with  the  First  and  Third  New  York  batteries,  formed  in  line  of  battle  and 
moved  forward.  About  noon,  an  earthwork  was  discovered  about  two  thousand  yards  in  front,  and  to  the  left,  of  the  road 
leading  from  Warwick  Creek  to  Williamsburg.  The  Third  New  York  battery,  supported  by  infantry,  advanced,  under  cover  ot 
heavy  pine  timber,  within  eight  hundred  yards  of  the  enemy's  works,  and,  while  being  placed  in  position  in  the  middle  of  a 
road,  received  a  fire  from  his  battery,  which  was  soon  returned;  the  firing  continuing  at  intervals.  Battery  F,  Fifth  U.  S. 
Artillery  was  ordered  up,  and  placed  in  position  on  the  left  of  the  road,  and  the  remainder  of  the  division  placed  within 
supporting  distance.  The  enemy  getting  the  range  of  the  Third  New  York  battery,  blew  up  a  limber-box  of  one  of  the  pieces, 
knocking  down  several  of  the  cannoniers,  without,  however,  seriously  injuring  them ;  after  which,  battery  F,  Fifth  U.  S.  Artillery 
opened  fire  upon  the  works,  without  any  apparent  effect,  except  cutting  down  the  flagstaff.  The  infantry,  being  mostly  under 
cover,  and  not  being  able  to  reach  the  enemy  with  inusketry,  remained  in  silence,  losing  a  few  men,  who  were  shot  by  sharp 
shooters.  The  troops  remained  in  position,  the  batteries  firing  occasionally  during  the  afternoon.  At  nightfall,  entrenchments 
were  dug  in  front  of  the  batteries,  and  extended  to  each  flank,  to  protect  the  infantry  Nothing  but  occasional  picket  firing 
occurred  during  the  night.  On  the  morning  following,  occasional  firing  was  kept  up  on  both  sides,  without  any  important 
effect.  At  night,  the  command  received  orders  to  abandon  the  position  and  move  to  the  right,  when  we  went  into  camp,  after 
marching  about  two  miles  over  roads  which  were  almost  impassable  for  artillery.  A  few  slightly  wounded  men,  in  the  artillery, 
were  sent  to  the  rear,  but  rejoined  in  a  few  days.  The  wounded  among  the  infantry  were  conveyed  to  Young's  Mills,  thence  to 
Fort  Monroe.  On  the  following  day,  the  batteries  were  ordered  to  move  toward  Williamsburg.  Being  near  the  enemy's  lines, 
the  next  few  days  were  occupied  in  putting  the  cannon  into  position,  with  a  view  of  making  another  attack.  On  April  Kith, 
1862,  having  arrived  a  few  days  previously  at  Warwick  Creek,  and  discovered  a  line  of  earthworks,  which  was  found  to  be  a 
continuation  of  the  Yorktown  line,  the  command  was  ordered  to  move  at  daylight,  and  the  Third  New  York  battery,  Captain  T. 
Mott,  was  ordered  to  commence  firing  on  the  enemy's  works  at  a  range  of  about  twelve  hundred  yards,  the  remainder  of  the 
command  being  reserved.  After  a  few  shots,  the  enemy  replied  with  a  battery  of  smooth  bore,  twenty-pound  pieces,  throwing 
common  shell,  and  getting  the  range  almost  immediately.  Our  battery  lost  three  killed  and  four  wounded  in  a  few  minutes, 
when  the  position  was  changed  under  cover  of  the  smoke.  The  firing  ceased,  the  wounded  were  removed  out  of  range,  their 
wounds  dressed,  and,  after  sufficient  reaction,  were  placed  upon  ambulances  and  sent  to  the  field  hospitals,  which  were  half  a 
mile  to  the  rear.  This  was  the  commencement  of  the  battle  known  as  the  battle  of  Lee's  Mills.  Nothing  further  occurred 
until  two,  P.  M.,  when  the  infantry  under  Generals  Brooks  and  Davidson,  with  the  three  remaining  batteries,  were  ordered  to 
form  in  line  of  battle  The  batteries  being  so  placed  as  to  move  forward  in  an  open  field,  and  the  infantry  in  heavy  pine  timber 
on  the  right  and  left  of  the  pieces,  it  was  found  important  to  open  the  batteries  as  soon  as  possible,  and,  by  an  overwhelming 
fire,  to  drive  the  enemy  from  his  pieces,  to  cover  the  infantry  until  it  charged  the  woods,  and  to  prevent  pursuit  in  case  ot 
repulse.  '  The  supplies  of  medicines,  hospital  stores,  ambulances,  and  hospital  tents  were  complete,  having  been  drawn 

just  before  leaving  Washington,  and  added  to  through  special  raquisitions.  During  the  interval,  the  wounded,  amounting  to  eight, 
were  not  removed  until  their  wounds  were  dressed,  when  those  who  could  ride  without  danger  were  sent  on  horses,  and  the 
most  seriously  wounded  were  carried  on  litters  about  one  thousand  yards,  and  placed  in  field  hospitals.  The  distance  was  so 
short  in  the  afternoon,  seven  hundred  yards,  that  the  enemy  fired  grape  shot  and  conical  bullets,  as  shown  by  the  character  ot 
the  injuries  received  by  our  men  and  horses.  The  improved  rifle,  with  conical  ball,  six  twenty-pounders,  and  six  smooth-bore 
guns  were  the  ones  used.  Those  of  the  wounded  who  could  withstand  the  journey  were  conveyed  by  ambulance  trains  to 
Young's  Mills,  and  thence  to  Hampton  and  Fort  Monroe,  and  finally  sent  north.  Two  primary  amputations  were  performed  on 
the  field;  one  patient  died  from  the  effects  of  a  burn  produced  by  premature  explosion  of  the  piece.  The  right  arm  and  hand 
were  literally  torn  to  pieces,  and  the  right  pectoral  region  lacerated  and  burned.  Chloroform  slightly  diluted  was  the  anaesthetic 
employed.  My  time  being  fully  occupied,  having,  at  that  period,  no  assistant  surgeon  assigned  to  the  command,  I  did  not 
have  an  opportunity  of  observing  the  wounded,  or  their  treatment,  save  only  to  dress  the  wounds  of  those  who  were  struck 
near  the  batteries.  There  were  eight  wounded  and  four  killed  in  the  whole  command  during  the  battle.  The  health  of  the 
troops  began  to  be  affected  very  much  after  the  battle;  working  parties  were  continually  employed  at  night  digging  trenches, 
and  a  strong  picket  was  continually  required.  Their  hardships  and  exposure  to  rain,  which  fell  almost  daily,  produced  fever, 
which  almost  invariably  assumed  an  asthenic  type,  and  showed  a  strong  tendency  to  typhoid  fever.  On  the  morning  after  the 
evacuation  of  the  Yorktown  line,  the  command  was  ordered  to  move  on  the  road  toward  Williamsburg,  and  the  sick  and 
remaining  wounded  were  sent  to  the  hospitals  at  and  near  Fort  Monroe,  and  thence  to  the  north.  *  *  On  the  evening  of 
May  4th,  the  command  was  halted  within  one  and  a  half  miles  of  a  second  line  of  works.  *  *  On  the  morning  of  May  5th, 
the  batteries  were  harnessed  at  daylight,  and  held  in  readiness  to  move  at  a  moment's  notice.  Our  position  was  on  the  right  ot 
the  line.  About  seven  A.  M.,  some  batteries  to  our  left  opened  fire  in  the  neighborhood  of  Fort  Magruder,  which  was  the 
stronghold  of  the  line,  and  the  battle  known  as  the  battle  of  Williamsburg  commenced.  As  no  demonstration  could  be  made 
upon  the  line  directly  in  front  of  our  position,  the  batteries  were  not  ordered  into  action  until  eleven  A.  M.,  when  they  were 
ordered  to  accompany  General  Hancock's  brigade  of  five  regiments  in  a  demonstration  to  the  right  of  our  former  position. 
Eain  had  been  falling  the  previous  night,  and  continued  at  intervals  dui'ing  the  day,  making  the  road  extremely  diificult  for 
moving  of  artillery.  ;  One  hundred  and  ten  wounded  Confederates  were  left  upon  the  field,  and  many  prisoners  were 

brought  in.  They  carried  off  a  large  number  of  their  wounded,  and  all  who  could  walk  retreated  to  Williamsburg.  Their 
whole  number  of  wounded,  probably,  amounted  to  two  hundred  and  fifty.  *  *  When  the  firing  ceased,  I  superintended  the 
removal  of  the  wounded  from  the  field.  The  surgeons  of  the  respective  regiments  coming  up,  the  General  ordered  me  to  take 
charge  of  the  Confederate  wounded.  I  removed  them  for  safety  to  the  nearest  fort,  there  being  no  houses  near.  Having  my 
instruments  and  bandages,  I  attended  them  in  a  pelting  rain  during  the  night.  The  rain  was  beneficial,  as  water  could  not 
be  had  without  great  difficulty;  and,  the  redoubt  being  without  shelter,  it  was  extremely  difficult  to  move  rapidly  among  the 
wounded,  the  mud  being  very  deep.  On  the  6th,  we  were  able  to  remove  the  wounded  to  large  barns  near  the  redoubt,  where 


REPORT  OF  SURGEON  J.  T.  CALHOUN.  91 

they  were  comfortably  situated,  with  plenty  of  fresh  water,  and  good  ventilation.  As  soon  as  the  supplies*  could  be  moved  up,  they 
were  made  comfortable,  and  all  the  primary  amputations  did  well  up  to  the  time  the  command  was  ordered  to  march,  which  was 
in  about  six  hours.  Having  no  orders  to  remain,  1  moved  with  the  command,  and  the  wounded  were  left  in  charge  of  surgeons, 
Avho  superintended  their  transportation  in  ambulances  to  the  York  River,  where  they  embarked  for  northern  hospitals.  On 
May  7th,  the  command  moved  toward  Richmond.  '  After  Malvern,  the  troops  were  supplied  with  clothing,  shelter,  and 

good  commissary  stores;  but  diarrhoea,  dysentery,  remittent  and  typhoid  fever  made  their  appearance  among  them,  the  latter 
disease  soon  assuming  a  malignant  type.  It  did  not  abate  until  the  command  left  Harrison's  Landing,  and  reached  the  healthy 
climate,  north  of  the  Potomac." 


LXXXI.     Extract  from  a  Narrative,  of  his    Services  in    the   Peninsular    Campaign.      By 
Assistant  Surgeon  J.  THEODORE  CALHOUN,  II.  S.  Army. 

*  "I  entered  the  service  as  assistant  surgeon  of  the  5th  Regiment  of  the  Excelsior  Brigade,  or  numbered  also 
as  the  74th  New  York  Volunteers.  '  *  In  the  vast  majority  of  volunteer  organizations,  the  surgeon  has  no  one  to  instruct 
him  in  his  duties ;  and  not  apprehending,  as  was  very  natural  to  a  civilian,  the  importance  of  a  rigid  adherence  to  prescribed 
forms,  he  was  very  apt  to  deem  them  a  species  of  red-tapeism,  to  be  discarded  by  men  of  energy.  Hence,  records  of  the  medical 
department  of  many  of  the  volunteer  regiments  are  very  imperfect.  We  started  fairly,  under  the  guidance  of  some  of 

the  regular  medical  officers,  Surgeons  Brown,  Moore,  and  others,  and  when  we  reached  the  field,  there  was  but  little  to  unlearn. 
The  importance  of  this  fact  cannot  be  over-estimated.  The  medical  staff  of  the  Excelsior  Brigade,  though  but  few  of  its 
original  medical  officers  were  left,  remained  to  the  end  of  the  war  one  of  the  best  organized  of  the  Army  of  the  Potomac.  ; 
The  physical  examination  of  the  recruits  was  rigid,  and  no  unsound  man  was  knowingly  enlisted,  though  a  few  were  passed 
through  my  inexperience.  I  will  cite  one  case  in  which  I  was  completely  misled.  William  H.  Burdick,  of  Tideoute,  Warren 
County,  Pennsylvania,  was  examined  while  in  a  state  of  nudity.  Suspecting  that  he  was  older  than  he  reported  himself,  I  was 
more  particular  than  usual,  and  examined  him  with  unusual  care.  I  could  not  get  him  to  keep  still  for  a  moment,  which  I 
attributed  to  confusion  from  excessive  modesty.  He  appeared  anxious  to  exhibit  his  agility,  and  leaped  and  danced  about  in  a 
manner  to  indicate  that  he  was  at  least  well  able  to  use  his  lower  extremities.  I  passed  him.  That  afternoon,  his  company 
was  mustered  in,  and  as  they  were  marching  to  their  quarters,  I  met  them,  and  was  surprised  to  observe  that  this  recruit 
had  a  decided  limp.  Further  inquiry  demonstrated  the  fact  that  he  had  a  shortening,  of  perhaps  half  or  three-quarters  of  an 
inch,  of  one  leg,  and  that  his  nervousness,  which  I  had  attributed  to  bashfulness,  had  been  an  attempt,  and  a  successful  one, 
to  conceal  this  defect.  As  he  could  not  well  march,  he  was  assigned  to  the  hospital  department,  and,  as  nurse,  served 
throughout  the  Peninsular  and  General  Pope's  campaigns,  when  he  was  taken  quite  ill  with  pneumonia,  sent  to  general  hospital, 
and  discharged  the  service.  The  results  of  this  rigid  examination  is  shown  in  the  records  of  discharges  of  the  regiment  to 
which  I  was  attached.  While  regiments  from  neighboring  brigades  had  discharged  scores  of  men,  my  discharges,  after  some 
eight  months'  service,  numbered  two  only,  and  my  sick  list  was  very  small.  :  Company  B,  of  the  74th,  was  composed 

almost  exclusively  of  Frenchmen,  and  they  economized  fuel,  and,  at  the  same  time,  kept  their  huts  properly  warmed,  by  an 
ingenious  device,  somewhat  like  the  camp-stove  of  the  California  miners, 
and  resembling,  in  shape,  the  ordinary  reverberatory  furnace.  The  part 
containing  the  fire  was  made  of  stone,  covered  with  clay.  The  chimney 
was  of  twigs,  wattled  in,  and  covered  with  clay,  and  the  top  of  the 
furnace  was  an  old  mess-pan  inverted.  A  piece  of  sheet  iron  was  used 
as  a  diaphragm,  or  damper,  to  regulate  the  draft  in  furnace,  and  to  econo 
mize  fuel.  I  believe  that  the  most  healthful  mode  of  heating  tents  or 
huts,  where  fuel  is  plenty,  is  by  an  open  fire-place  and  chimney,  because 
of  the  ventilation  it  affords ;  but  an  equable  heat,  by  a  small  amount  of 
fuel,  can  be  obtained  by  the  calorifere  above  described.  :  '  At  Liver 
pool  Point,  on  the  lower  Potomac,  the  regimental  hospital  was  in  two 
negro  huts,  fitted  up  for  the  purpose.  Here  we  had  a  number  of  cases 

of  the  so-called  typhoid  fever      I  do  not  believe  that  many  of  the  cases 

,  FIG.  9. — Diagram  showing-  the  tent  furnaces  used  in  the 

were  the  true  enteric  fever,  characterized  by  the  ulceration  ot  levers  Army  of  the  Potomac, 

patches,  but  rather  a  miasmatic  fever,  more  appropriately  denominated  in 

the  monthly  army  medical  report  ' typho-malarial  fever.'  The  loss  of  the  74th  New  York  Volunteers,  at  the  battle 

of  Williamsburg,  was  forty-nine  killed  and  ninety-nine  wounded.  The  70th  New  York  Volunteers  lost  between  three  hundred 
and  four  hundred  men.  *  *  The  field  hospital  of  the  New  York  brigade  was  located  by  Brigade  Surgeon  J.  Owens,  U.  S.  V., 
in  the  woods  in  the  rear  of  the  line  of  fire.  A  more  inappropriate  place  could  not  well  be  imagined.  We  were  constantly 
under  fire  of  artillery  and  small  arms,  and  exposed  to  a  drenching  rain.  Men  were  wounded  at  the  hospital  depot,  and  some 
of  the  wounded  were  killed.  My  horse  was  killed  very  close  to  me.  *  *  Ambulance  transportation  was  very  limited. 
Few  operations  beyond  the  extractions  of  bullets  were  practiced  at  this  depot.  Most  of  the  wounded  were  sent  to  a  division 
hospital  established  in  a  large  house,  with  burns  and  outhouses,  two  miles  in  the  rear.  *  Most  of  the  operations  were 

performed  the  day  subsequent  to  the  battle.  After  most  of  the  operations  had  been  performed,  most  of  the  wounded  were 
transferred  to  a  steamer  lying  at  Queen's  Landing,  on  York  River.  The  very  badly  wounded  were  carried  thither  on 
stretchers.  A  few  were  left  in  Williamsburg,  at  the  hospitals  established  there.  On  May  31st,  the  enemy  attacked  us  at  Fair 
Oaks.  Our  loss  was  not  large.  My  regiment  lost  between  thirty  and  forty.  Our  hospital  w:is  in  ;i  frame  house,  :i  mile 

and  a  half  from  the  battle-field.  From  this  point,  there  were  several  roads  to  Savage's  Station,  whither  the  wounded  were  sent, 
and  thence  transported  to  White  House  on  railway  cars.  During  the  battle,  it  was  proposed  to  move  the  principal  hospital 


92  APPENDED    DOCUMENTS ANTIETAM    CAMPAIGN. 


station  forward,  but  the  corps  commander,  General  Heintzelman,  forbade  tbis  for  military  reasons.  When  the  action  closed,  I 
accompanied  Surgeon  Thomas  Sim,  U.  S.  V.,  and  superintended  the  loading  of  the  ambulances  with  the  wounded  of  the  first 
day's  fiirht.  I  found  two  little  buildings,  known  as  the  twin  houses,  filled  with  wounded,  dying,  and  dead  Union  and 
Confederate  soldiers,  mingled  promiscuously  on  the  floors.  These  houses  had  been  used  as  field  hospitals,  temporarily,  and  it 
had  not  been  possible  to  evacuate  them  when  the  Union  forces  fell  back  on  June  1st.  They  had  been  exposed  to  the  fire 
of  artillery  and  small-arms,  and  the  walls  were  perforated  in  every  direction  by  the  projectiles  from  these  weapons.  Under  the 
trees,  in  front  of  these  houses,  were  many  wounded,  who  had  crawled  thither  to  escape  the  burning  sun.  Nearly  all  of  their 
wounds  were  filled  with  maggots.  They  said  the  Confederate  surgeons  had  spoken  kindly  to  them,  and,  in  a  few  instances, 
had  civen  them  some  restorative;  but  no  attempt  had  been  made  to  examine  their  wounds.  The  dead  had  not  been  properly 
buried  and  in  every  direction  fragments  of  limbs  and  bodies  were  lying  exposed.  The  heat  was  intense  during  the  day  ;  the 
nights  were  chilly,  with  heavy  dews.  *  *  The  men  went  on  picket  every  third  day,  and  during  the  interval  were  hard  at 
work  on  the  entrenchments.  The  camps  were  daily  under  an  artillery  fire,  and  night  alarms  were  of  frequent  occurrence. 
*  *  Everv  hygienic  measure  that  could  be  made  by  the  medical  officers  was  carried  out;  but  I  regret  to  say  that  these  were 
few.  Every  disease  took  an  asthenic  form,  and  a  remarkable  tendency  to  periodicity  was  observed  in  every  variety  of  disease. 
The  form  of  fever  termed  by  the  negroes  swamp  fever,  but  which  should  be  known,  perhaps,  in  scientific  nosology,  as  typho- 
malarial  fever,  was  very  frequent.  *  *  The  treatment  I  adopted  was  generally  successful,  and  consisted  of  a  mercurial 
cathartic,  calomel  and  rhubarb,  usually,  followed  by  a  large  dose  of  quinine,  say  ten  grains  of  the  sulphate  of  quinia,  combined 
with  a  grain  each  of  opium  and  of  capsicum,  thrice,  daily.  None  of  my  cases  terminated  fatally.  ;  The  practice  of 

maimiiif  themselves,  by  shooting  off  their  index  fingers  or  great  toes  was  wide  spread  at  this  time.  I  called  it  a  monomania, 
the  incentive  to  which  is  a  desire  to  get  rid  of  the  very  laborious  and  dangerous  duty  on  picket  and  on  the  entrenchments.  I 
so  termed  it,  because  the  practice  was  not  confined  to  the  malingerers,  but  was  observed  in  good  men  and  brave  soldiers.  On 
June  2.r)th,  the  third  corps  advanced  on  the  Williamsburg  turnpike,  and  engaged  at  what  is  sometimes  called  the  'Peach 
Orchard,'  but  more  properly  '  Old  Tavern.'  I  was  detailed  to  take  charge  of  a  small  house,  half  a  mile  on  the  right,  and 
rear  of  the  '  twin  houses,'  and  was  informed  that  the  wounded,  after  being  temporarily  dressed  at  the  front  and  at  the  '  twin 
houses,'  should  be  sent  to  my  hospital,  where  I  should  select  those  requiring  operative  interference,  and  send  the  remainder  on 
to  Orchard  Station,  on  the  York  River  railroad ;  and  that,  as  fast  as  a  sufficient  number  to  fill  an  ambulance  were  operated 
on,  they  should  be  sent  to  York  River  for  transportation  by  railway  cars  to  the  White  House,  whence  transports  would  take 
them  to  Fort  Monroe  or  the  North.  Surgeon  J.  W.  Foye,  llth  Massachusetts  Volunteers,  and  Acting  Assistant  Surgeon  Fiske, 
and  an  adequate  number  of  hospital  stewards,  nurses,  and  attendants  were  assigned  to  this  hospital.  A  door,  torn  from  its 
hinges,  was  used  as  an  operating  table,  supported  by  two  barrels,  while  a  third  barrel  served  as  a  table  to  hold  the  instruments. 
I  declined  to  operate  in  one  case,  which  involved  an  amputation  at  the  hip-joint,  as  the  patient  was  a  victim  to  chronic 
alcoholism.  I  amputated  one  thigh  very  high  up  by  the  circular  method;  so  high  that  my  assistant  had  to  hold  aside  the 
testes  to  avoid  the  edge  of  my  knife.  I  heard  of  him  alive  six  weeks  afterwards.  *  *  At  Malvern,  our  hospital  was  at  a 
large  brick  mansion  on  a  bluff,  surrounded  by  a  pine  grove.  The  wounded  were  transferred  thence  to  a  large  frame  house  on 
the  banks  of  the  river.  At  night,  I  went  to  the  latter  hospital,  and  worked  until  our  candles  gave  out,  and  then  lay  down  to 
take  a  little  rest,  being  exhausted  by  work  and  want  of  food.  I  was  soon  awakened,  and  found  the  whole  army  retreating  to 
Harrison's  Landing.''  * 


LXXXIL  Extracts  from  a  Report  of  the,  Operations  of  the,  Medical  Department  of  the  Army 
of  the  Potomac  from  July  kth  to  December  31st,  1862.  By  JONATHAN  LKTTEKMAN,  Surgeon 
U.  S.  Army,  Medical  Director  of  the  Army  of  the  Potomac. 

"  In  obedience  to  orders  from  the  War  Department,  dated  June  23d.  1862,  I  reported,  on  the  1st  day  of  July, 
to  General  McClellan,  at  Haxhall's  Landing,  on  the  James  River,  for  duty  as  medical  director  of  the  Army  of  the  Potomac, 
and,  after  the  arrival  of  the  army  at  Harrison's  Landing,  J  was  placed  on  duty  as  such,  on  July  4th.  I  attempted,  on  the  28th 
of  June,  to  report  to  the  Commanding  General  from  the  White  House,  on  the  Pamunkey  River,  but  was  prevented  from  so 
doing  by  the  movements  of  the  army,  and  was  compelled  to  proceed,  by  way  of  the  James  River,  to  the  headquarters.  The 
change  which  was  taking  place  in  the  position  of  the  army,  when  I  left  the  White  House,  rendered  it  necessary  that  the  medical 
supplies  and  the  transports  for  the  wounded  and  sick  should  also  be  sent  up  the  James  River,  to  meet  the  wants  of  the  army. 
Upon  inquiry,  not  ascertaining  that  any  orders  had  been  issued  in  the  matter,  I  assumed  the  authority,  and  directed  Assistant 
Surgeon  R.  H.  Alexander,  U.  S.  A.,  medical  purveyor,  and  Assistant  Surgeon  E.  S.  Dunster,  U.  S.  A.,  medical  director  for 
transportation,  to  proceed  up  that  river  with  their  supplies  and  vessels  with  all  possible  despatch.  They  reached  Harrison's 
Landing  in  time  to  be  of  the  greatest  service.  The  army,  when  it  reached  Harrison's  Landing,  was  greatly  exhausted.  The 
malaria  from  the  borders  of  the  Chickahominy  and  the  swamps  throughout  the  Peninsula,  to  which  it  had  been  so  freely 
exposed,  now  manifested  its  baneful  effects  upon  the  health  of  the  men.  In  addition  to  this,  the  troops  had  been  marching  and 
fighting,  for  seven  days  and  nights,  in  a  country  abounding  in  pestilential  swamps,  and  traversed  by  streams  greatly  swollen  by 
the  heavy  rains,  which  made  that  region  almost  a  serbonian  bog.  The  labors  of  the  troops  had  been  excessive  ;  the  excitement, 
intense.  They  were  called  upon  to  subsist  upon  a  scanty  supply  of  food,  and  but  little  time  was  afforded  to  prepare  even  this 
meagre  allowance.  They  had  little  time  for  sleep,  and  even  when  the  chance  presented  itself,  it  was  to  lie  in  the  rain  and  mud, 
with  the  expectation  of  being  called  to  arms  at  any  moment.  The  marching  and  fighting  in  such  a  country,  with  such  weather, 
with  lack  of  food,  want  of  rest,  great  excitement,  and  the  depression  necessarily  consequent  upon  it,  could  not  have  other  than 
the  effect  of  greatly  increasing  the  numbers  of  sick  in  the  army  after  it  reached  Harrison's  Landing.  Scurvy  had  made  its 
appearance  before  the  arrival  of  the  army  there.  The  seeds  of  this  disease  had  doubtless  been  planted  some  months  previously, 
and  were  due  not  merely  to  the  want  of  vegetables,  but  also  to  exposure  to  cold  and  wet,  working  and  sleeping  in  the  mud  and 


REPORT    OF    MEDICAL    DIRECTOR    LETTERMAN.  93 

rain,  and,  also,  to  the  inexperience  of  the  troops  in  taking  proper  care  of  themselves  under  difficult  circumstances.  This  disease 
is  not  to  be  dreaded  merely  because  of  the  numbers  it  sends  upon  the  reports  of  sick.  Its  influence  goes  much  further,  and 
the  causes  which  give  rise  to  it  undermine  the  strength,  depress  the  spirits,  take  away  the  energy,  courage,  and  elasticity  of 
those  who  do  not  report  themselves  sick,  and  who  yet  are  not  well.  They  do  not  feel  sick,  and  yet  their  energy,  their  powers 
of  endurance,  and  their  willingness  to  undergo  hardship  are,  in  a  great  degree,  gone,  and  they  know  not  why.  In  this  way,  it 
had  affected  the  fighting  powers  of  the  army  much  more  than  was  indicated  by  the  numbers  it  had  sent  upon  the  reports  of  sick. 
All  these  influences  were  not  without  their  effect  upon  the  medical  officers,  as  well  as  upon  the  rest  of  the  army.  A  number  of 
these  became  sick  from  the  exposure  and  privation  to  which  they  had  been  subjected,  and  those  who  did  not  succumb  entirely 
to  these  influences  were  worn  out  by  the  excessive  labor  required  of  them  during  the  campaign  upon  the  Peninsula,  and 
especially  upon  the  labor  incident  to  the  battles  immediately  preceding  the  arrival  of  the  army  at  Harrison's  Landing.  The 
nature  of  the  military  operations  unavoidably  placed  the  medical  department,  when  the  army  reached  this  point,  in  a  condition 
far  from  being  satisfactory.  The  supplies  had  been  exhausted  almost  entirely,  or  had,  from  necessity,  been  abandoned.  The 
hospital  tents  had  been  almost  universally  abandoned  or  destroyed ;  the  arrangement  of  the  ambulances  was  not  in  such  a  state 
as  to  render  very  effective  service,  and  the  circumstances  under  which  the  army  was  placed  required  a  much  larger  number  of 
medical  officers  to  perform  the  duties  which  were  thrown  upon  that  portion  of  the  staff.  It  was  impossible  to  obtain  proper 
reports  of  the  number  of  sick  in  the  army  at  Harrison's  Landing.  Nor  had  the  causes  just  referred  to  yet  produced  their  full 
effects.  After  about  six  thousand  sick  had  been  sent  away  on  the  transports,  twelve  thousand  seven  hundred  and  ninety-five 
remained.  The  data  on  which  to  base  the  precise  per  centage  of  sick  and  wounded  could  not  be  obtained  at  this  date  ;  but,  from 
the  most  careful  estimate  which  I  could  make,  in  the  absence  of  positive  data,  the  sickness  amounted  to  at  least  twenty  per 
centum.  On  the  1st  of  July,  I  directed  the  Harrison  House  to  be  taken  and  used  as  a  hospital,  as  it  was  the  only  available 
building  for  the  purpose  in  that  vicinity,  although  entirely  inadequate  to  meet  the  wants  of  the  army.  Only  a  few  wall  tents 
could  be  obtained  at  that  time,  with  which  to  enlarge  the  capacity  of  the  hospital.  No  regulation  hospital  tents  could  be 
procured.  The  rain  began  to  fall  heavily  early  on  the  morning  of  July  2d,  and  continued,  with  little  interruption,  until  the 
evening  of  the  3d.  A  few  wounded  came  to  the  hospital  on  the  1st;  on  the  2d,  and,  thereafter,  for  several  days,  they  came  in 
great  numbers.  Details  of  medical  officers  were  required  to  work  day  and  night,  and  continued  to  work  faithfully  until  all  the 
wounded  who  desired  assistance  had  received  it.  The  absence  of  tents  prevented  shelter  being  provided,  and  the  great  majority, 
being  slightly  wounded,  were  obliged  to  find  protection  from  the  rain  as  best  they  could,  the  more  serious  cases  being  kept  in 
the  building  known  as  the  Harrison  House.  The  labors  of  the  medical  officers  were  excessive,  but  no  relaxation  was  given 
until  all  who  required  attention  had  received  it.  The  greatest  difficulty  experienced  at  this  time  was  providing  proper  food, 
which  very  many  needed  much  more  than  medical  or  surgical  aid.  Very  soon  large  cauldrons  and  supplies  of  beef  stock  were 
obtained  from  the  medical  purveyor,  and  hard  bread  from  the  commissary  department.  Excellent  soup  was  prepared  and  freely 
issued,  relays  of  cooks  being,  at  first,  employed  night  and  day.  This  hospital  was  afterward  sufficiently  enlarged,  by  hospital 
tents,  to  contain  twelve  hundred  patients,  and,  when  the  army  left  Harrison's  Landing,  the  tents  were  removed  to  Crancy 
Island,  near  Fort  Monroe,  and  a  hospital  was  established  there  by  Surgeon  A.  E.  Stocker,  U.  S.  V.,  who  conducted  the  removal 
and  re-establishment  of  the  hospital  speedily  and  well.  The  transports  for  the  sick  and  wounded,  except  those  that  had  been 
sent  to  the  North  from  the  Pamunky  River,  reached  the  army  on  the  2d  of  July.  These  vessels  were  fitted  up  with  beds, 
bedding,  medicines,  hospital  stores,  food  with  many  delicacies,  and  with  arrangements  for  their  preparation ;  everything,  indeed, 
that  was  necessary  for  the  comfort  and  well  being  of  the  wounded  and  sick.  Surgeons,  stewards,  and  nurses  were  assigned  to 
their  respective  boats,  and  remained  with  them  wherever  they  went.  I  doubt  if  ever  vessels  had  been  so  completely  fitted  up 
for  the  transportation  of  sick  and  wounded  of  an  army  as  these  vessels  had  been  by  your  orders.  The  shipment  of  the  wounded 
and  sick  began  on  the  2d  of  July,  in  the  rain,  and  was  continued  day  and  night  until  a  very  large  number  had  been  sent  away. 
The  want  of  shelter  and  proper  accommodations  at  that  time,  at  Harrison's  Landing,  rendered  it  necessary  to  send  away  many 
who,  under  more  favorable  circumstances,  would  not  have  been  sent  out  of  the  army.  The  weather  was  so  inclement,  the  mud 
so  excessive,  and  the  shelter  so  wholly  inadequate,  that  there  was  an  evident  disposition  on  the  part  of  medical  officers  to 
consider  compassionately  any  case  of  sickness  or  of  wounds  which  presented  itself.  Had  they  not  been  sent  on  ship-board,  they 
must  have  remained  out  in  the  rain  and  mud,  shelterless  and  without  proper  food.  On  the  15th  of  July,  about  seven  thousand 
had  been  sent  to  Fort  Monroe  or  to  Northern  hospitals.  A  large  number  still  remained,  and,  during  the  first  week  while  the 
shipment  was  in  progress,  the  troops  that  remained  by  the  colors  were  suffering  seriously  from  the  effects  of  the  late  campaign. 
The  deadly  malarial  poison  was  producing  its  full  effects,  and,  with  the  want  of  proper  food,  and  exposure  to  the  rain,  and  fatigues, 
was  now  being  fully  manifested  in  the  prevalence  of  malarial  fevers  of  a  typhoid  type,  diarrhoeas,  and  scurvy.  Whilst  the 
shipment  of  wounded  and  sick  was  going  on,  and  as  soon  as  the  pressing  necessities  of  the  first  few  days  were  provided  for,  my 
attention  was  given  to  ascertain  the  most  expeditious  method  of  improving  the  health  of  the  army.  The  results  of  the 
investigations  made  and  the  means  considered  proper  for  adoption,  many  of  which  had  already  been  enforced  in  the  case,  were 
set  forth  in  a  communication  I  transmitted  to  Brigadier  General  S.  Williams,  Assistant  Adjutant  General,  on  July  18th.  An 
extract  from  this  communication  was  published  to  the  army,  in  orders,  and  from  this  extract  I  quote  enough  to  indicate  the 
views  which  I  then  submitted  for  the  consideration  of  the  Commanding  General :  '  The  diseases  prevailing  in  our  army  are 
generally  of  a  mild  type,  and  are  not  increasing.  Their  chief  causes  are,  in  my  opinion,  the  want  of  proper  food,  and  that 
improperly  prepared,  exposure  to  the  malaria  of  swamps,  and  the  inclemencies  of  the  weather,  excessive  fatigue,  and  want  of 
natural  rest,  combined  with  great  excitement  of  several  days'  duration,  and  the  exhaustion  consequent  thereon.  I  would 
recommend,  to  remedy  these  evils,  that  food,  with  abundance  of  fresh  vegetables,  shelter,  rest,  with  a  moderate  amount  of 
exercise,  be  given  all  the  troops,  and  general  and  personal  police  be  enforced.  To  accomplish  this,  I  would  suggest  that  an 
abundant  supply  of  fresh  onions  and  potatoes  be  used  by  the  troops  dailv,  for  a  fortnight,  and,  thereafter,  at  least  twice  a  week, 
cost  u-Jtdt  llu-;i  IIKIJI  ;  that  the  desiccated  vegetables,  dried  apples  or  peaches,  and  pickles,  be  used  thrice  a  week  ;  that  a  supply 
of  fresh  bread,  by  floating  ovens  or  other  methods,  be  distributed  at  least  three  times  a  week  ;  that  the  food  be  prepared  by 
companies,  and  not  by  squads ;  and  that  there  be  two  men  detailed  Irom  each  company  as  permanent  cooks,  to  be  governed  in 


94  APPENDED    DOCUMENTS — ANTIETAM    CAMPAIGN. 

making  the  soups  and  cooking  by  the  enclosed  directions  ;  that  wells  be  dug  as  deep  as  the  water  will  permit ;  that  the  troops 
be  provided  with  tents  or  other  shelter,  to  protect  them  from  the  sun  and  rain,  which  shall  be  raised  daily  and  struck  once  a 
week  upon  new  ground  ;  the  tentes  d'abri  also  to  be  placed  over  new  ground  once  a  week ;  that  the  men  be  required  to  cut  pine 
tops,  spread  them  thickly  in  their  tents,  and  not  sleep  on  the  ground  ;  that  camps  be  formed,  not  in  the  woods,  but  at  a  short 
distance  from  them,  where  a  free  circulation  of  pure  air  can  be  procured,  and  where  the  ground  has  been  exposed  to  the  sun 
and  air  to  such  an  extent  as  to  vitiate  the  noxious  exhalations  from  damp  ground  saturated  with  emanations  from  the  human 
body  and  from  the  decaying  vegetation.  Sleep  during  the  day  will  not  compensate  for  the  loss  of  it  at  night :  and  I  suggest 
that,  as  far  as  possible,  the  troops  be  allowed  the  natural  time  for  rest ;  that  not  more  than  two  drills  per  day  be  had,  one  in 
the  morning,  from  six  and  a  quarter  to  seven,  and  one  in  the  evening,  from  six  and  a  half  to  seven  and  a  quarter;  that 
the  men  be  allowed  to  sleep  until  sunrise,  and  that  they  have  their  breakfast  as  soon  as  they  rise.  This,  with  the  labor 
required  for  policing,  will  be  sufficient  during  the  present  season.  That  when  troops  march,  they  should  have  breakfast,  if  only 
a  cup  of  cofl'ee,  before  starting,  and  after  their  arrival  in  camp,  eacli  man  be  given  a  gill  of  whiskey  in  a  canteen  three-fourths 
filled  witli  water.  I  would  also  recommend  that  the  strictest  attention  be  paid  to  policing,  general  and  special;  that  all  the 
troops  be  compelled  to  bathe  once  a  week,  a  regiment  at  a  time,  if  possible,  being  marched  to  the  river,  from  a  brigade,  one 
hour  after  sunrise,  or  an  hour  and  a  half  before  sunset,  to  remain  in  the  water  fifteen  minutes ;  that  sinks  be  dug  and  used,  six 
inches  of  earth  being  thrown  into  them  daily,  and  when  filled  to  within  two  feet  of  the  surface,  new  sinks  to  be  dug  and  the 
old  ones  filled  up;  that  holes  be  dug  at  each  company  kitchen  for  the  refuse  matter,  and  filled  in  like  manner;  that  the  entire 
grounds  of  each  regiment  be  thoroughly  policed  every  day,  and  the  refuse  matter,  including  that  from  stables  and  wagon  yards, 
be  buried  two  feet  below  the  surface  or  burned ;  that  dead  animals,  and  the  blood  and  offal  from  slaughtered  animals,  be  not 
merely  covered  with  a  layer  of  earth,  but  buried  at  least  four  feet  under  ground.  That  the  spaces  between  regiments  be  kept 
policed,  and  no  nuisance  whatever  be  allowed  anywhere  within  the  limits  of  this  army ;  and  that  regimental  commanders  be 
held  strictly  accountable  that  this  most  important  matter  is  attended  to.  I  think  if  these  suggestions  be  carried  into  effect,  that 
we  may,  with  reason,  expect  the  health  of  this  army  to  be  in  as  good  a  state  as  that  of  any  army  in  the  field.  Every  effort  is 
being  made  by  the  commissary  and  quartermaster  departments  to  provide  such  articles  as  I  have  mentioned,  belonging  to  their 
departments/  This  extract  will,  perhaps,  be  sufficient  to  explain  the  views  entertained  by  me  on  this  subject,  so  vital  to  the 
army  and  to  the  country.  After  about  seven  thousand  sick  and  wounded  had  been  sent  away,  there  remained  twelve  thousand 
nine  hundred  and  seventy-five,  making  a  total  of  nearly  twenty  thousand.  The  greater  portion  of  this  army  reached  Harrison's 
Landing  on  the  2d  of  July.  On  that  day,  1  addressed  a  letter  to  the  Surgeon  General,  asking  that  one  thousand  hospital  tents 
and  two  hundred  ambulances  might  speedily  be  sent  for  the  use  of  the  army.  I  felt  convinced  that  great  destitution  in  tents 
would  be  found  to  exist,  and  that  many  ambulances  had  been  lost,  and  that  it  would  be  necessary  to  have  both  of  these  articles 
replaced.  The  tents,  I  considered,  would  be  especially  needed  to  shelter  the  wounded  and  sick,  whom  it  would  be  desirable  to 
keep  with  the  army.  No  one  thing  so  much  disheartens  troops  and  causes  homesickness  among  those  who  are  well,  as  sending 
sick  to  hospitals  outside  of  the  army  to  which  they  belong.  Such  was  the  experience  of  the  armies  in  the  Crimea,  and  such  is 
the  experience  of  all  armies.  On  the  7th  day  of  July,  the  following  communication  was  sent  to  me  from  Washington  by  the 
Quartermaster  General:  'You  were,  this  day,  telegraphed  as  follows,  viz:  Have  ordered  tents  for  fifty  thousand  men  sent  to 
Harrison's  Landing.  Few  hospital  tents  on  hand ;  more  making.  For  the  present,  I  advise  the  use  of  some  of  r,he  wall  tents 
lately  shipped  to  Harrison's  Landing.  But  why  not  send  your  sick  and  wounded  at  once  to  Fort  Monroe,  to  be  transferred  to 
a  healthier  place  ?  Sick  and  wounded  are  not  useful  at  such  a  place  as  that  at  Harrison's  Landing.'  On  the  9th  of  July, 
General  Meigs  informed  me  that  he  had  ordered  two  hundred  ambulances  from  Philadelphia,  and  two  hundred  and  fifty 
hospital  tents  from  Washington  to  Fort  Monroe,  saying,  the  remaining  seven  hundred  and  fifty  hospital  tents  will  be  forwarded 
as  soon  as  made.  It  will  be  perceived  that  it  was  owing  to  no  want  of  foresight  on  the  part  of  the  medical  department,  if 
proper  shelter  was  not  provided.  Three  hundred  hospital  tents  reached  Harrison's  Landing  on  the  18th  of  July.  On  the  1st 
of  August,  I  was  informed  that  a  large  number  had  arrived,  together  with  a  number  of  ambulances.  The  tents,  as  far  as 
they  were  needed,  were  used  for  the  accommodation  of  the  sick.  The  ambulances  were  distributed  before  we  marched  towards 
Yorktown.  Before  the  communication  to  Brigadier  General  Seth  Williams,  Assistant  Adjutant  General,  of  July  18th,  was 
written,  the  existence  of  scurvy  attracted  my  serious  consideration,  and,  upon  consultation  with  Colonel  F.  H.  Clarke,  chief 
commissary  of  the  army,  large  supplies  of  potatoes,  onions,  cabbage,  tomatoes,  squash,  beets,  and  fresh  bread  were  ordered  by 
him.  The  first  arrival  of  antiscorbutics  was  on  the  7th  of  July.  Potatoes  and  onions  arrived  on  July '20th,  and,  thereafter,  the 
supplies  were  so  abundant  that  potatoes,  onions,  and  cabbage  rotted  at  the  wharf  for  want  of  some  one  to  take  them  away. 
The  fresh  bread  was  eagerly  sought  for  by  the  men,  as  they  loathed  the  hard  bread  which  they  had  used  for  so  many  weeks. 
This  loathing  was  no  affectation,  for  this  bread  is  difficult  to  masticate,  is  dry  and  inspid,  absorbs  all  the  secretions  poured  into 
mouth  and  stomach,  and  leaves  none  for  the  digestion  of  other  portions  of  the  food.  The  craving  for  fresh  bread  was  founded 
in  reason,  and  was  not  a  mere  whim.  In  addition  to  these  vegetables  and  fresh  bread  procured  by  the  commissary  department, 
fifteen  hundred  boxes  of  fresh  lemons  were  issued  by  the  medical  purveyor  to  the  various  hospitals  and  to  the  troops.  The 
beneficial  effects  of  this  treatment  soon  became  perceptible  on  the  health  of  the  men,  and,  when  we  left  Harrison's  Landing, 
scurvy  had  disappeared  from  the  Army  of  the  Potomac.  AVhilst  the  army  remained  at  that  place,  supplies  of  every  kind 
appertaining  to  the  medical  department  were  abundant,  and  large  amounts  were  used,  as  it  was  found  necessary  to  re-supply 
the  regiments  of  almost  the  entire  army.  Ice  was  freely,  and  almost  daily  supplied  by  the  medical  purveyor  to  the  general  and 
regimental  hospitals  and  to  the  hospital  transports.  The  recommendations  contained  in  my  communication  to  General  S. 
Williams,  which  I  have  quoted,  were  ordered  to  be  carried  into  effect  by  the  General.  The  attention  of  the  Adjutant  General 
was  called  to  the  subject  of  police,  a  matter  all  important  in  an  army,  on  July  Isith.  Inspections  were  made  frequently  by 
medical  officers  in  the  different  corps,  by  officers  sent  upon  this  duty  from  the  medical  director's  office,  and  by  myself,  to  see 
that  the  instructions  just  alluded  to  were  enforced.  The  duty  was  laborious,  and  especially  so  because  of  the  excessive  heat  in 
July  and  August.  These  inspections  were  purposely  made  without  any  intimation  to  the  commands  to  be  inspected.  The 
beneficial  effects  of  the  inspections  were  very  evident,  in  the  improvement  of  the  various  camps  and  regimental  hospitals.  In 


EEPORT    OF    MEDICAL    DIRECTOR    LETTERMAN.  95 

very  few  regiments  sickness  increased.  In  others,  the  sick  list  remained  stationary ;  in  others,  it  decreased.  On  the  whole,  the 
health  of  the  army  improved.  On  July  30th,  I  informed  the  Surgeon  General  that  the  number  of  sick  in  the  army  was  about, 
twelve  thousand,  of  whom  two  thousand  could  take  the  field.  The  cases  became  less  severe  and  more  manageable,  yielded 
more  readily  to  treatment,  and  continued  to  indicate  a  general  tendency  to  improve,  until  the  army  evacuated  Harrison's 
Landing.  It  is  impossible  to  convey,  in  writing,  to  any  one  not  mingling  with  the  troops,  a  true  idea  of  the  improvement  which 
took  place  in  the  health  of  the  men  while  we  were  encamped  at  that  place.  The  number  reported  sick  on  the  regimental  reports 
cannot  by  any  means  be  taken  as  the  true  condition  of  the  health  of  the  army  upon  its  arrival  there ;  it  does  not  give  the  real 
amount  of  its  effective  fighting  strength.  The  want  of  proper  nourishment,  the  poisonous  exhalations  from  the  streams  and 
swamps  of  the  Peninsula,  the  labor  undergone,  and  the  anxiety  felt,  had  undermined  the  strength  and  withered  the  spirits  of  a 
great  many  who  were  apparently  well.  The  effective  strength  of  the  army  when  it  reached  Harrison's  Landing,  and  for  some 
time  thereafter,  was  less  than  the  returns  would  indicate;  and  then,  on  the  other  hand,  there  are  many  ways  in  which  improved 
health  manifests  itself  that  cannot  be  adequately  described.  There  was  so  much  in  the  appearance,  in  the  life  and  vivacity 
exhibited  by  the  men  in  the  slightest  actions,  even  in  the  tone  of  the  voice,  which  conveyed  to  one's  mind  the  impression  ot 
health  and  spirits,  of  recovered  tonicity  of  mind  and  body,  of  the  presence  of  vigorous  and  manly  courage ;  an  impression 
which,  to  be  understood,  must  be  felt  and  cannot  be  told.  The  real  strength  of  the  army,  when  it  left  Harrison's  Landing,  was 
greater  than  the  large  number  at  that  time  sent  on  the  transports  for  the  sick  would  lead  you  to  suppose.  It  was  agreeable  to 
notice  that  the  measures  adopted  for  the  improvement  of  the  health  of  the  troops  were  so  ably  and  so  cordially  seconded  by  the 
medical  directors  of  corps  that,  by  their  exertions  and  that  of  the  officers  under  them,  encouraging  results  were  brought  about, 
and  that  they  were  so  able  and  so  willing  to  assist  in  efforts  towards  restoring  the  health,  and  re-establishing  the  vigor  of  the 
Army  of  the  Potomac.  Time  showed  that  those  who  were  not  sick  were  well,  that  the  spirits  of  the  troops  had  risen,  and  that 
the  army,  when  it  left  Harrison's  Landing,  was  in  a  better  condition  by  far  than  when  it  reached  that  place,  and  that  there  was 
every  evidence  to  expect  the  health  of  this  army  to  be  in  as  good  a  state  as  that  of  any  army  in  the  field.  From  July  15th,  the 
transports  for  the  sick  were  chiefly  employed  in  bringing  our  wounded  and  sick  exchanged  prisoners  from  Richmond,  and 
carrying  them  to  the  northern  cities ;  principally  to  Baltimore,  Philadelphia,  and  New  York.  They  were  almost  wholly  occupied 
in  this  duty  until  August  3d,  when  the  last  exchanges  were  made  at  City  Point.  Shortly  after  communication  was  opened 
with  the  Confederate  authorities,  large  supplies  of  fresh  lemons,  brandy,  lint,  and  other  necessaries  were,  by  direction  of  the 
commanding  general,  sent  to  City  Point,  to  be  turned  over  to  the  Confederate  authorities  for  the  use  of  the  wounded,  but  would 
not  be  received  by  them,  and  were  returned.  The  commanding  general  visited  the  transports,  on  their  return  from  that  place 
with  our  wounded,  and  I  inspected  every  vessel  before  it  was  allowed  to  leave  for  the  north,  that  I  might  be  certain  that  every 
thing  was  done,  and  done  properly,  that  was  necessary  for  the  welfare  of  those  on  board.  Three  thousand  eight  hundred  and 
forty-five  sick  and  wounded  were  thus  transported.  After  this  time,  a  portion  of  these  transports,  which  had  been  while  north 
taken  from  their  legitimate  use,  were  occupied  in  carrying  exchanged  Confederate  prisoners  from  the  north  to  City  Point.  On 
the  return  of  these  boats  from  this  service  to  Harrison's  Landing,  they  were  found  to  be  excessively  filthy,  and  required  a  great 
deal  of  labor  to  render  them  again  suitable  for  the  transportation  of  the  sick.  The  use  of  these  vessels  in  this  wav  embarrassed 
me.  On  the  3d  of  August,  the  shipment  of  the  sick  from  the  army  commenced,  and  was  carried  on  as  rapidly  as  the 

transportation  could  be  obtained.  It  will  be  perceived  from  what  I  have  just  said  that  I  had  at  my  disposal  only  a  portion  ot 
the  boats  set  apart  for  that  purpose,  and  the  hospitals  I  had  drawn  plans  for,  and  which  the  commanding  general  had  directed 
the  chief  quartermaster  to  procure,  were  not  allowed.  These  two  things  embarrassed  me  much.  *  *  Colonel  R.  Ingalls, 
Quartermaster  U.  S.  A.,  made  every  effort  in  his  power  to  aid  me  in  removing  the  sick,  and  placed  at  different  times  temporarily 
at  my  disposal,  for  this  purpose,  ten  steamers.  Some  of  these  could  make  but  one  trip,  others  made  more,  and  carried,  in  all, 
from  the  9th  to  the  night  of  the  15th  of  August,  five  thousand  nine  hundred  and  forty-five  men.  One  thousand  nine  hundred 
and  eight  men  were  sent  away  before  the  9th  on  the  regular  transports.  The  total  number  sent  away,  consequent  upon  the 
movement  of  the  army,  was  fourteen  thousand  one  hundred  aiid  fifty-nine.  The  largest  number  of  boats  was  obtained  on  the 
15th,  and  on  that  day  and  night  five  thousand  six  hundred  and  twenty-nine  were  sent  away.  This  fact  will,  I  think,  show  that 
the  medical  department  was  not  idle.  The  delay  arising  from  the  use  of  the  transports  for  purposes  other  than  that  for  which 
they  were  designed,  it  was  impossible  for  me  to  avoid,  and  it,  at  the  same  time,  was  the  cause  of  another  serious  evil,  the  want  of 
time  to  have  the  cases  to  be  sent  away  properly  examined.  From  this  cause,  many  were  taken  on  board  who  should  not  have 
been  received ;  many  men  were  sent  from  regiments,  by  colonels  or  captains,  without  the  knowledge  of  the  medical  officers,  who 
were  fully  able  to  do  the  duty  required  of  them,  and,  under  the  circumstances,  it  became  necessary  to  send  them  on  to  the  boats. 
This  state  of  things  could  have  been  prevented,  could  the  medical  department  have  had  full  control  of  its  vessels,  when  the 
preparations  were  commenced  to  embark  the  sick.  The  delay  involved  an  emergency,  under  which,  it  was  impossible  to  have 
every  case  thoroughly  examined.  There  are  always  numbers  of  skulkers  and  worthless  men  in  an  army,  who  are  on  the 
watch  for  an  opportunity  to  escape  duty,  and  these  always  furnish  the  cases  which  require  the  most  careful  examination,  and 
the  men  who  raise  the  cry  of  inhumanity,  want  of  attention,  and  cruelty  of  surgeons,  so  frequently  taken  up  and  re-echoed 
from  one  end  of  the  country  to  the  other.  Out  of  three  thousand  cases  examined,  upon  one  arrival  at  Fort  Monroe,  six  hundred 
were  fit  for  duty,  and  07-dered  to  their  regiments.  When  the  time  and  the  means  are  considered,  it  will,  I  think,  be  conceded 
that  seldom  have  so  large  a  number  been  transported  without  accident  and  without  suffering.  A  careful  and  attentive  medical 
officer  was  placed  on  each  boat,  with  medical  supplies  sufficient  for  use.  Credit  is  very  deservedly  due  to  Doctor  Dunster,  and 
the  medical  officers  of  the  vessels,  for  the  manner  in  which  this  large  number  was  transported  and  provided  for.  The  labor  was 
great.  The  supplies  appertaining  to  the  medical  department  were,  owing  to  the  excellent  manner  in  which  the  purveying  was 
performed  by  Assistant  Surgeon  Alexander,  U.  S.  A.,  in  every  way  abundant  while  at  Harrison's  Landing,  and  when  the  army 
left  that  place,  it  was,  so  far  as  the  medical  department  was  concerned,  fully,  I  might  almost  say  elegantly  equipped  with  all 
that  was  requisite  for  another  campaign. 

The  subject  of  the  ambulances,  after  the  health  of  the  troops,  became  a  matter  of  importance.     Medical  officers  and 
quartermasters  had  charge  of  them,  and,  as  a  natural  consequence,  little  care  was  exercised  over  them,  and  they  could  not  be 


96  APPENDED    DOCUMENTS ANTIETAM    CAMPAIGN. 

depended  upon  during  an  action  or  upon  a  march.  It  became  necessary  to  institute  some  system  for  their  management,  such 
that  they  should  not  be  under  the  immediate  control  of  medical  officers,  whose  duties,  especially  on  the  day  of  battle,  prevented 
anv  supervision,  when  supervision  was,  more  than  at  any  other  time,  required.  It  seemed  to  me  necessary,  that  whilst  medical 
officers  should  not  have  the  care  of  the  horses,  harness,  etc.,  belonging  to  the  ambulances,  the  system  should  be  such  as  to 
enable  them,  at  all  times,  to  procure  them  with  facility  when  wanted  for  the  purpose  for  which  they  were  designed,  and  to  be 
kept  under  the  general  control  of  the  medical  department.  Neither  the  kind  nor  the  number  of  ambulances  required  were  in 
the  army  at  that  time,  but  it  nevertheless  was  necessary  to  devise  a  system  that  would  render  as  available  as  possible  the 
material  upon  the  spot,  particularly  as  the  army  might  move  at  any  time,  and  it  was  not  considered  advisable  to  wait  for  the 
arrival  of  such  as  had  been  asked  for,  only  a  portion  of  which  ever  came.  In  order  to  inaugurate  a  system  which  would  make 
the  best  of  the  materials  on  hand  and  accomplish  the  objects  just  referred  to,  the  following  order  was  written  and  published  by 
direction  of  the  commanding  general.  *  *  [For  the  details  of  the  ambulance  system  here  referred  to,  see  the  account  of  the 
ambulance  system  in  the  Surgical  History  of  the  War. — EDS.] 

Whilst  the  army  was  at  Harrison's  Landing,  the  hospitals  at  Point  Lookout,  Fort  Monroe,  and  its  immediate  vicinity, 
Portsmouth,  and  Newport  News  were  within  the  jurisdiction  of  the  Army  of  the  Potomac,  and  all  of  them  I  visited.  On  the 
1st  of  August,  there  were  in  these  hospitals  one  thousand  eight  hundred  and  twenty  patients;  during  that  month,  including  the 
hospital  at  Craney  Island,  to  which  I  have  already  alluded,  they  received  five  thousand  one  hundred  and  ninety-one ;  making  a 
total  of  seven  thousand  one  hundred  and  eleven.  Of  these,  seven  hundred  and  sixteen  were  returned  to  duty,  one  hundred  and 
one  discharged,  four  sent  on  furlough,  nine  deserted,  and  eighty-four  died,  leaving  under  treatment  five  thousand  eight  hundred 
and  seventv-nine.  On  the  31st  of  August,  in  these  hospitals,  during  that  month,  sixty-six  surgeons,  twelve  medical  cadets, 
twelve  hospital  stewards,  five  hundred  and  thirty-seven  nurses,  and  one  hundred  and  twenty-six  cooks  were  on  duty.  The 
army  had  to  be  transported  northward,  by  water,  from  this  place.  All  the  vessels  that  could  be  obtained,  the  transports  fitted 
up  for  the  sick,  as  well  as  others,  were  required  by  the  quartermaster's  department  for  this  object.  It  appeared  that  it  was 
necessary  to  have  the  troops  transported  with  rapidity,  as  they  were  sent  with  scarcely  any  baggage.  It  resulted,  that  the 
ambulances  and  all  their  appurtenances  were  left  behind,  to  be  sent  up  as  vessels  could  be  spared  for  the  purpose.  Some  of  the 
vessels  never  arrived.  A  large  portion  of  the  medical  supplies  were  also  left  behind,  in  some  cases  everything  but  the  hospital 
knapsack,  by  orders  of  colonels  of  regiments,  regimental  quartermasters,  and  others ;  in  some  cases,  without  the  knowledge  of 
the  medical  officers ;  in  others,  notwithstanding  their  protest.  For  such  acts  as  these,  medical  officers  have  been  severely 
censured,  and  they  were  censured  afterwards  for  not  having  the  very  supplies  which  had  been  left  behind  in  this  manner.  From 
the  date  of  the  embarkation  of  the  troops  at  Fort  Monroe,  up  to  the  time  when  the  general  was  placed  in  command  of  the 
defences  of  Washington,  I  know  personally  but  little  of  the  medical  department  of  the  Army  of  the  Potomac.  It  was  not  under 
my  control.  On  the  2d  of  September,  when  the  general  was  placed  in  command,  it  came  once  more  under  my  control,  and  I 
found  it  in  a  most  deplorable  condition.  The  officers  were  worn  down  by  the  labors  they  had  in  the  meantime  undergone;  a 
large  portion  of  their  supplies,  as  I  have  stated,  had  been  left  at  Fort  Monroe,  and  even  much  of  that  which  they  had  brought 
with  them  was  thrown  on  the  roadside,  I  have  been  informed  by  commanding  officers,  on  the  way  to  join  General  Pope.  This 
state  of  things,  taken  in  connection  with  the  effects  upon  the  medical  department,  arising  from  the  campaign,  left  it  in  a. 
condition  deeply  to  be  deplored.  The  labor  expended  at  Harrison's  Landing  in  rendering  it  efficient  for  active  service 
seemed  to  have  been  expended  in  vain,  and  before  it  could  be  in  a  condition  to  render  such  service  again  it  was  necessary  that 
it  should  be  completely  refitted.  The  circumstances  under  which  the  army  was  then  placed  made  this  simply  impossible;  there 
was  not  time  to  do  it,  for  as  soon  as  the  troops  reached  the  defences  of  Washington,  they  were  marched  into  Maryland,  and  no 
time  could  be  allowed  for  medic.il  officers  again  to  equip  themselves  with  the  medicines,  instruments,  dressings,  and  stores 
necessary  for  the  campaign  in  that  state.  In  a  few  instates,  the  medical  officers  who  returned  with  the  first  troops  were  able  to 
obtain  a  few  supplies,  but  these  opportunities  were  few.  Some  corps,  which  did  not  belong  to  the  Army  of  the  Potomac  whilst 
it  lay  at  Harrison's  Landing,  were  also  marched  rapidly  into  Maryland,  of  the  condition  of  whose  medical  supplies  I  could 
know  nothing,  except  on  the  way  to  meet  the  enemy.  The  medical  department  had  to  be,  as  it  were,  reorganized  and  re-supplied, 
and  this  had  to  be  done  while  upon  a  rapid  march  over  different  sections  of  the  country,  and  almost  in  face  of  the  enemy. 

Before  leaving  Washington,  I  had  ordered  a  number  of  hospital  wagons  from  Alexandria,  Virginia,  which  reached  me  at 
Rockville,  in  Maryland,  whence  they  were  distributed  to  the  different  corps.  While  at  this  place,  I  directed  the  medical 
purveyor  in  Baltimore  to  put  up  certain  supplies,  and  have  them  ready  to  send  to  such  a  point  as  I  should  direct.  Upon  our 
arrival  at  Frederick,  on  September  13th,  directions  were  given  for  the  establishment  of  hospitals  at  that  place,  for  the  reception 
of  wounded  in  the  anticipated  battles,  and  additional  supplies,  to  a  large  amount,  were  ordered  to  be  sent  from  Baltimore  at 
once.  The  Confederate  troops  had  been  in  this  city  but  the  day  before  our  arrival,  and  almost  all  the  medical  supplies  had  been 
destroyed,  or  had  been  taken  by  them.  Just  previous  to  our  arrival  in  Frederick,  two  hundred  ambulances  were  received  from 
Washington,  which  I  distributed  to  the  corps,  as  rapidly  as  the  movement  of  the  troops  would  permit.  The  failure  of  the  railroad 
company  to  forward  the  supplies  caused  serious  annoyance.  The  railroad  bridge  over  the  Monocacy  creek,  between  Frederick 
and  Baltimore,  having  been  destroyed  by  the  Confederate  troops,  made  it  necessary  to  have  all  the  supplies  of  the  quarter 
masters  and  commissary,  as  well  as  medical  departments,  removed  at  that  point.  A  great  deal  of  confusion  and  delay  was  the 
consequence,  which  seriously  embarrassed  the  medical  department ;  and  not  from  this  cause  alone,  but  from  the  fact  that  the 
cars  loaded  with  supplies  for  its  use  were  on  some  occasions  switched  off  and  left  on  the  side  of  the  road,  to  make  way  for  other 
stores ;  and  some  of  the  supplies,  I  have  been  informed,  never  left  Baltimore.  The  battle  of  South  Mountain  took  place  on  the 
14th.  The  village  of  Middletown,  about  four  miles  in  rear  of  the  scene  of  action,  was  thoroughly  examined  before  the  battle 
began,  to  ascertain  its  adaptability  for  the  care  of  the  wounded.  Churches  and  other  buildings  were  taken,  as  far  as  was 
considered  necessary,  and  yet  causing  as  little  inconvenience  as  possible  to  the  citizens  residing  there.  Houses  and  barns,  the 
latter  large  and  commodious,  were  selected  in  the  most  sheltered  places,  on  the  right  and  left  of  the  field,  by  the  medical  directors 
the  corps  engaged,  where  the  wounded  were  first  received,  whence  they  were  removed  to  Middletown,  the  Confederate 
wounded  as  well  as  our  own.  The  battle  lasted  until  some  time  after  dark,  and  as  soon  as  the  firing  ceased  I  returned  to 


m 


REPORT    OF    MEDICAL    DIRECTOR    LETTERMAN.  97 

4 

Middletown  and  visited  all  the  hospitals  and  gave  such  directions  as  were  necessary  for  the  better  care  of  the  wounded.  On 
the  following  morning,  Assistant  Surgeon  Win.  Thomson,  U.  S.  A.,  was  directed  to  take  charge  of  all  the  hospitals  in  the  village, 
and  Surgeon  T.  Theodore  Heard,  U.  S.  V.,  Surgeon  P.  Pineo,  TJ.  S.  V.,  and  Surgeon  (J.  .1.  Nordquist,  83d  New  York  Volunteers, 
were  sent  to  consult  together,  and  with  him,  and  to  perform  such  operations  as  were  demanded.  The  object  in  sending  these 
officers  was  to  have  all  necessary  operations  done  as  soon  as  possible,  as  it  would  be  impracticable  for  the  surgeons  in  charge  of 
the  different  hospitals  to  perform  them  all  in  season,  anil  at  the  same  time  to  attend  to  the  other  duties  required  of  them.  The 
work  of  these  ollicers  was  very  satisfactorily  performed.  The  hospitals  were  soon  put  in  good  condition,  and  the  men  were 
well  attended  to.  Supplies  of  medicines  and  stores  were,  in  part,  obtained  from  the  supplies  in  the  army,  and,  in  part,  from 
Frederick.  Owing  to  the  causes  already  alluded  to,  it  required  no  little  exertions  to  obtain  them  from  this  place.  The  difficulty 
was,  however,  overcome,  and  such  as  .were  needed,  were,  from  time  to  time,  procured.  The  task  of  providing  food  for  the 
wounded  was  one  of  still  greater  difliculty;  but  was  accomplished  by  having  it  brought  fVom  Frederick,  and  by  purchasing 
from  the  people  living  in  the  village  and  vicinity.  As  was  anticipated,  the  \vounded,  under  the  supervision  of  Assistant  Surgeon 
Thomson,  who  labored  unceasingly,  were  attended  with  great  care,  and  the  hospitals  placed  in  excellent  condition.  Great 
kindness  was  shown  by  the  citizens,  and  especially  by  the  ladies,  to  our  wounded,  until  the  hospitals  were  broken  up. 

The  battle  of  Crampton's  Gap  took  place  also  on  September  14,  1862,  at  the  same  time  that  the  engagement  at  South 
Mountain  was  in  progress.  The  hospitals  for  the  wounded  were  located  at  Burkettsville,  about  a  mile  in  the  rear  of  our  troops. 
As  in  the  village  of  Middletown,  churches  and  other  buildings  were  here  appropriated  for  hospital  purposes.  A  sufficient 
number  of  surgeons  were  detailed  by  Surgeon  W.  J.  H.  White,  U.  S.  A.,  Medical  Director  of  the  Sixth  Corps  (the  only  corps 
engaged),  who  had  charge  of  the  medical  department  in  the  action.  There  was  but  short  time  given  to  prepare  hospitals  in 
either  of  these  villages,  as  the  troops  left  Frederick  and  fouirht  both  battles  the  same  day.  By  the  exertions  of  the  medical 
ollicers  in  charge,  the  hospitals  in  Burkettsville  were  in  a  short  time  put  in  good  order,  and  every  care  taken  of  the  men  brought 
to  them.  *  *  The  same  difficulty  existed  here  as  in  Middletown,  regarding  supplies  of  medicines,  hospital  stores  and  food, 
and  were  overcome  in  like  manner.  The  most  reliable  reports  that  can  be  obtained  show  one  thousand  two  hundred  and 
fourteen  wounded  in  these  two  engagements.  While  these  figures  are  not  deemed  entirely  accurate,  they  are  throught  to 
approximate  very  nearly  to  the  actual  number  wounded,  those  of  the  Confederate  forces  not  being  included. 

The  army  pushed  on  rapidly,  and  passing  through  the  village  of  Boonsboro'  on  the  following  day,  the  15th,  it  was 
examined,  to  ascertain  what  accommodation  it  afforded  for  hospital  purposes,  in  the  event  they  should  be  required  there.  Later 
in  the  evening,  we  passed  through  the  village  of  Keedysville,  a  few  miles  beyond,  which  was  also  subjected  to  a  similar 
inspection.  Passing  beyond  this  village,  we  came  in  sight,  late  in  the  evening,  of  what  after.vards  proved  to  be  the  battlefield 
of  Antietam.  As  soon  as  the  nature  of  tlie  country  and  its  resources  for  hospital  purposes  could  be  ascertained,  and  when  a 
conception  was  formed  of  the  nature  of  the  anticipated  battle,  and  the  position  to  be  occupied  by  our  troops,  directions  were 
given  to  the  corps  medical  directors  to  form  their  hospitals,  as  far  as  possible,  by  divisions,  and  at  such  a  distance  in  the  rear  of 
the  line  of  battle  as  to  be  secure  from  the  shot  and  shell  of  the  enemy ;  to  select  the  houses  and  barns  most  easy  of  access,  and 
such  as  were  well  supplied  with  hay  or  straw,  and  water ;  and,  when  circumstances  would  permit,  to  designate  barns  as  preferable 
to  houses,  as  being  at  that  season  of  the  year  well  provided  with  straw,  better  ventilated,  and  likely  to  enable  the  medical  officers 
with  more  facility  to  attend  to  a  greater  number  of  wounded,  and  to  have  all  the  hospital  supplies  taken  to  such  points  as  were 
selected.  These  directions  were  generally  carried  into  effect,  and  yet  the  hospitals  were  not  always  beyond  the  range  of  the 
enemy's  guns.  Very  few  hospital  tents  could  be  obtained,  owing  to  the  haste  with  which  the  army  marched  from  Virginia  into 
Maryland ;  but  the  weather  was  such  as  to  enable  the  wounded  to  be  cared  for  without  them.  A  reference  to  the  map 
accompanying  this  report  will  exhibit  better  than  any  description  the  location  of  these  hospitals,  which  were  necessarily 
numerous,  from  the  length  of  the  line  of  battle  and  the  obstinacy  with  which  the  engagement  was  contested. 

The  battle  commenced  on  the  evening  of  September  16th,  and  continued  until  dark ;  it  was  renewed  early  in  the  morning 
of  the  17th,  and  lasted  until  night.  During  the  day,  I  received  valuable  aid  from  Assistant  Surgeon  B.  Howard,  U.  S.  A.,  who 
was  busily  engaged  while  the  battle  was  in  progress  in  riding  to  different  parts  of  the  field,  and  keeping  me  informed  of  the 
condition  of  medical  affairs.  After  night.  I  visited  all  the  hospitals  in  Keedysville,  and  gave  such  directions  as  were  deemed 
necessary.  The  subject  of  supplies,  always  a  source  of  serious  consideration,  was  here  peculiarly  so.  The  condition  of  affairs  at 
Monocacy  Creek  remained  as  heretofore  described,  and  the  action  of  the  railroad  was  not  commensurate  with  the  demands  made 
upon  it.  The  propriety  of  obtaining  the  hospital  wagons  from  Alexandria  was  evident,  as  these  gave  a  supply  for  the  emergency, 
and  enabled  surgeons  to  attend  to  tlie  wounded  as  soon  as  the  battle  opened.  On  the  close  of  the  battle,  supplies  of  medicines, 
stimulants,  dressings,  and  stores  were  sent  for  and  brought  from  Frederick  in  ambulances,  and  were  distributed  to  the  different 
hospitals  as  they  were  needed.  The  fear  of  the  supplies  becoming  exhausted,  for  the  difficulty  of  procuring  them  was  well 
known,  caused  uneasiness  on  the  part  of  some  medical  officers,  who  did  not  know  the  efforts  that  had  been  made  before,  and 
were  made  during  and  after  the  battle,  to  have  enough  furnished  to  supply  their  wants.  I  visited,  after  the  battle,  every  hospital 
in  the  rear  of  our  lines,  and  in  no  instance  did  I  find  any  undue  suffering  for  lack  of  medical  supplies.  Owing  to  the  difficulty 
in  having  them  brought  from  Monocacy  Creek,  for  the  first  few  days,  the  supplies  of  some  articles  became  scanty,  and  in  some 
instances  very  much  so;  but  they  were  soon  renewed,  and,  at  the  temporary  depot  established  in  Sharpsburg,  shortly  after  the 
battle,  a  sufficient  quantity  of  such  articles  as  were  necessary  from  time  to  time  arrived,  and  when  this  temporary  depot  was 
afterwards  broken  up,  about  the  middle  of  October,  a  portion  of  the  supplies  remained  on  hand.  Not  only  were  the  wounded 
of  our  own  army  supplied,  but  all  the  Confederate  wounded,  which  fell  into  our  hands,  were  furnished  all  the  medicines,  hospital 
stores,  and  dressings  that  wero  required  for  their  use.  The  difficulty  of  supplying  the  hospitals  witli  food  was  a  much  greater 
one  than  that  of  providing  articles  belonging  to  the  medical  department,  and  was  a  matter  of  very  great  concern.  This,  a  matter 
in  all  battles  of  moment,  was,  in  this,  particularly  so,  on  account  of  the  distance  of  the  depot  of  supplies.  An  order  was  procured 
from  Colonel  lugalls  for  twelve  wagons  to  bring  up  from  Frederick  supplies  of  medicines  and  food.  These  wagons  could  not 
be  obtained.  Two  were  then  procured  from  the  chief  quartermaster  at  headquarters,  and  I  sent  them  in  command  of  a  medical 
officer,  who  brought  up  supplies  of  coffee,  sugar,  and  bread.  Tlie  hospitals  were  soon  afterward  abundantly  supplied.  I  have 


98 


APPENDED    DOCUMENTS ANTIETAM    CAMPAIGN. 


already  mentioned  that  the  ambulances  had  been  left  at  Fort  Monroe,  when  the  troops  embarked,  and  that  no  system  existed, 
except  in  the  corps  which  belonged  to  the  Army  of  the  Potomac,  while  at  Harrison's  Landing.  A  portion  of  the  ambulances  ot 
some  of  the  corps  arrived  just  prior  to  the  battle;  a  large  number  had  been  distributed  in  other  corps,  but  were  yet  unorganized, 
and  was  not  expected  that  they  would  prove  as  efficient  as  was  desired.  Notwithstanding,  the  wounded  were  brought  from  the 
field  on  our  right  before  two  o'clock  on  the  following  day.  The  ambulance  train  of  the  Second  Corps  was  more  fully  equipped, 
and  did  most  excellent  service,  under  the  charge  of  Captain  J.  M.  Garland,  who  labored  diligently,  and  with  great  care,  until 
all  his  wounded  were  removed.  The  troops  on  the  left  were  those  among  whom  no  well  organized  ambulance  system  existed  ; 
but  here  owino-  to  the  exertions  of  the  medical  officers,  the  wounded  were  removed  by  the  evening  of  September  18th.  When  we 
consider  the  duration  and  magnitude  of  the  engagement,  and  the  obstinacy  with  which  it  was  contested,  it  is  a  matter  of 
congratulation  to  speak  of  the  expeditious  and  careful  manner  in  which  the  wounded  were  removed  from  the  field.  Compiled 
from  the  most  reliable  sources  at  my  command,  the  number  of  wounded  amounted  to  eight  thousand  three  hundred  and  fifty. 
This  number  is  not  entirely  accurate,  as  many  who  were  slightly  wounded  were  attended  to,  of  whose  cases  no  record  could, 
under  the  circumstances,  be  taken.  The  removal  of  so  large  a  body  of  wounded  was  no  small  task.  The  journey  to  Frederick 
in  ambulances  was  tedious  and  tiresome,  and  often  painful  to  wounded  men.  It  was  necessary  that  they  should  halt  at 
Middletown  for  food,  and  to  take  rest ;  that  food  should  always  be  provided  at  this  place  at  the  proper  time,  and  for  the  proper 
number;  that  the  hospitals  at  Frederick  should  not  be  overcrowded;  that  the  ambulances  should  not  arrive  too  soon  for  the 
trains  of  cars  at  the  depot  at  Frederick,  the  bridge  over  Monocacy  Creek  having  been  rebuilt;  and  that  the  ambulance  horses 
should  not  be  broken  down  by  the  constant  labor  required  of  them.  With  rare  exceptions,  this  was  accomplished,  and  all  the 
wounded  whose  safety  would  not  be  jeopardized  by  the  journey,  were  sent  carefully  and  comfortably  away.  The  hospitals  in 
Frederick  were  soon  established  and  put  in  order  by  Surgeon  J.  J.  Milhau,  U.  S.  A.  In  addition  to  the  hospitals  in  the 
city,  two  large  camps  of  hospital  tents  were  formed  on  the  outskirts  of  the  city,  capable  of  containing  one  thousand  beds  each. 
One  hospital  had  been  established  in  Frederick  some  months  before  our  arrival ;  but  at  that  time  it  was  filled  chiefly  with 
Confederate  sick  and  wounded,  who  had  been  left  there.  All  the  available  buildings  in  this  city,  six  in  number,  were  taken 
for  hospitals.  *  *  These  were  fitted  up  with  great  rapidity,  the  buildings  selected  and  prepared;  beds,  beddings,  dressings, 
stores,  food,  cooking  arrangements  made;  surgeons,  stewards,  cooks  and  nurses  detailed,  and  sent  for.  On  September  30th, 
these  hospitals  contained  two  thousand  three  hundred  and  twenty-one  patients.  The  camps,  to  which  I  have  just  alluded,  were 
formed  in  October,  in  very  eligible  and  pleasant  locations,  on  the  outskirts  of  the  town.  In  these  hospitals  and  camps, 
sixty-two  surgeons,  fifteen  medical  cadets,  twenty-two  hospital  stewards,  five  hundred  and  thirty-nine  nurses,  and  one  hundred 
and  twenty-seven  cooks  were  on  duty  during  the  month  of  October,  when  all  were  in  operation.  During  this  month,  three 
thousand  and  thirty-two  patients,  chiefly  wounded,  were  received  into  these  hospitals,  making,  with  those  then  under  treatment 
on  the  30th  of  September,  five  thousand  three  hundred  and  fifty-three.  Of  this  number,  four  hundred  and  three  were  returned 
to  duty,  twenty-three  were  discharged,  three  deserted,  four  were  sent  on  furlough,  two  thousand  and  sixty-four  were  sent  to 
other  hospitals,  and  two  hundred  and  fifty-three  died;  leaving,  on  the  31st  of  October,  two  thousand  six  hundred  and  three 
remaining  in  the  hospitals.  A  large  number  of  wounded  were  sent  from  the  hospitals  on  the  battlefield,  through  Frederick,  to 
other  hospitals,  of  whom  no  record  was  kept,  as  they  were  not  received  into  any  of  the  hospitals  in  that  city.  Few,  who  saw 
these  hospitals  after  their  establishment,  could  form  any  conception  of  the  labor  required  to  put  them  in  the  good  condition  in 
which  they  were  kept.  The  zeal  and  ability  displayed  by  Surgeon  J.  J.  Milhau,  U.  S.  A.,  in  their  organization  and  management, 
and  the  hearty  cooperation  he  at  all  times  gave  me,  deserve  especial  mention.  In  addition  to  our  own  wounded,  we  had  to 
care  for  two  thousand  five  hundred  Confederate  wounded  from  the  battle  of  South  Mountain,  Crampton's  Gap,  and  Antietam. 
Those  captured  at  South  Mountain  were  taken  to  Middletown,  and  those  at  Crampton's  Gap,  to  Burkettsville.  When  the 
general  assumed  command  of  the  defences  of  Washington,  the  hospitals  in  Washington  and  its  vicinity  were  placed  under  my 
control.  We  left  that  city  for  Maryland  on  September  7th,  and  a  few  days  thereafter,  these  hospitals,  and  the  medical  affairs  of 
the  troops  in  and  around  Washington,  were  placed  in  the  immediate  charge  of  Surgeon  K.  O.  Abbott,  U.  S.  A.  *  *  The 
following  table  exhibits  the  number  of  hospitals  there,  and  some  points  of  interest  connected  with  them: 

TABLE  X. 
Statistics  of  Military  Hospitals  in  Washington  from  August  3lst  to  December  ?>lst,  1862. 


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The  excellent  administration  of  these  hospitals,  and  the  complete  system  of  records  adopted  and  carried  out,  reflect  the 
highest  credit  upon  the  officer  in  charge,  for  to  him  it  is  due.  The  very  great  assistance  Dr.  Abbott*  so  uniformly  and  so 
unreservedly  gave  me  upon  all  occasions  requires  especial  notice,  and  it  affords  me  the  greatest  pleasure  to  ask  your  attention 
to  the  richly  deserving  merits  of  this  officer. 

*  Whose  untimely  death  the  medical  staff  has  since  had  to  deplore.— Ens. 


REPORT    OF    MEDICAL    DIRECTOR    LKTTERMAN.  99 

Immediately  after  the  retreat  of  the  enemy  from  the  field  of  Antietam,  measures  were  taken  to  have  all  the  Confederate 
wounded  gathered  in  from  the  field  over  which  they  laid  scattered  in  all  directions,  and  from  the  houses  and  barns  in  the  rear 
of  their  lines,  and  placed  under  such  circumstances  as  would  permit  of  their  being  properly  attended  to,  and  at  such  points  as 
would  enable  their  removal  to  be  effected  to  Frederick,  and  thence  to  Baltimore  and  Fort  Monroe  to  their  own  lines.  They 
were  removed  as  rapidly  as  their  recovery  would  permit.  The  duty  of  attending  to  these  men  was  assigned  to  Surgeon  J.  H. 
Ranch,  U.  S.  V.,  to  whom  assistants  were  given  from-our  own  officers,  and  by  all  the  medical  officers  who  had  been  left  by  the 
enemy  to  look  after  their  wounded.  A  sufficient  number  of  ambulances  and  supplies  having  been  placed  at  the  disposal  ot 
Surgeon  Ranch,  these  wounded  were  collected  in  convenient  places,  and  every  thing  was  done  to  alleviate  their  sufferings  that 
was  done  for  our  own  men.  Humanity  teaches  us  that  a  wounded  and  prostrate  foe  is  not  then  our  enemy.  There  were  many 
patients  whose  wounds  were  so  serious  that  their  lives  would  have  been  endangered  by  removal;  and  to  have  every  opportunity 
afforded  them  for  recovery,  the  Antietam  hospital,  consisting  of  hospital  tents,  and  capable  of  comfortably  accommodating  nearly 
six  hundred  patients,  was  established  at  a  place  called  Smoketown,  near  Keedysville,  for  those  who  were  wounded  on  our  right, 
and  a  similar  hospital,  less  capacious,  the  Locust  Spring  hospital,  was  established  in  the  rear  of  the  Fifth  Corps,  for  the 
wounded  on  our  left.  To  one  or  other  of  these  hospitals,  all  the  wounded  were  carried,  whose  wounds  were  of  such  a  character 
as  to  forbid  their  removal  to  Frederick  or  elsewhere.  The  inspections  made  of  these  hospitals  made  known  to  me  the  skilful 
treatment  which  these  men  received,  and  the  care  with  which  they  were  watched  over,  and  convinced  me  of  the  propriety  ot 
the  adoption  of  this  course  in  regard  to  them.  Surgeon  13.  A.  Vauderkieft,  U.  S.  V.,  who  was  in  charge  of  the  Antietam 
hospital,  was  unceasing  in  his  labors,  and  showed  a  degree  of  professional  skill  and  executive  ability  much  to  be  admired. 
Great  care  and  attention  was  shown  to  the  wounded  at  the  Locust  Spring  Hospital  by  Surgeon  T.  H.  Squires,  89th  New  York 
Volunteers,  who  had  charge  of  it.  Both  hospitals  were  kept  in  excellent  order.  Immediately  after  the  battle,  a  great  many 
citizens  came  within  our  lines,  in  order  to  remove  their  relatives  or  friends  who  had  been  injured,  and  in  a  great  many  instances 
when  the  life  of  the  man  depended  upon  his  remaining  at  rest.  It  was  impossible  to  make  them  understand  that  they  were 
better  where  they  were,  and  that  a  removal  would  probably  involve  the  sacrifice  of  life.  Their  minds  seemed  bent  on  having 
their  friends  in  houses.  All  would,  in  their  opinion,  be  well  if  that  could  be  accomplished.  No  greater  mistake  could  exist, 
and  the  results  of  that  battle  only  added  additional  evidence  of  the  absolute  necessity  to  wounded  men  of  a  full  supply  of  pure 
air,  constantly  renewed,  a  supply  which  cannot  be  obtained  in  the  most  perfectly  constructed  building.  Within  a  few  yards,  a 
marked  contrast  could  be  seen  between  the  wounded  in  houses,  barns,  and  in  the  open  air.  Those  in  houses  progressed  less 
favorably  than  those  in  the  barns,  those  in  the  barns  less  favorably  than  those  in  the  open  air,  although  all  were  in  other 
respects  treated  alike.  The  capacious  barns,  abundantly  provided  with  hay  and  straw,  the  delightful  weather  with  which  we 
were  favored,  and  the  kindness  exhibited  by  the  people  of  the  neighborhood  afforded  increased  facilities  to  the  medical 
department  for  taking  care  of  the  wounded  thrown  upon  it  by  that  battle.  From  the  frequent  inspections  which  I  made  from 
time  to  time,  and  from  the  reports  of  inspections  made  of  the  hospitals,  and  the  manner  in  which  the  duties  required  in  them 
were  performed  by  medical  officers,  it  gives  me  no  little  pleasure  to  say  that  the  wounded  had  every  care  that  could  be  bestowed 
upon  them  ;  that  they  were  promptly,  willingly,  and  efficiently  attended,  and,  although  I  have  more  than  once  spoken  concerning 
the  conduct  of  medical  officers  on  that  battlefield,  I  cannot  refrain  from  alluding  here  to  the  untiring  devotion  shown  by  them 
to  the  wounded  of  that  day.  Until  all  the  wounded  were  finally  disposed  of,  no  pains  were  spared,  no  labor  abstained  from,  by 
day  or  by  night,  by  the  medical  officers  of  this  army,  to  alleviate  the  sufferings  of  the  thousands  of  wounded  who  looked  to 
them  for  relief.  The  medical  directors  of  corps,  especially  Surgeon  A.  N.  Dougherty  and  Surgeon  John  McNulty,  were 
untiring  in  their  exeitions  and  unceasing  in  their  labors,  and  were  ably  assisted  by  the  staffs  under  their  command.  Very 
few  delinquencies  occurred,  and  these  were  swallowed  up  by  the  devotion  exhibited  by  the  rest  of  the  medical  staff  during  and 
long  after  the  battle.  The  surgery  of  these  battlefields  has  been  pronounced  by  some  journals  butchery ;  gross  misrepresentations 
of  the  conduct  of  medical  officers  have  been  scattered  broadcast  over  the  country,  causing  deep  anxiety  to  those  wh»  had 
relatives  in  the  aimy.  It  is  not  to  be  supposed  that  there  were  no  incompetent  Burgeons  in  the  army;  but  these  sweeping- 
denunciations  against  a  class  of  men  who  favorably  compare  with  the  military  surgeons  of  any  country,  because  of  the 
incompetency  of  a  few,  are  wrong,  and  do  injustice  to  a  body  of  men  who  have  labored  faithfully  and  well.  It  is  easy  to 
magnify  faults  beyond  the  bounds  of  truth;  it  is  equally  easy  to  ignore  the  good  that  has  been  done.  Some  medical  officers 
lost  their  lives  in  their  devotion  to  duty  in  the  battle  of  Antietam,  and  others  sickened  from  the  excessive  labor  which  they 
conscientiously  performed.  If  any  objection  could  be  urged  against  the  surgery  of  those  fields,  it  should  be  to  the  efforts  ot 
surgeons  to  practice  conservative  measures  to  too  great  an  extent.  I  had  better  oppoitunities,  perhaps,  than  any  one  else  to 
form  an  opinion,  and,  from  my  observations,  I  am  convinced  that  if  any  fault  was  committed,  it  was  that  the  knife  was  not  used 
enough.  So  much  has  been  said  on  this  mutter  that,  familiar  as  I  am  with  the  conduct  of  the  medical  officers  on  those 
battlefields,  I  cannot,  as  the  Medical  Director  of  the  army,  see  them  misrepresented  and  be  silent.  After  these  battles,  the 
army  remained  some  time  in  Maryland,  preparing  for  the  coming  campaign  in  Virginia.  During  this  time,  I  was  occupied  in 
having  the  wounded  well  cared  for,  and  properly  sent  away;  in  making  suitable  provisions  for  those  whose  safety  required  that 
they  should  not  be  removed,  and  in  making  such  changes  as  experience  and  observations,  during  those  battles  and  the  short 
time  that  I  had  occupied  the  position  of  medical  director,  convinced  me  were  necessary.  Hitherto  large  amounts  of  medical 
supplies  had  been  lost,  and  in  various  ways  wasted,  and,  not  unfrequently,  all  the  supplies  for  a  regiment  had  been  thrown 
away  for  want  of  transportation,  and,  of  course,  were  not  on  hand  when  wanted.  It  was  necessary  that  this  should  be  remedied, 
and,  in  order  to  do  so,  it  was  necessary  to  diminish  the  amount  that  was  furnished  a  regiment  at  one  time,  which  would  affect  the 
whole  existing  system,  and  make  the  change  a  radical  one.  The  objects  which  it  was  considered  as  desirable  to  attain  were, 
to  reduce  the  waste  which  took  place  when  large  supplies  were  at  one  time  issued  to  regiments,  to  have  a  supply  given  them, 
small,  but  sufficient  for  all  immediate  wants,  and  to  have  these  supplies  easily  attainable,  and  replenished  without  difficulty, 
when  required,  and  without  a  multiplication  of  papers  and  accounts.  It  was  necessary,  also,  that  they  should  be  transported 
with  facility,  and  that  no  trouble  should  be  experienced  in  having  them  in  abun.'ance  at  the  field  hospitals  in  time  of  action  ; 
and  yet,  at  the  same,  to  preserve  a  proper  degree  of  accountability.  To  accomplish  this,  a  system  of  supplying  by  brigades  was 


]()0  APPENDED    DOCUMENTS ANTIETAM    CAMPAIGN. 

adopted  on  tlie  4th  of  October,  1862.  *  *  Before  the  adoption  of  this  system,  one,  and  sometimes  two  wagons  were  required 
to  transport  the  medical  supplies  of  a  regiment,  and  another  wagon  was  required  to  transport  cooking  utensils,  hospital  tents, 
and  bassrage  of  medical  officers.  AVith  the  new  system,  one  wagon  sufficed  for  the  medical  department  of  a  regiment ;  one 
Wilson  was  added  to  a  brigade,  and  the  essential  medicines  and  supplies  were  in  such  shape  as  permitted  them  to  be  carried  on 
a  horse,  if  necessary,  and  not  abandoned  and  lost  as  heretofore.  *  *  No  system  of  field  hospitals  existed,  that  I  was  aware 
of  and  being  convinced  of  the  necessity  of  adopting  some  measures  by  which  the  wounded  could  receive  the  best  surgical  aid 
which  the  army  afforded,  and  with  the  least  delay,  my  thoughts  were  naturally  turned  to  this  most  important  subject.  On  the 
field  of  battle  above  all  other  places,  confusion  is  most  liable  to  ensue,  and,  unless  some  method  is  observed  by  which  certain 
surgeons  have  specific  duties  to  perform,  and  every  officer  has  his  place  pointed  out  beforehand  and  his  duties  defined,  and  held 
to  a  strict  responsibility  for  their  proper  performance,  the  wounded  must,  of  course,  suffer.  To  remedy  the  want  which  existed 
the  following  circular  was  issued. 

[For  the  details  of  the  plan  here  referred  to,  see  the  account  of  the  ambulance  system  in  the  Surgical  History  of  the 
War.— EDS.] 

I  have  alluded  to  the  loss  of  medical  officers  in  battle.  Three  of  them  fell  upon  the  battlefield  of  Antietam,  whose 
devotion  to  duty  I  cannot  pass  over.  Surgeon  W.  J.  II.  White,  U.  S.  Army,  medical  director  of  the  Sixth  Corps,  under  General 
Franklin,  was  killed  on  that  field  by  a  shot  from  the  enemy.  He  was  a  skillful  surgeon,  a  gallant  officer,  and  a  gentleman 
whose  deportment  was  kind  and  courteous  to  all  who  had  intercourse  with  him.  These  admirable  traits,  together  with  his 
familiarity  with  the  medical  affairs  of  that  corps,  made  his  loss  deeply  to  be  deplored,  and  especially  on  that  day.  Assistant, 
Surgeon  Kevere,  of  the  2Cth  Massachusetts  Volunteers,  accompanying  his  regiment  into  the  midst  of  the  fight,  fell  by  the  hands 
of  the  enemy,  nobly  and  fearlessly  discharging  his  duty  to  the  wounded.  Assistant  Surgeon  A.  A.  Kendall,  of  the  12th  Massa 
chusetts  Volunteers,  was  killed  by  the  enemy  while  with  his  regiment  in  this  battle.  He  was  a  faithful  and  efficient  officer, 
active  and  zealous  in  his  devotion  to  his  duty,  to  which  he  fell  a  victim  in  the  midst  of  battle.  I  cannot  act  justly  without 
mentioning  the  faithful  services  of  Hospital  Steward  Kaldeway,  U.  S.  Army,  who  has  been  constantly  with  me.  His  attention 
to  duty  has  been  invariably  most  marked.  Shrinking  from  no  labor  by  day  or  by  night,  in  everything  he  has  acquitted  himself 
to  my  entire  satisfaction,  and  it  gives  me  no  little  pleasure  to  bring  to  your  notice  a  non-commissioned  officer  who  has  acted 
so  well. 

We  crossed  the  Potomac,  and  entered  Virginia  early  in  November,  in  anticipation  of  another  battle  soon  taking  place. 
Nothing  of  special  interest  occurred  in  the  medical  department  dining  our  very  rapid  march  through  that  portion  of  the  state 
which  was  traversed  by  the  army.  My  arrangements  had  been  made,  and  the  necessary  instructions  given  to  the  medical 
directois  of  the  corps,  and  with  the  hearty  cooperation  they  were  affording  me,  I  felt  that,  should  the  anticipated  battle  occur 
shortly  after  our  arrival  at  Warrenton,  the  medical  department  would  be  more  able  than  it  had  been  hitherto  to  discharge  the 
duties  devolving  upon  it. 

General  McClellan  was  relieved  from  the  command  of  the  Army  of  the  Potomac  on  the  5th  of  November,  and  the  battle 
did  not  take  place.  Upon  my  first  interview  with  him  at  Harrison's  Landing,  I  perceived  the  great  interest  taken  by  General 
McClellan  in  everything  connected  with  the  medical  department  of  this  army.  Time  only  served  to  strengthen  my  convictions, 
and  continued  to  assure  me  of  his  constant  solicitude  for  the  welfare  of  the  sick  and  wounded  in  the  army  under  his  command. 
Amidst  the  most  pressing  engagements,  he  found  time  to  give  his  attention  to  every  suggestion  for  their  benefit  which  I  had  to 
offer,  and  I  feel  the  most  grateful  remembrance  of  the  unvarying  confidence  and  support  which  he  heartily  gave  me  in 
every  tiling  which  I  considered  condusive  to  that  end. 

Major  General  A.  E.  I5urnside  assumed  command  of  this  army  on  the  9th  day  of  November,  1862,  at  Warrenton.  On 
the  17th  of  that  month,  we  left  that  place  for  Fredericksburg,  and  arrived  opposite  that  city  on  the  19th  of  the  same  month.  It 
was  generally  believed  that,  upon  our  arrival  there,  we  would  at  once  cross  the  Rappahannock  and  take  possession  of  the  city. 
This  was  not  done,  and  it  soon  became  apparent  that,  if  we  attempted  to  do  so,  a  battle  would  ensue.  Shortly  after  we  left 
Maryland,  the  medical  purveyor  of  this  army,  Assistant  Surgeon  T.  J.  McMillin,  U.  S.  A.,  was  directed  to  leave  Knoxville, 
Maryland,  and  to  proceed  witn  his  supplies  to  Washington,  and  await  orders,  and  be  prepared  to  leave  at  any  moment.  He 
was  ordered  to  Warrenton,  whither  he  arrived  shortly  after  the  army,  and  was  engaged  in  issuing  supplies  until  the  troops  left 
that  place,  when  he  was  ordered  to  Washington,  and  thence  to  Aquia  Creek,  where  he  was  to  be  prepared  to  issue.  After  the 
arrival  of  the  army  before  Fredericksburg,  it  became  evident  that  we  could  not  occupy  that  city,  nor  proceed  further  on,  without 
a  battle.  Great  uncertainty  existed  as  to  the  time  such  an  engagement  would  take  place.  It  became  necessary  to  see  that 
everything  in  the  medical  department  should  be  ready  for  any  emergency  which  might  arise.  The  principal  objects  to  be 
accomplished  were,  that  an  extra  amount  of  supplies  for  such  an  occasion  should  be  on  hand  and  easily  attainable  when  wanted, 
that  the  organization  of  the  ambulance  corps  should  be  carried  into  effect  in  those  corps  which  did  not  belong  to  this  army 
when  the  order  establishing  it  was  issued,  and  that  it  should  be  more  perfectly  put  in  force  in  the  others  than  it  had  been 
hitherto.  Ample  supplies  of  medicines,  instruments,  stimulants,  and  anaesthetics  were  ordered  from  New  York  and  Washing 
ton  for  the  medical  purveyor,  who,  after  his  arrival  at  Aquia  Creek,  was  kept  busily  employed  at  this  depot  in  issuing  to  the 
medical  officers.  In  addition  to  these  supplies,  large  quantities,  over  and  above  what  were  required  for  issue,  of  beef  stock, 
stimulants,  dressings,  milk,  coffee,  tea,  blankets,  and  underclothing  were  ordered  and  kept  on  hand,  ready  to  b»  sent  to  any 
point  where  they  might  be  needed.  All  the  hospital  Antenrieth  wagons  that  could  be  procured  were  distributed.  1  regretted 
that  there  were  not  enough  to  supply  each  brigade;  but  this  1  had  no  power  to  remedy.  The  medical  directors  of  corps  were 
informed  that  an  extra  amount  of  the  articles  needed  during  an  engagement  would  be  on  hand  at  an  easily  accessible  point, 
and  would  be  obtained  without  difficulty.  This  information  they  were  directed  to  convey  to  the  officers  under  them,  which  was 
promptly  done.  The  requirements  institution  of  field  hospitals  w«-re  to  he  attended  to.  The  details  were  made  in  each  corps, 
the  necessary  blanks  distributed,  and  every  step  taken,  as  far  as  could  be,  before  an  action,  to  carry  the  instructions  contained 
therein  into  effect.  The  ambulance  corps  in  each  army  corps  was  examined,  and  requisitions  made  for  such  numbers  as  were 
needed  to  make  up  the  allowance.  Horses,  harness,  stretchers,  lanterns,  and  all  that  was  necessary  for  putting  the  trains  in 


REPORT    OF    MEDICAL    DIRECTOR   LET/TERM  AN.  101 

serviceable  order  were  procured,  and  officers  were  assigned,  and  men  detailed  to  complete  and  render  effective  the  organization. 
The  operations  of  this  corps  upon  the  field  of  battle  will  give  ample  evidence  of  the  propriety  of  the  order  establishing  it,  and 
of  expending  time  and  labor  in  its  organization  and  equipment.  Five  hundred  hospital  tents  were,  at  my  request,  ordered  by 
Colonel  R.  Ingalls,  the  chief  quartermaster  of  the  army,  and  kept  at  the  depot,  ready,  at  any  moment,  for  use  when  required. 
These  arrangements  required  no  little  expenditure  of  time  and  labor.  During  this  period  frequent  interviews  took  place  with 
the  medical  directors  of  corps  and  other  medical  officers  and  with  the  ambulance  officers,  and  such  advice  and  instructions  were 
given  as  were  deemed  expedient. 

On  the  10th  of  December,  the  pontoons  were  ready  to  be  thrown  over  the  Rappahannock,  and  the  batteries  were  placed 
in  position  on  the  north  side  of  the  river.  I  did  not  anticipate  many  wounded  among  the  artillerists,  and  therefore  directed  but 
three  places  to  be  selected  for  the  whole  line,  near  which  the  hospitals  for  the  batteries  should  be  located,  and  had  officers 
detailed  to  attend  to  them.  My  anticipations  regarding  the  number  of  wounded  were  realized.  The  nature  of  the  battle  which 
was  about  to  occur,  so  far  as  the  medical  department  was  concerned,  was  peculiar.  It  was  necessary  that  provision  should  be 
made  for  the  wounded  near  where  they  might  be  injured.  In  the  attempt  to  throw  the  pontoons  over  the  river,  great  opposition 
was  probable,  and  should  the  bridge  be  constructed  and  the  troops  attempt  to  cross,  it  was  thought  that  it  would  be  done  under 
the  fire  of  the  enemy's  guns,  which,  planted  on  the  heights  beyond  the  city,  commanded  the  bridges  and  streets  leading  from 
them  into  the  city.  In  this  case,  ample  accommodations  must  be  made  for  a  large  number  of  wounded  on  the  north  side  of 
the  river.  Should  we  succeed  in  crossing,  and  carry  the  place  without  opposition,  the  troops  would,  in  all  probability,  be  at 
once  pushed  on,  and  attempt  to  carry  the  heights  beyond  which  commanded  the  city.  In  this  case,  everything  must  be  prepared 
for  the  establishment  of  hospitals  at  once  on  the  south  side  of  the  river.  It  was  necessary  that  both  these  contingencies  should 
be  provided  for.  In  case  we  attempted  to  carry  the  works  of  the  enemy,  hospitals  were  to  be  provided  immediately  in 
Fredericksburg,  with  all  their  appliances;  and  yet  it  was  equally  necessary,  even  if  we  crossed  without  molestation,  that  we 
should  be  prepared  to  move  the  wounded  at  a  moment's  notice  from  the  city  to  the  opposite  side;  for,  if  we  did  not  succeed, 
the  city  would  be  at  the  mercy  of  the  enemy,  whose  guns  commanded  it.  These  preparations  were  required  not  only  for  the 
troops  attacking  the  enemy  in  the  rear  and  to  the  right  of  Fredericksburg,  but  also  for  those  on  our  left  wing.  For  the 
accommodation  of  the  wounded  of  the  troops  designated  for  the  attack  on  the  enemy  upon  our  right,  and  before  our  bridges 
were  laid,  the  hospital  organizations  of  the  first  and  second  divisions  of  the  Ninth  Corps  were  established  on  the  morning  of 
the  llth,  in  a  ravine  near  the  Phillips  house,  about  two-thirds  of  a  rnile  distant  from  the  river,  where  they  would  be  protected 
from  the  guns  of  the  enemy,  easy  of  access,  and  have  an  abundance  of  wood  and  water.  A  number  of  hospital  tents  were 
here  erected,  and  others  were  kept  in  store,  ready  to  be  pitched  if  they  should  be  needed.  As  Surgeon  P.  A.  O'Connell,  U.  S.  V., 
medical  director  of  the  Ninth  Corps,  remarks,  in  his  report,  'the  surgeons  were  at  their  posts  ready  for  duty,  with  their 
attendants,  nurses,  food,  medicines,  and  all  that  the  wounded  might  need.'  Further  to  the  right,  and  in  a  sheltered  spot  near 
the  railroad,  where  there  was  an  abundance  of  wood  and  water,  a  number  of  hospital  tents  were  pitched,  which  constituted  one 
of  the  division  hospitals  of  the  Second  Corps.  A  house  on  the  bank  of  the  river,  opposite  the  city,  was  also  used  as  an  hospital 
by  the  Second  Corps.  On  our  left  wing,  the  same  kind  of  preparations  were  required  and  made  as  upon  our  right.  The 
arrangements  of  the  Sixth  Corps  were  completed  by  Surgeon  Charles  O'Leary,  U.  S.  V,  its  medical  director,  which  he  reports 
were  in  'such  order  and  system  as  gave  me  (him)  the  most  pleasing  assurance  of  their  efficiency  to  meet  the  emergencies  of  the 
approaching  engagement.'  The  First  Corps  was  upon  the  extreme  left;  its  medical  department,  controlled  by  Surgeon  J.  T. 
Heard,  U.  S.  V.,  by  whom  one  of  the  division  hospitals  was  established  in  like  manner  on  the  north  bank  of  the  river. 

On  the  morning  of  December  llth,  an  attempt  was  made  to  throw  the  pontoons  across  the  river.  General  Hunter's 
reserve  artillery  opened  upon  the  enemy's  works  beyond  the  city,  and  upon  that  portion  of  the  town  which  skirted  the  river, 
where  the  riflemen  of  the  enemy  were  pouring  a  deadly  fire  upon  the  engineers  engaged  in  constructing  these  bridges.  In  the 
afternoon,  the  fire  was  tremendous  ;  such,  I  imagine,  as  has  seldom  been  heard,  at  least  upon  this  continent.  Under  its  effect,  the 
enemy,  who  were  but  few  in  number,  were,  late  in  the  day,  driven  from  the  cellars  and  other  places  of  concealment  along  the 
bank  of  the  river,  and  the  bridges  were  constructed.  Three  of  them  were  thrown  over  on  our  right.  Upon  our  left,  two 
bridges  were  made,  but  without  so  much  opposition,  and  were  done  earlier  in  the  day.  On  the  afternoon  of  the  llth  and  on 
the  12th.  the  troops  crossed  the  Rappahannock,  a  portion  only  of  the  city  being  in  our  possession  on  the  evening  of  the  latter 
day.  Those  who  were  wounded  previous  to  the  night  of  the  12th  were  promptly  and  properly  cared  for  in  the  hospitals 
prepared  on  the  north  side  of  the  river.  In  passing  through  the  city  on  the  afternoon  of  the  12th,  for  the  purpose  of  examining 
that  part  of  it  in  possession  of  our  troops  in  regard  to  its  adaptability  for  hospital  purposes,  I  found  desolation  everywhere 
visible  from  the  effects  of  the  bombardment  of  the  previous  day.  Some  houses  were  shattered,  others  in  ruins,  and  others 
burned.  The  court-house,  several  churches,  and  such  other  buildings  as  were  deemed  suitable,  were  selected  by  and  under  the 
immediate  direction  of  the  medical  directors  of  the  right  and  centre  grand  divisions,  and  medical  directors  of  the  corps  to  be 
engaged.  As  many  hospital  wagons  as  were  required  were  sent  over,  and  the  organization  of  each  hospital  was  commenced. 
So  earnestly  did  the  medical  oflicers  enter  upon  the  discharge  of  their  duties,  that  before  the  action  began  on  December  13th, 
the  hospitals  were  in  readiness,  with  officers,  attendants,  guards,  instruments,  dressings,  stimulants,  food,  candles,  etc. 
Mattresses  and  beds  were  procured  from  the  dwellings.  These,  with  a  limited  amount  of  straw,  enabled  the  surgeons  to  have 
everything  necessary  to  put  the  hospitals  in  order  for  the  proper  and  speedy  treatment  of  the  wounded.  The  wounded,  who, 
mi  the  north  side,  had  been,  as  I  have  just  stated,  attended  to,  were  left  in  charge  of  a  sufficient  number  of  medical  officers  and 
attendants,  and  plenty  of  medical  and  surgical  appliances  and  food.  All  the  tents  were  left  standing,  and  others  on  hand, 
ready  for  use,  should  they  be  wanted.  A  portion  of  the  troops  on  our  left  crossed  tie  river  on  the  llth  ;  the  others,  on  the  12th. 
The  best  attainable  positions  for  the  hospitals  were  selected,  although  not  entirely  out  of  range  of  the  guns  of  the  enemy,  as 
this  was  found  to  lie  impracticable.  The  organization  bv  divisions  had  been,  owing  to  the  nature  of  the  action  on  this  wing, 
more  fully  put  into  operation.  .Surgeon  Charles  O'Leary,  U.  S.  V".,  of  the  Sixth  Corps,  reports  that,  in  the  corps  under  his 
charge,  'each  hospital  had  three  operating  tables,  with  the  requisite  number  of  surgeons  and  attendants  assigned  to  them 
separately.  Instruments,  dressings,  and  all  necessary  appliances,  were  arranged  with  an  order,  precision,  and  convenience 


102  APPENDED    DOCUMENTS ANTIETAM    CAMPAIGN. 

rarely  excelled  in  regular  hospitals.  Each  surgeon  knew  his  proper  place,  and  devoted  himself  to  the  duty  pertaining  to  it 
with  a  zeal  and  fidelity  worthy  of  the  highest  commendation.  I  only  give  the  testimony  of  commanding  officers,  as  well  as 
medical  officers,  when  I  state  that  the  preparations  here  made  in  a  very  short  time  presented  the  completeness  in  detail 
belonging  to  the  long-established,  rather  than  to  extemporized  field  hospitals.'  *  Oa  the  right,  the  location  of  the  hospitals 

was  made  known  to  the  medical  officers  and  the  litter-bearers  who  followed  their  regiments.  Here  the  action  was  to  take  place 
but  a  short  distance  beyond  the  city,  which,  itself,  was  completely  under  the  command  of  the  enemy's  guns,  and,  until  the  enemy 
should  be  dislodged,  the  ambulances  could  not  be  used  whilst  the  engagement  was  going  on.  On  the  left,  the  medical  officers 
who  were  detailed  to  accompany  the  regiments  into  the  field,  were  ordered  to  establish  themselves  in  the  rear  of  their  respective 
brigades,  in  the  most  easily  accessible  and  sheltered  places,  where  the  wounded  were  to  be  carried  by  the  stretcher-bearers, 
who  were  to  be  kept  informed  constantly  of  the  position  of  these  officers.  These  officers  were  directed  to  give  such  attention 
as  was  imperatively  required  to  the  wounded.  After  this  attention,  the  wounded  were  to  be  conveyed  to  the  field  hospitals  by 
the  ambulances,  whose  officers  were  to  be  kept  informed  of  the  position  of  these  officers  whenever  the  brigade  should  move. 
Before  the  action  commenced,  extra  supplies  of  such  articles  as  were  deemed  necessary  were  sent,  in  accordance  with  my 
directions,  to  the  railroad  depot,  not  far  from  Fredericksburg.  The  medical  purveyor,  Assistant  Surgeon  T.  McMillan,  U.  S.  A., 
came  up  with  them,  to  be  near  the  scene  of  operations,  and  ready  to  comply  with  any  orders  he  should  receive  in  reference  to 
supplies,  when  he  returned  to  Aquia  Creek. 

I  have  already  stated  that  the  medical  directors  were  informed  that  supplies  would  be  on  hand ;  and  as  soon  as  they 
arrived,  the  information  was  given  them,  and  they  were  directed  to  have  it  conveyed  to  all  officers  under  them.  These  supplies 
were  in  a  central  position,  and  were  easily  attainable  by  medical  officers,  who  were  only  required  to  send  a  memorandum  of 
what  they  required. 

On  the  morning  of  December  13th,  the  battle  continued,  and  was  contested  with  great  obstinacy  throughout  the  day. 
The  conduct  of  the  troops  on  the  right  was  excellent,  as  they  were  seen  advancing  and  driven  back,  and  again  and  again 
reforming  and  pressing  forward  close  to  the  fortifications,  rifle  pits,  and  stone  walls,  behind  which  the  enemy  was  concealed 
and  protected.  Their  gallantry  and  perseverance  won  the  admiration  of  every  one  who  beheld  the  courage  displayed  under 
circumstances  so  disheartening.  As  I  have  stated,  the  medical  officers  and  their  attendants  were  prepared  with  all  the 
appliances  requisite  for  the  treatment  of  the  wounded,  who  were  rapidly  brought  in  by  the  stretcher-bearers  throughout  the  day 
and  evening,  and  were  promptly  and  efficiently  treated.  The  labor  of  the  medical  officers  did  not,  of  course,  cease  with  the 
close  of  the  day.  The  ambulances  now  commenced  their  legitimate  duties.  Hitherto  the  men  belonging  to  this  corps  had  been 
employed  in  making  the  necessary  preparations  in  the  hospitals,  and  in  attending  on  and  administering  to  the  wounded,  under 
the  directions  of  the  medical  officers.  As  night  closed  in,  the  firing  slackened,  and  shortly  after  altogether  ceasing,  this  corps 
began  gathering  in  the  wounded  who  yet  remained  upon  the  field.  The  night  was  very  dark,  and  the  difficulty  great  in  finding 
the  objects  of  their  search.  The  lanterns  could  not  be  used,  as  the  glimmering  of  a  candle  invariably  drew  the  fire  of  the  enemy ; 
but  notwithstanding  these  difficulties,  the  officers  and  men  continued  their  labors,  and,  before  dawn,  all  the  wounded  who  were 
inside  our  lines  had  been  taken  to  the  hospitals  prepared  for  them  in  the  rear.  Here,  throughout  the  night,  the  medical  officers 
were  sedulously  engaged  in  attendance  upon  them,  as  they  were  brought  in,  blankets  being  fastened  over  the  windows  and 
every  aperture  to  conceal  the  lights,  every  appearance  of  which  drew  a  shot  from  the  enemy's  guns  planted  on  Marye's 
Heights.  During  the  day,  the  hospitals  were  not  infrequently  struck  by  shot  and  shell  from  these  guns,  but,  fortunately,  no  one 
was  injured.  The  preparations  made  here  for  the  reception  and  treatment  of  the  wounded  were  found  to  be  judicious  and  equal 
to  the  wants  of  the  occasion.  The  ambulance  service  was,  in  this  portion  of  the  army,  so  efficiently  performed,  that,  although 
it  was  not  commenced,  for  the  reasons  already  stated,  until  after  dark  on  the  13th,  the  most  accurate  information  obtainable 
shows  that,  before  daylight,  all  the  wounded,  save  twenty,  in  a  house  outside  of  our  pickets,  beyond  whose  line  the  ambulances 
could  not  be  permitted  to  go,  Avere  brought  from  the  field.  It  is  unnecessary  to  go  much  into  detail  concerning  the  operations 
of  the  medical  department  on  the  left  wing,  as  I  have  already  described  the  arrangements  which  had  been  made  previous  to 
the  commencement  of  the  battle.  These  preparations  were  found  fully  equal  to  the  wants  of  the  service.  The  operating  staff, 
with  the  required  assistants,  attendants,  and  guards,  with  the  necessary  appliances,  were  at  the  hospitals,  as  had  been  directed. 
The  officers  accompanying  the  troops  selected  the  places  most  fitting  for  the  performance  of  the  duties  devolving  upon  them. 
The  wounded  were  rapidly  brought  by  the  stretcher-bearers  to  the  points  ordered,  of  the  position  of  which  they  were  kept 
informed.  Here  the  sufferers  received  such  attendance  as  Avas  absolutely  necessary,  and  were  conveyed  thence  by  the 
ambulances  to  the  field  hospitals.  Everything  in  the  ambulance  service  was  well  conducted.  Promptness,  order,  and  precision 
characterized  the  actions  of  this  corps  throughout  that  exciting  day;  and  it  is  gratifying  to  be  able  to  state,  from  reliable  sources, 
that  not  one  Avounded  man  was  left  on  that  portion  of  the  field  that  night.  The  action  of  this  corps  met  the  hearty  approbation 
of  those  Avho  Avere  cognizant  of  the  admirable  manner  in  Avhich  it  performed  the  duties  required  of  it,  and  fully  justified  and 
amply^repaid  the  time  and  labor  expended  in  its  organization.  In  that  portion  of  it  attached  to  the  First  Corps,  one  sergeant 
Avas  killed,  one  private  Avounded,  one  lieutenant  and  one  private  missing,  supposed  to  have  been  taken  prisoners;  and  one 
ambulance  was  so  much  damaged  by  a  shell  from  the  enemy  that  it  had  to  be  left  on  the  field. 

On  December  14th,  the  troops  remained  on  the  field,  and  the  surgeons  in  both  wings  of  the  army  continued  the  labors 
of  the  preceding  day  and  night,  and  on  the  evening  Of  that  day  comparatively  few  operations  remained  to  be  performed.  Late 
at  night,  orders  were  given  to  have  the  wounded  removed  to  the  north  side  of  the  river.  On  December  loth,  and  early  next 
morning,  the  removal  began.  On  the  left,  a  number  had  been  removed  on  the  13th,  Avhilst  the  action  was  taking  place.  The 
propriety  of  leaving  the  hospital  tents  standhig,  and  of  having  more  at  hand  ready  to  be  pitched,  Avas  HOAV  apparent.  Early  in 
the  morning,  it  was  understood  that  no  ambulances  Avould  be  permitted  to  cross  the  river  on  the  right,  orders  regarding  them 
having  been  partially  misunderstood.  This  created  for  a  short  time  some  delay  and  confusion  at  the  upper  bridge,  which  I 
soon  remedied,  and  directed  them  to  be  crossed  over  on  the  lowest  bridge,  opposite  the  city,  taken  along  a  street  parallel  to  the 
river,  which  was  unencumbered  by  artillery  or  infantry,  receive  the  Avounded,  who  were  directed  to  be  carried  to  them  from 
the  different  hospitals  on  stretchers,  and  thence  to  recross  the  river  at  the  upper  bridge.  This  order  was  at  once  carried  out, 


REPORT    OF    MEDICAL    DIRECTOR    LETTERMAN.  103 

and  long  trains  of  ambulances  might  be  seen  crossing  over,  halting  in  the  city  to  receive  the  wounded,  and  then  filing  out  and 
crossing  again  at  the  upper  bridge,  and  winding  their  way  with  care  to  the  hospitals  on  the  north  side  of  the  river.  This  was 
done  without  disorder  or  confusion,  and,  at  the  same  time,  expeditiously ;  and  the  operation  reflected  great  credit  upon  the 
officers  of  the  ambulance  corps,  especially  so  when  it  is  considered  that  the  city  was  at  the  mercy  of  the  enemy,  who,  it  was 
thought,  would  undoubtedly  direct  their  artillery  upon  it.  In  the  evening,  before  six  o'clock,  every  wounded  man  was 
transported  to  the  hospitals  on  the  north  side  of  the  river.  After  the  last  ambulance  had  left  the  city,  it  was  thoroughly 
inspected  and  policed  by  my  direction,  and  not  one  wounded  or  sick  man  was  found.  Every  one  thus  transported  was 
sheltered,  fed,  and  attended  to  that  night.  Many  mattresses  had  been  brought  from  the  town,  and  an  abundance  of  hay  for 
bedding  was  provided  in  all  the  division  hospitals.  Fifteen  patients  were  left  in  the  ambulances  from  their  own  choice,  and  not 
from  a  want  of  room  ;  of  these,  six  were  slightly  wounded.  It  rained  very  heavily  during  the  night  of  December  15th,  but  no 
suffering  was  occasioned  by  the  storm. 

On  the  left  wing,  the  wounded  of  the  First  Corps  were  removed  to  the  north  side  of  the  Rappahannock  during  the  night 
of  December  13th,  and  were  comfortably  situated  in  the  hospitals  of  their  respective  divisions,  which  were  here  prepared  for 
them.  The  wounded  of  the  Sixth  Corps,  on  the  14th,  were  also  removed  to  the  north  side  of  the  river  by  one  o'clock  in  the 
afternoon,  to  the  hospitals  made  ready  for  them,  the  division  organization  being  still  kept  up.  A  portion  of  the  ambulances  of 
that  corps  were  used  for  their  removal,  the  remainder  being  left  undisturbed  and  ready  for  the  renewal  of  the  battle,  which,  it 
was  thought,  might,  at  any  moment,  occur.  The  movement  of  the  troops  rendered  it  necessary  to  remove  the  hospitals  still 
farther  to  the  rear,  in  order  to  prevent  their  being  injured,  should  the  enemy  attack  our  forces  while  crossing  to  the  north  side 
of  the  river.  This  was  done  in  the  night,  and  the  patients  were  comfortably  and  safely  lodged  in  the  hospitals  which  were 
under  the  same  organization  that  they  had  been  hitherto.  The  wounded  transported  by  the  ambulance  corps  to  the  north  side 
of  the  river  amounted  to  about  five  thousand.  The  operation  of  removing  this  number,  in  the  short  time  in  wrhich  it  was  done, 
without  accident  or  confusion,  but  with  great  order,  precision,  and  care,  was  a  sufficient  test  of  the  efficacy  of  the  system,  and 
the  manner  in  which  this  organization  was  practically  tested  at  this  battle,  reflects  the  highest  credit  upon  its  officers.  The  safe 
and  speedy  removal,  and  the  careful  and  expeditious  manner  in  which  this  number  of  wounded  were  provided  for  when 
removed,  afforded  the  liveliest  satisfaction  to  the  generals  in  command,  and  'to  me  it  was  especially  gratifying.  But  few 
operations  remained  to  be  performed  after  the  removal  to  the  north  side  of  the  river.  *  '  It  is  scarcely  necessary  to  go  into 
all  the  details  concerning  the  operations  of  the  purveying  department  of  this  army.  Large  amounts  of  supplies  were  issued  at 
Knoxville,  Maryland,  during  the  latter  part  of  October.  The  movement  of  the  army  from  Maryland  into  Virginia  necessitated 
the  removal  of  the  depot  from  that  place,  and,  on  November  5th,  the  purveyor  was  ordered  to  proceed  to  Washington  with  his 
supplies,  to  keep  them  in  his  possession,  and  to  await  orders.  He  left  Knoxville,  Maryland,  on  October  8th,  and  arrived  in 
Washington  on  the  following  day,  where  he  found  orders  directing  him  to  proceed  to  Gainesville,  on  the  Manassas  Gap  railroad. 
The  army,  in  the  meantime,  having  moved  to  Warrenton,  his  destination  was  changed  to  the  latter  place,  where  he  arrived  on 
November  15th,  and  was  engaged  until  the  17th  in  issuing  large  amounts  of  supplies.  The  army  leaving  that  place  for 
Fredericksburg,  he  was  directed  to  proceed,  by  way  of  Alexandria,  to  Aquia  Creek,  upon  the  last  train.  There  being  no  wharf 
at  Aquia  Creek,  lie  remained  in  Alexandria  until  the  '21st,  where,  storing  his  supplies  on  barges,  he  arrived  at  Aquia  Creek  on  the 
24th.  Here  he  was  busy  issuing  from  these  inconvenient  boats  until  December  10th,  at  which  time  a  convenient  steamer  was, 
with  difficulty,  procured.  I  considered  a  steamer  absolutely  necessary  for  his  use,  as  it  was  not  considered  that  the  army  would 
remain  long  opposite  Fredericksburg,  but  would  move  farther  on  into  the  enemy's  country,  in  which  event  it  was  a  matter  of 
necessity  that  his  stores  should  be  promptly  transported,  without  dependence  upon  towed  barges. 

From  October  18th  to  December  81st,  1864,  there  was  issued  to  this  army  seventy  four-horse  wagon  supplies,  fourteen 
hospital  wagon  supplies,  seven  complete  hospital  wagon,  and  four  horse  wagon  supplies,  two  hundred  and  seven  panniers  and 
medicine  chests,  and  two  hundred  and  fifty-six  hospital  knapsacks.  These  were  special  issues.  Monthly  requisitions  were 
made,  in  addition,  to  keep  up  the  brigade  supply  to  the  amount  ordered  to  be  kept  on  hand. 

The  manner  in  which  Assistant  Surgeon  T.  McMillin.  U.  S.  A.,  the  medical  purveyer,  has  conducted  the  business  of  his 
department  has  met  my  most  cordial  approbation.  The  energy  he  has  displayed  in  overcoming  difficulties,  especially  those  of 
transportation,  and  the  promptitude  which  he  has  at  all  times  exhibited,  are  to  be  especially  commended.  On  December  16th, 
the  removal  of  the  wounded  from  the  army  to  general  hospitals  began,  and  was  continued  from  time  to  time  until  the  2Gth, 
when  the  last  were  sent  away.  The  preparations  to  be  made  for  their  transportation  over  a  single  track  railroad,  over  which 
the  supplies  for  this  army  had  to  be  transported,  required  that  a  certain  number  of  cars  should  be  at  the  station,  near  Falmouth, 
at  the  proper  hour;  that  a  certain  number  of  wounded  should  be  made  ready  at  this  station,  and  prepare  to  leave  at  a  fixed 
time;  and  that  boats,  properly  fitted  up,  should  be  ready  at  Aquia  Creek,  on  which  they  could  at  once  be  placed,  and  taken  to 
Washington  and  elsewhere.  With  the  assistance  which  Colonel  R.  Ingalls  always  readily  afforded,  this  was  done.  While  the 
battle  was  in  progress,  and  after  it  was  over,  nearly  one  thousand,  no  one  of  whom  was  seriously  injured,  and  some  of  whom 
were  not  injured  at  all,  jumped  on  the  cars  at  the  station  referred  to,  and  climbed  on  top  of  them  and  went  to  Aquia  Creek, 
where  no  provision  had  been  made  for  the  care  of  the  wounded.  Strict  orders  had,  at  my  request,  been  given  to  the  guard  at 
this  station  to  permit  no  one  to  get  on  the  cars,  but  this  guard,  unfortunately,  was  utterly  worthless,  and  allowed  these  men  to 
go  as  fast  as  steam  could  carry  them  out  of  the  reach  of  the  hospitals,  which  these  men  well  knew,  had  been  prepared  for  their 
accommodation,  and  went  to  Aquia  Creek,  Avhere  they  necessarily  created  confusion,  which  I  foresaw  would,  of  course,  ensue. 
It  was  to  avoid  this  that  I  desired  the  guards  to  be  instructed  to  allow  none  to  go  to  that  point.  Such  men  are  those  who,  in  all 
battles,  run  to  the  rear,  beyond  even  the  sound  of  the  guns  of  the  enemy,  and  raise  the  cry  of  inhumanity  and  want  of  attention 
on  the  part  of  surgeons,  whom  they  sedulously  avoid,  lest  it  be  found  that  their  wounds  do  not  prevent  their  returning  to  duty. 
It  is  almost  invariably  found  that  those  men  who  bear  the  burden  and  heat  of  the  day;  those  also,  who,  when  slightly  wounded, 
are  eager  to  have  their  wounds  dressed,  that  they  may  return  to  the  battle  again;  those,  too,  whose  wounds  are  grave,  do  not 
complain  of  any  want  of  care.  On  the  contrary,  expressions  of  thankfulness  often  escape  from  their  lips  for  the  attention 
bestowed  upon  them.  But  those  cowardly  stragglers,  who,  upon  the  slightest  bruise,  run  away  out  of  the  observation  of  the 


104  APPENDED    DOCUMENTS ANTIETAM    CAMPAIGN. 

surgeons,  raise  this  crv,  which  many  are  prone  to  echo.  The  slightly  wounded  were  first  sent  away.  In  the  cars  provided  for 
them,  hav  or  straw  was  placed,  surgeons  and  attendants,  with  instruments,  stimulants,  and  dressings  sufficient  for  ordinary  and 
extraordinary  emergencies,  were  with  every  train,  and  upon  their  arrival  at  Aqtiia  Creek,  were  placed  on  the  transports,  and 
when  the  surgeons  and  attendants  on  board  these  vessels  were  not  able  to  attend  to  them  properly  on  account  of  their  numbers, 
their  surgeons  and  attendants  accompanied  them  to  their  destination.  It  was  not  my  intention  to  send  away  the  very  serious 
cases,  such  as  amputations,  and  wounds  of  the  head,  chest,  and  abdomen,  but  to  pursue  the  same  course  that  was  taken  after 
the  battle  of  Antietam  in  similar  cases.  I  represented  the  matter  to  General  Hurnside,  and  informed  him  that  these  patients 
were  as  comfortable  and  as  well  taken  care  of  as  if  they  were  then  in  Washington;  that  it  was  dangerous  to  remove  them,  as 
they  must  be  more  or  less  injured,  no  matter  how  carefully  transported;  and  that  the  surgeons  were  taking  the  deepest  interest 
in  these  cases.  I  added  that,  unless  there  was  some  military  reason  for  removing  these  men,  I  wished  to  keep  them  where  they 
were,  such  a  course  being,  in  my  opinion,  the  best  that  could  be  pursued  to  give  these  sufferers  every  opportunity  for  their 
recovery.  I  suppose  this  military  reason  did  exist,  as  I  then  received  an  order  to  remove  them.  In  the  removal  of  these  cases, 
plenty  of  hay  was  put  in  the  cars.  Mattresses  and  beds  and  bedsacks  filled  with  hay  were  used  for  them  to  lie  upon,  and  in 
all  the  cases  requiring  it,  the  patients  were  not  removed  from  the  mattresses  and  beds  upon  which  they  were  lying  in  the 
hospitals,  but  were  carried  upo:i  them,  placed  on  stretchers  by  the  attendants,  and  put  upon  the  cars,  whence  they  were 
removed  in  the  same  way  from  the  cars  to  the  transports,  remaining  undisturbed  upon  their  beds  from  the  time  they  left  the 
hospitals  until  they  reached  Washington.  In  each  car  was  a  surgeon  and  an  attendant,  provided  with  everything  necessary  in 
case  any  accident  should  happen  by  the  way.  Surgeons  and  attendants,  whenever  they  were  needed,  accompanied  them  through 
to  Washington.  Every  care  was  thus  taken  of  these  men,  who  often  expressed  their  gratitude  to  the  medical  officers  for  the 
kindness  bestowed  upon  them,  and  who  very  generally  spoke  with  heartfelt  satisfaction  of  the  efforts  made  to  render  their 
transportation  comfortable.  I  say,  without  fear  of  contradiction,  that  seldom,  if  ever,  have  wounded  been  so  carefully  trans 
ported,  and  felt  assured  that  no  more  suffering  was  occasioned  than  the  severity  of  the  wounds,  of  necessity,  entailed. 

I  regret  again  to  be  called  upon  to  announce  the  death  of  a  medical  officer  by  the  hand  of  the  enemy,  whilst  in  the 
discharge  of  his  duty.  Surgeon  S.  F.  Haven,  15th  Massachusetts  Volunteers,  while  proceeding  on  the  13th  of  December  with 
his  regiment  to  meet  the  enemy,  received,  in  the  left  popliteal  space,  a  wound  from  a  shell,  from  the  shock  of  which  he  never 
rallied.  This  officer  was  highly  esteemed,  and  his  loss  to  his  regiment  and  to  the  service  was  deeply  deplored. 

It  is  not  an  uncommon  belief  that  medical  officers  are  seldom  exposed  to  the  fire  of  the  enemy.  My  observation  and 
experience  since  I  have  been  connected  with  this  army,  especially,  has  shown  me  that  they  are  almost  as  much  exposed  as 
officers  of  the  "line.  Some,  I  have  informed  you,  have  fallen  in  the  discharge  of  their  duties;  and  I  am  fully  justified  in  saying 
that  in  no  department  has  greater  devotion  or  more  courage  been  shown  than  by  the  medical  officers  in  the  battles  which  have 
been  spoken  of  in  this  report. 

In  concluding  this  general  report,  I  may  be  permitted  to  allude  t*>  the  support  and  confidence  which  I  have  received 
from  you  in  the  discharge  of  the  duties  of  a  position  difficult,  under  the  most  favorable  circumstances,  to  fill  satisfactory. 

I  am,  general,  very  respectfully,  your  obedient  servant, 

(Signed)  JONA.  LETTERMAN, 

Medical  Director. 
SURGEON  GKNKUAL  U.  S.  A.,  Washington,  D.  C." 


LXXXUI.     Second  Extract  from  Memoranda  for  the  Surgical  History  of  the    War.     By 
Assistant  Surgeon  B.  HOWARD,  U.  S.  Army. 

"The  battle  of  South  Mountain  commenced  at  about  three  in  the  afternoon,  and  lasted  till  half-pas',  nine  at 
night.  The  wounded  were  removed  promptly,  as  they  fell,  to  houses  in  the  vicinity  and  to  Middletown,  and  all  were  removed 
before  daylight  the  following  morning.  Nothing  was  lacking  for  the  wounded.  After  the  churches  at  Middletown  became 
crowded  with  wounded,  the  surplus  were  sent  to  Frederick  in  ambulances.  *  *  On  our  arrival  at  Keedysville,  another  battle 
was  evidently  imminent.  By  order  of  the  medical  director,  I  examined  and  selected  the  buildings  in  town  best  adapted  for 
hospitals,  supervised  the  necessary  preparations,  and  placed  surgeons  in  charge  of  the  respective  hospitals.  Surgeon  James 
L.  Farley,  84th  New  York  Volunteers,  was  instructed  to  act  as  surgeon  in  chief  of  all  the  hospitals.  Two  hundred  additional 
ambulances,  which  I  had  conducted  from  Middletown  during  the  night,  were  in  readiness  near  general  headquarters.  Hospital 
tents  were  entirely  wanting.  There  were  on  hand  no  reserve  supplies  of  medicine  and  hospital  stores.  Each  command  had  to 
rely  on  what  they  brought  with  them  in  their  forced  marches.  Some  raw  regiments  had  been  hurried  forward  without  medical 
supplies,  and  the  remainder  had,  as  a  rule,  an  unusually  small  amount  on  hand.  On  September  17th,  I  was  the  only  remaining 
medical  officer  on  duty  with  the  director.  Surgeon  Letterman,  the  rest  of  his  assistants  having  been  detached  to  Middletown, 
Crampton's  Gap,  and  elsewhere,  and,  according  to  his  instructions.  I  visited  the  centre  and  right  of  our  position,  and  made  the 
best  arrangements  I  could  for  the  distribution  of  the  wounded.  I  found  several  commodious  farm-houses,  a  large  barn,  and 
good  water  at  convenient  distances,  and  a  large  flour  mill  also,  and  directed  that  they  should  be  occupied.  *  *  The  wounded 
were  numerous,  and  it  was  necessary  to  lay  many  of  them  in  the  yards  contiguous  to  the  houses,  that  they  might  be  supplied 
with  food  from  their  kitchens,  and  have  their  wounds  dressed  in  the  open  air.  *  *  A  few  days  after  the  battle,  many  of  the 
wounded  were  collected  and  sent  to  Frederick  in  ambulances.  Trains  continued  to  transport  them  until  all  who  could  be 
safely  removed  were  disposed  of.  The  remainder  were  subsequently  collected  at  Smoketown  in  a  single  hospital,  as  soon  as 
the  hospital  tents  arrived.  This  hospital  under  canvas  was  the  most  perfect  field  hospital  which  I  had  seen  up  to  that  period. 
It  was  under  the  charge  of  Surgeon  U.  A.  Vanderkieft,  U.  S.  V.  Medical  supplies,  limited  in  quantity,  Avere  received  Iron 
'  redenck,  and  a  medical  purveying  depot  was  established  at  Sharpsburg  under  my  superintendence.  *"  *  From  the  18th  to 
the  30th  of  September,  the  days  were  very  warm  ;  but  there  usually  came  a  dense  and  cold  fog,  which  lasted  till  about  nine  o'clock 


REPORTS    OF    ASSISTANT    SURGEONS    HOWARD,  REILY,  AND    GRAY.  105 

the  next  morning,  the  fog  had  a  very  disagreeable  odor,  as  if  impregnated  with  exhalations  from  dend  bodies  on  the  battlefield. 
As  after  most  engagements,  many  of  the  wounded  were  destitute  of  blankets,  and  it  was  impracticable  to  provide  them  with  shelter. 
Tliis  may  serve  to  explain  the  prevalence  of  diarrhoea  which  was  greatest  about  September  24th.  Unfortunately,  the  purveyor 
was  unable  to  supply  the  astringents  required.  '  ;  I  suspected  that  this  diarrhoea  had  a  specific  intermittent  character,  and 
recommended  the  use  of  quinia,  combined  with  Dover's  powder,  as  a  substitute  for  astringents,  and  this  medication  had  great 
success.  The  wounded  Confederate  prisoners,  who  were  in  hospital  near  Sharpsburg,  were  generally  in  an  asthenic  condition. 
Tetanus  was  observed  almost  exclusively  among  them,  and  was  seen  chiefly  amongst  those  who  had  marched,  before  the  battle, 
not  less  than  thirty  miles  in  twenty-four  hours.  The  exposure  to  which  they  were  subjected  during  the  hot  days  and  cold 
nights,  in  which  the  enemy  were  effecting  their  retreat,  appeared  to  have  strongly  predisposed  them  to  this  disease.  '  *  The 
Fifth  Corps  crossed  into  Virginia  at  Harper's  Ferry,  and,  on  November  2d,  its  second  division  occupied  Snicker's  Gap,  and 
was  positioned  so  as  to  protect  the  road.  On  the  following  day,  this  division  advanced  four  miles  beyond  the  Gap,  and  a  brisk 
skirmish  ensued,  in  which  about  thirty  were  wounded.  They  were  carried  on  stretchers  to  the  vicinity  of  the  camp,  and  all 
necessary  operations  were  performed  the  same  night.  Next  morning  they  were  carried  to  a  church  two  miles  in  the  rear,  and 
on  November  7th,  they  were  taken  iu  ambulances  to  White  Plains,  and  thence  by  railroad  to  Washington."  * 


LXXXIY.     Second  Extract  from  a  Narrative  of  his   Services  in   the,  Medical   Staff.      By 
Assistant  Surgeon  JOHN  T.  REILY,  U.  S.  Arm}7. 

"About  five  miles  from  Sharpsburg,  the  enemy  appeared  on  the  road  leading  over  the  mountain,  at  a  point 
called  Crampton's  Gap  or  Pass.  The  troops  of  General  Franklin  were  formed  in  line  of  battle,  and  advanced,  driving  the 
enemy  before  them,  taking  one  piece  of  artillery,  and  killing  or  wounding  about  two  hundred  men.  The  batteries  to  which  I 
was  attached  were  not  engaged,  and  lost  no  men.  Our  infantry,  however,  lost  about  one  hundred  men  in  killed  and  wounded. 
Hospitals  were  immediately  established  in  Burketsville,  and  the  wounded  were  properly  cared  for.  The  command  remained 
on  the  field  during  the  next  twenty-four  hours,  and,  on  the  morning  of  the  17th  September,  was  ordered  at  daylight  to  move  to 
the  right,  in  the  direction  of  Shaq>sburg,  where  heavy  firing  was  heard.  When  within  a  few  miles  of  that  place,  we  learned 
that  the  battle  of  Antietam  had  commenced.  General  Franklin's  corps  was  ordered  across  the  stream,  and  put  in  position  on 
the  extreme  right  of  the  line.  Having  crossed  Antietam  creek,  a  small  stream  about  twenty  feet  wide,  we  ascended  a  steep 
hill,  in  front  of  which  was  a  plain.  On  the  edge  of  this  hill,  our  line  of  battle  was  formed.  Our  artillery  immediately 
commenced  firing.  The  infantry  of  the  corps  was  brought  forward,  and  the  command  occupied  the  ground  just  abandoned  by 
General  Simmer's  corps.  The  field  was  literally  covered  with  killed  and  wounded,  and  it  was  extremely  difficult  to  move 
on  horseback  without  injuring  the  wounded.  The  great  confusion  which  had  prevailed  whilst  getting  the  troops  into  position, 
and  relieving  those  which  had  held  the  ground,  prevented  the  removal  of  the  wounded,  and  they  were  consequently  under 
fire  several  hours.  Surgeon  W.  J.  H.  White  was  killed  early  in  the  action,  and  much  delay  consequently  occurred  in  getting 
the  ambulances  and  litters  engaged  so  as  to  work  with  any  system.  The  wounded  were  nearly  all  moved  to  field  hospitals 
by  nightfall.  The  night  was  occupied  in  dressing  wounds,  arresting  haemorrhage,  and  preparing  for  operations.  On  the 
following  morning,  firing  commenced  early,  and  I  rejoined  the  artillery  reserve,  and  remained  until  a  flag  of  truce  was  raised 
in  the  afternoon,  when  I  assisted  in  removing  the  wounded  who  had  fallen  between  the  two  armies.  The  truce  was  granted 
ostensibly  for  the  purpose  of  removing  the  wounded  and  burying  the  dead,  but  the  enemy  took  advantage  of  it  to  retreat, 
leaving  his  killed  and  wounded  on  the  field  without  surgeons,  or  any  assistance  whatever.  They  were  carefully  removed, 
however,  as  soon  as  the  field  was  explored  on  the  following  morning,  and  received  the  same  attention  as  our  own  men,  who 
lay  side  by  side  with  them  in  the  hospitals.  Having  received  orders  to  convey  the  wounded  of  the  corps  to  Frederick,  as 
soon  as  practicable,  I  started,  a  few  days  after  the  battle,  witli  two  trains  of  fifty  ambulances,  and  removed  them  to  Frederick 
without  accident.  When  I  arrived  there,  the  medical  director  ordered  me  to  take  charge  of  a  railroad  train  filled  with  wounded, 
going  to  Philadelphia  the  following  morning.  This  duty  completed,  I  rejoined  the  artillery  reserve,  and  moved  with  it  to 
Virginia.  The  health  of  the  troops  had  improved  during  their  stay  in  Maryland,  and  they  went  back  to  Virginia  in  good 
condition  " 


LXXXV.     Second  Extract  from  a  Report  of  Services.     By  Assistant  Surgeon  C.  C.  GRAY,  U. 
S.  Army. 

*  *  *  "I  arrived  at  Sharpsburg,  Maryland,  September  19,  1862,  and  was  assigned  by  Medical  Director  Letterman 
to  the  charge  of  a  hospital  in  Keedysville,  and,  a  few  days  afterward,  the  army  having  advanced,  was  made  a  sort  of  issuing 
commissary  for  the  wounded  in  and  about  Keedysville.  My  instructions  were  to  hire  transportation  from  the  citizens,  and  to 
draw  and  deliver  all  rations,  preventing  the  use  of  ambulances  for  this  purpose.  The  cattle  furnished  me  being  of  poor  quality, 
I  exchanged  a  considerable  portion  of  the  meat  with  citizens,  receiving  therefor  milk,  eggs,  vegetables,  etc.  At  the  time  of  my 
arrival  at  this  battlefield,  I  consider  that  the  wounded  were  as  well  cared  for  as  it  was  possible  they  could  be.  Abundance 
of  supplies  soon  poured  in  from  a  variety  of  sources.  Of  the  strength  of  the  army  at  the  time  of  action,  I  know  nothing. 
Medical  and  hospital  stores  were  plentiful.  The  wounded  were  attended  to  at  sundry  points,  varying  from  half  a  mile  to  two 
miles  from  the  field.  They  were  not  exposed  to  rain ;  the  nights,  however,  were  chilly,  and  there  was  considerable  suffering 
on  this  account.  The  wounded  were  mostly  removed  in  ambulances.  Almost  all  the  wounds  1  saw  were  from  conoidal  halls, 
and  a  large  number,  I  should  suppose,  received  at  short  range.  So  many  oi  the  wounded  as  were  deemed  capable  of  hearing  an 
ambulance  transportation  of  eighteen  miles,  were  sent  to  Frederick,  Maryland.  The  remainder,  especially  such  us  had  undergone 
cupital  operations,  were  collected  in  two  permanent  field  hospitals,  where  it  was  contemplated  to  afford  every  advantage  of  our 

14 


106  APPENDED    DOCUMENTS ANTIETAM    CAMPAIGN. 

best  general  hospitals.  It  appears  to  me  that  this  arrangement  was  wise,  and  must  have  saved  lives.  Amputations  were  the 
rule,  and  in  general  promised  well.  I  saw  but  two  or  three  excisions.  There  were,  however,  a  considerable  number  of  tetanus 
cases.  All  under  my  observation  resulted  in  death.  Chloroform  was  the  anaesthetic  generally  used.  I  observed  no  bad  results 
therefrom.  I  operated  but  twice:  first,  an  amputation  of  the  leg  at  the  point  of  election,  which  was  successful;  second, 
laryngotomy  for  oedema  glottidis,  Avhich  was  unsuccessful.  The  larynx  and  trachea  in  the  latter  case  were  sent  to  the  Army 
Medical  Museum." 


LXXXVI.     Second  Extract  from  a  Narrative  of  his  /Services  in  the  Medical  Staff.    By  Surgeon 
C.  F.  II.  CAMPBELL,  U.  S.  Volunteers. 

*  *  *  "Nothing  worthy  of  note  marked  the  period  from  the  1st  to  the  14th  of  September,  between  which  dates 
we  had  fallen  back  on  the  defences  of  Washington,  and  marched  through  Maryland  to  South  Mountain,  beyond  Middletown, 
where  we  encountered  Lee's  army  in  force,  drawn  up  on  a  long  range  of  hills,  completely  commanding  every  approach  to  his 
position.  This  battle  commenced  with  artillery  at  long  range,  every  approach  to  their  position  being  thoroughly  swept  by  the 
rebel  artillery.  The  casualties  were  numerous  from  this  arm  at  the  part  of  the  field  where  I  was  engaged,  viz.,  the  extreme 
right.  Such  of  the  wounded  as  could  not  at  once  be  transported  to  the  rear  were  attended  on  the  field.  No  operation  of 
importance  took  place  at  this  time  or  place  which  the  writer  witnessed.  Numerous  temporary  hospitals  were  established  at 
eligible  points  in  the  vicinity  of  the  field;  but  the  majority  of  the  wounded  were  taken  to  Middletown,  some  three  or  four  miles 
to  the  rear,  where  all  the  churches  and  many  private  buildings  had  been  converted  into  hospitals.  The  transportation  was  not 
such  as  might  have  been  desired.  It  was,  however,  good  considering  the  circumstances.  The  supplies  of  food  and  soups  in 
the  immediate  vicinity  of  the  field  were  scanty,  but  most  abundant  supplies  were  obtained  in  Middletown,  where  the  kindness 
and  devotion  of  the  inhabitants  were  most  touching,  and  worthy  of  lasting  and  honorable  record.  I  was  engaged  in  the  line 
of  duty  in  this  town  during  the  15th  and  part  of  the  IGth.  The  carnage  was  fearful  among  the  rebel  troops  on  the 

right,  the  only  portion  of  the  field  the  writer  witnessed;  whilst  our  casualties  consisted  mainly  in  wounded,  the  majority  of 
whom  were  shot  in  the  lower  extremities,  or  from  the  waist  down  :  the  reverse  being  the  case  among  the  rebel  wounded.  I 
would  here  pay  a  well-merited  tribute  to  the  indefatigable  zeal  and  ability  of  Surgeon  Lettermaii  of  the  Army,  Medical 
Director  of  the  forces,  whose  arrangements  for  the  wounded  were  astonishingly  systematized  and  perfected,  considering  the 
magnitude  of  the  field.  The  wounded  from  this  greatest  battle  of  modem  times  were  scattered  in  buildings  everywhere 
contiguous  to  the  field.  The  principal  hospitals,  however,  were  established  at  Boonsboro',  Middletown,  Hagerstown,  Smoketown, 
Keedysville,  Sharpsburg,  Knoxville,  and  Harper's  Ferry.  I  was  on  duty  at  Keedysville,  a  few  miles  removed  from  the  field, 
for  two  days,  engaged  in  perfecting  arrangements  for  the  reception  of  the  wounded,  and  superintending  the  reception  and 
distribution  of  supplies.  My  health  failing  me  after  nearly  three  months  constant  excitement  and  fatigue,  produced  by  active 
operations  in  the  field,  I  was  relieved  by  special  orders  from  headquarters,  and  assigned  to  duty  in  Frederick,  Maryland,  as 
medical  director  of  transportation  of  sick  and  wounded.  Whilst  on  this  duty,  I  superintended  the  reception  of  all  cases 
arriving  from  the  above  hospitals,  their  distribution  to  the  Frederick  hospitals,  and  their  transportation  by  rail  to  the  large 
cities.  During  the  period  of  my  service  at  this  post,  I  sent  six  thousand  three  hundred  and  sixty-two  wounded  and  sick 
soldiers  to  Washington,  Baltimore,  and  Philadelphia.  Of  this  number,  three  thousand  three  hundred  and  twenty-nine  were 
sent  to  Washington,  D.  C.,  one  thousand  three  hundred  and  fifty-six  to  Baltimore,  Maryland,  and  one  thousand  six  hundred 
and  seventy-seven  to  Philadelphia,  Pennsylvania.  These  men  were  transported  in  the  ordinary  freight  cars,  except  in  one  or 
two  rare  instances,  the  bottoms  of  the  cars  being  covered  with  straw  or  hay,  care  being  taken  to  prevent  over-crowding,  and  to 
classify  the  cases  as  much  as  possible.  I  have  yet  to  learn  that  any  evil  consequences  resulted,  in  any  one  instance,  to  the 
men  from  being  thus  transported.  My  other  duties  at  Frederick  were  divided  between  attendance  on  sick  and  vfouuded  officers, 
of  whom  I  attended  seventy-two,  and  the  duties  of  the  office  of  the  medical  director." 


L'XXXVIL     Third  Extract  from  a  Report  of  his  Services.     By  Assistant  Surgeon  PHILIP  C. 
DAVIS,  U.  S.  Army. 

"September  4,  1862,  we  took  up  our  line  of  march  for  Maryland.  Nothing  of  interest  occurred  until 
September  14th — the  battle  at  'Crampton  Pass,'  South  Mountain.  Our  batteries  were  not  engaged,  except  to  shell  the  woods. 
I  was  therefore  ordered  by  the  medical  director  to  have  the  wounded  of  other  corps  removed  from  the  field  to  the  houses  and 
barns  which  had  been  designated  by  him  for  the  purpose.  This  occupied  all  night.  On  the  morning  of  the  15th,  the  command 
moved  forward,  and  I  rejoined  my  brigade.  I  arrived  on  the  field  of  Antietam  about  three  o'clock  P.  M.,  September  17th,  with 
my  brigade,  and  we  soon  became  hotly  engaged  with  the  enemy.  This  lasted  until  night-fall,  when  the  firing  ceased;  the 
enemy  using  musketry  and  artillery  with  a  good  deal  of  effect  upon  our  column,  which  lost  heavily.  My  men  were  exposed 
principally  to  the  fire  from  the  enemy's  batteries,  which  was  solid  shot,  case-shot,  and  shell.  Our  loss  in  the  batteries  was  fiv* 
killed  and  about  fifteen  wounded.  The  wounded  were  dressed  on  the  field,  but  two  requiring  amputation,  which  was  performed, 
and  patients  sent  to  the  iield  hospital.  On  the  morning  of  the  19th,  the  enemy  fell  back  across  the  Potomac,  and  we  pushed 
forward  and  went  into  camp  near  the  village  of  Bakersville,  Maryland,  where  we  remained  until  November  13th.  At  this  camp 
four  men  died;  two  from  typhoid  fever,  two  from  dysentery.  General  Slocum  was  relieved,  and  General  Brooks  assumed  the 
command.  November  1st,  we  marched  to  Berlin,  on  the  Potomac  river,  and  crossing  into  Virginia,  proceeded  to  Warrenton, 
and  went  into  camp." 


REPORTS  OF  SURGEONS  PEABODY,  WOODIIULL,  AND  INGRAM.  107 

LX  XXVIII.     Extracts  from  a  Narrative,  of  Ids  Services.     By  JAMES  II.  PEABODY,  Assistant 

Surgeon  II.  S.  Volunteers. 

"I  remained  on  duty  at  Carver  hospital,  Washington,  D.  C.,  until  the  night  of  September  17,  1802,  when, 
with  some  sixty  or  seventy  others,  I  was  ordered  to  report  to  Medical  Director  Letterman,  Army  of  the  Potomac,  for  temporary 
duty  in  the  field.  The  party  took  a  special  train,  and  after  travelling  all  night  arrived  at  the  Monocacy  on  the  following 
morning.  The  bridge  across  this  stream  Laving  been  destroyed  by  the  rebels  in  their  retreat,  the  greater  portion  of  our  party 
were  detained  nearly  all  day,  awaiting  a  conveyance  to  Rohrersville,  the  point  of  our  destination,  some  twenty  miles  farther  on. 
Assistant  Surgeons  Russel  and  Phillips,  U.  S.  A.,  together  with  myself,  separated  from  the  main  party  early  in  the  morning  and 
made  our  way  toward  Rohrersville.  We  were,  however,  detained  in  Frederick  City  by  order  cf  the  Medical  Director,  and 
immediately  set  to  work  in  the  care  of  the  wounded,  who  were  by  this  time  arriving  by  the  thousand.  The  greater  number  of 
medical  officers  having  been  sent  on  toward  the  field,  the  work  for  those  left  in  Frederick  was  almost  incessant  for  a  few  days. 
I  was  temporarily  in  charge  of  the  United  States  Hotel  hospital,  afterward  part  of  Hospital  No.  2,  and  continued  in  charge  six 
or  eight  days,  when  I  was  relieved  by  Assistant  Surgeon  J.  B.  Brinton,  U.  S.  A.  I  continued  on  duty  in  Hospital  No.  2,  until 
ordered  to  report  to  Assistant  Surgeon  General  R.  C.  Wood,  St.  Louis,  Missouri,  which  order  I  received  on  the  9th  day  of 
January,  1863.  *  After  the  battle  of  Antietam,  most  of  the  wounded  were  hurried  on  to  Frederick,  and  from  thence, 

those  but  slightly  wounded,  after  being  allowed  a  night's  rest,  were  transferred  to  Washington  and  Baltimore.  The  hospitals 
in  Frederick  were  densely  crowded  after  the  battle,  and  every  available  building  used  for  hospital  purposes.  Some  of  these 
buildings  were  but  poorly  ventilated  and  ill  adapted  for  this  purpose;  they  were  given  up  as  speedily  as  possible.  For  the  first 
five  or  six  days,  owing  to  crowding,  it  was  almost  impossible  to  keep  the  sick  and  wounded  supplied  with  food  and  other 
necessities.  *  The  greatest  inconvenience  to  which  the  wounded  were  exposed  was  in  consequence  of  our  not  having  an 

adequate  number  of  beds  to  accommodate  the  thousands  who  were  pouring  in ;  and  those  but  slightly  wounded  had  to  lie  on 
the  floor  or  ground,  as  they  preferred,  until  the  day  after  their  arrival,  when  they  would  be  transferred  to  Washington  or 
Baltimore.  I  have  counted  as  high  as  twelve  hundred  thus  transferred  in  one  train  of  cars.  This  crowding  onlv  continued 
for  a  fi'W  days,  after  which  we  had  ample  supplies  and  accommodations  for  those  left.  Thousands  of  those  wounded  in  the 
upper  extremities  at  the  battle  of  Antietam  walked  in  to  Frederick  City,  some  eighteen  or  twenty  miles,  all  the  ambulances 
being  constantly  busy  in  the  removal  of  the  more  severely  wounded." 


LXXXIX.     Second  Extract  from  a  Personal  Contribution  to  the  Medical  and  Surgical  History 
of  the  Rebellion.     By  Assistant  Surgeon  A.  A.  WOODIIULL,  U.  S.  Array. 

*  *     "The  2(1  and  10th  Infantry  were  a  portion  of  the  force  operating  in  our  centre  at  the  battle  of  Antietam, 
Maryland.     They  engaged,  two  hundred  and  twenty-five  strong,  on  the  17th  of  September.     I  was  on  duty  near  the  field.     The 
wounded  were  brought  on  stretchers  to  me,  and  ambulances  carried  them  a  couple  of  miles  to  the  field  hospital.     The  fire  was 
case-shot  and  musketry,  at  moderate  range.     A  few  primary  operations  under  chloroform,  but  none  of  serious  character,  were 
performed  before  the  above-mentioned  hospital  was  reached.     The  casualties  numbered  eighty-five,  or  twenty-one  per  centum. 
September  20th,  the  brigade  engaged  in  a  skirmish,  following  a  reconnoissance,  near  Shepherdstown,  Virginia.     The  wounded 
were  brought  over  the  river  and  sent  to  the  Antietam  hospitals.     I  assisted  in  a  primary  operation  at  the  upper  third  of  the 
thigh  for  severe  compound  fracture  from  a  minic  ball.     Death  resulted  next  day.     While  lying  in  camp  near  Sharpsburg,  the 
7th  Infantry  joined  the  brigade  and  was  assigned  to  my  care.     The  division  took  possession  of  Snickers'  Gap,  in  the  Blue 
Ridge,  during  the  march  into  Virginia  early  in  November.     The  next  day,  the  6th  and  7th  Infantry  engaged  with  the  14th 
Infantry  in  a  reconnoissance  to  the  Shenandoah.     A  sharp  skirmish  resulted,  witli  a  number  of  casualties.     The  wounded  were 
removed  to  Sniekersville." 

X(J.      Third  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant 
Surgeon  ALEXANDER  INGRAM,  U.  S.  Army. 

*  *     "  On  the  14th  of  September,  the  army  came  up  with  a  large  force  of  the  enemy  posted  in  the  passes  of  South 
Mountain,  where  a  determined  stand  was  made.     The  most  desperate  fighting  was  on  the  right  and  left  of  the  turnpike  from 
Frederick  to  Hagerstown,  where  it  crosses  South  Mountain.      At  this  point,  the  troops  were  exposed  to  musketry  at  short  range 
for  four  or  five  hours,  while  making  their  way  up  the  mountain  sides.     The  battle  continued  until  after  dark,  when  the  enemy 
was  driven  from  the  passes.     On  the  following  morning,  the  army  advanced,  and  came  up  with  the  enemy,  stronglv  posted 
on  the  heights  of  Sharpsburg.     On  the  morning  of  the  17th,  the  fight  opened  furiously,  the  artillery  and  musketry  fire  being 
incessant  until  dark,  when  our  forces  held  the  field  along  the  greater  extent  of  the  line,  the  enemy  still,  however,  maintaining 
a  desperate  resistance.     On  the  succeeding  day,  the  forces  on  both  sides  were  too  much  exhausted  to  renew  the  battle,  and 
during  the  night  the  enemy  fell  back  across  the  Potomac.     My  experience  during  these  engagements  having  been  more  that  of 
a  dragoon,  either  in  the  saddle  or  standing  to  horse,  than  of  a  medical  officer,  can  be  of  no  value.     On  the  16th  of  October,  the 
command  to  which  I  was  attached,  together  with  the  1st  and  6th  United  States  Cavalry,  and  a  section  of  a  battery  of  the  4th 
Artillery,  formed  the  advance  in  the  reconnoissance  in  force  to  Charlestown,  Virginia,  under  command  of  General  Hancock.     A 
battery,  supported  by  cavalry  on  the  enemy's  side,  resisted  for  about  two  hours  the  advance;  it  was,  however,  dislodged  and 
the  enemy  driven  from  Charlestown,  our  cavalry  driving  their  mounted  pickets  on  the  road  to  Bunker  Hill  about  five  miles. 
There  was  one  man  killed  and  about  twelve  wounded   on   our  side.     The  wounded   were  dressed,  necessary  operations  heiiiif 
performed  on  the  Held,  and  sent  hack  to  Harper's  Ferry  in  ambulances.     About  (lie  first  of  November,  we  crossed  the  Potomac 
at  Merlin  and  marched  to  Warrenton,  when  General  McClellau  having  been  relieved,  General   liuniside  assumed  commando! 
the  artnv.      From  \\  arreiiton  \\e  marched  to  Falmouth." 


108  APPENDED  DOCUMENTS— SECOND  BULL  KUN. 

XCI.     Extract  from  a  Report  on  the  Medical  History  of  the  103d  New  York  Volunteers.     By 
A.  STEINACH,  Assistant  Surgeon  103d  N.  Y.  Volunteers. 

*  *  *  a  jj]e  re<riment  was  again  drawn  up  in  line  of  battle  on  the  northern  side  of  the  Antietam  creek.  We  went  into 
action  one  hundred  and  eighty-seven  strong,  and  lost  eighteen  killed,  seventy-five  wounded,  and  twenty-seven  prisoners  and 
missin"-.  *  *  During  the  battle  at  South  Mountain  and  Antietam,  some  amputations  of  the  thigh  and  leg  were  performed  on 
the  field  •  but  the  result  was  very  unfavorable.  I  cannot  remember  a  single  case  in  which  such  an  operation  was  successful. 
In  other  cases,  the  operations  were  performed  in  buildings  prepared  for  temporary  field  hospitals.  In  general,  the  amputations 
of  an  arm  or  leg  were  successful,  while  the  thigh  cases,  with  a  very  few  exceptions,  were  fatal." 


XCII.     Report  of  the  Operations  of  the  Medical  Department  of  the  Army  of  Virginia.     By 

THOMAS  A.  MoPARLiN,  Surgeon  U.  S.  A.,  Medical  Director. 

GENERAL  HOSPITAL,  ANNAPOLIS,  MARYLAND,  May  2,  1863. 

GENERAL:  In  narrating  the  chief  movements  and  principal  medical  events  of  interest  in  the  army  of  Virginia  while  under 
my  medical  direction,  I  will  premise  that  it  will  be  brief,  drawn  from  imperfect  records  I  have  at  hand,  and  observations  made, 
often  under  trying  circumstances,  over  a  wider  field  than  the  powers  of  one  person  can  review  or  portray.  With  an  army 
moving  steadily  engaged  with  an  enemy  of  greater  lorce,  retreating  and  battling  from  successive  lines  of  defence,  receiving 
reinforcements  of  men  so  hurriedly  as  to  be  unaccompanied  by  supplies  or  material  of  war,  those  on  hand  limited  and  unre- 
newed  it  will  be  seen  that  through  many  days  of  severe  conflict  the  medical  force  of  the  army  would  be  indeed  tasked  with 
active  and  unremitting  duties.  Hence  the  paucity  of  reports  from  men  whose  paramount  cares  were  fully  exercised  in  collecting 
and  transporting  wounded,  securing  the  supply  and  preparation  of  food,  water,  bedding,  shelter,  and  nurses;  in  devoting  time 
for  deliberate  judgment  on  grave  cases  presented  for  decision,  action  and  care,  a  charge  that  is  not  fulfilled  while  one  remains 
to  be  sent  awav  by  ambulance  or  car,  or  while  those  whose  injuries  forbid  removal  are  unsupplied  with  medical  attendance  and 
food.  While  history  thus  draws  but  meagre  details  from  such  a  field  of  inquiry,  let  those  of  our  times  at  least  know  that  time 
and  energies  thus  pre-occupied  and_  diverted  were  more  nobly  devoted  in  attending  to  the  necessities  of  suffering  men.  If 
attention,  energy,  and  skill  are  fully  called  forth  to  discharge  duties  to  the  wounded  of  an  army,  under  ordinary  circumstances, 
they  are  still  more  severely  tested  in  a  retreat,  when  food,  transportation,  assistance,  and  supplies  are  leaving  those  who  are 
helpless,  maimed,  despondent,  who  need  them  most,  and  are  moved,  if  at  all,  but  slowly,  and  with  pain  and  danger. 

It  is  now  known  that  the  army  of  the  Potomac  was  to  be  withdrawn  from  the  James  river;  the  armies  and  corps  then 
scattered,  if  possible  united  for  a  vigorous  and  stronger  advance.  A  General-in-Chief  was  selected,  and  called  upon  to  accom 
plish  this  difficult  task.  The  President,  in  June,  directed  that  the  corps  of  Generals  Fremont,  Banks,  and  McDowell  should  be 
united,  and  the  command  assigned  to  General  Pope.  These  were  designated  First,  Second,  and  Third  Army  Corps.  The  corps 
of  the  reserve  around  Alexandria  and  in  the  defer  ces  of  Washington  was  added  to  this  command,  and,  at  some  time  later,  the 
small  force  occupying  the  district  of  the  Kanawha.  From  the  records  before  me.  I  estimate  this  force  as  follows  :  First  Corps, 
twenty-seven  regiments,  six  batteries,  and  six  cavalry  companies ;  Second  Corps,  thirty  regiments;  Third  Corps,  thirty-three 
regiments.  This  is  an  over-estimate  of  the  strength  of  the  army  of  Virginia,  as  regiments  were  scattered  and  detached,  dimin 
ishing  its  effective  force  against  the  enemy.  On  the  30th  of  June,  1862,  I  was  assigned  as  Medical  Director  of  the  army  of 
Virginia,  and  entered  upon  duty  a  few  days  thereafter.  The  position  of  the  army  was  as  follows:  The  First  and  Second  Corps 
were  posted  from  Winchester  to  Middletown,  Virginia.  The  Third  Coi'ps  on  the  Rappahannock  near  Fredericksburg,  part  at 
Manassas  Junction  and  Catlett's  station,  on  the  Orange  and  Alexandria  railroad.  I  invited,  by  circular,  information  from 
medical  directors  of  corps  as  to  their  condition,  so  as  to  secure  them  full  supplies  as  rapidly  as  possible.  Two  inspectors 
general  were  sent  to  ascertain  and  report  on  the  military  supplies  and  condition  of  the  corps.  From  the  many  rapid  and  forced 
movements  for  months  previous,  the  First  and  Second  Corps  were  greatly  deficient  in  all  kinds  of  medical  and  hospital  supplies 
and  means  of  transportation.  Reports  were  irregular  and  unfrequent,  and  other  evils  were  observed  consequent  upon  harassing 
and  fruitless  service.  For  weeks  I  was  occupied  in  ascertaining  and  directing  by  telegraph  where  supplies  were  to  be  sent ; 
when  and  where  sent  for.  Many  consignments,  put  up  months  before  and  sent  by  railroad,  had  not  been  received.  I  felt  it  most 
important  to  have  these  deficiencies  corrected  by  approving  requisitions,  and  ordering  for  immediate  issue  and  dispatch  what 
ever  was  needed  to  supply  regiments,  brigades,  divisions,  and  corps  with  the  following  necessary  articles:  To  regiments,  field 
supplies  of  medicines,  instruments,  dressings,  hospital  stores,  cooking  utensils,  two  or  three  hospital  tents,  according  to  numerical 
strength  of  each  regiment,  and  four  four-wheeled  two-horse  ambulances.  The  chief  quartermaster  authorized,  at  my  instance, 
the  allowance  of  three  wagons  to  transport  the  tents  and  medical  property  of  each  regiment.  The  following  was  the  schedule 
of  transport  service  as  I  found  it  in  the  Third  Corps :  To  headquarters  of  the  corps,  one  four-wheeled  four-horse  ambulance 
and  one  transport  cart.  To  headquarters  of  each  division,  two  four-wheeled  four-horse  ambulances  and  one  transport  cart. 
To  headquarters  of  each  brigade,  one  four-wheeled  two-horse  ambulance  and  one  transport  cart.  To  each  regiment,  one 
four-wheeled  four-horse  ambulance,  two  four-wheeled  two-horse  ambulances,  and  one  transport  cart.  To  batteries  of  artillery, 
one  four-wheeled  two-horse  ambulance,  and,  when  brigaded,  one  transport  cart.  The  whole  number  of  ambulances  and  carts  on 
hand  in  the  Third  Corps  was  forty-one.  The  number  of  ambulances  and  cai-ts  to  be  supplied,  one  hundred  and  twenty-nine. 
As  the  reports  showed  the  Third  Army  Corps  to  be  best  supplied,  the  deficiencies  of  the  other  corps  may  be  imagined.  The 
transport  carts  are  useless  in  the  ambulance  department  of  an  army,  especially  in  a  mountainous  country.  They  kill  numbers 
of  horses,  are  slow  at  the  best,  and,  if  used  for  any  purpose  except  conveying  instruments  and  dressings,  will  probably  have  to 
be  abandoned  on  the  road.  The  four-wheeled  four-horse  ambulance  is  heavy,  difficult  to  turn,  and  easily  upset,  while  four  horses 
have  to  be  foraged  and  attended  to.  They  do  not  provide  the  accommodation  and  facilities  of  two  four-wheeled  two-horse 
ambulances.  If  an  accident  happen  in  one  case,  four  horses  are  useless,  while  the  same  in  the  other  case  would  leave  two  horses 


REPORT    OF    MEDICAL    DIRECTOR    McPARLIN.  109 

and  one  vehicle  serviceable.  A  large  number  of  ambulances  were  ordered  by  the  quartermaster's  department  in  Philadelphin  and 
Wheeling,  to  supply  the  army  of  Virginia.  They  were  all,  at  my  request,  of  one  kind  only:  two-horse  four-wheeled  ambulances, 
to  be  made  of  seasoned  timber,  with  wide-set  tires  and  strong  wheels,  heavily  ironed,  to  obviate  known  defects.  These  were 
received  on  approved  requisitions  as  rapidly  as  they  could  be  manufactured,  and  sent  to  depots  or  headquarters.  Three  hundred 
hospital  tents  were  placed  in  depot  at  Alexandria  and  two  hundred  at  Warrenton,  for  issue  to  regiments  or  use  in  general 
hospital  encampments.  Before  the  First  Corps  (Sigel's)  moved  from  Middletown,  its  medical  purveyor  required  supplies,  in 
part,  for  thirteen  thousand  men.  Many  articles  were  needed  for  immediate  use.  They  were  put  up  in  Alexandria  and  for 
warded  by  railroad,  and,  when  the  corps  moved  down,  met  the  troops  near  Warrenton.  I  found  it  advisable,  July  5>lst,  to  break 
up  the  purveying  depot  at  Frederick.  Maryland.  Troops  then  were  moving  south  and  west.  I  therefore  moved  the  supplies  to 
Alexandria,  and  made  that  the  more  important  source  of  supply  to  the  army  of  Virginia  by  means  of  the  Orange  and  Alexan 
dria  railroad.  Supplies  were  ordered  to  be  kept  there  capable  of  supplying  twenty  thousand  men.  It  was  intimated  to  me  by 
the  Surgeon  General  that  movable  field  purveying  depots  for  separate  corps  would  not  be  judicious,  from  the  increased  risks  of 
loss  of  supplies,  and  that  one  depot  could  be  organized  for  the  army  of  Virginia  at  Alexandria.  So  great  was  the  need  of 
immediate  supplies  for  the  First  Corps  (General  Sigel's),  that  the  First  Coips  purveyor's  requisition  was  approved,  in  the  expecta 
tion  that  the  stores  would  be  immediately  issued  to  regiments  then  concentrated,  and  before  they  commenced  moving  towards 
Gordonsville.  This  object  was  fully  accomplished.  No  other  purveyor's  depots  for  corps  were  organized.  I  soon  found, 
however,  that  a  small  movable  depot  would  be  necessary  to  furnish  battle-field  supplies,  such  as  stimulants  and  anaesthetics, 
concentrated  nourishment,  cooking  utensils,  articles  for  temporary  hospital  service,  instruments,  dressings,  blankets,  bedding,  and 
hospital  tents ;  this  movable  depot  to  be  kept  in  the  rear,  secure,  but  easily  and  speedily  accessible,  to  meet  the  requirements  and 
exigences  attendant  upon  a  battle.  The  troops  were,  during  the  month  of  July,  supplied  with  every  authorized  article  of  medical 
and  surgical  necessity,  field  transport  and  field  hospital  accommodation,  for  which  requisitions  were  sent,  and  to  the  utmost 
extent  possible  in  that  period.  The  line  of  the  Orange  and  Alexandria  railroad  made  our  communication  easy  and  speedy  with 
Alexandria,  where  supplies  were  placed.  I  proposed  to  use  the  railroad  for  transportation  of  wounded  from  depots  near  the  field 
to  hospitals  in  Alexandria,  or,  if  necessary,  to  Washington  and  Georgetown.  It  was  impossible  to  hazard  locating,  and  there  was 
no  time  for  organizing,  large  depot  hospitals  nearer  to  the  scene  of  expected  hostilities  than  Alexandria.  I  had  entertained  the 
hope  of  locating  a  large  establishment  at  the  Sulphur  Springs,  near  Warrenton,  Fauquier  county,  Virginia,  the  hotel  and 
buildings  there  being  well  adapted  for  it.  The  commanding  general  would  not  approve  of  a  guard  for  its  protection,  and  its 
distance  from  the  railroad  made  it  too  dangerous  a  site  for  the  sick  and  wounded,  in  case  of  any  reverse  or  retreat  on  our  line. 
I  had  to  content  myself  with  establishing  a  temporary  set  of  hospitals  in  and  near  the  town  of  Warrenton,  to  which  a  branch 
railroad  extended,  seven  miles  from  the  Orange  and  Alexandria  railroad.  This  was  ultimately  abandoned,  and  the  sick  and  means 
of  accommodation  moved  to  Falls  Church  and  Alexandria,  Warrenton  itself  being  unsafe,  and  the  depots  of  other  departments 
broken  up,  A  large  general  hospital  encampment  there  would  have  been  a  great  sanitarium  for  the  army.  Its  high,  airy, 
healthful  situation,  invigorated  many  of  our  feeble  and  sick  soldiers.  It  was  with  much  regret  I  ordered  its  discontinuance. 

A  reference  to  the  object  of  this  campaign  is  necessary  to  an  understanding  of  our  position,  and  the  effect  upon  bureau 
administration  in  all  its  departments.  As  the  army  of  the  Potomac  was  to  be  moved  from  the  James  river  towards  Alexandria, 
the  army  of  Virginia  had  the  difficult  duty  of  drawing  from  Richmond  such  attention  and  force  to  meet  its  approach  towards, 
Gordonsville,  as  would  facilitate  the  removal  of  the  army  from  James  river.  The  army  of  Virginia  was  to  embarrass,  delay,  hold 
in  check,  whatever  large  army  should  suddenly  be  advanced  upon  the  approaches  to  Washington.  The  interval  between  General 
McClellan's  withdrawal  from  James  river  and  arrival  before  Washington  in  proper  force,  organization,  and  effective  equipment, 
was  the  golden  opportunity  for  attacking  Washington,  and  separating  more  widely  for  defeat  the  armies  of  the  Potomac  and  of 
Virginia.  Rapid  forays  in  the  direction  of  Richmond,  destroying  roads,  bridges,  and  telegraphs  as  far  down  as  possible,  with 
slow  retreat  and  obstinate  resistance  to  the  enemy  advancing  in  force,  were  the  duties  devolving  upon  the  army  of  Virginia. 
To  the  administrative  staff  departments  thus  but  one  depot  proper  or  practicable  was  left,  viz.,  at  Alexandria.  Otherwise,  an 
immense  amount  of  material,  supplies,  and  protective  guards  would  fall  into  the  possession  of  the  enemy.  In  July,  the  general 
hospitals  of  the  First  and  Second  Corps,  then  in  the  Shenandoah  valley,  were  located  at  Harper's  Ferry,  Hagerstown, 
Winchester,  and  Frederick.  Those  of  the  Third  Corps  at  Fredericksburg,  on  the  line  to  Alexandria.  The  hospitals  in  the 
Shenandoah  valley  were  broken  up  when  the  army  moved  down  to  Sperryville,  and  those  at  Fredericksburg  when  the 
Third  Corps  moved  to  Warrenton.  These  corps  were  in  position  at  those  places  about  the  lUth  of  July.  From  the  number 
of  hospital  tents,  and  amount  of  transportation  authorized,  I  hoped  that  the  ordinary  sick  cases  could  be  well  cared  for  with 
their  regiments.  Those  very  sick  had  been  sent  to  hospitals  in  Frederick  and  Alexandria  before  any  movement  was  made. 
The  corps  were  also  moving  in  a  healthy  country.  The  regimental  reports  showed  them  in  good  condition,  with  the  exception 
of  the  60th  New  York  regiment  of  infantry,  in  the  Second  Corps,  which  had  a  great  number  sick  from  typhoid  fever.  Tin- 
First  Corps  (Sigel's)  moved  about  July  9th  towards  Sperryville.  The  Second  Corps  (Banks's)  also  moved  soon  after  out  of 
the  Shenandoah  valley  in  the  same  direction.  The  new  position  occupied,  with  others  soon  to  be  taken,  was  considered  fully 
protective  of  that  valley  after  the  troops  were  removed.  The  Third  Corps  (McDowell's),  leaving  King's  division  at  Falmouth, 
moved  up  to  position  at  Warrenton  before  the  18th  of  July.  On  the  22d  of  July,  troops  moving  left  their  sick.  I  found  it 
necessary  to  move  them  to  Warrenton,  and  send  sick  from  there  to  Alexandria.  Medical  Director  D.  L.  Magruder,  U.  S.  A., 
took  charge  of  the  temporary  hospitals  and  organized  them,  and  other  medical  officers  were  rapidly  sent  forward  to  assist 
in  the  duties.  The  buildings  in  the  town  were  soon  put  into  condition  to  receive  the  sick,  and  two  hundred  hospital  tents 
set  up.  Here  numbers  were  received  and  convalesced  rapidly.  The  hospitals  were  in  use  until  August  4th,  when  I  ordered 
the  tents  to  Falls  Church  and  Alexandria,  on  account  of  the  insecurity  of  sick  and  stores  at  Warrenton.  Falls  Church 
hospital,  which  had  been  placed  at  my  disposal  by  the  Surgeon  General,  was  distant  a  few  miles  from  Alexandria.  At  a  later 
season  of  the  year,  it  would  have  been  an  unhealthy  and  inconvenient  position.  The  hospitals  in  Alexandria,  where  I  had 
authority  to  send  sick,  were  filled  late  in  July  ;  at  a  later  period,  I  requested  the  Surgeon  General  to  move  the  sick  then  there  to 
Washington,  that  they  might  receive  sick  and  wounded  from  our  army,  without  mingling  them  with  those  of  the  army  of  the 


APPENDED  DOCUMENTS SECOND  BULL  KUN. 

Potomac.  This  request  was  complied  with.  Before  the  troops  moved  from  the  Shenandoah,  while  in  preparation  for  march,  not 
a  few  malingerers  and  convalescents,  for  want  of  proper  medical  inspection,  were  sent  from  the  army  to  Harper's  Ferry 
and  Baltimore.  Prompt  attention  was  called  to  this  neglect  of  duty  on  the  part  of  medical  officers,  and  officers  were  sent  to 
brimr  back  to  Warrenton  the  able-bodied  absentees.  I  will  here  add,  however,  that,  with  every  care  and  fulfilment  of  duty  by 
medical  officers,  vagrant  soldiers  will  collect  about  every  depot  for  reception  of  wounded  and  sick  men,  as  occurred  at  Culpepper 
and  Bealeton  station.  In  the  absence  of  a  military  force,  and  in  defiance  of  the  efforts  of  the  medical  and  transport  depart 
ments  these  skulkers  intermingle  with  the  sick,  or  mount  the  roofs  of  cars,  especially  in  retreat,  and  go  off.  Unless  there  is  a 
cordial  co-operation  on  the  part  of  the  railroad  agents  with  the  medical  officers,  it  has  happened  that,  upon  cars  being  changed  at 
a  station,  the  roof  passengers  speedily  obtain  comfortable  places,  while  the  wounded,  being  moved  slowly,  with  difficulty  find 
accommodation.  After  about  twenty-five  days  devoted  to  organization,  equipment,  supply,  and  concentration  of  the  three  army 
corps  the  o-eneral  headquarters  left  Washington  for  Warrenton,  arriving  on  the  29th  of  July.  Several  buildings  (churches) 
in  the  town,  with  hospital  tents  within  their  enclosures,  very  neatly  arranged,  were  then  receiving  sick  from  the  regiments  and 
corps  around  Warrenton.  In  a  few  days,  headquarters  were  moved  to  a  position  with  Banks's  corps,  near  Washington,  Virginia, 
several  divisions  having  been  inspected  on  the  way  thither.  General  Ricketts's  division  of  the  Third  Corps  moved  from  War 
renton  to  the  upper  Rappahannock,  and  thence  to  Culpepper.  General  Banks's  (Second)  Corps  was  soon  put  in  motion  for  Hazel 
creek.  We  met  with  General  Sigel's  Corps  first  at  Sperryville,  about  the  7th  of  August.  At  that  time,  a  cavalry  force  of 
several  regiments  under  General  Buford,  was  at  Madison  Court  House  and  along  the  Rapidan  river,  in  observation  of  the  advance 
of  the  enemv.  Cavalry  regiments  of  the  Third  Corps,  under  General  Bayard,  were  at  the  time  in  front  from  Fredericksburg 
towards  the  Rapidan.  As  our  columns  moved  towards  Culpepper,  storehouses  were  no  longer  required  at  Warrenton. 
Depots  were  removed,  and  as  the  troops  left,  I  had  to  order  the  sick  to  be  removed,  with  the  hospital  encampment,  to  Alexandria. 
Warrenton  Junction,  Manassas,  indeed  no  position,  except  Alexandria,  along  the  line  of  the  Orange  and  Alexandria  railroad, 
was  at  all  suited  for  a  hospital  depot — an  establishment  needing  ample  supply  of  water,  and  proximity  at  least  to  quartermaster 
and  commissary  supplies,  and  troops  to  furnish  labor  and  protection.  As  early  as  the  15th  of  July,  Surgeon  Thomas  Antisell, 
U.  S-  V.,  Medical  Director  of  the  Second  Corps,  had  expressed  to  me  his  hope  that  the  corps  might  remain  some  little  time  in  this 
"red  sand  stone  region,  until  the  effects  of  the  residence  in  the  limestone  strata  of  the  valley  passed  off— diarrhoea  and  irritability 
of  the  whole  lower  bowels,  arising  from  the  excessive  hardness  of  the  water,  and  slight  impregnation  with  sul plraret  of  iron.  The 
water  at  Warrenton  is  soft,  which,  combined  with  the  abundance  of  acid  wild  fruits,  have  completely  checked  the  complaint." 
The  medical  director  of  the  First  Corps  (Dr.  Rex),  on  the  12th  of  July,  reports  "this  country,  under  ordinary  circumstances, 
should  be  healthy,  and  little  or  no  sickness  prevail,  but  the  total  absence  of  seasonable  vegetables,  and  the  careless,  reckless,  and 
improvident  nature  of  the  volunteer  soldier,  are  made  manifest  by  the  dysenteric  and  other  diseases  that  prevail  to  some  extent." 
The  health  of  the  troops  during  the  month  of  July  may  be  generally  stated  as  good.  They  were  moving,  and  in  a  fine 
country.  '  *  From  the  sick  sent  to  Alexandria,  I  received  very  favorable  accounts.  The  transfer  from  Warrenton  was 
made  with  comfort  and  rapidity. 

On  the  8th  day  of  August,  general  headquarters  were  advanced  to  Culpepper,  where  General  McDowell's  Corps  and 
Crawford's  brigade  of  the  Second  Corps  were  in  position.  Intelligence  reached  us,  and  artillery  firing  in  the  extreme 
front  indicated,  during  the  day,  the  approach  of  the  enemy.  Banks's  Corps  was  ordered  up  from  Hazel  creek,  and  Sigel's 
from  Sperryville  to  Culpepper.  Banks  arrived  at  night,  and  advanced  the  next  morning  in  the  direction  of  Cedar  Mountain, 
seven  miles.  He  found  the  enemy  moving  forward,  and  the  cavalry  force,  Crawford's  and  Ricketts's  commands,  contesting 
the  ground.  In  the  afternoon,  a  general  advance  and  a  severe  engagement  took  place,  near  Culver's  Tavern,  which  lasted 
several  hours.  General  Banks  was  in  command;  Sigel's  Corps  had  not  arrived.  During  the  evening,  and  through  the 
night,  the  wounded  continued  to  arrive  in  Culpepper  and  were  temporarily  quartered  in  hotels,  churches,  etc.,  receiving  such 
dressings  and  surgical  attention  as  was  required.  As  soon  as  I  was  aware  of  the  engagement  in  front,  I  applied  to  the  chief 
quartermaster  for  a  train  of  cars,  which  was  promptly  held  in  readiness  to  convey  the  wounded.  I  superintended  the 
reception  of  the  wounded  during  the  greater  part  of  the  night  at  Culpepper,  and  proceeded  to  the  field  at  an  early  hour  of 
the  morning,  anticipating  a  renewal  of  the  battle.  A  medical  officer  of  rank  was  dispatched  to  Culpepper,  with  authority  to 
secure  transportation,  subsistence,  and  available  force,  and  directed  to  have  the  wounded  sent  at  once  to  hospitals  in  Alexandria 
by  railroad.  The  medical  directors  of  corps  sent  in  also  several  of  the  best  surgeons  for  service  in  the  town.  The  enemy 
did  not  offer  battle,  though  our  lines  were  well  forward,  and  our  artillery  opened  fire  early  on  the  morning  of  the  10th. 
Skirmishing  was  kept  up  on  both  wings.  The  casualties  of  the  past  day  were  large,  and  every  building  convertible  into  shelter 
had  a  full  compliment  of  wounded  in  and  around  it.  The  unemployed  ambulances  were  collected  together  and  dispatched  to 
remove  them  to  the  rear.  In  this  duty,  and  also  in  the  collection  of  wounded  under  flag  of  truce,  Surgeon  R.  M.  S.  Jackson 
rendered  valuable  and  efficient  service.  The  most  important  duty  on  the  10th  was  to  bring  the  wounded  from  the  extreme  front 
and  the  advance  depots  near  the  lines  (the  enemy  then  threatening  both  wings),  which  was  done  as  rapidly  as  the  ambulance 
force  could  effect  it.  I  traversed  the  length  of  our  lines,  inspecting  depots  and  directing  the  wounded  to  the  rear.  Great 
numbers  were  sent  in  to  Culpepper,  and  so  occupied  the  medical  force  there  that  the  primary  object— sending  them  rapidly  to 
Alexandria— was  overlooked,  and,  though  the  train  was  waiting,  building  after  building  was  occupied  and  filled.  Orders  were 
reiterated  by  express  to  have  the  wounded  forwarded  by  the  train.  Hours  afterward,  I  ascertained  no  action  had  been  taken. 
Anticipating  the  difficulty,  with  the  limited  means  at  hand,  and  knowing  the  delay  incident  to  getting  wounded  out  of  buildings 
extemporized  into  hospitals,  I  returned  to  Culpepper,  changed  the  organization,  and  dispatched  the  first  train  of  cars  with 
wounded  to  Alexandria.  Surgeon  John  II.  Ranch,  U.  S.  V.,  medical  director  of  General  Augur's  division,  was  placed  on  duty 
as  medical  director  at  Culpeppcr,  to  receive  the  wounded  and  dispatch  them  by  trains  as  rapidly  as  they  were  attended  to  and 
in  condition  to  go  forward.  Medical  officers  were  sent  to  report  to  him.  A  medical  purvevor,  with  tents  and  hospital  supplies, 
was  subordinated  to  him,  and  authority  given  to  the  medical  director  to  call  on  the  medical  purveyor  in  Alexandria  for  any 
articles  or  supplies  he  should  deem  necessary.  Kach  train  of  wounded  had  medical  attendance,  water,  subsistence,  straw,  and 
necessary  bedding  supplied.  I  may  say  here  that  they  left  in  excellent  condition— clean,  comfortable,  and  cheerful — from 


REPORT    OF    MEDICAL    DIRECTOR    McPARLIN.  Ill 

Culpepper  and  every  other  depot  of  wounded  throughout  the  campaign ;  and,  but  for  changing  cars  after  their  departure,  would 
have  always  arrived  in  excellent  condition  at  Alexandria,  which  was  not  distant.  I  had  the  reports  of  Medical  Director  Ranch, 
from  time  to  time  as  these  trains  of  wounded  left,  and  also  frequent  reports  as  to  their  condition  when  received  in  Alexandria. 
A  number  of  hospital  tents  were  pitched  near  the  railroad  depot,  and  the  medical  purveying  supplies,  in  charge  of  Assistant 
Surgeon  Barlow,  unpacked,  so  that  stimulants,  dressings,  anesthetics,  prepared  food,  and  battle-field  supplies  might  be 
ready  for  issue.  The  other  articles  were  packed,  ready  for  transportation.  At  the  same  time,  special  articles,  such  as  buckets, 
lanterns,  mattresses,  etc.,  were  sent  for,  and  soon  received,  with  a  cargo  of  ice,  by  train.  Before  the  medical  supplies  in  charge 
of  Dr.  Barlow  were  open  for  issue,  and  stores  from  the  several  corps  became  accessible,  supplies  were  in  great  request,  and, 
as  numbers  of  wounded  passed  in,  continued  to  be  in  demand.  This  was  an  unavoidable  consequence  of  the  military  situation. 
Our  troops  merely  passed  through  Culpepper,  moving  rapidly  to  the  front.  There  were  no  hospitals  there,  and  no  time  to 
organize  any,  nor  were  there  indications  for  any  to  be  located  there.  The  moment  an  engagement  occurred,  however,  many 
wounded  men  came  back,  and,  as  it  was  the  nearest  railroad  and  supply  depot,  it  became,  of  necessity,  the  temporary  depot  for 
them  until  they  were  put  into  the  cars.  The  proper  regimental  medical  supplies  were  in  the  wagons  or  trains  of 
brigades  or  corps  distant  from  Culpepper,  to  be,  as  is  customary  in  war,  out  of  danger.  In  putting  the  trains  out  of  danger, 
medical  stores  were,  to  a  great  extent,  out  of  reach.  Surgeons  did  not  know,  in  many  cases,  where  their  medical  wagons  were,  and 
came  empty  handed  to  Culpepper.  The  purveyor's  supplies  of  the  First  Corps  were  an  exception.  I  soon  saw  that,  however 
the  regiments  of  an  army  were  supplied  with  medical  stores,  the  confusion  and  want  of  information  and  tact  made  it  a  difficult  task 
to  find  store  wagons,  or  to  obtain  access  to  and  possession  of  them  at  the  points  where  they  were  most  needed,  and  that  there  must 
be  a  movable  purveying  general  depot,  to  be  kept  accessible,  and  put  in  position  at  the  depot  of  wounded  as  soon  as  possible 
after  an  engagement.  The  experience  at  Culpepper  also  caused  me  to  add  to  this  purveying  depot  of  battle-field  supplies  a 
proper  surgical  staff  of  good  operating  surgeons  and  executive  men,  quick  to  receive  the  wounded,  to  place  them  in  trains  for 
transportation,  or  to  direct  them  to  remain,  for  judgment  and  consultation,  at  the  depot  hospital;  other  assistants,  informed 
how  to  procure  ready  access  to  subsistence,  to  have  food  for  hundreds  or  thousands  cooked  and  issued  at  once;  others 
to  superintend  the  forwarding  of  wounded  in  the  proper  manner — to  accompany  them,  if  necessary — and  especially  to  observe  that 
none  but  proper  cases  were  sent  away  from  the  army  to  hospitals.  I  was  gratified  to  know,  as  I  soon  did,  from  personal 
observation,  the  value  and  devotedness  of  many  of  the  surgeons,  and  they  were  afterwards  put  in  position  and  kept  in  readiness 
to  exercise  their  best  powers  in  faithful  services  to  the  wounded.  Having  affairs  at  Culpepper  so  arranged  as  to  promise  efficient 
service,  I  returned  to  the  army  in  front.  General  Banks's  corps  was  soon  ordered  to  take  post  near  Culpepper,  having  been 
very  much  cut  up  by  the  shock  which  it  had  sustained.  The  medical  director,  Dr.  Antisell,  was  then  in  position  to  inspect 
daily  every  hospital  of  his  corps,  and  to  keep  them  supplied.  The  wounded  from  the  field  were  brought  oft',  under  nag  of  truce, 
on  the  11th,  and  sent  to  Culpepper  and  Alexandria.  This  duty,  and,  principally,  the  ambulance  service,  was  directed  very 
efficiently  by  Surgeon  Jackson,  of  the  10th  Pennsylvania  Volunteers.  I  could  not  spare  the  services  of  an  efficient  medical 
officer  for  this  purpose,  and  secured,  by  order,  the  employment  of  a  civilian  to  act  as  superintendent  of  the  transportation  of 
sick  and  wounded.  He  directed  the  ambulance  service  to  and  from  Culpepper,  under  the  direction  of  the  medical  director, 
and,  in  the  field,  under  my  direction.  I  proposed  to  have  a  subordinate,  in  eacli  corps,  to  take  charge  of  its  ambulances  in  time 
of  action,  through  whom  the  movements  could  be  controlled  by  corps  directors,  and  who  could  detach  officers  for  general 
service  when  applied  to  from  general  headquarters.  I  received  some  time  after,  from  the  Surgeon  General,  the  plans  for  the 
organization  of  an  ambulance  corps  proposed  by  Dr.  Letterman,  and  submitted  it  to  General  Pope,  but  there  was  no  opportunity 
of  carrying  out  any  extensive  plan  of  organization  when  events  so  crowded  upon  us. 

The  enemy  under  Jackson  retired  on  the  llth  and  12th.  and  our  lines  were  advanced  beyond  the  lately  contested  field, 
and  occupied  a  position  near  Cedar  mountain.  The  casualties  of  the  battle  of  the  9th  and  10th  of  August  were  large,  but,  as  I  have 
no  full  report  from  the  corps  engaged,  they  can  only  be  estimated.  In  the  Second  Corps,  which  was  principally  engaged,  the 
losses  were  two  hundred  and  eighty  killed,  one  thousand  three  hundred  and  forty-six  wounded,  and  two  hundred  and  forty-one 
missing.  This  report  underestimates  the  full  number  of  wounded  and  missing.  The  action  on  the  9th  was  in  the  vicinity  of 
Culver's  Tavern.  The  woods  and  ground  on  the  right  were  the  scene  of  the  sharpest  contest.  About  six  hundred  wounded 
were  received,  at  the  first  division  hospital  under  Division  Medical  Director  Chapel's  care,  that  evening  and  night.  The 
wounded  of  the  2d  division,  having  been  received  from  the  woods  and  cornfields  in  front,  were  sent  very  soon  to  the  rear. 
Surgeon  Ball,  5th  Ohio  Volunteers,  acted  as  division  medical  director.  His  division  depot  wras  not  long  occupied.  The  enemy 
remained  at  night  in  possession  of  the  field.  Dr.  Chapel  and  his  surgeons  were  actively  employed  all  night  and  the  next  day, 
until  the  ambulances  removed  the  wounded.  "The  injuries,"  remarks  Medical  Director  Antisell,  "were,  in  many  cases,  of 
a  severe  character,  involving  the  abdomen,  arms,  raid  thighs."  From  an  analysis  of  a  list  of  four  hundred  and  eighty-three 
wounded  in  the  action,  made  at  the  railroad  depot  at  Culpepper,  I  find  the  regions  wounded  in  this  proportion:  of  the  head, 
twenty;  face,  nineteen;  neck,  seven;  chest,  eleven  ;  of  the  upper  extremities,  two  hundred  and  eight ;  lower  extremities,  one 
hundred  and  eighty-seven;  abdomen,  three;  back  and  spine,  eleven;  of  the  perineum  or  genitals,  two;  of  the  larger  joints, 
fifteen.  From  the  l()th  to  the  18th,  the  wounded  and  sick  were  accommodated  in  Culpepper  in  the  Episcopal,  Baptist, 
Methodist,  and  Presbyterian  churches,  in  the  Piedmont,  Virginia,  and  Depot  hotels,  Masonic  hall,  tobacco  factory, 
Commerce  street  hospitals,  and  the  hospital  encampment  near  the  railroad.  The  wounded  were  frequently  sent  by  train, 
certain  cases,  too  dangerous  to  move,  being  left  behind.  Sick  were  daily  sent  in  from  the  front.  On  the  16th,  Medical  Director 
Ranch  reports:  "I  have  removed  all  the  wounded  that  will  bear  transportation ;  so  far,  have  lost  none.  Sent,  also,  nixty-one 
of  the  sick.  Have  just  been  applied  to  for  ambulances  for  a  portion  of  Burnside's  command.  They  also  need  medical 
supplies.  Have  issued  what  was  on  hand  to  whomsoever  has  applied.  The  candidates  for  Alexandria  are  innumerable." 
The  troops  referred  to  were  those  of  General  Reno,  reinforcing  us  from  Fredericksburg  with  eight  thousand  men.  The  ambulances 
had  now  been  in  constant  use  for  many  days  ;  forage  was  scarce;  the  animals  were  becoming  poor  and  weak;  while  brigade 
commanders  and  surgeons  were  anxious  to  have  them  return  from  Culpepper  and  general  service  to  their  commands,  to  rest  and 
recruit.  Had  there  been  an  ambulance  corps  organization,  much,  if  not  all  this  trouble,  would  have  been  averted,  the  animals 


]]_2  APPENDED    DOCUMENTS SECOND    BULL    RUN. 

bein"-  oared  for  wherever  serving,  and  a  proper  number  kept  in  reserve  for  general  service,  exclusive  of  those  for  brigades  and 
corps  About  this  period,  I  received  from  Alexandria  six,  out  of  thirty-three,  Autenrieth  medical  wagon's,  filled  with  supplies, 
which  I  had  applied  for  on  the  1st  of  July.  In  coming  from  Culpepper  to  the  field,  only  seven  miles,  over  a  rough  road,  three 
were  damaged  badly.  One  of  them  upset,  being  top-heavy  and  narrow,  and  having  no  brakes.  For  these  defects,  medical 
officers  declined  receiving  them,  for  the  reason  that  they  would  be  unavoidably  broken  to  pieces  and  abandoned.  They  were 
sent  to  the  quartermaister's  depot,  and  brakes  ordered.  The  brigade  surgeon  of  General  Buford's  cavalry,  then  out  of  supplier 
and  moving  to  the  front,  secured  one,  gratified  to  have  three  months'  medical  and  surgical  supplies,  with  every  convenience  for  field 
emergency,  packed,  and  ready  with  horses  and  driver.  The  defects  were  duly  reported,  and  orders  sent  to  Alexandria  to  remedy 
them  in  the  wagons  yet  to  arrive. 

On  the  15th  of  August,  our  troops  were  near  Cedar  mountain,  occupying  the  vantage  ground  which  the  enemy  had 
relinquished.  The  dust  of  retreating  trains  was  no  longer  in  view  from  the  height,  lately  Jackson's  headquarters.  The 
corps  of  Sigel  on  the  right,  McDowell  in  center,  Reno  on  the  left,  with  cavalry  far  in  advance,  guarded  the  approaches  far 
bevond  Cedar  mountain  by  lines  extending  many  miles.  This  position  was  maintained  until  the  18th,  when,  the  rapid 
approach  of  the  enemy  under  General  Lee  being  manifest,  it  was  determined  to  make  our  line  of  defence  on  the  east  side 
of  the  Rappahannock.  Immediate  steps  were  taken  to  remove  the  sick,  and  all  proper  cases  among  the  wounded,  with  food  and 
attendance,  from  Culpeppei',  by  railroad.  In  a  few  hours,  one  train  of  cars  had  left  for  Alexandria,  and  others  followed  during  the 
nii'ht.  Surgeons  were  detailed  to  remain  with  cases  it  would  be  fatal  to  move,  and  subsistence  and  medical  stores  -were  left  for 
them.  The  purveying  stores  and  tents  were  packed  in  six  cars,  their  numbers  taken,  and,  with  the  purveyor,  Dr.  Barlow, 
Assistant  Surgeon  Wells,  and  a  hospital  steward,  they  were  sent  down  the  road  to  await  orders  at  Warrenton  Junction.  All  night, 
our  trains  and  troops  were  passing  Culpepper.  Medical  Director  Rauch,  with  several  assistants,  after  every  arrangement  was 
complete,  left  with  the  last  train  before  night  on  the  19th.  The  running  stock  of  the  railroad  was,  of  course,  taxed  to  transport 
the  wounded,  sick,  material,  and  supplies.  They  went  as  far  as  Warrenton  Junction.  From  there,  I  received  accounts  that  the 
wounded  had  gone  most  favorably.  The  railroad  cooperated,  giving  two  hours'  time  to  switch  off  the  cars  they  were  in,  so  as  to 
avoid  moving  them  to  others  before  going  to  Alexandria.  The  medical  director  reports  "one  artery  tied  while  in  motion."  By 
night,  our  army  was  in  position  behind  the  Rappahannock,  guarding  its  fords  and  bridges,  and  preserving  the  same  relative  position , 
right  wing,  Sigel's  Corps ;  next,  McDowell's  at  Rappahannock  station;  then  General  Williams,  with  the  Second  Corps;  left 
wing,  the  corps  of  General  Reno.  The  general  headquarters  remained,  on  the  night  of  the  19th,  near  Bealeton,  the  first  station 
east  from  Rappahannock.  Water  wras  scarce  everywhere,  except  along  the  line  of  the  river.  The  enemy's  cavalry  advanced 
on  the  morning  of  the  20th  of  August,  and  continued  to  threaten  our  troops  on  the  west  side,  then  holding  strong  and 
commanding  positions  near  the  railroad  bridge.  After  due  examinations  and  inquiries,  I  selected  Bealeton  station  as  the  depot 
for  wounded  and  supplies.  Medical  Director  Rauch  came  up  and  took  charge.  Purveyor  Barlow,  and  the  cars  containing  his 
supplies,  were  ordered  from  Warrenton  Junction  to  Bealeton,  to  have  the  cars  kept  on  the  side  switch  of  the  railroad,  and  to 
issue  from  them  without  unloading,  except  tents  and  bedding.  Surgeons  Whitney,  Nordquist,  Vanderkieft,  and  other  select 
officers  were  sent  to  report  to  Director  Rauch,  for  service  at  the  depot  at  Bealeton.  In  proceeding  from  Bealeton  to  the  front,  I 
took  with  me,  to  headquarters,  three  of  the  Autenrieth  medical  wagons.  The  predictions  of  other  surgeons  had  been  fulfilled. 
Two  of  the  original  number  were  absent,  broken  down  on  the  18th,  riHed  and  abandoned  on  the  road  from  Culpepper, 
not  having  been  repaired  as  ordered.  I  retained  one,  and  issued  one  to  the  acting  medical  director  of  General  Reno's  Corps,  and 
another  to  the  medical  director  of  King's  division  of  the  Third  Corps.  The  enemy  made  demonstrations  on  the  20th,  but  were  held 
in  check  by  artillery  in  good  positions.  I  took  occasion  to  inspect  the  ambulance  service  and  the  sites  for  receiving  wounded  in  the 
section  right  and  left  of  our  position  in  centre,  and  to  direct  that  the  wounded,  when  dressed,  should  be  sent  to  Bealeton  by  cars  going 
frequently  thither,  or  sent  by  ambulance  to  the  road  leading  to  Bealeton,  to  be  taken  on  the  cars  for  that  place.  Surgeon 
Rauch  was  detached  from  the  medical  directorship  of  General  Augur's  division,  then  crippled  by  losses  during  the  action  on  the 
9th,  and  placed  in  charge  as  medical  director  of  the  depot  of  wounded  at  Bealeton  station,  or  wherever  it  should  be  moved. 
Surgeons  needing  battle-field  supplies  could  obtain  them  by  requisition  approved  and  issued  at  the  depot  there.  A  great  many 
articles  of  comfort  and  subsistence  for  the  wounded,  including  ice,  were  sent  by  train  from  Alexandria.  The  telegraph  was  available 
for  communication  to  Alexandria  or  any  intermediate  station  from  the  Rappahannock.  The  general  headquarters  were  in  the  rear 
of  the  centre.  Those  of  the  Second  Corps  were  in  the  same  position.  Daring  the  '20th,  21st,  and  22d,  the  enemy  attacked  us 
at  various  points,  to  force  a  passage  of  the  river,  and  we  were  constantly  engaged  at  one  or  more  positions.  The  wounded  from 
our  front  and  entrenched  positions  on  the  west  were  brought  over  the  bridge,  dressed  in  the  field  depot,  and  thence,  with  other 
wounded,  sent  by  empty  cars  or  ambulances  to  Bealeton  station.  Houses,  at  convenient  points  in  rear,  were  used  as  field  hospitals 
by  the  corps  directors  and  surgeons.  To  them,  litter  bearers  and  ambulances  bore  the  wounded  of  the  corps,  and  thence  to 
Bealeton  by  empty  railroad  trains  from  Rappahannock  station.  The  commissary,  quartermaster,  and  ordnance  supplies  were, 
from  time  to  time,  received  at  that  point  from  Beak-ton.  The  difficulty  of  striking  and  packing  tents,  purveying  stores,  and  other 
property  into  cars,  with  insufficient  force,  though  the  purveying  depot  was  immediately  upon  the  railroad,  had  so  occupied  my 
time  at  Culpepper  that  I  determined,  as  far  as  possible,  to  keep  supplies  packed  in  cars.  Delay  might  endanger  the  loss  of  the 
entire  amount.  I  therefore  ordered  the  supplies  at  Bealeton  to  be  kept  in  the  cars,  and  had  the  switch  lengthened  so  as  to  permit 
the  cars  to  remain  out  of  the  way  of  trains.  I  also  telegraphed  orders  from  Rappahannock  to  Alexandria  to  have  two  cars 
arranged  with  shelving  and  fixtures  convenient  for  making  issues,  and  to  fill  them  with  such  medicines,  instruments,  dressings, 
stimulants,  anaesthetics,  prepared  food,  blankets,  water  buckets,  lanterns,  etc.,  as  they  would  conveniently  receive.  These 
arrangements  were  promptly  carried  out  by  Purveyor  Baxter,  Quartermaster  Ferguson,  and  the  railroad  authorities  at  Alexandria. 
They  were  ready  on  the  23d.  On  the  21st,  I  had  a  telegram  from  the  quartermaster  that  the  medical  wagons,  drivers,  horses, 
etc.,  all  complete,  would  go  by  special  train  on  the  22d  A.  M.  They  did  not  come,  however:  the  railroad  being  occupied  in 
forwarding  reinforcements,  medical  supplies  and  ice  had,  at  times,  to  wait  opportunities.  Colonel  llaupt,  Captain  Fifield,  and 
Agent  Irish,  afforded  every  facility  compatible  with  the  military  necessities  devolving  on  the  railroad. 

There  had  appeared  in  the  60th  New  York  Volunteers  an  endemic  typhoid  fever.     Medical  Director  Antisell,  with  bis 


REPORT    OF    MEDICAL    DIRECTOR    McPARLIN.  113 

surgeons,  had  investigated  the  circumstances,  and,  on  recommendation,  the  entire  regiment  had  been  ordered  to  the  Sulphur 
Springs,  near  Warrenton,  to  recruit.  This  regiment  was  raised  near  Niagara  county,  New  York ;  had  experienced  conditions 
not  unlike  other  regiments,  yet  its  men  were  stricken  down  sick  by  hundreds  General  Banks  had  issued,  August  4th,  an 
excellent  order  enforcing  sanitary  regulations,  to  correct  the  causes  of  this  malady.  On  the  '21st,  six  hundred  of  this 
regiment  were  sent  to  Bealeton,  and  left  by  railroad  for  Warrenton.  I  learned  by  telegram  that  patients  were  coming 
in  by  hundreds  at  Bealeton,  and  hospital  tents  had  to  be  pitched.  Military  force  was  asked  for,  whose  services  were  indicated 
by  telegrams,  as  follows:  'Bealeton,  21st  August,  10  p.  M.  Dr.  McParliu  :  Sent  two  hundred  and  eleven  sick  and  wounded. 
About  twenty  of  these  should  not  have  gone,  but  could  not  help  it.  Must  have  one  hundred  men  detailed  here  as  guard  and 
to  assist.  Am  much  troubled  about  water,  but  hope  to  overcome  that  difficulty  by  to-morrow.  J.  II.  Ranch,  Medical 
Director.'  'Bealeton,  21st.  Five  hundred  sick  have  been  forced  in  upon  me.  Had  an  inspection  made  to-day,  but  found  it 
would  not  answer.  I  have  been  compelled  to  go  over  them  again.  Must  have  the  company.  It  is  impossible  for  me  to 
keep  them  back.'  'Bealeton,  August  22d,  12.45  P.  M.  The  enormous  number  of  complaining  and  sneaking  men  that  come 
in  here,  claiming  to  be  sick,  will  take  all  the  transportation  of  the  road,  and  nothing  will  be  left  for  the  wounded.  See  what 
can  be  done  to  remedy  the  evil.  B.  F.  Fih'eld,  Captain,  &c.'  'Bealeton,  August  22d,  11.20  A.  M.  With  each  of  these 
supply  trains  passing,  I  see  three  or  four  men  running  away.  A  cavalry  patrol  should  be  here  to  prevent  and  arrest 
them.  J.  II.  Ranch.'  '  Bealeton,  August  22d,  10.30  A.  M.  I  have  just  stopped  a  train  of  ambulances  that  was  going  to  the 
rear.  Have  had  much  trouble  in  so  doing.  If  I  had  the  detail  of  men  here,  I  would  have  arrested  several  drivers  and  one 
wagon-master.  J.  H.  Ranch,  Medical  Director.'  On  representation  of  these  circumstances,  a  company  was  sent  to 
Bealeton,  and  did  good  service  there.  The  enemy,  while  moving  to  the  north,  kept  up  constant  artillery  practice  upon 
our  lines  on  the  Rappahannock.  On  the  24th  and  25th,  a  rapid  rise  of  the  river  threatened  to  carry  away  all  communication 
across,  and  our  force  on  the  heights  was  brought  over.  The  enemy  then  advanced  their  lines  towards  the  river,  operating 
heavily  with  shot  and  shell  upon  our  works  near  Rappahannock  station.  The  baggage  train  of  our  headquarters  had 
been  sent  to  Catlett's  station  on  the  20th,  with  a  guard.  Before  the  freshet,  our  lines  on  the  extreme  left  had  been  extended 
so  as  to  keep  communication  safe  with  Fredericksburg.  The  enemy  demonstrated  on  the  various  fords,  but  a  large  force, 
which  had  been  detached  to  cross  at  the  upper  ford,  passed  on  our  right.  This  passage  by  the  enemy  was  known  ;  and  the  rise  in 
the  river  effected  what,  otherwise,  a  military  movement  would  have  attempted,  viz.:  to  separate  their  forces,  and  expose  to  attack 
those  already  over.  Their  cavalry  passed  to  our  rear  at  Catlett's,  and  destroyed  much  personal  and  headquarter  baggage.  My  office 
records  were  scattered  about,  several  valuable  papers  and  maps  were  lost,  and  my  servant,  horse  and  bedding  had  disappeared. 
My  cook,  mess-chest  and  other  baggage  were  not  interfered  with.  One  servant,  however,  returned,  after  a  detour  as  prisoner 
to  Richmond.  It  may  be  conceived  what  sort  of  a  life  was  led  by  us  in  front,  so  much  that  was  of  value  and  necessary  for  comfort 
being  miles  in  the  rear.  It  was,  from  this  time,  the  rule,  nor  do  I  remember  having  my  servant,  baggage,  office  or  mess  articles  near 
me  for  a  day  during  the  remainder  of  the  campaign.  Private  Upham,  of  the  general  escort,  faithfully  followed  me  thereafter. 
The  freshet,  and  the  presence  of  a  force  on  our  right  and  rear,  the  former  holding  the  enemy  in  check,  the  latter  demanding 
immediate  attention,  made  it  necessary,  on  the  25th,  to  move  our  forces  in  the  direction  of  vVarrenton.  Dispositions  were  made 
accordingly.  The  wounded  from  the  lines  and  the  sick,  surgical  supplies,  tents,  cooking  department,  surgical  staff,  purveying 
cars,  etc.,  were  ordered  to  be  moved  to  Warrenton  Junction.  General  Sigel's  Corps  moved  to  the  vicinity  of  Sulphur  Springs 
and  beyond,  General  Banks  and  General  Reno  following  to  Sulphur  Springs,  McDowell  taking  the  road  to  Warrenton.  The 
first-named  corps  was  engaged  with  the  artillery  of  the  enemy  at  Sulphur  Springs  and  above.  The  wounded  were  sent  by 
ambulances  to  Warrenton,  where  they  were  temporarily  lodged  in  public  buildings,  dressed  and  attended,  until  a  train  arrived 
from  the  Junction  with  supplies,  and  returning,  took  tnem  to  the  depot  then  established  at  Warrenton  Junction.  The  corps  of 
General  McDowell  occupying  War.  enton,  Acting  Medical  Director  P.  I'ineo,  U.  S.  A.,  was  directed  to  make  suitable 
arrangements  and  disposition  of  his  surgeons,  to  receive  and  care  for  the  wounded  in  the  town,  and  to  have  them  sent  to  Warrenton 
Junction  and  Alexandria  as  rapidly  as  possible.  The  medical  purveying  cars  had  come  up,  and  the  general  depot  of  wounded 
was  established  at  Warrenton  Junction.  There  were  at  the  Junction  a  number  of  medical  officers  ready  for  an  emergency; 
among  them  were  Inspector  General  J.  F.  Pcrley,  Medical  Inspectors  J.  M.  Cuyler  and  E.  P.  Vollum,  Assistant  Surgeon  J.  J. 
Woodward,  and  Surgeon  Lewis  Humphreys.  These  gentlemen  had  been  sent  from  Washington  by  the  Surgeon  General,  in 
anticipation  of  a  severe  engagement. 

While  the  army  was  in  position  beyond  Warrenton,  expecting  a  battle  every  day,  constant  applications  were  made  to  me 
to  have  the  sick  sent  away  from  the  regimental  and  brigade  hospitals,  that  the  ambulances  might  be  made  available.  In  an 
emergency,  this  is  proper,  but  under  pretence  of  removing  the  sick,  if  the  strictest  vigilance  is  not  maintained,  the  force  of 
an  army  will  be  diminished  continually  and  unnecessarily.  As  soon  as  intimation  is  given  that  a  hospital  is  to  be  extemporized, 
sick  and  convalescents  are  sent  in,  in  some  cases,  without  authority,  perhaps  in  an  irregular  manner,  and  left  to  be  cared  for 
by  others,  without  history,  supplies,  or  attendants.  This  lightens  the  field  transport  service  and  the  cares  of  regimental 
physicians,  but  is,  nevertheless,  an  evil  as  pernicious  to  the  military  as  to  the  medical  service  of  the  army. 

No  general  engagement  occurred  near  Warrenton.  The  wounded  brought  in  were  attended  to  there  and  at  Warrenton 
Junction.  Supplies  were  sent  from  the  Junction  to  the  surgeons  on  duty  at  Warrenton,  and  several  special  issues  were  made 
to  supply  deficiencies.  The  wounded  were  sent  to  the  Junction  by  every  opportunity,  and  thence  to  Alexandria.  On  the  27th, 
om-  army  was  moved  towards  Manassas  and  Gainesville,  to  intercept  the  forces  of  Jackson,  Ewell  and  Hill,  then  operating  in 
our  rear  upon  tlie  railroad.  Headquarters  were  transferred  to  the  Junction.  I  found  there  the  new  medical  purveying  cars, 
well  stocked  with  battle-field  supplies,  arranged  conveniently  for  issue,  and  a  cargo  of  ice.  Tlie  wounded  were  in  tents.  Water 
was  brought  in  tubs  and  barrels.  The  culinary  department,  under  the  cart!  of  Surgeon  B.  A.  Vanderkiefr,  was  extensive,  and 
equal  to  the  demands  made  upon  it.  There  was  a  goodly  supply  of  food  and  comforts.  Ice  was  abundant,  but  the  wnter 
supply  was  scanty.  Large  caldrons  were  used  for  making  soup  and  coffee,  and  cooks  were  as  numerous  as  could  be  desired. 
The  services  of  the  party  of  medical  officer's  from  Washington  not  being  immediately  required,  they  returned.  Medical 

15 


APPENDED    DOCUMENTS  -  SECOND    BULL    RUN. 

Inspector  E.  P.  Vollum  remained,  however,  and  was  identified  with  the  rest  of  our  campaign,  affording  me  cordial  assistance 
and  cooperation. 

After  the  27th,  orders  were  sent  to  Warrenton,  to  the  Acting  Medical  Director,  to  break  up  the  temporary  hospitals  at 
once,  and  to  remove  the  sick  and  wounded  by  railroad,  with  food  and  medical  attendance.  Heavy  articles,  mattresses,  etc.,  were 
to  be  sent  by  railroad  to  the  depot,  the  other  supplies  to  be  put  into  the  hands  of  proper  officers  to  accompany  the  troops  moving 
towards  Gainesville  or  Manassas.  Meanwhile,  the  inmates  of  our  hospital  encampment  at  Warrenton  Junction  were  to 
be  sent  to  Alexandria,  and  when  that  was  done,  the  purveying  cars,  with  the  medical  officers  and  the  cooking  department,  were 
to  be  in  readiness  to  move.  General  headquarters  preceded  me  some  hours  on  the  march,  while  I  was  arranging  for  bringing  off 
our  wounded  and  supplies.  Extensive  fires  had  appeared  eastward  in  our  rear,  and  it  was  rumored  that  the  railroad  was  cut  by 
the  enemy.  The  expected  reinforcements  had  not  arrived  at  Centreville  or  Manassas  to  guard  these  places.  Thoroughfare 
Gap  was  unoccupied,  and  the  enemy  had  found  an  easy  entrance  to  make  rapid  and  destructive  enterprises.  The  railroad 
bridge  at  Kettle  Run  was  destroyed,  and  the  flames  of  an  extensive  fire  could  be  plainly  seen  on  the  high  plains  in  the  distance 
towards  Manassas. 

It  was  late  when  I  reached  headquarters,  and  learning  that,  during  the  afternoon,  General  Hooker's  division,  which  had 
lately  joined  us,  had  been  engaged  with  General  Ewell  near  Bristoe  Station,  I  rode  over  to  the  depot  for  the  wounded 
established  by  Medical  Director  J.  J.  Milhau,  of  General  Heintzelman's  Corps,  near  Kettle  Run.  The  enemy,  under  Ewell, 
had  attacked  Hooker's  division  at  that  point,  on  its  way  from  Warrenton  Junction,  and  had  fallen  back  to  Bristoe  Station. 
The  bridge  was  then  smoking  and  destroyed.  The  corps  of  Heintzelman  had  been  hurriedly  sent  forward  from  Alexandria  to 
Warrenton  Junction.  Its  main  supplies  and  transport  service  had  not  come  up.  Assistant  Surgeon  J.  C.  McKee,  U.  S.  A., 
having  in  charge  an  Autenrieth  medical  wagon  filled  with  supplies,  and  some  ambulances  for  general  headquarters,  to  which  he 
had  been  assigned,  promptly  furnished  what  was  necessary,  and  assisted  in  valuable  attention  to  the  wounded,  numbering  about 
three  hundred.  On  arriving,  I  found  the  wounded  were  cared  for.  As  far  as  the  darkness  permitted,  they  had  been  sought  out 
and  brought  to  the  field  depot.  In  the  morning,  this  duty  was  continued,  and  new  hospitals  were  established  in  the  buildings 
at  Bristoe  Station  for  our  own  and  the  Confederate  wounded  who  were  left.  I  had  dispatched  an  express  the  evening  before 
from  headquarters  with  the  following,  to  Medical  Director  J.  H.  Rauch,  at  Warrenton  Junction  :  '  Bristoe  Station,  August 
27th,  9  P.  M.  Bring  the  purveyor's  supplies  in  the  cars  by  railroad  to  the  burnt  bridge  at  Kettle  Run  as  soon  as  daylight  permits 
you  to  run  the  cars.  There  are  many  wounded  from  to-day's  battle  at  that  place  in  need  of  supplies.  We  expect  a  battle 
to-morrow,  and  must  have  the  supplies  as  near  as  possible.  Find  the  railroad  agent,  and  order  the  train.  Bring  surgeons, 
dressings,  ice  and  stimulants.'  Before  these  could  arrive,  I  had  reason  to  admire  the  complete  service  which  the  Autenrieth  wagons 
rendered.  From  it  were  drawn  blankets,  buckets,  stimulants,  anaesthetics,  instruments  and  dressings,  as  well  as  the  lanterns 
moving  about,  and  the  candles  glimmering  on  the  ground  at  the  side  of  the  wounded,  and  in  the  depot  hospital  buildings.  Tea 
and  food  were  also  supplied  from  it.  Medical  Director  R.  O.  Abbott,  U.  S.  A.,  of  Porter's  Corps,  joined  us  on  the  28th,  from 
Warrenton  Junction,  and  assisted  in  collecting,  distributing  and  securing  attendance,  accommodation  and  food  for  our  wounded 
and  those  left  by  the  Confederates.  He  was  detailed  to  complete  this  duty.  General  Heintzelman's  Corps,  on  the  28th,  and 
its  medical  director,  Dr.  Milhau,  advanced  in  the  morning  towards  Manassas.  General  Banks's  Corps  was  then  covering  the 
retreat,  and  on  his  coining  up,  Medical  Director  T.  Antisell  succeeded  to  the  charge  of  Medical  Director  Abbott.  I  have  a 
report  of  Dr.  Abbott  showing  the  fulfilment  of  the  duties  devolved  upon  him.  His  report  is  as  follows  : 


RUN,  August  29,  1862. 

DOCTOR  :  In  conformity  with  instructions  received  from  you  yesterday,  I  had  the  wounded  of  the  enemy  at  the  battle 
ot  Bristoe  Station  hunted  up  from  9  A.  M.  to  6  P.  M.  I  believe  I  found  all  that  were  wounded.  I  saw  them  placed  in  hospital 
and  properly  cared  for. 

R.  O.  ABBOTT,  Surgeon  U.  S.  A., 
Surgeon  T.  A.  McPARLix,  Medical  Director.'  Medical  Director  Fifth  Army  Corps,  Army  of  the  Potomac. 

Meanwhile,  on  the  arrival'of  the  railroad  train  on  the  28th,  the  bridge  being  burned,  I  drew  from  the  purveying  cars 
three-fourths  of  the  stores,  and  placed  them  in  wagons  taken  for  this  purpose  from  those  that  were  lightly  loaded  or  empty  in 
trains  of  the  First  Corps,  then  passing,  selecting,  when  I  could,  good  teams.  An  infantry  company  was  detailed  to  assist  in 
loading  them  from  the  railroad  train,  and  remained  permanently  with  them  as  an  escort.  With  this  train,  Medical  Director 
Rauch,  the  operating  surgeons,  and  the  cooking  department,  were  to  advance  to  Manassas,  keeping  in  the  rear  and  accessible 
to  the  main  army.  Medical  Inspector  Vollum  accompanied  the  train.  The  residue  of  the  supplies  was  left  with  an  officer 
until  Medical  Director  Antisell  should  come  up  and  take  charge  of  them  for  use  with  the  wounded  of  the  Second  Corps.  On  the 
29th,  Dr.  Antisell  writes  from  camp  at  Kettle  Run  that  he  'superintended  collecting  the  sick  and  wounded,  and  had  them 
four  hundred  and  eighty  in  all,  moved  up  to  the  cars  lying  at  that  point.  They  have  medical  and  commissary  supplies  for 
twenty-four  hours  to  come;  and  will  be  forwarded  to  Bull  Run  when  the  bridges  over  this  creek  and  over  Broad  Run  are 
completed.  No  wounded  or  sick  have  been  left  behind.'  This  was  written  after  the  army  and  our  general  depot  had  moved 
on  from  Bristoe  station. 

In  this  connection,  I  will  say  that  it  is  often  diificult  to  obtain  rations,  to  find  a  commissary,  or  induce  an  issue,  except  to 
those  of  the  special  command  they  move  with.  To  obviate  this,  I  obtained  and  carried  with  me  a  copy  of  the  following  order  : 

'HEADQUARTERS  ARMY  OF  VIRGINIA,  August  29,  1862. 

To  the  various  commissaries  of  volunteers  of  the  army  of  Virginia:  You  will,  each  of  you,  issue  rations  to  hospitals 
in  the  field,  on  surgeons'  requisitions  or  returns,  no  matter  to  what  corps,  brigade  or  command  either  commissaries  or  surgeons 
belong. 

By  order  of  Major  General  POPE  : 

E.  G.  BECKWITII,  Colonel,  C.  C.  S. 


REPORT    OF    MEDICAL    DIRECTOR    McPARLIN.  115 

The  disposition  of  the  corps,  made  on  the  28th,  was  to  intercept  Jackson,  Eweli  and  Hill,  then  in  retreat  from  Manassas, 
through  Centreville,  to  Thoroughfare  Gap,  to  join  the  main  body  of  Lee's  army.  McDowell,  Sigel  and  Reynolds  were  on  the 
left,  Reno  and  Heintzelnian  on  the  right,  and  Kearney  at  Bristoe.  Fitz  John  Porter  advanced  from  Warrenton,  and  Banks 
brought  up  the  rear.  Jackson's  forces>  coming  from  Centreville,  engaged  King's  division  of  McDowell's  Corps,  confronting 
them  near  Gainesville  on  the  afternoon  of  the  28th.  A  severe  action  ensued.  The  wounded  from  Gibbons's  and  Doubleday's 
brigades  were  brought  to  Manassas,  where  Acting  Medical  Director  Pineo,  Surgeon  McNulty  and  others  promptly  provided 
for  them  in  buildings.  An  Autenrieth  wagon  furnished  the  amputating  table,  and  every  facility  for  surgical  attention.  I  spent 
some  hours  there  and  on  the  road,  having  come  out  to  meet  and  place  the  general  field  depot.  Many  wounded  officers  were 
received  at  the  depot.  Reconnoisance  showed  that  the  bridge  beyond  Manassas,  towards  Fairfax  Station,  was  burned.  I  had 
to  locate  the  depot  near  the  bridge  or  ford  north  of  Bull  Run,  which  was  on  the  road  from  Manassas  Junction  to  Centreville, 
and  near  the  main  body  of  our  army.  At  the  same  time,  it  was  accessible  by  a  branch  railroad  from  Centreville  to  Manassas 
Junction.  Should  we  remain  there  long  enough  to  have  the  bridge  repaired,  we  could  afterwards  transport  supplies  and 
wounded  by  railroad  in  any  direction.  Inspector  Vollum,  Medical  Director  Ranch  and  the  purveying  depot  took  position 
immediately  at  the  bridge  between  Centreville  and  Manassas,  occupying  a  building  near  the  run,  which  had  a  well  of  water  in 
the  yard.  Tents  were  pitched,  and  the  purveying  wagons  arranged.  There  were  no  supplies  destroyed  or  left  at  Kettle  Run, 
all  being  used  by  Medical  Director  Antisell.  or  brought  forward  by  Dr.  Rauch  to  his  depot.  Whilst  General  Banks  remained 
at  Bristoe,  any  supplies  needed  were  drawn  from  the  cars  by  wagons. 

After  these  dispositions  were  made,  on  the  29th,  I  joined  general  headquarters  in  front,  passing  through  Centreville  and 
along  the  Warrenton  turnpike  beyond  Bull  Run.  Our  army  was  engaged,  on  the  29th,  with  the  forces  of  Jackson,  Hill  and 
Ewell,  in  the  region  between  Gainesville,  Groveton,  Bull  Run  and  Manassas.  McDowell  operating  from  Gainesville  with  his 
own,  Sigel's  and  Reynold's  forces ;  Hooker,  Reno  and  Kearney  from  Centreville  upon  their  rear ;  Porter's  Corps  to  advance  from 
Manassas.  The  division  of  General  Ricketts,  on  the  Thoroughfare  Gap  road,  engaged  the  enemy  on  the  afternoon  of  the  28th. 
*  *  Of  this  division,  Surgeon  N.  R.  Mosely,  U.  S.  V.,  was  medical  director.  I  have  no  means  of  ascertaining  the 
number  of  wounded.  The  engagement  was  kept  up  actively  on  the  29th.  Wounded  Avere  brought  in  from  the  front,  and 
received  the  attention  of  the  brigade  and  corps  medical  officers  that  night.  The  view  from  headquarters  embraced  a  most 
extended  country,  filled  with  troops,  the  line  of  camp-fires  stretching  for  miles  away  towards  Thoroughfare  Gap.  It  was 
confidently  expected  at  headquarters  that  the  enemy,  if  vigorously  assailed  before  reinforcements  arrived,  would  be  cut  to 
pieces  or  captured.  The  wounded  from  the  day's  action  were  numerous.  I  informed  the  Surgeon  General  of  our  condition  and 
prospects,  requesting  surgeons,  battle-field  supplies  and  ambulances  to  be  sent  from  Washington,  to  meet  the  contingencies  of 
a  severe  engagement.  This  by  courier  to  the  nearest  telegraph  station. 

As  the  turnpike  to  Centreville  was  very  rough,  several  bridges  destroyed  and  our  general  depot  was  near  the  bridge.  I 
instituted  inquiries  and  found  a  short  road  running  from  the  Centreville  turnpike,  near  the  battle-field,  directly  to  the  general 
depot.  I  sent  circulars  to  the  corps  directors,  informing  them  where  the  wounded  should  be  sent,  and  stationed  some  mounted 
men  on  the  pike,  to  direct  the  ambulances  and  wounded  properly.  I  temporarily  assigned  Surgeon  Lucius  P.  Woods,  5th  New 
York  Cavalry,  to  the  duty  of  superintending  the  forwarding  of  wounded  over  this  route,  and  of  impressing  the  medical  officers 
with  the  importance  of  getting  them  out  of  the  field  depots  to  the  general  depot  as  rapidly  as  possible.  All  day  on  the  30th,  the 
ambulances  were  employed  conveying  wounded  to  this  depot,  where  they  were  received  and  cared  for.  Colonel  Vollum 
informed  me  early  in  the  day  that  the  cooking  arrangements  were  ample,  and  everything  getting  ready  for  their  reception. 
Three  wagons  had  been  sent  back  to  the  railroad  for  supplies.  I  had  dispatched  to  him  information  that  '  we  had  a  most 
important  and  obstinate  fi'iht  yesterday,  the  29th.  The  wounded  number  thousands,  and  are  seven  miles  from  Centreville,  over 
a  rough  road.  The  bridges  are  broken.  I  have  asked  the  Surgeon  General  for  all  the  ambulances  he  can  send,  as  well  as  for 
sui-geons  and  supplies.'  Our  provisions  and  forage  at  this  time  were  scanty.  It  became  a  constant  care  to  find  and  obtain 
provisions  for  the  wounded.  The  supply  trains  were  with  Banks,  in  the  rear;  the  railroad  was  inoperative,  and  little  was 
received  by  wagons  from  Alexandria. 

On  the  3(Jth,  the  battle  was  renewed  on  our  right,  and  continued  some  hours.  The  enemy  was  arriving  in  the  direction 
of  Thoroughfare  Gap,  and  seemed  to  be  moving  to  our  extreme  left  and  on  Manassas.  The  engagement  became  warmer  hour 
by  hour,  especially  in  the  centre  and  near  the  turnpike.  The  ambulances  had  been  busy  all  day  conveying  wounded  to  Bull 
Run  hospital  depot.  I  had  for  this  duty  the  valuable  services  and  assistance  of  a  captain  and  lieutenant  of  the  newly  organized 
ambulance  corps  of  General  Heintzelman's  Corps.  The  Autenrieth  wagon  and  headquarters  ambulances,  whose  supplies  had 
been  renewed,  were  in  charge  of  Assistant  Surgeons  J.  C.  McKee,  U.  S.  A.,  and  A.  C.  Benedict,  1st  N.  Y.  Volunteers.  These 
officers  rendered  important  and  immediate  attention  to  the  wounded  of  that  corps,  at  the  temporary  depot  under  Medical  Director 
Milhau.  This  duty  over,  they  were  put  in  position  near  the  Stone  1  louse  towards  the  front,  whither  I  proceeded  with  Dr.  Milhau. 
I  joined  general  headquarters  about  four  o'clock,  l*.  M.,  observing  meanwhile  the  ambulance  and  litter  service  around  me.  The 
field,  for  miles  away,  with  moving  troops,  volleys,  explosions  and  dust  of  shell  and  shot,  were  all  in  clear  view  from  the  high 
crest  which  we  occupied.  The  dust  of  the  enemy's  main  army  train  on  the  left,  the  advance  of  our  regiments  and  the  long 
line  of  the  enemy's  artillery  fire,  from  the  crest  of  the  Manassas  Gap  railroad,  were  very  conspicuous.  Shot  and  shell  were  now 
flying  near  the  ambulances  of  Patrick's  brigade  of  the  Third  Corps.  Surgeon  C.  H.  Wilcox,  in  charge,  was  soon  under  fire, 
and  I  apprehended  each  moment  injury  to  the  ambulance  animals  before  they  could  be  sent  back  loaded  behind  the  hill. 
Returning  thence,  I  went  to  the  turnpike  in  quest  of  headquarters  and  staff.  The  passage  of  teams  from  the  fire  in  front  had 
borne  the  staff  ambulances  a  short  distance  down  the  road.  Having  satisfied  myself  about  them,  I  joined  the  general  and  his 
staff,  and  accompanied  them  steadily  thereafter.  The  action  seemed  general  along  the  lines,  and  very  fierce  at  some  points, 
where  the  enemy  was  being  heavily  reinforced.  The  whole  day  had  been  occupied  in  attention  to  the  care  and  prompt  forwarding 
of  wounded,  over  a  good  road,  to  the  depots  which  were  near,  and  I  felt  sure  were  well  organized  to  receive  them.  I  believe 
nearly  fifteen  hundred  were  received  and  fed  in  the  depots  on  that  day.  I  had  made  the  best  arrangements  which,  in  my 
judgment,  I  could  effect  with  the  means  a  my  disposal,  but  as  I  looked  over  the  scene,  I  felt  impressed  with  a  sense  of  how 


APPENDED    DOCUMENTS  — SECOND    BULL    RUN. 

little  could  be  accomplished  at  that  hour.  The  wide  field  for  miles  resounded  with  the  shock  of  the  two  great  armies.  The 
field  in  front,  before  so  clear,  was  shrouded  in  dust  and  smoke.  Wavering  troops  emerged  from  its  folds  and  rallied,  whilst 
new  combatants  pressed  onward.  The  tide  of  battle  swept  backward  and  forward.  The  crackling  of  musketry  seemed  almost 
continuous.  The  fury  and  onslaught,  however,  slackened  at  dusk,  a  determined  resistance  having  checked  the  enemy's  advance. 
Late  in  the  evening,  it  was  determined  to  retire  to  Centrcville.  General  Reno  was  assigned  to  cover  the  rear  with  his  corps. 
Troops  and  trains  were  moved  during  the  night,  and  positions  assigned  them  in  the  morning.  On  the  30th,  at  six  o'clock  P.  M., 
I  received  a  telegram  from  the  quartermaster  at  Alexandria,  stating  that  stimulants  and  other  articles  had  been  sent,  and  that 
one  hundred  and  fifty  ambulances  had  left  Washington  at  five  o'clock  P.  M.  Early  on  the  morning  of  the  31st,  Medical  Inspector 
E.  H.  Coolidge,  U.  S.  A.,  arrived  at  headquarters,  assigned  to  duty  as  principal  medical  officer  of  all  the  troops  serving  west 
of  the  Potomac.  The  affairs  of  the  transport  service  and  of  the  medical  and  hospital  department  were  afterwards  directed  by 
nim  at  Centreville.  On  the  31st  of  August  and  1st  of  September,  supplies,  ambulances,  hacks,  surgeons  and  citizens  came  out 
from  Washington.  The  wounded  from  all  directions,  the  surgical  staff,  purveyor's  supplies  and  the  cooking  corps  were 
collected  as  far  as  possible  and  moved  on  to  Fairfax  Court-house.  Medical  Inspector  Vollum  and  myself  remained  at  Centreville, 
where  surgeons  were  busy  attending  to  the  wounded,  who  at  that  time  filled  the  place.  Permission  was  solicited  to  bring  in 
our  wounded  from  the  field  occupied  by  the  enemy. 

On  the  1st  of  September,  by  direction  of  Inspector  Coolidge,  I  took  charge  of  a  flag  of  truce  and  a  numerous  corps  of 
surgeons,  attendants  and  volunteer  assistants,  with  what  ambulances  could  be  found,  and  some  wagons  with  supplies,  having  an 
escort  of  Captain  Lawrence's  company  of  the  llth  U.  S.  Infantry,  and  went  to  the  battle-field.  I  selected  a  central  point  as 
rendezvous  for  the  party,  detailed  surgeons,  assistants  and  litter  bearers,  and  assigned  sections  of  the  field  over  which  to 
collect  wounded,  in  small  depots,  to  be  brought  thence  by  ambulances.  There  were  many  wounded  in  buildings  along  the  road, 
but  I  deemed  it  more  important  to  collect  those  left  scattered  helpless  and  exposed.  For  this  purpose,  I  passed  the  ambulances 
far  to  the  front  and  there  loaded  them.  Medical  Director  L.  Guild,  of  General  Lee's  army,  joined  me,  with  assistants,  and 
arrangements  were  made  for  paroling.  The  paroled  wounded  were  sent  to  Centreville,  using  for  the  purpose  all  the  wagons 
and  ambulances,  except  two  at  the  rendezvous.  Subsistence  and  forage  were  sent  for  by  courier  to  our  lines,  and  urgent 
application  made  for  ambulances  to  continue  the  work.  These  were  scarce.  One  party  was  occupied  in  distributing  the  stores 
to  depots  of  wounded  from  a  stock  scantily  supplied  from  the  medical  store  house  in  Centreville.  A  number  of  operations  were 
performed  at  the  rendezvous,  and  dressings  were  supplied  from  the  Autenrieth  medical  wagon  and  ambulances.  Here  and  in 
the  adjoining  depots,  the  surgical  corps  gave  attention  to  the  wounded.  Surgeon  Page,  and  Assistant  Surgeons  Clements, 
Webster,  Jaquette  and  Howard,  U.  S.  A.,  were  occupied  at  the  rendezvous  several  days.  I  cannot  specify  others,  having  no 
accurate  record  of  their  names.  Several  trips  were  made  to  Centreville,  by  the  few  ambulances  at  our  disposal,  for  subsistence, 
stimulants,  dressings,  etc.  Paroling  was  continued,  and  subsistence  and  medical  supplies  distributed.  September  3d,  I 
received  orders  to  join  general  headquarters,  army  of  Virginia,  and  I  went  to  Centreville,  leaving  Surgeon  Page,  U.  S.  A.,  in 
charge.  Medical  Director  Guild,  and  Drs.  Cullen  and  Maury  accompanied  me.  Our  army  had  retired  from  Centreville.  So 
great  was  our  need  for  ambulances,  forage  and  food,  that  Medical  Inspector  Coolidge  addressed,  on  the  4th  of  September,  a 
communication  to  the  Surgeon  General,  sent  through  General  Lee's  headquarters,  for  the  purpose  of  informing  him  of  our 
situation,  and  requesting  urgently  that  food,  forage  and  three  hundred  ambulances  might  he  sent  to  the  battle-field.  Only  one 
ambulance  had  come  from  the  army  to  Centreville  since  it  left  that  place.  It  was  rumored  that  one  hundred  and  fifty  had 
passed  through  our  lines,  and  that  fear  of  capture  prevented  the  drivers  from  coming  on.  Our  supplies  in  Centreville  were,  of 
course,  captured.  The  Confederate  officers,  however,  shared  with  us,  and  on  the  morning  of  the  5th  of  September,  our  portion 
was  sent  out  to  the  field.  Inspector  Coolidge,  accompanied  by  Medical  Directors  Guild  and  Cullen,  Surgeon  Maury  and  myself, 
then  returned  to  the  battle-field.  Our  wounded  were  muttering  for  food.  The  supplies  brought  were  distributed.  Dr.  Coolidge 
secured  from  Dr.  Guild  other  supplies,  and  some  beef  cattle  were  purchased.  I  am  happy  to  say  that  the  Confederate  officers 
and  soldiers  shared  with  our  wounded  their  scanty  store.  On  the  6th,  a  train  of  ambulances  came  out,  No  information  of  our 
situation  had  reached  the  Surgeon  General  when  it  left.  I  was  directed  by  Medical  Inspector  Coolidge  to  proceed  to  Washington, 
and  report  to  him  in  person  the  condition  of  affairs.  I  did  so.  Orders  were  issued  that  night  for  every  available  vehicle  to  be 
sent  out,  in  addition  to  several  weeks'  supplies  already  on  the  way  thither.  The  removal  of  the  wounded  went  on  under  the 
supervision  and  direction  of  Inspector  Coolidge.  On  my  way  to  Washington,  I  saw  ambulances  were  on  the  road  with 
wounded  from  Chantilly,  the  last  battle-field.  The  army  was  in  position,  occupying  the  defences  of  Washington.  The  army  of 
Virginia  and  army  of  Potomac  were  united.  Major  General  McClellan  was  in  command.  The  day  after  my  arrival  in 
Washington,  I  was  assigned  to  the  charge  of  the  general  hospital  at  Annapolis.  I  regret  that  the  absence  of  all  reports  from 
so  many  of  the  corps,  with  the  loss  or  damage  of  the  few  I  had  received  from  others,  have  rendered  this  report  so  incomplete. 
In  the  course  of  the  campaign  I  witnessed  the  valuable  labors,  skill  and  efficiency  of  many  of  the  medical  officers  of  the 
army  of  Virginia,  which  it  gives  me  pleasure  to  record.  I  was  directed  by  the  Surgeon  General  to  express  to  them,  generally, 
after  the  battle  of  Cedar  Mountain,  his  appreciation  of  their  labors,  a  duty  which  the  press  of  events  has  prevented  my  fulfilling 
until  now.  To  the  medical  directors  of  corps,  Surgeon  D.  L.  Magruder,  Thomas  Antisell  and  George  Rex,  I  owe  thanks  for 
tlu-ir  zealous  cooperation  and  efficiency.  The  medical  directors  of  the  corps,  from  the  army  of  the  Potomac,  Surgeons  Abbott 
and  Milhaii,  made  every  endeavor  to  provide  for  their  wounded.  In  the  absence  of  reports  from  the  medical  directors  of  corps, 
the  names  and  service  of  other  assistants  cannot  be  specially  mentioned.  When  it  was  necessary  to  detail  surgeons  to  remain 
with  wounded  at  Culpepper,  a  sufficient  number  willingly  offered  their  services.  It  is  proper  for  me  also  to  notice,  in  an  especial 
manner,  the  daily  increased  efficiency  and  valuable  services  rendered  by  the  corps  of  surgeons  associated  with  Medical  Director 
John  II.  Ranch,  who  were  assigned  for  duty  at  the  principal  depot  for  wounded  and  supplies,  established  near  every  battle-field 
throughout  the  campaign.  Supplies,  stimulants,  dressings,  etc.,  were  issued  daily  from  the  store  cars,  upon  the  requisitions  of 
surgeons,  and,  in  emergencies,  liberal  distribution  made  of  many  articles  of  food  and  luxury.  What  disappeared  in  one  way,  by 
dispensing  freely,  was  compensated  by  the  amount  saved  in  the  greater  facility  the  cars  secured  for  transporting  supplies  over 
the  ordinary  method  in  retreat.  I  have  no  official  report  from  Surgeon  Ranch,  but  lie  informed  me,  after  the  campaign,  that  he 


REPORT    OF    MEDICAL    DIRECTOR    McPARLIN.  117 

had  lost  nothing  of  value  from  his  stores.  I  believe  he  brought  in  many  articles  others  had  abandoned,  such  as  hospital  tents, 
etc.  At  Warrenton  Junction,  six  or  eight  cars  were  in  use  by  this  department.  Valuable  contributions  were  forwarded  by  the 
sanitary  commission,  and  it  affords  me  pleasure  to  acknowledge  the  earnest  and  well  directed  efforts  of  one  of  its  members, 
Dr.  C'hamberlaine,  who  was  present,  a  welcome  collaborator  at  different  periods.  The  wounded,  I  may  say,  were  not  sufferers 
to  any  extent  from  vicissitudes  of  weather.  It  was  a  fine  season,  with  frequent  midsummer  rains.  The  wounds  inflicted  in  the 
various  actions  were,  I  believe,  principally  from  minie  balls  and  shell  at  ordinary  range.  Operations  were  performed  at  the 
field  hospitals  and  general  depot  soon  after  the  injuries  were  received.  The  number  of  operations  was  small,  in  comparison  with 
the  number  wounded.  No  primary  resections  were  observed  or  reported,  nor  any  deaths  from  chloroform.  The  general 
hospitals  in  AlexamMa  arid  its  vicinity  received  the  greater  number  of  the  wounded,  every  endeavor  being  made  to  forward 
them  rapidly  and  with  care. 

In  concluding  this  paper,  it  becomes  me  to  acknowledge  the  prompt  response  given  by  you  in  the  persons  of  select 
medical  oflicers  sent  out  for  service  upon  receipt  of  my  telegram  of  the  3l)th;  also,  the  large  number  of  ambulances  and  vehicles 
sent  to  Centreville,  Groveton  and  Bull  Run.  The  railroad  was  not  in  use,  and  a  large  number  of  ambulances  needed.  But 
for  the  liberal  supplies  of  condensed  food,  stimulants  and  comforts  sent  out  by  the  medical  department,  the  suffering  in  this 
campaign  would  have  been  greater.  Forty  wagon  loads  of  supplies,  sent  out  and  unloaded  in  Centreville.  were  invaluable.  I 
have  already  cited  the  scarcity  of  articles  of  subsistence  for  our  army,  and  I  believe  no  commissary  depot  remained  at  Centreville 
after  the  army  was  withdrawn  towards  the  defences  of  Washington.  I  was  then  occupied  with  duties  to  the  wounded  on  the 
field,  and  cannot  cite  events  at  Centreville  with  certainty.  It  must  be  borne  in  mind,  also,  that  arrangements  cannot  be  perfect 
in  all  respects,  with  an  army  of  that  magnitude  moving  in  retreat.  From  this  cause,  the  ordinary  means  accessible  for  medical 
purposes  were  not  obtainable,  and  yet  extraordinary  resources  were  required.  Thousands  were  wounded,  and  all  the 
transportation  at  our  disposal  was  inadequate  to  the  amount  of  service  demanded.  The  lessons  of  experience  should  not  be 
disregarded,  especially  in  mutters  of  such  transcendent  importance.  At  such  a  time,  a  well  organized,  regularly  established 
ambulance  corps  would  have  been  a  blessing.  Under  proper  and  thorough  organization,  I  am  very  confident  that  the  hundreds 
of  vehicles  that  passed  loaded  with  wounded  from  Centreville  to  Fairfax  Court-house  could  have  been  promptly  returned  to 
continue  the  duty.  Universal  experience  inculcates  the  propriety  of  the  division  of  labor.  The  army,  itself,  in  its  organization 
illustrates  its  necessity,  and  no  economy  or  efficiency  in  service  is  possible  without  it.  If  the  medical  department  must  transport 
its  wounded,  let  it,  at  least,  be  done  systematically  and  properly,  as  in  the  armies  of  Europe.  A  permanent  ambulance  corps, 
once  established,  can  have  its  duties  in  action,  and  at  all  other  times,  defined  by  regulations,  and  its  members  being  intelligent 
and  experienced,  render  that  instant  and  faithful  service  which  is  never  so  much  needed  and  appreciated  as  by  those  who 
have  met  the  storm  of  battle,  and  whose  honorable  wounds  appeal  for  attention.  Efficiency  in  their  alleviation  subserves  the 
highest  personal  and  public  interests.  The  soldier  that  is  ever  well  cared  for  respects  his  officers  and  his  government.  Soldierly 
feeling  attaches  him  to  the  service  and  affects  others  around  him.  Premiums  and  bounty  may  be  very  alluring,  but  an 
enlightened  economy  in  this  respect,  allowing  greater  sums  to  be  devoted  to  the  endowment  and  maintenance  of  an  organization 
that  recent  experience  and  true  humanity  indicate  as  necessary,  would,  in  my  opinion,  better  subserve  the  personal,  professional, 
military  and  national  interests  involved.  A  return  of  the  medical  officers  of  the  three  corps  of  the  army  of  Virginia,  for  the 
month  of  July,  shows  that  they  numbered  two  hundred  and  seventy-seven.  Those  serving  in  the  corps  of  Generals  Heintzelman, 
Porter  and  Reno,  in  the  various  actions  after  leaving  Warrenton  Junction,  and  those  of  the  reserve  corps  of  Generals  Sunnier 
and  Franklin,  who  joined  after  the  action  near  Groveton  and  Manassas,  I  have  no  means  of  estimating. 

Your  obedient  servant, 

THOMAS  A.  McPARLIN, 
To  the  SITHGKON  GKXKHAL  U.  S.  A  Sunjcon  U.  S.  A. 

X.CLII.     Extract  from  a  Report.     By  Surgeon  J.  Y.  CANTWELL,  8:2(1  Ohio  Volunteers. 

"On  the  7th  of  May,  lrt(5'2,  General  Schenek's  brigade,  of  which  the  82d  Ohio  regiment  formed  a  part,  was 
ordered  from  Franklin  to  McDowell,  Virginia,  to  reinforce  General  Milroy,  who  then  occupied  the  latter  place  with  his  brigade. 
We  left  Franklin  at  ten  o'clock  on  the  7th,  and  reached  McDowell  at  nine  o'clock  A.  M.  on  the  8th,  a  distance  of  thirty-four  miles 
in  twenty-three  hours.  Stonewall  Jackson's  forces  occupied  the  crest  of  Bull  Pasture  mountain,  two  miles  distant,  in  full  view. 
Upon  consultation,  it  was  decided  that  McDowell  was  untenable,  but  it  was  determined  to  march  out  and  give  battle  before 
falling  back.  Milroy's  brigade,  and  the  82d  Ohio,  from  General  Schenck's,  wen  the  attacking  party,  the  remainder  of  Schenck's 
brigade  acting  as  reserve.  The  fight  commenced  about  four  o'clock  I'.  M.,  and  lasted  till  nine  at  night  of  the  8th  of  May,  1862. 
Our  troops  fought  bravely.  The  82d  Ohio  lost  six  killed  and  fifty-two  wounded.  At  twelve  o'clock  that  night,  the  order 
came  to  put  our  wounded  into  ambulances  and  wagons,  and  fall  back  toward  Franklin.  The  order  was  promptly  obeyed,  and 
the  wounded,  about  two  hundred  and  forty,  all  told,  were  comfortably  quartered  at  Franklin  on  the  10th  of  May.''  *  * 


XC1V.     Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant  Surgeon 
SAMUEL  HAKT,  U.  S.  Volunteers. 

"  On  the  1st  of  May,  1HG2,  the  63d  Ohio  Volunteers,  forming  a  part  of  General  Milroy's  brigade,  moved 
southward  to  and  beyond  McDowell.  In  skirmishing  with  the  enemy  at  Monterey,  we  had  several  wounded,  one  having  a 
compound  comminuted  fracture  at  the  knee,  requiring  amputation  at  the  lower  third  of  femur.  After  many  ambulance 
journevs,  and  narrow  escapes  from  haemorrhage,  etc.,  the  patient  recovered  with  an  excellent  stump.  Twelve  miles  south  of 
McDowell,  we  were  met  by  the  enemy,  and  obliged  to  fall  back  to  that  town,  where  a  stand  was  made  to  secure  time.  The 
entrairement  which  followed  was  one  of  unusual  sharpness.  Our  killed  and  wounded  were  all  secured.  The  latter  were 
removed  to  houses  in  town  for  operations  ;  thence  to  the  rear,  during  the  night,  the  entire  command  following.  My  regimental 


APPENDED    DOCUMENTS SECOND    BULL    EUN. 

loss  was  six  killed  and  twenty-five  wounded.  One  man  died  on  the  march,  after  an  amputation  of  leg.  The  other  wounded 
suffered  much  in  transportation  over  the  very  stony  and  corduroyed  road  to  Franklin.  When  two  wheels  of  a  vehicle,  either 
the  forward  or  hinder,  strike  at  once  upon  an  obstacle,  as  in  corduroyed  roads,  the  shock  seems  more  than  double  that  of  the 
striking  of  one  wheel;  and  it  sometimes  happens  that  the  successive  impingement  upon  the  logs,  and  the  vibration  or  swaying 
of  the  ambulance,  so  synchronize  as  to  produce  violent  concussion  and  straining  of  the  springs  and  timbers,  while  the  groans 
and  outcries  of  the  riders  attest  the  severity  of  the  trial  of  the  already  wounded  muscles  and  fractured  bones.  The  wounded 
from  the  battle  of  McDowell  were  removed  to  Franklin,  and  treated  there  two  or  three  weeks,  when  those  unfit  for  transportation 
fell  into  the  hands  of  the  enemy.  Fifteen  of  my  cases  were  left,  eight  of  whom  died.  One  case  of  compound  comminuted 
fracture,  at  the  union  of  middle  and  upper  thirds  of  right  thigh,  recovered.  I  am  of  opinion  that  more  amputations  would 
have  saved  more  lives.  General  Milroy's  brigade,  now  forming  a  part  of  General  Frdmont's  command,  continued  its  course 
toward  Winchester,  through  Moorfield,  and  commenced  the  pursuit  of  General  Jackson  along  the  Shenandoah  valley,  ending 
in  the  battle  of  Cross  Keyes,  and  the  escape  of  the  enemy  at  Port  Eepublic.  In  that  battle,  our  loss  was  considerable,  but  I 
am  unable  to  give  the  numbers.  My  own  regiment  was  not  engaged.  Our  wounded  were  conveyed  to  Mount  Jackson,  where 
three  large  buildings  furnished  them  comfortable  quarters.  The  comprehensive  plan  and  thorough  construction  of  these 
buildings  reflect  much  credit  upon  the  enemy." 


XCY.     Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.      By  Assistant  Surgeon 
PHILIP  ADOLPHUS,  U.  S.  Army. 

*  *  *  "I  was  ordered  to  Co.  F,  4th  U.  S.  Artillery,  Captain  C.  L.  Best  commanding,  stationed  near  Frederick, 
Maryland,  on  January  "20,  1862.  With  this  command,  I  made  the  campaign  in  the  valley  of  the  Shenandoah,  terminating  my 
connection  with  it  after  the  retreat  of  the  army  from  Winchester,  Virginia,  May  '25,  1862.  At  Winchester,  I  was  captured  on 
the  battle-field.  The  enemy  generously  permitted  me  to  continue  my  vocation,  and  furnished  me,  at  my  request,  at  once  with 
a  guard  to  protect  me,  the  property  in  my  charge  and  my  men.  After  removing  the  wounded  to  the  hospitals,  I  offered  my 
services  to  Surgeon  J.  B.  Peale,  U.  S.  V.,  then  in  charge  of  the  Union  Hotel  hospital  in  Winchester.  During  my  sojourn  at 
this  hospital,  and  on  the  approach  of  our  forces,  the  enemy  invited  me,  with  seven  medical  officers,  my  fellow-prisoners,  to 
tender  our  parole  not  to  serve  until  regularly  exchanged,  which  we  refused  to  do.  Before  the  Confederates  left  Winchester, 
we  had  the  honor  to  conclude  an  agreement  (a  copy  of  which  is  appended),  by  which  we  were  unconditionally  liberated.  A 
clause  was  added,  urging  us  to  use  our  influence  with  our  government,  that  the  principle  that  surgeons,  as  non-belligerants, 
should  not  be  considered  prisoners  of  war,  and,  therefore,  should  not  be  liable  to  capture,  might  be  recognized.  The  result, 
as  is  known  to  the  department,  was  the  immediate  release  of  all  Confederate  medical  officers  by  our  government,  and  the 
recognition  of  the  above  principle,  followed  by  a  similar  action,  six  weeks  later,  by  the  rebel  authorities.  On  the  retreat  of  the 
rebels  under  Jackson,  I  was  ordered,  on  June  3, 1862,  by  Surgeon  Thomas  Antisell,  U.  S.  V.,  to  the  Academy  general  hospital, 
where  I  had  charge  of  the  rebel  and  union  wounded  until  July  12th,  when,  the  hospitals  of  Winchester  being  discontinued, 
I  was  ordered  to  take  fifty-eight  patients  to  Harper's  Ferry,  and  report  myself  for  duty  at  the  hospital  of  that  post.  The 
hospital  being  discontinued,  I  was  ordered  for  temporary  duty  to  Alexandria  on  the  12th  of  August,  immediately  after  the 
battle  of  Slaughter  Mountain.  I  reported  to  Surgeon  John  E.  Summers,  U.  S.  A.,  in  charge  of  the  hospitals  in  Alexandria, 
and  was  assigned  for  duty  at  Mansion  Hotel  hospital.  After  the  second  battle  of  Bull  Run,  I  was  put  in  charge  of  a  building 
in  Washington  street,  Alexandria,  which  I  organized  as  a  hospital  for  wounded,  and  remained  there  until  September  17th, 
when  I  was  ordered  to  the  field." 

"WINCHESTER,  VA.,  May  31,  1862. 

We,  surgeons  and  assistant  surgeons,  U  S.  Army,  now  prisoners  of  war  in  this  place,  do  give  our  parol  of  honor,  on 
being  unconditionally  released,  to  report  in  person,  singly  or  collectively,  to  the  Secretary  of  War  in  Washington  City,  and 
that  we  will  use  our  best  efforts  that  the  same  number  of  medical  officers  of  the  Confederate  States  Army,  now  prisoners,  or 
that  may  hereafter  be  taken,  be  released  on  the  same  terms.  And,  furthermore,  we  will,  on  our  honor,  use  our  best  efforts  to 
have  this  principle  established,  viz.,  the  unconditional  release  of  all  medical  officers  taken  prisoners  of  war  hereafter. 

(Signed)  J.  BURD  PEALE,  Brigade  Surgeon,  Menkens  Division;  J.  J.  JOHNSON,  Surgeon  27th  Indiana  Vols. ;  FRANCIS 
LELAND,  Surgeon  2d  Massachusetts  Vols,;  PHILIP  ADOLIMIUS,  Assistant  Surgeon  U.  S.  A.;  LINCOLN  R.  STONE,  Assistant 
Surgeon  2d  Massachusetts  Vols. ;  JOSIAII  F.  DAY,  JR.,  Assistant  Surgeon  Wth  Maine  Vols. ;  EVELYN  L.  BISSEL,  Assistant 
Surgeon  ?>th  Connecticut  Vols. 

Approved:  HUNTER  McGuiRE,  Medical  Director  Army  of  the  Valley,  C.  S." 


XCYI.     Third  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Surgeon 
C.  F.  H.  CAMPBELL,  U.  S.  Volunteers. 

*  *  *  "On  the  20th  of  March,  I  accompanied  General  Hatch  to  Washington,  en  route  for  the  army  of  the  Potomac, 
in  which  he  was  to  have  had  a  command;  but,  after  joining  the  army,  we  were  ordered  to  report  to  General  Banks,  then 
serving  in  the  valley  of  Virginia.  We  found  him,  on  the  13th  of  April,  at  Woodstock.  The  cavalry  of  his  corps  was  assigned 
to  General  Hatch.  The  command  was  composed  of  five  regiments  and  a  battalion.  The  men  were  all  in  good  condition 
physically,  and  the  medical  and  hospital  supplies  were  ample.  There  was,  however,  a  great  deficiency  of  ambulances.  The 
advance  from  Woodstock  up  the  valley  was  commenced  on  the  17th,  and,  on  the  27th,  we  reached  Harrisonburg,  having 
skirmished  throughout  the  route  with  the  rebel  rear-guard,  with  but  few  casualties.  *  The  retrograde  movement  com 

menced  on  the  5th  of  May,  and,  with  the  exception  of  skirmishing  between  the  cavalry  of  the  two  forces,  our  march  was  not 


EEPORTS    OF    SURGEONS    CAMPBELL    AND    ANTISELL.  119 

seriously  interrupted  until  we  reached  Middletovvn  on  the  24th,  having  halted  for  a  day  or  two  at  different  points  on  the  road. 
At  this  point,  we  encountered  the  rebel  army  under  Generals  Jackson  and  Ewell.  They  opened  on  our  cavalry  with  artillery, 
at  a  range  of  about  a  thousand  yards,  the  firing  being  rapid,  but  not  very  effective,  only  eight  of  our  men  receiving  wounds  from 
fragments  of  shells.  These  men  were  left  in  the  town,  under  charge  of  a  medical  officer.  The  movement  of  the  rear-guard 
of  cavalry,  with  which  the  writer  found  himself,  after  making  the  necessary  arrangements  for  the  comfort  of  the  wounded, 
was  arrested  by  the  enemy's  infantry,  and  it  was  necessary  to  fall  back  some  distance,  and  make  a  wide  circuit  of  several 
miles,  in  order  to  reach  Winchester  that  night.  Early  on  the  morning  of  the  25th,  our  pickets  thrown  out  on  the  Winchester 
road  were  driven  in,  and  the  action  commenced  at  short  range  with  artillery  and  infantry.  The  fighting  for  about  an  hour 
was  determined  and  deadly,  principally,  however,  between  the  infantry;  but  our  forces  being  greatly  outnumbered,  and 
not  receiving  timely  support,  fell  back  in  confusion,  taking  the  line  of  road  for  Martinsburg  and  Williamsport.  I  cannot 
speak  from  observation  as  to  the  number  of  wounded  in  this  battle,  not  being  physically  in  condition  to  attend  to  my  duties. 
The  army  again  advanced  across  the  Potomac,  from  Williamsport.  Maryland,  on  the  9th  of  June,  and  marched  to  Winchester  on 
the  15th.  *  *  Our  descent  on  the  plains  of  Virginia  was  made  from  Front  Royal,  whither  we  had  marched  from  Middletown 
the  remnant  of  General  Banks's  forces  being  united  with  those  of  General  McDowell's  Corps,  to  form  a  portion  of  General 
Pope's  army.  The  cavalry  remained  under  General  Hatch.  On  the  12th  of  July,  the  cavalry,  numbering  about  eighteen 
hundred,  advanced  on  Culpepper  Court-house,  which  we  entered,  driving  the  enemy  before  us,  having  but  four  men  slightly 
wounded  by  musketry.  *  *  From  the  16th  to  the  29th,  futile  efforts  were  made  by  the  cavalry  forces  to  march 
on  Gordonsville,  from  Culpepper.  July  29th,  General  Hatch  was  relieved  from  his  cavalry  command,  and  ordered  to 
Fredericksburg,  to  take  command  of  an  infantry  brigade  in  General  King's  division.  I  accompanied  him  as  chief  medical 
officer  of  the  brigade,  which  was  composed  of  six  regiments,  mostly  veteran  troops,  inured  to  the  fatigues  of  a  soldier's  life,  and 
amply  furnished  with  all  needful  supplies,  and  with  a  fair  corps  of  medical  officers.  On  the  10th  of  August,  the  division 
marched  on  the  road  towards  Culpepper  Court-house,  and,  on  the  16th,  the  Cedar  Mountain  battle-field  was  reached,  the  battle 
at  that  place  having  been  fought  before  our  arrival.  By  the  20th  of  the  month,  the  whole  army,  which  had  commenced 
retreating  the  day  previous,  was  on  the  north  side  of  the  Rappahannock  river.  Tbe  enemy  attacked,  on  the  21st,  with  artillery 
from  the  south  bank,  making  various  efforts  to  cross  the  river  at  different  points  during  that  and  the  following  day.  The 
wounds  resulting  from  these  two  days'  fighting  were  all  produced  by  fragments  of  shells,  and,  in  a  few  rare  instances,  from 
round  musket  balls,  projected  from  exploded  shells  of  the  Whitworth  pattern.  Two  division  hospitals  were  organized,  which 
were  afterwards  consolidated  about  a  mile  from  the  river,  and  received  the  wounded  to  the  number  of  some  fifty  or  sixty,  who 
were  brought  in  as  rapidly  as  circumstances  would  admit.  The  surgical  arrangements  were  nearly  all  that  could  be  required 
and  the  attendants  faithful  in  the  performance  of  their  duties.  About  ten  or  twelve  major  operations  were  performed,  all  with 
the  aid  of  chloroform.  The  wounded  from  this  field  were  all  transported  to  Warrenton,  afterwards  to  Warrenton 

Junction,  and  from  thence  to  Washington  by  rail. 

The  Warrenton  general  hospital,  established  in  a  church,  as  a  depot  for  the  reception  of  the  wounded  from  the  above 
field,  was  placed  under  my  charge  by  special  orders  on  the  24th.  Some  three  hundred  men,  in  transit  to  Washington,  were 
admitted  during  the  24th  and  25tli.  About  twenty  operations  were  performed,  principally  major  and  minor  amputations  of  the 
upper  extremities.  Every  case  admitted  was  carefully  examined,  fresh  dressings  applied,  and  the  men  prepared  in  every  way 
possible  for  their  transit  to  the  rear.  These  duties  accomplished,  I  was  ordered  to  proceed  to  Fairfax  Court-house,  receive  the 
wounded  arriving  there,  and  forward  them  on  the  railway  trains  sent  out  for  them.  This  latter  duty  occupied  me  during  the 
26th  and  27th,  when  I  rejoined  my  command. 

The  enemy  opened  on  us  with  artillery  at  Groveton,  on  the  Centreville  and  Gainesville  road,  the  28th,  when  the  second 
battle  of  Centreville,  or  Bull  Run,  commenced.  A  general  hospital  was  established  in  a  very  large  old  mansion,  removed  about 
a  mile  and  a  half  from  the  field,  to  which  a  large  number  of  the  wounded  were  brought  in  ambulances.  The  corps  of  medical 
officers  at  this  hospital  was  so  small  that  the  principal  labors  of  operating,  dressing,  etc.,  devolved  upon  myself  and  three  other 
medical  officers.  For  three  days  and  two  nights  we  labored  almost  incessantly.  The  wounded  were  literally  crowded  in  upon 
us,  not  one  of  whom,  I  think  I  can  safely  say,  was  sent  off  without  receiving  that  care  which  his  case  called  for.  Our  medical 
and  hospital  supplies  proved  ample  for  our  wants.  It  was  at  this  time,  especially,  that  the  new  medical  wagon  was  so 
thoroughly  tested,  and  found  of  invaluable  service  to  us." 


XCVII.     Extracts  from  a  Narrative  of  his  Services  in  the  Medical  Staff  during  the  Summer 
of  1862.     By  Surgeon  THOMAS  ANTISELL,  IT.  S.  Volunteers. 

"On  July  4,  1862,  I  left  the  headquarters  of  the  Department  of  the  Shenandoah,  stationed  near  Middletown,  Virginia,  in 
order  to  visit  the  various  hospitals  of  the  command  at  Winchester,  Harper's  Ferry,  Ilagerstown  and  Frederick,  with  orders 
from  Major  General  Banks  to  empty  the  hospitals  in  Virginia,  if  possible,  and  mass  the  sick,  as  far  as  practicable,  at  Frederick, 
Maryland.  In  fulfilling  my  instructions,  I  visited  these  various  points,  and  found  considerable  difficulty  in  separating  the  sick 
of  the  department  from  those  of  Generals  Fr6mont  and  Sigel,  then  temporarily  stationed  in  the  valley.  Owing  to  the  large 
number  of  sick  with  the  wounded  of  the  department,  it  had  been  necessary,  a  few  months  previous,  to  establish  hospitals  in 
Winchester  at  the  Union  Hotel,  the  York  Academy  and  the  Seminary.  In  June,  I  issued  instructions  to  Doctor  Leland,  of  the 
2d  Massachusetts  Volunteers,  then  in  charge  of  Union  Hotel  hospital,  to  empty  it  as  early  as  possible.  This  was  ordered,  as 
well  to  diminish  the  number  of  separate  hospitals  as  to  prevent  the  confusion  arising  from  the  mingling  of  soldiers  of  different 
commands  in  one  building.  At  the  visit  in  July,  I  directed  the  removal  of  all  patients,  who  could  safely  be  moved,  from 
Winchester  to  Harper's  Ferry  and  Frederick.  Assistant  Surgeon  Adolphus,  U.  S.  A.,  was  charged  with  the  transfer. 

While  I  was  absent  on  this  duty,  General  Banks  received  orders  to  march  his  command  across  the  Blue  Ridge,  to  effect 
a  junction  with  General  McDowell's  troops,  then  moving  from  Fredericksburg  to  join  General  Pope's  command.  I  rejoined  the 
command  (now  the  Second  Corps  of  the  army  of  Virginia)  between  Sperryville  and  Little  Washington.  A  few  days  afterwards, 


APPENDED    DOCUMENTS SECOND    BULL    RUN. 

July  18th,  it  camped  on  Hedgeman's  river,  Fanquier  county.  Here,  according  to  instructions  from  Surgeon  McParlin,  medical 
director  of  the  ai-my  of  Virginia,  I  had  requisitions  for  hospital  tents  for  all  the  regiments  of  the  command  forwarded,  and  had 
the  sick  removed  to  Alexandria  via  Warrenton,  where  they  were  received  by  Surgeon  Ranch,  who  had  been  placed  on  detached 
duty  for  that  purpose. 

During  the  stay  of  the  troops  in  the  Shenandoah  valley  in  June,  and  since  their  arrival  here,  I  was  impressed  with  the 
wide-spread  desire,  both  of  officers  and  men,  to  escape  from  service  by  discharge,  under  guise  of  disability.  It  appeared  to  me 
that  company  officers  and  the  medical  staff  of  the  regiments  either  openly  favored  discharging  men  without  adequate  disability, 
or  overcome  by  importunities  which  they  were  unable  to  resist,  too  readily,  and  without  examination,  accepted  the  statements 
of  complaining  officers  and  men.  Believing  that  this  practice,  if  not  checked,  would  tell  injuriously  on  the  strength  of  the 
corps,  I  addressed  a  letter  to  the  medical  director  of  the  army,  suggesting  a  remedy. 

On  the  23d,  the  Second  Corps  moved  close  to  Little  Washington,  where  it  remained  until  the  1st  of  August.  During 
the  march  of  the  corps  from  Middletown  toward  Sperryville,  some  sick  had  been  necessarily  left  behind  at  Middletown, 
Front  Royal  and  at  Washington.  On  the  29th  of  July,  I  instructed  Surgeon  Marshall,  of  the  3d  Delaware,  to  proceed  to  these 
places  and  gather  up  all  of  our  sick,  and  return  them  to  the  command.  About  the  1st  of  August,  these  men  were  forwarded 
to  Warrenton  Station,  for  transport  to  Alexandria.  In  this  encampment,  the  Second  Corps  was  placed  along  a  swell  of  land, 
which  gently  sloped  both  north  and  south.  There  was  but  little  heavy  timber  on  the  ground ;  the  water  was  pure  and 
abundant,  and  the  soil  porous  and  dry.  The  days  were  very  warm,  and  the  nights  unusually  cool,  owing,  I  suppose,  to  the 
altitude  and  the  proximity  to  the  mountains.  Every  circumstance  indicated  a  favorable  position  for  an  army  corps  encampment. 
Yet,  duping  the  stay  here,  the  corps  was  unusually  sickly,  a  large  number  applying  daily  at  the  morning  call.  This  was  more 
obsepvable  in  the  2d  division.  On  personal  inspection  of  the  regimental  camps,  I  thought  I  ascertained  the  exciting  cause  to 
be  their  too  close  proximity.  The  regiments  lay  so  close  alongside  that  the  sinks  of  one  regiment  were  not  farther  than  thirty 
feet  from  the  company  tents  of  another.  The  shelter-tents  were  placed  alongside  each  other  in  close  proximity,  and  the  streets 
in  front  were  not  more  than  four  feet  wide.  In  a  few  companies,  the  tents  were  dos  a  dos,  thus  allowing  no  ventilation  on 
three  sides  of  each.  The  offal,  and  other  remains  of  the  cattle  slaughtered  by  regiments,  lay  unburied  and  decomposing  on  the 
grass  in  the  rear  of  each,  and  thus  two  fertile  sources  of  disease  were  apparent. 

The  60th  New  York  Volunteers  suffered  most  severely.  During  the  last  week  of  July,  one-half  of  the  regiment  lay  in 
hospital,  or  in  their  shelter-tents,  unable  to  move.  The  disease,  as  far  as  I  could  ascertain  by  close  examination,  was  a  true 
typhus  mitior;  that  is,  a  continued  fever  without  any  symptom  of  malarious  origin,  and,  generally,  without  complication  of 
cavities.  It  affected  officers  equally  with  men,  and  the  mi'dical  officers,  in  turn,  were  attacked.  Viewing  this  disease  as  one  of 
ochletic  origin  solely,  I  advised  the  immediate  removal  of  this  regiment  to  the  rear.  It  was  sent  to  Sulphur  Springs,  where  I 
afterwards  saw  it,  slowly  improving.  It  was  difficult  to  assign  any  reason  why  this  regiment  should  suffer  so  much  more,  both 
in  the  number  and  severity  of  the  cases,  than  others  in  the  division.  Their  camp  was  not  so  much  crowded  together  as  others, 
nor  the  decomposing  animal  matter  so  close  to  the  tents.  The  only  explanation  I  could  imagine  to  be  in  any  degree  true,  was 
as  follows:  The  regiment  was  raised  but  a  few  months  before,  and  had  been  but  a  few  weeks  in  the  command,  having  joined 
it  at  Harper's  Ferry,  after  the  second  retreat  from  Winchester.  It  was  composed,  in  a  large  degpee,  of  men  from  the  shore 
of  the  St.  Lawrence  river,  many  of  them  lumbermen,  and  none  of  them  dwellers  in  cities.  St.  Lawrence  and  Jefferson  counties 
furnished  a  great  number.  Brought  rapidly  down  to  a  warmer  climate,  placed  on  the  banks  of  a  river,  and  afterwards 
subjected  to  continuous  marching  for  ten  days,  ending  in  a  crowded  encampment  for  ten  days  more,  perhaps  it  was  thus  exposed 
to  all  the  circumstances  which  would  produce  fever  arising  from  crowd  poison.  I  called  the  attention  of  Medical  Inspector 
Vollum,  then  inspecting,  to  the  case  of  this  regiment.  In  order  to  prevent  a  continuance  or  recurrence  of  this  pernicious  mode 
of  encampment,  I  recommended  the  adoption  of  the  more  rational  mode  of  camping,  which  was  embodied  in  Order  No.  16  of 
Major  General  Banks. 

On  the  4th  of  August,  the  corps  left  the  vicinity  of  Little  Washington  and  moved  towards  Culpepper,  where  it  encamped 
on  the  north  side  of  the  town  on  the  7th.  On  the  9th,  at  an  early  hour  in  the  morning,  it  passed  through  the  town  of  Culpepper 
and  moved  up  the  road  to  Calvin's  tavern  and  halted  for  a  short  time  at  Cedar  Run.  Here  the  enemy  was  first  observed, 
moving  toward  the  corps  in  force.  Major  General  Banks  advanced  his  men  to  about  a  mile  south  of  the  run  by  noon,  and  the 
engagement  was  soon  after  commenced  by  the  artillery  of  the  enemy  posted  on  Slaughter  Mountain.  The  battle  of  Slaughter 
Mountain,  improperly  termed  Cedar  Mountain,  from  the  name  of  the  small  stream  in  front  of  which  the  command  lay,  was 
fought  upon  rolling  land,  the  ridges  running  northwest  and  southeast,  one  of  the  eastern  terminations  rising  to  a  swell  of 
perhaps  four  hundred  feet  high,  named  after  a  former  proprietor,  Mr.  Slaughter.  The  ground  on  the  east  of  the  turnpike  was  more 
open,  being,  in  great  part,  meadow,  with  patches  of  wood.  Here  the  2d  division  of  the  corps,  commanded  by  General  Augur, 
was  placed,  the  regiments  arranged  along  the  northern  slope  of  the  swell,  and  lying  down  where  the  slight  slope  of  the  ground 
required  their  concealment.  On  the  west  of  the  turnpike  road  lay  the  1st  division,  under  General  Williams,  the  1st  brigade  of 
which,  commanded  by  General  Crawford,  lay  next  the  road.  General  Gordon's  brigade  was  planted  on  the  right,  close  behind 
a  thick  belt  of  timber,  which  crowned  one  of  the  ridges.  Large  cornfields  and  a  wheat  patch  occupied  most  of  the  ground  in  front 
of  General  Williams.  Artillery  fire  commenced  early  in  the  afternoon,  chiefly  on  the  left,  and  by  three  o'clock  the  cannonading 
on  both  sides  was  constant,  the  enemy  appearing  to  push  our  left.  A.bout  noon,  I  had  ridden  over  the  ground  in  the  rear,  seeking 
positions  for  field  hospitals,  the  medical  director  of  the  division  having  been  indisposed  for  some  days  previous.  I  selected  a 
house  on  a  ridge  slope  north  of  the  belt  of  woods  alluded  to.  In  the  evening,  this  being  found  too  close,  the  hospital  had  to  be 
moved  further  back  to  the  valley  behind  the  ridge.  The  acting  medical  director  of  the  2d  division,  Dr.  Ball,  surgeon  of  the  5th 
Ohio  Volunteers,  selected  a  protected  situation  behind  the  division,  in  a  grove.  The  medical  care  of  this  division  devolved  on 
this  officer  Dr.  Ranch,  its  medical  director,  having  been  detached  by  order  of  the  medical  director  of  the  army.  His 
arrangements  were  judicious  and  deserving  of  commendation. 

At  two  p.  M.,  I  rode  along  the  line  in  the  rear,  to  see  that  the  regiments  were  supplied  with  one  assistant  surgeon  each,  the 
surgeons  having  been  instructed  to  report  to  the  medical  directors  of  divisions  at  the  field  hospitals.  With  few  exceptions,  I 


REPORT    OF    SURGEON    THOMAS    ANTISKLL.  121 

found  the  medical  officers  in  their  places.  By  three  o'clock,  the  action  had  so  progressed  as  to  engage  the  whole  2d  division. 
Thf  wounded  were  brought  to  the  rear  rapidly,  and,  after  being  dressed  and  furnished  with  stimulants,  were  sent  to  Culpepper, 
in  accordance  with  instructions  received  from  the  medical  director  of  the  army.  As  late  as  half  past  five  P.  M.,  I  was  of  the 
opinion  that  the  establishment  of  two  hospital  depots  was  superfluous,  no  wounded  having  been  received  at  1st  division  depot 
until  six  o'clock,  when  the  enemy  suddenly  appeared  in  the  corn  and  wheat-fields  in  front,  and  pushed  toward  the  thick  timber. 
The  struggle  for  the  woods  was  very  bitter,  the  sound  of  the  rifles  never  ceasing  for  two  hours,  when  our  troops  were  ordered 
to  fall  back.  The  distance  from  the  edge  of  the  woods  to  the  1st  division  hospital  was  not  more  than  seven  or  eight  hundred 
yards ;  and,  from  six  to  eight  o'clock,  the  stream  of  wounded  was  continuous.  Ambulances  were  dispatched  back  as  soon  as  they 
unloaded,  and,  at  seven  o'clock,  as  many  as  400  wounded  were  spread  along  the  grass  in  front  of  the  dwelling  house.  As  soon 
as  they  were  dressed  and  fed,  those  not  requiring  immediate  attention  were  moved  into  the  house,  and  urgent  operations  were 
performed.  A  number  of  those  wounded  in  the  chest  and  abdomen  died  during  the  night.  The  engagement  having  been  so  close, 
in  some  places  hand  to  hand,  the  wounds  were  very  grave,  and  an  unusual  proportion  of  trunk  wounds  were  remarked  on  the 
hospital  grounds.  For  the  same  reason,  the  number  of  staff  and  regimental  officers  wounded  was  large.  *  *  Several 
operations  were  performed  here  on  the  10th,  and,  on  the  llth  the  wounded  were  slowly  removed  to  the  hospitals  established  by  the 
medical  director  of  the  army  at  Culpepper.  The  removal  of  the  wounded  from  "2d  division  hospital  took  place  from  the  outset, 
so  that  fewer  operations  were  performed  on  the  field  in  that  hospital.  It  was  fully  emptied  on  the  next  day,  while  that  of  the  1st 
division  was  not  wholly  removed  until  the  close  of  the  next  week.  As  the  enemy  occupied  the  field,  but  little  was  done  in 
burying  the  dead  or  removing  the  wounded  on  the  day  after  the  battle.  This  was  accomplished  under  the  special  direction  of 
the  medical  director  of  the  army.  Having  left  the  hospital  in  charge  of  the  division  directors,  I  left  the  front  at  eight  o'clock, 
and  rejoined  the  staff  of  General  Banks,  whom  I  found  in  a  wood,  a  mile  to  the  rear,  with  General  Pope  and  his  staff.  Here, 
also,  was  the  division  of  General  Ricketts,  and,  next  in  the  rear,  the  corps  of  General  McDowell.  In  a  few  minutes  after  my 
arrival,  the  enemy  commenced  shelling  the  woods,  which  broke  up  the  meeting  there.  In  the  confusion,  General  Banks  met 
with  a  severe  contusion  of  the  hip,  which,  for  several  days,  was  so  painful  as  to  incapacitate  him  from  moving  actively  about. 
He  still,  however,  remained  in  command,  General  Williams  performing  the  more  active  duties.  The  heat  of  the  day  had  been 
intense,  and  although  the  bright  moonlight  of  the  night  was  favorable  to  our  outdoor  hospital  duties,  yet,  during  the  night,  it 
became  cool,  an  atmospheric  change  which  acted  unfavorably  on  the  wounded,  many  of  whom  had  to  remain,  through  the  night, 
exposed  on  the  grass  around  the  1st  division  hospital.  Although  during  the  engagement  of  the  9th,  artillery  had  been 
principally  employed  early  in  the  afternoon,  yet  the  number  of  shell  or  round-shot  wounds  brought  off  the  field  was  very 
small,  compared  with  the  number  wounded  by  minie  balls  later  in  the  day.  No  resections  were  performed  in  the  field 
hospitals;  a  few  were  made  in  Culpepper.  Subsequently,  the  order  for  early  removal  from  the  field  to  the  station  near  the 
railway  led  to  the  performance  of  amputations  preferably. 

On  the  llth,  General  Banks  moved  his  headquarters  to  Culpepper,  where  he  remained  until  the  18th.  During  this 
interval,  I  spent  a  large  portion  of  each  day  in  the  various  hospitals  of  the  town,  which  were  filled  up  for  several  days  with  the 
wounded  brought  from  the  field  and  the  1st  division  hospital  as  fast  as  they  were  being  removed  from  the  town  by  rail.  Several 
amputations  and  a  few  resections  were  performed  here,  and  those  who  suffered  but  little  shock  were  sent  toward  Alexandria,  so 
that  when  the  troops  were  moved  but  two  public  buildings  were  occupied  as  hospitals.  The  more  seriously  wounded  in  these 
were  left  behind  when  the  army  evacuated  the  place,  and  fell  into  the  hands  of  the  Confederates.  A  few  of  them  were  carried 
to  Richmond,  but  the  greater  number  remained  at  Culpepper,  attended  by  our  surgeons,  who  had  been  left  behind  to  care  for 
them. 

On  the  18th,  General  Banks  moved  his  headquarters  from  Culpepper  to  Sulphur  Springs,  and  thence,  on  the  19th,  to 
Rappahannock  Station.  While  at  the  Springs,  I  visited  the  60th  New  York,  which  occupied  the  large  hotel,  the  two  large  lower 
rooms  being  used  as  a  hospital,  in  which  a  large  number  of  the  men  still  remained,  suffering  from  the  fever  mentioned  in  the 
early  part  of  this  i-eport.  One  hundred  and  thirty-nine  patients  were  on  the  morning  report  of  the  hospital,  and  one  hundred 
and  seventy-two  sick  in  quarters;  making,  with  a  few  musicians,  a  total  of  three  hundred  and  fifteen  men  of  the  regiment  non- 
effective.  On  account  of  the  persistent  sickness  of  this  regiment,  I  recommended  that  it  should  be  sent  to  the  rear,  outside  of 
the  command,  and  ventured  to  suggest  Fort  Schuyler,  New  York  harbor,  or  some  other  northern  point.  I  believe  this  regiment 
was  sent  to  Harper's  Ferry,  where  it  subsequently  joined  the  command.  On  reaching  Rappahannock  Station,  orders  were  sent 
back  to  remove  the  troops  from  the  Springs,  on  account  of  the  approach  of  the  enemy.  *  * 

On  the  28th,  the  corps  passed  Catlett's  Station,  in  its  retreat;  the  roads  were  blocked  up  with  teams  moving  down.  We 
passed  Porter's  Corps  in  the  morning,  and  went  into  camp  at  Kettle  Run  at  five  o'clock  p.  M.  On  the  29th,  the  bridge  at  the  Run 
not  being  fully  repair«d,  the  corps  was  stationary.  During  the  forenoon,  I  visited  a  train  of  cars  with  wounded  close  by;  about 
five  hundred  and  fifty  wounded  and  sick  were  aboard.  On  the  30th,  the  corps  moved  close  to  Manassas,  and  thence  back  to  Broad 
Run,  where  it  halted.  Finding  a  large  number  of  sick  lying  at  two  houses  in  the  vicinity,  I  seized  all  the  empty  wagons  I 
could  find,  and,  placing  the  men  in  them,  sent  them  on  towards  Alexandria.  They  were  about  two  hundred  in  number.  On  the 
31st,  we  reached  Bristoe  Station.  I  found  forty  sick  at  the  station  house,  and  placed  them  in  wagons.  We  left  by-way  of 
Brentsville,  and  thence  to  Centreville.  When  the  corps  left  Bristoe  Station,  the  train  of  cars  left  behind  with  quartermasters'  and 
other  stores,  one  of  them  with  purveyor's  propertv,  were  set  on  fire.  On  the  2d  of  September,  I  left  Blackburn  Ford,  en  route 
for  Alexandria,  with  such  sick  as  could  be  forwarded  to  that  point,  and  rejoined  the  corps  on  the  3d,  near  Fort  Albany. 
September  4th,  the  corps  moved  through  Georgetown,  and  encamped  at  Tenallytown." 


16 


122  APPENDED    DOCUMENTS SECOND    BULL    RUN. 

XCVIII.     Extracts  from  a   Narrative  of  Ids   Services.      By  Surgeon  N.  K.  MOSELY,  II.  S. 
Volunteers. 

*  *  *  "  I  reported,  on  the  20th  of  October,  at  Seneca  Mills,  Maryland,  as  brigade  surgeon  to  Brigadier  General 
Abercrombie  of  General  Banks's  division.  The  brigade  consisted  of  the  2d  and  12th  Massachusetts,  the  16th  Indiana  and  the 
30th  Pennsylvania  Volunteers.  It  went  into  winter  quarters  at  Frederick,  Maryland,  with  the  rest  of  General  Banks's 
command,  in  the  latter  part  of  November,  1861,  and  no  military  event  of  interest  occurred  during  the  winter.  On  the  27th  of 
February,  1862,  the  command  crossed  the  Potomac,  on  pontoon  bridges,  at  Harper's  Ferry.  On  the  1st  of  March,  the  2d 
Massachusetts  Volunteers  advanced  to  Charlestown.  A  slight  skirmish  occurred  at  this  place,  but  without  any  casualty.  The 
other  regiments  of  the  brigade  occupied  the  town  on  the  evening  of  the  same  day.  We  marched  from  Charlestown,  on  the  10th 
of  March,  for  Winchester,  at  which  place  we  went  into  camp,  and  remained  until  the  21st.  General  Abercrombie  was  then 
ordered,  with  his  brigade  and  the  division  supply  train,  to  proceed  to  Manassas  Junction.  The  troops  and  train  crossed  the 
Shenandoah  river  at  Snicker's  Ferry  on  the  22d.  Several  skirmishes  occurred  on  the  march,  but  without  accident.  On  the 
24th,  while  in  camp  at  Aldie,  we  received  orders  to  return  immediately  to  Winchester,  a  battle  being  in  progress  between  the 
forces  of  General  Shields  and  Stonewall  Jackson.  We  arrived  at  the  Shenandoah  river  the  next  morning  at  daylight,  and 
halted  for  a  short  rest.  Before  noon,  we  had  recrossed  the  river,  and  were  on  our  way  towards  Winchester.  Myself  and  two 
of  the  aids  were  in  the  advance,  and  near  Berry ville,  at  which  place  I  had  intended  to  provide  hospital  accommodations  for 
the  sick,  when  we  were  met  by  messengers  with  news  and  orders  from  General  Banks.  The  battle  of  Winchester  had  been 
fought,  and  the  head  of  our  column  was  again  placed  in  the  direction  of  Aldie,  taking  our  sick  with  us  in  ambulances.  The 
command  at  this  time  consisted  of  the  2d  and  12th  Massachusetts,  the  16th  Indiana  and  9th  New  York  Volunteers,  with 
Mathew's  battery  and  one  battalion  of  the  1st  Maine  Cavalry.  It  was  supplied  with  Sibley,  wall  and  wedge  tents,  and  other 
conveniencies  of  camp  life,  requiring  an  unusual  amount  of  transportation,  each  regiment  having  from  seven  to  ten  baggage 
wagons,  which,  wTith  the  supply  wagons  of  General  Banks's  division,  made  a  train  about  three  miles  in  length. 

We  reached  Warrenton  Junction,  a  post  then  occupied  by  the  corps  of  Major  General  Sumner,  on  the  3d  of  April.  At  this 
place,  one  battery  and  two  regiments  of  cavalry  were  added  to  the  command.  The  old  troops  retained  their  Sibley  and  wall 
tents,  and  were  encamped  as  comfortably  as  the  nature  of  the  ground  would  permit ;  for  it  was  low,  marshy,  and  strewn  with 
carcasses  of  dead  animals.  The  new  cavalry  regiments,  however,  had  an  inadequate  supply  of  shelter  tents,  and  suffered  much 
from  exposure  to  the  weather.  A  severe  snow  arid  rain  storm,  to  which  the  men  were  exposed,  occurred  on  the  10th,  and  much 
sickness  prevailed  from  this  cause,  and  from  the  emanations  of  decaying  animal  matter,  which  had  been  left  unburied  by 
General  Sumner's  troops.  The  diseases  assumed  a  remittent  and  typhoid  character.  I  established  a  brigade  hospital  at  a 
large  farm-house,  in  a  healthy  location,  a  mile  northeast  of  the  camp.  Assistant  Surgeon  J.  M.  Haywood  was  placed  in  charge, 
and  all  of  the  sick  but  two  recovered.  These  were  buried  near  the  hospital.  About  one  hundred  sick,  belonging  to  the  division 
of  General  Blenker,  had  been  left  at  Warrenton  Junction.  They  were  in  a  destitute  condition,  being  nearly  without  food  and 
medicines,  and  with  no  medical  attendants.  The  circumstances  connected  with  the  abandonment  of  these  sick  soldiers  were 
reported  by  me  to  the  Surgeon  General,  who  ordered  their  removal  to  general  hospital  in  Washington. 

On  the  1st  of  May,  Brigadier  General  Hartsuff  relieved  General  Abercrombie  in  the  command  of  the  brigade.  A  new 
encampment  was  immediately  selected  on  the  high  grounds,  near  Catlett's  Station,  and  the  troops  were  removed  to  it.  The  sick 
were  removed  to  the  brigade  hospital  in  charge  of  Doctor  Haywood.  The  brigade  marched  for  Fredericksburg  on  the  12th 
of  May,  and  was  assigned  to  the  corps  of  Major  General  McDowell,  encamping  on  the  north  bank  of  the  Rappahannock  river, 
four  miles  northeast  of  Falmouth. 

On  the  23d,  I  was  relieved  from  duty  as  surgeon  of  the  brigade,  for  the  purpose  of  establishing  a  general  hospital  at 
Fredericksburg.  Previous  to  this  time,  however,  the  sick  of  General  McDowell's  army  had  been  sent  to  the  general  hospitals 
of  Washington.  I  took  possession  of  two  large  buildings,  a  tobacco  warehouse  and  an  unfinished  hotel,  the  two  being  capable 
of  accommodating  a  thousand  patients.  Without  furniture  or  bedding,  this  hospital  was  occupied  by  men  who  were  not  really 
sick,  but  who  preferred  the  inconvenience  of  the  establishment  to  long  marches  and  the  exposure  incident  to  camp  life.  Their 
diseases  were  not  of  such  a  character  as  to  warrant  me  in  making  arrangements  for  a  permanent  hospital. 

When  the  command  of  General  McDowell,  with  the  exception  of  the  division  of  Pennsylvania  Eeserves,  under  the 
command  of  General  McCall,  left  Fredericksbnrg,  I  was  ordered  to  take  the  men  remaining  in  hospital,  who  could  riot  march, 
to  Washington,  and  afterwards  to  join  my  brigade.  I  executed  this  order  on  the  31st  of  May,  and  rejoined  the  brigade  at 
Front  Royal,  Virginia,  on  the  5th  of  June.  I  found  it  just  going  into  camp,  after  returning  from  an  unsuccessful  pursuit 
of  Jackson,  in  the  direction  of  Strasburg.  The  camp  selected  at  Front  Royal  was  on  the  high  grounds  north  of  the  town.  The 
troops,  at  this  time,  used  shelter  tents,  having  abandoned  their  Sibley  and  wall  tents  previous  to  leaving  Fredericksburg.  On 
the  13th,  two  hundred  wounded,  belonging  to  the  command  of  General  Shields,  arrived  at  Front  Royal  from  Luray,  after  the 
action  with  the  forces  of  Jackson.  They  had  been  conveyed  in  army  wagons,  and  many  of  them  suffered  by  this  means  of 
transportation,  having  gunshot  wounds  of  a  serious  character.  These  men  were  under  the  charge  of  Doctor  Hayes,  a  surgeon 
of  one  of  the  Pennsylvania  regiments,  who  had  been  ordered  with  them  to  Front  Royal,  to  place  them  in  general  hospital  at 
that  point.  There  being  no  hospital  in  operation  at  this  time  at  Front  Royal,  and  no  surgeon  on  duty  at  the  post,  I  assumed 
charge  of  them,  providing  such  accommodations  in  vacant  buildings  as  could  be  had,  and,  by  the  aid  of  the  medical  officers  of 
Hartsuff's  brigade,  rendered  them  such  attention  as  their  situation  required.  Their  wounds  were  all  dressed,  and  they  were 
made  as  comfortable  as  was  possible  under  the  circumstances.  On  the  14th,  they  were  sent  on  the  cars  to  Washington,  under 
the  charge  of  Doctor  Hayes. 

On  the  17th,  the  brigade  was  transported  by  railroad  to  Manassas,  where  it  arrived  at  ten  o'clock  p.  M.,  and  bivouacked 
for  the  night.  General  McDowell's  headquarters  had  been  established  here  a  few  days  previous  to  the  arrival  of  the  brigade. 
On  Ihe  19th,  a  severe  accident  happened  to  the  general,  who  was  thrown  from  his  horse.  The  troops  of  General  McDowell 
remained  in  camp  at  Manassas  until  the  4th  of  July,  when  they  marched  towards  Warrenton.  Temporary  hospitals  had  been 
established  at  this  point,  to  which  the  sick  were  transferred  and  left  after  the  troops  had  marched.  *  * 


REPORT    OF    SURGEON    N.    R     MOSELY.  123 

On  the  evening  of  the  5th,  the  brigade  went  into  camp  on  Bolivar  farm,  the  old  homestead  of  Prof.  Wm.  E.  Horner,  of 
Philadelphia,.  Brigadier  General  Eicketts  being  now  in  command  of  the  division,  which  consisted  of  HartsufFs,  Towers's  and 
Duryea's  brigades,  I  was  appointed  medical  director  of  the  division.  Previous  to  the  arrival  of  the  troops  at  Warrenton,  the 
men  had  little  other  food  than  the  army  ration,  the  unproductive  country  in  the  vicinity  of  Manassas  affording  but  a  scanty  supply 
of  fruit  or  fresh  vegetables.  Thrown  suddenly  among  the  rich  farms  about  Warrenton,  where  fruits  and  fresh  vegetables  were 
found  in  abundance,  I  anticipated  the  occurrence  of  disease  from  the  unlimited  use  of  these  articles,  in  which  the  men  indulged 
freely  for  several  days.  Fortunately,  no  bad  results  occurred  from  this  intemperance;  but  rather  a  salutary  influence  was 
produced,  manifestations  of  scurvy,  which  had  been  noticed  at  Manassas,  rapidly  subsiding  after  our  arrival  at  Warrenton.  I 
established  a  general  hospital  at  this  place.  The  buildings  used  were  the  large  Warren  Green  hotel  and  the  Methodist 
church  contiguous  to  it.  Surgeon  T.  E.  Mitchell  was  placed  in  charge  of  this  hospital.  The  patients  brought  here  were  made 
comfortable,  and  were  well  treated.  They  were  mostly  wounded  from  other  commands,  principally  from  the  cavalry  from  the 
front,  south  of  the  Rappahannock  river.  Their  wounds  were  not  generally  serious,  consisting  mostly  of  gunshot  flesh  wounds 
of  the  extremities. 

On  the  22d  of  July,  the  troops  of  General  McDowell's  Corps  were  placed  in  the  army  of  Virginia,  under  Major  General 
Pope.  From  Warrenton  they  marched  to  Waterloo,  where  they  remained  until  the  5th  of  August,  when  they  again  marched 
to  Culpepper  Court-house.  The  sick  at  Waterloo,  and  those  remaining  at  Warren  Green  hospital,  were  sent  to  the  general 
hospitals  at  Washington.  The  troops  encamped  one  mile  north  of  Culpepper  Court-house  on  the  6th  of  August.  On  the 
8th,  the  camp  was  moved  five  miles  south  of  Culpepper.  On  the  9th,  the  division  moved  forward  to  Cedar  Mountain,  where 
General  Banks  was  engaged  with  the  enemy  under  Stonewall  Jackson.  Hartsuff's  and  Towers's  brigades,  with  two  batteries^ 
were  ordered  up  on  the  right  of  General  Banks,  when  a  brisk  cannonading  commenced,  continuing  for  several  hours.  The  fire 
from  Mathew's  battery  did  good  execution  on  the  left  and  centre  of  the  rebel  line.  The  darkness  of  the  night,  however, 
prevented  the  engagement  of  our  infantry  force.  The  principal  fighting  in  this  engagement  was  done  by  the  troops  under 
General  Banks  on  the  morning  and  afternoon  of  the  9th. 

The  strength  of  the  division  at  this  time  was  about  seven  thousand  five  hundred  men.  We  were  well  supplied  with 
ambulances,  medicines  and  hospital  stores.  Our  hospital  tents  had  been  left  in  camp,  near  Culpepper,  occupied  by  sick  and 
disabled  soldiers,  who  were  unable  to  march.  The  wounded,  after  the  battle,  were  carried  to  farm-houses  and  other  buildings 
near  the  field,  and  amply  supplied  with  water.  The  supply  of  food  was  not  abundant,  but  the  711  en  did  7iot  suffer  for  the  want 
of  nourishment,  and,  the  weather  being  warm,  no  suffering  was  caused  by  exposure.  The  wounded  were  brought  from  the  field 
to  the  field  hospitals  on  hand-stretchers,  tlie  ambulances  being  employed  in  conveying  them  thence  to  Culpepper.  From  this 
point,  they  were  sent  by  railroad  to  Alexandria  and  Washington.  Having  bee7i  occupied  on  the  field  in  dressing  a7id 
removing  the  wounded  from  the  10th  to  the  14th,  I  had  no  opportimity  of  knowing  the  character  of  the  operations  performed 
at  Culpepper  Court-house.  The  number  of  wounded  carried  from  the  field  under  my  direction  was  about  seven  hundred  and 
fifty,  7iearly  all  of  whom  belonged  to  the  command  of  General  Banks;  the  remainder  were  rebels.  Considerable  delay  was 
experienced  in  their  removal,  as  the  rebels  held  the  field,  so  that  it  could  only  be  done  under  a  flag  of  truce. 

On  the  15th,  the  troops  moved  south  of  Cedar  Mountain  some  six  miles,  and  occupied  a  position  on  the  Rapidan  river, 
which  was  maintained  until  the  approach  of  General  Lee  with  an  overwhelming  force.  On  the  18th,  the  army  of  General 
Pope  commenced  to  retire  in  the  direction  of  Culpepper,  Ricketts's  divison  covering  the  retreat.  An  accident  occurred  near 
Culpepper,  whilst  destroying  a  bridge  on  the  Orange  and  Alexandria  railroad,  one  man  being  killed  and  three  sevei'ely  i7ijured. 
On  the  19th,  the  troops  reached  the  7iorth  bank  of  the  Rappahannock  river,  at  Rappahannock  Station,  where  batteries  were 
planted  commanding  the  ford.  On  the  afternoon  of  the  20th,  the  cavalry,  being  closely  pressed,  7-etired  to  the  north  bank  of  the 
river.  On  the  21st,  at  daylight,  the  enemy  commenced  shelling  our  position.  Their  fire  was  promptly  replied  to  from  our  side. 
The  artillery  firing  continued,  with  slight  intermission,  until  the  2:Jd,  when  we  retired  in  the  direction  of  Warrenton.  I  established 
a  hospital  in  a  large  farm-house,  one  and  a  half  miles  in  the  rear  of  our  lines,  where  I  received  about  one  hundred  and  fifty 
men  belonging  to  the  divisions  of  Generals  Ricketts  and  King.  General  Banks  applied  to  7ne  at  this  hospital  for  medical  advice. 
He  had  been  badly  bruised  on  the  right  side  of  the  body  and  thigh,  occasioned  by  the  fall  of  his  horse.  His  body  was  much 
ecchymosed  and  swollen,  which  prevented  him  from  taking  command  of  his  troops  in  person.  He  had,  however,  up  to  this 
time  remained  near  the  army,  conveyed  in  an  ambulance.  The  7iien  brought  to  this  hospital  were  mostly  wounded  by  the 
explosion  of  shells.  Several  primary  amputations  were  performed  under  the  use  of  a  mixture  of  equal  parts  of  chlo7-oform  and 
sulphuric  ether.  No  deaths  occurred.  These  wounded  were  afterwards  conveyed  in  ambulances  to  Bristoe  Station,  from 
whence  they  were  transported  by  rail  to  Washington. 

The  troops  continued  to  fall  back,  and,  on  the  27th,  reached  New  Baltimo7-e.  On  the  28th,  General  Ricketts's  division 
was  ordered  to  hold  Thoroughfare  Gap;  the  order  was  given  while  on  the  7narch  towards  Fairfax  Court-house.  The  division 
diverged  from  the  road  to  the  left  on  the  double  quick,  but  reached  the  Gap  too  late  to  preve7it  the  corps  of  the  rebel  General 
Longstreet  from  passhig  through.  Ge7ieral  Ricketts,  however,  formed  his  t7-oops  in  Hue  of  battle,  and  opened  a  fire  upon  the 
advancing  enemy,  which  held  them  in  check  about  three  hours.  He  was  then  obliged  to  retire  from  his  position,  having  been 
flanked  on  the  right  and  left.  I  took  possession  of  a  large  farm-house  for  a  hospital,  about  a  mile  in  the  rear  of  our  lines,  and 
fifty  wounded  men  of  the  command  were  brought  hither  in  ambulances.  The  strength  of  the  command  at  this  time  was  about 
seven  thousa7id  men.  During  the  retreat  from  Cedar  Mountain,  I  kept  with  me  a  good  supply  of  medicines,  hospital  stores, 
ambulances,  etc.,  and,  by  the  aid  of  the  medical  officers  of  the  division,  was  always  prepared  to  attend  to  the  wants  of  the  sick 
and  wounded.  The  wounds  received  in  the  action  at  Thoroughfare  Gap  were  produced  by  conoidal  balls,  and  amputation  was 
necessary  in  all  cases  where  bones  were  implicated.  The  same  preparation  of  ether  and  chloroform  was  used  as  at  hospital  near 
Rappahannock  Station,  with  good  results.  After  the  action,  the  wounded  were  placed  in  ambulances  under  the  charge  of 
Brigade  Surgeon  J.  T.  Heard,  with  directions  to  pi-oceed  with  them  to  Manassas  Junction  for  the  purpose  of  sending  them  to 
Washington  by  railroad. 

The  division  arrived  at  Gainesville  at  eleven  o'clock  on  the  night  of  the  28th,  and  rested  on  their  arms  until  daylight 


124  APPENDED    DOCUMENTS SECOND    BULL    EUN. 

We  were,  at  this  time,  surrounded  on  all  sides  by  rebel  troops,  except  in  the  direction  of  Bristoe  Station,  to  which  place  we 
retired  on  the  morning  of  the  '29th.  The  men  were  much  fatigued,  and  suffered  for  want  of  food,  but  were  abundantly  supplied 
with  rations  on  arriving  at  Bristoe  Station.  About  ten  o'clock  the  same  morning,  we  marched  toward  Centreville.  and 
participated  in  the  engagement  of  the  second  battle  of  Bull  Run  on  the  following  day.  General  Ricketts's  division  occupied  a 
position  on  the  right  in  the  early  part  of  the  engagement.  At  about  four  o'clock  in  the  afternoon,  we  were  moved  to  the  left, 
where  we  were  actively  engaged  until  dark.  I  fixed  upon  a  spot  for  hospital  purposes  about  a  mile  and  a  half  in  the  rear 
of  the  battle-field,  near  the  Stone  House.  This  location  came  within  the  range  of  the  artillery  of  the  enemy,  and  a  removal 
of  the  hospital  to  another  site  became  necessary.  I  took  the  few  wounded  who  had  arrived  in  an  ambulance  to  a  spot  about  a 
mile  and  a  half  to  the  right  of  the  battle-field,  near  a  small  stream  of  water.  At  this  point,  I  met  several  medical  officers,  among 
whom  was  Surgeon  McParlin.  medical  director  of  the  army,  who  informed  me  that  the  wounded  were  all  to  be  sent  to  the  depot 
hospital  in  the  vicinity  of  Bull  Run  creek.  At  his  request,  I  proceeded  thither  for  the  purpose  of  assisting  in  dressing  the 
wounded.  I  was  engaged  at  the  hospital  over  Saturday  night  and  during  Sunday,  at  which  time  the  wounded  were  removed. 
This  hospital  was  furnished  with  abundant  supplies  of  hospital  stores,  food,  hospital  tents,  etc.  Much  difficulty  occurred  for 
want  of  laborers,  and  but  few  tents  were  pitched.  Many  of  the  wounded  were  obliged  to  lay  on  the  ground,  exposed  to  a  cold 
rain  which  fell  on  Saturday  night  and  Sunday.  I  found  here  Doctor  Heard,  who  had  left  Gainesville  with  wounded  in  ambulances 
on  the  28th.  He  had  been  unable  to  reach  Manassas.  The  wounded  had  been  faithfully  cared  for  by  him,  notwithstanding  they 
had  been  on  the  road  for  three  days  and  a  half.  It  is  impossible  for  me  to  give  a  correct  statement  of  the  character  and  duration 
of  fire  to  which  the  men  who  were  brought  to  this  hospital  had  been  exposed.  Primary  amputations  were  performed.  No 
deaths  from  chloroform  occurred. 

I  rejoined  the  division  on  the  1st  of  September,  near  Fairfax  Court-house,  on  the  Aldie  road,  where  it  was  engaged  with 
the  enemy.  I  established  a  field  hospital  under  a  large  willow  tree,  near  a  spring  of  water,  at  the  junction  of  the  Little  River 
and  Warrenton  turnpikes,  and  directed  the  wounded  to  be  brought  to  this  place.  I  was  soon,  however,  obliged  to  remove  my 
hospital  to  a  church  building  near  Fairfax  Court-houae,  owing  to  the  precipitate  retreat  of  the  army.  During  the  entire  night, 
I  was  engaged  in  dressing  the  wounded.  The  men  were  mostly  wounded  in  the  upper  extremity  and  head,  and  came  to  the 
hospital  on  foot.  They  were  sent  on  foot  to  the  rear,  after  their  wounds  had  been  dressed. 

On  the  3d  of  September,  the  troops  went  into  camp  at  Hall's  hill,  near  Washington,  where  they  remained  until  the  6th. 
From  the  9th  of  August  until  the  3d  of  September,  the  division  was  almost  continually  on  the  march  and  under  fire.  They 
were  much  exhausted,  and  somewhat  demoralized.  I  was  taken  sick  on  the  3d  of  September,  and  had  every  symptom  of 
pneumonia.  I  had  so  far  recovered,  however,  as  to  resume  the  inarch  on  Saturday,  the  Gth,  when  we  left  Hall's  hill,  crossing 
the  Potomac,  over  Aqueduct  bridge,  passing  through  Washington  at  11  o'clock  that  night.  On  Sunday,  the  7th,  the  troops  went 
into  camp  near  Leesboro',  twelve  miles  north  of  Washington,  where  they  remained  until  night.  I  was  again  taken  sick  on 
the  7th,  and,  not  being  able  to  resume  the  march,  I  was  sent  to  Washington  in  an  ambulance.  I  continued  sick  until  the  22d 
of  October,  at  which  time  I  rejoined  the  division  of  General  Ricketts,  then  encamped  near  Sharpsburg,  Maryland.  The  troops 
at  this  time  were  much  exhausted  from  long  marches  and  the  fatigues  of  the  recent  battles  in  which  they  had  been  engaged  in 
Maryland.  I  remained  with  the  command  until  the  25th  of  October,  when  I  was  ordered  to  report  to  Medical  Director  J.  J. 
Milhau,  at  Frederick,  Maryland,  as  acting  medical  inspector.  While  on  this  duty,  I  inspected  the  hospitals  at  Frederick, 
Middletown,  Boonsboro',  Smoketown,  Locust  Springs,  Sharpsburg,  Williamsport,  Hagerstown,  Berlin  and  Harper's  Ferry. 
Tents  were  chiefly  used  for  hospital  purposes  at  these  places.  The  hospitals  at  Frederick,  Smoketown  and  Locust  Springs 
were  admirably  arranged  for  the  accommodation  of  the  sick  and  wounded." 


XCIX.     Extract  from  a  Report  to  the  Surgeon  General.     By  Assistant  Surgeon  WM.  P.  GKIER, 
U.  S.  Army. 

"After  the  battle  of  Cedar  Mountain,  the  wounded  were  carried  from  the  field  to  the  town  of  Culpepper  in 
ambulances,  a  distance  of  six  miles.  They  were  placed  in  various  buildings,  which  had  been  taken  for  temporary  hospitals. 
The  battle  was  fought  on  Saturday,  August  9th,  and  by  Monday  night,  the  llth,  all  the  wounded  had  been  removed  to  these 
hospitals.  The  general  hospitals  to  which  they  were  conveyed  from  Culpepper  were  the  Marshall  House  and  Mansion  House 
in  Alexandria.  They  were  carried  on  freight  cars,  the  floors  being  covered  with  straw.  The  first  train  left  Culpepper  early 
Tuesday  morning,  August  12th,  carrying  four  hundred  and  eighty  wounded,  and,  it  is  worthy  of  notice,  that  there  were  among 
them  some  twenty-five  or  thirty  recent  amputations  of  legs,  thighs  and  arms,  all  performed  the  evening  previous,  that  were 
carried  seventy  miles,  over  a  very  rough  and  newly  laid  road,  without  any  serious  accident.  The  anaesthetic  employed  at 
Culpepper  was  chloroform  ;  that  which  I  have  used  in  the  general  hospitals  to  which  I  have  been  attached  has  been  a  mixture 
of  ether  and  chloroform.  I  have  never  observed  deaths  from  either  of  the  above." 


C.     Report,  with  regard  to  the  Removal  of  the  Wounded,  after  the  Second  Battle  of  Manassas. 
By  Medical  Inspector  R.  II.  COOLIDGE,  U.  S.  Army. 

WASHINGTON,  D.  C.,  September  11,  1862. 

GENERAL:  In  obedience  to  your  orders,  I  left  this  city  at  midnight,  August  30,  1862,  and  proceeded  as  rapidly  as 
possible  to  Centreville,  Virginia,  where,  at  six  A.  M.,  on  Sunday,  August  31st,  I  reported  in  person  to  Major  General  Pope,  to 
whom  I  exhibited  my  instructions.  Acquainting  myself  as  rapidly  as  possible  with  the  situation  of  affairs,  I  decided  upon  the 
following  course  :  First,  to  remove  the  wounded  from  the  hospitals  at  Bull  Run,  in  advance  of  Centreville,  and  to  transfer  the 
whole  establishment,  surgeons,  nurses,  cooks,  cooking  apparatus  and  medical  supplies,  to  Fairfax  Station,  where  there  were 
subsistence  stores,  and  where  the  wounded  could  receive  food  and  medical  attendance  before  being  transferred  to  the  railroad 


REPORT    OF    MEDICAL    INSPECTOR    COOLIDGE.  125 

cars  to  be  forwarded  to  this  city.  Medical  Inspector  Edward  P.  Vollum,  who  superintended  the  transfer,  reports  that  it  was 
safely  accomplished,  and  that  the  number  removed  was  about  twelve  hundred.  Finding  it  impossible,  on  account  of  the 
presence  of  tlie  enemy,  to  remove  our  wounded  from  Manassas  Junction  and  Bristoe  Station,  I  commenced  emptying  the  over 
crowded  hospitals  at  Centreville,  and  placed  the  first  train  of  ambulances  in  charge  of  Assistant  Surgeon  J.  Cooper  McKee, 
with  orders  to  remain  at  Fairfax  Station,  to  superintend  the  transfer  of  wounded  from  the  ambulances  to  the  cars,  and  to  send 
back  to  me  all  ambulances  as  rapidly  as  possible.  After  giving  these  orders  and  seeing  that  they  were  being  executed,  I  went 
to  Major  General  Pope  and  stated  that  I  had  been  informed  that  a  large  number  of  our  wounded  were  still  lying  on  the  battle 
field,  and  requested  that  he  would  apply  for  a  flag  of  truce,  that  they  might  be  removed.  The  General  made  the  application 
immediately.  The  reply  granting  the  flag  was  communicated  to  Medical  Director  McParlin,  Sunday  evening,  too  late  to 
proceed  that  night.  I,  however,  ordered  Medical  Director  McParlin  to  have  his  trains  of  ambulances  ready,  and  to  procure 
from  regiments,  brigades  and  divisions  the  necessary  detail  of  surgeons  and  assistants,  the  whole  to  move  at  six  o'clock  on 
Monday  morning.  I  also  directed  Surgeon  Page  and  most  of  the  medical  officers  sent  by  you  from  this  city  to  accompany 
Surgeon  McParlin.  The  train  of  thirty-seven  wagons,  containing  medical  and  hospital  supplies  dispatched  by  you  on  Saturday 
night  in  charge  of  Assistant  Surgeon  Webster,  arrived  at  a  late  hour  on  Sunday  night.  These  wagons  were  unloaded  at 
Centreville,  and  sent  to  the  battle-field  with  Surgeon  McParlin,  who  took  such  of  the  supplies  as  he  thought  would  be  required, 
and  also  his  hospital  supply  wagon.  It  is  to  be  remarked  here  that  I  had  been  officially  informed  that  the  army  would  remain 
at  Centreville;  that  I  had  no  definite  knowledge  of  the  number  of  our  wounded  on  the  field,  or  their  precise  situation,  and 
intended  keeping  the  trains  moving  as  rapidly  as  possible  between  the  battle-field  and  Centreville,  expecting,  in  two  days,  to 
complete  their  removal. 

Of  all  the  trains  of  ambulances  sent  to  Fairfax  Station  on  Sunday,  but  one  returned,  and  that  was  sent  to  the  battle-field. 
On  Monday,  judging  from  the  movements  around  me  that  the  army  would  fall  back,  I  applied  to  Colonel  Ruggles,  Assistant 
Adjutant  General  and  Chief  of  Staff,  who  informed  me  that  while  he  thought  the  army  would  full  back,  it  was  not  yet  so 
decided.  I  then  asked  that  I  might  be  informed  as  soon  as  the  decision  was  made.  Early  Monday  evening,  I  think 
about  seven  o'clock,  I  went  to  Major  General  Pope,  stated  my  impressions  from  what  I  heard  and  saw,  that  the  army  was 
retiring,  referred  to  the  nature  of  my  orders  from  you,  and  asked  whether  I  should  accompany  him,  or  remain  with  the 
wounded,  and  send  his  medical  director,  Surgeon  McParlin,  to  him.  The  General  decided  I  should  send  Medical  Director  Mc- 
Purlin  to  him,  and  remain  myself  with  the  wounded.  The  General  also  stated  to  me  that  he  had  no  intention  of  leaving  this 
place  (Centreville);  that  the  old  Braddock  road  to  Fairfax  Station  was  open,  and  that  my  ambulances  should  be  sent  that  way. 
During  both  Sunday  and  Monday,  I  had  made  repeated  efforts  to  procure  subsistence  stores.  So  far  as  I  could  ascertain,  there 
were  none  at  Centreville.  Colonel  E.  G.  Beckwith,  chief  commissary,  gave  me  an  order  on  any  commissary  I  could  find  for 
one  beef,  which  I  procured  on  Monday  morning.  I  also  obtained  some  coffee,  sugar,  candles  and  hard  bread.  On  Monday 
night,  when  the  wagons  were  passing  through  Centreville,  Commissary  Smith  left  with  me  a  few  subsistence  stores.  The  first 
train  of  ambulances  arrived  in  Centreville  from  the  battle-field  on  Monday  evening.  The  wounded  were  fed  with  soup,  coffee 
and  hard  bread,  furnished  with  blankets,  and  forwarded  at  daybreak,  Tuesday  morning,  by  the  Braddock  road.  During  the 
night,  all  our  troops  left  Centreville,  and,  on  Tuesday  morning,  the  place  was  occupied  by  the  enemy.  I  had  not  deemed  it 
proper  either  to  send  back  my  hospital  supplies  or  to  destroy  them,  trusting  that  our  wounded  would  have  some  benefit  from  them, 
even  after  they  had  passed  from  my  control.  The  result  did  not  disappoint  my  expectations.  Of  the  four  thousand  blankets 
you  sent  to  me,  two  thousand  at  least  were  used  for  our  wounded,  and  the  requisitions  of  the  medical  officers  at  Centreville  for 
medical  and  hospital  stores  for  immediate  use,  including  concentrated  beef  essence,  mutton  broth,  extract  of  coffee,  sugar  and 
milk,  milk  in  cans,  crackers,  brandy,  whiskey,  wine  and  tea,  were  promptly  complied  with.  On  Tuesday  morning,  after  the 
occupation  of  Centreville  by  the  rebel  troops,  I  received  from  Medical  Director  McParlin  a  requisition  for  subsistence  for  one 
thousand  five  hundred  men,  and  a  note  describing  the  destitute  condition  of  our  wounded  on  the  field.  This  was  the  first 
information  I  had  received  concerning  the  situation  of  our  wounded  beyond  Centreville.  Their  number  was  much  greater  than 
I  had  been  led  to  believe,  and  the  situation  far  more  critical.  The  hospital  stores  at  Centreville  were  not  more  than  enough  for 
the  wounded  there,  and  I  had  no  means  of  sending  anything  to  the  battle-field.  I  stated  the  emergency  to  Major  Talcot  and 
Captain  Johnson,  officers  of  the  engineer  corps  of  the  Confederate  army,  who  had  arrived  in  Centreville,  and  suggested,  if  not 
improper,  that  I  might  accompany  them  to  General  Lee's  headquarters,  in  the  hope  of  obtaining  permission  to  pass  through 
his  lines  to  our  own  and  return  with  ambulances  and  provisions.  Those  officers  assented  readily  to  my  proposition,  and  I 
accompanied  them  to  the  headquarters  of  their  army.  I  did  not  speak  with  General  Lee,  nor  do  I  know  in  what  words  Major 
Talcot  communicated  to  him  the  object  of  my  visit.  The  reply  brought  to  me  was  that  General  Lee  had  communicated  with 
Major  General  Pope,  and  that  our  ambulances  would  be  allowed  to  pass.  I  was  also  informed  that  one  hundred  and  fifty 
ambulances  had  passed  through  their  lines  that  day.  With  this  information,  I  returned  to  Centreviile,  expecting  to  find 
ambulances,  but  found  only  one,  the  driver  of  which  said  he  had  started  with  a  large  train,  but  did  not  know  where  the  rest  had 
gone.  I  now  endeavored  to  hire  a  wagon  to  convey  a  few  stores  to  the  field,  and  intended  to  go  there  myself,  but  before  I  could 
get  a  wagon,  Medical  Director  McParlin  came  to  Centreville,  in  obedience  to  my  order  for  him  to  report  to  Major  General  Pope. 
The  conduct  of  affairs  on  the  field  had  been  entrusted  to  Surgeon  Charles  Page.  Medical  Director  McParlin  was  accompanied 
by  Medical  Director  L.  Guild,  of  the  army  of  northern  Virginia.  The  accounts  given  by  these  officers  of  the  situation  of  our 
wounded  were  distressing.  I  stated  to  them  what  I  had  done.  On  consultation,  it  was  determined  that  I  should  address  a 
letter  to  the  commander  of  the  Confederate  army,  stating  the  situation,  and  asking  that  both  subsistence  and  ambulances  be 
allowed  to  pass  to  us.  Medical  Director  Guild  also  wrote  to  his  commanding  general,  and  the  two  letters  were  sent  forward 
that  night  by  a  special  courier.  The  reply  received  by  Medical  Director  Guild  on  Wednesday  morning,  written  by  Colonel  K. 
H.  Chilton,  Assistant  Adjutant  General,  C.  S.  A.,  was  indefinite  as  to  my  main  inquiry  concerning  provisions  being  allowed  to 
pass,  but  it  directed  Medical  Director  Guild  to  furnish  subsistence  for  our  wounded  as  far  as  possible,  and  gave  the  route  for  our 
ambulances  to  take,  in  going  out,  viz. :  by  Centreville,  the  main  road  to  Fairfax  Court-house  and  Alexandria.  After  reading 
Colonel  Chilton's  communication,  I  addressed  a  letter  to  you,  which  was  forwarded  by  Medical  Director  Guild.  Believing  that 


126  APPENDED    DOCUMENTS SECOND    BULL    RUN. 

I  had  done  all  in  my  power  to  procure  subsistence,  I  proceeded,  in  company  with  Medical  Director  McParlin  (it  being 
impracticable  for  him  to  join  Major  General  Pope)  and  Medical  Director  Guild,  to  the  central  depot  of  our  wounded  on  the  battle 
field,  where  I  found  two  ambulances,  which  I  sent  to  Centreville  for  hospital  stores  and  blankets,  and  then  rode  over  the  entire 
field,  to  ascertain  the  situation  and  condition  of  our  wounded.  At  (his  time,  Wednesday  afternoon,  September  3d,  they  had  been 
collected  in  field  hospitals,  most  of  them  in  and  around  houses,  but  some  merely  in  groups  at  selected  sites  on  the  field,  without 
other  shelter  than  blankets.  Only  two  of  these  hospitals  were  without  medical  officers;  they  had  been  visited  by  the  surgeon  of 
the  central  station,  and  had  a  few  nurses.  There  were  about  thirty  wounded  in  each.  After  my  arrival  on  the  field,  only  four 
of  our  wounded  were  found  completely  isolated  and  without  attendance.  None  had  been  absolutely  without  food,  though  the 
amount  was  extremely  limited.  Those  who  had  been  collected  in  the  vicinity  of  houses  had  found  provisions  on  which  they 
had  subsisted.  In  some  instances,  the  surgeons  had  succeeded  in  procuring  a  sheep  or  a  pig  and  some  corn-meal,  and  in  one 
place,  the  Van  Pelt  house,  the  surgeons  found  coffee,  sugar,  cider,  wine,  and  were  able  to 'procure  meat.  Although  doubtful  of 
the  propriety  of  so  doing,  I  accepted  the  invitation  to  pass  the  night  with  Medical  Director  Guild  at  his  camp  on  the  battle-field. 
The  result  was,  as  I  had  hoped,  beneficial  to  my  wounded.  It  enabled  me  to  have  two  ambulances,  which  had  returned  empty 
from  Centreville,  filled  with  hospital  stores  and  blankets  from  the  supplies  that  had  been  conveyed  from  Centreville  to  the  camp 
of  Medical  Director  Guild,  and,  during  our  ride  over  the  field,  three  small  beeves  were  purchased  by  that  officer  and  ordered  to 
be  delivered  to  me  the  next  morning.  On  Thursday  morning,  the  first  train  of  ambulances  from  this  city  arrived  on  the  field, 
with  fresh  bread  and  an  abundant  and  varied  supply  of  food  and  hospital  stores.  I  instantly  dispatched  the  ambulances,  with 
provisions,  in  every  direction  over  the  field,  to  bring  to  the  central  station  all  who  were  without  some  shelter.  A  few  ambulances 
were  employed  in  conveying  stores  and  food  to  the  several  field  depots,  and  fresh  beef  Avas  sent  to  Centreville.  From  that 
moment,  trains  of  ambulances,  each  with  food  and  stores,  arrived  in  rapid  succession.  The  supply  was  superabundant.  The 
bread  which  otherwise  would  have  spoiled,  and  one  of  the  beeves  which  I  did  not  need,  and  which  I  could  not  feed,  were  given 
to  the  139th  Pennsylvania  Volunteers,  which  had  come  to  bury  our  dead,  and  had  failed  to  bring  rations.  My  great  difficulty 
now  was  to  feed  the  wounded  with  the  abundant  stores  at  my  command.  All  my  nurses  and  attendants  were  exhausted  by 
their  labors.  They  could  hardly  be  urged  to  the  necessary  effort.  Nevertheless,  with  the  aid  of  some  self-denying  and  noble 
hearted  citizens,  volunteer  nurses,  who  remained  to  the  last,  and  by  the  indefatigable  industry  and  attention  of  the  medical  staff, 
I  believe  no  one  suffered  for  water,  for  food  or  for  medical  attendance.  Each  train  of  ambulances  was  supplied  with  an 
abundance  of  mutton  broth,  extracts  of  beef  and  of  coffee,  canned  milk,  bread  and  water  for  the  journey.  All  the  wounded 
were  fed  just  before  starting,  and  directions  given  to  feed  them  on  the  road,  the  train  to  be  halted,  so  that  water  could  be  boiled 
wherewith  to  make  soup  and  coffee  from  the  prepared  essences  and  extracts.  One  soldier,  whom  it  was  impossible  otherwise  to 
move,  was  brought  to  this  city  under  the  influence  of  chloroform  administered  on  the  road  by  Assistant  Surgeon  Clarke,  U.  S.  V. 
The  removal  of  our  wounded  from  the  battle-field  was  completed  Tuesday  afternoon,  the  9th  instant,  and  the  last  trains  of 
ambulances  arrived  at  Fairfax  Seminary  hospital  early  Wednesday  morning. 

In  conclusion,  I  submit  the  following  remarks:  If  I  had  been  informed  that  Centreville  was  to  be  evacuated  by  our 
forces,  I  would  have  had  the  little  subsistence  remaining  in  that  place  conveyed  to  the  field  before  the  army  retired.  The  large 
supply  of  blankets  and  hospital  stores  Bent  by  you  from  this  city  on  Saturday  evening,  August  30th,  saved  the  lives  of  hundreds 
of  our  wounded;  indeed,  without  these  supplies  many  must  have  died  from  exposure  and  starvation  on  Moirday,  Tuesday  and 
Wednesday,  September  1st,  2d  and  3d.  As  it  was,  I  believe  the  number  of  deaths,  fairly  attributable  to  want  of  food  and 
exposure,  is  very  small  indeed.  My  retaining  the  medical  and  hospital  stores  and  allowing  them  to  fall  into  the  hands  of  the 
enemy  was  well  for  our  wounded,  who  received  all  the  stores  that  the  medical  officers  applied  for,  as  necessary  for  immediate 
use,  and  nearly,  if  not  quite,  half  of  the  blankets.  The  medical  officers  applied  themselves  to  their  duties  with  an  energy  and 
devotedness  worthy  of  all  praise,  and  it  was  only  when  completely  exhausted  that  they  ceased  from  their  fatiguing  labors. 
The  corps  of  citizen  surgeons,  under  Dr.  Detmold,  rendered  efficient  service  for  two  days,  when  they  were  no  longer  needed, 
the  greater  portion  of  the  wounded  having  been  removed.  I  must  bear  testimony  to  the  heroic  fortitude  of  our  wounded  soldiers. 
All  appreciated  the  difficulties  of  their  situation,  and  uncomplainingly  awaited  that  relief  which  they  were  confident  their  govern 
ment  would  provide.  The  relief  came  at  the  moment  when  hope  had  almost  deserted  them.  The  unexpended  hospital  stores 
were  brought  back  to  this  city,  as  was  also  a  large  portion  of  the  commissary  stores.  A  quantity  of  subsistence  stores,  for 
which  I  had  no  transportation,  was  distributed  among  the  citizens  whose  premises  had  been  occupied  by  our  wounded.  Our 
wounded  were  collected  in  twenty-one  field  hospitals,  within  an  area  ten  miles  long  by  seven  wide.  It  was  impossible  to 
ascertain,  with  precision,  the  number  of  wounded;  but,  from  the  data  in  my  possession,  I  estimate  it  to  be  four  thousand.  I 
cannot  close  this  report  without  commenting  on  the  conduct  of  the  ambulance  drivers.  It  was  with  the  greatest  difficulty  that  I 
could  put  a  reasonable  limit  to  their  stealing  from  my  commissary  and  hospital  stores.  Some  would  appropriate,  to  their  own 
use,  hospital  blankets,  and  be  highly  insolent  when  they  were  taken  away  for  the  wounded.  Very  few  would  assist  in  placing 
the  wounded  in  their  ambulances;  still  fewer  could  be  induced  to  assist  in  feeding  them  or  giving  them  water.  Some  were 
drunk;  many  were  insubordinate;  others  when  detected  with  provisions  or  stores  would  not  surrender  them  until  compelled  to 
by  physical  force.  The  practice  of  loading  ambulances  with  forage,  camp-kettles,  personal  baggage  and  subsistence  for  the 
drivers  needs  a  corrective.  These  things  occupy  space  required  for  the  wounded  and  greatly  interfere  with  their  comfort. 
A  wagon  with  stores  and  forage  should  accompany  every  train  of  fifty  ambulances,  and  nothing  but  sick  and  wounded  men  and 
water  should  be  put  in  the  vehicles  themselves.  The  service  greatly  needs  a  well  organized  ambulance  corps,  and  I  hope  the 
Secretary  of  War  will  adopt  the  organization  you  have  recommended. 

Your  obedient  servant, 

RICHARD  H.  COOLIDGE, 

Medical  Inspector  U.  S.  A. 

To  the  SURGEON  GENERAL  ov  THE  ARMY. 


REPORTS    OF    SURGEONS    WOODWARD,    FOYE,    AND    REILY.  127 

CI.     Memorandum  with  regard  to  the  Removal  of  the   Wounded  after  the  Second  Battle  of 
Manassas.     By  Assistant  Surgeon  J.  J.  WOODWARD,  U.  S.  Army. 

"  On  the  afternoon  of  Thursday,  September  4,  1862,  I  was  requested  by  the  Surgeon  General  to  collect  and  take  charge 
of  such  hacks,  omnibuses  and  other  vehicles  as  could  be  collected  in  the  city  of  Washington,  and  to  proceed  with  them  to 
Centreville  for  the  relief  of  the  wounded.  The  vehicles  having  been  collected  by  a  company  of  cavalry,  a  few  army  wagons 
loaded  with  cooked  provisions  and  other  supplies  were  added,  and  we  set  out  about  eleven  o'clock,  Thursday  night,  the  train 
consisting  of  about  one  hundred  hacks,  forty  omnibuses,  wagons  and  other  vehicles,  and  half  a  dozen  army  wagons.  We 
arrived  at  Centreville  about  noon  next  day,  and,  having  been  permitted  to  pass  by  the  Confederate  officer  in  command,  reached 
the  orchard  where  most  of  the  wounded  were  congregated  the  same  afternoon.  During  the  following  day,  the  train  was  loaded 
with  wounded,  some  six  or  seven  hundred  in  number,  and  reached  Washington  with  them  about  daybreak,  Sunday  morning.'' 


CIL     Second  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Surgeon 
JOHN  W.  FOYE,  U.  S.  Volunteers. 

"  On  the  23d  of  August,  our  division  disembarked  at  Alexandria,  on  its  way  to  reinforce  General  Pope,  and, 
on  the  evening  of  the  25th,  proceeded  by  rail  to  Warrenton  Junction,  reaching  that  point  at  two  o'clock  A.  M.,  August  2Cth. 
Our  trains  and  horses  were  en  route  by  transports  from  the  Peninsula ;  hence,  our  camp  equipage,  which  accompanied  us  by 
rail  to  the  junction,  was  discharged  there,  and,  two  days  later,  destroyed  by  order.  The  execution  of  this  order  involved  the 
loss  of  all  our  hospital  property,  including  books,  records,  etc.,  from  the  formation  of  the  regiment  to  date.  The  same  day,  I 
received  orders  from  the  surgeon  in  chief  of  the  division  to  proceed  with  dispatch  to  Alexandria,  there  to  procure  supplies,  a 
battle  being  imminent.  I  boarded  the  train  at  five  P.  M.,  and  proceeded  as  far  as  Bristoe  Station,  at  which  point  it  received 
the  fire  of  two  companies  of  Stuart's  cavalry,  deployed  as  skirmishers,  and  five  regiments  of  Louisiana  infantry,  in  line  of  battle. 
The  train,  which  consisted  of  ordinary  freight  cars,  was  thrown  from  the  track  while  at  full  speed,  and,  during  the  night,  was 
destroyed  by  its  captors.  In  addition  to  the  engineer,  fireman  and  brakesman,  the  train  carried  seven  passengers,  five  of  whom 
were  killed  by  the  enemy's  fire ;  at  least  I  was  so  informed  by  the  commandant  of  the  attacking  party  on  the  following  morning. 

Wednesday,  August  27th,  at  about  eight  A.  M.,  a  company  of  the  12th  Pennsylvania  Cavalry,  who  had  been  absent  two  days 
on  a  scout,  were  returning  to  their  encampment  near  Bristoe,  and  unaware  of  the  changes  which  had  occurred  during  their 
absence,  they  obtained  a  dangerous  proximity  to  the  enemy  before  discovering  his  presence.  They  then  formed,  but  receiving 
the  fire  from  a  section  of  field  artillery  at  five  hundred  yards,  became  disorganized,  and  were  immediately  attacked  and  routed. 
I  asked  for  and  obtained  permission  from  Major  Wheat,  provost  marshal  of  Jackson's  command,  to  attend  the  wounded 
captured  in  this  affair,  but  the  want  of  appliances  limited  my  treatment.  In  the  fight  which  followed  that  day  at  Bristoe 
Station,  the  number  of  Union  prisoners  was  augmented,  although  the  Confederate  troops  were  being  gradually  forced  back 
toward  Manassas.  Such  of  them  as  were  wounded  were  turned  over  to  my  care ;  but  at  sunset,  unable  longer  to  hold  the 
field,  they  paroled  the  wounded,  taking  the  officers  and  uninjured  to  Manassas.  At  five  A.  M.,  August  23th,  the  prisoners 
followed  the  main  body  of  Jackson's  command  towards  Centreville.  crossing  Bull  Run  at  Blackurn's  Ford,  and  going  across 
the  country  by  a  circuitous  route  to  Sudley  church,  which  they  reached  at  about  five  o'clock  p.  M.  The  privates  were  then 
paroled,  but  the  officers  were  all  retained.  About  sunset,  a  brisk  skirmish  occurred  on  the  western  edge  of  the  Bull  Run  field 
in  which  some  thirty  Confederates  were  wounded.  The  church  was  immediately  fitted  up  by  order  of  Surgeon  McGuire, 
medical  director  of  Jackson's  command,  and  I  obtained  permission  of  him  to  attend  the  wounded  of  my  own  army,  should 
any  be  brought  in.  On  the  following  morning,  the  second  battle  of  Manassas  commenced,  and  a  second  time  I  saw  the  church 
filled  with  wounded.  At  ten  A.  M.,  the  enemy  having  been  steadily  forced  back  towards  the  church,  it  became  untenable,  the 
wounded  were  hastily  removed  across  the  ford,  and  the  enemy's  wagons,  thirty  in  number,  were  started  in  the  direction  of  Aldie 
at  a  rapid  rate.  The  prisoners,  myself  included,  followed  the  train  under  a  strong  guard,  reaching  Aldie  at  four  r.  M.  Here 
we  remained  until  Sunday,  the  31st,  when  we  were  again  brought  back  to  Sudley's  Ford.  We  here  made  application  to  go  on 
the  field,  under  a  guard,  and  bury  our  dead,  which  was  refused.  We  remained  at  the  ford  during  Monday,  September  1st. 
The  same  day,  we  were  joined  by  thirty  officers  and  twelve  hundred  and  fifty  privates,  captured  during  the  fight  and  the  day 
following.  The  privates  were  all  paroled,  the  officers  taken  to  Richmond,  starting  at  daybreak,  September  2d.  The  night 
before,  I  obtained  my  release,  and  accompanied  the  paroled  men  to  Saltillo  farm,  near  the  scene  of  the  Chantilly  battle.  The 
men  were  here  ordered  back  to  Centreville,  and  I  was  allowed  to  go  to  Chantilly,  to  look  after  our  wounded  there.  Assisted 
by  the  Surgeon  of  the  Brooklyn  Zouaves,  the  wrants  of  the  wounded  were  attended  to,  food  given  them,  and  their  wounds 
dressed.  I  obtained  a  pass  from  Fitzhugh  Lee,  and  started  for  Washington  by  the  way  of  Fairfax.  September  3d,  I  reported 
in  person  at  the  Surgeon  General's  Office,  and  learned  that  a  train  of  ambulances,  under  the  direction  of  Assistant  Surgeon 
Byrne,  U.  S.  A.,  was  then  fitting  for  the  battle-field. 

On  the  following  day,  I  reported  to  my  regiment,  near  Alexandria,  and  learned  its  loss  in  the  three  battles,  viz.,  Bristoe 
Station,  August  27th,  Manassas,  August  29th,  and  Chantilly,  September  1st,  to  be  thirteen  killed  and  about  seventy  wounded, 
including,  in  the  former  number,  three  officers.  The  strength  of  the  command,  on  the  first  day's  fight,  was  about  five  hundred 
and  fifty." 

CHI.      Third  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant 
Surgeon  JOHN  T.  REILY,  U.  S.  Army. 

"On  the  30th  of  August,  1862,  the  command  was  ordered  to  move  up  the  road  towai-ds  Centreville,  and 
marched  five  miles,  when  it  went  into  camp  and  remained  until  eight  o'clock  on  the  next  morning,  when  the  march  was 
continued  till  we  arrived  at  Centreville,  about  four  P.  M.  The  battle  of  Bull  Run,  which  had  commenced  the  day  previous,  was 


128  APPENDED  DOCUMENTS SECOND  BULL  EUN. 

going  on  at  that  time,  and  artillery  firing  had  been  heard  by  us  while  on  the  march.  During  the  day,  we  met  many  stragglers, 
the  number  increasing  as  we  approached  Centreville.  Having  halted  a  short  time,  the  command  was  ordered  to  move  in  the 
direction  of  Bull  Run,  and  advanced  about  two  miles  to  Cub  Run,  a  very  difficult  stream  for  the  passage  of  artillery  under 
ordinary  circumstances ;  but  when  the  road  was  filled  with  straggling  fugitives  who  were  moving  to  the  rear  as  fast  as  possible, 
it  was  almost  impracticable.  A  considerable  time  was  consequently  occupied  in  getting  the  guns  in  position  on  the  opposite 
side  of  the  stream,  where  it  was  expected  they  would  be  used,  supported  by  the  infantry  of  the  division  which  had  crossed  to 
the  left  of  the  battery,  to  cover  the  retreat  of  the  army  then  coming  in  in  great  disorder.  The  condition  of  the  retreating  troops 
was  such,  however,  as  to  prevent  using  the  guns  without  firing  upon  them.  As  soon  as  the  disorganized  mass  of  men  had  passed, 
the  regular  infantry,  under  General  Sykes,  came  in,  covering  the  retreat,  and  the  command  was  immediately  ordered  to  fall  back 
to  Centreville,  where  it  arrived  about  nine  p.  M.,  taking  position  on  the  hill  to  the  left  of  the  town.  So  much  disorder  prevailed 
among  the  troops  which  had  been  engaged  that  no  effort  was  made  to  remove  the  wounded  from  the  field  until  the  following 
day,  when  Medical  Inspector  Coolidge,  detailed  surgeons  and  assistants,  with  hospital  supplies,  to  visit  and  relieve  the  sick 
and  wounded  who  were  left  behind.  About  seven  o'clock,  on  the  same  day,  the  command  was  ordered  to  move  toward 
Fairfax  Court-house,  and  reached  that  place  before  daylight  next  morning ;  the  troops  were  greatly  fatigued.  The  line  of 
march  was  resumed  next  morning,  and  the  command  reached  Alexandria  at  night,  camping  in  the  same  position  it  had  occupied 
three  days  previous.  The  health  of  the  troops  did  not  seem  to  be  affected  by  the  rapid  march  they  had  made."  *  *  * 


CIV.      Third  Extract  from  a  Personal   Contribution  to  the  Medical  and  Surgical  History  of 
the  Rebellion.     By  Assistant  Surgeon  A.  A.  WOODHULL,  U.  S.  Army. 

*  *  *  u  pa]m0uth,  Virginia,  was  reached  August  21st  by  the  battalion  with  which  I  was  serving,  and,  after  a  very 
fatiguing  march,  we  attained  Manassas  Junction  on  the  23d.  It  was  engaged  on  the  30th.  Its  discipline  was  conspicuous;  its 
strength  was  three  hundred  and  ten.  Two  positions  were  occupied:  one  in  the  centre,  where  a  few  were  lost,  and  afterwards 
on  the  left  of  the  new  line,  checking  the  rebels  in  their  flank  movements.  The  very  severely  wounded  were  left  on  the  field. 
But  one  or  two  litters  were  with  the  battalion,  and  they  were  ineffective.  The  chief  loss  was  from  musketry  at  short  range. 
Many  of  the  wounded  were  removed  to  Centreville,  but  sufficient  supplies  were  long  in  reaching  those  abandoned.  The 
casualties  of  the  battalion  were  eighty-five,  being  twenty-seven  per  centum  of  the  strength.  The  next  day  but  one,  the  6th 
Infantry  fell  under  my  care,  and  remained  so  until  November.  There  were  no  ambulances  with  the  division  from  the  evacuation 
of  the  Peninsula  until  we  entered  Maryland. 


CV.     Second  Extract  from  a  Narrative  of  his  Services.     By  Assistant  Surgeon  J.  THEODORE 
CALHOUN,  U.  S.  Army. 

*  "  Embarking  at  Yorktown  on  transports,  my  regiment,  the  5th  Excelsior,  was  transferred  to  Alexandria,  and 
marched  to  the  outskirts  of  the  city  on  the  Fairfax  pike.  Remaining  there  but  one  day,  we  were  hurriedly  put  on  cars  at  night 
fall,  and,  in  the  middle  of  the  night,  were  disembarked  at  Warrenton  Junction.  *  Remaining  one  day  at  the  Junction,  on 
the  27th  of  August,  we  learned  that  the  enemy  were  in  our  rear,  and  accordingly  took  up  the  line  of  march,  on  the  Orange  and 
Alexandria  railroad,  toward  Manassas,  leaving  our  baggage  unpacked.  Driving  a  line  of  the  enemy's  skirmishers  before  us, 
we  advanced  through  Catlett's  and  across  Kettle  Run,  to  find  the  enemy  strongly  posted  about  a  half  a  mile  from  Bristoe  Station. 
The  battle  which  ensued  was  short,  but  severe.  Our  loss  was  very  large;  and,  though  the  action  lasted  less  than  half  an  hour, 
my  own  regiment  lost  a  third  of  its  men,  killed  and  wounded,  and  eight  out  of  thirteen  of  its  officers.  *  *  I  dispatched  the 
wounded  to  the  rear  as  fast  as  possible,  and,  after  the  action,  repaired  to  the  hospital,  about  one-fourth  of  a  mile  distant,  and 
aided  in  performing  the  necessary  operations.  Two  days  subsequently,  our  division  engaged  the  enemy  at  Bull  Run  for  two 
successive  days,  my  own  regiment  losing  nearly  half  of  its  men,  killed  or  wounded.  The  hospital  was  situated  on  the  banks 
of  one  of  the  little  tributaries  of  Bull  Run,  and,  subsequently,  on  the  banks  of  the  Run  itself.  As  most  of  the  men  of  my 
regiment  were  lost  in  the  first  day's  fighting,  the  wounded,  except  a  few  left  in  the  hands  of  the  enemy,  were  properly  attended 
to  and  sent  to  the  rear  before  the  retreat  to  Centreville  heights.  At  the  battle  of  Chantilly,  which  took  place  in  a  drenching 
rain  a  few  days  afterwards,  I  was  present  with  my  regiment,  which  suffered  no  casualties. 

The  division  moved  from  Chantilly,  via  Fairfax  Court-house,  Fairfax  Station  and  Pohick  church,  to  Alexandria,  and, 
being  reduced  to  a  mere  skeleton,  went  into  camp  near  Fort  Lyons  to  recruit  and  reorganize. 

At  the  battles  of  Bristoe,  Bull  Run  and  Chantilly,  I  had,  besides  my  own  regiment,  charge  of  the  1st  Excelsior  regiment, 
which  was  without  a  medical  officer,  and,  at  Alexandria,  I,  for  a  long  time,  had  charge  of  three,  and,  at  one  time,  of  four 
regiments,  owing  to  the  absence  of  their  medical  officers." 


CYI.      Third  Extract  from  Memoranda  for  the  Surgical  History  of  the  War.     By  Assistant 
Surgeon  B.  HOWARD,  U.  S.  Army. 

"  On  the  evening  of  the  30th  of  August,  1862,  the  army  had  retreated  from  the  field,  the  headquarters  of  the 
general  commanding  being  at  Centreville.  No  field  hospitals  were  established  in  the  town,  but  all  available  houses  and  the 
churches  were  filled  with  wounded.  The  supplies  here  seemed  adequate  to  the  immediate  necessities  of  those  in  the  town. 
The  great  majority  of  the  wounded,  however,  were  left  on  the  field  in  the  vicinity  of  Bull  Run.  Early  on  the  morning  of 
September  1st,  Surgeon  McParlin,  U.  S.  A.,  medical  director,  proceeded  to  the  field,  under  a  flag  of  truce,  with  a  large  number 
of  surgeons  detailed  for  the  purpose,  and  all  the  ambulances  which  were  available.  A  peach  orchard,  on  the  right  of  Warrenton 
turnpike,  about  a  quarter  of  a  mile  north  of  the  Orange  and  Alexandria  railroad,  was  made  the  rendezvous  whither  the 


REPORTS  OF  SURGEONS  SMITH  AND  LEE.  129 

surgeons  were  directed  to  bring  the  wounded.  Many  surgeons,  however,  in  charge  of  ambulance  trains,  proceeded  to  Centreville 
as  soon  as  their  ambulances  were  loaded;  this  caused  a  scarcity  of  ambulances  and  of  surgeons,  so  much  so  that  it  was  with 
very  great  difliculty  that  those  detailed  as  operators  could  get  necessary  assistants,  and  they  had  to  rely  mainly  upon  unpro 
fessional  persons  for  help  in  the  most  difficult  cases.  The  battle  commenced  on  the  28th,  and  continued  until  the  evening  of  the 
3llth.  All  the  wounded  were  not  brought  in  until  the  8th  of  September.  Some  of  them  stated  that  they  had  received  no  food, 
drink  or  assistance  from  the  time  they  fell  until  brought  off  by  the  ambulances,  giving  a  mean  of  four  and  a  half  days  without 
food.  Some  shared  the  meagre  fare  of  straggling  rebels.  On  the  evening  of  Tuesday,  the  2d,  there  arose  very  heavy  thunder 
storms,  which  were  repeated  the  next  two  days,  drenching  the  wounded.  Of  those  brought  to  the  peach  orchard,  with  few 
exceptions,  all  were  submitted  to  the  necessary  operations  before  further  removal.  The  hot  sun  and  drenching  showers 
alternated  to  the  great  discomfort  of  the  patients,  but  the  most  painful  consideration  was  how  to  appease  their  hunger  and  save 
them  and  ourselves  from  starvation.  Supplies  had  been  forbidden  to  come  with  the  flag  of  truce,  and  those  which  were  being 
sent  in  abundance  from  Washington  were  secured  by  the  enemy  for  their  own  wounded.  On  September  3d,  there  were 
about  three  thousand  wounded  on  the  field,  but  still  no  food;  everybody  suffered  from  hunger;  and,  although  constantly 
operating,  I  had  only  a  little  tea,  brandy  and  sugar.  :  Shortly  after,  a  train  of  ambulances  arrived.  Supplies  of  every 

sort  now  abounded,  and  all  the  remaining  wounded  were  conveyed  in  ambulances  to  Washington  on  Saturday  and  Monday,  the 
6th  and  8th.  Both  amputations  and  resections  were  performed  on  the  field;  the  former,  both  circular  and  flap;  and,  among 
other  operations,  amputations  of  the  knee  joint  with  and  without  inclusion  of  the  patella." 


CYII.     Second  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant 
Surgeon  A.  H.  SMITH,  U.  S.  Army. 

*  *  *  "\Ve  reached  the  battle-field  of  Cedar  Mountain  on  the  9th  of  August,  after  the  firing  had  ceased.  I  spent 
the  following  night  in  assisting  in  the  attendance  upon  the  wounded  of  Banks's  Corps,  who  were  at  a  house  near  where  our 
regiment  lay.  I  extracted  a  considerable  number  of  balls,  nearly  all  of  which  were  round.  I  think  none  of  the  wounded 
suffered  from  lack  of  attention  or  of  proper  appliances  for  their  relief.  I  witnessed  the  artillery  fight  at  Rappahannock  bridge, 
but  none  of  the  wounded  came  under  my  observation.  During  the  severe  fighting  on  the  30th  of  August,  our  brigade 
(Towers's,  of  General  Ricketts's  division)  was  on  the  left  of  the  line.  Early  in  the  engagement,  I  was  separated  from  the 
command  by  large  masses  of  troops,  which  intervened  while  I  stopped  to  attend  those  who  fell  before  the  regiment  got  into 
position.  In  a  few  moments,  the  enemy  had  gained  a  position  in  the  rear  of  our  left,  and  were  sweeping  the  ground  with  shell 
and  round  shot.  From  the  position  I  occupied,  I  could  distinguish  our  brigade  by  its  flag,  surrounded  by  the  enemy  on  three 
sides,  and  receiving  a  heavy  fire  at  a  distance  of  seventy-five  or  a  hundred  yards.  Finding  I  could  render  no  assistance  to  the 
wounded  where  I  was,  with  any  safety  to  them  or  to  myself,  I  set  out  for  the  general  depot  for  the  wounded,  about  half  a  mile 
to  the  rear.  Just  as  I  reached  it,  the  last  of  the  wounded  were  being  removed,  the  enemy's  shells  tearing  up  the  earth  in 
every  direction  around  the  tents.  The  left  wing  was,  by  this  time,  in  full  retreat,  and  I  was  carried  along  with  it  over  Bull  Run. 
The  first  house  on  the  left  of  the  Centreville  turnpike  was  filled  with  wounded,  and  from  twenty-five  to  thirty  were  lying  in 
the  yard.  Here  I  passed  the  night,  extracting  balls,  applying  water  dressings  and  distributing  morphine.  Towards  morning, 
a  cold  rain  set  in,  but  there  was,  fortunately,  a  quantity  of  loose  boards  at  hand,  with  which  shelters  were  contrived,  affording 
partial  protection  to  the  wounded.  '  ;  On  Monday  morning,  I  went  from  Centreville  to  the  field  with  the  flag  of  truce.  It 
was  supposed,  when  we  left  Centreville,  that  all  the  wounded  would  be  removed  that  day.  The  ambulances,  said  to  be  two 
hundred  in  number,  remained,  however,  until  nearly  night,  when  they  were  loaded  and  sent  away,  taking  but  a  portion  of  the 
wounded.  Nothing  more  was  seen  of  them  until  Thursday  morning.  On  that  portion  of  the  field  where  our  brigade  was 
engaged,  I  found  from  sixty  to  seventy  of  its  wounded.  During  the  first  day,  assisted  by  Dr.  Shackelford,  of  the  94th  New  York 
Volunteers,  I  succeeded  in  getting  many  of  the  wounded  on  that  portion  of  the  field  collected  into  groups,  and  a  part  of  them 
removed  to  the  shade  of  a  neighboring  wood.  Before  night,  nearly  every  one  of  the  ninety  soldiers  who  had  been  brought 
with  the  train  to  assist  in  removing  the  wounded  had  deserted.  It  was  said  that  they  went  to  Gainesville  and  were  paroled. 
Dr.  Shackelford  and  I  were  the  only  unwounded  persons  on  that  part  of  the  field.  It  rained  heavily  just  at  dark,  and  the 
rain  was  followed  by  a  cold  wind.  We  passed  the  greater  part  of  the  night  in  carrying  rails  to  build  fires,  and  in  distributing 
soup,  brandy  and  morphine.  The  sufferers  were  cheered  with  the  assurance  that  the  ambulances  would  return  in  the  morning. 
In  this  hope,  we  were  disappointed,  and  all  suffered  from  hunger,  after  the  handful  of  bread  brought  with  us  was  exhausted. 
There  was  then  nothing  to  eat  but  concentrated  beef  essence,  which  was  so  flavored  that  the  enfeebled  stomachs  of  the 
wounded  rebelled  against  it,  even  when  greatly  diluted.  I  was  enabled  to  obtain  a  small  quantity  of  stimulants,  scarcely 
enough  to  give  a  taste  to  each  one  who  required  it.  There  was,  however,  an  ample  supply  of  tea,  and  a  camp-kettle  found  on 
the  field  supplied  us  with  the  means  of  preparing  it.  A  few  blankets  had  been  brought  with  the  ambulances,  but  they  were 
immediately  distributed  to  the  wounded  near  the  centre  of  the  field,  and  we  were  unable  to  procure  any  for  the  more  distant 
point  at  which  we  were  occupied.  The  nights  were  cold,  and,  hut  for  the  fires  kept  continually  burning,  the  wounded  must 
have  suffered  greatly.  Between  Monday  morning  and  Thursday  night,  numerous  amputations  were  performed  at  the 

central  depot  by  the  surgeons  detailed  for  that  purpose.  I  amputated  a  thigh  on  Monday,  expecting  that  the  patient  would  be 
sent  to  Washington  the  same  day,  but,  afterwards,  in  view  of  the  privations  which  had  preceded  and  seemed  likely  to  follow, 
I  retrained  from  anything  causing  a  further  tax  upon  the  vital  powers  of  the  wounded.  The  cast-  in  which  I  operated  proved 
fatal  on  Friday.  Of  the  mortality  among  those  amputated  by  others,  I  have  no  means  of  judging.  On  Thursday  morning,  the 
ambulances  returned,  and  brought  an  abundant  supply  of  everything  which  the  occasion  demanded  On  Friday,  the  wounded 
were  removed  from  the  field.  Of  three  hundred  and  thirty  men  who  went  into  action,  the  94th  New  York  lost,  to  the  best  of 
my  knowledge,  one  hundred  and  sixty  killed  and  wounded." 


130  APPENDED  DOCUMENTS BATTLE  OF  FREDEEICKSBUEG. 

CVIII.     Extract  from  a  Narrative  of  his  Services.     By  Assistant  Surgeon  CHARLES  C.  LEE, 
U.  S.  Army. 

*  "On  entering  the  army,  in  the  beginning  of  November,  1862,  I  was  ordered  by  the  Surgeon  General  to  report 
for  duty  to  the  medical  director  of  the  army  of  the  Potomac.  By  Doctor  Letterman,  I  was  assigned  to  duty  at  the  headquarters 
of  the  army  of  the  Potomac,  and  remained  connected  with  the  medical  director's  office  until  the  middle  of  January,  1863. 
During  this  period,  no  military  events  of  importance  occurred,  except  the  transfer  of  the  army  from  Warrenton  to  Fredericksburg 
by  General  Burnside,  and  the  battle  of  Fredericksburg,  December  13,  1862,  under  the  same  commander. 

In  this  battle,  which  may  be  said  to  have  lasted  three  days,  beginning  with  the  bombardment  of  the  town,  December  llth, 
an  attempt  was  unsuccessfully  made  to  dislodge  the  rebel  army  from  the  heights  of  Fredericksburg  by  our  right  and  centre, 
while  our  left,  under  General  Franklin,  should  penetrate  their  extreme  right,  and  cut  off  their  retreat.  In  the  efforts  to  bridge 
the  Eappahannock,  on  December  llth,  General  Franklin  alone  succeeded  in  laying  pontoons.  On  the  right,  the  enemy's 
sharpshooters,  protected  by  the  houses  along  the  bank,  kept  our  engineers  at  bay,  in  spite  of  the  continued  bombardment  of  the 
town.  On  the  following  day,  little  or  nothing  was  done,  on  account  of  the  dense  fog  that  obscured  everything.  At  daybreak, 
on  December  13th,  two  pontoon  bridges  were  laid  opposite  the  town.  Our  troops  crossed,  and  met  with  comparatively  little 
opposition  until  they  attempted  to  storm  the  heights.  These  attempts  were  continued  until  late  in  the  evening,  with  what 
disastrous  result  is  known  to  all.  Though  repulsed  from  the  heights,  they  held  possession  of  the  town,  where  all  the  wounded 
from  our  right  and  centre  were  collected  in  the  churches  and  other  temporary  hospitals ;  and  in  this  condition,  constantly 
expecting  another  attack,  we  remained  December  14th  and  15th.  On  the  afternoon  of  the  15th,  the  medical  director  transmitted 
an  order  from  the  commanding  general  to  remove  all  the  wounded  immediately  across  the  Eappahannock.  By  means  of  the 
ambulances,  this  was  done  as  rapidly  as  possible  during  the  same  afternoon  and  evening,  and  the  following  night  the  entire 
army  recrossed  in  safety  to  their  former  camps.  *  *  The  wounded  were  conveyed  to  the  division  hospitals  previously  organized 
by  the  medical  director.  Five  series  of  these,  belonging,  respectively,  to  the  First,  Second,  Fifth,  Sixth  and  Ninth  Corps,  were 
soon  in  operation  at  convenient  points  within  half  a  mile  or  a  mile  of  the  river.  Full  details  of  medical  officers  and  attendants 
had  been  appointed,  and  as  every  officer  knew  his  place  and  his  duties,  the  wounded  were  soon  made  comfortable.  The  supply 
of  water,  soups  and  food  was  not  only  abundant,  but  of  excellent  quality.  *  *  The  artillery  fire  to  Avhich  the  men  had  been 
exposed  was  mainly  shell  and  canister,  but  little  grape  or  solid  shot  being  used.  During  a  part  of  the  day,  the  musketry  fire 
was  also  very  heavy,  and  most  of  the  wounds  thus  resulting  were  made  by  the  conoidal  bullet.  Both  the  artillery  and  musketry 
fire  were  at  very  short  range.  The  wounded  were  kept  in  the  division  hospital  for  nearly  two  weeks,  from  the  13th  to  the 
25th  of  December,  when,  by  order  of  the  commanding  general,  they  were  sent  to  the  general  hospitals  at  Washington  and  at 
Point  Lookout,  Maryland.  The  transportation,  which  was  partly  by  ambulance,  partly  by  railroad  and  partly  by  boat,  was 
tedious  and  harassing  to  the  patients,  although  they  were  made  as  comfortable  as  the  circumstances  would  permit.  Most  of 
the  operations  were  primary.  As  far  as  I  could  learn,  they  consisted  entirely  of  amputations,  exsections  and  a  few  cases 
of  ligation  of  arteries.  No  primary  amputations  or  excisions  were  performed  upon  the  field  proper,  as  the  hospital  depots  in 
the  town  and  by  the  river,  in  the  rear  of  Franklin's  grand  division,  were  both  easy  of  access  and  sheltered  from  the  enemy's 
fire.  In  the  First  Army  Corps,  amputations  were  especially  numerous,  over  one  hundred  being  reported  within  the  first 
forty-eight  hours  after  the  battle.  A  larger  number  of  excisions  of  the  elbow  and  shoulder  joints  were  made  than  have  been 
reported  from  any  previous  engagement.  The  anaesthetic  employed  in  almost  every  case  was  chloroform.  I  neither  saw  or 
heard  of  any  deaths  from  this  agent,  although  special  inquiries  were  made  upon  the  subject.  From  reports  made  to  the  medical 
director's  office,  the  approximate  number  of  casualties  was  estimated  at  seven  thousand  eight  hundred.  Of  these,  about  five 
thousand  three  hundred  were  wounded,  and  about  two  thousand  five  hundred  killed. 

About  the  middle  of  January,  1863,  I  was  ordered  by  the  medical  director  to  proceed  to  Aquia  Creek,  to  take  charge 
of  the  transportation  of  the  sick,  and  to  build  a  series  of  corps  hospitals  for  the  army  on  a  site  already  selected.  Here  only  a 
few  days  were  given  to  provide  hospital  accommodation  for  four  thousand  five  hundred  sick,  of  whom  the  army  had  to  be 
disencumbered,  before  a  move  projected  by  General  Burnside  could  be  effected.  The  difficulty  of  transportation,  either  by 
land  or  water,  to  the  hospitals,  which  were  two  miles  from  Aquia  Creek,  rendered  it  impossible  to  push  on  the  work  as  rapidly 
as  was  desired.  A  large  number  of  patients  were  sent  before  the  hospitals  were  ready  to  receive  them,  and  great  confusion  among 
the  officers  and  suffering  among  the  patients  was  the  consequence.  These  hospitals  were  kept  in  operation  between  two  and 
three  months,  when  they  were  broken  up,  and  the  sick  transferred  to  Washington."  * 


CIX.     Second  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant 
Surgeon  II.  S.  SCHELL,  U.  S.  Army. 

"On  the  llth  of  December,  the  batteries  with  which  I  was  serving  commenced  firing  upon  Fredericksburg,  to 
cover  the  crossing  of  our  troops.  The  pontoon  bridges  were  thrown  across  late  in  the  afternoon.  On  the  13th,  we  crossed  the 
river  into  the  town,  and  attacked  the  enemy.  The  men  were  mostly  in  good  spirits.  The  batteries  averaged  four  officers  and 
one  hundred  and  forty  men.  The  supplies  of  medicines,  hospital  stores,  ambulances  and  hospital  tents  exceeded  anything  I  had 
ever  before  seen.  The  wounded  were  taken  immediately  to  the  houses  in  Fredericksburg  in  ambulances,  and  received  careful 
attention.  The  supplies  of  water,  food  and  soups  were  abundant,  and  the  wounded  were  not  exposed  at  all  to  the  weather. 
The  division  was  under  the  fire  of  artillery  and  musketry  about  three  hours.  The  small  arm  used  by  the  enemy  was  principally 
the  rilled  musket,  with  conoidal  ball.  On  the  15th,  our  wounded  were  sent  across  the  river,  placed  in  hospital  tents,  and 
finally  sent  to  Washington,  a  week  or  ten  days  afterwards,  by  means  of  the  cars  and  steamboats.  A  very  large  number  of 
primary  amputations  was  performed  here,  together  with  a  few  exsections.  Chloroform  was  used  freely,  without  any  bad  result. 
The  batteries  lost  three  men.  The  division  with  which  they  were  serving  was  about  seven  hundred  strong.  On  the  morning 
of  the  16th,  at  daybreak,  we  recrossed  the  river,  and  occupied  our  old  camp." 


EFFORT    OF    SURGEON    J.    T.    HEARD,   U.    S.   V.  .   131 

CX.     Extract  from  a  Narrative  of  his   Services  in  the  Medical  Staff.      13 y  Surgeon  J.  T. 
HEARD,  U.  S.  Volunteers. 

*  *  *  "At  daylight,  on  the  llth  of  December,  1862,  the  left  grand  division  of  the  army  of  the  Potomac,  commanded 
by  Major  General  Franklin,  and  composed  of  the  First  Army  Corps.  Brigadier  General  John  F.  Reynolds,  and  the  Sixth  Army 
Corps,  Major  General  W.  F.  Smith,  broke  camp  near  White  Oak  church,  Virginia,  moving  to  within  a  mile  of  the  Rappaliannock 
river,  at  a  point. three  miles  below  the  city  of  Fredericksburg,  forming  the  extreme  left  of  the  army.  Having  reached  this  point, 
a  construction  party,  consisting  of  the  150th  New  York  Volunteers,  commenced  to  lay  two  pontoon  bridges,  which  were 
completed  the  same  afternoon,  with  but  little  opposition  from  the  enemy.  The  troops  were  now  moved  up,  and  one  brigade  of 
the  Sixth  Corps  thrown  over  the  river,  the  remaining  force  bivouacking  on  the  north  side.  Before  day,  on  the  12th  of  December, 
the  troops  were  once  more  in  motion ;  the  whole  of  the  left  grand  division  crossed  the  bridges  and  moved  to  the  left  down  the 
river,  forming  in  line  of  battle  to  the  left  and  front  of  the  large  stone  house  of  Mr.  Bernard,  which  was  about  one  hundred  yards 
from  the  river.  Pickets  were  thrown  out  nearly  to  the  Bowling  Green  road  in  front,  and  on  the  left  as  far  as  the  brick  house 
known  as  Smitbfield's.  The  First  Corps  was  on  the  left;  the  Sixth  Corps,  on  (he  right  and  somewhat  in  rear.  Batteries  were 
posted  on  the  north  bank  of  the  river,  on  the  extreme  left  of  the  First  Corps,  in  order  to  protect  that  flank.  The  ground  occupied, 
by  the  left  grand  division  was  a  large  open  plain,  about  two  miles  in  breadth  and  three  or  four  miles  in  length,  so  level  that  nearly 
all  the  troops  could  be  seen  from  any  given  point.  This  flat  was  founded  on  the  north  by  the  Rappahannock,  and  along  its 
south  side  was  a  range  of  wooded  hills  occupied  by  the  enemy,  who  was  strongly  entrenched.  The  plain  was  crossed 
longitudinally,  near  its  centre,  by  the  Bowling  Green  road,  and  consisted,  for  the  most  part,  of  ploughed  fields,  rendering  the 
rapid  movements  of  artillery  and  infantry  very  laborious.  During  the  afternoon,  a  few  shells  were  thrown  by  the  enemy,  with 
but  little  or  no  effect,  their  object  evidently  being  to  reach  the  bridges.  During  the  night  and  early  the  next  morning,  our  left 
was  extended  to  several  hundred  yards  below  the  Smithfield  house.  The  men  of  the  command  were  in  excellent  spirits  and 
condition.  The  approximate  strength  of  the  First  Corps  was  sixteen  thousand  men. 

During  the  evening  of  the  12th  of  December,  the  three  division  hospitals  were  located,  the  medical  officers  having  been 
previously  detailed,  in  accordance  with  the  circular  of  October  30,  1852,  from  the  headquarters  of  the  army.  Each  regiment 
was  provided  with  two  hospital  tents.  Beef  stock,  tea,  coffee,  etc.,  were  in  the  ambulances  in  abundance.  The  ambulance 
corps  was  organized,  as  per  order,  on  the  basis  of  three  ambulances  to  a  regiment.  Each  ambulance  was  provided  with  two 
stretchers  and  two  attendants  besides  the  driver.  The  hospital  of  the  1st  division  was  established  at  the  Smithfield  house,  on 
Pratt's  farm,  directly  in  rear  of  the  troops  of  that  division,  and  some  thirty-five  hundred  yards  from  the  heights  occupied  by  the 
enemy.  The  2d  division  hospital  was  situated  at  and  about  the  house  of  Mr.  Pollock,  on  the  north  bank  of  the  river,  and  a  short 
distance  below  the  pontoons.  The  3d  division  hospital  was  temporarily  formed  in  a  ravine  above  and  to  the  rear  of  the  Smithfield 
house,  it  being  the  intention,  if  our  troops  were  successful  in  forcing  the  enemy  from  the  heights,  to  occupy  several  houses  on 
the  crest  just  above  the  ravine.  An  ambulance  station  was  established  on  the  south  bank  of  the  river  behind  the  Bernard 
house,  to  which  the  wounded  of  the  2d  division  were  directed  to  be  conveyed  on  stretchers,  and  immediately  taken  over  the 
river  in  ambulances  to  the  hospital  of  that  division,  the  1st  and  3d  division  hospitals  were  so  near  the  field  that  stretchers  only 
were  needed  to  convey  the  wounded.  At  the  time  of  crossing  the  river,  also  during  the  whole  of  the  battle  of  the  13th,  one  assistant 
surgeon  and  six  men,  with  three  stretchers,  closely  followed  each  regiment  of  the  corps,  performing  excellent  service,  and 
showing  beyond  doubt  the  efficiency  of  the  organization.  At  daylight,  on  the  13th  of  December,  the  troops  of  this  grand 
division  were  in  line  of  battle.  The  1st  division  of  this  corps  was  on  the  left,  and  not  actively  engaged  during  the  day;  the  3d 
division,  in  the  centre;  the  2d -division,  on  the  right;  and  the  Sixth  Corps,  with  Brigadier  General  Birney's  division  of  the  Third 
Corps,  in  reserve.  Our  pickets,  as  before  stated,  rested  on  or  near  to  the  Bowling  Green  road,  the  enemy's  pickets  occupying  the 
opposite  side  of  the  road.  At  half  past  nine  A  M.,  the  thick  fog  which  had  enveloped  both  armies  lifted;  at  the  same  time,  our 
skirmishers  were  advanced,  batteries  quickly  placed  in  position  and  the  engagement  commenced.  The  artillery  fire  was  very 
heavy,  the  guns  on  both  sides  being  served  with  great  skill.  The  distance  of  the  rebel  batteries  from  our  troops  ranged  from 
fifteen  hundred  to  three  thousand  yards.  For  several  hours,  the  wounds  were  occasioned  almost  entirely  by  shell.  Shortly 
after  noon,  the  3d  division  charged  the  enemy  in  the  woods  and  on  the  heights  opposite  the  Bernard  house,  running  completely 
over  two  or  three  rebel  regiments  with  arms  stacked ;  not  being  supported,  however,  our  men  were  obliged  to  fall  back.  From 
this  time,  the  character  of  the  wounds  of  those  conveyed  to  hospital  changed,  wounds  from  rifle  balls  being  now  the  most  prevalent. 
Apparently  the  arm  used  by  the  enemy  was  the  improved  rifle,  with  the  conoidal  ball ;  there  were,  however,  a  number  wounded 
by  buck  and  ball,  as  has  been  the  case  in  all  our  engagements.  The  artillery  fire  continued  until  after  dark,  when  our  position 
was  nearly  the  same  as  that  occupied  by  us  in  the  morning;  perhaps  a  little  advanced. 

Almost  at  the  first  fire,  cooking  commenced  at  the  hospitals,  and  the  wounded,  as  quickly  as  brought  in,  were,  if  necessary, 
supplied  with  hot  soup  and  coffee.  Water  was  abundant.  The  operations  wen;  principally  primary  amputations.  Chloroform 
was  administered  in  every  operation  ;  no  deaths  took  place  from  its  use.  As  the  position  held  by  our  troops  had  not  materially 
changed  since  morning,  the  enemy  still  holding  the  heights  commanding  the  plain,  and  as,  during  the  afternoon,  the  hospitals  of 
the  1st  and  3d  divisions  had  been  uncomfortably  hot,  also  as  there  was  every  prospect  that  the  battle  would  be  renewed  the  next 
day,  it  was  deemed  best  to  remove  the  wounded  in  ambulances,  under  cover  of  the  night,  and  re-establish  the  hospitals  on  the 
north  side  of  the  river.  This  was  successfully  done.  It  is  a  great  satisfaction  to  be  able  to  state  that  all  the  wounded  within 
our  lines  were  that  night  removed  from  the  field  and  cared  for.  Fifteen  hundred  were  received  at  the  three  division  hospitals. 
The  1st  division  hospital  was  re-established  in  a  wood  a  quarter  of  a  mile  north  of  the  river.  The  hospital  tents  were  found 
amply  sufficient  to  cover  all  the  wounded  of  that  division.  The  3d  division  hospital  \v:is  re-established  about  the  house  of  Dr. 
Monson,  on  the  north  bank  of  the  river,  directly  in  rear  of  the  Smithfield  house.  Owing  to  the  great  number  of  wounded  in 
the  2d  and  3d  divisions,  twenty  extra  tents  were  obtained  from  the  post  quartermaster  at  Falmouth  Station.  Supplies  were 
freely  and  easily  obtained  from  the  medical  purveyor  at  the  same  place.  The  weather  was  remarkably  warm  and  fine  for  the 
season  of  the  year.  It  was  not  until  the  wounded  were  sheltered  that  the  rain  fell.  In  no  previous 


132  APPENDED  DOCUMENTS BATTLE  OF  FEEDEKICKSBUEG. 

were  the  wounded  so  promptly  and  well  cared  for  throughout  the  army  as  at  Fredericks-burg.  This  was  due  to  uniformity  of 
action.  Every  surgeon,  hospital  steward,  nurse,  cook  and  ambulance  attendant  was  assigned  his  position  and  knew  it.  The 
order  organizing  the  ambulance  corps,  and  the  circular  of  October  30,  1&T>2,  have  been  of  immense  advantage,  and  have 
wrought  a  great  change  for  the  better  in  the  operation  of  the  medical  department  of  this  aimy.  During  the  14th  and  15th  of 
December,  the  troops  were  under  arms  in  the  same  position  they  occupied  on  the  evening  of  the  13th,  and  about  twelve  o'clock, 
on  the  night  of  the  loth,  they  were  withdrawn  safely  from  the  south  side  of  the  Kappahaunock.  On  the  16th,  this  corps  went 
into  camp  near  Belle  Plain  Landing.  On  cr  about  the  19th  of  December,  the  removal  of  the  wounded  of  this  corps  to 
Washington  commenced.  By  the  25th  it  was  completed,  and  the  division  hospitals  were  broken  up.  The  command  remained 
during  the  winter  in  camp  near  Belle  Plain,  Virginia." 

CXI.     Third  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Surgeon 
JOHN  W.  FOYE,  U.  S.  Volunteers. 

"At  the  battle  of  Fredericksburg,  the  brigade  with  which  I  was  serving  crossed  the  river  at  the  lower  ford  at 
about  eleven  P.  M.  on  the  12th  of  December,  and,  early  the  following  morning,  was  moved  to  the  left  of  the  line,  forming  a  part 
of  General  Franklin's  second  line  of  attack.  It  was  not  engaged  during  the  first  day's  fight.  During  the  night,  we  relieved 
the  front  line,  and,  on  the  morning  of  the  14th,  acted  as  skirmishers,  one  company  from  each  regiment  being  advanced  for  that 
purpose.  The  brigade  was,  at  this  time,  about  two  thousand*  three  hundred  strong,  its  morale  good,  and  at  no  time,  since  the 
commencement  of  the  rebellion,  have  we  been  so  well  supplied.  The  field  hospital  was  placed  on  the  western  bank  of  the 
river,  completely  sheltered  from  fire,  and  within  one-third  of  a  mile  of  our  front  line.  Water,  fuel  and  food  were  abundant, 
and  the  weather  fine.  The  wounded  were  taken  to  the  rear  of  the  third  line  of  battle  on  stretchers,  from  thence  to  the  field 
hospital  by  ambulances.  On  the  13th,  the  musketry  fire  was  very  heavy,  but  with  complete  intermissions,  the  interval  being 
occupied  by  artillery.  In  the  afternoon,  at  about  four  o'clock,  the  musketry  became  continuous  at  short  range,  and  continued 
till  dark.  On  the  14th,  in  the  morning,  our  skirmishers  opened  briskly,  eliciting  a  desultory  but  effective  fire  from  the  sharp 
shooters  of  the  enemy  posted  in  the  wood.  The  Austrian  and  Enficld  rifles  were  probably  the  arms  used  by  their  infantry. 
The  wounded  were  sent  to  Washington  on  the  16th,  by  rail  to  Aquia  Creek,  from  thence  by  steamer.  They  had  been  fully 
treated  at  the  field  hospital.  Cases  admitting  of  no  doubt  were  operated  upon,  and  stumps  were  dressed  with  a  view  to  immediate 
rail  and  river  transportation.  Chloroform  was  the  only  anaesthetic  used.  The  casualties  in  the  brigade  were  about  seventy, 
and  were  all  received  the  secon  1  day  while  skirmishing." 


CXIL     Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant  Surgeon 
C.  BACON,  U.  S.  Army. 

"I  remained  at  Frederick  until  November  21th,  when  I  received  orders  for  duty  with  the  army  of  the  Potomac, 
then  lying  at  Falmouth,  Virginia.  Arriving  at  this  station,  I  was  assigned  to  duty  with  the  1st  battalion  of  the  14th  Infantry, 
1st  brigade,  2d  division,  Fifth  Army  Corps.  I  found  the  battalion  in  a  crowded  division  camp.  The  weather  was  cold,  the 
nights  being  especially  severe.  On  December  5th,  snow  fell  nearly  all  day.  The  day  following  was  extremely  cold.  This 
inclement  weather  found  many  of  the  men  deficient  in  proper  clothing,  which,  however,  was  speedily  supplied.  On  Thursday 
morning,  December  llth,  the  battalion  moved  from  the  camp,  to  participate  in  the  advance  upon  Fredericksburg.  The  ground 
was  thoroughly  frozen,  and  a  slight  sno'w  remained  upon  it.  Previous  to  leaving  the  camp,  the  stillness  of  the  morning  had 
been  broken  by  the  cannonade,  which  was  heard  more  distinctly  as  we  approached  Falmouth,  and  more  rapid  as  the  morning 
advanced.  By  noon,  we  were  resting  on  our  arms  a  little  below  Falmouth,  and  nearly  opposite  the  city.  The  night  following 
was  intensely  cold,  so  also  was  the  night  of  the  12th.  We  remained  in  our  position  until  the  afternoon  of  the  13th,  when  orders 
were  received  to  move  the  division  across  the  river,  immediately  at  the  city.  Approaching  the  bridge,  the  command  became 
exposed  to  the  enemy's  cannon.  Crossing,  we  were  pushed  rapidly  to  the  front,  for  the  purpose  of  renewing  the  assault  upon 
the  rebel  works.  Darkness,  however,  intervened,  preventing  the  assault,  and  the  division  was  advanced  to  hold  the  line  of 
pickets  immediately  in  front  of  the  city.  The  day's  battle  had  been  productive  of  great  losses.  Numbers  of  the  wounded  still 
lay  upon  the  field.  Fortunately,  however,  the  night  was  mild.  The  following  day,  Sunday,  was  clear  and  warm.  Almost 
entire  quiet  prevailed  on  the  part  of  both  armies.  During  the  night  of  Sunday,  the  division  was  withdrawn  to  the  city. 
Fredericksburg  lies  upon  a  plateau,  which  is  the  first  of  a  series  of  shelves  or  terraces  that  rapidly  succeed  each  other  as 
they  recede  from  the  river.  Each  successive  terrace  had  been  fortified  by  the  enemy,  thus  commanding  the  position  of  our 
army,  which  was  chiefly  massed  in  the  city.  Had  the  enemy  turned  his  artillery  upon  the  city,  the  effect  would  have  been 
most  disastrous  to  us,  and  especially  so,  as  our  wounded  still  remained  there.  During  Monday,  the  15th,  they  were  removed  to 
the  opposite  bank  of  the  river.  On  the  morning  of  the  16th,  our  army  had  effected  the  recrossing  of  the  Rappahannock,  and 
my  battalion  returned  to  its  former  camp.  My  station  for  duty  during  the  movement  had  been  with  the  regiment;  I,  therefore, 
had  little  opportunity  to  witness  the  character  or  results  of  wounds.  The  approximate  strength  of  the  regiment  at  the  time 
of  action  was  six  hundred  and  seventy  men,  of  whom  four  were  wounded.  The  wounded,  on  being  removed  to  the  opposite 
side  of  the  river,  were,  for  the  most  part,  placed  in  hospital  tents,  till  they  could  be  made  ready  for  transportation.  The  supply 
of  medicines  and  food  in  the  hands  of  the  purveyor  was  abundant.  *  *  The  winter  following  was  comparatively  mild. 
Little  disease  existed  in  the  command.  The  men  remained  under  shelter  tents.  These  they  raised  from  the  ground  ;  many 
making  fires  in  their  tents ;  and,  with  beds  made  from  the  long  grass  of  the  flats,  or  the  tips  of  branches  of  cedar,  they  were  very 
comfortable.  The  command  participated  in  the  attempted  advance  of  the  army  to  Banks's  Ford,  moving  from  camp  on  the  20th 
of  January,  encountering  an  almost  continuous  rain  storm  for  forty-eight  hours,  when,  on  account  of  the  roads  having  become 
utterly  impassable,  the  advance  was  abandoned,  and  we  returned  to  our  previous  camp  on  the  24th.  Several  cases  of  acute 
rheumatism  occurred  during  the  movement  .the  result  of  exposure  to  the  rain  and  cold.  But  one  fatal  case  of  disease  occurred 
in  the  battalion  during  our  occupation  of  this  camp  site." 


EEPORTS    OF    SURGEONS    PETERS,    GRUBE    AND    ADOLPHTJS.  133 

CXIII.     Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant  Surgeon 
DE  WITT  C.  PETERS,  U.  S.  Army. 

*  *  *  "The  occurrence  of  the  battle  of  Fredericksburg,  in  December,  1862,  gave  me  the  opportunity  of  being  ordered 
to  the  army  of  the  Potomac,  under  General  Burnside,  where  I  reported  to  the  medical  director,  Surgeon  Jonathan  Letterman, 
U.  S.  A.,  and  was  detailed  by  him  to  take  charge  of  about  fifteen  hundred  wounded,  and  convey  them  to  Washington.  The 
transportation  from  Falmouth  to  Aquia  Creek  was  ample,  but  many  of  the  cars  consisted  of  simple  platforms  without  covering, 
and  were  ill  adapted  for  transporting  men  badly  wounded,  especially  in  mid-winter;  and,  for  this  reason,  some  of  these 
unfortunates  suffered  much.  Many  of  them  had  lost  their  blankets,  but  at  the  depot  I  found  a  supply  belonging  to  the  Sanitary 
Commission,  and  these  I  appropriated.  There  was  no  straw  in  the  cars  for  making  beds,  and  none  at  hand  that  I  could  take 
for  the  purpose.  At  Aquia  Creek,  we  were  transferred  to  steamboats.  Here,  again,  there  was  ample  room  for  the  men,  but 
nothing  was  provided  for  them  to  rest  upon  save  the  hard  boards  of  the  decks.  We  were  well  supplied  with  rations,  nurses 
and  attendants,  who  did  everything  possible  to  make  the  wounded  comfortable.  No  case  terminated  fatally  on  the  route,  and 
the  work  of  the  surgeons  on  the  field  had  been  so  faithfully  performed  that  my  services  were  not  required  even  to  arrest  the 
slightest  haemorrhage.  The  time  occupied  in  making  the  journey  to  Washington  was  about  seventeen  hours.  Surgeon  R.  O. 
Abbott,  U.  S.  A.,  medical  director  of  the  District  of  Columbia,  had  everything  in  readiness  to  receive  these  wounded,  and  by 
him  they  were  sent  to  the  different  hospitals  in  the  city  of  Washington." 


CXIY.     Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant  Surgeon 
FRANKLIN  GRUBE,  U.  S.  Volunteers. 

*  "At  the  battle  of  Fredericksburg,  which  took  place  on  December  13,  1862,  I  was  assigned  to  accompany  my 
regiment,  the  126th  Pennsylvania  Volunteers,  to  the  field,  while  the  other  medical  officers  of  the  regiment  were  ordered  to  duty 
at  the  division  hospital  during  the  engagement.  I  was  with  the  regiment  when  the  division  in  which  it  was  (General 
Humphrey's)  made  its  desperate  but  fruitless  charge  upon  the  rebel  works  above  the  fair  grounds  in  the  rear  of  the  city. 
Here  it  received  nearly  all  its  loss  from  the  enemy's  musketry,  at  a  range  of  fifty  to  one  hundred  and  fifty  yards.  When  the 
fighting  was  over  at  night,  I  reported  to  the  surgeon  in  chief  of  the  division,  who  assigned  me  to  take  charge  of  a  branch 
hospital,  consisting  of  a  private  house  in  the  city,  into  which  I  received  forty-four  of  the  wounded  of  the  division.  The  hospital 
was  situated  about  half  a  mile  from  the  point  at  which  the  division  did  most  of  its  fighting.  Most  of  the  wounds  were  by 
minie  balls;  a  small  proportion,  perhaps  one-tenth,  were  shell  wounds.  My  own  regiment  went  into  action  about  seven 
hundred  strong,  and  lost  in  the  engagement  nearly  one  hundred,  of  whom  nineteen  were  killed  on  the  field.  Only  about  half 
a  dozen  of  the  other  wounds  were  mortal.  Of  those  killed,  a  large  proportion,  perhaps  two-fifths  or  one-half,  had  received 
shell  wounds.  I  saw  only  three  or  four  wounds  from  spherical  bullets  and  buckshot.  According  to  my  observation,  the 
supplies  of  medicines,  hospital  stores,  ambulances,  hospital  tents,  food  and  water  were  sufficient,  even  to  abundance.  Nearly  all 
the  wounded  were  removed  from  the  field  within  an  hour  after  they  were  disabled.  Possibly  three  or  four  per  cent,  lay  on  the 
field  all  night,  in  consequence  of  the  darkness  and  the  nearness  of  the  enemy's  lines.  There  were  not  many  operations 
performed  before  removal  to  general  hospital,  probably  a  dozen,  among  the  eight  hundred  wounded  of  our  whole  division. 
All  the  slightly  wounded  were  removed  on  the  second  day  after  the  battle.  Those  who  could  walk  being  sent  on  foot  across  the 
river  to  the  railroad  station,  thence,  by  rail  and  boat,  distributed  to  the  various  hospitals  about  Washington.  The  others  were 
removed  at  the  same  time  in  ambulances  over  the  river  to  the  Fifth  Corps  hospital,  where  they  remained  in  tents  nearly  a 
fortnight  before  removal  to  general  hospital.  I  was  one  of  the  medical  officers  detailed  at  this  hospital  until  its  removal.  No 
case  came  under  my  observation  of  death  during  operation,  or  from  chloroform,  which  was  the  anaesthetic  mostly  used." 


CXV.     Second  Extract  from  a  Narrative  of  Ids  Services  in  the  Medical  Staff.     By  Assistant 
Surgeon  PHILIP  ADOLPIIUS,  U.  S.  Army. 

"The  2d  U.  S.  Infantry,  three  hundred  and  sixty  officers  and  men,  left  camp,  near  Falmouth,  Va.,  December 
11,  1862,  and  bivouacked  before  Fredericksburg  on  the  same  day.  The  bombardment  of  the  city  began  on  the  llth.  Our 
division,  the  2d  of  the  Fifth  Corps,  crossed  the  Euppahannock,  under  fire,  during  the  afternoon  of  December  13th,  and  advanced 
through  the  city.  The  regiment,  having  been  ordered  to  advance  in  support  of  a  battery,  marched  up  to  a  canal,  near  which  it 
was  placed.  Darkness  ensuing,  the  command  laid  down  until  ten  P.  M.,  when,  being  thrown  lo  the  front,  relieving  IHrnejT's 
brigade,  it  remained  twenty-four  hours  facing  a  stone  wall,  behind  which  the  enemy  was  entrenched,  arid  constantly  firing. 
During  the  following  day,  the  troops  were  obliged  to  lie  on  their  faces,  for  the  least  movement  brought  a  shower  of  bullets.  The 
command  was  relieved  at  ten  p.  M.,  when  it  encamped  for  the  night  and  the  following  day  in  the  city.  The  army  recrossed  the 
Rappahanuock,  in  good  order,  on  the  If.th  of  December,  and  the  2d  Infantry  arrived  at  its  old  camp  on  the  17th  of  December, 
having  lost  twenty-one  enlisted  men  in  wounded  and  missing.  Hospital  stores,  medicines,  ambulances  and  hospital  tents  were 
amply  provided  at  the  right  time  and  place,  the  circular  of  October  30,  1862,  being  strictly  obeyed.  The  wounded  who  fell 
on  the  13th  and  14th  could  not  be  removed  until  the  evening  of  the  14th,  it  being  impossible  for  the  stretcher  carriers  to  approach. 
They  consequently  suffered  from  cold  and  thirst.  So  soon  as  it  was  practicable,  they  were  removed  by  ambulances  to  the  churches 
and  mansions  of  Fredericksburg,  the  distance  averaging  two  hundred  yards  to  one-half  mile  from  the  battle-field,  and  supplied 
with  water,  food,  soups,  fuel  and  abundant  medical  attendance.  The  fire  to  which  our  men  were  exposed  was  precise  and 
deadly,  from  the  minie  musket,  and  the  wounds  were  chiefly  inflicted  on  the  upper  extremity  ;  the  men,  being  recumbent  before 
a  stone  wall,  behind  which  the  enemy  was  concealed,  could  hardly  move  without  inviting  a  volley  of  musketry.  The  wounded 
were  all  removed,  previously  to  the  evacuation  of  the  town,  to  the  hospitals  of  their  divisions,  and  thence,  by  rail  and  boat,  to 
the  general  hospitals  of  Washington,  etc." 


13  i  APPENDED  DOCUMENTS — BATTLE  OF  FREDERICKSBURG. 

CXYI.     Second  Extract  from  a  Narrative  of  his  Services  in  the  Volunteer  Medical  Staff. 
By  Surgeon  CHARLES  O'LEAEY,  U.  S.  Volunteers. 

*  *  *  "Being  appointed  medical  director  of  the  Sixth  Corps  a  few  days  prior  to  the  battle  of  Fredericksburg, 
December  13,  1862,  I  had  the  opportunity  of  putting  in  operation  the  field  hospital  organization  devised  by  the  medical  director 
of  the  armv,  and  witnessing  its  beneficial  results.  Our  hospitals  were  placed  on  the  south  side  of  the  river,  at  the  two  houses 
belonging  to  the  brothers  Bernard.  Within  a  very  few  hours  after  the  positions  were  designated  for  the  division  hospitals,  on 
December  12th,  all  the  necessary  appliances  were  on  hand,  and  the  arrangements  necessary  for  the  proper  care  of  the  wounded 
were  as  thorough  and  complete  as  I  have  ever  seen  in  a  civil  hospital.  Dining  the  engagements  of  the  13th.  the  ambulances 
being  c'uided  and  governed  with  perfect  control,  and  with  a  precision  rare  even  in  military  organizations,  the  wounded  were 
brought,  without  any  delay  or  confusion,  to  the  hospitals  of  their  respective  divisions.  Not  a  single  item  provided  in  the 
organization  for  field  hospitals  suffered  the  slightest  derangement,  and  the  celerity  with  which  the  wounded  were  treated,  and 
the  system  pervading  the  whole  medical  department  from  the  station  in  the  field,  selected  by  the  assistant  surgeons  with  the 
regiments,  to  the  wards  where  the  wounded  were  transferred  from  the  hands  of  the  surgeons  to  be  attended  by  the  nurses, 
afforded  the  most  pleasing  contrast  to  what  we  had  hitherto  seen  during  the  war.  Our  loss  was  not  heavy,  being  only  four 
hundred  and  fifty-seven  wounded  from  the  corps,  then  of  twenty-two  thousand  aggregate  strength.  The  wounds  were  of  a 
mixed  character,  from  shell,  round  shot,  minie  ball  and  common  round  bullet.  Shell  wounds  were  severe,  and  in  two  cases, 
where  injuries  of  the  arm  requiring  amputation  had  been  sustained,  the  men  did  not  rally  from  the  shock.  The  majority  of  the 
operations,  however,  did  well  whilst  the  wounded  were  in  our  hands.  Our  position  was  somewhat  exposed,  as  the  ground 
beyond  the  river,  afforded  no  security  from  the  enemy's  fire,  and  the  constant  use  of  the  bridges  precluded  the  feasibility  of 
hospitals  on  this  side.  Still  no  injuries  were  sustained  in  the  hospitals,  and  the  fire  directed  to  points  contiguous  to  them  was 
very  trifling.  It  is  needless  to  observe  that  our  supplies  were  defective  in  nothing.  If  the  men  could  have  been  taken  directly 
into  general  hospital  from  the  field,  their  condition  would  hardly  have  been  improved. 

On  the  15th,  the  hospital  tents,  of  which  we  had  an  extra  supply  of  forty-eight,  then  in  the  corps,  were  pitched  this 
side  of  the  river,  out  of  range  of  the  enemy's  guns,  and  the  wounded,  with  our  hospital  supplies,  were  quietly  transferred  to 
them.  On  the  night  of  the  15th,  the  army  recrossed.  On  the  17th,  the  wounded  were  conveyed  to  Falmouth,  thence  to 
Washington,  under  charge  of  medical  officers,  with  the  requisite  number  of  nurses.  Both  military  commanders  and  medical 
officers  agree  that  it  would  have  been  impossible  for  the  wounded  to  have  received  better  care  and  treatment  than  they  did  in 
this  battle." 

CXVII.     Second  Extract  from  a  Report  on  the  Medical  History  of  the  103c?  New    York 
Volunteers.     By  Assistant  Surgeon  A.  STEINACH,  108d  New  York  Volunteers. 

"In  the  latter  part  of  November,  \ve  arrived  at  the  place  of  destination,  at  Falmouth,  opposite  Fredericksburg, 
Virginia.  As  it  was  probable  that  we  would  have  to  stay  here  in  camp  for  many  weeks,  every  one  tried  to  make  his  quarters 
as  comfortable  as  could  be  done  with  shelter  tents  alone.  The  water  was  good.  Provisions  and  clothing,  although  at  first 
somewhat  scarce,  came  in  afterwards  in  large  quantities.  The  weather  was  fair,  but  cold,  and  continued  so  until  January,  18(53; 
consequently,  the  sanitary  condition  of  the  regiment  during  this  time  was  good.  There  were  usually  from  six  to  eight  sick  in  the 
regimental  hospital,  and  six  to  eighteen  in  quarters ;  of  whom,  one  died  of  chronic  dysentery,  and  one  shot  himself.  The  diseases 
usually  originated  from  exposure  to  cold  or  from  indigestion ;  there  were  but  three  or  four  cases  of  typhoid.  During  the 
recent  battles,  much  experience  had  been  acquired,  many  improvements  had  been  found  necessary,  and  a  better  organization 
was  introduced  into  the  army.  Every  medical  officer  was  assigned  to  some  particular  duty  in  cases  of  emergency.  The  benefit 
of  such  a  system  could  best  be  appreciated  in  the  following  battle  of  Fredericksburg,  on  the  13th  of  December,  where  as  ample 
provisions  for  the  comfort  of  the  wounded  were  made  as  could  be  wished  for,  and  where  every  wounded  man,  although 
many  thousands  were  brought  in,  speedily  received  proper  care.  Our  regiment  was  on  the  battle-field,  and  was  under  fire  for 
a  short  time,  but  our  loss  was  very  small  in  proportion  to  that  of  others.  One  man  was  killed  and  three  were  slightly 
wounded."  * 


CXYIII.      Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.      By   Assistant 
Surgeon  C.  M.  COI.TON,  U.  S.  Army. 

"  On  the  2'2d  of  November,  1862, 1  was  ordered  to  report  to  the  medical  director  of  the  army  of  the  Potomac  for 
duty,  and  was  assigned  to  the  17th  Infantry.  At  the  battle  of  Fredericksburg,  I  had  charge,  also,  of  the  llth  Infantry.  We 
crossed  the  Rappahannock  on  the  evening  of  December  13th,  and  having  passed  through  the  town,  took  up  a  position  just 
beyond,  where  we  lay  down  under  a  heavy  fire  of  artillery  and  musketry  until  one  o'clock  A.  M.,  next  day,  when  we  crossed 
the  valley  and  took  position  directly  in  front  of  a  stone  wall,  behind  which  a  portion  of  the  enemy  was  posted.  Here  the  men 
were  again  ordered  to  lie  down.  As  soon  as  it  was  light,  they  were  exposed  to  a  heavy  fire,  almost  every  one  who  raised  himself 
from  the  ground  being  wounded.  I  had  secured  a  suitable  position  for  an  hospital  near  the  regiment,  but  after  having  three  of 
my  four  stretcher  bearers  shot  down  within  ton  minutes,  I  was  obliged  to  abandon  the  idea  of  carrying  ihe  wounded  off  the 
field.  After  dark,  the  regiment  was  relieved,  and  did  not  participate  further  in  the  battle.  It  had  gone  into  action  with  eighteen 
officers  and  two  hundred  and  forty-two  men,  and  lost  one  officer  and  two  men  killed  and  twenty-two  men  wounded.  Such  of 
the  wounded  as  were  able  to  crawl  to  the  field  hospital  were  attended  to  there  during  the  day ;  the  remainder  were  removed 
after  nightfall.  From  the  field  hospital,  they  were  removed  on  stretchers,  or  walked  to  the  division  hospital  which  had  been 
sstablisbed  in  one  of  the  churches  in  the  town  of  Fredericksburg,  about  half  a  mile  from  the  field.  Here  the  supply  of  food, 
medicine  and  stimulants  seemed  to  be  ample,  and  the  medical  attendants  were  energetic  and  efficient.  On  the  15th,  the 


EEPOKT    OF    SURGEON    J.    S.    BILLINGS,  U.  S.  A.  135 

wounded  were  carried  across  the  river,  and  were  sent  from  Falmouth  Station  to  Washington.  The  wounds  appeared  to  have 
been  inflicted  by  conoidal  balls,  and,  as  the  men  were  lying  down  at  the  time,  there  was  a  number  of  flesh  wounds  of  the  glutei 
and  of  the  muscles  of  the  back.  There  were  among  the  more  serious  wounds  several  comminuted  fractures,  almost  all  of 
which  were  received  by  the  men  while  in  the  act  of  changing  their  position." 


CX1X.     Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant  Sura-eon 
J.  S.  BILLINGS,  U.  S.  Army. 

"I  reported  for  duty  to  Surgeon  J.  Letterman,  medical  director  of  the  army  of  the  Potomac,  on  the  31st  of 
March.  1863,  and  was  immediately  assigned  to  duty  with  the  llth  U.  S.  Infantry,  2d  brigade,  2d  division,  Fifth  Corps.  On 
the  27th  of  April,  the  division  commenced  the  march  across  the  Rappahannock.  In  anticipation  of  the  forthcoming  battle  the 
detail  of  officers  for  the  division  hospital  was  made  out  by  Assistant  Surgeon  Wagner,  then  chief  medical  officer  of  the  division 
and  I  was  designated  as  one  of  the  operators,  my  assistants  being  Assistant  Surgeon  Bacon,  U.  S.  A.,  and  Acting  Assistant 
Surgeon  Hichborn.  But  two  ambulances  were  allowed  to  the  division,  and  nc  stretchers  or  stretcher  bearers,  nor  did  any  medical 
supply  or  Autenrieth  wagons  accompany  us  across  the  river.  After  a  rapid  march  over  muddy  roads,  the  division  reached  the 
brick  house  of  Doctor  Chancellor  on  the  evening  of  the  30th  of  April,  and  encamped  in  the  woods  about  half  a  mile  beyond, 
on  the  road  leading  from  that  place  to  Banks's  Ford.  After  marching  about  one  mile,  the  enemy  opened  lire  with  rifled  shell 
from  a  section  of  artillery  so  posted  as  to  sweep  the  road.  The  column  immediately  debouched  to  the  left,  forming  a  line  of 
battle  at  right  angles  to  the  road,  and  advanced  at  double  quick.  Soon  after  leaving  the  road,  I  received  orders  to  repair  to  a 
small  frame  house  on  a  little  knoll  near  by,  which  was  to  be  used  as  a  temporary  hospital.  On  reaching  it,  I  found  several  men 
with  slight  shell  wounds.  I  had  hardly  dismounted,  when  the  fire  seemed  to  be  concentrated  on  the  spot;  shells  fell  on  all  sides, 
one  passing  through  the  house ;  and,  in  five  minutes,  I  was  the  only  person  left  about  the  place.  I  then  rode  back  about  three 
hundred  yards  to  another  small  frame  house  by  the  roadside,  where  I  found  my  assistants,  and  was  soon  after  joined  by  the 
other  members  of  the  staff  of  the  hospital.  By  this  time,  Surgeon  John  Moore,  U.  S.  A.,  medical  director  of  the  Fifth  Corps 
had  come  up  with  the  ambulances  and  stretchers,  and  an  Autenrieth  wagon,  having,  by  great  personal  exertion,  succeeded  in 
getting  them,  that  morning,  across  the  river.  The  infantry  being  now  engaged,  the  wounded  began  to  come  in  very  rapidly, 
and  I  proceeded  to  the  relief  of  the  more  urgent  cases,  performing  several  amputations,  among  others,  two  at  the  shoulder  joint, 
also,  one  exsection  of  the  same  joint  and  one  of  the  elbow.  In  about  two  hours,  we  were  informed  that  our  troops  were  fallino- 
back,  and  were  ordered  to  remove  the  wounded  to  the  brick  house  of  Doctor  Chancellor,  then  occupied  as  headquarters  by 
General  Hooker.  We  succeeded  in  removing  all  of  the  wounded,  and  within  ten  minutes  after  we  left  the  house,  the  rebel  lines 
came  up  to  it. 

On  reaching  the  brick  house,  everything  was  found  in  confusion.  All  the  large  rooms  in  the  house  were  locked  and 
filled  with  furniture ;  the  wounded  were  lying  about  in  the  veranda,  in  the  halls,  and  wherever  space  could  be  found ;  while  a 
crowd  of  teamsters,  orderlies,  contrabands  and  stragglers  filled  the  kitchen  and  out-buildings.  I  immediately  broke  open  the 
doors;  had  the  furniture  carried  out,  and  the  wounded  taken  into  the  parlors;  cleared  out  the  kitchen,  and  ordered  a  cook  to 
prepare  soup ;  after  which,  I  resumed  the  care  of  the  wounded.  At  this  place,  the  most  extensive  shell  wounds  that  I  have  ever 
seen  came  under  my  notice.  In  two  instances,  the  abdominal  walls  were  entirely  carried  away;  and,  from  a  third  patient,  I 
removed  the  entire  head  of  a  three-inch  shell  which  had  passed  into  the  abdominal  cavity,  and  was  slightly  impacted  in  the 
bodies  of  the  lumbar  vertebra}.  This  man  suffered  but  little  pain,  was  sensible  of  his  desperate  condition,  but  was  very  impor 
tunate  to  have  the  fragment  removed,  as  he  said  it  felt  heavy  and  gave  him  the  colic.  After  its  removal,  he  expressed  himself  as 
much  relieved  ;  he  lived  forty-eight  hours.  In  a  fourth  case,  a  large  fragment  of  a  three-inch  shell  had  passed  through  the  pel  vis 
from  one  trochanter  to  the  other.  In  another,  the  arm  had  been  torn  entirely  off,  and  three  inches  of  the  brachial  artery  was 
hanging  out  of  the  wound  and  pulsating  to  within  an  inch  of  its  extremity.  I  also  observed  four  cases  of  wounds  of  the 
abdominal  walls,  with  protrusion  of  unwounded  intestines  and  omentum.  In  two  of  them,  it  was  very  difficult  to  return  the 
protruded  mass,  which  was  as  large  as  the  fist,  the  muscles  of  the  abdominal  walls  being  strongly  and  spasmodically  contracted. 
At  first,  I  supposed  that  the  difficulty  was  due  to  constriction  at  the  base  of  the  tumor,  and  enlarged  the  opening  slightly  with  a 
probe-pointed  bistoury,  but  the  protrusion  increased,  and  all  attempts  to  replace  the  slippery  mass  were  futile,  as  it  glided  out  at 
one  angle  when  pushed  in  at  the  other,  until  I  caused  one  attendant  to  lift  the  patient  by  his  head,  and  another  by  his  heels,  the 
nates  just  touching  the  ground,  thus  relaxing  the  abdominal  walls,  wrhile,  with  silver  spatulas,  I  lifted  the  abdominal  walls  away 
from  and  over  the  tumor.  I  then  closed  the  wound  by  means  of  sutures  and  collodion.  Our  labors  continued  all  night,  as  fresh 
cases  were  constantly  coming  in.  Every  wounded  man  in  the  house  had  sou})  and  coffee  served  to  him.  But  little  operating 
was  done,  as  few  cases  required  it.  I  performed  exsections  of  the  shoulder  and  elbow  joints,  and  three  or  four  amputations 
here. 

On  the  2d  of  May,  we  were  ordered  to  remove  our  wounded  and  rejoin  our  division,  then  lying  about  a  mile  and  a  half 
to  the  rear.  Doctor  Hichborn  was  left  at  the  Chancellor  house  to  receive  and  care  for  such  men  as  might  be  brought  in  from 
the  field.  He  was  killed  the  next  day  in  attempting  to  escape  from  the  house.  On  reaching  the  division,  I  found  it  just  preparing 
to  inarch  to  the  right  of  our  line,  to  strengthen  or  replace  the  Hying  columns  of  the  Eleventh  Corps.  It  was  then  about  four  in 
the  afternoon,  but  it  was  dusk  before  the  column  got  fairly  in  motion.  A  confused  medley  of  wagons,  artillery  and  stragglers 
blocked  up  the  road ;  while,  to  add  to  the  confusion,  the  First  Corps,  under  General  Reynolds,  was  coming  up  at  right  angles 
to  the  line  of  march.  The  woods  were  full  of  stragglers,  who  were  lighting  fires  in  every  direction,  while  a  body  of  cavalry 
was  attempting  to  drive  them  in  and  to  extinguish  the  fires.  At  daybreak,  I  was  ordered  to  establish  a  hospital  in  a  hollow  in 
the  woods,  on  the  road  to  Banks's  Ford,  about  six  hundred  yards  to  the  rear  of  our  line  of  battle.  Doctor  Doolittle,  of  the  5th 
N.  Y.  Volunteers,  who  had  been  detailed  as  surgeon-iii-chief  of  the  hospital,  having  gone  away,  I  was  ordered  to  assume  the 
duties  of  that  post  as  well  as  those  of  operator.  An  old  saw-mill  near  by  furnished  boards  enough  to  make  a  shelter  for  about 


]36  APPENDED    DOCUMENTS BATTLE    OF    CHANCELLORSVILLE. 

forty  men,  and  this  was  extended  by  means  of  evergreens  and  pieces  of  shelter  tents,  as  far  as  was  found  necessary.  Two 
hundred  and  fifty  rations  were  obtained  from  the  commissary  of  the  corps,  and,  in  the  afternoon,  the  brigade  medical  supply 
wagons  were  brought  up.  While  at  this  point,  we  received  and  treated  about  eighty  wounded  men,  very  few  of  whom,  however, 
belonged  to  our  corps.  I  excised  the  shoulder  joint  in  two  cases  at  this  place.  I  operated,  also,  in  three  cases  in  which  a  ball 
had  entered  the  cranium  through  the  frontal  bone,  and  penetrated  the  substance  of  the  brain.  In  the  first  case,  I  merely  removed 
the  fragments  and  spicula3  of  bone  which  had  been  forced  into  the  cerebral  substance,  the  ball  not  being  found  by  any  examination 
which  I  deemed  prudent  to  attempt.  In  the  second  case,  I  removed  the  ball,  the  fragments  of  bone  and  the  letter  of  the  man's 
cap,  which  had  been  forced  into  the  anterior  lobe  of  the  brain.  I  may  add  that  I  saw  this  man,  four  weeks  afterward,  in  the 
corps  hospital.  At  that  time,  the  wound  had  nearly  healed,  and  no  unfavorable  symptoms  of  any  kind  had  occurred.  In  the 
third  case,  a  Confederate,  I  removed  the  ball  and  fragments  of  bone  from  the  centre  of  the  anterior  lobe,  and  forty-eight  hours 
after,  when  I  left,  the  man  was  leaning  against  a  tree,  smoking  a  pipe  and  observing  my  proceedings  with  great  interest.  In 
none  of  these  cases  was  there  any  disturbance  of  the  mental  faculties,  after  the  first  two  hours,  during  the  time  that  they  remained 
under  my  observation.  On  the  5th  of  May,  by  the  order  of  Surgeon  J.  Moore,  U.  S.  A.,  I  removed  all  the  supplies  from  the 
brigade  wagons,  except  about  fifty  blankets  and  a  few  bottles  of  whiskey,  and  sent  them  off  with  all  the  wounded  belonging  to 
our  corps.  I  then  had  the  wounded  belonging  to  other  corps  transferred  to  their  respective  hospitals,  leaving  no  patients  except 
fifteen  wounded  rebels.  All  the  other  medical  supplies  of  the  division,  and  about  two  hundred  rations  were  left  in  charge  of 
Assistant  Surgeon  Bacon,  U.  S.  A.  One  hospital  steward,  one  cook  and  one  nurse  were  also  detailed  to  remain.  At  five  o'clock 
of  the  morning  of  the  6th  of  May,  we  joined  the  division,  Avhich  was  then  on  its  way  towards  the  river,  acting  as  rear  guard,  and 
crossed  about  nine  o'clock.  -Before  leaving,  I  suggested  to  Doctor  Bacon  the  propriety  of  burying,  or  otherwise  concealing,  a 
box  of  whiskey  and  some  chloroform  and  morphine.  This  was  done,  and  I  have  since  been  informed  by  Doctor  Bacon  that  it 
proved  a  very  useful  precaution,  as  the  greater  part  of  the  stores  not  so  concealed  were  appropriated  for  the  rebel  wounded  as 
soon  as  they  came  up.  On  the  evening  of  the  6th  of  May,  in  a  pouring  rain,  the  division  reached  its  old  camp  near  Potomac 
creek." 


CXX.     Second  Extract  from  a  Narrative  of  his  Services.     By  Surgeon  J.  T.  HEARD,  U.  S. 
Volunteers. 

"On  the  23th  of  April,  camps  were  broken  up,  and,  at  noon,  the  First  Corps  moved  to  within  one  mile  of  the 
Bappahannock,  bivouacking  not  far  from  White  Oak  church.  On  the  29th,  before  day,  pontoons  were  brought  up,  but,  on 
account  of  the  rapid  fire  of  the  enemy's  sharpshooters  from  their  rifle  pits  on  the  opposite  bank,  it  was  impossible  to  construct 
bridges.  At  nine  o'clock  in  the  morning,  however,  a  brigade  of  the  1st  division  was  rapidly  crossed  in  boats,  and  quickly  drove 
the  rebels  from  their  pits,  capturing  ninety-five.  The  bridges  were  then  put  down,  and  the  1st  division  thrown  across  the  river. 
Earthworks  were  constructed  along  the  south  bank,  and  the  men  covered.  The  2<1  and  3d  divisions  remained  upon  the  north 
bank.  The  enemy  occupied  the  position  on  the  opposite  heights  as  in  December.  The  place  of  crossing  was  a  quarter  of  a 
mile  below  the  crossing  made  by  General  Franklin  on  the  llth  of  December.  The  Sixth  Corps  crossed  at  the  site  of  the  former 
bridges.  As  the  First  Corps  was  not  generally  engaged  during  the  battle  on  the  Rappahannock,  there  is  but  little  of  interest  to 
communicate  with  regard  to  its  operations.  The  approximate  strength  of  the  corps  was  fourteen  thousand  men.  The  loss 
during  the  seven  days  was,  in  killed,  wounded  and  missing,  only  two  hundred  and  ten.  At  the  time  the  bridges  were  constructed, 
the  hospital  tents  were  pitched,  and  the  three  division  hospitals  established  near  the  Fitzhugh  house,  half  a  mile  from  the  point 
of  crossing.  Before  and  during  the  time  of  crossing,  sixty  wounded  were  received.  All  the  wounds  were  from  rifle  balls,  at  a 
distance  of  from  one  hundred  and  fifty  to  two  hundred  yards.  The  wounded  were  quickly  cared  for,  all  operations  being 
primary.  One  amputation  at  the  hip-joint  was  performed  by  Surgeon  E.  Shippen,  U.  S.  V.  As  late  as  the  2d  of  June  the 
patient  was  doing  remarkably  well. 

On  the  30th  of  April,  our  forces  still  occupied  the  same  positions  as  on  the  29th.  At  half  past  five  in  the  afternoon,  the 
enemy  opened  fire  on  the  bridges  from  a  battery  of  four  twenty-pound  Parrott  guns  at  a  distance  of  two  thousand  eight 
hundred  yards.  This  battery  was  replied  to  by  eight  three-inch  guns  posted  on  the  novth  bank,  the  fire  continuing  until  dark. 
Twenty  men  were  wounded  by  shell,  and  taken  to  hospital.  May  1st,  the  rebels  were  seen  moving  large  numbers  of  troops  to 
their  right,  but  there  was  no  engagement.  The  wounded  of  the  previous  two  days  were  doing  well.  Supplies  were  ample.  May 
2d,  at  eight  o'clock  in  the  morning,  the  1st  division  recrossed  the  bridges,  and  the  whole  corps  moved  up  the  river  to  United  States 
Ford,  a  distance  of  sixteen  miles.  At  the  time  of  recrossing,  the  enemy  again  opened  with  their  Parrott  guns,  wounding  fifteen 
men  of  the  1st  division.  They  were  immediately  taken  in  ambulances  to  hospital.  Four  hospital  tents  were  left  standing  near 
the  Fit/hugh  house;  the  wounded  were  placed  in  them,  the  house  was  also  occupied,  and  the  whole  left  in  charge  of  Surgeon 
A.  W.  Whitney,  of  the  13th  Massachusetts.  The  remaining  tents  were  struck,  wagons  packed,  and,  together  with  the 
ambulance  trains,  moved  in  the  rear  of  the  troops.  At  dark,  the  head  of  the  column  crossed  the  bridges  at  United  States  Ford, 
and.  at  midnight,  took  position  on  the  Chancellorsville  road,  with  the  right  resting  on  Hunting  Creek.  This  corps,  which,  in 
the  morning,  formed  the  extreme  left  of  the  army,  was  now  upon  the  extreme  right.  Earthworks  were  thrown  up,  and  every 
preparation  made  for  battle.  Up  to  the  evening  of  the  5th,  no  engagement  took  place.  There  was,  however,  some  little 
skirmishing,  by  which  we  had  fifteen  men  wounded  by  rifle  balls,  who  were  cared  for,  and  afterwards  sent  to  Washington. 
Early  on  the  morning  of  the  6th,  the  whole  of  the  army  recrossed  the  ford.  On  the  7th,  this  corps  went  into  camp  near  White 
Oak  church.  On  the  8th,  sixty  of  the  slightly  wounded  were  sent  from  the  Fitzhugh  house  to  corps  hospital,  near  Wind-mill 
Point,  and  to  their  regiments.  On  the  25th,  twenty-two  wounded  were  sent  to  Washington  from  the  same  hospital,  leaving  but 
fifteen  seriously  wounded  men  at  that  place,  who  were  well  cared  for  and  are  doing  remarkably  well." 


REPORTS  OF  SURGEONS  BACON  AND  ADOLPHUS.  137 

CXXI.     Second  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant 
Surgeon  C.  BACON,  II.  S.  Army. 

*  *  *  "April  27,  1863,  the  battalion  (1st  battalion  14tli  Infantry)  broke  catnp  and  marched  with  the  Fifth  Corps,  by 
way  of  Kelly's  Ford,  to  Chancellorsville,  crossing  the  Rapidan  at  Ely's  Ford,  making  a  detour  for  the  purpose  of  pushing  the 
enemy  from  United  States  Ford,  thereby  permitting  our  trains  and  the  troops  at  that  point  to  cross,  and  arriving  at 
Chancellorsville,  May  3d.  *  *  May  1st,  the  division  was  advanced  a  mile  and  a  half  along  the  Fredericksburg  road,  when 
the  enemy  opened  a  heavy  fire  of  artillery.  I  accompanied  the  battalion  near  to  the  position  of  the  enemy,  but  being 
detailed  on  the  operating  staff  of  the  hospital  of  the  division,  I  returned  for  that  duty.  The  hospital  was  established  at  a  farm 
house  immediately  on  the  Fredericksburg  road,  and  at  a  short  distance  from  the  line  of  battle.  It  afterwards  proved  to  be  too 
near  the  front.  The  division  pressed  the  enemy  backward  for  an  hour,  but  not  being  supported  on  either  flank,  it  was  ordered 
to  retire,  having  suffered  considerably  in  killed  and  wounded.  It  now  became  necessary  to  remove  the  wounded  without  delay 
to  the  Chancellor  house,  which  was  accomplished  with  ambulances,  the  wounded  having  been  brought  from  the  battle-field 
upon  stretchers.  May  2d,  as  the  Chancellor  house  had  become  untenable,  I  received  orders  from  the  medical  director  to  take 
the  wounded,  with  the  exception  of  those  who  had  sustained  major  operations,  to  the  corps  hospital  at  Brooks's  Station,  on  the 
Falmouth  and  Aquia  Creek  railroad.  I  returned  from  this  duty,  the  following  day,  at  noon.  The  battle  of  the  morning  was 
over,  and  the  lines  of  the  army  had  been  reconstructed  at  the  rear  of  the  Chancellor  house.  The  hospital  of  the  division  was 
now  established  in  the  woods  in  the  rear  of  the  position  of  the  Fifth  Corps.  Tuesday,  May  5th,  it  was  decided  to  withdraw 
the  army  to  the  north  bank  of  the  Rappahannock.  This  was  accomplished  on  the  following  day.  I  had  orders  from  the 
medical  director  to  remain  with  the  wounded,  and  also  to  take  charge  of  a  large  amount  of  commissary  stores,  medical  and 
hospital  supplies  belonging  to  the  division,  and  intended  for  the  benefit  of  the  wounded  of  our  army  remaining  in  the  hands 
of  the  enemy.  These  supplies  were  taken  possession  of  by  Medical  Director  Holt,  of  A.  P.  Hill's  division  of  the  enemy's 
forces,  with  the  promise  that  all  should  be  used  for  the  benefit  of  our  wounded.  I  regret,  however,  to  say  that  this  promise 
was  not  kept,  and  that  only  a  small  portion  of  the  stores  were  issued  to  the  men  of  our  army.  Previous  to  the  retiring  of  our 
army,  I  had  cached  a  box  of  whiskey,  which  I  afterward  obtained,  and  which  proved  of  much  value.  Were  I  again  placed 
in  similar  circumstances,  I  should  cache  all  supplies  that  might  be  imperatively  required.  On  being  relieved  of  these  duties, 
I  began  work  at  the  Hill  hospital,  in  charge  of  Assistant  Surgeon  Webster,  U.  S.  A.  This  hospital  was  on  the  field  of  the 
action  of  the  Third  Corps  on  Sunday,  and  near  to  the  Chancellor  house.  At  this  date,  May  7th,  but  few  of  the  dead  remained 
unburied.  Our  wounded  had  been  collected  upon  the  battle-field,  or  in  its  immediate  vicinity,  and  were  mostly  under  the  care 
of  our  own  surgeons.  I  found  all  the  wounded  had  been  removed  from  the  position  of  the  engagement  of  the  2d  division  of 
the  Fifth  Corps.  The  Third  and  Eleventh  Corps  had  each  left  many  wounded  on  the  field.  By  command  of  General  Colston, 
the  hospitals  in  which  they  had  been  collected  were  placed  under  the  direction  of  Surgeon  George  Suckley,  U.  S.  V.,  medical 
director  of  the  Eleventh  Corps,  who  had  been  made  a  prisoner  during  the  battle  of  Saturday,  May  3d.  At  the  Hill  hospital, 
there  were  some  two  hundred  of  our  wounded.  Some  of  these  occupied  the  buildings  of  the  plantation,  which  were  of  the 
poorest  character.  The  larger  part,  however,  were  provided  with  shelter  by  pieces  of  shelter  tent  united.  This  shelter, 
imperfect  as  it  was,  did  much  to  protect  the  men  from  the  rains.  No  blankets  or  bedding  were  supplied,  yet  it  was  said  that 
this  hospital  was  the  most  efficient  and  the  best  provided  of  any  of  the  Union  hospitals.  An  extremely  limited  amount  of 
medicines,  dressings  and  other  supplies,  were  issued.  The  commissary  stores  were  sufficient  for  subsistence.  As  a  consequence 
of  the  insufficiency  of  clothing,  and  want  of  proper  quantity  and  quality  of  food,  the  vital  powers  of  the  men  became  exhausted, 
and  frequently  gangrene  supervened  on  wounds  of  apparenly  minor  importance.  No  capital  operations  were  performed,  except 
such  as  were  necessary  to  preserve  life.  It  may  be  said,  in  extenuation  of  this  treatment  of  our  wounded  by  the  rebel  authorities, 
that  it  was  chiefly  owing  to  their  own  want  of  food,  clothing  and  other  necessaries,  and  that  we  received  from  them  much 
attention  and  courtesy.  The  hospital  attendants  remaining  with  me  by  order  of  the  medical  director  were  not  paroled  as 
prisoners  of  war,  and  I  was  permitted  to  take  my  instruments  and  hospital  knapsacks  with  me  on  my  return  to  our  lines. 
Monday,  May  llth,  supplies  were  received  from  Medical  Director  Letterman,  together  with  additional  medical  assistance,  which 
latter,  however,  was  not  required.  We  only  needed  the  supplies  to  enable  us  to  do  our  work.  The  wounds  received  by  our 
men  were  principally  caused  by  the  rifle  bullet.  Although  the  battle  had  been  largely  fought  with  artillery,  but  few  wounds 
presented  that  had  been  produced  by  cannon  shot  or  shell ;  and  those,  though  more  fearful  to  look  at,  were,  I  think,  not  so 
destructive  of  life  as  wounds  caused  by  the  bullet.  Friday,  May  14th,  the  removal  of  the  last  of  the  wounded  to  the  north 
bank  of  the  Rappahannock,  under  flag  of  truce,  was  effected.  At  the  Hill  hospital  we  had,  under  the  direction  of  Surgeon 
Suckley,  taken  every  precaution  to  put  the  men  in  a  comfortable  condition  for  the  transfer.  The  complicated  injuries,  where 
there  were  fractures  of  bone  or  other  dangerous  lesions,  were  placed  in  proper  supports,  firmly  bound,  and  the  men  were  then 
well  supported  in  the  ambulances  by  pads  and  blankets.  In  this  manner,  we  were  enabled  to  transport  the  wounded  with 
comparatively  little  suffering.  Immediately  at  the  crossing  of  the  river,  in  order  to  meet  whatever  demands  might  arise,  a 
building  was  occupied,  to  furnish  food  and  such  other  supplies  as  might  be  required  by  the  wounded  as  they  passed.  These 
supplies  were  essential,  and  were  furnished,  I  believe,  by  Surgeon  John  Moore,  U.  S.  A.,  medical  director  of  the  Fifth  Army 
Corps.  May  15th,  1  returned  to  my  command,  having  accomplished  the  transfer  of  the  last  of  the  wounded  to  the  hospitals 
of  our  own  army.'' 

CXXIL      Third  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant 
Surgeon  PHILIP  ADOLPIIUS,  U.  S.  Army. 

"The  Fifth  Corps,  of  which  the  2d  Infantry  formed  a  part,  left  camp  near  Falmouth,  Virginia,  April  27th, 
crossing  the  Rappahannock  at  Kelley's  Ford,  and  the  Rapidan  at  Ely's  Ford,  iu  conjunction  with  the  remainder  of  the  2d 
brigade.  The  enemy  was  met  two  miles  south  of  Chancellorsville  on  the  1st  of  May.  The  regiment  formed  in  line  of  battle 

18 


]38  APPENDED    DOCUMENTS BATTLE    OF    CHANCELLOESVILLE. 

on  the  right  of  the  6th  Infantry,  and  advanced  through  thick  woods  for  over  half  a  mile  to  a  slight  rise  of  ground  within  a 
hundred  and  fifty  yards  of  the  enemy,  who  opened  a  heavy  fire  of  musketry,  which  was  replied  to  by  our  men.  The  regiment 
remained  in  this  position  until  ordered  to  fall  back.  The  loss  at  this  point  was  twenty-seven  officers  and  men.  The  2d  division 
remained  entrenched  in  a  strong  position  on  the  2d  and  3d  of  May.  On  the  6th,  the  whole  army  recrossed  the  Rappalmnnock 
by  the  United  States  Ford,  the  2d,  4th  and  14th  Infantry  covering  the  retreat.  The  approximate  strength  of  the  brigade  at  the 
time  of  action  was  about  one  thousand  four  hundred  a-nd  fifty  men.  The  hospital  supplies,  ambulances,  etc.,  were  abundant. 
The  whole  medical  service  was  regulated  by  Circular  No.  4,  Surgeon  General's  Office,  March  25,  1863.  The  major  part  of  the 
wounded  in  the  engagement  of  Friday  fell  into  the  hands  of  the  enemy,  and  were  well  cared  for.  The  wounded  of  the  battle 
of  Chancellorsville  also  remained  in  the  hands  of  the  enemy  for  the  space  of  ten  days,  and  were  well  treated,  though  their 
medical  supplies  were  not  abundant.  Previously  to  the  retreat  of  our  forces,  the  wounded  of  our  division  had  every  care,  and 
were  well  supplied  with  water,  food,  soups,  and  exposed  to  no  hardships.  The  minie"  rifle,  at  the  distance  of  four  hundred 
yards,  was  the  weapon  used  by  the  enemy.  Indeed,  every  engagement  demonstrates  an  abundant  supply  of  superior  quality 
of  all  arms,  when  compared  with  earlier  contests.  Very  few  round  balls,  buckshot  and  slugs  are  now  employed  by  the  rebels, 
whilst,  at  the  battle  of  Winchester,  a  large  part  of  their  ammunition  was  of  the  kind  last  mentioned. 

Primary  amputations,  as  well  as  excisions,  were  numerous.  Those  which  came  under  my  observation,  despite  the 
depressing  influences  of  a  retreat  and  the  transportation  of  the  wounded  over  bad  roads,  did  admirably.  The  results  would 
have  been  better,  no  doubt,  had  we  been  able  to  remain  on  the  other  side  of  the  Rappahannock,  for  many  primary  operations 
would  then  have  been  performed,  which  were  necessarily  postponed.  The  rebel  surgeons,  however,  operated  as  early  as  possible, 
and  with  good  success  so  far  as  our  men  were  concerned." 


CXXIII.     Second  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant 
Surgeon  FRANKLIN  GKUBE,  U.  S.  Volunteers. 

*  *  *  "At  the  battle  of  Chancellorsville,  I  was  assigned  to  the  division  hospital  as  assistant  operating  surgeon,  and 
aided  Surgeon  C.  N.  Chamberlain,  U.  S.  V.,  in  performing  a  number  of  amputations.  Our  corps  (General  Sedgwick's),  in  this 
engagement,  numbered  about  twenty-four  thousand,  and  lost  nearly  four  thousand  five  hundred  in  killed,  wounded  and  missing. 
Its  position  was  on  the  left,  near  Frederick sburg,  and  it  charged  upon  and  carried  the  heights  in  the  rear  of  the  city,  the  same 
from  which  my  former  division  was  repulsed  nearly  five  months  before.  The  missiles  employed  by  the  enemy,  and  the 
proportion  of  killed  and  wounded  in  this  engagement,  were,  as  nearly  as  I  could  ascertain,  about  the  same  as  in  the  former 
engagement  here.  The  position  of  our  hospital  was  at  first  on  the  Rappahannock,  about  half  a  mile  east  of  the  city.  On  the 
3d  of  May,  it  was  removed  into  the  city.  On  the  4th,  we  recrossed  the  river,  and  carried  the  wounded  under  our  care  to  about 
half  a  mile  north  of  the  point  of  crossing.  Our  supplies  of  all  kinds  I  believe  to  have  been  sufficient ;  and  though  I  observed 
tardiness  in  several  instances  in  administering  them,  owing  to  the  confusion  always  existing  upon  such  occasions,  I  am  not 
prepared  to  attach  blame  to  any  one.  I  observed  no  death  from  amputation,  or  during  any  other  operation,  and  none  from 
chloroform,  which  was  the  anesthetic  we  employed.  On  the  fourth  day  after  the  engagement,  all  the  wounded  of  our  corps 
were  sent  by  railway  in  charge  of  Surgeon  J.  P.  Petheridge,  of  the  65th  New  York,  and  myself,  to  Aquia  Creek,  there  to  be 
transferred  to  boats,  to  be  taken  to  Washington  for  distribution  to  the  general  hospitals.  On  the  way,  the  only  evil  feature 
I  observed  was  the  want  of  trained  and  disciplined  nurses,  in  consequence  of  which  several  of  the  wounded  who  needed 
attention  were  not  promptly  waited  on  during  the  night.  After  the  removal  of  the  wounded,  I  rejoined  my  command  (the 
batteries  of  the  3d  division,  Sixth  Corps),  and,  on  the  13th  of  May,  received  an  order  from  the  medical  director  of  the  corps 
assigning  me  to  duty  at  the  corps  hospital  near  Potomac  Creek  bridge,  where,  for  a  few  days,  I  had  charge  of  the  3d  division. 
After  the  arrival  of  Surgeon  Chamberlain,  I  assisted  him  in  reorganizing  the  hospital."  * 


CXXIV.     Third  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Surgeon 
CHAKLES  O'LEAEY,  U.  S.  Volunteers. 

"In  May,  1863,  the  Sixth  Corps  operated  singly  against  the  heights  of  Fredericksburg,  whilst  the  main  army 
was  at  Chancellorsville.  The  distance  the  corps  moved  over  rendered  celerity  and  despatch,  in  the  preparation  of  hospitals 
during  the  operations,  essentially  necessary.  The  troops  crossed  three  miles  below  the  town  at  one  o'clock  A.  M.,  May  3d. 
Their  position  would  not  permit  the  hospitals  to  be  advanced  beyond  the  point  of  crossing.  At  four  o'clock  A.  M.,  one  division 
effected  a  lodgement  in  the  town.  A  bridge  was  soon  thrown  across  the  river  at  this  place,  and,  with  the  permission  of  the 
General  commanding,  the  hospital  supplies  and  ambulances  were  brought  to  a  point  contiguous  to  the  bridge,  ready  to  be  sent 
over  as  soon  as  the  heights  were  taken.  Whilst  awaiting  the  action,  houses  were  selected  and  put  in  fit  condition  for  hospitals. 
The  charge  was  made  at  one  o'clock  i>.  M.,  the  heights  were  taken,  and,  in  less  than  half  an  hour,  we  had  over  eight  hundred 
wounded.  Two  hours  after  the  engagement,  such  was  the  celerity  and  system  with  which  ambulances  worked,  the  whole 
number  of  wounded  were  within  the  hospitals  under  the  care  of  surgeons  and  nurses.  The  corps,  however,  pushed  on,  and, 
at  five  o'clock,  four  miles  from  the  town,  encountered  the  enemy  in  strong  force.  A  severe  action  took  place.  All  night  the 
ambulances  were  kept  running,  bringing  in  wounded.  At  four  o'clock  on  the  morning  of  the  4th,  as  they  approached  the  town, 
the  enemy  advanced  from  the  left,  and  occupied  the  hills  in  their  rear.  A  few  moments  later  and  they  would  have  been  captured. 
The  wounded,  however,  were  all  brought  otf  at  this  time,  with  the  exception  of  twenty-six,  afterwards  obtained  under  flag  of 
truce.  As  the  enemy  occupied  the  hills,  and  would  soon  have  the  town,  it  became  necessary  to  remove  the  hospital  to  the  north 
side.  This  was  done  with  very  little  discomfort  to  the  wounded.  At  eleven  o'clock  A.  M.,  the  hospitals  were  re-established  in 
tents  on  this  side  of  the  river.  Being  cut  off  from  the  corps  byway  of  Fredericksburg,  it  became  necessary  to  seek  communica 
tion  with  it  by  some  other  route.  For  this,  ambulances,  with  medical  officers  and  supplies,  were  hurried  up  to  Banks's  Ford.  A 


REPORTS    OF    SURGEONS    FOYE,    BRENEMAN    AND    HOWARD.  139 

severe  action  was  going  on  in  the  afternoon.  The  wounded  ahle  to  walk  made  their  way  to  the  ford.  Only  seventeen  ambulances 
were  able  to  reach  the  troops.  Even  these  could  not  reach  the  battle-ground,  owing  to  the  steady  repulse  of  our  troops.  The 
slightly  wounded  only  were  saved  from  the  field.  These  were  removed  to  the  Sixth  Corps  hospital  near  Potomac  Creek  bridge, 
as  were,  also,  the  slighter  cases  from  the  action  of  the  previous  day.  The  wounded  from  the  different  engagements  of  the  corps 
now  numbered  one  thousand  seven  hundred,  of  whom  nine  hundred  and  thirty  were  sent  to  Washington  on  the  7th  and  8th  of 
May.  The  rest  were  lodged  in  the  corps  hospital.  Eighty-nine  were  afterwards  obtained  under  Hag  of  truce:  sixty-three  from 
Banks's  Ford,  and  twenty-six  from  Fredericksbtirg.  Surgeons,  with  supplies,  were  sent  within  the  enemy's  lines  to  attend  to 
them  whilst  there.  The  wounds  were  less  severe  than  I  have  seen  in  any  other  engagement  of  the  war,  and  the  number  of 
operations  required  was  very  few  in  proportion.  This  was  due,  probably,  to  the  small  proportion  of  shell  wounds  received. 
Of  those  received  at  first  into  our  own  hospitals,  the  operations  promised  very  favorable  results.  Of  those  detained  within  the 
enemy's  lines,  the  operations  being  all  secondary,  the  aspect  was  not  so  favorable  ;  sloughing  occurred  in  many  instances,  with 
secondary  haemorrhage,  and  this  to  such  an  extent  that  re-amputation  has  been  necessary  in  some  instances.  In  every  case, 
anaesthetics  were  administered,  no  bad  results  following.  Our  hospital  organization  was  strictly  on  the  plan  prescribed  in  the 
circular  of  the  medical  director  of  the  army.  Supplies  of  everything  necessary  were  never  for  a  moment  deficient.  *  *  * 


CXXV.     Fourth  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff,     By  Surgeon 
JOHN  W.  FOYE,  U.  S.  Volunteers. 

*  *  *  "At  the  battle  of  Chancellorsville,  the  Third  Corps,  of  which  our  regiment  formed  a  part,  crossed  early  on  the 
morning  of  the  2d  of  May,  and  took  position  on  the  left  and  centre,  where  they  established  a  line  of  breastworks.  Early  on 
the  following  morning,  they  received  the  first  of  a  series  of  assaults  made  by  the  enemy  through  the  day.  In  the  afternoon,  the 
corps  was  shifted  to  the  right,  which  position  they  retained  till  the  army  was  withdrawn,  May  6th.  The  strength  of  the  brigade 
was  about  two  thousand  five  hundred,  in  good  condition  and  well  supplied.  On  the  first  day,  the  field  hospital  was  half  a  mile 
from  the  front.  On  the  second  day,  it  was  removed  to  a  more  prudent  distance  to  the  rear,  probably  about  a  mile.  At  the  new 
site,  water  and  food  were  plenty,  but  there  was  no  shelter  save  that  afforded  by  the  few  houses  near  by.  On  the  5th,  at  four 
o'clock,  P.  M.,  it  commenced  raining  violently,  and  continued  to  do  so  through  the  night.  The  storm  lasted,  with  less  severity, 
three  days.  The  wounded  were  removed  by  the  ambulance  corps,  which  was  very  efficient.  The  day  prior  to  re-crossing,  the 
ambulance  train  plied  constantly  between  the  front  and  field  hospitals.  The  battle  was  a  series  of  assaults,  extending  over  a 
period  of  three  days,  commencing  with  artillery  fire,  which  was  followed  by  musketry  at  short  range.  There  was,  probably,  no 
material  difference  between  the  arms  used  by  the  enemy  and  those  of  our  own  army,  in  which  all  the  modern  varieties  were 
represented.  On  the  afternoon  of  the  4th,  a  train  of  thirty-five  ambulances  of  the  Third  Corps  was  loaded  for  the  corps 
hospital  near  Potomac  Creek.  From  the  condition  of  the  roads,  the  journey  was  a  very  tedious  one.  The  last  train,  containing 
forty-two  patients,  left  the  eastern  shore  of  the  ford  at  eleven  A.  M.  on  the  7th  for  the  Third  Corps  hospital.  Many  capital 
operations  were  performed  on  the  field  during  the  first  and  second  days;  later  than  this  the  medical  corps  was  principally 
occupied  in  preparing  the  wounded  for  transportation.  Chloroform  was  the  only  anaesthetic  used."  * 


CXXVI.     Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant  Surgeon 
E.  DE  W.  BKENEMAN,  U.  S.  Army. 

*  *  *  "April  2,  1863,  I  returned  to  the  army  of  the  Potomac,  and  was  assigned  to  duty  with  the  12th  Infantry,  in 
which  regiment  I  am  now  serving.  The  regiments  of  the  division  to  which  it  belonged  left  camp  on  Monday,  April  '27th,  at  ten 
A.  jr.,  marching  to  Hartwood  church,  at  which  point  all  the  ambulances  were  ordered  to  return  to  camp,  except  one  to  each 
brigade.  On  Tuesday,  we  reached  the  Old  Stone  church,  crossed  the  Rappahannock  on  pontoons,  at  Kelley's  Ford,  at  ten  A.  M., 
and  the  Rapidan,  at  Ely's  Ford,  at  nine  p.  M.  On  Wednesday,  we  marched  to  Chancellorsville,  via  United  States  Ford,  and  went 
into  camp  near  there,  Thursday,  the  30th,  at  four  p.  M.  On  Friday,  May  1st,  at  twelve  M.,  General  Sykes,  with  a  command 
of  between  four  and  five  thousand  men,  engaged  the  rebel  General  Anderson's  division  on  the  Fredericksburg  and  Richmond 
road,  one  mile  north  of  camp.  The  action  lasted  until  half  past  two  in  the  afternoon,  when  the  order  was  given  to 
retire  to  the  old  camp.  The  condition  of  our  troops  was  -excellent,  and  their  conduct  in  battle  unexampled  for  bravery.  A 
division  hospital  under  charge  of  Surgeon  Doolittle,  of  the  5th  New  York,  with  Assistant  Surgeons  Howard  and  Billings,  U. 
S.  A.,  as  operators,  was  established  in  a  dwelling  half  a  mile  in  the  rear  of  the  engagement.  To  this  point,  the  wounded  were 
promptly  conveyed  on  stretchers  from  the  field;  thence  they  were  conveyed  in  ambulances  to  the  Chancellor  house,  and, 
subsequently,  to  the  neighborhood  of  United  States  Ford.  I  remained  in  the  rear  of  my  regiment  on  the  field,  attending  to  the 
wounded.  Nearly  all  the  operations  were  performed  at  the  field  hospital,  and  I  had  no  opportunity  of  witnessing  them.  We 
arrived  safely  at  our  old  camp,  near  Falmouth,  Virginia,  on  Wednesday,  May  6th.  The  losses  in  the  regiment  were  one  enlisted 
man  killed  and  five  wounded."  * 


CXXVII.      Fourth  Extract  from  Memoranda  for  the  Surgical  History  of  the  War.     By 
Assistant  Surgeon  B.  HOWARD,  U.  S.  Army. 

At  the  battle  of  Chancellorsville,  we  crossed  the  Rappahnnnock  on  the  29th  of  April.  The  Fifth  Corps, 
with  which  I  was  serving,  moved  via  Kelley's  Ford.  On  the  30th,  we  forded  the  Rapidan.  We  halted  in  the  vicinity  of  the 
•  •neniy.  near  Chancellorsville,  about  two  o'clock  P.  M.  Next  morning,  the  2d  division  and  artillery,  of  which  I  was  the 
senior  operator,  advanced  along  the  Fredericksburg  plank-road  and  encountered  the  enemy,  who  were  posted  across  and  on  either 


140  APPENDED    DOCUMENTS BATTLE    OF    GETTYSBURG. 

side  of  it.  The  hospital  for  the  2d  division  and  artillery  was  in  a  house  about  two  miles  from  the  Chancellor  house.  Here 
the  wounded  had  been  rapidly  attended  to  for  about  two  hours  and  a  half,  when  a  retreat  was  ordered,  leaving  the  hospital  in 
front  of  the  line  of  battle.  The  patients  were  quickly  hurried  away  to  the  Chancellor  house,  our  next  hospital.  The  troops 
continued  to  fall  back  on  the  left,  so  as  to  bring  this  hospital  under  occasional  artillery  tire,  and  the  next  day,  at  times,  under 
musketry  fire.  The  wounded  of  this  and  some  other  commands  we  treated  here,  and,  during  the  morning  of  the  2d,  all  men  of 
our  own  command  were  sent  to  the  rear  in  ambulances.  May  2d,  about  four  o'clock  P.  M.,  the  Eleventh  Corps,  on  our  right, 
retreated.  Officers  were  detailed  to  be  left  behind,  and  the  operating  staff  went  farther  to  the  rear.  One  of  the  medical  officers 
thus  left  was  shot  while  in  discharge  of  his  duty.  Sykes's  division  was  now  formed  in  line  across  the  road  leading  to  the  ford, 
and  our  third  Held  hospital  was  established  about  a  half  mile  to  the  rear  of  this  line,  close  by  the  road  to  the  ford.  While  here, 
supplies  of  every  sort  were  in  abundance  except  tents,  the  only  shelter  for  the  wounded  being  sheds  extemporized  of  evergreens 
and  brushwood.  We  received  here  about  one  hundred  and  fifty  wounded,  including  some  of  the  enemy.  During  the  night  of 
the  4th,  there  was  a  very  heavy  rain,  drenching  the  wounded.  By  the  evening  of  the  5th,  all  the  wounded,  except  prisoners, 
were  safely  removed  beyond  the  river  to  the  corps  hospital  in  the  vicinity  of  Brooks's  Station.  Large  supplies  of  stores  and  a 
medical  officer  were  left  with  the  wounded  prisoners,  and  before  daylight  of  the  6th,  all  our  forces  had  retreated  north  of  the 
Rappahannock.  Different  corps  left  large  numbers  of  wounded  on  the  field.  Some  were  lying,  between  the  opposing  lines  of 
battle,  in  the  brush,  which  is  said  to  have  caught  fire,  neither  friend  nor  foe  being  able  to  render  aid.  A  few  days  after  the 
retreat,  ambulances  were  sent  for  our  wounded,  with  a  flag  of  truce.  The  wounded  of  the  different  corps  were  mainly  treated 
in  the  field  hospitals  in  the  vicinity  of  Brooks's  Station,  and  sent  to  Washington,  when  able  to  endure  further  transportation,  by 
railroad.  There  was  one  death,  at  the  last  field  hospital,  from  chloroform.  A  post  mortem  discovered  a  ball  lying  behind  the 
trachea,  below  the  level  of  cricoid  cartilage." 


CXXVIII.     Third  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.    By  Assistant 
Surgeon  J.  T.  CALHOUN,  U.  S.  Army. 

*  "At  the  battle  of  Chancellorsville,  I  had  medical  charge  of  the  2d  division,  Third  Corps.  Its  loss  was  very 
large,  and  many  of  the  wounded  were  left  upon  the  field.  After  the  battle,  I  went,  in  obedience  to  orders,  with  the  flag  of 
tnice  in  charge  of  Assistant  Surgeon  M.  J.  Asch,  U.  S.  A.,  to  aid  in  the  removal  of  our  wounded  from  within  the  rebel  lines. 
This  was  speedily  accomplished.  Those  of  my  division  were  placed  in  hospital  at  Potomac  Creek,  and  were  carefully  treated, 
under  my  own  personal  supervision,  by  Assistant  Surgeon  Janes,  of  the  7th  New  Jersey,  and  the  medical  officers  on  duty  with 
him."  *  * 

CXXIX.     Second  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant 
Surgeon  C.  M.  COLTON,  U.  S.  Army. 

*  *  *  "At  the  battle  of  Chancellorsville,  the  17th  Infantry  was  in  the  first  line  of  skirmishers  on  the  morning  of  May 
1st.  I  was  on  duty  with  the  regiment,  but  found  it  impossible  to  keep  up  with  it,  the  wounded  of  my  own  and  other  regiments 
being  brought  to  me  faster  than  I  could  attend  to  them.  As  our  skirmishers  fell  back,  I  was  obliged  to  transport  the  wounded 
from  the  field,  which  was  done  on  litters  extemporized  from  blankets,  etc.,  the  ambulances  and  stretchers  not  having  come  up. 
I  succeeded  in  getting  them  all  to  the  Chancellor  house,  where,  I  believe,  they  were  well  cared  for;  but,  being  obliged  to 
follow  the  regiment,  am  unable  to  give  any  further  account  of  them.  The  17th  Infantry  Avent  into  this  action  with  twenty-one 
officers  and  three  hundred  and  ten  men.  It  lost  two  officers  and  five  men  killed,  one  officer  and  twenty-one  men  wounded,  and 
six  men  missing.  The  wounds  were  mostly  inflicted  by  conoidal  balls  and  fragments  of  shell.  They  were  generally  severe, 
the  proportion  of  wounds  of  the  trunk  being  greater  than  I  ever  saw  before." 


CXXX.     Iteport  on  the  Operations  of  the  Medical  Department  during  the  Battle  of  Gettysburg. 
By  Surgeon  JONATHAN  LETTERMAN,  U.  S.  A.,  Medical  Director  Army  of  the  Potomac. 

CAMP  NEAR  CULPEPPER  C.  H.,  VA.,  October  3,  1863. 

GENERAL:  I  have  the  honor  to  submit  the  following  report  on  the  operations  of  the  medical  department  of  this  army  at 
the  battle  of  Gettysburg,  July  1,  2  and  3,  1863: 

As  the  subject  of  transportation  has  an  important  bearing  upon  the  manner  in  which  the  wounded  are  attended  to  after  a 
battle,  it  is  necessary  to  make  some  allusion  to  the  manner  in  which  this  department  was  supplied.  It  is  scarcely  necessary  to 
say  that,  if  the  transportation  is  not  sufficient  to  enable  the  officers  of  the  department  to  conduct  it  properly,  the  consequences  must 
fall  upon  the  wounded.  In  the  autumn  of  1862,  I  investigated  the  subject  very  carefully,  with  a  view  to  the  adoption  of  some 
system,  instead  of  the  irregular  method  which,  prior  to  that  time,  was  in  vogue;  to  limit  the  amount  necessary  and  to  have  that 
amount  always  available.  The  transportation  allowed  was  one  wagon  to  each  regiment,  and  one  to  each  brigade.  This  gave 
all  that  was  required,  and  was  not  too  much.  It  may  be  remarked  that  it  was  a  reduction  to  nearly  one-half  that  which  had 
been  in  use  prior  to  that  time.  This  system  worked  well.  At  the  battle  of  Chancellorsville  the  department  had,  upon  the  left 
bank  of  the  Rappahannock,  means  sufficient,  had  it  been  allowed  to  use  them,  to  take  cure  of  many  more  wounded  than  came 
under  its  control. 

On  the  19th  of  June,  while  the  army  was  on  the  march  from  before  Fredericksburg  to  some  unknown  point  north  of  the 
Potomac  river,  the  headquarters  being  near  Fairfax  Court  house,  Virginia,  the  transportation  of  the  department  was  cut 
down,  on  an  average  of  two  wagons  in  a  brigade,  in  opposition  to  my  opinion,  expressed  verbally  and  in  writing.  This 
reduction  necessitated  the  turning  in  of  a  largo  portion  of  the  supplies,  tents,  etc.,  which  were  necessary  for  the  proper 


N.  E.  VIRGINIA,  MARYLAND  and   PENNSYLVANIA. 


REPORT    OF    MEDICAL    DIRECTOR    LETTERMAN.  141 

care  of  the  wounded  in  the  event  of  a  battle.  Three  wagons  were  assigned  to  a  brigade  of  one  thousand  five  hundred 
men,  doing  away  with  regimental  wagons.  This  method,  in  its  practical  working,  is  no  system  at  all,  as  it  is  liable  to  constant 
changes,  and  proved  to  be,  what  I  supposed  at  the  time  it  would  be,  a  failure,  as  it  did  not  give  the  department  the  means 
necessary  to  conduct  its  operations.  Headquarters  left  Fairfax  Court-house  on  the  26th  of  June  for  some  point  as  yet  unknown 
in  Maryland  or  Pennsylvania.  On  the  '25th  of  that  month,  I  directed  Assistant  Surgeon  Brinton,  U.  S.  A.,  to  proceed  to  Wash 
ington  and  obtain  the  supplies  I  had  ordered  the  medical  purveyor  to  have  put  up,  and  there  await  orders.  On  the  26th,  he  was 
ordered  to  proceed  with  them  to  Frederick.  This  step  was  taken  to  obviate  the  want  of  supplies  consequent  upon  the  reduction 
of  transportation.  At  this  date,  it  was  not  known  that  the  army  would  be  near  Frederick,  still  the  risk  had  to  be  run,  and  the 
event  justified  the  order.  Dr.  Brinton  arriving  at  Frederick  on  the  28th  of  June,  the  day  after  the  arrival  of  headquarters  there, 
with  twenty-five  army-wagon  loads  of  such  supplies  as  would  be  most  required  in  case  of  a  battle.  The  train  with  these 
supplies  followed  that  of  headquarters  until  we  reached  Taneytown.  On  the  1st  of  July,  the  trains  were  not  permitted  to  come 
farther,  and,  on  the  2d,  were  ordered  to  the  rear,  near  Westminster.  On  the  1st,  it  was  ordered  that  'Corps  commanders  and 
the  commander  of  the  artillery  reserve  will  at  once  send  to  the  rear  all  their  trains,  excepting  ammunition  wagons  and 
ambulances,  parking  them  between  Union  Mills  and  Westminster.'  On  the  2d,  these  trains  were  ordered  still  further  to  the 
rear,  and  parked  near  Westminster,  nearly  twenty-five  miles  distant  from  the  battle-field.  The  effect  of  tins  order  was  to  deprive 
the  department  almost  wholly  of  the  means  for  taking  care  of  the  wounded  until  the  result  of  the  engagement  of  the  2d  and  3d, 
was  fully  known.  I  do  not  instance  the  effect  of  this  order,  except  to  show  its  influence  upon  the  department;  the  expediency 
of  the  order  I,  of  course,  do  not  pretend  to  question,  but  its  effect  was  to  deprive  this  department  of  the  appliances  necessary 
for  the  proper  care  of  the  wounded,  without  which  it  is  as  impossible  to  have  them  properly  attended  to  as  it  is  to  fight  a  battle 
without  ammunition.  In  most  of  the  corps  the  wagons  exclusively  used  for  medicines  moved  with  the  ambulances,  so  that  the 
medical  officers  had  a  sufficient  supply  of  dressings,  chloroform  and  such  articles  until  the  supplies  came  up,  but  the  tents  and 
other  appliances  which  are  as  necessary  were  not  available  until  the  5th  of  July.  The  supply  of  Dr.  Brinton  reached  the  field 
on  the  evening  of  the  4th  of  July.  This  supply,  together  with  the  supplies  ordered  by  me  on  the  5th  and  6th  of  July,  gave  more 
than  was  required.  The  reports  of  Dr.  Brinton  and  Dr.  Taylor  show  that  I  ordered  more  supplies  than  were  used  up  to  the 
18th  of  July,  when  the  hospitals  were  taken  from  under  my  control.  Surgeon  Taylor,  medical  inspector  of  this  army,  who  was 
ordered,  on  the  29th  of  July,  to  Gettysburg,  to  examine  into  the  state  of  affairs  there,  reports  to  me  that  he  made  '  the  question 
of  supplies  a  subject  of  special  inquiry  among  the  medical  officers  who  had  remained  with  the  wounded  during  and  for  a  month 
subsequent  to  the  battle.  The  testimony  in  every  instance  was  conclusive  that  at  no  time  had  there  been  any  deficiency;  but, 
to  the  contrary,  that  the  supply  furnished  by  the  medical  purveyor  had  been,  and  still  continued  to  be,  abundant.'  This  is, 
perhaps,  sufficient  to  show  that  not  only  were  supplies  ordered  in  advance,  but  that  they  were  on  hand  when  required,  notwith 
standing  the  difficulty  in  consequence  of  the  inability  of  the  railroad  to  meet  the  requirements  made  upon  it,  until  after  General 
Haupt  took  charge  of  it  on  the  9th  of  July.  I  have  not  deemed  it  necessary  to  present  any  tables  showing  the  amounts  ordered 
and  issued,  considering  what  I  have  above  stated  sufficient  to  show  the  action  of  this  department.  The  chief  want  was  tents  and 
other  appliances  for  the  better  care  of  the  wounded.  I  had  an  interview  with  the  commanding  general  on  the  evening  of  the 
3d  of  July,  after  the  battle  was  over,  to  obtain  permission  to  order  up  the  wagons  containing  the  tents,  etc.  This  request  he  did 
not  think  expedient  to  grant  but  in  part,  allowing  one-half  of  the  wagons  to  come  to  the  front;  the  remainder  were  brought  up 
as  soon  as  it  was  considered  by  him  proper  to  permit  it.  To  show  the  result  of  the  system  adopted  upon  my  recommendation, 
regarding  transportation  and  the  effect  of  the  system  of  field  hospitals,  I  may  here  instance  the  hospital  of  the  Twelfth  Corps, 
in  which  the  transportation  was  not  reduced,  nor  the  wagons  sent  to  the  rear  at  Gettysburg.  Surgeon  McNulty,  medical 
director  of  that  corps,  reports  that  'it  is  with  extreme  satisfaction  that  I  can  assure  you  that  it  enabled  me  to  remove  the 
wounded  from  the  field,  shelter,  feed  them,  and  dress  their  wounds  within  six  hours  after  the  battle  ended,  and  to  have  every 
capital  operation  performed  within  twenty-four  hours  after  the  injury  was  received.'  I  can,  I  think,  safely  say  that  such  would 
have  been  the  result  in  other  corps  had  the  same  facilities  been  allowed;  a  result  not  to  have  been  surpassed,  if  equalled,  in 
any  battle  of  magnitude  that  has  ever  taken  place.  A  great  difficulty  always  exists  in  having  food  for  the  wounded.  By  the 
exertions  of  Colonel  Clarke,  chief  commissary,  thirty  thousand  rations  were  brought  up  on  the  4th  of  July  and  distributed  to 
the  hospitals.  Some  of  the  hospitals  were  supplied  by  the  commissaries  of  the  corps  to  which  they  belonged.  Arrangements 
were  made  by  Colonel  Clarke  to  have  supplies  in  abundance  brought  to  Gettysburg  for  the  wounded.  He  ordered  them,  and, 
if  the  railroad  would  transport  them,  they  would  be  on  hand. 

Over  six  hundred  and  fifty  medical  officers  are  reported  as  present  for  duty  at  that  battle.  These  officers  were  engaged 
assiduously,  day  and  night,  with  little  rest,  until  the  6th,  and  in  the  Second  Corps,  until  the  7th  of  July,  in  attendance  upon 
the  wounded.  The  labor  performed  by  these  officers  was  immense.  Some  of  them  fainted  from  exhaustion  induced  by  over 
exertion,  and  others  became  ill  from  the  same  cause.  The  skill  and  devotion  shown  by  the  medical  officers  of  this  army  were 
worthy  of  all  commendation  ;  they  could  not  be  surpassed.  Their  conduct  as  officers  and  as  professional  men  was  admirable. 
Thirteen  of  them  were  wounded;  one  of  whom,  Surgeon  W.  S.  Moore,  61st  Ohio,  Eleventh  Corps,  died  on  the  6th  of  July,  from 
the  effects  of  his  wounds  received  on  the  3d.  The  idea,  very  prevalent,  that  medical  officers  are  not  exposed  to  fire,  is  thus 
shown  to  be  wholly  erroneous.  The  greater  portion  of  the  surgical  labor  was  performed  before  the  army  left.  The  time  for 
primary  operations  had  passed,  and  what  remained  to  be  done  was  to  attend  to  making  the  men  comfortable,  dress  their  wounds 
and  perform  such  secondary  operations  as  from  time  to  time  might  be  necessary. 

One  hundred  and  six  medical  officers  were  left  behind  when  the  arrny  left;  no  more  could  be  left,  as  it  was  expected  that 
another  battle  would,  within  three  or  four  days,  take  place ;  and,  in  all  probability,  as  many  wounded  be  thrown  upon  our  hands 
as  at  the  battle  of  the  2d  and  3d,  which  had  just  occurred.  '  I  asked  the  Surgeon  General,  July  7th,  to  send  twenty 

medical  officers  to  report  to  Surgeon  11.  Janes,  hoping  they  might  prove  of  some  benefit,  under  the  direction  of  the  medical 
officers  of  this  army  who  had  been  left  behind.  I  cannot  learn  that  they  were  ever  sent.  Dr.  Janes  was  left  in  general  charge 
of  the  hospitals,  and,  to  provide  against  contingencies,  was  directed,  if  he  could  not  communicate  with  me,  to  do  so  directly 
with  the  Surgeon  General.  s<>  that  he  had  full  power  to  call  directly  upon  the  Surgeon  General  to  supply  any  want  that 


142  APPENDED    DOCUMENTS BATTLE    OF    GETTYSBURG. 

might  arise.  The  ambulance  corps  throughout  the  army  acted  in  the  most  commendable  manner  during  those  days  ot 
severe  labor.  Notwithstanding  the  great  number  of  wounded,  amounting  to  fourteen  thousand  one  hundred  and  ninety-three, 
I  know  from  the  most  reliable  authority  and  from  my  own  observation,  that  not  one  wounded  man  of  all  that  number 
was  left  on  the  field  within  our  lines  early  on  the  morning  of  the  4th  of  July.  A  few  were  found  after  daylight  beyond 
our  farthest  pickets,  and  these  were  brought  in,  although  the  ambulance  men  were  fired  upon,  when  engaged  in  this  duty, 
bv  the  enemy,  who  were  within  easy  range.  In  addition  to  this  duty,  the  line  of  battle  was  of  such  a  character,  resembling 
somewhat  a  horse-shoe,  that  it  became  necessary  to  remove  the  most  of  the  hospitals  further  to  the  rear,  as  the  enemy's 
fire  drew  nearer.  This  corps  did  not  escape  unhurt:  one  officer  and  four  privates  were  killed,  and  seventeen  wounded,  while 
in  the  discharge  of  their  duties.  A  number  of  horses  were  killed  and  wounded,  and  some  ambulances  injured.  These 
facts  will  show  the  commendable  and  efficient  manner  in  which  the  duties  devolving  upon  this  corps  were  performed,  and  great 
credit  is  deservedly  due  to  the  officers  and  men  for  their  praiseworthy  conduct.  I  know  of  no  battle-field  from  which  wounded 
men  have  been  so  speedily  and  so  carefully  removed,  and  I  have  every  reason  to  feel  satisfied  that  their  duties  could  not  have 
been  performed  better  or  more  fearlessly. 

Before  the  army  left  Gettysburg,  and  knowing  that  the  wounded  had  been  brought  in  from  the  field,  six  ambulances 
and  four  wagons  were  ordered  to  be  left  from  each  corps  to  convey  the  wounded  from  their  hospitals  to  the  railroad  depot  for 
transportation  to  other  hospitals.  From  the  Cavalry  Corps,  but  four  ambulances  were  ordered,  as  this  corps  had  a  number 
captured  by  the  enemy  at  or  near  Hanover  a  few  days  previously.  I  was  informed  by  General  Ingalls  that  the  railroad  to 
Gettysburg  would  be  in  operation  on  the  6th,  and  upon  this  based  my  action.  Had  such  been  the  case,  this  number  would 
have  been  sufficient.  As  it  proved  that  this  was  not  in  good  running  order  for  some  time  after  that  date,  it  would  have  been 
better  to  have  left  more  ambulances.  I  acted,  however,  on  the  best  information  that  could  be  obtained. 

The  number  of  our  wounded,  from  the  most  reliable  information  at  my  command,  amounted  to  fourteen  thousand  one 
hundred  and  ninety-three.  The  number  of  Confederate  wounded  who  fell  into  our  hands  was  six  thousand  eight  hundred 
and  two;  making  the  total  number  of  wounded  thrown  by  that  battle  upon  this  department  twenty  thousand  nine  hundred  and 
ninety-five.  The  wounded  of  the  1st  of  July  fell  into  the  hands  of  the  enemy,  and  came  under  our  control  on  the  4th  of  that 
month.  Instruments  and  medical  supplies  belonging  to  the  First  and  Eleventh  Corps  were  in  some  instances  taken  from  the 
medical  officers  of  those  corps  by  the  enemy. 

Previous  to  leaving  Gettysburg,  on  the  5th  and  6th  of  July,  I  ordered  supplies  to  be  sent  to  Frederick  from  Washington 
and  Philadelphia,  to  meet  the  wants  of  the  department  in  the  event  of  another  battle,  whicn  there  was  every  reason  to  suppose 
would  occur  shortly  after  the  army  left  Gettysburg.  While  at  the  latter  place,  I  asked  the  Surgeon  General  to  have  fifty 
medical  officers  ready  to  meet  me  at  such  a  point  as  I  should  thereafter  indicate.  On  the  7th  of  July,  I  desired  them  to  be  sent 
to  Frederick.  Late  in  the  night  of  the  9th,  forty-seven  of  them  reported.  These  officers  were  assigned  to  make  up  as  far  as 
possible  the  deficiency  of  medical  officers  existing  in  consequence  of  the  large  detail  from  this  army  left  at  Gettysburg.  Tents 
were  ordered  by  my  request,  and  the  corps  supplied  as  far  as  their  transportation  would  permit,  and  the  remainder  kept  in  reserve. 
It  is  not  necessary  to  enter  into  the  detailed  list  of  the  articles  ordered  and  on  hand  ready  for  the  anticipated  battle.  I  have 
the  orders  in  my  office,  and  it  is  with  pleasure  that  I  can  state,  for  the  information  of  the  commanding  general,  that,  notwith 
standing  the  short  time  in  which  I  had  to  make  the  necessary  preparations,  this  department  was,  when  near  Boonsboro',  fully 
prepared  to  take  care  of  the  wounded  of  another  battle  of  as  great  magnitude  as  that  which  the  army  had  just  passed  through 
at  Gettysburg.  It  is  unnecessary  to  do  more  than  make  an  allusion  to  the  difficulties  which  surrounded  the  department  at  the 
engagement  at  Gettysburg.  The  inadequate  amount  of  transportation  ;  the  impossibility  of  having  that  allowed  brought  to  the 
front;  the  cutting  off  our  communication  with  Baltimore,  first  by  way  of  Frederick,  and  then  by  way  of  Westminster;  the 
uncertainty,  even  as  late  as  the  morning  of  July  1st,  as  to  a  battle  taking  place  at  all,  and,  if  it  did,  at  what  point  it  would 
occur;  the  total  inadequacy  of  the  railroad  to  Gettysburg  to  meet  the  demands  made  upon  it  after  the  battle  was  over;  the 
excessive  rains  which  fell  at  that  time,  all  conspired  to  render  the  management  of  the  department  a  matter  of  exceeding 
difficulty,  and  yet  abundance  of  medical  supplies  were  on  hand  at  all  times.  Rations  were  provided  and  shelter  obtained 
as  soon  as  the  wagons  were  allowed  to  come  to  the  front,  although  not  as  abundant  as  necessary,  on  account  of  the  reduced 
transportation. 

Medical  officers,  attendants,  ambulances  and  wagons  were  left  when  the  army  started  from  Maryland,  and  the  wounded 
well  taken  care  of,  and  especially  so,  when  we  consider  the  circumstances  under  which  the  battle  was  fought,  and  the  length 
and  severity  of  the  engagement.  The  conduct  of  the  medical  officers  was  admirable.  Their  labors  not  only  began  with  the 
beginning  of  the  battle,  but  lasted  long  after  the  battle  had  ended.  When  other  officers  had  time  to  rest,  they  were  busily  at 
work,  and  not  merely  at  work,  but  working  earnestly  and  devotedly. 

I  have  not  considered  it  necessary  to  give  in  this  report  more  than  a  very  general  outline  of  the  operations  of  this 
department  at  that  time.  To  enter  into  a  detailed  account  of  them  would,  I  presume,  be  more  than  the  commanding  general 
would  desire. 

Very  respectfully,  your  obedient  servant, 

J.  LETTERMAN,  Medical  Director. 
Brigadier  General  fe.  WILLIAMS,  Assistant  Adjutant  General,  Army  of  the  Potomac 


CXXX1.      Fourth   Extract  from    a   Narrative   of  his  Services  in  the  Medical   Staf.     By 
Assistant  Surgeon  J.  T.  CALIIOUJST,  U.  S.  Army. 

"  From  Emmettsburgr  the  division  (2d  division,  Third  Corps)  crossed  into  Pennsylvania,  and  participated  with 
honor  and  great  loss  in  the  battle  of  Gettysburg.  It  joined  in  the  fight  on  the  second  day  of  the  battle.  About  nightfall, 
Major  General  Sickles,  commanding  the  corps,  was  wounded,  and  the  medical  director  of  the  corps,  Surgeon  Thomas  Sim,  U. 
S.  V..  with  rny  assistance,  amputated  the  injured  lirnb.  Surgeon  Sim,  at  the  request  of  the  General,  accompanied  him  to  the  rear. 


REPORT    OF    MEDICAL    INSPECTOR    VOLLUM.  143 

The  medical  care  of  the  corps  then  devolved  upon  me.  I  immediately  selected  a  new  site  for  the  hospital  of  the  corps,  that 
hitherto  occupied  having  been  rendered  untenable  by  the  fire  of  the  enemy,  and  had  our  wounded,  over  three  thousand  in 
number,  removed  thither.  *  *  During  the  following  winter,  I  took  every  measure  to  put  my  division  in  the  best  hygienic 
condition.  New,  large,  well  ventilated  and  well  warmed  huts  were  built;  the  camps  were  thoroughly  drained  by  a  complete 
system  of  ditches,  and  great  attention  was  paid  to  camp  police.  The  regimental  camps  were  inspected  daily  by  their  surgeons, 
who  reported  to  the  regimental  commanders.  The  surgeon-in-chief  of  each  brigade  weekly  inspected  the  camp  of  his  brigade 
and  its  regimental  hospitals,  and  reported  to  the  brigade  commander,  and  a  surgeon  was  detailed  daily,  whose  duty  it  was  to 
visit  the  various  camps  of  the  division  and  their  environs,  and  the  division  and  regimental  hospitals,  and  make  a  written 
report  thereon  to  me.  '  He  is  especially  to  observe  the  location  and  police  of  the  several  camps  and  their  drainage,  the  cleanliness 
and  ventilation  of  the  quarters,  the  removal  of  offal,  the  number  and  condition  of  latrines,  the  character  of  the  food  and  the 
manner  in  which  it  is  cooked,  and  report  if,  in  his  opinion,  the  health  of  the  command  is  in  any  way  endangered.  The 
cleanliness,  ventilation  and  warmth  of  the  several  hospitals,  the  care  bestowed  upon  the  sick,  the  character  of  the  food  furnished 
them,  and  the  attention  paid  them  by  medical  officers,  stewards  and  nurses,  are  likewise  to  be  observed  and  reported  upon.'  This 
complete  and  thorough  inspection  system  secured  us  a  division  camp  as  nearly  perfect  as  it  was  possible  to  make  camps  in 
the  field.  We  had  but  a  very  few  sick,  many  of  our  regimental  hospitals  not  containing  an  inmate ;  yet  to  guard  against 
contingencies,  I  established  a  division  field  hospital.  While  a  great  amount  of  talent  has  been  displayed  in  the  building  of 
general  hospitals,  and  every  effort  used  to  make  them  perfect  in  plan  and  detail,  but  comparatively  little  attention  has  been  paid 
to  field  hospitals  as  regards  their  plan.  In  my  division  field  hospital  each  of  the  wards  was  composed  of  two  of  the  regulation 
hospital  tents,  and  these  were  arranged  in  two  lines  en  echelon  from  the  dispensary ;  the  whole,  forming  a  letter  V,  gently 
descending  from  the  officers'  quarters  to  the  brook.  Ditches,  a  foot  in  depth  and  of  the  width  of  a  spade,  were  dug  around  each 
pair  of  tents  and  on  each  side  of  the  paths,  connecting  them.  The  sinks  were  on  either  flank,  and  were  made  of  barrels  sunk 
into  the  ground.  The  wash-house  and  cook-house  were  of  logs  covered  with  a  canvas  roof.  Each  ward  was  warmed  and 
ventilated  by  a  large  chimney,  half  the  width  of  the  tent,  made  of  stone  and  mud,  with  large,  high,  open  fire  places,  capable 
of  receiving  a  log  four  feet  long.  A.  cedar-bough  fence  surrounds  the  grounds,  to  keep  off  the  force  of  the  wind."  * 


CXXXII.      Report  on  the  Transportation  of  Wounded  after  the  Battle  of  Gettysburg.     By 
Medical  Inspector  E.  P.  VOLLUM,  U.  S.  Army. 

WASHINGTON,  D.  C.,  July  25,  1863. 

GENERAL:  I  have  the  honor  to  report  that,  pursuant  to  your  orders  of  the  7th  July,  I  proceeded  on  the  same  day  to 
Gettysburg,  Pennsylvania,  for  the  purpose  of  reporting  to  Medical  Inspector  Cuyler,  U.  S.  A.,  for  duty  in  connection  with  the 
transportation  of  the  wounded  at  that  place.  I  was  detained  a  few  hours,  on  the  8th,  at  Hanover,  Pennsylvania,  where  I  found 
about  one  hundred  and  fifty  wounded,  chiefly  from  Kilpatrick's  cavalry,  under  charge  of  Assistant  Surgeon  Gardner,  1st 
Virginia  Cavalry.  They  were  comfortably  situated  in  a  school-house  and  in  dwellings.  The  inhabitants  had  furnished  them 
with  bunks,  bedding,  dressings,  untensils  and  food  in  sufficient  quantity,  the  people  in  each  street  in  the  town  furnishing  food, 
delicacies,  nurses,  etc.,  two  days  at  a  time.  I  arrived  at  Gettysburg  about  seven  P.  M.  on  the  8th,  and,  in  consequence  of 
some  irregularity  or  delay  in  the  railroad  trains,  there  were  about  two  thousand  slightly  wounded  men  collected  at  a  point  a 
mile  from  town,  where  the  trains  stopped,  without  food,  shelter  or  attendance  for  the  night.  Fortunately,  through  the  agents 
of  the  Sanitary  Commission,  these  men  were  all  fed,  and  some  three  hundred  sheltered  that  night.  No  system  had  as  yet  been 
adopted  for  the  transportation  of  the  wounded,  nor  had  this  been  possible  in  the  deranged  condition  of  the  railroad,  though 
Surgeon  J.  D.  Osborne,  4th  New  Jersey,  detailed  for  this  purpose  by  Surgeon  H.  Janes,  U.  S.  V.,  in  charge  of  the  hospitals 
at  Gettysburg,  was  using  his  best  endeavors  to  work  through  the  confusion  and  crowds  of  wounded  with  which  he  was 
surrounded,  and  I  have  to  acknowledge  the  important  services  of  this  gentleman  until  the  time  of  my  departure.  The  railroad 
authorities  were  perplexed,  and  deficient  in  motive  power  and  rolling  stock.  The  bridges  put  up  since  the  rebel  raids  proved 
too  weak  except  for  the  lightest  engines,  and  some  for  a  second  time  were  carried  away  by  the  floods.  The  telegraph  wires 
were  down,  and  the  obstruction  to  transportation  seemed  insurmountable  until  General  Haupt  arrived  and  assumed  military 
control  of  the  road  to  Hanover  Junction.  We  then  experienced  no  further  delays  till  the  13th,  when  an  important  bridge  on 
the  road  to  Harrisburg  gave  way  under  a  cattle  train,  thus  diverting,  for  the  following  five  days,  the  trains  that  were  intended 
for  New  York  to  Baltimore  and  York,  Pennsylvania.  Medical  Inspector  Cuyler  arrived  on  the  llth,  when  I  reported  to 
him  for  duty,  and,  by  mutual  arrangement,  I  continued  in  immediate  charge  of  the  transportation  of  the  wounded,  which 
confined  me  to  the  railroad  depot  and  city  of  Gettysburg.  Every  train  of  wounded  was  placed  in  charge  of  a  medical  officer 
detailed  by  Surgeon  H.  Janes.  Instruments,  dressings,  stimulants,  etc.,  were  furnished  him,  and  he  was  instructed  to  announce 
his  coming  by  telegraph,  if  possible,  and  to  report  in  person  to  the  medical  director  at  the  place  of  his  destination.  Each  car 
was  filled  with  a  sufficient  quantity  of  hay,  and,  on  the  longer  routes,  water-coolers,  tin  cups,  bed  pans  and  urinals  were  placed 
in  them,  and  guarded  on  the  route  by  some  agents  of  the  Sanitary  Commission.  In  some  instances,  these  conveniences  were 
furnished  by  the  medical  department,  but  the  demand  for  them  by  the  hospitals  often  exhausted  the  supplies  at  the  purveyors. 
Before  leaving,  the  wounded  were  fed  and  watered  by  the  Sanitary  Commission,  and  often  hundreds  of  wounded,  laid  over 
for  a  night  or  a  part  of  a  day,  were  attended  and  fed  by  the  commission,  whose  agents  placed  them  in  the  cars.  At  Hanover 
Junction,  they  were  again  refreshed  and  fed  by  the  Christian  Commission.  At  Baltimore,  the  agents  of  several  benevolent 
societies  distributed  food  bountifully  to  the  wounded  in  the  cars  immediately  on  their  arrival ;  and  at  Harrisburg,  the  Commissary 
Department  had  made  arrangements  for  feeding  any  number  likely  to  pass  that  way. 


144 


APPENDED    DOCUMENTS BATTLE    OF    GETTYSBURG. 


The  following  are  the  numbers  and  destination  of  Union  and  Confederate  wounded  sent  from  Gettysburg  up  to  the  23d. 
The  first  one  thousand  four  hundred  and  sixty-two  had  left  before  my  arrival. 


DATE. 

TRAIN. 

No. 

DESCRIPTION". 

DESTINATION. 

TOTAL 

PEK  DIEM' 

DATE. 

TRAIN. 

No. 

DESCRIPTION. 

DESTINATION. 

TOTAL 

PEK  DIEM' 

1863. 

164 

Baltimore  .  — 

1863. 
July  15 

C05 

"      7 

7         P  M 

258 

" 

"     16 

9           A.  M. 

60 

"      7 

7  10    P   H 

400 

822 

"     16 

3           P.  M. 

36 

„ 

"       8 

640 

(l 

640 

"     16 

262 

358 

"       9 

1  01° 

,, 

"     17 

9           A.  M 

20 

"       9 

1  061 

|( 

,, 

2  073 

"     17 

225 

11        AM 

186 

„ 

"     17 

204 

„ 

"     10 

5  15  r  M 

620 

,, 

80G 

"     17 

80 

529 

"     11 

11        A    M 

204 

,, 

"     18 

9           A    M. 

47 

"     11 

5          1*   M 

338 

,, 

"     18 

183 

"     11 
"     12 

5           P.  M. 

10        A.  M. 

76 
327 
28 

Confederate.  .  . 
Union  

" 

618 

"     18 
"     18 
"     19 

3           P.  M. 
9          A    11. 

125 
350 
107 

Union  
Confederate  .  . 

York,  Peun.  .. 
Baltimore  
York,  Penn.  .. 

705 

"     12 

12  15  r  M. 

142 

(( 

"     19 

25 

"     12 

184 

Confederate.  . 

,, 

"     19 

3         P.  ii. 

198 

,, 

5         P.  M. 

105 

I( 

"     19 

,., 

455 

"     12 

433 

Confederate  .  . 

,, 

1,219 

"     20 

9           A.  M. 

257 

York,  Penn.  .. 

"     13 

9           A.  M 

96 

l( 

"     20 

3        r  ii 

141 

398 

"     13 
"     13 

3          F.  M. 

133 

259 

Confederate  .  . 
Union  

" 

"     21 
"     21 

11.30  A.  M. 

467 
33 

Confederate  .  . 

New  York  

"     13 

"     14 

9          A.  M. 

16 
130 

Confederate  .  . 

" 

504 

"     21 
"     21 

4           P.  M. 

158 
54 

Confederate  .  . 

712 

"     14 

3          P.  M. 

176 

(l 

11.30  A.  M 

47 

"     14 
"     15 

9          A.  M. 

394 
182 

Confederate  .  . 
Union  

" 

700 

"     22 

4         p.  ii. 

154 
o>> 

Confederate  .  . 

New  York  

"     15 

37 

Confederate  .  . 

" 

"     22 

58 

Confederate  .  . 

New  York..  .. 

281 

"     15 

3          P.  M. 

380 

11 

11  4;)5 

11  4°5 

Wounded  sent'from  Gettysburg  to  22d  instant: 

Union 

Confederate. .. 


7,  (508 

3,817 

Total 11,425 


Union  wounded  sent  to  Baltimore,  in  addition  to  above : 

From  Westminster 2,  000 

From  Littleton 2,  000 


Total  sent  off. 
Deduct  Confederate  wounded 


Total  Union  wounded  sent  off.. 
Union  wounded  remaining  on  22d  instant.. 


4,  000 

15,  4-25 
3,817 

11,608 
1,  995 


Total  Union  wounded 

Confederate  wounded  sent  off 3  817 

Confederate  wounded  remaining  on  22d  instant 2,  922 


Total  Confederate  wounded 
Grand  total  in  our  Lands  .. 


fi,  739 


REPORT    OF    SURGEON    I.    S.    BILLINGS,   U.  S.  A.  145 

To  obtain  the  whole  number  of  wounded  of  both  sides,  there  must  be  added  those  of  Chambersburg,  Carlisle,  Williamsport 
and  Hagerstown.  Before  the  arrival  of  Medical  Inspector  Cuyler,  as  fur  as  my  time  and  opportunities  admitted,  I 

endeavored  to  make  up  the  deficiencies  in  medical  supplies  at  Gettysburg  by  telegraphing  to  Surgeon  Simpson,  U.  S.  A.,  at 
Baltimore.  In  reply,  he  ordered  liberal  supplies  of  alcohol,  solution  chloride  of  soda,  tincture  of  iron,  creasote,  nitric  acid, 
permanganate  of  potassa.  buckets,  tin  cups,  stretchers,  bed  sacks  and  stationery  of  all  kinds  for  ten  thousand  men  in  field 
hospitals.  On  the  day  after  my  arrival,  the  demand  for  stationery,  disinfectants,  iodine,  tincture  of  iron  and  some  other  articles 
was  so  great  and  immediate  that  I  purchased  them  in  Gettysburg,  and  sent  the  bills  to  the  quartermaster  there  for  payment. 

Very  respectfully,  your  obedient  servant, 

EDW.  P.  VOLLUM, 
To  the  SURGEON  GENERAL  U.  S.  AUMY.  Medical  Inspector  U.  S.  Army. 

CXXXHI.     fiecond  Extract  from    a   Narrative   of  his  Services   in   the  Medical  Staff.     By 
Assistant  Surgeon  J.  S.  BILLINGS,  U.  S.  Army. 

*  *  "About  the  middle  of  June,  the  2d  division  of  the  Fifth  Corps  took  up  its  line  of  march,  which,  passing, 
successively,  through  Benson's  Mills,  Catlett's  Station,  Manassas,  Centreville,  Gum  Spring,  Aldie  Gap,  Leesburg,  Edwards's 
Ferry  and  Frederick,  terminated,  so  far  as  I  was  concerned,  at  Gettysburg,  Pennsylvania,  on  the  morning  of  the  '2d  of  July. 
On  this  march,  all  the  ambulances  were  collected  into  a  train,  which  followed  immediately  behind  the  division,  and  was  super 
intended  by  a  medical  officer  detailed  for  the  purpose.  Transportation  was  allowed  in  the  proportion  of  one  wagon  for  the 
medical  supplies  of  two  regiments,  and  this  train  of  wagons  followed  close  behind  the  ambulances.  For  the  approaching  battle, 
I  was  detailed  as  surgeon  in  charge  of  the  field  hospital  of  the  division,  and,  also,  as  one  of  the  operators,  my  assistants  being 
Assistant  Surgeons  Whittingham  and  Breneman,  U.  S.  A.  At  this  time,  I  was  attached  to  the  7th  Infantry,  and  also  acted  as 
medical  officer  for  the  IDth  Infantry  during  the  march.  On  the  1st  of  July,  about  four  o'clock  P.  M.,  the  division  reached 
Hanover,  distant  about  twelve  miles  from  Gettysburg,  and  went  into  camp.  Just  as  the  tents  were  fairly  pitched,  news  came 
of  the  repulse  of  the  First  Corps,  and  a  few  minutes  later,  we  were  on  the  road  to  Gettysburg.  About  six  A.  M.,  July  Ud,  the 
division  marched  into  position,  and  formed  line  of  battle  on  the  right  of  the  somewhat  horse-shoe  shaped  line  in  which  our 
army  was  drawn  up.  :  '  About  half  past  three  o'clock  P.  M  ,  the  division  was  brought  into  action,  marching  down  a  little 
road  to  the  right  of  the  large  conical  hill  called  Round  Top,  which  was  on  the  extreme  left  of  the  long  arm  of  our  horse-shoe 
like  I'm?  of  battle.  I  accompanied  my  regiment  until  they  were  under  fire,  and  was  then  ordered  to  repair  to  a  large  stone 
house  and  barn,  near  the  base  of  Round  Top,  and  there  establish  a  field  hospital.  When  I  reached  the  place,  our  skirmishers 
were  lying  behind  the  stone  walls  around  the  house,  and  as  I  rode  up,  a  small  body  of  rebels  further  up  the  hill,  and  about 
seventy-five  yards  off,  saluted  me  with  a  volley.  They  were  captured  a  moment  afterwards  by  a  regiment  which  had  passed 
between  them  and  their  own  line.  On  entering  the  house,  I  found  it  unoccupied,  and  bearing  evident  traces  of  the  hasty 
desertion  of  its  inmates.  A  good  fire  was  blazing  in  the  kitchen  stove,  a  large  quantity  of  dough  was  mixed  up,  the  hake-pans 
were  greased ;  in  short,  everything  was  ready  for  use.  I  immediately  set  my  attendants  at  work  baking  bread  and  heating 
large  boilers  of  water.  In  five  minutes,  I  was  joined  by  the  other  medical  officers  detailed  for  the  ho»pital.  The  ambulance 
trains  reported  to  me  fifteen  minutes  later,  having  with  it  three  Autenrieth  wagons,  and  by  the  time  the  operating  tables  were 
set  up,  and  materials  for  dressing  arranged,  the  wounded  began  to  pour  in.  I  performed  a  large  number  of  operations  of 
various  kinds,  received  and  fed  seven  hundred  and  fifty  wounded,  and  worked  all  that  night  without  cessation.  An  agent 
of  the  Sanitary  Commission  visited  me  in  the  evenimjf,  and  furnished  me  with  a  barrel  of  crackers,  a  few  lemons,  etc.  Of 
stimulants,  chloroform,  morphine  and  materials  for  dressing,  the  Autenrieth  wagons  furnished  an  ample  supply. 

On  July  :5d,  at  seven  o'clock  A.  M.,  I  was  ordered  by  Surgeon  Milliau,  medical  director  of  the  corps,  to  remove  the 
hospital  to  a  point  about  one  mile  to  the  rear.  This  was  done  as  rapidly  as  possible.  A  few  shells  began  to  drop  in  as  the 
first  train  of  ambulances  moved  off,  and  by  eleven  o'clock  A.  M.,the  fire  on  that  point  was  quite  brisk.  Little  or  no  damage  was 
done,  however,  and  by  four  o'clock  P.  M.,  all  the  wounded  were  safely  removed.  The  new  site  was  a  grove  of  large  trees, 
entirely  free  from  underbrush,  on  the  banks  of  a  little  creek,  about  half  a  mile  from  the  Baltimore  turnpike.  By  means  of 
shelter-tents,  india-rubber  blankets,  etc.,  shelter  was  arranged  for  all  the  worst  cases,  and  two  thousand  dry  rations,  with  three 
oxen,  were  sent  to  the  hospital  by  Doctor  Milhau  in  the  course  of  the  afternoon.  All  of  this  day,  I  was  employed  in  operating 
and  in  dressing  the  more  urgent  (rases.  The  following  morning,  it  began  to  rain,  and  continued  to  do  so  for  five  days  and 
nights  with  very  little  cessation.  On  the  morning  of  the  f>th,  the  regimental  medical  supply  wagons  came  up,  and  from  them  I 
removed  all  the  hospital  tents  and  tent  Hies,  with  two  hospital  mess  chests.  On  this  day,  the  division  moved.  I  was  left 
behind  in  charge  of  the  hospital,  which  then  contained  about  eight  hundred  wounded.  Twenty  men  were  detailed  from  the 
division  to  act  as  assistants  about  the  hospital.  I  was  also  given  two  ambulances  and  two  six-mule  wagons.  The  ambulance 
train,  which  had  up  to  this  time  been  engaged  in  collecting  the  wounded  of  the  division  from  the  various  corps  hospitals  to 
which  some  of  them  had  been  carried,  and  in  hauling  straw  for  bedding,  accompanied  the  division,  as  did  also  the  Autenrieth 
wagons.  By  this  time,  Assistant  Surgeon  Brinton  had  reached  White  church  with  a  special  medical  supply  train,  and  from 
him  I  procured  such  supplies  as  were  most  needed.  The  greatest  want  which  I  experienced  was  that  of  tools.  I  had  not  a 
shovel  or  pick  with  which  to  bury  the  dead  or  construct  sinks,  and  no  axes.  I  was  compelled  to  send  out  a  foraging  party 
to  the  farm  houses,  who,  after  a  day's  labor,  succeeded  in  procuring  two  shovels  and  an  axe.  Seventeen  hospital  tents  were 
pitched,  and  in  these  were  placed  all  the  most  severe  cases,  about  seventy-five  in  number.  Under  the  tent  flies,  I  placed  one 
hundred  more  patients,  and  the  remainder  were  all  under  shelter-tents,  and  were  arranged  by  regiments.  By  means  of  the 
wagons,  I  proem  ed  abundance  of  clean  fresh  straw  from  about  five  miles  distance,  and  commissary  stores  and  fresh  beet'  were 
furnished  <i<l  lihitmn.  Assistant  Surgeons  Ramsay,  Whittingham,  Bacon  and  Breneman,  U.  S.  A.,  and  two  surgeons  of 
volunteer  regiments,  whose  names  I  cannot  at  this  moment  recall,  remained  with  me,  and  through  their  energy  and  zeal  the 

19 


146  APPENDED  DOCUMENTS — BATTLE  OF  GETTYSBURG. 

labor  of  organizing  the  hospital  was  quickly  completed.  Especial  praise  is  due  to  Doctors  Ramsay  and  Whittingham,  whose 
labors  were  unceasing,  and  from  whom  I  received  many  valuable  suggestions.  Very  few  shell  wounds  came  under  my 
notice  at  this  battle,  and  none  from  round  balls  or  buckshot.  Most  of  the  wounds  were  from  the  conoidal  ball,  and  a  large 
proportion  were  in  the  lower  extremities.  Of  three  exsections  of  the  shoulder  joint,  all  were  successful  in  so  far  as  that  the 
patients  recovered.  In  one  case,  I  removed  four  and  a  half  inches  of  the  shaft.  No  cases  of  tetanus  occurred  in  this  hospital. 
Of  secondary  haemorrhage  there  were  thirteen  cases  up  to  the  22d  of  July,  at  which  time  I  left  the  hospital.  Three  of  these 
cases  occurred  after  amputation  of  the  thigh ;  in  two  the  haemorrhage  was  arrested  by  pressure,  and,  in  the  third,  it,  was  found 
necessary  to  open  the  flaps  and  secure  the  bleeding  vessel.  Three  cases  of  haemorrhage  from  the  anterior  tibial  artery  occurred  ; 
two  were  arrested  by  pressure,  and,  in  the  third,  amputation  was  performed  with  a  good  result.  In  one  case,  the  internal 
maxillary  was  the  bleeding  vessel.  The  haemorrhage  in  this  case  was  readily  controlled  by  pressure  and  persulphate  of  iron. 
Assistant  Surgeon  Howard,  U.  S.  A.,  left  in  the  hospital  six  cases  of  gunshot  wounds  of  the  thorax,  all  of  which  he  had 
-treated  by  hermetically  sealing  the  orifice  with  collodion.  Four  of  these  men  died.  What  became  of  the  other  two,  I  do  not 
know.  In  one  of  these  cases,  I  made  a  post  mortem  examination,  and  found  an  abscess  of  the  lung,  communicating  with  the 
pleural  cavity,  which  last  was  filled  with  a  sanio  purulent  fluid.  Four  cases  of  a  similar  nature  were  treated  with  moist 
charpie.  One  of  these  died,  and  one  was  dying  when  I  left;  the  other  two  were,  in  my  opinion,  in  a  fair  way  to  recover.  Five 
cases  of  gunshot  fracture  of  the  cranium  came  under  niy  notice.  Four  ot  these  involved  the  occipital  bone,  and  all  were  fatal. 
A  low  muttering  form  of  delirium,  with  occasional  paroxysms  of  furious  mania,  was  present  in  all  from  the  commencement. 
Two  cases  occurred  of  gunshot  fracture  of  the  femur  in  the  upper  third.  Both  Avere  treated  by  Smith's  anterior  splint,  and 
one  died.  In  no  case  of  fracture  of  the  long  bones  did  I  attempt  any  formal  resection,  but  confined  myself  to  removing 
splinters  and  foreign  bodies,  and  cutting  off  very  sharp  projecting  points  with  the  bone  forceps.  From  my  experience  in 
Clift'burne  hospital,  I  am  convinced  that  regular  resections  in  such  cases  are  worse  than  doing  nothing  at  all.  I  partially 
resected  the  elbow  joint  in  two  cases,  and  the  wrist  in  three.  The  wounds  generally  granulated  and  took  on  a  healthy 
appearance  with  great  and  unusual  rapidity,  which  fact  I  attributed  to  the  following  circumstances :  they  were  in  the  open 
air,  were,  many  of  them,  exposed  for  the  first  few  days  to  a  warm  rain;  they  had  plenty  of  good  food,  and  flaxseed  poultices 
were  unknown." 


CXXXIV.     Fifth   Extract  from   Memoranda  for  the   Surgical  History  of  the    War.      By 
Assistant  Surgeon  B.  HOWARD,  U.  S.  Army. 

"  Reconnoisance  in  force  was  made  across  the  Rappahannock  on  the  9th  of  June,  1863.  The  forces  crossed 
at  Kelly's  and  Rappahannock  Fords,  and  encountered  the  enemy  at  Brandy  Station,  when  a  brisk  fight  ensued,  confined 
mainly  to  the  cavalry  on  both  sides.  The  wounded  were  brought  to  Kelly's  and  Rappahannock  Fords  as  fast  as  possible. 
Those  taken  to  the  latter  place  were  immediately  placed  on  the  cars  for  Alexandria;  those  arriving  at  Kelly's  Ford  were 
unprovided  for.  I  immediately  converted  the  Mount  Zion  brick  church  near  the  ford  into  an  hospital.  All  the  wounds  were 
properly  dressed  at  once,  and  necessary  operations  performed.  The  wounds  were  mainly  sabre  cuts ;  one  man  had  five  of 
these.  The  entire  force  recrossed  the  same  evening.  Next  morning,  all  the  patients  were  sent  from  Mount  Zion  to  Rappa 
hannock  Station,  by  ambulances,  and  shipped  thence  by  railroad  to,  Alexandria.  The  supplies  were  ample.  *  *  At  the 
battle  of  Gettysburg,  the  2d  division  of  the  Fifth  Corps,  with  the  artillery  brigade,  got  into  position  on  and  about  a  ridge  near 
little  Round  Top  about  five  o'clock  p.  M.  of  the  2d  of  July,  and  were,  in  a  few  minutes,  hotly  engaged.  The  field  hospital  of 
the  command  was  established  at  a  stone  house,  about  half  a  mile  to  the  left  and  a  quarter  of  a  mile  to  the  rear  of  our  front. 
Just  before  noon,  next  day,  the  hospital  was  shelled  so  furiously  that  we  removed  the  wounded  in  great  haste  to  some  Avoods, 
beside  a  creek,  about  two  miles  further  to  the  rear.  In  the  absence  of  all  means  of  shelter,  the  Avounded  Avere  exposed  to  an 
exceedingly  heavy  rain.  Supplies  were  sufficient;  surgeons  Avere  detailed  to  remain  at  this  hospital,  Avhile  the  rest  joined  the 
army,  which,  on  the  5th  of  July,  advanced  toAvards  Williamsport."  * 


CXXXV.      Third   Extract  from   a   Narrative  of  his    Services  in   the    Medical    Staff.      By 
Assistant  Surgeon  C.  BACON,  IT.  S.  Army. 

•'May '27th,  at  my  own  request,  I  was  transferred  for  duty  to  the  2d  U.  S.  Infantry,  belonging  to  the  2d 
brigade  of  the  division.  On  the  3d  of  June,  the  division  was  advanced  to  protect  the  fords  of  the  Rappahannock,  the  2d 
brigade  resting  at  Benson's  Mill.  On  the  13th,  the  camp  Avas  broken  up  and  the  command  moved  by  way  of  Centreville  to 
Gum  Springs,  Virginia ;  thence,  after  resting  a  few  days,  to  Aldie,  Virginia.  The  second  day's  inarch,  while  ascending  from 
the  lowlands  of  the  Rappahannock,  was  very  severe,  owing  to  the  Avant  of  Avater  and  the  great  heat.  June  15th,  16th  and  17th 
Avere  also  excessively  hot.  Numbers  of  the  men  were  overpoAvered  by  the  heat  of  the  sun,  falling  insensible  from  exhaustion, 
but  no  fatal  cases  of  sunstroke  occurred.  The  want  of  transportation  for  the  sick  was  severely  felt  the  first  two  days  of  the 
march;  as  a  consequence,  those  who  Avere  too  sick  to  march  Avere  obliged  to  be  left  on  the  road.  Subsequently,  ambulances 
accompanied  each  command  of  the  division.  On  the  '26th  of  June,  the  division  resumed  its  inarch,  proceeding  by  way  of 
Leesburg,  Virginia,  to  Frederick,  Maryland.  Thence  it  moved  by  way  of  Hanover,  Pennsylvania,  to  Gettysburg.  The 
regiment  engaged  in  the  battle  of  Gettysburg,  July  2d,  meeting  with  a  loss  of  over  seventy-five  men,  being  about  fifty-eight  per 
centum  of  those  engaged,  including  officers  and  men.  I  was  not  present  at  the  engagement,  having  been  detailed  for  duty  at  the 
division  hospital  as  one  of  the  operating  staff'.  The  action  in  Avhich  the  division  was  engaged  Avas  short  and  destructive,  placing 
in  hospital  over  six  hundred  wounded,  Avho  Avere  removed  from  the  field  of  battle  by  ambulances.  July  3d,  the  building  occupied  as 


EEPORTS  OF  SUBGEONS  BACON  AND  LYMAN.  147 

hospital  became  untenable,  being  immediately  in  the  line  of  the  fire  from  the  enemy's  guns.  It  was,  therefore,  removed  to  a  point 
some  two  miles  to  the  rear  of  the  position  of  our  army.  This  occupied  much  of  the  day,  during  which  the  hospital  was 
frequently  under  fire.  *  *  Toward  the  evening  of  the  third  day  of  the  battle  (July  3d),  a  heavy  rain  began,  falling  also 
during  the  nights  of  the  4th  and  6th,  and  continuing  July  7th  and  8th.  At  an  early  period,  the  hospital  tents  of  the  division 
Avere  brought  up,  having,  previous  to  the  battle,  been  sent  to  the  rear  with  the  division  transportation.  These,  however, 
accommodated  but  a  small  portion  of  the  wounded.  Preference  was  given  to  those  who  had  sustained  operations,  and  to  the 
flie  most  severely  injured.  The  remainder  were  but  imperfectly  protected  from  the  rains,  their  shelter  being  only  such 
as  could  be  constructed  by  means  of  shelter  tents.  The  straw  used  for  bedding  consequently  became  damp,  and,  the  rains 
continuing  incessantly,  little  opportunity  was  given  to  dry  it  for  several  days.  Under  direction  of  the  surgeon  in  charge, 
Assistant  Surgeon  Billings,  U.  S.  A.,  stimulants  were  freely  distributed  during  this  period.  So  far  as  I  know,  no  cases  of 
tetanus  followed  this  exposure,  nor  had  I  seen  tetanus  ensuing  from  the  exposure  of  the  wounded  at  Chancel! orsville.  The 
wounds  presented  at  the  battle  of  Gettysburg,  as  at  Chancellorsville  and  at  the  battles  in  Maryland,  were  principally  made  by 
the  minie  bullet.  :  Pyaemia  was  frequently  the  result  of  these  wounds.  It  was  common  after  our  capital  operations,  and 

almost  invariably  proved  fatal.  I  have  notes  of  but  one  case  of  erysipelas  resulting  in  death.  *  '*  At  different  periods,  the 
minor  cases  and  those  rapidly  recovering  from  injuries  were  transferred  to  the  military  hospitals  at  York,  Pennsylvania, 
Philadelphia  and  Baltimore.  The  major  operations  and  injuries  of  a  complicated  character  were  retained  until  immediately 
preceding  the  breaking  up  of  the  hospital,  when  they  were  transferred  to  the  general  hospital  at  Gettysburg,  Pennsylvania. 
The  health  of  most  of  the  surgeons  became  impaired  by  their  duties.  Of  eleven  surgeons  on  duty  at  different  periods  during 
the  permanent  organization  of  the  hospital,  eight  were  taken  ill,  or  were  absent  on  sick  leave  early  after  rejoining  their 
commands.  August  2d,  the  division  hospital  was  broken  up,  when  I  rejoined  my  command,  then  lying  at  Eappahannock 
Station,  on  the  Orange  and  Alexandria  railroad.  I  was,  while  on  duty  at  Gettysburg,  seized  with  an  inflammatory  diarrhoea. 
Continuing  my  duties,  I  became  much  reduced.  My  illness  rendered  me  incapable  of  enduring  exposure  to  the  excessive 
heat  of  the  sun,  and  on  returning  to  my  command,  I  was  prostrated  by  a  sunstroke,  which,  however,  left  no  ill  effects  further 
than  increasing  my  debility." 


CXXXYI.     Extract  from  a  1'eport  ivith  regard  to  the  Jlattle  of  Gettysburg.     By  Surgeon  J. 
W.  LYMAN,  57th  Pennsylvania  Volunteers. 

*  At  the  engagement  of  the  2d  and  3d  of  July,  1863,  the  1st  division  of  the  Third  Corps  took  an  active  part, 
losing  heavily  in  killed  and  wounded.  Early  in  the  forenoon  of  the  3d,  whilst  the  division  was  taking  position  on  the  extreme 
left  of  the  front  line  of  battle,  I  proceeded  on  the  Taneytown  road  in  the  rear  of  the  left  of  our  lines  to  select  a  depot  for  the 
wounded.  Finding  all  the  more  eligible  houses  and  barns  already  occupied  by  the  Second  and  Eleventh  Corps,  which  had 
been  engaged  the  day  previous,  I  chose  an  old  barn  by  the  road  side  as  offering  the  best  accommodations  in  the  immediate 
neighborhood,  and  leaving  Surgeon  Everts  to  occupy  the  place,  returned  to  the  command,  and  notified  the  medical  officers  of  the 
locality  chosen.  The  hospital  and  supply  wagons  were  ordered  up,  tables  prepared,  and  everything  was  in  readiness  when  the 
engagement  commenced.  In  fact,  we  had  received  a  large  number  of  wounded  from  the  skirmishing  parties  sent  out  before 
the  battle  became  general;  after  which,  it  was  discovered  that  our  position  was  much  exposed  not  only  to  shell  and  shot,  but  to 
the  musketry  of  the  enemy,  compelling  us  to  abandon  it,  and  take  up  a  new  position  at  a  large  stone  barn  in  the  direction  of 
the  Baltimore  pike.  We  occupied  this  position  during  the  remainder  of  the  day  and  the  night  following,  the  entire  force  of 
medical  officers  being  busily  engaged  all  night  in  caring  for  the  wounded  brought  from  the  field.  Early  on  the  3d,  I  received 
notice  from  the  acting  medical  director  of  the  corps  to  move  the  wounded  of  the  1st  division  to  a  place  admirably  selected  by 
him  for  a  corps  hospital  in  the  field,  still  further  removed  from  danger,  and  where,  in  addition  to  a  finely  wooded  and  shady 
elope,  we  had  a  fine  stream  of  running  water.  The  change  was  soon  effected,  the  operating  staff  of  the  division,  placing  their 
tables  near  each  other,  were  constantly  employed,  while  the  remaining  officers  were  no  less  busily  engaged  in  dressing  and 
supplying  the  general  wants  of  the  hundreds  of  wounded  men  who  continued  to  increase  our  numbers  during  that  day  and  the 
succeeding  night.  As  usual,  a  large  proportion  of  the  graver  cases  of  injury  were  the  last  to  be  brought  from  the  field,  and 
the  cases  for  operation  on  the  night  of  the  3d  and  morning  of  the  4th  accumulated,  occupying  the  entire  operating  force  without 
intermission.  From  the  tabular  statement  of  wounded  in  the  hospital  of  the  1st  division,  it  appears  that  there  were  ninety-seven 
cases  operated  upon,  there  being  no  less  than  fifty-three  amputations,  seventeen  of  which  were  of  the  thigh,  eleven  of  the  leg, 
eleven  of  the  forearm  and  eleven  of  the  arm  (a  singular  coincidence  of  numbers),  the  whole  number  of  wounded  being  eight 
hundred  and  thirteen.  This  statement  does  not  include  the  whole  number  of  the  wounded  of  the  division,  nor  the  full  number 
of  operations,  as  many  slight  wounds  dressed  on  the  field,  as  is  always  the  case,  did  not  come  under  the  observation  of  the 
recorder,  and  many  grave  cases,  followed  by  operations,  fell  into  the  hands  of  other  surgeons,  as  those  from  other  divisions  fell 
into  our  hands.  The  whole  number  of  wounded  in  the  division,  as  shown  by  official  reports  in  the  office  of  the  adjutant  general 
of  the  division,  was  one  thousand  four  hundred  and  fifty-eight,  showing  a  discrepancy  between  the  actual  number  wounded 
and  the  number  recorded  as  receiving  surgical  attention  in  the  hospitals  of  the  division  of  six  hundred  and  forty-five.  I  am 
happy  to  report  that,  notwithstanding  the  obstructions  met  with  in  procuring  supplies  from  the  commissary  department,  owing 
to"  the  supplies  in  ambulances  and  supply  wagons,  and  the  energetic  and  faithful  labor  of  Assistant  Surgeon  Albion  Cobb,  4th 
Maine,  in  charge  of  the  cooking  department,  the  wounded  of  the  division  suffered  but  slight  inconvenience  from  want  of 
food."  * 


148  APPENDED    DOCUMENTS ARMY    OF    THE    POTOMAC,    1804. 

CXXXVII.     Report  of  the  Medical  Director  of  the  Army  of  the  Potomac,    from  January  14 
to  July  31,  1864.     By  Surgeon  THOMAS  A.  McPAKLiN,  U.  S.  Army. 

HEADQUARTERS  AUMY  OF  THE  POTOMAC, 

MEDICAL  DIRECTOR'S  OFFICE,  November  28,  1864. 

GENERAL:  I  have  the  honor  to  submit  to  you  a  report  of  the  condition  and  operations  of  the  Medical  Department  of  the 
army  of  the  Potomac  under  my  direction.  January  14,  1864,  I  relieved  Surgeon  J.  Letterman,  U.  S.  A.  The  excellent* 
condition  of  the  department  at  that  period  evidenced  the  success  of  his  labors.  It  became  my  duty  to  prepare  it  for  a  campaign 
which  would  tax  its  highest  powers.  At  that  time,  the  army  consisted  of  the  First,  Second,  Third,  Fifth  and  Sixth  Corps,  the 
Cavalry  Corps,  the  Artillery  Reserve,  the  Provost  Marshal  General's  Brigade  and  the  Engineer  Brigade.  The  preparation 
of  supplies  and  facilities  for  their  storage,  transportation  and  distribution,  in  the  amounts  required  for  the  campaign,  became 
necessary.  The  changes  which  had  been  made  in  the  organization  of  the  army  rendered  changes  in  the  Medical  Department 
necessary.  Absent  officers  were  recalled,  vacancies  were  noted  and  filled,  and  the  maximum  of  personnel  and  materiel  allowed, 
were  made  known  and  maintained.  To  some  extent,  the  means  of  transportation  for  the  Medical  Department  still  remained 
with  the  regimental  quartermasters.  As  late  as  March  29,  1864,  Surgeon  E.  B.  Dalton,  U.  S.  V.,  ascertained  some  deficiencies 
of  ambulances,  hospital  tents  and  transportation  in  the  second  division  of  the  Cavalry  Corps.  Frequent  inspections  were  made 
to  secure  all  wagons,  harness,  mules,  camp  and  garrison  equipage,  clothing  and  other  quartermaster's  property,  and  funds  were 
drawn  by  the  ambulance  corps  as  required  for  the  duties  incident  to  the  care  and  comfort  of  the  sick  and  wounded.  It  was 
constantly  necessary  to  preserve  the  division  of  responsibility  and  property  between  the  medical  and  ambulance  officers,  that 
each  should  receive  and  account  for  what  was  proper  to  his  own  department.  Neglects  to  make  returns,  followed  by  stoppage 
of  pay,  were  otherwise  to  be  expected  in  the  new  organization.  Attempts  were  made  to  institute  some  system  of  ambulance 
service  to  meet  the  necessities  of  the  artillery  reserve,  but  without  success,  until  the  order  promulgating  the  ambulance  law 
was  issued.  Under  its  provisions,  the  artillery  reserve  and  the  artillery  brigades  of  corps  and  other  independent  commands 
were  adequately  provided  for.  The  importance  of  a  proper  diet  during  the  winter  preceding  the  campaign,  to  enable  the  troops 
to  resist  the  depressing  influence  of  ordinary  fatigues,  privations  and  exposure,  and  to  preserve  them  vigorous  to  the  latest 
period  before  active  operations  commenced,  had  not  been  overlooked,  and  reports  of  the  issue  of  vegetables,  soft  bread  and 
other  valuable  articles  of  the  ration  had  been  required.  An  appearance  of  scorbutic  taint  in  the  cavalry,  and  the  detection  of 
discrepancies  in  reports  in  that  and  the  Second  Corps  in  regard  to  issues,  called  for  investigations,  and  it  is  believed  that 
greater  vigilance  was  exercised  thereafter  by  commissaries,  medical  officers  and  others.  I  estimate  the  strength  of  the 
Ambulance  Corps  as  follows:  For  the  month  of  May,  sixty  officers  and  twenty-three  hundred  enlisted  men;  June,  seventy 
officers  and  twenty  seven  hundred  enlisted  men;  July,  sixty-six  officers  and  twenty-six  hundred  enlisted  men.  The  number 
of  ambulances  was  near  eight  hundred.  The  number  of  medical  officers  in  the  army  in  May  amounted  to  six  hundred  and 
ninety-nine.  In  June,  it  had  advanced  to  seven  hundred  and  seventy-five ;  in  July,  it  was  six  hundred  and  twenty-seven. 
Hospital  stewards,  not  regimental,  in  May,  forty;  in  June,  thirty  five;  in  July,  forty-two.  I  had  associated  with  me  upon 
duty  an  assistant  medical  director,  two  inspectors,  a  medical  purveyor  and  assistant,  and  one  assistant  surgeon  (Assistant 
Surgeon  J.  S.  Billings,  U.  S.  A.),  specially  assigned  to  collect  and  prepare  statistics  and  data  connected  with  the  operations 
of  the  department.  The  results  of  his  labors  appear  in  the  following  narrative : 

During  the  months  of  January,  February,  March  and  April,  1831,  the  army  of  the  Potomac  continued  to  occupy  the  line 
of  the  Rapidan,  guarding  the  Orange  and  Alexandria  railroad,  and  having  Brandy  Station  as  its  principal  depot  for  supplies. 
The  country,  being  elevated  and  undulating,  afforded  excellent  sites  for  camps,  which  were  generally  well  located,  well 
drained  and  supplied  with  good  spring  water.  The  winter  quarters  of  the  troops  were  completed  during  the  month  of  January, 
consisting  for  the  most  part  of  log  huts  about  eight  feet  square,  the  walls  four  feet  high,  and  roofed  with  shelter-tents,  each 
hut  accommodating  from  three  to  five  men.  Much  skill  and  taste  was  evinced  in  the  arrangement  of  many  of  the  camps. 
Those  of  the  Maine  regiments  were  especially  noticeable  for  the  neatness  and  comfort  of  their  huts.  The  beds  of  the  men  were 
in  all  cases  raised  from  the  ground,  and  the  huts  were  all  warmed  by  open  fire-places.  The  rations  furnished  during  this  period 
were  abundant  in  quantity,  and  of  good  quality  and  variety,  the  average  weekly  issue,  including  three  days  rations  of  fresh 
beef,  three  and  a  half  of  fresh  bread,  four  and  a  half  of  potatoes  and  two  and  a  third  of  other  vegetables.  The  following  figures, 
which  show  this  point  more  clearly,  are  furnished  from  the  records  of  the  Chief  Commissary  of  the  Army  : 

Statement  of  quantities  of  antiscorbutic  articles  of  food  issued  to  the  Army  of  the  Potomac 
during  the  period  commencing  January  1,  1864,  and  ending  April  1,  1864. 


ARTICLES. 


Soft  bread 
Potatoes  . . 
Onions 


Turnips 

Cabbage  (in  currey ) 

Pickles 

Desiccated  potatoes 

Desiccated  mixed  vegetable; 
Dried  apples 


QUANTITIES. 


7,  356, 200  rations. 

2,229,551  pounds. 

399,  623  pounds. 

80, 170  pounds. 

11,795  gallons. 

4,  820  gallons. 
600  pounds. 

5,  320  pounds. 
551,812  pounds. 


REPORT    OF    MEDICAL    DIRECTOR    McPAELIN.  14.9 

The  clothing  and  bedding  of  the  men  were  abundant  and  of  good  quality.  The  camp  and  personal  police  were,  as  a 
general  rule,  well  attended  to.  The  morale  of  the  troops  was  excellent.  They  had  had  a  long  rest,  and,  in  most  cases,  thirty 
days'  furlough.  The  sick  list  of  the  army  was  small,  between  four  and  five  per  cent.,  while  the  weekly  mortality  was  only 
0.  002  per  cent.  The  majority  of  the  cases  taken  on  sick  report  were  slight  in  character,  the  principal  diseases  being  catarrhal 
affections,  malarial  fevers  and  venereal,  the  latter  being  extremely  prevalent  among  the  veterans  returning  from  furlough.  A 
few  sporadic  cases  of  variola  and  varioloid  occurred  during  the  months  of  March  and  April,  but  the  disease  was  of  a  mild 
type,  and  showed  no  tendency  to  spread.  Every  precaution  was  taken  to  isolate  these  cases,  and  the  entire  army  was  vaccinated 
as  fast  as  vaccine  matter  could  be  procured.  The  sick  of  the  army  were  chiefly  treated  in  regimental  hospitals  during  the  early 
part  of  the  winter.  Division  hospitals,  to  which  the  more  severe  cases  were  sent,  were  organized  during  the  month  of  February. 
These  hospitals  were  floored  with  boards,  and  heated  by  means  of  open  fire-places,  and  their  condition,  as  shown  by  the  monthly 
inspection  reports,  was  in  every  way  good.  Jellies  and  canned  fruits  were  kept  on  hand  and  issued  by  the  medical  purveyor 
and  from  the  fund  created  by  the  tax  on  newspaper  venders  and  sutlers,  which  had  been  put  at  the  disposal  of  the  medical 
director  of  the  a7-my.  Funds  were  turned  over  to  the  medical  directors  of  corps,  during  the  months  of  February,  March  and 
April,  to  be  expended  for  oysters,  and  other  delicacies  required  by  the  sick. 

In  accordance  with  orders  received  from  the  Surgeon  General  and  the  Commanding  General  of  the  Army,  the  following 
numbers  of  aick  were  sent  to  Washington  during  this  period :  February  1st  and  2d,  one  thousand  and  fifty -two ;  March  '24th  and 
25th,  one  thousand  three  hundred  and  eighty;  April  20th,  one  thousand  seven  hundred  and  eighty;  May  2d  and  3d,  one 
thousand  five  hundred  and  twenty-six  ;  total,  fi  ve  thousand  seven  hundred  and  thirty-eight.  These  sick  were  sent,  via  the  Orange 
and  Alexandria  railroad,  on  special  trains,  which  were  about  seven  hours  in  making  the  trip.  A  large  number  of  recruits, 
substitutes  and  drafted  men  were  sent  to  the  army  during  this  period,  and  among  them  were  many  entirely  unfit  to  perform  the 
duties  of  a  soldier.  By  a  special  report  of  Surgeon  E.  15.  Dalton,  U.  S.  V.,  it  appears  that  of  fifty-seven  recruits  sent  to  the 
6th  New  York  Heavy  Artillery,  seventeen  were  hopelessly  disabled  from  causes  which  must  have  long  existed,  and,  in  some  of 
the  cases,  from  causes  which  must  have  been  apparent,  even  to  a  non-professional  man,  such  as  curvature  of  the  spine,  loss  of 
part  of  the  right  hand,  double  hernia,  idiocy,  etc.  By  a  special  report  of  Assistant  Surgeon  Geo.  M.  McGill,  U.  S.  A.,  dated 
March  '2,  1864,  it  appears  that  among  the  recruits  received  by  the  Cavalry  Corps,  the  number  on  sick  report  averaged  thirty-two 
per  centum  ;  of  permanently  disabled  men,  eight  per  centum  ;  and  of  deaths,  one-half  per  centum.  In  consequence  of  this  report, 
an  order  was  issued  by  Major  General  Pleasonton,  commanding  the  Cavalry  Corps,  that  recruits  should  not  be  put  upon  outpost 
duty  for  two  months  after  their  arrival  at  the  army.  Examining  boards  were  appointed  in  each  corps  for  the  examination  of 
recruits,  and  the  objectionable  were  eliminated,  but  there  still  remained  a  number  of  youths,  from  eighteen  to  twenty  years  of 
acre,  who  presented  nothing  absolutely  exceptionable,  but  who  soon  broke  down  in  the  long  marches  of  the  succeeding  campaign, 
and  were  a  useless  burden  to  the  army.  No  important  movements  of  troops,  or  engagements  occurred  during  this  period,  except 
a  sharp  skirmish  at  Morton's  Ford,  on  the  7th  of  February,  by  a  portion  of  the  Second  Corps,  in  which  our  loss  was  ten  killed, 
two  hundred  wounded  and  forty  missing.  The  wounded  were  conveyed  directly  to  the  division  hospitals  of  the  corps,  and 
were  there  retained  and  treated.  Two  or  three  cavalry  expeditions  were  also  made,  the  principal  one  being  that  known  as 
Kilpatrick's  raid,  February  29  and  March  1  and  2,  1864,  a  special  report  of  which,  by  Surgeon  Hackley,  is  herewith 
forwarded.  Thus,  well  sheltered,  well  fed  and  well  clothed,  refreshed  by  a  long  rest,  with  visits  to  home  and  friends,  and  full 
of  confidence  in  their  cause  and  their  leaders,  the  army  of  the  Potomac,  on  the  1st  of  May,  1864,  was  in  as  good  condition  as  to 
health,  strength  and  morale  as  is  possible  for  so  large  a  body  of  troops. 

The  consolidation  of  the  five  infantry  corps  of  the  army  into  three  by  General  Orders  No.  10,  dated  headquarters  of 
the  armv  of  the  Potomac.  March  24,  1H64,  and  the  passage  of  the  Act  of  Congress  fixing  the  ambulance  system,  approved 
March  11,  1864,  enabled  the  medical  department  of  the  armv  to  perfect  its  organization,  and  establish  itself  on  a  firm  basis. 
The  medical  department  was  placed  upon  the  same  footing  as  the  other  staff  corps  by  Special  Orders  No.  197,  dated  head 
quarters  army  of  the  Potomac,  April  12,  1864,  which  designated  the  surgeons-in-chief  of  brigades  and  divisions,  thus  rendering 
their  position  to  a  great  extent  independent  of  the  caprice  of  brigade  and  division  commanders. 

As  the  provisions  of  the  ambulance  law  corresponded  in  all  essential  particulars  to  the  system  already  instituted  in  the 
army  bv  Surgeon  Letter-man,  no  ditlieulty  or  delay  occurred  in  its  adoption.  All  of  the  ambulances  were  thoroughly  repaired, 
painted  and  marked  with  the  distinctive  badge  of  their  several  divisions  and  corps,  details  of  medical  officers  and  men  for  the 
ambulance  service  were  made,  and  the  persons  so  selected  were  carefully  examined.  As  was  to  be  expected,  a  large  portion  of 
those  first  detailed  were  rejected,  regimental  commanders  having  attempted  to  rid  themselves  of  their  weak  and  worthless  men. 
The  men  attached  to  the  ambulances  were  carefully  and  regularly  drilled,  minute  inspections  of  everything  connected  with  the 
ambulances  and  horses  were  made,  and  guidons  and  hospital  flags  were  procured  and  distributed.  The  results  of  the  labor  and 
preparation  thus  expended  will  appear  in  this  report.  Tens  of  thousands  of  wounded  men  have  been  carefully,  speedily  and 
safely  transferred  from  the  field  of  battle  to  the  field  hospitals,  and  from  thence  to  the  large  depot  hospitals,  and  this  has  been 
done  without  confusion,  without  hindering  the  movements  of  the  army  or  conflicting  with  the  operations  of  the  other  staff 
departments.  Closely  connected  with  the  ambulance  system,  and,  to  a  great  extent,  dependant  upon  it,  followed  the  organization 
of  a  system  of  field  hospitals.  The  amount  of  transportation  allowed  for  medical  purposes  was  three  wagons  to  each  brigade 
of  one  thousand  five  hundred  men,  and  one  wagon  for  each  additional  thousand  men.  This  allowance  proved  ample.  The 
amount  of  regimental  hospital  property  to  be  transported  was  reduced  to  a  minimum,  all  the  hospital  tents  and  stores  being 
turned  over  to  the  division  hospitals.  The  medical  staff  of  these  hospitals  was  the  same  as  established  by  Surgeon  Letterman, 
viz.  :  one  Burgeon  in  charge,  one  recorder,  three  operators,  each  with  two  or  more  assistants,  and  one  medical  officer  to  provide 
food  and  shelter.  As  the  plan  of  the  division  hospitals  varied  somewhat,  a  brief  sketch  of  the  hospitals  of  the  first  division 
of  each  corps  will  perhaps  best  illustrate  their  peculiarities. 

In  the  1st  division.  Second  Corps,  twenty-two  hospital  tents,  fourteen  army  wagons  and  four  medicine  wagons  were 
allowed  for  medical  purposes,  the  division  containing  four  brigades,  twenty-one  regiments  and  eight  thousand  men.  Six  of  the 
armv  wagons  carried  the  regimental  medical  property;  four,  the  brigade  supplies;  two,  the  hospital  touts;  one.  the  cooking 


150  APPENDED    DOCUMENTS AEMY    OF    THE    POTOMAC,    1864. 

utensils  and  three  hundred  rations,  and  one  was  loaded  with  blankets,  beef-stock,  whiskey,  chloroform,  bandages,  lint,  etc.,  etc. 
In  pitching  the  hospital,  no  attention  was  paid  to  brigade  organizations,  except  that  an  operating  table  was  established  for  each 
brisrade,  the  corresponding  medicine  wagon  being  drawn  up  beside  it,  and  the  surgeons-iii-chief  of  brigades  were  ex  officio  the 
operators.  Thirty-six  regular  hospital  attendants  were  employed  in  the  preparation  and  distribution  of  food,  dressing  wounds 
and  care  of  the  patients.  These  men  wore  on  the  left  arm  a  half  chevron,  composed  of  a  green  and  yellow  stripe.  During  a 
battle,  or  series  of  battles,  the  drum  corps  of  the  division,  numbering  three  hundred  and  fifty  men  and  boys,  were  put  on  duty 
in  the  hospital,  being  organized  into  five  companies,  commanded  each  by  a  sergeant,  and  the  whole  commanded  by  a  lieutenant, 
bavin"'  an  orderly  sergeant  as  an  assistant.  From  this  corps,  details  were  made,  whenever  called  for  by  the  surgeon  in  charge, 
for  pitching  and  striking  tents,  loading  and  unloading  wounded,  bringing  water  and  wood,  burying  the  dead  and  for  police 
duty.  A  provost  guard  was  present  at  the  hospital  during  an  engagement  for  the  purpose  of  arresting  malingerers,  etc.  One 
medical  officer  followed  each  regiment  into  action,  the  remaining  surgeons,  with  the  exception  of  those  in  the  division  hospitals, 
remaining  at  the  advance  ambulance  depot,  which  was  usually  about  five  hundred  yards  in  the  rear  of  the  line  of  battle.  When 
a  lanre  number  of  wounded  were  brought  in,  these  last  were  sent  to  the  division  hospital  to  act  as  dressers,  etc.,  etc. 

In  the  1st  division,  Fifth  Corps,  twenty-five  tents,  fourteen  army  wagons  and  three  medicine  wagons  were  allowed,  the 
division  containing  twenty-one  regiments,  three  brigades  and  eight  thousand  one  hundred  men.  Five  of  the  army  wagons 
carried  the  brigade  and  regimental  supplies;  three,  the  tents;  two,  the  cooking  apparatus  and  one  thousand  five  hundred 
rations ;  and  four,  the  blankets  and  other  hospital  stores.  The  tents  in  this  hospital  were  pitched  by  brigades,  the  operating  tables 
being  arranged  as  in  the  Second  Corps.  Thirty-six  hospital  attendants  were  employed.  The  drum  corps  of  the  1st  division  was 
employed  during  the  first  two  weeks  of  the  campaign ;  after  that,  it  was  sent  to  the  front,  and  twelve  pioneers  performed  its 
duties.  A  provost  guard  was  furnished  the  hospital.  The  medical  officers  not  on  duty  at  the  division  hospitals  formed  advance 
depots  near  the  line  of  battle,  one  or  two  depots  being  formed  for  each  brigade. 

In  the  1st  division,  Sixth  Corps,  twenty-four  tents,  seventeen  army  wagons  and  four  medicine  wagons  were  allowed, 
the  division  containing  four  brigades,  seventeen  regiments  and  eight  thousand  men.  Eight  of  the  army  wagons  carried  the 
regimental  medical  property ;  four,  the  brigade  supplies ;  and  five,  the  tents  and  division  hospital  supplies.  One  of  these  last  was 
used  more  especially  to  form  a  small  flying  hospital  for  the  division  while  on  the  march.  The  tents  were  pitched  by  brigades. 
Thirty-four  hospital  attendants  were  employed,  but  no  drum  corps  or  pioneers,  except  when  detailed  in  emergencies.  The  tents 
•were  pitched  and  struck  by  the  men  belonging  to  the  ambulance  train,  who  had  been  especially  drilled  in  that  duty.  Two 
depot  hospitals  for  each  brigade  were  established  as  near  the  line  of  battle  as  possible,  the  advance  ambulances  being  close  at 
hand,  a  second  ambulance  depot  being  usually  formed  about  half  a  mile  in  the  rear.  Each  of  these  division  hospitals  could  be 
pitched  or  taken  down  and  packed  in  the  wagons  in  forty-five  minutes.  The  ambulances  of  the  divisions,  when  not  in  use, 
were  parked  close  by  the  hospital,  the  stretcher  bearers  remaining  at  the  front  with  the  troops.  The  regimental  medical 
property  was  never  used  during  the  campaign,  and,  as  in  the  Fifth  Corps,  very  little  was  carried.  A  much  larger  proportion 
of  transportation  was  available  for  the  division  hospitals  than  in  the  other  corps,  and  rations,  clothing,  condensed  milk  and 
canned  meats  and  fruits  were  carried  without  difficulty. 

In  the  Cavalry  Corps,  no  system  of  division  field  hospitals  was  organized,  owing  to  the  peculiar  nature  of  their  service; 
their  hospital  train  was,  by  order  or  by  circumstance,  seldom  near  enough  to  be  available  during  an  engagement,  and  was 
entirely  absent  during  their  long  expeditions  and  raids.  The  usual  operating  staff  was  detailed,  however,  and  a  full  supply  was 
carried  in  their  train ;  the  nearest  available  house  was  used  as  a  hospital,  and  the  wounded  were,  in  ihany  instances,  subsisted 
by  foraging,  as  will  be  seen  by  the  reports  of  the  cavalry  raids.  The  Cavalry  Corps  hospital  consisted  of  twenty-two  tents, 
with  furniture  and  hospital  stores,  medical  officers,  attendants,  etc.,  the  whole  under  charge  of  Surgeon  Samuel  B.  \V.  Mitchell, 
8th  Pennsylvania  Cavalry.  It  was  kept  up  during  the  winter,  and  sent  back  to  Alexandria  on  the  1st  of  May,  from  which 
point  it  moved  directly  to  Fredericksburg  as  soon  as  the  road  was  opened. 

The  medical  and  hospital  supplies  of  the  army  were  carried  in  the  brigade  supply  and  medicine  wagons,  the  regimental 
and  division  hospital  wagons,  the  ambulance  boxes,  hospital  knapsacks  and  field  companions,  and  in  a  reserve  train  of  thirty- 
five  army  wagons  which  moved  with  the  main  trains  of  the  army,  and  was  under  the  charge  of  Assistant  Surgeon  J.  B.  Brinton, 
11.  S.  A.,  the  medical  purveyor  of  the  army.  The  amount  of  medical  and  hospital  supplies  carried  with  the  army  is  shown  in 
the  schedule  marked  "  A,"  herewith  transmitted.  The  means  of  transportation  and  the  amount  of  camp  and  garrison  equipage 
carried  is,  in  like  manner,  shown  by  schedule  "  B."  This  supply  was  estimated  as  sufficient  for  the  wants  of  the  army  until 
June  1,  1864,  and  for  the  necessities  of  twenty  thousand  wounded  for  eight  days  in  addition.  The  medical  purveyor  had,  also, 
under  his  control  a  large  and  commodious  storehouse  in  Alexandria,  in  which  a  large  amount  of  stores  were  placed  in  such  a 
manner  that  they  could  be  speedily  forwarded  either  by  boat  or  rail.  A  requisition  for  a  complete  three  months'  supply  for  the 
army,  for  the  period  from  July  1,  1864,  to  September  30,  1864,  was  sent  in  by  the  medical  purveyor  during  the  latter  part  of 
April.  This  supply  reached  the  army  at  White  House  on  the  1st  of  June.  The  Sanitary  Commission  had  five  wagons  in  the 
army.  The  supplies  carried  in  them  are  also  given  in  schedule  "A."  The  corps  of  medical  directors  exercised  their  own 
discretion  as  to  the  movements  of  these  wagons  with  the  hospital  trains. 

During  the  last  week  in  April,  all  the  sick  and  wounded  were  sent  to  Washington,  the  hospitals  were  broken  up,  all 
the  surplus  property  sent  to  the  rear,  and  every  preparation  made  for  an  immediate  movement.  The  medical  purveyor's  depot 
at  Brandy  Station  was  broken  up,  and  the  surplus  supplies  sent  to  Alexandria  on  the  8th  of  May.  This  depot  had  been  kept 
up  till  the  last  moment,  that  every  brigade  might  have  a  complete  month's  supply  on  hand  at  the  start.  On  the  5th  of  May,  the 
Fifth  Corps,  which  had,  up  to  that  time,  been  guarding  the  railroad  from  Fairfax  to  Eappahannock  Station,  was  concentrated 
near  Brandy  Station  and  Culpepper,  its  place  being  taken  up  by  the  Ninth  Corps.  On  the  30th  of  April,  the  2d  division  of  the 
Cavalry  Corps  was  withdrawn  from  Warrenton,  and  moved  to  Paoli  mills.  The  movement  of  the  army  began  at  midnight  of 
the  3d  of  May.  The  2d  and  3d  divisions,  Cavalry  Corps,  moved  to  Germanna  and  Ely's  Fords  on  the  Kapidan,  at  which  points 
canvas  pontoon  bridges  were  immediately  thrown  across.  Two  divisions  of  the  Fifth  Corps  moved  to  Oermanna  Ford  by  way 
of  Stevensburg  and  the  plank  road,  taking  with  them  a  wooden  pontoon  bridge  train,  with  which  a  second  bridge  was  constructed 


REPORT    OF    MEDICAL    DIRECTOR    McPARLIN.  151 

at  that  ford  by  seven  o'clock  A.  M.  of  the  4th.  The  other  two  divisions  of  the  corps  followed,  reaching  the  ford  at  nine  o'clock 
A.  M.  Two  divisions  of  the  Second  Corps  moved  at  midnight  of  the  3d  to  Ely's  Ford,  and  awooden  pontoon  bridge  was  thrown 
across  at  that  point.  The  remainder  of  the  corps  followed  at  three  o'clock  A.  M.  The  Sixth  Corps  moved  at  four  o'clock  A.  M. 
following  the  Fifth.  The  artillery  reserve  followed  the  Second  Corps.  The  trains  of  the  army  moved  to  Richardsville. 
General  headquarters  moved  at  five  o'clock  A.  M.,  passing  byway  of  Stevensburg  to  Germanna  Ford,  crossing  the  river  at  noon 
and  camping  for  the  night  on  the  heights  on  the  south  bank  of  the  river.  The  1st  division  of  the  Cavalry  Corps  guarded  the 
river  from  Rapidan  Station  to  Germanna  Ford,  covering  the  rear  and  right  flank  of  the  army.  The  only  means  of  transportation 
allowed  to  cross  the  river  were  one-half  of  the  infantry  ammunition  trains,  one-half  of  the  ambulances,  one  medicine  wagon  and 
one  hospital  wagon  to  each  brigade,  and  the  light  spring  wagons  and  pack  mules  belonging  to  the  various  corps  and  division 
headquarters.  No  opposition  was  made  to  the  crossing,  and  as  soon  as  the  infantry  had  reached  the  river,  the  cavalry  moved 
southward,  the  2d  division  to  the  vicinity  of  Piney  Branch  church,  and  the  3d  division  to  the  vicinity  of  Old  Wilderness  Tavern. 
A  small  body  of  Confederates  were  found  at  Chancellorsville,  who  retreated  towards  Fredericksburg,  and  another  party  near 
Parker's  store.  With  these  exceptions,  no  enemy  appeared.  The  main  body  of  the  army  had  crossed  the  river  by  two  o'clock 
p.  M.,  and,  on  the  evening  of  the  4th,  the  Second  Corps,  with  the  reserve  artillery,  was  near  Chancellorsville ;  the  Fifth  Corps, 
near  Old  Wilderness  tavern;  and  the  Sixth  Corps,  on  the  heights  south  of  Germanna  Ford.  The  distance  marched  was  about 
fifteen  miles,  the  day  was  cool  and  pleasant,  the  men  fresh  and  in  good  spirits,  and  there  was  but  little  straggling.  Fifty  rounds 
of  ammunition,  three  days'  full  rations  in  the  haversacks  and  three  days'  short  rations  in  the  knapsacks  were  carried  by  each 
soldier.  Three  days'  rations  of  fresh  beef  on  the  hoof  were  also  taken  across  the  river. 

Early  on  the  morning  of  the  5th  of  May,  it  was  found  that  the  enemy  were  advancing  from  Orange  Court-house,  with  the 
design  of  striking  our  column  at  right  angles  while  in  line  of  march.  The  original  intention  of  moving  farther  southward  was 
temporarily  abandoned,  and  the  army  moved  into  line  of  battle.  The  Fifth  Corps  held  the  centre,  lying  across  the  Orange 
Court-house  pike,  parallel  to  and  one  mile  west  of  the  Germanna  Ford  plank-road.  The  division  hospitals  of  the  corps  were 
placed  on  a  slope  of  open  ground  by  a  small  creek  which  crosses  the  Fredericksburg  pike  one  mile  east  of  Old  Wilderness 
tavern.  Water  for  the  hospitals  was  obtained  from  excellent  springs  in  the  vicinity.  Tents  were  pitched,  operating  tables  and 
kitchens  prepared,  surgeons  and  attendants  were  at  their  posts,  and  everything  was  in  readiness  for  the  reception  of  the  wounded 
an  hour  before  the  cases  began  to  arrive.  The  advance  depot  for  the  ambulances  was  near  the  turnpike,  about  four  hundred 
yards  behind  the  line  of  battle.  A  surgeon,  with  attendants,  was  stationed  at  Old  Wilderness  tavern  for  the  purpose  of  dressing 
the  slightly  wounded  who  might  be  straggling  along  the  road,  having  passed  by  the  advance  hospitals  without  being  cared  for. 
The  wounded  began  to  come  in  about  twelve  o'clock  M.,  and  by  nine  o'clock  P.  M.,  twelve  hundred  and  thirty-five  men  had  been 
received,  fed,  dressed  and  sheltered. 

The  Sixth  Corps  was  posted  on  the  right  of  the  Fifth,  extending  to  the  river,  the  second  division  moving  during  the  day 
to  the  left  of  the  Fifth  Corps.  The  hospitals  of  the  first  division  of  this  corps  were  at  the  Spottswood  house,  on  the  Germania 
Ford  turnpike ;  that  of  the  second  division,  on  the  Old  Wilderness  Run,  near  Woodville  Mine,  and  that  of  the  third  division,  near 
Old  Wilderness  Tavern.  About  one  thousand  wounded  were  brought  in  during  the  day,  the  greater  part  from  the  second  division. 
The  Second  Corps  got  into  position  during  the  day  along  the  Brock  road,  leaving  an  interval  of  nearly  two  miles  between  its 
right  and  the  left  of  the  Fifth  Corps.  This  space  was  for  the  most  part  filled  up  during  the  day  by  General  Burnside's  command 
and  one  division  of  the  Sixth  Corps.  The  hospitals  of  the  Second  Corps  were  located  near  Carpenter's  house,  one  mile  south 
east  of  the  junction  of  the  Germanna  Ford  and  Chancellorsville  plank-roads.  The  site  was  a  good  one,  with  good  water  and 
two  ambulance  roads  leading  to  the  front,  which  was  only  a  mile  distant.  About  six  hundred  wounded  were  received  during 
the  day.  The  trains  of  the  army  crossed  during  the  day  at  Ely's  and  Catharpin  Mine  Fords,  and  moved  one  part  to 
Chancellorsville,  the  other  to  the  vicinity  of  Woodville  Mine.  The  1st  division  cavalry  crossed  after  the  trains  and  moved  to 
Oldricli's,  picketing  the  roads  towards  Fredericksburg.  The  other  divisions  of  the  corps  engaged  with  the  enemy's  cavalry,  during 
the  day,  in  the  vicinity  of  Todd's  tavern,  and  had  about  one  hundred  wounded.  A  temporary  hospital  was  established  at 
Brown's  house,  about  half  a  mile  northeast  of  Todd's  tavern,  where  all  the  wounded  were  dressed  and  fed.  and  the  necessary 
operations  performed,  They  were  then  removed  to  the  tent  hospitals  of  the  corps,  one  of  which  was  established  near  Elv's  Ford ; 
the  other,  near  the  hospitals  of  the  Fifth  Corps.  During  the  day,  army  headquarters  were  on  a  little  knoll  near  AVoodville 
Mine.  During  the  6th  and  7th  of  May,  the  battle  of  the  Wilderness  continued,  the  corps  and  divisions  remaining  in  nearly  the 
same  relative  positions.  As  has  been  well  said,  "this  was  a  battle  which  no  man  saw  or  could  see,"  fought  in  the  midst  of 
dense  thickets  of  second  growth  underbrush  and  evergreens,  rendering  the  use  of  artillery  almost  impossible,  and  compelling 
the  opposing  lines  to  approach  very  near  in  order  to  see  each  other.  It  was  a  series  of  fierce  attacks  and  repulses  on  either  side, 
and  the  hostile  lines  swayed  back  and  forth  over  a  strip  of  ground  two  hundred  yards  to  a  mile  in  width,  in  which  the  severely 
wounded  of  both  sides  were  scattered.  This  strip  of  woods  was  on  fire  in  many  places,  and  some  of  the  wounded  who  were  unable 
to  escape  were  thus  either  suffocated  or  burned  to  death.  The  number  who  thus  perished  is  unknown,  but  it  is  supposed  to  have 
been  about  two  hundred.  The  stretcher-bearers  of  the  ambulance  corps  followed  the  line  of  battle  closely,  and  displayed  great 
gallantry  in  their  efforts  to  bring  off  the  wounded  lying  between  the  lines,  but  with  very  little  success,  it  being  almost  impossible 
to  find  wounded  men  lying  scattered  through  the  dense  thickets,  and  the  enemy  firing  at  every  moving  light  or  even  at  the 
slightest  noise.  The  hospitals  of  the  Second  and  Fifth  Corps  remained  stationary  throughout  the  battle;  those  of  the  Sixth 
Corps  were  collected  on  the  night  of  May  6th,  and  moved  to  the  vicinity  of  Dowdall's  tavern,  on  the  Fredericksburg  turnpike. 
This  removal  was  necessitated  by  a  fierce  attack  of  the  enemy  upon  the  right  wing,  which  forced  back  and  threw  into  temporary 
confusion  the  3d  division  of  the  Sixth  Corps.  Some  shells  were  thrown  into  the  vicinity  of  the  Spottswood  house,  injuring  two 
ambulances,  but  doing  no  farther  damage.  The  records  of  the  various  hospitals  were,  as  a  general  thing,  carefully  and 
accurately  kept.  The  hospitals  of  the  Second  Corps,  however,  being  but  a  short  distance  from  the  front,  the  influx  of  patients 
was  so  rapid,  and  their  numbers  so  great,  that  it  was  not  possible  to  record  all  of  them.  About  one  hundred  and  twenty  of 
the  enemy's  wounded  were  brought  in,  chiefly  to  the  hospitals  of  the  Second  Corps.  The  total  number  of  killed,  wounded  and 
missing  during  this  battle  is  shown  by  the  following  statement,  which,  however,  does  not  include  the  loss  of  General  Burnside's 


152  APPENDED    DOCUMENTS ARMY    OF    THE    POTOMAC,    1864. 

command:  Number  of  wounded  according  to  the  classified  returns,  seven  thousand  three  hundred  and  two;  treated  in 
hospitals,  but  unrecorded,  estimated,  one  thousand;  fell  into  the  enemy's  hands,  estimated,  eight  hundred;  total,  nine  thousand 
one  hundred  and  two.  Number  killed,  according  to  regimental  reports,  two  thousand  and  nine;  missing,  three  thousand  eight 
hundred  and  ninety-three  ;  total,  five  thousand  nine  hundred  and  two  ;  grand  total,  fifteen  thousand  and  four.  The  number  of 
wounded  according  to  regimental  returns  is  ten  thousand  one  hundred  and  eighty-five,  or  one  thousand  and  eighty-three  more  than 
is  "iven  above;  but  subsequent  returns  render  it  probable  that  this  is  an  error.  The  proportion  of  officers  wounded  was  very 
large,  being  one  to  every  sixteen  enlisted  men.  This  was  due  to  the  fact  that  the  conflict  partook  of  the  character  of  skirmishing 
on  a  large  scale,  and  those  who  were  the  most  conspicuously  dressed  were  the  first  victims.  For  a  similar  reason  the  zouave 
brigade  of  the  1st  division,  Fifth  Corps,  whose  uniforms  were  braided  with  red  and  yellow  scrolls,  met  with  a  very  heavy  loss. 
The  relative  proportion  of  killed  was  also  large,  being  nearly  one  to  every  five  wounded.  Only  two  hundred  and  forty  wounds 
from  cannon  shot  and  shell  were  observed.  As  a  somewhat  interesting  fact  bearing  upon  the  character  of  the  conflict,  it  may 
be  mentioned  that  it  is  stated  by  the  chief  ordnance  officer  that  but  eleven  rounds  of  ammunition  per  man  were  used  by  the  army 
during  the  three  days'  fight.  Ample  supplies  of  all  kinds  were  on  hand  in  all  the  hospitals.  The  medical  purveyor,  with  his 
wagon  train,  was  at  W  oodville  Mine,  and  reported  that  he  was  ready  to  issue  by  five  o'clock  p.  M.  of  May  5tli,  but  no  requisitions 
were  sent  in,  as  the  supplies  carried  in  the  ambulances  and  field  hospital  trains  were  even  more  abundant  than  the  emergency 
required.  All  the  ambulances  and  hospital  wagons  were  at  the  several  hospitals  by  nine  o'clock  A..  M.  of  May  (ith.  The  labors 
of  the  ambulance  corps  during  this  battle  were  very  severe.  The  ambulances  of  the  Fifth  and  Sixth  Corps  travelled  about 
fifty  mill's  on  the  6th  of  May.  Every  wounded  man  \vho  could  be  reached  by  the  stretcher-bearers  was  brought  off  the  field, 
and  about  four  thousand  blankets  and  shelter  tents  were  collected  and  brought  into  the  hospitals. 

On  the  morning  of  the  7th  of  May,  Major  General  Meade  ordered  that  all  the  wounded  should  be  sent  to  Rappahaimock 
Station,  by  way  of  Ely's  Ford,  to  be  sent  from  thence  to  Washington.  All  the  army  wagons  of  the  general  and  corps  trains 
which  could  be  emptied  were  turned  over  to  the  medical  department  during  the  day,  and,  by  six  o'clock  P.  M.,  were  being 
loaded  with  wounded.  These  wagons  were  thickly  bedded  with  evergreen  boughs,  over  which,  shelter-tents  and  blankets  were 
spread,  and  were  comparatively  comfortable  for  the  class  of  cases  for  which  they  were  used.  Every  facility  was  afforded  by 
the  quartermaster's  department,  and  without  such  aid,  it  would  have  been  utterly  impossible  to  have  removed  more  than  ono- 
fourtli  of  the  wounded.  Three  hundred  and  twenty-five  wagons  and  four  hundred  and  eighty-eight  ambulances  were  used  for 
the  wounded  of  the  infantry  corps,  and  it  was  found  absolutely  necessary  to  leave  behind  nine  hundred  and  sixty  of  them  for 
lack  of  transportation.  The  wounded  were  divided  into  three  classes:  first,  those  able  to  walk;  second,  those  unable  to  walk, 
but  able  to  ride  in  army  wagons;  third,  those  most  severely  wounded,  including  the  cases  of  fractures  of  the  lower  extremities, 
major  amputations  and  penetrating  wounds  of  the  thoracic  and  abdominal  cavities.  Two  medical  officers,  one  hospital  steward 
and  ten  attendants  were  detailed  to  every  five  hundred  men,  and  rations,  dressings  and  medical  stores  furnished  for  three  days. 
Surgeon  E.  B.  Dalton,  U.  S.  Volunteers,  was  placed  in  charge  of  the  entire  train,  and  a  regiment  of  dismounted  cavalry 
accompanied  it  as  a  guard.  A  message  was  sent  to  the  Surgeon  General  at  ten  o'clock  A.  M.,  notifying  him  of  the  arrangements 
made,  and  requesting  that  supplies  should  be  sent  to  Rappahannock  Station  for  the  wounded  remaining  on  the  field,  to  be  brought 
by  the  returning  train. 

On  the  evening  of  May  7th,  it  was  determined  to  abandon  the  line  of  the  Rapidan,  and  the  army  moved  during  the  night 
to  the  vicinity  of  Spottsylvania  Court-house.  The  train  containing  wounded  was  therefore  ordered  to  accompany  the  trains 
of  the  army  to  Oldrich's,  on  the  Fredericksburg  plank  road,  two  miles  south  of  Chancellorsville.  The  number  of  wounded 
left  behind  in  the  several  corps  hospitals  on  account  of  lack  of  transportation,  according  to  reports  of  the  corps  medical 
directors,  was  as  follows:  In  the  Second  Corps,  six  hundred  and  sixty  of  our  ovvn'men  and  ninety  rebels  ;  Fifth  Corps, 
two  hundred  of  our  own  men  and  four  rebels;  Sixtli  Corps,  one  hundred  of  our  own  men  ;  total,  nine  hundred  and  sixty  of  our 
own  men  and  ninety-four  rebels.  Hospital  tents,  medical  officers  and  attendants,  medicines,  hospital  stores  and  dressings  and 
from  three  to  five  days  rations  were  left  with  them.  Early  in  the  morning  of  May  8th,  the  following  order  was  issued: 

'HEADQUARTERS  ARMY  OF  THE  POTOMAC,  May  8,  1864. 

The  wounded  of  the  army  will  be  immediately  transported  to  Fredericksburg,  and  there  put  in  hospital.  Major  General 
Hancock  will  detail  a  small  regiment  of  infantry,  under  a  reliable  commander,  who,  with  his  own  regiment  and  the  2'2d  New 
York  Cavalry,  will  escort  them  and  take  charge  of  the  hospital.  He  will  return  the  ambulances  to  the  army,  but  retain  the 
wagons  ;  with  which,  under  a  flag  of  truce,  he  will  endeavor  to  bring  off  the  field  such  wounded  as  there  was  no  transportation 
for.  The  wounded  will  be  supplied  with  three  days'  subsistence,  which  will  be  furnished  by  the  corps  commanders  concerned. 

By  command  of  General  MEADE.  S.  WILLIAMS,  Assistant  Adjutant  General.' 

At  quarter  to  ten  o'clock  A.  M.,  a  message  was  despatched  by  a  special  agent  to  the  Surgeon  General,  informing  him  of  the 
new  arrangement,  and  requesting  that  medical  officers  and  supplies  should  be  sent  at  once  to  Fredericksburg.  Sixty-eight  beef 
cattle  were  drawn  from  the  general  herd,  and  turned  over  to  Surgeon  Dalton,  U.  S.  V.,  and  lie  was  instructed  to  draw  from 
the  purveyor's  train  whatever  medical  supplies  he  might  deem  necessary  The  entire  train  had  passed  Silver's  house,  on  its 
way  to  Frederieksburg,  by  eleven  o'clock  p.  M.,  and  arrived  at  its  destination  by  eleven  o'clock  A.  M.  of  the  9th,  having  met 
with  no  molestation  or  trouble. 

Within  the  two  following  weeks,  about  one  thousand  of  the  wounded  left  on  the  battle-field  were  collected  and  carried 
to  Fredericksburg  by  ambulances  and  wagons  sent  out  from  that  place  by  Surgeon  Dalton.  The  wounded  left  within  the 
enemy's  lines  were  chiefly  collected  at  the  Confederate  hospitals  near  Parker's  store  and  Robertson's  tavern.  About  three 
hundred  of  these  were  brought  away,  and  tents,  food  and  dressings  left  with  those  who  could  not  be  brought  off.  The  enemy 
at  first  made  no  objection  to  the  removal  of  the  wounded,  but,  on  the  14th  of  May,  Assistant  Surgeon  Breneman,  I).  S.  A., 
who  went  out  with  a  train  at  that  time,  was  informed  that  no  more  wounded  could  be  removed  unites  a  special  request  to  that 
effect  should  be  made  by  Lieutenant  General  Grant.  On  the  Irith  of  May,  Doctor  Breneman  again  went  out  with  an 
ambulance  train,  carrying  the  following  letter : 


REPORT    OF    MEDICAL    DIRECTOR    McPARLTN*.  153 

'HEADQUARTERS  ARMY  OF  THE  UXITKD  STATES, 

NEAR  SPOTTSYLVANIA  COURT-HOUSE,  VIRGINIA,  May  18,  1864. 

SIR:  To  secure  proper  medical  supplies  and  care  for  the  wounded  soldiers  who,  I  understand,  are  still  left  in  your 
hospitals  near  Old  Wilderness  tavern,  I  would  request  that  all  who  are  still  in  your  hands  be  delivered  to  Assistant  Surgeon 
Breneman,  U.  S.  A.,  who  is  authorized  to  receipt  the  rolls  of  the  same.  I  will  state  that  all  Confederate  wounded  who  have 
fallen  into  our  hands  are  receiving  good  care,  and  abundance  of  supplies  of  all  description.  Such,  however,  as  have  not  been 
sent  beyond  Fredericksburg  will  be  delivered  into  your  hands  at  Chancellorsville,  if  you  desire  it. 

I  have  the  honor  to  be,  very  respectfully,  your  obedient  servant, 

U.  S.  GRANT,  Lieutenant  General, 
COMMANDING  OFFICER  CONFEDERATE  FORCES, 

Near  Old   Wilderness  Tavern,  Virginia.' 

The  request  contained  in  the  above  letter  was  refused,  on  the  ground  that  it  was  not  addressed  to  General  Robert  E.  Lee. 
Doctor  Breneman  was  permitted,  however,  to  send  two  wagon  loads  of  food  and  medical  supplies  for  the  use  of  our  wounded. 
On  the  %22d  of  May,  Doctor  Breneman  made  another  attempt,  hut  with  the  same  result.  On  his  return,  he  was  stopped  by 
guerillas,  his  horse  taken  from  him,  and  his  pockets  rifled  of  all  papers  and  valuables.  On  the  '24th,  supplies  were  sent  out 
from  Fredericksburg,  and.  on  the  27th,  by  order  of  Lieutenant  General  Grant,  Doctor  Breneman  again  went  out,  accompanied 
by  a  strong  force  of  cavalry  and  infantry,  and  brought  in  all  the  wounded  from  the  vicinity  of  Old  Wilderness  tavern,  eighty- 
six  in  number.  On  their  arrival  at  Fredericksburg,  they  were  placed  on  board  a  steamer  lying  at  the  wharf,  and  conveyed 
directly  to  Washington.  Fredericksburg  was  then  abandoned,  and  no  further  efforts  were  or  could  be  made  by  the  medical 
department  of  the  army  to  bring  in  those  wounded  who  were  in  the  enemy's  hospitals  near  Parker's  store.  An  expedition  was 
sent  out  from  Washington,  however,  by  Surgeon  R.  O.  Abbott,  U.  S.  A.,  medical  director,  on  the  8th  of  June,  which  brought 
off  forty-five  wounded,  all  that  were  left,  the  others  having  been  removed  by  the  enemy.  The  mortality  among  the  wounded 
left  in  the  Wilderness  was  very  great,  partly  because  only  the  most  serious  cases  and  such  as  could  not  bear  transportation 
were  left,  and  partly  from  insufficient  food  and  supplies.  The  surgeons  left  with  the  wounded  were  permitted  to  return  without 
molestation,  and  no  parols  were  exacted  from  those  wounded  who  were  brought  off.  To  those  of  our  wounded  collected  at 
Parker's  store  and  Robertson's  tavern,  medical  attendance,  food  and  medical  supplies  were  furnished  by  the  Confederates  in 
the  same  proportion  as  to  their  own. 

Before  leaving  this  subject,  it  is  to  be  observed  that  there  was  no  interval  of  importance  between  the  cessation  of  hostilities 
and  the  march  of  the  army,  such  as  is  usually  available  to  the  medical  department  for  the  withdrawal  and  care  of  the  wounded 
after  great  conflicts.  The  weather,  during  the  5th,  6th  and  7th  of  May,  was  warm  and  dry,  the  nights  cool  and  producing 
heavy  deposits  of  dew,  and  the  roads  good,  although  somewhat  dusty. 

During  the  morning  of  the  8th  of  May,  the  Cavalry  Corps  attacked  the  enemy  on  the  Spottsylvania  Court-house  road, 
and  about  two  hundred  and  fifty  wounded  were  soon  collected  at  Brown's  house,  half  a  mile  northeast  of  Todd's  tavern.  At 
that  point,  their  wounds  were  dressed,  and  hot  soup  and  coffee  distributed;  after  which,  they  were  placed  in  ambulances  and 
wagons,  and  sent  on  as  fast  as  possible  to  join  the  main  train  of  wounded  then  moving  towards  Fredericksburg.  The  Cavalry 
Corps  withdrew  at  ten  o'clock  A.  M.,  its  place  being  taken  up  by  the  Fifth  Corps,  and  moved  towards  Fredericksburg,  guarding 
the  left  Hank  and  rear  of  the  army.  The  Fifth  Corps  met  the  enemy  about  eleven  o'clock  A.  M.,  and  a  sharp  engagement 
ensued.  The  men  of  this  corps  were  much  fatigued,  having  been  on  the  road  all  night.  The  day  was  hot  and  sultry,  and 
the  roads  very  dusty,  while  dense  woods  on  fire  in  many  places  covered  the  country,  preventing  the  free  circulation  of  air 
or  the  dissipation  of  the  clouds  of  dust  raised  by  the  moving  troops.  Some  confusion  occurred  in  the  beginning  of  the  battle, 
the  force  of  the  enemy  being  stronger  than  was  at  first  supposed,  and  a  skirmish  line  was  therefore  formed  in  the  rear, 
which  drove  forward  all  stragglers,  allowing  none  to  fall  back  except  those  who  were  so  severely  wounded  as  to  be  unable  to 
walk.  These  last  were  hastily  collected  into  little  groups  in  hollows  by  the  roadside,  which  afforded  protection  against 
musketry.  Haversacks  and  full  canteens  were  furnished,  and  a  medical  officer  left  with  each  group.  As  soon  as  the  line 
of  battle  ceased  to  advance,  all  the  wounded  were  collected  at  four  depots  in  the  woods,  by  the  side  of  the  road  to  Todd's 
tavern  and  Spottsylvania  Court-house,  near  the  crossing  of  the  Block-house  road.  All  the  ambulances  were  absent,  being 
engaged  in  conveying  the  wounded  of  the  battle  of  the  Wilderness  to  Fredericksburg,  and  much  confusion  and  delay  in  the 
collection  of  the  wounded  occurred  in  consequence.  Slightly  wounded  men  were  straggling  over  the  country  in  every  direction 
except  towards  the  front,  while  from  two  to  four  soldiers  sometimes  left  the  ranks  with  severely  wounded  men.  The  regular 
stretcher-bearers  of  the  ambulance  corps  labored  faithfully,  but  the  number  of  wounded  was  so  large,  and  the  distance  over 
which  they  had  to  be  carried  were  so  great,  that  the  evils  above  mentioned  could  not  be  prevented.  The  medicine,  hospital 
and  commissary  wagons  could  not  be  brought  up,  as  the  roads  were  blocked  with  artillery  and  moving  columns  of  troops. 
By  nine  o'clock  p.  M.,  however,  about  one  thousand  three  hundred  of  the  wounded  of  this  corps  had  been  collected,  the  hospital 
trains  had  been  brought  up  and  three  thousand  four  hundred  rations  distributed.  A  large  portion  of  the  wounds  were  slight 
in  their  character,  and  about  one  hundred  were  self-inflicted. 

The  Second  Corps  engaged  the  enemy  on  the  Catharpin  road  during  the  afternoon,  and  bad  about  one  hundred  and  fifty 
wounded,  of  whom  thirty  fell  into  the  hands  of  the  enemy.  The  remainder  were  brought  off,  and  made  comfortable  at  a 
temporary  hospital  established  near  Grey's  house.  The  Sixth  Corps  had  about  one  hundred  wounded  cared  for  in  its 
temporary  hospitals  by  night-fall.  The  ambulances  of  the  Second  and  Sixth  Corps  were  absent,  as  in  the  case  of  the  Fifth 
Corps,  but  as  they  had  comparatively  few  wounded,  the  evil  results  were  not  so  great.  In  order  as  far  as  possible  to  meet  the 
emergency  arising  from  the  absence  of  ambulances,  the  following  order  was  issued  by  the  commanding  general  after  the  state 
of  affairs  had  been  brought  to  his  notice:  '•  Headquarters  army  of  the  Potomac,  May  8,  18(51,  I?.4f>  p.  M.  All  ambulances  and 
spring  wagons,  of  every  description  whatever,  now  in  use  at  any  headquarters,  or  by  any  officer  of  the  army,  for  the  trans 
portation  of  baggage  or  for  any  other  purposes,  will  immediately  be  turned  over  to  the  medical  director  for  the  transportation 
of  the  wounded.  The  empty  wagons  of  the  supply  trains  will  be  substituted  for  the  ambulances  and  spring  wagons  above- 


154  APPENDED    DOCUMENTS ARMY    OF    THE    POTOMAC,    1804. 

mentioned.  It  is  expected  that  this  order  will  he  promptly  complied  with  by  every  officer  concerned.  By  command  of  Major 
General  Meade.  (Signed)  S.  Williams,  Assistant  Adjutant  General."  In  accordance  with  this  order,  the  spring  wagons  were 
turned  over  to  the  corps  medical  directors  iu  the  course  of  the  evening.  The  Second  Corps  furnished  sixteen;  the  Fifth  Corps, 
fifteen;  and  the  Sixth  Corps,  ten.  Fifteen  spring  wagons  and  amhulances  turned  over  from  general  headquarters  were  kept 
together  as  a  reserve  train,  under  the  orders  of  the  medical  director,  to  be  used  when  and  where  they  might  he  most  needed. 
These  spring  wagons  were  a  good  substitute  for  amhulances,  and  were  of  great  use  in  the  emergency. 

During  the  9th  of  May,  the  army  remained  quiet.  Rations  and  ammunition  were  issued  to  the  troops,  and  the  army 
wagons  thus  emptied  were  turned  over  to  the  medical  department  in  the  evening,  to  be  used  for  the  removal  of  wounded  during 
the  following  days. 

The  Cavalry  Corps  moved  off  in  the  morning,  for  the  purpose  of  passing  around  the  Confederate  army  and  marching 
towards  Richmond.  Surgeon  K.  W.  Pease,  U.  S.  V.,  the  corps  medical  director,  being  unable  to  accompany  the  corps  on 
account  of  illness,  Assistant  Surgeon  George  M.  McGill,  U.  S.  A.,  was  made  acting  medical  director  of  the  corps,  and  his 
report  of  the  expedition  is  appended  to  this  report. 

Early  on  the  morning  of  the  9th,  the  hospitals  of  the  Fifth  Corps  were  established  on  a  grassy  lawn  around  Cossin's 
house,  situated  on  the  Block-house  road,  a  mile  and  a  half  in  the  rear  of  the  line  of  battle.  Water  was  abundant  and  of  good 
quality,  and  the  location  was  excellent  in  every  respect.  The  hospitals  of  the  Second  Corps  were  established  near  those  of  the 
Fifth  Corps  in  open  ground  on  the  south  branch  of  the  Ny  river.  The  Sixth  Corps  hospitals  were  placed  in  the  pine  woods 
on  the  Court-house  and  Piney  Branch  church  road,  half  a  mile  north  of  the  intersection  of  the  Block -house  road.  All  the 
wounded  were  transferred  to  these  points  during  the  day  by  means  of  the  spring  wagons  and  stretchers.  Abundance  of  all 
kinds  of  supplies  were  on  hand,  including  ice,  there  being  several  well  filled  ice  houses  in  the  vicinity.  Large  numbers  of 
blankets  and  shelter  tents,  which  had  been-dropped  and  abandoned  in  the  woods  by  stragglers  and  wounded,  were  collected  and 
brought  to  the  hospitals  by  the  attendants  and  the  field  music,  wTho,  in  some  instances,  were  regularly  deployed  as  skirmishers, 
and  sent  through  the  woods  for  that  purpose.  About  twenty-five  thousand  blankets  and  five  hundred  shelter  tents  were  obtained 
in  this  manner.  The  only  fighting  during  the  day  was  betweeen  the  pickets  and  sharpshooters,  in  which,  however,  we  sustained 
a  heavy  loss  in  the  death  of  Major  General  John  Sedgwick,  commanding  the  Sixth  Corps,  who  was  killed  by  a  sharpshooter 
about  eleven  o'clock,  A.  M.  His  death  was  almost  instantaneous,  the  ball  entering  just  below  the  left  eye,  and  traversing  the  base 
of  the  brain.  Six  ambulances  belonging  to  the  artillery  reserve  were  captured  during  the  day.  They  had  been  sent  to  assist  in 
the  removal  of  wounded;  but  the  ambulance  officer  in  charge,  Lieutenant  Holzburn,  mistook  the  road,  and  moved  towards 
Chancellorsville,  near  which  point  the  train  was  seized  by  a  party  of  the  enemy's  cavalry.  The  greater  part  of  the  ambulances 
sent  to  Fredericksburg  returned  during  the  night  of  May  9th.  The  horses  were  greatly  exhausted  by  the  severe  and  continuous 
labor  which  they  had  been  compelled  to  perform,  and  were  badly  in  need  of  rest.  All  the  hospital  supplies  in  the  ambulances 
had  been  removed  at  Fredericksburg.  During  the  morning  of  May  10th,  orders  were  issued  and  arrangements  made  to  send 
to  the  rear  the  wounded  in  the  field  hospitals,  using  for  that  purpose  the  army  wagons  which  had  been  emptied  by  the  issue  of 
the  rations  and  ammunition  of  the  previous  day,  and  which  were  going  to  Fredericksburg  for  fresh  supplies.  No  ambulances  or 
spring  wagons  were  sent,  as  a  general  engagement  was  going  on  at  the  time,  and  all  were  needed  at  the  front.  The  train  was 
organized  at  Silver's  house,  near  which  the  main  trains  of  the  army  were  parked,  and  moved  from  that  point  at  five  o'clock 
p.  M.,  Surgeon  R.  W.  Pease,  II.  S.  V.,  being  in  charge.  The  number  of  wounded  sent  in  this  train,  as  reported  by  the  corps 
medical  directors,  was  as  follows :  Second  Corps,  one  hundred  and  twenty-five  wounded,  using  thirty-two  wagons  ;  Fifth  army 
Corps,  fourteen  hundred  and  nineteen  wounded,  in  one  hundred  and  ninety-six  wagons;  Sixth  Army  Corps,  one  hundred  and 
fifty  wounded,  in  thirty-five  wagons;  total,  sixteen  hundred  and  ninety -four  wounded  and  two  hundred  and  sixty-three  wagons. 
To  the  above  reported  numbers  should  be  added  about  six  hundred  slightly  wounded,  who  moved  with  the  train,  most  of  them 
from  the  day's  engagement,  and  who,  not  having  been  to  the  field  hospitals,  were  riot  accounted  for  by  the  corps  medical  directors, 
which  would  make  the  total  number  sent  two  thousand  two  hundred  and  ninety-four.  The  wagons  were  bedded  with  straw  and 
small  evergreen  boughs,  covered  with  blankets  and  shelter  tents,  and  carried  from  three  to  five  men  each,  hard  bread  boxes 
being  used  as  seats  for  those  who  were  able  to  sit  up.  Four  thousand  rations  were  sent  with  the  train,  and  medical  officers  and 
attendants  in  the  same  proportion  as  in  the  first  train  from  the  Wilderness.  No  escort  was  sent,  as  the  movements  of  rhe  Cavalry 
Corps  on  the  left  were  thought  to  afford  sufficient  protection.  This  train  reached  Fredericksburg  without  trouble  on  May  10th  at 
eleven  o'clock  P.  M.,  having  halted  once  on  the  road  to  furnish  soup  and  coffee  to  the  wounded.  Two  general  assaults  were 
made  on  the  enemy's  line  during  the  day,  the  principal  one  about  four  o'clock  P.  M.  The  corps  hospitals  remained  as  established 
on  the  9th,  the  advance  depots  being  along  the  banks  of  the  Po  river.  The  character  of  the  country  Avas  essentially  the  same  as 
about  the  Wilderness,  but  the  ground  was  lower  and  more  marshy.  Small  open  spaces  existed  at  intervals,  in  which  artillery 
could  be  used,  but  the  greater  part  of  the  engagement  occurred  in  the  woods,  in  which  the  dense  undergrowth  of  hazel  and 
scrub  oak  precluded  the  use  of  every  arm  but  the  musket.  By  nine  o'clock  P.  M.,  there  had  been  collected  and  brought  to  the 
field  hospitals  the  following  number  of  wounded:  Second  Corps,  eight  hundred;  Fifth  Corps,  three  hundred;  Sixth 
Corps,  two  hundred;  number  of  wounded  straggling,  estimated,  six  hundred;  total  wounded,  May  10th,  nineteen  hundred. 
A  number  of  the  wounded  of  the  Second  Corps  fell  into  the  hands  of  the  enemy,  when  the  corps  withdrew  in  .the 
evening  to  the  north  bank  of  the  Po.  The  number  so  lost  is  estimated  to  have  been  three  hundred.  The  train  of  the  medical 
purveyor  was  at  this  time  at  Silver's,  four  miles  only  from  the  hospitals,  and  large  issues  were  made  during  the  day.  especially 
for  the  purpose  of  refilling  the  ambulance  boxes  which  had  been  emptied  at  Fredericksburg.  All  the  hospitals  were  supplied 
with  ice,  lemons,  canned  peaches,  jellies,  hospital  clothing,  etc.,  in  addition  to  the  hospital  stores  usually  furnished  under  such 
circumstances.  The  duties  of  the  medical  officers  attached  to  the  field  hospital  during  the  day  were  extremely  arduous,  and 
their  satisfactory  performance  merits  the  highest  praise.  Many  of  their  associates  had  been  sent  off  with  the  first  train  of 
wounded,  or  detailed  to  remain  with  those  left  in  the  Wilderness,  and  the  remainder,  worn  out  by  five  days  and  nights  of  constant 
labor,  had  not  only  to  organize  a  large  train  of  wounded,  but  to  receive  and  care  for  an  equal  number  from  the  front.  On  the 
llth  of  May,  another  train  of  wounded  was  organized  and  sent  to  Fredericksburg  under  Assistant  Surgeon  Du  Bois,  U. 


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REPORT    OF    MEDICAL    DIRECTOR    McPARLIN.  155 

S.  A.,  Silver's  being  again  the  point  of  rendezvous.  The  number  sent  was  as  follows:  Second  Corps,  one  thousand  and 
eighty,  using  eighty-six  ambulances  and  seventy-three  wagons;  Fifth  Corps,  four  hundred  and  sixty-seven,  using  ninety 
ambulances  and  twenty-nine  wagons;  Sixth  Corps,  nine  hundred,  using  eighty  ambulances  and  sixty-two  wagons;  total, 
two  thousand  four  hundred  and  forty-seven,  using  two  hundred  and  fifty-six  ambulances  and  one  hundred  and  sixty-four 
wagons.  The  army  wagons  were  bedded  in  the  usual  manner,  and  the  ambulances  used  only  for  the  most  serious  cases ;  of 
which,  however,  there  were  a  large  number.  Two  days'  rations  and  the  usual  proportion  of  medical  officers  and  attendants 
accompanied  the  train.  This  train  was  four  miles  long,  and  had  to  be  collected  and  organized  in  the  midst  of  a  heavy  storm, 
which  began  about  three  o'clock  p.  M.,  and  continued  all  night  with  but  little  cessation.  It  left  Silver's  about  nine  o'clock  p.  M., 
but  when  within  four  miles  of  Fredericksburg,  was  halted  and  compelled  to  wait  four  hours,  until  a  guard  could  be  sent, 
so  that  it  did  not  reach  its  destination  until  six  o'clock  A.  M.  of  the  12th.  As  the  town  was  already  crowded,  only  six  hundred 
of  the  most  serious  cases  were  left,  and  the  remainder  moved  on  to  Belle  Plain,  arriving  there  about  noon.  The  train  was 
then  parked  in  sections,  and  the  wounded  fed,  furnished  with  dry  blankets,  and  made  as  comfortable  as  possible  in  the  wagons. 
Early  next  morning,  the  train  was  moved  to  the  landing,  and  the  whole  day  was  consumed  in  shipping  the  wounded.  The 
men  in  this  train  suffered  severely  from  the  wet  and  cold,  and  twenty  died  on  the  road.  About  seven  hundred  wounded  were 
brought  in  from  the  front  on  the  eleventh. 

Owing  to  the  withdrawal  of  the  Second  Corps  in  the  evening,  it  became  necessary  to  remove  the  Sixth  Corps  hospitals. 
This  was  effected  during  the  night.  Next  day,  they  were  established  near  those  of  the  Fifth  Corps.  As  the  Block-house  or 
direct  road  was  occupied  all  night  by  artillery  and  troops,  the  hospital  train  of  the  Sixth  Corps  was  compelled  to  make  a  long 
detour  by  Piney  Branch  church.  The  night  was  dark  and  stormy,  the  roads  muddy,  and  the  ambulance  officer  in  charge  of 
the  train  mistook  the  "road,  and  moved  ten  miles  out  of  the  way.  The  result  of  these  delays  was  that  the  hospitals  were  not 
established  until  ten  o'clock  A.  M.  the  following  day,  and  both  men  and  horses  were  fatigued  and  worn  out. 

At  daybreak  on  the  12th,  the  Second  Corps  attacked  the  enemy  from  their  new  position  on  the  left,  and  by  eight  o'clock 
A.  M.,  the  engagement  had  become  general,  and  the  wounded  began  to  pour  into  the  hospitals.  The  advance  ambulance  depot 
of  the  Second  Corps  was  near  the  Landron  house.  The  rain  of  the  previous  eighteen  hours  had  made  the  roads  very  muddy, 
and,  in  some  places,  almost  impassible  for  vehicles,  and  as  nearly  one-half  of  the  ambulances  were  absent  at  Fredericksburg, 
the  duties  of  those  remaining  were  very  arduous.  The  number  of  wounded  in  this  day's  battle  was  large,  and  the  labor  of 
collecting  and  bringing  them  in  went  on  until  midnight.  The  following  numbers  were  received  at  the  field  hospitals:  Second 
Corps,  eighteen  hundred  and  twenty;  Fifth  Corps,  nine  hundred;  Sixth  Corps,  eight  hundred  and  forty;  total,  three  thousand 
five  hundred  and  sixty.  The  proportion  of  severe  wounds  was  unusually  large,  not  over  one-fourth  of  the  number  being  able 
to  walk  back  to  the  hospitals.  Two  hundred  and  forty  ambulances  collected  the  remainder.  The  amount  of  shock  and 
depression  of  vital  power  was  noticed  to  be  much  greater  in  the  wounded  of  this  battle  than  any  preceding  one  of  the  campaign, 
and  more  especially  so  in  those  of  the  Second  Corps  who  went  into  action  without  having  the  usual  morning  cup  of  coffee.  All  of  the 
wounded  were  fed  and  sheltered,  and  the  majority  dressed  and  operated  upon  during  the  day.  Supplies  of  every  kind  were 
abundant,  with  the  exception  of  dry  clothing  and  blankets,  for  which  the  demand  was  very  great.  Fortunately,  the  night  was 
not  cold,  and  as  stimulants  and  iiot  soup  and  coffee  were  abundant  and  freely  administered,  the  suffering  from  this  cause  was 
not  severe.  The  hospitals  of  the  Sixth  Corps  had  to  be  pitched  upon  wet  and  muddy  ground,  but  by  the  use  of  boards  obtained 
from  an  adjacent  saw-mill,  india-rubber  blankets  and  evergreen  boughs,  the  condition  of  the  wounded  in  them  was  rendered 
very  tolerable.  On  the  13th,  another  train  of  ambulances  and  army  wagons,  obtaiiied  from  the  supply  trains,  was  organized  to 
convey  wounded  to  Fredericksburg,  Surgeon  Martin,  U.  S.  Volunteers,  being  in  charge.  The  number  sent  was  as  follows : 
Second  Corps,  eighteen  hundred  and  forty-three,  using  forty-seven  ambulances  and  one  hundred  and  seventy-five  wagons; 
Fifth  Coi'ps,  five  hundred  and  fifty,  using  thirty-five  ambulances  and  twenty  wagons;  Sixth  Corps,  eight  hundred,  using  forty 
ambulances  and  fifty  wagons;  total,  three  thousand  one  hundred  and  ninety- three,  using  one  hundred  and  twenty-two 
ambulances  and  two  hundred  and  forty-five  wagons.  One  day's  rations  and  the  usual  proportion  of  medical  officers  and 
attendants  were  sent  with  the  train,  which  was  collected  at  Silver's,  leaving  that  place  at  nine  o'clock  P.  M.,  and  reaching 
Fredericksburg  early  the  following  morning.  The  woundtd  on  this  train  suffered  very  much  ;  it  rained  all  night;  the  men  were 
wet  and  chilled,  and  it  was  impossible  to  supply  them  with  hot  food  on  the  road.  Fourteen  men  died  during  the  trip.  The 
necessity  of  sending  off  as  many  as  possible,  however,  was  imperative,  as  the  army  moved  during  the  night  of  the  13th,  and 
the  ground  occupied  by  the  hospitals  was  then  abandoned  to  the  enemy.  No  more  ambulances  could  be  spared,  as  there  were 
still  some  wounded  lying  on  the  field  to  be  brought  in,  and  a  general  engagement  was  expected  on  the  following  day,  while  a 
large  portion  of  the  ambulances  were  already  absent.  Every  wagon  was  obtained  from  the  quartermaster's  department  which 
could  possibly  be  emptied,  but  four  hundred  and  twenty  of  the  wounded  of  the  Fifth  Corps  and  two  hundred  of  the  Second 
Corps  had  to  be  left  on  account  of  lack  of  transportation.  Tents,  medical  officers  and  attendants,  dressings,  medical  supplies 
and  three  days'  rations  were  left  with  them. 

On  the  evening  of  the  14th,  a  body  of  the  enemy's  cavalry,  commanded  by  Colonel  Rosser,  entered  the  hospitals  and 
removed  all  the  Confederate  wounded  who  could  walk,  about  eighty  in  number,  and  also  all  stragglers  and  hospital  attendants 
who  wore  no  distinctive  badge.  The  soldiers  of  this  squadron  carried  off  the  greater  part  of  the  rations  left  for  the  wounded- 
As  soon  as  these  facts  were  reported,  a  regiment  of  the  Second  Corps  was  sent  to  drive  oft'  the  marauders,  who  had  gone, 
however,  before  our  troops  arrived.  Surgeon  Thomas  Jones,  8th  Pennsylvania  Reserves,  who  had  been  left  with  the  wounded 
in  the  Fifth  Corps  hospital,  was  killed  by  one  of  the  men  of  this  regiment,  who,  in  the  darkness,  supposed  him  to  be  a  guerilla. 
Additional  rations  were  left  with  the  wounded,  and  the  regiment  withdrawn  about  noon  on  the  15th,  following  the  Second  Corps, 
which  had  moved  still  father  to  the  left. 

On  the  evening  of  May  16th,  a  train  of  two  hundred  ambulances  was  sent  out,  and  brought  off  all  the  wounded  left  at 
Cossin's.  together  with  the  tents  and  remaining  hospital  stores.  The  2d  division,  Second  Corps,  under  command  of  General 
(Jiblion.  moved  out  at  the  same  time  towards  the  right  in  such  a  manner  as  to  protect  the  train.  The  removal  was  effected 
without  difficulty,  and  the  wounded,  after  having  been  fed  and  dressed,  were  sent  directly  to  Fredericksburg.  The  hospitals  of 


J56  APPENDED    DOCUMENTS ARMY    OF    TEE    POTOMAC,    I8G4. 

the  Second  Corps,  after  leaving  Cossin's,  were  at  first  established  at  the  Armstrong  house ;  on  the  15th,  they  were  moved  to  the 
vicinitv  of  the  Beverly  house,  on  the  Spottsylvania  Court-house  and  Fredericksburg  turnpike.  The  hospitals  of  the  Fifth  and 
Sixth  Corps  were  also  situated  near  the  same  point.  The  wagons  of  the  medical  purveyor  moved  to  Fredericksburg  on  the 
15th,  and  Avere  refilled  with  their  original  supply.  They  remained  at  that  point  until  the  21st,  and  large  issues  were  made  in 
the  interval,  advantage  being  taken  of  this  period  of  comparative  quiet  to  replenish  the  division  hospital  and  brigade  supplies. 
A  number  of  new  troops  joined  the  army  at  this  time,  and  were  found  to  be  entirely  unprovided  with  medical  stores  of  any 
kind  or  with  means  of  transportation  for  wounded  or  supplies.  They  were,  however,  fully  provided  for  and  equipped  on  the 
same  basis  as  the  rest  of  the  army. 

On  the  morning  of  the  18th,  the  Second  Corps  moved  to  the  right  and  attacked  the  enemy's  works.  Five  hundred  and 
fifty-two  wounded  were  the  result,  and  the  character  of  the  wounds  was  unusually  severe,  a  large  proportion  being  caused  by 
shell  and  canister.  During  the  evening  of  the  18th  and  morning  of  the  19th,  the  corps  hospitals  were  moved  to  the  left,  and 
established  on  the  Massaponax  church  road,  north  of  the  Anderson  house.  This  removal  was  fortunate,  as  they  thus  escaped 
from  the  confusion  caused  by  the  enemy's  attack  on  the  evening  of  the  19th.  This  attack  was  repulsed  by  heavy  artillery 
reeiments,  armed  as  infantry,  who  had  lately  joined  the  army,  and  for  many  of  whom  it  was  the  first  battle.  The  total  number  of 
wounded  from  this  affair  was  eleven  hundred,  most  of  whom  were  able  to  walk  back  to  the  field  hospitals,  being  hit  in  the 
hands  and  arms.  In  many  of  these  cases,  the  skin  was  so  blackened  with  powder  as  to  prove  that  tlie  injury  was  self-iuflicted, 
either  by  design  or  accident.  Very  many  ol  the  wounded  came  into  the  hospitals  witli  extemporaneous  tourniquets  tightly 
applied,  and  their  hands  and  forearms  swollen  and  livid  in  consequence.  Dread  of  haemorrhage  is  simply  another  proof  of  the 
inexperience  of  troops.  This  was  the  last  of  the  series  of  battles  about  Spottsylvania  Court-house,  the  army  moving  on  the  21st 
towards  the  North  Anna.  No  large  trains  of  wounded  were  organized  after  the  13th,  as  the  road  to  Fredericksburg  was  open 
and  safe,  and  the  corps  medical  directors  sent  their  wounded  off  as  fast  as  they  were  received  and  means  of  transportation 
could  be  procured.  The  total  number  sent  from  the  14th  to  the  20th,  as  appears  by  the  daily  reports,  was  two  thousand  two 
hundred  and  twelve,  including  those  brought  in  from  Cossin's  house.  An  estimate  of  the  number  killed,  wounded  and  missing 
in  the  battles  around  Spottsylvania  Court-house,  Virginia,  is  given  in  the  following  statement,  which  does  not  include  the  losses 
of  General  Burnside's  command:  Number  of  wounded,  according  to  classified  returns,  nine  thousand  and  thirty-one;  number 
of  wounded,  straggling  and  unrecorded,  one  thousand  five  hundred  ;  total,  ten  thousand  five  hundred  and  thirty-one.  Number 
of  killed,  according  to  regimental  reports,  one  thousand  seven  hundred  and  eighty-one ;  missing,  two  thousand  and  seventy- 
seven.  Total  loss,  fourteen  thousand  three  hundred  and  eighty-nine.  After  the  9th  of  May,  everything  connected  with  the 
medical  department  wrorked  smoothly,  supplies  were  plentiful,  and  all  the  wounded  were  as  well  cared  for  as  it  is  possible  for 
them  to  be  on  the  battle-field.  The  greatest  want  was  of  medical  officers,  as  a  large  number  were  necessarily  kept  on  duty  at 
Fredericksburg,  and  those  who  remained  with  the  army  became  weary  with  constant  labor.  The  corps  of  medical  inspectors 
usually  remained  about  the  hospital  and  superintended  the  transportation  of  wounded;  they  also  made  daily  reports  to  this 
office  of  the  number  of  wounded  received,  sent  off,  etc.,  during  the  day.  The  plan  of  drawing  medical  supplies  by  brigades 
was  found  to  be  inconvenient,  the  surgeons  in  charge  of  division  hospitals  making  all  requisitions  and  performing  the  duties 
of  sub-purveyors.  To  render  the  commissary  department  of  the  field  hospitals  as  complete  as  possible,  the  following  order  was 
issued:  "Special  Order  No.  136.  Headquarters  army  of  the  Potomac,  May  16,  1861.  Corps  commanders  will  cause  a 
lieutenant  to  be  detailed  from  each  division  of  their  command,  who  will  be  charged  with  the  duty  of  supplying  the  hospital  of 
the  division  with  the  subsistence  stores  needed.  The  officer  so  detailed  will  report  to  the  surgeon  in  charge  of  the  division 
hospital,  and  make  his  requisitions  for  supplies  on  the  chief  commissary  of  the  corps.  By  command  of  Major  General  Meade. 
(Signed)  S.  Williams,  Assistant  Adjutant  General."  The  practical  results  of  this  order  will  be  commented  upon  in  a  subsequent 
part  of  this  report. 

When  the  artillery  reserve  was  broken  up,  its  medical  and  hospital  property  and  ambulance  train  were  divided  equally 
among  the  infantry  corps,  and  twenty-four  new  ambulances  received  from  Washington  were  sent  to  Fredericksburg  for  the 
use  of  Surgeon  E.  B.  Dalton,  U.  S.  V.  In  sending  the  wounded  from  the  field  hospitals  to  the  rear,  medical  officers  were 
instructed,  in  accordance  with  orders  issued  by  the  commanding  general,  to  retain  all  cases  of  slight  wounds,  and  such  as  would 
soon  be  able  to  return  to  duty.  This  was  found  to  be  very  difficult  to  effect,  as  the  men  would  slip  oh"  in  the  night,  and  no 
guard  could  be  kept  over  them.  No  special  authority  was  given  during  this  period  to  send  off  sick,  but  the  responsibility 
of  so  doing  was  assumed  in  some  instances  by  the  surgeons  in  charge  of  hospitals,  and  about  five  hundred  seriously  sick  men 
were  thus  sent  from  the  army.  A  much  larger  number  than  this  is  reported  to  have  been  sent  from  Fredericksburg.  The 
discrepancy  will  be  explained  in  the  account  of  the  operations  of  the  medical  department  at  that  point.  The  only  loss  of 
property  sustained  by  the  medical  department  during  this  period  was  that  of  the  six  ambulances  of  the  artillery  reserve  before 
mentioned,  one  wagon,  filled  with  medical  supplies  belonging  to  the  Second  Corps,  which  stuck  fast  in  the  mud  and  Avas 
abandoned,  and  the  horses  of  twelve  ambulances  which  were  captured  by  guerillas  on  the  Fredericksburg  road,  the  ambulances 
themselves  being  recovered.  In  the  meantime,  a  series  of  depot  hospitals  had  been  organized  at  Fredericksburg,  Virginia,  by 
Surgeon  E.  B.  Dalton,  U.  S.  V.,  who  reached  that  place  with  the  first  train  of  wounded  on  the  9th  of  May.  All  the  churches, 
warehouses  and  convenient  dwellings  in  the  place  were  immediately  occupied  for  hospital  purposes,  each  corps  organization 
being  kept  distinct  as  far  as  possible.  The  character  of  the  buildings  selected  was  generally  good,  and  the  ventilation  sufficient, 
but  as  wounded  continued  to  arrive  in  large  numbers,  close  packing  became  necessary,  and  the  usual  results  of  overcrowding 
began  to  be  apparent.  The  ground  occupied  was  elevated,  well-drained,  and  there  was  an  abundance  of  good  water.  Supplies 
of  all  kinds  arrived  at  Belle  Plain  on  the  10th  and  llth  of  May,  and  were  brought  to  Fredericksburg  as  rapidly  as 
transportation  could  be  procured.  Schedule  C,  appended  to  this  report,  shows  the  character  and  amount  of  these  supplies. 
The  stores  sent  with  the  first  train,  and  those  contained  in  the  ambulance  boxes,  served  for  the  necessities  of  the  wounded  until 
supplies  could  be  brought  from  Belle  Plain.  The  wounded  officers  were  at  first  billeted  upon  the  inhabitants  of  the  town,  who, 
as  a  general  rule,  received  them  kindly  and  treated  them  well,  although,  at  first,  some  of  the  citizens  seemed  inclined  to  make 
trouble.  After  the  first  week,  an  officer's  hospital  was  established,  and  medical  officers  specially  detailed  for  duty  in  it.  By 


REPORT    OF    MEDICAL    DIRECTOR,    McPARLIN.  157 

the-  13tli,  the  condition  of  tlie  wounded  in  Fredericksburg  was  comparatively  comfortable,  and  the  supply  of  all  necessary 
ai tides  was  abundant;  straw,  for  bedding,  and  stationery  were  the  articles  of  which  there  was  the  greatest  lack.  The  number 
of  wounded  at  that  date  was  about  six  thousand,  but  the  number  fluctuated  almost  hourly,  and  it  was  impossible  to  prepare 
accurate  daily  reports.  The  greatest  deficiency  was  in  medical  officers,  those  who  accompanied  the  trains  being  greatly  fatigued 
and  insufficient  in  number.  Fifty  medical  officers  in  all  were  sent  from  the  front,  being  all  that  could  possibly  be  spared.  A 
number  of  medical  men  (civilians)  came  down  from  Washington  as  volunteers  for  the  emergency,  and  rendered  material  and 
valuable  service  in  a  professional  way.  : 

The  wounded  from  the  front  arrived,  as  a  general  rule,  in  very  good  condition,  those  in  the  trains  of  the  llth  and  13th 
being  excepted  for  reasons  already  stated.  A  large  number  of  sick  and  slightly  wounded,  many  of  the  latter  self-mutilated, 
did  not  go  to  the  field  hospitals,  nor  accompany  the  regular  trains,  but  straggled  to  Fredericksburg  and  thence  to  Belle  Plain, 
relying  upon  the  agents  of  the  Sanitary  Commission  for  food,  and  keeping  as  much  as  possible  out  of  the  way  of  medical 
officers.  About  five  thousand  of  these  men  were  in  Fredericksburg  at  different  times,  and  the  tales  invented  by  them  for  the 
purpose  of  exciting  the  compassion  of  citizens  and  strangers  gave  rise  to  many  of  the  false  reports  of  suffering  and  destitution 
among  the  wounded  which  for  a  time  were  prevalent  at  the  north.  Nearly  all  the  slightly  wounded  passed  directly  through  to 
Belle  Plain,  from  which  place  they  were  sent  to  Washington  as  fast  as  boats  could  be  procured,  and  at  the  rate  of  about  fifteen 
hundred  daily.  From  information  received  from  Surgeon  R.  O.  Abbott,  U.  S.  A.,  medical  director  department  of  Washington, 
it  appears  that  fourteen  thousand  eight  hundred  and  seventy-eight  wounded  had  been  received  into  the  Washington  hospitals 
by  the  evening  of  the  18th  of  May.  About  six  hundred  malingerers  and  stragglers  had  also  been  received  and  turned  over  to 
the  provost  marshal  for  safe  keeping.  These  malingerers  probably  passed  up  on  the  first  boats,  succeeding  in  getting  off  by 
the  aid  of  bloody  bandages  and  judicious  limping.  After  the  first  three  days,  all  men  were  carefully  examined  by  a  medical 
officer  before  they  were  allowed  to  pass  to  the  boats.  Lieutenant  Colonel  Cuyler,  Acting  Medical  Inspector  General  U.  S.  A., 
came  to  Belle  Plain  with  the  first  boats,  and  remained  directing  operations  at  that  point  until  all  the  wounded  were  sent  away. 
A  camp  was  formed  of  the  sick  and  slightly  wounded,  and  rations  drawn  for  them  by  Colonel  Cuyler,  which  were  cooked  and 
distributed  by  the  Sanitary  Commission.  The  obstacles  to  the  removal  of  the  more  seriously  wounded  by  way  of  Belle  Plain 
were  very  great,  and  it  would  certainly  have  caused  the  death  of  a  large  number  had  their  removal  been  attempted.  The 
road  between  that  point  and  Fredericksburg  was,  to  a  considerable  extent,  corduroyed,  very  rough,  and  could  not  have  been 
improved  by  any  means  then  available.  But  one  small  wharf  existed  at  Belle  Plain,  and  at  tin's  all  the  supplies  of  the  armv  had 
to  be  landed.  These  facts  were  duly  represented  to  the  authorities  at  Washington,  and  the  more  serious  cases,  such  as  compound 
fractures,  etc.,  were  retained  at  Fredericksburg  until  the  Rappahannock  was  rendered  passable  by  the  gunboats,  which  was 
effected  by  the  20th,  and  until  the  railroad  to  A(juia  Creek  was  put  in  running  order,  which  was  completed  by  the  22d.  The  light- 
draught  steamers,  with  barges,  were  used  to  remove  the  wounded  by  the  river,  the  larger  hospital  transports  remaining  below 
at  Tappahannock,  where  the  wounded  were  transferred  to  them.  These  hospital  transports  were  the  steamers  Connecticut  and 
State  of  Maine.  They  were  completely  fitted  up  with  beds,  cooking  apparatus  and  everything  pertaining  to  the  care  and 
comfort  of  the  sick.  The  necessity  for  a  large  and  complete  hospital  organization  soon  became  apparent,  and,  on  the  15th, 
requisitions  were  forwarded  for  five  hundred  hospital  tents  and  a  corresponding  amount  of  bedding  and  hospital  furniture. 
These  began  to  arrive  on  the  19th,  and  by  the  22d,  a  complete  tent-hospital  for  each  corps  had  been  pitched,  and  the  wounded 
transferred  to  them.  Erysipelas  and  a  mild  form  of  hospital  gangrene  had  just  began  to  make  their  appearance  among  the 
wounded,  but  their  removal  from  buildings  to  tents  almost  checked  the  disease.  The  removal  of  the  wounded  went  on  with 
great  rapidity  after  the  opening  of  the  railroad,  and  by  the  27th  of  May,  all  had  been  sent  off  except  eight  Confederates,  who 
were  moribund.  All  the  hospital  tents  and  stores  were  packed  on  boats  and  barges,  and,  on  the  28th,  the  organization  started 
for  the  White  House. 

Deficiency  in  the  means  of  transportation  was  a  serious  evil  at  Fredericksburg,  and  was  the  cause  of  the  partial  lack 
of  supplies  for  the  first  week.  All  the  ambulances  and  army  wagons  which  could  be  obtained,  including  those  left  behind  by 
the  Cavalry  Corps,  were  at,  lii>t  kept  constantly  employed  in  the  collection  and  removal  of  the  wounded  who  had  been  left  in 
the  Wilderness,  and  in  conveying  supplies  to  those  who  could  not  be  brought  away.  It  must  be  remembered,  also,  that  all  the 
sick  of  General  Burnside's  command  wen'  in  Fredericksburg,  and  were  supplied  and  removed  by  the  stores  and  boats 
furnished  to  the  army  of  the  Potomac.  After  the  l~>th,  soft  bread  was  issued  to  the  hospitals;  ice-houses  in  the  vicinity 
furnished  an  abundant  supply  of  ice,  and  stores  and  supplies  of  all  kinds  were  superabundant. 

The  total  number  of  wounded  sent  from  Fredericksburg  and  Belle  Plain  is  shown  in  the  following  statement:  Total 
number  of  wounded  received  in  Washington  from  Fredericksburg,  as  reported  by  Surgeon  R.  O.  Abbott,  U.  S.  A.,  twenty-one 
thousand  nine  hundred  and  sixty-six;  number  of  sick  received,  four  thousand  two  hundred  and  twenty-five;  total  number 
of  sick  and  wounded,  twenty-six  thousand  one  hundred  and  ninety-one.  In  addition  to  the  above,  Doctor  Abbott  reports,  as 
before-  mentioned,  the  reception  of  six  hundred  malingerers,  who  were  turned  over  to  the  provost  marshal,  also  two  hundred 
and  twenty-six  Confederate  wounded  and  ninety-three  Confederate  sick;  total,  three  hundred  and  nineteen  Confederates. 
It  is  not  possible  to  state  precisely  the  exact  proportion  of  the  above  number  furnished  bv  the  Ninth  Corps,  but  it  is  believed 
to  have  been  about  twenty-two  hundred  wounded  and  sixteen  hundred  sick.  The  figures  for  the  army  of  the  Potomac  would 
then  be  nineteen  thousand  seven  hundred  and  sixty-six  wounded  and  two  thousand  six  hundred  and  twenty-five  sick ;  total, 
twenty-two  thousand  three  hundred  and  ninety-one. 

The  medical  department  owes  much  to  the  advice  and  cooperation  of  Colonel  E.  Schriver,  Inspector  General  army  of  the 
Potomac,  who  commanded  the  post  at  Fredericksburg,  and  did  everything  in  his  power  to  facilitate  the  proper  care  and  transfer 
of  the  wounded.  The  skill,  energy  and  perseverance  displayed  by  Surgeon  E.  B.  Dalton,  U.  S.  V.,  in  the  face  of  so  many 
difficulties  and  obstructions,  merit  the  highest  praise. 

All  the  seriously  sick  and  wounded  had  been  sent  to  Fredericksburg,  and  the  field  hospital  trains  were  packed  and  in 
park  near  the  Anderson  house  on  the  morning  of  the  21st,  in  readiness  to  move  in  the  rear  of  (lie  artillery  of  their  respective 
corps.  DuriiiL'  the  movement  to  the  North  Anna,  on  the  21st  and  22d,  fifteen  ambulances  moved  in  the  rear  of  each  division  for 


158  APPENDED    DOCUMENTS ARMY    OF    THE    POTOMAC,    1864. 

the  purpose  of  picking  up  such  men  as  might  fall  out  of  the  ranks  on  account  of  sickness  or  exhaustion,  while  the  remaining 
ambulances,  collected  into  a  corps  train,  moved  with  the  hospital  train,  and  carried  the  slightly  sick  and  wounded  who  were 
not  judged  to  be  fit  cases  to  be  sent  to  Fredericksburg.  A  special  detail  of  medical  officers  and  attendants,  furnished  with  all 
necessary  supplies,  moved  with  the  latter  train.  The  roads  were  in  good  condition,  the  surface  of  the  country  level,  and  the 
weather  warm  and  dry.  The  number  of  stragglers,  especially  on  the  22d,  was  large,  and  all  the  ambulances  were  soon  filled. 
No  engagement  took  place  during  the  movement,  with  the  exception  of  a  slight  cavalry  skirmish  near  Milford,  in  which,  fifteen 
men  were  wounded.  These  men  were  cared  for  in  the  hospitals  of  the  Second  Corps,  which  were  situated  on  the  right  bank  of 
the  Mattaponv,  in  anticipation  of  a  battle  near  that  point.  No  action  occurred,  however,  and  when  the  corps  moved  off,  these 
wounded,  with  one  hundred  and  thirty-five  sick,  were  placed  in  the  houses  at  Milford,  medical  officers,  rations  and  supplies 
being  left  with  them.  They  remained  at  that  point  until  the  25th,  and  were  then  sent  to  Port  Eoyal.  During  the  afternoon  of 
the  23d,  the  crossing  of  the  North  Anna  having  been  effected  and  the  enemy  met,  field  hospitals  were  promptly  established  on 
the  north  bank  of  the  river,  those  of  the  Fifth  Corps  in  an  open  space  near  some  excellent  springs,  half  a  mile  north  of  Jericho 
Ford,  and  those  of  the  Second  Corps  on  the  Chesterfield  Ford  road,  one  mile  south  of  Mount  Carmel  church.  The  banks  of 
the  river  at  Jericho  Ford  are  very  high  and  precipitous,  and  the  road  down  either  side  was  very  rough,  being  partly  new 
corduroy,  and  partly  a  series  of  rocky  steps  and  shelves,  caused  by  the  irregular  wearing  away  of  the  road  by  a  small  stream 
which  Wowed  down  its  centre.  All  the  more  severely  wounded  were,  therefore,  carried  across  the  river  on  stretchers,  after 
having  been  brought  from  the  front  to  the  south  bank  by  ambulances.  As  the  Fifth  Corps  not  only  held  its  ground,  but 
advanced  some  distance,  all  the  wounded  were  speedily  and  easily  collected,  the  total  number  being  two  hundred  and  twenty- 
five,  of  whom,  one  hundred  and  thirty-one  were  received  into  the  hospitals  of  the  Second  Corps.  The  supplies  in  all  the 
hospitals  were  complete;  ice,  lemons  and  clothing  were  abundant.  As  the  Sixth  Corps  had  not  crossed  the  river,  no  hospitals 
were  established  for  it.  Its  ambulances  and  hospital  were  kept  in  park  near  the  Fifth  Corps  hospitals  ready  for  any  emergency. 
No  general  engagement  took  place  from  this  time  until  the  27th,  but  skirmishing  and  artillery  duels  were  constantly  going  on, 
and  wounded  were  brought  into  the  hospitals  every  hour.  In  the  meantime,  the  following  circular  had  been  received: 
"Headquarters  army  of  the  Potomac,  May  22,  1864,  9.15  A.  M.  Instructions  have  been  given  to  return  all  empty  wagons  now  at 
Fredericksburg-  and  Belle  Plain  Landing  loaded,  after  which,  so  soon  as  the  wounded  are  removed  from  Fredericksburg,  that 
place  and  Belle  Plain  will  be  abandoned,  and  the  depot  will  be  established  at  Port  Royal  on  the  Rappahannock.  By  command 
of  Major  General  Meade.  (Signed)  S.  Williams,  Assistant  Adjutant  General."  This  circular  was  immediately  sent  to  Surgeon 
Dalton,  with  directions  to  have  the  purveyor's  boats  and  barges  transferred  at  once  to  Port  Royal,  and  to  send  hospital  tents  and 
furniture  as  fast  as  they  could  be  spared  by  the  removal  of  wounded  from  Fredericksburg. 

On  the  24th,  a  train  was  organized  for  the  purpose  of  conveying  wounded  from  the  field  hospital  to  Port  Royal,  Surgeon 
A.  J.  Phelps,  U.  S.  V.,  being  placed  in  charge,  with  orders  to  proceed  to  Port  Royal  and  superintend  the  operations  of  the 
medical  department  at  that  point  until  Surgeon  Dalton  should  arrive.  The  number  sent  was  as  follows :  Second  Corps,*  one 
hundred  and  fifty-seven  sick,  two  hundred  and  eighty-six  wounded,  two  ambulancee  and  fifty-three  wagons ;  Fifth  Corps, 
sixty-six  sick,  two  hundred  and  twenty-five  wounded,  twenty-one  ambulances  and  fifty-three  wagons;  Sixth  Corps,  sixty-eight 
sick,  ten  wounded,  nineteen  ambulances  and  two  wagons ;  total,  two  hundred  and  ninety-one  sick,  five  hundred  and  twenty-one 
wounded,  forty-two  ambulances  and  one  hundred  and  eight  wagons.  Army  wagons  were  used  to  as  great  an  extent  as  possible 
in  this  train,  as  a  great  battle  seemed  imminent,  and  it  was  desirable  to  keep  every  ambulance  at  the  front.  The  wagons  were 
bedded  with  boughs  and  blankets  in  the  usual  manner,  and  the  customary  details  of  medical  officers  and  nurses,  with  three 
days'  rations  and  a  supply  of  dressings  and  hospital  stores,  were  furnished.  The  train  rendezvoused  at  Milford,  near  which 
point,  the  main  trains  of  the  army  were  parked.  A  cavalry  escort  of  four  hundred  men  accompanied  it,  and  it  reached  Port 
Royal,  without  molestation,  by  dusk  on  the  25th.  On  the  26th  of  May,  an  issue  of  rations  was  made  to  the  troops,  and  the 
empty  wagons  thus  obtained  were  used  to  remove  sick  and  wounded  to  the  rear,  the  field  hospital  being  thus  emptied  and  ready 
for  the  movement  to  the  Pamimkey  on  the  27th.  The  number  sent  was  as  follows:  Second  Corps,  eighty-eight  sick,  two 
hundred  and  thirty-two  wounded,  two  ambulances  and  fifty-six  wagons;  Fifth  Corps,  twenty-four  sick,  one  hundred  and 
fourteen  wounded,  two  ambulances  and  forty-four  wagons;  Sixth  Corps,  forty-nine  sick,  six  ambulances  and  four  wagons; 
Ninth  Corps,  one  hundred  and  one  sick,  one  hundred  and  thirty-one  wounded,  thirty  ambulances  and  eight  wagons;  total, 
two  hundred  and  sixty-two  sick,  four  hundred  and  seventy-seven  wounded,  forty  ambulances  and  one  hundred  and  twelve 
wagons.  This  train  was  loaded  by  daybreak  on  the  27th,  and  moved  directly  to  Port  Royal,  arriving  at  that  place,  without 
hinderance,  before  dark.  On  the  25th  of  May,  an  order  was  issued  by  General  Grant,  adding  the  Ninth  Corps  to  the  army  of 
the  Potomac,  and  Surgeon  J.  E.  McDonald,  U.  S.  V.,  reported  to  this  office  for  instructions.  An  inspection  of  the  medical 
department  of  this  corps  by  Assistant  Surgeon  J.  S.  Billings,  U.  S.  A.,  revealed  the  following  fact:  "This  corps  had  moved 
from  Annapolis  on  the  last  of  April,  1864,  before  any  organization  had  been  effected ;  had  marched  and  fought  almost  constantly 
since  that  time;  new  troops  had  been  joining  it  almost  daily,  and  it  was  very  difficult  to  ascertain  even  the  number  of  men  in 
the  command.  The  means  of  transportation  possessed  by  the  corps  was  entirely  too  small,  even  to  furnish  the  rations  and 
ammunition  required,  and,  of  course,  none  could  or  would  be  spared  for  the  medical  department.  The  greater  number  of  the 
regimental  surgeons  had  drawn  a  full  three  months'  regimental  supply  at  Annapolis,  which  had  to  be  left  behind,  and  the  only 
medical  supplies  with  the  corps  were  contained  in  the  hospital  knapsacks,  and  in  a  few  medicine  chests  and  panniers  which 
were  carried  by  sufferance  in  the  wagons  appropriated  to  officers'  baggage,  which  were  almost  always  inaccessible  and  useless, 
and  in  twelve  Dunton  medicine  wagons.  The  organization  of  the  ambulance  corps  had  been  commenced,  but  was  still  very 
imperfect.  The  number  of  ambulances  required  by  law  had  been  obtained  in  Washington,  but  many  of  them  were  broken  and 
badly  in  need  of  repair;  the  greater  part  of  the  stretchers  were  missing,  very  few  had  water  kegs,  and  no  hospital  stores  were 
carried  in  the  ambulance  boxes.  Citizens  had  been  hired  as  drivers  for  the  ambulances,  but  the  majority  of  them  had  deserted 
at  Fredericksburg,  and  their  places  filled  by  the  stretcher-bearers.  The  details  of  stretcher-bearers  were  very  incomplete,  and 
many  of  those  already  detailed  seemed  to  have  been  selected  on  account  of  their  worthlessnes.s  in  other  situations.  The 

*  Those  left  at  .Milford  on  the  22(1  are  included  in  this  statement. 


REPORT    OF    MEDICAL    DIRECTOR    McPARLIN.  159 

stretcher-bearers  did  not  follow  the  regiments  into  battle,  but  remained  with  the  ambulances,  the  evil  results  of  which  can  easily 
be  appreciated.  Means  of  transportation  being  wanted,  no  hospital  tents,  stores  or  supplies  could  be  carried.  A  few  tents  had 
been  borrowed,  and  the  Dunton  wagons  had  furnished  all  the  supplies  used.  The  medical  staff  of  the  field  division  hospitals 
had  been  arranged  on  the  same  basis  as  that  of  the  rest  of  the  army ;  all  other  medical  officers  were  ordered  to  remain  within 
three  hundred  yards  of  the  line  of  battle  at  all  times."  It  was  not  possible  to  supply  means  of  transportation  at  this  time,  and, 
consequently,  useless  to  furnish  tents  or  stores,  but  requisitions  were  ordered  to  be  prepared,  that  they  might  be  furnished  as 
soon  as  a  more  permanent  base  of  supplies  should  be  reached.  The  proper  organization  of  the  ambulance  corps  was  also  urged 
forward  as  fast  as  possible,  but  much  delay  occurred  in  procuring  the  necessary  details,  and  nearly  a  month  passed  away  before 
they  were  complete. 

The  first  train  of  wounded,  of  which  Surgeon  Phelps  was  in  charge,  reached  Port  Royal,  as  has  been  before  stated,  on  the 
evening  of  the  25th.  The  steamer  Hugh  Jenkins,  loaded  with  hospital  supplies,  under  charge  of  Assistant  Surgeon  Jacquette, 
U.  S.  A.,  had  reached  that  point  a  few  hours  before,  as  had  also  a  barge  load  of  stores  belonging  to  the  Sanitary  Commission. 
Colouel  Cuyler  had  also  arrived,  bringing  with  him  a  number  of  medical  officers,  who  were  immediately  employed  in  dressing 
the  wounded.  No  buildings  had  been  prepared  for  their  reception,  and  as  it  was  raining  heavily,  it  was  thought  best  to  leave 
them  in  the  wagons  and  ambulances  during  the  night,  hot  coffee,  soup,  etc.,  being  served  to  them.  On  the  2Gth,  they  were 
removed  from  the  wagons  into  the  houses,  and  made  as  comfortable  as  possible.  No  transports  arrived  during  the  day,  the 
steamer  Western  Metropolis,  which  had  been  destined  for  that  purpose,  being  unable  to  come  farther  up  the  river  than  Tappa- 
hannock.  All  the  wounded  were  dressed  and  well  fed  during  the  day.  Early  on  the  morning  of  the  27th,  seven  hundred  of  the 
slightly  sick  and  wounded  were  placed  on  board  the  quartermaster's  transport  City  of  Alton,  and  started  for  Washington. 
About  noon,  the  hospital  transport  Connecticut  arrived,  and  all  the  more  serious  cases  were  placed  on  board  of  her  at  once. 
She  took  a  thousand  wounded  to  Washington.  The  second  train  of  wounded  arrived  in  the  evening,  and  they  were  at  once 
placed  on  board  the  Connecticut  and  State  of  Maine,  which  had  arrived  during  the  afternoon,  the  latter  vessel  carryin"-  four 
hundred  patients.  The  total  number  of  wounded  sent  from  Port  Royal  was,  therefore,  twenty-one  hundred.  The  number 
reported  by  corps  inspectors  as  sent  from  field  hospitals  was  fifteen  hundred  and  fifty-one;  the  number  straggling  was,  there 
fore,  five  hundred  and  forty-nine.  After  the  departure  of  the  State  of  Maine,  all  the  hospital  stores  were  loaded  on  the  barges, 
and  when  Surgeon  Dalton  arrived  on  the  28th,  he  found  orders  waiting  for  him  directing  him  to  proceed  to  White  House. 
The  total  loss  to  the  army  during  this  period  is  shown  by  the  following  statement:  Number  killed,  according  to  the  regimental 
reports,  two  hundred  and  twenty-three;  number  of  wounded  sent  off,  fourteen  hundred  and  sixty;  number  missing,  according 
to  the  regimental  reports,  two  hundred  and  ninety;  total  killed,  wounded  and  missing,  nineteen  hundred  and  seventy-three. 
Number  of  sick  sent  from  the  army,  six  hundred  and  fifty.  Total  loss,  two  thousand  six  hundred  and  twenty-three. 

During  the  movement  from  the  North  Anna  to  the  Pamunkey,  the  ambulances  and  hospital  trains  moved  in  the  same 
manner  as  in  the  march  from  Spottsylvania  Court-house,  a  few  ambulances  remaining  in  the  rear  of  each  division,  and  the 
remainder,  filled  with  slightly  sick  and  wounded,  accompanying  the  main  train.  The  Cavalry  Corps  had  by  this  time  returned 
from  the  Richmond  expedition,  and  two  divisions  moved  in  advance.  A  large  number  of  the  horses  had  been  so  much  exhausted 
as  to  die  on  the  road,  along  which  they  were  scattered  at  tolerable  regular  intervals  of  from  fifty  to  one  hundred  yards,  and 
tin-  infantry  following  had  the  full  benefit  of  the  results  of  their  putrefaction.  This  march  of  thirty  miles  was  made  rapidly 
over  very  dusty  roads,  and  on  a  hot  and  sultry  day.  and  the  number  of  men  who  fell  out  of  the  ranks  was  very  large.  All  the 
ambulances  were  filled  to  overflowing,  and  a  few  men  were  unavoidably  left  behind.  In  the  afternoon,  the  cavalry  enlaced 
the  enemy  near  Hawe's  shop,  and  had  about  two  hundred  and  fifty  wounded.  The  advance  hospital  was  at  a  small 
house  near  Hawe's  shop,  and  the  greater  part  of  the  operating  and  dressing  required  was  performed  at  this  point.  The 
medical  officers  of  this  hospital,  under  the  direction  of  Assistant  Surgeon  George  M.  McGill,  U.  S.  A.,  displayed  great  gallantry, 
as  the  hospital  was  at  times  under  heavy  fire,  several  shells  striking  the  building,  and  one  falling  under  the  operating  table 
fortunately,  however,  without  exploding.  As  the  hospital  train  of  the  Cavalry  Corps  had  moved  with  the  main  trains  of  the 
army  to  Dunkirk,  and  had  not  up  to  this  time  joined  the  command,  the  wounded  were  at  first  placed  in  a  large  house  and 
outbuildings  belonging  to  Mrs.  Newton,  near  the  Pamunkey,  and  about  two  miles  distant  from  the  scene  of  action.  Ten  men, 
who  had  been  wounded  on  the  previous  day  in  a  slight  skirmish  at  Hanover  Town,  were  also  brought  to  this  point.  The 
medical  director  of  the  Fifth  Corps  was  instructed  to  take  charge  of  these  wounded,  and  the  hospital  of  the  3d  division  was 
soon  established  on  the  beautifully  shaded  lawn  in  front  of  the  house.  Beds  were  made  of  corn-husks  found  in  the  vicinity, 
food  was  prepared  and  the  wounded  were  made  comfortable  in  the  usual  manner.  Surgeon  R.  W.  Pease,  U.  S.  V..  medical 
director  of  the  Cavalry  Corps,  joined  his  command  on  the  29th.  During  the  2(Jth,  the  army  moved  into  position  on  Tolopotomoy 
Creek.  Sites  for  the  field  hospitals  were  selected,  and  ambulance  roads  cut  through  the  woods  to  the  front.  As  the  train  of  the 
medical  purveyor  had  come  up,  advantage  was  taken  of  the  day's  quiet  to  replenish  the  hospital  supplies.  The  Fifth  Corps 
hospitals  were  established  near  Mrs.  Newton's,  and  those  of  the  Second  and  Sixth  Corps  in  an  open  space,  about  one  milt;  east 
of  the  latter  point.  On  the  30th,  the  cavalry  moved  to  Cool  Arbor,  when1  they  had  a  sharp  engagement.  The  infantry  also 
had  a  scries  of  skirmishing  and  partial  engagements  during  the  day,  from  which,  about  five  hundred  wounded  were  received 
into  the  field  hospitals.  The  hospital  train  of  the  Cavalry  Corps  had  by  this  time  been  brought  up,  and  supplies  were  ample. 
The  train  of  the  medical  purveyor,  filled  to  its  utmost  capacity,  was  at  Hanover  Town  during  the  day,  and  all  medical  officers 
were  duly  notified  of  his  position,  and  ordered  to  replenish  their  supplies.  On  the  31st,  the  skirmishing  continued,  and  the 
Second  Corps  advancing,  a  brisk  fight  ensued  about  four  o'clock  r.  M.,  from  which,  seven  hundred  and  thirty-two  wounded 
were  brought  in.  The  depot  hospital  boats  and  barges,  together  with  the  transports  conveying  the  Eighteenth  Corps,  had 
arrived  at  White  House  on  the  30th,  and,  during  the  afternoon  :>f  the  31st,  a  train  of  ambulances  and  army  wagons  were 
organized  in  the  usual  manner,  for  the  purpose  of  conveying  the  wounded  and  seriously  sick  of  the  army  to  that  point.  The. 
train  was  under  the  charge  of  Assistant  Surgeon  M.  J.  Asch,  U.  S.  A.,  and  had,  as  an  escort,  several  regiments  of  the 
Pennsylvania  Reserves,  whose;  term  of  service  had  expired,  and  who  were  on  their  way  north.  The  number  sent  was  as 
follows:  Second  Corps,  ninety-six  sick  and  four  hundred  and  eighty-six  wounded;  Fifth  Corps,  five  hundred  and  twenty-five 


APPENDED    DOCUMENTS AEMY    OF    THE    POTOMAC,    18G4. 

wounded-  Sixth  Corps,  fifty-eight  sick  and  fourteen  wounded ;  Ninth  Corps,  forty  sick  and  seventy-six  wounded ;  total,  one 
hundred  and  ninetv-four  sick  and  eleven  hundred  and  one  wounded.  The  train  crossed  the  river  at  Hanover  Town  during  the 
da}-,  and  moved  down  the  north  bank  of  the  river,  as  the  direct  road  on  the  south  bank  was  not  considered  safe.  It  reached  a 
point  opposite  White  House  on  the  2d  of  June.  Three  hundred  wounded  of  the  Cavalry  Corps  were  sent  by  the  direct  road, 
and  reached  White  House  on  the  1st. 

During  the  night  of  the  31st  of  May,  the  Sixth  Corps  moved  from  the  right  to  Cool  Arbor,  passing  behind  the  army  via 
Old  church.  The  Eighteenth  Corps,  which  had  made  a  forced  march  from  White  House,  joined  it  on  the  morning  of  June  1st, 
and  during  the  afternoon,  a  general  engagement  took  place.  The  Sixth  Corps  hospitals  were  situated  in  the  edge  of  a  grove 
of  pines,  on  the  south  side  of  Cool  Arbor  and  Old  Church  road,  near  Burnett's  house.  Tents  were  pitched,  and  supplies  on 
hand  as  usual.  The  Eighteenth  Corps  were  entirely  without  tents,  and  without  any  supplies  but  such  as  were  carried  in  hospital 
knapsacks.  They  had  but  eighteen  ambulances.  Their  wounded  were  collected  on  a  hill-side,  near  Kelly's  house,  half  a  mile 
northeast  of  Cool  Arbor.  The  number  of  wounded  brought  in  during  the  day  was  as  follows:  Second  Corps,  one  hundred 
and  seventy-four;  Fifth  Corps,  one  hundred  and  fifty-one;  Sixth  Corps,  nine  hundred  and  fifty-one;  Eighteenth  Corps,  eight 
hundred;  Ninth  Corps,  forty-nine  ;  total,  two  thousand  one  hundred  and  twenty-five.  The  medical  director  of  the  Eighteenth 
Corps  reports  the  number  of  wounded  as  four  hundred  and  twenty-nine,  but  this  is  certainly  inaccurate.  A  part  of  the 
ambulances  of  the  Sixth  Corps  were  employed  in  bringing  in  the  wounded  of  the  Eighteenth  Corps,  and  as  the  hospital  train  of 
the  former  contained  a  full  supply  for  at  least  four  thousand  wounded,  orders  were  given  to  Surgeon  Buckley,  medical  director 
of  the  Eighteenth  Corps,  to  obtain  a  full  supply  of  all  necessary  articles  from  that  source.  An  order  was  also  issued  to  the  medical 
director  by  Major  General  Wright,  commanding  the  Sixth  Corps,  that  any  commissary  of  the  corps  should  furnish  whatever 
rations  might  be  required  for  by  Doctor  Suckley.  The  only  means  of  shelter  which  could  be  furnished  were  such  shelter-tents 
as  could  be  picked  up  on  the  battle-field,  and  small  arbors  of  evergreens,  which  served  to  keep  oft'  the  sun's  rays.  The 
Eighteenth  Corps  was  on  the  right  of  the  Sixth,  and  between  it  and  the  Fifth  there  was  an  interval  of  about  two  miles.  A 
number  of  the  wounds  in  the  Sixth  Corps  were  caused  by  our  own  artillery,  which  was  so  posted  as  to  fire  over  the  heads 
of  our  troops.  The  Fifth  Corps  hospitals,  near  Mrs.  Newton's,  were  broken  up  on  the  morning  of  the  1st,  the  wounded  having 
been  sent  off  in  the  train  before  mentioned.  They  were  re-established  during  the  day  near  Mrs.  Via's,  in  open  ground,  with  a 
good  and  abundant  supply  of  water.  The  Second  Corps  hospitals  were  broken  up  in  the  afternoon,  and  followed  the  corps, 
which  moved  during  the  night  to  Allen's  hill,  and  took  up  a  position  on  the  left  of  the  Sixtli  Corps,  its  left  being  backwards, 
and  resting  on  a  marsh  called  Elder  Swamp.  The  1st  and  2d  divisions  of  the  Cavalry  Corps  picketed  from  the  left  of  the 
Second  Corps  to  Bottom's  bridge  on  the  Chickaliominy,  while  the  3d  division  extended  from  the  right  of  the  Ninth  Corps 
towards  the  Paniunkey.  The  trains  of  the  army  moved  to  Anderson's,  half  a  mile  from  Parsley's  mill. 

General  headquarters,  on  the  night  of  the  1st  of  June,  was  at  Mrs.  Via's.  Early  in  the  morning  of  the  2d.  it  moved  to 
the  vicinity  of  the  Sixth  Corps  hospital,  one  mile  east  of  Cool  Arbor.  During  the  2d  of  June,  the  battle  continued,  the  Sixth 
and  Eighteenth  Corps  chiefly  being  engaged.  The  men  of  the  Second  Corps  were  exhausted  by  the  march  of  the  previous 
night,  and  did  little  more  than  get  into  position.  The  Ninth  Corps  was  withdrawn  during  the  forenoon,  and  moved  into  line  in 
the  gap  between  the  Fifth  and  Eighteenth  Corps;  its  hospitals  were  established  near  Woody's.  This  withdrawal  exposed  the 
hospitals  of  the  Fifth  Corps,  and  they  were  moved  during  the  afternoon  to  the  point  at  which  the  Prospect  church  road  crosses 
the  south  branch  of  the  Matadequin  creek.  This  location  was  selected  by  Major  General  Warren,  who  was  deceived  as  to  its 
relative  position  by  the  extremely  erroneous  map  of  that  part  of  the  country.  It  was  five  miles  from  the  line  of  battle  of  the 
corps,  and  there  was  no  good  and  safe  road  from  it  to  the  front.  This  hospital  was  moved  just  in  time,  as  the  enemy  occupied 
the  ground  around  Vin's  house  by  five  o'clock  P.  M.  The  right  wing  of  the  Fifth  Corps  was  attacked  about  four  o'clock  P.  M., 
and  partially  outflanked,  the  regular  brigade  suffering  severely. 

The  Second  Corps  hospitals  were  established  in  the  evening  on  the  bank  of  a  small  creek,  half  a  mile  south  of  Allen's 
mills,  and  directly  opposite  the  Sixth  Corps  hospitals.  Four  hundred  wounded  were  brought  in  the  ambulances  from  the  former 
location.  The  number  of  wounded  brought  in  during  the  day  was  as  follows :  Second  Corps,  twenty ;  Fifth  Corps,  fifty ; 
Sixth  Corps,  nine  hundred  and  fifty-two ;  Ninth  corps,  one  hundred  and  ninety ;  Eighteenth  Corps,  eight  hundred  and  fifty ; 
Cavalry  Corps,  forty-five ;  total,  two  thousand  and  seventeen.  The  day  was  hot  and  sultry,  and  wherever  troops  or  wagons 
were  moving,  the  dust  hung  in  dense  clouds.  About  five  o'clock  P.  M.,  however,  it  began  to  rain,  and  continued  to  do  so,  with 
slight  intermissions,  all  night,  which  was  a  great  comfort  to  both  men  and  animals.  By  order  of  General  Meade  a  full  issue  of 
rations  was  made  on  the  evening  of  the  2d,  and  the  empty  wagons  turned  over  to  the  medical  department  for  the  transportation 
of  wounded.  A  train  of  army  wagons  and  ambulances  was  organized  on  the  morning  of  the  3d  in  the  usual  manner  and  under 
the  usual  orders.  The  number  of  wounded  sent  was  as  follows  :  Second  Corps,  seven  hundred  and  sixty-eight ;  Fifth  Corps, 
two  hundred  and  thirty -five;  Sixth  Corps,  seven  hundred  and  ninety;  Ninth  Corps,  eighty-four;  Eighteenth  Corps,  three 
hundred;  total,  two  thousand  one  hundred  and  seventy-seven.  At  half  past  five  o'clock  A.  M.,  a  general  attack  was  made  by 
the  army  on  the  enemy's  works,  which  consisted  of  tiers  of  rifle-pits,  having  behind  them  a  continuous  line  of  breastworks, 
solidly  constructed  of  pine  logs  and  earth,  the  top  log  raised,  in  some  instances,  so  that  the  musket  might  be  fired  under  it. 
The  Second  Corps,  at  first,  met  with  partial  success,  carrying  the  first  line  of  works,  but  these  were  so  enfiladed  that  they  were 
compelled  to  fall  back,  leaving  a  large  number  of  dead  and  wounded.  The  number  of  wounded  brought  off  was  as  follows: 
Second  Corps,  one  thousand  two  hundred  and  eighty;  Fifth  Corps,  three  hundred  and  twenty-two;  Sixth  Corps,  four  hundred 
and  eighty-nine;  Ninth  Corps,  six  hundred  and  forty-six;  Eighteenth  Corps,  fifty  one;  Cavalry  Corps,  twenty-eight;  total,  two 
thousand  eight  hundred  and  sixteen.  The  hospitals  of  the  Fifth,  Sixth  and  Second  Corps  were  fully  prepared  for  the  emergency, 
and  their  supply  was  so  complete  that  they  were  able  to  spare  freely  for  the  necessities  of  the  other  corps.  The  usual  results  of 
the  lack  of  an  ambulance  organization  were  painfully  perceptible  in  the  Eighteenth  Corps,  two  or  three  soldiers  leaving  the 
ranks  with  each  severely  wounded  man,  and  forgetting  to  return,  while  the  roads  and  woods  were  lined  with  stragglers,  as  the 
slightly  wounded  preferred  to  go  buck  to  White  House  on  foot  rather  than  to  go  to  a  hospital  where  they  knew  there  was  no 
shelter  and  but  scanty  supplies.  A  part  of  the  stores  of  the  Eighteenth  Corps  arrived  from  White  House  during  the  day,  and 


REPORT    OF    MEDICAL    DIRECTOR    McPARLIN.  161 

among  them,  forty  hospital  tent-flies,  which,  being  pitched  end  to  end  and  the  sides  fastened  to  a  railing  raised  two  feet  from  the 
ground,  formed  a  series  of  very  excellent  hospital  wards.  About  eleven  hundred  wounded  were  left  on  the  field  from  the  day's 
engagement,  it  being  impossible  to  remove  them,  as  they  were  between  the  lines,  and  completely  covered  by  the  enemv's  sharp 
shooters.  The  result  of  the  battle  was  not  decisive,  the  enemy  retaining  his  original  position  at  nightfall,  while  the  hostile  lines 
were,  at  some  points,  not  more  than  a  hundred  yards  apart,  each  being  protected  by  breastworks  of  logs  arid  earth.  On  the 
4th  of  June  there  was  no  fighting  except  an  occasional  skirmish  between  the  pickets.  The  day  was  occupied  in  collecting  and 
bringing  in  from  the  field  as  many  of  the  wounded  from  the  preceding  day's  battle  as  could  be  gotten  at.  The  number  brought 
in  was  as  follows:  Second  Corps,  four  hundred  and  ninety-four;  Fifth  Corps,  three  hundred  and  twenty-two;  Sixth  Corps,  one 
hundred  and  fifty-four;  Ninth  Corps,  twenty-five  ;  Eighteenth  Corps,  seven  hundred  and  six  ;  total,  one  thousand  seven  hundred 
and  one.  One  hundred  empty  army  wagons,  obtained  from  the  reserve  supply  train  on  the  morning  of  the  4th,  were  divided 
among  the  several  corps,  and  the  corps  medical  directors  were  ordered  to  send  all  wounded  to  White  House,  using  one-half  of 
the  ambulances  if  necessary.  Forty-three  new  ambulances,  which  reported  on  the  morning  of  the  4th,  were  sent  to  the  medical 
director  of  the  Eighteenth  Corps  to  assist  in  the  same  work.  Each  medical  director  also  had  all  the  corps  empty  wagons.  All 
the  trains  were  loaded  and  on  the  way  by  two  o'clock  P.  M.  The  number  sent  off  was  as  follows :  Second  Corps,  seventeen 
sick,  six  hundred  and  six  wounded,  using  twenty-nine  ambulances  and  eighty-four  wagons;  Fifth  Corps,  forty-three  sick,  four 
hundred  and  twenty  wounded,  using  sixty-six  ambulances  and  forty  wagons ;  Sixth  Corps,  eighty-seven  sick,  six  hundred  and 
thirty-nine  wounded,  using  sixty  ambulances  and  sixty-four  wagons;  Ninth  Corps,  fourteen  sick,  seven  hundred  and  twenty- 
nine  wounded,  using  seventy-five  ambulances  and  fifty-eight  wagons ;  Eighteenth  Corps,  four  hundred  wounded,  using  twenty- 
five  ambulances  and  forty-three  wagons ;  total,  one  hundred  and  sixty-one  sick,  two  thousand  seven  hundred  and  ninety-four 
wounded,  using  two  hundred  and  fifty-five  ambulances  and  two  hundred  and  eighty-nine  wagons.  No  engagement  of  consequence 
occurred  after  this  time,  and  the  position  of  the  corps  and  hospitals  remained  comparatively  unchanged  during  the  following 
week.  The  hospitals  of  the  Second  Corps  were  moved  to  the  Tyler  house  on  the  7th,  an  open  elevated  location,  with  excellent 
water.  The  wounded  and  seriously  sick  were  sent  back  to  White  House  almost  daily.  The  total  number  sent  from  June  5th 
to  June  13th  was  as  follows:  Second  Corps,  six  hundred  and  thirty-one  sick  and  nine  hundred  and  seventy-six  wounded; 
Fifth  Corps,  seventy-five  sick  and  fifty-five  wounded ;  Sixth  Corps,  one  hundred  and  fifty-seven  sick  and  one  hundred  and 
seventy-eight  wounded  ;  Ninth  Corps,  four  hundred  and  sixty-one  sick  and  two  hundred  and  three  wounded ;  Eighteenth  Corps, 
one  hundred  and  thirty-eight  sick  and  nine  hundred  and  four  wounded;  total,  one  thousand  four  hundred  and  sixty-two  sick 
and  two  thousand  three  hundred  and  sixteen  wounded. 

The  number  of  sick  in  the  army  increased  largely  during  the  first  half  of  June,  and  the  severity  of  the  cases  became 
greater.  The  constant  labor  and  watchfulness  of  the  previous  month  began  to  manifest  its  effects.  The  country  was  low  and 
marshy  in  character,  the  water  derived  almost  entirely  from  surface  drainage,  and  the  condition  of  the  men  in  the  trenches  was 
very  bad  in  a  «anitary  point  of  view.  For  over  a  month  they  had  had  no  vegetables,  and  the  beef  used  was  from  cattle  which 
were  exhausted  by  the  long  march  through  a  country  scantily  provided  with  forage.  The  men  had  to  lie  close  behind  their 
breastworks,  as  it  was  almost  certain  death  to  expose  one's  person  at  certain  parts  of  the  line,  and  their  cooking  was  imperfect 
and  of  the  rudest  kind.  Dead  horses  and  offal  of  various  kinds  were  scattered  over  the  country  everywhere,  and  between  the 
lines  were  many  dead  bodies  of  both  parties,  unburied  and  decomposing  in  the  burning  sun.  A  large  number  of  recruits 
joined  the  army  at  this  place,  and  contributed  greatly  to  swell  the  sick  list.  Malarial  and  typho-malarial  fevers  and  diarrhoea 
were  the  prevailing  diseases.  No  distinct  cases  of  scurvy  were  observed  at  this  time,  but  a  scorbutic  taint  was  undoubtedly 
affecting  the  army  and  depressing  its  health  and  spirits.  In  view  of  these  facts,  the  following  letter  was  addressed  to  the 
Commanding  General : 

HEADQUARTERS  ARMY  OF  THE  POTOMAC, 

NKAR  COOL  ARBOR,  VIRGINIA,  June  5,  1864. 

GENERAL:  I  respectfully  call  your  attention  to  the  following  facts  relative  to  the  present  condition  and  future  prospects, 
in  a  sanitary  point  of  view,  of  the  troops  composing  this  army.  The  army  has  been  marching  and  fighting  thirty-two 
consecutive  days,  in  which  time,  no  vegetable  rations  have  been  issued,  and  has  now  reached  a  region  of  country  notoriously 
miasmatic  and  unhealthy.  The  water  now  used  by  the  troops  is  entirely  derived  from  surface  drainage,  and  is  saturated  with 
organic  matter  derived  from  decaying  vegetable  tissues.  The  ground  around  many  camps  is  strewn  with  dead  and  decomposing 
horses  and  mules,  and  with  the  hides  and  offal  of  slaughtered  beef  cattle.  Very  few  regiments  have  provided  sinks  for  the 
men,  and  their  excreta  are  deposited  upon  hill  sides,  to  be  washed  thence  into  the  streams,  thus  furnishing  an  additional  source 
of  contamination  to  the  water.  As  is  to  be  expected  under  such  circumstances,  sickness  is  increasing  in  the  army,  diarrlicea 
being  especially  prevalent. 

I  need  hardly  recall  to  your  remembrance  the  results  produced,  by  the  causes  above  mentioned,  in  the  army  of  the 
Potomac,  during  the  Peninsular  campaign  of  the  summer  of  1862,  nor  point  out  the  necessity  for  taking  immediate  measures  to 
obviate  these  evils  as  far  as  possible.  The  most  urgent  necessity  now  exists  for  an  issue  of  vegetables  to  the  troops,  and  if 
military  necessity  forbid  this  being  done  from  our  present  base,  measures  should  be  taken  for  sending  such  supplies  from  our 
next  depot  among  the  very  first  supplies  brought  up.  Chickahominy  fever  may,  in  a  great  measure,  be  prevented,  but  when 
it  has  once  occurred,  its  subjects  are  lost  to  the  army  so  far  as  this  campaign  is  concerned. 

I  would  respectfully  suggest  that  immediate  measures  be  taken  to  ensure  the  burial  of  dead  animals  and  offal,  the 
proper  preparation  of  sinks  and  the  thorough  police  of  camps  and  men  throughout  the  army. 

Very  respectfully,  your  obedient  servant,  TITOS.  A.  McPARLIN, 

Major  General  GF.O.  G.  MEADE,  Commanding  Army  of  the  Potomac.  Surgeon  U.  S.  A.,  Medical  Director. 

Every  exertion  was  made  to  carry  out  the  suggestions  of  this  letter  as  far  as  possible,  and  with  good  effect.  A  large 
quantity  of  fresh  vegetables  were  brought  to  White  House,  and  the  hospitals  at  that  point  fully  supplied.  These  vegetables 
were  also  sent  to  the  troops  in  as  large  quantities  as  the  means  of  transportation  at  the  disposal  of  tin-  commissary  department 

21 


162  APPENDED    DOCUMENTS ARMY    OF    THE    POTOMAC,  1864. 

would  allow,  but  tlie  supply  thus  furnished  was  not  large,  as  all  the  wagons  were  fully  employed  in  bringing  the  supply  of 
marching  returns  up  to  the  campaign  standard.  The  camp  and  personal  police  of  the  troops  was  also  improved  as  far  as 
possible,  offal  was  buried,  sinks  dug,  etc.  On  the  6th  of  June,  application  was  made  to  the  general  commanding  the 
Confederate  forces  for  a  truce  of  two  hours,  for  the  purpose  of  collecting  the  wounded  and  burying  the  dead  who  were  lying 
between  the  lines.  This  truce  took  place  on  the  7th,  between  six  and  eight  o'clock  p.  M.,  at  which  time,  all  the  ambulances 
were  sent  out,  accompanied  by  medical  officers.  Very  few  wounded  were  collected,  the  greater  number  having  died  of  their 
wounds  and  of  exposure,  hunger  and  thirst.  The  dead  were,  in  most  cases,  so  much  decomposed  as  not  to  be  recognized,  and 
were  buried  where  they  lay. 

From  the  5th  to  the  12th  of  June,  the  army  remained  comparatively  quiet  behind  its  works,  and  the  men  were  enabled 
to  obtain  that  repose  which  they  so  much  needed.  Along  the  greater  part  of  the  line  there  was  a  truce  between  the  pickets, 
and  very  little  firing  occim'ed.  The  1st  and  2d  divisions  of  the  Cavalry  Corps  were  withdrawn  on  the  5th  and  6th,  and  passed 
to  the  rear  and  right  of  the  army,  and  moved  off  on  the  7th  towards  Gordonsville,  the  design  of  the  expedition  being  to  cooperate 
with  General  Hunter's  command,  and,  by  capturing  Gordonsville,  to  inflict  a  severe  blow  upon  the  enemy's  communications. 
An  account  of  this  expedition,  by  Surgeon  R.  W.  Pease,  U.  S.  V.,  is  herewith  forwarded.  In  the  meantime,  supplies  of  all  kinds 
were  being  brought  np  from  the  White  House  as  rapidly  as  possible,  and  a  reorganization  of  the  troops  was  effected.  Large 
reinforcements  reached  the  army  during  this  period,  and  were  distributed  among  the  several  corps  and  divisions,  while 
regiments  whose  term  of  service  had  expired  were  leaving  almost  daily.  Some  of  the  most  skilful  and  experienced  medical 
men  were  thus  lost  to  the  army.  The  interval,  however,  enabled  the  corps  medical  directors  to  make  the  changes  and 
appointments  in  the  medical  staff  which  had  thus  been  rendered  necessary.  Notwithstanding  the  large  and  frequent  requisitions 
made  upon  them,  the  supplies  of  the  medical  department  continued  abundant,  and  very  little  exertion  was  requisite  to  raise 
them  to  the  same  standard  as  on  the  1st  of  May.  The  new  regiments  arriving,  of  course,  had  no  supplies,  but  as  they  entered 
at  once  into  a  well-established  organization,  and,  in  fact,  only  took  the  places  of  those  who  had  been  lost  by  the  preceding 
battles,  they  found  everything  prepared  for  them,  and  no  lack  existed  anywhere.  The  sick  and  slightly  wounded  were  treated 
at  the  field  hospitals,  regular  sick-call  being  held  twice  a  day.  The  ambulance  horses  were  especially  benefited  by  this 
interval  and  by  the  long  forage  which  was  furnished  at  this  time,  the  first  since  the  crossing  of  the  Rapidan.  On  the  7th 
of  June,  our  line  was  shortened  by  the  withdrawal  of  the  Fifth  Corps  from  the  right  to  the  rear  of  the  centre.  On  the  8th, 
this  corps  passed  over  to  the  left,  and  held  Long  bridge  and  the  Chickahominy  at  that  point.  This  was  preparatory  to  another 
movement  by  the  left  flank,  which  should  carry  the  army  to  the  south  bank  of  the  James  river,  and  effect  its  junction  with 
General  Butler's  command  at  Bermuda  Hundred.  On  the  12th  of  June,  this  movement  commenced,  and  was  completed  by  the 
16th,  no  obstruction  or  mishap  occurring  in  the  meanwhile.  The  Eighteenth  Corps  moved  to  White  House,  and,  embarking  in 
transports,  returned  to  General  Butler's  command,  its  connection  with  the  army  of  the  Potomac  ceasing  from  this  date.  A 
special  transport  was  furnished  the  medical  department  of  this  corps,  on  which  the  hospital  tents,  stores  and!  the  sick  and 
wounded  were  placed. 

The  number  killed,  wounded  and  missing,  during  the  foregoing  period,  may  be  estimated  as  follows,  the  Eighteenth 
Corps  being  excluded:  Number  of  wounded,  according  to  the  classified  returns,  seven  thousand  five  hundred  and  forty-five; 
number  of  wounded,  straggling  and  unrecorded,  nine  hundred;  total,  eight  thousand  four  hundred  and  forty -five.  Number  of 
killed,  according  to  regimental  reports,  one  thousand  four  hundred  and  twenty  ;  number  of  missing,  one  thousand  eight 
hundred  and  sixty-four;  total,  killed,  wounded  and  missing,  eleven  thousand  seven  hundred  and  twenty-nine.  The  losses  in 
the  Eighteenth  Corps  may  be  estimated  as  follows:  wounded,  one  thousand  nine  hundred;  killed  and  missing,  five  hundred; 
total,  two  thousand  four  hundred.  The  number  of  sick  sent  to  general  hospitals  north,  during  the  same  period,  was  three 
thousand.  The  total  loss  was,  therefore,  seventeen  thousand  one  hundred  and  twenty-nine,  including  the  Eighteenth  Corps. 
The  battles  around  Cool  Arbor  consisted  of  a  series  of  attacks  upon  strong  lines  of  breastworks.  Our  loss  was  relatively 
large.  As  the  army  did  not  move  for  several  days  after  the  chief  engagement,  the  medical  department  was  enabled  to  care 
properly  for  all  the  wounded,  and  to  keep  the  field  supply  unimpaired.  The  lack  of  medical  officers,  although  still  felt,  was 
somewhat  relieved  by  the  return  of  those  who  had  been  left  with  the  wounded  in  the  Wilderness  and  at  Frederickslmrg, 
while  the  facilities  presented  at  White  House  for  the  rapid  removal  of  wounded  rendered  it  unnecessary  to  keep  so  large  a 
portion  of  the  medical  staff  at  the  depot  hospital  as  had  been  required  before.  Forty  new  ambulances,  eight  Autenrieth 
medicine  wagons  and  the  required  horses  and  harness  were  received  during  this  period,  and  more  than  repaired  all  the  losses 
experienced  since  the  beginning  of  the  campaign.  When  the  army  moved  across  the  James  river,  the  medical  department  was 
better  organized  and  equipped  than  when  it  crossed  the  Rapidan,  all  parts  of  the  machinery  working  so  smoothly  that  the 
account  of  its  operations  becomes  somewhat  monotonous. 

On  the  31st  of  May,  Surgeon  Dalton,  with  the  depot  hospital  staff  and  supplies,  arrived  at  White  House,  on  the  Pamunkey 
river.  Assistant  Surgeon  McKenzie,  U.  S.  A.,  arrived  at  the  same  date  with  two  steamers  and  three  barges  filled  with  medical 
supplies,  including  the  three  months'  supply  which  had  been  required  for  on  the  23d  of  April.  As  the  Eighteenth  Corps  had 
arrived  arid  occupied  the  country  in  front,  Surgeon  Dalton  was  able  to  commence  unloading  his  stores  and  establishing  the 
hospital  immediately ;  and  as  the  banks  of  the  river  at  that  point  are  nearly  perpendicular,  it  was  found  easy  to  bring  the  boats 
close  to  shore,  and  to  commence  operations  without  waiting  for  the  construction  of  a  wharf.  Tents  were  pitched  on  a  level 
plateau,  just  below  the  ruins  of  White  House,  elevated  about  twenty  feet  above  the  surface  of  the  river.  The  ground  was  low  and 
flat,  with  marshy  spots  scattered  here  and  there,  and  with  few  or  no  facilities  for  drainage.  Fortunately,  however,  the  weather 
continued  hot  and  dry  during  the  time  that  the  hospital  continued  at  this  point,  and  no  difficulties  arose  from  the  unfavorable 
nature  of  the  site.  Springs  in  the  river  bank  furnished  an  abundant  supply  of  excellent  water,  and  the  supply  boats  were  but 
a  few  yards  distant.  About  one  hundred  hospital  tents  were  pitched.  A  train  containing  about  three  hundred  wounded  from 
the  Cavalry  Corps  arrived  in  the  afternoon.  They  were  placed  directly  on  hoard  the  hospital  transports  Connecticut  and 
State  of  Maine,  which  were  waiting  to  receive  them.  The  large  train  under  charge  of  Assistant  Surgeon  Asch.  U.  S.  A.,  which 
had  moved  down  the  north  bank,  arrived  at  the  railroad  bridge  in  the  evening,  but  was  unable  to  cross  for  twenty-four  hours, 


EEPOKT    OF    MEDICAL    DIRECTOR    McPARLIN.  163 

the  bridge  being  unsafe.  The  wounded  remained  in  the  wagons,  were  fed,  and,  as  far  as  possible,  were  dressed.  When  the 
train  crossed,  the  wounded  were  loaded  directly  upon  the  hospital  transports,  which  held  all  but  about  two  hundred,  who 
were  put  into  hospital.  The  transports  carried  twelve  hundred  and  ninety-one  wounded  to  Washington  on  the  evening  of  the 
2d.  The  usual  assortment  of  slightly  wounded,  sick  and  malingerers  began  to  straggle  in  on  the  3d,  and  were  immediately  set 
to  work  arranging  the  hospital.  On  the  4th,  wounded  were  arriving  all  day.  Twelve  hundred  and  fifty-four  were  sent 
directly  to  Washington  on  quartermaster  transports;  the  remainder,  fourteen  hundred  and  sixty  in  number,  were  placed  in 
hospital.  It  was  very  difficult  to  obtain  a  sufficient  number  of  nurses  and  attendants  to  care  properly  for  the  wounded  on  these 
transports,  a  requisition  was  therefore  made  on  the  Sanitary  Commission,  and  a  number  of  good  nurses  were  obtained.  The 
original  plan  of  the  hospital  had  been  to  have  each  corps  hospital  pitched  by  itself,  and  removed  some  distance  from  the  others, 
and  they  had  been  widely  scattered  for  the  sake  of  securing  ground  free  from  marsh  or  ditches.  On  the  4th  of  June,  however, 
an  order  was  issued  by  General  Abercrombie  that  all  the  hospitals  should  be  brought  within  the  line  of  fortifications,  which 
rendered  them  somewhat  crowded,  and  caused  much  confusion  and  extra  labor.  The  tents  were  pitched  by  twos  en  echelon, 
forming  a  series  of  rhombs.  The  wharves  at  which  the  transports  for  the  wounded  loaded  were  only  about  a  hundred  and  fifty 
yards  distant,  which  rendered  the  shipment  very  easy.  On  the  5th  and  6th,  the  wounded  continued  to  arrive  in  large  numbers, 
and  the  resources  of  the  hospital  were  taxed  to  their  utmost  to  provide  accommodations  and  shelter  for  them.  Many  of  the 
slightly  wounded  were  sent  directly  off  upon  transports  furnished  by  the  Quartermaster's  Department.  Medical  officers  and 
nurses  were  detailed  to  accompany  them  ;  three  days  rations  and  medical  stores  were  supplied,  and  one  or  two  large  caldrons 
placed  on  board  of  each  vessel  for  culinary  purposes.  Each  transport  was  well  policed  and  bedded  with  straw  before  the 
wounded  went  on  board.  On  the  evening  of  June  6th,  a  telegram  was  received  from  the  Surgeon  General  directing  that  the 
wounded  should  henceforth  be  sent  only  on  the  regular  hospital  transports;  but  this  was  revoked  the  following  day,  upon 
the  representation  of  Surgeon  Dalton  that  it  would  delay  their  removal  at  least  two  weeks,  and  seriously  embarrass  the 
movements  of  the  army.  The  regular  hospital  transports  were  used  for  the  serious  cases,  and  very  few  were  sent  by  other 
means  who  were  unable  to  walk  from  the  hospital  to  the  boats.  The  movement  of  the  wounded  went  on  steadily  and  rapidly, 
and  by  the  14th  of  June  the  hospitals  were  empty,  the  tents  and  stores  packed  on  barges,  and  everything  in  readiness  for  a 
movement  to  the  new  base,  City  Point.  The  condition  of  the  wounded  at  \Vhite  House  was  very  good  ;  far  better  than  it  had 
been  at  Eredericksburg.  The  roads  by  which  the  wounded  were  brought  from  the  front,  a  distance  of  about  ten  miles,  were 
good  and  generally  level,  so  that  little  suffering  or  exhaustion  was  caused  by  the  trip.  Supplies  of  every  kind  were  abundant 
and  readily  accessible;  ice  was  freely  supplied  from  ice-houses  in  the  vicinity  ;  soft  bread  was  furnished  after  the  5th  of  June, 
and  straw  was  supplied  on  and  after  the  7th.  No  hospital  gangrene  made  its  appearance,  and  very  little  erysipelas.  When 
this  hospital  had  become  fairly  established,  and  it  was  apparent  that  its  organization  would  be  somewhat  permanent,  the 
magnitude  of  the  interests  involved  rendered  it  necessary  that  special  officers  should  be  assigned  to  duty  in  charge  of  its 
commissary  and  quartermaster's  departments,  respectively.  The  state  of  the  case  having  been  represented  to  Major  General 
Meade,  an  order  was  issued  on  the  19th,  directing  Captain  James,  Assistant  Quartermaster  U.  S.  V.,  and  Captain  Talbot. 
Assistant  Commissary  of  Subsistence  U.  S.  V.,  to  report  to  Surgeon  Dalton  for  duty  connected  with  their  respective  departments. 
They  entered  upon  their  duties  on  the  13th,  and  their  subsequent  labors  contributed  largely  to  the  success  and  prosperity  of  the 
hospital. 

On  the  llth,  preparations  for  a  move  began.  As  fast  as  the  tents  could  be  emptied  they  were  taken  down,  and  by  the 
14th,  the  hospital  was  packed  and  ready  to  move.  Each  corps  or  organization  was  kept  separate,  and  had  a  separate  barge 
allotted  for  its  transportation.  The  depot  hospital  boats  and  barges,  together  with  those  of  the  medical  purveyor,  moved 
on  the  l.">th,  passing  first  to  the  vicinity  of  Jamestown  island,  and  finally  reaching  City  Point  on  the  evening  of  the  17th. 
The  depot  at  White  House  was  not  entirely  broken  up,  however,  the  trains  of  the  Cavalry  Corps,  and  rations,  forage  and 
ammunition  being  retained,  guarded  by  the  force  under  General  Abercrombie,  until  the  Cavalry  Corps  should  return  from  its 
Gordonsville  expedition.  Orders  directing  the  movements  of  the  army  across  the  Chickahominy  were  issued  from  head 
quarters  on  the  llth  of  June,  and  the  following  paragraph  is  quoted  as  connected  with  the  medical  department : 

"PAR.  XIV.  The  corps  will  take  with  them  on  the  march  merely  those  light  headquarter  wagons,  ammunition 
wagons,  ambulances,  etc.,  etc.,  specified  for  the  march  across  the  Rapidau;  all  others  will  be  sent  at  once  to  the  main  trains  of 
the  army." 

The  transportation  of  the  medical  department  which  moved  with  the  troops  was,  therefore,  one-half  of  the  ambulances, 
one  medicine  wagon  to  each  division,  and  one  hospital  wagon  to  each  brigade;  the  remainder  moved  with  the  main  trains  to 
Winsor  Shades  on  the  Chickahominy.  With  the  latter  were  sent  such  sick  and  wounded  as  were  not  thought  proper  subjects 
for  general  hospital,  medical  officers  and  supplies  accompanying  them.  During  the  march,  a  few  ambulances  followed  in  the 
rear  of  each  division,  to  pick  up  sick  and  exhausted  men,  the  remainder,  with  medicine  and  hospital  wagons,  moved  with  the 
corps  artillery.  Owing  to  the  hot  weather  of  the  preceding  month,  the  Chickahominy  was  low,  and  its  famous  swamps  were 
intersected  by  hard  and  dry,  but  very  dusty  roads.  The  number  of  stragglers  was  large,  as  the  march  was  a  long  one,  and 
rapidly  made,  but  all  the  worst  cases  of  the  sick  were  picked  up  by  the  ambulances,  and  it  is  believed  that  very  few,  if  any, 
were  permanently  lost.  The  only  engagement  during  the  movement  was  a  skirmish  at  White  Oak  Swamp  bridge  by  the 
3d  division  of  the  Cavalry  Corps,  the  3d  division  of  the  Fifth  Corps  participating  also  to  some  extent.  One  hundred  and  ten 
were  wounded,  all  of  whom  were  brought  along  in  the  ambulances,  after  having  been  dressed  and  operated  upon  on  the 
Held.  All  of  the  ambulances  and  hospital  wagons  were  on  the  south  bank  of  the  James  by  the  evening  of  the  Kith,  having 
crossed  by  the  pontoon  bridge  below  Wind  Mill  Point.  Ninety  wounded  and  thirty  sick  of  the  3d  division,  Cavalry  Corps, 
were  left  at  Wilcox's  wharf  with  medical  officers,  attendants  and  supplies,  and,  on  the  17th,  were  sent  to  general  hospital  at 
Fortress  Monroe  by  the  quartermaster's  transport  Old  Massachusetts.  The  movement  from  the  James  to  the  position  taken  up 
in  front  of  Petersburg  was  rapidly  made  in  hot  and  sultry  weather;  the  troops  were  fatigued,  and  fell  out  of  the  ranUs  in  large 
numbers,  especially  from  the  Ninth  Corps.  Many  cases  of  heat-apoplexy  occurred,  and  all  of  the  ambulances  were  filled  to 
overflowing.  The  assault  made  by  the  Second  Corps  on  the  afternoon  of  the  Itith  resulted  in  heavy  loss,  and  but  a  pail  of  the 


164  APPENDED    DOCUMENTS ARMY    OF    THE    POTOMAC,    1864. 

wounded  could  be  brought  in,  as  tlie  chief  part  of  the  ambulances  and  all  the  hospital  wagons  had  not  come  up.  Five  hundred 
and  forty-five  wounded  were  collected  at  Dr.  Bailey's  house,  which  afforded  a  shelter  for  the  worst  cases;  soup  and  hard  bread 
were  distributed,  and  operating  and  dressing  went  on  during  the  night.  The  train  came  up  about  ten  o'clock  p.  M.,  tents  were 
immediately  pitched,  and  the  ambulance  corps  set  to  bringing  in  the  rest  of  the  wounded.  During  the  17th,  all  were  brought 
in,  placed  under  shelter  and  well  ca'red  for.  The  number  in  the  field  hospitals  by  night  was  :  Second  Corps,  one  thousand  six 
hundred  and  fifty-four ;  Fifth  Corps,  one  hundred  and  forty-four;  Ninth  Corps,  eighty-seven;  total,  one  thousand  eight  hundred 
and  eighty-five.  The  Fifth  Corps  took  up  a  position  on  the  17th,  and  its  hospitals  were  established  on  the  Prince  George  Court 
house  road,  south  of  Dr.  Bailey's.  Those  of  the  Ninth  Corps,  near  Dunn's  house,  one  half  mile  farther  west.  On  the  afternoon 
of  the  18th,  a  general  attack  was  made  on  the  enemy's  works.  The  following  number  of  wounded  were  received:  Second 
Corps,  five  hundred  and  fifty-eight;  Fifth  Corps,  one  thousand  and  one;  Sixth  Corps,  fifty-three;  Ninth  Corps,  one  thousand 
one  hundred  and  ten;  total,  two  thousand  seven  hundred  and  twenty-two.  Supplies  of  every  kind  were  plentiful,  but  the 
hospitals  by  this  time  were  filled  to  overflowing.  Notice  having  been  received  that  Surgeon  Dalton,  with  the  depot  hospital, 
tents  and  stores,  had  arrived  at  City  Poirit,  a  train  of  wounded  was  sent  on  the  morning  of  the  19th.  Army  wagons  and 
ambulances  were  used,  bedded,  loaded  and  furnished  with  stores  and  attendants  in  the  usual  manner.  The  number  sent  was 
reported  as  follows:  Second  Corps,  two  thousand  and  one  hundred  wounded,  in  eighty-six  ambulances  and  one  hundred  and 
ninety-three  wagons;  Fifth  Corps,  six  hundred  and  eighteen  wounded,  in  ninety-six  ambulances  and  thirty-six  wagons;  Sixth 
Corps,  twenty-one  wounded,  in  seven  ambulances;  Ninth  Corps,  nine  hundred  and  seventy-six  wounded,  in  fifty-seven 
ambulances  and  thirty  wagons ;  total,  three  thousand  seven  hundred  and  fifteen  wounded,  in  two  hundred  and  forty-six 
ambulances  and  two  hundred  and  fifty-nine  wagons.  During  the  19th,  one  thousand  six  hundred  and  fifty-six  wounded  were 
brought  in  from  the  field  and  cared  for  in  the  hospitals.  On  the  21st,  the  Second  Corps  moved  to  the  left,  and  its  hospitals 
were  established  near  Smith's  house,  on  the  Jerusalem  plank  road.  The  3d  division  of  the  Cavalry  Corps  had  moved,  in  the 
meantime,  still  farther  to  the  left,  for  the  purpose  of  cutting  the  Weldon  railroad.  As  no  reports  have  been  received  from  the 
surgeon-in-chief  of  this  division,  it  is  not  possible  to  give  any  account  of  the  operations  of  the  medical  department  of  this 
command,  but  it  is  known  that  two  medicine  wagons,  filled  with  supplies,  were  captured  by  the  enemy,  and  that  the  greater  part 
of  the  wounded  fell  into  their  hands.  An  attempt  was  made  to  recover  these  wounded  by  the  medical  director  of  the  Sixth 
Corps,  but  only  ten  or  twelve  could  be  found,  the  remainder  having  been  taken  to  Petersburg.  From  this  time  until  the  latter 
part  of  July,  the  army  was  comparatively  quiet,  and  the  position  of  the  field  hospitals  remained  unchanged.  This  period  of 
comparative  quiet,  from  July  21,  1864,  was  spent  in  reorganizing  and  supplying  the  army,  and  the  rest  was  much  needed  by  the 
men.  Although  in  front  of  the  enemy,  everything  was  comparatively  quiet,  with  the  exception  of  the  Ninth  Corps,  in  front 
of  which,  constant  skirmishing  was  going  011  between  the  pickets  and  the  men  stationed  in  the  rifle  pits,  and  many  of  the  men 
were  almost  as  much  at  their  ease  as  if  they  had  been  in  an  ordinary  summer  camp.  The  country  was  low  and  rather  flat, 
with  very  few  springs  or  running  streams  of  water.  The  weather  was  fortunately  hot  and  dry,  which  prevented  many  of  the 
evil  results  which  must  otherwise  have  followed  from  the  nature  of  the  ground.  The  water  used  by  the  troops  was  generally 
of  good  quality,  and  was  chiefly  obtained  from  wells  sunk  to  a  deptli  of  from  eight  to  thirty  feet,  the  water  being  found  in  a 
stratum  of  blue  clay.  The  number  of  sick  during  this  period  was  large,  but  the  cases  were  mild,  and  yielded  rapidly  to 
treatment.  Nine-tenths  of  all  the  diseases  were  miasmatic  in  character,  diarrhoea  of  this  type  being  especially  prevalent.  A 
decided  scorbutic  taint  also  existed,  not  to  so  great  an  extent  as  to  merit  especial  classification  as  a  disease,  but  modifying  the 
other  diseases  prevalent.  Large  and  frequent  issues  of  fresh  vegatables  were  made  during  this  time,  but  a  sufficient  quantity 
could  not  be  procured  for  the  first  four  weeks.  An  ample  supply  of  desiccated  and  compressed  mixed  vegetables  was  available, 
but  these  have  never  been  liked  or  generally  used  by  the  men,  and  were  of  little  service.  The  personal  and  camp  police 
were  generally  good,  except  in  those  portions  of  the  line  where  the  constant  snapshooting  and  artillery  practice  compelled 
the  men  to  lie  close  in  the  trenches  and  rifle  pits.  The  sides  of  the  shelter-tents  were  elevated  from  the  ground,  and  arbors 
over  them  contributed  to  keep  oft'  the  direct  rays  of  the  sun.  Good  sinks  were  very  generally  constructed,  and  the  burial 
of  offal,  etc.,  was  well  attended  to.  Although  the  days  were  very  hot,  the  thermometer  standing  ninety-eight  degrees  for  several 
hours  in  the  middle  of  the  day,  yet  the  nights  were  cool,  producing  a  heavy  deposit  of  dew,  and  thus  acting  as  a  cause  of 
miasmatic  disease.  The  organization  of  the  division  field  hospitals  was  kept  up,  and  a  large  proportion  of  the  sick  of  the 
army  were  treated  in  them.  The  regimental  medical  officers  had  stations  between  two  and  three  hundred  yards  behind  the 
troops,  these  stations  being  provided  with  bomb-proofs  in  the  more  exposed  positions  of  the  line,  and  the  advance  ambulance 
stations  were  near  by.  Regular  sick-calls  were  held  at  these  points,  and  all  the  slight  cases  treated  there.  The  division 
hospitals  were  abundantly  supplied  with  every  requisite  for  the  treatment  of  the  sick  and  slightly  wounded,  and  their  condition 
and  management  were,  as  a  rule,  highly  creditable  to  the  medical  officers  in  charge.  The  following  statement  will  show 
the  work  performed  in  them  during  this  period,  viz.,  from  June  16th:  Total  number  of  sick  received,  eleven  thousand  one 
hundred  and  ninety-one;  total  number  of  wounded  received,  eleven  thousand  five  hundred  and  twenty-six;  aggregate, 
twenty-two  thousand  seven  hundred  and  seventeen  ;  of  whom  there  were  sent  to  depot  hospital,  fifteen  thousand  four  hundred 
and  twenty-seven;  returned  to  duty,  three  thousand  five  hundred  and  sixty-five;  died,  seven  hundred  and  ninety-seven; 
remaining,  two  thousand  five  hundred  and  seventy-eight;  unaccounted  for,  three  hundred  and  fifty.  These  hospitals  were 
fitted  up  with  wooden  bunks  for  the  patients,  kitchens  for  extra  diet,  etc.,  and  accumulated  a  very  considerable  amount  of 
hospital  fund,  which  was  expended  for  butter,  eggs  and  other  delicacies.  Minute  and  repeated  inspections  were  made  of 
all  the  hjppitals  arid  ambulance  stations  by  the  acting  medical  inspectors  on  duty  at  these  headquarters,  and  full  reports 
of  the  results  made  to  this  office.  The  inmates  of  the  hospitals  experienced  great  annoyance  from  dust,  and  from  the 
swarms  of  ilies  which  seemed  to  spring  up  everywhere.  For  the  first  evil,  there  could  be  but  little  remedy.  A  large 
number  of  musquito-bars  procured  and  distributed  served  to  abate  the  latter  nuisance  to  a  great  degree.  Regiments  whose 
term  of  service  had  expired  were  leaving  almost  daily,  taking  with  them  their  medical  officers,  and  in  this  way  a  number 
of  the  most  experienced  and  valuable  surgeons  were  being  lost  to  the  service.  As  it  was  highly  important  that  these  officers 
should  be  retained  if  possible,  representation  of  the  facts  was  made  to  the  Surgeon  General,  and  the  following  order  was 


REPORT    OF    MKDIOAL    DIRECTOR    McPARLlN.  165 

soon  after  issued  by  the  War  Department:  "General  Orders  No.  222.  War  Department,  Adjutant  General's  Office, 
Washington,  July  4,  1864.  Medical  directors  of  armies  in  the  field  are  authorized  to  employ,  under  contract,  as  acting  staff 
surgeons,  regimental  surgeons  of  two  years'  experience,  who  are  specially  recommended  by  their  medical  directors,  and  whose 
term  of  service  has  expired.  The  rate  of  compensation  will  be  the  same  as  the  pay  and  emoluments  of  regimental  surgeons, 
with  use  of  one  public  horse  and  equipments,  and  forage  for  the  same.  By  order  of  the  Secretary  of  War.  (Signed)  E.  D. 
Townsend,  Assistant  Adjutant  General."  Very  few  surgeons,  however,  were  found  willing  to  accept  contracts  upon  the  terms 
above  given,  as  those  whose  services  were  really  valuable  could  obtain  a  larger  income  by  private  practice,  and  all  wished  to 
visit  their  friends  and  families. 

During  the  evening  of  the  2Gth,  the  Second  Corps  moved  to  the  north  side  of  the  James  river.  Five  hundred  and 
thirty-eight  sick  belonging  to  the  corps  were  sent  to  City  Point  in  the  morning,  most  of  them  being  slight  cases,  but  such  as 
were  thought  by  the  medical  officers  to  be  incapable  of  making  a  forced  march,  and  they  were  sent  to  the  depot  hospital,  to 
remain  until  the  movement  of  the  Second  Corps  should  have  been  accomplished.  Twenty  ambulances  followed  each  division 
during  the  movement,  and  were  speedily  filled  with  exhausted  men,  the  number  of  stragglers  being  very  large.  A  temporary 
hospital  was  established  on  the  north  bank,  near  the  pontoon  bridge,  where  the  few  who  were  wounded  on  the  morning  of  the 
27th,  at  Strawberry  Plains,  were  dressed  and  operated  upon.  The  wounded  during  the  day  were  removed  to  the  south  bank, 
where  complete  field  hospitals  were  established,  and,  on  the  28th,  they  were  taken  to  City  Point  by  the  quartermaster's  transport 
lolas,  the  total  number  being  sixty-four.  The  corps  returned  during  the  night  of  the  29th,  and  its  hospitals  were  established 
around  the  Burchard  house. 

As  soon  as  it  was  known  that  the  mine  in  front  of  the  Ninth  Corps  would  be  sprung,  and  an  assault  made  on  the 
morning  of  the  3flth  of  July,  the  ambulances  of  the  Sixth  Corps,  which  had  been  left  in  park  near  City  Point  when  the  corps 
moved  off  on  the  9th,  were  ordered  up  and  stationed  in  rear  of  the  Fifth  Corps,  and  preparations  were  made  to  remove  the 
wounded  as  rapidly  as  possible  when  the  engagement  should  commence.  For  the  first  two  hours  after  the  assault,  however, 
very  few  wounded  could  be  brought  in,  as  the  covered  ways  leading  to  the  front  were  blocked  up  by  the  supporting  columns 
of  troops,  and  only  a  part  of  the  wounded  were  brought  in  from  the  field  before  the  ground  was  abandoned  to  the  enemy. 
The  total  number  of  wounded  collected  and  brought  into  the  field  hospitals  from  this  affair  was  as  follows :  Second  Corps, 
twenty-seven;  Fifth  Corps,  thirty-four;  Ninth  Corps,  one  thousand  four  hundred  and  thirty-five;  total,  one  thousand  four 
hundred  and  ninety-six.  Having  been  absent  from  the  army  on  duty  from  July  26th  to  August  4th  (Surgeon  J.  T.  Ghiselin, 
U.  S.  A.,  acting  as  medical  director),  I  have  no  personal  knowledge  of  the  incidents  and  dispositions  attending  the  explosion 
of  the  mine  upon  the  30th  of  July. 

When  the  boats  and  barges  conveying  the  depot  hospital  organization  from  AVhite  House  arrived  at  City  Point  on  the 
morning  of  the  18th  of  June,  everything  was  found  in  confusion.  The  construction  of  wharves  by  the  Quartermaster's 
Department  was  going  on  as  rapidly  as  possible,  but,  at  the  time,  none  had  been  finished.  The  buildings  within  the  line  of 
fortifications  were  filled  with  wounded,  principally  from  the  colored  troops  belonging  to  General  Butler's  command,  and  were 
entirely  unfit  for  hospital  purposes,  being  small,  ill-ventilated  and  very  dirty.  The  only  site  available  for  a  hospital  camp  was 
on  the  south  bank  of  the  Appomattox,  about  three-quarters  of  a  mile  from  City  Point.  It  was  about  thirty-five  feet  above  the 
water,  and  the  ground  svas  level  and  open.  The  work  of  unloading  the  barges  went  onjslowly,  as  but  few  laborei-s  could  be 
obtained,  and  the  means  of  transportation  from  City  Point  to  the  hospitals  were  very  limited.  Some  tents  were  pitched  on  the 
18th,  and  on  the  following  day,  Surgeon  Dalton  was  able  to  report  that  he  was  ready  to  receive  wounded.  As  the  amount  of 
ground  available  was  limited,  the  tents  were  pitched  in  rows  and  streets,  each  corps  by  itself.  The  wounded  began  to  straggle  to 
the  hospital  on  the  18th,  and,  on  the  19th,  the  first  large  train  of  wounded  arrived.  The  worst  cases  were  immediately  placed  on 
the  transports  George  Leary  and  Connecticut,  and  sent  to  Washington  ;  the  others  were  made  comfortable  in  the  hospitals.  The 
quartermaster's  transport  Wenonah  was  loaded  with  the  wounded  of  General  Butler's  command,  five  hundred  in  number,  during 
the  evening. 

The  first  opportunity  for  transporting  the  wounded  from  the  corps  before  Petersburg  was  afforded  by  Surgeon  McCormick, 
U.  S.  A.,  medical  director  of  the  department  of  Virginia  and  North  Carolina,  who  placed  at  my  disposal  the  hospital  transport 
steamer  George  Leary,  from  the  army  of  the  James,  whose  established  depot  was  at  Bermuda  Hundred.  By  this  opportune 
assistance,  Surgeon  Dalton  was  enabled  to  send  three  hundred  and  fifty  wounded  from  City  Point  to  Washington  on  the  19th 
of  June.  Great  trouble  and  delay  occurred  in  loading  these  boats.  Long  trains  of  wagons,  waiting  to  be  loaded  with  supplies, 
occupied  the  single  narrow  road  leading  to  the  docks,  .and  at  first  it  seemed  probable  that  the  scenes  of  Belle  Plain  were  to  be 
repeated  at  City  Point.  On  the  2()th,  however,  a  wharf  was  constructed  of  pontoon  boats  and  barges  just  below  the  hospital, 
and  exclusively  appropriated  to  the  use  of  the  medical  department.  From  this  time  no  further  trouble  occurred.  Until  the  end 
of  June,  sick  and  wounded  continued  to  arrive  from  the  front  with  great  rapidity,  and  were  sent  north  as  fast  as  transportation 
could  be  procured.  On  the  21st  and  23d,  the  steamers  Continental,  Western  Metropolis  and  De  Molay,  which  were  regularly 
fitted  up  as  hospital  transports,  and  provided  with  medical  officers  and  attendants,  reported  by  order  of  the  Surgeon  General, 
and  were  employed,  during  the  rest  of  the  summer,  in  conveying  wounded  to  Philadelphia,  New  York  and  other  points  in  the 
north  and  east.  The  hospital  transports  Connecticut  and  State  of  Maine  were  employed  on  the  inland  waters  running  to 
Washington,  Annapolis  and  Baltimore.  The  barge  New  World,  containing  eight  hundred  beds,  intended  to  be  used  as  a 
receiving  ship  for  serious  cases,  and,  when  full,  to  be  towed  to  some  point  in  the  north,  arrived  on  the  30th,  and  was  brought  up 
to  the  wharf  near  the  hospital.  Upon  examination,  it  was  found  that  she  was  entirely  unfit  for  the  purpose  for  which  ?he  had 
been  designed,  as  not  over  two  hundred 'men  could  be  safely  placed  upon  her.  She  had  three  decks,  one  above  (lie  other, 
ventilation  was  exceedingly  imperfect,  and  erysipelas  and  phagfcdena  made  their  appearance  in  forty-eight  hours  after  wounded 
were  placed  on  board.  She  was  used  for  a  few  davs  as  a  receiving  ship  for  slight  cases,  and  was  then  turned  over  to  the 
quartermaster's  department,  the  bedsteads,  bedding  and  hospital  stores  on  board  being  transferred  to  the  hospital.  The  boats  of 
the  medical  purveyor  were  brought  to  the  hospital  wharf,  and,  as  no  further  necessity  existed  for  the  train  <>t'  thirty-five 
wagons,  the  stores  were  placed  on  the  purveyor's  boats,  and  the  wagons  turned  over  to  the  quartermaster's  department.  The 


166  APPENDED    DOCUMENTS ARMY    OF    THE    POTOMAC,    18(54. 

hospitals  at  City  Point  were  fairly  organized  and  in  good  working  order  by  the  end  of  June.  For  a  time,  they  were  somewhat 
overcrowded,  the  capacity  of  the  hospital  tents,  when  properly  filled,  amounting  to  forty-five  hundred  beds,  while  six  thousand 
men  were  present,  as  shown  by  the  consolidated  daily  report.  Supplies  and  stores  of  all  kinds  were  abundant,  and  the  hospital 
quartermaster  and  commissary  kept  everything  in  their  departments  in  good  order.  The  cooking  arrangements  were  ample 
and  worked  well.  The  extra  diet  kitchens  were  under  the  supervision  of  ladies,  whose  services  were  thus  made  available,  and 
who  were  of  much  more  use  than  when  employed  as  nurses  in  the  wards.  The  want  of  medical  officers  was  great  at  first,  but  as 
soon  as  it  became  evident  that  there  would  be  a  cessation  of  active  movements  of  the  army,  six  medical  officers  from  each  corps 
were  sent  to  Surgeon  Dalton,  and  from  this  time,  June  28th,  there  was  no  further  lack. 

Upon  application  by  the  medical  director,  an  order  was  issued  by  the  Provost  Marshal  General  directing  that  the  negro 
women  who  should  be  brought  within  the  lines  of  the  army  should  be  sent  to  the  depot  hospital  to  act  as  laundresses.  The 
men  employed  as  cooks  and  nurses  in  the  depot  hospitals  were,  in  part,  the  regularly  detailed  attendants  who  came  in  with  the 
trains,  but  by  far  the  greater  number  were  stragglers  and  malingerers  made  useful  by  the  surgeons  as  they  came  in.  To  obviate 
the  evils  arising  from  this  practice,  a  detail  of  a  sufficient  number  of  attendants  was  obtained  in  the  latter  part  of  June.  The 
water  for  the  use  of  the  hospitals  was  at  first  obtained  from  springs  in  the  river  bank.  Wells  were  afterwards  dug,  and  yielded 
water  of  excellent  quality.  The  weather  was  very  hot  and  sultry,  and  the  dust  soon  became  a  great  nuisance  in  the  hospitals. 
The  main  road  from  the  front  to  City  Point,  by  which  all  the  supply  trains  moved,  passed  close  to  the  hospitals,  and  clouds  of 
dust  were  constantly  settling  over  the  tents.  To  obviate  this,  a  number  of  water  carts  were  procured  and  the  ground  freely 
sprinkled.  Screens  and  arbors  of  evergreens  were  also  erected  as  fast  as  possible. 

The  wounded  suffered  very  little  in  their  transit  from  the  front,  but  their  general  health  had  been  much  impaired,  and 
secondary  ha3inorrhage,  erysipelas,  pyaemia,  etc.,  were  observed.  Few  or  no  cases  of  true  hospital  gangrene  occurred,  although 
there  were  a  number  of  sloughing  phagsedenic  wounds.  Disinfectants  were  freely  used,  sulphate  of  iron  being  the  article 
preferred  for  the  latrines.  The  police  of  the  hospitals  became  bad  during  the  first  week,  as  the  number  of  patients  to  be  cared 
for  was  so  great  that  every  available  man  was  required  for  nursing  and  to  load  the  boats.  A  detail  of  dismounted  cavalry  was 
finally  obtained,  and  the  police  improved  rapidly.  During  the  first  week  in  July,  three  thousand  iron  bedsteads  were  obtained 
and  placed  in  the  hospitals.  Two  fire  engines,  two  steam  pumps  and  a  reservoir  were  also  received  and  used.  The  supply  of 
water  was.  from  that  time,  abundant  and  convenient,  and  the  plague  of  dust,  in  a  gi-eat  measure,  abated.  One  hundred  and 
sixty  adult  contrabands  were  kept  employed  in  the  hospitals  as  cooks,  laundresses,  etc.  The  washing  of  the  hospital  was  no 
small  item,  amounting  to  six  thousand  pieces  per  week. 

The  consolidated  summaries  of  the  monthly  reports  of  sick  and  wounded  during  the  campaign  are  necessarily  incomplete, 
especially  for  the  months  of  May  and  June,  inasmuch  as,  during  active  operations,  the  data  for  these  reports  must  be  obtained 
almost  exclusively  from  the  records  of  the  field  hospitals.  These  records  embrace  all  the  severely  wounded  who  require 
ambulance  transportation  from  the  field,  but  very  many  of  the  slighter  cases  go  directly  to  the  depot  hospital,  if  one  is 
established  and  within  a  day's  march.  The  number  who  thus  straggle  is  usually  between  ten  and  twenty  per  centum  of 
the  entire  number  wounded.  These  consolidated  reports,  however,  show  several  facts  of  interest,  of  which  the  following  may 
be  mentioned  as  among  the  chief:  The  ratio  of  the  number  of  officers  wounded  during  the  month  of  May  was  twenty-two  per 
centum  of  the  number  present,  being  somewhat  greater  than  that  of  the  enlisted  men,  which  was  twenty  and  nine-tenths  per 
centum.  During  the  months  of  June  and  July,  the  proportion  of  officers  was  a  little  less  than  that  of  the  enlisted  men.  The 
probable  cause  of  this  difference  has  already  been  referred  to  in  the  account  of  the  battle  of  the  Wilderness.  The  ratio  of  sick 
increased  steadily,  as  is  shown  by  the  following  statement:  The  ratio  of  number  of  sick  to  aggregate  strength  for  May  was 
eleven  and  forty-one  one-hundredths  per  centum;  June,  fourteen  and  eighty-nine  one-hundredths  per  centum;  July,  twenty- 
seven  and  one-tenth  per  centum.  Ratio  of  average  number  on  daily  sick  report  to  aggregate  strength :  May,  twro  and  three 
one-hundredths  per  centum;  June,  two  arid  sixty -two  one-hundredths;  July,  four  and  fifty-five  one-hundredths.  Ratio  of 
officers  sick:  May,  nine  and  thirty-nine  one-hundredths  per  centum;  June,  thirteen  and  three  one-hundredths  per  centum; 
July,  seventeen  and  forty-six  one-hundredths  per  centum.  Ratio  of  enlisted  men  sick :  May,  eleven  and  forty-eight  one- 
hundredths  per  centum;  June,  fourteen  and  ninety-six  one-hundredths;  July,  twenty-seven  and  fifty-eight  one  hundredths. 
The  depot  field  hospitals  of  this  army  have  been,  1  am  confident,  superior  to  any  heretofore  organized,  accommodating,  at  times, 
seven  thousand  inmates.  Those  at  City  Point  had  a  capacity  for  nearly  ten  thousand  during  the  summer.  As  winter  approaches, 
log  buildings,  fifty  feet  long  and  twenty  wide,  roofed  with  boards  and  felting,  are  being  substituted  for  tents.  The  streets  will 
be  graded  and  gravelled,  and  sidewalks  corduroyed  to  obviate  inconvenience  from  mud. 

The  ambulance  is  so  light  a  vehicle,  so  portable  and  swift,  that  I  am  persuaded  more  should  be  permitted  to  advance 
with  troops  and  to  accompany  cavalry.  It  is  probable  that  a  few  might  be  occasionally  lost,  but  it  is  better  to  accept  the  risk, 
though  I  believe  it  inconsiderable,  than  to  suffer  from  a  deficiency.  There  is  wisdom  in  the  ancient  institution  of  Leo  VI,  which 
declares,  "If  you  desire  that  your  soldiers  should  go  willingly  to  battle,  the  greatest  care  must  be  had  for  attending  to  the 
wounded.''  In  my  opinion,  an  additional  wagon  should  be  authorized  to  each  division  ambulance  train,  which  would  transport 
more  clothing  for  the  contingencies  of  battle,  and  be  eligible,  also,  for  procuring  forage,  which  is  imperfectly  done,  during  very 
active  operations,  with  the  present  allowance.  The  trains  of  wounded  and  sick  sent  from  the  army  have  always  been  organized 
with  care;  one  of  them  extended  seven  miles  upon  the  road,  composed  of  wagons,  bedded,  spring  wagons  and  ambulances. 
It  may  be  of  interest  to  make  an  approximate  statement  of  the  proportion  of  transport  service  rendered  by  ambulances 
and  wagons.  The  approximate  numbers  are  three  thousand  five  hundred  and  eighteen  ambulances,  and  two  thousand  two 
hundred  and  thirty-three  wagons,  spring  and  army  patterns.  This  does  not  include  vehicles  at  the  front  collecting  wounded 
for  division  hospitals,  nor  transport  service  between  the  front  and  the  depot  hospital  at  the  base.  The  whole  number  of 
ambulances  authorized,  and  available  at  any  time  for  emergency,  did  not  exceed  eight  hundred,  and  they  were  frequently 
required  to  he  moving  night  and  day.  Twenty-seven  new  medicine  wagons,  of  the  Autenrieth  and  Perot  patterns,  have  been 
received  during  the  campaign.  Five  of  them  were  transferred  to  Medical  Director  McCormick,  to  meet  the  necessities  of  the 
cooperating  army  of  the  James. 


REPORT    OF    MEDICAL    DIRECTOR    McPARLIN. 


167 


In  the  varying  conditions  of  the  army  in  the  field,  whether  in  camp  or  in  action,  on  the  march  or  in  winter  quarters,  the 
division  hospital  system,  I  believe,  may  be  fully  accepted  as  a  success.  It  accords  with  the  unit  of  organization  and  adminis 
tration  of  the  army,  furnishing  prompt,  adequate  and  convenient  resources  for  every  occasion.  Emergencies  do  not  greatly 
overtax  the  energy  of  officers  when  prompt  removal  of  wounded  inmates,  who  have  received  necessary  attention,  permits 
recuperation  before  further  efforts ;  experience  ensures  ample  provision  of  food,  shelter,  supplies  and  attendants ;  as  a  point  of 
rendezvous,  its  locality  is  soon  known;  a  proper  mobility  is  kept  in  view,  and  discipline,  efficiency  and  use  of  supplies  are 
supervised;  preservation  of  property  has  been  conspicuous,  considering  its  exposure,  during  military  operations;  the  com 
mendable  care  exercised,  and  its  attendant  success,  illustrates  the  propriety  of  the  arrangements  made.  On  account  of  the 
magnitude  of  the  operations  which  rapidly  succeeded  each  other,  it  was  necessary  to  supply  the  deficiency  of  ambulances  by 
wagons.  During  the  combats  in  the  Wilderness,  and  at  other  points  remote  from  the  base  of  supplies,  celerity  was  especially 
required.  It  may  be  remarked  that  circumstances  will  rarely  tax  more  severely  the  capabilities  of  staff  departments  than  those 
of  this  year  have  done.  When  necessary,  I  received  prompt,  cordial  and  efficient  cooperation  from  the  chief  quartermaster  and 
other  chiefs  of  departments  whose  operations  were  connected  with  my  own.  This  complete  official  accord  was  as  beneficial  to 
the  service  as  it  was  personally  pleas ureable.  The  cheerful  acceptance  of  vicissitudes,  patience,  fortitude  and  almost  utter  absence 
of  complaint,  have  long  been  observed,  and  they  show  the  high  character  of  the  individual  soldier  of  the  veteran  army.  Out 
of  the  many  thousands  of  wounded,  there  have  been  few  left  to  the  care  of  the  enemy,  and,  in  such  cases,  supplies,  camp  equipage 
and  attendants  remained.  Whenever  there  was  an  opportunity,  the  wounded  of  the  enemy  have  been  collected  and  fully  cared 
for.  The  medical  directors  of  corps  have  faithfully  met  their  responsibilities.  To  Surgeon  J.  J.  Milhau,  U.  S.  A.,  Surgeon  J. 
N.  Dougherty,  U.  S.  V.,  and  Surgeon  S.  A.  Holman,  U.  S.  V.,  especial  credit  is  due.  Surgeon  E.  B.  Dalton,  U.  S.  V.,  who 
received  the  wounded  of  the  army  for  transmission  north,  with  Surgeon  A.  J.  Phelps,  IT.  S.  V.,  inspector  and  assistant,  ably 
directed  the  labors  of  numerous  subordinates  at  the  base  of  the  army.  Surgeon  J.  F.  Ghiselin,  U.  S.  A.,  assistant  medical 
director,  Assistant  Surgeon  J.  B.  Brinton,  U.  S.  A.,  medical  purveyor,  Assistant  Surgeon  J.  S.  Billings,  U.  S.  A.,  and  Assistant 
Surgeon  Geo.  M.  McGill,  U.  S.  A.,  have  rendered  most  valuable,  varied  and  constant  aid  in  the  discharge  of  the  general  duties 
assigned  them,  and  the  special  ones  that  emergencies  required.  The  ambulance  service  has  been  well  and  gallantly  performed, 
and  its  chief  officers,  Captain  W.  F.  Drum,  2d  U.  S.  Infantry,  and  Captains  B.  W.  Baldwin  and  J.  G.  Pelton,  14th 
Connecticut,  deserve  especial  commendation. 

Accompanying  are  the  reports  of  Medical  Director  Dougherty  and  the  Medical  Purveyor.  Reports  from  other 
medical  directors  of  corps  and  chief  medical  officers  of  independent  commands  have  not  yet  been  received.  It  is  deemed 
advisable  to  terminate  this  report  with  the  period  ending  July  31,  1864,  and  not  farther  delay  its  transmission. 

Very  respectfully,  your  obedient  servant, 

THOS.  A.  McPARLIN,  Surgeon  U.  S.  A. 

TO  THE  SURGEON  GENERAL  OF  THE  AliMY. 

CXXXVIII.     Statement  of  Fund  accruing  from  JVeiospaper   Tax,  expendable  by  the  Medical 
Director.     From  January  28,  1864:,  to  November  21,  1864. 


AMOUNT  RECEIVED. 

DOLLS. 

CTS. 

AMOUNT  DISBURSED  AND  REM'G  ON  HAND. 

DOLLS. 

CTS. 

Amount  received  

19,  428 

25 

By  checks  to  medical  directors  of  corps.  . 

1,374 

(JO 

To  chief  medical  officers  of  independent  com 

\, 

mands,  and  others,  for  articles  purchased 

\ 

incident  to  hospital  comfort  and  adminis 

tration  

1  843 

38 

To  medical  purveyor,  for  purchase  of  articles 

\^ 

of  comfort  and  subsistence  of  the  wounded. 

8,413 

93 

x\ 

For  freight  

9 

00 

^X 

Balance  on  hand  

7  787 

04 

\ 

19,  428 

25 

19,  428 

25 

In  addition  to  the  stores  issued  by  the  medical  purveyor,  and  furnished  by  the  Medical  Department,  a  large  quantity 
of  delicacies  and  anti-scorbutics  were  purchased  and  distributed  to  the  depot  and  division  hospitals.  The  following  table  will 
show  the  kind  and  amount  of  the  articles  thus  purchased  during  the  campaign : 

Peaches,  in  two-pound  cans 9,  600  cans. 

Jellies,  assorted,  in  jars 3,  600  jars. 

Tomatoes,  in  two-pound  cans 3, 600  cans. 

Lemons HO  boxes. 

Oranges 50  boxes. 

Crackers  (Boston) 5,  366  pounds. 

Pickles 13,  800  gallons. 

Candles 380  pounds. 

The  total  cost  of  the  above  articles  was  $8,413  93. 

*  This  amount  includes  the  sum  of  $3,583  0.3,  balance  on  hand  at  the  date  first  named. 


168 


APPENDED    DOCUMENTS ARMY    OF    THR    POTOMAC,    1864. 


CXXXIX.     SCHEDULE  A. —  Consolidated  Statement  of  Articles  and  Quantities  of  Medical  and 
Hospital  Property  carried  with  the  Army  of  the  Potomac  across  the  Rapidan,  May  4, 1864. 


ARTICLES  CARRIED. 

AMOUNT 
IN  RESERVE 
SUPPLY 
TRAIN. 

IN  BRIGADE 
SUPPLY  AND 
HOSPITAL 

WAGONS. 

IN 
MEDICINE 
WAGONS. 

IN 
AMBULANCE 
BOXES. 

TOTAL  ARMY 
SUPPLY. 

IN 
WAGONS  OF 
SANITARY 
COMMISSION. 

MEDICINES. 

300 

25 

40 
20 
1,605 

400 
790 
480 
300 

300 
25 

90 
20 
3,765 
900 
1,906 
676 
300 
50 
200 
270 
50 
65 
25 
22 
425 
1,100 
120 
80 
160 
40 
200 
350 
360 
235 
270 
820 

"     tannici                                  -            ...........  oz. 

50 

"     tart'irici                                                                Ibs. 

720 

1,440 

500 
720 
100 

396 

96 

Alcoholis                         bolts. 

20 

30 
100 
120 
40 
45 
25 
22 
140 
100 
70 
80 
150 
40 
200 
350 
360 
30 
70 
40 
200 
400 
340 
300 
26 
82 
42 
42 
360 
700 
345 
400 
340 
41 
350 
300 
400 
370 

"             anuse                                   Ibs. 

100 
150 

10 

20 

"             «      fusse                                      oz. 

"      adipis                           -         .............  .IbSt 

110 

200 
50 

175 

800 

Chloroform!                                           oz. 

20 

Collodii                                                  oz. 

10 

ipecac    fld                            oz. 

Ferri  cbloridi  tinct          ..                          Ibs. 

145 

200 
60 

60 

subsulpb.  liq.                                     .                   oz. 

720 
400 
2,000 

Hydrarg.  pil  oz. 

600 
3,480 
632 
1,288 
417 
134 

Ipecac,  et  pulveris  opii                                                  oz 

1,080 
292 
288 
215 
52 
20 
20 
540 
100 
1,152 
1,200 
2,080 
42 

Lini  Farina;  Ibs 

Magnesise  sulpb  Ibs 

700 
176 

Morpbia;  sulph  oz 

45 

Olei  olivse  botts 

'     ricini  botts 

62 
62 
1,600 
900 
1,857 
2  680 

''     terebintli  botts 

Opii  pulveris  Oz 

700 
100 
360 
1,080 
360 

"     tincturse  oz 

Pilulae  campb.  et  opii  doz 

"       catbart.  comp  doz 

"        opii  doz 

2  780 

Plumbi  acctatis  Ibs. 

83 
350 
1,740 
2,600 
2,  370 

Potass,  arsenit.  liq  oz, 
"       iodidi  oz. 

1,440 

2,  000 
1,000 

Quinise  sulph  ...                   oz 

200 
1,000 

"      pil  doz 

EEPORT    OF    MEDICAL    DIRECTOR    McPARLIN. 
SCHEDULE  A. —  Consolidated  Statement,  etc. — Continued. 


169 


ARTICLES  CARRIED. 

AMOUNT 
IN  RESERVE 
SUPPLY 
TRAIN. 

IN  BRIGADE 
SUPPLY  AND 
HOSPITAL 
WAC.OXS. 

IN 
MEDICINE 
WAGONS. 

IN 

AMBULANCE 
liOXF.S. 

TOTAL  ARMY 
SUPPLY. 

IN 
WAGONS  OF 
SANITARY 
COMMISSION. 

Saponis                                 --               Ibs. 

284 

176 

350 

810 

100 

SciUac  syr  Ibs. 

150 

130 

280 

180 

270 

280 

730 

25 

Soda?  clilor.  liq  Ibs. 

50 

250 

40 

340 

"      et  potass  tart                  -    oz. 

500 

500 

''      bicarl)  Ibs. 

100 

20 

120 

Spts  frumenti                                                          botts. 

2  400 

1,480 

1,100 

4  980 

"     vini  gallici  botts. 

96 

1,000 

260 

1,356 

60 

Tarragona  wine          botts. 

120 

120 

.Jamaica  rum          botts. 

60 

St.  Croix  ruin  ..          cans. 

40 

Blackberry  brandy                                   -.  -       ..botts. 

160 

lodinii  ......                  .    ..                                             oz. 

20 

100 

120 

HOSPITAL   STORES. 

Beef  stock  ..    ..                 Ibs. 

400 

2,160 

5,300 

7,860 

240 

Candles  Ibs. 

370 

540 

100 

500 

1,510 

Farina  Ibs. 

298 

460 

500 

1,  258 

450 

Nutmegs        ...            .             Ibs. 

10 

14 

24 

Sugar,  white.                                                                Ibs. 

432 

400 

500 

1,  332 

155 

Tea,  black  Ibs. 

100 

460 

180 

740 

85 

Condensed  milk  Ibs. 

768 

720 

1,488 

600 

Canned  peaches  cans. 

2,  280 

800 

3,080 

Corn  starch  Ibs. 

200 

200 

Jellies,  assorted  cans    ....                  .            .    .       doz. 

200 

200 

Lemons  boxes. 

10 

10 

20 

Dried  fruit  .               Ibs. 

100 

HOSPITAL   CLOTHING. 
Drawers  pairs. 

700 

800 

1,500 

360 

Shirts  ...                  no. 

700 

800 

1,500 

360 

Socks  ..        ..         .             pairs. 

943 

800 

1,743 

BEDDING. 

Blankets  ...                   .            no. 

2,200 

2,800 

890 

5,890 

Bed  sacks  .                                     no. 

200 

1,000 

1,200 

Bed  covers....                                                                  no 

60 

400 

460 

Blanket  cases  .                                                                  no 

50 

43 

93 

Sheets,  linen  ....                                                              no 

120 

120 

DRESSINGS. 
Adhesive  plaster  yd«. 

1,030 

900 

250 

2,  180 

120 

Binders'  boards  pieces 

400 

1,  000 

400 

1,800 

Cotton  bats  Ibs 

25 

100 

100 

225 

wadding  sheets 

60 

50 

110 

Flannel    ved                                                                  yds 

9()() 

200 

400 

Gutta-percha  cloth  yd* 

427 

450 

100 

977 

Gelatine  plaster                                                           vds 

144 

910 

240 

1,294 

Lint    iiatent                                                                       Ibs 

400 

1  000 

200 

1,600 

"      picked                                                                      Ibs 

187 

80 

267 

500 

600 

350 

1,450 

170 


APPENDED    DOCUMENTS AEMY    OF    THE    POTOMAC,    1864. 

SCHEDULE  A. —  Consolidated  Statement,  etc. — Continued. 


ARTICLES  CARRIED. 

AMOUNT 
IN  RESERVE 
SUPPLY 
TRAIN. 

IN  BRIGADE 
SUPPLY  AND 
HOSPITAL 
WAGONS. 

IN 
MEDICINE 
WAGONS. 

IN 
AMBULANCE 
BOXES. 

TOTAL  ARMY 
SUPPLY. 

IN 

WAGONS  OF 
SANITARY 
COMMISSION. 

Oiled  silk  yds. 

400 

450 

200 

1    050 

"      muslin  yds. 

100 

100 

200 

Pencils,  hair.  doz. 

60 

20 

30 

110 

Pins  papers. 

216 

200 

100 

516 

Roller  bandages  ............            .......           doz 

1  600 

4  500 

750 

6  850 

100 

Green  silk  .  yds. 

40 

40 

Surgeons'  silk  oz. 

20 

100 

50 

170 

Splints,  sets  .  no. 

200 

150 

41 

391 

"        Smith's  anterior  no. 

100 

400 

15 

515 

Sponge..  '....  Ibs. 

50 

710 

360 

1  120 

5 

Suspensory  bandages  no. 

460 

280 

740 

Tape  pieces. 

160 

160 

Thread,  linen  oz. 

400 

300 

300 

1  000 

Tow  Ibs. 

24 

200 

200 

424 

Towels  doz. 

320 

180 

44 

544 

40 

Twine  oz. 

350 

350 

Oakum  Ibs 

200 

100 

40 

340 

FURNITURE,   ETC.,   ETC. 
Basins,  tin  ..  no 

83 

370 

92 

545 

Bed  pans  no 

76 

180 

44 

300 

Buckets  no. 

500 

90 

444 

1  034 

Corks  doz. 

Wff 

360 

350 

710 

Corkscrews  no. 

130 

40 

170 

Lanterns  no 

100 

100 

90 

525 

815 

Knives  and  forks  no. 

1,350 

1  200 

2  550 

150 

Spoons  no 

1  568 

1  100 

2  700 

5  368 

150 

Plates,  tin  .             doz 

410 

92 

QOO 

702 

150 

Tumblers,  tin  no. 

500 

260 

1  200 

1  960 

Tin  cups  no 

936 

936 

150 

Urinals  no 

40 

TiO 

an 

280 

Camp  kettles  no 

125 

400 

1  300 

1  825 

Litters,  hand  no 

102 

120 

1  500 

1  722 

STATIONERY. 

Blank  books  <joz 

12 

15 

12 

39 

Envelopes  joz 

1  000 

400 

«e 

1  485 

Ink  kotts 

^fi 

fin 

AA 

140 

Paper,  writing  quires 

160 

100 

100 

360 

Pens  and  holders  , 

1  480 

4ftO 

1  960 

Medical  chests  filled  per  supply  table 

50 

"        panniers  "       "         "          u 

40 

IE 

Hospital  knapsacks  "       "         «           « 

90 

i 

Field  companions  "       "         "          <> 

6r> 

J^ 

REPORT    OF    MEDICAL    DIRECTOR    McPARLIN. 


171 


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172 


APPENDED    DOCUMENTS ARMY    OF    THE    POTOMAC,    1864. 


CXLI.     SCHEDULE  C. — List  of  Articles  and  Quantities  of  Medical  and  Hospital  Stores  received 

at  Belle  Plain,  Virginia,  May  10,  1864. 


ARTICLES. 

IN   SUFl'LY 

BOATS. 

IN 

BAUGES. 

5550 
2000 
3024 
400 
24 
100 
144 
600 
600 

TOTAL. 

ARTICLKS. 

IN  SriTLY 
BOATS. 

IN 

BARGES. 

TOTAL. 

Blankets                                  no 

7500 
5000 

13050 
7000 
3024 
600 
74 
2100 
1144 
5600 
5600 
5000 
5000 
600 
100 
100 
580 
500 
500 
1000 
200 
12 
100 

Ice  tons. 

50 
5000 
1000 

50 
5000 
1000 

Sheets  no. 

Basins   .      ...            no. 

Whiskey  (bottles)              doz 

200 
50 
2000 
1000 
5000 
5000 
5000 
5000 

Cushions  (rubber)     ..         no. 

Liq.  sodse   chlor  bottles. 
Feeding  cups  no. 

400 
200 
500 
3000 
3000 
1000 
25 
200 
500 

400 
200 
500 
3000 
3000 
1000 
25 
200 
500 
1000 
400 
100 
100 
20 
7 
200 
20 

Lint                                   -  -  Ibs. 

Bed  pans.        .    .         .         no. 

Shirts                                     no. 

Spoons  no. 

Cups  (tin)                              no. 

Oiled  muslin  yds. 

Saddlers'  silk  oz. 

Cots                                        no 

600 
100 
100 

80 

Lanterns  no. 

Buckets   no. 

Towels  no. 

1000 
400 
100 
100 
20 
7 
200 
20 

Tea                                        Ibs 

500 
500 
500 
1000 
200 
12 
100 

Porter  doz. 

Chloroform         Ibs. 

Sulphuric  ether  Ibs. 

Field  cases  no. 

Pocket  sets  no. 

Adhesive  plaster  yds. 

Silver  wire.         .      -.-    spools. 

CXLII.     Abstract  from  the  Consolidated  Imports  of  the  Ambulance  Corps  for  the  Months  of 

May,  June  and  July,  1864. 

Number  of  ambulances  on  hand. — May  1st,  592  ;  June  1st,  620 ;  July  1st,  615 ;  July  31st,  575. 

Number  of  medicine  wagons  on  hand. — May  1st,  Autenrieth's  pattern,  21 ;  Perot's,  18 ;  Duntoii's,  1.  June  1st, 
18;  Perot's,  11;  Dunton's,  H-  July  1st,  Autenrieth's,  22 ;  Perot's,  11 ;  Dunton's,  12.  July  3lst,  Autenrieth's,  29  : 
Dunton's,  12. 

Number  of  army  wagons  on  hand. — May  1st,  209 ;  June  1st,  174  ;  July  1st,  197 ;  July  31st,  195. 

Number  of  forges  on  hand. — May  1st,  15 ;  June  1st,  15 ;  July  1st,  14  ;  July  31st,  14. 

Number  of  horses  and  mules  on  hand. — May  1st,  horses,  1,871;  mules,  1,146.  June  1st,  horses,  1,832: 
July  1st,  horses,  1, 935  ;  mules,  1,  019.  July  31st,  horses,  1974 ;  mules,  980. 

Number  of  stretchers  on  hand.—  May  1st,  1, 214  ;  June  1st,  767 ;  July  1st,  851 ;  July  31st,  1,  069. 

Present  for  duty.— May  1st,  officers,  60 ;  enlisted  men,  2, 275.  June  1st,  officers,  57  ;  men,  2,  092.  July  1st 
men,  2, 114.  July  31st,  officers,  52  ;  men,  2, 045. 


t,  Autenrieth's, 
l ;  Perot's,  11 ; 


mules,  870. 
?t,  officers,  55  ; 


CXLIII.     Report  of  the  Medical  Director  of  the  Army  of  the  Potomac  from  August  1  to 
December  31,  1864.     By  Surgeon  THOMAS  A.  McPARLm,  U.  S.  Army. 

HKADQUAHTERS  AKMY  OF  THE  POTOMAC, 

MEDICAL  DIRECTOR'S  OFFICE,  December  26,  1864. 

GENERAL  :  I  have  the  honor  to  submit  the  following  continuation  of  my  report  of  the  operations  of  the  medical  department 
of  the  army  of  the  Potomac.  Early  in  August,  the  Eighteenth  Corps  of  the  army  of  the  James,  and  the  Ninth  and  Fifth  Corps 
of  the  army  of  the  Potomac,  occupied  the  lines  of  investment,  breastworks  and  fortified  positions  south  of  Petersburg  and  the 
Appomattox,  in  the  area  northward  of  the  low  grounds  and  rivulets  tributary  to  the  Blackwater.  The  Second  Corps  was  in 
camp  as  a  reserve.  The  weather  was  generally  dry.  The  soil  contained  enough  clay  to  make  the  roads,  after  rain,  almost 
impassable  for  loaded  trains ;  attention  to  the  enforcement  of  police  and  drainage  became,  therefore,  the  more  necessary.  The 
ground  occupied  was  subject  to  malarial  influences.  Personal  movements  and  labor  were  restricted  in  those  portions  of  the  line 
exposed  to  fire.  Wells  had  been  dug  and  good  water  secured  both  in  the  camps  and  entrenchments.  The  extension  and  use 
of  the  railroad  made  heavy  trains,  to  a  great  degree,  unnecessary  after  September  14th.  The  position  occupied  by  the  Ninth 
Corps  at  the  front  was  exposed  to  the  continual  fire  of  sharpshooters  and  pickets,  often  kept  up  during  the  night.  The  Second 
Corps  was  encamped,  in  reserve,  in  the  vicinity  of  the  Deserted  house.  Its  quarters  and  camps  were  superior  in  cleanliness 
and  comfort  to  those  of  the  previous  month.  Its  chief  hospital  was  near  the  Burchard  house.  The  Fifth  Corps  occupied 


REPORT    OF    MEDICAL    DIRECTOR    McPARLIN.  173 

somewhat  elevated  ground  on  the  left,  Its  hospitals  were  situated  near  general  headquarters  and  the  Prince  George  Court-house 
road.  They  afforded  their  patients  every  comfort  compatible  with  the  mobility  necessary  to  a  field  establishment.  Officers 
were  treated  in  them  in  many  cases.  The  diet  of  the  army  has  been,  at  all  times,  an  object  of  especial  attention,  but,  during 
the  summer,  the  chief  commissary,  Colonel  T.  Wilson,  secured  an  abundant  supply  of  vegetables  as  soon  as  the  new  crop  came 
in.  Potatoes,  onions,  beets,  cabbage,  dried  apples  and  peaches,  turnips  and  pickles,  were  everywhere  issued  and  appreciated. 
A  malarial  type,  indicated  by  a  periodic  tendency,  was  impressed  upon  most  of  the  diseases  treated.  In  the  Ninth  Corps,  the 
cases  responded  less  favorably  to  treatment,  and  many  were  sent  away  to  the  depot  hospital  at  City  Point.  Cases  of  biliary 
disorder  were  frequent.  August  5th,  two  divisions  of  the  Cavalry  Corps  left  this  section  for  duty  in  the  Shenandoah  valley. 
August  9th,  the  explosion  of  the  ordnance  barge,  at  City  Point,  occurred,  and  caused  a  number  of  severe  injuries.  From  the 
1st  to  the  12th,  comparative  quiet  existed,  but,  at  this  last  date,  movements  were  initiated  having  in  view  the  seizure  and 
destruction  of  the  Wei  don  railroad.  This  was  accomplished  before  the  25th  by  the  Fifth  Corps,  when  our  lines  were 
permanently  extended  on  the  left  to  the  vicinity  of  the  Yellow  tavern.  As  a  preliminary  measure  intended  to  facilitate 
this  object,  a  diversion  was  made  by  a  movement  of  the  Second  Corps  to  the  north  side  of  the  James,  commencing  on 
the  12th.  The  sick  and  wounded  of  that  corps  were  sent  by  an  ambulance  train  to  the  depot  field  hospital  at  City  Point. 
The  corps  marched  in  the  afternoon,  and  camped  at  City  Point  at  night,  awaiting  transport  vessels.  The  ambulance  train 
arrived  at  eleven  o'clock  p.  M.  It  left  those  unable  to  accompany  the  command  in  hospital  at  City  Point,  and  resumed  the 
journey  to  Bermuda  Hundred,  joining  the  corps  on  the  next  day  at  Jones's  Neck.  The  corps  embarked  on  the  l!3th,  and 
reached  Deep  Bottom,  north  of  the  James.  On  the  14th,  it  disembarked,  advanced  to  the  west  of  the  New  Market  road  and  took 
position.  The  day  was  excessively  hot;  the  men  had  been  exhausted,  and  many  fell  out  of  the  ranks,  some  insensible  or  in 
convulsions;  in  many  cases,  death  resulted.  Twenty  ambulances  for  each  division  were  crossed  over  the  pontoon  bridge  from 
Jones's  Neck,  and  were  at  once  occupied  with  these  cases  and  those  wounded  in  skirmishing.  One  medicine  wagon  and  one 
army  wagon,  loaded  with  tent  flies  and  cooking  utensils  for  each  division,  also  crossed.  A  refreshing  shower  happily  occurred 
in  the  evening.  Hospitals  were  formed  near  the  lower  pontoon  bridge,  on  the  north  bank  of  the  river,  where  a  landing  place 
was  constructed,  by  which  to  send  the  wounded  on  boats  to  hospital  at  City  Point.  They  were  sent  by  quartermaster  transports 
on  the  15th.  Skirmishing  continued  on  the  16th  and  17th.  On  the  18th,  the  enemy  attacked,  particularly  along  the  line  of  the 
Tenth  Corps.  One  division  of  the  Second  Corps  was  transferred  after  this  across  the  James,  and  proceeded  to  occupy  the 
works  just  abandoned  by  the  Fifth  Corps,  then  massing  for  the  movement  on  the  Weldon  railroad.  The  field  hospitals  of  this 
division  were  placed  near  the  Deserted  house.  The  other  division  of  the  Second  Corps  left  the  north  side  on  August  20th,  and 
proceeded  to  the  Weldon  railroad,  where  the  Fifth  Corps  was  engaged.  Military  considerations  made  it  proper  to  take  only 
ten  ambulances  to  each  division,  the  residue  of  the  Second  Corps  medical  train  went  into  park  in  the  vicinity  of  the  Burchard 
house.  There  were;  received  at  the  field  hospitals,  from  the  affair  on  the  north  side,  five  hundred  and  forty-two  wounded.  Of 
these,  thirty-five  were  officers.  Twenty-three  deaths  occurred  in  the  field  hospital,  the  residue  were  sent  to  City  Point.  On  the 
19th,  one  division  of  the  Ninth  Corps  was  sent  to  join  the  Fifth  Corps,  near  the  six  mile  station,  on  the  Weldon  railroad,  where 
an  attack  of  the  enemy  had  been  received  at  noon  the  day  before.  The  field  hospitals  of  the  Fifth  and  Ninth  Corps  were 
relieved  of  their  inmates  by  the  ambulances  of  the  Sixth  Corps,  the  patients  being  carried  to  City  Point;  and  the  train, 
increased  to  one  hundred  and  ten  vehicles,  was  afterwards  used  exclusively  by  the  Fifth  Corps,  which  needed  it  to  remove 
the  wounded  from  the  front.  As  soon  as  it  was  safe  to  do  so,  the  hospitals  of  the  Fifth  Corps  were  advanced  towards  the 
Williams  house.  Those  of  the  Ninth  Corps  were  brought  up  later.  On  the  evening  of  the  19th,  the  enemy  again  attacked 
the  Fifth  Corps,  maintaining  the  struggle  until  after  dark,  when  they  were  finally  repulsed. 

August  21st,  the  Second  Corps,  taking  ten  ambulances  to  a  division,  advanced  from  Deep  Bottom  to  the  position  on  the 
AVeldon  railroad  occupied  by  the  Fifth  Corps,  and,  facing  southward,  continued  to  destroy  the  road  as  they  advanced  until 
the  25th,  when,  reaching  Reams's  Station,  they  encountered  the  enemy.  On  the  21st,  the  enemy  attacked  the  Fifth  Corps  very 
determinedly,  but  was  repulsed  with  heavy  loss,  leaving  one  hundred  and  sixty  of  their  wounded  in  our  hands.  The  medical 
service  was  here  performed  under  great  exposure,  but  it  was  unavoidable,  the  position  being  under  a  converging  fire. 
The  labors  of  the  ambulance  corps  were  severe.  Two  sergeants  were  killed,  six  men  were  wounded,  and  nineteen  captured. 
Eight  stretcher  bearers  were  killed.  Shells  passed  through  two  ambulances.  The  Second  Corps  occupied  a  position  at 
Reams's  Station  on  the  25th,  quite  as  exposed  to  simultaneous  attack  from  several  directions,  and  were  more  distant  from 
the  permanent  base  and  the  field  hospitals.  Its  wounded  were  temporarily  received  in  Reams's  church,  where  the  hospital 
staff  of  each  division  made  their  rendezvous.  The  field  companions  and  the  ambulances  furnished  the  required  dressings  and 
appliances.  The  cavalry  division  of  General  Gregg  had  with  it  a  medicine  wagon,  which  was  very  useful.  The  medical 
director  of  the  Second  Corps  sent  back  for  one  for  his  command,  but  it  did  not  arrive;  indeed,  it  only  escaped  capture  by  the 
sergeant  in  charge  prudently  returning  with  it  again  to  the  park,  observing  that  the  enemy  occupied  the  road.  The  church 
was  far  from  being  a  place  of  security;  indeed,  no  such  place  was  attainable.  The  line  of  defence  described  two-thirds  of  the 
circumference  of  a  circle  with  a  radius  so  small  that  bullets  fired  on  the  left  coursed  over  the  enclosed  area  and  struck  down 
men  in  position  on  the  right.1  During  the  more  vigorous  assault  at  two  o'clock  i>.  M.,  the  ambulances,  the  wounded,  medical 
officers  and  attendants  retired  about  a  hundred  yards  to  a  shallow  ravine  affording  partial  shelter.  The  ambulances,  once  filled, 
were  sent  at  some  risk  via  the  Geary  church  road  to  the  Williams  house,  and  empty  vehicles  were  sent  for.  The  fresh 
trains  reached  the  corps  safely,  prior  to  the  final  assault  made  by  the  enemy  at  five  o'clock  P.  M.  This  attack  was  so  severe 
from  all  sides  that  the  portion  of  the  railroad  which  had  been  destroyed  and  the  position  at  that  point  were  relinquished.  The 
ambulance  officers  succeeded  in  loading  up  with  such  of  the  wounded  as  could  not  retire,  others  were  carried  by  stretcher- 
men  or  aided  by  stragglers.  None  of  the  wounded  behind  the  breastworks  were  left,  but  those  on  the  advanced  pickets  could 
not  lie  removed.  Four  medical  officers,  two  hospital  stewards  and  ten  stretcher  men  were  detailed  to  remain  and  care  for  them. 
From  subsequent  information,  it  would  appear  that  sixty  six  of  our  wounded  were  made  prisoners,  and  that  a  hundred  and 
forty-six  dead  were  buried  on  the  field.  Assistant  Surgeon  Jewett,  14th  Connecticut,  received  a  severe  shell  wound. 

The  train  of  wounded  from  Reams's  Station  proceeded  to  the  Williams  house,  and.  aided  by  ambulances  of  the  Ninth 


174  APPENDED    DOCUMENTS AEMY    OF    THE    POTOMAC,    1864. 

Corps  the  wounded  were  sent  to  City  Point,  after  receiving  necessary  surgical  attention.  The  Second  Corps  subsequently 
retired  to  positions  near  the  Jerusalem  plank-road.  The  Second  Cavalry  division,  on  the  23d,  accompanied  the  Second  Corps 
on  the  ri^ht  flank  and  in  advance,  while  the  railroad  was  being  torn  up  towards  Eeams's  Station.  On  the  Dinwiddie  Court 
house  road,  it  met  the  enemy  and  suffered  a  loss  of  forty  wounded,  who  were  taken  to  Reams's  church.  After  the  necessary 
operations  and  attention,  they  were  sent  in  ambulances  to  City  Point.  Ten  ambulances  remained  with  the  cavalry,  as  a  reserve, 
after  sending  the  others  off.  The.Emmons  house,  near  Reams's  Station,  was  first  taken  for  hospital  purposes,  but  being  declared 
unsafe  by  General  Hancock,  it  was  vacated,  and  the  property  and  personnel  moved  towards  Reams's  church.  During  the  affair 
at  Reams's  Station,  the  2d  division  of  cavalry  was  posted  on  the  left  of  the  Second  Corps;  Colonel  Spear's  brigade  picketed  on 
the  right.  One  Autenrieth  medicine  wagon  was  attached  to  the  cavalry  in  addition  to  the  ambulances  as  before  stated.  The 
wounded  of  the  cavalry  division  amounted  to  eighty-three. 

The  number  of  wounded  brought  to  field  hospital  after  this  affair  was  as  follows  :  Second  Corps,  officers,  thirty-seven  ; 
enlisted  men,  three  hundred  and  three;  total,  three  hundred  and  forty;  of  whom,  fourteen  died.  Fifth  Corps,  officers,  fifty- 
nine;  enlisted  men,  seven  hundred  and  fourteen;  total,  seven  hundred  and  seventy-three;  of  whom,  fifty-eight  died.  Ninth 
Corps,  officers,  sixteen ;  enlisted  men,  one  hundred  and  forty-nine ;  total,  two  hundred  and  sixty-five ;  of  whom,  ten  died. 
Cavalry  Corps,  enlisted  men,  eighty-three,  of  whom,  five  died.  Grand  total,  officers,  one  hundred  and  twelve  ;  enlisted  men,  one 
thousand  two  hundred  and  forty-nine;  total  wounded,  one  thousand  four  hundred  and  sixty-one;  total  deaths,  eighty-seven. 

The  position  of  the  corps  on  the  29th  was  about  as  follows :  the  Fifth  in  advanced  position  on  the  extreme  left,  one 
division  beyond  the  Weldon  railroad,  with  its  flanks  extended  across  the  road;  one  division  of  the  Ninth  Corps  connecting  with 
the  right  flank  of  the  Fifth;  two  on  left  flank,  in  two  lines  of  works;  one  division  of  the  Second  Corps  extending  the  left  flank 
in  rear,  and  one  division  of  Second  Corps  extending  the  right  flank  in  front,  and  massing  across  the  Jerusalem  plank-road. 

The  operations  of  the  cavalry  in  August,  on  the  north  side,  are  thus  described  by  Assistant  Surgeon  Geo.  M.  McGill, 
U.  S.  A.:  On  the  15th,  still  moving  on  the  right  of  the  Second  Corps,  the  pickets  of  the  cavalry  division  were  attacked  while 
the  command  halted,  and  nine  men  were  wounded.  These  were  carried  back  three  miles  to  the  division  hospital  near  the  river, 
where  the  necessary  operations  were  performed.  On  the  16th,  these  men,  having  received  all  necessary  attentions,  were 
transferred  to  the  hospital  of  the  Second  Corps  to  await  transportation  to  City  Point,  which  was  hourly  expected.  Supported 
by  General  Miles's  brigade  of  the  Second  Corps,  the  2d  brigade  of  cavalry  made  a  reconnoissance  on  the  16th  towards 
Richmond,  advancing  on  the  Charles  City  road  as  far  as  White's  tavern,  and  losing  so  many  wounded  in  the  skirmish  attending 
this  advance  that  it  became  necessary  to  bring  up  the  five  ambulances  attached  to  the  1st  brigade,  thus  using  ten  on  the  field. 
At  White's  tavern,  the  brigade  of  infantry  was  advanced,  was  sharply  engaged  by  a  heavy  force,  and,  finally,  was  driven  back. 
Our  forces  fell  back,  and  all  of  the  cavalry  wounded  were  brought  with  them,  many  riding  their  horses.  Such  of  the  wounded 
of  the  infantry  as  there  was  room  for  were  also  carried.  The  enemy  attacked  again  before  our  forces  crossed  what  is  called 
Deep  Run,  the  stream  from  White  Oak  Swamp.  In  this  attack,  our  cavalry  was  driven  in  some  disorder,  and  ninety  were 
wounded.  After  the  enemy  was  checked,  the  cavalry  wounded  were  collected  and  speedily  removed  in  ambulances,  borrowed 
from  the  Second  Corps,  to  the  hospital  of  the  division  near  the  Second  Corps  hospitals,  which  were  situated  in  a  pine  \vood 
near  the  James  river.  Such  of  the  infantry  wounded  as  had  been  collected  were,  at  the  same  time,  carried  to  the  hospital  of 
the  2d  division  of  the  Second  Corps.  They  numbered  about  one  hundred.  During  the  nights  of  the  16th  and  17th,  all  the 
wounded  were  thoroughly  examined,  carefully  dressed  and  well  fed.  Primary  operations  were  performed  at  the  same  time. 
No  injuries  of  a  very  remarkable  character  were  observed.  Among  the  operations  were  several  resections,  and  one  Pirogoffs 
amputation.  In  the  latter  case,  ten  days  subsequently,  a  secondary  operation  was  found  necessary. 

It  is  proper  to  mention  more  in  detail  the  operations  of  the  Fifth  and  Ninth  Corps,  more  especially  those  of  the  Fifth, 
which  were  peculiar,  as  the  corps  occupied  a  position  which  the  enemy  could  not  give  up  without  detriment  to  their  line  of 
supply,  arid  so  far  out  on  the  flank  that  it  was  improper  to  advance  much  hospital  property  to  any  convenient  point  until  it 
should  be  determined  that  the  corps  could  maintain  its  ground  against  all  odds.  The  area  was  so  limited  and  so  much  exposed 
to  fire  that  Surgeon  J.  J.  Milhau,  U.  S.  A.,  the  medical  director,  had  to  adopt  a  plan  similar  to  that  employed  by  the  cavalry. 
On  the  18th,  the  Ninth  Corps  had  not  arrived  to  support  the  Fifth.  The  enemy,  at  one  time,  swung  in  on  the  right  of  the 
Fifth  Corps,  turned  a  part  of  their  line,  and  took  a  number  of  prisoners,  whom  they  carried  off  on  their  return  to  their  own 
lines.  At  the  earliest  moment  proper,  the  Fifth  Corps  field  hospital  was  advanced  to  the  Williams  house.  In  the  absence  of  the 
corps  director's  report,  I  have  recourse  to  a  memoir  of  that  period  prepared  and  submitted  to  me  by  Assistant  Surgeon  George 
M.  McGill,  U.  S.  A.  The  Fifth  Corps  reached  the  Weldon  railroad  at  eleven  o'clock  A.  M.,  August  18th,  four  hours  before 
the  rain  of  that  day.  The  enemy  attacked  at  noon.  The  hospital  train  had  arrived,  and  temporary  depots  were  organized, 
the  patients  being  placed  under  tent  flies.  Orders  were  sent  to  re-establish  the  field  division  hospitals  on  the  Prince  George 
Court-house  road.  A  train  of  wounded  was  sent  back  from  the  front  at  eleven  o'clock  p.  M.  Operators  were  sent  back  to 
these  hospitals,  as  it  was  found  impossible  to  render  the  necessary  attentions  to  the  wounded  at  the  temporary  depots  without 
inconvenience,  injury  and  unwarrantable  risk  to  the  wounded.  The  rain  had  made  the  locality  of  the  depots  a  swamp;  shelter 
was  insufficient;  they  were  situated  on  a  flat  swept  by  the  missiles  of  the  enemy.  The  available  ambulances  were  used  for  the 
train.  At  eleven  o'clock  i>.  M.,  four  hundred  were  sent  in,  and  one  hundred  remained.  The  casualties  had  been  chiefly  in  the 
2d  division,  but  the  surgeons  of  the  other  divisions  assisted  those  of  the  second.  It  rained  all  night.  Two  ambulances  were 
next  morning  abandoned  in  the  deep  mud.  The  low  grounds  being  barely  passable  for  horses,  a  new  and  shorter  road,  via  the 
Aiken  house,  Jerusalem  plank-road  and  Williams  house,  was  made  on  the  morning  of  the  19th.  This  new  route  became  soon 
as  bad  as  the  old,  and  proved  a  severe  trial  of  ambulance  discipline  and  perseverance.  On  the  19th,  I  ordered  the  Sixth  Corps 
ambulances,  then  assisting  to  clear  the  Ninth  Corps  hospitals,  to  report  to  Inspector  Winne,  of  the  Fifth  Corps,  to  remove  the 
wounded  to  City  Point,  where  they  were  sent,  having  previously  received  all  proper  attention.  The  ambulance  service  on  this 
occasion  was  very  severe.  Pioneer  parties  preceded  the  trains,  but  the  labor  became  sucli  that,  to  avoid  utter  exhaustion  of  men 
and  animals,  it  became  necessary  to  make  a  detour  towards  the  front,  which  was  attended  by  considerable  risk.  The  transfer 
of  hospitals  and  patients  from  the  position  on  the  Prince  George  Court-house  road  was,  however,  successfully  effected.  On  the 


Plate  XI.op.p.174 


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REPORT    OF    MEDICAL    DIRECTOR    McPARLIN.  175 

afternoon  of  tlie  19th,  the  enemy  again  assaulted  the  2d  and  4th  divisions,  losing  heavily,  and  night  set  in  before  the  attack  was 
repulsed,  which  increased  the  difficulty  of  collecting  the  wounded.  The  darkness  was  extreme,  and  heavy  showers  of  rain 
continued  to  fall.  A  train  which  left  at  nine  o'clock  P.  M.  was  all  night  on  the  road.  On  the  20th,  five  hours  were  consumed 
in  getting  an  ambulance  train  from  the  Weldon  position  to  the  Williams  house.  On  that  morning,  however,  all  the  wounded 
were  lodged  in  the  hospitals,  and  the  field  depots  emptied. 

During  the  19th  and  20th,  the  Ninth  Corps  was  posted  in  support  of  the  Fifth,  its  centre  opposite  the  Aiken  house,  and 
one  brigade  of  cavalry  was  placed  on  the  left  of  the  Fifth  Corps  on  the  evening  of  the  19th.  It  had  five  ambulances,  and  they 
sufficed.  The  primary  hospital  depots  of  the  Ninth  Corps  were  established,  with  canvas  shelter  for  seventy  to  each  division  at 
the  following  points:  Those  of  the  1st  and  3d  divisions,  at  Gurley's ;  that  of  the  2d,  at  Smith's;  and,  finally,  on  the 21st,  that 
of  the  4th,  at  the  Williams  house.  The  wounded  at  the  Gurley  house,  including  the  rebels  wounded  on  the  19th  were  well 
lodged.  The  2d  division  primary  hospital  was  distant,  approached  by  a  narrow  road,  and  open  to  attack  by  the  enemy's 
cavalry.  The  operators  accompanied  the  primary  hospitals.  The  more  elaborate  hospitals  near  army  headquarters,  with  their 
wells,  ice-houses,  convenient  kitchens,  policed  grounds,  raised  bunks,  latrines  and  fenced  areas,  were  not  abandoned  until  it 
was  evident  that  the  corps  was  to  occupy  the  new  ground  permanently.  Surgeon  Otto  Schenck,  46th  New  York  who  was 
wounded  August  20th,  died  on  the  23d. 

On  the  morning  of  the  21st,  the  Fifth  Corps  sustained  a  very  heavy  attack  while  the  Second  Corps  was  making  its 
movement  in  the  direction  of  Reams's  Station;  but,  being  protected  by  breastworks,  the  loss  was  only  about  one  hundred  and 
fifty  wounded.  The  ambulance  and  reserve  trains  on  the  immediate  field  were  especially  exposed.  Several  officers  and  men 
were  wounded,  and  some  of  the  ambulances  were  perforated  by  shot  and  shell.  This  exposure  was  unavoidable.  No  further 
attack  was  made  upon  the  Fifth  Corps,  and  it  remained  undisturbed  in  possession  of  the  Weldon  railroad,  and  strengthened 
the  position  daily.  The  Ninth  Corps  was  also  stationary.  The  exposure  to  which  the  wounded  had  been  subjected  induced 
the  surgeon-in-chief  of  the  Fifth  Corps  to  construct  medical  redoubts,  as  they  were  termed,  in  the  vicinity  of  each  division. 
A  deep  ditch  was  dug,  and  the  earth  being  thrown  up  around  a  stockade  of  logs,  furnished  cover  from  horizontal  missiles 
while  a  rude  roof  protected  the  wounded  from  shells.  A  medicine  wagon  could  be  drawn  up  at  the  entrance  of  the  work 
convenient  for  use.  After  a  time,  ditches  were  dug  to  dry  the  low  grounds  occupied  by  the  corps,  and  a  very  thorough  system 
of  drainage  was  adopted.  For  a  limited  period,  whiskey  and  quinine  were  issued  to  the  command  to  obviate  local  malarial 
influences. 

The  Second  Corps  had  marched  and  countermarched  so  often  and  so  rapidly,  to  arrive  opportunely  at  opposite  and 
distant  positions,  that  it  acquired  the  soubriquet  of  "Hancock's  cavalry."  Men  fell  out  of  ranks  on  these  marches,  and  many 
were  sent  to  City  Point,  unable  to  endure  further  active  duty,  who  were  not  seriously  sick.  In  no  one  camp,  says  its  medical 
director  in  his  report  for  September,  did  the  corps  remain  four  days  at  a  time.  The  1st  division  was  kept  moving  about  for 
military  reasons,  now  in  rear  of  one  portion  of  the  line,  now  supporting  another,  while  the  2d  division,  on  account  of  the  cattle 
raid  011  our  rear,  September  16th,  was  kept  in  a  like  state  of  activity  in  the  neighborhood  of  Prince  George  court-house.  This 
continued  until  September  23d,  when  the  2d  division  relieved  the  Tenth  Corps  in  their  position  in  the  works  stretching  west 
from  the  Appomattox. 

During  September,  the  hospitals  of  the  Second  Corps  were  at  the  Burchard  and  Deserted  houses.  The  prevailing 
diseases  were  diarrhoea,  dysentery  and  fevers  of  the  intermittent  and  typhoid  type.  The  average  number  on  the  daily  sick 
report  was  a  little  over  five  per  cent.  The  railroad  was  continued,  by  the  14th  day  of  September,  from  Cedar  Level,  Seven-miles 
Station,  on  the  4Jity  Point  and  Petersburg  railroad,  to  Warren  Station,  the  point  on  the  Weldon  railroad  seized  and  held  bv 
the  Fifth  Corps. 

About  September  28th,  preliminary  steps  were  taken  for  a  movement  towards  the  South  Side  railroad.  The  sick  in 
field  hospitals  were  sent  to  City  Point.  The  cavalry  made  a  reconnoissance  to  the  left  on  the  20th,  accompanied  by  a  brigade 
of  infantry.  September  3Uth,  the  troops  advanced  up  the  Squirrel  Level  road  beyond  Poplar  Spring  church,  and  position  was 
taken  by  General  Warren  at  the  Pegrarn  house,  three  miles  from  Yellow  tavern.  The  troops  engaged  were  portions  of  the 
Fifth  and  Ninth  Corps  and  the  3d  division  of  the  Second  Corps.  The  3d  division  of  the  Second  Corps  held  the  left  against 
surprise  on  that  flank,  and  had  about  seventy  wounded.  The  Fifth  Corps  bore  the  brunt  of  the  attack,  and  its  position  was 
held,  and  has  since  been  occupied  by  us,  compelling  the  abandonment  of  the  Squirrel  Level  road  to  a  great  extent,  and  the 
employment  of  a  more  circuitous  route  by  the  enemy  between  Stony  Creek  and  Petersburg.  The  wounded  of  the  Fifth  Corps 
were  soon  attended  to  near  Poplar  Grove  church,  and  those  of  the  Ninth  at  Peeble's  house.  They  were  afterwards  sent  to  City 
Point.  Rain  continued  on  October  1st  and  2d,  with  cold  weather,  exercising  an  unfavorable  influence  upon  the  troops  and  the 
roads.  The  engagement  not  being  general,  the  Second  Corps  advance  hospital  was  not  brought  nearer  than  its  park  at  Yellow 
tavern,  the  ambulances  affording  adequate  supplies  for  the  seventy  wounded.  At  this  time,  our  works  before  Petersburg  were 
occupied  by  divisions  extended  so  as  to  fill  the  place  left  vacant  by  troops  sent  to  the  left.  The  movement  was  complete  by  the 
6th  of  October,  when  quiet  was  established,  with  the  exception  of  artillery  duels,  sharpshooting  and  skirmishes  of  pickets  at 
different  points,  until  October  2(!th,  when  affairs  were  put  in  readiness  for  the  movement  to  Hatcher's  Run.  The  Fifth  Corps 
division  hospitals  were  established  at  Aiken  house  and  Parke  Station,  October  1st,  and  the  Ninth  Corps  hospitals  were  also 
placed  there  on  the  9th  of  October. 

On  the  night  of  October  24th,  the  2d  and  3d  divisions  of  the  Second  Corps  were  withdrawn  from  their  position  in  front 
and  massed  for  movement,  and,  on  the  26th,  the  Ninth  Corps  was  prepared  also.  The  sick  of  all  the  corps  were  sent  to  City 
Point  on  that  day.  The  movement  was  commenced  on  the  27th,  the  Ninth  Corps,  passing  along  the  Squirrel  Level  road  beyond 
Fort  Cummings,  formed  in  line  of  battle  two  miles  and  a  half  in  advance,  its  left  being  near  the  Clements  house.  The  hospitals 
of  this  corps  established  at  Peeble's  were  sufficiently  accessible,  in  excellent  condition,  and  did  not  require  to  be  moved.  The 
Fifth  Corps  advanced  on  the  left  of  the  Ninth,  and  soon  engaged  the  enemy's  pickets.  The  transportation  allowed  was  half 
the  ambulances,  one  medicine  wagon  and  one  army  wagon  to  each  brigade,  which  proved  adequate  to  the  small  number 
of  wounded  in  the  Fifth  and  Ninth  Corps.  The  ambulances  of  the  Ninth  Corps  advanced  to  the  vicinity  of  an  abandoned  rebel 


176  APPENDED    DOCUMENTS ARMY    OF    THE    POTOMAC,    1864. 

fort  and  promptly  carried  back  to  the  field  hospital  all  the  wounded,  some  seventy-five  in  number.  The  Fifth  Corps  had 
half  its  ambulances  at  the  front.  Its  field  hospital,  material  and  medical  officers  were  brought  up  to  Fort  Cummings,  and  a 
primary  hospital  formed  near  the  Smith  house,  where  surgical  attention  was  given  to  the  wounded.  On  the  26th,  the  2d 
division  of  the  Second  Corps  also  moved,  with  the  medical  transportation  allowed,  to  Fort  Dtichesne,  whence  all  but  fifteen 
ambulances  to  each  division  were  sent  back  to  the  Gurley  house  to  await  orders  from  the  front.  This  arrangement  was  made 
by  the  commander  at  night  in  reference  to  all  the  transportation,  that  it  might  not  interfere  with  the  rapid  advance  of  the 
troops  over  a  country  which  was  new  to  them  and  difficult  to  penetrate.  The  ambulances  and  wagons  in  excess  of  the  allowance 
for  the  movement  had  already  been  ^ent  back  for  security  to  City  Point,  in  view  of  the  possibility  of  the  enemy  penetrating 
some  portion  of  the  lines  left  with  comparatively  limited  protection.  The  medical  property  of  the  division  hospitals  of  the 
Second  Corps  was  thus  at  three  points,  viz. :  At  City  Point,  at  the  Gurley  house,  and  forty-six  ambulances  with  advancing 
troops.  The  2d  division,  which  had  advanced  on  the  Halifax  road  before  dawn  on  the  2?th  of  October,  met  the  enemy 
at  the  crossing  of  Hatcher's  Run,  and  drove  them  from  their  earthworks.  Application  was  made  to  send  the  wounded, 
eio-htv  in  number,  to  the  Gurley  house  rendezvous,  with  or  without  an  escort,  in  the  ambulances  which  were  then  to  return,  but 
this  was  overruled  by  the  corps  commander,  the  road  having  become  infested  by  the  enemy's  cavalry.  They  were,  therefore, 
carried  with  the  troops  along  the  Boydtown  road,  where  Hill's  Corps  and  Hampton's  cavalry  attacked  the  2d  division  and 
Gregg's  cavalry.  Several  attacks  were  made  by  the  enemy  after  four  o'clock  i>.  M.,  the  casualties  resulting  being  over  four 
hundred  in  the  infantry  and  about  one  hundred  in  the  cavalry.  The  primary  rendezvous  for  the  wounded  was  first  made  at 
Rainey's  house,  on  the  Boydtown  road,  but  as  it  soon  came  within  musket  range  of  the  advancing  enemy,  and  seemed  likely  to 
be  captured,  the  wounded  were  removed.  Three  medical  officers,  Surgeon  F.  A.  Dudley,  14th  Connecticut,  Assistant  Surgeon  W. 
T.  Hicks,  7th  Virginia,  and  Assistant  Surgeon  W.  J.  Darby,  59th  New  York,  volunteered  to  remain  and  receive  the  wounded 
who  might  continue  to  be  brought  there  under  the  instructions  previously  given  to  the  stretcher-bearers.  The  ambulances  were 
loaded  and  moved  to  a  grove  of  pines  on  the  east  of  the  open  space,  where  the  exposure  was  materially  less.  The  assault 
ceased  at  dark,  and,  after  some  hours,  it  was  ascertained  that  the  struggle  would  not  be  renewed.  Preparations  were  then 
made  to  withdraw.  The  ambulances  were  loaded  to  their  utmost  capacity,  and,  escorted  by  a  regiment  of  infantry,  proceeded 
to  the  field  hospital  park  near  Gurley's,  where  preparations  had  been  made  for  sending  tiie  wounded  to  City  Point  as  soon  as 
they  received  the  necessary  surgical  attention.  Surgeon  T.  R.  Spencer,  U.  S.  V.,  was  sent  by  me  to  Warren  Station  to 
superintend  their  reception  and  transportation  by  railroad  to  City  Point. 

Medical  Director  McNulty  reports  that,  for  want  of  ambulances,  the  wounded  collected  at  the  Rainey  house  had  to  be 
left,  and  fell  into  the  hands  of  the  enemy.  The  medical  officers  who,  during  the  afternoon,  had  gallantly  volunteered  to  remain 
with  them  were  authorized  by  him  to  do  so.  The  number  of  wounded  left  at  the  house  and  on  the  field  was  estimated  at  two 
hundred  and  fifty.  As  no  communication  has  since  been  received  from  these  officers,  they  are  supposed  to  be  in  the  hands  of  the 
enemy.  The  Second  Corps  withdrew  slowly  after  ten  o'clock  i>.  M.,  and  bivouacked  near  Dabney's  mills,  resuming  the  march 
next  day.  It  rained  very  hard  during  the  night.  The  wounded  reached  Gurley's  early  in  the  morning,  and  by  night,  on  the 
29th,  were  in  hospital  at  City  Point.  The  hospital  park  at  Gurley's  was  broken  up,  the  property  brought  up  from  City  Point, 
and  the  regular  field  hospitals  re-established  in  their  former  sites  behind  the  works  south  of  Petersburg.  During  the  movement 
to  Hatcher's  Run,  part  of  General  Miles's  division  of  the  Second  Corps  made  a  demonstration  upon  the  rebel  position  in  front 
of  Petersburg. 

Surgeon  T.  R.  Spencer  reports  that,  at  Yellow  tavern,  October  28th,  one  hundred  wounded  were  sent  early  in  the 
morning,  and,  afterwards,  the  following  were  sent  thence  by  railroad  to  City  Point:  From  the  Ninth  Corps,  wfciite,  fifty-seven, 
colored,  fifty-three,  of  whom  thirty  were  sick;  Fifth  Corps,  forty-eight;  2d  and  3d  divisions  of  Second  Corps,  eighty-two. 
About  twenty-five  wounded  officers  were  sent  to  City  Point.  The  depot  hospital  at  City  Point  reports  the  reception  of  six 
hundred  and  thirty-nine  wounded  men  and  forty  sick  and  wounded  officers  on  the  morning  report  of  the  29th.  No  further 
incidents  of  interest  occurred  in  October. 

In  November,  no  movement  of  the  army  occurred.  The  aggregate  number  of  wounded  admitted  to  the  field  hospitals 
during  the  month  was  two  hundred  and  ninety-three.  They  were  sent  in  due  time  to  the  depot  hospital  at  City  Point,  Virginia. 
Investigation  into  the  cause  of  sickness  in  certain  regiments  of  the  Ninth  Corps,  the  179th  and  186th  New  York  and  the  31st 
Maine,  in  which  typho-malarial  fever  was  reported,  developed  the  fact  that  the  men  '"burrowed"  to  some  extent.  Their  camps 
were  on  low  ground,  near  a  swamp,  and  the  issues  of  vegetables  had  been  neglected.  In  order  to  secure  vegetables  in  that 
corps,  two  pounds  of  coft'ee  in  each  one  hundred  rations  were  dropped,  and,  in  lieu,  sixty  pounds  of  potatoes  and  seventeen 
pounds  of  onions  were  furnished. 

Fine  bath  houses  existed  in  all  the  hospitals  and  in  many  of  the  regiments.  Among  those  especially  mentioned  by  the 
medical  inspector  for  excellence  were  the  ones  established  by  the  35th  Massachusetts,  the  3d  Maryland,  the  9th  New  Hampshire 
and  the  1st,  2d  and  8th  Michigan.  The  troops  in  reserve  adopted,  as  winter  approached,  a  nearly  uniform  system  of  huts.  In 
the  forts,  shelter  tents  and  bomb-proofs  were  used,  and  covered  ways  connected  the  forts  at  points  exposed  to  sharpshooters. 
The  bomb-proofs  consisted  of  long  trenches  roofed  over  and  covered  in,  on  the  aspect  facing  the  enemy,  by  means  of 
heavy  logs,  protected  by  a  thickness  of  two  or  three  feet  of  earth  anil  sand  bags.  Generally  no  attempt  was  made  to  make 
them  impenetrable  to  rain.  Two  or  three  fire  places  were  built  in  each  bomb  proof  along  the  open  rear-ward  side,  and  sleeping 
bunks  were  constructed.  The  huts  were  generally  six  feet  by  ten  and  not  less  than  five  feet  and  a  half  to  the  eaves,  roofed  by 
shelter  tents,  and  intended  for  four  men;  but,  as  one  or  more  were  absent  on  detached  duty  at  a  time,  a  smaller  number  usually 
occupied  them  at  night.  The  field  division  hospitals  were  well  supplied  with  funds,  but  no  adequate  facilities  existed  for  making 
purchases.  The  medical  inspector  of  the  Second  Corps  reports  the  hospital  fund  as  follows:  First  division  field  hospital,  on 
hand.  November  3()th,  two  thousand  and  seventy-five  dollars  and  seventy-seven  cents ;  expended  during  November,  seven  hundred 
and  seventy-six  dollars  and  eighty-five  cents ;  2d  division  field  hospital,  on  hand,  November  30th,  one  thousand  eight  hundred  and 
five  dollars  and  eighty-five  cents  ;  expended  during  November,  two  hundred  and  two  dollars  and  sixty-one  cents;  3d  division  field 
hospital,  on  hand,  November  30th,  one  thousand  two  hundred  and  eighty-two  dollars  and  forty-two  cents;  artillery  brigade  field 


REPORT    OF    MEDICAL    DIRECTOR    McPARLTN.  177 

hospital,  on  hand,  November  30th,  sixty-four  dollars  and  fourteen  cents.  The  hospital  fund  of  the  other  corps  and  at  City  Point 
depot  hospital  amounted  to  some  thousands  of  dollars.  The  capacity  of  the  depot  hospital  at  City  Point,  this  month,  was  six 
thousand  four  hundred  and  nineteen  hods.  Five  hundred  barrels  of  apples,  received  from  the  patriotic  merchants  of  New  York,  as 
per  letter  of  Charles  A.  Righter,  Esq.,  dated  November  24th,  were  distributed  to  the  hospitals.  In  December.  I  expended  nearly 
two  thousand  dollars,  from  funds  in  my  hands,  in  purchase  of  turkeys,  celery  and  cranberry  sauce,  which  were  distributed  and 
served  throughout  the  army  hospitals  on  Christmas  day.  The  colored  division  of  the  Ninth  Corps  having  left  tins  army  late 
in  November,  the  hospital  for  such  troops  was  broken  up.  The  divisions  of  the  Sixth  Corps  returned  to  the  army  of  the 
Potomac,  at  different  dates  early  in  December,  from  duty  in  the  Shenandoah  valley.  They  were  promptly  supplied  with  medical, 
hospital  and  ambulance  property,  as  their  supplies  could  not  be  brought  with  them  December  7th,  an  expedition  moved 
against  the  Weldon  railroad  to  the  southward.  It  was  composed  of  the  Fifth  Corps,  four  batteries,  three  divisions  of  the 
Second  Corps,  and  General  Gregg's  cavalry,  and  one  battery  with  the  bridge  equipage  of  canvas  boats.  Men  unable  to 
march  were  sent  to  the  field  hospitals,  and  a  flying  hospital  organized  to  accompany  the  command  according  to  previous  usage. 
Medical  Inspector  C.  K.  Winne,  of  the  Fifth  Corps,  and  Assistant  Surgeon  E.  J.  Marsh,  U.  S.  A.,  chief  medical  officer  of  the 
cavalry,  detail  the  operations  of  their  respective  commands  in  the  accompanying  reports. 

The  total  number  of  wounded  admitted  to  the  field  division  hospitals  of  the  army  during  December  was  three  hundred 
and  ninety.  To  collect  the  sick  and  wounded  from  the  front  line  immediately  before  Petersburg,  picket  stations  for  ambulances 
had  been  designated.  In  some  corps,  almost  one-third  of  the  ambulances  were  sent  out.  Each  ambulance,  when  used,  returned 
to  its  park  from  the  division  hospital  and  was  relieved  by  another.  After  a  short  stay  in  division  hospital,  serious  cases  were 
sent  by  railroad  to  depot  hospital  at  City  Point,  and  thence,  if  no  improvement  was  noticed  in  them,  they  were  transferred  to 
the  general  hospitals  north.  For  this  service,  the  transports  of  the  Surgeon  General  were  exclusively  used,  except  when  great 
emergencies  made  it  proper  to  send  more  rapidly  than  the  regular  medical  steamers  permitted.  General  Ingalls,  Chief 
Quartermaster,  in  such  cases  promptly  placed  the  quartermaster  steamers  at  the  disposal  of  this  department.  The  steamers 
conveying  the  sick  and  wounded  from  City  Point  were  the  following:  Steamer  State  of  Maine,  Surgeon  Janes  in  charge; 
capacity,  five  hundred  beds.  Steamer  Connecticut,  Surgeon  Hood  in  charge;  capacity,  four  hundred  beds.  Steamer  Western 
Metropolis,  Acting  Assistant  Surgeon  W.  M.  Hudson,  U.  S.  A.,  in  charge;  capacity,  four  hundred  and  fifty  beds.  Steamer  De 
Molay,  Surgeon  Seaverns  in  charge ;  capacity  three  hundred  beds.  Steamer  Baltic,  Assistant  Surgeon  Thomas  McMillen,  U.  S.  A., 
in  charge  ;  capacity,  five  hundred  beds.  Steamer  Atlantic,  Surgeon  D.  P.  Smith,  U.  S.  V.,  in  charge ;  capacity  five  hundred 
beds.  The  two  last  ocean  steamers  came  only  to  Fortress  Monroe,  where  patients  were  sent  for  transfer  to  them.  Steamers  of 
more  convenient  draught  and  entirely  sea  worthy,  such  as  the  Ben  De  Ford  and  S.  N.  Spaulding,  were  sent  to  City  Point,  after 
their  superiority  became  evident.  Patients  were  sent  direct  from  City  Point  to  Washington,  Point  Lookout,  Annapolis, 
Baltimore,  Philadelphia  and  New  York. 

In  the  depot  hospital  at  City  Point,  preparations  were  made  for  the  winter  by  the  erection  of  stockade  buildings  with 
open  fire-places.  Many  fine  wards  were  thus  added.  The  tents  which  were  kept  in  use  were  supplied  with  frames  and 
heated.  In  order  to  preserve  them,  many  tents  were  taken  down  and  stored.  At  the  same  time,  the  division  hospitals  at  the 
front  were  made  ready  for  winter.  The  ambulance  corps  put  up  very  comfortable  stockades  and  stables  for  the  men  and 
animals  at  points  convenient  to  their  division  hospitals.  It  is  proper  to  remark  that,  since  August  last,  the  duties  of  nurses, 
attendants,  cooks  and  orderlies  at  the  depot  hospitals  have  been,  to  a  great  extent,  performed  by  detailed  musicians,  the  services 
of  able-bodied  men  being  required  with  their  regiments.  An  efficient  officer  of  the  line  was  detailed  by  each  corps  commander 
for  the  general  charge  of  the  musicians  of  his  corps,  and,  on  requisition  of  the  chief  medical  officer,  the  detail  for  hospital  guard 
was  furnished  by  corps  commanders.  The  inmates  of  the  depot  hospital  were  not  detached  from  their  commands,  and  no 
descriptive  lists  were  made  out  for  them.  Difficulties  and  delays  having  been  experienced,  in  some  cases,  in  obtaining  clothing 
for  patients,  orders  were  issued,  in  November,  from  army  headquarters,  instituting  a  system  whereby  clothing  required  was  to 
be  issued  by  the  line  officer  in  charge  of  the  detailed  men  in  each  corps  hospital,  who  transferred  the  receipt  rolls  to  the 
regimental  quartermaster  of  the  regiment  to  which  the  man  signing  the  receipt  rolls  belonged,  taking  his  receipt  for  them 
in  the  usual  form,  which  receipt  was  to  be  his  voucher  for  the  clothing  issued.  The  regimental  quartermaster  transferred 
the  rolls  to  the  proper  company  commander,  taking  his  receipt  in  the  same  manner.  By  thus  obviating  the  necessity  of 
descriptive  lists  being  furnished,  a  great  deal  of  labor  and  time  was  saved  in  administration,  and  the  patients  were  cared  for 
in  a  manner  not  elsewhere  possible,  except  in  an  established  general  hospital.  They  were  readily  returned  to  their  commands 
when  convalescent,  as  these  \vere  in  the  vicinity  of  the  hospitals.  Subsequently  to  the  period  embraced  in  this  report,  orders 
from  the  Lieutenant  General  Commanding  required  paymasters  paying  troops  to  go  to  the  depot  hospitals,  and  there  pay  all 
mustered  men  belonging  to  the  regiments  they  had  paid  at  the  front.  Whenever,  at  the  front,  it  was  desirable,  in  anticipation 
of  a  movement,  that  the  patients  whose  hasty  removal  would  be  injurious  should  be  sent  away,  this  could  readily  be  done  at 
nighty  using  the  railroad  to  City  Point.  It  was  thus  easy  to  keep  the  hospitals  clear  at  all  times.  The  report  of  the  chief 
medical  officer  at  City  Point  from  May  to  October  accompanies  this.  The  records  of  no  army  furnish  a.  parallel  establishment, 
and  I  regret  the  more  that  time  and  the  incompleteness  of  reports  render  it  diiticult  to  represent  fully  its  character  and  value. 

The  regimental  reports  of  sick  and  wounded,  which  I  have  had  consolidated  so  far  as  they  have  been  received,  enable 
me  to  make  the  following  approximate  statements  with  regard  to  the  sick  and  wounded  of  the  army  during  the  paht  year. 
By  order  of  the  Surgeon  General,  reports  were  also  furnished  me  from  the  general  hospitals  north,  in  order  that  the  disposition 
of  cases  sent  from  the  army  might  be  ascertained.  Certain  sources  of  error  are  incident  to  the  reports  of  an  army  in  the  field 
during  active  operations.  Wounded  are  known  to  have  passed  directly  to  the  depot  hospital  without  being  registered  in  their 
regiments,  or  entering  the  field  hospitals,  and  sick  and  wounded  of  the  Ninth  and  Eighteenth  Corps  received  attention  from 
medical  officers  of  the  army  of  the  Potomac,  in  regard  to  whom  no  reports  have  ever  been  forwarded  by  the  corps  medical  directors 
to  this  ofli'jc  for  consolidation.  The  following  figures,  however,  are  offered  as  a  close  approximate  to  the  truth  :  I  estimate  the 
total  number  of  wounded  attended  to  by  this  department  during  the  year  ending  December  HI,  18(54,  at  sixty  thousand  three 
hundred.  The  annual  report  shows  an  aggregate  of  wounds  and  injuries  (Class  V)  of  only  fifty-one  thousand  eight  hundred 

*>:'. 


178  APPENDED    DOCUMENTS ARMY    OF    THE    POTOMAC,    18(54. 

and  seventy-seven.  There  is  every  reason,  also,  to  believe  that  the  number  of  sick  reported,  viz.,  one  hundred  and  seventy-three 
thousand  and  sixty-three,  falls  short  of  the  actual  number.  Of  the  aggregate  sick  and  wounded,  the  number  who  passed  out 
of  the  army  to  general  hospital  are  reported  at  seventy  thousand  eight  hundred  and  fifty- eight;  but',  including  those  not 
reported  and  those  of  other  corps  attached  temporarily  to  the  army,  should  be  eighty-thousand  one  hundred  and  eighty-one. 
Of  the  total  number  of  sick  and  wounded  reported,  the  number  returned  to  duty  from  field  hospitals  was  one  hundred  and  fifty 
thousand  and  twenty-nine ;  returned  to  duty  from  depot  hospital,  thirteen  thousand  six  hundred  and  ninety ;  from  northern 
general  hospitals,  twenty-two  thousand  seven  hundred  and  eighty-six ;  total  returned  to  duty,  one  hundred  and  eighty-six 
thousand  live  hundred  and  five.  The  number  transferred  to  the  Veteran  Reserve  Corps  in  the  field  was  five  hundred  and  fifty- 
six ;  in  general  hospitals,  three  hundred  and  eleven;  total,  eight  hundred  and  sixty-seven.  The  number  discharged  the 
service  in  the  field  was  one  thousand  and  fifty-three ;  in  depot  field  hospital,  ten ;  in  general  hospitals,  three  thousand  and 
eighty-two;  total,  four  thousand  one  hundred  and  forty-five.  The  number  of  patients  who  deserted  from  field  hospitals  was 
one  hundred  and  ten  ;  from  depot  hospital,  one  hundred  and  twenty-seven  ;  from  general  hospitals,  one  thousand  and  seventy- 
four  ;  total,  one  thousand  three  hundred  and  eleven.  Died,  in  the  field,  two  thousand  five  hundred  and  eighty-nine ;  in  depot 
hospital,  one  thousand  three  hundred  and  forty-seven ;  in  northern  general  hospitals,  six  thousand  seven  hundred  and 
forty-three;  total,  ten  thousand  six  hundred  and  seventy-nine.  Furloughed,  in  the  field,  five  hundred  and  thirty-seven;  in 
depot  hospital,  seven  hundred  and  sixty-one;  total,  one  thousand  two  hundred  and  ninety-eight.  There  remained  on  sick 
sick  report,  in  the  field,  December  31,  18(54,  two  thousand  five  hundred  and  sixty ;  in  depot  hospital,  two  thousand  eight 
hundred  and  ninety-five;  in  northern  hospitals,  seventeen  thousand  eight  hundred  and  sixteen. 

These  reports  also  show  that  seventy-four  per  centum  of  the  number  of  cases  belong  to  zymotic  diseases  and  wounds,  viz. : 
Miasmatic  fevers  and  diarrhoea,  iJfty-one  per  centum,  chiefly  in  June,  July,  August,  September,  October  and  November ;  gunshot 
wounds,  twenty-three  per  centum,  chiefly  in  May,  June,  July  and  August.  So  large  a  proportion  of  cases  being  directly 
attributable  to  the  climate  and  to  the  active  and  prolonged  campaign,  it  is  only  just  to  remark  that  the  conservation  of  the 
health  and  strength  of  the  army  has  been  accomplished  to  an  extent  that  reflects  credit  upon  its  officers,  and  is  duly  appreciated 
by  the  men.  Assistant  Surgeon  J.  B.  Brinton,  U.  S.  A.,  medical  purveyor,  has  kept  the  army  well  supplied  with  medical 
stores.  The  steamer  Planter  and  several  barges  are  in  use  for  that  purpose  at  the  medical  department  landing  near  City  Point. 
Articles  of  hospital  comfort  and  luxury,  purchased  from  the  proceeds  of  a  tax  on  newspapers,  have  been  dispensed  by  the 
purveyor  gratuitously.  The  amount  of  this  fund  received  since  last  report  (see  page  167)  has  been  one  thousand  four  hundred 
and  ninety-nine  dollars  and  twenty  cents ;  amount  expended,  two  hundred  and  sixty-one  dollars  and  seventy-five  cents  ;  balance 
on  hand,  December  31,  1864,  nine  thousand  and  twenty-five  dollars  and  thirty-nine  cents ;  total  amount  received  during  the 
year  1864,  twenty  thousand  nine  hundred  and  twenty-seven  dollars  and  forty-five  cents ;  total  amount  expended  during  the  year, 
eleven  thousand  nine  hundred  and  two  dollars  and  six  cents.  The  abstracts  of  hospital  fund,  as  far  as  received  at  this  office, 
indicate  in  the  hospitals  at  the  front  a  hospital  fund  remaining  at  the  end  of  the  year  of  six  thousand  three  hundred  and  ninety- 
two  dollars  and  forty-one  cents,  and  at  the  depot  field  hospital  at  City  Point,  the  reports  from  which  are  also  incomplete,  of 
five  thousand  two  hundred  and  twenty-eight  dollars  and  sixty-four  cents. 

The  strength  of  the  medical  department  for  the  period  embraced  in  this  report  has  been  as  follows :  Medical  officers, 
August,  five  hundred  and  seventy-seven;  September,  four  hundred  and  ninety-four;  October,  four  hundred  and  seventy-seven; 
November,  four  hundred  and  sixty-six;  December,  five  hundred  and  nine.  Hospital  stewards  (not  regimental),  August,  forty- 
four;  September,  thirty-one;  October,  thirty-five;  November,  forty-one;  December,  thirty-nine.  Ambulance  corps,  Officers, 
August,  thirty-nine;  September,  thirty-three;  October,  thirty-nine;  November,  thirty-nine;  December,  thirty-eight.  Men, 
August,  one  thousand  five  hundred  and  thirty-seven;  September,  one  thousand  four  hundred;  October,  one  thousand  five 
hundred  and  six;  November,  one  thousand  five  hundred  and  thirty-nine;  December,  one  thousand  seven  hundred  and  ninety- 
seven. 

Assistant  Surgeon  J.  S.  Billings  and  George  M.  McGill,  U.  S.  A.,  have  lately  been  detached  from  this  army  for  duty 
elsewhere.  They  have  been  on  special  duty  at  these  headquarters,  and  I  desire  to  express  to  the  Commanding  General 
my  high  sense  of  the  valuable  services  rendered  by  them  to  ine  and  the  department. 

Very  respectfully,  your  obedient  servant, 

THOS.  A.  McPARLIN, 
Medical  Director  Army  of  the  Potomac. 

To   the    SURGKON   GUNKUAL   OF   THE  AlIMY. 


CXLIV.     Extract  from,  a  Report  of  the  Operations  of  the  Medical  Department  of  the  Cavalry 
during  Kilpatrictfs  Raid.     By  Surgeon  CHARLES  E.  HACKLKY,  U.  S.  Volunteers. 

"  General  Kilpatrick's  command,  consisting  of  seven  hundred  men  from  the  1st  division  of  Cavalry,  four  hundred 
from  the  2d  division,  and  about  two  thousand  four  hundred  from  the  3d,  started  from  Stevensburg,  February  28,  1864,  at 
seven  o'clock  P.  M.,  and  crossed  the  Rapidan  at  Ely's  Ford,  where  a  picket  post,  consisting  of  a  captain,  lieutenant  and  twelve 
men,  were  captured  by  Colonel  Dahlgren,  who  led  the  advance.  Continuing  our  march  via  Chancellorsville,  Spottsylvania  Court 
house,  Mount  Pleasant  and  New  Market,  we  reached  Beaver  Dam  Station  at  three  P.  M.,  February  29th.  Near  Beaver  Dam,  we 
were  opposed  by  a  small  force  of  rebels,  who  were  quickly  driven  off  without  loss  on  our  part.  The  command  halted  for  some 
hours  about  seven  miles  from  Beaver  Dam  Station.  We  started  early  on  the  morning  of  the  1st  of  March,  and  reached  the 
outer  earthworks  of  Richmond,  on  the  Brook  pike,  about  ten  o'clock  A.  M.  About  noon,  a  demonstration  was  made  towards  the 
city,  during  which  two  men  were  wounded.  They  were  brought  off  when  we  retired.  It  has  since  been  reported  that  some 
others  were  shot  near  the  inner  fortifications,  but  I  do  not  know  of  any  being  left  behind.  It  being  found  impossible  to  enter 
the  city  at  that  point,  and  night  coming  on,  the  command  was  withdrawn.  About  eleven  o'clock  P.  M.,  our  camp  was  shelled, 
and,  simultaneously,  an  attack  was  made  on  us  by  dismounted  cavalry  armed  with  carbines.  A  number  of  our  men  were 


KEPOKTS    OF    SURGEONS    HACKLEY    AND    McGTLL.  179 

wounded,  and,  as  the  command  was  obliged  to  withdraw,  we  were  unable  to  bring  off  any  of  them  who  were  too  badly  injured 
to  ride.  We  now  inarched  towards  White  House,  passed  New  Kent  Court-house  and  Williamsburg,  and  arrived  at  Yorktown  on 
the  morning  of  the  4th  of -March.  On  the  morning  of  the  2d,  after  leaving  the  vicinity  of  Richmond,  we  had  some  skirmishing 
with  the  enemy's  cavalry,  and  two  men  of  the  1st  Maine  Cavalry  were  shot  through  the  thigh ;  there  were,  also,  some  slight 
sabre  wounds.  Six  ambulances  accompanied  the  expedition.  Two  of  them  went  with  Colonel  Dahlgren,  who,  with  a  party 
of  five  hundred  men,  went  by  way  of  Frederick's  Hall  Station  to  the  James  river,  thence,  failing  to  cross  the  river,  down  to 
Richmond.  These  ambulances  were  captured,  together  with  Assistant  Surgeon  S.  T.  Kingston,  2d  New  York  Cavalry,  who 
accompanied  them.  Colonel  Dahlgren,  Lieutenant  Colonel  Cooke,  of  the  2d  New  York  Cavalry,  and  a  party  of  about  eighty 
men  were  separated  from  the  main  body  during  the  night  of  March  1st.  The  main  body  of  the  detachment  joined  General 
Kilpatrick,  March  2d,  about  noon.  They  report  having  lost  a  number  of  men  killed  and  wounded  in  front  of  Richmond  during 
the  evening  of  the  1st  of  March;  also,  some  were  wounded,  in  trying  to  join  General  Kilpatrick,  on  the  morning  of  the  2d. 
Their  wounded  were  all  left  behind.  Colonel  Dahlgren,  with  his  party,  crossed  the  Pamimkey  and  Mattapony  rivers,  and 
attempted  to  reach  Gloucester  Court-house ;  but  the  citizens  of  King  and  Queen  county,  together  with  soldiers  at  home  on 
furlough,  turned  out  in  large  numbers,  and  ambushed  the  party,  killing  its  gallant  leader  and  dispersing  and  capturing  most  of 
his  followers.  We  brought  to  Yorktowii  nine  seriously  wounded  and  some  sick  in  the  ambulances.  Among  the  wounded,  one 
required  amputation  at  the  shoulder  joint. 

Owing  to  the  rapidity  of  the  mai'ch,  it  was  impossible  to  expect  much  from  the  medical  department;  but,  so  far  as  I  can 
learn,  very  great  attention  was  paid,  by  the  surgeons  of  the  different  regiments,  to  those  of  our  wounded  who  could  be  found, 
and  to  the  tired-out  soldiers  of  the  command.  Our  wounded  and  those  who,  it  was  supposed,  would  be  seriously  sick,  were  sent 
from  Yorktown  to  general  hospital  at  Fortress  Monroe.  The  number  sent  was  thirty-four.  I  might  remark  that,  so  far  as  I 
can  learn,  a  large  number  of  the  wounded  and  missing  were  among  men  straggling  from  the  command,  either  on  account  of 
fatigue  or  loss  of  horses.  Two  nights  and  a  day,  during  our  march,  were  quite  rainy  and  cold,  but  there  was  not,  apparently,  as 
much  suffering  from  this  account  as  I  expected  there  would  have  been.  A  number  of  cases  of  painfully  swelled  feet  came  under 
my  observation.  These  were  partly  attributable  to  the  boots  not  having  been  removed  and  the  spur  straps  being  tight,  and  partly, 
doubtless,  to  the  McClellan  saddles  interfering  with  the  circulation  in  the  legs.  Haemorrhoids,  also,  were  frequently  complained 
of.  It  is  very  probable  that  the  blanket  projecting  between  the  bars  of  the  saddle,  and  heating  the  anus,  produced  this  painful 
trouble,  and  the  circumstance  that  the  opening  in  the  saddle  leaves  the  perina^um  without  support  may  also  have  some  causative 
effect.  If  all  army  saddles  were  furnished  with  the  pad  on  the  seat  frequently  used  by  officers,  it  would,  in  my  opinion,  be 
much  more  pleasant  and  healthy  for  the  men." 


CXLV.     Extract'  from  a  Report  on  the  .Expedition  of  the  Cavalry  Corps  during  J^fciy^  1804. 
By  Assistant  Surgeon  GEOKGE  M.  McGiLL,  U.  S.  Army. 

"  On  the  9th  day  of  May,  Surgeon  Pease  being  too  sick  for  mounted  duty,  I  was  made  acting  medical  director  by 
Major  General  Sheridan.  The  corps  was,  at  that  time,  upon  the  march,  and  numbered  about  nine  thousand  mounted  men.  Theiv 
was  one  ambulance  at  the  headquarters  of  the  corps,  and  the  batteries  of  artillery  had  each  an  ambulance,  in  which,  however, 
the  mess  things  of  the  artillery  officers  and  their  bedding  were  carried  ;  the  ambulance  boxes  contained  the  usual  supply  of  beef 
stock,  etc.  Thirty-one  ammunition  wagons  were  with  the  command,  all  heavily  laden,  but  not  the  less  adapted  to  ambulance 
service,  for,  as  was  afterwards  shown,  an  engagement  used  up  ammunition  enough  to  make  it  possible  to  carry  such  of  the 
wounded  men  as  were  cases  to  bring  along,  and  yet  unable  to  ride  their  horses.  Each  medical  officer  had  a  field  companion, 
and  each  regiment  was  provided  with  the  field  register.  During  the  five  days  in  which  we  had  no  communication;  the 
medicines  and  dressings  on  hand  were  used  up,  but  a  supply  of  dressings  were  obtained  by  a  foraging  party.  The  wounded 
were  abundantly  fed  by  foraging.  As  the  corps  headquarters  was  the  most  stable  position  in  the  command,  it  was  ordered  that 
all  the  wounded  who  were  able  to  ride  their  horses  should  be  sent  thither.  Acting  Assistant  Surgeon  Rogers  was  placed  in 
charge  of  these  men,  and  Acting  Assistant  Surgeon  McGuigan  ordered  to  report  to  him.  After  a  capture  of  three  rebel  wagonh 
and  three  ambulances,  made  upon  the  night  of  the  9th  of  May.  a  corps  ambulance  train  was  organized,  and  the  same  officer  put 
in  charge.  As  the  number  of  our  wounded  increased,  the  battery  ambulances,  with  such  spring  wagons  as  could  be  appropriated 
in  the  corps  or  taken  from  inhabitants  of  the  country,  were  added  to  the  train,  which  finally  assumed  formidable  proportions, 
and  presented  a  remarkable  appearance  from  the  variety  of  vehicles  embraced  in  it.  The  first  engagement  was  on  the  telegraph 
road  approaching  Childsburg ;  an  affair  of  the  rear  guard,  in  which,  however,  we  lost  heavily.  Man}'  of  the  wounded  were 
captured  by  the  enemy,  but  nineteen  were  saved  and  transported  in  ammunition  wagons.  On  the  night  of  the  9th  and  morning 
of  the  10th,  we  had  twenty  men  and  officers  wounded  in  skirmishing.  During  the  afternoon  of  the  llth,  the  battle  of  Yellow 
tavern  was  fought,  an  engagement  in  which  the  whole  corps  was  concerned.  Our  corps  hospital  was  established  half  a  mile  iir 
the  rear  of  the  centre ;  it  was  under  fire  part  of  the  time,  but  there  was  no  situation  within  our  lines  that  was  not.  It  was 
thoroughly  organized  with  a  surgeon  in  charge,  operators,  dressers  and  recorders.  The  night  and  day  following  this  battle 
were  extremely  trying  for  the  wounded,  as  the  corps  moved  during  the  night  to  near  Meadow  bridge,  within  the  outer  defences  of 
Richmond,  and  fought  all  the  day.  On  the  12th,  the  corps  was  engaged  on  three  sides.  On  the  left,  facing  Richmond,  the  3d 
division  was  engaged  with  one  of  the  rebel  fortifications.  On  the  right,  the  2d  division  contended  against  a  heavy  torce  of 
infantry,  while  the  1st  division  built  a  bridge  over  the  Chickahominy,  and  forced  a  passage  in  the  face  of  the  cavalry  force 
defeated  by  the  corps  the  day  before.  The  wounded  from  these  points  were  sent  to  the  corps  train  after  being  carefully  dressed. 
Most  of  the  cases  saved  were  brought  off  on  horseback,  as  all  our.  ambulances  were  already  overloaded.  Our  loss  was  com 
paratively  light,  forty  men  in  all  lieing  wounded  in  the  2cl  and  3d  divisions.  On  the  afternoon  and  evening  of  the  same  day, 
the  corps  fought  at  Mechaniesville.  and,  during  the  two  days  following,  marched  to  Haxall's  landing,  which  was  reached 
on  the  afternoon  of  the  14th.  During  these  days,  surgeons  were  detailed  night  and  morning  to  dri>s  and  attend  lo  the 


180  APPENDED    DOCUMENTS ARMY    OF    THE    POTOMAC!,    1864. 

wounded.  As  soon  as  Medical  Director  McCormick  heard  of  our  arrival,  he  sent  a  transport  well  fitted  up  for  the  wounded. 
While  lying  at  Haxall's,  nearly  three  hundred  men  were  sent  to  general  hospital,  two  hundred  and  ten  of  whom  were  wounded. 
Much  needed  medical  supplies  were  here  obtained  for  the  corps.  From  Haxall's,  we  moved  to  White  House,  where  fifty-seven 
sick  and  wounded  were  sent  to  general  hospital.  On  the  18th,  while  lying  at  Baltimore  stores,  an  expedition  was  made  by 
Brigadier  General  Custar,  who  cut  the  Richmond  and  Fredericksburg  railroad  near  Hanover  Court-house.  In  this  expedition, 
two  men  were  wounded,  one  of  whom  was  lost.  Crossing  the  Pamunkey  river,  the  corps  next  marched  to  Dunkirk,  on  the 
Mattapony,  thence  to  our  wagon  train,  near  Milford  Station.  In  all  there  were  about  three  hundred  and  eighty  men  wounded 
during  the  expedition,  of  whom  about  two  hundred  and  eighty-five  were  secured." 

CXLVI.     Extract  from  a  Report  on  the  Operations  of  the  Cavalry  Corps  of  the  Army  of  the 
Potomac,  from  June  6  to  July  1,  1864:.     By  Surgeon  R.  W.  PEASE,  U.  S.  Volunteers. 

"  On  the  evening  of  June  6th,  I  was  directed  to  make  preparations  for  a  movement  of  the  1st  and  2d  divisions 
of  this  corps,  which  would  probably  involve  an  absence  of  several  weeks.  Orders  were  given  by.  the  Major  General 
commanding  that  but  four  ambulances  to  each  division  and  two  for  headquarters  should  accompany  the  expedition. 
Instructions  were  immediately  issued  to  have  one  ambulance  loaded  for  each  division,  and  an  army  wagon  was  well  filled  with 
supplies  of  all  kinds,  and  taken  with  the  headquarter  train.  The  command  marched  on  the  morning  of  June  7th,  crossing  the 
Pamunkey  river  at  New  Castle  Ferry,  and  moved  towards  the  Virginia  Central  railroad,  intending  to  strike  it  near  Trevilliau 
Station.  Our  march  was  uninterrupted  until  the  morning  of  the  llth,  when,  about  four  miles  east  of  Trevillian  Station,  we 
came  upon  the  enemy  in  force.  The  engagement  continued  with  great  fury  until  about  four  o'clock  p.  M.,  the  rebels  being 
driven  about  five  miles  beyond  the  railroad.  Our  loss  was  about  one  hundred  and  sixty  wounded.  These,  with  about  seventy 
wounded  rebels,  were  brought  to  our  field  hospital,  and  every  possible  attention  given  them.  At  eleven  o'clock  P.  M.,  all  but 
thirty-six  severely  wounded  were  placed  in  army  wagons  and  moved  to  the  station.  Those  left  were  placed  in  charge 
of  Assistant  Surgeon  R.  Rae,  1st  New  York  Dragoons,  with  whom  five  hospital  attendants  and  rations  for  five  days  were  left, 
with  medical  supplies  in  sufficient  quantity  for  immediate  wants.  The  greater  part  of  the  12th  was  occupied  in  destroying  the 
railroad.  At  five  o'clock  P.  M.,  the  enemy  was  found  about  three  miles  west  of  the  station  in  a  strong  position,  entrenched  and 
fully  prepared  for  an  attack.  A  spirited  engagement  ensued,  which  continued  until  after  dark.  Our  loss,  in  this  attack, 
amounted  to  about  three  hundred  and  sixty-six  wounded.  Our  hospital  was  established  at  the  station  in  a  large  and 
commodious  building.  Orders  were  received  at  eleven  o'clock  P.  M.  to  be  ready  to  move  our  wounded  by  midnight.  Thirty 
army  and  twelve  ammunition  wagons  were  assigned  for  the  purpose.  All  who  could  not  be  transported  in  these  Avagons  and 
in  our  ten  ambulances  were  placed  in  carriages  and  other  vehicles,  which  we  had  impressed  on  our  route.  In  addition  to  our 
own  wounded,  we  had  about  forty  severely  wounded  rebels.  All  were  brought  along  on  our  return  except  the  rebels,  the 
thirty-six  wounded  left  after  the  first  day's  fight,  and  ninety-four  severely  wounded  on  the  12th.  The  latter  were  left  at 
Trevillian  Station  in  charge  of  Assistant  Surgeon  Stickler,  10th  New  York  Cavalry,  and  Assistant  Surgeon  Powell,  1st  New 
York  Cavalry.  One  hospital  steward  and  seven  attendants  were  left  with  them,  with  rations  for  three  days  and  nearly 
all  the  remainder  of  our  medical  supplies.  Our  train  of  wounded  was  at  once  fully  organized,  and  six  medical  officers 
detached  to  attend  it.  On  the  19th,  we  reached  King  and  Queen  Court-house,  and  from  thence  sent  the  wounded  to 
Washington,  via  West  Point.  Seven  of  the  wounded  died  before  reaching  Washington.  On  the  morning  of  the  20th,  we 
resumed  our  march  for  White  House,  Virginia,  being  hastened  by  a  message  stating  that  that  place  had  been  attacked. 
WTe  made  the  march  of  twenty  miles  in  four  hours,  but  found  the  enemy  had  been  repulsed.  On  the  21st,  the  corps  moved 
to  Jones's  bridge,  skirmishing  nearly  all  day.  Thirty-seven  were  wounded.  Five  or  six  of  the  1st  Pennsylvania  Cavalry 
fell  into  the  hands  of  the  enemy  ;  two  Avere  wounded  by  bushwhackers;  making  a  total  loss  of  forty-five  men.  Orders  were 
received  to  send  our  sick  and  Avounded  to  Washington  the  next  day.  Forty  wounded  and  eleven  sick  Avere  sent  accordingly. 
On  the  23d,  during  a  skirmish  near  Jones's  bridge,  on  the  Chickahominy,  AVB  had  four  killed  and  nine  wounded.  Wre  received 
into  our  hospital  ten  of  the  28th  U.  S.  Colored  Troops,  wounded  at  the  same  time.  On  the  24th,  the  2d  division  Avas  attacked  by 
the  rebel  cavalry  while  on  the  St.  Mary's  church  road,  parallel  to  the  Charles  City  Court-house  road,  on  Avhich  a  train  of  eight 
hundred  Avagons,  left  at  White  House  for  this  command  to  guard  to  the  James  river,  Avas  moving.  The  division  Avas  driven 
back  to  Charles  City  Court-house,  and  lost  about  two  hundred  men.  The  severely  Avounded  fell  into  the  hands  of  the  enemy. 
On  the  26th,  I  received  an  order  from  General  Sheridan  to  go  with  the  Avounded  and  sick  to  Washington." 


CXLVII.  Extract  from  a  Report  on  the  Operations  of  the  Ambulance  Corps  of  the  .Fifth  Army 
Corps  (hiring  the  occupation  of  the  Weldon  Railroad,  August  18  to  21,  1864.  By 
Ciiptain  W.  F.  DRUM,  Chief  Ambulance  Officer  of  the  Fifth  Corps. 

"At  four  o'clock  A.  M.,  August  18,  1864,  the  Fifth  Corps  commenced  its  movement  towards  the  Weldon 
railroad,  Avhich  it  Avas  to  occupy  and  hold.  Eighty  ambulances,  being  one-half  of  the  whole  number,  and  one  medicine  wagon 
to  each  division,  Avere  ordered  to  accompany  the  command,  forming  in  its  rear.  The  remainder  of  the  ambulance*,  with  the 
heavy  portion  of  the  ambulance  and  hospital  train,  were  left  at  the  old  ambulance  park,  near  army  headquarters,  under  charge 
of  a  commissioned  officer.  Twenty-five  hospital  tent  flies  Avere  carried  in  the  ambulances,  to  be  used  as  a  shelter  for  the 
wounded.  The  command  readied  the  railroad  about  ten  o'clock  A.  M.,  after  driving  in  and  capturing  a  fcAV  of  the  enemy's 
cavalry  pickets,  and  immediately  commenced  destroying  the  track.  The  point  occupied  by  the  corps  was  about  five  miles 
south  of  Petersburg,  four  north  of  Roams's  Station,  and  six  southwest  from  the  A  very  house.  The  enemy  soon  commenced 
making  demonstrations  from  the  direction  of  Petersburg,  and,  later  in  the  day,  made  ail  attack  in  force.  On  the  march  to  this 


REPORT    OF    ASSISTANT    SURGEON    THOMAS    G.    McKENZIE.  181 

point,  quite  a  number  of  men  were  so  much  affected  by  the  heat  as  to  be  unfit  for  duty,  and,  before  the  action  commenced,  they 
were  sent  to  the  rear  in  ambulances.  Orders  were  at  the  same  time  given  to  re-establish  the  hospitals  on  the  old  ground,  the 
tents  having  been  packed  up  on  the  night  of  the  17th,  and  for  the  remainder  of  the  ambulances  to  come  to  the  front.  During 
the  action  of  the  afternoon,  a  few  ambulances  at  a  time  were  taken  to  a  convenient  point  as  near  the  line  of  battle  as  possible. 
To  this  point  the  wounded  were  carried  on  stretchers;  they  were  then  conveyed  in  ambulances  a  half  or  three-fourths  of  a 
mile  to  the  various  depots  established  by  the  surgeons.  As  there  was  not  a  sufficient  number  of  ambulances  to  convey  all  the 
wounded,  a  few  were  left  at  the  field  depot,  under  tent  flies,  until  the  next  morning,  when  they  were  also  sent  back.  Owing 
to  the  great  distance  back  to  the  hospital  and  ambulance  park,  the  ambulances  sent  back  with  the  sick,  and  those  ordered  up, 
did  not  reach  the  front  until  early  on  the  morning  of  the  19th.  Those  sent  with  the  wounded  on  the  evening  of  the  18th  also 
returned  during  the  morning.  The  medical  director  of  the  corps  now  ordered  the  hospitals  to  be  moved  up  to  a  point  on  the 
plank-road  between  the  Jones  house  and  the  Williams  house.  At  three  o'clock  P.  M.  on  the  19th,  the  enemy  made  an  attack  in 
strong  force.  The  wounded  of  this  day  were  carried  on  stretchers  to  the  ambulances,  as  the  day  before.  Our  communication 
with  the  hospitals  not  being  safe  for  a  time,  the  ambulances  with  the  wounded  were  parked  until  it  was  ascertained  that  the  road 
was  open,  when  they  were  sent  back  under  charge  of  commissioned  and  non-commissioned  officers.  The  wounded  last  brought 
in  were  started  for  the  hospitals  by  midnight.  Having  had  much  rain,  the  roads  became  almost  impassable,  even  to  ambulances, 
so  that  it  was  with  great  difficulty  that  a  train  of  wounded  could  be  taken  through.  During  the  morning  of  the  20th,  all  the 
ambulances  returned  to  the  front,  and  were  in  readiness  for  action.  The  day,  however,  passed  quietly.  New  roads  were 
looked  up  to  be  used  in  case  of  necessity.  On  the  morning  of  the  21st,  the  enemy  again  made  a  determined  assault  on  our 
lines,  but  was  repulsed,  leaving  many  wounded  in  our  hands.  The  wounded  were  carried  back  as  usual  on  stretchers,  and 
after  having  their  wounds  dressed,  were  placed  in  ambulance  and  sent  to  the  hospitals.  The  ambulances  were  this  dny  under 
a  severe  artillery  fire.  During  the  three  days'  fighting,  the  ambulances  conveyed,  from  the  field  of  battle  to  the  hospitals  of 
the  corps,  seven  hundred  and  seventy-three  of  our  wounded,  thirty  of  the  Ninth  Corps  and  one  hundred  and  fifty-three  of 
the  enemy,  besides  about  three  hundred  sick  sent  to  the  hospital  on  tlie  18th  and  19th.  Owing  to  the  condition  of  the  roads 
and  the  distance,  it  was  considered  impracticable  to  send  any  of  the  Fifth  Corps  ambulances  to  City  Point,  our  sick  and  wounded 
were  therefore,  by  direction  of  the  medical  director  of  the  army,  taken  from  the  Fifth  Corps  hospitals  to  City  Point  by  the 
ambulance  train  of  the  Sixth  Corps.  The  large  number  of  casualties  which  occurred  among  them  is  good  evidence  that 
the  men  of  the  ambulance  corps  did  their  duty  well  under  fire.  Great  credit  is  due  the  officers  and  men  for  the  untiring 
energy  with  which  they  worked  day  and  night  in  the  rain  and  mud  in  order  to  transport  the  wounded  to  the  hospitals  as  rapidly 
as  possible.  During  the  three  days'  engagement,  two  sergeants  were  killed,  one  sergeant  and  five  stretcher-men  wounded,  and 
nineteen  stretcher-men  missing,  making  the  total  number  of  casualties  in  the  ambulance  corps  twenty-seven.  Eight  horses 
were  also  killed,  and  shells  passed  through  two  of  the  ambulances." 

CXLYIII.  Extracts  from  the  Report  of  the  Acting  Assistant  Medical  Purveyor  of  the  Army 
of  the  Potomac  for  May  and  June,  1864.  By  Assistant  Surgeon  THOMAS  G.  McKENZiE, 
IT.  S.  Army. 

»  *  *  '•  In  accordance  with  Special  Order  No.  92,  dated  headquarters  army  of  the  Potomac,  April  9, 1864, 1  proceeded 
to  Alexandria,  Virginia,  for  the  purpose  of  establishing  a  medical  purveying  depot  at  that  place.  Having  obtained  a  suitable 
building,  No.  43  Union  street,  I  remained  on  duty  there,  receiving  and  storing  medical  supplies,  and  awaiting  further  orders. 
On  the  morning  of  May  8th,  I  received  orders  from  the  Acting  Surgeon  General  to  despatch  at  once  to  Rappahannock  Station, 
on  the  Orange  and  Alexandria  railroad,  a  battle-field  supply  for  three  thousand  wounded  for  seven  days,  including  barrels  for 
ice  water,  tin  cups,  buckets,  etc.,  etc.,  for  the  use  of  the  wounded  on  the  train  expected  from  the  front.  The  supplies  were  sent 
forward  immediately  in  charge  of  a  responsible  steward,  two  cars  having  been  loaded  for  a  number  of  days  previous  with  a 
battle-field  supply.  The  supply  arrived  safely  at  its  destination,  where  it  remained  until  the  morning  of  the  9th  of  May,  and 
was  then  ordered  back  to  Alexandria.  Immediately  on  its  arrival,  in  accordance  with  instructions  received  in  the  meantime  from 
the  Surgeon  General's  Office,  the  stores  were  unloaded  and  conveyed  on  board  the  steamers  State  of  Maine  and  Connecticut, 
then  lying  at  the  wharf.  These  stores  were  all  placed  under  the  charge  of  Surgeon  John  H.  Brinton,  U.  S.  V.,  who  was 
ordered  to  proceed  to  Fredericksburg  with  them.  The  steamers  started  early  on  the  morning  of  the  10th  of  May  for  Belle 
Plain.  Assistant  Surgeon  George  P.  Jacquette,  U.  S.  A.,  having  been  placed  in  charge  of  the  medical  supply  steamers  Hugh 
Jenkins  and  Farmer,  was  also  despatched  to  Belle  Plain,  where  he  arrived  before  any  other  vessel  was  in  sight,  and  a  day  in 
advance  of  the  arrival  of  the  wounded  from  Fredericksburg  at  that  point.  Communication  was  at  once  opened  with  Surgeon 
E.  B.  Dalton,  U.  S.  V.,  chief  medical  officer  at  Frederieksburg,  by  Assistant  Surgeon  Jacquette.  Besides  the  supplies  taken 
down  by  Surgeon  Brinton  and  Assistant  Surgeon  Jacquette,  I  was  ordered,  May  llth,  to  proceed  to  Belle  Plain  with  two  barges 
loaded  with  medical  and  hospital  stores,  and  arriving  early  on  the  morning  of  the  1'Jth,  I  reported  to  Acting  Medical  Inspector 
General  Cuyler.  On  my  arrival  at  Belle  Plain,  I  found  it  impracticable  for  the  steamers  Hugh  Jenkins  and  Farmer  to  lay 
alongside  the  wharf,  on  account  of  the  shallowness  of  the  water.  There  was,  at  that  time,  but  one  wharf,  at  which  not  only  all 
the  stores  of  the  several  departments  were  unloaded,  but  the  troops  arriving  as  re-enforcements  had  to  be  disembarked.  To 
add  to  the  confusion,  all  the  wounded  were  conveyed  along  this  wharf  to  the  transports,  and  hence  it  was  an  utter 
impossibility  to  work  expeditiously  or  effectually.  Such  being  the  case,  it  was  thought  best  for  the  supply  steamers  to  remain 
out  in  the  stream,  sending  supplies  ashore  on  a  lighter  as  they  were  needed.  Accordingly  one  was  obtained  from  the  quarter 
master,  together  with  a  gang  of  negroes.  The  two  barges  under  my  immediate  charge  were  brought  up  as  near  the  wharf  as 
possible,  and  such  articles  ;:s  could  he  furnished  from  them,  including  hospital  stores,  bedding,  clothing,  etc. .etc..  were  conveyed 
across  other  barges,  and  loaded  on  the  wagons  as  speedily  as  they  came  up.  In  this  way.  requisitions  were  oftentimes  filled, 
and  arranged  on  the  barge,  occupied  l>y  Acting  Medical  Inspector  General  Cuyler  as  his  headquarters,  alongside  the  wharf 


182  APPENDED    DOCUMENTS ARMY    OF    THE    POTOMAC,    18G4. 

before  the  wagons  were  there  to  receive  them.  Moreover,  a  hospital  tent  was  pitched  on  shore,  in  charge  of  a  steward,  and  filled 
from  the  steamers  and  barges  with  such  supplies  as  were  most  likely  to  meet  emergencies.  '  Having  remained  at  Belle 

Plain  until  the  morning  of  May  19th,  I  was  ordered  to  turn  over  the  remainder  of  my  supplies  to  Assistant  Surgeon  Jacquette, 
and  report  to  the  Acting  Surgeon  General  at  Washington  City.  I  left  Belle  Plain,  May  19th,  and  reported  to  the  Acting 
Sun 'eon  General,  May  20th.  The  same  night,  the  steamer  Planter  was  ordered  to  report  to  me,  and  I  was  instructed  to  load  her 
with  all  the  supplies  then  in  the  warehouse  at  Alexandria.  Two  barges  were  also  sent  me  to  load  such  stores  as  could  not  be 
transported  by  the  steamer.  In  addition  to  the  above,  another  barge  was  procured  and  loaded  exclusively  with  portions  of  a 
requisition  made  by  Assistant  Surgeon  J.  B.  Brinton,  IT.  S.  A.,  medical  purveyor,  army  of  the  Potomac,  May  27,  1864.  An 
extract  from  a  letter  accompanying  this  requisition,  I  here  quote:  'It  is  also  desirable  that  he  procure  a  barge  and  load  it  with 
three  thousand  iron  bedsteads  or  wooden  cots,  three  thousand  mattresses,  ten  thousand  sheets,  seven  thousand  pillows,  one 
hundred  brooms,  four  hundred  rubber  cushions  with  open  centre,  ten  thousand  pillow  cases,  five  thousand  suits  of  hospital 
clothing,  two  thousand  blankets,  three  thousand  counterpanes,  five  hundred  wooden  buckets,  twenty  caldrons,  twelve 
cooking  stoves  with  furniture  complete,  ten  barrels  of  sulphate  of  iron  for  disinfectant  purposes,  two  hundred  pounds  cocoa  or 
chocolate,  two  hundred  pounds  corn  starch,  one  hundred  dozen  bottles  portei',  six  hundred  pounds  oakum  and  one  thousand 
bed  sacks.  The  above  supply  to  be  on  a  separate  boat,  and  not  to  be  used  unless  the  emergency  requires,  which  emergency 
will  be  the  establishing  of  hospitals.' 

Having  completed  the  loading  of  the  steamer  and  barges,  I  was  ordered,  on  the  morning  of  May  26th,  to  proceed  to 
Port  Royal,  Rappahannock  river,  Virginia,  where  I  arrived  on  the  evening  of  the  23th,  remained  during  the  night,  and  left  next 
morning  at  daylight  for  White  House,  Virginia,  Pamunkey  river,  in  obedience  to  orders  received  from  Acting  Medical  Inspector 
General  Cuyler.  Arriving  at  White  House,  May  31st,  I  selected  an  eligible  position,  apart  from  the  other  departments,  at  a  point 
near  the  wagon  road,  made  a  bridge  of  my  barges,  and  commenced  operations.  I  had  completed  all  my  arrangements  before  any 
requisitions  were  presented.  From  that  period  until  June  14th,  I  remained  at  White  House,  where  nearly  two  hundred  requisitions 
were  filled.  The  amount  issued  was  extremely  large,  but  the  supply  on  hand  being  ample,  Assistant  Surgeon  Jacquette,  U.  S.  A., 
having  turned  over  to  me  the  steamers  Hugh  Jenkins  and  Farmer,  by  order  of  the  Acting  Surgeon  General,  all  the  articles 
required  for  were  furnished,  no  deficiencies  occurring  except  in  the  case  of  such  articles  as  it  had  been  impossible  to  obtain 
from  the  purveyor  at  Washington,  chiefly  iron  bedsteads  or  cots.  *  Besides  the  usual  supplies,  issues  were  also  made  of 

extra  articles  purchased  by  the  fund  accruing  from  the  tax  on  newspapers,  and  entrusted  to  the  care  of  the  medical  director  of 
the  army  of  the  Potomac  for  the  benefit  of  the  sick  and  wounded.  There  have  been  received  and  issued  the  following  articles 
purchased  from  the  above  fund,  viz. :  seven  hundred  dozen  cans  of  peaches,  in  two  pound  cans,  three  hundred  dozen  cans  of 
tomatoes,  in  two  pound  cans,  two  hundred  bottles  of  assorted  jellies,  one  hundred  boxes  of  lemons,  fifty  boxes  of  oranges,  forty 
barrels  of  Boston  crackers  and  six  barrels  of  cucumber  pickles.  In  addition  to  the  above,  thirty  boxes  of  lemons  and  thirty  of 
oranges  were  sent  by  the  department,  on  requisition  made  by  Assistant  Surgeon  Brinton.  Ice  has  also  been  furnished  in  consider 
able  quantities,  not  only  supplying  the  immediate  wants  of  the  corps  hospitals  at  the  depot,  but  also  sending  it  forward  to  the 
division  hospitals  in  the  field.  The  department  has  also  furnished,  on  requisition,  such  articles  as  condensed  milk,  tea,  extract 
of  coffee,  porter,  wines  of  different  kinds,  brandy,  etc.  From  time  to  time,  as  occasion  required,  telegraphic  requisitions  were 
sent  to  Washington  to  the  Acting  Surgeon  General,  and  the  articles  were  immediately  forwarded.  On  June  14th,  I  left  White 
House  under  orders  to  proceed  to  Jamestown  island,  on  the  James  river,  and  there  await  further  instructions.  I  arrived  there 
on  the  evening  of  the  15th  of  June,  remained  during  that  night,  and,  on  the  afternoon  of  the  16th,  proceeded  as  far  as  North 
Bend,  at  which  point  a  pontoon  bridge  was  laid,  over  which  troops  were  passing.  About  midnight,  I  left  this  point  for  City 
Point,  where  we  arrived  at  early  dawn,  and,  after  considerable  trouble,  I  succeeded  in  obtaining  a  position,  aside  from  the  other 
departments,  where  I  again  constructed  a  bridge  of  my  barges  and  commenced  issuing.  There  being  no  further  necessity  for 
the  wagon  train  with  supplies,  which  had  followed  the  army  since  the  commencement  of  the  campaign,  under  the  charge  of 
Assistant  Surgeon  Brinton,  U.  S.  A.,  the  wagons  were  unloaded,  and  their  contents  stored  on  the  boats.  Assistant  Surgeon 
Brinton  then  topk  charge.  A  pontoon  bridge  having  been  constructed  on  the  Appomattox  river,  in  close  proximity  to  the  corps 
hospitals,  for  the  especial  purpose  of  affording  greater  facilities  for  issuing,  as,  also,  of  being  near  the  hospitals,  we  accordingly 
moved  up  to  that  point."  *  * 

CXL1X.     Extracts  from  the  Report  of  the  Medical  Director  of  the  Second  Corps  for  May, 
June  and  July,  1861.     By  Surgeon  A.  X.  DOUGHERTY,  U.  S.  Volunteers. 

"The  opening  of  the  campaign  found  the  troops  of  the  Second  Corps  in  good  health.  They  had  enjoyed 
comfortable  winter  quarters,  in  and  around  which  hygienic  rules  had  been  carefully  regarded.  They  had  been  well  fed  and 
well  clad.  In  my  experience  of  more  than  three  years  constantly  in  the  field,  I  do  not  remember  seeing  as  neat  camps  and 
wholesome  huts  as  those  of  our  corps,  a  favorable  condition  due,  in  good  part,  to  the  frequent  and  rigid  inspections  to  which 
they  were  subjected.  Tlie  diet  of  the  men  had  been  suitably  varied  by  the  introduction  of  soft  bread,  of  potatoes  and 
other  vegetables,  of  which  there  were,  on  an  average,  as  many  as  three  issues  a  week.  Each  regiment  had  its  hospital  tent, 
and  there  were,  besides,  division  hospitals,  provided  each  with  fifteen  tents,  in  which  the  worst  cases  of  sickness  and  wounds 
were  treated.  The  results  of  the  treatment  of  the  wounded  after  the  fight  at  Morton's  Ford  abundantly  prove  the  wisdom 
of  the  decision  which  was  arrived  at,  to  leave  them  in  our  hands  instead  of  promptly  transporting  them  to  Washington.  The 
tents  were  heated  by  open  fire-places,  furnished  with  chimneys  of  mud  and  split-wood,  and  the  dietary  of  the  hospital  was 
much  improved  by  a  judicious  expenditure  of  the  hospital  and  other  funds.  Trifling  ailments,  calculated  to  put  men  off  duty 
for  a  day  or  two,  were  treated  in  quarters.  From  the  records  in  this  office,  it  appears  that,  during  the  four  months  previous  to 
our  breaking  camp,  the  average  sickness  and  death  rates  were  as  follows:  Average  strength  present  for  duty,  twenty  thousand 
seven  hundred  and  thirty;  average  number  on  sick  report  daily,  nine  hundred  and  seventy-nine;  ratio  of  sick  constantly 
present,  per  thousand  men  of  im>an  strength,  forty-seven;  ratio  of  deaths  monthly,  per  thousand  men  of  mean  strength,  two. 


REPORT  OF  SURGEON  A.  N.  DOUGH KRTY,  T.  8  V.  183 

With  regard  to  the  preparations  made  for  the  campaign,  and  the  operations  to  the  close  of  the  first  epoch,  which  includes 
the  passage  of  the  Kapidan  and  the  battles  of  the  Wilderness,  I  quote  as  follows  from  a  report  for  the  month  of  May,  by 
Assistant  Surgeon  Charles  Smart,  U.  S.  A.,  medical  inspector  of  the  corps: 

'As  the  campaign  was  daily  expected  to  open,  preparations  were  actively  made  to  provide  for  its  probable  exigencies. 
The  brigade  supplies,  especially  of  stimulants,  dressings  and  such  articles  as  are  essential  after  an  engagement,  were  constantly 
kept  at  their  maximum ;  of  the  latter,  indeed,  a  double  supply  was  ordered  by  the  medical  director  to  be  drawn,  and  a  reserve 
supply  was  required  for  and  obtained  by  each  surgeon  in  charge  of  a  division  hospital,  to  be  transported  in  an  army  wagon 
turned  over  to  him  for  that  purpose.  The  ambulances  were  all  supplied  with  beef  stock  and  dressings.  All  the  army  wagons, 
medicine  wagons  and  ambulances  requiring  repairs  had  them  effected  as  thoroughly  as  could  be  done  in  the  field.' 

A  full  supply  of  stretchers  was  obtained,  but  only  one  division  succeeded  in  furnishing  itself  with  the  ambulance  flags 
and  guidons  required  by  a  recent  order.  On  account  of  a  diminution  in  the  amount  of  transportation  allowed  the  medical 
department,  it  was  found  necessary  to  turn  in  for  storage  a  large  quantity  of  regimental  hospital  property ;  but  this  was 
considered  no  disadvantage,  since  it  had  already  been  decided  that,  while  the  campaign  lasted,  these  hospitals  should  be 
superseded  by  an  ambulance  hospital  for  each  division,  which,  when  a  fight  was  imminent,  should  be  placed  in  rear  of  the 
troops,  and  form  the  nucleus  of  the  division  field  hospitals,  as  organized  by  Medical  Director  Letterman's  circular  of  October, 
1862.  To  the  ambulance  hospital,  it  was  arranged  that  three  medical  officers  should  be  permanently  attached,  who  were 
to  do  duty  during  a  fight :  a  surgeon  in  charge,  a  recorder,  and  a  provider  of  food  and  shelter  for  the  wounded.  The  regimental 
hospital  property  returned  by  medical  officers  was  to  be  packed  in  certain  wagons,  which  were  to  be  marked  as  containing 
such.  Tents,  tent  files,  beef  stock,  blankets,  etc.,  were  to  be  loaded  in  the  wagons  that  remained  after  the  disposal  of  regimental 
property,  and  placed  under  the  control  of  the  surgeon  in  charge  of  the  division  hospital,  with  instructions,  when  not  ordered 
otherwise  by  the  military  authorities,  to  move  always  in  rear  of  the  ambulance  train,  and  to  form,  in  fact,  part  of  it.  This 
arrangement  was  adopted,  so  that,  in  case  of  a  fight,  the  wagons  carrying  food  and  shelter  for  the  wounded  might  be  at  hand, 
instead  of  being  many  miles  in  the  rear,  with  the  supply  trains  of  the  army,  as  had  happened  during  previous  campaigns. 
Thus,  when,  on  the  evening  of  the  3d  of  May,  marching  orders  were  received,  they  found  us  as  wrell  prepared  for  the  campaign 
as  we  could  expect  to  make  ourselves. 

We  marched  early  on  the  morning  of  the  4f,h,  and,  crossing  the  Kapidan  at  Ely's  Ford,  moved  through  the  Wilderness  to 
Chancellorsville  and  beyond  it.  On  the  afternoon  of  the  5th,  the  enemy  having  been  found,  while  the  troops  were  being  formed 
along  the  Brock  road,  a  site  was  selected  for  the  field  hospitals,  at  which  the  army  wagons  containing  the  hospital  property 
were  ordered  to  report.  The  order  which  regulated  the  details  of  the  march  permitted  us  to  take  along  but  a  limited  number 
of  our  wagons.  Having  them,  however,  systematically  packed,  we  were  enabled  to  select  those  which  contained  the  most 
necessary  articles.  The  position  selected  for  the  hospitals  was  a  clearing  in  the  woods,  half  a  mile  in  rear  of  the  line  of  battle, 
on  the  Brock  road,  and  three-quarters  of  a  mile  on  the  left  of  the  Chancellorsville  plank  road.  It  was  sheltered  from  musketry 
by  a  rising  ground  There  was  free  communication  between  this  site  and  all  parts  of  the  front,  but  the  road  was  somewhat 
roundabout.  A  stream  of  cold  and  clear  water  ran  through  the  grounds;  the  soil  was  dry,  and  the  trees  in  the  vicinity  offered 
shade,  should  the  tents  and  flies  be  insufficient  to  cover  the  number  of  wounded.  In  no  previous  fight  did  the  wounded  of  the 
corps,  on  being  carried  to  the  rear,  find  the  preparations  made  for  their  reception  eo  complete.  The  battle  lasted  more  or  less, 
during  the  whole  of  the  5th,  6th  and  7th  days  of  May. 

On  the  afternoon  of  the  7th,  preparations  were  made  for  sending  the  wounded  to  Washington  in  army  wagons  and 
ambulances.  A  plentiful  supply  of  food  was  cooked,  and  attendants  and  medical  officers  detailed  to  accompany  them. 
As  the  army  wagons  had  not  yet  reported,  and  as  twilight  was  coming  on,  the  ambulances  were  loaded  with  the  worst 
cases  and  sent  oft',  accompanied  by  all  those  who  were  able  to  make  the  journey  to  Rappahannock  Station  on  foot.  Presently 
a  number  of  wagons  reported  for  wounded,  but  by  no  means  sufficient  to  carry  all,  so  that  it  was  necessary  to  leave  behind  us 
seven  hundred  and  fifty  patients,  with  medical  officers,  attendants  and  supplies.  The  surgeons  left  behind  considered  that, 
with  proper  economy,  the  food  left  with  them  would  be  sufficient  for  five  days,  Knowing  the  event,  it  is  to  be  wished  that  more 
had  been  left  with  them,  as  some  delay  took  place  in  sending  supplies  from  Frederick sburg,  and  the  wounded,  it  appears,  were 
placed  upon  very  small  rations  before  they  arrived.  Moreover,  it  is  reported  that,  on  the  morning  after  the  troops  marched, 
the  wounded  and  stragglers  belonging  both  to  the  enemy  and  our  own  forces  came  into  the  hospital  from  the  woods,  increasing 
the  number  to  be  fed  at  the  hospital  to  twelve  hundred  men.  *  * 

The  train  of  ambulances  and  army  wagons  proceeded  on  its  way  to  Rappahannock  Station,  and  had  crossed  the  Kapidan 
at  Ely's  Ford,  when  orders  were  received  directing  them  to  change  their  destination  to  Fredericksburg,  which  they  eventually 
reached.  During  the  foregoing  epoch,  the  losses  of  the  corps,  according  to  the  regimental  reports,  were  as  follows  :  1st 

division,  one  hundred  and  seventeen  killed  and  four  hundred  and  ninety-four  wounded,  out  of  a  mean  strength  of  seven  thousand 
seven  hundred  and  sixty-three;  '2d  division,  one  hundred  and  sixty-eight  killed  and  one  thousand  and  thirty-seven  wounded, 
out  of  a  mean  strength  of  five  thousand  nine  hundred  and  sixty-eight;  3d  division,  three  hundred  and  fifteen  killed  and  one 
thousand  seven  hundred  and  ninety-four  wounded,  out  of  a  mean  strength  of  nine  thousand  one  hundred  and  sixty-two; 
total,  six  hundred  killed  and  three  thousand  three  hundred  and  twenty-five  wounded,  out  of  a  mean  strength  of  twenty-two 
thousand  eight  hundred  and  ninety-three.  The  reports  of  the  field  hospital  show  that  three  thousand  four  hundred  were  sent 
thence  to  general  hospital,  the  discrepancy  being  chiefly  due  to  the  absence  of  reports  from  some  regiments. 

On  Sunday,  the  8th  of  May,  the  corps  marched  along  the  Brock  road  as  far  as  Todd's  tavern,  where,  in  the  evening,  one 
of  our  brigades  was  engaged.  On  the  evening  of  the  previous  day,  an  order  had  been  issued  requiring  all  wheeled  vehicles 
to  keep  out  of  the  line  of  march.  This  was  regarded  as  referring  to  ambulances,  so  that  when  the  engagement  upon  the  Hth  took 
place,  three  or  four  battery  ambulances,  only,  were  at  the  service  of  the  wounded.  At  this  juncture,  the  order  requiring  head 
quarter  ambulances  and  spring  wagons  to  be  turned  over  to  the  medical  director  was  promulgated,  and  these  did  good  service 
during  the  course  of  the  evening  and  night.  The  hospitals  here  were  half  a  mile  in  rear  of  the  tavern,  on  the  mad  leading  to 
Aldricli.  On  the  Uth,  in  the  afternoon,  we  advanced  towards  the  left  of  the  line,  carrying  with  us,  in  army  wagons,  the 


184  APPENDED    DOCUMENTS AEMY    OF    THE    POTOMAC,   1S04. 

wounded  of  the  previous  day,  one  hundred  and  five  in  number,  as  no  orders  relative  to  their  being  sent  to  the  rear  had  been 
received.  On  the  10th,  we  crossed  the  Po,  having  a  few  men  wounded  in  forcing  the  passage.  These,  along  with  those  on 
hand,  were  sent  to  the  rear  in  wagons  in  the  course  of  the  f:>renoon.  The  1st  division  of  the  corps  had  to  be  withdrawn  to  the 
left  bank  of  the  river,  leaving  behind  them  on  the  field,  according  to  the  estimate  of  the  surgeon-in-chief  of  that  command,  five 
hundred  wounded.  *  The  medical  director  of  the  corps,  during  this  engagement,  received  a  shell  wound,  fortunately, 

however,  of  such  a  character  as  to  permit  him  to  superintend  the  operations  of  his  department.  On  account  of  the  movement 
of  the  troops  towards  the  left,  the  hospitals  of  the  corps  had  to  be  removed  from  the  banks  of  the  Po  river  to  the  open 
ground  near  Alsop's  mills,  on  the  Piney  Branch  road.  Over  a  thousand  wounded  were  brought  in  during  the  afternoon,  who, 
that  night  and  the  following  day,  were  operated  upon,  dressed  and  sent  to  Fredericksburg  in  army  wagons  and  ambulances. 
On  the  morning  of  the  12th,  the  corps  made  an  assault  upon  the  rebel  works,  and  three  hours  after  it  began,  nearly  two 
thousand  wounded  had  been  brought  to  the  field  hospitals.  It  was  remarked,  in  the  cases  of  those  seriously  wounded  during 
the  action  of  this  morning,  that  the  shock  was  far  more  severe  and  of  longer  continuance  than  in  those  previously  treated 
during  the  campaign.  This  is  to  be  referred  to  their  march  during  the  night  in  the  mud  and  rain,  and  to  the  fact  that  the 
assault  commenced  before  the  men  had  been  allowed  to  have  their  morning  coffee.  On  the  following  day  orders  were 
promulgated  requiring  the  wounded  to  be  sent  to  Fredericksburg,  as  a  move  was  anticipated.  All  the  transportation  we 
could  obtain  sufficed  only  to  enable  us  to  send  away  one  thousand  seven  hundred  and  forty,  so  that  when  orders  to  move  came, 
we  had  still  in  hospital  two  hundred  men.  These  we  were  obliged  to  leave  behind  us  on  the  13th,  with  a  sufficiency  of  food, 
tents,  medicines,  dressings  and  attendants.  As  all  operations  had  been  performed,"  it  was  considered  necessary  to  leave  but 
one  medical  officer  with  them.  The  same  day  the  field  hospitals  of  the  corps  Avere  established  on  the  bank  of  the  Ny  river, 
near  the  Armstrong  house. 

It  is  here  necessary  to  record  a  most  shocking  and  lamentable  occurrence,  the  circumstances  attending  which  I  reported 
at  the  time.  On  the  afternoon  of  the  14th,  Dr.  Harrington  sent  a  messenger  to  the  General,  announcing  that  the  enemy's 
cavalry  had  appeared  and  were  overrunning  our  hospitals.  The  General  directed  Major  General  Gibbon  to  send  an  infantry 
force  for  protection,  and  I  was  ordered  to  accompany  and  pilot  them.  On  arriving  at  the  Fifth  Corps  hospital,  the  attendants 
announced  that  the  enemy  had  just  left,  and  that  they  could  scarcely  be  out  of  sight.  Just  then  one  of  the  attendants  said,  pointing 
out  a  horse  tied  to  a  post,  'there  is  the  horse  of  one  of  them  who  is  now  in  the  hospital.'  I  thought  it  my  duty  to  report  this 
statement  to  the  officers  in  charge,  who  sent  a  sergeant  and  several  men  to  arrest  the  supposed  rebel.  As  they  came  towards 
the  horse,  a  man  advanced  hastily  to  meet  them  from  a  neighboring  hospital  tent,  and  when  within  three  or  four  yards,  one  of 
the  party  suddenly  raised  his  gun  and  fired.  The  man  fell,  crying  out  that  he  was  a  surgeon,  and,  in  fact,  he  proved  to  be 
Surgeon  Thomas  Jones  of  the  8th  Pennsylvania  Reserve.  By  this  time  it  was  near  dark,  and  a  uniform  scarcely  distinguish 
able.  I  dismounted,  ran  to  him  and  helped  to  cai-ry  him  to  a  tent,  where  I  examined  his  wound,  which  had  penetrated  the  chest, 
wounding  the  lung.  I  did  what  I  could,  and  left  him  in  the  hands  of  a  colleague.  I  learned  subsequently  that  he  survived  a 
couple  of  days.  * 

Forty  Confederate  wounded  were  brought  in  from  the  Landron  house  and  attended  to,  but  early  on  the  15th,  we  were 
in  motion  again,  and  left  them  behind  in  a  barn  belonging  to  Mr.  Armstrong.  Our  hospital  trains  were  camped  near  the  road 
leading  from  Spottsylvania  to  Fredericksburg,  but  no  hospitals  were  formed,  as,  during  the  day,  a  train  of  forty  ambulances 
carried  off  the  majority  of  our  sick  and  wounded.  Here  the  brigade  supplies  were  filled  up  on  requisitions  made  upon  the 
medical  purveyor.  On  the  afternoon  of  the  16th,  the  2d  division  marched  to  the  hospital  near  Alsop's  mills,  which  we  had 
abandoned  on  the  13th.  A  train  of  ambulances  and  empty  army  wagons  accompanied  the  troops,  and  all  the  wounded  were 
brought  away  together  with  the  hospital  property  left  with  them.  On  passing  the  Armstrong  house,  the  Confederate  wounded 
we  had  left  in  the  barn  were  also  picked  up  and  carried  along.  On  arriving  at  the  hospital  on  the  Spottsylvania  road,  all  the 
wounded  were  fed,  dressed,  and,  before  daylight  next  morning,  were  sent  to  Fredericksburg.  About  this  time,  re-enforcements 
arrived  for  the  corps,  consisting  of  the  Corcoran  Legion  and  General  Tyler's  division  of  heavy  artillery  regiments.  The  medical 
officers  accompanying  these  troops  brought  with  them  no  hospital  property,  medicines  or  medical  transportation.  These  had  to 
be  provided  for  them.  The  ambulance  train  of  the  4th  division  was  turned  over  to  General  Tyler's  command,  since  that  division, 
now  consolidated  with  the  3d,  could  be  attended  to  by  its  ambulances  and  stretcher-men.  Two  medicine  waginis  were  furnished 
these  brigades,  with  the  necessary  medical  supplies.  Lists  of  men  for  detail  to  the  ambulance  corps  were  made  out;  the 
medical  officers  new  to  the  field  were  instructed  in  the  workings  of  the  department  on  a  march  and  during  an  engagement. 
Nothing,  in  fact,  was  left  undone  that  suggested  itself  to  render  the  hospital  staff  of  the  new  troops  as  complete  as  those  of  the 
older  organizations.  Leaving  the  Spottsylvania  road,  we  accompanied  the  command  still  further  to  the  left,  to  the  neighborhood 
of  the  Anderson  house,  near  the  river  Ny.  While  here,  upon  the  evening  of  the  19th,  an  attack  was  made  by  the  enemy  upon 
our  right  Hank.  The  division  of  heavy  artillerymen,  who  chanced  to  be  encamped  in  the  neighborhood  of  the  point  assailed, 
was  unexpectedly  called  into  action,  and  suffered  severely  in  the  successful  stand  it  made.  In  order  to  give  the  new  surgeons 
a  practical  lesson  in  the  manngement  of  field  hospitals  during  an  engagement,  and,  at  the  same  time,  fearing  that  their 
inexperience  in  these  matters  might  prove  detrimental  to  the  interest  of  their  wounded,  one  of  the  old  divisions  established  a 
hospital  beside  them,  and  aided  them  very  materially  in  treating  the  cases  as  they  were  brought  in  from  the  field.  Before 
noon,  the  next  day,  all  cases  demanding  operative  interference  having  been  attended  to,  the  wounded,  to  the  number  of  seven 
hundred  and  forty,  were  dispatched  in  army  wagons  and  ambulances  to  Fredericksburg  for  further  treatment.  The  number  of 
slight  gunshot  wounds  about  the  hands,  in  this  affray,  was  remarkably  large.  The  majority  of  these,  blackened  by  the  exploded 
gunpowder,  were  viewed  as  self-mutilations  of  an  accidental  or  wilful  origin.  Perhaps,  however,  the  carelessness  of  some 
excited  comrades  may  have  produced  some  of  them.  Those  of  the  wounded  who  were  able  to  proceed  to  the  rear  without 
assistance,  partly  from  their  being  fresh  troops,  but  chiefly  owing  to  the  obscurity  of  the  night,  straggled  along  the  country, 
became  exhausted,  and  laid  down  in  out-of-the-way  places.  The  ambulance  corps  had  great  difficulty  in  tracking  them  and 
bringing  them  to  the  hospital.  We  have  guidons  to  mark  the  way  to  hospital  during  the  day,  why  not  have  a  lantern  of 
colored  glass,  say  green,  to  mark  its  site  during  the  night,  when  tlags  cannot  be  discerned?  *  *  The  following  are  the 


EEPORT  OF  SURGEON  A.  N.  DOUGHERTY,  IT.  S.  V.  185 

casualties  reported  during  the  foregoing  epoch,  according  to  the  regimental  reports:  1st  division,  four  hundred  and  seven 
killed  and  two  thousand  one  hundred  and  sixty-four  wounded,  out  of  a  mean  strength  of  eleven  thousand  seven  hundred  and 
thirty-three  men;  2(1  division,  one  hundred  and  fifty-nine  killed  and  nine  hundred  and  forty-eight  wounded,  out  of  a  mean 
strength  of  six  thousand  and  twenty-eight;  3d  division,  two  hundred  and  eleven  killed  and  one  thousand  two  hundred  and 
ninety-three  wounded,  out  of  a  mean  strength  of  seven  thousand  six  hundred  and  seven;  total,  seven  hundred  and  seventv- 
seven  killed  and  four  thousand  four  hundred  and  five  wounded,  out  of  a  mean  strength  of  twenty-five  thousand  three  hundred 
and  sixty-eight  men.  The  number  sent  from  the  field  hospital  to  the  general  hospital  is  reported  as  four  thousand  five  hundred 
and  thirty  wounded  and  forty-eight  sick.  ^ 

The  corps  now  moved  by  way  of  Bowling  Green  to  Milford  Station,  where  the  crossing  of  the  Mattapony  was  effected. 
The  corps  entrenched  itself  on  the  right  bank.  The  hospitals  were  established  on  the  same  side,  but  near  the  bridge.  We 
moved  from  this  position  on  the  morning  of  the  23d,  no  fight  having  taken  place  in  the  meanwhile,  and  advanced  toward  the 
North  Anna  river,  leaving  behind  us,  as  Milford  afforded  good  facilities  for  sheltering  them,  one  hundred  and  fifty  sick  and 
wounded  men,  with  a  medical  officer,  attendants  and  supplies,  until  empty  wagons  could  be  obtained  to  carry  them  to  the 
depot  at  Fredericksburg  or  Port  Royal.  On  the  24th,  in  crossing  the  North  Anna,  and,  subsequently,  in  holding  our  position 
there,  we  met  with  some  loss.  Hospitals  were  established  on  the  road  leading  from  Carmel  church  to  the  river  bridge,  about 
three-quarters  of  a  mile  from  the  former  point.  The  wounded  were  attended  to  and  speedily  sent  to  Milford,  where  they 
joined  the  detachment  left  there  on  the  23d,  and  with  them  proceeded  to  Port  Royal.  The  hospitals  advanced  on  the  morning 
of  the  26th,  following  up  the  progress  of  the  troops  to  a  house  on  the  left  bank  of  the  river,  on  the  left  of  the  bridge,  where 
they  remained  until  early  on  the  morning  of  the  next  day,  when  the  move  towards  the  Pamunkey  was  commenced.  Before  we 
left  this  position,  the  wounded  then  on  hand  were  placed  in  army  wagons  and  sent  to  the  rendezvous  at  Milford,  where  a  train 
was  organized  for  Port  Royal.  During  the  foregoing  epoch,  two  hundred  and  fifty-three  sick  and  five  hundred  and 

eighteen  wounded  were  sent  from  the  field  hospital.  After  a  fatiguing  march,  the  corps  crossed  the  Pamunkey  river  near 
Hanover  Town.  During  the  march,  ten  ambulances  followed  in  the  rear  of  each  division  to  pick  up  those  who  might  fall  out 
of  the  column  from  exhaustion,  the  remainder  accompanying  the  supply  train.  The  troops  entrenched  themselves  on  the 
heights,  on  the  right  bank  of  the  river,  and  a  fight  being  considered  probable,  the  hospitals  were  established  immediately  behind 
them,  and  ambulance  roads  were  cut  through  the  woods  to  different  parts  of  the  front.  While  here,  the  4th  division,  which  had 
but  lately  joined  this  command,  was  broken  up,  and  the  troops  that  composed  it  were  distributed  among  the  other  divisions. 
The  hospital  property  which  had  been  assigned  to  it  was  returned  to  the  medical  officers  from  whom  it  had  been  taken  to 
supply  the  new  troops.  During  the  same  period,  full  requisitions  were  filled  by  the  purveyor. 

On  the  morning  of  May  30th,  the  troops  formed  in  line  of  battle  across  the  Richmond  road,  in  advance  of  the  point 
where  it  was  crossed  by  that  leading  from  Cool  Arbor  to  Hanover  Court-house.  On  the  31st,  a  train  of  over  a  hundred 
ambulances  was  sent  to  Hanover  Town,  with  instructions  to  transfer  the  wounded  to  empty  army  wagons  stationed  there,  with 
which  a  train  was  organized  to  proceed  under  escort  to  White  House.  In  the  afternoon  of  the  1st  of  June,  as  the  corps  was 
expected  to  move,  all  the  ambulances,  with  the  exception  of  ten  to  each  division,  were  ordered  back  to  the  supply  train, 
carrying  with  them  the  few  wounded  and  those  cases  of  sickness  judged  unable  to  march.  Medical  officers  and  an  abundance 
of  supplies  wei-e  sent  with  them.  Next  morning,  we  reached  our  destination,  and  the  troops  were  placed  in  position  on  the 
left  and  in  advance  of  Cool  Arbor  tavern.  A  place  was  immediately  selected  for  the  hospitals  at  the  Tyler  house,  but  the 
military  authorities  judged  this  to  be  unsafe.  A  place  further  to  the  right  was  therefore  sought,  and,  in  the  course  of  the 
afternoon,  the  tents  were  pitched  near  army  headquarters,  on  the  left  of  the  road  leading  to  the  White  House.  Very  early  in 
the  morning  of  the  3d,  an  assault  was  made  by  the  corps  upon  the  enemy's  works.  The  principal  loss  was  sustained  by  the 
1st  and  2d  divisions,  the  3d  suffering  but  slightly.  Fighting  continued  until  the  afternoon  was  well  advanced,  when  the 
combat  resolved  itself  into  desultory  picket  firing.  All  the  ambulances  present  were  actively  engaged  during  the  whole  day 
bringing  in  the  wounded.  One  thousand  three  hundred  were  received  into  hospital,  but  a  large  number  could  not  be  reached 
until  night  rendered  it  less  dangerous  for  the  stretcher-carriers  to  go  beyond  the  lines.  A  train  of  eighty-five  army 

wagons  was  loaded  with  wounded  in  the  afternoon,  and  sent,  with  proper  attendance  and  supplies,  to  the  White  House.  About 
four  hundred  cases  of  slight  wounds  accompanied  the  train  on  foot.  No  ambulances  were  permitted  to  be  sent  away,  as  it  was 
feared  they  might  be  required  at  the  front  before  they  would  have  time  to  return.  During  the  day,  an  active  picket  fire  was 
continually  kept  up.  The  ambulance  corps  worked  assiduously,  and  every  one  who  could  be  reached  was  brought  off  the 
field.  Eight  hundred  wounded  were  operated  upon  or  simply  dressed,  according  to  the  necessities  of  the  cases,  and  sent  to 
the  White  House  in  a  train  consisting  of  thirty  army  wagons  and  eighty-six  ambulances. 

On  the  5th  and  6th,  the  pickets  continued  their  hostilities,  but  no  engagement  of  any  consequence  occurred.  A  train 
of  one  hundred  and  twenty-two  army  wagons  relieved  the  hospital  of  over  six  hundred  wounded,  and  enabled  the  medical 
officers  to  pay  attention  to  the  police  of  the  hospital,  to  build  bunks  for  the  patients  and  to  consult  the  comfort  of  those  under 
their  charge  more  than  they  had  hitherto  been  able  to  do.  During  the  afternoon  of  the  6th,  some  alterations  were  effected  in 
the  position  of  the  line  held  by  the  corps,  which  left  the  hospitals  on  the  extreme  right.  Surgeons  in  charge  were  therefore 
instructed  by  the  medical  director  to  move  them  to  the  Tyler  house,  the  position  chosen  for  a  hospital  site  on  the  afternoon 
of  the  2d,  which  had  been  relinquished  on  account  of  being  at  that  time  too  exposed.  The  ground  in  the  vicinity  of  this 
house  was  elevated,  the  water  excellent  and  plentiful,  and  the  roads  to  the  front  and  rear  were  firm  and  in  capital  condition. 
An  ice-house  afforded  an  ample  supply  during  the  time  spent  in  this  neighborhood.  On  an  average,  about  fifty  wounded  were 
daily  brought  in  from  the  front  during  the  remainder  of  the  time  spent  here.  They  were  wounded  by  sharpshooters  or  by 
random  shell.  At  six  o'clock  i>.  M.  on  the  6th,  a  flag  of  truce  party  was  sent  out  between  the  lines  to  bury  the  dead  and  to  bring 
in  such  wounded  as  might  still  remain  in  front  of  the  works.  Only  three  wounded  men  were  found;  they  were  very  much 
exhausted.  The  burying  party  from  the  1st  division  interred  thirty-eight  on  their  line,  but  in  front  of  the  2d  division,  where 
tin-  space  between  the  opposing  lines  was  much  greater,  two  hundred  and  six  were  found.  While  here,  the  brigade  supplies 
were  completely  filled  up,  and  two  Autenrieth  wagons  obtained  :  one  to  transport  a  reserve  supply  for  the  use  of  the  2d  division 


186  APPENDED    DOCUMENTS AEMY    OF    THE    POTOMAC,    1864. 

hospital,  the  other  divisions  being  already  possessed  of  an  extra  wagon,  each,  for  carrying  a  reserve  stock  of  field  necessaries ; 
the  other  for  the  new  brigade,  of  which  the  Corcoran  Legion  formed  the  greater  part.  On  the  afternoon  of  the  12th, 
preparations  for  a  move  were  commenced.  The  ambulances  were  divided  into  three  commands  :  the  first,  consisting  of  forty-five 
ambulances,  fifteen  to  ;i  division,  and  four  medicine  wagons,  was  set  aside  to  accompany  the  troops  upon  the  march,  in  order  to 
pick  up  those  who  became  exhausted  or  foot-sore.  Attention  was  particularly  called  to  the  packing  of  medicine  wagons,  to 
insure  not  only  in  each  case  a  complete  wagon  load,  but  one  judiciously  selected  for  field  use.  A  second  train  was  formed 
of  all  the  army  medical  supply  wagons,  the  medicine  wagons,  excepting  the  four  above  mentioned,  and  sixty-three  ambulances 
loaded  with  those  of  the  sick  who  .were  evidently  unfit  to  undertake  a  long  march,  yet  who  were  not  so  seriously  sick  as  to 
require  their  transfer  to  hospital  away  from  the  army.  This  train  was  ordered  to  move  to  Tinistall's  Station,  and,  subsequently, 
along  with  the  supply  train,  to  follow  the  corps  across  the  Chickahominy  at  Long  bridge.  The  third  detachment  consisted  of 
sixty-five  ambulances  and  twenty-six  army  wagons,  which  were  loaded  with  wounded  and  sent  to  hospital  at  White  House,  with 
orders  to  lose  no  time  in  joining  the  main  train  at  Tunstall's  after  being  relieved  of  their  sick  and  wounded.  The  following  is 
a  statement  of  casualties  during  this  epoch,  according  to  the  regimental  reports :  1st  division,  one  hundred  and  eighty-eight 
killed  and  one  thousand  one  hundred  and  twenty-eight  wounded,  out  of  a  mean  strength  of  six  thousand  two  hundred  and 
forty-seven  men ;  2d  division,  two  hundred  and  eighty-nine  killed  and  one  thousand  and  fifty  wounded,  out  of  a  mean  strength 
of  seven  thousand  two  hundred  and  forty-eight;  3d  division,  fifty  killed  and  two  hundred  and  twentj'-eight  wounded,  out  of  a 
mean  strength  of  seven  thousand  seven  hundred  and  eighty-six ;  total,  five  hundred  and  twenty-seven  killed  and  two  thousand 
four  hundred  and  six  wounded,  out  of  a  mean  strength  of  twenty-one  thousand  two  hundred  and  eighty-one  men.  The  number 
sent  from  the  field  hospitals  to  general  hospital  is  reported  to  be  two  thousand  seven  hundred  and  sixteen  wounded  and 
seven  hundred  and  eighty-eight  sick. 

In  the  evening  of  the  12th  of  June,  the  corps  marched  from  Cool  Arbor,  crossed  the  railroad  at  Dispatch  Station,  the 
Chickahominy  at  Long  bridge,  and,  on  the  afternoon  of  the  13th,  reached  the  James  river,  near  Wilcox's  Landing.  Towards 
the  latter  part  of  this  march,  such  was  its  length,  and  such  the  heat  and  dust,  that  the  men  fell  out  of  the  columns  in  great 
numbers,  so  that  the  ambulances  present  for  duty  were  insufficient  to  pick  all  up.  All  the  serious  cases  were  picked  up,  but 
those  of  simple  fatigue  were  left  to  rest  by  the  roadside  until  able  to  reach  camp. 

On  the  14th,  the  2d  and  3d  divisions  crossed  the  James  on  transports,  and,  on  the  15th,  the  1st  division  followed  them. 
The  corps  marched  then  in  the  direction  of  Petersburg  and  arrived  at  the  fortifications  in  front  of  that  place  about  midnight. 
On  the  following  morning,  as  the  troops  had  taken  position  in  front  of  the  enemy's  works,  hospital  sites  were  selected  on  the 
road  leading  from  the  front  to  City  Point,  that  of  the  3d  division  at  the  Bryant  house,  and  those  of  the  other  divisions  at  houses 
on  the  opposite  sides  of  the  road,  about  a  quarter  of  a  mile  nearer  the  front.  These  sites  were  selected,  but  nothing  beyond 
building  arbors  could  be  effected  in  the  way  of  establishing  hospitals,  since  all  the  wagons  containing  furniture,  and  most  of  those 
carrying  supplies,  were  in  the  rear  with  the  main  supply  train.  Two  officers  belonging  to  the  ambulance  corps  were  sent  off 
in  search  of  them,  in  order  to  bring  them  up  with  the  ambulances  and  medicine  wagons  accompanying  them.  About  six  o'clock 
]'.  51.,  before  these  wagons  arrived,  an  assault  was  made.  At  nine  o'clock  P.  M.,  the  main  train  of  ambulances  was  ascertained 
to  be  on  the  road  about  two  miles  off.  They  had  been  unavoidably  detained  in  crossing  both  the  Chickahominy  and  the  James. 
They  arrived  at  a  most  opportune  moment.  Tents  were  pitched  and  food  prepared  for  the  wTounded,  now  numbering  over 
one  thousand  seven  hundred.  This  was  the  first  time  during  the  campaign  that  wounded  men  reached  the  rear  before  hospitals 
were  completely  established,  and  in  this  instance,  the  circumstances  were  entirely  beyond  the  control  of  the  medical  officers. 
On  the  17th  and  18th,  the  skinnislyng  was  actively  kept  up  at  the  front,  and  in  the  hospitals  the  medical  officers  were  assiduous 
in  their  labors  to  get  the  wounded  ready  to  be  removed  to  the  rear  at  the  earliest  opportunity.  On  the  morning  of  the  latter 
day,  another  assault  was  made,  and  about  a  thousand  men  were  wounded.  On  the  following  morning,  a  train  of  one  hundred 
and  ninety-three  wagons  and  eighty-six  ambulances,  twenty  of  which  belonged  to  the  Fifth  Corps,  was  sent  to  City  Point  with 
two  thousand  one  hundred  wounded,  accompanied  by  six  medical  officers  and  fifty-seven  attendants.  Everything  remained 
comparatively  quiet  on  the  20th,  but  on  the  21st,  the  corps  moved  to  the  left,  and  took  position  across  and  on  the  left  of  the 
Jerusalem  plank-road.  The  patients  remaining  in  the  hospital  occupied  since  the  16th  had  to  be  left  behind,  under  charge  of 
medical  officers  and  attendants,  until  wagons  could  be  sent  to  carry  them  to  City  Point,  which  was  not  effected  until  the  23d. 
In  the  afternoon  of  the  21st,  while  the  corps  was  being  placed  in  position,  the  1st  division  established  a  temporary  hospital  at 
the  Williams  house  on  the  left,  but  had  to  remove  it  shortly  after,  on  account  of  the  enemy's  cavalry  making  a  dash  upon  our 
left  flank.  The  hospital  fell  back  across  the  Jerusalem  road  to  Smith's  house,  near  army  headquarters.  The  two  other  divisions 
established  their  hospitals  at  houses  in  the  same  neighborhood.  On  the  afternoon  of  the22d,  an  engagement  took  place,  during 
and  after  which,  about  three  hundred  and  fifty  wounded  were  brought  off  the  field,  immediately  attended  to,  and,  on  the  fol 
lowing  morning,  sent  to  City  Point.  About  thirty  of  the  ambulances  employed  in  transporting  them  were  obtained  from  the 
Sixth  Corps. 

During  the  remainder  of  the  month,  the  corps  continued  in  the  position  assumed  on  the  21st.  The  hospitals  were 
very  well  fitted  up  with  arbors  and  bunks,  and  police  duties  were  well  attended  to.  In  the  camps  at  the  front,  all  the  men  had 
bunks  well  raised  from  the  ground,  and  protected  themselves  from  exposure  to  the  direct  rays  of  the  sun  by  means  of  ever 
green  boughs.  Water  was  plentiful  and  good,  although,  in  many  instances,  it  was  necessary  to  dig  very  deep  to  reach  it; 
police,  generally,  was  well  performed.  On  the  morning  of  the  6th  of  July,  the  2d  and  3d  division  hospitals  were  moved  to  the 
right  and  established  at  the  Southall  house.  This  was  rendered  necessary  by  a  movement  of  the  Sixth  Corps,  which  threw 
their  position  in  front  of  the  line  of  battle.  These  two  hospitals  had  just  succeeded  in  establishing  themselves  comfortably  in 
their  new  location,  when  the  withdrawal  of  our  troops  from  the  left  of  the  plank-road  compelled  another  change  of  position. 
Late  on  the  evening  of  the  llth,  all  the  hospitals  of  the  corps  were  moved  to  the  right  of  the  Norfolk  railroad  to  an  open  space 
in  the  woods  near  the  Deserted  house,  which  was  subsequently  occupied  by  the  headquarters  of  the  Second  Corps.  In  the 
meantime,  the  reconnoissance  to  the  Weldon  railroad  had  been  made,  but  no  enemy  having  been  discovered,  the  troops  were 
withdrawn  to  the  rear  of  the  Fifth  Corps,  where  they  went  into  what  was  expected  to  be  a  comparatively  permanent  camp. 


REPORT  OF  SURGEON  J.  McNULTY,  U.  S.  V.  187 

At  this  time,  on  account  of  the  diminished  strength  of  the  corps,  its  medical  department  possessed  more  than  the  proportion  of 
transportation  allowed,  and  it  became  necessary  to  turn  in  some  of  the  army  wagons  and  ambulances.  At  the  same  time,  the 
medicine  chests  and  other  property  of  the  regimental  hospitals,  which  had  been  carried  in  store,  were  turned  in  to  the  medical 
purveyor,  and  the  wagons  heretofore  employed  in  their  transportation  placed  at  the  disposal  of  the  division  hospitals.  This 
arrangement  was  a  very  satisfactory  one,  as  it  not  only  got  rid  of  what  had  been  simply  an  incumbrance,  but  at  the  same  time, 
afforded  the  medical  department  a  greater  amount  of  available  transportation  than  it  had  previously  possessed.  On  the  16th, 
tbe  1st  division  hospital  was  moved  from  its  position  in  the  woods  near  the  Deserted  house  to  the  Burchard  house,  in  the  open 
field  in  the  rear  of  army  headquarters.  This  movement,  unlike  those  previously  effected,  was  made  for  sanitary  reasons.  The 
former  site  was  low,  and  the  tufts  of  rushes  which  grew  in  great  abundance  around  led  to  suspicions  that,  In  rainy  weather, 
it  might  prove  anything  but  a  desirable  location  for  a  hospital,  although  it  had  been  drained,  and  had  evidently,  before  the  war, 
been  under  cultivation.  Moreover,  the  weeks  of  dry  and  dusty  weather  that  had  preceded  gave  rise  to  daily  expectations  of 
heavy  rain.  Tbe  Burchard  house  was  a  position  far  preferable  to  that  abandoned.  On  a  large  open  space  of  high  ground,  it 
had  the  benefit  of  almost  every  breath  of  wind,  and,  being  at  a  distance  from  any  main  road,  it  was  free  from  the  dust  that 
generally  pervaded  the  neighborhood  of  the  army.  The  water  was  good,  and  cooking  ranges  and  boilers  were  attached  to  the 
house.  The  hospital  here  was  very  speedily  put  in  excellent  order.  Matters  remained  thus  until  the  26th,  when  the  movement 
to  the  left  bank  of  the  James  was  inaugurated.  A  very  large  number  of  sick  were,  at  this  time,  sent  to  hospital  at  City  Point. 
These  were  not,  however,  such  cases  as,  under  ordinary  circumstances,  would  have  been  sent  there  for  treatment,  and  two-thirds 
of  them  marched  to  the  Point.  They  were  the  men  in  the  command  judged  by  the  medical  officers  incapable  of  performing  a 
forced  march,  and  were  sent  to  hospital  to  remain  only  until  the  corps  should  have  performed  the  service  required  of  it.  At 
four  o'clock  I'.  M.,  the  troops  inarched  by  a  somewhat  circuitous  route  to  Point  of  Rocks,  where  they  crossed  the  Appomattox, 
and  thence  to  Jones's  Neck,  where  the  crossing  of  the  James  was  effected.  The  corps  was  pushed  on  so  rapidly  that  the 
twenty  ambulances  following  each  division  were  very  speedily  filled  with  exhausted  men,  and  straggling  took  place  by  the 
roadside  to  a  far  greater  extent  than  is  usual  even  in  day  marches,  when  a  hot  sun  combines  with  fatigue  to  overcome  the  men. 
A  skirmish  took  place  at  Strawberry  Plains,  the  few  wounded  resulting  being  conveyed  to  a  temporary  hospital  established  on 
the  north  bank  near  the  end  of  the  lower  pontoon.  Here  dressings  were  applied  and  operations  performed.  In  the  course  of  the 
day,  the  wounded  were  removed  to  the  south  bank,  where  complete  field  hospitals  had  been  formed  in  anticipation  of  a  renewal 
of  the  tight.  The  steamer  lolas  reported  on  the  28th  to  carry  the  sick  and  wounded  to  the  depot  at  City  Point.  This  vessel 
was  a  quartermaster's  boat,  littered  with  hay  and  supplied  with  ice  water.  No  other  preparation  had  been  made  to  render  the 
wounded  comfortable  during  the  transit.  On  the  evening  of  the  28th,  the  3d  division  was  withdrawn  from  the  front,  and, 
having  crossed  the  river,  marched  towards  Petersburg,  where,  on  their  arrival  next  day,  they  relieved  the  troops  who  were  to 
form  the  assaulting  party.  On  the  29th,  after  dark,  the  1st  and  2d  divisions  were  likewise  withdrawn  towards  Petersburg, 
which  they  reached  just  as  the  mine  was  sprung.  During  the  whole  day,  the  few  casualties  occurring  amongst  them  arose 
from  random  shells.  In  the  evening,  they  proceeded  to  the  camping  ground  they  had  occupied  previous  to  the  Deep  Bottom 
demonstration,  and  hospitals  were  established  around  the  Bur^hard  house,  in  the  open  ground  in  rear  of  army  headquarters. 
The  following  casualties  occurred  during  the  foregoing  period,  according  to  the  regimental  reports  :  1st  division,  two  hundred 
and  twenty-seven  killed  and  one  thousand  one  hundred  and  five  wounded,  out  of  a  mean  strength  of  five  thousand  one  hundred 
and  eighty-three;  2d  division,  two  hundred  and  five  killed  and  nine  hundred  and  two  wounded,  out  of  a  mean  strength  of  four 
thousand  nine  hundred  and  seventy ;  3d  division,  two  hundred  arid  ninety  killed  and  one  thousand  three  hundred  and  seventy- 
two  wounded,  out  of  a  mean  strength  of  six  thousand  nine  hundred  and  eleven;  artillery  brigade,  twenty-tour  killed  and  one 
hundred  and  fourteen  wounded,  out  of  a  mean  strength  of  two  thousand  eight  hundred  and  nineteen;  total,  seven  hundred  and 
forty-six  killed  and  three  thousand  four  hundred  and  ninety-three  wounded,  out  of  a  mean  strength  of  nineteen  thousand  eight 
hundred  and  eighty-three  men.  The  number  sent  from  field  hospitals  during  the  period  is  reported  as  three  thousand  four 
hundred  and  sixty-nine  wounded  and  two  thousand  four  hundred  and  ninety-five  sick. 

My  experience  during  this  campaign  has,  more  than  ever,  convinced  me  that,  with  a  well  organized  ambulance  system, 
a  system  of  field  hospitals  such  as  were  adopted  by  this  army  can  be  managed  without  any  embarrassment.  Each  hospital 
with  us  has  been  the  resort,  almost  exclusively,  of  the  wounded  of  its  own  division,  who  have  arrived  there  with  marvelous 
expedition.  Cases  may  occur,  as,  in  fact,  has  happened  since  the  events  above  recorded,  in  which  recourse  must  be  had,  of 
necessity,  to  the  old  plan  of  brigade  and  regimental  hospitals,  but  such  cases  are  rare.  The  transportation  of  the  sick  and 
wounded  by  means  of  army  wagons,  in  default  of  ambulances,  was  a  new  feature  in  the  campaign,  and  deserves  favorable 
remarks,  without  it  we  should  have  been  obliged  to  abandon  most  of  our  wounded  to  the  enemy.  As  it  was,  the  wagons 
bedded  with  fine  brush  or  other  available  materials  were  not  more  uncomfortable  than  ambulances  usually  are.  The  applica 
tion  of  the  headquarter  wagons  to  the  same  use  merits  notice.  They  were  of  considerable  utility  on  some  occasions  when 
ambulances  were  wanting." 

CL.     Extracts  from  the  Report  of  the  Medical  Director  of  the  Second  Corps  for  Augiist, 
September  and  October,  1864.     By  Surgeon  «J".  McNui/rv,  U.  S.  Volunteers. 

"As  my  connection  with  this  corps  dates  back  to  October  18th  only,  I  have  been  compelled  to  draw  the 
materials  for  this  report  chiefly  from  the  papers  filed  in  the  medical  director's  office  at  these  headquarters.  The  report  of 
Assistant  Surgeon  Smart,  TT.  S.  A.,  medical  inspector  of  the  corps,  shows  that  during  the  early  part  of  the  month  of  August, 
the  Second  Corps  was  encamped  before  Petersburg  in  the  neighborhood  of  the  Deserted  house,  where  the  headquarters  of  the 
corps  were  established.  The  1st  division  was  on  the  right,  the  2d  on  the  left,  and  the  3d  in  rear  of  this  house.  Their  quarters 
\vi>n>  superior  in  cleanliness  and  comfort  tit  those  occupied  by  them  during  the  preceding  month.  The  corps  field  hospital  was 
established  in  the  vicinity  of  the  Bnrchanl  house,  a  very  eligible  location  for  a  fit-Id  hospital.  The  number  of  sick  admitted 
into  hospital  while  here  was  small  indeed,  and  few  were  sent  to  City  Point  until  the  arrival  of  marching  orders,  when  the 


188  APPENDED    DOCUMENTS— ARMY    OF    THE    POTOMAC,    18(54. 

regiments  had  to  be  weeded  of  all  unfit  to  commence  the  campaign  anew.  August  12th,  shortly  after  midday,  the  troops 
marched  to  City  Point,  which  they  reached  after  dark  and  went  into  camp.  About  eleven  o'clock  p.  M.,  the  ambulances  brought 
up  the  rear  with  the  sick,  who  were  deposited  at  the  corps  depot.  After  a  short  rest  to  feed  the  horses,  the  train  resumed  its 
march,  leaving  the  troops  and  proceeding  across  the  Appornattox  to  Bermuda  Hundred,  where  they  encamped  until  the  following 
day  when  thev  pushed  on  to  Jones's  Neck.  Here  they  effected  a  junction  with  the  troops,  who  had,  on  the  13th,  embarked, 
and  during  the  night  been  transported  up  the  James  river  to  Deep  Bottom,  opposite  this  neck,  the  scene  of  the  demonstration 
referred  to  in  the  report  for  July.  The  men  were  much  crowded  while  on  the  transports,  but  as  the  trip  was  so  short  they 
suffered  only  temporary  inconvenience.  At  daylight  disembarkation  was  commenced,  and  by  nine  o'clock  A.  M.,  was  completed. 
The  corps  then  advanced  across  the  plain  over  which  they  had  skirmished  on  the  25th  of  July,  and  through  the  woods  to  the 
west  of  the  New  Market  road,  where  they  took  position.  The  day  was  oppressively  hot,  so  much  so,  that  although  the  men 
had  only  marched  a  couple  of  miles,  a  very  large  number  were  utterly  exhausted  and  lay  down  under  the  shelter  of  trees  by 
the  roadside.  Many  were  insensible;  some  in  convulsions;  four  I  saw  dead.  Only  twenty  ambulances  to  each  division  had 
been  permitted  to  cross  the  pontoon  bridge  from  Jones's  Neck,  and  as  these  were  busily  engaged  in  bringing  off  the  wounded 
from  the  skirmish  line,  about  an  hour  and  a  half  elapsed  before  all  the  cases  of  sunstroke  could  be  carried  to  the  rear.  In  the 
afternoon  a  thunder  cloud  passed  over  the  country,  and  the  short  but  heavy  shower  that  then  fell  was  of  inestimable  value  to 
the  men.  The  wounded  brought  in  from  the  skirmish  line  were  carried  to  the  north  bank  of  the  river,  about  two  hundred  yards 
below  the  pontoon  bridge  where  there  was  a  landing,  which  was  being  repaired  with  a  view  to  its  use  in  embarking  them. 
Here  the  hospitals  were  formed,  one  medicine  wagon  and  one  army  wagon  loaded  with  tent  flies  and  cooking  utensils  having 
been  permitted  to  cross  from  each  division  train.  On  the  15th,  active  skirmishing  continued  during  the  greater  part  of  the 
day.  In  the  afternoon  a  quartermaster's  steamer,  under  charge  of  Assistant  Surgeon  McDonald,  II.  S.  V.,  reported  to  carry 
the  wounded  to  City  Point.  This  vessel  was  littered  with  hay,  but  had  received  no  other  preparation  for  the  reception  of  the 
wounded.  Late  in  the  evening  a  second  boat,  the  City  of  Albany,  reported  for  the  same  purpose.  It  was  without  any  medical 
officer,  and  no  preparation  had  been  made  to  receive  the  wounded  upon  it.  The  vessels  sent  up  at  the  same  time  for  the 
wounded  of  the  Tenth  Corps,  were  elegantly  fitted  up  hospital  boats.  *  *  On  the  afternoon  of  the  18th,  the  heaviest  thunder 
storm  of  the  season  swept  over  the  ground  occupied  by  the  corps,  the  hospitals  on  the  high  ground  forming  the  north  bank  of 
the  James  river  were  completely  exposed  to  the  fury  of  the  gale.  Several  of  the  tent  flies  were  blown  down,  and  one  man, 
Private  John  Prestley,  Co.  B,  7th  Michigan,  in  hospital  of  the  2d  division,  is  reported  killed  by  the  lightning.  On  the  afternoon 
of  the  18th,  the  enemy  made  a  vigorous  attack  upon  the  line  of  the  Tenth  Corps.  After  this  attack,  the  3d  division  of  the 
Second  Corps  recrossed  the  James  and  Appomattox,  and  on  the  following  day  took  possession  of  the  works  hitherto  held  by 
the  Fifth  Corps,  in  order  to  enable  that  command  to  move  against  the  Weldon  railroad.  The  field  hospital  of  this  division  was 
formed  in  the  woods  in  rear  of  the  Deserted  house  near  the  site  of  the  camp  occupied  by  the  division  early  in  the  month. 
The  two  divisions  left  at  Deep  Bottom  remained  there  until  the  evening  of  the  20th,  when  they  rapidly  crossed  the  river 
and  marched  towards  Petersburg.  They  were  followed  by  the  hospital  wagons  and  ambulances,  the  steamer  Kent  having 
carried  off  the  inmates  of  the  field  hospitals  to  City  Point.  The  troops  reached  their  old  camping  ground  in  front  of  Petersburg 
about  seven  o'clock  A.  M.,  and  rested  for  a  few  hours.  At  eleven  o'clock  the  march  was  resumed  in  the  direction  of  the  Weldon 
railroad,  where  the  Firth  Corps  was  at  that  time  engaged  with  the  enemy.  Ten  ambulances  accompanied  each  division.  The 
main  part  of  the  train  and  all  the  hospital  and  medical  wagons  went  into  park  on  the  ground  occupied  as  a  hospital  previous  to 
the  James  river  demonstration.  The  two  divisions  advanced  southward  along  the  railroad  from  the  position  held  by  General 
Warren's  Corps,  destroying  the  road  as  they  progressed,  until,  on  the  morning  of  the  25th,  at  Reams's  Station,  some  signs  of 
the  enemy  were  observed  in  front.  Expecting  that  the  want  of  a  medicine  wagon  would  be  much  felt,  should  any  fighting  take 
place,  one  was  sent  for  to  the  Williams  house,  where  the  main  train  of  ambulances,  etc.,  was  now  established.  The  few 

men  wounded,  in  the  attack  which  the  enemy  made  shortly  after,  were  collected  at  Reams's  church,  a  small  building  just  within 
the  breastwork  at  the  station.  Here  the  hospital  staff  of  each  division  assembled,  each  medical  officer  accompanied  by  his 
orderly  carrying  the  field  companion,  the  supplies  contained  in  which  proved  equal  to  the  demands  made  during  the  day.  The 
medicine  wagon,  etc.,  sent  for  did  not  succeed  in  reaching  the  church,  they  travelled  along  the  railroad,  and,  late  in  the  day 
approached  the  station,  but  finding  the  enemy  in  possession  of  the  road,  the  sergeant  in  charge  prudently  went  back.  The 
wounded  brought  by  the  stretcher-bearers  to  the  church  were  dressed  and  placed  in  ambulances  ready  to  be  removed  at  a 
moment's  warning,  for,  as  yet,  it  was  uncertain  where  hospitals  would  be  established,  indeed  the  situation  seemed  to  admit  of 
none.  The  line  formed  two-thirds  of  a  circle,  with  a  radius  so  small  that  bullets  fired  at  the  left  coursed  over  the  enclosed 
area,  and  struck  down  men  in  position  on  the  right.  The  Geary  church  road  was  so  exposed  as  to  render  the  selection  of  any 
point  on  it  out  of  the  question,  and  the  road  running  parallel  to  the  railroad  was  still  more  unsuitable,  as  it  lay  in  front  of  our 
line  of  battle.  No  place  of  security  could  be  found,  so  the  church  being  a  prominent  object,  and,  although  close  to  the  breast 
works,  no  more  exposed  than  any  other  part  of  the  field,  was  selected  as  a  field  depot,  to  which  the  stretcher-bearers  were 
instructed  to  carry  the  wounded.  Shortly  after  this,  a  feeble  assault  was  made  upon  the  part  of  the  line  in  front  of  this  church, 
and  the  ambulances,  wounded  and  medical  officers  had  to  retire  about  a  hundred  yards  to  the  shelter  of  a  shallow  ravine,  where 
they  remained  during  the  more  vigorous  assault  made  about  two  o'clock  P.  M.  The  ambulances  being  now  well-filled,  started 
for  the  Williams  house,  running  whatever  risk  they  might  be  exposed  to  on  the  Geary  church  road.  An  operative  surgeon  and 
staff  of  assistants  were  sent  along  with  them  to  perform  whatever  operations  might  be  required.  At  the  same  time,  an  orderly 
was  sent  for  fresh  ambulances,  which  arrived  in  safety,  before  the  commencement  of  the  final  assault  at  five  o'clock  P.  M.  A 
storm  of  shot  and  shell  pouring  in  from  all  sides,  and  lasting  about  twenty  minutes,  ushered  in  this  last  assault,  which  was 
successful,  so  far  as  the  possession  of  the  destroyed  railroad  at  that  point  was  concerned.  The  ambulance  officers  happily 
succeeded  in  loading  up  with  such  cases  as  were  unable,  from  the  nature  of  their  wounds,  to  find  their  own  way  to  the  rear, 
and  in  getting  their  wagons  out  of  the  way  of  the  manoeuvring  troops.  Stretcher-men  and  stragglers  aided  the  other  cases  to  the 
rear,  so  that  none  of  those  wounded  behind  the  breastworks  fell  into  the  hands  of  the  enemy.  The  wounded  on  the  picket  line, 
however,  cut  off  by  the  enemy's  storming  column,  were  necessarily  made  prisoners.  The  medical  director,  therefore,  detailed 


REPORT  OF  SURGEON  J.  McNULTY,  U.  S.  V.  189 

four  medical  officers  to  remain  behind  and  take  charge  of  them.     ;  These  officers,  on  their  return  to  camp,  reported  that 

sixty-six  of  our  wounded  were  made  prisoners,  and  that  one  hundred  and  forty-six  dead  were  buried  on  the  field.  The  total 
number  of  our  wounded  was  three  hundred  and  fifty.  The  loaded  ambulances  moved  off  toward  the  Williams  house 
accompanied  or  followed  by  all  those  able  to  walk  with  assistance,  and  by  some  carried  on  stretchers.  About  a  mile  and  a 
half  from  the  field,  some  Ninth  Corps  ambulances  and  some  belonging  to  our  own  train  picked  up  the  majority  of  these  cases.  By 
daybreak,  all  the  wounded  in  our  possession  had  been  lodged  at  the  Williams  house,  where  they  were  treated,  and,  shortly 
afterward,  dispatched  to  the  depot  at  City  Point.  In  the  meantime,  the  two  divisions  engaged  had  returned  to  the  neighborhood, 
of  their  old  camping  ground.  During  the  month  of  August,  according  to  the  regimental  reports,  one  hundred  and  sixty-two 
were  killed  and  nine  hundred  and  seventy -four  wounded,  the  mean  strength  of  the  corps  being  seventeen  thousand  and  sixty- 
three.  Eight  hundred  and  sixty-nine  wounded  and  two  thousand  and  forty-five  sick  were  sent  to  the  depot  hospital  at  City 
Point. 

The  report  of  Assistant  Surgeon  Smart  for  September  shows  that  the  commencement  of  the  month  found  the  1st  and 
2d  divisions  resting  quietly  in  camp  in  rear  of  the  works  near  the  Jerusalem  road;  but  they  were  not  very  long  inactive.  In 
fact,  they  had  scarcely  succeeded  in  policing  the  rough  ground  on  which  they  had  been  encamped,  and  in  buildin"-  bedsteads 
which  the  rainy  weather  rendered  imperative,  when  a  movement  on  the  part  of  the  enemy  interrupted  their  quiet.  Our  two 
reserve  divisions  broke  camp,  and  threw  up  a  line  of  fortifications  to  defend  the  threatened  point.  After  remaining  some  days 
behind  the  newly-formed  works  in  expectation  of  an  attack,  they  returned  and  encamped  in  rear  of  the  front  line.  In  no 
one  camp,  however,  did  they  remain  for  more  than  three  or  four  days  at  a  time.  The  1st  division  was  also  kept  moving  about 
for  military  reasons ;  now  in  rear  of  one  part  of  the  line,  now  supporting  another  point ;  while  the  2d  division,  on  account  of  the 
cattle  raid  on  our  rear,  was  kept  in  a  like  state  of  activity  in  the  neighborhood  of  Prince  George  Court-house.  This  continual 
change  in  the  position  of  these  two  divisions  was  brought  to  a  close  on  the  evening  of  the  23d,  when  they  relieved  the  Tenth 
Army  Corps.  The  1st  division  took  position  in  the  works  stretching  from  the  Appoinattox  to  the  left  of  the  Prince  George  road' 
the  2d  division  manned  the  line  forming  the  centre  of  the  corps'  front,  having  the  1st  division  on  its  right  and  the  3d  on  its  left. 
During  the  month,  therefore,  these  two  divisions  experienced  a  very  uncomfortable  time;  they  were  often  engaged  in  laborious 
duties;  they  slept,  for  the  most  part,  with  nothing  but  their  rubber-blankets  to  separate  them  from  the  ground,  which  was 
always  moist,  and  very  often  wet.  Moreover  they  were  not  so  well  provided  with  blankets  and  underclothing  as  the  character 
of  the  weather  demanded.  The  want  of  these  articles  was  in  some  cases  felt  severely,  until,  at  the  end  of  the  month,  full 
supplies  were  drawn.  After  entering  the  fortifications,  however,  the  men  were  able  to  render  themselves  far  more  comfortable, 
though  some  policing  had  to  be  performed  before  they  could  be  considered  as  fairly  settled  in  their  new  position.  At  the 
.suggestion  of  Surgeon  Isaac  Scott,  7th  Virginia,  all  the  bomb-proofs,  and  certain  points  in  the  fortifications  where  filth  had  been 
permitted  to  accumulate,  were  sprinkled  with  chloride  of  lime,  one  hundred  pounds  of  which  were  expended  on  the  quarters 
of  each  brigade.  The  3d  division  remained  during  the  entire  month  in  the  fortifications  on  the  right  and  left  of  the  Jerusalem 
road.  The  sanitary  condition  of  the  line  held  by  this  command  was  by  no  means  so  satisfactory  as  that  of  the  works  on  the 
right,  especially  in  the  case  of  the  forts  near  the  plank-road,  and  the  breastworks  and  covered  ways  adjoining  them.  Pools 
of  stagnant  water  existed  in  many  places.  In  rainy  weather,  the  water  collected  in  the  covered  ways  over  ankle  deep,  and,  in 
addition,  the  men  had  adopted  to  an  alarming  extent  the  habit  of  using  as  sinks  these  sheltered  pathways  and  the  few  trenches 
that  had  been  dug  with  a  view  to  draining  them.  The  surgeon  in  chief  drew  the  attention  of  the  division  commander  to  this 
unseemly  state  of  matters,  and  representations  on  the  same  subject  were  made  to  the  major  general  commanding  the  corps  by 
the  medical  director.  In  consequence  of  the  measures  adopted  by  them,  the  condition  of  this  division  was  much  improved  by 
the  end  of  the  month  ;  the  stagnant  pools  in  the  forts  had  been  drained,  sinks  had  been  dug  in  greater  numbers,  each  of  them 
well  covered  on  the  side  facing  the  enemy,  and  trenches  had  been  dug  adequate  to  the  effectual  drainage  of  the  covered  wavs, 
which  had  also  been  well  corduroyed.  Notwithstanding  these  unfavorable  influences,  the  sickness  of  the  3d  division  was  not 
materially  increased. 

After  the  fight  at  Reams's  Station,  August  25th,  the  field  hospital  of  the  1st  division  and  artillery  brigade  returned  to  the 
Bare-hard  house.  About  the  (5th  of  September,  an  attack  on  our  left  and  rear  being  anticipated,  it  was  considered  advisable; 
to  remove  them  to  the  open  space  near  the  Southall  house,  where  they  remained  for  a  day  or  two,  when  they  were  permitted 
to  return  to  their  old  location.  The  hospital  tents  were  pitched  in  an  orchard  on  the  right  of  the  house.  The  wards, 
consisting  of  two  communicating  tents  each,  were  arranged  on  either  side  of  a  broad  street.  They  were  thoroughly  ditched, 
the  streets  and  all  the  surrounding  grounds  well  policed,  and  there  was  no  lack  of  evergreen  decorations.  These  hospitals 
were  clean  and  comfortable.  Each  patient  was  furnished  with  a  separate  bedstead,  a  well-filled  bed-sack,  clean  sheets  and 
good  blankets.  The  more  serious  cases  were  provided  with  mosquito  nettings.  At  a  distance  of  about  thirty  yards  from  the 
end  of  the  street  was  a  double  line  of  tent  flies,  pitched  so  as  to  form  the  roofs  of  two  long  buildings,  the  walls  of  which  were 
represented  by  a  thick-set  hedge  of  pine  boughs;  here  the  slighter  cases  were  treated.  The  cooking  arrangments  of  this 
hospital  were  very  satisfactory.  A  large  brick  oven  had  been  built  to  bake  bread,  and  the  storehouse  was  well  provided.  The 
hospital  of  the  2d  division  was  established  during  the  same  period  at  the  Southall  house,  where  it  remained  during  the  month. 
The  wards  were  arranged  in  a  single  line  in  front  of  the  house,  while  the  kitchens,  dispensaries,  store-tents  and  quarters  of  the 
attendants  were  placed  in  rear,  with  the  sinks  on  either  flank.  During  the  month,  some  inconvenience  was  experienced  from 
the  proximity  of  a  quartermaster's  train  temporarily  parked  in  the  immediate  neighborhood.  The  hospital  of  the  3d  division  was 
situated,  during  the  month,  in  the  strip  of  woods  in  rear  of  the  Deserted  house.  Being  situated  in  the  woods,  this  hospital 
did  not  present  the  trim  and  regular  appearance  presented  by  the  others ;  but  it  was  situated  on  sloping  ground,  which  made 
the  drainage  satisfactory,  was  kept  clean,  and  its  inmates  were  comfortable  and  well  attended  to.  Like  the  hospital  of  the  1st 
division,  it  was  furnished  with  a  brick  oven,  capable  of  keeping  the  patients  supplied  with  fresh  bread.  The  regimental 

sick  reports  show  that  there  were  forty  killed  and  two  hundred  and  fifty-three  wounded  during  the  mouth  of  September,  out 
of  a  mean  strength  of  nineteen  thousand  seven  hundred  and  sixty-four  men.  One  hundred  and  seventy  of  the  wounded  and 
one  thousand  live  hundred  and  sixty-four  sick  were  sent  during  the  month  to  the  depot  hospital  at  City  Point. 


190  APPENDED    DOCUMENTS AEMY    OF    THE    POTOMAC,    1804. 

During  the  night  of  September  30th,  the  3d  division  was  removed  from  the  trenches  and  bivouacked  in  the  woods  in  rear, 
the  1st  and  2d  divisions  stretching  out  on  the  left  to  occupy  the  vacated  works.  On  the  following  morning,  the  3d  division 
proceeded  by  rail  to  Yellow  tavern,  whence  it  marched  along  Squirrel  Level  road,  past  Poplar  Spring  church,  to  the  1'eeble 
house,  then  General  Warren's  headquarters.  General  Warren,  with  portions  of  the  Fifth  and  Ninth  Corps,  was  at  this  time 
pushing  towards  the  Souths! de  railroad.  After  some  little  delay  at  the  Peeble  house,  our  3d  division  was  placed  in  position 
on  the  left  of  the  line  to  prevent  the  enemy  from  executing  successfully  his  usual  Hank  attack.  The  weather  was  unpropitions, 
the  rain  on  the  1st  and  2d  of  October  having  been  continuous  and  heavy,  the  nights  chilly  and  raw,  and  the  roads  so  muddy 
as  to  render  marching  disagreeable  and  laborious.  Meanwhile,  the  hospital  of  the  3d  division,  which  had  followed  the  course  of 
the  corduroy  road,  was  established  in  the  strip  of  woods  midway  between  Yellow  tavern  and  the  Gurley  house,  and  not  far 
from  Warren  Station,  whence  it  was  intended  to  send  the  wounded  by  rail  to  City  Point.  The  distance  between  this  point  and 
the  position  held  by  the  division  was  nearly  three  miles.  In  the  skirmishes  which  followed,  the  3d  division  had  about  seventy  men 
wounded,  who  were  speedily  dressed  and  sent  by  rail  to  City  Point.  October  6th,  the  division  returned  to  its  former  camp. 
The  1st  and  2d  divisions,  in  the  meantime  still  occupied  the  works  in  front  of  the  city.  The  former  extended  from  the  Appomattox 
to  Fort  Morton ;  the  latter  connected  on  the  left  with  the  colored  division  of  the  Ninth  Army  Corps.  The  hospital  of  the  2d 
division  remained  at  the  Southall  house,  but  on  the  afternoon  of  October  1st,  when  the  3d  division  hospital  was  moved  from  the  woods 
in  rear  of  Deserted  house,  the  1st  division  hospital  was  transferred  to  that  point,  as  the  Burchard  house,  where  it  had  been  situated, 
was  considered  insecure  during  the  pending  operations.  After  the  return  of  the  3d  division,  its  hospital  was  re-established  at  this 
point,  and  that  of  the  2d  division  was  moved  to  the  house  near  Meade's  Station,  which  had  been  its  location  during  the  assault  of  the 
ICth  and  18th  of  June,  1864.  The  situation  remained  unaltered  until  the  night  of  the  24th.  The  2d  and  3d  divisions  were  then 
relieved  from  the  works  and  massed  for  action  under  cover  of  the  woods.  The  1st  division  stretched  out  to  hold  the  line 
hitherto  defended  by  the  whole  corps.  On  the  25th,  as  it  was  necessary  to  put  the  hospitals  in  marching  condition,  the  sick 
were  sent  to  City  Point.  About  four  hundred  and  fifty  were  sent  away,  who  were  only  slightly  indisposed,  but  who  were  looked 
upon  by  regimental  and  brigade  medical  officers  as  unable  to  accompany  the  troops  on  the  march.  At  two  o'clock  on  the  after 
noon  of  the  26th,  the  2d  and  3d  divisions,  accompanied  by  the  usual  allowances  of  one-half  of  the  ambulances,  and  one  medicine 
and  one  army  wagon  to  each  brigade,  moved  towards  the  left.  That  part  of  the  train  not  permitted  to  follow  the  troops  was 
sent  within  the  defences  of  City  Point  to  remain  until  called  for.  The  line  of  march  stretched  through  the  woods  by  the  Smith, 
Williams  and  Gurley  houses  to  Fort  Duchesne,  outside  of  which  the  men  bivouacked  at  nightfall.  It  was  here  arranged  that 
all  the  trains  should  remain  at  the  Gurley  house  in  park  until  their  presence  was  required  at  the  front.  No  exception  was 
made  of  the  wagons  carrying  medical  supplies,  and  when  the  line  of  march  was  again  taken  up,  the  ambulances  only  accom 
panied  the  troops.  Reveille  was  sounded  about  three  o'clock  A.  M.,  on  the  27th,  and  shortly  afterward  the  march  was  resumed, 
the  2d  division  being  in  advance.  Leaving  Fort  Duchesne,  the  column  moved  along  the  Halifax  road  about  two  miles  and  a 
half,  when  it  struck  off  to  the  right  along  a  narrow  road  through  the  woods  leading  to  a  crossing  over  Hatcher's  run,  a  short 
distance  below  Armstrong's  mills.  An  hour  after  daybreak,  the  head  of  the  column  struck  the  enemy's  pickets  about  a  quarter 
of  a  mile  from  the  crossing.  These  were  immediately  driven  in,  and  the  works  defending  the  passage  of  the  run  were  assaulted 
and  captured.  This  success  was  achieved  with  a  loss  of  about  fifty  wounded,  sufficient  to  load  up  all  the  ambulances  of  the 
2d  division,  fifteen  in  number.  The  medical  director  made  application  for  permission  to  send  these  loaded  wagons  back  to  the 
Gurley  house  to  leave  the  wounded  and  to  return  immediately  to  the  front.  This  was  disapproved  on  the  ground  that  strag 
gling  parties  of  the  enemy's  cavalry  were  now  in  our  rear.  The  wounded  had  therefore  to  be  carried  along  with  the  troops 
towards  the  Boydton  plank  road,  which  was  struck  early  in  the  t'ay  near  the  Burgess  house,  where  the  run  and  the  road 
intersect.  The  enemy  was  here  found  in  force,  and  disputed  our  further  advance.  In  an  open  field,  on  the  east  side  of  the 
plank  road,  and  about  half  a  mile  from  the  Burgess  house,  was  a  small  frame  building,  with  out  houses  attached,  called 
Rainey's.  Here  the  ambulances  were  instructed  to  unload,  and  the  medical  officer's  of  the  division  hospitals  were  ordered  to 
report.  This  house  was  out  of  range  of  the  guns  brought  by  the  enemy  to  bear  upon  the  right  and  centre  of  the  line ;  but  later 
in  the  day,  as  the  medical  officers  were  extemporizing  operating  tables  for  some  cases  that  demanded  operative  interference,  an 
attack  was  made  by  the  enemy  upon  our  left  where  General  Gregg's  cavalry  was  dismounted.  During  this  attack  the  house 
was  in  the  line  of  fire,  and  so  near  that  musketry  reached  it.  It  became  necessary  therefore  to  remove  the  depot,  together  with 
such  wounded  as  had  arrived.  The  ambulances  were  accordingly  loaded  and  moved  to  a  grove  of  pine  trees  on  the  east  of  the 
open  space,  but  the  stretcher  carriers,  acting  upon  the  orders  received  earlier  in  the  day,  continued  to  bring  in  the  wounded  to 
the  house,  where  the  medical  officers  therefore  remained.  During  the  night  arrangements  were  made  to  retire.  The  ambulances 
started  first,  escorted  by  a  regiment  of  infantry.  They  were  ordered  to  report  at  the  Gurley  house,  where  the  medicine  wagons 
were  parked.  The  surgeons  accompanying  them  were  instructed  to  form  hospitals  there,  and  to  lose  no  time  in  performing  the 
necessary  operations,  so  that  the  wounded  might  be  sent  to  City  Point  without  delay.  On  account  of  the  deficiency  of  ambu 
lances,  all  the  wounded  collected  at  the  Rainey  house  had  to  be  left  there,  to  fall,  next  morning,  into  the  hands  of  the  enemy. 
Several  medical  officers,  who,  during  the  course  cf  the  afternoon,  volunteered  to  remain  with  the  wounded,  were,  by  order  of 
the  medical  director,  empowered  to  do  so.  As  the  medicine  wagons  had  been  left  behind,  the  supplies  at  their  disposal 
amounted  only  to  the  contents  of  two  or  three  Chapin's  field  companions.  The  number  of  wounded  left  at  the  house  and  on  the 
field  amounted  to  about  two  hundred  and  fifty. 

At  ten  o'clock  p.  M.,  the  troops  commenced  to  move  off,  the  3d  division  in  advance.  The  night  was  dark  and  rainy, 
which  rendered  the  march  along  the  narrow  road  through  the  woods  fatiguingly  slow.  The  troops  bivouacked  on  the 
banks  of  Hatcher's  run,  near  the  mills,  and  early  next  morning,  all  the  stragglers  having  come  up  with  the  main  body,  the 
march  was  resumed.  Fort  Duch<>sne  was  reached,  and  after  some  delay  the  troops  went  into  camp  on  the  evening  of  the 
29th,  in  rear  of  thn  fortifications  held  during  their  absence  by  the  1st  division.  At  an  early  hour,  the  same  day,  the  wounded 
reached  the  (iurley  house,  where  the  necessary  operations  were  performed.  About  three  o'clock  P.  M.,  a  train  of  cars  left 
Warren  Station  with  the  majority  of  them,  the  remainder  were  sent  by  a  second  train  which  started  late  in  the  evening.  . 
In  all,  one  hundred  and  seventy-five  were  sent  away.  The  temporary  hospitals  formed  at  the  Gurley  house  were  then  broken 


REPORT    OF    SURGEON    E.    B.    DALTON,    U.    S.    V.  191 

up  and  removed  to  the  old  locations.  That  of  the  2d  division,  to  the  Southall  house;  that  of  the  3d  division,  to  the  rear  of  the 
Deserted  house.  No  medical  property  or  ambulances  fell  into  the  hands  of  the  enemy,  except  the  two  or  three  field  com 
panions  left  at  the  liainej  house.  While  the  2d  and  3d  divisions  were  absent  on  this  expedition,  the  1st  (Miles'*"),  was 
noisily  engaged  with  the  enemy  in  front  of  Petersburg.  On  the  morning  of  the  20th,  its  hospital,  then  situated  near  Meade's 
Station,  was  broken  up.  In  view  of  the  extreme  caution  displayed  in  having  all  the  trains  belonging  to  the  army  removed  to 
the  fortifications  at  City  Point,  it  was  thought  to  be  too  far  to  the  rear  and  too  much  exposed.  It  was  the  intention  to  have 
moved  it  nearer  the  front  to  escape  the  danger  anticipated  in  the  rear,  but  the  peremptory  order  from  the  major  general  com 
manding  the  corps,  to  have  all  the  wagons  and  ambulances  belonging  to  this  hospital  removed  at  once  to  City  Point,  prevented 
its  formation  anew.  Five  ambulances  only  were  excepted  from  this  order.  It  was  now  decided  to  establish  brigade  hospitals 
in  the  bomb  proofs  in  and  around  the  forts,  if  an  action  with  the  enemy  should  call  for  their  existence.  To  this  end,  supplies 
in  what  the  surgeon-in-chief  considered  to  be  a  sufficient  quantity  were  taken  out  of  the  wagons  and  transported  to  the  front. 
Medical  officers  were  ordered  in  case  of  an  engagement  to  rendezvous  at  certain  fixed  points,  and  the  five  ambulances  at  their 
disposal  were  informed  of  the  localities. 

On  the  27th,  some  unimportant  assaults  were  made  upon  the  enemy's  line.  The  few  wounded  resulting,  twenty-five  in 
number,  were  very  satisfactorily  treated  in  the  brigade  hospitals.  Next  day  they  were  sent  to  City  Point,  the  division  train  was 
brought  up,  and  the  hospital  re-established  on  its  previous  site.  After  dark,  on  the  31st,  the  1st  division  was  relieved  from  the 
trenches  by  the  2d  division,  and  encamped  in  the  neighborhood  of  the  Southall  house.  The  2d  division  hospital  was  moved  at 
the  same  time  to  the  house  near  Meade's  Station,  and  that  of  the  1st  division  to  an  open  space  about  half  a  mile  in  rear  of 
the  Deserted  house.  '  During  the  month  of  October,  according  to  the  regimental  reports,  the  mean  strength  of  the  corps 

was  twenty-one  thousand  five  hundred  and  twenty-eight  men,  of  whom,  one  hundred  and  sixty-nine  were  killed  and  eight 
hundred  and  twenty-three  wounded.  Five  hundred  and  seven  of  the  wounded  and  nine  hundred  and  ninety-one  sick  were  sent 
to  the  depot  hospital  at  City  Point." 


(JLI.     Extracts  from  the  Report  of  the  Depot  Field  Hospital  of  the  Army  of  the  Potomac,  from 
May  to  October,  1864.     By  Surgeon  E.  13.  DALTON,  IT.  S.  Volunteers. 

*  *  *  "On  the  7th  of  May,  1864,  it  was  ordered  from  the  headquarters  of  the  army  of  the  Potomac,  that  all  the  wounded 
from  the  battle-fields  of  the  Wilderness  should  be  taken  across  the  Rapidan  via  Ely's  Ford  to  Rappahannock  Station,  on  the 
Orange  and  Alexandria  railroad,  and  thence  by  railroad  to  Washington,  and  I  was  ordered  to  take  general  charge  of  their 
transportation.  Owing  to  the  constant  and  heavy  demand  for  ambulances  at  the  front,  a  large  number  of  army  wagons  were 
furnished  by  the  quartermaster's  department  to  assist  in  the  execution  of  this  order.  The  amount  of  transportation,  however, 
was  still  quite  insufficient,  and  a  large  number  of  the  wounded  were  left  at  the  various  field  depots,  under  the  care  of  a  few 
medical  officers  and  attendants,  provided  with  such  shelter,  supplies  and  rations  as  the  emergency  allowed.  The  train  was 
at  once  gotten  ready,  loaded  with  wounded,  and  furnished  with  the  requisite  rations  and  medical  supplies.  A  few  medical 
officers  were  detailed  from  each  corps  for  the  care  of  the  wounded  on  the  road.  The  train  was  fairly  under  way,  when  the 
enemy's  cavalry  was  reported  in  the  vicinity  of  Ely's  Ford,  and  an  order  was  received  to  proceed  no  farther  in  that  direction, 
but  to  turn  back  and  follow  in  the  rear  of  the  army.  This  order  was  at  once  carried  into  effect,  and  the  train  followed  the  line 
of  march  during  the  night.  May  8th,  I  received  an  order  to  conduct  the  train  to  Frederickshurg,  Virginia,-and  to  place  the 
wounded  in  temporary  hospital  accommodations  there  until  they  could  be  removed  to  Washington.  A  suitable  escort  was 
provided,  and  the  train  proceeded  as  ordered,  entering  Fredericksburg  about  one  o'clock  on  the  morning  of  the  9th.  The 
churches,  public  buildings,  warehouses,  mills,  and  the  more  commodious  of  the  private  dwellings  were  at  once  taken  for 
hospital  purposes,  and  a  large  number  of  wounded  officers  and  men  were  billeted  upon  such  of  the  families  as  stil!  remained  in 
town.  Over  seven  thousand  wounded,  the  whole  number  brought  in  the  train,  were  thus  placed  under  shelter.  The  number  of 
medical  officers  and  attendants  was,  of  necessity,  disproportionately  small.  Some  thirty  medical  officers  only  were  present ; 
these  worked  most  faithfully  and  steadily,  day  and  night.  The  immediate  necessities  of  the  wounded  were  attended  to  with 
very  little  delay,  and  the  less  pressing  demands  met  with  all  possible  despatch.  The  absolute  impossibility  of  preparing 
accurate  records  under  the  circumstances,  makes  it  impossible  now  to  furnish  more  than  a  report  of  the  general  conduct  of 
affairs.  Every  effort  was  made  to  systematize  matters  as  rapidly  as  possible.  The  organization  adopted  was  by  corps, 
corresponding  to  the  organization  of  the  army.  Certain  buildings,  with  the  adjacent  portion  of  the  town,  were  assigned  to  each 
corps,  and  the  men  belonging  to  the  same  collected,  as  far  as  practicable,  within  the  limits  of  this  district.  From  the  medical 
officers  of  each  corps  present,  one  was  selected  as  surgeon  in  charge,  and  the  remainder  were  assigned  to  duty  as  assistants. 
This  same  organization,  with  some  modification  in  the  details,  has  been  continued  to  the  present  time.  The  day  alter  the 
occupation  of  the  city,  and  for  several  days  subsequently,  trains  of  ambulances  containing  supplies,  were  sent  with  a  flag  of 
truce,  under  charge  of  a  medical  officer,  to  the  Wilderness,  for  the  purpose  of  completing  the  removal  of  the  wounded.  All, 
save  a  few  taken  by  the  enemy,  were  thus  brought  into  town.  Owing  to  the  fact  that  the  occupation  of  Fredericksburg  as  a 
hospital  was  entirely  unexpected,  a  day  or  two  intervened  between  the  arrival  of  the  wounded  and  the  establishment  of 
communication  with  Washington,  during  which  time  the  supply  of  medical  and  hospital  stores,  surgical  appliances,  etc.,  was 
quite  limited.  Vessels  laden  with  everything  necessary,  reached  Belle  Plain  on  the  10th  of  May,  however,  and  wagon  trains  at 
once  brought  an  abundance  to  the  city.  At  the  same  time  a  number  of  surgeons  from  civil  life  arrived  and  reported  for  duty  in 
accordance  with  orders  from  the  Surgeon  General's  Office.  Many  of  these  rendered  valuable  assistance.  Immediately  upon 
the  establishment  of  communication  with  Washington,  measures  were  taken  to  transfer  to  that  city  all  such  men  as  seemed 
likely  to  remain  disabled  for  more  than  thirty  days  All  the  available  means  of  transportation  were,1  used  for  the  more  serious 
cases,  while  many  who  were  wounded  in  the  upper  extremities  were  sent  in  squads  on  foot  to  IJelle  Plain,  under  charge  of  a 
medical  officer  and  there  placed  on  board  the  transports.  Meantime  the  battle  of  Spottsylvania  scut  daily  accessions  to  the 


]92  APPENDED    DOCUMENTS ARMY    OF    THE    POTOMAC,    18G4. 

number  of  wounded  in  the  city.  In  some  instances  the  ambulance  and  wagon  trains  containing  those  m^n  were  unloaded  at 
Frede rieksburg,  while  in  others,  they  were  halted  for  a  sufficient  length  of  time  to  allow  provision  for  the  immediate  wants  of 
those  on  board,  and  were  then  sent  on  at  once  to  Belle  Plain.  Ou  the  20th,  three  hundred  hospital  tents  arrived.  These  were 
distributed  to  the  different  corps  hospitals,  and  were  at  once  pitched  outside  the  town,  where  as  many  of  the  wounded  as  could 
be  accommodated  were  transferred  from  the  buildings  without  delay. 

On  the  22d,  the  repairs  of  the  Fahnouth  and  Aquia  Creek  railway  were  completed ;  and  this  road  was  constantly  used  for  the 
removal  of  the  wounded  to  Aquia  landing,  to  which  point  the  depots  previously  at  Belle  Plain  had  been  transferred.  Simultaneously 
with  the  opening  of  the  railroad,  light-draught  steamers  reached  the  city  by  the  Rappahannock  river.  These  were  hastily  fur 
nished  with  supplies,  straw,  etc.,  and  used  for  the  transportation  of  wounded  to  Tappahannock  and  other  points  lower  down 
the  river,  where  hospital  transports  were  ready  to  receive  them  and  convey  them  to  Washington.  The  army  had  now  moved 
BO  far  that  Fredericksburg  was  no  longer  eligible  as  a  hospital  depot,  and  every  effort  was  made  to  evacuate  the  town  as 
promptly  as  possible.  By  the  morning  of  the  28th  of  May,  the  wounded  were  all  removed,  and  all  public  property  placed  on 
board  steamers  and  barges  in  tow.  These  dropped  down  the  river  under  convoy  of  a  gunboat,  while  the  ambulances  and  army 
wagons  moved  overland  under  escort  of  the  troops  which  had  been  garrisoning  the  city  during  its  occupation.  By  night  both 
had  reached  Port  Royal,  which  had  already  been  occupied  as  a  depot,  but  was  about  to  be  abandoned  in  consequence  of  the 
march  of  the  army  towards  the  Peninsula.  Some  thousand  wounded  had  been  brought  here  from  the  front  by  Surgeon  A.  J. 
Phelps,  U.  S.  V.,  and  by  him  sent  thence  to  Washington.  No  more  were  expected,  and  White  House,  on  the  Pamunkey  river, 
had  been  designated  as  the  next  base.  The  necessary  arrangements  for  transportation  to  that  point  were  made  without  delay, 
and  the  medical  officers  with  their  hospital  attendants  and  property,  sailed  on  the  afternoon  of  the  following  day.  Surgeon 
W.  L.  Faxon,  32d  Massachusetts,  in  charge  of  Fifth  Corps  hospital,  remained  in  charge  at  Port  Royal  until  the  departure  of 
the  last  boat,  to  see  that  nothing  appertaining  to  the  department  should  be  neglected.  After  thoroughly  performing  this  duty,  he 
accompanied  the  troops  and  trains  overland  to  the  new  base.  We  reached  White  House  on  the  3<^th,  and  immediately  com 
menced  unloading,  pitching  the  tents,  and  preparing  for  the  reception  of  the  wounded,  whose  arrival  from  the  battle-field  of 
Hanovertown  and  Cool  Arbor  was  now  looked  for  every  hour.  The  hospital  tents  were  arranged  along  the  river  bank  in 
double  echelon,  extending  from  the  former  site  of  the  White  House  some  three  quarters  of  a  mile  down  the  river,  and  occupying 
a  breadth  of  half  a  mile.  Shelter,  supplies  and  facilities  for  cooking  were  in  readiness  when  the  first  train  reached  the 
landing  on  the  afternoon  of  the  1st  of  June.  Captain  Pitkin,  A.  Q.  M.,  depot  quartermaster,  spared  no  efforts  to  afford  every 
facility  for  the  prompt  accommodation  and  comfortable  transportation  of  these  men.  It  being  understood  that  this  base  was  but 
temporary,  every  available  steamer  bound  thence  to  Washington  was  temporarily  provided  with  straw,  rations,  medical  supplies, 
and  cooking  apparatus,  and  loaded  with  wounded.  These  were  sent  under  charge  of  medical  officers  detailed  for  this  duty. 
Thus,  thousands  found  immediate  accommodation  upon  the  boats  without  even  the  delay  of  registering  their  names,  sufficient 
examination  being  given  upon  the  spot  to  prevent  the  escape  of  malingerers  or  deserters. 

From  the  1st  of  June  to  the  13th,  there  were  daily  and  sometimes  hourly  arrivals  of  trains  from  the  front,  the  numbers 
thus  received  being  sufficient  to  keep  the  hospitals  full  in  spite  of  every  effort  to  relieve  them.  On  the  13th,  however,  the 
arrivals  ceased.  Information  was  received  that  the  army  was  moving  by  the  left  flank  to  the  James  river,  and  twenty-four 
hours  sufficed  to  send  away  a  large  proportion  of  the  remaining  wounded,  to  strike  the  tents  and  to  repack  and  ship  a  good 
portion  of  the  property.  At  this  juncture,  Captain  J.  E.  Jones,  assistant  quartermaster,  and  Captain  B.  F.  Talbot,  commissary 
of  subsistence,  reported  for  duty  at  the  hospital.  The  latter  at  once  provided  abundance  of  subsistence  stores,  issued  a  sufficient 
quantity  for  those  who  must  remain  a  day  or  so,  and  shipped  the  remainder,  to  be  taken  with  the  first  medical  boat  for  the  new 
base.  Assistant  Surgeon  A.  K.  St.  Clair,  5th  Michigan  Cavalry,  was  detailed  to  remain  in  charge  at  the  landing,  whence  he 
successfully  removed  the  remaining  wounded  and  stores.  On  the  morning  of  the  14th,  a  large  proportion  of  the  medical  officers, 
the  commissary  and  quartermaster,  together  with  the  purveying  department  and  most  of  the  hospital  property,  started  down  the 
Pamunkey,  en  route  for  Jamestown  island  in  the  James  river,  which  had  been  designated  as  the  rendezvous  until  further  orders. 
A  temporary  delay  was  occasioned  at  Yorktown  by  the  great  reluctance  of  the  captains  of  the  steamers  Planter,  Farmer  and 
Hugh  Jenkins  to  proceed.  Their  objections  were,  however,  overruled,  and  we  reached  Jamestown  island  on  the  afternoon  of 
the  15th.  Here  orders  were  received  to  proceed  to  City  Point,  and  there  establish  the  hospital  depot.  On  the  16th,  upon  reaching 
the  pontoon  bridge  near  Fort  Powhattan,  we  were  delayed  by  the  crossing  of  cavalry  and  cattle.  Surgeon  Phelps,  however, 
succeeded  in  getting  above  the  bridge  by  means  of  a  small  boat,  and  thence  by  tug  to  City  Point,  where  he  selected  a  site 
for  the  hospitals.  We  finally  reached  City  Point  on  the  18th,  just  as  a  train  of  ambulances  arrived  loaded  with  wounded  from 
the  assault  upon  Petersburg.  These  were  at  once  attended  to,  and  transportation  to  Washington  procured  for  them,  hospital 
transports  being  loaned  for  that  purpose  by  Surgeon  McCormick,  U.  S.  A.,  medical  director  of  the  department  of  Virginia  and 
North  Carolina.  The  hospital  property  was  at  once  unloaded  and  conveyed  to  the  site  selected,  and  there  put  in  readiness  as 
rapidly  as  possible  for  the  reception  of  the  wounded,  who  still  continued  to  come  in  in  large  numbers.  The  site,  which  is  that  still 
occupied,  is  located  south  of  the  James  river,  one  mile  from  City  Point,  towards  Petersburg.  It  is  situated  upon  a  broad  plain 
extending  from  the  Petersburg  pike  to  the  high  bluffs  overlooking  the  basin  of  the  Appomattox,  just  at  the  junction  of  the 
latter  with  the  James  river.  The  plan  of  the  encampment,  which  still  remains  essentially  unaltered,  was  mainly  devised  by 
J)r.  Phelps.  Some  irregularities  occurred  in  its  execution  in  consequence  of  the  embarrassment  of  laying  out  the  camp  and 
erecting  tents  at  the  same  time  that  the  presence  of  wounded  called  constantly  for  professional  labors.  By  means  of  pontoons, 
temporary  wharves  were  soon  constructed,  at  a  convenient  point,  a  short  distance  up  the  Appomattox.  These  were  for  the 
exclusive  use  of  the  hospital,  and  were  used  for  landing  and  issuing  supplies,  and  for  transferring  wounded  to  the  hospital 
transports.  The  services  of  the  transports  were  immediately,  and,  for  a  time,  constantly  in  demand.  Two  of  these,  the 
Connecticut  and  State  of  Maine,  were  of  sufficiently  light  draught  to  be  able  to  come  alongside  the  wharf.  The  Do  Molay 
could  only  reach  the  mouth  of  the  Appomattox,  and  was  there  loaded  by  means  of  lighters.  The  Atlantic,  Baltic  and  Western 
Metropolis  came  no  farther  than  Fortress  Monroe  or  Newport  News,  and  were  there  loaded  by  transfers  from  the  Connecticut 
and  State  of  Maine.  All  rendered  most  efficient  service,  especially  the  Connecticut,  which  has  been  throughout  the  campaign 


REPORT  OF  SURGEON  E.  B.  DALTON,  U.  S.  V.  193 

remarkable  for  the  promptness  and  energy  displayed  in  her  management.  The  purveying  department  met  all  necessary 
demands  with  promptness  and  liberality.  Nothing  essential  to  the  care  of  the  wounded  was  wanting.  Bed  sacks  and  blankets 
were  supplied  without  stint,  and  arranged  upon  the  ground  beneath  the  tents.  None  were  without  shelter.  Drugs  and 
dressing's  were  in  abundance.  Hospital  stores,  ice,  and  even  delicacies,  were  constantly  issued.  Cooking  stoves,  cauldrons  and 
portable  ovens  were  on  hand  in  sufficient  quantity  for  any  emergency.  Requisitions  received  prompt  and  full  attention  at  all 
times.  But  a  short  time  elapsed  before  the  arrival  of  an  abundant  supply  of  bedsteads,  when  sheets  and  pillow  cases  were  at 
once  made  use  of  in  all  cases  where  they  could  essentially  add  to  the  comfort  of  the  patient.  The  capacity  of  the  hospital  was 
rapidly  increased,  until  it  became  capable  of  accommodating  ten  thousand  patients.  At  first  these  were  mainly  wounded,  but 
as  the  season  advanced,  and  the  prolonged  duty  in  the  trenches  told  upon  the  men,  the  proportion  of  sick  became  greater. 
Each  successive  engagement  would  fill  the  beds  with  wounded,  but  these,  especially  the  severely  injured,  were  sent  north  as 
rapidly  as  possible,  while  the  sick,  as  a  general  rule,  were  removed  only  when  the  character  of  the  case  rendered  a  change 
of  climate  essential  to  recovery.  The  entire  encampment  now  covers  an  area  of  some  two  hundred  acres,  and  is  composed 
of  twelve  hundred  hospital  tents.  The  latter  were  originally  pitched  in  groups  composed  of  two  tents,  with  an  intervening 
fly,  and  placed  end  to  end.  These  groups  are  arranged  in  rows,  side  by  side,  divided  by  lateral  interspaces  of  fifteen  feet  in 
width  between  the  individual  groups.  The  ends  of  the  groups  fronted  streets  sixty  feet  wide,  running  parallel  with  the  river, 
and  meeting  at  right  angles  a  main  avenue  one  hundred  and  eighty  feet  in  width,  which  extends  through  the  centre  of  the 
camp  from  the  verge  of  the  blurt'  to  the  Petersburg  pike.  Since  the  approach  of  cold  weather,  an  entire  tent  has  been 
substituted  for  the  intervening  fly  in  each  group.  Shortly  after  the  establishment  of  the  hospital  at  this  point,  works  were 
constructed  by  the  quartermaster  for  supplying  the  encampment  with  water.  Two  steam  engines  of  four-horse  power  each 
were  placed  at  the  foot  of  the  bluff,  at  the  edge  of  the  river,  whence  they  forced  water  into  a  tank  capable  of  containing 
six  thousand  gallons.  The  tank  was  raised  thirty  feet  above  the  level  of  the  bluff",  and  supported  upon  a  strong  trestle 
work.  From  this  tank  a  conducting  pipe  two  inches  in  diameter  descends  to  the  ground,  and  is  conducted  eighteen  inches 
below  the  surface  along  the  main  avenue.  At  right  angles  to  this  main  pipe,  smaller  ones  diverge  at  intervals,  and  enter  the 
various  divisions  of  the  hospital,  where,  at  the  extremity  of  each  pipe,  is  a  hydrant.  These  works,  which  were  completed  on 
the  6th  of  July,  have  proved  entirely  satisfactory,  and  an  abundance  of  river  water  was  thus  supplied  for  laundry,  bathing 
and  other  purposes.  Wells  were  dug  in  various  parts  of  the  hospital,  and  these,  with  numerous  springs  in  the  vicinity,  afforded 
a  plentiful  supply  for  drinking  and  cooking.  For  several  weeks  subsequently  to  the  ai'rival  at  City  Point  no  rain  fell,  and 
the  accumulation  of  dust  became  a  source  of  the  greatest  discomfort.  Bodies  of  troops  and  wagon  trains  were  constantly 
passing  along  the  main  road,  and  the  dust  was  borne  in  dense  clouds  over  the  camp,  filling  the  tents  and  penetrating  the 
bed-clothes.  This  matter  was  represented  at  the  Surgeon  General's  Office,  and  sprinkling  carts  applied  for.  Eight  of  these 
were  promptly  sent  down  from  Washington,  and  were  immediately  and  constantly  made  use  of.  They  afforded  great  relief, 
not  only  in  subduing  the  dust,  but  also  in  moderating  the  intense  heat  of  the  atmosphere.  To  afford  some  shade,  broad  bowers 
were  built  continuously  along  the  ends  of  the  tents  on  each  side  of  the  streets.  For  purposes  of  drainage,  each  group  of  tents 
was  surrounded  by  a  trench  eight  inches  in  depth.  From  these  trenches  the  water  was  conducted  into  ditches,  which  ran 
along  each  side  of  the  streets,  and  terminated  in  still  larger  ones  in  the  various  irregular  ravines  with  which  the  ground  is 
broken  up,  and  which  descend  rapidly  to  the  river.  This  system  of  drainage  has  proved  entirely  effectual.  It  is  impossible 
by  merely  quoting  the  register  to  convey  an  accurate  idea  of  the  sick  and  wounded  who  have  received  attention  in  this  hospital. 
At  Fredericksburg,  at  White  House,  and,  still  later,  at  City  Point,  hundreds  passed  through  under  circumstances  which 
rendered  it  impracticable  to  register  their  names,  or  even  to  estimate  their  number  accurately.  This  always  occurred  during 
or  immediately  subsequent  to  an  engagement,  when  the  accumulation  of  wounded  and  the  constant  calls  for  professional  labor 
sometimes  made  it  necessary  to  transfer  at  once  from  the  ambulances  to  the  hospital  transports.  In  fact,  as  I  have  already 
stated,  so  unremitting  were  the  professional  duties  of  the  medical  officers  during  the  first  fortnight  at  Fredericksburg  that 
it  was  impossible  even  to  prepare  morning  reports,  and  it  was  not  until  the  16th  of  May  that  a  numei'ical  report  was 
attempted.  From  that  date  to  the  present,  daily  reports  have  been  forwarded,  and  they  show  that  from  the  16th  of  May  to 
October  31st  there  have  been  received  into  this  hospital,  and  retained  here  under  treatment  for  at  least  forty-eight  hours, 
sixty-eight  thousand  five  hundred  and  forty  sick  and  wounded  officers  and  men.  Of  these,  fifty-one  thousand  three  hundred 
and  thirteen  have  been  transferred  to  the  various  general  hospitals  at  the  north,  and  eleven  thousand  seven  hundred  and  six 
have  been  returned  to  duty  with  their  commands.  One  thousand  five  hundred  and  sixteen  have  died.  A  large  number  of  the 
wounded  had  sustained  amputations,  or  other  capital  operations,  at  the  immediate  front  before  coming  to  this  hospital ;  but  in 
many  other  cases  similar  interference  was  still  necessary.  The  experience  here  has  given  the  most  convincing  evidence  in 
favor  of  primary  operations  in  gunshot  wounds.  The  majority  of  the  sick  received  during  the  summer  have  suffered  from 
dysentery,  diarrhoea  and  malarial  fevers.  A  small  proportion  of  cases  of  typhoid  fever  have  occurred,  and  a  very  few 
comparatively  of  pneumonia  and  other  diseases  of  the  chest.  The  manifestations  of  malarial  influences  have,  as  a  general 
rule,  been  of  a  mild  character,  and  evidently  owing,  in  a  great  measure,  to  the  prolonged  exposure  and  hard  service  to  which 
the  men  have  been  subjected  in  the  trenches.  In  fact,  very  many  of  them  do  not  properly  come  under  the  head  of  either 
of  the  recognized  classes  of  malarious  fever>  but  were  rather  cases  of  a  depressed  condition  not  inaptly  expressed  by  the  term 
malarial-malaise.  A  large  proportion  of  these  recovered  rapidly  and  entirely  under  the  influences  of  rest,  cleanliness  and  good 
nourishment,  together  with  a  moderate  administration  of  quinine  and  iron.  A  number  of  cases  of  disease  have  occurred  within 
the  limits  of  the  encampment,  but  not  in  sufficient  number  or  of  sufficient  severity  to  impair  the  efficiency  of  the  hospital,  or  to 
throw  any  doubt  upon  the  propriety  of  its  continuance.  On  the  contrary,  the  number  who  have  recovered  and  returned  to 
duty  within  a  few  weeks  after  their  admission,  and  without  their  removal  to  a  distance  from  the  seat  of  war,  have  proved  this 
site  a  most  eligible  one."  * 


25 


194  APPENDED    DOCUMENTS — AEMY    OF    THE    POTOMAC,    1864. 

CLII.  Extracts  from  the  Iteport  of  the  Medical  and  Hospital  Department  of  the  Second 
Division,  Cavalry  Corps,  Army  of  the  Potomac,  from  July  19  to  December  31,  1864.  By 
Assistant  Surgeon  E.  J.  MABSH,  U.  S.  Army. 

"July  19,  1864,  I  reported  for  duty  as  acting  surgeon-in-chief  of  the  2d  division,  Cavalry  Corps,  Surgeon 
Phillips,  1st  New  Jersey  Cavalry,  being  absent  on  sick  leave.  The  division  consisted  of  the  following  troops:  1st  brigade;  1st 
New  Jersey  Cavalry,  1st  Massachusetts  Cavalry,  1st  Pennsylvania  Cavalry,  6th  Ohio  Cavalry,  10th  New  York  Cavalry  and 
Battery  A  2d  U.  S.  Artillery:  2d  brigade;  1st  Maine  Cavalry,  2d,  4th,  8th,  13th  and  16th  Pennsylvania  Cavalry,  with  Battery  I 
IstU.  S.  Artillery.  The  division  was  encamped  between  Light-house  Point  and  City  Point,  on  both  sides  of  the  telegraph  road. 
With  few  exceptions,  all  the  camps  were  in  the  woods,  some  on  high  ground,  some  on  lower  sites,  but  all  quite  dry  in  consequence 
of  the  long  continued  drought,  and  the  extreme  heat  rendered  the  shelter  of  the  woods  very  desirable  for  both  men  and  horses. 
The  water  was  generally  good,  and  rations  were  abundant,  with  the  exception  of  fresh  vegetables,  the  supply  of  which  was  scanty. 
The  sick  list  was  large,  especially  in  the  2d  brigade,  the  report  of  which,  for  the  week  ending  July  23d,  showed  two  hundred 
and  thirty-two  men  sent  to  general  hospital,  and  two  hundred  and  twenty-seven  remaining  sick,  out  of  an  aggregate  strength 
of  four  thousand  nine  hundred  and  forty-seven  men.  No  division  or  regimental  hospital  had  been  established,  and  all  serious 
cases  were  sent  at  once  from  their  regiments  to  the  corps  hospital  at  City  Point.  The  full  number  of  ambulances,  medicine  and 
transportation  wagons  were  on  hand,  but  many  of  the  boxes  of  the  ambulances  were  not  well  filled,  especially  in  the  first 
brigade.  July  26th,  we  received  orders  to  be  ready  to  march  in  the  afternoon ;  all  the  lighter  cases  of  sickness  were  left  in 
camp  with  one  medical  officer  from  each  brigade.  The  more  serious  cases,  thirty-six  in  number,  were  sent  to  City  Point.  But 
five  ambulances  were  allowed  to  accompany  the  division,  and  the  medical  director  ot  the  corps  had  one  army  wagon  with 
supplies.  We  inarched  just  before  dai'k,  proceeding  across  the  Appomattox  to  the  James  river  opposite  Deep  Bottom.  On  the 
morning  of  July  27th,  we  crossed  the  James  and  proceeded  to  Strawberry  Plains,  where  we  remained  all  day.  I  had  made 
preparations  to  organize  a  field  hospital,  placing  Surgeon  W.  M.  Weidman,  2d  Pennsylvania  Cavalry,  in  charge,  and  detailing 
operating  surgeons,  assistants,  and  a  corps  of  attendants.  Before  starting,  I  had  loaded  one  of  the  ambulances  with  medical 
supplies,  and  had  placed  a  hospital  tent  fly  in  each  ambulance. 

On  the  morning  of  July  28th,  we  moved  out  the  New  Market  road  towards  the  Charles  City  road,  and  soon  came  upon 
the  enemv  in  force.  The  ambulances  had  been  ordered  to  inarch  in  the  rear  of  the  division,  and  they  had  not  come  up  when 
the  first  wounded  came  in.  I  directed  Assistant  Surgeon  Tuft,  1st  Pennsylvania  Cavalry,  to  assist  Surgeon  Weidman  in  selecting 
a  place  for  the  hospital.  They  established  it  at  a  house  about  half  a  mile  back  on  the  Mai  vern  Hill  road ;  many  of  the  wounded 
came  thither  on  horseback,  or  were  carried  by  their  comrades,  before  the  ambulances  arrived.  The  rebel  infantry  being  in 
force,  drove  our  dismounted  men,  and  captured  one  of  our  guns.  They  were  soon,  however,  forced  back,  leaving  many  of 
their  wounded.  We  afterwards  moved  back  by  the  Malvern  Hill  road,  and,  by  orders  of  the  general  commanding,  I  had  the 
wounded  placed  in  the  ambulances  and  carried  to  Malvern  Hill.  Here  the  wounded  were  placed  in  the  shade,  near  a  large 
house,  where  there  was  good  water  and  a  supply  of  ice.  An  operating  room  was  extemporized  of  tent  flies,  and  nearly  all  the 
cases  were  soon  attended  to.  Meanwhile,  I  had  gone  back  to  the  battle-field  with  the  ambulance  train  and  removed  those  of 
our  Avounded  who  had  been  left  upon  the  field,  together  with  several  of  the  rebel  wounded.  Late  in  the  afternoon,  I  was 
directed  to  take  all  the  wounded  to  Allen's  farm  on  Strawberry  Plains,  where  the  1st  division  of  the  corps  had  established  their 
hospital.  They  occupied  the  house,  so  the  wounded  under  my  charge  were  laid  on  the  grass  near  by  and  sheltered  by  the  tent 
flies.  They  were  all  soon  fed,  and  those  who  had  not  yet  received  surgical  aid  were  attended  to.  Assistant  Surgeon  DuBois, 
U.  S.  A.,  acting  medical  director  of  the  corps,  made  arrangements  for  shipping  them  off  that  night  on  board  a  transport.  For 
this  purpose  he  borrowed  ambulances  from  the  medical  director  of  the  Second  Corps,  and  by  midnight  they  were  all  on  board 
of  the  boat.  In  this  affair,  according  to  the  regimental  reports,  our  division  lost  fifteen  killed,  eighty-one  wounded  and  twenty 
missing ;  total,  one  hundred  and  sixteen.  Sixty-eight  of  our  own  wounded  and  twelve  rebels  were  received  and  treated  at  the 
field  hospital.  July  29th,  we  remained  in  the  same  position,  and  there  was  no  fighting  except  an  attack,  towards  evening,  on 
the  pickets  of  the  1st  Maine,  which  had  three  men  wounded.  The  command  recrossed  the  James  river  during  the  night,  and  the 
wounded  last  mentioned,  together  with  a  few  sick,  were  sent  in  ambulances  to  City  Point.  July  30th,  we  marched  from  the 
Appomattox  to  Lee's  mill,  on  Warwick  swamp.  The  day  was  excessively  hot,  and  the  men  and  horses  were  greatly  exhausted. 
We  found  the  enemy  at  Lee's  mill  posted  on  the  opposite  side  of  the  stream.  In  the  skirmish  that  followed,  we  had  eleven 
men  wounded,  who  were  taken  to  Lee's  house,  where  a  temporary  hospital  was  established,  the  wounded  fed,  their  wounds 
dressed  and  necessary  operations  were  performed.  During  the  night  the  whole  division  moved  back  towards  Prince  George 
Court-house,  where  the  2d  brigade  went  into  camp,  while  the  1st  brigade  encamped  between  that  place  and  Lee's  mill.  The 
wounded  were  sent  to  City  Point.  We  remained  here  till  August  5th,  when  we  moved  back  to  our  old  camp  near  Light-house 
Point.  While  at  this  place,  I  established  a  temporary  hospital,  using  the  tent  flies  which  I  had  in  the  ambulances,  and  having 
others,  together  with  additional  hospital  stores,  brought  up  from  our  train.  When  we  moved,  on  the  5th  of  August,  I  had  the 
patients,  forty-five  in  number,  sent  to  City  Point.  At  this  time,  the  1st  and  3d  divisions  of  the  Cavalry  Corps  were  sent  to  the 
Shenandoah  valley.  The  2d  was  now  the  only  cavalry  division  in  the  army  of  the  Potomac.  After  returning  to  the  camp  near 
Light-house  Point,  I  undertook  to  organize  a  division  hospital.  *  *  I  found  on  hand  eleven  hospital  tents  and  the  usual 
field  supplies  for  two  brigades.  By  direction  of  the  general  commanding  the  division,  I  established  the  hospital  near  the 
cavalry  depot,  as  this  would  be  a  comparatively  permanent  camp,  and  not  subject  to  the  frequent  movements  of  the  rest  of  the 
division.  The  cavalry  depot  was  on  the  James  river,  at  the  mouth  of  Bailey's  Creek,  about  two  miles  below  City  Point.  It 
was  organized  to  receive  the  dismounted  men  of  the  division,  together  with  recruits  and  convalescents  returning  from  general 
hospital,  and  to  supply  them  with  horses  and  arms  before  joining  their  regiments.  The  site  selected  for  the  hospital  was  an 
open  grassy  plain,  surrounded  by  woods,  and  about  half  a  mile  from  the  river.  Here  I  had  all  the  hospital  tents  pitched,  and 
placed  Assistant  Surgeon  R.  H.  Tuft,  1st  Pennsylvania  Cavalry,  in  charge.  A  suitable  number  of  attendants  were  detailed. 
August  9th,  we  again  moved  to  Prince  George  Court-house,  where  we  remained  until  August  13th,  when  we  broke  camp  to 


REPORT    OF    ASSISTANT    SURGEON    E.    J.    MARSH,    U.    S.    A.  195 

take  part  in  the  movement  of  the  Second  and  Tenth  Corps,  north  of  the  James  river.  I  had  all  the  sick  who  were  unable  to 
travel  sent  to  the  division  hospital.  By  order,  I  took  ten  ambulances  and  a  medicine  wagon  with  the  column,  placing  some 
hospital  tent  flies  in  the  ambulances.  I  organized  a  temporary  field  hospital  for  the  expedition,  placing  Surgeon  Weidman,  2d 
Pennsylvania  Cavalry,  in  charge  and  detailing  an  operating  staff,  assistants  and  attendants.  We  marched  all  night  and  reached 
Allen's  farm  on  Strawberry  Plains  shortly  before  daybreak  on  the  14th.  Here  we  rested  some  hours,  and  then  marching  along 
the  Newmarket  road  had  a  skirmish  at  Gravel  Hill,  driving  the  enemy  before  us,  with  a  loss  of  a  few  killed  and  thirteen 
wounded.  I  established  the  field  hospital  in  a  grove  on  Strawberry  Plains,  near  the  river.  August  15th,  we  moved  up  the 
Charles  City  road  and  had  a  skirmish,  in  which  nine  men  were  wounded  who  were  taken  to  the  field  hospital.  On  the  morning 
of  August  16th,  the  division  being  about  to  move  on  a  reconnoissance,  I  transferred  our  wounded  to  the  Second  Corps  hospital. 
The  2d  brigade,  with  one  section  of  artillery,  moved  out  the  Charles  City  road,  and  at  Deep  Run,  a  small  stream  running  into 
White  Oak  swamp,  was  joined  by  General  Miles's  brigade  of  the  Second  Corps.  The  enemy  was  found  posted  on  the  other 
side  of  the  run.  During  the  operations  of  the  day,  the  2d  brigade  had  about  a  hundred  men  wounded,  and,  as  but  five 
ambulances  had  been  allowed  to  accompany  us,  I  was  obliged,  during  the  morning,  to  send  back  for  more.  *  *  At  first,  I 
selected  a  house  near  the  Charles  City  road  for  a  hospital,  but  the  surgeon  in  charge  subsequently  found  the  locality  unsafe, 
and  moved  back  to  a  dry  pine  wood  on  the  Newmarket  road.  To  this  place  the  wounded  were  carried  by  the  ambulances. 
We  removed  also  several  of  the  wounded  of  General  Miles's  brigade,  which  had  only  a  few  ambulances  with  it.  As  far  as 
possible,  all  the  wounded  were  dressed,  fed  and  sheltered,  and  necessary  operations  were  performed ;  among  them  several 
» amputations  and  resections.  In  the  evening,  I  learned  from  the  medical  director  of  the  Second  Corps,  that  a  transport  would 
be  at  the  wharf  next  morning  to  carry  the  wounded  to  City  Point.  As  we  had  but  ten  ambulances,  he  sent  an  additional  train 
by  means  of  which  all  our  patients  were  sent  off  at  the  appointed  hour.  During  the  17th,  we  held  the  same  lines  and  had  no 
fighting.  On  the  18th,  in  the  afternoon,  our  pickets  at  Riddle's  shop  were  attacked,  and  also  the  regiment  at  Deep  Run. 
Nine  men  were  wounded.  The  hospital  had  been  moved  back  to  a  grove  near  the  river,  to  which  the  wounded  were  carried 
and  dressed.  August  19th,  the  1st  brigade  was  ordered  to  the  left  of  the  army,  where  the  Weldon  railroad  had  just  been 
seized.  I  sent  some  ambulances  and  medical  stores  with  it.  During  the  19th  and  20th,  the  2d  brigade  remained  in  the  same 
position.  At  this  time,  I  relieved  Assistant  Surgeon  Tuft  from  the  charge  of  the  division  hospital,  and  assigned  Assistant 
Surgeon  L.  E.  Atkinson,  1st  Pennsylvania  Cavalry,  to  that  duty. 

During  the  night  of  the  20tb,  we  recrossed  the  James  and  Appomattox  rivers,  and  marched  to  Prince  George  Court 
house,  which  we  reached  at  an  early  hour  in  the  morning.  The  expedition  north  of  the  James  river  had  been  very  fatiguing. 
During  many  of  the  nights  the  men  were  without  sleep,  and  during  the  whole  time  they  were  on  picket  duty.  Skirmishing 
had  been  very  frequent,  and  the  labors  of  the  medical  officers  were  onerous.  During  the  expedition,  according  to  the  regi 
mental  reports,  there  were  thirty  killed,  one  hundred  and  sixty-five  wounded,  and  one  hundred  and  thirty-six  missing.  Total, 
two  hundred  and  thirty-one.  One  hundred  and  twenty-seven  of  the  wounded  were  admitted  into  the  field  hospital.  The  total 
number  of  medical  officers  present  for  duty  was  eleven.  August  21st,  after  a  few  hours'  rest,  we  proceeded  by  way  of  Sturde- 
vant's  mills  to  the  Jerusalem  plank  road,  and  during  the  night  continued  our  march  to  within  a  short  distance  of  the  Weldon 
railroad.  The  condition  of  the  roads  was  so  bad,  owing  to  the  late  rains,  that  it  was  almost  impossible  to  bring  any  wheeled 
vehicles  along.  We  were  obliged  to  leave  our  artillery  behind,  and  it  was  with  great  difficulty  that  we  succeeded  in  bringing 
the  ambulances.  At  the  Weldon  railroad  the  first  brigade  joined  us.  On  the  previous  day,  in  a  skirmish,  six  of  their  men  had 
been  wounded.  These  had  been  put  into  a  house  and  dressed;  on  the  2'2d  they  were  sent  to  City  Point.  August  23d,  we  pro 
ceeded  down  the  railroad  to  Reams's  Station,  guarding  the  flank  of  the  Second  Corps  which  was  engaged  in  tearing  up  and 
destroying  the  railroad.  In  the  afternoon  the  enemy  appeared  in  force  on  the  road  leading  from  Reams's  to  Dimviddie  Court 
house.  They  attacked  and  endeavored  to  drive  us  from  our  position  but  were  repulsed.  They  continued  the  attack,  however/ 
until  dark,  but  without  any  success.  Our  men  being  partially  protected,  we  had  comparatively  few  casualties ;  in  all  about 
forty  wounded.  I  established  a  hospital  in  a  church  at  Reams's  Station,  nearly  a  mile  from  the  field  of  battle.  Many  of  the 
cases  were  severe  and  required  operations,  but  all  were  dressed  and  made  comfortable  for  the  night.  Next  morning  a  few  more 
operations  were  performed.  The  day  before  the  fight  I  had  sent  back  for  the  remainder  of  our  ambulance  train,  and  this  having 
now  arrived,  the  wounded  were  all  sent  to  City  Point.  On  the  24th,  there  was  no  fighting.  The  Second  Corps  meanwhile 
continued  the  destruction  of  the  railroad,  but  on  the  morning  of  the  25th  the  enemy  attacked  our  cavalry  in  the  advance  and 
flank,  and  soon  appeared  in  strong  force.  General  Hancock  accordingly  drew  in  his  working  parties  and  prepared  to  resist 
the  attack,  availing  himself  of  a  strong  line  of  breastworks  erected  some  weeks  previously  by  the  Sixth  Corps.  The  first  brigade 
of  our  division  was  on  the  right,  keeping  up  the  communication  with  General  Warren,  and  the  2d  brigade  on  the  left.  During 
the  morning  we  had  a  few  men  wounded,  and  I  had  established  my  hospital  at  the  Emmon's  house,  a  short  distance  from 
Reams's  Station,  on  the  road  leading  to  the  Jerusalem  plank  road.  Here  there  were  some  shade  trees,  grassy  ground,  an 
ice-house  and  a  well.  Some  of  the  wounded  of  General  Kautz's  cavalry  were  also  brought  to  this  hospital.  The  medical 
director  of  the  Second  Army  Corps  was  about  to  establish  his  hospital  in  the  same  place,  but  was  instructed  by  General  Hancock 
that  it  was  unsafe.  On  hearing  this,  I  moved  the  wounded  under  my  charge  to  Reams's  Station,  where  I  occupied  the  church 
we  had  used  a  few  days  before.  This,  too,  in  a  few  hours  became  unsafe,  and  we  were  obliged  before  evening  to  withdraw  to 
the  plank  road.  The  enemy  had  attacked  the  Second  Corps  in  their  works,  and  had  been  repulsed  two  or  three  times,  but 
about  four  and-a-hulf  o'clock  they  succeeded  in  dislodging  them,  capturing  some  guns  and  a  number  of  prisoners.  Our  cavalry 
line  on  the  left  remained  in  position  until  dark,  when  the  whole  line  was  withdrawn,  the  2d  brigade  bringing  up  the  rear.  It  is 
believed  that  none  of  our  wounded  were  left  on  the  field.  * 

During  the  operations  on  the  Weldon  railroad  the  loss  of  our  division  was  as  follows:  Killed,  ten;  wounded,  fifty-nine; 
missing,  five ;  total,  seventy-four.  The  wounded  were  sent  to  City  Point.  August  26th,  the  division  encamped  on  the  Jerusalem 
plank  road,  north  of  the  lilackwater.  The  camp  of  the  first  brigade  was  nearly  a  mile  west  of  the  road,  some  of  the  regiments 
being  in  the  pine  woods,  others  on  small  hillocks.  The  soil  being  dry  and  sandy  was  easily  drained.  In  some  of  the  regimental 
ramps  wells  were  dug  to  supply  drinking  water.  The  2d  brigade  was  encamped  along  the  plank  road  on  dry  sandy  hillocks 


196  APPENDED    DOCUMENTS ARMY    OF    THE    POTOMAC,    1864. 

where  there  was  good  spring  water.  The  men  hud  the  usual  shelter  tents,  which,  in  almost  all  cases,  were  raised  from  the  ground, 
and  raised  bunks  were  built  to  sleep  on.  In  a  very  few  cases  the  men  slept  on  the  ground.  The  division  remained  at  this 
camp  until  the  end  of  September.  During  the  month  there  was  a  good  deal  of  sickness,  the  average  number  on  sick  report 
being  about  eight  per  cent.,  and  the  proportion  in  both  brigades  being  about  the  same.  The  cliief  diseases  were  diarrhoea, 
dysentery  and  malarial  fevers,  many  of  the  latter  being  of  a  remittent  type.  Only  the  lighter  cases  were  treated  in  camp,  the 
more  severe  being  sent  to  division  hospital,  and  as  soon  as  this  became  filled,  transferred  to  City  Point.  The  number  thus  sent 
to  City  Point  during  the  month  was  two  hundred  and  forty-eight.  The  division  hospital  remained  as  before,  near  the  cavalry 
depot,  and  Avas  kept  in  good  condition.  September  1st,  Surgeon  G.  W.  Colby,  1st  Maine  Cavalry,  was  placed  in  charge.  On 
the  night  of  September  15th,  the  rebel  cavalry  made  a  raid  in  the  rear  of  our  army,  and  drove  off  a  large  herd  of  cattle  from 
Coggins's  Point,  on  the  James  river.  A  squadron  of  the  13th  Pennsylvania  Cavalry,  which  was  guarding  them,  had  a  number 
of  men  captured,  among  them  Assistant  Surgeon  Stanton  of  that  regiment.  Early  the  next  morning  this  division  was  sent  in 
pursuit.  It  moved  down  the  plank  road  and  found  the  rebels  posted  on  the  opposite  side  of  Jones's  hole  swamp,  in  a  very 
strong  position,  from  which  it  was  found  impossible  to  dislodge  them.  In  this  affair  fifteen  men  were  wounded.  On  the  17th, 
the  division  returned  to  camp,  and  the  more  severely  wounded  were  sent  to  City  Point.  Early  on  the  morning  of  the  29th,  the 
division  again  broke  camp,  and  leaving  the  16th  Pennsylvania  Cavalry  on  picket  along  the  plank  road,  marched  to  Yellow 
tavern  on  the  Weldon  railroad.  I  was  directed  to  take  along  one  medicine  wagon  and  ten  ambulances.  I  assigned  Surgeon 
Junkin,  4th  Pennsylvania  Cavalry,  to  the  charge  of  the  field  hospital,  and  made  the  usual  details  of  surgeons  and  attendants. 
From  the  Yellow  tavern  we  proceeded  down  the  Halifax  to  the  Wyatt  road.  In  the  meantime  the  Fifth  Corps  had  moved  out 
beyond  Poplar  Grove  church.  We  proceeded  up  the  Wyatt  road,  and,  at  Arthur's  swamp,  met  the  enemy's  pickets.  During 
the  skirmishing  which  ensued  several  of  our  men  were  wounded,  two  of  them  by  the  explosion  of  the  limber  chest  of  one  of 
our  guns.  '  I  established  a  field  hospital  at  the  site  of  the  old  Perkins  house  on  the  Halifax  road.  The  tent  flies  were 

put  up  and  the  wounded  were  fed,  their  wounds  examined,  and  the  necessary  operations  performed.  Next  morning  they  were 
taken  to  Warren  Station  and  sent  by  cars  to  City  Point. 

During  the  3Uth,  the  division  advanced  beyond  the  Vaughan  road,  but  the  enemy  having  fallen  back,  did  not  molest  us. 
October  1st,  on  the  supposition  that  the  division  was  to  move  to  the  left  of  the  infantry  line,  I  was  directed  to  move  the 
hospital  within  the  works  at  Warren  Station.  It  rained  all  day.  but  the  tent  flies  were  put  up,  and  with  the  help  of  boards 
taken  from  an  old  camp,  and  hay  procured  from  the  quartermaster  at  the  station,  a  comfortable  hospital  was  established.  The 
division,  however,  only  went  as  far  as  Poplar  Grove  church,  and  then  returned  to  its  position  at  the  Davis  house,  covering  the 
Vaughan  road,  where  it  had  thrown  up  a  short  line  of  breastworks.  These  were  occupied  by  the  1st  brigade,  the  2d  being  on 
its  left,  and  extending  back  to  the  Halifax  road.  In  the  morning,  the  enemy  attacked  with  cavalry  and  artillery,  but  were 
soon  repulsed.  Between  three  and  four  o'clock  in  the  afternoon,  they  again  attacked  in  force,  repeatedly  charging  the  works. 
The  fighting  continued  until  dark,  when  they  withdrew.  During  the  day,  we  had  about  thirty  wounded,  who  were  temporarily 
dressed  on  the  field,  and  afterwards  carried  to  the  hospital  at  Warren  Station,  where  they  were  all  fed,  operated  on,  and,  next 
day,  sent  by  rail  to  City  Point.  October  2d,  the  division  went  into  camp  on  the  Vaughan  road,  and  remained  there  until  the 
3d,  when  it  returned  to  the  old  camp  on  the  Jerusalem  plank  road.  During  the  expedition,  our  entire  loss  was  eighteen  killed, 
seventy-three  wounded,  eighty-three  missing;  total,  one  hundred  and  seventy-four.  The  number  received  into  hospital  was 
fifty-seven.  After  our  arrival  in  camp,  I  ordered  the  division  hospital  to  be  removed  from  its  position  near  the  cavalry  depot 
to  a  retired  field  a  short  distance  from  the  division  encampment.  The  site  selected  was  dry,  the  soil  sandy,  and  the  tents  being 
on  the  brow  of  the  hill,  could  easily  be  drained  in  wet  weather.  A  well  was  dug,  an  oven  built,  and  every  provision  was  made 
for  the  comfort  of  the  patients.  The  division  remained  in  this  camp  during  the  greater  part  of  the  month.  The  camps  were 
generally  in  good  condition.  There  was  less  sickness  than  during  September,  but  diarrhoeas  and  dysenteries  still  prevailed, 
and  there  were  a  few  cases  of  scurvy.  About  the  middle  of  the  month  a  new  brigade  was  formed.  It  consisted  of  the  1st 
Maine  from  the  2d  brigade,  the  6th  Ohio  from  the  1st  brigade,  and  the  21st  Pennsylvania  Cavalry,  a  regiment  just  attached  to 
the  division,  which  during  the  summer  had  been  dismounted  and  served  as  infantry  in  the  Fifth  Corps.  The  24th  New  York, 
a  regiment  which  had  been  serving  under  similar  circumstances  with  the  Ninth  Corps,  was  assigned  to  the  1st  brigade. 
On  October  25th,  I  received  orders  to  send  the  sick  to  City  Point,  and  break  up  the  hospital  preparatory  to  a  general  move. 
This  was  done  on  the  26th,  and  one  hundred  and  eighty-one  men  were  sent  to  hospital.  The  hospital  tents  were  loaded 
in  wagons  and  sent  with  the  general  train  to  City  Point.  I  was  directed  to  take  along  one  army  wagon,  one  medicine  wagon 
and  half  the  ambulances.  In  the  wagon  I  loaded  a  hospital  tent  and  all  the  tent-flies,  with  blankets,  clothing  and  rations. 
Surgeon  Le  Moyne,  of  the  16th  Pennsylvania  Cavalry,  was  placed  in  charge  of  the  field  hospital,  and  medical  officers  and 
attendants  were  detailed  as  usual. 

On  October  26th,  at  three  o'clock  p.  M.,  we  broke  camp,  and  marched  to  the  Perkins  house  on  the  Weldon  railroad, 
where  we  bivouacked  for  the  night,  Early  next  morning,  we  marched  to  the  Boydtown  plank  road.  The  Second  Corps  went 
by  the  Wyatt  road  and  Armstrong's  mill,  while  we  kept  farther  to  the  left,  by  the  Halifax,  Dinwiddie  and  Quaker  roads.  We 
encountered  the  enemy  about  daybreak,  and  skirmished  all  morning,  having  several  men  killed  and  wounded,  who  were 
dressed  temporarily,  and  moved  on  in  the  ambulances  with  the  command.  About  noon,  we  struck  the  Boydtown  plank  road, 
and  joined  the  Second  Corps,  which  had  moved  by  a  shorter  route.  *  *  During  the  afternoon,  the  rebels  made  a  vigorous 
attack  on  General  Hancock's  right  flank,  at  the  same  time  their  cavalry  came  up  the  plank  road  and  engaged  our  3d  brigade. 
The  ambulances  had  been  parked  in  an  open  field,  but  the  enemy's  artillery  rendered  their  position  unsafe,  and,  after  the 
cavalry  attack  on  the  plank  road,  I  was  directed  to  have  them  move  back  about  a  mile  on  the  road  by  which  we  came  to  the 
point  where  General  Davies's  brigade  was  stationed.  After  the  fighting  had  ceased,  the  ambulances  were  again  brought  to  the 
front  to  collect  the  wounded.  During  the  afternoon  it  began  to  rain,  and  continued  raining  steadily  until  late  at  night.  The 
ambulance  corps,  however,  brought  in  the  wounded,  including  a  number  who  had  collected  around  the  house  occupied  by 
the  Second  Corps  as  a  hospital.  They  were  all  fed,  and  we  were  ordered  to  be  ready  to  move  at  eleven  o'clock  p.  M.  The 
ambulances  not  sufficing  to  carry  all  the  wounded,  I  took  some  wagons  which  had  been  captured  in  the  morning,  with  two 


EEPORT    OF    ASSISTANT    SURGEON    E.    J.    MARSH,    U.    S.    A.  197 

empty  ammunition  wagons,  and  thus  succeeded  in  carrying  off  all  the  wounded  who  had  been  collected,  about  one  hundred 
in  number.  It  is  possible  that,  during  the  day,  a  few  of  the  wounded  may  have  fallen  into  the  hands  of  the  enemy.  At  eleven 
o'clock  P.  M.,  we  moved  back  on  the  road  by  which  we  had  advanced,  but  having  considerable  difficulty  in  crossing  the 
wagons  over  the  bridge  at  Gravelly  Run,  it  was  daylight  before  we  reached  the  Halifax  road.  We  went  into  camp  at  the 
IVrkins  house,  and  Surgeon  Le  Moyne  at  once  made  preparations  for  feeding  the  wounded  and  establishing  a  hospital.  The 
tents  and  tent  flies  wrere  soon  put  up,  the  wounded  removed  from  the  ambulances,  their  wounds  were  dressed,  necessary 
operations  were  performed,  and,  by  dark,  they  were  all  placed  on  the  cars  at  Warren  Station,  and  sent  to  City  Point.  The 
hospital  was  then  broken  up,  and  the  division  returned  to  its  old  camp.  According  to  the  regimental  reports,  the  casualties 
on  the  27th  were  twenty-seven  killed,  one  hundred  and  forty-seven  wounded  and  sixty-five  missing;  total,  two  hundred  and 
thirty-nine.  The  number  of  wounded  admitted  into  the  field  hospital  was  ninety-nine.  October  29th,  the  1st  brigade 
moved  out  and  encamped  at  McCann's  Station,  on  the  Norfolk  railroad.  *  *  October  28th,  I  directed  Actin<>-  Staft 
Surgeon  G.  W.  Lovejoy  to  re-establish  the  division  hospital  at  the  point  occupied  by  it  before  our  last  movement.  This  was 
done  on  the  29th  and  30th,  and  preparations  for  winter  were  commenced ;  chimneys  were  built,  a  log  dining  house  and  cook 
house  erected,  etc.  :  '  During  the  month  of  November  the  division  remained  in  camp,  and  as  the  weather  became  cold, 
the  men  began  to  build  huts;  but  as  there  was  no  assurance  of  remaining  long  in  camp,  they  were  often  put  up  without  much 
regularity  or  uniformity.  November  17th,  the  1st  brigade  moved  to  the  open  field  about  the  Westbrook  house,  and  as  it 
was  thought  probable  that  they  might  remain  there  during  the  winter,  an  order  was  issued  from  brigade  headquarters  directing 
the  plan  of  huts,  and  ordering  all  to  be  erected  according  to  the  same  model.  The  plan  was  a  good  one,  and  although  it 
assigned  too  many  men  to  each  hut,  in  practice  it  was  found  that  they  were  almost  never  occupied  by  the  entire  number.  Each 
hut  was  intended  to  accommodate  six  men,  and  was  to  be  twelve  feet  long,  seven  feet  wide  and  from  five  to  six  feet  high  from 
the  ground  to  the  eaves.  Digging  down  into  the  ground  was  strictly  prohibited;  fire-places  \vere  allowed,  but  no  stoves 
About  the  middle  of  December,  several  of  the  regiments  of  the  2d  brigade  were  moved  to  new  and  better  ground,  and  an 
order  published  regulating  the  formation  of  camps,  size  of  huts,  etc.  'The  houses  for  the  men  will  be  built  of  logs  or  poles, 
six  feet  long,  set  upon  end,  or,  if  sunk  into  the  ground,  seven  feet  long;  gable  ends  facing  the  picket  lines;  chimneys  on  left 
side,  or  facing  the  front  of  the  camp;  houses  to  be  covered  with  shelter-tents,  and  four  men  will  occupy  one  house.'  In  the 
3d  brigade  no  general  orders  were  given  respecting  the  size  of  huts,  which  was  regulated  by  the  several  regimental  com 
manders.  '  During  November,  we  had  a  number  of  men  killed  and  wounded  while  on  picket  and  scout.  Some  of  these 
cases  were  wounded  by  buckshot,  others  by  musket  and  pistol  balls.  Twenty  of  the  wounded  were  received  at  the  division 
hospital  during  the  month.  This  hospital  constantly  improved  in  convenience,  comfort  and  neatness.  During  the  month,  a 
new  ward  was  established,  chimneys  were  completed,  wards  were  partially  floored  and  drainage  was  provided  for.  Two 
hundred  and  three  patients  were  admitted  during  November,  of  whom  ninety  were  sent  to  City  Point.  These  cases  were 
chiefly  fevers  of  severe  type  and  chronic  diarrhoea;  there  were  also  a  few  cases  of  pneumonia.  The  regimental  monthly  reports 
for  November  exhibit  a  marked  diminution  in  the  number  of  cases  of  acute  diarrhoea,  dysentery  and  malarial  fevers,  and  an 
increase  in  chronic  diarrhoea,  bronchitis,  catarrh,  pneumonia  and  tonsilitis. 

On  December  1st,  at  an  early  hour  in  the  morning,  the  whole  division,  except  a  few  detachments  left  on  picket,  moved 
out  on  an  expedition  to  Stony  Creek  Station.  Fifteen  ambulances  accompanied  the  command,  but  no  supply  wagons,  as  we 
expected  to  return  the  same  evening.  We  started  from  camp  at  four  o'clock  A.  M.,  and  proceeded  by  Lee's  mill  to  the  plank 
road,  down  which  we  moved  about  three  miles;  then  turning  to  the  right,  crossed  Jones's  Hole  swamp,  and  came  to  the 
Kowanty,  where  we  found  a  party  of  the  enemy,  who  were  driven  across  before  they  had  time  to  destroy  the  bridge.  The  3d 
brigade  was  left  here  to  hold  the  bridge,  while  the  other  two  pushed  on  to  the  railroad  at  Duvall's  Station.  The  1st  brigade 
remained  here  to  hold  the  Halifax  road,  while  the  2d  brigade  pushed  on,  and  soon  came  in  view  of  Stony  Creek  Station.  *  * 
The  rebel  work  at  this  point  was  captured,  with  one  hundred  and  seventy  prisoners  and  two  guns.  The  depot  and  storehouses 
were  burned.  In  this  affair,  we  had  a  few  men  killed  and  several  wounded.  The  wounded  were  brought  off  in  ambulances, 
with  temporary  dressings  merely,  as  we  at  once  started  on  our  return.  Just  as  we  reached  Duvall's  Station,  some  rebel  cavalry 
attacked  the  brigade  which  had  been  left  there,  and  several  of  our  men  wrere  wounded  in  the  skirmish  that  ensued.  *  * 
We  returned  on  the  road  by  which  we  came,  and  reached  camp  about  nine  o'clock,  completely  tired  out.  The  wounded  were 
taken  to  the  division  hospital,  and  were  found  to  be  thirty -four  in  number.  The  total  number  of  casualties  during  the  expedition 
was  as  follows :  Killed,  four;  wounded,  thirty-eight;  missing,  sixteen.  Next  morning,-they  were  all  carefully  examined,  and 
all  necessary  operations  performed.  After  this,  we  remained  quietly  in  camp  until  the  morning  of  December  7th,  when  we 
again  set  out  on  an  expedition.  Rations  and  forage  for  six  days  were  issued,  and  I  was  directed  to  take  along  twenty 
ambulances  and  one  medicine  wagon.  I  made  the  usual  detail  of  surgeons  and  attendants  for  a  field  hospital.  We  took  in 
the  ambulances  two  hundred  and  fifty  rations  of  coffee,  sugar  and  hard  bread,  together  with  some  blankets  and  tent  flies.  The 
division  hospital  also  was  not  disturbed,  but  a  number  of  patients  were  ordered  to  be  sent  next  day  to  City  Point.  The  13th 
Pennsylvania,  (!th  Ohio,  and  Battery  I  of  the  1st  U.  S.  Artillery,  remained  in  camp.  A  few  days  previously,  the  Fifth  Corps  hud 
broken  camp  and  moved  to  the  Jerusalem  plank  road,  and  it  was  understood  that  we  were  to  cooperate  with  them.  We  marched 
by  Lee's  mill  and  Jerusalem  plank  road  to  Freeman's  bridge  on  the  Nottoway  river,  and  thence  to  Sussex  Court-house,  where 
we  camped  for  the  night  alongside  of  Crawford's  division  of  the  Fifth  Corps.  December  8th,  we  marched  at  five  o'clock  A.  M. 
by  way  of  Cormann's  well  to  the  Halifax  road,  where  we  came  in  sight  of  the  railroad  bridge  over  the  Nottoway.  A 

skirmish  occurred  near  this  place,  in  which  we  had  fifteen  men  wounded,  several  of  them  seriously.  They  received  surgical 
assistance  at  a  temporary  hospital  which  I  established  at  the  Chambliss  house,  and  were  afterward  carried  in  the  ambulances  to 
Jarratt's  Station,  where  we  encamped  for  the  night.  The  infantry  meanwhile  had  torn  up  the  railroad  as  far  as  the  latter 
place.  As  we  were  to  march  at  an  early  hour  next  morning,  the  wounded  were  not  taken  out  of  the  ambulances. 

December  Oth,  we  marched  at  five  o'clock  A.  si.,  and  proceeded  along  the  railroad,  guarding  the  roads  while  the  infantry 
tore1  nil  the  track.  At  Three  Creeks  we  found  :i  small  force  of  the  enemy,  who  retired  as  we  advanced,  until  we  reached  an 
open  plain  near  Hellelield,  where  the  enemy  had  three  strong  works  with  ten  or  twelve  guns  in  position,  which  they  used  with 


198  APPENDED    DOCUMENTS AEMY    OF    THE    POTOMAC,    1864. 

effect  several  of  our  men  being  killed  and  about  ten  wounded.  *  *  When  General  Warren  arrived  lie  determined  not  to 
attack  bat  merely  to  hold  our  line  and  destroy  the  railroad  up  to  this  point.  This  was  accomplished  during  the  evening,  and 
we  subsequently  went  into  camp  near  Three  Creeks.  The  wounded  had  been  sent  back  to  this  point,  where  a  temporary 
hospital  was  established  in  a  neighboring  house.  Here  they  were  fed  and  their  wounds  dressed.  After  dark,  the  rain  which 
had  been  foiling  during  the  afternoon  turned  to  sleet,  and  the  weather  became  very  cold.  December  10th,  we  were  up  before 
daylight  to  get  everything  across  the  river  at  an  early  hour,  the  expedition  having  been  ordered  to  return.  The  rain  had  now 
ceased,  but  it  Avas  still  cold  and  cloudy.  *  *  The  ambulance  train  moved  between  the  two  last  brigades.  '  *  The  enemy, 
followed  us  in  rear  and  on  the  left  with  cavalry  and  artillery  as  far  as  Jarratt's  Station,  and  during  the  day  we  had  a  number 
of  men  taken  prisoners  and  fifteen  wounded.  *  *  At  night  the  2d  brigade,  which  was  in  advance  of  the  infantry,  went  into 
camp  at  Sussex  Court-house.  Thither  I  ordered  the  ambulance  train,  and  the  surgeon  in  charge  established  a  temporary 
hospital  at  a  convenient  house,  where  fires  were  built,  supper  cooked  and  the  wounded  dressed.  December  llth,  we 

left  Sussex  Court-house  at  ten  o'clock  A.  M.  '  *  We  reached  our  camp  about  ten  o'clock  p.  M.  The  wounded  were  taken  to 
the  division  hospital  and  provided  for.  December  13th,  they  were  sent  to  City  Point. 

This  expedition  was  extremely  severe,  especially  upon  the  medical  officers.  The  weather  at  times  had  been  very  wet 
and  cold.  We  seldom  went  into  camp  until  after  dark,  sometimes  not  until  very  late.  The  wounded  then  had  to  be  dressed, 
and  we  generally  marched  before  daylight  in  the  morning.  *  Notwithstanding  the  bad  weather,  but  few  cases  of  sickness 

occurred  during  the  expedition,  and,  on  our  return,  only  ten  men  were  carried  in  ambulances  on  this  account.  During  this  last 
night's  march,  however,  several  men  had  their  feet  frozen.  The  casualties  during  the  expedition  were  as  follows:  Killed, 
twelve;  wounded,  fifty-one  ;  missing,  fifty-one;  total,  one  hundred  and  fourteen.  The  total  number  of  wounded  received  into 
ambulances  was  thirty-seven. 

During  our  absence,  the  13th  Pennsylvania  and  the  6th  Ohio  went  on  a  reconnoissance,  during  which  their  loss  was  two 
killed,  eighteen  wounded  and  one  missing.  '  :  During  the  rest  of  the  month  the  division  remained  in  camp,  and  the  winter 
quarters  were  completed,  so  that  by  December  31st  almost  every  regiment  had  an  excellent  camp." 


CLIII.  Extract  from  a  Report  of  the  Operations  of  the  Medical  Department  during  the 
Expedition  against  the  Weldon  Railroad,  December  7  to  12,  1864.  By  Assistant  Surgeon 
CHARLES  K.  WINNE,  U.  S.  Army. 

*  "An  expedition,  composed  of  the  Fifth  Corps,  the  3d  division  of  the  Second  Corps,  four  batteries,  General 
Gregg's  Cavalry  and  a  bridge  train  of  canvas  boats,  having  been  ordered  to  move  at  daylight  on  December  7th,  the  flying 
hospital,  composed  of  one  medicine  wagon  and  one  hospital  wagon  for  each  brigade,  with  one  half  of  the  ambulances, 
accompanied  the  command.  All  the  field  companions  and  hospital  knapsacks  were  directed  to  be  filled.  One  hospital  tent 
fly  to  be  carried  in  each  ambulance,  and  the  boxes  to  be  supplied  with  hard  bread,  sugar  and  coffee,  while  the  hospital  wagons 
carried  stimulants,  anodynes,  dressings,  blankets,  hospital  clothing,  rations  and  hospital  tents.  The  field  hospitals  of  the  troops 
about  to  move  were  left  intact  in  charge  of  assistant  surgeons,  and  all  who  were  unable  to  march  were  sent  thither.  December 
7th,  the  troops  moved,  the  ambulances  following  their  respective  divisions,  the  flying  hospital  with  the  train  in  rear.  The 
command  moved  south  of  Yellow  tavern,  Gurley  and  Temple  houses  to  Jerusalem  plank  road,  and  down  this  road  to  Hawkins- 
ville,  nineteen  miles  from  Petersburg,  where  it  halted  until  the  pontoon  bridge  was  thrown  across  the  Nottoway  river,  at 
Freeman's  Ford.  A  wagon  having  been  overturned  on  the  bridge,  the  crossing  was  so  much  retarded,  that  it  was  dark  before 
all  were  over,  and  the  troops  bivouacked  on  the  south  side  of  the  river.  A  battalion  of  cavalry  was  detailed  to  collect  all 
stragglers  on  the  road  north  of  the  river  and  take  them  to  army  headquarters.  Eight  hundred  and  fifty  were  found,  four 
hundred  and  fifty  belonging  to  3d  division,  Second  Corps,  four  hundred  to  the  Fifth  Corps.  It  had  rained  steadily  the  whole 
morning,  but  the  soil  being  sandy,  the  march  was  but  little  retarded.  December  8th,  we  broke  camp  at  three  o'clock  A.  M., 
marched  through  Sussex  Court-house  and  Gorman's  well,  to  the  North  Cross  house,  on  Halifax  road,  thirty  miles  from  Petersburg, 
where  the  pontoon  and  other  trains  were  parked.  The  weather,  clear  at  starting,  changed  and  became  colder,  with  high  wind 
at  night,  and  heavy  frost.  The  ambulances  had  been  comparatively  free  during  the  day,  many  men  requiring  only  a  short  rest 
to  enable  them  to  resume  the  march,  and  the  remainder  being  returned  to  their  respective  commands  on  going  into  camp. 
During  the  night  the  troops  were  engaged  in  tearing  up  the  railroad  and  destroying  the  road  as  far  as  practicable.  December 
9th,  the  troops  were  engaged  all  day  destroying  the  railroad,  the  cavalry  going  as  far  as  Bellefield,  opposite  Hicksford,  on 
Meherrin  river,  found  the  bridge  at  that  point  protected  by  seven  or  eight  guns,  supported  by  infantry  in  field  works,  and  it  was 
not  deemed  advisable  to  attempt  to  force  a  passage.  Here  a  short  engagement  occurred  with  some  loss  in  the  cavalry.  It  was 
very  cold  all  day,  with  rain  and  sleet  at  night.  Many  of  the  men  became  intoxicated  on  apple  whiskey,  found  in  nearly  all  the 
houses  on  the  road.  December  10th,  the  return  march  commenced,  with  the  wagon  train  in  advance,  guarded  by  the  1st 
division,  and  the  ambulances  in  advance  of  their  respective  divisions,  two  only  following  in  the  rear  of  each.  The  cavalry,  with 
the  exception  of  one  brigade,  returned  to  Sussex  Court-house  by  the  road  we  mai-ched  out,  the  infantry  marched  by  another 
road.  It  was  thawing,  and  the  roads  were  very  heavy  during  the  day.  We  bivouacked  a  mile  south  of  Sussex  Court-house. 
The  3d  division  bringing  up  the  rear,  was  attacked  twice  by  rebel  cavalry,  and  formed  in  line ;  two  men  received  flesh  wounds. 
I  visited  the  cavalry  hospital  at  Sussex  Court-house  on  the  llth  and  learned  that  forty  men  had  been  wounded  since  the 
expedition  started.  We  reached  Nottoway  river  about  noon,  the  troops  all  crossed  before  dark  and  camped  along  the  Jerusalem 
plank  road  from  Hawkirisville  to  the  Belcher  house.  December  12th,  the  march  was  resumed  and  troops  went  into  camp 
between  Halifax  and  Jerusalem  plank  road  by  five  o'clock  i>.  M.  During  the  expedition,  the  troops  were  exposed  to  great 
vicissitudes  of  weather  and  endured  great  fatigue  and  hardship.  Two  fractures  were  treated  at  the  flying  hospital,  one  received 
in  tearing  up  the  road,  the  other  in  felling  timber." 


REPORT    OF    ASSISTANT    SURGEON    J.    S.    BILLINGS,    U.    S.    A.  199 

CLIV.     Report  on  the  Treatment  of  Diseases  and  Injuries  in  the  Army  of  the  Potomac  during 
1864.     By  Assistant  Surgeon  J.  S.  BILLINGS,  IT.  S.  Army. 

Silt :  In  accordance  with  your  instructions  I  have  the  honor  to  submit  the  following  report  of  my  observations  upon 
the  treatment  adopted  by  the  medical  officers  of  tlie  army  of  the  Potomac  for  the  various  diseases  and  injuries  occurring 
among  the  troops  during  the  spring  and  summer  of  1864.  In  the  majority  of  instances,  and  especially  in  the  case  of  the 
wounded,  the  patients  have  been  sent  to  depot  hospitals  in  the  rear,  within  forty-eight  hours  after  their  entrance  into  the  field 
hospitals.  The  primary  treatment  of  the  sick  and  wounded  has  been  furnished  almost  exclusivelv  in  the  division  hospitals 
the  regimental  medical  officers  having  been  able  to  do  but  little  for  the  serious  cases.  The  organization  of  the  medical  staff  of 
these  hospitals  has  been  essentially  that  prescribed  by  Dr.  Letterman,  viz. :  One  surgeon  in  charge  of  the  hospital,  three  operating 
surgeons,  each  with  two  or  three  assistants,  one  medical  officer  to  provide  food  and  shelter,  and  one  to  act  as  recorder  the 
last-named  officer  being  usually  assisted  by  the  chaplains  and  by  one  or  two  hospital  stewards.  The  surgeons-in-chief  of  divisions 
have  usually  made  their  headquarters  at  their  field  hospitals,  and  have  thus,  in  part,  performed  the  duty  of  the  surgeon-in-chief 
of  the  hospital.  The  corps  of  the  army  have  almost  always  acted  as  units  in  the  several  battles,  and  the  division  hospitals 
of  each  corps  have  therefore  been  placed  together,  forming  a  sort  of  corps  hospital,  the  location  of  which  has  usually  been 
selected  by  the  corps  medical  director  and  chief  ambulance  officer;  thus  removing  one  of  the  principal  motives  which  formerly 
impelled  the  surgeon-in-chief  of  division  to  remain  at  headquarters  and  ascertain  the  position  of  the  line  of  battle  of  the 
division,  in  order  that  he  might  place  his  hospital  properly.  Owing  to  the  rapid  and  extensive  movements  of  the  army, 
necessitating  prompt  action  in  the  disposal  of  the  wounded,  it  was  necessary  that  the  corps  medical  directors  should  be  able  to 
find  the  surgeons-in-chief  of  divisions  at  any  moment,  which  was  best  effected  by  having  them  all  stationed  at  the  point  where  the 
work  was  to  be  done,  viz.,  the  hospital.  The  presence  of  the  surgeons-in-chief  of  divisions  at  their  hospitals  has  undoubtedly  been 
of  great  benefit  to  these  institutions;  but,  on  the  other  hand,  there  has  been  too  little  supervision  of  the  medical  officers  at  the 
advance  depots  near  the  line  of  battle,  and  complaints  that  no  medical  officer  could  be  found  near  the  front  when  an  engage 
ment  was  going  on  have  been  frequent,  and  in  some  cases  well  founded.  The  operating  surgeons  have  been  in  most  cases  the 
surgeons-in-chief  of  brigades,  which  is  equivalent  to  saying  that  they  have  been  the  medical  officers  who  have  been  longest  in 
the  service,  and,  as  a  general  rule,  have  had  the  most  practical  experience.  The  habitual  absence  of  the  surgeons-in-chief  of 
brigades  from  the  front  has  probably  had  more  to  do  with  the  want  of  system  complained  of  and  has  been  of  greater  detriment 
than  the  absence  of  surgeons-in-chief  of  divisions.  During  an  engagement  each  division  hospital  is  a  general  hospital,  receiving 
wounded  from  all  divisions  and  corps  if  necessary.  The  medical  officers  sent  to  the  front  with  their  regiments  formed  brigade  depots 
in  the  Fifth  and  Sixth  Corps,  in  the  Second  Corps  they  usually  followed  their  regiments.  In  the  Ninth  Corps  they  were  ordered 
by  the  corps  medical  director  to  remain  within  three  hundred  yards  of  the  line  of  battle  at  all  times,  each  being  behind  his  own 
regiment,  a  position  in  which  they  were  about  as  useless  as  they  well  could  be.  The  best  and  most  complete  system  in  all  its 
parts  was  that  adopted  by  Surgeon  J.  J.  Milhau,  U.  S.  A.,  medical  director  of  the  Fifth  Corps,  lie  proceeded  on  the  principle 
that  a  medical  officer  is  a  general  staff  officer  and  a  regimental  officer  only  in  name.  The  medical  officers  were  collected  in 
groups  behind  each  division,  as  near  the  front  as  an  ambulance  could  be  brought,  and  two  or  three  ambulances  stood  close  by 
ready  to  move.  This  was  called  the  ambulance  picket.  Each  medical  officer  had  a  pocket  case  and  a  hospital  knapsack,  or 
field  companion.  The  position  was  protected  from  musketry  fire,  either  by  the  nature  of  the  ground,  or  bv  a  small  breastwork 
of  logs  and  earth,  thick  enough  to  stop  a  rifle  ball,  and  a  small  hospital  flag  was  planted  on  the  top.  Further  to  the  rear,  in  a 
position  as  secure  as  possible  from  shell  and  musketry,  was  the  ambulance  picket  reserve,  where  eight  or  ten  ambulances  were 
kept  in  readiness.  A  medicine  wagon  was  also  on  the  spot  when  no  engagement  was  going  on  or  imminent.  When  one  ambu 
lance  came  in  loaded,  another  passed  out  from  the  picket  reserve  to  take  its  place.  During  a  battle  all  the  ambulances  of  the  corps 
were  at  the  reserve,  with  the  exception  of  those  on  picket,  or  moving  to  the  hospitals  with  wounded.  In  this  way  but  few 
ambulances  were  under  fire  at  any  one  time,  and  yet  they  were  always  ready.  The  labor  of  receiving,  collecting  and 
transporting  wounded  from  the  front  to  the  ambulance  picket  was  performed  by  the  stretcher-bearers,  under  the  direction  of  the 
officers  of  the  ambulance  corps.  When  no  active  operations  were  going  on,  a  regular  sick  call  was  held  daily  at  the  advance 
depots,  and  all  wounded  and  seriously  sick  were  sent  back  at  once  to  the  division  hospitals,  temporary  dressings  having  first  been 
applied  to  their  wounds.  Very  little  prescribing  was  done.  If  the  case  required  any  treatment  beyond  a  cathartic,  or  an  opium  or 
quinine  pill,  it  was  usually  sent  at  once  to  hospital.  During  a  march  many  cases  of  sunstroke  come  under  the  hands  of  the 
regimental  surgeons.  I  have  seen  about  forty  cases  of  different  grades  of  severity,  from  slight  dizziness,  with  inability  to  walk 
straight,  to  violent  epileptiform  convulsions  and  almost  immediate  death.  The  treatment  usually  adopted  has  been  to  carry 
the  patient  into  the  shade,  loosen  the  clothing  about  the  upper  part  of  the  body,  saturate  the  head  with  cold  water,  and 
administer  a  small  drink  of  whisky.  In  some  cases  a  piece  of  lint,  saturated  with  chloroform,  was  placed  on  the  epigastrium, 
producing  rapid  and  severe  counter  irritation.  I  have  seen  excellent  results  in  three  cases  from  the  administration  of  a  drachm 
of  aromatic  spirits  of  ammonia.  Cases  of  heat  apoplexy  have  also  occurred  during  marches  made  on  hot  sultry  summer 
nights;  for  example,  that  made  by  the  Second  Corps  to  Deep  Bottom  on  the  'J7th  of  July.  The  principal  diseases  have  been 
miasmatic  in  character,  bowel  affections  being  especially  prevalent,  which  presented  a  marked  remittent  type,  and  yielded 
readily  to  anti-periodics.  A  scorbutic  element,  complicating  other  diseases,  was  first  noticed  at  Cool  Arbor.  The  first  decided 
case  of  scurvy  I  saw,  was  on  the  14th  of  June.  The  sufferer  was  a  captain  in  the  Ninth  Corps.  His  gums  were  spongy  and 
bleeding  slightly;  he  had  been  sick  one  week.  After  the  army  crossed  the  James,  a  number  of  well  marked  cases  occurred, 
and  many  other  patients  showed  more  or  less  decided  symptoms.  The  medical  officers  have  been  prompt  to  recognize  this 
trouble,  and  have  treated  it  with  as  good  diet  as  was  obtainable,  whisky,  iron  and  quinine,  and  the  chlorate  of  potash  have 
also  been  favorite  remedies.  I  recommended  the  use  of  small  doses  of  permanganate  of  potash  in  two  or  three  cases,  but  do 
not  know  the  results.  Typhoid  and  typho-malarial  fevers  have  been  constantly  present  since  the  1st  of  .June.  \Yell  marked 
cases  of  typho-malarial  fever  were  first  observed  at  Cool  Arbor,  at  the  same  time  as  the  scorbutic  taint  mentioned  above.  In 
these  fevers,  so  far  as  I  have  been  able  to  ascertain,  the  malarial  element  is  always  predominant  at  the  commencement,  the 


200  APPENDED    DOCUMENTS ARMY    OF    THE    POTOMAC,    1864. 

typhoid  element  making  its  appearance  on  the  fifth  or  sixth  day,  and  gradually  becoming  more  prominent.  Much  uncertainty 
and  difference  of  opinion  exists  among  the  medical  officers  as  to  the  diagnosis  between  typhoid  and  typho-malarial  fevers,  and 
the  statistics  of  these  two  diseases,  as  shown  by  the  monthly  reports  of  sick  and  wounded,  will  be  of  little  or  no  value  in 
determining  the  relative  frequency  or  mortality  of  each.  The  treatment  adopted  is  nearly  alike  for  the  two  diseases,  and  has 
been  usually  expectant,  nutritious  diet  and  stimulants  being  given  freely.  Typho-malarial  fever  is  very  often  diagnosed  as 
remittent  fever  in  its  commencement,  and  is  treated  as  such  with  ten-grain  doses  of  quinine,  early  in  the  morning,  the  usual  time 
of  remission. 

The  character  of  the  surgery  performed  in  the  field  hospitals  during  the  campaign  has  been  unprecedently  good. 
The  majority  of  cases  have  been  properly  dressed,  and  operated  on,  before  being  sent  to  the  rear,  and,  for  this  reason,  the 
number  of  primary  operations  has  been  very  great.  The  great  majority  of  wounds  have  been  caused  by  the  conoidal  ball;  but 
few  wounds  from  grape  or  canister  having  been  observed.  The  treatment  of  flesh  wounds  has  been  simple  and  uniform 
consisting  of  a  small  piece  of  wet  lint  placed  on  the  wound,  or  wounds,  and  retained  in  position  by  a  turn  of  bandage,  or  slip 
of  plaster.  The  common  adhesive  plaster  has  been  less  frequently  used  than  in  former  campaigns,  partly  because  means  of 
heat  are  necessary  to  apply  it  properly,  and  partly  because  it  is  thought  to  be  somewhat  irritating  to  the  skin,  and  liable  to 
produce  erythematous  inflammation.  Gelatine  plaster  has  been  more  largely  used,  and,  in  many  cases,  where  formerly  a 
bandage  would  have  been  applied,  its  cleanliness,  ease  of  application,  and  the  facilities  it  affords  for  examining  or  redressing 
the  part  being  the  principal  arguments  in  its  favor. 

The  anaesthetic  commonly  used  has  been  a  mixture  of  ether  and  chloroform,  in  the  proportion  of  one  part  of  the  latter  to 
two  of  the  former.  Pure  chloroform  has  been  much  used  however,  and  several  deaths  have  occurred  from  its  effects. 

In  gunshot  fractures  of  the  cranial  bones,  the  general  practice  has  been  to  remove  the  fragments  of  bone  which  are 
depressed,  the  bone  gouge  forceps  being  used  to  cut  away  enough  of  the  sound  bone,  when  necessary,  to  permit  of  the  intro 
duction  of  an  elevator.  I  know  of  but  four  cases  in  which  the  trephine  has  been  applied,  and  in  none  of  them  was  its  use 
necessary.  I  have  observed  thirty-one  cases  in  which  the  frontal  bone  was  penetrated,  seven  of  whom  died  within  forty-eight 
hours.  In  two  of  them  the  ball  was  removed  from  the  frontal  sinus,  the  posterior  wall  of  which  did  not  appear  to  have  been 
penetrated.  But  five  cases  of  penetration  of  the  occipital  bone  have  come  under  my  notice,  two  of  which  proved  fatal  within  forty- 
eight  hours.  Medical  officers  generally  agree  that  wounds  of  the  posterior  part  of  the  cranium  are  more  immediately  fatal  than 
those  of  the  anterior  part,  and  my  own  experience  at  Chancellorsville  and  Gettysburg  is  to  the  same  effect.  Stupor,  delirium 
and  convulsions  appear  earlier  in  the  former  class  of  cases.  May  this  not  be  due  in  part  to  the  fact  that  the  great  sinuses,  by 
which  the  blood  is  conveyed  from  the  brain,  are  more  likely  to  be  interfered  with  in  a  fracture  of  the  occipital  bone  ?  Of  four 
hundred  and  thirty-four  cases  of  penetrating  wounds  of  the  cranium,  there  were  one  hundred  and  fifty-nine  deaths  in  field 
hospitals,  as  shown  by  the  classified  returns,  being  thirty-nine  per  centum  of  deaths.  This  includes,  however,  the  moribund 
cases,  who  died  on  the  way  to,  or  immediately  after  entering  the  hospital,  and  did  not  become  subjects  of  treatment.  Of  eighty- 
six  cases  taken  consecutively  from  the  nominal  lists,  twenty-eight  died  in  the  field  hospitals,  being  thirty-three  per  centum,  six 
of  the  remainder  died  in  the  depot  hospitals,  and  ten  in  northern  hospitals,  making  the  total  known  percentage  of  deaths  to 
be  fifty-one. 

In  gunshot  injuries  of  the  facial  bones,  it  has  appeared  to  me  that  the  majority  of  surgeons  were  too  much  disposed  to 
remove  all  fragments,  forgetting  the  superior  vitality  of  these  bones.  *  '  I  have  seen  three  cases  in  which  the  whole  of 
one  side  of  the  lower  jaw  has  been  disarticulated  and  removed,  an  operation  which,  as  a  primary  one  at  least,  can  hardly 
ever  be  required  in  my  opinion. 

Penetrating  wounds  of  the  thorax  have  been,  in  most  cases,  treated  like  simple  flesh  wrounds,  with  the  exception  that 
the  lint  is  often  applied  dry  to  close  the  wound.  A  small  number  of  cases  have  been  hermetically  sealed  with  collodion,  by  the 
process  of  Assistant  Surgeon  Howard,  U.  S.  A.  This  mode  of  treatment  is  regarded  with  disfavor  by  the  majority  of  the 
medical  officers  of  this  army.  Those  belonging  to  the  3d  division,  Second  Corps,  however,  have  adopted  the  method,  and  have 
practiced  it  in  a  number  of  cases.  I  have  seen  two  cases  thus  treated,  and  I  consider  it  valuable  when  there  is  profuse 
hemorrhage  and  great  dyspnoea,  as  a  primary  and  temporary  mode  of  treatment.  In  such  cases  the  immediate  relief  it  affords 
is  marked;  quiet,  tranquil  respiration  follows,  and  the  grave  symptoms  are  rapidly  ameliorated.  The  benefit  gained,  however, 
ceases  entirely  when  the  process  of  suppuration  has  set  in,  a  process  which  this  mode  of  treatment  does  not  at  all  prevent. 

After  the  battle  of  Gettysburg,  six  cases,  in  which  the  hermetically  sealing  process  had  been  practiced  by  Dr.  Howard, 
were  left  in  the  hospital  of  the  2d  division  of  the  Fifth  Corps,  of  which  I  was  at  that  time  surgeon-in-charge.  An  assistant 
surgeon  was  left  by  Dr.  Howard  to  take  charge  of  these  cases,  and  carry  out  his  peculiar  mode  of  treatment,  and  a  written 
order  was  given  by  Dr.  Letterman,  that  these  cases  should  not  be  interfered  with.  All  of  these  men  died  within  eighteen  days. 
On  two  of  them  I  had  autopsies  made,  which  revealed  empyema  and  pleuro  pneumonia.  In  neither  case  had  the  sealed  wounds 
healed.  In  one  case  a  fragment  of  woollen  shirt  lay  in  the  cavity  of  the  chest.  The  results  of  this  mode  of  treatment  cannot 
be  obtained  in  the  field  hospitals ;  and  when  the  cases  get  to  the  rear,  I  think  most  surgeons  remove  the  hermetical  dressings, 
when  suppuration  sets  in,  and  allow  the  pus  to  escape  by  its  natural  outlet.  Of  the  operation  of  tapping  for  empyema,  proposed 
by  Dr.  Howard  in  these  cases,  I  know  of  but  one  instance,  and  that  proved  fatal.  While  the  hermetical  closure  of  the  wound 
has  good  effects  at  first,  as  I  have  before  stated,  yet  that  part  of  the  process  which  consists  in  paring  the  edges  of  the  wound, 
merely  inflicts  useless  pain  on  the  patient.  Practically,  a  little  dry  lint  applied  to  the  wound  soon  forms  a  hermetical  closure, 
and  answers  every  purpose,  especially,  if,  as  in  most  cases,  the  haemorrhage  is  but  slight.  *  *  Of  eight  hundred  and  fifty- 
eight  cases  of  penetrating  wounds  of  the  thorax,  as  reported  by  the  classified  returns,  two  hundred  and  ninety-five  died  in  the 
field  hospitals,  being  a  mortality  of  thirty-four  per  centum.  This  percentage,  like  that  of  wounds  of  the  cranium,  is  erroneous, 
and  for  the  same  reason.  Of  two  hundred  and  seventeen  cases  taken  consecutively  from  the  nominal  lists,  fifty-four  died  in 
field  hospitals,  making  the  mortality  twenty-five  per  centum.  Eight  of  the  remaining  cases  died  at  the  depot  hospitals,  and  ten 
in  northern  hospitals,  making  the  total  known  mortality  to  be  thirty-three  per  centum. 

Of  six  hundred  and  fifty-four  cases  of  penetrating  wounds  of  the  abdomen,  reported  by  classified  returns,  three  hundred 


REPORT    OF    ASSISTANT    SURGEON    J.    S.    BILLINGS,    U.    S.    A.  201 

and  twenty-six  died  in  field  hospitals,  making  a  mortality  of  fifty-five  per  centum.  The  number  of  deaths  from  this  form  of 
injury  has  been  thirty-four  per  centum  of  the  whole  number  of  deaths  in  field  hospitals.  The  treatment  has  consisted  in 
returning  the  viscera,  if  protruded,  and  applying  simple  dressings.  In  these  cases,  I  have  seen  the  wound  hermetically  sealed 
with  collodion,  and  I  would  recommend  the  practice.  When  the  protrusion  consists  of  a  small  knuckle  of  omentum  only, 
some  medical  officers  prefer  to  leave  it  in  situ  to  act  as  a  natural  plug  for  the  wound. 

The  mode  of  treatment  adopted  in  gunshot  fractures  of  the  long  bones  has  varied  som-what  with  different  surgeons,  but 
the  general  practice  has  been  either  to  amputate  at  once,  or  to  remain  content  with  removing  such  fragments  as  were  completely 
separated,  and  then  to  apply  splints.  Formal  resections  of  portions  of  the  shafts  of  long  bones  have  seldom  been  performed, 
and  the  larger  number  of  operating  surgeons  condemn  such  operations  as  dangerous  and  useless.  The  tendency  to  operative 
interference  in  such  cases  has,  however,  in  my  opinion,  been  too  great.  I  do  not  mean  that  amputation  has  been  too  much 
resorted  to.  Indeed  the  error  in  this  respect  has  certainly  been  in  the  opposite  direction,  viz. :  attempting  to  preserve  limbs 
which  should  properly  have  been  removed;  but  when  it  has  been  decided  to  preserve  the  limb,  too  much  stress  has,  in  many 
cases,  been  laid  on  the  necessity  of  the  careful  removal  of  every  splinter  or  fragment  of  bone,  even  if  not  displaced  and  still 
firmly  attached  to  the  periosteum.  This  has  often  required  long  incisions  and  much  disturbance  of  the  soft  parts.  I  have  seen 
number  of  these  operations  performed.  The  instruments  used  were  generally  the  bone  gouge  and  sequestrum  forceps;  and 
strength,  instead  of  skill,  seemed  to  be  the  chief  requisite. 

When  a  conoidal  ball  passes  through  a  long  bone,  the  tibia  for  instance,  in  its  middle  third,  there  will  usually  be  from  two 
to  four  large  fragments,  and  from  three  to  six  smaller  ones.  Two  of  the  large  fragments  will,  generally,  be  but  slightly  displaced  ; 
they  will,  in  fact,  rather  be  fissured  than  broken  off,  and  one  extremity  will  be  held  in  close  apposition  to  the  unfractured 
bone  by  periosteum,  and  ligamentous  expansions  of  the  origin  of  muscular  fibres  or  attachment  of  intermuscular  fascia. 
These  large  fragments  should  not  be  disturbed.  They  will  not  usually  lose  their  vitality,  and  they  will  act  as  centres  for  the 
effusion  of  new  bony  material.  The  smaller  fragments,  which  are  usually  derived  from  that  part  of  the  bone  receiving  the 
impact  of  the  ball,  will  be  entirely  separated  and  much  displaced,  often  lying  across  the  axis  of  the  limb,  and  these  are  the 
fragments  which  should  be  removed.  An  incision  of  two  inches  in  length  will  be  sufficient  for  this  purpose,  and  a  pair  of 
dressing  forceps  will  afford  sufficient  power.  The  argument  usually  used  by  those  surgeons  who  remove  all  the  fragments  is,  that 
they  leave  the  periosteum,  and  that  this  will  produce  new  bone.  But  why  force  the  periosteum  to  reproduce  that  which,  if  left, 
it  could  much  more  easily  nourish?  It  is  proper  to  mention  in  this  place  a  method  of  treating  these  fractures,  introduced  by 
Assistant  Surgeon  Howard,  U.  S.  A.,  of  which  I  have  seen  two  or  three  cases.  This  consists  in  fastening  the  broken  ends 
together  by  means  of  silver  wire  passed  through  holes  made  in  the  bone  with  a  drill,  all  fragments  having  first  been  removed 
In  the  majority  of  cases  the  rough  ends  are  to  be  sawed  off  in  such  a  manner  that  the  plane  of  the  section  may  be  at  an  angle 
of  forty-five  degrees  to  the  axis  of  the  bone.  Two  or  three  wires  are  then  passed  through,  perpendicular  to  the  axis  of  the 
bone,  and  made  fast.  The  possible  good  to  be  derived  from  this  operation  is  twofold,  according  to  Dr.  Howard's  views :  First, 
the  securing  immobility  of  the  fractured  bone;  second,  the  irritation  of  the  wires  causing  bone  material  to  be  thrown  out.  The 
immobility  obtained  may,  in  most  instances,  be  nearly  perfect,  if  the  operation  be  properly  performed.  The  disadvantages  are 
simply  the  dangers  arising  from  a  formal  resection  in  continuity  of  the  shaft  of  a  long  bone. 

I  have  seen  two  cases  treated  in  this  manner :  one  of  fracture  of  the  humerus,  the  other  of  the  femur ;  death 
occurred  in  the  latter  case.  I  do  not  consider  the  operation  as  one  to  be  recommended,  nor  is  it  generally  approved  of  by 
medical  officers. 

Three  forms  of  splints  for  fracture  of  the  femur  have  been  used :  First,  the  long  straight  splint,  made  from  a  piece  of  board 
or  fence  paling;  second,  Smith's  anterior  splint,  the  suspension  being  effected  from  the  top  of  the  ambulance,  when  the  patient 
was  sent  to  depot  hospital ;  third,  the  double  inclined  plane,  made  of  pieces  of  a  hard-bread  box,  or  of  Smith's  anterior  splint, 
placed  posteriorly.  The  method  mostly  preferred  is  the  long  straight  splint,  the  uninjured  limb  being  used  as  a  secondary 
splint  on  the  opposite  side.  1  have  seen  two  cases  in  which  straw  splints,  and  two  in  which  splints  made  of  small  pine  boughs 
bound  into  a  kind  of  fascine  by  a  roll  of  bandage,  were  used.  These  were  easily  adapted  to  the  limb,  and  were  very  comfortable. 
I  have  also  seen  some  exceedingly  ingenious  splints,  for  fractures  of  the  upper  extremity,  made  from  small  boughs. 

Of  six  hundred  and  sixty-eight  fractures  of  the  femur  reported  by  the  classified  returns,  one  hundred  and  ninety-two 
were  of  the  upper,  two  hundred  and  forty-two  of  the  middle,  and  two  hundred  and  twenty-four  of  the  lower  third  ;  seventy-seven 
of  these  died  in  field  hospitals,  being  a  mortality  of  twelve  per  centum.  Amputation  was  performed  in  three  hundred  and  thirty- 
seven  cases,  or  rather  more  than  half  of  the  whole  number.  This  proportion  of  amputations  is,  however,  incorrect,  because 
many  amputations  of  the  lower  third  of  the  thigh,  for  wounds  of  the  knee  joint,  are  included  in  it.  Of  one  hundred  and  eighty, 
four  cases  taken  consecutively  from  the  nominal  lists,  eighty-one  were  of  the  right  femur,  seventy-nine  of  the  left,  and  twenty-four 
not  specified.  Amputation  was  performed  in  eighty-one  cases,  or  forty-four  per  centum,  which  is  about  the  correct  proportion. 
The  number  of  deaths  in  field  hospital  was  twenty-one,  or  twelve  per  centum,  the  same  as  that  given  above.  Five  of  the  remainder 
are  known  to  have  died  in  depot  hospital  and  nineteen  in  northern  hospitals,  making  the  total  known  mortality  to  be  twenty- 
four  per  centum. 

In  cases  of  penetrating  wounds  of  the  joints,  the  practice  has  varied  greatly  with  different  surgeons.  For  instance,  in 
penetrating  wounds  of  the  knee  joint,  amputation  is  performed  in  every  case  in  some  hospitals;  in  others,  it  is  only  performed 
where  there  is  fracture  of  the  bony  structures.  The  figures  given  by  the  classified  returns  are  valueless  as  regards  this  form 
of  injury.  Thus,  of  five  hundred  and  thirty-two  cases  reported  by  them,  amputation  is  mentioned  as  performed  in  seventy 
cases  only,  with  five  deaths  in  field  hospital.  Of  one  hundred  and  six  cases  taken  consecutively  from  the  nominal  lists,  forty-one 
were  amputated.  The  cause  of  these  errors  in  the  classified  returns  is  given  in  part  in  the  remarks  on  amputation  of  the  thigh. 
It  is  probable  that  primary  amputation  lias  been  performed  in  about  one-half  of  the  cases  of  injury  of  the  knee  joint.  The 
operation  is  usually  performed  at  the  junction  of  the  middle  and  lower  thirds  of  the  thigh,  through  the  medullary  cavity,  a 
method  which  is,  in  my  opinion,  faulty.  The  section  can  almost  always  be  made  below  the  termination  of  the  medullary  canal. 
The  advantages  gained  by  this  method  need  hardly  be  specified.  Amputation  through  the  knee  joint  has  very  seldom  been 
practiced.  1  know  of  but  tour  cases,  in  two  of  which  it  was  performed  by  Assistant  Surgeon  (ieovge  M.  MctJill,  I'.  S.  A. 


202  APPENDED    DOCUMENTS AEMY    OF    THE    POTOMAC,   1865. 

Even  in  cases  of  wounds  of  the  upper  portion  of  the  tibia,  amputation  is  usually  performed  through  the  lower  third  of  the 
femur.  The  mode  of  operation  used  by  Dr.  McGill  was  as  follows :  The  anterior  flap  contained  the  patella ;  the  posterior  flap 
was  long,  and  made  by  cutting  from  without  inward.  The  cartilage  and  synovial  membrane  were  not  disturbed.  In  one  case, 
the  ball  was  found  slightly  imbedded  in  the  external  condyle,  having  entered  from  the  joint  aspect.  It  was  removed  by  an 
elevator,  and  its  bed  scooped  out.  In  this  case  union  took  place  very  rapidly,  and  when  the  man  was  sent  away  from  the  army 
he  was  apparently  well.  After  reaching  a  northern  hospital,  sloughing  phagedsena  attacked  the  stump.  A  second  amputation 
was  performed  at  the  lower  third  of  femur,  and  death  soon  followed. 

A  number  of  cases  of  excision  of  the  shoulder  and  elbow  joints  have  come  under  my  observation.  The  cases  have  almost 
all  been  well  selected,  and  the  operations  skilfully  performed.  The  straight  incision  over  the  anterior  portion  of  the  joint  has 
been  the  method  generally  used  for  the  shoulder.  * 

I  know  of  but  three  cases  in  which  excision  of  the  hip  joint  was  performed.  Two  of  the  patients  died  within  four  days. 
The  third  case,  I  have  been  unable  to  trace.  ;  *  The  method  of  amputation  almost  universally  preferred  is  either  the 
circular,  or  very  short  skin  flaps,  with  a  circular  cut  through  the  muscles. 

A  very  large  number  of  wounds  of  the  palm  of  the  hand  and  of  the  fingers  have  been  observed.  In  many  of  them  the 
skin  was  blackened  with  powder,  and  the  injury  was  probably  self  inflicted.  The  usual  cause  alleged  is  the  accidental 
discharge  of  their  own  or  a  comrade's  musket.  Amputation  of  the  injured  fingers,  in  such  cases,  has  been  usually  performed 
without  the  use  of  an  anaesthetic. 

Of  wounds  of  large  arteries,  there  have  been  between  ten  and  twenty  cases.  Two  cases  of  ligation  of  the  femoral  have 
been  seen  by  me,  both  were  doing  well  when  sent  to  the  rear. 

The  Nelaton  probe  has  been  used  freely  by  many  surgeons,  and  I  have  seen  several  cases  in  which  it  proved  of  the 
greatest  service  in  detecting  the  presence  of  a  ball  embedded  in  bone.  I  have  also  seen  two  cases  in  which  a  lead  pencil, 
having  an  ivory  head,  was  used  for  the  same  purpose,  and  with  perfect  success.  I  consider  the  probe  as  a  valuable  addition  to 
the  surgical  armamentarium,  and  would  respectfully  recommend  that  one  be  added  to  every  pocket  case.  The  instruments 
furnished  to  surgeons  have  usually  been  of  excellent  quality,  and  have  been  kept  in  good  order.  In  the  bustle  and  confusion 
around  an  operating  table,  it  often  happens  that  surgical  needles  get  mislaid  and  lost,  and  I  would  respectfully  suggest  that  an 
extra  supply  of  needles  should  be  among  the  stores  kept  for  issue  by  the  medical  purveyor.  All  these  needles  should  be 
triangular,  and  the  greater  number  of  them  straight. 

The  nominal  lists  of  wounded  contain  undoubtedly  many  errors  of  diagnosis,  and  are  often  very  incomplete;  but  when 
the  circumstances  under  which  they  are  made  out  are  taken  into  consideration,  the  wonder  will  be  that  they  are  as  perfect  as 
they  are.  From  five  hundred  to  one  thousand  wounded  men  are  often  brought  into  a  division  hospital,  within  four  or  six 
hours.  They  come  in  from  all  sides  and  select,  often,  their  own  places  if  they  are  slightly  wounded,  preferring  to  pitch  their 
own  shelter  tents  on  the  outskirts  of  the  hospital.  Had  the  recorder  all  the  data  before  him,  he  could  not  make  out  nominal 
lists  for  more  than  six  hundred  per  day ;  but  he  is  expected  to  examine  each  case,  and  often  to  wait  until  dressings  are  removed. 
Of  course,  he  must  usually  take  the  statements  of  the  patients  themselves;  the  chaplains  and  hospital  stewards  who  assist 
always  do  this.  In  some  hospitals  each  patient,  as  soon  as  recorded,  is  marked  with  a  small  strip  of  bandage  tied  into  his 
button  hole,  that  none  may  be  counted  twice.  The  column  in  the  blank  nominal  lists  marked  "  Nature  of  Injury,"  is  differently 
filled  out  by  different  surgeons,  some  simply  use  the  terms  "slight"  and  "severe"  to  describe  all  wounds,  whether  flesh  or 
fractures,  penetrating  or  parietal;  and  thus,  when  the  classified  return  is  made  up,  a  severe  flesh  wound  of  the  thigh  will  often 
be  set  dowp  as  a  fracture.  The  most  complete  nominal  lists  furnished  have  been  from  the  4th  division  hospital,  Fifth  Corps  ; 
the  most  incomplete  from  the  1st  division,  Fifth  Corps,  and  from  the  Cavalry  Corps.  The  greatest  amount  of  suffering  to  the 
wounded  has  occurred,  necessarily,  during  their  transit  from  the  field  to  the  depot  hospital.  Army  wagons  have,  necessarily, 
been  much  used,  and  the  distance  travelled  has  usually  been  ten  and  twenty  miles,  the  patients  on  several  occasions  remaining 
from  twenty-four  to  forty-eight  hours  in  the  wagons.  The  field  hospitals  have,  at  all  times,  had  ample  supplies,  with  the 
exception,  in  some  instances,  of  bedding  and  hospital  clothing.  After  the  army  crossed  the  James  river  these  hospitals  became 
much  more  permanent,  and  their  comfort  was,  of  course,  largely  increased.  My  personal  observations  among  the  field  hospitals 
ceased  after  the  1st  of  July,  after  which  time  I  was  confined  to  my  tent  by  illness.  I  have  notes,  more  or  less  complete,  of 
about  one  hundred  cases  of  factures,  etc.,  but  they  present  no  points  of  very  special  interest;  the  general  result  of  the  whole  I 
have  embodied  in  my  report.  Want  of  time  during  the  active  part  of  the  campaign,  to  make  any  extended  professional 
observations  must  be  my  excuse  for  the  incompleteness  of  this  report. 

Very  respectfully,  your  obedient  servant, 

JOHN  S.  BILLINGS,  Assistant  Surf/con,  U.  S.  A. 
Surgeon  THOS.  A.  McPAKLix,  U.  S.  A.,  Medical  Director. 

CLV.      Rejwrt  of  the  Medical  Director  of  the  Army  of  the  Potomac,  from  January  1,  1865, 
to  the  Close  of  the  War.     By  Surgeon  THOMAS  A.  McPARUN,  U.  S.  Army. 

209,  G  STKEET,  WASHINGTON,  D.  C.,  August  21,  1865. 

GENERAL  :  In  January  this  army  was  composed  of  the  Second,  Fifth,  Sixth  and  Ninth  Corps,  the  Second  Cavalry  Division, 
the  Artillery  Reserve,  the  Provost  Marshal  General's  Brigade,  the  Engineer  Brigade  and  the  Signal  Corps.  The  troops  were 
comfortably  quartered  for  the  season,  so  far  as  compatible  with  their  duties  and  position  in  the  line  of  works  investing  Petersburg 
and  confronting  the  army  of  Northern  Virginia.  No  important  movement  occurred  during  the  month  of  January.  During 
December,  1864,  the  supply  of  fresh  vegetables  ceased.  This  deprivation  continued  so  long  that,  in  March,  the  subject  was 
brought  to  the  attention  of  the  commanding  general.  On  April  29th,  the  medical  inspector  of  the  Second  Corps  officially 
repoi-ted  the  supply  of  vegetables  to  be  inadequate  to  preserve  a  proper  standard  of  health  in  the  command,  citing  the  prevalence 
of  diarrhoea  of  an  obstinate  and  exhausting  character  as  attributable  to  this  circumstance.  It  should  be  remarked  that  the 


REPORT    OF    MEDICAL    DIRECTOR    McPARLIN.  203 

deficiency  of  fresh  vegetables  was  attributed  by  the  subsistence  department  to  want  of  transportation.  On  the  13th  of  January, 
it  was  recommended  that  cooking  by  companies  be  enforced  and  attention  re-invited  to  existing  orders  requiring  it  (General 
Orders  No.  52,  Headquarters  Army  of  the  Potomac,  May  15,  1863).  On  the  24th  of  January  the  rebel  fleet  came  down  from 
Richmond  to  the  lower  end  of  Dutch  Gap  Canal,  but  after  suffering  the  loss  of  one  of  its  vessels,  exploded  by  a  shell  from  our 
batteries  on  the  right  bank  of  the  James  river,  the  fleet  steamed  back.  I  had  taken  measures  from  the  original  occupancv  of 
the  depot  to  have  the  supplies  of  the  medical  purveyor  kept  afloat  and  ready  for  movement  should  any  contingency  require  it. 
Preparations  for  a  military  operation  were  made  early  in  February,  and  it  became  necessary  to  clear  the  field  hospitals  and 
commands  of  all  who  were  unable  to  participate  in  it.  Over  two  thousand  were  sent  down  to  the  depot  hospital  in  thirty-six 
hours,  chiefly  at  night,  the  railroad  conducting  its  ordinary  business  in  the  meantime.  On  the  5th  of  February,  the  movement 
to  Dabney's  mills  and  Hatcher's  Run  began.  The  2d  cavalry  dh  ision  moving  by  Reams's  Station  and  Rowarity  Creek  made 
a  demonstration  toward  Dinwiddie  Court-house,  returning  by  Rowanty  and  the  Boydtown  and  Vaughan  roads,  to  guard  the 
extreme  left  of  our  line,  which  had  been  advanced  by  the  Second  Corps  and  extended  by  the  Fifth  Corps,  which  cooperated 
on  the  left  of  the  Second.  Two  divisions  of  the  Sixth  Corps  were  in  reserve  and  ready  to  support  when  required.  I  have  no 
data  by  which  to  detail  the  operations  which  followed,  and  will  briefly  state  that  the  Second  and  Fifth  Corps  were  attacked  by 
the  enemy ;  that  the  Fifth  lost  some  of  the  ground  over  which  it  had  advanced,  but  that  a  permanent  position  in  advance  was 
maintained  and  the  lines  extended  two  or  three  miles  to  the  left.  Roads  were  corduroyed  and  the  railroad  extended  corres 
pondingly  to  the  left.  The  wounded  were  not  very  far  from  their  established  division  hospitals,  and  after  receiving  necessary 
surgical  attention  were  sent  from  Patrick  Station,  very  promptly,  by  rail  to  City  Point.  The  following  number  of  wounded  were 
admitted  to  field  hospital,  and  afterward  sent  to  depot  hospital  from  this  movement,  between  February  5th  and  9th :  Admitted 
to  corps  hospitals:  Second  Corps,  eighty;  Fifth  Corps,  six  hundred  and  eighty-one;  Sixth  Corps,  ten;  2d  division  of  cavalry, 
seventy-seven;  total,  eight  hundred  and  forty-eight.  Admitted  to  depot  hospital  at  City  Point,  eight  hundred  and  twenty-eight. 
In  March  orders  were  issued  requiring  the  division  hospitals  to  be  kept  clear  of  sick  and  wounded  who  would  be  in  the  way 
in  case  of  any  sudden  movement.  On  my  application  hospital  cars  were  placed  on  the  military  railroad,  greatly  improving  the 
mode  of  transporting  sick  and  wounded  to  City  Point.  In  view  of  the  importance  and  magnitude  of  the  approaching  opera 
tions,  and  of  possible  cooperative  movements  by  other  armies,  the  attention  of  the  commanding  general  was  invited  in 
February  to  the  propriety  of  having  a  reserve  train  of  ambulances  kept  by  the  quartermaster's  department  from  which 
deficiencies  in  the  corps  trains  might  be  promptly  filled,  and  subject  to  my  order  whenever  emergency  might  demand.  The 
application  did  not  receive  favorable  action.  A  material  reduction  was  unexpectedly  announced,  at  this  time,  in  the  number  of 
army  wagons  authorized  for  the  medical  and  hospital  department.  Much  property  was  therefore  turned  in  before  the  campaign 
commenced,  but  it  became  necessary  afterward  to  throw  out  and  abandon  many  articles,  as  the  rains  of  March  29th  and  30th 
made  the  roads  for  a  time  impassable  for  heavily  laden  wagons.  The  proper  subsistence  of  officers  and  their  servants  in  field 
hospitals  and  the  best  mode  of  avoiding  possible  abuses,  had  attracted  my  attention,  and  some  diversity  of  management  was 
tolerated  for  a  few  months  in  order  to  arrive  at  a  correct  system.  I  became  convinced,  finally,  that  no  charges  should  be  made 
against  wounded  officers,  and  that  their  admission  and  continuance  in  field  hospitals  should  be  encouraged.  At  the  same  time 
they  should  be  required  to  furnish  a  ration,  which  recent  legislation  and  orders  had  authorized  and  facilitated.  The  circular  of 
March  24th  was  therefore  issued.  In  March  I  caused  the  regimental  surgeons  and  assistant  surgeons,  on  duty  in  the  depot 
hospitals  at  City  Point,  to  be  returned  to  their  regiments  in  the  field,  replacing  them  by  contract  physicians  who  \vere  sent  to 
me  by  the  Surgeon  General.  Although  all  able-bodied  soldiers,  detailed  as  attendants  at  the  depot  hospital,  had  been  replaced 
by  musicians,  their  commanders  still  made  frequent  applications  for  the  relief  of  their  detailed  bandsmen,  drummers,  buglers, 
etc.  It  became  therefore  desirable  to  have  the  services  of  hired  nurses  or  of  numbers  of  the  veteran  reserve  corps  for  duty  in 
the  hospital.  After  consultation  with  the  assistant  adjutant  general,  the  subject  was  brought  to  the  attention  of  the  Surgeon 
General,  but  reliable  contract  nurses  were  difficult  to  obtain  and  the  great  demand  upon  the  veteran  reserve  corps  for  nurses, 
cooks,  etc.,  for  general  hospitals,  precluded  any  detail  for  the  depot  hospitals  at  City  Point.  Had  a  hospital  corps  been  properly 
organized  during  the  war,  I  am  persuaded  that  good  material  would  have  been  attracted  to  it  and  the  public  service  would  have 
been  greatly  benefitted  thereby.  The  sick  and  wounded  need  seldom  have  passed  out  of  the  hands  of  the  medical  department 
until  they  reached  the  depot  of  the  army  again,  and  many  thousands  who  entered  the  convalescent  camps  and  rendezvouses  to  be 
detained,  and  in  many  cases  lost  to  the  fighting  force,  could  have  been,  to  a  great  extent,  directly  returned  to  their  commands 
for  duty.  March  25th,  at  half  past  four  A.  M.,  the  enemy  assaulted  the  front  of  the  Ninth  Corps  in  force,  moving  in  three  columns, 
one  sweeping  to  the  left  toward  battery  9,  and  one  to  the  right  on  Fort  Haskell,  while  the  Third  moved  forward  directly  toward 
Fort  Steadman.  Assistant  Surgeon  S.  Adams,  in  the  appended  report,  describes  the  operation  of  the  medical  department 
during  this  affair.  At  the  same  time  the  enemy  attacked  the  front  of  the  Second  Corps,  but  was  repulsed.  The  Second  Corps 
had  four  hundred  and  forty-four  wounded  who  were  attended  to  and  forwarded  to  depot  hospital  at  City  Point  by  noon  of  the 
following  day.  After  the  disaster  sustained  by  the  enemy  in  the  Fort  Steadman  affair,  comparative  quiet  was  obtained  for  a 
brief  period.  But  after  three  days  of  preparation,  during  which  three  divisions  from  the  army  of  the  James  were  brought  over 
to  cooperate  and  the  2d  division  of  cavalry  was  detached  to  report  to  General  Sheridan,  the  grand  campaign  of  1865  was 
inaugurated. 

The  operations  of  the  medical  department  of  the  cavalry  from  January  1st  to  the  28th  of  March,  are  described  in  the 
accompanying  report  of  the  surgeon-in-chief,  Assistant  Surgeon  E.  J.  Marsh,  U.  S.  A.  The  positions  of  the  several  corps  on 
the  29th  of  March  were  as  follows  extending  westward  from  the  Appomattox  :  The  Ninth  Corps;  the  Sixth  Corps;  the  two  newly 
joined  divisions  of  the  Eighteenth  Corps,  and  the  1st  division  of  the  Twenty-fourth  Corps,  from  the  army  of  the  James;  the 
Second  Corps  and  the  Fifth  Corps.  The  cavalry  under  General  Sheridan  was  operating  near  Dinwiddie  Court-house  on  the 
extreme  left.  The  depot  hospital  at  City  Point  was  accessible  by  railroad  from  as  far  westward  as  Humphrey's  Station,  near 
the  Second  and  Fiftli  Corps  camps  and  field  hospitals,  and  convenient,  by  intermediate  stations,  with  all  the  other  corps.  The 
medical  purveying  depot  maintained  a  constant  battle-field  supply  in  thirty-six  wagons  at  the  front,  which  parked  and  advanced 
with  the  geneial  headquarter  train.  The  subjoined  memorandum  of  dates  and  occurrences,  as  an  outline  of  the  campaign,  may 


204  APPENDED    DOCUMENTS AEMY    OF    THE    POTOMAC,    18(15. 

be  referred  to  in  connection  with  the  accompanying  detailed  descriptions  and  reports.  March  29th,  Fifth  Corps  engaged  on  the 
Quaker  road.  March  30th,  Fifth  Corps  engaged  on  the  White  Oak  road.  Second  Corps  advancing,  shortens  and  straightens 
its  line.  General  Sheridan's  cavalry  engage  the  enemy  near  Dinwiddie  Court-house.  March  31st,  Fifth  Corps  and  Miles's 
division  of  the  Second  Corps  engaged  the  enemy  in  the  afternoon.  In  the  morning  it  rained  very  heavily.  April  1st,  the  cavalry 
of  General  Sheridan  and  Filth  Corps  detached  from  the  army  of  the  Potomac,  defeat  the  enemy  at  Five  Forks.  April  2d, 
^eneral  assault  before  daylight  on  the  enemy's  lines  and  works  defending  Petersburg.  The  Sixth  and  Ninth  Corps  break  the 
lines,  driving  the  enemy  and  making  Petersburg  untenable.  Petersburg  and  Richmond  evacuated  April  3d.  Pursuit  of  the 
army  of  Northern  Virginia  retreating  toward  Danville.  April  4th,  pursuit  of  army  of  Northern  Virginia  continued.  April 
5th,  pursuit  continued.  At  Jetersville,  the  cavalry  had  a  slight  affair,  holding  the  enemy.  The  Second  Corps  come  up  and 
take  position  for  attack.  The  enemy  withdraw  in  the  night.  April  6th,  battle  of  Sailors'  Creek,  in  which  the  cavalry  and  the 
Sixth  Corps  were  engaged,  resulting  in  the  surrender  of  Ewell  and  other  Confederate  generals  with  several  thousand  prisoners. 
April  7th,  pursuit  and  skirmishes  with  the  enemy  toward  High  Bridge,  Farmville  and  beyond.  April  8th,  the  enemy  retreating 
toward  Lynchburg  on  the  road  from  Farmville  toward  Appomattox  Court-house,  is  checked  in  front  on  the  9th  of  April  by 
the  divisions  of  the  army  of  the  James,  under  General  Ord,  the  Fifth  Corps  under  General  Griffin,  and  the  cavalry ;  the  whole 
under  command  of  General  Sheridan.  General  Meade  having  the  Second  and  Sixth  Corps  massed,  and  pressing  against  the 
enemy's  rear  for  attack,  received  a  request  for  cessation  of  hostilities  with  a  view  to  surrender.  Terms  of  surrender  of  the 
army  of  Northern  Virginia  to  General  Grant  were  arranged  and  announced  in  the  afternoon. 

The  reports  of  the  medical  directors  of  the  Second  and  Fifth  Corps,  and  of  the  medical  inspectors  of  the  Second,  Fifth 
and  Ninth  Corps,  of  the  ambulance  officer  of  the  Second  Corps,  and  of  the  inspector  at  army  headquarters,  describe  in  so  full 
and  interesting  a  manner  the  operations  of  the  medical  department  during  the  campaign  that  it  is  unnecessary  for  me  to  do 
more  than  to  refer  to  these  papers  which  are  appended.  After  the  capture  of  Petersburg  the  chief  medical  officer  of  the  depot 
hospital  was  ordered  to  push  forward  to  the  most  advanced  depot  of  the  army,  to  which  railroad  facilities  were  extended,  a  sub- 
depot  field  hospital  to  receive  and  care  for  wounded  until  they  could  be  transported  to  City  Point.  For  this  purpose  a  train 
was  ordered  on  the  3d,  and  started  on  the  7th  of  April  with  twenty-five  medical  officers,  two  hundred  hospital  tent  flies,  together 
with  dressings  and  food  for  four  days  for  twenty-five  hundred  wounded.  Three  hospital  stewards  and  one  hundred  detailed 
men  accompanied  the  train,  taking  axes,  spades,  cooking  utensils  and  necessary  articles  for  organizing  a  movable  depot  hospital, 
designed  more  especially  to  afford  temporary  food,  shelter,  medical  supplies  and  attendance  for  the  wounded.  It  was  my  design 
to  have  this  advance  hospital  move  along  the  railroad  with  the  general  depot  at  the  front,  but  the  brevity  and  decisive  character 
of  the  campaign  made  it  unnecessary  to  carry  it  beyond  Burke's  Station,  where  it  was  discontinued  April  30th,  after  an  existence 
of  eighteen  days.  The  chief  medical  officer  at  City  Point  had  been  instructed,  March  28th,  to  be  prepared  to  expand  his 
hospitals  to  the  utmost  capacity  at  short  notice,  to  send  off  in  hospital  transports  as  many  of  the  cases  as  were  proper  for  general 
hospital,  and,  upon  the  contingency  of  a  great  battle,  to  telegraph  to  the  Surgeon  General  for  additional  facilities  for  transportation. 
The  wounded  of  the  Second  and  Fifth  Corps  during  the  extension  of  our  lines  to  the  left,  March  29th,  30th  and  31st,  numbered 
fifteen  hundred  and  fifty-five;  they  were  received  on  the  field  at  Spain's  house,  Quaker  church,  the  "Chimneys"  and  the  division 
hospitals  near  the  Cumming's  house.  The  regular  division  hospitals  of  the  Sixth  and  Ninth  Corps  were  not  moved  until  after 
the  army  had  captured  Petersburg  and  started  west  in  pursuit  of  the  army  of  Northern  Virginia.  In  the  actions  around 
Dinwiddie  and  Five  Forks  the  wounded  of  the  cavalry  and  Fifth  Corps,  three  hundred  and  eighty-two  in  number,  were  sent  to  the 
Methodist  church  field  hospital  April  1st,  and  thence  by  ambulances  and  wagons  in  great  part  to  Humphrey's  Station,  on  the 
railroad;  the  remainder  accompanied  the  Fifth  Corps  and  were  sent  to  Sutherland  Station,  on  the  South-side  railroad,  ten 
miles  from  Petersburg.  On  the  request  of  the  medical  director  of  the  cavalry,  I  directed  that  the  wounded  of  General  Sheridan's 
command  should  be  received  in  the  cavalry  corps  hospital,  under  the  direction  of  the  chief  medical  officer  of  the  depot  hospital 
at  City  Point,  and  subsequently  I  gave  authority  for  the  admission  of  wounded  from  the  cavalry  into  any  of  the  corps  hospitals 
at  the  front.  I  believe  that  in  this  way  the  cavalry  was  disencumbered  and  its  movements  facilitated  under  the  arrangements 
already  made.  While  the  system  in  use  enabled  me  readily  to  accord  the  facilities  desired,  it  could  have  been  expanded  even 
beyond  these  requirements.  The  number  of  wounded  during  the  general  assault  upon  the  forts  and  works  before  Petersburg, 
April  2d,  \vas  nineteen  hundred  and  seventy-two;  they  were  received  in  the  regular  division  hospitals  of  the  Sixth  and  Ninth 
Corps.  The  wounded  of  General  Miles's  division  of  the  Second  Corps,  on  the  same  day,  numbered  two  hundred  and  seventy- 
two.  They  were  received  at  Moody's  house,  near  Five  Forks.  The  rebel  wounded  found  in  Petersburg  April  3d,  were  allowed 
to  remain  in  the  confederate  general  hospital  under  charge  of  their  own  surgeons,  and  generally  throughout  the  campaign  they 
were  moved  .as  little  as  possible  until  they  were  able  to  be  paroled  and  sent  home.  I  desired  for  many  reasons  to  have  our  own 
wounded  kept  out  of  Petersburg,  and  as  ample  accommodations  and  comforts  were  prepared  at  City  Point,  the}'  were  ordered 
to  be  sent  there  without  delay,  to  be  transferred  northward  as  soon  as  possible.  Several  days  elapsed  before  the  railroad  from 
City  Point  was  available  beyond  Petersburg,  and  it  was  necessary  to  repair  and  change  the  gauge  of  the  railroad  from 
Petersburg  toward  Danville,  April  7th.  When  it  was  completed  as  far  as  Wilson's  Station,  the  sub-depot  hospital  was  moved 
to  that  point  and  received  several  hundred  wounded,  chiefly  from  the  cavalry  of  General  Sheridan.  The  wounded  from  the 
operations  around  Jetersville,  Amelia  Springs,  Sailors'  Creek,  High  Bridge,  Farmville  and  beyond  were  sent  from  those  places, 
and  from  the  Brooks  and  Vaughan  houses  and  Appomattox  Court-house  to  Burke's  Station,  after  April  6th.  T  he  presence  of  the 
Ninth  Corps  at  that  place  made  it  convenient  and  proper  to  receive  the  wounded  in  the  division  hospitals  of  that  corps,  established 
as  a  depot  for  wounded,  until  the  sub-depot  hospital  could  be  brought  up.  This  was  then  at  Wilson's  Station.  The  medical 
purveyor's  train  was  at  Burke's  Station  and  ready  to  supply  whatever  was  required  at  the  depot  or  at  the  front.  For  this  last 
purpose  it  passed  on  to  Farmville  on  the  9th  of  April.  About  two  thousand  wounded  and  five  hundred  sick  were  received  at 
Burke's  Station  from  the  different  corps.  The  sub-depot  hospital  established  by  Surgeon  Bendell  received,  from  April  9th  to  30th, 
six  hundred  and  sixty  sick,  and  one  hundred  and  ninety-two  wounded.  Of  these,  five  died,  and  eight  hundred  and  thirty-eight 
were  sent  by  railroad  to  the  hospital  at  City  Point.  The  ambulance  train  of  the  Ninth  Corps  and  the  captured  ambulances  and 
empty  wagons  were  used  in  addition  to  the  other  ambulance  trains  in  the  collection  and  transfer  of  wounded  from  the  battle- 


REPOKT    OF    MEDICAL    DIRECTOR    McPAELIN.  205 

fields,  of  which  Burke' s  Station  was  the  depot.  After  the  surrender  of  the  army  of  Northern  Virginia,  several  hundred  Confed 
erate  wounded,  and  those  of  our  own  men  whom  it  was  improper  to  move,  at  Farmville,  were  cared  for  in  a  most  comfortable 
hospital  there.  Surgeon  Blackwood,  Surgeon  Evans  and  Surgeon  Wolf,  U.  S.  V.,  acted  as  chief  medical  officers.  The 
latter  remained  after  the  army  of  the  Potomac  marched  towards  Alexandria.  The  wounded  of  all  corps  and  services 
were  received  and  thoroughly  cared  for.  The  last  of  our  wounded  were  sent  down  from  Burke's  Station  April  13th,  to  City 
Point,  but  scattering  cases  continued  to  be  received  in  depot  hospitals  at  City  Point,  until  April  '20th.  April  30th,  I  ordered  the 
assistant  medical  purveyor  to  discontinue  the  sub-depot  at  Burke's  Station,  and  proceed  with  train  and  supplies  to  City  Point 
and  report  to  Medical  Purveyor  Brinton.  The  Sixth  Corps  was  then  at  Danville,  where  it  remained  some  time.  Other  corps 
of  the  army  marched  for  Alexandria  early  in  May.  The  depot  hospital,  army  of  the  Potomac,  at  City  Point,  was  ordered  to 
be  reduced  twenty-five  hundred  beds,  April  30th,  to  be  moved  to  Alexandria,  May  4th,  and  to  be  finally  discontinued  May  25tli. 
After  the  cases  had  been  disposed  of  by  transfer  to  general  hospital  in  Washington  and  Alexandria  for  discharge  from  service, 
the  establishment  ceased  to  exist.  The  purveying  depot,  which  was  reduced  in  May,  was  discontinued  and  the  property  turned 
in  at  Washington  in  June.  The  contracts  of  acting  assistant  and  acting  staff  surgeons  were  cancelled  upon  the  breaking  up 
of  the  army.  On  the  30th  of  June,  1865,  the  army  of  the  Potomac  ceased  to  exist  as  an  organization. 

Of  the  fund  in  my  hand  accruing  from  tax  on  the  sales  of  newspapers  in  the  army  of  the  Potomac,  I  have  applied  to  the 
purchase  of  luxuries  for  the  hospitals  and  necessary  articles  for  the  transaction  of  the  business  of  the  medical  department  since 
last  report,  five  thousand  and  seventy  dollars  and  thirty-five  cents.  The  amount  received  since  January  1,  1865,  has  been  six 
thousand  three  hundred  and  eighty-four  dollars.  On  hand  December  31,  1864,  per  last  report,  nine  thousand  and  twenty-five 
dollars  and  thirty-nine  cents.  The  balance  remaining  in  my  hands  upon  the  breaking  up  of  the  army  of  the  Potomac,  June 
29,  1865,  was,  therefore,  ten  thousand  three  hundred  and  thirty-nine  dollars  and  four  cents.  This  balance,  pursuant  to 
proceedings  and  recommendation  of  the  board  appointed  by  Special  Order  No.  163,  headquarters  army  of  the  Potomac,  and 
approved  by  the  commanding  general,  was  turned  over  by  me,  July  1,  1865,  to  the  Surgeon  General  in  trust,  to  be  made  a 
donation  from  the  army  of  the  Potomac  to  the  National  Asylum  created  by  the  act  of  Congress  approved  March  3,  1865. 

The  strength  of  the  medical  department  and  ambulance  corps  for  the  period  embraced  in  this  report  has  been  as  follows : 
Medical  officers — January,  five  hundred  and  four;  February,  five  hundred  and  twenty-two;  March,  five  hundred  and  ten; 
April,  four  hundred  and  twenty-one ;  May,  four  hundred  and  nine ;  June,  two  hundred  and  thirty-eight.  Hospital  stewards 
(not  including  regimental  stewards) — January,  thirty-nine;  February,  forty;  March.,  forty-two;  April,  thirty-six;  May, 
thirty-six  ;  June,  thirty-two.  Ambulance  corps  (present) — January,  forty-three  officers  and  one  thousand  nine  hundred  and 
seven  men;  February,  forty-four  officers  and  one  thousand  six  hundred  and  eighty-one  men;  March,  forty-four  officers  and 
one  thousand  six  hundred  and  eighty-nine  men ;  April,  thirty-three  officers  and  one  thousand  four  hundred  and  fifteen  men ; 
May,  thirty-four  officers  and  one  thousand  three  hundred  and  thirty  men. 

The  following  statement,  showing  the  number  of  sick  and  wounded  during  the  half  year  ending  June  30,  1865,  is 
obtained  by  the  consolidation  of  the  monthly  reports  of  sick  and  wounded:  Remaining,  December  31,  1864.  in  field  hospitals, 
two  thousand  five  hundred  and  sixty,  in  depot  hospital,  twTo  thousand  eight  hundred  and  ninety-five,  in  northern  general 
hospitals,  (approximate  number,)  seventeen  thousand  eight  hundred  and  sixteen;  taken  sick  and  wounded,  from  January  1 
to  June  30,  1865,  seventy-five  thousand  four  hundred  and  eighteen ;  returned  to  the  army  from  furlough  and  desertion,  two 
hundred  and  fifteen ;  aggregate  to  be  accounted  for,  ninety-eight  thousand  nine  hundred  and  four.  Of  this  number  there  were 
returned  to  duty,  from  field  hospitals,  fifty-seven  thousand  and  thirty-seven,  from  depot  hospital,  twelve  thousand  one  hundred 
and  ninety-two,  from  northern  hospitals,  four  thousand  nine  hundred  and  forty-nine;  transferred  to  the  veteran  reserve  corps, 
eight  hundred  and  sixty;  discharged  the  service,  from  field  hospitals,  six  hundred  and  eighty-three,  from  depot  hospital, 
ninety-three,  from  northern  hospitals,  five  thousand  one  hundred  and  twenty-two;  deserted,  five  hundred  and  twelve;  died 
in  the  field,  six  hundred  and  fifty-five,  in  depot  hospital,  five  hundred  and  seventy-two,  in  northern  hospitals,  one  thousand 
five  hundred  and  eighteen  ;  furloughed  from  depot  and  field  hospitals,  six  hundred  and  one  ;  remaining,  June  30th,  in  regimental 
hospitals,  one  thousand  six  hundred  and  fifty-two,  in  northern  hospitals,  (approximate  number,)  twenty-two  thousand  four 
hundred  and  fifty-eight. 

In  accordance  with  general  orders,  those  remaining  in  general  hospital  whose  physical  condition  will  permit  are  to  be 
discharged  the  service  at  as  early  a  period  as  practicable.  The  reports  show  that  twenty-six  thousand  two  hundred  and 
forty-four  patients  were  received  at  the  depot  hospital  at  City  Point  during  the  six  months,  while  the  regimental  reports  of  the 
army  of  the  Potomac  only  show  seventeen  thousand  six  hundred  and  seventy-three  sent  to  the  general  hospital.  This  apparent 
discrepancy  is  attributable  to  the  fact  that  the  depot  hospital  at  City  Point  admitted  the  sick  and  wounded  of  the  other 
cooperative  armies,  from  which  I  received  no  regimental  reports.  The  number  is  moreover  larger  than  it  would  otherwise 
have  been,  because  many  men  who  were  unable  to  accompany  their  commands  upon  the  return  march  to  the  Potomac,  who 
under  other  circumstances  would  not  have  been  detached  from  their  regiments,  were  sent  to  City  Point  to  be  transported  by 
water.  The  number  sent  north  from  City  Point  was  fifteen  thousand  six  hundred  and  six.  The  difference  between  the  number 
reported  as  sent  to  general  hospital  on  the  regimental  reports  and  the  actual  number  received  at  City  Point  during  the  month 
of  January,  was  ninety-four;  February,  nine  hundred  and  three ;  March,  one  thousand  three  hundred  and  sixty-five;  April, 
five  thousand  six  hundred  and  eleven ;  May.  nine  hundred  and  twenty-eight.  These  figures  show  that  the  principal  discrep 
ancies  occurred  during  the  period  of  most  active  operations,  and  from  the  cause  above  stated.  In  this  connection  it  may  be 
remarked  that  the  number  of  gunshot  wounds  in  the  army  of  the  Potomac  from  January  to  June  30,  1865,  according  to  the 
monthly  reports,  was  six  thousand  eight  hundred  and  thirty-three,  whereas  the  number  of  gunshot  wounds  actually  admitted 
at  City  Point,  wa-i  nine  thousand  one  hundred  and  thirty-seven.  The  number  of  wounds  and  injuries  (Class  V)  reported  as 
admitted  to  the  Held  hospitals  of  the  army  during  the  same  period,  was  nine  thousand  nine  hundred  and  fifty-nine.  The  number 
of  wounds  and  injuries  (Class  V)  admitted  at  City  Point  from  January  1st  to  May  31st.  according  to  inspector's  reports  from 
this  and  other  armies,  was  eleven  thousand  three  hundred  and  ninety-five.  With  an  army  in  campaign,  errors  and  omissions 
are  to  be  expected  in  the  reports.  The  present,  however,  art-  more  complete  and  correct  than  I  anticipated,  inasmuch  as  many 


206  APPENDED    DOCUMENTS ARMY    OF    THE    POTOMAC,    1865. 

regiments  and  officers  were  mustered  out  of  service,  and  changes  of  organization  rapidly  made,  especially  during  the  period 
intervening  between  the  return  of  the  army  to  the  Potomac  and  its  dissolution. 

The  operations  of  the  ambulance  corps  have  been  such  as  to  reflect  credit  upon  the  officers  charged  with  its  command, 
and  to  demonstrate  how  essential  such  an  establishment  is  to  the  efficiency  of  the  medical  department  and  of  the  line  of  the 
army.  An  army  that  has  witnessed  its  beneficial  provisions  is  prepared  to  appreciate  the  justice  and  wisdom  of  committing  to 
the  medical  department  trusts  and  powers  in  some  degree  commensurate  with  the  duties  imposed. 

I  desire  to  invite  the  special  attention  of  the  commanding  general  to  the  successful  management  of  the  affairs  entrusted 
to  them  by  the  following  officers,  viz.:  Lieutenant  Colonel  Charles  Page,  medical  director  Second  Corps,  formerly  the  assistant, 
and,  at  times,  acting  medical  director  of  this  anny ;  Lieutenant  Colonel  S.  A.  Holman,  medical  director  Sixth  Corps ;  Lieutenant 
Colonel  T.  R.  Spencer,  medical  director  Fifth  Corps;  Lieutenant  Colonel  E.  B.  Dalton,  medical  director  Ninth  Corps;  Surgeon 
G.  B.  Parker,  successor  of  Surgeon  Dalton  as  chief  medical  officer  of  the  depot  hospital  at  City  Point,  and  Assistant  Surgeon 
J.  B.  Brinton,  medical  purveyor  of  the  army.  To  my  immediate  assistants,  Surgeon  J.  A.  Lidell,  U.  S.  V.,  inspector  of  the 
medical  and  hospital  department  of  this  army,  and  Assistant  Surgeon  J.  Sim  Smith,  U.  S.  A.,  attending  surgeon  at  head 
quarters,  I  am  indebted  for  valuable  assistance  in  the  discharge  of  the  special  duties  committed  to  them.  Assistant  Surgeon 
E.  J.  Marsh,  U.  S.  A.,  Second  Cavalry  Division,  was  transferred  to  the  command  of  General  Sheridan  the  day  preceding  the 
commencement  of  the  campaign.  He  has  performed  all  his  duties,  while  under  my  direction,  with  signal  ability. 

In  closing  this  report  of  the  last  campaign  of  the  army  of  the  Potomac,  I  desire  to  acknowledge  the  cordial  cooperation 
which  has  been  extended  to  me  by  the  chiefs  of  the  staff  departments  of  this  army,  and  the  agreeable  relations  which  have 
been  continued  throughout  eighteen  months  of  duty  as  its  medical  director.  The  medical  officers,  generally,  animated  by  high 
personal,  professional  and  patriotic  motives,  have  manifested  a  practical  skill  and  great  devotion  to  duty.  My  anxieties  and 
responsibilities,  lightened  by  their  labors,  have  now  ceased  with  the  success  of  our  military  operations,  and  I  experience  the 
pride  of  past  membership  with  them  in  the  veteran  army. 

Very  respectfully,  your  obedient  servant, 

T.  A.  McPARLIN, 

Surgeon  and  Brevet  Colonel  U.  S.  A.,  late  Medical  Director  Army  of  the  Potomac. 
To  THK  SuiifiKOx  GENERAL  OF  THE  ARMY. 


CLVI.     Extracts  from  the,  Report  of  the  Medical  Inspector  of  t/ie  Army  of  the  Potomac  for 
March  and  April,   1865.     By  Surgeon  J.  A.  LIDELL,  U.  S.  Volunteers. 

*  *  *  "On  the  26th  of  March,  the  depot  field  hospital  at  City  Point,  which  already  had  a  capacity  of  five  thousand 
nine  hundred  and  thirty-five  beds,  was  ordered  to  be  enlarged  one  thousand  beds,  making  it  capable-  of  accommodating,  in 
round  numbers,  seven  thousand  patients.  On  the  28th,  a  medical  purveyor's  train  of  thirty-six  wagons,  loaded  with  extra 
battle-field  supplies,  such  as  stimulants,  nutrients,  dressings  for  wounded,  anodynes,  haemostatics,  etc.,  in  charge  of  Assistant 
Surgeon  D.  R.  Beaver,  191st  Pennsylvania,  was  brought  up  from  City  Point  to  the  headquarters  of  the  army  for  the  purpose 
of  accompanying  the  reserve  train,  and  thus  being  at  hand  to  supply  any  unexpected  drain  upon  the  resources  of  the  division 
and  brigade  supplies  during  the  progress  of  the  campaign  about  to  commence.  Moreover,  the  medical  purveyor  at  City  Point, 
Assistant  Surgeon  J.  B.  Brinton,  U.  S.  A.,  was  directed  to  keep  constantly  on  hand,  at  that  place,  all  the  medical  and  hospital 
supplies  which  would  be  needed  by  ten  or  twelve  thousand  wounded  thrown  unexpectedly  on  our  hands.  *  *  Due  attention 
had  also  been  paid  to  the  subject  of  transportation,  as  the  following  abstract  from  the  consolidated  return  of  the  ambulance 
corps  will  serve  to  show:  Number  of  ambulances  on  hand,  five  hundred  and  twenty-five;  army  wagons,  one  hundred  and 
fifty-four;  medicine  wagons,  fifty-five;  forges,  sixteen;  horses,  one  thousand  six  hundred  and  sixty-six ;  mules,  nine  hundred 
and  ninety-four ;  stretchers,  nine  hundred  and  seventy -nine.  The  ambulance  corps,  at  this  time,  consisted  of  forty-four  officers 
and  eighteen  hundred  and  sixty-eight  men.  It  may  be  added,  that  the  condition  and  discipline  of  the  ambulance  service  was 
efficient  and  satisfactory  in  every  respect. 

On  the  28th  of  March,  all  the  sick  and  wounded  of  the  division  hospitals,  and  all  men  unable  to  march  were  sent  to  the 
depot  hospital  at  City  Point.  In  the  evening  the  evacuation  of  the  field  hospitals  was  complete,  and  those  of  the  Second  and 
Fifth  Corps  were  loaded  up  and  ready  for  the  march.  Those  of  the  Sixth  and  Ninth  Corps  remained  as  before,  as  no  material 
change  in  the  position  of  these  corps  had  yet  been  ordered.  On  Wednesday  the  29th,  the  campaign  begun.  At  an  early  hour, 
the  Fifth  Corps  moved  to  Rowanty  Creek,  near  the  Perkins  house,  laid  bridges  and  crossed  the  creek.  The  head  of  the  column 
crossed  over  at  eight  o'clock  A.  M.,  passed  up  the  old  stage  road  to  its  junction  with  the  Vaughan  road,  and  thence  along  the 
Vaughan  road  to  its  intersection  with  the  Quaker  road.  Griffin's  division  followed  the  Vaughan  road  a  mile  and  a  half  farther, 
while  AyiWs  division,  which  had  been  in  the  advance  all  the  morning,  proceeded  up  the  Quaker  road  a  short  distance  to  the 
neighborhood  of  the  Vaughan  house.  The  Second  Corps  moved  at  a  later  hour  than  the  Fifth,  as  its  projected  line  of  movement 
was  much  shorter.  It  crossed  Hatcher's  Run  by  the  Vaughan  road  bridge,  passed  down  the  Vaughan  road,  and  established  a 
connection  with  the  Fifth  Corps,  a  little  before  noon.  Both  of  these  corps  were  in  light  marching  order.  They  were  accom 
panied  by  one  half  their  ambulances,  with  one  medicine  wagon,  and  one  army  wagon  for  each  division.  The  rest  of  their 
ambulances  and  wagons  were  parked  with  the  reserve  train  of  the  army,  by  General  Meade's  orders.  Each  division  of  the 
Second  Corps  was  directed  to  be  followed  closely  by  six,  and  each  division  of  the  Fifth  Corps  by  ten  ambulances.  The 
remainder  of  the  ambulances  moving  with  each  corps,  accompanied  the  artillery  and  ammunition  trains  in  the  rear.  Shortly 
after  noon,  Griffin's  division  moved  up  the  Quaker  road,  passed  the  old  Quaker  burying  ground,  and  met  the  enemy  in  force 
near  a  farm  house,  where  a  sharp  combat  ensued.  The  firing  began  at  thirty-five  minutes  after  four  o'clock  P.  M.,  and  lasted 
about  twenty  minute.-.  The  action  wus  maintained  principally  by  the  infantry,  and  at  close  quarters.  The  enemy  used  no 


REPORT    OF    SURGEON    J.    A.    UDELL,    U.    S.    V.  207 

artillery,  and  were  driven  back.  The  ambulances  were  quickly  brought  to  the  front.  The  division  hospital  was  established  at 
the  Spring  house,  near  the  Quaker  road,  about  half  a  mile  in  rear  of  the  place  of  combat,  and  two  hundred  and  eighty-seven 
wounded,  including  fourteen  rebels,  were  promptly  brought  to  it.  I  noticed  that  many  of  the  wounds  were  severe,  involving 
bones  or  some  of  the  larger  articulations,  and  that  a  larger  proportion  than  usual  required  capital  operations.  After  the  combat, 
Griffin's  division,  supported  by  Ayres's  and  Crawford's,  pushed  forward  to  the  Boydton  plank  road,  which  it  held  that  night. 
During  the  afternoon,  the  Second  Corps  also  advanced  toward  the  Boydton  road.  At  night,  the  position  of  our  troops  was  as 
follows:  the  Fifth  Corps  on  the  left,  holding  the  Boydton  road,  the  Second  Corps  connecting  with  it  on  the  right,  and  stretching 
across  the  intervening  space  to  Hatcher's  Run;  then  extending  from  the  opposite  bank  of  Hatcher's  Run,  a  part  of  the  army  of 
the  James,  under  General  Ord,  the  2d  division  of  the  Twenty-fourth  Corps  and  1st  division  of  the  Twenty-fifth  Corps,  (colored,) 
held  the  old  line  of  the  Second  Corps,  having  been  brought  up  for  that  purpose  the  day  before.  Proceeding  still  further  to  the 
right,  the  Sixth  Corps  remained  in  its  old  position,  having  on  its  right  the  Ninth  Corps,  also  in  its  old  position,  and  stretching 
round  to  the  Appomattox  river,  below  Petersburg.  It  was  understood  that  the  cavalry,  under  General  Sheridan,  were  operating 
in  the  direction  of  Dinwiddie  Court-house.  The  wounded  were  promptly  cared  for  that  night,  food  and  restoratives  were 
administered,  their  wounds  were  dressed,  the  necessary  operations  performed,  and  all  were  under  way  for  Humphrey's  railroad 
station,  in  ambulances,  before  half  past  seven  o'clock  next  morning.  From  Humphrey's  Station  they  were  sent  to  the  depot 
hospital  at  City  Point,  without  delay,  as  the  chief  quartermaster  had  advised  with  the  medical  director,  and  made  ample 
arrangements  for  that  purpose.  The  distance  from  the  division  hospital  to  Humphrey's  Station  was  about  six  miles,  over 
practicable,  but  by  no  means  good  roads.  The  Second  Corps  was  not  engaged  with  the  enemy  that  day.  The  reserve  train  of 
the  army,  including  the  medical  purveyor's  train  already  mentioned,  now  moved  to  the  neighborhood  of  W.  Perkins's  house, 
near  Rowanty  Creek,  General  Meade's  headquarters,  being  established  that  night  on  the  Vaughan  road,  near  Gravelly  Run, 
and  General  Grant's  headquarters  on  the  same  road,  but  on  the  opposite  side  of  the  run.  The  weather  had  been  pleasant  all 
day,  but  about  midnight  it  began  to  rain.  Thursday,  March  30th,  was  dark  and  rainy,  making  the  roads  muddy  and  almost 
impassable  for  wagons  in  many  places.  The  dead  of  the  previous  day's  combat  were  buried.  The  number  reported  was  fifty 
of  our  own  men,  and  one  hundred  and  fifty  of  the  enemy.  During  the  day  the  Fifth  Corps  advanced  some  distance  beyond 
the  Boydton  plank  road.  No  serious  opposition  was  offered  by  the  enemy,  but  forty-six  wounded,  including  one  rebel,  were 
brought  to  the  field  hospital.  All  the  hospitals  of  the  Fifth  Corps  were  established  together  at  the  Spain  house  on  this  day. 
During  the  day,  the  Second  Corps  also  advanced  its  line,  maintaining  its  connection  with  the  Fifth  Corps  on  tne  left,  with  its 
right  resting  on  Hatcher's  Run.  This  movement  was  effected  without  bringing  on  an  engagement.  Our  line  now  extended 
from  Hatcher's  Run  to  the  left,  in  front  of  Dabney's  mills,  obliquely  across  the  Boydton  road,  to  a  considerable  distance  beyond 
it.  The  position  of  the  army  of  the  James  and  of  the  Sixth  and  Ninth  Corps,  on  the  other  bank  of  Hatcher's  Run,  was  under 
stood  to  be  materially  as  before.  It  was  also  reported  that  General  Sheridan,  with  the  Cavalry  Corps,  was  operating  in  the 
vicinity  of  Dinwiddie  Court-house,  in  such  a  way  as  to  cover  effectually  the  left  flank  of  the  combined  army.  In  the  evening, 
the  weather  became  clear.  Friday,  March  31st,  it  began  to  rain  at  daylight.  The  roads  were  now  in  a  terrible  condition  from 
the  mud.  Toward  noon,  the  rain  ceased  and  the  weather  became  fair.  About  this  time,  the  Fifth  Corps  became  warmly 
engaged  with  the  enemy.  The  1st  division  of  the  Second  Corps  also  participated  actively  before  the  affair  was  over.  The  loss 
was  considerable.  Seven  hundred  and  seventy-eight  wounded,  including  nine  rebels,  were  brought  to  the  division  hospital  of 
the  Fifth  Corps  at  the  Spain  house.  I  had,  on  this  occasion,  an  excellent  opportunity  to  see  the  practical  working  of  the 
ambulance  system,  including  the  operations  of  the  stretcher  bearers  on  the  field,  the  ambulances  at  the  most  advanced  posts, 
and  the  ambulances  in  motion  between  these  and  the  division  hospital,  about  two  miles  in  the  rear.  The  removal  of  the 
wounded  from  the  field  to  these  hospitals  was  accomplished  with  great  expedition,  so  much  so,  indeed,  that  they  were  all 
brought  in  and  refreshed  with  food  and  other  restoratives,  had  their  wounds  dressed,  and  the  necessary  operations  performed  at 
an  early  hour  in  the  evening,  without  the  appearance  of  hurry  or  confusion,  although  most  of  the  loss  had  occurred  during  the 
afternoon.  This  fact  speaks  very  well  for  the  efficiency  of  the  officers  of  the  ambulance  corps,  and  for  the  conduct  of  the 
medical  officers,  both  on  the  field  and  at  the  division  hospitals  ;  and  I  must  be  permitted  here  to  record  my  unqualified  admiration 
of  the  manner  in  which  the  ambulance  and  hospital  service  of  the  Fifth  Corps  was  managed  by  all  concerned.  In  this  affair, 
the  Second  Corps  lost  three  hundred  and  eighty-seven  wounded,  of  whom  two  hundred  and  ninety-four  belonged  to  the  1st 
division,  seventeen  to  the  2d  division,  seventy-four  to  the  3d  division,  and  two  to  the  artillery  brigade.  The  2d  division  hospital 
remained  near  the  Chimneys,  on  the  Vaughan  road,  but  the  1st  and  3d  division  hospitals  were  now  moved  up  and  located  on  the 
Gravelly  Run  road,  in  a  position  convenient  to  their  divisions.  The  wounded  of  that  corps  were  brought  in  promptly  and  were 
well  cared  for  in  every  respect.  Our  line  was  advanced,  during  the  day,  to  the  White  Oak  road,  and  General  Grant  moved  his 
headquarters  to  Dabney's  mills.  Late  in  the  afternoon,  General  Sheridan  was  heavily  engaged  with  the  enemy  near  Dinwiddie 
Court-house.  In  the  evening,  it  was  reported  that  he  hud  several  hundred  wounded  for  whom  he  had  no  transportation. 
General  Meade,  therefore,  ordered  the  Sixth  Corps  ambulance  train  to  proceed  to  Dinwiddie  Court-house  and  bring  them  in  to 
Humphrey's  Station.  At  the  time,  these  ambulances  were  much  needed  to  remove  the  wounded  of  the  Fifth  Corps  from  the 
Spain  house  to  Humphrey's  Station,  since  nearly  all  the  ambulances  of  that  corps  had  been  ordered  to  proceed  at  once  to  the 
assistance  of  General  Sheridan's  cavalry.  *  *  In  consequence,  a  considerable  number  of  the  wounded  of  the  Fifth  Corps 
had  to  be  transported  in  army  wagons,  about  six  miles,  over  very  rough  roads,  to  Humphrey's  Station.  Saturday,  April  1st, 
the  weather  was  clear  and  pleasant.  During  the  night  of  March  31st,  and  the  morning  of  April  1st,  the  Fifth  Corps,  with  the 
exception  of  one  brigade,  was  detached  from  the  army  of  the  Potomac  and  sent  to  report  to  General  Sheridan. 

The  arrangement  of  our  line  west  of  Hatcher's  Run  was  now  as  follows:  On  the  extreme  left,  one  brigade  of  the  3d 
division  of  the  Fifth  Corps;  next  to  it.  the  1st  division  of  the  Second  Corps;  then  the  3d  division  of  the  Second  Corps,  and. 
lastly,  the  xid  division  of  the  s:ime  corps,  with  its  right  resting  on  Hatcher's  Run.  Throughout  the  day  nothing  transpired 
along  the  line  but  a  small  amount  of  picket  firing.  At  the  field  hospitals  of  the  Second  and  Fifth  Corps,  the  medical  officers 
were  busily  occupied  during  the  day  in  getting  off  the  wounded  to  Humphrey's  Station,  en  rout<:  to  the  depot  hospital  at  City 
Point.  In  the  morning  the  roads  were  still  so  muddy  that  the  transportation  of  the  wounded  over  them  was  slow  and  difficult' 


208  APPENDED    DOCUMENTS AEMY    OF    THE    POTOMAC,    1865. 

but  during  the  day  they  dried  rapidly.  During  the  morning  thirty  cars  loaded  chiefly  with  wounded,  but  carrying  also  a  few 
sick,  left  Humphrey's  Station  for  City  Point.  At  four  o'clock  P.  M.,  a  train  of  fifteen  cars  loaded  in  the  same  manner  was  sent 
to  the  same  destination.  About  six  o'clock  p.  M.,  the  ambulance  train  of  the  Sixth  Corps,  which  had  been  sent  to  Dinwiddie 
Court-house  to  bring  in  the  wounded  of  the  cavalry,  arrived  at  Humphrey's  Station.  In  the  meantime,  at  the  instance  of  the 
medical  director,  the  chief  quartermaster  had  ordered  forty  additional  cars  to  come  up  to  Humphrey's  Station.  Before  night 
all  the  wounded  had  been  conveyed  in  ambulances  or  army  wagons  from  our  division  hospitals  to  the  station.  The  distances 
from  these  hospitals  to  the  station  were  estimated  as  follows:  From  the  hospital  of  the  2d  division,  Second  Corps,  two  miles 
and  a  half;  from  those  of  the  1st  and  3d  divisions  of  the  same  corps,  four  miles  and  a  half;  from  the  division  hospitals  of  the 
Fifth  Corps,  all  located  at  the  Spain  house  on  the  Quaker  road,  six  miles. 

The  headquarters  of  the  army  of  the  Potomac  were  moved  during  the  day  to  the  neighborhood  of  General  Grant's,  at 
Dabney's  mills.  In  the  evening  it  was  reported  that  General  Sheridan's  operations  had  been  eminently  successful ;  that,  aided  by 
the  Fifth  Corps,  he  had  driven  the  enemy,  capturing  two  brigade  trains,  several  pieces  of  artillery  and  three  or  four  thousand 
prisoners.  But  twenty-five  wounded  were  reported  as  admitted  to  the  Fifth  Corps  hospital  during  the  day.  Throughout  the 
following  night  the  sullen  roar  of  artillery  was  heard  at  intervals  along  the  whole  of  our  line  extending  from  the  Appomattox 
river  below  Petersburg,  across  the  Boydton  plank  road,  and  well  out  toward  the  Southside  railroad,  a  distance  of  about 
twenty-five  miles;  but  the  fire  was  much  the  heaviest  and  the  most  continuous  in  front  of  the  Ninth  Corps,  which,  as  already 
stated,  held  the  right  of  the  line. 

Sunday,  April  2d,  at  four  o'clock  A.  M.,  the  Sixth  and  Ninth  Corps  assaulted  the  enemy's  works  in  front  of  their 
respective  positions.  The  Sixth  Corps  quickly  carried  the  strongly  fortified  line  of  the  enemy  near  Fort  Fisher,  and  rapidly 
pushed  its  way  across  the  intervening  space  to  the  Appomattox  river,  a  short  distance  above  Petersburg.  '  In  the  course 

of  the  day  eight  hundred  and  fifty  eight  wounded,  including  fifty-four  rebels,  were  brought  to  the  Sixth  Corps  hospitals,  which 
still  occupied  their  old  position.  Nearly  all  were  injured  during  the  assault  on  the  works.  The  medical  director  of  the  corps 
reported  that  the  ratio  of  killed,  in  comparison  to  the  number  wounded,  was  decidedly  below  the  average.  The  wounded  were 
sent  to  City  Point  by  railroad  the  next  day.  At  four  o'clock  A.  M.,  the  Ninth  Corps  also  assaulted  the  enemy's  works  in  front 
of  Fort  Hell,  or  Sedgwick,  captured  the  main  line,  which  was  very  strongly  fortified,  and  successfully  maintained  its  lodgement 
against  several  desperate  attempts  of  the  enemy  to  regain  the  works.  The  loss  of  this  corps  was  materially  increased  by  the 
difficult  character  of  the  enterprize  assigned  to  it.  There  were  brought  to  the  division  hospitals  of  the  corps  one  thousand  one 
hundred  and  fourteen  wounded,  including  twenty-one  rebels.  They  were  promptly  conveyed  to  City  Point  by  railroad.  During 
the  day  General  Sheridan's  command  was  operating  far  out  on  the  left.  The  Fifth  Corps  sustained  considerable  loss,  and  three 
hundred  and  eighty-two  wounded,  including  seventy-two  rebels,  were  admitted  to  its  division  hospitals.  Soon  after  the 
successful  assaults  of  the  defenses  of  Petersburg  by  the  Sixth  and  Ninth  Corps,  the  enemy  abandoned  all  the  works  west 
of  the  Sixth  Corps.  Two  divisions  of  the  Second  Corps  were  now  moved  up  the  Boydton  road  to  the  vicinity  of  the  Sixth 
Corps.  Two  divisions  of  the  Twenty-fourth  Corps,  army  of  the  James,  were  also  sent  forward  to  a  position  on  the  right 
of  the  Sixth  Corps.  The  1st  division  of  the  Second  Corps  was  sent  to  cooperate  with  General  Sheridan.  They  came  across 
two  divisions  of  the  enemy  trying  to  escape  across  the  Appomattox  river,  and  had  a  sharp  fight  with  them.  Two  hundred  and 
seventy-two  wounded  were  cared  for  at  the  division  hospitals  of  the  Second  Corps.  Of  those,  two  hundred  and  twelve  belonged 
to  the  1st  division  alone.  Its  hospital  was  established  at  the  Moody  house,  near  Five  Forks.  General  Meade's  headquarters, 
were  established  that  night  at  the  Robinson  house,  just  in  the  rear  of  the  Sixth  Corps.  Monday,  April  3d,  the  weather  was  warm 
and  pleasant.  During  the  previous  night  the  enemy  had  evacuated  the  town  of  Petersburg,  and  it  was  occupied  by  our  troops 
at  dawn.  The  enemy  left  one  hundred  and  forty-nine  of  his  badly  wounded  with  two  medical  officers  in  a  well  appointed 
hospital  located  in  the  suburbs,  and  known  as  the  Confederate  States  hospital  The  surgeon  in  charge  was  directed  to  report 
to  the  provost  marshal  of  Petersburg,  in  order  to  obtain  rations  and  any  other  supplies  that  might  be  needed.  The  medical 
director  ordered  that  no  houses  in  Petersburg  should  be  used  for  hospital  purposes,  or  even  for  the  temporary  accommodation 
of  the  wounded  belonging  to  the  army  of  the  Potomac,  and  that  in  all  cases  they  should  be  sent  to  the  depot  hospital  at  City 
Point  without  delay.  The  same  order  was  reiterated  in  the  evening  by  General  Meade.  Thus  all  the  hospital  accommodations 
at  Petersburg  were  available  for  the  sick  and  wounded  rebels.  A  large  number  of  men  were  put  to  work  on  the  old  line 
of  railroad  from  Petersburg  to  City  Point,  in  order  to  reopen  it  as  soon  as  possible.  During  the  day  the  wounded  of  the  Second 
Corps,  from  the  combats  of  the  day  before,  were  brought  to  Petersburg  in  ambulances  for  transportation  to  City  Point  by 
railroad.  A  portion  of  the  wounded  belonging  to  the  Fifth  Corps  were  also  brought  into  Petersburg  for  the  same  purpose,  and 
the  remainder,  numbering  about  one  hundred  and  fifty,  were  sent  to  Sutherland  Station  in  the  evening,  and  there  supplied 
with  shelter,  three  days'  rations  and  medical  attendance,  while  awaiting  the  reopening  of  railroad  communication  with 
Petersburg,  a  distance  of  ten  miles.  The  headquarters  of  General  Meade  were  established  at  night  near  Sutherland  Station,  a 
short  distance?  from  General  Grant's.  It  was  reported  in  the  evening  that  the  cars  had  commenced  running  to  Petersburg  from 
City  Point.  The  reported  evacuation  of  Richmond  was  also  confirmed.  Tuesday,  April  4th,  the  weather  continued  pleasant. 
The  Second  and  Sixth  Corps  moved  at  dawn,  marching  up  the  river  road  in  a  westerly  direction.  The  Ninth  Corps  was  left 
behind  at  Petersburg,  and  the  Fifth  was  still  with  General  Sheridan.  The  medical  director  of  the  Sixth  Corps  reported  that 
the  ambulance  horses  of  that  corps  were  much  jaded  from  overwork,  and  that  ten  of  them  were  completely  used  up.  It  will 
be  remembered  that  this  ambulance  train  had  been  sent  on  the  previous  Saturday  to  Dinwiddie  Court-house  to  bring  in  the 
wounded  of  General  Sheridan's  command  The  day's  march  was  long,  and  over  almost  impassable  roads.  At  night  General 
Meade's  headquarters  were  established  at  the  bouse  of  M.  W.  Jones,  near  Deep  Creek,  about  twenty-five  miles  from  the  place  of 
starting.  The  headquarters  of  the  Second  Corps  was  at  the  same  place.  *  Wednesday,  April  5th.  the  weather  still  continued 

pleasant.  We  moved  at  an  early  hour,  in  the  direction  of  Jetersville,  on  the  Richmond  and  Danville  railroad,  distant  about 
fifteen  miles.  We  struck  the  railroad  at  that  place  in  the  afternoon,  and  found  General  Sheridan  there  with  the  cavalry  and 
Fifth  Corps.^  Late  in  the  day  the  enemy  made  a  demonstration  on  our  front.  He  appeared  on  his  way  from  Richmond  to 
Burke's  Station.  During  the  night  he  maneuvered  to  gain  an  opportunity  to  pass  round  our  left  in  the  direction  of  Farmville. 


REPORT    OF    SURGEON    J.    A.    LTDELL,    U.    S.    V.  209 

At  night  General  Meade's  headquarters  were  established  at  a  house  used  by  the  cavalry  for  hospital  purposes,  about  half  a  mile 
from  General  Sheridan's  headquarters.  Thursday,  April  6th,  the  morning  was  dark  and  rainy;  the  rain,  however,  ceased  at 
noon.  The  pursuit  of  General  Lee's  army  was  resumed  with  great  activity.  The  Second  Corps  moved  on  the  road  to  Amelia 
Springs  as  the  leading  column.  The  Fifth  advanced  on  the  right  Hank  and  the  Sixth  on  the  left,  within  supporting  distance. 
The  Second  Corps  struck  the  enemy  near  Amelia  Springs,  and  pushed  him  forward  along  the  Deatonsville  road.  The  pursuit 
was  not  relaxed,  and  as  the  enemy  offered  resistance  at  every  fitting  opportunity,  this  corps  was  more  or  less  engaged  the  rest 
of  the  day.  The  loss,  however,  was  not  large,  viz. :  1st  division,  forty-one  wounded;  3d  division,  one  hundred  and  fifty 
wounded;  total,  one  hundred  and  ninety-one  wounded.  Early  in  the  day  the  1st  division  hospital  was  established  at  the 
Vaughan  house,  two  miles  and  a  half  west  of  the  springs,  in  the  direction  of  Deatonsville.  The  wounded  of  the  3d  division 
were  conveyed  from  the  Vaughan  house  to  Burke's  Station  by  the  ambulances  of  the  Ninth  Corps.  Those  of  the  1st  division 
were  carried  to  Burke's  Station  on  the  7th,  by  way  of  Rice  Station.  The  Sixth  Corps,  advancing  on  the  left  of  the  Second, 
became  heavily  engaged  with  the  enemy  toward  evening  at  Sailors'  Creek,  in  conjunction  with  the  cavalry  of  General  Sheridan. 
The  enemy  were  routed,  and  many  prisoners  were  captured.  Four  hundred  and  eighty-one  wounded,  including  one  hundred 
and  sixty-one  rebels,  were  admitted  to  the  division  hospitals  of  the  corps  It  is  understood  that  they  were  established  at 
Harper's  farm.  These  wounded  were  sent  to  Burke's  Station  next  day  in  the  Sixth  Corps  ambulances.  The  Fifth  Corps  was 
not  engaged  during  the  day.  The  headquarters  of  the  army  of  the  Potomac  were  established  on  the  road  from  Deatonsville  to 
Farmville,  about  two  miles  from  the  former  place.  Friday,  April  7th,  the  Second  Corps  continuing  the  pursuit  of  the  enemy, 
crossed  the  Appomattox  at  High  Bridge,  where  a  slight  skirmish  occurred,  and  advanced  to  the  heights  northeast  of  Farmville, 
where  the  enemy  were  found  entrenched.  All  the  division  hospitals  of  this  corps  were  established  at  the  Brooks  house  late  in 
the  afternoon,  and  received  two  hundred  and  twelve  wounded  during  the  day  and  night.  They  were  sent  to  Burke's  Station  on 
the  morning  of  the  8th,  and  the  hospitals  ordered  forward  to  join  the  corps,  which  had  advanced  in  pursuit  of  the  enemy,  who 
had  fallen  back  during  the  night.  After  this  the  army  of  the  Potomac  did  not  again  engage  the  enemy.  General  Lee 
surrendered  his  army  at  Appornattox  Court-house  on  Sunday,  April  9th. 

On  the  morning  of  April  7th,  in  accordance  with  orders,  I  proceeded  to  Burke's  Station  for  the  purpose  of  assisting  in 
the  arrangements  for  the  reception  and  care  of  the  sick  and  wounded  at  that  place  until  the  railroad  to  Petersburg  could  be  put 
in  running  order.     The  general  commanding  having,  on  the  evening  of  the  6th,  designated  Burke's  Station  as  the  prospective 
depot  of  the  army  of  the  Potomac,  the  medical  director  ordered  arrangements  to  be  made  for  the  suitable  reception  of  two 
thousand  five  hundred  wounded  at  that  place.     It  was  expected  that  we  would  be  compelled  to  provide  for  all  the  wounded  in 
the  operations  west  of  the  Richmond  and  Danville  railroad,  including  those  of  General  Sheridan's  cavalry  command,  and  of  the 
Twenty-fourth  Corps,  army  of  the  James,  as  well  as  for  those  of  the  army  of  the  Potomac.     The  estimates  were  based  upon 
this  expectation,  and  the  sequel  showed  it  to  be  well  founded.     Having  reached  Burke's  Station  about  noon,  I  found  Lieutenant 
Colonel  Dalton,  medical  director  of  the  Ninth  Corps,  who  had  come  up  from  Nottoway  Court-house  that  morning  on  the  same 
business.     He  stated  that  the  hospitals  of  the  2d  and  3d  divisions  of  the  Ninth  Corps  were  on  their  way,  and  would  arrive  in 
the  afternoon,  together  with  the  ambulance  trains  of  those  divisions.     I  also  learned  that  the  railroad  was  only  open  as  far  as 
Wilson's  Station,  twenty-seven  miles  distant,  and  that  several  days  must  elapse  before  the  cars  could  get  up  to  Burke's  Station. 
In  the  meantime,  shelter,  food  and  medical  attendance  must  be  provided  for  a  large  number  of  wounded  at  that  place.     It  was 
also  known  that  several  hundred  wounded  were  already  on  their  way  in  the  ambulance  trains  of  the  Second  and  Sixth  Corps, 
and  that  they  would  arrive  by  evening.     The  hotel  buildings  at  Burke's  Station  had  been  in  use  for  a  considerable  time  as  a 
rebel  hospital,  and  were  already  filled  to  overflowing  with  rebels  who  were  unable  to   be  moved  when  their  forces  retreated, 
and  with  sick  and  wounded  belonging  to  the  Twenty-fourth  Corps,  and  the  Cavalry  Corps,  who  had  recently  been  brought  there. 
In  the  afternoon  the  hospitals  of  the  '2d  and  3d  divisions  of  the  Ninth  Corps  were  established  on  good  ground,  convenient  to  the 
railroad  and  made  ready  for  the  reception  of  wounded.      All  the  vacant  warehouse  rooms  at  the  railroad  depot  were  also 
taken  possession  of,   and  made  ready  for  the  same  purpose  without  delay.     In  the  evening  about  seven  hundred  and  fifty 
wounded  from  the  Second  and  Sixth  Corps  arrived,  and  were  promptly  cared  for.     The  ambulance  trains  of  the  iM  and  3d 
divisions  of  the  Ninth  Corps  came  up  in  the  afternoon,  and  were  at  once  sent  forward  to  the  front,  with  orders  to  report  to  the 
medical  director  of  the  army  of  the  Potomac.     Saturday,  April  8th,  the  warehouses  at  the  depot,  and  the  hospitals  of  the  Ninth 
Corps,  including  that  of  the  1st  division  now  on   the   way  to  Burke's  Station,  were  capable  of  sheltering  sixteen    hundred 
wounded,  and  this  entirely  independent  of  the  rebel  hospital  above-mentioned,  and  of  the  dwelling  houses  in  the  neighborhood 
used  by  the  cavalry  for  their  wounded.     Captain  .1.  H.  Alley,  hospital  commissary  of  the  Ninth  Corps,  sent  out  a  foraging 
train  to-day,  under  suitable  escort,  to  obtain  subsistence  for  the  sick  and  wounded.     It  brought  in  three  wagon  loads  of  pro 
visions,  consisting  of  flour,  meal,  potatoes,  hams  and  bacon.     Captain  Alley  also  sent  to  City  Point  for  enough  sugar,  coffee 
and  candles  to  last  four  thousand  men  eight  days,  in  order  to  be  ready  for  possible  contingencies.     He  also  began  to  repair  the 
large  oven  of  the  hotel,  with  a  view  to  issue  soft  bread  without  delay,  and,  placing  a  safeguard  upon  a  neighboring  grist  mill, 
he  set  it  to  grinding  flour  and  meal.     The  medical  purveyor's  train  being  at  Burke's  Station,  enough  medical  and  hospital 
supplies  were  drawn  from  it  to  last  two  thousand  wounded  eight  days.     These  were  drawn  by  the  surgeons  in  charge  of  ^d  and 
3d   division  hospitals  of  the  Ninth   Corps  in   addition  to  the  supplies  they  had   already  on  hand.      Afterward   the   medical 
purveyor's  train  started  for  Farmville.  seventeen  miles  distant.     Foraging  wagons  were  also  sent  out  for  straw.     During  the 
day  and  evening,  about  five  hundred  and  fifty  wounded  and  sick  arrived.     Sunday,  April  9th,  Captain  Alley  again  foraged 
successfully  for  provisions  and  straw.     About  two  hundred  and  sixty  wounded  and  sick  were  brought  in.     Monday  April  10th,  the 
bakery  began  to  turn  out  soft  bread  of  first  rate  quality,  working  at  the  rate  of  two  thousand  rations  per  diem.     Provisions  and 
straw  were  again  obtained  by  foraging.     If  subsistence  could  not  have  been  obtained  by  foraging,  the  sick  and  wounded  must 
have  suffered  very  much  with  hunger  for  a  few  days.      In  the  evening,  the  Ninth  Corps  ambulances  returned  from  the  front, 
bringing  about  two  hundred  sick  and  wounded.     One  hundred  and  fifty  hospital  tent-Hies  had  arrived  in  wagons  from  Wilson's 
Station,  so  that  we  now  felt  easy  on  the  subject  of  shelter.     Tuesday,  April   llth,  there  were  about  two  thousand  two  hundred 
sick  and  wounded  at  Burke's  Station,  of  whom  about  one  thousand  six   hundred  belonged  to  the  army  of  the  Potomac,  about 


210  APPENDED    DOCUMENTS AEMY    OF    THE    POTOMAC,    1865. 

two  hundred  and  twenty  to  the  army  of  the  James,  about  one  hundred  and  eighty  to  the  Cavalry  Corps,  and  about  two  hundred 
were  prisoners  of  war.  All  of  them  were  well  taken  care  of.  *  * 

The  railroad  cars  came  up  to  Burke's  Station,  April  llth,  for  the  first  time,  and  preparations  were  immediately  made  to 
load  them  with  wounded  on  their  return  to  City  Point.  In  this  way  about  one  thousand  four  hundred  and  fifty  sick  and 
wounded  were  sent  to  City  Point.  The  last  train  started  at  five  o'clock  P.  M.  The  cars  for  the  wounded  were  well  bedded 
with  straw.  Two  days'  rations  were  provided  for  the  patients,  with  two  attendants  to  each  car,  and  medical  officers  to  accompany 
them  to  City  Point.  The  Ninth  Corps  ambulance  train  was  sent  out  to  Harper's  farm  for  some  wounded  cavalrymen  who  were 
reported  to  be  there  without  supplies.  The  train  was  accompanied  by  a  wagon  loaded  with  provisions.  Wednesday,  April 
12th,  sent  to  City  Point  at  noon,  by  railroad,  about  six  hundred  sick  and  wounded,  the  trains  being  provided  in  the  same 
manner  as  those  sent  on  the  llth.  This  evacuated  Burke's  Station  of  all  the  sick  and  wounded,  except  about  one  hundred  and 
fifty  rebels,  who  would  also  have  been  sent  if  there  had  been  enough  transportation.  During  the  latter  part  of  the  day  the 
ambulances  of  Cavalry  Corps  arrived  and  the  Ninth  Corps  ambulances  returned.  They  brought  together  about  two  hundred 
and  fifty  sick  and  wounded,  most  of  whom  Avere  rebels.  A  number  of  sick  and  wounded  were  also  received  from  other  sources. 
The  headquarters  of  the  army  of  the  Potomac  came  down  to  Burke's  Station  at  three  o'clock  P.  M.,  and  were  established  in  its 
vicinity.  Thursday,  April  13th,  four  hundred  and  fifty  sick  and  wounded  were  sent  to  City  Point.  A  majority  of  them  were 
rebels.  This  relieved  us  of  all  sick  and  wounded  then  on  hand  who  could  safely  be  transported.  Surgeon  H.  Bendell,  86th 
New  York,  in  charge  of  the  sub-depot  field  hospital,  organized  pursuant  to  the  orders  of  the  medical  director,  dated  April  3, 
1865,  arrived  at  Burke's  Station  April  13th,  accompanied  by  twenty-four  assistant  surgeons  and  attendants,  shelter  and  ample 
supplies.  In  the  course  of  the  day  he  established  his  hospital.  *  * 

Up  to  this  time  about  twenty-five  hundred  sick  and  wounded  had  been  sent  to  City  Point  by  railroad.  Of  this  number 
it  was  estimated  that  about  two  thousand  were  wounded.  These  men  had  all  been  promptly  received  and  provided  for  at 
Burke's  Station.  In  this  connection,  Lieutenant  Colonel  E.  B.  Dalton,  Surgeon  U.  S.  V.,  chief  medical  officer,  and  Captain  J. 
H.  Alley,  hospital  commissary,  of  the  Ninth  Corps,  deserve  special  mention.  During  the  brief  campaign  commencing  March 
29th,  the  total  number  of  wounded  in  the  various  engagements  was  as  follows:  Second  Corps,  one  thousand  one  hundred; 
Fifth  Corps,  one  thousand  four  hundred  and  thirty-six ;  Sixth  Corps,  one  thousand  one  hundred  and  twenty-seven;  Ninth  Corps, 
one  thousand  one  hundred  and  sixty ;  total,  four  thousand  eight  hundred  and  twenty-three  wounded  in  action.  The  estimate 
does  not  embrace  those  wounded  by  accident  or  by  picket  firing.  It  also  appears  that  about  three  hundred  and  thirty-five 
wounded  rebels  were  brought  to  our  division  hospitals."  * 


CLYII.     Extract  from  the  lleport  of  the  Depot  Field  Hospital  of  the  Army  of  the  Potomac 
from  March  27  to  June  30,  1865.     By  Surgeon  G.  B.  PARKER,  U.  S.  Volunteers. 

"In  obedience  to  General  Order  No.  77,  paragraph  4,  dated  headquarters,  army  of  the  Potomac,  March  25, 
1865,  I  assumed,  on  the  27th  of  March,  the  duties  of  acting  chief  medical  officer  of  the  depot  field  hospital,  City  Point,  Virginia. 
The  hospital  consisted  of  ninety  stockade  pavilions  and  four  hundred  and  fifty-two  tents,  and  was  divided  into  sections 
belonging  to  the  Second,  Fifth,  Sixth  and  Ninth  Corps,  and  to  the  Cavalry  Corps.  Its  capacity  was  five  thousand  four  hundred 
and  fourteen  beds.  Its  railroad  communications  extended  to  Burkesville,  and  afterward  to  Danville,  and  patients  were  received 
direct  from  those  points.  On  the  28th  of  March,  the  medical  director  of  the  army  of  the  Potomac  ordered  the  hospital  to  be 
increased  to  its  utmost  capacity,  and  additional  tents  were  pitched  accordingly,  and  the  capacity  of  the  hospital  increased  to 
eight  thousand  eight  hundred  beds.  Pursuant  to  telegraphic  orders  from  the  medical  director,  supplies  for  two  thousand  five 
hundred  patients  far  ten  days,  and  twenty-five  medical  officers  were  forwarded  to  Burksville,  Virginia,  and  a  sub-depot 
established  there,  intended  to  receive  patients  unable  to  travel,  and  for  whom  immediate  transportation  could  not  be  furnished. 
The  sub-depot  was  ready  for  the  treatment  of  patients,  April  7th.  During  its  continuance,  one  thousand  one  hundred  and 
seventy-three  patients  were  received  and  transferred  to  City  Point. 

In  consequence  of  the  Ninth  Corps  being  detached  from  the  army  of  the  Potomac,  after  the  campaign  terminated,  the 
portion  of  the  depot  hospital  belonging  to  that  corps  was  closed  on  the  24th  of  April.  On  the  4th  of  May,  the  commanding 
general  of  the  army  of  the  Potomac,  ordered  the  removal  of  the  depot  hospital  to  Alexandria,  Virginia.  Medical  officers  and 
requisite  supplies  were,  accordingly  sent  forward,  and  a  hospital,  with  a  capacity  of  two  thousand  beds,  was  established  at  that 
place  in  advance  of  the  arrival  of  the  returning  armies.  The  depot  hospital  was  finally  broken  up  on  the  30th  of  June,  1865. 
From  the  2?th  of  March  to  the  30th  of  June,  twenty-one  thousand  five  hundred  and  sixty-one  patients  were  admitted  to  the 
depot  hospital,  of  whom  seven  thousand  eight  hundred  and  eighty-one  were  returned  to  duty,  eleven  thousand  nine  hundred 
and  twenty  transferred  to  general  hospitals,  one  thousand  and  seventy-three  turned  over  to  the  provost  marshal,  three  hundred 
and  seventy-one  were  furloughed  or  deserted,  and  three  hundred  and  sixteen  died. 

In  addition  to  the  above,  many  men,  who  did  not  belong  to  the  army  of  the  Potomac,  were  received  at  the  depot  hospital. 
These  were  sent  forward  immediately  to  Point  of  Rocks,  Virginia,  by  transports ;  but,  in  consequence  of  their  great  number 
and  the  rapidity  of  their  arrival  and  departure,  the  surgeons  in  charge  of  the  corps  hospitals  failed  to  register  their  names. 
The  number  of  patients  treated  in  the  hospital,  after  its  removal  to  Alexandria,  Virginia,  amounted  to  one  thousand  four 
hundred  and  forty-six.  The  supply  of  water,  for  the  depot  hospital  at  City  Point,  was  obtained  from  flowing  springs  found 
under  the  bluffs  of  the  Appomattox.  The  water  was  raised  to  a  reservoir,  at  a  proper  elevation,  by  two  stationary  steam 
engines,  and  conveyed  by  pipes  to  the  respective  corps  hospitals,  some  of  which  were  half  a  mile  distant.  An  abundant  supply 
was  constantly  kept  on  hand. 

The  general  sanitary  condition  of  the  hospital  was  invariably  good;  neither  gangrene  nor  any  epidemic  appeared;  good 
order,  discipline,  and  cleanliness  were  constantly  maintained;  there  was- always  an  ample  supply  of  medical  and  hospital 
stores,  and  every  luxury  and  comfort  required  by  the  sick  and  wounded  was  furnished  by  the  medical  department  with  the 


REPORT    OF    SURGEON    T.    RUSH    SPENCER,    U!    S.    V.  211 

least  possible  delay.     In  concluding,  it  is  proper  to  refer  to  the  efficiency  of  the  following  named  surgeons  in  charge  of  the 
portions  of  the  hospital  belonging  to  the  several   corps:    Acting  Staff  Surgeon  John  Aiken,  Second  Corps;  W.  L.  Faxon, 
Surgeon  32d  Massachusetts,  Fifth  Corps;  Assistant  Surgeon  J.  Sykes  Ely,  U.  S.  V.,  Sixth  Corps;  W.  O.  McDonald,  Surgeon 
U.  S.  V.,  Ninth  Corps;  C.  A.  McCall,  U.  S.  A.,  Cavalry  Corps;  H.  Bendell,  Surgeon,  106th  N.  Y.  V.,  in  charge  of  sub-depot 
at  Burksville,  Virginia." 

CLYIII.     Extracts  from  the  Iteport  of  the  Medical  Director  of  the  Fifth  Corps  from  November 
1,  1864,  to  April  30,  1865.     By  Surgeon  T.  BUSH  SPENCER,  U.  S.  Volunteers. 

*  *  *  "The  corps  had  remained  encamped  in  the  vicinity  of  the  Yellow  house,  upon  the  line  of  the  Weldon  railroad, 
some  six  or  seven  miles  south  of  Petersburg,  from  the  time  of  the  battles  by  which  this  line  had  been  secured  on  the  18th,  19th  and 
21st  of  August.  The  hospitals  of  the  corps,  established  at  the  same  time  near  Parke's  Station,  two  miles  in  the  rear,  remained  in 
the  same  position  on  November  1st.  The  ambulance  train  had  its  park  near  the  hospitals.  The  sites  occupied  for  camps  were 
such  as  were  dictated  by  military  necessity.  They  were  upon  a  thin,  sandy  soil,  underlaid  by  clay,  holding  moisture  and  giving 
it  forth  readily  under  the  rays  of  the  sun.  The  general  surface  was  flat  and  but  poorly  drained.  The  water  was  obtained  from 
springs,  or  very  shallow  wells,  and  was  necessarily  bad.  Wood,  of  a  second  growth,  was  sufficiently  abundant.  The  troops 
had,  to  a  great  extent,  recovered  from  the  fatigues  of  the  campaign  from  the  Rapidan  to  the  Weldon  railroad,  but  constant  labor 
in  the  trenches,  on  forts,  and  in  building  roads,  together  with  exposure  in  rifle-pits,  and  the  sleepless  vigilance  of  picket  duty, 
kept  up  a  constant  strain  upon  the  physique  and  the  morale  of  the  men.  The  absence  of  anything  like  an  abundance  of  fresh 
vegetables,  the  scarcity  of  soft  bread,  the  noxious  emanations  from  a  soil  saturated  with  decaying  vegetable  and  animal  matter, 
in  a  region  noted  for  its  malarious  character,  had  its  natural  effect  upon  the  health  of  the  command,  as  seen  in  numerous  cases 
of  camp  diarrhoea,  malarial  and  typho-malarial  fevers.  The  hospitals  of  the  corps  were  placed  upon  slightly  elevated  sites, 
and  enjoyed  the  advantage  of  fair  drainage,  and  passably  good  well  water.  One  hospital  was  established  for  each  division,  and 
one  for  the  artillery  brigade.  Regimental  hospitals  were  entirely  dispensed  with.  Each  hospital  remained  with  its  division,  or 
all  were  aggregated  together  as  appeared  expedient  from  time  to  time.  The  hospitals  were  all  well  organized,  with  surgeons  in 
charge,  recorders,  ward  surgeons,  commissaries,  stewards,  attendants,  police  parties,  etc.  The  capacity  of  each  hospital  varied 
with  the  necessities  of  the  case,  though  the  average  number  of  sick  to  be  retained  was  expected  to  be  limited  to  about  one 
hundred.  When  exceeding  that  number,  or  whe,n  cases  of  a  protracted  nature  presented  themselves,  they  were  promptly  sent  to 
the  depot  hospital  at  City  Point.  Whenever  active  operations  were  about  to  take  place,  all  sick  were  sent  to  the  rear.  So 
perfect  Avere  the  arrangements,  that  a  few  hours  sufficed  to  clear  the  wards,  and  have  everything  on  wheels  ready  for  a  move. 
Medical  and  hospital  supplies  were  always  promptly  supplied,  upon  requisition,  by  the  medical  purveyor  of  the  army  of  the 
Potomac.  The  ambulance  department  was  thoroughly  organized  and  in  excellent  condition.  During  the  winter  the  animals  of 
the  train  were  protected  by  excellent  stables,  which  they  continued  to  occupy  until  the  movement  began  in  March,  1865.  The 
building  of  huts  for  the  men  commenced  early  in  the  fall,  and  before  cold  weather  set  in  they  were  well  sheltered.  The  command 
continued  stationary  until  December  6th,  when,  leaving  its  comfortable  quarters,  the  corps  started  upon  the  expedition  to  the 
Weldon  railroad.  Half  the  quota  of  ambulances,  with  the  usual  battle  supplies,  hospital  stores,  etc.,  and  a  hospital  tent  fly  in 
each,  accompanied  the  troops.  The  weather  during  this  march  varied  from  a  warm  rain  on  the  first  day,  to  cold  rain  with  sleet 
and  high  wind,  ending  in  bitter,  biting  cold.  The  first  day's  march  was  long,  and  over  muddy  roads,  but  so  mild  was  the 
weather  that  many  threw  away  blankets  and  overcoats,  and  many  men  were  left  behind.  The  marches  were  long,  and  the 
labor  of  tearing  up  the  road  severe,  and  after  the  change  of  the  weather,  the  troops  suffered  extremely  for  want  of  shelter, 
blankets  and  overcoats.  The  ambulances  on  the  return  were  all  filled  with  the  sick  and  footsore.  There  were,  however,  no 
wounded.  Returning  on  the  12th,  the  corps  went  into  camp  in  reserve  between  the  Jerusalem  plank  road  and  the  Halifax  road. 
Considerable  increase  of  sickness,  especially  of  diseases  involving  the  chest,  followed  the  exposures  of  this  movement,  and  the 
delay  in  building  huts  after  the  return.  Two  of  the  divisions,  moreover,  were,  after  their  return,  encamped  on  low,  marshy, 
wooded  ground,  where  every  effort  at  drainage,  seemed  only  to  increase  the  number  of  cases  of  disease  of  a  malarious  type,  by 
disturbing  the  decaying  vegetable  mould.  The  medical  department  made  every  effort  to  correct  these  evils.  They  were  only 
remedied,  however,  by  the  complete  change  of  camp,  which  followed  the  battle  of  Hatcher's  Run,  the  first  week  in  February. 
During  this  period,  from  December  12th  till  February,  several  cases  occurred,  which,  in  their  rapidly  fatal  course,  as  well  as  in 
the  post  mortem  appearances  of  the  nerve  centres,  presented  the  usual  phenomena  of  cerebro-spiual  meningitis.  These  cases, 
however,  were  so  few  as  only  to  attract  attention  by  their  novelty.  They  were  observed,  as  a  rule,  in  recent  recruits.  In 
other  respects  there  was  little  to  note  during  this  period.  On  the  5th  of  February  we  were  again  ordered  to  move  with  our 
flying  hospital,  leaving  the  balance  of  the  hospital  train,  etc.,  behind.  On  reaching  Rowanty  Creek,  the  enemy  made  a  sharp 
resistance  to  our  crossing.  We  had  some  fifteen  wounded,  who  were  immediately  sent  back  to  our  hospital  left  at  Parke's  Station. 
Effecting  a  crossing,  building  bridges,  etc.,  consumed  some  hours.  Evening  found  us  at  the  Quaker  road,  down  which  we 
marched  during  the  night  to  reach  Hatcher's  Run,  early  in  the  morning,  after  a  day  and  a  night  without  rest  for  either  officers 
or  men.  The  cold  was  the  most  intense  encountered  in  any  movement  during  the  winter.  The  men  had  hardly  time  to 
prepare  a  hasty  dish  of  coffee,  when  they  were  ordered  forward  to  attack  the  enemy.  At  night,  much  of  the  field  of  battle  was 
in  the  possession  of  the  enemy,  but  so  promptly,  and  so  thoroughly  had  the  wounded  been  removed  from  the  field,  that  next 
morning  very  few  were  found  to  have  been  left  unsuccored,  or  in  the  enemy's  hands.  The  hospitals  of  the  corps  were  established 
at  the  Cummings  house,  a  mile  to  the  rear  of  the  run.  Here  every  attention  was  rendered,  the  medical  officers  never  resting 
until  every  man  was  fed,  dressed  or  operated  on  as  the  case  required,  and  placed  in  the  ambulances.  They  were  at  once 
conveyed  to  the  railroad  at  Patrick's  Station.  The  number  was  five  hundred  and  two.  The  battle  of  the  7th  was  brief  and 
resulted  favorably  to  our  arms.  The  wounded  numbered  one  hundred  and  eighty-four.  They  were  promptly  cared  for  and 

Kent  to  the  depot  hospital.     The  corps  went  into  camp  in  the  immediate  vicinity  on  a  high,  dry  and  rolling  surt'iice,  with  good 
water  and  plenty  of  wood.     The  (unfit  of  the  improved  site  was  immediately  visible  in  the  prompt  disappearance  of  intermittent^ 


212  APPENDED    DOCUMENTS ARMY    OF    THE    POTOMAC,    1865. 

and  kindred  diseases.  The  hospitals  were  now  brought  up  from  Parke's  Station,  and  each  placed  in  the  more  immediate  vicinity 
of  its  own  division.  They  soon  vied  with  each  other  in  the  increased  comforts  for  their  sick,  and  in  external  ornamentation. 
Again  a  period  of  rest  under  favorable  sanitary  conditions,  prepared  the  troops  for  the  final  campaign.  During  this  period  of 
rest  all  reports  were  brought  up,  property  unfit  for  further  use,  or  in  excess,  turned  in,  and  all  deficiencies  supplied.  The 
ambulance  and  hospital  train  was  also  put  in  complete  order  for  the  spring  campaign.  After  the  maximum  of  supplies  had  been 
procured,  an  order  reducing  the  transportation  left  no  alternative  during  our  hurried  marches,  but  to  abandon  more  or  less  of 
the  supplies  deemed  necessary  to  the  emergencies  of  a  campaign.  Fortunately  the  reserve  supplies  of  the  medical  department 
came  so  promptly  forward  to  supply  all  deficiencies  that  never  for  a  day  was  there  any  lack. 

The  field  hospitals  were  once  more  .cleared,  the  Hying  hospital  detached,  the  ambulance  boxes  filled  with  their  battle-field 
supplies.  On  the  morning  of  March  29th,  we  once  more  took  up  our  line  of  march,  half  the  ambulances  and  the  flying  hospital 
accompanying  the  troops,  the  rest  remaining  with  the  heavy  train.  Crossing  Rowanty  Creek,  we  moved  along  the  stage  road 
to  the  Quaker  road,  up  which  we  marched  nearly  to  the  Boydton  plank  road,  and,  about  four  o'clock,  found  the  enemy  in 
position.  A  very  sharp  engagement  ensued,  the  enemy  being  driven  back  into  his  works.  A  hospital  was  established  at  the 
Spain  house,  near  the  Quaker  church  on  Quaker  road.  For  the  first  and  only  time  the  battle-field  supplies  of  the  ambulance 
boxes  came  into  requisition.  Soon  the  wounded  began  to  reach  the  hospitals,  where  all  were  promptly  dressed  and  comfortably 
provided  for.  By  seven  o'clock  next  morning,  they  were  on  their  way  to  the  railroad  at  Humphrey's  Station,  over  roads 
rendered  almost  impassable  by  rain  and  travel.  The  following  day  was  occupied  in  advancing  our  lines  and  constructing 
defences,  slight  skirmishing  only,  taking  place.  On  the  31st,  the  corps  again  advanced  and  met  the  enemy.  The  2d  and  3d 
divisions  were,  at  first,  driven  back,  but,  being  supported  by  the  1st  division,  soon  forced  the  enemy  to  retreat  with  considerable 
loss.  During  the  night,  the  corps  was  massed  near  the  Boydton  plank  road,  and  the  2d  division  sent  toward  Diuwiddie  Court 
house  to  the  support  of  General  Sheridan.  The  other  divisions  marching  by  another  converging  road,  all  three  participated 
in  the  engagement  of  Five  Forks,  where,  in  conjunction  with  General  Sheridan's  cavalry,  a  most  decisive  battle  was  won, 
resulting  in  the  capture  of  many  guns  and  sevei-al  thousand  prisoners.  Our  wounded,  however,  were  less  numerous  than  in 
the  fight  on  the  Quaker  road. 

A  hospital  was  promptly  established  at  the  Methodist  church,  on  the  White  Oak  road.  From  this  point  some  patients 
were  sent  to  Humphrey's  Station,  and  some  to  the  Quaker  church  hospital.  Both  hospitals  were  promptly  broken  up,  and  all 
the  wounded  who  had  not  been  sent  off  when  the  pursuit  of  Lee  began,  on  the  2d  of  April,  were  brought  forward  to  Sutherland 
Station  on  the  Southside  railroad.  Here  they  were  left  in  fourteen  hospital  tents,  with  a  surgeon  and  all  necessary  supplies ; 
the  balance  of  the  hospital  train  and  the  ambulances  hastening  after  the  troops.  Owing  to  the  rapidity  of  the  march,  the 
condition  of  the  roads,  and  the  cutting  of  trains  by  moving  troops,  much  anxiety  was  felt  lest  the  delays  should  prove 
detrimental,  but  on  the  5th,  our  trains  all  reached  us  at  Jetersville,  and  subsequently  remained  with  us.  By  marches  varying 
from  twenty  to  thirty  miles  daily,  between  the  2d  and  9th,  we  reached  the  vicinity  of  Appomattox  Court-house,  to  find  the 
enemy  engaged  with  General  Sheridan's  cavalry,  with  the  intention,  we  afterward  learned,  of  breaking  through  and  continuing 
their  retreat.  *  *  On  the  9th,  General  Lee  surrendered.  From  the  9th  to  the  15th,  we  remained  at  Appomattox  Court-house. 
On  the  15th,  we  started  for  Nottoway  Court-house,  which  we  reached  on  the  2()th,  relieving  the  Ninth  Corps,  then  guarding  the 
railroad  from  Burkesville  to  Sutherland  Station.  During  the  remainder  of  the  month,  the  corps  continued  at  this  point.  The 
usual  amount  of  sickness,  presenting  no  peculiar  feature,  attended  our  stay." 

CLIX.     Extracts  from  the  Iteport  of  the  Medical  Insr^ector  of  the  Fifth   Army  Corj)s  for 
March,  and  April,  1865.     By  Assistant  Surgeon  CHAKLES  X.  WINNE,  U.  S.  Army. 

"March  26th,  27th  and  28th,  all  the  sick  in  the  Fifth  Corps  hospitals,  together  with  all  who  were  judged  to 
be  unable  to  endure  the  fatigue  of  the  ensuing  campaign,  were  sent  by  rail  from  Humphrey's  Station  to  the  depot  hospital  at 
City  Point.  All  necessary  preparations  for  the  campaign  had  been  made.  The  regimental  field  companions  had  been  filled, 
the  ambulance  boxes  furnished  with  supplies  of  hard  bread,  sugar  and  coffee;  in  addition  to  the  articles  required  to  be  carried 
in  them,  surplus  medical  property  had  been  turned  in  at  City  Point,  and  as  large  an  amount  of  supplies  had  been  obtained  for 
the  different  field  hospitals  as  could  be  carried  with  the  transportation  allowed. 

March  29th,  the  corps  broke  camp  before  daybreak.  The  fiying  field  hospital  accompanying  the  command  consisted 
of  half  the  number  of  ambulances,  carrying  hospital  tent  flies ;  one  medicine  wagon,  carrying  two  extra  operating  tables,  and 
five  hospital  wagons  for  each  division.  The  wagons  were  filled  with  the  hospital  tents,  blankets,  rations,  clothing,  etc.  The 
remaining  ambulances,  brigade  supply  wagons  and  medicine  wagons  accompanied  the  general  train  of  the  corps.  The  corps 
crossed  Rowanty  Creek  at  Perkins's  house,  near  which  the  trains  were  parked.  From  this  position,  after  halting  for  some 
time,  it  moved  up  the  Quaker  road  to  Lewis's  farm.  Near  the  junction  of  the  Boydton  and  Quaker  roads,  the  1st  division 
encountered  the  enemy.  The  hospitals  were  established  at  a  house  near  the  old  Quaker  church,  on  Quaker  road,  and  supplies 
brought  up  in  ambulances  and  wagons.  It  commenced  raining  about  dark,  and  continued  to  do  so  all  night  and  next  day, 
rendering  the  roads  so  had  that  the  movements  of  the  ambulances  were  extremely  difficult.  It  being  necessary  to  remove  the 
wounded  to  Humphrey's  Station  with  as  much  rapidity  as  possible,  the  surgeons  of  other  divisions  aided  those  of  the  1st  in 
performing  the  necessary  operations,  and  the  ambulance  train  of  the  corps,  aided  by  twenty  ambulances  belonging  to  the  Second 
Corps,  were  started  for  Humphrey's  Station  at  seven  o'clock  A.  M.,  March  30th,  accompanied  by  the  pioneers  of  the  1st  brigade 
of  the  2d  division  to  assist  in  clearing  Ihe  road.  During  the  afternoon  a  portion  of  our  line  was  attacked,  the  losses  in  our 
corps  falling  almost  entirely  upon  the  1st  division.  March  31st,  the  entire  corps  was  engaged  upon  the  White  Oak  road,  and 
one-half  the  number  of  ambulances  present  were  constantly  occupied  in  transporting  the  wounded,  after  they  had  received  the 
necessary  attention,  from  the  hospital  at  Quaker  church  to  Humphrey's  Station.  Each  train  was  placed  in  charge  of  a  medical 
officer,  assisted  by  attendants,  and  provided  with  stimulants,  dressings,  etc.  The  wounded  were  all  fed  before  leaving  hospital, 


REPORT    OF    SURGEON    W.    R.    DKWITT,    JR.,    IT.    S.    V.  213 

and  such  cases  as  needed  blankets  were  supplied.  During  the  night  of  the  31st,  the  2d  division  moved  down  the  Boydton 
phmk  road  toward  Dinwiddie,  followed,  next  morning,  by  the  1st  and  3d  divisions,  which  inarched  by  another  road  leading  in 
the  same  direction.  In  the  afternoon  of  April  1st,  the  battle  of  Five  Forks  was  fought.  The  hospital  was  established  at  the 
Methodist  church,  but  owing  to  the  terrible  condition  of  the  roads,  rendered  almost  impassable  by  the  long  rain  and  the  passage 
of  infantry  and  cavalry,  it  was  not  fully  organized  before  midnight.  Owing  to  the  same  reason,  the  evacuation  of  the  hospital 
at  Quaker  church  had  not  been  completed.  April  2d,  six  rebel  wagons,  captured  the  previous  day,  were  sent  with 

slightly  wounded  to  Quaker  church,  and  at  eleven  o'clock  A.  M.,  sixty-six  ambulances,  loaded  with  wounded,  were  sent  from 
Methodist  church  hospital  to  Humphrey's  Station,  orders  having  been  received  to  send  no  more  wounded  to  Quaker  church 
hospital.  Only  a  sufficient  number  of  medical  officers  had  been  left  at  this  hospital  to  provide  for  the  daily  wants  of  the 
wounded  until  they  could  be  shipped  to  City  Point,  as  all  the  operations  had  been  performed,  and  thirty-five  ambulances  had 
been  left  to  convey  them  to  the  station.  This  was  so  far  accomplished  during  the  afternoon  that  the  remaining  wounded  were 
all  sheltered  in  the  house,  in  charge  of  one  medical  officer,  with  three  days'  rations  and  supplies,  and  the  tents  that  had  been 
left  were  brought  up  to  Methodist  church,  where  the  rest  of  the  train  had  been  parked.  During  the  2d,  the  troops  occupied 
Sutherland  Station,  on  the  Southside  railroad.  The  wounded  continued  to  be  shipped  from  the  Methodist  church  to  the  railroad 
until  the  morning  of  the  3d,  when  those  still  remaining  were  removed,  together  with  the  whole  hospital  train,  by  the  White 
Oak,  Claibone  and  Namozine  roads  to  Sutherland's  Station,  where  a  hospital  of  fourteen  tents  was  established.  Here  medical 
officers,  attendants  and  three  days'  rations  and  supplies  were  left  with  the  wounded,  and  the  train  followed  the  command,  keeping 
up  as  well  as  circumstances  would  permit.  :  April  4th,  the  corps  reached  Jetersville,  having  marched  twenty  miles. 

April  5th,  entrenchments  were  thrown  up,  an  attack  from  the  enemy  being  expected.  In  the  afternoon  the  hospital  train  arrived, 
and  went  into  park.  April  6th,  marched  nearly  to  Amelia  Court-house,  thence  via  Farmville  and  Deatonsville  to  within  five 
miles  of  High  Bridge,  on  the  Appomattox  river,  being  a  total  distance  of  twenty-nine  miles.  April  7th,  marched  to  Prince 
Edward's  Court-house,  eighteen  miles.  April  8th,  inarched  through  Prospect  Station,  along  the  Petersburg  and  Lynchburg 
railroad  to  within  seven  miles  of  Appomattox  Court-house.  April  9th,  the  corps  moved  at  daybreak  toward  Appomattox 
Court-house,  and  meeting  the  enemy,  the  Abbott  house  was  selected  for  a  field  hospital.  But  few  cases,  however,  were  received, 
as  overtures  were  made  on  the  part  of  the  enemy  for  the  surrender  of  his  entire  force.  The  corps  remained  in  camp  at 
Appomattox  Court-house  until  the  15th  of  April,  when  the  troops  commenced  marching  back,  encamping  at  night  at  Pamplin's 
Station.  April  16th,  inarch  resumed  to  Farmville,  over  exceedingly  bad  roads.  April  17th,  inarched  to  Sandy  river,  eight 
miles  from  Burkesville.  April  20th,  the  corps,  was  moved  to  Nottoway  Court-house,  and  distributed  along  the  line  of  the 
Southside  railroad,  from  a  point  between  Burkesville  and  Nottoway  to  beyond  Sutherland's  Station.  The  division  hospitals  were 
here  established  on  exceedingly  eligible  sites;  that  of  the  1st  division  at  Wilson's  Station,  those  of  the  2d  division  and  artillery 
brigade  near  Nottoway  Court-house,  and  that  of  the  3d  division  hospital  at  Black  and  White,  each  being  as  near  the  centre 
of  its  respective  division  as  practicable." 


CLX.     Extract  from  the  Rer^ort  of  the  Surgeon-in-chhf  of  the  First  Division,  Fifth  Corps. 
By  Surgeon  W.  K.  DEWirr,  jr.,  U.  S.  Volunteers. 


:  "About  the  1st  of  May,  1864,  the  hospital  of  the  1st  division  of  the  Fifth  Corps  was  established,  and  a 
eurgeon-in-charge  was  detailed  from  one  of  the  regiments.  Two  assistant  medical  officers,  two  hospital  stewards,  together 
with  cooks  and  attendants,  were  also  detailed,  the  organization  being  adequate  for  the  care  of  the  sick  and  wounded,  when  no 
fighting  was  going  on.  During  engagements  an  operating  staff,  from  each  brigade,  reported  to  the  hospital  for  duty,  and 
remained  until  the  fighting  was  over  and  the  wounded  had  been  disposed  of.  On  the  1st  of  November,  1864,  the  hospital  was 
at  Parke's  Station,  iu  front  of  Petersburg,  Virginia,  and  the  troops  of  the  division  were  encamped  along  the  front  line  near 
Peeble's  house.  The  locations  of  the  hospital  and  camp  were  very  healthy.  The  water  was  of  good  quality,  the  drainage 
favorable.  During  November,  three  hundred  and  seventy  patients  were  admitted  and  treated.  Of  these,  eight  died;  three  of 
typhoid  fever,  four  of  remittent  fever,  and  one  of  inflammation  of  the  brain.  Twenty  cases  of  typhoid  fever  were  treated; 
one  hundred  and  two  of  remittent  fever,  forty  of  intermittent  fever,  and  fifty  of  diarrhoea.  It  will  be  seen  from  this  that 
miasmatic  complaints  were  the  prevailing  diseases.  The  average  number  on  sick  report  was  one  hundred  and  thirteen.  On  the 
6th  of  December,  a  portion  of  the  hospital  establishment,  called  the  flying  hospital,  accompanied  the  troops  on  the  expedition 
to  the  battle-field  on  the  Weldon  railroad,  and  returned  on  the  llth  of  the  same  month.  During  this  expedition  there  was 
considerable  exposure,  and,  in  consequence  of  the  inclement  weather,  the  men  suffered  greatly.  This  circumstance,  together 
with  the  bad  nature  of  the  camping  ground  previously  occupied  by  the  troops,  occasioned  much  sickness,  chiefly  low  forms  of 
fevers  and  inflammations,  such  as  typhoid  fever,  chronic  diarrhcea,  typhoid  pneumonia,  etc.  After  their  return  from  the 
expedition  the  troops  encamped  in  a  new  position  in  the  rear  of  the  main  line,  where  they  had  to  use  surface  water,  or  that 
held  in  a  clay  stratum  a  few  inches  below  the  surface  of  the  ground.  In  the  treatment  of  their  diseases  we  had  to  rely  mainly 
on  stimulants  and  tonics,  with  a  supporting  dietetic  treatment.  During  the  month  of  December,  four  hundred  and  eighty- 
seven  patients  were  admitted,  including  ninety  cases  of  typhoid  fever,  ten  of  remittent,  tun  of  pneumonia,  and  three 
hundred  and  five  of  diarrhoea.  There  were  seven  deaths,  four  of  them  from  typhoid  fever.  In  the  month  of  January,  two 
hundred  and  fifty-seven  patients  were  admitted.  The  number  of  deaths  was  twenty-one;  of  which,  sixteen  were  from  typhoid 
fever.  The  number  of  cases  of  typhoid  fever  treated  was  one  hundred  and  sixty-five;  of  diarrhoea,  seventy  one.  February 
f>th.  the  Hying  hospital  accompanied  the  troops  to  Hatcher's  Run,  and  was  established  at  the  Cummings  house.  A  few  days 
utter  the  whole  hospital  was  removed  from  Parke's  Station,  and  took  the  place  of  the  flying  hospital,  being  located  on  or 
near  the  same;  site.  Here,  one  hundred  and  fifty  wounded  from  the  battle-field  were  brought  in  and  received  surgical  attention. 
until  forwarded  to  City  Point  a  short  time  after.  I  may  mention  that  when,  at  any  time,  the  hospital  became  too  crowded, 
authority  was  given  to  send  the  more  severe  cases  to  the  depot  hospital  at  City  Point,  and  when  a  movement  of  the  troops 


214  APPENDED    DOCUMENTS ARMY    OF    THE    POTOMAC,    1805. 

was  anticipated  the  hospital  was  cleared,  by  all  patients  being  sent  to  City  Point.  Seven  hundred  and  twenty-nine  patients 
were  admitted  during  February;  of  these,  five  died;  two  of  gunshot  wounds,  and  three  of  typhoid  fever.  One  hundred 
and  sixty  cases  of  typhoid  fever,  and  two  hundred  and  eight  of  diarrhoea,  were  treated.  The  location  of  the  camp  at  this 
point  was  very  little  better  than  that  just  left.  The  men  were  very  much  exposed  to  the  weather,  in  consequence  of  being 
several  days  without  huts,  and  many  of  them  being  without  blankets,  which  they  had  lost  during  the  action,  or  left  in 
their  old  camp.  The  site  of  the  hospital  was  very  good,  and  there  was  an  ample  supply  of  excellent  water.  We  continued 
at  this  place  until  the  29th  of  March,  having  an  average  of  one  hundred  and  twenty-one  sick  and  wounded  constantly 
under  treatment.  During  the  month  of  March,  one  thousand  and  twenty-six  patients  were  admitted;  of  these,  three  hundred 
and  eighty  were  wounded  on  the  29th  and  30th  at  Lewis's  farm,  Virginia.  The  prevailing  diseases  during  the  month  were 
typhoid  fever  and  diarrhoea.  There  were  eleven  deaths ;  four  from  gunshot  wounds  and  four  from  typhoid  fever.  On  the  29th, 
the  hospital  was  removed  to  the  Spain  house,  and  the  wounded  from  the  engagement  at  Lewis's  farm  were  here  received, 
dressed,  and  sent  to  the  depot  hospital.  The  hospital  was  again  broken  up  on  the  2d  of  April,  and  remained  packed  in  wagons, 
following  the  troops  during  the  retreat  of  General  Lee's  army  from  Petersburg  to  Appomattox  Court-house,  Virginia.  The 
sick  were  retained  and  carried  in  the  ambulances,  receiving  medical  attention  as  if  they  had  been  in  division  hospital.  On 
the  10th  of  April,  enough  tents  were  pitched  near  Appomattax  Court-house  to  accommodate  all  the  sick  and  wounded  on  hand 
in  the  division.  From  this  place  they  were  shipped  in  a  day  or  two  to  Farmville.  The  hospital  was  broken  up  and  we  moved 
again  on  the  15th,  and,  on  the  22d,  established  the  hospital  near  Wilson's  Station,  Southside  railroad  ;  it  remained  in  operation 
until  the  29th.  There  were  admitted,  during  the  month  of  April,  three  hundred  and  twenty-four  patients,  of  whom,  one 
hundred  and  fifty-eight  were  wounded.  Deaths  during  the  month,  three;  one  of  diphtheria,  one  of  diarrhoea,  and  one  of 
typhoid  fever.  The  prevailing  disease  during  this  month  was  diarrhoea,  attributable,  to  a  great  extent,  to  the  imperfect  food, 
and  defective  cooking." 


CLXI.  Extract  from  the  Report  of  the  Surgeon-in-chief  of  the  Second  Division,  Fifth  Corps, 
from  November  1,  1864,  to  April  30,  1865.  By  T.  M.  FLANDKAU,  Surgeon  146th  New 
York  Volunteers. 

*  *  *  "  On  the  1st  of  November,  1864,  the  hospital  of  this  division  was  at  Parke's  Station,  where  it  had  been 
established  in  August,  after  the  battle  of  the  Weldon  railroad.  While  on  the  Weldon  raid,  from  December  5  to  December 
11,  1864,  the  division  was  accompanied  by  part  of  the  ambulance  train  and  medicine  wagons,  the  hospital  remaining  at  Parke's 
Station.  At  the  battle  of  Hatcher's  Eun,  February  6,  1865,,  the  hospital  was  advanced  from  Parke's  Station  to  the  Cummings 
house,  near  Humphrey's  Station,  where  one  hundred  and  seventy-six  wounded  were  admitted.  It  was  then  removed  to  the 
vicinity  of  the  Chapel  house,  where  it  remained  until  the  commencement  of  the  spring  campaign.  On  the  29th  of  March,  the 
hospital  accompanied  the  troops  on  the  advance,  and  was  pitched  near  Gravelly  Eun,  on  the  Quaker  or  Military  Telegraph 
road.  April  1st,  it  was  moved  to  the  Methodist  church  near  the  Five  Forks.  Three  hundred  and  fifty  wounded  were  admitted 
and  treated  during  the  engagement  in  this  neighborhood.  On  the  3d  of  April,  we  followed  the  corps  in  pursuit  of  the  defeated 
and  retreating  enemy,  the  hospital  being  established  on  the  9th  of  April  near  Appomattox  Court-house,  where  it  remained  until 
April  15th,  and  then  was  moved  to  Nottoway  Court-house,  where  it  was  on  the  30th.  During  the  heavy  marches  made  this 
month,  a  large  number  of  sick  and  wounded  were  transported  and  treated  in  the  ambulances.  From  November  1,  1864,  to 
April  30,  1865,  inclusive,  one  thousand  two  hundred  and  sixty-eight  sick,  and  six  hundred  and  seventy-one  wounded  were 
admitted  to  the  hospital  of  this  division.  Of  these,  one  thousand  four  hundred  and  ninety-four  were  sent  to  general  hospital, 
and  forty-nine  died."  *  * 


CLXII.     Extract  from  the  Report  of  the  Surgeon-in-chief  of  the  Third  Division,  Fifth  Corps, 
from  November  1, 1864,  to  April  30, 1865.     By  W.  O.  McDoNALD,  Surgeon  IT.  S.  Volunteers. 

"  The  division  was  encamped  during  the  month  of  November  near  the  Aikin  house,  where  it  remained  until 
about  December  6th,  when,  after  being  relieved  by  the  Sixth  Corps,  the  command  started  on  the  expedition  to  Bellefield, 
returning  to  camp  near  the  McCamm  house  on  or  about  the  12th.  During  this  period  no  action  occurred.  The  total  number 
of  men  requiring  medical  treatment  was  two  thousand  seven  hundred  and  seventy-one,  of  whom  eighty  cases  belonged  to  Class  V. 
Three  hundred  and  eighty-one  were  sent  to  general  hospital,  and  seven  died.  The  command  remained  encamped  on  the 
Jerusalem  plank  road  from  the  middle  of  December,  1864,  to  the  first  week  in  February,  1865,  when  the  battle  of  Hatcher's 
Eun  was  fought,  after  which  the  division  encamped  near  the  Wyatt  house.  During  this  period  the  total  number  under  medical 
treatment  was  five  thousand  one  hundred  and  four,  of  whom  six  hundred  and  eighty-one  belonged  to  Class  V.  Seven  hundred 
and  thirty-nine  were  sent  to  general  hospital,  and  fifty-five  died.  At  Hatcher's  Eun  some  five  hundred  and  twenty-one  men 
were  wounded,  and  the  following  operations  were  reported  as  having  been  performed  :  Twenty  amputations,  major  and  minor ; 
four  exsections,  and  eight  operations  of  lesser  importance.  The  division  remained  in  camp  near  the  Wyatt  house  until  the  end 
of  March,  when  it  participated  in  the  battles  of  Gravelly  Eun  and  at  Five  Forks ;  then  in  the  pursuit,  ending  on  April  9th,  at 
Appomattox  Court-house,  where  it  remained  three  or  four  days ;  then  moving  back  to  Burkesville,  and  from  thence  to  Black 
and  White  Station  on  April  30th.  During  this  final  epoch,  the  total  number  of  men  receiving  medical  treatment  was  five 
thousand  two  hundred  and  sixty-three,  of  whom  six  hundred  and  eighty-five  belonged  to  Class  V.  Eight  hundred  and 
seventy-six  were  sent  to  general  hospital,  and  forty-one  died.  Of  the  above  total,  six  hundred  and  two  were  wounded  in  the 
battles  at  Gravelly  Eun,  March  31st,  and  at  Five  Forks  on  April  1st,  2d  and  3d.  Operations  were  reported  as  follows: 
Forty  amputations,  major  and  minor;  two  exsections,  and  ton  of  lesser  importance." 


REPORTS    OF    SURGEONS    HAYNES    AND    PAGE.  215 

CLXIII.     Extracts  from  the  Iteport  of  the  Surgeon  of  the  Artillery  Uriyade,  Fifth   Corps. 
By  C.  F.  HAYNES,  Surgeon  U.  S.  Volunteers. 

*  *  *  "From  the  1st  of  November,  1864,  to  the  23th  of  March,  1805,  this  brigade  was  engaged  in  the  siege  of 
Petersburg,  Virginia,  occupying  a  camp  site  near  the  Weldon  railroad,  which  was  the  best  obtainable  in  the  vicinity  of  the  line 
of  operations.  The  place  was  elevated,  but  too  flat  to  permit  proper  drainage,  and  the  soil,  which  was  thin  and  sandy,  reposed 
on  a  substratum  of  clay,  so  that  it  was  generally  damp.  Log  huts  were  erected  in  sufficient  number  to  accommodate  the  men. 
They  were  covered  with  shelter  tents,  and,  with  two  exceptions,  were  heated  by  open  fires.  These  exceptions  occurred  in 
Battery  "B,"  4th  U.  S.  Artillery,  and  in  Battery  "E,"  1st  New  York  Artillery,  in  both  of  which  the  men  used  Sibley  stoves.  *  * 
During  the  active  movements  of  the  Fifth  Corps  a  part  of  the  brigade  only  participated,  rarely  ever  more  than  three  batteries 
at  a  time,  until  the  grand  movement  on  the  28th  of  March,  1865.  In  all  movements  prior  to  that  date  the  batteries  were 
assigned  to  divisions,  from  which  they  obtained  medical  attendance,  so  that  the  hospital  of  the  brigade  remained  before 
Petersburg,  Virginia,  with  the  greater  portion  of  the  command.  This  hospital  was  located  at  Parke's  Station,  near  to  the  Aikin 
house,  at  a  point  quite  central  to  batteries.  It  consisted  of  three  hospital  tents  and  tent  flies,  pitched  upon  ground  favorable 
for  drainage  and  ventilation,  where  pure  water  was  obtained  by  sinking  a  deep  well.  It  was  heated  by  a  brick  fireplace  on 
the  north  side  of  the  middle  tent,  the  three  tents  being  arranged  end  to  end,  forming  a  continuous  ward.  This  ward  contained 
twenty  beds,  raised  upon  bunks  two  feet  wide  and  one  foot  apart.  A  passage  two  feet  in  width  ran  through  the  centre.  The 
ground  being  hard,  it  was  not  thought  necessary  to  construct  a  floor.  Ventilation  was  effected  by  separating  the  flaps  at  each 
end  by  a  cross  stick.  The  dispensary  was  built  of  logs  and  covered  by  a  tent  fly.  Ample  supplies  were  drawn  monthly  from 
the  medical  purveyor  at  City  Point.  The  kitchen  was  built  like  the  dispensary,  and  divided  into  two  apartments,  one  used  as 
a  cook  room  and  the  other  as  a  dining  room.  *  The  attendants,  eight  in  number,  occupied  four  log  huts.  The  hospital 

grounds  were  neatly  enclosed  by  a  fence  and  evergreens,  and  were  at  all  times  thoroughly  policed.  The  burial  ground  adjoining 
the  hospital  was  neatly  enclosed.  At  the  head  of  each  grave  a  board  was  placed,  upon  which  was  legibly  engraved  the  full 
name,  rank,  regiment  and  battery  of  the  deceased.  The  hospital  made  its  first  movement  with  the  division  hospitals  of  the 
Fifth  Corps  on  the  29th  of  March,  1865,  to  the  Spain  house,  on  the  Quaker  road,  where  it  bivouacked  and  assisted  in  the  care 
of  the  wounded  of  the  1st  division.  *  April  9th,  the  hospital  was  established  at  Appomattox  Court-house,  where  it 

remained  until  April  15th.     '  The  brigade  had  a  mean  aggregate  strength  of  one  thousand  six  hundred  men,  until  it  was 

separated  on  the  28th  of  March.  After  this  it  numbered  about  seven  hundred  men,  six  batteries  having  been  transferred  to 
the  artillery  reserve  before  Petersburg.  It  has  usually  had  a  surgeon-in-chief,  a  surgeon  attending  sick  in  hospital,  a  surgeon 
attending  sick  in  quarters,  and  one  hospital  steward.  Five  hundred  and  fifty-seven  sick  and  seventy-six  wounded  were 
received  into  hospital  during  the  period  embraced  in  this  report.  Of  these,  three  hundred  and  twenty-one  were  returned  to 
duty,  one  hundred  and  two  sent  to  general  hospital,  one  furloughed,  one  deserted,  two  discharged  and  six  died."  * 


CLXIV.     Extracts  from  the  Report  of  the  Medical  Director  of  the  Second  Corps  for  March 
and  April,  1865.     By  Surgeon  CHARLES  PAGE,  U.  S.  Army. 

"On  the  29th  of  March,  1865,  the  Second  Corps  broke  camp  from  its  entrenched  position,  and  moved  to  the 
left,  by  the  Vaughan  road,  across  Hatcher's  Run,  taking  position  with  its  right  resting  on  Hatcher's  Run  and  its  left  extending 
to  the  Quaker  road,  near  its  junction  with  the  Boydton  plank  road.  No  casualties  from  battle  occurred  on  the  day  of  the 
movement.  The  hospitals  were  moved  to  the  left  bank  of  Hatcher's  Run,  at  the  crossing  of  the  Vaughan  road,  and  parked. 
The  ambulance  trains  were  parked  at  the  same  place,  with  the  exception  of  six  ambulances  to  each  division,  which  were  to 
accompany  the  troops  as  closely  as  the  nature  of  the  roads  and  country  would  permit.  On  the  30th,  the  line  being  advanced, 
the  hospital  and  ambulance  trains  were  brought  over  the  stream,  and  the  2d  and  3d  division  hospitals  were  established  at  a 
point  on  the  Vaughan  road  known  as  the  Chimneys.  The  site  chosen  for  the  1st  division  hospital  was  at  a  house  about  two 
miles  from  the  junction  of  the  Boydton  plank  road  and  the  Quaker  road,  nearly  in  rear  of  the  centre  of  the  1st  division ;  but  owing 
to  bad  roads,  it  was  not  established  until  the  morning  of  the  31st.  No  casualties  occurred  on  this  day.  The  morning  of  the  31st 
of  March  found  the  position  of  troops  somewhat  changed;  the  1st  division  had  extended  to  the  left,  and  the  3d  division  occupied 
the  lines  held  by  it  the  day  before.  It  was  necessary  to  move  the  3d  division  hospital  to  the  immediate  vicinity  of  that  of  the 
1st  division;  the  latter  was  not  disturbed,  as  it  was  yet  quite  convenient  to  the  line  of  battle.  The  3d  division  hospital  was 
late  in  getting  its  position  owing  to  bad  roads.  The  wounded  during  the  day  numbered  as  follows  :  1st  division,  two  hundred 
and  ninety-four ;  2d  division,  seventeen;  3d  division,  seventy-four;  artillery  brigade,  two  ;  total,  three  hundred  and  eighty-eight. 
All  were  in  hospital  and  attended  to  during  the  night.  April  1st,  the  troops  of  this  corps  were  not  engaged,  and  no  wounded 
were  brought  to  the  rear.  The  wounded  already  in  hospital  were  sent  to  Humphrey's  Station,  to  be  transferred  to  the  depot 
hospital  at  City  Point.  On  the  2d  of  April,  the  corps  being  expected  to  advance,  the  hospitals  were  made  ready  to  move  at 
daylight.  The  1st  division  hospital  moved  to  the  Moody  house,  near  the  Five  Forks,  and  received  two  hundred  and  twelve 
wounded.  The  2d  division  hospital  moved  by  the  Squirrel  Level  road  to  the  Boydton  plank  road,  and  across  the  country  to 
the  Cox  road,  encamping  iu  the  neighborhood  of  its  division,  and  receiving  during  the  day  three  wounded.  The  3d  division 
hospital  moved  up  the  Boydton  plank  road  toward  Petersburg,  and  camped  with  its  division,  receiving  during  the  day 
fifty-seven  wounded.  The  artillery  brigade  hospital  accompanied  the  3d  division  hospital,  but  had  no  wounded  to  care  for. 
The  total  number  of  wounded  during  the  day  was  two  hundred  and  seventy-two.  April  3d,  the  wounded  were  all  sent  to 
Petersburg  for  transportation  to  City  Point,  and  the  hospital  followed  the  corps  on  its  march  after  the  enemy.  The  inarch 
continued  on  the  Namozine  road  to  Jetersville  without  any  occurrence  of  importance  until  the  morning  of  the  6th  of  April, 
when  the  corps  struck  the  rear  of  the  enemy  near  Amelia  Springs.  A  running  fight  occurred  during  the  day,  resulting  in 
forty-one  wounded  from  the  1st  division  and  one  hundred  and  fifty  from  the  3d;  total,  one  hundred  and  nincty-oiif.  A  hospital 


216  APPENDED    DOCUMENTS AEMY    OF    THE    POTOMAC,    1865. 

for  the  1st  division  was  temporarily  established  at  Amelia  Springs,  and  moved  forward  late  in  the  afternoon  to  a  position  near 
the  corps.  The  3d  division  hospital  was  established  at  the  Vaughan  house,  two  miles  west  of  Amelia  Springs.  The  corps 
moved  during  the  day  over  ten  miles,  the  advance  skirmish  lines  fighting  the  enemy's  rear  guard  at  every  hill  on  the  road  for 
the  greater  part  of  the  way.  The  wounded  from  the  1st  division  had  necessarily  to  be  conveyed  far  to  the  rear,  before  it  could 
be  arranged  to  move  the  hospital  nearer  the  advancing  line.  The  3d  division  hospital  soon  became  so  full  as  to  make  it 
impossible  to  transport  the  wounded  when  the  hospital  was  moved,  and  arrangements  were  made  to  keep  them  at  the  Vaughan 
house,  until  they  could  be  removed.  On  the  7th  of  April,  the  corps  crossed  the  Appomattox  at  High  Bridge,  where  there 
was  a  slight  skirmish,  to  the  heights  northeast  of  Farmville,  where  the  enemy  was  found  .entrenched.  The  wounded  of  the 
1st  division  from  the  engagement  of  the  6th,  together  with  a  few  wounded  at  High  Bridge,  were  sent  by  Rice's  Station  to 
Burkesville.  After  crossing  the  Appomattox,  and  late  in  the  afternoon,  the  hospitals  of  all  the  divisions  were  established 
at  the  Brooks  house,  and  received  during  the  day  and  night  the  following  numbers  of  wounded :  1st  division,  one  hundred  and 
forty-seven;  '2d  division,  twenty-four;  3d  division,  forty-one;  total,  two  hundred  and  twelve.  April  8th,  the  enemy  was 
found  to  have  abandoned  his  entrenched  position,  and  the  corps  advanced  011  his  line  of  retreat  without  coming  up  to  him  till 
midnight.  The  wounded  of  the  previous  day  were  sent  to  Burkesville  in  the  morning,  and  the  hospitals  ordered  forward 
to  join  the  corps.  The  supply  train  of  the  corps  arrived  in  the  night,  and  the  empty  wagons  were  sent  to  take  up  the 
wounded  at  the  Vaughan  house  and  convey  them  to  Burkesville.  I  have  since  learned  that  they  had  been  removed  by 
ambulances  of  the  Ninth  Corps  before  the  wagons  reached  them.  On  the  9th,  the  corps  advanced  a  few  miles,  and  was  halted 
before  reaching  the  enemy's  lines  to  await  the  result  of  the  negotiations  between  the  generals,  which  resulted  in  the  surrender 
of  the  army  of  northern  Virginia.  '  The  rapidity  of  our  movement,  and  the  extent  of  country  travelled  over,  rendered 

it  necessary  during  this  campaign  to  send  the  wounded  from  the  field  hospitals  as  speedily  as  possible,  and  the  distance  of  the 
army  depot  made  it  difficult  to  dispose  of  them,  and  retain,  at  the  same  time,  a  sufficient  number  of  ambulances  for  duty  with 
the  corps.  All  the  wounded  sent  to  the  rear  were  accompanied  with  the  necessary  surgical  attendance  and  supplies,  and  I 
believe  that  no  suffering  was  experienced  that  could  possibly  have  been  avoided." 


CLXY.     Extracts  from  the  Report  of  the  Medical  Inspector  of  the  Second  Corps  for  March 
and  April,  1865.     By  Assistant  Surgeon  C.  SMART,  U.  S.  Army. 

"During  the  greater  part  of  the  month  of  March  this  corps  lay  in  camp  in  rear  of  the  line  of  works  stretching 
from  Fort  Cummings  to  Hatcher's  Run,  at  the  Vaughan  crossing.     '  The  division  hospitals  were  situated  at  Patrick's 

Station.  Early  in  the  month,  in  expectation  of  the  commencement  of  the  spring  campaign,  the  medicine  wagons,  and  the  boxes 
of  the  ambulances,  were  well  stocked  with  field  supplies  drawn  from  the  purveyor  at  City  Point.  With  the  view  of  avoiding  the 
recurrence  of  what  happened  at  Reams's  Station  and  on  the  Boydton  road,  where,  while  the  engagement  was  in  progress,  all 
the  medicine  wagons  were,  by  order,  lying  in  park  many  miles  in  rear,  the  surgeons-in-chief  of  the  2d  and  3d  divisions  had 
recourse  to  a  plan  which  they  hoped  would  enable  them  to  provide  for  the  wounded  even  during  the  temporary  absence  of  their 
Autenrieth  and  Perot  wagons.  They  caused  the  boxes  of  several  of  the  ambulances  to  be  filled  with  battle-field  supplies : 
chloroform,  morphine,  lint,  plaster,  rollers,  and  whisky,  instead  of  the  beef  stock  and  hard  bread  directed  by  the  supply  table. 
The  ambulances  so  loaded  were  marked,  and  the  ambulance  officer  directed  to  take  them  along  in  all  movements  in  which  a 
portion  of  the  hospital  train,  only,  was  permitted  to  accompany  the  troops.  About  this  time,  also,  the  medical  transportation 
of  the  corps  was  ordered  to  be  reduced  from  forty-four  wagons  to  thirty-seven.  But  thirty  of  these  were  available  for  carrying 
medical  supplies,  seven  being  used  as  forage  wagons  for  the  ambulance  train.  In  consequence  of  this  reduction  of  transportation, 
it  became  necessary  to  turn  over  a  portion  of  the  medical  supplies  to  the  purveyor,  and  care  was  taken  to  retain  those  articles 
which  would  be  most  serviceable  during  active  operations.  As  a  further  preparation  for  active  operations,  an  application  was 
made,  by  the  acting  medical  director,  to  have  the  drummers  and  musicians  of  the  command  report  to  the  surgeon  in  charge  of 
the  field  hospital  at  the  commencement  of  the  campaign.  This  application  was  approved  and  the  surgeon  in  charge  was  directed 
to  place  them  under  command  of  the  line  officer  attached  to  his  hospital,  who,  with  the  assistance  of  two  or  three  non-commis 
sioned  officers,  was  expected  to  maintain  discipline,  and  when  work  of  any  description  was  to  be  performed,  to  superintend  its 
performance.  During  the  campaign  of  1864,  although  it  had  been  ordered  that  during  engagements  the  drummer  boys  and 
musicians  should  report  to  the  hospital  for  duty,  but  few  of  them  did  so  in  the  '2d  and  3d  divisions,  the  majority  straggling  over 
the  country  and  doing  as  they  pleased,  there  being  none  to  exercise  any  authority  over  them.  The  services  of  those  that  did 
report  were  of  little  value,  since  no  one  was  specially  charged  with  the  duty  of  directing  them ;  in  fact  they  were  looked  upon 
rather  as  an  incumbrance  than  as  a  help.  In  the  1st  division,  however,  they  had  been  better  organized  and  disciplined,  and 
were,  consequently,  found  more  useful  both  in  doing  guard  duty  and  in  acting  as  stretcher  bearers  when  necessary.  It  was 
this  experience  which  suggested  the  arrangement  now  ordered.  On  the  14th  of  March,  a  telegram  from  the  medical  director 
of  the  army  ordered  the  immediate  removal  of  all  those  unable  to  accompany  the  command  on  a  march,  to  the  depot  hospital  at 
City  Point,  and  it  was  further  ordered  that  in  future  the  hospitals  should  be  kept  in  as  mobile  a  condition  as  possible.  In 
accordance  with  these  orders  on  the  15th,  16th  and  17th  of  March,  there  were  sent  to  the  rear  seven  hundred  and  seventy-nine 
sick  and  seventy-one  wounded.  A  large  proportion  of  the  sick  were  trivial  cases,  and  many  of  them  were  returned  to  their 
regiments  for  duty  in  the  course  of  a  few  days.  Very  early  on  the  morning  of  the  25th,  the  enemy  assaulted  Fort  Steadmau  on 
the  right  of  the  Petersburg  front.  They  captured  it,  but  were  subsequently  driven  out  of  the  work.  *  *  At  nine  o'clock  A .  M., 
the  Second  Corps  moved  out  of  the  fortifications  and  advanced  westward,  in  line  of  battle,  for  about  a  mile,  when  the  works  of 
the  enemy  were  discovered,  and  a  brigade  of  the  3d  division  was  sent  forward  to  charge  the  first  line  of  rifle-pits.  These  they 
carried,  losing  but  very  few  men  in  the  assault.  The  wounded  were  speedily  conveyed  to  Patrick's  Station,  where  a  couple  of 
tents  were  pitched  to  accommodate  them.  An  active  picket  firing  was  kept  up  till  about  midday,  but  the  casualties  were  very 
few.  At  noon  a  second  successful  attack  was  made  by  the  3d  division  upon  another  line  of  rifle-pits.  After  this,  the  picket 


REPORT    OF   ASSISTANT   SURGEON    C.    SMART,    U.    S.    A.  217 

firing  became  particularly  sharp,  and  continued  so  during  the  afternoon,  until  quarter  after  four  o'clock,  when  the  enemy, 
having  massed  in  front  of  Miles's  division,  assaulted  his  line  with  great  vigor.  The  fighting  was  sharp,  and  at  first  chiefly 
along  that  portion  of  the  line  held  by  the  Irish  brigade,  but  it  gradually  extended  toward  the  left,  implicating  the  whole  of  the 
3d  division  and  one  or  two  regiments  on  -the  right  of  the  2d.  A  brisk  musketry  fire  was  kept  up  for  about  two  hours,  and  it 
was  past  eight  o'clock  in  the  evening  when  the  enemy  ceased  to  renew  his  attempts  to  break  the  line.  During  the  course  of  the 
afternoon,  the  Sixth  Corps  on  our  right  assaulted  the  enemy's  entrenched  picket  line.  As  usual  during  an  engagement,  all  the 
medical  officers  but  those  attached  to  the  division  field  hospital  reported  at  the  points  where  the  stretcher  bearers  of  each 
brigade  transferred  the  wounded  to  the  ambulances,  and  rendered  such  aid  to  the  wounded  as  was  necessary  before  sending 
them  to  the  rear.  The  ambulance  corps  worked  zealously;  and  very  shortly  after  the  termination  of  the  engagement,  had  all 
the  wounded  lodged  at  Patrick's  Station,  where  the  hospitals  had  been  established.  The  surgeons  in  charge  were  instructed 
that  their  patients  must  be  ready  to  be  moved  to  City  Point  by  ten  o'clock  next  morning,  and  that  immediately  after  their 
departure  the  establishments  were  to  be  made  ready  for  a  sudden  movement.  In  this  affair  the  Second  Corps  had  sixty-four 
men  killed,  and  four  hundred  and  forty-four  wounded  were  admitted  into  the  field  hospitals,  viz. :  1st  division,  thirty-five  killed, 
two  hundred  and  eighty-six  wounded;  2d  division,  four  killed,  twenty-nine  wounded;  3d  division,  twenty-four  killed,  one 
hundred  and  twenty-nine  wounded;  artillery  brigade,  one  killed.  No  casualties  occurred  in  the  medical  or  ambulance  depart 
ment.  Cars  reported  at  Patrick's  Station  at  noon  next  day,  and  by  one  o'clock  p.  M.,  all  the  wounded  were  on  their  way  to  City 
Point.  All  had  been  attended  to,  every  operation  deemed  necessary  performed,  and  every  wound  dressed  before  the  departure 
of  the  train.  On  the  26th,  the  troops  retired  from  the  line  of  captured  rifle-pits  to  within  the  fortifications,  where  they  lay 
quietly  until  the  morning  of  the  29th.  On  the  28th,  the  command  was  again  placed  under  marching  orders.  The  sick  and 
wounded,  one  hundred  and  forty-two  in  number,  were  sent  to  City  Point,  and  the  hospitals  at  Patrick's  Station  were  in  readiness  to 
move  after  the  troops.  Special  requisitions,  filled  by  the  medical  purveyor,  had  replaced  the  supplies  expended  during  the  fight 
on  the  25th.  At  six  o'clock  on  the  morning  of  the  29th,  the  2d  division  moved  across  Hatcher's  Run  on  the  Vaughan  road,  and 
was  followed  by  the  3d  and  1st.  The  forenoon  was  spent  in  arranging  the  line  of  battle,  and  in  making  connections  with  the 
Fifth  Corps  on  the  left  and  the  Twenty-fourth  on  the  right.  The  line  extended  east  and  west,  from  the  Quaker  road  to  Hatcher's 
Run,  north  of  the  Vaughan  crossing.  The  1st  division  was  on  the  left  and  the  2d  on  the  right.  In  the  afternoon,  while  the  Fifth 
Corps  engaged  the  enemy,  our  line  was  pushed  forward  some  distance,  but  without  meeting  any  opposition.  On  the  following 
morning,  notwithstanding  the  heavy  rain  which  fell  without  intermission  during  the  day,  the  advance  in  line  of  battle  was 
continued  through  dense  undergrowth  and  swamps  until  a  position  was  reached  stretching  from  the  Twenty-fourth  Corps,  on 
Hatcher's  Run,  westward  by  Crow's  house,  north  of  the  Dabney  Mill  road,  crossing  that  road  about  a  quarter  of  a  mile  from  its 
termination  in  the  Boydton  plank  road,  and  connecting  with  the  right  of  the  Fifth  Corps  at  Mrs.  Rainey's,  in  the  angle  formed  by 
the  junction  of  the  Quaker  and  Boydton  roads.  *  *  In  the  order  of  march,  published  for  the  morning  of  the  29th,  it  was  directed 
that  one  medicine  wagon  and  one  army  wagon  to  each  brigade,  and  one-half  of  the  ambulances  should  accompany  the  troops, 
and  that  each  train  should  follow  in  rear  of  its  division,  but  as  the  road  was  narrow  and  a  rapid  movement  into  line  of  battle 
expected,  this  order  was  modified,  the  trains  being  directed  to  remain  on  the  left  bank  of  Hatcher's  Run  until  all  the  troops  and 
artillery  had  crossed.  After  the  troops  had  formed  into  line  of  battle,  half  a  dozen  ambulances  were  sent  forward  to  the  imme 
diate  rear  of  each  division,  while  the  hospital  organization  remained  at  the  Cummings  house,  where  it  was  intended  the  hospital 
should  be  established  if  a  fight  took  place.  On  the  morning  of  the  30th,  however,  the  advance  of  the  troops  rendered  a 
corresponding  advance,  on  the  part  of  the  trains,  necessary.  They  were  accordingly  moved  over  to  the  west  side  of  the  run  and 
parked  to  await  events.  The  2d  and  3d  divisions  at  the  Chimneys,  the  remains  of  a  house  in  an  open  space,  where  the  road 
leading  to  Dabney's  mills  leaves  the  Vaughan  road,  and  the  1st  at  a  wooden  building  on  the  main  road,  between  the  Chimneys 
and  the  crossing  over  Gravelly  Run.  Late  in  the  evening  of  the  29th,  twenty  of  our  ambulances  were  sent  to  the  field  hospital 
of  the  Fifth  Corps  to  aid  in  conveying  the  wounded  of  that  command  to  Humphreys's  Station.  On  the  succeeding  day  about  a 
hundred  wounded  cavalrymen,  belonging  to  General  Sheridan's  command,  were  admitted  to  the  2d  division  hospital,  dressed, 
and  then  conveyed  across  the  run  for  railroad  transportation  to  City  Point.  Very  early  on  the  morning  of  the  31st,  as  the 
enemy  was  discovered  in  heavy  force  in  front  of  the  Fifth  Corps,  the  1st  division  of  the  Second  Corps  was  moved  to  the  left  to 
support  them,  the  2d  and  3d  divisions  extending  to  the  left  to  occupy  the  vacated  part  of  the  line.  The  hospital  of  the  1st 
division  was  directed  to  move  forward  from  the  Vaughan  road  to  a  clearing  about  half  a  mile  distant  from  the  Dabney  Mill  road 
on  the  north,  and  the  Quaker  road  on  the  west.  At  noon,  immediately  after  the  hospital  train  had  reached  this  point,  the  1st 
division  became  heavily  engaged,  and  at  two  o'clock  p.  M.,  the  3d  division  participated  to  some  extent.  The  wounded  were 
brought  off  the  field  with  great  promptness.  The  hospital  train  of  the  3d  division  was  ordered,  at  midday,  to  move  to  some 
spot  near  the  position  occupied  by  the  1st,  but  it  was  nearly  midnight  before  it  succeeded  in  reaching  this  point.  The  Vaughan 
road  and  the  wood  roads  were  in  a  miserable  condition,  on  account  of  the  heavy  rains  of  the  previous  day,  and,  moreover,  they 
were  blocked  up  by  ammunition  and  other  heavy  wagons,  which  had  found  them  impassable,  until  roughly  corduroyed.  The 
wounded  of  the  3d  division,  however,  did  not  suffer  from  the  absence  of  these  wagons.  They  were  treated  at  the  1st  division 
hospital  by  the  medical  officers  of  their  own  division  until  the  arrival  of  the  train  permitted  an  establishment  of  their  own  to 
be  formed.  The  2d  division  hospital  remained  at  the  Chimneys,  as  this  position  was  still  near  enough  to  the  part  of  the  line 
held  by  the  troops  of  that  division.  The  number  of  killed,  and  of  wounded  received  into  field  hospital,  was  reported  as  follows: 
1st  division,  forty-three  killed,  two  hundred  and  ninety-four  wounded;  2d  division,  eighteen  wounded;  3d  division,  four  killed, 
seventy-four  wounded;  artillery  briagde,  two  wounded;  total,  forty-seven  killed,  three  hundred  and  eighty-eight  wounded.  No 
casualties  occurred  in  the  medical  or  ambulance  department.  In  the  afternoon,  arrangements  were  made  for  the  transportation 
of  the  wounded  to  City  Point.  The  medical  officers  were  instructed  to  have  all  operations  performed  and  every  case  attended 
to  and  ready  to  be  sent  to  the  rear  by  the  following  daybreak.  The  reserve  train  of  ambulances  were  sent  for  to  carry  the 
wounded  to  Warren's  Station  where  a  train  of  cars  was  expected  to  be  ready  at  nine  o'clock  in  the  morning  of  the  1st  of  April,  to 
convey  them  to  City  Point.  *  *  It  was  not,  however,  until  about  ten  o'clock  on  the  morning  of  the  1st,  that  the  ambulances 
succeeded  in  reaching  the  field  hospitals.  They  had  experienced  much  delay  on  account  of  the  condition  of  the  roads.  By  the 


218  APPENDED    DOCUMENTS AEMY    OF    THE    POTOMAC,    1865. 

time  they  arrived  the  wounded  had  all  been  properly  cared  for.  They  were  immediately  loaded  up  and  sent  to  the  railroad 
station.  In  the  meantime  some  changes  were  taking  place  in  the  position  of  the  troops.  The  Fifth  corps  moved  off  to  the  left 
toward  the  Five  Forks,  while  the  Second  extended  toward  the  left  to  hold  the  portion  of  the  line  thus  left  unguarded.  No 
fighting  took  place  during  the  day,  but  toward  evening  and  during  the  succeeding  night,  heavy  cannonading  and  occasional 
musketry  fire  was  heard  before  Petersburg  and  near  Five  Forks,  and,  at  times,  the  right  and  left  of  the  Second  Corps  line  was 
engaged. 

At  eight  o'clock  A.  M.,  April  2d,  an  advance  of  part  of  the  3d  division  line  was  ordered,  with  the  effect  of  driving  the 
enemy  from  his  advanced  works  in  the  neighborhood  of  Burgess's  mills.  This  was  followed,  as  was  subsequently  discovered, 
by  the  evacuation  of  his  main  line  of  works.  No  sooner  was  this  discovered  than  the  Second  Corps  was  started  in  pursuit. 
The  1st  division  on  the  left  moved  toward  the  Cox  road,  skirmishing  very  heavily.  The  3d  division  advanced  along  the 
Boydton  road  toward  Petersburg,  near  which  it  formed  a  line  connecting  the  left  of  the  Sixth  Corps  with  the  Appomattox 
river;  the  hospital  of  this  division  followed  in  the  rear  of  the  troops,  and  was  established  at  a  suitable  point  on  the  road  in 
rear  of  the  line.  The  2d  division,  accompanied  by  its  field  hospital,  moved  from  the  position  in  front  of  Dabney's  mills  to  the 
Boydton  road,  and  thence  along  the  Cox  road  to  Wells's  church,  where  it  settled  for  the  night  near  the  bivouac  of  the  1st  division. 
The  ambulances  and  hospital  train  of  the  1st  division  had  followed  the  troops,  carrying  the  wounded  along  as  they  picked 
them  up,  until  the  train  being  loaded,  they  were  compelled  to  halt  at  Moody's  house,  where  a  field  hospital  was  formed. 
During  the  afternoon  and  evening,  all  the  wounded  of  the  1st  division,  two  hundred  and  sixteen  in  number,  were  carried  to 
this  place.  Fifty-nine  were  received  into  the  hospital  of  the  3d  division,  and  eight  into  that  of  the  2d  division,  making  a  total 
of  two  hundred  and  eighty-three  wounded  on  the  2d  of  April.  Early  on  the  morning  of  the  3d,  part  of  the  reserve  ambulances 
having  returned  from  Warren's  Station,  a  train  was  formed  to  carry  the  wounded  to  Petersburg  for  railroad  transportation  to 
City  Point.  About  the  same  time,  the  3d  division  joined  the  main  body  of  the  corps  at  Wells's  church,  and  the  whole  command, 
followed  by  the  hospital  wagons  and  the  few  ambulances  which  could  be  spared,  moved  westward  along  the  Namozine  road.  The 
corps  camped  for  the  night  near  Namozine  church.  On  the  following  morning  the  march  was  resumed,  but  before  proceeding 
far  the  cavalry  divisions,  with  their  trains,  blocked  up  the  road  in  front  and  impeded  our  progress.  The  corps  encamped  on 
Deep  Run.  At  midnight,  we  were  again  on  the  move,  and  again  the  cavalry  and  trains  interfered  with  the  advance.  By  eight 
o'clock  A.  M.,  the  road  was  clear  and  the  corps  pushed  on  to  Jetersville,  which  was  reached  early  in  the  afternoon.  A  position 
was  here  assumed  on  the  left  of  the  Fifth  Corps,  and  temporary  works  were  thrown  up.  On  the  morning  of  the  6th,  these 
works  were  abandoned,  and  an  advance  toward  Amelia  Court-house  was  commenced,  in  progress  of  which,  near  the  Sulphur 
Springs,  the  rear  of  the  enemy's  column  was  found.  This  changed  the  direction  and  manner  of  the  march.  A  line  of  battle 
was  formed,  and  the  enemy  was  pursued  through  Deatonsville,  toward  High  Bridge  on  the  Appomattox.  Skirmishing  with 
their  rear  was  kept  up  till  eight  o'clock  p.  M.,  when  the  corps  bivouacked  on  Sailor's  Creek,  where  a  large  portion  of  the  rebel 
wagon  and  ambulance  train  had  been  captured.  The  hospital  of  the  1st  division  was  established  early  in  the  day  at  Amelia 
Springs,  those  of  the  2d  and  3d  divisions  at  the  Vaughan  house,  about  a  mile  from  this.  Sixty  wounded  were  collected  at  the 
hospital  of  the  1st  division,  and  one  hundred  and  seventy  at  that  of  the  3d  division,  making  a  total  of  two  hundred  and  thirty. 
Of  these,  a  dozen  belonged  to  the  cavalry,  and  twenty-five  were  rebels.  The  2d  division  had  no  wyounded.  In  the  evening,  all 
the  ambulances  that  could  be  spared  from  the  advance  reported  at  the  hospitals,  to  carry  as  many  of  the  wounded  as  possible  to 
Burke's  Station,  where  a  depot  hospital  had  been  formed.  Medical  officers,  with  supplies  and  attendants,  were  left  with  the 
remainder.  On  the  following  morning,  the  rear  of  the  enemy  was  again  struck  at  High  Bridge,  and  skirmishing  recommenced, 
continuing,  with  more  or  less  activity,  until  about  nine  o'clock  P.  M.,  when  the  corps  bivouacked  near  Farmville,  on  the  right 
of  the  army,  the  2<l  division  on  the  right  of  the  corps  front,  the  1st  division  in  the  centre,  and  the  3d  division  connecting  with 
the  right  of  the  Sixth  Corps.  During  the  early  part  of  this  day's  running  fight  no  hospitals  were  established,  but  the  wounded 
were  carried  along  after  the  advance  until  near  Farmville,  where  the  enemy  made  a  determined  stand.  On  this  the  field 
hospitals  were  established,  about  a  mile  and  a  half  in  rear  of  the  line  of  battle,  at  the  Brocks  house.  The  cases  received 
numbered  as  follows:  1st  division,  one  hundred  and  fifty;  2d  division,  twenty-four;  3d  division,  thirty-five;  total,  two  hundred 
and  nine.  These  were  operated  on  during  the  night,  and,  in  the  morning,  dispatched  to  the  depot  at  Burkesville,  in  a  train 
consisting  of  ambulances  belonging  to  the  Ninth  Corps,  some  of  which  had  been  captured  from  the  rebels,  and  a  few  of  those 
belonging  to  this  command.  In  the  meantime,  the  enemy  having  evacuated  his  Farmville  defences,  the  troops  were  advancing 
in  pursuit  through  Buckingham  County,  but  they  did  not  overtake  the  enemy  so  as  to  engage  him.  At  midnight  they 
bivouacked  about  a  mile  west  of  New  Store.  After  settling  in  camp  for  the  night,  commissary  stores  were  issued,  and  in  the 
morning,  the  empty  wagons  were  started  for  the  Vaughan  house  to  carry  the  wounded  left  there  on  the  afternoon  of  the  6th  by 
the  3d  division,  to  Burke's  Station.  But,  as  was  afterward  ascertained,  these  wagons  were  not  required,  some  ambulances 
belonging  to  the  Ninth  Corps  having  already  transported  the  wounded  from  that  point  to  the  depot.  On  the  9th,  no  fighting 
took  place  on  account  of  the  negotiations  then  in  progress  between  the  commanders  of  the  two  armies,  which  terminated  on 
the  afternoon  of  that  day  in  the  surrender  of  the  enemy.  According  to  the  regimental  reports,  the  casualties  during  the  month 
were  as  follows :  Killed;  1st  division,  eighty-six;  2d  division,  seven ;  3d  division,  forty-nine ;  total,  one  hundred  and  forty-two. 
Wounded;  1st  division,  four  hundred  and  eighty-one;  2<1  division,  thirty-four ;  3d  division,  two  hundred  and  seventy-six; 
artillery  brigade,  seven ;  total,  seven  hundred  and  ninety-eight.  If  to  these  are  added  the  casualties  of  March  31st,  the  losses  of 
the  corps,  during  the  campaign,  will  amount  to  one  hundred  and  eighty-nine  killed,  and  one  thousand  one  hundred  and  eighty- 
six  wounded.  On  the  llth,  as  the  troops  were  under  orders  to  move  to  Burkesville,  the  few  severe  cases  of  sickness  in  the 
command  were  placed  in  ambulances  and  sent  on  ahead,  that  they  might  avoid  the  fatigues  and  delays  incident  to  transportation 
in  the  rear  of  their  commands.  On  the  morning  of  the  12th,  the  march  was  commenced,  and  on  the  afternoon  of  the  14th,  the 
corps  went  into  camp  in  the  angle  formed  by  the  Lynchburg  road  and  that  leading  to  Danville.  The  3d  division  formed  camp 
near  the  former  road,  the  1st  division  near  the  latter,  while  the  2d  division  occupied  the  centre.  The  march  to  this  place  was 
very  fatiguing.  The  delays  experienced  on  account  of  the  bad  character  of  the  roads,  the  labor  required  to  improve  them,  and 
the  exposure  to  the  rain  which  fell  almost  unremittingly  during  the  march,  had  considerable  influence  in  inducing  the  increased 


REPORT  OF  CAPTAIN  J.  G.  PELTON,  CHIEF  OF  AMBULANCES.  219 

sickness  in  the  command,  which  showed  itself  immediately  after  settling  in  camp.  The  men  encamped  under  shelter  tents 
which  they  raised  from  the  ground  on  uprights  about  a  foot  and  a  half  high.  The  hunk  or  bed  place  in  each  was  likewise 
raised.  Those  regiments  which  encamped  in  the  open  ground  where  there  was  no  shade,  built  arbors  over  their  quarters  for 
protection  from  the  heat.  The  1st  division  had  an  excellent  location  on  an  irregular  site,  with  good  natural  drainao-e,  and  an 
abundant  supply  of  good  water.  The  soil  of  the  camp  site  of  the  2d  division  was  more  retentive  of  moisture  and  good  water 
was  scarce.  The  different  regimental  commands  dug  wells,  but  the  water,  which  Avas  obtained  at  no  great  distance  from 
the  surface,  was  not  clear,  and,  except  when  freshly  drawn,  had  a  surface  water  taste.  The  3d  division  was  encamped  in  a 
belt  of  woods;  water  was  plentiful  and  good  in  the  ravines.  The  division  field  hospitals  were  established  on  good  sites  in  the 
vicinity  of  their  commands.  During  the  remainder  of  the  month  there  was  an  increase  of  sickness  in  the  corps,  not  so  much  in 
the  number  taken  sick  as  in  the  gravity  of  the  cases.  The  cases  of  diarrhoea,  which  was  the  prevailing  disease,  became  very 
obstinate,  and  were  accompanied  with  very  great  and  rapidly  increasing  prostration,  resembling  the  disease  as  seen  during  the 
Peninsular  campaign  of  1862.  The  fatigue  of  recent  active  service,  and  the  bad  water  in  the  second  division  had,  no  doubt, 
their  influence  in  producing  this  condition,  but  I  attribute  it  chiefly  to  the  lack  of  a  proper  supply  of  vegetables.  Since  the 
camps  near  Hatcher's  Run  were  broken  up  there  had  been  issued  but  one  or  two  rations  of  potatoes  and  a  small  quantity  of 
beans  to  a  portion  of  the  command.  Nevertheless,  no  well  marked  cases  of  scurvy  are  recorded  by  the  medical  officers,  except 
in  one  or  two  instances  of  men  recently  returned  from  southern  prisons.  Next  to  the  diarrhoea,  in  order  of  importance,  was 
pneumonia,  and  in  the  2d  division  hospital  a  number  of  cases  of  measles  were  treated,  the  disease  having  been  brought  to 
camp  by  some  recruits.  ;  On  the  20th,  a  train  of  twelve  ambulances  was  dispatched  to  Amelia  Court-house  with  supplies 

for  some  wounded  rebels  quartered  there,  with  orders  to  transport  such  of  them,  as  were  in  proper  condition  to  endure  it,  to  the 
Farmville  hospital.  On  the  29th,  the  Confederate  hospital  at  Farmville,  now  under  charge  of  Surgeon  O.  Evans,  40th  New 
York,  having  been  placed  under  the  control  of  the  medical  director  of  the  Second  Corps,  a  train  of  ambulances  was  sent  to 
carry  to  their  homes,  in  the  vicinity  of  Petersburg,  a  hundred  of  the  inmates,  who  were  so  far  recovered  from  their  wounds  as 
to  be  able  to  travel.  They  were  brought  to  Burkesville  and  placed  in  the  cars  for  Petersburg.  On  the  same  night,  three 
thousand  rations  were  sent  out  to  supply  the  necessities  of  those  still  remaining  in  this  hospital,  six  hundred  and  fifty  in  number, 
among  whom  were  twenty-seven  of  our  own  men,  who  were  unable  to  be  removed  on  account  of  the  character  of  their 
wounds."  *  * 


CLXVI.     Extracts  from  the  Report  of  the  Operations  of  the  Ambulance  Corps  of  the  Second 
Corps  during  March  and  April,  1865.     By  Captain  J.  Gr.  PELTOJST,  Chief  of  Ambulances. 

"On  the  evening  of  March  27th,  orders  were. received  to  be  ready  to  move  at  six  o'clock  on  the  following 
morning  with  one-half  of  the  ambulances  of  each  division,  one  medicine  wagon  and  one  army  wagon  to  each  brigade,  and  one 
additional  wagon  to  each  division  for  the  transportation  of  forage.  They  were  ordered  to  follow  in  the  rear  of  their  respective 
divisions,  the  balance  of  the  corps  trains  being  ordered  to  be  parked  near  the  Ciltnmings  house,  in  charge  of  Lieutenant 
McCarthy  of  the  1st  division  train.  His  instructions  were  to  report  to  the  chief  quartermaster  of  the  corps  and  accompany  the 
general  trains.  On  the  morning  of  the  28th,  the  trains  moved  out  on  the  Vaughan  road  in  accordance  with  orders  received 
but  upon  arriving  at  Humphreys's  Station  it  was  found  that  the  corps  had  not  as  yet  moved  out,  consequently  the  trains  were 
parked  in  the  open  field  near  the  station  until  the  troops  moved.  At  the  crossing  of  Hatcher's  Run  it  was  found  that  it  would 
be  impracticable  for  the  trains  to  follow  in  the  rear  of  their  division,  as  the  roads  were  narrow,  and  it  was  not  exactly  known 
how  soon  the  enemy  would  be  found.  At  the  request  of  Major  General  Humphreys,  the  trains  were  therefore  halted  and 
parked  in  an  open  field  on  the  north  bank  of  the  stream  until  the  corps  had  crossed;  the  stretcher-men,  however,  crossed 
with  their  commands.  On  the  29th,  the  trains  were  ordered  to  cross,  and,  in  accordance  with  orders,  parked  at  a  place  known 
as  the  Three  Chimneys,  where  a  hospital  was  established.  During  its  stay  at  this  place  all  the  drivers  were  engaged  in 
building  roads  to  the  front.  On  the  evening  of  the  150th,  orders  were  received  to  send  twenty  ambulances  to  assist  the  Fifth 
Corps  in  removing  their  wounded.  Twenty-one  were  sent,  and  Lieutenant  Lillebridge  of  the  2d  division  train  was  detailed  to 
take  command,  assisted  by  a  sergeant  from  each  division  train.  He  reached  the  Fifth  Corps  hospital  a  little  before  davlight 
on  the  morning  of  the  31st,  loaded  his  ambulances,  and  proceeded  to  Humphreys's  Station.  After  unloading  the  wounded,  he 
rejoined  his  command  on  the  evening  of  the  31st.  During  the  afternoon  of  the  31st,  Lieutenant  Callanen  of  the  2d  division 
train  received  orders  from  Medical  Director  McParlin  to  remove  the  wounded  of  the  cavalry  which  were  at  that  time  in  the 
2d  division  hospital.  For  this  purpose  seventeen  ambulances  were  sent  to  Humphreys's  Station.  In  the  meantime  orders  were 
given  him,  in  case  he  needed  more  ambulances,  to  send  for  his  reserve  train,  which  he  did.  During  this  day  the  1st  division 
was  engaged  with  the  enemy.  Ambulances  were  sent  to  the  front,  and  the  wounded  were  conveyed  to  the  hospitals  established 
near  the  Vaughan  road.  Twenty-four  ambulances  of  the  1st  division  were  subsequently  sent  to  Warren's  Station  with  wounded, 
under  the  charge  of  Lieutenant  Clark  of  the  1st  division  ambulance  corps.  Lieutenant  Paxton  of  the  1st  division  train  also 
took  ten  ambulances  of  the  1st  division,  nine  of  the  2d  division,  and  sixteen  of  the  third  division,  loaded  with  wounded  to 
Warren's  Station.  April  1st,  Lieutenant  Clark  returned  with  his  train,  and  followed  the  division  with  nine  ambulances.  On 
the  same  day,  Lieutenant  Chase  of  the  1st  division  joined  the  command  with  twenty-four  ambulaces,  four  medicine  wagons  and 
five  army  wagons.  Lieutenant  Paxton  also  joined  the  command  with  the  train  he  had  taken  to  Warren's  Station.  April  2d.  the 
1st  division  was  heavily  engaged,  and  the  train  employed  in  removing  the  wounded  to  the  hospital  which  had  been  established 
at  the  Moody  house.  Lieutenant  Paxton  followed  the  division  with  nine  ambulances  to  the  Sullivan  house,  near  the  Southside 
railroad,  and  the  whole  night  was  employed  in  carrying  wounded  of  the  1st  division  from  the  Moody  and  Sullivan  houses  to 
the  Boydton  plank  road.  April  3d,  Lieutenant  Chase,  with  eight  ambulances  and  the  hospital  train,  joined  the  division  at  the 
Sullivan  house,  and  followed  the  troops.  Lieutenant  Clark,  with  the  remaining  thirty-five  ambulances  anil  ten  of  the  lid 
division,  loaded  with  wounded,  left  the  hospital  for  Warren's  Station.  The  roads  being  very  heavy,  several  animals  died  un 


220  APPENDED    DOCUMENTS ARMY    OF    THE    POTOMAC,    1865. 

the  march  from  exhaustion.  April  4th,  the  remaining  train  followed  in  the  rear  of  the  corps  heavily  laden  with  sick.  April 
5th,  the  trains  followed  the  corps  with  sick.  April  6th,  broke  camp  at  daylight,  and  followed  the  troops  to  near  Amelia  Springs, 
where  they  became  engaged  with  the  enemy.  The  trains  were  immediately  ordered  to  the  Springs.  The  wounded  of  the  1st 
and  3d  divisions  were  brought  to  the  Springs  house  by  the  stretcher-bearers  until  the  ambulances  arrived,  and  then  it  was  not 
deemed  proper  to  send  many  ambulances  to  the  front  on  account  of  the  road  being  narrow,  with  a  dense  woods  on  each  side, 
and  in  case  of  a  retrograde  movement  of  the  troops,  the  train  would  of  course  be  in  the  way.  They  therefore  remained  at  the 
Springs  house  until  the  troops  had  advanced  some  miles,  when  the  1st  and  3d  divisions  were  engaged  with  the  enemy.  The  2d 
division  being  on  the  extreme  right,  and  finding  no  enemy,  the  train  of  the  2d  division  was  ordered  to  assist  the  1st  and  3d 
divisions  in  removing  their  wounded.  The  corps  having  advanced  several  miles,  it  was  found  that  the  number  of  ambulances 
present  was  not  adequate  to  the  demand.  A  hospital  was  therefore  established  for  the  2d  and  3d  divisions  at  the  Vaughan 
house,  which  relieved  the  ambulances  and  stretcher-men  very  materially.  The  corps  still  advanced,  and  at  night  encamped 
near  Sailor's  Creek,  the  trains  bringing  up  the  wounded  from  Amelia  Springs,  and  parking  near  the  corps  headquarters.  On 
the  7th,  Lieutenant  Clark  of  the  1st  division  train  was  ordered  to  proceed  with  twenty-seven  ambulances,  loaded  with  wounded, 
to  Burkesville  Junction.  Fifteen  ambulances  of  the  2d  division,  and  all  but  seven  of  the  ambulances  of  the  3d  division,  were 
also  sent  to  Burkesville  with  the  wounded  of  the  3d  division.  Upon  arriving  at  High  Bridge,  quite  a  number  of  wounded  were 
found  belonging  to  the  2d  division.  These  were  loaded  in  nine  ambulances,  which  were  ordered  to  join  the  train  which  had 
started  for  Burkesville  half  an  hour  before.  The  remainder  of  the  train  followed  the  corps.  Upon  advancing  about  a  mile 
beyond  the  Brooks  house,  the  1st  division  became  engaged  with  the  enemy,  as  did  also  the  3d  division.  During  the  day  a 
hospital  was  established  at  the  Brooks  house,  and  the  wounded  were  removed  to  it  as  speedily  as  could  be  done  with  the 
number  of  ambulances  we  had  to  work  with.  '  April  8th,  having  left  quite  a  number  of  wounded  at  the  Vaughan  house, 

we  were  informed  that  the  Ninth  Corps  ambulances  had  been  ordered  to  assist  us  in  removing  them,  whereupon  Lieutenant 
Crawley  of  the  2d  division  train  was  ordered  to  High  Bridge  to  meet  them  and  conduct  them  to  the  above  mentioned  house. 
In  the  meantime  all  the  ambulances  of  the  corps,  except  eleven,  were  loaded  with  wounded  at  the  Brooks  house  and  sent  to 
Burkesville  in  charge  of  Lieutenant  Clark  of  the  1st  division.  On  the  9th,  the  hospital  train,  with  eleven  ambulances,  was 
ordered  to  follow  in  the  rear  of  the  corps.  The  trains,  however,  had  scarcely  moved  out  of  park  before  a  halt  was  ordered,  it 
being  announced  that  the  army  of  northern  Virginia  had  surrendered."  * 


CLXYII.     Extracts  from  the  Report  of  the   Medical   Inspector  of  the    Ninth    Corps  for 
March,  1865.     By  Assistant  Surgeon  SAMUEL  ADAMS,  U.  S.  Army. 

"At  half-past  four  o'clock  on  the  morning' of  March  25th,  the  enemy  made  an  assault  on  the  lines  at  Fort 
Steadman.  They  moved  in  three  columns :  one  swept  down  to  the  left,  toward  Battery  No.  9,  one  to  the  right,  toward  Fort 
Haskel;  while  a  third  moved  forward  directly  toward  Fort  Steadman.  Deserters  had  been  coming  in  for  several  nights 
previously,  bringing  their  guns  and  equipments  with  them.  On  this  occasion  the  enemy  advanced  in  squads  toward  Fort 
Steadman,  as  the  deserters  had  been  doing,  and  by  this  ruse  the  picket  line  at  this  point  was  enveloped  and  captured  before 
the  alarm  could  be  given.  *  The  main  line,  however,  was  alarmed,  and  the  troops  were  ready  to  meet  the  assault 

promptly,  but  the  enemy  swept  over  the  parapet  and  overpowered  the  garrison  of  Battery  No.  10,  killing  and  capturing  the 
cannoniers  at  their  guns.  They  then  pushed  forward  to  Fort  Steadman,  capturing  its  guns  and  the  garrison,  composed  of  one 
battalion  of  the  14th  New  York  Heavy  Artillery.  After  thus  breaking  through  the  lines,  they  came  upon  the  camps  of  the  57th 
and  29th  Massachusetts,  and  of  the  100th  Pennsylvania,  driving  them  from  their  quarters,  and  pushing  forward  their  line 
of  skirmishers  to  the  road  and  hills  in  rear  of  Fort  Steadman,  nearly  as  far  as  Meade's  Station.  The  57th  Massachusetts  fell 
back  and  reformed,  acting  as  skirmishers.  General  Wilcox  sent  the  17th  Michigan  and  the  200th  and  209th  Pennsylvania  to 
oppose  the  enemy's  advance  toward  Meade's  Station,  and  the  1st  brigade  of  the  3d  division  was  ordered  down  from  the  left  of  the 
line  at  a  double  quick.  General  Hartranft,  with  three  regiments,  now  made  an  attack  to  check  the  further  advance  of  the 
enemy,  but  was  obliged  to  fall  back  and  act  on  the  defensive,  the  enemy  being  in  too  great  numbers.  The  200th  Pennsylvania 
lost  one  hundred  men  in  this  attack.  The  enemy  now  moved  up  along  the  works  and  captured  Battery  No.  11,  and  turned  its 
guns,  with  those  of  the  other  forts,  upon  our  troops.  The  attention  of  our  artillery  was  mainly  directed  to  Fort  Steadman,  on 
which  the  guns  from  Forts  Haskel  and  McGilverey  poured  a  very  destructive  fire.  Batteries  were  also  posted  on  the  hills  near 
Meade's  Station,  and  Fort  Friend  and  the  Dunn  house  battery  opened  upon  the  advancing  rebels  and  the  captured  forts.  The 
1st  brigade,  3d  division,  now  came  up,  and  General  Parke  sent  a  dispatch  to  General  Hartranft  to  retake  the  forts.  The  division 
formed  in  line  of  battle,  with  the  17th  Michigan  and  57th  Massachusetts.  *  *  The  enemy  was  driven  from  the  forts  with 
heavy  loss.  His  force  had  consisted  of  three  divisions  of  infantry,  under  the  command  of  Major  General  Gordon.  They  lost 
about  two  hundred  killed  and  nineteen  hundred  and  forty-nine  prisoners.  In  the  2d  brigade,  1st  division  of  the  Ninth  Corps, 
thirty-six  men  were  killed  and  six  hundred  and  forty-eight  wounded  or  captured;  in  the  3d  division,  two  hundred  and  fifty- 
eight  were  killed,  wounded  and  missing.  The  wounded  were  promptly  brought  in,  the  stretcher-bearers  and  ambulances  being 
constantly  with  the  advancing  troops.  The  great  majority  of  the  rebel  wounded  fell  into  our  hands.  The  wounds  were  all 
very  severe  in  character,  and  an  unusually  large  number  of  shell  wounds  of  the  thigh  and  legs  demanding  amputation,  were 
observed.  As  the  2d  division  of  the  corps  was  not  engaged,  the  rebel  wounded  were  all  sent  to  the  field  hospitals  of  this 
division,  and  were  as  promptly  and  as  kindly  cared  for  as  our  own  men.  Unusual  facilities  were  afforded  in  caring  for  the 
wounded,  as  the  scene  of  action  was  so  near  the  field  hospitals  of  the  corps,  which  were  in  most  efficient  and  thorough  working 
order.  All  the  severe  cases,  about  eighty-three  in  number,  including  those  in  which  capital  operations  had  been  necessary,  were 
retained  at  the  hospital,  and  when  the  corps  moved  on  the  3d  of  April,  were  transferred  to  the  hospital  of  the  1st  division, 
which  remained  behind  to  garrison  Petersburg,  its  field  hospital  remaining  in  its  old  location.  In  this  way,  I  arn  satisfied, 
many  lives  were  saved."  * 


REPORT    OF    ASSISTANT    SURGEON    E.    J.   MARSH,    U.    S.    A.  221 

CLXVIII.  Extracts  from  the,  Report  of  the  Chief  Medical  Officer  of  the  Second  Division, 
Cavalry  Corps,  Army  of  the  Potomac,  from  January  1  to  March  28,  18G5.  By  Assistant 
Surgeon  E.  J.  MARSH,  U.  S.  Army. 

*  "January  1,  1865,  the  2d  cavalry  division,  under  command  of  Brevet  Major  General  D.  McM.  Gregg,  was 
composed  of  the  following  troops:  1st  brigade,  Brigadier  General  II.  E.  Davies,  1st  Pennsylvania,  1st  New  Jersey,  1st  Massa 
chusetts,  10th  New  York,  24th  New  York  Cavalry,  and  Horse  Battery  A,  2d  U.  S.  Artillery;  aggregate  strength,  two  thousand 
six  hundred  and  fifty-eight  men;  2d  brigade,  Brevet  Brigadier  General  J.  I.  Gregg,  2d,  4th,  8th,  13th,  and  16th  Pennsylvania 
Cavalry,  and  Horse  Battery  I,  1st  U.  S.  Artillery;  aggregate  strength,  two  thousand  eight  hundred  and  two  men  ;  3d  brigade, 
Brevet  Brigadier  General  C.  H.  Smith,  1st  Maine,  21st  Pennsylvania,  2d  New  York  Mounted  Rifles,  6th  and  13th  Ohio  Cavalry; 
aggregate  strength,  two  thousand  nine  hundred  and  eighty-two  men.  There  was  also  a  cavalry  depot  and  dismounted  camp 
for  recruits,  convalescents  from  northern  hospitals,  and  for  the  dismounted  men  of  the  command.  They  remained  here  till 
they  could  be  mounted  and  equipped.  There  were  several  vacancies  of  regimental  medical  officers,  but  more  than  one  present  to 
each  regiment.  The  total  number  of  medical  officers  present  for  duty  on  the  1st  of  January  was  twenty-six.  *  *  The  division 
hospital  was  situated  near  the  camp  of  the  division  in  a  central  and  convenient  position.  It  was  formed  of  hospital  tents,  and  had 
beds  for  one  hundred  and  twenty  patients.  There  was  a  surgeon  in  charge,  three  assistant  medical  officers,  two  hospital  stewards, 
and  twenty-seven  attendants.  The  ambulance  corps  was  in  charge  of  Lieutenant  John  R.  West,  16th  Pennsylvania  Cavalry. 
There  were  but  two  brigade  ambulance  officers,  a  vacancy  existing  in  the  2d  brigade.  There  was  a  full  complement  of  men, 
wagons  and  ambulances,  the  number  of  ambulances  being  twenty-six,  with  three  medicine  wagons  and  fifteen  army  wagons. 
The  ambulances  were  mostly  old,  but  in  good  repair  and  serviceable.  January  24th,  by  permission  of  the  acting  medical 
director  of  the  army,  I  issued  a  circular  directing  surgeons-in-chief  of  brigades  to  turn  over  the  medical  property  in  the 
ambulances  to  the  surgeon  in  charge  of  the  division  hospital,  and  placing  upon  him  the  responsibility  of  keeping  the  boxes 
filled.  I  did  this  because  the  ambulance  property  is  used  exclusively  in  the  field  hospital,  over  which  the  surgeon-in-chief  of 
brigades  have  no  control,  and  confusion  of  accounts  often  arise  from  the  fact  of  several  officers  being  responsible  for  property 
in  the  same  hospital.  The  division  was  encamped  on  the  Jerusalem  plank  road,  beyond  the  rear  line  of  earthworks,  and  near 
the  crossing  of  the  Blackwater.  The  situation  of  all  the  camps  was  good,  they  were  well  laid  out,  with  excellent  huts,  and 
proper  sanitary  regulations  were  generally  observed.  During  the  month,  the  division  remained  in  camp,  having  merely  the 
ordinary  picket  duty  to  perform.  The  issue  of  fresh  vegetables  during  the  month  was  scanty,  but  still  no  signs  of  a  scorbutic 
condition  were  observed.  The  health  of  the  command  was  good.  There  were  some  obstinate  and  serious  cases  of  chronic 
diarrhoea  and  a  few  severe  cases  of  fever,  but  not  as  many  of  diseases  of  the  respiratory  organs  as  might  have  been  anticipated 
from  the  frequent  rain  storms,  and  the  extreme  and  rapid  variations  of  the  temperature.  *  * 

February  1st,  I  received  orders  from  the  medical  director  to  send  off  all  the  sick  and  wounded  who  would  be  unable  to 
accompany  the  command  in  case  of  a  move.  At  three  o'clock  P.  M.,  I  sent  one  hundred  and  eighty-one  patients  to  City  Point. 
A  few,  however,  arrived  from  one  of  the  regiments  too  late  to  be  sent,  and  were  placed  in  hospital.  February  4th,  we  received 
orders  to  move  at  three  o'clock  A.  M.,  next  morning.  I  was  directed  to  take  fourteen  ambulances,  but  no  wagons  were  allowed 
on  account  of  the  condition  of  the  roads.  Surgeon  Lovejoy  was  to  take  charge  of  the  field  hospital,  with  half  the  attendants 
of  the  division  hospital.  He  was  directed  to  take  such  shelter,  food  and  dressings  as  could  be  carried  in  one  of  the  ambulances. 
As  the  division  hospital  was  to  remain  standing,  I  left  Assistant  Surgeon  Durgin,  1st  Massachusetts  Cavalry  in  charge,  with 
forty-seven  patients  who  had  been  admitted  since  February  1st.  February  5th,  at  three  o'clock  A.  M.,  the  division  moved  by 
the  Jerusalem  plank  road  and  Geary's  church  to  Reams's  Station;  and  after  a  short  halt,  proceeded  by  the  Halifax  and  Malone 
roads  to  Malone' s  bridge,  over  the  Rowanty.  Here  we  found  a  small  force  of  the  enemy  on  the  opposite  bank  of  the  creek, 
and  after  a  short  skirmish  drove  them  from  their  line  of  breastworks,  and  captured  several  prisoners.  We  lost  one  man  killed 
and  two  wounded.  We  then  proceeded  by  some  country  by-roads  to  Dinwiddie  Court-house.  We  met  no  force  of  the  enemy 
at  that  place.  We  sent  parties  up  and  down  the  Boydton  plank  road,  capturing  a  number  of  wagons  and  prisoners.  We 
remained  there  some  time,  and  attempted  to  communicate  with  General  Warren  on  the  Vaughan  road,  but  unsuccessfullv,  as  a 
force  of  the  enemy  was  found  between  the  two  forces.  We  then  returned  by  the  same  road  by  which  we  had  advanced  to 
Malone's  bridge.  In  the  afternoon  we  communicated  with  General  Warren  by  a  cross  road.  During  the  day  the  weather  was 
mild  and  pleasant  but  the  roads  were  very  muddy,  especially  the  wood  and  field  road  by  which  we  had  advanced.  In  returning 
they  were  almost  impassable.  We  reached  the  Rowanty  about  dark.  One  brigade,  only,  crossed,  and  the  others  camped  on 
the  south  side.  At  half-past  twelve  A.  M.,  we  again  started  on  the  road  to  join  General  Warren  at  the  crossing  of  the  Vaughan 
and  Quaker  roads.  The  weather  had  grown  cold  after  dark,  and  when  we  started,  the  roads  were  completely  frozen  and  we 
suffered  greatly  from  the  cold.  On  joining  General  Warren,  we  found  his  command  marching  to  Hatcher's  Run,  and  followed 
in  his  rear.  We  were  ordered  to  mass  in  some  open  fields  before  crossing  the  run,  and  put  out  skirmishers  expecting  the  enemy. 
The  Fifth  Corps  was  posted  on  both  sides  of  the  run  awaiting  the  enemy's  approach.  I  sent  surgeon  Abbott,  1st  Massachusetts 
Cavalry,  back  to  the  Cummings  house,  on  the  Vaughan  road  to  select  a  place  for  the  hospital  in  case  it  should  become  necessary 
to  establish  one.  After  some  time  the  enemy  appeared  in  our  rear  and  some  skirmishing  occurred.  There  was  not  much  fighting, 
however,  until  afternoon,  when  they  attacked  in  some  force.  They  were,  however,  easily  repulsed,  but  we  had  several  officers 
and  men  killed  and  wounded.  The  wounded  were  temporarily  dressed  on  the  field,  and  sent  back  in  the  ambulances  to  the 
hospital  at  the  Cummings  house.  A  brigade  of  the  2d  division  of  the  Fifth  Corps  was  sent  up  in  the  morning  as  a  support  to 
the  cavalry;  they  formed  line  in  rear  of  our  division.  The  1st  and  3d  brigades  were  dismounted  and  had  their  horses  sent 
across  Hatcher's  Run.  About  two  o'clock,  the  Fifth  Corps  was  ordered  to  advance,  and  proceeded  by  the  Dabney's  mill  road. 
At  the  same  time  the  2d  brigade  of  the  cavalry  division  was  ordered  to  drive  the  enemy  down  the  Vaughan  road  and  across 
Gravelly  Run  if  possible.  This  brought  on  a  general  engagement  along  our  line;  with  the  help  of  the  infantry,  which 

had  been  ordered  up,  we  drove  the  enemy  from  their  rifle-pits  and  some  distance  into  the  woods.     The  firing  was  quite  heavy, 


222  APPENDED    DOCUMENTS — TWENTY-FOURTH    CORPS,    1865. 

and  we  had  a  number  killed  and  wounded.  At  the  same  time  the  Fifth  Corps  became  engaged  on  the  Dabney's  mill  road  on 
our  right.  The  wounded  were,  as  far  as  possible,  dressed  temporarily  and  removed  rapidly  to  the  hospital.  The  ambulance 
corps  did  remarkably  well.  All  the  officers  were  active  and  energetic,  and  the  men  worked  hard  in  bringing  the  wounded  off 
the  field.  The  ambulances  were  brought  as  far  to  the  front  as  possible,  and  two  ambulance  horses  were  wounded  by  bullets. 
After  driving  the  enemy  from  the  field,  we  held  our  position  till  dark.  As  soon  as  the  fighting  was  over  and  all  the  wounded 
removed  from  the  field,  I  went  back  to  the  hospital.  Here  I  found  about  fifty-five  wounded.  Surgeon  Lovejoyhad  taken  some 
out -houses  for  hospital  use  and  had  also,  put  up  tent-tlies;  had  procured  straw  for  bedding,  and  had  fed  all  the  patients.  The 
wounds  were  mostly  dressed  and  some  of  the  necessary  operations  had  been  performed.  Others  continued  to  occupy  the 
surgeons  till  midnight.  In  the  evening  I  received  orders  from  Surgeon  Page,  U.  S.  A.,  acting  medical  director  of  the  army,  to 
send  as  many  as  were  dressed  and  could  be  carried  in  the  ambulances  to  Patrick's  Station,  where  cars  would  be  ready  to  receive 
them.  About  thirty  were  sent  off  and  the  rest  made  comfortable  for  the  night.  The  next  morning  some  more  operations  were 
performed,  and  all  the  remainder  of  the  wounded,  but  four  or  five,  were  then  sent  to  the  railroad.  February  7th,  the  1st  and 
3d  brigades  were  ordered  to  the  junction  of  the  Halifax  and  Wyatt  roads.  They  arrived  in  the  afternoon  and  went  into  camp. 
The  2d  brigade  remained  at  Hatcher's  Run,  and  as  there  was  some  little  skirmishing,  some  ambulances  and  dressings  were  left 
with  them.  The  weather  had  been  cloudy  and  chilly  on  the  6th,  and  during  the  night  some  snow  fell.  On  the  morning  of  the 
7th,  it  rained  hard  and  continued  raining  nearly  all  day.  On  the  8th  it  was  clear,  arid  the  1st  and  3d  brigades  were  ordered 
back  to  their  old  camps  at  the  Jerusalem  plank  road.  The  2d  brigade  was  ordered  to  the  Halifax  and  Wyatt  roads,  and  on 
Wednesday  also  returned  to  camp.  I  broke  up  the  hospital  at  the  Cummings  house  and  took  the  few  remaining  wounded  to 
the  division  hospital.  During  the  expedition  the  number  admitted  into  division  hospital  was  sixty-four.  The  total  number  of 
casualties,  according  to  regimental  reports,  was  thirteen  killed,  ninety-one  wounded,  nine  missing;  total,  one  hundred  and 
thirteen.  *  * 

February  13th,  Acting  Staff  Surgeon  G.  W.  Colby,  late  surgeon  of  the  1st  Maine  Cavalry,  reported  for  duty,  and  was 
assigned  to  the  charge  of  the  hospital,  relieving  Acting  Staff  Surgeon  Lovejoy.  *  *  During  the  remainder  of  the  month,  the 
division  remained  in  camp ;  the  picket  duty  was  increased  by  the  recent  lengthening  of  the  lines  toward  the  left.  The  health 
of  the  command  was,  however,  good,  and  there  were  but  few  admissions  into  hospital.  Unfortunately,  but  very  few  vegetables 
could  be  issued,  and,  in  the  latter  part  of  the  month,  the  patients  admitted  showed  spongy  gums,  and  a  few  cases  of  scurvy 
appeared.  ;  The  number  of  sick  admitted  into  the  division  hospital  between  February  7th  and  28th  was  but  fifty-seven. 

The  character  of  the  diseases  was  the  same  as  in  last  month.  Zymotic  diseases  furnishing  the  greater  number,  acute  rheumatism 
showing  an  increase,  while  diseases  of  the  respiratory  organs  remained  about  the  same.  About  the  middle  of  January,  a  case 
of  varioloid  occurred  in  the  13th  Ohio  Cavalry.  The  patient  had  just  returned  from  furlough.  He  was  at  once  isolated,  and 
the  regiment  was  vaccinated.  Vaccination  was  also  ordered  throughout  the  whole  division,  but  was  not  entirely  accomplished 
till  the  end  of  February.  In  the  first  week  of  February,  two  other  cases  occurred,  one  in  the  8th  Pennsylvania,  and  one  in  the 
1st  New  Jersey,  both  in  men  recently  returned  from  furlough.  By  this  time  a  small  pox  hospital  had  been  established,  to  which 
the  men  were  at  once  removed.  No  other  cases  occurred.  *  *  During  the  greater  part  of  the  month  of  March  the  division 
remained  encamped  in  its  winter  quarters.  The  health  of  the  troops  continued  good.  The  rations  were  abundant,  but  there 
continued  to  be  a  great  deficiency  of  fresh  vegetables.  In  consequence,  many  of  the  cases  admitted  to  hospital  exhibited  a 
scorbutic  tendency,  and  a  few  marked  cases  of  scurvy  appeared.  March  14th,  orders  were  received  to  send  all  sick  to  City 
Point,  which  was  done,  and  nearly  all  the  hospital  tents  were  taken  down  and  packed,  preparatory  to  a  move.  Two  wards 
were  left  standing,  to  admit  cases  until  the  command  actually  moved.  March  28th,  the  remainder  of  the  sick  were  sent  off,  and 
everything  completely  packed  ready  to  move.  On  this  day,  the  division  was  detached  from  the  army  of  the  Potomac,  and 
ordered  to  report  to  Major  General  Sheridan."  * 


CLXIX.  Extracts  from  the  Report  of  the  Medical  Director  of  the  Twenty-fourth  Corps, 
Army  of  the  James,  from  March  27  to  April  30,  18G5.  By  Surgeon  J.  B.  MORRISON, 
U.  S.  Volunteers. 

"  On  the  evening  of  the  27th  of  March,  the  1st  division,  commanded  by  Brigadier  General  R.  S.  Foster,  and 
the  independent  division,  commanded  by  Brevet  Major  General  J.  W.  Turner,  left  their  winter  camps  on  the  north  side  of  the 
James  river,  accompanied  by  Brigadier  General  Birney's  division  of  the  Twenty-fifth  Corps,  and  crossed  the  James  and 
Appomattox  rivers  during  the  night.  The  march  was  continued  until  the  evening  of  the  28th,  when  we  bivouacked  in  the  rear 
of  the  Second  Corps,  south  of  Petersburg.  The  3d  division  of  this  corps,  commanded  by  Brigadier  General  Charles  Devens, 
was  left  for  the  purpose  of  holding  the  position  occupied  by  the  corps  during  the  winter.  We  started  with  twenty-five 
ambulances  to  each  division.  On  the  morning  of  the  29th,  we  relieved  the  Second  Corps,  and  established  our  headquarters  at  the 
point  occupied  by  its  headquarters.  On  the  mornings  of  the  30th  and  31st,  the  sick  of  the  command  were  sent  by  railroad  from 
Humphreys's  Station  to  City  Point,  there  to  take  the  boat  for  the  Point  of  Rocks  hospital.  On  the  30th,  we  had  some  fighting 
near  Hatcher's  Run.  I  established  the  field  hospital  of  the  corps  on  the  Vaughan  road,  about  a  mile  in  rear  of  the  troops. 
The  wounded  were  received  and  cared  for  with  promptness.  They  numbered  one  hundred  and  nine.  Next  morning  they  were 
sent  on  the  cars  to  City  Point.  On  the  morning  of  the  2d  of  April,  we  attacked  the  enemy's  lines  and  carried  them,  continuing 
our  march  until  we  reached  Fort  Gregg,  near  Petersburg,  which  we  captured  with  a  loss  of  five  hundred  and  ninety  killed 
and  wounded.  Early  the  same  morning,  I  had  ordered  the  hospital  on  the  Vaughan  road  to  follow  the  troops,  and  the  ambu 
lances  left  on  the  north  side  of  the  James  river,  when  we  commenced  our  march,  had  arrived,  making,  in  all,  seventy-six 
ambulances  with  our  two  divisions.  I  established  the  hospital  about  half  a  mile  from  Fort  Gregg.  All  the  wounded  were 
well  cared  for,  and  sent  to  Warren's  Station  in  ambulances,  to  take  the  cars  for  City  Point,  and  'from  thence  by  boat  to  Point 
of  Rocks.  About  one  hundred  and  fifty  were  sent  on  the  night  of  the  2d,  and  all  the  others  on  the  following  day.  The 


REPORT    OF    SURGEON    J.    T.    GHISELIN,    U.    S.    A.  223 

wounded  were  well  cared  for,  and  the  dead  properly  interred.  On  the  morning  of  the  3d,  the  troops  moved  for  Sutherland 
Station,  where  they  arrived  in  the  evening,  and  bivouacked  for  the  night.  Here  I  found  eight  wounded  rebels  in  a  car.  I 
had  them  cared  for,  and  sent  to  Petersburg  in  ambulances  next  morning.  We  moved  at  half  past  eight  o'clock  A.  M.,  on  the  4th, 
and  advanced  on  the  Cox  road  toward  Wilson's  Station,  where  we  halted  for  the  night.  On  the  march  I  found  nearly  forty 
wounded  rebels  and  four  of  our  own  wounded,  who  had  been  left  by  the  rebels  in  buildings  on  the  roadside.  There  were  two 
rebel  medical  officers  with  them.  I  left  with  them  several  days'  supplies  of  food,  medicines,  dressings,  etc.  At  Wilson's  Station, 
on  the  morning  of  the  5th,  we  left  some  sick  under  the  care  of  Surgeon  Ainsworth,  U.  S.  V.  Two  ambulances  and  supplies 
were  left  with  them.  At  Burkesville  Junction  we  found  a  rebel  hospital  containing  some  thirty  or  forty  sick  and  wounded 
rebels,  under  the  care  of  two  rebel  medical  officers.  Here  we  established  our  corps  field  hospital.  On  the  6th,  the  corps  moved 
toward  Farmville  to  meet  the  retreating  rebel  army  and  check  its  progress,  which  was  successfully  done  in  the  afternoon,  about 
seven  miles  from  Burkesville  Junction,  near  Rice's  Station.  Part  of  the  hospital  was  left  at  Burkesville,  with  several  medical 
officers  and  a  good  quantity  of  supplies,  while  the  other  portion  accompanied  the  troops,  and  was  established  at  a  farm-house 
near  the  battle  ground  on  the  6th,  receiving  and  caring  for  fifty  wounded,  who  were  properly  attended  to  and  sent  back  to 
Burkesville  in  ambulances  during  the  night.  On  the  7th,  we  moved  for  Farmville.  At  the  Watson  farm-house,  about  three 
miles  east  of  Farmville,  we  found  about  thirty  of  our  own  wounded  and  twenty -five  rebels,  who  had  been  wounded  the  day 
before  in  the  fight  near  High  Bridge.  I  left  medical  officers  and  supplies  with  them.  They  were  soon  afterward  sent  to 
Burkesville.  We  arrived  at  Farmville  on  the  afternoon  of  the  7th.  Here  we  found  a  large  rebel  hospital  containing  about  one 
thousand  patients,  with  plenty  of  medical  officers  and  a  fair  supply  of  provisions  and  medicines.  On  the  8th,  we  marched 
thirty-three  miles.  On  the  morning  of  the  9th,  we  encountered  the  retreating  enemy  on  the  Lynchburg  road,  about  one  mile 
west  of  the  Appomattox  Court-house.  On  the  same  day  the  rebel  army  surrendered.  The  field  hospitals  of  the  corps  were 
then  established  at  Appomattox  Station.  When  the  cavalry  of  General  Sheridan  were  ordered  away,  their  wounded,  eighty  or 
ninety  in  number,  were  left  in  my  charge.  I  furnished  medical  care,  food,  etc.,  and  had  them  sent  in  ambulances  to  the  railroad 
station,  and  placed  on  the  cars  with  our  own  wounded  and  a  number  of  wounded  rebels.  At  Farmville  wagons  met  them 
and  conveyed  them  to  Burkesville.  Those  who  could  not  endure  wagon  transportation  were  left  at  the  rebel  hospital  at 
Farmville  *  I  also  furnished  ambulances  to  convey  the  rebel  wounded  to  our  hospital  at  Appomattox  Station,  where  they 

were  well  attended  to.  On  Thursday,  April  13th,  I  sent  a  large  train  of  ambulances  to  Burkesville,  conveying  tha  rebel 
wounded  and  some  sixty  of  our  own  wounded.  Many  of  the  ambulances  in  this  train  had  been  turned  over  to  us  by  the 
rebels.  *  We  left  Appomattox  Court-house  on  the  17th,  and  marched  eighteen  miles  toward  Burkesville,  encamping  for 

the  night  at  Prospect  Station.  Next  morning  we  started  for  Farmville,  where  we  arrived  early  in  the  afternoon.  We 
bivouacked  for  the  night  about  three  miles  east  of  Farmville.  At  Farmville  I  found  in  the  rebel  hospital  about  one  hundred 
and  forty  wounded  belonging  to  the  different  corps  of  our  army.  *  *  1  had  all  who  could  bear  transportation  in  ambulances 
started  on  the  morning  of  the  19th  for  Burkesville,  where  they  arrived  that  afternoon.  I  was  obliged,  however,  to  leave  about 
forty  of  them,  whose  condition  was  such  that  they  could  not  have  endured  transportation.  In  view  of  this,  I  consulted  with 
General  Curtin,  then  in  command  of  the  post,  who  informed  me  that  he  intended  to  leave  a  medical  officer  and  an  abundance 
of  supplies  with  them  when  he  left  the  place.  We  arrived  at  Burkesville  on  the  19th,  and  remained  until  the  morning  of  the 
22d,  when  we  started  for  Richmond.  Meantime  I  had  all  the  sick  and  wounded  sent  by  cars  to  Petersburg,  under  the  care 
of  efficient  medical  officers.  The  troops  arrived  at  Manchester  on  the  24th,  crossed  the  James  river,  and  passed  through 
Richmond  on  the  25th.  We  are  now  encamped  about  three  miles  from  the  city.  In  regard  to  the  medical  and  hospital  property 
tinned  over  by  the  rebels,  I  have  to  say  that  there  is  but  little.  It  was  sent  over  in  parcels,  and  at  different  times,  and  before 
it  could  be  collected  some  of  it  was  lost  or  destroyed  by  our  own  men,  there  being  no  guard  on  the  wagon  park.  However, 
Surgeon  Guild,  General  Lee's  medical  director,  informed  me  that  there  was  but  little  to  transfer.  In  the  midst  of  the  general 
bustle  and  confusion,  I  did  the  best  I  could  to  collect  it." 


CLXX.     Report  of  the  Medical  Director  of  the  Army  of  the  Middle  Military  Division  from 
August  27  to  December  31,  1864:.     By  Surgeon  J.  T.  GIIISELIN,  U.  S.  Army. 

IlEADQUAUTKRS   MIDDLE    MILITARY   DlVISIOX, 

MEDICAL  DIRECTOR'S  OFFICE,  January  26,  1865. 

GENERAL  :  On  the  27th  of  August,  1864.  I  reported  as  medical  director  of  the  Middle  Military  Division,  from  which 
date  to  December  31,  1864,  inclusive,  I  have  the  honor  to  report,  in  brief  detail,  the  operations  of  the  medical  department. 
This  report  will  refer  only  to  the  army,  as  nearly  the  whole  effective  force  of  this  division,  composed  of  the  Sixth  and  Nineteenth 
Corps,  army  of  West  Virginia  and  cavalry,  has  been  in  the  field,  operating  under  the  name  of  army  of  the  Middle  Military 
Division,  to  which  my  duties  have  been  almost  exclusively  confined.  My  first  effort,  on  arrival,  was  to  ascertain,  if  possible, 
the  exact  condition  of  the  medical  department,  but  the  difficulties  in  the  way  of  obtaining  information  appeared  insurmountable, 
as  no  staff'  department  had  even  an  incipient  organization;  in  fact,  the  confusion  was  all  that  might  be  anticipated  in  a  command 
so  new  and  composed  in  part  of  small  commands  accustomed  to  act  independently.  The  veteran  Sixth  Corps  was  the  only  one 
prepared  for  a  campaign,  and  its  creditable  condition  was  due  mainly  to  the  energy  and  ability  of  its  medical  director,  Surgeon 
S.  A.  Holman,  U.  S.  V.  The  first  steps  toward  organization  consisted  in  the  adoption  of  a  system  regulating  the  formation 
and  management  of  field  hospitals,  in  prescribing  a  uniform  plan  of  drawing  and  issuing  medical  supplies,  and  in  strictly 
enforcing  the  ambulance  law.  Our  base  being  Harper's  Ferry,  a  depot  for  medical  supplies  was  opened  at  once,  and  a  large 
quantity  of  tl.e  most  important  field  supplies  were  ordered  by  telegraph.  These;  were  distributed  among  the  corps  so  as  to 
supply  their  immediate  wants.  After  a  careful  review  of  all  the  important  medicines  and  supplies  furnished,  and  guided  by  the 
experience  ol'a  previous  campaign,  a  selection  was  made,  which,  it  was  intended,  should  contain  a  sufficient  number  of  nu'dicinen 


224:  APPENDED    DOCUMENTS MIDDLE    MILITARY    DIVISION,    18(54. 

and  all  essential  dressings  and  appliances,  while  it  should  not  be  too  cumbrous,  so  that  it  might  always  be  readily  taken  with 
the  troops  in  the  field.  This  selection  was  embodied,  together  with  a  plan  of  drawing  and  issuing  supplies,  in  a  circular  issued 
from  this  office,  September  10th.  The  acting  medical  purveyor  was  furnished  with  a  copy  of  this  circular,  and  was  ordered  to 
require  for,  and  issue  supplies  in  accordance  with  it.  In  this  system,  the  division,  and  not  the  brigade,  was  made  the  unit  of 
organization  for  the  medical  department,  botli  as  regards  supplies,  transportation  and  field  hospitals.  The  division  system  has 
afforded  me  the  means  of  caring,  with  the  utmost  celerity,  for  large  numbers  of  wounded  thrown  suddenly  upon  the  medical 
department,  as  after  the  battles  of  Winchester  and  Middletown  or  Cedar  Creek,  and  it  has  met  the  approval  of  all  the  medical 
officers  of  the  army.  Previous  to  the  adoption  of  this  plan,  in  all  the  troops  except  the  Sixth  Corps,  hospitals  were  established 
without  system,  after  a  battle,  and  much  confusion  consequently  resulted.  This,  I  endeavored  to  obviate  by  an  order  prescribing 
a  uniform  mode  of  organizing  field  hospitals.  The  general  plan  was  the  same  as  that  introduced  in  the  army  of  the  Potomac, 
bv  Surgeon  J.  Letterman,  U.  S.  A.,  and  of  which,  I  had  frequently  witnessed  the  good  effects,  while  serving  in  that  army.  An 
operating  staff  is  appointed,  as  well  as  a  medical  officer  in  charge  of  food  and  shelter,  a  second  officer  in  charge  of  records,  and 
these  report,  before  an  engagement,  to  a  surgeon  who  has  the  general  charge  of  the  hospital,  and  who  receives  orders  from  the 
Burgeon-in-chief  of  division.  Previous  to  my  arrival,  supplies  had  been  issued  to  the  troops  in  the  field,  by  acting  medical 
purveyors  stationed  with  the  commands,  which  they  had  supplied  indiscriminately,  there  being  no  order  to  guide  them, 
regulating  the  issues  or  the  amount  of  supplies  to  be  kept  on  hand.  It  was  soon  found  that  these  purveyors  were  unnecessary, 
as  every  brigade  kept  on  hand  the  authorized  supply,  and  could  draw  upon  the  division  hospital  when  requisite.  Having  thus 
systematized,  to  some  extent,  the  manner  of  furnishing  this  army  with  medical  supplies,  prescribed  the  kind  and  quantity  of 
each  to  be  kept  on  hand,  concentrated  a  large  store  of  all  the  essentials  at  the  base,  ready  for  emergencies,  as  well  as  organized 
a  system  of  field  hospitals,  in  which  wounded  could  be  cared  for  after  an  engagement,  and  the  sick  during  marches  and  while  in 
camp,  I  had  but  to  make  suitable  provision  for  relieving  the  army  of  its  wounded  as  rapidly  as  they  might  accumulate.  For 
this  purpose,  I  increased  a  small  hospital  of  about  three  hundred  beds,  at  Sandy  Hook,  to  a  capacity  of  thirteen  hundred,  and 
stationed  a  medical  officer  at  the  base  as  medical  director  of  transportation,  with  instructions  to  receive  all  sick  and  wounded, 
and  to  forward  the  moderately  severe  cases  to  Baltimore,  retaining  the  very  severe  as  well  as  the  very  slight  cases  for  treatment 
at  Sandy  Hook,  or  at  Frederick.  This  officer  received  a  daily  report  of  the  number  of  vacant  beds  in  the  general  hospital  at 
Frederick,  and  was  thus  guided  in  the  shipment  of  cases.  He  also  had  charge  of  feeding  and  dressing  the  wounded,  and  kept 
me  informed  of  the  arrival  and  condition  of  every  train ;  and,  in  addition,  telegraphed  to  the  medical  directors  of  the  Middle 
Department  and  Department  of  West  Virginia,  the  time  trains  started  for  Baltimore  or  Frederick.  Before  all  of  these 
arrangements  had  been  completed,  the  army  commenced  a  forward  movement. 

At  daylight,  on  the  morning  of  September  19th,  one  division  of  cavalry,  which  had  the  advance,  engaged  the  enemy 
near  Opequan  Creek,  five  miles  from  Winchester,  and  drove  him  from  his  position,  which  it  held  until  relieved  by  the  infantry. 
The  battle,  during  the  morning  was  fought  with  great  obstinacy ;  and  with  the  exception  of  occasional  slight  checks  to  some  of 
our  corps,  success  was  always  in  our  favor.  About  half-past  three  o'clock  P.  M.  a  combined  advance  of  infantry  and  cavalry 
was  ordered,  the  cavalry  operating  on  both  flanks.  This  resulted  in  the  complete  triumph  of  our  arms,  and  the  enemy  fled 
from  the  field  routed  and  demoralized.  That  night  we  occupied  Winchester.  The  field  hospitals  were  established  during  the 
day,  on  or  near  the  Opequan  Creek,  and  their  locations  were  well  protected  from  the  shot  of  the  enemy  by  wooded  hills.  They 
were  all  in  the  immediate  vicinity  of  good  roads.  The  wounded,  as  a  general  thing,  received  good  care,  and  had  nourishing  food 
promptly  administered  to  them.  During  the  latter  part  of  the  day,  however,  it  was  impossible  to  collect  all  the  wounded,  as 
the  army  pushed  on  so  rapidly,  thereby  increasing  the  distance  for  the  ambulances.  Quite  a  large  number,  therefore,  remained 
on  the  field  that  night,  many  being  concealed  in  the  thick  woods  where  they  had  fallen.  At  nine  o'clock  P.  M.,  the  same  night, 
the  general  commanding  ordered  me  to  have  all  the  wounded  taken  to  Winchester,  and  the  field  hospitals  broken  up  as  rapidly 
as  possible.  For  this  purpose,  a  detail  of  medical  officers  to  remain  was  made  from  each  corps,  a  certain  proportion  of 
ambulances  was  ordered  to  be  left,  and  the  chief  quartermaster  placed  at  my  disposal  all  the  empty  army  wagons.  Assistant 
Surgeon  H.  A  Du  Bois,  U.  S.  A.,  assistant  medical  director,  was  ordered  to  remain  and  take  general  direction  of  the  removal 
of  the  wounded,  and  of  the  establishment  and  organization  of  hospitals  in  Winchester.  That  night  I  informed  you  by  telegraph 
of  the  result  of  the  battle,  gave  the  approximate  number  of  wounded,  and  requested  you  to  send  forward  to  Winchester  twenty 
medical  officers,  hospital  supplies  for  five  thousand  wounded,  and  an  experienced  surgeon  to  take  charge  of  the  hospitals. 
Several  weeks  previously,  the  chief  quartermaster  had,  at  my  request,  ordered  the  post  quartermaster  at  Harper's  Ferry  to 
keep  on  hand  three  hundred  hospital  tents  for  such  an  emergency.  Doctor  Du  Bois  reported  to  me  on  the  21st  that  he  had 
seized  a  portion  of  the  army  train,  unloaded  it,  and  with  the  ambulances  left  him,  had  transported  all  the  wounded  from  the 
field  to  hospitals  which  he  established  at  Winchester  in  the  churches,  public  buildings  and  such  private  dwellings  as  were 
suitable.  These  hospitals  he  organized  by  corps.  Being  almost  destitute  of  food  for  the  wounded,  the  commanding  officer 
of  Winchester  took,  at  his  request,  eight  thousand  rations  from  an  army  train  which  was  going  to  the  front.  This  embarrassment 
arose  from  the  fact  that  no  subsistence  train  accompanied  the  army.  Things  were  soon  systematized,  and  over  four  thousand 
wounded  were  safely  transferred  to  the  hospitals  of  their  respective  corps,  competent  surgeons  placed  in  charge,  and  the  most 
experienced  and  expert  operators  designated  to  perform  the  operations.  On  the  evening  of  the  22d,  Surgeon  J.  H.  Brinton, 
J.  S.  V.,  arrived  with  five  medical  officers,  and  relieved  Doctor  Du  Boie,  who  returned  to  headquarters  on  the  following  day. 
Four  hundred  hospital  tents,  ample  supplies,  and  ten  additional  surgeons  arrived  on  the  23d.  About  three  hundred  hospital 
tents  were  pitched  on  a  well  selected  site  near  the  town,  and  a  camp  hospital  organized  under  the  designation  of  Sheridan 
field  hospital.  Surgeon  F.  V.  Hayden,  U.  S.  V.,  was  assigned  to  its  charge. 

The  morning  following  the  battle  of  Winchester,  our  troops  moved  forward,  and  that  afternoon  reached  Strasburg,  two 
miles  beyond  which  the  enemy  was  found  in  position  at  Fisher's  Hill.  Some  skirmishing  occurred  on  the  21st,  and,  during 
the  afternoon  of  the  22d,  an  assault  was  made,  which  resulted  in  the  complete  rout  of  the  enemy,  and  his  broken  army  was 
pursued  to  Woodstock,  a  distance  of  twelve  miles.  The  pursuit  occupied  the  entire  night,  and  the  troops  did  not  bivouac 
until  about  four  o'clock  the  following  morning.  Fortunately  the  casualties  on  the  march  were  few,  while  those  wounded  in  the 


REPORT    OF    SURGEON    J.    T.    GHiSKLIN,    U.    S.    A.  225 

assault  were  collected  in  the  field  hospitals.  Anticipating  a  battle  on  the  21st,  each  infantry  corps  was  directed  to  establish  a 
field  hospital  in  the  vicinity  of  Strasburg.  Aware  that  the  troops  hnd  then  been  one  day  without  rations,  and  being  informed 
that  no  forward  movement  would  be  made  until  rations  could  be  issued,  the  hospitals  were  allowed  to  remain,  and  orders  were 
given  to  the  chief  medical  officers  of  divisions  to  be  prepared  to  send  their  wounded  to  the  rear.  By  the  afternoon  of  the  23d, 
"all  were  comfortably  loaded  in  an  empty  supply  train  and  sent  to  Winchester.  At  Strasburg  and  Woodstock  a  few  Confederate 
wounded  were  found,  destitute  of  all  supplies,  and  unable  to  bear  transportation.  These  men  were  attended  to  by  their  own 
surgeons,  who  were  furnished  with  all  the  necessary  medical  and  subsistence  stores.  WTe  arrived  at  Harrisonburg  on  the  25th, 
where  there  were  several  Confederate  hospitals,  containing  three  hundred  and  thirty-five  sick  and  wounded,  attended  by  five 
Confederate  medical  officers.  The  surgeon  in  charge  reported  that  he  was  in  need  of  subsistence  and  a  few  essential  medicines, 
all  of  which  he  was  at  once  furnished  with.  One  hundred  and  thirty-five  sick  and  wounded  were  selected,  who  could  bear 
transportation  without  injury,  and  sent  to  Winchester  by  a  returning  subsistence  train.  The  medical  officers  here  seemed  to 
have  some  regard  for  hygienic  principles  in  and  about  the  hospitals,  and  their  patients  were  probably  as  comfortable  as  they 
could  make  them  with  their  restricted  means;  but  at  every  other  place,  from  Woodstock  on,  where  Confederate  wounded  were 
collected  by  their  own  surgeons,  the  most  extreme  filth  and  positive  indications  of  neglect  were  seen. 

After  the  battle  of  Winchester,  the  cavalry  acted,  to  a  great  degree,  independently,  and  their  wounded  in  the  several 
skirmishes,  were  retained  in  ambulances,  and  sent  to  Winchester  when  opportunity  offered.  The  army  made  no  important 
movement  up  to  October  6th,  when  a  retrograde  march  was  commenced.  The  enemy's  cavalry  followed  us.  On  the  9th,  near 
Woodstock,  our  cavalry  attacked  and  routed  that  of  the  enemy,  driving  him  a  distance  of  twelve  miles.  Our  loss  was  very 
slight,  and  all  the  wounded  were  sent  to  Winchester  the  following  day.  We  moved  to  Cedar  Creek  on  the  10th,  and  took  up  a 
strong  line  of  battle,  with  the  apparent  object  of  remaining  there  to  wait  for  the  developments  of  the  enemy.  Immediately 
after  the  battle  of  Fisher's  Hill,  our  base  being  changed  to  Martinsburg,  Acting  Assistant  Surgeon  E.  Ohlenschlager,  U.  S.  A., 
acting  medical  inspector,  was  ordered  there  to  take  charge  of  the  transportation  of  the  wounded,  who  were  sent  to  that  place, 
as  fast  as  they  could  bear  transportation,  and,  for  this  purpose,  advantage  was  taken  of  every  returning  train.  The  wounded 
were  loaded  in  wagons,  bedded  with  hay  or  straw,  without  crowding,  and  a  large  number  of  blankets  were  sent  with  them,  as 
well  as  stretchers,  for  some  of  the  most  sevei'e  cases.  The  wounded  in  these  trains  were -fed  and  dressed  on  their  arrival  at 
Martinsburg,  and  were  then  placed  in  cars  which  were  sent  to  Frederick  or  Baltimore. 

At  dawn,  on  the  19th  of  October,  the  enemy  attacked  and  turned  the  left  flank  of  our  army.  Their  attack  was  so 
sudden  and  unexpected  that  our  troops  were  thrown'  into  confusion,  and  it  was  not  until  we  had  fallen  back  four  miles,  that 
another  line  of  battle  was  established  and  confidence  restored.  In  the  early  part  of  the  action,  the  Nineteenth  Corps  lost  all  its 
medicine  arid  army  wagons,  loaded  with  medical  supplies  and  hospital  tents,  and  thirty  ambulances,  but  the  latter  were 
recaptured  by  the  cavalry  in  the  afternoon.  The  other  ambulances  and  wagons  had  been  ordered  to  the  rear  and  were  out  of 
reach.  Before  the  second  line  of  battle  was  formed,  but  few  of  the  wounded  got  oft'  the  field;  those  who  did  so  were  such  as 
were  able  to  walk,  and  a  few  who  were  carried  in  the  ambulances  of  the  cavalry,  or  in  blankets  slung  on  muskets.  Division 
field  hospitals  were  now  established  in  and  near  Newtown,  six  miles  from  the  original  line  of  battle,  and  two  from  the  second. 
The  wagons  and  medical  supplies  arriving  from  the  rear,  the  medical  officers  of  the  Sixth  Corps  promptly  pitched  their  tents ; 
before  this,  however,  each  division  formed  a  temporary  hospital  in  rear  of  the  line  of  battle,  and,  up  to  this  time,  had  performed 
a  few  capital  and  a  large  number  of  minor  operations.  The  medical  officers  of  the  Nineteenth  Corps  took  possession  of  the 
churches  and  several  houses  in  Newtown,  and  prepared  them  for  the  reception  of  the  wounded,  as  all  their  tents  had  been 
captured.  The  cavalry  had  only  a  comparatively  small  number  of  casualties,  and,  for  this  reason,  were  enabled  to  care  for 
their  wounded  in  ambulances  until  'a  favorable  opportunity  offered  to  send  them  to  the  rear. 

On  the  morning  of  the  20th,  there  being  no  immediate  prospect  of  hostilities,  but  a  military  necessity  for  removing  the 
wounded  further  to  the  rear,  all  the  ambulances  of  the  army,  and  a  large  train  of  army  wagons,  properly  bedded  with  straw, 
were  loaded  with  wounded.  The  ambulances  were  used  for  the  most  severe  cases,  and  the  army  wagons  for  those  of  a  less 
grave  nature.  Knowing  that  the  hospitals  at  Winchester  were  unable  to  accommodate  the  large  number  of  wounded  to  bo 
disposed  of,  the  chief  medical  officer  of  that  place  was  instructed  to  retain  only  those  who  would  be  injured  by  further 
transportation,  and  to  feed,  dress  and  furnish  the  remainder  with  all  things  needed,  and  send  them  on  to  Martinsburg.  By  the 
afternoon  of  the  21st,  the  whole  number  of  wounded,  with  the  exception  of  fifteen  mortal  cases,  had  been  removed  from  Newtown. 
All  the  corps  were  amply  supplied  for  this  emergency,  with  the  exception  of  the  Nineteenth,  but  its  urgent  wants  were  relieved 
by  the  others,  until  several  wagons,  loaded  with  medical  stores,  which  had  been  kept  at  army  headquarters  to  meet  accident-, 
of  this  kind,  could  be  brought  from  Winchester,  whither  they  had  gone  in  the  morning  to  prevent  capture.  Too  much  praise 
cannot  be  awarded  the  medical  officers  for  their  energetic  efforts  to  care  for  and  protect  the  wounded  on  this  trying  occasion,  the 
result  of  a  temporary  reverse  to  our  arms. 

The  general  commanding  not  wishing  that  even  a  temporary  hospital  should  be  established  at  Martinsburg,  the  wounded 
had  to  be  placed  in  the  cars  immediately  on  their  arrival.  Owing  to  a  deficiency  of  transportation,  as  well  as  to  the  difficulties 
of  loading  a  number  of  cars  in  the  confined  depot  at  that  place,  a  portion  of  the  wounded  of  each  train  were  placed  in  the 
churches,  which  were  fitted  up  as  field  hospitals.  Doctor  DuBois,  who  had  been  sent  with  orders  to  take  such  means  as  might 
be  necessary  to  prevent  any  accumulation  of  wounded,  reported  that  the  trains  generally  arrived  in  excellent  condition,  few 
cases  of  neglect  being  observed,  and  most  of  these  owing  to  the  excessive  fatigue  of  medical  officers.  With  each  train  was  sent 
a  surgeon  in  charge,  a  proper  proportion  of  medical  officers,  stewards  and  attendants;  also,  cooked  rations,  anodynes,  stimulants, 
dressings,  etc.,  more  than  sufficient  to  last  the  usual  number  of  days  in  making  a  trip.  On  arriving  at  Winchester  these  trains 
were  divided  among  the  different  hospitals,  and  every  man  was  dressed  and  fed  during  the  night  by  a  large  detail  of  surgeons 
.•UK!  attendants,  and  the  same  was  repeated  at  Martinsburg  before  transfer  to  cars.  A  responsible  medical  officer  provided  with 
supplies,  together  with  a  proper  number  of  attendants,  accompanied  each  train.  As  the  army  was  liable  to  move  suddenly 
I  did  not  ('(insider  it  advisable  to  let  sick  and  wounded  accumulate,  but  sent  them  to  Winchester,  which  had  been  made 
the  receiving  depot,  using  ambulances  when  the  distance  was  not  great  and  it  was  expedient  to  do  so.  Notwithstanding  the 


226  APPENDED    DOCUMENTS MIDDLE    MILITARY    DIVISION,    1804. 

distance,  wounded  were  transported  in  army  wagons,  in  some  instances  as  far  as  a  hundred  miles,  very  few  died  on  the  road, 
which,  fortunately,  was  a  fine  turnpike.  In  November  fifty  ambulances  were  placed  at  my  disposal,  which  I  turned  over  to  the 
chief  medical  officer  at  Winchester,  to  be  used  for  carrying  wounded  to  Martinsburg.  No  army  wagons  were  either  used  or 
required  subsequent  to  this  date. 

After  the  completion  of  the  railroad  to  Stevenson  depot,  five  miles  from  Winchester,  early  in  December,  the  medical 
director  of  transportation  was  ordered  to  Harper's  Ferry,  and  the  medical  purveyor  to  change  his  depot  to  that  place.  I  also 
arranged  with  the  chief  quartermaster  to  have  four  hospital  and  two  passenger  cars  kept  at  the  above  depot,  subject  to  my  orders. 
These  made  two,  sometimes  three  trips  per  week,  until  the  number  of  sick  and  wounded  was  reduced  to  less  than  two  hundred, 
when  the  hospital  cars  alone  were  retained.  The  first  week  in  January  the  Sheridan  field  hospital  was  closed,  leaving  in 
Winchester,  only  the  cavalry  and  Nineteenth  Corps  hospitals,  which  I  designed  keeping  as  long  as  the  army  retained  its  present 
position.  Having  thus  described  the  campaign  as  far  as  it  related  to  my  department,  as  briefly  as  was  consistent  with  the 
subject,  I  subjoin  the  following  list  of  casualties: 

Battle  of  Winchester,  number  killed 059 

Battle  of  Fisher's  Hill,  number  killed 40 

Battle  of  Middletown  or  Cedar  Creek,  number  killed 585 


Total  killed 1,290 


Wounded  in  the  various  skiraiishes  occurring  between  August  20th  to  September  18th,  inclusive 1,  020 

Wounded  in  battle  of  Winchester.  September  19th 4,  032 

Wounded  in  battle  of  Fisher's  Hill,  September  21st  and  22d 455 

Wounded  in  skirmishes  from  September  23d  to  October  18th 402 

Wounded  in  battle  of  Middletown  or  Cedar  Creek,  October  19th 3,  491 

Wounded  in  skirmishes  from  October  20th  to  December  31st COO 


Total  wounded 10,  OOG 


Confederate  wounded  who  fell  into  our  hands. 

Battle  of  Winchester 840 

Battle  of  Middletown  or  Cedar  Creek 451 

Sent  from  hospitals  at  Harrisonburg 135 


Total 1,432 


The  consolidated  classified  returns  of  wounds  and  injuries  already  forwarded  for  the  battles  of  Winchester,  Fisher's  Hill, 
and  Middletown  or  Cedar  Creek,  account  for  six  thousand  three  hundred  and  eleven,  while  the  actual  number  was  seven 
thousand  nine  hundred  and  seventy-eight.  This  discrepancy  will  always  occur  after  a  battle  if  the  army  soon  after  moves  and 
the  wounded  are  sent  to  the  rear,  because  to  obtain  full  and  accurate  lists  is  the  work  of  many  hours  and  they  require  a  greater 
number  of  medical  officers  than  can  be  spared  from  more  urgent  duties.  The  total  number  of  amputations  after  these  battles 
was  three  hundred  and  eighty-eight.  All  these  were  primary  and  were  generally  skilfully  performed.  The  surgery,  in  all 
these  battles,  was  as  good  as  witnessed  elsewhere  in  the  field,  and  usually  reflected  credit  on  the  operators.  As  the  wounded 
were  sent  to  the  rear  very  soon  after  each  battle,  many  operations  could  not  be  performed  until  they  arrived  in  Winchester. 
The  total  number  of  deaths  from  disease  from  August  27th  to  the  31st  of  December,  was  fifty-three.*  The  highest  rates  of  sick 
present  during  that  period  was  five  per  cent,  out  of  a  mean  strength  of  forty-seven  thousand  nine  hundred  and  fifty-four  men, 
and  the  lowest  rates  two  and  a  half  per  cent,  out  of  a  mean  strength  of  thirty-eight  thousand  four  hundred  and  forty-four. 
This  low  rate  of  sickness,  at  a  time  when  the  troops  were  harassed  and  over  fatigued  by  repeated  battles  and  skirmishes,  can 
be  attributed  to  the  healthfulness  of  the  climate  and  the  quantity  of  good  vegetable  food  procured  solely  from  the  country.  It 
is  due  to  the  medical  officers  in  charge  of  the  hospitals  at  Winchester,  and  to  Surgeon  F.  V.  Hayden,  U.  S.  V.,  the  chief  medical 
onicer,  to  say  that  these  hospitals  were  never  surpassed  by  any  depot  hospitals,  in  neatness  and  comfort,  and  the  very  moderate! 
number  of  deaths.  *  * 

To  Assistant  Surgeon  H.  A.  DuBois,  U.  S.  A.,  assistant  medical  director,  I  am  indebted  for  the  energy  and  executive 
skill  shown  in  so  well  providing  for  the  many  thousand  wounded,  after  the  battle  of  Winchester,  which  was  a  task  of  no 
ordinary  magnitude. 

The  medical  corps  has  contributed  more  than  its  share  to  the  list  of  killed  and  wounded  during  the  campaign.  Assistant 
Surgeon  Isaac  Smith,  jr.,  26th  Massachusetts,  Nineteenth  Corps,  was  wounded  at  the  battle  of  Winchester,  and  Assistant 
Surgeon  John  T.  Scearce,  llth  Indiana,  Nineteenth  Corps,  was  wounded  at  the  battle  of  Middletown,  or  Cedar  Creek. 
Surgeon  W.  H.  Rulison,  Ninth  New  York  Cavalry,  medical  director  of  the  cavalry,  was  killed  in  a  skirmish  near  Smithfield, 
Virginia,  August  29,  1864.  Surgeon  J.  B.  Coover,  6th  Pennsylvania  Cavalry,  and  Acting  Assistant  Surgeon  F.  Ohlenschlager, 
?.  A.,  acting  medical  inspector,  died  of  wounds  received  from  guerrillas;  and  Surgeon  Thomas  J.  Shannon,  110th  Ohio, 
army  of  West  Virginia,  was  mortally  wounded  at  the  battle  of  Middletown  or  Cedar  Creek,  October  19,  1804,  and  died  the 
following  day.  By  the  death  of  these  officers,  the  profession  has  lost  experienced  and  valuable  members,  and  the  country 
earnest  and  faithful  soldiers. 

Very  respectfully,  your  obedient  servant, 

J.  T.  GHISELIN, 

rr,  Sun/eon  U.  S.  Army. 

To  THE  SUBGEON  GENERAL  OK  THE  AKMY. 


*  This  does  not  include  the  deaths  of  men  belonging-  to  the  command  in  general  hospitals. 


REPORTS    OF    SURGEONS    KELLOGG    AND    13LANEY,    U.    S.    V.  227 

CLXXL     Extract  from  a  Report  on  the  Wounded  at  the  Engagements  at  Cloijd's  Mountain 
and  New  River  Bridge.     By  Surgeon  G.  M.  KELLOGG,  U.  S.  Volunteers. 

*  *  *  "In  the  engagement  of  Brigadier  General  Crook's  division,  at  Cloyd's  Mountain,  "West  Virginia,  May  9, 
18(54,  and  at  New  River  Bridge,  on  the  10th,  the  enemy  fought  behind  breastworks  ;  and,  in  assaulting  their  strong  position  at 
Cloyd's  Mountain,  our  force  suffered  severely.  Having  been  engaged  for  several  hours  in  collecting  our  wounded  from  the 
field  and  in  attending  to  their  wounds,  I  was  ordered  to  follow  the  command  with  all  the  wounded  I  could  transport.  After 
three  or  four  hours,  I  was  able  to  follow  with  over  two  hundred  of  the  wounded.  I  left  others  of  our  wounded  at  the  field 
hospital,  and  still  some  on  the  field,  with  four  of  our  best  medical  officers,  and  more  than  half  of  my  medical  and  hospital 
supplies.  A  number  of  those  left  were  mortally  wounded,  and  very  many  required  amputation.  The  distance  between 
Cloyd's  Mountain  and  New  River  Bridge,  which  it  was  necessary  to  reach  at  once,  was  eleven  miles,  General  Averell's  command 
being  hotly  pursued  by  the  rebel  General  Morgan,  who  followed  up  toward  New  River,  it  was  not  thought  possible  to  remove 
any  more  of  our  wounded,  and  our  transportation  was  too  limited  to  bring  away  more  than  we  brought.  As  it  was,  our  means 
of  transportation  were  sorely  tried  in  crossing  two  rivers,  and  over  rough  mountain  roads,  for  the  distance  of  two  hundred 
miles.  We  had  but  thirty-eight  ambulances  in  all,  only  twelve  of  which  were  in  good  condition.  Of  the  wounded  brought 
through,  one  died  from  erysipelas  supervening  upon  a  wound  of  the  arm.  We  arrived  at  Meadow  Bluff'  on  the  21st.  I 
was  ordered  to  remove  the  wounded  at  once  to  hospital  at  Charleston,  West  Virginia,  and  to  Gallipolis,  Ohio,  which  I  accord 
ingly  did.  No  report  has  yet  reached  us  of  our  wounded  left  behind,  but  I  have  every  reason  to  believe  them  better  off  than 
is  usual  within  the  enemy's  lines.  A  fuller  and  more  perfect  report  will  be  given  as  soon  as  possible.  Our  medical  officers 
have,  most  of  them,  worked  nobly  and  with  self  sacrifice.  The  report  of  the  character  of  wounds  is  incomplete  and  imperfect. 
When  the  order  was  sent  to  remove  with  all  the  wounded  for  whom  we  had  transportation,  our  wagon  train  could  carry  but 
few  men.  No  amputations  had  been  performed  before  leaving  the  field.  There  were  fifty-three  cases  left  which  imperatively 
demanded  amputation.  Many  of  those  reported  wounded  were  slightly  injured,  a  large  number  of  them  are  now  doing  duty.  I 
took  one  hundred  and  ninety-two  wounded  to  hospital  at  Gallipolis,  Ohio,  and  to  Charleston,  Virginia,  all  of  which  were  cases 
of  wounds  of  the  arm,  fore -arm,  hand,  and  feet,  or  flesh  wounds  of  more  or  less  grave  character." 


CLXXIL     Letter  of  Transmitted  of  Lists  of  Casualties  at  New  Market.     By  Surgeon  J.  V.  Z. 
BLANEY,  U.  S.  V.,  Medical  Director  of  the  Department  of  West  Virginia. 

"COLONEL:  I  have  the  honor  to  forward  by  same  mail,  herewith,  full  lists  of  killed,  wounded  and  missing  in  the 
engagement  at  New  Market,  Virginia,  May  15,  1864.  Those  missing  are  presumed,  if  wounded,  to  be  at  New  Market;  but  the 
medical  officer  left  at  Mount  Jackson  in  charge  of  the  wounded  not  having  been  permitted  to  communicate  with  them,  the 
number  and  names  have  not  been  received.  I  also  transmit  a  separate  list  of  the  wounded  remaining  in  the  hands  of  the 
enemy,  and  under  charge  of  Assistant  Surgeon  Charles  G.  Allen,  34th  Massachusetts  Volunteers,  at  Mount  Jackson,  and  have 
the  pleasure  to  inclose  a  communication  from  him  of  the  20th  instant,  acknowledging  the  receipt  of  medical  and  subsistence 
supplies  forwarded  under  a  flag  of  truce  by  order  of  Major  General  Sigel.  Four  nurses  were  detailed,  and  left  with  Assistant 
Surgeon  Allen.  But  five  seriously  wounded  were  left  at  Mount  Jackson  during  the  retreat,  and  then  only  because  too  seriously 
wounded  to  bear  transportation.  The  remainder  straggled  in  from  the  field  after  our  forces  had  retired.  Upon  the  receipt 
of  this  intelligence,  Assistant  Surgeon  Gray,  20th  Pennsylvania  Cavalry,  was  ordered  to  proceed,  under  flag  of  truce,  iu  an 
ambulance,  taking  with  him  such  instruments,  dressings,  beef  stock  and  other  supplies  as  might  be  urgently  required,  and  to 
endeavor  to  reach  Mount  Jackson,  and  remain  with  Assistant  Surgeon  Allen,  in  attendance  upon  the  wounded,  should  he  not 
be  permitted  to  bring  the  seriously  wounded  back  with  him,  as  was  requested  of  General  Imboden  by  General  Sigel.  The 
request  for  return  of  wounded  was  courteously  refused,  and  Dr.  Gray  was  not  permitted  to  go  further  than  Woodstock.  The 
ambulance  and  contents  were  receipted  for  and  forwarded  to  Dr.  Allen.  As  soon  as  possible  thereafter,  a  wagon  loaded  with 
stimulants  and  all  needful  supplies,  followed,  and  was  also  allowed  to  proceed.  Dr.  Gray,  with  the  empty  ambulance  and 
wagon  was  permitted  to  return  with  as  little  detention  as  possible.  I  beg  leave  to  notice,  with  much  commendation,  the 
promptness,  discretion,  and  forethought  of  Surgeon  W.  Hayes,  U.  S.  V.,  chief  medical  officer  on  the  field,  to  whom  is  due  the 
credit  of  the  measures  for  the  relief  of  our  wounded,  which  I  have  had  the  pleasure  to  narrate.  I  also  request  that  the  course 
of  Dr.  Allen  in  transferring  a  portion  of  his  supplies  to  the  surgeons  of  the  enemy  be  approved.  Any  further  information  I 
may  receive  relating  to  our  wounded  who  remain  in  the  hands  of  the  enemy  will  be  promptly  reported. 

I  have  the  honor  to  be,  colonel,  very  respectfully,  vour  obedient  servant, 

JAS.  V.  Z.  BLANEY, 

Surijcon  U.  S.  V.,  Medical  Director  Department  of  West  Vinjinia. 
To  TIIK  ACTING  SURGEON  GENERAL  OF  THE  AKMY." 

(JLXXiri.      Extract  from  a  Letter  relative  to  the  Wounded  at  New  Market.      By  Assistant 
Surgeon  CHAKLES  G.  ALLEN,  3-ith  Massachusetts  Volunteers. 

"The  supplies  forwarded  were,  in  the  main,  ample  for  all  our  wants.  I  have  several  cases  which  must 

require  amputation,  and  feel   absolutely  obliged  to  deprive  Dr.  Gray  of  his   instruments.  I  sent  a  request  to  General 

Imboden  to  be  permitted  to  visit  New  Market  to-day,  to  look  after  our  wounded  there  who,  I  learn,  need  help,  which  request 
wiirf  not  granted.  Three  of  the  enemy's  surgeons  called  on  me  this  afternoon,  and  will  again  make  the  request  for  me,  and  1 
think,  I  can  see  them.  I  am  assured  that  our  wounded  receive  the  same  attention  as  theirs,  by  the  general  and  the  surgeons. 
I  have  already  loaned  them  one-half  a  pound  of  chloroform  and  some  stores  which  I  could  spare,  to  be  used  at  New  Market. 
1  feel  confident  all  our  wounded  will  be  placed  under  my  charge  here  soon.  My  men  have  all  been  lemoved  to  the  large  brick 
house  in  well  aired  rooms.  I  have  looked  to  cleanliness  and  to  other  hygienic  measures  rather  than  to  drugs.'' 


228  APPENDED    DOCUMENTS VALLEY    OF    VIEGINIA. 

CLXX1V.     Extracts  from  a  Report  of  the  Casualties  in  the,  Engagement  at  /Saltville,  Virginia, 
October  2,  1864.     By  Surgeon  J.  G.  HATCHITT,  U.  S.  Volunteers. 

*     *     *     « -pjjg  battle  commenced  at  nine  o'clock  and  continued  till  dark,  when  our  forces  retired,  leaving  the  wounded 
on  the  field.     *     *    "We  lost  fifty-four  killed,  and  one  hundred  and  ninety  wounded.     '  The  medical  staff  performed  their 

duties  well,  considering  the  trying  surrounding  circumstances.  There  were  no  ambulances  to  move  the  wounded,  and  no 
place  to  collect  them  that  was  not  frequently  exposed  to  a  fierce  fire  of  artillery  and  musketry.  I  would  respectfully  mention, 
for  favorable  consideration,  Surgeons  W.  H.  Gardner,  30th  Kentucky,  and  S.  C.  Woodman,  llth  Michigan  Cavalry,  and 
Assistant  Surgeons  E.  W.  Hazlewood,  37th  Kentucky,  and  J.  T.  Harper,  13th  Kentucky  Cavalry,  on  account  of  the  extra 
ordinary  interest  they  exhibited  in  behalf  of  the  wounded.  Doctors  Gardner,  Woodman,  and  Harper,  and  also  Assistant 
Surgeon  A.  H.  Hunt,  12th  Ohio  Cavalry,  remained  on  the  field  to  attend  to  the  wounded." 


CLXXV.  Report  of  the  Post  Hospital  at  Winchester,  Virginia,  in  May  and  June,  1862. 
By  Surgeon  J.  B.  PEALE,  U.  S.  Volunteers. 

"  SIR  :  I  was  ordered  on  the  4th  of  May,  by  General  Rosecrans,  to  take  charge  of  the  Union  Hotel,  and  organize  it  as  a 
post  hospital.  *  *  On  the  20th,  I  had  but  twelve  patients  remaining,  all  others  having  been  sent  to  New  Creek  Station.  On 
May  23d,  some  wounded  were  brought  from  Front  Royal.  On  the  evening  of  the  24th,  two  hundred  and  thirty  patients  were 
brought  in  from  Strasburg,  but  nearly  all  started  off  early  next  morning,  alarmed  by  the  near  approach  of  the  enemy.  At 
eight  o'clock  A.  M.,  on  the  25th,  the  retreat  of  General  Banks's  forces  commenced.  The. quartermaster's  store-house,  opposite 
the  hospital,  was  fired,  and  the  danger  to  the  hospital  was  imminent.  I  had  the  patients  placed  in  the  yard.  The  rebels, 
taking  possession  of  the  town,  placed  a  guard  over  the  hospital.  Great  praise  is  due  the  nurses  for  their  determination  to  remain 
with  the  sick.  Surgeon  Black,  acting  medical  director  of  the  Confederate  force,  called  on  me  to  say  that  I  should  continue 
unmolested  in  the  care  of  the  sick.  On  the  25th,  thirty-three  wounded  were  admitted  to  the  hospital,  and  thirty-eight  more 
on  the  26th.  On  the  27th,  Surgeon  Black  instructed  me  that  I  should  remain  in  charge  of  the  hospital  as  surgeon-in-chief,  with 
Surgeon  E.  L.  Bissell,  5th  Connecticut  Volunteers,  as  assistant.  Patients  continued  to  come  in  all  day,  and  the  aggregate,  at 
last,  numbered  three  hundred  and  thirty.  Surgeon  Black  permitted  me  to  detail  sixty-four  attendants  from  the  prisoners,  and 
the  Confederate  commissary  issued  provisions  on  my  requisitions,  so  that  all  went  on  well  to  May  31st,  except  that  I  had  no 
means  to  procure  milk,  eggs,  or  other  delicacies  for  the  wounded.  On  the  31st,  the  rebel  provost  marshal  sent  an  officer  to 
parole  all  the  patients  in  the  hospital,  who,  with  the  attendants,  signed  a  paper,  a  copy  of  which  is  forwarded.  The  rebels  then 
evacuated  the  town,  removing  the  guard  from  the  hospital,  and  leaving  no  provisions.  On  June  1st,  a  small  guerilla  party 
made  us  all  prisoners  again,  and  placed  us  in  close  confinement.  There  were  nine  deaths  among  the  patients  in  hospital.  The 
medical  officers  present  were  Surgeon  F.  Leland,  2d  Massachusetts  Volunteers,  Surgeon  T.  E.  Mitchell,  1st  Maryland  Volunteers, 
Assistant  Surgeon  P.  Adolphus,  U.  S.  A.,  Assistant  Surgeon  L.  R.  Stone,  Assistant  Surgeon  J.  F.  Day,  Assistant  Surgeon  E. 
L.  Bissell,  all  of  whom  lent  all  the  aid  in  their  power. 

J.  B.  PEALE,  Suryeon  U.  S.  V. 
GENERAL  FRANZ  SIGEL,  U.  S.  V." 

CLXXVI.  Extracts  from  a  Report  on  the  Wounded  at  the  Battle  of  Piedmont,  treated  at 
a  Confederate  Hospital  at  Staunton.  By  Assistant  Surgeon  WILLIAM  GKUMBIEJST,  20th 
Pennsylvania  Volunteers. 

"I  have  the  honor  to  make  the  following  report  concerning  the  men  left  under  my  charge  after  the  battle 
of  Piedmont,  June  5,  1864,  at  Staunton,  Virginia,  and  also  of  those  I  received  afterward  from  the  valley,  who  fell  into  the 
hands  of  the  enemy,  and  were  subsequently  brought  to  my  hospital :  *  *  I  was  detailed  on  June  7th,  and  left  Staunton  on 
the  -  -  of  September  for  Richmond,  and  was  sent  from  thence  through  the  lines  on  September  23d.  The  convalescent 
men  that  I  sent  off  at  first  were  taken  to  Charlottesville  and  Lynchburg,  but  the  rest  to  Richmond.  I  think  they  were 
nearly  all  exchanged,  except  those  that  were  again  fit  for  field  service.  I  had  four  hundred  and  twenty-seven  wounded  and 
wick  men  under  my  charge.  Forty-five  died,  and  eight  I  left  in  the  hospital,  not  being  able  to  be  removed.  I  left  with  them 
three  nurses.  Of  every  man  that  died,  I  preserved  some  relic,  which  I  sent  to  his  friends  on  coming  to  our  lines,  and  wrote 
a  letter  informing  his  friends  of  his  death.  Some  left  a  little  money,  which  I  placed  in  the  packages;  but  on  coming  to  Libby 
they  searched  them  all,  taking  the  money,  promising  to  give  it  back  when  I  left,  which  promise,  however,  they  did  not  fulfil. 
I  reported  this  to  Captain  Hatch,  Confederate  commissioner  of  exchange,  and  he  asserted  that  he  would  get  it  and  send  it  to 
me  by  Major  Mulford.  If  he  does,  I  will  send  it  to  the  friends  of  the  deceased.  I  had  my  own  cooks,  stove  and  cooking 
utensils,  and  feel  a  great  satisfaction  in  certifying  that  my  cooks,  Charles  Anderson  and  Daniel  Pray  of  the  18th  Connecticut, 
spared  no  pains  in  preparing  palatable  dishes  for  the  men.  My  nurses  were,  as  a  general  thing,  efficient,  especially  L.  T. 
Spencer  of  the  18th  Connecticut,  who  did  everything  in  his  power  to  lighten  my  labors.  The  mortality,  ten  and  a  half  per 
centum,  may,  at  first  sight,  appear  large,  but  it  must  be  taken  into  consideration  that  about  one  hundred  and  twenty  of  the 
slightly  wounded  were  sent  to  Martinsburg  soon  after  the  battle,  so  that  none  but  the  worst  cases  were  left  in  my  hands.  Also, 
hat  the  men  brought  from  the  valley,  by  the  Confederates,  on  heavy  lumber  wagons,  often  being  conveyed  for  four  or  five  days 
without  any  care,  were  in  such  a  condition  that  recovery  in  some  was  impossible,  not  from  the  severity  of  their  wounds,  but 
from  neglect.  That  the  number  of  sloughing  wounds  was  extraordinary,  I  attributed  to  the  impure  air,  and  heat,  and  drought 
prevailing  in  June  and  July,  and  to  the  lack  of  vegetable  food.  The  proper  medicines  were  generally  wanting.  Nitric  acid  and 
chloride  of  zinc,  which  I  regard  as  the  best  caustic  agents  in  sloughing  wounds  could  not  be  had.  Sulphate  of  copper  was  the 
only  available  escharotic,  and  I  had  no  tincture  of  iron,  the  best  of  all  tonics.  The  want  of  proper  stimulants  and  tonics  was 


KEPOKTS  OF  MEDICAL  OFFICERS.  229 

severely  felt.  The  apple  brandy  we  used,  I  thought  did  more  harm  than  good;  it  is  unfit  as  a  stimulant  for  a  sick  man.  The 
regular  rations  of  bread  and  meat  were  sufficient,  and,  generally,  of  good  quality;  but  such  articles  as  are  most  desired  by  the 
sick,  I  could  not  obtain  in  adequate  quantities.  The  Confederate  wards  were  furnished  first,  and  what  remained  was  turned 
over  to  us.  In  spite  of  their  assurances  that  my  men  should  fare  the  same  as  theirs,  and  all  their  assertions  to  that  effect,  I 
know  that  there  was  a  desire  to  deceive  me,  perhaps  not  as  much  by  those  in  authority  as  by  the  subordinates.  To  Doctor 
Merrill,  the  surgeon  in  charge  for  the  first  few  months  of  my  stay,  I  cannot  express  my  regard  too  much.  He  has  been  kind 
and  aided  me  whenever  he  could,  and  has  shown  a  great  deal  of  sympathy  for  my  men.  The  other  surgeons,  as  a  general 
thing,  were  clever.  *  *  The  men  that  were  sent  to  me  from  the  valley  were  stripped  of  their  clothing,  and  many  were 
barefoot  and  hatless.  I  made  a  requisition  for  shoes,  shirts,  and  socks,  but  it  was  never  filled.  This  difficulty  I  overcame  by 
making  shoes  out  of  overcoats  and  blankets,  and  was  thus  enabled  to  send  my  convalescent  men  off  fully  clothed.  I  also  made 
a  haversack  for  each  man  that  was  not  already  supplied ;  but  these  \vere  taken  from  them  on  entering  Libby  prison.  The 
clothing  of  the  men  that  died  I  had  washed  and  given  to  those  wrho  stood  in  need." 

CLXXVIL     General  Summary  of  Casualties  at  the  Battle  of  Piedmont.     By  Surgeon  THOMAS 
B.  KEED,  IT.  S.  Volunteers. 

"In  the  cavalry  division,  there  was  one  commissioned  officer  killed,  and  five  wounded,  and  thirteen  enlisted 
men  killed,  and  forty-four  wounded.  The  first  brigade  of  the  infantry  division  had  sixty-nine  killed,  and  three  hundred  and 
thirty-six  wounded.  The  second  brigade  had  thirty-eight  killed,  and  two  hundred  and  seven  wounded.  The  artillery  brigade 
had  one  killed,  and  three  wounded,  a  total  loss  of  seven  hundred  and  seventeen,  of  whom  twenty-four  were  officers."  *  * 


CLXXVIII.  Extracts  from  a  Report  of  the  Operations  of  the  Medical  De2^artment  at  the 
Action  near  Winchester,  on  March  23,  1862.  By  Surgeon  W.  S.  KING,  U.  S.  Army, 
Medical  Director. 

"  SIR:  The  battle  near  Winchester,  on  the  23d  instant,  was  fought  by  the  troops  of  General  Shields's  division,  which  had 
but  recently  returned  by  a  forced  march  from  Strasburg.  As  this  division  joined  us  lamentably  deficient  in  medical  supplies, 
and  with  very  limited  transportation,  and  has  been  employed  ever  since  in  marching  and  countermarching  or  engaging  the 
enemy,  no  opportunity  has  been  afforded  to  supply  its  wants.  When  the  battle  terminated,  therefore,  we  found  the  supplies 
inadequate  for  the  occasion,  and  the  medical  force  not  so  large  as  desirable  in  consequence  of  the  number  of  officers  being,  from 
necessity,  on  duty  with  their  regiments  in  pursuit  of  the  enemy.  As  soon  as  the  action  became  severe,  which  was  not  till  half- 
pnst  four  in  the  afternoon,  the  ambulances  wrere  sent  to  the  front  and  commenced  the  work  of  removing  the  wounded  to  a  place 
of  shelter.  As  Winchester  was  near  by,  and  the  night  fast  approaching,  it  was  thought  best  to  remove  them  to  that  place 
without  delay.  Camp-fires  were  made  on  the  field,  the  wounded  collected  around  and  directed  to  remain  near  them  until 
the  wagons  should  pick  them  up.  After  making  these  arrangements,  about  eight  o'clock  P.  M.,  I  returned  to  Winchester  and 
spent  most  of  the  night  in  providing  for  their  accommodation  and  attending  such  cases  as  required  immediate  attention.  As 
the  medical  officers  were  mostly  inexperienced,  and  some  confusion,  inseparable  to  such  an  occasion,  existed,  I  remained  a  day 
in  Winchester  after  the  command  had  advanced  until  things  appeared  to  be  working  well,  when  I  left  to  join  headquarters,  it 
being  reported  that  an  action  was  going  on  near  Strasburg. 

Complaints  of  inattention  to  the  wounded  having  reached  me,  I  again  proceeded  to  Winchester,  and  found  the  arrange 
ments  not  as  satisfactory  as  I  could  wish,  which  was  owing  chiefly  to  a  want  of  cooperation  on  the  part  of  the  quartermaster 
and  commissary  departments,  arising  from  a  want  of  knowledge  or  a  want  of  disposition  to  perform  their  duties.  From  a 
consideration  of  all  the  circumstances  I  believe  that  much  of  the  discomfort  of  the  wounded  has  been  owing  to  circumstances 
beyond  the  control  of  the  medical  officers.  I  mention  these  details  in  explanation  of  the  difficulties  known  to  exist  in  providing 
immediately  for  four  hundred  wounded  soldiers  suddenly  thrown  upon  us  without  the  means  and  appliances  sufficient  to 
accommodate  them,  and  which  cannot  be  done  without  some  delay.  After  writing  the  above  I  received  a  note  from  Surgeon 
C.  C.  Keeney,  IT.  S.  A.,  to  meet  him  in  Winchester,  and  to  him  I  will  refer  for  further  details.  I  have  requested  him  to  send 
at  least  three  hundred  bedsteads  for  the  hospitals  in  Winchester  and  a  supply  of  stores  of  all  kinds.  ;  *  I  have  to  request 
that  medical  supplies  for  twenty  thousand  men  for  three  months  be  forwarded  to  Winchester  for  this  corps,  as  many  of  the 
medical  officers  are  very  deficient  in  medicines  and  stores  of  all  kinds,  and  we  find  that,  owing  to  our  frequent  change  of  position,  it 
is  impracticable  to  obtain  the  supplies  called  for  from  the  purveyor  at  Baltimore.  A  supply  of  medicines  and  stores  on  hand, 
according  to  my  experience,  is  as  necessary  to  an  army  in  the  field  as  it  is  to  have  a  supply  of  subsistence,  so  far  as  availability 
is  concerned.  The  supplies  necessary  to  establish  hospitals  we  must  expect  to  receive  from  Washington,  as  we  have  no 
transportation  to  carry  them  along  with  us. 

I  am,  sir,  very  respectfully',  your  obedient  servant, 

W.  S.  KING, 
To  THE  SUUGKON  GENERAL  OF  THE  ARMY."  Surycon  and  Medical  Director. 

CLXXIX.  Report  of  the  Killed  and  Wounded  at  the  Action  near  Winchester,  March  23, 
1862.  By  Surgeon  W.  S.  KING,  II.  S.  Army. 

"The  1st  brigade,  under  Colonel  N.  Kimball,  lost  thirty-seven  killed  and  one  hundred  and  eighty-six 
wounded;  the  2d  brigade,  under  Colonel  Sullivan,  lost  fifteen  killed  and  fifty-nine  wounded;  the  3d  brigade,  under  Colonel  K. 
15.  Tyler,  lost  thirty-five  killed  and  one  hundred  and  seventy-two  wounded;  the  artillery,  under  Colonel  Daum,  had  four  killed 
Mini  two  wounded,  and  the  cavalry  had  five  wounded;  a  total  of  ninety-one  killed  and  four  hundred  and  twenty-four 
wounded." 


230  APPENDED    DOCUMENTS COAST    EXPEDITIONS. 

CLXXX.  Report  of  the  Killed  and  Wounded  in  the  Action  near  Winchester,  May  25,  1862. 
By  Surgeon  THOMAS  ANTISELL,  IT.  S.  Volunteers,  Medical  Director  of  the  Department  of 
Slienandoah. 

*  *  *  ^  Tne  1st  brigade  had  seven  killed  and  fifty-one  wounded ;  the  2cl  brigade  had  twenty-five  killed  and  seveiity- 
one  wounded.  Surgeon  T.  E.  Mitchell  was  wounded  and  captured.  Assistant  Surgeon  Bissell  and  his  hospital  steward  were 
taken  prisoners.  Assistant  Surgeon  P.  Adolphus,  U.  S.  A.,  was  captured.  Surgeon  Leiand,  2d  Massachusetts,,  Assistant 
Surgeon  Stone,  and  Surgeon  J.  J.  Johnson  were  also  captured."  *  *  * 


CLXXXI.     Extracts  from  a  Narrative  of  his  Services  in  the  Medical  Staff  from  April,  1861, 
to  April,  1862.     By  Surgeon  GEORGE  E.  COOPER,  II.  S.  Army. 

"SlR:  In  compliance  with  instructions  received  in  circular  from  the  Surgeon  General's  Office,  dated  Washington,  D.  C., 
May  1,  1863,  I  transmit  a  short  narrative  of  the  duties  to  which  I  have  been  assigned  since  the  breaking  out  of  the  rebellion  in 
1861.  At  the  time  of  the  attack  on  Fort  Sumpter,  the  command  with  which  I  was  doing  duty  was  stationed  at  Fort  Mackinac, 
Michigan.  The  condition  of  the  lakes,  closed  with  ice,  kept  the  command  at  that  post  until  April  28,  1861,  when  navigation 
having  opened,  the  troops  left,  and  reported  with  all  possible  dispatch  at  Washington,  D.  C.  Having  reported  to  the  Surgeon 
General,  I  was  detailed  to  organize  and  take  charge  of  the  Union  Hotel  hospital  in  Georgetown.  Having  organized  this 
establishment,  and  having  remained  in  charge  of  it  until  it  was  filled  with  patients,  I  was  ordered  to  report  to  Major  General 
Kobert  Patterson,  as  medical  director.  '  ;  At  the  request  of  General  Patterson,  Surgeon  Tripler  was  retained,  and  I  was 
ordered  to  report  again  to  the  Surgeon  General.  On  reporting  to  the  Surgeon  General,  I  was  directed  to  report  to  Surgeon 
Tripler,  for  duty  with  the  army  of  the  Slienandoah.  On  returning  to  the  army  at  Chambersburg,  where  I  had  left  it,  I  found 
that  the  greater  part  had  left  for  Hagerstown,  Maryland.  The  sick  had  been  left  in  a  temporary  hospital  at  Chambersburg, 
and  on  my  reporting  to  Surgeon  Tripler  at  Hagerstown,  I  was  directed  to  return  to  Chambersburg,  break  up  the  hospital,  and 
bring  all  the  sick  who  could  be  moved,  and  the  material  of  the  hospital,  to  Hagerstown.  Having  performed  this  duty,  I  was 
detailed  as  medical  purveyor  of  the  army  under  General  Patterson,  and  continued  as  such  when  the  command  was  transferred 
to  General  N.  P.  Banks,  and,  during  the  time,  transported  the  purveying  depot  from  Hagerstown  to  Frederick,  and  from 
Frederick  to  Baltimore.  At  Baltimore  I  remained  until  October  5,  1861,  when  I  was  directed  to  turn  over  my  property  to 
Assistant  Surgeon  R.  H.  Alexander,  U.  S.  A.,  and  to  report  in  person  at  Washington,  D.  C.,  to  General  T.  W.  Sherman,  for 
duty  with  the  expedition  against  the  southern  coast.  So  peremptory  were  the  orders,  that  I  was  directed  to  leave  my  property 
unreceipted  for,  and  to  report  in  person  at  Washington,  and  orders  wrere  sent  to  Drs.  Page  and  W.  A.  Hammond,  who,  at  the 
time,  were  on  duty  in  Baltimore,  to  take  an  inventory  of  the  stock  on  hand  in  the  purveying  depot,  and  to  invoice  the  same  to 
Assistant  Surgeon  Alexander,  U.  S.  A.  In  accordance  with  these  orders,  I  reported  to  Brigadier  General  T.  W.  Sherman  in 
Washington,  and  accompanied  him  to  Annapolis,  where  the  troops  for  the  expedition  were  assembling.  The  troops  for  the 
expeditionary  corps  consisted  of  the  following  regiments :  8th  and  9th  Maine  Volunteers ;  3d  and  4th  New  Hampshire 
Volunteers;  the  46th,  47th  and  48th  New  York  Volunteers  ;  the  50th  and  100th  Pennsylvania  Volunteers ;  the  8th  Michigan 
Volunteers,  together  with  Company  E,  3d  U.  S.  Light  Artillery.  These  troops  remained  at  Annapolis  from  ten  days  to  two 
weeks,  and  were,  a  day  prior  to  sailing,  joined  by  the  79th  New  York  Volunteers.  All  these  regiments  were  full,  with  the 
exception  of  the  46th  New  York.  This  regiment  did  not  number  five  hundred  men.  The  47th  and  48th  New  York  regiments 
were  not  composed  of  as  good  material  as  the  other  regiments.  The  men  were  weakly,  and  many  were  mere  boys  taken  to 
fill  the  ranks;  many,  too,  were  old  and  decrepit,  and  habitual  drunkards.  During  the  sojourn  of  the  troops  at  Annapolis, 
the  men  were  encamped  in  the  grounds  of  the  Naval  Academy,  on  the  banks  of  the  Severn,  to  the  rear  of  the  college  grounds, 
and  on  a  farm  to  the  west  of  the  city.  The  weather,  while  the  troops  were  in  Annapolis,  was,  for  the  greater  part  of  the  time, 
rainy,  and,  in  consequence,  the  troops  were  most  uncomfortable.  Being  all,  with  the  exception  of  the  battery,  new  levies,  they 
knew  nothing  of  camp  life,  and,  consequently,  paid  but  little  regard  to  their  own  comfort.  The  result  was  the  advent  of 
catarrhs,  fevers,  and  derangements  of  the  digestive  system.  The  men  were  entirely  regardless  of  all  hygienic  rules,  and  paid 
no  attention  to  the  advice  of  their  medical  officers.  It  was  a  common  subject  of  remark,  that  men,  who  but  a  few  weeks  before, 
occupied  positions  in  society  demanding  cleanliness  and  a  care  for  personal  appearance,  now  disregarded  it,  and  either  from 
apathy  or  laziness,  neither  washed  their  persons  nor  the  clothing  they  carried  upon  them.  The  fevers  attacking  the  men  wore 
mostly  of  a  malarious  type,  and  particularly  so  among  those  regiments  which  had  been  encamped  for  a  time,  prior  to  coming  to 
Annapolis,  in  the  vicinity  of  Washington.  Some  of  the  fevers,  too,  were  of  the  type  denominated  typhoid.  Many,  too,  which 
at  first  were  of  the  malarious  type,  in  a  short  time  presented  typhoid  symptoms  ;  but,  as  no  autopsies  were  made,  I  am  not  able 
to  say  whether  or  not  they  assumed  the  character,  in  the  intestines,  of  mesenteric  fever. 

Some  three  days  previous  to  the  embarkation  of  the  troops,  variola  made  it*  appearance  among  the  8th  Maine  Volunteers. 
Orders  were  immediately  issued  to  remove  not  only  the  sufferers,  but  all  who  had  been  in  contact  with  them.  In  consequence 
of  these  precautions,  the  disease  did  not  spread.  Vaccine  virus  too,  was  procured  from  the  Surgeon  General's  Office,  and  all 
the  men  of  the  regiment  were  vaccinated,  as  well  as  those  who  were  encamped  in  the  vicinity.  The  whole  command  would 
have  been  vaccinated  had  it  been  possible  to  procure  a  sufficiency  of  virus,  but  a  sufficiency  could  not  be  procured.  When  in 
Washington,  every  endeavor  had  been  made  to  procure  the  necessary  supplies  of  medicines,  bedding,  etc.,  for  the  expedition. 
Requisitions  for  all  these  articles,  to  fill  up  the  supplies  of  the  regiments  for  three  months,  was  made  upon  the  purveyor  at 
Washington;  and  from  the  fact  that  requisitions  for  supplies  had  been  sent  from  regiments  just  organized,  and  without  any 
supplies  whatever,  it  was  found  impossible  to  procure  the  articles  in  Washington  in  time  to  carry  them  with  the  expedition. 
On  Sunday  evening,  October  20th,  1861,  the  troops  were  embarked  on  the  steam  transports,  and  on  Monday  morning,  they  sailed 
for  Fort  Monroe,  where  the  naval  forces  were  to  join  them,  and  where,  too,  the  3d  Rhode  Island  regiment  and  some  six 
companies  of  the  New  York  Volunteer  Engineer  troops  were  awaiting  their  ai  rival.  The  troops  remained  at  Fort  Monroe  from 


REPORT    OF    SURGEON    COOPER,    U.    8.    A.  231 

the  22d  of  October  until  the  29th  of  the  same  month,  and  were  kept  on  ship  board  during  that  time,  with  the  exception  of  one 
brigade,  which  was  put  on  shore  in  a  drill,  which  was  for  the  pin-pose  of  instructing  them  in  disembarking  in  surf  boats. 
When  at  Fort  Monroe,  endeavors  were  made  to  procure  bedding,  etc.,  from  the  purveyor  at  that  place,  but,  in  consequence  of 
the  paucity  of  supplies  there,  they  could  not  be  furnished.  Supplies  of  medicines  and  hospital  stores  for  three  months  had  been 
put  up  at  the  purveyor's  depot  in  New  York,  in  quantities  sufficient  for  ten  regiments,  but  they  had  been  stored  away  in  the 
hold  of  one  of  the  transports  and  could  not  be  come  at.  Some  boxes  of  Kidwell's  disinfectant  had  been  turned  over  to  the 
quartermaster  for  the  use  of  the  transports,  when  at  Annapolis,  with  the  request  that  it  would  be  divided  among  the  ships ;  but 
instead  of  making  this  use  of  it,  it  was  placed  ou  board  the  steamship  Winfield  Scott,  and,  in  the  storm  of  November  1,  1861, 
the  greater  part  was  thrown  overboard.  Ou  Tuesday,  October  29th,  the  expedition  sailed  from  Hampton  Roads.  On  the 
morning  of  the  31st,  the  signal  officer  on  board  the  steamship  Vanderbilt,  notified  the  general  commanding,  that  a  case  of 
variola  had  made  its  appearance  in  the  8th  Michigan  regiment.  Instructions  were  sent,  to  isolate  the  patient  as  much  as 
possible.  This  was  done,  and  the  disease  did  not  spread  during  the  time  the  men  remained  on  board,  though,  some  three 
weeks  later,  it  broke  out  in  the  crew  of  the  vessel,  and  several  were  attacked  by  variola  and  varioloid.  About  the  same  time, 
too,  it  showed  itself  in  the  8th  Michigan,  who  were  ashore.  The  storm,  to  which  the  expedition  was  exposed  on  the  afternoon 
and  night  of  November  1st,  caused  the  destruction  of  the  medical  supplies  belonging  to  the  48th  New  York  and  50th  Penn 
sylvania  Volunteers,  which,  with  other  articles,  were  thrown  overboard  to  assist  in  lightening  the  vessels.  The  men  on  board 
the  transport  Winfield  Scott,  were,  for  two  days  and  nights,  without  cooked  provisions,  and  were  wet,  worn  out,  and  prostrated 
by  fatigue  consequent  upon  bailing  to  keep  the  water  from  encroaching  on  the  fires.  The  result  of  this  fatigue  and  exposure 
was  fever  of  a  low  grade,  in  several  of  the  men  belonging  to  the  50th  Pennsylvania  Volunteers,  who,  at  the  time,  were  on 
board  the  vessel.  On  the  morning  of  November  7,  1861,  after  the  capture  of  the  fort  on  Hilton  Head,  a  portion  of  the  troops, 
some  four  regiments,  were  landed  on  the  island,  and  in  the  course  of  five  or  six  days  the  whole  command  was  disembarked. 
The  men  landed  in  surf  boats,  and  were  wet  from  the  waist  down ;  no  inconvenience  seemed  to  follow  this,  though  the  men 
having  no  changes,  retained  their  wet  clothes  during  the  night.  But  two  wounded  men  were  found  in  the  vicinity  of  the  fort, 
and  these  were  found  in  an  out  house,  where  they  had  been  left  by  the  retreating  rebels.  One  of  these  had  a  wound  in  the 
back  part  of  the  head,  caused  by  a  piece  of  shell ;  the  other  had  the  thigh  wounded,  and  the  femur  shattered  at  the  neck  by  a 
piece  of  shell.  The  first  case  recovered  after  a  tedious  convalescence.  The  later  case  was  operated  on  at  the  hip  joint,  as  I 
afterwards  learned,  and  the  patient  soon  died.  Two  men  were  found  in  the  hospital  building,  who  were  prostrated  by  typhoid 
fever,  and  could  not  be  moved ;  both  of  these  recovered. 

The  labor  of  the  troops  from  the  time  of  landing  was  severe.  Heavy  fortifications  to  protect  the  land  side  of  the  island 
had  to  be  erected,  and  all  the  supplies  for  the  troops  had  to  be  brought  on  shore  in  lighters,  and  each  and  all  of  them  had  to  be 
brought  from  the  lighters  on  the  shoulders  of  the  men,  or  be  placed  by  them  in  wagons  from  the  boats.  To  do  this,  fatigue 
parties  were  compelled  to  be  wet  from  the  waist,  and,  at  the  same  time,  had  an  almost  tropical  sun  beating  upon  their  heads, 
and  much  sickness  resulted  from  this  necessary  fatigue  duty,  which,  oftentimes,  was  continued  far  into  the  night.  A  bivouac 
building,  which  had  been  much  injured  by  the  shells  from  the  fleet,  was  made  use  of  for  a  temporary  hospital,  and  the  sick  were 
carried  there  for  treatment,  until  the  proper  regimental  hospitals  were  put  in  operation.  Some  of  the  New  England  regiments 
had  brought  hospital  tents  along  with  them,  but  the  greater  number  of  the  regiments  were  entirely  without  hospital  accom 
modations.  Some  sixteen  or  twenty  hospital  tents  had  been  brought  by  the  quartermaster's  department  for  the  use  of  the 
expedition,  but  they  could  not  be  got  at,  as  they  had  been  placed  in  one  of  the  ships,  the  exact  one  not  known,  and  covered 
with  other  articles,  and  it  was  necessary  to  await  the  unloading  in  order  to  get  at  the  articles  required.  Shortly  after  the  troops 
were  disembarked,  the  malarious  fevers  of  the  southern  coast  began  to  show  themselves,  principally  among  those  encamped 
back  on  the  island,  at  a  distance  from  the  sea  beach,  and  who,  at  the  same  time,  were  on  fatigue  duty  during  the  day  in 
discharging  the  vessels.  The  island  of  Hilton  Head  is  low  and  sandy,  and,  where  not  under  cultivation,  covered  with  heavy 
pine  forests,  with  thick  undergrowth ;  on  the  side  of  the  ocean  are  heavy  ridges  of  sand,  and  back  of  these  are,  for  some 
distance,  fresh  water  swamps.  Creeks  are  numerous  through  the  island,  and  on  the  Port  Royal  harbor  side  is  a  large  salt 
marsh.  Water,  soft  and  pleasant  to  the  taste,  can  be  procured  in  any  part  of  the  island,  by  sinking  wells  twelve  or  fifteen  feet 
deep.  Much  of  the  island  is  under  cultivation,  and  fine  Sea  Island  cotton  is  produced  in  great  quantities.  The  island  is  looked 
upon  by  the  inhabitants  of  South  Carolina  as  one  of  the  most  unhealthy  on  the  coast,  and  there  are  some  portions  of  it  particularly 
so.  The  negroes  stated  that  it  was  looked  upon  as  almost  certain  death  for  a  white  man  to  travel  certain  roads  after  nightfall,  in 
the  months  of  July,  August,  September,  and  October.  From  what  I  can  learn  our  troops  did  not  find  this  to  be  the  case,  as  it  was 
necessary  to  station  our  pickets  on  all  portions  of  the  island,  and  the  cavalry  patrols  traveled  over  every  portion  of  the  island, 
as  well  by  night  as  day.  True  it  is  that  some  were  attacked  with  fevers,  but  not  more  than  would  have  been  attacked  in  any 
malarious  region  of  the  southwest.  In  many  portions  of  the  island,  spots  of  live  oak  are  found  and  paltnettoes  are  numerous. 
The  fevers  by  which  the  men  were  attacked  shortly  after  their  arrival,  were,  in  many  cases,  of  the  most  malignant  type,  and 
in  some  cases  the  patients  never  reacted  perfectly,  but  sank  on  the  first  chill.  Men  were  brought  into  the  hospital  with  what 
would  be  regarded  as  epileptic  fits,  but  what,  in  reality,  was  the  coast  fever.  These  would  froth  at  the  mouth,  have  some 
convulsions,  and,  for  the  time,  be  perfectly  demented.  The  chief  complaints  made  by-them  were  of  severe  headache,  and  of  a 
burning  skin,  when  in  reality  the  surface  was  cold  and  covered  with  a  clammy  sweat.  When  reaction  took  place,  the  skiH 
became  excessively  hot,  the  eyes  bloodshot,  the  pulse  bounding  and  corded.  When  the  fever  broke  up  the  heavy  sweat  was 
of  a  most  disagreeable  odor.  The  only  hope  for  the  patient  was  in  the  exhibition  of  free  doses  of  quinine,  thus  avoiding  the 
recurrence  of  the  paroxysms;  for  few,  if  any,  cases  recovered  if  the  disease  was  not  broken  up  after  the  second  or  third  attack. 
Shortly  after  the  landing  of  the  troops,  measles  broke  out  in  the  regiments  from  New  England,  and  small  pox  in  that  from 
Michigan.  A  variola  hospital  was  established  at  a  distance  from  the  camps,  and  all  attacked  were  transferred  thither.  The 
results  of  rubeola  in  the  New  Hampshire  regiments  were  lamentable;  many  recovering  from  the  disease,  were  attacked  with 
severe  bronchitis,  and  tuberculous  phthisis  was  rapidly  developed  iu  men  of  robust  frames  and  apparently  healthy  bodies.  This 
tendency  to  pulmonary  disease  was  far  more  observable  in  the  New  Englanders  than  in  the  New  Yorkers  or  Peunsylvanians. 


232  APPENDED    DOCUMENTS — COAST    EXPEDITIONS. 

Some  four  weeks  after  the  occupation  of  Hilton  Head,  the  brigade  of  General  Stevens,  composed  of  the  79th  New  York,  the 
50th  and  100th  Pennsylvania,  and  the  8th  Michigan  Volunteers,  were  directed  to  take  post  at  Beaufort,  South  Carolina.  The 
health  of  the  troops  composing  the  brigade  was  much  improved  by  this  change.  The  camping  grounds  and  hospital  accom 
modations  were  much  better  than  at  Hilton  Head,  and  they  were  enabled  to  procure  many  comforts  and  conveniences  unattain 
able  at  any  other  place  in  the  department.  In  fact,  the  troops  were  as  if  in  gai'rison,  and,  with  the  exception  of  the  regiment 
on  picket  duty  at  Port  Royal  ferry,  which  was  regularly  relieved,  in  truth  were  so.  About  the  time  that  Beaufort  was  occupied, 
the  46th  New  York  and  a  part  of  the  7th  Connecticut  were  ordered  to  take  post  at  Tybee  Island,  to  hold  the  same,  and 
commence  operations  for  the  siege  of  Fort  Pulaski.  The  work  performed  by  this  command  was  almost  incredible.  In  order 
to  transport  artillery  and  material  of  war  to  the  points  required,  it  was  necessary  to  make  roads  through  morasses,  which  would 
bear  up  the  heaviest  classes  of  modern  artillery.  Sand  hills  had  to  be  cut  down,  and  hollows  to  be  filled  np.  Everything, 
provisions,  guns,  ammunition,  and  all  the  numerous  articles  required  for  a  siege,  had  to  be  brought  ashore  in  boats,  and  that 
too  in  a  dangerous  roadstead,  where  the  surf  ran  higher  than  in  any  place  occupied  by  our  forces  on  the  southern  coast.  The 
earthworks  were  erected,  the  guns  and  ammunition  carried  by  hand  power  to  the  places  designated  for  them,  by  these  troops. 
The  greater  part  of  this  work  was  done  at  night,  as  it  was  necessary  to  allow  those  in  Fort  Pulaski  to  know  nothing  of  the 
position  of  the  batteries  being  erected.  The  heavy  columbiads,  rifled  siege  guns,  and  thirteen-inch  mortars,  were  hauled  to  their 
positions,  and  there  placed  during  the  night,  by  men  of  the  46th  New  York,  7th  Connecticut,  and  a  detachment  of  the  New 
York  Volunteer  Engineers.  Notwithstanding  the  fatigue  and  labor  these  troops  were  compelled  to  undergo  their  sick  list  was 
proportionately  as  small  as  in  any  regiments  in  the  department,  and  in  the  46th  New  York,  smaller. 

On  the  1st  of  January,  1862,  the  troops  under  General  Stevens,  in  conjunction  with  the  gunboats,  made  a  demonstration 
against  Port  Royal  ferry,  where  the  rebels  were  erecting  a  battery  which  commanded  the  ferry.  Our  troops  crossed  over  and 
had  a  skirmish  which  resulted  in  the  destruction  of  the  works,  the  capture  of  the  guns,  and  the  retreat  of  the  confederates. 
Our  loss  was  slight,  some  six  or  eight  wounded;  all  flesh  wounds,  with  one  exception,  a  fractured  thigh  by  a  conical  ball. 
The  patient  \vas  reported  as  having  died  from  the  effects  of  the  wound,  in  some  seventy-two  hours  after  the  skirmish.  At,  or 
a  short  time  previous  to,  the  skirmish,  the  brigade  commanded  by  Brigadier  General  E.  L,  Viele,  was  ordered  to  Daufuskie 
Island,  which  is  at  the  mouth  of  the  Savannah  River.  This  movement  was  for  the  purpose  of  facilitating  the  closing  of  the 
Savannah  River,  and  in  cutting  off  Fort  Pulaski  from  the  source  of  its  supplies,  and  to  support  the  batteries  about  to  be  erected 
on  the  islands  commanding  the  river,  as  well  as  to  place  the  troops  in  as  healthy  positions  as  the  country  would  afford.  The 
latter  indication  was  well  fulfilled,  as  in  no  place  in  the  department  was  the  health  of  the  troops  better  than  on  Daufuskie 
Island.  The  troops  sent  to  Daufuskie  were  the  47th  and  48th  New  York,  and  7th  Connecticut  Volunteers.  Brigade  Surgeon 
J.  R.  Dalton,  U.  S.  V.,  had  charge  of  the  sanitary  condition  of  this  command,  and  to  his  care  and  skill,  may  be  attributed  the 
fine  health  of  the  command.  In  the  early  part  of  January,  an  expedition  was  organized  to  act  on  the  coast  south  of  Hilton 
Head.  These  were  embarked  and  proceeded  to  Warsaw  Sound,  where  they  awaited  the  movement  of  the  gunboats.  For 
some  reason  or  other  these  were  delayed  much  longer  than  was  anticipated,  and  sickness  broke  out  among  the  troops  of  the 
6th  Connecticut  Volunteers,  and  several  cases  of  spotted  fever  showed  themselves  on  the  transport  where  they  were  crowded. 
In  consequence  of  this,  these  troops  were  ordered  to  return  to  Hilton  Head  and  disembark.  The  rest  of  the  expedition 
proceeded  south  and  took  possession  of  Fernandina,  Jacksonville  and  Saint  Augustine. 

It  had  been  regarded  as  an  axiom  that  white  men  could  not  live  on  the  low  and  marshy  lands  bordering  the  rivers  of 
the  southeastern  coast,  and  it  was  with  a  feeling  of  great  hesitation  and  anxiety  that  troops  were  ordered  to  erect  batteries  on 
the  river,  and  to  live  in  the  same,  on  the  low  lands  which  at  every  spring  tide  are  flooded.  Had  not  a  military  necessity 
demanded  the  holding  these  points,  the  experiment  would  never  have  been  made.  The  people  of  the  country  had  no  idea  that 
the  men  of  the  north  were  sufficiently  foolhardy  to  place  their  troops  where  disease  would,  in  a  short  time,  in  all  probability, 
clestroy  at  least  half,  if  not  more,  of  all  sent  there.  Fortunately  the  season  of  the  year  was  one  in  which  the  fevers  of  the 
country  assumed  their  mildest  character,  and,  though  frequent,  were  not  malignant  in  their  type.  The  character  of  the  islands 
on  which  the  batteries  were  placed,  was  such  as  would  seem  to  preclude  the  idea  of  placing  anything  like  permanent  works 
upon  them.  These  islands  are  formed  by  a  deposit  of  thick  and  tenacious  blue  mud,  are  overgrown  with  reeds,  and  at  high 
tides  are  flooded.  They  are  surrounded  by  bayous,  which  are  navigable  by  boats  of  light  draught.  Previous  to  taking- 
possession  of  the  islands,  it  was  necessary  to  bring  all  the  artillery  and  material  of  war  in  boats  from  Daufuskie  Island,  a 
distance  of  four  miles.  From  the  side  of  the  island  where  our  scows  and  light  draught  boats  were  brought  to  the  Savannah 
River  side,  was  a  distance  of  one-half  a  mile.  Over  this  distance  and  through  the  thick  and  tenacious  mud  the  men,  sinking 
almost  to  the  knees  at  every  step,  dragged  the  heavy  guns.  To  do  this,  thick  pieces  of  timber  were  placed  in  front  of  the  gun 
wheels,  and  as  soon  as  passed  over  the  pieces  behind  were  carried  to  the  front,  thus  furnishing  a  temporary  tramway.  The 
sand  bags,  filled,  were  packed  on  the  men's  shoulders  to  the  banks  of  the  Savannah,  and  then  piled  up  to  form  the  temporary 
battery.  The  hardships  and  fatigues  of  this  night's  work  can  be  better  imagined  than  described.  The  night  on  which  this 
work  was  done  was  one  of  the  most  inclement  of  the  whole  winter.  A  heavy  storm  was  raging,  a  cold  rain  was  falling,  and  it. 
was  PO  dark  as  to  render  objects  at  a  short  distance  imperceptible.  Success,  however,  crowned  the  labors  of  the  men,  and,  on 
the  following  morning,  three  large  guns  bore  upon  the  inner  channel,  and  in  a  short  time,  formidable  batteries  closed  the  river 
and  cut  off  Fort  Pulaski  from  the  main  land.  Much  interest  was  shown  to  find  out  if  northern  men  could  live  among  the  rice 
fields  of  Georgia,  as  had  so  often  been  denied.  The  result,  as  far  as  I  could  learn,  was,  that  the  sickness  among  the  soldiers 
garrisoning  the  batteries  was  not  greater  than  among  the  rest  of  the  command.  Everything  that  could  assist  in  forwarding 
the  construction  of  the  batteries  was  done,  avid  much  labor  was  put  upon  them  in  order  to  make  them  tenable.  Causeways 
across  the  island  were  built,  and  the  earth  raised  as  fast  as  possible  in  the  batteries,  so  that  the  troops  might  have  dry  footing. 
Large  dykes  were  erected  and  ditches  dug.  In  short,  everything  was  done  that  art,  aided  by  a  sufficiency  of  hands,  could 
effect.  When  the  river  was  effectually  closed  by  our  guns,  and  the  men  could  move  about  with  impunity,  sand  and  gravel  were 
brought  in  scows,  and  this  afforded  not  only  a  dry  but  a  pleasant  footing.  Some  comfortable  tents  were  pitched,  and  huts  were 
erected,  and  the  men  were  as  comfortable  as  in  more  eligible  positions.  The  troops  garrisoning  the  batteries  were  furnished 


REPORT    OF    SURGEON    COOPER,    U.    S.    A.  233 

with  the  best  supplies  at  the  command  of  the  commissary  department.  Vegetables  and  fresh  meats  wore  issued  to  them  more 
frequently  than  to  any  other  troops  in  the  department  of  the  south.  Indeed  everything  was  done  that  possibly  could  be,  in 
order  to  place  the  troops  in  a  fine  sanitary  condition.  The  medical  officers  on  duty  in  the  batteries  were  instructed  to  issue  to 
the  men  quinine  and  whiskey  as  a  prophylactic,  and  with  beneficial  effect  it  was  used,  as  the  statements  of  the  medical  officers 
informed  me.  While  referring  to  the  prophylactic  use  of  quinine,  I  would  state  that  in  such  cases  as  came  under  my  own 
observation,  I  saw  much  good  resulting  from  it.  Many  men  who  seemed  to  be  imperceptibly  almost  succumbing  to  the 
malarious  poison,  were,  in  a  short  time,  giving  indications  of  perfect  health.  I  would  strongly  recommend  its  use  in  all 
malarious  districts,  for  though  the  expense  is  considerable,  the  benefit  following  will,  I  think,  more  than  compensate  for  the 
outlay.  As  there  was  no  hospital  building  at  Hilton  Head  for  the  sick  who  might  be  brought  there,  it  was  thought  proper  to 
have  a  building  erected  with  the  capacity  of  three  hundred  and  fifty  beds,  but  which,  in  an  emergency  could  be  increased  to 
four  hundred  and  more.  At  first  it  was  intended  to  have  erected  it  in  the  pavilion  style,  but  in  consequence  of  the  severe 
storms,  which,  at  times  occur  in  the  region,  it  was  decided  that  the  hollow  square  was  stronger  and  less  liable  to  be  blown 
down ;  and  this  form,  too,  could  have  porticos  placed  around  it,  which,  in  the  southern  country,  is  an  absolute  requisite.  In 
order  that  ventilation  might  not  be  interfered  with,  the  building  was  placed  on  piers,  from  one  and  a  half  to  three  feet  in  height, 
according  to  the  inequalities  of  the  ground,  so  that  a  free  circulation  of  air  might  be  afforded  from  beneath  the  building,  to  the 
hollow  square  which  it  enclosed.  The  building  outside  and  inside  is  surrounded  by  nine  feet  porticos.  Windows  of  large  size 
are  placed  as  close  to  each  other  as  the  strength  of  the  structure  would  permit  of.  Large  folding  doors,  too,  aid  in  ventilating. 
The  wards  are  covered  with  a  ceiling  of  boards,  above  which  is  an  air  chamber  formed  by  the  roof,  which  is  rather  flat,  but 
over  three  feet  from  the  ceiling  at  the  apex.  In  this  ceiling  are  large  doors  which  open  and  shut  by  means  of  ropes  running  through 
pulleys.  The  air  in  this  air-chamber  escapes  when  heated  by  the  sun's  rays  beating  on  the  roof,  through  ventilators  placed 
at  convenient  distances  on  the  roof.  These  ventilators  are  furnished  with  blinds  to  prevent  the  ingress  of  the  rain,  but  afford 
no  obstacle  to  the  egress  of  the  heated  air.  In  the  plan  of  the  hospital  it  was  intended  to  have  iron  registers  placed  in  the  floor, 
which  could  be  opened  at  will,  to  allow  the  air  from  beneath  the  hospital  to  enter.  These  registers  had  not  been  placed  in 
position  before  I  left  Hilton  Head,  as  they  had  not  arrived  from  New  York.  I  cannot  say  if  they  have  been  furnished  or  not. 
The  kitchens,  bath-rooms,  wash  and  store-rooms,  are  in  a  series  of  buildings  placed  in  the  centre  of  the  square,  equidistant  from 
all  parts  of  the  hospital.  From  these  buildings  an  underground  drain  has  been  opened,  by  means  of  which  all  the  slops  are 
carried  off  to  the  sea  beach.  The  water  for  the  use  of  the  hospital  is  procured  from  wells  in  the  square,  of  which  some  ten 
have  been  sunk.  The  water  is  soft  and  palatable.  The  sinks  for  the  hospital  are  on  the  beach.  Piles  have  been  driven  below 
high  water  mark  and  the  privies  are  placed  thereon.  A  covered  way,  built  on  piles,  leads  to  the  sinks.  The  advantage  of  this 
position  is  the  absence  of  all  disagreeable  effluvia,  inasmuch  as  the  rising  of  the  tide,  twice  in  every  twenty-four  hours,  washes 
away  all  the  excrement  that  may  have  collected.  All  the  timber  used  in  the  erection  of  the  building  was  brought  from  New 
York,  and  much  had  to  be  considered  in  order  to  avoid  all  unnecessary  expense,  while  adaptability  was  sought  for.  The 
climate  and  position,  too,  had  to  be  regarded.  The  hospital  is  built  near  to  the  sea  beach  and  is  exposed  to  all  the  winds  from 
the  north,  east  and  south,  and  partially  to  those  from  the  west.  It  is  removed  as  far  from  the  fresh  water  swamps  as  possible, 
and  is  in  as  eligible  a  position  as  could  be  found  on  the  Island.  I  am  informed  by  Assistant  Surgeon  Semple,  II.  S.  A., 
who  has  charge  of  the  hospital,  that,  during  the  epidemic  of  yellow  fever,  in  the  summer  of  1862,  no  case  was  contracted  in 
the  hospital  or  in  its  immediate  vicinity.  The  square  inclosed  by  the  hospital  buildings  is  one  of  three  hundred  and  twenty- 
five  feet.  The  building  is  one  story  high,  with  an  open  space  beneath  ranging  from  one  and-a-half  to  three  feet.  From  this 
style  of  building  a  perfect  ventilation  is  afforded,  no  matter  from  what  point  the  wind  may  blow.  The  floors,  too,  of  the 
hospital  raised  from  the  ground  as  they  are,  with  a  free  circulation  of  air  beneath  them  are  always  dry.  I  hold  that  the  hospital 
at  Hilton  Head  is  as  well  ventilated,  and  as  well  laid  out  as  the  circumstances  and  inconvenience  under  which  it  was  built  would 
permit  of.  I  am  more  urgent  on  this  point,  in  consequence  of  seeing  certain  strictures  cast  upon  it  in  a  work  on  hygiene, 
published  by  Lippincott,  of  Philadelphia,  and  edited  by  W.  A.  Hammond,  Surgeon  General  of  the  Army  of  the  United  States. 
I  see  that  the  Surgeon  General  labors  under  a  misconception  of  the  plan  of  the  building,  as  he  is  under  the  impression  that  all 
the  ventilation  comes  through  the  openings  in  the  sides  of  the  building,  which  are  only  gates  for  the  entrance  and  exit  of  the 
ambulances  and  wagons.  The  ventilation  of  the  square  comes  from  beneath  the  buildings,  not  through  these  sallyports.  The 
hospital  is  represented  to  me  by  all  the  medical  officers  who  have  been  on  duty  in  it,  and  whom  I  have  had  an  opportunity  of 
conversing  with,  as  cool,  pleasant,  convenient  and  well  ventilated.  At  the  siege  of  Fort  Pulaski,  which  lasted  thirty-six  hours, 
the  casualties  on  the  part  of  the  federal  troops  consisted  of  one  man  killed  by  a  shell  thrown  into  our  batteries  from  the  fort. 
The  casualties  inside  of  the  fort  were  three  men  wounded,  two  of  whom  required  amputations,  which  operations  were  performed 
prior  to  the  surrender  of  the  fort.  I  know  not  what  the  results  of  these  operations  were,  as  I  left  Hilton  Head  on  the  18th 
of  April,  a  few  days  subsequent  to  the  surrender.  I  left  Hilton  Head  on  a  leave  of  absence  for  twenty  days,  granted  me  by 
General  Hunter.  On  reporting  my  presence  in  Philadelphia,  I  was  directed  to  report  in  person  to  the  Surgeon  General  in 
Washington.  On  reporting,  I  was  detailed  for  duty  as  medical  purveyor  in  Philadelphia,  where  I  remained  until  I  was  relieved 
by  Surgeon  Robert  Murray,  U.  S.  A.  Since  then  I  have  been  awaiting  orders  by  direction  of  the  Honorable  Secretary  of  War. 

Your  obedient  servant, 

GEORGE  E.  COOPER, 

SURGEON  GENERAL  U.  S.  ARMY,  Washington,  I).  C."  Surgeon  U.  S.  A. 

CLXXXII.     Extracts  from  Iteport  of  the  Casualties  in  a  /Skirmish  at  Coosaw  ] liver,  January  \ , 
lSC>2.     By  Surgeon  Gr.  E.  COOPER,  II.  S.  Army,  Mcdic;il  Director  Dejiartinciit  of  the  South. 

"A  private  of  the  8th  Michigan  was  killed,  and  an  officer  and  six  men  of  the  same  regiment  were  wounded, 
and  two  men  of  the  r>!lth  Pennsylvania  were  wounded!  The  wounds  were  all  uncomplicated  flesh  injuries,  mid  the  wounded 
did  well  at  the  hospital  at  Hilton  Head."  * 


234  APPENDED    DOCUMENTS COAST    EXPEDITIONS. 

CLXXXIII. — Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant 
Surgeon  I).  C.  PETERS,  U.  S.  Army. 

*  *  *  "In  April,  1861,  and  for  many  months  previously,  I  was  stationed  at  Fort  Davis,  Texas.  This  post  is  on  the  southern 
overland  mail  route  to  California,  and  is  about  four  hundred  and  fifty  miles  northwest  of  San  Antonio,  Texas.  The  circumstances 
of  the  troops  in  Texas,  and  the  base  surrender  of  United  States  property  in  the  State  by  the  then  commanding  general, 
have  become  historical,  and  need  not  be  recapitulated  by  me  on  this  occasion.  My  orders  were  to  join  the  command  under 
Brevet  Lieutenant  Colonel  I.  V.  D.  Reeve,  composed  of  companies  of  the  8th  United  States  Infantry,  as  it  moved  down  the 
country  from  New  Mexico  and  Arizona,  and  to  act  in  the  capacity  of  surgeon.  In  the  month  of  April,  1861,  Colonel  Reeve's 
forces,  numbering  over  three  hundred  men  arrived,  and  I  immediately  reported  to  that  officer.  We  proceeded  on  our  route,  and 
were  not  molested  until  Ave  reached  Fort  Clark,  Texas,  where  we  found  the  road  barricaded,  and  the  fort  in  readiness  to  resist 
our  approach.  Two  of  our  officers  had  been  dispatched  ahead,  to  obtain  supplies  of  which  we  stood  in  need,  and  which  we  were 
to  receive  at  the  different  military  stations  on  the  route;  but  they  were  here  detained  as  prisoners  until  our  command  came  up. 
A  conference  was  held  between  our  commanding  officer  and  the  pei'son  in  charge  of  the  fort.  The  latter  informed  us  that  war 
had  been  declared,  and  had  already  commenced,  between  the  northern  and  southern  states;  that  Fort  Sumter  had  been  captured, 
and  other  feats  had  been  performed  by  the  rebels.  He,  however,  released  our  officers,  furnished  us  provisions,  and  gave  as  an 
excuse  for  his  hostile  conduct,  that  they  had  heard  we  were  advancing  with  our  troops  and  several  thousand  Indian  allies,  to 
recapture  Fort  Clark.  Acting  under  our  instructions,  and  placing  but  little  faith  in  this  man's  statements,  we  advanced  down 
the  country,  and  were  not  again  seriously  molested  until  within  ten  miles  of  San  Antonio,  where  we  were  surrounded  by  several 
thousand  Texan  soldiers  and  a  demand  was  made  for  an  unconditional  surrender.  Our  commander  having  already  suspected 
treachery,  had  selected  for  his  position  a  hill  on  which  was  a  stone  house,  and  every  preparation  was  made  to  give  the 
enemy  battle.  A  flag  of  truce  came  in  from  General  Van  Dorn,  stating  that  the  force  surrounding  us  were  Confederate  soldiers, 
and  we  must  yield  to  his  superior  numbers  or  suffer  the  consequences.  He  allowed  Colonel  Reeve  to  send  an  experienced 
officer  to  ride  through  his  lines  and  estimate  his  strength.  On  returning,  this  officer  reported  the  enemy  in  great  force  and 
well  supplied  with  artillery.  Our  own  troops  were  but  poorly  furnished  with  ammunition,  had  but  a  scanty  amount  of 
provisions,  and  were  without  artillery.  At  least  seventy  of  the  men  were  completely  broken  down  by  scurvy  and  chronic 
diarrhoea,  and  all  were  more  or  less  worn  by  continuous  marches  over  several  hundred  miles  of  desert  country.  At  a  council 
of  war,  it  was  decided  that  it  would  be  a  useless  sacrifice  of  life  to  resist,  as  even  should  we  be  victorious,  which  appeared 
improbable,  there  was  no  chance  of  our  ultimate  success  in  escaping  from  the  country,  for  we  were  informed  that  all 
others  of  our  soldiers  had  either  vacated  the  State  or  had  been  surrendered,  and  the  transport  intended  for  our  use  had  been 
captured,  and  was  then  in  the  hands  of  the  enemy.  It  was  reluctantly  decided  to  yield  to  the  demands  of  those  who  had  but 
recently,  while  we  were  in  strength  and  could  have  defied  them,  given  false  assurances  of  being  our  friends.  Deeper  infamy 
never  defaced  the  pages  of  American  history  than  was,  in  this  instance,  practiced  against  a  handful  of  officers  and  soldiers 
who  had  been  exposing  their  lives  and  undergoing  hardships  in  defence  of  a  State,  whose  people  now  proved  themselves 
incapable  of  even  carrying  out  a  solemn  compact.  After  the  surrender,  the  command  was  detained  in  San  Antonio.  I  was 
allowed  quarters  for  a  hospital,  and,  with  the  means  at  my  disposal,  made  the  sick  as  comfortable  as  possible.  On  giving  up  our 
arms,  it  was  understood  that  the  soldiers  were  to  be  paroled  and  allowed  the  limits  of  the  county  of  Bexar,  and  the  officers  the 
limits  of  the  so-called  southern  confederacy.  These  paroles  were  not  afterward  fully  recognized,  as  the  surrender  took  place  on  the 
9th  of  May,  1861,  and  in  the  following  month  of  June,  the  soldiers  were  marched  off  to  a  camp,  where  they  were  kept  under 
guard,  and  all  intercourse  between  them  and  their  officers  was,  by  order  of  the  authorities,  suspended.  After  twenty-two  months 
of  confinement  these  men  were  exchanged.  Finding  myself  of  no  further  use  to  our  men,  I  applied  for,  and  obtained, 
permission  to  proceed  to  Richmond,  Virginia,  where  I  was  in  hopes  of  being  released,  on  the  ground,  that  as  a  surgeon,  I  might 
not  be  considered  as  an  actual  combatant.  I  was  aware  that,  in  European  countries,  the  custom  had  long  since  been  established 
of  allowing  army  surgeons  to  practice  their  humane  calling,  Avith  certain  restrictions,  without  molestation,  during  the  time,  and 
at  the  theatre  of  war,  and  in  our  own  country  the  same  custom  prevailed  during  the  Mexican  Avar.  My  application  met  Avith 
approAral,  and  I  Avas  furnished  with  the  necessary  papers,  to  protect  me  while  travelling.  I  started  on  my  journey  June  22, 
1861,  in  company  with  two  other  officers.  We  travelled  to  Galveston,  Texas,  and  found  the  port  blockaded  by  United  States 
cruisers,  Avith  Avhich  we  Avere  not  allowed  to  communicate.  From  Galveston  Ave  travelled  several  hundred  miles  overland  by  a 
circuitous  route  to  New  Orleans,  Louisiana.  During  this  part  of  our  journey  we  Avere  subjected  to  innumerable  hardships  and 
privations,  and  ran  no  small  risk  of  losing  our  lives,  as  AVC  found  the  people  excited  against  the  general  government,  and  under 
very  little  civil  restraint.  On  arriving  in  Richmond,  Virginia,  I  reported  myself,  according  to  promise,  as  a  prisoner  of  war. 
My  effort  to  obtain  an  unconditional  release  Avas  fruitless,  but  instead,  after  some  delay,  I  Avas  granted  a  very  rigid  parole,  and 
Avas  informed  that  my  only  alternative  Avas  to  accept  it  or  remain  a  prisoner.  After  duly  considering  the  subject,  I  signed  the 
paper,  and  Avas  ordered  to  proceed  north  by  Nashville,  Tennessee.  * 

I  was  next  ordered  to  Fort  Pickens,  Florida,  and  started  for  that  place  April  2,  186;!.  I  Avent  by  Havana  and  Key  West, 
in  the  first  conveyance  that  offered,  and  reached  Fort  Pickens,  Avithout  delay,  about  the  15th  of  the  same  month.  By  Surgeon 
John  Campbell,  U.  S.  A.,  senior  medical  officer  at  Santa  Rosa  Island,  I  was  assigned  to  duty  in  the  post  hospital,  and  had 
charge  of  the  sick  and  Avounded  of  the  regular  artillery  battalion,  the  numerical  strength  of  Avhich  Avas  in  the  neighborhood 
of  eight  hundred  men,  Avith  fifteen  officers.  The  other  troops  stationed  on  the  island  Avere  the  6th  and  75th  NCAV  York  Volunteers, 
both  of  Avhich  regiments  \vere  composed  of  most  excellent  material,  and  Avere  under  good  discipline  and  drill.  The  regulars 
Avere  model  soldiers,  and,  by  their  officers,  Avere  considered  perfect  in  all  that  pertained  to  their  special  branch  of  the  service. 
The  health  of  all  these  soldiers  was  far  above  the  usual  standard  in  garrisons  more  favorably  located.  The  men  suffered 
from  scurvy,  intermittent  fever  and  diarrhoea,  which  sickness  was  caused,  in  a  great  measure,  by  the  sameness  of  their  diet,  the 
impossibility  of  obtaining  fresh  vegetables,  and  the  inferior  quality  of  the  fresh  meat,  which  unavoidably  became  damaged  in 
transit.  Each  volunteer  regiment  had  its  own  hospital,  mid  Avas  well  supplied  Avith  the  substantiate  necessary  for  field  service. 


REPORT    OF    ASSISTANT    SURGEON    ]).    C.    PETERS,    U.    S.    A.  235 

Besides  those  throe  hospitals,  there  was,  at  a  distance  of  one  and  three-quarter  miles  above  the  fort,  a  general  hospital  for  the 
vise  of  our  worst  cases.  On  account  of  its  eligible  locality,  it  was  constantly  in  use,  and  with  beneficial  results.  The  supplies 
of  medicines  at  the  fort  were  liberal,  embraced  a  great  variety,  and  were  a  credit  to  the  department.  During  the  long  and 
faithful  service  at  this  isolated  fort  by  Surgeon  John  Campbell,  he  justly  won  the  esteem  of  both  officers  and  men.  In  the 
early  part  of  May,  the  enemy  fired  forts  McRae  and  Barrancas,  and  also  the  marine  hospital,  the  town  of  Warrenton,  their 
barracks,  and  the  United  States  navy  yard.  The  conflagration  was  a  fearfully  grand  spectacle.  Our  heavy  artillery  immediately 
opened  with  the  object  of  driving  away  the  incendiaries,  and,  in  a  measure,  succeeded.  The  firing  commenced  early  in  the 
evening  and  continued  all  night,  and  Avas  heard  many  miles  at  sea.  It  attracted  the  attention  of  Commodore  Porter,  on 
the  United  States  frigate  Harriet  Lane.  He  hastened  to  ascertain  its  cause.  The  commander  of  the  forces  at  Fort  Pickens 
General  L.  G.  Arnold,  U.  S.  V.,  had  matured  a  plan  to  make  an  assault  on  the  Pensacola  forts,  but  he  had  not  facilities  to  cross 
to  make  the  attack.  Commodore  Porter  gave  General  Arnold  the  use  of  his  vessel,  and  in  her,  on  the  following  day,  six 
hundred  regular  soldiers  crossed  to  the  mainland  to  drive  away  the  enemy  and  to  arrest  the  conflagration.  I  was  ordered  to 
accompany  this  expedition.  We  landed  without  opposition,  and  at  Fort  Barrancas  arrested  the  fire,  and  took  several  cannon 
and  other  trophies.  The  Harriet  Lane  brought  us  reinforcements,  and,  when  all  was  ready,  we  marched  on  to  the  town 
of  Pensacola,  which  the  enemy  vacated  as  we  entered  it.  Our  force  not  being  sufficiently  strong  for  a  further  advance  our 
men,  for  several  days  afterward,  were  employed  in  fortifying  the  place,  and  saving  as  much  property  as  could  be  gathered 
from  the  ruins.  The  citizens  remaining  at  Pensacola  were  found  to  be  in  a  destitute  condition.  The  city  itself  was  filthy,  and 
most  of  the  wealthy  people  had  deserted  it.  Our  lines  had  become  extensive,  and  we  required  more  troops  to  make  the  place 
tenable.  In  close  proximity  to  us,  the  enemy  had  a  large  force,  easy  to  be  reinforced  from  Mobile.  A  request  was  sent  to  Key 
West  for  reinforcements,  and  the  91st  New  York  volunteer  regiment  was  dispatched  to  our  aid.  On  the  remains  of  the  old 
Spanish  fort,  San  Miguel,  the  site  commanding  the  city  and  its  environs,  our  men  were  employed  in  erecting  fortifications, 
which,  when  completed,  mounted  ten  guns.  The  medical  officers  were  given  suitable  houses,  and  soon  had  four  capacious 
hospitals.  The  town  was  thoroughly  policed,  and  the  quarters  of  the  men  were  thoroughly  purified  before  they  were  occupied. 
The  health  of  the  91st  New  York  Volunteers  was  miserable  on  its  arrival,  but  it  was  gradually  improved  by  attending1  to  the 
ordinary  laws  of  hygiene  and  thorough  discipline.  *  *  Pensacola  is  nearly  encircled  by  a  swamp,  and  as  the  hot  weather 
advances,  this  marsh,  if  neglected,  dries  up,  and  then  commences  a  bad  miasm  from  decayed  animal  and  vegetable  matter.  That 
this  might  be  prevented,  measures  were  taken  to  dam  up  the  outlets,  and  only  let  the  water  escape  gradually.  In  this  manner 
the  health  of  the  city  was  in  a  great  measure  preserved.  The  principal  diseases  we  had  to  contend  against  were  intermittent, 
remittent  and  continued  fevers,  also  diarrhoea  and  dysentery ;  yet,  but  few  cases  terminated  unfavorably.  In  June,  1862,  the 
Dengue  or  break-bone  fever  made  its  appearance,  and  was  a  troublesome  complaint  during  the  remainder  of  the  season.  As  it 
is  considered  a  precursor  of  the  yellow  fever,  every  precaution  was  now  taken  to  prevent  that  terrible  scourge  from  making 
its  appearance.  The  medical  director  issued  stringent  quarantine  laws,  which  were  faithfully  carried  out;  and  thus  our 
garrison  escaped  to  a  certain  extent,  although,  accidentally,  the  fever  came  near  being  forced  upon  us.  At  Mobile,  the  disease 
was  reported  to  be  raging  at  a  fearful  rate,  having  been  introduced  there,  it  was  said,  by  a  rebel  steamer  called  the  Oreto, 
afterward  the  Florida,  which  ran  the  blockade,  and  brought  the  disease  from  Havana.  At  Key  West,  yellow  fever  was  causing 
sad  havoc,  and  a  naval  officer,  on  his  way  to  join  Admiral  Farragut's  fleet,  touched  there,  contracted  the  seeds  of  the  disease, 
and  on  reporting  on  board  the  flag  ship  Hartford,  at  the  Pensacola  navy  yard,  was  taken  down  with  it,  and  soon  died.  Others 
were  soon  affected,  and  several  of  these  cases,  I  understood,  terminated  fatally.  The  close  proximity  of  the  navy-yard  to  our 
forces  rendered  our  danger  extreme,  yet  we  escaped  with  the  loss  of  only  one  man.  He  was  a  regular  soldier,  and  was  seized 
with  symptoms  of  the  fever  early  in  the  morning,  and  died  in  the  hospital  under  my  charge  the  same  day.  I  made  a  post 
mortem,  and  found  pathological  conditions  which  satisfied  me  of  the  man's  true  complaint.  For  reasons  of  policy,  knowing 
that  the  fear  of  disease  predisposes  men  to  it,  I  kept  my  own  counsel,  destroyed  the  man's  clothing,  used  antiseptics  freely,  and, 
in  fine,  employed  every  means  in  my  power  to  prevent  the  fever  spreading.  Very  fortunately  I  met  with  success,  as  no  other 
case  occurred.  At  Pensacola  a  complaint  was  quite  common  among  the  men  last  season  which  was  new  to  me,  and  proved 
interesting.  It  was  called  'ground  itch '  by  the  lower  classes,  and  is  no  doubt  akin  to  scabies.  It  is  vesicular  in  character,  and 
is  confined  to  the  feet  and  ankles.  Owing  to  the  heat,  the  men  were  in  the  habit  of  going  about  in  the  sand  with  shoes  on, 
but  no  stockings,  and  thus  the  parasite  was  first  received  and  then  spread.  Under  the  use  of  sulphur  ointments  and  cleanlmesss 
the  disease  was  easily  eradicated.  Before  closing  the  subject  of  yellow  fever,  I  would  here  state  that  the  island  of  Santa  Rosa 
could  be  rendered  available  to  troops  serving  in  the  Department  of  the  Gulf,  as  a  place  of  safe  refuge,  in  case  they  either  have 
or  are  threatened  with  this  terrible  epidemic.  There  is  no  spot  on  the  western  coast  of  Florida  more  favorable  for  establishing 
a  large  general  hospital,  either  for  the  army  or  navy,  during  the  time  of  war,  and  experience  has  taught  us  its  immense  value 
in  a  sanitary  point  of  view. 

In  addition  to  the  regular  duties  devolving  upon  me,  in  attending  to  the  regular  battalion  at  Pensacola,  I  was  directed  by 
the  commanding  general  to  give  my  professional  services  to  the  citizens  of  the  city,  and  supply  them  with  all  necessary 
medicines.  The  physicians  belonging  to  the  city  had  taken  their  departure,  and  some  were  serving  with  the  rebel  army.  In 
giving  my  services  to  these  poor  people,  mostly  women  and  children/ 1  found  them  ever  grateful,  and  it  was  a  source  of 
satisfaction  to  me  to  aid  in  alleviating  their  sufferings.  The  number  of  cases  treated  by  me,  among  these  citizens,  far  exceeded 
the  same  among  the  soldiery,  and  my  time,  especially  at  night,  was  fully  occupied.  I  found  intermittent,  bilious,  and  remittent 
fevers  were  more  common  in  this  locality  than  I  had  supposed,  as  my  opinions  had  been  formed  on  this  subject  from  medical 
works.  While  stationed  here,  I  accompanied  two  expeditions  up  the  Black  Water  River,  in  which  much  valuable  property 
belonging  to  the  Navy  Department  was  recaptured  without  the  loss  of  a  man  on  our  side.  Early  in  September,  the  companies 
of  regulars  stationed  at  Pensacola  were  ordered  to  New  Orleans,  and  I  was  directed  to  accompany  them.  On  arriving  in  New 
Orleans,  we  were  encamped  first  in  Annunciation  square,  and  afterward  wen-  moved  to  the  Molarie  race  course,  where  our 
command  used  the  visitors'  stand  for  quarters.  A  portion  of  the  stand  was  appropriated  fora  hospital :  I  remained  in  charge  of 
this  hospital,  and,  by  order  of  Hie  medical  director,  Surgeon  Charles  Mct'otmiek,  I'.  S.  A.,  was  detailed  as  acting  medical 


236  APPENDED    DOCUMENTS COAST    EXPEDITIONS. 

inspector  of  the  department.  In  this  capacity,  I  was  employed  in  visiting  hospitals,  examining  men  who  had  heen  recommended 
for  discharge  hy  their  regimental  surgeons,  and  in  rendering  such  other  assistance  as  lay  in  my  power.  All  officers  applying 
for  furloughs,  or  who  contemplated  resigning  on  the  plea  of  ill  health,  had  to  be  examined  and  have  their  certificates  made  out 
by  me,  before  they  were  presented  to  the  medical  director.  The  buildings  used  for  hospitals  in  the  city  and  its  environs  were 
generally  judiciously  selected,  and  were  the  most  suitable  buildings  that  could  be  obtained;  the  extensive  experience  of  our 
worthy  medical  director,  in  treating  diseases  in  this  locality,  enabled  him  to  make  some  very  important  and  beneficial  improve 
ments  in  them.  The  two  largest  general  hospitals  were  styled  the  St.  James,  formerly  a  hotel,  and  the  Marine,  a  government 
building,  which,  being  erected  upon  made  ground,  was  unhealthy.  There  were,  besides  these,  regimental  and  other  hospitals, 
scattered  about  the  city,  and  at  Carelton,  six  miles  distant,  Surgeon  McCormick  caused  another  general  hospital  to  be 
established.  In  proportion  to  the  number  of  troops  in  the  department,  the  amount  of  sickness  was  very  large,  and  the  care  of 
them  severely  taxed  the  energies  of  the  medical  officers.  The  rebel  army  had  used  up,  destroyed,  or  carried  awray  most  of  the 
articles  essential  to  the  sick,  en  evacuating  the  city.  The  supplies  shipped  from  New  York  were  not  equal  to  the  demand  for 
them,  and,  until  Surgeon  McCormick  could  establish  manufactories  and  regulate  the  means  of  promptly  supplying  them,  there 
were  some  just  grounds  of  complaint.  From  the  day  of  his  first  assuming  charge  of  the  department,  there  was  a  marvelous  and 
steady  improvement  in  the  arrangements  made  for  the  care  of  the  sick,  and,  under  his  able  management,  the  sanitary  condition 
of  the  city  was  never  heretofore  equaled.  The  greater  part  of  the  soldiers  under  Major  General  B.  F.  Butler  were  from  the 
Eastern  States,  and  were  unused  to  the  malaria  and  the  heat  of  this  section  of  the  country.  Prior  to  occupying  New  Orleans, 
their  health  had  been  much  undermined  by  service  on  Ship  Island,  in  the  Gulf.  The  expedition  under  the  late  General  Williams 
against  Vicksburg,  and  the  commencement  of  the  canal  opposite  that  city,  greatly  augmented  the  sickness  in  this  department, 
otherwise  the  men  remained  in  an  average  state  of  health,  compared  with  the  natives.  The  quarantine  laws  instituted  by 
General  Butler,  as  after  experience  verified,  had  the  effect  of  keeping  the  yellow  fever  from  the  city ;  although  cases  of  the 
disease  were  quite  numerous  at  tlie  quarantine  station,  which  was  located  at  a  safe  distance  below  the  city,  and  on  the  Mississippi 
River.  At  the  race  course,  the  regular  battalion,  both  officers  and  men,  suffered  severely  from  intermittent  fever,  and  it  finally 
became  necessary  to  change  their  position  to  a  more  eligible  locality,  where  the  disease  abated  toward  the  latter  part  of 
November,  1882.  I  was  relieved  from  duty  in  this  department,  and  received  orders  to  take  charge  of  Brigadier  General  L.  G. 
Arnold,  U.  S.  V.,  who  was  laboring  under  general  paralysis,  the  result  of  a  coup  de  soleil,  received  while  reviewing  the  brigade 
under  General  Weitzel,  in  the  streets  of  New  Orleans,  and  to  accompany  him  to  his  home  in  Boston,  Massachusetts.  Our 
voyage  was  made  without  accident,  and  was  of  great  benefit  to  the  general,  whom  I  left  among  his  relatives,  and  then  reported 
myself  at  Washington." 


CLXXXIV.     l?cj)ort  of  the    Operations  of  the  Medical  Department  at  the   Occupation  of 
Roanoke  Island.      By  Brigade  Surgeon  "W.  II.  CHURCH,  U.  S.  Volunteers,  Medical  Director. 

"GENERAL  I  have  the  honor  to  submit  the  following  report  of  the  killed  and  wounded  of  your  command,  consequent 
upon  the  attack  on  Eoanoke  Island,  February  7, 1862.  A  small  boat  having  been  ordered  on  shore  to  reconnoitre,  was  attacked 
by  the  enemy,  when  Charles  Viall,  a  private  of  Company  E,  of  the  5th  Rhode  Island  battalion,  received  a  wound  in  the  lower 
jaw,  causing  a  compound  comminuted  fracture,  from  which  he  will  probably  recover.  February  8th,  upon  the  advance  of 
General  J.  G.  Foster,  the  few  houses  and  outhouses  at  Ashby's  Landing  were  at  once  prepared  for  the  reception  of  the  wounded, 
and  placed  in  charge  of  Surgeon  M.  Storrs,  8th  Connecticut  Volunteers,  his  regiment  having  been  ordered  there  to  protect  the 
landing  of  our  forces  and  to  hold  the  position.  Brigade  Surgeon  J.  H.  Thompson  now  advanced  with  the  troops,  to  take  charge 
of  the  wounded  on  the  field  of  battle,  where  he  remained  until  the  battery  was  taken,  assisting  in  the  care  of  the  wounded, 
and  sending  them,  with  the  least  possible  delay,  to  the  field  hospital.  Through  the  energy  of  Dr.  Thompson,  much  suffering  has 
been  avoided.  Finding  that  there  was  not  sufficient  room  in  these  buildings  to  receive  the  wounded,  we  immediately  took 
possession  of  Ashby's  house,  a  short  distance  from  the  first,  and  quite  as  convenient  to  the  field  of  action.  The  5th  Rhode 
Island  battalion  having  been  ordered  to  guard  this  point,  Assistant  Surgeon  A.  Potter,  Rhode  Island  Volunteers,  took  charge 
of  it,  until  further  assistance  could  be  procured.  Surgeon  David  Minis,  jr.,  48th  Pennsylvania  Volunteers,  who,  after  the  death 
of  Surgeon  F.  S.  Weller,  9th  New  Jersey  Volunteers,  by  drowning  at  Hatteras  Inlet,  was  detailed  to  serve  with  the  9th  New 
Jersey,  was  soon  placed  in  charge  of  this  temporary  hospital,  where  there  was  sufficient  room  to  receive  all  the  wounded  not 
provided  for.  During  the  action  of  this  day,  Colonel  Charles  L.  Russell,  of  the  10th  Connecticut  Volunteers,  was  shot  through 
the  lung,  and  died  almost  immediately.  Lieutenant  Colonel  Vigiuer  de  Monteuil,  of  the  53d  New  York  Volunteers,  was  also 
killed,  by  a  ball  passing  through  his  brain.  Accompanying  this,  you  will  find  a  list  of  the  killed  and  wounded  of  each  regiment 
that  participated  in  the  engagement.  The  surgical  portion  of  your  command  has  performed  its  duties  faithfully  and  fearlessly. 
Surgeon  J.  Marcus  Rice,  of  the  25th  Massachusetts  Volunteers,  was  wounded  in  the  midst  of  his  very  arduous  duties.  The 
ball  grazed  his  side,  fortunately  without  inflicting  a  severe  wound.  We  have  found  three  large,  commodious,  and  well 
ventilated  buildings  erected  upon  the  island  for  hospital  purposes,  which  Avill  afford  ample  accommodation  for  our  sick  and 
wounded.  The  largest  hospital,  at  the  north  end  of  the  island,  I  have  placed  in  charge  of  Surgeon  S.  A.  Green,  of  the  24th 
Massachusetts  Volunteers,  and  Surgeon  George  A.  Otis,  of  the  27th  Massachusetts  Volunteers,  has  the  management  of  the  two 
hospitals  near  the  fort,  at  the  centre  of  the  island.  I  would  respectfully  ask  your  attention  to  the  fact  that  the  wounded  of  the 
enemy  have  received  the  same  care  and  attention  from  the  surgeons  as  our  own  wounded.  Permit  me  to  take  advantage  of  this 
opportunity  to  express  our  gratitude  to  the  officers  of  the  U.  S.  gunboat  Delaware,  the  surgeon  having  dressed  a  large  number 
of  our  wounded. 

I  am,  General,  very  respectfully,  your  obedient  servant, 

WM.  HENRY  CHURCH, 
To  General  A.  E.  BuiiXSiDi;."  Uriyadc  Surgeon  U.  S.  V. 


EEPORTS    OF    MKDICAL    OFFICERS.  237 

CLXXXV.  •  Extracts  from  a  llcport  on'  the  Battle  of  Itoanoke  Island.     By  Surgeon  J.  II. 
THOMPSON,  U.  S.  Volunteers. 

"The  1st  brigade.  General  J.  G.  Foster's,  of  General  Burnside's  division,  landed  on  Roanoke  Island  on 
April  7,  1862.  On  the  morning  of  the  8th,  our  troops  engaged  the  enemy  soon  after  dawn.  I  selected  the  best  spot  I  could 
find  out  of  range  of  the  enemy's  battery  to  have  the  wounded  brought  to,  but  the  island  being  flat  and  marshy,  there  was  no 
perfect  protection  from  the  rifle  balls.  During  the  time  the  action  lasted  the  men  fell  very  fast,  and  I  found  it  impossible  to 
separate  regiments  or  brigades,  and  instructed  the  surgeons  on  the  ground  to  attend  to  any  case  which  was  first  brought  in 
without  regard  to  regiments.  The  spot  which  was  originally  selected  soon  became  filled,  and  one  on  the  opposite  side  of  the 
road  was  cleared  for  the  same  purpose.  This  I  could  not  visit  during  the  engagement,  but  all  who  were  taken  there  were 
well  attended  to  by  the  surgeons  in  charge.  One  hundred  and  twenty-two  passed  under  my  direction,  but  very  few  of  which 
were  slight  wounds.  The  following  cases  I  considered  it  best  to  amputate  on  the  field :  One  man  with  both  lower  extremities 
shattered  by  a  cannon  ball,  one  man  with  his  arm  shattered  above  the  elbow,  two  with  compound  comminuted  fractures  of  the 
lower  third  of  the  femur  by  grape-shot.  Two  others,  with  similar  injuries,  I  directed  the  attending  surgeons  to  amputate. 
With  the  exception  of  one  case,  all  who  were  amputated  on  the  field  are  doing  well,  and  the  exceptional  case  was  complicated 
by  a  wound  in  the  abdomen,  not  discovered  at  the  time.  *  *  There  were  seventeen  killed  and  one  hundred  and  fourteen 
wounded  in  the  brigade." 


CLXXXVI.     Extracts  from  Report  of  the  Casualties  at  the  Battle  of  New  Berne.     By  Brigade 
Surgeon  "W.  H.  CHURCH,  U.  S.  Volunteers,  Medical  Director. 

"I  arrived  at  the  rear  of  the  field  of  action  about  eight  o'clock  A.M.,  and  had  just  located  the  hospitals, 
when  the  wounded  made  their  appearance.  Brigade  Surgeon  J.  H.  Thompson  located  his  hospital  in  the  woods  at  the  rear 
of  the  first  brigade.  Surgeon  C.  Cutter,  21st  Massachusetts  Volunteers,  of  the  second,  located  his  on  the  left  of  our  line, 
and  Surgeon  II.  AV.  Rivera,  4th  Rhode  Island  Volunteers,  of  the  third  brigade,  established  his  in  an  open,  well-sheltered  wood, 
just  to  the  right  of  the  first  brigade.  From  the  list  of  casualties  it  will  be  well  understood  that  the  labor  of  the  medical  corps 
has  been  very  severe,  especially  after  the  long  march  and  comfortless  night  before  the  day  of  action.  The  conduct  of  Surgeon 
George  Derby  and  Assistant  Surgeon  S.  E.  Stone,  both  of  the  23d  Massachusetts  Volunteers,  is  deserving  of  special  mention. 
Before  the  action  opened,  I  located  them  at  a  point  which  proved  to  be  in  the  immediate  range  of  the  enemy's  fire.  They  must 
have  remained  there  two  hours  before  I  thought  of  their  position,  when  I  found  them  quietly  performing  their  operations,  with 
the  balls  falling  thick'  and  fast.  I  immediately  ordered  Dr.  Derby  to  remove  his  wounded  to  a  house  in  a  more  protected 
position,  where  he  remained  in  charge  of  his  own,  and  of  many  other  wounded.  :  '  Drs.  Upham,  Kneeland,  Batchelder, 
and  Clarke  joined  us  at  Hatteras  Inlet,  and  were  of  great  assistance,  both  in  the  field  and  in  hospital." 


CLXXXVJI.     Extracts  from  a  Narrative  of  his  Services  during  the  War.     By  Surgeon  B.  B. 
BREED,  IT.  S.  Volunteers. 

"My  first  commission  in  the  service  dates  April  16,  1861,  when,  as  Surgeon  of  the  8th  Massachusetts  Militia, 
I  proceeded  to  Annapolis,  and  afterward  to  Washington.  :  *  The  regiment  was  not  under  fire  during  its  term  of  service, 
and  the  only  medical  fact  worthy  of  note,  is  its  comparative  immunity  from  disease.  Of  the  eight  hundred  men  composing  it, 
none  had  undergone  a  physical  examination ;  but,  though  subject  to  much  exposure,  none  died.  ;  After  six  months, 

.occupied  principally  in  the  examination  of  recruits,  I  was  assigned  to  the  Circle  hospital  in  Washington,  afterward  to  Armory 
Square  and  Finley  hospitals,  and  on  November  1,  1862,  as  medical  purveyor  at  New  Berne.  *  The  routine  of  duty  in  the 

department  of  North  Carolina  was  monotonous;  but  one  movement  of  importance  taking  place  after  my  arrival,  namely,  an 
expedition  to  Goldsboro',  January,  1863.  This  movement  was  marked  by  three  engagements — at  Kinston,  Whitehall,  and 
Goldsboro'.  I  accompanied  the  expedition  with  additional  medical  stores,  and  my  duties  were  principally  confined  to  the 
supplying  of  field  hospitals  with  articles  needed.  :  The  column  was  composed  of  eighteen  infantry  regiments,  four 

batteries,  and  one  regiment  of  cavalry.  They  were  all  well  equipped.  Each  regiment  was  furnished  with  a  hospital  wagon, 
panniers,  and  a  hospital  knapsack,  and  a  proper  allowance  of  hospital  stores.  No  hospital  tents  were  carried.  The  ambulances 
were  of  the  two-wheeled  Coolidge  pattern.  They  were  insufficient  in  number,  and  nearly  worn  out.  In  all  these  engagements 
the  wounded  were  attended  in  houses  on  or  near  the  battlefield.  Good  water  was  generally  accessible,  and  sufficient  supplies 
of  soups,  bread,  and  farinaceous  food  and  stimulants  were  provided  from  the  stores  in  my  possession.  The  wounded  were 
removed  from  the  fields  of  action  to  the  field  hospitals  by  detachments  of  men  selected  by  the  regimental  surgeons.  The 
ambulances  for  each  brigade  Were  under  the  charge  of  the  senior  surgeons  of  brigade.  '  The  wounded  at  Kinston  and 

Whitehall  were  left  at  the  field  hospitals,  under  charge  of  surgeons  detailed  for  the  purpose,  until  the  return  of  the  column 
from  Goldsboro'.  Nearly  one  half  of  the  wounded,  numbering  in  all,  five  hundred,  were  carried  to  New  Borne  in  ambulances 
or  army  wagons.  The  others  were  taken  below  Kinston,  on  the  Neuse  River,  on  board  of  a  stern-wheel  flat-bottomed  steamer, 
and  on  a  scow  towed  by  the  steamer.  The  wounded  were  much  crowded  on  these  boats.  The  facilities  for  cooking  were  very 
limited.  Only  by  constant  exertion  were  we  able  to  furnish  the  necessary  supplies.  In  the  narrow  and  crooked  river,  the 
steamer,  cumbered  by  the  scow,  was  nearly  unmanageable,  and  we  were  twenty-nine  hours  in  accomplishing  the  voyage  of 
sixty  miles.  The  nights  were  excessively  cold,  but  the  men  were  well  provided  with  extra  blankets.  The  wounded 

were  all  placed  in  hospital  at  New  Berne.  Almost  all  the  operations  were  primary,  and  were  performed  at  the  field  hospitals. 
Chloroform  was  almost  invariably  employed  as  an  anaesthetic,  arid  without  bad  effects  in  any  case.  On  this  expedition 

the  following  articles  were  taken  by  me  on  two  large  army  wagons:  eighty  bed  sucks,  two  hundred  blanket.-,  forty  pound.-  of 


238  APPENDED    DOCUMENTS COAST    EXPEDITIONS. 

tea,  fifty  pounds  of  candles,  forty-eight  pounds  of  ether,  ten  ounces  of  sulphate  of  morphia,  ten  pounds  of  simple  cerate,  onft 
hundred  dozen  bandages,  twelve  dozen  bottles  of  whiskey,  twelve  dozen  of  wine,  two  pounds  of  tow,  forty  strips  of  pasteboard, 
forty-eight  ounces  of  tincture  of  opium,  ten  pounds  of  Dover's  powder,  one  hundred  dozen  opium  pills,  fifty  yards  of  adhesive 
plaster,  two  sets  of  assorted  splints,  ten  ounces  of  sulphate  of  iron,  one  pound  of  liquor  of  ammonia,  ten  pounds  of  lint,  twenty- 
five  gutta  percha  bed  covers,  one  hundred  dozen  quinine  pills,  twenty  ounces  sulphate  of  quinia,  one  hundred  dozen  compound 
cathartic  pills,  fifteen  pounds  of  flax-seed  meal,  one  set  of  horse  panniers,  one  hospital  knapsack,  six  basins,  two  bedpans,  one 
hospital  mess  chest,  two  lanterns. 

At  the  commencement  of  an  engagement,  these  wagons,  which,  on  the  march,  were  placed  in  rear  of  the  ambulance 
train,  and  in  front  of  the  supply  train,  were  brought  to  the  houses  selected  for  the  field  hospitals,  and  such  articles  as  were  of 
immediate  use  issued  to  the  surgeons  in  charge.  The  bed  sacks  wTere  filled  with  corn  shucks,  and,  with  the  army  blankets, 
furnished  clean  and  comfortable  beds  for  the  wounded,  as  they  were  brought  in  from  the  field.  There  was  a  deficiency  of 
cooking  utensils,  which  will  be  obviated  as  soon  as  the  new  medicine  wagons,  already  ordered,  shall  be  furnished  to  the 
department.  I  am  convinced  that  extra  stores  thus  provided,  can  be  of  great  benefit  in  case  of  an  engagement;  they  should  be 
assigned  in  definite  quantities  to  each  division,  under  charge  of  an  officer  whose  duty  it  should  be,  on  the  eve  of  an  engagement, 
to  bring  these  wagons  to  the  places  selected  for  field  hospitals,  to  prepare  a  kitchen  and  food  for  immediate  use.  Such  an 
arrangement  would  obviate  the  necessity,  on  the  part  of  the  regimental  surgeons,  of  burdening  themselves  with  extra  stores. 
The  ordinary  knapsack  and  panniers  contain  supplies  sufficient  for  the  ordinary  wants  of  a  regiment  on  the  march.  The  officers 
detailed  with  each  division,  could  discharge  the  duties  of  acting  assistant  medical  purveyors,  accounting  for  their  issues  with 
invoices  and  receipts,  as  vouchers  to  the  medical  purveyor  of  the  corps."  * 


CLXXXV1IL  Extracts  from  Jteports  relative  to  the  Orjerations  of  the  Medical  Staff  in  the 
department  of  North  Carolina^  from  August,  1863,  to  the  Close  of  the  War.  By  Surgeon 
D.  "VV.  HAND,  U.  S.  Volunteers,  Medical  Director  in  North  Carolina. 

*  *  *  "  On  August  14,  1863, 1  relieved  Surgeon  F.  G.  Snelling,  U.  S.V.,  as  medical  director  of  North  Carolina.  *  * 
On  assuming  charge  of  the  medical  department,  I  found  fourteen  thousand  troops  in  the  district.  Seven  thousand  of  them 
were  in  and  about  New  Berne.  Most  of  them  were  encamped  on  the  outskirts  of  the  town,  and  between  it  and  the  extensive 
swamps  everywhere  surrounding  New  Berne.  They  were  in  either  sto'ckade  tents  or  temporary  barracks,  and  for  the  most 
part  were  in  a  good  state  of  discipline.  One  regiment,  the  27th  Massachusetts  Volunteers,  was  doing  provost  guard  duty,  and 
was  quartered  in  large  dwelling  houses  in  the  town.  Extensive  entrenchments  had  recently  been  thrown  up  around  the  city, 
ditches  had  been  dug,  and  a  belt  of  brush  and  timber  about  one  mile  wide  had  been  cleared  in  front  of  the  breastworks.  During 
September  and  October,  it  was  found  that  the  intei-mittent  and  remittent  fevers  prevailed  extensively.  The  number  of  men 
daily  off  duty  oh  account  of  sickness  being  from  forty  to  one  hundred  and  sixty-eight  in  each  regiment.  A  number  of  cases  of 
congestive  fever  occurred,  producing  death  within  from  six  to  thirty  hours  after  the  attack.  I  have  reason  to  believe  that  some 
of  these  cases  were  mistaken  for  cerebro-spinal  meningitis  by  the  medical  officers  in  attendance.  Considering  the  amount  of 
sickness,  however,  at  this  time,  the  mortality  was  not  great.  Each  regiment  had  a  hospital  of  its  own,  with  a  liberal  supply 
of  medicine  and  stores,  and  most  of  the  medical  officers  were  active  and  intelligent.  There  were  also  in  New  Berne  two  general 
hospitals  for  the  reception  of  such  cases  as  the  regimental  surgeons  saw  fit  to  send  to  them.  In  October,  these  hospitals  were 
united  under  the  charge  of  Surgeon  J.  Delamater,  U.  S.  V.,  and  thereafter  formed  the  Foster  general  hospital,  with  a  capacity 
of  five  hundred  beds.  To  this  hospital  were  brought  chronic  and  tedious  cases  from  all  parts  of  the  district.  The  regiment 
quartered  in  the  city  suffered  very  little  from  malarial  fevers,  and  all  through  the  fall  was  remarkably  healthy.  It  was  also 
noticed  that  the  92d  New  York  Volunteers,  stationed  at  Fort  Anderson,  on  the  east  bank  of  the  Neuse  Eiver,  and  where  the 
prevailing  southwest  wind  reached  it  only  after  passing  over  a  two  mile  stretch  of  water,  was  remarkably  free  from  intermittent 
fever,  and  its  sick  list  was  very  small.  A  number  of  fatal  cases  of  congestive  fever,  however,  occurred  among  these  men.  *  * 

In  November  and  December,  1863,  six  regiments,  numbering  about  thirty-five  hundred  men,  were  ordered  to  Fort  Monroe. 
No  active  operations  whatever  were  undertaken  in  North  Carolina  by  the  remaining  troops,  and  through  the  winter  they  did 
merely  garrison  and  light  picket  duty.  During  the  winter  of  1863  and  1464,  small  pox  prevailed  extensively  among  the 
refugees  and  negroes  congregated  in  and  about  New  Berne.  Every  effort  was  made  to  protect  the  soldiers  by  vaccination;  but 
twenty-seven  of  them  had  variola  or  varioloid,  and  six  died.  Sarracenia  purpurea  was  at  this  time  extensively  used  in  the 
treatment  of  small  pox  ;  but  without  any  beneficial  result.  The  hospital  accommodations  for  small  pox  patients  at  New  Berne  are 
excellent.  Around  Beaufort  harbor,  doing  garrison  duty  at  Beaufort,  Fort  Macon,  Morehead  city,  and  Newport,  were  stationed 
about  two  thousand  two  hundred  men,  who,  during  the  fall  of  1863,  escaped  the  malarial  fevers  and  were  in  excellent  health. 
On  the  line  of  the  railroad  from  New  Berne  to  Morehead  city  were  two  stations,  Croatan  and  Havelock,  where,  from  fifty  to 
one  hundred  men  were  constantly  kept.  These  posts  were  in  the  midst  of  swamps,  and  the  men  suffered  so  much  from 
intermittent  fever,  that  they  had  to  be  relieved  every  ten  days.  Farther  down  on  the  railroad,  at  Newport,  Caroline  city,  and 
Morehead  city,  the  prevailing  winds  came  directly  from  the  sea,  and  the  troops  at  these  points  were  free  from  malarial  fever. 
Several  regiments  much  broken  down  by  sickness,  near  New  Berne,  were  removed,  on  my  recommendation,  to  these  places 
with  marked  benefit,  At  Morehead  city,  the  Mansfield  general  hospital  was  opened  in  September,  ltf-3,  with  a  capacity  of 
three  hundred  beds.  A  general  hospital,  with  a  capacity  of  two  hundred  beds  was  already  in  operation  at  Beaufort,  on  the 
opposite  side  of  the  sound.  To  these  hospitals,  the  convalescents  and  slight  fever  cases  were  removed  from  the  post  and 
regimental  hospitals  at  New  Berne,  Washington,,  and  Plymouth,  und  the  patients  rapidly  recovered.  It  was  noticed,  however, 
that  very  many  men  coming  to  the  sea  shore  from  the  interior  would  have  chills  developed  at  once,  and  others  would  have 
slight  attacks,  much  aggravated  at  first.  It  was  found  to  be  the  same  with  persons  going  north  who  had  long  been  exposed  to 
the-  malarial  poison.  Washington,  North  Carolina,  was  garrisoned  by  a  force  of  eighteen  hundred  men.  This  town  is  on  the 


REPORT    OF    SURGEON    D.    W.    HAND,    U.    S.    V.  239 

Tnu  River,  and  is  nearly  surrounded  l>y  swamps  and  low  marshes.  The  pickets  were  close  in.  The  entrenchments  ahout  the 
town  were  early  thrown  up  "and  very  circumscribed.  Much  slashing  had  been  done  in  front  of  the  breastworks,  and  a  fine 
grove  of  cedar  trees  on  the  river  bank,  southwest  of  the  town,  had  been  foolishly  cut  down.  In  consequence,  the  malarial 
fevers  this  fall  were  very  violent,  and  prevailed  to  an  alarming  extent.  Few  men  there  escaped  an  attack  of  chills,  and  in 
October,  cases  of  congestive  fever  were  very  frequent.  Most  of  these  at  first  proved  fatal ;  but  through  the  energy  and 
promptness  of  the  medical  officers  on  duty  there,  these  cases  soon  became  manageable,  and  nearly  all  recovered.  It  was  noticed 
that  the  men  were  generally  seized  at  night,  and  often  while  on  guai'd,  and  finding  that  only  the  most  vigorous  and  prompt  treat 
ment  promised  success,  the  medical  officers  arranged  to  have  bath  tubs  and  hot  water  constantly  on  hand  at  their  hospitals,  and 
skilled  attendants  on  duty  there  night  and  day.  A  hot  bath,  with  internal  stimulation  and  free  doses  of  quinine  was  found  to 
be  the  successful  treatment.  Assistant  Surgeon  P.  J.  Nichols,  58th  Pennsylvania  Volunteers,  wras  particularly  efficient  at  this 
time.  I  repeatedly  noticed  that  the  men  recovering  from  this  congestive  form  of  fever  had  a  peculiar  appearance  of  the  eyes 
for  several  weeks  after,  looking  as  though  there  had  been  some  effusion  on  the  brain.  In  December,  the  health  of  the  command 
was  much  improved,  and  nothing  serious  occurred  there  afterward.  In  April,  1864,  Washington  was  evacuated  by  order  of 
Major  General  Butler,  and  most  of  the  troops  were  transferred  to  Bermuda  Hundred.  Plymouth,  North  Carolina,  had  a 
garrison  of  three  thousand  men,  five  regiments,  and  the  commanding  officer  kept  the  troops  in  good  spirits  bv  occasional 
expeditions  to  points  on  the  different  rivers  emptying  into  Albemarle  Sound.  As  at  Washington,  the  troops  and  the  newly 
erected  breastworks  were  close  upon  the  town.  Much  slashing  had  been  done.  The  Eoanoke  River  is  here  very  deep,  and  its 
current  swift;  but  the  shores  are  low,  and  opposite  the  town  the  water  spreads  out  for  miles  among  the  cypress  roots  and  tall 
rank  grass.  In  September,  October,  and  November,  1863,  this  command  suffered  severely  from  malarial  fever.  At  times,  full 
one  half  the  men  would  be  off  duty  on  account  of  sickness,  and  all  suffered  more  or  less  from  intermittent  fever.  Few  cases  of 
congestive  fever,  however,  occurred,  and  the  mortality  was  not  great.  As  cold  weather  came  on,  the  health  of  the  men 
improved ;  but  no  active  operations  were  undertaken,  and,  on  April  20,  1864,  Plymouth,  with  its  garrison  was  captured  bv 
the  enemy.  A  stout  defence  was  made,  and  our  loss  before  the  surrender  was  twenty-two  killed,  and  eighty-two  wounded. 
The  wounded  fell  into  the  hands  of  the  enemy,  and  it  is  believed  that  most  of  them  died  while  prisoners.  *  *  Since  the 
capture  of  Roanoke  Island,  about  five  hundred  men  have  usually  been  kept  there.  The  western  part  of  the  island  which  is 
swampy,  proved  to  be  unhealthy,  while  the  eastern  and  northern  portions  being  near  the  sea,  were  found  to  be  nearly  free  from 
malarial  fever.  At  Hatteras  Inlet,  one  hundred  and  fifty  men  have  done  garrison  duty  since  the  capture  of  the  forts  there. 
They  have  always  been  free  from  epidemic  or  endemic  disease.  *  * 

On  February  1,  1864,  a  rebel  force  under  command  of  Major  General  Pickett  attempted  to  capture  New  Berne.  The 
troops  on  outpost  duty  were  driven  in,  and  the  reinforcements  sent  to  them  were  met  by  the  enemy  and  badly  beaten.  Our  loss 
was  twenty  killed  and  about  eighty  wounded.  Three  hundred  men  were  taken  prisoners.  The  wounded  fell  into  the  hands 
of  the  enemy.  Ample  preparations  were  made  at  the  Foster  hospital  for  the  reception  of  the  wounded  at  this  time;  but,  after 
besieging  the  town  two  days,  and  making  one  unsuccessful  assault,  General  Pickett  withdrew  his  troops.  Another  expedition 
against  New  Berne  was  undertaken  the  following  May  by  General  Hoke,  but  his  forces  were  called  to  the  relief  of  Petersburg, 
Virginia,  before  he  had  accomplished  anything.  On  June  4, 1864,  two  large  torpedoes  were  accidentally  exploded  at  Bachelor's 
Creek,  an  outpost  of  New  Berne,  instantly  killing  thirty-six  soldiers  and  eight  negroes,  and  seriously  wounding  twenty-nine 
men  attached  to  the  132d  New  York  Volunteers.  Many  of  the  latter  casualties  involved  compound  fractures  and  extensive 
lacerations  of  the  soft  parts.  Almost  without  exception  these  cases  did  well,  and  from  the  most  terrible  injuries  the  men 
recovered  with  useful  limbs.  They  were  treated  at  the  Foster  hospital,  Surgeon  C.  A.  Cowgill,  U.  S.  V.,  being  in  charge. 
The  command  in  North  Carolina  was  reduced  by  order  of  Major  General  Butler  in  May,  1864,  to  five  thousand  men,  and  these 
were  kept  closely  in  garrison.  During  the  summer  the  general  health  was  good,  .but  early  in  September  an  epidemic  of  yellow 
fever  appeared  at  New  Berne,  and  seized  on  nearly  every  soldier  who  was  exposed  to  it.  The  regiment  doing  provost  guard 
duty,  the  15th  Connecticut  Volunteers,  wras  immediately  moved  outside  the  town,  and  all  the  patients  in  hospital  able  to  bear 
transportation  were,  as  fast  as  possible,  removed  to  Morehead  City  and  Beaufort.  About  six  hundred  soldiers  had  the  fever, 
of  whom  two  hundred  and  eighty  died.  A  special  report  on  this  subject  was  made  in  April,  1865. 

No  operations  of  any  special  importance  were  undertaken  by  this  command  during  the  winter  of  1864-'65 ;  but  in  January, 
Major  General  Terry,  with  a  portion  of  the  army  of  the  James,  stormed  and  captured  Fort  Fisher,  North  Carolina.  Two 
hundred  and  ten  of  the  wounded  from  this  battle  were  brought  to»Mansfield  general  hospital,  at  Morehead  Citv,  where  the 
necessary  operations  were  performed  by  Assistant  Surgeon  J.  M.  Palmer,  85th  New  York  Volunteers.  The  wounds  of  these 
men  healed  with  remarkable  rapidity,  and  the  men  nearly  all  recovered  much  sooner  than  was  expected.  I  have  thought  that 
the  stimulating  effects  of  the  victory  they  had  won  had  much  to  do  with  it.  On  February  12.  1865,  I  received  an  order  from 
the  War  Department  requiring  me  to  report  directly  to  the  Surgeon  General's  Office  as  medical  director  of  the  troops  in  North 
Carolina;  but  being  directed  by  Major  General  Schofield,  who  soon  after  assumed  command  of  the  department  of  North 
Carolina,  to  remain  in  New  Berne,  I  did  not  superintend  the  medical  department  of  the  army  in  the  field  during  the  operations 
against  Wilmington,  or  on  its  march  from  that  place  to  Kinston,  North  Carolina.  Surgeon  Edward  Shippen,  U.  S.  V.,  medical 
director  of  the  Twenty-third  Corps,  was  with  the  commanding  general  at  this  time,  and  acted  as  medical  director  of  the 
active  forces.  His  reports  were  not  forwarded  through  my  office.  This  closes  my  report  for  the  district  of  North  Carolina, 
and  is  complete  for  all  operations  in  which  I  was  concerned  there  until  March  1,  1865.  *  * 

"  I  have  the  honor  to  make  the  following  report  concerning  the  operations  of  the  medical  department  in  North  Carolina 
from  March  1,  1865,  until  the  close  of  the  war:  The  State  of  North  Carolina  having  been  made  a  distinct  department,  under 
command  of  Major  General  Schofield,  active  operations  were  at  once  begun  with  a  view  to  aiding  General  Sherman  in  his 
movement  against  General  Johnston's  army.  During  the  latter  part  of  February,  all  the  available  troops  in  the  former  district 
of  North  Carolina  were  concentrated  at  New  Berne  under  command  of  Brevet  Major  General  Palmer.  The  1st  division  of  the 
Twenty-third  Corps,  under  command  of  Brevet  Major  General  Euger,  arrived  there  from  the  west,  and  also  a  provisional 
division,  composed  of  recruits  and  stragglers  from  General  Sherman's  army  at  the  time  it  left  Atlanta,  Georgia.  The  ulmlc 


240  APPENDED  DOCUMENTS COAST  EXPEDITIONS. 

of  this  force,  about  thirteen  thousand  strong,  was  commanded  by  Major  General  Cox,  and  was  moved  out  from  New  Berne  on 
March  3d,  following  the  line  of  railroad  to  Kinston  and  Goldsboro',  North  Carolina.  The  transportation  of  the  Twenty-third 
Corps  not  having  arrived,  all  the  ambulances  that  could  be  spared  from  the  post  of  New  Berne  were  sent  with  this  force  under 
charge  of  an  officer  who  was  temporarily  attached  to  the  staff' of  General  Co'x.  Not  more  than  one  ambulance  to  each  thousand 
men  was  thus  provided;  but  as  the  troops  were  ordered  to  proceed  only  by  the  line  of  railroad,  and  little  faster  than  the 
track  could  be  relaid  behind  them,  this  amount  of  transportation  for  the  wounded  was  found  sufficient.  Surgeon  P.  B.  Rice, 
132d  New  York  Volunteers,  accompanied  General  Palmer's  division  as  surgeon-in-chief;  Surgeon  J.  H.  Spurnier,  123d  Indiana 
Volunteers,  that  of  General  Ruger,  and  Surgeon  S.  S.  Mumford,  U.  S.  V.,  the  provisional  division  under  command  of  Brigadier 
General  Carter.  These  officers  were  directed  to  send  their  sick  to  New  Berne  by  railroad,  and,  in  case  of  battle,  to  keep  their 
temporary  hospitals  as  near  the  line  of  railroad  as  possible,  and  to  forward  all  the  wounded  to  New  Berne  as  fast  as  the 
temporary  dressings  were  applied.  In  New  Berne,  preparations  were  made  for  a  large  increase  of  patients,  and  by  extending 
the  hospital  accommodations  mainly  near  the  railroad,  we  were  enabled,  notwithstanding  our  deficient  ambulance  force,  to 
transfer  the  sick  and  wounded  rapidly  from  the  front  to  our  wards.  The  Foster  general  hospital,  under  charge  of  Surgeon  C. 
A.  Cowgill,  U.  S.  V.,  had  its  accommodations  at  this  time  increased  to  fifteen  hundred  beds,  and  a  few  weeks  later  its  capacity 
was  extended  to  three  thousand  beds.  On  the  8th,  9th  and  10th  of  March,  the  enemy,  under  General  Hoke,  attacked  our 
forces  near  Kinston,  North  Carolina,  but  was  driven  back  each  day.  They  captured,  however,  seven  hundred  of  our  men,  and 
killed  and  wounded  about  three  hundred.  The  wounded  were  promptly  removed  from  the  field,  and  all  of  them  conveyed 
to  New  Berne  within  from  twelve  to  thirty-six  hours  after  the  action.  The  more  serious  cases  were,  as  fast  as  they  became  able 
to  travel,  transferred  by  hospital  steamer  to  the  north.  The  enemy  retreated  from  before  Kinston  on  March  10th,  and.  on 
March  14th,  that  town  was  occupied  by  General  Cox.  He  was  joined,  on  March  llth,  by  the  2d  and  3d  divisions  of  the 
Twenty-third  Corps  from  Wilmington,  under  command  of  Major  General  Couch ;  and  General  Schofield,  who  arrived  at  the 
front  on  March  8th,  assumed  command  of  the  whole  force.  After  resting  the  troops  at  Kinston  six  days,  waiting  for  the 
rebuilding  of  the  railroad  bridge  over  the  Neuse  River,  they  were,  on  March  20th.  put  in  motion  for  Goldsboro',  which  place 
was  reached  without  opposition  the  next  day.  Major  General  Terry,  with  a  portion  of  the  Tenth  Corps  from  Wilmington, 
now  joined  General  Schofield,  and,  on  March  23d,  General  Sherman  arrived  with  his  whole  army.  The  troops  belonging  to 
General  Schofield's  department  of  North  Carolina,  comprising  the  Tenth  and  Twenty-third  Corps,  were  now  united  as  the 
army  of  the  Ohio,  and  hereafter  formed  the  centre  of  General  Sherman's  army.  Surgeon  Edward  Shippen,  U.  S.  V.,  was  at 
this  time  announced  as  medical  director  of  the  army  of  the  Ohio.  Temporary  hospitals  were  prepared  by  Surgeon  Shippen  at 
Goldsboro',  but  all  serious  cases  were  transferred  to  New  Berne;  so,  also,  were  the  sixteen  hundred  wounded  brought  by 
General  Sherman  from  the  battles  of  Averysboro'  and  Bentonville,  North  Carolina,  and  all  the  sick  of  his  army.  On  March 
8th,  the  Mansfield  general  hospital  at  Morehead  City  was  broken  up  by  General  Sherman's  chief  quartermaster,  and  the 
buildings  were  used  for  storage.  Anticipating  the  demand  for  increased  hospital  accommodations  as  soon  as  General  Sherman 
should  reach  Goldsboro',  I  immediately  reopened  this  hospital  at  Beaufort,  and  increased  its  capacity  to  six  hundred  beds. 
By  this  hospital  and  the  Foster  at  New  Berne,  with  a  capacity  of  three  thousand  beds,  we  were  now  enabled  to  receive  all  the 
sick  and  wounded  from  Goldsboro'  until  they  could  be  shipped  north  by  the  three  hospital  steamers  at  that  time  ordered  to 
Beaufort  Harbor.  On  April  10th,  General  Sherman's  whole  army  inarched  against  General  Johnston,  of  course  sending  to 
New  Berne  all  the  accumulated  sick  of  the  two  weeks  of  rest.  No  opposition  was  offered  by  the  enemy,  and  our  forces  occupied 
Raleigh  on  April  13th.  Soon  after,  an  armistice  was  granted  by  General  Sherman,  and  it  being  followed  by  the  surrender 
of  General  Johnston's  army,  no  more  fighting  took  place  in  North  Carolina. 

On  April  29th,  the  right  and  left  wings  of  General  Sherman's  army  marched  from  Raleigh  for  Washington  and  home, 
leaving  in  the  department  of  North  Carolina  the  TwTenty-third  and  Tenth  Corps,  and  a  division  of  cavalry  under  Major  General 
Kilpatrick.  The  sick  were,  at  this  time,  gradually  brought  down  to  the  hospitals  at  New  Berne  and  Beaufort,  and  transferred 
to  the  hospital  steamers  whenever  they  came  in.  This  process  was  continued  through  the  months  of  May  and  June,  and  until 
a  large  proportion  of  troops  in  the  department  were  mustered  out  of  service.  I  was  officially  announced  as  medical  director 
of  the  department  of  North  Carolina  on  March  15th,  but  owing  to  the  difficulty  of  communicating  with  Wilmington,  no 
report  from  there  reached  my  office  during  that  month.  I  therefore  hastened,  immediately  after  the  occupation  of  Goldsboro' 
and  the  proper  disposition  of  the  sick  and  wounded  brought  in  by  General  Sherman,  to  visit  that  place.  I  arrived  there  on 
April  2d.  and  found  Surgeon  George  C.  Jarvis,  7th  Connecticut  Volunteers,  acting  as  chief  medical  officer.  Surgeon  Jarvis 
was  working  hard,  and,  with  the  medical  officers  under  him,  doing  all  he  could  for  the  sick  ;  but  there  was  a  sad  want  of 
system,  and  owing  to  the  death  of  several  prominent  medical  officers,  and  the  sickness  of  most  of  the  others,  the  records 
of  the  hospitals  were  in  a  very  confused  and  unsatisfactory  condition.  At  that  time  there  were  in  Wilmington  fourteen  district 
hospitals,  with  an  aggregate  of  twenty-three  hundred  patients.  Some  of  these  patients  were  exchanged  prisoners,  but  most 
of  them  were  recruits  and  other  soldiers  taken  sick  on  their  way  to  join  General  Sherman's  army,  and  colored  soldiers  sent  to 
the  rear  by' General  Terry  while  on  his  march  to  Goldsboro.'  The  sick  were  in  dwelling-houses,  railroad  depots,  and  other 
unsuitable  places,  and  the  mortality  among  them  had  been  very  great,  although  at  this  time  greatly  reduced.  Of  eighty-six 
hundred  exchanged  prisoners  received  at  northeast  North  Carolina  on  February  25th  and  26th,  thirty-six  hundred  were  so  ill 
as  to  require  immediate  hospital  treatment,  and  to  be  unable  to  travel  on  common  transports.  These  men  were  first  placed 
in  the  temporary  hospitals  to  which  I  referred,  where  an  epidemic  fever  broke  out,  carrying  off  many  of  them,  and  extending 
not  only  to  the  troops  stationed  there,  but  to  the  citizens  in  all  parts  of  the  town.  A  special  report  on  that  fever  will  be 
forwarded  by  me.  At  the  time  of  my  visit,  April  2d,  that  fever  still  prevailed  in  Wilmington,  and  the  city  being  very  filthy, 
it  was  thought  best  to  remove  all  the  men  in  hospital  from  this  place  as  soon  as  possible.  The  two  regiments  doing  duty  there 
had  already  been  encamped  outside  the  town.  With  that  view,  arrangements  were  at  once  made  to  open  a  general  hospital 
of  a  thousand  beds  at  Smithville,  on  the  Cape  Fear  River,  twenty-three  miles  below- Wilmington.  The  hospital  steamer 
General  Barnes  arrived  at  that  time,  and  took  on  board  the  remainder  of  the  exchanged  prisoners.  Most  of  tin;  small  hospitals 
were  closed,  and  two  large  churches  were  seized  and  prepared  for  use  as  hospitals  until  such  time  as  the  balance  of  the  white 


REPORTS    OF    SURGEONS    HAND    ANT)    WIRTZ. 

sick  could  be  removed.  The  colored  soldiers  were  all  removed  to  a  hospital  just  outside  tlie  town.  Sunreon  George  C.  Jarvis, 
7th  Connecticut  Volunteers,  was  placed  in  charge  of  all  the  hospitals  thus  arranged.  The  Smithville  general  hospital  was 
placed  in  charge  of  Surgeon  J.  M.  Palmer,  3d  New  York  Volunteers,  and.  at  my  request,  Surgeon  S.  S.  Mumford,  U.  S.  V.,  was 
relieved  from  duty  in  the  field,  and  ordered  to  report  to  the  commanding  general  of  the  district  of  Wilmington.  Not  many 
patients  were  after  this  sent  to  Wilmington,  and  by  May  1st  the  hospitals  were  nearly  empty,  and  the  city  quite  healthy. 
Early  in  May,  the  purveying  depot  at  Wilmington  was  broken  up,  and  the  stores  removed  to  New  Berne.  It  had  generally 
provided  well  for  the  wants  of  the  sick  in  and  about  Wilmington.  The  medical  purveying  depot  at  New  Berne,  under  charge 
of  Surgeon  N.  Mayer,  16th  Connecticut  Volunteers,  was  kept  constantly  well  supplied  with  medicines  and  stores,  and  issued 
rapidly  on  all  proper  requisitions  from  General  Sherman's  army,  as  well  as  for  the  department  of  North  Carolina.  Most  of  the 
patients' in  general  hospitals  were  mustered  out  of  service,  and  in  compliance  with  instructions  from  the  Surgeon  General's 
Office,  the  expenses  of  the  medical  department  were  rapidly  reduced  in  May  and  June.  Nearly  all  the  contract  surgeons  and 
nurses  were  discharged.  The  Mansfield  general  hospital  at  Beaufort,  and  the  Wilmington  general  hospital,  were  closed  on 
June  25th.  The  Foster  general  hospital  was  removed  from  New  Berne  to  the  hospital  buildings  at  Morehead  City,  and  its 
capacity  reduced  to  four  hundred  beds.  The  Smith ville  general  hospital  was  also  reduced  to  two  hundred  beds,  and  all 
surplus  property  turned  in  to  the  quartermaster  and  medical  purveyor.  During  the  summer  months,  the  number  of  troops  in 
the  department  was  constantly  reduced  by  muster  out,  the  medical  staff  being  reduced  in  the  same  proportion.  On  September 
17th,  the  Suiithville  hospital  was  finally  closed,  and  on  October  30th,  the  Foster  general  hospital  at  Morehead  City  was  broken 
up.  On  November  18,  1865,  I  was  relieved  from  duty  as  medical  director  of  the  department  of  North  Carolina. 

Very  respectfully,  your  obedient  servant, 

D.  W.  HAND,  Suryeon  U.  S.  V. 
To  THE  SURGEON  GENERAL  UNITED  STATES  ARMY." 


CLXXXIX.     Extract  from  a  Letter  to  the  Surgeon  General  relative  to  Skirmishes  near  Kinston, 
North  Carolina.     By  Surgeon  D.  W.  HAND,  U.  S.  "V.,  Medical  Director. 

"A  series  of  skirmishes  took  place  during  March  7th,  8th,  9th  and  10th,  and  most  of  the  wounds  were  from 
musketry  at  short  range.  Two  division  hospitals  were  established  in  the  rear.  The  wounded  were  carried  to  them  on  stretchers, 
which  were  well  supplied  and  managed.  From  the  hospital  they  were  taken  over  a  very  bad  road  in  ambulances  six  miles  to 
the  railroad  terminus.  The  railroad  was  not  in  condition  to  transport  the  wounded  speedily  or  well,  and  they  were  from  one 
to  three  days  in  reaching  New  Berne.  Most  of  them,  however,  arrived  at  the  Foster  general  hospital  in  New  Berne  in  good 
condition.  The  force  present  during  the  fighting  was  about  fifteen  thousand ;  engaged,  eight  thousand." 


CXC.  Extract  from  a  Report  on  the  Casualties  at  Morris  Island  in  August  and  Ser^tember, 
1863.  By  Surgeon  HORACE  K.  WIRTZ,  U.  S.  Army,  Medical  Director  of  the  Department  of 
the  South. 

"After  the  assault  of  July  10th,  a  regular  approach  by  parallels  was  commenced,  and  batteries  were  erected  in 
the  rear  to  fire  at  Forts  Sumter  and  Wagner.  On  August  17th,  the  formal  attack  opened  on  Fort  Wagner,  Gregg  and  Sumter, 
and  by  the  '24th,  Sumter  was  a  mass  of  ruins.  The  siege  of  Fort  Wagner  was  vigorously  pressed,  and  on  the  morning  of 
September  7th,  it  was  found  that  the  enemy  had  evacuated  the  work.  Since  that  date  Forts  Wagner  and  Gregg  have  been 
strengthened  under  a  continuous  fire  from  the  rebel  batteries  on  James's  Island  and  Fort  Moultrie.  A  fire  of  musketry  has 
also  been  occasionally  noticed  from  Fort  Sumter,  and  some  wounds  of  this  nature  have  occurred  among  our  working  parties. 
On  the  evacuation  of  Fort  Wagner  several  accidents  happened  to  our  men  from  the  explosion  of  torpedoes,  some  of  the  injuries 
being  of  the  most  frightful  character.  It  will  be  seen  that  by  far  the  largest  number  of  wounds  are  the  result  of  shell ;  over  two 
hundred  and  fifty  out  of  about  three  hundred.  The  remainder  are  from  bullets,  the  conoidal  ball  principally.  From  round  shot 
only  two  cases  are  reported.  There  are  al*o  four  cases  of  injury  from  torpedoes.  The  head  and  upper  and  lower  extremities 
appeared  to  have  suffered  most.  Out  of  about  three  hundred  cases,  the  head  was  injured  in  about  fifty  cases,  the  upper 
extremities  the  same,  and  the  lower  extremities  in  about  seventy-five  cases.  There  were  eight  cases  of  fracture  of  the  femur, 
all  of  the  middle  third,  and  fourteen  cases  of  wounds  of  joints.  The  great  cavities  were  injured  in  twenty-two  cases.  The 
number  of  killed  was  thirty-five,  or  about  ten  per  cent,  of  the  whole  number." 


CXCI.     Extracts  from  a  Itejwrt  on  Wounded  after  t/ie  Assault  on  Fort  Wagner,  inJuly,~L863. 
By  Surgeon  J.  J.  CRAVEN,  U.  S.  Volunteers. 

*  *  *  "In  accordance  with  instructions  received  from  Surgeon  C.  II.  Crane,  U.  S.  A.,  then  medical  director  of  the 
department  of  the  South,  I  proceeded  to  Folly  Island,  on  July  8,  1863.  After  making  a  survey  of  the  field.  I  established  a 
hospital  by  erecting  several  hospital  tents  upon  the  beach,  or  ocean  shore,  about  half  a  mile  from  the  point  batteries.  I 
chose  the  position  for  the  purpose  of  securing  good  air,  and  a  good  road  for  the  transportation  of  wounded  from  the  front ; 
the  beach  being  as  hard  as  a  Macadamized  road.  This  hospital  being  prepared  and  completely  furnished,  on  the  evening  of  the 
9th,  was  placed  in  charge  of  Surgeon  \V.  \V.  Brown,  7th  New  Hampshire  Volunteers,  Surgeon  ('.  M.  Clark,  311th  Illinois  Vol 
unteers,  and  Surgeon  M.  S.  Kittenger,  100th  New  York  Volunteers.  Surgeon  G.  S.  Burton.  3d  Kliode  Island  Heavy  Artillery, 
Assistant  Surgeons  W.  1).  Murray,  100th  New  York  Volunteers,  T.  C.  Brainerd,  U.  S.  A.,  and  S.  Bunion,  7th  New  1  lampshire 


242  APPENDED    DOCUMENTS COAST    EXPEDITIONS. 

Volunteers,  I  placed  in  the  batteries,  well  protected  by  splinter  proofs,  and  furnished  with  litters,  dressings,  and  restoratives. 
At  sunrise  on  the  morning  of  the  10th,  our  batteries  opened,  ceasing  fire  at  eight  o'clock,  Avhen  the  ambulance  train  proceeded 
to  the  front,  finding  two  men  wounded,  and  one  killed.  '  I  had  placed  upon  the  beach,  at  a  safe  distance  from  the  batteries, 

an  ambulance  loaded  with  all  the  necessary  supplies  for  a  field  hospital.  As  soon  as  our  forces  had  established  a  footing  upon 
Morris  Island,  I  hurried  to  Light-house  Inlet,  and  placing  my  stores  and  ambulance  upon  a  boat,  I  immediately  embarked  for 
Monis  Island.  *  *  Upon  reaching  the  island,  I  reloaded  my  ambulances,  and  advanced  to  a  secure  place  and  established  a 
field  hospital,  where  I  gathered  the  wounded,  making  them  comfortable,  and  sending  them  to  the  inlet,  thence  by  boat  to  Folly 
Island,  where  they  were  conveyed  to  the  beach  hospital.  By  midnight  of  the  10th,  I  had  five  ambulances  on  Morris  Island,  a 
ferry  established  to  connect  with  the  ambulance  train  on  Folly  Island,  making  the  beacli  hospital  on  Folly  Island  but  half  an 
hour  to  the  rear ;  and  by  four  o'clock  on  the  morning  of  the  llth,  the  field  was  clear,  except  of  a  few  rebel  wounded  remaining 
in  a  hospital  occupied  by  Surgeons  Hapwood  and  Hannehan,  of  the  Confederate  army.  Flying  the  yellow  flag,  they  were  left 
with  the  hospital  for  the  purpose  of  keeping  the  place,  the  point  being  within  range  of  Fort  Sumter  and  the  ground  occupied  by 
our  troops.  On  the  morning  of  the  llth,  an  unsuccessful  assault  being  made  upon  Fort  Wagner,  I  commenced  removing  the 
wounded  to  the  boats,  and  forwarding  them  to  Folly  Island.  Learning  that  the  hospital  steamer  Cosmopolitan  had  reached 
Stono  Inlet,  and  anchored  at  Pawnee  Landing,  on  the  opposite  side  of  the  island,  less  than  one  half  of  a  mile  from  the  beach 
hospital,  I  dispatched  a  communication  directing  Surgeon  Bontecou,  U.  S.  V.,  in  charge  of  the  Cosmopolitan,  to  commence  the 
removal  of  the  wounded  from  the  beach  to  the  Cosmopolitan.  *  *  In  the  charge,  on  the  morning  of  the  llth,  there  were  eleven 
killed,  ninety-nine  wounded,  and  one  hundred  missing.  *  *  I  learned  that  Surgeon  Elliot,  U.  S.  V..  of  General  Strong's 
brigade,  had,  contrary  to  my  orders,  established  a  hospital  some  half  a  mile  still  in  the  advance,  where  he  was  conveying  the 
wounded.  I  reported  this  to  Surgeon  Crane,  who  was  then  present  upon  the  island.  Surgeon  Crane  called  Surgeon  Elliot, 
and,  in  my  presence,  charged  him  with  insubordination,  and  informed  him  that  I  was  chief  medical  officer,  and  that  he  must 
respect  and  obey  me  accordingly.  Surgeon  Elliot  continued,  however,  to  ignore  my  authority,  and  persisted  in  establishing 
independent  hospitals  upon  different  parts  of  the  field.  Finding  the  position  occupied  by  the  field  hospital  untenable  on  account 
of  the  fire  from  Fort  Sumter,  I  sent  to  Folly  Island  for  the  tents  at  the  beach  hospital,  and  selected  a  position  upon  the  extreme 
point  and  ocean  shore  of  Morris  Island,  where  I  caused  to  be  erected  a  field  hospital,  and  bringing  over  the  remaining 
ambulances  from  Folly  Island,  I  established  a  line  of  transportation  along  the  outer  beach,  and  under  cover  of  the  sand  hills, 
to  within  half  a  mile  of  Fort  Wagner.  Surgeon  M.  S.  Kittenger,  100th  New  York  Volunteers,  Surgeon  S.  F.  Forbes,  67th 
Ohio  Volunteers,  and  Assistant  Surgeon  W.  D.  Murray,  of  the  100th  New  York  Volunteers,  were  placed  in  charge  of  the  Morris 
Island  hospital.  On  the  night  of  the  18th,  at  dark,  an  attack  was  made  upon  Fort  Wagner.  At  nine  o'clock,  the  firing  ceased, 
and  the  ambulance  train  advanced  to  the  front,  near  the  enemy's  lines,  and  commenced  the  transportation  of  the  wounded. 
The  killed,  wounded,  and  missing  in  this  attack,  amounted  to  one  thousand  two  hundred  and  sixty-eight.  *  *  The  island 
being  exposed,  and  not  knowing  what  advantage  the  enemy  might  take,  while  we  were  in  a  crippled  condition,  I  thought  it  best 
to  remove  all  the  wounded  from  the  island.  I  communicated  my  plan  to  General  Gillmore,  and  he  gave  me  authority  to  take 
any  vessel  or  vessels  in  the  harbor.  I  had  the  steamer  Alice  Price  moored  to  the  shore,  at  the  inlet  opposite  my  hospital, 
and  sent  a  courier  to  the  steamer  Cosmopolitan,  with  an  order  directing  Surgeon  R.  B.  Bontecou,  U.  S.  V.,  to  proceed  with 
his  hospital  ship  to  the  mouth  of  Stono,  and  in  smooth  water,  just  inside  of  the  bar,  anchor,  and  await  the  coming  of  the 
Alice  Price,  upon  which  steamer  I  immediately  placed  two  hundred  and  forty  wounded  men,  and  she  proceeded  to  Stono, 
where  her  load  was  transferred  to  the  Cosmopolitan  in  two  hours.  The  Alice  Price  was  under  charge  of  Surgeon  A.  C. 
Barlow,  G',id  Ohio  Volunteers,  and  Surgeon  Stone.  54th  Massachusetts  Volunteers.  Knowing  that  the  Cosmopolitan  had  as 
many  as  she  could  accommodate,  I  directed  Surgeon  Bontecou  to  proceed  to  Hilton  Head  immediately.  The  steamer  Mary 
Benton  was  placed  at  my  disposal,  and  I  commenced  loading  her.  I  placed  upon  this  ship  two  hundred  and  fifty-six 
wounded  officers  and  men,  making  in  all  shipped  during  the  night,  four  hundred  and  ninety-six  men.  I  directed  that  each 
man,  as  he  passed  up  on  the  boat,  should  be  examined,  and  it  was  found  necessary,  upon  search,  occasionally  to  remove 
tourniquets  and  ligatures  from  limbs,  placing  a  person  in  charge  of  each  of  these  cases  to  watch  for  haemorrhage ;  and 
of  twenty-three  cases,  not  one  single  instance  was  there  haemorrhage  of  any  extent.  In  most  of  the  cases  above  mentioned  the 
circulation  was  entirely  controlled,  and  before  morning  would  have  jeopardized  the  safety  of  the  limbs.  At  sunrise  on  the 
20th,  the  wounded,  with  the  exception  of  six,  were  all  removed  from  the  island,  and  by  eight  o'clock  were  on  their  way  to  the 
general  hospitals  at  Hilton  Head  and  Beaufort.  At  daylight,  through  the  kindness  of  Fleet  Surgeon  Clymer,  U.  S.  N.,  a 
number  of  naval  surgeons  reported  to  me,  and  offered  their  services.  As  I  had  no  wounded  upon  the  island,  I  accepted  of  the 
services  of  but  three:  Assistant  Surgeons  Hazelton,  Mann  and  McComber,  U.  S.  N.  These  gentlemen  took  charge  of  the 
steamer  Mary  Benton,  and  proceeded  to  Beaufort.  They  were  untiring  in  their  labors,  and  I  take  pleasure  in  recommending 
them,  and  also  to  call  attention  to  the  very  efficient  services  rendered  by  Surgeon  Dibble,  6th  Connecticut  Volunteers,  and  to 
the  valuable  services  rendered  by  Dr.  Marsh  of  the  Sanitary  Commission,  both  professionally  and  by  clothing,  stores,  etc. 
On  the  evening  of  the  20th,  in  company  with  Lieutenant  Colonel  Hall  of  the  New  York  Volunteer  Engineers,  provost  marshal 
general,  and  by  direction  of  General  Gillmore,  I  proceeded  to  the  front,  and,  under  a  flag  of  truce,  communicated  with  General 
Hagood  of  the  Confederate  army,  commandant  of  Fort  Wagner,  with  whom  we  negotiated  for  the  exchange  of  wounded, 
naming  the  following  Friday  morning,  at  ten  o'clock,  as  the  time  when  I  would  meet  a  Confederate  steamer  in  Charleston 
harbor.  I  returned  to  Hilton  Head,  and  placed  all  the  rebel  wounded  upon  the  Cosmopolitan,  whence  I  returned  to  Charleston 
harbor,  meeting  at  the  appointed  time  the  Confederate  steamer  Alice,  and  delivered  to  the  officers  in  charge  of  the  flag,  thirty- 
nine  wounded  Confederates.  We  received  on  board  the  Cosmopolitan,  from  the  officers  in  charge  of  the  Alice,  one 
hundred  and  five  wounded  ollicers  and  men.  The  officers  in  charge  of  the  Alice  reported  still  remaining  in  hospitals  at 
Charleston  one  hundred  and  eight  officers  and  men,  and  dead  in  their  hands  fifty-one.  *  *  As  soon  as  the  transfer  was 
made,  the  Cosmopolitan  conveyed  our  wounded  to  Hilton  Head.  Having  business  at  Hilton  Head,  connected  with  the 
purveying  department,  I  placed  Surgeon  S.  A.  Green,  24th  Massachusetts  Volunteers,  in  temporary  charge  as  chief  medical 
officer  of  the  forces  on  Folly  and  Morris  islands." 


REPORT    OF    MEDICAL    DIRECTOR    SWJFT.  243 

CXC1I.  .Extracts  from  a  Narrative  of  Ms  Services  in  the  Medical  Staff.  By  Assistant  Surgeon 
JOHN  BELL,  U.  S.  Army. 

*  *  *  "While  I  was  on  duty  at  the  general  hospital  at  Hilton  Head,  the  battles  of  James's  Island,  June  16,  1862, 
and  of  Pocotaligo,  October  20,  1863,  took  place.  The  wounded  from  both  of  these  engagements  were  nearly  all  sent  to  the 
general  hospital  in  which  I  was.  Those  from  James's  Island  arrived  on  the  third  day  after  the  engagement,  and  those  from 
Pocotaligo  on  the  second  day,  having  been  brought  by  water  conveyance.  *  *  Sulphuric  ether  was  usually  employed  as  an 
anaesthetic.  In  a  few  cases  in  which  this  agent  did  not  readily  produce  ana3sthesia,  chloroform  was  mixed  with  it  in  a  small 
proportion.  There  were  no  deaths  which  could  be  fairly  attributed  to  its  use.  I  have  assisted  in  its  administration,  I  should 
suppose,  sixty  or  seventy  times  since  I  have  been  in  the  army.  I  have,  probably,  had  under  my  personal  care,  from  two 
hundred  to  two  hundred  and  fifty  cases  of  gunshot  wounds  received  in  battle,  but  have  had  no  case  of  bayonet  or  sword  wound. 
*  *  The  proportion  of  deaths  among  the  wounded  at  Pocotaligo  was  about  three  times  as  great  as  among  those  from  James's 
Island.  This  fact,  in  my  opinion,  is  only  to  be  accounted  for  by  the  circumstance  that  the  latter  battle  took  place  early  in  the 
season  before  the  men  had  begun  to  suffer  from  malarious  poisoning,  while  the  case  was  very  decidedly  different  at  the  battle  of 
Pocotaligo." 

CXCIJI.  Extracts  from  a  Report  on  the  Operations  of  the  Medical  Staff  in  the  Expedition, 
ending  in  the  Engagement  at  Olustee,  Florida.  By  Surgeon  E.  SWIFT,  U.  S.  Army, 
Medical  Director  of  the  Department  of  the  South. 

"For  nearly  a  month  the  command  on  this  island  had  been  gradually  augmenting  by  increments  from  Morris 
and  Foil}'  islands,  in  regiments,  detachments,  and  companies.  A  cavalry  command  was  hastily  organized,  not  a  little  to  the 
embarrassment  of  the  hospitals.  The  horses,  all  attached  to  these  establishments,  being  required  for  remounts,  or  for  the 
quartermasters,  to  furnish  the  necessary  transportation  for  subsistence  supplies,  wood,  etc.  During  the  evening  of  February 
4th,  I  was  asked,  by  the  general  commanding,  if  I  could  procure  ten  ambulances  for  the  use  of  an  expedition  to  Florida,  to 
embark  on  the  following  day,  and,  at  the  same  time,  I  was  directed  to  furnish  at  least  ten  days'  supply  of  medicines,  dressings, 
etc.,  and  to  forward  the  supplies  subsequently  as  required.  I  immediately  issued  an  order,  and  communicated  it  to  all  the 
medical  officers  on  Hilton  Head  island  where  the  main  body  of  the  command  was  assembled,  and  to  the  officers  at  the  adjacent 
posts  copies  were  sent  on  the  following  day.  This  circular  order,  dated  February  4.  1864,  ran  as  follows:  'SlR:  You  are 
hereby  directed  to  send  your  sick  to  the  general  hospital  at  this  place,  and  to  turn  in  for  storage,  in  the  medical  purveyor's 
storehouse,  such  supplies  as  may  not  be  absolutely  necessary  in  the  field  for  the  sick  and  wounded  of  your  regiment  for  twenty 
days.  You  will  provide  yourself  with  instruments,  dressings,  anaesthetics,  etc  ,  and  report  to  me  in  person  your  action,  without 
delay,  to-morrow  morning.'  At  the  same  time,  I  telegraphed  to  the  assistant  quartermaster  at  Beaufort,  Captain  Moore,  to  send  to 
Hilton  Head,  by  the  first  boat,  ten  ambulances.  In  reply  to  this,  Surgeon  M.  Clymer,  U.  S.  V.,  telegraphed  that  Captain  Moore 
refused  to  let  the  ambulances  be  sent,  unless  an  order  from  General  Gillmore  was  given  through  the  chief  quartermaster.  This 
difficulty  was  finally  overcome  by  personal  representations  to  General  Turner,  chief  of  staff,  who  issued  a  positive  order  to  the 
quartermaster,  and,  on  the  following  day,  six  ambulances  were  forwarded,  and  sent  to  Florida.  I  also  shipped  in  the  steamer 
Maple  Leaf,  eight  ambulances,  as  many  as  could  be  procured ;  in  fact,  as  many  as  the  space  allotted  on  shipboard  would  allow. 
Besides  this,  one  regiment  and  one  detachment  had  each  an  ambulance  wagon.  To  supply  the  deficiency  of  transportation  for 
sick  and  wounded  thus  occasioned,  I  suggested  the  propriety  of  repairing,  at  once,  several  ambulances  at  Hilton  Head  that  were 
unfit  for  use.  Hourly  expecting  a  hospital  steamer  from  New  York,  I  delayed  embarking  till  her  arrival,  in  order  that  I  might 
make  any  additions  which  might  be  found  necessary  in  her  supply  and  equipment.  The  commanding  general,  meeting  the 
steamer  at  the  bar,  embarked  on  her  with  his  staff,  for  Florida.  The  boat  on  which  he  originally  started  having  put  back 
because  of  the  heavy  wind  and  sea.  1  received  the  following  communication  from  the  general :  '  STKAMKK  FULTON,  February 
8,  (7,)  1864,  OjJ"  Hilton  Head,  S.  ('.  I  met  the  Cosmopolitan  coming  in  and  must  take  her,  so  that  the  Fulton  can  go  back  to 
the  Head  and  discharge.  You  will  have  to  do  the  best  you  can,  and  send  forward  the  extra  medical  supplies  on  the  first 
transport  going  to  Jacksonville,  Florida.  The  regiments  have  plenty  for  present  use.  This  will  be  your  order  on  the  quarter 
master's  department  for  such  transportation  as  you  may  require.  Very  respectfully,  yours,  etc.,  Q.  A.  GlLLMOKIC,  Major  General.' 
Procuring  the  steamer  Peconic  the  same  day,  the  7th,  I  put  on  board  of  her  the  supplies  of  seven  regiments.  The  47th,  48th,  and 
115th  New  York,  the  4(Jth  and  f>4th  Massachusetts,  and  the  2d  and  4th  South  Carolina  Volunteers,  in  all  about  eighteen  tons 
weight,  and  all  that  was  found  stored  by  the  regiments  in  compliance  with  my  order.  On  the  following  day,  I  joined  the 
major  general  commanding  on  the  St.  John's  River,  and  arrived  at  Jacksonville  that  night.  On  my  arrival,  I  learned  there 
had  been  that  day,  the  8th,  some  skirmishing,  by  which  we  had  drawn  the  enemy  from  his  position,  and  seized  his  camp,  his 
supplies,  and  much  valuable  property,  with  but  small  loss  on  our  side,  three  killed  and  twelve  wounded.  '  ;  On  the 
following  day,  I  procured  permission  from  the  major  general  commanding  to  occupy,  and  fit  up  for  a  hospital,  a  block  of  brick 
buildings,  known  as  the  Hoag  block,  for  the  accommodation  of  three  hundred  sick  ;  this,  he  informed  me,  would  he  more  than 
sufficient  for  the  number  of  troops  that  would  be  sent  to  this  district.  The  corner  store-room  in  this  block,  I  designed  to  reserve 
tor  the  use  of  the  assistant  purveyor,  and  at  once  transferred  to  it,  from  the  steamboat  Peconic,  my  medical  supplies,  and  a  quantity 
of  Sanitary  Commission  stores  brought  from  New  York,  on  our  hospital  boat.  These  were  subsequently  removed,  without 
my  knowledge,  by  the  personal  order  of  M.  M.  Marsh,  the  agent  of  the  commission,  after  I  had  notified  General  Seymour, 
by  telegram,  that  these  articles  were  available  for  issue.  Thev  consisted  chiefly  of  potatoes,  onions,  and  apples,  and  were 
supposed,  at  that  time,  to  be  needed  by  troops  at  the  front.  On  the  10th.  [  made  a  r<  eonnoissance  u]>  the  St.  John's,  for  oranges 
and  vegetables  for  the  hospitals,  and  to  examine  the  condition  of  the  hotel  buildings  at  Magnolia  and  Green  Cove  Springs,  witli 
a  view  to  the  establishment  of  a  sanitarium,  or  convalescent  hospital  at  this  delightful  invalids'  home,  a  detailed  account  of 
which  has  been  furnished  the  Surgeon  General's  otlice.  One  of  these,  a  newly  finished  building,  was  admirably  adapted  to  my 


244  ATTENDED    DOCUMENTS — COAST    EXPEDITIONS. 

purpose,  and  would  accommodate  more  than  three  hundred  men.  I  reported  this  to  the  general  commanding,  but  was  informed 
by  him  he  could  not  afford  the  necessary  guard  to  protect  a  hospital  in  such  an  exposed  situation.  The  buildings  have  since 
been  destroyed  by  the  enemy.  The  wounded  not  arriving  from  the  scene  of  the  recent  engagement,  thirty-five  miles  from 
Jacksonville,  I  ordered  Surgeon  Majer,  U.  S  V.,  by  telegraph,  to  send  them  on  at  once,  and  to  use  his  ambulances  for  that 
purpose.  On  the  13th,  he  arrived,  and  reported  the  wounded  would  come  in  on  the  train  as  soon  as  the  railroad  was  repaired. 
Having  already  waited  here  nearly  a  week,  with  the  hospital  boat  for  the  wounded,  and  impatient  to  return  to  Hilton  Head  for 
the  furniture,  medicines,  etc.,  for  hospitals  I  was  about  to  establish  at  that  place,  I  left,  with  the  major  general  commanding,  on 
the  following  day,  fully  impressed  with  the  conviction  that  there  would  be  no  forward  movement  at  present. 

Arriving  at  Hilton  Head,  I  gave  directions  to  Surgeon  Craven,  medical  purveyor,  to  pack  for  shipment  to  Jacksonville 
hospital  furniture,  dressings,  medicines,  etc.,  for  five  hundred  beds.  These  articles  were  all  shipped  on  the  Maple  Leaf  on  the 
22d.  and  left  for  the  St.  John's  River.  The  evening  of  the  same  day,  I  embarked  on  the  Charles  Houton,  and  on  the  23d, 
arrived  at  Jacksonville.  I  found  the  wounded  comfortable;  in  fact,  generally  able  to  walk  about.  More  than  two  hundred 
of  the  worst  cases  had  been  sent  to  Beaufort  the  day  before  on  the  Cosmopolitan.  These  are  they  who  were  reported  as  having 
been  obliged  to  remain  on  board  the  steamer  all  night  at  Beaufort,  by  the  intelligent  reporter  of  the  Tribune,  implying  neglect  on 
the  part  of  the  medical  officers  at  that  place.  I  need  net  say  the  Cosmopolitan  is  as  complete,  and,  in  organization,  as  perfect 
as  can  be  found  in  any  general  hospital;  that  her  patients  were  comfortable  in  bed,  and  as  the  nights  were  damp  and  chilly, 
inhumanity  would  seem  to  be  on  the  side  of  removal  under  the  circumstances.  This,  and  many  similar  attacks,  remind  me 
of  the  well  known  fable  of  the  wolf  and  the  lamb.  Medical  officers  have  not  the  time,  if  they  have  the  inclination,  to  resist 
these  attacks,  and  they  go  to  the  world  unanswered,  inducing  insubordination  and  discontent  in  the  army,  and  dissatisfaction 
and  heart-burnings  throughout  the  land.  I  therefore  sincerely  hope  the  noble,  intelligent,  and  self-sacrificing  members  of  the 
medical  staff'  of  the  army,  who  share  so  liberally  in  all  the  privations,  dangers,  and  exposures  of  the  line,  and  in  none  of  their 
rewards,  and  though  poorly  paid,  hold,  uncomplainingly,  their  subordinate  positions  to  men  often  inferior  to  them  in  everything 
that  makes  a  man,  working  all  day,  and  sometimes  throughout  the  long  hours  of  the  night,  ministering  to  the  care  and  comfort 
of  their  sick  and  wounded  comrades,  hoping  for  reward  only  in  Heaven,  may  be  afforded  same  protection,  at  least,  from  that 
class  of  people,  and  it  is  a  large  one,  who  have  no  records  in  deeds,  and  only  show  their  philanthropy,  loyality,  and  patriotism 
in  loud  complaining  words.  Soon  after  arriving  at  Jacksonville,  I  procured  the  steamer  Dictator  from  the  quartermaster's 
department,  and  put  on  board  of  her  more  than  two  hundred  wounded ;  and  though  the  medical  officers  were  instructed  to 
send  to  the  boat  only  their  worst  wounded,  these  were  not  to  exceed  a  dozen  patients  who  were  not  able  to  walk  about  and  help 
themselves.  From  a  suspicion  of  malingering,  and  to  prevent  persons  who  should  not  from  entering  the  boat,  officers  were 
stationed  at  each  gangway,  to  examine  all  those  who  seemed  to  be  not  much  injured.  Many  of  them  should  have  never  been 
permitted  to  leave  their  regiments.  On  the  third  day  after  the  engagement,  all  the  seriously,  and  many  of  the  slightly,  wounded 
had  already  been  sent  to  general  hospital  at  Beaufort  or  Hilton  Head.  Though  there  was  now  abundant  accommodations,  I 
deemed  it  expedient  to  have  the  hospitals  at  this  place  well  emptied  until  I  should  have  more  permanent  arrangements,  in 
order  to  have  room  for  the  wounded  should  we  have  another  engagement.  I  therefore  sent  to  the  rear  all  sick  and  wounded 
who  would  not  probably  be  fit  for  duty  in  two  weeks.  Besides  the  twenty  days'  supply  of  medicines,  etc.,  ordered  to  be  taken 
by  the  medical  officers,  lint,  bandages,  anaesthetics,  etc.,  in  excess,  I  had  stored  the  three  months'  supply  of  seven  regiments 
and  a  liberal  amount  of  these  articles  on  the  steamer  Cosmopolitan,  which  I  directed  to  be  issued  freely  to  the  hospitals 
when  wanted.  .N'owithstanding  the  unexpected  battle,  and  some  regiments  being  obliged  to  abandon  their  supplies,  to  burn  or 
destroy  them,  to  prevent  their  falling  into  the  hands  of  the  enemy,  yet,  I  believe,  in  all  necessary  ai tides  there  was  enough 
and  to  spare  when  J  arrived  on  the  evening  of  the  23d  with  an  abundance  of  everything.  A  barrel  of  whiskey  was  turned 
over  by  the  chief  commissary,  and  more  would  have  been  given,  if  desired,  to  the  hospitals.  But  it  was  seemingly  used  in 
excess  and  without  judgment.  Dr.  Smith  asked  only  for  five  gallons.  None  of  the  wounds  had  yet  began  to  suppurate,  and 
there  were  but  few  cases  of  seriously  wounded,  requiring  stimulants  on  account  of  vital  exhaustion  or  from  loss  of  blood. 

I  found,  on  my  return,  nothing  had  been  done  toward  carrying  out  my  suggestions  in  regard  to  converting  the  before- 
mentioned  brick  block  into  a  general  hospital.  The  propeller  Burnside,  bearing  the  mechanics  and  their  tools,  had  been 
wrecked  at  the  mouth  of  the  St.  John's  River.  A  large  portion  of  the  building  was  already  occupied  as  offices,  and  as  stores 
for  small  traders,  smaller  and  less  adapted  buildings  were  occupied  by  the  wounded.  Some  of  these  even,  which  I  had  selected, 
had  been  given  up  to  officers  and  citizens  for  quarters.  My  medical  storeroom  was  also  wanted,  and  another  recommended  to 
me  in  another  block,  answering  every  purpose,  however.  So  long  as  the  medical  department  must  depend  upon  abandoned 
buildings,  or  dwellings,  for  shelter  for  their  siek  and  wounded,  an  antagonism  must  exist,  and  a  constant  struggle  with  the  post 
commanders  to  retain  the  necessary  hospital  accommodations.  I  sent  a  communication  to  General  Seymour,  commanding  the 
di-strict  of  Florida,  a  copy ,of  which  has  been  furnished  the  Surgeon  General's  Office,  requesting  him  to  make  a  detail  for  a  small 
ambulance  corps  for  his  district,  but  have  not  received  a  reply.  For  details  of  the  battle  of  Olustee.  I  refer  to  the  report  of 
Surgeon  Majer,  U.  S.  V.,  medical  director  of  the  district  of  Florida.  I  may  remark  that  there  were  but  few  shell  wounds 
received,  and  no  bayonet  wounds,  or  sabre  cuts.  The  majority  of  the  injuries  were  slight  and  apparently  inflicted  by  buckshot 
and  small  rifle  balls.  But  three  amputations  were  performed  before  the  wounded  were  removed  to  this  place  and  Beaufort. 
Seven  have  been  done  since.  Many  of  the  wounded  have  already  returned  to  their  regiments,  apparently  none  the  worse  for  a 
few  weeks'  rest,  and  the  enjoyment  of  the  homelike  comforts  of  a  general  hospital.  This  was  the  first  fight  of  many  of  the 
men,  and  they  were  easily  discouraged.  They  are  better  soldiers  now  than  ever  before.  This  engagement  must  not  be 
considered  a  disastrous  affair.  It  might  have  been  so  had  the  encounter  been  deferred  till  the  column  had  advanced  far  into  the 
enemy's  country.  In  conclusion,  I  must  beg  leave  to  mention  the  able  assistance  afforded  by  Captain  Dunton,  assistant  quarter 
master,  in  promptly  furnishing  all  necessary  transportation,  by  General  Turner,  chief  of  staff,  aided  by  Colonel  Jackson, 
inspector  general,  and  Colonel  Morgan,  chief  commissary.  They  gave  their  personal  attendance,  aiding  in  the  organization 
and  control  of  laboring  parties.  The  latter  furnished  whiskey  by  the  barrel,  and  all  the  supplies  of  his  department,  on  the 
simple  intimation  of  medical  office) s  that  they  were  wanted.  Suigeon  S.  A.  Green,  and  As-si.-tant  Surgeon  W.  S.  Tremaine, 


REPORT  OF  SURGEON  MAJER,  U.  S.  V.  245 

24th  Massachusetts  Volunteers,  deserve  favorable  mention  for  arduous  and  intelligent  service  at  Jacksonville.  Assistant 
Surgeons  Lindsly,  Seniple.  and  Wolverton,  at  Hilton  Head,  and  Surgeon  M.  Clymer,  U.  S.  V.,  and  Assistant  Surgeon  Ramsay, 
U.  S.  A .,  at  Beaufort,  cared  for  the  wounded  on  their  arrival.  Our  loss  at  the  battle  of  Olustee  was  one  hundred  and  ninety- 
three  killed,  one  thousand  one  hundred  and  seventy-five  wounded,  and  four  hundred  and  sixty  prisoners,  making  a  total  of 
one  thousand  eight  hundred  and  twenty-eight. 

Very  respectfully,  your  obedient  servant,  E.  SWIFT. 

Surgeon  U.  S.  A.,  Medical  Director. 
To  THE  ACTING  SURGEON  GENERAL,  U.  S.  A." 


CXC1Y.     Extracts  from  a  Iteport  on  the  Operations  of  the,  Medical  Department  in  Florida  in 
February,  1864.     By  Surgeon  ADOLPH  J\!AJEK,  U.  S.  Volunteers. 

*  *  *  "It  becomes  my  duty  to  report  the  result  of  the  engagement  between  our  forces,  under  the  command  of  Brigadier 
General  T.  Seymour,  and  the  enemy,  occurring  at  a  place  known  as  Olustee,  Florida,  and  distant  from  Jacksonville  some 
forty-five  or  fifty  miles  in  a  westerly  direction.  :  '  On  the  evening  of  February  19,  1864,  the  general  commanding  ordered 
his  command  to  he  in  readiness,  with  several  days'  cooked  rations,  for  a  forward  movement  from  Barber's  Station,  thirty-two 
miles  from  Jacksonville,  on  the  Florida  Central  railroad.  At  daybreak,  February  2Uth,  the  command  took  its  line  of  march 
on  the  road  to  Sanderson,  with  its  cavalry  brigade  and  Elder's  Battery,  of  the  First  Artillery,  under  the  command  of  Colonel 
Ilenrv,  in  the  advance.  Passing  Sanderson,  the  general  commanding  was  informed  that  we  should  meet  the  enemy  in  force 
fifteen  thousand  strong,  some  miles  this  side  of  Lake  City,  but  no  reliance  was  placed  upon  such  dubious  information  in  regard 
to  strength  and  position.  About  five  miles  further  on,  our  advance  reported  some  sixty  or  seventy  skirmishers  of  the  enemy 
falling  slowly  back  on  the  north  side  of  the  railroad  toward  Lake  City.  A  short  distance  from  that  point,  our  cavalry  force, 
together  with  one  company  of  the  7th  Connecticut  Volunteers,  reported  that  it  was  suspected  that  the  enemy  was  directly  in 
front.  The  general  ordered  a  halt  and  directed  shells  to  be  thrown  through  the  pine  barrens.  Hardly  had  the  second  shell 
been  thrown,  when  a  solid  shot  fell  directly  in  front  of  the  staff.  A  second  one,  following  closely  on  the  first,  and  a  third  one 
passing  in  close  proximity  to  our  heads.  No  time  was  to  be  lost  to  bring  our  guns  into  battery,  and  to  throw  companies  of  the 
7th  Connecticut  Volunteers  out  as  skirmishers  on  our  right.  The  infantry  line  of  battle  was  in  cool  promptness  formed  of  the 
brigades  commanded  respectively  by  Colonel  Barton,  48th  New  York  Volunteers ;  Colonel  Hawley,  7th  Connecticut  Volunteers; 
and  Colonel  Montgomery,  2d  South  Carolina  Volunteers.  Soon  our  artillery  fire  became  hotter  and  hotter,  and  the  musketry 
incessant.  Looking  about  for  a  convenient  ambulance  depot,  I  rode  on  our  right  toward  a  couple  of  log  houses,  the  only 
buildings  within  many  miles;  but  I  found  that  these  houses  were  so  much  exposed,  that  while  inspecting  them  even,  I  was  in 
danger.  '  *  As  the  topographical  condition  of  the  field  offered  scarcely  the  least  undulation,  there  was  no  protection  for  a 
depot  on  the  even  plain  of  the  pine  barren.  About  two  hundred  yards  in  the  rear  of  our  left  wing,  observing  a  cluster  of  pine 
trees,  I  directed  our  ambulances,  twelve  in  number,  to  be  drawn  up  in  line,  the  surgeons  preparing  their  instruments  and 
appliances  to  be  in  readiness.  While  the  roar  of  artillery  and  the  musketry  continued  without  intermission,  our  wounded  men 
began  to  arrive,  part  walking,  some  in  litters,  and  others  in  open  ambulance  wagons;  first  singly,  then  in  a  steady  stream 
increasing  from  a  single  row  to  a  double  and  treble,  and  finally  into  a  mass.  In  a  half  hour  from  the  commencement  of  the 
action,  stray  shots  passing  through  the  pines  and  breaking  off  the  trunks  like  canes,  admonished  us  to  remove  the  depot  farther 
to  tiie  rear.  Within  one  mile  we  drew  our  ambulances  up  behind  a  small  stream  and  guarded  in  front  by  marshy  ground, 
and  secured  a  sufficiency  of  water,  yet  not  suitable  protection  against  missiles  from  the  rifled  guns.  '  The  battle  had 

been  raging  for  three  hours  when  we  heard  cheers  from  the  front,  and  the  firing  ceased  abruptly.  Our  troops  fell  back  about 
a  mile,  and  I  received  an  order  to  bring  our  wounded  as  far  to  the  rear  as  we  could  get  with  our  limited  transportation.  Ambu 
lances,  caissons,  army  wagons,  litters,  single  horses,  carts,  in  short,  every  conceivable  mode  of  conveyance  was  made  use  of  to 
secure  the  large  number  of  our  wounded;  and,  with  a  readiness  which  deserves  high  commendation,  every  one  endeavored  to 
execute  the  order.  There  was  no  depression  of  spirits  or  panic  manifested.  '  ;  Our  troops  fell  back  to  Barber's  Station 
under  the  protection  of  our  cavalry  brigade,  which  during  the  battle,  had  been  drawn  up  in  the  rear  of  our  right  and  left. 
While  passing  Sanderson.  I  sent  the  following  telegram:  '  To  the  Surycon  in  charge  of  field  hospital  at  Barber's  Station: 
A  large  number  of  wounded.  Prepare  coffee,  tea  and  beef  soup.'  Also:  'To  Surgeon  William  H.  Smith,  47th  New  York 
Volunteers,  Jacksonville:  Send  immediately  a  train  of  cars,  with  bales  of  hay,  lint,  bandages  and  stimulants.  Call  on  Sanitary 
Commission.  Dr.  A.  Majer.'  We  reached  Barber's  Station  at  midnight,  and  unhappily,  some  forty  cases  of  wounded 
had  to  be  left  at  the  ambulance  depot  near  the  battle-field,  under  the  charge  of  Assistant  Surgeon  C.  A.  Devendorf,  48th  New 
York  Volunteers,  and  twenty-three  more  at  Sanderson  badly  wounded.  Two  companies  of  cavalry  were  dismounted  and  saved 
eighty  more  men.  We  had  now  to  take  care  of  and  forward  by  cars  and  wagons,  eight  hundred  and  sixty  wounded,  two 
hundred  and  fifteen  of  whom  were  at  once-  placed  on  the  hospital  ship  Cosmopolitan,  at  the  wharf  at  Jacksonville. 

I  have  the  honor  to  transmit  a  list  of  all  the  casualties,  as  gathered  from  the  surgeons  in  charge  of  brigades,  and  beg 
leave  to  add  the  following  remarks:  The  expedition  into  Florida  and  its  occupation,  we  believed  to  be  not  a  sanguinary 
undertaking.  No  one  expected,  at  least,  a  resistance  so  bold  and  stubborn,  because  no  concentration  by  the  enemy  of  twelve  or 
fifteen  thousand  men,  was  deemed  possible,  and  our  hospital  preparations  at  the  post,  as  well  as  in  the  field,  had,  up  to  the  time 
of  the  engagement,  remained  a  mere  consolidated  regimental  affair,  in  supplies.  When,  under  these  circumstances,  the  com 
paratively  large  number  of  wounded  have  been  well  cared  for,  I  feel  it  to  be  my  duty  to  be  thankful  to  the  aid  and  assistance 
of  the  ever  ready,  and  assiduous  agent  of  the  Sanitary  Commission,  Mr.  A.  B.  Day.  and  to  the  untiring  exertion  of  my  worthy 
colleague,  Surgeon  William  II.  Smith,  47th  New  York  Volunteers,  in  charge  of  hospital.  I'nder  ordinary  circumstances  I 
should  not  have  made  requisitions  on  the  Sanitary  Commission  had  not  the  emergency  arisen  in  \\liich  our  wants  were  urgent 
and  large.  Again,  the  very  limited  number  of  ambulances  could  not,  inside  the  department,  have  been  increased;  therefore 
transportation  on  army  wagons  and  caissons  c  ,nld  not  \\ell  have  been  avoided.  Vet,  in  .-pile  of  these  deficiencies,  will  any 


246  APPENDED    DOCUMENTS WESTERN    ARMIES,    1802. 

contribution  to  the  surgical  history  of  the  war  speak  but  favorably  of  the  manner  in  which  the  medical  officers  bore  themselves 
to  the  credit  of  their  profession  and  administration?  True,  such  could  not  have  been  the  case,  were  the  character  of  the  wounds 
in  the  majority  graver;  but,  happily,  the  number  of  slight  cases  is  large,  being  for  the  most  part,  wounds  of  the  lower 
extremities,  with. but  few  cases  of  operations.  Five  hundred,  at  least,  will  be  able  for  duty  in  less  than  four  weeks,  and  our 
loss,  therefore,  will  be  slight.  We  have  to  regret  the  many  casualties  among  officers,  and  the  fact  that  we  could  not 
recover  all  our  wounded,  in  spite  of  an  effort  made  to  do  so,  by  requesting  this  privilege  under  a  flag  of  truce.  I  made  this 
proposition  to  the  general  commanding,  and  while  he  entertained  the  opinion  that  they  should  be  well  cared  for  by  the  enemy, 
the  general  finally  yielded  to  the  request,  which  unfortunately  was  refused  by  our  opponents.  The  number  of  our  wounded 
retained  at  Jacksonville  is  decreased  to  one  hundred  and  sixty-five,  by  transfer  of  cases  by  the  hospital  steamer  Cosmopolitan, 
and  transport  steamers  Dictator  and  Delaware,  the  hospital  steamer  making  two  trips  within  one  week  to  Hilton  Head  and 
Beaufort,  South  Carolina.  It  is,  perhaps,  not  out  of  place  to  recommend  that  no  general  hospital,  above  those  already  existing, 
be  established,  and  especially  that  the  general  hospital  at  Jacksonville,  may  merely  be  conducted  as  a  receiving  depot,  whence 
to  forward  to  the  above  hospitals,  adding  that  at  St.  Augustine,  Florida.  The  remoteness  from  the  main  depot  of  supplies  of 
the  departments,  with  all  its  annoying  and  delaying  circumstances,  and  the  readiness  with  which  the  returning  empty 
transports  can  be  employed  for  transportation  of  sick  and  wounded,  prompts  me  to  come  to  this  conclusion,  and  while  the 
interior  of  Florida  in  regard  to  healthfulness  among  a  large  command  is  yet  to  be  tested,  there  presents  itself  at  the  convales 
cent  hospital  at  St.  Augustine,  a  hospital  arrangement  which,  when  completed,  will  meet  all  demands  of  sanitary  law  with  no 
heavy  expenses.  Should  the  army  of  occupation  advance  toward  Middle  Florida,  there  will  be  an  easy  and  quick  communica 
tion  with  the  delightful  seaside  of  the  old  Spanish  colony." 


CXCV.     Extracts  from  a  Narrative  of  his  Services.     By  Asssistant  Surgeon  W.  F.  COKNJCK, 
U.  S.  Army. 

*     *     *     "In  January,  1861,  I  was  ordered  from  Fort  Monroe,  Virginia,  to  report  to  the  commanding  officer  at  Key 
West  barracks,  Florida.     ;       :     On  my  arrival  I  found  the  garrison  removed  to  Fort  Taylor.     '  The  garrison  consisted 

of  Captain  John  M.  Brannan  and  Lieutenants  Gillem  and  Webber,  with  a  company  of  about  forty  men.  In  April,  Major 
French  reinforced  the  Fort  with  two  companies,  and  took  command.  *  *  The  United  States  flag  never  ceased  to  fly  over 
Key  West,  the  remotest  spot  of  the  southern  country.  We  had  no  sickness  of  any  kind,  except  what  is  usually  found  in  a 
garrison,  until  the  summer  of  1862.  Two  of  the  principal  physicians  of  the  island  left  to  join  the  Southern  Confederacy  soon 
after  my  arrival,  and  left  me  as  medical  officer  at  the  fort,  surgeon  at  the  marine  hospital,  health  officer  of  the  port,  besides 
having  considerable  practice  in  the  city.  Fortunately  a  strict  quarantine  was  kept  up,  and  the  much  dreaded  yellow  fever  did 
not  make  its  appearance.  :  '  In  February,  1862,  the  90th  New  York  Volunteers  arrived,  followed  soon  after  by  the  91st 
New  York  and  the  47th  Pennsylvania,  Brigadier  General  Brannan  in  command  and  Surgeon  C.  II.  Crane,  U.  S.  A.,  medical 
director.  Dr.  Crane  immediately  established  a  general  hospital  at  the  barracks,  and  placed  me  in  charge.  Soon  after,  an 
epidemic  of  typhoid  fever  prevailed,  and  my  hospital  was  soon  filled,  accommodating  comfortably  from  two  to  three  hundred 
patients.  The  epidemic  lasted  for  two  months.  ;  The  patients  had  every  comfort,  and  the  number  of  deaths  was  small. 

In  June,  the  91st  New  York  Volunteers  was  ordered  to  Pensacola,  and  General  Brannau,  with  the  47th  Pennsylvania 
Volunteers,  left  for  Port  Royal.  I  remained  at  the  general  hospital.  In  July  we  had  an  epidemic  of  yellow  fever,  though 
every  precaution  was  used  to  prevent  it,  such  as  strict  quarantine,  use  of  quinine  and  whiskey,  and  avoidance  of  the  hot  sun 
and  night  air.  I  transmitted  a  full  account  of  this  epidemic  before  I  left  Florida.  Fortunately  we  had  a  fine  hospital,  and 
everything  needed  for  the  sick,  and  had  it  not  have  been  that  the  command  had  hardly  recovered  from  the  epidemic  of  typhoid 
fever,  leaving  the  men  in  a  very  debilitated  condition,  many  who  died  would  have  recovered.  As  it  was,  the  mortality  was  not 
great,  when  it  is  taken  into  consideration  that  the  troops  were  not  acclimated.  '  The  people  of  Key  West  behaved  nobly 

toward  our  sick,  by  doing  everything  possible  for  their  comfort,  and  in  a  great  many  cases  they  did  much  good.  In  August, 
I  was  ordered  to  report  to  Major  General  Hunter,  at  Port  Royal,  South  Carolina,  for  duty.  I  left  the  next  day  in  the  steamer 
Delaware,  with  Brigadier  General  Terry,  who  was  on  an  inspection  tour  at  Key  West.  The  day  after  I  left  I  was  taken  with 
the  yellow  fever,  and  for  several  days  remained  quite  ill.  Immediately  upon  our  arrival,  the  steamer  was  ordered  into  quarantine 
for  two  weeks  at  St.  Helena,  which  is  about  thirty-six  miles  from  Port  Royal.  Dr.  Crane  having  been  informed  that  the 
epidemic  was  on  the  increase,  I  was  immediately  taken  out  of  quarantine,  and  ordered  to  return  to  Key  West,  to  do  what 
might  be  necessary.  It  is  proper  here  to  remark  that  when  I  was  ordered  from  Key  West  the  medical  director  was  not  aware 
that  yellow  fever  cases  existed  on  the  island,  although,  of  course,  he  had  been  notified.  But  the  mail  had  first  to  go  to  New 
York  before  it  could  reach  him  at  Hilton  Head,  there  being  no  direct  communination,  and  seldom  a  mail  for  the  north.  Upon 
my  arrival,  I  found  the  epidemic  at  its  height,  but  with  the  assistance  of  Surgeon  E.  S.  Hoffman,  90th  New  York,  and  Hospital 
Steward  Stubs,  I  soon  had  the  satisfaction  of  seeing  it  entirely  subside.  In  November,  I  reported  to  Dr.  Crane  that  there  was 
now  no  yellow  fever  on  the  island,  and  that  the  command  was  in  good  health."  * 


CXCVL  Extracts  from  a  Report  of  the  Operations  of  the  Medical  J)cpart<mcnt  of  the  Union 
Forces  at  the  Action  at  Richmond,  Kentucky,  in  August,  1802.  By  Assistant  Surgeon  B.  J. 
D.  IRWLN,  U.  S.  Army,  Medical  Director. 

"I  arrived  at  Cincinnati  on  September  12th,  1802,  from  Richmond,  Kentucky,  where  I  had  been  taken 
prisoner  on  August  30th,  in  the  battle  between  a  part  of  the  army  of  Kentucky  under  General  M.  D.  Maruson  and  a  Confederate 
force  under  General  Kirby  Smith.  1  regret  that  uncontrollable  circumstances  will  not  allow  me  to  submit  a  detailed  report 
of  the  casualties  that  occurred  among  our  troop*.  During  the  night  of  August  15th,  Major  General  WT.  Nelson, 


REPORT    OF    MEDICAL    DIRECTOR    IRWIN.  247 

commanding  the  4th  division  of  the  army  of  the  Ohio,  received  a  telegram  from  General  Buell,  directing  him  to  proceed  at  once 
to  Kentucky,  to  assume  command  of  the  new  troops  arriving  in  the  State,  to  organize  them,  and  put  them  rapidly  in  the  field, 
for  the  purpose  of  repelling  the  threatened  invasion  by  the  enemy,  entering  the  state  through  the  Cumberland  Mountains.  In 
obedience  to  this  order,  General  Nelson  left  next  morning  for  Kentucky,  taking  all  the  members  of  his  staff.  We  arrived  at 
Lexington,  Kentucky,  on  the  26th,  and  I  was  announced  as  medical  director  of  the  army  of  Kentucky.  Next  day,  we  proceeded 
to  Richmond,  Kentucky,  and  I  lost  no  time  in  informing  myself  of  the  condition  and  wants  of  the  eight  new  regiments,  just 
concentrated,  from  Indiana  and  Ohio.  :  They  had  been  only  from  fourteen  to  twenty  days  in  the  field,  and  had  but  few 

medical  officers,  who  had  neither  medicines,  instruments,  ambulances,  tents,  or  camp  equipage,  to  enable  them  to  perform  their 
duties.  With  three  exceptions,  the  medical  officers  were  inexperienced  in  service  and  had  but  vague  ideas  as  to  the  extent  or 
sphere  of  their  duties.  I  immediately  despatched  two  of  the  most  intelligent  of  them  to  Louisville  and  Cincinnati,  to  procure 
ambulances  and  medical  supplies  for  the  several  regiments.  The  day  previous,  I  met  Medical  Inspector  G.  H.  Lyman  at 
Lexington,  and  represented  to  him,  informally,  the  condition  in  which  the  new  regiments  were  being  thrown  into  active 
campaign,  without  the  necessary  outfit  of  supplies,  transportation,  and  medical  personnel;  and  as  he  was  then  on  his  way  to 
Louisville,  he  kindly  promised  to  confer  with  Surgeon  J.  F.  Head,  U.  S.  A.,  medical  director,  at  Louisville,  and  explain  to 
him  fully  the  wants  of  the  troops.  I  also  wrote  to  Surgeon  Head,  and  Surgeon  G.  Perin,  U.  S.  A.,  medical  purveyor,  at  that 
city,  pointing  out  the  necessity  of  prompt  action  in  fitting  out  those  regiments.  On  the  29th,  I  was  ordered,  and  went  to 
Lancaster,  twenty-five  miles  from  Richmond,  with  the  headquarters  of  the  army;  but  hearing  that  the  enemy  was  menacing  our 
troops  at  Richmond,  I  returned  next  morning,  and  arrived  on  the  field  at  eleven  o'clock,  and  found  that  our  forces,  after 
having  fought  three  hours  and  a  half  against  superior  numbers,  had  been  obliged  to  fall  back  about  two  miles  from  the  battle 
ground,  leaving  our  killed  and  wounded  in  the  possession  of  the  enemy,  but  under  care  of  some  five  or  six  of  our  medical 
officers,  who  were  captured  while  attending  to  the  wants  of  those  placed  hors  de  combat.  I  was  gratified  to  find  that  I  had 
received  a  dozen  ambulances,  and  supplies  of  medicine  and  stimulants  for  four  of  the  regiments.  The  ambulances  arrived  most 
opportunely,  but  in  consequence  of  the  doubtful  issue  of  the  pending  contest,  the  wagons,  including  those  laden  with  the  medical 
supplies,  were  already  moving  to  the  rear.  I  had  previously  taken  possession  of  the  court-house,  and  a  seminary  building  for 
hospital  purposes,  and  thither  our  wounded  were  conveyed,  as  fast  as  our  limited  amount  of  transportation  would  admit.  The 
contest  was  renewed  three  times  during  the  day  in  new  positions,  and  terminated  at  dark,  in  a  complete  defeat  and  rout  of  our 
whole  force.  General  Nelson  arrived  on  the  field  during  the  evening,  and  was  shortly  afterward  severely  wounded  in  the  left 
groin.  I  rode  from  the  field  with  him  some  distance  to  attend  to  his  wound,  but  I  was  obliged  to  throw  myself  into  the  hands 
of  a  party  of  the  enemy's  cavalry,  thereby  securing  his  escape.  Next  morning,  I  was  turned  over  to  the  Confederate  com 
mander,  who,  after  placing  certain  restrictions  on  my  movements,  acceded  to  my  request  to  be  permitted  to  go  to  superintend 
the  treatment  of  our  wounded.  Upon  arriving  at  the  hospital  buildings,  I  found  the  rooms,  corridors,  and  balconies  densely 
crowded  with  men,  wounded  and  mutilated  in  every  conceivable  way.  Everything  that  our  meagre  means  would  allow  was 
being  done  for  their  speedy  relief,  but  as  the  enemy  had  captured  all  our  hospital  stores,  ambulances,  etc.,  I  was  reduced  to  the 
utmost  straits  for  means  to  meet  the  wants  of  so  large  a  number  of  sufferers,  so  suddenly  thrown  upon  our  hands.  I  was 
fortunate  in  being  able  to  purchase  some  four  hundred  dollars'  worth  of  medicines,  dressings,  stimulants,  muslin,  etc.,  from  a 
druggist,  and  in  borrowing  instruments  from  some  of  the  civil  practitioners  of  medicine  of  the  town.  With  commendable  zeal 
and  generosity,  the  loyal  citizens  brought  in  abundance  of  subsistence,  fresh  meats,  soup,  milk,  fruit,  light  bread,  etc.  The 
ladies  of  Richmond  and  vicinity,  for  ten  or  fifteen  miles  around,  came  daily  to  the  hospital,  and  with  untiring  devotion 
lent  their  valuable  assistance  in  dressing  and  assisting  our  suffering  soldiers.  Many  also  placed  their  negro  servants  at  my 
disposal.  The  greatest  inconvenience  was  felt  from  the  want  of  proper  hospital  attendants.  Those  detailed  from  among  the 
prisoners  of  war  deserted  their  posts,  despite  all  our  efforts,  at  the  first  opportunity.  Being  recruits,  they  possessed  no  feeling 
of  sympathy  for  their  wounded  comrades,  such  as  old  soldiers  are  wont  to  evince  for  each  other.  I  obtained  permission  to  send, 
under  a  flag  of  truce,  to  Lexington  for  clothing  and  medical  supplies,  and  had  the  gratification  to  receive  a  wagon  load  of 
under-clothes,  dressings,  sheets,  etc.,  on  the  2d  instant;  and  on  the  6th,  a  supply  of  medical  stores.  The  Confederate  post 
surgeon,  Dr,  Tucker,  evinced  a  sincere  desire  to  share  with  me  his  limited  supply  of  under-clothing,  cooking,  and  mess  utensils, 
by  which  I  was  enabled  to  relieve  the  condition  of  those  patients,  whose  wants  were  most  urgent.  The  number  of  wounded 
amounted  to  some  seven  hundred,  the  killed  from  two  hundred  and  fifty  to  three  hundred.  The  number  of  capital  operations 
performed  amounted  to  twenty-seven.  A  large  majority  of  the  most  dangerous  wounds  were  inflicted  on  the  lower  extremities. 
The  patients  operated  on  did  well ;  only  one  death  occurred  among  them  up  to  the  sixth  day.  Among  the  interesting  cases 
were  :  one  case  of  amputation  through  the  left  knee  joint,  and  one  case  of  amputation  through  the  upper  third  of  the  left  thigh, 
one  case  of  resection  of  the  inferior  maxilla,  three  amputations  at  the  shoulder  joint,  and  two  cases  of  lardaceous  gangrene,  and 
a  case  of  wound  of  the  right  axillary  artery,  which  was  treated  by  pressure.  For  want  of  transportation,  I  was  obliged  to 
leave  some  one  hundred  and  sixty  patients  at  Rogersville,  six  miles  south  of  Richmond,  the  scene  of  the  first  engagement. 
These  I  placed  under  the  charge  of  Surgeon  Berry,  Ikl  Kentucky  Cavalry,  an  accomplished  surgeon,  who  was  assisted  by 
Surgeon  G.  F.  Chittenden,  IGth  Indiana  Volunteers,  and  A.  G.  Preston,  55 th  Indiana  Volunteers,  and  two  assistant  surgeons. 
The  seminary  hospital,  I  put  under  the  charge  of  Surgeon  N.  Field,  60th  Indiana  Volunteers,  with  five  assistants;  and  the 
church  hospital,  I  placed  under  the  control  of  Surgeon  W.  Lomax,  12th  Indiana  Volunteers,  and  three  assistants.  From  the 
fact  that,  the  Confederate  authorities  had  no  suitable  commissary  supplies  to  furnish  for  the  support  of  our  wounded,  and  from 
the  fear  the  supplies  furnished  to  us  by  the  generous  hearted  citizens  would  become  exhausted,  I  determined  to  proceed  to 
Lexington,  and  to  obtain  permission  from  the  Confederate  commander  to  allow  me  to  pass  through  his  lines  to  Ohio  to 
procure  transportation  for  such  of  the  wounded  as  would  bear  removing.  Already  some  two  hundred  of  them,  whose  wounds 
were  slight  and  did  not  interfere  with  locomotion,  were  paroled  and  sent  forward  to  our  lines.  Having  done  everything  in  my 
power  in  getting  the  hospital  organized  and  put  in  condition  to  secure  comfort  and  ample  medical  attendance  to  the  invalids,  I 
left  for  Lexington  on  the  6th,  when,  after  ten  days'  delay,  I  was  permitted  to  go  to  Cincinnati  to  have  the  necessary  transporta 
tion,  nurses  and  subsistence,  sent  back  to  Richmond.  Several  volunteers  accompanied  the  expedition  which  left  here  on  the  9th. 


248  APPENDED    DOCUMENTS WESTERN    ARMIES,    1862. 

I  must  not  neglect  to  mention  that  the  conduct  of  the  medical  officers,  with  some  few  exceptions,  was  highly  laudable.  To 
Surgeons  N.  Field,  66th  Indiana,  Berry,  3d  Kentucky,  G.  F.  Chittenden,  16th  Indiana,  A.  G.  Preston,  55th  Indiana,  W.  Lomax, 
12th  Indiana,  and  Assistant  Surgeons  A.  B.  Taylor,  12th  Indiana,  J.  H.  Thomas,  49th  Indiana,  and  Roberts,  I  am  under 
great  obligations  for  their  untiring  zeal  and  devotion  to  the  wounded  under  their  charge.  When  it  is  considered  that  we  were 
deprived  of  almost  every  medical  supply  and  comfort,  of  tents,  ambulances,  instruments,  of  chloroform,  and  other  hospital 
stores,  it  is  surprising  how  well  we  got  along.  The  kindness  and  attention  bestowed  by  the  citizens  on  our  disabled  men  can 
never  be  fully  appreciated  save  by  those  who  were  its  recipients,  or  witnessed  their  untiring  devotion  to  their  suffering  country 
men.  I  must  not  forget  to  mention  that  the  civil  practitioners  of  medicine  lent  us  valuable  assistance.  From  the  loss  of  all 
books  and  papers  and  the  dispersion  of  the  regiments,  I  despair  of  ever  getting  nominal  lists  of  the  killed  and  wounded. 
Many  slightly  wounded  escaped  from  the  field  to  Lexington;  men  were  paroled  and  inarched  off  with  the  prisoners  of  war, 
while  large  numbers  scattered  through  the  country  being  cared  for,  and,  in  several  instances  disguised  and  secreted,  by  their 
friends  and  acquaintances.  Most  of  the  medical  officers  lost  all  their  personal  effects  and  the  public  property  under  their  charge. 
Mv  horse  and  equipments,  sword,  pistol,  etc.,  were  taken  from  me,  against  which  I  remonstrated  to  General  Kirby  Smith,  who 
informed  me  that  he  would  not  allow  the  private  property  of  the  medical  corps  to  be  confiscated.  But  the  property  was  taken, 
nevertheless,  by  irresponsible  parties,  whom  it  was  found  impossible  to  detect  in  the  confused  state  of  affairs  that  existed. 
After  my  arrival  at  Cincinnati,  I  attended  General  Nelson,  who  convalesced.  As  this  report  is  made  from  memory,  I  trust  its 
imperfections  will  be  overlooked." 


CXCVIL  Extracts  from  a  Report  on  the  Operations  of  the  Medical  Department  at  the 
Battle  of  luka,  September  19,  1802.  By  Surgeon  A.  B.  CAMPBELL,  U.  S.  Volunteers, 
Medical  Director  Army  of  the  Mississippi. 

"In  accordance  with  instructions,  all  the  sick  of  the  command,  nine  hundred  in  number,  were  disposed 
of  comfortably  in  the  general  hospitals  at  Corinth,  Mississippi,  and  Jackson,  Tennessee,  by  September  18,  1862.  The  command 
marched  on  that  day,  and  reached  the  battle-field  of  luka  unwearied  and  in  good  spirits.  :  As  soon  as  it  became  known 

that  an  engagement  was  impending,  I  established  a  field  hospital  at  the  only  place  within  two  and  a  half  miles  of  the  field 
where  there  was  water  to  be  obtained.  As  it  was  on  the  roadside,  the  men  in  column  observed  the  locality.  Immediately  after 
the  firing  commenced,  the  wounded  began  to  arrive,  generally  carried  by  two  men.  Those  whose  legs  were  nearly  shot  away 
were  carried  in  some  instances  on  blankets  by  six  men.  The  details  previously  made  for  this  purpose  behaved  admirably, 
depositing  those  brought  off,  and  immediately- returning  for  others.  The  surgeons  did  their  best,  and  everything  moved  with 
regularity.  '  *  Finding  that  the  wounded  became  very  numerous,  a  second  depot  was  established  about  half  a  mile  in  the 
rear  of  the  first,  under  the  direction  of  Surgeon  WT.  R.  Thrall,  27th  Ohio  Volunteers.  The  night  was  calm  and  still,  so  that,  as 
the  battle  raged  till  after  nightfall,  we  were  enabled  to  dress  the  wounded  by  candle-light  as  well  as  if  we  had  been  in  a  house. 
At  eleven  o'clock,  all  had  been  attended  to,  when  orders  were  received  to  transport  the  wounded  to  the  rear.  :  *  The 
ambulances  were  brought  up  and  loaded  under  the  supervision  of  Surgeon  S.  P.  Thornhill,  8th  Wisconsin  Volunteers,  and  were 
received  at  the  new  depot,  two  miles  in  the  rear,  by  Surgeons  J.  E.  Lynch,  1st  Missouri  Cavalry,  and  L.  J.  Ham,  48th  Indiana 
Volunteers.  They  had  all  reached  the  new  depot  by  an  hour  after  daylight,  and  the  last  were  about  to  be  unloaded,  when 
orders  were  received  to  move  them  into  luka,  the  enemy  having  evacuated  the  town  during  the  night.  Surgeons  Thrall  and 
Ham  attended  to  the  reloading,  assisted  by  all  the  surgeons  present.  It  was  found,  on  reaching  luka,  that  the  rebel  wounded 
occupied  our  old  hospital,  the  luka  Springs  hotel,  as  well  as  the  seminary  buildings.  Upon  consultation  with  Surgeon  J.  G.  F. 
Holston,  U.  S.  V.,  it  was  determined  to  occupy  the  luka  hotel,  and  turn  over  all  the  rebel  wrounded  to  their  own  surgeons,  as 
they  had  enough,  and  give  them  the  seminary  buildings.  At  this  time,  I  turned  over  to  Surgeon  Holston  the  entire  charge 
of  the  wounded,  and  reported  to  headquarters  for  duty.  I  cannot  speak  too  highly  of  the  surgeons  nor  discriminate  between 
them.  I  doubt  if  the  wounded  of  so  great  a  carnage  were  ever  taken  care  of  more  gently  and  more  expeditiously.  They  sustained 
their  removals  with  fortitude,  and  with  .but  little  apparent  fatigue.  Our  whole  loss  amounted  to  one  hundred  and  forty -three 
killed,  five  hundred  and  ninety-eight  wounded,  and  nineteen  missing.  The  rebel  loss  was  much  greater,  amounting  to  over 
five  hundred  and  twenty  killed,  one  thousand  three  hundred  wounded,  and  one  hundred  and  eighty-one  prisoners,  not  including 
the  wounded.  I  am  satisfied  that  these  figures  are  within  bounds,  from  personal  inspection,  and  what  I  consider  reliable 
information."  * 


CXCVIII.  Extracts  from  a  Second  Jteport  of  the  Casualties  at  the  Battle  of  luka,  Sep 
tember  19,  1802.  By  Surgeon  A.  B.  CAMPBELL,  U.  S.  Volunteers,  Medical  Director  of  the 
Army  of  the  Mississippi. 

"The  battle  of  luka  was  fought  on  the  afternoon  and  evening  of  September  19,  1862.  The  object  was  to 
surround  and  capture  General  Price's  whole  army.  For  this  purpose  General  Grant,  with  a  large  force,  moved  in  a  nearly 
direct  route  from  Corinth  toward  luka,  while  General  Rosecrans  moved  the  army  of  the  Mississippi,  on  September  18th,  from 
Corinth  by  a  circuitous  route  to  the  battle-field,  one  mile  southeast  from  luka.  The  battle  commenced  about  half-past  four 
in  the  afternoon,  and  raged  till  seven,  with  more  or  less  firing  till  ten  o'clock.  The  volleys  by  regiments  were  continuous  and 
uninterrupted.  But  four  cannon  were  used.  We  had  only  eight  pieces,  and  the  enemy  not  more,  and  the  lines  of  the  armies 
were  so  close  together  that  when  once  engaged  artillery  could  not  be  used.  The  enemy  outnumbered  us  at  least  two  to  one. 
We  had  not  over  six  thousand  five  hundred  men,  and  they  had  certainly  fifteen  thousand.  They  were  chiefly  armed  with 
smooth-bore  muskets,  firing  the  ball  with  three  buckshot.  Their  range  was  but  little  over  one  hundred  yards,  and  sometimes 
less.  Our  line  was  compelled  to  give  way  on  our  right,  and  swung  back  into  a  cleared  field,  where  the  battle  terminated 


REPORTS    OF    SURGEON    CAMP! JELL,    U.    S.    V.  249 

for  the  night.  *  *  During  the  night  the  enemy  retreated.  The  hospital  was  established  at  Rix's  house,  near  a  good  supply 
of  water,  and  about  seven  hundred  yards  from  our  line.  We  were  protected  by  the  nature  of  the  ground,  and  by  a  large 
barn  and  stable  on  our  front.  At  nine  o'clock  an  order  was  received  to  remove  the  wounded,  and,  under  the  direction  of 
Surgeon  Thornhill,  8th  Wisconsin  Volunteers,  assisted  by  Captain  Mott  of  the  subsistence  department,  the  last  load  left  before 
daylight  for  the  new  depot,  two  and  a  half  miles  in  the  rear,  where  they  were  received  by  Surgeons  Ham  and  Lynch.  A  second 
hospital  had  been  established  under  charge  of  Surgeon  Thrall,  about  half  a  mile  in  our  rear;  but  great  difficulty  was 
experienced  in  obtaining  water,  and  the  wounded  were  removed  before  morning  to  the  new  depot.  Before  the  last  ambulance 
was  unloaded  at  the  new  depot,  an  order  was  received  from  General  Rosecrans  to  remove  the  wounded  into  the  town  of  luka, 
and  before  noon  their  removal  was  accomplished.  The  services  of  Surgeon  I.  L.  Crane,  63d  Ohio  Volunteers,  at  this  time 
were  invaluable,  as  he  had  been  previously  in  charge  of  the  hospitals  in  luka  before  our  last  evacuation.  I  was  here  ordered 
to  turn  the  wounded  over  to  Surgeon  Holston.  Our  army  was  supplied  in  abundance  with  every  necessary,  and  as  but  one-third 
of  the  army  was  engaged,  the  surgeons  of  the  remainder  were  in  readiness,  and  the  wounded  were  cared  for  immediately  upon 
their  reception.  The  battle  was  fought  so  close  to  the  hospital  that  the  men  detailed  as  bearers  could  go  to  the  field  and  return 
at  very  short  intervals.  The  moment  a  man  fell,  he  was  taken  up,  and  in  three  minutes  his  wounds  were  being  dressed.  All 
necessary  operations  were  performed  at  once,  and  the  records  show  but  a  trifling  mortality.  No  anaesthetics  were  used,  and 
not  a  groan  or  sign  of  pain  was  heard.  The  firing  continued  long  after  dark,  and  the  wounded  were  occasionally  brought  in 
until  ten  o'clock  r.  M.  The  night  was  so  calm  that  candles  could  be  used  in  the  open  air.  Our  loss  was  one  hundred  and 
forty-five  killed,  five  hundred  and  ninety-eight  wounded,  nineteen  missing,  and  we  lost  three  prisoners.  The  enemy  had  five 
hundred  and  twenty  killed,  one  thousand  three  hundred  wounded,  and  one  hundred  and  eighty-one  prisoners.  We  used  as 
hospitals  the  two  hotels  in  luka,  and  the  seminary  building  was  assigned  to  the  rebels.  In  a  few  days  our  wounded  were 
removed  to  Corinth,  Mississippi,  and  Jackson,  Tennessee."  *  *  * 


CXCIX.  Extracts  from  a  Report  on  the  Operations  of  the  M'edical  Staff  at  the  Battle  of 
Corinth,  October  3  and  4,  1862.  By  Surgeon  A.  B.  CAMPBELL,  U.  S.  Volunteers,  Medical 
Director  of  the  Army  of  the  Mississippi. 

"In  anticipation  of  an  engagement  with  the  enemy  on  October  3d,  upon  information  derived  from  the  engineer 
department,  I  selected  the  large  building  recently  constructed  for  a  commissary  department,  as  the  place  best  protected  by  the 
nature  of  the  ground  and  the  safest  for  hospital  purposes.  The  men  furnished  by  the  quartermaster  worked  expeditiously, 
and  everything  was  prepared,  medicines,  instruments,  cots  and  buckets  of  water  were  ready  before  the  first  wounded  man  was 
brought  in.  It  became  evident,  in  a  short  time,  that  tlie  building,  although  a  very  large  one,  would  be  altogether  too  small  for 
their  accommodation.  I  then  took  possession  of  the  Tishomingo  Hotel  and  of  the  Corinth  House.  *  *  All  the  surgeons 
worked  diligently  and  faithfully,  and  by  six  o'clock,  the  wounded  were  all  comfortably  disposed  of  and  their  wounds  dressed. 
At  three  o'clock  next  morning  I  was  ordered  to  remove  all  the  wounded  to  Camp  Corral,  and  by  six  o'clock  they  were  all 
collected  into  the  new  hospital.  The  ambulances  then  went  to  the  scene  of  action  to  bring  off  those  recently  fallen.  I  am 
particularly  indebted  to  Surgeon  I.  L.  Crane,  (53d  Ohio  Volunteers,  who  superintended  the  arranging  and  pitching  of  the  tents, 
and  to  Surgeon  II.  Wardner,  IT.  S.  V.,  who  received  and  disposed  of  the  wounded  as  they  arrived  on  both  days.  I  found  upon 
the  railroad  platform  a  large  number  of  tents,  which  I  took  and  used.  The  battle  ceased  just  before  noon,  and  by  night  all 
the  wounded  were  under  shelter,  provided  with  cots,  and  their  wounds  dressed.  I  have  to  compliment  all  the  surgeons  for 
their  kindness,  energy,  and  endurance.  Surgeon  E.  Winchester,  52d  Illinois  Volunteers,  in  charge  of  the  Corinth  House, 
Surgeon  P.  A.  Carpenter,  5th  Iowa  Volunteers,  in  charge  of  the  Tishomingo  Hotel,  and  Acting  Assistant  Surgeon  Swaring,  at 
the  commissary  building,  remained  until  the  last  man  and  all  the  property  had  been  removed  to  the  hospital.  The  wounded 
being  thoroughly  arranged  and  cared  for,  were  turned  over  on  October  5th  to  the  care  of  Surgeon  N.  Gay.  An  ample  supply 
of  medical  officers  were  left  to  take  charge  of  them,  and  the  surgeons  of  divisions  and  regiments,  with  one  assistant  to  each 
regiment,  reported  back  to  their  commands  and  joined  in  the  pursuit  of  the  enemy,  which  occupied  from  eight  to  ten  days.  I 
have  to  state  that  there  was  neglect  on  the  part  of  the  rebel  surgeons  for  their  wounded.  The  surgeon  placed  by  General  Van 
Dorn  in  charge  of  over  one  hundred  wounded  at  Ripley,  neglected  to  make  out  a  requisition,  although  repeatedly  urged  to  do 
so,  with  the  assurance  from  myself,  that  all  he  needed  should  be  delivered  to  him  within  forty-eight  hours.  Everything  that 
has  been  called  for  from  their  large  hospital  at  luka,  and  the  other  hospitals  within  our  lines,  have  been  furnished  them  except 
blankets.  It  is  due  Private  H.  B.  Douglas,  30th  Illinois  Volunteers,  who  acted  as  my  orderly  both  in  this  battle  and  that  at 
luka,  to  say  that  no  man  was  exposed  to  more  danger  or  could  exhibit  more  bravery  than  he  did  in  the  discharge  of  his  duties. 
Our  loss  in  this  battle  was  thirty-two  officers  and  two  hundred  and  eighty-three  men  killed ;  eighty-six  officers  and  one  thousand 
seven  hundred  and  twenty-six  men  wounded,  and  three  officers  and  two  hundred  and  twenty-nine  men  missing  and  prisoners, 
making  an  aggregate  of  two  thousand  three  hundred  and  fifty-nine.  The  loss  of  the  enemy,  calculated  from  the  best  sources  of 
information  within  my  reach, was  one  thousand  four  hundred  and  twenty-three  buried,  three  thousand  prisoners,  including  their 
wounded  left  in  our  hands,  and  five  thousand  wounded  taken  away  and  dropped  by  the  roadside,  making  nine  thousand  four 
hundred  and  twenty-three  in  all."  *  *  * 

CO.  Extracts  from  a  Second  Report  on  the  Casual-ties  at  the  Battle  of  Corinth,  October  ?> 
and  4-,  1802.  By  Surgeon  A.  B.  CAMPBELL,  U.  S.  Volunteers,  Medical  Director  of  the  Army 
of  the  Mississippi. 

"The  physical  condition  and  morale  of  the  men  engaged  in  this  battle  have  never  been  surpassed.  We  were 
burdened  with  but  few  nick,  as  General  Rosecrans  was  always  in  the  habit  of  clearing  his  army  of  the  sick  and  feeble  whenever 
he  expected  a  buttle.  The  battle  of  Corinth  was  fought  with  less  than  twelve  thousand  men  against  forty  thousand  of  the 


250  APPENDED    DOCUMENTS WESTERN    ARMIES,    1862. 

enemy.  The  supply  of  medicines  was  ample,  and  there  was  an  adequate  number  of  ambulances.  We  obtained  a  sufficient 
number  of  hospital  tents  to  shelter  all  the  wounded.  As  soon  as  it  was  known  that  an  engagement  would  take  place,  I  selected  a 
large  wooden  structure,  a  commissary  storehouse,  for  a'hospital.  This  building  was  tilled  in  two  hours  after  the  wounded  began 
to  arrive,  and,  in  accordance  with  previous  arrangements,  I  then  took  possession  of  the  Tishomingo  and  Corinth  Hotels  as 
hospitals.  When  the  attack  was  resumed  in  the  morning  these  buildings  were  found  to  be  in  the  line  of  fire,  and,  at  four  o'clock, 
the  removal  of  the  wounded  commenced,  and,  by  seven  o'clock,  the  buildings  were  all  vacated.  Dr.  J.  C.  G.  Swaring  remained 
amid  the  iron  hail  until  the  last  man  and  the  last  article  of  furniture  had  been  removed  from  these  buildings  to  the  new  hospital. 
The  wounded  bore  the  transportation  without  any  unpleasant  results.  Water,  fuel,  and  food  were  at  hand,  and  tents  were  pitched 
under  the  direction  of  Surgeon  I.  L.  Crane,  63d  Ohio  Volunteers,  which  afforded  shelter  for  all.  There  were  cots  enough; 
every  man  had  one.  *  *  There  was  adequate  surgical  assistance  for  each  wounded  man  as  he  was  brought  off  the  field. 
Surgeon  H.  Wardner,  U.  S.  V.,  received  and  turned  over  the  wounded,  as  they  arrived,  to  those  surgeons  to  whose  care  they 
were  to  be  confided.  By  these  arrangements,  and  by  the  proximity  of  the  battle-field,  the  wounded  were  cared  for  before  the 
shock  of  the  wound  had  time  to  communicate  itself  to  the  system,  and  the  results  were  very  satisfactory.  In  this  battle  we  had 
wounds  from  every  variety  of  missile.  The  battle  on  October  4th  commenced  at  four  and  terminated  at  eleven,  A.  M.  The 
wounded  were  dressed  as  they  were  brought  in,  and  all  necessary  primary  operations  were  done  by  dark.  It  was  found 
necessary  to  perform  secondary  operations  in  but  few  cases.  These  were  done  by,  or  under  the  supervision  of,  Surgeon  Norman 
Gay,  U.  S.  V.  *  *  A  suitable  number  of  surgeons  were  left  with  him,  and  the  remainder  joined  in  the  pursuit  of  Price  and 
Van  Dorn  to  Eipley.  Our  loss  was  three  hundred  and  fifteen  killed,  one  thousand  eight  hundred  and  twelve  wounded,  two 
hundred  and  fifteen  missing,  and  seventeen  prisoners.  The  enemy  lost  one  thousand,  whom  they  buried,  one  thousand  four 
hundred  and  twenty-three  were  also  buried  by  our  men.  Three  thousand  wounded  were  left  in  our  hands,  and  at  least  five 
thousand  more  were  taken  with  them  in  their  retreat."  * 


CCL     Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff .     By  Assistant  Surgeon 
J.  C.  G.  HAPPERSETT,  U.  S.  Army. 

*  *  *  "After  the  evacuation  of  Corinth,  Mississippi,  on  May  29,  1862,  the  1st  United  States  Infantry  was  encamped 
near  the  town  on  a  hill.  There  they  suffered  from  diarrhoea,  until  after  moving  the  encampment  to  a  grove  on  the  west  of  the 
town.  When  the  outer  line  of  fortifications  was  completed  they  occupied  them  until  the  line  was  abandoned  and  a  new  one 
erected  nearer  the  town.  They  occupied  these  works  at  the  battle  of  Corinth,  October  3  and  4,  1862.  The  enemy  greatly 
outnumbered  our  army  in  this  battle,  having  over  forty  thousand  men,  while  the  army  of  General  Rosecrans  was  between 
twenty-six  and  twenty-seven  thousand  men.  After  using  the  heavy  guns  as  long  as  they  could,  they  resorted  to  their  muskets, 
using  the  bayonet.  They  lost  nine  men  killed  and  six  wounded,  including  one  officer  wounded.  Four  of  the  wounded 
remained  in  the  camp  and  were  treated  in  a  hospital  tent  until  they  recovered.  Colonel  Mower,  formerly  a  captain  in  the 
regiment,  was  badly  wounded,  and  was  also  treated  in  our  camp  at  his  request.  The  general  hospital,  for  the  reception  of  the 
wounded  during  the  battle  of  the  3d,  was  in  a  dangerous  and  exposed  position,  but  was  moved  early  on  the  morning  of  the  4th 
to  a  place  of  comparative  safety.  A  large  number  of  hospital  tents  were  erected,  and  everything  necessary  for  the  comfort  and 
convenience  of  the  wounded  was  provided.  I  saw  several  amputations  but  no  resections.  Chloroform  was  the  anaesthetic 
usually  employed.  Ambulances,  attended  by  hospital  stewards  and  nurses,  brought  the  wounded  from  the  field.  The  Confed 
erate  wounded  who  fell  into  our  hands  were  frightfully  torn  and  mangled,  owing  to  the  short  range  of  the  heavy  artillery  fire  to 
which  they  were  exposed.  The  Confederate  army  was  supplied  with  almost  every  kind  of  firearm:  the  Enfield  and  Minie,  the 
common  rifie  with  round  ball,  old  muskets  and  shot  guns.  The  Federal  wounded  were  sent  by  railroad  to  Jackson,  Tennessee, 
and  to  hospitals  in  the  north.  The  total  number  killed  in  this  engagement  was  three  hundred  and  fifteen,  and  of  wounded,  one 
thousand  eight  hundred  and  twelve."  *  * 


CCII.     Extracts  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Surgeon  J.  G. 
HATCHITT,  U.  S.  Volunteers. 

"My  first  service  was  in  the  capacity  of  brigade  surgeon  of  the  2d  brigade,  1st  division,  army  of  the  Ohio,  at 
camp  near  Shiloh  church,  Tennessee,  some  three  weeks  after  the  battle  at  that  place.  This  brigade,  composed  of  the  4th  and 
10th  Kentucky,  10th  Indiana  and  14th  Ohio  regiments,  had  undergone  a  sevei-e  winter  campaign.  Two  of  the  regiments  had 
fought  in  the  battle  of  Mill  Springs,  and  all  had  suffered  from  measles  while  on  that  terrible  march  to  and  from  Mill  Springs  in 
January  and  February.  About  the  4th  of  May,  1862,  this  brigade  commenced  the  march  to  Corinth,  it  still  raining  almost 
incessantly,  and  roads  nearly  impassable.  Camp  diarrhoea  prevailed  to  an  alarming  extent.  Indeed  it  was  hardly  possible  to 
find  one  not  afflicted  with  it.  Every  few  days  the  ambulances  were  filled  with  patients  for  Pittsburg  or  Hamburg  landing,  to 
be  sent  north.  But  still  the  morale  of  the  troops  was  excellent,  and  every  soldier  seemed  eager  to  push  on  to  Corinth.  On 
May  19th,  we  had  advanced  to  within  three  miles  of  Corinth.  A  heavy  picket  firing  and  a  brisk  artillery  duel  commenced, 
the  enemy  frequently  throwing  shell  into  our  camp,  and  continued  a  portion  of  each  day  until  Corinth  was  taken.  The  1st 
division  of  the  army  of  the  Ohio  had  been  attached  to  the  army  of  the  Tennessee,  which  composed  the  right  wing  of  the  army 
of  the  Mississippi.  On  May  20th,  the  medical  director  of  the  army  of  the  Tennessee,  Surgeon  Simons,  ordered  me  to  establish 
a  hospital  in  the  rear  of  the  right  wing  of  the  army  of  the  Mississippi,  to  accommodate  five  hundred  wounded.  I  succeeded  in 
getting  a  supply  of  medicines,  blankets  and  bed  sacks,  but  not  a  hospital  tent  or  cooking  utensil,  except  one  mess  chest,  could 
be  had  in  the  department.  Twenty  old  Sibley  tents  were  all  that  could  be  obtained  for  shelter.  Nearly  a  week  was  consumed 
m  getting  the  supplies  transported  to  a  farm  house  selected  for  the  hospital.  Acting  Assistant  Surgeons  W.  H.  Martin  of 
Indiana,  Deforest  of  Ohio,  and  Belote  of  Pine  Bluffs,  Arkansas,  a  steward  and  a  cook  were  detailed  to  assist  me.  It  so 


KEPOETS    OF    SURGEONS    HATCIIITT    AND    KEENON,    U.    S.    V.  251 

happened  that,  though  frequent  details  of  nurses  were  made,  none  ever  found  their  way  to  the  hospital,  they,  in  every  instance, 
being  made  from  parts  of  the  army  two  or  three  miles  distant ;  after  wandering  a  few  days  through  the  woods  in  search  of  the 
hospital,  they  would  find  their  way  back  to  their  regiments.  The  consequence  was  that  on  May  31st,  Corinth  being  evacuated, 
and  the  divisions  near  the  hospital  being  ordered  to  join  at  once  in  the  pursuit  of  the  enemy,  I  had  three  hundred  sick  delivered 
at  the  hospital  within  a  couple  of  hours  without  a  nurse.  The  regimental  surgeons,  supposing  Ihe  hospital  was  in  readiness, 
ordered  their  ambulances  to  take  the  sick  to  me.  When  the  ambulances  arrived,  the  surgeons  and  all  who  could  help  were 
several  miles  distant  with  their  regiments.  However^  bed  sacks  were  soon  filled  with  hay,  camp  kettles  from  deserted  camps, 
and  every  species  of  pot,  etc.,  from  the  rebel  fortifications,  some  two  miles  distant,  were  gathered  up,  and  nourishment,  as 
good  as  army  rations  could  make,  was  provided ;  and  notwithstanding  the  many  difficulties  we  labored  under,  I  am  not  aware 
that  any  man  suffered  for  the  want  of  attention.  Water  had  become  very  scarce.  For  some  time  the  army  had  been  able  to 
procure  only  a  very  indifferent  article  by  digging  holes  in  low  grounds,  into  which  would  soon  seep  a  milky-looking  fluid.  We 
found  a  bored  well  at  the  hospital,  which  supplied  good  water,  but  within  a  week  it  was  completely  exhausted,  and  then  it 
could  only  be  obtained  by  hauling  a  mile.  Diarrhoea  and  dysentery  were  the  prevailing  diseases.  All  being  under  malarial 
influences,  it  was  necessary  to  administer  quinine  and  whiskey  freely.  Sulphate  of  magnesia  and  castor  oil,  followed  with 
nitric  acid  and  tincture  gentian,  quinine,  Fowler's  solution,  sub-nitrate  of  bismuth,  or  opiates,  as  circumstances  indicated,  was 
the  treatment  most  beneficial.  The  powers  of  digestion  and  assimilation  were  so  much  impaired  that  the  most  generous  and 
nourishing  diet  was  necessary.  Raw  onions  would  promote  the  digestion  better  than  any  medicine  or  diet  that  could  be  given. 
So  universal  was  the  improvement  of  diarrhoea  on  the  free  use  of  raw  onions,  that  it  seemed  only  to  require  a  sufficiency  of 
them  to  cure  the  entire  army.  On  June  15th,  I  was  ordered  to  move  this  hospital  into  Corono  Female  College  building  at 
Corinth,  Mississippi,  the  most  pleasant  locality  in  that  vicinity.  At  this  place,  with  the  help  of  convalescents,  we  erected  a 
bakery  that  supplied  an  excellent  article  of  bread  for  five  hundred  patients.  W^ater  was  also  so  scarce  here  that  it  was 
impossible  either  to  scrub  the  building  or  wash  for  the  hospital.  There  were  over  eight  hundred  in  this  hospital  during  the 
mouth  of  June,  one  hundred  and  forty-five  of  whom  were  sent  to  hospitals  north,  one  hundred  and  ninety-six  to  duty,  and 
forty-six  died.  By  order  of  Major  General  Thomas,  commanding  1st  division  of  the  army  of  the  Ohio,  I  was  instructed  to 
convey,  as  soon  as  I  could  be  relieved  at  the  Corinth  hospital,  all  of  the  sick  of  General  Buell's  army,  able  to  bear  transportation, 
to  Huntsville,  Alabama,  and  to  report  to  the  2d  brigade  of  his  division.  I  was  relieved  on  July  28th,  and  arrived  next  day  at 
Tuscumbia,  Alabama,  with  convalescents.  At  this  place  I  found  a  large  number  of  convalescents  of  General  Thomas's  division, 
numbering,  with  those  from  Corinth,  about  five  hundred.  We  were  detained  here  for  the  want  of  transportation,  the  railroad 
bridges  being  burned  near  Decatur.  They  being  repaired,  on  August  7th,  I  started  two  hundred  and  fifty  convalescents,  as 
many  as  the  train  would  accommodate,  to  Decatur.  The  train  proceeded  to  within  ten  miles  of  Decatur,  found  a  small  bridge 
burned,  and  came  back  to  Tuscumbia.  The  acting  assistant  surgeon  in  charge,  with  some  two  hundred  convalescents,  leaving 
the  train  at  the  bridge,  attempted  to  walk  to  Decatur,  but  were  attacked  by  guerrillas,  and  about  half  of  the  squad  captured. 
On  the  following  day,  I  started  with  the  remaining  convalescents,  built  the  bridge,  and  arrived  at  Decatur  early  in  the  night. 
On  August  10th,  I  arrived  at  Decherd,  Tennessee,  with  all  of  the  convalescents  of  the  1st  division,  and  reported  to  General 
S.  S.  Fry,  commanding  the  2d  brigade." 


CCIII.      Third  Extract  from  a  Narrative  of  his  Services.     By  Surgeon  J.  G.  KEENON,  U.  S. 
Volunteers. 

*  *     *     "The  next  and  last  engagement  at  which  I  was  present  was  that  fought  by  the  Confederates  retreating  from 
Corinth,  Mississippi,  and  General  Hurlburt's  division,  on  the  llatchie  River.     *     *     This  engagement  was  on  October  5,  18(52, 
and  lasted  from  about  nine  o'clock  in  the  morning  till  three  in  the  afternoon.     General  Hurlburt's  forces  were  five  thousand 
six  hundred,  and  that  of  the  enemy  much  greater,  but  he  was  compelled  to  retire,  leaving  nearly  all  of  his  dead  and  many  of 
his  wounded  on  the  field.     At  this  battle  our  loss  was  very  heavy  because  of  the  great  advantage  the  enemy  had  in  position,  and 
the  precise  range  of  his  artillery  on  a  bridge  over  which  our  troops   were  compelled   to  pass;   but  the  courage  of  General 
Hurlburt's  command  and  their  great  confidence  in  their  leader  enabled  them  to  press  upon  the  enemy  and  drive  him  from  the 
field.     Our  supplies  here  wei-e  ample  and  the  water  excellent.     The  wounded  were  transported  to  the  rear  in  ambulances  and 
surgical  attention  immediately  ensued.     The  majority  of  the  wounds  were  of  a  desperate  character,  being  inflicted  by  canister 
at  short  range,  but  as  the  men  were  in  excellent  condition  and  promptly  treated,  the  mortality  was  comparatively  light.     Nearly 
every  amputation  was  primary  and  performed  on  the  field.     After  the  retreat  of  the  enemy,  General  Hurlburt  gave  orders  to 
have  the  wounded  transported  to  Bolivar,  Tennessee,  which  was  promptly  done.     The  men  were  carried  in  ambulances  arid 
wagons.     On  their  arrival  in  Bolivar,  they  were  put  in  dwellings  where  they  had  every  attention  desirable,  and  the  most 
favorable  results  ensued.     But  few  cases  resulted  unfavorably,  though  a  great  number  of  the  wounds  were  of  a  serious  nature. 
Here  again  chloroform  was  used  with  no  unfavorable  results.     Our  number  of  killed  and  wounded  was  something  over  five 
hundred."  *  * 

COIV.     Extracts  from  a  Report  relative  to  the  Casualties  at  the  Jlattle  of  Perry ville^  Kentucky , 
October  8,  1862.     By  Surgeon  GKORGE  G.  SHUMARD,  U.  S.  Volunteers. 

*  *     *     "The  rebels,  according  to  their  usual  custom,  have  attempted  to  conceal  the  number  of  their  losses  at  the 
battle  of  Perryville,  while  ours  appear  to  have  been  somewhat  overstated.     I  have  thought  it  my  duty  to  avail  myself  of  all 
the  means  in  my  power,  as  medical  director  of  the  district  concerning  the  wounded  of  both  armies,  to  obtain  correct  information 
upon   the  subject,  and  the  following  statement,  which  you  can  regard  as  official,  may  prove  of  interest  to  you.     The  number 
of  rebels  killed  in  the  battle  cannot,  I  presume,  ever  be  correctly  ascertained,  as  it  is  well  known  their  officers  made  use  of  every 
means  in  their  power  to  conceal  their  losses  in  this  respect.     It  appears  that  a  large  number  of  their  dead  were  conveyed  from 


252  APPENDED    DOCUMENTS — WESTEEN    ARMIES,    1862. 

the  battle-field  on  the  night  of  the  battle,  October  8,  1862,  and  secretly  buried  in  trenches.  Several  of  these  trenches  have 
been  found,  and  are  situated  at  a  considerable  distance  from  the  battle-field.  Others  are  also  reported  to  have  been  discovered 
in  other  localities,  but  for  want  of  time  I  have  not  been  able  to  examine  them.  Besides  these,  a  large  number  of  their  dead 
were  found  scattered  through  the  woods  adjoining  the  battle-field,  having  evidently  been  conveyed  there  after  the  battle  for 
burial.  In  one  locality  alone  I  saw  no  less  than  fourteen  dead  bodies  that  had  been  conveyed  to  a  considerable  distance  from 
the  field.  They  were  arranged  in  two  rows  of  seven  each,  and  were,  no  doubt,  brought  there  for  the  purpose  of  burial.  The 
rebel  losses  in  this  respect  may  therefore  be  regarded  as  much  larger  than«at  first  reported.  With  regard  to  the  number  of  their 
wounded  from  the  battle,  my  information  is  somewhat  more  satisfactory.  Immediately  after  the  retreat  of  the  enemy,  every 
means  were  taken  to  collect  the  Avounded  of  both  armies  that  still  remained  unprovided  for.  Those  belonging  to  the  i-ebels 
•were  found  scattered  through  the  neighboring  woods,  and  in  such  houses,  barns  and  stables  as  could  be  obtained  during  the 
hasty  retreat  of  their  army.  All  that  could  be  found  were  carefully  conveyed  to  proper  hospitals.  It  is  well  known,  however, 
that  a  large  number  were  secretly  conveyed  to  houses  of  rebel  sympathizers  in  the  vicinity  of  Harrodsburg  and  elsewhere' 
and  by  that  means  remained  effectually  concealed  until  means  were  afforded  them  to  make  good  their  escape.  It  is  also  well 
known  that  nearly  all  their  wounded  that  could  be  transported  in  wagons  or  on  horseback  were  taken  with  their  army  during 
its  retreat  through  Perryville,  Harrodsburg  and  Danville.  While  retreating  through  Harrodsburg,  their  hospitals  were 
caiefnlly  searched,  and  all  whose  wounds  would  admit  of  their  being  transported  by  wagon  or  otherwise  were  taken  along 
with  them.  At  this  point  no  less  than  forty  wagons  were  loaded  with  their  wounded,  while  many  more  were  supposed  to  have 
been  taken  from  private  houses  in  that  rebel  town.  We  may,  therefore,  safely  estimate  the  number  of  their  wounded  transported 
along  with  their  army,  in  wagons  or  otherwise,  at  one  thousand ;  though  I  have  good  reasons  for  believing  that  fifteen  hundred 
would  come  much  nearer  to  the  truth.  In  this  estimate  I  have  not  included  such  as  were  slightly  wounded,  of  which  there 
must  have  been  a  large  number  able  to  accompany  their  army  on  foot.  Surgeons  J.  G.  Hatchitt,  U.  S.  V.,  and  DeCamp,U.  S.  A., 
were  directed  to  forward  correct  statements  of  the  number  of  rebel  wounded  left  in  Perryville  and  Harrodsburg,  and  in  the 
vicinity  after  the  retreat  of  General  Bragg's  army.  From  their  reports  I  learn  that  one  thousand  were  left  in  the  neighborhood 
of  Perryville,  and  one  thousand  seven  hundred  in  and  around  Harrodsburg.  Adding  to  these  the  thousand  transported  along 
with  their  army  as  explained  above,  and  we  have  a  total  of  three  thousand  and  seven  hundred  wounded.  '  In  addition 

to  these,  about  four  hundred  sick  and  wounded  were  left  in  Danville,  which  increases  the  number  to  four  thousand  one  hundred. 
Their  entire  loss  in  killed  and  wounded  from  the  battle  cannot,  therefore,  fall  far  short  of  seven  thousand.  The  total  number 
of  our  men  wounded  during  the  battle  was  about  two  thousand.  In  this  number  are  included  all  those  who  were  left  under 
treatment  in  Perryville  after  the  battle,  as  well  as  a  large  number  that  were  sent  to  Louisville  for  treatment." 


CCY.     Extracts  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Surgeon  G.  G. 
SHUMARD,  U.  S.  Volunteers. 

*  *  *  "  Late  in  August  the  division  was  ordered  from  northern  Alabama  to  Louisville,  Kentucky,  thence  along  with 
the  remainder  of  General  Buell's  army,  to  Perryville,  Kentucky,  where  it  participated  in  one  of  the  severest  battles  of  the  war. 
It  is  proper  here  to  remark  that  previous  to  starting  from  Louisville,  the  different  surgeons  of  the  army  were  directed  by 
Surgeon  It.  Murray,  U.  S.  A.,  medical  director,  to  procure  full  supplies  of  medicines,  hospital  stores,  dressings,  bedding,  etc., 
but  no  sooner  were  the  supplies  procured  than  they  were  ordered  to  be  left  behind  by  General  Buell,  who  directed  that  only 
one  wagon  should  be  furnished  to  each  brigade  for  the  transportation  of  medical  and  hospital  stores.  As  each  brigade  consisted 
of  four  or  five  regiments  of  infantry,  besides  cavalry  and  artillery,  one  can  well  imagine  that  the  supply  thus  conveyed  was 
altogether  insufficient  to  meet  the  wants  of  the  sick.  No  hospitals  had  been  previously  established  anywhere  along  the  route 
travelled  by  the  army.  To  add  to  the  difficulty,  no  tents  of  any  character  were  allowed  the  troops.  As  the  marches  were 
long  and  fatiguing,  while  the  nights  were  cool  and  disagreeable,  the  army  suffered  severely  from  disease,  and  by  the  time  it 
arrived  in  Perryville,  the  number  of  sick  was  unusually  large.  Hospitals  were  established  at  different  points  along  the  route, 
and  the  sick  made  as  comfortable  as  our  scanty  means  would  permit.  The  battle  of  Perryville  was  fought  on  October  8,  1862, 
and  for  the  number  actually  engaged,  may  well  be  considered  one  of  the  bloodiest  and  most  severely  contested  of  the  war. 
The  weapons  employed  by  the  enemy  consisted  of  Minie,  Enfield,  and  Springfield  rifles,  and  common  muskets.  Most  of  the 
wounds  inflicted  were  from  conical  balls,  and  were  large  and  severe,  the  balls  appearing  to  have  entered  the  body  sideways, 
revolving.  Our  loss  in  killed  and  wounded  during  the  battle  amounted  to  between  three  and  four  thousand,  while  that  of  the 
enemy  was  much  larger;  being  estimated  by  myself,  from  data  obtained  after  the  battle,  at  about  seven  thousand.  During  the 
engagement,  I  received  orders  from  General  Buell's  headquarters  to  report  immediately  to  Major  General  Crittenden,  as  medical 
director  of  his  corps,  which  formed  at  that  time  the  right  wing  of  the  army.  I  continued  with  this  corps  until  October  16th. 
By  this  time  the  sick  had  accumulated  so  rapidly  that  it  was  found  necessary  to  establish  large  hospital  depots  for  their 
accommodation.  Perryville  and  Harrodsburg  were  already  crowded  with  the  wounded,  besides  these,  large  numbers  of  sick 
and  wounded  were  scattered  about  the  country  in  houses,  barns,  stables,  sheds,  or  wherever  they  could  obtain  shelter  sufficient 
to  protect  them  from  the  weather.  As  the  army  marched  through  Danville,  all  the  remaining  sick  were  ordered  to  be  left, 
which  increased  the  number  of  sick  and  wounded  in  the  district  from  both  armies,  the  rebels  during  their  retreat  having 
left  most  of  their  sick  and  wounded  behind,  to  nearly  eight  thousand.  Unfortunately  the  few  medical  and  hospital  supplies 
that  were  taken  by  the  army  from  Louisville  were  by  this  time  almost  exhausted,  Avliile  the  rebels  had  consumed  all  that 
were  in  the  country  previous  to  our  arrival,  so  that  this  large  number  of  sick  were  left  almost  entirely  destitute  of  supplies  of 
every  description.  Under  these  embarrassing  circumstances,  I  was  directed  to  take  charge  of  the  district.  Immediately  after 
receiving  the  order,  which  reached  me  in  the  afternoon  of  October  16th,  I  repaired  to  Danville,  and  there  found  about  fifteen 
hundred  sick,  without  shelter,  most  of  them  remaining  where  they  had  fallen  from  the  ranks  of  the  army  as  it  marched  through 
the  town.  In  two  days  the  number  of  sick  at  this  point  was  increased  to  two  thousand  five  hundred.  The  difficulties  of  my 


EEPOETS    OF    SURGEONS    SHUMARD    AND    HATCHITT,    U.    S.    V.  253 

situation  can  be  better  comprehended  when  I  state  that  a  very  large  proportion  of  the  sick  left  at  this  single  point  were 
typhoid  fever  cases;  that  most  of  them  were  without  blankets,  and  that  I  had  not  a  single  article  of  bedding  of  any  character 
in  my  possession,  while  my  entire  supply  of  medicines  was  contained  in  a  small  army  medicine  chest  I  had  been  fortunate 
enough  to  bring  with  me.  The  sick  and  wounded  in  Perryville  and  Harrodsburg,  as  well  as  those  scattered  through  the 
surrounding  country,  were  also  in  an  equally  destitute  condition.  All  the  buildings  suitable  for  the  purpose  that  could  be 
obtained  in  the  district  were  immediately  taken  for  hospitals.  Parties  were  sent  in  every  direction  to  collect  such  supplies  as 
the  country  could  afford,  while  the  medical  purveyor  in  Louisville  was  telegraphed  to,  to  forward  medicines,  dressings,  hospital 
stores,  bedding,  etc.,  without  delay.  Unfortunately  the  supplies  sent  by  the  purveyor  were  arrested  by  the  quartermaster  in 
Bardstown,  so  that  nearly  two  weeks  elapsed  before  they  reached  their  destination.  Meanwhile  the  agent  of  the  Sanitary 
Commission  in  Louisville  hearing  of  our  wants,  immediately  forwarded,  at  the  expense  of  the  Commission,  supplies  of  bedding, 
hospital  stores,  and  medicines.  But  for  the  timely  arrival  of  these,  many  lives  would,  undoubtedly,  have  been  sacrificed;  as  it 
was,  probably  some  lives  were  lost,  and  much  suffering  endured  that  might,  in  my  opinion,  have  been  avoided  by  permitting 
the  surgeons  to  take  such  supplies  with  them  from  Louisville,  as  their  judgment  told  them  would  be  necessary  for  the  comfort 
of  the  sick.  In  writing  the  above,  I  do  not  by  any  means  wish  to  reflect  on  the  conduct  of  our  excellent  medical  director, 
Surgeon  Robert  Murray,  U.  S.  A.  That  efficient  officer  did  everything  in  his  power  to  prevent  the  condition  of  things  I  have 
described.  His  wishes  upon  the  subject  were  known  to  myself  and  others,  and  I  do  not  hesitate  to  express  my  conviction,  that 
had  they  been  carried  out,  supplies  in  abundance  would  have  been  at  hand  for  the  sick.  The  supplies  received  from  the 
Sanitary  Commission,  together  with  a  small  lot  that  was  sent  by  the  purveyor  at  Louisville  to  General  Crittenden's  corps,  and 
which  I,  luckily,  succeeded  in  arresting  on  the  road,  enabled  me  to  supply  the  most  pressing  wants  of  many  of  the  more  serious 
cases ;  but  it  was  not  until  the  supplies  were  received  that  I  ordered  from  the  medical  purveyor  in  Louisville,  that  the  sick  were 
made  comfortable.  Besides  the  want  of  medical  and  hospital  supplies,  I  had  to  contend  with  another  difficulty  of  a  no  less 
serious  character.  No  money  was  left  in  the  hands  of  the  commissaries  for  the  purchase  of  articles  of  diet  necessary  for  the 
sick.  These  could  only  be  obtained  from  the  farmers  in  the  surrounding  country,  who  almost  invariably  demanded  the  cash 
for  the  articles  furnished  upon  delivery.  In  this  way  a  very  large  hospital  fund  accumulated,  which  was  of  no  benefit  whatever 
to  the  sick,  while  I  w;is  forced  to  adopt  other  means  to  obtain  the  articles  required.  The  principal  diseases  we  had  to  contend 
with  were  typhoid  fever  and  typhoid  pneumonia.  In  addition  to  these  there  were  a  large  number  of  cases  of  erysipelas, 
measles,  camp  diarrhoea,  and  dysentery.  In  the  treatment  of  the  first  two  of  these  diseases,  oxygen  gas  was  largely  employed, 
and  in  many  instances  with  favorable  results.  As  fast  as  the  sick  and  wounded  recovered  they  were  sent  to  their  regiments, 
and  by  January  1,  1863,  the  number  remaining  in  the  district  was  reduced  to  only  a  few  hundred,  and  I  was  enabled  to  close 
the  hospitals  in  Harrodsburg  and  Perryville  by  sending  the  sick  from  these  two  points  to  the  hospitals  in  Danville.  *  * 
Chloroform  was  freely  employed  in  nearly  all  the  serious  surgical  operations  performed  in  the  different  commands  to  which  I 
have  been  attached,  and  in  no  instance  has  it  disappointed  our  expectations.  I  have  neither  seen  nor  heard  of  any  bad  results 
following  its  use.  Sulphuric  ether  has,  in  a  few  instances,  been  employed  as  a  substitute  for  chloroform,  but  from  my  own 
knowledge  and  experience,  I  would  much  prefer  the  latter.  During  the  battle  of  Perryville  our  troops  suffered  much  from  the 
absence  of  water.  The  season  had  been  exceedingly  dry,  so  that  most  of  the  wells  and  other  sources  of  supply  in  the  country 
were  exhausted  before  the  arrival  of  our  army.  It  was  with  the  utmost  difficulty  that  water  could  be  obtained  to  meet  the 
wants  of  the  wounded.  From  the  fact  of  the  enemy  retaining  possession  of  the  greater  portion  of  the  field  during  the  night 
after  the  battle  of  Perry  ville,  but  few  of  the  wounded  could  be  removed  until  the  following  day,  when  they  were  transported  to 
temporary  hospitals  in  ambulances.  Nearly  all  the  amputations  and  other  operations  were  performed  after  the  removal  of  the 
patients  from  the  field."  *  * 


CCVI.     Extracts  from  a  Iteport  on  the  Care  of  the  Wounded  after  the  Battle  of  Perryville. 
By  Surgeon  J.  G.  HATCHITT,  U.  S.  Volunteers. 

"The  1st  division,  General  George  H.  Thomas,  was  ordered  to  remain  at  Nashville  to  garrison  that  place, 
and  Surgeon  Robert  Murray,  U.  S.  A.,  medical  director,  ordered  me  to  proceed  with  that  part  of  the  army  going  in  pursuit 
of  the  enemy  into  Kentucky,  temporarily  attaching  me  to  the  6th  brigade,  General  Willich's.  The  march  to  Bowling  Green 
commenced  about  September  9th.  The  weather  was  very  hot  and  water  was  scarce.  The  enemy  attacked  and  captured 
Mumfordsville  about  the  time  we  arrived  at  Bowling  Green.  He  having  thus  gained  a  remarkably  strong  position,  and  having 
a  superior  force,  we  halted  three  days  for  General  Thomas's  division,  which  had  been  ordered  up.  On  arriving  at  Cave  City, 
Surgeon  R.  Murray,  U.  S.  A.,  ordered  me,  on  September  21st,  to  take  charge  of  a  hospital  there,  containing  about  two  hundred 
sick  of  our  army,  and  one  hundred  and  thirty  rebels  wounded  in  the  battle  of  Mumfordsville.  I  found  the  hospital  ill 
supplied  with  rations  ;  nothing  on  hand,  in  fact,  but  two  beef  cattle  and  three  barrels  of  dried  apples.  The  entire  army  had 
passed  on,  and  a  captain  of  the  commissary  department,  following  with  a  railroad  train  of  commissary  stores,  refused  to  stop 
and  issue,  though,  I  am  informed,  he  had  orders  to  do  so,  and  was  aware  of  our  condition.  Fortunately  General  George  H. 
Thomas,  with  his  staff,  rode  back  to  the  hospital,  and  being  informed  of  our  condition,  ordered  me  to  send  our  sick  back  to 
Bowling  Green,  to  distribute  the  enemy's  wounded  among  citizens  in  the  vicinity,  and  to  report  again  to  the  2d  brigade  of  his 
division,  with  which  order  I  at  once  proceeded  to  comply.  On  arriving  at  Mumfordsville,  I  received  an  order  from  Surgeon 
Murray,  which  was  intended  to  have  reached  me  at  Cave  City,  instructing  me  to  remove  the  patients  at  Cave  City  to  Mum 
fordsville;  to  take  charge  of  the  sick  and  wounded  at  that  place  also;  and,  after  seeing  that  they  were  well  provided  for,  with 
a  sufficient  corps  of  surgeons  in  attendance,  to  rejoin  the  army.  Those  at  Cave  City  being  already  disposed  of,  I  complied 
with  the  order  so  far  as  it  related  to  those  at  Mumfordsville,  and  again  joined  the  army  on  the  march  to  Louisville.  I  found 
at  Mumfordsville  about  seventy  sick  of  our  army,  and  nearly  two  hundred  wounded  Confederates.  At  Louisville  the  army 
was  detained  about  five  days  to  receive  shoes  and  clothes.  A  full  supply  of  medical  stores  and  hospital  tents  were  procured. 


254  APPENDED    DOCUMENTS WESTERN    AEMIES,    1862. 

All  old  ambulances  were  condemned  by  a  board  of  survey,  but  new  ones  could  not  be  procured.  About  October  1st,  the 
army  commenced  its  march  again  in  search  of  the  enemy,  whose  principal  force  was  then  at  Bardstown,  Kentucky.  *  * 
At  Shepardstown  skirmishing  commenced  and  continued  daily,  but  with  no  casualties  of  importance.  When  within  a  few 
miles  of  Springfield,  artillery  firing  commenced,  and  continued  from  nearly  every  hill  top  until  we  arrived  at  the  battle-field 
of  Chaplin  Hills.  It,  however,  did  not  much  delay  our  march,  as  the  enemy  would  retire  to  another  hill  as  soon  as  our  artillery 
had  the  range.  At  Springfield  the  Second  Corps,  General  Crittenden,  passed  to  our  right  by  way  of  Lebanon,  thus  leaving 
the  Third  Corps  in  the  centre.  ;  On  the  night  of  October  7th,  we  arrived  within  two  miles  of  Doctor's  Fork,  a  creek 

about  two  miles  west  of  Perryville.  running  northeast,  thus  crossing  our  road  at  an  angle  of  forty-five  degrees.  About  a  mile 
beyond  the  crossing  of  the  road,  this  stream  turns  due  north,  and  some  two  miles  further  empties  into  Chaplin  River.  General 
Fry  commanding  the  pickets  on  the  night  of  October  7th,  I  necessarily  accompanied  him.  He  gradually  pushed  the  pickets 
on  until  about  midnight,  when  we  arrived  at  a  farm-house  on  Doctor's  Fork,  where  I  remained  with  a  number  of  rebel  wounded 
that  had  fallen  into  our  hands.  Our  men  were  faint  for  want  of  water.  There  were  a  few  pools  of  stagnant  water  along 
Doctor's  Fork,  and  by  scooping  holes  in  the  gravel  in  the  bottom  of  the  stream,  this  water  would  soon  sweep  through  clear 
and  palatable  to  the  parched  tongue.  East  of  this  creek,  and  running  parallel  with  it,  was  a  range  of  wooded  hills.  General 
Buell  seems  to  have  ordered  General  Sheridan's  division  to  take  possession  of  this  range  of  hills  next  morning,  so  that  our  men 
could  have  the  benefit  of  the  water  in  the  creek  while  we  halted  for  the  right  wing,  General  Crittenden's  corps,  and  the  left 
wing,  General  McCook's  corps,  to  come  up,  both  having  fallen,  on  account  of  more  circuitous  and  difficult  roads,  some  ten  miles 
behind.  About  five  o'clock  in  the  morning,  musket  firing  commenced  briskly,  General  Fry  still  being  in  command  of  the 
regiments  that  were  on  picket  duty.  I  remained  with  him,  about  a  half  mile  to  the  left  of  the  road,  while  General  Sheridan's 
division  proceeded  to  attack  the  enemy  along  the  road  and  on  either  side.  About  nine  o'clock,  General  Fry  ordered  the  lUth 
Indiana  and  86th  Illinois  Volunteers  to  charge  the  enemy,  and  he,  heading  the  column,  they  swept  across  the  creek  and  over 
the  hill  in  splendid  style.  Notwithstanding  the  enemy  were  opposed  to  us  in  double  line  of  battle,  they  fled  in  the  utmost 
confusion.  In  this  charge  the  two  regiments  lost  only  twelve  killed  and  twenty  wounded.  After  our  wounded  were  attended 
to,  I  proceeded  some  four  hundred  yards  in  advance  of  our  lines,  and  gathered  up  all  of  the  enemy's  wounded,  and  sent  them 
back  to  the  hospitals  which  had  been  established  at  farm-houses  in  the  rear.  About  this  time,  General  McCook's  corps  was 
seen  coming  over  the  fields  to  our  left,  his  extreme  light  being  about  a  quarter  of  a  mile  distant  from  our  extreme  left,  and 
advanced  beyond  us  until  his  right,  the  15th  Kentucky  and  2d  Ohio,  rested  on  Doctor's  Fork,  just  where  it  makes  its  turn 
northward.  After  this  rout  of  the  enemy,  our  line  fell  back  to  the  west  side  of  the  hills,  apparently  to  avoid  a  general 
engagement,  for  the  light  wing  had  not  yet  come  up.  Thus,  facing  eastward,  the  right  of  the  left  corps  was  about  half  a  mile 
in  advance  east-northeast  of  our  left,  with  a  range  of  hills  intervening.  About  twelve  o'clock,  the  enemy  attacked  the  entire 
line  of  both  our  centre  and  left  corps,  advancing  from  the  northeast.  From  the  exposed  position  of  the  left  corps,  and  the 
course  of  the  enemy's  advance,  the  larger  portion  of  his  force,  Cheatham's  and  Anderson's  divisions,  were  necessarily  thrown 
against  it,  while  only  Buckner's  division  attacked  the  centre  corps.  At  this  time,  the  10th  Indiana  Volunteers,  the  only  regiment 
of  my  brigade  on  the  field,  being  relieved  and  ordered  out  of  line,  I  retired  a  little  in  rear,  on  top  of  a  high  hill,  where  I  could 
await  the  coming  of  my  brigade,  which  I  supposed  would  soon  be  ordered  up,  and,  at  the  same  time,  have  a  full  view  of  nearly 
the  entire  battle-field,  of  the  whole  ridge  that  the  centre  corps  occupied,  and  the  fields  occupied  by  General  McCook's  corps. 
Though  somewhat  exposed  to  the  enemy's  fire,  the  view  of  the  whole  field  was  so  perfect  that  I  could  not  resist  the  temptation 
to  remain,  and  sat  there  on  my  horse,  looking  alternately  upon  the  battle  scene  and  then  anxiously,  but  in  vain,  for  my  brigade, 
until  the  full  moon  had  lighted  up  the  bloody  field.  The  battle  raged  with  remarkable  fury.  I  saw  the  left  wing  giving  way, 
and  aids  from  that  corps  coming  for  re-enforcements.  I  saw  the  Pea  Ridge  Brigade,  and  3d  brigade,  1st  division,  General 
Steadman's,  marching  to  their  assistance.  The  latter,  however,  was  too  far  distant  to  arrive  at  the  scene  of  action  before  dark. 
The  object  of  the  centre  corps  seemed  to  have  been  only  to  hold  their  position,  until  about  four  o'clock  in  the  afternoon,  when 
it  was  discovered  that  the  left  was  being  driven  back.  It  then  pressed  on  until  the  enemy  wrere  driven  beyond  Perryville, 
and  darkness  stopped  the  fight.  The  next  day  seemed  to  have  been  occupied  in  swinging  the  right  wing  around,  so  that  our 
lines  would  face  north — some  artillery  firing  going  on  nearly  all  day.  The  2d  brigade  still  remaining  in  camp,  I  took  occasion 
to  visit  the  hospitals  of  the  centre  corps,  established  at  four  farm-houses  on  the  main  road.  They  were  well  supplied  with 
hospital  tents,  and  the  regimental  supplies  of  medical  stores  were  sufficient  for  the  number  of  wounded,  but  there  was  much 
inconvenience  for  the  want  of  water.  The  number  of  surgeons  in  attendance  was  so  ample  that  I  could  find  no  place  where  my 
services  would  be  of  avail.  On  the  morning  of  October  10th,  the  2d  brigade  having  orders  to  march,  I  rode  by  way  of  the 
hospitals  of  the  left  corps.  Arriving  at  the  first,  known  as  the  Russell  house,  I  found  about  one  hundred  and  fifty  wounded, 
most  of  them  lying  on  the  ground  in  the  yard,  and  no  surgeon,  except  Surgeon  G.  D.  Beebe,  U.  S.  V.,  medical  director  of 
McCook's  corps,  and  three  or  four  from  the  1st  division!  They  had  labored  all  night  as  best  they  could.  No  supplies  having 
reached  this  hospital,  they  were  compelled  to  amputate  without  chloroform.  On  inquiry  of  Surgeon  Beebe,  I  learned  that  all 
of  the  surgeons  of  his  corps  were  at  hospitals  farther  in  the  rear,  and  had  as  much  to  do  as  they  could  attend  to.  I  offered  my 
services,  and,  as  a  chilling  rain  was  commencing,  proposed  to  move  the  wounded  to  Perryville,  two  miles  distant,  that  being 
the  only  place  where  shelter  could  be  found.  At  Surgeon  Beebe's  request,  I  undertook  to  move  them.  A  long  train  of  empty 
ambulances  passing,  were  set  to  immediate  work,  and  I  soon  obtained  all  of  those  belonging  to  the  1st  division.  The  road 
was  over  remarkably  rough  and  rocky  hills,  and  the  cold  rain  continued  during  the  evening  and  night.  They  were  put  in 
houses  in  Perryville,  which  place  had  been  vacated  by  the  citizens  on  account  of  the  proximity  of  the  battle,  and  made  as 
comfortable  as  wounded  could  be  with  no  comforts  but  shelter  and  straw  and  proper  nourishment.  The  hospitals  of  McCook's 
corps  suffered  for  water  even  more  than  those  of  the  centre.  Some  surgeons  told  me  that  they  could  not  get  water  enough  to 
wash  the  blood  from  their  hands  for  two  days.  Every  available  ambulance  was  constantly  employed  until  all  the  wounded 
that  could  bear  transportation  were  removed  to  Perryville. 

On  the  12th,  Surgeon  Robert  Murray,  medical  director  of  the  army,  ordered  me  to  take  charge  of  all  the  hospitals  in 
Perryville  and  vicinity.     On  the  15th,  we  received  some  five  hundred  blankets,  seven  hundred  bed  sacks,  and  some  cooking 


EEPOET  OF  SURGEON  SWIFT,  TJ.  S.  A.  255 

utensils,  intended  for  McCook's  and  Gilbert's  corps.  The  supplies  ordered  on  my  requisitions  were  promptly  started  from 
Louisville,  but  by  some  means  never  explained,  they  were  stopped  and  stored  at  Bardstown,  where  they  remained  some  two 
weeks  before  they  could  be  found.  In  the  meantime  the  Sanitary  Commission  came  with  large  supplies.  Water  had  to  be 
hauled  a  mile  for  the  hospitals.  We  were  well  supplied  with  beef  and  mutton,  but  the  armies  had  stripped  the  country  of 
nearly  everything  with  which  we  could  have  made  the  hospital  fund  available.  The  larger  part  of  the  enemy's  wounded  were 
taken  to  Harrodsburg  on  his  retreat.  Only  nine  hundred  and  five  were  left  at  Perryville  in  my  care.  The  greater  portion  of 
these  were  kept  at  their  field  hospitals  on  Chaplin  Eiver,  some  two  and  three  miles  below  Perryville,  where  they  were 
convenient  to  good  water.  They  were  sheltered  principally  by  fodder  stacks  or  arbors,  which,  during  the  pleasant  Indian 
summer  of  October  and  November,  were  by  far  the  best  hospitals  we  had.  There  was  a  great  deficiency  of  stationery,  and  it 
was  impossible  for  the  surgeons  to  make  a  complete  record  of  the  wounded.  My  steward  succeeded  in  getting  the  names  of 
one  thousand  seven  hundred  and  forty-five  of  our  army,  and  nine  hundred  and  five  of  the  enemy,  but  his  description  of  their 
wounds  was  too  inaccurate  for  statistical  information.  As  soon  as  the  wounded  recovered  sufficiently  to  bear  transportation 
they  were  sent  to  the  Louisville,  Bardstown,  and  Lebanon  hospitals,  generally  in  empty  wagon  trains  going  for  commissary 
stores.  By  this  means  the  number  in  hospital  was  decreased  the  first  month  to  about  eleven  hundred,  after  which  time  we  only 
sent  the  convalescents  to  the  Danville  hospitals.  This  battle  was  fought  at  very  short  range.  The  unevenness  of  the  ground 
enabled  the  enemy  to  mass  his  troops  in  the  hollows  and  ravines,  and  frequently  threw  them  within  a  few  yards  of  our  batteries 
before  they  would  be  in  range  of  our  fire.  The  enemy  used  in  this  battle  solid  shot,  shell,  grape,  and  canister,  the  Springfield, 
Austrian,  and  Mississippi  rifle,  with  conoidal  ball,  and  a  large  proportion  of  smooth  muskets,  with  buck  and  ball.  The  latter 
proved  a  most  effective  weapon  in  a  battle  of  so  short  range,  the  contending  columns  sometimes  being  not  more  than  fifty  yards 
apart.  It  may  be  on  account  of  the  use  of  the  buck  and  ball  that  our  wounded  exceeded  the  enemy's,  while  his  killed  exceeded 
ours,  the  conoidal  ball  which  we  used  exclusively  being  more  surely  fatal.  Primary  amputations  and  resections  were 
performed  at  the  field  depots.  There  were,  however,  only  ten  of  the  latter,  two  of  the  head  of  the  humerus,  three  of  parts  of 
inferior  maxillary  bones,  and  five  of  continuity  of  long  bones,  all  of  which  recovered.  The  primary  amputations  were  all  flap 
operations,  with  only  three  or  four  exceptions.  A  few  of  these  died  from  the  sloughing  naturally  attending  too  large  a  flap. 
The  secondary  and  tertiary  amputations  mentioned  below,  with  three  or  four  exceptions,  I  performed  at  the  hospitals  in 
Perryville,  all  of  which  were  circular.  The  following  is  the  result  of  the  amputations:  of  eleven  primary  amputations  of  the 
thigh,  lower  third,  three  died,  middle  third,  seven  died,  upper  third,  six  died.  Of  secondary  amputations  of  the  thigh,  eleven 
cases,  all  died.  Of  two  tertiary  amputations  of  the  thigh,  one  recovered.  Of  seventeen  primary  amputations  of  the  leg,  five 
died.  Of  five  secondary  amputations  of  the  leg,  two  died.  Of  two  tertiary  amputations  of  the  leg,  both  recovered.  Of  four 
primary  amputations  of  shoulder  joint,  two  recovered  ;  secondary,  one  case  died.  Of  sixteen  primary  amputations  of  forearm, 
all  recovered ;  four  secondary  cases,  all  recovered.  Of  twelve  primary  amputations  of  the  arm,  all  recovered ;  secondary,  six 
cases,  four  recovered.  Trephining,  three  cases,  two  died.  For  some  of  the  interesting  surgical  cases,  I  refer  to  remarks  made 
on  monthly  reports.  The  anaesthetic  constantly  employed  was  chloroform,  and  no  bad  results  ever  followed  its  use.  I  can 
form  but  an  imperfect  estimate  of  the  number  of  casualties.  The  oflicial  report  of  two  thousand  nine  hundred  wounded  of  our 
army  seemed  to  me  much  too  large ;  certainly  not  over  two  thousand  three  hundred  ever  reported  in  hospitals  in  and  about 
Perryville.  Six  hundred  and  twenty  of  the  enemy  were  buried  on  the  field  by  our  men.  About  January  1st,  General  Rosecrane 
ordered  Lieutenant  W.  H.  Daniels,  of  the  81st  Indiana  Volunteers,  the  efficient  quartermaster  of  the  Perryville  hospitals,  to 
report  to  his  regiment,  and  another  quartermaster  could  not  be  obtained.  My  labors  were  thus  much  increased.  Much  of  the 
fire  wood  had  to  be  cut  in  the  woods  by  the  nurses,  teams  had  to  be  kept  to  haul  the  wood,  forage  to  be  obtained  for  the  teams. 
It  was  necessary  to  go  occasionally  from  six  to  ten  miles  for  forage,  so  much  had  the  country  been  stripped  by  the  armies,  and 
sometimes  it  was  necessary  to  seize  both  wood  and  forage  at  the  point  of  the  bayonet.  Of  the  four  surgeons  and  twenty-six 
assistant  surgeons  who  aided  me  with  the  wounded  of  this  battle,  it  would  be  invidious  to  mention  a  name  with  a  view  of 
distinction,  for  all  did  their  duty;  but  Surgeon  R.  R.  McMeary,  3d  Ohio  Volunteers,  may  be  mentioned  and  remembered  as 
one  who  sacrificed  his  life  by  incessant  daily  labor  and  night  long  vigils  to  relieve  the  suffering  soldiers.  By  March  23d,  the 
hospitals  of  Perryville  were  closed,  and  all  public  property  was  sent  to  Danville,  to  be  transferred  to  officers  there.  I  intended 
to  get  there  by  the  2f>th,  with  invoices  to  complete  the  transfer,  hut  on  the  24th,  hearing  cannon  in  the  direction  of  Danville,  I 
supposed  there  would  be  a  battle,  and  started  thither  immediately.  Before  arriving,  I  discovered  that  the  enemy  had  possession 
of  the  place,  our  forces  having  retreated  towards  Lexington.  By  circuitous  routes,  travelling  until  two  o'clock  next  morning, 
I  succeeded  in  reaching  the  rear  guard  of  our  army.  By  thus  leaving  Perryville  so  unexpectedly,  I  lost  a  number  of  beautiful 
specimens  of  gunshot  injuries  intended  for  the  Army  Medical  Museum." 


CCVII.  Iteport  of  the  Operations  of  the  Medical  Staff  at  the  Battle  of  Murfreesboro', 
Tennessee.  By  Surgeon  E.  SWIFT,  U.  S.  Army,  Medical  Director  of  the  Department  of  the 
Cumberland. 

"Herewith  I  have  the  honor  to  transmit  a  brief  report  of  the  transactions  of  the  medical  department  of  the  army  of  the 
Cumberland,  together  with  the  reports  of  the  medical  directors  of  the  right,  left  and  centre  wings.  On  the  morning  of  the 
iifitli  of  December,  1862,  pursuant  to  orders  from  the  commanding  general,  the  army  moved  forward  from  camps  near  Nashville 
toward  Murfreesboro',  the  right  on  the  Nolansville  and  the  centre  on  the  Franklin  pikes,  while  the  left  advanced  direct  on  the 
Murfreesboro'  road.  Soon  after,  Major  General  McCook,  in  command  of  the  right  wing,  left  his  camp  on  Mill  Creek,  lie 
encountered  the  cavalry  of  the  enemy  and  skirmished  with  them  till  he  reached  Nashville.  About  a  mile  in  advance  of  this 
place  (Murfreesboro')  the  enemy  made  a  determined  stand  with  a  battery  in  position,  but  was  soon  routed  with  the  loss  of  one 
of  his  guns  and  several  prisoners.  We  had  three  men  killed  and  seven  wounded  in  Davis's  division.  The  heavy  rain  of  the 
morning  had  subsided  and  now  the  country  was  enveloped  in  fog  or  mist.  The  same  day.  General  Geo.  H.  Thomas,  in  command 


256  APPENDED    DOCUMENTS WESTERN    ARMIES,    1862. 

of  the  centre  moved  across  the  country  from  the  Franklin  to  the  Nolansville  pike,  sent  aid  to  General  Davis,  whom  he  learned 
was  engaged,  and,  on  the  following  day,  marched  to  Stewartsville,  on  the  Murfreesboro'  pike.  He  remained  here  till  the 
morning  of  the  29th,  when  he  advanced  to  the  support  of  the  left  wing,  which  had  preceded  him,  and  was  now  near  Murfreesboro', 
On  the  30th,  General  Negley's  division  of  this  portion  of  the  army,  joined  with  Sheridan,  who  occupied  the  left  of  General 
McCook's  command,  which  had  moved  up  from  Nolansville,  on  the  Wilkinson  pike,  and  now  occupied  a  position  nearly  parallel 
with  the  enemy,  the  left  resting  on  the  Wilkinson  pike  and  the  right  extending  southeasterly  in  a  line  in  a  direction  with  the  river. 
In  this  movement  of  the  right  from  near  Nolansville,  General  Stanley,  in  command  of  a  division  of  cavalry  in  advance, 
encountered  the  enemy  in  considerable  force  and  drove  him  beyond  Triuna.  The  cavalry  lost  one  killed  and  five  wounded,  and 
in  another  affair  the  much  lamented  Major  Rosingartin  was  killed  and  Major  Ward  mortally  wounded.  Six  cavalry  soldiers 
were  also  wounded  and  were  taken  with  the  command  in  ambulances,  and  placed  in  hospital  at  the  cross  roads.  Major  General 
Crittendcn,  in  command  of  the  left  wing,  while  advancing  along  the  Murfreesboro'  pike,  met  the  enemy  on  the  27th,  at  Lavergne, 
and  put  him  to  flight.  In  this  engagement  we  lost  two  killed  and  thirty-two  wounded.  These  latter  were  left  in  hospital  at 
Lavergne,  in  charge  of  medical  officers,  and  were  subsequently  removed  to  Nashville.  On  the  29th,  this  grand  division  of 
the  army  moved  into  position  on  the  extreme  left,  with  General  Palmer  on  the  right,  resting  on  the  Murfreesboro'  pike  and 
joining  Negley  of  the  centre,  and  General  Wood  occupying  the  ground  from  Palmer  to  the  river.  General  Van  Cleve  in 
reserve  of  this  and  General  Rousseau  in  rear  of  the  centre.  General  Rosecrans,  with  his  entire  staff,  advanced  from  Nashville 
on  the  Murfreesboro'  pike,  and  having  reached  the  head  of  the  column,  turned  off  to  the  right  over  a  heavy  mud  road,  visited 
General  McCook's  command  and  returned  to  his  camp,  in  the  rear  of  Lavergne,  about  four  o'clock  the  following  morning. 
Here  he  remained  contemplating  the  movements  of  the  enemy  till  the  following  day,  when  he  moved  on  to  Stewartsville.  The 
next  day,  the  29th,  late  in  the  evening,  he  visited  General  Crittenden's  headquarters  near  Murfreesboro',  and  remained  in 
consultation  all  night  with  the  chief  officers  of  his  command.  On  the  following  morning,  one  of  our  batteries  in  position  a 
little  to  the  left  and  in  advance  of  the  general,  opened  fire  upon  a  battery  of  the  enemy  still  more  to  the  left  and  on  elevated 
ground,  which,  replying,  killed  one  of  the  escort,  Private  Dolan,  of  the  4th  U.  S.  Cavalry,  and  wounded  the  adjutant  of  the 
57th  Indiana  Volunteers  in  the  shoulder;  at  the  same  time  a  private  of  an  infantry  regiment,  not  engaged,  was  killed.  The 
general  and  his  staff  now  fell  back  three  or  four  hundred  yards  to  the  sloping  ground  on  the  left  of  the  road,  where  he  remained 
all  day.  About  eleven  o' clock,  the  heavy  picket-firing  on  our  left  ceased  and  opened  generally  along  our  right  where  General 
McCook  was  being  engaged.  The  enemy  was  strongly  entrenched  behind  earthworks  extending  from  the  river  on  our  extreme 
left  across  our  front  in  almost  a  direct  line,  then  far  on  along  our  right,  but  receding  from  the  Wilkinson  to  the  Franklin  pike 
through  heavy  timber.  The  left  wing  lost  to-day  three  killed  and  eighteen  wounded;  the  centre  fourteen  killed  and  fifty-three 
wounded;  and  the  right  twenty-four  killed  and  one  hundred  and  five  wounded.  Before  leaving  Nashville  I  had  approved  of 
full  and  complete  requisitions,  at  the  suggestion  of  Surgeon  Murray,  U.  S.  A.,  my  predecessor,  for  the  three  grand  divisions  of 
the  army.  I  had  also  in  reserve,  tents,  bedding,  etc.,  for  a  field  hospital  for  more  than  two  thousand  five  hundred  men,  which 
I  ordered  up  from  the  rear  on  the  29th,  as  soon  as  I  learned  the  enemy  had  made  a  stand  near  Murfreesboro'.  At  the  same  time,  I 
ordered  forward  twenty  ambulances,  all  that  we  had  on  hand  at  Nashville.  Surgeons  were  detailed  to  perform  operations  when 
decided  on  after  consultation^for  dressing,  and  such  other  duties  as  the  reception  and  disposition  of  the  wounded,  and  circum 
stances  required.  Early  on  the  morning  of  the  31st,  the  enemy,  during  the  night,  having  massed  a  heavy  force  on  our  right, 
fiercely  attacked  Johnson's  and  Davis's  divisions,  which  he  forced  back,  and  Sheridan's  being  heavily  pressed  was  obliged  to 
recede.  The  hospitals,  wounded,  and  nearly  all  the  medical  supplies  of  this  wing  of  the  army,  thus  fell  into  the  hands  of  the 
enemy.  We  were  also  called  on  to  lament  in  sadness  the  loss  of  General  Sill,  and  many  noble  and  brave  officers  and  men. 
About  nine  o'clock,  the  commanding  general,  with  his  staff,  dashed  boldly  forward  to  the  left  wing,  and  in  person  directed  the 
movements  of  troops  and  placed  batteries  in  position.  His  daring  presence  so  near  the  enemy's  line,  brought  down  upon  him 
an  angry  and  spiteful  fire  of  musketry,  round  shot  and  shell,  almost  at  point  blank  range,  but  utterly  disregarding  this  metallic 
storm,  our  brave  commander  moved  calmly  on  from  left  to  right  cheering  and  inspiring  our  faltering  troops,  and  throughout  the 
day,  wherever  the  tide  of  battle  most  fiercely  raged,  General  Rosecrans  bore  his  charmed  life  and  ubiquitous  presence.  The 
noble  Garesche  was  killed  by  his  side,  and  his  aides,  Lieutenant  Kirby,  severely,  and  Porter  slightly  wounded.  Sergeant 
Richmond  and  four  privates  of  his  escort  were  also  killed  or  wounded,  the  former  mortally.  Much  the  heaviest  loss  sustained 
to-day  fell  upon  the  regular  battalions,  brigaded  under  command  of  Lieutenant  Colonel  O.  L.  Shepherd,  in  holding  the  cedar 
brake,  on  the  right  of  the  centre,  against  the  columns  of  the  enemy  sweeping  down  upon  them,  after  having  forced  back  our  entire 
left  wing.  This  loss  amounted  to  five  hundred  and  sixty-one  killed  and  wounded,  more  than  one-third  of  their  number,  in  fact 
I  might  probably  better  say  nearly  one-half.  Our  casualties  in  killed  and  wounded  did  not  fall  short  of  four  thousand,  including 
about  one  thousand  five  hundred  of  the  right  wing,  one  thousand  two  hundred  of  whom,  wounded,  fell  into  the  hands  of  the 
enemy.  The  ambulance  corps,  though  temporarily  organized,  worked  admirably.  As  soon  as  the  fire  of  the  enemy  slacked  at 
any  point  along  our  lines,  and  became  only  desultory,  the  ambulances  dashed  in  at  a  brisk  trot  and  snatched  our  wounded  from 
their  picket  lines.  In  justice,  I  should  add,  they  did  not  fire  on  these  brave  men  when  they  knew  their  humane  mission; 
friend  and  foe,  no  longer  combating,  being  equally  the  objects  of  their  care.  It  became  necessary,  in  order  to  accommodate  so 
many  wounded,  to  make  use  of  tents,  and  my  field  hospital  having  arrived,  I  was  enabled  to  afford  comfortable  shelter  for  all. 
In  the  early  part  of  the  day,  Surgeon  Weeds,  assistant  medical  director,  went  to  the  rear  to  take  charge  of  the  property 
pertaining  to  the  field  hospitals  and  place  it  in  a  proper  position.  About  ten  o'clock,  Surgeon  McDermont,  medical  director  of  the 
right  wing  reported  to  me— his  hospitals  and  wounded,  hospital  supplies  and  medical  officers  having  fallen  into  the  hands  of  the 
enemy— and  asked  for  instructions.  I  directed  him  to  a  cedar  brake  on  the  left  cf  the  road,  half  a  mile  to  the  rear,  where  I 
instructed  him  to  make  a  temporary  field  hospital,  constructing  the  shed  roof  and  beds  for  the  wounded  from  cedar  boughs,  to  make 
his  requisitions  on  Doctor  Weed  for  supplies  and  report  to  me  when  he  could  receive  the  wounded.  Visiting  this  place  an  hour 
later  I  found  it  untenable,  or  at  least,  unsafe,  on  account  of  round  shot  and  shell  from  the  enemy  occasionally  falling  upon  it. 
I  then  directed  Surgeon  McDermont  to  find  suitable  buildings  on  the  pike  to  the  rear.  In  the  meantime  my  attention  was  drawn 
to  a  large  number  of  wagons,  ambulances,  caissons,  etc.,  moving  from  different  points  to  the  river  more  to  the  left.  I  soon 


REPORT    OF    MEDICAL    DIRECTOR,    SWIFT,    U.    S.    A.  257 

learned  they  bad  come  in  disorder  from  the  rigbt  and  were  looking  for  safety  over  an  uneven  rocky  ford,  on  the  opposite  river 
bank.  This  Babel-like  confusion  was  somewhat  augmented  by  the  approach  of  the  enemy,  who  now  charged  upon  this  flank. 
They  were,  however,  driven  back  before  much  property  had  been  destroyed.  I  had  succeeded  in  drawing  out  many  of  the 
ambulances  before  crossing  the  ford.  Three  were  reported  to  me  as  having  been  taken  by  the  enemy  and  burned  The 
remainder  subsequently  did  good  service.  During  the  day,  the  enemy's  cavalry  made  a  descent  upon  our  hospitals  on  the 
Nashville  pike,  but  beyond  some  confusion  and  embarrassment,  they  did  little  harm.  Our  own  cavalry,  commanded  by  Captain 
Otis,  speedily  drove  them  away.  During  the  night  1  visited  the  hospitals  within  our  lines  along  the  pike,  and  off  of  it  to  the 
rear,  and  was  gratified  to  find  the  wounded  well  provided  and  attended.  At  daylight,  surgeons,  nurses  and  attendants  were 
busily  occupied  in  the  labor  they  had  begun  the  morning  before.  As  the  fighting  on  the  1st  of  January  was  confined  to  brisk 
skirmishing,  and  but  few  casualties  resulting  therefrom,  we  were  able  to  complete  our  organization  and  finish  the  heavy  work 
so  suddenly  thrown  upon  our  hands  the  day  before.  Many  of  the  slightly  wounded,  those  who  were  able  to  walk  and  ride  in 
empty  wagons,  I  ordered  to  Nashville,  twenty-five  miles  to  the  rear.  After  a  brisk  engagement  the  following  morning  without 
any  marked  results,  the  day  passed  on  much  as  the  preceding,  till  five  o'clock,  when  the  enemy  came  down  with  an  overwhelming 
force  upon  our  left  flank,  driving,  for  a  while,  everything  before  him;  but,  emerging  from  the  heavy  timber  upon  the  open 
ground,  he  was  met  by  terrific  volleys  of  grape,  round  shot  and  shell  from  fifty-two  pieces  of  artillery,  placed  in  position  by 
Captain  Mendenhall,  on  tbe  opposite  river  bank.  The  enemy  faltered,  then  fell  back,  and  soon  this  living  mass  was  in  full 
retreat.  Our  loss,  not  exceeding  five  hundred  men,  was  comparatively  small,  his  being  estimated  at  nearly  three  times  that 
number.  Then,  as  on  other  occasions,  the  ambulance  corps  behaved  well.  It  was  dark  when  the  battle  ceased,  but  while 
occasionally  only  shot  fell  from  the  baflled  foe,  our  wounded  were  on  the  road,  and  less  than  an  hour  later  they  were  all 

comfortably  provided  for  in  the  hospitals  in  the  rear.      Lieutenant ,  who  had  charge  of  this  branch  of  the  medical  service, 

deserves  favorable  mention  for  his  zeal  and  industry;  for  though  he  could  not  share,  from  indisposition,  the  more  bold  and 
daring  occupation  of  his  brave  comrades,  he  contributed  much  to  the  comfort  of  the  wounded.  Saturday  morning  found  our 
army  bivouacked  in  mud,  drenched  with  rain,  without  shelter,  and  almost  without  food,  but  still  hopeful  and  cheerful.  None 
were  sick ;  few  complaining.  Our  heavy  lines  of  pickets  on  all  sides  were  all  day  engaged,  and  at  night  General  Rousseau 
stormed  the  rifle-pits  in  front,  carried  them  and  held  them.  Our  loss  in  this  aftair,  and  throughout  the  day,  was  not  large. 
This  proved  to  be  our  last  encounter  with  the  enemy.  On  the  following  day  we  were  engaged  in  the  mournful  task  of  burying 
our  lamented  dead.  I  visited  the  hospitals  on  the  Wilkinson  pike  and  neighborhood,  now  again  within  our  lines,  and  found 
the  wounded  generally  well  cared  for.  Surgeon  Marks,  and  other  medical  officers,  as  also  the  attendants  left  in  the  hospitals 
by  direction  of  Surgeon  McDermont,  medical  director  of  the  right  wing,  I  am  happy  to  state,  with  but  tew  exceptions,  did  their 
duty  faithfully  and  well.  Their  labors  were  great  and  harassing,  and  not  unattended  with  danger  on  the  31st,  when  the 
ground  was  fiercely  contested,  and  yielded  to  an  overwhelming  force.  Some  buildings  were  pierced  by  round  shot  and 
musketry,  wounding  attendants  in  tbe  earnest  discharge  of  their  duty.  During  the  battle  of  the  31st  some  of  the  wounded  of 
Negley's  division  of  the  centre  fell  into  the  hands  of  the  enemy.  These  have  been  reported  to  me  as  having  i-eceived  the  same 
care  and  attention  as  their  own  wounded,  by  the  medical  officers  of  their  army.  In  fact  they  have  said  to  me  they  had  been 
'well  treated'  and  had  'no  reason  to  complain.' 

Surgeons  Bogue,  Johnson,  Brelstbrd-and  Wright  are  highly  commended  for  their  gallantry  in  maintaining  their  position 
with  their  wounded  comrades  when  the  hospitals  of  this  portion  of  the  army  fell  within  the  enemy's  lines.  In  strong  contrast 
with  these  and  many  other  brave,  devoted  and  self-sacrificing  men,  it  becomes  my  painful  duty  to  say  Assistant  Surgeon  V. 
D.  Miller,  78th  Pennsylvania  Volunteers,  is  reported  to  me  by  the  medical  director  of  his  corps  an  having  'basely  deserted  his 
post.'  Surgeon  Phelps,  medical  director  of  the  left  wing,  is  entitled  to  the  highest  praise  for  his  zeal  and  untiring  industry  in 
the  establishment  of  the  largest  field  hospital  in  the  rear,  and  for  professional  skill  and  devoted  attention  to  the  wants  of  the 
wounded.  Surgeon  Blair  also  deserves  credit  for  the  comfortable  provision  made  for  those  entrusted  to  his  care  in  tents  and 
shelters  made  of  tent  flies.  The  wounded  here,  as  everywhere  under  canvas,  did  well,  and  most  clearly  established,  in  the 
opinion  of  all,  the  advantages  derived  from  free  ventilation  thus  afforded  over  hospitals  in  ordinary  dwellings  of  wood  or  brick, 
notwithstanding  a  liberal  provision  of  windows  and  doors.  I  am  gratified  to  say  my  conservative  views  were  generally  adopted, 
and  that  amputations  were  seldom  performed  without  consultation.  Many  exsections  were  made  which  are  doing  well,  and 
some  cases  are  treated  as  compound  fractures  with  marked  success.  Surgeon  Woodworth,  of  General  Van  Cleve's  division, 
Surgeon  Heise,  100th  Illinois  Volunteers,  E.  B.  Glick,  40th  Indiana,  S.  H.  Kersey,  3Gth  Indiana,  and  Surgeons  J.  T.  Wood, 
99th  Ohio  Volunteers,  and  C.  J.  Walton,  21st  Kentucky  Volunteers,  (these  latter  having  done  the  largest  part  of  the  operating) 
are  favorably  brought  to  my  notice.  Surgeon  Muscroft,  of  General  Rousseau's  division,  established  a  hospital  in  the  rear  and 
accommodated  comfortably  a  large  number  of  wounded.  Many  of  the  serious  cases  are  in  an  advanced  stage  of  recovery.  His 
zeal,  skill,  and  industry  are  commendable.  Surgeon  James,  medical  director  of  the  cavalry  division,  and  Cumfort,  of  the 
Anderson  troops,  also  did  faithful  service.  Assistant  Surgeon  Faylor  has  been  assiduous  in  his  attention  to  sick  and  wounded. 
Lieutenant  Colonel  Northcote,  unable  longer  to  bear  the  fatigue  and  exposure  incident  to  duty  in  the  lines  on  account  of  ill 
health,  aided  me  greatly  in  organizing  parties  of  stragglers,  with  whom  lie  policed  camps  and  procured  wood,  water  and  straw. 
Captain  Monger,  with  his  company,  was  detailed  to  guard  property  and  enforce  discipline  in  and  around  the  field  hospital,  and 
Captain  Stackpole  to  provide  and  issue  subsistence  stores  as  required.  These  gentlemen  did  their  duties  faithfully  and  well, 
and  gave  universal  satisfaction.  The  duties  of  these  officers,  like  those  of  the  medical  department,  though  not  of  the  brilliant 
nature  of  their  more  fortunate  comrades  in  front,  were  essential  to  the  comfort  of  the  brave  wounded  and  deserve  well  of  their 
commanding  general  and  of  the  country. 

I  must  crave  your  indulgence  for  again  mentioning  the  ambulance  corps  and  Lieutenant .     The  service  performed 

was  highly  creditable.  The  drivers  and  assistants,  (among  the  former  I  desire  to  mention  Private  F.  M.  Figett,  Com 
pany  H,  21st  Kentucky  Volunteers,  killed.)  were  prompt  and  zealous  in  the  discharge  of  their  duty.  This  service  was  often 
necessarily  continued  into  the  night  and  near  to  the  enemy's  lines,  yet  these  brave  men,  unarmed,  untiring  and  unflinching  in 
the  face  of  danger,  gathered  their  bleeding  comrades  from  under  the  guns  of  the  enemy  and  bore  them  to  the  rear.  My  orderly, 


258 


APPENDED    DOCUMENTS WESTEKN    ARMIES,    1862. 


Private  Barrett,  4th  U.  S.  Cavalry,  deserves  creditable  mention  for  his  unceasing  devotion  to  duty  and  the  prompt  manner  in 
which  he  conveyed  my  directions  on  the  field.  My  clerk,  William  Domer,  private  in  the  Anderson  Cavalry,  who,  I  am  glad 
to  learn,  has  been  highly  recommended  for  a  commission,  also  served  faithfully  and  assiduously  at  the  hospitals  in  the  rear. 

The  commissary  and  quartermaster's  departments  are  entitled  to  our  thanks  for  timely  and  efficient  aid  in  furnishing 
supplies  and  transportation,  and  in  the  preparation  of  hospitals  for  the  reception  of  sick  and  wounded  here  and  at  Nashville. 
My  thanks  are  also  due  to  my  assistants.  Surgeon  Weeds  and  Surgeon  Phelps,  whom  I  have  previously  mentioned  for  their 
prompt  and  efficient  cooperation,  and  for  valuable  suggestions  conducive  to  the  comfort  and  best  treatment  of  our  wounded. 
To  Surgeon  Thurston,  assistant  medical  director  at  Nashville,  also,  for  his  zeal,  energy  and  rare  professional  ability  displayed 
in  providing  for  the  wounded  sent  him  from  the  battle-field.  Surgeons  McDermont  and  Beebe  were  untiring  in  their  labors  and 
afforded  me  valuable  aid.  Their  observations  on  treatment  of  wounded,  etc.,  as  shown  in  their  reports  herewith  appended, 
should  receive  attention. 

From  the  difficulty  of  individualizing  where  so  many  are  distinguished,  I  have  mentioned  but  few  officers  as  deserving 
of  commendation  for  faithful  and  conscientious  attention  to  duty.  I  am  sorry  to  say,  however,  there  are  those  whose  conduct 
has  been  bad;  whose  names  at  an  early  day  will  be  forwarded  to  the  commanding  general  for  his  action.  Among  these  are  two 
officers  Avho  left  the  field  to  look  for  hospitals  beyond  Stewart's  Creek,  and  did  not  soon  return.  They  were  reported  to  me  by 
Colonel  Burke,  l(Jth  Ohio  Volunteers. 

With  the  present  standard  of  professional  ability  among  subordinate  medical  officers,  too  much  stress  cannot,  in  my 
opinion,  be  laid  upon  the  importance  of  securing  supervisory  talent  of  the  highest  order.  The  rank  now  common  to  corps 
medical  directors  is  most  inadequate  to  the  responsibility,  extent  of  authority,  and  respect  attaching  to  such  a  position,  while 
the  pay  and  emoluments  pertaining  thereto  are  a  poor  inducement  to  skillful  practitioners  to  abandon  a  lucrative  practice  at  home 
for  the  drudgery,  exposure,  and,  at  best,  brief  honors  of  service  with  troops  in  the  field. 

While  the  medical  officers,  now  acting  in  this  capacity,  are  comparatively  the  best  fitted  therefor  among  those  open  to 
selection.  I  am  of  opinion  that  the  standard  of  professional  administrative  capacity  of  such  officers  should  be  elevated,  and  that 
increase  of  rank,  (it  may  be  local,)  pay  and  emoluments  to  medical  directors,  will  insure  the  availability  to'  the  department  of  a 
much  higher  order  of  talent  than  is,  at  present,  accessible.  It  appears  to  me  that  the  liberality  of  the  Government,  and  the 
people  which  prompts  stich  donations  of  money  and  supplies  for  sanitary  purposes,  might  be  most  advantageously  applied  to 
securing  more  valuable  personal  attentions  to  the  objects  of  these  laudable  efforts.  I  append  hereto  a  complete  return  of  the 
killed  and  -wounded  of  the  various  subdivisions  of  the  army,  with  a  tabular  statement  of  the  location  and  nature  of  wounds. 

Tabular  Statement  /Showing  the  location  of  Three  thousand  one  hundred  and  tiro    Wounds 
received  in  the  Army  of  the  Cumberland,  during  the  Battle  of  Stone  lliver. 


Head  and  Face  

282 

Elbow  

16  i    Abdomen 

52 

626 

Breast  

134  ! 

Wrist  

22  \.  Groin  

11 

Knee 

94 

Shoulder  

259 

Hand 

245      Hip 

159 

Ankle 

45 

Arm  

347  i 

Neck 

59  i    Side 

100 

i   Foot 

141 

Fore  Arm  .  . 

21 

Back  

57      Thioh  

432 

The  remaining  wounds  are  unknown  or  too  slight  ill  their  nature  to  be  mentioned. 


General  Summary  of  Casualties  during  the  J3attle  of  Stone  River. 


COUPS  AND  DETACHMENTS. 

OFFICERS. 

ENLISTED  MEN. 

TOTAL 
KILLED  AND 

WOUNDED. 

Killed.      Wounded.       Killed. 

Wounded. 

Right  Wing  

30 
16 
42 
1 

100 
94 
180 
2 
1 
1 
3 
3 

573 
308 
527 
3 
3 
3 
7 
17 

2,481 
1,619 
2,  6G3 
3 
8 
5 
21 
61 

3,184 

2,037 
3,  412 
9 
12 

9 

31 

i              84 

Centre  

Left  Wing  

Staff  and  Escort  of  General  Commanding 

4th  U.  S.  Cavalry  

Chicago  Board  of  Trade  Battery.. 

Pioneer  Brigade  

1st  Cavalry  Division  

3 

Total  

92               384              1,441           6,861 

8,778 

..  

Very  respectfully, 


To  THE  SURGEON  GENERAL  U.  S.  ARMY." 


EBEN  SWIFT,  Surgeon,   U.  S.  A., 
Medical  Director,  Department  of  the  Cumberland. 


REPORTS    OF    SURGEONS    BKEBE    AND    PIIELPS,    U.    S.    V.  259 

CCVIII.  Extract  from  a  Report  of  the  Casualties  of  the  Centre  Division  of  the  Fourteenth 
Corps  at  the  Battle  of  Marfreesboro\  By  Surgeon  Gr.  D.  BEEBE,  U.  S.  Volunteers. 

*  ''  From  the  location  of  the  line  of  battle,  the  surrounding  country  presented  very  fair  facilities  for  the  care  of 
the  wounded,  in  au  abundant  supply  of  water  and  wood,  and  a  limited  supply  of  good  buildings,  in  which  the  more  formidable 
cases  could  be  sheltered  and  cared  for.     The  ambulance  service  was  well  managed,  and  tbe  number  of  ambulances  was  found 
sufficient  for  the  prompt  removal  of  wounded ;  so  that  in  no   instance,  within  my  knowledge,  were  the  wounded  allowed  to 
remain  on  the  field  over  night  within  our  own  lines.     The  supply  of  hospital  tents  provided  by  yourself,  added  to  those  in  the 
hands  of  the  regimental  officers,  furnished,  so  far  as  my  observation  extended,  all  the  additional  shelter  needed.     The  regiments, 
for  the  most  part,  had  a  fair  supply  of  medical  and  hospital  stores,  which,  added  to  tbe  reserve  supply  in  the  hands  of  the 
efficient  medical  purveyor  of  my  corps,  Assistant  Surgeon  H.  C.  Barrell,  enabled  us  to  provide  promptly  for  the  wants  of  all,  and 
added  greatly  to  the  efficiency  and  success  of  the  medical  officers  of  the  command.     I  cannot  too  strongly  recommend  the  policy 
of  having  each  corps  or  grand   division  provided  with  a  good  reserve   supply  for  emergencies  of  this  character,  with  the 
demonstration  of  their  efficiency  here,  and  the  demonstration  of  their  deficiency  at  the  battle  of  Champion  Hills.     In  operative 
surgery,  the  medical  officers  have  shown  a  good  degree  of  skill  and   ability.     The  operations  have  been  well  made,  made 
promptly,  and  have  been  followed  by  every  promise  of  success  in  a  large  majority  of  instances.     Resection  has  been  resorted  to 
frequently  as  a  primary  operation,  and  with  varied  success.     In  the  upper  extremity  the  success  is  quite  uniform,  and  the  same 
ma}-  be  said  of  this  operation  below  the  knee.     In  the  shaft  of  the  femur,  I  believe  amputation  is  the  true  conservative  course. 
From  careful  observation,  I  am  prepared  to  recommend,  very  strongly,  the  following  directions  in  amputating :  first,  that  in  flap 
operations  the  muscular  tissue  should  be  cut  away  or  pared  off  after  the  flap  is  made,  until  the  flap  is  well  thinned  down,  as  it 
saves,  at  best,  the  necessity  for  this  tissue  being  removed  by  absorption,  and  may  save  the  otherwise  extensive  suppuration  of 
the  stump.     Second,  that  in  amputation,  and,  indeed,  all  operations  involving  extensive  incisions,  the  cut  surface  should  be 
allowed  to  remain  exposed  to  the  atmosphere  fur  from  three-quarters  of  an  hour  to  two  hours  before  the  stump  is  closed.     This 
provides  against  the  formation  of  coagula  between  the  flaps,  which  act  as  foreign  substances,  and,  by  allowing  the  cut  surfaces 
to  glaze  with  plastic  lymph,  secures  adhesion  by  first  intention  in  a  large  number  of  primary  and  also  secondary  operations. 
In  the  field  hospitals,  but  little  erysipelas  has  appeared,  and  the  isolated  cases  have  yielded  readily  to  the  topical  application  of 
per-sulphate  of  iron,  and,  so  far  as  I  know,  without  loss  of  life.     In  the  varying  fortunes  of  the  fight,  a  considerable  number  of 
our  wounded  fell  into  the  hands  of  the  enemy,  and,  though  these  received  as  good  care  from  the  Confederate  surgeons  as  did 
their  own,  even  this,  indeed,  was  bad  enough.     Primary  operations  were,  for  the  most  part,  omitted  by  them,  and  many  lives 
were,  in  consequence,  lost.     Cleanliness  was  neglected  and  erysipelas  made  its  appearance  in  a  comparatively  large  number  of 
wounds,  and  some  fatality  resulted.     In  our  own  hospitals,  no  distinction  was  known  between  friend  and  foe,  and  all  shared 
alike  in  the  benefits  derived  from  professional  skill  and  abundant  supplies.'    The  hospital  first  established  for  the  division  of 
General  Negley  was  within  the  enemy's  lines,  on  Wednesday,  the  31st,  and,  for  two  days  following,  was  a  good  deal  exposed 
to  fire.     Great  credit  is   due  to  Surgeon  R.  G.  Boguc,  19th  Illinois,  Surgeon  W.  P.  Johnson,  18th  Ohio,  and  Surgeon  J.  R. 
Bre.lsford,  74th  Ohio  Volunteers,  for  the  gallantry  with  which  they  maintained  their  position  at  this  hospital,  and  cared  for  the 
wounded   of  both  armies.     In  contrast  with  these  and  many  others,  I  regret  that  I  am  compelled  to  mention  the  name  of 
Assistant  Surgeon  V.  D.  Miller,  78th  Pennsylvania  Volunteers,  who,  after  the  fight  was  over,  basely  deserted  his  post,  leaving 
the  hospital  under  his  charge  in  a  most  filthy  condition,  with  two  dead  bodies  lying  where  they  died,  several  hours  previous  to 
his  leaving,  by  the  side  of  wounded  men.     When  expostulated  with  and  urged  to  remain,  he  made  use  of  language  unbecoming 
an  officer,  and  had  not  the  medical  officers  of  another  command  rendered  prompt  attention,  the  men  thus  deserted  must  have 
suffered  greatly.     For  this  prompt  attention,  and  for  thorough  efficiency  under  all  circumstances,  I  am  under  obligations  to 
Surgeon  W.  M.  Wright,  of  the  79th  Pennsylvania  Volunteers.     With  the  single  exception  above  named,  the  medical  officers 
were  prompt  and  untiring  in  the  discharge  of  their  laborious   duties,   and  their  conduct,  as  a  whole,  certainly  challenges 
admiration." 

CCIX.  Extracts  from  Jteports  of  the  Operations  of  the  Medical  Department  of  the  Left 
Whig  of  the  Fourteenth  Corps  at  the  Battle  of  Murfreesboro* .  By  Surgeon  A.  J.  PIIELPS, 
U.  S.  Volunteers. 

*  "On  the  9th  day  of  December,  1862,  I  issued  an  order  upon  the  organization  of  field  hospitals  very  similar 
to  the  one  issued  by  Surgeon  Letter-man  in  the  army  of  the  Potomac,  and  accordingly  was  prepared  thus  far  for  the  emergency 
of  a  battle.     The  surgeons  of  each  division  were  assigned  to  specific  duties — some  as  operators,  some  as  assistants,  etc.     It  was 
decided  that  the  field  hospitals  should  not  be  placed  less  than  two  miles  in  the  rear,  so  that  the  manoeuvres  of  the  army 
should  not  necessitate  its  removal.     I  also  had  ten  transportation  wagons  loaded  with  reserve  hospital  supplies  of  such  articles 
as  would  be  most  needed  in  the  event  of  a  battle,  or  for  the  construction  of  roadside  hospitals ;  these  were  placed  under  charge 
of  the  acting  medical  purveyor  of  the  wing,  Assistant  Surgeon  II.  W.  Carpenter,  DUth  Ohio  Volunteers.     On  December  27th, 
our  forces  had  a  brisk  skirmish  with  the  enemy  at  Lavergne,  losing,  in  killed,  two ;  wounded,  thirty-two.     The  wounded  were 
left  at  Lavergne  under  charge  of  a  medical  officer.     On  the  evening  of  the  '^9th,  we  came  upon  the  enemy  in  force  two  and 
three-quarter  miles  from  Murfreesboro'.     On  December  30th,  while  our  forces  were  being  placed  in  position,  I  established  one 
field  hospital  for  each  division  of  the  left  wing  under  the  charge  of  their  several  medical  directors.     The  Wood's  division  hospital 
was    established  in   the  vicinity  of  the  brick   house,   two   and  one-half  miles   to  the  rear,  and  on  Overall's  Creek.     Palmer's 
division  hospital  was  established  at  A  very'*  house,  on  the  Nashville  pike  also,  and  near  by.     '  Van  Clcve's  division  hospital 
was  established  nearly  a  mile  nearer  the  front,  but  was  removed  on  the  morning  of  the  31st  to  the  brick  house  in  juxtaposition 
with   Wood's  hospital.     To  these  points  were  brought  the  hospital  wagons,  ambulances,  etc.,  of  each  division,  and  also  the 
reserve  supply  of  hospital  stores.     Wood's  division  hospital  was  constructed  entirely  of  regimental  hospital  tents;  the  other 


260  APPENDED    DOCUMENTS WESTERN    ARMIES,    .1862. 

two  had,  in  addition,  the  houses  above  referred  to.  Thus  affairs  stood  on  the  31st.  Soon  after  the  battle  opened,  when  the 
right  wing  gave  way,  the  rebel  cavalry  swung  around  and  captured  one  hospital,  and  began  to  drive  off  our  supplies,  and 
even  despoiled  some  of  our  medical  officers  of  their  personal  property,  but  it  was  only  a  brief  period  before  the  hospital  and 
property  were  recaptured  by  a  dash  of  our  own  cavalry.  As  the  battle  progressed  it  became  necessary  for  us  to  accommodate  a 
very  large  number  of  wounded  from  the  centre  and  right,  whose  temporary  hospitals,  and  some  of  whose  surgeons,  fell  into  the 
lines  of  the  enemy.  Our  accommodations  be3oming  speedily  exhausted,  we  were  fortunate  in  getting  control  of  a  large 
proportion  of  the  hospital  tents  that  were  so  wisely  brought  in  the  rear  train  from  Nashville.  These  were  pitched,  and  long 
sheds  were  formed  from  their  flies;  by  all  these  means  it  is  estimated  that  we  accommodated  at  these  three  hospitals  not  lets 
than  four  thousand  five  hundred  wounded.  However,  we  were  very  much  relieved  by  the  order  which  was  given  to  send 
all  the  slightly  wounded  immediately  to  the  rear  at  Nashville.  In  the  several  days'  battle  which  succeeded,  our  losses  were 
essentially  as  follows : 

Officers  killed 39 

Officers  wounded 166 

205 

Non-commissioned  officers  and  privates  killed 535 

Non-commissioned  officers  and  privates  wounded 2,  614 

3,  149 


Total 3,354 


I  cannot  express  myself  in  terms  too  strong  of  the  activity,  faithfulness  and  efficiency  of  the  medical  officers  of  this  wing. 
They  all  acquitted  themselves  with  credit.  Surgeon  W.  W.  Blair,  58th  Indiana  Volunteers,  and  acting  medical  director  of 
Wood's  division,  deserves  special  mention.  The'  perfect  order  of  his  hospitals  and  the  success  of  his  operations  sufficiently 
recommend  him  for  any  position  as  director  of  hospitals  or  division.  In  like  manner  I  would  speak  of  the  efficiency  of  Surgeon 
M.  G.  Sherman,  9th  Indiana  Volunteers,  as  medical  director  of  Palmer's  division;  also,  M.  C.  Woodworth,  surgeon  51st  Ohio 
Volunteers,  as  medical  director  of  Van  Cleve's  division.  I  would  also  mention  favorably  Surgeon  A.  W.  Heise,  of  the  100th 
Illinois  Volunteers  and  Surgeon  J.  13.  Armstrong,  31st  Indiana  Volunteers,  Surgeon  E.  B.  Glick,  40th  Indiana  Volunteers,  and 
Surgeon  S.  H.  Kersey,  36th  Indiana  Volunteers,  who  have  been  recommended  highly  to  my  notice  by  their  respective  medical 
directors  in  their  official  communications ;  but  I  would  not  do  myself  justice  did  I  not  again  report  in  this  connection  that  it 
would  be  difficult  to  single  out  any  number  of  medical  officers  whose  services  did  not  merit  the  commendation  of  the  most 
exacting.  Surgeon  J.  T.  Wood,  99th  Ohio  Volunteers,  and  Surgeon  C.  J.  Walton,  21st  Kentucky  Volunteers,  did  the  largest 
part  of  the  operating,  perhaps,  at  the  3d  division  hospital.  There  were,  in  all,  nine  regular  operating  tables,  beside  dressing 
tables  upon  which  some  amputations  were  performed;  consequently  a  large  number  of  the  operations  were  essentially  primary. 
A  consultation  was  held  over  each  case  previous  to  operation,  and,  in  many  instances,  the  limb  was  examined  afterward. 
Amputation  was  resorted  to  in  those  cases  in  which  the  limb  was  shattered,  and  in  which  the  knee  joint  was  seriously  implicated, 
without  hesitation.  At  the  same  time  it  was  recognized  as  a  fact,  that  it  sometimes  requires  exceedingly  nice  examination  to 
determine  an  injury  of  the  joint  sufficient  to  discard  all  hope  of  good  from  conservatism,  and  consequently  there  are  riot  less 
than  six  instances  of  very  suspicious  cases  of  gunshot  wounds,  apparently  implicating  the  knee  joint,  that  are  doing  well. 
Exsection  was  performed  in  a  number  of  cases,  most  generally  of  a  little  more  consequence  than  removing  comminuted  bone. 
Occasionally  a  large  proportion  of  the  shaft  of  the  bones  were  removed,  particularly  of  the  upper  extremity.  I  consider 
exsections  in  the  case  of  the  shaft  of  the  femur,  should  very  generally  give  way  to  amputation.  I  cannot  give  the  number  of 
resections  of  joints  that  were  made.  I  witnessed  two  of  the  elbow  joint.  The  subsequent  treatment  of  the  wounded  which 
has  only  extended  through  a  few  days,  has  determined  me  in  the  opinion  I  have  heretofore  entertained,  that  a  surgeon  is  culpable 
in  placing  wounded  men  in  a  house  when  he  has  a  tent  at  his  command.  There  is  no  mistaking  the  difference  between  the 
wounded  cared  for  in  a  tent  after  a  week  has  elapsed,  and  one  who  has  been  breathing  the  confined  air  of  a  house  room,  no 
matter  what  have  been  the  attempts  at  ventilation.  Very  soon  those  patients  of  ours  who  were  treated  in  the  houses  began  to 
show  symptoms  of  erysipelas,  pyrcmia  and  secondary  haemorrhage.  On  the  other  hand,  cases  of  perforating  wounds  of  the 
lungs  in  the  tents,  have  rallied  and  bid  fair  for  recovery;  and  cases  of  amputations  of  the  arm  were  walking  around  on  the 
seventh  day.  Erysipelas  cases  were  isolated  as  soon  as  possible.  The  most  successful  treatment  appeared  to  be  large  doses  of 
the  tincture  of  chloride  of  iron  internally,  tincture  of  iodine  to  the  surface  of  the  wound,  and  a  weak  solution  of  creosote 
applied  by  saturating  cloths  and  keeping  them  constantly  renewed  to  the  contiguous  surface. 

As  a  result  of  my  observations  during  this  battle,  of  the  great  amount  of  suffering  that  was  prevented  by  the  reserve 
supply  of  tents  and  of  hospital  stores,  I  would  recommend  that  this  supply  shall  be  constantly  held  in  readiness  and  accompany 
the  army  in  its  advance  against  the  enemy.  I  would  also  suggest,  as  a  general  rule,  the  sphere  of  greatest  usefulness  for  the 
eurgeon  is  at  the  hospital,  in  case  of  a  severe  and  protracted  battle ;  and  that,  therefore,  not  more  than  two  medical  officers 
to  a  brigade  should  be  permitted  to  go  on  the  field.  And  finally,  I  would  suggest  the  necessity  of  having  every  regimental 
hospital  organized  with  its  full  set  of  nurses,  who  shall  be  properly  drilled  and  prepared  under  the  orders  of  the  surgeons, 
to  render  their  services  as  attendants  and  dressers,  and  to  feel  their  responsibilities  on  these  trying  and  laborious  occasions. 
But  I  must  not  neglect  to  report  my  entire  satisfaction  of  the  preliminary  organization  of  field  hospitals  that  I  adopted, 
and  recommend  it  to  others.  With  the  monthly  medical  reports  of  the  Fourteenth  Corps  for  January,  I 

forwarded  a  complete  list  of  killed  and  wounded,  which  shows  a  loss  of  three  thousand  four  hundred  and  fifty-five  for  the 
left  wing,  about  twenty-five  per  centum  of  whom  were  either  killed  or  mortally  wounded.  *  *  On  December  9th,  I  issued 
fin  order  on  the  organization  of  field  hospitals  very  .similar  to  that  issued  by  Dr.  Letterman  on  the  Potomac.  This  order 
directed  that,  in  case  of  a  battle,  the  field  hospitals  should  ordinarily  be  placed  at  not  le.ss  than  two  miles  to  the  rear,  in  order 
that  the  manccuvering  of  the  army  should  not  necessitate  their  removal,  which  proved  to  be  no  unnecessary  precaution.  I  also 
had  ten  transportation  wagons  loaded  with  a  reserve  hospital  supply  of  such  articles  as  would  be  most  needed,  for  the  purpose 


EEPOET    OF    SURGEON    PIIELPS,    U.    S.    V.  261 

of  furnishing  a  roadside  hospital  to  accommodate  as  many  as  five  hundred  bad  cases  of  wounded  or  sick.  These  stores  were 
placed  under  the  charge  of  an  acting  medical  purveyor.  :  *  On  December  27th,  \ve  had  a  brisk  skirmish  at  Lavergne, 
losing  two  killed  and  thirty-two  wounded.  On  December  30th,  while  our  forces  were  being  placed  in  position,  each  division 
director  established  his  hospital  in  proximity  with  the  others  three  miles  to  the  rear.  To  this  point  were  brought  the  hospital 
wagons,  ambulances,  etc.,  of  each  division,  and  also  the  reserve  supplies  for  the  corps.  One  of  the  division  hospitals  was 
constructed  entirely  of  regimental  hospital  tents  and  flies.  Each  of  the  others  had  a  house  in  addition  to  their  tents.  Thus 
affairs  stood  when  the  battle  opened  on  the  31st.  Early  on  that  morning,  the  right  wing  of  our  army  gave  way,  and  the 
rebel  cavalry  swung  around  to  the  left  and  captured  our  hospitals  and  supplies ;  but  they  were  recaptured  after  a  brief 
time  by  a  dash  from  our  own  cavalry,  and  we  soon  had  a  large  number  of  wounded  from  all  portions  of  the  army  under 
our  care.  Recognizing  the  advantages  of  primary  operations,  where  an  operation  was,  beyond  doubt,  necessary,  nine 
operating  tables  were  devoted  entirely  to  this  purpose.  A  consultation  was  held  over  each  case  previous  to  operating,  and 
in  many  instances  the  limb  was  examined  afterward.  But,  I  regret  to  say  that  a  few  operations  of  doubtful  propriety 
were  performed,  by  surgeons  whose  only  claim  to  a  place  in  the  hospital  consisted  in  having  some  of  their  wounded  there. 
But  this  operative  interference  was  not  tolerated  when  discovered.  ^Where  the  most  commonly  received  conditions  which 
require  amputation,  such  as  a  shattered  limb,  destruction  of  blood  vessels  and  nerves  with  fracture,  or  serious  injury  of 
the  kne'e  joint  was  present,  amputation  was  performed  immediately.  But,  as  in  all  battles,  there  were  many  cases  that 
presented  themselves,  in  which  general  rules  were  of  but  little  avail  in  arriving  at  a  satisfactory  opinion  as  to  the  proper  course 
to  pursue.  '  Among  these  were,  first,  compound  comminuted  fractures  of  the  thigh;  second,  wounds  of  the  knee  joint  and 
vicinity.  ^Without  attempting  to  quote  authors  upon  the  subject,  it  is  a  very  generally  received  opinion  that  gunshot  wounds  of 
the  thigh,  with  comminution  of  the  bone,  require  amputation;  and  there  are  surgeons  in  this  army  who  now  speak  very 
disparagingly  of  any  attempt  at  saving  a  limb,  when  wounded,  in  this  manner/]  But  my  observation  in  such  cases,  during  the 
recent  battle,  convinces  me  of  the  propriety  of  conservative  surgery,  and  of  its  great  advantages  over  operative,  and  I  am  led 
to  think  that  the  apology,  that  surgery  in  the  field  requires  to  be  modified  to  accord  with  so  many  unfavorable  circumstances, 
should  not  be  tolerated  to  the  extent  that  it  is.  I  beg  to  refer  to  the  accompanying  reports  of  cases  of  this  class  of  injury, 
reported  from  one  of  the  division  hospitals  under  my  direction.  It  will  be  seen  that  twenty-two  cases  are  reported,  in  all  of 
which,  with  the  exception  of  four  cases,  union,  or  a  reasonable  expectation  of  union,  had  taken  place  within  thirty-five  days. 
It  will  be  seen  that  the  treatment  was  very  simple.  Those  spiculae  only  were  removed  that  were  entirely  detached,  and  the 
fractured  bones  were  kept  in  their  normal  position  by  means  of  the  double  inclined  plane.  I  am  better  satisfied  with  this  form 
of  splint  than  any  other,  the  weight  of  the  body  keeps  up  a  gradual  counter-extension,  and  it  is  very  simple  of  construction. 
I  heartily  endorse  the  observation  of  Doctor  Ileise,  that  'the  result  of  these  few  cases,  so  much  at  variance  with  the  experience 
of  all  military  surgeons,  will  be  one  more  reason  to  encourage  a  hope  for  a  favorable  result  from  conservative  treatment  of  those 
unfortunate  cases.  Judging  from  these  few  cases,  the  mortality  is  much  less  than  the  statistics  of  amputation  of  the  thigh  in 
military  surgery  are  found  to  be.'  Gunshot  wounds  of  the  knee  and  ankle  joint  are  another  class  of  cases  to  which  the  general 
rule  of  amputation  has  been  held  to  apply,  especially  those  of  the  knee  joint.  I  believe  the  principle  to  hold  good,  in  cases  of 
wounds  of  the  knee  joint,  where  the  ball  lodges  in  the  joint,  or  where  the  articular  extremities  of  the  bones  arc  comminuted, 
but  I  do  not  think  it  does  when  there  is  mere  perforation,  nor  do  I  believe  that  a  conical  ball,  passing  through  the  head  of  the 
tibia,  necessarily  produces  a  longitudinal  fracture  into  the  joint.  The  same  remarks  will,  more  readily,  apply  to  wounds 
involving  the  ankle  joint.  By  reference  to  the  accompanying  list  of  cases,  it  will  be  observed  that  there  are  five  cases,  one  was 
doubtful,  of  wounds  of  the  knee  joint  reported,  where  conservative  surgery  was  tried,  with  the  loss  of  one  case.  Such  results 
should  certainly  cause  us  to  reflect  seriously  before  adopting  the  general  rule  to  amputate  in  all  cases  Avhere  this  joint  is 
implicated.  There  are  many  wounds  apparently  Involving  the  knee  joint  that  do  not.  It  seems  that  the  shape  of  this  articula 
tion  favors  the  deflection  of  balls  in  an  extraordinary  degree,  and  this  would  add  one  more  reason  for  an  exceedingly  careful 
examination  in  these  cases  ;  and  in  all  cases  of  doubt,  to  cause  the  surgeon  to  give  the  limb  the  benefit  of  that  doubt.  The  ratio 
of  success  in  amputations  of  those  who  make  the  fullest  reports  is  flattering.  Doctor  Heise  reports  six  amputations,  three  were 
Confederates,  of  the  upper  third  of  the  thigh,  without  success.  In  amputations  of  the  lower  part  of  the  thigh,  he  reports  success 
in  sixty  per  centum  of  cases.  In  amputations  of  the  leg,  he  reports  eighty  per  centum  of  success.  In  amputations  of  the  arm, 
he  reports  nine  cases,  all  of  which  were  successful;  also,  one  case  of  successful  shoulder  joint  amputation.  Of  all  who  have 
reported,  Doctor  Heise  has  had  the  largest  experience  by  far,  in  amputations.  Doctor  Walton's  success  in  thigh  amputations 
equals  that  of  Doctor  Heise,  but  in  other  amputations  he  does  not  compare  so  favorably,  neither  had  he  the  same  advantages  to 
operate  early.  As  his  tabular  statement  will  show,  almost  all  liis  operations  were  performed  three  or  four  days  after  the  injury 
was  received.  I  find  that  the  terms  resection  and  exsection  are  very  vaguely  applied  by  surgeons,  very  generally  meaning  but 
little  more  than  the  removal  of  comminuted  bone.  The  only  resections  of  joints  performed,  to  my  knowledge,  were  those  of 
the  elbow,  shoulder,  and  ankle  joints.  In  four  cases  of  resection  of  elbow  joint  all  were  successful ;  one  case  of  resection  of  the 
shoulder  joint  was  unsuccessful;  one  case  of  resection  of  ankle  joint  was  successful.  The  resection  of  head  of  the  humerus 
was  a  secondary  operation,  with  bad  prospects  at  the  time  of  operation.  In  wounds  with  comminution  of  bone,  it  is  my  opinion 
that  too  much  pains  were  taken  to  remove  all  the  fragments  of  bone,  without  reference  to  the  amount  of  their  muscular  and 
periosteal  attachments,  and  too  much  stress  was  laid  upon  the  necessity  of  removing  the  spiculated  extremities  of  fractured 
bones.  When  it  becomes  necessary  to  remove  the  shaft  of  a  bone,  I  believe  that  every  advantage  practicable  should  be  taken 
of  the  muscular  planes,  and  that  all  violence-to  the  tissues  in  the  immediate  vicinity  of  the  bone  should  be  avoided  that  is 
possible.  I  saw  two  resections  in  the  shaft  of  the  femur,  both  died.  Resections  of  the  tibia,  humerus,  radius,  and  ulna,  did 
well.  In  flu-  wounds  of  the  chest  reported,  I  have  been  careful  to  include  none  as  penetrating,  unless  upon  satisfactory 
evidence.  Seven  of  these  cases  are  reported,  with  success  in  four;  and  four  cases  of  non-penetrating  wounds  of  the  chest  with 
complete  success.  1  am  of  the  opinion  that  penetrating  wounds  of  the  lung,  provided  the  missile  does  not  lodge  \\itliin 
the  chest  walls,  are  not  so  fatal  as  formerly  believed.  Mach-od  says,  in  eli'ect,  'that  after  exhausting  all  the  science  of 
surgery,  venesections,  etc.,  these  wounds  proved  uniformly  fatal,'  and  I  do  not  wonder  that  it  should  be  so,  for  their  science  of 


262  APPENDED    DOCUMENTS WESTERN    ARMIES,    18(52. 

surgery  in  this  instance  was  altogether  in  the  line  of  antiphlogistics,  and  the  terrors  of  inflammation  were  ever  present  in  their 
imaginations.  Our  treatment  of  these  cases  was  very  simple  :  cold  water  dressings  to  the  wounds  externally,  perfect  rest,  and 
full  doses  of  opium.  If  the  pulse  began  to  run  high,  tincture  of  veratrum  viride  was  used.  Our  observations  of  wounds  of  the 
abdominal  cavity  and  its  viscera  are  very -limited.  Four  cases  only  were  reported,  of  which  two  were  fatal,  the  other  two  are 
exceedingly  interesting;  in  both  of  them  the  bowels  protruded,  and  in  one  the  omentum  sloughed.  When  the  omentum  in 
these  wounds  has  become  strangulated  and  congestion  of  the  external  mass  has  become  established,  it  should  be  allowed  to 
slough  off,  as  the  inflammation  which  will  then  exist  at  the  point  of  constriction,  will  be  much  less  dangerous  than  that  which 
will  result  in  case  the  wound  be  enlarged  and  the  tumor  be  returned. 

Erysipelatous  inflammation  attacked  many  of  the  wounds,  but  it  did  not  prevail  so  extensively  in  the  tents  as  in  the 
houses.  Generally  it  yielded  readily  to  the  treatment  adopted,  viz.:  internally,  muriated  tincture  of  iron  in  large  doses,  repeated 
frequently,  twenty  drops  every  two  or  three  hours ;  externally,  as  a  local  application,  tincture  of  iodine,  and  cloths  saturated  in 
solution  of  creosote ;  the  former  to  the  wound  and  inflamed  surface,  the  latter  a  little  more  extensively  to  the  limb.  In  a  few 
cases  of  amputation,  gangrenous  ulceration  attacked  the  stump  ;  also  secondary  haemorrhage  took  place,  and,  in  spite  of  every 
thing,  death  usually  supervened.  It  was  remarked,  that  in  all  these  respects,  the  Confederate  wounded  were  much  more  afflicted 
than  our  own.  They  evidently  do  not  possess  the  recuperative  powers  of  our  own  men,  notwithstanding  their  general  appear 
ance  was  good.  I  could  account  for  this  difference  in  the  recuperative  power  of  the  two  classes  of  soldiers  only  from  the  fact 
that  their  vital  powers  were  really  impaired  by  the  want  of  a  variety  in  their  camp  diet,  a  necessity  that  is  beginning  to  be  fully 
realized,  in  order  to  insure  the  good  health  and  vigor  of  an  army.  The  complication  of  tetanus  presented  itself,  but  not  to  a  great 
extent.  When  decided,  however,  death,  as  usual,  resulted,  excepting  in  one  case  that  came  under  my  direct  observation.  In 
this  case,  there  was  distinct  opisthotonos.  I  was  informed  that  in  several  instances  it  threatened,  and  was  arrested  by  the  free 
use  of  opium  externally  and  internally;  but  I  judge  that  these  were  merely  cases  of  nervous  irritability.  Chloroform  was  used 
freely  without  any  fatal  accident;  but  I  conceived  that  those  cases  did  not  finally  do  so  well  which  were  kept  under  its  influence 
for  a  length  of  time,  and  I  am  of  the  opinion  that  when  used,  the  patient  should  be  kept  under  its  influence  merely  long  enough 
to  last  through  the  severest  part  of  the  operations.  I  believe  that  when  a  patient  is  kept  under  its  full  influence  for  a  long  time 
that  his  chances  of  recovery  are  thereby  lessened.  *  *  The  method  of  amputation  employed  was,  very  generally,  the  flap. 
Those  cases  of  flap  operation,  however,  that  approached  nearest  to  the  circular  method  did  best,  and  I  have  thought  that  our 
success  would  be  greater  if  the  circular  method  was  adopted  more  generally.  The  only  hope  we  have  of  an  entire  success  is 
union  by  the  first  intention  in  the  flap  operation,  and  this  depends  upon  the  subsequent  attention  of  the  surgeon.  We  can 
seldom  expect  to  realize  it  while  we  have  to  depend  upon  inexperienced  nurses  for  dressers.  The  weight  of  an  unsupported 
flap  will  invariably  break  those  tender  bonds  of  union  that  nature  so  readily  attempts.  I  have  long  since  concluded,  in 
my  own  mind,  that  a  surgeon  is  culpable  who  will  place  wounded  or  sick  men  in  houses,  when  he  has  tents  at  his  command. 
My  observations,  after  the  recent  battle,  has  confirmed  me  in  this  opinion.  The  contrast  in  the  appearance  and  recovery  of  our 
patients,  between  those  treated  in  houses  and  those  treated  in  tents,  was  sensible  to  the  most  casual  observer.  The  greatest 
mortality,  in  all  classes  of  wounds  by  far,  was  reported  from  the  houses,  while  those  who  were  treated  in  tents  retained  their 
color,  appetite,  and  cheerfulness.  I  remember  to  have  seen  among  those  treated  in  tents,  three  cases  of  amputation  of  the  arm, 
walking  around  at  the  end  of  six  days,  and  also  one  case  of  shoulder  joint  amputation,  who  walked  about  in  camp  on  the 
twelfth  day.  In  the  event  of  another  battle,  I  shall  recommend  to  the  general  commanding,  that  each  regiment  shall  leave, 
subject  to  the  order  of  the  medical  director,  a  number  of  quarter  tents  proportionate  to  the  number  of  wounded  in  their  command, 
with  which  a  very  good  field  hospital  can  be  constructed,  to  accommodate  all  the  severely  wounded,  where  they  can  be  more 
successfully  as  well  as  more  satisfactorily  treated.  I  enjoy  feelings  of  intense  satisfaction,  when  I  reflect  upon  the  amount  of 
suffering  that  was  avoided  by  having  on  hand  the  reserve  hospital  supply  referred  to  in  the  first  part  of  this  report.  I  made 
this  train  an  institution  of  the  corps,  and  have  the  wagons  included  in  the  headquarters  train,  so  that  the  supplies  will  always  be 
ready  for  any  emergency  that  might  suddenly  present  itself.  The  preliminary  organization  of  a  field  hospital  is  a  subject  that 
should  immediately  engage  the  attention  of  every  medical  director.  It  goes  a  great  way  to  obviate  the  great  confusion  that 
seems  to  be  inevitable,  when  thousands  of  wounded  men  are  suddenly  brought  under  his  care.  It  creates  for  him  a  system  that 
he  can  put  into  operation  anywhere,  and  under  any  circumstances.  By  this  precaution  upon  our  part,  we  were  enabled  to  take 
care  of  over  one  thousand  wounded  men  of  other  commands  beside  our  own,  and  with  the  disadvantages  of  a  small  medical 
corps.  This  report  has  been  made  after  cautiously  comparing  observations  and  collecting  facts.  Most  of  the  statistics  are 
from  the  first  division  hospital  of  this  corps.  My  other  two  hospitals  were  removed,  in  a  great  measure,  from  my  control  several 
days  after  the  fight,  and  their  reports  are  deficient  in  every  respect.  I  take  great  pleasure  in  speaking  of  Surgeons  W.  W.  Blair, 
58th  Indiana  Volunteers,  M.  G.  Sherman,  9th  Indiana  Volunteers,  and  M.  C.  Woodworth,  51st  Ohio  Volunteers,  who  were  the 
acting  division  medic:il  directors;  and  also  of  the  truly  surgical  abilities  of  Surgeon  Heise,  KiUth  Illinois,  Surgeon  Todd,  65th 
Ohio  Volunteers,  Surgeon  Walton,  <!lst  Kentucky  Volunteers,  and  Surgeon  Armstrong  of  the  31st  Indiana  Volunteers.  All  the 
Burgeons  acquitted  themselves  in  a  highly  creditable  manner." 


OCX.     Extracts  from  a  Report  of  the  Medical  Staff  of  the  First  Division  of  the  Twenty-first 
Corps  at  the  Battle  of  Stone's  River.     By  Surgeon  W.  W.  BLAIR,  58th  Indiana  Volunteers. 

"In  regard  to  the  supplies,  I  would  say  that  they  met  our  wants  admirably.  I  do  not  think  it  possible  to 
have  had  a  better  selection  than  wa<  furnished  to  the  left  wing.  The  organization  of  the  hospital  department  of  this  division 
was  in  accordance  with  the  order  issued  at  Nashville  by  Medical  Director  Murray  on  November  15,  18t>2,  excepting  that 
although  the  musicians,  chaplains  and  ambulance  drivers  only  wore  detailed  for  bringing  the  wounded  from  the  field,  men 
would  frequently,  notwithstanding  tin-  positive  orders  to  the  contrary,  leave  the  ranks  to  bring  off  a  wounded  man — not  so 
much  to  get  the  wounded  man  off  as  to  get  away  themselves.  In  one  division  there  were  nine  hundred  and  eighteen  wounded 
imd  two  hundred  and  twenty-live  killed.  We  succeeded  in  collecting  our  wounded  at  our  own  hospitals  promptly.  We  had, 


EEPORTS    OF    SURGEONS    BLAIR    AND    SHERMAN.  263 

in  addition  to  our  own  men,  about  three  hundred  of  other  divisions  and  of  Confederates.  *  *  Three  operating  staffs  were 
constantly  at  work  taking  care  of  the  graver  cases.  These  staffs  each  consisted  of  one  surgeon  and  three  assistants.  *  * 
All  assistant  surgeons  that  were  left,  hospital  stewards  and  experienced  nurses,  were  employed  in  dressing  the  slighter  wounds. 
I  required  the  junior  medical  officers  to  exchange  positions  with  each  other  from  day  to  day.  I  arrested  all  stragglers  who 
came  about  my  camp,  placed  them  under  the  control  of  a  slightly  wounded  officer,  and  required  them  to  do  police  duty — supply 
wood,  water,  straw,  forage,  etc.  By  the  use  of  the  flies  of  the  larger  tents,  I  was  able  to  make  a  large  and  commodious 
shelter,  capable  of  sheltering  at  least  three  hundred  men.  My  record  of  cases  is  made  from  the  report  of  Surgeon  A. 

W.  Heise,  100th  Illinois  Volunteers,  whom  I  left  in  charge  of  the  hospital  after  the  first  three  weeks,  and  to  whose  efficiency 
and  skill  as  a  surgeon  it  gives  me  great  pleasure  to  bear  testimony.  We  had  of  compound  comminuted  fracture  of  the  femur 
twelve  cases,  *  *  three  involving  the  trochanter  major,  all  of  which  terminated  fatally;  two  from  pyaemia,  and  the  third 
from  tetanus.  One  of  the  cases  of  fracture  in  the  lower  third  terminated  fatally  from  pneumonia,  bony  union  having  taken 
place  perfectly  in  twenty-eight  days.  :  *  In  these  cases  the  principal  blood  vessels  had  escaped  injury.  The  treatment 
pursued  was  as  follows:  All  fragments  of  bone  completely  separated  by  the  force  of  the  projectile  were  carefully  removed  by 
making  an  incision  if  necessary,  but  fragments  retaining  connection  by  the  periosteum  were  not  removed,  and  in  only  two  cases 
were  sequestra  thrown  off  during  the  process  of  suppuration.  The  fractured  bones  being  brought  to  their  normal  position, 
were  maintained  there  by  the  use  of  the  double-inclined  splint,  which  I  had  manufactured  upon  the  ground,  fulfilling,  to  a 
considerable  degree,  the  indications  both  of  extension  and  counter-extension.  '  The  shortening  of  the  limbs  thus  treated 

was  from  one  to  two  and  three-quarter  inches.  During  the  process  of  suppuration,  a  sustaining  treatment  was  adopted  to  its 
full  extent.  Whiskey  punch  was  given  regularly,  with  the  most  gratifying  result.  Amputations  of  the  superior  extremity 
were  very  satisfactory,  for  in  ten  cases  none  died.  *  The  amputations  of  the  inferior  extremities  were  as  follows :  Of  upper 

third  of  femur,  six,  all  of  whom  died;  of  the  lower  third  of  the  thigh,  ten,  four  of  whom  died;  of  the  leg,  twenty-eight,  six 
proving  fatal.  I  have  a  minute  of  fourteen  wounds  of  the  chest  by  musket  balls.  Of  these,  four  were  non-penetrating,  the 
balls  having  passed  around  the  chest  underneath  the  integument,  and  emerged  from  the  opposite  side.  All  of  them  recovered. 
In  five  cases  balls  passed  through  the  apex  of  the  lung,  and  all  recovered.  In  five  cases  the  ball  passed  through  the  base 
of  the  lung.  Of  these,  four  died  within  forty-eight  hours ;  the  other  died  in  ten  days  from  pysomia.  A  number  of  resections 
were  performed,  and  with  the  happiest  results.  In  no  case  do  I  remember  an  unfavorable  result.  This  imperfect  review 

is  in  favor  of  conservative  surgery.  Our  wounded  were  treated  exclusively  in  tents,  and  under  the  shelter  abovementioned; 
and  on  comparing  the  results  of  our  cases  with  those  of  the  patients  treated  in  houses,  I  consider  the  use  of  tents  decidedly 
preferable.  The  difference  is  due  chiefly  to  the  greater  purity  of  the  air  breathed.  *  *  In  the  late  battle  I  committed  the 
keeping  of  the  records  to  an  assistant  surgeon  ;  but  the  task  proved  entirely  too  great  for  him,  or  else  I  did  not  get  the  right 
man  in  the  right  place.  We;  were  thrown  into  some  confusion,  too,  by  the  rebels  having  possession  of  our  hospital  for  a  short 
time  during  the  forenoon  of  the  first  day's  fighting.  *  I  give  a  synopsis  of  the  killed  and  wounded,  showing  the  ratio 

of  men  killed  that  were  hit :  The  26th  Ohio  Volunteers  had  fourteen  killed  and  ninety-six  wounded,  a  ratio  of  one-eighth  ;  the 
58th  Indiana  had  fourteen  killed  and  ninety-seven  wounded,  or  one-eighth  ;  the  3d  Kentucky  had  fourteen  killed  and  eighty-six 
wounded,  or  one-seventh  ;  the  100th  Illinois  had  eight  killed  and  twenty-two  wounded,  or  one-fourth  ;  the  15th  Indiana  had 
forty-one  killed  and  one  hundred  and  thirty-five  wounded,  or  one-fourth  ;  the  40th  Indiana  had  six  killed  and  fifty-one  wounded, 
or  one-ninth  ;  the,5?th  Indiana  had  eleven  killed  and  fifty-six  wounded,  or  one-sixth  ;  the  D7th  Ohio  had  three  killed  and  fourteen 
wounded,  or  one-sixth ;  the  51st  Indiana  had  seven  killed  and  thirty-four  wounded,  or  one-sixth  ;  the  7;>d  Indiana  had  twenty- 
live  killed  and  forty-eight  wounded,  or  one-third ;  the  filth  Ohio  had  twenty  three  killed  and  sixty-five  wounded,  or  one-fourth  ; 
the  G5th  Ohio  had  thirty-four  killed  and  one  hundred  and  twenty-six  wounded,  or  one-fifth  ;  the  13th  Michigan  had  twenty-two 
killed  and  sixty-seven  wounded,  or  one-fourth  ;  and  the  artillery,  three  killed  and  twenty-one  wounded,  or  one-eighth  ;  or  a  total 
of  two  hundred  and  twenty-five  killed  and  nine  hundred  and  eighteen  wounded." 


CCXI.  Report  on  the  (Casualties  of  the  Second  Division  of  the  Left  Wing  of  the  Army  of 
the  Cumberland  at  the  Battle  of  Murfreesbord* .  l>y  Surgeon  M.  G.  SHERMAN,  9tli  Indiana 
Volunteers,  Acting  Medical  Director. 

"Silt:  As  acting  medical  director  of  your  division,  I  have  the  honor  to  respectfully  submit  the  following  report  of 
casualties  in  the  several  days'  battle  before  Murfreesboro'.  In  the  first  brigade  there  were  forty-three  killed  and  one  hundred 
and  eighty-five  wounded;  in  the  second  brigade  fifty  were  killed  and  two  hundred  and  ninety-two  wounded,  and  in  the  third 
brigade  eighty-nine  were  killed  and  four  hundred  and  eighty-four  wounded  ;  making  a  total  loss  in  killed  and  wounded  of 
eleven  hundred  and  forty-three  men.  From  the  fact  that  our  hospital  was  nearer  the  battle-field  than  any  other,  we  were, 
during  the  fight,  necessarily  crowded  with  the  wounded  from  other  divisions,  making  our  duties  very  responsible  and  laborious, 
and  I  cannot,  in  justice,  submit  this  report  without  making  honorable  mention  of  all  the  medical  officers  of  your  division.  They 
have  shown  themselves  equal  to  their  responsible  duties,  and  have  been  untiring  in  their  efforts  both  day  and  night  to  alleviate 
the  sufferings  of  the  wounded  who  have  come  under  their  notice,  and  more  especially  would  I  make  honorable  mention  of 
Surgeon  James  B.  Armstrong,  31st  Indiana  Volunteers,  of  the  1st  brigade,  and  Surgeon  Silas  H.  Kersey,  36th  Indiana  Volun 
teers,  of  the  3d  brigade,  who  were  selected  as  operating  surgeons,  and  they  have  proved  themselves  abundantly  competent  for 
the  task,  and  have  not  allowed  themselves  one  moment's  rest  while  the  suffering  needed  their  attention.  Their  devotion  to 
their  suffering  fellow  soldiers  should  win  for  them  the  esteem  and  unbounded  confidence  of  all  who  know  them. 

Very  respectfully, 

M.  G.  SI  IK  KM  AN, 
General  J.  M.  PAI.MF.J;,  U.  S.  V."  Surf/con  9th Indiana  I'uhint'.crs,  Medical  Director. 


264  APPENDED    DOCUMENTS WESTERN    ARMIES,    1802. 

CCXII.     Extracts  from  a  Report  on  the  Surgery  in  the  Fourteenth  Army   Corps  after  the 
Battle  of  Jtfurfreesbord* .     By  Surgeon  0.  J.  WALTON,  21st  Kentucky  Volunteers. 

*  *  *  "Amputation  of  the  thigh  was  performed  seven  times,  in  no  case  above  the  middle  third.  Three  of  the  seven 
patients  died  within  a  week  after  the  operations.  Each  of  these  fatal  cases  was  in  bad  condition  for  the  operation,  the  leg  and 
knee  of  each  being  very  much  swollen,  and  presenting  an  erysipelatous  blush.  In  one,  a  conical  musket  ball  was  lodged  in  the 
popliteal  space;  in  another,  there  was  a  large  collection  of  fluid  in  the  knee  joint;  in  the  third,  mortification  was  threatened. 
*  *  Amputation  of  the  leg  in  the  upper  third  was  performed  in  four  cases,  with  two  deaths.  One  died  on  the  third  day  after  the 
operation,  not  having  recovered  fully  from  the  shock  of  the  wound.  His  foot  was  torn  off  by  a  shell,  and  the  tibia  and  fibula 
laid  bare  for  two-thirds  of  their  length.  The  other  died  on  the  seventh  day  from  tetanus.  Amputation  of  the  arm  was  per 
formed  in  two  instances;  one  in  the  lower,  and  the  other  in  the  upper  third.  In  the  fatal  case,  there  was  a  very  severe  wound 
in  the  right  cheek,  jaw,  and  neck.  There  was  one  amputation  of  the  fore-arm  at  the  middle,  which  was  successful.  The  stump 
became  erysipelatous  about  the  fourth  day,  but  this  complication  disappeared  under  the  use  of  a  saturnine  lotion.  Excision  of 
the  humerus  was  performed  in  seven  cases.  Two  terminated  fatally.  The  first  was  the  case  of  a  captured  officer,  wounded  by 
a  ball  passing  through  both  thighs  and  the  scrotum ;  a  ball  had  also  passed  through  the  neck  wounding  the  oesophagus.  He  would 
probably  have  died  from  his  wounds  had  his  arm  not  been  injured.  The  other  was  a  most  unpromising  case,  that  of  a  man 
who  had  been  wounded  five  days  previously.  The  wound,  a  ghastly  one,  produced  by  a  shell,  involved  the  greater  part  of  the 
shoulder,  lacerating  the  pectoralis  major  muscle,  comminuting  the  head  of  the  humerus  and  glenoid  cavity  and  acromion 
process  of  the  scapula,  laying  open  the  back  part  of  the  shoulder,  and  producing  a  transverse  fracture  of  the  humerus  at  the 
junction  of  the  upper  with  the  middle  third.  The  upper  part  of  the  humerus  was  softened  and  loosely  attached.  We  removed 
it  and  the  fragments  about  the  joint.  The  parts  were  brought  together  with  sutures  and  adhesive  strips.  A  bandage  was  then 
applied,  making  a  fair  looking  wound.  He  seemed  comfortable  for  three  days,  when  pysemia  set  in.  He  died  on  the 
seventh  day  from  the  operation.  Although  much  reduced  when  I  first  saw  him,  nature  was  making  an  effort  to  repair  the 
injury,  and  had  he  been  timely  operated  upon,  he  might  have  been  saved.  In  our  excisions  we  removed  primary  sequestra.  *  * 
Sharp  points  of  the  bones  were  removed  with  the  saw  or  the  bone  forceps.  The  parts  were  neatly  brought  together  with  sutures, 
and  the  bandage  coaptating  the  ends  of  the  bones  as  nearly  as  practicable.  Resection  of  the  metacarpal  bones  was  performed  in 
several  cases,  but  with  what  success  I  do  not  know.  *  '  My  assistants  performed  some  of  the  operations.  I  was  assisted  by  my 
friends,  Surgeon  T.  G.  Hickman,  8th  Tennessee  Cavalry,  Surgeon  W.  1:5.  Gary,  Surgeon  W.  G.  Workman  and  Surgeon  J.  M. 
Henderson.  *  To  Surgeon  Hickman  I  entrusted  the  chloroform,  which  he  administered  with  skill  and  caution.  Each  of 

my  ass'stants  did  his  duty  in  a  becoming  manner.  We  administered  chloroform  in  every  painful  operation,  but  did  not  keep 
the  patients  under  its  influence  longer  than  was  absolutely  necessary,  withdrawing  it  as  soon  as  the  cutting  was  completed.  It 
was  administered  in  the  examination  of  three  wounds  only,  all  others  being  examined  without  it.  While  I  could  not  dispense 
with  chloroform,  I  must  protest  against  the  extravagant  and  indiscreet  use  of  it.  *  *  In  no  case  were  we  displeased  with  its 
effects.  I  must  be  pardoned  for  stating  that  the  chaplain  of  the  21st  Kentucky  Volunteers,  T.  M.  Gunn,  rendered  the  most 
efficient  service  during  our  arduous  labors,  and  that  too  much  praise  cannot  be  awarded  to  Thomas  J.  Scott,  hospital  steward  of  the 
21st  Kentucky  Volunteers,  for  his  vigilance  and  activity  in  providing  for  the  comfort  of  the  wounded." 


CCXIII.     Extract  from  a  Report  of  Casualties  in  the  Right  Wing  of  the  Fourteenth,  Army 
Corps  at  Murfreesboro?     By  Surgeon  C.  MCDEKMONT,  U.  S.  Volunteers. 

"Throughout  the  protracted  struggle  the  surgeons  exerted  their  utmost  energies  in  alleviating  the  suffering  of 
the  wounded.  When,  on  the  second  day  of  the  battle,  it  became  evident  that  our  hospitals  would  fall  into  possession  of  the 
enemy,  [  directed  a  sufficient  number  of  medical  officers  and  attendants  to  remain  in  charge,  and,  under  no  circumstances,  to 
desert  the  wounded.  They  were  exposed  to  much  danger  as  the  contending  armies  swept  past,  but  remained  faithfully  at  their 
posts,  and  were  unceasing  in  their  attention  to  the  wounded  during  the  three  days  that  elapsed  before  the  hospitals  were 
recovered.  The  enemy  took  a  large  portion  of  their  medical  and  hospital  supplies,  instruments,  and  dressings  and  bedding. 
The  families  near  our  lines  showed  much  kind  attention  to  our  wounded,  and  no  violence  was  experienced  at  the  hands  of  the 
Confederate  soldiers.  I  can  bear  testimony  to  the  efficiency  and  self-denial  of  the  medical  officers  of  the  Fourteenth  Corps. 
During  a  week  of  hardships  and  exposure  they  labored  day  and  night  regardless  of  their  own  safety  and  comfort,  and  anxious 
only  for  the  well  being  of  the  wounded  under  their  care.  The  casualties  in  the  right  wing  amounted  to  six  hundred  and  eight 
killed,  and  two  thousand  six  hundred  and  forty-seven  wounded." 


CCXIV.     Extracts  from  a  Medical  Report  on  the  Marfreesboro''  Campaign.     By  Surgeon  S. 
O.  HIMOE,  15th  Wisconsin  Volunteers. 

'This  regiment  left  Louisville  on  October  1,  1862,  and  participated  in  the  campaign  in  Kentucky  during  that 
month,,  under  the  command  of  General  IJuell,  being  continually  on  the  inarch.  *  *  We  suffered  comparatively  little  from 
disease,  there  being  only  a  few  cases  of  diarrhoea  and  intermittent  fever.  During  November  and  December,  the  regiment  wae 
most  of  the  time  in  camp,  in  the  vicinity  of  Nashville,  with  good  shelter,  food,  and  water.  A  few  cases  of  diarrhoea,  contracted 
during  the  campaign  in  Kentucky,  having  become  ohronic  and  resulting  in  serious  organic  lesions,  died,  and  the  remainder 
yielded  readily  to  the  use  of  laxatives  and  anodynes.  The  periodic  fevers  prevailing  at  the  same  time  were  readily  cured  by 
the  usual  remedies.  On  December  30th,  we  met  the  enemy  at  Stone's  River,  about  four  miles  from  Murfreesboro'.  We  had 
heavy  skirmishing  during  the  afternoon  of  that  day,  and  we  lost  five  men  killed  and  nineteen  wounded.  The  latter  were 
conveyed  to  the  house  of  Mr.  Grisson,  about  three-fourths  of  a  mile  in  the  rear,  and  properly  cared  for."  *  *  * 


REPORT  OF  SURGEON  IT.  0.  BARRELL.  265 

.Krtmcts  from  a  Report  on  the  Medical  Purveying  at  the  1>  attic,  of  Murfreesboro^. 
Bv  Assistant  Surgeon  II.  C.  BARRELL,  27th  Illinois  Volunteers. 

*  *  *  "  I  will  briefly  narrate  a  ew  of  the  occurrences  that  came  under  my  personal  observation  during  the  battle  of 
Stone's  River.  I  will  premise  with  a  short  explanatory  statement.  I  was  detached  from  my  regiment,  Decemher  9,  1862,  as 
medical  purveyor  for  General  G.  H.  Thomas's  corps,  by  order  of  Surgeon  R.  Murray,  U.  S.  A.,  and  had  just  returned  from 
Louisville,  where  I  had  procured  a  large  supply  of  medical  and  hospital  stores.  These  were  to  be  used  only  in  the  event  of 
battle,  or  in  any  pressing  emergency,  and  were  to  accompany  the  army  in  its  advance,  thus  insuring  at  all  times  a  sufficient 
amount  of  medical  supplies  to  meet  any  demand.  The  wants  of  the  army  being  so  great,  and  transportation  limited,  it  was 
with  extreme  difficulty  and  only  after  protracted  delay  that  I  was  able  to  obtain  the  necessary  wagons.  I  left  Nashville  on 
Tuesday  night,  December  30th,  with  eleven  wagon-loads  of  supplies.  General  Mitchell  sent  with  the  train  the  10th  Michigan 
Volunteers,  and  on  Wednesday  afternoon,  at  two  o'clock,  we  arrived  within  a  few  miles  of  the  scene  of  action.  There  was 
great  confusion  consequent  upon  the  repulse  of  our  right  wing  and  the  frequent  attacks  of  the  rebel  cavalry  in  the  rear,  and  I 
found  it  impossible  to  proceed  further  with  the  train.  The  road  was  completely  blocked  by  wagons  returning  to  Nashville,  and 
among  them  a  great  many  ambulances,  which  the  drivers,  either  through  misapprehension  of  orders  or  through  cowardice,  had 
turned  in  that  direction,  thus  depriving  the  wounded  of  their  much  needed  services.  A  great  many  of  these  wagons  were 
burned,  and  in  many  of  them  all  of  the  three-months'  medical  supply  of  a  regiment.  Nearly  all  of  the  stores  of  the  medical 
purveyor  of  the  right  wing  had  fallen  into  the  hands  of  the  enemy,  and  my  arrival  was  most  opportune.  '  '  At  Lavergne, 
a  small  town  half  way  between  Nashville  and  Murfreesboro',  many  of  the  subsistence  trains  were  destroyed,  and  the  army  was 
suffering  severely  in  consequence.  The  scarcity  of  food  was  so  great  that  during  the  battle,  in  some  of  the  regiments,  the  men 
ate  the  flesh  of  mules  slain  in  action.  *  *  Thursday  morning  I  commenced  issuing  medicines  and  stores  ;  but,  as  the  hospital 
at  which  I  was  stationed  was  not  considered  perfectly  safe  from  the  enemy's  attacks,  it  was  deemed  prudent  not  to  remove  any 
thing  from  the  wagons,  and  in  fact  it  was  necessary  twice  during  the  day  to  retire  further  within  the  lines.  *  *  In  the 
evening  the  supplies  were  unloaded,  and  from  that  time  till  a  few  days  after  our  occupation  of  Murfreesboro'  I  was  constantly 
busied  in  issuing  supplies.  The  amount  of  nourishment  for  the  wounded  was  limited.  ;  The  concentrated  beef  was  used 

very  largely,  and  was  much  sought  after.  The  supply  of  milk  was  chiefly  that  known  as  solidified  or  granulated,  as  prepared 
in  Dutchess  County,  New  York,  and  was  not  much  liked.  The  concentrated  milk  prepared  by  Borden  was  much  preferred  by 
medical  officers.  On  arriving  in  Murfreesboro'  we  found  the  public  and  many  of  the  private  houses  occupied  by  the  enemy's 
wounded,  which,  in  their  hasty  retreat,  they  were  compelled  to  leave.  They  were  almost  destitute  of  medicines,  and  to  keep 
them  supplied  I  drew  very  largely  upon  our  stores.  There  was  a  great  scarcity  of  stimulants  among  them,  and  it  was  necessary 
to  issue  a  great  amount  from  our  depot.  The  town  being  so  crowded,  it  was  found  necessary  to  transport  a  great  number  of  the 
wounded  to  Nashville,  where,  in  the  commodious  hospitals  of  that  city,  they  could  receive  the  necessary  attention.  From  the 
crowded  condition  of  the  hospitals  and  the  impossibility  of  completely  isolating  such  cases,  erysipelas  and  hospital  gangrene 
soon  occurred,  and  there  was  considerable  mortality  from  these  causes.  I  do  not  think  the  bromine  treatment  was  adopted  until 
the  arrival  of  Surgeon  B.  Woodward,  22d  Illinois  Volunteers,  from  Louisville.  He  had  used  it  largely  and  with  unprecedented 
success.  Very  few  cases  of  tetanus  occurred  notwithstanding  the  great  number  of  the  wounded  and  their  exposure  to  the 
inclemency  of  the  weather.  I  was  informed  by  Surgeon  .1.  F.  Finley,  2d  Kentucky  Cavalry,  who  had  charge  of  one  of  the 
largest  of  the  field  hospitals,  that,  contrary  to  the  usual  opinion,  more  tetanus  occurred  in  the  house  than  in  the  tented  portion 
of  the  hospital.  In  my  position  as  purveyor,  requiring  my  presence  with  my  stores,  constantly  issuing  supplies,  I  had, 
necessarily,  limited  opportunities  for  professional  observation,  both  as  regards  operations  in  the  field  and  subsequent  hospital 
treatment."  * 


CCXVL     Report  on  the  Operations  of  the  Medical  Department  at  the  Battle  of  Chickamauga. 
By  Surgeon  G.  PEKIX,  IT.  S.  Army,  Medical  Director. 

HEADQUAHTEKS  DEPARTMENT  OF  THE  CUMBERLAND,  MEDICAL  DIRECTOR'S  OFFICE, 

CHATTANOOGA,  TENNESSEE,  February  25,  1864. 

"SiR:  I  have  the  honor  to  transmit  herewith  a  nominal  list  of  the  wounded  at  the  battle  of  Chickamauga,  together  with 
reports  from  the  medical  directors  of  the  corps  and  divisions,  giving  brief  accounts  of  such  points  as  relate  to  the  operations 
of  the  medical  department.  In  this  place  I  would  beg  leave  to  review  briefly  the  medical  history  of  the  movement  which  led 
to  the  great  battle  of  Chickamauga,  as  well  as  to  add  some  further  details  of  what  occurred  during  and  subsequent  to  that  event. 
Soon  after  joining  this  army  in  February,  18(53,  my  attention  was  directed  first  to  the  diet  of  the  men,  the  method  of  cooking, 
etc.,  which  resulted  in  the  publication  of  Department  General  Order  No.  76.  The  medical  officers  generally  took  a  great 
interest  in  this  matter,  and  I  may  safely  say  the  health  of  the  command  was  much  improved  in  consequence.  While  this  subject 
was  receiving  the  attention  it  deserved,  a  large  tent  hospital  was  established  near  the  railroad,  on  the  bank  of  Stone's  River, 
of  capacity  sufficient  to  accommodate  fifteen  hundred  patients.  This  hospital  was  provided,  as  far  as  practicable,  with  movable 
furniture,  such  as  light  cots  of  the  Chicago  pattern,  bed-sacks,  camp  kettles,  etc.  As  soon  as  the  tents  were  erected,  patients 
were  sent  to  that  point  instead  of  to  the  hospitals  in  the  town  of  Murfreesboro'.  A  large  garden  was  planted  near  the  field 
hospital,  which  soon  afforded  an  abundant  supply  of  vegetables.  Ambulance  trains  were  organized  in  accordance  with  the 
provisions  of  Department  General  Order  No.  41,  and  subsequently  modified  by  paragraph  one,  Department  General  Order 
No.  26,  series  18(5:*.  I  will  remark,  in  this  connection,  that  the  ambulance  trains  were  generally  well  served  in  this  organization  ; 
but  there  were  grave  defects,  among  which  I  may  mention  that  the  ambulance  master  was  not  a  commissioned  officer,  and  could 
not  exercise  the  authority  necessary  to  secure  efficiency;  next,  there  were  no  men  detailed  to  assist  in  placing  the  wounded  in 
or  taking  tlieai  out  of  the  ambulances.  The  ambulances  were  receipted  for  and  held  under  the  control  of  the  quartermaster's 


266 


APPENDED    DOCUMENTS — WESTERN    ARMIES,    1803. 


department.  The  regimental  ambulances  were  found  to  be  almost  useless  for  general  service  in  transporting  wounded,  because 
they  were  used  as  carriages  and  for  transporting  personal  baggage  and  other  freights,  so  that,  when  required  for  legitimate  use, 
thev  were  either  out  of  order  or  the  animals  were  broken  clown.  So  seriously  were  these  defects  experienced,  that  I  recom 
mended  for  adoption  the  plan  of  an  ambulance  corps  and  train  arranged  upon  the  same  basis  as  that  in  use  in  the  army  of  the 
Potomac.  See  Department  General  Order  No  2,  current  series.  In  the  month  of  May  and  early  in  June  the  regiments  drew 
supplies  for  three  months.  Reserve  supplies  were  also  provided  for  each  army  corps,  consisting  mostly  of  those  articles 
required  for  the  treatment  of  wounded  men  and  a  reserve  supply  of  hospital  tents.  Each  regiment  was  allowed  a  hospital  tent. 
During  the  mouth  of  May,  the  sick  were  sent  to  Nashville  as  fast  as  a  due  regard  to  their  welfare  would  permit,  so  that  by  the 
time  the  army  was  ready  to  make  the  advance,  there  was  enough  room  in  the  various  hospitals  at  Murfreesboro'  to  accommodate 
all  that  could  not  march.  The  buildings  used  as  hospitals  in  the  town  were  vacated  first  that  they  might  be  thoroughly  aired 
and  purified  by  whitewashing.  These  buildings  were  not  reoccupied  until  the  wounded  brought  from  the  battle-fields  of  the 
Gaps  were  placed  in  them.  The  medical  officers,  after  the  experience  of  Shiloh,  Perryville,  and  Stone's  Eiver,  were  alive  to 
the  necessity  of  thorough  organization,  and  cheerfully  acquiesced  in  the  adoption  of  the  plan  proposed  in  Circular  No.  4  from 
the  Surgeon  General's  Office.  The  command,  prior  to  setting  out  on  the  campaign,  was  in  fair  health,  the  sickness  being  but 
five  per  centum.  This  rate  remained  about  the  same  until  the  men  were  able  to  procure  blackberries,  which  were  very 
abundant,  and  green  corn,  when  it  diminished  to  about  four  per  cent.,  and  continued  at  that  rate  until  after  the  battle  of 
Chickamauga.  When  the  army  marched  from  Murfreesboro'  on  June  24th,  everything  that  related  to  preparations  in  the 
medical  department  for  a  vigorous  campaign  was  in  readiness  and  as  complete  in  appointment  as  could  be  desired.  Skirmishing 
witli  the  enemy  was  quite  brisk  at  Hoover's  and  Liberty  Gaps,  June  25th  and  20th.  As  the  result  of  these  encounters,  together 
with  the  subsequent  pursuit  of  the  enemy  as  far  as  the  foot  of  the  Cumberland  chain  of  mountains,  about  four  hundred  wounded 
had  to  be  provided  for;  these  were  mostly  sent  to  Murfreesboro'.  At  Tullahoma  a  number  of  tents  abandoned  by  the  enemy 
were  erected  for  men  broken  down  on  the  march,  and  a  building  constructed  for  a  hotel,  of  capacity  sufficient  for  one  hundred 
beds,  was  opened  as  a  hospital.  Four  hospital  tents  were  erected  in  the  hospital  yard  for  wounded  men.  A  few  days  after 
the  occupancy  of  Tullahoma  the  railroad  was  repaired,  and  such  of  the  sick  and  wounded  as  could  bear  removal  were  sent  to 
the  rear.  As  the  Twenty-first  Corps  occupied  the  line  of  the  railway  to  McMinnville,  I  directed  Surgeon  A.  J.  Phelps,  U.  S.  V., 
medical  director,  to  open  temporary  hospitals  at  Manchester  and  at  McMinnville,  making  use  of  his  reserve  supplies  for  this 
purpose.  The  Fourteenth  Corps  established  itself  at  Decherd,  at  the  same  time  occupying  the  town  of  Winchester.  A  few 

hospital  tents  were  erected  at  Winchester,  and  a  church 
and  school-house  were  occupied  as  temporary  hospitals. 
A  division  of  the  Twentieth  Corps  was  pushed  forward 
on  the  line  of  the  railroad,  the  advance  occupying  Ste 
venson,  about  July  25th.  In  order  to  insure  ample 
hospital  accommodations,  as  well  as  to  be  prepared  for 
a  general  advance,  I  directed  that  half  of  the  field  hos 
pital  at  Murfreesboro'  be  brought  to  Cowan,  a  small 
town  at  the  foot  of  the  Cumberland  Mountains.  This 
was  accomplished,  and  the  hospital  made  ready  for  the 
reception  of  patients  several  days  before  the  army  crossed 
the  mountain.  As  soon  as  the  army  took  up  its  march 
for  the  valley  of  the  Tennessee  Eiver,  I  directed  the 
remainder  of  the  Murfreesboro'  field  hospital  to  be  trans 
ferred  to  Stevenson,  Alabama  ;  *and  upon  the  occupancy 
of  Bridgeport,  Alabama,  I  directed  that  a  small  tent 
hospital  be  established  at  that  point  also.  During  these 
movements  the  hospital  train  was  running  regularly  to 
Nashville,  where  all  proper  cases  for  hospital  treatment 
that  could  bear  removal  were  sent.  The  tent  hospitals 
were  thus  kept  comparatively  empty  until  the  order  was 
given  to  march.  The  supplies  for  these  hospitals  were 
brought  from  Nashville  and  Murfreesboro',  leaving  the 
reserve  supplies  for  the  corps  almost  untouched.  Noth 
ing  of  special  interest  transpired  while  the  army  lay  on 
the  north  side  of  the  river.  A  slight  increase  of  the 
malarial  diseases  was  observed,  but  not  enough  to  excite 
apprehension.  By  the  25th  of  August  every  preparation 
had  been  made  for  an  advance  upon  Chattanooga.  The 
field  hospitals  at  Stevenson  and  Bridgeport  were  in 
readiness  for  the  reception  of  patients,  though  not  as 
complete  in  appointments  as  was  desirable.  During  the 
first  days  of  September  the  army  crossed  the  river,  and 
passed  over  Sand  Mountain  into  Lookout  Valley.  This 
movement  was  attended  with  but  few  casualties.  After 

FIG.  10.    Topography  of  the  Region  about  Chattanooga.  tlie  PaBBa8'e  of  the  Tennessee  Kiver,  a  collision  with  the 

enemy  was  to  be  looked  for  any  day,  and  I  made  every 
effort  to  familiarize  myself  with  the  topography  and  resources  of  th      country.     As  a  great  struggle  was  anticipated,  food  for 


REPORT    OF    MEDICAL    DIRECTOR    PERIN. 

the  wounded  and  an  easy  way  to  the  rear  were  the  main  points  to  be  kept  in  view.  During  the  few  days  the  army  lay  in 
Lookout  Valley,  there  was  comparatively  no  sickness.  It  was  not  considered  necessary  to  make  any  depot.  The  few  cases 
of  sickness  that  occurred  were  sent  to  Stevenson,  Alabama,  by  the  returning  supply  train.  When  the  heads  of  our  columns 
penetrated  the  gaps  in  Lookout  Mountain,  the  enemy  hastily  evacuated  Chattanooga,  and,  on  September  9th,  the  Twenty- 
first  Corps  occupied  it.  As  soon  as  I  learned  this  fact,  I  made  immediate  disposition  to  have  supplies  forwarded,  and  such 
buildings  as  were  suitable  for  hospitals  prepared  for  the  reception  of  patients.  Surgeon  I.  Moses,  II.  S.  V.,  was  relieved 
from  duty  at  Murfreesboro'  to  superintend  this  work.  By  reference  to  his  accompanying  report  a  more  detailed  account 
of  the  preparations  made  will  be  found.  By  the  13th  the  army  had  crossed  Lookout  Mountain,  and  the  advance  had  felt 
the  enemy  in  several  skirmishes.  As  the  presence  of  the  enemy  in  force  was  well  established,  dispositions  to  concentrate 
our  army  were  made.  It  was  soon  discovered  that  the  main  body  of  the  enemy  was  moving  down  the  valley  of  the  Chicka- 
mauga  toward  Rossville.  The  ridge  that  divides  the  valley  of  Chickamauga  from  that  of  Chattanooga  was  traversed  in 
several  places  by  wagon  roads.  It  was  by  these  roads  that  our  wounded  must  be  conveyed  to  the  rear.  The  wagon  road 
down  the  Chickamauga  Valley  was  near  the  base  of  this  ridge,  on  the  south  side,  where  thei-e  were  but  few  springs.  As  every 
indication  pointed  to  a  conflict  on  the  north  side  of  the  creek,  our  wounded  were  to  be  provided  for  at  these  springs,  or  taken 
over  Mission  Ridge  into  Chattanooga  Valley.  After  consultation  with  the  general  commanding,  I  selected  Crawfish  Spring 
as  the  main  depot  for  the  wounded.  Division  hospitals  for  the  Twentieth  and  Twenty -first  Corps,  together  with  two  divisions 
of  the  Fourteenth  Corps,  were  accordingly  established  at  that  point.  On  the  19th,  as  the  battle  progressed,  the  army  moved 
down  the  valley  of  the  Chickamauga,  so  that  when  night  closed  it  was  about  four  miles  distant  from  the  hospitals,  and  the  only 
road  to  the  latter  was  the  one  spoken  of  at  the  south  base  of  Mission  Ridge.  This  movement  made  the  removal  of  the  wounded 
a  task  of  considerable  magnitude,  as  our  loss  in  wounded  on  Saturday  afternoon  was  very  severe,  being,  as  nearly  as  I  could 
estimate,  about  four  thousand  five  hundred.  The  ambulance  trains  were  worked  very  steadily  until  midnight,  when  almost  all 
of  the  wounded  accessible  had  been  removed  and  placed  in  the  hospitals,  or  in  groups  around,  adjacent.  Every  effort  was 
made  to  place  the  men  under  shelter,  but  particularly  to  provide  them  with  covering,  as  the  night  was  cold.  When  this  could  not 
be  done,  the  men  were  arranged  in  rows  near  each  other,  and  lines  of  camp-fires  were  built  at  their  feet.  The  medical  officers 
continued  their  attentions  to  the  relief  of  the  immediate  wants  of  the  wounded,  and  to  the  performance  of  such  operations  as 
admitted  of  no  delay,  until  exhaustion  and  the  lateness  of  the  hour  warned  them  that  a  little  rest  was  necessary  to  prepare 
them  for  the  next  day's  work.  On  the  morning  of  the  20th,  the  movement  of  the  army  to  the  left  continued.  Our  hospitals  to 
the  right  becoming  more  distant,  and  communication  with  them  precarious,  it  was  deemed  best  to  establish  small  depots 
immediately  in  rear  of  the  left  wing  as  soon  as  the  right  gave  way.  Communication  with  Crawfish  Spring,  the  main  hospital 
depot,  was  cut  off;  the  position,  too,  was  becoming  quite  unsafe,  when  Surgeon  Phelps,  medical  director  of  the  Twenty-first 
Corps,  and  Surgeons  Waterman  and  Griffiths,  surgeons-in-chief  of  the  1st  and  3d  divisions  of  the  Twentieth  Corps,  appreciating 
the  danger,  availed  themselves  of  the  empty  supply  trains  parked  at  that  point,  to  send  the  wounded  across  Mission  Ridge  and, 
by  the  Chattanooga  Valley  road,  to  Chattanooga. 

In  this  place,  I  take  pleasure  in  acknowledging  the  valuable  assistance  of  Lieutenant  Colonel  Boyd,  chief  quartermaster 
Twentieth  Corps,  and  of  Captain  Leach,  commissary  of  subsistence.  Although  these  officers  labored  faithfully  to  remove  all  the 
wounded  from  Crawfish  Spring,  it  was  found  impracticable.  Medical  officers  were,  therefore,  detailed  to  remain,  and  provisions 
were  distributed  in  such  manner  as  to  insure  them  for  the  benefit  of  the  patients  during  the  contusion  that  must  result  immediately 
after  a  battle.  The  wounded  at  the  hospitals  on  the  left  were  detained  only  long  enough  to  perform  such  operations  as  admitted 
of  no  delay,  and  were  then  sent  to  the  rear  by  the  Rossville  road.  About  one  thousand  five  hundred  of  the  graver  cases  were 
left  on  this  part  of  the  field.  From  the  best  information  I  can  procure,  I  should  estimate  the  total  number  of  wounded  left  upon 
the  field  to  be  about  two  thousand  five  hundred.  Great  care  was  taken  by  surgeons-in-chief  of  divisions  to  detail  medical  officers 
with  the  necessary  dressings,  medicines,  etc.,  to  remain,  and  provisions  were  usually  divided  out  among  the  men  to  prevent  any 
possible  suffering  from  hunger.  In  the  retreat,  every  vehicle,  baggage  wagon,  and  supply  train,  as  well  as  the  ambulances, 
were  filled  with  wounded.  Great  numbers  who  were  able  to  walk  found  their  way  on  foot  to  the  north  side  of  the  Tennessee 
River,  and  continued  their  journey  toward  Bridgeport.  The  graver  cases  were  removed  from  the  ambulances  and  wagons  and 
placed  in  hospitals  at  Chattanooga,  while  the  others  were  taken  to  Bridgeport  and  Stevenson.  A  tent  hospital  sufficiently  large 
for  one  thousand  five  hundred  patients,  was  established  on  the  21st  and  22d,  at  Stringer's  Spring,  on  the  north  side  of  the  river 
and  about  two  miles  distant.  Ambulances  were  sent  out  on  the  Bridgeport  road,  to  take  up  and  bring  back  the  wounded  who 
had  undertaken  the  journey  to  Bridgeport  on  foot,  and  had  fallen  by  the  wayside.  By  the  evening  of  the  23d,  the  wounded  not 
sent  to  the  rear  were  provided  for  and  received  professional  attention.  It  has  been  a  cause  of  great  regret  that,  in  the  confusion 
of  the  retreat,  primary  operations  could  not  be  performed  to  the  extent  desired;  thus  many  cases  of  injuries  of  the  knee  and 
ankle  joints  subsequently  proved  fatal  that  might  have  been  saved  by  timely  amputation.  As  soon  as  the  army  had  taken  up 
its  position  in  front  of  Chattanooga,  and  order  was  restored,  the  commanding  general  sent  a  flag  of  truce  with  propositions  for  the 
recovery  of  our  Avounded  left  upon  the  field.  One  thousand  seven  hundred  and  forty  were  thus  restored  to  our  care.  They  were, 
of  course,  the  graver  cases,  and,  a?  timely  preparations  had  been  made  for  their  reception,  they  were  soon  as  comfortable  as 
circumstances  would  admit.  It  may  be  mentioned  here  that,  upon  the  occupancy  of  the  town,  over  two  hundred  bales  of  cotton 
were  found  secreted  in  various  places,  which  were  seized,  carefully  guarded,  and  reserved  for  mattresses.  Had  it  not  been  for 
this  fortunate  circumstance  the  sufferings  of  our  wounded  men  would  have  been  much  greater,  as  it  was  impossible  to 
procure  straw,  and  the  supply  of  blankets  was  limited.  About  one  hundred  and  fifty  upholsterers,  tailors,  and  saddlers  were 
detailed  to  make  mattresses,  so  that  by  the  tenth  day  every  severely  wounded  man  was  provided  with  a  comfortable  bed.  The 
ambulance  trains  were  busily  employed  transporting  such  cases  as  could  bear  transportation  to  Bridgeport  until  the  autumnal 
rains  rendered  the  roads  impassable.  The  policy  of  sending  patients  to  the  rear,  when  they  could  only  he  transported  over  a 
rou:;-]],  circuitous  r.nd  mountainous  road,  necessarily  subjecting  them  to  more  or  less  pain,  was  dictated  by  necessity,  for  if  the 
army  maintained  its  position  it  was  evident  that  the  wounded  must  suffer  from  want  of  proper  diet ;  while,  on  the  other  hand, 
if  the  town  was  abandoned  they  must  fall  into  the  hands  of  the  enemy.  This  view  was,  unfortunately,  too  well  verified  by 


268  APPENDED    DOCUMENTS WESTERN    ARMIES,    1863. 

subsequent  events;  for,  as  the  roads  became  more  and  more  difficult  by  reason  of  the  rains,  only  those  subsistence  stores  that 
were  absolutely  essential  could  be  brought,  and  even  these  were  soon  reduced  in  quantity  far  below  the  standard  ration.  The 
country  on  the  north  side  of  the  river  was  gleaned  of  everything  in  the  way  of  vegetables.  Every  effort  was  made  to  secure 
to  the  wounded  enough  food  from  the  regular  ration,  including  soft  bread;  but  in  the  absence  of  vegetables  and  other  delicacies, 
they  exhibited  but  too  plainly  the  sad  evidences  of  deficient  nutrition  euperadded  to  the  deficiency  of  proper  food.  A  want  ot 
fuel  was  also  felt  during  the  latter  part  of  October  and  all  of  November.  It  was  very  discouraging  to  the  medical  attendants  to 
witness  the  gradual  but  certain  decline  of  patients  who  should  have  recovered,  while  they  felt  themselves  powerless  to  apply 
the  proper  remedy.  Partial  relief  from  this  condition  of  affairs  was  afforded,  after  the  battle  of  Wauhatchie,  which  opened  a 
new  and  shorter  route  to  the  base  of  supply.  A  few  days  after  this  battle,  the  small  steamer  Paint  Rock  passed  the  enemy's 
batteries  successfully,  and  we  were  enabled  to  resume  the  transfer  of  patients  to  the  rear.  At  Kelly's  Ferry,  a  point  ten  miles 
distant,  where  the  boats  discharged  their  freights,  a  few  hospital  tents  were  erected  and  other  preparations  made  for  the  care  of 
the  wounded  in  ti-ansit.  Patients  were  sent  in  ambulances  from  the  hospitals  in  town,  as  well  as  Stringer's  Spring,  to  this  point 
as  rapidly  as  circumstances  would  admit,  the  roads  being  bad,  and  the  weather  very  rainy  and  cold.  The  patients  were  also 
exposed  while  going  from  Kelly's  Ferry  to  Bridgeport,  for  the  boats  were  small,  with  open  decks,  having  been  hastily 
constructed  for  carrying  freight  only.  Yet  painful  as  it  was,  it  appeared  necessary  to  send  men  exposed  in  this  manner,  in  order 
to  make  room  for  the  care  of  others.  It  was  evident  that  a  struggle  for  the  possession  of  Lookout  Mountain,  and  the  recovery 
of  our  line  of  railroad  communication  with  the  rear  was  at  hand.  With  our  limited  means  for  the  care  of  many  wounded  the 
approaching  conflict  was  viewed  with  much  anxiety,  and  every  preparation  must  be  made  that  circumstances  would  admit.  By 
November  24th,  the  number  in  the  various  hospitals  was  reduced  to  about  four  hundred  and  fifty.  When  it  is  remembered  that 
the  battle  of  Chickamauga  was  fought  at  a  long  distance  from  the  base  of  supply,  in  a  region  already  gleaned  of  resources  and 
difficult  of  access,  that  it  was  lost,  and  that  the  army  was  subsequently  cooped  up  with  but  one  outlet  by  a  circuitous  and  difficult 
route  of  fifty  miles  in  length,  it  may  be  safely  asserted  that  the  obstacles  to  be  overcome  in  the  successful  care  and  treatment  ot 
wounded  were  more  formidable  in  this  than  any  other  of  the  great  battles  of  the  war.  An  indulgent  criticism  may,  therefore, 
be  fairly  claimed  when  reviewing  the  results  of  treatment.  The  wounds  received  were  inflicted  by  a  variety  of  missiles,  but 
those  from  the  rifle-musket  ball  were,  perhaps,  more  numerous,  in  proportion,  than  usual  for  so  great  a  battle.  The  ground  on 
which  the  battle  was  fought  being  undulating  and  thickly  timbered,  was  therefore  unfavorable  for  the  use  of  artillery.  I  can 
bear  testimony  to  the  zeal  and  efficiency  of  the  medical  staff  during  this  trying  battle.  While  it  is  a  difficult  task  to  take  care 
of  the  wounded  of  a  victorious  army,  it  is  doubly  so  of  one  obliged  to  retreat.  To  Surgeons  F.  H.  Gross,  U.  S.  V.,  medical 
director  of  the  Fourteenth  Corps,  A.  J.  Phelps,  U.  S.  V.,  medical  director  of  the  Twenty-first  Corps,  and  .1.  Perkins,  10th 
Kentucky  Volunteers,  medical  director  of  the  Twentieth  Corps,  great  credit  is  due  for  their  efficiency  and  untiring  devotion  to 
their  duties  during  the  whole  campaign.  I  would  respectfully  invite  attention  to  their  reports  herewith  transmitted,  as  well  as 
to  the  reports  from  the  surgeons  of  the  various  divisions.  I  will  here  mention  that  the  wounded  sent  to  the  rear  were  provided 
for  in  a  proper  manner  under  the  direction  of  Surgeon  A.  II.  Thurston,  U.  S.  V.,  assistant  medical  director  at  Nashville.  I 
have  to  acknowledge  my  indebtedness  to  Assistant  Surgeon  Dallas  Bache,  U.  S.  A.,  assistant  medical  director,  for  most  valuable 
assistance  upon  the  field  and  in  the  duties  of  this  office.  Surgeon  H .  H.  Seys,  15th  Ohio  Volunteers,  medical  inspector,  was 
attentive  and  faithful  in  his  duties.  The  purveying  department  has  been  conducted  in  a  most  able  and  satisfactory  manner  by 
Surgeon  Robert  Fletcher,  1st  Ohio  Volunteers,  now  surgeon  U.  S.  V.  This  report  has  been  unavoidably  delayed  because  the 
wounded  were  sent  to  the  rear  in  such  a  rapid  and  irregular  manner  as  to  preclude  the  possibility  of  taking  lists  until  the  men 
arrived  at  the  hospitals  on  the  route.  The  reports  taken  in  hospitals  have  been  diligently  compared  with  regimental  returns, 
and  the  enclosed  list  is  believed  to  be  nearly  if  not  quite  correct.  No  little  embarrassment  has  been  experienced  from  the 
destruction  of  all  the  records  of  this  office  by  the  Confederate  General  T.  Wheeler,  during  his  attack  on  our  train  in  the  Sequatchie 
Valley  in  the  early  part  of  October. 

Very  respectfully,  your  obedient  servant,  G.  PERIN, 

Surgeon  U.  S.  A.,  Medical  Director. 
To  the  SURGEON  GENERAL  U.  S.  ARMY,  Washington,  D.  C." 


CCXVII.     Report  on  the  Operations  of  the  Medical  Staff  of  the  Fourteenth  Army   Corrjs  at 
the  Battle  of  Chickamauga.     By  Surgeon  F.  II.  GROSS,  U.  S.  Volunteers. 

GENERAL:  I  have  the  honor  to  submit  the  following  report,  as  regards  the  medical  and  hospital  supplies,  the  means  of 
transportation  of  the  sick  and  wounded,  and  the  general  transactions  of  the  medical  department  of  the  Fourteenth  Corps  since  its 
passage  of  die  Tennessee  River  up  to  the  time  of  reaching  Chattanooga.  The  regiments  and  batteries  were  all  abundantly 
supplied  with  medicines  and  surgical  instruments.  The  latter  having,  previous  to  our  march,  been  thoroughly  inspected  and 
repaired  by  an  expert.  Aside  from  the  usual  regimental  supplies  which  are  transported  in  the  hospital  wagons  and  accompany 
the  regiments,  we  were  provided  with  a  reserve  supply  consisting  of  hospital  tents,  blankets,  sheets,  hair  pillows,  shirts,  drawers, 
bed  sacks,  surgical  instruments,  bandages,  lint,  mess  chests,  including  cooking  utensils,  concentrated  milk  and  beef,  liquor, 
chloroform,  and  such  other  medicines,  surgical  apparatus  and  hospital  stores  as  experience  has  taught  to  be  most  needed  and 
useful  in  emergencies  in  the  field.  These  supplies  were  in  possession  of  the  medical  purveyor  of  the  corps  subject  to  my  order; 
they  were  transported  in  a  train  of  fifteen  army  wagons.  Since  our  advance  from  Murfreesboro'  in  June  last,  these  supplies  had 
been  drawn  upon,  but  were  still  deemed  ample  in  quantity.  The  four  divisions  of  the  corps  were  each  provided  with  a  train  of 
thirty  light  two-horse  ambulances,  all  in  good  condition,  under  the  general  control  of  the  corps  and  division  medical  directors.  In 
addition  to  these,  each  regiment  and  battery  had  one  ambulance  permanently  attached  to  it,  which  was  usually  driven  in  the  rear 
such  commands.  This  arrangement  of  our  ambulances  has  operated  more  satisfactorily  than  any  other  that  has  yet  been  tried 
is  army.  Before  the  command  entered  upon  the  march,  it  was  directed  that  all  men"  who  were  sick,  and  who,"  in  the  judg 
ment  of  the  medical  officers,  would  not  be  able  to  endure  the  fatigues  of  the  campaign,  should  be  sent  to  the  general  field  hospital  at 


REPORT  OF  SURGEON  F.  H.  GROSS,  IT.  S.  V.  269 

Stevenson.  The  first  division  crossed  the  river  at  Bridgeport  on  September  4th,  and  on  the  7th  reached  the  valley  between  Raccoon 
and  Lookout  Mountans,  where  it  remained  in  camp  for  two  days.  The  march  was  continued  on  the  10th,  crossing  Lookout 
Mountain  and  encamping  in  McLamore's  Cove.  On  the  llth,  it  was  ordered  to  close  upon  the  2d  division,  which  had  crossed  the 
river  at  Caperton's  Ferry  on  or  about  the  1st  of  September,  and  had  continued  its  march  in  advance  of  the  1st  division  without 
interruption,  until  it  reached  a  point  near  Dug  Gap  in  Pigeon  Ridge,  where  the  enemy  was  encountered.  About  seven  o'clock  A.  M. 
on  the  llth,  the  1st  division  closed  up  on  the  2d,  and  shortly  before  noon  skirmishing  began.  Surgeons  S.  Marks,  and  R.  G.  Bogue, 
the  respective  surgeons-in-chief  of  the  1st  and  2d  divisions,  established  the  hospital  at  Mrs.  Davis's  house  in  the  rear  of  the  line  of 
b;:ttle.  Eight  or  ten  wounded  had  been  brought  in,  when  it  was  noticed  that  our  forces  began  to  retire.  The  wounded  were 
promptly  removed  by  ambulances,  first  to  Bailey's  Cross  Roads,  and  finally  to  Stevens's  house  at  the  foot  of  Lookout  Mountain, 
near  Stevens's  Gap ;  no  wounded  were  left  upon  the  field.  The  casualties  of  the  affair  were  as  follows :  1st  division,  two  killed  and 
five  wounded;  2d  division,  nine  killed  and  twenty-two  wounded;  total,  eleven  killed  and  twenty-seven  wounded.  The  wounded 
were  well  cared  for  at  this  temporary  hospital,  and  on  the  IGth,  after  consulting  the  general  commanding  the  corps,  I  directed  the 
wounded,  and  those  of  the  sick  who  were  hospital  cases,  to  be  sent  to  Chattanooga  by  the  Chattanooga  Valley  road.  A  medical 
officer  and  a  number  of  nurses  were  detailed  to  accompany  this  train.  I  regret  to  say  that  up  to  this  time  two  of  the  wounded 
had  died,  three  were  so  seriously  injured  as  not  to  be  transportable,  and  by  the  direction  of  the  medical  director  of  the  2d  division, 
a  medical  officer  was  detailed  to  remain  and  take  care  of  them.  The  3d  division  moved  from  the  mouth  of  Battle  Creek  and 
effected  the  passage  of  the  Tennessee  River  by  the  evening  of  September  3d,  with  the  loss  of  three  men  by  drownino-.  This 
command  also  crossed  Raccoon  and  Lookout  Mountains,  reaching  the  southeast  side  of  the  latter  on  the  forenoon  of  the  13th 
without  any  casualty.  The  4th  division  having  crossed  the  river  at  Shellmound,  marched  over  the  above  mentioned  mountains 
and  arrived  at  McLamore's  Cove  about  the  same  time  with  the  division  last  referred  to.  I  regret  to  say  that  the  surgeon-in-chief 
Surgeon  O.  Q.  Herrick,  34th  Illinois  Volunteers,  and  the  brigade  surgeons  of  the  command,  who  were  subsequently  captured  at 
the  battle  of  Chickamauga,  still  remain  in  the  hands  of  the  enemy,  preventing  me  in  a  great  measure  from  furnishing  an  account 
of  those  incidents  of  the  march  that  might  be  of  interest  to  our  branch  of  the  service.  Without  having  been  furnished  with  the 
particulars,  I  respectfully  refer  to  an  encounter  with  the  enemy  which  took  place  on  September  llth  and  12th,  in  which  the  17th 
and  72d  Indiana  and  92d  Illinois  Volunteers  were  engaged,  and  sustained  the  loss-of  eight  killed  and  nineteen  wounded.  Our 
forces  were  heavily  pressed  by  the  rebels,  and  as  soon  as  the  wounded  were  removed  they  were  sent  to  Chattanooga  for  treat 
ment.  The  manner  in  which  both  officers  and  men  accomplished  the  laborious  and  fatiguing  marches  over  the  rough  mountains, 
Avith  a  frequent  scai-city  of  water,  and  through  the  dusty  valley  roads  of  this  sandy  region,  where  the  atmosphere  about  the 
moving  columns  was  at  times  almost  suffocating,  has  (Temonstrated  in  a  marvellous  degree,  the  powers  of  endurance  of  our  troops. 
On  September  17th,  the  command  commenced  moving  toward  the  left  and  continued  inarching  in  that  direction,  when,  early  on 
the  morning  of  the  19th,  it  was  discovered  that  the  enemy  confronted  us.  Our  troops  were  rapidly  placed  in  line  of  battle  on  the 
grounds  now  known  as  the  Chickamauga  battle-field ;  the  second  division,  however,  had  been  left  at  a  point  near  Crawfish  Spring, 
about  four  and  one-half  miles  distant  to  the  right.  On  the  morning  of  the  19th,  one  brigade  of  this  division  became  engaged 
with  the  enemy  at  that  point.  The  wounded  of  this  affair  were  conveyed  to  hospitals  which  were  about  being  established  in  that 
vicinity.  Upon  information  received  from  Assistant  Surgeon  D.  Bache,  U.  S.  A.,  assistant  medical  director  department  of  the 
Cumberland,  that  Crawfish  Spring  was  intended  for  the  principal  depot  for  the  reception  of  the  Avounded,  the  directors  of  the 
2d  and  4th  divisions  of  this  corps  at  once  commenced  establishing  their  division  hospitals  at  that  place,  making  use  of  the 
regimental  hospital  supplies  for  that  purpose.  Along  the  line  of  battle  previously  referred  to,  the  engagement  had  commenced, 
and  the  wounded  Avere  being  rapidly  removed  from  the  field  and  conveyed  to  the  hospitals.  When  itAvas  discovered  at  Crawfish 
Spring  that  the  fighting  bore  toward  the  left,  an  attempt  was  made  to  moAre  the  4th  division  hospital  nearer  to  the  line  of  battle. 
The  troops  on  the  right,  however,  began  to  fall  back,  planting  a  battery  in  the  vicinity  of  the  new  site  for  this  hospital,  and 
consequently  compelling  the  surgeons  to  remove  again  to  CraAvfish  Spring.  The  hospital  of  the  1st  division  was  established  on 
the  morning  of  the  19th  at  Dyer's  house,  Avhich  at  that  time  Avas  located  in  the  rear  of  the  right  of  this  corps.  A  fine  spring,  a 
number  of  out-buildings,  and  plenty  of  straw  near  by,  rendered  this  a  desirable  locality  for  hospital  purposes.  Shortly  before 
noon  it  was  found  necessary,  on  account  of  the  large;  number  of  wounded  at  this  place,  to  pitch  the  hospital  tents.  Everything 
went  on  quite  well  until  about  five  o'clock  P.  M.,  when  our  troops  began  to  fall  back  in  that  direction,  and  soon  the  enemy's  grape 
and  canister  Avere  being  thrown  in  and  around  the  hospital,  making  the  locality  entirely  unsafe  for  the  wounded.  Orders  were 
received  from  the  medical  director  of  the  department  to  remove  the  Avounded  to  Crawfish  Spring.  Our  forces  having  repulsed 
the  enemy  from  Dyer's  house  the  surgeons  \vere  enabled  to  return  to  their  duty.  On  the  morning  of  the  20th,  about  forty 
Avounded  were  still  at  this  place,  Avhich  it  soon  became  necessary  to  abandon.  Surgeon  J.  R.  Reeve,  78th  Ohio  Volunteers,  who 
had  been  placed  in  charge  of  this  hospital,  succeeded,  Avith  the  medical  officers'  under  him,  in  removing  all  the  wounded  and 
property  except  the  hospital  tent  of  the  79th  Pennsylvania,  Volunteers.  By  ten  o'clock  they  were  on  the  way  to  Chattanooga. 
The  3d  division  became  engaged  with  the  enemy  early  on  the  19th.  The  hospital  was  located  in  the  grounds  at  Cloud's  house,  in 
the  rear  and  between  one  and  two  miles  to  the  left  of  the  point  where  the  lighting  first  commenced,  and  on  the  direct  road  to 
Rossville.  The  wounded  from  various  divisions,  including  a  large  number  of  those  of  the  enemy,  Avere  accumulating  at  this 
hospital,  and  before  night  the  number  reached  near  one  thousand.  Straw  was  brought  for  bedding,  and  hot  coffee  and  soup 
served,  and  fires  built  as  near  as  practicable  to  the  wounded  for  their  protection  from  the  cold  of  the  night  air.  1  remained  here 
until  the  next  morning,  and  continued  operating,  with  the  medical  officers  present,  on  such  cases  as  imperatively  demanded  it, 
until  the  lowness  of  the  temperature  caused  us  to  discontinue  for  the  night,  During  the  next  morning,  I  returned  to  headquarters 
on  the  Held,  and  while  there  this  hospital  became  cut  off  by  the  enemy.  I  was  unable  either  to  reach  it  myself  or  to  get  a 
messenger  through.  Surgeon  M.  C.  Tollman,  2d  Minnesota  Volunteers,  surgcon-in-chief  of  the  3d  division,  reports,  that  while  on  that 
forenoon  the  medical  officers  were  engaged  with  the  Avounded,  a  furious  cannonade  opened  upon  them,  slightly  injuring  several 
men  and  killing  a  wounded  officer.  Those  who  were  able  to  walk  were  started  on  foot,  and  all  available  ambulances  and  wagons 
were  loaded  with  wounded  and  started  for  Rossville,  distant  about  four  miles  to  the  left  and  toward  Chattanooga.  About  sixty 
non-transportable  cases  were  left,  and  in  all  probability  more  of  our  wounded  would  subsequently  reach  this  point.  Three 


270  APPENDED    DOCU-IENTS WESTERN    ARMIES,    1803. 

medical  officers  were  detailed  to  remain.  The  regimental  hospital  tents,  and  tents  of  the  medical  officers  of  this  division,  together 
with  a  portion  of  the  regimental  supplies,  fell  into  the  hands  of  the  enemy.  During  the  forenoon  of  the  20th,  I  endeavored,  in 
company  with  the  medical  director  of  General  Cook's  corps,  to  reach  the  hospitals  at  Crawfish  Spring;  we  were  soon  met, 
however,  by  the  enemy's  skirmishers  and  compelled  to  return.  About  noon  we  noticed  numerous  wagons  and  ambulances 
moving  on  the  roads  to  the  rear;  subsequently  large  numbers  of  troops  from  the  right  and  centre  were  also  moving  in  that 
direction.  The  ambulances  were  mostly  loaded  with  wounded.  We  directed  them  to  move  to  Chattanooga  via  Rossville.  I 
had  directed  the  medical  purveyor  of  the  corps,  Surgeon  H.  C.  Barrell,  38th  Illinois  Volunteers,  on  the  evening  of  the  19th, 
to  bring  up  the  reserve  supplies  on  the  road  leading  from  Rossville  to  the  3d  division  hospital  at  Cloud's  house,  believing  this  to 
be  the  most  suitable  locality,  from  the  knowledge  I  possessed  of  the  country,  at  which  to  collect  the  larger  number  of  wounded 
on  account  of  the  direct  communication  by  good  roads  with  Chattanooga.  On  the  morning  of  the  20th,  I  sent  a  message  to 
Surgeon  Barrell,  informing  him  that  the  3d  division  hospital  had  fallen  into  the  hands  of  the  enemy,  and  directing  him  to  take 
the  Dry  Valley  road,  which  it  appears  he  had  already  done.  Being  met  by  retreating  troops  and  wagons,  it  was  deemed  prudent 
to  halt  this  train  of  supplies,  which  was  thus  saved  and  subsequently  taken  to  Chattanooga,  where  by  order  of  the  medical 
director  of  the  department  they  were  issued  to  the  hospitals  at  this  place  and  served  a  good  purpose.  During  the  latter  part  of 
the  afternoon,  the  wounded  from  the  left,  where  the  battle  was  still  raging,  crowded  the  road  leading  from  McDaniel's  house 
to  the  Dry  Valley  road.  Many  were  conveyed  in  ambulances,  and  hundreds  of  the  slightly  injured  who  were  able  to  walk  or  be 
led  by  their  comrades,  moved  along  on  foot.  After  nightfall  the  command  retired  upon  Rossville.  The  wounded  continued  to  move 
to  the  rear  nearly  all  night.  On  Monday  morning  the  21st,  ambulances  were  driven  as  far  front  as  it  was  safe  for  them  to  go, 
and  gathered  up  such  wounded  as  had  not  been  removed  in  that  vicinity  during  the  night.  A  large  number,  still  at  Rossville 
that  morning,  was  also  sent  to  the  rear.  A  new  line  of  battle  was  formed  at  the  latter  place.  We  suffered  but  little  here,  and 
the  very  small  number  of  injured  were  all  brought  away.  Aside  from  the  hospital  arrangements  which  had  been  made  by  the 
medical  director  of  the  department  previous  to  our  reaching  Chattanooga  before  daybreak  on  Tuesday  morning,  a  general  field 
hospital  was  about  being  established  on  the  opposite  side  of  the  river.  I  was  permitted,  at  my  request,  by  the  department  medical 
director,  to  appropriate  a  portion  of  this  for  a  corps  field  hospital.  It  remained  under  my  general  superintendence,  with  Surgeon 
S.  Marks,  10th  Wisconsin  Volunteers,  in  charge,  until  the  10th  instant,  when  all  hospitals  of  this  character  were  consolidated 
into  one  general  field  hospital.  It  is  the  opinion  generally  of  our  surgeons  that  the  wounded  are  doing  remarkably  well.  I  regret 
to  say  that  nineteen  of  our  medical  officers,  who  remained  at  the  captured  hospitals,  are  still  in  the  hands  of  the  enemy,  notwith 
standing  that  our  wounded  have  been  paroled  and  brought  within  our  lines.  The  following  is  a  list  of  the  names  of  these  officers : 
Surgeons  0.  Q.  Herrick,  34th  Illinois  Volunteers,  C.  M.  Fowler,  105th  Ohifi  Volunteers,  J.  L.  Wooden,  68th  Indiana  Volunteers, 
J.  R.  Brelsford,  74th  Ohio  Volunteers,  L.  I.  Dixon,  1st  Wisconsin  Volunteers,  C.  S.  Arthur,  75th  Indiana  Volunteers,  Joseph 
Fithian,  18th  Kentucky  Volunteers,  J.  McCurdy,  llth  Ohio  Volunteers,  and  J.  R.  Reeves,  78th  Ohio  Volunteers.  Assistant 
Surgeons  W.  B.  Graham,  101st  Indiana  Volunteers,  A.  H.  Shaffer,  75th  Ohio  Volunteers,  N.  H.  Sidwell,  llth  Ohio  Volunteers, 
W.  P.  Hornbrook,  42d  Indiana  Volunteers,  C.  O.  Wright,  35th  Ohio  Volunteers,  J.  C.  Elliott,  18th  Kentucky  Volunteers,  E.  F. 
Purdum,  89th  Ohio  Volunteers,  F.  Corfe,  1st  Wisconsin  Volunteers,  D.  D.  Benedict,  17th  Ohio  Volunteers,  and  A.  II.  Landis, 
35th  Ohio  Volunteers.  I  have  been  informed  by  Surgeon  0.  Q.  Herrick,  surgeon-in-chief  4th  division,  from  the  enemy's  lines, 
that  all  the  medical  officers  with  him  have  been  paroled  to  report  to  the  commandant  of  the  post  at  Atlanta,  as  soon  as  relieved 
from  taking  care  of  the  United  States  sick  and  wounded  prisoners.  The  conduct  of  the  medical  officers  of  this  corps  has,  with 
few  exceptions,  been  highly  commendable.  Special  mentions  have  been  made  in  division  reports,  which  will  be  forwarded  to 
Surgeon  G.  I'erin,  U.  S.  A.,  medical  director  of  the  department  of  the  Cumberland.  I  refer  especially  to  the  services  of  the 
following:  Surgeons  S.  Marks,  10th  Wisconsin  Volunteers,  surgeon-iii-chief  of  the  1st  division,  R.  G.  Bogue,  19th  Illinois 
Volunteers,  surgeon-in-chief  of  the  2d  division,  M.  C.  Tollman,  2d  Minnesota  Volunteers,  snrgeon-in-chief  of  the  3d  division,  and 
O.  Q.  Herrick,  34th  Illinois  Volunteers,  surgeon-in-chief  of  the  4th  division,  and  to  the  efficient  medical  purveyor  of  the  corps, 
Surgeon  H.  C.  Barrell,  38th  Illinois  Volunteers.  Arrangements  have  been  made  to  get  an  accurate  list  of  the  names  of  the 
wounded,  including  those  sent  to  hospitals  in  the  rear.  When  this  has  been  accomplished  in  a  satisfactory  manner,  a  copy 
will  be  forwarded.  At  present  I  add  only  the  following  estimate  of  numbers:  killed,  seven  hundred  and  five;  Avounded,  three 
thousand  five  hundred  and  eight;  total,  four  thousand  two  hundred  and  thirteen.  It  is  believed  by  the  division  director  of  the 
1st  division  that  future  information  from  those  marked  as  missing,  or  other  reports,  will  swell  this  estimate  of  wounded  in  that 
command.  While  attempting  to  reach  the  3d  division  hospital  on  the  morning  of  the  20th,  in  company  with  the  topographical 
engineer,  Captain  Gaw,  I  received  a  slight  wound  in  the  neck  by  a  musket  ball,  not  disabling  me,  however,  from  duty. 

I  am,  General,  very  respectfully,  your  obedient  servant, 

F.  H.  GROSS, 

Surgeon  U.  S.  V.,  Medical  Director  l^ourteenlh  Army  Corps. 
To  Major  General  G.  IT.  THOMAS." 


CCXVIII.     Extracts  from  a  Report  of  the   Wounded  of  the  First  Division  of  the  Fourteenth 
Corps  at  the  lj<dtle  of  Chickamauga.      By  Surgeon  S.  MAKKS,  10th  Wisconsin  Volunteers. 

"The  command  left  Bridgeport  September  4th,  and  crossed  the  river,  going  into  camp  on  the  opposite  side. 
There  were  fifty  men  left  at  Bridgeport,  who  were  suffering  from  diarrhoea,  intermittent,  and  remittent  fever.  Each  regiment 
and  battery  in  the  division  was  supplied  with  one  hospital  wagon,  under  the  immediate  charge  of  the  surgeon,  and  generally 
supplied  with  medicines  and  hospital  stores.  On  September  5th,  the  command  marched  to  the  foot  of  Raccoon  Mountain,  a 
distance  of  about  three  miles,  and,  on  September  6th,  marched  to  the  top  of  said  mountain,  a  distance  of  five  miles;  on  September 
7th.  marched  into  the  valley  between  Raccoon  mid  Lookout  Mountain,  a  distance  of  twelve  miles,  and  went  into  camp,  where  we 
remained  two  days.  During  our  stay  in  this  camp,  one  man  from  the  21st  Wisconsin  Volunteers  was  accidentally  wounded,  and 
was  left  at  a  private  house  with  another  sick  man  from  the  same  regiment ;  also  one  other,  who  was  left  in  the  capacity  of  nurse. 


REPORT    OF    SURGEON    S.    MARKS.  271 

On  September  10th,  we  marched  over  Lookout  Mountain,  and  encamped  at  the  foot  in  MeLamore's  Cove.  On  September  llth, 
we  were  ordered  to  reinforce  General  Negley's  command,  which  was  some  six  miles  distant  from  us,  in  the  direction  of  Dug  (Jap, 
where  he  was  confronted  by  the  enemy.  We  left  camp  at  Jive  o'clock  A.  M.,  and  joined  him  at  seven.  The  two  divisions  were 
at  once  placed  in  line  of  battle,  the  ambulance  train  being  parked  in  a  secure  place  a  short  distance  in  the  rear  of  the  command. 
At  eleven  o'clock  skirmishing  commenced.  I  met  Surgeon  H.  W.  Boyce,  llth  Wisconsin  Volunteers,  surgeon-iii-chief  of  General 
Negley's  division,  and  we  established  the  hospital  for  the  two  divisions  at  a  Mrs.  Davis's  house,  within  three-quarters  of  a  mile 
of  our  front,  and  had  received  some  eight  or  ten  wounded,  when  we  discovered  that  our  forces  were  falling  back,  and  that  our 
batteries  were  being  planted  around  the  house,  making  it  unsafe  for  hospital  purposes.  We  at  once  ordered  up  a  sufficient 
number  of  ambulances  to  remove  what  wounded  we  had  to  the  rear,  and  went  back  as  far  as  Bailey's  Cross  Roads,  where  we 
placed  our  wounded  in  a  house,  but  had  not  been  there  more  than  an  hour  before  our  forces  were  falling  back  past  us,  and  we 
found  it  necessary  to  again  remove  our  wounded  further  to  the  rear.  We  at  once  loaded  them  in  ambulances,  and  went  back 
to  the  foot  of  Lookout  Mountain,  and  established  our  hospitals  at  a  Mr.  Stephens's  house,  where  we  cared  for  the  wounded  the 
best  we  could  up  to  the  16th,  when  we  were  ordered  to  remove  all  transportable  cases  to  Chattanooga,  which  was  done  as 
speedily  as  possible.  I  was  obliged  to  leave  one  wounded  man,  and  Surgeon  Boyce  also  left  two  or  three  of  his  division,  and 
a  medical  officer  to  attend  to  them,  besides  two  nurses.  The  casualties  in  this  division  in  the  engagement  of  the  eleventh  were 
five  wounded  and  two  killed.  On  September  17th,  we  marched  to  Lee's  Springs,  and  remained  at  that  point  until  the  evening 
of  the  18th,  when  we  received  marching  orders.  We  marched  until  five  o'clock  the  next  morning,  the  19th,  when  the  divisions 
parted,  and  were  placed  in  line  of  battle.  As  it  was  said  the  enemy  confronted  us,  and  an  engagement  was  imminent,  I  went 
in  search  of  a  place  suitable  to  be  used  as  a  division  hospital,  and  selected  the  house  of  Mrs.  Gaines  or  Dyers  as  the  most 
desirable  place,  as  there  was  a  fine  spring  of  water  and  quite  a  number  of  buildings  in  which  the  wounded  could  be  made 
comfortable;  also  plenty  of  straw  in  the  vicinity.  I  had  the  out-buildings  properly  prepared  for  the  reception  of  the  wounded, 
and  directed  that  two  medical  officers  from  each  brigade  remain  on  the  held,  while  the  remainder  should  report  to  the  division 
hospital  for  duty.  The  operating  staff  was  composed  of  Surgeons  W.  H.  White,  79th  Pennsylvania  Volunteers,  W.  Wagner, 
24th  Illinois  Volunteers,  and  B.  F.  Miller,  2d  Ohio  Volunteers.  Surgeon  J.  T.  Eeeves,  21st  Wisconsin  Volunteers,  was  placed 
in  charge  of  the  division  hospital.  I  directed  the  hospital  wagons  to  be  parked  near  the  hospital,  and  the  ambulances  in  the 
woods,  about  eighty  rods  to  the  rear  of  the  division.  About  ten  o'clock  the  battle  commenced,  and  the  wounded  were  coming  in 
quite  rapidly.  I  think,  however,  we  received  more  from  Brannan's  division  than  from  our  own,  as  it  seems  the  ambulance 
drivers  of  that  division  were  not  informed  as  to  the  location  of  their  division  hospital.  About  eleven  o'clock  I  directed  the 
hospital  tent  to  be  pitched  near  the  hospital  buildings,  as  they  were  becoming  crowded.  We  continued  to  receive  and  care  for 
the  wounded  until  about  five  r.  M.,  when  our  forces  were  driven  back  in  the  vicinity  of  the  hospital,  and  in  a  few  moments  the 
enemy's  grape  and  canister  were  being  thrown  in  and  around  the  hospital,  making  the  location  entirely  unsafe  for  wounded. 
All  that  could  walk  were  directed  to  fall  back  behind  the  bluff  to  a  place  of  comparative  safety,  while  the  ambulances  were  filled 
as  rapidly  as  possible  with  those  unable  to  walk.  At  this  time  I  received  orders  from  Surgeon  G.  Perin,  U.  S.  A.,  to  send  the 
wounded  to  Crawfish  Spring,  and  accordingly  the  ambulances  were  sent  that  way.  Fortunately  our  forces  soon  drove  the 
enemy  from  the  vicinity  of  the  hospital,  enabling  our  medical  officers  to  return  to  their  duties.  The  ambulances  were  kept  moving 
all  night,  and  not  more  than  forty  were  left  at  the  hospital  on  the  morning  of  the  20th.  On  Sunday  morning,  quite  a  number 
of  wounded  were  brought  into  the  hospital,  but  the  close  proximity  of  the  battle  soon  rendered  its  abandonment  a  necessity, 
when  Surgeon  J.  T.  Reeve,  21st  Wisconsin  Volunteers,  with  the  medical  officers  under  him,  with  great  exertion  succeeded  in 
removing  all  the  wounded,  and  all  the  hospital  tents,  except  one  belonging  to  the  79th  Pennsylvania  Volunteers,  which  had  to 
be  abandoned  for  want  of  transportation ;  and  by  ten  o'clock  they  were  on  the  way  to  Chattanooga.  On  the  morning  of  the 
20th,  the  hospital  tent  of  the  19th  U.  S.  Infantry,  was  burned  by  the  explosion  of  a  shell.  During  the  engagement  of  the  20th, 
the  wounded  were  sent  to  the  rear  as  fast  as  possible,  but  many  of  the  severer  cases  fell  into  the  hands  of  the  enemy,  as  our 
troops  were  constantly  falling  back.  As  the  hospital  at  Mrs.  Gaines's  house  was  broken  up,  I  did  not  detail  any  medical  officers 
to  remain,  but  regret  to  say  that  Surgeons  J.  T.  Reeves,  21st  Wisconsin  Volunteers,  and  L.  I.  Dixon,  1st  Wisconsin  Volunteers, 
and  Assistant  Surgeon  F.  Corfe,  1st  Wisconsin  Volunteers,  and  Acting  Assistant  Surgeon  G.  Vartanyon  were  captured,  and  all 
but  Dr.  Vartanyon  are  in  the  hands  of  the  enemy  at  the  present  time.  On  the  evening  of  the  20th,  our  division  fell  back  to 
Rossville,  and  remained  at  that  place  until  the  night  of  the  21st.  During  the  21st,  it  had  some  skirmishing,  but  no  casualties 
in  the  division.  On  the  night  of  the  21st,  we  were  ordered  to  fall  back  to  Chattanooga,  where  we  arrived  on  the  morning  of  the 
22d  of  September.  As  our  division  fought  mostly  in  the  woods,  but  little  cannon  was  used ;  consequently  the  majority  of  our 
men  were  wounded  with  musketry,  although  we  have  quite  a  number  of  cases  severely  wounded  from  round  shot  and  shell. 
The  casualties  during  the  engagement  are  as  follows :  Killed,  one  hundred  and  fifty-four;  wounded,  six  hundred  and  eighteen. 
It  is  presumed  subsequent  information  will  swell  the  list  very  much,  as  there  are  many  men  reported  missing  who  are 
undoubtedly  either  killed  or  wounded.  The  conduct  of  the  medical  officers  of  the  division,  with  a  few  exceptions,  is  com 
mendable  in  the  highest  degree.  Surgeon  J.  T.  Reeves,  21st  Wisconsin  Volunteers,  who  had  charge  of  the  division  hospital, 
and  was  untiring  in  his  efforts  to  relieve  the  sufferings  of  the  wounded,  is  entitled  to  especial  credit  for  the  manner  in  which  he 
removed  the  wounded  and  hospital  property  under  his  charge.  Surgeons  B.  F.  Miller,  2d  Ohio  Volunteers,  W.  Wagner,  24th 
Illinois  Volunteers,  J.  Currey,  38th  Indiana  Volunteers,  and  L.  I.  Dixon,  1st  Wisconsin  Volunteers,  all  behaved  themselves  in 
the  most  commendable  manner,  as  did  Assistant  Surgeons  W.  II.  White,  79th  Pennsylvania  Volunteers,  B.  Mosemeier,  33d  Ohio 
Volunteers,  B.  C.  Brett,  21st  Wisconsin  Volunteers,  II.  Benson,  10th  Wisconsin  Volunteers,  T.  Wild,  24th  Illinois  Volunteers 
and  Acting  Assistant  Surgeon  Powers." 


272  APPENDED    DOCUMENTS WESTEEN    ARMIES,    J803. 

CCXIX.     Extracts  from  a  Report  of  the  Wounded  of  the  Second  Division  of  the  Fourteenth 
Corps  at  the  Battle  of  Chickamauga.     By  Surgeon  H.  G.  BOGUE,  HHh  Illinois  Volunteers. 

"September  1,  18C3,  the  command  was  in  camp  on  Crow  Creek,  near  Stevenson,  Alabama.  On  the  evening  of 
that  day  it  received  orders  to  march,  to  cross  the  Tennessee  River  near  that  point.  Most  of  the  sick  in  the  division  had  been 
disposed  of  a  few  days  previous  by  sending  them  to  hospital  at  Stevenson;  the  few  that  remained  were,  on  that  day,  transferred  to 
hospital.  I  do  not  know  the  11  umber  thus  disposed  of,  but  the  command  was  very  well  cleared  of  invalids.  About  sunset  the 
command  began  crossing  the  river  on  the  pontoon  bridge  at  Caperton's  Ferry,  near  Stevenson.  With  eleven  regiments  of  infantry 
and  three  batteries  of  artillery,  were  twenty-one  medical  officers  besides  myself,  the  remaining  eight  being  either  absent,  sick,  or 
on  detached  service.  Each  regiment  and  one  of  the  batteries  had  an  ambulance  which  followed  its  respective  command ;  each 
was  furnished  with  an  hospital  knapsack  filled  with  medicines  and  dressings ;  each  had  four  hand  stretchers ;  each  regiment  had  a 
hospital  wagon  which  followed  either  in  its  rear,  or  those  of  the  brigade  together  at  the  rear  of  the  brigade;  each  regiment  had  a 
good  supply  of  instruments,  medicines,  surgical  dressings,  etc.,  and  a  hospital  tent.  There  was  a  division  ambulance  train  of 
thirty  ambulances,  all  in  very  good  condition.  These  followed  at  the  rear  of  the  division,  in  advance  of  the  ammunition  trains. 
Tins  was  the  order  of  the  moving  of  ambulances  and  hospital  wagons  during  the  inarch.  Our  course  of  march  was  up  the  south 
or  east  bank  of  the  river  to  opposite  Bridgeport,  when  we  crossed  the  Raccoon  Mountain  to  the  Lookout  Valley,  near  Trenton, 
Tennessee.  Here  I  took  charge  of  a  wounded  man  of  the  39th  Indiana  Mounted  Infantry,  who  had  been  wounded  that  day,  the 
4th.  I  am  indebted  to  Assistant  Surgeon  C.  F.  Little,  19th  Illinois  Volunteers,  who  kindly  cared  for  him  until  he  could  be 
properly  disposed  of.  From  here  we  moved  up  the  valley  to  cross  Lookout  Mountain  at  Stevens's  Gap.  The  evening  of  the  Cth, 
while  ascending  the  mountain,  there  was  a  slight  skirmish  in  which  one  man  of  the  4'2d  Indiana  Volunteers  was  wounded.  We 
crossed  the  mountain  into  McLamore's  Cove  or  Chickamauga  Valley,  and  on  the  llth,  near  Dug  Gap,  the  enemy  was  encountered, 
when  a  severe  skirmish  or  small  battle  ensued,  during  which  nine  men  were  killed  and  twenty-two  wounded.  Here,  at  David's 
Cross  Roads,  in  the  house  of  Widow  Davis,  the  wounded  were  cared  for;  but  the  command  being  obliged  to  fall  back  from  the 
position,  the  wounded  were  moved  back  first  to  a  point  called  Bailey's  Cross  Roads,  then  to  the  foot  of  the  mountain  to  Stevens's 
house,  at  which  place  they  were  all  cared  for  that  night.  The  1st  division,  Fourteenth  Corps,  being  engaged  with  this,  the 
operations  of  this  day  and  the  few  following  were  made  in  concert  with  Surgeon  S.  Marks,  10th  Wisconsin  Volunteers,  its 
surgeon-in-chief,  to  whom  I  am  much  indebted  for  advice  and  assistance.  The  wounded  were  cared  for  at  Stevens's  house  until 
the  17th,  when  I  received  orders  from  Surgeon  F.  H.  Gross,  U.  S.  V.,  medical  director,  Fourteenth  Corps,  to  send  them  with 
such  sick  as  were  hospital  cases  to  Chattanooga,  in  ambulances.  During  the  march,  as  cases  of  sick  occurred  they  were  taken 
into  the  ambulances  of  the  division  and  transported,  being  mostly  cared  for  by  the  surgeons  of  the  regiments  to  which  they 
belong,  until  at  Stevens's  Gap,  where  there  had  accumulated  about  forty  cases.  A  medical  officer  was  detailed  to  attend  them, 
sheltering  them  in  the  ambulances  which  were  parked  in  a  little  grove.  On  the  morning  of  the  17th,  complying  with  the  above 
mentioned  order,  the  wounded,  twenty,  and  the  sick,  about  forty  cases,  were  started  for  Chattanooga  for  admittance  to  hospital  at 
that  place.  Assistant  Surgeon  W.  P.  Hornbrook,  42d  Indiana  Volunteers,  by  my  direction  accompanied  them,  he  was  furnished 
beef  essence  and  coffee  sufficient  to  feed  them  one  day,  the  time  consumed  in  making  the  journey.  Three  nurses  were  sent  with 
them.  The  sick  and  wounded  of  the  1st  division  were  sent  with  this  train.  Up  to  this  time  two  of  the  wounded  men  had  died, 
and  two  were  so  feeble  that  it  was  thought  best  to  leave  them  there  rather  than  move  them.  The  two  of  this  division,  with  one 
from  the  1st  division,  who  were  injured  too  severely  to  move,  were  left  at  Stevens's  house,  two  nurses,  one  of  each  division,  with 
food,  medicines  and  dressings,  sufficient  for  several  days,  (four  or  five,)  were  left  in  attendance.  By  my  order,  Assistant  Surgeon 
H.  S.  Griswold,  llth  Michigan  Volunteers,  remained  or  returned,  for  the  command  was  on  the  move  when  I  rejoined  it,  to  care 
for  those  left  there.  I  have  heard  nothing  from  him  since;  therefore  I  know  nothing  of  his  fate.  The  division  moved  to  near 
Crawfish  Spring,  arriving  there  the  evening  of  the  18th.  The  morning  of  the  19th,  one  brigade  became  engaged  with  the  enemy 
from  which  several  were  wounded.  They  were  removed  to  \Vidow  Gorden's  house  at  Crawfish  Spring,  their  wounds  dressed 
and  they  put  to  bed.  About  four  o'clock  p.  M.  the  troops  having  nearly  all  passed  beyond  this  point,  I  had  all,  except  two  who 
were  very  severely  wounded,  loaded  into  ambulances  and  moved  toward  the  left,  as  the  battle  had  been  in  progress  in  that 
direction  for  several  hours.  I  thought  the  hospitals  would  be  established  in  that  direction.  After  going  about  one  mile,  I  met 
wounded  men  in  large  numbers  being  taken  back  toward  the  spring.  Still  moving  further  toward  the  left,  I  met  Assistant 
Surgeon  D.  Bache,  U.  S.  A.,  assistant  medical  director  of  the  department  of  the  Cumberland,  who  informed  me  that  all  wounded 
were  to  be  sent  to  the  spring,  as  there  would  be  the  great  depot  for  them.  I  directed  Surgeon  W.  P.  Johnson,  18th  Ohio 
Volunteers,  to  return  to  that  point,  taking  all  the  hospital  wagons  and  the  wounded  with  him,  to  select  some  proper  place  and 
have  the  hospital  tents  pitched,  caring  for  what  there  were  and  be  in  readiness  to  receive  others,  for  a  portion  of  the  division  was 
there  engaged  in  battle.  I  proceeded  to  where  the  command  was;  had  all  the  wounded  gathered  up  and  sent  to  the  hospital.  I 
directed  nine  medical  officers  to  return  there  for  duty  that  night,  I  visited  there  about  midnight,  found  everything  in  proper 
order,  and,  directing  Surgeon  W.  P.  Johnson  to  remain  in  charge  there,  I  returned  to  the  command  and  did  not  visit  the  hospital 
thereafter,  for  the  events  of  the  battle  of  the  20th  early  separated  me  from  communication  with  it.  During  the  early  part  of  the 
day,  wounded  were  gathered  into  the  ambulances  of  the  division  as  also  those  of  the  regiments,  and  not  being  able  to  send  them 
to  the  spring  hospital,  nor  the  one  on  the  left  of  the  line,  they  were,  before  evening,  sent  to  Chattanooga  in  company  with  those 
of  other  divisions.  For  a  time  I  was  separated  from  the  command,  rejoining  it  at  Rossville  about  five  o'clock  p.  M.  When,  from 
the  result  of  the  battle,  it  became  necessary  to  abandon  the  hospitals  at  the  spring,  Surgeon  W.  P.  Johnson  directed  Surgeon 
William  Anderson,  37th  Indiana  Volunteers,  Surgeon  James  R.  Brelsford,  74th  Ohio  Volunteers,  and  Assistant  Surgeon  William 
P.  Hornbrook,  42d  Indiana  Volunteers,  to  remain  with  those  left  there.  The  hospital  wagons  and  ambulances  were  loaded  with 
such  of  the  wounded  as  could  be  transported,  and  ordered  to  Chattanooga.  The  hospital  tents  of  all  the  regiments,  except  the 
37th  Indiana  Volunteers,  78th  Pennsylvania  Volunteers,  and  104th  Illinois  Volunteers,  with  such  of  hospital  stores,  bedding,  and 
medicines  as  were  needed  were  left  there.  On  the  21st,  a  few  were  wounded  who  were  sent  directly  to  Chattanooga.  During 
this  night,  the  command  moved  back  to  this  place.  One  medical  officer  remained  with  each  regiment  during  the  whole  battle 


REPORT    OF    SURGEON    M.    0.    TOLLMAN.  273 

and  afterward,  the  others  being  assigned  to  duty  at  hospitals  in  town.  When  the  field  hospital  was  established  on  the  23d,  a 
portion  of  the  officers  were  ordered  to  duty  there,  the  others  remaining  with  the  regiments  or  at  hospitals  in  town.  During  the 
campaign  two  medical  officers  returned  from  leave  of  absence,  and  since  our  arrival  here  two  have  returned  to  the  command. 
All  are  now  on  duty  with  their  regiments  or  at  the  field  hospital,  or  at  the  hospital  for  the  sick  of  the  division.  Surgeon  William 
Anderson,  37th  Indiana  Volunteers,  has  returned  from  the  hospital  on  the  battle-field,  having  been  exchanged ;  the  others  are 
retained  as  prisoners.  The  conduct  of  the  medical  officers  during  the  campaign  and  battles  was  good,  and  since  has  been  very 
commendable.  There  are  some  who  merit  special  mention;  but  where  all,  with  a  single  exception,  did  their  duty  in  the  positions 
assigned  them,  it  is  not  necessary.  All  have  my  thanks  for  their  faithfulness  and  efficiency,  and  all,  I  trust,  feel  rewarded  in  the 
consciousness  of  having  performed  their  duty  at  a  time  when  their  services  were  needed  and  could  be  well  appreciated  by  those 
who  were  so  unfortunate  as  to  require  their  aid.  I  am  indebted  to  Lieutenant  W.  W.  Barker,  assistant  commissary  of  subsistence, 
2d  division,  Fourteenth  Corps,  for  his  promptness  in  furnishing  food  for  the  sick  and  wounded  as  it  was  needed  from  time  to  time. 
During  the  battle  of  the  20th,  the  ambulance  of  the  74th  Ohio  Volunteers  was  captured.  Each  of  the  surgeons  who  fell  into  the 
enemy's  hands  had  an  amputating  set  of  instruments  which  were  taken  by  the  enemy.  The  full  amount  of  losses  of  that  character 
I  am  unable  to  state.  The  following  is  a  summary  of  our  casualties  from  September  6th  to  21st,  inclusive :  killed,  seventy-one ; 
wounded,  four  hundred  and  ninety-one ;  total,  five  hundred  and  sixty-two.  I  neglected  to  mention  in  proper  place  that  the 
ambulances  which  went  to  Chattanooga  on  the  17th,  returned  on  the  evening  of  the  18th."  *  *  * 


CCXX.     Extracts  from  a  Report  of  the  Wounded  of  the   Third  Division  of  the  Fourteenth 
Corps  at  the  Battle  of  C/iickamauga.     By  Surgeon  M.  0.  TOLLMAN,  2<1  Minnesota  Volunteers. 

"At  the  time  of  the  recent  forward  movement  on  Chattanooga,     *     *     and  during  the  battles  of  the  nineteenth 
and  twentieth,  the  regiments  were  well  supplied  with  medicines  and  instruments.     Each  regiment  and  battery  had  an 

ambulance,  which  followed  in  the  rear  of  the  command,  and  contained  either  a  hospital  knapsack  or  medicine  chest,  furnished. 
Each  regiment  had  a  hospital  wagon,  which  followed  in  the  rear  of  the  command,  or  with  the  general  train,  according  to  the 
nature  of  the  roads ;  this  wagon  carried  medicines,  mess  chest,  tents,  etc.,  which  belonged  to  the  hospital  department.  Each 
brigade  had  a  train  of  ten  ambulances,  making  thirty  in  all,  which  were  under  the  control  of  the  medical  director,  and  followed 
in  the  rear  of  the  ammunition  train.  The  above  order  of  march  was  a  good  deal  interfered  with,  especially  over  Lookout 
Mountain.  August  28th,  the  division  began  crossing  the  Tennessee  River  on  rafts,  and,  on  the  evening  of  September  3d,  the 
troops  and  trains  were  well  over,  with  the  loss  of  three  men  drowned.  On  the  5th,  we  struck  camp  and  marched  at  daylight. 
We  encountered  no  opposition,  and  got  across  Lookout  Mountain  at  eleven  o'clock  A.  M.  on  the  13th,  without  any  casualty  or 
loss  of  transportation.  One  hospital  wagon  of  the  31st  Ohio  Volunteers  upset,  and  some  portion  of  the  stores  were  destroyed. 
This  division  became  engaged  with  the  enemy  early  in  the  morning  of  the  19th,  and  according  to  directions  from  Major 
General  Thomas,  I  located  the  division  hospital  on  the  Rossville  road,  about  two  miles  toward  Rossville,  from  the  point  where 
the  engagement  first  commenced,  at  which  place  there  were  good  springs,  a  church,  and  several  houses.  Before  night  there 
were  nearly  one  thousand  men  of  my  own  and  other  divisions  wounded  in  tile  hospital.  I  had  all  my  tents  and  the  church  and 
houses  filled,  besides  hundreds  lying  out  of  doors.  As  many  of  the  worst  wounded  were  dressed  as  possible.  I  got  them  all  a 
cup  of  coffee  and  a  cup  of  soup,  and  plenty  of  straw  to  keep  them  off  the  ground,  and  built  fires  to  keep  them  warm,  as  but 
few  had  saved  their  blankets  from  the  battle-field.  On  Sunday,  as  the  hospital  was  cut  off  early  in  the  morning  from  all 
communication  with  the  battle-field,  and  several  messengers  that  I  sent  to  find  the  location  of  our  troops  failed  to  get  through, 
or,  if  they  got  through,  to  return  to  us,  none  of  the  wounded  of  this  day  were  brought  to  this  hospital.  In  the  meantime  the 
details  for  operating  corps  had  got  their  tables,  and  had  began  to  perform  the  operations  necessary,  when  a  furious  cannonade 
opened  upon  us.  A  shell  passed  through  a  house  and  killed  a  wounded  officer;  another  fired  one  of  the  tents;  another  exploded 
in  the  streets,  and  knocked  down  two  men  by  the  concussion.  I  started  all  that  could  walk,  and  then  loaded  all  the 
ambulances  and  wagons,  and  started  for  Rossville,  three  miles  distant,  with  all  the  wounded,  save  about  sixty  of  the  worst 
cases,  with  whom  I  detailed  three  medical  officers  to  remain.  All  the  hospital  tents,  and  the  tents  of  the  medical  officers  of  the 
division,  and  the  regimental  supplies  of  the  2d  Minnesota,  9th  and  17th  Ohio,  and  82d  Indiana  Volunteers,  together  with  the  9th 
Ohio  hospital  wagons,  fell  into  the  enemy's  hands.  Subsequently  I  sent  nearly  all  the  wounded  into  Chattanooga  that  night. 
On  Monday,  all  the  wounded  that  could  be  collected  were  sent  to  Chattanooga,  and  many  of  the  lighter  cases  were  sent  right 
on  to  Bridgeport,  and  thus  never  came  under  my  observation,  or  of  any  of  the  regimental  surgeons.  On  Monday  night  the 
army  fell  back  to  Chattanooga,  and  since  then  all  the  medical  officers  of  the  division  have  been  engaged  in  attending  to  the 
wounded  in  general  hospital,  except  one  to  each  regiment.  The  regimental  medical  supplies  have  been  expended  with  the 
wounded  of  the  army,  so  that  in  nearly  every  regiment  a  new  outfit  will  be  necessary  before  the  troops  can  take  the  field.  One 
ambulance  broke  down,  and  had  to  be  left  on  the  battle-field.  I  was  ably  seconded,  on  the  days  of  the  battle  and  subsequently, 
by  the  medical  corps  of  this  division.  All,  with  one  or  two  exceptions,  discharged  their  duty  faithfully  and  fearlessly.  Surgeon 
O.  Q.  Ilerrick,  34th  Illinois,  Surgeon  W.  H.  Lemon,  82d  Indiana,  and  Assistant  Surgeon  Otis  Ayer,  2d  Minnesota  Volunteers, 
subsequently  exchanged,  remained  at  the  hospital  by  my  direction.  Assistant  Surgeons  D.  D.  Benedict,  17th  Ohio,  and  C.  O. 
Wright  and  A.  H.  Landis,  35th  Ohio,  were  captured,  all  of  whom  are  still  held  as  prisoners  of  war,  except  Dr.  Ayer,  exchanged 
as  above  stated.  Our  losses  are  as  follows :  Killed,  three  hundred  and  twenty-five;  wounded,  sixteen  hundred  and  forty-two. 
I  am  under  great  obligations  to  Captain  Roper,  commissary  of  subsistence  of  this  division,  for  the  promptness  with  which  he 
furnished  me  with  rations;  also  to  Lieutenant  Russell,  who  was  detailed  with  a  portion  of  division  provost  guards  as  a  guard  to 
the  hospital,  for  the  promptness  with  which  he  executed  every  order  for  collecting  beeves  and  sheep  from  the  country  for  the 
use  of  the  wounded,  by  direction  of  Surgeon  O.  Q.  Herrick,  34th  Illinois  Volunteers,  in  charge  of  hospital,  and  also  for  collecting 
stragglers,  and  sending  them  to  the  front."  * 

35 


274  APPENDED    DOCUMENTS WESTERN    ARMIES,    1863. 

CCXXI.     lieport  on  the  Operations  of  the  Medical  Staff  of  the  Twentieth  Army  Corps  at  the 
Battle  of  Chickamauga.     By  Surgeon  JABEZ  PERKINS,  10th  Kentucky  Volunteers. 

"We  left  Stevenson,  Alabama,  on  September  2d,  with  one  hundred  and  five  available  ambulances  and  eight 
wagon  loads  of  reserve  medical  and  hospital  supplies.  Among  these  were  twelve  hospital  tents  entire,  which  I  procured  of  the 
post  quartermaster  at  Stevenson,  our  former  supply  having  been  exhausted  in  the  organization  of  a  general  hospital  at  Tulla- 
homa,  in  pursuance  of  orders  from  the  medical  director  of  the  department.  On  the  eve  of  starting  from  Stevenson,  an  order  was 
issued  from  corps  headquarters,  without  my  knowledge  or  consent,  limiting  the  amount  of  medical  and  hospital  supplies  to  be 
carried  by  each  regiment  to  five  hundred  pounds.  On  learning  the  fact,  I  procured  such  modification  of  the  order  as  permitted 
the  regular  hospital  wagons,  of  which  we  had  eleven  in  the  corps,  to  be  taken  along  with  their  contents  unreduced,  and  also  one 
additional  wagon  to  each  division  for  the  transportation  of  such  supplies  as,  in  the  judgment  of  the  division  medical  directors, 
were  most  needed.  The  health  of  our  troops  on  starting  was  good,  considering  the  season  and  locality.  Malarial  fevers  prevailed 
to  some  extent,  but  they  were  generally  of  a  mild  character.  The  first  and  second  divisions  crossed  the  Tennessee  River  at 
Caperton's  Ferry,  four  miles  from  Stevenson,  and  the  third  at  Bridgeport,  twelve  miles  above.  The  former  arrived  at  Valley 
Head  on  September  4th,  at  which  place  they  were  joined  by  the  3d  division  on  the  morning  of  September  10th.  The  command 
had  just  received  orders  to  cross  Lookout  Mountain,  and,  as  an  early  engagement  with  the  enemy  was  deemed  probable,  I  ordered 
the  sick  to  be  left  at  Valley  Head,  where  a  wagon  train  was  parked,  and  Colonel  Post's  brigade  left  as  a  guard.  Such  cases  as 
were  likely  to  be  protracted  were  subsequently  sent  by  supply  train  to  Stevenson,  the  remainder  came  forward  with  Colonel 
Post's  brigade  and  joined  their  command  at  this  place  September  23d.  On  the  morning  of  September  10th,  we  ascended  Lookout 
Mountain,  crossed  over  into  Shinbone  Valley  and  camped  near  Alpine,  Georgia.  On  the  14th,  we  recrossed  Lookout  Mountain 
and  passed  down  Will's  Valley  to  Stevens's  Gap,  Avhere  we  again  crossed  the  mountain  and  joined  General  Thomas's  command 
on  the  16th,  at  Pond  Spring.  On  the  morning  of  the  19th,  the  entire  corps  moved  forward  on  the  Kossville  road,  about  eight 
miles  in  the  direction  of  Chattanooga,  where  they  were  ordered  into  line  of  battle  preparatory  to  a  general  engagement,  which 
opened  on  our  left  about  eleven  o'clock  A.  M.  In  the  disposition  of  troops  the  Twentieth  Corps  was  divided,  the  2d  division 
being  posted  on  the  extreme  left  of  our  army,  and  the  1st  and  3d  divisions  on  the  right.  The  wounded  of  the  2d  division  were 
removed  to  a  temporary  hospital  immediately  in  the  rear,  and  those  of  the  1st  and  3d  divisions  to  the  vicinity  of  Crawfish 
Spring,  on  the  right  and  rear  of  our  line  of  battle.  At  this  point  we  occupied  a  large  brick  building  with  a  number  of  out-houses 
for  hospital  purposes,  and  to  these  were  added  such  hospital  tents  as  were  in  our  possession.  In  addition  to  the  wounded  of  the 
Twentieth  Corps,  a  large  portion  of  those  of  the  Fourteenth  Corps  were  brought  here,  it  being  the  nearest  point  at  which  they 
could  obtain  water.  By  eight  o'clock  in  the  morning  every  place  of  shelter  was  full,  and  a  large  number  were  yet  unprovided 
for.  The  night  was  extremely  cold  for  the  season,  yet  those  compelled  to  remain  out  were  rendered  comparatively  comfortable 
by  large  fires  and  such  bedding  as  we  could  command.  An  abundance  of  nourishment  in  the  form  of  beef  soup,  coffee,  etc.,  was 
provided  for  all,  and  their  wounds  were  dressed  as  rapidly  as  was  possible  under  the  circumstances.  Our  wounded  at  the  2d 
division  hospital  were  well  cared  for  during  the  night;  but  soon  after  the  battle  was  renewed  on  the  morning  of  the  20th,  our 
forces  on  the  left  were  compelled  to  fall  back,  and  it  became  evident  that  the  hospital  would  fall  into  the  hands  of  the  enemy. 
Surgeon  Charles  Schussler,  surgeon-in-chief  of  the  division,  immediately  ordered  all  his  available  ambulances  to  be  filled 
with  such  cases  as  were  transportable  and  sent  them  in  the  direction  of  Chattanooga.  Those  who  were  able  to  do  so  walked  to 
a  place  of  temporary  safety,  while  about  forty  of  the  more  severely  wounded  fell  into  the  hands  of  the  enemy.  About  one  o'clock 
of  the  same  day,  our  right  having  given  way,  the  enemy  got  between  us  and  our  hospitals  at  Crawfish  Spring.  General  Mitchell, 
with  a  large  calvary  force,  was  guarding  the  spring,  but  it  was  evident  that  he  would  be  compelled  to  abandon  the  position.  I 
was  on  the  left  at  the  time,  and  cut  off  by  the  enemy  from  our  hospitals  on  the  light.  Surgeon  Luther  1).  Waterman,  39th 
Indiana  Volunteers,  and  Surgeon  Griffiths,  however,  made  their  arrangements  as  judiciously  and  as  rapidly  as  possible  for  leaving, 
and  Colonel  Boyd,  our  corps  quartermaster,  being  present,  with  commendable  promptness  collected  a  large  number  of  empty 
wagons,  which  having  been  partly  filled  with  straw,  were,  with  the  available  ambulances,  loaded  with  wounded,  and  conducted 
across  Missionary  Hills  to  the  Lookout  Valley  road  and  thence  to  Chattanooga.  About  two  hundred  and  fifty  men  were  left  in 
hospitals  occupied  by  the  1st  and  3d  divisions,  but  many  of  them  were  from  the  Fourteenth  Corps.  Our  forces,  after  giving  way 
on  the  right  and  centre,  fell  back  in  confusion  for  some  distance,  but  they  were  finally  rallied,  and  the  reserve,  under  General 
Granger,  coming  up  about  that  time,  the  enemy  was  again  held  in  check,  and  severe  fighting  continued  until  dark.  The  1st  and 
3d  divisions  of  the  Twentieth  Corps,  however,  were  not  again  engaged.  The  2d  division  was  engaged  during  the  evening,  and 
such  of  the  wounded  as  we  had  the  means  of  removing,  were  sent  to  Rossville,  four  miles  in  the  rear,  and  from  there  to  Chatta 
nooga  the  next  morning.  During  the  night  our  forces  fell  back  on  Rossville,  thus  leaving  the  enth-e  field,  and  with  it  our  dead 
and  the  greater  part  of  the  more  severely  wounded  in  the  hands  of  the  enemy.  The  field  on  which  occurred  the  greater  part  of 
the  fighting  is  slightly  rolling  and  covered  with  timber.  Artillery  was  much  used  during  the  battle,  but  the  fighting  was 
mostly  done  with  musketry  at  short  range  and  with  conical  leaden  bullets.  Judging  from  my  own  observation,  I  would  say 
that  the  proportion  of  slight  wounds  is  greater  than  usually  occurs.  We  left  with  our  wounded  eleven  medical  officers,  with  the 
necessary  medical  supplies,  and  about  three  thousand  rations.  We  lost  during  the  battle  fourteen  ambulances  and  all  the  hospital 
tents  in  the  reserve  supply,  with  five  belonging  to  the  1st  and  two  to  the  3d  division,  which  were  left  at  Crawfish  Spring. 
Besides  the  hospital  tents,  the  only  issues  on  the  field  from  the  corps  supplies  were  two  hundred  and  fifty  tin  cups,  two  hundred 
and  fifty  tin  plates,  two  hundred  and  fifty  table-spoons,  and  one  hundred  woollen  blankets.  The  balance  was  brought  to  Chatta 
nooga.  During  the  night  of  the  21st,  our  army  fell  back  to  Chattanooga,  at  which  place,  in  pursuance  of  orders  from  the  medical 
director  of  the  department,  division  hospitals  have  been  established,  in  which  such  of  the  wounded  as  have  not  been  sent  to  the 
rear  are  now  being  treated  and  are  generally  doing  well.  The  fortunes  of  war  have  placed  it  beyond  our  power  to  furnish  a 
report  of  the  killed;  and,  at  present,  it  is  impossible  to  procure  a  list  of  the  wounded  that  will  even  approximate  accuracy  as  to 
numbers.  Accompanying  this  report  will  be  found  a  reliable  list,  as  far  as  it  goes,  and  a  more  complete  one  will  be  forwarded  as 
soon  as  it  can  be  obtained.  In  conclusion,  I  am  desirous  of  bearing  testimony  to  the  zeal  and  conscientious  regard  for  duty  that 


REPORT  OB"  SURGEON  L.  D.  WATERMAN.  275 

have  characterized  the  conduct  of  our  medical  officers  throughout  the  entire  campaign,  hut  more  especially  during  and  since  the 
battle.  Of  the  division  surgeons-iii-chief  of  this  corps,  I  wish  to  speak  in  terms  of  commendation,  as  very  much  of  the  good 
that  we  have  heen  able  to  accomplish  is  due  to  the  prompt  and  efficient  manner  in  which  they  have  performed  their  duties.  Many 
of  the  regimental  surgeons  and  assistant  surgeons  are  deserving  of  special  notice,  for  which  I  beg  leave  to  refer  you  to  the  reports 
of  the  division  chief  medical  officers,  which  are  herewith  transmitted." 


CCXXIL  Extracts  from  a  Report  of  the,  Wounded  of  the  First  Division  of  the  Twentieth 
Corps  at  the  Battle  of  Chickamauga.  By  Surgeon  L.  D.  WATEKMAN,  39th  Indiana 
Volunteers. 

*  *  *  "On  August  28,  1883,  this  division  crossed  the  Tennessee  River,  and  on  subsequent  days  marched  to  Valley 
Head,  where  one  brigade  remained  until  the  23d  instant,  when  it  rejoined  the  division.  The  sick  of  the  entire  division  were 
left  with  this  brigade,  and  the  2d  and  3d  brigades,  after  marching  almost  day  and  night,  were  suddenly  ordered  into  battle 
whilst  marching  on  the  morning  of  September  19th.  They  were  both  immediately  engaged  with  the  enemy,  and  the  wounded 
began  to  fall  back  for  attention.  Knowing  nothing  of  the  ground  or  lines  of  battle,  I  twice  selected  locations  for  a  division 
hospital  as  speedily  as  I  could,  and  had  to  abandon  them ;  finally,  by  order  of  Surgeon  (Jr.  Perin,  U.  S.  A.,  medical  director 
of  the  department,  I  used  every  exertion  to  collect  the  wounded  at  Crawfish  Spring,  taking  the  brick  buildings  near  by  as  a 
nucleus  for  a  hospital,  and  ordering  thither  ambulances  with  wounded,  and  such  medicine  wagons  and  medicine  and  hospital 
supplies  as  I  had  available.  With  the  exception  of  three  medicine  wagons,  the  regimental  medicine  supplies  were  reduced  by 
general  order  from  corps  headquarters  to  five  hundred  pounds  to  a  regiment,  and  had  necessarily  been  put  with  other  baggage, 
and  taken  by  the  regimental  quartermaster  out  of  the  hands  of  the  medical  officers  for  safety  in  transportation.  These  supplies 
were  not  accessible  when  the  battle  came  on,  and  the  medical  officers  had  consequently  to  rely  on  their  knapsacks,  and  such 
articles  as  they  had  in  their  ambulances.  The  wagon  trains  having  been  subsequently  hurried  to  Chattanooga,  the  hospital 
supplies  were  only  obtained  when  the  troops  reached  that  place.  I  sincerely  hope  such  reduction  will  not  again  be  made.  The 
wounded  of  this  division  were  not  all  recovered  from  the  ground  where  they  fell.  Many,  too  badly  wounded  to  be  easily  brought 
off,  were  left  in  the  enemy's  hands  eventually ;  but  as  many  as  could  be  reached  were  somewhat  commingled  with  wounded 
of  other  divisions  gathered  at  Crawfish  Spring,  where  the  surgeons  of  this  division,  not  needed  with  the  troops  in  front,  were 
organized  under  charge  of  Surgeon  S.  O.  Himoe,  15th  Wisconsin  Volunteers,  to  render  such  aid  as  they  could.  The  following 
medical  officers  were  appointed  in  operating  corps :  Surgeons  S.  B.  Hawley,  36th  Illinois  Volunteers,  E.  M.  Seeley,  21st  Illinois 
Volunteers,  O.  Chamberlain,  8th  Kansas  Volunteers,  and  J.  Blount,  25th  Illinois  Volunteers,  with  Assistant  Surgeons  W.  U. 
Fonts,  81st  Indiana  Volunteers,  II.  T.  Lacy,  101st  Ohio  Volunteers,  J.  Buterbaugh,  8th  Kansas  Volunteers,  and  S.  E.  Beach, 
8th  Kansas  Volunteers.  To  attend  to  cooking,  etc.,  Surgeon  T.  M.  Cook,  101st  Ohio  Volunteers;  for  records,  Assistant  Surgeon 
D.  S.  Clark,  25th  Illinois  Volunteers.  At  this  division  hospital,  without  fatigue  party  or  guards,  the  wounded  were  gathered 
during  the  remainder  of  the  battle.  Some  operations  were  performed,  wounds  were  dressed,  the  wounded  rapidly  fed,  and 
the  medical  officers  worked  faithfully  amidst  the  confusion.  Assistant  Surgeon  D.  S.  Clark,  25th  Illinois  Volunteers,  never 
reported  for  duty,  but  is  believed  to  have  been  captured  while  with  his  regiment,  perhaps  wounded ;  consequently  the  records 
were  not  well  kept  up.  The  supplies  of  sanitary  goods,  beef  extract,  tea,  etc.,  with  five  hundred  pounds  of  fresh  beef  from  the 
division  commissary,  and  sugar,  coffee,  and  hard  bread  procured  from  the  commissary  of  subsistence  of  the  Cavalry  Corps, 
enabled  me,  with  such  articles  of  food  as  were  in  the  ambulances,  to  subsist  the  wounded  until  the  afternoon  of  the  20th,  when 
I  procured  a  wagon  load  of  hard  bread  from  the  cavalry,  and  a  full  wagon  load  of  bread,  sugar,  coffee,  soap,  and  salt  were 
delivered  to  me  by  order  of  Lieutenant  Colonel  Boyd,  assistant  quartermaster  Twentieth  Corps,  whose  attention  to  the  wants 
of  the  hospital  are  worthy  of  especial  commendation.  Subsequently  other  rations,  Avith  sanitary  supplies  from  ambulance 
wagons,  etc.,  were  gathered  together,  until,  without  actual  measurement,  I  think  about  twenty-five  hundred  rations  were  left 
when  we  finally  retreated  from  the  hospital.  The  army  was  apparently  driven  back  so  as  to  expose  this  locality  to  the  enemy 
at  three  o'clock  p.  M.,  on  the  20th  instant,  at  which  time  I  was  with  Brigadier  General  Davis  and  the  division.  I  then  returned 
to  the  hospital,  and  wagons  and  ambulances,  with  such  wounded  as  were  considered  transportable,  were  sent  by  way 
of  Lookout  Mountain  road  to  Chattanooga  as  rapidly  as  possible;  and  no  general  order  having  been  issued  to  direct  me,  I 
ordered  Surgeons  E.  M.  Seeley,  21st  Illinois  Volunteers,  S.  B.  Hawley,  36th  Illinois  Volunteers,  and  Assistant  Surgeons  W.  D. 
Fonts,  81st  Indiana  Volunteers,  and  II.  T.  Lacey,  101st  Ohio  Volunteers,  to  remain  and  surrender  themselves  with  the  wounded; 
to  gather  our  wounded  together,  and  care  for  them  after  our  retreat.  Twelve  hospital  tents  and  flies,  out  of  fourteen  procured 
from  Surgeon  J.  Perkins,  10th  Kentucky  Volunteers,  medical  director  Twentieth  Corps,  with  four  of  my  own,  were  left,  the 
remainder  having  been  sent  to  Chattanooga  on  wagons  with  wounded,  not  having  been  pitched.  Medicines,  instrument*,  and 
hospital  stores — all  that  was  considered  necessary  by  the  surgeons  who  remained — were  left  with  them ;  and  straw  and  rations 
having  been  previously  procured,  and  the  wants  of  the  remaining  wounded  being  supplied  as  well  as  facilities  would  permit,  I 
retreated  to  Chattanooga  with  the  trains  of  wounded,  picking  up  many  by  the  way.  The  loss  of  all  such  records  as  were  made, 
the  absence  of  the  medical  officers  who  could  furnish  the  information  necessary,  together  with  the  constant  and  prostrating 
labors  and  anxieties  since  required  by  the  sick  and  wounded,  have  prevented  me  from  being  able  to  make  a  satisfactory  report, 
and  so  far  affected  my  health  as  almost  to  incapacitate  me  from  doing  so  within  the  time  required.  Assistant  Surgeon  S.  E. 
Beach,  8th  Kansas  Volunteers,  was  seen  near  the  hospital  at  four  r.  M.  on  the  20th  instant,  and  not  having  since  reported,  is 
supposed  to  have  been  captured.  The  next  day  after  our  arrival  in  Chattanooga,  the  21st  instant,  all  the  wounded  of  this 
division  who  were  not  sent  to  Bridgeport,  Alabama,  in  wagon  or  ambulance  trains,  .were  gathered  into  the  sanitary  rooms,  and 
under  charge  of  Surgeon  S.  O.  Himoe,  15th  Wisconsin  Volunteers,  who  attended  them  until  the  24th  instant,  when,  by  order 
of  Surgeon  (L  Perin,  U.  S.  A.,  medical  director  of  the  department,  they  were  taken  to  the  field  hospital  across  the  river,  where 
thuy  now  remain,  except  such  as  were  sent  away  next  day  in  wagons  to  Stevenson,  Alabama.  On  the  24th  instant,  the 


276  APPENDED    DOCUMENTS WESTERN    ARMIES,    18153. 

1st  brigade  had  a  skirmish  with  the  enemy  in  front  of  our  breastworks  at  Chattanooga,  in  which  one  man  was  killed  and  two 
were  wounded.  I  am  unable,  I  regret  to  say,  to  furnish  even  approximate  lists  of  killed  and  wounded.  Many  of  the  slightly 
wounded  were  sent  northward  before  I  could  be  spared  at  Chattanooga,  and  very  many  of  the  most  seriously  wounded  were 
left  in  the  possession  of  the  enemy.  About  two  hundred  wounded  were  left  at  Crawfish  Spring,  and  many  more  on  the  field. 
The  entire  loss  of  the  two  brigades  of  this  division,  as  officially  reported  in  killed,  wounded,  and  missing,  nearly  all  of  whom 
are  said  to  have  been  wounded,  is  one  thousand  three  hundred  and  forty-seven.  The  present  strength  of  these  brigades,  at  the 
time  of  going  into  battle,  was  two  thousand  four  hundred  and  thirty-three ;  about  one-sixth  of  those  lost  are  believed  to  have 
been  taken  unhurt.  Several  hospital  stewards,  cooks,  and  nurses  were  left  with  our  wounded  by  my  orders.  Two  ambulances 
of  this  division  were  captured  during  the  battle,  the  mules  having  first  been  shot ;  two  others,  belonging  to  the  1st  brigade, 
were  captured  on  Lookout  Mountain  while  Colonel  Watkins's  cavalry  Avere  attacked  there.  Many  of  our  convalescents  were 
marching  with  that  cavalry  command,  but  it  is  believed  they  mostly  escaped.  Assistant  Surgeon  J.  P.  Liddall,  22d  Indiana 
Volunteers,  was  with  them." 


CCXXIII.  Extracts  from  a  Iteport  of  the  Wounded  of  the  Second  Division  of  the  Twentieth 
Corps  at  the  Battle  of  Chickamauga.  By  Surgeon  CHARLES  SCHUSSLEK,  Gtli  Indiana 
Volunteers. 

"Since  our  last  report  from  Stevenson,  Alabama,  the  army  continued  in  a  favorable  sanitary  condition,  with 
the  exception  of  some  cases  of  remittent  and  intermittent  bilious  fevers,  which,  however,  readily  yielded  to  treatment.  Although 
the  marches  were  laborious  in  coming  over  mountains,  the  number  of  sick  were  comparatively  few.  At  Winton's  we  established 
a  hospital  depot  on  September  10th,  and  from  there  sent  with  the  wagons  of  the  supply  train  seventy  sick  to  Stevenson,  Alabama. 
On  crossing  Lookout  Mountain,  one  man  belonging  to  the  20th  Ohio  Battery  was  killed  by  the  upsetting  of  a  caisson,  his  skull 
being  fractured.  *  *  I  crossed  Lookout  Mountain  the  third  time  on  the  17th.  One  four-horse  ambulance  was  destroyed. 
The  army  had  a  severe  march  this  day.  We  camped  near  Crawfish  Spring.  On  the  18th,  we  marched  five  miles,  near  a  gap. 
On  the  19th,  we  marched  in  a  northern  direction.  The  division  was  preparing  for  encountering  the  enemy.  The  troops  were  in 
good  spirits,  although  in  passing  through  the  mountains  the  water  of  the  creek  seemed  to  give  rise  to  many  cases  of  diarrho3a. 
f  At  one  o'clock  in  the  afternoon  the  division  formed  in  line  of  battle,  moving  down  a  declivity  through  a  partially  timbered 
country  interspersed  with  some  farms.  I  inquired  of  General  Johnson  about  the  propriety  of  establishing  the  hospital  depot, 
in  which  lie  acquiesced,  after  a  halt  a  mile  further  on.  I  then  sent  a  messenger  out  to  select  a  good  eligible  place,  with  a  depot 
for  the  ambulances,  and  another  in  the  rear  of  the  lines,  some  one  thousand  yards.  The  1st  brigade,  General  Willich's,  entered 
the  woods,  and  in  a  few  minutes  after  I  had  two  wounded  men  to  attend.  The  two  other  brigades  also  entered  the  fight,  and 
they  also  soon  had  wounded.  The  depot  for  receiving  them  was  needed  for  the  position  of  new  troops,  forming  them  in  line 
of  battle,  and,  in  consequence,  had  to  be  removed  more  to  the  rear.  The  ground  selected  to  receive  the  wounded,  which  were 
carried  on  by  the  ambulances  from  the  first  place,  \vas  distant  nearly  a  mile  on  the  left  side  of  the  Chattanooga  road.  On  this 
place  Surgeon  G.  P.  Ashman,  93d  Ohio  Volunteers,  superintended,  and  Surgeon  F.  Irish,  U.  S.  V.,  wras  appointed  to  operate,  having 
with  them  all  available  assistant  surgeons,  nurses,  hospital  stewards,  and  the  two  army  medical  wagons.  I  had  gone  to  the 
battle-field  and  directed  the  removal  of  the  wounded,  and  given  such  assistance  as  was  needed.  The  surgeons  with  the  regiments 
were  in  their  places,  and  dilligently  attending  to  their  duties.  A  short  time  in  the  evening,  after  I  left  the  battle-field,  the  last 
furious  attack  of  the  enemy  was  made  on  our  division,  and  a  great  number  of  the  wounded  had  to  be  removed.  After  three 
o'clock  in  the  morning  I  went  the  last  time  with  four  ambulances,  and  removed  all  of  the  wounded  I  could  find.  We  labored 
now  in  attending  directly  and  dressing  the  wounded,  and  made  them  as  comfortable  as  circumstances  permitted.  In  the 
morning,  arrangements  were  made  to  amputate  in  a  log  house  near  by.  After  deciding  on  the  cases  absolutely  requiring  operation, 
they  were  removed  to  the  place,  but  the  enemy  moved  around  the  woods,  and  soon  our  communication  with  the  army  was 
interrupted.  I  now  ordered  all  the  less  severely  wounded,  and  those  who  could  walk,  to  ascend  the  hill  and  secrete  in  the  woods. 
When  I  was  certain  that  the  enemy  intended  to  assail  our  camp,  I  had  the  wrounded  who  needed  transportation  put  on  litters, 
and  the  ambulances  filled  with  wounded  to  move.  At  this  time  the  camp  was  shelled,  and  the  operations  had  to  be  suspended. 
The  place  seemed  now  entirely  untenable ;  the  shells  flew  in  all  directions.  We  still  helped  some  of  the  wounded  out  of  the 
tents  and  out  of  the  range  of  the  fast-falling  shells,  which  we  fortunately  avoided.  After  doing  what  I  could,  I  retreated  to 
the  hill.  I  sent  word  to  the  ambulance  master  to  move  on  toward  Chattanooga  with  the  medical  wagons.  I  went  around 
to  find  the  wounded,  and  gave  those  most  in  need  some  stimulants  and  others  assistance.  We  heard  the  yelling  and  hurrahing 
of  the  enemy  in  our  camps.  After  it  became  still,  I  returned  from  my  shelter,  but  was  soon  confronted  by  Louisiana  troops 
and  made  a  prisoner;  but  was  allowed  to  attend  to  the  wounded,  having  gone  near  to  the  camp.  I  had  left  word  for  those 
remaining  not  to  come  out  until  I  sent  them  word.  In  a  short  time  I  was  released  by  the  skirmishers  of  Genei-al  Granger  coming 
gallantly  into  camp.  I  was  advised  by  an  officer  to  remove  those  in  the  camp  a  thousand  yards  to  the  rear,  where  there 
was  a  house  and  temporary  field  hospital.  This  was  a  good  deal  of  labor.  I  had  the  assistance  of  four  of  General  Granger's 
ambulances.  I  went  a  second  time  in  the  woods  for  some  wounded,  and  was  made  a  prisoner  a  second  time.  After  dark  I  came 
off  and  returned  again  to  the  camp  hospital.  Surgeons  S.  J.  Young,  79th  Illinois  Volunteers,  G.  P.  Ashman,  93d  Ohio  Volunteers, 
Assistant  Surgeons  W.  A.  Collins,  Cth  Indiana  Volunteers,  J.  M.  Weaver,  93d  Ohio  Volunteers,  and  K.  P.  Tombs,  99th  Illinois 
Volunteers,  were  there  still.  The  enemy  had  shelled  the  camp  a  second  time.  We  slept  there  that  night,  and,  in  the  morning, 
aware  that  the  enemy  had  passed  on  to  Chattanooga,  and  that  we  were  inside  of  his  lines,  we  concluded  to  divide.  Surgeons  G.  P. 
Ashman,  93d  Ohio  Volunteers,  S.  J.  Young,  7-9th  Illinois  Volunteers,  J.  M.  Weaver,  93d  Ohio  Volunteers,  and  R.  P.  Tombs,  99th 
Illinois  Volunteers,  preferred  to  remain  and  collect  the  remaining  wounded,  the  rest  of  us  to  go  on  to  the  army.  We  commenced 
our  march  carefully  along  the  road  on  Monday  the  21st,  and  airived  safely  in  our  lines  in  the  course  of  the  day.  I  reported  to 
General  Johnson,  and  stated  all  the  circumstances.  The  number  of  wounded  left  under  the  charge  of  the  surgeons  aforesaid 


REPORTS    OF    SURGEONS    GRIFFITHS    AND    PIIELPS.  277 

amounted  to  thirty,  as  far  as  I  could  ascertain,  some  three  or  four  nurses,  some  nourishment,  but  hardly  enough  to  last. 
Efforts  by  myself  to  return  with  provisions  and  ambulances  were  deemed  inexpedient.  At  that  time,  a  flag  of  truce  sent  there 
returned  unsuccessfully.  The  army  inarched  to  Chattanooga.  By  order  of  Surgeon  G.  Perin,  U.  S.  A.,  a  camp  hospital  was 
instituted  three  miles  on  the  other  side  of  the  river,  and,  since,  buildings  have  been  assigned  to  form  a  division  hospital,  which  is 
in  progress  under  the  superintendence  of  Surgeon  F.  Irish,  U.  S.  V.  Part  of  the  sick  from  the  field  hospital  are  to  be  removed 
to  this  establishment;  those  who  are  comfortable,  or  not  fit  to  transport,  to  remain  under  charge  of  Assistant  Surgeon  E.  D. 
Bowers,  93d  Ohio  Volunteers,  with  sufficient  assistance,  it  forming  a  part  or  ward  to  the  general  hospital  of  the  2d  division  in 
town." 

CCXXIV.     Extracts  from  a  Report  of  the  Wounded  of  the  Third  Division  of  the  Twentieth 
Corps  at  the  Battle  of  Chickamauga.     By  Surgeon  .D.  J.  GRIFFITHS,  2d  Kentucky  Volunteers. 

"I  have  the  honor  to  transmit  the  following  report  of  field  operations  of  this  division  since  leaving  Bridgeport, 
September  2,  1863.  Previous  to  this  time,  the  division  was  stationed  at  Stevenson  and  Bridgeport,  locations  which  are  noted  for 
malarial  diseases.  Our  morning  reports  indicated  about  two  hundred  cases  of  intermittents  in  the  division.  About  ninety  of  these 
patients  were  left  in  general  hospital  in  Stevenson,  the  rest  were  taken  with  the  column  and  improved  gradually  as  we  advanced. 
We  broke  up  camp  September  2d,  marched  to  Huggan  Valley,  about  six  miles  from  Bridgeport,  rested  there  that  night  and 
the  next  day,  and  commenced  the  ascent  of  Raccoon  Mountain  on  the  4th.  Colonel  Laball,  who  was  in  the  rear  of  the  wagon 
train,  completed  the  ascent  on  the  5th ;  the  other  two  brigades  marched  to  Trenton  the  same  day.  September  6th,  we  marched 
southeast  to  Stevens's  Mill,  about  twelve  miles  from  Trenton,  where  we  rested  two  days.  While  here  we  heard  of  the  evacuation 
of  Chattanooga.  On  September  10th,  we  moved  southward  to  Valley  Head,  at  which  place  were  left  about  sixty  sick,  under 
charge  of  Surgeon  Ernst  Jahn,  15th  Missouri  Volunteers.  We  ascended  Lookout  Mountain  the  same  day,  and  encamped  at 
night  near  Indian  Fall,  on  the  Yellow  Fork  of  Little  River.  September  llth,  we  inarched  across  Lookout  Mountain,  descended 
into  Shinbone  Valley,  and  encamped  on  the  state  line  of  Georgia  and  Alabama  at  Alpine,  where  we  remained  until  the  morning 
of  the  13th,  when  wre  recommenced  the  ascent  of  the  formidable  Lookout  Mountain,  and  encamped  on  Little  River,  about  eleven 
o'clock  at  night.  On  September  14th,  we  marched  to  Stevens's  Mill,  a  distance  of  twenty-three  miles,  and  on  September  15th, 
to  Johnson's  Creek,  seven  miles,  and  encamped  at  the  foot  of  Lookout  Mountain.  On  the  16th,  we  reascended,  crossed  the 
mountain,  and  encamped  in  McLamoi-e's  Cove  near  Stevens's  Gap,  where  we  remained  during  the  17th.  On  the  18th,  we  marched 
to  Lee's  Mill,  and  went  into  camp.  We  proceeded  at  dark  to  Pond  Spring,  having  marched  this  day  about  twelve  miles.  On 
September  19th,  marched  to  Gordon's  Mill,  where  the  3d  brigade,  commanded  by  Colonel  Bradley,  became  engaged  for  a  short 
time,  losing  about  one  hundred  men  killed  and  wounded.  I  established  a  field  hospital  about  one  mile  to  the  rear  of  Gordon's 
Mill  during  the  night,  and  remained  there  until  the  morning  of  September  20th,  when  the  movement  of  our  force  to  the  left 
caused  me  to  evacuate  and  move  my  hospital  to  the  position  occupied  by  most  of  the  other  division  directors  as  hospitals  near 
Crawfish  Spring.  I  remained  in  this  place  and  superintended  the  organization  of  a  field  hospital  until  about  one  o'clock  in  the 
afternoon,  when  I  was  again  forced  to  evacuate,  leaving  two  surgeons  in  charge  of  the  wounded  whom  it  was  necessary  to 
abandon,  about  forty  in  number.  The  ambulances  had  been  sent  to  the  front  to  obtain  more  of  our  wounded,  as  the  3d  division 
was  again  engaged,  but  none  of  them  returned  to  this  point.  One  of  them  was  captured  by  the  enemy,  the  others  made  their 
escape  loaded  with  wounded,  across  the  Missionary  Ridge  into  the  valley  of  Chattanooga,  and  thence  to  Chattanooga.  The 
adjutant's  report  shows  a  loss  of  over  one  thousand  five  hundred  in  the  two  days'  fighting  on  Chickamauga  River.  Not  more 
than  one-fifth  of  them  fell  into  our  hands;  nearly  all  of  the  severely  wounded  were  left  upon  the  field.  Altogether  this  has  been 
the  most  unsatisfactory  engagement  as  far  as  the  care  of  the  wounded  was  concerned,  that  I  have  ever  been  engaged  in.  I  do 
not  think  this  can  be  ascribed  to  the  medical  officers;  for,  as  far  as  they  fell  under  my  observation,  they  did  their  duty  nobly  and 
fearlessly.  Surgeon  E.  A.  Merrifield,  44th  Illinois  Volunteers,  is  reported  wounded  and  left  upon  the  field.  The  medical  officers 
left  in  charge  of  the  wounded  were,  Surgeon  Thomas  L.  Magee,  51st  Illinois  Volunteers,  and  Assistant  Surgeons  Isaac  W.  Brown, 
22d  Illinois  Volunteers,  and  Henry  A.  Goodale,  and  G.  H.  Blaker,  21st  Michigan  Volunteers.  The  names  of  the  wounded 
accompanying  the  report  are  only  such  as  have  been  received  into  the  division  hospitals  in  charge  of  Surgeon  Edward  H. 
Bowman,  27th  Illinois  Volunteers,  and  is  very  meagre  when  compared  with  our  actual  losses." 

CCXXV.     Report  on  the    Operations  of  the   Medical  Staff  of  the  Twenty-first  Army  Corgis 
at  the  Battle  of  Chickamauga.     By  Surgeon  A.  J.  FHELPS,  U.  S.  Volunteers. 

HEADQUARTERS  TWENTY-FIRST  ARMY  CORPS,  MKDICAL  DIRECTOR'S  OFFICE, 

CHATTANOOGA,  TENNESSEE,  September  29,  1863. 

"SlR:  I  have  the  honor  to  submit  the  following  report  of  the  operations  of  the  medical  department  of  the  Twenty-first 
Corps  previous  to,  and  at  the  battle  of  Chickamauga.  Before  leaving  Murfreesboro',  in  June,  1863,  this  corps  was  placed  in 
a  good  and  effective  condition  to  meet  the  enemy.  The  train  of  ten  wagons  for  reserve  hospital  supplies  had  been  replenished. 
Each  regiment  was  supplied  with  one  good  ambulance,  and  each  division  with  thirty  additional  ambulances,  every  ten  of  which 
were  placed  under  the  charge  of  an  ambulance  master.  The  medical  officers  of  each  division  were  organized  in  such  a  manner 
as  to  give  to  each  officer  a  specific  duty  to  perform,  and  certain  of  the  medical  officers  were  designated  to  remain  with  the  wounded 
in  the  event  of  a  retreat.  Thus  prepared  we  marched  against  the  enemy  at  Shelbyville,  Tennessee.  He  declined  battle  and 
precipitately  retreated  to  the  south  side  of  the  Tennessee  River.  In  the  skirmishing  that  took  place  at  this  time,  our  corps 
scarcely  fired  a  gun.  The  army  then  halting  for  several  weeks,  it  became  necessary  for  us  to  establish  hospitals  for  the  temporary 
care  of  our  .sick  at  Manchester  and  McMinnville,  which  was  done  by  your  order.  Hospitals  to  accommodate  two  hundred  and 
lift  v  patients  were  established  at  these  points,  and  requisitions  were  made  upon  my  corps  'reserve  supplies  for  this  purpose. 


278  APPENDED    DOCUMENTS WESTERN    ARMIES,    1803. 

Finally,  on  August.  16th,  we  took  up  our  line  of  march  for  Chattanooga,  and  crossed  the  Tennessee  River  at  Shellmound  on 
September  4th  and  5th,  and  occupied  Chattanooga  on  the  9th,  with  but  little  skirmishing.  Immediately  upon  arriving  at  this 
place  I  examined  the  hospital  accommodation  it  afforded,  a  report  of  which  I  made  to  you  at  the  time.  Our  corps  was  ordered 
to  make  immediate  pursuit,  and  skirmished  daily  with  the  enemy,  with  a  total  loss  of  forty  wounded  besides  the  killed,  until 
Saturday,  September  19th,  when  the  battle  opened  in  earnest.  The  day  previous  to  the  battle,  the  most  favorable  sites  were 
selected  for  our  division  field  hospitals.  They  were  selected  within  a  mile  and  a  half  of  Crawfish  Spring,  which  was  the  only 
accessible  water,  and,  with  a  view  to  the  possibility  of  a  retreat,  were  placed  upon  roads  that  led  to  the  rear,  across  Missionary 
Ridge  to  Chattanooga  Valley.  These  points  were  directly  in  the  rear  of  our  line  of  battle  in  the  morning,  but  as  the  battle 
seemed  to  be  tending  to  the  left,  about  noon  I  received  an  order  from  the  medical  director  of  the  department  to  remove  my 
hospitals  in  that  direction,  which  order  was  subsequently  countermanded.  Accordingly  they  were  restored  to  their  original 
position,  and  during  the  day  and  night  about  one  thousand  two  hundred  wounded  were  received  into  these  hospitals.  On  Sunday 
morning,  September  20th,  I  directed  the  corps  purveyor-to  issue  his  supplies  equally  to  each  of  the  three  hospitals,  to  be  used  at 
the  discretion  of  the  surgeons  in  charge.  Toward  noon  it  was  discovered  that  the  wounded  ceased  to  come  in,  and  that  our 
communication  with  the  army  was  cut  off.  The  cavalry  corps  only  remained,  which  had  been  posted  for  the  protection  of  the 
hospitals  and  the  right  flank  of  our  line  of  battle.  At  about  two  o'clock  P.  M.,  it  became  apparent  that  we  were  finally  separated 
from  our  forces,  and  that  the  cavalry  was  being  slowly  forced  back  upon  us.  I  then  gave  the  order  to  remove  the  hospitals  over 
the  ridge  to  Chattanooga  Valley.  Upon  arriving  there,  I  discovered  it  was  not  prudent  to  stop  short  of  Chattanooga,  at  which 
place  all  arrived  in  the  course  of  the  succeeding  night.  The  enemy,  I  have  since  learned,  wras  in  possession  of  the  ground 
occupied  by  our  hospitals  within  a  few  minutes  after  we  had  left.  Every  means  of  transportation  was  seized  upon  to  carry  away 
our  wounded,  and  but  about  two  hundred  were  left  behind.  Fourteen  medical  officers  of  the  corps  were  detailed  to  remain  and 
attend  to  these  and  to  the  wounded  left  upon  the  field,  and  a  liberal  supply  of  hospital  stores  were  left  for  their  use,  besides  a 
number  of  hospital  tents,  which  it  was  impossible  to  bring  away.  On  Monday  morning,  by  direction  of  the  medical  director  of 
the  department,  I  assisted  in  the  selection  of  a  safe  point  beyond  the  Tennessee  River  for  a  general  field  depot  for  the  wounded, 
which  was  placed  under  the  charge  of  Surgeon  W.  W.  Blair,  58th  Indiana  Volunteers,  chief  surgeon  of  the  1st  (Wood's) 
division,  and,  at  the  present  time,  each  division  of  this  corps  has  its  own  surgeons  in  professional  charge  of  its  own  wounded, 
not  sent  forward  to  Bridgeport,  all  of  whom  are  doing  well.  The  strictly  professional  report  of  this  battle  must  necessarily  be 
very  unsatisfactory  in  consequence  of  our  having  lost  the  field,  and  with  it  the  severest  wounded  in  the  Sunday's  fight.  The  list 
furnished  by  the  division  surgeons  will  be  made  out  with  all  possible  care,  giving  the  location  and  character  of  wound,  etc.  The 
firing  was  chiefly1  musketry  at  short  range  with  conical  hall.  The  cannonading  was  not  proportionally  as  severe  as  at  Stone's 
River.  The  following  is  a  statement  of  the  number  of  killed  and  wounded  reported  in  the  corps.  I  am  of  opinion  that  one 
hundred  and  fifty  in  addition  will  cover  our  losses:  killed,  officers,  thirty- three;  privates,  two  hundred  and  sixty-nine;  wounded, 
officers,  one  hundred  and  forty-two ;  privates,  two  thousand  and  fifteen ;  total,  officers,  one  hundred  and  seventy-five ;  privates, 
two  thousand  two  hundred  and  eighty-four,  making  an  aggregate  of  two  thousand  four  hundred  and  fifty-nine  killed  and 
wounded.  I  wish  to  speak  in  terms  of  high  commendation  of  the  services  rendered  by  Surgeon  S.  D.  Tumey,  U.  S.  V.,  surgeon- 
in-chief  3d  (Van  Cleve's,)  division,  Surgeon  \V.  W.  Blair,  58th  Indiana  Volunteers,  surgeon-in-chief  1st  (Wood's,)  division, 
and  Surgeon  S.  G.  Menzies,  1st  Kentucky  Volunteers,  surgeon-in-chief  2d  (Palmer's)  division.  The  promptness  with  which  they 
located  their  hospitals  and  received  and  cared  for  the  wounded,  and  the  efficiency  they  exhibited  throughout,  even  to  the  final 
removal  of  their  hospitals  and  wounded  from  the  dangers  of  capture,  recommends  them  to  your  high  confidence.  Also,  I  am 
desirous  to  speak  of  the  services  of  Assistant  Surgeon  B.  II.  Cheney,  41st  Ohio  Volunteers,  and  corps  medical  purveyor, 
who  was  prompt  in  issuing  his  supplies  and  rendering  professional  assistance  to  the  wounded.  I  know  of  no  case  of  neglect  of 
duty  on  the  part  of  the  regimental  medical  officers  of  this  corps;  on  the  other  hand,  all  evinced  a  desire  to  do  their  part  well. 
For  special  mention  of  such,  and  other  matters  specially  connected  with  the  divisions,  I  beg  to  refer  you  to  the  accompanying 
reports  of  the  division  surgeons.  In  a  few  days,  I  expect  to  be  able  to  forward  a  list  of  the  names  of  the  killed  and  wounded  of 
the  corps. 

Very  respectfully,  your  obedient  servant, 

A.  J.  PHELPS, 

Surgeon  U.  S.  V.,  Medical  Director  Twenty-first  Army  Corps. 
Surgeon  G.  PERIX,  U.  S.  A.,  Medical  Director  Department  of  the  Cumberland." 


CCXXVI.     Extracts  from  a  Report  of  the  Wounded  of  the  First  Division  of  the  Twenty-first 
Corps  at  the  Jlattle  of  Chickamauga.     By  Surgeon  W.  W.  BLAIR,  58th  Indiana  Volunteers. 

"  Our  command  marched  from  Ilillsboro',  Tennessee,  August  16th,  by  way  of  Pelham.  passing  over  the  mountains 
to  Sherman,  in  the  Sequatchie  Valley,  which  point  we  left  on  September  1st,  marching  directly  to  Shellmound,  by  way  of  Jasper. 
On  September  5th,  we  left  Shellmound  and  marched  toward  Chattanooga,  following  the  line  of  the  Memphis  and  Chattanooga 
railroad.  On  Sunday,  September  6th,  skirmishing  with  the  enemy's  pickets  began  and  was  continued  during  that  day's  march, 
which  left  us  within  eight  miles  of  Chattanooga.  There  were,  however,  no  serious  casualties  upon  our  side.  On  Monday, 
September  7th,  a  reconnoissance  was  made  by  Colonel  Marker's  brigade,  near  to  the  point  of  Lookout  Mountain,  during  which 
we  had  one  man  killed.  On  Wednesday,  the  9th  instant,  we  entered  and  occupied  Chattanooga.  During  our  passage  around 
the  point  of  Lookout  Mountain  there  was  considerable  skirmishing,  but  no  casualties  to  us.  On  Thursday,  the  10th  instant, 
we  marched  out  on  the  Ringgold  road  across  the  Chickamauga  River.  On  the  forenoon  of  the  llth  instant,  with  one 
brigade,  we  advanced  within  five  miles  of  Ringgold,  and,  in  the  afternoon  and  night,  we  marched  by  a  road  intersecting  the 
Chattanooga  and  Lafayette  road  to  Gordon's  Mill  on  the  Chickamauga  River.  Colonel  Barker's  brigade  having  been  sent 
early  in  the  morning  on  a  reconnoissance  on  the  Lafayette  road  by  way  of  Rossville,  a  considerable  force  of  the  enemy's  cavalry 
way  driven  back  across  the  Chickamauga  without  loss  to  us.  By  twelve  o'clock  at  night  our  two  brigades  were  encamped 


REPORT    OF    SURGEON    W.    W.    P.LAIR.  279 

at  Gordon's  Mill,  the  enemy's  camp-tires  in  full  view  across  the  river,  and  a  full  division  of  his  forces  encamped  at  Crawfish 
Spring,  two  miles  to  our  right.  On  the  12th,  13th,  and  14th.  there  were  frequent  skirmishes  with  the  enemy.  On  the  14th 
a  member  of  the  64th  Ohio  Volunteers  was  wounded  in  the  left  forearm  by  a  musket  ball.  On  the  15th,  ICth,  and  17th, 
there  was  frequent  picket  firing,  but  generally  at  long  range;  hence  there  was  no  serious  result  to  us.  On  the  18th,  it  became 
very  manifest  that  a  battle  was  to  take  place,  and,  without  delay,  I  selected  a  location  for  a  field  hospital  for  this  division  in  the 
vicinity  of  Crawfish  Spring,  one  and  two-thirds  of  a  mile  from  the  location  of  the  command,  and  one-third  of  a  mile  from  the 
spring.  At  ten  o'clock  A.  M.,  I  directed  two  medical  officers  from  each  brigade  to  take  charge  of  the  ambulance  trains  of  their 
respective  brigades,  and  of  the  musicians  of  the  various  regiments,  whose  duty  it  was  to  carry  the  wounded  from  the  field. 
Collecting  the  remainder  of  my  medical  officers,  their  hospital  attendants  and  hospital  wagons,  I  moved  back  to  the  ground 
selected  for  the  hospital.  I  at  once  had  a  sufficient  space  policed,  and  wood  and  water  provided  for  any  emergency.  Inasmuch 
as  our  command  was  not  engaged  that  day,  our  camp  was  not  needed  for  ourselves;  but  late  in  the  evening  we  received 
fifteen  wounded  men  from  the  command  of  Colonel  Wilder,  reported  to  me  by  the  acting  brigade  surgeon,  Samuel  E.  Mumford 
surgeon  17th  Indiana  Volunteers.  The  most  serious  of  these  wounds  was  that  of  Lieutenant  Drury,  of  the  17th  Indiana 
Volunteers,  from  a  cannon  ball,  requiring  amputation  of  lower  limb  two  inches  above  ankle.  Just  at  nightfall  I  received  an 
equal  number  of  wounded  from  the  command  of  Colonel  Minty,  who  were  properly  cared  for  by  the  medical  officers  of  my 
command.  On  the  morning  of  September  19th,  I  directed  two  medical  officers  belonging  to  each  brigade  to  take  one-half  of  the 
ambulance  train  of  their  respective  brigades  and  accompany  the  command;  the  remainder  of  the  ambulance  train  I  kept  in  the 
vicinity  of  the  hospital  to  meet  any  emergency  that  might  arise.  During  the  afternoon,  about  half-past  three  o'clock,  our  situation 
seemed  somewhat  hazardous!,  and,  upon  the  medical  director's  advice,  I  had  the  entire  encampment  moved  to  a  point  more  directly 
in  the  rear  of  where  the  battle  was  then  raging.  Later  in  the  evening,  Surgeon  G.  Perin,  U.  S.  A.,  directed  that  the  wounded 
should  all  be  taken  to  Crawfish  Spring  or  its  vicinity,  and  I  accordingly  returned  to  the  ground  I  had  left  but  a  few  hours 
before.  I  had  scarcely  arrived  there  when  the  wounded  of  the  1st  division  began  to  be  brought  in  in  large  numbers,  for  they 
had  late  in  the  evening  been  engaged  in  a  terrific  fight.  By  three  o'clock  A.  Jr.  of  the  20th,  my  camp  contained  about  four 
hundred  wounded,  about  three  hundred  of  whom  were  from  my  own  division.  Extensive  fires  were  kept  up  all  night,  and  my 
medical  officers  and  attendants  labored  faithfully  to  alleviate  the  unutterable  suffering  with  which  we  were,  surrounded.  At  an 
early  hour  on  the  morning  of  the  20th,  I  again  sent  out  the  usual  number  of  medical  officers,  placing  them  in  charge  of  every 
available  ambulance  in  the  command.  During  the  forenoon  all  the  remaining  officers  labored  diligently  and  efficiently  among 
the  wounded.  About  twelve  M.  I  forwarded  to  Chattanooga  about  one  hundred  and  fifty  Avounded  men  from  my  camp.  Forty 
of  these,  whose  wounds  were  of  the  superior  extremity,  were  able  to  walk ;  the  remainder  I  sent  by  wagon.  By  two  o'clock  p.  M. 
our  situation  became  very  insecure;  the  entire  force  of  infantry  had  been  withdrawn  from  our  front  and  sent  far  to  the  left, 
leaving  us  with  only  a  small  force  of  cavalry  as  a  guard.  At  this  time  I  received  an  order  to  remove  as  many  of  the  wounded 
as  possible  to  the  Chattanooga  Valley,  with  hospital  property,  etc.,  and  to  place  medical  officers  in  charge  of  such  cases  as  were 
not  transportable.  Accordingly  I  placed  Surgeon  A.  Ewing,  13th  Michigan  Volunteers,  in  charge  of  the  wounded  from  this 
division,  assisted  by  Surgeon  William  B.  McGavran,  26th  Ohio  Volunteers,  Assistant  Surgeons  Samuel  E.  Holtzman  and  W.  A. 
Downey,  58th  Indiana  Volunteers,  and  Henry  T.  Woodruff,  100th  Illinois  Volunteers,  leaving  six  hospital  tents  and  my  own 
tent  filled  with  wounded ;  leaving  also  ample  hospital  stores,  and  such  rations  as  I  had  at  my  command.  After  giving  general 
directions  as  to  the  removal  of  the  wounded,  hospital  property,  etc.,  I  proceeded  to  Chattanooga  Valley  to  assist  in  the  selection 
of  suitable  ground  for  re-establishing  the  hospital.  On  arriving  there,  I  learned  that  transportation  of  all  kinds  was  ordered  to 
Chattanooga  that  night,  and,  upon  advising  with  the  medical  director,  I  determined  to  move  forward  to  that  point  with  my  entire 
hospital  department.  On  arriving  at  this  conclusion,  I  immediately  returned,  and  met  my  hospital  wagons  and  ambulances, 
each  filled  to  its  utmost  capacity  with  wounded,  and  accompanied  with  all  the  medical  officers  of  my  command  not  otherwise 
assigned,  all  moving  toward  Chattanooga  in  the  general  train.  At  ten  o'clock  P.  M.  we  arrived  at  the  hospital  in  the  vicinity 
of  the  town,  where  our  wounded  were  made  as  comfortable  as  the  circumstances  would  allow.  Early  on  the  forenoon  of  Monday, 
the  21st  instant,  leaving  (Surgeon  J.  M.  Todd,  acting  brigade  surgeon  3d  brigade,  in  charge  of  the  wounded  brought  in  the  previous 
night,  I  took  the  usual  number  of  field  surgeons  and  all  the  ambulances  at  my  command,  and  reported  to  General  Wood  upon 
Missionary  Ridge,  near  Rossville.  A  renewal  of  the  battle  being  imminent,  I  at  once  made  suitable  disposition  of  the  field 
surgeons,  ambulances,  and  attendants,  and  returned  to  Chattanooga  and  made  preparation  for  the  reception  of  the  wounded ; 
but,  to  my  great  relief,  none  came  which  were  of  a  serious  character.  Early  on  the  morning  of  the  22d,  I  was  ordered  by 
Surgeon  G.  Perin,  U.  S.  A.,  to  cross  the  Tennessee  River,  select  suitable  ground,  and  establish  a  general  field  hospital  for  the 
wounded  of  the  entire  army.  The  selection  of  the  ground  which,  with  your  assistance,  I  made,  was  two  miles  from  the  river, 
and  in  the  immediate  vicinity  of  the  Bridgeport  road.  I  then  placed  Surgeon  E.  B.  Click,  4()th  Indiana  Volunteers,  acting 
brigade  surgeon  of  the  2d  brigade,  in  charge  of  the  division,  and  Surgeon  J.  M.  Todd,  65th  Ohio  Volunteers,  acting  brigade 
surgeon  of  the  3d  brigade,  in  charge  of  our  department  of  the  general  field  hospital;  appointing,  also,  Surgeon  A.  W.  Hiese, 
100th  Illinois  Volunteers,  acting  brigade  surgeon  of  the  1st  brigade,  and  Surgeon  Abraham  McMahon,  64th  Ohio  Volunteers,  as 
operating  surgeons;  and  I  am  happy  to  say  that  the  results  from  the  operations  performed  by  these  gentlemen  afford  ample 
evidence  of  their  ability  as  surgeons.  A  large  portion  of  my  time  was  occupied  in  the  executive  department;  hence  I  was  able 
to  spend  much  less  time  among  the  wounded  than  I  desired.  On  October  1st,  in  obedience  to  your  order,  I  assigned  Surgeon 
.).  M.  Todd  to  the  charge  of  the  general  hospital  for  this  division  in  Chattanooga,  and,  on  the  3d  instant,  also  in  accordance  with 
your  order,  I  reported  to  General  Wood  for  duty,  and  have  taken  charge  of  the  medical  department  of  this  division  as  heretofore. 
In  behalf  of  the  medical  officers  of  this  command,  I  am  gratified  to  say  that  they,  each  and  all,  faithfully  complied  with  the 
orders  given  them  by  me  throughout  the  entire  engagement,  and  especially  in  behalf  of  those  officers  whose  duty  it  became  to 
remain  and  care  for  our  wounded  who  were  left  within  the  rebel  lines,  does  it  give  me  pleasure  to  state  that  I  hear  from  them 
the  very  best  reports.  Every  soldier  who  has  come  within  our  lines  concurs  in  the  statement  that  they  have  done  everything 
that  olliccrs  could  do  under  the  circumstances  to  enhance  the  comfort  of  our  men.  The  officers  of  the  2d  brigade,  although  not 
engaged  iu  the  battle,  have,  under  the  direction  of  Surgeon  E.  B.  Glide,  40th  Indiana  Volunteers,  afforded  valuable  assistance 


280  APPENDED    DOCUMENTS WESTERN    ARMIES,    18(53. 

in  the  care  for  our  wounded,  and  in  the  organization  of  our  general  hospital  in  town,  which  was  done  under  the  immediate 
supervision  of  Surgeon  E.  B.  Glick.  For  statistics  please  see  the  accompanying  report  of  killed  and  wounded  in  the  various 
re"iments;  also  the  report  furnished  by  Surgeon  A.  Ewing,  13th  Michigan  Volunteers,  from  the  hospital  near  Crawfish 
Spring."  * 

CCXXVII.  Extracts  from  a  Report  of  the  Wounded  of  the  Second  Division  of  the  Twenty- 
first  Corps  at  the  Battle  of  Chickamauga.  By  Surgeon  S.  G.  MENZIES,  1st  Kentucky 
Volunteers. 

*  *  *  "On  September  9th,  18G3,  the  division  crossed  Lookout  Mountain,  passed  near  Chattanooga,  Tennessee,  and 
encamped  at  Rossville,  five  and  one  quarter  miles  from  that  town.  The  morning  of  the  10th  it  moved  forward  southward  in  hot 
pursuit  of  the  enemy  five  or  six  miles  to  Pea  Vine  Creek  where  the  rebel  cavalry,  by  a  sudden  dash  on  the  extreme  front, 
captured  fifty-six  men  and  two  officers,  and,  strange  to  tell,  not  a  single  man  on  either  side  was  killed  or  wounded.  Here  we 
stayed  until  next  day,  the  llth,  and  inarched  to  Einggold,  Georgia,  sixteen  miles  from  Chattanooga.  On  the  morning  of  the 
12th,  moved  across  the  country  to  Chickamauga  River,  at  Lee's  and  Gordon's  Mill,  and  camped  in  a  bottom.  During  the  day 
had  frequent  skirmishes  with  the  enemy;  in  one,  took  two  cavalry  prisoners.  A  general  reconnoisance  was  made  on  the  13th, 
but  the  rebels  declined  fighting.  Crossed  the  river  and  camped  on  the  Fayetteville  Koad,  one  and  a  half  to  two  miles  below  the 
mills.  The  2d  and  3d  brigades  were  marched  from  here  the  next  day,  14th,  across  Missionary  Ridge,  six  miles  to  the  Chatta 
nooga  Valley  road,  at  a  point  nine  and  one-half  miles  from  Chattanooga.  The  15th,  crossed  back  over  the  ridge  to  the  dry 
valley,  or  McLamore's  Cove  road,  which  was  followed  to  the  house  of  Mathews,  six  miles  from  Gordon's  Mill  and  four  miles 
beyond  Crawfish  Spring,  where  they  were  joined  by  General  Cruft  with  the  1st  brigade.  Here  the  division  rested  until  the 
afternoon  of  the  17th,  when  it  was  moved  two  miles,  near  Crawfish  Spring  and  four  miles  nearer  the  mill.  On  the  night  of  the 
18th  it  moved  back  to  the  ground  occupied  on  the  night  of  the  13th  on  the  Chickamauga  River  and  Lafayette  road,  two  miles 
below  the  mill,  where  it  was  destined  to  fight  on  the  19th  and  20th.  By  examining  the  geography  of  this  locality  it  will  be 
seen  that  we  had  been  marching  back  and  forth  over  the  country  within  a  circuit  of  ten  or  twelve  miles  for  five  or  six  days 
reconnoitering  the  enemy.  During  this  time  the  troops  were  very  much  exposed  to  heat  and  dust,  and  the  dews  at  night.  But 
they  kept  up  well  and  were  in  fine  spirits  for  the  battle.  On  the  morning  of  the  19th  we  pitched  our  hospital  for  Palmer's  division 
in  a  hollow  cove  on  the  Missionary  Ridge  road,  one  mile  from  Crawfish  Spring,  and  made  preparations  to  care  for  the  wounded. 
The  battle  commenced  about  nine  o'clock  on  the  morning  of  the  19th ;  at  twelve  o'clock  we  had  received  two  men  at  the  hospital, 
one  slightly  wounded  from  the  Sixth  Ohio,  and  a  rebel  prisoner  whose  arm  was  amputated.  At  this  time  orders  were  received 
from  Medical  Director  A.  J.  Phelps,  U.  S.  V.,  to  move  the  hospital  nearer  the  lines,  which  was  done  the  distance  of  a  mile,  where 
we  received  twenty  or  thirty  wounded  before  preparations  could  be  made  to  take  care  of  them  properly.  At  three  o'clock  it  was 
found  the  enemy  would  turn  our  left  flank  and  expose  us  to  a  cross-fire,  and  we  were  ordered  back  to  the  first  selected  spot. 
Before  night  upward  of  two  hundred  wounded  men  were  brought  from  the  field,  which  number  was  increased  to  several 
hundred  before  twelve  o'clock  on  Sunday,  the  20th.  Just  after  twelve  o'clock  on  Sunday,  we  were  ordered  to  abandon  the  hospital, 
taking  with  us  all  the  wounded  that  could  be  got  off,  and  fall  back  toward  Chattanooga.  This  order  came  before  recording  the 
names,  which  was  being  done,  could  be  finished.  By  using  every  means  that  offered,  a  large  portion  of  the  wounded  and  many 
of  the  stores  were  brought  away  and  reached  this  place  on  the  night  of  the  20th.  Twenty-three  ambulances,  containing  upward 
of  ninety  men,  were  cut  off  from  the  hospital  about  the  time  we  abandoned  it.  The  ambulance  masters  struck  through  the 
woods  and  joined  us  on  Missionary  Ridge,  and  came  also  to  Chattanooga  in  safety.  The  names  of  these  men  were  never 
recorded  by  us.  The  number  saved  from  the  hospital,  and  those  in  ambulances  just  mentioned,  will,  I  believe,  make  the  number 
we  brought  away  upward  of  four  hundred.  When  the  last  of  our  vehicles  left,  the  enemy's  cavalry  were  within  one-eighth  of 
a  mile  of  the  hospital.  About  thirty  men  were  left  with  four  medical  officers,  who  are  doubtless  in  the  hands  of  the  enemy. 
Surgeon  A.  M.  Morrison,  23d  Kentucky;  Surgeon  J.  M.  Cooke,  24th  Ohio;  Assistant  Surgeon  C.  P.  O'Hanlon,  90th  Ohio;  and 
E.  M.  Rowland,  24th  Ohio.  Ten  men  who  died  of  their  wounds  were  left  at  the  hospital  unburied.  The  wounds  show  a  greater 
proportion  in  the  extremities  than  usual,  and  a  very  great  proportion  are  slight.  Out  of  the  whole  number  which  are  reported 
wounded,  one  thousand  and  twenty-two,  it  is  probable  ninety  per  cent,  will  recover.  Killed,  one  hundred  and  three;  missing 
thirty-six;  total,  eleven  hundred  and  sixty-one."  * 


CCXXVIIT.  Extract  from  a  Report  of  the  Wounded  of  the  Third  Division  of  the  Twenty- 
first  Corps  at  the  Rattle  of  Chickamauga.  By  Surgeon  SAMUEL  D.  TUKNEY,  U.  S. 
Volunteers. 

"The  accompanying  report  of  the  killed  and  wounded  in  the  3d  division,  Twenty-first  Corps,  is  respectfully 
submitted.  The  report  is  very  inaccurate  for  the  following  reasons :  that  the  repeated  change  of  position  of  our  portion  of  the 
army  early  in  the  action  separated  the  hospital  from  it,  that  many  of  our  wounded  were  unavoidably  left  upon  the  field,  that  the 
removal  of  our  hospital  disturbed  its  organization,  and  that  a  portion  of  our  medical  officers  are  now  in  the  enemy's  lines.  On 
Saturday  morning,  the  most  suitable  point  for  a  field  hospital,  about  one  mile  in  the  rear  of  our  division,  and  about  the  same 
distance  north  of  Crawfish  Spring,  was  selected,  and,  under  charge  of  Surgeon  B.  M.  Failor,  19th  Ohio  Volunteers,  was  rapidly 
placed  in  order  for  the  reception  of  wounded.  During  the  day,  about  five  hundred  wounded  from  various  divisions  were  received 
and  their  wounds  dressed.  On  Sunday,  we  were  early  cut  off  from  communication  with  the  army,  and  after  waiting  as  long 
as  could  be  done  with  safety,  about  three  o'clock  in  the  afternoon,  upon  the  recommendation  of  Surgeon  Phelps,  the  order  was 
given  to  move  the  hospital.  It  was  necessary  in  making  this  movement  to  leave  behind  sixty  wounded,  and  to  abandon  for  their 
comfort  a  portion  of  our  hospital  stores.  To  attend  these  and  the  wounded  left  upon  the  battle-field,  the  following  medical 


REPORTS    OF    SURGEONS    JAMKS    AND    HART.  281 

officers  were  detailed  and  are  now  within  the  enemy's  lines:  Assistant  Surgeons  E.  D.  W.  C.  Wing,  51st  Ohio  Volunteers,  W.  G. 
McFadden,  79th  Indiana  Volunteers,  N.  G.  Bell,  35th  Indiana  Volunteers,  John  K.  Moore,  13th  Ohio  Volunteers,  Allen  M. 
Walton,  86th  Indiana  Volunteers.  The  other  medical  officers,  with  the  transportable  wounded  and  hospital  stores,  reported  in 
Chattanooga,  Sunday  night.  The  following  day,  by  direction  of  Surgeon  G.  Perin,  U.  S.  A.,  medical  director  of  the  army  of  the 
Cumberland,  the  field  hospitals  of  divisions  were  mei'ged  into  a  general  field  hospital  established  on  the  opposite  side  of  the 
Tennessee  River.  All  the  wounded  of  the  division  not  sent  to  Bridgeport,  eighty-four  in  number,  are  now  comfortably  situated 
at  that  point,  under  the  charge  of  Surgeon  Thomas  R.  W.  Jeffray,  9th  Kentucky  Volunteers.  Without  implying  censure  upon 
the  medical  officers  of  my  command,  I  would  especially  notice  for  zeal,  intelligence,  and  industry,  Surgeons  Thomas  R.  W. 
Jeffray,  9th  Kentucky  Volunteers,  B.  M.  Failor,  19th  Ohio  Volunteers,  J.  Jones,,  8Gth  Indiana  Volunteers,  and  Assistant  Surgeon 
E.  D.  W.  C.  Wing,  51st  Ohio  Volunteers." 


CCXXLX.     Extract  from  a  Report  on  the  Casualties  in  the  Cavalry  Corps  of  the  Army  of  the 
Cumberland  at  the  Buttle  of  Chickamauga.     By  Surgeon  L.  A.  JAMES,  4th  Ohio  Cavalry. 

*  *  *  "This  report  is  necessarily  very  imperfect,  owing  to  the  fact  that  the  command  is  now  spread  out  a  distance  of 
eighty  miles  up  and  clown  the  river,  guarding  fords,  and  I  have  not,  as  yet,  been  able  to  get  the  official  reports  from  the  surgeons. 
This  command  consists  of  two  divisions  divided  into  six  brigades.  The  1st  brigade,  2d  division,  was  located  near  Jasper,  and 
upon  the  army  moving  across  the  Tennessee  River,  at  Stevenson,  took  its  position  as  a  guard  to  the  left  wing,  under  command  of 
Major  General  Crittenden.  The  2d  brigade  of  this  same  division  was  with  the  main  body  of  cavalry  at  Stevenson.  The  3d 
brigade  of  this  division  was  stationed  along  the  railroad  between  Nashville  and  Stevenson.  .  The  main  body  of  cavalry,  composed 
of  the  1st  division,  and  2d  brigade  2d  division,  crossed  the  river  at  Caperton's  Ferry  on  September  8,  1862,  and  took  up  their 
line  of  march  over  Sand  Mountain  to  Valley  Head.  From  thence  we  pi-oceeded  over  Lookout  Mountain  to  Alpine,  in  Georgia, 
where  we  first  encountered  the  rebel  cavalry  under  command  of  General  Wheeler.  We  drove  the  enemy  from  his  position  with 
small  loss.  From  this  place  we  made  reconnoissances  to  within  ten  miles  of  Rome,  and  three  miles  of  Lafayette.  *At  the  latter 
place  we  found  the  enemy  in  full  force,  both  of  infantry  and  cavalry.  From  Alpine,  we  were  ordered  back  on  Lookout  Mountain, 
thence  to  proceed  to  Stevens's  Gap,  to  guard  the  right  wing  of  the  army,  under  command  of  Major  General  McCook.  On 
September  19th  and  20th,  the  days  when  the  battle  was  raging,  the  cavalry  was  at  or  near  Crawfish  Spring,  and  fighting  the 
enemy  continually,  successfully  holding  him  in  check,  and  being  able  to  bring  off  all  the  trains.  In  round  numbers,  the  losses 
of  this  command  may  be  put  down  as  follows:  1st  division,  1st  brigade,  five  killed,  eleven  wounded;  2d  brigade,  six  killed,  nine 
wounded;  3d  brigade,  ten  killed,  thirty  wounded.  Second  division,  1st  brigade,  eight  killed,  thirty-one  wounded;  2d  brigade, 
eleven  killed,  forty-one  wounded.  Grand  total,  forty  killed,  one  hundred  and  twenty-two  wxmnded." 


CCXXX.    Extract  from  a  Narrative  of  his  Services  in  the  Medical  /Staff.     By  Assistant  Surgeon 
SAMUEL  HAKT,  U.  S.  Volunteers. 

"  I  was  assigned  to  duty  May  30, 1863,  with  the  16th  United  States  Infantry,  3d  brigade,  1st  division,  Fourteenth 
Corps.  Following  the  enemy  southward  in  June,  our  brigade  of  regulars  had  a  very  successful  and  creditable  engagement  with 
the  enemy  at  Hoover's  Gap.  The  16th  United  States  Infantry  losing  three  killed  and  one  wounded.  In  the  late  destructive 
battle  of  Chickamauga,  the  brigade  sustained  the  remarkable  loss  of  about  seventy-five  per  centum,  in  killed,  wounded,  and 
missing.  On  one  occasion  the  command  held  its  position  with  such  obstinacy  as  to  be  entirely  surrounded.  The  loss  was  greatest 
in  captured,  only  thirteen  wounded  of  the  16th  United  States  Infantry  were  brought  off  with  us,  the  ground  being  held  by  the 
enemy.  This  battle  compares  well  with  Chancellorsville  in  extent  and  general  results,  but  to  the  surgeon  there  are  differences. 
In  the  late  battle  there  was  a  comparatively  small  amount  of  artillery  used,  especially  by  the  enemy;  hence  fewer  shell  injuries. 
It  appears  a  large  number  of  musket  round  balls,  and  western  rifles  were  used ;  of  these  two,  mostly  the  former,  I  found  lodged 
twenty-three,  of  the  miniu  ball,  twenty-eight.  This,  of  course,  would  not  give  the  true  proportion  of  the  kind  of  arms  used. 
No  time  was  allowed  here  for  operations  on  the  field,  except  a  part  of  the  first  day,  when  water  not  being  obtainable,  the  hospitals 
had  been  established  at  inconvenient  distances,  particularly  for  the  left  wing.  I  am  of  opinion  that  a  less  number  of  primary 
operations  were  performed  than  after  any  engagement  I  have  ever  witnessed,  and  that  the  facilities  here  are  not  equal  to  those  of 
the  army  of  the  Potomac  for  the  prompt  and  efficient  care  of  the  wounded.  Also  that  the  allowance  of  the  leading  and  simple 
articles  of  medicine  are  as  much  below  the  requirements  here  as  they  have  seemed,  sometimes,  too  abundant  elsewhere.  The 
difference  to  the  proportion  of  sick  was  very  considerable.  Carelessness  in  making  requisitions,  or  difficulty  in  obtaining  the  regular 
or  special  supplies,  must  account  for  it  of  course.  I  liked  the  plan  of  the  brigade  hospital  wagon  and  supply." 

CCXXXL     Extracts  from  a  Report  on  the   Hospitals  at    Chattanooga  after  the  Battle  of 
Chickamauga.     By  Surgeon  ISKAEL  MOSES,  U.  S.  Volunteers. 

"I  repaired  to  Chattanooga  and  arrived  on  Friday,  September  16th,  with  orders  from  Surgeon  Perin,  U.  S.  A., 
to  prepare  beds  for  three  thousand  wounded.  I  found  scant  supplies  for  not  more  than  five  hundred,  and  buildings  capable  of 
holding  that  number,  built  by  the  Confederates  and  occupied  as  a  hospital  with  about  one  hundred  and  fifty  sick  already  in ;  also 
a  large  building,  two  stories,  built  by  the  Confederates  as  a  receiving  hospital,  capable  of  holding  one  hundred  and  fifty.  These 
buildings  were  without  doors  or  windows,  and  destitute  of  every  convenience.  A  partial  supply  of  medicines,  blankets,  furniture 
and  dressings  was  on  hand,  estimated  for  one  thousand  men,  but  deficient  in  many  articles.  I  selected  several  buildings  which 
might  be  converted  into  hospitals.  On  Saturday,  September  19th,  an  engagement  took  place  about  seven  or  eight  miles  distant, 
and  was  renewed  with  great  fierceness  during  the  forenoon  of  the  20th,  Sunday.  Our  wounded  numbered  over  six 


282  APPENDED    DOCUMENTS WESTERN    ARMIES,    1863. 

thousand.  On  this  and  the  following  day,  as  nearly  as  I  can  estimate,  four  thousand  wounded  officers  and  men  were  received 
and  assigned  to  various  buildings  and  private  houses,  hotels  and  churches.  The  following  general  hospitals  were  established 
during  Sunday  and  Monday:  No.  1,  buildings  on  the  hill,  which  received  nearly  one  thousand;  No.  2,  receiving  hospital  at  base' 
of  hill  which  received  about  three  hundred;  No.  3,  Crutchfield  Hotel,  which  was  taken  possession  of  and  accommodated,  on 
beds  and  floors,  about  five  hundred ;  No.  4,  three  churches,  Avhich  held  about  two  hundred ;  No.  5,  lofts  over  buildings,  occupied 
as  the  commissary  storehouses,  which  received  about  three  hundred;  No.  6,  buildings  opposite  the  above,  which  accommodated 
four  hundred;  No.  7,  officers  hospital  No.  1,  a  large  brick  building  on  a  hill,  which  received  one  hundred  officers;  No.  8,  officers 
hospital  No.  2,  a  large  private  mansion,  which  received  thirty-five;  No.  9,  private  houses  were  taken  late  at  night,  and  about  one 
hundred  and  fifty  to  two  hundred  and  fifty  obtained  shelter.  All  the  severe  cases  were  dressed  the  same  night  as  they  arrived, 
and  others  the  next  day,  and  all  received  food,  of  which  many  had  been  deprived  for  two  days.  This  work  was  performed  by 
a  corps  of  forty-three  surgeons,  who  reported  to  me  either  by  order  or  as  volunteers,  of  whom  were  four  Confederate  medical 
officers.  About  three-fourths  of  the  wounds  were  flesh,  or  of  a  lighter  character,  the  other  fourth  being  of  the  gravest  character 
inflictedj>y  musketry.  Few  shell  wounds,  or  by  round  shot,  were  seen,  owing  to  the  fact  that  little  artillery  was  employed  by 
the  enemy.  On  Monday  the  lighter  cases  were  sent  across  the  pontoon  bridge,  and  on  Tuesday  others  to  the  number  of  nearly 
three  thousand.  The  officers  who  could  bear  transportation  were  sent  in  ambulances  toward  Stevenson.  On  Wednesday  not 
more  than  eight  hundred  of  the  gravest  cases  remained  in  town,  and  many  of  them  have  since  been  removed  to  the  camp  hospital. 
Owing'to  the  establishment  of  division  hospitals,  there  remains  under  my  charge  only  Hospital  No.  1,  the  Crutchfield  Hotel,  and 
officers'  hospital.  Into  these  hospitals  Avere  received  on  the  evening  of  September  29th,  about  two  hundred  and  fifty  wounded, 
who  were  brought  in  from  the  Confederate  lines.  Our  hospitals  are,  at  the  present  time,  crowded  beyond  their  capacity,  and 
should  they  thus  continue  it  would  render  a  serious  fear  in  my  mind,  that  our  operations  would  be  unsuccessful.  I  have  performed 
a  large  number  of  amputations  and  resections  in  the  several  hospitals,  all  of  which  thus  far  promise  well.  Operations  have  been 
performed  by  various  surgeons  in  charge  of  hospitals  and  on  the  field,  with  a  fair  amount  of  success  thus  far.  The  amputations 
have  been  mostly  by  circular  mode.  To  this  date,  five  cases  of  tetanus  have  come  to  my  notice,  but  none  of  hospital  gangrene  or 
erysipelas.  The  general  condition  of  the  patients  is  good,  but  our  hospitals  are  greatly  in  need  of  bunks  and  mattresses,  at  least 
one-third  of  the  grave  cases  being  still  on  the  floor,  with  only  a  folded  blanket  to  lie  on.  In  view  of  the  increasing  risk  of  so 
many  patients  with  suppurating  wounds  being  crowded  together,  I  would  respectfully  suggest  an  early  provision  for  increased 
accommodations  by  tents  with  flooring,  and  that  new  temporary  pavilions  be  constructed  out  of  some  incomplete  buildings  south 
of  the  railroad  depot." 


CCXXXII.  Extracts  from  a  Report  of  the  Operations  of  the  Medical  Staff  of  the  Second 
and  Third  Divisions  of  the  Eleventh  Corps  at  the  Battle  of  Wauhatchie.  By  Surgeon  D. 
G.  BRINTON,  U.  S.  Volunteers. 

»  *  *  «  On  the  morning  of  October  28,  1863,  the  2d  and  3d  divisions  of  the  Eleventh  Corps  broke  camp  at  Whiteside 
Station  on  the  Chattanooga  and  Nashville  railroad,  and  followed  the  wagon  road  that  leads  over  Raccoon  Mountain  into  the 
valley  of  Lookout  Creek.  An  engagement  was  anticipated  at  any  moment,  and  the  chief  surgeons  of  the  divisions  were 
constantly  on  the  lookout  for  the  most  favorable  locations  for  a  field  hospital.  The  command  had  no  hospital  tents,  and  but  a 
limited  supply  of  medical  stores  and  stimulants,  and  ambulances  afforded  the  only  means  of  transportation.  '  A  slight 

skirmish  occurred  in  the  afternoon  in  which  we  lost  one  man  killed  and  three  wounded.  *  *  During  the  night  the  enemy 
made  an  attack  in  force.  A  field  hospital  was  established  in  a  convenient  location  with  good  supplies  of  wood  and  water.  Fires 
were  lighted,  candles  procured,  and  a  supply  of  straw  for  bedding  was  obtained  from  a  neighboring  barn.  Operating  tables  were 
made,  and  the  hospital  stores  of  the  different  regiments  were  collected  at  this  point.  The  whole  was  placed  in  charge  of  Surgeon 
W.  H.  Gunkle,  73d  Pennsylvania  Volunteers.  When  the  firing  ceased,  the  ambulances  were  put  in  motion  for  the  scene  of  action 
and  plied  to  and  fro  until  daylight.  At  early  dawn,  I  rode  over  the  field  and  found  but  three  wounded  remaining.  '  At 

the  hospital,  one  hundred  and  nine  wounded  were  received,  three  of  them  were  Confederates.  Four  amputations  were  performed ; 
two  of  the  thigh,  one  of  the  arm,  and  one  of  the  hand.  Eight  patients  died  in  the  hospital.  *  *  Orders  were  received  during 
the  day  to  transfer  the  wounded  to  the  general  field  hospital  on  the  opposite  bank  of  the  river.  All  the  wounds  recorded  were 
by  small  arms,  except  some  contusions  and  one  shell  wound.  In  such  an  action  as  this,  if  anywhere,  we  would  look  for  bayonet 
wounds.  Here  was  a  charge,  a  hand-to-hand  contest  literally.  Some  of  the  contusions  were  given  by  clubbed  muskets,  and 
more  than  one  man  took  his  prisoner  after  a  mutual  set-to  with  fists.  Not  a  bayonet  wound  is  recorded.  I  looked  for  them,  but 
neither  saw  nor  heard  of  any."  *  *  * 


CCXXXIII.     Extracts  from  a  Report  on  the  Hospitals  of  the  Second  Division  of  the  Twelfth 
Corps  at  the  Battle  of  Wauhatchie.     By  Surgeon  J.  E.  UEBBST,  U.  S.  Volunteers. 

"On  the  morning  of  October  29th,  I  selected,  as  a  depot  for  the  wounded,  a,  commodious  house,  situated  about 
one  mile  in  the  rear  of  our  line,  and  which  I  observed  during  the  close  of  our  previous  days'  march,  as  especially  adapted  for 
hospital  purposes,  in  case  of  an  engagement  in  the  vincinity.  I  transmitted  a  description  of  the  selection  as  quickly  as  possible 
to  the  surgeons-in-chief  of  brigades,  and  to  the  medical  officers  of  the  various  regiments.  The  amount  of  our  medical  and 
hospital  stores  was  exceedingly  limited,  and  was  composed  of  such  articles  as  were  absolutely  demanded  for  service  in  the  field, 
which  I  pressed  into  service  from  the  medical  purveyor's  supply  at  Bridgeport,  Tennessee.  These  consisted  of  one  box  bandages, 
one  hundred  yards  of  isinglass  plaster,  two  do/en  beef  stock,  and  one  box  candles.  My  supply  of  chloroform  was  exceedingly 
limited.  Our  wounded  were  removed  from  the  field  with  tolerable  dispatch,  considering  the  imperfect  organization  of  ambulances, 
•which,  fifteen  in  number,  were  borrowed  from  the  train  of  the  Eleventh  Corps.  The  surgeons  worked  untiringly  during  the 


MAP  OF  THE 

VICINITY  OF 

CHATTANOOGA  &  CHICKAMAUCA 


EEPORTS    OF    SURGEONS    HERBST    AND    PERIN.  283 

entire  night,  dressing  the  wounded  and  making  them  comfortable,  and  we  were  prepared  by  daylight  to  perform  primary 
amputations,  in  all  the  severe  cases  requiring  such  treatment.  Having  reported  our  position  and  condition  to  the  general  com 
manding  the  division,  I  was  advised  by  him  to  remove  the  wounded  to  some  new  location  on  the  road  leading  from  Wauhatchie 
to  Kelly's  Ferry,  on  the  Tennessee,  as  he  apprehended  an  attack  on  the  flank  near  which  the  hospital  was  located.  I  proceeded  to 
act  in  accordance  with  the  suggestion,  and  with  my  limited  means  of  transportation,  all  the  wounded  were  removed  to  our  second 
location  by  four  o'clock  P.  M.,  except  two  of  the  137th  New  York  Volunteers  and  five  wounded  prisoners.  As  soon  as  the  removal 
of  the  wounded  was  determined  upon,  Surgeon  J.  L.  Dunn,  107th  Pennsylvania  Volunteers,  volunteered  to  remain  and  superintend 
the  removal  of  the  wounded,  and  to  be  taken  prisoner  if  necessary  in  the  performance  of  this  duty.  Contrary  to  instructions  and 
to  my  understanding  of  the  matter,  he  retired  from  his  volunteered  position  before  all  were  removed.  Those  who  remained  as  above 
stated,  were  removed  on  the  following  day  and  carefully  provided  for.  During  the  course  of  the  morning  of  the  29th,  Surgeon 
G.  Perin,  U.  S.  A.,  medical  director  of  the  Army  of  the  Cumberland,  visited  us  at  the  hospital  of  our  second  selection,  and 
observing  our  total  deficiency  of  hospital  tents  and  accommodations,  suggested  the  propriety  of  sending  our  wounded  to  a  field 
hospital  already  organized,  and  situated  one  and  a  half  miles  beyond  the  pontoon  bridge  across  the  Tennessee  at  Brown's  Ferry. 
A  suggestion  from  such  authority,  and  from  one  so  well  acquainted  with  the  nature  of  the  accommodations  offered,  amounted  to 
an  order,  and  I  proceeded  at  once  to  act  in  accordance  with  it,  and  the  wounded  were  removed  simultaneously  from  both  hospitals 
to  the  field  hospitals  across  the  river.  Dr.  Perin  promised  to  send  me,  immediately  upon  his  return,  a  number  of  ambulances  to 
assist  in  the  speedy  removal,  but  these  failed  to  report.  I  have  understood  since  that  they  were  sent,  but,  through  the  careless 
ness  of  the  officer  in  charge,  they  failed  to  find  the  location  of  our  hospital.  In  the  meantime  all  the  medical  officers  were  diligent 
in  their  endeavors  to  provide  booths  and  shelter  and  refreshment  for  the  wounded,  and  dress  their  wounds  and  perform  as  many 
primary  operations  as  possible,  taking  the  severest  cases  first.  The  organization  of  our  hospital  was  similar  to  that  at  Gettys 
burg,  and  each  medical  officer  performed  his  duties  with  great  promptitude.  Surgeon  E.  Hutchinson's,  137th  New  York  Vol 
unteers,  services  were  especially  valuable  in  every  department,  and  Surgeon  A.  K.  Fifield,  29th  Ohio  Volunteers,  reported  in 
person  upon  the  arrival  of  his  regiment,  and  performed  several  operations  with  his  usual  skill.  On  the  morning  of  October  30th, 
I  visited  Chattanooga  to  solicit  the  loan  of  a  sufficient  number  of  ambulances  to  remove  the  remainder  of  the  wounded.  The 
weather  becoming  very  inclement  from  the  abundant  showers  that  fell  almost  without  intermission,  I  procured  other  necessary 
medical  and  hospital  supplies,  consisting  of  blankets,  chloroform,  lint,  bandages,  beef  stock,  &c.,  and  a  sufficient  number  of 
ambulances  to  shelter  the  wounded  from  the  rain  and  transport  them  to  Kelly's  Ferry,  instead  of  the  field  hospital,  as  before 
suggested  byTDr.  Perin.  This  was  done  in  accordance  with  an  order  received  from  General  Thomas  granting  me  the  power  to 
seize  all  buildings  suitable  for  hospital  purposes,  and  collect  all  the  wounded  and  have  them  forwarded  by  boat  to  Bridgeport, 
Tennessee.  They  were  made  very  comfortable  here,  and  on  the  morning  of  November  1st,  I  shipped  them  as  directed  to 
Bridgeport  in  two  barges  under  the  care  of  Surgeon  J.  D.  McClure,  147th  Pennsylvania  Volunteers.  Considering  our  very 
imperfect  equipment  for  the  field,  I  am  happy  to  announce  to  you  that  the  wounded  fared  remarkably  well  and  received  every 
possible  attention.  The  number  of  casualties  during  the  battle  of  Wauhatchie  as  per  accompanying  report  amounts  to  thirty- 
four  killed,  one  hundred  and  seventy-four  wounded  and  ten  missing;  and  we  treated  in  our  hospital  twenty-four  wounded  pris 
oners;  most  of  the  latter  were  severely  wounded.  The  enemy  in  their  night  attack  used  no  artillery,  and  all  the  wounds  of  our 
men  were  made  with  the  minie'  ball,  with  the  exception  of  two.  I  noticed  no  peculiarity  in  the  wounds  received  worthy  of 
mention,  having  been  received  alike  in  all  parts  of  the  body,  no  abatis  or  breastworks  having  been  constructed.  Surgeon  J. 
Wolf,  29th  Pennsylvania  Volunteers,  was  appointed  surgeon-in-charge,  and  Surgeon  E.  Hutchinson,  137th  New  York  Volunteers, 
recorder  and  assistant.  The  operating  staff  was  the  same,  in  part,  as  at  Gettysbui'g." 


CCXXXiV.  Report  of  the  Operations  of  the  M'edical  Department  at  the  Battle  of  Chatta 
nooga.  By  Surgeon  GLOVER  PERIN,  U.  S.  Army,  Medical  Director  of  the  Army  of  the 
Cumberland. 

"SiR:  I  have  the  honor  to  transmit  herewith  a  list  of  the  killed  and  wounded  at  the  battle  of  Chattanooga.  As  was 
stated  in  my  report  of  the  conduct  of  affairs  after  the  battle  of  Chickamauga,  the  battle  of  Chattanooga  had  long  been  expected, 
and  preparations  for  the  care  of  the  wounded  were  made  on  as  large  a  scale  as  the  interests  of  the  quartermaster,  commissary, 
and  ordnance  departments  would  permit.  The  wounded  from  the  battle-field  of  Chickamauga  had  been  transferred  to  the  rear, 
except  about  two  hundred  of  the  graver  cases;  the  hospitals  contained  also  two  hundred  and  fifty  sick.  As  fast  as  the  hospital 
at  Stringer's  Spring  had  been  vacated,  the  regimental  hospital  tents  were  returned  to  the  commands  from  which  they  were 
taken.  The  town  of  Chattanooga  was  divided  into  districts,  which  were  assigned  to  the  three  army  corps.  Tents  were  pitched 
near  the  buildings  selected  for  hospitals,  and  bunks  made  from  such  materials  as  could  be  found.  A  large  number  of  mattresses 
and  blankets  were  at  hand.  These  preparations  I  deemed  as  complete  and  extensive  as  could  be  made  for  the  graver  cases, 
while  the  winter  cabins  left  vacant  by  the  command  answered  for  those  slightly  wounded.  These  huts,  though  rudely  constructed, 
answered  an  excellent  purpose.  They  were  usually  provided  with  a  chimney,  sufficiently  lighted  and  well  ventilated.  When 
the  first  gun  was  fired,  the  medical  officers  were  in  the  places  assigned  them,  ready  to  attend  to  their  respective  duties.  The* 
ambulance  trains  were  well  managed,  and  did  effective  service,  though  small,  and  the  animals  in  bad  condition  from  the  want 
of  forage.  Order  and  deliberation  seemed  to  characterize  every  movement  in  this  battle.  There  was  no  confusion.  The 
wounded  were  quietly  removed  from  the  field  each  day,  and  conveyed  to  the  proper  hospitals,  where  they  received  the  attention 
their  cases  required.  Soon  after  the  battle  the  weather  grew  quite  cold,  and  the  rains  continued  frequent,  so  that  the  difficulty 
of  transferring  patients  to  the  rear  increased.  The  road  to  Kelly's  Ferry  became  impassable,  and  the  boats  that  now  came  to 
the  town  were  not  constructed  in  such  manner  as  to  afford  shelter;  nevertheless  a  few  patients  were  sent  whenever  the  weather 
was  pleasant.  By  December  6th,  the  field  hospital  on  the  north  side  of  the  river  was  broken  up,  and  the  tents  transferred  and 
ewted  upon  a  slightly  elevated  ridge  bordering  Chattanooga  Creek,  and  about  a  mile  from  the  town.  This  new  site  was  selected 
with  a  view  to  permanency,  and  ••vi'fythiiif.r  arranged  accordingly.  As  soon  as  it  was  ready  for  the  occupation  (it  patients,  the 


284  APPENDED    DOCUMENTS WESTERN    ARMIES,    18G3. 

hospitals  in  the  town  were  relieved  from  their  overcrowded  condition.  In  the  location  of  the  field  hospital  reference  was  had 
to  the  contiguity  of  wood,  an  important  object  during  the  winter,  particularly  when,  from  the  starved  condition  of  the  animals, 
it  was  found  almost  impossible  to  procure  sufficient  quantities  for  the  hospitals  in  town.  The  difficulty  of  procuring  suitable  diet 
for  the  patients  after  this  battle  was  not  so  great  as  was  experienced  after  the  battle  of  Chickamauga,  yet  it  gave  rise  to  no  little 
trouble  and  anxiety.  There  was  still  an  obvious  deficiency  in  such  articles  of  diet  as  a  careful  surgeon  would  desire  for  his 
patients.  Owing  to  the  inclement  weather  and  deficiency  of  hospital  tents,  we  were  obliged  to  use  buildings  as  hospitals  which 
were  constructed  for  warehouses,  private  residences,  etc.,  and  therefore  not  susceptible  of  proper  ventilation.  Thus,  it  will  be 
observed,  that  in  the  treatment  of  the  wounded  of  this  battle  we  had  to  contend  against  the  evils  of  prolonged  low  temperature, 
deficient  nutrition,  and  defective  ventilation  of  hospitals.  Surgeon  F.  H.  Gross,  U.  S.  V.,  medical  director  of  the  Fourteenth 
Corps,  Surgeon  A.  J.  Phelps,  U.  S.  V.,  medical  director  of  the  Fourth  Corps,  and  Surgeon  D.  G.  Brinton,  U.  S.  V.,  medical 
director  of  the  Eleventh  Corps,  were  active  and  efficient  in  the  performance  of  their  duties.  I  would  respectfully  invite  attention 
to  their  reports,  herewith  transmitted,  for  minor  details  of  the  conduct  of  officers  in  their  respective  corps.  Assistant  Surgeon 
Dallas  Bache,  U.  S.  A.,  assistant  medical  director,  was  present,  and  rendered  valuable  service. 

Very  respectfully*,  your  obedient  servant, 

G.  PERIN, 
To  THE  ACTING  SURGEON  GENERAL  U.  S.  ARMY."  Sure/eon  U.  S.  A.,  Medical  Director. 


CCXXXV.  Report  on  the  Operations  of  the  Medical  Department  at  tlie  Battle  of  Chatta 
nooga.  By  Surgeon  JOHN  MOORE,  U.  S.  Army,  Medical  Director  of  the  Army  of  the 
Tennessee. 

"GENERAL:  The  following  report  of  the  battle  of  Chattanooga,  as  far  as  participated  in  by  the  araiy  of  the  Tennessee,  is 
respectfully  submitted.  This  long  delay  is  owing  to  the  fact  that,  from  the  day  following  the  battle  to  January  1st,  we  were 
constantly  on  the  march,  and  that  in  one  week  afterward  I  was  ordered  on  business  to  Vicksburg  and  Memphis,  and  only 
returned  on  February  26th.  At  the  time  I  left,  the  reports  of  casualties  from  division  surgeons  had  not  been  received.  The 
troops  engaged  in  the  battle  were  four  divisions,  forming  the  Fifteenth  Corps,  under  the  command  of  Major  General  W.  T. 
Sherman,  and  making  an  aggregate  of  twenty  thousand  men.  After  the  surrender  of  Vicksburg  these  troops  were  encamped 
along  the  Big  Black  River  about  twenty  miles  in  rear  of  the  town,  a  locality  considered  by  the  inhabitants  to  be  very  unhealthy. 
The  percentage  of  sick  in  this  command  has  been,  throughout  the  summer,  higher  than  that  of  the  troops  stationed  in  Vicksburg. 
On  September  28th,  they  were  put  on  transports  and  brought  to  Memphis.  All  serious  cases  of  sick  had  been  previously  sent 
on  board  the  hospital  steamers  R.  C.  Wood  and  Charles  McDougal,  both  of  which  arrived  before  the  embarkation.  On  arrival 
at  Memphis,  all  who  were  not  able  to  undergo  a  march  of  twenty  miles  a  day  were  ordered  to  convalescent  camp  or  hospital. 
From  Memphis  a  portion  of  the  command  went  by  rail  to  luka,  one  hundred  and  twenty  miles,  and  the  remainder  marched.  On 
October  27th,  orders  were  received  to  cross  the  Tennessee  River  at  Eastport,  and  march  to  Chattanooga  by  roads  on  the  north  or 
western  side.  The  route  was  through  Florence,  Alabama,  Fayetteville  and  Winchester,  Tennessee,  to  Bridgeport,  Alabama,  the 
point  at  which  the  Memphis  and  Charleston  railroad  crosses  the  Tennessee  River,  and  thence  to  Chattanooga,  which  was  reached 
on  November  23d.  The  command,  without  crossing,  moved  four  miles  up  and  camped  on  the  western  side.  The  country  marched 
through  was  fertile,  well  cultivated,  and  beautifully  variegated.  Supplies  were  found  of  all  kinds  in  abundance,  and  were  freely 
taken.  As  a  result  of  this,  the  whole  command  had  very  much  improved  in  health.  Several  hundred  men,  who,  on  the 
beginning  of  the  march,  were  found  unable  to  keep  with  the  column  and  had  to  be  carried  in  the  ambulances,  were  now  in 
vigorous  health.  Before  daylight  on  November  24th,  one  division  had  crossed  the  river,  and  thrown  up  intrencbments  to  serve 
as  a  tlte-du-pont  for  the  pontoons.  This  was  begun  at  daylight,  and  completed  before  noon,  when  the  whole  corps  crossed,  and, 
forming  on  the  eastern  side,  marched  in  three  columns  to  the  attack  of  that  part  of  Missionary  Ridge,  immediately  to  the  west  of 
Tunnel  Hill.  The  hill  was  in  our  possession  before  four  o'clock  in  the  afternoon,  with  no  other  casualty  than  a  severe  flesh 
wound  in  the  arm  of  General  Giles  Smith.  Up  to  this  time  it  had  not  been  decided  whether  the  hospital  should  be  established  on 
the  eastern  or  western  side  of  the  river.  The  great  convenience  of  having  them  on  the  same  side  as  the  troops  engaged  was,  of 
course,  obvious;  but  it  was  feared  they  would  be  under  fire.  But  when  we  had  possession  of  a  portion  of  the  ridge,  and 
eawr  the  range  of  the  enemy's  shot,  it  was  decided  to  place  hospitals  in  suitable  positions  near  the  bridge,  about  five  miles  above 
Chattanooga,  and  two  in  rear  of  our  line  of  battle.  Directions  to  this  effect  were  given  to  the  division  surgeons,  and  the  wagons 
and  ambulances  containing  the  regimental  hospital  tents  and  hospital  property  were  driven  to  the  points  indicated,  and  their 
erection  pushed  forward  as  rapidly  as  possible.  About  nine  o'clock  the  following  morning,  portions  of  the  corps  were  constantly 
engaged  near  the  rebel  intrenched  position  at  Tunnel  Hill,  from  this  time  until  about  four  in  the  afternoon,  with  short  intervals, 
and  on  the  close  approach  of  our  troops  to  the  enemy's  intrenchments,  great  numbers  were  killed  and  wounded.  As  soon  as  the 
action  commenced,  the  ambulances,  of  which  there  were  two  to  a  regiment,  with  their  stretcher-bearers,  were  sent  out  to  the 
front.  Owing  to  the  fact  that  the  firing  of  the  enemy  was  nearly  parallel  with  the  direction  of  the  ridge,  the  ambulances  came 
safely  to  the  foot  of  it,  thus  getting  much  nearer  than  is  usual  during  the  continuance  of  an  engagement,  and  in  this  way  greatly 
facilitating  the  removal  of  the  wounded.  On  the  return  of  the  ambulances  to  their  respective  divisions,  the  wounded  were  taken 
in  charge  by  the  surgeons  detailed  for  that  purpose.  These  were  organized  substantially  on  the  plan  adopted  more  than  a  year 
since  by  Surgeon  J.  Letterman,  U.  S.  A.,  and  found  to  work  well  in  the  army  of  the  Potomac.  One  medical  officer  was  retained 
with  each  regiment,  who,  with  hospital  knapsack  and  pocket  case,  was  prepared  to  attend  to  cases  requiring  immediate  care,  and 
to  direct  such  as  were  slightly  wounded  the  way  to  the  field  hospital.  All  the  wounded  were  brought  off  before  night,  except  a 
small  number  who  fell  so  near  the  rebel  intrenchments  that  they  could  not  be  reached.  But  all  these  were  brought  off  before  ten 
o'clock  that  night,  when  it  was  found  that  the  enemy  had  abandoned  his  position.  Several  of  the  regiments  had  large  medicine 
wagons,  which,  although  ill  adapted  on  account  of  their  great  weight  for  marches  over  bad  roads,  yet  on  this  occasion,  were 
found  of  very  great  service.  The  cooking  stoves  and  operating  tables  were  at  once  put  to  important  uses.  A  suilick'iit  amount 


EEPOET    OF    MEDICAL    DIRECTOR    MOORE,    U.    S.    A.  285 

of  beef  essence,  and  all  needed  stimulants  were  on  hand  for  use  during  the  day,  and,  on  the  following  day,  a  large  supply  of 
both  these  important  articles,  together  with  one  thousand  two  hundred  blankets,  arrived  from  Nashville  in  charge  of  a  medical 
officer,  who  had  been  dispatched  for  that  purpose  a  week  before  the  battle.  Straw  was  found  in  abundance  in  the  neighborhood, 
and  the  tents  being  thickly  littered  with  it  made  a  comfortable  bed,  which  was  improved  in  all  severely  injured  cases,  by  spread 
ing  a  blanket  or  gutta-percha  cloth  over  the  straw  and  laying  the  wounded  man  on  this.  In  two  of  the  divisions  the  tents  were 
inadequate  for  the  accommodation  of  their  wounded,  and  temporary  shelters,  made  of  lumber  taken  from  vacant  buildings  in  the 
neighborhood,  were  improvised,  which  answered  the  purpose  very  well.  The  weather  for  the  first  two  or  three  days  after  the 
battle  was  warm  and  clear,  and  fires  were  not  needed  to  make  the  hospitals  comfortable.  This  time  was  improved  to  the  utmost 
in  extending  and  improving  the  appliances  for  cooking,  by  the  erection  of  temporary  kitchens  out  of  poles,  and  covering  them 
with  tent  Hies  or  boards,  as  well  as  in  collecting  from  houses  in  the  neighborhood  such  large  pots  as  were  not  essential  for  the  use 
of  the  inhabitants.  It  should  be  added  here  that  these  articles  were  either  returned  to  the  owners  or  left  on  breaking  up  the 
hospitals.  At  the  same  time  lumber  was  collected  for  the  construction  of  bunks  or  forms  to  raise  the  men  from  the  ground,  and, 
in  a  few  days,  enough  of  these  were  made  to  accommodate  all  who  were  so  severely  hurt  as  to  be  compelled  to  keep  their  beds. 
On  these  bunks  sacks  filled  with  straw  were  laid,  thus  making  a  very  comfortable  bed.  On  the  day  following  the  battle,  the 
corps  was  ordered  in  pursuit  of  the  retreating  enemy,  and  all  the  medical  officers  that  could  be  spared  from  the  hospitals  were 
ordered  away  with  their  respective  regiments.  As  another  engagement  was  expected,  the  details  for  hospitals,  both  as  to  medical 
officers  and  attendants,  was  much  more  limited  than  would  have  been  if  no  advance  had  been  made,  and  for  this  reason  the  more 
credit  is  due  to  the  surgeons  in  charge  for  getting  their  men  quite  comfortable  with  what,  under  ordinary  circumstances,  would 
be  considered  inadequate  assistance.  Supplies  composed  of  the  ordinary  soldiers'  ration  were  obtained  from  Chattanooga.  This 
was  varied  and  improved  during  the  first  ten  days  by  additions  in  the  way  of  mutton,  chickens,  and  beef  brought  in  by  enter 
prising  foraging  parties  from  the  surrounding  country.  These  predatory  excursions  were  then  stopped  by  orders  from  the  depart 
ment  commander.  About  eight  days  after  the  battle,  the  weather  became  very  cold,  and  as  heating  stoves  were  not  to  be  had,  other 
expedients  for  warming  had  to  he  resorted  to.  Where  brick  was  obtainable  it  was  used  for  the  construction  of  chimneys  or  flues, 
and  when  this  failed  chimneys  were  built  of  sticks  and  mud,  or  flues  made  through  the  tents  by  digging  a  small  trench  from  the 
outside  through  the  tent  terminating  from  five  to  eight  feet  beyond  the  opposite  side.  This  trench  was  then  covered  with  flat  stones, 
an  inch  or  two  of  earth  thrown  over  these,  and  a  chimney  or  flue  some  eight  or  ten  feet  high  erected  at  one  end,  and  the  fire  made 
in  the  other.  Where  railroad  iron  can  be  procured,  as  often  occurs,  the  rails  may  be  used  instead  of  stones  to  make  the  top  of 
the  flues.  When  properly  covered  with  clay,  this  makes  an  admirable  heating  arrangement;  the  same  flue  then  can  be  run 
through  several  tents.  The  hospital  under  charge  of  Surgeon  Joslyn,  U.  S.  V.,  was  considered  by  many  who  saw  it  as  one  of 
the  best  they  had  seen  in  the  field;  he  displayed  uncommon  energy  and  aptitude  in  conducting  it.  Very  much  credit  is  due 
Surgeon  E.  O.  F.  Roler,  55th  Illinois  Volunteers,  acting  inspector  Fifteenth  Corps,  who  was  ordered  back  from  the  march  to  have 
a  general  supervision  of  all  the  division  hospitals,  as  well  as  to  Assistant  Surgeon  D.  L.  Huntington,  U.  S.  A.,  who  has  been  in 
my  office  as  assistant  medical  director  since  July  last,  and  who,  arriving  the  day  after  the  battle,  was  ordered  to  remain  and  assist 
in  looking  after  the  hospitals.  His  zeal  and  intelligent  industry,  as  well  as  his  acquaintance  with  most  of  the  staff  officers  of  the 
department  of  the  Cumberland,  through  whom  supplies  for  our  wounded  were  necessarily  obtained,  enabled  him  to  render  very 
important  aid  to  those  in  immediate  chai-ge.  On  the  morning  of  the  '25th,  I  met  Dr.  Xewberry,  of  the  U.  S.  Sanitary  Commission, 
who  kindly  offered  many  luxuries  for  the  wounded  that  were  not  obtainable  elsewhere,  and  of  course  the  offer  was  thankfully 
accepted.  And,  while  speaking  of  this,  I  may  add,  that  it  has  often  been  my  experience  in  this  department  to  find  the  U.  S. 
Sanitary  Commission  prepared  to  furnish  hospitals,  not  only  with  luxuries,  not  to  be  expected  from  the  subsistence  department, 
but  with  vegetables  of  an  indispensable  character,  as  potatoes  and  dried  fruits,  which  were  not  to  be  had  of  the  commissaries  for 
the  reason  as  alleged,  they  could  not  be  brought  through  for  want  of  transportation.  This  was  the  case  for  months  in  Vicksburg 
last  summer,  and  is  true  of  this  place  at  the  present  time.  It  is  mortifying  to  be  dependent  upon  an  outside  charitable  organiza 
tion  for  important  supplies,  acknowledged  to  be  a  legitimate  part  of  the  ration.  The  three  division  field  hospitals  established 
above  Chattanooga  were  continued  for  twenty-five  days  after  the  battle.  The  success  of  treatment  in  these  hospitals  was  much 
more  gratifying  than  in  those  established  in  houses  in  Chattanooga,  to  which  the  wounded  of  the  army  of  the  Cumberland  were 
taken.  Erysipelas,  hospital  gangrene,  and  other  adynamic  disease's  prevailed  among  those  to  an  enormous  extent,  while  in  the 
field  hospitals  there  was  not  a  single  case  of  gangrene,  and  but  one  slight  one  of  erysipelas.  This  immunity  in  the  wounded  of 
the  Fifteenth  Corps  was  probably  due  to  two  causes.  In  the  first  place,  it  has  been  proven  by  experience  on  many  occasions  in 
this  war,  that  men  recover  more  rapidly  from  wounds  when  placed  comfortably  in  tents,  where  they  get  an  abundance  of  fresh 
air,  than  in  such  hospitals  as  are  usually  improvised  from  the  houses  of  a  town,  taken  promiscuously;  and  probably  quite  as  well 
as  in  the  majority  of  our  general  hospitals,  where  it  is  almost  impossible  to  prevent  more  or  less  contamination  of  the  atmosphere, 
into  which  evaporations  are  continually  passing  from  a  large  aggregation  of  open  suppurating  wounds.  In  the  second  place,  the 
men  of  the  army  of  the  Tennessee,  although,  exposed  to  malarious  influences  during  the  preceding  summer,  had  entirely 
recovered  from  its  effects,  during  their  long  march  from  Memphis,  through  a  fruitful  and  interesting  country;  they  went  into  the 
battle  in  vigorous  health,  and  exultant  from  previous  military  successes;  whereas,  the  army  of  the  Cumberland,  after  the  repulse 
at  Chickamauga  and  return  to  Chattanooga,  in  addition  to  very  arduous  duties,  was,  for  many  days,  on  reduced  rations;  for 
several  days  in  fact,  corn  on  the  ear  was  issued  in  lieu  of  bread  or  flour.  The  1st  division  of  the  Fifteenth  Corps  having  been 
separated  from  the  rest  of  the  command  by  the  accidental  breaking  of  a  pontoon  bridge  across  the  Tennessee  River,  was  attached 
to  the  command  of  General  Hooker,  and  fought  at  Look-out  Mountain  on  the  24th,  Missionary  Eidge  on  the  25th,  and  at  the 
mountain  pass  near  Kinggold,  Georgia,  on  the  27th.  The  field  hospital  was  established  below  Chattanooga,  near  the  scene  of  the 
first  day's  fight,  and  all  the  wounded  except  about  thirty,  who  were  sent  to  the  hospitals  in  the  town,  were  sent  to  this  place 
from  the  three  battles  in  which  the  division  was  engaged.  On  the  return  of  the  different  divisions  from  the  pursuit,  the  hospitals 
were  relieved  of  all  cases  that  could  be  taken  care  of  in  the  regiments. 

Through  the  kind  assislance  of  Surgeon  G.  lYrin,  U.  S.  A.,  medical  director,  army  of  the  Cumberland,  the  little  steamers 
nil  the  river  were  pill  ai   the  disposal  of  Surgeon   K.   ().    F.    Koler,  55th   Illinois  Volunteers,  who   was   (lieu  superintending  cur 


286  APPENDED    DOCUMENTS WESTERN    ARMIES,    1803. 

hospitals,  and  permission  being  given  to  send  all  cases  to  the  hospitals  in  Nashville  that  were  in  condition  to  be  sent.     During  the 
21st  and  22d  of  December,  these  were  sent  on  board  the  boats  to  Bridgeport,  accompanied  by  nurses  arid  medical  officers.     At 
Bridgeport  they  were  taken  in  ambulances  to  the  receiving  field  hospital  of  that  place,  and  in  a  day  or  two  sent  by  comfortable 
hospital  cars  to  Nashville.     The  kindness,  patience  and  care  shown  to  the  wounded  by  the  surgeons  and  nurses  on  these  cars 
excited  my  admiration.     Those  not  in  condition  to  be  sent  to  Nashville,  were  sent  to  the  camp  hospital  near  Chattanooga, 
established  by  Surgeon  Perin,  where  they  could  be  much  more  easily  supplied ;  surgeons  and  attendants  were  sent  with  them. 
Some  of  the  surgeons  showed  skill  in  the  performance  of  operations,  and,  on  the  whole,  as  well  as  I  could  ascertain,  this  part  of 
their  duties  was.  very  well  performed.     None  were  permitted  to  operate  but  those  previously  selected,  for  their  known  or  pre 
sumed  knowledge  in  this  branch  of  surgery.     No  cases  of  tetanus  have  been  reported.     Chloroform  was  administered  in  all 
except  two  of  the  important  operations  performed.     Two  amputations  of  the  thigh  appear  from  the  tabular  report  to  have  been 
performed  without  anaesthetics.     No  reason  for  this  has  been  assigned.     It  is  probable  the  shock  was  so  great  as,  in  the  opinion 
of  the  surgeon,  to  render  its  administration  hazardous.     This  objection  I  believe  is  not  considered  valid  by  -the  majority  of 
good  authorities.     No  casualty  resulted  from  its  administration  in  one  hundred  and  thirty-six  cases.     Sixteen  cases  of  secondary 
haemorrhage  occurred.     The  attempts  at  conservative  surgery  in  wounds  of  the  knee-joint  were  not  encouraging.     Of  sixteen 
cases  reported  as  occurring  in  the  2d,  3d  and  4th  divisions,  seven  underwent  primary  amputation,  and  seven  were  treated  without 
amputation.      On  the  25th  day,  one  case  not  amputated  had  died,  and  but  two  were  reported  as  favorable  for  recovery  without 
loss  of  leg.     From  these  same  divisions  I  have  received  the  following  tabular  summary  of  important  operations,  giving  results  up 
to  25th  day  after  battle.     It  was  compiled  by  Surgeon  Roler,  55th  Illinois  Volunteers,  in  general  charge  of  the  hospitals.     Ampu 
tations  of  leg,  seven;  of  which  six  were  primary  and  one  secondary  operations;   one  death  resulted  from  primary  operations; 
amputations  of  thigh,  twenty-one;   of  which  seventeen  were  primary  and  four  secondary  operations;  three  deaths  resulted  from 
primary  and  two  from  secondary  operations.     Amputations  of  arm  and  forearm,  twenty-one ;  of  which  nineteen  were  primary 
and  two  secondary  operations ;  one  death  resulted  from  secondary  operation.     On  the  whole  there  was  as  little  suffering  from  delay 
or  want  in  this  battle  as  is  likely  to  ever  occur;   and  this  is  due  to  the  following  causes:  The  day  was  fine;  the  roads  for  the 
ambulances  good;  those  in  charge  of  bearing  off  the  wounded  did  their  duty;  the  battle  was  expected;  began  in  the  morning  and 
terminated  before  night;  the  hospital  tents  were  ready  before  the  wounded  began  to  arrive;  and  supplies  sent  for  to  Nashville 
arrived  at  the  proper  time;  and  lastly,  Surgeon  G.  Perin,  U.  S.  A.,  medical  director  army  of  Cumberland,  was  ever  prompt  to 
furnish  anything  he  had  to  spare  from  his  own  supplies.     I  regret  that  the  surgical  statistics  I  send  are  so  meagre  and  unsatis 
factory.     Where  the  medical  force  left  in  the  hospitals  is  barely  sufficient  to  attend  to  the  wants  of  those  under  their  care,  it 
requires  more  zeal  in  the  interests  of  science,  and  generally  more  knowledge  of  what  is  of  interest  to  note,  than  is  found  among 
the  majority  of  army  surgeons,  to  induce  them  to  keep  any  intelligent  record  of  important  cases.     In  future  I  hope  to  improve  the 
report  in  this  respect  by  directing  special  attention  to  certain  classes  of  wounds,  and  if  possible,  have  some  man  of  known  fitness 
to  overlook,  and  endeavor  to  excite  some  little  interest,  even  among  the  indifferent ;  but  I  cannot  work  miracles,  and  shall  not 
pledge  myself  to  accomplish  a  great  deal.     In  three  of  the  western  States,  surgeons  are  admitted  and  assigned  to  regiments 
without  any  form  of  examination  whatever.     Of  course  among  these  are  men  whose  ignorance  is  disgraceful  to  the  profession,  and 
whose  stupidity  and  blunders  tend  to  cast  a  stigma  upon  the  whole  medical  staff  of  the  army.     Very  much  is  lost  for  want  of  men 
of  sufficient  professional  intelligence  to  know  what  to  observe  particularly,  and  also  for  lack  of  industry  to  record  their  obser 
vations.     And  while  on  this  subject  I  would  respectfully  suggest  that,  in  my  opinion,  the  form  of  tabular  statement  of  gunshot 
wounds  furnished  from  the  office  in  Washington,  is,  in  some  respects,  susceptible  of  improvement,  a  single  case  may  appear  as 
three  or  four,  if  he  have,  as  often  happens,  as  many  wounds  in  different  parts  of  the  body.      Surgeon  C.  W.  McMillin,  1st 
Tennessee  Volunteers,  medical  director  Fifteenth  Corps,  in  his  report  says  the  want  of  proper  instruments  for  exsections  is  very 
much  felt  by  the  operating  staff,  and  very  properly  suggests  the  propriety  of  furnishing  a  complete  case  of  exsecting  instruments 
to  each  surgeon-in-chief  of  a  division.     At  present,  I  believe  they  are  only  furnished  to  medical  officers  of  the  regular  army.     As 
an  addendum  to  this  report,  I  will  complete  the  history  of  the  corps  up  to  December  31st,  1863.     As  before  stated,  the  pursuit 
of  the  rebels  was  taken  up  the  morning  after  the  battle;  this  was  continued  for  two  days,  with  occasional  unimportant  skirmishing 
with  the  enemy's  rear  guard,  when  the  pursuit  was  abandoned.     Two  divisions  were  then  ordered  back  to  vicinity  of  Chatta 
nooga  ;  and  the  other  two,  in  conjunction  with  the  Eleventh  Corps,  under  General  Howard,  and  part  of  the  Fourth,  under  General 
Gordon  Granger,  were  ordered  to  march  as  rapidly  as  possible  to  Knoxville  to  relieve  General  Burnside,  who  was  closely  besieged 
by  Longstreet.     The  distance  was  one  hundred  and  twenty  miles;  the  troops  had  but  three  days'  rations,  and  the  Eleventh  and 
Fifteenth  Corps  were  almost  without  tents  or  camp  and  garrison  equipage  of  any  kind.     The  weather  turned  very  cold,  and  for 
several  days  the  roads  were  frozen  hard.     The  march  was  made.     The  siege  was  abandoned  the  day  before  our  arrival,  and  on 
the  following  day  the  return  march  began.      On  December  20th,  arrived  at  Chattanooga,  after  a  continuous  march  of  eighteen 
days.     The  three  days'  rations  were  made  to  answer  for  eighteen  by  being  eked  out  from  the  forced  contributions  of  the  farmers 
in  the  beautiful  and  fertile  valleys  of  East  Tennessee.     On  the  return  march  several  hundred  men  were  entirely  barefooted.     The 
weather  was  cold,  and  the  roads  frequently  frozen  during  the  forenoon.     Notwithstanding  this,  but  few  of  them  complained  or 
asked  to  be  relieved  from  marching.     A  truthful  account  of  their  heroic  fortitude  would  place  them  on  a  level  with  the  soldiers 
of  the  devolution,  of  whose  patriotism  we  have  such  glowing  accounts,  because  a  few  of  them  were  barefooted  when  the  ground 
was  covered  with  snow.     Supplies  were  obtained  at  Chattanooga,  and  the  march  continued  to  Huntsville,  Alabama,  which  was 
reached  January  1,  1864.     Since  October  1st,  this  corps  has  marched  not  less  than  seven  hundred  and  fifty  miles;   and  notwith 
standing  all  these  seeming  privations  and  fatigues,  came  into  camp  with  but  few  sick;  and  that  all  the  exposure  these  troops 
underwent  has  had  no  depressing  or  unhealthy  tendency,  is  proven  by  the  fact  that  the  ratio  of  sick  for  January  and  February 
has  been  less  than  five  per  cent.     Accompanying  the  report  is  a  topographical  map  of  that  part  of  the  battle-field  embraced 
in  the  operations  of  the  army  of  the  Tennessee,  except  in  the  1st  division,  which  was  accidentally  detached  as  before  mentioned. 

JOHN  MOORE, 

Kurycwi  V.  S.  Army,  Medical  Director  of  the  Department  of  the  Tennessee. 
To  TIIH  SURGEON  GKNEKAT,  U.S.  AI:.MV." 


KEPORT    OF    ASSISTANT    SURGEON    BACHK,    U.    S.   A.  287 

CCXXXVI.     Extracts  from  a  Memoranda  of  Invents  in  the  Campaigns  of  the  Army  of  the 
Cumberland  about  Chattanooga.     By  Assistant  Surgeon  DALLAS  BACH]':,  U.  S.  Army. 

*  *  *  « rpj]e  iiea(iquarter8  of  the  army  left  Murfreesboro',  Tennessee,  June  25, 1863,  inarched  twelve  miles  to  Big  Spring 
Branch,  camped  at  night,  and  next  day,  the  26th,  marched,  to  Beech  Grove,  011  the  Manchester  road.  During  this  time  we  had 
a  skirmish  at  Hoover's  Gap.  Previous  to  this  time  the  main  hody  of  the  enemy  had  been  camped  at  Shelbyville,  with  divisions 
thrown  out  to  Wartrace  and  Fairfield.  Skirmishing  constantly  occurred  between  our  cavalry  and  that  of  the  enemy  toward 
Murfreesboro'.  Their  cavalry  occupied  Hoover's  Gap,  Liberty  Gap,  and  Guy's  Gap.  Hoover's  Gap  was  occupied,  after  some 
skirmishing  by  Wilder's  mounted  infantry,  and  Liberty  Gap  was  taken  also  by  Johnson's  division  of  infantry.  Enemy  fell  back 
and  we  took  one  hundred  prisoners,  but  lost  some  three  or  four  hundred  men.  We  had  about  four  hundred  and  twenty-three 
killed  and  wounded.  These  were  sent  back  to  Murfreesboro'  in  ambulances  immediately.  At  Murfreesboro'  the  general  field 
hospital,  under  charge  of  Surgeon  J.  Y.  Finley,  2d  Kentucky  Cavalry,  had  capacity  for  about  two  thousand  beds.  The  design 
of  Rosecrans  was  to  make  a  heavy  feint  toward  Shelbyville,  occupy  the  enemy's  attention,  and  then  hurry  the  mass  of  his  troops 
to  Manchester,*and  outflank  the  enemy's  base  of  supplies  at  Tullahoma,  which  he  wished  to  hold.  Crittenden's  corps  had 
marched  in  an  easterly  direction  to  Woodbmy,  intending  to  reach  Manchester  by  the  old  Fort  Nash  dirt  road,  but  they  found  no 
enemy  and  returned  to  Manchester.  Previous  to  these  marches  the  weather  had  been  dry,  but  from  the  very  day  of  the  march 
rain  had  set  in  and  had  steadily  continued.  Headquarters  reached  Manchester  about  June  29th.  There  was  no  further 
skirmishing  until  we  reached  Manchester.  Staid  there  two  days ;  then  skirmished  lightly  toward  Tullahoma.  On  July  3d,  the 
enemy  were  discovered  to  have  evacuated  this  place.  They  had  fallen  back  here  from  Shelbyville  in  advance  of  our  troops, 
they  having  the  advantage  of  a  good  pike,  while  we  moved  011  dirt  roads.  We  occupied  Tullahoma  on  the  morning  of  the  &b 
as  they  left,  carrying  off  everything  with  them.  It  is  a  place  of  about  five  hundred  inhabitants,  having  a  railroad  station. 
We  then  occupied"  the  hotel  with  about  one  hundred  and  twenty  beds,  as  a  hospital,  just  vacated  from  the  same  use  by  the 
enemy.  The  enemy  retreated  to  the  crossing  of  Elk  River  at  Estelle  Springs,  and  also  to  Winchester,  on  the  same  river,  and 
crossed,  our  men  following  to  the  river.  The  enemy  burned  the  Elk  road  bridge.  We,  three  divisions  only,  also  crossed.  Had 
some  slight  resistance  at  fords.  Lost  a  few  men,  who  were  carried  back  to  Tullahoma.  Part  of  our  forces,  General  Thomas's 
Fourteenth  Army  Corps,  moved  up  to  Pelham,  in  the  hope  of  intercepting  the  enemy  in  his  retreat  to  Tracy  City,  but  failed. 
During  this  time,  before  the  retreat  of  the  enemy  from  Tullahoma,  Colonel  Wilder's  mounted  infantry  had  been  sent  to  cut 
the  railroad  south  of  Tullahoma,  in  reality  to  destroy  the  bridge  at  Elk  River,  but  finding  that  heavily  guarded,  they  struck  the 
road  at  Tantalon  and  cut  it,  only  injuring  it  slightly.  The  enemy  retreated  leisurely  by  way  of  Decherd  and  Tracy  City  to 
Sequatchie  Valley,  and  one  column  by  Crook  Creek  Valley  to  Stevenson,  and  crossed  the  river  at  Bridgeport,  desti'oving 
the  railroad  bridge,  and  then  they  all  concentrated  at  Chattanooga.  Our  movement:  Sheridan's  division  to  Stevenson  and 
Bridgeport;  Crittenden's  Corps  to  McMinnville,  and  the  balance  staid  at  Decherd  and  Winchester  because  our  railroad 
communications  were  imperfect,  and  we  had  to  rebuild  the  bridges  at  Elk  and  Duck  rivers.  Headquarters  laid  at  Tullahoma 
from  July  3d  until  about  July  15th,  or  later,  say  August  1st,  and  then  moved  to  Winchester  about  middle  of  August.  About 
August  28th  or  29th,  the  bulk  of  army  concentrated  at  Stevenson,  except  the  Twenty-first  Corps,  Crittenden's,  which  having 
previously  concentrated  at  McMinnville,  began  its  march  to  the  Tennessee  by  the  way  of  Dunlap  and  Jasper,  down  the 
Sequatchie  Valley.  At  the  same  time  the  department  headquarters  were  established  at  Stevenson.  The  accommodation  of  the 
sick  at  this  point,  and  the  necessity  of  confining  ourselves  to  this  railroad  terminus  for  the  chief  depot  of  wounded  in  case  of  an 
inmit'dinlc  action, 'required  the  prompt  establishment  of  a  field  hospital,  the  buildings  in  the  town  being  every  way  objectionable. 
To  do  this  it  was  necessary  to  break  up  the  field  hospital  at  Murfreesboro'  entirely,  transferring  the  patients  to  Nashville,  and 
bringing  all  the  hospital  material  to  Stevenson.  In  this  way  beds  for  eighteen  hundred  patients  were  readily  supplied.  A 
smaller  field  hospital  \vastalso  established  at  Bridgeport,  for  the  temporary  care  of  the  sick  of  such  troops  as  might  cross  at  or 
near  that  point.  Eaclf  corps  had  been  supplied  with  ample  reserve  stores  of  medicines,  etc.,  sixteen  extra  hospital  tents,  and 
such  articles  as  could  be  transported.  This  supply  was  not  for  the  current  wants  of  the  command,  but  to  be  used  only  in  an 
emergency.  On  September  5th,  the  various  corps  commenced  the  movement  across  the  Tennessee  at  points  primarily  ordered. 
Pontoon  bridges  had  been  successfully  thrown  across  the  river  at  Bridgeport  and  Caperton's  Ferry.  The  Fourteenth  and 
Twentieth  Corps  crossed  at  Caperton's,  while  most  of  the  Twenty-first  Corps  crossed  at  Bridgeport,  and  a  portion  of  it  was 
ferried  over  to  Shell  Mound.  Department  headquarters  moved  on  the  morning  of  the  6th,  crossing  at  Bridgeport,  and  encamped 
for  the  night  about  fifteen  miles  from  Trenton.  The  Twentieth  Corps  had  moved  up  the  Lookout  Valley  to  Alpine,  with  a  view 
to  threaten  the  rear  of  the  Confederate  forces  in  Chattanooga,  while  with  the  same  object  the  Fourteenth  Corps  intended  to  pass 
through  Stevens's  GapMnto  McLamore's  Cove.  In  the  meantime  the  Twenty-first  Army  Corps  had  moved  along  the  line  of  the 
railroad  toward  Chattanooga,  thus  engaging  the  attention  of  the  enemy  at  home.  The  cavalry  had  also  been  sent  to  Alpine, 
pushing  on  in  the  direction  of  Rome.  On  the  7th  headquarters  reached  Trenton,  where  it  remained  until  the  morning  of  the  9th, 
when  the  enemy  having  evacuated  his  position  at  Chattanooga,  it  was  removed  to  that  point.  During  this  time,  since  the 
crossing  of  the  river,  there  had  been  but  little  sickness,  most  of  the  sick  remaining  with  their  commands,  but  few  requiring  to  be 
sent  to  the  rear.  Immediately  after  the  occupation  of  Chattanooga,  orders  were  issued  for  the  preparation  of  one  thousand  beds 
in  the  various  buildings  in  the  town,  some  of  which  had  been  previously  constructed  and  used  by  the  Confederates  for  hospital 
purposes;  but  as  this  communication  was  as  yet  both  long  and  diilicult,  much  difficulty  and  delay  was  experienced  in  obtaining 
even  a  meagre  supply  of  things  the  most  needed. 

The  Fourteenth  and  Twentieth  Corps  in  debouching  into  the  valley  in  the  east  of  the  Lookout  Range,  found  themselves 
confronted  by  the  enemy  in  superior  force,  and  were,  in  turn,  obliged  to  withdraw  through  the  gaps,  and,  marching  down  the 
Lookout  Valley,  to  recross  the  mountains  nearer  Chattanooga.  The  Twenty-first  Corps  was  at  this  time  moved  out  to  Ringgold, 
in  order  to  effect  a  junction  with  the  remainder  of  the  army.  The  enemy  at  this  time  being  reinforced,  had  turned  his  face  to 
the  north  and  offered  battle,  moving  with  the  intention  of  turning  our  left  and  gaining  the  main  route  through  Rossville  to 
Cluittanooga.  Headquarters  moved  on  the  IGth  to  Gardner's  Mills,., remaining  there  until  the  morning  of  the  ]8th,  \vhei. 


288  APPENDED    DOCUMENTS WESTERN    ARMIES,    18G3. 

the  battle  of  Clrickamauga  opened.  During  the  stay  at  Gardner's,  as  a  battle  was  certain,  orders  were  issued  to  the  medical 
directors  of  corps  directing  the  proper  disposition  of  supplies,  and  the  immediate  selection  of  positions  suitable  for  the  temporary 
field  hospitals.  This  selection  was  the  more  difficult  as  this  country  was  poorly  watered,  and  the  changing  nature  of  the  battle 
might  leave  the  hospitals  of  one  day  too  far  to  the  right  in  the  next.  Crawfish  Spring,  affording  a  large  and  excellent  supply 
of  water,  was  designated  as  the  position  of  the  hospital  on  the  right,  then  held  by  part  of  the  Twentieth  and  Twenty-first  Corps, 
the  medical  director  of  the  Fourteenth  Corps  choosing  for  his  divisions  such  points  as  his  judgment  dictated  and  circumstances 
required.  During  the  battle  of  the  18th,  headquarters  was  situated  at  Widow  Glenn's,  only  changing  when,  on  the  19th,  the 
right  wing  being  drawn  back,  it  was  removed  to  Chattanooga.  Our  loss  during  the  engagement  of  the  first  day  was  probably 
five  thousand ;  on  the  second,  five  thousand  five  hundred.  On  the  night  of  the  18th,  it  being  found  impracticable  to  find  proper 
places  in  the  centre  and  left  for  the  hospitals,  the  officer  commanding  ordered  all  the  wounded  to  be  removed  to  Crawfish 
Spring,  giving  directions  at  the  same  time  that  all  empty  wagons  should  be  drawn  to  that  point,  loaded  with  sick  and  wounded, 
and  thence  sent  to  Chattanooga.  But  few  of  the  wounded  of  the  battle  of  the  20th  reached  this  point,  as  the  enemy  turned  and 
forced  back  our  right  a  few  hours  after  the  action  commenced,  cutting  off  all  access  to  that  portion  of  the  field.  The  cavalry 
under  Brigadier  General  R.  B.  Mitchell  had  been  ordered  to  protect  the  wounded  at  the  depot  of  Crawfish  Spring,  and 
remained  there  faithfully  until  the  morning  of  the  21st,  repulsing  all  attempts  of  the  enemy  to  force  their  position  and  prevent 
the  removal  of  the  wounded.  As  soon  as  the  rout  of  the  right  occurred,  orders  were  given  by  Surgeon  Perin,  medical  director, 
to  load  all  ambulances,  and  seek  as  many  of  the  wounded  as  possible  by  the  Rossville  road  and  send  them  to  Chattanooga, 
which  order  was  faithfully  obeyed,  only  such  of  the  wounded  remaining  on  the  field  as  would  not  bear  transportation.  On  the 
evening  of  the  20th,  the  army  retired  in  good  order  to  Rossville,  and  on  the  21st,  assumed  their  position  around  Chattanooga, 
throwing  up  rough  lines  of  defence,  consisting  of  rifle-pits  and  barriers  of  logs  and  earth.  Our  loss  in  this  series  of  actions  was 
about  sixteen  thousand,  of  whom  eleven  thousand  were  killed  and  wounded,  and  the  remainder  taken  prisoners.  All  lists 
of  killed  are  of  necessity  very  inaccurate,  as  it  was  found  impossible  to  separate  those  supposed  to  be  killed  from  those  reported 
missing.  In  many  instances  those  reported  killed  in  the  report  of  the  assistant  adjutant  general  were  found  either  in  the 
hospitals  or  among  the  number  of  wounded  subsequently  exchanged  by  the  enemy.  The  force  engaged  in  this  battle  was 
probably  forty-six  thousand  infantry  and  artillery,  and  six  thousand  cavalry.  The  force  of  the  enemy  was  estimated  at  seventy- 
five  thousand  of  all  arms,  and  his  loss  at  eighteen  thousand,  of  whom  two  thousand  and  three  were  prisoners.  In  the  removal 
of  the  wounded  from  Crawfish  Spring,  those  whose  injuries  were  mortal,  or  too  serious  to  allow  the  fatigue  of  transportation, 
were  left  behind  in  charge  of  the  medical  officers  stationed  at  that  point.  Fifty-two  surgeons  and  assistant  surgeons  were 
detailed  for  this  purpose,  and  the  wounded  remaining  numbering  two  thousand,  they  found  constant  employment.  Most  of  the 
hospital  tents  that  had  been  in  use  at  this  spring  were  left  by  order,  and  such  medicines  and  supplies  as  were  on  hand  sufficient 
for  ten  days.  It  is  to  be  regretted  that  the  facilities  afforded  and  the  confusion  of  the  movement  prevented  a  complete  list  of  these 
wounded  from  being  taken  and  transmitted  to  our  lines.  The  wounds  inflicted  in  this  battle  were  principally  by  the  conical 
leaden  ball  at  short  range,  the  fire  of  the  enemy's  artillery  being  at  no  time  severe.  The  wounded  were  rapidly  distributed 
among  the  various  organized  hospitals  in  Chattanooga,  then  under  the  superintendence  of  Surgeon  I.  Moses,  U.  S.  V. ;  .but  as 
their  utmost  capacity  was  soon  reached,  it  became  necessary  to  open  new  buildings,  and  to  organize  on  a  larger  scale  a  hospital 
in  the  field.  For  the  latter  purpose,  a  well  watered  slope  was  chosen  on  the  north  side  of  the  Tennessee,  about  one  and  a  half 
miles  from  Chattanooga,  and  the  medical  directors  of  the  corps  ordered  each  to  superintend  the  erection  of  shelter  and  the  care 
of  his  own  wounded.  In  this  manner,  by  collecting  all  hospital  and  other  tents,  pavilions,  and  by  the  erection  of  bowers 
of  branches  and  leaves,  nearly  two  thousand  wounded  were  comfortably  sheltered.  On  the  21st,  anticipating  the  confusion 
that  would  occur  in  the  attempt  of  the  slightly  wounded  to  get  to  the  rear  on  their  way  to  Stevenson  and  Nashville,  the  medical 
director  had  medical  officers  stationed  at  the  entrance  to  the  pontoon  bridge,  with  orders  to  examine  every  man  that  was  wounded, 
and  if  his  injury  was  very  slight,  to  send  him  to  his  command,  or,  if  severe,  to  forward  him  to  the  north.  In  spite  of  all 
precautions,  some  of  each  class  escaped  attention,  and  were  afterwards  found  in  the  number  of  those  sent  on  foot  to  Stevenson. 
Nearly  three  thousand  slightly  wounded  men  reached  Stevenson  in  this  way,  a  detail  of  medical  officers  and  sufficient  food  being 
sent  to  accompany  them.  The  distance  they  travelled  was  not  less  than  forty  to  forty-five  miles,  over  an  almost  impassable  mountain 
road.  No  greater  tribute  could  be  paid  to  the  cheerful  endurance  of  our  soldiers  than  the  simple  recital  of  this  march  of  wounded 
men.  On  arriving  at  Stevenson  their  wounds  were  attended  to  in  the  general  field  hospital  at  that  point,  and,  as  rapidly  as 
possible,  they  were  forwarded  to  Nashville,  Tennessee.  From  the  nature  of  most  of  the  buildings  occupied  by  the  wounded  in 
Chattanooga,  and  their  necessarily  crowded  condition,  the  mortality  was  much  greater  than  would  probably  have  occurred 
under  more  favorable  conditions,  as  at  no  time  previously  had  the  physical  condition  of  the  men  been  so  good.  Many  secondary 
amputations  and  operations  had  to  be  performed,  as  the  immediate  removal  of  the  wounded  from  the  field  was  a  matter  of  pressing 
necessity,  and  left  no  time  for  surgical  interference.  Owing  to  the  deficient  transportation,  the  line  of  communication  being  nearly 
sixty  miles  over  a  mountain  road,  supplies  of  all  kinds  were  exceedingly  limited,  the  chief  dependence  for  medicines  being  on 
the  medicine  wagons,  some  fifteen  in  number,  which  had  been  supplied  to  some  regiments  before  leaving  Murfreesboro',  or  soon 
after.  The  cooking  utensils  in  them  were  of  particular  service.  Great  difficulty  was  found  at  first  in  getting  material  to  fill  the 
bed-sacks,  in  order  to  remove  the  sick  and  wounded  from  the  ground  or  floor ;  but  fortunately  some  two  hundred  bales  of  cotton 
were  found  in  the  town,  and  details  of  upholsterers  being  made  from  the  various  commands,  mattresses  were  speedily  furnished, 
nearly  three  thousand  being  made  in  this  manner.  About  a  week  after  the  battle,  negotiations  were  opened  by  Major  General 
Rosecrans  for  the  exchange  of  wounded  and  a  number  of  surgeons  equal  to  those  we  held.  As  we  held  only  about  fifty  of  their 
wounded,  most  of  ours  were  to  be  counted  in  future  exchanges.  In  this  way  we  received,  011  September  29th  and  October  1st 
and  2d,  one  thousand  seven  hundred  of  the  sick  and  wounded  left  on  the  field,  accompanied  by  four  medical  officers.  A  few 
of  the  wounded  still  remained  at  Crawfish  Spring  unable  to  be  removed.  The  transfer  of  the  wounded  to  Stevenson  was  a 
matter  of  grave  consideration  and  much  difficulty.  The  enemy  had  complete  possession  of  the  roads  on  the  south  side  of  the 
Tennessee,  and  commanded  also  the  river  ov  Haley  Trace  road  on  the  opposite  bank,  making  it  necessary  to  make  a  wide  detour 
over  Walden's  Ridge,  either  by  .the  Anderson  road,  or  some  new  route  over  the  ridge,  and  thence  down  the  Sequatchie  Valley. 


REPORT    OF    ASSISTANT    SURGEON    BACHE,    U.    S.    A. 


289 


Any  road  in  this  direction  was  full  of  difficulties — leading  over  the  mountains,  affording  no  forage,  and  the  journey  and  retuni 
occupying  nearly  two  Aveeks.  All  the  available  ambulances  were  collected  and  organized  into  trains,  and  from  time  to  time  were 
filled  with  sick  and  wounded,  and  sent  under  proper  charge  to  Stevenson.  Wagon  trains  going  to  this  point  for  supplies  were, 
when  practicable,  also  nsed  for  this  purpose.  In  this  manner  the  hospitals  were  finally  depleted.  Sanitary  agents  were  stationed 
at  various  points  along  this  route,  making  a  species  of  entrepot  for  the  aid  of  the  passing  ambulance  trains,  or  such  soldiers  as 
might  be  returning  to  their  commands;  and  in  this  way  much  assistance  was  rendered.  From  scarcity  of  forage,  the  animals  at 
length  were  reduced  by  starvation  both  in  strength  and  numbers,  so  that  it  became  no  longer  possible  to  send  the  wounded  in 
this  manner,  and  it  became  a  subject  of  donbt  whether,  in  case  of  a  forced  evacuation  of  our  position,  it  would  not  be  necessary 
to  abandon  the  remaining  sick  and  wounded,  ahout  sixteen  hundred,  to  the  enemy.  Happily  this  necessity  never  came.  On 
October  29th,  by  a  brilliant  and  successful  movement,  the  enemy's  lines  at  Brown's  Ferry  were  penetrated,  and  the  south  side 
of  the  Tennessee  occupied  from  Bridgeport  to  that  point.  On  the  night  of  the  29th,  a  severe  attack  was  made  by  General  Wood's 
rebel  division  upon  the  division  of  General  Geary  of  the  Twelfth  Corps,  which  had  that  evening  reached  Wauhatchie  Station, 
on  the  line  of  railroad  from  Bridgeport  to  Chattanooga..  This  attack  was  gallantly  repulsed,  writh  a  loss  to  the  enemy  of  two 
hundred  prisoners  and  a  thousand  stand  of  small  arms.  Our  loss  in  the  engagement  was  three  hundred  killed  and  wounded- 
The  possession  of  the  river  to  this  point  enabled  the  boats  to  ascend  the  river  either  to  Kelly's  Ferry  or  to  Brown's.  As  the 
river  was  difficult  to  navigate  above  the  former  ferry  on  account  of  the  rapids,  cargoes  Avere  generally  discharged  at  that  point 
and  wagoned  over  the  narrow  neck  of  land  to  Brown's,  thence  across  a  pontoon  bridge  to  the  north  side  of  the  river,  the  road 
skirting  along  the  bank  until  opposite  to  Chattanooga,  where  a  second  pontoon  bridge  completed  the  route.  Supplies  in  this 
way  soon  became  more  plenty,  and  xiie  stress  upon  the  hospitals  was  soon  relieved.  A  depot  of  transit  for  the  sick  and  wounded 
was  immediately  established  at  Kelly's  Ferry,  and  the  hoats  carried  them  from  that  point  to  the  railroad  terminus  at  Bridgeport, 
whence  they  were  taken  in  the  hospit;.!  train  to  Nashville.  As  all  mention  of  this  train  has  been  previously  omitted  in  this 
paper,  it  is  necessary  to  devote  a  few  words  to  its  organization  and  results.  Before  leaving  Murfreesboro',  twro  ordinary  passenger 
cars  had  been  fitted  up  with  hunks,  and  the  same  number  unaltered,  with  the  addition  of  a  box-car  for  cooking  purposes,  had 
been  organized  by  the  medical  director  as  a  train  exclusively  for  the  transportation  of  the  sick.  At  the  same  time  measures  had 
been  taken  to  build  for  the  government  two  first  class  cars,  fitted  up  inside  with  berths  suspended  from  elastic  rings,  in  order  to 


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FIG.  XI. — Vertical  and  Horizontal  Sections  of  United  States  Hospital  Railway  Car. 

lessen  the  motion  of  the  cars.  The  latter  cars  were  put  upon  the  road  about  the  middle  of  September.  A  competent  medical 
officer,  with  a  detail  of  nurses  and  cooks,  are  in  constant  attendance  during  the  entire  time.  The  train  at  present  is  capable  of 
conveying  sixty  bed  patients,  and  the  same  number  sitting  up.  As  the  number  of  patients  gradually  decreased,  the  field  hospital 
on  the  north  side  of  the  river  was  broken  up,  and  a  site  having  been  selected  about  one  mile  from  Chattanooga,  on  Chattanooga 
Creek,  it  was  re-established  in  the  new  situation.  The  field  hospital  at  Stevenson  was  also  about  this  time  broken  up,  and  orders 
given  to  bring  all  the  tents,  stores,  etc.,  to  Chattanooga;  but  owing  to  the  inability  of  the  boats,  only  three  in  number,  to  carry 
:ill  the  freight,  much  delay  was  experienced  in  forwarding  them  to  their  destination.  It  was  intended  to  unite  these  hospitals 
with  the  one  at  Chattanooga,  and  thus  make  a  hospital  with  a  capacity  of  about  two  thousand  beds.  This  hospital  at  that  time 
had  seven  hundred  beds  ready  for  the  occupation  of  sick.  In  the  middle  of  November  it  became  evident,  from  the  nature  of  the 
preparations  around,  that  a  movement  against  the  enemy  was  intended,  and  the  medical  director  began  his  preparations 
accordingly.  Supplies,  in  addition  to  those  already  on  hand,  were  ordered  from  Nashville,  and  such  of  the  churches  and 
available  buildings  as  had  been  previously  completed  were  again  refitted  for  the  occupation  of  the  wounded.  An  estimate  was 
made  for  the  accommodation  of  five  thousand,  and  the  means  at  hand  expended  for  that  end.  It  is  not  necessary  to  attempt  a 
description  of  the  battle  of  Missionary  Ridge,  which  resulted  in  perfect  victory  to  our  arms,  but  only  to  mention  the  leading 
features  of  medical  interest  in  and  after  the  engagement.  The  wounded  men  were  more  readily  and  rapidly  cared  for  than 


290  APPENDED    DOCUMENTS WESTEEN    AEMIES,    ]8C>3. 

at  any  previous  battle  of  that  army.  The  ambulance  trains  moved  rapidly  from  the  town  to  the  front,  only  a  distance  of  two  or 
three  miles,  and  returned  with  their  loads.  In  this  way  all  were  comfortably  housed,  except  here  and  there  some  severely  wounded 
man  who  had  found  his  way  to  some  house,  and  was  unable  to  report  his  situation.  The  loss  of  the  army  of  the  Cumberland  in 
this  battle  was  three  hundred  and  eighty-five  killed  and  three  thousand  two  hundred  .and  thirteen  wounded,  and  the  loss  of  the 
Fifteenth  Corps,  under  Major  General  Sherman,  probably  eighteen  hundred  more.  The  loss  of  the  enemy  is  reported  in  their 
papers  as  twenty-five  hundred  in  killed  and  wounded,  and  the  lists  of  the  provost  marshal  of  the  department  of  the  Cumberland 
show  the  names  of  nearly  seven  thousand  prisoners.  Here  admirable  opportunity  was  offered  for  the  prompt  exercise  of  surgical 
skill  in  primary  operations,  but  the  previous  health  of  the  men  had  been  so  much  lowered  by  deficient  food,  that  the  success  was 
in  no  wise  nattering  in  the  subsequent  treatment  and  results.  The  hospitals  were  very  much  overcrowded,  as  only  those  able  to 
bear  exposure  and  fatigue  could  be  safely  sent  to  the  rear  by  the  journey  of  boat  and  cars.  Hospital  gangrene  now  manifested 
itself,  attacking,  with  few  exceptions,  all  the  stumps.  The  treatment  by  bromine,  elaborated  by  Surgeon  Goldsmith's  care,  was 
tried  in  nearly  all  the  cases,  with  what  final  result  I  do  not  know.  Although  the  line  of  railroad  was  now  entirely  in  our  possession, 
it  Avas  not  until  the  middle  of  January  that  the  trains  commenced  then:  regular  trips  from  Nashville,  and  the  hospital  train  could 
be  used  to  deplete  the  crowded  hospitals.  In  the  meantime,  on  account  of  the  severe  weather,  it  was  impossible  to  send  any  more 
sick  or  wounded  by  the  regular  way,  so  that  all  were  held  in  Chattanooga  until  the  completion  of  the  road  afforded  the  proper 
means.  About  four  hundred  rebel  wounded  and  thirteen  of  their  medical  officers  fell  into  our  hands  at  this  battle.  They  were 
assigned  to  several  buildings,  and  one  of  their  number  placed  in  charge  of  the  whole.  They  kept  their  hospitals  in  the  filthy 
condition  that  seems  necessary  to  their  comfort,  and  showed  a  want  of  interest  in  the  care  of  their  patients,  that  was  attended  with 
the  usual  results.  The  addition  of  the  Fifteenth  Corps  taxed  our  supplies  to  the  utmost,  as  it  was  anticipated  that  their  own 
stores  were  ample,  and  no  estimate  for  their  wants  had  been  made;  and  still  heavier  calls  were  made  upon  our  stores  at  this  time, 
necessitated  by  the  transfer  of  the  Fourth  Corps,  under  General  Gordon  Granger,  to  operate  in  east  Tennessee,  and  also  by  the  urgent 
wants  of  the  troops  of  General  Burnside  in  that  department.  Medicines  and  stores  for  one  thousand  beds  and  ten  thousand 
troops  were  in  this  way  supplied.  Three  additional  boats  having  been  built  at  Bridgeport,  the  means  of  transportation  made 
the  supply  of  the  things  most  needed  ample  enough  for  the  wants  of  the  hospitals,  and  no  further  difficulty  was  felt  either  in 
supplying  the  command  at  Chattanooga  or  Knoxville.  About  January  1st,  the  new  supply  table  was  issued  upon  the  basis  of  a 
brigade  organization,  the  table  being  nearly  in  all  respects  the  same  as  that  previously  in  use  by  the  army  of  the  Potomac.  At 
the  same  time  the  organization  of  the  ambulance  corps  was  completed  and  rapidly  pushed  into  practice  throughout  the  army.  It 
was  also  the  intention  of  the  medical  director  to  supply  each  regiment  with  one  double  pannier  set,  and  medicine  cases  to  the 
batteries  of  each  division,  relying  on  the  supply  in  the  brigade  medicine  wagons  for  the  emergencies  of  battle  and  the  care  of  the 
hospitals  in  the  field.  The  allowance  of  hospital  and  wall  tents  for  the  brigade  hospitals  was  also  apportioned — one  hospital 
tent  for  every  three  hundred  and  fifty  men,  and  one  wall  tent  for  the  brigade — and  the  necessary  orders  were  issued  regulating 
the  detail  of  nurses  and  cooks.  The  general  field  hospital  on  Chattanooga  Creek,  under  the  superintendence  of  Assistant 
Surgeon  R,  Bartholow,  U.  S.  A.,  is  now  reorganized  on  a  basis  of  two  thousand  beds,  the  tents  being  stretched  over  substantial 
frames,  and  floored.  A  hospital  for  five  hundred  beds,  and  a  large  convalescent  camp,  to  be  situated  at  Summertown  or  Lookout 
Mountain,  are  also  under  consideration.  The  railroad  being  open  through  to  Nashville,  the  hospital  train  made  three  trips  a 
week,  so  that  the  work  of  emptying  and  closing  the  hospitals  in  town  was  almost  complete  by  the  middle  of  February.  It  was 
then  the  intention  of  the  medical  director  to  concentrate  all  the  patients  who  were  either  unable  to  bear  transportation  or  who 
did  not  need  a  transfer  in  the  field  hospitals,  to  the  Crutchfield  Hotel,  and  a  pavilion  hospital  built  by  the  confederates,  and  capable 
of  holding  four  hundred  patients.  With  the  hospital  already  established  in  Nashville,  and  a  capacity  of  extension  of  five 
thousand  beds,  the  hospitals  in  Louisville,  Jeffersonville,  and  New  Albany,  and  those  in  Chattanooga,  it  was  expected  that  every 
emergency  could  be  readily  met," 

CCXXXVIL     Extracts  from  a  Report  of  the  Operations  of  the  Medical  Staff  of  the  Fourth. 
Corps  at  the  Battle  of  Chattanooga.     By  Surgeon  A.  J.  PHELPS,  U.  S.  Volunteers. 

*  *  *  "About  one  week  before  the  battle,  we  had  intimation,  not  official,  but  from  a  reliable  source,  that  a  battle  would 
soon  take  place  for  the  repossession  of  Lookout  Mountain  and  Missionary  Ridge.  Accordingly  I  began  to  prepare  for  wounded 
men  by  emptying  the  division  hospitals  of  the  milder  cases  of  sickness,  and  fitted  up  such  other  buildings  as  were  placed  at  my 
disposal,  including  the  U.  S.  general  hospital  under  charge  of  Surgeon  F.  Salter,  U.  S.  V.  By  the  time  the  battle  came  off,  I  had 
good  shelter  for  one  thousand  two  hundred  men,  and  beds  for  six  hundred  and  fifty.  Having  very  few  tents,  I  had  to  depend 
mainly  upon  buildings  for  shelter ;  for  most  of  the  regimental  hospital  tents  were  captured  at  Chickamauga,  and  had  not  yet 
been  replaced.  The  medical  officers  of  each  division  were  assigned  to  specific  duty,  and  all  was  in  readiness,  so  far  as  our  limited 
means  would  permit,  for  the  fight  that  opened  on  November  23d.'  The  battle  was  opened  by  a  reconnoissance  made  at  one  o'clock 
in  the  afternoon  by  General  Wood's  3d  division,  in  the  direction  of  Missionary  Ridge.  The  result  of  this  movement  was  a  brisk 
fight  of  half  an  hour,  and  the  occupation  of  a  low  range  of  hills  a  mile  distant  from  our  lines.  In  this  affair,  Wood's  division 
lost  about  one  hundred  and  twenty-five  men  killed  and  wounded;  the  wounded  were  promptly  removed  to  the  hospital  in  town. 
Having  driven  the  enemy  from  this  important  position,  our  forces  were  ordered  to  halt  and  make  themselves  secure.  On  Tuesday 
the  24th,  there  was  no  movement  of  importance  from  our  front,  but  about  noon  General  Hooker,  upon  the  right,  made  the  attack 
upon  Lookout  Mountain.  Among  the  troops  with  which  he  made  the  attack,  were  the  2d  and  3d  brigades  of  the  1st  division  of 
this  corps,  and,  although  they  were  in  froiit  of  the  attacking  forces,  their  loss  in  killed  and  wounded  scarcely  exceeded  one 
hundred.  The  wounded  were  removed  with  difficulty  over  bad  roads  to  Kelly's  Landing.  On  Wednesday,  November  25th, 
General  Sherman  on  our  left,  attacked  the  enemy,  and  fought  until  past  midday.  At  about  half  past  three  o'clock,  P.  M.  the 
divisions  of  Generals  Wood  and  Sheridan  of  this  corps  were  ordered  to  assault  the  rifle  pits  of  the  enemy  at  the  base  of  the  ridge, 
which  was  distant  about  three-fourths  of  a  mile.  They  moved  forward  steadily,  earned  the  rifle  pits,  and  halted  not  until  they 
had  stormed  and  taken  possession  of  the  heights  beyond.  Here,  in  less  than  an  hour,  these  two  divisions  lost  over  two 


REPORT    OF    SURGEON    S.    G.    MENZIES.  291 

thousand  one  hundred  men  in  killed  and  wounded.  The  range  was  short  and  the  fire  consisted  both  of  musketry  and  artillery. 
Not  less  than  forty  cannon  poured  an  enfilading  fire  of  grape  and  spherical  case  upon  the  troops  as  they  ascended  the  ridge,  and 
as  they  neared  the  top,  they  were  greeted  with  hand  grenades,  extemporized  by  igniting  shells  with  short  time  fuses  and  rolling 
them  down  upon  our  lines.  Some  bayonet  wounds  were  received  upon  the  crest  of  the  ridge.  A  large  proportion  of  the  Avounds 
were  severe.  The  wounded  were  promptly  removed  from  the  field,  so  that  by  two  o'clock  at  night  it  was  reported  to  me  that  all 
the  hurt  were  gathered  under  shelter.  The  slighter  wounded  were  permitted  to  go  to  their  regimental  quarters.  The  operating 
surgeons  with  their  assistants,  were  distributed  equally  around  and  attention  first  given  to  primary  amputations.  Amputation  was 
recommended  in  all  cases  where  the  articular  extremities  of  the  knee  joint  were  involved  by  direct  impingement  of  the  ball  or  by 
a  partial  fracture  extending  from  the  bony  structure  above  or  below.  Fractures  of  the  thigh,  as  a  general  principle,  were 
not  amputated.  A  few  days  after  the  battle,  the  2d  and  3d  divisions  of  the  corps  were  ordered  to  Knoxville,  Tennessee,  as  a 
reserve  for  General  Burnside's  forces.  I  wish  to  speak  of  the  efficient  aid  that  I  received  from  Surgeon  Francis  Salter,  U.  S.  V. 
in  charge  of  United  States  general  hospital  number  four.  I  wish  also  to  recommend  favorably  Surgeon  W.  W.  Blair,  58th 
Indiana  Volunteers,  division  surgeon,  3d  division;  Surgeon  D.  J.  Griffith,  2d  Kentucky  Volunteers,  division  surgeon,  2<1  division; 
Surgeon  A.  McMahon,  64th  Ohio  Volunteers,  Surgeon  A.  W.  Hiese,  100th  Illinois  Volunteers,  Surgeon  E.  B.  Glick,  40th  Indiana 
Volunteers,  and  Surgeon  Francis  W.  Lytle,  36th  Illinois  Volunteers.  The  following  is  a  summary  of  the  killed  and  wounded,  the 
nominal  lists  of  which  accompany  this  report:  commissioned  officers  killed,  twenty-seven,  wounded, one  hundred  and  sixty-nine; 
enlisted  men  killed,  two  hundred  and  seventy-seven,  wounded,  one  thousand  nine  hundred  and  eighteen;  aggregate,  two  thousand 
three  hundred  and  ninety-one." 

CCXXXVIII.  Extracts  from  a  Report  of  the,  Operations  of  the  Medical  Staff  in  the.  First 
Division  of  the  Fourth  Corps  at  the  Battle  of  Chattanooga.  By  Surgeon  S.  Gr.  MENZIES, 
1st  Kentucky  Volunteers. 

"Brigadier  General  Charles  Cruft  was  in  command  of  twelve  regiments  Constituting  the  force  in  the  field,  while 
the  balance  of  the  division  remained  in  camp.  Six  of  these  regiments  were  from  the  2d  brigade,  General  W.  C.  Whitaker 
commanding,  and  six  from  the  3d  brigade,  Colonel  William  Gross,  commanding.  On  November  23d,  1863,  they  marched  from 
Shell  Mound  and  Whitesides  into  Lookout  Valley,  and  encamped  near  the  headquarters  of  General  Hooker,  about  one  and  a  half 
to  two  miles  from  the  base  of  the  mountain,  named  as  the  Lookout  Valley.  By  three  o'clock  on  the  morning  of  the  24th,  orders 
came  to  General  Cruft  from  General  Hooker  to  move  on  the  mountain,  which  was  done  in  company  with  the  divisions  of  Generals 
Osterhaus  and  Geary,  General  Whitaker's  regiments  forming  the  right  and  Colonel  Gross's  the  centre  in  the  attack.  I  established 
a  temporary  field  hospital  at  the  foot  of  the  mountain,  and  received  the  wounded  as  they  were  brought  down,  which  was  done 
with  great  difficulty.  The  ambulances  could  go  but  little  way  up  the  ascent,  and  the  men  had  to  be  carried  over  a  very  rocky 
and  almost  precipitous  surface.  On  the  25th,  the  wounded  were  taken  to  the  rear  and  delivered  to  Surgeon  Taylor  at  Kelly's 
Ferry,  on  the  Tennessee  River,  who  had  made  good  preparations  to  receive  them.  In  taking  Lookout  Mountain  the  troops, 
under  General  Cruft,  bore  a  conspicuous  part  throughout  the  day,  and  deep  into  the  night  of  the  24th,  when  they  bivouacked  on 
a  slope  under  the  jutting  rock  specially  designated  Lookout,  near  the  White  House.  During  this  day  and  night  Surgeon  Beach, 
of  the  2d  brigade,  with  several  assistant  surgeons,  was  on  the  field,  giving  temporary  relief  to  the  sufferers,  and  sending  them 
back  to  us  in  the  bottom.  Late  in  the  afternoon  of  the  25th,  with  several  surgeons  and  a  portion  of  the  ambulances,  I  started 
across  the  mountain  after  the  command  which  had  followed  the  enemy  five  miles  beyond  Chattanooga  to  Missionary  Ridge,  and 
caught  up  on  the  morning  of  the  26th  at  that  place.  Our  gallant  men  had  not  failed  under  the  hard  work  of  the  previous  day 
and  night,  but  assisted  in  the  storming  of  the  ridge,  and  had  six  men  badly  wounded  who  were  sent  back  to  Chattanooga.  On 
the  26th,  we  followed  the  enemy  to  Pea  Vine  Creek  harrassing  his  rear,  and  camped  on  a  ridge  just  beyond  the  Creek  five 
miles  from  Ringgold,  about  ten  o'clock  at  nignt,  The  27th  saw  the  soldiers  bright  and  cheery,  moving  on  Ringgold,  which  was 
reached  at  nine  o'clock  in  the  morning.  General  Cruft's  command  formed  the  reserve.  The  divisions  of  Generals  Osterhaus  and 
Geary  attacked  the  enemy  who  was  posted  in  strong  position  on  the  heights,  and  in  a  pass  in  the  mountain.  After  a  severe 
struggle  of  two  hours  the  rebels  retreated.  Having  no  wounded  of  our  own  I  placed  the  surgeons  supplies,  ambulances,  and 
instruments  at  the  disposal  of  Surgeon  A.  Ball,  5th  Ohio  Volunteers,  of  General  Geary's  Staff,  and  rendered  what  assistance  we 
could  to  their  wounded,  who  numbered  over  three  hundred,  injured  in  a  more  terrible  manner  than  any  I  have  seen  during 
the  war.  From  November  24th  to  28th,  General  Cruft's  command  had  one  hundred  and  forty-six  killed  and  wounded.  *  * 
November  27th,  when  the  command  started  around  on  the  west  side  of  Ringgold,  the  wounded  from  General  Geary's 
troops  were  brought  back  across  the  bridge  over  the  East  Fork  of  the  Chickamauga.  Our  forces  not  being  engaged,  I  took 
Surgeon  Beach  and  Assistant  Surgeons  Matchet,  Gilmore,  Gaston,  and  Ravenroute,  who  were  on  the  ground  with  me,  to  the 
assistance  of  Surgeon  A.  Ball,  5th  Ohio  Volunteers,  chief  surgeon  of  the  2d  division  of  the  Twelfth  Corps.  About  ten  o'clock 
as  the  wounded  began  to  be  brought  back,  two  houses  were  taken  on  the  west  side  of  the  river,  and  the  sufferers  were 
attended  to  as  well  as  practicable  under  the  circumstances.  Upward  of  one  hundred  men  came  to  us  wounded  in  every 
conceivable  manner.  After  the  battle  ceased,  many  were  taken  into  the  town  and  placed  in  the  Catoosa  Hotel,  the  court-house, 
and  bank  building,  with  others  who  had  been  brought  immediately  from  the  field,  numbering,  in  all,  two  hundred  and  sixty-one. 

Surgeon  M.  G.  Sherman  was  placed  in  charge  of  the  Catoosa  House,  assisted  by  Surgeons  Kersey  and  Kyle,  and  Assistant 
Surgeon  Avoirdick.  Surgeon  Beach  and  Assistant  Surgeon  Matchet  were  assigned  to  help  at  the  Court-house,  and  Assistant 
Surgeons  Gilrnore,  Gaston,  and  Ravenroute  to  the  bank  buildings.  Surgeon  Sherman  remained  at  the  Catoosa  house  until 
the  morning  of  the  28th,  when  the  wounded  were  sent  to  Chattanooga.  Surgeon  Sherman  discharged  the  onerous  duties 
imposed  upon  him  with  great  ability  and  perseverance.  The  medical  officers  of  other  commands  were  limited  in  supplies, 
and  our  instruments,  dressings,  etc.,  were  placed  freely  at  their  disposal." 

[In  transmitting  the  report  of  Surgeon  Menzies  to  the  adjutant  general  of  the  army,  General  Cruft  calls  attention  to  the  tact 
that,  after  the  battle  of  Ringgold,  the  entire  medical  force  of  his  command,  and  :ill  the  medical  stores  on  hand  were  used  in 


292  APPENDED    DOCUMENTS WESTERN    AKMIES,    18G3-4. 

ministering  to  the  relief  ot  the  wounded  of  the  divisions  of  Generals  Geary  and  Osterhaus.  "Surgeons  Meiizies,  Ball,  Sherman, 
Kersey,  Kvle,  and  Assistant  Surgeons  Gilmore,  Ravenroute,  and  Gaston,  and  Surgeons  Beach  and  Matchet,"  General  Cruft  reports, 
"were  unremitting  in  the  discharge  of  their  duties  in  field  and  hospital,  and  in  addition  to  our  own  wounded,  had  large  calls 
upon  them  in  their  ministrations  to  the  wounded  of  the  enemy.  They  were  untiring  and  unselfish  in  their  efforts  to  alleviate  the 
sufferings  of  all  wounded  men  without  regard  to  where  they  belonged." — ED'S.] 


CCXXXIX.  Extracts  from  a  Report  of  the  Operations  of  the  Medical  Department  of  the 
Third  Division  of  the  Fouith  Army  Corps  in  the  Campaign  fwm  October  26,  1863,  to 
January  18,  1864.  By  Surgeon  W.  W.  BLAIR,  58th  Indiana  Volunteers. 

"At  the  reorganization  of  the  army  of  the  Cumberland,  at  Chattanooga,  the  3d  division  of  the  Fourth  Corps 
was  composed  of  regiments  taken  from  the  divisions  formerly  commanded  by  Generals  Palmer,  Johnson,  Davis,  and  Van  Cleve, 
in  all  twenty-six  regiments,  and  three  batteries.  The  organization  was  but  barely  completed,  when  we  were  called  upon  to 
participate  in  the  campaign  which  resulted  in  the  rout  of  the  rebel  forces  occupying  Missionary  Ridge  and  its  vicinity.  On 
October  26,  1863,  the  2d  brigade,  General  Hazen's,  was  ordered  down  the  Tennessee  River,  in  pontoon  boats,  to  participate  in  the 
movement,  having  for  its  object  the  occupation  of  Lookout  Valley.  During  the  time  the  brigade  was  effecting  a  landing  011  the 
south  side  of  the  river,  there  were  five  killed  and  twenty-one  wounded;  among  the  latter  was  Surgeon  J.  C.  Barr,  1st  Ohio 
Volunteers.  The  wounded  were  under  the  supervision  of  Surgeon  A.  H.  Stephens,  Cth  Ohio  Volunteers,  assisted  by  the  regimental 
medical  officers  belonging  to  the  brigade.  Temporary  dressings  were  applied  to  the  wounded  on  the  field.  They  were  then 
conveyed  to  the  general  field  hospital,  a  distance  of  about  two  miles,  where  they  were  made  as  comfortable  as  circumstances 
would  admit.  From  this  time  to  November  23d,  the  division  was  not  called  into  action.  There  was  slight  picket  skirmishing  in 
front  of  our  lines,  occasionally,  but  with  few  casualties.  For  the  grand  movement  of  Monday  afternoon,  November  23d,  I  had 
made  the  following  preparations.  Having  selected  a  site  for  a  division  field  hospital,  I  made  an  organization  of  the  medical 
department  of  the  division.  *  *  Surgeon  A.  C.  McChesney,  59th  Ohio  Volunteers,  was  put  in  charge,  with  a  full  staff  of 
assistants.  '  All  the  remaining  officers,  with  hospital  stewards  and  attendants,  were  ordered  to  the  field  to  perform  such 

duty  as  might,  from  time  to  time,  be  requisite.  Wood,  water,  etc.,  was  provided  in  camp,  and  the  wounded,  on  their  arrival, 
were  directed  to  their  respective  brigades  by  Surgeon  McChesney,  the  general  superintendent.  On  November  23d,  at  three  o'clock 
in  the  afternoon,  the  grandest  military  movement  of  the  war  took  place,  exhibiting  in  its  execution,  great  bravery  both  upon  the 
part  of  our  men  and  officers,  and  giving  us  as  a  result,  possession  of  the  enemy's  line  of  rifle  pits,  passing  over  the  summit  of 
Orchard  Knob.  The  wounded  were  promptly  removed  from  the  field  through  the  energy  and  efficiency  of  the  medical  officers  on 
duty  on  the  field,  and  a  well  organized  ambulance  corps  in  charge  of  Lieutenant  J.  H.  Glick,  49th  Ohio  Volunteers.  That  night 
and  the  next  day  were  spent  in  administering  to  the  wants  of  the  wounded,  making  them  as  comfortable  as  our  limited  means 
would  allow.  During  the  assault  on  Missionary  Ridge,  November  25th,  together  with  the  advance  upon  Orchard  Knob,  we  lost 
from  the  entire  division  one  hundred  and  sixty  killed,  and  eight  hundred  and  seventy-three  Avounded.  Here,  too,  the  wounded 
were  cared  for  in  the  most  efficient  manner  possible  under  the  circumstances.  Owing  to  our  limited  number  of  tents,  we  were 
glad  to  avail  ourselves  of  the  general  hospital  in  charge  of  Surgeon  F.  Salter,  U.  S.  V.,  which  had  been  but  recently  prepared 
for  such  an  emergency.  During  the  entire  engagement,  the  duties  of  the  various  medical  officers,  with  the  exception  of  the 
general  superintendent,  and  chief  operating  surgeon  in  each  brigade,  were  alternated  successively  each  day.  I  cannot,  perhaps, 
without  doing  injustice,  refer  by  name,  to  the  superior  efficiency  of  any  one  officer,  for  almost  without  an  exception,  the  conduct 
of  the  officers  was  characterized  by  good  judgment,  skill,  and  faithfulness.  On  November  27th,  the  division  was  ordered  to  march 
to  Knoxville,  with  all  possible  speed.  This  order  compelled  us  to  turn  over  all  our  wounded,  and  *  *  to  carry  out  this  order 
I  selected  one  medical  officer  to  accompany  each  regiment,  and  one  surgeon  to  accompany  each  brigade,  leaving  all  the  remaining 
medical  officers  of  the  division  to  assist  in  caring  for  our  wounded.  Surgeon  W.  J.  Burgess,  17th  Kentucky  Volunteers,  was 
placed  in  charge  of  the  division  field  hospital.  The  other  medical  officers  were  assigned  to  duty  under  the  general  supervision  of 
Surgeon  A.  J.  Phelps,  U.  S.  V.,  medical  director  Fourth  Corps.  The  brigade  surgeons,  H.  B.  Turtle,  89th  Illinois  Volunteers, 
of  1st  brigade,  D.  C.  Patterson,  124th  Ohio  Volunteers,  of  2d  brigade,  and  T.  R.  W.  Jeffray,  9th  Kentucky  Volunteers,  of  3d 
brigade,  hastily  collected  such  medical  stores  as  could  be  obtained  to  furnish  one  medical  wagon  for  each  brigade.  Such  regiments 
as  had  panniers,  hospital  knapsacks,  or  field  dressing  cases,  were  directed  to  replenish  them.  *  *  Thus  equipped,  011  November 
28th,  we  started  on  our  march.  Owing  to  the  very  limited  amount  of  clothing  in  the  quartermaster's  department,  our  troops  were 
compelled  to  start  upon  this  march  of  more  than  one  hundred  miles,  in  a  very  destitute  condition,  many  men  being  entirely  bare 
footed  and  without  underclothing  of  any  kind.  We  marched  with  great  rapidity,  making  from  fifteen  to  twenty-five  miles  per 
day,  except  while  crossing  the  Chickamauga,  Hiawassee,  Little  Tennessee,  and  Little  rivers,  at  each  of  which  much  time  was 
On  the  way  up,  knowing  that  many  of  our  men  were  totally  barefooted,  I  suggested  that  moccasins  be  made  from 
the  skins  of  the  animals  slaughtered  on  the  march.  This  suggestion  was  extensively  followed,  adding  at  least  something  to  the 
comfort  of  our  men.  Notwithstanding  the  limited  clothing  and  shelter,  the  health  of  the  command  continued  good,  and  in  many 
instances,  owing  to  the  complete  change  in  diet,  for  we  were  compelled  to  subsist  upon  food  collected  from  the  country  through 
which  we  marched,  there  was  a  marked  improvement  in  health.  On  December  7th,  we  arrived  in  the  vicinity  of  Knoxville, 
where  we  remained  in  bivouac  about  eight  days;  very  few  men  were  so  ill  as  to  require  hospital  treatment.  On  December  16th, 
we  were  ordered  to  march  at  once  to  Blain's  Cross  Roads  to  assist  in  repelling  what  was  supposed  to  be  an  advance  of  the  enemy. 
The  supposition  proved  to  be  without  foundation,  and  we  remained  quietly  in  camp  in  the  vicinity  of  Flat  Creek,  until  about  the 
middle  of  January,  1864.  During  this  time  the  health  of  the  command  was  good.  We  were  then  ordered  to  march  to  Dandridge. 
The  roads  at  this  time  being  good,  we  reached  this  point  with  comparatively  little  trouble,  but  on  January  17h,  the  temperature 
moderated,  the  ground  suddenly  thawed,  and  the  roads  became  at  once  very  bad.  On  January  18th,  we  were  ordered  to  fall 
back  to  Strawberry  Plains.  This  retreat  was  slow,  less  than  one  mile  per  hour.  As  a  consequence  of  exposure  during  this 
•xtremely  fatiguing  march,  we  had  a  very  considerable  number  of  men  who  required  hospital  treatment." 


REPORT    OF    SURGEON    I).    G.    BRINTON.  293 

CCXL.     Extracts  from  a  Report  of  the  Operations  of  the  Medical  Staff  of  the  Eleventh  Corps 
at  the  Battle  of  Chattanooga.     By  Surgeon  D.  G.  BRINTON,  U.  S.  Volunteers. 

"The  2d  and  3d  divisions  of  the  Eleventh  Corps  moved  across  the  pontoon  bridge  from  Lookout  Valley  and 
bivouacked  on  the  plains  south  of  Fort  Wood,  Chattanooga,  on  the  afternoon  of  November  22d.  *  *  I  was  placed  in  possession 
of  the  barrack  hospital,  adjacent  to  the  public  school,  and  that  building  itself.  This  gave  me  fourteen  wards,  accommodating  fifty 
men  each,  and  room  for  a  hundred  more  in  the  school-house.  The  next  day  I  made  requisition  for  the  necessary  articles,  had  the 
surgeons  appointed  report  at  the  hospital,  and  detailed  Surgeon  W.  Gunkle,  73d  Pennsylvania  Volunteers,  as  surgeon  in  charge. 
As  you  are  aware,  less  was  attempted  on  our  left  that  day  than  had  been  anticipated,  and  the  only  action  of  our  troops  in  that 
direction  was  the  movement  in  front  of  Fort  Wood,  resulting  in  the  capture  of  Orchard  Knob.  This  corps  was  not  greatly 
exposed,  and  the  whole  number  of  cases  that  reported  to  the  hospital  were  only  twenty-one.  The  next  dav,  November  24th, 
more  were  brought  in,  some  wounded  on  the  previous  afternoon,  but  the  greater  part  by  desultory  picket  firing  along  the  line. 
On  the  26th,  the  1st  brigade  of  the  2d  division  was  assigned  temporarily  to  General  Sherman's  command,  and  during  the  day 
was  ordered  to  charge  a  battery  of  the  enemy  on  the  northernmost  hill  of  Missionary  Ridge.  They  did  so,  but  after  suffering  a 
severe  loss  in  proportion  to  their  numbers  were  driven  back,  leaving  many  of  their  killed  and  wounded  in  the  hands  of  the 
enemy.  At  this  point  our  corps  suffered  most  severely,  especially  the  27th  and  73d  Pennsylvania,  and  33d  New  Jersey  Volun 
teers.  The  ambulances  were  immediately  ordered  to  the  spot,  and  before  night  seventy-eight  wounded  were  received  at  the 
hospital.  The  following  day  twenty-one  more,  and  on  the  27th,  fourteen  reported,  some  from  the  hospitals  of  the  other  corps. 
The  whole  number  of  wounded  received  was  one  hundred  and  fifty-nine.  There  were  also  a  number  of  sick  from  the  camps  sent 
in  before  the  corps  left  for  Knoxville,  augmenting  the  whole  number  admitted  to  two  hundred  and  twenty-seven.  These  all 
belonged  to  the  Eleventh  Corps  except  two,  who  were  subsequently  transferred  to  the  hospital  of  the  Fourteenth  Corps.  The 
details  for  the  field  hospital  had  been  made  in  very  short  notice,  but  I  am  pleased  to  state  that  no  difficulties  were  encountered  in 
carrying  out  its  provisions.  Every  case  received  due  and  immediate  attention,  every  man  was  provided  with  the  comforts  his 
condition  required,  every  wound  clearly  needing  amputation  was  made  a  primary  operation.  Warmth  was  consulted  by  placing 
the  men  severely  wounded  in  the  school-house,  where  fires  could  be  built,  when  only  the  lighter  cases  were  assigned  to  the 
windowless  wards.  Even  these  were  made  comfortable  by  closing  the  windows  with  tent  cloths,  and  as  soon  as  time  allowed,  by 
the  construction  of  spacious  fireplaces ;  cotton  mattresses  were  spread  on  the  floor  and  an  abundance  of  blankets  provided.  There 
was  no  lack  of  medical,  hospital,  and  sanitary  stores,  and  I  may  conscientiously  say  that  no  patient,  as  far  as  I  could  learn,  was  in 
want  of  anything  conducive  to  his  recovery.  The  flattering  success  that  the  statistics  of  the  hospital  show  is  adequate  proof  of 
this.  For  the  two  hundred  and  twenty-seven  patients  above  mentioned,  there  were  sixteen  medical  officers,  beside  the  surgeon 
in  charge ;  all  but  three  of  them  were  ordered  to  join  their  commands  as  soon  as  the  battle  was  concluded,  and  did  so,  leaving 
Chattanooga  on  the  morning  of  Saturday,  November  28th.  The  number  of  attendants,  besides  hospital  stewards,  of  whom  there 
were  eight,  amounted  to  fifty-three,  including  two  bands  and  a  corporal  and  guard.  The  pi-eparations  were,  consequently,  rather 
on  the  scale  of  the  accommodations  furnished  me  than  on  the  number  of  wounded  actually  received.  This  seemed,  however, 
under  the  circumstances,  the  more  prudent  course  of  action.  Of  the  two  hundred  and  twenty-seven  admitted  into  the  hospital, 
thirteen  died,  one  from  disease,  twelve  from  wounds ;  of  these  latter,  five  died  from  the  immediate  effect  of  their  wounds,  either 
on  the  day  of  their  admission  or  on  the  one  subsequent.  Omit  these  and  we  have  seven  left  to  represent  the  sum  total  of  the 
mortality  of  the  wounded  under  treatment,  or  in  other  words  something  less  than  four  and  one-half  per  centum;  a  result  certainly 
most  creditable.  The  hospital  was  continued  as  a  corps  hospital  up  to  December  29th,  when,  by  orders  from  headquarters  of  the 
department,  the  patients  were  transferred  to  the  general  field  hospital,  and  the  property  turned  over.  During  the  whole  time 
there  was  not  a  single  case  of  hospital  gangrene,  and  the  patients  throughout  did  well.  One  hundred  and  forty-five  of  the 
wounded  were  enlisted  men,  the  remaining  fourteen,  officers;  of  these  latter,  three  died.  There  are  four  primary  amputations 
recorded,  and  two  secondary.  I  am  of  opinion,  from  memory,  that  this  is  below  the  actual  number,  but  have  not  the  means  at 
hand  to  correct  it.  One  of  the  primary  amputations  died  on  the  table  under  chloroform ;  the  operation  was  for  a  shell  wound  of 
the  leg  and  the  flaps  were  taken  from  the  lower  third  of  the  thigh.  The  astonishing  success  that  attended  resections  of  the 
humerus  in  continuity,  both  here  and  after  the  battle  of  Gettysburg,  convinces  me  that  the  objections  urged  against  this 
operation  are  entirely  unfounded.  In  this  battle  we  had  three  cases,  in  the  first  of  which,  three  inches,  in  the  second,  three  and 
one-half,  and  in  the  third,  four  inches  of  this  bone  were  resected,  and  in  one  of  them  the  resection  carried  above  the  surgical 
neck,  so  that  nothing  but  the  head  of  the  bone,  enveloped  in  its  cartillaginous  covering  remained;  every  one  of  the  cases  recovered 
most  satisfactorily.  The  last  example  is  especially  instructive,  proving  that  the  danger  of  fissure  into  the  articulation  is  not  so 
invariable,  where  the  bone  is  fractured  above  the  surgical  neck,  as  many  would  have  us  believe.  In  the  case  of  Second  Lieutenant 
Adolph  Vogelbeck,  Co.  B,  27th  Pennsylvania  Volunteers,  who  had  a  ball  pass  through  the  middle  lobe  of  the  right  lung,  between 
the  seventh  and  eighth  ribs,  the  plan  of  treatment  suggested  by  Assistant  Surgeon  B.  Howard,  U.  S.  A.,  was  adopted,  the  wound 
being  properly  prepared  and  closed  by  sutures  and  collodion ;  a  month  afterwards,  December  22d,  he  was  sent  convalescent  to 
the  officers  hospital.  A  very  typical  case  of  contusion  was  presented  by  Private  Lewis  Margold,  Co.  G,  33d  New  Jersey  Volun 
teers.  He  was  admitted  November  25th,  complaining  of  his  arm,  and  saying  he  had  been  struck  by  a  shell.  The  limb  seemed 
numb  and  useless,  but  the  skin  was  not  broken  nor  even  discolored;  it  was  not  very  closely  examined,  but  no  particular  lesion 
was  supposed  to  exist.  In  a  few  days  it  swelled,  became  discolored,  signs  of  mortification  appeared  and  much  constitutional 
disturbance;  it  was  treated  by  deep  and  long  incisions,  warm  fomentations  and  tincture  of  iodine  applied  above  the  incisions. 
Finally,  on  the  22d  December,  the  arm  was  amputated  above  the  elbow,  and  the  humerus  disclosed  two  fractures  running  into  the 
humero-ulnar  articulation.  This  case  was  sent  to  field  hospital  December  29th,  and  its  termination  is  unknown." 


294  APPENDED    DOCUMENTS WESTERN    ARMIES,    1863-4. 

CCXLI.  Extracts  from  a  Report  on  the  Operations  of  the  Medical  Staff  of  the  Second  Division 
of  the  Twelfth  Corps  at  the  Battle  of  Lookout  Mountain.  By  Surgeon  A.  BALL,  5th  Ohio 
Volunteers. 

*  *  *  "At  the  battle  of  Lookout  Mountain,  Tennessee,  November  24,  1863,  at  an  early  hour,  we  received  notice  that 
this  division  was  ordered  to  storm  Lookout  Mountain.  The  medical  officers  were  notified  of  the  fact,  and  that  they  should  be  in 
readiness  for  the  occasion.  The  surgeons-in-chief  of  brigades  were  directed  to  send  the  sick  from  their  hospital  tents  to  the 
general  hospital  at  Kelly's  Ford.  This  was  done,  and  every  facility  for  shelter  for  the  wounded  was  brought  into  requisition. 
The  surgeons  accompanied  the  command  to  the  crossing  of  Lookout  Creek,  where  a  temporary  hospital  was  established.  The 
organization  of  the  medical  force  of  the  second  division  was  as  follows :  Surgeon  H.  E.  Goodman,  28th  Pennsylvania  Volunteers, 
in  charge  of  hospital ;  Assistant  Surgeon  D.  H.  Strickland,  lllth  Pennsylvania  Volunteers,  recorder;  Assistant  Surgeon  P.  H. 
Dowling,  29th  Pennsylvania  Volunteers,  commissary;  Surgeon  A.  K.  Fifield,  29th  Ohio  Volunteers,  operator,  assisted  by 
Surgeon  C.  J.  Bellows,  7th  Ohio  Volunteers,  and  Surgeon  J.  W.  Brock,  66th  Ohio  Volunteers ;  Surgeon  James  L.  Dunn,  109th 
Pennsylvania  Volunteers,  operator,  assisted  by  Surgeon  J.  V.  Kendall,  149th  New  York  Volunteers,  and  Surgeon  E.  Hutch- 
inson,  137th  New  York  Volunteers.  The  following  medical  officers  were  detailed  to  accompany  their  respective  regiments : 
Assistant  Surgeon  J.  C.  Ferguson,  7th  Ohio  Volunteers,  in  charge  of  the  5th  Ohio  Volunteers;  Assistant  Surgeon  D.  Williams, 
7th  Ohio  Volunteers,  Assistant  Surgeon  E.  P.  Haines,  29th  Ohio  Volunteers,  Assistant  Surgeon  B.  F.  Ludlum,  66th  Ohio 
Volunteers,  Assistant  Surgeon  William  Altman,  28th  Pennsylvania  Volunteers,  Assistant  Surgeon  G.  H.  W.  Calver,  147th 
Pennsylvania  Volunteers,  Assistant  Surgeon  J.  S.  Bender,  29th  Pennsylvania  Volunteers,  Assistant  Surgeon  D.  M.  Brubaker, 
109th  Pennsylvania  Volunteers,  Assistant  Surgeon  J.  H.  Ake,  lllth  Pennsylvania  Volunteers,  Assistant  Surgeon  C.  H.  Burbeck, 
60th  New  York  Volunteers,  Assistant  Surgeon  E.  Day,  78th  New  York  Volunteers,  Assistant  Surgeon  T.  Elmore,  137th  New 
York  Volunteers,  and  Assistant  Surgeon  A.  W.  Phillips,  149th  New  York  Volunteers.  The  wounded  were  received  during  the 
action  on  the  mountain  at  the  field  hospital  near  the  creek.  The  ambulance  attendants  were  sent  with  stretchers  over  the  rugged 
sides  of  the  mountain  to  gather  up  the  wounded.  This  was  slowly  effected  owing  to  the  long  distance  and  almost  inaccessible 
places  in  which  they  were  found.  Tables  were  provided,  and  the  operating  staff  were  actively  engaged  during  the  day.  Late 
in  the  afternoon  we  received  verbal  orders  from  General  D.  H.  Butterneld  to  remove  the  wounded  within  the  lines  of  Chattanooga 
as  early  as  possible,  as  the  enemy's  sharpshooters  had  advanced  between  our  forces  and  the  hospital.  The  removal  of  the 
wounded  was  over  a  very  bad  road  and  in  the  night,  but  was  completed  without  apparent  injury  to  any.  The  men  were  made 
comfortable  for  the  night,  and  in  the  morning,  as  soon  as  the  operations  were  completed,  the  wounded  were  removed  to  Kelly's 
Ferry,  and  placed  in  hospital  preparatory  to  their  removal  to  Bridgeport.  The  medical  officers  discharged  their  duties  with 
promptness  and  skill.  Before  night  of  the  25th  the  wounded  were  all  attended  to  in  hospital,  so  that  our  surgeons  were  in 
readiness  to  do  duty  on  the  field  at  Missionary  Ridge;  but  none  of  our  division  received  injury  in  that  action." 


CCXLIL     Extract  from  a  Report  of  the  Operations  of  the  Medical  Staff  of  the  Fourteenth 
Corps  at  the  Battle  of  Chattanooga.     By  Surgeon  F.  H.  GROSS,  U.  S.  Volunteers. 

"On  or  about  November  20th,  I  informed  the  division  medical  directors  of  the  command,  that  a  general 
engagement  with  the  enemy  was  expected  to  take  place  in  the  course  of  a  few  days,  and  that  the  division  hospitals  should  at 
once  be  prepared,  and  all  other  necessary  arrangements  made  for  the  reception  of  wounded.  The  sick  that  were  hospital  cases, 
were  accommodated,  as  far  as  possible,  in  one  hospital,  under  charge  of  Assistant  Surgeon  H.  Benson,  10th  Wisconsin  Volun 
teers,  the  building,  an  old  frame  hotel,  having  conveniences  for  heating  and  cooking,  has  been  made,  through  efforts  of  the  officer 
in  charge,  to  answer  our  purpose  quite  well.  All  our  hospitals,  with  the  exception  of  temporary  hospital  depots,  were  located 
in  Chattanooga.  Those  intended  for  the  reception  of  wounded,  consisted,  for  the  1st  division,  in  two  churches,  also  quite  well 
adapted  for  our  use.  In  addition  to  these  a  number  of  hospital  tents  were  pitched  in  convenient  localities  to  be  used  in  case  of 
emergency.  The  larger  of  these  churches,  a  brick  building  on  Main  street,  I  had  prepared  for  the  accommodation  of  wounded 
subsequent  to  the  battle  of  Chickamauga,  and  required  aside  from  the  removal  of  a  few  sick,  no  additional  preparation.  Surgeon 
E.  H.  Dunn,  15th  Kentucky  Volunteers,  the  officer  in  charge,  with  an  efficient  staff  of  operators  and  assistants,  performed  the 
business  of  the  hospital  in  an  admirable  manner.  The  smaller  frame  church  was  prepared  for  the  occasion  and  placed  under  charge 
of  Surgeon  R.  F.  Dyer,  104th  Illinois  Volunteers.  The  bedding  and  other  necessary  articles  were  promptly  supplied  and  the 
hospital  conducted  in  a  highly  creditable  manner.  The  small  number  of  wounded  of  the  2d  division,  General  J.  C.  Davis', 
were  accommodated  after  their  arrival  at  Chattanooga,  in  the  general  hospital  of  the  post.  This  division  took  its  position  on  the 
extreme  left  of  the  line,  fronting  Missionary  Ridge,  and  ordered  to  act  as  reserve  to  the  Fifteenth  Corps,  under  command  of  Major 
General  Sherman.  For  particulars  of  the  part  taken  in  the  engagement  by  the  2d  division  and  its  subsequent  expedition 
toward  Knoxville,  Tennessee,  I  respectfully  refer  you  to  the  report  of  Surgeon  H.  R.  Payne,  10th  Illinois  Volunteers,  the 
division  medical  director.  During  that  expedition,  which  lasted  about  twenty-five  days,  the  troops  had  but  a  scanty  allowance 
of  food,  and  many  of  them  were  poorly  clad,  but  notwithstanding  this  privation  and  suffering,  there  had  been  no  death  from 
sickness,  and  on  their  arrival  at  Chattanooga  only  a  remarkably  small  number  required  treatment  in  hospitals.  An  old  brick 
hotel,  which  we  had  in  use  since  the  battle  of  Chickamauga,  constitutes  the  hospital  for  the  3d  division,  General  A.  Baird's. 
Considerable  amount  of  labor  has  been  necessary  to  render  this  a  moderately  good  hospital.  For  a  time  we  were  compelled  to 
crowd  this  building  with  a  comparatively  large  number  of  patients.  By  sending  the  more  slightly  wounded  to  the  rear,  in 
accordance  with  orders  from  the  department  medical  director,  this  inconvenience  has  been  overcome.  Credit  is  due  to  Surgeon 
J.  R.  Arter,  31st  Ohio  Volunteers,  the  officer  in  charge,  as  well  as  to  the  other  medical  officers  of  the  3d  division  for  their  activity 


REPORT    OF    SURGEON    B.    F.    MILLER.  295 

and  attention  to  duty.  For  a  detailed  account  of  the  part  taken,  by  the  1st  and  2d  divisions  of  this  corps  in  the  assault  on 
Missionary  Ridge  and  subsequent  movements,  and  the  operations  of  General  Carlin's  brigade  during  the  capture  of  Lookout 
Mountain,  by  Major  General  Hooker,  I  respectfully  refer  you  to  the  report  of  Surgeons  B.  F.  Miller,  2d  Ohio  Volunteers,  and 
R.  G.  Bogue,  19th  Illinois  Volunteers,  the  directors  of  the  respective  divisions.  From  personal  observation  I  am  enabled  to 
testify  to  the  proniptness  and  efficiency  of  the  medical  officers  of  this  corps.  The  single  exception  of  misbehavior  on  part  of  an 
assistant  surgeon  already  known  to  you,  and  his  case  being  under  consideration,  it  is  deemed  unnecessary  to  make  any  further 
reference  to  it  at  this  time.  The  following  is  a  numerical  statement  of  the  casualties  of  the  corps :  Commissioned  officers  killed, 
thirteen,  wounded,  thirty-eight;  enlisted  men  killed,  one  hundred  and  fourteen,  wounded,  six  hundred  and  forty-one,  or  a  total 
of  eight  hundred  and  six." 


CCXLIIL  Extracts  from  a  Report  of  the  Operations  of  the  Medical  Staff  in  the  First 
Division  of  the  Fourteenth  Corps  at  the  Battle  of  Chattanooga.  13y  Surgeon  B.  F.  MILLER, 
2d  Ohio  Volunteers. 

*  *  *  "The  1st  and  2d  brigades  comprised  the  active  force,  the  3d  being  kept  on  duty  within  our  fortifications.  On 
Monday,  November  23d,  the  1st  brigade  was  ordered  to  occupy  the  trenches  in  our  works,  resting  their  right  on  the  Tennessee 
River.  During  the  course  of  the  night  they  were  withdrawn  from  this  position  and  sent  in  front  of  Fort  Negley,  and  there  held 
as  a  reserve  to  the  2d  brigade  then  on  picket.  General  Hooker  having  assaulted  Lookout  Mountain  in  the  morning,  and  driven 
the  enemy  to  its  eastern  slope,  toward  evening  it  was  ordered  that  the  1st  brigade,  Brigadier  General  Carlin  commanding, 
should  cross  Chattanooga  Creek  to  his  assistance.  This  stream  they  were  obliged  to  cross  by  boats,  and  by  the  time  it  was 
accomplished  night  had  set  in,  and  the  troops  had  to  advance  up  the  hill  by  a  very  rugged  route  until  near  the  White  House, 
when  they  were  advanced  to  the  front  to  relieve  a  part  of  General  Geary's  troops,  engaged  at  the  time  as  skirmishers.  The 
confronting  lines  approximated  very  closely,  shielded  by  a  very  dense  fog.  Skirmishing  was  so  vigorously  carried  on  that  it 
almost  amounted  to  a  general  engagement.  At  eleven  o'clock  p.  M.  it  had  comparatively  ceased,  and  gradually  lessened  until 
morning,  when  it  was  learned  that  the  enemy  had  retired  his  lines  at  a  point  nearer  his  camps.  The  1st  brigade  was  ordered  to 
recross  the  river  and  join  the  2d,  yet  doing  picket  duty  in  the  same  location  as  the  day  previous.  Soon  after  this  order  had  been 
executed,  line  of  battle  was  formed  by  the  two  brigades  to  co-operate  with  the  lines  formed  to  their  left.  At  two  o'clock  P.  M., 
November  25th,  the  column  moved  forward  to  assault  Missionary  Ridge,  and  this  division  occupied  the  extreme  right,  with 
orders  to  conform  to  the  movements  of  the  left.  The  column  advanced  through  a  skirt  of  timber  and  across  a  plain,  meeting  the 
enemy's  skirmishers  well  in  front  of  the  first  line  of  entrenchments ;  but  as  our  troops  advanced,  they  soon  rallied  on  the  works, 
and  were  compelled  to  abandon  even  these,  as  our  forces  had  determined  to  assault  the  ridge.  The  enemy,  forced  to  fall  back, 
made  strong  resistance,  yet  unequal  to  change  the  purpose  of  our  column.  Their  fire  confronted  us,  and  his  artillery  played 
lively  upon  our  flanks.  At  four  o'clock  p.  M.  the  heights  had  been  stormed,  and  the  enemy  routed.  The  troops  bivouacked  on 
the  ridge  for  the  night,  and  then  began  to  follow  up  Bragg's  retreating  forces.  At  five  o'clock  P.  M.  the  head  of  the  column 
had  reached  a  road  leading  from  Graysville  to  Ringgold,  when  they  learned  that  the  enemy  was  passing  wagon  trains  along, 
and  it  was  decided  to  try  their  capture.  A  reconnoissance  developed  that  a  rebel  camp  was  close  by,  and  a  rapid  disposition 
was  made  to  surround  them,  but  the  plan  was  discovered  by  the  enemy,  and  he  fled,  leaving  a  section  of  artillery  and  his  wounded 
in  our  hands,  resulting  from  a  volley  delivered  at  his  panic-stricken  troops.  The  column  then  moved  forward  to  Graysville,  and 
there  bivouacked  until  Friday  morning,  when  we  moved  forward  for  Ringgold,  tapping  the  road  on  which  Major  General 
Hooker's  troops  were,  about  five  miles  from  the  town.  One  division  from  the  Twelfth  Corps  had  passed,  and  we  followed. 
Upon  our  arrival  at  the  town,  General  Geary's  division  had  found  the  enemy  posted  upon  the  side  and  crest  of  Taylor's  Heights, 
a  formidable  position  in  rear  of  the  town,  and  had  already  skirmished  sharply.  '  '  Soon  an  assault  was  made  by  the  above- 
named  division,  which  was  stubbornly  resisted  by  the  enemy.  This  division  was  formed,  and  advanced  to  the  base  of  the  hill, 
but  did  not  become  engaged.  At  this  point  the  pursuit  of  the  route  of  the  enemy  was  abandoned,  and  the  division  returned  to 
quarters.  *  *  I  was  delighted  to  find  so  much  harmony  and  efficiency  crowning  the  labors  of  the  medical  officers.  Those 
who  followed  the  troops  on  the  field  made  themselves  useful  in  collecting  the  wounded,  and,  after  temporary  attention,  sent  them 
directly  to  hospitals  provided  for  them.  One  of  these  officers  in  each  brigade  was  required  to  superintend  the  stretcher-bearers, 
and  to  keep  them  at  work,  and  also  to  see  that  every  means  was  employed  to  prevent  delays  in  transporting  the  wounded  to 
ambulances.  This  branch  of  duty  was  ably  performed.  The  only  ambulance  train  that  we  had  at  our  command  was  made  up 
from  the  regimental  ambulances,  the  division  train  being  useless  to  us  at  the  time,  for  the  reason  that  it  was  unable  to  cross  the 
river,  the  pontoons  being  separated  by  high  water.  The  regimental  train  was  efficiently  managed  under  the  direction  of  Assistant 
Surgeon  "VV.  P.  McCullough,  78th  Pennsylvania  Volunteers.  *  The  rapidity  with  which  the  wounded  were  removed  from 

the  field  is  due  to  his  exertions  mainly.  Under  his  guidance  the  division  wounded  were  deposited  in  the  proper  hospitals,  and 
thus  classified.  Much  credit  is  due  Surgeon  R.  F.  Dyer,  104th  Illinois  Volunteers,  for  industry  and  energy.  I  have 

scarcely  met  a  more  faithful,  persevering,  and  industrious  gentleman  in  the  profession.  *  *  I  acknowledge  with  pride  the 
skill  displayed  by  the  operating  staffs,  aided  by  a  good  corps  of  assistants.  The  manner  in  which  they  worked  to  relieve  tlu? 
suffering  was  of  a  highly  creditable  character,  each  case  receiving  early  attention,  and  no  unnecessary  delay  indulged  in  before 
operations  were  performed  or  dressings  applied.  On  the  morning  of  the  26th,  I  was  obliged  to  divide  the  surgical  force,  and 
required  a  part  of  the  number  attached  to  the  hospital  to  follow  the  troops  then  advancing  on  Ringgold.  The  order  issued  at 
a  very  late  hour  for  the  surgeons  to  be  in  readiness  to  accompany  the  troops,  .and  to  provide  a  sufficiency  of  hospital  supplies  for 
any  emergency.  Notwithstanding  the  brevity  of  time  allowed,  a  fair  supply  was  selected  and  taken  along.  The  division  arrived 
too  late  to  join  the  storming  forces.  Our  supplies  were  tendered  to  Surgeon  A.  Ball,  5th  Ohio  Volunteers,  surgeon-in-chief  of 


296  APPENDED    DOCUMENTS WESTERN    ARMIES,    1863-4. 

General  Geary's  division.  As  much  destitution  existed,  both  as  to  medical  officers  and  supplies  in  this  division,  their  wants  were 
relieved  as  far  as  possible  by  the  corps  of  surgeons  belonging  to  this  division,  who  cheerfully  volunteered  their  services,  and 
beinw  kindly  accepted,  they  were  assigned  to  duty  at  a  hospital  where  many  wounded  had  been  collected  without  the  slightest 
facilities  to  care  for  them.  With  the  appliances  at  our  command,  each  medical  officer  appreciated  the  necessity  of  the  work  before 
him,  and  executed  it  with  great  willingness,  so  that  the  wounded  had  opportunely  excellent  attention  rendei-ed  them.  The  day 
following,  the  wounded  were  sent  by  rail  to  Graysville,  and  thence  by  ambulances.  Many  of  the  wounds  received  here  and  at 
Binggold  were  of  a  very  severe  character,  in  consequence  of  the  relative  position  of  the  two  hostile  parties;  that  of  the  enemy 
being  on  an  abrupt  elevation  gave  the  advantage  of  a  plunging  fire,  so  that  in  most  instances  where  bone  was  involved,  destruction 
ensued  for  a  long  distance." 


CCXLIV.  Extracts  from  a  Report  of  the  Operations  of  the  Medical  Staff  in  the  Second 
Division  of  the  Fourteenth  Corps  at  the  Battle  of  Chattanooga.  By  Surgeon  II.  It.  PAYNE, 
10th  Illinois  Volunteers. 

"Information  derived  from  General  Davis,  commanding  the  division,  satisfied  me  that  an  engagement  was 
impending,  and  I  at  once  summoned  the  brigade  surgeons  of  the  1st,  2d,  and  3d  brigades,  and  consulted  with  them  as  to  the 
best  mode  of  giving  prompt  attention  to  the  wounded.  *  Two  medical  officers  were  appointed  to  accompany  each  brigade 

on  the  field.  They  were  to  exercise  a  general  supervision  over  the  ambulances  and  the  men  detailed  to  accompany  them,  and  to 
see  that  each  man  wounded  was  temporarily  dressed  before  moving  to  the  hospital.  This  was  to  be  selected  at  a  safe  and 
convenient  distance  from  the  battle-field.  To  assist  them,  one  steward  was  appointed  to  each  brigade  to  accompany  the  details 
of  men  in  charge  of  the  stretchers,  and  have  the  wounded  removed  immediately  to  the  ambulances.  Twelve  men  were  detailed 
from  each  regiment  to  carry  this  into  execution.  Two  litters  were  ordered  to  accompany  each  regiment  upon  the  field  of  battle. 
Three  surgeons  were  to  constitute  the  operating  staff  of  the  hospital,  including  the  brigade  surgeon,  who  was  ordered  to  consult 
and  assist  in  all  difficult  cases.  Two  Assistant  Surgeons  were  ordered  to  assist  them,  one  assistant  to  keep  a  complete  record 
of  cases  and  .the  opei-ations  to  be  performed.  One  surgeon  to  administer  chloroform,  and  one  to  see  the  hospital  kept  in  order 
and  to  see  that  proper  nourishment  was  prepared  for  the  wounded.  Hospital  stewards,  cooks,  and  nurses  were  appointed. 
Each  brigade  surgeon  was  ordered  to  co-operate  with  the  division  surgeon  and  see  that  these  instructions  were  fully  carried  out. 
On  the  morning  of  November  24th,  the  division  crossed  the  Tennessee  River,  four  miles  above  this  city,  on  a  pontoon  bridge, 
which  was  constructed  quietly  during  the  night,  and  took  up  a  position  on  our  extreme  left,  fronting  Missionary  Eidge,  and  was 
ordered  to  act  as  a  reserve  to  the  Fifteenth  Corps.  Every  preparation  was  made  for  an  early  engagement.  The  night,  however, 
passed  quietly  without  an  assault.  The  residence  of  Mr.  Crutchfield  was  selected  as  a  hospital  because  of  its  accessibility  to 
the  field  where  it  was  supposed  the  engagement  would  take  place.  Fighting  commenced  on  the  morning  of  the  25th,  by  General 
Sherman's  forces  assaulting  the  enemy's  works,  and  continued  throughout  the  day  with  much  obstinacy  on  both  sides,  until  the 
ridge  was  in  our  possession.  The  2d  division  of  the  Fourteenth  Corps  was  not  engaged,  and  as  there  was  many  wounded  from 
the  Fifteenth  Corps,  I  readily  consented  to  its  hospital  being  used  for  the  wounded  of  this  corps.  The  day  passed,  and  when 
night  came  the  men  bivouacked  on  the  field.  At  midnight  of  the  25th,  we  received  orders  to  march  at  once,  crossing  the 
Chickamauga  Creek  near  its  mouth,  some  six  miles  distant.  It  was  supposed  we  would  meet  the  enemy  before  reaching  this 
point.  Almost  all  our  supplies,  except  what  was  absolutely  necessary,  were  left  in  the  rear.  Upon  arriving  near  the  station, 
the  enemy  was  observed  a  short  distance  in  front,  apparently  destroying  their  immense  commissary  stores  at  this  depot.  Our 
forces  drew  up  in  line  of  battle,  and  moved  forward  to  meet  them.  The  enemy  was  gradually  driven  back  to  the  mountain 
beyond  the  station,  where  entrenchments  were  thrown  up.  Everything  indicated  a  severe  engagement  at  this  point.  I  at  once 
selected  a  good  building  for  a  hospital,  where  there  was  an  abundance  of  good  water,  and  straAV  sufficient  to  shield  the  wounded 
from  the  cold.  '  *  My  instructions  were  fully  carried  out,  and  everything  was  done  for  the  comfort  of  the  wounded.  Each 
surgeon  did  his  duty  faithfully,  except  one.  *  *  The  wounded  were  temporarily  dressed  on  the  field,  and  at  once  sent  to 
the  hospital,  where  they  received  all  the  attention  necessary  before  sending  them  to  the  general  hospital  at  Chattanooga.  No 
amputations  were  performed.  In  one  case  the  brachial  artery  was  ligated.  The  wounded  were  sent  in  charge  of  Assistant 
Surgeon  F.  S.  Dodds,  GOth  Illinois  Volunteers,  to  Chattanooga.  After  the  enemy  were  driven  from  this  position,  the  pursuit  was 
continued  until  we  arrived  near  Einggold.  *  *  On  the  morning  of  the  28th,  we  received  orders  to  march  in  the  direction 
of  Knoxville.  Reeling  the  necessity  of  more  medical  stores,  I  at  once  sent  a  surgeon  with  an  ambulance  to  Chattanooga  to  get 
them,  as  I  considered  they  would  be  necessary  in  case  we  became  again  engaged  with  the  enemy,  as  most  of  the  regiments  had 
but  a  limited  supply.  But  owing  to  the  bad  condition  of  the  roads,  they  did  not  come  up  until  we  arrived  at  the  Tennessee 
Eiver,  some  seven  days  afterward.  Fortunately,  however,  they  Avere  not  needed.  It  was  from  this  point  that  we  were  ordered 
to  return  to  our  camps  at  Chattanooga.  On  account  of  the  small  supply  of  rations,  we  had  to  subsist  upon  the  country  through 
which  we  passed,  and  hence  did  not  arrive  here  until  the  morning  of  December  18th.  After  the  engagement  to  which  I  have 
already  referred,  but  few  casualties  occurred.  There  were  four  cases  of  injury  from  accidental  discharge  of  fire-arms,  two  of 
which  proved  fatal.  The  division  was  absent  twenty-five  days,  and  notwithstanding  the  inclement  weather  and  the  fact  that  the 
men  were  poorly  supplied  with  clothing,  many  being  without  boots  and  shoes  and  but  a  scanty  allowance  of  food,  but  little 
sickness,  and  no  deaths  from  sickness,  occurred;  and  the  sick  report  of  the  division,  on  the  day  of  our  arrival,  showed  but  five 
cases  that  were  regarded  as  requiring  treatment  in  hospital.  I  take  great  pleasure  in  saying  that  upon  the  whole  march  each 
medical  officer  did  his  duty  faithfully— ever  ready  and  attentive  to  those  under  his  charge.  The  following  is  a  brief  summary 
of  killed  and  wounded:  Commissioned  officers  wounded,  two;  killed,  one.  Non-commissioned  officers  wounded,  three;  killed, 
two.  Privates  wounded,  twenty-four;  killed,  one.  Total  of  wounded,  twenty-nine;  total  of  killed,  four." 


REPORTS    OF    SURGEONS    BOGTJE    AND    MENZTKS.  297 

CCXLV.  Extracts  from,  a  Report  of  the  Operations  of  the  Medical  Staff  in  the  Third 
Division  of  the  Fourteenth  Corps  at  the  Battle  of  Chattanooga.  By  Surgeon  11.  G. 
BOGUE,  19th  Illinois  Volunteers. 

*  *  *  "On  the  20th  of  November,  I  was  notified  by  Surgeon  F.  H.  Gross,  U.  S.  A.,  medical  director  Fourteenth  Corps, 
that  it  was  probable  we  were  to  have  a  battle  the  day  following,  or  at  furthest  within  a  few  days.  He  directed  that  the  medical 
department  of  the  division  be  prepared  for  it.  With  the  twenty  regiments  to  participate  in  the  battle,  there  were  twenty-seven 
medical  officers.  The  assignment  of  them  for  different  duty  was  accordingly  made  and  the  parties  notified  of  what  part  they 
were  to  take,  and  what  duty  would  be  expected  of  them.  One  was  assigned  to  the  charge  of  the  hospital,  one  as.his  assistant, 
and  one  to  prepare  a  record  of  the  cases  dressed  at  the  hospital.  An  operating  staff  was  formed  for  each  brigade  of  the  division, 
one  principal  operator  with  three  assistant  operators.  There  were  three  medical  officers  designated  to  accompany  each  brigade 
to  the  field,  the  remaining  ones  were  assigned  to  duty  at  the  division  hospital.  *  *  These  were  ordered  to  report  to  the 
surgeon-in-charge  with  their  instruments,  ready  for  duty,  when  the  command  was  ordered  to  the  field.  Those  selected  to 
remain  with  the  command,  were  directed  to  attend  to  the  gathering  of  the  wounded  by  the  stretcher-bearers  and  to  see  that  the 
ambulances  were  kept  well  up,  that  the  men  could  be  sent  to  hospital  with  as  little  delay  as  possible.  They  were  directed  to  do 
but  little  dressing  upon  the  field,  the  more  important  duty  being  to  see  that  the  wounded  were  sent  to  hospital,  where  they  could 
be  properly  attended  to.  Each  regiment  was  furnished  with  two  stretchers,  and  all  were  directed  to  have  the  usual  number  of 
stretcher-bearers.  On  the  23d,  the  division  moved  outside  the  entrenchments,  but  did  not  become  engaged  until  the  afternoon  of 
the  25th,  when  it  participated  in  the  assault  of  Missionary  Ridge,  the  battle  ceasing  at  dark.  The  wounded  were  gathered  as 
expeditiously  as  possible.  All  those  of  the  division,  except  four  cases,  which  were  overlooked  owing  to  the  darkness  of  the 
evening  and  roughness  of  the  ground,  were  taken  that  night  to  the  hospital.  Most  of  them  were  dressed,  and  all  of  them  fed. 
The  next  day,  the  26th,  the  command  moved  on  in  pursuit.  We  arrived  at  Ringgold  on  the  27th,  but  were  not  engaged  in  the 
fight  there.  A  number  of  the  medical  officers  assisted  that  morning  in  dressing  the  wounded  of  the  troops  who  had  been  engaged, 
and  twelve  of  the  division  ambulances  were  furnished  to  take  them  back  to  Chattanooga.  The  command  was  under  fire  but  a 
few  hours  of  one  day,  the  25th.  The  injuries  received  were  from  shells  and  musketry,  the  latter  at  quite  short  range,  the  enemy 
being  much  of  the  time  behind  breastworks.  The  number  of  killed  and  wounded  in  the  division  were  as  follows  :  Eight  officers 
killed  and  fifteen  wounded;  seventy-four  enlisted  men  killed  and  three  hundred  and  eighty  wounded,  making  a  total  of  eighty- 
two  killed  and  three  hundred  and  ninety -five  wounded;  aggregate,  killed  and  wounded,  four  hundred  and  seventy-seven.  The 
medical  officers  attended  to  their  duties  faithfully  as  far  as  I  was  able  to  know  or  learn.  Those  on  the  field  did  especially  well, 
working  faithfully  to  succor  the  wounded  as  early  as  possible.  They  deserve  thanks  for  their  faithful  labor.  Of  these  I  speak 
freely  for  I  remained  with  the  command  on  the  field,  and  was  witness  to  their  work  and  care." 


CCXLVL    Extracts  from  a  Report  on  the  Casualties  of  the  First  Division  of  the  Fourth  Corps 
at  the  Battle  of  Buzzard  Roost.      By  Surgeon  S.  G.  MENZIKS,  1st  Kentucky  Volunteers. 

"On  February  22,  18(34,  twelve  regiments  of  this  division  commanded  by  General  Cruft,  left  camp  at  Blue 
Spring,  Tennessee,  and  marched  nine  miles  to  Red  Clay,  Georgia,  the  old  council  ground  of  the  Cherokee  Indians,  where  they 
were  joined  by  six  regiments  of  General  Matthias's  division.  '  *  The  troops  were  in  fine  health  and  spirits,  marched  well, 
and  were  joyous  at  the  prospect  of  meeting  the  enemy.  Next  day,  the  23d,  the  whole  command,  eighteen  regiments,  moved  six 
or  eight  miles  to  the  farm  of  Dr.  Lee,  near  Catoosa  Springs,  a  locality  in  the  region  of  Catoosa  platform,  Stone  Church,  Ringgold, 
and  Tunnel  Hill.  In  the  night  moved  toward  Stone  Church  two  miles.  After  maneuvering  in  the  mountains  on  the  24th, 
stayed  at  Dr.  Lee's  iintil  three  o'clock,  A.  M.  of  the  25th,  the  3d  brigade  being  four  miles  in  front  at  Big  Spring.  At  that  hour 
we  started  forward  and  came  to  the  mountain  on  the  north  side  of  Buzzard  Roost  Gap  by  nine  o'clock,  and  found  the  enemy  in 
force  on  the  top  of  the  mountain.  General  Cruft,  forming  the  left  of  our  line,  marched  this  division  up  the  hill  side,  and  the 
attack  commenced.  At  the  foot  of  this  hill,  in  some  old  cabins  on  a  small  rivulet,  I  established  a  field  hospital.  Wounded  began 
to  come  by  eleven  o'clock  A.  M.  and  continued  coming  slowly  until  the  middle  of  the  afternoon,  when  the  shells  began  to  fly  so 
thickly  around  the  hospital  we  were  compelled  to  fall  back  two  miles  to  Big  Spring,  where  a  barn  was  policed  and  three  hospital 
tents  pitched.  Before  leaving  the  first  hospital  site,  two  hundred  and  fifteen  patients,  in  ambulances,  were  sent  to  Chattanooga 
under  charge  of  Surgeon  J.  M.  Cooke,  24th  Ohio  Volunteers.  They  were  dressed  and  cared  for  before  leaving,  except  three  or 
four,  who  came  down  the  mountain  and  got  in  the  train  for  Chattanooga  without  orders.  At  nine  o'clock  in  the  evening,  orders 
came  to  leave  Big  Spring,  to  return  to  Dr.  Lee's  farm,  and  to  send  the  rest  of  the  wounded  to  Chattanooga.  This  was  done,  all 
the  patients  going  but  one,  an  artilleryman  who  was  hurt  in  the  hip,  and  exsection  of  upper  third  of  femur  made  by  Dr.  Abbott. 
This  man  was  left  with  a  family  at  Big  Spring.  Along  with  our  wounded,  eleven  of  Colonel  Long's  men,  who  had  been  wounded 
the  day  before,  were  sent  in  our  ambulances  under  charge  of  Assistant  Surgeon  Boone  of  Long's  Cavalry,  our  own  being  under 
charge  of  Surgeon  J.  A.  Mills,  8th  Kentucky  Volunteers.  *  *  Only  two  operations  were  performed,  amputation  below  the 
knee  by  Surgeon  Beach  at  the  cabins,  and  exsection  of  hip-joint  by  Surgeon  Abbott  at  Big  Spring.  The  casualties  amounted  to 
fifty-nine,  other  commands  adding  about  nine  more.  It  is  a  source  of  much  gratification  to  report  the  general  good  conduct  of  the 
medical  officers,  both  in  the  field  and  hospital,  and  especially  that  of  Surgeons  Kersey,  Beach,  and  Abbott,  in  the  hospital.  And 
I  must  also  commend  the  skill  and  promptness  shown  by  ambulance  master  Mitchell.  The  ambulances  were  always  in  place  and 
the  wounded  carefully  brought  off." 

38 


298  APPENDED    DOCUMENTS CAMPAIGN    IN    GEOEGIA. 

CCXLYII.  Extract  from  a  Report  on  the  Casualties  of  the  Second  Division  of  the  Four 
teenth  Corps  in  the  Action  at  Buzzard  Roost,  Georgia.  By  Surgeon  S.  J.  "W.  MINTZEK, 
U.  S.  Volunteers. 

*  *  *  "On  the  morning  of  February  23d,  the  2d  division  of  the  Fourteenth  Corps  left  camp,  and  that  night 
encamped  at  Binggold,  and  next  morning  took  the  advance  and  had  a  slight  skirmish  with  the  enemy  in  a  gap  near  Buzzard 
Roost.  On  the  25th,  there  was  skirmishing  all  day  by  part  of  the  1st  and  3d  brigades.  About  four  in  the  afternoon  our  lines 
were  advanced,  which  brought  on  a  spirited  skirmish,  attended  with  the  following  results  of  killed  and  wounded:  Six  killed, 
sighty-seven  wounded;  engaged  two  thousand  one  hundred  and  two." 


CCXLVIIT.  Extract  from  a  Report  of  the  Operations  of  the  Medical  Department  of  the 
Third  Division  of  the  Fourteenth  Army  Corps,  in  the  Action  at  Buzzard  Roost,  Georgia. 
By  Surgeon  EOSWELL  Gr.  BOGUE,  19th  Illinois  Volunteers. 

*  *  *  "On  the  evening  of  February  21st,  the  division  received  orders  to  be  ready  to  move  on  the  morning  of  the  22d 
with  three  days'  rations.  Camps  were  to  remain  as  they  were,  convalescents  remaining  in  them,  only  the  able  portion  of  the 
command  to  move.  No  intimation  of  the  probabilities  of  the  expedition  were  given,  nor  could  I  learn  from  corps  headquarters 
what  preparation  was  expected  in  the  medical  department.  I  ordered  that  one  medical  officer  accompany  each  regiment,  taking 
along  the  small  medicine  case  famished  them,  and  at  least  one  set  of  panniers  to  each  brigade.  Accompanying  the  command 
were  five  surgeons  and  eight  assistant  surgeons,  besides  myself.  There  were  fourteen  ambulances  and  a  small  supply  of  dres- 
sin^s  etc.  for  an  emergency.  The  ambulances  were  in  charge  of  a  lieutenant,  with  two  sergeants  for  assistants,  and  two  men 
Avith  each  ambulance  as  attendants  or  stretcher  bearers.  The  ambulance  boxes  were  furnished  nearly  according  to  orders.  One 
medical  officer  remained  with  the  train  each  day  to  attend  to  those  who  required  transporting.  February  22d,  the  command 
moved  as  far,  as  Einggold,  sixteen  miles;  on  the  23d,  to  Catoosa  Station,  only  about  three  miles;  on  the  24th,,  to  near  Tunnel 
Hill  about  four  miles.  During  three  days  nothing  had  transpired  in  the  command  worthy  of  note.  At  three  A.  M.  on  the  25th, 
the  command  moved  to  take  position  in  what  is  called  Cox's  Cove,  near  Dalton,  arriving  there  about  nine  A.  M.,  having  marched 
about  ten  miles.  Skirmishing  began  about  10:30  A.  M.,  by  one  brigade  of  four  regiments.  Firing  was  continued  the  remainder 
of  the  day  with  greater  or  less  severity  until  dark,  firing  by  the  enemy  with  both  musketry  and  artillery.  The  wounded  were 
gathered  very  promptly  by  the  ambulance  corps,  both  the  lieutenants  in  charge  and  his  men  doing  their  work  very  creditably, 
indeed,  proving  very  plainly  that  the  present  arrangement  for  ambulance  corps  is  preferable  to  that  heretofore.  The  wounded 
men  were  gotten  together,  and  most  of  them  dressed,  and  all  put  into  ambulances,  and  started  for  Einggold  before  dark,  two 
medical  officers  accompanying  the  train.  They  arrived  at  Einggold  about  midnight,  and  were  forwarded  directly  to  Chattanooga. 
The  command  moved  back  to  Catoosa  Station  that  night.  The  next  day,  the  26th,  it  moved  to  Tunnel  Hill  again,  and  at  night 
moved  back  to  Catoosa  Station,  and  the  day  after,  the  27th,  it  moved  into  Einggold,  where  it  has  remained  in  camp  to  the  pres 
ent  time.  The  ground  over  which  the  fighting  occurred  was  rough  and  hilly,  a  portion  cleared  fields,  a  portion  woods.  The 
medical  officers,  without  exception,  did  their  duties  both  on  the  field  and  at,  the  temporary  hospital  faithfully  and  very  satis 
factorily.  I  am  under  obligations,  and  will  here  express  my  thanks  to  Surgeon  O.  Q.  Herrick,  34th  Illinois  infantry  and  medical 
inspector  Fourteenth  Army  Corps,  for  assistance  in  the  disposition  of  the  wounded.  There  were  in  the  engagement  four  killed 
and  eighty-eight  wounded." 


CCXLIX.      Extract  from  a  Report  of  the  Ambulance   Train  of  the  Fourteenth   Corps,  at 
Buzzard  Roost.     By  Captain  WILLIAM  IT.  COLLINS,  Chief  of  the  Ambulance  Corps. 

:  "At  the  stone  church,  beyond  Einggold,  I  found  that  twenty-five  ambulances,  belonging  to  my  corps,  Avere 
on  the  ground,  ten  of  which,  OAving  to  an  unexplained  delay  of  organization  in  the  2d  division,  were  unprovided  with  stretchers 
and  attendants.  The  dead  and  Avounded  of  a  slight  skirmish  occurring  on  this  afternoon  in  the  vicinity  of  Tunnel  Hill,  Avere 
promptly  sent  to  Chattanooga.  Wednesday,  February  24th,  the  troops  advancing  toAvard  the  enemy,  I  directed  my  lieutenants  to 
watch  and  conform  to  the  movements  of  their  respective  diA'isions,  keeping  Avell  closed  up  to  them;  this  Avas  efficiently  done,  and  the 
dead  and  Avounded  were  promptly  taken  care  of.  On  February  25th,  on  a  division  passing  over  Eocky  Face  Mountain,  Lieutenant 
Labin  folloAA'ed  Avith  his  train.  In  the  engagement  Avhich  ensued,  he  with  his  attendants,  folloAved  the  troops  to  the  front  and 
brought  off  all  the  Avounded.  The  1st  and  2d  divisions  engaged  the  enemy  at  Buzzard  Eoost  Gap.  At  this  point  I  gave  my 
personal  attention  to  the  removal  of  the  Avounded.  I  regret  to  say  that  some  of  our  Avounded,  Avho  fell  in  an  unsuccessful  charge 
made  by  General  Morgan's  brigade,  Avere  here  left  on  the  field.  During  the  night  three  Avounded  were  brought  from  the  disputed 
ground  in  front  of  our  skirmish  line  under  cover  of  the  darkness.  On  February  26th,  our  advance  line  during  the  day  being 
stationary,  all  the  Avounded  Avere  easily  and  promptly  removed.  At  nightfall  our  troops  Avere  properly  withdrawn.  On  Feb 
ruary  27th,  by  eight  A.  M.,  all  but  a  few  of  the  Avounded  not  able  to  bear  transportation,  Avere  en  route  for  Chattanooga.  The 
reconnoissance  ended,  I  ordered  the  trains  to  go  into  park  at  their  respective  division  headquarters.  I  enclose  the  reports  of  my 
division  lieutenants,  setting  forth  their  operations  in  detail.  I  Avould  respectfully  suggest,  that  had  I  received  notice  of  the 
expedition,  my  train  woidd  have  been  better  prepared  to  render  efficient  service." 


REPORT    OF    MEDICAL    DIRECTOR    COOPER. 

CCL.  Report  on  the  Operations  of  the  Medical  Department  of  the  Army  of  the  Cumberland, 
in  the  Campaign  through  Georgia,  in  the  summer  of  186i.  By  Surgeon  GEORGE  E.  COOPER, 
U.  S.  Army,  Medical  Director. 

"Sitt:  The  report  of  the  campaign  of  the  army  of  the  Cumberland  beginning  in  the  first  week  of  May,  1864,  and  ending 
with  the  capture  and  occupation  of  Atlanta,  is  made  from  personal  knowledge  beginning  on  June  10,  1864.  All  information 
previous  to  that  time  is  derived  from  the  records  of  the  office  of  the  medical  director  of  the  army  of  the  Cumberland,  and  from 
oral  information  given  me  by  medical  officers  connected  with  the  army.  I  joined  the  headquarters  in  the  field,  near  Big  Shanty, 
Georgia,  having  been  prevented  by  an  attack  of  malarial  fever  from  reaching  the  main  army  sooner.  Shortly  after  the  action 
at  Resaca,  I  went  to  that  place,  arriving  the  morning  after  the  army  had  advanced,  and  observed  the  preparations  which  had 
been  made  for  the  reception  of  the  wounded.  The  hospital  train  accompanied  me,  and  all  wounded  able  to  be  transported  in 
it  were  sent  to  Chattanooga,  where  I  remained  till  the  action  near  Dallas  occurred,  when  I  went  to  Kingston  and  received  the 
wounded  and  sick  from  the  front,  had  them  transported  to  the  rear,  and  then,  with  the  first  opportunity,  rejoined  headquarters 
in  the  field.  The  preparations  for  the  medical  and  surgical  outfit  of  the  troops  had  been  made  by  Surgeon  Glover  Perin,  U. 
S.  A.,  who  had  been  medical  director  until  relieved  by  me,  and  by  his  foresight  and  care,  everything  had  been  prepared  which 
could  facilitate  the  medical  officers  in  providing  for  the  sick  and  wounded  of  the  army.  A  large  field  hospital,  consisting  of 
one  hundred  tents,  and  all  the  appurtenances,  had  been  organized,  and  was  following  in  the  rear  of  the  army,  at  a  convenient 
distance,  keeping  the  line  of  the  Western  and  Atlanta  railroad.  Into  this  the  major  portion  of  the  wounded  and  sick  were 
received,  and  treated  until  transportation  to  Chattanooga  could  be  furnished  them,  or  their  condition  would  permit  it.  This 
field  hospital  was  first  established  at  Ringgold,  Georgia,  where  it  remained  until  May  16,  1864,  when  it  was  brought  forward 
to  Resaca,  in  order  to  receive  the  soldiery  wounded  in  that  action.  It  there  remained  until  the  last  days  of  June,  when  it  was 
transferred  to  Big  Shanty.  It  again  moved  to  the  rear  in  a  few  days,  as  the  position  at  Big  Shanty  was  uncovered  by  the  ilank 
movements  of  the  armies  under  General  Sherman,  which  caused  the  evacuation  of  Kenesaw  Mountain  by  the  rebel  forces,  and 
gave  us  possession  of  Marietta,  Georgia.  On  the  occupation  of  that  town,  the  field  hospital  was  transferred  there  somewhere 
about  July  8,  1864,  and  remained  there  until  after  we  had  crossed  the  Chattahoochie  river,  when  it  was  brought  forward  to 
Vining's  Station,  Georgia,  where  it  remained  until  the  capture  of  Atlanta,  when  it  was  removed  to  that  place.  Here  an  eligible 
and  convenient  position  was  selected,  the  tents  pitched,  the  sick  received,  and  much  labor  expended  on  the  grounds,  but  the 
mobile  nature  of  the  field  hospital  continued,  for  the  position  selected  was  unfortunately  one  on  which  the  engineers  decided  it 
to  be  necessary  to  erect  a  fortification  in  the  inner  line  of  works,  and  the  vast  labor  expended  in  cleaning  up  what  had  been 
used  as  a  mule  corral,  so  as  to  fit  the  ground  for  hospital  purposes,  had  to  be  repeated,  and  still  more  unfortunately  the  sick  had 
to  be  transferred  from  a  clean  and  comfortable  position  to  one  which  was  far  less  eligible  and  convenient.  This  hospital  under 
charge  of  Assistant  Surgeon  W.  C.  Woodworth,  U.  S.  V.,  has  been  of  the  greatest  benefit,  and  too  much  credit  cannot  be  given 
that  officer  for  his  zeal,  energy  and  activity.  In  the  field  hospital  every  preparation  which  circumstances  would  permit  of  had 
been  made  for  the  proper  alimentation  of  the  sick  and  wounded.  An  acting  commissary  of  subsistence  had  been  detailed  to 
accompany  it,  who  kept  it  amply  supplied  with  every  delicacy  procurable,  and  these,  in  addition  to  the  articles  supplied  by  the 
different  sanitary  commissions  enabled  the  surgeons  on  duty  to  furnish  the  patients  with  as  good  a  character  of  diet  as  could  be 
found  in  the  permanent  hospitals  at  the  rear.  By  direction  of  Surgeon  Perin,  U.  S.  A.,  a  train  of  some  thirty  wagons  had  been 
organized  for  the  purpose  of  carrying  medical  supplies  with  the  army.  This,  under  the  charge  of  Assistant  Surgeon  J.  W. 
Craig,  10th  Illinois  Volunteers,  field  medical  purveyor,  kept  the  army  fully  supplied  with  all  the  medical  and  hospital  stores 
needed  by  the  troops  in  the  field.  Never,  from  the  hour  of  starting  from  Chattanooga  till  the  present  time,  has  this  army  wanted 
in  medical  stores,  and  always  has  there  been  a  sufficiency  on  hand  to  meet  any  emergency.  For  the  prompt  furnishing  of 
supplies  WTC  are  much  indebted  to  the  Assistant  Surgeon  General  R.  C.  Wood.  It  was  only  necessary  to  state  that  articles  were 
required  for  the  use  of  the  troops  at  the  front,  when  orders  were  issued  from  the  assistant  surgeon  general's  office,  which  had 
them  forwarded  with  all  the  speed  that  could  possibly  be  made.  Ample  hospital  accommodation  had  been  made  at  the  rear  for 
the  reception  of  the  sick  and  wounded  of  the  armies  operating  in  Georgia.  These  had  been  organized  previous  to  the  advance 
of  the  armies,  and  it  was  only  necesssary  to  increase  their  capacity  by  the  addition  of  hospital  tents,  to  accommodate  all  who 
were  brought  from  the  front  for  treatment.  It  is  impossible  to  speak  of  any  of  the  actions  which  occurred  in  the  present  campaign 
as  an  entity,  for  in  reality  it  has  been  a  series  of  skirmishes  and  heavy  actions,  from  the  advance  on  Tunnel  Hill,  until  the  occupa 
tion  of  Atlanta.  This  campaign  has,  in  former  years,  had  no  parallel.  It  may  be  regarded  as  a  continued  series  of  sieges, 
with  the  accompanying  assaults  and  skirmishes,  together  with  sallies  on  the  part  of  the;  enemy,  who,  attacking  our  troops  were 
met,  and  in  nearly  every  instance  repulsed.  Not  a  foot  of  ground  was  gained,  save  by  hard  fighting,  and  the  constant  throwing 
up  of  works  and  intrenchments,  which  would  be  abandoned  by  our  troops  only  to  occupy  others  more  in  advance.  It  is  stated 
that  over  three  hundred  miles  of  rifle-pits  have  been  constructed  by  our  troops  during  the  campaign;  this  necessarily  demanded 
constant  labor.  The  ground  dug  up  from  Tunnel  Hill  to  Jonesboro,  will  serve  to  indicate  to  sight  seekers,  in  coming  years, 
the  severe  trial  undergone  by  our  troops  in  their  advance  into  Northern  Georgia.  For  four  successive  months  the  troops  were 
fighting  either  in  the  trenches  or  on  the  march,  and  during  that  whole  period  there  was  constant  musketry  firing  on  the  skirmish 
line.  The  average  number  of  rounds  of  musketry  ammunition  fired  by  each  man  in  the  army  of  the  Cumberland  exceeds  two 
hundred.  This,  when  it  is  considered  how  few  men,  at  any  one  time  are  engaged  during  a  campaign  like  the  one  just  ended, 
can  enable  one  to  form  an  idea  of  its  character. 

In  consequence  of  the  difficulty  of  procuring  forage  on  a  line  so  distant  from  its  base  as  that  in  which  this  army  operated, 
it  was  deemed  necessary  to  cut  down  the  amount  of  transportation  to  the  lowest  possible  estimate.  This  induced  the  leaving  at 
the  rear,  not  only  superfluous  articles,  but,  in  many  cases,  what  might  actually  be  regarded  necessary  ones.  The  expectation 
that  the  campaign  would  be  a  short  and  decisive  one,  as  well  as  the  order  issued  to  the  effect,  caused  both  officers  and  men  to 
move  in  as  light  marching  order  as  possible;  but  few  had  more  with  them  than  was  actually  carried  on  their  persons.  All 


300  APPENDED    DOCUMENTS — -CAMPAIGN    IN    GEORGIA. 

cooking  apparatus,  save  coffee  pots  and  frying  pans,  with  here  and  there  a  mess  pan  or  camp  kettle,  were  left  behind  at 
Chattanooga;  the  result  of  this  was,  that  the  cooking  was  of  the  worst  character  and  not  conducive  to  digestion.  This  dearth 
of  culinary  apparatus  entirely  precluded  all  cooking  by  messes  of  companies,  which  is  the  only  proper  manner  of  preparing 
food  furnished  troops.  The  commissary  supplies,  furnished  until  the  occupation  of  Marietta,  consisted  almost  entirely  of  hard 
bread,  salt  pork  or  bacon,  and  fresh  beef,  with  coffee  and  sugar;  but  little,  if  any,  beans,  rice,  soup,  vinegar,  or  other  small 
rations  were  issued.  After  the  occupation  of  Marietta,  which  was  made  the  main  depot,  the  commissary  department  bad  ready 
for  issue  an  abundance  of  all  kinds  of  supplies;  but  owing  to  the  indolence  or  ignorance  of  the  commissaries,  even-  then  the 
troops  were  not  furnished  more  freely  than  before.  The  weather  in  the  early  part  of  June  was  pleasant  and  comparatively 
cool.  On  the  morning  of  the  10th  of  that  month  it  commenced  raining,  and  continued  so  to  do  for  ten  successive  days,  with 
but  little  intermission.  The  country  became  a  vast  bog ;  the  roads  were  rendered  almost  impassable,  and  their  condition 
rendered  any  movements  requiring  accompanying  transportation  almost  impracticable.  At  this  time  the  Twentieth  Corps,  on 
the  extreme  right,  had  not  as  large  a  supply  of  medical  stores  as  might  have  been  desired,  but  was  short  of  nothing  absolutely 
required.  This  was,  however,  owing  to  the  fact  that  the  condition  of  the  roads  to  Ackworth,  where  the  field  medical  purveyor 
then  was,  rendered  the  transportation  of  them  almost  impossible.  After  the  cessation  of  the  June  rains,  the  weather  continued 
pleasant,  with  light  summer  showers,  until  the  middle  of  August,  when  heavy  rains  came  on  once  more  and  continued  for 
several  days.  The  heat  during  the  summer  was  at  no  time  oppressive,  nor  did  the  thermometer  show  over  ninety  degrees  in  the 
shade  on  the  hottest  days ;  the  nights  were  delightfully  pleasant,  and,  with  but  few  exceptions,  a  blanket  was  necessary  to  be 
used  before  morning.  The  country  from  Chattanooga  to  Ackworth  is  mountainous,  thence  to  Atlanta  high  and  rolling,  densely 
wooded,  with  but  a  small  portion  under  cultivation;  small  streams  are  numerous,  and  several  rivers  cross  the  line  of  the 
campaign.  The  water  from  Chattanooga  to  the  Etowah  River  is  good,  but  much  impregnated  with  lime;  soyth  of  that  stream 
the  water  is  soft,  clear,  and  delicious.  Water  on  the  whole  line  is  abundant,  and  in  few  portions  of  the  United  States  can  more 
numerous  springs  of  clear,  cold,  soft  water  be  found  than  between  the  Etowah  River  and  Atlanta.  The  health  of  the  troops, 
when  entering  upon  the  campaign,  was  good,  comparatively  speaking.  During  the  previous  winter  they  had  been  encamped  in 
the  vicinity  of  Chattanooga,  with  but  few  vegetables  furnished  them.  Some  of  the  troops  had  been  campaigning  in  East 
Tennessee  during  a  portion  of  the  winter,  and  these  had  been  furnished  with  marching  rations  only.  This  was  the  case  with 
the  Fourth  Corps  and  portions  of  the  Twentieth.  The  3d  division  of  the  Twentieth  Corps  was  composed  of  either  new  troops 
or  those  brought  from  the  garrisons  in  the  rear,  and  in  this  division  more  sickness  occurred  than  in  any  other  in  the  army.  The 
men,  unaccustomed  to  the  rough  usages  of  a  campaign,  wilted  away,  while  the  veteran  troops  around  them  were  enjoying 
exuberant  health.  Previous  to  entering  upon  the  campaign,  every  brigade  in  the  army  had  been  furnished  with  a  medicine 
wagon,  filled,  and  two  government  wagons  to  carry  canvas  and  appurtenances  for  the  brigade  field  hospitals ;  an  operating  staff 
had  been  detailed,  and  everything  systematised  so  that,  during  an  action,  the  wounded  might  receive  prompt  and  efficient 
attention.  The  field  hospitals  were  always  kept  well  to  the  front,  and,  in  time  of  action,  pitched  as  near  as  the  safety  of  the 
wounded  would  permit.  The  ambulance  corps,  organized  under  the  new  system,  had  been  untried,  but  the  trial  given  it 
was  scarcely  a  fair  one,  for  the  animals  furnished  it  were  of  the  poorest  character;  they  consisted  of  the  animals  which  had 
been  almost  starved  at  Chattanooga,  during  the  siege  at  that  place,  and  had  scarcely  recuperated  ere  they  were  turned  over  by 
the  quartermaster's  department  to  the  ambulance  corps  to  perform  the  hardest  duty  in  the  army,  and  for  which  the  strongest 
and  best  conditioned  animals  are  required.  For  these  mules  and  horses  there  is  no  time  of  rest;  their  services  are  needed  as 
much  during  the  night  as  in  the  day,  and  I  will  venture  to  assert  that  the  animals  belonging  to  the  ambulance  trains  passed 
over  twice  as  much  ground  as  those  of  any  other  train  in  the  army.  It  was  with  difficulty  that  suitable  persons  could 
be  procured  as  stretcher  bearers;  regimental  and  company  officers  seem  to  have  conceived  the  idea  that  weak,  sickly,  and 
trifling  men  are  those  best  suited  for  detail  in  the  corps.  This,  at  first,  caused  the  detail  of  many  such,  who  had  soon  to  be 
relieved  in  consequence  of  their  incapacity.  Many  of  the  officers  who  cherished  the  above  ideas,  by  sad  experience,  have 
learned  that  strong,  healthy,  and  agile  men  are  required  to  perform  the  duties  belonging  to  the  stretcher  bearer.  The  men  of 
the  ambulance  corps  have  done  their  duty  well  and  faithfully ;  under  the  heaviest  fire  they  have  faltered  not,  but  calmly  and 
carefully  carried  the  wounded  to  the  ambulance  depots.  The  ambulances  were,  I  am  informed,  not  in  good  order  when  leaving 
Chattanooga,  but  by  careful  management  on  the  part  of  the  officers,  and  by  repairs  made  when  practicable,  they  have  served  the 
campaign  through,  and  are  now  in  condition  to  enter  upon  another.  Until  the  middle  of  June,  the  Fourteenth  and  Twentieth 
Corps  were  virtually  without  directors.  Surgeon  R.  H.  Gilbert,  U.  S.  V.,  who  entered  upon  the  campaign  as  medical  director 
of  the  Fourteenth  Corps,  in  consequence  of  illness,  was  compelled  to  go  to  the  rear.  Surgeon  W.  C.  Otterson,  U.  S.  V.,  in 
charge  of  the  Twentieth  Corps,  resigned  in  the  latter  part  of  May,  and  left  when  the  army  was  hi  the  neighborhood  of  Dallas, 
Georgia.  About  the  middle  of  June,  Surgeons  C.  W.  Jones,  U.  S.  V.,  and  John  W.  Foye,  U.  S.  V.,  were  respectively  assigned 
as  medical  directors  of  the  Fourteenth  and  Twentieth  Corps.  Surgeon  J.  Theodore  Heard,  U.  S.  V.,  has  been  the  director  of 
the  Fourth  Corps  from  the  opening  of  the  campaign,  and  still  occupies  that  position.  The  condition  of  the  medical  department 
of  the  Fourth  Corps,  owing  to  his  energy,  efficiency,  and  experience,  far  surpasses  that  of  any  other  iu  the  army  of  the 
Cumberland;  ever  ready  for  an  emergency,  and  anticipating  any  that  might  arise,  he,  with  his  able  surgeons  have  made  the 
hospital  department  of  the  Fourth  Corps,  a  model  to  the  rest  of  the  army.  I  do  not  wish  by  this  to  disparage  the  Fourteenth 
or  Twentieth  Corps,  but  owing  to  the  change  of  directors,  and  the  want  of  system  when  they  assumed  charge,  the  sick  and 
wounded  were  not  for  a  time,  so  well  or  so  promptly  cared  for  as  in  the  Fourth  Corps.  To  this  insinuation,  however,  there  is 
an  exception,  the  1st  division  of  the  Fourteenth  Corps,  under  the  charge  of  Surgeon  S.  Marks,  10th  Wisconsin  Volunteers,  and 
the  hospital  thereof  under  the  charge  of  Surgeon  Lucius  J.  Dixon,  1st  Wisconsin  Volunteers,  will  bear  comparison  with  any 
division  in  this  or  any  other  army.  The  Twentieth  Corps,  since  the  assignment  of  Surgeon  John  W.  Foye,  U.  S.  V.,  has  been, 
as  far  as  the  medical  department  is  concerned,  all  that  could  be  desired,  and  his  removal  to  another  sphere  of  usefulness  will  be 
looked  upon,  by  all  connected  with  that  corps  and  the  army,  as  a  misfortune.  On  passing  through  Kingston,  Georgia,  to  join 
the  army,  I  found  a  deserted  rebel  hospital,  capable  of  accommodating  sonic  two  hundred  and  fifty  patients.  This  was  built  on 
a  most  eligible  position,  and  being  midway  between  the  objective  point  of  the  campaign,  Atlanta,  Georgia,  and  Chattanooga, 


REPORT    OF    MEDICAL    DIRECTOR    COOPER.  301 

appeared  to  be  a  proper  position  for  a  general  hospital.'  It  was  well  constructed,  and  required  but  few  repairs  to  put  it  iu 
order  to  receive  patients;  consequently  directions  were  given  to  Surgeon  \V.  H.  White,  79th  Pennsylvania  Volunteers,  at  the 
time  on  duty  at  Kingston,  to  fit  it  up  and  increase  its  capacity  by  the  addition  of  fifty  hospital  tents.  It  has  since  served  a 
most  beneficial  purpose,  both  as  a  receptacle  for  the  wounded  and  sick  of  the  cavalry  troops  stationed  in  the  vicinity,  as  well  as 
for  the  purpose  of  affording  accommodation  to  the  wounded  in  transitu  to  Chattanooga,  who  might  be  detained  by  destruction 
of  the  railroad  between  Tunnell  Hill  and  Kingston,  which  occurred  on  more  than  one  occasion.  A  ground  plan  of  this  hospital, 
furnished  by  Surgeon  White,  accompanies  this  report. 

On  joining  the  army,  I  found  the  hospitals  divided  into  sections  of  brigade,  and  each  brigade  hospital  in  charge  of  a 
medical  officer.  Finding  that  this  did  not  work  smoothly,  the  brigade  sections  were  consolidated  into  division  sections,  and 
these  placed  under  charge  of  one  medical  officer,  who  was  made  responsible  for  the  property  and  supplies.  This  consolidation 
was  found  to  be  much  more  practicable  and  economical,  both  in  rations  and  medical  supplies,  as  well  as  in  the  care  of  the 
wounded.  The  innovation  first  formed  upon,  proved  serviceable  in  many  respects,  particularly  when  movements  were 
contemplated,  and  the  sick  required  transportation  to  the  rear,  as  well  as  during  an  action ;  for,  instead  of  being  brought  to 
the  brigade  hospital,  where  oftentimes  the  surgeons  were  overworked,  the  entire  operating  staff  of  the  division  was  at  the 
disposal  of  the  brigade  whose  loss  was  the  heaviest.  The  surgeons,  too,  had  conceived  the  idea  that  their  especial  duty  was 
to  attend  to  the  wounded  of  the  regiment  to  which  they  belonged,  or,  at  most,  to  the  brigade  to  which  they  were  attached.  The 
consolidation  of  the  brigade  hospitals  avoided  the  evils  arising  from  this  idea,  and  all  men  belonging  to  the  division  were 
cared  for,  regardless  of  the  brigade  to  which  they  were  attached.  The  diseases  from  which  the  troops  suffered  were  those 
incident  to  a  campaign  long  continued,  viz.,  dysentery,  diarrhoaa,  fevers,  malarial,  typho-malarial,  and  typhoid,  with  a  slight 
sprinkling  of  the  exanthemeta.  During  the  rainy  season,  lesions  of  the  pulmonary  viscera  were  common.  Scurvy  showed 
itself  in  an  early  part  of  the  campaign,  which  became  considerably  aggravated  during  the  time  the  troops  lay  in  the  trenches 
before  Kenesaw  and  Atlanta.  As  soon,  however,  as  the  corn  became  edible,  the  command  showed  marked  indications  of 
improvement.  After  the  movement  to  the  south  of  Atlanta,  which  resulted  in  its  evacuation,  the  troops  having  had  access  to  the 
extensive  corn  fields  on  the  line  of  march,  improved  rapidly,  and  on  entering  the  city  on  September  7th,  there  was  little,  if  any, 
of  the  scorbutic  taint  perceptible,  and  the  men  were  in  finer  condition  and  better  able  to  take  the  field  than  at  any  time  since 
their  leaving  Chattanooga.  The  troops  wounded  at  and  near  Buzzard  Roost  and  Rocky  Face  Ridge  were  transferred  by 
rail  to  the  hospitals  at  Chattanooga.  Those  wounded  near  Resaca  were  treated  for  some  days  in  the  division  hospitals,  and 
thence  transferred  to  the  general  field  hospital,  where  the  most  seriously  wounded  were  retained  until  they  were  in  condition 
to  be  conveyed  in  the  hospital  train  to  the  hospitals  at  the  rear.  After  the  first  actions  near  Dallas,  the  wounded  were  brought 
in  ambulances  and  wagons  to  Kingston,  and  thence  by  rail  to  Chattanooga.  Those  wounded  in  the  last  actions  near  Dallas 
were  brought  in  wagons  to  Ackworth,  where  temporary  hospitals  were. improvised  until  the  bridge  over  the  Etowah  River  was 
rebuilt,  when  the  wounded  were  carried  on  freight  cars  to  the  rear.  The  wounded  from  the  various  assaults  and  skirmishes 
at  and  about  Kenesaw  were  transferred  from  the  division  hospitals  to  Ackworth  and  Big  Shanty,  and  thence  by  rail  to 
Chattanooga.  After  the  assault  of  the  enemy's  works  at  Kenesaw,  on  June  27th,  orders  were  given  to  move  the  wounded  to  the 
rear  in  the  course  of  twenty-four  hours.  The  hospitals  of  the  army  of  the  Cumberland  were,  at  the  time,  from  six  to  nine  miles 
distant  from  Big  Shanty,  the  nearest  point  on  the  railroad,  and  where  too  the  general  field  hospital  then  was.  To  obey  this 
order,  it  was  necessary  to  avail  ourselves  of  every  class  of  transportation — ambulances  and  baggage  wagons.  There  were,  at 
the  time,  near  two  thousand  wounded  men  in  the  hospitals  of  this  army,  and  these  had  to  be  carried  from  six  to  nine  miles 
over  roads  rendered  extremely  rough  by  the  rains  which  had  inundated  them,  and  the  heavy  trains  which  were  constantly 
passing  over  them.  Knowing  that  Big  Shanty  would  be  uncovered  by  the  time  named,  it  was  necessary  to  avail  ourselves 
of  every  train  of  box  cars  returning  to  the  rear.  The  haste  in  which  this  transfer  of  wounded  was  made,  caused,  I  doubt  not, 
much  suffering,  and  I  regret  to  say  that,  in  some  cases,  neither  proper  or  sufficient  food  was  furnished  the  men  on  the  way 
to  Chattanooga.  This  was  owing  principally,  however,  to  detention  on  the  road.  The  trip,  which  was  represented  as  being 
made  in  twelve  hours,  at  times  occupied  thirty-six,  and  even  more.  The  result  was  the  rations  in  these  cases  ran  short.  The 
attendants  accompanying  the  sick  in  many  cases  were  regardless  of  their  duties.  Though  every  train  had  a  medical  officer 
accompanying  it,  he  could  not  see  the  wounded  save  when  stopping,  in  consequence  of  being  unable  to  pass  from  car  to  car 
when  they  were  in  motion.  This  took  the  greater  part  of  the  nurses  from  under  his  eye,  and  then  it  was  the  wants  of  the  sick 
were  disregarded,  the  more  especially  in  procuring  water  for  them.  To  avoid  the  recurrence  of  this,  I  prevailed  upon  the 
Sanitary  Commission  to  establish  refreshment  stations  at  Kingston,  Resaca  and  Dalton.  They  promptly  placed  their  agents  in 
the  above  named  places,  and  after  this,  there  was  no  more  want  of  food,  coffee,  or  water.  The  wounded  transported  in  box 
cars  cannot  be  properly  cared  for  in  consequence  of  the  impossibility  of  passing  from  car  to  car,  save  when  at  rest.  The 
dressing  of  the  wounded  could  be  done  only  on  the  switches  when  the  cars  were  waiting  for  the  down  trains.  The  trains  from 
the  front  generally  passed  up  at  night,  and  lanterns  were  not  furnished  them.  Few  then  of  the  wounded  were  properly 
dressed  from  the  time  of  leaving  the  front  until  they  arrived  at  Chattanooga,  and  the  condition  of  many  arriving  there  was 
lamentable.  I  know  that  many  complaints  have  been  made  of  the  manner  in  which  the  sick  were  transported,  and  of  the 
condition  in  which  some  arrived  at  Chattanooga.  It  was,  however,  impossible  to  do  better  than  was  done.  The  conveniencies 
were  few,  the  wounded  many,  and  the  stay-at-the-rear  fault-finding  patriots  in  excess.  Every  thing  at  our  command  was  made 
use  of  to  mitigate  the  sufferings  of  our  troops,  and  it  was  only  where  the  medical  department  had  no  control  that  the  wounded 
were  subjected  to  unnecessary  suffering.  The  wounded  from  the  actions  hetween  Marietta  and  Chattahoochie  River  were  sent 
to  the  field  hospital  at  Marietta,  and  thence  to  the  rear;  those  from  the  actions  at  the  front  of  Atlanta  to  the  same  hospital,  at 
Vinings  Station,  and  thence  taken  to  the  division  hospitals.  The  wounded  from  Jonesboro'  were  brought  from  that  place  to 
Atlanta  in  ambulances,  and  were,  and  are  at  present,  treated  in  the  division  hospitals  with  a  success  seldom  surpassed  in  the 
history  of  military  surgery.  The  wounds  mot  with  in  the  campaign  were  caused  by  riHed  and  smooth-bore  artillery,  rifled 
musketry  throwing  elongated  projectiles,  the  sabre  and  the  bayonet.  The  wounds  were  caused  at  all  distances,  from  the  extreme 
laniLC  of  artillery  and  musketry  to  hand-to-hand  conllict.  Thev  \verc,  too.  of  t-vcry  character  inllicied  by  the  projectile?- 


302  APPENDED    DOCUMENTS CAMPAIGN    IN    GEORGIA. 

now  used,  from  the  slightest  scratch  to  perfect  dismemberment.  I  regret  to  state  that  the  reports  of  wounded  prior  to  June  27th 
are  not  very  reliable,  owing  to  the  want  of  care  on  the  part  of  some  of  the  medical  officers  in  charge  of  division  hospitals. 
This  remark  is  particularly  applicable  to  the  reports  of  the  3d  division  of  the  Twentieth  Corps  and  to  the  2d  division  of  the 
Fourteenth  Corps.  The  medical  officers  are  not  to  be  blamed  for  this,  as  they  were  informed  by  Surgeon  W.  C.  Otterson, 
U.  S.  V.,  medical  director  of  the  corps  at  the  opening  of  the  campaign,  that  no  reports  would  be  required,  as  no  transportation 
for  desks  was  furnished  them.  Every  endeavor  has  been  made  to  have  them  as  nearly  correct  as  possible,  but  they  are  still 
more  or  less  unreliable.  The  number  of  wounded  reported  by  tabular  statement  as  having  been  received  into  the  brigade  and 
division  hospitals  at  the  front,  during  the  campaign,  is  fourteen  thousand  four  hundred  and  fifty.  The  number  reported  by 
consolidating  the  weekly  reports  is  fifteen  thousand  five  hundred  and  fifty-nine.  This  discrepancy  may  be  accounted  for  by 
many  slight  wounds  not  having  been  reported  in  the  tabular  statement.  The  number  reported  as  having  died  of  wounds  in 
the  hospitals  at  the  front  is,  by  tabular  statement,  nine  hundred  and  four ;  by  consolidated  reports,  one  thousand  and  sixty-seven 
The  number  of  amputations  performed  is  reported  at  one  thousand  two  hundred  and  eighty-six ;  the  number  of  exsections, 
three  hundred  and  two  ;  the  number  of  other  operations,  seven  hundred  and  ninety.  Chloroform  is  reported  as  having  been 
used  in  one  thousand  two  hundred  and  fifty-five  cases  ;  but  this  is  far  below  the  actual  number,  as  it  was  freely  used  in  all  cases 
where  examination  of  wounds  was  to  be  made,  and  where  painful  dressings  were  to  be  applied.  In  no  case  had  any  injurious 
effects  resulted  from  its  use.  The  number  of  sick  received  into  the  division  hospitals  is  reported  as  forty-three  thousand  one 
hundred  and  fifty-three ;  the  number  reported  as  transferred  to  general  hospitals  is  twenty-six  thousand  one  hundred  and 
eighty-four;  the  number  reported  as  having  died  in  the  division  hospitals  from  wounds  and  disease  is  one  thousand  two  hundred 
and  seventy-four.  From  the  fact  of  the  army  having  been  constantly  on  the  move  until  the  occupation  of  Atlanta,  and  necessity 
arising  therefrom  of  being  compelled  to  transfer  to  hospitals  at  the  rear,  all  the  seriously  wounded,  it  was  impossible  to  learn 
the  results  of  the  operations  performed  on  the  field.  It  was  only  after  the  battle  of  Jonesboro',  September  1,  1864,  that  the 
operating  surgeon  had  the  opportunity  of  treating  the  wounded  till  the  results  were  determined.  The  wounded  in  this  action 
were  brought  from  the  field  to  Atlanta,  some  three  days  after  the  action,  and,  with  the  exception  of  the  men  of  the  2d  division, 
Fourteenth  Corps,  were  placed  in  hospital  tents.  The  wounded  of  that  division  were  placed  in  the  Atlanta  Medical  College, 
which  had  been  used  by  the  rebels  as  a  hospital ;  the  rooms  are  large,  airy,  and  well  ventilated.  The  men,  at  the  time  of  being 
wounded,  were  in  excellent  health,  with  no  taint  of  scurvy  perceptible.  The  weather,  from  the  time  of  the  action  till  now,  has 
been  delightful,  not  warm  enough  to  oppress,  nor  cold  enough  to  render  the  closing  of  the  tent  openings  or  windows  necessary 
at  night.  The  food  furnished  the  wounded  was  ample,  and  of  the  best  character;  all  the  necessary  delicacies  were  at  the 
disposal  of  the  surgeons;  generous  diet  and  stimulants  were  used  from  the  moment  the  wounded  were  placed  in  the  wards. 
The  hospitals  were  kept  exceedingly  clean;  the  dressings  were  performed  in  almost  every  case  by  the  surgeons  connected  with 
the  hospitals,  and  in  the  2d  division  of  the  Fourteenth  Corps,  exclusively  so.  I  transmit  the  report  of  Surgeon  Edward 
Bat  well,  14th  Michigan  Volunteers,  in  charge  of  the  2d  division,  Fourteenth  Corps  hospital.  The  results  shown  by  this  report 
will,  I  think,  bear  favorable  comparison  with  any  military  surgery,  and  reflect  great  credit  on  the  medical  officers  of  the 
division.  I  send  too  the  report  of  Surgeon  Batwell,  of  the  result  of  experiments  made  with  a  preparation  called  "Phend. 
Sodigue,"  sent  to  me  to  be  used  in  order  to  test  its  merits.  From  my  own  observations,  as  well  as  from  what  I  can  learn,  it 
has  proved  to  be  an  admirable  adjunct  in  the  treatment  of  flabby  wounds,  and  in  those  implicating  the  spongy  bones.  The 
medical  officers  of  the  army  of  the  Cumberland  have  performed  their  duties,  in  this  long  and  onerous  campaign  in  a  manner 
highly  creditable  to  themselves  and  beneficial  to  the  sick  and  wounded  soldiery.  The  experience  of  three  years  having  taught 
them  the  requirements  of  military  surgeons,  the  work  was  well  and  promptly  performed.  Unfortunately,  many  of  these 
valuable  officers,  having  completed  their  term  of  service,  are  about  being  mustered  out,  and  their  places  will  be  filled  by  men 
who  have  seen  little,  if  any,  service  in  the  field.  Accompanying  this,  I  transmit  the  classified  returns  of  wounds  and  injuries, 
and  the  reports  of  the  corps  directors.  The  list  of  wrounded  will  be  forwarded  as  soon  as  finished. 

Respectfully,  your  obedient  servant, 

GEO.  E.  COOPER, 
Surgeon  U.  S.  A.,  Medical  Director. 
To  the  SUUGEON  GENERAL  U.  S.  Army." 


CCLI.  Extracts  from  a  Report  on  the  Operations  of  the  Medical  Staff  of  the  Fourth  Army 
Corps  in  the  Campaign  in  Georgia^  in  1864.  By  Surgeon  J.  THEODORE  HEARD,  U.  S. 
Volunteers. 

"The  Fourth  Corps  participated  in  all  the  movements,  skirmishes,  and  battles  in  which  the  army  of  the 
Cumberland  was  engaged.  It  moved  from  Cleveland,  Tennessee,  on  May  3,  1864,  and,  on  the  next  day,  encountered  the 
cavalry  pickets  of  the  rebel  army  near  Catoosa  Springs,  and  formed  connection  with  the  other  corps  of  the  army  of  the 
Ci.mberland  at  that  point.  From  that  time  until  the  7th  of  September,  it  was  engaged  in  a  series  of  skirmishes  and  battles, 
the  most  prominent  of  which  were  at  Tunnel  Hill,  Buzzard  Roost,  Resaca,  Calhoun,  Adairsville,  Kingston,  Dallas,  Kenesaw, 
and  Atlanta.  :  The  system  of  brigade  hospitals  was  abolished  at  the  outset  of  the  campaign,  and  that  of  division  hospitals 

established,  as  directed  by  Circular  No.  4,  Surgeon  General's  Office,  March  23,  1863.  This  system,  with  a  few  modifications, 
was  also  ordered  as  a  permanent  organization,  and,  at  the  present  time,  is  in  full  and  successful  operation.  The  frequent 
changes  in  the  position  of  the  troops  necessitated  almost  a  daily  change  in  the  location  of  these  hospitals.  They  were, 
however,  always  within  easy  distance  of  the  command,  and  were  conducted  by  the  chief  surgeons  of  divisions,  and  by  the 
surgeons-iii-charge,  with  energy  and  ability.  Operations  were  primary,  and  every  possible  attention  and  care  was  given  to  the 
patients.  Medical  and  commissary  supplies  were  abundant  except  during  the  three  weeks  the  army  was  in  front  of  Dallas,  or 
New  Hope  Church,  and  far  distant  from  the  depot  of  supplies  ;  however,  although  at  that  time  they  were  not  abundant,  yet  they 


REPORTS    OF    SURGEONS    JONES    AND    BATWELL.  303 

proved  sufficient,  and  at  no  time  have  patients  suffered  from  the  want  of  such  supplies.  All  wounded  and  seriously  ill  men 
wore  sent  to  the  rear  as  rapidly  as  transportation  could  be  procured.  This  was  rendered  absolutely  necessary  by  the  constant 
forward  movements  of  the  army.  There  were  sixty-four  hospital  tents  complete,  and  sixty  extra  flies  in  use  at  the  three 
division  hospitals  of  the  corps.  This  amount  of  canvas  proved  sufficiently  ample  to  cover  all  the  wounded  and  seriously  sick 
which  it  was  necessary  to  provide  for  at  any  one  time.  In  fact,  the  six  transport  wagons  allowed  to  a  division  for  hospital 
purposes,  will  not  permit  a  larger  supply  of  tents  to  be  carried.  The  following  figures  taken  from  weekly  reports,  show  the 
number  of  cases  treated  in  this  command  from  May  3d  to  September  10th.  There  were  taken  sick,  thirteen  thousand  three 
hundred  and  eighty;  wounded,  five  thousand  five  hundred  and  sixty-two;  returned  to  duty,  ten  thousand  six  hundred  and 
eighty-nine;  sent  to  general  hospital,  eight  thousand  three  hundred  and  twenty-seven;  and  there  were  three  hundred  and 
ninety-seven  deaths.  Of  the  number  sent  to  general  hospital,  many  have  already  returned  to  their  commands.  *  *  The 
frequent  movements  of  the  army,  the  constant  skirmishing  and  fighting,  the  bad  roads,  and,  especially,  the  inclemency  of  the 
season  at  the  early  part  of  the  campaign,  were  obstacles  which  called  into  play  all  the  energies  of  the  medical  officers  of  the 
corps,  and  of  the  officers  of  the  ambulance  corps.  Too  much  praise  cannot  be  given  these  officers  for  their  untiring  zeal  and 
hearty  cooperation.  The  ambulance  corps  was  not  organized  until  after  the  campaign  had  commenced,  consequently  many  and 
serious  obstacles  had  to  be  overcome.  But,  notwithstanding  the  many  unavoidable  drawbacks,  the  corps  proved  efficient  and 
at  the  present  time  promises  still  greater  efficiency.  Early  in  June,  forty-nine  new  ambulances  were  drawn  by  order  of  the 
medical  director  of  the  department,  which  filled  a  deficiency  that  had  existed  at  the  commencement  of  the  campaign."  *  *  * 


CCLII.  Extracts  from  a  Report  of  the  Operations  of  the  Medical  Department  of  the  Four 
teenth  Corps,  from  Big  Shanty  to  Atlanta,  Georgia,  in  18G4r.  By  Surgeon  C.  W.  JONES, 
U.  S.  Volunteers. 

"On  June  11,  1864,  I  reported  for  duty  to  the  general  commanding  the  Fourteenth  Corps,  near  Big  Shanty, 
Georgia,  and  at  once  entered  upon  the  duties  of  my  position,  relieving  Surgeon  O.  Q.  Herrick,  34th  Illinois  Volunteers,  as 
medical  director.  In  the  latter  part  of  June,  the  order  discontinuing  brigade  hospitals,  and  consolidating  them  into 

division  and  corps  hospitals,  was  carried  into  effect,  and  worked  admirably.  The  consolidation  economized  medical  aid,  and 
promoted  the  welfare  and  speedy  disposition  of  the  sick  and  wounded.  The  campaign  was  a  continuous  series  of  battles,  owing 
to  the  close  proximity  of  the  enemy.  Daily  skirmishing  kept  some  wounded  always  in  the  division  hospitals;  but  the  ambulance 
system,  which  worked  well,  and  the  close  proximity  of  the  general  field  hospital,  enabled  me  to  dispose  of  the  sick  and  wounded  • 
prior  to  each  forward  movement  of  the  army.  On  June  27th,  the  2d  division  assaulted  the  enemy's  works  at  Kenesaw 
Mountain.  The  wounds  received  were  mostly  of  the  upper  extremities,  and  were  almost  all  caused  by  conoidal  balls. 

The  next  day  after  the  battle,  the  wounded  were  all  sent  to  the  general  field  hospital  at  Big  Shanty.  On  July  19th,  a  part  of  the 
corps  crossed  Peach  Tree  Creek,  and  engaged  the  enemy.  The  loss  in  the  2d  division  -amounted  to  about  one  hundred  and 
twenty-five,  all  of  whom  were  sent  to  the  field  hospital  at  Vining's  Station.  On  July  20th,  the  1st  division  was  engaged,  and 
lost  about  the  same  number  as  the  2d  division  on  the  previous  day.  The  wounded  were  disposed  of  in  the  same  manner.  On 
August  7th,  the  1st  division  assaulted  the  enemy's  works,  and  the  loss  in  killed  and  wounded  was  considerable.  *  *  On 
September  1st,  the  battle  of  Jonesboro'  was  fought,  *  I  observed  many  bayonet  wounds.  *  *  On  September  3d,  all  the 

sick  and  wounded,  with  the  hospital  tents  and  appliances,  were  removed  to  Atlanta,  and  each  division  hospital  was  well  located 
and  provided  for.  The  hospital  of  the  1st  division  was  invariably  in  excellent  order,  and  the  surgeons  of  this  division  were 
al  \vavs  prompt  in  attendance  to  their  duties." 

CCLIII.  Extract  from  a  Report  on  the  Surgical  Operations  performed  after  the  Engagement 
at  Jonesboro',  Georgia.  By  Surgeon  EDWAED  BATWELL,  14th  Michigan  Volunteers. 

"Though  the  various  reports  furnished  the  medical  department  of  the  army  exhibit  the  number,  extent  of  injury, 
and  operations  requisite  for  the  successful  treatment  of  the  wounded  received  into  hospital,  yet  every  medical  officer  must  be 
greatly  interested  in  a  point  beyond  this,  namely,  the  final  result  of  these  cases.  I  propose,  in  the  following  statistics,  to  show 
the  result  of  the  operations  performed  after  the  battle  of  Jonesboro',  Georgia,  September  1,  1864,  and  also  the  length  of  time  the 
patients  were  under  treatment;  and  although  they  may  lack  in  several  respects,  yet  they  possess  the  very  great  desideratum 
of  being  correct,  as  far  as  close  observation  can  make  them :  The  success  attending  our  operations  is  due  to  many  causes,  but  the 
principal  ones  I  look  on  as  being,  first,  feeding  and  stimulating  nature  in  proportion  as  her  recuperative  energies  were  taxed, 
even  anticipating  the  drain  which  extensive  suppuration  of  necessity  makes  on  the  constitution.  Before  the  suppurative  process 
had  set  in,  our  patients  had  gained  in  strength  and  general  health.  Strong  beef  tea  and  milk  punch  had  laid  so  firm  a 
foundation  for  nature  to  build  upon,  that  she  did  not  find  a  very  difficult  task  to  repair  the  injuries.  And,  secondly,  the  care 
of  these  cases  was  not  entrusted  to  nurses  entirely  unskilled  in  the  art  of  dressing,  but  was  personally  performed  by  intelligent 
and  accomplished  surgeons,  whose  interest  in  the  cause  of  suffering  and  of  science  induced  them  day  after  day  to  come  miles 
to  assist  in  dressing  the  wounded.  The  moral  effect  on  the  patient  is  nearly  as  beneficial  as  the  superiority  of  the  dressing,  for 
they  feel  satisfied  that  their  case  and  its  termination  is  in  the  hands  of  a  man  who  is  capable  of  exerting  a  professional  judgment, 
provided  any  emergency  should  arise  demanding  his  interference.  Several  points  of  interest  present  themselves  to  our  observation 
in  connection  with  the  treatment  of  the  wounded  in  this  hospital.  First,  the  entire  absence  of  hospital  gangrene,  erysijK'las,  or 
pyrcmia,  and  that  too  in  a  building  where,  six  days  previous  to  our  occupancy,  it  decimated  the  Federal  prisoners  placed  there 
by  the  rebel  authorities  for  surgical  treatment.  But  the  hourly  exhibition  of  bromine  and  iodine  through  every  portion  of  the 
building,  and  the  free  use  of  liquor  sod;c  chlorinat,  together  with  personal  cleanliness,  plenty  of  good  nutritions  diet,  stimulation, 
and  never  permitting  effete  matter  to  remain  one  moment  in  the  wards,  together  with  the  close  attention  paid  their  wounded 


304  APPENDED    DOCUMENTS CAMPAIGN    IN    GEORGIA. 

comrades  by  our  faithful  nurses,  all  tend  to  prove  that  under  the  most  disadvantageous  circumstances  these  fatal  diseases  may 
be  stripped  of  their  horrors,  provided  the  proper  steps  are  faithfully  followed  to  counteract  the  predisposing  cause.  One  of  the 
cases  under  the  head  of  penetrating  wounds  of  the  abdomen,  deserves  some  particular  mention,  as  not  alone  was  the  peritoneal 
artery  opened,  but  also  the  pleura.  The  liver  being  torn  by  the  bullet  in  its  transit,  as  shown  from  the  large  quantity  of  bile 
beino-  discharged  from  the  external  wound,  and  the  pleural  sac  penetrated,  as  evidenced  by  the  regurgitation  of  air  through  the 
openin"-.  The  peritoneum  and  pleura  became  implicated  by  inflammatory  action,  and  adhesion  took  place  in  both  serous 
membranes  around  the  track  of  the  ball.  At  the  present  date,  the  patient  is  rapidly  recovering,  the  wound  healing  kindly,  and 
presenting  every  indication  of  a  favorable  termination ;  the  period  of  his  recovery,  thirty-three  days  from  receipt  of  injury. 
The  sort  of  operations  performed  is  Avorthy  of  comment,  and  has  been  very  closely  watched,  to  try  and  give  a  preference  to 
either  circular  or  flap  operations,  based  on  observations  as  to  their  relative  merits  as  far  as  healing  was  concerned;  but  no 
difference  was  discernable,  except  in  lateral  flaps,  where  the  protrusion  of  the  bone  through  the  incision  prevented  the  rapid 
union  that  took  place  in  the  antero-posterior  ones.  The  only  cases  in  which  the  healing  process  seemed  retarded,  were  those  in 
which  the  operation  urged  by  Malgaigne  was  perfoi'med — oval  flaps,  with  circular  division  of  muscular  tissue.  The  chief  points 
in  which  they  seemed  to  be  deficient,  was  the  small  anterior  flap  being  unable  to  support  the  weight  of  the  posterior  larger  one. 
This  again  granulated  very  freely,  and  thereby  prevented  approximation  of  the  edges,  and  a  large  granulating  surface  was  the 
result,  instead  of  the  nicely  adjusted  linear  mark  observable  in  either  the  flap  or  circular  operations.  From  the  observations 
made  on  the  subject,  I  would  urge  that  no  modifications  are  worthy  of  being  noticed  by  surgeons,  and  that  the  circular  or  flap 
operations  amply  fulfil  all  the  requirements  necessary.  I  cannot  close  these  notes  without  returning  my  thanks  to  the  surgeons 
of  the  2d  brigade  for  the  valuable  assistance  furnished  me,  and  also  to  Assistant  Surgeons  Githius,  Trush,  Rouse,  and  Simmonds 
for  the  indefatigable  zeal,  energy,  and  ability  with  which  they  have  so  ably  seconded  and  carried  out  all  the  suggestions  made 
to  them.  To  Surgeons  Williams  and  Wilson,  who  daily  came  to  assist  us,  all  feel  grateful ;  while  to  others  who  so  seldom 
visited  here,  we  would  say  that  many  valuable  cases  seen  here  might  have  beeii  productive  of  useful  information  if  they  had 
come  more  frequently." 


CCLIY.     Extract  from  a  Report  of  the  Casualties  in  the  Fourteenth  Corps  at  the  Battle  of 
Jonesboro\  Georgia,  September  1,  1864.     By  Surgeon  W.  C.  DANIELS,  U.  S.  Volunteers. 

*  *  #  "The  total  number  of  wounded  received  into  hospital  was  seven  hundred  and  forty-nine,  of  whom  ninety-eight 
died.  There  were  twenty-four  amputations  of  the  thigh,  and  five  deaths ;  twenty-one  amputations  of  the  leg,  and  six  deaths ; 
twenty-three  amputations  of  the  arm,  with  three  deaths,  and  four  successful  amputations  of  the  fore-arm.  Two  excisions  of  the 
head  of  the  femur  and  one  of  the  shaft,  all  proving  fatal ;  two  of  the  fibula  and  five  of  the  head  of  the  humerus,  all  successful. 
Eleven  miscellaneous  resections  were  performed  with  but  one  fatal  result.  Two  cases  of  compound  fracture  of  the  femur,  in 
which  the  patients  refused  to  submit  to  an  operation,  terminated  fatally,  and  also  one  case  of  ligation  of  the  femoral  artery  for 
secondary  haemorrhage.  Chloroform  was  administered  in  three  hundred  and  twenty-four  cases,  without  an  unfavorable  symptom 
resulting  from  its  use.  The  whole  number  of  operations  performed  was  ninety-three,  of  which  eighteen  resulted  fatally. 
Partial  amputations  of  the  hands  and  feet  are  not  enumerated.  No  hospital  gangrene,  pyaemia  or  erysipelas  has  been  observed 
in  any  of  the  above  noted  cases." 


CCLV.  Extract  from  a  Report  of  the  Operations  of  the  Medical  Department  of  the 
Twentieth  Corps,  in  the  Campaign  ending  ivith  the  fall  of  Atlanta.  By  Surgeon  JOHN 
W.  FOYE,  U.  S.  Volunteers. 

*  "  This  command,  formed  by  the  consolidation  of  the  Eleventh  and  Twelfth  Corps,  numbered  twenty  thousand 
five  hundred  and  thirty-one  men  under  the  command  of  Major  General  Joseph  Hooker,  and  left  Lookout  Valley,  May  5th,  1864. 
The  troops,  many  of  them  veterans,  were  in  fine  condition,  if  we  except  a  portion  of  one  division  that  had  but  recently  returned 
from  a  severe  campaign  in  the  eastern  part  of  Tennessee,  during  which  they  were  deprived  of  the  vegetables  issued  to  their 
comrades  along  the  line  of  railroad  communication.  On  the  morning  of  May  8th,  the  left  of  the  command  became  engaged  with 
the  enemy  at  Mill  Creek  Gap,  on  Taylor's  Ridge,  one  of  the  series  of  ridges  known  collectively  as  Buzzard  Roost,  and  after  a 
brisk  fight  of  about  five  hours,  in  which  advantages  were  gained  and  lost,  darkness  closed  the  struggle  and  gave  us  an  oppor 
tunity  to  care  for  and  remove  the  wounded.  The  supplies  of  stimulants  and  surgical  appliances  were  abundant;  but  they  did 
not  reach  the  field  until  several  hours  after  we  became  engaged,  in  consequence  of  the  roads  being  occupied  by  the  troops.  Our 
panniers  furnished  the  requisite  dressings  until  the  arrival  of  the  wagons.  A  field  hospital  was  established  half  a  mile  from  the 
foot  of  the  ridge  and  one  mile  from  the  enemy.  Water  was  abundant,  and  our  supplies  of  fresh  beef  and  hospital  stores  were 
ample.  Our  wounded  were  removed  from  the  summit  of  the  ridge  to  the  base  on  blankets  and  shelter  tents,  and  were  thence 
conveyed  in  ambulances  to  the  field  hospital.  The  fire  was  principally  from  musketry  at  short  range.  Chloroform  was  the 
anaesthetic  used  and  no  bad  results  have  been  observed  during  the  campaign.  We  lost  forty-nine  killed,  and  one  hundred  and 
eighty-four  wounded  men  were  treated  in  the  field  hospital,  of  whom  seven  died  during  the  night.  Eleven  amputations  and 
seven  excisions  were  performed  during  the  night  subsequent  to  the  fight.  At  eleven  o'clock  on  May  9th,  the  wounded  were 
placed  in  ambulances  and  sent  under  the  charge  of  three  medical  officers  and  a  proper  number  of  attendants  to  Ringgold,  a 
distance  of  twenty-five  miles.  One  death  occurred  on  the  route.  On  May  12,  the  command  moved  to  the  right,  and,  passing 
through  Snake  Creek  Gap,  came  upon  the  enemy  near  Resaca,  and  after  a  series  of  mamcuvres,  became  engaged  shortly  after 
noon  on  May  15th.  The  troops  numbered  about  sixteen  thousand  and  were  in  good  condition.  The  supplies  were  abundant  and 
of  good  quality.  The  field  hospital  was  located  about  a  mile  and  a  half  in  the  rear,  near  a  good  supply  of  water.  The  wounded 
were  conveyed  from  the  field  depots  to  the  field  hospital  in  ambulances,  and  their  removal  was  completed  about  two  o'clock  on 


REPORT    OF    SURGEON    JOHN    W.    FOYE. 


305 


the  morning  after  the  battle.  The  fire  was  from  artillery  and  musketry,  the  latter  being  at  short  range  and  very  severe  in  the  assault 
upon  the  enemy's  works,  which  were  captured.  The  wounded  were  transferred  from  the  field  hospitals  to  the  general  field  hospital 
of  the  department  of  the  Cumberland,  located  at  Resaca.  The  transfer  was  completed  on  May  22d.  Eleven  hundred  and  seventy- 
two  wounded  were  treated  at  the  three  division  hospitals,  and  between  seventy-five  and  eighty  died  within  five  days  after  the 
battle.  I  regret  my  inability  to  furnish  exact  data  of  this  as  well  as  of  several  subsequent  engagements,  as  my  predecessor  foiled 
to  retain  copies  of  his  classified  returns,  and  I  am  compelled  to  omit  those  furnished  by  the  3d  division  as  unreliable.  Thirty-five 
amputations  and  eleven  resections  were  performed  at  the  2d  division  hospital ;  but  of  the  operations  performed  at  the  other 
hospitals  I  can  find  no  record.  The  command  left  Resaca  on  May  16th,  in  pursuit  of  the  enemy,  and  after  a  series  of  skirmishes, 
again  met  him  in  force  at  Dallas  and  became  engaged  from  May  25th  to  29th,  inclusive.  The  troops  were  much  exhausted  by 
long  and  heavy  forced  marches.  Our  supplies  of  stimulants,  surgical  appliances  and  shelter  were  ample.  The  field  hospitals 
were  located  one  and  a  half  miles  from  the  front;  but  our  lines  advanced  two  miles  on  the  evening  of  May  25th,  and  the  hospitals 
were  moved  on  the  following  morning  to  accommodate  the  change  in  position  of  the  troops.  In  the  2d  division  hospital,  thirtv- 
nino  amputations  and  nineteen  excisions  are  reported.  The  1st  and  3d  divisions  have  furnished  no  report  of  their  operations. 
The  slightly  wounded  were  placed  in  army  wagons  and  sent  to  Kingston,  Georgia,  and  the  more  serious  cases  were  sent  to  the 
same  point  in  ambulances  under  the  care  of  Surgeon  J.  V.  Kendall,  14'Jth  New  York  Volunteers.  Two  days'  rations  were  sent 
with  the  train  and  the  wounded  were  fed  thrice  daily  while  in  transit,  by  men  who  were  detailed  for  that  purpose  to  accompany 
them.  Twelve  hundred  and  sixty-four  wounded  were  treated  in  the  three  division  hospitals.  For  sixteen  days  following  the 
battle  of  Dallas,  the  men  were  exposed  to  a  very  annoying  fire  from  the  enemy,  who  was  entrenched  in  front  of  Pine  Knob,  and  on 
June  IGth,  an  advance  was  made  with  a  view  to  dislodge  him.  This  action  is  known  as  the  battle  of  Pine  Hill.  The  troops  were 
worn  out  and  exhausted  by  continued  marching  and  building  of  breastworks,  and  the  roads  were  heavy  from  an  almost  incessant 
rain  for  ten  days.  The  action  commenced  at  two  o'clock  P.  M.,  and  continued  until  dark.  It  was  difficult  to  obtain  our  supplies 
of  stimulants  and  stores  on  account  of  the  state  of  the  road;  but  no  actual  suffering  was  experienced.  The  field  hospital  was 
established  about  two  miles  from  the  line  of  attack.  Water  and  food  were  abundant.  There  was  more  suffering  from  the  con 
stant  rain  and  previous  exhaustion  than  from  other  causes.  The  wounded  were  removed  from  the  field  depots  on  litters  and 
thence  in  ambulances  to  the  hospitals.  The  fire  \vas  continuous  from  musketry  and  artillery,  and  at  very  short  range.  Six 
hundred  and  forty-three  wounded  were  admitted  to  hospital,  and  thence  sent  to  Ackworth  in  ambulances,  and  from  thence  in  box 
cars  to  Chattanooga.  Each  detachment  was  accompanied  by  a  medical  officer  and  a  sufficient  number  of  attendants.  From 
June  17th  to  July  1st,  a  series  of  skirmishes  occurred  along  the  edge  of  Nancy's  or  Moses's  Creek,  on  which  our  command  was 
in  position.  These  skirmishes  were  a  part  of  the  general  operations  for  the  possession  of  Kenesaw  Mountain.  The  field  hospital 
was  moved  seven  times  to  accommodate  itself  to  the  ranging  positions  of  the  command.  Twice  it  was  driven  from  position  by 
the  shells  of  the  enemy.  Five  hundred  and  four  patients  with  gunshot  wounds  received  on  the  skirmish  line  Avere  admitted  into 
hospital.  The  wounded  were  transported  in  ambulances  to  Ackworth.  On  July  5th  the  command  left  Kenesaw  Mountain  and 
followed  the  enemy  to  Chattahoochee,  skirmishing  the  entire  distance;  but  with  few  casualties,  seventy-one  being  the  number 
admitted  to  hospital  for  a  period  of  nineteen  days.  On  July  20th,  about  three  o'clock  P.  M.,  the  battle  of  Peach  Tree  Creek  was 
fought.  It  consisted  of  a  series  of  assaults  on  the  part  of  the  enemy,  each  of  which  was  repulsed  with  great  loss  to  them,  and 
they  finally  retired.  Our  field  hospitals  were  situated  about  one  mile  from  the  battle-field,  and  with  one  exception,  were  in 
working  order  by  the  time  the  wounded  began  to  arrive.  In  the  exceptional  case  the  hospital  of  the  3d  division,  Surgeon  William 
Grinsted,  U.  S.  V.,  surgeon-in-chief,  the  want  of  system  was  painfully  apparent,  and,  but  for  the  kindness  of  a  medical 
gentleman  of  a  division  of  the  Fourth  Corps  through  aid  courteously  tendered,  much  suffering  would  have  ensued.  We  received 
into  the  three  division  hospitals  during  and  subsequent  to  the  battle,  one  thousand  and  fifty-one  Union  wounded,  and  one  hundred 
and  six  Confederate  wounded.  One  hundred  and  sixty-nine  amputations  and  forty-two  excisions  were  performed  during  the 
night  and  day  following  the  battle.  The  wounded  were  sent  to  Marietta  and  thence  transferred  to  the  field  hospital  of  the 
department  of  the  Cumberland.  On  the  morning  of  July  21st,  the  command  moved  forward  and  took  a  position  about  two  miles 
from  the  centre  of  the  city  of  Atlanta.  Fortifications  were  erected  and  the  siege  of  the  city  lasted  forty-two  days,  terminating 
on  September  2d  in  the  occupation  of  the  city  by  our  forces.  During  this  period  our  proximity  wTas  such  as  to  render  hazardous 
the  slightest  exposure  of  the  person.  Three  hundred  and  sixty-six  wounded  men  were  received  into  hospital  during  the  siege,  of 
whom  forty-three  died.  Forty-five  amputations  were  performed,  with  fatal  results  in  two  cases.  No  wounded  or  sick  were  sent 
to  the  rear,  and  although  our  commissariat  has  been  a  meagre  one  on  account  of  our  distance  from  a  base  of  supplies,  yet  the 
patients  have  done  well,  and  a  large  number  are  now  on  duty,  who,  under  other  circumstances,  would  be  carried  on  the  rolls  of 
some  hospital.  The  following  consolidated  summary  of  the  three  divisions,  from  July  22d  to  September  30th,  inclusive,  will,  I 
think,  demonstrate  the  advantage  of  retaining  the  sick  and  wounded  with  the  command  when  the  operations  of  the  troops 
permit  it: 


ADMITTED. 

REMAINING. 

Sick. 

Wounded. 

Total. 
3415 

Returned  to  dut  v.  T'-mstcrred  to  other 
J             hospitals. 

j                                   | 
Discharged  Died.  Furloughed.l  Deserted. 

1             j                       1 

Sick. 

Wounded. 

2935 

480 

1010                           1419 

4               173              1                     2            755 

51 

The  patients  transferred  to  other  hospitals  were  Confederates  and  soldiers  of  other  corps  who  were  admitted  to  our 
hospitals  after  the  main  army  had  moved  to  the  right,  and  after  our  occupation  of  the  city.  Of  the  one  hundred  and  seventy-three 
deaths  reported,  moiv  than  sixty  were  mortal  wounds.  The  following  casualties  among  the  medical  oflicers  of  this  command 
have  occurred  since  the  commencement  of  the  campaign:  Assistant  Surgeon  Taylor  Elmore.  13?th  New  York  Volunteers,  died 

89 


306  APPENDED    DOCUMENTS CAMPAIGN    JN    GEORGIA. 

Mav  27th,  1864 ;  Surgeon  H.  S.  Potter,  105th  Illinois  Volunteers,  was  killed  on  June  2d,  1864,  and  Surgeon  W.  II.  Heath, 
2d  Massachusetts  Volunteers,  died  on  August  28th,  1864.  I  regret  my  inability  to  furnish  consolidated  repoi-ts  of  wounds  and 
operations  from  the  commencement  of  the  campaign ;  but  the  data  furnished  me  is  so  wanting  in  detail  as  to  render  it  valueless 
for  statistical  purposes." 

CCLVI.  Extracts  from  a  Report  of  the  Operations  of  the  Medical  Department  of  the  First 
Division  of  the  Twentieth  Corps  in  the  Campaign  ending  with  the  Fall  of  Atlanta. 
By  Surgeon  II.  Z.  GILL,  U.  S.  Volunteers. 

*  *  *  "The  division  wras  organized  into  three  brigades  of  infantry,  with  two  batteries.  *  *  The  effective  force 
of  the  division  was  six  thousand  seven  hundred  and  seventy-one  officers  and  men,  afterward  joined  by  the  61st  Ohio  Volunteers 
returning  from  veteran  furlough.  The  first  engagement  with  the  enemy  took  place  near  Resaca,  May  14th,  and  closed  on  the 
15th.  The  troops  were  in  fine  condition.  *  *  In  the  afternoon  of  the  15th,  the  enemy  attacked  our  lines,  and  was  repulsed, 
after  three  several  charges,  with  great  loss.  The  engagement  lasted  until  seven  in  the  evening.  The  artillery  did  effective 
service  on  the  assaulting  columns  of  the  enemy.  In  this  engagement  the  loss  of  the  division  was  four  hundred  and  seventeen. 

The  supplies  were  sufficient,  and  the  supply  of  water  abundant  and  pure.  The  field  hospital  was  located  about  two 
miles  in  the  rear  of  the  field.  Our  wounded  were  removed  from  the  field  by  stretchers  and  ambulances.  *  They  were 

removed  to  the  railroad  depot,  and  from  thence  to  Chattanooga,  thirty-five  miles  distant.  *  *  The  next  engagement  occurred 
on  May  25th,  near  Dallas.  ;  We  attacked  the  enemy,  and  drove  him  back  to  his  breastworks.  Our  men  suffered  severely 

from  grape  and  cannister  at  short  range.  The  men  were  in  good  condition,  though  they  had  marched  eight  miles  previous  to 
the  battle.  The  hospital  was  established  half  a  mile  in  the  rear.  *  *  The  wounded  were  sent  to  the  rear  on  May  27th,  to 
Kingston,  thirty  miles  distant,  in  ambulances.  '  The  third  engagement  occurred  on  June  22d.  The  enemy  made  the  attack, 

but  was  repulsed  with  great  loss.  *  *  The  skirmishing  was  continued  till  we  reached  a  mile  and  a  half  northeast  of  the 
Chattahoochee.  '  The  enemy  was  repulsed  with  terrible  slaughter,  especially  by  the  artillery  fire  at  short  range,  and  the 

number  of  killed  in  proportion  to  the  wounded  was  greater  than  at  any  previous  engagement.  The  hospital  was  two  miles  in 
the  rear  of  the  field  of  battle.  '  The  wounded  were  removed  from  the  hospital  on  the  third  and  fourth  days  after  the  battle. 

On  July  23d,  the  division  advanced  to  within  two  miles  of  Atlanta  and  commenced  the  siege  which  resulted  in  its  capture. 
During  the  siege  the  troops  suffered  considerably  from  scorbutus  on  account  of  the  limited  quantity  of  vegetable  diet  furnished 
them.  The  climate  of  the  region  through  which  we  passed  was  generally  healthy,  and  our  men  suffered  comparatively  little 
from  diseases  except  such  as  were  of  a  dietetic  character.  The  command  was  reduced  during  the  campaign  from  casualties, 
disease,  and  muster  out,  to  four  thousand  five  hundred  and  thirty-five  officers  and  men.  The  medical  supplies  were  in  abundance, 
and  stimulants,  surgical  appliances,  and  tents  were  sufficient  for  the  demand.  The  operations,  especially  the  more  important 
amputations,  were  generally  performed  within  thirty  hours  after  the  injury.  There  was  generally  an  abundance  of  spring  water. 
In  the  removal  of  the  wounded  from  the  field  hospitals,  preparations,  after  reaching  the  railroad,  were  all  that  could  be  expected. 
Medical  attendants  always  accompanied  them,  and  as  the  line  of  march  was  usually  near  the  railroad,  the  distance  for  their 
removal  by  ambulances  was  not  very  great." 


CCLVII.  Extracts  from  a  Report  on  the  Operations  of  the  Medical  Department  of 'the  Second 
Division  of  the  Twentieth  Corps  in  the  Campaign  ending  with  the  Fall  of  Atlanta.  By 
Surgeon  H.  E.  GOODMAN,  U.  S.  Volunteers. 

"This  division,  under  command  of  General  Geary,  with  Surgeon  Alfred  Ball,  5th  Ohio  Volunteers,  as  chief 
medical  officer,  left  Chattanooga  Valley  on  May  3d,  and  numbered  seven  thousand  and  forty-three  officers  and  men.  The 
command  was  in  excellent  condition,  well  equipped,  and  with  no  prevalent  disease  except  scurvy.  The  sick,  two  hundred  and 
fifty  in  number,  most  of  them  suffering  from  scorbutus,  were  left  at  Chattanooga.  Vegetables  were  issued  freely  during  three 
weeks  before  starting,  but  none  during  the  winter.  We  engaged  the  enemy  at  Mill  Creek  Gap  on  May  8th.  The  command 
was  exhausted  by  long  marches  by  day  and  night  over  roads  made  heavy  by  the  rain.  Stimulants  and  surgical  appliances 
were  abundant,  but  did  not  reach  us  till  two  hours  after  the  action  opened.  Dressings  in  the  meantime  were  obtained  in  ample 
quantity  from  the  hospital  panniers.  The  field  hospital  was  established  one  mile  in  the  rear,  where  we  had  full  supplies  of  water 
and  food.  One  hundred  and  eighty-four  wounded  were  received  into  the  hospital.  Eleven  amputations  and  seven  resections 
were  performed.  On  the  following  day  the  wounded  were  removed  in  ambulances  to  Ringgold,  under  the  charge  of  Assistant 
Surgeons  Applegate,  Darling,  and  Strickland.  The  ground  occupied  by  our  troops  during  the  action  being  very  rough  and 
broken,  many  men  were  disabled  by  contusions  and  sprains.  On  May  15th,  we  engaged  the  enemy  at  Resaca,  the  division 
being  about  five  thousand  six  hundred  strong.  The  weather  was  fine,  and  the  supplies  of  hospital  stores,  surgical  appliances, 
and  food  were  abundant.  The  field  hospital  was  established  about  a  mile  and  a  half  from  the  battle-field,  and  the  tents  were 
up  before  the  wounded  began  to  come  in.  We  received  two  hundred  and  thirty-six  Union  and  forty-six  rebel  wounded,  of 
whom  fourteen  Union  and  six  rebels  died  in  the  hospital.  Twenty-five  amputations  and  fifteen  resections  were  practiced  on 
Union  soldiers,  and  ten  amputations  and  one  resection  on  Confederates.  The  wounded  Avere  brought  on  stretchers  from  the 
field  to  the  depots,  and  from  thence  in  ambulances  to  the  field  hospitals.  Chloroform  was  used  in  all  cases  requiring  it,  Avith  no 
bad  results.  The  wounded  remained  in  the  division  field  hospital  until  May  21st,  when  they  were  transferred  to  the  general 
field  hospital  at  Resaca,  under  the  charge  of  Surgeon  J.  W.  Foye,  U.  S.  V.  On  May  16th,  the  command  followed  the  enemy, 
and  marched  to  Cassville,  where  fifteen  days'  rations  were  supplied,  and  all  the  sick  were  sent  to  the  rear,  By  a  flank  movement 
through  Burnt  Hickory  Pass,  we  came  upon  the  enemy  at  Pumpkin  Vine  Creek,  and  fought  the  battle  of  New  Hope  Church  or 
Dallas  on  May  25th,  26th,  27th,  28th,  and  29th.  The  troops  were  much  exhausted  by  long  and  heavy  marches,  and  the  command 
numbered  about  five  thousand  men.  The  field  hospital  was  established  about  half  a  mile  from  the  line  of  battle;  but  late  at 


REPORT  OF  SURGEON  II.  E.  GOODMAN.  307 

night  the  line  was  advanced  two  miles,  and  the  hospital  was  moved  forward.  Tents  were  erected,  and  the  wounded  were  all 
sheltered  the  first  night.  Food,  dressings,  and  stimulants  were  abundant,  and  the  supply  of  water  was  ample.  Thirty-nine 
amputations  and  nineteen  resections  were  performed  at  the  field  hospital.  On  the  first  day  the  fire  was  continuous  from  musketry 
and  artillery,  and  from  fifty  to  five  hundred  yards  range,  lasting  nine  hours.  On  the  other  six  days  the  firing  was  principally 
from  musketry,  continuous  and  desultory,  and  artillery  fire  with  grape  and  canister  at  intervals.  All  the  slightly  wounded  were 
sent  to  Kingston  in  army  wagons,  and  the  severe  cases  were  removed  in  ambulances,  under  the  charge  of  Surgeon  Kendall, 
14'Jth  New  York  Volunteers.  Two  days'  rations  were  cooked  for  them  before  starting,  and  the  patients  were  fed  three  times  a 
day  while  in  transit.  There  being  no  preparations  made  at  Kingston  for  their  reception,  Assistant  Surgeon  L.  Applegate,  102d  New 
York  Volunteers,  and  Assistant  Surgeon  Burbeck,  60th  New  York  Volunteers,  remained  there  in  charge  of  them.  The  division 
commander's  oiBcial  report  gives  the  number  of  officers  killed  as  three,  and  enlisted  men  forty-nine,  while  seventeen  officers  and 
four  hundred  and  twenty-two  men  were  wounded.  Many  of  the  wounds  were  very  severe.  Twelve  cases  of  penetrating  gunshot 
wounds  of  the  abdomen,  with  eleven  deaths,  are  recorded.  Chloroform  was  used  in  all  operations,  but  with  no  bad  results.  On 
June  15th,  the  battle  of  Pine  Hill  was  fought.  The  troops  were  worn  out  and  exhausted  by  continuous  marching,  building 
breastworks,  and  the  prevalence  of  heavy  rains  for  ten  days,  and  they  had  been  exposed  to  a  continuous  fire  since  May  '25th. 
The  force  engaged  was  about  five  thousand  men  of  this  division.  The  field  hospital  was  established  about  two  miles  from  the 
line  of  attack.  Watej  and  food  were  abundant,  and  the  wounded  were  all  sheltered  in  tents ;  but  the  supplies  of  stimulants 
and  surgical  appliances  were  scanty  on  account  of  the  bad  state  of  the  roads.  The  fire  of  the  enemy  was  continuous  from 
musketry  and  artillery,  at  a  range  of  from  twenty-five  to  one  hundred  yards.  The  wounded  wei-e  removed  from  the  field  on 
blankets  and  stretchers,  and  were  sent  in  ambulances  to  Ackworth,  and  from  thence  to  Chattanooga  in  box  cars.  The  wounds 
were  mainly  severe,  and  much  suffering  resulted  in  transportation.  The  official  report  of  the  division  commander  gives  the 
number  of  killed  and  wounded  as  follows :  One  officer  and  eighty-one  men  killed,  and  twenty-five  officers  and  four  hundred  and 
seven  men  wounded ;  a  total  loss  of  five  hundred  and  fourteen  in  this  division.  From  June  17th  to  June  31st,  the  actions  of  Culp's 
Farm,  Nancy's  Creek,  and  Moses  Creek  were  fought;  the  battle  is  known  as  Kenesaw  Mountain.  The  men  were  still  very 
much  exhausted,  and  the  division  numbered  about  four  thousand  one  hundred  men.  The  field  hospital  was  moved  six  or  seven 
times  to  accommodate  the  changes  in  position,  and  was  always  within  one  mile  of  the  line  of  battle.  The  supplies  of  water, 
food,  tents,  stimulants,  and  surgical  appliances  were  abundant.  Twelve  amputations  and  six  resections  are  reported;  but  some 
reports  are  missing.  The  wounded  were  sent  in  ambulances  to  Ackworth,  and  placed  in  the  department  hospital.  Medical 
officers  and  attendants  accompanied  the  wounded,  and  they  were  well  supplied  with  food  while  in  transit.  Chloroform  was 
used  as  an  anaesthetic  in  all  cases,  and  no  bad  results  ensued.  Two  officers  and  twenty-six  men  were  killed,  and  eleven  officers 
and  two  hundred  and  twenty-nine  men  were  wounded,  as  reported  by  the  division  commander.  On  July  1st,  the  division  left 
Kenesaw  Mountain,  and  followed  the  enemy  to  the  Chattahooehee  River,  skirmishing  all  the  way.  At  this  date  I  relieved 
Surgeon  Fifield  of  charge  of  the  division.  On  July  20th,  we  became  engaged  at  Peach  Tree  Creek.  The  division  then  numbered 
about  four  thousand,  and  the  men  were  in  fair  condition.  Our  supplies  of  all  kinds  were  abundant.  There  were  a  large  number 
of  sick  on  hand,  and  the  field  hospital  was  established  about  two  and  a  half  miles  in  the  rear.  One  section  of  the  division 
hospital  was  located  about  half  a  mile  from  the  front,  and  the  greater  part  of  the  severely  injured  were  here  received.  Six 
operating  tables  were  in  constant  use,  and  thirty-one  amputations  and  six  resections  were  performed.  The  fire  was  exceedingly 
severe  from  both  musketry  and  artillery.  The  casualties  in  this  division  were  eighty-two  killed  and  two  hundred  and  twenty-nine 
wounded.  The  wounded  were  removed  a  distance  of  three  miles  to  Vining's  Station,  and  were  well  cared  for.  After  the  battle 
of  Peach  Tree  Creek,  the  command  moved  upon  Atlanta,  where  they  entrenched  about  a  mile  and  a  half  from  the  city.  The 
siege  or  battle  of  Atlanta  began  on  July  22(1  and  ended  on  August  25th.  As  there  was  no  regular  battle,  I  will  give  a  resume 
of  the  operations  to  the  ending  of  the  campaign  on  September  3,  1864.  The  strength  of  the  division  was  about  thirty-five 
hundred  men.  They  were  completely  worn  out  from  long  marching,  continual  skirmishing,  and  building  breastworks.  They 
were,  however,  well  fed  and  sheltered,  and  the  supply  of  water  was  good.  The  field  hospital  was  located  three-fourths  of  a 
mile  from  the  line  of  attack,  in  a  sheltered  ravine.  The  firing  was  continued  for  over  a  month,  but  the  men  were  well  protected 
by  breastworks,  and  the  casualties  were  few.  The  wounded  were  removed  from  time  to  time  to  Vining's  Station,  and  placed  in 
charge  of  Assistant  Surgeon  Woodworth,  U.  S.  V.,  by  order  of  the  medical  director  of  the  Twentieth  Corps.  Chloroform  was  used 
in  all  cases  with  no  bad  results.  The  division  commander's  official  report  for  the  campaign,  beginning  on  May  3d  and  ending 
September  3d,  1864,  is  as  follows :  Sixteen  officers  and  three  hundred  and  fifteen  enlisted  men  killed,  and  ninety-seven  officers  and 
one  thousand  eight  hundred  and  twenty-six  men  wounded;  making  a  total,  in  killed  and  wounded,  of  two  thousand  two  hundred 
and  fifty-four.  No  account  of  the  sick  has  been  taken  in  the  report,  as  there  is  no  record  of  them  except  during  the  months 
of  .July  and  August.  At  least  one  thousand  men  were  sent  to  the  rear  sick  during  the  campaign,  making  a  total  loss  to  the 
division  of  three  thousand  two  hundred  and  fifty-four  men,  or  fifty  per  cent,  of  th"  entire  effective  force.  Scurvy  has  been  the 
great  cause  of  sickness,  and  from  my  observation,  at  least  two-thirds  of  the  sick  sent  to  the  rear  suffered  from  scorbutic  affections. 
One  hundred  and  fifty  marked  cases  were  admitted  to  division  hospital  during  the  months  of  July  and  August.  The  number 
on  sick  report  on  September  1,  1864,  was  three  hundred  and  eighty-seven." 

OCLYIII.  Extracts  from  a  Report  of  the,  Operations  of  the  Medical  department  of  the  Third 
Division  of  the  Twentieth  Corps  in  the  Campaign  ending  with  the  Fall  of  Atlanta. 
By  Surgeon  W.  GRINSTED,  U.  S.  Volunteers. 

"On  May  2,  1864,  we  left  Lookout  Valley,  Tennessee,  under  the  command  of  Major  General  Daniel  Butterfield. 
The  force  was  in  good  health,  as  the  sick  had  previously  been  placed  in  hospital  at  Chattanooga.  In  some  regiments  there  was 
a  tendency  to  scurvy,  and  a  few  cases  of  ulceration  arising  from  vaccine  virus.  These  were  exceedingly  untractable,  but  gave 
ri.se  to  no  severe  constitutional  derangements.  The  weather  was  fine,  the  marches  light,  the  roads  good,  and  the  stores  sufficient. 
On  May  8th,  we  first  encountered  the  enemy  at  Buzzard  Roost,  and  in  two  days'  operations  we  had  some  ten  men  wounded.  By 


308  APPENDED    DOCUMENTS — CAMPAIGN    IN    GEORGIA. 

a  series  of  liylit  marches  we  arrived  at  Snake  Creek  Gap,  where  we  joined  the  Sixteenth  Corps,  and  on  the  afternoon  of  May  14th, 
we  had  severe  skirmishing  with  the  enemy,  in  which  we  had  thirty-five  men  wounded.  These  were  left  at  Barrett's  farm,  and 
the  division  advanced  to  Eesaca.  Here  the  command  suffered  severely,  losing  fifty-five  inert  killed  and  five  hundred  and  eighty 
wounded.  Two  sections  of  hospitals  were  on  the  move  at  the  commencement  of  the  action,  and  a  place  was  selected  with  good 
water;  the  tents  were  pitched,  and  all  appliances  made  ready  as  soon  as  possible.  The  wounded  were  admitted  and  attended  to 
rapidlv,  and  the  whole  number  dressed,  operated  on,  and  made  comfortable  by  ten  o'clock  the  next  morning.  I  am  indebted  to 
the  surgeons  of  the  2d  division,  Twentieth  Corps,  and  of  the  Sixteenth  Corps,  for  timely  and  valuable  assistance,  by  which  many 
more  wounded  were  dressed  and  operated  on  than  could  have  been  by  our  own  medical  staff,  who  worked  faithfully  the  whole 
night,  without  intermission.  Many  of  the  wounded  were  still  left,  who  received  the  requisite  attention  that  morning.  The  fire 
was  close,  from  four  pieces  of  artillery,  and  that  from  musketry,  both  at  long  and  short  range,  through  black  jacks  and  pine 
saplings,  and  in  an  open  field.  There  was  no  marked  distinction  in  the  character  of  the  wounds,  except  that  proportionally 
more  were  slightly  wounded  both  in  the  superior  and  inferior  extremities  than  in  any  subsequent  action.  There  was  here  no 
lack  of  supplies,  and  the  men  were  well  fed  and  sheltered.  The  wounded,  with  those  left  at  Barrett's  farm,  remained  nearly  a 
Aveek,  and  were  then  sent  in  ambulances  to  the  field  hospital  at  Resaca,  in  charge  of  Assistant  Surgeon  M.  C.  Woodworth, 
U.  S.  V.  The  hospital  was  left  in  charge  of  Surgeon  J.  G.  McPheeters,  33d  Indiana  Volunteers.  Owing  to  Assistant  Surgeon 
Stanway,  who  was  regularly  detailed  as  recorder,  not  reporting  with  the  rest  of  the  medical  staff  at  the  time  of  action,  the  official 
records  are  neither  so  full  or  correct  as  I  could  wish  them.  Of  the  capital  operations,  which  were  performed  by  a  skilful  and 
careful  corps,  amputations  were  both  circular  and  flap,  at  the  option  of  the  operator.  In  injuries  about  the  head  of  the  humerus, 
excisions  were  preferred  to  amputations  at  the  shoulder.  Wounds  penetrating  the  thorax  and  abdomen  were  fatal,  with  some 
few  exceptions.  In  every  case  of  wounds  inducing  hernia  cerebri,  death  ensued.  On  May  17th,  we  left  for  Cassville,  and  on 
May  19th,  late  in  the  evening,  the  troops  having  been  in  line  of  battle  and  marching,  with  frequent  halts,  they  fought  the  battle 
of  Cassville,  capturing  the  town.  Ten  men  were  wounded,  and  they  were  placed  in  a  comfortable  house  and  immediately 
attended  to,  and  then  sent  to  the  rear  in  ambulances.  The  weather  was  fine,  with  occasional  showers ;  the  roads  were  in  good 
condition,  and  the  troops  were  in  good  health  and  spirits.  No  local  cause  of  disease  existed  beyond  the  consequent  fatigue  of  a 
campaign.  There  were  few  cases  of  sickness  requiring  continuous  treatment.  Two  days'  rest  after  the  affair  at  Cassville,  with 
facilities  for  washing  and  bathing,  of  which  the  men  availed  themselves,  contributed  greatly  to  their  endurance  of  the  subsequent 
fatigues.  On  May  23d,  AVC  crossed  the  EtoAvah  River,  and  on  the  25th  AVC  suddenly  met  the  enemy  at  NCAV  Hope  Church,  before 
Dallas.  When  I  found  that  a  battle  Avas  impending,  I  turned  the  regimental  panniors,  steAvards,  etc.,  to  the  right  and  rear,  and 
established  a  hospital  at  the  house  of  one  HaAvkins,  a  mile  and  a  half  from  the  front,  on  a  good  smooth  road.  I  Avas  ordered 
still  further  to  the  rear,  across  Pumpkin  Vine  Creek;  but  the  roads  being  full  of  advancing  troops,  I  Avas  unable  to  obey.  The 
hospital  train  Avas  cut  off,  but  by  strenuous  exertions  It  arrived  at  six  o'clock  A.  M.  on  the  26th.  We  had  the  usual  operating 
corps,  and  a  sufficiency  of  appliances  except  blankets  and  tents.  The  men  Avere  under  shelter,  and  those  of  our  OAVII  division, 
as  well  as  over  one  hundred  wounded  of  the  first  division,  Avho,  at  the  request  of  Surgeon  Cox,  U.  S.  V.,  Avere  attended,  operated 
on,  and  made  comfortable  that  night.  The  Avounds  Avere  not  of  a  peculiarly  grave  nature.  On  May  26th,  the  line  of  battle  Avas 
advanced,  and  the  hospital  tents  were  pitched  a  mile  and  a  half  in  the  rear.  The  location  Avas  good,  Avell  protected,  wood  and 
water  in  abundance,  and  on-  a  good  road.  The  army  medical  supply  train  here  came  up,  and  our  supplies,  though  not  yet 
exhausted,  Avere  replenished.  The  sick  and  Avounded  Avere  sent  on  May  29th  to  Kingston,  the  graA^er  cases  in  ambulances,  and 
the  slighter  cases  in  army  AAragons — the  only  time,  I  am  happy  to  say,  that  we  had  to  use  such  transportation  during  this  campaign. 
From  our  advent  until  the  advance  from  this  position  on  May  31st,  there  Avas  continuous  firing,"  with  occasional  sharp  attacks 
both  by  day  and  night,  resulting  ahvays  in  the  repulse  of  the  enemy.  Our  troops  being  behind  breastAVorks  were  not  exposed, 
but  the  Avounds  receiATed  were  severe.  In  the  whole  of  this  action  we  had  two  hundred  and  fifty-four  \vounded.  From  the 
nature  of  the  enemy's  campaign  (a  retreat)  little  artillery  Avas  used  by  them  until  the  affair  of  Kenesaw  Mountain,  so  that  the 
Avounds  Avere  from  musketry  chiefly.  At  this  time,  the  effects  of  fatigue  became  apparent  in  the  health  of  the  men,  and  those 
of  slight  constitution  began  to  fail;  but  with  the  exception  of  a  feAV  cases  of  scurvy,  no  serious  or  formidable  diseases  attacked 
the  troops.  The  usual  disorders  of  the  digestiAre  organs  incident  to  camp  life  neither  increased  nor  diminished  in  a  perceptible 
degree.  I  regret  to  state  that  on  June  2,  1864,  Surgeon  H.  S.  Potter,  105th  Illinois  Volunteers,  Avas  killed  by  an  unexploded 
shell,  which  struck  him  in  the  forehead.  He  Avas  universally  regretted,  no  less  for  his  professional  acquirements  than  his 
gentlemanly  demeanor.  Until  June  9th  or  10th,  this  division  Avas  held  in  reserve.  For  two  Aveeks  it  had  rained  heavily, 
and  the  roads  Avere  much  cut  up ;  but  the  rain  had  no  visible  effect  on  the  health  of  the  troops.  On  June  15th,  AVB  had  a 
sharp  fight  at  Golgotha,  in  Avhich  Major  Griffin  of  the  19th  Michigan  Volunteers  Avas  mortally  wounded.  One  hundred  and 
eleven  wounded  Avere  received  into  the  hospital  that  night.  By  Avorking  until  nearly  daylight,  all  Avere  Avell  attended.  The 
supplies  Avere  plentiful,  and  the  hospital  Avas  in  good  order  to  receiA'e  patients.  The  wounded  Avere  scut  to  AckAVorth 
with,  as  in  all  cases  of  transfer,  cooked  and  TOAV  rations,  and  a  medical  officer  in  charge  of  the  train.  The  sick  and  wounded 
from  this  division  have  ahvays  been  supplied  Avith  a  medical  officer,  nurses,  and  rations;  also  stimulants,  etc.,  in  being  moved 
from  one  place  to  another,  although  it  has  not  ahvays  been  practicable  to  make  coffee  on  the  Avay.  On  June  19th,  AVC  crossed 
Moses's  Creek  Avith  the  hospital,  and  received  some  twenty-five  wounded,  Avhen,  from  the  position  of  the  enemy  immediately  in 
our  front,  we  Avere  obliged  to  leaA'e  that  location  in  haste.  We  Avent  a  mile  to  the  rear  and  re-established.  This  Avas  the  only 
time  AVC  had  to  remove  the  hospital  during  the  campaign.  On  June  22d,  AA-e  received  some  two  hundred  Avounded,  as  our  division 
Avas  sharply  engaged.  Four  deaths  occurred  here.  On  June  24th,  the  AA'oundcd  Avere  removed  to  AckAVorth,  and  one  section 
of  the  hospital  moved  Avith  the  forces  to  Culp's  farm,  on  the  Marietta  and  Sandtowu  road.  Here  AA-C  remained  several  days. 
There  Avas  some  heavy  skirmishing  and  a  few  Avounded,  most  of  them  fatally.  The  brigade  organization  of  hospitals  Avas  noAV 
abandoned,  and  the  Avhole  consolidated  into  a  division  hospital.  On  Sunday,  July  3,  1864,  we  moved  fonvard  toAvard  Marietta, 
and  had  three  men  Avounded  by  shell  on  the  inarch,  whom  AVC  tranportecl  in  ambulances  several  days,  but  Avho  did  Avell 
notAvithstanding.  The  command  moving  sloAvly,  one  section  of  the  hospital  was  always  up  with  it.  There  Avas  skirmishing 
for  some  tAvo  Aveeks,  Avith  but  feAV  casualties.  Scorbutic  affections  increased,  and  on  July  10th,  seventy-five  men  Avere  sent  to 


REPORTS    OF    SURGEONS    GRTNSTED    AND    IIEW1T.  309 

Marietta  general  field  hospital.  The  weather  continued  fine  and  warm.  On  July  20th,  we  met  the  enemy,  and  after  a  sharp 
fight  of  three  or  four  hours,  we  drove  him  with  severe  loss.  In  this  action  the  3d  division  had  three  hundred  and  fortv-five  men 
wounded.  There  were  also  one  hundred  and  ten  Confederate  wounded  brought  into  hospital.  But  one  section  of  the  hospital 
was  at  this  time  present  with  the  command,  the  rest  was  at  Buckhead  and  beyond,  with  some  two  hundred  and  fifty  sick.  The 
wounded  were  fed  and  attended  to  as  promptly  as  possible  until  the  next  day,  when  the  remaining  sections  of  the  hospital 
arrived,  and  all  were  placed  under  shelter.  The  wounds  received  during  this  action  were  of  a  severe  character,  the  enemy 
charging  boldly.  The  Confederates  received  were  very  severely  wounded,  many  having  from  three  to  five  wounds;  a  single 
wound  being  exceptional.  Six  died  on  the  same  night  they  were  received,  and  some  thirty  more  prior  to  their  transportation. 
To  the  surgeons  of  the  Fourth  Corps  I  am  indebted  for  valuable  assistance,  crowded  as  was  the  medical  staff,  by  the  influx 
of  nearly  five  hundred  wounded  in  a  few  hours.  There  were  sufficient  commissary  and  hospital  supplies  to  meet  all  requirements 
and  the  wounded  Avere  taken  in  ambulances  to  Vining's  Station.  Twenty-one  deaths  occurred  in  this  hospital.  On  July  24th, 
we  moved  on  the  Marietta  and  Sandtown  road  to  within  a  mile  of  our  lines  north  of  Atlanta,  and  lay  there  one  month,  duriiK' 
which  time  I  was  relieved  from  my  duties  as  surgeon-iii-chief  of  the  3d  division,  Twentieth  Corps,  and  ordered  to  report  to 
Major  Reynolds,  as  surgeon-in-chief  of  the  Artillery  Corps.  But  as  I  am  cognizant  of  the  operations  of  the  hospital,  I  continue. 
The  hospital  although  in  advance,  in  a  seemingly  exposed  site  during  the  whole  siege  of  Atlanta,  escaped  shot  and  shell. 
Surgeon  Cooper,  U.  S.  A.,  medical  director,  gave  me  explicit  instructions  that  in  case  shot  or  shell  came  into  the  hospital  to 
remove  instantly.  A  site  was  selected  in  the  rear,  but  was  never  occupied.  The  location  used  was  dry,  easily  drained,  with 
plenty  of  good  cool  water,  and  accessible  from  the  division.  The  division 'marched  to  the  right,  but  the  hospital  remained, 
with  the  exception  of  one  section  under  the  charge  of  Surgeon  B.  L.  Hovey,  which  marched  with  the  division  to  the  right 
and  returned.  During  the  month  we  laid  here,  many  men  were  wounded  while  in  camp,  in  the  head,  bowels,  and  chest,  and 
fifteen  died  of  their  wounds.  The  number  of  casualties  in  this  division  before  Atlanta  amounted  to  fifteen  killed  and  ninety-six 
wounded.  With  the  exception  of  the  lack  of  vegetables,  the  command  and  hospital  did  not  suffer.  There  Avas  an  increased 
number  of  admissions  from  sickness  incident  to  the  protracted  campaign  and  the  season ;  but,  for  the  most  part,  these  haA'e  since 
been  returned  to  duty.  On  August  25th,  the  division  fell  back  over  the  Chattahoochee  River.  The  hospital  Avas  located  near 
the  railroad  bridge.  Two  men  only  were  wounded  in  this  diA'ision,  and  IAVO  men  of  the  Fourteenth  Corps  were  also  wounded 
by  the  explosion  of  a  shell.  Both  Avere  cases  for  amputation,  and  they  were  sent  to  the  field  hospital  at  Atlanta.  On  September 
4th,  the  hospital  Avas  moved  to  an  eligible  site  in  Atlanta,  Avhere  it  remains  at  present.  *  In  all  cases  of  capital  operations 

and  painful  examinations  of  wounds,  chloroform  generally,  and  sometimes  ether,  has  been  used,  and  I  am  gratified  to  remark 
that  no  ill  effect,  save  nausea  and  vomiting,  has  occurred  from  it.  In  conclusion,  I  am  proud  to  acknoAvledge  the  patient  kindness, 
skill,  and  ability  exhibited  by  the  medical  staff  of  this  division  during  this  arduous  campaign."  * 


CCLIX.  Report  on  the  Military  Medicine,  urgery,  and  General  Conduct  of  the  Medical 
Department  of  the  Army  of  the  Ohio  from  May  1,  1564,  to  September  8,  1864.  By 
Surgeon  II.  S.  HEWIT,  U.  S.  Volunteers,  Medical  Director. 

"  The  complete  medical  and  surgical  history  of  a  great  campaign  Avould  be  the  most  valuable  contribution  that  could 
be  made  to  the  literature  of  military  medicine.  Under  the  present  system  of  organization  and  distribution  of  labor,  duty,  and  the 
average  standard  of  exact  scientific  culture  and  professional  enthusiasm,  approximate  efforts  are  alone  practicable.  The  present 
attempt  to  render  a  trustworthy  record  of  facts,  and  some  of  the  results  of  individual  and  collective  experience,  it  is  hoped  may 
not  prove  Avholly  A'ulucless.  The  observations  and  suggestions  which  are  called  forth  by  the  discussion  of  the  great  questions 
involved,  are  offered  with  a  sincere  desire  to  do  something,  however  little,  to  promote  the  interests  of  the  medical  department 
of  the  anny,  the  honor  of  the  profession,  and  the  advancement  of  the  common  objects,  science,  military  efficiency,  humanity,  and 
true  ciA'ilization  for  the  status  of  the  medical  profession  is  the  best  index  of  the  state  of  true  civilization  in  anv  age  or  nation. 

The  anny  of  the  Ohio,  which  participated  in  the  Atlanta  campaign,  Avas  composed  of  the  Twenty-third  Army  Corps  and 
a  body  of  cavalry,  sometimes  called  a  command  and  sometimes  a  corps,  under  Major  General  Stoneman,  U.  S.  V.  At  the  com 
mencement  of  the  campaign,  the  2d  and  3d  divisions  of  the  Twenty-third  Anny  Corps,  were  stationed  on  the  line  of  the  East 
Tennessee  and  Virginia  railroad,  extending  as  far  as  Russellville.  The  cavalry  was  at  Mount  Sterling,  Kentucky,  receiving  a 
new  outfit  of  horses  and  equipments.  The  infantry  commenced  its  march  in  the  latter  part  of  April,  and  headquarters  moved 
from  Knoxville  on  the  last  day  of  the  month.  The  rendezvous  was  made  at  Red  Clay,  Georgia,  and  I  joined  the  command  on 
May  Gth.  The  two  divisions  which  had  been  on  duty  in  East  Tennessee,  it  must  be  remembered,  had  passed '  through  all  the 
toils  and  hardships  of  the  siege  of  Knoxville  and  the  subsequent  winter  and  spring  campaigns.  The  first  division,  under  Brig 
adier  General  Hovey,  joined  the  army  at  Cleveland  on  the  march  to  Red  Clay.  It  AVUS  composed  of  ncvwly  enlisted  recruits, 
many  of  whom  were  old  men  and  boys,  Avlio  had  been  mustered  into  service  without  critical  inspection.  The  proportion  of 
disability  in  the  division  has  been,  as  a  consequence,  always  exceedingly  large.  No  specific  report  of  this  division  has  been 
made,  for  the  reason  that  it  was  very  soon  merged  into  the  other  two  divisions.  The  organization  of  the  medical  department  of 
the  army  was  as  folloAVs:  Surgeon  EdAvard  Shippen,  U.  S.  V.,  medical  director  of  the  TAventy-third  Coqis;  Surgeon  George  >A- 
Collamore,  100th  Regiment  Ohio  Volunteers,  surgeon-in-chief  3d  division ;  Surgeon  .1.  W.  Lawton,  U.  S.  V.,  surgeon-in-chief 
2d  division,  and  Surgeon  J.  II.  Spurier,  123d  Indiana  Volunteers,  surgeon-in-chief  1st  division.  Before  leaving  Knoxville  I 
organized  a  special  operating  board,  composed  of  the  folloAving  officers:  Surgeon  C.  S.  Frink,  U.  S.  V.,  Surgeon  C.  W.  McMillan, 
1st  Tennessee  Volunteers.  The  ambulance  order  had,  in  the  meantime,  been  received,  and  the  system  Avhich  I  adopted 

previously  Avas  so  far  modified  as  to  conform  to  it.  *     Great  difficulty  was  experienced  in  obtaining  a  sullicient  number 

of  vehicles  fit  for  use,  and  mules  of  good  quality.  As  soon  as  railroad  communication  was  opened  Avith  Knoxville  in  the  spring, 
I  had  caused  a  large  quantity  of  medical  and  hospital  supplies  to  be  accumulated  at  that  point,  and  from  this  store  the  anny 
procured  its  field  outfit  for  the  commencement  of  the  campaign.  The  troops  moved  from  Red  Clay  to  co-operate  \\ith  the  other 


310  APPENDED  DOCUMENTS CAMPAIGN  IN  GEOEGIA. 

forces  of  the  military  division  of  the  Mississippi,  on  May  7th,  and  participated  in  the  battle  of  Dalton  and  Rocky  Face  Ridge  on 
the  9th.  The  losses  were  slight  in  this  engagement.  The  wounded  were  promptly  removed  and  subsequently  conveyed  to 
buildings  near  Tuunel  Hill  Station,  from  whence  they  were  sent  to  Chattanooga.  It  was  foufid,  however,  that  no  sufficient  pro 
vision  had  been  made  for  the  reception  of  any  wounded  excepting  those  belonging  to  the  Department  of  the  Cumberland,  and, 
consequently,  I  gave  directions  for  the  extension  of  hospital  accommodations  at  Knoxville  for  the  department  of  the  Ohio.  The 
Department  of  the  Tennessee  selected  Rome  as  its  hospital  centre  at  a  later  period.  The  cavalry,  with  Surgeon  A.  M.  Wilder, 
U.  S.  V.,  (who  had  previously  been  relieved  from  the  Twenty-third  Corps  and  assigned  to  it  in  order  that  its  medical  organization 
might  be  placed  on  a  proper  basis,  and  medical  officers  instructed  in  their  duties,)  as  medical  director,  joined  on  the  10th  instant. 
Not  being,  at  this  time,  furnished  with  ambulances,  and  the  commanding  officer  refusing  to  allow  them,  an  order  was  given  by 
General  Sherman  to  provide  for  the  wounded  of  the  cavalry,  when  incapable  of  transportation,  by  leaving  them  at  the  houses  of 
the  inhabitants,  and  contracting  to  pay  one  dollar  per  day  for  their  board  and  care;  this  amount  to  be  payable  in  gold  by  any  U. 
S.  disbursing  officer.  Addititional  stretchers  were  procured  at  this  time,  and  an  extra  supply  of  chloroform  and  stimulants.  On 
the  12th,  the  troops  having  been  successfully  withdrawn  from  the  front  of  Dalton  and  Rocky  Face,  commenced  a  march  by  the 
right  flank,  by  Snake  Creek  Gap,  toward  Resaca,  whither  the  enemy  had  retreated,  and  011  the  13th,  advanced  through  Sugar 
Valley  and  went  into  position.  The  battle  of  Resaca  was  fought  on  the  14th  and  15th.  As  soon  as  the  troops  were  deployed,  a 
house  was  selected  as  the  nucleus  of  a  general  field  hospital.  The  two  divisions  occupied  contiguous  ground,  and  the  operating 
staff  worked  as  their  services  were  most  needed.  *  Primary  depots  were  established  in  convenient  positions.  The 

ambulances  were  stationed  at  points  easy  of  access>  and  the  wounded  after  being  temporarily  dressed,  were  promptly  conveyed 
to  the  field  hospital.  Operations  were  performed  with  little  delay,  and  by  noon  of  the  loth,  many  capital  operations  had  been 
performed,  the  wounded  sheltered,  fed,  and  the  hospital  in  successful  operation.  A  large  quantity  of  hay  was  found  on  the  ground 
and  made  use  of  as  bedding.  A  delegation  of  highly  respectable  gentlemen  from  New  York  and  Brooklyn,  who  arrived  on  the 
field  and  visited  the  hospital,  had  an  opportunity  of  witnessing  the  method  of  improvising  accommodations  for  great  numbers  of 
wounded  men  in  the  midst  of  battle.  :  *  I  am  not  aware  that  any  soldier  suffered  for  what  his  case  absolutely  required,  or 
lost  his  life  through  carelessness  or  neglect  on  the  part  of  surgeons  or  attendants.  The  enemy  evacuated  his  position  on  the 
right,  between  the  15th  and  16th.  Orders  were  immediately  sent  to  move  the  wounded  into  the  station  at  Resaca  for  convenience 
of  supply  and  transportation  to  the  rear.  This  was  accomplished  with  much  suffering  and  considerable  delay.  Temporary 
hospitals  were  established  at  Resaca,  the  wounded  collected  from  the  different  field  hospitals,  and  transferred  to  Chattanooga  as 
rapidly  as  possible.  This  duty  was  performed  under  the  supervision  of  Medical  Inspector  Coolidge,  U.  S.  A.  No  action  of 
moment  occurred  from  this  time  till  the  battle  of  Dallas.  The  movements  were  in  column  for  a  short  distance,  and  then  fre 
quently  for  miles,  slowly,  in  line  of  battle.  There  was  continued  skirmishing  but  no  very  severe  marching,  and  110  heavy  fighting. 
The  country  was  high  and  rolling,  the  water  pure,  and  the  weather  delightful.  The  external  conditions  for  successful  cam 
paigning  were  all  that  could  be  desired,  and  the  troops  were  in  excellent  spirits.  The  disabilities  at  this  time,  as  the  regimental 
sick  reports  will  show,  were  extremely  few  and  of  a  mild  character.  On  the  20th  the  army  went  into  camp 'at  Cassville  Station. 
Orders  were  given  to  send  all  sick  and  disabled  men  to  the  rear,  and  arrangements  were  made  to  obtain  fresh  supplies  and  an 
additional  quantity  of  hospital  tents.  The  entire  department  was  reorganized  for  a  continuance  of  the  campaign  in  the  most 
active  manner.  On  the  24th,  the  Etowah  was  safely  crossed,  and,  on  the  25th,  the  battle  of  Dallas  commenced.  As  soon  as  the 
Twenty-third  Corps  was  in  position  in  front  of  the  rebel  works,  a  safe  place  at  a  convenient  distance  was  selected  and  the  general 
field  hospital  of  the  army  was  established  by  divisions.  Accommodations  were  extended  by  building  booths  of  leaves  and  boughs 
upon  strong  frames,  and  beds  were  made  of  pine  boughs.  The  operating  staff  had,  in  the  meantime,  reported,  after  discharging 
their  duty  to  the  wounded  at  Resaca.  The  fact  that  no  great,  numbers  of  wounded  were  thrown  suddenly  upon  the  hospital  at  one 
time,  ensured  for  each  case  prompt  and  thorough  attention.  This  hospital  continued  in  operation  until  the  31st,  when  the  sick 
and  Avounded  were  sent  in  wagons,  carefully  packed  with  boughs,  and  ,jn  ambulances,  to  Kingston,  a  distance  of  twenty  miles, 
for  transportation  by  railroad  to  the  rear.  This  duty  was  pel-formed  under  the  immediate  superintendence  of  Surgeon  R.  M. 
S.  Jackson,  U.  S.  V.,  and  was  preparatory  to  making  a  movement  to  the  left  flank.  On  the  2d  and  3d  of  June,  the  hospitals 
were  moved  up  to  the  rear  of  the  new  position  occupied  by  the  troops  of  the  Twenty-third  Corps  which  had  advanced  on  the 
left.  The  flank  movement  having  turned  the  right  of  the  enemy,  and  the  cavalry  having  occupied  Alatoona,  on  the  railroad,  it 
was  selected  as  a  sight  for  a  general  field  hospital.  Accordingly  the  sick  and  wounded  which  had  accumulated  since  the  31st  of 
May  were  sent  thither,  and  steps  taken  to  render  their  condition  as  comfortable  as  possible.  The  hospital  was  placed  under 
charge  of  Surgeon  C.  W.  McMillan,  and  soon  afterward  Surgeon  F.  Meacham,  who  was  relieved  from  charge  of  3d  division,  by 
Surgeon  Charles  F.  Frink,  U.  S.  V.  The  special  operating  board  was  now  dissolved,  and  the  organization  of  division  hospitals 
having  become  perfected  the  surgeons  of  divisions  selected  their  own  operators.  *  The  practice  of  primary  operations  was 

continued.  The  next  great  military  movement  was  the  advance  upon  the  enemy's  position  at  Kenesaw  Mountain,  covering 

Marietta  and  the  Chattahoochee.  The  general  hospital  was  retained  at  Allatoona  and  improved  as  far  as  practicable.  The  field 
hospitals  were  established  in  the  rear  of  their  respective  divisions,  and  the  wounded  transferred  from  there  to  Allatoona  as  fast 
as  they  became  full.  The  distance  was  twelve  to  fifteen  miles  and  the  roads  in  very  bad  condition.  This  method  was  pursued 
until  the  turning  of  the  left  wing  of  Johnson's  army  was  successfully  accomplished,  and  Marietta  uncovered.  This  town  was 
immediately  made  the  depot  of  quartermaster  and  commissary  supplies,  and  also  the  hospital  center.  *  *  The  same  method 
was  observed  in  regard  to  the  hospital  at  Marietta,  as  had  been  when  located  at  Allatoona.  The  wounded  were  transferred  as 
rapidly  as  possible  from  the  division  to  the  general  hospital,  fii-st  by  wagons,  well  padded  with  cotton,  when  it  could  be  procured, 
or  with  pine  boughs,  and  afterward  by  rail.  This  duty  was  superintended  by  Surgeon  Wilder,  and  too  much  praise  cannot  be 
awarded  him  for  his  zeal,  intelligence,  energy,  and  humanity.  *  *  The  crossing  of  the  Chattahoochee  followed,  made  first  by  the 
Twenty-third  Corps,  under  the  immediate  supervision  of  Major  General  Sclmfield,  on  July  8th,  and  the  battle  of  the  19th,  20th, 
and  22<1  followed,  in  all  which,  the  Twenty-third  Corps  was  engaged.  The  wounded  were  equally  promptly  cared  for,  and  the 
operations  were  in  all  cases  primary.  They  were  transferred  with  care  and  rapidity  to  the  now  well  furnished  and  comfortable 
hospital  at  Marietta.  On  August  1st  the  Twenty-third  Corps  began  its  movement  to  the  right  with  the  view  of  cutting  the  East 


REPORT    OF    MEDICAL    DIRECTOR    HE  WIT.  311 

Point  railroad  or  taking  the  Station  of  that  name.  This  manoeuvre  was  followed  by  the  actions  of  Utoy  Creek,  on  the  3d, 
skirmishing  during  the  succeeding  days  and  an  assault  on  the  6th.  During  these  engagements  field,  receiving,  and  operating 
depots  were  established  near  the  front,  while  the  main  division  hospitals  were  kept  some  distance  in  the  rear  and  beyond  Utoy 
Creek.  The  assault  of  the  6th  was  repulsed  and  many  of  the  wounded  were  left  on  the  ground  until  the  succeeding  day,  when 
the  extension  of  our  lines  to  the  right,  compelled  the  enemy  to  leave  their  position  and  permitted  our  stretcher-bearers  to  gather 
the  wounded  and  bring  them  in.  The  position  gradually  extended  to  the  right,  was  held  till  the  29th  instant.  There  was  no 
severe  fighting,  but  constant  skirmishing  and  a  few  wounded  every  day,  not  averaging  more  than  eight  or  ten.  On  the  29th,  the 
last  great  flank  movement  commenced.  It  was  preceded  by  removing  the  sick  and  wounded  to  the  general  hospital  at  Marietta, 
and  sending  back  such  men  as  would  not  be  able,  in  all  probability,  to  make  the  march.  They  were  transferred  by  wagons  and 
ambulances  to  the  railroad  a  distance  of  eight  miles  and  thence  transferred  to  Marietta.  During  the  movement  the  Twenty-third 
Corps  was  but  slightly  engaged,  and  the  loss  was  very  light.  On  the  march  I  visited  a  Confederate  field  hospital,  containing  the 
most  severely  wounded  of  the  battle  of  Jonesboro',  under  charge  of  Surgeon  Abernathy,  C.  S.  A.,  and  offered  him  any  supplies  of 
medicines  or  stores  he  needed.  He  accepted  a  small  quantity  of  morphine  only.  I  also  obtained  permission  from  General  Schofield 
to  furnish  him  with  sugar  and  coffee,  as  far  as  the  condition  of  our  supplies  would  permit.  On  the  5th  the  retrogade  movement 
commenced,  and  on  the  8th  the  army  of  the  Ohio  encamped  at  Decatur  and  enjoyed  a  wrell-earned  and  much  needed  repose. 
The  foregoing  is  a  brief  sketch  of  the  military  features  of  the  campaign,  together  with  the  points  of  interest  in  regard  to  the 
transfer  of  sick  and  wounded  from  front  to  rear  and  their  care  on  the  field  of  battle.  It  was  my  intention  at  the  commencement 
of  the  campaign  to  have  required  histories  of  all  the  more  important  cases,  in  order  to  make  a  contribution  to  the  medical  and 
surgical  history  of  substantial  value.  It  was  found,  however,  that  the  necessities  of  field  service,  the  physical  fatigue  of  officers, 
and  the  rapid  transfer  of  patients  to  the  rear,  forbade  systematic  scientific  records,  embracing  complete  histories.  On  June  9th 
I  relieved  Surgeon  Wilder  from  the  cavalry  command,  and  appointed  him  acting  medical  inspector  of  the  department,  with  a 
view  of  securing  all  the  facts  possible  through  his  zeal  and  industry.  I  am  thus  enabled  to  present  the  results  of  a  very  large 
number  of  operations.  A  ratio  of  the  mortality  of  the  entire  campaign,  both  from  disease  and  wounds,  is  subjoined."  * 

A  few  general  observations  on  the  surgical  principles  and  treatment  recommended  and  generally  adopted  are  presented 
with  reference  to  the  foregoing  brief  history  and  accompanying  reports.  A  consolidated  tabular  statement  of  Avounds,  injuries, 
and  operations,  compiled  from  the  returns  made  from  time  to  time  to  the  Surgeon  General,  is  appended.  I  found  the  surgeons 
of  the  department  divided  into  two  classes;  one  with  extravagant  ideas  of  the  power  of  conservative  surgery,  and  greatly 
exaggerated  opinions  of  its  value,  and  the  other  despising  conservatism,  and  disposed  to  deny  its  utility  altogether.  It  is  not 
difficult  to  understand  how  such  differences  should  exist  when  the  results  of  conservatism  in  civil  life  are  contrasted  with  the 
failures  constantly  met  with  in  military  practice.  The  men  who  had  read  much  and  seen  little  were  highly  conservative,  while 
those  who  had  read  little  and  seen  much  were  the  reverse.  I  made  an  effort,  by  the  organization  of  a  medical  society  before  the 
army  left  the  vicinity  of  Knoxville,  and  using  every  means  to  secure  full  attendance  and  fair  discussion,  to  apply  the  remedy  by 
an  interchange  of  knowledge  and  experience  to  false  and  extreme  ideas,  and  to  obtain  a  safe  mean  of  opinion  and  practice. 
For  my  own  part  I  inculcated  in  the  strongest  manner  that  amputation  was  to  be  employed  in  almost  every  penetrating  injury 
of  the  knee-joint,  and  I  made  consultation  obligatory  in  all  doubtful  cases.  The  same  rule  was  applied  to  gunshot  wounds 
involving  the  ankle-joint.  Resections  of  much  length  of  the  continuity  of  the  long  bones  of  the  femur  and  humerus  were 
discountenanced  unless  in  exceptional  cases,  particularly  in  which  to  relieve  suffering  or  to  facilitate  dressing  or  transportation, 
they  were  permitted.  Excision  was  encouraged  when  the  head  of  the  humerus  was  shattered,  and  partial  excision  of  the  tarsus 
or  carpus  advised  in  cases  which  admitted  hope  of  saving  the  hand  or  foot  in  a  condition  of  even  partial  usefulness.  It  was 
enjoined  on  the  surgeons  to  excise  the  head  of  the  femur  when  it  was  severely  fractured  without  comminution  of  the  shaft.  But 
no  case,  to  my  knowledge,  favorable  for  excision  of  the  hip-joint  occurred  in  the  army  of  the  Ohio  during  the  campaign.  Two 
cases  of  amputation  at  the  hip- joint  have  been  performed  with  my  sanction  and  in  my  presence;  one  at  Knoxville  and  one  on 
the  field  near  Kenesa\v.  Both  were  operations  of  last  resort,  and  both  proved  fatal  before  the  patient  could  be  removed  from 
the  table.  I  may  remark,  iu  passing,  that  I  performed  the  operation  of  excision  at  the  hip-joint  after  the  battle  of  Jackson, 
Mississippi,  in  May  18615,*  for  comminution  of  the  great  trochanter  and  head  of  the  femur.  The  patient  died  iu  four  days,  but 
the  progress  of  the  case  and  the  mildness  of  the  symptoms  justify,  iu  my  mind,  the  opinion  that  the  operation  will  frequently 
save  life  in  a  class  of  injuries  from  their  nature,  almost  without  exception,  fatal.  I  have  removed  the  larger  portion  of  the  great 
trochauter  twice  with  good  results  as  secondary  operations.  The  principle  of  removing  fragments  primarily  when  detached  is 
obvious,  and  has  been  recommended  to  the  surgeons  of  the  department.  Compound  comminuted  fractures  of  the  thigh  were 
almost  invariably  amputated  primarily  when  reaction  took  place.  The  operation  was  commonly  well  borne,  and  the  tabular 
statements  will  show  a  larger  proportion  than  usual  of  recoveries.  In  hopeless  comminution  of  thigh,  ease  of  position  with 
reference  to  drainage,  and  support  of  the  powers  of  life,  were  the  only  points  considered  in  treatment.  I  have  always  insisted 
that  this  class  of  cases  should  be  transported  by  hand  whenever  it  became  necessary  to  move  them,  and  have  been  usually  able 
to  retain  them  in  the  field  hospitals  without  removal,  excepting  for  short  distances  carefully  by  hand,  as  long  as  they  lived. 
When  death  does  not  result  from  primary  shock,  the  average  duration  of  life  is  from  two  to  three  weeks.  It  is  in  view  of  this 
class  of  cases,  and  such  others  in  which  the  only  hope  is  in  absolute  immobility,  that  the  question  of  reciprocity  of  consideration 
and  courtesy  respecting  hospitals  and  all  sick  and  wounded  between  belligerents  assumes  its  immense  importance.  There  were 
in  our  army  fifty-nine  cases  of  compound  comminuted  fractures  of  the  thigh,  six  of  which  were  immediately  fatal.  There  were 
forty-eight  amputations  of  the  thigh,  leaving  out  those  which  were  not  interfered  with.  The  proportion  of  recovery  was 
fifty-five  per  cent.  One  of  the  cases  regarded  as  hopeless,  and  treated  by  resection  of  the  sharp  ends  of  the  fragments,  made  a 
fair  recovery. 

Resection  in  cases  of  comminution  of  the  shaft  of  either  the  radius  or  ulna  was  encouraged  when  one  bone  was  entire; 
but  when  both  bones  were  comminuted,  the  practice  recommended  was  to  remove  loose  fragments  to  smooth  sharp  points,  and 


Circular  No.  13,  18(i9,  S.  (!.  O.,  i>i>.  24,  133 ;  Circular  No.  G,  18C5,  S.  G.  O.,  p.  00'.     Case  of  Sergeant  Tolman,  18th  Wisconsin  Yols. — Kit's. 


312  APPENDED    DOCUMENTS CAMPAIGN    IN    GEORGIA. 

to  hope  for  consolidation,  leaving  amputation  in  reserve.  Primaiy  amputation  of  the  upper  extremity  was  discouraged  in  all 
but  such  cases  as  admitted  of  no  possibility  of  doubt,  due  reference  being  had  to  prospects  for  care  and  the  preservation  of 
immobility.  The  question  of  amputation  of  the  arm,  or  resection  of  the  elbow-joint,  was  often  one  of  great  difficulty.  Primary 
complete  resection  of  the  joint  offers,  in  my  judgment,  the  greatest  prospect  of  success.  Intermediary  and  secondary  amputations, 
after  osteomyelitis  is  kindled  or  fully  established,  are  very  dangerous  to  life,  and  every  moment  of  delay  in  the  amputations 
necessitates  a  greater  sacrifice  of  tissue.  With  a  full  and  careful  examination  and  estimate  of  contingencies,  every  case  must 
be  decided  upon  its  merits,  and  it  is  impossible  as  yet  to  promulgate  a  general  law.  It  must,  however,  be  said  that  the  chances 
for  life,  preservation  of  constitution,  and  prevention  of  suffering,  preponderate  in  favor  of  primary  amputation  when  the  elbow- 
joint  is  splintered.  In  this,  as  in  all  traumatic  amputations,  the  section  should  be  through  periosteum  and  bone  which  are  free 
from  injury,  and  have  not  taken  on  inflammation,  and  as  low  as  possible. 

Excisions  of  the  elbow-joint  require  a  great  degree  of  attention,  local  and  general,  to  insure  success,  which  can  seldom  be 
furnished  in  extemporized  military  hospitals.  In  a  permanent  field  hospital,  well  organized  and  supplied  with  pure  water  and 
air,  I  would  not  hesitate  to  make  a  complete  excision  of  the  elbow  in  favorable  cases.  The  law  of  complete  excision  for  this 
joint  is  very  generally  disregarded  in  army  practice,  and  the  results  of  the  operations  are  hitherto  far  from  encouraging.  I  do 
not  think  there  is  any  objection  to  a  partial  excision  when  the  part  injured  is  small ;  for  instance,  the  head  of  the  radius  or  a 
small  portion  of  a  condyle.  I  believe  the  injured  portion  may  be  removed  with  propriety,  and  the  case  treated  on  general 
principles.  I  would  always  recommend  partial  resection  when  the  case  has  passed  into  the  pathological  condition.  Such  cases, 
however,  are  usually  attended  by  an  amount  of  local  and  general  disturbance  which  renders  amputation  the  only  resource. 

Complete  primary  excisions  of  the  head  of  the  humerus  is  one  of  the  most  easily  performed  and  successful  operations  in 
army  practice.  I  deprecate  the  very  long  sections  of  the  shaft  of  the  bone  which  are  sometimes  made.  I  have  never  seen  a 
useful  arm  when  more  than  five  and  a  half  inches  were  removed  with  the  head.  Partial  excision  of  the  head  of  the  humerus 
is  a  safe  and  successful  operation.  It  is  especially  valuable  as  a  secondary  measure  for  the  removal  of  caries,  or  small  fragments 
that  have  been  undiscovered.  Scapular  motion  makes  great  compensation  for  anchylosis,  and  it  is  frequently  better  to  accept  this 
result  rather  than  incur  the  risk  to  life  by  the  more  brilliant  procedure  of  complete  excision. 

The  utmost  conservatism  has  been  recommended  and  enjoined  in  regard  to  the  hand,  and  has,  as  a  rule,  been  practiced 
with  success.  I  remark,  in  passing,  that  a  faulty  position  is  very  frequently  observed  in  hospital,  and  among  discharged  and 
furloughed  soldiers,  when  the  forearm  and  hand  are  in  a  process  of  cure  from  fractures,  gunshot  injuries,  and  operations.  The 
hand  is  almost  invariably  in  a  prone  position.  Assistant  Surgeon  J.  V.  Johnson,  U.  S.  V.,  adopted  Smith's  anterior  splint  to 
meet  this  difficulty,  and  introduced  it  into  practice  at  Chattanooga  last  winter,  with  my  cordial  approval,  at  the  time  I  was 
medical  director  of  the  hospitals  at  that  place.  The  splint  is  bent  to  the  proper  angle  for  the  elbow,  padded,  and  applied  to  the 
inside  of  the  arm.  It  affords  easy  and  efficient  support,  and  fully  meets  the  indications  of  a  splint.  It  effectually  counteracts 
the  tendency  to  pronation,  and  supports  the  forearm  comfortably  in  the  position  midway  between  pronation  and  supination.  I 
beg  leave  most  respectfully  to  recommend  that  wire  gauze  and  perforated  sheet  zinc,  with  shears  of  the  requisite  size  and  temper, 
be  supplied  as  a  part  of  the  regular  and  necessary  outfit  for  hospital  and  field  service. 

Expectant  treatment  was  practiced  in  all  cases  of  penetrating  wounds  of  the  head.  No  cases  occurred  in  which  the  use 
of  the  trephine  promised  any  advantage.  In  a  penetrating  wound  of  the  skull  by  a  conoidal  musket  ball,  the  amount  of  injury 
inflicted  is  usually  fatal  in  its  nature.  The  prospects  of  recovery  are  seldom  increased  by  the  performance  of  a  severe  operation. 
The  practice  I  recommend  is  to  remove  spiculae  of  bone,  and  any  foreign  substance  or  clot  that  may  be  within  reach,  but  not  to 
probe  the  wounds  or  to  make  too  frequent  examination.  Cold  to  the  head,  sedatives,  and,  in  some  cases,  stimulants,  rest,  and 
expectancy  are  the  rules  I  have  directed  to  be  observed.  The  same  law  of  expectancy  is  applied  to  wounds  of  the  intestines. 
It  is  next  to  an  impossibility,  when  a  soldier  is  wounded  in  the  abdomen,  with  lesion  of  the  intestines,  that  their  contents  should 
not  escape  into  the  peritonseal  cavity.  The  necessity  of  lifting  and  handling,  and  the  agitation  of  transportation  to  a  considerable 
distance  render  this  result  next  to  a  certainty.  Some  cases  might  be  saved,  perhaps,  if  they  could  be  examined  at  the  moment 
of  reception  of  the  wound,  and  the  edges  pared  and  closed  with  silver  wire.  But  the  opportunity  for  enteroraphy  has  generally 
passed  when  the  patient  reaches  the  hospital.  I  think  it  admits  of  question  whether  greater  effort  should  not  be  made  to  seek 
out  the  wound,  close  it  by  silver  wire,  and  endeavor  to  obtain  primary  union,  while  peritonitis  and  constitutional  disturbance  are 
treated  on  general  principles. 

Wounds  of  the  chest,  neck,  and  face  have  been  proportionally  more  frequent  than  those  of  the  lower  part  of  the  person 
from  the  fact  that  breastworks  were  immediately  thrown  up  when  the  troops  came  into  position.  Gunshot  wounds  of  the  chest 
have  been  treated  by  closing  the  wounds  with  ordinary  dressing,  and  on  general  principles.  The  insertion  of  the  salts  of  morphia 
into  wounds  of  the  chest  attended  by  pain  and  dyspnoea,  has  been  of  the  utmost  advantage.  I  made  the  insertion  of  morphia 
into  all  painfid  wounds  a  standing  order  in  the  medical  department,  and  this  practice  has  acted  so  admirably  as  to  enlist  every 
surgeon  in  favor  of  it.  Its  good  effects  are  especially  remarkable  in  painful  wounds  of  the  joints,  abdomen,  and  chest.  From 
one  to  three  grains  should  be  inserted  on  the  point  of  the  finger.  I  desire  especially  to  call  the  attention  of  the  profession  to  this 
practice,  which  is  simply  a  generalization  of  the  well  recognized  application  of  morphine  hypodermically. 

The  circular  method  has  been  the  one  almost  universally  adopted  in  amputations.  One  amputation  through  the  knee  has 
been  performed  with  tolerably  satisfactory  result,  in  which  the  cartilages  were  not  removed.  In  the  majority  of  amputations  at 
the  lower  third,  the  operation  was  performed  just  above  the  condyles,  without  opening  the  medullary  canal.  When  practicable, 
I  give  my  decided  preference  for  amputation  through  the  knee-joint.  A  series  of  cases  have  been  reported  to  me  in  another 
department  in  which  the  cartilage  was  left,  the  flaps  being  brought  smoothly  over  the  ends  of  the  polished  condyles.  These 
cases  are  reported  as  having  done  exceedingly  well.  The  case  in  my  own  department,  just  referred  to,  was  doing  well  when  last 
heard  from,  with  the  exception  that  abscesses  had  formed  on  the  stump,  undoubtedly  depending  on  the  ulceration  of  cartilage. 
I  would  advise  the  removal  of  the  condyles  in  all  cases  in  which  the  surroundings  were  favorable.  In  operations  which  become 
necessary  under  circumstances  indicating  danger  from  erysipelas  or  gangrene,  I  would  allow  the  cartilage  to  remain  with  the 
view  of  presenting  the  least  possible  surface  capable  of  infection.  I  have  studiously  discontinued  the  use  of  sutures  and  adhesive 


REPORT    OF    MEDICAL    DIRECTOR    HEWIT.  313 

straps  in  flaps  of  amputation,  and  recommended  the  wet  muslin  strap  dressing  as  advised  by  McLeod.     It  is,  I  am  satisfied,  a 
great  gain  over  the  old  method,  and  is  a  saving  of  time  and  labor,  besides  being  in  the  interest  of  cleanliness  and  simplicity. 

Tetanus  has  not  occurred.  Its  absence  is  owing  to  the  speedy  removal  of  the  wounded  from  the  field,  to  the  sufficient 
shelter  provided,  to  the  mildness  of  the  temperature,  the  purity  of  the  atmosphere,  and  the  prompt  and  speedy  attention  which 
all  wounds  received  at  the  hands  of  the  surgeons.  The  care  which  was  taken  in  securing  the  blood  vessels  at  the  time  of 
operation  prevented  secondary  haemorrhage  from  stumps,  no  cases  of  which  are  reported.  There  was,  however,  in  many  cases 
a  great  amount  of  scorbutic  oozing,  necessitating  the  application  of  numerous  ligatures  and  the  free  use  of  styptics.'* 

Of  secondary  haemorrhage  from  wounds  of  vessels,  two  cases  are  given  in  full  in  the  subjoined  reports.  *  *  The 
principle  of  practice  enjoined  has  been  ligature  above  and  below,  in  cases  of  recent  wound,  and  ligature  in  continuity  on  the 
cardiac  side;  when  the  probability  of  securing  the  ends  of  the  artery  was  considered  doubtful,  surgeons  were  advised  in  such 
cases  not  to  hesitate  to  use  the  actual  cautery.  I  arrested  by  this  means,  after  the  battle  of  Chattanooga,  secondary  hsemorrhage 
from  the  brachial  artery  which  had  sloughed,  and  which  could  not  be  secured  without  a  ruinous  dissection  of  the  arm.  The 
haemorrhage  was  arrested  and  the  limb  saved.  A  coincident  gangrene  was  likewise  extinguished.  Two  cases  only  have  required 
ligature  of  main  trunks,  and  in  these  cases  the  ligature  was  applied  above  and  below  the  opening. 

Several  examples  have  occurred  of  concussion  from  the  explosion  of  shells  near  the  head.  The  phenomena  of  this  class 
of  injuries  are  of  a  mixed  character,  partaking  both  of  concussion  and  shock.  The  symptoms  are  those  of  acute  nervous  and 
cerebral  irritation.  The  most  remarkable  case  which  I  have  seen  was  that  of  an  officer  who  was  under  charge  of  Surgeon  A. 
W.  Heise,  100th  Illinois  Volunteers,  at  Chattanooga,  and  has  probably  been  reported  by  him  in  full.  The  symptoms  in  this 
class  of  accidents  arc  those  of  irritation  with  depression,  and  are  very  persistent.  They  have  a  tendency  to  terminate  in 
meningitis,  mania,  and  death,  or  softening  and  fatuity,  with  an  equally  certain  but  more  protracted  fatal  result. 

Hospital  gangrene  did  not  appear.  A  few  cases  of  traumatic  gangrene  occurred,  which  showed  no  tendency  to  spread. 
They  were  readily  controlled  by  creosote,  charcoal  poultices,  and  internal  stimulants.  I  take  this  occasion  to  record  my 
unqualified  preference  for  bromine  in  the  treatment  of  gangrene,  and  to  express  the  opinion  that  its  local  and  internal  use  will 
furnish  the  remedy  for  a  large  class  of  septic  and  contagious  diseases  hitherto  as  intractable  as  was  hospital  gangrene  to  the 
hands  of  the  older  military  surgeons.  I  have  placed  on  file  in  a  former  report  a  case  of  pyaemia  cured  by  the  administration 
of  Bilbron's  antidote. 

The  diseases  of  the  campaign  have  been  principally  diarrhoea  and  a  mild  form  of  intermittent.  Typhoid  fever  (typho- 
inalarial  fever)  and  typhoid  cachexia,  depending  on  vital  exhaustion  from  over  fatigue,  the  exhausting  discharges,  and  perhaps 
poisonous  secretions  of  diarrhoea,  either  independently  or  combined,  have  been  common.  Contagious  or  pestilential  diseases 
have  not  occurred.  The  fevers  have  not  presented  a  pestilential  type,  and  the  hospitals  have  been  free  from  typhous  poison. 

Scorbutus  has  existed  constantly  as  a  modifying  influence  of  apparent  health,  with  a  tendency  to  ultimate  disease. 
Scorbutus  has  not  manifested  severe  symptoms  at  any  time.  The  rapid  healing  of  wounds  with  frequent  constitutional  decline 
depending  on  this  cause  has  been  observed.  It  existed  rather  as  a  vague  cachexia  than  a  definite  disease.  It  was  antagonized 
in  the  early  part  of  the  summer  by  an  abundance  of  blackberries,  and  later,  by  green  corn,  sorghum,  cane  juice,  and  vegetables. 
The  report  of  the  acting  medical  inspector  gives  all  the  information  on  the  subject  which  it  was  possible  to  obtain.  The  statistics 
of  the  affection  are  given  in  the  accompanying  report  of  the  acting  medical  inspector.  The  treatment  recommended  in  diarrhoea 
when  acute,  was  mild  alkaline  purgatives,  followed  by  astringents  and  tonics,  and  a  carefully  regulated  diet,  as  far  as  circumstances 
would  permit,  but  without  starvation  or  too  great  restriction.  The  combination  of  Fowler's  solution  with  tincture  of  opium  has 
been  found  an  excellent  remedy  for  chronic  diarrhoea,  and  the  practice  of  painting  the  abdomen  and  spine  with  iodine  is  frequently 
of  very  great  advantage.  I  take  this  occasion  to  record  the  observation  which  has  been  confirmed  by  the  experience  of  more 
than  one  competent  witness,  that  arsenic  in  combination  with  opium  increases  the  therapeutical  powers  of  the  latter  in  certain 
directions,  and  diminishes  its  secondary  unpleasant  effects.  The  narcotic  influence  appears  to  be  diminished,  while  its  stimulating, 
regulating,  and  astringent  properties  are  decidedly  enhanced.  The  practice  of  applying  iodine  to  the  spine  is  of  use'  also,  in 
fevers  of  congestive  type,  and  by  relieving  the  passive  congestion  of  the  spinal  cord,  frequently  enables  the  organ  to  generate 
and  transmit  power  sufficient  to  remove  local  obstructions  and  restore  integrity  of  vital  function. 

The  subject  of  prevention  of  disease,  and  saving  the  soldier  from  unnecessary  hardship,  exposure,  and  suffering,  constantly 
asserts  its  importance,  both  from  the  point  of  view  of  national  economy  and  humanity.  Justice,  humanity,  and  the  public  good 
coincide  in  demanding  that  all  causes  shall  be  removed  which  unnecessarily  exhaust  and  destroy  the  soldier.  At  least  four-fifths 
of  the  army  diseases  are  preventable,  and  the  ranks  may  be  made  a  training  school  of  athletes,  instead  of  a  mill  to  grind  strong 
men  to  powder.  It  is  impossible  to  recite  all  the  causes  of  premature  destruction,  or  in  one  word  to  point  out  the  remedy.  I 
earnestly  recommend  a  commission,  which  shall  be  neither  a  meddlesome  usurper  of  the  prerogatives  of  the  medical  department, 
or  a  mere  dispenser  of  the  public  munificence,  but  which,  composed  of  the  highest  talent  and  the  largest  experience  in  and  out 
of  the  service,  shall  remodel  the  legislation  on  the  subject  of  the  soldier  till  a  system  is  adopted  as  perfect  as  system  can  be  made. 
It  will  then  remain  to  educate  and  train  medical  officers  to  their  duties,  and  cultivate  a  noble  emulation,  by  means  of  which  the 
working  of  the  system  may  accomplish  the  good  for  which  it  is  designed.  This  question  becomes  all  the  more  important  in 
view  of  the  large  standing  armies  which  it  will  be  necessary  to  raise  and  maintain  for  the  future.  A  chair  of  hygiene  should  be 
established  at  West  Point,  and  the  surgeon  of  the  post  should  be  the  professor  of  the  science  of  the  physical  well-being  of  the 
soldier.  The  obligation  on  the  part  of  the  officer  to  take  care  of  the  soldier  is  an  essential  principle  of  military  ethics,  but  one 
which  at  the  present  time  is  almost  universally  disregarded. 

A  provisional  ambulance  system  was  adopted  previously  to  the  publication  of  the  ambulance  order.  The  provisions  of  the 
order  have  been  enforced,  and  a  complete  ambulance  organization  is  in  full  force  and  operation.  The  chief  of  ambulance,  Captain 
S.  "\Vindeckor,  of  the  103d  Ohio  Volunteers,  is  an  excellent  and  faithful  officer,  and  the  duty  of  transporting  the  sick  and 
wounded,  and  of  removing  them  from  the  field  to  hospital,  has  been  performed  in  the  most  systematic  and  praiseworthy  manner. 


The  special  cases  arc  cited  iu  the  Surgical  History. — Ku's. 

40 


314  APPENDED    DOCUMENTS CAMPAIGN    IN  'GEORGIA. 

I  have  recently,  since  the  close  of  the  campaign,  made  arrangements  for  repairing  and  refitting  all  the  ambulances,  for  stuffing 
the  cushions  and  sides  two  or  three  times  their  original  thickness,  and  for  supplying  them  with  hold-fast  straps.  I  have 
also  obtained  an  order  from  the  commanding  general  for  the  purchase  of  a  brilliant  kerosene  lantern  for  each  ambulance,  and 
laro-e  sized  white  and  red  conductors'  lanterns,  for  sergeants  to  carry  at  night  in  conducting  trains,  and  for  the  signal  lights  of 
field  hospitals.  The  want  of  these  articles  have  been  severely  felt  in  the  campaign. 

I  cannot  speak  too  highly  in  praise  of  the  system  of  hospitals  by  division.  In  large  armies  the  division  is  the  military 
unit.  The  regimental  medical  officers  of  the  division  should,  when  practicable,  do  duty  in  the  division  hospitals  by  roster,  thereby 
improving  their  knowledge  and  cultivating  an  honorable  emulation.  I  would  recommend  that  the  division  hospital  be  formally 
established  by  orders,  and  that  a  complete  system  of  registration  and  report  be  required  from  them.  By  this  method  a  vast 
amount  of  statistical  information  can  be  saved  which  is  now  irretrievably  lost,  or  but  partially  and  imperfectly  collected.  I 
recommend  one  medicine  wagon  to  a  brigade,  for  the  supply  of  the  medicine  chest  and  panniers  of  the  regiments;  a  complete 
portable  shop  for  the  division  hospital,  with  additional  articles  in  boxes  carried  in  baggage  wagons,  and  a  small  supply  train  for 
the  corps  or  army,  adapted  to  the  nature  of  the  service  and  the  distance  from  the  depot.  The  medical  purveyor  of  the  corps  or 
army  should  be  compensated  for  his  risk  in  receipting  for  public  property,  and  should  be  selected  for  his  known  qualities  as  a 
trustworthy  business  man  and  skillful  surgeon,  in  order  that  an  additional  operator  may  be  secured.  The  division  hospital, 
with  an  allowance  of  one  hospital  tent  for  each  regiment,  will  be  ample  for  all  circumstances  excepting  those  of  very  great 
emergency.  It  should  receive  all  sick  from  the  regiments  excepting  those  who  are  able  to  move  with  the  troops.  Economy 
of  labor,  the  lightness  and  efficiency  of  the  regiment  are  thus  greatly  promoted.  The  sick  are  collected  at  one  place  and  their 
final  disposition  is  rendered  easy  and  certain.  This  system  will  render  the  presence  of  one  medical  officer  only  necessary  at  a 
time  with  a  regiment. 

In  bearing  my  testimony  to  the  zeal  and  fidelity  of  the  majority  of  medical  officers,  I  am  compelled  to  record  my  opinion 
that  great  injustice  is  done  them,  to  the  profession,  and  to  the  general  interests  of  the  service,  from  the  absence  of  progressive 
promotion  and  increase  of  pay.  The  increase  of  responsibility  in  administrative  positions  brings  with  it  no  corresponding 
increase  of  rank,  with  the  exception  of  the  Surgeon  General  and  Assistant  Surgeon  General,  while  it  calls  for  the  exercise  of  the 
functions  of  high  rank  and  a  corresponding  expenditure.  The  world  is  governed  by  the  standard  of  society,  and  it  is  useless  to 
hope  for  the  services  of  prominent,  accomplished,  and  trustworthy  men,  when  the  only  means  of  receiving  such  qualities  are 
ignored.  The  military  mind  is  influenced  in  regard  to  the  profession  of  medicine  applied  to  armies  by  the  traditions  of  the 
middle  ages.  There  is  also  reason  to  suspect  that  the  despotic  element  \vhich  exists,  in  connection  with  supreme  command, 
although  by  no  means  necessary  to  its  highest  and  most  complete  exercise,  takes  offence  at  the  independence  of  judgment,  which, 
in  his  own  sphere,  is  one  of  the  attributes  of  the  medical  officer.  The  military  mind  fails  to  apprehend  the  change  which  has 
been  wrought  in  the  profession  of  medicine,  or  to  understand  how  essential  its  honor  and  influence  are  to  the  well-being  of 
troops,  the  efficiency  of  the  service,  discipline,  the  principles  of  humanity,,  and  real  heroism.  It  would  hardly  seem  to  require 
the  assertion  that  the  medical  department  should  be  on  a  level,  so  far  as  rank,  pay,  and  military  respect  are  concerned,  with  the 
next  honorable  staff  departments,  and  that  medical  officers,  individually,  should  be  required  to  correspond  in  attainments,  character, 
and  soldier-like  qualities  with  that  standard.  If  the  purely  military  portion  of  the  service  chooses  the  standard  of  the  middle 
ages,  when  barbers,  farriers,  and  sow-gelders,  as  a  rule,  constituted  the  medical  staff  of  armies,  they  ought  not  to  complain 
when  they  have  the  misfortune  to  fall  into  the  hands  of  medical  officers  of  a  quality  and  character  little  superior  to  the  leeches 
of  the  days  of  Pepin,  Clovis,  and  Charlemagne.  There  is  more  than  enough  of  the  rank  of  major.  The  aggregate  rank  and 
pay  distributed  through  the  grades,  from  major  general  to  lieutenant,  according  to  service,  functions,  and  qualifications,  is  enough 
to  remedy  the  existing  evil  without  additional  expense.  The  difference  in  the  expense  of  employing  and  paying  highly  qualified 
men  would  be  saved  annually  by  economy  and  precision  in  the  administration  of  costly  drugs.  The  idea  of  expense,  however, 
ought  not  to  receive,  a  moment's  consideration.  The  government  can  afford  to  do  simple  justice  to  an  able  and  honorable  body 
of  military  surgeons,  and  thereby  elevate  the  standard  of  medicine  throughout  the  country,  advance  the  interests  of  humanity 
and  civilization,  arid  woo  many  young  men  from  objectless  and  worthless  lives  into  paths  of  honor  and  ambition.  The  standard 
of  the  medical  profession,  as  was  said  before,  is  a  gauge  of  the  civilization  of  a  country,  and  a  measure  of  the  real  advancement 
of  an  age  or  people.  I  beg  leave  to  suggest  that  it  might  be  possible  to  form  a  corps  of  surgeons  of  reserve  from  approved 
medical  officers,  whose  terms  of  service  have  expired,  and  from  surgeons  of  volunteers  who  are  mustered  out  at  the  end  of  the 
war,  or  who  may  honorably  resign.  That  this  corps  should  have  certain  privileges  granted  by  legislation  and  be  subject  to  call 
on  emergency,  returning  with  the  same  rank  they  retired  with,  but  not  to  the  prejudice  of  surgeons  remaining  permanently  in 
service.  This  corps  should  be  considered  in  the  light  of  honorary  membership  of  the  regular  staff,  and  be  selected  with  strict 
reference  to  service  and  merit.  The  plan  is  not  offered  as  mature,  but  the  idea  is  suggested  for  elaboration,  if  entertained.  I 
recommend  the  institution  of  prizes  for  the  best  collection  of  reported  cases  in  military  surgery  and  medicine.  I  do  not  believe 
any  other  method  will  call  forth  the  facts  and  information  which  are  now  lost.  Honor  and  reputation  are  the  stimuli  to  intellectual 
labor,  as  they  are  to  military  daring.  They  alone  can  overcome  the  inertia  of  fatigue,  and  the  indifference  consequent  upon 
constant  observation  of  the  scenes  of  military  practice  and  the  exhaustion  of  uninterrupted  labor.  A  series  of  thoroughly 
reported  cases  is  all  that  is  now  wanting  to  enable  us  to  present  the  wrorld  with  the  most  perfect  system  of  military  surgery  that 
has  appeared,  and  make  our  observation  and  experience  the  point  of  departure  and  the  standard  of  comparison  for  the  future. 
I  earnestly  recommend  that  an  effort  be  made  to  bring  the  staff  and  the  profession  in  closer  harmony.  The  profession  is  the 
mother  of  the  staff  and  its  professional  judge.  I  would  recommend  a  standing  committee  to  be  appointed  by  the  national  medical 
association  and  the  medical  department  of  the  army,  to  take  cognizance  of  the  mutual  relations  of  the  staff,  and  the  profession  to 
urge  memorials  upon  Congress,  and  to  draft  and  present  resolutions  in  the  association.  In  this  connection  I  would  urge  upon 
academies  of  medicine  and  State  societies,  to  take  particular  pains  to  find  out  the  merits  of  the  medical  officers  coming  from  their 
respective  districts,  and  adopt  suitable  measures  to  express  their  approbation  for  those  who  have  done  honor  to  themselves  and 
the  profession  by  extraordinary  ability  and  distinguished  service.  A  very  admirable  author  remarks  on  the  efficiency  of  praise: 
'  No  one  can  deny  that  animals,  and  men  in  particular,  are  keenly  susceptible  to  praise.  Nor  is  it  a  less  common-place  truism 


REPORT    OF    MEDICAL    DIRECTOR    HE  WIT.  315 

that  the  desire  of  approbation  is  at  the  root  of  those  actions  to  which  the  interest  of  the  societies  they  are  held  to  benefit  or  adorn, 
has  conceded  the  character  of  virtue,  and  sought  to  stimulate  by  the  promise  of  renown.  We  are  much  more  inclined  to  resort 
to  its  contrary,  and  niggards  of  praise  are  prodigals  of  censure.'  These  remarks  are  particularly  applicable  to  the  relations  of 
the  staff,  with  the  government  and  the  professional  and  the  non-professional  public.  Eebuke  and  censure  have  been  unsparingly 
bestowed.  Praise,  honor  and  renown  withheld,  or  sparingly  doled  with  an  unwilling  hand,  and  an  ungracious  expression.  To 
return  to  the  point  to  which  we  have  briefly  alluded,  the  most  important  of  all  reforms,  however,  is  in  the  state  and  condition  of 
the  common  soldier.  It  is  of  absolute  importance  that  line  and  company  officers  be  taught  to  take  an  interest  in  the  physical 
well-being  of  their  men;  that  the  load  that  the  soldier  is  required  to  carry  be  lightened;  that  the  length  and  rapidity  of  marches 
be  diminished;  that  regularity  and  quality  of  food  be  secured,  and  sufficient  time  for  rest  and  recuperation  afforded.  The 
average  capability  and  endurance  are  gauged  by  the  strongest  man  in  the  command,  and  the  rapidity  with  which  the  horse  of 
the  commanding  officer  can  walk,  made  the  standard  for  the  marching  of  the  soldier,  overloaded  with  knapsack,  musket,  ammu 
nition  and  rations,  and  frequently  intrenching  tools  superadded.  A  system  which  will  secure  to  the  soldier  the  highest  physical 
development  of  which  he  is  capable,  will  render  forced  marches  easy  of  accomplishment  when  they  become  necessary.  Troops 
in  a  high  state  of  health  and  strength  can  endure  occasional  drafts  upon  their  endurance  without  detriment.  The  advantages  in 
a  military  point  of  view  are  obvious.  I  offer  it  as  my  deliberate  opinion,  based  on  three  years'  of  the  most  ample  experience, 
that  the  rapidity  and  length  of  marches,  and  the  load  which  the  soldier  carries,  have  more  to  do  with  depleting  our  armies  than 
all  other  causes  put  together.  The  field,  instead  of  being  the  school  for  the  highest  form  of  physical  training  and  muscular 
development,  is  a  treadmill  in  which  the  weak  and  delicate  are  infallibly  destroyed,  and  the  most  robust  gradually  reduced  to 
their  capital  stock  of  health  and  strength,  and  finally  compelled  to  succumb.  The  vast  amount  of  functional  and  organic  disease 
of  the  heart  and  kidneys,  is  ample  proof,  if  proof  were  wanting.  In  a  marching  column  taken  anywhere,  and  at  anytime,  under 
the  present  system,  over  thirty  per  centum  will  be  found  suffering  from  abnormal  circulation  of  the  blood.  This  method  exhausts 
the  organic  nervous  system,  and  deprives  vital  organs  of  the  necessary  supply  of  power.  Derangement  and  organic  changes 
necessarily  follow.  I  desire  to  add  my  testimony  to  the  vast  amount  already  written  and  spoken  on  the  subject  of  cooking  by 
companies.  Company  cooking  ought  to  be  held  to  be  of  the  first  consideration.  The  practice  of  letting  the  soldier  take  his  raw 
food  and  cook  it  as  he  best  can,  is  fruitful  in  waste  both  of  substance  and  life.  The  savings  of  a  well  conducted  company  kitchen 
will  more  than  pay  for  the  hire  of  good  cooks,  and  it  is  only  necessary  to  make  the  system  effective,  that  the  company  officers 
should  devote  themselves  to  the  subject  with  zeal  and  interest.  The  result  in  saving  the  numerical  and  physical  strength  of  the 
company  and  regiment  will  tell  in  military  success,  and  the  reputation  of  the  officers,  in  addition  to  the  advantages  of  a  superior 
state  of  discipline  and  improved  condition  of  the  soldiers  as  men,  and  especially  as  citizens  of  a  republic.  The  want  of  intelli 
gent  care  and  conservation  of  the  private  soldier  has  more  to  do  with  the  prolongation  of  the  war  and  the  mishaps  which  have 
occurred,  than  any  one  or  any  series  of  causes  combined.  If  our  men  had  been  kept  at  this  normal  standard  of  vigor  they 
would  have  gone  over  every  obstacle  placed  before  them  precisely  as  they  went  over  Missionary  Ridge  on  the  ever  memorable 
25th  day  of  November,  1863.  The  demand  which  the  war  has  created  for  educated  and  skillful  surgeons  renders  the  present  an 
exceedingly  opportune  moment  for  securing  just  State  legislation  on  the  question  of  dissection.  All  students  should  be  thoroughly 
instructed  in  operations,  and  required  to  practice  them  on  the  dead  body  until  they  become  perfectly  familiar  with  customary 
operative  methods  and  acquire  elegance  and  dexterity  in  handling  the  implements  of  this  trade.  Subjects  for  this  purpose  should 
be  furnished  abundantly  and  gratuitously. 

The  subject  of  reciprocity  between  the  medical  departments  of  belligerents,  and  the  mutual  protection  of  hospitals  and 
their  occupants,  is  one  which  the  profession  should  urge  upon  the  government,  never  relaxing  its  efforts  till  the  principle  is 
fully  recognized  and  inaugurated.  The  hospital  should  under  all  circumstances  be  held  sacred.  Surgeons  and  attendants 
engaged  in  their  legitimate  duties  should  not  be  subject  to  capture,  and  hospital  stores  and  medicines  should  have  free  transit  and 
enjoy  freedom  from  capture  or  confiscation.  The  question  is  of  the  utmost  importance  in  its  most  obvious  view,  in  saving  life 
and  mitigating  suffering  on  the  field  of  battle,  and  taking  away  the  necessity  for  sudden  and  most  distressing  removals  of  wounded 
men  according  to  the  exigencies  of  conflict.  Its  remote  influences  in  mitigating  the  asperities  of  war,  promoting  true  civilization, 
and  advancing  the  interests  of  science,  are  still  more  important  and  profound.  I  have  called  attention  to  this  subject  on  several 
occasions,  and  have  always  acted  upon  the  principle  as  far  as  practicable,  in  my  official  intercourse  with  Confederate  surgeons. 
I  believe  that  a  system,  with  proper  military  restrictions,  may  be  devised  and  adopted  that  shall  fully  meet  the  demands  of 
humanity  and  science.  It  can  be  effected  by  the  combined  action  of  the  profession  and  the  medical  department  of  the  army.  It 
would  do  more  than  any  measure,  either  military  or  political,  to  realize  the  desire  of  every  patriot,  the  restoration  of  an  harmonious 
Union.  The  general  performance  of  duty  on  the  part  of  the  members  of  the  medical  staff'  has  been  excellent.  I  take  pleasure 
in  naming  certain  officers  who  have  exhibited  extraordinary  qualities  of  industry,  intelligence,  and  skill.  Surgeons  Charles  Mc 
Millan,  Charles  S.  Frink,  S.  K.  Crawford,  and  Thomas  M.  Kearney,  as  members  of  the  operating  board,  performed  excellent  and 
faithful  service.  Surgeon  McMillan's  services  were  recapitulated  in  a  special  published  order.  Surgeons  Frink  and  Lawton,  U.  S. 
V.,  have  shown  industry,  vigilance  and  ability  as  surgeons-in-chief  of  divisions,  and  are  rapidly  acquiring  the  knowledge  and 
experience  necessary  to  fill  successfully  the  highest  position  in  the  department.  Surgeon  Edward  Sbippen  has  rendered  valuable 
service  as  medical  director,  first  of  the  post  of  Knoxville  and  of  the  Twenty-third  Corps  in  the  field.  He  is  now  the  acting 
medical  director  of  the  army  of  the  -Ohio.  Surgeons  S.  K.  Crawford  and  J.  S.  Sparks,  in  charge  of  the  2d  and  3d  division 
hospitals,  have  manifested  the  utmost  devotion,  courage,  patience,  and  intelligence  in  the  performance  of  their  arduous  duties 
and  a  remarkable  faculty  of  adapting  means  to  ends  and  creating  comfort  and  well-being  out  of  apparently  hopeless  circum 
stances  on  the  plain  or  in  the  forest.  Surgeons  J.  II.  Kodgers,  104th  Ohio  Volunteers,  D.  S.  Heath,  23d  Michigan  Volunteers, 
C.  1).  Moore,  13th  Kentucky  Vohmteers,  J.  F.  Woods,  9Dth  Ohio  Volunteers,  and  William  H.  Mullins,  12th  Kentucky  Vol 
unteers,  distinguished  themselves  as  operators;  surgeons  of  sound  and  trustworthy  judgment  and  practice.  The  executive 
duties  were  also  ably  and  promptly  perfonned.  Surgeon  Josiah  Curtis  conducted  the  business  of  the  office  of  the  medical 
director  at  Knoxville,  in  a  correct  and  methodical  manner.  The  general  hospital  of  the  army  of  the  Ohio  was  managed  with 
ability,  by  Surgeon  Meacham,  U.  S.  V. ;  and  the  Asylum  General  Hospital,  at  Knoxville,  was  brought  to  a  very  high  state  of 


316  APPENDED    DOCUMENTS CAMPAIGN    IN    GEORGIA. 

perfection  bv  the  intelligence  of  Assistant  Surgeon  W.  W.  Wythea,  U.  S.  V.  Assistant  Surgeon  S.  H.  Hornei1,  U.  S.  A.,  has 
performed  the  duties  of  purveyor  of  the  department,  faithfully  and  correctly.  Surgeon  H.  L.  W.  Burritt,  U.  S.  V.,  performed 
valuable  and  arduous  services,  as  special  purveyor  in  the  field,  during  a  portion  of  the  campaign  and  as  acting  medical  inspector 
of  the  Twenty-third  Corps.  I  am  particularly  indebted  to  Surgeon  A.  M.  Wilder,  U.  S.  V.,  acting  medical  inspector  of  the 
department,  for  his  industry,  intelligence,  zeal,  and  conscientious  peiibrmance  of  duty.  The  successful  conduct  of  the  medical 
department  during  the  campaign,  is  due  more  to  his  labors  than  to  those  of  any  other  officer,  and  the  reports  and  results  of  cases 
are  gathered  by  his  industry  and  devotion  to  duty.  He  has  also  proved  himself  to  be  an  able  operator  and  a  surgeon  of  excellent 
judgment,  which  is  constantly  improving  with  experience.  I  recommend  him  to  the  favorable  notice  of  the  Surgeon  General.  I 
beg  leave  to  make  honorable  mention  of  Hospital  Steward  M.  C.  Wilcox  and  Private  A.  J.  Goodhue,  chief  clerk  in  the  office  of 
the  medical  director,  for  faithful  and  intelligent  discharge  of  duty,  and  deep  personal  interest  in  the  good  of  the  service,  and  the 
correct  transaction  of  the  business  of  the  office.  The  hospitals  of  the  district  of  Kentucky  have  not  been  under  my  personal 
supervision,  and  it  would  not,  therefore,  be  proper  to  make  any  mention  of  them  in  this  report.  Tin;  character  of  the  principal 
ones,  Jefferson,  and  Holt,  are  fully  established,  and  reflect  honor,  especially  the  former,  upon  the  medical  department  of  the 
West." 


CCLX.     Extracts  from  Reports  on  the  Casualties  of  the  Army  of  the  Ohio  from  May  8  to 
August  24,  1864.     By  Surgeon  II.  S.  HEWIT,  U.  S.  Volunteers,  Medical  Director. 

"The  troops  are  in  excellent  condition  and  there  is  a  very  small  proportion  of  the  ordinary  disabilities 
independent  of  wounds  received  in  action.  The  fatigue  of  marching,  and  of  slow  and  laborious  advances  in  line  of  battle  over 
rough  country  and  through  forests,  is  borne  remarkably  well.  The  weather  is  becoming  hot,  however,  and  the  proportion  of 
sickness  will  consequently  be  largely  increased.  The  Twenty-third  Army  Corps  and  the  cavalry,  commanded  by  General  Stone- 
man,  constitute  the  army  of  the  Ohio  now  in  the  field.  *  *  The  wounded  are  sent  to  Chattanooga,  by  order  of  General 
Sherman,  and  consequently  their  cases  cannot  be  followed  up  under  my  direction.  The  work  thus  far  has  been  well  performed. 
Particular  praise  is  due  to  Surgeon  E.  Shippen,  U.  S.  V.,  medical  director  of  the  Twenty-third  Corps,  Surgeon  C.  W.  McMillan, 
1st  Tennessee  Volunteers,  Surgeon  C.  S.  Frink,  U.  S.  V.,  and  Acting  Assistant  Surgeon  L.  Darling,  jr.  The  surgical  operations 
have  all  been  primary.  Morphine  has  been  used  with  success  in  alleviating  pain  and  preventing  constitutional  irritation,  by 
inserting  it  in  all  painful  wounds  in  quantities  of  from  one  to  three  grains.  Food  and  stimulants  have  been  supplied  in 
abundance.  The  military  operations  of  this  campaign,  since  the  battle  of  Resaca,  have  been  a  series  of  marches  by  the  flank 
and  advances  in  line  of  battle.  Whenever  the  line  is  established  upon  its  destined  position,  the  front  is  immediately  fortified  by 
breastworks  of  earth  and  logs  with  a  trench  and  ditch.  The  person  of  the  soldier  is  thus  protected,  except  when  in  the  act  of 
firing,  and  the  larger  proportion  of  casualties  occur  on  the  skirmish  line,  and  in  assault  or  development.  The  loss  in  killed  and 
wounded  has  been  very  small  when  the  magnitude  of  the  movements  is  considered.  *  *  The  performance  of  duty  on  the 
part  of  the  medical  staff  under  the  direction  of  Surgeon  E.  Shippen,  U.  S.  V.,  has  been  excellent.  Surgical  operations  in  all 
cases  which  demanded  or  permitted  immediate  interference  have  been  primary.  A  competent  surgical  corps  detached  from 
administrative  anil  regimental  duty  accompanies  the  army  and  renders  service  in  the  hospitals  established  under  the  direction  of 
the  division  surgeons.  The  wounded  are  promptly  brought  from  the  field  and  fine  hospitals  prepared  for  their  reception.  The 
wounded  and  seriously  sick  are  sent,  by  rail  by  way  of  Allatoona,  to  the  rear  as  rapidly  as  possible.  A  large  number  have  been 
forwarded  to  Knoxville.  '  The  character  of  the  disease  is  adynamic.  The  scorbutic  taint  is  manifest,  and  there  is  a 

tendency  to  congestion  of  the  vital  organs  and  exhaustion  of  organic  nervous  force.     The  influence  of  malaria  is  obvious,  but 
not  as  yet  strongly  pronounced.      The  ambulance  system  is  established  and  in  successful  working  operation.     *  Medical 

duty  has  been  well  and  faithfully  performed,  and  the  medical  directors  of  divisions  and  surgeons  in  charge  of  division  hospitals 
have  manifested  extraordinary  zeal  in  the  performance  of  their  duty,  and  a  constantly  increasing  efficiency  and  capacity,  based  on 
experience  and  practice  acquired  under  every  variety  of  military  contingency,  excepting  a  great  disaster.  The  hospital  depart 
ment  in  the  field  is  conducted  by  divisions,  each  division  having  its  field  hospital  and  regular  staff  under  the  supervision  of 
the  surgeon  of  the  division.  Primary  depots  on  the  field  of  battle  are  established  for  brigades  and  regiments,  according  to 
circumstances  and  convenience,  from  whence  the  wounded  are  rapidly  conveyed  in  ambulances  to  the  division  hospitals.  The- 
division  hospitals  receive  all  the  sick  from  the  regiments  who  are  unable  to  remain  in  quarters.  Pine  boughs,  carefully  placed 
and  frequently  changed,  are  used  for  bedding,  and  make  an  excellent  and  salubrious  substitute  for  mattresses.  Scorbutus  exists 
to  a  considerable  extent,  fully  one-third  of  the  men  presenting  its  ordinary  external  signs.  This  condition  has  complicated  some 
of  the  cases  of  surgery.  Scorbutic  oozing  has  occasionally  occurred  after  amputations,  but  it  has  always  been  possible  to  arrest 
or  control  it.  Rain  fell  almost  daily  from  June  2d  to  June  22d,  and  its  cessation  was  followed  by  great  heat.  There  was  no 
marked  increase  of  the  sick  report  in  consequence.  There  has  been  an  abundance  of  excellent  water  easily  accessible  during  the 
whole  campaign.  The  troops  of  this  army  have  been  spared  long  and  severe  marching.  The  positions  to  be  occupied  are 
selected  beforehand  with  the  precision  of  consummate  military  knowledge  and  tactical  skill,  and  they  are  spared  the  tedious  delays, 
fatiguing  countermarching,  and  unnecessary  labor  in  constructing  defences  at  points  immediately  to  be  abandoned.  This  feature 
has  contributed  in  a  wonderful  degree  to  preserve  the  spirits  and  temper  of  the  army  and  to  prevent  expenditure  of  its  vital  force, 
health,  and  strength.  Every  effort  has  been  made  to  secure  a  supply  of  vegetables,  vinegar,  and  soap,  and  to  encourage  attention 
to  the  laws  of  hygiene.  Until,  however,  the  regimental  and  company  officers  become  impressed  with  a  proper  sense  of  their  duty 
towards  their  men,  and  the  importance  of  these  laws,  the  labors  of  surgeons  and  medical  directors  will,  to  a  great  degree,  be 
thrown  away.  A  thorough  personal  inspection  of  the  troops,  man  by  man,  has  been  made  by  the  acting  medical  inspector. 
A  general  flying  field  hospital  for  the  army  of  the  Ohio  has  been  established  at  Marietta,  under  the  charge  of  Surgeon  F. 
Meacham,  U.  S.  V.,  with  Assistant  Surgeon  W.  T.  Okie,  U.  S.  A.,  as  executive  officer.  The  wounded,  as  far  as  possible,  will  be 
kept  in  this  hospital  till  returned  to  duty  or  honorably  discharged.  '  *  The  cavalry  command  is  small  and  has  had  very  few 


REPORT    OF    SURGEON    J.    W.    LAWTON.  317 

sick  or  casualties.  All  its  sick  and  wounded  are  immediately  conveyed  to  the  hospitals  of  the  Twenty-third  Corps,  or  to  the 
general  field  hospital  of  the  army  of  the  Ohio.  The  accommodations  in  the  division  field  hospitals  are  good,  and  as  ample 

as  transportation  will  possibly  permit.  Supplies  are  abundant  and  of  good  quality.  '  *  A  commodious  and  comfortable  field 
hospital  is  now  in  successful  operation  at  Marietta,  to  which  the  sick  and  wounded  are  speedily  transferred  from  the  front.  *  * 
Morphine  is  used  extensively  as  a  local  application  to  painful  wounds.  The  results  obtained  are  highly  satisfactory  in  relieving 
pain,  subduing  local  irritation,  and  quieting  the  nervous  system.  The  method  of  application  is  to  insert  on  the  point  of  the 
finger,  or  by  sprinkling,  from  one  to  three  grains  directly  into  the  wound.  Its  effects  are  speedily  obvious  and  remarkably 
beneficial  in  wounds  of  the  chest  attended  by  painful  respiration." 


CCLXI.  Extracts  from  a  Report  of  the  Operations  of  the,  Medical  Department  of  t/te 
/Second  Division  of  the  Twenty-third  Corps  during  the  Atlanta  Campaign.  By  Surgeon 
J.  "W.  LAWTON,  U.  S.  Volunteers. 

"The  2d  division,  Twenty-third  Corps,  numbering  three  thousand  nine  hundred  and  seventy-one  present,  moved 
from  Mossy  Creek,  Tennessee,  April  26,  1864,  to  join  in  the  active  campaign  opening  in  Georgia.  The  medical  department  was 
deficient  in  medical  and  hospital  supplies,  in  number  of  medical  officers,  and  in  strictness  of  discipline;  and  having  been  recently 
assigned  as  surgeon-in-chief,  I  had  not  been  able  to  perfect  its  organization,  and  moving  with  but  one  day's  notice,  time  was  not 
had  to  obtain  necessary  supplies.  Three  medical  wagons,  furnished,  were  ordered,  and  joined  the  division  at  Red  Clay,  Geoi-gia; 
other  supplies  necessary  were  obtained,  and  the  medical  department  was  as  rapidly  as  possible  put  in  readiness  for  the  exigencies 
of  active  service.  The  first  skirmish  in  which  the  division  was  engaged  was  at  Rocky  Face  Ridge  May  9th,  losing  one  killed 
and  twenty-eight  wounded.  Moving  to  Resaca,  we  confronted  the  enemy  May  14th,  and  a  battle  ensued,  lasting  two  days,  in 
which  a  heavier  loss  was  sustained  than  in  any  other  engagement  of  the  campaign;  amounting  to  ninety-three  killed  and  four 
hundred  and  eighty-four  wounded;  total,  five  hundred  and  seventy-seven.  Here  a  division  field  hospital  was  first  established, 
the  practical  working  of  which  was  new  to  both  the  surgeon-in-chief  and  all  the  medical  officers  of  the  division.  A  large  number 
of  operations  were  performed.  The  campaign  since  has  been  rather  a  series  of  skirmishes  than  of  positive  battles,  few  days  passing 
without  some  being  wounded.  Almost  every  advance,  even  for  a  few  miles,  being  in  the  direct  face  of  the  enemy,  and  under  fire. 
In  consequence  it  has  been  necessary  to  have  a  field  hospital  constantly  open,  and  a  regular  hospital  staff  detailed  for  duty. 
The  plan  has  succeeded  admirably,  and  its  organization  and  the  perfection  of  details  have  been  rendered  more  and  more  complete. 
From  careful  observation  it  has  appeared  that  operations  were  better  borne  early  in  the  campaign  than  later,  and  patients  reacted 
more  promptly  and  recovery  progressed  more  rapidly.  This,  in  a  great  measure,  is  owing  to  the  hardships  of  the  campaign, 
constant  exposure,  and  a  ration  often  deficient  in  quantity,  and  nearly  destitute  of  vegetables.  At  the  same  time  I  am  convinced 
that  too  much  importance  is  given  to  the  first  two  in  their  assumed  relations  to  toleration  of  injuries  and  reaction  after  operations, 
and  that  were  a  full  and  ample  ration  with  a  large  proportion  of  vegetables  furnished,  the  hardships  and  exposure  of  active 
campaigning  would  be-  found  to  have  little  effect  beyond  inuring  the  system  to  them  and  developing  a  higher  vital  force.  The 
main  obstacle  to  rapid  recovery  has  been  a  scorbutic  tendency  which  has  generally  pervaded  the  troops  of  this  division, 
developed  in  this  campaign;  but  the  predisposing  causes  of  which  lay  in  the  privations  to  which  the  army  was  exposed  in  the 
winter  months  during  active  operations  in  east  Tennessee.  On  inspection  early  in  July  of  all  the  regiments  composing  this 
division,  an  average  of  twenty  per  centum  of  marked  cases  of  scorbutus  was  found,  and  a  taint  was  manifest  in  more  than 
one-half  of  both  officers  and  men.  Aside  from  this  tendency  being  manifest  in  the  large  ratio  of  sick  constantly  present,  and  in  its 
effects  in  the  wounded  upon  recovery,  it  has  been  marked  in  its  evidence  in  operations  by  diminution  of  the  fibrin,  an  increase  of 
the  watery  elements  of  the  blood,  and  in  the  blood  vessels  a  relaxation  of  the  muscular  coats  and  a  patulous  condition  of  the  minuter 
branches,  requiring  a  larger  number  of  ligatures  than  usual,  and  with  free  and  sometimes  very  troublesome  venous  haemorrhage. 
Gangrene  has  scarcely  appeared.  In  only  one  hospital  has  it  been  developed;  in  a  few  cases  not  readily  accounted  for,  occurring, 
as  it  did  in  some  of  the  cases,  in  the  healthiest  and  most  robust  subjects,  and  readily  yielding  to  the  milder  escharotics,  with 
tonics.  Primary  operations  have  been  the  rule,  and  careful  observation  justifies  the  opinion  that  shock  to  the  extent  of  forbidding 
surgical  interference  even  in  cases  of  considerable  gravity,  is  much  less  common  than  generally  taught.  In  the  field  also,  when 
few  of  the  appliances  of  conservative  surgery  can  be  had  and  fewer  employed,  and  frequent  transportation  for  a  considerable 
distance  is  unavoidable,  operations  are  frequently  necessary,  where  at  least  an  attempt  might  be  made  to  save  the  limb  in  general 
hospitals.  This  is  especially  true  of  compound  fractures  of  the  femur  from  gunshot  wounds.  Several  cases,  considered  the  most 
promising  from  general  good  health,  squareness  of  fracture,  with  little  comminution  of  bone  or  laceration  of  soft  parts,  have  been 
dressed  with  Smith's  anterior  splints  and  sent  at  once  to  the  rear;  but  all  cases  from  which  any  report  has  been  received  have 
died  from  apparent  destruction  of  vital  force  consequent  on  the  gravity  of  the  injury,  or  from  rapidly  exhaustive  suppuration. 
Cases  of  injury  of  large  arteries  or  nerves  uncomplicated  with  fractures  have  been  exceedingly  rare;  only  two  cases  have  been 
reported,  both  of  the  brachial  artery.  No  cases  of  secondary  haemorrhage  have  been  recorded.  Not  a  single  case  of  punctured 
wound  from  sword  or  bayonet  has  been  observed  as  received  in  battle;  a  singular  fact,  in  view  of  the  large  number  of  injuries 
under  observation,  but  owing  probably  to  the  character  of  the  fireanns,  being  of  so  destructive  a  nature  as  to  compel  one  side  or 
the  other  to  give  way  before  advancing  to  a  close  hand  conflict.  Resections  of  joints,  and  in  the  continuity  of  bones,  have  received 
careful  attention,  and  the  most  experienced  and  thoughtful  surgeons  of  the  staff  have  found  it  necessary  to  exercise  a  careful 
discrimination  in  the  selection  of  cases,  and  refuse  now  to  operate  in  many  instances  which,  early  in  the  campaign,  seemed  to 
favor  conservation.  The  s:nall  mortality  after  operation  is  gratifying.  The  tabular  form  bears  but  three  deaths  in  field  hospital 
after  operations.  These  statistics  apply  only  to  primary  mortality,  as  some  cases  proved  fatal  after  removal  to  the  rear.  The 
statistical  table  appended  affords  some  items  of  interest,  and  other  comment  is  unnecessary,  regarding  diseases,  wounds,  and 
operations.  The  table  compiled  from  the  hospital  report  does  not  embrace  the  sick  in  hospital,  or  sent  to  the  rear,  up  to  June  1st, 


318  APPENDED    DOCUMENTS CAMPAIGN    IN    GEOKGIA. 

as  these  records  for  the  time  previous  were  not  entered  on  the  hospital  register,  and  are  lost.  All  the  medical  officers  have 
rendered  efficient  service.  Surgeon  S.  K.  Crawford,  50th  Ohio  Volunteers,  deserves  special  mention  for  the  faithful  performance 
of  duty  as  surgeon-in-charge  of  division  hospital ;  the  organization  and  elaboration  of  details  are  mainly  due  to  him ;  Surgeon 
C.  D.  Moore,  13th  Kentucky  Volunteers,  as  an  able  and  skillful  operator,  and  for  sound  surgical  judgment;  and  Surgeon  John 
Wrisiht,  107th  Illinois  Volunteers,  for  bravery  in  the  field,  faithful  attendance  on  wounded,  and  judicious  treatment  in  hospital, 
deserve  honorable  mention.  Assistant  Surgeons  William  P.  Welborn,  80th  Indiana  Volunteers,  and  E.  S.  Cooper,  13th  Kentucky 
Volunteers,  have  rendered  efficient  service  to  the  wounded  in  hospital." 


CCLXIL  Extracts  from  a  Report  of  the  Operations  of  the  Medical  Department  of  the  Third 
Division  of  the  Twenty-third  Corps  from  June  11,  to  September  10,  1864.  By  Surgeon 
C.  S.  FKINK,  U.  S.  Volunteers. 

*  *  *  "•  The  aggregate  number  present  at  this  date  was  near  eight  thousand,  who  had  been  through  the  early  part 
of  the  campaign,  including  the  battles  of  Rocky  Face  Ridge  and  Resaca,  where  their  loss  was  heavy;  but  the  general  condition 
of  the  troops  was  good,  and  in  all  respects  they  were  well  prepared  for  such  a  campaign,  as  was  now  before  us.  :  '  After 
June  17th,  until  the  present  time,  the  troops  have  been  in  one  position  for  but  few  days  at  a  time,  and  hence  all  our  hospital 
arrangements  were  necessarily  of  a  migratory  character.  But  the  organizations  of  the  department  was  so  satisfactory  and  so 
well  carried  out,  that  we  can  look  back  with  pleasure  to  every  spot  of  ground  that  has  been  occupied  by  our  hospitals.  The 
division  hospital  is  organized  under  charge  of  Surgeon  J.  S.  Sparks,  8th  Tennessee  Volunteers,  with  a  sufficient  number  of 
assistants  to  meet  all  emergencies.  The  operating  staff,  when  occasion  permitted,  performed  the  duties  of  hospital  surgeons. 
The  attendants  have  been  remarkably  faithful  and  energetic,  and  but  few  changes  have  been  made  since  the  organization  was 
completed ;  and  I  here  beg  leave  to  state  that  to  the  able  superintendence  of  Surgeon  Sparks  is  due  whatever  credit  may  be 
given  to  the  division  hospital.  The  opportunities  for  making  medical  researches  have  not  been  good  with  vis,  for  of  necessity 
ours  has  been  to  some  extent  a  receiving  and  forwarding  hospital,  though,  on  a  few  occasions  we  were  able  to  retain  the  cases 
for  some  time,  so  that  considerable  numbers  were  returned  to  duty.  The  character  of  the  diseases  manifested  in  the  division 
has  been  singularly  uniform  throughout,  although  the  producing  causes  have  varied  to  a  considerable  extent.  Diarrhoea  has 
persistently  followed  us,  and  has  disqualified  more  from  active  duty  than  all  other  diseases  together.  The  cause  seems  to  have 
been  scorbutic  to  a  great  extent,  though  in  the  month  of  June  and  early  in  July  there  were  many  complaints  in  regard  to  the 
quality  of  the  fresh  beef  furnished  the  troops ;  many  of  the  more  healthy  ones,  after  eating  freely  of  it,  were  attacked  with 
diarrhoea  of  a  severe  form,  attended  with  a  marked  degree  of  prostration,  yielding,  however,  in  from  seven  to  ten  days  to  rest, 
diet,  and  mild  treatment;  but  many  of  the  cases,  especially  among  the  new  troops,  had  to  be  sent  to  the  rear  for  want  of 
transportation.  During  this  period  mentioned,  there  was  a  great  scarcity  of  forage  for  the  animals,  and  such  as  they  had 
contained  but  little  nutrition,  which  may  account  for  the  deleterious  qualities  of  the  beef.  Certainly  salt  meat  would  have  been 
preferable.  This  difficulty  disappeared  as  soon  as  forage  became  more  abundant  and  of  better  quality ;  but  as  the  campaign 
advanced,  evident  signs  of  scorbutus  were  manifested,  and  this  acting  as  a  producing  or  predisposing-  cause,  kept  the  usual 
number  of  cases  of  diarrhoea  on  our  sick  report.  Nor  could  this  cause  be  removed  for  some  time,  owing  to  the  difficulty  of 
obtaining  supplies  of  vegetables,  etc. ;  but  as  soon  as  the  berries  were  sufficiently  ripened,  and  fruit  in  condition  to  cook,  large 
quantities  were  consumed,  and  the  scorbutic  symptoms  rapidly  diminished  until  the  present  time,  when  no  complaints  are  made, 
and  but  few  indications  of  the  disease  can  be  found.  The  fevers  have  been  of  a  typho-malarial  and  malarial  character,  chiefly 
of  the  latter.  The  more  severe  cases  of  this  class  were  sent  to  the  rear,  and  hence  no  observations  relative  to  them  could  be 
made.  The  cases  of  pure  malarial  fever,  however,  were  mostly  treated  in  the  regiments,  or  in  the  division  hospital,  and  readily 
yielded  to  a  mercurial  cathartic,  followed  by  quinine  in  full  doses.  And  here  it  may  be  remarked,  that  it  has  been  a  matter 
of  surprise  to  some  medical  officers  that  such  large  quantities  of  the  latter  article  Avere  used.  This,  as  a  matter  of  fact,  is  true, 
but  I  am  not  inclined  to  believe  that  the  allowance  could  have  been  materially  diminished  without  detriment  to  the  command. 
Early  in  June  I  discovered  evident  signs  of  malarial  poisoning  of  the  atmosphere,  and  in  one  instance  several  regiments  of  the 
1st  division  were  stationed  in  a  strip  of  heavy  timber,  or  rather  low  ground,  and  as  a  consequence  the  sick  lists  of  those  regiments  was 
increased  nearly  fifty  per  centum  over  that  of  former  reports,  and  all,  or  nearly  all,  of  the  additional  cases  were  of  a  malarial 
origin,  mostly  quotidian  or  tertian  intermittents.  They  yielded  readily  to  free  doses  of  quinine,  and  from  that  time  to  the  present 
the  command  has  not  been  free  from  that  class  of  diseases  which  demands  the  free  use  of  this  drug  in  order  that  the  soldier  may 
be  returned  to  duty  at  an  early  day.  In  regard  to  the  use  of  mercimals  in  this  class  of  diseases,  my  opinion  is  that  they  are 
urgently  demanded.  I  am  well  aware  that  a  dose  of  quinine  will  break  up  an  attack  of  intermittent,  but  that  it  will  leave  the 
system  in  a  condition  to  enable  it  to  ward  off  an  immediate  return  of  the  same  is  a  doubtful  proposition  to  say  the  least;  and  I 
find  a  ready  explanation  of  this  in  the  fact  that  while  the  army  ration  is  well  suited  to  supply  the  requisite  nourishment  and 
support  in  a  northern  climate,  yet  in  a  southern  climate,  and  that  in  midsummer,  the  same  ration  will,  from  the  excess  of 
carbonacious  material  introduced  into  the  system  over  and  above  what  is  required  to  keep  the  body  at  its  proper  degree 
of  temperature,  produces  congestion  of  the  aortal  circulation  and  general  derangement  of  the  hepatic  functions,  which  constitute 
the  almost  universally  predisposing  cause  of  malarial  fevers.  To  relieve  this  congestion  and  restore  the  normal  functions  of  the 
liver,  I  have  generally  resorted  to  the  use  of  mercury  in  some  of  its  varied  forms,  and  with  almost  uniform  success.  This  plan, 
I  believe,  has  been  generally  acted  upon  by  the  medical  officers  of  the  division,  and  in  no  case  have  I  seen  or  heard  of  any  evil 
results  arising  from  the  use  of  mercury.  Of  the  operating  board,  it  is  a  great  pleasure  for  me  to  be  able  to  state  that  I  have  not 
been  disappointed  in  a  single  member.  They  have  all  discharged  the  duties  allotted  to  them  in  a  faithful,  prompt,  and  entirely 
satisfactory  manner.  Surgeon  J.  IT.  Rodgers,  104th  Ohio  Volunteers,  Surgeon  G.  A.  Collamore,  100th  Ohio  Volunteers,  Surgeon 
W.  H.  Mullins,  12th  Kentucky  Volunteers,  and  Assistant  Surgeon  E.  E.  Lynn,  65th  Illinois  Volunteers,  have  my  especial  thanks 
for  the  manner  in  which  they  have  performed  their  duties  as  chief  operators ;  and  the  fact  that  but  one  case  died  while  in  the 


EEPORTS  OF  SURGEONS  FR1NK  AND  WILDER.  319 

division  hospital,  after  being  operated  on  by  this  board,  is  certainly  favorable  to  the  consideration  with  which  I  regard  them. 
Three  only  have  died  after  having  operations  performed;  one'of  these  was  an  amputation  of  the  hip  joint,  the  patient  dying  on 
the  table;  another  was  a  wound  of  the  axillary  artery,  in  which  it  was  found  necessary  to  ligate  it,  the  patient  dying  some  four 
days  after,  gangrene  having  set  in.  Both  of  these  operations  were  performed  by  Surgeon  E.  Shippen,  U.  S.  V.,  medical  director 
of  the  Twenty-third  Corps,  and  both  were  unfavorable  cases.  The  third  was  an  amputation  of  the  upper  third  of  the  thigh  by 
Surgeon  J.  11.  Rodgers,  104th  Ohio  Volunteers;  the  patient  never  reacted.  Surgeon  J.  F.  Kimbly,  llth  Kentucky  Volunteers, 
in  addition  to  his  supervision  of  the  brigade  depots,  assisted  at  the  operating  table  as  occasion  required,  and  rendered  valuable 
service  in  both  positions.  The  wounded  under  his  supervision  have  been  uniformly  as  well  cared  for  at  the  depots  as  circum 
stances  required.  Assistant  Surgeon  S.  E.  Sheldon,  104th  Ohio  Volunteers,  has  also  rendered  valuable  service  as  an  assistant  at 
the  operating  board  and  in  procuring  medical  supplies.  Assistant  Surgeon  G.  W.  Jones,  63d  Indiana  Volunteers,  has  had  charge 
of  the  records  of  the  division  and  a  more  faithful,  prompt,  and  efficient  assistant  I  could  not  hope  to  find.  And  in  closing  this 
part  of  my  report,  I  beg  leave  to  state  that  the  medical  staff  of  this  division,  with  very  few  exceptions,  have  been  active,  indus 
trious,  and  energetic,  and  in  no  instance  have  they  failed  to  heartily  co-operate  with  me  in  carrying  out  any  measure  that  had  for 
its  object  the  good  of  the  troops  serving  in  the  division.  Your  attention  is  respectfully  called  to  the  folloAving  statistics  drawn 
from  the  division  records,  to  include  the  interval  between  June  11  and  September  10,  1864.  The  total  number  taken  on  sick 
report  was  six  thousand  seven  hundred  and  seventy-eight,  and  the  number  of  wounded  was  five  hundred  and  fifty-nine.  Of 
these,  two  thousand  and  ninety-four  were  sent  to  general  hospital,  sixty-one  died  from  the  effects  of  their  wounds,  and  twelve 
from  disease.  There  were  eleven  amputations  of  the  thigh,  seven  of  the  leg,  two  of  the  arm,  four  of  the  forearm,  and  one  at  the 
hip  joint.  There  was  one  case  of  excision  of  the  shaft  of  the  femur  and  ligation  of  the  femoral  artery,  four  excisions  of  the  shaft 
of  the  humerus,  and  five  of  the  head  of  the  humerus,  two  of  the  elbow  joint,  seven  of  the  radius  or  ulna,  and  one  of  the  wrist 
joint,  together  with  forty-four  minor  operations.  '  In  amputating,  the  circular  methods  had  the  preference,  for  the  reason 

chiefly  that  it  is  easier  to  transport  the  patient  after  the  operation.  Of  late,  all  the  amputations  have  been  either  circular  or  by 
integumentary  flaps." 

CCLXIIL     Extracts  from  a  Report  on  the  Wounded  in  the  Army  of  the   Ohio  during  the 
Campaign  in  Georgia.     By  Surgeon  A.  M.  WILDEK,  U.  S.  Volunteers. 

"During  the  campaign  in  Georgia,  from  the  1st  of  May,  1864,  to  the  middle  of  September,  1864,  there  were 
three  amputations  of  the  thigh  performed  at  the  upper  third,  of  which  one  case  made  a  good  recovery;  the  other  two  died,  one  on 
the  table.  Ten  amputations  were  performed  at  the  middle  third,  five  of  which  recovered,  and  five  died.  Twenty-three  amputa 
tions  were  performed  at  the  lower  third,  twelve  of  which  recovered ;  two  are  still  under  treatment  January  1,  1865 ;  eight 
have  died,  and  one  termination  is  not  known  as  no  trace  could  be  found  of  him.  Ten  amputations  were  performed  at  the  upper 
third  of  the  leg,  six  of  which  have  recovered,  and  four  died.  Five  amputations  were  performed  at  the  middle  third  of  the  leg; 
two  have  recovered,  two  died,  and  one  is  still  under  treatment  January  1,  1865.  Eight  amputations  were  performed  at  the  lower 
third  of  the  leg;  two  have  recovered  and  six  died.  Three  amputations  were  performed  at  the  upper  third  of  the  arm;  all  have 
recovered.  Four  amputations  were  performed  at  the  middle  third  of  the  arm;  one  recovery  and  three  deaths.  Eight  amputations 
were  performed  at  the  lower  third  of  the  arm;  five  recovered  and  three  died.  Two  amputations  were  performed  at  the  upper 
third  of  the  forearm;  both  have  recovered.  Five  amputations  were  performed  at  the  middle  third;  three  have  recovered  and  two 
have  died.  Four  amputations  were  performed  at  the  lower  third  of  the  forearm;  three  have  recovered,  and  one  is  still 
under  treatment  January  1,  1865.  One  amputation  was  performed  at  the  hip  joint;  the  patient  died  on  the  table.  One  amputa 
tion  was  performed  at  the  knee  joint;  the  patient  recovered.  Four  amputations  were  performed  at  the  shoulder  joint,  all  of  which 
recovered.  Two  amputations  Avere  performed  at  the  wrist  joint ;  both  cases  have  recovered.  Thirteen  exsections  of  the  shoulder 
joint  were  performed  ;  eight  have  recovered  and  five  have  died.  Four  exsections  of  the  elbow  joint  were  performed;  two  cases 
have  recovered,  one  died,  and  one  case  was  lost.  There  were  two  cases  of  resection  in  the  continuity  of  the  femur,  following 
compound  comminuted  fracture  by  conoidal  bullet.  About  three  inches  were  removed  in  each  case,  one  man  died  a  month 
subsequently,  the  other  one  died  about  four  months  subsequently.  One  case  only  of  resection  of  the  tibia  was  attempted;  the 
fibula  was  intact,  and  but  two  inches  of  continuity  were  removed.  The  case  progressed  finely,  and  there  was  every  prospect  of 
recovery,  when  gangrene  attacked  the  limb  September  4,  1864.  The  patient  died  September  <J6th,  two  months  subsequent  to  the 
operation.  Five  cases  of  resections  of  the  fibula  are  reported,  two  of  which  terminated  favorably,  and  three  died;  of  these,  one 
died  at  Knoxville,  Tennessee,  three  months  after  the  operation.  He  was  in  the  gangrene  ward  six  weeks,  and  was  reduced  to  a 
mere  skeleton;  the  other  two  died  at  Chattanooga  about  a  month  subsequent  to  the  operations.  Eight  cases  are  reported  in  which 
portions  of  the  continuity  of  the  shaft  of  the  humerus  have  been  removed.  Of  these,  five  have  terminated  favorably,  one  is  still 
in  hospital,  one  wras  transferred  to  Chattanooga  where  he  died  twenty-two  days  after  the  reception  of  the  wound,  and  one  was 
transferred  to  Xashville,  Tennessee,  where  he  died  in  twenty  days  after  the  reception  of  the  wound.  Eight  cases  of  resection  in 
the  continuity  of  the  radius  arc  reported,  all  of  which  have  terminated  favorably.  Thirteen  cases  of  resections  in  the  continuity 
of  the  ulna  are  reported,  of  which  eleven  have  terminated  favorably  and  two  have  died.  Before  closing  this  report,  I  would 
respectfully  call  your  attention  to  the  greater  mortality  in  those  cases  that  are  rapidly  transported  to  the  rear,  as  compared  with 
those  retained  at  the  general  field  hospital,  army  of  the  Ohio,  and  in  a  number  of  instances,  patients  were  transferred  from  the 
latter  place  before  they  were  able  to  endure  the  fatigue  consequent  thereon,  and  death  was  the  result.  The  regular  hospital  trains 
were  kept  so  constantly  employed  in  transporting  the  sick  and  wounded  of  the  armies  of  the  Cumberland  and  Tennessee  that 
they  were  never  made  use  of  by  the  army  of  the  Ohio,  consequently,  in  every  instance,  the  sick  forwarded  from  this  army  were 
sent  to  the  rear  in  ordinary  box  cars,  made  as  comfortable  as  circumstances  would  permit  by  padding  the  bottoms  with  pine 
boughs,  leaves,  cotton,  etc.,  being  sent  in  this  manner.  Although  cooks  and  attendants  were  always  provided,  and  army  rations 
such  as  could  lie  obtained,  it  was  next  to  impossible  to  furnish  the  patients  with  suitable  nourishment,  or  to  give  them  that 
attention  so  essential,  especially  to  wounds.  On  several  occasions,  upon  arriving  at  Chattanooga,  it  was  found  impossible  to  have 


320  APPENDED    DOCUMENTS CAMPAIGN    IN    GEORGIA. 

the  same  cars  sent  to  Knoxville,  and  the  men  had  to  be  unloaded  wherever  a  vacant  place  could  be  found,  and  made  as  comfort 
able  as  possible  under  the  circumstances,  until  cars  were  obtained' to  take  them  through  to  Knoxville.  These  causes  combined 
could  not  fail  in  greatly  decreasing  the  probability  of  recovery  in  a  majority  of  cases,  and  among  the  wounded  resulted  in  the 
wounds  being  filled  with  maggots,  and  attacked  with  traumatic  gangrene  which,  if  not  fatal  in  termination,  protracted  recovery 
for  an  indefinite  period.  Several  cases  died  during  the  transit  to  hospitals  in  the  rear,  and  I  am  very  confident  that  this  one  thing 
prevented  recovery  in  many  instances,  that  would  have  terminated  successfully  had  they  been  retained  in  quiet  near  the  point 
where  they  were  wounded.  I  have  already  briefly  called  your  attention,  in  my  report  of  the  general  field  hospital,  army  of  the 
Ohio,  to  the  unfavorable  results  of  wounds  treated  by  medical  officers  having  no  experience  in  surgery,  and  who  are  totally 
ignorant  regarding  treatment  of  gunshot  injuries;  that  the  subsequent  treatment  has  much  more  to  do  with  the  successful 
terminations  of  operations  either  in  military  or  civil  practice  than  the  operation  itself,  none  will  deny;  and  in  the  army  where 
the  soldier  is  deprived  of  that  entire  devotion  which  he  would  have  at  home  among  his  own  people,  it  is  even  more  necessary  that 
his  medical  attendant  should  be  skillful  and  watchful;  that  the  contrary  is  the  fact,  in  very  many  instances,  I  think  no 
experienced  surgeon  who  has  had  any  opportunity  for  observation,  will  give  a  dissenting  voice,  and  in  my  own  mind,  I  have  no 
doubt  from  personal  knowledge  of  cases  at  various  times,  that  some  few  at  least  have  terminated  unfavorably  by  reason  of 
inexperience  on  the  part  of  the  medical  attendants." 


CCLX1Y.  letter  to  the  Surgeon  General  relative  to  General  Sherman's  Campaign  from 
Atlanta  to  the  Coast.  By  Surgeon  JOHN  MOOKE,  U.  S.  Army,  Medical  Director  of  the 
Department  of  the  Tennessee. 

ATLANTA,  GEORGIA,.  November  10,  1864. 

SIR  :  I  have  been  ordered  by  General  Sherman  to  report  to  him  as  medical  director  of  the  entire  army  under  his  command. 
In  three  days  the  army  will  move  into  the  interior  of  this  State,  having  for  its  objective  point  some  important  town  on  the  Atlantic 
seaboard.  Transportation  has  been  reduced  to  the  minimum,  and  in  consequence,  only  a  limited  amount  of  supplies  can  be 
carried  on  the  march.  In  view  of  the  probability  of  those  on  hand  being  exhausted  when  the  objective  point  is  reached,  I 
respectfully  suggest  that  three  months'  medical  supplies  for  sixty  thousand  men,  as  well  as  the  fixtures  for  fitting  up  a  hospital  of 
five  thousand  beds  be  held  in  readiness  to  be  shipped  without  delay,  and  without  further  requisition,  to  Savannah  or  such  other 
point  as  the  army  may  make  its  appearance  on  the  seaboard.  Our  movements  will  probably  be  learned  through  rebel  papers. 

Very  respectfully  your  obedient  servant, 

JOHN  MOOEE, 

Surgeon,  U.  S.  A.,  Medical  Director  Department  of  the  Tennessee. 
To  the  SURGEON  GENERAL  U.  S.  ARMY. 


CCLXV.  Extracts  from  a  Report  of  the  Medical  Staff  of  the  First  Division  of  the  Twentieth 
Corps  During  the  March  from  Atlanta  to  Savannah^  in  1864.  By  Surgeon  II.  Z.  GILL, 
IT.  S.  Volunteers. 

*  *  *  "The  division  was  composed  of  fifteen  regiments,  having  a  total  strength  present  of  five  thousand  eight  hundred 
and  twenty-nine.  *  *  The  men  were  generally  in  good  condition,  having  had  for  some  weeks  the  advantage  of  foraging 
expeditions,  and  were  well  clothed  before  leaving  Atlanta,  having  received  issues  of  new  clothing.  There  were  about  three 
hundred  recruits  in  the  command.  The  transportation  of  the  division  consisted  of  one  hundred  and  seventy-seven  six-mule 
wagons,  thirty-eight  of  which  carried  ammunition.  The  transportation  of  the  division  hospital  consisted  of  three  army  wagons 
and  one  medicine  wagon,  carrying  sixteen  tent-flies  and  the  usual  monthly  allowance  of  the  most  useful  medical  supplies.  The 
transportation  of  the  sick  and  wounded  consisted  of  thirty  two-mule  ambulances,  under  the  supervision  of  a  captain  and  one 
lieutenant  for  each  brigade,  to  which  were  added,  near  the  close  of  the  march,  three  army  wagons  for  conveying  knapsacks  and 
equipments  of  such  men  in  the  regiments  as  were  not  fit  for  hospital  and  who  would  return  to  their  regiments  at  night.  The 
ambulances  carried  two  hundred  pounds  of  hard  bread  for  the  hospital,  which  was  much  needed  after  the  commissary's  supply 
was  exhausted  and  before  communication  was  opened  with  the  fleet ;  also,  a  quantity  of  beef  essence.  The  sick  and  wounded 
of  the  command  had  been  mainly  sent  to  the  rear  before  we  left  Atlanta,  the  credit  for  which  is  partly  due  to  the  foresight  and 
energy  of  Surgeon  Kittoe,  medical  inspector  U.  S.  A.  The  hospital  report  of  November  15th,  showed  but  one  man  remaining. 
There  were,  at  the  same  date,  fifty-one  men  in  the  regiments  excused  from  duty.  On  the  march,  men  were  admitted  to  ambu 
lance  or  hospital  on  passes  signed  by  the  regimental  medical  officers.  One  medical  officer  of  the  hospital  corps,  and  one  steward 
accompanied  the  ambulance  train  each  day  to  regulate  admissions  and  attend  to  the  wants  of  the  sick.  During  the  campaign 
seven  hundred  and  seventeen  sick  and  seventy-four  wounded  men  were  admitted  to  hospital.  At  the  close  of  the  siege,  the 
number  in  hospital  was  only  one  per  cent,  of  the  entire  strength  of  the  command.  The  regiments  were  supplied  in  most  cases 
with  a  pack-mule  and  a  pannier,  and  no  regiment  was  without  a  medical  officer.  *  *  The  weather  was  unusually  fine  during 
the  campaign,  there  being  but  three  rainy  days,  though  there  were  also  a  few  light  showers.  The  roads  were  good  most  of  the 
time.  In  the  latter  part  of  the  route  where  the  road  led  through  a  swampy  country,  some  difficulty  was  experienced.  Had  the 
weather  been  rainy  it  would  have  necessitated  the  abandonment  of  a  portion  of  our  train.  *  *  The  supplies  were  taken 
mostly  from  the  country  through  which  ^ve  passed,  and  though  comparatively  thinly  settled,  it  usually  furnished  an  abundance 
of  beef-cattle,  hogs,  sheep,  poultry  of  all  kinds,  sweet  potatoes  in  abundance  for  the  men,  and  plenty  of  forage  for  the  horses  and 
mules.  The  water  was  generally  very  good,  and  sufficient  for  the  season.  The  command  marched  about  three  hundred  and  fifty 
miles,  and  passed  through  the  following  towns:  Uecatur,  November  15th;  Social  Circle,  November  18th;  Madison,  November 
19th;  Eatonton,  November  21st;  Milledgeville,  November  22d;  Sandersville  and  Teneille  Station,  November  26th;  Davisboro', 


REPORT    OF    MEDICAL    DIRKCIOR    MOORK.  321 

November  27tli ;  Spiers  Station,  November  28th ;  and  Springfield,  December  7th.  The  battle  of  Monteith  Swamps  occurred  on 
December  9th,  at  which  the  division  captured  two  forts,  with  a  loss  of  one  killed  and  five  wounded.  We  reached  the  main 
works  for  the  defence  of  Savannah,  on  December  10th,  and  commenced  the  siege.  On  the  same  day,  the  division  captured  Ji 
steamboat,  and  another  on  December  12th.  One  brigade  crossed  the  river  and  entrenched  on  the  South  Carolina  side  on 
December  19th.  The  city  was  evacuated  by  the  enemy  011  the  night  of  the  20th,  and  was  formally  surrendered  by  the  civil 
authorities  on  December  21st,  1864.  On  the  route  we  had  two  skirmishes;  one  at  Sandersville  on  November  26th,  and  the 
other  at  Monteith  Swamp,  on  December  9th." 

CCLXVI.  Report  of  the  Operations  of  the  Medical  Department  of  General  Sherman's  Army 
from  .Jan'Miry,  18^5,  to  the  Close  of  the  War.  By  Surgeon  JOHN  MOORE,  U.  S.  A.,  Medical 
Director. 

"GKNEKAL:  I  have  the  honor  to  submit  the  following  brief  report  of  that  part  of  the  campaign  in  the  Carolinas  pertaining 
to  the  medical  department.  Prior  to  leaving  Savannah,  the  army  had  been  replenished  with  one  month's  supplies  of  medicines 
and  hospital  stores.  These  supplies  were  drawn  from  the  purveyor  for  the  Department  of  the  South,  at  Hilton  Head,  South 
Carolina,  to  whom  they  had  been  sent  for  this  army.  Soon  after  arriving  in  Savannah,  corps  hospitals  were  established  for  the 
reception  of  such  sick  or  disabled  men  as  were  then  in  the  army,  as  well  as  for  receiving  all  such  'cases  as  would  be  unable  to 
undergo  the  hardships  of  a  severe  campaign  when  the  time  came  for  taking  the  field.  The  army  was  composed  of  the  Fourteenth, 
Fifteenth,  Seventeenth,  and  Twentieth  Corps,  and  the  Third  Cavalry  Division,  making  an  aggregate  of  about  sixty-five  thousand 
men.  The  several  corps  left  Savannah  at  various  dates  from  the  15th  to  22d  of  January.  Before  marching  they  were 
disencumbered  of  all  men  not  supposed  to  be  able  to  endure  active  duty  in  the  field,  these  sick  or  disabled  men  being  placed  in 
their  respective  corps  hospitals.  A  sufficient  number  of  medical  officers  and  hospital  attendants  had  been  detailed  and  ordered 
to  the  duty  of  taking  care  of  all  left  in  the  hospitals.  Before  entering  Savannah,  about  two  hundred  men,  eighty  of  whom  had 
been  carried  in  ambulances  from  the  vicinity  of  Macon,  had  been  sent  on  a  hospital  steamer  to  the  hospitals  at  Hilton  Head. 
The  right  wing,  under  command  of  General  Howard,  began  the  march  from  Pocotaligo,  South  Carolina,  on  February  1,  1865. 
These  troops  had  been  encamped  for  two  weeks  in  low  marshes,  and  it  was  again  found  necessary  to  disencumber  the  two  corps, 
the  Fifteenth  and  Seventeenth,  forming  this  wing  of  the  army,  of  about  two  hundred  sick,  who  w*re  sent  to  hospitals  in  Beaufort, 
South  Carolina.  At  about  the  same  date,  the  two  corps,  Fourteenth  and  Twentieth,  forming  the  left  wing  under  General  Slocum, 
began  the  march  from  two  points,  about  thirty  miles  apart,  on  the  north  side  of  the  Savannah  River.  To  facilitate  the  progress 
of  the  army,  the  four  corps  marched  by  as  many  different  roads.  By  far  the  most  serious  obstacle  encountered  during  the  first 
ten  days  was  the  bad  condition  of  the  roads.  The  face  of  the  country  was  intersected  with  innumerable  streams,  spreading  over 
a  wide  extent  of  bottom,  through  which  the  water  flowed  in  numerous  channels,  with  intervening  marshes,  impracticable  for 
roads  except  by  continuous  corduroy  and  bridging.  To  do  this  work,  and  to  extricate  wagons  and  artillery  from  the  mire,  great 
numbers  of  the  men  were  wading  through  water  and  mud  from  morning  till  night.  The  roads  through  this  part  of  the  State 
would  have  been  thorough  fens  and  marshes  only  to  be  crossed  on  causeways  even  in  dry  weather  and  without  opposition ;  but 
several  days'  heavy  rain  so  swelled  the  streams  as  to  cover  the  whole  face  of  the  country  with  water,  so  that  the  marching 
columns  were  almost  constantly  in  water,  often  knee  deep.  On  February  2d,  the  enemy  disputed  the  crossing  of  the  Salkahatchie 
River  at  River's  Bridge.  After  a  short  skirmish,  a  crossing  was  effected  with  a  loss  of  sixteen  killed  and  eighty-five  wounded. 
The  wounded  from  this  affair  were  sent  back  to  Beaufort.  This  loss  occurred  in  General  Mower's  division  of  the  Seventeenth 
Corps.  After  this  there  was  no  other  considerable  skirmish  until  the  arrival  of  the  right  wing  at  Congaree  Creek,  near  Columbia. 
The  crossing  was  opposed  by  cavalry  under  Wade  Hampton  ;  but  the  crossing  was  soon  effected,  with  a  loss  of  five  killed  and 
fourteen  wounded.  Two  days  afterward  the  army  entered  Columbia,  tip  to  this  period  the  left  wing  had  encountered  no 
opposition.  The  cavalry  under  General  Kilpatrick  had  a  severe  skirmish  at  Aiken,  a  point  on  the  railroad  about  twenty  miles 
east  of  Augusta;  but  I  have  not  received  a  report  of  the  casualties.  After  a  rest  of  two  days  in  Columbia,  the  army  resumed 
its  march,  taking  roads  leading  to  the  north,  and  in  two  days  reached  Winslow.  The  following  day,  a  march  of  near  twenty 
miles  was  made,  to  the  crossing  of  the  Catawba  River  at  Rocky  Mount.  This  was  by  the  left  wing.  The  right  wing  crossed 
the  river  twelve  miles  lower.  At  ibis  point  the  river  is  called  the  Wateree.  The  country  passed  over  from  Columbia  to  the 
Wateree,  a  distance  of  nearly  fifty  miles,  was  high  and  rolling,  with  occasional  outcroppings  of  the  granite  formation,  more  so 
than  any  passed  over  in  South  Carolina.  Owing  to  a  rapid  rise  in  the  Wateree,  a  delay  of  four  or  five  days  occurred  before  the 
army  was  entirely  across.  From  this  point  the  march  was  in  the  direction  of  Cheraw,  Sputh  Carolina,  and  Fayetteville,  North 
Carolina.  These  places  were  both  taken  with  very  trifling  loss.  A  halt  of  two  days  was  made  at  Fayetteville,  during  which 
about  three  hundred  sick  and  a  few  wounded  were  sent  on  river  transports  to  Wilmington.  The  Cape  Fear  River  was 
crossed  on  pontoon  bridges,  and  the  march  resumed  in  the  general  direction  of  Raleigh  and  Goldsboro',  the  latter  being  the  objective 
point.  On  the  evening  of  March  15th,  General  Kilpatrick  came  in  contact  with  the  enemy  on  the  Fayetteville  and  Raleigh  road 
near  Averysboro'.  On  the  16th,  they  were  found  posted  behind  entrenchments,  and  in  dislodging  them  the  Twentieth  Corps  and 
cavalry  division  lost  about  four  hundred  in  wounded.  They  were  promptly  removed  from  the  field,  and  two  or  three  adjacent 
houses  and  sheds  used  for  hospitals.  It  was  raining  heavily  during  the  greater  part  of  the  day.  The  enemy  retired  in  the 
direction  of  Smithfield,  and  our  march  was  resumed  the  following  day  to  the  eastward  on  roads  leading  in  the  direction  of 
Goldsboro'.  On  March  19th,  a  fierce  attack  was  made  by  the  whole  rebel  force,  under  General  Joe  Johnston,  upon  the  advance 
and  Hank  of  the  marching  column  of  the  left  wing.  The  Fourteenth  Corps,  having  the  advance,  was  compelled  to  fall  back  a 
short,  distance,  until  the  Twentieth  Corps  came  up,  when  a  line  of  battle  was  formed  and  temporary  defences  thrown  up.  Two 
or  throe  determined  assaults  by  the  enemy  were  made,  but  were  successfully  repelled.  The  ground  was  held  that  night  by  our 
troops,  and  on  the  20th,  the  Fifteenth  and  Seventeenth  Corps  were  marched  back  to  their  assistance."  Some  severe  fighting  and 
heavy  skirmishing  occurred  during  the  afternoon,  and  heavy  firing  kept  up  until  late  at  night.  On  the  following  morning,  it  was 
found  that  the  enemy  had  evacuated  his  entrenchments  and  retreated  in  the  direction  of  Raleigh,  abandoning  his  hospitals.  Our 

41 


322 


APPENDED    DOCUMENTS CAMPAIGN    IN    GEORGIA. 


loss  in  the  left  wing,  according  to  the  hospital  reports  during  these  two  days,  was  nine  officers  and  one  hundred  and  forty-five 
men  killed,  and  fifty-one  officers  and  one  hundred  and  fifty-one  men  wounded.  In  the  right  wing,  two  officers  and  thirty-five 
men  were  killed,  and  two  hundred  and  eighty-nine  were  wounded,  making  a  total  of  one  hundred  and  ninety-one  killed,  and 
eleven  hundred  and  sixty-eight  wounded.  The  wounded  were  well  cared  for  in  hospitals  erected  about  half  a  mile  in  the  rear  of 
the  line  of  battle.  On  the  1'Jth,  they  came  under  fire  and  had  to  be  removed.  Although  this  battle  occurred  nearly  at  the  close 
of  a  long  march  of  two  months'  duration,  without  an  opportunity  of  replenishing  supplies,  there  was  no  lack  of  any  article 
essential  to  the  comfort  of  the  wounded.  Most  of  those  wounded  on  the  19th  were  made  as  comfortable  as  possible  in  wagons, 
and  moved  o»  the  20th  to  the  vicinity  of  the  Neuse  Kiver,  opposite  Goldsboro',  a  distance  of  about  twenty-five  miles.  Army 
wagons  were  used  in  consequence  of  a  scarcity  of  ambulances.  About  twelve  o'clock  on  the  21st,  the  army  renewed  the  march 
toward  Goldsboro',  and  entered  that  place  on  the  23d  and  24th.  All  the  wounded  and  sick  were  comfortably  placed  on  bunks 
before  the  evening  of  the  25th.  As  far  as  the  number  of  tents  would  allow,  they  were  placed  under  canvas  in  the  open  country 
around  the  town,  and  the  remainder  placed  in  houses  selected  in  town.  They  have  done  remarkably  well.  Supplies  were 
rapidly  brought  up  from  New  Berne,  and  the  men  before  being  wounded  were  in  a  vigorous  state  of  health,  very  favorable  to 
rapid  recovery  from  wounds.  From  this  point  all  have  been  or  will  be  sent  to  New  Berne,  where  they  will  have  good  hospital 
accommodations  until  they  can  be  sent  north.  The  duration  of  this  campaign  has  been  about  sixty  days,  and  the  distance 
marched  about  four  hundred  and  fifty  miles.  Forty-eight  days  were  spent  in  actual  marching,  and  the  average,  notwithstanding 
bad  roads  and  the  necessity  of  bridging  most  of  the  streams,  has  been  about  ten  miles.  Some  of  the  corps  made  on  emergency 
as  much  as  twenty-five  miles  in  a  day.  No  part  of  the  regular  ration  was  issued  on  the  campaign,  except  sugar,  coffee,  and 
salt.  Everything  else  was  obtained  from  the  country  by  regularly  detailed  foragers.  A  great  part  of  the  march  was  through  a 
region  sparsely  settled;  an  unbroken  flat  and  sandy  region,  yielding  little  in  return  to  the  farmer.  But  our  foraging  parties 
would  go  to  distances  of  five  or  ten  miles  from  the  road,  and  always  returned  laden  with  bacon,  poultry,  and  flour  or  meal.  The 
people  of  the  country  soon  discovered  that  when  our  soldiers  brought  together  everything  which  could  be  used  in  an  army, 
there  was  a  very  considerable  supply  where  they  supposed  nothing  could  be  found.  Very  great  sagacity  was  shown  by  our 
soldiers  in  discovering  provisions  and  other  articles  hidden  in  the  earth.  Of  course  such  a  march  as  this,  with  two  or  three 
weeks  continuous  rain,  over  a  country  interspersed  with  swamps  and  wide-spread  marshes,  with  an  unusual  number  of  broad 
and  difficult  rivers  to  be  crossed,  and  a  watchful  enemy  ready  to  give  annoyance  at  every  available  opportunity,  could  not  be 
accomplished  without  much  hardship  and  determined  and  patient  endurance  on  the  part  of  the  men.  But  that  this  has  not 
injured  them  is  shown  by  the  very  small  number  of  sick.  The  average  percentage  of  sick  during  the  campaign,  in  an  army 
of  sixty-five  thousand  men,  has  been  a  fraction  of  over  two  per  cent.;  unquestionably  much  less  than  if  they  had  been  lying 
quietly  in  garrison.  The  open  air,  freedom  from  drunkenness,  and  other  vices  inseparable  from  garrison  life,  but  most  of  all,  the 
novelty  and  excitement  of  an  active  campaign,  on  which  every  man  knows  that  important  results  depend,  are  among  the  causes 
of  better  health  in  the  field.  And  again,  the  variety  and  abundance  of  food,  and  possibly  the  irregular  and  predatory  method 
of  obtaining  it,  may  have  something  to  do  with  their  better  sanitary  condition;  and  lastly,  but  not  least  influential,  is  being  led 
by  a  general  in  whom  they  have  unlimited  confidence.  On  the  march  the  system  of  division  hospitals  was  kept  up,  and  found 
to  work  well.  All  men  from  the  regiments  requiring  hospital  treatment  were  sent  to  the  hospital  of  the  division  at  the  morning 
"sick  call,"  and  were  taken  under  the  care  of  the  surgeons  in  charge,  who  remain  permanently  with  the  hospital.  The  wagons 
and  ambulances  of  the  division  train  move  together,  and  in  the  evening  the  commander  of  the  division  indicates  the  place 
for  encamping  the  hospital,  and  the  surgeon  in  charge,  with  his  ambulance  men  and  attendants,  sees  to  the  prompt  pitching 
of  the  tents,  and  the  removal  of  the  sick  or  wounded  from  the  ambulances,  and  that  they  are  fed  and  made  comfortable.  This 
is  a  complete  organization,  and  secures  more  comfort  to  those  in  .hospital,  without  the  trouble  of  making  daily  details  from  the 
regiments  for  pitching  hospital  tents,  and  having  them  in  the  way  of  those  who  are  well.  The  hospital  attendants  on  the  march 
do  the  foraging  for  their  hospital.  After  the  last  two  battles  some  inconvenience  was  felt  owing  to  the  deficiency  of  ambulances. 
Most  of  those  in  use  in  this  country  were  supplied  during  the  first  year  of  the  war,  and  are  worn  out.  One  hundred  new  ones 
have  been  received  here.  No  instances  of  any  serious  neglect  of  duty  on  the  part  of  the  medical  officers  have  come  to  my 
knowledge;  but,  on  the  contrary,  they  have  been  faithful  and  zealous  in  the  performance  of  duty,  and  the  wounded  have  been 
promptly  removed  from  the  field  to  the  hospitals.  The  new  system  of  ambulance  organization  has  been  more  or  less  completely 
carried  into  effect  in  all  the  corps,  and  has  worked  well.  The  character  of  the  wounds  in  the  cases  of  those  brought  to  the 
hospitals  were  unusually  grave,  much  of  the  firing  being  at  short  range.  Of  the  one  thousand  three  hundred  and  sixty-eight 
wounded  brought  to  the  hospitals,  one  hundred  and  thirty-one  died  within  forty-eight  hours.  There  were  eighty-eight 
capital  amputations  in  cases  brought  to  the  hospitals  from  the  battles  of  the  16th  and  19th  of  March.  A  number  of  these 
in  the  Twentieth  Corps  were  carried  in  ambulances  over  very  rough  roads  the  day  following  the  battle;  and  yet  when 
I  saw  them  a  few  days  ago  at  the  hospital  tents  in  an  open  field,  I  think  I  have  never  seen  so  many  men  with  amputations  doing 
so  well  in  the  most  elaborately  arranged  hospital.  Every  year's  experience  tends  to  prove  the  advantage  of  treating  wounded 
men  in  tents  where  they  can  enjoy  the  ventilation  almost  of  the  open  air.  The  Sanitary  Commission  was  prompt  in  furnishing 
many  luxuries  to  the  hospitals,  which  they  had  no  other  means  of  obtaining. 

The  subjoined  tabular  statement  will  give  a  summary  of  sickness,  casualties,  etc. : 


i                        

Total  number  wounded 

Strength  of  com 
mand. 

Average  daily 
number  sick. 

Total  number 
wounded. 

Died  from  wounds. 

Sent  to  rear. 

and  sick  on  arrival  at 
Goldsboro'. 

• 

(Approximate.) 

65,  000 

1,  520 

1,368 

130 

685 

2,888 

KEPORT    OF    MEDICAL    DIRECTOR    COOPER.  323 

Those  in  the  above  table  reported  as  sent  to  the  rear,  were  sent  from  Fayetteville  to  Wilmington,  except  the  wounded  from 
River's  Bridge,  who  were  sent  to  Beaufort.  As  far  as  I  have  been  informed  there  is  no  case  of  a  sick  or  wounded  man  being 
left  on  the  way.  When  the  army  cast  loose  from  everything  in  the  rear,  on  the  campaign  from  Atlanta  to  Savannah,  probably 
one  of  the  gravest  objections  to  it,  in  the  minds  of  both  officers  and  men,  was  the  dread  of  being  left  in  case  of  sickness  in  the  hands 
of  their  enemies.  But  on  neither  that  campaign  nor  this  one  has  this  fear  been  realized,  except  in  the  case  of  two  men  from  the 
riglit  wing  who  had  compound  fractures  of  the  thigh,  and  were  left  in  friendly  hands  in  Georgia.  In  short,  the  facility  with 
which  an  army  can  subsist  in  all  the  settled  portions  of  the  Confederacy,  while  at  the  same  time  destroying  the  food  and  forage 
indispensable  to  the  support  of  its  armies,  has  demonstrated  the  feasibility  of  a  mode  of  warfare,  that,  six  months  ago,  was  deemed 
chimerical  and  hazardous,  and  undoubtedly  has  had  an  important  influence  in  bringing  the  war  to  its  present  cheerful  aspect. 
I  have  the  honor  to  be,  very  respectfully,  your  obedient  servant, 

JOHN  MOORE, 

Surgeon  U.  S.  A.,  Medical  Director. 
Major  General  W.  T.  SHERMAN." 

CCLXVII.  Report  of  the  Medical  Department  of  the  Army  of  the  Cumberland,  from 
September  1  to  JJecember  31,  18G4.  By  Surgeon  GEOKGE  E.  COOPER,  U.  S.  A.,  Medical 
Director. 

"  My  report  of  the  medical  department,  army  of  the  Cumberland,  from  the  time  of  the  invasion  of  northern  Alabama  and 
Tennessee,  by  the  army  under  General  Hood,  till  the  defeat  of  the  same  by  the  Union  forces  in  front  of  Nashville,  and  the 
pursuit  of  the  enemy  beyond  the  Tennessee  River,  must  be  a  meagre  and  unsatisfactory  one,  in  consequence  of  my  having  been 
separated  from  the  army,  and  not  in  active  campaign  with  it  until  after  the  battle  of  Nashville.  The  proceedings  of  the  medical 
department  are,  however,  exceedingly  well  pointed  out  in  the  accompanying  report  of  Surgeon  J.  Theodore  Heard,  U.  S.  V.,  the 
medical  director  of  the  Fourth  Corps,  who,  in  person,  accompanied  that  corps  which  was  all  that  was  left  as  an  organized 
force  of  the  old  army  of  the  Cumberland,  the  Fourteenth  and  Twentieth  Corps,  having  been  taken  by  Major  General  Sherman  to 
form  a  portion  of  the  army  with  which  he  made  the  march  through  Georgia.  At  the  time  of  evacuating  Atlanta  the  corps 
hospitals  of  the  army  of  the  Cumberland  were,  as  they  had  been  in  the  summer  campaign,  fully  organized  and  equipped,  and 
ready  to  move  at  a  moment's  notice.  The  general  field  hospital,  under  the  charge  of  Surgeon  M.  C.  Woodworth,  U.  S.  V.;  was 
in  fine  condition  and  of  sufficient  capacity  to  receive  all  the  sick  and  wounded  of  the  army  who,  on  the  breaking  up  of  the  division 
hospitals,  might  require  medical  treatment.  Supplies  of  all  kinds  had  been  called  for  and  procured  by  the  field  medical  purveyor, 
and  the  army  corps  were  amply  and  liberally  supplied.  The  ambulances  which  had  undergone  severe  wear  during  the  summer 
campaign,  were  repaired  and  put  in  as  serviceable  a  condition  as  the  time  and  material  on  hand  would  permit.  When  the  rebel 
arrny  fell  upon  the  line  of  railroad  in  our  rear,  the  inconvenience  suffered  by  the  medical  department  was  trivial.  The  only 
article  which  ran  short  was  whiskey  and  this  was  replaced  by  requisitions  on  the  subsistence  department.  The  Fourth  and 
Fourteenth  Corps  having  been  ordered  to  follow  General  Hood's  army  to  the  rear,  the  sick  from  their  division  hospitals  were 
transferred  to  the  general  hospital,  where  they  were  cared  for  as  well  as  could  be  desired,  and  the  troops  left  Atlanta  entirely 
disencumbered  of  sick  or  wounded  men.  What  occurred  from  that  time  till  the  last  days  of  November,  1864,  is  known  to  me  by 
hearsay  only,  and  from  reading  the  reports  furnished  to  headquarters.  For  this  information.  I  refer  to  the  excellent  report  of 
Surgeon  Heard,  medical  director  Fourth  Corps,  who,  having  been  one  of  that  little  band  who  held  the  whole  rebel  army  in  check 
from  Decatur,  Alabama,  to  Nashville,  Tennessee,  is  far  more  competent  to  make  the  report  than  I.  Synchronous  with  my  arrival 
at  Nashville  from  Atlanta  and  Chattanooga,  came  reports  of  the  falling  back  of  our  army  from  Pulaski,  Tennessee,  and  of  heavy 
and  continuous  skirmishing  with  Hood's  advance.  On  the  30th  of  November  came  the  news  that  a  severe  action  had  taken  place 
near  Franklin,  Tennessee,  and  that  our  losses  in  both  killed  and  wounded  had  been  heavy.  The  medical  director  of  the  Fourth 
Corps  was  immediately  telegraphed  to  and  asked  if  he  required  a  hospital  train,  and  early  next  morning  hospital  train  No.  2  was 
sent  to  Brentwood,  between  Nashville  and  Franklin.  On  the  night  of  November  JJOth,  two  freight  trains  loaded  with  wounded 
from  skirmishes  beyond  Franklin,  containing  chiefly  patients  who  had  been  brought  to  that  place  in  ambulances,  arrived  here. 
The  wounded  were  transferred  to  the  general  hospitals  here,  and  were  promptly  and  skillfully  cared  for  by  the  medical  officers 
there  on  duty.  On  the  following  day  the  troops  arrived  from  Franklin,  bringing  with  them  many  wounded,  but  having  been 
unfortunately  compelled  to  leave  larger  numbers  in  the  hands  of  the  enemy.  Almost  at  the  same  moment  came  the  troops 
commanded  by  Major  General  A.  J.  Smith.  These  troops  were  deficient  in  almost  everything  belonging  to  the  hospital 
department;  they  had  no  organized  ambulance  corps  or  trains;  there  was  neither  division  nor  brigade  organization  of  hospitals; 
but  the  regimental  medical  officers  were  as  they  had  been  from  the  beginning  of  the  war,  and  seemed  to  have  learned  nothing 
from  experience  or  the  example  of  othera,  and  opposed  every  improvement  as  an  innovation.  They  had  but  few  medical  supplies, 
and  were  wanting  in  almost  everything  which  would  aid  them  in  alleviating  the  sufferings  of  the  sick  and  wounded  of  their  commands. 
It  was  necessary  to  fit  them  out  with  all  possible  dispatch,  which  was  done;  and  thanks  are  due  to  Surgeon  Robert  Fletcher, 
U.  S.  V.,  medical  purveyor,  for  his  energy,  efficiency,  and  promptness  in  this  emergency.  No  one  could  have  performed  the 
duties  of  purveyor  in  a  manner  more  creditable  to  himself  or  with  greater  benefit  to  the  government.  As  soon  as  the  troops 
arrived  in  front^of  Nashville  they  were  placed  in  the  lines,  and  compelled  to  throw  up  intrenchments.  They  were  much  prostrated 
by  their  constant  harassing  night  and  day  marches  from  the  Tennessee  River  to  Nashville;  but  notwithstanding  this,  in  a  short 
time,  by  constant  and  severe  labor,"  works  were  thrown  up  which  rendered  Nashville  impregnable.  As  the  army  was  short  of 
men  it  became  necessary  to  call  to  the  aid  of  the  beleaguered  city  all  the  troops  within  reach;  consequently,  the  different 
detachments  of  the  army  which  left  Atlanta  with  General  Sherman  and  had  remained  behind  in  hospitals  or  otherwise  were 
organized  into  a  temporary  corps  under  the  command  of  Major  General  Steadman.  This  extemporized  corps  was  without  any 
organization  whatever,  and  to  it  was  attached  the  regiments  of  colored  troops.  It  is  impossible  for  me  to  learn  whether  these 
troops  consider  themselves  a  part  of  the  army  of  the  Cumberland  or  a  separate  command  made  for  Colonel  Mussey.  1  should  judge 


324  APPENDED    DOCUMENTS ARMY    OK    THE    CUMBERLAND. 

them  to  be  out  of  the  department  did  I  take  the  attention  they  pay  to  the  existence  of  this  office  as  a  criterion.     They  are  more 
irregular  in  forwarding  their  reports  than  any  regiments  in  the  army  of  the  Cumberland. 

The  weather,  which  previous  to  the  arrival  of  the  troops  had  been  moderate,  became,  shortly  after  their  arrival  at 
Nashville,  excessively  cold  for  this  latitude.  The  result  of  this  was  much  suffering  on  the  part  of  the  troops,  and  the  comparative 
cessation  of  all  offensive  measures  on  the  part  of  either  army.  At  this  time  the  results  of  the  fatigue  undergone  by  the  troops  in 
the  retreat  from  Decatur  and  the  subsequent  labor  in  the  trenches,  began  to  show  themselves  in  the  greatly  increased  number  of 
men  who  presented  themselves  for  medical  treatment.  Many,  too,  who  had  undergone  the  hardships  of  the  summer  and  fall 
campaign  without  detriment  to  their  health,  now  yielded  to  the  bitter  cold,  and  the  disease  of  the  pulmonary  organs  became 
numerous.  Rheumatic  affections,  too,  became  quite  prevalent.  The  advent  of  the  rebel  army  in  front  of  Nashville,  and  the  fact  that  it 
was  intrenching,  rendered  the  necessity  of  a  general  action  a  moral  certainty.  To  prepare  for  the  sick  and  wounded  of  the 
government  forces  demanded  a  much  larger  amount  of  hospital  accommodation  than  was  at  that  time  at  the  disposal  of  the 
hospital  department.  Anticipating  a  large  influx  of  wounded,  the  efficient  superintendent  and  director  of  general  hospitals  at 
Nashville  took  possession  of  every  building  that  could  be  made  use  of  for  hospital  purposes,  and  had  them  fitted  up  with  all 
"possible  dispatch.  Consequently,  four  thousand  vacant  beds  were  at  the  disposal  of  the  medical  department.  The  assistant 
surgeon  general,  too,  anticipating  the  necessity,  ordered  to  Nashville  a  large  number  of  medical  officers,  many  of  whom  arrived  prior 
to  the  actions,  and  all  in  sufficient  time  to  be  of  the  greatest  service  to  the  wounded  in  the  battles  in  front  of  Nashville.  The  medical 
officers  of  the  Fourth  Corps  being  emphatically  experts  in  the  care  of  the  wounded  after  a  battle,  had  everything  prepared  for 
prompt  a:id  efficient  action.  They  had  supplied  themselves  with  all  the  necessaries,  and  in  addition  had  procured  all  the 
delicacies  within  their  reach.  The  result  was  that  after  the  actions  of  15th  and  16th  of  December  the  men  belonging  to  the  Fourth 
Corps,  and  all  who  were  brought  to  the  field  hospitals  of  that  corps,  were  promptly  and  skillfully  treated,  and  most  carefully 
provided  for.  Too  much  praise  cannot  be  awarded  to  the  medical  staff  of  the  Fourth  Corps  for  their  untiring  attention  and  skillful 
manner  of  treating  the  wounded  in  their  division  hospitals.  Were  it  not  invidious  to  designate  and  particularize  by  name  certain 
officers  where  all  are  worthy,  I  would  give  a  list  of  the  medical  officers  who  so  faithfully  performed  their  duties.  This  I  will  not 
do,  but  justice  to  themselves  demands  that  I  should  mention  and  particularize  Surgeons  M.  G.  Sherman,  9th  Indiana  Volunteers, 
Stephen  J.  Young,  79th  Illinois  Volunteers,  E.  B.  Glick,  40th  Indiana  Volunteers,  and  C.  N.  Ellinwood,  74th  Illinois  Volunteers, 
as  men  deserving  of  more  than  ordinary  notice.  Previous  to  the  battles  instructions  had  been  given  to  the  surgeons  in  charge  to 
establish  division  field  hospitals  as  near  to  the  field  as  practicable,  and  strict  orders  were  issued  directing  the  surgeons  to  operate 
upon  the  field  on  all  requiring  it  previous  to  transferring  the  men  to  the  general  hospitals  in  the  city.  The  weather,  which  had 
entirely  stopped  all  offensive  military  operations,  having  moderated  considerably,  the  army,  on  the  morning  of  December  15th, 
marched  out  beyond  the  fortifications  for  the  purpose  of  assualting  the  enemy's  lines.  The  medical  department  of  the  army  of  the 
Cumberland  proper  were  prepared  to  attend  to  any  number  of  wounded  brought  in  to  them  from  the  field,  and  established  their 
hospitals  as  near  the  front  as  the  safety  of  the  wounded,  and  the  configuration  of  the  country  would  admit.  Water  being  quite, 
plenty,  position  only  had  to  be  sought  for. 

The  extemporized  corps  commanded  by  Major  General  Steadman,  had  no  organized  medical  staff.  One  was  organized, 
being  composed  of  all  the  surgeons  who  could  be  found  unattached,  in  consequence  of  being  on  leave  of  absence,  or  having  been 
separated  from  their  regiments,  which  had  marched  from  Atlanta  with  Major  General  Sherman.  To  these  were  added  the  medical 
officers  of  the  United  States  colored  troops.  This  portion  of  the  medical  staff  was  under  the  charge  of  Surgeon  Josiah  D.  Colton, 
92d  Ohio  Volunteers,  who  acted  as  medical  director.  Though  hastily  brought  together,  and  lacking  in  all  the  appurtenances  for 
field  hospitals,  the  medical  officers  of  this  command  did  all  in  their  power  to  assist  and  relieve  the  wounded  under  their  charge. 
The  only  great  drawback  to  prompt  action  in  this  portion  of  the  army,  was  the  entire  absence  of  an  ambulance  corps.  The 
blockade  of  the  Cumberland  river  by  the  rebel  batteries  had  prevented  the  quartermaster's  department  from  bringing  a  sufficient 
number  to  Nashville.  To  remedy  the  want  of  ambulances  as  much  as  possible,  every  one  that  could  be  found  in  Nashville,  no 
matter  in  what  capacity  used,  was  taken  possession  of  and  sent  into  the  field,  to  be  used  as  circumstances  might  demand.  This 
in  a  manner  served  in  the  place  of  an  ambulance  corps,  but  the  want  of  system  and  organization  was  very  apparent.  The 
soldiers  wounded  in  the  action  of  the  15th  of  December,  were,  on  the  same  night,  brought  into  the  city,  and  placed  in  the  general 
hospitals,  where  every  necessary  attention  was  paid  them;  such  as  had  not  been  operated  upon  were  then  examined,  and  such 
measures  were  taken  as  their  cases  demanded.  The  wounded  in  the  action  of  the  16th  of  December,  1864,  were  also  brought  in  and 
placed  in  the  general  hospitals;  some  were  brought  in  by  ambulances  of  the  corps,  arid  some  by  vehicles  which  had  been  impressed 
for  that  purpose.  Surgeon  O.  Q.  Herrick,  34th  Illinois  Volunteers,  superintendent  of  transportation  of  sick  and  wounded,  made 
use  of  all  available  means  to  remove  from  the  field,  each  and  every  man  found  there.  This  was  a  matter  of  no  little  labor,  for  the 
field  of  operations  covered  several  miles,  and  wounded  men  were  in  every  portion  of  it,  and  the  cavalry  wounded  were  further 
distant;  yet  by  midday  of  the  17th  of  December,  all  our  wouyded  were  in  comfortable  hospitals,  the  recipients  of  every  attention 
that  skill  and  science  could  furnish.  The  pursuit  of  the  enemy  entailed,  as  a  natural  consequence,  much  more  labor  in  the  care  of 
the  wounded ;  the  railroads  were  destroyed,  and  all  the  wounded  had  to  be  transferred  by  means  of  ambulances  to  the  hospitals 
at  Franklin,  Columbia,  and  Pulaski.  This  was  done  under  the  supervision  of  Surgeon  O.  Q.  Herrick,  and  too  much  praise  cannot 
be  given  him  for  his  untiring  energy  and  labor  in  collecting  and  bringing  in  from  the  houses  in  the  vicinity  of  the  line  of  march, 
the  wounded  of  our  own  and  the  rebel  army.  The  cavalry  in  advance,  paid  but  little  attention  to  their  wounded,  but  left  them 
in  houses  by  the  road-side,  to  be  cared  for  by  the  surgeons  of  the  infantry  troops  who  were  following.  The  Fourth  Army  Corps 
carried  with  them  the  sick  and  wounded,  in  ambulances,  until  they  arrived  where  proper  hospital  accommodations  could  be 
furnished.  The  Sixteenth  and  Twenty-third  Army  Corps  not  being  in  the  advance,  had  no  wounded  to  be  cared  for.  In  Franklin, 
Columbia,  and  Pulaski,  a  large  number  of  rebel  wounded  were  found,  who  had  been  left  by  their  army.  A  sufficient  number  of 
medical  officers  had  been  left  with  them,  to  give  them  proper  attention.  These  wounded  were,  as  soon  as  practicable,  transferred 
in  hospital  cars,  to  Nashville;  where  they  were  placed  in  one  large  hospital.  The  medical  officer  in  charge,  was  directed  to 
furnish  them  all  necessaries,  and  such  luxuries  as  the  condition  of  their  wounds  required.  This  was  done  until  the  arrival  of  the 
commissary  general  of  prisoners,  who  directed  that  the  wounded  rebels  should  be  confined  to  prison  hospital  rations.  I  do  not 


REPORTS    OF    SURGEONS    COOPER    AND    HEARD.  325 

tliink  that  it  is  the  intention  of  the  government  to  deprive  wounded  men,  rebels  though  they  be,  of  everything  needful  for  their 
treatment.  Prison  hospitals  being  at  a  distance  from  the  front,  it  was  not  expected  that  mounted  men  would  be  brought  there, 
till  sufficiently  well  to  travel,  when  diet  would  be  but  a  matter  of  minor  import.  No  surgeon  can  give  good  results,  if  he  be  not 
allowed  to  use  every  article  called  for  by  sinking  nature,  and  to  treat  disease  untrammelled  by  orders  from  non-professional  men. 

The  wounded  of  our  armies,  who  were  left  at  Franklin,  Columbia,  and  Pulaski,  had  medical  officers  detailed  to  remain 
with  them  until  the  railroad  could  be  repaired,  when  those  who  could  bear  transportation  were  to  be  removed  to  Nashville. 
The  necessary  supplies  were  left  with  the  sick  and  wounded,  as  far  as  was  practicable,  but  not  in  such  abundance  as  would  have 
been  furnished  had  the  railroad  been  intact.  The  weather,  during  the  pursuit,  was  of  the  most  disagreeable  character;  rain  fell 
for  four  successive  days,  and  when  this  ceased,  the  weather  grew  severely  cold.  This  was  followed  by  protracted  rains  and  mud. 
Probably,  in  no  part  of  the  war,  have  the  men  suffered  more  from  inclement  weather  than  in  the  month  of  December,  1864,  when 
following  General  Hood's  retreating  army  from  Nashville  to  the  Tennessee  River.  The  result  of  this  weather  and  the  hard 
marching  was,  as  might  have  been  looked  for,  severe  affections  of  the  pulmonary  viscera,  fevers,  rheumatisms  and  diarrhoeas, 
which  served  to  fill  the  hospitals  in  this  vicinity  to  their  utmost  capacity. 

The  number  of  men  wounded  in  the  actions  in  front  of  Nashville  will  never  be  correctly  furnished,  In  consequence  of  the 
character  of  some  of  the  troops  engaged,  and  their  having  no  organized  medical  department.  The  records  of  this  office  as  far  as 
completed  show,  for  the  actions  from  Decatur  to  Nashville,  four  hundred  and  two  wounded.  In  front  of  Nashville,  and  during 
the  pursuit  of  the  rebels,  one  thousand  seven  hundred  and  seventeen  wounded.  The  wounds  were  caused  by  musketry  throwing 
conoidal  projectiles,  and  by  artillery  of  the  latest  and  most  approved  character,  and  were  received  at  all  distances,  from  contact 
with  the  muzzle  of  the  piece  to  the  extreme  rage  of  artillery  and  musketry.  The  character  of  many  of  the  wounds  was  of  the 
most  severe  kind,  having  been  received  at  short  range,  consequent  upon  the  peculiarity  of  the  battle,  which  was  a  series  of 
charges  upon  heavily  fortified  lines,  held  by  strong  forces  of  the  enemy.  The  medical  officers  of  the  army  of  the  Cumberland 
did,  in  this  campaign,  all  that  men  could  do  to  alleviate  the  sufferings  of  the  wounded  soldiery,  and  have  only  added  to  the 
enviable  reputation  gained  by  them  on  many  a  former  battle-field.  They  are  skillful,  zealous,  untiring  and  faithful,  knowing  their 
duty  and  doing  it  most  conscientiously.  The  medical  officers  of  the  Sixteenth  Corps  did  their  duty  well  and  faithfully,  but  want 
of  systematic  organization  crippled  fheir  movement  most  perceptibly.  I  will  transmit  the  nominal  list  of  wounded  as  soon  as  it 
can  be  made  out.  It  will  be  defective  in  the  cavalry  corps  and  in  those  troops  commanded  by  Major  General  Steadman. 

Very  respectfully,  your  obedient  servant, 

GEORGE  E.  COOPER, 

Surgeon  U.  S.  A.,  Medical  Director  D.  C. 
To  the  SURGEON  GENERAL  U.  S.  A." 


CCLXVITI.  ^Extracts  of  a  Report  of  the  Operations  of  the  Medical  Department  of  the  Fourth 
Army  Corps  at  Spring  Hill,  Franklin,  and  Nashville^  Tennessee.  By  Surgeon  J.  T. 
HEARD,  U.  S.  Volunteers. 

"SiR:  I  have  the  honor  to  submit  the  following  report  of  the  operations  of  the  medical  department  of  the  Fourth  Corps 
at  the  battles  of  Spring  Hill  and  Franklin,  November  sJ9th  and  30th,  respectively.  On  the  morning  of  the  29th  of  November,  the 
Fourth  Corps  consisting  of  three  divisions,  and  the  Twenty-third  Corps  of  two  divisions,  were  hi  position  on  the  north  bank  of 
Duck  River  opposite  Columbia,  Tennessee.  The  enemy,  or  the  larger  portion  of  the  rebel  army,  was  upon  the  south  bank  and 
confronting  our  lines.  At  nine  o'clock  A.  Mv  the  2d  division  of  the  Fourth  Corps  marched  for  Spring  Hill,  accompanied  bv  and 
guarding  all  the  trains  of  the  army,  with  the  exception  of  twenty  ambulances  left  with  the  1st  and  3d  divisions  of  the  Fourth 
Corps,  which  divisions  were  ordered  to  remain  with  the  Twenty-third  Corps  until  dark  and  then  to  withdraw  with  the  rest  of  the 
army.  About  two  in  the  afternoon,  the  head  of  the  column  being  within  one  mile  of  Spring  Hill,  the  commanding  general  was 
informed  that  the  cavalry  of  the  enemy  was  pushing  back  our  cavalry  and  rapidly  approaching  the  town.  The  troops  were  at 
once  pushed  forward  at  double  quick,  and  having  passed  through  the  town,  charged  the  enemy,  checked  him,  and  finally  caused 
him  to  retire.  The  division  was  then  placed  in  position  to  protect  the  pike  on  which  the  trains  were  moving.  About  four  o'clock, 
the  right  brigade  under  General  Mradley  was  furiously  attacked  by  two  brigades  of  rebel  infantry.  The  attack  was  continued 
until  nearly  dark,  when  our  right  gave  way  toward  the  pike  and  was  followed  by  the  enemy.  Fortunately  all  trains  had  then 
passed,  and  had  been  parked  north  of  the  town  where,  also,  division  hospitals  had  been  temporarily  organized,  and  the  wounded 
provided  with  primary  dressings  and  comforts.  A  few  wounded  were  unavoidably  lost  when  the  right  gave  way.  One  hundred 
and  fifteen  wounded  were  brought  to  hospital.  Shortly  after  dark  orders  were  given  to  break  up  hospitals,  load  ambulances,  and 
be  ready  to  move  with  the  other  trains  at  a  moment's  notice.  The  rest  of  the  army  reached  Spring  Hill  about  ten  p.  M..  and 
continued  their  march  through  the  town  toward  Franklin.  The  hospital  and  ambulance  trains  moved  at  the  same  time,  reaching 
Franklin  at  ten  in  the  morning  of  November  30th,  without  loss,  although  several  times  attacked  by  the  enemy's  cavalry.  The 
wounded  and  sick  were  sent  by  rail  to  Nashville  early  in  the  afternoon.  The  two  divisions  of  the  Twenty-third  Corps,  with  the 
1st  and  2d  divisions  of  the  Fourth  Corps  remained  south  of  the  Harpeth  River  and  intrenched  themselves.  The  3d  division  of 
the  Fourth  Corps  crossed  to  the  north  side  of  the  river  and  was  not  engaged  in  the  battle  of  Franklin.  At  about  one  o'clock 
in  the  afternoon  of  November  30th,  the  enemy  appeared  in  force  opposite  our  lines.  At  half  past  three  o'clock  in  the  afternoon, 
as  it  was  determined  to  withdraw  at  dark  toward  Nashville,  orders  were  given  to  send  all  trains,  except  half  the  ambulances  of 
each  division,  to  Nashville.  Soon  after  the  trains  were  fairly  on  the  road,  the  enemy  commenced  a  furious  attack  upon  the  entire 
lines.  Six  distinct  assaults  were  made,  and  by  hard  fighting  were  repulsed  with  great  loss  to  the  enemy.  As  soon  as  the  firing 
commenced,  orders  were  sent  for  the  hospital  wagons  to  be  parked  in  the  nearest  field,  and  the  tents  to  be  temporarily  pitched  ; 
all  ambulances  to  return  and  cross  the  river.  Efforts  were  there  made  to  obtain  a  train  of  cars  for  the  wounded:  the  commanding 
general,  however,  did  not  deem  it  best  that  one  should  be  telegraphed  tor.  Owing  to  the  intense  darkness  and  imperfect 
provision  for  crossing  and  reerossing  the  river,  the  movement  of  ambulances  was  necessarily  retarded.  The  wounded  were 


326  APPENDED    DOCUMENTS AKMY    OF    THE    CUMBERLAND. 

collected  at  hospital  as  rapidly  as  possible;  the  town  was  thoroughly  searched  for  wounded;  orders  were  issued  for  the  with 
drawal  of  troops  at  twelve  o'clock;  the  ambulances  worked  constantly  until  eleven  o'clock  r.  M.,  and  were  then  loaded  to  their 
utmost  with  wounded  collected  at  hospitals.  Such  slight  cases  of  disease  as  remained  were  loaded  upon  army  wagons;  the 
hospitals  and  ambulance  trains  were  the  last  to  draw  out,  and  were  closely  followed  by  the  troops.  Five  hundred  and  fifty 
wounded  were  brought  off.  From  all  that  can  be  ascertained,  it  is  probable  that  from  seventy-five  to  one  hundred  wounded  of 
this  corps  were  left  in  the  hands  of  the  enemy.  Many  rebel  wounded  fell  into  our  hands,  but  were  left  for  want  of  transportation. 
The  ambulance  train  reached  Nashville  at  nine  o'clock  A.  M.,  December  1st,  and  the  wounded  were  placed  in  general  hospitals. 
The  followin"  casualties  occurred  among  the  ambulance  men  of  this  corps:  Private  William  Malony,  Co.  D,  23d  Kentucky, 
shot  through  arm;  Private  Patrick  Martin,  Co.  E;  73d  Illinois,  severe  wound  of  leg;  Private  Henry  Donnell,  Co.  C,  36th  Illinois, 
shot  in  chest;  Private  John  Halderman,  Co.  H,  36th  Illinois,  missing  in  action;  Private  Owen  Henderson,  Co.  G,  40th  Indiana, 
shot  in  abdomen,  reported  killed.  List  of  wounded  and  tabular  statements  of  wounded  have  already  been  forwarded.  * 
On  the  morning  of  December  14th,  orders  were  received  to  be  ready  at  six  o'clock  A.  M.  December  15th,  to  move  upon  the 
enemy's  position.  The  hospitals  of  this  corps  which,  since  the  2d  of  the  month,  had  been  located  near  the  city  on  the  Franklin 
pike,  were  ordered  to  be  broken  up,  and  the  hospital  train  to  be  parked  on  the  Hillsboro'  pike,  there  to  remain  until  further 
developments.  The  sick  were  transferred  to  general  hospital.  At  seven  o'clock  A.  M.  December  15th,  the  troops  of  this  corps 
moved  out  by  the  Hillsboro'  pike,  in  front  of  the  line  of  works  occupied  by  them  during  the  two  weeks  previous  and  formed  as 
follows:  1st  division  on  the  right,  connecting  with  the  left  of  Major  General  A.  J.  Smith's  command;  2d  division  on  the  left  of 
the  1st,  and  the  3d  division  on  the  left  of  the  2d,  and  somewhat  retired.  The  hospitals  of  the  corps  were  at  once  established 
directly  on  the  Hillsboro'  pike,  and  about  a  quarter  of  a  mile  in  rear  of  the  line  of  works.  The  site  selected  was  the  lawn  in 
front  of  a  large  brick  house;  water  was  abundant  and  good.  Detachments  from  each  division  ambulance  train  were  close  in  rear 
of  the  troops,  the  remaining  ambulances  were  parked  in  rear  of  the  works  and  ready  to  move  out  when  required.  The  stretcher- 
men  were  with  their  respective  regiments.  During  the  fighting  of  December  15th,  the  line  of  this  corps  was  advanced  nearly 
two  miles.  The  loss  in  wounded  was  not  severe,  being  only  two  hundred  and  three  men.  The  wounded  were  promptly  removed 
from  the  field  and  cared  for  at  division  hospitals.  The  majority  of  the  wounds  were  caused  by  conoidal  balls.  After  dark,  the 
fighting  having  ceased,  and  all  operations  and  dressings  having  been  attended  to,  the  wounded  were  transferred  to  general 
hospital.  As  the  position  of  the  corps  had  now  changed  from  the  Hillsboro'  to  the  Franklin  pike,  the  hospital  train  was  ordered 
to  be  loaded  and  ready  to  move  at  daylight  on  December  16th.  On  the  morning  of  the  16th,  the  position  of  the  troops  of  this 
corps  Avas  as  follows:  The  3d  division  on  the  left  of  the  Franklin  pike,  connecting  with  the  right  of  Major  General  Steadman's 
command ;  2d  division  in  the  centre,  and  the  1st  division  on  the  right,  connecting  with  the  command  of  Major  General  A.  J. 
Smith.  The  hospitals  were  located  on  the  right  and  left  of  the  Franklin  pike  at  the  Springs,  about  two  miles  in  advance  of  the 
old  line  of  woi'ks;  the  ambulances  were  near  the  troops.  The  fighting  of  to-day  was  much  more  severe  than  that  of  yesterday, 
although  the  casualties  were  wonderfully  slight.  Four  hundred  and  ninety-five  men  of  this  corps  were  wounded  and  taken  to 
hospital;  shell  Avounds  being  of  more  frequent  occurrence  than  on  the  previous  day.  At  night  the  Avounded,  after  being  attended 
to,  Avere  ordered  to  be  transferred  to  general  hospital  and  the  hospital  trains  to  be  loaded  and  ready  to  move  at  early  daylight, 
either  for  the  establishment  of  the  hospitals  near  the  troops  in  the  event  of  another  battle,  or  to  be  ready  to  follow  the  corps  in 
case,  as  Avas  probable,  the  enemy  should  retreat.  The  medical  and  ambulance  officers  of  the  corps  deserve  great  praise  for  the 
faithful  and  efficient  manner  in  which  they  performed  their  arduous  duties,  Avith  little  or  no  rest  for  fifty  hours  they  yet  cheerfully 
and  fearlessly  continued  at  their  posts.  I  can  truly  say  that  I  have  never  seen  Avounded  more  promptly  removed  from  the  field, 
or  better  cared  for  in  division  hospitals.  Medical  and  hospital  supplies  Avere  abundant  and  rations  plenty.  There  were  no 
casualties  in  the  ambulance  corps,  or  among  medical  officers.  The  folloAving  number  of  wounded  of  other  commands  Avas 
receiAred  into  hospitals  of  this  corps,  viz.:  rebels,  fifteen;  12th  United  States  colored  troops,  tAvo;  13th  United  States  colored 
troops,  forty;  14th  United  States  colored  troops,  one;  100th  United  States  colored  troops,  three;  total  of  other  commands,  sixty- 
one.  Enclosed  are  lists  of  rebel  Avounded  received  into  hospitals  of  this  command." 


CCLXTX.  Extracts  from,  a  Report  of  the  Casualties  in.  the  Brigade  composed  of  the  8th,  9th, 
and  \?>th  Tennessee  Cavalry  liegiments  at  the  Engagement  at  Bull's  Gap,  Tennessee.  By 
Surgeon  A.  L.  CARRICK,  2cl  Tennessee  Cavalry. 

"At  bull's  Gap,  Tennessee,  on  November  11  and  12,  1864,  the  brigade  Avas  engaged.     *  On  the  13th,  Avhen 

orders  Avere  given  to  retreat  from  Bull's  Gap,  there  Avere  eight  of  our  Avounded'  who  could  not  be  removed,  four  being  patients 
Avhose  limbs  had  been  amputated  the  day  before.  These,  I  left  in  charge  of  Dr.  Drake,  a  surgeon  of  experience  and  reputation, 
Avho  resides  at  the  Gap.  He  volunteered  to  take  charge  of  them,  and  I  left  him  a  sufficient  supply  of  medicine,  dressings,  etc. 
The  remainder  of  our  sick  and  Avounded,  I  took  Avith  me  in  our  ambulance  train.  All  Avent  on  Avell  until  AVC  reached  Russellville, 
when  our  train  Avas  fired  upon  by  the  enemy  concealed  in  the  Avoods.  This  created  the  greatest  confusion  and  alarm.  *  *  In 
the  attack,  Hospital  Steward  Gifford,  8th  Tennessee  Cavalry,  Avas  severely  Avounded  in  the  thigh,  and  Assistant  Surgeon  Edmund 
A.  Finn,  of  the  same  regiment  Avas  captured.  The  train  retreated  precipitately  to  MorristoAvn,  the  enemy  being  close  behind. 
When  Ave  neared  Morristown,  Ave  found  the  railroad  train  from  Knoxville  in  waiting,  Avith  some  reinforcements.  I  then 
considered  all  danger  passed  as  our  forces  Avere  formed  in  line  to  resist  the  enemy,  and  I  Avent  over  to  make  arrangements  to  get 
all  my  sick  and  AA'ounded  on  board  to  be  conveyed  to  Knoxville,  but  before  I  could  get  anything  done  the  enemy,  from  various 
points,  attacked  in  overwhelming  force,  and  the  train  started  back  for  Knoxville.  Our  artillery  opened  on  the  enemy  Avith  grape 
and  canister.  Our  forces  Avere  rallied  and  made  a  vain  effort  to  stem  the  torrent;  the  ambulance  and  wagon  trains  Avere  hurried 
forward,  but  I  regret  to  state  a  panic  seized  our  men.  They  broke  in  confusion  and  disorder,  and  in  less  than  tAventy  minutes 
ambulances  and  wagons  Avere  upset  on  the  road.  Fifteen  of  the  sick  and  Avounded  got  out  and  escaped,  some  on  the  cars,  others 
on  horseback.  The  remainder,  together  with  all  the  ambulances,  hospital  stores,  and  medical  supplies,  fell  into  the  hands  of  the 


REPORT    OF    MEDICAL    DIRECTOR    SALTER.  327 

enemy.  This  catastrophe  occurred  at  midnight,  rendering  the  scene  doubly  frightful.  *  *  The  enemy  continued  to  pour  volley 
after  volley  into  our  retreating  column,  rendering  it  impossible  for  any  of  the  medical  officers  to  go  to  the  assistance  of  the 
wounded.  Next  day,  when  I  arrived  at  Strawberry  Plains,  I  found  many  of  the  sick  and  wounded,  whom  I  thought  captured, 
had  arrived  there  before  me,  these  I  sent  to  general  hospital  at  Knoxville."  *  * 


CCLXX.  Report  of  the  Operations  of  the  Medical-  Department  of  the  Cavalry  Corps  of  the 
Military  Division  of  the  Mississippi,  in  Alabama  and  Georgia,  from  March  22  to  August 
20,  1865.  By  Surgeon  F.  SALTER,  U.  S.  Volunteers,  Medical  Director. 

"The  1st,  2d,  and  4th  divisions  together  with  the  4th  United  States  Cavalry,  all  under  command  of  Brevet 
Major  General  Wilson,  composed  the  troops  engaged  in  this  campaign.  The  1st  division,  under  Brigadier  General  E.  M.  McCook 
numbered  four  thousand,  and  ninety-six  men.  The  2d  division  numbered  five  thousand  one  hundred  and  twenty-seven  men, 
under  command  of  Brigadier  General  E.  Long.  Brevet  Major  General  Upton  commanded  the  4th  division,  containing  three 
thousand  nine  hundred  and  twenty-three  men.  The  4th  United  States  Cavalry  was  on  duty  as  headquarters  guard,  and  was 
three  hundred  and  thirty-four  in  number.  There  were  thus  engaged  in  the  expedition,  in  all,  thirteen  thousand,  four  hundred 
and  eighty  men.  The  chief  medical  officers  of  the  command  were  Surgeon  Francis  Salter,  U.  S.  V.,  medical  director  •  Assistant 
Surgeon  William  T.  Okie,  U.  S.  A.,  medical  inspector ;  Surgeons  Benjamin  McCluer,  U.  S.  V.,  Frederick  Corfe  and  Francis 
Greene,  U.  S.  V.,  chief  surgeons  of  the  1st,  2d  and  4th  divisions.  There  were  altogether  fifty  medical  officers  on  duty  with  the 
command.  Orders  were  given  to  march  early  on  the  morning  of  March  22d.  The  several  divisions  moved  out  on  parallel  roads  in  a 
in  a  south-easterly  direction.  The  1st  division  forming  the  right,  the  2d  the  centre,  and  the  4th  the  left.  The  roads  all  led  to  the 
south-east,  passing  through  Eussellville  and  Jasper.  The  weather  was  pleasant,  and  the  roads  though  rough,  were  nevertheless  firm 
and  passable.  Corps  headquarters  passed  through  Cherokee  Station,  Alabama,  at  twelve  o'clock  noon,  and  at  five  o'clock  p.  M.,  after 
a  march  of  eighteen  miles,  encamped  within  a  mile  from  Barton's  Station.  March  23d,  march  began  at  an  early  hour,  weather 
fine,  country  similar  in  appearance  to  that  passed  over  on  the  day  before,  being  hilly  and  rough.  The  soil  is  here  sandy  and 
barren,  and  the  population  small.  General  Wilson  and  staff  marched  twenty-four  miles,  and  at  twelve  meridian  arrived  at  the 
dilapidated  village  of  Russellville,  county  seat  of  Franklin  County.  It  has  been  a  place  of  some  local  importance,  with  a 
population  of  two  thousand  inhabitants;  it  has,  however,  suffered  severely  from  the  ravages  of  war.  Camped  there  for  the 
night.  March  24th,  weather  pleasant;  march  began  at  eight  o'clock,  but  after  reaching  a  point  three  miles  distant,  corps  head 
quarters  went  again  into  camp  in  order  to  await  the  arrival  of  the  pontoon  and  wagon  trains,  which  had  been  delayed  on  the 
march.  General  Long  with  the  2d  division  passed  by  in  the  morning  at  nine  o'clock.  General  McCook  and  headquarters  arrived  in 
the  evening  at  six.  March  25th,  reveille  at  five  o'clock  A.  M.,  marched  at  six.  Weather  very  pleasant,  roads  good  though  occasionally 
rough.  Crossed  Big  Bear  River  at  Bell's  Factory  at  three  o'clock  p.  M.  Travelled  twenty-one  miles  and  camped  on  a  branch  of 
the  Buttahatchie  River.  General  Upton  with  the  4th  division  was  a  considerable  distance  in  advance.  General  McCook  guarded 
the  rear.  March  26th,  started  at  an, early  hour  and  marched  twenty-five  miles  to  Blackwater  Creek.  Weather  continued  to  be 
pleasant.  The  country,  like  all  yet  passed  over,  is  barren,  the  soil  is  sandy  and  supports  a  forest  of  pines.  Water  good,  forage 
found  in  sufficient  quantities  for  the  necessities  of  the  command.  Camped  for  the  night.  During  the  night  a  bridge  was  constructed 
over  the  Blackwater.  March  27th,  reveille  at  four  A.  M.,  inarched  at  five  and  a  half  A.  M.,  on  road  to  Jasper.  General  Upton  on 
the  left  letl  the  advance,  General  Long  held  the  centre  with  the  2d  division,  and  General  McCook,  with  the  1st  division,  the  rear. 
Weather  mild  with  indications  of  rain.  Road  to  Jasper  was  found,  except  in  one  or  two  places,  to  be  in  good  condition.  Arrived 
there  after  a  march  of  seventeen  miles,  at  half  past  eleven  o'clock  A.  M.  We  heard  news  to  the  effect  that  Forrest  was  fortifving 
the  road  from  Montevallo  to  Tuscaloosa  with  a  force  of  ten  thousand  men.  Orders  were  given  to  General  Upton  to  push  rapidly 
forward,  leaving  the  wagon  train  to  take  care  of  itself.  Similar  orders  wrere  'also  issued  to  Generals  Long  and  McCook. 
General  McCook  entered  Jasper  with  the  1st  division  at  two  P.  M.  At  five  o'clock  p.  M.,  General  Wilson  and  staff  arrived  on  the 
banks  of  Mulberry  Fork  of  the  Black  Warrior  River,  eight  and  a  half  miles  from  Jasper.  The  sky  had  shown  symptoms 
of  rain  since  noon,  and  now  it  began  to  fall  and  continued  during  the  whole  night.  Corps  headqtoirters  encamped  on  the  north 
bank  of  the  river.  Jasper,  through  which  we  passed  at  noon,  is  a  large  village  of  from  four  to  five  thousand  inhabitants,  has  a 
court-house  and  jail.  The  road  thence  to  Black  Warrior  was  firm  and  good.  On  arriving  at  that  stream,  we  found  that  General 
Upton  had  already  crossed  it  at  the  ford,  with  all  his  troops  and  most  of  his  wagons.  This  fork  of  the  Black  Warrior  was  at 
this  point  about  one-eighth  of  a  mile  wide,  with  a  depth  ranging  from  one  to  three  or  four  feet,  and  a  very  rapid  current.  The 
bottom  was  very  rocky  and  uneven,  and  the  banks  on  each  side  very  precipitous.  March  JJc'th,  the  weather  was  very  damp  and 
disagreeable.  The  greater  part  of  the  day  was  taken  up  in  getting  the  troops  and  wagon  trains  over  the  river.  Many  horses 
lost  their  footing,  and  many  men  were  dismounted,  but  none  were  drowned.  We  crossed  the  Locust  Fork  of  the  Black  Warrior  at 
the  ford  at  four  o'clock  P.  M.  This  stream  is  deeper  than  the  Mulberry  Fork,  but  not  so  wide  nor  so  rapid;  the  distance  between 
the  two  forks  is  eight  and  a  half  miles.  The  country  between  them  is  barren  and  thinly  settled.  The  people  are  very  ignorant 
and  poor,  but  of  "Union"  proclivities.  General  Wilson  camped  at  night  on  south  bank  of  this  fork.  March  29th,  the  day  was 
occupied  in  getting  the  1st  and  2d  divisions  over  the  Locust  Fork  of  the  Black  Warrior  River.  General  Wilson  remained  in 
camp  all  day.  Captain  Brown,  acting  chief  quartermaster,  was  ordered  to  take  charge  of  corps  trains.  Weather  rainy.  March 
30th,  stalled  on  the  road  to  Elyton  at  half  after  six  o'clock.  Weather  cloudy  but  cold,  rain  had  ceased  to  fall.  The  main  road  was 
found  to  be  very  muddy.  We  arrived  at  Elyton  at  one  o'clock  P.  SI.,  a  distance  of  twenty  miles,  having  crossed  Black  ('reek  on 
our  way  at  Lamson's  flour  mills.  These  mills  were  burned.  The  country  had  now  begun  to  assume  a  more  fertile  and  cultivated 
appearance.  Elyton  is  a  very  pretty  village  of  from  three  to  four  thousand  inhabitants.  The  route  on  which  we  had  hitherto 
conir,  since  leaving  Chickasaw,  had  been  south-easterly  from  Elyton,  until  we  arrived  at  Sehna.  We  now  advanced  due  south. 
Tlic  1  st  brigade  of  the  1st  division  was  detached  from  the  command  at  this  point,  and  ordered  to  proceed  to  Tuscaloosa  and  destroy  the 
rebel  government  works  there.  Large  iron  works  six  miles  south  of  Elyton  were  burned.  We  arrived  at  night  on  the  banks  of 


328  APPENDED    DOCUMENTS WILSON 's    CAVALKY    EXPEDITION. 

Cahawba  River,  fifteen  miles  from  Elyton.     Tlie  railroad  bridge  had  fortunately  been  left  uninjured,  and  was  easily  fixed  to  allow  the 

crossing  of  trains.     Tire  last  four  miles  of  the  road  were  very  rough  and  muddy.     March  31st,  fine  drizzly  rain  fell  early  in  the 

mornin"-;  weather  cleared  after  sunrise.     The  railroad  bridge  across  the  Cahawba  was  a  quarter  of  a  mile  long,  and  had  been 

planked  the  day  before  by  General  Upton.     The  Cahawba  River  is  at  this  point  an  eighth  of  a  mile  broad,  and  quite  deep.     The 

crossing  would  have  been  troublesome  had  the  bridge  been  burned.     Large  iron  works  half  a  mile  from  the  river  were  burned. 

Arrived  at  Montevallo  at  eleven  o'clock  A.  M.,  distance  fourteen  miles  from  the  Cahawba  road.     The  country  was  wooded  but  the 

forests  differed  from  those  through  which  we  had  hitherto  passed,  there  being  some  oak  mixed  with  the  pines.     The  soil  though 

still  sandy  is  more  fertile  than  that  north  of  Elyton.     Montevallo  is  a  village  of  two  thousand  inhabitants,  but  was  nearly  deserted 

at  our  entrance.     General  Upton  had  his  headquartei's  there  and  was  awaiting  our  approach.     The  rebels  were  now  reported, 

for  the  first  time,  to  be  before  us  in  some  force.     They  were  charged  by  the  3d  Iowa,  and  dispersed  with  the  loss  of  twenty 

prisoners.     Left  Montevallo  on  road  to  Selma,  at  three  o'clock  P.  M.      General  Long  advanced  with  the  2d  division  on  the 

road  to  Randolph,  to  the  right  of  the  main  road  to  Selma,  General  Upton  kept  the  main  road.     There  was  continual  skirmishing 

with  the  rebels,  but  they  were  unable  to  check  our  advance  in  the  slightest  degree.     We  went  into  camp  twelve  miles  from 

Montevallo  at  half  past  seven  o'clock  P.  M.     There  had  been  during  the  day  several  men  wounded,  and  one  or  two  killed.     April 

1st,  marched  at  an  early  hour;  at  Randolph,  a  small  village  seventeen  miles  from  Montevallo,  General  McCook  was  ordered  with 

the  2d  brigade  of  the  1st  division  to  take  the  road  to  Centerville,  and  to  co-operate  with  General  Croxton  against  Jackson,  who 

was  reported  to  be  on  the  Tuscaloosa  and  Centerville  road  with  four  thousand  men.     General  Long  on  the  right,  and  Upton  on 

the  left,  had  a  brilliant  fight  with  the  rebels  under  Forrest  in  person,  defeating  them  with  severe  loss.     There  were  captured  from 

the  enemv,  three  pieces  of  artillery  and  three  hundred  prisoners;  there  Avas  besides  quite  a  number  killed.     The  loss  on  our  side 

was  forty  wounded,  and  twelve  killed.     We  arrived  at  Plantersville,  after  a  march  of  twenty-six  miles,  at  six  o'clock  P.  M.     Corps 

headquarters  at  house  of  Mrs.  Discoe.     A  quantity  of  rebel  hard  tack  and  some  forage  bags  were  found  in  the  depot.     April  2d, 

a  hospital  was  established  in  the  village  church  for  the  reception  of  the  sick  and  wounded.     Assistant  Surgeon  T.  A.  McGraw, 

U.  S.  V.,  was  ordered  to  remain  in  charge,  with  Assistant  Surgeon  T.  J.  Maxwell,  3d  Iowa  Cavalry,  as  assistant.     There  was 

left  in  the  hospital  forty  wounded,  and  eighteen  sick,  together  with  a  sufficient  number  of  nurses.     The  depot  was  burned, 

together  with  a  storehouse  containing  cotton.     The  command  then  moved  on   toward  Selma,  twenty-one  miles  distant.     The  4th 

and  '2d  divisions  arrived  in  front  of  Selma  at  two  o'clock  in  the  afternoon,  and  at  sundown  an  attack  was  made.     Forrest  was  in 

command  of  the  rebels,  and  endeavored  to  defend  the  city,  but  without  success.     Our  troops  took  the  breastworks  by  assault, 

and  entered  the  city  with  the  flying  rebels.     In  the  confusion  resulting  from  the  night  attack,  a  large  number  of  stores  were 

plundered  and  burned.     Our  loss  was :  Killed,  four  officers  and  thirty-five  enlisted  men.     Wounded,  twenty-four  officers  and  two 

hundred  and  twelve  enlisted  men.     We  captured  twenty-three  hundred  prisoners,  a  large  number  of  small  arms  and  cannon,  and 

the  work-shops  and  arsenals  which  supplied  the  armies  of  the  west  with  ammunition  of  all  kinds.     Forrest  escaped  with  his 

escort,  and  retreated  toward  Plantersville.     On  his  way  he  came  across  a  party  of  federals  asleep  in  a  neighboring  field,  under 

command  of  Lieutenant  Roys  and  Lieutenant  Mullin,  4th  United  States  Cavalry.     He  charged  on  them  in  their  sleep,  and  refusing 

to  listen  to  their  cries  of  surrender,  killed  or  wounded  the  entire  party,  numbering  twenty-five  men.     April  3d  the  day  was 

spent  in  restoring  order  in  Selma.     The  2d  brigade  of  the  1st  division,  which  had  been  unsuccessful  in  the  attempt  to  unite  with 

the  1st  hrigade;  was  ordered  back  to  protect  the  wagon  trains.     Forrest  arrived  at  Plantersville  on  his  retreat,  and  captured  the 

hospital,  which  had  been  left  without  a  guard.     He  paroled  all  the  nurses  and  slightly  wounded  men,  and  left  the  surgeons  and 

patients  unmolested.     A  corps  hospital  was  established  in  Selma  for  our  wounded.     April  5th,  a  party  of  the  2d  division  went  to 

Cahawba  an.<l  recaptured  several  of  our  prisoners  confined  there.     April  Gth,  the  wagon  train  arrived  at  Selma.     Arsenals  and 

government  Avarehouses  Avere  found  destroyed  by  fire.     April  7th,  negroes  gathered  together  to  be  organized  into  three  regiments, 

one  for  each  division.     Sick  and  Avounded  men  Avere  brought  in  ambulances  from  Pluntersviile  and  put  in  the  corps  hospital. 

General  Wilson  met  Forrest  on  the  Cahawba  River  under  a  flag  of  truce.     It  Avas  determined  to  take  along  on  the  march  all 

the  sick  and  AA'ounded  Avhose  situation  Avould  permit  of  it,  and  to  leaAre  only  such  as  Avere  very  ill  or  badly  Avounded.     Engineers 

Avere  busily  engaged  in  building  a  pontoon  bridge  over  the  Alabama  River.     The  Alabama  RiA-er  is,  at  this  point,  about  five 

hundred  yards  Avide.     It  has  a  very  rapid  current  and  a  depth  that  admits  of  navigation  by  steamboats  of  considerable  size; 

Selma  is  situated  on  its  north  bank.     It  is,  or  Avas,  a  beautiful  city  of  fifteen  thousand  inhabitants,  containing  many  fine  residences 

and  large  government  Avork-shops.     April  9th,  it  had  been  determined  to  move  toAvard  Montgomery,  but  the  pontoon  bridge  broke 

for  the  second  time  and  prevented  the  Avhole  command  from  crossing  until  late  in  the  night.     Camped  on  the  south  side  of  the  river. 

Left  in  hospital  at  Selma  sixty-eight  patients  under  charge  of  Surgeon  Larkins,  17th  Indiana,  and  Assistant  Surgeon  J.  N.  Raley, 

10th  Missouri  Cavalry.     Rations  for  forty  days  Avere  left  with  them,  as  also  plenty  of  medicines  and  othei  supplies.     April  10th, 

began  our  march  to  Montgomery.     Forrest  had  refused  to  acknoAvledge  any  paroles,  and  General  Wilson  accordingly  ordered  all 

prisoners  to  be  brought  along  under  guard.     The  citizens  however  and  some  of  the  militia  were  paroled.     The  Aveather  Avas  good, 

although  the  roads  were  muddy  from  recent  rains.     Surgeon  G.  W.  Carter,  3d  loAva  Cavalry,  Avas  ordered  to  take  charge  of  the 

hospital  train.     This  train  Avas  composed  of  the  ambulances  belonging  to  the  corps/together  -with  a  number  of  Avagons  properly 

fitted  up  Avith  beds  and  blankets.     We  marched  fifteen  miles  to  the  village  of  Benton,  and  camped  there  during  the  night.     Benton 

is  a  small  village  of  no  particular  importance.     April  llth,  began  to  inarch  at  six  o'clock  A.  M.     Sky  cloudy  and  threatening  rain. 

Our  route,  since  leaving  Selma,  has  been  due  east  on  the  road  to  Montgomery,  south  of  the  Alabama  River.     One  mile  from  Benton 

AVC  passed  through  a  swamp  a  mile  long.     The  road  Avas  very  bad  and  almost  impassable  for  Avagons.     After  leaving  the  sAvamp, 

however,  we  found  the  roads  to  be  smooth  and  dry,  leading  over  a  rolling  country.     Thirteen  miles  from  Benton,  the  column  passed 

through  the  village  of  LoAvndesboro'.     This  village  AYas  one  of  the  most  beautiful  that  AVC  have  yet  passed  through.     It  is  built  up 

of  large  elegant  mansions,  and  is  inhabited  by  rich  planters.     It  has  a  population  of  about  one  thousand  five  hundred.     Small  pox 

Avas  raging  furiously,  and  in  some  families  had  attacked  all  the  members.     WTe  here  received  the  news  of  the  fall  of  Richmond. 

Went  into  camp  eighteen  miles  from  Montgomery,  after  a  march  of  eighteen  miles.     April  12th,  started  from  camp  at  five  A.  M. 

Weather  very  pleasant  and  roads   good.     General  McCook  Avith   the  1st  division   led  the  advance.     The  city  capitulated  to 

General  McCook  early  in  the  morning,  and  a  provost  guard  having  been  stationed  in  it,  the  troops  marched  through  and 


REPORT    OF    MEDICAL    DIRECTOR    SALTER.  329 

camped  outside.  The  inhabitants  received  the  troops  without  manifestations  of  joy,  but  at  least  without  any  evidences  of 
dislike.  Private  property  was  everywhere  respected.  The  rebel  troops  before  our  entrance,  had  burned  a  quantity  of  cotton 
of  great  value ;  the  citizens  expressed  a  great  deal  of  anger  at  the  occurrence.  Montgomery,  the  capital  of  Alabama,  is  a 
beautiful  city,  and  contains  a  large  number  of  elegant  residences ;  it  is  situated  on  the  south  side  of  the  Alabama  River. 
This  river  is  navigable  to  the  city  by  small  steamers.  April  13th,  hospital  train  came  into  the  city  at  five  o'clock  P.  M.,  and  was 
unloaded  at  Saint  Mary's  Hospital.  The  transportation  of  so  many  sick  and  wounded  had  been  found  to  be  a  serious  encumbrance 
on  the  march,  and  it  had  therefore  been  determined  to  leave  them  at  this  city.  There  were,  accordingly,  sufficient  quantities  of 
commissary  stores  and  medicines  left  in  the  hospital,  for  the  wants  of  the  sick  and  wounded.  There  was  left  in  Montgomery, 
one  hundred  and  forty-four  men,  under  charge  of  Assistant  Surgeon  D.  C.  Dome,  17th  Indiana  Mounted  Infantry.  April  14th, 
started  for  Columbus  at  eight  o'clock  A.  M.  Weather  pleasant,  roads  excellent ;  marched  due  east  twenty  miles,  and  then  encamped. 
April  15th,  started  at  seven  and  a  half  o'clock,  A.  M.  General  Upton  way  ahead.  Weather  cloudy  and  threatening  rain.  Arrived 
at  Tuskegee,  forty-two  miles  from  Montgomery,  at  two  o'clock  p.  M.  Tuskegee  is  a  village  of  three  thousand  inhabitants  and  a 
county  seat.  It  has  a  jail,  court-house,  and  young  ladies'  seminary.  Left  Tuskegee  at  five  o'clock.  It  began  to  rain  just  as  we 
left,  and  continued  to  do  so  for  two  hours.  Encamped  at  seven  o'clock  at  a  farm  house  forty-eight  miles  from  Montgomery  arid 
thirty-six  from  Columbus.  April  16th,  commenced  our  march  at  seven  o'clock.  The  country  passed  over  is  not  so  fertile  as  in  the 
immediate  vicinity  of  Selma,  and  has  been  worn  out  by  the  defective  system  of  agriculture.  We  passed  through  Society  Hill,  and 
two  other  small  villages,  on  our  route.  General  Upton  again  led  the  advance,  Weather  was  fine  and  the  roads  were  in  good  order. 
We  arrived  opposite  Columbus  at  three  o'clock  P.  M.,  and  found  General  Upton  preparing  to  attack  the  works.  The  attack  began 
at  seven  o'clock  p.  M. ;  and  notwithstanding  the  resistance  of  the  enemy  who  was  entrenched  on  the  neighboring  hills,  our  forces 
drove  him  from  his  breastworks  and  captured  the  bridge  leading  over  the  Chattahoochee  River  to  the  city.  The  attack  was  made 
exclusively  by  the  4th  division ;  our  loss  was  but  twenty-eight  wounded,  and  five  killed.  There  were  captured  from  the  enemy 
nearly  two  thousand  prisoners,  a  large  quantity  of  arms  and  ammunition,  and  all  the  government  stores,  shops,  and  arsenals  in  the 
city.  Columbus  was  a  city  of  nearly  twenty  thousand  inhabitants,  and  is  situated  on  the  east  bank  of  the  Chattahoochee  River. 
It  was  connected  with  the  Alabama  side  of  the  river  by  three  bridges,  at  the  time  of  its  occupation  by  our  forces.  It  was  a  place  of 
considerable  importance  as  a  manufacturing  town,  having  a  number  of  mills  and  work-shops  of  different  kinds.  While  the  main 
body  of  the  troops  were  thus  engaged,  Colonel  La  Grange  had  been  detached  at  Opelika,  and  ordered  to  destroy  the  railroads  and 
depots  at  West  Point.  Arriving  there  April  16th,  he  attacked  and  carried  the  fortifications  built  to  defend  the  place,  though  not 
until  after  a  severe  struggle,  in  which  we  lost  in  killed  and  wounded,  thirty-seven,  of  whom  seven  were  killed.  April  17th,  the 
women  and  children  who  had  been  employed  in  the  factories  and  arsenals,  turned  out  with  one  accord,  to  pillage  the  stores  and 
warehouses  of  the  rebel  government.  The  government  buildings  were  burned  with  the  exception  of  the  hospitals.  It  was  determined 
to  leave  our  sick  and  wounded,  with  a  proper  amount  of  stores  of  all  kinds,  in  the  hospitals  of  the  city.  Assistant  Surgeon  Samuel 
Whitten,  3d  Iowa  Cavalry,  was  detailed  to  take  charge  of  them;  in  all,  thirty-five  patients  were  left  at  Columbus.  April  18th, 
bridges  over  the  Chattahoochee  River  were  burned,  together  with  such  public  buildings  as  had  escaped  the  day  before.  We 
commenced  to  move  at  nine  o'clock  on  the  road  to  Macon,  via  Thomaston,  marched  twenty-one  miles  and  encamped.  The  weather 
was  pleasant  and  the  roads  good.  The  character  of  the  soil  was  different  from  that  of  Alabama;  it  consisted  of  red  clay,  beneath 
which  was  a  layer  of  limestone.  Several  cannon  and  a  lai'ge  number  of  wagons  left  on  the  road,  showed  that  the  enemy  had  fled 
in  the  greatest  confusion.  April  19th,  the  command  marched  at  an  early  hour,  the  2d  division  in  advance.  The  weather  was 
very  windy,  and  the  roads  dry  and  dusty.  The  forests  presented  a  somewhat  different  appearance  from  those  by  which  we 
rode  yesterday,  having  oak  mixed  with  the  pines.  Our  advance,  consisting  of  the  4th  Michigan  Cavalry,  had  captured  the 
bridges  over  the  Flint  River,  forty-four  miles  from  Columbus.  We  arrived  there  at  twelve  o'clock  noon.  The  Flint  River 
here  is  very  rapid  and  not  easily  forded.  A  further  march  of  ten  miles  brought  us  to  Thomaston,  a  village  of  about  fifteen 
hundred  inhabitants.  After  having  crossed  Big  Potato  Creek,  we  encamped,  at  six  o'clock  p.  M.,  at  Thomaston.  April  20th, 
corps  headquarters  began  their  march  at  six  o'clock  A.  M.  Weather  was  good ;  the  roads  were' very  dry  and  dusty.  Our  course, 
which  from  Columbus  to  Thomaston  had  been  to  the  northeast,  now  deviated  to  the  southeast.  Thomaston  is  forty-seven  miles 
from  Macon.  Our  advance  was  met  by  a  flag  of  truce,  announcing  that  General  Sherman  had  entered  into  an  armistice  with 
Johnston,  and  demanding  that  we  should  halt  where  we  were.  The  officer  commanding  the  advance,  however  had  no  authority 
to  stop  his  march,  and  by  the  time  the  letter  had  reached  General  Wilson  the  city  of  Macon  had  already  been  captured. 
Thus  imperfectly  are  the  main  incidents  of  the  march  of  General  Wilson's  command  from  Chickasaw,  Alabama,  to  Macon, 
Georgia,  recorded  and  reported  for  the  information  of  Surgeon  George  E.  Cooper,  U.  S.  A.,  medical  director  of  the  army  and 
department  of  the  Cumberland.  It  had  been  intended  to  render  the  report  more  complete,  and  give  the  points  of  interest  more  in 
detail.  The  reports  from  surgeons  in  charge  of  subordinate  commands  are  not,  however,  so  explicit  as  to  permit  the  execution  of 
this  intention.  One  or  two  points  I  desire  to  present  to  the  medical  director.  First,  that  the  ambulance  corps  organization 
operated  as  successfully  in  the  cavalry  as  in  the  infantry  corps.  Secondly,  no  patients  were  left  on  the  roadside  in  the  rear  of  the 
advancing  forces,  and  all  were  provided  for  in  regularly  furnished  hospitals.  Two  accidents  arose  from  the  magazines  of  the 
Spencer  Carbine  exploding,  from  being  half  filled,  while  on  hot  march  by  concussion ;  in  one  instance  the  magazine  was  in 
the  pouch,  in  the  other  in  the  stock  of  the  carbine.  The  tin  tubes  or  magazines  which  contain  the  fixed  ammunition,  should 
therefore  be  kept  filled ;  four  inches  of  play  on  a  hot  day  may  explode  them,  as  evidenced  in  these  two  cases.  The  greatest 
energy  and  assiduity  on  the  part  of  all  the  medical  officers  was  observable  throughout  the  campaign." 


330  APPENDED    DOCUMENTS ARMY    OF    THE    TENNESSEE. 

CCLXXI.     Extract  from  Report  of  a  Medical  Inspection  of  General   Grants  Army,  April 
23,  1863.     By  Medical  Inspector  E.  P.  VOLLUM,  U.  S.  Army. 

*  *  *  it  rpjie  amount  of  medical  supplies  at  Young's  Point,  Louisiana,  the  headquarters  of  the  army  of  Tennessee  on 
March  24th,  was  sufficient  to  meet  the  wants  of  ten  thousand  men  in  the  field  for  three  months,  consisting  of  the  usual  field  supply 
assorted  in  convenient  form  for  ready  distribution.  Cooking  utensils  and  hospital  clothing  had  recently  been  exhausted  by  fitting 
up  Van  Buren  general  hospital,  at  Milliken's  Bend,  where  it  was  intended  to  accommodate  one  thousand  men.  To  make  up  this 
deficiency,  Assistant  Surgeon  J.  W.  Brewer,  U.  S.  A.,  medical  purveyor  at  Young's  Point,  had  already  made  a  requisition 
on  the  purveyor  at  Memphis  for  these  articles,  and  hospital  stores  generally,  for  five  thousand  men,  which  arrived  soon  after. 
On  the  20th  of  March,  Assistant  Surgeon  Brewer  made  a  requisition  on  Memphis  for  assorted  supplies  for  seventy-five  thousand 
men  in  the  field  and  five  thousand  in  hospital  for  three  months.  Some  of  these  supplies  had  begun  to  arrive  on  the  30th  of  March. 
Surgeon  C.  Sutherland,  U.  S.  A.,  informed  me  that  when  lie  was  medical  purveyor  at  Memphis,  in  the  early  part  of  February, 
he  made  a  requisition  on  Medical  Storekeeper  Creamer,  at  Saint  Louis,  for  supplies  for  one  hundred  and  sixty-five  thousand  men 
in  the  field  and  ten  thousand  in  hospital,  to  be  delivered  at  Memphis.  Most  of  these  supplies  had  been  shipped  from  Saint 
Louis  March  12th,  and  a  cargo  of  them  was  landed  at  Memphis  March  20th  from  the  steamer  on  which  I  took  passage  down  the 
Mississippi.  Surgeon  Sutherland  further  informed  me  that  Read  &  Co.,  druggists,  of  Chicago,  Illinois,  notified  him  about  the 
1st  of  February  that  they  had  received  orders  from  Surgeon  Satterlee,  medical  purveyor  at  New  York,  to  forward  to  Memphis 
medical  supplies  for  one  hundred  and  fifty  thousand  men  in  the  field  for  three  months.  From  these  facts  it  will  be  seen  that 
there  are,  in  close  proximity  to  the  army  of  the  Tennessee,  supplies  sufficient  for  the  present,  and  that  there  will  soon  be  enough 
for  six  months  to  come.  Steamers  ply  frequently  between  Young's  Point  and  Memphis,  making  the  round  trip  in  four  or  five 
days,  so  that  in  case  of  loss  or  destruction  of  medical  property,  deficiencies  can  easily  be  made  up ;  and  to  insure  the  transportation 
of  these  supplies,  a  standing  order  from  the  headquarters  of  the  army  of  the  Tennessee  requires  all  transports  destined  for 
Young's  Point,  and  touching  at  Meinphis,  to  take  on  any  medical  supplies  put  up  for  the  army. 

From  an  examination  of  the  receipts  in  the  medical  purveyor's  office,  Young's  Point,  it  was  evident  the  commands  in  front  of 
Vicksburg  had,  in  March,  a  sufficiency  of  all  kinds  of  medical  supplies  for  present  use.  The  medical  stores  at  Young's  Point, 
Louisiana,  iu  charge  of  Assistant  Surgeon  Brewer,  are  stored  on  the  steamer  Des  Arc,  a  vessel  pressed  into  the  service  for  this 
purpose.  The  stores  are  arranged  conveniently  in  boxes  placed  on  shelves  in  the  cabins  or  stored  in  the  state-rooms.  As  supplies 
are  needed  by  the  commands  scattered  up  and  down  the  river,  this  steamer  plies  from  point  to  point  distributing  them. 

At  Cairo,  Illinois,  March  18th,  Medical  Storekeeper  H.  Stevens  had  in  store,  ready  for  issue,  medical  supplies  for  fifty 
thousand  men  for  six  months.  His  establishment  was  business-like  and  orderly,  and  his  books  showed  that  his  requisitions 
were  usually  filled  on  the  day  they  were  received,  or  on  the  following  one.  Medical  Storekeeper  Stevens  is  authorized  by  his 
instructions  to  keep  on  hand  supplies  for  fifty  thousand  men  only,  and  he  complains  that  he  has  on  several  occasions  had  demands 
from  Memphis  for  quantities  beyond  his  authority  to  fill.  This  cannot  happen  in  future,  owing  to  the  abundance  of  stores  at 
Meinphis.  The  purveying  establishment  at  Memphis,  under  charge  of  Assistant  Surgeon  Joseph  P.  Wright,  U.  S.  A.,  is  by  far 
the  most  extensive  and  important  place  of  the  kind  in  the  west.  The  whole  of  the  department  of  the  Tennessee,  now  comprising 
some  one  hundred  and  ten  thousand  men  in  the  field,  besides  post  hospitals  in  the  towns  along  the  line  of  railroad  leading  to 
Jackson,  Corinth,  and  La  Grange,  ten  hospitals  in  operation  in  Memphis,  and  those  at  Helena,  Arkansas,  is  supplied  from  it. 
This  establishment  occupies  four  five-story  buildings,  which  are  nearly  filled.  The  employes  consist  of  two  citizens  as  clerks, 
eleven  enlisted  men,  and  five  contrabands,  as  laborers.  Stores  are  constantly  arriving  and  departing,  and  the  place  bears  the 
.  appearance  of  our  largest  business  houses.  The  amount  of  hospital  clothing  and  bedding  on  hand  seems  large  enough  for  any  possible 
demand,  and  includes  a  proper  proportion  of  gowns,  caps,  slippers,  and  socks.  Just  previous  to  my  arrival  at  Memphis,  April 
5th,  there  had  been  sent  to  the  field  hospitals,  and  Young's  Point,  Louisiana,  three  thousand  five  hundred  bedsacks,  three  thousand 
blankets,  two  hundred  blanket  cases,  three  hundred  and  seventy-four  counterpanes,  two  thousand  hair  pillows,  four  thousand 
shirts,  and  four  thousand  drawers.  The  extent  of  the  operations  and  the  importance  of  the  purveying  establishment  at  Memphis 
make  it  a  proper  place  for  a  medical  storekeeper.  The  one  at  Cairo  could,  with  advantage  to  the  service,  be  removed  there,  and 
his  place  should  be  supplied  by  a  purveyor.  Assistant  Surgeon  Wright,  medical  purveyor  at  Memphis,  would  prefer  a  post 
where  his  professional  acquirements  could  be  brought  to  bear,  such  as  the  charge  of  general  hospital,  Jackson,  Tennessee,  which 
he  recently  left.  The  important  question  arises  in  this  place  as  to  what  point  is  most  suitable  for  a  purveying  depot  for  the  army 
of  the  Tennessee.  Unquestionably  while  that  army  occupies  its  present  position,  Memphis  is  the  place;  but  that  point  being  on 
debatable  ground,  and  the  stores  being  in  constant  danger  of  capture  or  destruction,  a  reserve  supply  should  be  beyond  danger, 
and  no  place  seems  so  convenient  to  the  lines  of  travel  as  Cairo ;  and  until  the  situation  of  our  armies  in  the  west  changes, 
I  would  recommend  that  supplies  for  one  hundred  thousand  men  be  kept  there.  Preparations  are  in  progress  for  the  destruction 
of  Memphis  by  our  forces  in  case  of  an  attack  by  the  enemy,  and  it  is  proper  that  precautions  be  taken  for  the  safety  of  the 
medical  property  stored  there.  The  only  plan  at  all  feasible  is  to  keep  it  afloat  as  in  a  wharf  boat,  I  may  mention  that  General 
Grant  is  not  at  all  easy  about  the  hospitals  and  medical  property  at  Memphis.  In  case  of  an  attack  by  the  rebels  they  would 
embarrass  him  seriously.  I  was  unable  to  learn  that  there  had,  at  any  time,  been  a  deficiency  of  medical  supplies  in  the  army 
of  the  Tennessee  so  as  to  occasion  suffering.  During  General  Sherman's  expedition  up  the  Yazoo  River,  and  after  his 
attack  on  Vicksburg  in  the  latter  part  of  February,  the  regular  supplies  of  bedding  gave  out,  but  that  on  the  steamers  conveying 
the  troops  was  quickly  turned  to  uwe  instead.  In  concluding  this  subject,  I  will  quote  General  Sherman,  who  stated,  March  15th, 
'  that  the  field  hospitals  of  the  arrny  of  the  Tennessee  an;  now  admirably  supplied  with  everything  that  a  generous  and  bountiful 
government  could  or  should  bestow;  and  no  one  deplores  more  than  I  do  the  spirit  of  falsehood  and  calumny  that  harrows  the 
minds  of  our  people  at  home,  and  has  led  to  such  anxiety  of  the  medical  authorities  concerning  the  condition  of  our  troops.' 
Surgeon  H.  S.  Hewitt,  U.  S.  V.,  while  medical  director  of  the  army  of  the  Tennessee,  March  16th,  stated  that  the  amount  of 
medical  supplies  now  on  hand  and  being  received  by  the  medical  purveyor  '  are  sufficient  for  all  exigencies  that  may  arise,  and 
there  can  be  no  cause  for  complaint,  and  any  person  making  such  complaints  may  well  be  suspected  of  a  design  to  disaffect  the 


MAP 

0  F 

YICKSBURC  a  VICINITY 


Plate  XIY.  oj?  p.  331 


REPORT    OF    MEDICAL    DIRECTOR    MILLS.  (331 

people  and  demoralize  the  army ;'  and  'the  sweeping  charges  that  have  been  made  against  the  medical  department  of  the  army  are 
unjust  and  malicious,  and  have  originated  among  designing  persons,  if  not  with  southern  sympathizers.' 

Taking  into  account  the  field,  convalescent,  and  floating  hospitals,  hospital  steamers,  and  general  hospitals  at  Memphis, 
Cairo,  Mound  City,  Paducah,  Evansville,  Saint  Louis,  and  at  other  points  further  north,  there  can  be  no  doubt  that  there  is  ample 
accommodation  for  the  sick  of  the  army  of  the  Tennessee,  Instead  of  a  deficiency,  I  should  rather  say  that  many  thousands  of 
beds  now  ready,  or  being  prepared,  would  never  be  occupied,  unless  that  army  suffers  beyond  precedent.  I  spent  a  couple  of 
days  among  the  hospitals  in  and  around  Saint  Louis,  and  as  medical  inspector  on  duty  at  that  point  furnished  monthly  reports 
concerning  them,  I  therefore  consider  any  remarks  from  me  about  them  at  this  time  superfluous,  further  than  to  express  my 
admiration  of  their  appointments,  discipline,  tidiness,  and  general  good  conditon,  in  which  particulars  they  compare  favorably 
with  any  I  have  yet  seen ;  and  I  am  not  sure  but  for  the  kind  of  buildings  converted  to  use,  stores,  hotels,  etc.,  they  are  the  most 
complete  hospitals  I  have  seen.  The  hospitals  in  Memphis  are  in  an  incomplete  condition."  * 


CCLXXIL     Report  of  the  Medical  Director  of  the  Army  of  the  Tennessee  from  May  1  to  July 
4,  1863.     By  Surgeon  MADISON  MILLS,  U.  S.  Army,  Medical  Director. 

*  "I  have  the  honor  to  forward  the  following  report,  with  statements  of  the  number  wounded  in  the  several 
engagements  in  which  the  different  corps  of  the  army  of  which  I  am  medical  director  have  participated  during  the  month  of  May. 
In  obedience  to  instructions  from  the  general  commanding,  I  remained  at  Milliken's  Bend,  Louisiana,  until  the  army  had  moved,  for 
the  purpose  of  providing  for  the  accommodation  of  the  sick  and  convalescent  left  behind.  A  convalescent  camp  was  established 
for  each  corps,  under  the  charge  of  a  medical  as  well  as  of  a  line  officer,  and  the  men  were  sent  forward  as  soon  as  they  were  able 
to  inarch.  The  sick  were  transferred  to  hospitals  provided  for  their  reception,  which  were  ample  for  the  emergency.  On  May  5th 
I  moved  from  Milliken's  Bend,  and  May  9th  joined  the  headquarters  of  General  Grant  at  Rocky  Springs,  Mississippi.  Shortly  after 
assuming  the  duties  of  medical  director,  in  the  month  of  March,  I  had  ordered  all  medical  officers  to  make  quarterly  requisitions  for 
supplies,  commencing  on  April  1st.  The  system  of  making  special  requisitions  having  prevailed  to  a  great  extent  in  this  armv,  I 
was  determined  to  have  the  abuse  corrected  as  far  as  it  was  in  my  power  to  do  so,  and  no  special  requisitions  were  allowed  to  be 
made  unless  for  extra  issues,  and  accompanied  with  a  proper  certificate,  explaining  the  necessity  for  the  articles  called  for.  My 
instructions  on  this  important  subject  were  obeyed  fully  in  the  Seventeenth  Army  Corps,  only  partially  in  the  Thirteenth,  and 
almost  wholly  disregarded  in  the  Fifteenth.  My  correspondence  with  the  medical  director  of  the  latter  corps  in  relation  to 
this  matter  has  already  been  forwarded  to  your  office.  Owing  to  the  neglect  of  these  corps  directors — the  Thirteenth  and 
Fifteenth — to  enforce  a  proper  obedience  of  this  important  order,  and  with  the  determination  that  the  army  should  not  suffer  by 
their  mismanagement,  I  had  abundant  supplies  forwarded  by  the  medical  purveyor  from  Milliken's  Bend  at  different  times,  and 
placed  two  assistant  surgeons  temporarily  on  duty  as  acting  purveyors,  who  brought  the  stores  within  reach  of  the  army.  The 
army  moved  rapidly,  and  with  scanty  transportation  for  a  time.  Some  medical  officers  failed  to  carry  their  supplies,  having  been 
ordered  by  their  commanding  officers  to  leave  them  and  give  ammunition  the  preference;  but  I  know  that  the  commanding  general 
intended  that  nothing  pertaining  to  the  medical  department  should  be  left.  This  interference  on  the  part  of  generals  commanding 
divisions  might  have  resulted  in  serious  trouble  to  my  department,  if  I  had  not  taken  the  precaution  to  hurry  up  the  supplies 
before  mentioned.  The  battle  of  Port  Gibson  occurred  before  I  joined  the  army  in  the  field.  In  this,  all  the  divisions  of  the 
Thirteenth  Corps,  and  one  division  of  the  Seventeenth,  were  engaged.  We  were  successful,  and  retained  possession  of  the  field, 
and  had,  altogether  on  our  side,  five  hundred  and  sixty-one  men  wounded.  The  medical  directors  of  the  two  corps  organized 
temporary  hospitals  on  the  field,  and  subsequently  a  large  mansion  was  secured  for  hospital  purposes.  It  was  not  retained  for  any 
length  of  time  as  we  did  not  intend  to  occupy  the  country  in  the  vicinity,  and  the  general  commanding  ordered  it  to  be  broken  up 
and  the  cases  transferred  to  Grand  Gulf,  on  the  Mississippi  River.  A  very  excellent  location  was  found  here  for  that  purpose. 
Our  first  engagement,  after  the  entire  army  had  crossed  the  Mississippi  River,  occurred  near  Raymond,  Mississippi,  on  May  12th, 
in  which  one  division  of  the  Seventeenth  Corps  (McPherson's)  engaged  the  enemy  for  several  hours,  and  defeated  him.  They 
were  driven  off  the  field,  leaving  their  dead  and  wounded.  Our  wounded,  numbering  two  hundred  and  nineteen,  were  promptly 
attended  to  in  field  hospitals,  and  the  next  day  removed  to  hospitals  in  Raymond,  only  a  few  miles  distant.  Medical  officers  and 
supplies  were  left  with  them.  The  wounds  received  by  our  men  in  this  engagement  were  generally  severe.  The  rebels  occupied 
two  buildings  in  the  town  with  their  wounded.  On  May  14th  the  city  of  Jackson,  Mississippi,  was  attacked  at  two  points  by 
our  forces,  the  Fifteenth  (Sherman's)  and  Seventeenth  Corps,  and  after  three  hours'  fighting  the  place  was  captured.  The 
heaviest  fighting  was  by  the  Seventeenth  Corps,  in  which  we  had  one  hundred  and  sixty-six  men  wounded.  The  Fifteenth  Corps 
engaged  on  the  right  and  lost  but  few,  and  had  only  twelve  men  wounded.  McPherson's  Corps  captured  the  place.  Ample 
hospital  accommodations  were  found  in  the  city,  and  appropriated.  The  rebels  had  hospitals  established  which  contained  the 
wounded  unable  to  escape.  Medical  and  other  supplies  were  readily  obtained  from  the  drug  stores,  and  our  men  were  made 
as  comfortable  as  possible.  Surgeon  Hewitt,  U.  S.  V.,  and  three  assistants  were  left  to  take  charge  of  them.  On  May  15th 
our  army  moved  towards  Vicksburg,  McPherson's  Corps  leaving  Jackson  first,  and  joined,  the  next  day,  with  the  Thirteenth 
Corps,  (McClernand's.)  General  Sherman's  corps  remained  to  destroy  Confederate  property,  and  moved  on  the  16th.  The  battle 
of  Champion  Hills  took  place  on  May  16th,  in  which  the  Thirteenth  and  Seventeenth  corps  engaged  the  enemy  under  General 
Pemberton.  This  bloody  battle  was  hotly  contested  for  nine  hours,  and  finally  resulted  in  a  complete  victory  for  our  arms. 
We  had  one  thousand  five  hundred  and  sixty-three  wounded,  who  were  attended  to  in  three  division  hospitals  organized  in  such 
dwellings  as  could  be  conveniently  appropriated  for  the  purpose.  Our  men,  with  a  few  exceptions,  were  removed  from  the  field 
the  following  morning  before  daylight,  and  attended  to  by  an  efficient  coqis  of  medical  officers  in  the  hospitals.  Operations, 
as  a  general  rule,  were  well  and  speedily  performed,  and  the  wants  of  our  wounded  \\viv  provided  for  as  far  as  circumstances 
would  permit.  Our  troops  were  now  getting  short  of  hard-bread,  and  it  was  difficult  to  obtain  a  sufficiency  t'.-r  the  hospitals. 


332  APPENDED    DOCUMENTS ARMY    OF    THE    TENNESSEE. 

Beef  was  plenty  and  nutritious  soups  were  readily  made,  together  with  corn  bread,  so  that  our  men  subsisted  fairly  enough  until  a, 
full  supply  of  rations  were  sent  to  them.  Hospitals  for  the  enemy's  wounded  were  also  established  and  attended  to  by  our  medical 
officers  as  well  as  by  their  own.  We  also  found  rebel  hospitals  on  the  field  which  had  been  established  previous  to  the  battle. 
They  were  destitute  of  provisions  as  well  as  medical  supplies.  I  remained  on  the  battle-field  three  days,  and  on  May  19th  had  all 
cases  that  could  be  moved  transferred  to  the  front,  leaving  a  sufficient  number  of  medical  officers  to  look  after  those  remaining.  On 
May  20th  five  wagon  loads  of  supplies,  consisting  of  medicines,  stores,  and  blankets  reached  them,  and  at  my  suggestion  thirty 
thousand  rations  for  our  wounded  there,  as  well  as  at  Jackson  and  Raymond,  were  sent  to  the  rear  by  a  flag  of  truce,  and  reached 
their  destination  about  May  25th.  The  battle  next  in  order  occurred  at  Black  River  Bridge.  In  this,  two  divisions  of  the  Thir 
teenth  Corps  participated  and  had  one  hundred  and  sixty -nine  men  wounded.  Dwellings  near  the  field  of  engagement  were  used 
as  division  hospitals,  and  the  wounded  were  satisfactorily  cared  for.  On  May  18th  the  army  reached  the  rear  of  Vicksburg,  and 
from  that  date  up  to  the  23d  we  had  frequent  and  severe  engagements  with  the  enemy.  I  have  had  the  list  of  wounded  during 
these  days  consolidated  in  one  tabular  statement,  as  on  the  24th  there  was  a  cessation  of  hostilities.  All  those  wounded  subse 
quently  are  reported  in  a  statement  at  the  end  of  each  week,  and  the  tabulated  statements  forwarded  with  this  report  are  complete 
up  to  May  30th.  The  whole  number  wounded  wras  two  thousand  seven  hundred  and  twenty-seven.  Each  of  the  ten  divisions  of 
the  army  had  its  own  hospital  established  and  conducted  in  obedience  to  instructions  issued  from  my  office  on  April  8th.  Most  of 
these  were  located  at  farm  houses,  and  were  extended  by  erecting  tents  or  sheds  around  them.  They  were  well  conducted,  and 
under  the  charge  of  efficient  medical  officers.  Abundant  supplies  were  at  hand  and  our  communication  being  opened  with  the 
Yazoo  River  and  Young's  Point,  transports  loaded  with  medical  and  subsistence  stores  were  only  six  miles  distant  from  the  centre 
of  our  line.  The  medical  purveyor  is  abundantly  supplied  with  every  necessary  article,  including  dressings,  stimulants,  hospital 
stores,  and  bedding.  Cots  and  mattresses  have  been  furnished  to  every  hospital  on  requisition.  There  is  now  also  an  abundant 
supply  of  ice.  In  addition  to  these  division  hospitals,  I  had  a  field  hospital  established  for  each  corps  for  the  treatment  of  such 
cases  as  wrere  too  severely  wounded  to  be  removed  to  the  general  hospitals  up  the  Mississippi.  Three  hospital  transports,  the  R. 
C.  Wood,  D.  A.  January,  and  City  of  Memphis,  have  been  used  in  transferring  such  wounded  as  were  proper  cases  to  be  sent  to 
Memphis,  where  there  are  nearly  five  thousand  beds,  two  thousand  of  which  are  yet  vacant.  All  slightly  wounded  cases  were 
directed  to  be  kept  in  camp  under  charge  of  their  own  regimental  surgeons.  It  is  the  desire  of  the  commanding  general  that  the 
sick  and  wounded  of  this  army  should  not  be  removed  from  his  department.  The  division  hospitals  in  the  rear  of  this  place  are 
generally  well  selected,  being  situated  on  high  ridges,  healthful  in  all  respects,  and  beyond  the  reach  of  the  enemy's  fire.  I  am 
satisfied  that  our  wounded  improve  more  rapidly  here  than  elsewhere.  Some  deaths  have  occurred  by  removing  the  wounded  at 
too  early  a  period,  and  I  have  instructed  all  division  surgeons  not  to  transfer  cases  that  will  suffer  by  being  transported.  All 
proper  cases  have  been  sent  to  the  general  hospitals  at  Memphis  and  none  remain  except  the  seriously  wounded.  I  have  had 
a  number  of  invalids  removed  to  the  hospitals  at  Saint  Louis ;  these  were  cases  that  had  been  lingering  for  sevei'al  months  in  the 
hospitals  at  Milliken's  Bend,  who  probably  would  not  have  recovered  while  remaining  in  this  climate.  *  *  I  would  state,  in 
conclusion,  that  a  large  proportion  of  our  wounded,  left  from  necessity  at  Raymond,  Champion  Hills,  and  Black  River,  have  been 
brought  forward,  and  to-day  fifty  ambulances  and  a  supply  train  have  been  sent  by  flag  of  truce  to  these  places,  and  I  expect  that 
nearly  all  of  those  remaining  will  reach  this  camp  to-morrow  evening.  I  inclose  tabular  statements  of  wounded  in  the  battles  and 
skirmishes  during  the  campaign  from  Milliken's  Bend,  Louisiana,  to  the  rear  of  Vicksburg,  Mississippi,  and  during  the  siege  of 
Vicksburg  to  May  30th.  Many  of  the  surgeons  plead,  in  excuse  for  not  sending  in  these  statements  at  an  earlier  day,  that  they 
were  in  campaign,  marching  rapidly,  with  inadequate  means  of  transporting  their  baggage,  and  that  the  necessary  materials  for 
making  these  reports  could  not  be  taken  with  them.  They  claim  that  since  their  arrival  here  a  constant  siege  has  been  kept  up 
and  that  they  have  been  too  busy  to  admit  of  their  doing  it.  Some  of  the  records  have  been  very  carelessly  kept  and  may  not  be 
exactly  correct.  It  is  a  most  difficult  task  to  get  correct  papers  from  many  of  the  surgeons  of  this  army.'' 
» 

Consolidated  Statement  of  the  Number  of  Wounded  in  the  Engagements  of  the  Army  of  the 

Tennessee  during  the  Month  of  May,  1863. 

Tort  Gibson,               Mississippi ".T.   Thirteenth  Army  Corps 513 

Seventeenth  "           48 

Fourteen-Mile  Creek,         "         Fifteenth                          9 

Raymond                            "         Seventeenth  "           219 

Jackson                               "         Fifteenth  "           12 

"         Seventeenth  "           166 

Champion  Hills                  "         Thirteenth                        956 

"         Seventeenth  "           607 

Black  River  Bridge            "         Thirteenth  "           169 

Siege  of  Vicksburg  from  May  18th  to  May  30th Thirteenth                       863 

....   Fifteenth                          1,086 

"                         "                           .   Seventeenth  "  778 


Total 5,426 

Total  by  corps : 

Thirteenth  Army  Corps 2, 501 

Fifteenth         "         "      1,107 

Seventeenth   "         "      .' 1,818 


REPORT   OF    ASSISTANT    SURGEON    DEGRAW,    TJ.    S.   A.  333 

Consolidated   Statement  of  the  Number  of  Wounded  in  the  Engagements  of  the  Army  of 

the  Tennessee  from  May  1  to  June  27,  IS  63. 

Battle  of  Port  Gibson,  Mississippi,             May    1st 561 

"         Fourteen-Mile  Creek,  Mis'ippi,  May  12th 9 

"         Raymond,  Mississippi,                 May  12th 219 

"         Jackson,  Mississippi,                   May  14th '' 178 

"         Champion  Hills,  Mississippi,      May  16th 1, 563 

"         Black  River  Bridge,  Mis'ippi,    May  17th 169 

Siege  of  Vicksburg,  for  the  week  ending  May  23d 2,  544 

"                "          May  30th 183 

"                 "                 "          June    6th 89 

June  13th 85 

"                 "                 "          June  20th :...  116 

"                "                "                "         June  27th 271 


Total 5,987 


CCLXXIII.     Second  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By 
Assistant  Surgeon  C.  S.  DE&KAW,  U.  S.  Army. 

*  *  *  "  In  March,  1863,  I  received  orders  to  report  to  the  general  commanding  the  Department  of  the  Tennessee. 
General  Grant's  headquarters  were  then  at  Milliken's  Bend,  Louisiana.  I  reached  there  on  April  9th,  and  was  ordered  to  report 
to  Surgeon  Charles  McMillan,  U.  S.  V.,  medical  director  of  the  Fifteenth  Corps,  for  assignment  to  duty  with  the  1st  battalion,  13th 
U.  S.  Infantry,  then  in  camp  at  Yotmg's  Point,  Louisiana,  opposite  Vicksburg.  General  Grant  was  at  this  time  preparing  to  make 
an  attack  on  Vicksburg,  and  for  the  purpose  of  diverting  the  enemy's  attention  from  important  movements  then  being  made 
about  the  end  of  the  month  of  April,  instructed  General  Sherman  with  his  corps,  to  make  a  demonstration  against  Raines's  Bluff. 
The  battalion  took  part  in  this  demonstration.  Although  the  troops  did  not  come  to  any  actual  engagement  with  the  enemy,  they 
were  for  a  time  under  fire  from  the  Raines's  Bluff  batteries,  and  conducted  themselves  admirably.  Immediately  upon  our  return 
from  this  expedition  to  Young's  Point,  orders  were  issued  transferring  us  to  Milliken's  Bend.  Here,  in  the  course  of  a  day  or 
two,  we  received  orders  to  join  the  army  then  in  the  field,  marching  upon  Vicksburg  in  the  rear.  Grand  Gulf  was  in  the 
possession  of  our  troops.  The  battle  of  Port  Gibson  had  been  fought  and  won ;  our  armies  had  proved  victorious  at  Raymond  and 
Jackson ;  at  Champion  Hills  a  determined  stand  was  made.  We  did  not  reach  there  till  near  the  close  of  the  battle,  and  were 
then  ordered  in  as  skirmishers ;  but  'the  enemy  was  already  on  the  retreat.  The  2d  division  of  the  Fifteenth  Corps  did  not 
participate  in  the  early  part  of  the  engagement,  but  captured  a  number  of  prisoners.  The  next  day  the  enemy  was  closely 
followed  up.  Our  crossing  the  Black  River  at  Bridgeport,  was  delayed  by  a  small  force  left  there  by  the  enemy.  We  succeeded 
after  a  time  in  dislodging  the  enemy,  and  crossed  the  same  evening,  May  17th,  by  means  of  a  pontoon  bridge.  Early  on  the 
morning  of  the  18th  we  were  on  the  march,  reaching  Walnut  Hills,  in  the  rear  of  Vicksburg,  that  afternoon.  The  battalion  was 
ordered  forward  as  skirmishers,  the  enemy's  skirmishers  falling  back.  By  that  evening  we  were  established  upon  the  hills. 
On  the  19th  an  assault  was  ordered  to  be  made  at  two  o'clock  P.  M.  on  the  enemy's  works.  The  nature  of  the  ground  rendered 
this  task  most  difficult,  being  a  succession  of  ravines  choked  up  with  brush  and  trees  felled  to  obstruct  our  progress ;  and  all 
directly  under  the  fire  of  the  enemy's  musketry  and  artillery.  The  condition  and  morale  of  the  1st  brigade,  2d  division,  was 
excellent.  Those  unable  to  bear  heavy  marching  had  been  left  at  the  camp,  so  that,  with  few  exceptions,  the  men  were  in  good 
fighting  condition.  The  regiments  forming  our  brigade  did  not  average  three  hundred  men  each.  The  1st  battalion  went  into 
action  on  the  19th  about  two  hundred  strong;  next  morning,  eighty-three  were  reported  killed,  wounded  or  missing;  a  few 
of  the  missing  made  their  appearance  during  the  day.  Of  the  twelve  officers  seven  received  marks  of  bullets.  This  will  show 
the  earnestness  with  which  the  men  fought  for  the  possession  of  Vicksburg.  Most  of  the  regiments  in  the  1st  brigade  were  well 
supplied  with  medical  and  hospital  stores,  also  with  ambulances ;  some  for  want  of  transportation  did  not  carry  hospital  tents, 
but  every  thing  of  this  kind  was  readily  supplied,  communication  being  open  with  the  Yazoo  River.  In  the  assault  of  the  19th 
the  wounded  received  immediate  temporary  attention,  and  were  then  conveyed  by  means  of  ambulances  to  the  division  hospital, 
distant  about  a  mile.  Here  the  attention  rendered  was  constant.  At  the  hospital,  water  was  readily  obtained  from  cisterns,  there 
being  no  wells  and  very  few  springs;  food  and  soup  were  supplied  plentifully.  The  men  were  exposed  from  two  o'clock  i>.  M. 
till  dark  to  a  most  deadly  fire  of  both  musketry  and  artillery,  mostly  at  very  short  range.  The  principal  fire-arm  used,  was  the 
smooth-bore  musket  with  buck  shot  and  ball ;  though  of  this  I  cannot  speak  with  certainty,  as  I  witnessed  as  many  wounds  from  the 
conoidal  ball  as  the  other.  As  early  as  convenient  many  of  the  wounded  were  transferred  by  boat  to  hospitals  north.  The 
principal  operations  were  amputation  and  resection.  I  saw  no  primary  amputations  on  the  field.  Chloroform  was  the  anaesthetic 
employed.  I  did  not  observe  any  deaths  from  its  use.  Our  own  casualties  were  over  sixty,  being  proportionally  greater  than 
those  of  the  other  regiments  engaged.  The  assault  of  the  19th  having  failed,  another  was  ordered  on  the  22d.  The  battalion 
being  detached  at  that  time  I  did  not  witness  the  action.  This  assault  also  failed.  In  both  assaults  our  loss  was  very  heavy,  but 
the  confidence  of  the  men  remained  unshaken.  After  the  failure  of  the  second  assault  a  seige  was  determined  upon,  which 
terminated  in  the  capitulation  of  Vicksburg,  July  4th.  That  same  evening  we  received  orders  to  prepare  to  march  next  day  to 
join  General  Sherman,  who  was  in  command  of  the  forces  at  Black  River,  watching  Johnston.  Accordingly  on  the  morning  of 
'the  5th  we  marched,  and  reached  Black  River  on  the  6th  ;  Johnston  falling  back  toward  Jackson.  We  followed  him  up  closely 
and  arrived  in  front  of  Jackson  on  the  10th.  We  found  the  place  fortified  and  Johnston  determined  to  make  a  stand.  \\  n 


334  APPENDED    DOCUMENTS ARMY    OF    THE    TENNESSEE. 

proceeded  to  invest  the  place,  and  on  the  17th  the  enemy  evacuated.  The  casualties  of  our  brigade  were  very  few,  not  averaging 
over  two  to  a  regiment.  The  division  hospital  had  been  established  about  a  mile  and  a  half  from  our  rifle  pits,  and  every 
preparation  made  for  a  large  number  of  wounded;  fortunately  they  were  not  needed.  On  the  23d  we  took  up  our  line  of  march 
back  toward  Black  River  for  the  purpose  of  going  into  camp  for  rest  and  reconstruction.  Reached  camp  between  Vicksburg  and 
Black  River  on  the  25th." 

CCLXXIV.     Extracts  from  the  Report  of  the  Chief  Medical  Officer  of  KimbaWs  Provisional 
Division,  for  June,  1863.     By  Surgeon  J.  C.  WHITEHILL,  U.  S.  Volunteers. 

*  *  *  "I  have  the  honor  to  report  that  I  have  been  on  duty  with  this  division  in  the  field  during  the  past  month.  I 
left  Jackson,  Tennessee,  on  the  first  of  the  month,  under  special  orders  from  Major  General  Oglesby.  On  our  way  down  the 
Mississippi  River,  the  transport  steamer  Chancellor  having  on  board  the  106th  Illinois  Infantry,  was  fired  into  by  guerillas.  One 
man  received  a  conical  ball  about  four  inches  from  the  spine,  and  below  the  point  of  the  scapula  of  the  right  side,  which  passed 
out  through  the  clavicle  of  the  same  side,  fracturing  it  near  the  middle  without  wounding  the  subclavian  artery.  He  died  in 
about  ten  minutes.  Another  received  a  ball  in  the  same  region,  which  passed  up  under  the  scapula  and  lodged  near  the 
humeral  articulation ;  it  could  not  be  removed.  Three  others  were  wounded  slightly.  While  dressing  one  of  the  wounded  men, 
I  received  three  holes  through  my  coat,  but  escaped  injury.  Our  division  disembarked  at  Satartia,  about  forty  miles  from 
the  mouth  of  the  Yazoo  River.  A  portion  of  it  led  by  the  general  himself,  immediately  pushed  forward  to  Mechanicsburg,  about 
lour  miles  distant,  where  it  engaged  and  defeated  a  rebel  force  and  destroyed  the  place.  We  lost  one  killed,  and  had 
seventeen  wounded.  The  rebel  loss  was  greater  than  ours,  but  was  not  definitely  ascertained ;  some  of  their  wounded  fell  into 
our  hands  and  were  cared  for.  We  subsequently,  under  orders  from  Major  General  Grant,  fell  back  to  Haines's  Bluff  and  thence 
to  this  point.  The  march  from  Sartartia  was  a  very  severe  one ;  the  weather  was  very  warm  and  the  men  suffered  severely. 
There  were  many  cases  of  sunstroke,  but  no  deaths  from  that  cause.  A  captain  was  killed  by  the  accidental  discharge  of  a  gun 
in  his  own  hands  while  removing  it  from  a  wagon,  and  one  man  was  wounded.  In  consequence  of  our  transfer  to  a  warmer 
climate  at  this  season  of  the  year,  and  the  unavoidable  encampment  of  unacclimated  troops  in  a  very  miasmatic  locality,  the  increase 
of  sickness  was  such  as  to  render  necessary  the  organization  of  a  large  division  hospital,  which  was  placed  under  the  immediate 
charge  of  Surgeon  York,  of  the  54th  Illinois  Infantry.  *  *  To  obviate,  as  far  as  possible,  the  large  and  rapid  increase  of  disease 
among  us,  every  possible  effort  has  been  made  to  improve  the  sanitary  condition  of  the  troops ;  the  most  stringent  sanitary  orders 
have  been  promulgated  and  rigidly  enforced.  I  have  made  frequent  visits  to  the  respective  camps  and  given  personally,  such 
instructions  and  directions  as  were  deemed  necessary ;  and  as  an  important  sanitary  measure  from  which  much  good  has  resulted, 
I  have  detailed  an  officer  to  the  especial  duty  of  inspecting  the  camps  and  reporting  to  these  headquarters  weekly,  as  to  the 
police  of  the  respective  camps,  the  preparation  and  cooking  of  their  food,  and  all  other  matters  pertaining  to  the  health  of  the 
command.  Since  the  adoption  of  this  course  a  marked  improvement  is  perceptible,  and  I  have  no  doubt  a  large  amount  of 
sickness  is  prevented  by  the  more  faithful  enforcement  of  hygienic  measure.  I  have  approved  but  six  discharge  papers,  five  tenders 
of  resignation  based  on  surgeon's  certificates,  and  four  leaves  of  absence  during  the  month. '  There  have  been  three  thousand  and 
fifty-two  cases  prescribed  for  during  the  month,  being  one  in  2.48.  There  have  been  twenty  deaths,  three  officers  and  seventeen 
enlisted  men  ;  being  a  mortality  of  one  in  152.6  of  the  cases  treated,  and  one  in  379.95  of  the  command.  The  present  ratio  of 
sickness  is  one  in  9.38  of  the  command.  This  is  a  large  ratio  and  is  attributable  to  the  very  large  number  of  intermittents 
consequent,  in  addition  to  the  causes  already  stated,  to  the  exposure  of  new  and  unacclimated  troops  to  heavy  picket  duty, 
severe  marching,  and  unusually  heavy  fatigue  duty  in  constructing  fortifications.  Another  prolific  source  of  disease  has  been 
the  inferior  quality  of  the  water,  and  the  extremely  filthy  condition  in  which  some  of  our  camp  grounds  had  been  left  by 
former  occupants.  These  combined  cause*  added  largely  and  rapidly  to  our  sick  list,  both"  of  bowel  affections  and  miasmatic 
diseases.  The  former  were  rapidly  amenable  to  the  usual  remedies,  but  the  combined  testimony  of  medical  officers  is  that 
periodic  diseases  here  require  larger  doses  of  quinine  than  further  north.  During  the  latter  part  of  the  month  a  number  of  cases 
of  intermittents  assumed  a  pernicious  or  malignant  form  of  unusual  severity.  No  extraordinary  or  alarming  symptoms 
usually  mark  the  inception  or  progress  of  this  disease,  until  the  fatal  collapse  sets  in,  when  the  attention  of  the  attendant 
being  arrested  by  the  slightly  heaving  respiration  of  his  patient,  he  finds  him  with  feeble  pulse,  cool  skin  and  inclined  to 
stupor.  If  unarrested  these  symptoms  rapidly  increase  in  intensity.  An  icy  coldness  prevades  the  entire  surface,  which  is 
covered  with  a  clammy  perspiration ;  the  heart's  action  grows  more  feeble  until  at  length  it  ceases  entirely,  and  the  patient, 
unconscious  of  suffering,  sinks  into  the  arms  of  death  without  a  struggle.  This  disease  has  proved  highly  intractable,  every 
variety  of  treatment  being  alike  unavailing  when  the  stage  of  collapse  has  fairly  set  in.  The  first  premonition  of  collapse 
should  be  the  signal  for  the  administration  of  an  active  mustard  emetic,  to  be  followed  by  very  large  doses  of  quinia,  combined 
with  small  portions  of  capsicum,  morphia  and  strychnia,  with  alcoholic  stimulants,  and  the  energetic  use  of  hot  frictions, 
sinapisms  and  other  revulsives.  As  in  other  miasmatic  localities  all  classes  of  disease  assume  more  or  less  of  the  periodic  type, 
and  require  medication  accordingly,  with  antiperiodic  remedies,  prominent  among  which  here  as  elsewhere,  stands  the  sulphate 
of  quinia.  Our  camps  thus  far  in  this  region  of  the  country  have  been  bordering  upon,  or  in  the  vicinity  of  the  lowlands  of  the 
Mississippi  and  Yazoo  Rivers ;  and  so  long  as  we  remain  in  such  localities,  we  must  expect  miasmatic  diseases  to  abound."  *  *  * 


COLXXV.     Extract  from  a  Report  on  the  Actions  before  Jackson,  Mississippi,  from  July  6  to 
20, 1 863.     By  Surgeon  CHARLES  McMiLLAN,  IT.  S.  V.,  Medical  Director  of  the  Fifteenth  Corps. 

"I  believe  the  results  of  operations  are  very  favorable,  although  all  the  very  severely  wounded  were  brought 
the  whole  distance  from  Jackson  to  Big  Black  River  on  litters  carried  ahead  of  the  moving  column,  and  starting  before  daylight 
each  morning,  so  as  to  make  the  distance  allotted  to  each  day,  before  the  sun  became  oppressive  and  the  dust  began  to  rise.  A 
medial  officer  from  each  division  accompanied  the  train,  with  an  ambulance  containing  supplies  of  nourishment  and  stimulants, 


REPORTS  OF  SURGEONS  READ  AND  SANGER.  335 

and  a  water  cart  with  a  supply  of  fresh  water,  renewed  whenever  practicable,  011  the  march.  They  arrived  at  our  present  camp, 
near  the  Big  Black  River,  in  good  condition,  cheerful  and  hopeful.  They  have  been,  retained  in  their  camps  for  treatment,  until 
able  to  be  sent  home  on  furlough,  transferred  to  the  Invalid  Corps,  or  discharged  from  service.  Amputations  have  been  followed 
in  most  cases  by  very  gratifying  results.  One  case  of  amputation  of  the  thigh  within  a  half  inch  of  the  trochanter,  recovered  in 
a  surprisingly  short  time,  and  with  hardly  an  unfavorable  symptom  throughout."  *  *  * 


CCLXXYI.     Extract  from  a  Report  on  the  Battle  of  Baton  Rouge,  Louisiana.     By  Surgeon 
EZRA  READ,  21st  Indiana  Volunteers. 

*  *  *  "At  the  battle  of  Baton  Rouge,  August  5,  1862,  the  21st  Indiana  Volunteers  went  into  action  with  five  hundred 
and  eighty-five  men.  As  the  regiment  occupied  the  centre,  it  was  exposed  to  a  constant  fire  during  the  action,  and  for  a  short 
time  received  a  heavy  cross  fire  from  the  enemy's  right  flank.  No  regiment  suffered  so  much  in  killed  and  wounded.  Twenty- 
four  men  were  killed  on  the  field  and  ninety-seven  wounded.  Every  field  officer  was  killed  or  wounded.  The  projectiles  from 
the  enemy's  small  arms  were  oblong  and  inflicted  injuries  of  the  most  serious  character.  In  anticipation  of  a  renewed  attack 
the  wounded  were  removed  to  the  general  hospitals  at  New  Orleans,  before  any  opportunity  was  offered  to  inspect  individual 
cases.  Four  of  the  wounded  died  befoi-e  transportation,  two  on  transport,  and  several  since  in  general  hospital."  *  *  * 


CCLXXVIL     Extracts  from  the  Reports  of  the   Chief  Medical   Officer  of  the  2d  Division, 
Nineteenth  Corps.     By  Surgeon  EUGENE  F.  SANGER,  U.  S.  Volunteers. 

*  *     *     "  General  T.  W.  Sherman  and  staff  left  New  Orleans  for  the  vicinity  of  Port  Hudson,  May  21, 1863.     Port  Hudson 
was  completely  invested  May  24th,  and  the  assault  was  made  on  the  27th.     The  action  commenced  at  six  hundred  yards  with  a 
murderous  fire  of  mini6  balls,  grape,  and  canister,  and  approached  within  one  hundred  yards.     Total  killed,  sixty-one;  total 
wounded,  four  hundred  and  twenty-five.      Number  of  amputations,  thirty:  leg,  two;  thigh,  three;  arm,  nine;  fore-arm,  one; 
fingers,  fourteen,  and  toes,  one.     In  many  instances  spiculse  of  bone  were  removed,  and  an  effort  to  save  limbs  was  attempted 
where  comminution  wras  not  too  great;  but  all  our  wounded  being  sent  to  Baton  Rouge  the  result  cannot  be  determined  at  present. 
I  am  satisfied  that  too  many  limbs  are  amputated,  and  if  greater  efforts  were  put  forth  in  constructing  good  roads  and  easy 
transportation  from  the  division  hospitals  to  landing  places,  and  comfortable  and  well-ventilated  general  hospitals,  the  ratio  of 
deaths  would  be  smaller  and  the  percentage  of  amputations  much  less.     The  distance  from  the  battle-field  to  division  hospital 
was  two  and  a  half  miles,  over  rough  roads  with  poor  ambulances.     Distance  from  division  hospital  to  Springfield  Landing, 
eight  miles,  and  thence  to  Baton  Rouge  by  boat,  eighteen  miles.     *     *     June  30th,  the  division  still  lay  before  Port  Hudson. 
General  Sherman  was  wounded  through  the  right  leg,  comminuting  the  tibia  below  the  tuberosity,  and  producing  transverse 
fracture  of  the  fibula,  caused  by  small  gr*ape  shot.     Resected  the  tibia,  leaving  the  lower  spur,  which  was  not  cracked  from  the 
distal  end  of  the  fractured  tibia,  attached  to  overlap  and  meet  the  proximal  end  of  the  fracture.     The  leg  was  amputated, 
however,  at  New  Orleans.     Total  number  of  killed  and  wounded  during  the  month  of  June:    killed,  twenty-one;  wounded, 
two  hundred  and  eighty-three;  total,  three  hundred  and  four.     Killed  and  wounded  during  the  assault  of  the  13th  and  14th  of 
June :  killed,  eighteen ;  wounded,  two  hundred  and  three ;  total,  two  hundred  and  twenty-one.     Number  of  troops  engaged  on  the 
14th,  about  three  thousand;  distance  from  four  to  five  hundred  yards.     Nature  of  missiles,  conical  balls,  grape,  and  canister. 
Number  of  amputations,  forty;  of  resections,  five.     Amputations:  thigh,  four;  leg,  one;  arm,  two ;  fore-arm,  one ;  shoulder,  one ; 
fingers  and  metacarpal  bones,  thirty ;  toes,  one.     Resections :  shaft  of  humerus,  one ;  humerus  at  distal  end,  three ;  ulna  and  radius, 
one.     Resections  are  all  doing  well.     No  indications  of  erysipelas  supervened  in  the  case  of  those  operations  which  were  retained 
in  my  division  hospital.     Some  cases  of  compound  comminuted  fracture  of  the  thigh  were  saved,  and  did  well  as  long  as  we  could 
retain  them  in  division  hospital.     I  saw  two  of  them  at  Baton  Rouge  some  three  weeks  afterward,  and  they  were  doing  well.     I 
observed  at  Baton  Rouge  several  cases  of  erysipelas  among  the  wounded. 

The  following  is  the  result  of  a  hasty  examination  of  the  wounded  at  Baton  Rouge  on  the  21st  of  June,  from  the  battles 
of  the  27th  of  May  and  14th  of  June.  Amputations:  thigh,  primary,  twenty-six  cases,  seven  deaths;  secondary,  four  cases, 
three  deaths.  Leg,  primary,  one  case;  secondary,  five  cases,  two  deaths.  Arm,  primary,  twenty-three  cases,  one  death; 
secondary,  three  cases.  Fore-arm,  primary,  four  cases.  Shoulder,  three  cases,  one  death.  Resections :  shoulder,  two  cases, 
doing  poorly;  elbow,  two  cases,  one  death,  (amputated;)  knee,  one  case,  one  death;  tibia,  one  case.  Compound  fractures: 
thigh,  four  cases,  two  doing  fair;  leg,  four  cases,  one  doing  fair;  arm,  one  case;  radius,  one  case.  Ligation  of  arteries:  femoral, 
four  cases,  three  deaths ;  carotid,  two  cases,  one  death ;  brachial,  one  case ;  erysipelas,  ten  cases." 

CCLXXV1II.     Extracts  from  the  Report  of  the  Medical  Director  of  the  Nineteenth  Corps,  for 
April,  1864.     By  Surgeon  EUGENE  F.  SANGER,  U.  S.  Volunteers. 

*  *     *     "  Shortly  after  leaving  Natchitoches  we  entered  the  yellow  pine  woods  of  upper  Louisiana,  and  skirmishing  became 
almost  constant.     April  7th,  three  miles  beyond  Pleasant  Hill  our  cavalry  became  engaged  with  the  enemy,  in  a  little  opening  in 
the  pine  woods  bordering  on  a  small  bayou.     The  country  was  hilly,  thickly  covered  with  pine  trees,  and  the  clearings  small  and 
infrequent.     The  consequence  was  that  the  firing  was  at  short  range,  and  the  wounds  were  very  severe  and  fatal.     The  cavalry 
loss  was  ten  killed,  and  forty-seven  wounded.     This  engagement  is  known  as  Wilson's  Farm.     I  took  the  wounded  back  to 
Pleasant  Hill,  furnished  them  with  rations,  medical  supplies,  and  a  medical  officer ;  and  the  entire  force  advanced  early  in  the 
morning,  leaving  the  wounded.    April  8th,  the  battle  of  Sabine  Cross  Roads  was  fought  at  about  five  o'clock  p.  M.,  seventeen  miles 
from  Pleasant  Hill,  and  about  two  and  a  half  miles  from  Mansfield.     This  battle  was  also  fought  in  a  little  opening  in  the 


336  APPENDED    DOCUMENTS DEPARTMENT   .OF    THE    GULF. 

woods,  at  short  range  with  minie  balls.  I  had  just  organized  a  division  field  hospital  when  the  rout  of  the  cavalry  division 
and  Thirteenth  Corps  became  complete,  and  I  was  obliged  to  abandon  the  hospital.  A  portion  of  the  wounded  were  rescued. 
Twenty  ambulances  were  captured,  and  eight  medical  officers  of  the  Thirteenth  Corps  either  captured  or  left  with  the  wounded. 
There  were  two  hundred  and  ten  wounded  left  in  the  hands  of  the  enemy.  The  1st  division,  Nineteenth  Corps,  checked  the 
pursuit  of  the  enemy,  and  repelled  his  charges  with  terrible  slaughter.  Night  closed  the  scene,  both  armies  resting  on  their 
arms  within  speaking  distance.  I  immediately  organized  a  division  field  hospital  for  the  Nineteenth  Corps,  and  every  exertion 
was  made  by  the  medical  officers  to  collect  our  wounded  in  the  thick  woods  and  darkness,  with  a  limited  number  of  ambulances — 
most  of  the  ambulances  being  blocked  up  in  the  rear,  by  the  stampeded  mass  of  wagons,  artillery,  infantry  and  cavalry.  Our 
forces  retired  at  twelve  o'clock.  One  surgeon  was  captured  asleep,  and  one  was  left  with  thirty-eight  wounded  of  the  Nineteenth 
Corps,  for  whom  we  did  not  have  transportation  on  our  retreat  to  Pleasant  Hill,  about  fifteen  miles.  Loss:  cavalry,  thirty-five 
killed ;  one  hundred  and  seventy-four  wounded.  Thirteenth  Corps,  forty-three  killed ;  two  hundred  and  seventy-seven  wounded. 
Nineteenth  Corps,  unknown.  Arrived  at  Pleasant  Hill  at  six  o'clock  A.  M.  Immediate  orders  were  issued  to  send  all  transporta 
tion  to  Grand  Ecore,  forty  miles  in  the  rear.  All  my  wounded  were  sent,  leaving  the  Nineteenth  Corps  with  only  three  ambulances. 
The  battle  of  Pleasant  Hill  was  fought  on  the  9th  of  April  at  five  o'clock  'p.  M.,  one  division  of  the  Nineteenth  Corps,  and  two 
divisions  of  the  Sixteenth  Corps  being  engaged.  The  battle  ground  was  a  large  open  field  of  three  or  four  hundred  acres,  on  an 
elevated  piece  of  ground  forming  a  beautiful  plateau,  completely  surrounded  with  woods.  A  few  houses  and  shops  on  the  hill ; 
no  water  excepting  a  few  wells.  The  soil  in  this  entire  region  is  poor,  being  clay  largely  mixed  with  sand.  We  repulsed  the 
enemy  at  dark,  and  night  only  stopped  our  pursuit.  I  organized  a  large  hospital  in  three  or  four  of  the  largest  dwellings  on  the 
hill,  for  the  Nineteenth  Corps.  All  the  buildings  were  badly  exposed  to  fire  during  a  portion  of  the  engagement,  when  two  brigades 
broke  and  the  enemy  came  upon  our  centre,  in  direct  range  of  the  hospital.  One  shell  went  through  the  main  building,  and 
numerous  balls  struck  the  house.  Immediately  after  the  battle  was  over,  I  obtained  permission  to  send  for  my  medical  stores ;  but 
by  a  change  of  plans  and  orders,  I  discovered  at  six  o'clock  A.  M.  of  the  10th,  after  a  hard  night's  labor  with  the  wounded,  that  the 
infantry  had  retreated  during  the  night,  and  a  small  squadron  of  cavalry  was  guarding  the  rear  immediately  in  front  of  my 
hospitals.  I  had  no  other  alternative  than  to  put  a  medical  officer  in  charge,  leave  him  a  very  meagre  supply  of  medicines  and 
follow  the  infantry,  then  five  miles  distant.  The  Sixteenth  Corps  left  two  medical  officers.  Both  of  our  hospitals  were  very 
poorly  supplied  with  food,  and  the  ordinary  comforts  for  the  wounded.  We  lost  in  all  in  the  two  days'  fight  thirteen  medical 
officers,  nine  captured  and  four  left  to  attend  to  the  wounded.  Abandoned  at  Pleasant  Hill  two  hundred  and  ninety-six  wounded. 
Total  number  of  wounded  left  at  Mansfield  and  Pleasant  Hill,  four  hundred  and  ninety-nine.  Total  number  of  killed  and 
wounded  on  the  second  day,  9th  of  April :  1st  division,  Nineteenth  Corps,  seventy-one  killed ;  four  hundred  and  eleven  wounded. 
Total  killed  and  wrounded  in  the  two  corps  and  cavalry  divisions  on  the  7th,  8th  and  9th :  killed,  one  hundred  and  sixty-one ; 
wounded,  nine  hundred  and  ten.  Arrived  at  Grand  Ecore  about  noon  April  llth,  and  on  the  12th  I  obtained  permission  to 
take  two  loads  of  medical  and  hospital  stores  to  our  wounded  at  Pleasant  Hill,  under  a  flag  of  truce.  I  found  them  very  kindly 
treated,  but  suffering  for  medicines,  bedding  and  hospital  stores;  all  of  which  I  was  able  to  supply.  I  found  Surgeon  Yandell, 
medical  director  of  the  trans-Mississippi  Department,  disposed  to  do  every  thing  in  his  power,  he  also  promised  that  all  the 
medical  officers  should  be  allowed  to  return  within  our  lines  as  soon  as  I  conscientiously  thought  they  could  be  spared.  General 
Taylor  in  his  communication  to  General  Banks,  expressed  a  willingness  to  parole  all  our  wounded  as  soon  as  they  could  travel. 
On  the  14th  of  Api-il,  I  sent  four  loads  of  supplies  and  clothing  to  our  wounded.  They  allowed  one  of  our  captured  medical 
officers  to  come  to  our  lines,  but  would  not  allow  another  medical  officer  to  enter  their  lines.  Since  that  time  I  have  not  heard 
from  our  wounded,  as  we  commenced  our  retreat  from  Grand  Ecore  April  21st.  I  found  that  a  medical  officer  in  the  Confederate 
army  had  possessed  himself  of  a  case  of  instruments  left  with  one  of  the  medical  officers  who  remained  after  the  first  day's  fight, 
by  my  orders.  I  reported  the  fact  to  Surgeon  Yandell,  and  he  promised  it  should  be  returned.  I  fortunately  took  an  operating 
case  with  me  when  I  visited  Pleasant  Hill,  and  received  a  written  guarantee  from  the  medical  director  that  it  should  not  be 
taken.  On  the  23d  of  April,  the  enemy  attacked  us  both  in  rear  and  front  at  Cane  Eiver  Crossing.  The  enemy  held  the  ford, 
commanding  it  with  cannon  mounted  on  bluffs  and  hills  densely  covered  with  forests.  Two  divisions  forded  two  miles  above,  and 
by  a  heroic  charge  through  the  woods  and  over  a  precipitous  hill,  carried  the  position.  Our  loss  was :  1st  division,  Nineteenth 
Corps,  killed,  sixteen ;  wounded,  one  hundred  and  twelve.  2d  division,  Nineteenth  Corps,  killed,  unknown ;  wounded,  twenty- 
four.  All  the  wounded  had  to  be  picked  up  during  the  night  under  great  difficulties,  and  either  brought  across  the  river  in 
ambulances  by  fording,  or  on  pontoon  boats  lent  us  for  the  purpose.  By  six  o'clock  A.  M.  I  had  them  all  dressed,  most  of  the 
badly  wounded  operated  upon ;  and  at  eight  o'clock  A.  M.  I  had  all  in  ambulances  and  started  for  Alexandria,  forty  miles  distant. 
Arrived  at  Alexasdria  April  25th,  about  noon,  and  by  dark  had  all  provided  with  hospital  accommodations.  The  wounded 
were  sent  to  Baton  Rouge  and  New  Orleans  as  fast  as  boats  could  be  obtained.  The  casualties  may  be  summed  up  as  follows : 

April  7th,  Cavalry killed,  10  wounded,  47 

April  8th  and  9th,  Cavalry "      35         "  174 

April  23d,  Cavalry «        2          «  21 

April  8th,  3d  division,  Thirteenth  Corps '  "      24          "  110 

April  8th,  4th  division,  Thirteenth  Corps "      19          "  167 

April  8th  and  9th,  1st  division,  Nineteenth  Corps "      71          "  411 

Aoril  23d,  1st  division,  Nineteenth  Corps ! "      10          ''  112 

April  23<1,  2d  division,  Nineteenth  Corps "  unknown  "  24 

"    177         "     1,0(56 
Probable  loss  of  Sixteenth  Corps "      79          "        550 

"    25G         "      1,616 


REPORTS    OF    SURGEONS    ABADIE    AND    WILLIS.  337 

I  send  you  this  hasty  synopsis,  having  been  most  of  the  time  chief  medical  officer  in  the  field,  and  all  the  time  medical 
director  of  the  Nineteenth  and  Thirteenth  Corps,  and  cavalry  division.  The  campaign  has  been  a  laborious  one,  our  troops  having 
marched  more  than  four  hundred  miles  in  forty  days,  and  fought  three  hard  battles.  The  troops  have  stood  it  remarkably  well, 
and  although  reduced  in  flesh,  are  in  good  spirits  and  ready  to  meet  the  enemy.  Before  we  left  Franklin,  March  16th,  I  had  a 
medical  purveyor  appointed,  and  obtained  six  wagons  for  the  medical  supplies,  which  accompanied  us  through  the  entire  march. 
The  wisdom  of  this  plan  was  almost  providential,  for  although  we  had  reason  to  presume  that  the  regiments  would  take  ample 
supplies,  and  our  water  communication  with  Alexandria  and  Grand  Ecore  would  afford  every  facility  for  obtaining  everything, 
repeated  delays  and  unforseen  accidents  on  the  river,  and  our  frequent  absence  from  the  river  for  days  at  a  time,  together  with  the 
fact  that  all  the  important  battles  were  fought  forty  miles  from  water  communication,  would  otherwise  have  entailed  upon  our 
wounded  soldiers  a  large  amount  of  misery  and  suffering.  Our  wounded  received  every  comfort  and  attention  which  it  was 
possible  for  a  retreating  army  to  give.  The  number  of  operations  was  not  large,  many  cases  proving  fatal  before  they  could  be 
operated  upon,  on  account  of  the  severity  of  their  wounds.  I  enjoined  upon  all  the  surgeons  under  my  charge  the  importance  of 
resections  in  gunshot  wounds  of  the  upper  extremity.  Although  many  do  not  agree  with  me,  I  can  hardly  believe  there  is  any 
excuse  for  a  failure  in  resections  of  the  elbow-joint,  provided  the  patient  has  a  fair  constitution  and  can  receive  careful  treatment 
in  a  not  too  crowded  hospital,  where  ventilation  is  properly  attended  to.  :  I  have  had  equally  good  success  in  resections  of 

the  hand.  All  operations  give  the  surgeons  of  hospitals  great  care  and  trouble ;  and  there  is  to  be  found  in  every  department  a 
very  large  number  of  surgeons  who  disapprove  of  resections,  if  we  except  selected  cases  of  the  shoulder.  In  the  hand  I  find  any 
single  bone  of  the  carpus,  or  portions  of  the  metacarpal  bones,  with  one  or  more  of  the  carpal  bones,  can  be  resected  with  almost 
uniform  success  leaving  useful  hands,  provided  the  operator  is  able  to  cut  cleanly  and  neatly,  not  making  extensive  openings, 
carefully  avoiding  arteries  and  nerves,  and  dissecting  out  each  bone  by  closely  shaving  the  bones  themselves.  I  have  collected 
a  large  number  of  specimens  of  resections  of  the  elbow  and  shoulder,  some  of  which  I  propose  to  forward  to  the  Museum  as  soon 
as  I  have  time  to  select  them.  The  classified  return  of  wounds  and  injuries  received  in  action  is  nearly  complete,  and  will  be 
forwarded  through  the  regular  channel.  The  campaign  has  been  most  trying,  and  constantly  retreating  as  we  have  done  with 
considerable  loss  of  baggage,  papers  are  slow  in  coming  in,  and  in  many  instances  have  been  made  out  a  second  time."  *  *  * 


CCLXXIX.  Extracts  from  the  Report  of  the  Operations  of  the  Medical  Department  of  the 
Army  of  the  Military  Division  of  West  Mississippi,  during  the  Campaign  against  Mobile, 
Alabama.  By  Surgeon  E.  II.  ABADIE,  U.  S.  Army,  Medical  Director. 

"This  army,  commanded  by  Major  General  Canby,  and  consisting  of  the  Thirteenth  and  Sixteenth  Corps,  after 
consolidating  at  Danley's  Mills  on  Fish  River,  Alabama,  some  twelve  miles  up  from  the  bay  of  its  name,  broke  up  camp  March 
25th  for  a  place  called  Deer  Park,  ten  miles  toward  Blakely,  and  had  some  skirmishing  with  the  enemy  until  near  the  camp 
ground,  giving  the  few  casualties  reported.  On  the  26th,  sharp  skirmishing  was  resumed  on  leaving  camp,  continuing  more  or 
less  toward  Sibley's  Mills  on  Rock  Creek,  some  eight  or  ten  miles  from  Deer  Park,  near  which  the  army  encamped.  More 
casualties  occurred  this  day,  mostly  in  a  brigade  of  the  Thirteenth  Corps  marching  on  a  road  nearer  the  bay.  Monday  the  27th, 
the  army  marched  directly  upon  Spanish  Fort  and  its  outworks  to  invest  them.  On  our  approach  toward  their  fortifications  a 
considerable  engagement  took  place,  giving  us  a  large  number  of  wounded.  Since  that  day  the  army  has  regularly  besieged 
these  works,  and  the  casualties  have  gradually  diminished  as  the  troops  have  strengthened  and  fortified  their  position. 
After  the  31st  of  March  the  operations  of  this  "army  were  actively  directed  to  the  complete  investment  of  Spanish  Fort,  and  ot 
the  works  at  Blakely,  some  six  miles  from  the  fort,  the  first  week  producing  comparatively  few  casualties,  notwithstanding  the 
well-directed  fire  of  heavy  artillery  and  musketry  of  the  entrenched  enemy.  Early  on  the  morning  of  the  8th,  we  met  with 
more  losses  from  a  sortie  made  by  the  troops  at  Blakely,  attempting  to  dislodge  a  portion  of  General  Garrard's  command  from 
their  left.  At  about  eight  o'clock  the  same  evening,  after  a  general  bombardment  of  some  two  hours  duration,  General  Carr 
leading  a  portion  of  his  division  of  the  Sixteenth  Corps,  made  a  lodgment  in  the  right  of  the  rebel  works,  which  led  to  the 
abandonment  of  their  fortifications  by  the  enemy,  and  our  taking  them  with  some  seven  hundred  prisoners  and  about  forty-six 
pieces  of  artillery.  Early  on  the  9th,  the  headquarters  moved  on  toward  Blakely,  the  army  before  Spanish  Fort  having  preceded 
us  at  daylight.  At  about  five  o'clock,  a  general  assault  on  the  Blakely  rebel  works  was  made.  General  Hawkins's  colored  division 
on  the  extreme  right,  General  Andrews's  division,  of  the  Thirteenth  Corps,  (of  General  Steele's  command,)  in  the  centre,  and 
General  Garrard's  2d  division,  Sixteenth  Corps,  on  the  left.  The  attack  being  simultaneous  and  rapid,  our  troops  soon  gallantly 
entered  the  works,  capturing  about  four  thousand  prisoners,  among  whom  were  Generals  Liddel,  Thomas,  and  Cockrell,  also 
fifty-six  pieces  of  ordnance.  The  possession  of  these  works  and  Spanish  Fort,  led  to  the  abandonment,  on  the  night  of  the 
llth,  of  batteries  Tracy  and  Huger,  protecting  the  entrance  of  the  channel  and  Tensaw  River,  as  also  Mobile  which  was 
abandoned  and  taken  possession  of  by  our  own  troops,  the  Thirteenth  Corps,  commanded  by  General  Granger  on  the  morning  of 
the  12th." 


CCLXXX.     Extract  from  the  Report  of  the    Chief  Medical  Officer  of  the  Forces  Operating 
from  Pensacola  -Bay  against-  Blakely,  Alabama.     By  Surgeon  P.  A.  WILLIS,  83d  Ohio. 

*  *  *  "Agreeably  to  orders,  I  forward  the  following  report  of  this  command  in  the  recent  campaign  from  Pensacola, 
including  the  march  from  that  point  to  Blakely  and  the  operations  for  the  reduction  of  the  latter  place.  The  command,  consisting 
of  Brigadier  General  C.  C.  Andrew's  division  of  tin-  Thirteenth  Corps.  Brigadier  General  .1.  P.  Hawkin's  division  of  U.  S.  colored 
troops,  and  Brigadier  General  Lucas's  brigade  of  cavalry,  numbering  in  all  about  twelve  thousand  men,  moved  from  Pensacola, 
Florida,  on  the  20th  ot  March,  1865.  The  command  was  in  an  excellent  sanitary  condition,  having  left  all  the  sick  and  disabled 

43 


338  APPENDED  DOCUMENTS DEPARTMENT  OF  THE  GULF. 

in  hospital  at  Barrancas,  and  having  been  well  fed  and  clothed  in  anticipation  of  the  campaign.  The  morale  of  the  men 
was  of  the  first  order;  each  regiment  trying  to  stand  at  the  head  of  the  list  for  efficiency  and  good  discipline.  The  command 
was  supplied  with  the  full  amount  of  medical  stores,  hospital  tents  and  ambulances  allowed  by  the  existing  orders,  and  all  in  good 
condition,  except  the  ambulance  train  of  General  Hawkins's  division,  which  was  hardly  serviceable.  On  the  first  day's  march 
from  Pensacola  it  began  to  rain  and  continued,  almost  without  intermission,  for  forty-eight  hours,  rendering  the  roads  almost 
impassable.  The  condition  of  the  men  during  this  long  rain-stoim  was  miserable  in  the  extreme,  as  they  were  unable  to  dry 
their  clothino-  during  the  time,  and,  owing  to  the  flat  condition  of  the  ground,  could  not  find  a  dry  place  to  sleep  or  rest. 
But  little  sickness  resulted  from  this  exposure,  and  the  spirit  of  the  troops  was  not  depressed  in  the  least.  After  this  the  roads 
had  to  be  corduroved  for  many  miles,  and  while  half  the  command  was  engaged  in  laying  it  the  other  half  was  assisting  the 
artillery  and  wagon  trains.  On  the  25th  we  reached  the  vicinity  of  Bluff  Springs,  where  we  found  Brigadier  General  Clanton 
with  a  small  force  prepared  to  oppose  our  further  progress.  Brigadier  General  Lucas,  commanding  the  cavalry  forces, 
ordered  the  2d  Louisiana  Cavalry  to  charge,  which  it  did  in  fine  style,  killing  several  and  capturing  General  Clanton  with  one 
hundred  and  forty  men.  General  Clanton  was  wounded  through  the  body  and  left  with  the  other  wounded  of  his  command  in  a 
small  house  near  the  battle-field.  Dr.  Grigsley,  surgeon  C.  S.  A.,  with  a  sufficient  number  of  attendants,  was  left  to  care  for 
the  wounded.  Our  casualties  were  slight,  only  two  being  killed  and  a  few  wounded,  who  were  taken  with  the  command  in 
ambulances.  On  the  20th  the  whole  command  was  put  on  one-fourth  rations  and  large  details  were  employed  each  day  in  laying 
corduroy  bridges,  while  others  assisted  in  extracting  artillery  and  wagons  from  the  mud.  In  many  places  the  trains  had  to 
be  moved  entirely  by  the  men,  since  it  was  utterly  impossible  for  the  animals  to  get  through.  On  the  30th  we  reached  Stockton, 
where  we  found  large  quantities  of  corn  and  a  grist-mill  and  the  command  halted  twenty-four  hours  in  order  that  a  supply  of 
meal  might  be  obtained.  On  the  1st  of  April  we  arrived  in  the  vicinity  of  Blakely,  having  marched  one  hundred  and  twenty 
miles  over  the  worst  of  roads ;  many  estimating  that  thirty  miles  of  corduroy  bridge  had  been  built.  For  several  days  the  troops 
were  on  one-fourth  rations,  were  working  every  day  as  well  as  marching  for  days  without  dry  clothing,  and  yet  there  was 
scarcely  any  sickness,  nearly  every  man  being  able  to  take  his  place  in  the  ranks  when  the  advance  was  made.  Field  hospitals 
were  established  in  the  rear  of  the  centre  of  each  division ;  the  corps  of  operators  reported  promptly  and  everything  was  made 
ready  to  care  for  the  wounded.  The  hospitals  had  to  be  moved  several  times  on  account  of  the  shells  from  the  rebel  gunboats 
reaching  so  far  to  the  rear,  but  finally  safe  positions  were  secured;  that  for  General  Andrews's  division  near  Mr.  O.  Sibley's 
house,  and  that  for  General  Hawkins's  division  near  the  house  of  Mr.  Wilson,  on  the  Stockton  road.  The  ambulances  were 
stationed  in  localities  which  were  easy  of  access  from  the  several  regiments,  and  the  wounded  were  promptly  removed  from  the  field 
to  the  ambulance  stations  on  hand-litters.  General  Hawkins's  division  suffered  severely  on  the  1st,  2d,  and  3d  from  shells  thrown 
from  the  rebel  gunboats,  but  after  these  were  driven  off  the  daily  list  of  casualties  was  small  until  the  evening  of  April  9th,  when 
the  works  were  carried  by  assault,  and  hundreds  of  wounded  were  carried  to  the  hospital.  Finding  the  hospital  accommodations 
in  General  Andrews's  division  inadequate,  I  had  the  wounded  removed  to  the  house  of  Mr.  O.  Sibley,  where  there  was  plenty 
of  shelter  and  excellent  water  in  abundance.  By  ten  o'clock  P,  M.  all  the  wounded  had  been  removed  from  the  field  and  before 
morning  every  man  had  received  attention.  The  wounded  were  not  exposed  to  wet  or  rain  at  any  time  and  the  changes  of  atmos 
phere  proved  of  no  detriment  to  them.  The  supplies  of  food,  water,  stimulants,  and  medical  stores  were  abundant,  and  no  case  of 
Buffering  came  under  my  notice  from  neglect  or  scarcity  of  supplies.  The  wounded  were  removed  in  ambulances  to  the  steamship 
Saint  Mary  at  the  landing  below  Spanish  Fort  and  shipped  from  that  point  to  the  general  hospitals  at  New  Orleans.  Most 
of  the  wounded  from  General  Andrews's  division  were  shipped  on  the  12th,  and  the  remainder  with  those  from  General 
Hawkins's,  on  the  13th  of  April.  A  sufficient  number  of  medical  officers  and  attendants  were  sent  to  care  for  the  wounded. 
The  several  medical  officers  belonging  to  the  command  have  done  their  duty  nobly  and  well ;  laboring  under  the  many  difficulties 
of  an  active  campaign,  they  did  all  within  their  power  to  ameliorate  the  condition  of  the  wounded."  * 


CCLXXXI.  Extract  from  the  .Report  of  the  Medical  Director  of  the  Thirteenth  Army  Corps 
for  the  Campaign. against  Mobile.  By  Surgeon  C.  B.  WHITE,  U.  S.  Volunteers,  Medical 
Director. 

"The  campaign  of  the  Thirteenth  Corps,  from  Fort  Morgan  to  its  position  in  the  rear  of  Spanish  Fort,  was 
very  laborious.  Much  of  the  ground  over  which  the  corps  passed  was  of  quicksand  covered  by  sod.  This  sod,  once  broken 
through,  horses  and  wagons  sank  to  such  a  depth  that  the  assistance  of  troops  was  necessary  to  extricate  them.  The  men 
worked  in  rain  and  mud  for  several  days,  till  firm  ground  was  reached  and  good  weather  prevailed,  dragging  wagons  and 
artillery  through  by  hand  and  'in  constructing  many  miles  of  corduroy.  This  immense  labor  was  performed  with  energy, 
alacrity,  and  in  high  spirits.  Rest  for  thirty-six  hours  wag  afforded  at  Fish  River,  and  though  but  partially  recovered  from 
their  fatigue,  the  soldiers  moved  again  with  cheerful  promptitude.  The  morale  of  the  corps  was  admirable.  Many  of  the 
regiments  had  belonged  to  the  corps  previous  to  its  suspension.  All  were  of  more  than  two  years  service  and  had  ordinarily 
been  successful  in  battle.  Most  had  fought  in  the  same  battles,  so  that  a  considerable  degree  of  esprit  du  corps  was  manifest. 
The  scorbutic  taint,  existing  in  some  regiments,  had  nearly  disappeared;  the  troops  were  of  robust,  full  habit,  showing  high 
health.  The  supply  of  ambulances,  of  hospital  tents,  and  hospital  wagons  was  in  accordance  with  orders  No.  24,  head 
quarters  of  the  Division  of  West  Mississippi.  Regimental  officers  were  instructed  to  keep  medical  supplies  for  thirty  days 
constantly  on  hand.  Each  division  hospital  carried  as  large  a  supply  of  the  articles  usually  required  by  the  exigencies  of  battle 
as  the  amount  of  transportation  would  permit.  At  the  siege  of  Spanish  Fort,  the  troops  of  the  corps  were  disposed  in  ravines 
and  under  the  crest  of  hills,  at  distances  from  the  fort  varying  from  six  hundred  to  eight  hundred  yards.  The  skirmish  line 
was  daily  pressed  forward  and  the  working  parties  pushed  in  behind  it.  Until  the  soldiers  covered  themselves  by  bomb-proofs, 


REPORTS    OF    SURGEONS    WHITE    AND    THOM.  339 

the  wounds  were  principally  from  solid  shot  and  shell.  After  the  construction  of  covers  and  the  pushing  of  skirmishers  near  the 
fort,  the  number  and  proportion  of  casualties  from  artillery  fire  greatly  decreased.  The  wounds  received  in  the  rifle  pits  and  on 
the  skirmish  line  were  usually  from  ball ;  those  in  the  trenches  were  nearly  equally  divided  between  musket  and  cannon  shot.  In 
the  course  of  the  siege  several  casualties  occurred  from  the  explosion  of  torpedoes  buried  at  the  crossing  of  the  creek  which 
passed  through  our  lines  and,  after  the  occupation  of  the  fort,  from  those  which  were  placed  around  it  near  the  abattis  and  in  the 
roads  leading  to  the  fort.  The  litters  and  litter-bearers  were  kept  with  the  main  line  of  troops  where  medical  officers  were 
always  on  duty.  Those  wounded  in  the  trenches  and  at  this  reserve  line  were  immediately  carried  off.  Those  wounded,  and  the 
bodies  of  those  killed,  at  the  skirmish  line  were  left  until  dark  and  then  brought  off.  The  fire  from  the  rebel  rifle  pits  prevented 
any  one  from  reaching  th.e  skirmish  line,  or  from  returning  from  it,  except  at  night.  After  the  first  three  days'  operations 
against  Spanish  Fort,  those  killed  on  the  field  were  buried  in  division  burying  grounds  and  the  graves  properly  marked.  At 
the  suggestion  of  medical  officers,  immediately  upon  the  closing  in  of  the  troops  around  the  fort,  sinks  were  dug  and  attention 
paid  to  those  sanitary  precautions  which  might  serve  in  the  case  of  a  long  siege,  to  prevent  or  delay  the  appearance  of  those 
disorders  which  so  frequently  occur  in  the  camps  of  beseiging  troops.  The  division  ambulance  trains  were  kept  with  their 
respective  divisions,  and  a  sufficient  number  of  ambulances  were  stationed  as  near  the  camps  as  they  could  find  shelter  from  the 
enemy's  fire  which  swept  every  hill  and  many  of  the  ravines.  The  wounded  were  conveyed  by  ambulances  from  the  field  to  the 
division  hospitals  which,  at  first  situated  in  the  rear  of  the  line,  were  afterwards  pitched  upon  a  hill  on  the  extreme  left,  on  the 
road  to  Starke's  Landing,  where  they  were  transferred  to  steamer.  This  was  a  point  not  more  than  two  and  a  half  miles  from  any 
portion  of  the  line  and  in  the  vicinity  of  a  plantation  house,  surrounded  by  trees,  with  water  of  excellent  quality  and  an  abundance 
of  fuel.  Bunks  were  made  and  filled  with  fine  straw  for  the  accommodation  of  the  wounded,  and  when  hay  was  received  at 
Starke's  Landing  it  was  furnished  to  the  hospitals  by  the  quartermaster,  upon  requisition,  but  arrived  too  late  to  be  of  service  at 
this  point.  The  division  wagons  furnished  the  hospitals  an  ample  supply  of  beef  extract,  condensed  milk,  and  stimulants.  The 
wounded  'did  not  endure  any  exposure  to  wet,  cold,  or  heat,  that  was  of  long  duration  or  sufficient  to  cause  suffering.  Rain  fell 
heavily  three  days,  but  those  wounded  on  the  skirmish  line,  though  remaining  on  the  field  until  night,  were  protected  by  the 
rubber  blankets  of  their  comrades.  The  wounded  were  moved  from  the  division  hospital  to  transports  for  transfer  to  New  Orleans, 
within  two  to  four  days  after  the  injuries  were  received.  They  were  accompanied  by  medical  officers,  cooks,  and  nurses,  and 
furnished  with  medical  and  hospital  supplies  and  rations,  under  orders  from  Surgeon  E.  H.  Abadie,  medical  director.  At  the 
time  of  the  assault  on  Blakely,  I  was  absent  at  Starke's  Landing,  paying  attention  to  the  transfer  of  wounded  to  transports,  and 
having  no  notification  of  the  intended  action,  did  not  provide  for  the  necessities  of  the  field.  I  am  informed  that  three  hours'  delay 
occurred  in  removing  some  of  the  wounded  of  this  corps  from  the  field.  The  next  morning  I  found  all  the  wounded  of  the  1st 
and  2d  divisions,  who  participated  in  the  assault,  gathered  into  division  hospitals;  in  the  1st  'division  all  necessary  operations 
performed,  and  in  the  2d  division  all  but  one.  The  2d  division  hospital  was  not  in  a  creditable  condition,  but  it  is  impossible 
for  a  surgeon  in  charge,  in  advance,  to  judge  unerringly  of  the  comparative  executive  ability  of  the  various  surgeons  newly 
placed  under  his  direction.  Those  wounded  at  this  assault  were  sent  to  New  Orleans,  by  way  of  Starke's  Landing,  thirty-six 
hours  afterward;  medical  officers  accompanied  them,  a  surgeon-in-charge,  an  assistant  to  each  fifty  patients,  and  one  nurse  to  each 
fifteen  patients.  Rations  also,  and  medical  and  hospital  supplies  for  three  days,  were  sent  with  them.  Hay  was  drawn  by 
requisition  on  the  quartermaster's  department,  and  a  liberal  amount  placed  in  the  ambulances  which  transferred  the  severe  cases, 
and  in  the  six  division  wagons  which  carried  the  sick  and  slightly  wounded,  for  whom  the  ambulance  accommodation  was 
insufficient.  The  wounds  received  in  this  assault,  it  is  believed,  were  principally  from  musketry  fire.  The  proportion  of 
amputations  to  the  number  of  wounded  at  Spanish  Fort  was  large,  as  the  majority  of  wounds  during  the  first  days  of  the  siege 
were  from  explosion  of  shell." 


CCLXXXIL     Extract  from  the  Iteport  of  the  Medical  Director  of  the  Sixteenth  Corps  for  the 
Campaign  against  Mobile.     By  Surgeon  W.  H.  THOM,  U.  S.  V.,  Medical  Director. 

*  *  *  "This  command  was  organized  into  a  corps  at  New  Orleans  on  or  about  the  21st  of  February,  1865.  It  comprises 
forty  regiments  divided  into  three  divisions,  chiefly  western  troops,  with  one  regiment  from  New  York  and  one  from  New  Jersey ; 
nearly  all  have  been  in  active  service  for  two  years  or  more.  Their  morale  was  excellent  and  their  sanitary  condition  good.  Each 
regiment  was  furnished  with  a  pannier,  or  a  portablable  medicine  chest,  which  was  kept  filled  by  timely  requisitions  on  the 
division  supply  contained  in  one  Perot's  medical  wagons,  and  several  six-mule  teams  for  each  division.  The  ambulance  corps  was 
organized  according  to  law,  and  a  division  field  hospital  established  at  the  rate  of  one  tent  to  a  regiment.  We  left  New  Orleans  on 
transports  about  the  12th  of  March  and  after  a  short  stay  on  Dauphin  Island,  sailed  across  Mobile  Bay  and  up  Fish  River  to 
Danley's  Landing,  where  we  debarked.  Thence  three  days'  short  marches  through  the  pines  brought  us,  on  the  27th  of  March, 
to  the  vicinity  of  Spanish  Fort,  against  which  we  immediately  commenced  siege  operations,  while  one  division  operated  against 
the  defences  at  Blakely.  Spanish  Fort  was  taken  by  storm  on  the  8th  and  Blakely  in  the  same  manner  on  the  9th  of  April,  up  to 
which  period  our  men  were  constantly  subjected  to  fatigue  duty  in  the  trenches.  The  weather  during  this  whole  period  was 
fine,  neither  too  hot  nor  too  cold,  with  very  little  ruin.  Water  and  supplies  were  abundant  and  good,  and  the  general  health 
of  the  command  preserved  its  usual  average.  During  the  siege,  all  men  who  were  wounded  were  conveyed  on  stretchers 
or  carried  by  hand  to  the  medical  depot  in  the  rear  of  the  trenches,  whence,  after  the  proper  attention,  they  were  transferred  to 
the  division  field  hospital,  further  in  the  rear,  where  the  proper  amount  of  water  and  shelter  could  be  obtained.  Each  division 
hospital  was  capable  of  accommodating  two  hundred  men,  and  was  provided  with  bunks,  bedsacks  or  leaves,  on  which  the 
wounded  were  placed.  The  wounded  were  transferred  almost  daily  by  steamer  to  the  general  hospitals  at  New  Orleans,  and  at 
no  time  were  the  field  hospitals  crowded.  Medical  and  hospital  supplies  were  sufficient,  and  provisions  furnished  in  reasonable 
quantities.  There  wore  the  usual  varieties  of  gunshot  and  shell  wounds.  But  tew  of  the  wounded  died  in  the  hospital,  and  the 
whole  number  treated  in  the  Held  hospitals  wa.s  about  five  hundred." 


APPENDED    DOCUMENTS BATTLE    OF    PEA    EIDGE. 

CCLXXXIII.     Extracts  from  a  Report  on  the  Operations  of  the  Medical  Department  during 
the  Battle  of  Pea  Ridge.     By  Surgeon  D.  S.  McGuGiN,  3d  Iowa  Cavalry. 

*  *  *  "On  the  morning  of  February  7,  1862,  I  left  Benton  Barracks  to  join  my  regiment  at  Rolla,  Missouri.  Four 
days  after  my  arrival  AVC  received  orders  to  move,  and  proceeded  by  way  of  Lebanon  to  Camp  Halleck,  at  the  Osage  Springs, 
Arkansas,  where  the  headquarters  of  the  army  of  General  Curtis  Avere  established.  Two  divisions  of  his  army  were  in  this 
vicinity,  the  other  two  at  Cross  Hollows  and  Elm  Springs.  I  found,  on  reaching  Camp  Halleck,  that  Surgeon  W.  C.  Otterson  had 
arrived  the  day  before.  It  was  ascertained  that  the  army  was  entirely  destitute  of  medical  supplies,  and  it  was  determined  that 
Surgeon  Otterson  should  at  once  proceed  to  St.  Louis  to  procure  them.  *  Upon  farther  examination  I  found  that  the  rapidity 

of  the  movements  of  the  army  in  reaching  this  point,  the  condition  of  the  roads,  the  inclemency  of  the  Aveather,  and  the 
insufficient  commissary  supplies,  had  much  exhausted  the  men ;  yet  they  were  comparatively  healthy,  there  being  but  very  few  cases 
of  serious  illness  among  them.  They  were  compelled,  in  part,  to  subsist  upon  the  little  that  Avas  left  in  the  country  by  the  enemy, 
a  large  force  of  which,  'under  McCullough,  had  occupied  and  almost  devastated  it  during  the  previous  nine  months.  The 
inhabitants  had,  in  a  majority  of  instances,  suddenly  departed  before  the  advance  of  our  army,  and  left  behind  them  everything 
for  which  they  had  not  the  means  of  conveyance.  Small  lots  of  wheat,  corn,  oats,  hay  and  straw  were  found  in  their  abandoned 
dwellings,  barns  and  fields,  which  were  taken  for  our  men  and  horses.  Our  commissary  trains  from  Eolla  were  sometimes 
waylaid  and  seized  by  squads  of  the  enemy,  so  that  very  little  reached  us.  Thus  we  were  compelled  to  subsist,  each  day  rapidly 
diminishing  the  supplies  until  the  6th  of  March,  which  was  the  first  day  of  the  battle;  the  initiative  being  on  the  right  with 
General  Siegel's  division,  which  was  surrounded  by  a  strong  force  of  the  enemy  near  Bentonville,  but  after  a  sharp  engagement 
he  succeeded  in  cutting  his  way  through  and  came  into  camp  on  Sugar  Creek,  where  General  Curtis  was  massing  his  forces  to 
meet  the  enemy.  It  was  very  manifest  that  the  attack  made  upon  General  Siegel's  division  would  be  followed  immediately  by  a 
general  engagement.  It  was  expected  that  the  enemy  would  approach  by  .the  valley  of  Sugar  Creek,  which  was  from  a  quarter 
to  a  half  mile  in  width,  and  therefore  batteries  were  erected  upon  the  elevated  bluffs  or  hills  which  bordered  upon  it.  But  the 
enemy  who  was  well  acquainted  with  the  topography  of  the  country  and  the  direction  of  the  roads,  avoided  the  approach  by 
the  valley  of  the  creek ;  and  determined  to  surround  our  army,  placing  himself  upon  the  road  to  Cassville  so  as  to  prevent 
our  retreat  in  that  direction.  On  the  morning  of  the  7th  of  March  he  showed  himself  in  strong  force  at  Elkhorn  Tavern, 
upon  the  road  leading  along  the  spine  of  Pea  Eidge,  the  direction  of  which  is  north-west  and  south-east.  Our  forces  were 
displayed  along  the  bluffs  overlooking  the  valley,  but  as  soon  as  it  was  found  that  the  enemy  had  appeared  in  our  rear,  the  front 
was  changed.  Before  proceeding  further  it  is  proper  that  I  should  state  that  the  1st  and  2d  divisions  were  commanded  by 
Generals  Siegel  and  Asboth,  the  3d  by  Colonel  Davis,  and  the  4th  by  Colonel  Carr.  There  were  besides,  two  or  three  independent 
detachments.  The  whole  force  according  to  the  report  of  General  Curtis,  did  not  exceed  in  cavalry  and  infantry,  twelve  thousand 
and  ninety-five  men,  with  fifty  pieces  of  artillery,  four  of  which  were  mountain  howitzers.  The  enemy  had  not  less  than  forty 
thousand  men,  with  seventy  pieces  of  artillery.  :  *  It  was  very  clear  that  the  surgeons  would  soon  be  called  upon  for  the 
exercise  of  all  their  powers.  There  was  however  no  medical  head,  for  Surgeon  Otterson  had  not  yet  returned.  Morever  the 
medical  supplies  for  which  he  had  gone  to  St.  Louis,  had  not  yet  arrived.  *  *  From  the  valley  of  Sugar  Creek  the  road 
proceeds  north-west,  at  right  angles  from  the  stream.  The  bluffer  hill  bordering  upon  it,  rises  abruptly  to  a  considerable  height, 
until  it  reaches  the  apex.  For  some  distance,  say  half  a  mile  or  more,  the  surface  declines  either  way  into  deep  fissures  or 
ravines.  A  little  further  on  it  widens  out,  and  for  the  distance  of  half  or  three-fourths  of  a  mile  the  surface  is  more  even  and 
uniform,  with  fields  on  the  right  and  left  until  very  near  the  Elkhorn  Tavern.  On  the  Avest  side  of  the  road  and  behind  the 
tavern  is  an.  abrupt  elevation,  Avith  a  high  rocky  face  looking  back  toAvard  the  creek,  and  facing  the  fields  on  the  left  side  of  the 
road.  To  the  left  and  Avest  of  this  there  is  a  deep  ravine  or  gorge,  after  passing  Avhich  and  upon  a  ridge  of  equal  height  with  the 
one  on  which  the  road  is  located,  LeetoAvn  is  situated.  It  consists  of  some  fifteen  or  tAventy  houses,  frame  and  log,  and  but  one 
story  in  height.  North-west  of  this  there  are  fields  Avith  Avoodland  intervening,  and  extending  out  in  this  direction  for  some  distance. 
Three-fourths  of  a  mile  from  this  village  Avas  the  centre  of  our  extended  line,  and  also  that  of  the  enemy.  At  this  point  and 
simultaneously  at  Elkhorn  Tavern  on  the  main  road,  the  battle  Avas  reneAved  early  on  the  morning  of  the  7th.  A  charge  Avas 
made  by  a  portion  of  our  cavalry  and  a  battery  of  light  artillery,  Avho  Avere  repulsed  with  considerable  loss  and  a  portion  of  the 
battery  Avas  taken  by  the  enemy.  The  cavalry  Avere  pursued  by  mounted  Indians  and  Texan  cavalry  armed  Avith  a  formidable 
Aveapon,  a  short,  heavy,  and  sharp  sabre,  made  from  heavy  saw-mill  files  by  their  OAvn  mechanics.  One  bloAV  with  this  rude 
Aveapon  Avouhl  crash  in  through  the  integument,  bony  structure,  and  into  the  brain,  or  make  deep  gashes  upon  the  body.  Our  forces 
however  rallied  and  drove  the  enemy.  Before  the  enemy's  cavalry  sallied  out  upon  our  forces,  their  infantry  concealed  in  the 
underbrush,  fired  a  volley  from  squirrel  and  shot  guns  of  all  calibre,  killing  and  Avounding  many.  Before  the  battle  began  our 
cavalry  had  moved  to  our  centre  through  Leetown  to  take  position.  I  ordered  out  two  ambulances,  and  Avith  surgical  appliances 
accompanied  by  an  assistant,  proceeded  after  them  as  speedily  as  possible.  Before  arriving  at  the  village  the  rapid  discharge  of 
cannon  and  small  arms  proclaimed  the  beginning  of  the  conflict.  On  the  Avay  and  Avhile  ascending  the  hill  from  the  deep  ravine, 
before  reaching  Leetown,  Ave  Avere  met  by  about  forty  horses  in  the  Avildest  and  most  furious  stampede,  with  saddles,  blankets 
and  other  cavalry  equipments  in  disorder.  These  belonged  to  the  cavalry  who  had  been  unhorsed  by  ball  and  sabre  in  the  charge. 

At  Leetown  I  AVUS  soon  engaged  with  Surgeon  D.  W.  Young,  36th  Illinois,  and  several  other  medical  officers  in  attending 
the  wounded,  in  a  .building  formerly  occupied  as  a  small  store.  It  Avas  one  story  and  a  half  high,  about  thirty  feet  long,  and 
twenty  feet  Avide.  Hospital  tents  Avero  erected  upon  the  grounds  around,  and  the  wounded  Avere  brought  in  more  rapidly  than 
there  was  room  for  their  reception.  This  building  Avould  accommodate  only  about  thirty-five  patients,  yet  it  had  a  greater 

capacity  than  any  other  building  in  the  village.  In  some  Avere  the  Avounded  of  the  enemy  only,  in  others  Avere  both  friends  and 
foes,  Avhile  others  Avere  occupied  by  our  own  men  exclusively.  In  all,  the  AvindoAVS  Avere  few  and  very  small,  admitting  little 
Ight  and  an  insufficiency  of  air,  even  when  the  sash  frames  Avere  entirely  removed.  *  *  The  Avounded  lay  upon  their  blankets 
or  on  the  naked  floors.  Water  Avas  scarce,  and  those  Avho  had  lost  largely  of  blood,  suffered  for  Avant  of  it.  The  Avounds  Avere 
mainly  produced  by  rifle  balls  and  by  the  sabre  already  described.  A  number  were  killed  by  one  stroke  of  this  weapon,  and  I 


REPORTS    OF    SURGEONS    McGUQIN    AND    IIUBBARD.  341 

saw  several  who  had  been  severely  wounded  by  it.  The  gunshot  wounds  were  mainly  produced  by  the  ordinary  squirrel  rifle, 
while  a  few  were  from  cannon  ball.  .  The  cavalry  were  wounded  more  frequently  in  the  upper  part  of  the  trunk  or  the  face,  upon 
the  head  and  superior  extremities.  The  corps  of  surgeons  was  not  sufficient  for  the  number  of  wounded.  The  wounded  of  my  own 
regiment,  to  the  number  of  seventeen,  were  collected  and  placed  in  our  regimental  hospital  tent.  The  afternoon  of  Friday  the 
7th  was  spent  by  me  at  the  hospitals  near  the  main  road,  which  consisted  of  two  one-story  log  houses,  one  of  which  had  two 
apartments,  and  the  other  but  one.  There  was  neither  kitchen  nor  out-house  to  either  of  them.  These  were  nearer  the  right, 
where  the  battle  raged  most  fiercely  the  afternoon  of  that  day,  than  those  at  Leetown ;  and  to  these  and  other  hospitals  even 
nearer  the  field,  the  wounded  were  brought  in  the  afternoon  and  evening.  These  houses  accommodated  but  few,  and  were 
objectionable  on  account  of  insufficient  light  and  ventilation.  Hospital  tents  were  erected  upon  the  grounds  around.  In  some  of 
these  the  rebel  wounded  who  had  been  taken  prisoners  were  placed,  and  one  of  their  surgeons  who  had  been  taken  prisoner  was 
assigned  to  them.  The  wounds  in  a  large  majority  of  these  cases  were  of  a  serious  character.  They  were  produced  by  cannon 
ball,  grape  and  the  conoidal  ball.  Several  regiments  of  the  enemy  were  armed  with  a  heavy  rifle  known  as  the  Mississippi  rifle. 
This  was  a  formidable  \yeapon,  and  at  short  range  would  produce  severe  and  unsightly  wounds.  They  were  mainly  upon  the 
lower  extremities.  Flap  amputations  were  preferred  by  most  of  the  surgeons.  A  number  were  performed  on  the  thigh ;  one  at 
the  upper  third  was  performed  by  myself.  Several  amputations  at  the  lower  third  were  necessitated  by  the  mangled  condition 
of  bones  and  soft  parts  below  the  knee.  Many  wounds  were  produced  by  small  rifles  or  squiri'el  guns.  These  were  usually 
on  the  trunk  and  upper  extremities.  There  was  a  deficiency  of  pure  water  at  these  hospitals  also,  and  we  were  forced  to  bring  it 
in  casks  from  the  creek,  half  a  mile  distant.  All  the  houses  within  three  miles  of  the  field  were  taken  for  hospitals.  Some 
of  these  sheltered  both  our  own  wounded  and  those  of  the  enemy.  In  one  I  found  both  white  men  and  Indians.  *  *  Most  of 
these  houses  wrere  but  one  story  high,  and  but  one  consisted  of  more  than  two  rooms ;  all  were  badly  lighted  and  poorly  ventilated. 
They  contained  but  few  of  the  ordinary  domestic  appliances,  and  were  wholly  wanting  in  the  usual  necessaries  found  in  more 
settled  regions.  The  surgeons  were  compelled  to  rely  upon  their  own  limited  resources  for  dressings,  bandages  and  other 
appliances.  Owing  to  the  number  of  wounded  and  the  limited  supply  of  hospital  tents,  these  small  houses  and  cabins  were  mucli 
overcrowded,  and  the  want  of  dry  straw  was  an  additional  cause  of  discomfort  to  the  wounded.  The  deficiency  of  medical  and 
hospital  supplies  caused  great  embarrassment  to  the  medical  corps.  :  *  Friday  night  the  two  armies  lay  upon  their  arms ; 
but  the  surgeons,  where  they  were  fortunate  enough  to  procure  light,  proceeded  with  their  work,  and  few,  if  any,  of  them  slept. 
Next  morning  the  battle  was  renewed,  and  continued  until  about  eleven  o'clock  A.  M.,  when  the  enemy  gave-  way.  Our 
killed  and  wounded  were  not  as  numerous  as  the  day  previous;  but  the  character  of  the  wounds  were  as  serious,  most  of  them 
having  been  received  at  short  range.  The  wounded  received  prompt  attention,  and  by  noon  all  were  cared  for  as  far  as  our 
limited  appliances  would  permit.  The  number  of  the  enemy's  surgeons  was  small,  and  it  was  feared  that  much  suffering  among 
his  wounded  would  result.  General  Curtis  therefore  expressed  the  wish  that  such  of  our  surgeons  as  could  be  spared  should  assist 
them  in  caring  for  their  wounded.  '  The  next  day  our  wounded  were  ordered  to  be  removed  to  Cassville,  and  the  work 

was  begun  with  the  ambulances  and  wagons.  The  distance  was  about  twenty  miles,  and  the  road  passing  through  a  broken 
country,  was  rough  and  uneven.  It  required  three  or  four  days  to  complete  this  task.  Although  all  prudent  care  was  observed  . 
in  their  removal,  yet  there  was  more  or  less  suffering  experienced  by  them  in  their  transit,  as  I  was  afterward  informed.  Surgeon 
Benjamin  J.  Newland,  of  the  22d  Indiana  Volunteers,  was  placed  in  charge  at  Cassville,  and  as  soon  as  all  the  wounded  were 
sent  forward,  the  army  moved  to  Camp  Stevens,  two  miles  distant,  upon  Sugar  Creek.  *  '  In  this  engagement  we  had  thirteen 
officers  and  one  hundred  and  ninety  privates  killed,  and  fifty-two  officers  and  nine  hundred  and  sixteen  men  wounded.  Total, 
two  hundred  and  three  killed,  and  nine  hundred  and  sixty-eight  wounded." 


CCLXXXiV.     Second  Extract  from  a  Narrative  of  his  Services  on  the  Medical  Staff.     By 
Surgeon  GEORGE  H.  HUBBARD,  U.  S.  Volunteers. 

"  Late  in  October,  1862,  I  was  ordered  to  report  to  General  Schofield,  commanding  the  army  of  the  Frontier,  and 
was  on  duty  as  director  of  that  army  corps  from  November?,  18G2,  to  Februarys,  1863,  when  I  was  relieved  and  assigned  to  duty 
as  director  of  the  district  of  south-west  Missouri.  Nothing  of  importance  occurred  till  the  battle  of  Prairie  Grove,  Arkansas, 
December  7,  1862.  The  1st  division  of  the  army  of  the  Frontier  was  under  the  direction  of  Surgeon  J.  E.  Quidor,  U.  S.  V., 
until  some  time  after  the  battle;  the  2d  and  3d  divisions,  numbering  about  seven  thousand  men,  were  under  my  medical  direction. 
They  marched  about  ninety-five  miles  after  Thursday  morning,  December  4th,  and  went  into  action,  without  resting,  at  noon  of 
Sunday,  December  7th.  They  were  of  course  very  much  fatigued,  but  in  the  highest  moral  condition.  Many  of  the  regiments 
had  been  in  service  for  more  than  a  year  without  having  been  in  action,  and  all  made  the  march  stimulated  with  the  prospect  of 
an  engagement,  and  it  may  be  stated  that  every  man  physically  or  morally  incapable  failed  to  reach  the  field.  Supplies  of  medical 
and  hospital  stores  were  abundant.  J3y  my  express  order  each  regiment  marched  with  sixty  days'  supply  of  all  essential  articles, 
and  I  took  with  me  an  abundance  of  everything  needed  after  an  engagement.  Ambulances  were  plenty  and  were  promptly 
at  hand  when  wanted.  The  hospital  tents  of  the  regiments  were  with  the  train,  but  were  not  needed  for  the  use  of  the  wounded, 
as  an  abundance  of  small  buildings  were  at  hand  to  receive  those  of  them  who  needed  protection,  but  the  mildness  of  the  weather 
was  such  that  there  was  no  suffering  from  exposure.  The  battle-field  was  Crawford's  Prairie,  bounded  on  the  east  by  Illinois 
Creek,  which  was  easily  fordable  for  ambulances  and  by  stepping  stones  for  men  on  foot.  The  medical  officers  were  stationed 
near  this  ford,  thus  enabling  them  to  examine  each  man  as  he  came  off  the  field.  The  ambulances  took  all  who  could  not  walk 
from  this  place  to  the  small  buildings  in  the  rear.  As  this  point  was  little  exposed  to  the  fire  of  the  enemy,  though  in  immediate 
proximity  to  the  field,  the  promptest  attention  was  paid  to  the  wounded  without  accident  to  medical  officers  or  ambulances.  The 
battle  ceased  at  dark,  and  the  ambulances  immediately  went  over  the  whole  field  bringing  away  every  man  not  previously 
removed,  so  that  before  morning  every  wounded  man  had  been  placed  in  a  comfortable  situation  and  properly  attended  to. 
Water  was  abundant  and  pure;  but  little  food  except  hard  bread  was  to  be  obtained  till  Monday,  when  soups  were  prepared  for 


342  APPENDED    DOCUMENTS OPEEATIONS    IN    ARKANSAS. 

all.  I  will  here  remark  that  I  believe  more  harm  is  done  from  too  much  food  and  too  free  use  of  stimulants  with  wounded  men 
than  from  the  want  of  an  adequate  supply.  I  believe  that  many  lives  were  lost  after  the  battle  from  this  cause,  while  I  have  no 
reason  to  believe  that  any  one  died  from  a  want  of  these  articles.  Most  of  the  wounds  were  received  during  charges  upon 
batteries,  in  very  close  conflict,  and  from  arms  of  various  character,  from  the  Enfield  rifle  to  the  double-barrelled  shot  gun ;  but 
the  majority  were  caused  by  the  conoidal  ball  with  a  wooden  plug,  made  at  Birmingham,  and  the  range  being  so  short,  most  of 
the  balls  passed  entirely  through,  causing  lacerated  wounds  of  a  terrible  character.  On  Monday  I  ordered  all  the  wounded  to  be 
sent  to  Fayetteville,  ten  miles  distant,  as  fast  as  possible,  where  I  proceeded  to  establish  a  general  hospital,  to  which  all  were 
conveyed  within  three  days.  Primary  amputations  were  performed  as  fast  as  it  was  possible  to  reach  the  cases ;  but  the  number 
wounded  in  so  short  a  time  rendered  it  impossible,  with  the  limited  number  of  medical  officers,  to  prevent  too  great  delay  in  many 
cases.  The  earlier  the  operations  were  performed  the  better  the  results.  Chloroform  was  the  anaesthetic  with  no  accidents  from 
its  use.  In  the  2d  and  3d  divisions  one  hundred  and  fifty  were  killed  and  six  hundred  and  four  were  wounded.  I  remained  at 
Fayetteville  six  weeks  after  the  battle.  About  the  25th  of  December  the  general  hospital  was  placed  in  charge  of  Surgeon  Ira 
Kussell,  U.  S.  V.,  and  I  afterwards  had  little  more  than  a  nominal  direction  of  its  affairs."  * 


CCLXXXY.     Extract  from  a  Report  on  the  Operations  of  the  Medical  Department  during 
the  Battle  of  Prairie  Grove,  Arkansas.     By  Surgeon  IK  A  KUSSELL,  U.  S.  Volunteers. 

*  *  *  "  The  battle  of  Prairie  Grove,  Arkansas,  was  fought  December  7,  1862,  by  the  combined  forces  of  Generals 
Herron  and  Blunt  against  the  rebel  army  under  General  Hindman.  General  Blunt,  with  a  force  of  several  thousand  men,  had 
been,  for  a  few  days  previous  to  the  fight,  at  Cane  Hill.  Constant  skirmishing  had  been  going  on,  and  the  day  before  the 
battle  his  pickets  had  been  withdrawn  to  the  eastern  side  of  the  Boston  Mountains.  Expecting  an  attack,  orders  had  been  issued 
to  General  Herron,  then  nearly  one  hundred  and  six  miles  distant,  to  join  him  at  once  by  forced  marches.  General  Herron,  with 
his  entire  force,  left  his  camps  near  Twin  Springs  on  the  4th  of  December,  and  early  on  the  morning  of  the  7th  his  cavalry  arrived 
at  Illinois  Creek,  near  the  battle-field,  while  his  infantry  was  on  the  road  stretching  back  as  far  as  Fayetteville,  distant  ten  miles. 
The  7th  Missouri  Cavalry  held  the  advance  while  the  1st  Arkansas  (Union)  Cavalry  was  at  breakfast  in  its  rear  and  near 
the  creek.  Suddenly,  about  seven  o'clock  A.  M.,  a  portion  of  the  7th  Cavalry  came  dashing  through  the  latter  regiment,  thereby 
creating  a  panic.  Indeed  it  wTas  afterwards  reported  that  men  from  both  regiments  continued  their  retreat  as  far  as  Elkhorn 
Tavern,  thirty-five  miles  away.  About  one  hundred  of  the  7th  Missouri  Cavalry  were  taken  prisoners.  Both  regiments  then 
successfully  resisted  the  approach  of  "the  enemy's  cavalry.  Later  in  the  day,  the  infantry  began  to  arrive  on  the  field,  and  at 
about  ten  o'clock  A.  M.  by  cutting  roads,  artillery  was  got  into  position  and  opened  fire  for  the  purpose  of  feeling  the  enemy. 
After  a  cannonade  of  an  hour  or  more,  firing  ceased.  About  two  o'clock  P.  M.  General  Herron's  remaining  troops  having  come  up, 
the  lines  were  formed,  the  artillery  again  opened  and  the  battle  began.  General  Herron's  command,  which  bore  the  brunt  of  the 
battle  and  sustained  the  heaviest  loss,  consisted  of  the  19th  and  20th  Iowa,  37th  and  94th  Illinois,  20th  Wisconsin,  26th  Indiana 
Infantry  regiments,  7th  Missouri,  a  part  of  the  8th  Missouri,  the  1st  Arkansas,  and  a  body-guard  of  the  1st  Missouri  Cavalry, 
a  company  of  the  1st  Missouri  Light  Artillery,  Murphy's  and  Peoria  batteries,  probably  amounting  in  all,  as  they  went  into  battle, 
to  three  thousand  five  hundred  or  four  thousand  men  and  eighteen  pieces  of  artillery.  The  19th  Iowa,  leaving  camp  with  over 
eight  hundred  men,  went  into  battle  with  four  hundred  and  forty-five.  The  battle-field  was  an  extensive  series  of  improved 
farms,  skirted  on  the  east  by  abrupt  hills  covered  with  heavy  timber.  The  battle  consisted  of  desperate  attempts  to  take  the 
batteries  of  the  enemy  posted  on  the  hills.  The  19th  Iowa  and  20th  Wisconsin  suffered  principally  in  their  charges  up  the  hill  and 
into  an  orchard  which  was  inclosed  on  three  sides  by  the  enemy  in  great  force.  Within  a  space  of  two  acres  two  hundred  men  of 
these  regiments  fell.  During  this  time  General  Blunt,  at  Cane  Hill,  eight  miles  away  and  in  the  rear  of  the  enemy,  heard  the 
firing,  and  at  once  started  off  his  trains,  pushing  his  troops  through  to  General  Herron  by  a  country  road.  At  four  o'clock  p.  M. 
he  rushed  in  on  the  right  flank  of  the  enemy,  taking  him  by  surprise,  as  a  brigade  had  been  left  behind  to  attract  his  attention. 
At  once  the  fight  became  an  artillery  duel.  The  most  desperate  attempts  were  made  by  the  enemy  to  take  our  batteries,  but 
were  everywhere  repulsed.  As  the  sun  descended  and  twilight  came  on,  it  became  apparent  to  the  enemy  that  it  was  necessary 
to  retreat.  The  retreat  began  at  ten  o'clock  p.  M.  and  continued  all  night,  being  completed  during  the  next  forenoon.  Our  total 
force  engaged,  as  per  official  report  of  General  Blunt,  was  seven  thousand  men,  with  twenty-eight  pieces  of  artillery.  On  the  rebel 
side  there  were  at  least  five  brigadier  generals  under  General  Hindman.  General  Blunt  estimated  the  force  of  the  enemy  at  twenty- 
eight  thousand  men  with  forty-five  pieces  of  artillery.  Probably  twenty  thousand  men  would  be  nearer  the  truth.  The  Federal 
loss  was  one  thousand  one  hundred  and  forty-eight ;  being  one  hundred  and  fifty-four  killed,  eight  hundred  wounded,  about  fifty 
missing,  and  one  hundred  and  fifty  taken  prisoners.  The  20th  Wisconsin  lost  two  hundred  and  seventeen  men,  killed,  wounded, 
and  missing.  The  loss  of  the  enemy  was  estimated  by  General  Blunt  to  be  three  thousand.  The  rebels  acknowledged  a  loss 
of  one  thousand  six  hundred  killed  and  wounded.  Such  is  a  brief  military  history  of  the  battle.  The  total  number  of  wounded, 
so  far  as  known,  was  six  hundred  and  thirty-nine,  of  whom  seventy-five  have  died. 

The  morale  of  the  troops  of  General  Herron's  command,  although  reduced  by  a  very  severe  forced  march  of  three  days 
through  a  country  abounding  in  small  streams,  without  bridges,  was  nevertheless  very  good.  General  Blunt's  forces  were  in  still 
better  condition  to  withstand  the  fatigue  of  battle.  All  the  troops  displayed  great  heroism,  pluck,  and  energy.  The  troops  of 
the  enemy  were  armed  with  Enfield  rifles,  Austrian  muskets,  shot  guns,  and  a  few  squirrel  rifles.  Most  of  the  severer  wounds 
were  caused  by  conical  balls ;  but  the  nearness  of  the  contending  forces  at  times  gave  to  round  balls  nearly  the  same  penetrating 
and  crushing  effect.  I  saw  conical  balls  of  three  sizes ;  grape,  round  shot,  round  musket  bullets  of  at  least  two  sizes,  and 
buckshot.  The  medical  staff  consisted  of  Surgeon  Quidor,  U.  S.  V.,  medical  director  of  the  army  of  the  Frontier ;  Surgeon 
Hubbard,  medical  director  of  General  Herron's  command,  and  the  various  regimental  officers.  At  the  commencement  of  the  battle, 
Surgeon  Hubbard  ordered  Surgeon  Harvey,  19th  Iowa  Volunteers,  to  occupy  a  house  two  or  three  miles  from  the  battle-field  for 
a  temporary  hospital.  This  was  out  of  range,  though  an  occasional  shot  passed  near.  Hither  the  slightly  wounded  repaired, 
while  during  the  evening,  night,  and  next  morning  the  ambulances  brought  up  the  more  severely  injured.  Surgeon  Bruner,  7th 


REPORT    OF    MEDICAL    DIRECTOR    SMITH.  343 

Missouri  Cavalry,  a  fine  officer,  was  taken  prisoner  early  in  the  day  and  labored  among  the  enemy's  wounded,  performing  several 
operations.  Most  of  the  wounds  he  saw  were  very  severe.  Surgeon  Harvey  performed  several  operations  in  his  field  hospital, 
but  owing  to  the  lack  of  medical  stores  of  every  description,  and  there  being  but  little  room,  it  was  decided  to  delay  all  operations 
until  the  establishment  of  a  general  hospital.  Fayetteville  offered  the  only  accommodations  for  this  purpose,  and  thither  the 
removal  of  the  wounded  at  once  commenced.  They  were  conveyed  ten  miles  in  ambulances  and  army  wagons.  By  the  10th  all 
but  fhe  slight  cases  treated  in  regimental  hospitals  had  been  placed  in  two  churches,  a  masonic  hall,  a  seminary,  a  school  room, 
and  three  private  residences.  On  the  9th  of  December  I  was  ordered  from  Saint  Louis  to  Fayetteville,  accompanied  by  Surgeon 
H.  S.  Churchman,  U.  S.  V.,  and  Acting  Assistant  Surgeon  S.  D.  Carpenter,  now  Surgeon  U.  S.  V.  We  arrived  on  the  20th,  and 
on  the  21st  a  general  hospital  was  established  by  order  of  the  commanding  general,  and  I  was  assigned  to  the  charge  of  it,  and 
afterwards  to  the  medical  directorship  of  the  district." 


CCLXXXVI.     Extracts  from  the  Sanitary  Reports  of  the  Department  of  Arkansas  for  1863, 
1864,  and  1865.     By  Surgeon  J.  R.  SMITH,  U.  S.  Army,  Medical  Director. 

"During  the  latter  part  of  July,  1863,  preparations  were  commenced  at  Helena,  on  the  Mississippi  River,  with 
a  view  to  the  capture  of  Little  Rock,  the  capital  of  Arkansas,  the  headquarters  of  Major  General  Price,  and  the  centre  of  rebel 
operations  west  of  the  Mississippi.  Major  General  Steele,  U.  S.  V.,  was  assigned  .to  the  command  of  the  troops  organizing  for 
that  purpose ;  and  the  army  of  Arkansas,  as  it  was  termed,  marched  from  Helena  on  the  15th  of  August.  Records  showing 
the  exact  numerical  strength  of  the  army  are  wanting.  It  was  however  composed  as  follows  :  1st  division,  consisting  of  cavalry 
under  Brigadier  General  Davidson,  numbering  about  seven  thousand  men.  The  regiments  comprising  this  division  I  am  unable 
to  ascertain.  2d  division,  consisting  of  infantry  and  composed  of  the  following  regiments :  18th,  43d,  54th,  61st,  106th,  and  126th 
Illinois,  12th  Michigan,  22d  Ohio,  27th  Wisconsin,  40th  Iowa,  and  3d  Minnesota,  under  command  of  Colonel  W.  E.  McLean,  of 
the  43d  Indiana.  3d  division  consisting  of  the  following  infantry  regiments :  29th,  33d,  and  36th  Iowa,  43d  Indiana,  28th 
Wisconsin,  and  77th  Ohio,  under  command  of  Colonel  S.  A.  Rice,  of  the  33d  Iowa.  There  was,  besides,  a  separate  cavalry  brigade, 
consisting  of  the  5th  Kansas,  and  1st  Indiana  Cavalry,  under  command  of  Colonel  Powell  Clayton,  of  the  5th  Kansas  Cavalry, 
and  four  batteries  of  artillery.  Surgeon  J.  C.  Whitehill,  U.  S.  V.,  the  only  staff-surgeon  accompanying  this  army,  was  assigned 
by  General  Steele  as  acting  medical  director.  Surgeon  E.  P.  Smith,  of  the  7th  Missouri  Cavalry,  was  appointed  surgeon-in-chief 
to  the  1st  division;  Surgeon  H.  M.  Starkloff,  of  the  43d  Illinois  Infantry,  to  the  2d  division ;  and  Surgeon  S.  H.  Sawyers,  of  the 
36th  Iowa  Infantry,  to  the  3d  division.  On  the  9th  of  August  a  hospital  and  convalescent  camp  was  established  at  Helena,  under 
Surgeon  S.  York,  54th  Illinois  Infantry,  for  the  reception  of  such  sick  of  the  army  as  were  unable  to  accompany  its  march. 
No  records  are  in  the  department  showing  the  number  of  men  sent  to  this  camp,  On  the  17th  of  August,  the  expedition  reached 
Clarendon,  on  the  White  River,  whence  most  of  the  sick  were  sent  back  to  Helena  by  steamboat ;  a  few  were  placed  in  temporary 
hospitals  established  at  Clarendon.  August  24th,  the  army  of  Arkansas  was  at  Duvall's  Bluff,  on  the  White  River,  and  from 
this  point  the  sick  were  sent  by  water,  to  the  Memphis  hospitals.  On  the  28th,  a  temporary  hospital  was  established  at  Duvall's 
Bluff;  and  on  September  1st  and  2d;  the  army  again  moved  toward  Little  Rock,  reaching  the  small  village  of  Brownsville  the 
next  day,  where  another  temporary  hospital  was  established.  Slowly  the  army  moved  forward,  its  progress  impeded  by  frequent 
skirmishes,  until  Septembr  10th,  when  Little  Rock  was  captured.  Little  Rock  had  been  well  fortified  to  resist  our  approach,  and 
was  garrisoned  by  an  army  under  Major  General  Price,  reported  to  be  twenty  thousand  strong.  General  Steele,  however,  did  not 
attack  the  fortifications  in  front,  but  crossing  a  portion  of  his  army  to  the  southern  bank  of  the  Arkansas  River,  seven  miles  below 
the  city,  he  flanked  the  enemy  and  drove  him  out  of  his  works.  During  the  whole  expedition,  including  fights  at  Little  Rock,  and  at 
Bayou  Metoe  bridge,  between  Duvall's  Bluff  and  Little  Rock,  the  number  of  killed  and  wounded  on  our  side,  was  one  hundred  and 
sixty-three.  These  figures  I  obtain  from  General  Steele,  as  no  records  on  the  subject  are  to  be  found  in  the  office  of  the  medical 
director  of  the  army.  Arrived  at  Little  Rock  September  10th ;  a  hospital  was  organized  September  17th,  in  the  buildings  previously 
used  as  such  by  the  rebels.  These  consisted  of  a  large  brick  structure  called  St.  John's  College,  as  its  name  imports,  originally 
intended  for  educational  purposes ;  and  cut  up  into  rooms  illy  ventilated  and  otherwise  unadapted  for  a  hospital.  On  each  side  of  this 
building  had  been  erected  a  long  wooden  structure,  one  story  in  height;  and  at  the  further  extremity  of  each  of  these,  and  running 
backward  at  right  angles  thereto,  two  long  wooden  buildings  had  been  constructed,  each  of  two  stories,  and  each  story  constituting 
a  separate  ward.  Within  the  parallelogram  of  three  sides  thus  formed,  were  situated  kitchen,  mess-room  and  other  out-buildings, 
with  privies  in  the  rear.  The  wooden  wards  of  the  hospital  had  a  door  &t  each  end,  and  side  windows,  without  other  means  of 
ventilation.  In  addition  to  the  above,  a  large  room  in  the  building  erected  and  used  by  the  Government  before  the  war  for  an  arsenal, 
was  also  turned  into  a  sick  ward.  A  number  of  sick  and  wounded  under  charge  of  three  medical  officers,  had  been  left  in  this  hospital 
by  the  Confederates  when  they  retreated.  Such  of  these  as  were  in  proper  condition,  were  at  once  sent  to  the  military  prison 
hospital  established  at  the  State  Penitentiary,  Avhere  they  were  placed  in  charge  of  a  Confederate  assistant  surgeon,  named 
Rutherford.  The  remainder  were  left  where  they  were,  to  be  treated  with  the  sick  of  our  own  army.  This  hospital  was  placed 
under  charge  of  Surgeon  E.  A.  Clark,  of  the  8th  Missouri  Cavalry.  September  22d,  orders  were  issued  breaking  up  the 
hospital  at  Duvall's  Bluff,  and  sending  to  Memphis  all  patients  not  likely  to  be  fit  for  duty  within  sixty  days;  and  on  the  8th  of 
October,  orders  were  issued  to  break  up  the  hospital  at  Brownsville,  its  inmates  and  supplies  being  sent  to  Little  Rock.  The 
number  of  sick  during  the  march  from  Helena  to  Little  Rock,  I  have  no  means  of  ascertaining.  The  troops  were  without  tents, 
and  a  large  portion  of  their  march  was  through  swamps  and  marshes.  The  concurrent  testimony  of  many  medical  and  other  officers 
of  the  expedition,  with  whom  I  have  conversed  on  the  subject,  is,  that  the  percentage  of  sick  and  mortality  was' unusually 
great.  *  *  On  the  10th  of  October,  in  obedience  to  orders,  I  reported  to  General  Steele  in  person,  and  was  at  once  announced  by  him 
as  medical  director  of  the  army  of  Arkansas.  The  army  was  constituted  as  before  mentioned,  with  the  addition  of  reinforcements 
sufficient  to  bring  its  strength  to  about  nineteen  thousand  men.  This  number  is  estimated  and  only  approximate,  but  as  near  .as 
I  can  ascertain.  The  main  army  occupied  Little  Rock,  detachments  being  stationed  along  the  line  of  the  railroad  from  Little 


344  APPENDED    DOCUMENTS OPERATIONS    IN    ARKANSAS. 

Rock  to  Duvall's  Bluff;  at  this  latter  place  on  White  River,  at  Lewisburg  and  Pine  Bluff  on  the  Arkansas,  at  Benton  to  the 
south  and  on  the  Saline  River.  The  regiments  were  deficient  in  medical  supplies,  which  were  procured  from  Memphis  on 
requisition  made  by  regimental  medical  officers ;  and  only  after  long  and  vexations  delays.  The  allowance  of  the  supply-table, 
beino-  insufficient  for  this  climate,  especially  in  the  important  article  of  antiperiodics,  deficiencies  were  supplied  by  requisitions 
ordinarily  made  out,  only  when  the  deficiency  really  existed.  Hence,  during  the  period  which  must  elapse  between  sending 
requisitions  to  a  distant  point  and  the  return  of  the  medicines  asked  for,  the  commands  were  without  the  articles  required.  'One 
general  hospital  was  in  operation  as  before  described ;  the  surgeon  in  charge  was  absent,  having  been  ordered  north  after  hospital 
supplies,  and  the  hospital  itself  was  in  a  sad  condition  as  regards  police,  discipline,  ventilation  and  supplies.  Vacancies  existed  in 
the  ranks  of  regimental  medical  officers,  some  being  absent  from  their  regiments,  and  in  other  cases  appointments  having  never  been 
made.  Of  the  officers  present  some  were  manifestly  unfit  for  their  places,  though  the  majority  were  competent  and  industrious, 
as  was  well  proved  by  the  hard  labor  performed  by  them  during  the  ensuing  summer.  A  purveyor  was  at  once  appointed  for 
the  army  of  Arkansas,  and  requisitions  forwarded  to  Memphis,  both  from  regiments  for  articles  of  which  they  had  present  need, 
and  from  the  purveyor,  for  an  ample  supply  to  be  stored  for  issue  at  Little  Rock.  Specific  instructions  were  issued  to  the  surgeon 
in  charge  of  the  general  hospital  for  the  improvement  of  its  condition,  and  for  its  future  management.  Efforts  were  made  to 
secure  the  return  of  all  medical  officers  absent,  and  to  procure  the  appointment  of  others  to  fill  all  existing  vacancies.  A  board 
of  medical  officers  was  appointed  in  obedience  to  General  Order  35,  War  Department,  1861,  before  which  a  number  of  surgeons 
and  assistant  surgeons  were  brought,  and  by  whose  action  those  who  were  found  incompetent  or  inefficient,  were  dismissed  from 
service.  Medical  boards  were  also  organized  at  various  places,  before  which  were  summoned  for  examination  all  applicants 
for  sick  leave  or  furlough,  and  all  subjects  for  discharge  on  surgeon's  certificate  of  disability.  Proper  steps  were  taken  for  the 
organization  of  an  ambulance  corps,  and  no  effort  was  spared  to  place  the  medical  service  in  perfect  uniformity  with  that  of  the 
eastern  armies.  I  have  already  stated  that  I  am  unable  to  give  any  figures  as  to  the  amount  of  sickness  in  the  army  of  Arkansas 
prior  to  October,  1863.  The  first  consolidated  report  of  sick  and  wounded  to  which  I  can  refer,  is  for  October  21st,  and  according 
to  this  the  number  of  sick  was  as  follows :  in  general  hospital  at  Little  Rock,  four  hundred  and  sixty-four ;  in  regimental  hospital, 
two  hundred  and  thirty -nine ;  in  quarters,  nine  hundred  and  fifty-one.  Total,  one  thousand  six  hundred  and  fifty -four.  Aggre 
gate  of  army  present,  nineteen  thousand.  Percentage  of  sick,  8.70.  The  most  sickly  poi-tion  of  the  season  was  now  however 
past,  and  the  health  of  the  army  began  to  improve  as  shown  by  the  following  statistics :  November  10th,  sick  in  general  hospital, 
three  hundred  and  forty-six ;  in  regimental  hospital,  two  hundred  and  fifty-eight ;  in  quarters,  nine  hundred  and  seven.  Total, 
one  thousand  five  hundred  and  eleven.  .  Aggregate  strength  of  army  present,  twenty  thousand.  Percentage  of  sick,  7.55. 
November  30th :  sick  in  general  hospital,  three  hundred  and  fourteen ;  in  regimental  hospital,  two  hundred ;  in  quarters,  six 
hundred  and  six.  Total,  one  thousand  one  hundred  and  twenty.  Aggregate  of  army  present,  twenty-two  thousand  one  hundred 
and  fifty- three.  Percentage  of  sick,  5.05.  December  16th  :  sick  in  general  hospital,  two  hundred  and  fifty- three ;  in  regimental 
hospital,  two  hundred  and  four ;  in  quarters,  seven  hundred  and  forty-four.  Total,  one  thousand  two  hundred  and  one.  Aggre 
gate  of  army  present,  twenty-two  thousand  one  hundred  and  fifty-three.  Percentage  of  sick,  5.42.  December  31st :  sick  in 
general  hospital,  two  hundred  and  eighty-six ;  in  regimental  hospital,  two  hundred  and  twenty-eight ;  in  quarters,  eight  hundred 
and  six.  Total,  one  thousand  three  hundred  and  twenty.  Aggregate  of  army  present,  twenty-two  thousand  one  hundred  and 
thirty-seven.  Percentage  of  sick,  5.96.  These  tables  do  not  include  the  large  numbers  sent  to  Helena,  Memphis,  and  northern 
hospitals  during  August  and  September;  a  number  I  am  unable  to  state,  but  which  was  doubtless  large.  During  the  months 
to  which  these  tables  refer,  the  army  had  been  far  from  idle.  Numerous  scouts  and  raids  had  been  sent  in  every  direction, 
resulting  in  constant  skirmishes ;  quarters  were  built,  consisting  of  huts,  generally  rude  but  comfortable,  These  were  not 
uniform,  but  were  built  according  to  the  taste  or  wishes  of  the  regimental  commanders,  holding  from  four  to  twelve  men  each, 
and  averaging  about  two  hundred  and  thirty  cubic  feet  to  each  inmate.  Fortifications  were  also  erected  by  the  labor  of  the  troops, 
at  the  different  places  occupied  by  them,  and  none  of  them  were  idle.  The  morale  of  the  troops  was  always  excellent,  and  they 
were  confident  in  themselves  and  their  commander.  Their  sanitary  condition,  bad  during  the  early  period  of  the  campaign,  soon 
improved  after  the  close  of  active  operations.  Medical  and  hospital  supplies  were  deficient  from  the  organization  of  the 
army  until  the  21st  of  December,  when  abundant  supplies  were  received  by  the  purveyor,  and  were  issued  to  the  regiments 
as  needed.  During  the  march  from  Helena  to  Little  Rock,  the  army  was  without  tents ;  after  the  capture  of  Little  Rock, 
tents  were  furnished  or  huts  built,  so  that  the  shelter  was  at  least  comfortable.  The  supply  of  ambulances  was  sufficient. 
They  were  distributed  among  the  brigades  by  Surgeon  Whitehill  before  leaving  Helena.  The  sick  and  wounded  were  carried  by 
ambulances  to  the  temporary  hospitals  in  the  rear,  or  to  steamboats  on  White  River,  which  transported  them  to  Helena  or 
Memphis.  Complaint  was  rife  as  to  their  care  before  reaching  the  boats,  but  no  facts  on  the  subject  have  come  to  my 
knowledge.  During  the  early  months  of  the  expedition,  the  prevailing  diseases  were  zymotic.  Intermittent  and  remittent,  and 
typho-malarial  fevers  constituted  most  of  them.  Piseases  of  this  class  diminished  in  frequency,  rapidly  in  October  and  subsequent 
months,  and  were  replaced  by  local  diseases,  conspicuous  among  which  were  inflammatory  diseases  of  the  respiratory  organs  and 
of  the  eye.  Rheumatism  also  now  made  its  appearance.  The  monthly  reports  of  sick  and  wounded  from  the  regiments  and 
hospitals  in  this  army  were  generally  promptly  forwarded  to  the  Surgeon  General,  and  to  these  I  must  refer  for  full  particulars 
as  to  the  prevailing  diseases,  and  their  mortality.  *  * 

January,  1864,  was  ushered  in  by  very  cold  weather ;  the  thermometer  fell  as  low  as  12°  below  zero ;  the  Arkansas 
river  froze  over  so  that  trains  crossed  upon  the  ice.  Advantage  was  taken  of  this  circumstance  to  procure  ice  for  the  coming 
summer;  wagons  and  a  detail  ef  men  were  furnished  by  order  of  General  Steele;  an  ice  house  situated  in  the  town  was  taken 
possession  of,  and  the  working  party  at  the  pond  whence  the  ice  was  procured  and  at  the  house  where  it  was  stored  was  placed 
under  the  immediate  charge  of  Lieutenant  F.  Sommer,  assistant  engineer  of  the  department,  under  whose  direction  more  than  two 
hundred  tons  of  ice  were  housed.  The  severe  weather  was  of  short  duration,  or  more  would  have  been  secured.  This  ice  was 
the  main  supply  of  the  hospitals  during  the  year  1864.  Some  was  purchased  at  Pine  Bluff,  Fort  Smith,  and  Duvall's  Bluff;  the 
latter  came  to  grief:  it  was  loaded  in  railroad  cars  and  started  for  Little  Rock.  That  very  day  the  nomadic  Shelby  made  a 
raid,  tearing  up  the  railroad  between  Duvall's  Bluff  and  Little  Rock,  and  the  ice  melted  in  the  cars.  *  * 


REPORT    OF    MEDICAL    DIRECTOR    SMITH  345 

Late  in  1863  the  small-pox  made  its  appeai-ance  at  Little  Rock.  The  first  case  occurred  in  the  person  of  a  negro  barber, 
who,  having  been  exposed  to  the  contagion  in  Memphis,  moved  to  this  place  where  the  disease  appeared.  It  slowly  spread,  at 
first  among  the  contrabands,  next  among  white  citizens,  and  finally  among  the  soldiers.  Early  in  January,  1864,  I  established  a 
hospital  for  eruptive  diseases  in  connection  with  the  general  hospital  in  this  city  and  situated  about  a  quarter  of  a  mile  from  the 
nearest  house  or  camp.  Here  all  cases  of  the  disease  occurring  in  the  vicinity  of  Little  Rock  were  treated ;  vaccine  virus  had 
already  been  procured.  *  *  In  January,  1864,  I  was  ordered  to  Washington  and  was  absent  from  the  department  from  the 
29th  of  January  to  May  llth.  During  my  absence  a  large  expedition  moved  hence,  southward,  under  General  Steele  for 
co-operation  with  General  Banks.  General  Steele  was  attacked  by  the  enemy  who  had  a  large  preponderance  of  force,  and,  after 
a  desperate  battle  at  Jenkin's  Ferry,  made  good  his  retreat,  though  almost  surrounded  by  Confederate  forces,  and  arrived  at 
Little  Rock  in  safety,  having  lost  largely  in  men  and  material  of  war. 

Upon  my  return  to  the  duties  of  medical  director,  I  found  no  reports  on  file  relating  to  this  period,  but  I  find  a  letter  from 
Surgeon  J.  C.  Whitehill,  U.  S.  V.,  dated  May  11,  1864,  reporting  to  the  Surgeon  General  as  follows  :  'Herewith  I  transmit  you, 
in  duplicate,  classified  returns  of  wounds  and  injuries  received  in  the  various  actions  that  occurred  during  the  recent  expedition  to 
Camden  from  this  place ;  a  detailed  account  of  the  expedition  has,  I  am  informed,  been  furnished  you  by  Surgeon  Hubbard, 
U.  S.  V.,  who  was  the  medical  director  in  the  field.'  To  these  returns  and  reports  I  refer  you  for  information  of  which  I  am 
ignorant.  I  called,  however,  for  some  reports  of  the  expedition  to  Camden  from  medical  officers,  which  reports  are  herewith 
transmitted.  The  wounded  from  General  Steele's  expedition  had,  at  the  date  of  my  return,  just  been  received  and  placed  in  hospital ; 
a  few  at  Fine  Bluff,  but  the  greater  part  at  Little  Rock.  At  the  latter  place  three  private  dwellings  had  been  seized  at  the  request 
of  Surgeon  Whitehill  for  the  reception  of  the  sick.  Neither  churches,  hotels,  or  other  public  buildings  had  been  taken  for  the  purpose ; 
the  buildings  seized,  like  all  private  houses,  were  unfit  for  the  reception  of  the  sick,  and  I  immediately  caused  hospital  tents  to  be 
erected  around  the  general  hospital,  and  on  the  28th  of  May  ordered  the  evacuation  of  private  houses,  the  patients  being  transferred 
to  the  tents.  In  the  ill  ventilated  private  houses,  erysipelas  appeared,  and  delayed  convalescence  from  wounds  was  the  rule.  All 
my  experience  during  this  war  convinces  me  that  during  the  warm  season  of  the  year  hospital  tents  are  far  preferable  for  hospital 
purposes  to  any  buildings  not  specially  erected  and  prepared  for  the  reception  of  the  wounded.  The  majority  of  the  wounded 
received  furloughs  at  this  time  and  started  for  their  homes.  A  number  of  wounded  of  our  army  in  the  actions  of  Mark's  Mills 
and  Jenkin's  Ferry  were  left  in  the  hands  of  the  enemy  upon  the  retreat  of  the  army.  Surgeons  were  left  in  charge  of  them, 
whose  reports  have  already  been  transmitted  to  the  office  of  the  Surgeon  General.  These  wounded  received  such  provisions  and 
medicines  as  the  limited  means  of  the  rebels  would  permit.  These,  however,  were  soon  exhausted,  when  permission  was  granted 
by  the  rebel  authorities  for  supplies  to  be  sent  from  our  lines.  I  accordingly  caused  ample  stores  of  medicines,  food,  and  clothing 
to  be  prepared,  which  were  forwarded  by  flag  of  truce  in  charge  of  one  of  our  own  medical  officers,  who  was  permitted  by  the 
officer  in  command  of  the  Confederate  forces  to  distribute  the  supplies  himself  to  those  of  our  wounded  in  need,  to  whose  comfort 
I  believe  they  were  scrupulously  devoted.  ' 

In  the  latter  part  of  August  it  was  reported  by  our  scouts  that  unusual  activity  was  manifested  by  the  rebels  to  our  south, 
and  soon  after  it  was  reported  that  they  were  massing  upon  the  Saline  River,  with  a  view  to  an  attack  on  Little  Rock  or  Pine 
Bluff.  Due  preparations  were  made  to  receive  them  at  either  place.  Our  army  scattered  through  the  department,  was  ample  to 
hold  the  more  important  and  fortified  posts,  but  was  not  sufficiently  concentrated  to  assume  the  offensive.  General  Steele  soon 
became  satisfied  that  the  object  of  General  Price  was  to  cross  the  Arkansas  River  somewhere  between  Little  Rock  and  Fort 
Smith  and  make  a  raid  into  Missouri;  demands  were,  therefore,  at  once  made  by  him  for  reinforcements  sufficient  to  enable  the 
army  to  assume  an  offensive  attitude,  to  pursue  and  chastise  the  rebel  army.  In  the  meantime,  Price  crossed  the  Arkansas  River 
at  Dardanelle  with  his  army,  consisting  of  about  fourteen  thousand  men,  mostly  mounted,  and  seventeen  or  eighteen  pieces  of 
artillery.  The  Arkansas  River  was  low  and  presented  no  obstacle,  being  easily  forded.  Driving  in  our  little  outpost  at  Lewis- 
burg,  occupied  by  the  3d  Arkansas  Cavalry,  Price  passed  northward  into  Missouri.  At  the  abandonment  of  Lewisburg  no  stores 
were  lost ;  the  sick  and  appurtenances  of  the  post  hospital,  with  the  other  stores,  being  brought  in  safety  to  this  place.  Early  in 
September,  but  just  too  late  to  intercept  the  raiders,  reinforcements  arrived  at  Duvall's  Bluff;  consisting  of  a  portion  of  the 
Seventeenth  Corps,  numbering  between  fifteen  and  sixteen  hundred  men,  and  the  1st  division  of  the  Sixteenth  Corps,  under 
command  of  Major  General  Mower,  numbering  not  quite  five  thousand  men.  The  sick  of  these  two  commands  numbered  six 
hundred  and  forty-four.  General  Mower  with  his  division  pushed  speedily  forward  in  pursuit  of  Price,  and  did  not  again  return  to 
this  department.  Such  of  his  sick  as  needed  hospital  treatment  were  sent  to  the  general  hospital ;  for  the  remainder  a  convalescent 
camp  was  established,  and  they  were,  shortly,  all  transferred  to  the  convalescent  camp  of  their  own  division,  established  at  Memphis. 
Such  medicines  as  were  needed  by  General  Mower's  command  were  issued  by  the  purveyor  here.  Of  the  subsequent  history  of 
this  division  you  will  have  received  reports  through  other  channels.  Early  in  November  all  the  available  cavalry  forces  of  the 
department  were  assembled  and  sent  up  the  Arkansas  River  to  Dardanelle,  in  the  endeavor  to  cut  off  Price  in  his  retreat.  This 
latter  general,  however,  found  it  more  convenient  to  retreat  through  the  Indian  Territory,  fording  the  Arkansas  River  with  such 
forces  as  could  be  kept  together  between  Fort  Smith  and  Fort  Gibson.  In  connection  with  the  raid  of  Price,  a  feint  was  made  by 
the  rebels  as  if  to  attack  Fort  Smith,  in  whose  vicinity  they  appeared  several  thousand  strong.  They  attacked  the  12th  regiment 
of  colored  troops  about  twelve  miles  west  of  Fort  Smith,  killing  two  and  wounding  thirteen.  Among  the  killed  was  Surgeon 
C.  J.  Lee,  llth  U.  S.  colored  troops.  The  only  other  military  operation  worthy  of  mention  during  the  year,  was  as  follows : 
In  June,  Shelby  with  a  force  of  Confederate  troops  assembled  in  northern  Arkansas  and  southern  Missouri,  marched  to  Clarendon 
on  the  White  River,  attacked  a  gunboat  lying  there,  surprising  it  early  in  the  morning  with  a  battery  commanding  it  from  the 
shore,  captured  the  gunboat  and  sunk  it.  A  command  of  about  three  thousand  men  was  immediately  sent  in  pursuit  under 
General  Can-,  which  overtook  the  rebels  near  Pikeville,  attacked  and  drove  them  off,  pursuing  them  some  miles  and  recapturing 
the  artillery  taken  by  them  from  the  gunboat.  Our  loss  was  thirteen  killed  and  two  wounded.  The  expedition  then  returned. 
In  August,  an  expedition  of  four  thousand  men  under  General  West,  marched  to  Augusta  on  White  River,  hoping  to  surprise  a 
force  of  Confederates  said  to  be  in  that  vicinity.  High  water,  however,  prevented  the  crossing  of  White  River,  and  the  expedition 
returned  without  fighting. 

44 


346  APPENDED  DOCUMENTS BATTLE  OF  VALVEEDE. 

During  the  year  1865,  the  Department  of  Arkansas  was  the  scene  of  no  considerable  military  operations.  The  surrender  ot 
the  Confederate  forces  under  General  Kirby  Smith,  speedily  followed  the  sin-render  of  the  eastern  armies.  Our  own  troops  had 
been,  previous  to  the  above  named  event,  much  reduced  in  numbers  by  transfer  to  distant  departments,  and  during  the  latter  part  of 
the  year  their  number  was  still  further  reduced  by  muster  out,  to  about  eight  thousand  men.  *  *  No  battles  took  place  in  the 
department  during  the  year.  In  the  latter  part  of  January,  an  expedition  was  sent  to  the  south-east  from  Little  Rock,  consisting 
of  the  25th  Ohio  Battery,  the  1st  Iowa  and  1st  Missouri  Cavalry,  the  43d  Illinois  Infantry,  and  the  1st  brigade,  1st  division 
Seventh  Corps,  under  command  of  Brevet  Major  General  E.  A.  Carr.  This  expedition  was  sent  out  in  conjunction  with,  and  to 
draw  attention  from,  an  expedition  sent  by  General  Canby,  for  the  purpose  of  releasing  our  prisoners  confined  at  Tyler,  Texas. 
General  Carr  met  witk  no  enemy  and  returned  in  a  few  weeks.  In  April  a  movement  was  planned  by  Major  General  Pope,  to 
start  southward  from  Fort  Gibson,  Indian  Territory.  The  necessary  preparations  were  made  therefor,  medical  and  other  supplies 
duly  obtained,  and  Major  General  Blunt  ordered  to  Fort  Gibson  to  command  the  cavalry  of  the  expedition ;  the  whole  to  be  under 
command  of  Major  General  Reynolds.  In  consequence  of  the  surrender  of  the  southern  armies,  the  movement  was  rendered 
unnecessary.  No  other  movements  of  military  importance  took  place  in  this  department  during  the  year;  the  movements  being 
confined  to  changes  of  station  of  the  different  regiments  to  supply  the  places  of  regiments  mustered  out,  or  otherwise  meet  the 
exigencies  of  the  service." 


CCLXXXVII.     Extract  from  a  Report  on  the  Operations  of  the  Medical  Department  at  the 
Battle  of  Valverde,  New  Mexico.     By  Surgeon  BASIL  NORKIS,  IT.  S.  Army. 

"The  battle  of  Valverde  was  fought  February  21,  1862;  fifty-six  men  were  killed  and  one  hundred  and  forty-six 
were  sent  from  the  field  to  the  hospitals  at  Fort  Craig.  The  action  commenced  about  nine  o'clock  A.  M.  and  continued  until  four 
o'clock  P.  M.  The  battle-ground  was  about  five  miles  from  the  fort,  our  troops  having  forded  the  river  to  engage  the  enemy.  All 
the  medical  officers  accompanied  their  respective  columns;  Acting  Assistant  Surgeon  W.  M.  Belt,  U.  S.  A.,  having  been  previously 
detailed  as  Post  Surgeon,  remained  in  garrison.  Near  the  hour  of  eleven  o'clock  A.  M.  I  left  the  depot  of  ambulances  and, 
accompanied  by  Assistant  Surgeon  J.  H.  Bill,  U.  S.  A.,  in  charge  of  eight  severely  wounded  men,  proceeded  to  Fort  Craig  to 
prepare  an  operating  room  and  open  our  hospitals.  Assistant  Surgeon  J.  H.  Bill  had  collected  the  wounded  here  mentioned  with 
commendable  zeal  and  activity.  Assistant  Surgeon  B.  A.  Clements,  U.  S.  A.,  Surgeon  J.  M.  Whitlock,  1st  New  Mexico  Volunteers, 
Assistant  Surgeon  J.  H.  Shout,  1st  New  Mexico  Volunteers,  Assistant  Surgeon  S.  Eankin,  2d  New  Mexico  Volunteers,  and  Acting 
Assistant  Surgeon  E.  A.  Arnold,  U.  S.  A.,  continued  on  the  field  with  instructions  to  forward  the  wounded  to  hospitals. 
Immediately  on  my  arrival  at  the  post,  assisted  by  Assistant  Surgeon  J.  H.  Bill  and  Acting  Assistant  Surgeon  W.  M.  Belt,  U.  S. 
A.,  I  amputated  at  the  upper  third  of  the  thigh  for  round-shot  fracture  of  the  femur.  At  this  time  I  received  a  note  from  Assistant 
Surgeon  B.  A.  Clements,  U.  S.  A.,  acting  medical  director  on  the  field,  informing  me  that  twenty-two  wounded  men  were  in 
ambulances,  and  that  at  least  eight  additional  wagons  were  required.  By  the  prompt  assistance  of  Captain  W.  A.  Van  Vliet,  A. 
Q.  M.,  the  necessary  transportation  Avas  rapidly  sent  forward,  and  also  a  large  supply  of  blankets  and  bedsacks  placed  at  my 
disposal.  Ordnance  Sergeant  Jones  and  the  clerks  and  other  employes  of  the  quartermaster's  department  voluntarily  placed 
themselves  under  my  command  and  rendered  valuable  service  by  preparing  beds,  and  in  arranging  for  and  assisting  the  wounded. 
Wounded  men  continued  to  arrive  throughout  the  day  and  until  two  o'clock  at  night ;  some  of  them  had  fallen  in  the  river,  or  were 
helped  by  their  companions  through  the  water  and  were  brought  in  thoroughly  wet  and  chilled.  Large  fires  were  made  in  all  the 
hospitals  and  every  attention  was  given  to  providing  for  their  comfort.  On  the  following  morning,  in  addition  to  the  garrison 
hospital,  four  temporary  hospitals  were  established  and  the  following  medical  officers  placed  in  charge  :  Assistant  Surgeon  B.  A. 
Clements,  U.  S.  A.,  Assistant  Surgeon  J.  II.  Bill,  U.  S.  A.,  Assistant  Surgeon  S.  Eankin,  2d  New  Mexico  Volunteers,  and  Acting 
Assistant  Surgeon  E.  A.  Arnold,  U.  S.  A.  Acting  Assistant  Surgeon  W.  M.  Belt,  U.  S.  A.,  continued  in  charge  of  the  garrison 
and  assisted  whenever  his  services  were  required.  Assistant  Surgeon  J.  H.  Shout,  1st  New  Mexico  Volunteers,  rendered  valuable 
service  by  remaining  on  the  field  until  late  at  night,  and  in  consequence  of  his  exertions  at  that  important  time  became  so  much 
indisposed  as  to  be  unable  to  attend  actively  to  duty  until  several  days  afterward,  when  he  was  placed  in  charge  of  a  ward.  I 
invited  Surgeon  Whitlock  to  assist  in  attending  the  wounded,  but  he  remained  in  charge  of  the  ordinary  duties  of  his  regimental 
hospital,  and  inasmuch  as  he  had  a  short  time  previously,  on  a  question  of  rank,  officially  objected  to  me  as  the  medical  director, 
I  did  not  choose  to  insist  on  his  services.  Circumstances  compelled  me  to  delay  the  amputations  until  eleven  o'clock  of  the  day 
succeeding  the  battle;  assisted  by  the  entire  medical  corps,  we  then 'performed  seven  amputations;  two  at  the  upper  third  of  the 
thigh,  two  at  the  lower  third  of  the  thigh,  two  of  the  leg,  (upper  third,)  and  one  of  the  arm  above  the  elbow.  The  cases  amputated 
at  the  upper  third  of  the  thigh,  including  the  one  performed  on  the  first  day,  died  a  few  hours  after  the  operation.  One  of  the 
cases  of  amputation  below  the  knee  died  of  gangrene  of  the  stump  on  the  third  day.  Four  of  the  fractures  of  the  femur  were  put 
up  in  splints,  (Physick's  modification  of  Dessaults,)  and  up  to  this  time  the  treatment  promises  the  happiest  results.  Three  cases 
of  fracture  of  the  tibia  were  put  up  in  fracture  boxes.  One  case  of  gunshot  wound  opening  the  knee  joint  and  fracturing  the 
condyles  of  the  femur,  was  put  on  double-inclined  plane  and  bran  pillow,  in  consequence  of  the  earnest  objection  of  the  patient  to 
the  amputation  of  the  limb ;  a  particular  report  of  the  case  will  hereafter  be  made.  I  herewith  inclose  a  list  of  the  wounded  with 
the  character  of  the  wound  in  each  case.  Before  closing  this  report,  I  desire  to  express  my  thanks  to  the  medical  officers  who 
cooperated  with  me  in  the  discharge  of  the  arduous  and  responsible  duties  which  devolved  upon  us.  It  will,  I  am  sure,  detract 
nothing  from  the  merit  of  the  medical  gentlemen  of  the  volunteers,  or  those  who  are  so  efficiently  acting  with  us,  to  say  that 
Assistant  Surgeons  B.  A.  Clements  and  J.  II.  Bill,  U.  S.  A.,  fully  sustained  the  reputation  of  their  corps  for  practical  knowledge 
of  their  profession.  The  excellent  condition  of  our  wounded  is  due  in  good  part  to  the  unremitting  attention  of  our  hospital 
stewards  and  attendants ;  very  favorable  mention  is  due  Hospital  Steward  John  Mclntosh,  U.  S.  A.,  Acting  Hospital  Steward 
Charles  Erdman,  U.  S.  A.,  Hospital  Steward  Philip  Welch,  2d  New  Mexico  Volunteers,  Hospital  Steward  Godfrey  Gauss,  3d 
New  Mexico  Volunteers,  Acting  Hospital  Steward  James  Cleland,  company  D,  3d  Cavalry,  Acting  Hospital  Steward  Jacob 
Morrow,  company  B,  5th  Infantry,  arid  Acting  Hospital  Steward  George  Dunn,  company  I,  3d  Cavalry.  Hospital  Steward  John 


REPORTS    OF    SURGEONS    NORRIS   AND    McNULTY.  347 

Drennan,  1st  New  Mexico  Volunteers,  though  not  on  duty  with  the  wounded  in  hospital  was  with  his  regiment  on  the  field  and 
was  active  and  efficient  in  the  discharge  of  his  duties.  The  character  of  the  wounds  received  in  this  action  is  shown  by 

the  following  summary:  Contusions,  eight.  Flesh  wounds:  of  head  and  neck,  seven;  of  trunk,  eighteen;  of  upper  extremity, 
seventeen ;  of  lower  extremity,  fifty-three ;  of  arm,  shoulder,  and  thigh,  one ;  of  arm  and  thigh,  two ;  of  testicle,  one.  Fracture 
of  bones :  of  the  face,  three ;  of  the  clavicle,  one ;  of  the  upper  extremity,  five ;  of  the  lower  extremity,  nineteen.  Wounds  of 
lung,  six ;  of  brain,  one.  Not  specified,  three."  * 


CCLXXXVIII.     Extract  from  the  Quarterly  Report  of  Sick  and  Wounded  at  Fort  Craig,  New 
Mexico^  for  the  Quarter  ending  June  30,  1862.      By  Surgeon  BASIL  NOKKIS,  TJ.  S.  Army. 

*  *  *  "On  the  24th  of  April,  seventy-five  of  the  wounded  of  the  battle  of  Valverde  were  transferred  to  general 
hospital  at  Hot  Springs  near  Las  Vegas,  two  hundred  miles  from  this  post.  These  patients  were  convalescent,  only  a  few  of 
them  requiring  crutches.  On  the  10th  of  May,  sixteen  of  the  wounded  of  the  battle  of  Valverde  were  transferred  to  general 
hospital.  All  of  these  men  were  able  to  walk  without  crutches.  On  the  17th  of  June,  seven  of  the  wounded  of  the  battle  of 
Valverde  were  transferred  to  general  hospital.  Four  of  these  cases  were  amputated  above  the  knee,  and  three  of  them  had 
recovered  from  severe  compound  fractures ;  two  of  the  femur  and  one  of  the  internal  malleolus.  There  were  six  primary 
amputations  above  the  knee;  five  of  them  died  and  one  recovered.  There  were  two  primary  amputations  of  the  leg  near  the 
knee;  one  of  them  died  and  one  recovered.  There  was  one  primary  amputation  of  the  arm  above  the  elbow;  this  case  recovered. 
There  were  six  secondary  amputations  of  the  thigh ;  five  of  them  recovered  and  one  died.  Of  the  cases  which  recovered,  four 
were  amputated  at  the  upper  third,  and  one  at  the  lower  third  of  the  thigh.  The  patient  who  died  was  Captain  Benjamin 
Wingate,  5th  U.  S.  Infantry.  His  thigh  was  amputated  at  the  lower  third.  He  died  on  the  thirteenth  day  after  the  operation 
from  pyaemia.  Of  the  two  cases  of  compound  fractures  of  the  femur  which  recovered,  one  of  them  was  fractured  too  high  to 
offer  any  hope  of  recovery  from  amputation ;  in  the  other  case  the  patient  would  not  submit  to  the  operation."  *  *  * 


CCLXXXIX.    Extracts  from  a  Report  on  the  March  of  the  Column  from  California,  from  Fort 
Yuma  to  the  Rio  Grande,  during  the  Summer  of  1862.     By  Surgeon  JAMES  M.  McNuLTY, 

U.  S.  Volunteers. 

*  *  *  "On  the  22d  of  July,  1861,  the  President  of  the  United  States  approved  an  act  of  Congress,  entitled  'An  act 
to  authorize  the  employment  of  volunteers  to  aid  in  enforcing  the  laws  and  protecting  public  property.'  Under  this  act,  one 
regiment  of  infantry  and  five  companies  of  cavalry  were  raised  in  California.  These  were  called  respectively  the  1st  Infantry 
and  1st  Cavalry,  California  Volunteers.  The  troops  were  raised  for  the  protection  of  the  Overland  Mail  Route  between  California 
and  the  Eastern  States  by  way  of  Great  Salt  Lake  City.  The  force  was  placed  under  the  command  of  Brevet  Major  James  H. 
Carleton,  1st  U.  S.  Cavalry,  with  the  rank  of  Colonel.  The  regiments  rendezvoused  at  Oakland  opposite  San  Francisco, 
California.  During  the  latter  part  of  August  and  the  month  of  September,  they  had  obtained  nearly  their  full  complement  of 
men.  Active  preparations  were  made  to  put  the  command  in  the  best  condition  for  active  field  service,  and  by  the  1st  of  October 
everything  was  in  readiness  for  the  movement  of  the  troops.  About  this  time  the  spirit  of  rebellion  became  manifest  in  California. 
Treason  stalked  abroad.  In  the  southern  part  of  the  State,  an  open  rupture  was  apprehended.  In  consequence  of  this  condition 
of  affairs  the  command  of  Colonel  Carleton  was  diverted  from  its  original  destination  by  General  Sumner,  the  department 
commander,  and  moved  to  the  disturbed  district.  About  the  1st  of  October,  the  command  moved  down  the  coast  and  formed  a 
camp  near  Los  Angeles  called  Camp  Latham.  On  the  14th  of  October,  three  companies  of  the  1st  Cavalry,  California  Volunteers, 
under  the  command  of  Major  Eyre  of  the  same  regiment,  were  ordered  to  relieve  the  regular  troops  stationed  at  San  Bernardino. 
This  place  was  the  hot-bed  of  secessionism  in  California.  On  the  same  day  orders  were  received  to  send  three  companies  of  the 
1st  Infantry,  California  Volunteers,  under  the  command  of  Lieutenant  Colonel  J.  R.  West,  to  relieve  the  regulars  stationed  at 
Fort  Yuma.  Regular  troops  stationed  at  different  parts  of  the  State  were  ordered  to  rendezvous  at  two  points,  viz.:  San  Diego 
and  San  Pedro,  for  the  purpose  of  embarkation.  Orders  had  been  issued  by  the  War  Department  that  regular  troops  on  the 
Pacific  coast  should  be  sent  to  the  seat  of  war  in  the  east.  Brigadier  General  E.  V.  Sumner,  at  that  time  in  command  of  the 
department  of  the  Pacific,  was  also  ordered  in.  On  the  departure  of  General  Sumner,  Colonel  George  Wright,  9th  U.  S. 
Infantry,  assumed  command  of  the  department.  The  southern  district  of  California  was  turned  over  by  Colonel  Wright  to  the 
command  of  Colonel  Carleton. 

During  the  two  succeeding  months  quiet  and  order  were  restored  throughout  the  southern  part  of  the  State.  The 
distribution  of  the  troops  indicated  to  the  disaffected  the  determination  of  the  authorities  to  keep  California  firmly  in  the  Union. 
On  the  12th  of  January,  1862,  Colonel  Carleton  was  summoned  to  San  Francisco  to  consult  with  Colonel  Wright  in  reference  to 
the  movement  of  troops  into  Utah.  Rumors  had  reached  California  that  Van  Dorn  of  the  rebel  service,  was  fitting  out  an 
expedition  for  the  invasion  of  California  by  way  of  Arizona.  The  fact  was  well  established  that  Arizona  and  a  portion  of  New 
Mexico  were  occupied  by  Confederate  troops,  and  it  was  apparent  to  all  that  California  was  more  accessible  through  Arizona  by 
way  of  Fort  Yuma,  than  in  any  other  direction.  Fort  Yuma,  located  on  the  Colorado  River,  on  the  south-eastern  line  of  the  State, 
is  our  extreme  outpost.  Surrounded  as  it  is  by  a  vast  desert,  if  once  in  the  possession  of  an  enemy,  the  key  to  the  State  is  lost. 
In  view  of  all  these  dangers  to  the  State  and  coast,  General  Wright  suggested  to  the  War  Department,  that  perhaps  the 
government  would  be  best  served  by  throwing  the  California  troops  into  Arizona  to  drive  the  rebels  from  that  Territory.  A 
double  object  would  thus  be  gained :  First,  an  effectual  guard  would  be  kept  against  any  invasion  of  the  Pacific  Coast  from  that 
quarter.  Second,  the  California  troops  would  fall  on  the  flank  of  the  Confederate  forces  then  in  New  Mexico  and  assist  the  federal 
troops  in  expelling  them  from  that  Territory.  The  suggestions  of  General  Wright  were  favorably  received  by  the  War 


348  APPENDED    DOCUMENTS — EXPEDITION    FROM    CALIFORNIA. 

Department.  The  feasibility  of  the  movement  was  so  apparent  that  the  consent  of  that  department  was  at  once  obtained.  Oil 
the  receipt  of  the  decision  of  the  War  Department  authority  was  granted  to  Colonel  Carleton  to  organize  and  fit  out  the  expedition. 
The  5th  Infantry  California  Volunteers,  under  the  command  of  Colonel  George  W.  Bowie,  company  A,  3d  U.  S.  Artillery, 
and  a  light  battery  under  the  command  of  1st  Lieutenant  John  B.  Shinn,  of  the  U.  S.  Army,  were  added  to  Colonel  Carleton's 
command ;  also  Captain  Cremony's  company,  2d  Cavalry,  California  Volunteers. 

Active  preparations  were  at  once  made  for  the  movement  of  the  column.  It  was  important  that  the  troops  should  move  as 
soon  as  possible  in  order  that  they  might  receive  the  benefit  of  the  cool  winter  weather  while  passing  over  the  Gila  and  Colorado 
deserts.  The  great  distance  from  the  Pacific  Ocean  to  the  Eio  Grande,  the  entire  and  complete  desolation  of  nearly  the  whole 
route,  presented  obstacles  almost  insurmountable  to  marching  a  column  of  over  two  thousand  men,  and  the  same  number  of 
animals.  It  was  well  known  that  forage  and  provisions  could  be  obtained  at  but  two  points  between  Fort  Yuma  and  the  Eio 
Grande,  in  time  of  peace,  and  then  in  limited  quantities,  viz.:  at  the  Pimas  Villages  and  at  Tucson,  and  it  being  known  that  the 
enemy  occupied  one,  if  not  both,  of  these  points,  it  was  necessary  that  preparations  should  be  made  entirely  independent  of  them. 
The  greatest  difficulty  appeared  to  be  in  subsisting  animals.  Unless  this  could  be  done,  rations  could  not  be  furnished  the 
troops,  and  the  expedition  would  necessarily  fall  to  the  ground.  With  the  commencement  of  preparations  came  unlooked-for 
difficulties.  Not  for  twenty  years  had  a  winter  of  such  severity  occurred  in  California.  The  whole  country  was  flooded  and 
hundreds  of  horses  and  cattle  were  mired  in  the  open  plains  and  lost.  For  weeks  it  was  almost  impossible  to  move  a  vehicle  of 
any  kind,  and  the  movement  of  baggage  trains  was  out  of  the  question.  In  the  meantime  commissary  stores  and  forage  were 
sent  by  sea  to  Fort  Yuma,  making  this  point  a  general  depot  and  base  of  operations.  The  troops,  during  this  terrible  winter, 
lived  in  tents.  As  the  rains  subsided  and  the  ground  became  more  settled,  the  troops  were  gradually  moved  towards  Fort  Yuma 
by  detachments  of  two  or  three  companies  at  a  time.  A  sub-depot  was  formed  at  Oak  Grove,  near  the  edge  of  the  Yuma  desert, 
one  hundred  and  twenty  miles  from  Los  Angeles,  called  Camp  Wright.  From  this  point  to  Fort  Yuma,  one  hundred  and  eighty 
miles,  is  a  continuous  desert  entirely  destitute  of  vegetation,  water  very  scarce,  and  generally  of  bad  quality.  Before  moving  the 
troops  on  this  desert,  Colonel  Carleton  sent  out  parties  and  had  the  wells  cleaned  out  and  new  ones  dug  in  order  that  every 
drop  of  water  might  be  available.  Forage  for  the  animals  was  deposited  at  different  points  between  Camp  Wright  and  Fort 
Yuma.  The  troops  were  marched  by  companies,  and  one  day  apart.  At  some  of  the  wells  there  was  so  little  water  that  it  was 
necessary  to  dip  it  out  in  a  pint  cup,  thus  consuming  nearly  a  whole  night  in  watering  one  hundred  animals. 

In  order  that  this  desert  may  be  more  thoroughly  understood,  I  quote  from  the  notes  of  Lieutenant  Colonel  West,  of 
the  1st  Infantry,  who  marched  the  first  three  companies  over.  His  description  of  the  route  commences  at  Oak  Grove,  Camp 
Wright,  near  the  edge  of  the  desert:  'Left  Camp  Wright,  near  Warner's  Eanche,  at  seven  and  a  half  o'clock  A.  M.,  marched 
five  miles  over  pleasant  rolling  roads  and  well  wooded  country  to  La  Puerta,  at  which  place  found  mountain  stream,  but  no  place 
for  a  camp  ground.  Thence,  by  fair  road,  without  water,  to  San  Felippe,  eight  miles ;  pasturage  good,  but  no  wood ;  water 
neither  over  abundant  nor  good ;  camp  ground  inferior.  Left  San  Felippe  at  three  and  a  half  o'clock  A.  M.  by  heavy,  hilly  road  to 
Vallecito;  road  sandy,  through  bottom  land,  to  first  hill  seven  miles;  thence  broken  road  six  miles,  a  great  portion  of  which 
is  a  canon  with  but  one  wagon  track  winding  between  cliffs.  A  very  small  force  could  oppose  an  enemy  of  far  superior  numbers. 
The  latter  part  of  the  road  is  more  level ;  on  the  left  side,  and  about  half  a  mile  from  the  road,  is  a  spring  that  affords  water 
enough  for  fifty  men ;  thence  a  small  rugged  hill  is  surmounted,  and  a  valley  reached,  five  miles  in  length,  with  a  sandy  road  to 
Vallecito.  Water  in  fair  supply ;  no  wood,  but  mezquite  bushes ;  pasturage  fair.  Left  Vallecito  at  three  and  a  half  o'clock  A.  M., 
marched  nine  miles  by  heavy,  sandy  road  to  Palm  Springs ;  water  in  limited  supply  and  required  to  be  prepared  for  the  command ; 
the  locality  can  be  used  as  a  camp.  Thence  by  heavy,  sandy  road  to  Carisso  Creek ;  no  pasturage.  The  country  has  now  become 
a  complete  desert  of  most  forbidding  aspect.  The  creek  is  a  small  stream  affording  an  abundant  supply  of  water  of  an  inferior 
quality.  The  bottom  land  is  filled  with  a  stunted  growth  of  mezquite  and  arrow  bushes.  Left  Carisso  at  eleven  and  a  half  o'clock 
A.  M.,  following  the  stream  and  constantly  crossing  it ;  road  heavy  and  sandy ;  thence  over  a  level  road  with  somewhat  improved 
travelling  four  miles  to  a  short,  steep  hill ;  thence  to  a  level  plain  with  desert  brush  to  Sackett's  Well,  last  part  of  the  road  fair 
travelling,  the  desert  complete,  water  good,  but  uncertain;  in  dry  weather  it  entirely  disappears.  Left  Sackett's  Well  at 
quarter  of  six  o'clock  p.  M.  through  a  continuous  desert,  first  five  miles  sandy;  thence  better  travelling  to  Indian  Well. 
Indian  Well  is  some  thirty  feet  deep,  water  good  but  in  small  quantities.  Signal  Mountain  is  a  prominent  land-mark,  bears 
south-west  about  fifteen  miles ;  reached  camp  at  eleven  o'clock  P.  M.,  distance  fifteen  miles.  Left  at  five  o'clock  P.  M.  for  New 
Eiver  Station ;  road  a  perfect  level  over  an  alkali  plain,  with  a  few  patches  of  mezquite  bushes ;  road  dusty  and  heavy  for  wagons ; 
well  deep,  water  scarce  and  of  inferior  quality.  Started  at  five  o'clock  P.  M.  for  Alamo ;  road  heavy,  over  a  barren  flat ;  there  is 
a  well  some  thirty  feet  deep,  affording  some  water.  Left  at  four  o'clock  P.  M.  for  Gardner's  Wells ;  no  water ;  nine  miles  thence, 
by  same  character  of  road  and  country,  to  Salt  or  Seven  Wells ;  water  plenty  but  brackish.  Started  at  four  o'clock  P.  M. ;  nine 
miles  to  Cook's  Wells ;  first  two  and  a  half  miles  bad  road ;  at  Cook's  Wells  water  and  wood  abundant  and  good.  Thence  fifteen 
miles  to  Pilot  Knobs ;  camped  on  the  bank  of  the  Colorado  at  foot  of  mountain.  From  Cook's  Wells  the  road  is  generally  good, 
through  mezquite,  flat,  and  the  latter  part  through  Indian  Gardens;  distance  twenty -five  miles.  Started  at  one  and  a  half  o'clock 
P.  M. ;  the  road  follows  the  Eio  Colorado  to  Fort  Yuma,  distance  ten  miles ;  road  much  broken  ;  reached  Fort  Yuma  at  four  and 
a  half  o'clock  p.  M.' 

I  have  been  thus  minute  in  detail  in  order  that  a  correct  idea  may  be  had  of  some  of  the  difficulties  encountered  in 
marching  troops  across  this  desert.  It  will  be  seen  that  nearly  every  march  was  made  in  the  night.  By  starting  at  four 
or  five  o'clock  in  the  afternoon  the  march  would  be  accomplished  before  daylight,  thus  enabling  the  men  to  sleep  a  part  of 
the  night.  The  ground  did  not  become  sufficiently  settled  for  the  movement  of  Shinn's  Battery  until  the  13th  of  April.  Previous 
to  this  nearly  all  the  command  had  been  moved  towards  Fort  Yuma,  one  company  only  remaining  to  accompany  the  battery. 
Colonel  Carleton  arrived  at  Fort  Yuma  on  the  29th  of  April ;  active  preparations  were  made  to  move  the  command  eastward 
without  delay.  Water  tanks,  holding  six  hundred  gallons  each,  were  prepared  to  accompany  each  detachment.  Contracts  were 
made  at  Fort  Yuma  to  have  hay  cut  and  deposited  at  different  points  between  the  fort  and  the  Pimas  villages.  It  was  ascertained 
that  Tucson  was  still  in  the  hands  of  the  Texans ;  their  pickets  extended  down  the  Gila  Eiver  to  within  fifty  miles  of  Fort  Yuma ; 


REPORT  OF  SURGEON  JAMES  M.  McNULTY.  349 

hay  deposited  at  different  points  by  Colonel  Carleton's  agents  was  burned.  The  Pimas  Indians  are  an  agricultural  people  and 
cultivate  large  quantities  of  wheat ;  knowing  this  fact,  and  the  importance  of  securing  as  much  as  possible,  Colonel  Carleton  had 
been  for  some  time  in  communication  with  an  American  living  at  these  villages ;  he  was  directed  to  purchase  all  the  wheat  the 
Indians  had.  A  considerable  quantity  was  thus  accumulated,  but  before  the  advance  of  the  column  reached  that  point,  the  Texans 
had  destroyed  it  all,  with  the  exception  of  a  small  quantity  the  Indians  had  cached.  This  was  a  serious  loss,  but  the  growing 
crops  had  not  been  molested,  and  Colonel  Carleton  was  enabled  to  secure  a  considerable  amount  for  his  animals.  Two  companies 
of  infantry  and  one  of  cavalry  were  sent  forward  towards  the  Pimas  and  Tucson ;  as  they  advanced  the  Texans  fell  back  to 
Tucson.  The  command  followed  them  to  within  a  short  distance  of  that  place,  but  not  feeling  sufficiently  strong  to  attack  them, 
fell  back  to  the  Pimas.  Lieutenant  Colonel  West  was  then  ordered  forward  with  four  companies  of  infantry. 

The  following  itinerary  was  made  by  this  officer :  '  To  Gila  City,  seventeen  miles;  no  grass  or  wood,  camp  on  river ;  thence 
to  Mission  Camp,  eleven  miles ;  wood,  water,  and  a  little  grass ;  wood,  water,  and  grass  four  miles  further  on.  From  Mission 
Creek  to  Filibuster  is  six  miles,  thence  to  Antelope  Peak,  nine  miles;  grass  within  three-fourths  of  a  mile;  camp  at  station. 
From  this  place  to  Mohawk  Station,  twelve  miles ;  no  grass,  camp  on  the  river.  To  Texas  Hill,  eleven  miles;  a  little  grass  on  the 
Hill;  station  half  a  mile  back  from  the  river.  Lagoon  Camp,  fine  water,  wood,  grass,  and  shade.  Thence  to  Brumell's  Ranche 
eleven  miles ;  very  dusty  and  disagreeable,  neither  men  nor  animals  can  recruit  much ;  at  Grassy  Camp,  three  miles  distant,  they 
do  much  better.  From  Grassy  Camp  to  Berk's  Station,  six  miles ;  a  very  poor  camp ;  little  better  at  Oatman  Flat,  eleven  miles 
further  on.  From  Oatman  Flat  to  Kenyon's  Station,  eleven  miles;  poor  camp,  no  grass;  to  Shady  Camp,  ten  miles;  everything 
good.  From  Shady  Camp  to  Gila  Bend,  four  miles ;  wood  and  water,  but  no  grass ;  thence  to  Desert  Station,  twenty-two  miles ; 
good  wood,  no  water  or  grass.  To  the  Tanks,  s"even  miles ;  same  as  Desert  Station.  To  Maracopa  Wells,  eleven  miles ;  plenty 
of  brackish  water,  some  salt  grass;  and  from  thence  to  the  Pimos  Villages,  eleven  miles;  roads  fair  with  some  sloughs.' 

The  march  from  Fort  Yuma  to  the  Pimas  Villages,  was  fatiguing  in  the  extreme.     The  intense  heat  and  alkali  dust  was 
almost  intolerable ;  both  men  and  animals  suffered  very  much.     As  fast  as  possible,  the  troops  were  pushed  forward.     On  the 
14th  of  May,  Lieutenant  Colonel  West  was  sent  forward  by  way  of  Fort  Breckenridge,  with  four  companies  of  infantry.     This 
fort  was  reoccupied,  and  the  stars  and  stripes  again  floated  to  the  breeze.     From  Fort  Breckenridge,  Colonel  West  proceeded  to 
Tucson,  by  way  of  Canada  del  Oro.     A  description  of  the  route  is  taken  from  the  notes  of  Colonel  West :  '  May  14th,  left  Fort 
Barrett,  Pimas,  at  seven  o'clock  A.  M. ;  road  tends  toward  the  river.     On  the  left  hand  detached  and  irregular  mountains  from 
five  to  nine  miles  to  the  right.     Soil  becomes  sandy,  and  the  country  desert.     Grease-wood  and  mezquite  abound,  but  no  thickets. 
The  river  is  gradually  approached  and  touched  at  Sackaton  Station ;  there  plenty  of  sacketon  grass,  a  poor  article  for  pasturage ; 
good  camp  on  the  river,  road  fine  for  marching  and  transportation.     Course,  east,  north-east.     May  15th,  left  Sackaton  Station  at 
forty  minutes  past  five  o'clock  A.  M. ;  road  parts  from  the  river  and  leaves  it  from  one  to  two  miles  to  the  left,  mountain  spurs 
tend  off  south-east.     A  lone  peak,  about  a  mile  and  a  half  long,  is  detached  from  the  main  range.     The  Butterfield  road  to 
Tucson  passes  between  the  peak  and  the  main  mountain.     A  picket  there  can  effectually  watch  both  roads.     A  small  lagoon  of 
water  is  found  at  the  north  base.     The  Picacho  is  plainly  visible  throughout  the  day's  march.     Dense  mezquite  thickets,  road  fine 
for  marching  and  transportation.     Camp  on  the  river  in  a  cotton-wood  grove,  one-quarter  of  a  mile  below  Whites ;  good  grazing 
and  fine.     Course,  east  by  south.     May  lu'th,  left  Whites  at  fifty  minutes  past  five  o'clock  A.  M.     Road  leaves  the  river  and  takes 
the  mesa,  the  ascent  is  gradual  and  road  good  for  twenty  miles.    Thickets  of  cactus  and  palo  verde.    At  about  twenty  miles  a  steep 
descent  leads  to  Dry  Camp,  a  basin  in  the  hills  of  some  thirty  acres  in  area ;  a  trail  makes  out  of  this  due  north  to  Ojo  Verde  Springs, 
four  miles.     The  Gila  River  is  three  miles  further  in  the  same  direction.     Ojo  Verde  can  be  used ;  the  water  is  inferior  and  not 
abundant;  the  quality  and  perhaps  the  quantity  could  be  improved.     The  spring  is  four  miles  off  the  road,  and  the  return  must 
be  made  by  the  same  track.     Left  Dry  Camp  at  forty  minutes  past  six  o'clock  p.  M.,  road  turns  off  south-east  up  an  arroyo ;  very 
heavy  sand  for  about  six  miles,  then  gradual  ascent  for  five  miles,  then  more  abrupt  and  up  high  hills.    At  fifteen  miles  from  Dry 
Camp,  a  finger-post,  marked  water,  points  to  the  right.     Cotton-wood  Spring  is  half  a  mile  distant  in  a  ravine.     The  grazing  is 
fine,  and  water  abundant  for  such  a  body  of  troops  as  this.     A  lone  cotton-wood  tree  prominently  marks  the  springs.     Course, 
east  by  south  and  south-east.     May  17th,  laid  by.     May  18th,  left  Cotton-wood  Spring  at  five  o'clock  p.  M.     Road  over  rolling 
hills  five  miles,  good  grass,  then  pass  the  summit,  and  the  descent  commences  toward  the  San  Pedro  River.     Sandy  arroyo  for 
eight  miles,  and  heavy  travelling;  the  road  becomes  a  canon.     A  walnut  tree  three  miles  west  of  Fort  Breckenridge,  marked 
water,  stands  in  the  middle  of  the  road.     At  this  point  the  road  to  Tucson  turns  off  square  to  the  right,  thence  to  San  Pedro  and 
Fort  Breckenridge.     The  fort  is  three  miles  to  the   right,  up  a  canon.     Rocks  from  one  to   three  hundred  feet  high.     Pass 
from  twenty  to  seventy  yards  wide,  road  extremely  heavy.     At  this  fort,  a  fine  stream,  good  grazing,  and  abundance  of  wood. 
Course,  east  by  south.     May  19th,  left  Fort  Breckenridge  at  forty-five  minutes  past  five  o'clock  A.  M.     Returned  by  the  canon  to 
the  walnut  tree,  thence  turned  abruptly  to  the  left  and  south,  up  a  similar  canon,  which  gradually  expands  to  open  country. 
Road  for  twelve  miles  excessively  heavy  and  sandy,  thence  gently  rolling  hills  until  the  foot  of  a  mountain  is  reached,  on  the 
left,  at  seventeen  miles  from  the  walnut  tree.    Thence  for  three  miles  the  hills  are  sideling  and  difficult.    A  steep  descent  of  one  mile 
leads  to  Canada  del  Oro.     Camp  on  a  fine  mountain  stream,  grazing  very  fine,  and  wood  abundant.     This  is  a  very  difficult  d.-iy's 
march.     Course,  north-west  by  south.     May  20th,  left  the  Canada  del  Oro  at  two  o'clock  P.  M.,  road  follows  a  ravine  between  the 
mesa  on  the  right,  and  a  mountain  range  on  the  left ;  a  good  deal  of  sand  but  mainly  a  fair  road  ;  fine  grass  along  the  route.     At 
fifty-five  minutes  past  eleven  o'clock  the  road  forks,  left  hand  leading  one  mile  to  the  Rincon,  a  small  running  stream ;  fine  camp ; 
grass  immediately  under  the  mountain.    Course,  south-west,    May  21st,  left  Rincon  at  thirty  minutes  past  five  o'clock  A.  M..  road 
turns  around  the  point  of  the  mountain  on  the  left,  travelling  rather  heavy.    Sandy  arroyo,  and  then  the  ground  becomes  rolling  ; 
about  eight  miles  from  Rincon  a  mesa  covered  with  cactus  and  mezquite  is  reached ;  travelling  improves.    Course,  south-west  and 
south  by  east,     Our  troops  entered  and  occupied  Tucson  without  firing  a  shot;  at  our' approach  the  Texana  made  a  precipitate 
retreat.     Colonel  Carleton  determined  to  collect  the  troops  at  this  point  for  rest,  drill,  etc.  ;  men  and  animals  required  rest ;  wagons 
wanted  repairing,  the  dryness  of  the  atmosphere  and  the  intolerable  heat,  having  shrunk  them  to  the  point  of  falling  to  pieces. 
Communication  was  opened  with  Sonora  for  the  purchase  of  Hour,  grain,  etc.'     In  the  first  part  of  June  :ill  the  troops  composing 
the  column  were  in  and  about  Tucson,  with  the  exception  of  a  part  of  the  5th  Infantry,  left  to  garrison  Forts  Yuma  and  Barrett. 


350  APPENDED    DOCUMENTS EXPEDITION    FROM    CALIFORNIA. 

There  is  another  and  more  direct  road  leading  from  the  Pimas  Villages  to  Tucson ;  this  road  was  taken  by  Lieutenant 
Shinn  and  two  companies  of  infantry.  The  following  description  of  the  road  is  given  by  Lieutenant  Shinn.  '  June  1st,  left  camp 
at  Fort  Barrett  at  fifteen  minutes  past  four  o'clock  p.  M.  with  battery,  one  ambulance,  one  water  and  eight  transportation  wagons, 
loaded  to  three  thousand  six  hundred  pounds  with  ammunition,  flour,  forage,  etc.,  eighty-seven  men,  and  one  hundred  and  fifty-three 
animals.  Road  011  Gila  River,  fine  for  transportation  of  heavily  loaded  wagons ;  no  water,  no  grass ;  vegetation,  mezquite  and  grease- 
wood.  At  Sackaton  Station,  very  dirty.  Encamped  on  river  at  eight  P.  M.,  having  marched  nearly  twelve  miles.  June  2d,  filled 
water  tank  (six  hundred  gallons)  and  left  camp  at  Sackaton  at  twenty  minutes  past  four  o'clock  P.  M.  Road  leaves  the  river  and 
sweeps  around  from  south-east  by  south,  to  south  by  east ;  with  gradually  ascending  slope  to  summit,  five  and  a  quarter  miles. 
Between  mountain  spur  and  detached  peak  on  left,  two  miles  of  the  road  dusty ;  then  soil  changes  from  the  alkali  dust  of  Gila  River 
bottom,  to  mixture  of  sand  and  gravel,  very  hard  and  quite  smooth.  From  summit,  Casa  Grande  in  sight  on  desert  to  left ;  and 
the  Picacho  straight  ahead,  south  by  east,  thirty-one  miles.  Desert  continues  to  Oneida  Station ;  road  continues  good.  At  eight 
miles,  gravel  replaced  by  hard  alkali  clay ;  vegetation,  mezquite,  grease-wood  and  cactus.  No  water  or  grass  on  road.  Wood 
plenty  and  sufficient  for  cooking.  Near  Oneida  Station,  which  is  on  the  left,  well  on  right  of  road,  depth  twenty-nine  feet,  with 
five  feet  of  water.  Encamped  there  at  forty-five  minutes  past  seven  o'clock  P.  M.  Train  all  in  ten  minutes  later.  One  hundred 
and  seventy-five  buckets,  equal  to  seven  hundred  gallons,  were  taken  from  the  well  at  the  rate  of  ten  gallons  per  minute,  without 
apparently  diminishing  the  supply.  The  water  is  excellent,  cold  and  sweet ;  the  best  this  side  of  Fort  Yuma.  Arrived  and  departed 
during  the  night,  having  marched  eleven  miles ;  found  no  grass  near  station.  June  3d,  left  camp  at  four  o'clock  A.  M.  Old  marks 
of  surface  water  show  a  gradual  rise  of  the  desert  toward  Blue  Water  Station.  Road  very  fine  for  marching,  very  little  sand. 
At  six  miles,  halted  from  forty-five  minutes  past  five  to  forty-five  minutes  past  six  o'clock  for  grass,  which  may  be  found  in 
considerable  quantities  one  hundred  yards  to  the  left,  off  road  in  belt  of  mezquite  and  arroyo  leading  east  from  that  point,  and  said 
to  extend  four  or  five  miles  in  same  direction.  Obtained  sufficient  for  a  good  night's  feed.  The  grass  is  grama  with  some  little 
gaeta.  The  gaeta  was  also  observed  on  the  left  of  the  road  one  mile  further  on ;  no  water ;  vegetation,  desert  plants,  mezquite,  and 
grease-wood.  Arrived  and  encamped  at  Blue  Water  Station  at  forty-five  minutes  past  seven  o'clock  A.  M.  Well,  sixty-nine  feet 
in  depth,  with  two  and  a  half  feet  of  water.  Drew  water  at  the  rate  of  six  gallons  per  minute,  for  one  and  three-fourths  hours ; 
watered  ninety  horses  in  same  time,  four  gallons  each,  watered  mules  and  horses  again  in  the  afternoon.  Took  from  this  well  in 
ten  hours,  over  sixteen  hundred  gallons  of  water,  and  left  the  depth  of  water  as  found.  It  will  probably  afford  four  thousand 
gallons  of  water  in  twenty-four  hours ;  quality  good,  and  water  cool.  At  four  o'clock  p.  M.,  sent  a  detachment  forward  to  clean 
out  well  at  the  Point  of  Mountain.  Wood  plenty ;  some  grama  and  a  little  gaeta  reported  to  exist  in  the  mezquite,  five  hundred 
yards  north-west  of  the  station.  Marched  nearly  ten  miles.  June  4th,  left  Blue  Water  Station  at  ten  minutes  past  two  o'clock  A.  M., 
and  expected  to  march  to  Tucson,  fifty-four  miles,  in  the  next  twenty-four  hours ;  as  there  is  no  water  on  the  road,  and  not 
enough  with  the  company  to  encamp  on.  Some  wagons  remain  loaded  with  three  thousand  six  hundred  pounds ;  morning  quite  cool, 
and  very  fine  for  marching.  Road  continues  to  rise  to  the  Picacho.  At  forty  minutes  past  four  o'clock  A.  M.,  9.6  miles  from 
Blue  Water ;  soil,  clay  water-washed  and  very  hard  and  smooth,  extends  for  miles  on  either  side  of  the  road.  Considerable  dry 
grama  grass  in  the  immediate  vicinity  and  mezquite  sparde.  At  13.9  miles  passed  graves  of  Lieutenant  Barrett  and  two  soldiers, 
on  left  of  road.  The  chalcos  (or  water  holes)  now  dry,  are  in  the  mezquite  on  the  right  of  the  road ;  here  quite  a  thicket,  some 
grass  but  dry.  The  road  is  now  level,  or  nearly  so,  for  three  or  four  miles.  At  forty-five  minutes  past  six  o'clock  A.  M.,  halted 
at  Picacho  Station  on  the  right,  and  distant  from  Blue  Water  Station,  14.9  miles.  Saw  a  band  of  antelopes  near  foot  of  peak ; 
no  water  at  this  point.  Consumed  about  two  hundred  gallons  of  water  in  tank,  for  which  had  to  wait  half  an  hour ;  resumed 
march  at  forty-five  minutes  past  seven  o'clock  A.  M. ;  road  begins  to  descend  toward  the  south  two  miles  beyond  the  Picacho,  and 
so  continues  to  Point  of  Mountain.  A  very  excellent  road  all  the  way;  at  25.5  miles  passed  a  deep  well  (dry)  on  right,  no  water 
ever  found  here.  High  mountains  on  right,  distant  from  thirty  to  one  hundred  miles ;  and  between  mountain  and  road,  valley 
of  Santa  Cruz  River ;  here  only  an  arroyo,  which  road  crosses  near  Point  of  Mountain.  At  twelve  o'clock  M.  and  twenty-nine 
miles,  halted  half  an  hour.  Met  a  messenger  at  thirty  minutes  past  one  o'clock  P.  M.,  and  received  notice  of  water  in  abundance 
at  Point  of  Mountain,  where  command  arrived  and  encamped  at  fifteen  minutes  past  four  o'clock  P.  M.  Station  on  right,  and 
well  on  left  of  road,  water  plenty,  no  grass,  no  wood  at  well,  and  but  little  on  last  eight  miles  of  road.  Used  water  brought 
from  Tucson  on  wagons,  and  did  not  thoroughly  test  the  capacity  of  the  well ;  which  is  thirty-nine  feet  deep,  with  four  feet  of 
water.  All  agree  in  pronouncing  it  the  best  on  the  desert,  and  say  it  cannot  be  dipped  dry.  March  39.1  miles.  June  5th,  left 
camp  at  three  o'clock  A.  M.  About  five  miles  from  Point  of  Mountain,  dense  mezquite  thicket — a  good  cover  for  Indians.  At  six 
miles  crossed  arroyo  of  Santa  Cruz.  River  descending  to  left,  quite  dry,  a  litte  sand,  and  some  more  at  eleven  miles ;  remainder 
of  road  very  good,  numerous  cotton-wood  trees  on  road  this  day,  and  much  mezquite ;  no  water.  Between  seven  and  ten  miles 
from  Point  of  Mountain,  much  salt  grass,  poor  stuff  for  forage.  First  five  and  last  three  and  a  half  miles  of  to-day's  march,  very 
fine  road  of  hard  gravel.  Arrived  at  Tucson  at  forty-five  minutes  past  eight  o'clock  A.  M. :  march  fifteen  miles.  Total, 
86.7  miles.' 

Tucson  is  about  halfway  between  Fort  Yuma  and  the  Rio  Grande,  and  contains  a  population  of  four,  or  perhaps  five  hundred, 
mostly  Mexicans ;  a  few  Americans  and  foreigners  were  living  here,  principally  gamblers  and  ruffians,  traitors  to  their  country 
—secessionists.  Colonel  Carleton  received  his  promotion  to  the  rank  of  Brigadier  General  of  Volunteers,  while  on  the  desert,  in 
the  early  part  of  June.  On  his  arrival  at  Tucson,  the  Territory  of  Arizona  was  at  once  placed  under  martial  law,  and  a 
proclamation  issued  to  the  people.  *  * 

A  number  of  notorious  characters  were  arrested,  examined  by  military  commission,  and  sent  to  Fort  Yuma.     Order 

meantime  General 
stores  collected  from 


._  permit  after  the  severe  march  over  the  Yuma  and  Gila 

No  communication,  up  to  this  time,  could  be  had  with  our  forces  in  New  Mexico.  The  strength  of  the  rebels  and  their 
ocahty  were  entirely  unknown.  Great  difficulty  in  communicating  with  General  Canby,  at  that  time  in  command  of  the 
department  of  New  Mexico,  existed  on  account  of  hostile  Indians.  The  Apache  nation  occupied  the  whole  country  between  the 


REPORT  OF  SURGEON  JAMES  M.  McNULTY.  351 

Rio  Grande  and  Colorado  River.  The  great  distance  to  be  traversed  through  this  country  rendered  it  hazardous,  if  not  impossible, 
for  any  small  party  to  get  through  it.  General  Carleton  endeavored  to  send  an  express  to  General  Canby  from  Tucson.  The 
party,  consisting  of  three  men,  was  attacked  near  Apache  Pass  and  two  of  the  men  were  killed  by  the  Indians ;  the  survivor  was 
pursued  some  forty  miles  and  barely  escaped ;  he  was  captured  by  the  Texans  near  Mesilla,  and  the  dispatches  to  General  Canby 
fell  into  their  hands.  From  these  they  learned  the  exact  strength  of  General  Carleton's  command  and  the  intended  movements  of 
the  column.  On  the  22d  of  June  General  Carleton  sent  forward  Lieutenant  Colonel  Eyre  of  the  1st  Infantry,  California  Volunteers 
with  one  hundred  and  forty  men ;  this  was  the  advance  guard  of  the  column.  With  the  exception  of  frequent  skirmishing  with 
the  Indians,  and  the  loss  of  three  men  killed  and  several  wounded  at  Apache  Pass,  the  party  met  with  no  other  enemy  before 
reaching  the  Rio  Grande.  Apache  Pass  is  about  midway  between  Tucson  and  the  river ;  it  is  through  a  spur  of  the  Chi-ri-ca-hui 
Mountains  and  is  about  three  and  a  half  or  four  miles  long.  In  this  pass  is  a  fine  spring  of  water  and  a  favorite  haunt  of  the 
Indians.  A  company  of  infantry  and  a  part  of  a  company  of  cavalry,  with  two  mountain  howitzers,  fought  the  Indians  at  the 
spring  for  four  hours.  A  number  of  the  savages  were  killed  in  the  fight ;  our  loss  was  three  killed  and  several  wounded.  On 
either  side  of  this  pass  extends  a  plain  from  thirty  to  forty  miles  in  width.  The  Indians  can  see  parties  approach  and  lay  in  wait 
for  them. 

On  the  20th  of  July,  preparations  for  the  movement  of  the  command  having  been  completed,  General  Carleton  issued 
the  following  general  order :  '  The  column  from  California  will  move  to  the  Rio  Grande  in  the  following  order :  1st.  On  the  20th 
instant  Colonel  Joseph  R.  West,  1st  Infantry,  California  Volunteers,  with  companies  B,  C,  and  K  of  his  regiment,  and  company 
G  of  the  5th  Infantry,  California  Volunteers.  This  command  at  the  Rio  de  Sanz  will  receive  the  addition  of  company  E  of  West's 
regiment,,  and  Thompson's  mountain  howitzers.  Major  Theo.  A.  Coult,  of  the  5th  Infantry,  California  Volunteers,  is  assigned  to 
duty  with  the  command.  Colonel  West  will  take  forty  thousand  rounds  of  rifle-musket  ammunition.  2d.  On  the  21st  instant  a 
second  command,  consisting  of  Shiun's  light  battery  U.  S.  3d  Artillery,  and  companies  A,  1st  Infantry,  and  B,  5th  Infantry  California 
Volunteers,  will  take  up  its  line  of  march  for  the  Rio  Grande.  This  command  will  be  supplied  with  all  the  artillery  ammunition 
now  here  which  pertains  to  Shinn's  Battery,  and  seventeen  thousand  rounds  of  ammunition  for  the  rifle  musket.  3d.  On  the  23d 
instant  a  third  command  under  Lieutenant  Colonel  Edwin  A.  Rigg,  consisting  of  companies  D,  F,  H,  and  1, 1st  Infantry  California 
Volunteers,  will  start  for  the  Rio  Grande.  This  command  will  have  twenty-eight  thousand  rounds  of  ammunition  for  the  rifle 
musket.  4th.  Each  of  these  commands  will  be  supplied  with  subsistence  for  thirty  days,  with  at  least  two  tents  for  each  company, 
and  with  a  good  supply  of  entrenching  tools.  Each  command  will  also  have  one  hospital  tent  complete  and  an  ambulance  for  the 
sick  and  wounded,  and  will  have  a  forge  and  materials  for  shoeing  horses  and  mules  and  also  a  water  tank  and  a  good  supply  of 
water  kegs.  5th.  On  the  31st  instant  a  train  of  wagons,  laden  with  forty  days'  supplies  of  subsistence  for  the  whole  command,  is 
hereby  ordered  forward  with  the  following  ammunition,  viz. :  forty  thousand  rounds  for  the  rifle  musket,  thirty  thousand  rounds 
for  the  Sharp's  carbine,  and  twenty  thousand  rounds  for  the  navy  size  Colt's  revolver,  together  with  such  other  supplies  of  clothing, 
tents,  tools,  spare  wagon  timbers,  leather,  wagon  grease,  horse  shoes,  mule  shoes,  horse-shoe  nails,  stationery,  &c.,  &c.,  as  may 
be  required,  will  leave  Tucson  for  the  Rio  Grande,  escorted  by  companies  A,  5th  Infantry,  and  A,  1st  Cavalry,  California 
Volunteers,  each  furnished  with  sixty  days'  rations.  This  command  will  have  an  ambulance,  forge,  and  water  tank,  and  such 
other  articles  as  may  be  required  to  render  it  efficient.  6th.  Company  D,  1st  Cavalry,  California  Volunteers,  will  move  from 
Tubac  directly  for  the  crossing  of  the  San  Pedro,  where  it  will  arrive  on  the  22d  instant ;  from  this  point  it  will  form  the  advance 
guard  of  the  column  and  habitually,  unless  otherwise  ordered,  will  march  one  day  in  front  of  West's  command.  7th.  Captain 
Cremony's  Company,  B,  2d  Cavalry,  California  Volunteers,  will  inarch  near  the  head  of  the  column  to  serve  as  flankers  or  as 
videttes  as  occasion  may  require.  8th.  The  staff  officers  attached  to  the  headquarters,  except  the  chief  commissary,  will,  until 
further  orders,  move  with  West's  command.  Surgeon  Prentiss,  1st  Cavalry,  California  Volunteers,  will  move  with  the  second 
command  and  Surgeon  Wooster,  5th  Infantry,  California  Volunteers,  will  move  with  Rigg's  command.  9th.  The  chief  quarter 
master,  chief  commissary,  and  medical  director  are  charged  with  giving  the  most  perfect  efficiency  possible  to  all  matters  pertaining 
to  the  public  service  in  their  several  departments,  keeping  in  mind  the  fact  that  the  column  is  presumed  now  to  move  forward 
prepared  at  all  points  to  engage  the  enemy  at  any  moment,  by  night  or  by  day.  Let  nothing  be  omitted  or  neglected  which  will 
give  due  effect  to  this  idea,  whether  on  the  march  or  on  the  field  of  battle.'  *  * 

The  strength  and  location  of  the  Confederates  were  unknown,  consequently  the  column  was  kept  well  in  hand,  the 
companies  marching  only  one  day  apart.  For  a  description  of  the  country,  I  quote  from  the  notes  of  Colonel  Eyre  :  '  June 
21st,  left  Tucson  at  three  o'clock  A.  M.  with  Captain  Fritz,  and  Lieutenants  Haden  and  Baldwin,  1st  Cavalry  California  Volunteers, 
and  one  hundred  and  forty  men  ;  marched  thirty-five  miles  to  Cienegas  delos  Pinos,  and  camped  at  thirty  minutes  past  twelve 
o'clock  P.  M.  ;  water  and  grazing  abundant.  The  road  to-day  is  veiy  good,  with  the  exception  of  two  or  three  hills.  At  a 
distance  of  about  twenty-eight  miles,  the  road  descends  into  the  cienega;  then  seven  miles  to  water,  near  the  burned  station 
which  stood  on  the  hill  to  the  right  of  the  road.  Course,  south-east;  thirty-five  miles.  June  22d,  left  Cienega  at  six  o'clock 
A.  M.,  marched  over  a  high  rolling  country,  but  good  wagon  road  and  splendid  grazing  all  the  way  for  a  distance  of  about 
twenty-two  miles,  when  the  road  descends  through  a  canon  for  one  mile,  and  then  opens  on  the  San  Pedro  Valley.  Two  miles 
further  the  river  is  reached,  at  the  overland  mail  station.  Strong  bridge  over  the  river ;  water  and  grass  abundant,  Course, 
north-east;  twenty-five  miles.  June  23d,  left  camp  at  the  crossing  of  the  San  Pedro  at  thirty  minutes  past  seven  o'clock  A.  M. 
The  road  at  once  leaves  the  river,  and  enters  a  valley  about  one  mile  wide  and  four  miles  long,  when  it  terminates  at  the  foot 
of  the  mesa,  which  is  gained  through  a  narrow  canon,  in  which  is  a  long  but  not  very  steep  hill.  The  canon  is  about  one  and  a 
half  miles  long  when  the  top  of  the  mesa  is  reached;  then  about  fourteen  miles  to  overland  station  at  Dragoon  Springs,  at  which 
place  we  arrived  at  thirty  minutes  past  twelve  o'clock  P.  M.  and  encamped.  Found  water  sufficient,  by  digging,  two  miles  up  the 
canon,  the  trail  to  which  is  difficult  in  some  places  to  lead  animals  over.  Course  north-east ;  nineteen  and  a  half  miles.  June 
24th,  left  Dragoon  Springs  at  thirty-minutes  past  ten  o'clock  A.  M.;  was  detained  in  consequence  of  scarcity  of  water;  marched 
twenty-five  miles  over  an  excellent  road  to  Ewell's  Station,  arriving  there  at  thirty  minutes  past  five  P.  M.  Sent  Captain  Fritz 
and  six  men  with  spades  to  examine  the  spring  in  the  mountain  north  of  the  station;  he  had  returned  to  station  by  the  time 
the  command  arrived,  and  reported  water  enough  for  the  men  only.  Camped  at  six  o'clock  P.  M.  Course,  north-east;  twenty- 


352  APPENDED    DOCUMENTS EXPEDITION    FROM    CALIFORNIA. 

five  miles.  June  25th,  left  Ewell's  Station  at  one  o'clock  A.  M.,  marched  fifteen  miles  over  a  very  hilly,  and  in  some  places 
very  rocky,  road  to  station  in  Apache  Pass,  and  camped  at  six  o'clock  A.  M. ;  water  scarce,  no  grass.  Course,  north-east ; 
fifteen  miles.  About  twelve  o'clock  M,  while  I  was  engaged  at  the  spring  superintending  the  watering  of  animals,  it  being 
necessary  to  dip  it  with  tin  cups,  four  shots  were  heard  in  the  direction  where  the  horses  that  had  been  watered  were  being 
grazed  under  a  strong  guard.  Immediately  thereafter  it  was  reported  that  Indians  were  in  sight,  and  that  the  guard  had 
fired  to  give  the  alarm.  Almost  immediately  thereafter  it  was  reported  to  me  that  the  Indians  were  waving  a  white  flag.  I  at 
once  started  for  them,  taking  with  me  a  white  flag,  and  Mr.  Newcomb  as  interpreter.  At  the  end  of  about  an  hour,  I  succeeded 
in  getting  sufficiently  near  one  of  them  to  be  understood.  I  explained  to  him  what  I  desired,  and  asked  for  the  chief.  By  this 
time  about  seventy-five  to  one  hundred  Indians  were  in  sight,  many  of  them  mounted  on  good  looking  horses,  and  all  of  them 
armed  with  fire  arms ;  some  with  rifles  and  six  shooting  pistols — of  the  latter  I  observed  a  great  number,  and  occasionally  single 
barrelled  shot  guns.  When  the  chief  came  forward,  I  told  him  that  we  were  Americans  and  that  our  great  captain  lived  in 
Washington;  that  we  wished  to  be  friends  of  the  Apaches;  that  at  present  I  was  only  travelling  through  their  country,  and 
desired  he  would  not  interfere  with  my  men  or  animals ;  that  a  great  captain  was  at  Tucson  with  a  large  number  of  soldiers;  that 
he  wished  to  have  a  talk  with  all  the  Apache  chiefs,  and  to  make  peace  with  them,  and  make  them  presents.  He  professed  a  great 
desire  to  be  friendly  with  the  Americans,  and  assured  me  that  neither  my  men  nor  animals  should  be  molested.  He  asked  me 
for  tobacco,  and  something  to  eat.  I  gave  him  all  that  could  possibly  be  spared,  and  we  parted  with  a  request  on  his  part,  that 
I  would  meet  him  at  the  same  place  at  sunset.  On  my  return  it  was  reported  to  me  that  three  men  were  missing.  A  party  of 
thirty  men  were  at  once  sent  out  in  the  vicinity  of  where  the  firing  was  heard,  and  after  an  hour's  search,  the  bodies  of  the 
missing  men  were  found,  stripped  of  all  their  clothing,  and  two  of  them  scalped.  Each  was  shot  through  the  chest  with  fire  arms, 
and  lanced  through  the  neck.  They  were  victims  of  their  OAvn  imprudence ;  the  entire  command  having  been  repeatedly  warned 
by  me,  not  to  wander  from  camp.  It  appears  they  had  started,  leading  the  horses  from  the  spring  where  the  watering  was  being 
done,  over  the  ridge  into  another  gulch,  when  they  came  on  the  Indians,  and  were  murdered.  The  Indians  succeeded  in  getting 
one  horse.  When  the  bodies  of  our  murdered  men  were  found,  instant  pursuit  of  the  Indians  was  made,  some  of  whom  were 
seen  on  a  hill  half  a  mile  distant ;  but  being  unable  to  come  up  with  them  a  return  to  camp  was  ordered,  carrying  in  the  dead 
bodies  which  were  buried — the  entire  command  being  present.  The  animals  now  being  all  watered,  as  far  as  was  possible, 
and  there  being  very  little  grass  in  the  pass,  at  six  o'clock  P.  M.  left  camp ;  marched  out  and  made  a  dry  camp  011  the  plain, 
two  miles  beyond  the  canon.  Course,  east,  north-east ;  four  miles.  At  eleven  o'clock  p.  M.  a  volley  of  six  or  eight  shots  was 
fired  into  camp,  wounding  Acting  Assistant  Surgeon  Kitridge  in  the  head,  and  killing  one  horse  at  the  picket  line.  June  26th, 
left  Dry  Camp  No.  1  at  thirty-minutes  past  three  o'clock  A.  M.,  marched  fifteen  miles  over  an  excellent  road  to  San  Simon  Station ; 
then  turned  square  to  the  right,  marched  thirteen  miles  up  the  dry  bed  of  the  river  to  a  large  cienega,  and  camped  at  two  o'clock 
p.  M.  Course,  east,  north-east  and  south-east ;  twenty-eight  miles.  This  is  a  splendid  camping  place,  water  and  grass  in  the 
greatest  abundance.  The  proper  road  to  the  cienega  turns  to  the  right  from  the  stage  road,  about  six  miles  from  Apache  Pass, 
and  around  the  Point  of  Mountain  it  comes  on  the  San  Simon,  one  mile  below  the  water.  At  midnight  camp  was  alarmed  by  a 
shot  fired  by  one  of  the  guard.  On  examination  it  was  found  to  be  a  coyote,  which  he  mistook  for  an  Indian  crawling  through 
the  scattered  bushes,  and  which  he  instantly  killed.  This  was  a  very  hard  day's  march  on  men  and  animals,  being  obliged  to 
leave  dry  camp  without  breakfast,  owing  to  scarcity  of  water,  having  but  eight  five  gallon  kegs  in  which  to  carry  water  for  the 
men ;  and  not  being  able  to  get,  at  the  pass,  as  much  water  as  the  animals  required.  June  27th,  laid  over.  June  28th,  left  camp  at 
Cienega  of  San  Simon  at  four  o'clock  p.  M.,  marchted  five  miles  to  the  pass  in  the  mountain  ;  road  heavy.  On  arriving  at  the 
pass  found  the  road  through  it  very  good,  and  the  pass  wide.  Marched  fifteen  miles  from  San  Simon,  and  made  Dry  Camp  No.  2 
at  fifteen  minutes  past  ten  o'clock  p.  M.  Course,  north,  north-east ;  fifteen  miles.  June  29th,  left  dry  camp  at  four  o'clock  A.  M. 
marched  nine  miles,  over  good  road,  to  Lightendorffer's  Well,  in  Eound  Mountain  canon,  well  on  right  and  close  to  road,  it  is  about 
eight  feet  square  and  seven  deep,  rock  bottom.  Halted  at  well  one  hour.  Obtained  a  very  limited  supply  of  water  for  my 
command.  This  is  a  tolerably  good  camping  place  for  three  companies  of  infantry.  By  care  they  could  obtain  sufficient  water 
which  is  good.  Left  Lightendorffer's  at  eight  o'clock  A.  M.,  marched  twenty-two  miles  to  Dinsmore  Station,  (Soldier's  Farewell,) 
and  at  five  o'clock  P.  M.  halted.  Discovered  here  a  small  spring  about  two  or  three  miles  up  the  arroyo,  north  of  station,  and 
a  hole  of  bad  water  eight  hundred  yards  south  of  station.  Left  Dinsmore  Station  at  eight  o'clock  P.  M.,  marched  fourteen  miles 
to  Cow  Springs,  and  camped  at  twelve  midnight;  water  and  grazing  abundant.  The  road  from  the  Cienega  of  San  Simon  to  this 
place  is  good  for  loaded  teams,  excepting  four  or  five  miles  to  the  pass.  Course,  north-east ;  forty-six  miles.  Soon  after  leaving 
Dinsmore  Station  found  two  men  on  the  side  of  the  road,  under  rather  suspicious  circumstances ;  took  three  letters  from  them, 
one  directed  to  the  Commander  of  the  Federal  forces  at  Tucson,  or  en  route.  Put  the  men  in  charge  of  a  guard  and  brought 
them  back.  Here  discovered  nine  men  camped,  who  proved  to  be  a  party  sent  by  Colonel  Chivington,  commanding  southern 
military  district  of  New  Mexico,  at  Fort  Craig,  with  a  letter  to  Colonel  Carleton ;  with  verbal  orders  to  deliver  it  to  the  commander 
of  the  advance  of  his  column  when  met  with,  and  return  to  Fort  Craig.  Read  the  communication  and  returned  Mr.  Milligan  and 
one  of  his  party  with  the  answer  to  Fort  Craig,  at  three  o'clock  P.  M.  on  the  30th  instant,  at  which  place  he  would  arrive  on  the 
evening  of  the  2d  proximo.  :  From  Mr.  Milligan  I  learned  of  the  capture  of  Jones,  the  expressman,  by  the  secessionists  at  the 

Picacho  near  Mesilla ;  his  two  companions  having  been  killed  by  the  Indians  at  Apache  Pass,  and  he  himself  chased  by  them  for 
a  great  many  miles.  This  information  was  brought  to  Fort  Craig  by  a  friendly  Mexican,  who  was  present  at  the  capture  of  Jones. 
June  30th,  laid  over.  July  1st,  this  morning  a  number  of  men  were  discovered  by  the  lookout,  approaching  from  the  direction  ol 
the  Pinos  Altos  Mines ;  sent  out  a  party  and  brought  them  into  camp.  They  proved  to  be  a  party  of  thirty  Mexican  miners  returning 
to  Sonora,  in  consequence  of  the  almost  total  absence  of  provisions  at  the  mines.  Allowed  them  to  proceed  on  their  journey. 
Left  Cow  Spring  at  eight  o'clock  A.  M.  Arrived  at  the  Rio  Mimbres  at  one  o'clock  p.  M.,  and  camped  two  miles  above  station ; 
water  and  grazing  abundant  and  of  the  best  quality ;  road  good.  Course,  north-east;  sixteen  miles.  July  2d,  laid  over.  At  ten 
o  clock  this  morning  one  of  the  pickets  discovered  persons  approaching  camp ;  they  were  arrested  and  brought  in,  twelve  men 
and  two  women— one  a  German  and  the  others  Mexican.  They  were  also  from  the  mines  en  route  for  Mesilla.  Ordered  them  to 
be  confined,  in  order  to  secure  the  secrecy  of  my  movements.  At  nine  o'clock  A.  M.  sent  out  a  party  of  twenty  men  to  examine 


REPORT  OF  SURGEON  JAMES  M.  McNULTY.  353 

Cook's  canon,  with  orders  to  arrest,  if  possible,  all  persons  they  may  meet  with  ;  and  to  remain  at  Cook's  until  the  command 
came  up.  July  3d,  left  Mimbres  Elver  at  thirty  minutes  past  six  o'clock  A.  M.,  marched  twelve  miles  over  a  good  road  to  Cook's 
Puss ;  from  here  to  summit,  road  hilly.  A  long  rocky,  but  not  very  steep  hill,  brings  you  to  the  top  of  the  pass.  From  there 
the  descent  to  the  spring  is  good.  Distance  from  pass  to  spring,  six  miles.  Course,  north,  north-east;  eighteen  miles.  Here 
came  up  with  the  party  sent  in  advance  yesterday.  They  reported  no  person  in  sight,  and  no  fresh  tracks.  July  4th,  left 
Cook's  Spring  at  thirty  minutes  past  six  o'clock  A.  M.,  took  Fort  Thorn  road  which  keeps  a  north,  north-east  course,  while 
the  Mesilla  road  turns  to  the  right  immediately  at  the  springs,  and  bears  east,  north-east  passing  the  overland  mail  station, 
which  is  seen  on  the  hill  about  half  a  mile  distant.  Marched  thirteen  miles  to  Mule  Spring ;  good  road.  Here  no  water  could  be 
found  even  by  digging;  having  sent  a  party  in  advance  with  spades  for  that  purpose.  Left  Mule  Spring  at  twelve  o'clock  M., 
marched  twenty-two  miles  to  the  Eio  Grande,  and  camped  at  seven  o'clock  p.  M.  near  Fort  Thorn.  Course,  north,  north-east ; 
thirty-five  miles.  The  road  for  about  eight  miles  after  leaving  Mule  Spring  is  very  good,  it  enters  a  rolling  country,  the  hills 
becoming  more  and  more  abrupt,  for  a  distance  of  about  six  miles,  when  it  ascends  into  a  broad  caiion,  which  it  follows,  in  a  good 
road,  to  the  river.  Immediately  on  making  camp  the  national  colors  were  raised  amid  the  loud  and  continuous  cheers  of  the 
assembled  command.  This  was  the  first  time  the  stars  and  stripes  floated  on  the  Rio  Grande  below  Fort  Craig,  since  the  occupa 
tion  of  the  country  by  the  Confederate  troops ;  and  the  day  being  the  anniversary  of  our  National  Independence,  was  not  calculated 
to  dampen  the  ardor  of  the  command.  We  are  now  within  thirty-five  miles  of  the  enemy,  who  the  prisoners  whom  I  have 
taken  variously  estimate,  from  two  to  eight  hundred  strong.  As  soon  as  the  horses  have  recruited  a  little — they  being  consider 
ably  reduced  by  a  march  of  about  three  hundred  miles,  through  a  broiling  sun,  and  over  a  country  entirely  destitute  of  water, 
for  distances  ranging  from  thirty-five  to  sixty  miles — I  will  reconnoitre  his  position  and  endeavor  to  ascertain  his  strength,  which 
I  have  but  little  doubt  of  accomplishing,  and  in  case  he  does  not  greatly  outnumber  me  will  give  him  a  fight.  Moved  three  miles 
down  the  river  and  occupied  Fort  Thorn.' 

As  soon  as  the  arrival  of  Colonel  Eyre  on  the  river  was  known,  the  Texans  made  a  hasty  flight.  Their  army  was 
completely  demoralized,  and  Colonel  Eyre's  force  magnified  fourfold;  what  they  could  not  carry  with  them  was  destroyed.  One 
hundred  and  fifty  sick  and  wounded  were  left  in  hospital  at  Franklin,  Texas,  and  the  neighborhood.  Colonel  Eyre  crossed  the 
river  near  Fort  Thorn,  and  pushed  down  toward  the  retreating  rebels.  He  entered  Las  Cruces,  opposite  Mesilla,  and  raised 
the  national  colors.  Franklin  was  also  occupied  by  a  detachment  of  his  command. 

General  Carleton,  with  the  head  of  the  column,  reached  the  river  on  the  8th  of  August.  The  time  consumed  on  the  march 
being  eighteen  days.  The  sight  of  this  beautiful  stream,  after  the  many  days  of  toil  and  suffering  gladdened  the  hearts  of  all. 
The  last  day's  march  was  particularly  severe.  Over  forty  miles  had  been  made  by  the  infantry  without  water,  without  a  murmur. 
The  desert  had  been  conquered,  and  the  command  arrived  on  the  river  in  good  fighting  condition.  No  deaths  had  occurred 
between  Tucson  and  the  river,  and  but  few  remained  on  the  sick  list.  General  Carleton  crossed  the  river  at  the  point  where 
Colonel  Eyre  crossed.  The  river  was  so  high  that  it  could  not  be  forded,  and  the  only  boats  were  two  small  scows  made  by 
Colonel  Eyre.  The  animals  swam.  over.  This  was  successfully  accomplished,  none  were  lost.  A  rope  was  attached  to  both 
sides  of  the  boats  and  extended  to  either  bank  of  the  river.  A  number  of  men  were  stationed  on  both  flanks.  By  this  means 
they  were  enabled  to  pull  the  boat  from  shore  to  shore.  The  wagons  were  unloaded,  their  contents  being  ferried  across  in  the 
boats  which  were  hauled  across  by  ropes.  In  this  manner,  each  command  as  it  came  up,  was  crossed  in  safety.  Nothing  was 
lost  or  injured.  General  Carleton  moved  the  column  down  the  river  as  far  as  Las  Cruces,  Mesilla,  and  Franklin,  taking  with 
him  two  companies  of  cavalry;  he  proceeded  on  down  as  tar  as  Fort  Quitman,  Texas.  From  there  he  dispatched  a  company 
of  the  1st  Cavalry  as  far  as  Fort  Davis,  distant  from  Fort  Quitman,  one  hundred  and  thirty  miles.  The  Texans  had  abandoned 
this  post.  One"  man  much  emaciated  was  found  dead ;  his  body  being  pierced  in  many  places  with  arrows.  This  man  had 
evidently  been  left  behind  sick.  The  sick  and  wounded  Texans  left  behind  at  Franklin,  were  sent  with  an  escort  to  San  Antonio. 
General  Canby,  at  this  time  in  command  of  the  Department  of  New  Mexico,  had  been  ordered  east ;  and  on  the  16th  of 
September,  1862,  General  Carleton  arrived  in  Santa  F6,  and  on  the  18th  assumed  command  of  the  department.  In  this 

march  every  thing  was  reduced  to  the  smallest  possible  compass.  No  tents  were  used  by  officers  or  men  during  the  whole  march. 
Two  wagons  were  allowed  to  a  company.  In  these  were  carried  camp  and  garrison  equipage,  ten  days'  rations,  mess  furniture, 
and  every  thing  belonging  to  a  company.  Every  article  was  weighed.  Officers,  from  the  general  down,  carried  each  but 
eighty  pounds  of  baggage,  including  bedding,  mess  kit,  etc.  The  troops  suffered  very  little  from  sickness.  The  mortality  was 
very  small.  Not  one  single  death  occurred  on  the  march  of  the  column  from  the  Pacific  Ocean  to  the  Rio  Grande,  from  the  13th 
of  April  to  the  8th  of  August,  and  but  five  deaths  from  disease  in  hospital  during  this  time ;  two  at  Fort  Barrett,  and  three  at  Tucson. 
Every  possible  care  was  observed  to  guard  against  sickness.  This,  together  with  the  splendid  personel  of  the  men,  will  account 
for  the  success  of  the  expedition,  and  the  slight  mortality  attending  it." 


TABLE  OF  CONTENTS 


TO   THE 


I 


MEDICAL  AND  SURGICAL  HISTORY  OF  THE  REBELLION. 


Page. 

I.  Report  of  the  Events  connected  with  the  First  Suit  Run  Campaign.     By  Surgeon  W.  S.  KING,  U.  S.  Army,  Medical 

Director  of  the  Army  under  General  McDowell t 

II.  Report  to  General  I.  McDowell,  Commanding  the  Department  of  Northeast  Virginia,  relative  to  the  Operations  of  the 

Medical  Department  at  the  Battle  of  Bull  Run.     By  Surgeon  W.  S.  KING,  Medical  Director 6 

III.  Extract  from  a  Report  of  Services  at  the  First  Battle  of  Bull  Run.     By  Assistant  Surgeon  C.  C.  GRAY,  U.  S.  Army.  G 

IV.  Extract  from  a  Report  on  the  Duties  assigned  to  him  from  the   Outbreak  of  the  Rebellion  till  May  \,  1863.      By 

Assistant  Surgeon  G.  M.  STERNBERG,  U.  S.  Army 8 

V.  Extract  from  a  Narrative  of  Services.     By  Surgeon  ZENAS  E.  BLISS,  U.  S.  Volunteers 8 

VI.  Extract  from  a  Narrative  of  Services.     By  Assistant  Surgeon  C.  S.  DE  GRAW,  U.  S.  Army 8 

VII.  Extract  from  a  Report  of  his  Medical  Services.     By  Assistant  Surgeon  W.  W.  KEEN,  Jr.,  5th  Massachusetts 

Volunteers 9 

VIII.  Extract  from  a  Report  of  Services  after  the  First  Battle  of  Bull  Run.     By  Assistant  Surgeon  CHARLES  R.  GREEN- 

LEAF,  U.S.  Army 9 

IX.  Extract  fr»m  a  Narrative  of  Services  from  the  Commencement  of  the  Rebellion  till  July  18,  1863.     By  Surgeon  H.  P. 

STEARNS,  U.  S.  Volunteers 9 

X.  Extract  from   a   Report  of  Services  from  April,  1861,  to  June,  1863.      By  Surgeon  C.  F.  H.  CAMPBELL,  U.  S. 

Volunteers 10 

XI.  Extracts  from  Reports  of  the  Wounded  at  the  Engagement  at  Ball's  Bluff,  Virginia,  October  21,  1861.     By  Surgeon 

A.  B.  CROSBY,  U.  S.  Volunteers 10 

XII.  Extracts  from  a  Narrative  of  the  Surgery  at  Ball's  Bluff,  Virginia,  and  from  a  Report  of  the   Wounded  of  General 

Baker's  Brigade  at  the  Affair  of  October  21,  1861.     By  Surgeon  JOHN  A.  LlDELL,  U.  S.  Volunteers 12 

XIII.  Extract  from  a  Narrative  of  Services.     By  Assistant  Surgeon  R.  F.  WEIR,  U.  S.  Army. .  13 

XIV.  Extracts  from  Reports  relative  to  the  Operations  of  the  Medical  Department  in  the  Campaign  in  Western  Virginia  in 

the  Summer  of  1861.     By  Surgeon  .1.  J.  B.  WRIGHT,  U.  S.  Army,  Medical  Director  of  the  Department  of  Ohio.         13 

XV.  Statement  of  the  Killed  and  Wounded  at  the  Battle  of  Carnifex  Ferry,  September  10,  1861.     By  Assistant  Surgeon 

HORACE  R.  WIRTZ,  U.  S.  Army,  Acting  Medical  Director  during  the  Action  . .  14 

XVI.  Extract  from  a  Report  on  the  Duties  assigned  him  from  the  Outbreak  of  the  War  till  July  14,  1863.     By  Surgeon 

C.  C.  DUMREICIIER,  U.  S.  Volunteers 

XVII.  Memorandum  relatire  to  the  Wounded  at  the  Affair  at  Great  Bethel,  Virginia,  June  10,  1861.     By  Surgeon  A.  H. 
HOFF,  3d  New  York  Volunteers 

XVIII.  Extract  from  Report  from  St.  Aloysius  Hospital,  Washington.      By  Assistant  Surgeon  ALEXANDER  INGUAM, 

U.  S.  Army lr> 

XIX.  Extract  from  a  Report  of  his  Services  from  June  1,  1861,  to  June  19,  1833,  relative  to  the  Battle  of  Wilson's  Creel: 

By  Assistant  Surgeon  PHILIP  C.  DAVIS,  U.  S.  Army 

XX.  Extracts  from  Observations  on  the  Battle  of  Wilsons  Creel:     By  Assistant  Surgeon  H.  M.  SPRAGUE,  U.  S.  Army . .          16 

XXI.  Extract  from  a  Report  in  regard  to  the  Operations  of  the  Medical  Department  in  the  Action  at  Wilson's  Creel.     By 

Surgeon  E.  C.  FRANKLIN,  U.  S.  Volunteers 

XXII.  Extracts  from  a   Report  on  the  Regimental  Hospital  of  the  22d  loim  Volunteers  at  Wilson's  Creel:     By  Surgeon 
W.  II.  WHITE,  22d  Iowa  Volunteers 


356  TABLE    OF    CONTENTS. 

Page. 

XXIII.  Extracts  from  a  Report  of  his  Services  at  the  Battle  of  Wilson's  Creek.     By  Assistant  Surgeon  S.  II.  MELCHER, 

5th  Missouri  Volunteers 17 

XXIV.  Account  of  the  Operations  of  the  Medical  Department  at  the  Battle  of  Belmont,  Missouri.     By  Surgeon  JOHN  H. 
BRINTON,  U.  S.  Volunteers,  Medical  Director  of  the  Troops  under  General  Grant,  stationed  in  the  District  of 
Cairo  and  its  Dependencies 18 

XXV.  Second  Extract  from  a  Narrative  of  Services  from  the  Commencement  of  the  Rebellion  till  July  13,  1863.     By  Surgeon 

H.  P.  STEARNS,  U.  S.  Volunteers 22 

XXVI.  Reports  on  the  Battle  at  Mill  Spring,  Kentucky,  and  the  Hospitals  at  Nashville,  Tennessee.     By  Surgeon  EGBERT 
MURRAY,  U.  S.  Army,  Medical  Director  of  the  Department  of  the  Ohio 23 

XXVII.  Extract  from  a  Narrative  of  Services  in  the  Medical  Staff,  from  July,  1801,  to  May  23, 1863.     By  Surgeon  DAVID 

P.  SMITH,  U.  S.  Volunteers 24 

XXVIII.  Account  of  the  Campaign  of  the  Army  of  the  Tennessee,  from  February  to  June,  1862,  including  the  Capture  of 
Forts  Henry  and  Donelson,  and  the  Battles  of  Shiloh  and  Corinth.     By  Surgeon  JOHN  II.  BRINTON,  U.  S.  Vol 
unteers,  Medical  Director  of  the  Army  of  the  Tennessee 24 

XXIX.  Third  Extract  from  a  Narrative  of  Services  from  the  Commencement  of  the  Rebellion  till  July  18, 1863.     By  Surgeon 

II.  P.  STEARNS,  U.  S.  Volunteers 34 

XXX.  Report  of  the  Operations  of  the  Medical  Department  of  the  Third  Division  of  the  Army  of  the  Ohio  at  the  Attack  on 

Fort  Donelson.     By  Surgeon  T.  W.  FRY,  U.  S.  Volunteers 35 

XXXI.  Extract  from  a  Report  of  his  Services  in  the  Fort  Donelson  Campaign.     By  Surgeon  J.  G.  KEENON,  U.  S. 
Volunteers 35 

XXXII.  Extract  from  a  Report  of  Medical  Operations  in  the  Second  Brigade  of  the  First  Division  of  the  Army  of  the 
Tennessee,  in  the  attack  on  Fort  Donelson.     By  Surgeon  C.  GOODBRAKE,  20th  Illinois  Volunteers 35 

XXXIII.  Report  of  the  Regiments  constituting  the  Garrison  at  Fort  Donelson,  February,  1862 35 

XXXIV.  Extract  from  a  Report  relative  to  the  Wounded  on  the  Hospital  Transport  Gladiator,  after  the  Battle  of  Fort 
Donelson.     By  Surgeon  D.  A.  Dow,  4th  Illinois  Cavalry 37 

XXXV.  Extract  from  a  Report  on  the  Wounded  of  the  Eleventh  Illinois  Infantry  in  the  Assault  on  Fort  Donelson.     Bv 
Surgeon  OWEN  M.  LONG,  llth  Illinois  Volunteers 37 

XXXVI.  Report  of  the  Operations  of  the  Medical  Department  of  the  Army  of  the  Ohio,  during  and  after  the  Battle  of 
Shiloh,  Tennessee,  on  April  6  and  7,  1862.     By  Surgeon  KOBERT  MURRAY,  U.  S.  Army,  Medical  Director  of  the 
Army  of  the  Ohio 37 

XXXVII.  Extracts  from  Letters  to  the  Surgeon  General  relative  to  the  Operations  of  the  Medical  Department  subsequent  to 
the  Battle  of  Shiloh.     By  Surgeon  CHARLES  McDouGALL,  U.  S.  Army,  Medical  Director  of  the  Army  of  the 
Tennessee 40 

XXXVIII.  Extract  from  a  Narrative  of  his  Service?  in  the  Medical  Staff.     By  Surgeon  N.  E.  DERBY,  U.  S.  Volunteers..         40 

XXXIX.  Fourth  Extract  from  a  Narrative  of  Services  from  the  Commencement  of  the  Rebellion  till  July  18,  1883.     By 
Surgeon  H.  P.  STEARNS,  U.  S.  Volunteers 42 

X  L.     Extract  from  a  Narrative  of  Services  in  the  Volunteer  Medical  Staff  from  June  21, 1861,  to  July  1,  1863.     By  Surgeon 

GEORGE  H.  HUBBARD,  U.  S.  Volunteers 42 

XLI.     Second  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff  from  October,  1861,  to  June,  1863.     By 

Surgeon  J.  G.  Keenon,  U.  S.  Volunteers.'. - 43 

XLII.     Second  Extraat  from  a  Narratii-e  of  Services  in  the  Medical  Staff  from  July,  1861,  to  May  28,  1863.     By  Surgeon 

DAVID  P.  SMITH,  U.  S.  Volunteers 43 

XLIII.      Extracts  from  Memoranda  for  the  Surgical  History  of  (he    War.     Communicated   by  Assistant  Surgeon   B. 

HOWARD,  U.  S.  Army " 44 

XLIV.     Extract  from  a  Report  of  the  Operations  of  the  Medical  Department  of  the  Second  Brigade  of  the  First  Division 

of  Illinois  Volunteers,  at  the  Battle  of  Shiloh      By  Surgeon  C.  GOODBRAKE,  20th  Illinois  Volunteers 44 

XLV.  Report  of  the  Operations  of  the  Medical  Department  of  the  Army  of  the  Potomac,  from  its  Organization  in  July, 
1861,  until  the  Change  of  Base  to  the  James  River  in  July,  1862.  By  Surgeon  CHARLES  S.  TiUl'Lia:,  U.  S.  Army, 
Medical  Director 44 

XLVI.  Memorandum  of  Instructions  to  Inspectors  of  Hospitals  in  the  Army  of  the  Potomac,  given  ly  command  of  General 

G.  B.  McClellan.  By  Surgeon  C.  S.  Tmi'i.ER,  U.  S.  Army,  Medical  Director  of  the  Army  of  the  Potomac..  59 

XLVII.  Memorandum  of  Instructions  to  Brigade  Surgeons  of  Volunteers  of  the  Army  of  the  Potomac,  promulgated  by 
command  of  General  G.  B.  McCldlan  ;  Icing  General  Order  No.  30,  Headquarters  of  the  Army  of  the  Potomac, 
October  3,  1861 59 

X  LV1II.     i:.,-tr<irt  from  Gcnr-nil  Ordn-  No.  9,  from  the  Hcadf/iiarters  of  the  Army  of  the  Potomac  in  relation  to  the.  Duties 

Hosp 


TABLE    OF    CONTENTS.  357 

Page. 
XLIX.     Extracts  from  a  Report  to  the  Surgeon  General  on  the  Sanitary  Condition  of  the  Army  of  the  Potomac  in  November 

and  December,  1862.     By  Surgeon  C.  S.  TRIPLER,  U.  S.  Army,  Medical  Director 60 

L.     Extracts  from  a  Report  to  General  G.  B.  McClellan  on  the  Hospitals  of  the  Army  of  the  Potomac,  in  December,  1861, 

and  January,  1862.     By  Surgeon  C.  S.  TKIPLER,  U.  S.  Army,  Medical  Director Gl 

LI.     Instructions  to  Medical  Directors  of  Army  Corps  of  the  Army  of  the  Potomac.     By  Surgeon  CHARLES  S.  TRIPLER 

U.  S.  Army,  Medical  Director  of  the  Army  of  the  Potomac 62 

LIL     Telegram  to  the  Surgeon  General,  dated  White  House,  May  18,  1862.     By  Surgeon  C.  S.  TIUPLER,  U.  S.  Army, 

Medical  Director  of  the  Army  of  the  Potomac 63 

LIII.     Extracts  from  a  Narrative  of  his  Services  in  the  Peninsular  Campaign.     By  Surgeon  J.  F.  HAMMOND,  U.  S.  Army, 

Medical  Director  of  the  Second  Army  Corps 63 

LIV.     Report  from  the  Depot  Hospital  of  the  Fair  Oaks  Battle-ground.      By  Surgeon  J.  F.  HAMMOND,  U.  S.  Army, 

Medical  Director  of  the  Second  Army  Corps 65 

LV.  Extract  from  a  Letter  to  the  Surgeon  General's  Office  in  relation  to  the  Hospital  Arrangements  of  the  Second  Corps  in 
the  Peninsular  Campaign.  By  Surgeon  J.  F.  HAMMOND,  U.  S.  Army,  Medical  Director  of  the  Second  Army 
Corps 65 

LVI.     Extracts  from  a  Narrative  of  his  Services  from  the  Outbreak  of  the  Rebellion  to  June  29,  1863.     By  Surgeon  J.  B. 

BUOWN,  U.  S.  Army,  Medical  Director  of  the  Fourth  Army  Corps 66 

LVII.      Extract  from  a  Narrative  of  his  Services  in  the  Volunteer  Medical  Staff.      By  Surgeon  CHARLES  O'LEARV, 

U.  S.  Volunteers 70 

LVIII.     Extract  from  a  Narrative  of  his  Services  in  the  Volunteer  Medical  Staff.     By  Surgeon  O.  A.  JITDSON,  U.  S. 

Volunteers 71 

LIX.     Extract  from  a  Narrative  of  his  Services  in  the  Volunteer  Medical  Staff.     By  Surgeon  EDWIN  BENTLEY,  U.  S. 

Volunteers 72 

LX.     Extracts  from  a  Personal  Contribution  to  the  Medical  and  Surgical  History  of  the  Rebellion.     By  Assistant  Surgeon 

A.  A.  WOODHULL,  U.  S.  Army 73 

LXI.     Second  Extract  from  a  Narrative  of  his  Medical  Services.     By  Assistant  Surgeon  CHARLES  R.  GREENLEAF,  U.  S. 

Army 73 

LXII.  Second  Extract  from  a  Report  of  his  Services  in  the  Medical  Staff.  By  Assistant  Surgeon  ALEXANDER  INGRAM, 

U.S.  Army 74 

LXIII.  Extracts  from  a  Report  of  his  Services  in  the  Medical  Staff,  from  May,  1861,  to  May,  1863.  By  Assistant  Surgeon 

C.  E.  GODDARD,  U.  S.  Army 74 

LXIV.     Extracts  from  a  Narrative  of  his  Services  in  the  Medical  Staff,  from  December  20,  1861,  to  May  29,  1863.     By 

Assistant  Surgeon  A.  H.  SMITH,  U.  S.  Army 75 

LXV.     Extracts  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant  Surgeon  H.  S.  SCHELL,  U;  S.  Army.         76 

LXVI.  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff,  from  April  24,  1881,  to  June  17,  1863.  By  Assist 
ant  Surgeon  H.  E.  BROWN,  U.  S.  Army - 7? 

LXVII.     Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff,  from  December  3,  1861  to  June  3,  1863.     By 

Assistant  Surgeon  EDWARD  T.  WHITTINUHAM,  U.  S.  Army 

LXVIII.     Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant  Surgeon  W.  E.  WATERS,  U.  S. 

Army 

LXIX.     Extract  from  a  Personal  History  of  his  Services  during  the  War.     By  Assistant  Surgeon  W.  C.  SPENCER,  IT.  S. 

Army 8l 

LXX.     Extracts  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Surgeon  D.  W.  HAND.  U.  S.  Volunteers. . 
LXXI.     Extracts  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant  Surgeon  J.  V.  D.  MlDDLETON, 

U.  S.  Army 

LXXII.     Extract  from  a  Narratirc  of  his  Scrriccs  in  the  Medical  Staff.     By  Surgeon  JOHN'  W.  FOYE,  U.  ! 

LXXIII.     Report  of  the  Operations  of  the  Medical  Staff  of  General  Scd;/wirLJ»  Division  of  the  Second  Army  Corps  at  the 

Battle  of  Fair  Oaks.     By  Surgeon  Joux  A.  LIDKLL,  U.  S.  Volunteers... 
LXXIV.     Second  Extract  from  a  Na-rative  of  his  Services  in  the  Medical  Staff.     By  Surgeon  ZKNAS  E.  BLISS, 

Vol  unteers 

LXXV.  Report  of  the  Operations  of  the  Medical  Department  at  the  Battle  of  Fair  Oak*.  By  Surgeon  FRANK  II.  HAM 
ILTON,  U.  S.  Volunteers 

LXXVI.     Second  Extract  from  a  Report  on  the  Duties  assigned  to  him  from  the  Outbreak  of  the  Itcbi 

By  Assistant  Surgeon  G.  M.  STHRMSKIJC..  IT.  S.  Army.. 


358  TABLE    OF    CONTENTS. 

Page. 
LXXVII.     Extract  from  a  Report  on  the  Surgery  at  Fair  Oaks.     By  Surgeon  C.  S.  WOOD,  66th  New  York  Volunteers..         88 

LXXVIII.     Extract  from  a  Report  of  his  Sen-ices  in  the  Medical  Staff.     By  Surgeon  J.  D.  BRUMLEY,  U.  S.  Volunteers.         89 

LXXIX.     Second  Extract  from  a  Report  of  his  Services  from  June  1,  1861,  to  June  19,  1863.     By  Assistant  Surgeon 

PHILIP  C.  DAVIS,  U.  S.  Army 89 

LXXX.     Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.    By  Assistant  Surgeon  JOHN  T.  REILY,  U.  S.  Army.         89 

LXXXI.     Extract  from  a  Narrative  of  his  Services  in  the  Peninsular  Campaign.     By  Assistant  Surgeon  J.  THEODORE 

CALHOUN,  U.  S.  Army 91 

LXXXII.     Extracts  from  a  Report  of  the  Operations  of  the  Medical  Department  of  the  Army  of  the  Potomac  from  July  4  to 

December  31,  1862.     By  JONATHAN  LETTERMAN,  Surgeon  U.  S.  Army,  Medical  Director  Army  of  the  Potomac.         92 

LXXXIII.     Second  Extract  from  Memoranda  for  the  Surgical  History  of  the  War.     By  Assistant  Surgeon  B.  HOWARD, 

U.  S.  Army 104 

LXXXIV.     Second  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.    By  Assistant  Surgeon  JOHN  T.  RKILY, 

U.  S.  Army 105 

LXXXV.     Second  Extract  from  a  Report  of  Services.     By  Assistant  Surgeon  C.  C.  GRAY,  U.  S.  Army 105 

LXXXVI.     Second  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Surgeon  0.  F.  H.  CAMPBELL,  U.  S. 

Volunteers 106 

LXXXVIL     Third  Extract  from  a  Report  of  his  Services.     By  Assistant  Surgeon  PHILIP  C.  DAVIS,  U.  S.  Army 106 

LXXX  VIII.     Extracts  from  a  Narrative  of  his  Services.     By  Assistant  Surgeon  JAMES  H.  PEABODY,  U.  S.  Volunteers..       107 

LXXXIX.     Second  Extract  from  a  Personal  Contribution  to  the  Medical  and  Surgical  History  of  the  Rebellion.     By 

Assistant  Surgeon  A.  A.  WOODHULL,  U.  S.  Army 107 

XC.     Third  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant  Surgeon  ALEXANDER  INGRAM, 

U.  S.  Army 107 

XCI.     Extract  from  a  Report  on  the  Medical  History  of  the  103d  New  York  Volunteers.     By  A.  STEINACII,  Assistant 

Surgeon  103d  New  York  Volunteers 108 

XCII.     Report  of  the  Operations  of  the  Medical  Department  of  the  Army  of  Virginia.    By  THOMAS  A.  McPARLiN,  Surgeon 

U.  S.  Army,  Medical  Director ~ 108 

XCIII.     Extract  from  a  Report.     By  Surgeon  J.  Y.  CANTWELL,  82d  Ohio  Volunteers 117 

XCIV.     Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.      By  Assistant  Surgeon  SAMUEL  HART,  U.  S. 

Volunteers H? 

XCV.     Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.  By  Assistant  Surgeon  PHILIP  ADOLPHUS,  U.  S  Army.       118 

XCVI.     Third  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Surgeon  C.  F.  H.  CAMPBELL,  U.  S. 

Volunteers - H° 

XCVII.     Extracts  from  a  Narrative  of  his  Services  in  the  Medical  Staff  during  the  Summer  of  1862.    By  Surgeon  THOMAS 

ANTISELL,  U.  S.  Volunteers 1 19 

XCVIII.     Extracts  from  a  Narrative  of  his  Services.     By  Surgeon  N.  R.  MOSELY,  U.  S.  Volunteers 122 

XCIX.     Extract  from  a  Report  to  the  Surgeon  General.     By  Assistant  Surgeon  WM.  P.  GRIER,  U.  S.  Army..  ...        124 

C.     Report  with  regard  to  the  Removal  of  the  Wounded  after  the  Second  Battle  of  Manassas.     By  Medical  Inspector  R.  H. 

COOLIDGE,  U.  S.  Army 1^4 

CI.     Memorandum  with  regard  to  the  Removal  of  the  Wounded  after  the  Second  Battle  of  Manassas.    By  Assistant  Surgeon 

J.  J.  WOODWARD,  U.  S.  Army 127 

CII.     Second  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.    By  Surgeon  JOHN  W.  FOYE,  U.  S.  Volunteers.       127 

CHI.     Third  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.    By  Assistant  Surgeon  JOHN  T.  REILY,  U.  S. 

Army 127 

CIV.     Third  Extract  from  a  Personal  Contribution  to  the  Medical  and  Surgical  History  of  the  Rebellion.     By  Assistant 

Surgeon  A.  A.  WOODHULL,  U.  S.  Army 128 

CV.     Second  Extract  from  a  Narrative  of  his  Services.     By  Assistant  Surgeon  J.  THEODORE  CALHOUN,  U.  S.  Army 128 

CVI.      Third  Extract  from  Memoranda  for  the  Surgical  History  of  the  War.     By  Assistant  Surgeon  B.  HOWARD,  U.  S. 

Army 128 

CVII.     Second  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant  Surgeon  A.  H.  SMITH,  U.  S. 

Army 129 

CVIII.     Extract  from  a  Narrative  of  his  Services.     By  Assistant  Surgeon  CHARLES  C.  LEE,  U.  S.  Army 130 

CIX.     Second  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant  Surgeon  H.  S.  SCHELL,  U.  S. 

Army 130 


TABLE    OF    CONTENTS.  359 

Page. 
CX.     Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Surgeon  J.  T.  HEARD,  U.  S.  Volunteers 131 

CXI.     Third   Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Surgeon  JOHN  W.  FOYE,  U.  S. 

Volunteers 132 

CXII.     Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant  Surgeon  C.  BACON  U.  S.  Army.  132 

CXIII.     Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant  Surgeon  DE  WITT  C.  PETERS  U. 

S-  Army 133 

CXIV.     Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant  Surgeon  FRANKLIN  GRUBE   U.  S. 

Volunteers ^33 

CXV.     Second  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant  Surgeon  PHILIP  ADOLPIITJS 

U.  S.  Army 133 

CXVI.     Second  Extract  from  a  Narrative  of  his  Services  in  the  Volunteer  Medical  Staff.     By  Surgeon  CHARLES  O'LEARY 

U.  S.  Volunteers 134 

CXVII.     Second  Extract  from  a  Report  on  the  Medical  History  of  the  103c£  Neiv  York  Volunteers.     By  Assistant  Surgeon 

A.  STEIN  ACII,  103d  New  York  Volunteers 134 

CXVIII.     Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant  Surgeon  C.  M.  COLTON,  U.  S. 

Army 134 

CXIX.     Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant  Surgeon  J.  S.  BILLINGS,  U.  S. 

Army 135 

CXX.     Second  Extract  from  a  Narrative  of  his  Services.     By  Surgeon  J.  T.  HEARD,  U.  S.  Volunteers I3(j 

CXXI.     Second  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant  Surgeon  C.  BACON,  U.  S. 

Army 137 

CXXII.     Third  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant  Surgeon  PHILIP  ADOLPHUS, 

U.  S.  Army 137 

CXXIII.     Second  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant  Surgeon  FRANKLIN 

GRUBE,  U.  S.  Volunteers 138 

CXXIV.     Third  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Surgeon  CHARLES  O'LEARY,  U.  S. 

Volunteers 138 

CXXV.     Fourth  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Surgeon  JOHN  W.  FOYE,  U.  S. 

Volunteers 139 

CXXVI.     Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant  Surgeon  E.  DE  W.  BRE  NEMAN, 

U.  S.  Army 139 

CXXVII.     Fourth  Extract  from  Memoranda  for  the  Surgical  History  of  the  War.     By  Assistant  Surgeon  B.  HOWARD, 

U.  S.  Army 139 

CXXVIII.     Third  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant  Surgeon  J.  T.  CALHOUN, 

U.  S.  Army 140 

CXXIX.     Second  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant  Surgeon  C.  M.  COLTON, 

U.  S.  Army 140 

CXXX.     Eeport  on  the  Operations  of  the  Medical  Department  during  the  Battle  of  Gettysburg.     By  Surgeon  JONATHAN 

LETTERMAN,  U.  S.  A.,  Medical  Director  Army  of  the  Potomac 140 

CXXXI.     Fourth  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant  Surgeon  J.  T.  CALHOUN, 

U.  S.  Army 142 

CXXXII.  Report  on  the  Transportation  of  Wounded  after  the  Battle  of  Gettysburg.  By  Medical  Inspector  E.  P.  VOLLUM, 

U.  S.  Army 143 

CXXXIII.  Second  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.  By  Assistant  Surgeon  J.  S.  BILLINGS, 

U.  S.  Army 145 

CXXXIV.     Fifth  Extract  from  Memoranda  for  the  Surgical  History  of  the  War.     By  Assistant  Surgeon  B.  HOWARD, 

U.  S.  Army 146 

CXXXV.  Third  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.  By  Assistant  Surgeon  C.  BACON,  U.  S. 

Army 146 

CXXXVI.  Extract  from  a  Report  with  regard  to  the  Battle  of  Gettysburg.  By  Surgeon  J.  \V.  LYMAN,  57th  Penn 
sylvania  Volunteers 147 

CXXX  VII.  Report  of  the  Medical  Director  of  the  Army  of  the  Potomac,  from  January  14  to  July  31,  1864.  By  Surgeon 

THOMAS  A.  McPARLlN,  U.  S.  Army 148 


360  TABLE    OF    CONTENTS. 

Page. 
CXXXVIII.  Statement  of  Fund  accruing  from  Newspaper  Tax,  expendable  by  the  Medical  Director.  From  January  28, 

1864,  to  November  21, 1864 167 

CXXXIX.  SCHKDULE  A. — Consolidated  Statement  of  Articles  and  Quantities  of  Medical  and  Hospital  Property  carried 

with  the  Army  of  the  Potomac  across  the  Eapidan,  May  4,  1364 168 

CXL.     SCHEDULE  B. — Consolidated  Report  of  Means  of  Transportation,  Clothing,  Camp  and  Garrison  Equipage,  Army 

of  the  Potomac,  May  1,  1864. 171 

CXLI.     SCHEDULE  C. — List  of  Articles  and  Quantities  of  Medical  and  Hospital  Stores  received  at  Belle  Plain,  Virginia, 

May  10,  1864 172 

CXLII.     Abstract  from  the  Consolidated  Ecports  of  the  Ambulance  Corps  for  the  Months  of  May,  June,  and  July,  1864. ..       172 
CXLIII.     Report  of  the  Medical  Director  of  the  Army  of  the  Potomac  from  August  1,  to  December  31,  1864.     By  Surgeon 

THOMAS  A.  McPARLix,  V.  S.  Army 172 

CXLIV.     Extract  from  a  Report  of  the   Operations  of  the  Medical  Department  of  the  Cavalry  during  Kilpatrick's  llaid. 

By  Surgeon  CHARLES  E.  HACKI.EY,  U.  S.  Volunteers 178 

CXLV.     Extract  from  a  Import  on  the  Expedition  of  the   Cavalry  Corps  during  May,  1864.      By  Assistant  Surgeon 

GEORGE  M.  McGii.L,  U.  S.  Army 179 

CXLVI.     Extract  from  a  Report  on  the  Operations  of  the  Cavalry  Corps  of  the  Army  of  the  Potomac,  from  June  6  to 

July  1,  1864.     By  Surgeon  R.  W.  PEASE,  U.  S.  Volunteers 180 

CXLVII.  Extract  from  a  Report  on  the  Operations  of  the  Ambulance  Corps  of  the  Fifth  Army  Corps  during  the  occupation 
of  the  Wcldon  Railroad,  August  18  to  21,  1864.  By  Captain  W.  F.  DRUM,  Chief  Ambulance  Officer  of  the 
]• ifth  Corps 180 

CXLVIII.     Extracts  from  the  Report  of  the  Acting  Assistant  Medical  Purveyor  of  the  Army  of  the  Potomac  for  May  and 

June,  1864.     By  Assistant  Surgeon  THOMAS  G.  MACKENZIE,  U.  S.  Army 181 

CXLIX.     Extracts  from  the  Report  of  the  Medical  Director  of  the  Second  Corps  for  May,  June  and  July,  1864.     By 

Surgeon  A.  N.  DOUGHERTY,  U.  S.  Volunteers 182 

CL.     Extracts  from  the  Report  of  the  Medical  Director  of  the  Second  Corps  for  August,  September  and  October,  1864.     By 

Surgeon  J.  McNuLTY,  U.  S.  Volunteers 187 

CLI.     Extracts  from  the  Report  of  the  Depot  Field  Hospital  of  the  Army  of  the  Potomac,  from  May  to  October,  1864.     By 

Surgeon  E.  B.  DALTOX,  U.  S.  Volunteers 191 

CLII.     Extracts  from  the  Report  of  the  Medical  and  Hospital  Department  of  the  Second  Division,  Cavalry  Corps,  Army  of 

the  Potomac,  from  July  19  to  December  31,  1864.     By  Assistant  Surgeon  E.  J.  MARSH,  U.  S.  Army 194 

CLIII.  Extract  from  a  Report  of  the  Operations  of  the  Medical  Department  during  the  Expedition  against  the  Weldon 

Railroad,  December  7  to  12,  1864.  By  Assistant  Surgeon  CHARLES  K.  WINNE,  U.  S.  Army 198 

C'LIV.  Report  on  the  Treatment  of  Diseases  and  Injuries  in  the  Army  of  the  Potomac  during  1864.  By  Assistant 

Surgeon  J.  S.  BILLINGS,  U.  S.  Army 199 

CLV.     R(port  of  the  Medical  Director  of  the  Army  of  the  Potomac,  from  January  1,  1865,  to  the  Close  of  the  War.     By 

Surgeon.  THOMAS  A.  MCPARLIN,  U.  S.  Army 202 

CLVI.     Extracts  from  the  Report  of  the  Medical  Inspector  of  the  Army  of  the  Potomac  for  March  and  April,  1865.     By 

Surgeon  J.  A.  LIDELL,  U.  S.  Volunteers 206 

CLVII.     Extract  from  the  Report  of  the  Depot  Field  Hospital  of  the  Army  of  the  Potomac  from  March  27  to  June  30, 

1865.    By  Surgeon  G.  B.  PARKER,  U.  S.  Volunteers 210 

CLVIII.     Extracts  from  the  Report  of  the  Medical  Director  of  the  Fifth  Corps  from  November  1,  1864,  to  April  30,  1865. 

By  Surgeon  T.  RUSH  SPENCER,  U.  S.  Volunteers 211 

CLIX.     Extracts  from  the  Report  of  the  Medical  Inspector  of  the  Fifth  Army  Corps  for  March  and  April,  1865.     By 

Assistant  Surgeon  CHARLES  K.  WINNE,  U.  S.  Army 212 

CLX.     Extract  from  the  Report  of  the  Surgeon-in-chief  of  the  First  Division,  Fifth  Corps.    By  Surgeon  W.  R.  DE  WITT,  Jr., 

IT.  S.  Volunteers 213 

CLXI.     Extract  from  the  Report  of  the  Surgeon- in-chief  of  the  Second  Division,  Fifth  Corps,  from  November  1,  1864,  to 

April  30,  1865.     By  T.  M.  FLANDR AU,  Surgeon  146th  New  York  Volunteers 214 

CLXII.     Extract  from  the  Report  of  the  Surgeon-in-chief  of  the  Third  Division,  Fifth  Corps,  from  November  1,  1864,  to 

April  30,  1865.     By  W.  O.  McDONALD,  Surgeon  U.  S.  Volunteers 214 

CLXIII.     Extracts  from  the  Report  of  the  Surgeon  of  the  Artillery  Brigade,  Fifth  Corps.     By  C.  F.  IlAYNES,  Surgeon 

U.  S.  Volunteers 215 

CLX1V.     Extracts  from  the  Report  of  the  Medical  Director  of  the  Second  Corps,  for  March  and  April,  1865.     By  Surgeon 

CHARLES  PAGE,  U.  S.  Army 215 


TABLE    OF    CONTENTS. 

iig'e. 
CLXV.     Extracts  from  the  Report  of  the  Medical  Inspector  of  the  Second  Corps,  for  March  and  April,  1865.     By  Assistant 

Surgeon  C.  SMART,  U.  S.  Army 9ig 

CLXVI.     Extracts  from  the  Report  of  the  Operations  of  the  Ambulance  Corps  of  the  Second   Corps  during  March  and 

April,  1865.     By  Captain  J.  G.  PELTON,  Chief  of  Ambulances 219 

CLXVII.     Extracts  from  the  Report  of  the  Medical  Inspector  of  the  Ninth  Corps  for  March,  1865.     By  Assistant  Surgeon 

SAMUEL  ADAMS,  U.  S.  Army oon 

CLXVIII.     Extracts  from  the  Report  of  the  Chief  Medical  Officer  of  the  Second  Division,  Cavalry  Corps,  Army  of  the  Potomac 

from  January  1  to  March  28,  1865.     By  Assistant  Surgeon  E.  J.  MARSH,  U.  S.  Army 221 

CLXIX.     Extracts  from  the  Report  of  the  Medical  Director  of  the  Twenty-fourth  Corps,  Army  of  the  James,  from  March  27 

to  April  30,  1865.     By  Surgeon  J.  B.  MORRISON,  U.  S.  Volunteers 222 

CLXX.     Report  of  the  Medical  Director  of  the  Army  of  the  Middle  Military  Division,  from  August  27  to  December  31  1864. 

By  Surgeon  J.  T.  GHISELIN,  U.  S.  Army 223 

CLXXI.     Extract  from  a  Report  on  the  Wounded  at  the  Engagements  at  Cloyffs  Mountain  and  Neio  River  Bridge.     By 

Surgeon  G.  M.  KELLOGG,  U.  S.  Volunteers 227 

CLXXII.     Letter  of  Transmittal  of  Lists  of  Casualties  at  Neio  Market.     By  Surgeon  J.  V.  Z.  BLAXEY,  U.  S.  V.,  Medical 

Director  of  the  Department  of  West  Virginia 227 

CLXXIII.     Extract  from  a  Letter  relative  to  the  Wounded  at  New  Market.     By  Assistant  Surgeon  CHARLES  G.  ALLEN 

34th  Massachusetts  Volunteers 227 

CLXXIV.     Extracts  from  a  Report  of  the  Casualties  in  the  Engagement  at  Saltville,  Virginia,  October  2;  1864.    By  Surgeon 

J.  G.  HATCHITT,  U.  S.  Volunteers 228 

CLXXV.     Report  of  the  Post  Hospital  at  Winchester,  Virginia,  in  May  and  June,  1862,     By  Surgeon  J.  B.  PEALE,  U.  S. 

Volunteers 228 

CLXXVI.     Extracts  from  a  Report  on  the  Wounded  at  the  Battle  of  Piedmont,  treated  at  a  Confederate  Hospital  at  Staunton. 

By  Assistant  Surgeon  WILLIAM  GRUMBEIN,  20th  Pennsylvania  Volunteers 228 

CLXXVII.     General  Summary  of  Casualties  at  the  Battle  of  Piedmont.    By  Surgeon  THOMAS  B.  REED,  U.  S.  Volunteers.       229 

CLXXVIII.     Extracts  from  a  Report  of  the  Operations  of  the  Medical  Department  at  the  Action  near  Winchester,  on  March 

23,  1862.     By  Surgeon  W.  S.  KING,  U.  S.  Army,  Medical  Director 229 

CLXXIX.     Report  of  the  Killed  and  Wounded  at  the  Action  near  Winchester,  March  23,  1862.     By  Surgeon  W.  S.  KING, 

U.  S.  Army 229 

CLXXX.     Report  of  the  Killed  and   Wounded  in  the  Action  near   Winchester,  May  25,   1862.     By  Surgeon  THOMAS 

ANTISELL,  U.  S.  Volunteers,  Medical  Director  of  the  Department  of  Shenandoah 230 

CLXXXI.     Extracts  from  a  Narrative  of  his  Services  in  the  Medical  Staff,  from  April,  1861,  to  April,  1862.     By  Surgeon 

GEORGE  E.  COOPER,  U.  S.  Army 230 

CLXXXII.     Extracts  from  Report  of  the  Casualties  in  a  Skirmish  at  Coosaio  River,  January  1, 1862.    By  Surgeon  GEORGE 

E.  COOPER.  U.  S.  Army,  Medical  Director  Department  of  the  South 233 

CLXXXIII.     Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant  Surgeon  D.  C.  PETERS,  U.  S. 

Army 234 

CLXXXIV.     Report  of  the  Operations  of  the  Medical  Department  at  the  Occupation  of  Roanoke  Island.     By  Brigade 

Surgeon  VV.  H.  CHURCH,  U.  S.  Volunteers,  Medical  Director 236 

CLXXXV.     Extracts  from  a  Report  on  the  Battle  of  Roanoke  Island.     By  Surgeon  J.  II.  THOMPSON,  U.  S.  Volunteers..       237 

CLXXXVI.     Extracts  from  Report  of  the  Casualties  at  the  Battle  of  New  Berne.    By  Brigade  Surgeon  W.  H.  CHURCH, 
U.  S.  Volunteers,  Medical  Director 

CLXXXVII.     Extracts  from  a  Narrative  of  his  Services  during  the  War.     By  Surgeon  B.  B.  BREED,  IT.  S.  Volunteers... 

CLXXXVIII.     Extracts  from  Reports  relative  to  the  Operations  of  the  Medical  Staff  in  the  Department  of  North  Carolina, 

from  August,  1863,  to  the   Close  of  the  War.      By  Surgeon  D.  W.  HAND,  U.  S.  Volunteers,  Medical  Director  in 

North  Carolina 

CLXXXIX.     Extract  from  a  Letter   to  the  Surgeon  General  relative  to  Skirmishes  near  Kinston,  North  Carolina.     By 

Surgeon  D.  W.  HAND,  U.  S.  Volunteers,  Medical  Director 

CXC.     Extract  from  a  Report  on  the  Casualties  at  Morris  Island,  in  August  and  September,  1863.     By  Surgeon  HORACE 

R.  WIRTZ,  U.  S.  Army,  Medical  Director  of  the  Department  of  the  South... 
CXCI.     Extracts  from  a  Report  on  Wounded  after  the  Assault  on  Fort  Wagner,  in  July,  1863.     By  Surgeon  J.  J.  CRAVEN, 

U.  S.  Volunteers 

CXCII.     Extracts  from  a  Narrative  of  his  Services  in  the  Medical  Staff.    By  Assistant  Surgeon  JOHN  BELL,  U.   v  Army.      243 

46 


TABLE    OF    CONTENTS. 

Page. 
CXCIII.  Extracts  from  a  Report  on  the  Operations  of  the  Medical  Staff  in  the  Expedition  ending  in  the  Engagement  at 

'  Olustee,  Florida.  By  Surgeon  E.  SWIFT,  U.  S.  Army,  Medical  Director  of  the  Department  of  the  South 243 

CXCIV.  Extract*  from  a  Report  on  the  Operations  of  the  Medical  Department  in  Florida,  in  February,  1864.  By  Surgeon 

ADOLF  MAJER,  U.  S.  Volunteers 245 

CXCV.  Extracts  from  a  Narrative  of  his  Services.  By  Assistant  Surgeon  W.  F.  CORNICK,  U.  S.  Army 246 

CXCVI.     Extracts  from  a  Report  of  the  Operations  of  the  Medical  Department  of  the   Union  Forces  at  the  Action  at 

Richmond,  Kentucky,  in  August,  1862.     By  Assistant  Surgeon  B.  J.  D.  IRWIN,  U.  S.  Army,  Medical  Director. .       246 

CXCVII.     Extracts  from  a  Report  on  the  Operations  of  the  Medical  Department  at  the  Battle  of  lulca,  September  19,  1862. 

By  Surgeon  A.  B.  CAMPBELL,  U.  S.  Volunteers,  Medical  Director  Army  of  the  Mississippi 248 

CXCVIII.     Extracts  from  a  Second  Report  of  the  Casualties  at  the  Battle  of  luka,  September  19,  1862.     By  Surgeon  A.  B. 

CAMPBELL,  U.  S.  Volunteers,  Medical  Director  of  the  Army  of  the  Mississippi 248 

CXCIX.     Extracts  from  a  Report  on  the  Operations  of  the  Medical  Staff  at  the  Battle  of  Corinth,  October  3  and  4,  1862. 

By  Surgeon  A.  B.  CAMPBELL,  U.  S.  Volunteers,  Medical  Director  of  the  Army  of  the  Mississippi 249 

CC.     Extracts  from  a  Second  Report  on  the  Casualties  at  the  Battle  of  Corinth,  October  3  and  4,  1862.     By  Surgeon  A.  B. 

CAMPBELL,  U.  S.  Volunteers,  Medical  Director  of  the  Army  of  the  Mississippi -  - .  -       249 

CCI.     Extract  from  a  Narrative  of  his  Services  in  the  Medical  Sta/.    By  Assistant  Surgeon  J.  C.  G.  HAPPERSETT,  U.  S. 

Army 250 

CCII.     Extracts  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Surgeon  J.  G.  HATCHITT,  U.  S.  Volunteers..  250 

CCIII.     Third  Extract  from  a  Narrative  of  his  Services.    By  Surgeon  J.  G.  KEENON,  U.  S.  Volunteers 251 

CCIV.     Extracts  from  a  Report  relative  to  the  Casualties  at  the  Battle  of  Perryville,  Kentucky,  October  8,  1862.     By 

Surgeon  GEORGE  G.  SHUMARD,  U.  S.  Volunteers 251 

CCV.    Extracts  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Surgeon  G.  G.  SHUMARD,  U.  S.  Volunteers. .       252 

CCVT.    Extracts  from  a  Report  on  the  Care  of  the  Wounded  after  the  Battle  of  Perryville.     By  Surgeon  J.  G.  HATCHITT, 

U.  S.  Volunteers 253 

CCVII.    Riport  of  the  Operations  of  the  Medical  Staff  at  the  Battle  of  Murfreesboro' ,  Tennessee.     By  Surgeon  E.  SwiFT, 

U.  S.  Army,  Medical  Director  of  the  Department  of  the  Cumberland -       255 

CCVIII.     Extract  from  a  Report  of  the  Casualties  of  the  Centre  Division  of  the  Fourteenth  Corps  at  the  Battle  of  Mur 
freesboro'.    By  Surgeon  G.  D.  BEEBE,  U.  S.  Volunteers 259 

CCIX.     Extracts  from  Reports  of  the  Operations  of.  the  Medical  Department  of  the  Left  Winy  of  the  Fourteenth  Corps  at 

the  Battle  of  Murfreesboro'.     By  Surgeon  A.  J.  PHELPS,  U.  S.  Volunteers 259 

CCX.     Extracts  from  a  Report  of  the  Medical  Staff  of  the  First  Division  of  the  Twenty-first  Corps  at  the  Battle  of  Stone's 

River.     By  Surgeon  W.  W.  BLAIR,  58th  Indiana  Volunteers 262 

CCXI.     Report  on  the  Casualties  of  the  Second  Division  of  the  Left  Wing  of  the  Army  of  the  Cumberland  at  the  Battle  of 

Murfreesboro'.    By  Surgeon  M.  G.  SHERMAN,  9th  Indiana  Volunteers,  Acting  Medical  Director 263 

CCXII.     Extracts  from  a  Report  on  the  Surgery  in  the  Fourteenth  Army  Corps  after  the  Battle  of  Murfreesboro'.     By 

Surgeon  C.  J.  WALTON,  21st  Kentucky  Volunteers 264 

CCXIII      Extract  from  a  Report  of  Casualties  in  the  Right  Wing  of  the  Fourteenth  Army  Corps  at  Murfreesboro.'    By 

Surgeon  C.  McDERMONT,  U.  S.  Volunteers 264 

CCXIV.     Extracts  from  a  Medical  Report  on  the  Murfreesboro'  Campaign.     By  Surgeon  S.  O.  HIMOE,  15th  Wisconsin 

Volunteers 264 

CCXV.     Extracts  from  a  Report  on  the  Medical  Purveying  at  the  Battle  of  Murfreesboro'.     By  Assistant  Surgeon  H.  C. 

BARRELL,  27th  Illinois  Volunteers 265 

CCXVI.     Report  on  the  Operations  of  the  Medical  Department  at  the  Battle  of  Chickamauga.     By  Surgeon  G.  PKRIN, 

U.  S.  Army,  Medical  Director 265 

CCXVII.     Report  on  the  Operations  of  the  Medical  Staff  of  the  Fourteenth  Army  Corps  at  the  Battle  of  Chickamauga. 

By  Surgeon  F.  H.  GROSS,  U.  S.  Volunteers 268 

CCXVI1I.    Extracts  from  a  Report  of  the  Wounded  of  the  First  Division  of  the  Fourteenth  Corps  at  the  Battle  of  Chicka- 

mauga.    By  Surgeon  S.  MARKS,  10th  Wisconsin  Volunteers 270 

CXIX.     Extracts  from  a  Report  of  the  Wounded  of  the  Second  Division  of  the  Fourteenth  Corps  at  the  Battle  of  Chicka- 

mauya.     By  Surgeon  R.  G.  BOGUE,  19th  Illinois  Volunteers 272 

CCXX.  Extracts  from  a  Report  of  the  Wounded  of  the  Third  Division  of  the  Fourteenth  Corps  at  the  Battle  of  Chicka- 

mauga.  By  Surgeon  M.  C.  TOLLMAN,  2d  Minnesota  Volunteers 273 

CCXXI.  Report  on  the  Operations  of  the  Medical  Staff  of  the  Twentieth  Army  Corps  at  the  Battle  of  Chickamauga. 

By  Surgeon  JABEZ  PERKINS,  10th  Kentucky  Volunteers 274 


TABLE    OF    CONTENTS.  363 

CCXXII.     Extracts  from  a  Report  of  the  Wounded  of  the  First  Division  of  the  Twentieth  Corps  at  the  Battle  of  Chicka- 

mauga.     By  Surgeon  L.  D.  WATERMAN,  39th  Indiana  Volunteers 275 

CCXXIII.     Extracts  from  a  Report  of  the  Wounded  of  the  Second  Division  of  the  Twentieth  Corps  at  the  Battle  of  Chicka- 

mauga.    By  Surgeon  CHARLES  SCHUSSLER,  6th  Indiana  Volunteers 276 

CCXXIV.     Extracts  from  a  Report  of  the  Wounded  of  the  Third  Division  of  the  Twentieth  Corps  at  the  Battle  of  Chicka- 

mauga.     By  Surgeon  D.  J.  GRIFFITHS,  2d  Kentucky  Volunteers 277 

CCXXV.     Report  on  the  Operations  of  the  Medical  Staff  of  the  Twenty-first  Army  Corps  at  the  Battle  of  Chickamauga. 

By  Surgeon  A.  J.  PHELPS,  U.  S.  Volunteers 277 

CCXXVI.  Extracts  from  a  Report  of  the  Wounded  of  the  First  Division  of  the  Twenty-first  Corps  at  the  Battle  of  Chicka 
mauga.  By  Surgeon  W.  W:  BLAIR,  58th  Indiana  Volunteers 278 

CCXXVII.     Extracts  from  a  Report  of  the  Wounded  of  the  Second  Division  of  the  Twenty-first  Corps  at  the  Battle  of 

Chickamauga.     By  Surgeon  S.  G.  MENZIES,  1st  Kentucky  Volunteers 280 

CCXXVIII.     Extract  from  a  Report  of  the   Wounded  of  the  Third  Division  of  the  Twenty-first  Corps  at  the  Battle  of 

Chickamauga.     By  Surgeon  SAMUEL  D.  TURKEY,  U.  S.  Volunteers 280 

CCXXIX.     Extract  from  a  Report  on  the  Casualties  in  the  Cavalry  Corps  of  the  Army  of  the  Cumberland  at  the  Battle  of 

Chickamauga.     By  Surgeon  L.  A.  JAMES,  4th  Ohio  Cavalry 281 

CCXXX.     Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant  Surgeon  SAMUEL  HART,  U.  S. 

Volunteers 281 

CCXXXI.     Extracts  from  a  Report  on  the  Hospitals  at  Chattanooga  after  the  Battle  of  Chickamauga.     By  Surgeon  ISRAEL 

MOSES,  U.  S.  Volunteers 281 

CCXXXII.     Extracts  from  a  Report  of  the  Operations  of  the  Medical  Staff  of  the  Second  and  Third  Divisions  of  the 

Eleventh  Corps  at  the  Battle  of  Wauhatchie.     By  Surgeon  D.  G.  BRIXTON,  U.  S.  Volunteers 282 

CCXXXIII.  Extracts  from  a  Report  on  the  Hospitals  of  the  Second  Division  of  the  Twelfth  Corps  at  the  Battle  of  Wau 
hatchie.  By  Surgeon  J.  E.  HERBST,  U.  S.  Volunteers 282 

CCXXXIV.     Report  of  the  Operations  of  the  Medical  Department  at  the  Battle  of  Chattanooga.     By  Surgeon  GLOVER 

PERIN,  U.  S.  Army,  Medical  Director  of  the  Army  of  the  Cumberland 283 

CCXXXV.     Report  on  the  Operations  of  the  Medical  Department  at  the  Battle  of  Chattanooga.     By  Surgeon  JOHN  MOORE, 

U.  S.  Army,  Medical  Director  of  the  Army  of  the  Tennessee 284 

CCXXXVI.     Extracts  from  Memoranda  of  Events  in  the  Campaigns  of  the  Army  of  the  Cumberland  about  Chattanooga. 

By  Assistant  Surgeon  DALLAS  BACHE,  U.  S.  Army 287 

CCXXXVII.  Extracts  from  a  Report  of  the  Operations  of  the  Medical  Staff  of  the  Fourth  Corps  at  the  Battle  of  Chatta 
nooga.  By  Surgeon  A.  J.  PHELPS,  U.  S.  Volunteers 290 

CCXXXVIII.     Extracts  from  a  Report  of  the  Operations  of  the  Medical  Staff  in  the  First  Division  of  the  Fourth  Corps  at 

the  Battle  of  Chattanooga.     By  Surgeon  S.  G.  MENZIES,  1st  Kentucky  Volunteers 291 

CCXXXIX.  Extracts  from  a  Report  of  the  Operations  of  the  Medical  Department  of  the  Third  Division  of  the  Fourth 
Army  Corps,  in  the  Campaign  from  October  26,  1863,  to  January  18,  1864,  By  Surgeon  W.  W.  BLAIR,  58th 
Indiana  Volunteers 292 

CCXL.  Extracts  from  a  Report  of  the  Operations  of  the  Medical  Staff  of  the  Eleventh  Corps  at  the  Battle  of  Chattanooga. 

By  Surgeon  D.  G.  BRINTON,  U.  S.  Volunteers 293 

CCXLI.     Extracts  from  a  Report  on  the  Operations  of  the  Medical  Staff  of  the  Second  Division  of  the  Twelfth  Corps,  at  tlu 

Battle  of  Lookout  Mountain.     By  Surgeon  A.  BALL,  5th  Ohio  Volunteers 294 

CCXLII.  Extract  from  a  Report  of  the  Operations  of  the  Medical  Staff  of  the  Fourteenth  Corps  at  the  Battle  of  Chatta 
nooga.  By  Surgeon  F.  H.  GROSS,  U.  S.  Volunteers 294 

CCXLIII.     Extracts  from  a  Report  of  the  Operations  of  the  Medical  Staff  in  the  First  Division  of  the  Fourteenth  Corps  at 

the  Battle  of  Chattanooga.     By  Surgeon  B.  F.  MILLEU,  2d  Ohio  Volunteers 295 

CCXLIV.     Extracts  from  a  Report  of  the  Operations  of  the  Medical  Staff  in  the  Second  Division  of  the  Fourteenth  Corps 

at  the  Battle  of  Chattanooga.     By  Surgeon  H.  R.  PAYNE,  10th  Illinois  Volunteers 296 

CCXLV.     Extracts  from  a  Report  of  the  Operations  of  the  Medical  Staff  in  the  Third  Division  of  the  Fourteenth  Corps  at 

the  Battle  of  Chattanooga.     By  Surgeon  R.  G.  BoGUE,  19th  Illinois  Volunteers 

CCXLVI.     Extracts  from  a  Report  on  the  Casualties  of  the  First  Division  of  the  Fourth  Corps  at  the  Battle  of  Buzzard 

Roost.     By  Surgeon  S.  G.  MENZIES,  1st  Kentucky  Volunteers 

CCXLVII.     Extract  from  a  Report  on  the  Casualties  of  the  Second  Division  of  the  Fourteenth   Corps  in  the  Action  at 

Buzzard  Roost,  Georgia.     By  Surgeon  ST.  JOHN  W.  MINTZER,  U.  S.  Volunteers... 
CCXLVIII.     Extract  from  a  Report  of  the  Operations  of  the  Medical  Department  of  the  Third  Division  of  the  Fourteenth 

Army  Corps,  in  the  Action  at  Buzzard  Roost,  Georgia.     By  Surgeon  ROSWKLL  G.  BOGUE,  19th  Illinois  Volunteers. 


3(34  TABLE    OF    CONTENTS. 

Page. 
CCXLIX.     Extract  from  a  Eeport  of  the  Ambulance  Train  of  the  Fourteenth  Corps,  at  Buzzard  Roost.      By  Captain 

WILLIAM  H.  COLLINS,  Chief  of  the  Ambulance  Corps 298 

CCL.     Eeport  on  the  Operations  of  the'  Medical  Department  of  the  Army  of  the  Cumberland,  in  the  Campaign  through 

Georgia,  in  the  summer  of  1864.     By  Surgeon  GEORGE  E.  COOPER,  U.  S.  Army,  Medical  Director 299 

CCLI.     Extracts  from  a  Eeport  on  the  Operations  of  the  Medical  Staff  of  the  Fourth  Army  Corps  in  the  Campaign  in 

Georgia,  in  1864.     By  Surgeon  J.  THEODORE  HEARD,  U.  S.  Volunteers - 302 

CCLII.     Extracts  from  the  Eeport  of  the  Operations  of  the  Medical  Department  of  the  Fourteenth  Corps,  from  Big  Shanty 

to  Atlanta,  Georgia,  in  1864.     By  Surgeon  C.  W.  JONES,  U.  S.  Volunteers 303 

CCLIII.     Extract  from  a  Eeport  on  the  Surgical  Operations  performed  after  the  Engagement  at  Jonesboro',  Georgia.     By 

Surgeon  EDWAED  BATWELL,  14th  Michigan  Volunteers 303 

CCLIV.     Extract  from  a  Eeport  of  the  Casualties  in  the  Fourteenth  Corps  at  the  Battle  of  Jonesloro',  Georgia,  September 

1,  1864.    By  Surgeon  W.  C.  DANIELS,  U.  S.  Volunteers 304 

CCLV.     Extract  from  a  Eeport  of  the  Operations  of  the  Medical  Department  of  the  Twentieth  Corps,  in  the  Campaign  ending 

with  the  fall  of  Atlanta.     By  Surgeon  JOHN  W.  FOYE,  U.  S.  Volunteers 304 

CCLVI.     Extracts  from  a  Eeport  of  the  Operations  of  the  Medical  Department  of  the  First  Division  of  the  Twentieth  Corps 

in  the  Campaign  ending  with  the  fall  of  Atlanta.     By  Surgeon  H.  Z.  GILL,  U.  S.  Volunteers 306 

CCLVII.     Extracts  from  a  Eeport  on  the  Operations  of  the  Medical  Department  of  the  Second  Division  of  the  Twentieth 

Corps  in  the  Campaign  ending  with  the  fall  of  Atlanta.     By  Surgeon  H.  E.  GOODMAN,  U.  S.  Volunteers 306 

CCLVIII.     Extracts  from  a  Eeport  of  the  Operations  of  the  Medical  Department  of  the  Third  Division  of  the  Twentieth 

Corps  in  the  Campaign  ending  with  the  fall  of  Atlanta.     By  Surgeon  W.  GRINSTED,  U.  S.  Volunteers 307 

CCLIX.     Eeport  on  the  Military  Medicine,  Surgery,  and  General  Conduct  of  the  Medical  Department  of  the  Army  of  the 

Ohio,  from  May  1,  1864,  to  September  8,  1864.     By  Surgeon  H.  S.  HEWIT,  U.  S.  Volunteers,  Medical  Director..       309 

CC'LX.     Extracts  from  Eeports  on  the  Casualties  of  the  Army  of  the  Ohio,  from  May  8  to  August  24,  1864.     By  Surgeon 

H.  S.  HEWIT,  U.  S.  Volunteers,  Medical  Director 316 

CCLXI.     Extracts  from  a  Report  of  the  Operations  of  the  Medical  Department  of  the  Second  Division  of  the  Twenty-third. 

Corps  during  the  Atlanta  Campaign.     By  Surgeon  J.  W.  LAWTON,  U.  S.  Volunteers 317 

CCLXII.     Extracts  from  a  Eeport  of  the  Operations  of  the  Medical  Department  of  the  Third  Division  of  the  Twenty-third 

Corps,  from  June  11  to  September  10,  1864.     By  Surgeon  C.  S.  FRINK,  U.  S.  Volunteers 318 

CCLXIII.     Extracts  from  a  Eeport  on  the  Wounded  in  the  Army  of  the  Ohio  during  the  Campaign  in  Georgia.     By  Surgeon 

A.M.  WILDER,  U.  S.  Volunteers 319 

CCLX1V.     Letter  to  the  Surgeon  General  relative  to  General  Sherman's  Campaign  from  Atlanta  to  the  Coast.     By  Surgeon 

JOHN  MOORE,  U.  S.  Army,  Medical  Director  of  the  Department  of  the  Tennessee 320 

CCLXV.     Extracts  from  a  Eeport  of  the  Medical  Staff  of  the  First  Division  of  the  Tiventieth  Corps,  during  the  March  from 

Atlanta  to  Savannah,  in  1864.     By  Surgeon  H.  Z.  GILL,  U.  S.  Volunteers 320 

CCLXVI.     Eeport  of  the  Operations  of  the  Medical  Department  of  General  Sherman's  Army  from  January,  1865,  to  the 

Close  of  the  War.     By  Surgeon  JOHN  MOORE,  U.  S.  Army,  Medical  Director 321 

CCLXVII.     Eeport  of  the  Medical  Department  of  the  Army  of  the  Cumberland,  from  September  1  to  December  31,  1864. 

By  Surgeon  GEORGE  E.  COOPER,  U.  S.  Army,  Medical  Director 323 

CCLXVIII.  Extracts  from  a  Eeport  of  the  Operations  of  the  Medical  Department  of  the  Fourth  Army  Corps  at  Spring  Hill, 

Franklin,  and  Nashville,  Tennessee.  By  Surgeon  J.  T.  HEARD,  U.  S.  Volunteers 325 

CCLXIX.  Extracts  from  a  Eeport  of  the  Casualties  in  the  Brigade  composed  of  the  8th,  9th,  and  13th  Tennessee  Cavalry 

Eegiments  at  the  Engagement  at  Bull's  Gap,  Tennessee.  By  Surgeon  A.  L.  CARRICK,  2d  Tennessee  Cavalry 326 

CCLXX.  Eeport  of  the  Operations  of  the  Medical  Department  of  the  Cavalry  Corps  of  the  Military  Division  of  the 
Mississippi  in  Alabama  and  Georgia,  from  March  22  to  August  20,  1865.  By  Surgeon  F.  SALTER,  U.  S.  Vol 
unteers,  Medical  Director 327 

CCXXI.     Extract  from  a  Eeport  of  a  Medical  Inspection  of  General  Grant's  Army,  April  23, 1863.     By  Medical  Inspector 

E.  P.  VOLLUM,  U.  S.  Army '. 330 

CCLXXII.     Eeport  of  the  Medical  Director  of  the  Army  of  the  Tennessee,  from  May  1  to  July  4,  1863.     By  Surgeon 

MADISON  MILLS,  U.  S.  Army 331 

CCLXXIII.  Second  Extract  from  a  Narrative  of  his  Services  in  the  Medical  Staff.     By  Assistant  Surgeon  C.  S.  DuGiiAW, 

U.  S.  Army 333 

CCLXXIV.  Extracts  from  the  Eeport  of  the  Chief  Medical  Officer  of  Kimlall's  Provisional  Division,  for  June,  1863.  By 

Surgeon  J.  C.  WHITKIIILL,  U.  S.  Volunteers 334 

CCLXXV.  Extract  from  a  Eeport  on  the  Actions  before  Jackson,  Mississij)pi,  from  July  6  to  20,  1863.  By  Surgeon 

CHARLES  MCMILLAN,  U.  S.  Volunteers,  Medical  Director  of  the  Fifteenth  Corps 334 


TABLE    OF    CONTENTS.  ^  365 

Page. 
CCLXXVI.     Extract  from  a  Report  on  the  Battle  of  Baton  Rouge,  Louisiana.     By  Surgeon  EZRA  READ,  21st  Indiana 

Volunteers .* 335 

CCLXXVII.     Extracts  from  the  Eeports  of  the  Chief  Medical  Officer  of  the  2d  Division,  Nineteenth  Corps.     By  Surgeon 

EUGENE  F.  SAXGER,  U.  S.  Volunteers 335 

CCLXXVIII.     Extracts  from  the  Report  of  the  Medical  Director  of  the  Nineteenth  Corps,  for  April,  1864.     By  Surgeon 

EUGENE  F.  SANGER,  U.  S.  Volunteers 335 

CCLXXIX.  Extracts  from  the  Report  of  the  Operations  of  the  Medical  Department  of  the  Army  of  the  Military  Division 
of  West  Mississippi,  during  the  Campaign  against  Mobile,  Alabama.  By  Surgeon  E.  H.  ABADIE,  U.  S.  Army, 
Medical  Director 337 

CCLXXX.     Extract  from  the  Report  of  the  Chief  Medical  Officer  of  the  Forces  Operating  from  Pensacola  Bay  against 

Blakely,  Alabama.     By  Surgeon  P.  A.  WILLIS,  83d  Ohio  Volunteers 337 

CCLXXXI.     Extract  from  the  Report  of  the  Medical  Director  of  the  Thirteenth  Army  Corps  for  the  Campaign  against 

Mobile.     By  Surgeon  C.  B.  WHITE,  U.  S.  Volunteers,  Medical  Director 338 

CCLXXXII.     Extract  from  the  Report  of  the  Medical  Director  of  the  Sixteenth  Corps  for  the  Campaign  against  Mobile. 

By  Surgeon  W.  H.  THOM,  U.  S.  Volunteers 339 

CCLXXXIII.     Extracts  from  a  Report  on  the  Operations  of  the  Medical  Department  during  the  Battle  of  Pea  Ridge.     By 

Surgeon  D.  L.  McGuGix,  3d  Iowa  Cavalry 340 

CCLXXXIV.     Second  Extract  from  a  Narrative  of  his  Services  on  the  Medical  Staff.     By  Surgeon  GEORGE  H.  HUBBARD, 

U.  S.  Volunteers 341 

CCLXXXV.     Extract  from  a  Report  on  the  Operations  of  the  Medical  Department  during  the  Battle  of  Prairie  Grove, 

Arkansas.     By  Surgeon  IRA  RUSSELL,  U.  S.  Volunteers 342 

CCLXXXVI.     Extracts  from  the  Sanitary  Reports  of  the  Department  of  Arkansas  for  1863.  1864,  and  1865.     By  Surgeon 

J.  R,  SMITH,  U.  S.  Army,  Medical  Director 343 

CCLXXXVII.     Extract  from  a  Report  on  the   Operations  of  the  Medical  Department  at  the  Battle  of  Valverde,  New 

Mexico.     By  Surgeon  BASIL  NORRIS,  U.  S.  Army 346 

CCLXXXVIII.     Extract  from  the  Quarterly  Report  of  Sick  and  Wounded  at  Fort  Craig,  New  Mexico,  for  the  Quarter 

ending  June  30,  1862.     By  Surgeon  BASIL  NORRIS,  U.  S.  Army 347 

CCLXXXIX.     Extract  from  a  Report  on  the  March  of  the  Column  from  California,  from  Fort  Yuma  to  the  Rio  Grande, 

during  the  summer  of  1862.     By  Surgeon  JAMES  M.  McNULT Y,  U.  S.  Volunteers 347 


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