Dr. Bryce, one of the army-surgeons in that war, says, in his book: "The British army was exhausted by overwork and the deficiency of everything that would sustain health and strength." When the soldier, overcome by these morbific influences, became sick, and was taken to the hospital, he was still compelled to suffer, and often sank under, the privation of those comforts and means of restoration which the sick at home usually enjoy. Dr. Sutherland says: "The hospitals at Scutari were magnificent buildings, apparently admirably adapted to their purpose; but, when carefully examined, they were found to be little better than pest-houses." Under direction of the Sanitary Commission, the hospitals were cleansed and ventilated, and the patients allowed more room. In the first three weeks of these improvements, the mortality from diseases fell to one-half; in the second three weeks, to one-third; in the third, to onefifth; and in the fourth and fifth periods, to one-tenth of that which prevailed before they were begun. § The reform was carried through the whole army, camp and barracks, Government supplies, and soldiers' habits and exposures; and the mortality from diseases, which had been at the annual rate of 114 per cent. in January, and 83 per cent. in February, fell to 19 per cent. in April and May, 5 per cent. in the autumn, and 1.6 per cent. in the winter following. I Report of the Sanitary Commission. — Report on the Sanitary Condition of the British Army, p. 335. + Report of the Sanitary Condition of the British Army, p. 97. Ib., p. 334. § Ib., p. 365. || Пb., p. 524. The exposures, privations, and sufferings of our own army in the last war with Great Britain, heart-rending even at this distance of time, were sufficient to account for much of the terrible sickness and mortality that prostrated and destroyed the men. They were at times in want of food, clothing, and tents; and yet, in the new and unsettled country, in the wilderness and forest, they performed 66 great labors. Long and unremitting exposures to wet, cold, and fatigue, with a diet which, under existing circumstances, could not prove nutritious, exhausted the vital principle, and diarrhea and typhus fever supervened. The production of animal putrefaction and excrementitious materials were also sources of these diseases. Armies always accumulate these noxious principles about their encampments in a few days, when attention is not called to their daily removal."* Feeble, and destitute of clothing and provisions, they invaded Canada at the end of the autumn in 1813. "During the whole of October and part of November, most of them were subjected to excessive fatigues, and exposed in open boats on the lake, when it rained almost every day." "On the 14th of November the weather became intensely cold, and remained so all winter. In addition to their great fatigue, most of them lost their extra clothing and blankets on their march and in the battle of the 11th. Even the sick had no covering but tents until January. Provisions were scarce, and of a bad quality. Under these circumstances, sickness and mortality were very great." "Nearly one-half of the army," 47 per cent., "were unfit for duty."† deaths, and distress at French Mills excited much alarm. This great mortality had obvious causes for its existence." "Predispositions to sickness, the effects of obvious causes, the comfortless condition of men exposed to cold, wanting the common necessaries of life to support them in their exhausted states." Dr. Lovell adds: "It was impossible for the sick to be restored with nothing to subsist upon except damaged bread.”* Among the causes of the abundant sickness, in March, along the Niagara frontier, given by the surgeons, were "severe duty during the inclement weather, exposure on the lake in open transports, bad bread made of damaged flour, either not nutritious or absolutely deleterious, bad water impregnated with the product of vegetable putrefaction, and the effluvia from materials of animal production with which the air was replete." † "The ar my, in consequence of its stationary position, suffered from diseases aggravated by filth accumulated in its vicinity." "The clothing was not sufficient to protect the men on the northern frontier, and even this short allowance failed to reach them in due season." "The woollen garments have not been issued until the warm weather of summer commenced, when winter finds them either naked or clad in their summer dresses, perishing with cold." § The camps were sometimes in malarious districts. "At Fort George and the vicinity, the troops were exposed to intense heat during the day and to cold and chilly atmosphere at night." "The diseases consequent to this exposure, typhus and intermittent fever, dysentery and diarrhoea," and "but little more than half of the men were fit for duty." Gen. Scott wrote from Mexico, February 14, 1848: "The army is also suffering from the want of necessary clothing. The new troops are as destitute as the others. They were first told that they should find abundant supplies at New Mann, Medical Sketches, pp. 120, 121. † Ib., p. 78. § Ib., p. 124. Orleans, next at Vera Cruz, and finally here." * There is ever a danger of the sensibilities and perceptive faculties becoming blunted by exposure to and familiarity with offensive effluvia. "The General repeatedly called the attention of the officers at Fort George to the filthy state and foul effluvia of their camp, but they perceived no offensive odor; their olfactories had lost their acuteness, and failed to warn them of the noisome gases that pervaded the atmosphere." If the officers fail of their duty as housekeepers to see that everything in the camp and tents is clean and healthy, the men fall into negligent habits, and become dirty and sick. It was the "total want of good police" that reduced the regiment already referred to from 900 to 200 fit for duty. On the other hand, "The regiment of artillery, always subject to correct discipline, with quarters and encampments always in the best state, and the men mostly neat and clean, suffered less by disease than any on the northern frontier. Their better health may be much imputed to cleanliness."‡ Itch and lice, the natural progeny of negligence and uncleanness, often find their home in the army. Pringle, more than a hundred years ago, said that "itch was the most general distemper among soldiers." Personal and household vermin seem to have an instinctive apprehension of the homes that are prepared for them, and flock to the families and dwellings where washing and sweeping are not the paramount law and unfailing habit. They are found in the houses and on the bodies of the filthy and negligent everywhere. They espe cially delight in living with those who rarely change their body-linen and bedding. They were carried into and established themselves in the new barracks of Camp Cameron in Cambridge, Massa * Executive Documents, U. S., 1848, Vol. VII. p. 1224. † Mann, Medical Sketches, p. 66. chusetts; but they are never found in the Boston House of Correction, which receives its recruits from the filthiest dens of iniquity, because the energetic master enforces thorough cleansing on every new-comer, and continues it so long as he remains. The camps and police of the present Union army, though better than the average of others and far above some, are yet not in as healthy condition as they might be. The Report of the Sanitary Commission to the Secretary of War, December, 1861, says: "Of the camps inspected, 5 per cent. were in admirable order, 45 per cent. fairly clean and well policed. The condition of 26 per cent. was negligent and slovenly, and that of 24 per cent. decidedly bad, filthy, and dangerous."* The same Report adds: "On the whole, a very marked and gratifying improvement has occurred during the summer." And that improvement has been going on ever since. Yet the description of a camp at Grafton, Virginia, in March, shows that there a very bad and dangerous state of things existed at that time, and "one-seventh of the regiment was sick and unfit for duty"; but the bold and clear report of Dr. Hammond of the United States Army produced a decided and favorable change, and "the regiment has now less than the average amount of sickness."† The hospitals of the army are mostly buildings erected for other purposes, and not fitted for their present use; and the sudden influx of a large military population, with its usual amount of sickness, has often crowded these receptacles of the suffering soldiers. For want of experience on the part of the officers, surgeons, nurses, and men, in the management of such establishments, they are sometimes in very bad and unhealthy condition. In Cumberland, Maryland, fifteen buildings were occupied by about five hundred patients. These buildings had been warehouses, hotels, etc., with few or none of the conveniences for the sick. They were densely crowded; in some the men were "lying on the floor as thickly as they could be packed." One room with 960 feet of air contained four patients. Dr. Hammond's description of the eightythree rooms and the condition of the patients in them seems to justify the terms he frequently uses. "Halls very dirty." "Rooms dismal and badly ventilated." "Utmost confusion appears to exist about each hospital; consequently, duties are neglected, and a state of the most disgusting want of cleanliness exists." * Happily, the wise and generous suggestions of the surgeon were carried out, and with the best results. This hospital was an exception; but it shows the need of intelligent watchfulness on the part of the Government. CROWDED QUARTERS. It is to be expected that the soldier's dwelling, his tent and barrack, will be reduced to the lowest endurable dimensions in the campaign, for there is a seeming necessity for this economy of room; but in garrisons, stations, and cantonments, and even in encampments in time of peace, this necessity ceases, and there is a power at least, if not a disposition, to give a more liberal supply of house- and lodging-room to the army, and a better opportunity for rest and recuperation. In common dwelling-houses, under favorable circumstances, each sleeper is usually allowed from 500 to 1,000 cubic feet of space: a chamber fifteen or sixteen feet square and eight feet high, with 1,800 to 2,048 feet of air, is considered a good lodging-room for two persons. This gives 900 to 1,024 feet of air for each. The prudent always have some means of admitting fresh air, or some way for the foul air to escape, by an open window, or an opening into the chimney, or both. If such a room be occupied by three lodgers, it is crowded, and the air becomes perceptibly foul in the night. Sometimes more are allowed to sleep *Report of the Sanitary Commission, No. 41. within a room of this size; but it is a matter of necessity, or of lower sensibility, and is not healthy. They do not find sufficient oxygen to purify or decarbonize their blood through the night; they consequently are not refreshed, nor invigorated and fully prepared for the labors of the following day. No nation has made this liberal and proper provision of lodging-room for its sleeping soldiers in peace or in war, in garrison or in the encampment. The British army-regulations formerly allowed 400 to 500 cubic feet for each soldier in barracks in temperate climates, and 480 to 600 in tropical climates. The new regulations allow 600 feet in temperate climates. But the 356 barracks at the various military stations in Great Britain and Ireland give the soldiers much less breathing-room than the more recent regulations require. Of these, 3 allow 100 to 200 feet for each man. 66 27 123 66 66 19 66 66 600 to 800 " The French Government allows 444 feet for each infantry soldier, and 518 feet for each man in the cavalry. The British soldiers, at these home-stations, have less breathing-space and are subject to more foulness of air than the people of England in civil life; and the natural consequence was discovered by the investigation of the Military Sanitary Commission, that consumption and other diseases of the lungs were much more prevalent and fatal among these soldiers, who were originally possessed of perfect constitutions and health, than among the people at large. The mortality from consumption and other diseases of the respiratory organs, among the Household Cavalry, the Queen's Body-Guard, and the most perfectly formed men in the kingdom, was 25 per cent., among the Dragoon Guards 59 per cent., among the Report of Barrack Commission, p. 160. + Report on the Sanitary Condition of the British Army, p. 439. Infantry of the Line 115 per cent., and among the Foot-Guards 172 per cent. greater than it was among the males of the same ages throughout England and Wales, and consumption was the prevailing cause of death. The huts of the British army are of various sizes, holding from twenty-five to seventy-two men, and allowing from 146 to 165 cubic feet for each. The "Portsmouth hut" is the favorite. It is twentyseven feet long, fifteen feet wide, walls six feet, and ridge twelve feet high. This holds twenty-five men, and allows 146 feet of air to each man. All these huts have windows, and most of them are ventilated through openings under the eaves or just below the ridge, and some through both. Some of the temporary barracks erected at Newport News, Virginia, are one hundred feet long, twenty-two feet wide, and twelve and a half feet high at the ridge, and accommodate seventy-six men, giving each 360 feet of air. Some are larger, and allow more space; others allow less; in one each man has only 169 feet of breathing-space. All these buildings are well supplied with windows, which serve also for ventilators. In forts, the garrisons are usually more liberally supplied with sleeping-room, yet, on emergencies, they are densely crowded. At Fort Warren, in Boston Harbor, two regiments were temporarily stationed, in the summer of 1861. There was one large barrack divided into some large and many small rooms, and there was the usual supply of rooms in the casemates There was one range of rooms in the barrack, each sixteen feet six inches long, seven feet four inches high, and varying in width from ten feet eight inches to thirteen feet two inches. In most of these rooms, including two of the narrowest, twelve men slept. They had from 105 to 119 feet of air for each one. There was a large window in each room, which was opened at night, and might have served for healthy ventilation, except that there was an accumulation of disgusting filth within a few feet of the building, on that side, sending forth offensive and noisome effluvia, and rendering it doubtful which was the most disagreeable and dangerous, the foul air within or the foul atmosphere without. In two of the casemate-rooms, holding sixty and seventy-five men respectively, each man had 144 and 180 feet of air. At Fort Independence, in the same harbor, a battalion was stationed, and slept in thirteen casemate-rooms, where the men had from 150 to 297 feet of air. All the casemate-rooms, being in the thick walls, and covered with earth, in both forts, were cold and damp, and many of them were kept comfortable only by fires, even in June. The ten new barracks at Camp Cameron, in Cambridge, when full, according to the plan, give each soldier 202 feet of air for respiration; but in August last, when densely filled, as some of them were, the proportion of air for each man was reduced to 120 feet. The doors and windows were left open at night, however, and obviated in some degree the evil effects of the crowding. TENTS. THE portable house must necessarily be as small as possible, and must be made to give its occupants the smallest endurable space. The English bell-tent contains 512 cubic feet, and lodges twelve to fifteen men, when on march, and eight to twelve men in camp, affording 34 to 64 feet of breathing-space for each. Quartermaster-General Airey says this is the best tent in use. The American tents are of many varieties in shape and size. The Sibley tent gives 1,052 feet to seventeen or eighteen, and sometimes to twenty men, being 53 to 62 feet for each. The Fremont tent is somewhat larger, and, as used in the cavalry camp at Readville, gave the men more air than the Sibley. Both of these have means of ventilation. The wedgetent, being the simplest in structure, is most easily pitched, struck, and packed by the soldiers, and therefore used by 58 per cent. of the regiments of the Union army, six men sleeping in each. But, as occupied by two of the regiments in Massachusetts, in the summer of 1861, it was the most crowded and unhealthy. Those used by the Second Regiment at West Roxbury, and the Ninth at Long Island, (in Boston Harbor,) were twelve and a half feet long, eight feet wide, and six feet high to the ridge, and held twelve men. Each sleeper had 8 square feet of floor to rest upon, and 25 cubic feet of air to breathe through the night, with no ventilation, except what air passed in through the door-way, when left open, and through the porous cloth that covered the tent. Some of the tents of one of the regiments encamped at Worcester had 56 feet of floor-surface, and 160 feet of air, which was divided among six men, giving each 27 feet of air. These In all the camps of Massachusetts, and of most armies everywhere, economy, not only of room within the tents, but of ground where they are placed, seems to be deemed very important, even on those fields where there is opportunity for indefinite expansion of the encampment. The British army-regulations prescribe three plans of arranging the tents. The most liberal and loose arrangement gives to each soldier eighty square feet of ground, the next gives forty-two, and the most compact allows twenty-seven feet, without and within his tent. are densities of population equal to having 348,000, 664,000, and 1,008,829 people on a square mile. But enormous and incredible as this condensation of humanity may seem, we, in Massachusetts, have beaten it, in one instance at least. In the camp of the Ninth Regiment at Long Island, the tents were placed in compact rows, and touched each other on the two sides and at the back. Between the alternate rows there were narrow lanes, barely wide enough for carriages to pass. Thus arranged, the men, when in their tents, were packed at the rate of 1,152,000 on a square mile, or one man on every twenty-two square feet, including the lanes between, as well as the ground under, the tents. |