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STATEMENT L.

Showing the receipts and expenditures of clothing and public property of the Marine Corps

during the fiscal year 1911 and the balances on hand July 1, 1910, and June 30, 1911.

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Showing the value of stores of the Naval Establishment, June 30, 1911. Material and supplies in storehouses ashore and storerooms afloat, and in transit (Title X). (See Statement D)...

$75, 888, 022. 47 Equipage and supplies on board ships in commission and in transit (Titles B and Y). (See Statement E)..

67, 274, 119.83 Provisions in storehouses ashore and storerooins afloat, and in transit. (See Statement H). 1,749, 502.55 Contingent stores in storerooms afloat and in transit. (See Statement H).

56, 325.67 Clothing and small stores in storehouses ashore and in storerooms afloat, and in transit. (See Statement H)..

2,939, 086. 12 Midshipmen's store property. (See Statement I).

46, 623. 24 Clothing and public property of the Marine Corps. (See Statement L)...

3, 447,615. 23 Medical stores in naval medical supply depots, Brooklyn, N. Y., Mare Island, Cal., and Canacao, P. I..

173, 264.41 Total...

151,574,559.52

REPORT OF THE SURGEON GENERAL

UNITED STATES NAVY.

DEPARTMENT OF THE NAVY,
BUREAU OF MEDICINE AND SURGERY,

Washington, D. C., October 1, 1911. Sir: The health of the Navy during the calendar year 1910 has been good. Neither epidemic disease nor military operations have served to produce an unusual morbidity rate. The year may be regarded as a normal one, considering the mortality and morbidity in the service.

The death rate from disease is slightly higher than last year, but there is a marked reduction in comparison with the "average year.' The death rate from injuries shows an increase over last year, and is also in excess of the rate of the “average year.' This marked increase in the death rate is due to the large number of drownings.

A reduction in the total damage from disease and injury in the service indicates an improvement in the general health of the entire Navy and Marine Corps. The damage from injuries is slightly increased when compared with last year, but lower than the average year. The marked decrease in the damage done the service by diseases (compared with both last year and the average year) makes the combined damage by injury and disease less than last year, and certainly much less than the average year. This is shown in statistical Table No. 1, on page 42.

ESTIMATES.

In obedience to the direction of the department, no estimate for appropriation by Congress for the construction of new naval hospitals has been submitted. Until other provision is made, all expenses in connection with naval hospitals, for enlargement and necessary repairs, will be provided therefor, of necessity, from the naval hospital fund. No appropriation under the title “Repairs, medicine and surgery," was made for the fiscal years ending June 30, 1911, and June 30, 1912, and no request has been made on Congress for an appropriation under that title for the fiscal year ending June 30, 1913.

It has been recommended that the appropriation “Medical Department” should be increased to $400,000, to provide (a) for all medical and surgical supplies, ashore and afloat, for the proper care of the sick and injured of the Navy and Marine Corps, and of civil employees of navy yards to whom first-aid treatment is given; and (b) for the pay of all civil employees of the Medical Department at navy yards and naval hospitals. This is the most important of the appropriations made for the support of the Medical Department of the Navy.

Under the appropriation “Contingent, medicine and surgery,” an increase of $3,000 is recommended, making the appropriation $82,000. The cost of caring for the dead increases from year to year with the growth of the Navy, and $1,000 of the additional sum is for this purpose. With the growth of dental work on board receiving ships and at stations, performed by members of the Hospital Corps for the enlisted force, the expense of dental material is no longer a negligible quantity, and $2,000

is estimated as the cost for such dental material required for the next year.

Under the appropriation “Bringing home remains of officers, etc., Navy Department, an increase of $2,000 has been recommended in order to restore the appropriation to its original amount. This appropriation was reduced on the recommendation of the Bureau from $15,000 in the fiscal year 1906. The reduced amount has been found insufficient, and its restoration to the original amount is recommended. This appropriation enables the department to bring home the remains of naval dead to bereaved parents and widows too poor themselves to undertake the expense.

The naval hospital fund had its beginning in the act of July 16, 1798, when Congress made provision for the relief of sick and disabled seamen of the Navy and merchant marine. This fund was then known as the marine hospital fund. Its separate existence, however, dates from the act of February 26, 1811. Congress does not contribute for the support of this fund by appropriation as for all other naval purposes. Its sources of revenue are as follows:

(a) The hospital tax of 20 cents per month (sec. 4808, Rev. Stat.). (6) Fines imposed (sec. 4809, Rev. Stat.). (c) The value of one ration per day for each person during continuance in hospital

(sec. 4812, Rev. Stat.). (d) Pensions of persons entitled thereto during continuance in the hospital (sec.

4813, Rev. Stat.). (e) Forfeitures on account of desertion (act of June 7, 1900).

Under the authority of section 4810 of the Revised Statutes the Secretary of the Navy has, during the past several years, undertaken the building of the three hospitals at Portsmouth, N. H., Chelsea, Mass., and Newport, R. I., at an approximate cost of $900,000; of additional buildings at the naval hospital, Great Lakes, not provided by specific appropriation, at an approximate cost of $145,000; the renovation of the hospital at Philadelphia, and the enlargement and improvement of the power plant, at an approximate cost of $173,000; the extension of the hospital at Washington, and the construction of quarters and additional buildings, at an approximate cost of $275,000; the erection of three officers' quarters, power house, stable and garage, and nurses' quarters at the naval hospital, Annapolis, at an approximate cost of $115,000. In addition to the foregoing mentioned work, the naval hospitals at Canacao, Las Animas, and elsewhere have been developed and enlarged at a cost of about $500,000, making a total for construction purposes and repairs and improve ment of over $2,000,000 outlay without expense to the United States. These large expenditures have been made possible only because of the accumulation of money during preceding years when building operations were not undertaken, and when the Bureau received material assistance from Congress through two appropriations aggregating nearly $100,000 annually. Both of the appropriations have been eliminated during the past several years. The Bureau renews the recommendation made in its last annual report for the repeal of the provision made in the naval act for the fiscal year 1910, approved March 3, 1909, diverting from the naval hospital fund money for the transportation to their homes, or places of enlistment, of naval prisoners, and for the purchase of suitable civilian clothing for the same, and that these expenses be made a charge against the United States under the appropriation “Pay, miscellaneous,” or “Transportation, Bureau of Navigation.”

NAVAL HOSPITAL FUND.

The condition of this fund is as follows, viz: Balance on hand July 1, 1910...

$13, 890. 76 Transferred to credit since July 1, 1910.

1, 239, 762. 68 Total.....

1, 253, 653. 44 Expended since July 1, 1910.....

1, 253, 653. 44 The statement of the cost of maintenance of United States naval hospitals for the fiscal year 1911 is shown in the statistical table on page 92.

MEDICAL CORPS.

Twelve medical officers were lost during the year by death, res nation, or retirement, and 16 assistant surgeons were commissioned. There are at present 41 vacancies in the corps.

The greatly increased activity in the service has operated to enlarge the field of usefulness of the medical officer. I have endeavored to widen the scope of their activities by stimulating interest in the purely naval and military duties, and opening up new fields of work along these lines, such as the sustaining of life in disabled submarines, study and prevention of the harmful effects of the periscope; turret conditions, including personnel and material; the prevention of the effect of big-gun blasts on ears; smoke and powder gas problems; fireroom problems; actual conditions of battle, and first-aid and other drills, in order to keep as many men at their stations as possible during action. The purpose of the Medical Department in battle is to devote its energies toward winning the fight-its duties are primarily naval and military, and, secondarily, humanitarian.

The examination of officers for the physical exercise, professional attention to workmen at navy yards, as required by the liability act of May 30, 1908, the increased size and service of naval hospitals, and work incident to the preparation of necessary returns greatly increase the work of medical officers. The maintenance of the health of the personnel, the study of so-called occupational diseases of the Navy, preventive medicine, hygienic needs of the personnel afloat and ashore, the study of disease, the treatment of sick, battle drills, recruiting, acquisition of a working knowledge of the specialties, etc., are enough to engage their constant attention, and they are more actively employed than heretofore.

20986°— NAVY 1911-28

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