/ y^'^/. io SiK,-I beg leave to lay "before you aihvmi outline of Avhat the TJ. SrSauitary Commission has done, and is doing, and to submit to you the question, ^vhether the public can afford to let this work be abandoned for want of means to carry it on. Its magnitude and iu.portance ai'e self- evident. Our soldiers are in tar greater peril from sickness than from the violence ot enemies. Large portions of the Army are now in special an=' tl,at ca„ be stated ,' ^7"'^ '""'''''"'' "'^-^ f"™-''^ -neh is ceHa.-„-o„,. sole e,- IL T'"'' T^'"^ ^^^ ^Ims ea»P disease beyond all r o I l'"'"' "' "^^'"P''"" ''■<"- «-<>"ldbe„ostp,.es„„pt„„„3, !,„'"^ '" ""'^ ^"'"■-- It '»= «''>0ll7 to In,.a„ a^ena" r"f "''■'' "'^"""-^'Wess. i-as certainly eontribute°d s^m.tb ? '^ Commission 0"'. by awakening at.enti T " ^, """-^ "^H^-^ -"'t, if i^as «u.s diminislied disease J, Tl ^ Precaniions, If it '-dred thousand volnre , T T' '" °"^ ^-^ "^ S- "■"' ''."e enabled it to do si ' »"''"°'" '=™''-"'"«°"^ The most important department r-f n r, «»»P inspection. On thir' Co„,„,i,3io„ is tb„t „, spectors-all men of scientific '/, •'°'' ""'''"^^ «"«<=" I"- "'■p-fesiona, position :r,l''r"'<'"-»—">-pI.-sieians ^»P'-e,ne„ts in' can "^"i ": ,V". '^'^^" """ ^""^-""^ ''--.e, camp cooki^^t 's r,! "'T °^'^"'' ^^ ^"-'e-' gene,.a,Iyin e.e,ytl,in: tbat b" ' '"•■""■'^ "^ -"to, and "'■;-'> '-' to ,,.: otiiL,''! ::;;'« ■;?"" "^ "- -"■ «"'y professional aid, if desiredT^! "''"''"■^ ^"'''■''^'^ "ot ^ood, medicines, .ace ne v , s ;, 1 , "^'" """■••^' <"»«'"'='. Gove,-nmentsnpp,y,,„, or 1,;; r "'"' '"^'""^'^ ■» "■« provide. ^ ' "''"='' ^''^'■"■"e-teannotj^-oniptly These inspectoi-s act under e!abo,-afe . , ■ ^"■-uons. Ti,e result of the, Kb tl '""""' ^"■'"'"' ''"- ""<■ ..egative, cannot be detinit ely i""'; t ^'^ '^"™'"™ --"-egi,nentsi.::— ::— r:-,:5 9 epidemic, with all their officers absolutely ignorant of any necessity for sanitary precautions, but most prompt and ener- getic in correcting abuses, and removing sources of danger the moment they were made aware of the importance of so doing. Many camp-sites reeking with poisonous exhalations have been purified and made wholesome within twenty-four hours after a visit from one of the inspectors of the Commission. Many of our volunteer officers, regimental surgeons included, suddenly withdrawn from civil life, knew nothing of precau- tions against camp disease, of the dangers to which masses of men are exposed by the mere fact of accumulation, or of the existence of a distinct branch of sanitary science. Their official superiors have as yet done nothing to instruct tlicm. The advice and assi?tance furnished by tlie Sanitary Commission, through its inspectors, has therefore been opportune and valu- able. These inspectors make regular reports to the Central office at Washington, in the form of answers to a minute and elabo- rate list of printed questions (about ISO in number), covering everything that can affect the health, efficiency, and morale of each regiment inspected. Their returns are recorded and tabulated as received, and the Commission will thus be enabled to publish, in due time, a body of military and medical statistics more complete and thorough than any now known to exist. The professional services of so large a number of educated men, who devote their whole time to the labor of inspection, are neces- sarily costly. They would be much more so did not the gentle- men employed on this duty devote themselves to their work from a sense of patriotic duty rather than for the sake of the moderate com23ensation they receive. They are paid on an 10 average (exclndincr travpll.'n twelve hundred dollars .^ea' "'""^^ ""' ''^ ^^^ ^^ about d«cul„rc"i;JJ;:;;" ';"■"'-• T' "'^^'"="«d *o„sa„ds of «1« for volunteer sur.ec, it ^T "" °' ^°'*ers-ma„„. fo-fen science in t„: L" J^ '"-; "^ "- '^test re..,, of -ggestions as to the rail Jl TT' ''"•''"'"' ■"'P°'«-' '"--e, and otl.er pape "e I ' ''"''" "°'""^' -'»™'- -■> '0 the vita, in,;„.!ta :; :i. '^ ^"-'■•- <>^ officers and r '^"ceotsanitarj measures. It supplies to the Hosnifn7c f p'-ces, .,.ie. G„vern:::'c:;tT'"rf ""^*^ i"»"'n to lave saved n,a„y liveT F " ' "' "'"''='' ^''^ '" I'ospital at Washington Lt , ,', '"""''''' '■°""- P'^''<'"ta P-a«o„ after .ounds^recei e ITZTv ''' '"''''''' ^'"- -'S''t. in the opinion of the I s, 7' """ ''"'''"S' ^"^ I^^dV' an artiCe which G '/""'' '"'" "^^ "™'-- ^■'-•HX of onr fe,,o JL!: ~,,''- ■■<" «"PP... The "de these four "water-beds " and t ^—'-io.' to pro- fit" deat,,.* It provides 'a,r T ' '° "™ '""-="-" P--enced hospital Lssora:;!::;;^ ^"™' "' ^'^ ■"^-^' ^ ^t is constantly receiVJno. f Pl'-es of Cothin! io 'T.f °'" ""'^ '""■' °^ ">« «°""fT ->,> ^- ".eCentraTd pt tt?,'-^'^- '"^^^ ^^ '^'--'^'''ed «- --ssities of the t olTr '"^ "' '"' '" "'« ^^-«. - ^ '^"^ ^act may appear. 11 gagemcnt or an epidemic. After the late aft'air at Edwards' Ferry, for instance, three wagon loads of bedding, liospital stores, stimulants, and extra comforts and appliances for the wounded were at once sent from Washington, together with clothing, most urgently needed by a large number of men who had been obliged to throw olf their uniforms before swimming the Potomac. A large portion of the clothing, and of the comforts of every Icind, which the warm-hearted and loyal women of every l^orthern city, town, village, and neighborhood are diligently providing for the army, is consigned to the Commission. It has thus become a groat distributing agency, through which the charitable handiwork of our countrywomen is dispensed to our soldiers at every point from Fortress Monroe to St. Louis. Systematic and judicious distribution of these supplies is obvi- ously most important. Unless there be some general agent on the ground to ascertain the actual present wants of each regi- ment, great waste is inevitable — and this the countiy can- not afibrd, for there is already need of all, and far more than all that can be furnished, even by the tens of thousands of our countrywomen who are devoting themselves to this work. In the absence of such inspection and supervision, one regiment will got more than it needs, and the surplus will be just so much generous and loyal labor thrown away, while others will be for- gotten and neglected. Six hundred boxes are reported to be now on their way to the Washington store-house of the Commission, from its Boston depot alone. The Ireight bills of these supplies are of course heavy, and must in many cases be paid by the Commission. 12 Another branch of its operations is tlie maintenance of the " Soldiers' Home," so called, at Washington— an establishment near the Eailroad Depot for the aid and comfort of soldiers, in certain particulars, for which the long-established Government system docs not provide. The chief object of this agency is, First, to supply to the sick men of regiments arriving at Washington such medicines, food and care as it is impossihle for them to receive from their own officers, in the confusion of their arrival, with the regimental medicine chest inaccessible in the baggage-car, and the regimental surgeon and quarter master obliged to leave their men and hunt up government officials in a strange city. Second, to furnish suitable food, lodging, care and assistance to men discharged from the general hospitals, or fi-om their regiments, but often detained for many days in the city before they can obtain their papers and pay. Thii'd, to give assistance and information and secure trans- portation to men who arrive at the station house in small num- bers, and M^ant to find and join their regiments. Some of these have been accidentally left behind. Some have been detained for a few days at hospitals in Philadelphia or Baltimore. The number of soldiers who thus received care at the hands of the Commission, (some a sinode nio-ht's lodo-in«^ some five or six days shelter, support and medical treatment,) between August 9di and September 23d was about seven hundred, and from September 10th to October 21st, 1,1:94. Dr. Grymes, of Washington, the physician to the "Home," reports October 10th, that he "has professionally treated over 400 13 soldiers since the opening of the house — some of thera very sick." About fifty men on an average are now in the building every night. This Agency also renders our soldiers passing through "Wash- ington various services that cannot be exactly classified, but are nevertheless of no small value. This Avill be illustrated by the following extracts from Reports of the S])ecial Relief Agent, Mr. Frederick N. Knapp, made on the 23d September and lilst October last. '• August 25th, I went to the Paymaster's Department by re- " quest of a sick man at the Station House, who had his papers, " but said he was so weak he could not push up to the window " and get his pay. I found about forty men waiting in the yard " of the office, some apparently very feeble. Tin's was on " Tuesday afternoon. One man had been waiting since Satur- " day forenoon, lie was lame and weak, and the other new " comers kept him back. Three others had waited since Mon- " day morning; one who was there all day Saturday without " getting his pay, had died on Sunday night, in a house near " by. Seeing the case from the outside, which the oflicers " within the building in their press of business did not observe, " I stated the facts to the proper officers and they immediately " made arrangements by which the men most sick were paid " olf at once, and facilities secured for the future." {From Mr. Kiiap^h First lieport, p. 8.) " Within the past three weeks we have had a new cla?s, viz., " men belonging to regiments moving from Washington to An- " napolis for special service. A number of cases have occurred " where the regiments have struck their tents and nuarched to 14 ■" the railroad station, bringing all their sick with them in am- " balances, expecting to take the cars at once ; but they were " detained there, waiting sometimes for twenty-four hours. In " all such cases we have immediately received the sick into tlie " ' House,' and there they remained until the train which was " to take them was ready to start. Some nights we have had " as many as twenty such from one regiment, who otherwise " (though just removed from a regimental hospital) would have " been obliged to have slept on the floor of the Reception house, " or else in the army wagons and ambulances. Many of these " were men who needed all the care we could give them." {Second Report^ jp. 17.) By these and other Jike services this minor and subordinate agency of the Commission has undoubtedly prevented a large amount of suffering and sickness, and at a cost, up to October 31st, of less than twelve hundred dollars. The expenses of the Commission up to October 31st may be thus classified : Stationery and printing $2,141 68 Travelling expenses of inspectors, &c.. .. 2,308 32 Freight on supplies for the army 693 53 Postage 133 33 Salaries of inspectors and agents 3,076 52 Telegrams 78 28 Board account 822 08 Hospital supplies, dressers and nurses.... 2,596 90 Soldiers' Home 1,190 00 Store room 790 69 Miscellaneo us 381 41 $14,115 74 15 It may be proper to say, in order to prevent any possible inisapprehension, that the services of members of the Commis- sion are unpaid, and that they receive nothing from its funds except the necessary expenses of travel incurred in the execu- tion of their duty. Its expenses cannot be diminished without seriously impair- ing its efficiency and usefulness. It ought to be at once en- abled largely to increase them. There is urgent necessity for more Inspectors, as new points on the rebel coast are occupied by our armies. Inspectors are alreatly needed at Hatteras and at Port Royal. It is a startling fact, that when the expedition for Fort lioyal was on the eve of sailing, one of its surgeons was obliged to telegraph to New York for vaccine matter, no adequate pro- vision for the re-vaccination of the force having been made by the Medical Bureau. The funds now at the disposal of tlie Commission will enable it to go on for but a few weeks lono-er. Unless its Treasury is speedily replenished it must, very soon, dismiss its Inspectors, and notify the numerous associations tln-oughout the country, with which it is affiliated, that its depots at Washington and elsewhere are closed. I am confident that the liberality and patriotism of the country will not permit this — especially at the present time, when the approach of winter exposes the army to new forms of disease, and when additional supplies are more urgently demanded than ever. The Commission is nov/ organized as follows : Henry W. Bellows, D. D., President, N. Y. Prof A. D. Bache, L.L. D., Vice-Pres., Washington. Fked. Law Olmsted, Secretary, " George W. Cullum, U. S. A., " 16 ALEXA1.DER E. SniRAS, [J S A W 1 • Jjof. \Voi,cotG,bbs, M.D., ,, ''• J1L7SHA HABErs, M. D S.ua:HL G. Howe, JI.'d., Boston. -tlOKACE BlXNFT T,- Pi -TIT, fcTKo.>.o, Treasurer, GS Wall street, N, y. I append a list of all mnf^.n ,- Of *o co,„™,„-o„ t; ; :: '■""""' "^^ "=^ ^'--'- 0..a„i.,.,-o„ Of its Assoe,-L e r"r .T ''^ ^''^''-^ ^l'onfa„oo.,s ami unsolicited It nJ '" ^'"'^ l'<='"> -'y to decide wl,etl,e.. it wiii „;,V ! '"""" ^"'- "^ -'"■""- ■aeans of usefulness, and ILis'n . <-o»im,ss,ou still i-urfl,e,. ;-e i fo, as I l,ave' .^^J'^TZ T '' '''""'-' ^ begin to wind „„ n, „(..,,„ ,^ ,"'"'' "«= «^<"'mns6ion must now ^•"".-ndin;.;:;;: j;j7'i-'-..>'iedwi,,ti„,d: »>sdiate consideration, ^■'""' ''"'=""™ ■'"•d im- I am, verj respectiblh-, ^"oui- obedient sei-vaut, 17 NOTE WhlUi this Icftef i.s passing tbroiigli tlie press, my attention is called to an article in one of the New York daily journals of November 25th, in which the following passage occurs : " We hear serious complaints that the " [Sanitary] " Commission has becomi- less attentive and efficient in what was at the outset re- " garded as its special field of effort — attention to the sanitary condition of the " soldiei's in camp — and is bitten by the ambition of superseding, or at least re- " modeling, the established Medical Bureau of tiie regular ai'my." It proceeds to eulogize the present head of the Medical Bureau as possessing high professional standing and great experience " in the medical care of armies," and " in the organiza- " tion of measures for the sudden emergency created by the war," and insinuates, witiiout positively asserting, that the Commission is responsible for certain charges of inefficiency lately made against him in the World newspaper. The source of this article is obvious. It is noticed here mainly for the purpose of denying most positively and ex[>lieitly that the Commission has become in any degree " less attentive or efficient" in camp inspection, or in any of its departments of work enumerated in the preceding pages. On the contrary, its corps of camp inspectors is steadily increasing in number (and hence chiefly arises the great in- crease in its expenses). It employed six inspectors in August. It now enifdoys f-fteen, and it contemplates engaging three more. Its supervision of their labors is more and more systematic and thorough, and those labors are believed, with good reason, to be daily more and more valuable and beneficent. There is steady pro- gress in the amount of force employed, and the work of each inspector is more efficient as he gains experience in his duties. The statement in question is there- fore absolutely without foundation. It is to be regretted that friends of the head of the Medical Bureau should attempt to shield him from newspaper assaults by attacking the motives and de- crying the services of men who voluntarily render to Government the unpaid assistance and co-operation which that Bureau has express! y asked for, and which it must need at this crisis, however great the ability and efficiency of its official head; especially when such attacks may weaken this volunteer organization by impairing public confidence in its ability, and thus cutting off the only source on whicli it can rely for means to conduct its operations. The Sanitary Commission, it may be added, is not responsible for the article in the "World" newspaper, or for any of the publications that have appeared com- menting unfavorably on the Medical Bureau and its official head. Aiany of the members of the Commission believe the present Surgeon-General not tlie fittest man that could be found for the arduous and most responsible duties of his office at the present time. They are not aware of any opportunities in his very long and honorable service as a Regimental Surgeon, for acquiring " ex- "perience in the organization of measures for the emergency created by the war-' but admitting that the experience has been acquired, they do not perceive th it it has been used for the benefit of the army, or that any such " measures" iiave been JS "organized/- oi- carried ' *^« Medical Burea? ' '"' ^^" '^'' because theys!; ,""' '"""''''"^^' ^-^P^'^al ^^'^bers of the ' O ■ '""""' ''"' "^^"^ ^™™ -^:^:^S'P--- sis --■'-»-.., I" "O doing, ite„ „, ,„ , , ^ ""'Msmg the efflciency «™»e"