In the Atlantic region the records of seventeen general hospitals have been analyzed in the manner just indicated, with the following results:
The records of the hospital at Burlington, Vermont, extend from April 23, 1862, to July 4, 1865. During this period 412 admissions from Diarrhoea and dysentery were recorded, of whom 14 were transferred to other hospitals, 13 died, and 35 were discharged on surgeon's certificate of disability. Deducting the cases transferred from the whole number of admissions, there was one death out of every 30.6 cases treated in the hospital, and one discharge out of every 11.4 cases.
The records of the hospital at Brattleboro', Vermont, extend from January, 1862, to August 31, 1865. During this period 802 admissions from Diarrhoea and dysentery were recorded, of whom 317 were transferred to other hospitals, 39 died, and 21 were discharged for disability. Omitting the number transferred, there was one death to every 12.5 cases, and one discharge to every 23.1 cases.
he records of the Cony hospital, Augusta, Maine, extend from June 3, 1864, to November 29, 1865. During this period 408 admissions from Diarrhoea and dysentery were recorded, of whom 19 were transferred to other hospitals, 27 died, and 98 were discharged for disability. Omitting the number transferred, there was one death to every 14.4 cases, and one discharge to every 4.1 cases.
The records of the Knight hospital, New Haven, Connecticut, extend from June 9, 1862, to November, 1865. During this period 757 admissions from Diarrhoea and dysentery were recorded, of whom 106 were transferred to other hospitals, 37 died, and 139 were discharged for disability. Omitting the number transferred, there was one death to every 17.6 cases, and one discharge to every 4.7 cases.
The records of the Lovell hospital, Portsmouth Grove, Rhode Island, extend from <ms_p2v1_12>July, 1862, to October, 1865. During this period 943 admissions from Diarrhoea and dysentery were recorded, of whom 270 were transferred to other hospitals, 95 died, and 134 were discharged for disability. Omitting the number transferred, there was one death to every 7.1 cases, and one discharge to every 5 cases.
The records of the Ira Harris hospital, Albany, New York, extend from June 21, 1862, to December 30, 1865. During this period 523 admissions from Diarrhoea and dysentery were recorded, of whom 75 were transferred to other hospitals, 33 died, and 189 were discharged for disability. Omitting the number transferred, there was one death to every 13.6 cases, and one discharge to every 2.3 cases.
The records of the McDougall hospital, Fort Schuyler, New York harbor, extend from October 1, 1862, to September 16, 1865. The hospital was closed temporarily from January 20 to May 24, 1864. During the whole period 2,193 admissions from Diarrhoea and dysentery were recorded, of whom 691 were transferred to other hospitals, 207 died, and 270 were discharged for disability. Omitting the number transferred, there was one death to every 7.3 cases, and one discharge to every 5.6 cases.
The records of the De Camp hospital, David's Island, New York harbor, extend from May 22, 1862, to December 2, 1866. During this period 3,969 admissions from Diarrhoea and dysentery were recorded, of whom 1,148 were transferred to other hospitals, 522 died, and 200 were discharged for disability. Omitting the number transferred, there was one death to every 5.4 cases, and one discharge to every 14.1 cases.
The records of the Mower hospital, Philadelphia, Pennsylvania, extend from December 24, 1862, to November 15, 1865. During this period 2,671 admissions from Diarrhoea and dysentery were recorded, of whom 509 were transferred to other hospitals, 106 died, and 161 were discharged for disability. Omitting the number transferred, there was one death to every 204 cases, and one discharge to every 13.43 cases.
The records of the Satterlee hospital, West Philadelphia, extend from June, 1862, to September, 1865. During this period 2,128 admissions from Diarrhoea and dysentery were recorded, of whom 270 were transferred to other hospitals, 124 died, and 337 were discharged for disability. Omitting the number transferred, there was one death to every 14.9 cases, and one discharge to every 5.5 cases.
The records of the Jarvis hospital, Baltimore, Maryland, extend from June 20, 1862, to July 25, 1865. During this period 1,637 admissions from Diarrhoea and dysentery were recorded, of whom 792 were transferred to other hospitals, 122 died, and 63 were discharged for disability. Omitting the number transferred, there was one death to every 6.9 cases, and one discharge to every 13.4 cases.
The records of the Harewood hospital, Washington, D. C., extend from September, 1862, to May 1, 1866. During this period 2,803 admissions from Diarrhoea and dysentery were recorded, of whom 991 were transferred to other hospitals, 186 died, and 122 were discharged for disability. Omitting the number transferred, there was one death to every 9.7 cases, and one discharge to every 14.9 cases.
The records of the Lincoln hospital, Washington, D. C., extend from December 23, 1862, to August 8, 1865. During this period 2,937 admissions from Diarrhoea and dysentery were recorded, of whom 1,090 were transferred to other hospitals, 244 died, and 129 were discharged for disability. Omitting the number transferred, there was one death to every 7.6 cases, and one discharge to every 14.3 cases. <ms_p2v1_13>
The records of the hospital at Annapolis, Maryland, extend from January 20, 1861, to May 21, 1865. During this period 5,305 admissions from Diarrhoea and dysentery were recorded, of whom 1,733 were transferred to other hospitals, 1,055 died, and 113 were discharged for disability. Omitting the number transferred, there was one death to every 3.5 cases, and one discharge to every 31.6 cases.
The records of the Hampton hospital, Fortress Monroe, Virginia, extend from August 18, 1862, to May 1, 1866. During this period 5,258 admissions from Diarrhoea and dysentery were recorded, of whom 1,668 were transferred to other hospitals, 806 died, and 303 were discharged for disability. Omitting the number transferred, there was one death to every 4.5 cases, and one discharge to every 11.8 cases.
The records of the Foster hospital, Newbern, North Carolina, extend from August 22, 1862, to October 31, 1865. During this period 2,289 admissions from Diarrhoea and dysentery were recorded, of whom 1,115 were transferred to other hospitals, 133 died, and 41 were discharged for disability. Omitting the number transferred, there was one death to every 8.8 cases, and one discharge to every 28.6 cases.
The records of the Hilton Head hospital, South Carolina, extend from March 1, 1862, to October 12, 1866. During this period 1,781 admissions from Diarrhoea and dysentery were recorded, of whom 449 were transferred to other hospitals, 185 died, and 111 were discharged for disability. Omitting the number transferred, there was one death to every 7.2 cases, and one discharge to every 12 cases.
The records of fourteen hospitals situated in the Central region have been analyzed in the same manner, with the following results:
The records of the Harvey hospital, Madison, Wisconsin, extend from October 27, 1863, to September 4, 1865. During this period 779 admissions from Diarrhoea and dysentery were recorded, of whom 103 were transferred to other hospitals, 32 died, and 284 were discharged for disability. Omitting the number transferred, there was one death to every 21.1 cases, and one discharge to every 2.4 cases.
The records of the hospital at Keokuk, Iowa, extend from April 20, 1862, to September 30, 1865. During this period 1,169 admissions from Diarrhoea and dysentery were recorded, of whom 188 were transferred to other hospitals, 110 died, and 55 were discharged for disability. Omitting the number transferred, there was one death to every 8.9 cases, and one discharge to every 17.8 cases.
The records of the Benton Barracks hospital, St. Louis, Missouri, extend from July, 1861, to May, 1865. During this period 2,794 admissions from Diarrhoea and dysentery were recorded, of whom 516 were transferred to other hospitals, 154 died, and 186 were discharged for disability. Omitting the number transferred, there was one death to every 14.7 cases, and one discharge to every 12.8 cases.
The records of the Marine hospital, St. Louis, Missouri, extend from May 4, 1862, to June, 1866. During this period 920 admissions from Diarrhoea and dysentery were recorded, of whom 103 were transferred to other hospitals, 100 died, and 97 were discharged for disability. Omitting the number transferred, there was one death to every 8.2 cases, and one discharge to every 8.4 cases.
The records of the Jefferson Barracks hospital, St. Louis, Missouri, extend from April 30, 1862, to November 21, 1865. During this period 6,225 admissions from Diarrhoea and dysentery were recorded, of whom 1,480 were transferred to other hospitals, 912 died, and 1,334 were discharged. <ms_p2v1_14> Omitting the number transferred, there was one death to every 5.2 cases, and one discharge to every 3.6 cases.
The records of the hospital at Cairo, Illinois, extend from April 21, 1861, to June 19, 1865. During this period 2,344 admissions from Diarrhoea and dysentery were recorded, of whom 175 were transferred to other hospitals, 293 died, and 90 were discharged for disability. Omitting the number transferred, there was one death to every 7.4 cases, and one discharge to every 24.1 cases.
The records of the Camp Dennison hospital, near Cincinnati, Ohio, extend from November, 1862, to October 27, 1865. During this period 2,439 admissions from Diarrhoea and dysentery were recorded, of whom 273 were transferred to other hospitals, 79 died, and 431 were discharged for disability. Omitting the number transferred, there was one death to every 27.4 cases, and one discharge to every 5 cases.
The records of the hospital at Madison, Indiana, extend from June 24, 1863, to August, 1865. During this period 1,514 admissions from Diarrhoea and dysentery were recorded, of whom 369 were transferred to other hospitals, 74 died, and 165 were discharged for disability. Omitting the number transferred, there was one death to every 15.5 cases, and one discharge to every 6.9 cases.
The records of. the Jefferson hospital, Jeffersonville, Indiana, opposite Louisville, Kentucky, extend from February 23, 1864, to December, 1865. During this period 3,036 admissions from Diarrhoea and dysentery were recorded, of whom 1,488 were transferred to other hospitals, 213 died, and 18 were discharged for disability. Omitting the number transferred, there was one death to every 7.3 cases, and one discharge to every 86 cases.
The records of the Brown hospital, Louisville, Kentucky, extend from September 3, 1862, to July 19, 1865. During this period 3,117 admissions from Diarrhoea and dysentery were recorded, of whom 1,252 were transferred to other hospitals, 254 died, and 190 were discharged for disability. Omitting the number transferred, there was one death to every 7.3 cases, and one discharge to every 9.8 cases.
The records of the Cumberland hospital, Nashville, Tennessee, extend from May 17, 1864, to April 27, 1866. During this period 3,910 admissions from Diarrhoea and dysentery were recorded, of whom 2,185 were transferred to other hospitals, 264 died, and 110 were discharged for disability. Omitting the number transferred, there was one death to every 6.5 cases, and one discharge to every 15.7 cases.
The records of the Gayoso hospital, Memphis, Tennessee, extend from March 3, 1863, to November 25, 1865. During this period 1,726 admissions from Diarrhoea and dysentery were recorded, of whom 457 were transferred to other hospitals, 313 died, and 142 were discharged for disability. Omitting the number transferred, there was one death to every 4 cases, and one discharge to every 8.9 cases.
The records of the Barracks hospital, New Orleans, Louisiana, extend from January 1, 1863, to November 26, 1865. During this period 3,540 admissions from Diarrhoea and dysentery were recorded, of whom 537 were transferred to other hospitals, 560 died, and 359 were discharged for disability. Omitting the number transferred, there was one death to every 5.2 cases, and one discharge to every 8.1 cases.
The records of the Marine hospital, New Orleans, Louisiana, extend from August 9, 1862, to June 29, 1865. During this period 3,268 admissions from Diarrhoea and dysentery were recorded, of whom 779 were transferred to other hospitals, 632 died; and 457 were discharged for disability. <ms_p2v1_15> Omitting the number transferred, there was one death to every 3.9 cases, and one discharge to every 5.4 cases.
An examination of the comparative mortality of Diarrhoea and dysentery in the above hospitals in the Atlantic region, during the whole term of their existence, does not show any such evident relationship between latitude and mortality as was indicated by the figures published in Circular No. 6 for the chronic cases during the second year of the war. There are several reasons for this circumstance. In the first place, the proportion of those who were discharged on surgeon's certificate of disability was very different in the different hospitals, and was, as a rule, determined by administrative considerations rather than by the gravity of the cases. Thus at Albany, New York, one case was discharged out of every 2.3; at the Foster hospital, North Carolina, only one out of every 28.6. Of course the more serious and obstinate chronic cases were generally those selected for discharge. Where such discharges were numerous, the proportionate mortality in the hospital would naturally be low; where similar cases were detained for treatment, the mortality would be high. The question of discharge did not depend merely upon the opinion or caprice of the surgeon in charge and his assistants. These were often supervised by inspectors, or by boards of medical officers, without whose approval no discharge could be granted. The action of such inspectors and boards depended upon administrative exigencies perhaps quite as often as upon the nature of the cases. Sometimes circumstances made it desirable to discharge every patient who might be expected to recover under the favorable influences of home. Sometimes military reasons made it seem imperative to retain in hospital every man whose recovery would have added a musket to the active armies.
Then, again, the transfers from hospital to hospital were of necessity chiefly determined by military reasons....[end of excerpt]
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