XVI.
Up to the month of September, 1864, forty-two thousand four hundred prisoners had been received, and out of this number seven thousand five hundred and eighty-seven, or eighteen per cent., had died since the occupation of the prison—a period of about six months. During August the manœuvres of Sherman alarmed them so much that they thought best to remove many of the prisoners to other stockades in Alabama and in North and South Carolina; but yet the mortality for the remainder of the year was for the month of September seventeen per cent. out of the number present; October, twenty-seven per cent.; November, twenty-four per cent.; and seven per cent. in December, when there were but five thousand inmates. This gives nineteen per cent. average for each of those four months, and indicates that out of the thirty-two thousand present on the first of August, but few thousand would have been living at the close of the year, had not Sherman compelled a reduction in the number of inmates. Out of this number present in August, and distributed afterwards, I believe that but few thousand survived the system of treatment at the other prisons, and ever lived to reach home. Of these few thousand men who were finally exchanged, a great many have since perished; which statement will be admitted by all who have watched the phases of disease since the termination of the war.
XVII.
The records state that eight thousand died from diarrhœa and scurvy, and that three thousand more died from dysentery and unknown causes. Two hundred and fifteen thousand cases of diarrhœa were treated in the United States army in 1862, and but one thousand one hundred died; and of thirty-seven thousand cases of dysentery, but three hundred and forty-seven died; and but one death from scurvy per thirty-five thousand of mean strength. In 1863, according to the official records by Surgeon Woodward, five hundred thousand cases of diarrhœa and dysentery were treated, and but two per cent. died. According to the same authority there were but eight thousand six hundred cases of scurvy during the first two years of the war, and but one per cent. of these died. Fever was almost unknown, although the foul atmospheres and malarial miasms are generally so eager in their attacks, and so rapid in their effects; the autopsies of the dead men revealed to the astonished pathologist the utter absence of all the usual lesions of these diseases.
Boudin, of the French army, in 1843, in his “Essai de Geographie Medicale,” observes that phthisis and typhoid fever are very rare in the marshy districts where intermittent fevers of a certain gravity prevail. It does not appear that either of these diseases declared itself to any perceptible degree.
The effect of starvation was so strong that miasmatic disease could not gain a lodgment in the system, although every other condition was favorable to its production. Scurvy seems to be prominent in the alleged diseases. The combined influence of all the vicious conditions could readily have produced this form of malady in its worst shape; but it is one of those diseases which are clearly within the control of man, and for the existence of which, in this case, there is no excuse whatever. They required the treatment, practised with success in India, for those fluxes which are marked by a scorbutic state of the system—potatoes and lime juice.
The neighboring plantations produced the potatoes in great quantities. In the everglades of Florida the lime tree, which furnishes a positive antidote, grows in wild luxuriance; and the woods everywhere, the corn and potatoes of their fields, furnish vinegar by distillation. If the plantations failed in their supplies of vegetables, the forests furnished, with trifling labor, an excellent substitute.
Vinegar, in the early history of war, was the chief and the sure reliance against the attacks of scurvy and malaria. To this drink chiefly, Marshal Saxe ascribes the amazing success of the Roman campaigns in the varied climates of Europe, Asia, and Africa. Scientific men, from Dioscorides to Orfila, have extolled its virtues in this respect. It is idle to say that they did not know how to make it, for the merest tyro in chemistry understands the method of fermentation and distillation.
XVIII.