Twelve hospital tents, 14x14 feet each, were furnished by the Red Cross, of which one was loaned to the Engineers’ hospital, one to the Sixth Massachusetts hospital, and ten were located, under medical supervision, beneath a row of cocoanut trees, for the accommodation of convalescents awaiting transportation. A suitable trench was dug, flooring put in all the tents by the engineers, and straw was furnished for bedding by the quartermaster. This camp was named “Camp Barton.”

Some of the incidental work of the Red Cross was to answer letters of inquiry concerning missing soldiers; to guide numerous strangers arriving at the port; to get stragglers of the army into their proper quarters; to help soldiers in various conditions of distress; always to be ready with a kind look and friendly hand, as proper representatives of a generous public, desiring to show full appreciation of these who upheld the nation’s honor with the offering of their lives. Every man on the staff of the Red Cross in Porto Rico, could he have embodied his real preferences, would have spent his whole time personally with the boys in their tents or hospitals. It was a real regret to us all that from early morning until dark we had to be hard at work, with few exceptions, in dealing out stores and attending to duties at headquarters.

But as we were serving, not a campaigning army, but garrisons after hostilities had ceased, and the supply of surgeons and nurses was ample, there was no need of personal field service on our part. A tribute of respect and praise is demanded in honor of the army officials of Porto Rico, especially those of the southern district, so wisely administered by General Guy V. Henry, now Governor of Porto Rico. The different departments were ably conducted. Their relations were entirely cordial. The difficult problems presenting themselves were handled in a manful way.

The Red Cross carefully avoided the role of critic or censor, and sought to conform to the wishes of commanders and surgeons, while watchfully providing for the needs of the sick, as ascertained by independent investigation. It never had occasion to make a protest, nor acted as a meddler, but attended strictly to its own business, and kept in its own place as an army auxiliary, and servant of the sick. Hence from the first of its work the military, naval, surgical, medical, commissary and quartermaster’s departments treated it as a part of their own common fraternity, freely granting all its requests, subjecting it to no restrictions, and cordially accepting and forwarding its beneficent operations. We received every advantage gratuitously. Not in a single instance were our requests denied. By this cordial understanding many hundreds of dollars of expense were saved to the Red Cross.

Indications of the heavy sick rate in the army of Porto Rico may be found in the following data, gathered at the time from official sources: In August the surgeon in charge at Mayaguez reported that fully 7.5 per cent of the troops stationed there were sick in hospitals, or in quarters, or unfit for duty. September 10 there were in the district of Ponce over 1400 sick, including 350 typhoid cases, 600 malarial, 350 intestinal diseases. September 20 the official report shows 750 sick in Ponce, 799 in Coamo, 336 in Mayaguez, 264 in Utuado, 22 in Guanica, and 328 in Guayama. September 28th the Sixteenth Pennsylvania Infantry, at Coamo, reported 625 sick. One company had no officers on duty, all being sick. October 3 there were 125 sick in Ponce, 60 in Guayama, 65 in Utuado, 40 in Mayaguez, and 491 at Coamo. Total in these places, 781. This great reduction in the number of reported sick was due to large shipments of patients to the States. October 20 there were 747 sick in the general hospital in Ponce, 120 in that at Mayaguez, and 125 in that at Guayama.

On November 10, 603 men were reported sick in the district of Ponce. The data above given will best be understood if it is remembered that they comprise for the most part only hospital inmates. The sick in quarters were not generally reported, though they fully equaled in number those in hospitals. Again it should be remembered that those unfit for duty equaled in number both of the other two classes. In brief, during September, October and November, not more than one-half of the army was available for duty. In September a captain of engineers informed me that in the morning he had only four men report for duty.

Several obvious causes operated to produce the great sick rate. The effects of exposures and hardships before reaching Porto Rico, the nature of the food, malarious influences, native fruits, the heavy rains, and the excessive heat, were potent factors in producing the general illness. There was no invigoration in the atmosphere, its heat and humidity being very depressing, and not allowing rapid recovery after prostration. Almost every man lost heavily in weight, the amounts varying from twenty-five to one hundred pounds. This was true even of those who were extremely careful of their diet and habits. During September and October a register of temperatures, kept by Dr. Charles I. Proben, surgeon of the First Engineers, showed an average daily temperature of 82.52° Fahrenheit, and in October 80.136° Fahrenheit. These figures give little suggestion of what the soldiers had to endure, as for instance, September 20 the mercury stood 96° in the shade at midday, and 113° in the sun. October 3 the mercury stood at 92° at midday. These health conditions made every American in Porto Rico a fitting subject for relief, but Red Cross supplies were limited as far as practicable to the sick and convalescent.

The extent and direction of our Red Cross work are indicated below:

Number of issues to twenty-four army hospitals150
Number of issues to United States transports returning North with sick12
Number of issues to Infantry, regiments and detachments101
Number of issues to Artillery batteries24
Number of issues to Cavalry troops6
Number of issues to Officers’ messes8
Number of issues to Miscellaneous parties61
Total issues362

These issues were all recorded, and vouchers filed. The number of issues to single applicants for their own immediate use, mostly private soldiers, were over 1200. Prescriptions of medicine to sick soldiers, applying at the office, about 300. Wounds dressed at office, in first aid to wounded men, about 30. Sick carried in ambulances of Red Cross, 50.