Andersonville: A Story of Rebel Military Prisons — Volume 3

by John McElroy

That I have not over-stated this evil can be seen by reference to the testimony of so competent a scientific observer as Professor Jones, and I add to that unimpeachable testimony the following extract from the statement made in an attempted defense of Andersonville by Doctor R. Randolph Stevenson, who styles himself, formerly Surgeon in the Army of the Confederate States of America, Chief Surgeon of the Confederate States Military Prison Hospitals, Andersonville, Ga.:

V. From the sameness of the food, and from the action of the poisonous gases in the densely crowded and filthy Stockade and Hospital, the blood was altered in its constitution, even, before the manifestation of actual disease.

In both the well and the sick, the red corpuscles were diminished; and in all diseases uncomplicated with inflammation, the fibrinous element was deficient. In cases of ulceration of the mucous membrane of the intestinal canal, the fibrinous element of the blood appeared to be increased; while in simple diarrhea, uncomplicated with ulceration, and dependent upon the character of the food and the existence of scurvy, it was either diminished or remained stationary. Heart-clots were very common, if not universally present, in the cases of ulceration of the intestinal mucous membrane; while in the uncomplicated cases of diarrhea and scurvy, the blood was fluid and did not coagulate readily, and the heart-clots and fibrinous concretions were almost universally absent. From the watery condition of the blood there resulted various serous effusions into the pericardium, into the ventricles of the brain, and into the abdominal cavity.

In almost all cases which I examined after death, even in the most emaciated, there was more or less serous effusion into the abdominal cavity. In cases of hospital gangrene of the extremities, and in cases of gangrene of the intestines, heart-clots and firm coagula were universally present. The presence of these clots in the cases of hospital gangrene, whilst they were absent in the cases in which there were no inflammatory symptoms, appears to sustain the conclusion that hospital gangrene is a species of inflammation (imperfect and irregular though it may be in its progress), in which the fibrinous element and coagulability of the blood are increased, even in those who are suffering from such a condition of the blood and from such diseases as are naturally accompanied with a decrease in the fibrinous constituent.

VI. The impoverished condition of the blood, which led to serous effusions within the ventricles of the brain, and around the brain and spinal cord, and into the pericardial and abdominal cavities, was gradually induced by the action of several causes, but chiefly by the character of the food.

The Federal prisoners, as a general rule, had been reared upon wheat bread and Irish potatos; and the Indian corn so extensively used at the South, was almost unknown to them as an article of diet previous to their capture. Owing to the impossibility of obtaining the necessary sieves in the Confederacy for the separation of the husk from the corn-meal, the rations of the Confederate soldiers, as well as of the Federal prisoners, consisted of unbolted corn-flour, and meal and grist; this circumstance rendered the corn-bread still more disagreeable and distasteful to the Federal prisoners. While Indian meal, even when prepared with the husk, is one of the most wholesome and nutritious forms of food, as has been already shown by the health and rapid increase of the Southern population, and especially of the negros, previous to the present war, and by the strength, endurance and activity of the Confederate soldiers, who were throughout the war confined to a great extent to unbolted corn-meal; it is nevertheless true that those who have not been reared upon corn-meal, or who have not accustomed themselves to its use gradually, become excessively tired of this kind of diet when suddenly confined to it without a due proportion of wheat bread. Large numbers of the Federal prisoners appeared to be utterly disgusted with Indian corn, and immense piles of corn-bread could be seen in the Stockade and Hospital inclosures. Those who were so disgusted with this form of food that they had no appetite to partake of it, except in quantities insufficient to supply the waste of the tissues, were, of course, in the condition of men slowly starving, notwithstanding that the only farinaceous form of food which the Confederate States produced in sufficient abundance for the maintenance of armies was not withheld from them. In such cases, an urgent feeling of hunger was not a prominent symptom; and even when it existed at first, it soon disappeared, and was succeeded by an actual loathing of food. In this state the muscular strength was rapidly diminished, the tissues wasted, and the thin, skeleton-like forms moved about with the appearance of utter exhaustion and dejection. The mental condition connected with long confinement, with the most miserable surroundings, and with no hope for the future, also depressed all the nervous and vital actions, and was especially active in destroying the appetite. The effects of mental depression, and of defective nutrition, were manifested not only in the slow, feeble motions of the wasted, skeleton-like forms, but also in such lethargy, listlessness, and torpor of the mental faculties as rendered these unfortunate men oblivious and indifferent to their afflicted condition. In many cases, even of the greatest apparent suffering and distress, instead of showing any anxiety to communicate the causes of their distress, or to relate their privations, and their longings for their homes and their friends and relatives, they lay in a listless, lethargic, uncomplaining state, taking no notice either of their own distressed condition, or of the gigantic mass of human misery by which they were surrounded. Nothing appalled and depressed me so much as this silent, uncomplaining misery. It is a fact of great interest, that notwithstanding this defective nutrition in men subjected to crowding and filth, contagious fevers were rare; and typhus fever, which is supposed to be generated in just such a state of things as existed at Andersonville, was unknown. These facts, established by my investigations, stand in striking contrast with such a statement as the following by a recent English writer:

"A deficiency of food, especially of the nitrogenous part, quickly leads to the breaking up of the animal frame. Plague, pestilence and famine are associated with each other in the public mind, and the records of every country show how closely they are related. The medical history of Ireland is remarkable for the illustrations of how much mischief may be occasioned by a general deficiency of food. Always the habitat of fever, it every now and then becomes the very hot-bed of its propagation and development. Let there be but a small failure in the usual imperfect supply of food, and the lurking seeds of pestilence are ready to burst into frightful activity. The famine of the present century is but too forcible and illustrative of this. It fostered epidemics which have not been witnessed in this generation, and gave rise to scenes of devastation and misery which are not surpassed by the most appalling epidemics of the Middle Ages. The principal form of the scourge was known as the contagious famine fever (typhus), and it spread, not merely from end to end of the country in which it had originated, but, breaking through all boundaries, it crossed the broad ocean, and made itself painfully manifest in localities where it was previously unknown. Thousands fell under the virulence of its action, for wherever it came it struck down a seventh of the people, and of those whom it attacked, one out of nine perished. Even those who escaped the fatal influence of it, were left the miserable victims of scurvy and low fever."

While we readily admit that famine induces that state of the system which is the most susceptible to the action of fever poisons, and thus induces the state of the entire population which is most favorable for the rapid and destructive spread of all contagious fevers, at the same time we are forced by the facts established by the present war, as well as by a host of others, both old and new, to admit that we are still ignorant of the causes necessary for the origin of typhus fever. Added to the imperfect nature of the rations issued to the Federal prisoners, the difficulties of their situation were at times greatly increased by the sudden and desolating Federal raids in Virginia, Georgia, and other States, which necessitated the sudden transportation from Richmond and other points threatened of large bodies of prisoners, without the possibility of much previous preparation; and not only did these men suffer in transition upon the dilapidated and overburdened line of railroad communication, but after arriving at Andersonville, the rations were frequently insufficient to supply the sudden addition of several thousand men. And as the Confederacy became more and more pressed, and when powerful hostile armies were plunging through her bosom, the Federal prisoners of Andersonville suffered incredibly during the hasty removal to Millen, Savannah, Charleston, and other points, supposed at the time to be secure from the enemy. Each one of these causes must be weighed when an attempt is made to estimate the unusual mortality among these prisoners of war.

VII. Scurvy, arising from sameness of food and imperfect nutrition, caused, either directly or indirectly, nine-tenths of the deaths among the Federal prisoners at Andersonville.