With universal inoculation, and with a careful following of these simple rules laid down, the ancient scourge of the army loses much of its terror. The task of combating it lies mainly with the medical and sanitary staff, though the common soldier must also play his part of carefulness. Some men carried small sterilisers with them. This practice is not to be recommended for it is very difficult to keep these little utensils clean, and then they themselves become harmful. Tabloid sterilisers I have found to be effective in an emergency.
Those who have followed the history of the war will remember how the Serbian Army was threatened with extinction through the deadly disease called Typhus. There is no doubt that the army and most of the civil population would have been wiped out had it not been for the timely assistance that that brave little nation received from medical men and women throughout the world, notably America. Many of these brave souls made the final great sacrifice in their endeavour to stamp out this disease. Then again its horrors have been more recently brought to our notice through the revelations of the conditions at Wittenberg Camp in Germany. The story that Captain Vidal and Major Priestly, Officers of the Royal Army Medical Corps, had to tell of their living death in that awful internment camp, brought home to the British people and then to the world, the frightfulness of that disease, as well as the inhumanity of certain German medical officials. Fortunately, typhus has been little known in Western Europe, and it is possible that soldiers in this country will never know its ravages. But all the same it is as well to be prepared for it, and to know the methods of preventing its outbreak. It is a disease that is carried by flees and lice and consequently the most that can be said in a work of this kind is to recommend the greatest pains in the removal of these creatures from the body should they ever take up their residence there. I refer the reader to the chapter on "Vermin" for methods of combating "Lice."
Dysentery, Enteritis, and Colitis. These names are applied to various kinds and grades of stomach troubles, between which it is difficult for the common soldier to differentiate, and which show themselves with most distressing effects. They come, usually, from drinking bad water or eating bad food. Even with the greatest care that the Commissariat could take, there were occasions when food unfit for human consumption was served to the troops. In the trenches it was not to be wondered at that we were stricken with these diseases, for the flies that infested the trenches and lived on the dead bodies there, favoured us with many visits at food time and poisoned the latter for us. There is no way that I know of to prevent it, and the sufferer will be well advised to report to the medical officer for skilled treatment. Cases of dysentery were not very frequent in France, but they were in Gallipoli where the food supply left much to be desired.
Tetanus is a disease that is brought about by infection which enters the system through a wound. In the early part of the war it occurred only too frequently till, in this case also, the skill of the medical profession provided us with a serum to combat it. The universal practice now is to inoculate with anti-tetanic serum just as soon as possible after a wound has been received. By this means tetanus, like enteric, is rapidly ceasing to be regarded as a menace.
I have no intention of exhausting the whole category of diseases to which man—and therefore the soldier—is heir, but simply to touch upon those that are most likely to occur in a campaign. The foregoing list includes, I believe, all the most likely, but to them I should like to add these two—Smallpox and Cholera. To deal first with smallpox, we can say, fortunately, that it is rare. This is due in large part to the almost universal provision of vaccination, which should be insisted upon in an army. Cholera is of rare occurrence, and nothing can be done to ward it off except to follow carefully the ordinary rules of health and sanitation. Should it, unfortunately, break out, the army must place itself unreservedly in the hands of medical authorities who are especially qualified to deal with it.
There is one other disease that has made its effects felt on almost every army, and which it has been found impossible to thoroughly eliminate. The hands of those who would lessen its influence are to a great extent tied, because in the past, the only method that has been permissible to eliminate venereal disease has been what I shall call "the Moral method"—the appeal to morality and the intelligence of the individual soldier. We have used this excellent and praiseworthy method for generations, but it has never been found capable of eradicating the evil. Some other means, from an army point of view, has obviously to be resorted to. But even to discuss the matter, one runs the risk of being ruled out of court by those who will admit none but the aforementioned "moral argument."
When the first Expeditionary Force went to France, the late Lord Kitchener, then Secretary of State for War, issued an appeal to the men, in which he besought them to be on their guard against two of the evils that lessen the efficiency of soldiers—wine and women. The men who fell victims to wine or whiskey or other forms of alcoholic intemperance, were punished, first of all with imprisonment, and then, when it was seen that this penalty did not meet the case, the death penalty was imposed for such as became intoxicated when at their post of duty. Obviously the army cannot afford to have as its guardians men who cannot keep sober. Those who fell victims to loose women and contracted venereal diseases—and it is beyond a doubt that most of the women who follow an army are diseased—had to be withdrawn from their positions and sent back to the bases to hospitals. Every man, therefore, who violated Lord Kitchener's advice, was playing into the hands of the enemy to this extent that he was taking the risk of contracting a disease which would rob the army of his services. My own Colonel used not to mince words on this subject but used to say that such men might just as well go over to the enemy at once. But with every kind of pleading and threat on the part of officers, it was found that there were men who disregarded their advice. A soldier's pay automatically stops under these circumstances, and at first it was the custom to acquaint his family with the fact that he had been sent to such and such a hospital, and the people of England soon got to know the purpose of these hospitals, and many a home suffered shame from the indiscretions of the men who represented them in France. When the Australian troops were quartered near Cairo—than which there are few more immoral cities in the world—venereal cases were frequent, in spite of the admonitions of the combatant officers and of the medical staff. What was to be done? Every effort was made to restrain the men and keep them out of the notorious red light district, but case after case of the disease turned up. Eventually some of the medical men hit upon the scheme of establishing at the entrance to the various camps, tents to which men could go on their return from the city. In those tents there was a representative of the Army Medical Corps equipped with all the latest appliances in the form of prophylactics, and these were administered without charge and without question, even as to name, to all who sought this method of protecting themselves after acts of indiscretion. The result was very gratifying from the medical standpoint, for the number of those who contracted the disease rapidly declined and the efficiency of the army was maintained at a correspondingly high standard. Of course a protest was immediately entered by those who were particularly interested in the morals of the men, and the charge was made that it was putting a premium on immorality. For my own part, interested in both of these matters, I have come to the conclusion that the old methods have failed, and that I would rather have an army immoral and well than an army immoral and diseased. As human nature is constituted at present I can see no alternative, though I believe it to be our bounden duty to continue to urge the need of self-restraint. I do not fear that these words will be taken to cast a slur upon any army, for those of us who are not blind are perfectly aware that the same kind of immorality exists among civilian populations as in armies. For those men who shall read these words of mine I would with all the force at my command urge the close following of the precepts of Lord Kitchener.
FIGURE 11:
Simple entanglements made of barbed wire and rough posts.
A kindred problem with which the authorities sometimes have to deal is that of "unnatural men." Records of the German Army before the war contained many examples of this most revolting form of perversion. In the British Armies that were raised at the outbreak of the war, several cases occurred, the offenders being punished with terms of imprisonment varying from seven to fifteen years with hard labour—much too lenient.