Washington,August 18, 1898.Miss Clara Barton,Santiago de Cuba:“Clinton” cannot be used until unloaded. Stores aboard were sent on special request and are necessary for the comfort of officers and men at Santiago. The government will send as soon as ship can be loaded at Port Tampa two thousand tons of supplies for relief of destitute. This accomplishes same result and in shorter time. Will not this meet your wishes even better than recommended in your cablegram yesterday? Would it be asking too much for you to go to Havana to superintend the distribution of these stores under the law? Only the destitute and those in immediate danger of perishing can receive these supplies.R.A. Alger,Secretary of War.
Washington,August 18, 1898.
Miss Clara Barton,Santiago de Cuba:
“Clinton” cannot be used until unloaded. Stores aboard were sent on special request and are necessary for the comfort of officers and men at Santiago. The government will send as soon as ship can be loaded at Port Tampa two thousand tons of supplies for relief of destitute. This accomplishes same result and in shorter time. Will not this meet your wishes even better than recommended in your cablegram yesterday? Would it be asking too much for you to go to Havana to superintend the distribution of these stores under the law? Only the destitute and those in immediate danger of perishing can receive these supplies.
R.A. Alger,Secretary of War.
Santiago de Cuba,August 18, 1898.Pierson,War Department, Washington:Tell Secretary Alger I appreciate to the greatest possible extent his responsive and practical sympathy. His suggestions are better than I had asked, and are promptly accepted. If the “Clinton” is unloaded in time, I will leave here Saturday morning. Will take forty mules from here. Need ten additional wagons and harness for all my mules. Please give me some horsefeed from here.Clara Barton.
Santiago de Cuba,August 18, 1898.
Pierson,War Department, Washington:
Tell Secretary Alger I appreciate to the greatest possible extent his responsive and practical sympathy. His suggestions are better than I had asked, and are promptly accepted. If the “Clinton” is unloaded in time, I will leave here Saturday morning. Will take forty mules from here. Need ten additional wagons and harness for all my mules. Please give me some horsefeed from here.
Clara Barton.
The reloading was quickly accomplished, the direction of our remaining affairs placed in proper hands, and on the twenty-first of August, just five weeks to an hour since entering the harbor, we retraced the waters we had sailed over coming from Siboney to Santiago. The same golden sunshine rested on the hills and tinged the still waters of the bay, but we were no longer the only ship. The transports to take our soldiers home lay there; the great Spanish liners to take the Spanish soldiers to Spain; the hospital ships with their fevered weight of glad woe “going home,” dotted the sea and skirted the shore.
All who understood our movement saluted, and with tearful glances back to the little spot of earth which had given so much pain, made so many homes in both lands desolate, we ordered on full steam and glided away. Five days of continuous sunshine and scarcely wind to fill a sail brought us to Havana. I had cabled the Spanish authorities on our departure from Santiago and notified them of our arrival, and was courteously referred to the Civil Governor of Havana, on whom I called and received in return a most cordial visit, with the added respect of bringing his entire staff with him.
No supplies from Port Tampa having arrived we spent the second day in Matanzas, receiving from the good Governor and his amiable household such a welcome as one might expect from those they had known longest and loved most. We then hoped to go there at once and leave the supplies they so badly needed.
Next day there came into harbor the steamship “Comal,” fromPort Tampa, laden with sixteen hundred tons of government supplies for distribution. We exchanged visits with her gentlemanly and sensible officers, who had governmental instructions to take their cargo to Havana and distribute it, but no instructions to act in conjunction with us or with any one; and we, on the other hand, received no intimation that her supplies were in any way intended for our use.
Both ships alike met the restriction of the customs duties, and while I felt that it might be well for a governmental cargo to test its position with the law of nations, under the circumstances, it was by no means the course for the Red Cross to take—an organization which never leads, but follows, in all military matters.
No commissioners had arrived, and feeling that we might become a source of irritation to them by remaining, and being unable to distribute our supplies, we decided to withdraw. Our captain, having been trained in the merchant service and being unaccustomed to military shipping, had neglected some little formality on leaving Santiago, which admitted, or perhaps called for, a fine of five hundred dollars. This we promptly paid, and with the best understanding with all parties, Spanish, Cuban and our own, no coercion on the part of any one, impelled by nothing but our own sense of the situation, we decided our course. In fact, strenuous efforts were made by the Spanish officials, notably the Secretary of State, to open the way for us; and while they could not override the law and positively remit a duty, they offered in this case to pay the duty themselves, and take part in the distribution. We appreciated the courtesy, but still felt that we might in some way become a hindrance to the pending negotiations by remaining, and after careful consideration, decided to draw anchor and steam for Port Tampa, leaving the “Comal” with its full cargo and efficient officers to meet the situation in the good governmental way, we were sure they would do.
This explanation is given to set right the general impression that the “Comal” was a Red Cross ship. There was no connection whatever between the “Comal” and ourselves, excepting through good will and good fellowship; and again the impression that we were mistreated by the Spanish government at Havana, subjected to discourtesy or requested to leave is a mistaken one. The facts are quite the contrary. We entered under the supposition that Havana was open, as Santiago was open; but it was not an open port. We were in Spanish waters, subject to Spanish laws and customs, and so regarded them, as we should have expected to do in any country, remembering experimentally that our own country is not too much inclined to easily remit its custom duties.
Dividing the time of our Cuban campaign into sections, the incoming days fall exclusively to Santiago. Days of an army in one sense inactive, in another rushed and crowded beyond its powers to meet or control. Days when everything is needed and nothing can be gotten at. No one knows where anything is—must have a formal order to obtain it when it is found, and cannot get the order. Officers clamor for their needy men, the sick list increases, complaints are rife, patience gives place to desperation, and a time of general confusion follows.
Again I would say that to those taking the first lessons in army life, all these things seem incomprehensible, to say the least, and “Who’s to blame?” seems to be floating in the very atmosphere about them.
Deplore such a state of things as we will, it is still a part of army life. It belongs to war, and the grey-haired military chief, whom all would recognize were I to name him, was correct when he once said to me: “Strange as it may seem, the days of ‘rest’ at an active field are its hardest days.”
The ofttimes perplexed officers at Santiago will neither exclaim nor disclaim against this little statement, if it should ever meet their eyes. They will realize, however, that there were others, near them having no power, or scarcely place, who could yet comprehend their perplexities, and sympathize with the distressing conditions surrounding them.
They will also recall that from this source no unreasonable request was ever made of them, no impatient word spoken—only thanks for needed facilities that could be granted, for those withheld, respectful acquiesence.
To every officer on that first conquered field of Cuba, who extended to the organization I had there the honor to represent, or to myself personally, the smallest recognition or kindness, if it were only a mere courtesy, I tender in behalf of the Red Cross, honoring gratitude and heartfelt thanks. As soldiers, they performed their duty; as men, they sustained their own manly self-respect.
Knowing that several of my aides have kept their own notes during the entire campaign, especially as pertaining to the department occupied by each, I have for the sake of accuracy and perspicuity, invited them to contribute, from their notes, reports to this hastily written volume. These reports must perforce so completely cover the time of this rather uneventful period, until we should again enter upon some more active operations, I decide to leave this space to them, referring the reader, if he have the interest to follow, to these reports, and especially to the letter from our Santiago committee, composed of the leading men of the city, whose faithful service, wisdom and care for the interests of their community, lends a halo of grateful remembrance to the very mention of their names.
In response to a call from the president of the American National Red Cross, I left this city with Mrs. Lesser for Key West on June 15. On my trip South, a train of recruits commanded by First Lieutenant Heavey, First Infantry, joined us on their way to Tampa. There were a number of sick on this train; I offered my services to the lieutenant, which he accepted, and I attended the sick. Most of them had bowel troubles; either diarrhœa or constipation; several had fever, and some sore throats. One private was very ill, and lay on a short bench in a Southern Railroad coach. His temperature was high, and his condition somewhat alarming. I engaged a section in a sleeping car, saw that he was made comfortable, gave him medicine, and Mrs. Lesser nursed him until we arrived in Tampa. The lighter cases as well as the one special case were much improved when we arrived at Tampa, still I mentioned that the patient be taken in an ambulance which the lieutenant ordered by telegraph before we reached Tampa. We then proceeded to the steamer “Mascot,” bound for Key West. On board were a number of marines of the United States Navy, several of them suffering from the same troubles as Lieutenant Heavey’s recruits. Among them was one case of erysipelas, due to improper care of a vaccinated pox. We attended him, and left him and all the others comparatively well in Key West, where Mrs. Lesser and myself joined Miss Barton and staff on the steamship “State of Texas.”
The following morning, June 20, we started for Cuba, reaching Santiago after a six days’ journey. On June 26, Mr. George Kennan, vice-president of the American National Red Cross, interviewed Admiral Sampson for instructions, and the steamship “State of Texas” was directed to Guantanamo, where we remained over night.
The following morning, June 27, a correspondent of a New York paper boarded the “Texas” and informed Miss Barton that a battle had been fought at the front, and that there were a number of sick and wounded at Siboney.
Miss Barton gave orders for the ship to return immediately to Siboney (a little village between Santiago and Guantanamo), at which place we arrived at 9.20 p.m.
Upon arriving at Siboney, although it was late in the evening, I was directed by Miss Barton to go ashore to inquire into the needs of the hospital, and if any, to present her compliments, and to make the following offer:—Although the “State of Texas” was sent to feed the refugees and starving Cubans, it carried some persons and articles that might serve for hospital purposes, and that the Red Cross considers its first duty to be to help those who are nearest.
There was a large barn to which I was directed when I asked for the hospital. I introduced myself and staff to the physician, extended the compliments of the president of the Red Cross offering the services of her staff, as well as needed supplies. The physician in charge very courteously answered that he had been ordered to go to the front the following morning, and not needing anything, thanked the Red Cross for its offer.
Westward from the landing place was a pond of stagnant water. Upon a little hill across a railroad track stood a number of wooden cottages. The first large one, which seemed to have been some kind of a store, and a barn westward from it was pointed out to me as another hospital. (It was the same house which later was used as a post-office, in which Postmaster Brewer contracted yellow fever, but which was never used by the Red Cross.) There were a number of sick soldiers lying around on the floor, Surgeon-Major Havard being in command. I made the same offer to the major as I had made in the first place, and the condition of affairs being apparent, I tendered him the services of the Sisters, as well as cots and blankets for his sick; for which he thanked me, adding that he would accept the cots and blankets, but that he did not require nurses. I invited him to the steamship “State of Texas” to see Miss Barton, so that he might select such articles or service as he desired. From there I went with the staff to Dr. Virano, surgeon-in-chief of the Cuban Hospital, making the same statement and offers to him. He introduced us to General Garcia and his staff, and thankfully accepted the offer of the Red Cross. His patients were lying on cots and on the floor, little care apparently having been given to put the house in fit and proper condition. This ended our duty of the evening, and we returned to the ship.
The next morning, June 28, Major Surgeon Havard visited Miss Barton on the “Texas,” as also did a Cuban delegation; the formermade a request for cots, and the latter for the assistance of nurses, and food for the sick. Sister Isabel, Sister Minnie, Sister Annie and Sister Blanch under the direction of Mrs. Lesser went to the Cuban Hospital, taking with them proper nourishment for the sick, and utensils for preparing the same. The work of relief then began at the Cuban Hospital, and beds and blankets were sent on shore for Major Havard.
The same morning Miss Barton directed me to go to the front and find out if anything was needed at the camps, and accompanied by Mr. George Kennan and Mr. Elwell I started about 10.00 a.m. A large detachment of infantry which the night before had camped along the shore of Siboney, had gone on the road up the hill about a thousand feet in height, while another detachment of infantry and artillery took the lower road in the valley, being the only road for vehicles which leads from Siboney to Santiago. The men looked well, although the heat prostrated a number of them on the march. We walked along the latter road as far as the Camp of Rough Riders, which on that day was the furthest in front, a distance of eight miles from Siboney. It was several days after the battle between the Rough Riders and the Spaniards.
The next day, June 29th, I returned to the shore with the Sisters, whose work and value had been observed by others. Siboney with a large water supply and a sea breeze was selected for the Reserve Divisional Hospital of the Fifth Corps. Surgeon-Major La Garde, of the regular army service, was the chief of the department. His supply was small, and conveniences still smaller, which he said was owing to the fact that through military necessity medical and hospital supplies of the army were still on the transports, with no means of unloading. There were but few hospital tents, and the cots in them were occupied by a number of patients, in whom Dr. Fauntleroy took great interest. I offered the services of the Red Cross, as directed by the president. The major, a man with humane ideas, unable to get such supplies as were needed, accepted any reasonable aid that he could receive.
Our offer came at a moment when we could be of help. Surgeon-Major Havard with his staff had been ordered to the front and was unable to place the cots we had landed. His patients, who were suffering from typhoid fever, measles and other diseases, were transferred to Major La Garde’s camp. Battle was expected every day, and the major in order to be as well prepared as possible, accepted the offer of assistance made by the Red Cross, and placed a house at our disposal to serve as a hospital. He addressed a formal letter to Miss Barton, who answered at once in kind words and deeds. We also immediatelysent word to Miss Barton, describing the requirements. The Sisters cleaned the muddy house, then disinfected it; Miss Barton sent from the “State of Texas” cots and bedding; food, stoves and utensils to prepare the same. In a few hours our house was disinfected and in order, and about thirty-nine patients were carried to it; most of them had typhoid fever and a few had measles.
The night of July 1, however, our work had to be changed. The major called for all assistance possible to attend the wounded who were arriving from the battlefield of Santiago. Large numbers of the wounded were brought down, many of whom walked miles. Men with bullet wounds through their lungs walked and crept for hours to get to the hospital. There were hospitals nearer to the front, but all seemed to have been overcrowded by the work of that day, and many soldiers had lost their way in the undergrowth and wandered about until they found the nearest road to a hospital. Many walked because they complained that the rough roads and heavy wagons increased their pains with every jolt. Surgeon-Major La Garde’s management can never be too highly praised. The wounded men that came down in the wagons were examined by him and laid somewhere to be comfortable until they could have attendance. By “comfortable” I mean as far as the situation would permit.
Every surgeon and nurse was put to work. Mrs. Lesser and the Sisters were called to assist at an operating table, and Sister Annie McCue and Mrs. Trumbull White were left in charge of the hospital building. At first I had the pleasure of assisting a very able army surgeon, Dr. Fauntleroy, but the same evening a table was assigned to me by Major La Garde. There were six tables in the tent, which were in charge of the following surgeons: Drs. Fauntleroy, Ireland, Nancrede, Munson, Parker, Howard and myself, some coming later than others. The work continued all night, each operator having one assistant and one of the Sisters at his table, continuing all of the following day. As the wounded came down in numbers, and there were not cots for them, they had to be left in any position around the ground. Major La Garde and Chaplain Gavitt were at all times kept busy having long flies put up to protect them in case it should rain.
Copyright, 1898, by Clara Barton.A GROUP OF RED CROSS SISTERSThe four sisters of the New York Red Cross Hospital of Dr. and Mrs. A. Monae Lesser, who nursed sick reconcentrados and their orphans in Havana, and afterward assisted the surgeons on the ships and in the hospitals of Siboney in dressing the wounds of Cuban, Spanish and American soldiers and sailors, until they fell victims of the fever and went into hospital themselves.DIPLOMA OF GRATITUDE FOR MISS CLARA BARTON FROM THE RED CROSS OF SPAIN.[Translation of Text.]The Supreme Assembly of the Red Cross of Spain Grateful for the powerful co-operation which you have given, contributing to the patriotic and humanitarian ends of the institution, has resolved to manifest its recognition thereof, by issuing to you the present diploma in the city of the Court of Madrid on the 31st day of October in the year M.D.C.C.C.X.C.V.I.I.I. (1898).The President,Marquis of Paloma.The Secretary General,Juan P.C. Domingues.
Copyright, 1898, by Clara Barton.
A GROUP OF RED CROSS SISTERS
The four sisters of the New York Red Cross Hospital of Dr. and Mrs. A. Monae Lesser, who nursed sick reconcentrados and their orphans in Havana, and afterward assisted the surgeons on the ships and in the hospitals of Siboney in dressing the wounds of Cuban, Spanish and American soldiers and sailors, until they fell victims of the fever and went into hospital themselves.
DIPLOMA OF GRATITUDE FOR MISS CLARA BARTON FROM THE RED CROSS OF SPAIN.
[Translation of Text.]
The Supreme Assembly of the Red Cross of Spain Grateful for the powerful co-operation which you have given, contributing to the patriotic and humanitarian ends of the institution, has resolved to manifest its recognition thereof, by issuing to you the present diploma in the city of the Court of Madrid on the 31st day of October in the year M.D.C.C.C.X.C.V.I.I.I. (1898).
The President,Marquis of Paloma.The Secretary General,Juan P.C. Domingues.
The President,Marquis of Paloma.
The Secretary General,Juan P.C. Domingues.
Every moment news of another battle was expected; the experience of the first, with no better means as yet at hand, was a matter of great concern and worry to all present. Suggestions were made and discussed. Finally it was agreed to request more Red Cross aid by telegraph. A call for one hundred Sisters was suggested, and Mrs. Lesser was consulted in the matter. We had fifty trained nurses andassistants on our lists, also women to act as matrons to distribute nourishment; we promised to send for that number immediately, as we had sent for twenty-five already. That morning Miss Barton, with Mr. Kennan and several of her staff, had gone to the front, and before leaving, Miss Barton instructed her secretary, Mr. C.H.H. Cottrell, that, at our request, he should cable in her name for such persons and material as should be needed in the Hospital Department. We cabled for fifty nurses, ten assistants, a number of immune physicians, complete hospital equipment, and a quantity of surgical material, sufficient to make at least five hundred patients comfortable.
The work was performed almost without intermission, every surgeon employing all his energies. The feeling in the hospital among the members of the surgical staff was an excellent one.
The night of the third we expected to be able to rest a few hours, but during the day the fleet had fought its battle, and a number of Spanish wounded prisoners were taken off by the various ships. Dr. Lewis, chief surgeon of the “Harvard,” who assisted in attending the wounded at the hospital at Siboney, invited Dr. Parker, myself and the Sisters to help him in attending the wounded Spaniards, to which we gladly responded and spent the night on the “Harvard.”
The wounded continued to arrive for four days, many of them telling that they had been shot on the first day of the battle, July 1, and as yet had received no care except from some comrade who had with him the little emergency package.
Permit me to say here that I believe the little emergency package has saved many a man from death through bleeding.
Most notable and commendable was the desire of the surgical staff to save limbs when at all possible; and I have seen and often joined Drs. Fauntleroy, Nancrede, Ireland and Parker in the work, spending an hour for resection of the part in order to prevent amputation. Of course all endeavored to do the same, and out of the total number of 1415 wounded treated in the Siboney Hospital after the battle, there were but three amputations of the thigh, two of the leg and one of the forearm, that I observed in the camp. The death rate was also very small, as most of the shots made clean wounds, and only when they affected most vital parts did they cause death.
The dressing of wounds and the operating upon the wounded, however, were not all the service required by the injured. Shelter, comfortable cots and blankets were needed, very few of which had been landed. Still, as the wounded came, and the needs became greater, I saw Surgeon-Major La Garde, most ably assisted by Chaplain Gavitt,hunt about for canvas or anything that would act as cover for a tent, and have it put up along the tents and flies. Their work was unceasing. In those days every officer and member of the medical staff gave up his cot and tent that the wounded might find some kind of shelter and proper resting place; but in spite of that they were inadequate. The largest number of wounded lay on the ground, some on blankets, others on canvas, or if very severely wounded, on a litter.
The steamship “State of Texas” had a number of cots (I believe 350) which were originally meant for Cuban relief, many of which we used in the Red Cross Hospital at Siboney; when I informed Miss Barton of the condition of affairs, all cots that were in the ship were unloaded and sent to the hospital, and the most seriously wounded received comfortable resting places.
The gauze, particularly the iodoform gauze, and bandages soon gave out. The “State of Texas” carried a quantity of surgical dressings. All that was necessary was to ask Miss Barton for them, who immediately sent on land any article needed if in her possession.
Among our patients were several cases of gunshot wound through the skull and brain near the eyes; the eyes were inflamed, and ice had to be applied continuously to relieve excruciating pain. Dr. Fauntleroy suggested that the cases be sent to the Red Cross Hospital, we had there the only ice in the field at that time; it also came from the “State of Texas,” from which we received a daily supply. The eye cases were carefully attended by Mrs. White, the wife of Dr. Trumbull White, of the ChicagoRecord, who deserves much praise for the constant attention which she gave them. It was necessary to make continuous application of ice every few minutes, which she did with constant and unceasing care. Mrs. White is not a trained nurse, but a gentle, wise woman. I agree with the remarks of Dr. Fauntleroy when he said that her attention and the ice relieved much suffering and saved quite a few from blindness. Captain Mills, who was one of the wounded in that manner, may tell of his own experience.
Most of the cases of gunshot wounds gave very little work to the surgeons, as the bullet entered at one place and made its exit at another, thus leaving a clean wound. Even through vital parts of the body, such as the brain and abdomen, bullets passed without apparently giving the patient any great distress. The simple cases did not need much attention; cleanliness and a cushioned dressing well protected was all they usually required. In fact, many of the smaller wounds came to us bandaged with a little emergency pad, progressing in healing. These were always shots from the Mauser bullet. Many of the men that I sawwere shot in the shoulder, the bullets making exits through the back. Some gunshot wounds had two places of exit and entrance in their course. For instance, I had cases in which the bullet had gone into the upper and lateral part of the cranium, come out behind the ear, went into the shoulder and came out behind and below the shoulder blade; or had made its course through the left arm, again entering the right chest and coming out at the back. It would perhaps be out of place to enumerate or describe in this report the many courses which the bullets have taken, but as stated, most of them required little attention. There were, however, some serious wounds, such as compound comminuted fractures, in the treatment of which great skill was shown by the various surgeons in the hospital. Those were the cases which in former years would have resulted in amputation, but drainage and cleanliness, plainly speaking, have given the patients the advantage of keeping their limbs.
In the simple cases one could work alone, with the assistance of a Sister or a hospital steward, but in the more difficult cases good surgical skill was required, and it was often a source of great gratification to see two eminent surgeons, of equally good reputation, assisting each other in a difficult case; one advising, the other acting; thus the greatest harmony existed among the members of the staff. The Sisters being required in the operating tents as also the stewards there were no nurses in the tents to care for the wounded.
No food had been prepared for the large number of wounded lying on the cots or on the ground on blankets or canvas; a great many of them were too helpless even to turn. Surgeon-Major La Garde did me the honor of consulting me in regard to the nursing, and I suggested that some of the Sisters leave the operating tables, which were by that time supplied with other assistants.
The major then sent for Mrs. Lesser, who suggested that the worst cases be brought into one or two rows of tents, as the small staff of Sisters brought into Cuba was not sufficient to take charge of all and do them justice. The rows of tents were then placed in her charge, and she portioned the work of caring for them among the Sisters assisted by hospital corps men. The soldiers were nearly famished; some had not received a morsel of food for two days. Oatmeal gruel, coffee and quantities of prune juice and other articles of relish were at once prepared at the Red Cross Hospital in big cans which had come from the “State of Texas,” and with the assistance of the ever active indefatigable Chaplain Gavitt, and several newspaper correspondents, the wounded soldiers received such food as their conditions allowed.
Unfortunately the surgeons lost track of the greater number of their cases. The patient marked for redressing was placed on any table, and the surgeon in charge of that table redressed the wound; thus it was hard to say what result one or the other had obtained, with the exception of a few cases, which by special request one was allowed to continue to observe. Some of the patients came down with their wounds dressed in some hospital at the front, and I may here mention that I saw excellent work coming from the hospital in command of Dr. Woods.
When the rush was over, I was called to the camp where the Spanish prisoners were located. I prescribed for their ailments, while the Sisters supplied their food. In addition, I answered the calls which came from Cuban families in Siboney. Some Spanish prisoners were wounded and others suffered from fevers. Those who were wounded had their wounds dressed at the scene of battle, and although some of the dressings were temporary, they feared to have any person touch them, until assured that they would be treated as gently as possible. The patients had now all been operated upon and attended; only some of the wounds needed redressing. They were taken to the transport hospital ships as soon as their condition permitted. It was about that time the hospital ship Relief arrived, bringing more food for invalids and more equipped cots.
Dr. Guiteras, who visited all the hospitals daily, informed me one afternoon that he had found a case of yellow fever in camp (not in our hospital), developed in a place near Siboney. There were two or more suspicious cases which he had watched, and he believed that yellow fever would develop very rapidly. I called the Sisters together, presented the situation to them, that they might decide whether to stay in the field or return to the “State of Texas.” Their unanimous decision to stay and face the consequences made them continue their work without any hesitation. The Red Cross Hospital building became crowded, one room was set aside for doubtful cases, while the other rooms were occupied with typhoid patients. The porch in front of the house, shaded with canvas, and a little isolated room to the right, sheltered the wounded.
My work at the Red Cross Hospital became continuous, as a large number of patients came from the various camps to receive attention, and still a larger number from our camp came for consultation and treatment. The number of such consultations I discontinued to write down after three hundred were attended, Americans, Spanish and Cubans together.
THE BURNING OF SIBONEY—RED CROSS HOSPITAL IN THE FOREGROUND.
THE BURNING OF SIBONEY—RED CROSS HOSPITAL IN THE FOREGROUND.
Every case of typhoid fever and other disease which was placed in our charge from the day we opened the hospital, has recovered. The last of them were brought home well on the “Concho;” those that came later were on the way to recovery when I left for the fever hospital. Among our patients were two who had measles, complicated with pneumonia, and there was a large number of patient suffering with Cuban malarial fever. I also wish to state that not one patient in our hospital became infected with yellow fever; the cases that had it came there with the disease, but were closely observed, and as soon as the first positive sign was noticed, they were isolated and brought tothe fever hospital. The total number of sick permanent and transient thus attended was 234. Most of the medicines we had brought with us, but received some from army stores.
When the “State of Texas” left for Jamaica to get ice, in order to save time we took a dwelling in one of the houses at Siboney, which was believed by experts not to be infected. The family living in it was very clean, and it appeared that the house would serve as well, and perhaps better than any other. Our tents, in which we should have preferred to live, had not arrived, nor did we have any cots, all having been given to the sick and wounded.
When the houses at Siboney were ordered to be burned down, we left for the yellow fever camp. Before leaving I requested Dr. Senn to operate upon two Spanish prisoners whom I had not seen for several days.
On the seventh day after our arrival at the camp we were able to return to Siboney. Our ailments, although not prevented, had been made light by prophylactic methods, and our recovery was consequently rapid. After our return to Siboney I again offered to serve.
In the meantime word from Assistant Surgeon-General Greenleaf was received at Siboney, stating that forty-five Red Cross nurses, surgeons and other assistants, had arrived at Guantanamo, waiting to come to us, and as we returned the same day from the fever camp, Surgeon-Major La Garde telegraphed and telephoned repeatedly for them to come, but he received no reply.
Feeling that under the existing circumstances and exhausted from work and illness we could not continue to work without more assistance, I applied for our return. Surgeon-Major La Garde upon this placed me in charge of the steamship “Concho” which left for the North on July 23, of which voyage a special report has been presented.
Before my departure from Siboney, Surgeon-Major La Garde handed me a document, a copy of which I herewith present:
Reserve Divisional Hospital, Fifth Corps,Siboney, Cuba,July 23, 1898.This is to certify that Dr. A. Monae Lesser, surgeon-in-chief of the American National Red Cross, offered his services to the Medical Department of the army on the twenty-ninth day of June. From the latter date to the present day Dr. Lesser has been connected with this hospital as a surgeon and patient. When the wounded commenced to arrive on July 1, and during the rush of work which lastedfour days in the care of the wounded, Dr. Lesser was assigned one of the six tables in the operating room. His work was skillful and most continuous. His suggestions to me on more than one occasion, concerning administration details, were of the highest value. After the rush of work in the operating room Dr. Lesser continued to take charge of a hospital, a building which was pronounced free from infection, in which he treated wounded and sick soldiers. His work was the admiration of every one who had the good fortune to be under the watchful care of himself and the Sisters under him. Unfortunately the building—in which they lived—soon showed signs of yellow fever infection. Dr. Lesser, his wife and four of the Sisters—his entire staff—were taken one by one with the fever. They were removed to our yellow fever hospital. They are now convalescing, though weak; they leave us for the North to-day for a much needed rest. I have no words at my command which could in any way express my appreciation of the work of Dr. Lesser and his heroic staff. Had it not been for their assistance and the quantities of supplies furnished by the “State of Texas,” the sufferings of the hundreds of wounded would have been magnified more than I can now venture to express.In commenting on our lack of supplies, attendants, etc., I desire to state that our unprepared condition to meet the rush of work which came with such surprising rapidity was due to those military conditions which often transpire in war when blood, suffering and death seem to be inevitable, or beyond the scope of man to anticipate.May God’s blessing be with him and his.Louis A. La Garde,Major and Surgeon, U.S.A.,Commanding Hospital.
Reserve Divisional Hospital, Fifth Corps,Siboney, Cuba,July 23, 1898.
This is to certify that Dr. A. Monae Lesser, surgeon-in-chief of the American National Red Cross, offered his services to the Medical Department of the army on the twenty-ninth day of June. From the latter date to the present day Dr. Lesser has been connected with this hospital as a surgeon and patient. When the wounded commenced to arrive on July 1, and during the rush of work which lastedfour days in the care of the wounded, Dr. Lesser was assigned one of the six tables in the operating room. His work was skillful and most continuous. His suggestions to me on more than one occasion, concerning administration details, were of the highest value. After the rush of work in the operating room Dr. Lesser continued to take charge of a hospital, a building which was pronounced free from infection, in which he treated wounded and sick soldiers. His work was the admiration of every one who had the good fortune to be under the watchful care of himself and the Sisters under him. Unfortunately the building—in which they lived—soon showed signs of yellow fever infection. Dr. Lesser, his wife and four of the Sisters—his entire staff—were taken one by one with the fever. They were removed to our yellow fever hospital. They are now convalescing, though weak; they leave us for the North to-day for a much needed rest. I have no words at my command which could in any way express my appreciation of the work of Dr. Lesser and his heroic staff. Had it not been for their assistance and the quantities of supplies furnished by the “State of Texas,” the sufferings of the hundreds of wounded would have been magnified more than I can now venture to express.
In commenting on our lack of supplies, attendants, etc., I desire to state that our unprepared condition to meet the rush of work which came with such surprising rapidity was due to those military conditions which often transpire in war when blood, suffering and death seem to be inevitable, or beyond the scope of man to anticipate.
May God’s blessing be with him and his.
Louis A. La Garde,Major and Surgeon, U.S.A.,Commanding Hospital.
Early in February, 1898, after the President of the United States had called Clara Barton to several conferences on the question of relieving the sufferings of the Cuban reconcentrados; and the Central Cuban Relief Committee had been formed to take charge of the funds and supplies which it was known that the generous American people were anxious to donate for this purpose, it was decided that Miss Barton should go to Cuba at once to assist in the prompt and efficient distribution of the succor which was so near at hand. It is her habit to act quickly when her plans have been matured, and not a moment’s time was lost in preparing for her journey to Havana.
On her arrival at Havana Miss Barton communicated with the American Consul General, the Spanish officials, and some of the best known and benevolently disposed citizens; and after freely conferring with them, and learning the existing conditions, the city was divided into distribution districts, and a committee of citizens, who were fully acquainted with the people and their wants, was appointed to take charge of each district. Abundant space in a very large warehouse had already been secured by the Consul General, which was, with the use of its employes, given free of charge to the Red Cross.
Several of the villages near Havana and as far east as Matanzas were then visited and arrangements similar to those made in Havana were perfected for the distribution of food and clothing; and these communities were supplied as quickly as possible.
Shortly after Miss Barton’s arrival in Havana the deplorable “Maine” disaster occured, killing, drowning and injuring so many of our brave sailors and marines. As soon as she heard of this awful calamityshe visited the hospital where the victims who were not killed outright were lying, and arranged to have them provided with every possible attention, and the best of everything needed that money and sympathy could procure.
As the situation developed and the needs of the country became known, it was found to be necessary to largely increase the working force of the Red Cross, and arrangements were accordingly made to have some of the oldest and most experienced workers of that organization, with some new recruits, come to Havana. A large house for their accommodation was secured in the suburb of Cerro, about three miles from the business centre of the city, where they were pleasantly and comfortably established. The party when completed consisted of the following named ladies and gentlemen:
Miss Clara Barton, Mr. J.K. Elwell, Dr. J.B. Hubbell, Dr. E. Winfield Egan, Dr. A. Monae Lesser, Mrs. A. Monae Lesser, known as “Sister Bettina,” Misses Annie McCue, Minnie Rogall, Blanche McCorresten and Isabelle Olm, Red Cross nurses or “sisters;” Mr. J. A. McDowell and Mr. C.H.H. Cottrell.
Many of the best citizens of Havana, ladies and gentlemen, Spaniards and Cubans, gave us a most hearty welcome and every encouragement, many of them volunteering their services in any capacity in which they could be made useful, and we were thus enabled to secure a number of doctors and nurses, who gave excellent service, and who received the well-deserved thanks of the Red Cross.
Mr. Elwell was put in charge of the warehouse with an able corps of assistants, and his work there was all that could be desired, as it was something that he was perfectly familiar with from long experience; he had the great advantage of knowing the Spanish language and the character of the people with whom he was dealing. Many hundred tons of the finest supplies, including everything that a generous and sympathetic public could think of that would be suitable for a famishing people, were given out as fast as orders were issued for them; but in every instance the utmost care was exercised that nothing should go out that might reach the hands of irresponsible persons; and every possible safeguard of check and receipt was adopted and successfully used.
The large number of orphan children that had been left unprovided for appealed to the sympathies of some worthy people for whom Consul-General Lee was the spokesman, and Miss Barton was asked by them to provide a hospital and home for these waifs. She therefore rented and furnished a large private residence on Tulipan street in Cerro, near the Red Cross residence, which was opened and named the “Lee Orphanage.” The house was completely arranged and had a capacity for seventy-five inmates, besides the attendants, and it was soon filled. Dr. and Mrs. Lesser were placed in charge of the orphanage, assisted by several Cuban doctors and nurses. The greater part of the children who were brought there were in an extreme state of exhaustion from lack of nourishment, many being unable to sit up, and the greatest care and watchfulness had to be observed to save their lives. A few of them died after they reached the hospital; but by careful and unremitting attention the larger part of them were gradually brought back to health, and it is to be hoped that some of them will eventually find homes in good families.
An old ramshackle building long before abandoned as unsafe and undesirable was owned by the city and known as Los Fosos. Being worthless and unwatched, it had become the lodging place of a horde of beggars and tramps, and when the unfortunate reconcentrados were driven into the city from their homes in the country hundreds of them flocked to this miserable place. Miss Barton found there men, women and children crowded together in a most pitiable and disgusting mass; and suffering from disease and exhaustion and in such a state of filth that her party was unable to endure the stench and had to get out after a very short stay. These poor victims of cruel war were lying on the bare floor in their dirty rags, and entirely helpless except for such poor aid as they could render each other. Many of them died daily and their corpses would lie for hours before being removed. Altogether it was one of the most horrible pictures imaginable.
Permission was obtained by the Red Cross to repair the building and make a hospital of it, and carpenters were put to work to strengthen the swaying floors and batten up the sides and make the roofrainproof. Three rooms were partitioned off for a dispensary, store room and kitchen. Scrub women were put to work and a plentiful supply of soap, water and disinfectants soon made a great change for the better. When the place had been cleansed, new cots were brought in and clean bedding put on them. Up to the time of their forced departure those devoted nurses worked faithfully from early morn till late in the day to keep the place decently clean and instill habits of neatness into those miserable beings. Deprived of the pride and care of those trained women, it is easy to believe that within a week after they left, Los Fosos had resumed its former reputation as the most unsavory spot in all Havana.
During the time that Los Fosos was under the care of the Red Cross the best medical skill obtainable was given to the inmates, and the untiring care and attention of as faithful a body of trained nurses as the world has ever known was freely given them, and the best of nourishing food and delicacies were abundantly supplied; and if fate had willed that this body of self-sacrificing men and women should remain, there is no doubt that, in the course of time, this old pesthouse would have become a famous hospital with a reputation second to none.
One of the most comprehensive systems of charitable work had been thus inaugurated and was doing incalculable good, and was receiving praise and gratitude from all classes, when it was announced that the official relations between Spain and the United States, which had been strained for some time, were about to be broken. The American Consul-General announced that he did not think that it was safe for American citizens to remain in Cuba while the excited state of feeling existed, and that he should leave on a certain day, and he advised all Americans in Cuba who wished to go to the States that he would provide transportation for them. The time given for settling affairs and preparing to leave was less than a week, and accordingly there was much excitement and great sacrifices had to be made, which in many cases meant ruin and beggary. Quite a number of the refugees afterward became entirely dependent upon the bounty of the Red Cross at Key West and Tampa, Florida.
When it thus became necessary to decide whether the Red Cross should abandon its work in Cuba, Miss Barton called her staff aroundher (as is her invariable custom in deciding all important matters), and asked for their individual opinions as to the advisability of their leaving, and a full discussion of all the points involved ensued, and a unanimous decision was arrived at. All Spanish officials, national and municipal, had never failed to show the utmost courtesy to all our members, and time after time they had shown their sincerity by repeated acts of kindness, and none of us believed that they were likely to change their attitude toward us. But when it was considered that war was almost inevitable, and that if we remained in Cuba we should be shut up in an enemy’s country and unable to communicate with our friends and relatives, who would be daily harrowed by sensational stories, it was decided that we should withdraw when the Consul-General was ready to leave.
When it became known that we were about to leave Miss Barton received some very hearty assurances of regard and protection from high Spanish officials, and many Spanish and Cuban ladies and gentlemen called on her and assured her of their high regard and deep gratitude for all she had done for their suffering people.
The day before we were to leave Cuba the Archbishop of Havana came to the Lee Orphanage, where quite a number of the best people of the city had assembled, and gave his blessing to the little institution; which was, with those Catholic people, an augury equivalent to a guaranty that the success and protection of the undertaking was fully assured; and, indeed, we learned several months after the war had begun that the Spanish authorities had not only taken the most scrupulous care of this hospital, and all its abundance of provisions with which the Cuban Relief Committee had supplied it, but they had also placed a guard around Miss Barton’s residence and had kept it inviolate from all predatorily disposed persons. After the war some of our party visited the residence and the orphanage, and found provisions which had been left at both places were still on hand.
Of course it was to be expected that the hospital, being deprived of the example of the trained Red Cross nurse, with her habits of order and neatness, would naturally retrograde in many ways, and our party therefore was prepared for the many evidences of neglect and disorder that met their eyes on their return visit.
The Central Cuban Relief Committee, of New York, which had been appointed by the President of the United States, had abundant means to maintain this work that had been so successfully inaugurated, and it is greatly deplored that the unfortunate declaration of war prevented the carrying out of all the plans that had been so carefully matured, and which would have saved the lives of thousands of men, women and children who now lie under the sod.
Having made the best possible arrangement for the maintenance of the institutions we had brought into being and had fostered in Havana; and with the saddest regrets that we should have to abandon a work so well begun, we boarded the ship “Olivette” on April 11, and started for the United States. After a great deal of discomfort, caused by the overcrowding of passengers and the heavy seas, we reached Tampa, Fla., on April 13. After a day or two of rest, Miss Barton proceeded to Washington with Drs. Hubbell and Egan, the remainder of the party stopping in Tampa.
There were at that time probably about fifteen hundred Cuban refugees in Tampa and eight or nine hundred in Key West, who were entirely dependent. The Red Cross took upon itself the task of maintaining these poor people, and for a period of seven months its agents provided for them. It should be said, however, that the citizens of both these cities appointed committees and did all they could to relieve the necessities of these large bodies of indigent people.
Early in April it had been decided to charter a steamer in New York and to load her with supplies and send her to different ports in Cuba, where her cargo could be unloaded in such quantities as might be required. Accordingly, the steamer “State of Texas,” of about eighteen hundred tons burden, was chartered from Messrs. Mallory & Co., of New York, and notwithstanding the fact that our party had been obliged to leave Havana, and that subsequently war had been declared, the preparations for sailing were kept up, and the steamer was loaded with a cargo of fourteen hundred tons, which embraced a fine assortment of substantials and delicacies, and many household articles, medicines and hospital stores. When she was finally loaded in the latter part of April, the “Texas” sailed for Key West in charge of Dr. J.B. Hubbell, with Captain Frank Young as sailing master, arriving there on the twenty-eighth of that month.
In the meantime, Dr. Jos. Gardner and wife, of Bedford, Ind., had joined our party at Tampa; and soon after Miss Barton, Dr. Egan, Mr. D.L. Cobb and Miss Lucy M. Graves came along, and it was arranged that the entire party was to leave Tampa on the evening of April 28, to go aboard the steamer “State of Texas,” at Key West, and remain on her until the army had made a landing in Cuba, when it was expected that we should be able to resume our work there. The day of the evening we were to leave Tampa, Mrs. J.M. Towne, the lady at whose house our party was stopping, gave a reception in honor of Miss Barton, to which General Wade and the army officers who were then stationed there, and many ladies and gentlemen of that fine little city, were invited. It was a most brilliant and enjoyable occasion, the uniforms of the officers and the lovely toilets of the ladies making a picture that will long remain in the memories of those who saw it.
On our arrival at Key West, on the afternoon of April 29, we were met by Dr. Hubbell and Mr. C.C. Bangs, who had been sent by the New York committee to assist in our work; and Mr. A. Butler Duncan, a well-known gentleman of New York, and were taken aboard the steamer “State of Texas,” where we were welcomed by Captain Young, and where we subsequently passed many pleasant weeks together. A few days later we were joined by Mr. Geo. Kennan, First Vice-President of the American National Red Cross, and his wife.
Key West at that time was a very busy place, the harbor being filled with naval vessels which came in there daily from the Cuban blockading squadron for coal and provisions. Miss Barton immediately paid her respects to Captain Harrington, of the monitor “Puritan,” who was the senior commander of the port, and presented her credentials from the State and Navy Departments. Subsequently she placed herself in communication with Commodore Sampson, and stated her desire to reach Cuba at the earliest possible moment.
Many naval officers and citizens of Key West called on Miss Barton daily, and this attention, combined with her enormous correspondence, kept her time fully occupied till late in the night. There was scarcely a day that some accident of more or less severity did nothappen to some of the sailors or workmen on the many auxiliary craft that were in the harbor; and the Red Cross doctors were at all times in demand. In order to keep every one in the best preparation for possible contingencies of any kind, everybody on the ship was instructed and drilled in the various phases of his or her particular kind of work; and thus all were kept happily and busily engaged. The doctors inaugurated a series of lectures for the benefits of the nurses and others, and clinics were of frequent occurrence, and every member of the party benefited by the practical knowledge thus attained in bandaging and taking care of various kinds of injuries.
Doctor E. Winfield Egan, of Boston, one of the foremost of our surgeons, effected some wonderful operations here and at Port Tampa, and won the warm friendship of many a poor fellow, who, but for his skillful ministrations would have fared badly. Some of the injured men were so badly hurt that days and weeks elapsed before they were fully recovered, and during the time of their convalescence, they were carefully attended and watched by the Red Cross nurses; and at all times of the day the Red Cross boat, with its well-known flag floating, could be seen going from one transport to another on its errands of mercy.
While we were lying at Key West there was scarcely a day passed that some of our vigilant blockading squadron did not bring in from one to three captured prizes; sometimes large steamships, and from that class through the various grades of shipping down to fishing smacks; and in the course of a couple of weeks there were between thirty and forty of these boats lying at anchor in the harbor, with their crews aboard under guard. Somehow it was forgotten that these poor foreigners must eat to live; or else perhaps somebody thought that somebody else was responsible for this very important matter; be that as it may, they were unprovided for. The boats, of course, had a small amount of provisions aboard when they were captured, and while that lasted all went well; but in a few days their supply was exhausted and calls were made on the United States Marshal, in whose charge the prisoners were, for food. That officer, having no contingent fund on which to draw, was in despair, and came to Miss Barton, who at once reassured him by saying that she would attend to the matter and would provide for all the prisoners until such time as he couldget his petition through the departments at Washington. Accordingly several boatloads of provisions were hastily gotten together and taken in tow by a steam launch which landed them alongside of each prize. Miss Barton personally visited these boats, and with the aid of an interpreter she learned the needs of the crews, and not only supplied them with food, but she arranged to take letters from all who wished to communicate with friends and relatives in Spain and elsewhere, and forwarded the letters to their destination.
All governmental relations between Spain and the United States having been broken by the declaration of war, it was necessary, where letters were to go to Spain, to send them to the Red Cross of Portugal, which organization kindly acted as the intermediary friend all through the war. And here I may say that the Red Cross adopted this method wherever there were Spanish prisoners, and through its kind offices thousands of anxious hearts received news of their absent ones who were “held by the enemy.”
About the middle of May the friends of the Red Cross in New York City, conceived the idea of forming a relief committee for the collection of money and supplies to be used in aiding the soldiers in camp and field. The committee was formed, with some of the richest and most prominent people of the country on its list, and it became necessary for Miss Barton to go to New York to empower the committee with authority to act in the name of the Red Cross. Accordingly the steamer “State of Texas” left Key West and proceeded to Port Tampa, where Miss Barton took train for the North, leaving the remainder of the party on the steamer.
At this time there were several camps at Tampa and Port Tampa, and several thousand troops were preparing for the invasion of Cuba; transports were daily arriving at Port Tampa and were being placed in readiness to carry this vast host to the “Pearl of the Antilles.” Those were busy days for everybody, and the Red Cross doctors and nurses were called upon hourly to render service to many victims of injury and disease.