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REPORT OF THE SURGEON-GENERAL.

REPORT

OF

THE SURGEON-GENERAL.

WAR DEPARTMENT, SURGEON-GENERAL'S OFFICE,

Washington, October 1, 1875. SIR: I have the honor to submit the following statement of finances and general transactions of the Medical Department of the Army for the fiscal year ending June 30, 1875:

FINANCIAL STATEMENT.

The funds subject to the requisitions of the Medical Bureau during the year ending June 30, 1875, were—

I. Appropriation for the relief of sick and discharged soldiers, under the

act approved July 5, 1862:

Balance remaining July 1, 1874.

Carried to the surplus fund of the Treasury.

Balance June 30, 1875..

II. Appliances for disabled soldiers, under act of June 6, 1872:

Balance July 1, 1874.

$9,509 21

1,865 11

7,644 10

$8,533 88

Carried to the surplus fund June 30, 1875

8,533 88

III. Appropriation for the support of the Army Medical Museum and the library of the Surgeon-General's Office for the year ending June 30, 1874: Balance July 1, 1874 ....

Expended during the year

$516 02 516 02

IV. Appropriation for the Army Medical Museum and library for the year ending June 30, 1875:

Act of June 16, 1874...
Expended during the year..

V. Appropriation for completing the first edition of the Medical and Surgical History of the War, act of June 8, 1872:

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Balance July 1, 1874

Disbursed during the year.

$20,148 66 6,868 86

Balance June 30, 1875.......

VI. Appropriation for preparing a second edition of the Medical and Surgical History of the War, act of June 23, 1874..

13, 279 80

Disbursed during the year..

$60,000 00 19, 911 25

Balance June 30, 1875......

40,088 75

VII. Amount expended under the act of May 28, 1872, to provide for furnishing trusses to ruptured soldiers...

$2,915 19

VIII. Appropriation for the Medical and Hospital Department of the Army

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IX. Appropriation for the Medical and Hospital Department for the year ending June 30, 1871, and previous years, re-appropriated by act of March 3, 1875..

Disbursed during the year

Balance June 30, 1875..

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X. Appropriation for the Medical and Hospital Department for the year ending June 30, 1871:

Balance July 1, 1874.

Carried to the surplus fund

XI. Appropriation for the Medical and Hospital Department for the year ending June 30, 1872:

Balance July 1, 1874

Carried to the surplus fund

XII. Appropriation for the Medical and Hospital Department for the year

ending June 30, 1873:

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$699 92

683 67

16 25

$9,496 42 9,496 42

$6,286 59 6,286 59

$19, 310 26

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Balance June 30, 1875....

XIII. Appropriation for the Medical and Hospital Department for the year

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XIV. Appropriation for the Medical and Hospital Department for the year ending June 30, 1875:

$24, 160 92 13,596 72

10,564 20

Appropriated by act of June 16, 1874.

Disbursed during the year

Balance June 30, 1875...

$200,000 00 149,526 03

Number of artificial limbs allowed during the fiscal year:
In kind.

Required to complete contracts made during the fiscal year...............

Number of trusses furnished during the year...

50, 473 97 $50,300 00

228

By commutation.

Arms, 1

Legs, 4.

Feet
Apparatus

17

8

8

202

5

235

HEALTH OF THE ARMY DURING THE FISCAL YEAR ENDING JUNE 30,

1875.

The monthly reports of sick and wounded received at this Office represent an average mean strength of 21,896 white and 2,247 colored troops.

Among the white troops the total number of cases of all kinds reported as taken on the sick-list was 36,854, being at the rate of 1,683 per 1,000 of mean strength. (That is, rather more than three entries on sick report during the year for every two men.) Of this number, 31,083 cases, or 1,420 per 1,000 of strength, were taken on sick report for disease, and 5,771 cases, or 264 per 1,000 of strength, for wounds, accidents, and injuries of all kinds.

The average number constantly on sick report during the year was 944 men, or 43 per 1,000 of mean strength. Of these, 748 men, or 34 per 1,000 of strength, were constantly under treatment for disease, and 196 men, or 9 per 1,000 of strength, for wounds, accidents, and injuries. The total number of deaths reported from all causes was 239, or 11 per 1,000 of mean strength. Of these, 162, or 7 per 1,000 of strength, died of disease, and 77, or 4 per 1,000 of strength, of wounds, accidents, and injuries. The proportion of deaths from all causes to cases treated was 1 to 154.

The total number of white soldiers reported to have been discharged the service on "Surgeon's Certificate of Disability" was 616, being at the rate of 28 per 1,000 of mean strength.

Among the colored troops, the total number of cases of all kinds reported was 3,779, being at the rate of 1,682 per 1,000 of mean strength. Of these, 3,183 cases, or 1,417 per 1,000 of mean strength, were cases of disease, and 596 cases, or 265 per 1,000 of strength, were wounds, accidents, and injuries.

The average number constantly on sick report was 112 men, or 50 per 1,000 of mean strength, of whom 86 men, or 38 per 1,000, were under treatment for disease, and 26 men, or 12 per 1,000, for wounds, accidents, and injuries.

The total number of deaths reported from all causes was 37, or 16 per 1,000 of mean strength. Of these 30, or 13 per 1,000 of mean strength, died of disease, and 7, or 3 per 1,000, of wounds, accidents, and injuries. The proportion of deaths from all causes to cases treated was 1 to 102.

The total number of colored soldiers reported to have been discharged on "Surgeon's Certificate of Disability" was 62, or 28 per 1,000 of mean strength.

LIMITED OCCURRENCE OF YELLOW FEVER AMONG THE TROOPS.

Two cases of yellow fever, both of which recovered, occurred in the garrison at Fort Barrancas, Florida, during 1874. The fever having become epidemic in the city of Pensacola and its vicinity, the troops stationed at Fort Barrancas were removed to Santa Rosa Island, and went into camp near Fort Pickens on the 9th of September, leaving at Fort Barrancas a small detachment, almost all of whom had previously had the fever. The two cases mentioned above were an officer who was taken sick in camp immediately after the troops were moved, and a hospital attendant at Barrancas, who, just before he was attacked, had visited the adjacent village of Warrington without leave, and got drunk at a house in which several cases of yellow fever had occurred earlier in the season.

Since the close of the fiscal year, yellow fever has again visited Pensacola, and this time the troops stationed at Fort Barrancas were less fortunate. Yellow fever suddenly, and without warning, made its appearance in the garrison July 18, 1875, and although the troops were moved to Santa Rosa Island on the 22d, it would appear that some of them had been already exposed to the cause of the disease, for cases

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