Andersonville

by John McElroy

  A. Yes, Sir; I have.

  Q. Is it accurate?

  A. So far as my examination extended, it is accurate.'

  The document just examined by witness was offered in evidence, and is as follows:

  Observations upon the diseases of the Federal prisoners, confined to Camp Sumter, Andersonville, in Sumter County, Georgia, instituted with a view to illustrate chiefly the origin and causes of hospital gangrene, the relations of continued and malarial fevers, and the pathology of camp diarrhea and dysentery, by Joseph Jones; Surgeon P. A. C. S., Professor of Medical Chemistry in the Medical College of Georgia, at Augusta, Georgia.

  Hearing of the unusual mortality among the Federal prisoners confined at Andersonville; Georgia, in the month of August, 1864, during a visit to Richmond, Va., I expressed to the Surgeon General, S. P. Moore, Confederate States of America, a desire to visit Camp Sumter, with the design of instituting a series of inquiries upon the nature and causes of the prevailing diseases. Smallpox had appeared among the prisoners, and I believed that this would prove an admirable field for the establishment of its characteristic lesions. The condition of Peyer's glands in this disease was considered as worthy of minute investigation. It was believed that a large body of men from the Northern portion of the United States, suddenly transported to a warm Southern climate, and confined upon a small portion of land, would furnish an excellent field for the investigation of the relations of typhus, typhoid, and malarial fevers.

  The Surgeon General of the Confederate States of America furnished me with the following letter of introduction to the Surgeon in charge of the Confederate States Military Prison at Andersonville, Ga.:

  CONFEDERATE STATES OF AMERICA,

  SURGEON GENERAL'S OFFICE, RICHMOND, VA.,

  August 6, 1864.

  SIR:—The field of pathological investigations afforded by the large collection of Federal prisoners in Georgia, is of great extant and importance, and it is believed that results of value to the profession may be obtained by careful investigation of the effects of disease upon the large body of men subjected to a decided change of climate and those circumstances peculiar to prison life. The Surgeon in charge of the hospital for Federal prisoners, together with his assistants, will afford every facility to Surgeon Joseph Jones, in the prosecution of the labors ordered by the Surgeon General. Efficient assistance must be rendered Surgeon Jones by the medical officers, not only in his examinations into the causes and symptoms of the various diseases, but especially in the arduous labors of post mortem examinations.

  The medical officers will assist in the performance of such post-mortems as Surgeon Jones may indicate, in order that this great field for pathological investigation may be explored for the benefit of the Medical Department of the Confederate Army.

  S. P. MOORE, Surgeon General.

  Surgeon ISAIAH H. WHITE,

  In charge of Hospital for Federal prisoners, Andersonville, Ga.

  In compliance with this letter of the Surgeon General, Isaiah H. White, Chief Surgeon of the post, and R. R. Stevenson, Surgeon in charge of the Prison Hospital, afforded the necessary facilities for the prosecution of my investigations among the sick outside of the Stockade. After the completion of my labors in the military prison hospital, the following communication was addressed to Brigadier General John H. Winder, in consequence of the refusal on the part of the commandant of the interior of the Confederate States Military Prison to admit me within the Stockade upon the order of the Surgeon General:

  CAMP SUMTER, ANDERSONVILLE GA.,

  September 16, 1864.

  GENERAL:—I respectfully request the commandant of the post of Andersonville to grant me permission and to furnish the necessary pass to visit the sick and medical officers within the Stockade of the Confederate States Prison. I desire to institute certain inquiries ordered by the Surgeon General. Surgeon Isaiah H. White, Chief Surgeon of the post, and Surgeon R. R. Stevenson, in charge of the Prison Hospital, have afforded me every facility for the prosecution of my labors among the sick outside of the Stockade.

  Very respectfully, your obedient servant,

  JOSEPH JONES, Surgeon P. A. C. S.

  Brigadier General JOHN H. WINDER,

  Commandant, Post Andersonville.

  In the absence of General Winder from the post, Captain Winder furnished the following order:

  CAMP SUMTER, ANDERSONVILLE;

  September 17, 1864.

  CAPTAIN:—You will permit Surgeon Joseph Jones, who has orders from the Surgeon General, to visit the sick within the Stockade that are under medical treatment. Surgeon Jones is ordered to make certain investigations which may prove useful to his profession. By direction of General Winder. Very respectfully, W. S. WINDER, A. A. G.

  Captain H. WIRZ, Commanding Prison.

  Description of the Confederate States Military Prison Hospital at Andersonville. Number of prisoners, physical condition, food, clothing, habits, moral condition, diseases.

  The Confederate Military Prison at Andersonville, Ga., consists of a strong Stockade, twenty feet in height, enclosing twenty-seven acres. The Stockade is formed of strong pine logs, firmly planted in the ground. The main Stockade is surrounded by two other similar rows of pine logs, the middle Stockade being sixteen feet high, and the outer twelve feet. These are intended for offense and defense. If the inner Stockade should at any time be forced by the prisoners, the second forms another line of defense; while in case of an attempt to deliver the prisoners by a force operating upon the exterior, the outer line forms an admirable protection to the Confederate troops, and a most formidable obstacle to cavalry or infantry. The four angles of the outer line are strengthened by earthworks upon commanding eminences, from which the cannon, in case of an outbreak among the prisoners, may sweep the entire enclosure; and it was designed to connect these works by a line of rifle pits, running zig-zag, around the outer Stockade; those rifle pits have never been completed. The ground enclosed by the innermost Stockade lies in the form of a parallelogram, the larger diameter running almost due north and south. This space includes the northern and southern opposing sides of two hills, between which a stream of water runs from west to east. The surface soil of these hills is composed chiefly of sand with varying admixtures of clay and oxide of iron. The clay is sufficiently tenacious to give a considerable degree of consistency to the soil. The internal structure of the hills, as revealed by the deep wells, is similar to that already described. The alternate layers of clay and sand, as well as the oxide of iron, which forms in its various combinations a cement to the sand, allow of extensive tunneling. The prisoners not only constructed numerous dirt huts with balls of clay and sand, taken from the wells which they have excavated all over those hills, but they have also, in some cases, tunneled extensively from these wells. The lower portions of these hills, bordering on the stream, are wet and boggy from the constant oozing of water. The Stockade was built originally to accommodate only ten thousand prisoners, and included at first seventeen acres. Near the close of the month of June the area was enlarged by the addition of ten acres. The ground added was situated on the northern slope of the largest hill.

  The average number of square feet of ground to each prisoner in August 1864: 35.7

  Within the circumscribed area of the Stockade the Federal prisoners were compelled to perform all the offices of life—cooking, washing, the calls of nature, exercise, and sleeping. During the month of March the prison was less crowded than at any subsequent time, and then the average space of ground to each prisoner was only 98.7 feet, or less than seven square yards. The Federal prisoners were gathered from all parts of the Confederate States east of the Mississippi, and crowded into the confined space, until in the month of June the average number of square feet of ground to each prisoner was only 33.2 or less than four square yards. These figures represent the condition of the Stockade in a better light even than it really was; for a considerable breadth of land along the stream, flowing from west to east between the hills,
was low and boggy, and was covered with the excrement of the men, and thus rendered wholly uninhabitable, and in fact useless for every purpose except that of defecation. The pines and other small trees and shrubs, which originally were scattered sparsely over these hills, were in a short time cut down and consumed by the prisoners for firewood, and no shade tree was left in the entire enclosure of the stockade. With their characteristic industry and ingenuity, the Federals constructed for themselves small huts and caves, and attempted to shield themselves from the rain and sun and night damps and dew. But few tents were distributed to the prisoners, and those were in most cases torn and rotten. In the location and arrangement of these tents and huts no order appears to have been followed; in fact, regular streets appear to be out of the question in so crowded an area; especially too, as large bodies of prisoners were from time to time added suddenly without any previous preparations. The irregular arrangement of the huts and imperfect shelters was very unfavorable for the maintenance of a proper system of police.

  The police and internal economy of the prison was left almost entirely in the hands of the prisoners themselves; the duties of the Confederate soldiers acting as guards being limited to the occupation of the boxes or lookouts ranged around the stockade at regular intervals, and to the manning of the batteries at the angles of the prison. Even judicial matters pertaining to themselves, as the detection and punishment of such crimes as theft and murder appear to have been in a great measure abandoned to the prisoners. A striking instance of this occurred in the month of July, when the Federal prisoners within the Stockade tried, condemned, and hanged six (6) of their own number, who had been convicted of stealing and of robbing and murdering their fellow-prisoners. They were all hung upon the same day, and thousands of the prisoners gathered around to witness the execution. The Confederate authorities are said not to have interfered with these proceedings. In this collection of men from all parts of the world, every phase of human character was represented; the stronger preyed upon the weaker, and even the sick who were unable to defend themselves were robbed of their scanty supplies of food and clothing. Dark stories were afloat, of men, both sick and well, who were murdered at night, strangled to death by their comrades for scant supplies of clothing or money. I heard a sick and wounded Federal prisoner accuse his nurse, a fellow-prisoner of the United States Army, of having stealthily, during his sleep inoculated his wounded arm with gangrene, that he might destroy his life and fall heir to his clothing.

  The large number of men confined within the Stockade soon, under a defective system of police, and with imperfect arrangements, covered the surface of the low grounds with excrements. The sinks over the lower portions of the stream were imperfect in their plan and structure, and the excrements were in large measure deposited so near the borders of the stream as not to be washed away, or else accumulated upon the low boggy ground. The volume of water was not sufficient to wash away the feces, and they accumulated in such quantities in the lower portion of the stream as to form a mass of liquid excrement heavy rains caused the water of the stream to rise, and as the arrangements for the passage of the increased amounts of water out of the Stockade were insufficient, the liquid feces overflowed the low grounds and covered them several inches, after the subsidence of the waters. The action of the sun upon this putrefying mass of excrements and fragments of bread and meat and bones excited most rapid fermentation and developed a horrible stench. Improvements were projected for the removal of the filth and for the prevention of its accumulation, but they were only partially and imperfectly carried out. As the forces of the prisoners were reduced by confinement, want of exercise, improper diet, and by scurvy, diarrhea, and dysentery, they were unable to evacuate their bowels within the stream or along its banks, and the excrements were deposited at the very doors of their tents. The vast majority appeared to lose all repulsion to filth, and both sick and well disregarded all the laws of hygiene and personal cleanliness. The accommodations for the sick were imperfect and insufficient. From the organization of the prison, February 24, 1864, to May 22, the sick were treated within the Stockade. In the crowded condition of the Stockade, and with the tents and huts clustered thickly around the hospital, it was impossible to secure proper ventilation or to maintain the necessary police. The Federal prisoners also made frequent forays upon the hospital stores and carried off the food and clothing of the sick. The hospital was, on the 22d of May, removed to its present site without the Stockade, and five acres of ground covered with oaks and pines appropriated to the use of the sick.

  The supply of medical officers has been insufficient from the foundation of the prison.

  The nurses and attendants upon the sick have been most generally Federal prisoners, who in too many cases appear to have been devoid of moral principle, and who not only neglected their duties, but were also engaged in extensive robbing of the sick.

  From the want of proper police and hygienic regulations alone it is not wonderful that from February 24 to September 21, 1864, nine thousand four hundred and seventy-nine deaths, nearly one-third the entire number of prisoners, should have been recorded. I found the Stockade and hospital in the following condition during my pathological investigations, instituted in the month of September, 1864:

  STOCKADE, CONFEDERATE STATES MILITARY PRISON.

  At the time of my visit to Andersonville a large number of Federal prisoners had been removed to Millen, Savannah; Charleston, and other parts of, the Confederacy, in anticipation of an advance of General Sherman's forces from Atlanta, with the design of liberating their captive brethren; however, about fifteen thousand prisoners remained confined within the limits of the Stockade and Confederate States Military Prison Hospital.

  In the Stockade, with the exception of the damp lowlands bordering the small stream, the surface was covered with huts, and small ragged tents and parts of blankets and fragments of oil-cloth, coats, and blankets stretched upon stacks. The tents and huts were not arranged according to any order, and there was in most parts of the enclosure scarcely room for two men to walk abreast between the tents and huts.

  If one might judge from the large pieces of corn-bread scattered about in every direction on the ground the prisoners were either very lavishly supplied with this article of diet, or else this kind of food was not relished by them.

  Each day the dead from the Stockade were carried out by their fellow-prisoners and deposited upon the ground under a bush arbor, just outside of the Southwestern Gate. From thence they were carried in carts to the burying ground, one-quarter of a mile northwest, of the Prison. The dead were buried without coffins, side by side, in trenches four feet deep.

  The low grounds bordering the stream were covered with human excrements and filth of all kinds, which in many places appeared to be alive with working maggots. An indescribable sickening stench arose from these fermenting masses of human filth.

  There were near five thousand seriously ill Federals in the Stockade and Confederate States Military Prison Hospital, and the deaths exceeded one hundred per day, and large numbers of the prisoners who were walking about, and who had not been entered upon the sick reports, were suffering from severe and incurable diarrhea, dysentery, and scurvy. The sick were attended almost entirely by their fellow-prisoners, appointed as nurses, and as they received but little attention, they were compelled to exert themselves at all times to attend to the calls of nature, and hence they retained the power of moving about to within a comparatively short period of the close of life. Owing to the slow progress of the diseases most prevalent, diarrhea, and chronic dysentery, the corpses were as a general rule emaciated.

  I visited two thousand sick within the Stockade, lying under some long sheds which had been built at the northern portion for themselves. At this time only one medical officer was in attendance, whereas at least twenty medical officers should have been employed.

  Died in the Stockade from its organization, February 24, 186l to

  September 2l ......................
..............................3,254

  Died in Hospital during same time ...............................6,225

  Total deaths in Hospital and Stockade ...........................9,479

  Scurvy, diarrhea, dysentery, and hospital gangrene were the prevailing diseases. I was surprised to find but few cases of malarial fever, and no well-marked cases either of typhus or typhoid fever. The absence of the different forms of malarial fever may be accounted for in the supposition that the artificial atmosphere of the Stockade, crowded densely with human beings and loaded with animal exhalations, was unfavorable to the existence and action of the malarial poison. The absence of typhoid and typhus fevers amongst all the causes which are supposed to generate these diseases, appeared to be due to the fact that the great majority of these prisoners had been in captivity in Virginia, at Belle Island, and in other parts of the Confederacy for months, and even as long as two years, and during this time they had been subjected to the same bad influences, and those who had not had these fevers before either had them during their confinement in Confederate prisons or else their systems, from long exposure, were proof against their action.

  The effects of scurvy were manifested on every hand, and in all its various stages, from the muddy, pale complexion, pale gums, feeble, languid muscular motions, lowness of spirits, and fetid breath, to the dusky, dirty, leaden complexion, swollen features, spongy, purple, livid, fungoid, bleeding gums, loose teeth, oedematous limbs, covered with livid vibices, and petechiae spasmodically flexed, painful and hardened extremities, spontaneous hemorrhages from mucous canals, and large, ill-conditioned, spreading ulcers covered with a dark purplish fungus growth. I observed that in some of the cases of scurvy the parotid glands were greatly swollen, and in some instances to such an extent as to preclude entirely the power to articulate. In several cases of dropsy of the abdomen and lower extremities supervening upon scurvy, the patients affirmed that previously to the appearance of the dropsy they had suffered with profuse and obstinate diarrhea, and that when this was checked by a change of diet, from Indian corn-bread baked with the husk, to boiled rice, the dropsy appeared. The severe pains and livid patches were frequently associated with swellings in various parts, and especially in the lower extremities, accompanied with stiffness and contractions of the knee joints and ankles, and often with a brawny feel of the parts, as if lymph had been effused between the integuments and apeneuroses, preventing the motion of the skin over the swollen parts. Many of the prisoners believed that the scurvy was contagious, and I saw men guarding their wells and springs, fearing lest some man suffering with the scurvy might use the water and thus poison them.