Armies -- Medical and sanitary affairs; Epidemics -- History; Medicine, Military -- History; Military hygiene
Since even in time of peace the close quarters in which soldiers live in
barracks greatly favour the outbreak of epidemics, the military
authorities constantly watched and profited by these advances in the
field of disease-prevention; and with the success of efforts to decrease
the prevalence of infectious diseases among the soldiers in time of
peace, so also in war-times it became possible to check more thoroughly
than ever before the dissemination of these diseases. Hence the number
of men carried away by epidemics is much smaller in modern wars than
used to be the case.
1. THE RUSSO-TURKISH WAR OF 1877–8[304]
The Russo-Turkish War of 1877–8, like all former wars with Turkey, was
characterized by severe pestilences, which at both seats of the war, the
European as well as the Asiatic, were responsible for large numbers of
deaths. Typhus fever, which frequently made its appearance in Russia and
in the Balkan Peninsula, was once more the disease which made the
greatest havoc. In the years preceding the war it had raged in the form
of epidemics in several Russian Governments, and it is probable that the
Russian army was already infected with it. Erisman states that cases of
typhus fever were observed among the soldiers in the thirty-fifth
infantry division when it was being assembled in the Government of Kiev;
the disease also revealed its presence among the troops when they were
mustered at Kishinev (Bessarabia) before the war broke out. In April and
May 1877, when the army was advancing toward the Danube under a steady
downpour of rain, the number of sufferers from typhus fever,
intermittent fever, and dysentery increased considerably. During the
siege of Plevna, which lasted 143 days and terminated in the
capitulation of the city on December 10, 1877, the prevalence of disease
increased still more. The march across the Balkan Peninsula in the
winter of 1877–8 made great demands upon the badly nourished Russian
troops. The better conditions anticipated in the Balkan lowlands did not
show themselves; on the contrary, here began, from the standpoint of
sanitation, the most unfortunate part of the campaign, since the
retreating Turks had devastated the entire country. The number of
typhus-fever patients in the Russian army, which numbered some 411,000
men, increased to 18,049 in the month of February 1878, and of these
7,522 had spotted fever and 1,540 died. The pestilence continued to rage
with unbroken severity until May; in June it began to abate. The total
number of fever-patients and deaths in the Russian army during its march
to the Danube is indicated by the following table:
_Patients._ _Deaths._
Typhoid fever 25,088 7,207
Gastric fever 38,363 1,615
Typhus fever 32,451 10,081
Relapsing fever 39,337 4,849
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