Armies -- Medical and sanitary affairs; Epidemics -- History; Medicine, Military -- History; Military hygiene
Very great difficulties, to be sure, confront the efforts made in war
times to prevent the outbreak of infectious diseases. If the struggle is
carried on in an infected region, the troops are often compelled to seek
shelter in infected houses; thus during the battles of Orléans and Le
Mans in the Franco-German War the troops, in order to protect themselves
against the severe winter cold, had to live in houses which small-pox
patients had shortly before occupied or were actually occupying at the
time. Circumstances frequently arise which render impossible the
adoption of the most effective measure calculated to prevent the
dissemination of a pestilence, that is, the isolation of infected
divisions of troops; one can readily imagine how difficult this would be
in the case of an army re-forming after a lost battle. Furthermore, even
if one of the belligerent armies is doing all it can to prevent diseases
from spreading, its efforts must be seriously handicapped if the enemy’s
army does not include an equally diligent sanitary corps and does not
devote the same amount of energy to the prevention of the outbreak and
dissemination of infectious diseases. For even if a sanitary corps is
successful in warding off a reaction upon its own troops, nevertheless
this reaction is sure to take place with respect to the civil
inhabitants of the country in which the war is waged.
During a war, the civil authorities must also do their part in
preventing diseases from spreading to the civil population. The local
administrations of a region in which fighting is going on are powerless.
The generals care very little whether or not a city or village in the
enemy’s country is infected by their troops, whom they quarter in
whatever house or place best suits their purpose. On the other hand, the
communities in which military prisons are located are confronted with a
very difficult problem, since these prisons, if infected men are
confined in them, easily develop into centres of infection; this fact
was observed a hundred times in the year 1870. If a disease breaks out
in a community in consequence of the fact that a military prison has
been established there, in my opinion it is incumbent on the central
government of the country to support the local authorities in their
efforts to check the disease, and to give them financial help as well as
scientific advice. Unfortunately, it is not to be denied that, in many
small cities and in almost all rural communities, absolutely no
provision is made for the isolation of persons suffering from infectious
diseases; the authorities justify themselves with the reflection that in
case of emergency barracks can quickly be erected for the purpose, but
at the same time they fail to remember that working-men are not always
available in the storm and stress of war times, that building materials
in the general scarcity of supplies cannot always be procured with
sufficient promptitude, and that pestilences, if the isolation of the
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