CHAPTER XIV
THE DIVISION OF HOSPITALIZATION
GENERAL OUTLINE OF DEVELOPMENT AND ACTIVITIES
The broader activities of the hospitalization division, especially in so far as they pertained to projects, procurement, and organization of hospitals, general control of the professional services, Medical Department transportation, and evacuation of patients, are described in other chapters of this volume. This chapter has to do only with a general outline of this division's development and activities.
Securing adequate hospital beds was one of the earliest tasks, and continuedto be one of the greatest and most difficult of the Medical Departmentof the American Expeditionary Forces until after the armistice had beensigned.1 That the needs as to hospital beds were met, generallyspeaking, and that there was always a surplus of several thousand hospitalbeds, were the results of great effort and the use of all possible expendientsto utilize available resources to the utmost.2
The necessity for close cooperation between the Medical Department ofthe American Expeditionary Forces and the medical services of our Allies,especially France, in the provision of hospital facilities was apparentfrom the outset.1 Prior to the arrival of headquarters, A. E.F., the question of hospitals had been taken up with the French Ministerof War, and a Medical Department member of the American mission with amedical officer of the French Army had made an extensive inspection tripwith a view of determining what French military hospitals might be availableand suitable for the American Expeditionary Forces.1 All Atlanticports in France were visited and their hospital facilities investigated,1so that even before the arrival of our first contingent of troops it waspossible for the French to begin work for us on a camp hospital at St.Nazaire, and for the existing French hospitals in the vicinity of thatport to be evacuated and prepared for transfer to the American ExpeditionaryForces as soon as American personnel became available.1
After the arrival in France of the chief surgeon, A. E. F., he and theAmerican medical officer above referred to covered almost the same itineraryas that followed in the inspection trip which the latter already had conducted,with a view of locating hospitals and Medical Department supply depotsand of procuring immediate facilities for the medical service of the troopsthen expected.1
When organization of the chief surgeon's office was amplified, July28, 1917, the hospital division of that office was charged with all questionsthat concerned the Medical Department pertaining to the location, procurement,construction, and repair of hospitals, the care and evacuation of sickand wounded, the provision and control of hospital trains, ambulances andbarges, and the training of Medical Department personnel.3 Thechief of this division was also designated liaison officer between theAmerican and French medical services. The great
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majority of Medical Department questions which required negotiationduring the early formative period of the American Expeditionary Forcespertained to the procurement of hospitals and the determination of generalpolicies.1
When the chief surgeon for the line of communications was assigned,July 18, 1917, he was charged with certain duties then carried out by theoffice of the chief surgeon, A. E. F.4 These were to includecontrol of base hospitals, medical supplies and personnel in the line ofcommunications. However, until headquarters, A. E. F., moved, September1, 1917, from Paris to Chaumont, there was very close contact between thechief surgeons of the American Expeditionary Forces and of the line ofcommunications in matters pertaining to hospitalization as well as otheraffairs.1 Thereafter, in so far as hospitals were concerned,the office of the chief surgeon, A. E. F., while located at Chaumont, wasmore particularly concerned with procurement of facilities and generalpolicies concerning hospitals. Very important parts of this service pertainedto the fixation of the bed capacity of base, camp and evacuation hospitals,the determination of the duty personnel required to serve units of eachclass, the provision of convalescent camps and depots, and the preparationof the plans and specifications for hospital construction.5On the other hand, the office of the chief surgeon, line of communications,was concerned with establishment of fixed hospitals throughout the expandingterritory of the lines of communications, the provision for their supplyand the control of their administration. When headquarters and the supplyand administrative services of the American Expeditionary Forces were reorganizedby General Orders, No. 31, G. H. Q., A. E. F., February 16, 1918, the chiefsurgeon moved with the chiefs of most other administrative staffs to Tours,where his office absorbed that of the chief surgeon, line of communications.1Two of the officers who had been identified with the hospitalization divisionof the chief surgeon's office, A. E. F., remained at Chaumont, one of thembeing detailed to serve as representative of the chief surgeon with thegeneral staff, the other with the fourth section of that body (with whichthe representative of the chief surgeon, at G. H. Q., soon identified himself).Another officer was now placed at the head of the hospital division.1This division was now charged with general matters pertaining to hospitalization,administration and evacuation, while the medical officers attached to G-4were charged with the hospitalization of the armies in the field, the locationand procurement of sites of fixed hospitals, negotiations with the FrenchMission, and broad questions of general policy which required action bythe general staff.1 Their activities in these matters conformedto the plans of the hospitalization division of the chief surgeon's officeat Tours.1 This division, as ultimately organized, administeredthe duties outlined above in the manner shown in the following schedule:6
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HOSPITALIZATION AND EVACUATION DIVISION
(Corrected to November 1, 1918)
A. General administration (one officer).
B. Procurement and construction section (five officers).
Hospital projects.
Transfer ofhospital and property from French central authorities.
Offers ofland and buildings for hospital purposes.
Leasing ofland, buildings; etates des lieux.
Hospital plansand construction.
Repairs tohospitals.
Sanitary appliances,plumbing, water, sewerage, light.
Procurementand distribution of tentage.
Coordinationwith engineers, railroad and construction, and quartermaster.
Inspectionand reports on all included in above items.
Referencemaps and graphic charts.
C. Administration and policy section (six officers).
Hospitals:
Centers.
Base.
Camp.
Convalescent (hospitals and camps).
Special.
Red Cross (military and homes).
Boards:
Disability.
Classification.
General.
Inspections:
Action on reports.
Authorization of.
Action on complaints.
Instruction:
Officers.
Enlisted men.
Personnelrequirements:
Medical.
Quartermaster.
Engineers.
Etc.
Regulations:General policy of.
War diaryhospitalization section.
Historicalrecord of hospitalization.
Coordinationof administration with other departments and professional section.
D. Personnel and equipment; statistical and liaison section(two officers).
(1) Dailybed report of base hospitals and convalescent camps.
Weekly bed report of all hospitals.
Monthly bed and authorization report of all hospitals.
Statistical tables.
(2) Liaison,chief quartermaster's office reference:
(a) Laundries.
(b) Bakeries.
(c) Fuel.
(d) Subsistence.
(e) Ranges, stoves, etc., for hospitals.
(3) Care ofand location of Medical Department units arriving from United States.
(4) Installationof new hospitals, initial equipment and supplies.
(5) Assemblyand shipment of mobile hospitals and mobile surgical units.
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E. Evacuation and transportation section (six officers).
Primary, secondary, and special evacuation of sick and wounded.
Collection of evacuables of class D and their assembly at base ports for transfer to the United States.
Transfer and assembly of special classes of patients at special hospitals.
Liaison with Navy Department representatives reference to transfer patients to home ports by Navy transports.
Liaison with French mission reference to disposition American patients in French hospitals.
Liaison with British mission reference to disposition American patients in British hospitals.
Liaison with troop movement bureau reference to routing evacuables from hospitals to casual depots, depot divisions, and regulating stations.
Liaison with armies and general headquarters through representatives at regulating stations.
Records and statistics of evacuations.
Hospital trains, personnel, supply, inspections and regulations, requirements and specifications, auditing of accounts for purchases and rental.
Motor transportation. Shipments from United States, arrivals and shortages in France, losses, furnishing of transportation and equipment by other agencies. Records of transportation for identification; registration cards; assignment of motor transportation in Services of Supply and to arriving sanitary trains.
Records of assembling, repairs, maintenance, and storage of equipment. Personnel, supply, inspections and regulations for evacuation ambulance companies.
Service of light, railway, and canal. Construction of cars and appliances for supporting litters. Records of transportation. Obtaining sanitary personnel for this service.
Liaison with railway transport service and Motor Transport Corps and light railway and canal service.
Under the immediate jurisdiction of the hospitalization division, but not actually pertaining to it, was the group of professional consultants at Neufchateau. These consultants supplemented the purely official activities of the hospitalization division by their supervision and direction of the technical, medical, and surgical services rendered the patients in hospital.7
Instructions concerning the partitioning of military hospitals intotwo classes, and the determination of the field of Medical Department responsibilityin the control of hospitals under the jurisdiction of the Services of Supplywere published, as follows:
Bulletin No. 29.
AMERICAN EXPEDITIONARY FORCES,
HEADQUARTERS, SERVICES OF SUPPLY,
France, August 30, 1918.
1. All hospitals, except evacuation and field hospitals, are hereby designated as S. O. S. (Services of Supply) formations. These hospitals are divided into two classes. The first class includes hospital centers and base or special hospitals disconnected from hospital centers. The second class includes camp or other hospitals serving purely local purposes.
2. Hospitals of the first class have the status of generalhospitals and are under the control of the commanding generals of the sectionsin which they are located only in the matter of discipline, guard, inspection,construction, supply, and fire protection. They are under the direct controlof chief surgeon, A. E. F., in all other matters, including general administration,control of personnel, care and evacuation of the sick and wounded, etc.
3. Commanding officers of hospitals of the first classhave the responsibility and authority of post commanders in addition totheir duty in connection with the general management
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of the hospitals. They are authorized to appoint disabilityboards for the service of their hospitals, as provided in section 1, G.O. 41, G. H. Q., A. E. F., 1918. They are authorized to communicate directwith the American Red Cross convalescent homes and to issue the necessaryorders to send cases to such homes, where accommodations are available.
4. They will apply to section commanders for necessaryguards. The commander of such guard, if a commissioned officer, will reportto the medical officer commanding for instructions as to the characterof the guard duty to be preformed and he will exercise no control overthe sanitary formation. If the guard be reported by a noncommissioned officer,it will be under the immediate control of the medical officer of the day.
5. Hospitals of the second class, including those servingschool areas, are under the control of the commanding generals of the sectionsin which they are located. This control will be exercised through the surgeonon the staff of the section commander.
6. Supplies for hospitals, except medical supplies, andallotments for repairs will be obtained from headquarters of the sectionin which the hospital is located. Medical supplies will be obtained byrequisition on depots in the manner specified from time to time by thechief surgeon.
By command of Major General Harbord:
JOHNSON HAGOOD, Chief of Staff.
Official:
L. H. BASH,AdjutantGeneral.
Such of the activities of the American National Red Cross as were conductedin the American Expeditionary Forces and as pertained to military hospitilizationand supplies were under the control of G-4.5 In the zone ofthe armies, the hospitals of this society were under the control of G-4-B;i. e., the Medical Department element of the fourth section of the generalstaff.5 When American Red Cross hospitals were taken over bythe Army they became part of its effective hospitalization service, andas such were under the supervision of the hospitalization division of thechief surgeon's office.5
Though a large number of possible locations for hospitals had been selectedprior to the transfer of the chief surgeon's office from Chaumont, theneed for others steadily progressed. When the hospitalization divisiondesired further procurement it so notified the chief surgeon's representativeat general headquarters.5 In discharging this duty, the groupwith G-4 would learn whether the site proposed had a prior claim upon iteither by the French or by another branch of our service; whether railwayfacilities (e. g., strength of bridges) were such that it was readily accessibleby trains carrying patients from the front and by others bringing suppliesfrom the rear; whether the terrain was suitable, if new construction wasplanned, or whether available buildings were approximately satisfactoryif use of such structures was contemplated; whether the water supply wasadequate, etc.5 Suitability of the terrain had been a factorin the early tentative selection of each site, but this was reexaminedwhen information was received designating definitely the number of buildingsthat would be necessary for a specific project.5
Efforts were made in advance to prepare hospital facilities for arrivingtroops. To this end surgeons of base sections were directed to make preliminaryarrangements for the care of the sick of incoming troops, and to notifysurgeons of the same concerning the hospitalization and transportationof their sick pending the establishment of their own infirmaries and camphospitals.8
In order that hospitals might be established and equipped before thearrival of troops, the chief surgeon, A. E. F., notified the assistantchief of staff, G-4,
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general headquarters, that he would have to be informed sufficientlyin advance as to the training areas to which the troops concerned wouldgo.9 He also notified the assistant chief of staff, G-3, thateach division surgeon should come to France with the advance party of thedivision to make the necessary hospital preparation.10
On request of the hospitalization division to the supply division ofthe chief surgeon's office, property was shipped to different hospitalswithout requisition by the commanding officer of the hospital concerned.Such property included equipment for base hospitals,11 complete,crisis expansion equipment,12 disinfectors,13 anda wide range of other supplies and material including tentage.11Similarly, the hospitalization division made application upon the AmericanRed Cross for a variety of supplies and installations (e. g., portableice machines)14 and upon the chief quartermaster for equipmentof incoming hospitals with such items as heating stoves,15 ranges,marmites, hot water reservoirs, cooking utensils, and messing equipment.16Its activities extended into great detail for it formulated lists of thequota of heating stoves and cooking ranges necessary for each type of unit,itemized the utensils which should accompany each range,16 anddetailed the equipment of ward diet kitchens,17 of AmericanRed Cross diet kitchens18 and specified articles comprisinga surgical ward dressing unit,19 the equipment for a 1,000-bedtent crisis expansion,20 the furniture unit for a tent ward,21the furniture unit for a ward containing normal beds,22 andprescribed in explicit detail the character and quantity of all suppliesauthorized for each of the different types of hospitals and for each departmentof a hospital. It supervised the organization, selection and provisionof equipment for mobile hospitals, mobile surgical units and other newlycreated and specialized hospital agencies, as well as of the base or camphospitals discharging their usual service, procured authorization for convalescentcamps and prescribed their organization, equipment and operation.23It notified the division of laboratories of the arrival and assignmentof base hospitals in order that the division of laboratories might makeappropriate contact with the respective laboratory services.24Some hospitals were assigned to the service of particular classes of cases,such as cases of psychoneurosis, tuberculosis, bone and joint, cranialand maxillofacial injuries.25 The proper selection of specialistpersonnel for assignment, their supervision and the procurement and distributionof technical equipment were essential in order that satisfactory resultsmight be attained in the treatment of patients.25 That partof the Medical Department which was charged with the professional careof patients was under control of the hospitalization division.26It was also necessary that special foodstuffs be provided and that personneland equipment suitable for their preparation be furnished.27The provision of labor, fuel, pure water, illumination, and transportationwere a few of the other interests of the hospital service throughout theAmerican Expeditionary Forces. The hospitalization division was thus chargedwith the provision of hospital needs, for their satisfaction, the utilizationof resources to the best advantage, and general administration of the serviceof hospitalization and evacuation.27 The fact that over threethousand items were listed among the supplies required by the Medical Department(most of these pertaining to its hospital service) illustrated the highlytechnical character of the professional services rendered.27
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The hospital division of the chief surgeon's office, A. E. F., conductedits general administration by means of instructions which were incorporatedin circulars, circular letters and memoranda from the chief surgeon's office,and by telegrams, letters or telephone conversations with the parties interested.Inspections were conducted by general inspectors, by members of the hospitalizationand finance divisions of the chief surgeon's office and by the professionalconsultants.28 Information was also disseminated by the WeeklyBulletin published by the chief surgeon's office.28 Specialinspectors constantly visited the hospitals to instruct the inexperiencedin military methods of administration, to secure the formulation of moreaccurate reports, and to improve all elements of the service dischargedby those units.29
The gravest difficulty which the hospitalization division experiencedarose from the lack of adequate personnel for fixed hospitals. As statedin Chapter V of this section, base hospitals were stripped of all availableofficers, nurses, and men to form operating and other teams for servicein the zone of the armies and to staff the camp hospitals. Provision ofpersonnel for the last mentioned units, the chief surgeon declared, wasthe most difficult problem of the Medical Department in the American ExpeditionaryForces.30
The hospitalization division compiled two consolidated bed reports,a weekly report31 and a daily report.32 Both of thesewere based upon telegraphic reports of bed status (number of designatedbeds, both normal and crisis expansion, and occupied and vacant) receivedfrom the various stationary hospitals in the Services of Supply. The purposeof the weekly consolidated report was to have at hand, not only for thechief surgeon but also for headquarters, Services of Supply, and headquarters,general headquarters, a complete statement of the hospital bed situation,in order that the necessity for the additional provision of hospital bedscould be foreseen.
The hospitalization division did not require at first that bed reportsof field hospitals when operating as purely divisional units be submittedto the chief surgeon's office direct.32 Later it was requiredthat weekly bed reports be telegraphed by field and evacuation hospitals,direct to the chief surgeon's office, and a form for this was prescribed.33Weekly telegraphic bed reports were required of the chief surgeons of theseveral armies.34 Considerable difficulty was experienced inthe effort to keep a correct, consolidated report of the hospitals attachedto combat units; consequently, on September 21, 1918, the chief surgeonrequested his representative with the general staff to notify him of changesof status of all hospitals attached to combat units.35 Frequentlyunits, such as field, evacuation, and mobile hospitals, arrived in France,opened, closed, and combined, etc., without word being received by thechief surgeon's office.35 The chief surgeon's representativeat general headquarters replied to the effect that in time of active operationscompliance with the above instructions would be very difficult largelybecause of the difficulties of communication between the division and corpssurgeons and the latter officers and the army surgeon. Positive ordersof general headquarters prohibited telephoning or telegraphing any informationconcerning a military location except in code, and code books were notsupplied to any unit smaller than a regiment. The chief surgeon's representativestated further that this information would undoubtedly be
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furnished when the organization became a smoother working machine, butthat it would have to be supplied by mail, which was a very uncertain methodof communication.36
In the late spring of 1918, when our Medical Department took over fromthe French the medical service to the rear of our combat divisions,5the necessity arose for having at hand a constantly corrected record ofthe hospital bed situation. The hospitalization division of the chief surgeon'soffice not only had to assign to a regulating station a definite numberof beds for casualties being evacuated from the front, but also must knowto which hospitals farther to the rear patients in hospitals nearer thefront could be cleared. Obviously weekly telegraphic reports from hospitalswould be totally inadequate for the purpose; consequently, daily bed reportsnow were required from all stationary hospitals in a manner similar tothat in which the weekly reports were made.32 It was this dailyreport of the bed situation in the hospitals of the Services of Supply,with which the evacuation section of the hospitalization division was mostconcerned.
On the date the armistice was signed the hospitalization division included41 per cent of the 61 officers then on duty in the chief surgeon's office,a fact which illustrates the relative extent of its activities.36
After the signing of the armistice the hospitalization division wasconcerned chiefly with the cancellation of projects, the transfer of patientsto base ports for evacuation to the United States, the closure of hospitals,and the storage of hospital equipment and supplies.37
The hospitalization activities of the chief surgeon's office, A. E.F., were continued along the lines outlined above until the American ExpeditionaryForces were succeeded first by the American forces in France and then bythe American forces in Germany.30
PERSONNELa
(July 28, 1917, to July 15, 1919)
Brig. Gen. James D. Glennan, M. C., chief.
Col. John L. Shepard, M. C., chief.
Col. Sanford W. Wadhams, M. C., chief.
PROCUREMENT AND CONSTRUCTION SECTION
Col. James D. Fife, M. C., chief.
Col. Arnold D. Tuttle, M. C., chief.
Lieut. Col. Rolf Floyd, M. C.
Capt. John A. P. Millett, M. C.
Capt. Martin D. Mims, San. Corps.
Capt. Harold Rich, San. Corps.
Capt. Donald V. Trueblood, M. C.
First Lieut. Garrett S. De Grange, jr., San. Corps.
First Lieut. Peter A. Lelong, San. Corps.
First Lieut. George E. Russell, San. Corps.
aIn this list have been included the names of those who at one time or another were assigned to the division during the period July 28, 1917, to July 15, 1919.
There are two primary groups-the heads of the division or the section and the assistants. In each group names have been arranged alphabetically, by grades, irrespective of chronological sequence of service.
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ADMINISTRATION AND POLICY SECTION
Col. Frederick P. Reynolds, M. C., chief.
Col. John L. Shepard, M. C., chief.
Lieut. Col. Leartus J. Owen, M. C., chief.
Col. Shelley V. Marietta, M. C.
Maj. Earnest L. Scott, San. Corps.
PERSONNEL AND EQUIPMENT; STATISTICAL AND LIAISON SECTION
Col. Thomas H. Johnson, M. C., chief.
Lieut. Col. Lucius L. Hopwood, M. C., chief.
EVACUATION AND TRANSPORTATION SECTION
Col. Robert M. Culler, M. C., chief.
Col. George P. Peed, M. C., chief.
Col. Frank W. Weed, M. C., chief.
Lieut. Col. Howard Clarke, M. C.
Capt. James E. Barney, San. Corps.
Capt. Joseph E. Murray, San. Corps.
REFERENCES
(1) Wadhams, S. H., Col., M. C., and Tuttle, A. D., Col.,M. C.: Some of the early problems of the Medical Department, A. E.F., The Military Surgeon Washington, D. C., December, 1919, xlv,No. 6, 636.
(2) Final report of Gen. John J. Pershing, September 1,1919, 77.
(3) War diary, chief surgeon's office, A. E. F., July28, 1917. On file, Historical Division, S. G. O.
(4) War diary, chief surgeon's office, A. E. F., July21, 1917. On file, Historical Division, S. G. O.
(5) Report from the chief of the medical group, G-4 sectionof the general staff, G. H. Q., A. E. F., to the chief of G-4, generalstaff, G. H. Q., A. E. F., December 31, 1918. Subject: Activities of G-4-B,for the period embracing the beginning and end of American participationin hostilities. Copy on file, Historical Division, S. G. O.
(6) Schedule of organization of hospitalization and evacuationdivision (corrected to November 1, 1918). On file, A. G. O., World WarDivision, chief surgeon's files (322.32911).
(7) Report from Col. W. L. Keller, M. C., director ofprofessional services, A. E. F., to the chief surgeon, A. E. F., December31, 1918. Subject: Brief outline of the organization and activities ofthe professional services between April, 1918, and December 31, 1918. Onfile, Historical Division, S. G. O.
(8) Letter from the chief surgeon, A. E. F., to surgeon,Base Section No. 2, October 14, 1918. Subject: Hospitalization of incomingtroops. On file, A. G. O., World War Division, chief surgeon's files (322.32911).
(9) Memorandum from the chief surgeon, A. E. F., to assistantchief of staff, G-4, G. H. Q., A. E. F., October 13, 1918. Subject: Notificationof incoming divisions. On file, A. G. O., World War Division, chief surgeon'sfiles (322.32911).
(10) Memorandum from the chief surgeon, A. E. F., to theassistant chief of staff, G-3, October 21, 1918. Subject: Division surgeonwith advance party. On file, A. G. O., World War Division, chief surgeon'sfiles (322.32911).
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(11) Letter from the chief surgeon, A. E. F., to the commandingofficer, Base Hospital No. 14, A. E. F., July 28, 1918. Subject: Equipment.On file, World War Division, A. G. O., chief surgeon's files (322.32911.)
(12) Memorandum from the chief of hospitalization divisionto the chief of the supply division, July 11, 1918. Subject: Crisis expansionequipment. On file, A. G. O., World War Division, chief surgeon's files(322.32911).
(13) Letter from the chief surgeon, A. E. F., to commandingofficer, Camp Hospital No. 27, August 5, 1918. Subject: Replacement ofQuartermaster Department disinfectors, On file, World War Division, A.G. O., chief surgeon's files (322.32911).
(14) Letter from the chief surgeon, A. E. F., to the chiefof Army Transport Service, June 8, 1919. Subject: Request shipment of portableice machines. On file, A. G. O., World War Division, chief surgeon's files(322.32911).
(15) Letter from the chief surgeon, A. E. F., to the chiefquartermaster, A. E. F., July 5, 1918. Subject: Heating stoves. On file,A. G. O., World War Division, chief surgeon's files (414.2).
(16) Letter from the chief surgeon, A. E. F., to the chiefquartermaster, A. E. F., May 31, 1918. Subject: Equipment. On file, A.G. O., World War Division, chief surgeon's files (414.2).
(17) Equipment of ward unit, diet kitchens (undated).On file, A. G. O., World War Division, chief surgeon's files (414.2).
(18) Red Cross diet kitchen equipment list (undated).On file, A. G. O., World War Division, chief surgeon's files (414.2).
(19) Memorandum from chief of hospitalization division,chief surgeon's office, A. E. F., to chief of supply division, June 19,1918. Subject: List of articles comprising a surgical ward dressing unit.On file, A. G. O., World War Division, chief surgeon's files (442).
(20) List showing "Equipment to be ordered for 1,000 beds-tentcrisis expansion, 24 wards." On file, A. G. O., World War Division, chiefsurgeon's files (440.1).
(21) "Furniture unit for a tent ward." On file, A. G.O., World War Division, chief surgeon's files (440.1)1.
(22) "Furniture unit-ward." On file, A. G. O., World WarDivision, chief surgeon's files (440.1).
(23) Statement based on general correspondence concerninghospitalization. On file, A. G. O., World War Division, chief surgeon'sfiles (322.32911).
(24) Report from Col. J. F. Siler, M. C., director oflaboratories and infectious diseases, to the chief surgeon, A. E. F. (undated).Subject: Activities of the division of laboratories and infectious diseases,from August, 1917, to July, 1919. On file, Historical Division, S. G. O.
(25) Report of the activities, hospital center, Vichy;also, report of the activities of Base Hospital No. 117, prepared underthe direction of the respective commanding officers (undated). On file,Historical Division, S. G. O.
(26) Schematic chart of Medical Department organization,A. E. F. Approved by the commander in chief, A. E. F., March 6, 1918. Onfile, Historical Division, S. G. O.
(27) Report from the chief surgeon, A. E. F., to the commandinggeneral, A. E. F., April 17, 1919. Subject: The Medical Department, A.E. F., to November 11, 1918. On file, Historical Division, S. G. O.
(28) Statement based on circulars, circular letters, andweekly bulletins, published by the chief surgeon's office, A. E. F. Onfile, Historical Division, S. G. O.
(29) Report from the chief surgeon, A. E. F., to the commandinggeneral, A. E. F. (undated), Subject: Outline report of chief surgeon,A. E. F. Copy on file, Historical Division, S. G. O.
(30) Report from the chief surgeon, A. E. F., to the SurgeonGeneral, U. S. Army, May 1, 1919. Subject: Activities of the chief surgeon'soffice, A. E. F., to May 1, 1919. On file, Historical Division, S. G. O.
(31) Letter from the chief surgeon, A. E. F., to the commandingofficers of base, camp, and Red Cross hospitals, May 17, 1918. Subject:Weekly bed reports. On file, A. G. O., World War Division, chief surgeon'sfiles (632.1).
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(32) First indorsement, from the chief surgeon, A. E.F., to commanding officer, 164th Field Hospital Co., June 20, 1918; onletter from the commanding officer, 164th Field Hospital Co. to the chiefsurgeon, A. E. F., June 16, 1918. Subject: Daily report of patients inhospital. On file, A. G. O., World War Division, chief surgeon's files(632.1).
(33) Letter from the chief surgeon, A. E. F., to the chiefsurgeon, Third Army, January 17, 1919. Subject: Weekly telegraphic bedreports. On file, A. G. O., World War Division, chief surgeon's files (632.1).
(34) Letter from the chief surgeon, A. E. F., to chiefsurgeon, First Army, January 17, 1918. Subject: Weekly telegraphic bedreports. On file, A. G. O., World War Division, chief surgeon's files (632.1).
(35) Memorandum from the chief surgeon, A. E. F., to Col.S. H. Wadhams, M. C., G-4, G. H. Q., A. E. F., September 21, 1918. Subject:Information regarding change of status of hospitals. On file, A. G. O.,World War Division, chief surgeon's files (320.23).
(36) Memorandum from Col. S. H. Wadhams, M. C., to thechief surgeon, A. E. F., September 30, 1918. Subject: Information regardingchange of status of hospitals. On file, A. G. O., World War Division, chiefsurgeon's files (320.23).
(37) War diaries, chief surgeon's office, November 16,1918, to June 30, 1919.
(38) Report of the Medical Department activities of theThird Army (undated), by Col. J. C. Grissinger, M. C.; also, letter fromthe chief surgeon, A. F. in F., to the commanding general, A. F. in F.,December 30, 1919. Subject: Report from July 1 to December 31, 1919. Bothon file, Historical Division, S. G. O.
