« D-«4 
H&AD. UARTiKS 
Wist (u:) ho». W->L 
Ju'O *87 c/o FOSTVXSrti* 
Si* lu JC WSK T08K 
« D-«4 Final deport of 191st (U0) General Hospital. 
Urn VfttUfetioa. 
0. selfor*i 
1# Specie! Service and Ini'ona t on and ,duoat;ua Of flea 
2. American Had Cross 
3* Chaplaina 
4. last xcnanga 
2. JUOiiTl 
a. Aahlt mstofcXi 
Tha 191st (U ) General Hospital was aativsted at Ca-p F&rkeley, 
Taxaa, on 31 August 1944, in accordance with General Order So. 83, 
Angr ervice Forces, Headquarters 8th Service Coaoand, dated 5 
August 1V44 and T/0 8 £ 8-550, dated 3 July IV44 (1,COO bed). 
After eoApletion of training tha unit proceeded through the Boston 
rort of and departed tha continental Hails of tha 
United tataa on tha USD west oint at 1655 on 31 October 1944* 
Following debarkation at Liverpool, tngland, on 9 ioveaber 1944, 
tha unit moved to Caap Crookston, Scotland, share preparations for 
extended field service wars further completed. 
During tha period 9-13 December 1944, tha unit proceeded via 
Southampton, England to debark at Le Havre, France, after a crosa 
Civannsi Journey on Uia Ship Cheshire. Tha unit was staged at tret at, 
France between 15 to 20 Duce.*bar 1944, and departed for Verdun, France 
on the latter date, inroute, plans for the operation of the unit 
were altered, and at Sol aeons, tha unit was re-routed to Paris, 
and arrivsd at its ultimata destination at Villejuif, France on 
22 December 1944. Lstabllonnent of the hospital in the Asila da 
Villejuif, 25 Ave ds la jftapubli qua, Villejuif, Franaa was 
accomplished aa rapidly aa tha buildings ware evacuated of tha 
resident French psychiatric patients, and on 26 December 1944, the 
initial group of 292 patients were received. During tha queried 
28 to 31 December 1944, 612 patients were idad tied and 70 dis- 
positions ade. 
B. OD JtATIOa ,JiD IfiaSKWt 
1. Tha Hospital is organised into Administrative and Professional 
Divisions, in accordance with the following plant 
Commanding Officer 
Headquarters 
executive officer 
adjutant 
Personnel Adjutant, gllit&ry suid Civilian 
Plans and Training Officer 
Special Service Officer 
Info ration and Education Officer 
ruawrican Had Cross 
kodical Inspector Fi al ilc ort of IVlst (U ) General Hospital 
Head nit rU$r* (Coat'd) 
Vonenial Diaoasc Control Of.leer 
heccnditioning officer 
/dainjgtrative Division 
Coan&riiiiig Medical "etachaant 
flagislrtf 
Coonanding Officer, Oetaehiaont of Patients 
> delusion and Disposition Officsr 
Moss Officer 
supply Officer 
y«dlcai Dupply officsr 
Unit and General :;ttp» iy Officer 
Kotor Transportation Officer 
Utilities Officsr 
rrineipal Chief r4urse 
Cnisf Chaplain 
; rofeasional division 
lealcal Service 
General Medical Section 
Cardiovascular action 
Cowumioabls Disease 5 action 
Oastro-*Intestinal Section 
europsychiatric Section 
Clinical Psychologist 
Officers ord Section 
luglcal unrice s 
General . urgical action 
Operating pavilion Section 
Orthopedic e ctlon 
Physical therapy Section 
Uphthal»o logical Section 
utoriiinolaryngological lection 
Urology ection 
aoenigeno logical crvicc 
Laboratory Service 
Fnaraacy Section 
Dental Service 
Operative : ection 
Prosthetic section 
Oral urgery Section 
Outpatient ferrite 
Dispcnsaiy 
trophy leads 
2. The Mission of the 191st (US) General Hospital was at first 
to function as a link in the chain of evacuation hospitals, re* 
calving patients frosi the front line installations and evacuating 
the* to the U. K. and the t« !• A little later the iios itul was 
Ranged to a 120-day holding unit and definitive treatment given 
to patients. In the late spring of 1945# hay, the hospital plant 
(duabsr 4324) •** designated as a Meur*-* sychiatrlc Canter and the 
Majority of the oases handled fro* then until the unit eeaecd 
operation were patients in tfiat category. Final its, ort of IViat (U* ) General Hospital 
3. The atrantfth oT the 191at 0**n ral Hoa.ital (Hon dial 
i lant »At A>«r 4324) i» given in the following Table Z and graphically 
in Graph I. 
3KAMCH 
JAM 
F13 
UAH 
APR 
MAX 
JUM 
JUI 
AUO 
S&P 
CCT 
MOV 
AMC 
31 
31 
32 
34 
100 
110 
97 
92 
123 
103 
91 
DC 
5 
5 
5 
6 
. 8 
8 
6 
5 
7 
6 
0 
HD 
2 
2 
2 
3 
3 
3 
3 
3 
1 
2 
1 
MAC 
10 
10 
10 
13 
15 
13 
14 
16 
15 
11 
5 
EC 
30 
33 
33 
44 
44 
40 
33 
32 
23 
25 
13 
PT 
2 
2 
2 
2 
2 
2 
2 
2 
2 
2 
2 
$M C 
2 
2 
2 
2 
2 
2 
2 
1 
3 
4 
2 
WO 
1 
1 
1 
1 
I 
1 
1 
0 
0 
0 
0 
at 
44V 
446 
43V 
591 
513 
521 
534 
530 
609 
515 
515 
aOD 
1 
1 
1 
1 
1 
6 
0 
0 
0 
0 
0 
CaC 
0 
0 
0 
0 
0 
1 
JMC 
1 
0 
0 
0 
CM 
1 
1 
0 
1 
1 
1 
1 
0 
1 
1 
1 
CH C 
3 
2 
2 
3 
3 
3 
3 
4 
3 
2 
2 
IMF 
0 
0 
0 
0 
1 
1 
1 
1 
1 
1 
0 
AhO 
5 
5 
5 
5 
5 
5 
7 
7 
7 
7 
7 
TOTAL 
5V2 
591 
534 
755 
704 
711 
704 
694 
795 
634 
63V 
AV.*ttOiS 
mm 
CAPACITT 
5V3 
651 
797 
1697 
1943 
1593 
1621 
1070 
978 
932 
925 
TABLE X 
C. CL: I HO CUT, IHV RKL SlQtHL NT 9 
uadaployuaat did not affoot Utt iViot (U5) General Hos ital to 
aigr gmi dagraa until tho inauguration of tha *Oruan Project* in 
tha fall of 1945* At that tin* tan Radical Offieara ware want hose 
on vary abort notlea and raplaoaaanta vara slow in awing in during 
tha la aonth of operation. Tha problem of losing officers, as 
wall as nursaa and anllatad man, was a major ona. Final xieport of IVlet (U.:) General Ho*<dtal 
The ;>robloai of closing out of the Hospital Mont 4324 was 
simplified by the fact that on 9 November 1945 tha hospital was 
token error by tha 239th (Vs) General Hoe. itai, as a unit. 
Gas mason for many of tha numerous probl«as encountered by 
tha hospital was tha constant tom-over la assigned personnel. 
This turn-error was not limited to ikilieted Wen, but was shown vary 
markedly in all sections, chiefly la the nurses, and administrative 
heads from the Consenting Offieer on down tarough the various 
Section Chiefs, it present, .hen the unit le ready to leave the 
European Theater of Operations, them are none of the original 
nurseo left in the unit, only four sale officers and sixteen 
'killsted Ken* uoh a reshuffle of personnel within e year's tie* 
is extremely high* 
0. MIUTaKI <G3D CIVILIAN V:JL Limsit 
1. idol derations 
There were frequent changes made la the Cojoanding Officer 
and executive Offieer idiieh sde it difficult to establish a 
standard, fixed policy of operation and to develop along those 
lines. The Commanding Officers for this unit are given aa 
fellowst 
Colonel Chester N, Haberlin, NC- - -31 lug 44-20 Nay 45 
Colonel *aul UC 2? Uay - 4 /.ug 45 
Colonel John H, Maunan, MC • - - - -4 Aug - 3 rap 45 
Colonel Howard N, K, Zellheefer, NC-4 Bop - 23 fop 45 
Colonel Arnold A, Albright, WC - - -24 Top 45 - 
The xeeutive Officers for ths organisation werei 
Lt.Colonel tobert Prisooll, NC- - - 31 Aug 44-30 bar 45 
Lt.Coionoi laouel J, Newsom, NC - - 30 bar - 22 i-sp 45 
Unjar ban Plehkin, WC- -- -- -- 23 ep - 30 op 45 
Najor Wiliam Itelner-Deutsch, Sn C- 30 ep - 4 Nov 45 
Lt,Colonel rilllem J, NcCarty, KC - 5 Nov - 24 ‘lor 45 
Najor Conan J, Pelaon, UC ----- 24 *<ov 45 - 
There w*e a constant change in the heads of the various 
departments that made it even wore difficult to establish a 
standardised routine in the various sections within the hospital, 
itself, 
as the plant buoams a more specialised center for Meuro- 
Fsyehiatrie patlonto, additional problems presented tnenoelvee. 
Chief among tries® was the fact that the unit was called on to 
handle large nuabers of ps/ohi.trie patients, yet was not given 
sufficient trained perso nel to oops with the problems, It 
was necessary to place of fleers, classified as Orthopedic 
lurgeons, in charge of psychiatric wards, Nurses, who were 
excellent general duty nurses, were placed an closed N,P, wards 
and tnere were no specially trained ward men resigned to the unit. final hOj«rt of Iflst (JS) General Hospital 
2* Personnel Office* 
Administrative tasks and responsibilities of tho } «rson<el 
omw began Um day that tho unit mo activated* It has boon 
tho unfailing nu.tfiibiiit/ of this Motion to proporijr ad- 
minister and maintain the poroonnol record* for on aver*,go of 
600 to 700 assigned j«opis. This took «oo complicated by tho 
foot that ihoro non o oontimioi change in tho assigned poroonnol 
of tho hospital* Tho majority of implaeomonts, assigned to 
thio unit from Do ots and organisationa which had 
never operated, did not carry records, which wort 
or record* that had boon maintained according to currant 
Theater directives* 
A major problem presented it to if on 15 M reh won tho 253d 
Gonoral Hospital arrived for disbandment, Fifty-five off loom 
and 533 Kniiotod on accompanied this unit* Tho Poroonnol 
action of thio unit assisted in tho consolidation of their 
unit, bid tho burdon of tho work woo completed by tho rtrsonnel 
Office of tho Iflst (U ; Gonoral Hos-ital. 
*n additional function of tho Poroonnol action was that 
of administering tho activities, in general, of tho civilian 
poroonnol* This entailed tho responsibility of nalntalning 
tin* shoots and pay carat after civilian employes* had bean 
hired* french civilian nurses wars hired early in Jsnu ry to 
as ale t tho Aragr Aursoo on tho various wards* French Main- 
tenance non, wuaion and non to operate tho post laundry, neso 
poroonnol, gardoaero, fireman and gonoral utility non wort 
employed to asoist in tho offieiont operation of tho hospital 
plant* The peek of civilian personnel employed by tho hospital 
waa 86A during tho month of April* Shortly thereafter, the 
establishment of the German PCS stookado, *hloh provided 200 
P0II workers. Made it feasible to reduoo the muster of French 
civilian employees* The miaber of Pod's fumisnod the hospital 
plant gradually increased, and a oorre* ending number of French 
civilians ware released, until there wort but few clvi llano 
employed in tho hospital* 
3* Registrar's Offloot 
Initially, tho hogistrar'o Office held Jurisdiction over 
the Admission and Dispooition, Detachment of Patients, nd 
ick and Wounded faction* Daring February, tho -ork of all of 
tho depart-ioot* increased to such an extent that a re-organization 
waa deemed necessary* Tho Admission and Disposition was 
separe ted and assumed the responsibility of admitting and dis- 
- posing of patients, preparation of the Admission and Disposition 
hheot, operation of the Dispensary, Out-Pati *nt and Prophylaxis 
ervio*. Tho Detachment of Patients handled Administrative 
records, payrolls, Morning Hearts, and other records cone tim- 
ing patients* Tho t ick end ’ ouaded Office continued to handle 
tho clinical record! and tho statistical section* A Fimnco 
section was established in Febru* ry. During March a receiving 
ward was whore patier.t* wore processed as to 
clot lag, valuables, partial pay, and records before being sent Final ;assort of IVlst (U ) General Hospital 
to taoir reepeciivo wards. 
Daring ths period from 9 June to 9 ’lomaber 1945# tho 
191st m Qcnural Hospital treated 9#439 ray patients for 
a total of 190,52V patient days. Of these, 3,237 were neuro- 
peyehiatrio patieate, 5»13V won* other diseases, 1#057 sere 
Injuria* and 6 wars battle casualties* 
During the ssne period, 4#174 patianta wars raturned to 
uuty, 2,722 oars transferred to other hospitals, 1,390 wars 
evacuated to the Zone of Interior und 34 died. Tho great 
Majority of the transfers to other hospitals wars for the 
purpose of return to tho lone of Interior. 
The work of tho Uoglatrar in processing the medical records 
of all these men was enomous. 4 lootor file, both Use and 
dead, was kept up-to-date. On each patient# tho field Medical 
Jacket (WD HD font 52d) was completed and the diagnoses, 
operations and special treat ments were typed on the f D SC Pom 
52s. A groat many of the injury eases required line of duty 
investigations, thus nece ssitating a great deal of correspondence. 
Daily and weekly statistical reports had to bo submitted, as 
well ss Monthly -ick and bounded and Venereal Disease reports. 
Statistical graphs and charts ware kept posted. 
Tho job of tho Office was Intensified by tho 
fact that tha character of tho patients kept changing* Pron 
tho start, the feet that Hospital riant 4324 had previously 
been a French mental institution made it natural that the Any 
. should use it for the seas purpose. Therefore, during its 
eleven months of operation, the 191st (US) General Hospital 
spesialised in handling neuropeycnlatrio patients. Along the 
same line, the hospital was also tho prison hoe. 11*1 for all 
American prisoners in the Seine Section* But, as tins went on, 
the 191st (US) General Hospital began receiving other Allied forces, 
civilians of every nationality, KAMI'S, other United States 
forces, r?ACe, and eventually Qemaa Krieonere of v<ar. All those 
types of patients presented new dlfflsuities in processing 
tneir charts and in corns spending with their organisations* 
Special reports bad to bo subnittod, such so £T0U3A KD fom #1, 
Notification of Admission, Disposition and Death of Personnel 
in Hos .dials, and the special weekly report to tho British 
Any taff in Paris* 
s* miNino of pax&mu 
1* Flans and Training! 
Upon arrival of tho unit at its fined station at 
Villajuif, a mors elaborate program of Plano and Training 
was instituted* Through tbs various hospital departments, 
sectional is ed training was inetltutod with lectures given 
by the needs of the sections* In accordance with directives, 
a weekly pragma of the eatorlsl covered vac submitted by Final Report of 191st (U: ) General H spit 1 
tneee inatructora in advance. On tm wards training 
cii&Mi ware conducted by qualified parson el. This last 
phase of our training aenioved particular Importance wnen 
the call for infantry replace .rants resulted in the depletion 
of qualified ward men end the substitution for then of 
nan untrained in hospital work. 
In oollaboration with the general orientation program 
such subjects as military e urtosy, prevention of venereal 
disease, the phases of the rede lo>nent lan, the 01 Bill 
of Mights were treated thoroughly, ae ware the shifting 
objectives nads nuceeeaxy by T-d nd V-d Day. 
a. heoonditloning Program 
On 1 Marsh 194$ the Reconditioning ito-:ran at tho 
I91st (U: ) General Hospital was originated as a seal- 
independent co ipany. All necessary company personnel 
were drawn fron the ranks of the patients participating 
in tho program* 
Tbs primary objective of the entire program was the re- 
conditioning of the individual patient with the intent of 
reducing his stay at the hospital and returning nim to an 
active duty status in the best possible physical condition* 
In order to achieve this objective, the following general 
policies were establishedi a systematic series of 
remedial exercises designed to strengthen specific parts 
of the body} carefully graded oalesthenies; remedial group 
games} a complete sports program consisting of softball, 
volleyball, baseball, basketball, badminton, horse shoe- 
pitch mg, boxing, wrestling, Judo, and grass-drill} test 
marshes graded according to military speoiflestlons} 
* training films illustrating the points brought out in the 
daily instruction periods} and finally, periodic nodical 
check-ups of each patient's physical progress. Individual 
participation la the various stages of this program were 
in all eases nads after a complete appraisal of the 
patient's physical condition and rate of progress as 
determined by tbs test marches and the series of physical 
evaml net! Tins ■ 
Tbs interest of competition was added to all these 
activities by league contests arranged through the dllth 
Hospital Center with rehabilitation groups from ether 
hospitals and also with appropriate Preach teams drawn 
from the vicinity* Basketball and softball proved to be 
the two sports in which this competitive spirit was most 
readily aroused. In the french participation phase of 
this program, matters were arranged through the co- 
ops ration of tho Association Sportif de TillsJulf. 
Throughout this rehabilitation end reconditioning 
program there was an average of JOC patient-participants* final Report of 191st (US) General hospital 
Their instruction sod general progress mss materially aided 
b> tis facilitis* nads available si tade Karl Marx* Ths 
stadium w*.s ~ade available tnrough ths kindness of ths Mayor 
of Villsjuify and it* uss enabled ths physical inti ruetors 
to provide indoor gymnastic activities* trash meets* and s 
multitude of other indoor activities «fcisb would otherwise 
have bson impossible. 
Ths pi's senes of a skillsd staff including qualified 
physical instructors snablsd this hospital to conduct sa 
efficient reconditioning program and to modify it to asst 
ths nssds of ths patient* even whsn ths emphasis was plassd 
upon tits treatment of mental case* a* it was aid-way la 
ths program* and despite ths change* in staff necessitated 
by trie redeployment prog ran . 
r. zjiimMi *md 5umnst 
1-2. Unit oupply nd Medical Supply t 
The up ly Section of the hospital was handicapped by 
lack of warehouse spas# during ths month of January. Ths 
largest problem confronting this section was property *x- 
c ange. All assigned supply personnel wore on sail for 
property exchange at oil hours of ths day and night* I 
groat number of items needed by the hospital ears either 
not on the original list of equipment for ths hospital or 
wore found to be bask ordered or wore reported short* 
The problems of supplying items of slothing to a large 
flow of patients* o great many of who do not stay at tho 
unit mors than 48 to 72 hour** presented a very difficult 
problem* In order to supply ths necessary items it was 
found necessary to mass numerous trips to distant quarter- 
master Supply Ds, ots* 
up ly for ths last period did not present as greet a 
problem as ths preceding one* Sources of sop ly for ths 
various services were wit in snort distunes from ths 
hospital site| thereby lessening ths strain on the limited 
amount of cargo space available to a unit such as tide* 
Thera was an additional favorable factor la that ths depots 
had become better organised and more adequately stocked* 
Ths formal accounting was not introduced* yet an attempt 
had been mads by higher echelons to standardise supply 
procedures* tide standard!cation meant that nor# tins 
and sffort had to be devoted to the internal procedures 
wlUdn ths organisation* locally* 
Tears was a very satisfactory laundry already established 
on the ,<ost whsn ths unit moved in* arly in Janua ry ths 
laundry was put into operation and utilised exclusively for 
hospital linens and unit personnel iauniry service. fi al Aspect of 191st (If ) Cteneral iioa ital 
Apprcocimtoly TO French civilian* vtn employed in tho 
plant ami laundriad i bout 42#000 pounds, dry uaight# of 
laundxy * wash at an operational coat of lose than 2$ 
oonts a pound. 
s* 
3. Transportation! 
Tho Kotor Transportation action of tho 191 at Tenoral 
] oojltei has a roaarkablo record for their leak of any 
serious accidents during tho period of operation of tho 
hospital ft# a unit. Doling tho aoniha fro* 1 January to 
25 Juno 1945# a total of nlloa sore covered by tho 
drivers and from 25 June to I Movodbor 1945# an additional 
237,750 nlloa ears driven# giving a total of 399,456 sdlaa 
without ana serious accident. 
The paraoonel of tho Kotor Fool wort ado up of 3d 
drivers end rieeKanioa# one 2otor «ergo nt# one dlcpatoher# 
and one a signed officer* The personnel of tho Kotor Fool 
has boon anything but constant# oinoo there has been a 
continual turn-over in both Sulla ted ion and Officers, in 
•pita of this constant change in personnel, the sect on has 
al c?s received and "smooilent" or "Superior1* rating on 
all inspections from the Seine 'notion Motor Fool Inspector 
and has boon on tho Seine lection Honor Roll and received 
several ooAacndations from tho Coamandlng Tenoral# Seine 
action* 
There have been numerous tripe to various ports of 
luropa and a majority of the uveo have visited ao«t of frames# 
Belgian# Lunenburg# and Sorusmy* 
all Mark an tho nou»r vehicles ia done in 
tha garage on tho peat* /Men driver ia hold responsible 
for Ids own vonieie# servicing it himself and reporting 
any mechanical defect to tho Motor Sergeant* Repairs to 
tho asohanical part of tho vehicle are affected by tho 
skillful luaehanise. 
Motor vehicles are dispatched only for official business. 
Regular "Liberty Eons** are &ado into Paris# one in the morning# 
one at noon, and one at 1000 hours eaoh day. Trucks «est 
all Metros at ort d*Italic starting at 2200 hours ana end- 
ing at 0100 hours ascii day. 
a* wumuiom or tscaowwai 
Only standard methods of treatment ware used in tha 
hospital. 
h. eommmo* cr ioxFc^ntt 
In sitter to ease tho work load on tha foliated Mon# final %part of 191st (VS) C»ner»l EoaMtal 
Xrenab civilian* wn ea-lcyed 1b the boa-1 tel. That* 
civilian* vara «*®d in many different way*} namely, a* 
'’urea# *11ea, t'elntenanca "on, fireman, and 
Barbara and ‘"’leitra in tba e«t 'vchanga. Th® naxlnna 
nurbar of so-employed Trenah personnel ran oh ad M4 luring 
tba month of April. I* June, whan tba stockade was 
established at tba hospital, Serve* w-re used largely 
to ranlaoa tba frenab civilian*. 
x. irr vat** vyp-LT, aw!> umr^rm 
The b uilw of tb® hospital provided many problaaa even 
thouak tka unit moved into tba "RoPltel PayeM atria*. 
The bulldlrra tksaaalvaa van# sufficient to house a 1,000- 
bad hospital, but vara in extremely poor atata af rarair 
and naadad extensive rarodalfng. Mil* rarodellng la dia» 
auaaad undar tka report of tba In tba next sootIon. 
Tka viter supply aaa obtalnad fro* tka Run!elpal W?tar 
Supply af ?0r1a. Tba aatar aouraa vaa tba Seine vblab 
la pot thru a alaw send bad filter and then further treated 
with Chlorine Cci) or Onona tO and raaalvad no forthar 
treatment « t tba boapltal. 
Tha laundry In tba hospital vaa undar tba direction of 
tka tfnlt Supply Officer and bln report undar f 
covers tba laundry. 
f. root), winm, ymt/rr oowr>oi, m VA*tfr*w&wct* 
1. Dietetic# 
Tba aaaaing faellltlea of tba Bopftal * ayohlatriat 
whan tba 191at CTf- ) G«aaraX Hoarltal moved in during 
Deoeafcar, 1944, vara aa far an tba pbyaiaal plant 
vaa concerned | however, tba equipment vaa fa vary bad re- 
pair. Tba kite!an vaa by no aaana in any aenltery condition, 
nor vaa tba naaa hall entirely suitable for feed Inn all of 
tka enliatad personnel, off!care, patients, and alvlitena. 
shortly after tka aatebliahmaat of tka unit, separate mess- 
ing faellltlea vara a at up for officer*, which eeaed tba 
load aa tba an in vaaa ball. All patients vara fed oa tba 
varda tkrouabout tka winter aontha, and, in tba early spring, 
all ambulatory patients reported to tbo am In mm ball for 
tbelr Milt. This procedure pads St a great deal easier 
to serve v»m food to tbo pet lent a and el lain* tad reheating 
tba food oa tbo varda. 
Shortly after tba unit arrived, fmaob cooks and helpers 
vara hired to help la preparing tba aaala. After tba X)V 
stockade van established at tba hospital during tba let# 
ananar months, aU otvlllaa help vaa replaced by Samoa 
row labor. This obanga proved to be vary satisfactory sad 
with about half tba nua(bar of paraoaa doing tba mam aaouat Final ’aport of Itlat CtTS) "*aBar»l KoaMtal 
af work* Hba quality of tha mania a ax-rad *lr«y# raa U|k 
aid an axaallant a+ar.dard of aanlt-tloa at all 
tlaaa* 
following, Tabla TTf la a auarary of tfca nuabar of 
paorla fad froa X January 1548 to 9 ’’orambar 1945 at tba 
151 at ****) H0aT»!talg *>8tt TT, S, Arwyt 
WTTAFT 
mr 
Duty roraormal. « . 
Hoop. rat Santo. • • 
'MtIIUbi • • • 
AFC . . . . 
Total for January. • • 
rw”nrr 
Duty Faraonnal* , , 
Heap. Fat Santo. . . . 
Jr. ClTlllano . . . t 
A*C r0rkart , % m 9 
Total for July . . , . . 
• 73,055 
• 49,CTO 
. 11,900 
• l£L 
• 54,068 
• 
Duty Farnormal. . . 
Ho»p. Fatlento* * * 
Tr. ClTUlaai • « • 
AFC *ortraro * * * * 
Total for F#bmary * * 
. .51,374 
Duty • • • 
Boap. Fotsonto* • • • 
Tr* OstSliana * • « • 
aFO Forkero 
Total for Aumot • • • • 
. 77,705 
• 77,749 
. 10,677 
• —M£ 
. 97,4f? 
haftr 
mTTKBFt 
Duty Faraonnal. * • 
Heap* FatSanto. • • 
Jr. CitUiiai • . • 
AW " orkara * * * * 
Total for 1<arafc« • • • 
Duty Faraonnal* • • • 
Hoop* Fat1auto* « • • 
Jr. Dialllano • • • * 
AFC Woriraro * • • • • 
Total for Saptaabar. • • 
. PI,067 
. 79,757 
• 9,147 
. 97,569 
Arm 
0C705FP 
Duty Faraoonal. • * 
Botft Potiaatl* • • 
Jr. Osr1llano . . « 
AFO ForVaro * . * * 
. .74,045 
Duty Faraonsal* * * * 
Hoop* FatSanta. * • • 
Fr. Csalllano • • • • 
AFC Portrait * * * * * 
. 77,069 
« 9,699 
• . 190 
Total for April* • • « 
Total for Cetobar* • • • 
. .1,917 
VAT 
wrnsmm (i to t) 
Doty Jinomol. • • 
Hoop* Totlanto* • • 
Jf. OirUlaao • • • 
AFO Portrait * * * . 
Total for Mar 
Duty Paraonnal. • • • 
Hoop* PatSanto* • • • 
Jr. Cirlllana • • • • 
AFO Portrait • • * * • 
Total for Hot (f dayo) • 
• 6,746 
. 11,677 
. 1,649 
. 70,475 
rm 
Doty Faraonaal. • • 
Hoop* ratlaato* • • 
Jr. Oiailtaao • • • 
Aw Forkoro • • • • 
Total for Km .... 
••“•{2 
Total tranolanto and out-patSanta 
from X Jan to f Hot. • • • 11,996 
Total Dotab Guards • • • • 6,491 
* IF - final Report of 171at (US) General Roarltal 
Tot*I n* unbar of all people fed froa I Jmn to t *hw 1748. . . . * TB9t440 
Total number of V?%IS fed for M* ported. • ••••*•••• 8,073,338 
. TABU? n 
Tha **rb»mo dlaroaal ««o taka* oan of by o franch 
Civilian on o oont root basis. 
t. Vodlool IflOpaotOTt 
Tbto • notion Of tho hospital boo to do with tho general 
sanitation of tho -oat, both buildings mod crrounda. Thera 
nn three fnllatod *an a sal mad full ttao to tho deportment 
and oao Of floor, port ttao# Thm V#*dlool Inspectors Off too 
ooo rory active nhan tho horltal naa ft rot ornanlaad booouoo 
la tho ruoh of naa Ivin* rot! onto tho old typo french beds 
roro pressed Into boo, and these bade non Infected with bod 
bugs and llca, A thorouah and systematic swaying with OTT 
naid'ial spray naa oorrlad out* *a*ular oarpllof of tho 
••tor BMO oorrlad out* cer lar saimlia* of tho wtor supply 
woo carried out oaoh month (If? sampling potato), a* aoo 
sampling of tho 5eo cream prepared by tbo PX fountain* 
Veterinary *ouort* vara aado monthly to tho Chiof 
Cffloor. 
3* trtnttioos 
Tho Utilities naa charged with tho supervision of 
tho maintenance and repair of tha buildings, grounds, and 
equipment of tha boa Ital -rotor• boa tha hospital took over 
the riant and moved onto tho grounds, they found everything 
la o poor otata of repair* alnoo franco had boon at war about 
four year* and material, at noli as naoMrary, neen#t available 
for repair noitr. 
Thor# wore Id narda, f administrative, 9 living quartan, 
and a nuatoer of smaller atructures that nan constructed 
botnaaa 1881 and 1887. Then nan 5 narda, 3 adaintatnttva, 
and I a at of living quartan that non rolatlvoly nan, bain* 
built botnooa 1730 and 1776. *. Bernard Catahcrry, Anhltoat 
Kngineer, Contractor of Part a naa *lvon tha oont net to make 
tho necessary changes in tho plant in order to convert It 
Into a modern manor*! hospital. Thla remodeling started In 
february end naa completed in July, 1748. 
TTaing franch civilians, 'nHated V«n, and at times a 
It ml tad number of rehabilitation uatlenta, tho entire tor Ital 
naa repaired, end npolntod. To add to tho difficulty e»- 
by thla deport"ant, all of tha plumbIn* faollltiaa 
of tho hoaplte 1 plant non old, and a largo portion of it had 
to bo nr laced or needed constant attention froa tha plumb on. 
The electrical system naa in vary bad repair and not Final Report of l9lot (U3) %noml Hospital 
nfflflmUy wi~od to norrlt tho tm of the Terlcw olootrloal 
appliances noodad in tho snob ii, tho *-*ay. 
Laboratory Squlpvont. 4!sh«iaMB| aoohlaoo in tho *oeo. out 
*ony othor -of olootrloal ocnlraorrt. Aa on omorronoy 
■oaauro tho HtUitloo Installed field sooomtlny units fop 
tho *-*oy and laboratory Sort loo until o hootlor lino *b4 
tmnoforvoro oould ho wired into tho tree. Rot hi no facilities 
wore almost oon-otiotoat on tho post. osroolslly in tho 
ip listed Won's quarters. Bulldlny Wo. 9* ?hi Ht11Itloo con- 
struct od shower room for thlo build loot old latrines la tho 
wards voro replaced; and oil bolloro repaired in ordor to 
hoot tho bulldlnyo and to supply hot wotor. 
Tho Equities and Falntomnoo 'action suporelood tho con- 
otruotloa of tho now Operating r<ooa. rooodolod tho Laboratory. 
Rod Opooo building. P©ot K*ehango. fenced In tho prl<«on ward 
ood borrod tho vlndovo. An vallotod Pon’o club rooa van con- 
st root od| also oa Offiooro* Club; not la# picture theater; 
o nod ora aodo fount ale last a Hod; oad headquarters vao ro- 
paintod. 
A or oat dool of orodlt should bo glroa to tho Utilities 
for tho raaaias of tho Rosrltol Plant. iBAOKoeh *o tMi do- 
portBont porfornod their work oztronoly offlolontly. tert- 
ian with o riant that was la poor repair la January. 1945. 
they naiuMrod to produoo o nod ora hosrltol unit that functioned 
sroothly and efficiently. 
w. TVf ?'TtA rrR OGUfftCftt 
voaorool &looeoo Control oesunoo o mm lor rolo when o 
unit tho also of tho Itlot (V3) Oonaml Hospital lo operating 
la o aotropolltoa oroo such oo Furls. Aa active proem* of 
control boo boon la offoot star olnoo tho hoe~ltal started 
oporatloa oeoroooo la Ooooahor. 1944. This proem* ineludod 
itouo of neohaalool oad ohacloal prophylaxis Vito with posses, 
venereal control lectured and *ctine pioturo*. unannounced 
physical inspection of tho pornotmol and on octlto oad pro- 
gressive oduootloaol proem*. A *e*lnu* nu*bor of recreational 
faollltloo oa tho root voro provided In tho way of donooo. 
ooda fountain and no tin* pictures. Tho ooaulotantly low rate 
of tonoroel dlsooso reported by thlo unit con bo orodltod to 
(o) relative high work load; (b) hi# *omlo; ead (o' tho 
act!to educational and rocrootloaol prompt*. Tho venereal 
dlooooo rato for tho unit la give* os par l.OOC non nor eimu* 
(Soo Table m)i 
TAJf 
TO 
*aw 
A** 
VAT 
jtjb 
tvl 
ATT: 
OfT 
WCT 
lurr 
41.8 
0 
0 
e?.? 
0 
tabu* m 
e*.s 
54.5 
0 
0 ?8.f 
37.f Tirol of 191st (OS) %ne~al Hospital 
i 
t-h. moTiSTTowa SrmrcIJh 
I* 'edloel Services* 
Tba set*Titles of tba Medical Services during 1946 foil 
naturally Into thro* phases, detartslned by the operational 
situation facing the boaMtal. The flrot rheas covered 
ro highly tba first too nontha, la Which the boa"Itel fun at lo nod 
ruob «s 9)D •mountIon boerltal. tenro nn»>b*r« of patient! 
were received, trlared, and «»eunted to mf echelon boav>it«le. 
The rclc of definitive troatrent warn restricted to tioao 
pot 1 onto who could bo quickly returned to duty and those 
whono physical condition prevented further evacuation. The 
accord pheoa woo Initiated whan this boo Itel woo decimated 
•o o station koa~ital for troop unite in tbo Tarla cad 
aurrourdlng trees* THi pbaoo woo oboraotorlcod by greater 
orphoaia on dioimooio oad definitive treatment. Tbo Medical 
Service woo broken down Into amotions, and specialised do* 
portnonto wore oot up* Tbo third phase, characterised by 
oorrowotlon of potlento undor opeololloto and general hoeltal 
t TO of Investigation of diaoaso woo tho natural roault of 
tho second or transition pb*oo. It woo node possible by 
tbo loosening of tho flow of largo convoys of pot!onto fro* 
tbo front, lengthening of tbo porlod during which ret!onto 
oould bo ratmined on tbo continent and by anpliflootIon of 
tbo professional personnel. 
Tba poraonnol of tho Medical :arviooa bar# rofleotad 
tho changing niaalon of tho Boarital. In January there ware 
in addition to the Chief of Medical Service only oil nodical 
off Scare end one psychologist — the remind or of tbo off 1 core 
being surgical. however by If JVna 1946, tho nuabar of 
nodical officers had nearly tripled, aa there wore fifteen 
aaalgnad and two on dataobad service in addition to tbo 
psychologist. Tba pet Sant load of sorely nadical pet lento 
was difficult to determine during tba early nontba due to 
tbo fast that necessity dictated earing for aurgioal patlanto 
on nodicel wards. Melaclonc to nodical wards by norths era 
shoo* in %blc IT, also see Graph H. 
aI iva 
Xitto tA«p •UI^ 
0*0 
soo 
6>d 
ISO 
out 
0S4X SSfil 
9611 
S96 
09TT Adfrl 
SiMfcl 
•AOMl 
JUDO 
«UI£ 
oav 
w 
*£U ifflt 
iUY 
*VSS 
SkA KU* 
ju*oa 
Tba Vodicol as uch, fcund ft could function RON 
of f 1 tl arrtly by oottlng up the aaotiono of General Medietas, 
H.uropayahlatry, Infection* Wcaacao, Bcmatolcgy, Vnaraal 
DifMiH, end Officer** Section. General Vodlclaa mi Kinal Perort of 191st (C3) Hospital 
further into fostro- oterology and -ardlavascular 
Diseases. ’only In the year this hosultsl was designated 
for the csro of General and °err<scn T'rlsonars and the 
Mod!sal Service was esclgned the administrative responsibility 
theroof. A medical service officer Is designated as prison 
off!oar and o«raa for all madias! eesas on that ward. 
Prisoner pat 1 ant a with surgical, neuropsychlstrlo, dermatologic 
and venereal diagnoses war# professionally attended by 
offloara from the depertrents concerned. 
The most striving development In tha Radical Services was 
that of tho %uropsyehletrle Bastion as this hospital was 
designated as s TeuropsysMetris Center on IP Key 1945. In 
V«y thara wars fit oases with 9 on tha closed ward. In luma 
there wars 679 under treatment, lit of wMoh war# closed 
ward oases. 9y the end of «Tune the total number had in* 
oraaaad to 940 with 170 In confinement. In addition to 
this number thara were approximately 90 prisoner eases and 
fO Officer patients under observation. Therapy 
was first used in this hospital in April, 1945, for tha 
treatment of combat exhaustion. By l<«y thara ware on an 
•▼arasa of 40 neur-peyohotlc eases a wash raceIvin* Hereosls 
Traatrant. -erly In Jbne 1945, electrlo-ehock therapy was 
set up. 
a. Personnel: 
The ?edleel Services saw many changes in personnel 
during the lest six months of operation due to the redeployment 
program sad the feet that there were many high point officers 
on the serviee. Another situation that presented Itself was 
the increasing number of patients on the neuropsyehistris 
wards. It became necessary in the letter pert of *Tuae to 
transfer two medical officers from the surgical service to 
the mediesl service to care for neuropsyohlatrle patients. 
Tho situation aasod somewhat when a ’iguropsyohlntrlo ‘chool 
was initiated in the hospital on £5 Tune 1949. 
Bering Tt»a 1945 the pet!amt load on the 
psych! atria Service reached Its weak, partially due to tha 
fast that patients who had haem hoarded to the "one of the 
Interior had to wait long periods of tins for eveeuetion duo 
to leek of transportation. 
Storing Baptssfcor, twenty (fO) Vefllcel Officers wars 
on the Vsdioml f arrises heel dam tho Chief of kadi cel Service, 
sight (9) of whom wort encaged in duties In the **auro- 
pgyshistrlo *ards# and of the total, eight {(0 ware on 5,9, 
from tho fHWh Cenorol Hospital which assumed operation of 
the plant on 10 Kevemher 1945. 
b. Pbtlent hoods 
Tho tsblo of tho daily average census on tho Kedloel 
Tarda by months is divided into tho virions categories of  'trort of If 1st ("C) G«n«r*l Hospital 
peVents treated* It can be noted that over * couplets 
*ver«g*# tbe loed *a* hlgb**t on tba veurop*yohlatri« v'«rds 
■Inca tbe hoerltnl fmctloned ae a Heurcpsycbletri* Center. 
(See Table V whieb follows) 
tw?it irmot c**rrn d* votcai 
or 
.’tat 
“55l 
AW 
*T?P 
oerr 
" 1'foV-ncT* 
Clo»*S WP 
lft6 
Iff 
100 
88 
83 
81 
Opaa W> 
08P 
654 
881 
841 
ft54 
ftl6 
Skl« It V.O* 
68 
VI 
58 
85 
84 
10? 
Contagion 
9 
14 
5 
8 
10 
8 
Oftr** Roplretcry 
Infection# 
8ft 
68 
38 
81 
88 
ftft 
0«n#p«l V*di««I 
?P? 
184 
110 
188 
Iftft 
155 
FO*» 
— 
— 
m** 
- 
?8 
ft? 
Offi99TB 
66 
SO 
84 
ft? 
ft? 
4ft 
F*malts 
X 
8 
ft 
8 
ftft 
45 
Prisoners 
98 
103 
101 
11? 
118 
105 
TCr*L*rtly cen- 
sus on *?s41c«l *»r4«t 
1830 
1?70 
OSS 
849 
sea 
P?0 
TAM.* V 
o« n-*rd pacai 
During thd 1*0% sis sontbs of oparetlon, ward sneea 
wse a rejor rroblsa and fro* tin* to tin# additional **rd* 
bed to be opened or converts* froa Hrrrleel to Medical or 
ward* a* the pail ant load* in tbio earvica 
Increased. ?b* Officer** nerd continued to be the responsibility 
of tbe Medical fervloe, alt'ouffb tbe %rrleel Service con- 
tinued to provide professional care of tbe 3nr»lc«l patients* 
Tbo sane is true for tbe prison ward, while tbe pedicel 
service ecscacd complete responsibility for tbe fseals ward Pinal Report of Itlst fCt) %n»ral Hqenltel 
wMeb benn reoe 1 t1 ng patient# fro# other unit# In October# 
Al## U October, the bosnltel began receiving Prisoner ef 
*ar Patient# elnee the ho#pltal that hid been caring for 
the# previously hadbern closed* Two ward# bed been opened 
for their cere, one for Surgical ease# end one for Vedlcal 
eases, although the pet!ant load we# about equally divided* 
d* Consultat tonal 
hospital consultations continued to pee# through 
th# Chief of £# vice and were handled in the sees #anner •# 
heretofore* Listed below 1# Table Tl showing the con- 
sult at 1 one seen by the representatives of the services or 
sections listed below which passed through the Hedies! 
Service fro# if June 1945 to 9 Hovenber 1945: 
TO* 
WrrroorPTTF^&TWf 
B*fWATOtJC'*r VI? 
r*ir 
?rom Tan to 
Jnn 
IfSi 
«C1 
fee 
f47 
Trom 3\*n to 
So* 
998 
IN 
304 53 
805 
T4B1I VI 
e* Professional mid Meatlnye* 
Professional end edsinl stnative reeling* continued 
to bo bold bl-weeVIy end weekly resportively* Howevar, •• 
the ever-changing of personnel increased, It beesno necessary 
to Increase the misber of edslnletratlve sootimro nnd the 
professional asrtinre wore discontinued temporarily. 
Colonel A. Albriffbt essuiaed cowan nd of th# hospital, 
weekly eliniool conferences woro re-lnstituted end cases 
wore presented alternately by the Surgical and Medical 
Services* 
f* *V>erd Proceedings* 
Patient# requiring i«ore than 1PC days of hospitalization 
eontlnuad to be boarded to the of Interior by the CH of 
of Medical S»rvlca, the Chief of >^arirleal Service and t‘«rd 
Offieer concerned* ’hen th# Chief of Kedlcal Service office 
Roved to new quarters on *0 June 1945, that office typed end 
obtained all necessary signatures on the board# In an effort 
to speed up the procedure# necessary for the err option of 
ps Vents ao that the P#girtrar9e Office could report the 
petlent* reedy for evacuation at the earlleet possible moaent• Final Report of 191st General Hospital 
H«bj board* ««rt alio hold on patient* returning 
them to duty that hod been previously boarded for the one 
of Interior et other bosnltela, This nee doe to the feet 
that neoy patients hed been received et thle hospital from 
other hoe~lt*la, and «-bose oondU'ona were such ae to require 
• total period of boar! tell rat loo for leae than 170 day*. 
Vaay admissions were made to the prison ward for the 
mir 'oae of holding a board on the Individual, 
g, and Specialised Instruction* 
Two continual nauropsychiatric course* were held at 
the hoa-ltal. The first oc tm aterted on 7b lima 1949 and 
tha laat course ended 15 August 1945, The attendance et 
these oouraaa approvisited thirty off!sere who ware placed 
oa 3. 3, with tha organisation, plus asny of the regular 
ataff of eadleal offloera end nurses who attended com of 
the sleas*'*, 
Ja 71 Aurust 1945 e general mrdloal school was opened. 
However, due to the cartage of officers on the Wadi eel ”*rds, 
these students were assigned to assist fedleal Officers on 
overloaded wards, %rd rounds were Bade dally with tha #r*oup 
of students by ths Chief of *edicel ervlce at whloh ties 
Interesting eases on the tfediesl Service were disouaeed, 
Ths wards pressntsd a continual 
need far ths training of ward nan, especially those assigned 
to the closed wards where there was a leek of sufficiently 
trained personnel to handle psychotic patients, Popular 
classes were held for these men by ths ward officers end 
also by the Chief of the fteuropsyohietrio 
7, 9nrrloal Services* 
Th* narrative of hirsissl Service* in the 191*t 
General Hospital la an Inspiring one of overcoming many 
difficult las, for ths months of January, February, and 
early ,fsr«h, ths Surgical Service* bars s tremendous burden, 
with s preponderant number of ell patients requiring 
sural eel sera. It will be recalled that til period was 
ths frit!sal one of beating back the break-through 
end cost America msnj casualties, especially requiring 
surgical ears, ring January, the operative room was also 
used far an orthopedic clinic and central supply, ?hs only 
sterilisers and autoclaves were of the field type end were 
set up with the surylesl equipment. Along with the confusion 
of uncrating end setting up the operating room equipment and 
Instruments, 9 surgical wards of 190 to *lf beds each, were 
aeds reedy and oecurled. The sold weather and distance 
between buildings nsds It Imperative that s ward of 95 bads 
be maintained in tbs same building ss the operating room for Tinal of 191st ("■ ) Canape! H0*p|tal 
?rc end "ost operative pet!ante, end those seriously 111. 
~eeplte ell t ie Inoonwenfeuoe end confusion, PS9 ope-atlone 
were performed during Tannery. T>om the original state of 
chaos, oond#l4on« raMdly Inprowed. during tbo month of 
*r«roh 955 pet4cuts were operated on, end f,4Cl surgiesl 
ope ctIons lied been performed la the operating room by 16 
June 1946. Tm» does not Include minor surrlcal procedures 
done In the Orthopedis, ®ys, Sep, %m, Throe t end Genito- 
urinary Glmiee that were funotlcoins within s ronth after 
the unit started operation. 
Courses of lectures end demonstrations were organised 
for the Hallsted erronnel to Inoreeee their efflclerey and 
train new replacements. Clinic eonfere&oes are now held 
each need where professional end administrative procedures 
are presented, end discussed. Interesting end unusual 
eeees, procedures end errore in diagnosis ere brought up 
st these meetings. 
’ ucb has been accomplished in the physical set up. A 
new oreret4ng block wes opened fl V«y 1946. Tbfe Is complete 
with separate room# for clean, orthopedic end septle aurgloeX 
cases. There are 9 operating tables and operating lights, 
6 of thsm scielytls and 8 field type (wired). The surgical 
wards are grouped eonpe'tly around the operating room end 
the Depart ant Is In the opposite end of tbs earns 
building. A mobile X-Rey unit Is kept in the operating room. 
Central cupply has been mowed la the seme building with the 
Jliermeey, Laboratory and Pedicel Suprly, which Is most con- 
wen lent. There ere separate ward# for the following eetegorles 
af surgical patients - general surgery, orthopedies, TWT, 
genlto-urlnary, proctology, sorlonely 111 sad pro and post 
operatic# casesj the letter two types being boused In the 
seme building as the operating room. At tho rreaont time the 
■urgleel eerwlcee, end ell its brsnohes are running amoothly 
under the third chief of serwieo since the beginning of tbs 
year. 
The 1st Hospitalization rntt from tho £let Held Hospital 
was ettaehod from ft dseembor 1944 to 16 rcbruary 1946 to 
augment the surcieel staff. The oomposttion of the unit 
was 6 Off leers, 6 ’ureas, and 84 W. 
The number of patients treated each month is given In 
Table HI, below, eleo see Graph Hit 
rowm 
.TAW 
TUB 
UAX 
At»S 
i#at nm 
yvL 
fttrn 
sw> 
OCT 
ms 
8TB 
108t 
F414 
WC1 
*708 5039 
TA%L1 TIT 
ffto 
1738 
1378 
1178 final Escort of 191st f*H) General H»srltel 
8. Boentrenclosy 'erviss* 
The *-‘ey Bevvies wss established with the use of field 
equipment *h1sh rlassd certain llaltetlons on the departrent. 
A wary satisfactory motor-dMveu tilt table was constructed 
frosi oarttired German end Trench equipment. During the first 
fm norths of operation the amount of work done was sons* 
whet limited* but with the establishment of the hospital ss 
s station hoc itel, the number of patients seen Increased 
s great deal. 9y the end of April all types of logical 
carries were available to the hospital. The departrent wss 
staffed by one officer and sight vrlisted *#u. Tbs number 
of net lento sssu eroh month are si Ten in Table TTTJt below 
(Ales ess Qrnph TV). The*s flmures do not plus s true picture 
of the to luma of work done by the *-?sy Department ss many 
of the patients had rors than on# picture mods. 
VCTF 
TAK 
Tfll 
VA* 
APS 
KIT 
.TtfW 
yvL 
AW 
tm 
007 
T>A?P7 
454 
6I» 
1391 
1564 
1654 
1961 
im 
674 
649 
8W 
TOTAL 
454 
1056 
MW 
40 7f 
5676 70S? 
tamui rm 
6056 
7186 
9770 10638 
"“he sees*tlon of hostilities In this thooter and tbs 
redeployment of personnel dll not materially redoes the 
activity of the *-ft«y Thors wore several 
reasons for this* C*et Other hospital Installation* in the 
s rroundliut oreo elosod end unloaded their netients to the 
191st W) General Rperital, sd'lair to the dolly oensu*| 
Too: There oors wore then the usual n usher of seel dent 
esses to deal wlthj and, Thirdly* The herrltel beams the 
hoi lint unit for the ret!ante flow: In for disposition froo 
other rerts of the ‘*T0. But even then there was lees work 
then dorm# the helsht of the battle. Ml the work was, ss 
ur*l, cheerfully undertaken end skillfully done by the 
Unlisted *'sn of the 
The 9-m mme- lees that were on original pert of the 
desert* ent soused no acre than the usual Pi nor difficulties 
end is further rroof of the thoromdmas* with which men 
undertook their task. It should be further noted that the 
department wea newer Intended to be utilised so an 
Action In the plans of the Trench, but skillful reconversion 
me e It wary practicable. 
4. Laboratory S#rvleel 
L* hor-' tory w * located In the quarters thet wars 
occupied by the research laboratory of the Trench psychiatric final Report of 19lat Central Hospital 
hospital. There wore two Sanitary Corps end one 
Bedleal Corps 6ffleer assigned to tbo organisation with 19 
rory well tmlnod dilated **n. All types of otandard 
laboratory nroaodurea wore prorldod by tbo ateff—Cbamlaal, 
Bacteriological, Heretoloclcel, end Pathological. 
> AH teoto requiring the use of anlnals and aaae~*an testa 
wore referred to tbo <VieraI bed leal Labo story, located in 
?aria. The roV'no of wortc by tbo nontb la cl ran in Tabla XX, 
be law, (alao coo Graph T)t 
wowm 
JAW 
K»» 
Aft wat jw 
m. 
aw 
f*n* oryr 
JM 
TTTT8 
f#Uf 
4,430 19,*T0 
ie,*Pt 14,&41 IS,SO* 11,1*6 «4M 
P590 *€*9 
TA*t* IT 
The laboratory nelntalnad a blood donor* file and alao 
a supply of whole bottled blood trior to tha cicala* of the 
3*0 blood Bank, 
a, Pharmacy 
The Pharwccy wac located In tha aaao buildIn* aa was 
tha Laboratory and wea under the direction of tbo Chief of 
Laboratory -crrlco. Thla brenah wee fortuneta to 
bare aljrbt real stared pheraeceutlcel chemists a«ai*nad to It 
and an WCO in Charge who had nany ye**ro of eirarianca in 
pbarwaaoutlcal pm otic*. All of tho noro eoctwon droits were 
oraliable aad nary of tha leaa common onaa on the shelves. 
Tba *1ber«ecy compounded many of tho ointment* and penicillin 
losenses. Burlno the laat four nontha of operation thin 
brarch had oharfo of penlaillln. AH Molo*lea were taken 
cere of by thi* section. 
5* Dental 
Tbo Cental bad aiv («) Dental Co»-pa Officer* and 
Id wall-quell fi ad Man aaalsned, Tbo clinic opemtod 
aoren dental chairs end all rheae* of dental service— 
extractions, restorations, prosthetics, and surgery. 
Tha hospital was nods an A#pylla Syo Center for tha Parla 
araa in bay, 1946 and aerred in thla oapeaity until tha 
boanltal aeeoed function lair aa a unit in November, 1945, 
Tba total work done by tba Dental Berrios !• shown in 
Table 1, below, (aloe see Crnpb Tl). About one-third of 
all of tba work dona was drawn free Cut-P*t'snta and two- 
th*rda from hocritel patient* end personnel. *1noX *«por% of 1919% PoCTitol 
ir 
TOTAL WT*Bf» 
Btm 
KTT, 
yuommm 
m 
— 
lOt 
TKBTfAJf 
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1,884 
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TABU XT final Report of Itlat W General Boapital 
dap#rt~ont9 *aJor 3no* B*yBoa9 a*jor Helan Jure*b and 
Contain "ubor, In tbo oloalof laontha of o-oratloa. 
Tbo department onor«ted nndar Tory difficult condition* 
for tbo wholo duration of tbo ©portion of tho IPlat (rs) 
%nor*»l Ko*T>lt*l9 and alway* did a moat adrlrabla Job. for 
tho p*r*ad fro* *Tannery to Jtm* tho danartrent#a allot rent 
of *nr"oo am* angnontod bv ■ ▼ar-'lng number of Trench 
Clrlllan Suraa* oho rare bedaida oaraj anob aa baths9 food- 
in* thooo oho ware nnablo to oaro for thaaoolToa, and *>ra- 
porlBf and aorrln* tray* to tbo not lento. 
Suraoa noro aaalmed to all ward* of tbo boo”lt*l9 In- 
eluding tbo prlaoo word and tho oloood *oaropavehiatria 
ward*. CHirlnt tbo nontb of Auruat T5* of all noraoa In tho 
boanttal wait oaalfnod to tbo *%ttrop*rcfcl«trle oorrloo. 
Tbo aovlr dono by tbooo nnroos on thla oorrloo wa* outatandIn* 
oMofly la band 1 inf tbo Inrolln-aboak tbomry oanloyod for 
o wblla at thla baarftal for aortoia type* of oaaot. 
Tbo Monthly atroBftb of tbo Svrolnf Sorrfao la ahown In 
Tablo XXTV ha low» 
Ui 
. smt 
u 
vn 
CXI 
401 
‘ 941 
X9X 
tot 
H 
89 
89 
X8 
VUvJL 
0 
08 
ft 
Oft 
ftO 
ft 
9 
OX 
t 
9 
0 
Olft>*V 
Xft 
Xft 
ftft 
40 
69 
9X1 
001 
99 
99 
X9 
X9 
•1994969 
ft»o 
*•3 
fnv# 
x*r 
BAX 
4»|| 
*•9 
Mi 
m*£ 
umn 
Tho amount Ion of tbo potlouta through tbo hoaMtal 
roaobod lt« pook early la tbo oporatloa of tbo plant. during 
tbo flrit fow Month*, tbo unit aotod Mora on emmiatloa 
booMtal with tot1 onto atariof no longor than woa roQnirod 
to oboafo baadafoa and pond thoai oo to tho V*. I.*tor9 tbo 
HoHtal oanana baoaoo noro atablo and not oo many tart 
oraoontod. ®wl«| tbo loot faw Month* tbo hospital again 
faaotloaod aa o halfIn* unit for tt patient*, and ahlnants 
of 100 to 900 nowod out at ono tloo9 both by air, though, 
through tbo lot (09) Ooooral Wootital and lator tbo P99%h (fls) 
0#noml Boa ltal, aoi alao <11 rootly to hoataldo. 
0# 
1. Spatial forrloo and Ipforoatloo nod tenantton Off it#: 
Ooo of tbo root nottoo fopartnonto In tbo boonltal ainoo s 
Final of 191at (T~) ftanaral Focpital 
It* aetiv tlon9 Special S*rv1** and 1 uni 1 baa baan buay 
in every nrogrnp *1 *bt Mint#!* tba morel* of 
tb* at tb* Mgh**t level. Th* work ha* fall** 
naturally Into tbr**. dtv1*1om*9 Special B*rvi***9 Tnfcraetlon 
•nd "ducat* on, cud tb* ifnit lltmijr end **ob of tbo** will 
bw treated **r*r*taly 1* tbl* M*tory. 
Sp*ti*l Service* began functioning over tea a *t <3*«p 
Grookaton where tb* dan** band provided male for aavaral 
tan*** bald at tb* *ed Club* ®n route pmrtlatolar 
•ffort waa isad* to provide tb* troop* wltb anua***nt in tb* 
form *f all availebl* anaII g*m*c. Tb* major portion of tb* 
wor)r9 however, begun on** tb* unit took abap* at It* ait* 
1* Tillajulf. 
Hampered by la*k of apac* end equipment in tb* initial 
at*g*a, tb* department b©ran to function on a mil aoal* 
alRoat Immediately. £g«ipm*nt for Motion picture* waa 
borrow** and filn* w«r* grown. Th*a* w*r* old and Orad* B9 
but tbay war* w*ll patroniaad. Arrangement* war* mad* to 
provide entertainment in tba fom of French Civilian Shown 
and tvaa* **r* w*1*on* whenever tbay arpaarad. At ft rat9 
all tb* unit could boaat in tb* Una of sport* aetiviti** 
w*a a Ion* ping-pong table. TMa atanda oat in rirld con- 
tra at with tb* equipment rad* available at a lat*r d*t* 
through tba affort* of tba spatial *sartia* t>epart«*nt. 
Ora dually, tba faollltiaa which tba 4*ptrt**tt waa abl* 
to offar tba ran azpandad* Oa*rita tba lack of available 
playing field*, a handicap which plagacd tb* unit throughout 
it* *Tl*t*n«* «t Till*5ulf9 tbar* w*r* longue* organic** In 
Softball9 Baseball, b**k«*lb*ll9 Badminton, and Ping-Pong* 
Tb* competition «a* particularly fplrltad in Softball whar* 
tan taawa parllaipetad in an Intar-hcspital tournament, wan 
by the rapraecntatIran *f tba Offle# of tba Bagiatrar. Tbar* 
it waa not poaalbla for a arort to ba practiced on tba poat, 
arrangement* war* mad* with tba Motor Pool and otbar d*- 
parbmrl* concerned to provide tran*rort*tion. Tb aucb 
manner a steady number of rarttalpanta playad golf and 
tannla9 tba parti aa being went out averaging at leant four 
monthly in each caaa. Tnbl* tannla tournament* war* bald 
pariodlsally and attracted much attantion in tba detachment. 
Than* wara both intar and intra-bo*pital tournament*. Among 
otbar athletic activities wHab occu iad tba attention of tb* 
nan war* tbalr participation in n "Onln Sport* S*won#tration* 
aponaorai by tba French Committ** and bald at Karl Mr** 
stadium* Another of than* arorta which waa parbapa laaa 
spectacular than tb* otbar* but equally important b**au** of 
th* larg* number of participant*, waa horaaaho* pi tab lag* 
During any of tba daylight hour* It waa no uncommon eight to 
so* all of tba court* occur lad by enthusiastic group* of 
pltcbar* alinging tb# cboaa with abandon* Internet in foot- 
ball waa cultivated by tour* arranged to tb* leading contact* 
In tb* arm* with traneportatlon provided by tb* Motor ’ ool. Final Fe-ort of Iflst 09nerel R0critd 
A portion of the MIm football t«a, n viU oo its ooeofc, 
«i *r*wn from this mil ini ilimlilci tl« unit's Interest 
In the nrogreet of tbs lee rue, 
s' 
A«lii from tbs ethletls not lotion there woo e Tory buoy 
proersn of ooelel iffilr* in operation* outstanding swong 
Ihtit wtw Ut unit denote, four rmr month, which featured 
the eicollont Snoolol Sense Bond under the direction 
tf F* 0* TttUtr* Other fueled mlifliiniitBl mi provided 
by tbo ruhllo idimi oyster usd mUidira of mori«, both 
and Feetc-wof*** Thin fmlurt wes ova liable both to 
pot 1 onto and detachment personnel* 
The appreciation of closeted music woo fostered bp 
elooooo In tbo cub loot* pod loo, ove r 40 In mtstoer, 
woro oodo available on tbo various wards through tha efforts 
of tbo Spatial Carrico which maintained end die- 
tr<bated tbo* throughout tbo boepitd area* 
Arrangements worn concluded with French Cl rill on 3peeld 
Sarvlea to prorldo French entertainment each Friday for tbo 
patients end werbers of tbo detaahmant. OrW ooob wook o tour 
of Faria under aovretant guides who know tbo city woo eon* 
ducted, oo wdl oo ooooolonol touro to surrounding ooctoro of 
Intoreot llko Fonto1nbloow9 Chantilly ond Versailles* Thootor 
tlokoto for off!core and onlfotod won woro obtofnod by Special 
Services for ouoh ottrootlono oo La Casino do Faria, Follow 
Bargara, tbo 01ynpla, 'nearertony, ond theotars and 
aony otbor areola! events. *e*» corerere and aurrant raiding 
sat aria! wea provided through tba distribution via Special 
Sore foot of *Tho Stare and Stripes", "Tank**, "The Hamid 
Tribune*, and the various ram sine Vita* 
lnfo?w»etloa and Education's activities warn dictated by 
tha reeaoolty of furnishing tba members of this commend with 
tbo roqulalto orientation aeterlal designed to aako aech 
Individual aware of Ma part in the great laimea of war end 
peace, aa wall aa with Information concerning tba educational 
facilities availabla to bin aa wall as tbo actual conducting 
of unit clecooo In varlono rub4acts. Two hourly rorlodo of 
orientation were bald during »»Mcb "Army Talko* and the other 
available educational netartel wore dlreueoed. 
Illustrative films ware clown to the assembled group end 
these woro followed by pert1nent dlccusslon periods. The 
various aspects of ruderloyrwnt, tbo d Bill of rl elite, end 
root-war problems were among the topics treated* during rest 
of our stay hare, tba unit school functioned with class** 
conducted in French by a civilian Instructor whose *uipll- 
atrongth in all eroups evoragad thirty. In #uslo Appreciation, 
and in ScOkfcaopiiig, both alarantary and advanced* I end * 
materials of Inatructlon wore utilised in ell of these o tiroes. 
Supplementing these setIvlties end providing en added source 
of ontert-invent for detachrent end rotlento ellko wee the 
Unit Library of more then 500 volumes end o lending systea Tlnal P-aoort of 191at ) r»wnaral Bo*rltal 
whleh 1nrurad ccrplata ooyaraga of tba boaMtal* A# Many 
BB P,OOC IndivMualB ware carved by tba library rMoh re- 
gained open IP ho*nre drily* 
The • •rrd«rt,i Club, with a itmnite building for It# 
un, w«a th« center of reareatlon for tha non-eon#* It# 
»*«kly dances, wall-ran#gad bar and ***** room, answered tba 
need for relaxation adequately. Tor iba £«Uatod ''an a day 
rooa, reading rooa and bar vara rrorldad* Tbaaa ware aantrally 
located lo one large rooa which wa# a ovular rendasreus* 
Hng-uon* tablaa, «w»U gar re #nd reading aatarlal, together 
with eoafortabla furnishing# war# arranged through r>na#lal 
« VlCBB. 
The wait theater waa aatabllabad early In our stay bar# 
and, through tha afforta of ’pastel rerrlaa, It auaeaadad in 
providing at treat two comrleta ahow# dally with nawaraala 
and a' ort aub 'aata for tba aanaarant of wore than four hundred 
patron#. It acred Ita quertrr# oarers! tins# aa convenience 
dlatatad* The theater waa equipped with twin projectors, 
thus eliminating tire lavas between raala* 
Three multitudinous activities of th# of 
Bpaalal Service# ware supplementad by tha proarea arranged 
through Spaolal * Igbar bredquartare. By tMl arena 
our full cuota of twenty-five ware enabled to attend th# 
rerioua acbool# and univareltia# who bo f*a<11ttaa w t>r% 
avail-bla to aarbare of tba Arsed Torca#* 
Tbl# ehbitlou# nrogres wa# eurtailad only on tha raaalpt 
of hot In* order# 9 TTovarbar 1949* -ran during tha staging 
process, howarer, novias, reading nattar, hooka, a United 
nujrt>ar of radloa and a oowplato ©plantation prom-as daaignoi 
to prepare hombound ran for thalr place# In alyl lias llfo, 
ware carried on* 
f* American C-poaa 
Tha Asariaan 'rose haa boon on# of tba mat act ire 
•action© on tba ro«t. Th#y bare had a mat axeallant program 
of reareation and waifare activities for tho unit. During 
tha nonth of I*no tho l>#d ~rO** moved Into thalr enlarged 
quarter# and immediately retabllabad a #r»ft workshop for 
tho patl#nt#, woodwork, natal work, leather earring, and 
engraving faallitla# ware node avallabia t# all that daaarvad 
to are 11 thaoaalrea of th# equipment. There ware an average 
of 9 woxlng pletnre# and thra# legitimate show# • weak far 
ambulatory patient# and Mowing Mature# and stag# #how# for 
th# bad patient# #nd oloaad ward# #t !###% • time# « w##k* 
Th# S*d Cross workers tovarad th# ward# and distributed sandy, 
•Igaretta#, reading mtarl#!#, tollot #rtl#l#d, #Bd araft 
frollltie# to th# bad patients. Th# AW aondu#t#d tour# of 
Perl# and vleinlty th#t war# wall patronl*ad by patlanta and Pinal ’’anort of 191et (W) '*en«ral Hoarital 
unit paraonnol alike. 
T« addition to raartatlon, which undonbtadly ringed an 
asrantial roXa in tba program, it should ba "sectioned alao 
th«t during tbla rarlod thara vara aany indiaetiona that tha 
aasa work prorran eainad monar.tun and aotad aa a rant aa 
wall aa a aonatruotlva aid to thoaa petlanta *vo ao vitally 
naadad both of tbaao factor*. ?Mi phaaa of tha ad 
aartiaa we* artra-alr act It* aXX during tha functioning of 
tba hoaMtel. 
Tha American ' ad Croat was cent 1 noniXy aaXXad on by 
Aaaignad dnliatad Paraonaal, aa wall aa petlanta, for 
’’Raa Itb and *alfara Thara war# numerous 
*a»o* wharo sisrla interview* took eara of tbaao requests, 
but May wara tlaa consuming and required a great deaX of 
work. Table HIT, below, ahowt tha mirbar of onaoa aaoh 
■oath that required ooarlata work up, (alao ao# VIII). 
It mat bo realised thrt tbaoo fIruraa era only for 
aaoao wharo template eaaa work-tip waa required. Alao, it 
olooXd ba pointed out that tba ratio batwoe* thoaa requests 
originating with tha aaalgnad personnel and tha rati ant 
rarnoanal war# artrarely high. 
vownr 
.TAW 
WAW 
AT** 
VAT 
.nrn 
,TT7l 
Arc 
SST 
OCT 
w V0 
mrwme 
rcmomntL 
If 
6 
f 
0 
1C 
4 
4 
14 
15 
14 
10 
T9 TWO* 
1* 
it 
80 
64 
40 
?0 
180 
46 
40 
46 
6 
•Witt dart only. 
1 
1 
XTTT 
8* QhaplMn* 
during tha flrwt faw wonthb of tha oparptlon of tba Xtlat 
CtJ3) %nar«l Hospital aa a unit, thara wara thraa chaplain* 
aaalgnad, two Prota riant and ona Catholla. Utur thla nnahar 
aaa reduo ad to two, ona aaah of Protaetant and Catbolie. 
Tha Chaplain*' Offla# wa* aatraaaly buay during the firat tlx 
■ontha of whan tha unit waa racalvlag battin oaaualtia* 
and parforaad aoat arcallant and amforting work anong tba 
patlast*. 
Savicaa vara bald aaah for both Protaotent and 
Catholic, doll Vfiia and Confaaalona for tho C«tholic, and 
Sabbath *to s#rrloa« for tha lowiah. Tha Chaplain* aaaunad 
tha responsibility of grave registration* and body idantlfiaetlon. T*nal of 101st (tTl) fler.e-al Hospital 
*?uii#rona 1attars fron parents of hosritsllaed persornal vara 
answered, letters of ecndolanee wrlttar, personal Interview* 
with hoa~ltali«ed ran and aaalynad narsonnal. Mass was held 
for tha stooVado. 
*rrleas rape wall attended by all beliefs. 
4* rost *x«hsnyal 
mha >’ost **chenya first started operation on s assail seals 
soon aftar tha unit landed In island. Tha Cofwwmdlng 
officially anpolntad an **c*«nga Oourall several days before 
tha first of January, 1*45. At first tha fsell'tlaa 
wars available only to assigned personnel, but very soon 
euffislant r tions ware aval labia for tba of tfco Vachnent 
of Patients. Oy ths and of tba first acnth9s operat'on, roblie 
units were In use ♦shiny ration* and supplies to bed natianta* 
Tba facilities of tv1s sarvlsa expanded rapidly and offered 
ooa'lsta aarrlea by adding a nodarn wall-sculrpad barber ahop 
(6 chairs), shea sMnlny faailltlaa, taylor and nresslns shop, 
end also dry alaenlny. In .‘bine a rod am loa eresn and soda 
fountain was put Into operation In Its own building. Thla 
service offered by tha Post S»ohanra, prorad to ba one of tha 
west appreciated and sort popular* 
A raffia systan was used for the aalo of certain Haas; 
sveh as, watches, olyaretts lighters, and fountain pens. aeh 
mb desiring to purchase one of t osa It era signed op for it end 
then e drawing wss held for the one r>t> wea eligible to purchaao 
the Itaa. 
T?HGW V. **t* 
Major, *C 
Oojeimindlng Form 6£a 
ISnacAL Dkpabtmiwt, U. 8. Asirr 
(Authorised Mwah 0,1928) 
281 
VITAL STATISTICS CHART ClMALl) 
Hq SOS USAPP 11-93/20M/19190 Form 85a 
Medical Department, U. B. Armt 
(Authorized March 0, 1928) 
VITAL STATISTICS CHART (small) 
U. S. GOVERNMENT PRINTING OFFICE 8 MSI VITAL STATISTICS CHART (|MMll 
Hq SOS US APR 11-13/20M/19190 
FormMa. 
IdnocAt U. 8. Asmt 
(Authorised Mat ah 9, 1938) 
Ml Form 88a 
Mbdkal Difastuut, U. 8. Arjtt 
(Authorized Marsh 0, 1838) 
281 
VITAL STATISTICS CHART (IMAL) 
Hq SOS USAPP 11-93/20M/19190 Form 8Sa 
Mbdkal Dbfarthsrt, U. 8. Army 
(Authorised Mat oh 9,1938) 
VITAL STATISTICS CHART (SMALL) 
Hq SOS USAPP 11-43/20M/19190 
281 VITAL STATISTIC* CHART (SMALL) 
Hq SOS USAPP 11-13/20M/19190 
Form 85a 
U BOCAL Dbpabtmbmt. U. 8.A*mt 
(Authorised Mwah 9, l«28) 
281 Farm 88* 
Memcal Detaetmeitt, U. 8. Abut 
(Authorised Met oh 9, USB) 
VITAL STATISTICS CHART (|M*u) 
Hq SOS USAPP 11-43/20M/19190 
281 VITAL STATISTICS CHART (SMALL) 
Form 85a 
M*DiCALD*PABTiiitirr, U. 8. Armt 
(Authorized March 9, 1928) 
0. S. SOVERNMERI PRIHTIN8 OFFICE 8 MSI