Medl Director E. S. Gaillard,
I have the honor to report that on the 2nd inst I inspected the
prison hospitals in the city of Richmond 1st at Castle Thunder (Cary
St.). I found about 70 patients in a garret room 40 ft. by 80 of low
pitch & very imperfect ventilation. The capacity of the room (from these causes)
patients. There was no bath room, linen room or Hosl Clothing. The beds and
bedding were filthy & the clothing & persons of the patients in the same
conditions. Most of the patients were stragglers & privates with
irregular furloughs arrested on charge of desertion –
The same rations are served to the sick as to other patients & no Hospital
fund exists or has been accounted for.
No medl officer was found, but I am informed that Contract
attends daily. The acting Hospl Steward is an officer of the prison detailed for
the purpose by Capt. G. W. Alexander A.P.M.
The patients will shortly be removed to the Libby Prison Hosl now being
whitewashed preparatory to their removal.
I recommend that they be removed to Genl Hosp no. 10 when facilities exist
for isolating them from the other patients; & that one of the floors of that
institution have one or more sentinels to effect this purpose, & to prevent the
escape of prisoners. The majority of them are not criminals, probably
none of them have been tried
& there is no reason why they should be compounded with the prisoners
war in Libby Prison.
2nd I next visited the Hospitals attached to the prison for "prisoners
of war." In the Libby Prison there are 3 floors each 40 by
70 ft. The building is owned by L. Libby & the amt. of rent is not known.
Palmer & Atkinsons late tobacco factory (in the vicinity) of the same size &
capacity is also used as a hospital. The pitch is not too low
& the ventilation by windows is sufficient exept on 1st floor of
Hosl where the machinery still remains & circulation is obstructed by an
With strict attention to cleanliness of person & bedding & good order 60
patients might be accomodated on each floor. 360 to the 2 buildings. The
two buildings constitute one Hosl under charge of Act. Asst. Surgeon Barham,
P.A.C.S – Contract
Physician Coggin also attends & visits the wards 2er daily.
Several U.S. Medl Officers assist in attending to the sick & wounded – but no
Confederate surgeon was present. There was an apothecary & clerk, but they could
not exhibit to me
the Hospl Records (if such exist) ___ register, cash books,
order & letter book, muster roll – monthly & quarterly reports & copies of
registration – A quarterly report of sick & wounded & a quarterly return of
property for the quarter ending Sept. 30th is now due in which the
Surgeon in charge of each hospl will account for the medl instrument, Hospl
stores, furniture, & receipted for by him & to them I refer you.
There is no bath room in either building. The privies communicate with
the wards & are badly constructed & in bad condition. The bedding, persons of
patients, and floors are filthy & disgusting & there is a general absence of
The kitchen is cleanly & well managed – the rations well cooked & savory &
the cooks less in no. than allowed by the regulations.
No nurses are employed or detailed but volunteers from
the prisoners. Two meals are given daily at regular times, no
difference being made in the rations of the sick & well & none commuted for Hosl
fund as vegetables & anti-scurbutics (?) have been bought by the A. M. of the
prisons on special requisition by the surgeon in charge.
Private Barke 18th Va Regt. Detailed for duty in subsistence
department was act. Hospl Steward by order of Capt. Warner Commissary of
prisons. No gas was used in either hospital building. I requested by letter a
report of the Surg. in ch. On some subjects I could not otherwise get
information concerning, & will append his reply to this report. Seventy officers
& men of the City Batn are constantly on duty as guard & sentinels.
The inmates of the Hosls. Are our disarmed and frequently disabled enemies, a
respect for the opinion of foreign nations, humanity, chivalry & christianity &
even policy would make it eminently desirable
- That additional means to promote health & prevent contagion be observed. (Regulation
- That regulations necessary for the good order & comfort of a Military
Hosl. be composed, conspicuously displayed, & rigidly enforced. (Regulation
- That a Confederate Medl officer be required to be constantly in attendance
at this Hosl. & that unless expressly desired in individual cases all aid
from the Enemy’s Surgeons be dispensed with, for to my
knowledge they have repeatedly
made it an excuse for accusing our government with violation of the
agreement not to hold
or consider Surgeons as Prisoners.
- That a sufficient corps of Hosl attendants be organized, employed or
- And to attain all these objects more certainly that the Hosl be separated
(?) as much as possible from the prison proper, established as one of the
Gen. Hosls of this City & placed under charge of a Medl officer with the
rank of Surgeon who has demonstrated his executive talent by his experience
in organizing & conducting a Military Hospital.
Very Respectfully, Your Obdt Servt,
Surgeon Wm. A. Carrington P.A.C.S.