and freshly clothe, or sterilize old clothes before embarkation, excluding, after searching inspection, suspected cases.

5. Yellow fever convalescents or suspects should not accompany healthy troops. 6. No equipage or personal effects capable of conveying infection should accompany troops, unless disinfected by steam or otherwise.

7. Arrange to embark by daylight, under careful supervision of surgeons, who will control sanitary conditions of troopships en route.

By order of the Secretary of War:

H. C. CORBIN, Adjutant-General.

TELEGRAPHIC ORDERS-PRECAUTIONS AT MONTAUK POINT.

WAR DEPARTMENT, August 11, 1898.

The Secretary of War directs that you cooperate with Surgeon Magruder. United States Marine-Hospital Service, to establish and fix quarantine grounds and anchorage for transports bringing General Shafter's command to Montauk Point. As each transport arrives the quarantine officer will board it, raise the yellow flag, and make personal inspection of the troops on the transport. If no yellow fever cases are found the sick will be removed to general hospital and the well to detention camp, where they will be held three to five days, and then moved to general camp. If any yellow fever cases are found they will be taken off and either put aboard the sanitary barge or put in yellow fever hospital. Other sick will be moved to general hospital, and the well be detained in the detention camp eight or ten days. No person will be allowed aboard a transport while the yellow flag is up without a written pass of Surgeon Magruder. A revenue cutter has been ordered to Montauk Point to enforce sanitary and quarantine harbor regulations.

General YOUNG,

H. C. CORBIN, Adjutant-General, U. S. A.

Montauk Point, Long Island.

UNITED STATES MARITIME QUARANTINE AT MONTAUK POINT.

In anticipation of some such necessity as the Montauk quarantine the contractors who were constructing the disinfecting barge Protector at Philadelphia had been directed to hasten its completion, and were authorized to employ extra labor and work at night. The barge was completed and immediately towed to Montauk, arriving there twentyfour hours in advance of the first transport. Two hospital stewards and 21 attendants, the latter detailed from several of the quarantine stations and marine hospitals, were directed to join the barge at Philadelphia, and the following-named medical officers were ordered to Montauk Point for quarantine service, viz:

P. A. Surg. G. M. Magruder (in command), P. A. Surg. J. J. Kinyoun (in charge of disinfection), P. A. Surg. J. B. Stoner, P. A. Surg. E. K. Sprague, Asst. Surg. Hill Hastings, Asst. Surg. Sherrard Tabb, Asst. Surg. Mark J. White, Sanitary Inspector W. F. Brunner (yellow fever expert).

Two of the foregoing medical officers were detailed on account of the assistance they could render, but more particularly to familiarize

them with quarantine procedures, advantage being taken of so valuable a field of instruction. By request the Light-House Board buoyed out the quarantine anchorages, the Revenue-Cutter Service sent a cutter to convey supplies and perform other necessary service, and the Navy Department sent two small vessels of the auxiliary navy to serve as a patrol. The Quartermaster's Department furnished a boarding vessel.

The following instructions were transmitted by telegraph to Passed Assistant Surgeon Magruder:

You are to establish a national quarantine by request of Secretary of War. Army will manage detention camp. Instructions are to inspect vessels as they arrive, raise yellow flag on them, and you are to have control of them until flag comes down. On inspection, typhoid and other nonquarantinable diseases will be reported to medical officer of Army in charge, for proper disposition, and likewise cases of yellow fever or suspected yellow fever. After sorting out these, the remaining troops can be landed to go into detention camp, with such precautions regarding those specially exposed as is necessary, including disinfection.

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After discharge of troops, vessels and crews to be taken to barge Protector for thorough and rapid disinfection. * * Cause as little delay as possible in inspections. * * Prevent communication with vessels while in quarantine.

*

The first transport, the Gate City, arrived on August 13, 1898, and from that date until September 13 there were thirty-two arrivals at the quarantine.

The quarantine procedures were in no way different from those pursued at any national quarantine station as regarded the inspection of the vessel and crew and the treatment of the vessel.

All vessels on arriving were thoroughly inspected, and all sick examined carefully in order to detect any symptoms of yellow fever. If any sick were found-and there were some sick on all of them— the cases were reported to the medical officers of the United States Army for removal. All care of the troops, whether well or not, after removal from the vessel devolved on the War Department, and were received and retained in detention camps and subsequently transferred to the main camp.

In the case of the arrival of a transport infected with yellow fever, as in the cases of the transports St. Louis and the Grande Duchesse, after the removal of the cases of yellow fever the remaining troops were bathed on board of the Protector, and were-through the Quartermaster's Department of the Army-furnished with new uniforms; their clothes were disinfected in the chambers of the Protector, and they were then turned over to the militar authorities, after which the vessel was thoroughly disinfected.

Upward of 17,000 troops returned from Santiago to the United States, via Montauk Point; of these there were more than 2,200 sick with various diseases, but in all this number there were only four cases of yellow fever, two of the cases occurring on the Grande Duchesse-the men.

were ill on arrival-and the other case developing on the St. Louis, two days after her arrival at Montauk Point. This last transport had had a death at sea during the voyage which had been attributed to yellow fever.

There was no delay in either making the inspections or in the quarantine treatment of passengers or vessels, and with the aid of vessels loaned by the Navy Department and the Revenue-Cutter Service there was no break in the efficiency of the quarantine maintained. Thanks are due to the Light-House Board, Revenue-Cutter Service, and Medical Department and Quartermaster's Department of the Army for their cooperation. Acknowledgments have been made to the Secre tary of the Navy for services rendered by the auxiliary cruisers Aileen and Alfreda. Detailed reports concerning this quarantine have not as yet been received, the commanding officer and several of the other officers being transferred immediately on the close of the station to yellow-fever-infected points in the South. Following, however, is a tabulated statement of the operations of this quarantine:

Statement of transports which arrived at Montauk Point (Camp Wikoff) August 13 to September 13, 1898, showing number of troops arriving thereon, number of sick, and number of yellow fever cases and deaths reported to have occurred on

NOTE. The suspicious case of fever noted on the steamship Mohawk, arriving on the 25th, was pronounced after necropsy to have been a case of malarial fever.

ARMY TRANSPORT AND PORT-INSPECTION SERVICE.

The following is a copy of correspondence relative to placing officers of the United States Marine-Hospital Service on army transports, and at conquered Cuban and Porto Rican ports, to act as sanitary inspectors: WAR DEPARTMENT, Washington, July 30, 1898.

SIR: To expedite the movement of our transports and minimize the danger of their exposure to infection, I have the honor to request:

(1) That medical officers of the United States Marine-Hospital Service be immediately detailed for duty at Santiago, and subsequently at other Cuban or Porto Rican ports under control of the United States forces, to carry out the requirements of the quarantine law of 1893. Such officers to issue certificates and perform other duties of sanitary or port inspectors.

(2) That all sanitary matters pertaining to the condition of transports and crews be placed under the jurisdiction of medical officers of the United States Marine-Hospital Service. Every vessel engaged in the transport service between the United States and Cuban or Porto Rican ports to carry a medical officer of the Army or of the Marine-Hospital Service, whose duty shall be that of sanitary inspector of the vessel, and who shall see that in a foreign port no material or person is taken aboard liable to convey yellow fever; to keep the crews of the transports under surveillance, and on the return voyage act as sanitary inspector.

(3) That there be placed at Santiago and every chief port where practicable a receiving ship for the reception of those who take passage for ports in the United States. This ship would be practically a detention camp and quarantine station, and passengers seeking homeward voyage would be taken from this vessel after they had undergone a period of observation and disinfection of their effects.

The Surgeon-General of the United States Marine-Hospital Service informs me the effect of placing officers of the Service on our transports would be, if no communication is held between the transport and the shore, as above indicated, and no yellow fever breaks out on board en route to the United States, that disinfection of the transport on arrival will not be required.

The present working of the quarantine laws prevents our unloading any transports coming from Santiago at Fortress Monroe without first being quarantined; to avoid which we are ordering the transports, as rapidly as they arrive at Fortress Monroe, to New York. This condition exists as well at Tampa, where all our vessels coming from Santiago are being quarantined.

Very respectfully,

The SECRETARY OF THE TREASURY.

R. A. ALGER,
Secretary of War.

TREASURY DEPARTMENT, Washington, D. C., August 3, 1898.

SIR: I have the honor to acknowledge receipt of your letter of July 30, requesting that medical officers of the Marine-Hospital Service be detailed at Santiago, and subsequently at Cuban and Porto Rican ports under control of United States forces, to carry out the requirements of the quarantine law of 1893; and also that the transports belonging to the United States, and their crews, be placed under the supervision of sanitary inspectors of the Marine-Hospital Service in order that no material or persons may be taken aboard at the foreign port liable to convey yellow fever, all with a view to prevent the introduction of yellow fever into the United States, and also to prevent the transports themselves becoming

infected, and thus subject to unnecessary delays due to quarantine restrictions at ports of the United States.

In reply, I have to state that I have approved the recommendations made in your letter, and have directed the Surgeon-General of the Marine-Hospital Service to take necessary measures for carrying them into effect.

The Secretary of War directs that the following instructions be sent you: That medical officers of the United States Marine-Hospital Service be immediately detailed for duty at Santiago, and subsequently at other Cuban or Port> Rican ports under control of the United States forces, to carry out the requirements of the quarantine law of 1893; such officers to issue certificates and perform other duties of sanitary or other port inspectors.

That all sanitary matters pertaining to the condition of transports and crews be placed under the jurisdiction of the medical officers of the United States Marine Hospital Service. Every vessel engaged in the transport service between the * United States and Cuban or Porto Rican ports to carry a medical officer of the Army or of the Marine-Hospital Service, whose duty shall be that of sanitary inspector of the vessel, and who shall see that in a foreign port no material or person is taken aboard liable to convey yellow fever; to keep the crews of the transports under surveillance, and on the return voyage act as sanitary inspector. That there be placed at Santiago and every chief port where practicable a receiving ship for the reception of those who take passage for ports in the United States. This ship would be practically a detention camp and quarantine station, and passengers seeking homeward voyage would be taken from this vessel after they had undergone a period of observation and disinfection of their effects. Surgeon Carter, United States Marine-Hospital Service, has been appointed sanitary inspector at Santiago.

H. C. CORBIN, Adjutant-General.

In accordance with the above correspondence Surgeon Carter was ordered from New Orleans to Santiago, but on the eve of his departure it was necessary to recall the order on account of the yellow-fever situation in Louisiana, the Service in the meantime being represented at Santiago by Sanitary Inspector Caminero, who returned to Santiago July 19 from Kingston, Jamaica, under Bureau orders.

A yellow-fever expert was also ordered to Ponce, but owing to the gravity of the yellow-fever situation in Mississippi his detail was temporarily suspended.

MEDICAL OFFICERS, MARINE-HOSPITAL SERVICE, DETAILED TO SERVE ON ARMY TRANSPORTS.

Pursuant to the request of the War Department, the followingnamed officers were detailed for duty on the several transports:

Asst. Surg. A. R. Thomas, transport Obdam; Asst. Surg. Sherrard