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The cooking arrangements are of the most defective character.  Five large iron pots similar to those used for boiling sugar cane, appeared to be the only cooking utensils furnished by the hospital for the cooking of nearly two thousand men; and the patients were dependent in great measure upon their own miserable utensils.  They were allowed to cook in the tent doors and in the lanes, and this was another source of filth, and another favorable condition for the generation and multiplication of flies and other vermin.

The air of the tents was foul and disagreeable in the extreme, and in fact the entire grounds emitted a most nauseous and disgusting smell.  I entered nearly all the tents and carefully examined the cases of interest, and especially the cases of gangrene, upon numerous occasions, during the prosecution of my pathological inquiries at Andersonville, and therefore enjoyed every opportunity to judge correctly of the hygiene and police of the hospital.

There appeared to be almost absolute indifference and neglect on the part of the patients of personal cleanliness; their persons and clothing inmost instances, and especially of those suffering with gangrene and scorbutic ulcers, were filthy in the extreme and covered with vermin.  It was too often the case that patients were received from the Stockade in a most deplorable condition.  I have seen men brought in from the Stockade in a dying condition, begrimed from head to foot with their own excrements, and so black from smoke and filth that they, resembled negros rather than white men.  That this description of the Stockade and hospital has not been overdrawn, will appear from the reports of the surgeons in charge, appended to this report.

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We will examine first the consolidated report of the sick and wounded Federal prisoners.  During six months, from the 1st of March to the 31st of August, forty-two thousand six hundred and eighty-six cases of diseases and wounds were reported.  No classified record of the sick in the Stockade was kept after the establishment of the hospital without the Prison.  This fact, in conjunction with those already presented relating to the insufficiency of medical officers and the extreme illness and even death of many prisoners in the tents in the Stockade, without any medical attention or record beyond the bare number of the dead, demonstrate that these figures, large as they, appear to be, are far below the truth.

As the number of prisoners varied greatly at different periods, the relations between those reported sick and well, as far as those statistics extend, can best be determined by a comparison of the statistics of each month.

During this period of six months no less than five hundred and sixty-five deaths are recorded under the head of ‘morbi vanie.’  In other words, those men died without having received sufficient medical attention for the determination of even the name of the disease causing death.