VII. Scurvy, arising from sameness of food and imperfect nutrition, caused, either directly or indirectly, nine-tenths of the deaths among the Federal prisoners at Andersonville.
Not only were the deaths referred to unknown causes, to apoplexy, to anasarca, and to debility, traceable to scurvy and its effects; and not only was the mortality in small-pox, pneumonia, and typhoid fever, and in all acute diseases, more than doubled by the scorbutic taint, but even those all but universal and deadly bowel affections arose from the same causes, and derived their fatal character from the same conditions which produced the scurvy. In truth, these men at Andersonville were in the condition of a crew at sea, confined in a foul ship upon salt meat and unvarying food, and without fresh vegetables. Not only so, but these unfortunate prisoners were men forcibly confined and crowded upon a ship tossed about on a stormy ocean, without a rudder, without a compass, without a guiding-star, and without any apparent boundary or to their voyage; and they reflected in their steadily increasing miseries the distressed condition and waning fortunes of devastated and bleeding country, which was compelled, in justice to her own unfortunate sons, to hold these men in the most distressing captivity.
I saw nothing in the scurvy which prevailed so universally at Andersonville, at all different from this disease as described by various standard writers. The mortality was no greater than that which has afflicted a hundred ships upon long voyages, and it did not exceed the mortality which has, upon me than one occasion, and in a much shorter period of time, annihilated large armies and desolated beleaguered cities. The general results of my investigations upon the chronic diarrhea and dysentery of the Federal prisoners of Andersonville were similar to those of the English surgeons during the war against Russia.