/V , HE SURGEON'Scircular

NOV - 1951

V 0 L U M E - V I fetter N U M B E R - 1 1

AFAR EAST PERIODICAL

OF ARMT IEDTCAL SECTION -GHQ- FEC, SCAP AND UNC medical services APO 500 information Wounded Chinese prisoners rest be- Thai Royal Army Surg General Members of Indian Fid Hospital Uj fore resuming trek to FW enclosure examines patient near front. bandage hand of 8th Hussars troo]

J. Lawton awards Italian Red Cross Hospital Personnel Wounded soldier receives blood G/A Collins Sil Star AMEDS Cpl Theodore after arriving in Pusan in November. plasma at aid station in Korea to L. Al.

Pfc Vivian Lowe attends patient at Indian doctor gives medical Tank doubles as ambulance as it I US Army Hospital in Yokohama, Japan treatment to child refugees ries wounded soldier to aid stat I Volume VI - Number 11

THE SUR8E0N S NOVEMBER 1951

General Headquarters circular Far East Command Medical Section letter APO 500

ADMINISTRATIVE

Urig. Gen. William S. Sharabora, New Chief Surgeon, Far East Command 221 Departirg Womer. Officers Decorated at Yokohama 222 Major Aynes New Chief Nurse of Japan Logistical Commend 222 UNCACK Observes of Korean First Anniversary Operations .....223 Italian Hospital Arrives for Korean Duty 223 Awards to Array Medical Service Personnel 224 General Lauds Record of Servicewomen in Far East Comnand 226 Unit Awards to Medical Organizations ... 227 Helicopter Unit Performs 3,000th Rescue 227 Redesignation of Army Hospitals 228 Recent Department of the Army Publications 228 of Authorization for Use Nor-Approved Drugs and Treatments ..... 229 Enrollment in Army Extension Courses 229 Danish Hospital Ship Jutlandia Returns to Far East 229

. . Improvised Paper-Cup Dispenser ..... 230 Non-3attle Casualty Terminology 230

BRIGADIER GENERAL WILLIAM S. SHAMBORA, HEW CHIEF SURGEON, FAR EAST COMMAND

Brigadier General Vi Ilian E. Sharabora, who assumed the post of Chief Surgeon, Far Bast Command, early in November, began his career in the U. S. Army Medioal Corps in 1925. He was extremely aotive dur- ing the mobilisation and training period of World War II as Surgeon, Army Ground Forces. Through his association with officers and enlisted men at the Medical Field Service School and the Army Ground Foroes he has become well-known by Army personnel.

General Sharabora received the degree of Baohelor of Soienoe in 1923 and Doctor of Medioine in 1925 from Georgetown University, Washington, D. C. After com- pleting his internship at Fitzsimons General Hos- pital he attended the Aray Medical School from whioh he was graduated in January 1927. This training was followed by a course at the Medioal Field Service Sohool, Carlisle Barracks, Pennsylvania. In June 1927, he rejoined the staff of the Fitzsimons Gen- eral Hospital where he served until June 1928. Dur- ing the following two years ending July 1930, he served a tour of duty in the Philippine Islands.

Upon returning to the , he was assign- ed to the 1st Medical Regiment at Carlisle Barracks as Company Commander and later as Executive Officer and at the same time also served as an instructor in the Medioal Field Service School, a position which he held until 1933. For the next two years he pursued a course of study in the Command and Gen- eral Staff School and was graduated in 1935. From

221 1935 to 1937, during the period in which tests were Holland and Germany. He then joined the Second made of the Provisional Infantry Division at Fort at Memphis as Surgeon and re- Sam Houston, Texas, he served as Executive Officer mained until March 1946 when he assumed duties as of the 2nd Medioal Regiment. Commandant, Medical Department Schools at Fort Sam Houston, Texas. Upon reorganization of the Brooke From August 1937 until July 1938 he attended the Array Medical Center he was appointed Assistant Com- Army TTar College after whioh he held the position mandant of the M“dical Fi“]d Service School which as Director of the Department of Military Art and position he held until November 1947 when he became the Department of Logistics, Medical Field Service Chief Surgeon, United States Army, Pacific, with Sohool, Carlisle Barracks, until October 1941. He station at Fort Shafter, T. H. From 1 July 1950 to was then assigned as Assistant Surgeon, GHQ, Army 1 October 1951 he was Surgeon, First Army, Gover- War College, until Maroh 1942 when he became Assist- nor's Island, New York. ant Surgeon, Army Ground Forces. He was designated Chief Surgeon, Army Ground Foroes, in December 1942, On 1 November 1949 he was promoted to the grade of serving in that capacity until May 1944. He became Brigadier General, Medical Department. the Surgeon, Ninth United States Army, upon activa- tion of that Army in May 1944. He remained as Sur- General Shambora has been awarded th® Distinguished of the Ninth United States until its geon Army in- Service Medal, Legion of Merit, Army Commendation aotivation in October 1945. Ribbon, Legion of Honor, Croix de Guerre with Palm, Order of the British Qnpire, and Order of Freedom, He participated in campaigns in France, Belgium, USSR.

DEPARTING WOMEN OFFICERS DECORATED AT YOKOHAMA

Lt Colonel Elizabeth Mahoney, Chief Nurse, and As Chief Nurse, KiHarney-born Colonel Mahoney Major Nell Wickliffe, Chief Dietitian, Japan Logis- supervised all hospital nursing service throughout tical Command, received special awards on 20 Novem- JLC. Befbre coming to Japan in July 1950 she was ber for distinguished service while assigned to the Chief of Air Nurses, Office of the Air Sur- Medical Section, JLC. Major General Walter L. geon, Washington, D. C. She was Chief Nurse, Weible, Commanding General, JLC, made the presenta- Eighth Array, before receiving the JLC appointment tions. in August 1950. Her military career began in May 1918 at Walter Reed Hospital where she served two years before to civilian Colonel Mahoney was decorated with the Oak I/?af returning life. She re- entered the Army nursing service in April Cluster to the Legion of Merit and Major Wickliffe 1927. received the Legion of Merit. Colonel Mahoney Major before from the previously had been awarded the Legion of Merit Wickliffe, graduation Army dietitians in taught during World War II while serving as Chief Nurse, school for 1929, home econom- ics from 1925 to 1928 at First Air Force, Mitchell Field, New York. Cita- Mellon High School, Florida. Before to the Far East tions accompanying the awards lauded the two of- Palatka, coming Command in October ficers for their "exceptionally meritorious ser- 1948 Major Wickliffe served for 18 years at what is Brooke Army vice" while with JLC. jpow Hospital and at Walter Reed Hospital for two years. She was Chief Dietitian for the Eighth Army before joining Colonel Mahoney was cited for "overcoming seem- JLC in August 1949. ingly insuperable obstacles while training tech- nicians" and "successfully utilizing nurses from Both officers returned to the United States on 23 other countries of the " during the November where Colonel Mahoney will retire after . Major Wickliffe was commended twenty-eight years as an army nurse and Major for "tenacious devotion to duty" while Chief Diet- Wickliffe will assume the post of Chief, Women's itian. Medical Specialist Corps.

MAJOR AYNES NEW CHIEF NURSE OF JAPAN LOGISTICAL COMMAND

Major Edith A. Aynes, former Chief Nurse at the A graduate of the University of California, where 279th General Hospital, has been named Chief Nurse she was awarded a BS degree in Nursing Education, for Japan Logistical Command. Major Aynes will su- she also has attended schools at the Orthopedic pervise all nurse activities in hospitals through- Hospital and the Post Graduate Hospital, New York out the command succeeding Lt Colonel Elizabeth City; Brooke Array Medical Center, Fort Sam Houston, Mahoney who returned to the United States in Nov- Texas; and the Anesthesia School at Jewish Hospital, ember for retirement. Philadephia. Before coming to Japan in January of this year, Major Aynes was stationed at Letteman Major Aynes, who received her nurse's training at Array Hospital, San Francisco. Presbyterian General Hospital, Denver, Colorado, has been a member of the Army Nurse Corps for more A former member of the board of trustees of the served in the than seventeen years. She reserve North American Society of Nurses, she also holdB for six months in 1933 and joined the regular Nurse membership in the National Nursing and Education Corps in 1934. Since that time her Army service League. has been unbroken.

222 UNCACK OBSERVES FIRST ANNIVERSARY OF KOREAN OPERATIONS

November 3rd, 1951 marked the first anniversary of born out of the unfortunate conditions attendant the organization of the United Nations Civil Assist- upon the ," declared UNCACK's commanding ance Command, Korea (UNCACK), operating agenoy of general, Brig. Gen. William E. Crist. "Since that the Eighth United States Army. time, the Republic of Korea and UNCACK have worked hand in hand to alleviate these conditions, and This command was organized originally to prevent to rebuild Korea to her rightful place as a free disease, starvation and unrest among the civilian and prosperous nation. population of Korea. Since that time its role has been enlarged. It now includes provision of mater- "UNCACK was designed to assist the Korean author- ial aid and teohnical assistance to sustain the war- ities in caring for the civilian of ravaged nation's economy. population Korea. In this respect it has aided by providing food, shelter, clothing and medical care for nearly Summarizing the past year's activities of UNCACK, 4,000,000 refugees and other needy persons. Further- General James A. Van Fleet, Commanding General, more, our organization has advised and United States Eighth Army, stated: assisted the Republio of Korea in the rehabilitation of agricul- ture and industry and has helped to supply raw ma- "The scope of this task oan be appreciated when one terials necessary to the restoration considers that was almost entirely over- program. run by the Communist invaders, was fought over for UNCACK was first November months, suffered heavy damage to utilities, communi- "Since formed, 3, 1950, nearly inoculations have been as a cations and industry, and suffered the loss of the 50,000,000 given means of those which could capital city on two occasions. preventing diseases grow to epidemic proportions. As a result, the year has been marked by a low rate of without a "UNCACK is ccsunanded by Brig. Gen. William E. Crist, sickness, single major epidemic, a great tribute to the plan- U. S. Army. In his organization are 93 U.S. Army ning and execution of the Public Health Program. offioers, five warrant officers, 192 enlisted men, 47 U.S. civilians and 48 civilians of other UN na- thing that has made all of this possible, tions. The manner in which all have worked toward "The one the greatest single factor between success the accomplishment of the common mission is a cred- standing and failure of the United Nations Relief Mission it to the nations represented. in Korea has been the thousands of tons of relief sup- plies which have funneled the of "The consistent labors of UNCACK have provided suc- been through ports nation cor and hope for the Korean in distress," he con- this as contributions from members of the United Nations and various tinued. from relief organizations around the world. The work done by UNCACK over the past year, therefore, represents the coordinated ef- "As Commander of the United Nations Forces in Korea, fort of the United Nations and that of the Korean I welcome this formal occasion to commend the ef- authorities to alleviate the difficulties which have forts of UNCACK with a personal trust that these developed since the outbreak of the war. efforts will be continued," General Van Fleet con- cluded. "I know that the splendid cooperation which has thus To carry out its mission, UNCACK now has a civil far existed between the members of my command, the assistance team in every province. Working with Korean Government officials and the people of Korea Korean officials, they provide for the care of the will be continued in the future. Those of us in the sIojc and refugees, and give technical assistance United Nations Civil Assistance Command hope that we in rehabilitation of housing and industry. may assist the great free nation of Kor®a to pass through the chaoB and the destruction of war, and as "It was just a year ago that the United Nations soon as possible become a prosperous, peaceful, and Civil Assistance Command, Korea, known as UNCACK, happy member of the great family of the United Na- an agency of the Eighth United Staies Army, was tions. "

ITALIAN HOSPITAL ARRIVES FOR KOREAN DUTY

Sixty-seven members of the Italian Red Cross Hos- will be the first non-member of the United pital arrived in Pusan 16 November to complete Nations to send troops to Korea in support of the the complement of 70 doctors, administrative of- United Nations effort. ficers, nurses and corpsmen which make up the unit. "Italy is very proud to be serving with the United Lt Cesare Novello, Lt Gianluigi Ragazzoni and Sgt Nations countries," Lt Novello said, "and all of us Giovanni Rovai, of the hospital staff, had reached in the volunteer hospital unit are eagerly looking Tokyo early in the month to formulate plans for the forward to treating United Nations patients and employment of their oganization. After coordina- South Korean civilians. Italy's heart goes out to tion of plans with the GHQ Medioal Section, the the brave United Nations soldiers who have been three members of the advance party departed for wounded and to the helpless oivilian victims of Korea. the present confliot. We feel privileged to serve, even in a small way, in their behalf." The Medical Section has received a message from , stating the wishes of the Italian government Lt Novello explained that many more than the 70 and the Italian Red Cross that the hospital be as- selected had volunteered for service in Korea, and signed, as its primary mission, the care of mili- that those who are assigned to the uni,t have offer- tary casualties. Its seoondary mission will be ed to stay in Korea as long as their services are the care of oivilian patients. needed.

223 AWARDS TO ARMY MEDICAL SERVICE PERSONNEL

The following additional Army Medical Service personnel have been awarded the Distinguished Service Cross, Silver Star, legion of Merit, Soldier's Medal, Bronze Star Medal with "V", Bronze Star Medal, Air Medal or Commendation Ribbon for exceptional bravery in face of the enemy and meritorious service during the Korean conflict.

DISTINGUISHED SERVICE CROSS Matternes, Lawrence, Col, MC Garcia,Alberto J., Capt, MC Orr, Kenneth D., Lt Col, MC Geiger, Arizo E., Cpl Corners, Stanford 0., Sgt Ramsey, Harry E., Col, DC Gill, William T., Cpl Ware, Marvin A., Maj, MSC Gonzalez-Rivera, Pvt SILVER STAR Green, Frank D., Jr., Cpl 5 0 L DIE R' 3 MEDAL Green, William L., Sgt Atkins, John, Capt., MSC Greenlaw, Patrick J., 1st Lt, MSC Austin, James E., PFC Snowden, Houston D., Sgt Gunnar, Rolf, M., 1st Lt, MC Baldwin, Richard N., Sgt Hall, Herbert L., Set Barker, Wesley, L., PFC Hall, Kenneth E., M/Sgt Bender, James R., PFC BRONZE STAR MEDAL with "V" Harris, Jessie, Cpl Bishop, Jackie W., PFC Harris, Raymond G., Cpl Bonet-Morales, Carl, Sgt Adkins, Paul J., Sgt Harris, Roy L., Cpl Brown, Jimmy, PFC Adkins, Walter L., Sgt Hawkins, Jay R., PFC Byland, Guy J., M/sgt Ankney, Walter J., Cpl Haymes, Marvin A., Sgt Cuticchia, Anthony, PFC Arnold, William L., Cpl Heath, George P., Cpl Depinenil, Jack, Sgt Baker, Byron, A., Cpl Henderson, Glenn M., Sgt Donaldson, Samuel C., Cpl Baker, Stanley D., Cpl Hennanski, Eugene, Cpl Dudyk, Paul P., 1st Lt, MSC Barber, Lloyd, Cpl Hershey, Roy M., Cpl Flores, Ramiro G., Cpl Barnes, Henry F., 1st Lt, MSC Hibbitts, Hugh M., Sgt Freytag, Robert J., 2d Lt, MSC Baucom, James T., PFC Huertas-Marrero Pe, PFC Gentry, James D., PFC Bayne, Joseph K., Lt Col, MC Hupp, Donald J., PFC Gilbert Walter, SFC Bayona-Sanderson, R., Cpl Huth, Edwin A., Cpl Hall, Dale E., PFC Belbas, George J., Cpl Jimenez-Cruz, Valen, Sgt Hargrave, Robert W., SFC Bell, Kenneth,Cpl Johnson, Johnie L., PFC Harris, James A., Sgt Bennett, Thomas H., PFC Johnson, Milton, Cpl Harris, My»rs S., Sgt Bigham, Russell L., Cpl Jones, Howard C., PFC Hayhurst, Dale W., Capt, MC Binsell, Clarence W., Sgt Jones, Stanley G., Sgt Hazwood, Clifford, PFC Birmingham, Calvin, 1st Lt, MSC Kearns, Ralph E., 1st Lt, MSC Hens ley. Tommy, Sgt Bittle, Glenn, Cpl Kelly, Herbert, Sgt Herrick, William H., 2d Lt, MSC Blackmore, Johnnie, Pvt Kragor, Hugh F., Pvt Kazmierski, Chester, Sgt Bokamper, Jesse W., 1st Lt, MSC Laurella, Ralph S., Cpl Knight, Julian R., Cpl Boreyko, John E., Pvt Laya, William J., Cpl Lecomte, Robert F., Sgt Bourke, James J., Cpl Leonard, Edward L., Cpl Loudin, Gibson, Jr., Sgt Bradley, John J., PFC Idle, Kenneth P., Sgt Mallette, Richard L., Sgt Bridges, Clyde E., Sgt Lloyd, John E., Cpl McGhee, Willie F., PFC Brooks, John R., PFC Lochart, Oliver W., Pvt McMullen, Wayne 0., Cpl Bryant, Charles R., PFC Longbrake, John M., PFC Melton, Billie G., PFC Buiz, Abelino, PFC Lovejoy, Edward C., Cpl Mileham, Richard L., 1st Lt, MC Burt, Billy 0., Cpl Lowe, Ernest A., Cpl Mitchell, Benjamin, Sgt Campbell, James F., Cpl Luke, Preston H., Sgt Nelson, Arthur L., Cpl Chance, Carl J., Cpl Marion, William F., PFC O'Neill, William, Cpl Clark, Bobby G., Cpl Marvin, George B. W., Sgt Papademetriou, John, PFC Cobb, Jack H., 2d Lt, MSC McCalip, William H., Cpl Pettigrew, Roy L., Pvt Coohren, Raymond L., Sgt McDonald, Donald L., Sgt Pierce, John W., Pvt Cook, James E., Cpl McIntyre, Francis, Cpl Prystas, Nicholas, Sgt Cottone, Joseph, Sgt Menard, Noah, Jr., Sgt Pulver, Thomas, PFC Cousineau, Robert I., Cpl Meyer, Lester A., Sgt Robinson, Devigar, PFC Covert, Stanley B., Capt, MSC Mickel, James W., PFC Rosenberger, James, PFC Crisofulli, Tony, Cpl Miller, Luis A., Cpl Schatz, Richard M., Cpl Croissant, Phillip, PFC Molthew, Joseph, PFC Shelton, Walter, Sgt Crowell, Raymond F., PFC Moore, Edgar J., Pvt Straight, George A., PFC D'Amore, Robert A., PFC Moore, Joseph N., Jr., PFC Sweeney, Robert J., Cpl Damm, Albert V., Sgt Morales, Manuel, PFC Tarasavage, George, Sgt Davie, Valjean, PFC Morehart, Eugene C., Pvt Truax, Robert F., Cpl Dawkins, Thomas, Pvt Morgan, Joseph A., Jr., PFC Tsunoda, Sueo, Sgt De Jesus-Adorno, To, PFC Moyer, Robert H., Sgt Wolper, Leonard, Cpl Dickinson, Carson, Cpl Murphy, Harold, Cpl Yeust, Carl W., PFC Drew, Julian N., Cpl Ifyers, Charles A., Sgt York, David E., Cpl Esselstyn, Elton V., Sgt. Myles, Jessie, Sgt Evans, George, Cpl Nau, Conrad A., Pvt LEGION OF MERIT Farnsworth, Norman, PFC Newell, Donald J., PFC Felix, Donald L., SFC Nolen, Harold W., Capt, MSC Lt Col, MC Bayne, Joseph K., Fields, Vernon S., PFC Nyman, Alfred W., 1st Lt, MSC John Lt MC Cressler, C., Col, Free, Ray D., Cpl Ogden, Charles, SFC Lt Col, MC Dubuy, Carl T., Free, Ray D,, Sgt. Ortiz, Juan N., PFC Huber, Tyron, E., Lt Col, MC Frye, James D., Pvt Ortlepp, Armin H., MC Cpl Johnson, Harry G., Col, Gall, Frank, Sgt Pastrana, Juan J., PFC

224 Pelot, Mell S., 1st Lt, MC Boaboom, Herman I., Capt, DC Harris, 2ddie V., PFC Perez, Rosende, Sgt Bowman, Howard W., Sgt Harrison, Ira B., Maj, MC Phipps, Arthur A., Pvt Brandvold, Florence, Capt, ANC Hastings, James F,, sgt Pratt, Eldon G., Sgt Britton, George T., Maj, MC Haymes, Marvin A., Sgt Raines, Marshall, Sgt Brown, William B., SFC Hazlett, William, Cpl Rainy, Curtis W., 1st Lt, MSC Budge, Robert S., Lt Col, MC Hennessy, Carl D., Capt, MC Raycher, John A., SFC Buffington, Joel W., 10>gt Hi 1 lent)rand, Joseph, Sgt Rimmer, Harold S., PFC Burrow, Roy L., Cpl Hoey, Harry J. R., SFC Riordan, Daniel J., Capt, MC Bush, Fred, VSgt Holder, Fred L., PFC Rivera, Jesue M., Cpl Bushouse, Arthur A., Maj, MSC Holmes, James E., Sgt Rivera-Rivera, Wils, PFC Byland, Guy J., M/Sgt Horne, Walter 0., Cpl Robertson, Robert D., Cpl Byrd, Paul B., Maj, MSC Howard, William K., Capt, MC Rodriguez, Jose M., Capt, MC Caldwell, Samuel, Lt Col, MC Huber, Frank E., Sgt Roettger, Edward R, PFC Cardenas-Lartigue, Gilberto,2d Lt, MSC Hudson, Paul S., Cpl Rood, Jasper, P., PFC Cardinal, Francis, A., Maj, MSC Hurla, Kenneth C., SFC Ryan, Charles L., Pvt Cintron, Julio B., Sgt Hurless, Keith L., Sgt Sampson, James W., Cpl Cloud, Earl T., Jr., Cpl Ingram, John, Capt, DC Sarka, Rudolph A., 1st Lt, MSC Coohran, Charles W., Sgt Jacobson, Donald J., Capt, MC Scallen, Richard P., SFC Cole, Ercel L., Capt, ANC Jennings, Lowell E., Capt, MSC Schane, Donald R., Cpl Collins, Fred A., PFC Jesseman, Winston C., Maj, MC Scott, Richard B., Sgt Colosky, George 7., SFC Jones, Kenneth W,, Capt, MC Shay, Charles N., M/Sgt Cornwell, Richard C., SFC Kako, George, Sgt Shepard, Harold P., 1st Lt, MSC Covert, Stanley B., Capt, MSC Kaplan, Gerald, Capt, MSC Shimizu, Hikoo, PFC Covington, Robert L., 1st Lt, MSC Keefe, Mery E., Capt, ANC Shouse, Bennie R., Cpl Cox, David V., Pvt Kennedy, James H., SFC Shuey, Roy L., Sgt Creason, Arthur, Sgt Kjenaa3, Ervin A., Uaj, MC Smith, Billy G., PFC Cungst, Daniel W., Maj, MC Koschok, Andrew M., 10>gt Strausberger, Donald, PFC Daily, Henry R., Jr., Capt, MSC Krause, William W., Maj, MC Suiter, William G., Sgt Dalrymple, Elimira, Capt, ANC Kretz, Harold, 1st Lt, MSC Sullivan, Daniel M., Sgt Dams, Albert V., Sgt Kurokawa, Terumi, Cpl Swift, Gerald, SFC Davila, Luis, A., 2d Lt, MSC Lawrence, Robert M., Capt, MC Tebo, Kenneth J., Sgt Davis, Roy A., Sgt lawyer, Charl-s C., Sgt Terry, Jack R., Sgt Day, Andrew C., PFC Lee, Charles T., Jr., Capt, MC Thacker, Norman E., Sgt Deguenther, Robert, Cpl Lee, Joseph T., 1st Lt, MSC Thomas,Ira L«, Sgt Dein, Harry L., Lt Col, MC Lipinsky, John, Thomas, Varick N., PFC Dibble, Blmer E., M/Sgt Lowe, Ernest A., Sgt Thompson, Ieonard M., Sgt Dishman, Lawrence J., Sgt Maddox, Bill S., PFC Thomsen, Raymond, Capt, MSC Dixon, Marvin L., Sgt Maldonado, Basilio, Cpl Trim, Percy L., Sgt Dockter, James J., SFC Margetis, Peter M., Mfj, DC Trout, Roy E., Cpl Dodrill, Morton, Lt Col, MSC Marshall, Glenn F., Sgt Underwood, Charles, Pvt Dorenkemper, Dorothy, Capt, ANC Marshall, John R., PFC Vargo, Richard J., Pvt Dougherty, Robert, PFC Mayster. Gene, Ity'Sgt Vierkant, Arthur L., Cpl Dowell, Albert C., Sgt McCulley, Lloyd 0., SFC Dudyk, Paul Vollan, Robert M., Pvt P., 1st Lt, MSC McGlcin, William F., SFC Wagner, Paul F., Sgt Dumas, Benjamin F., SFC McPherson, Benjamin, PFC Walton, Franklin D., PFC Duran, Raymond, Sgt Meadows, Carter L., Maj, MSC Weatherhead, James, Sgt Dye, Andrew M., SFC Meinking, James E., Sgt Weese, Junior L., Cpl Bspinoza, Ambrooio, Sgt Mermuys, Ralph J., Cpl Weller, Robert C., Sgt Fainer, David C., Capt, MSC Meyers, Ira F., Welton, Harold, H/Sgt Farnsworth, Norman, Cpl Miner, Richard L., Maj, MC Wills, Virgil V., H/Sgt Fernandez, I*opoldo, Sgt Mitchell, Charles L., Cpl Wilson, Allyn W., SFC Fernandez-Duran, Ma, Capt, MC Mizuno, Hiroki, Cpl Fitzpatrick, Wilson, Gerald L., Sgt Edward, Sgt Morris, James L., Sgt Fournier, Wilfred J., SFC Mosebar, Robert H., Capt, MSC bRCiyg STAR. Donald MSC MEDAL Fox, C., Capt, Moyer, Robert H., %t Freitas, Edward W., 1st Lt, MSC Mullins, Rudolph, 2d Lt, MSC Adams, Marion H., M/Sgt Frledlan, Lawrence, Sgt Angel, James W., Capt, DC Seal, Willard H., Cpl Garcia, Luis, M/Sgt Nicholson, Russell, Capt, MSC Austin, Osen W., 1st Lt, MSC Gentle, Alfred L., Cpl Aviles-Lopes, Pedro, H/Sgt Nolen, Harold W., Capt, MC Gentry, Howard A., Sgt Stanley A., SFC Balestra, Josephine, Maj, ANC Noon, Giebler, Lois A., Capt, ANC Novotny, Regina, Capt, ANC Banks, John L., Capt, MSC Gilliland, William, 1st Lt, MSC Nyman, Alfred 1st MSC Bazemore, Juddie R., Sgt W., Lt, Giusti, Raymond A., Capt, MC O'Connell, Sgt Beach, David L., Sgt Donald T., Gonzalez, Jose M., SFC Ogden, Beard, Ralph M., Charles H., SFC Grauer, Franklin H., Col, MC Oldag, George James Maj, MSC E., Maj, MC Bell, A., Greenhalgh, Russell, Capt, MC Orth, Lloyd E., Cpl Bell,Joseph J., Cpl Griffin, Richard P.. It/Sgt Ouano, Eusebio J., Sgt Bennett, Raymond L., Maj, MC Griz MSC zard, Jack H., 1st Lt, Palese, John A., Capt, MC Berg, Roland W., Joseph, Grookstein, H/Sgt Papio, Earnest Sgt Bero, George L., Capt, MC A., Grosby, Leonard A.J., Maj, MSC Parton, George Uaj, MC Bevana, John F., M/Sgt P., Jr., Gussler, Richard B., Sgt Perry, Sgt Blackburn, Robert D., Sgt James, u/ Hammer, Russell J., 1^/Sgt Petty, Joe W., PFC Blair, Fred 0., Jr., 1st Lt, MSC Hanson, Noel, ffC Ollie P., Blazetic, John P., Maj, MSC Phillips, Cpl Hanson, Robert H., SFC Pinegnr, Eldon, Jr., Cpl Boese, Harvey A., Maj, MSC Capt, Harle, James B., MC i Pocock, Donald Capt, MC Borgmann, Charles R., Sgt G., Harrell, Henry C., Lt Col, MSC Porter, Kenneth M., SFC

225 Porter, Philip M., Capt, MC AIR MEDAL Jennings, Lowell E., Maj, MSC Preputnick, Miohael, Sgt Knox, Carroll B., Cpl Preston, William E., Knox, William Capt, DC O'Neill, Irwin J., Cpl Jr., Cpl Prioe, Samuel J., Col, MSC Larrick, Robert B., Capt, MC Quirk, William J., Capt, MSC laapina, Lewis, SFC Raines, Colden D., Capt, DC Laycock, Robert L., 1st Lt, MSC Rainy, Curtis W., Capt, MC COMMENDATION RIBBON Le Corate, Robert F., Sgt Reicks, Arthur F., SFC Lev®rich, Ruluff, F., Lt Col, DC Rasal, Frank L., 1st Lt, MSC Albrant, Stanford R., Levesque, Francois, Cpl Rettie, William, Lt Col, MSC Anderson, George, Cpl Little, Macon, Jr., PFC Reynolds, William L., PFC Anderson, Roy, Cpl lynch, Robert P., PFC Richert Joel H., Capt, MC Arnberg, Wilber H., Maj, MSC Matthiesen, Maynard, Sgt Roberts John E., Capt, MC Atkinson, James M., Cpl MeCay, Earl W., M/Sgt Robles, Lazaro L., Sgt Atkinson, William C., PFC Mitchell, Howard P., PFC Rodriguez, Pedro, SFC Barber, Earl W., Jr., Cpl Molthen, Joseph R., Cpl Rohl, David W., Capt, DC Barrett, Moses, Cpl Monteggia, John, Cpl Rourke, Frederick S., SFC Beaird, Howard C., Sgt Morris, Hugh B., Cpl Rubini, Milton E., Capt, MC Bennett, Sara D., Sgt Nash, James H., ty/Sgt Runer, Herbert R., ty/Sgt Berry, Robert P., SFC Nichols, Effie B., 1st Lt, ANC Runyon, Eugene J., Cpl Bindeman, William W., Capt, MSC Nicholson, John J., PFC Russo, Michael, Cpl Bowling, Waynard A., Nigbor, John P., Sgt Sansouci, Victor, SFC Boyd, William, Cpl Nyberg, Robert P., Sgt Santiago-Hernandez, Sgt Brinkley, Dewitt, PFC Ohern, Robert S., Maj, MSC Scallen, Richard P., SFC Brown, Alfred M., PFC Peacook, Richard F., M/Sgt SchlaloB, John W.,, li/Sgt Brown, Kenneth L., PFC Pelzel, Carl F., Sgt Schmidt, Walter W., Cpl Brown, Merle W., Sgt Porter, Kenneth M., 103gt Schwartz, Leo, M/Sgt Brown, Walter E., Cpl Pride, Willie D., PFC Scott, Theodies, Pvt Butterweck, Donald, SFC Pritchett, T. H., Capt, MSC Secrest, James L., Maj, MC Cauble, William E., SFC Ratchford, James E., Sgt Segura, Ramon F., Sgt Chontos, Richard, PFC Redfearn, Ruth, 1st Lt, ANC Severance, Robert L., Maj, MC Cirlot, Joseph S., Lt Col, MC Reeb, Virgil S., M/Sgt Shelton, Walter, Sgt Cooper, Charles E., Sgt Rimraer, Harold S., Sgt Sheridan, John J., Maj, MC Cooper, Linwood M., Sgt RLnko, Julius R., Sgt Sieber, Paul E., Maj, MC Cox, John J., Sgt Rought, Arthur L., Cpl Smith, Doyle D., SFC Curtis, Clarence V., Pvt Rubinsky, Bernard, Staith, Francis J., Sgt Daly, James W., Cpl Ruiz, Abelino, Cpl Smith, Rodney T., Capt, MC DeGelia, Vencent B., Sgt Sandlin, Jack L., Capt, MSC Solomon, Robert S., Capt, MC Delbalao, Joseph R., Cpl Sarka, Rudolph A., 1st Lt, MSC

Stimson, Paul R. f Capt, MC Dial, Evelyn E., Capt,ANC Sawyers, Chester, PFC Stoll, Herbert J., Capt, MSC Dingess, Denver, Sgt Scire, James, 1st Lt, MSC

Stoneraker, Kenneth, 1st Lt, MC Dockery, James, Sgt Simmons, Thomas L. , Cpl Storrs, Bruce D., Maj, MC Dodge, Philip R.» Capt, MC Smith, Franklin G., Sgt Story, Robert D., Maj, MC Eddleman, Richard E., Capt, MC Snowden, Houston, D., Sgt Stoudt, Carl F., Sgt Edwards, Charles, SFC Stephens, Farrell V., SFC Sublett, Richard W., SFC Fatalo, Angelo U., Sgt Stimmel, Harry M., Jr., Sgt Suzukawa, Fred F., Capt, MSC Felton, Geraldine, 1st Lt, ANC Stough, Ralph E., Cpl Sweeney, John E., PFC Fitzsimmons, Wallace, Capt, MSC Strubb, Allan F., Sgt Theilmann, Ethel M., Maj, WMSC Gaffney, Raymond A., 2d Lt, MSC Summers, Byron P., Capt, MSC Thomas,Ralph G., Maj, MC Glasby, Thomas C., Sgt Suzukawa, Fred F., 1st Lt, MSC Thompson, Clark, Cpl Goodman, Harry A., Sgt Thompson, Albert, Pvt Trumble, Ronald A., Sgt Grady, Albert C., Sgt Thompson, Donovan W., Cpl Venable, Marvin C., Maj, MSC Grant, James, Cpl Thrift, Clarence A., Sgt Vergara-Lopez, Carl, Cpl Gregorian, Jacob W., PFC Van Hees, Janice 0., Capt, ANC Vita, Frank J., Lt Col, MC Griggs, Oscar B., Lt Col, MSC Vander, Weide A., PFC Wakeham, Richard D., Maj, DC Halstead, Raymond N., 1st Lt, MSC Vandyke, Stephen, PFC Walker, J. P., Capt, MSC Hannon, Joseph L., Capt, MSC Waltz, Robert C., Capt, MC Wentworth, Donald R., SFC Harrenston, Roy W., Cpl Warner, Norman G., Sgt Wenzler, Raymond E., 2d Lt, MSC Harvey, Samuel J., Jr., SFC Watley, Harry E., Sgt White, David C., Capt, MC Hatton, Charles, Jr., Cpl Weatherhead, James, Set White, Frederick M., Maj, MSC Hazlett, Theodore G., PFC Welton, Harold A., M/Sgt White, Thomas W., Sgt Hesse, Eugene J., Sgt Williams, Gerald E., Cpl Williams, Howard L., Cpl Hilding, John M., Sgt Williams, Jesse, Jr., PFC Williams, Thomas F., Sgt Hiles, Charley, Cpl Wilson, Howard W., Capt, MSC Wilson, Allyn W., M/Sgt Hill, William J., Sgt Wilson, Leonard L,, Cpl Wittlif, Charles L., Capt, MSC Huffman, James V., Capt, MSC Wright, Robert L., PFC Wright, IiIlian A., Maj, ANC Huling, Clyde W., Cpl York, Elta R., 1st Lt, ARC Zager, Bernard S., Capt, MC Humentewa, Benedict, Cpl Zeitz, August S., Capt, MSC

GENERAL RIDGWAY LAUDS RECORD OF SERVICEWOMEN IN FAR EAST COMMAND

General Matthew 8. Ridgway, Commander-in-Chief, Far for broadcast in the United States! East Command, made the following statement regard- ing the accomplishments of servicewomen in the FSC "We have, in the Far East Command, servicewomen rep- on 13 November, The statement was recorded on tape resenting all 48 states and the Territory of Hawaii.

226 Their contribution in efficiency, skill, spirit and viceinan lacks proper attention. And in my own head- determination has been immeasurable. Their impres- quarters, I have seen members of the Women's Army sive record in this overseas theater since the out- Corps handling vital communications and performing break of the Korean conflict is a matter of lasting important staff and administrative duties. The pride to all of us of the Armed Forces who have serv- story is the same for women who are serving with the ed with them. Without their help, I am certain there Air Force and the Navy. is much we could not have accomplished. "It is this unique combination of courageous women M I should like to emphasize that these women's rec- in the services — women who have accepted their ord of contributions to our mission is not the rec- share of the responsibility in cur common defense ord of one group or of one service. It is the re- of freedom — that has stirred the pride of all sult of the combined efforts of women of all of our Americans. Armed Forces. "These servicewomen have proved themselves indispen- "I have seen the trained Army nurse in Korea skill- sable to the accomplishment of the missions assigned fully ministering to the wounded, comforting them our Armed Forces in the Far East. As the Commander- and helping our doctors to save soldier's lives. I in-Chief, Far East, and speaking for this entire com- have seen Air nurses at work, assisting in the mand, I earnestly wish that we had more women in uni- swift aerial evacuation of casualties, often in form, of all services, for the many duties they per- great danger. I have seen Navy nurses laboring long form so well. We need their help, and we need it and hard hours to see that no wounded or sick ser- more than ever."

01IT AWARDS TO MEDICAL ORGANIZATIONS

According to Department of MERITORIOUS UNIT COMMENDATION the Amy General Orders available to the Medical 4th Field Hospital Section, General Headquar- 7th Medical Battalion ters, Far Bast Command, 60th Indian Field Ambulance (unit) the following commendations 207th Malaria Survey Detachment and citations have been 8076th Mobile Army Surgical Hospital awarded to United Nations 8069th Mobile Army Surgical Hospital medical units since the 8063rd Mobile Army Surgical Hospital start of the Korean action. 8055th Mobile Arny Surgical Hospital It must be noted that cer- 514th Medical Clearing Company (separate) tain unavoidable omissions 363rd Medical Composite Detachment (laboratory) My exist as a result of 567th Medioal Ambulance Company (separate) overseas distribution of authorising publications. REPUBLIC OF KOREA PRESIDENTIAL UNIT CITATION

25th Medical Battalion PRESIDENTIAL UNIT CITATION 24th Medical Battalion 7th Medical Battalion Medical Company, 21st Infantry Regiment, 24th Div- 2nd Medical Battalion ision 15th Medioal Battalion

INDIAN GIVER

It isn't often that Army Blood Bank Teams are privi- group collected, a donation from a sailor (who under- leged to see an end result of their labors. One standably prefers to remain nameless). Then, while such team, however, recently had the dubious pleas- walking downstairs to his office, he collapsed. His ure of witnessing such an event while making a col- fast-thinking shipmates gathered him up and carried lection from Navymen donors at Navy headquarters in him right back to where the Blood Bank team was work- Tokyo. ing. Since "one good turn apparently deserves anoth- er" the Blood Bank thoughtfully gave him back his As reported, a mobile unit of the Army Blood Donor pint of blood.

HELICOPTER UNIT PERFORMS 3.000TH RESCUE

An explosion of a hydrogen-filled balloon at the airlifted from a critioal predicament by the unit Panmunjom site of the Korean armistice negotia- since the start of the Korean war. Piloting the tions late in October set the stage for the per- U. S. Air Force helicopter whioh made the pick-up formance of the 3,000th helicopter rescue-evacua- was 1st Lt George E. Caldwell. tion by pilots of the 3rd Air Rescue Squadron. The 3rd Air Rescue Squadron is a Military Air Twelve men burned in the explosion of one of the Transport Service organization attached to Far brightly-colored site marker balloons were flown East Air Forces and Fifth Air Force to perform quickly to rear area hospitals for medical atten- rescue and evacuation missions for the United tion. Among them was the 3,000th person to be Nations Forces in Korea.

227 REDESIGNATION OF ARMY HOSPITALS

Certain reorganizations and redesignatiors of hospitals and other medical units within Japan became effective 5 November 1951, a6 directed by General Order No. 321, Headquarters, Japan logistical Command, 1951.

Tokyo Army Hospital, 3059th Army Unit, and Ocaka Army Hospital, 8009th Army Unit, remain with the same designa- tion.

Present Designation Hew Designation AP0

8th Station Hospital U. S. Army Hospital, 8153rd Army Unit 317

35th Station Hospital U. S. Army Hospital, 8164th Army Unit 9

118th Station Hospital U. S. Army Hospital, 9162nd Army Unit 1105

128th Station Hospital u. S. Army Hospital, 8169th Army Unit 50

155th Station Hospital u. S, Army Hospital, 8168th Army Unit 503

161st Station Hospital u. S. Army Hospital, 8165th Army Unit 309

172nd Station Hospital u. S. Army Hospital, 8166th Army Unit 547

361st Station Hospital u. S. Army Hospital, 9167th Army Unit 1055

395th Station Hospital u. S. Army Hospital, 8142nd Army Unit 5

Sasebo Station Hospital u. S. Army Hospital, 8041st Army Unit 190 8041st Army Unit

Nara Station Hospital u. S, Army Hospital, 8040th Army Unit 40 8040th Ariry Unit

Qniya Station Hospital u. S. Army Hospital, 8079th Army Unit 613-3 8079th Army Unit

Tokyo General Dispensary Tokyo General Dispensary, 8128th Army Unit 500

1st Medical Holding Detachment, 32nd Medical Holding Detachment 704 Provisional, Tachikawa AB

2nd Medical Holding Detachment, 33rd Medical Holding Detachment 15 Provisional, Itami AB

Medical Service Technician's Far East Medical Service Specialist School, 15 School (Provisional) 8146th Army Unit

RECENT DEPARTMENT OF THE ARMY PUBLICATIONS

AR 40-695, 18 Oct 51s Medical Servico - Army and SR 40-230-1, Nav Med P-1340, AFR 160-102, 8 Oct 51s Navy Hospital, Hot Springs, Arkansas Medical Service - Prevention and Control of Com- municable Diseases of Man-Immunization Procedures SR 40-610-35, C-l, 10 Oct 51s Medical Service - Re- SR 40-610-35, 24 Sep 51s Medical Service - Report port of Treatment of Pay Patients (RCS MED-45) of Treatment of Pay Patients (RCS MED-45) SR 40-340-10, 11 Oct 51s Medical Service - Artifi- SR 600-400-5, 28 Sep 51s Personnel - Casualties; cial To*th, Facings and Backings Nonbattle Dead, Missing, and Evacuated Sick and SR 40-340-6, 18 Oct 51s. Medical Service - Hearing Injured who are Seriously 111 Originating in Aids Combat Areas SR 40-340-5, AFR 160-25A, C-l, 1 Nov 51s Medical

- SR 600-400-10, 28 Sep 51s Personnel Notification Service - Spectacles Pertaining to Nonbattle Dead, Missing, and Evac- uated Sick and Injured who are Seriously 111 in TC 31, 15 Oct 51s Medical General Laboratory - Non-oombat Areas (T/O&E 8-650)

SR 605-25-10, C-2, 5 Oct 51s Officers Appointment TC 34, 22 Oct 51s Para lb - Venereal Disease Con- in Medical, Dental, Veterinary, Medical Service, trol Army Nurse, and Women's Medical Specialist Corps,

R-gular Army DA Cir 73, 4 Sep 51s Sec III - Initial and Separa- SR 730-630-1, 5 Oct 51s Oversea Supply - Marking tion Dental Examination of Active Duty Personnel of Medical Assemblages DA Cir 89, 1 Nov 51s Sec TV - Medical Treatment

228 AUTHORIZATION FCR USE OF NON-APPROVED DRUGS AND TREATMENTS

The following letter from be used in Army hospitals. The widespread use The Surgeon General, of Curare by anesthetists is a case in point as Department of the Army, this drug is still the subject of controversy dated 5 November 1951, is and it has purposely not been add«d to the Stand- reproduced for the informa- ard Supply Table. It is not intended that funds tion of all concerned* for non-standard supplies be spent for items which do not fall within accepted policy for use. "It is desired to call to your attention the fact "It should be pointed out that there is no desire that ACTH and CORTISONE to prevent qualified medioal officers from using are not advocated by the new therapeutic agents but policies regarding new Army Medical Service for agents are adopted in consonanoe with the best use in the treatment of burns. This is not only national medical thought. The Army Medical Ser- because these are dangerously potent drugs whose vice should not be the first to adopt new meas- exact field of usefulness has not been entirely ures before they are found acceptable nor should delineated but also because they may decrease the we be tardy in utilizing new developments. How- rate of healing, sometimes favor a reduction in ever, this falls within the scope of organized immunity to infection and seriously upset metabol- research and development and should not be the ic and electrolyte balances. Deaths and serious uncontrolled function of medical officers in gen- complications from their use have been reported eral. It is realized that acceptance by recog- in civilian literature. nized agenci-s prior to adoption for Army use will slow availability of new agents but rarely are these of emergency life-saving value which "In this connection it is desired to point out would warrant their adoption before proper test- further our concern over the increasing tendency ing. to disregard the regulations (AR 40-507, AR 40- 1705 and SGO Circular 162, 1951), which require "It is urged that these matters be brought to specific approval of the Surgeon General if new the attention of all key Army Medical Service drugs or treatments not approved by the National officers of your command to the end that spec- Research Council, the Council on Chemistry and ific permission for the use -of non-approved Therapeutics of the American Medical Association drugs and treatments be obtained prior to or accepted on the Standard Supply Table, are to their use in Army hospitals."

ENROLLMENT IN ARMY EXTENSION COURSES

A letter addressed to the surgeons of major over- "In view of the evident disparity between actual seas commands from the Chief of Army Field Forces, enrollment and enrollment potential of Army Medical dated 23 October 1951, is reproduced herewith. Service personnel, it is considered desirable and essential that action be taken to stimulate inter- est in the Army Extension Courses among Army Medical is made letter, 352, "Reference to ATTNG-80/l29-l Service personnel. This action is deemed necessary 51), 20 April subject: 6/136 (20 Apr OCAFF, 1951, in order that the greatest number of individuals con- in Courses.* The •Enrollment Amy Extension pur- cerned may participate in this excellent means of self- and of nonresident pose, objective, importance instruction, thus improving their military knowledge associated with the Armed study by individuals and capabilities. Attainment of this objective by clearly in referenced Services is outlined the each individual concerned would prepare each partici- letter, and SR 350-300-1. AR 350-300, pant to assume his/her proper place within the Army in the event of mobilization. "Analysis of the records of enrollment maintained by the Department of Extension Courses at the Med- "Success of your efforts in this matter will also re- sult in the development of a large increment of well ical Field Service School indicates that members of the Medical Service are not taking full advan- trained individuals who would be available in the tage of the opportunities afforded them by this ex- event of a mobilization. Upon being ordered into the active military would cellent system of nonresident instruction. This service, these individuals then of fact becomes self-evident when current enrollments be assistance in maintaining the excellent health record in the the are considered in relation to the enrollment poten- achieved past by Army Medical Ser- tial existent at this time. The referenced enroll- vice. ment potential is considered to include hot only and assistance inter- the members of the civilian component in an inac- "Your cooperation in stimulating tive duty status but also all individuals in an est and enrollment in the Extension Courses of the active duty status. Army Medical Services is requested."

DANISH HOSPITAL SHIP JUTLANDIA RETURNS TO FAR EAST

The Danish hospital ship, Jutlandia, which departed The vessel, a Danish contribution to the United Na- from the 2d Transportation Major Port August 9th tions efforts in Korea, visited Smyrna, Port Said, carrying 205 wounded United Nations troops to their Pireaus, Aden, Marseilles, Southampton and Rotter- homelands, returned to the port on November 7th. dam, since her departure, returning Turkish, Brit-

229 ish, Greek, French, Dutch, Belgian and Ethiopian aid to the United Nations forces. wounded veterans of the Korean war to their home- land. In mid-summer the Jutlandia was prominently mention- The mercy vessel, staffed by Danish medical person- ed as the suggested site for the United Nations- nel, has returned to the Far East to render further North Korean truce conference.

IMPROVISED PAPER-CUP DISPENSER

latest in a series of useful devices suggested for utilization in medical organizations is a paper- cup dispenser, improvised by WOJG Rex Cornelius, Utilities Officer of the 141st General Hospital. Hr. Cornelius, impressed by -the practicality and simplicity of a dispenser whioh he noticed in a post engineer's office,drew plans and had 24 sim- ilar devices constructed. They were so well re- ceived by using personnel in the hospital that many more were made.

The dispenser is simply an oblong box, approxi- mately 3" x 3" I.D. and about 31" long, Including the hanger extension on top. There is a slot in the front to accomodate a "lifter paddle" about 2-3/4" x 2-3/4" with a 3" handle. However, none of the dimensions are critical, and may be changed to suit local conditions and materials available. In the model shown the slot was cut into a solid piece of lumber, but where only hand tools are available, this could be two separate boards set close enough together to aocomodate the lifter handle and nailed to the bottom and with a brace across the top. Almost any type of material can be used but it should be 3/8" material or thinner, to give a neat appearance. To use the dispenser, a package of cups is put in, open side down, on top of the "lifter". To get a cup, the lifter handle is raised high enough to get a cup out of the top without handling any of the others or touching the rims - a simple effi- cient and sanitary operation.

NON-BATTLE CASUALTY TERMINOLOGY

Department of the Army radiogram 48801, dated rult of the use of tens 'Non-battle casualties'. 4 September 1951, e.s quoted in SGO Ciroular 183, Therefor* it is directed that the term 'Non-battle 26 October 1951, is republished her-with for the casualties' in both official and informal expres- information of Far East Command medical service sion throughout the United States be discontinued personnel* immediately and that the following terms s Evac- uated sick and injured, non-battle; missing, non- battlej and dead, non-battlej be substituted to "Considerable confusion has been generated and un- encompass category of noneffectives previously re- merited criticism has aecrued to the Army as a re- ported 'non-battle casualties'. "

TECHNICAL

Acute Pancreatitis 231 Experiences in the Operation of a Convalescent Hospital 232 Influenza 234

230 ACUT3 PANCREATITIS Colonel G. M. Powell, MC, Chief, Medical Service, Osaka Army Hospital

Acute pancreatitis is a comparatively uncommon ab- Bdematous Type dominal emergency. However, it is frequent enough to warrant diagnostic consideration in every case Since symptoms are moderate and usually subside of aoute abdominal pain, particularly when pa- in 24 to 48 hours, treatment should be- symptom- tients present the picture of severe upper abdom- atic • Patient should be hospitalised, plaoed at inal distress associated with shock or near shook bed rest, and observed carefully. If symptoms do state. Two types of aoute pancreatitis have been not disappear in 36 to 48 hours these patients described! (l) acute edematous and (2) acute should be treated as those with the hemorrhagio hemorrhagio, also referred to as acute pancreatic type. necrosis. Hemorrhagio Type DIAGNOSIS

1. Transfusions - If patient is in shock admin- Acute pancreatitis may resemble any abdominal ister whole blood in sufficient amounts to correct emergency. Most oommonly it must be differen- shook. If blood is not available, plasma may be tiated from perforated peptic ulcer, cholecystitis, used, appendicitis, mesenteric thrombosis, intestinal obstruction, and myocardial infarction. 2. History and physical - Take a brief history and physical on admission, then examine patient It is more frequent among heavy users of alcohol frequently particularly for changes in abdominal and patients with gall bladder disease. However, tenderness and rigidity and the development of absence of these conditions does not rule it out. any abdominal masses. Attacks are prone to recurrences and patients may give a history of similar past episodes. The usual 3. Consultations - Seoure a surgioal consultation clinical picture is that of a patient in shock immediately and watch patient with a surgeon. If with severe upper abdominal pain assooiated with patient fails to improve or beoomes progressively intense muscle spasm usually not relieved by op- worse, prompt surgical intervention is indicated. iates. These symptoms resemble but are usually less severe than those of perforated peptic uloer. Blood pressure and pulse - Take and reoord Severe protraoted vomiting is often present. Barly graphically every $6 minutes while in shook, then diagnosis is made by exoluding other aoute abdom- every 2 hours for 24 hours and then as often as inal conditions and the finding, usually, of an indloated. extremely high serin amylase which is four or five times or more than normal. Serum lipase is also 5. Fluid balance - Measure and reoord graphical- elevated but this determination requires 24 hours ly the 24 hour fluid intake and output. Normal before the results are known, whereas serum amylase saline, plasma, and blood should be administered determinations oan be made immediately. Serum amy- intravenously in amounts sufficient to overooms lase approaches normal in 2-4 days usually where- shook and maintain a urine output of 1500 oo as the serum lipase may be 400 in 4-7 days after dally. Glucose should be administered only after onset. Associated findings which may be present sugar determinations have been made because of are! decreased blood calcium (a lot of calcium frequently assooiated diabetes mellitus. may be mobilized around the lesion - a Ca of 7 mg on the 4-6th day makes the prognosis grave as this 6. Gastric suction - Wangensteen drainage should is indicative of a severe pancreatic neorosis), be instituted imle&ately. elevated blood sugar, glycosuria, and an increas- ed white blood count. If shock is present the 7. Laboratory examinations hematocrit and hemoglobin determinations will fol- low A ohanges in hemoconcentration. distended a. CBC and hematoorit - initially and at least isolated loop of small bowel has been described every 12 hours. as often present on the flat x-ray plate of the abdomen. The differential diagnosis between acute b. Urinalysis daily. edematous and aoute hemorrhagio pancreatitis main- ly lies in the degree of subjective and objective c. Blood ohemistries. findings. The symptoms are more severe and the prognosis is more grave in the hemorrhagic type. (1) As early as possible, obtains amylase, Gray-Turner sign be present and help in may estab- lipase, oaloium, sugar, urea nitrogen, lishing diagnosis. chlorides, COg combining power, bili- It is extremely important to differentiate pancre- rubin, total protein, albumin, and atitis from other acute abdominal conditions, for globulin determinations. pancreatitis is much better treated medically than surgically during the first 24 hours. Statistios (2) tvery 24 hours repeat sugar (watoh for show fifty to seventy per cent mortality for pa- development of diabetes), amylase, tients treated early aurgioally against ten per lipase, and other studies as neoessary. oent mortality for those treated medically. (Re- cently, however, there has been one report with 8. X-ray examination - Obtain flat plate of abdomen only a three per oent mortality for cases managed in supine and upright positions. surgioally - therefore, one should watch for ohang- es in the present opinion regarding surgical ver- 9. Medications - sus medical treatment.) a. Demerol - 100 mgm subcutaneously every four MANAGEMENT hours as neoessary.

231 - b. Atropine sulphate 0.4 mgm (l/l50 grain) sub- (1) Amphojel - may be instilled through outaneously every six hours as necessary. the gastric tube to reduce aoidihy.

c. Phenobarbital sodium - 0.12 gram (2 grains) (2) Amylnitrite pearls and nitroglycerin beginning after pain has been reduced. Repeat sublingually have been used in an at- every six hours as necessary. tempt to relieve duodenal and ductal spasm. d. Crystalline penicillin 100,000 units every three hours and streptomycin 0.6 gram every (3) Sphedrine - subcutaneously has been six hours. used to relieve pancreatic secretions.

e. Insulin in amounts neoessary to control g. Paravertebral blook - Paravertebral blook

- not to hyperglycemia be careful produoe with procaine may relieve persistent pain - hypoglycemia as this results in stimulation however, this procedure is not without of the pancreas via the vagus. hazard in aoutely ill patients, particular- ly when shock or low blood pressure is pres-' f. Other drugs t ent.

EXPERIENCES IN THE OPERATION OF A CONVAIESCENT HOSPITAL Major Joseph W. Cooch, MC, US Army Hospital, 8079th Army Unit

The idea of a convalescent hospital is not new. As all oases patients are given a brief but compre- long ago as 1863, a convalescent hospital was oper- hensive physical examination on admission. A bi- ated in Alexandria, Virginia, for the Army of the product of this initial examination is the dis- Potomac. Since convalescent reconditioning in a covery of many previously undesoribed conditions group rather than an individual basis is more a which have been overlooked or regarded as incon- military than a civilian concept, the peaceful sequential at other hospitals, perhaps because of years following the Civil War were not conducive the importance of the major cause of hospitalisa- to the development of these principles of recondi- tion. tioning. There was need for convalescent training during World War I and camps were set up for the Following the physical examination the medical of- purpose, but the idea faltered in the years between ficers issue orders for treatment, nmke an initial the World Wars and it was not until the work of estimate of the probable length of convalescence, Rusk during World War II that serious thought was make an appointment with the patient for an evalua- given to a formal type of convalescent rehabilita- tion not in excess of seven days later and assign tion and to the elaboration of principles whereby the patients to a reconditioning class. A positive a scientific approach to the subject could be de- approach to the patients is always made, suggesting veloped. to them the fact that they will soon be ready for duty. It is only when large masse? of patients are in need of convalescence that it becomes more feas- Hhile there are many classifications of convalescent ible to operate a separate installation for a re- patients, the one used here was found to combine sim- conditioning hospital rather than have the same plicity of operation with sufficient individualiza- type of servioe provided in a section of a general tion of treatment. Class I patients are praotically or station hospital. During peacetime it is un- ready for duty and participate in a full training usual to have sufficient convalescents in a geo- program. Class II patients are able to take part in graphical area small enough to be efficiently serv- all training games but are in need of a protected course of ed by a convalescent hospital so that again after treatment. (For operational purposes World War II all the existing convalescent hospi- there is no separation of these classes.) Class III tals were deactivated. patients can perform only certain aspects of the pro- gram and are given separate physical activities from During I960 the outbreak of hostilities in Korea the Class I and II patients. Class IV patients are resulted in large numbers of casualties for which bedfast. There are seldom more than 5% Class IV pa- the hospitals then existing in Japan were ill-pre- tients in the hospital and these are kept in a sick pared to handle without great expansion or marked ward and not included in any formal reconditioning modification of their evacuation policies. One of program. Patients who are expected to remain in the measures taken to meet the need for available Class IV for any extended periods are transferred beds was the establishment of convalescent hospi- to other hospitals. completed tals in Japan wherein patients who had Class III patients are further classified during their medical or surgical treatment definitive certain phases of activity to an Arm group, a Leg for under medical could be rehabilitated duly group, a Slow group, a General group, and a Special machinery supervision but without the elaborate group. This subclassification is used principally needed in a general or station hospital. to insure that each patient will receive the sort of calisthenic exercise he needs. The experiences herein related are concerned with hospitals. the operation of one of these A training schedule for one week at a time is pre- pared for tiie patients, with many aspects involv- The great majority of the patients come fran ing all the patients but with separate activities other hospitals in Japan where, whether the pa- planned for Class III patients as opposed to the tients are evacuees from Korea or had been sta- more strenuous activities given those in Class I tioned in Japan, they had received definitive and II. For example, when a five mile hike is to this rule are care. The exceptions general scheduled for Class I and II, sports and games who are ad- ambulatory neuropsychiatric patients (volley ball, softball, horseshoes, etc.) are pro- many instances directly from Korea. mitted in In vided for those unable to hike. It is of interest

232 that many patients who were in Class III because in good shape and when caste are removed, physical of such limitations as upper extremity wounds or therapy with or without occupational therapy is su- chest wounds preferred to make the hikes to par- perimposed on the continuing physical recondition- ticipating in sports. ing. For such patients, the use of either infra- red heat or whirlpool baths, followed immediately When the hospital was opened an attempt was made to by resistance exercises proves very satisfactory. plan on a two week period of reconditioning and to set up a schedule which would gradually increase Patients with chest or abdominal wounds do well, the physical activity over a fourteen day period, provided their wounds have closed. Some of them but the arrival of con- of patients in all stages require a considerable period of convalescence but valescence and at irregular times during the train- return to duty in excellent condition. ing cycle showed this plan to be impractical, so the one week schedule, with close supervision of Ambulatory neuropsychiatric patients are not of segre- assignment individual patients and separate ac- gated and are oarried into the training program for people in with tivities accordance their abil- with the others. Except for the fact that they are was substituted. ities, given psychotherapy (with or without amytal inter- views), no chance is given them to develop an idea general,adherence to the published While in sched- of being "patients" or of being "different". The ule is strict, improvisations have been made and promptness with which the great majority have been advantage taken of special opportunities for either able to return to duty is convincing evidence that entertainment Patients or training. are taken,when this policy is effective. While statistics are not is available,to another transportation camp for available to prove or disprove the point, it is a post. swimming, since a pool is not present at this clinical impression that neuropsychiatric patients special entertainers notice When arrive without a admitted directly from Korea do better than patients shear is scheduled for given in a period previously who are admitted to a general hospital or neuropsy- close a Other modi- order drill or training film. chiatric center before being sent here. fications include the use of a hobby shop as an Occupational Therapy Department for patients with Of course, a few patients have had to be transfer- hand injuries. red to other hospitals because of treatment fail- ures or because of a psychosis which was unrecog- Throughout the training day physical activities are nized on admission, but these were a small minor- alternated with lectures, demonstrations, training ity, Actually of the first 6,000 patients admit- films. Troop Information Discussion Groups and so ted, less than 4$ were sent to another hospital on. Patients are excused from training for regular rather than being sent to duty. These are overall rechecks dental by medioal offioers, care, physical figures and do not refer to neuropsychiatric pa- therapy appointments, and necessary administrative, tients alone. supply and personnel matters. An attempt is made to schedule administrative appointments during All patients are treated to a liberal "pass policy". hours that do not interfere with training. Care Patients are permitted passes four nights a week, has to be taken to insure patients' prompt return up to midnight, provided there is no medical con- to their the of formation after completion their traindication and provided they ar° not b°ing pun- necessitated absence. ished for infractions of post or hospital regula- tions. All the facilities available are provided their Throughout stay in this hospital patients for the patients; a theatre, post exchange, athlet- are repeatedly reminded of the fact that they are ic activities (on both a participating and specta- soldiers and as such are subject to strict military tor basis), a chapel, variety shows, a well-equip- discipline. Patients move in formation, are requir- ped Red Cross Recreation Hall, a library, etc. ed to be in a prescribed uniform appropriate to Anything that can be done for the patients' benefit their activity and are required to render military is done. There have been many problems that seemed courtesies incumbent on any garrison troops. Regu- difficult to face but which usually settled them- lar inspections are held and a special attempt is selves. Personnel assigned to the unit had, for made to return soldiers to their units with the the most part, no previous association with this looking and acting like good habit of being, like type of hospital, but the eagerness with whioh they soldiers. have approached their jobs has usually been suffi- cient to overcome their inexperience. Patients who Throughout hospital patients their stay in the are had been waited upon in general hospitals found the They are regularly examined by medical officers. discipline of this sort of unit a bit of a shock, seen as desired on a "sick call" basis and every but for the most part adapted well to the consist- patient is seen at least once a week. Having seen ent firmness with whioh they were treated. There a patient, the medioal officer will either continue are the expected proportion of patients with char- the patient in his present olass, or move him to a acter disorders who have attempted all of the old higher or lower class, or order him to duty. Psy- subterfuges to postpone their return to duty. chiatrio patients are seen at such intervals as While some of them became somewhat notorious few seem best to the psychiatrist. In any case, inter- of them were more than moderately successful. current illnesses and injuries are taken into con- sideration and treated along with the principal Probably the most interesting cause of hospitalization. experience of the operation has been that of observing the resource- fulness with which the unit, thrown together with It has been found that patients with open wounds do no previous unit training and in a of in- poorly under the reconditioning program and these majority stances no individual medical has are kept in Class IV until their wounds are closed. experience, ap- proached its improvisations equip- When any but minor surgery is needed, patients are mission. The of ment, technique and procedure which have transferred to other hospitals. been pro- duced have more than overcome the deficiencies in Patients in casts, on the other hand, do exception- supplies and experience with which it began its ally well. The general reconditioning keeps them task.

233 IBFLUENZA Consultants Division, Medical Section, GHQ, FEC

Influenza In the past five two-fold dilutions of the suspected serum (l/8, years in the Far East Com- ]/l6, l/32, l/64, l/l28, etc.) and recording the mand, ahile never occurring last dilution of serum which is capable of in- in severe epidemic fora, hibiting the system as the hemagglutination in- has been seen in sporadic hibiting titer. Paired sera from individual localized outbreaks yearly. patients are tested against three standard Being on the threshold of strains of influenza virus. Type A (PR-8), Type the winter season, the pos- A' (FM-1), and Type B (Lee). Generally, the sibility of the occurrence naturally occurring influenza strain will evoke of epidemic influenza must a major antibody response to one of these stand- be borne in mind. Epidemic ard strains. A four-fold or greater rise in influenza should be suspect- titer (2 or more tubes difference) is consider- is sig- ed any time there a ed diagnostioally significant. While minor the inoidence of respiratory nificant rise in upper degrees of serological crossing occur between consistent with infections with signs and symptoms A and A* types, in most cases the serological influenza. those commonly associated with clinical response is sufficiently type specific to identify the infecting influenza virus. Suspected or proven outbreaks of influenza should be to East Command,immediate- reported Surgeon, Far The 406th Medical General Laboratory maintains ly. Reports Control Symbol MED-16 applies. facilities for the performance of both of these laboratory procedures. In the initially recog- periods and the early phases of In non-epidemic in nized clinical cases of influenza in Service outbreak, the of influenza an clinical diagnosis Units, effort should be directed towards attempt- corroborating labora- is not properly made without ing isolation of influenza virus. Throat wash- laboratory of the tory evidence. confirmation ings, collected within 48 hours after existing the onset presence of influenza virus infections in of clinical illness by allowing the suspected is primarily of a given population epidemiologio patient to gargle deeply with 15-20 cc of nutrient importance to units in the immediate area. This broth, should be placed in sterile wide-mouthed of to Command Theater knowledge is also value and specimen jars, stopped, frozen immediately and Gen- Surgeons and is reported through The Surgeon sent to the Laboratory. Consultation with the eral to the Influenza Commission of the World Commanding Officer, 406th Medical General Labor- Health Organization. atory by telephone (Tokyo 26-7442) is recommended in such instances to avoid duplication of effort The presence of active influenzal infection in and to insure the proper and expeditious handling human can be ascertained population segments by of specimens suspected of containing virus. two reliable methods. The first method consists Should attempts at isolation of virus not be feas- of recovering the influenza virus from throat ible or should the antigenic type of the prevalent obtained human The iso- washings from patients. influenza virus be known, effort should be made to an virus is an especially im- lation of influenza obtain paired blood specimens from at least ten portant procedure, to be attempted early in an (10) suspected cases. The acute specimen drawn or from individuals seen influenza epidemic, in within 48 hours after onset of disease should con- is sporadic outbreak, since it epidemiologically sist of at least 10 cc of whole blood placed asept- to the of important recognize appearance any ioally in a sterile, stoppered test tube and clear- composition strain of virus having an antigenic ly marked with adhesive labeling, indicating the known markedly different from the influenza patient's name, rank, serial number, organization, strains* date of onset of disease, and date of collection. Specimens should be forwarded as soon as collected for demonstrating the presence The second method to the 406th Medical General Laboratory, AP0 500, to show an in of clinioal influenza is increase by the most expeditious means. Second serum spec- to of influenza virus. specific antibody strains imens on individual patients, drawn between the capable inhibiting Suoh antibody is of a stand- seventh (7th) and tenth (10th) day of disease, may of known ard hemagglutination system influenza then be sent in a similar manner when they are ob- and human red blood cells. Basically, the virus tained. It should be emphasized that paired serum such technique used to determine agglutination- samples drawn as Indicated are essential to pro- of a stand- inhibition antibody consists adding vide adequate samples for the serological diagno- ard red virus mixture to serial cell-influenza sis of influenza.

HEALTH OF ARMY TROOPS, FEC

September were admission rat<*s p»r 1,000 troops per annum. Army personnel, for the four-week period ending 26 1951

... fnlln... PHILCOM FRC JAPAN KOREA MARBO (AF) RYCOU

All Causes 689. 473. 812. 334. 295. 422. Diseases 448. 408. 474. 209. 215. 368.

234 * PHIL! 04d FEC JAPAN KOREA MARBO (AF) RYCCtd Injuries 95. 65. 111. 125. 80. 54. Battle Casualties 147. 0. 227. 0. 0. 0. Psychiatric 28. 13. 36. 7.0 8.9 15. Common Respiratory Diseases and Flu 64. 94. 49. 56. 35. 62. Primary Atypical Pneumonia 1.9 1.8 2.0 0. 0. 0. Baoillary Dysentery 0.67 0.45 0.81 0. 0. 0. Amebiasis 0.91 0.45 1.2 0. 0 0. Malaria, new 13. 15. 14. 0. 0, 0. Infectious Hepatitis 7.6 5. 8.8 14. 0. 7.3 De rmatophytosis 4.5 3.7 4.7 0. 0. 9.4 Rheumatic Fever 0.42 0.56 0.38 0. 0. 0. Venereal Diseases 185. 204. 179. 14. 45. 172.

DAILY NON-EFFECTIVE1 RATS

All Causes 23. 51. 9.6 11. 43. 11.

(per looo Y Admission Rate (all causes) , U.S. Army Personnel, Far East Command year)

1951 1950

vVJ 1 N .;\ 1 _v ■ X/yX DISEASE, NON-BATTLE INJURY Sr BATTLE CASUALTY admission rates (per 1000 per year) U.S. ARMY PERSONNEL, F.E.C

disease non battle inj. battle cas.

235 ALL CAUSES ADMISSION RATE: Seven new cases of meningitis of various types oc- curred in September, making a total of 38 cases for In September, Army personnel of the Far East Com- 1951. Six cases were reported from Korea and one

mand were admitted to medical treatment facilities from PHILCOM (AF) . There were no deaths during and quarters for all causes at a rate of 689 per September. thousand strength per year. The rate for August was 658. Increases were experienced in all ccm- PSYCHIATRIC: mands except Kor»a where the rate rose from 749 in August to 812 in September. The increase in the Only a slight increase occurred in the incidence of all causes rate for Korea and which is reflected psychiatric conditions for the Far East Command. in the Far East Command rate is due entirely to The rate for September is 28 compared to the August the sharp rise in battle casualties. rate of 25. In August, the increased rate in Korea was consistent with the rise in battle casualties. The disease component of the all causes admission The psychiatric rate for Korea rose from 28 in July rate presents a gratifying picture of the health of to 32 in August,while the battle casualty rate ros® the command. The rate decreased from 519 in August from 50 in July to 68 in August. However, this was to 448 in September. This is the lowest disease not the case in September when a sharp rise in battle rate since July of 1950 when the rate was 429. Com- casualties from 68 to 227 was experienced, while mon respiratory diseases and influenza increased only a minor increase occurred in the incidence of slightly, while dysentery, malaria and infectious psychiatric conditions, from a rate of 32 in August hepatitis showed decreases. to 36 in September. Ho significant changes are not- ed in MAR30, PHILCOM (AF) and RYCOM. Japan reported For the past iiiree months, no change has occurred a slight decrease. in the nonbattle injury rate. It remains 95. The Japan and Korea rates were static, while MARBO and MALARIA: PHILCOM (AF) reported increases and the RYCOM rate decreased. The admission rate for new malaria decreased from the August rate of 18 to a rate of 13 for September. The Far East Command battle casualty admission rate The sharpest drop occurred in Japan from a rate of of 147 for September is the highest experienced 27 for the previous month to 15 in September. The since April when the rate was 177, The rate for rate for Korea remained static. No new cases of Korea rose from 68 in August to 227 in September. malaria were reported in MARBO, PHILCOM (AF) and RYCOM. DAILY NON-EFFECTIVE RATE: DYSENTERY: No ohange occurred in the daily non-effective rate for the Far East Command. The rate remains 23 for The decrease in the dysentery rate for September is September. The rate for Japan is 51 for September more favorable than expected, even considering the as compared to 46 for August. The MARBO rate re- seasonal drop in the incidence of this disease. In mained 11, and PHILCOM (AF) and RYCOM decreased Korea, where the highest rates were experienced, slightly. Due to the rapid evacuation of patients there was a drop from 10 for August to 4.4 for Sep- to Japan, the non-effective rate for Korea is of no tember. The Far East Command rate is 3.3. Bacte- significance. rial food poisoning cases for September totaled only 13, 11 of which were reported from Korea. A DISEASES: slight increase is noted in the number of amebiasis cases reported. DISEASES OF THE CENTRAL NERVOUS SYSTEM: INFECTIOUS HEPATITIS: In September there were 8 new cases of poliomyeli- A occurred East tis reported in the Far East Command. This brings remarkable decrease in the Far Com- mand for the total of reported cases to 64 for the first 9 infectious hepatitis rates September. The 7.6 rate for is the since months of 1951. There were 66 cases for the same September lowest October period last year. Of the 8 new cases, 5 occurred 1950 when the rate was 4.1. Again this lessened in Korea among Army personnel and 3 cases in PHIL- rate is attributable to Korea where the rate drop- ped from 15 to COM (AF) in Air Force and Navy personnel. One in August 8.8 *n September. PHILCOM Japan Korea case in Army personnel and one PHILCOM (AF) (AF) reports no cases, while and RYCOM rates are slightly case in Air Force personnel resulted in death. lower. There were 10 new cases of clinically diagnosed encephalitis reported for September with 2 deaths VENEREAL DISEASES: resulting, bringing the total number to 61 cases reported in 1951 with 3 deaths. Five cases orig- The venereal disease rate for the Far East Command inated in Japan and 5 in Korea. For the same pe- increased from 177 in August to 185 in September. riod last year there were 292 cases reported with Korea and MARBO were the only major commands to re- 18 deaths resulting. Of the 61 cases reported this port decreases. year, 5 have been confirmed as Japanese "B" enceph- alitis by laboratory procedures. Three of these HEMORRHAGIC FEVER: originated in Okinawa and 2 in Japan. Suggestive but not positive laboratory evidence of this infec- Forty-four cases of hemorrhagic fever with 4 deaths tion was demonstrated for one case originating in were reported by the Eighth Army during September. This the total number of Korea. brings cases reported to approximately 150 from the time of their first ap- Continuation of the use of Japanese "B" encephal- pearance in June through the end of September. The itis vaccine Is under study in the Office of The case fatality rate has continued to be between 12% Surgeon General of the Army. It is not yet known and lb%. Intensive investigations are continuing here whether or not this procedure will be applied but have thus far not yielded specific information during the coming year. as to the causative agent, mode of transmission or

236 effective method of treatment. Toe sulfonamide DEATHS: drugs and the antibiotics have been of little value. During the four-week period covered by the Septem- ber report, 85 deaths of U. S. Array personnel were OTHER REPORTABLE DISEASES: reported by all nodical treatment facilities in th» Far East Command. Of this total, 12 deaths were Only a slight seasonal rise occurred in common re- due to dis-ase, 13 to nonbattle injuries and 60 to spiratory diseases and influenza. The pneumonia battle casualties. Ten deaths occurred in Japan, rate dropped from 6.6 in August to 5.6 in September. 74 in Korea, and one death due to disease was re- There were no cases of scarlet fever, typhoid, ty- ported from PHILCOM (AF). One battle casualty phus, tetanus or smallpox in the command. death occurred on the U.S.S. Repose.

HOSPITALIZATION:

The bed status as of 26 September 1951 was as follows: (These data cover all patients, Army, Air Force and others.) AVERAGE BEDS OCCUPIED Designated Beds Operating Beds All Patients Army Hospitals Army Patients USAF Hospitals

JAPAN 8,250* 10,250 6,098 256 KOREA 4,700 5,173 2,288 1 UAR30 200 390 51 0 PHILCOM (AT) 100 116 63 8 PYCOM 400 388 225 0

FriC 13,650 16,317 8,725 265

In Korea, there were 12,000 POW operating beds, 8, 974 of which were occupied.

(♦Does not include 2,000 TD beds)

The percent of designated beds and operating beds in Army Hospitals occupied as of 26 September 1951 was as follows: Percent of Designated Beds Occupied Percent of Operating Beds Occupied

JAPAN 59* 59 K0R2A 49 44 kARBO 26 13 PHILCOk (AF) 63 54 RYCOM 56 58

FEC 56* 53

(♦Percentage based on designated beds plus 2,000 TD beds)

EVACUATION:

Tabulated below is the number of patients (all types of personnel) evacuated from the major commands to the ZI during the four report in September and tho number of patients awaiting evacuation as of 28 Septem- ber 1951: By Air By Water TOTAL Patients Awaiting Evacuation JAPAN 1,406 5 1,411* 70 JdARBO 1 1 2 1 PHI LOOM (AF) 12 1 13 0 RYCOM 48 6 54 44

FEC 1,467 13 1,480 115

(*1,305 patients originated from Korea)

At the 8209th Mobile Army Surgical Hospital, Maj Jesse F. Brown, Command- on the cover ing Officer, administers whole blood to a patient preparatory to surgery.

All photographs are from US Army Signal Corps unless otherwise stated. The Chief Surgeon extends an invitation to all Far East

Command medical personnel of the U. S. Army, Navy and Air Force, or of the United Nations, to prepare and forward with view to publication, articles of professional or administrative nature. It is assumed that editorial privilege is granted unless author states otherwise.

1st Lt. John J. Griffin, MSC EDITOR

21033—FECP&PC—12/51—2.6M