WAR DEPARTMENT

MJUTARY HOSPITAUZATION

ANDEVACUATION OPERATIONS

UNITED STATES

GOVERNMENT PRINTING OFFICEWASHINGTON : I»42

4M70.V** 42 —1

RESTRICTEDWAR DEPARTMEM

Headquarters, Services of BmaSWashington,D. C.

September 15. 1942.SPOPH 322.15SUBJECT: Military Hospitalisation and Evacuation Operations.TO: Tbe Commanding Generals and Commanding Officers:

Service Comnumds.Ports of Embarkation.

The Surgeon General.1. In accordance with letter from The Adjutant General (AG 704 ( 6-17-42))

MB D-T8-M. subject: “War Department hospitalization and evacuation policy,”The Surgeon General is hereby charged with the maintenance of basic plans formilitary hospitalization and evacuation operations, and tbe coordination of theplans therefor of all commands concerned. Rapid submission of essential Infor-mation and adherence to limiting dates by all concerned are essential to permitcompliance by Tbe Surgeon General.

2. It is desir»d that plans he submitted and operations effected in accordancewith directives contained in Inclosure No. 1.

By command or Likcit-yant Gknckai SOMERVELL:(Signed)

LxR. LUTES,Brigadier General. O. 8. C.,

A»»i»tant Chief of Staff for Operation», 8. O. 8.3 Incls:

#1 Hosp. 4 Evuc. Ops.Sept. 15. 1942.

#2 Ur AO 704 ( 6-17-42)

MB D-TS-M, “WD hosp.4 evac. policy.”

#3 Ltr SP PMO 381.

MILITARY HOSPITALIZATION AND EVACUATIONOPERATIONS

SERVICES OF SUPPLY

(September 15, 1942)

Snnos I

HOSPITALIZATION

1. Plana for operations.—a. Operations plans for military hospitalisationwithin the continental United States will be maintained as follows;

(1) By service commands and ports of embarkation submitted in triplicate toThe Surgeon General prior to December 15, 1942.

(2) By The Surgeon General a basic directive, submitted in triplicate to theCommanding General, Services of Supply, prior to February 1, 1943, which willcoordinate operations under the plans submitted by service commands and portsof embarkation. The original and one carbon copy of each subordinateplan willbe forwarded with The Surgeon General’s basic directive. The CommandingGeneral. Services of Supply, will return the original of each subordinate plan tothe service command or port concerned.

6. The Surgeon General is charged with administration and processing of plansas outlined herein. He will report to’ the Commanding General, Services ofSupply, deficiencies the correction of which are beyond his control or authority.The Surgeon General will also submit with the basic directive for operations areport upon and recommendations for such additional requirements in facilities,personnel, or equipment as may be necessary to Insure adequate militaryhospitalization within the continental United States.

c. Reporting offices will call upon other offWvs for the information required atsuch time as to insure preparation and maintenance of plans as prescribed herein.Those offices from which Information may be requested will promptly submit therequired information. Air station surgeons will furnish to the commanding gen-erals of service commands the essential information required to complete opera-tions plans as prescribed herein. •

rf. Information will be submitted in annexes attached to each plan concernedas follows:

(1) Annex A.—Information in the form of table I and as required by table I.(2) Annex B.—The Surgeon General will submit annex B, including informa-

tion required in the form of table II.(3) Annex C.—Specific report as annex € will be made by service commands

and ports of embarkation (debarkation) as to sources of existing buildings forincrease of bed capacities as prescribed herein. Apartments, hotels, schools,dormitories, or other buildings which might he made available will be surveyedand reported. Owners will be listed and their willingness or lack thereof tocooperate will be indicated. No schools of high school (or lower) grade will besurveyed. No buildings surveyed by or tentatively allocated for other Govern-ment or Office of Civilian Defense hospitalization will be surveyed or listed.

Incl. #1

314) Annex D.—Detailed report will be made as annex D by service commands

and ports of embarkation (debarkation) concerning the relations which havebeenestablished with other Government hospitalization agencies, the Office of CivilianDefense or others, under which unilateral or mutual hospitalization support maybe planned. This report will clearly show how plans have been coordinated withother agencies’ plans. No hospital beds which other agencies plan to employ willbe included as assets in plans for military hospitalization.

2. Responsibilities.—a. Under the Commanding General, Services of Supply:(1) The Surgeon General will control the allocation of beds and determine

staff allotments in all named general hospitals in the United States. He hastechnical administration of all medical activities.

(2) The commanding general of each service command has responsibility forthe hospitalization of all troops within his service command, except for those instaging areas and ports of embarkation, for Army Air Force personnel at AirForce station hospitals, and for hospitalisation in tactical hospitals operatingunder tactical control.

(8) The commander ofeach port of embarkation (debarkation) is responsiblefor the hospitalisation of all troops in staging areas and the port of embarkation.

h. The Commanding General, Army Air Forces, is responsible for air stationhospitals.

r. The Commanding General. Army Ground Forces, is responsible for tacticalhospitals operating under tactical control.

d. The commanders of defense commands and theater of operations in thecontinental United States are responsible for such hospitals as may be designatedby the War Department.

e. All commanders (In emergency) are responsible for medical attendance(including civilian physicians and hospitalization) as provided by AR 40-506.Commanders are reminded of the heavy burdens being placed upon civilianmedical services and the shortages thereof due to current requirements of thbarmed services.

3. Operations (see chart 1).—a. Military hospitalization will be provided Inaccordance with the Services of Supply Organization Manual, 1942, and withthis directive. Hospitalization operations will be coordinated with evacuationoperations.

b. Plant farilitir*.—(1) Type*.—(a) Station hospitals are established andmaintained to provide immediate medical care and treatment for those cases notordinarily requiring prolonged hospitalization. Station hospitals will be pro-vided in accordance with current |>ollcy, as approved by the Commanding General,Services of 8u|iply.

(6) Named general hospitals (see chart 2) are established and maintainedto afford better hospital facilities than ordinarily would he provided in stationhospitals for observation, treatment, and disposition of complicated or obscurecases: for performance of certain elective surgical procedures; to provide bedsfor the evacuation of other hospitals, thereby increasing the number of bedsavailable in the hospitals concerned: to provide beds for patients requiringprolonged hospitalisation; and to provide beds for treatment of patients evac-uated from overseas for whom further treatment In the United States isrequired. Named general hospitals will be provided in the continental UnitedStates for 1 percent of the total strength of the Army plus any additionalcapacity required for actual medical care of military evacuees from overseas,continued until such personnel may be returned to duty or separated from themilitary service.

4

(c) Field camp hospitalisation will consist of the following:J. For 2.87 percent of camp capacity, theater of operations type con-

struction with running water and the simplest type of water-bornesewerage.

t. For 1.3S percent of camp capacity, heavy tentage, floored and screenedto be operated by field medical units with no water-borne sewerageprovided unless the camp proper is so served.

(2) Bed credits.—(a) The Surgeon General will control the allocation of bedcredits In named general hospitals to the following:

1. Larger station hospitals upon recommendation of commanding generalsof service commands or the Commanding General, Army Air Forces.

t. The commanding generals of service commands for disposition ofpatients from smaller stations, except air stations.

S. The Commanding General, Army Air Forces, for disposition of patientsfrom smaller air stations.

4. The commanders of ports of embarkation (debarkation I for imtientsfrom overseas, staging area and port hospitals, and such additionalrequirements as may be reported by port commanders.

5. The Commanding General, Army Ground Forces, for tactical hospitalsoperating under tactical control.

6. The commanding generals of defense commands or theaters of opera-tions within the continental United States, as necessary.

(b) The Surgeon General will revise bed credits, when necessary, advisingall commanders concerned following each revision, particularly commandinggenerals of service commands. The commanding officers to whom bed creditshave been allotted require no further authority to transfer patients to thedesignated named general hospitals, provided allotments are not exceeded. Inorder to control bed credits in general hospitals. The Surgeon General will dealdirectly with general hospital commanders with reference to allocation of bedcredits.

(c) A record of debits and credits against bed allotments will be maintainedby all concerned. Bequests for changes in allotments will be made to TheSurgeon General through the commander concerned except in emergencies, whendirect iommunication with The Surgeon General Is authorised. Recommenda-tions for decreased allotments will be submitted when indicated. The SurgeonGeneral will reduce consistently excessive allocations of bed credits.

(g) Special.—Patients will be transferred In accordance with existing regu-lations to the Fltzslmons General Hospital for treatment of tuberculosis, toDarnall General Hospital, and to the Army and tfavy General Hospital. Theavailability of beds for neuropsychiatrlc patients will be established by com-manders concerned prior to transfer of such patients to general hospitals.

(e) Transfer of patients.—In accordance with current directives, commandingofficers concerned will be responsible for the proper selection of cases to betransferred to general hospitals, consideration being given to—

I. Distances to be traveled.t. Transportation medium to be employed.S. Routing.4- Crowding of local hospital facilities. Sufficient beds will be held avail-

able in station hospitals to meet the needs of immediate emergencies.(8) Capacity of plant facilities. —(o) Bed capacities will be made available for

hospitalisation of approximately 15 percent of the command as follows:

5

/. For actual medical care of hospital canes, beds for approximately 5percent of the command by the utilisation of the following:

Existing hospitals.Additional hospital construction to full S percent of bousing

capacity at theater of operations type camps (to be providedwithout any action by the commanding generals of servicecommands).

Mobilisation type hospital barracks at mobilisation type camps.* Existing housing for field units adjacent to hospitals.

t. For care of ambulant convaleacents and for treatment of ambulant pa-tients requiring minor attention other than bed space and messfacilities, beds for approximately 10 percent of commands by utilisa-tion of barracks; the barracks will be preselected by post, camp, orstation commanders upon recommendation of their respective sur-geons, and will be those most suited to the purpose; the sources forbeds, bedding, and messing facilities for the convalescent housingwill be specifically listed In writing by each commander concernedto minimise confusion at such time as emergency dictates actualoperations; the convalescent housing will be administered as an-nexes to the hospitals by medical officers under the poet, camp, orstation surgeons.

(4) Expansion of plant facUitie*.—(a) For addition to bed capacity as pre-scribed in (3) above, facilities will be expanded when necessary by the followingmeans'and In the order listed:

I. By temporary utilisation of barracks (only ambulant patients will beplaced above the first floor of cantonment camp barracks).

i. By rental or lease as may be required by and as authorised for meetingsuddenly increased admission rates due to epidemic, temporary dis-position of troops, enemy action, or localised disaster.

3. By ronolmrtion.—For station hospitals, only when increases ofgarrisonsare permanent and not for tactical disposition of troops temporarilyat or in the vicinity of the station concerned, except when authorisedby the t'ommanding General. Services of Supply.

For general hospitals, at least 9 months prior to the need thereof.The Surgeon General will estimate and report additional requirements to the Commanding General. Services of Supply. At the timeof reporting estimated additional requirements. The Surgeon Generalwill submit specific recommendations as to the general locations ofand capacities required for the additional general hospitalisation.Except for those general hospitals required for support of portevacuations, construction for new general hospitals will be locatedwithin areas bound by the general line: SPOKANE—PHOENIX—

EL PASO—TEMPLE- ATLANTA--CLEVELAND, .additional gen-eral hospitals will be so located as to properly support evacuationfrom other general hospitals, and on main line railroads unlessotherwise approved In each case by the Commanding General, Serv-ices of Supply.

J. By utilization of theater of operations hospitals which are under thecontrol of the Commanding General. Services of Supply. No issueof unit assemblages for this purpose will be anticipated at this time,the capacity of these units us a source for expansion of facilitiesbeing limited to utilisation of personnel within the units. In order

6

to derive the maximum benefits from training and operations, theaterof operations hospitals will be utilized as complete units and notas individuals, when employed in actual care of the sick.

( b) As may be necessitated by enemy action in the following States, provisionwill be made for alternate location of existing hospitalization by removal of exist-ing equipment to preselected buildings:

Maine MarylandNew Hampshire District of ColumbiaVermont VirginiaMassachusetts North CarolinaRhode Island South CarolinaConnecticut GeorgiaNew York FloridaPennsylvania CaliforniaNew Jersey OregonDelaware Washington

Plans for such expansion will be included In annex C (see par. ld(3), sec. I).e. Medical equipment and supplies.—(1) From currently authorized sources.

The Surgeon General will insure the availability of adequate medical equip-ment and supplies at such times and places as they may be required (or opera-tions prescribed herein.

(2) In emergencies, required supplies which have not been made availableby The Surgeon General may be purchased locally in accordance with currentdirectives.

d. Funds.—(1) Funds for the lease of buildings and the payment of utilitieswill be provided by commanding generals of service commands in the mannerprescribed by current regulations.

(2) Funds for the purchase of medical supplies and services locally will beprovided by The Surgeon General In the manner prescribed by current direc-tives.

(3) Funds for the hire of necessary civilian personnel for the expansionof hospital facilities as prescribed herein will be provided by the commandinggenerals of service commands.

e. Medical personnel.—The commanding generals of service commands andthe commanders of ports will submit requests to the Commanding General,Services of Supply, for additional medical personnel required to meet seriousepidemic’s or other major disasters.

/. Aid to civilian defense. —(1) Extent of aid, —Assistance will he given tothe Office of Civilian Defense within the means available and when Justifiedby the immediate military situation. Civilian patients so admitted to militaryhospitals will be transferred to civilian hospitals designated by the Office ofCivilian Defense at the earliest practicable date, or will be* otherwise disposedof as directed by the Office of Civilian Defense.

(2) Means for aid.—Until such time as service command emergency medicalunits (mobile) may be authorized, organized, and equipped In accordance withapproved tables, each service command will organize medical units In accord-ance with attached table III. Currently available personnel and motor vehicle'swill be selected and detailed. Units will be actually trained for the purpose'Intended and will he sufficiently Inspe'cte'd to insure their rendlne*ss at all time'sfor operations. Units will be In accordance with attaches! equipment

7list (table IV). The commanding general of each service command will deter-mine the number of such units required, based upon the military strengthsand density of population of target areas within the service command area,the geography and the distance involved, reporting the number and locationsof the units to The Surgeon General prior to October 15,1942.

g. Disposition of patient* unfit for further military service.—Military per-sonnel who are disabled for further military service will be hospitalised in amilitary hospital in the United States until it can be determined that thedisability is such that physical rehabilitation for military service is not feasible.When rehabilitation for military service is not feasible and further hospitali-sation is necessary, the military personnel will he separated from the militaryservice and transferred to a Veterans’ Administration facility, provided thedisability was incurred in line of duty.

SEcnoa II

EVACUATION

1. Plans for operations.—a. Operations plans for military evacuation willbe maintained as follows:

(1) By service commands, ports of embarkation (debarkation), other com-mands within the continental United States, each submitted in triplicate toThe Surgeon General prior to December 15, 1942. The commanding generalsof service commands will request commanders of ports and defense commandswithin their respective areas to submit evacuation plans of their respectivecommands. This wili insure that provision has been made for support forevacuation of those commands to the control of the Services of Supply, andthat such support required has been included in the operations plans of theservice command concerned.

(2) By Hie Surgeon General after collaboration with the Chief of Trans-portation. Services of Supply, a basic directive coordinating all plans submittedin accordance with (1) above. This directive will be submitted in triplicateto the Commanding General, Services of Supply, prior to February 1, 1943. Theoriginal and one carbon copy of each subordinate plan will be forwarded withThe Surgeon General's basic directive. The Commanding General, Services ofSupply, will return the original of each subordinate plan to the commanderconcerned.

b. The Surgeon General is charged with the administration and processingofplans as outlined herein. He will report to the Commanding General, Servicesof Supply, deficiencies the correction of which are beyond his control or au-thority. The Surgeon General will also submit with the basic directive a reportupon and recoinmendutIons for such additional requirements in facilities, per-sonnel, or equipment as may be necessary to insure military evacuation asprescribed herein.

c. Reporting offices will call upon other offices for the information requiredat sucii time as to insure preparation and maintenance of plans as prescribedherein. Those offices from which information may be requested will promptlysubmit the required information. Air station surgeons will furnish to the com-manding generals of service commands concerned the essential Informationrequired to complete operations plans as prescribe herein.

4H7055° 42 2

8d. Information will be submitted in annexes attached to each plan as

follows:(1) Annex E—Patients to he evacuated.—(a) Estimates as to the numbers

of patients to be evacuated will be listed In table V classified as follows;i. Mental.—Those patients who require security accommodations aboard

a ship or a hospital train which may be moving patients to ulti-mate hospital destinations.

Male.Female.

i. Hospital litter ( bed ) patients.—Those patients requiring to remain Inbed with services rendered by other individuals.

Male.Female.

S. Hospital ambulant paiients. —Those patients who, while ambulant,will require hospital (medical) care en route and who in additionwill require services from other Individuals.

Male.Female.

4. Troop class patients. —Those patients who will need little medical careen route and who will be able to take care of themselves, even inemergencies.

Male.Female.

(k) Estimates as to individuals to be evacuated who are not sick or woundedbut for whom medical care must be prearranged.

1. Dependents of military personnel and War Department civilian em-ployees.

Male adults.Female adults.Infants.

t- Others.Friendly—I'nguarded.Enemy—Guarded.

(2) Annex F—Equipment.- Estimates as to equipment required for militaryevacuation and sources from which It may be made available will be tabulatedas follows:

(a) For transport (table VI).1. A utomotive. *

Ambulances.Buses.Trucks.Automobiles (Taxicabs and privately owned).

t. RailHospital trains (276 iiarlents—12-hour trip: 200 patients—

24- or more hour trip).• Sleepers (Pullman coaches, 27 patients each) ; passenger

coaches (52 patients each).5. fthip (by port commanders; oversea commanders will report Imme-

diately any known requirements for ship hospital space to theport of embarkation charged with supply of the command con-cerned).

9

Hospital ship..Shiiw' hospitals aboard transports.

4. Air.—Ail requirements for air evacuation will be presented to theCommanding General. Army Air Forces, unless otherwise pre-scribed by him.

(6) For operation* (table VII).—Requirements of individual, organizational,and other equipment and supply (medical and nonmedical) in excess of thatavailable within the command concerned.

(3) Annex G—Pemonnel.—estimates as to personnel required for militaryevacuation will be tabulated in Table VIII as follows;

(•) Total requirements by grade and qualification.(6) Available personnel by grade and qualification.(c) Shortage of personnel by grade and qualification.

S. Responsibilities.—Under the Commanding General, Services of Supply,for military evacuation operations within the United States and from overseatheaters of operations to the United States;

(1) The Chief of Transportation. Services of Supply, is responsible for—(а) Water, rail, and automotive traffic control.(б) The adequacy of shipping for oversea evacuation.(c) Coordination with—-

1. War Shipping Administration.2. Navy..1. Office of Defense Transportation.

,

.). Association of American Railways.5. Highway transportation organizations.

id) Under the Chief of Transportation, operations of commanders of ports ofemlwrkation (debarkation) for the evacuation of patients from those overseaforc«*s charged to their respective ports for supply. Commanders of ports willcall upon commanders of oversea forces for any information required and will'arrange directly with the* commanding general of the service command in whichthe is»rt is located for any sup|M»rt required from the servicecommand for evacua-tion of the port Itself or for jmtients received through the port from overseas(see jiar. 1«(1), sec. II. and (2)(c) below).

(2) Tlie commanding general of a service command is responsible for thefollowing:

(«) Arrangements for transportation originating within the geographic limitsof the service command, including any evacuation from ports that may berequested by port commanders, ex«ept for the control over hospital trains exer-cised l»y the Chief of Transportation (see par. 3o(l)lb), sec. II).

(6) Arrangements with The Surgeon General for allocation of bed credits ingeneral hospitals for the disposition of patients from service command installa-t ions.

(r) Requesting commanders of ports and defense commands within the servicecommand to present their requirements for support from the service command formilitary evacuation.

(8) The Surgeon General has the following responsibilities;(a) Chief medical rrpulator.—The Surgeon General by virtue of his control

over the allotment of bed credits In general hospitals will be the chief medicalregulator. In order to carry out his functions with reference to military evacualion. The Surgeon General, as chief medical regulator, will deal direct with thegeneral hospital commanders in matters pertaining to bed credits and will obtain

10such information direct from general hospital commanders and port commandersas may be required to properly control the transfer of patients. All commandersconcerned will be informed of action taken by The Surgeon General.

(ft) Assurance of adequacy of the following:t. Medical personnel for the care of patients while beiug transported.t. Medical supplies and equipment.S. Railway cars for evacuation of patients.

(e) Recommendations concerning procurement of:1. Railway cars for evacuation.2. Hospital ships.

(4) The Chief of Administrative Services. Services of Supply, has supervisionof the following operations so far as they may be concerned with plans formilitary evacuation of sick and wounded:

(a) Preparation of War Department plans and policies relating to civiliandefense evacuation.

(ft) Coordination of matters pertaining to civilian defense measures for evacu-ation.

ft. The Commanding General. Army Ground Forces, is responsible for—-(1) All evacuation within Army Ground Forces under his control.(2) Coordination with the Commanding General, Services of Supply, for evac-

uation from Army Ground Force units to Services of Supply installations,

facilities, or control.c. The Commanding General, Army Air Forces, is responsible for—-(1) All evacuation within Army Air Forces under bis control.(2) Air evacuation.(5) Coordination with the Commanding General, Services of Supply, for evacu-

ation from Army Air Forces control to Services of Supply Installations, facilities,or control.

d. Commanders of task forces and theaters of operations overseas are responsi-ble for—

(1) All evacuation within the command concerned.(2) Coordination of requirements for evacuation from overseas with the com-

mander of the port of embarkation charged with supply of the commandconcerned.

(8) Coordination with the Commanding General. Services of Supply, forevacuation beyond the limits of the command concerned to the control of theCommanding General, Services of Supply.

e. Commanders of defense commands are responsible for coordination with theCommanding General. Services of Supply, for evacuation beyond the limits of therespective commands to the control of the Commanding General. Services ofSupply.

3. Operations (see chart 3).—a. Rail—(1) Honpilal train.—(a) Attachmentof hotpital cart.—For rail movements of stifle lent numbers of patients to Justifytheir use, currently available hospital train curs will be attached to and detachedfrom service commands by the Chief of Transportation, the commanding amentiaof service commands involved being advised thereof by the Chief of Trans-portation.

(ft) Misvcmentt.—For movements within the service command the transporta-

tion officer of the service command will arrange for routing. For movements to

or through other service commands routing instructions jo cover each movementwill be obtained from the Chief of Transportation. Movement orders for allmovements, except In emergencies, will be Issued by the Chief of Transportation.

11(o) Rail equipment.—The transportation officer of the service command will

obtain the necessary rail equipment In addition to currently available hospitaltrain cars including diners, sleepers, tourist cars, passenger coaches, baggageand refrigerator cars.

(d) Menninp.—The commanding general of each service command will insureprovision of adequate rations and messing facilities as determined by the medicalpersonnel and the typeand number of iiatieuts involved In each movement. Whennecessary, the commanding general of each service command will effect prelimi-nary arrangements for dining car facilities to include tray service from diningcars to bed patients.

(e) fund*.--The commanding officer of the hospital train will be designatedclass B agent finance officer for the disbursing of such funds as may be necessary.

(f) Ptrmnnel.—In the event no hospital train units are available, the com-manding general of each service command will staff trains with personnel inaccordance with T/O &-820.

ig) Equipment - The Burgeon General will equip hospital trains and will main-tain sufficient medical supplies therefor in accordance with basic equipment listsfor hospital trains.

(2) Rail movement* other than bp hospital train. —For individuals or forparties ofpatients and medical personnel totaling less than 50, rail transportationunder current arrangements and agreements with the railroads will be arrangedby local transportation officers and agents of carriers involved.

b. Water. —(1) Commanders of ports charged with supply of oversea forceswill arrange for evacuation from those commands to the continental UnitedStates. Control of hospital ship and ship hospital personnel and supply will beas provided In (2) and (S> below.

(21 Medical supplies will be supplied from port reserves. The port commanderwill fill requisitions submitted by ship surgeons In accordance with basic equip-ment lists furnished by The Surgeon General.

(3) The commander of each port of embarkation and debarkation in the con-tinental United States will operate ship hospitals with such Medical Departmentpersonnel as may be made available to him. Until such time as approved Tablesof Organisation may be established to provide adequate personnel within thetroop basis, an effort should be math* to provide personnel for ships’ hospitals inaccordance with the Table of Medical Department Personnel for Ship MedicalService (table furnished to port commanders by The Surgeon General). TheM«dical Deportment personnel will be placed on duty at ports or in staging areaswhen not actually on ship duty. Ships which have insufficient medical personnelor equipment to care for casualties that are to be evacuated thereon will be sup-plied with such personnel as may be available to the port commander. Medicalpersonnel required to be attached by oversea commanders, in an emergency, formedical care of patients returned from theaters of operations will be replaced bypersonnel sbip|ied on the first returning transport.

(4) Port commanders will immediately transmit to the Chief of Transportationall Information received from commanders concerning patients to be evacuatedfrom oversea forces.

c. Automotive.—In order to conserve gasoline and robber, motor vehicles willhe used only when other means of transportation would be impracticable formilitary evacuation by the Services of Supply. Government ambulances. Armytrucks, buses and commercial vehicles will he utilized in the order named.

d. Air.- Military air evacuation will be effected as directed by the CommandingGeneral, Army Air Forces, and requests therefor will be addressed directly to the

12Commanding General, Army Air Forces. Commercial air evacuation may bearranged by commanders concerned, ns may be necessary.

e. Aid to civUian defense.—As pifescribed by letter dated April 9,1942 (SP PMO381), subject: War Disaster Relief Plans (see incl. #3).

Table I. —Hospital facilities

NOTES

(•) Report will be submitted to The Surgeon General.(ft) Report will be submitted toservice command.'(c) Immediately available within each command and withoutaugmentationof medical personnel.(d) For station hospitals. 4 percent of permanent garrison: for general hospitals and staging areas, as

authorised(«) Provide evidence of permanence of increase of garrison strength (copies of orders, etc.).if) List general hospitals where credits are established and number allotted at each hospitalIt) Column 4 plus column 7.

Table II.—Requirement « for additional h»»pitali:ntifm

NOTES(a) As reported to The Surgeon General.(ft) Based upon housing capacities.(c) Attach detailed justification for each hospital in which column 2 Is equal tocolumn 4.

(Fill in proper designation)

1 3 8 «<*) 5(d) #(«) 7(/) 8(g)

Geographic designationNumber

ofnormal

beds

Numberof

emer-gencybeds

Maxi-mum

possiblebed

capacity

Numberof bedsauthor-ised (orhospital

Shortageof

author-ised bedcapacity

Bedcreditsallotted

tohospital

Totalbeds

available

A. Stations (listed alphabeti-cally):

808 hospitals (»)

Airstation hospitals (6) ,

C. General hospitals (»)

Total lor Service Com-mand (teas staging area bos-

1 I } 4 ft

Geographic areaExisting

normal bedcapacity

Shortage ofauthorisedbed capacity

(a)

Actual au-thorised bedcapacity (ft)

Additional bedcapacity rec-ommended byThe SurgeonGeneral (f)

Service Command

808 hospitalsAir station hospitals

General hospitalsTotal (or. Service CommandGrand total

13

Tabi.e III.—Service command emergency medical unit (mobile )

. Z 3 4

I UnitTech-niciangrade

Total Remarks

8 Major , aShould have some general sur-s

-gical ability.

The aerial number symbol shown4In parentheses is an Inseparablepart of the specialist designation.A number below 300 refers to anoccupational specialist whose quali-fication analysis is found in AR

4

17 Medical (373) (1)s 1y (1) to 8 military occupational special -

10 1n Motor (813) (1) 67, War Department, 1343.12 213 Medical (873) (2)1413

Technician, grade 41Technician, grade 81^

16

■1718

Private, flint daaa |Private J

( haufloor (246)14(6)

19 Clerk, admission (406) 1 0)X LiU«r bearer (857) (12)21 ' Technician, medical (133) S (3)22 (8)28 Technician, surgical (22S< 4 (1)

5 (3)2ft (8)

X 40

27 44

23

» Q Truck, ZH-ton, 6x6, cargo . r

Tabu: IV.—Equipment list—servin' command emergency medical unit—medical' equipment

Noth.—In addition to the above, some provlalon should be made from equipment and8U|>plioH on band to aerve hot coffer, tea. cocoa, aoup, etc., at the acene of the dlaaater.

Quartermaster property

MedicalDepart-

mentitem No.

Item Unit Amount

mow Serum, normal human plasma, dried Package 3574030niao Battery, dry cell (lor items 78010 and 00340) 2478010 Flashlight with lamp07.10 Kit, medical, noncommissioned officer's0711507130 Kit. medical private's do 1807405 Blanket set. small07505 Chest, MD, No. 1.07570 Chest. MD. No. 207757 Oas casualty set, complete97815 Splint set00175 Carrier, held, collapsible do00226 Cup, paper, noncollapsible 1.000OKMO

00045 Lantern, electric, lamp. do00076 1800410 Pad. heat, complete006500782507775

Flag (Red Cross), amublance and marker

Item Unit Amount

A». handled, chopping Each 22

Cans, corrugated, nesting, galvanised with cover (32 gallons) *> 2Ten', small wall, complete with fly. pins, and (wile 1

15

TableV.

—Estimatednumber»ofindividualstoIreevacuated

ServiceCommand(date)

NOTES

(a)Those

requiringsecurity

accommodationsalxsir<

I

shipor

train.

ft)Those

requiringbedcareand

service*renderedbyotherindividuals.

(r)Those

requiringmedicalcareand

servicesfromother

Individualseven

thoughambulant

(d)Those

requiringlittle

careandableto

lakecareof

themselves,evenIn

emergencies.

(«)

Medicalcareis

(or

potentialrequirements

only,duringmovements.Patients

toheevacuated'

Ambulantwell(r)

Grandtotals

Geographicdesignation

Mentalpatients(•)

Hospitalbe<t

patients(ft)

Hospitalambulant patients

(c)

Troopclass patients

(rf)

MaleFemale

TotalMale

FemaleTotalMale

FemaleTotalMala

FemaleTotalMale

FemaleTotalMala

FemaleTotal

A.Stations(listed

alphabetically):Oroundstations

(exceptportsi

Airstations

B.Peru(listed

alphabeticallyl:

Stations Stagingareas Evacuation

fromoverseas

Listoverseaforces

C.Totalfor

ServiceCone

16Tabijc VI.—Estimate* of transportationrt*i aired for eravuation operation*

Service ('oniiiiHiul (tittle)

NOTES(•) Grand totals from table V.(*) The Chief of Transportation, Services of Supply, will advise commanders as to transportation asso

ciations which may make means available for transport in eroentrncies.(e) List numbers of individuals remaining to be evacuated after all means actually available to the com

toand and that obtainable under (k) above have beep exhausted.

Tabu: VII. —Estimate* of equipment required in exees* of that eurrenttp arailable for eraeuatlon operation*

Geographic designation

Numbers to beevacuated (a)

Transportation required (b) Shortageafter all re-sources ex-hausted (r)Automotive Rail

3s 1 1 i|I 1 | Trucks|

3<

IIa11

:ia. 1

-

I51

A. Seme is table VB. Seme v table VC. Total 'or Serv-

ice Command

Service Ouiuuind idute)

Equipment (Hit only items for whichshortage exists)

Total number requiredTotal

number ShortageavailableAuthorized I'naulhor-

ized Tout

A. Individual items:MedicalNonmedical

B. Organizational Items:Medical

•

C. Other items:

•

17Tabu: VIII. Estimates of personnel required in ear era* of that currently

available for evacuation alterationsService Command (date)

NOTES(•> Ppraunnrl authority!. unavailable hut rrqulnal.(6) 1’iTKinm l unaiilhoririHl. unavailable, and rrquinal.

l. Automotive.D. Total

Ship hospital**3 i0 £9<1f

T QQ 98

*

2.£&5 £ 9

OtlMT

A. Rail:

I i

Authoriaed(a)

H 181I

rnauthoriwHl(6)

Authorised(a)

S5I

t'nauthorin-il(ft)

1

Authorin''!(a)

o3Z

Cnauthoriu'il(ft)

Authorirml(a)

3<1

Unsutboritrd(ft)

W

«1

'UUUNH

,

I

Ur«—■«»»

*.

Urr

n>u- ■MflUU(k)

TVaatarsaf Operations leap!tala

undercontrolaf

Sarriaaaaf

•wiy

Oarern—ntAfOMiea

netotherwise listed

BarelaCoaaaandiaf

General_ SamoaCwsaai

(bj

Bequestsfar ■upp^rt

IStttia Kaapitala

Chart1.—

Militaryhospitalisationwithincontinentalflatted

States.JLOanaral Rcapitals

Controla

allocationofSeda

andthedetermina-

tionofatnffallot-

■ontofor

jenoralhocpitola

orSUfftr.I

*

TheSurfaceInwralMraator of Oparatiana

IC—min;eoeral

tartof

Maltatian

Area Baapjtala

Partevacuation KaapitalaReduce

tofar

support Unitedttataa Iteajr

field•

aaaraiaaaCwlsil| General a»w Qraadfaraaa

1 Tactical Icapitaa

under Tactical ControlITralnlaf— taata—

TACTICAL I •Mk Koopitala“

—

Cmmami

(a)Channels

Indicatedthus:

Commandchannels:

Supportchannels: Request

Mutual

(b)

Preparationandmain-

tenanceoftheoperational|4an

for

hospitalisationforthe

geo-

graphicareawithin

eachserv-

icecommamlwillhea

respon-

sibilityofthe

commandinggeneraloftheservicecom-

mand.

Oalaral"* Dafeooo I

I•ms Kaapitala Ci—nir— OMwr«l Tkntar

tf Operation.

19

mmQftMciriHi

■BtattMTW.

meInt-IIM.

l*tMto4to

hiw^WtUtl*

Chart2.

Generalhospital*(a*of

September18.1942).

AIREVACUATION I COMMANDING GENERAL ARMY

AIRFORCES-.MUTUALSUPPORT� AIR „STATION ,HOSPITAL

generalhospital(G)

COMMANDING GENERAL ARMYGROUNDFORCES TACTICAL HOSRITAL—SUPPORT

ARMYTRANSPORTSERVICE

COMMANDING GENERAL SERVICECOMMAND

ROST.CAMP

ORSTATION hosrital _SERVICE

A

COMMANDIItI-

I

Ii

iCO

55

the SURGEON GENERAL<G)

CONTINENTALUNITEDSTATESI

CHIEFOFTRANSPORTATION1

TASKFORCE.

DEFENSECOMMAND,

THEATEROFOPERATIONS-

OTHERS S5!5s I

CHIfFOF

T»*»»FO«T»T>OH TFOFFICcowmotI»1

CHIEFOFTRANSPORTATION

-

•«»

*

0«6ENCKAL hospital EMG

ARKATION

OR OEGARKATION PORTOF EMGARRATlON OR OEGARKATIOM FOOT CVACUFTIOM HOSFlTAt I

23/i|

STAGINGAREA STATION HOSPltAL

ARMYTRANSPORTSERVICE

PORTOF OEGARKATKHI

.AIRSTATION

s

HOSPITALPORT evacuation HOSPITAL

.NAMED

k

general hospitalCOMMANDING

GENERALDEFENSE

COMMANDOR

THEATEROF

OPERATIONS(•)

f

POST,CAMP

ORSTATION- HOSPITAL SERVICE COMMAND*“TACTICAL HOSPITALS

21(*) This column illustrates • possible situation In which all facilities might be placed

under command ofa theater commander.(b) All passenger trallc flow la controlled by the Chief of Transportation who Issues

all movement orders except in emergency.(c) This evacuation flow might be through a port of debarkation located in a theater

of operations or a defense command. In such a situation the flow of casualties fromoverseas through that port and from within the theater of operations or defense commandmust be coordinated through the theater or defense commander.

(d) The Surgeon (letters! is chief medical regulator by virtue of his control over theallocation of beds in general hospitals.

WAR DEPARTMENTThe Adjutant General's Office

Washington

AG 704 (6-17-42)MB-DT8-M June 18, 1942.

SUBJECT: War Department Hospitalization and Evacuation Policy.TO: Commanding Generals:

Army Gn*und Forces.Army Air Forces.Services of Supply.All Defense Commands.All Departments.All Theaters.All Separate Bases.

1. Responsibility of commanders.—a. The Commanding Generals of theArmy Ground Forces, Army Air Forces, Services of Supply, defense commands,and oversea departments, theaters, and separate bases have command resjsai-sibility for the operation of all medical facilities under their control and forfuture planning in connection therewith.

b. The Commanding General, Services of Supply—-(1) Has administrative responsibility for the coordination of the plans of

all commands for evacuation of the sick and wounded to he delivered to idscontrol, and for coordination of plans for hospitalization within the continentalUnited States.

(2) Will provide for the evacuation of sick and wounded delivered to hiscontrol ami will inform commanders concerned of the provisions made.

(3) Will, in fulfilling his responsibilities, communicate directly wherevernecessary and practicable to obtain such information as he may require.

c. The Commanding General, Army Air Forces, is charged with the develop-ment and operation of air evacuation. He will at all times keep the Com-manding General, Services of Supply, informed of the status of such develop-ment.

2. Facilities.—a. All plans will contemplate, wherever Justified by predictableemergency conditions, the utilization of all fficillties of the areas involved,and will take cognizance of proliable requirements other than military. Com-manders designated in paragraph la are authorized in the preparation of theirplans to deal directly with appropriate agencies not under their control.

6. Plans will be made for expansion beyond currently authorized capacity asJustified by predictable emergency conditions. Authority for the expnns'.m offixed hospital facilities by new construction will, however, he granted onlywhen all possibilities of expansion by other means have been exhausted.

Bt ordek or the Secretary or War :

(Signed)J. A. ULIO,Major General,

The Adjutant General.Incl. #2

WAR DEPARTMENTServices of Supply

Offlce of The Provost Marshal GeneralWashington

81* PMO 381 April 9. 1942.SUBJECT : War Disaster Relief Plans.TO: Commanding Generals, All Corps Areas.

1. The Army must be prepared to aid the civilian population during majordisasters resulting from either natural or war conditions. The primary respon-sibility for relief from either natural or war disaster is upon the local and Stategovernments, including their civilian defense agencies affiliated with the nationalOffice of civilianDefense and relief agencies, us the American Red Cross.

2. There is the possibility that communities along our land and coastalfrontiers may be subjected to sporadic raids and bombing attacks. During andimmediately following such attacks, the corps area commander must be preparedto assist the responsible local. State and civilian agencies until they are ableto take over completely. In the extreme case where the responsible civilian agen-cies are unable to function, the corps area commander must be prepared to takecontrol during the initial period. Therefore, you will prepare a plan providingfor war disaster relief, forwarding one copy to this office not later than May 20,1942. It Is suggested that the following be Included:

a. Assisting local law enforcement agencies in establishing restricted areas andmaintaining law and order in the affected areas.

b. Plans for equipment and the necessary organization to rescue persons fromheavily damaged or demolished buildings.

c. Plana for medical services and supplies prior to evacuation.rf Plans for various types of transportation and selection of highways for

evacuation.r. Plans for temporary maintenance of to include feeding, clothing and

housing until relieved by civilian agencies.f. Plans to utilise communication systems or devices.f. Plans to protect against and suppress fire.*. Plans to utilize State, local, other Federal agencies and volunteer forces to

the maximum.i. Plans to coordinate the relief agencies.f. Planning points or areas of release to civilian agencies.k. Plans for withdrawal of Army personnel.

3. The relief afforded by the Army will not extend beyond that initial periodduring which the civilian agencies are unable to fulfill their primary responsi-bility. Oearly, corps area commanders should neither obviate the necessity fornor replace complete plans by local. State and civilian organizations. Theproper authorities should he consulted for the purpose of securing informationon their capabilities and plans of action. Plans should contemplate the maximumutilization of State guard and local polio* forces.

Incl. #3

24

4. During and Immediately following the occurrence of a major war disaster,the representative of the corps area commander should proceed to the disasterarea and confer with the proper civilianauthorities. Including the mayor, the headof the local civilian defense organisation and the Red Cross representative, offer-ing the assistance of the Army where needed. The corps area commander's repre-sentative should be the EPW-CFCP district commander of that area.

5. When sporadic raids occur, permanent mass evacuation from raided com-munities usually should not be required, as it is essential to the war effort thatthe able-bodied citizens remain in their home communities. However, the tem-porary evacuation of certain classee of civilians may be necessary. War Depart-ment pamphlet entitled “Evacuation of the Civilian Population,” Dec-ember 11VI1,was written to assist in planning for mass evacuation from a theater of operationsand was not intended to assist in planning the dispersal of certain classes ofcivilians to protect them from sporadic air attacks. Therefore, the War Depart-ment pamphlet should he used only as a source for suggestions in preparing theplans here requested.

6. The corps area war disaster relief plan will he in addition to the peacetimedisaster relief plan provided in AR .VXMIO and of special disaster plans wldchcertain corps areas have been directed to prepare. Where practicable, the corpsarea organization for EPW and CFCP purposes with districts, headquarters andexecutives should be utilized for operations under this plan. This plan shouldbe classified as restricted.

By command ok Lieutenant General SOMERVELL:(Signed •

ALLEN W GULLI<)N., Major General. U. 8. A.,

The Provost Marshal General.