Hospital Transport Service

Frederick Law Olmsted, the executive director of the United States Sanitary Commission, set up a system of hospital ships for wounded and sick soldiers in the American Civil War. The USSC was a private agency that cooperated closely with the U.S. Army.

Between 6 and 16 Feb 1862, the Union advanced across the country and captured Forts Henry and Donelson. Upon hearing word of the battle, members of the Sanitary Commission in Cincinnati gathered supplies, volunteers and procured a steamer passengered by the most senior members of the commission at the Cincinnati branch. Upon arrival at Fort Donelson, the commission learned that insufficient means were taken to treat and transport the wounded. The Union's two army "hospital" ships, the City of Memphis and Fanny Bullitt, had not been furnished to serve as such ships and were merely empty vessels on which vast numbers of wounded suffered. Supplies were distributed, and 80 wounded were transported back to Cincinnati on the steamer with doctors and nurses to tend to them. The boat traveled from Mississippi to Ohio.

In April 1862, the Union's victory at Shiloh resulted in the outpouring of hospital transports to the city. The two transports refitted and dispatched by the Sanitary Commission were joined by a fleet of private, army, and state hospital ships. The Tycoon and Monarch were the Commission's first refitted hospital ships. Sympathy, benevolence, patriotism and a desire to ease the suffering of our nation's troops was the only thing these groups shared in common. Following this event, the Sanitary Commission began outfitting any hospital ship, army, state, association, or voluntary, and if necessary, they operated the ships as well. All of the army's ships used as hospital transports were refitted and initially supplied through the direction of the Sanitary Commission. Funding came from the army, Sanitary Commission, state, and volunteer organizations. The army transferred at least one ship to the Sanitary Commission, the steamer Daniel Webster No. 1. Even the Red Rover, a river boat captured by the Union Army, was well equipped and initially staffed by the Sanitary Commission until the ship was sold to the navy.

These were not the first hospital ships employed by the Civil War governments; previous ships used as hospitals, like the hospital ship CSS St. Philip (formerly the Star of the West) in September 1861 and April 1862, retained patients for long periods of time (30–90 days easily) and stayed on station rarely travelling. The Sanitary Commission used their steamers as a means of bringing wounded further back behind supply lines, keeping wounded on board for as short a time as possible, from 1–7 days. Men and women of all races, some hired while others volunteered, served throughout the hospital ships and hospitals of the Union as nurses.

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