It'"" 
 
 Duke university Libraries 
 
 instructions re 
 Conf Pam l2mo #143 
 
fJHTY^ 
 
 ^ori-^ . ^ Ic^T^t. SiTRGEON General's Office, 
 
 '** Richmond. April 25, 1863. 
 
 The frequency Avitli which Reports of Sick and AVoiinded reach this 
 oflBce incomplete and defective, and wholly unsuited to establish accu- 
 rate and reliable statistics couctrning the prevfilcncc; of disease through- 
 out the army, suggests for the future guidance of Medical Officers, th** 
 following Instructions relative to their preparation: 
 
 I. Ill every case the. spaces left in blank should be appropriately tilled; 
 not omitting to designate, in addition to the number of the Regiment, 
 liattaiion or Battery, the State in which it was raised, or if a I'ost, Hos- 
 pital or Camp, the County and State in Avhich it is situated. 
 
 II. Only cases of disease occurring during the month or quarter, should 
 be admitted into the body«)f the Report ; tho.^e remaining over from last 
 Report, will be exhibited in the "General Summary," in the columns 
 '•Remaining last Quarterly or Monthly Report." 
 
 III. All deaths during the j)eriod covered by the Report, whether oc- 
 curring among those taken #ick or received into hospital during that or 
 a previous period, will be entered on its face, opposite; their appropriate, 
 diseases, and recorded on the back of the Report; but deaths occurring 
 among those not on the Sick Report, as when killed in battle, or in any 
 other violent and sudden manner, will alone be recorded on the back of 
 the. Report, "separated from the others by a double line drawn across 
 the page." 
 
 IV. New diseases supervening upon those already registered, will be 
 embraced in the body of the Report, and the luimber of such supervening 
 cases noted on tVie margin. These subtracted from the whole number of 
 cases, will indicate the actual number of patients to bt; accounted for 
 ("Taken SicJc during the Mouth or Quarter"), and which, when added 
 to those "Remaining from last Report," will c«mstitut« the "Aggregate" 
 of the General Summary. 
 
 V. In Quarterly Reports properly prepared, the tigures in the coluuiUf« 
 headed, respectively, "Total by each Disease," and "'Jjjytal by each 
 Class," will correspond; and these again, or the %um "Total" in the 
 Monthly Reports, provided there are no " Supervening Cases," or if there 
 are, alter tlit;ir deduction from the others, with the figures in the column 
 of the General Summary "Taken Sick during the Month or Quarter." 
 So too the deaths entered ijj the body of the Report, will correspond with 
 
the number in the General Summary, and with tlic number recorded by 
 name on the back of the Report, above the "double lino" mentioned in 
 paragraph III; and the Discharges Tix the General Summary will like- 
 wise correspond with the number recorded by name above this "double 
 line." And finally, if correct, the number still "Kemaining Sick and 
 Convalescent,]' will bo shown by adding together the number disposed of 
 in the several columns headed "Sent to General Hospital," "Kcturned to 
 Duty," "On Furlough," "Discharged," "Deserted," and "Died," and 
 subtracting the same from the "Aggregate;" the result corresponding 
 with the number actually "Remaining Sick and Convalescent." 
 
 VI. No cases of disease other than those occurring among oflficers and 
 soldiers, will be embraced in these reports. Any other cases, if noticed, 
 will be reported separately. 
 
 VII. In the General Summary, the "mean strength" for the month 
 is estimated, by adding together the number ^f officers and men present 
 &t stated periods of the month, and dividing the result by the number of 
 such periods; and for the quarter, by summing up the " mean strength" 
 for each month of the quarter, and dividing by the number of months.* 
 
 VIII. The "ratio of cases per thousaiK^of mean strength" is calcu- 
 Jated by multiplying the " number treated" (which corresponds too with 
 the " aggregate") by one thousand, and dividing the result by the " mean 
 atrcuglli;" and the "ratio of deaths per thousand of mean strength" is 
 ©btaiued in like manner, by multiplying the "deaths" by one thousand, 
 and dividing the^ result by the "mean strength." 
 
 IX. In General Hospitals, the per centum of deaths occurring among 
 the " number treated," will be estimated and expressed in decimals, car 
 ricd out two figures. 
 
 X. Medical Officers, to whom any of tbcse reports are to be rendered, 
 or through whom they are to be sent, will examine them, and return for 
 correction any that may re<juire it; or failing to receive them in due time, 
 will demand explanation from the delinquent officers, and exact compli- 
 ance with the Regulations. The Monthly and Quarterly Reports from 
 Medical Officers in charge of the sick and wounded, will be rendered 
 within five days after the expiration of the month or quarter. 
 
 It is hoped that 'the foregoing brief explanations may enable Medical 
 • Officers who have thus far failed in this important duty, to make correct 
 •nd reliable Reports.^ ' 
 
 S. P. MOORE, 
 ' * Surgeon General. 
 
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 ^ I certify that the above is a true report of all entitled rations in Hospital, , ou the days nan.eil, copied from the Morning 
 
 '^^'^^ ^' ff ' , Surgeon in charge. 
 
 The A. C. S. will issue on the above return. 
 
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