James Madison Papers
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https://founders.archives.gov/documents/Madison/03-08-02-0109

To James Madison from William Jones, 15 August 1814

From William Jones

Augt. 15. 1814

Dear Sir

When I came into office the Hospital establishment at Charleston So C. was on Shore maintained at a very considerable expence and though under the care of an excellent Physician Doctor Logan of the Navy, diseases were protracted or terminated mortally in a great many cases.

Knowing the climate of S.C from some years residence at Charleston I was satisfied that a Hospital ship moored in the open Harbour accessible to the salubrous Sea Breeze which daily visits that place would be attended with the best effects. Doctor Logan perfectly coincided in opinion with me and I ordered an old Gun Boat which had been used as a Guard Vessel having a House built over it, to be employed for that purpose. The experiment has been attended with the most gratifying result as you will see by the enclosed report.1 The effect is not only to be ascribed to the salubrity of the air, but to the facility afforded by the proximity of the water for the preservation of cleanliness—a better state of discipline, and means of regulating the intercourse and avoiding the introduction of ardent spirits.

I consider the plan however as only applicable to situations open and contiguous to the sea, where of course the water is quite salt and the Sea Breeze regular. On our southern Coast where it is most Sickly on shore these situations happily abound.

The opposite effect would doubtless be experienced on our fresh water rivers where the fogs and exhalations are unfriendly to health. Very Sincerely your Obdt Servt

W Jones

RC (DLC). Docketed by JM. For enclosure, see n. 1.

1George Logan’s 31 July 1814 report (1 p.) stated that of the one hundred and eleven patients admitted to the hospital ship in the preceding year, eighty-six had “recovered & retu[r]ned to duty,” seven had been “discharged labouring under complaints rendering them unfit for Service,” thirteen were still in the hospital, and five had died. Logan attributed one of the deaths to dropsy, one to “debility,” one to bilious fever, and two to “the Effects of Inebriation.” He enclosed the report in his 5 Aug. 1814 letter to Jones, which stated that because its cables were deteriorating and there was no money to replace them, the hospital vessel had recently been moved to a location “near the City” and “presumed not as healthy” (DNA: RG 45, Misc. Letters Received).

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