<?xml version="1.0" encoding="UTF-8"?><TEI xmlns="http://www.tei-c.org/ns/1.0" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.tei-c.org/ns/1.0 nzetc-p5.xsd" xml:id="WH2Medi" xml:lang="en">
  <teiHeader type="text">
    <fileDesc xml:id="fileDesc-0001">
      <titleStmt>
        <title type="marc245">New Zealand Medical Services in Middle East
	  and Italy</title>
        <title type="gmd">[electronic resource]</title>
        <author>
          <name key="name-027677" type="person">Stout, T. Duncan M.</name>
        </author>
        <respStmt xml:id="respStmt-0001">
          <resp>Creation of machine-readable version</resp>
          <name key="name-121582" type="organisation">TechBooks, Inc.</name>
        </respStmt>
        <respStmt xml:id="respStmt-0002">
          <resp>Creation of digital images</resp>
          <name key="name-121582" type="organisation">TechBooks, Inc.</name>
        </respStmt>
        <respStmt xml:id="respStmt-0003">
          <resp>Conversion to TEI.2-conformant markup</resp>
          <name key="name-121582" type="organisation">TechBooks, Inc.</name>
        </respStmt>
      </titleStmt>
      <extent>ca. 2500 kilobytes</extent>
      <publicationStmt>
        <publisher>New Zealand Electronic Text Centre</publisher>
        <pubPlace>Wellington, New Zealand</pubPlace>
        <idno type="etc">Modern English, WH2Medi</idno>
        <availability status="unknown">
          <p>Publicly accessible</p>
          <p n="public">URL: http://www.nzetc.org/collections.html</p>
          <p>copyright <date when="2003">2003</date>, by Victoria University of Wellington</p>
        </availability>
        <date when="2003">2003</date>
      <idno type="vuw-bbid">710578</idno></publicationStmt>
      <seriesStmt xml:id="seriesStmt-0001">
        <title type="marc245">Official History of New Zealand in the
	  Second World War <date from="1939" to="1945">1939–45</date></title>
      </seriesStmt>
      <notesStmt xml:id="notesStmt-0001">
        <note xml:id="note-0001">Illustrations have been included from the original
          source.</note>
      </notesStmt>
      <sourceDesc xml:id="sourceDesc-0001">
        <biblFull>
          <titleStmt>
            <title level="m">
              <name key="name-110066" type="work">New Zealand Medical Services in Middle
              East and Italy</name>
            </title>
            <author>
              <name key="name-027677" type="person">Stout, T. Duncan M.</name>
            </author>
          </titleStmt>
          <editionStmt>
            <p/>
          </editionStmt>
          <publicationStmt>
            <publisher>
              <name key="name-110027" type="organisation">War History Branch, Department Of Internal
	      Affairs</name>
            </publisher>
            <pubPlace>
              <name key="name-008844" type="place">Wellington, New Zealand</name>
            </pubPlace>
            <date when="1956">1956</date>
            <idno type="callno">Source copy consulted: VUW Library</idno>
          </publicationStmt>
          <seriesStmt xml:id="seriesStmt-0002">
            <title type="marc245">
              <name key="name-110576" type="work">Official History of New Zealand in the
	      Second World War <date from="1939" to="1945">1939–45</date></name>
            </title>
          </seriesStmt>
        </biblFull>
      </sourceDesc>
    </fileDesc>
    <encodingDesc>
      <projectDesc xml:id="projectDesc-0001">
        <p>Prepared for the New Zealand Electronic Text Centre as part
          of the <ref target="http://www.nzetc.org/projects/wh2/">Official War
          History project</ref>.</p>
      </projectDesc>
      <editorialDecl>
        <p>All unambiguous end-of-line hyphens have been removed, and
          the trailing part of a word has been joined to the preceding
          line. Every effort has been made to preserve the Māori macron
          using unicode.</p>
        <p xml:id="ETC">Some keywords in the header are a local Electronic
          Text Centre scheme to aid in establishing analytical
          groupings.</p>
      </editorialDecl>
      <classDecl>
        <taxonomy xml:id="nzetc-subjects">
          <bibl>
            <title>NZETC Subject Headings</title>
          </bibl>
        </taxonomy>
      </classDecl>
    </encodingDesc>
    <profileDesc xml:id="profileDesc-0001">
      <creation>
        <date when="1956">1956</date>
      </creation>
      <langUsage>
        <language ident="en">English</language>
      </langUsage>
      <textClass>
        <keywords scheme="http://www.nzetc.org/nzetc-subjects">
          <list>
            <item>
              <rs key="subject-000004" type="subject">New Zealand World War II History</rs>
            </item>
          </list>
        </keywords>
        <keywords scheme="http://www.example.org/folksonomy">
          <term>nonfiction</term>
          <term>prose</term>
          <term>masculine/feminine</term>
          <term>New Zealand/ History/ WWII</term>
        </keywords>
        <keywords scheme="http://www.example.org/folksonomy">
          <term>
            <name key="name-016541" type="organisation">New Zealand Medical Services</name>
          </term>
        </keywords>
      </textClass>
    </profileDesc>
    <revisionDesc xml:id="revisionDesc-0001">
      <change xml:id="change-0001"><date when="2004-11-15">15 November 2004</date><label>corrector</label><name key="name-110032" type="person">Jamie Norrish</name>Added name markup for many names in the body of the text.</change>
      <change xml:id="change-0002"><date when="2004-08-31">31 August 2004</date><label>corrector</label><name key="name-110032" type="person">Jamie Norrish</name>Added link markup for project in TEI header.</change>
      <change xml:id="change-0003"><date when="2004-06-04">4 June 2004</date><label>corrector</label><name key="name-110032" type="person">Jamie Norrish</name>Split title into title and series title.</change>
      <change xml:id="change-0004"><date when="2004-02-12">12 February 2004</date><label>corrector</label><name key="name-110032" type="person">Jamie Norrish</name>Added cover images section and declarations.</change>
      <change xml:id="change-0005"><date when="2004-02">February 2004</date><label>corrector</label><name key="name-121573" type="person">Rob George</name>Added figure descriptions</change>
      <change xml:id="change-0006"><date when="2003-12-15">15 December 2003</date><label>corrector</label><name key="name-110032" type="person">Jamie Norrish</name>Added TEI header</change>
      <change n="quickProof"><date when="2007-08-07T21:19:16">21:19:16, Tuesday 7 August 2007</date><label>editorial</label><name type="organisation" key="name-121602">NZETC</name>Text-proofing of a sample of the text</change>
      <change n="teiMarkup"><date when="2007-08-07T21:19:16">21:19:16, Tuesday 7 August 2007</date><label>editorial</label><name type="organisation" key="name-121602">NZETC</name>Conversion to TEI.2-conformat markup</change>
      <change n="scriptedMarkup"><date when="2007-08-07T21:19:16">21:19:16, Tuesday 7 August 2007</date><label>editorial</label><name type="organisation" key="name-121602">NZETC</name>Adding scripted markup</change>
      <change n="encodingDesc"><date when="2007-08-07T21:19:16">21:19:16, Tuesday 7 August 2007</date><label>editorial</label><name type="organisation" key="name-121602">NZETC</name>Addition of encodingDesc</change>
      <change n="addBibls"><date when="2007-08-07T21:19:16">21:19:16, Tuesday 7 August 2007</date><label>editorial</label><name type="organisation" key="name-121602">NZETC</name>Addition of bibls</change>
      <change n="assembleImages"><date when="2007-08-07T21:19:16">21:19:16, Tuesday 7 August 2007</date><label>editorial</label><name type="organisation" key="name-121602">NZETC</name>Assembled all images</change>
      <change n="derivativeCreation"><date when="2007-08-07T21:19:16">21:19:16, Tuesday 7 August 2007</date><label>editorial</label><name type="organisation" key="name-121602">NZETC</name>Creation of derivative images</change>
      <change n="teiValidation"><date when="2007-08-07T21:19:16">21:19:16, Tuesday 7 August 2007</date><label>editorial</label><name type="organisation" key="name-121602">NZETC</name>Validation of TEI</change>
      <change n="nameValidation"><date when="2007-08-07T21:19:16">21:19:16, Tuesday 7 August 2007</date><label>editorial</label><name type="organisation" key="name-121602">NZETC</name>Validation of names</change>
      <change n="utf8Conversion"><date when="2007-08-07T21:19:16">21:19:16, Tuesday 7 August 2007</date><label>editorial</label><name type="organisation" key="name-121602">NZETC</name>Conversion to Unicode (utf-8)</change>
      <change n="makeProduction"><date when="2007-08-07T21:19:16">21:19:16, Tuesday 7 August 2007</date><label>editorial</label><name type="organisation" key="name-121602">NZETC</name>Promotion to production</change>
      <change n="drmAddition"><date when="2007-08-07T21:19:16">21:19:16, Tuesday 7 August 2007</date><label>editorial</label><name type="organisation" key="name-121602">NZETC</name>Addition of text to access control</change>
      <change n="harvestTopicMap"><date when="2007-08-07T21:19:16">21:19:16, Tuesday 7 August 2007</date><label>editorial</label><name type="organisation" key="name-121602">NZETC</name>Harvest into Topic Map</change>
      <change n="browserCheck"><date when="2007-08-07T21:19:16">21:19:16, Tuesday 7 August 2007</date><label>editorial</label><name type="organisation" key="name-121602">NZETC</name>Checking of text using browser</change>
      <change n="corpusAddition"><date when="2007-08-07T21:19:16">21:19:16, Tuesday 7 August 2007</date><label>editorial</label><name type="organisation" key="name-121602">NZETC</name>Addition of text to corpus</change>
      <change n="catalogueAddition"><date when="2007-08-07T21:19:16">21:19:16, Tuesday 7 August 2007</date><label>editorial</label><name type="organisation" key="name-121602">NZETC</name>Addition of text to Library Catalogue<!-- BBID=710578 --></change>
      <change n="live"><date when="2008-09-23T14:50:32">14:50:32, Tuesday 23 September 2008</date><label>editorial</label><name type="organisation" key="name-121602">NZETC</name>Make text available on NZETC website</change>
    <change n="epubPreparation"><date when="2009-08-28T16:19:22">16:19:22, Friday 28 August 2009</date><name type="organisation" key="name-121602">NZETC</name>Preparation of EPUB (and other formats such as DaisyBook)</change></revisionDesc>
  </teiHeader>
  <text xml:id="t1">
    <front xml:id="t1-front">
      <div type="covers" xml:id="_N65940">
        <p>
          <figure xml:id="WH2MedFCo">
            <graphic url="WH2MedFCo.jpg" mimeType="image/jpeg" xml:id="WH2MedFCo-g"/>
            <figDesc>Front Cover</figDesc>
          </figure>
        </p>
        <p>
          <figure xml:id="WH2MedSpi">
            <graphic url="WH2MedSpi.jpg" mimeType="image/jpeg" xml:id="WH2MedSpi-g"/>
            <figDesc>Spine</figDesc>
          </figure>
        </p>
        <p>
          <figure xml:id="WH2MedBCo">
            <graphic url="WH2MedBCo.jpg" mimeType="image/jpeg" xml:id="WH2MedBCo-g"/>
            <figDesc>Back Cover</figDesc>
          </figure>
        </p>
      </div>
      <div type="halftitle" xml:id="_N65990">
        <head>
          <hi rend="i">Official History of New Zealand in the Second World War 1939–45</hi>
        </head>
        <pb/>
        <p rend="center">The authors of the volumes in this series of histories prepared under the supervision of the <name key="name-110027" type="organisation">War History Branch</name> of the Department of Internal Affairs have been given full access to official documents. They and the Editor-in-Chief are responsible for the statements made and the views expressed by them.</p>
      </div>
      <pb/>
      <pb/>
      <div type="frontispiece" xml:id="_N66019">
        <p>
          <figure xml:id="WH2Med01a">
            <graphic url="WH2Med01a.jpg" mimeType="image/jpeg" xml:id="WH2Med01a-g"/>
            <head>Light Section <name key="name-029178" type="organisation">1 NZ CCS</name> disperses for the night on the way to <name key="name-004862" type="place">Tripoli</name></head>
            <figDesc>Black and white photograph of army vehicles cross desert</figDesc>
          </figure>
        </p>
      </div>
      <pb/>
      <titlePage xml:id="_N66047" rend="center">
        <titlePart type="illustration">
          <figure xml:id="WH2MedTit">
            <graphic url="WH2MedTit.jpg" mimeType="image/jpeg" xml:id="WH2MedTit-g"/>
            <figDesc>Title page</figDesc>
          </figure>
        </titlePart>
        <docTitle>
          <titlePart type="main"><hi rend="i">Official History of New Zealand in the Second World War <date from="1939" to="1945">1939–45</date></hi><lb/>
New Zealand Medical Services in <name key="name-005853" type="place">Middle East</name> and <name key="name-001383" type="place">Italy</name></titlePart>
        </docTitle>
        <byline><docAuthor rend="center"><name key="name-027677" type="person">T. DUNCAN M. STOUT</name></docAuthor>
MB, MS (Lond), FRCS (Eng), FRACS</byline>
        <docImprint rend="center">
          <publisher><name key="name-110027" type="organisation">WAR HISTORY BRANCH</name><lb/>
DEPARTMENT OF INTERNAL AFFAIRS</publisher>
          <pubPlace><name key="name-008844" type="place">WELLINGTON</name>, NEW ZEALAND</pubPlace>
          <docDate when="1956">1956</docDate>
          <pb/>
        </docImprint>
      </titlePage>
      <pb n="v" xml:id="nv"/>
      <div type="foreword" xml:id="_N66117">
        <head>Foreword</head>
        <p rend="center"><hi rend="sc">By <name key="name-207994" type="person">Lieutenant-General Lord Freyberg</name></hi>, VC</p>
        <p>THE publication of this volume of the New Zealand War History gives me an opportunity of paying a well-earned tribute to the work of our medical services during the campaigns, battles, and engagements in the <name key="name-005853" type="place">Middle East</name> and <name key="name-001383" type="place">Italy</name>, from <date when="1940">1940</date> right through to the end of the War.</p>
        <p rend="indent">I have often been asked how it was that the 2nd New Zealand Expeditionary Force was able to carry on fighting over the five and a half years of the war, and in spite of heavy casualties maintain its high morale. In my opinion the chief among several reasons was because of the excellence of our Medical and Nursing Services, the efficiency of which has seldom been equalled.</p>
        <p rend="indent">When we came overseas from New Zealand to Egypt in <date when="1940-01">January 1940</date>, those of us who had served in the <name key="name-005853" type="place">Middle East</name> in the First World War felt that a heavy responsibility rested upon our shoulders. We realised the importance of taking every possible precaution against the prevalent local diseases.</p>
        <p rend="indent">In a short foreword I cannot fully acknowledge the quality of help and advice we had both from our medical and surgical specialists, and from the director of the medical service. They planned ahead with great foresight.</p>
        <p rend="indent">Before we arrived in Egypt, they had studied the plagues and infections with which the <name key="name-005853" type="place">Middle East</name> is smitten, and they set to work to find means of guarding against them. There was no detail too small for their notice, and no enemies more constantly attacked than water-borne diseases and the fly and the mosquito. Our medical service organised our water supply system, our cookhouses, the dining halls and the wash-houses, etc. There was no avenue of possible infection that was not explored and the remedy sought.</p>
        <p rend="indent">In the realm of early surgery, clinical treatment and nursing on the battlefield, the New Zealand medical service was outstanding, and many of our methods were copied by others. Our medical men displayed a high standard of training and imagination. Our medical leaders can claim that in the <name key="name-005853" type="place">Middle East</name> they had the first mobile surgical unit.</p>
        <p rend="indent">In the turning movements at <name key="name-002754" type="place">El Agheila</name> and the <name key="name-004220" type="place">Mareth Line</name>, they moved with the advanced guard. They put up their surgical
<pb n="vi" xml:id="nvi"/>
tents and actually worked on the battlefields. When the force advanced further, a small tented hospital complete with doctors, nursing orderlies, food and water remained. There were, in fact, small complete field hospitals hundreds of miles out in the desert. This system enabled the desperately wounded men to recover from the shock of major operations and to regain their strength before they were moved to the base.</p>
        <p rend="indent">Engineers, complete with bulldozers, prepared landing strips alongside the small hospitals, and on these improvised airfields transport aircraft came in to pick up and fly the wounded back to the big base hospital in <name key="name-004862" type="place">Tripoli</name>, or even to <name key="name-003601" type="place">Cairo</name>. Many lives were undoubtedly saved through this form of organisation.</p>
        <p rend="indent">When the Division went to <name key="name-001383" type="place">Italy</name> almost our complete medical organisation moved across with the Division, where they maintained the high standard of medical service that had been achieved in North Africa.</p>
        <p rend="indent">This history tells the whole story of the New Zealand Medical War Service, and I hope that it will have the wide and general circulation that it has surely earned.</p>
        <p>
          <figure xml:id="WH2Med02a">
            <graphic url="WH2Med02a.jpg" mimeType="image/jpeg" xml:id="WH2Med02a-g"/>
            <figDesc>image of signature</figDesc>
          </figure>
        </p>
        <p rend="right">Deputy Constable and Lieutenant Governor, <name key="name-027101" type="place">Windsor Castle</name></p>
      </div>
      <pb n="vii" xml:id="nvii"/>
      <div type="preface" xml:id="_N66218">
        <head>Preface</head>
        <p>THIS is the second volume of the official medical history of New Zealand in the Second World War. It has been preceded by the Clinical Volume in which important surgical and medical experience has been recorded and evaluated in case of future need. Also, it follows the unit history, <hi rend="i"><name key="name-110063" type="work">Medical Units of 2 NZEF in Middle East and Italy</name></hi>, by J. B. McKinney, but it covers another field, concentrating rather on the story of the New Zealand Medical Corps in the campaigns in the <name key="name-005853" type="place">Middle East</name> and <name key="name-001383" type="place">Italy</name>, on the professional problems and on medical administration. A final volume will cover other activities of the New Zealand Medical Corps—with the Pacific Forces, with prisoners of war in <name key="name-008008" type="place">Europe</name>, with the Royal New Zealand Navy, with the Royal New Zealand Air Force, with hospital ships, and the army and civil medical organisations in New Zealand. The size of this present volume has precluded the inclusion of all overseas activities in this history as was originally planned.</p>
        <p rend="indent">The record of the New Zealand Medical Corps in the First World War was admirably presented by Lieutenant-Colonel A. D. Carbery in his book <hi rend="i">The New Zealand Medical Service in the Great War 1914–1918</hi>. This present volume takes up the story where he left off, and briefly covers the inter-war years before turning to the mobilisation and campaigns of the Second World War. Each campaign has been briefly summarised so that the medical story may be intelligible, but the reader is also referred to other War History volumes. Medical histories are being published by other Commonwealth countries, and, in the <name key="name-029547" type="place">United Kingdom</name> volumes particularly, those interested may see how the New Zealand Medical Corps fits into the broader picture of, for instance, the medical service of the Eighth Army. A pleasing feature of the writing of the history has been the co-operation achieved by the Medical Editors or Historians of the different countries through the Official Medical Historians' Liaison Committee of the Commonwealth countries and the <name key="name-031090" type="place">United States</name> of <name key="name-008197" type="place">America</name>.</p>
        <p rend="indent">In the medical history of a single homogeneous division, problems and experiences can be analysed more intimately than is possible with a larger force. Thus it is felt that this volume has a significant contribution to make to the history of the Second World War. Despite
<pb n="viii" xml:id="nviii"/>
fairly complete war diaries and reports, it would have been impossible to present an adequate and accurate history without the help of many members of the Corps who have supplied information and perused drafts of the chapters. They are too many to mention all by name, but they are thanked for their assistance, especially Brigadier H. S. Kenrick and Colonel R. D. King. The invaluable services of my assistant, J. B. McKinney, are also gratefully acknowledged.</p>
        <p rend="indent">It is hoped that this volume will constitute a worthy record of those who served during the Second World War in the New Zealand Medical Corps.</p>
        <closer>
          <signed rend="right"><hi rend="sc"><name key="name-027677" type="person">T. D. M. Stout</name></hi>,</signed>
          <lb/>
          <salute rend="right">Medical Editor</salute>
          <mentioned>
            <address>
              <addrLine>
                <name type="place">WELLINGTON</name>
              </addrLine>
            </address>
            <lb/>
            <date when="1956">1956</date>
          </mentioned>
        </closer>
      </div>
      <pb n="ix" xml:id="nix"/>
      <div type="contents" xml:id="_N66306">
        <head>Contents</head>
        <p>
          <table rows="31" cols="3">
            <row>
              <cell/>
              <cell/>
              <cell rend="right">
                <hi rend="i">Page</hi>
              </cell>
            </row>
            <row>
              <cell/>
              <cell>FOREWORD</cell>
              <cell rend="right">
                <ref type="page" target="#nv">v</ref>
              </cell>
            </row>
            <row>
              <cell/>
              <cell>PREFACE</cell>
              <cell rend="right">
                <ref type="page" target="#nvii">vii</ref>
              </cell>
            </row>
            <row>
              <cell rend="right">1</cell>
              <cell>THE INTER-WAR YEARS, 1919–39</cell>
              <cell rend="right">
                <ref type="page" target="#n1">1</ref>
              </cell>
            </row>
            <row>
              <cell rend="right">2</cell>
              <cell>MEDICAL ORGANISATION AND TRAINING, 1939–40</cell>
              <cell rend="right">
                <ref type="page" target="#n22">22</ref>
              </cell>
            </row>
            <row>
              <cell rend="right">3</cell>
              <cell>MEDICAL ARRANGEMENTS IN EGYPT AND ENGLAND, <date when="1940">1940</date></cell>
              <cell rend="right">
                <ref type="page" target="#n41">41</ref>
              </cell>
            </row>
            <row>
              <cell rend="right">4</cell>
              <cell>
                <name key="name-002294" type="place">GREECE</name>
              </cell>
              <cell rend="right">
                <ref type="page" target="#n98">98</ref>
              </cell>
            </row>
            <row>
              <cell rend="right">5</cell>
              <cell>
                <name key="name-003325" type="place">CRETE</name>
              </cell>
              <cell rend="right">
                <ref type="page" target="#n151">151</ref>
              </cell>
            </row>
            <row>
              <cell rend="right">6</cell>
              <cell>REORGANISATION IN EGYPT AND BASE ADMINISTRATION</cell>
              <cell rend="right">
                <ref type="page" target="#n213">213</ref>
              </cell>
            </row>
            <row>
              <cell rend="right">7</cell>
              <cell><name key="name-001027" type="place">LIBYA</name>, <date when="1941">1941</date></cell>
              <cell rend="right">
                <ref type="page" target="#n250">250</ref>
              </cell>
            </row>
            <row>
              <cell rend="right">8</cell>
              <cell>EGYPT AND SYRIA, JANUARY–JUNE 1942</cell>
              <cell rend="right">
                <ref type="page" target="#n298">298</ref>
              </cell>
            </row>
            <row>
              <cell rend="right">9</cell>
              <cell>BATTLE FOR EGYPT</cell>
              <cell rend="right">
                <ref type="page" target="#n330">330</ref>
              </cell>
            </row>
            <row>
              <cell rend="right">10</cell>
              <cell>ALAMEIN TO TRIPOLI</cell>
              <cell rend="right">
                <ref type="page" target="#n376">376</ref>
              </cell>
            </row>
            <row>
              <cell rend="right">11</cell>
              <cell>
                <name key="name-004870" type="place">TUNISIA</name>
              </cell>
              <cell rend="right">
                <ref type="page" target="#n419">419</ref>
              </cell>
            </row>
            <row>
              <cell rend="right">12</cell>
              <cell>ADMINISTRATION AND BASE UNITS, OCTOBER 1942–DECEMBER 1943</cell>
              <cell rend="right">
                <ref type="page" target="#n462">462</ref>
              </cell>
            </row>
            <row>
              <cell rend="right">13</cell>
              <cell>THE MOVE TO ITALY–SANGRO AND ORSOGNA BATTLES</cell>
              <cell rend="right">
                <ref type="page" target="#n491">491</ref>
              </cell>
            </row>
            <row>
              <cell rend="right">14</cell>
              <cell>
                <name key="name-001638" type="place">CASSINO</name>
              </cell>
              <cell rend="right">
                <ref type="page" target="#n528">528</ref>
              </cell>
            </row>
            <row>
              <cell rend="right">15</cell>
              <cell>ADMINISTRATION IN ITALY, NOVEMBER 1943–DECEMBER 1944</cell>
              <cell rend="right">
                <ref type="page" target="#n567">567</ref>
              </cell>
            </row>
            <row>
              <cell rend="right">16</cell>
              <cell>
                <name key="name-000842" type="place">FLORENCE</name>
              </cell>
              <cell rend="right">
                <ref type="page" target="#n582">582</ref>
              </cell>
            </row>
            <row>
              <cell rend="right">17</cell>
              <cell>RIMINI AND FAENZA</cell>
              <cell rend="right">
                <ref type="page" target="#n605">605</ref>
              </cell>
            </row>
            <row>
              <cell rend="right">18</cell>
              <cell>SENIO TO TRIESTE</cell>
              <cell rend="right">
                <ref type="page" target="#n644">644</ref>
              </cell>
            </row>
            <row>
              <cell rend="right">19</cell>
              <cell>FINAL PERIOD IN ITALY</cell>
              <cell rend="right">
                <ref type="page" target="#n671">671</ref>
              </cell>
            </row>
            <row>
              <cell/>
              <cell>APPENDIX I:</cell>
              <cell/>
            </row>
            <row>
              <cell/>
              <cell>Average Daily Sickness Rates</cell>
              <cell rend="right">
                <ref type="page" target="#n692">692</ref>
              </cell>
            </row>
            <row>
              <cell/>
              <cell>Monthly Percentages in Hospital</cell>
              <cell rend="right">
                <ref type="page" target="#n692">692</ref>
              </cell>
            </row>
            <row>
              <cell/>
              <cell>2 NZEF Casualties</cell>
              <cell rend="right">
                <ref type="page" target="#n693">693</ref>
              </cell>
            </row>
            <row>
              <cell/>
              <cell>Comparison of Battle Casualties</cell>
              <cell rend="right">
                <ref type="page" target="#n693">693</ref>
              </cell>
            </row>
            <row>
              <cell/>
              <cell>NZMC Embarkation Dates and Strengths</cell>
              <cell rend="right">
                <ref type="page" target="#n694">694</ref>
              </cell>
            </row>
            <row>
              <cell/>
              <cell>NZMC Casualties</cell>
              <cell rend="right">
                <ref type="page" target="#n694">694</ref>
              </cell>
            </row>
            <row>
              <cell/>
              <cell>2 NZEF Deaths from Disease</cell>
              <cell rend="right">
                <ref type="page" target="#n695">695</ref>
              </cell>
            </row>
            <row>
              <cell/>
              <cell>GLOSSARY</cell>
              <cell rend="right">
                <ref type="page" target="#n696">696</ref>
              </cell>
            </row>
          </table>
        </p>
      </div>
      <pb n="x" xml:id="nx"/>
      <pb n="xi" xml:id="nxi"/>
      <div type="illustration" xml:id="_N67327">
        <head>List of Illustrations</head>
        <p>
          <table rows="69" cols="2">
            <row>
              <cell/>
              <cell>
                <hi rend="i">Frontispiece</hi>
              </cell>
            </row>
            <row>
              <cell>Light Section <name key="name-029178" type="organisation">1 NZ CCS</name> disperses for the night on the way to <name key="name-004862" type="place">Tripoli</name></cell>
              <cell>
                <hi rend="i">A. Aikenhead</hi>
              </cell>
            </row>
            <row>
              <cell/>
              <cell>
                <hi rend="i">Following page</hi>
                <ref type="page" target="#n194">194</ref>
              </cell>
            </row>
            <row>
              <cell>GOC and DMS <name key="name-004368" type="organisation">2 NZEF</name>, <name key="name-004203" type="place">Maadi Camp</name>, <date when="1943-03">March 1943</date></cell>
              <cell>
                <hi rend="i">M. D. Elias</hi>
              </cell>
            </row>
            <row>
              <cell>Colonel F. M. Spencer</cell>
              <cell>
                <hi rend="i">M. D. Elias</hi>
              </cell>
            </row>
            <row>
              <cell>Brigadier G. W. Gower</cell>
              <cell>
                <hi rend="i">G. R. Bull</hi>
              </cell>
            </row>
            <row>
              <cell>Lieutenant-Colonel J. L. R. Plimmer</cell>
              <cell/>
            </row>
            <row>
              <cell>4 NZ Field Ambulance at <name key="name-002877" type="place">Baggush</name>, <date when="1940-09">September 1940</date></cell>
              <cell>
                <hi rend="i">F. P. Furkert</hi>
              </cell>
            </row>
            <row>
              <cell>Camp Hospital and Medical Depot, <name key="name-004203" type="place">Maadi Camp</name>, <date when="1942-03">March 1942</date></cell>
              <cell>
                <hi rend="i">NZ Army Official</hi>
              </cell>
            </row>
            <row>
              <cell>Visit of Her Majesty the Queen to <name key="name-028359" type="place">1 NZ General Hospital</name>, Pinewood, England, <date when="1940-09">September 1940</date></cell>
              <cell>
                <hi rend="i">R. S. Brown</hi>
              </cell>
            </row>
            <row>
              <cell>Ward of <name key="name-028359" type="place">1 NZ General Hospital</name>, Pinewood, England</cell>
              <cell>
                <hi rend="i">R. D. King</hi>
              </cell>
            </row>
            <row>
              <cell><name key="name-028359" type="place">1 NZ General Hospital</name> at <name key="name-004543" type="place">Pharsala</name>, <name key="name-002294" type="place">Greece</name>, <date when="1941-04">April 1941</date></cell>
              <cell>
                <hi rend="i">N. M. Gleeson</hi>
              </cell>
            </row>
            <row>
              <cell>4 Field Ambulance MDS, <name key="name-014235" type="place">Dholikhi</name>, <date when="1941-04">April 1941</date></cell>
              <cell>
                <hi rend="i">P. V. Graves</hi>
              </cell>
            </row>
            <row>
              <cell>5 Field Ambulance ADS, <name key="name-001325" type="place">Servia Pass</name>, <date when="1941-04">April 1941</date></cell>
              <cell>
                <hi rend="i">I. C. Macphail</hi>
              </cell>
            </row>
            <row>
              <cell>6 Field Ambulance, Velestinon, <date when="1941-04">April 1941</date>, after being strafed by enemy aircraft</cell>
              <cell>
                <hi rend="i">R. H. Blanchard</hi>
              </cell>
            </row>
            <row>
              <cell><name key="name-022476" type="organisation">7 British General Hospital</name> near <name key="name-000735" type="place">Canea</name>, <name key="name-003325" type="place">Crete</name>, <date when="1941-05">May 1941</date></cell>
              <cell/>
            </row>
            <row>
              <cell>Wounded German paratroops at 5 Field Ambulance dressing station, <name key="name-003325" type="place">Crete</name>, <date when="1941-05">May 1941</date></cell>
              <cell/>
            </row>
            <row>
              <cell>
                <name key="name-029109" type="place">Helwan Hospital</name>
              </cell>
              <cell>
                <hi rend="i">A. Aikenhead</hi>
              </cell>
            </row>
            <row>
              <cell><name key="name-029108" type="place">Helmieh Hospital</name>, <name key="name-003601" type="place">Cairo</name>, <date when="1941-01">January 1941</date></cell>
              <cell>
                <hi rend="i">NZ Army Official</hi>
              </cell>
            </row>
            <row>
              <cell>Netherlands Hospital Ship <hi rend="i">Oranje</hi></cell>
              <cell/>
            </row>
            <row>
              <cell>A ward in the New Zealand Hospital Ship <hi rend="i"><name key="name-120091" type="place">Maunganui</name></hi></cell>
              <cell>
                <hi rend="i">F. A. Marriott</hi>
              </cell>
            </row>
            <row>
              <cell>Inspection of NZ Mobile Surgical Unit, <name key="name-004203" type="place">Maadi Camp</name>, <date when="1941-08">August 1941</date></cell>
              <cell>
                <hi rend="i">NZ Army Official</hi>
              </cell>
            </row>
            <row>
              <cell>Members of <name key="name-023814" type="organisation">NZANS</name>, <name key="name-004203" type="place">Maadi Camp</name>, <date when="1941-09">September 1941</date>, with the ADDS</cell>
              <cell>
                <hi rend="i">NZ Army Official</hi>
              </cell>
            </row>
            <row>
              <cell>21 Battalion RAP truck, <name key="name-001027" type="place">Libya</name>, <date when="1941">1941</date></cell>
              <cell>
                <hi rend="i">G. H. Levien</hi>
              </cell>
            </row>
            <row>
              <cell>20 Battalion RAP, Bir el Chleta, <date when="1941">1941</date></cell>
              <cell/>
            </row>
            <row>
              <cell>4 ADS near <name key="name-003368" type="place">Belhamed</name>, <date when="1941-11">November 1941</date></cell>
              <cell>
                <hi rend="i">D. McLean</hi>
              </cell>
            </row>
            <row>
              <cell>2 NZ General Hospital, <name key="name-000862" type="place">Garawla</name>, November 1941–March 1942</cell>
              <cell>
                <hi rend="i">L. V. Stewart</hi>
              </cell>
            </row>
            <pb n="xii" xml:id="nxii"/>
            <row>
              <cell><name key="name-029178" type="organisation">1 NZ CCS</name> at <name key="name-027713" type="place">Zahle</name>, <name key="name-003449" type="place">Syria</name>, March–April 1942</cell>
              <cell>
                <hi rend="i">A. Aikenhead</hi>
              </cell>
            </row>
            <row>
              <cell>Ward of 3 NZ General Hospital, <name key="name-000629" type="place">Beirut</name>, <date when="1942-09">September 1942</date></cell>
              <cell>
                <hi rend="i">M. D. Elias</hi>
              </cell>
            </row>
            <row>
              <cell>6 ADS, <name key="name-001291" type="place">Ruweisat Ridge</name>, <date when="1942-07">July 1942</date></cell>
              <cell>
                <hi rend="i">J. L. Nicholas</hi>
              </cell>
            </row>
            <row>
              <cell>4 MDS, Alamein Line, <date when="1942-07">July 1942</date></cell>
              <cell>
                <hi rend="i">R. D. King</hi>
              </cell>
            </row>
            <row>
              <cell>21 Battalion RAP, Alamein Line, <date when="1942-08">August 1942</date></cell>
              <cell>
                <hi rend="i">G. H. Levien</hi>
              </cell>
            </row>
            <row>
              <cell>4 MDS at El Mreir, <date when="1942-07">July 1942</date></cell>
              <cell>
                <hi rend="i">N. M. Gleeson</hi>
              </cell>
            </row>
            <row>
              <cell>4 MDS at <name key="name-002771" type="place">Alam Halfa</name>, <date when="1942-09">September 1942</date></cell>
              <cell>
                <hi rend="i">R. D. King</hi>
              </cell>
            </row>
            <row>
              <cell>6 ADS, <name key="name-002771" type="place">Alam Halfa</name>, <date when="1942-09">September 1942</date></cell>
              <cell>
                <hi rend="i">A. H. Thomas</hi>
              </cell>
            </row>
            <row>
              <cell>Large soft-tissue wound, <name key="name-029178" type="organisation">1 NZ CCS</name>, <name key="name-010927" type="place">Alamein</name>, <date when="1942-11">November 1942</date></cell>
              <cell>
                <hi rend="i">A. Aikenhead</hi>
              </cell>
            </row>
            <row>
              <cell>Mobile shower unit, 4 NZ Field Hygiene Section, <name key="name-002753" type="place">Agedabia</name>, <date when="1942-12">December 1942</date></cell>
              <cell>
                <hi rend="i">R. Brown</hi>
              </cell>
            </row>
            <row>
              <cell/>
              <cell>
                <hi rend="i">Following page</hi>
                <ref type="page" target="#n440">440</ref>
              </cell>
            </row>
            <row>
              <cell>2 NZ FTU with 4 MDS–left hook, <name key="name-004219" type="place">Mareth</name>, <date when="1943-03">March 1943</date></cell>
              <cell>
                <hi rend="i">D. T. Stewart</hi>
              </cell>
            </row>
            <row>
              <cell>Inspection of 2 NZ Division, <name key="name-004862" type="place">Tripoli</name>, <date when="1943-02">February 1943</date></cell>
              <cell/>
            </row>
            <row>
              <cell>Air ambulance aircraft, <name key="name-004870" type="place">Tunisia</name>, <date when="1943-04">April 1943</date></cell>
              <cell>
                <hi rend="i">H. Paton</hi>
              </cell>
            </row>
            <row>
              <cell>A group in <name key="name-004870" type="place">Tunisia</name></cell>
              <cell>
                <hi rend="i">M. D. Elias</hi>
              </cell>
            </row>
            <row>
              <cell>5 ADS, <name key="name-004807" type="place">Takrouna</name>, <name key="name-004870" type="place">Tunisia</name>, <date when="1943-04">April 1943</date></cell>
              <cell>
                <hi rend="i">K. G. Killoh</hi>
              </cell>
            </row>
            <row>
              <cell>28 Battalion RAP at <name key="name-004807" type="place">Takrouna</name>, <date when="1943-04-20">20 April 1943</date></cell>
              <cell>
                <hi rend="i">C. N. D'Arcy</hi>
              </cell>
            </row>
            <row>
              <cell><name key="name-004807" type="place">Takrouna</name>–showing the route down which wounded were carried from the Pinnacle</cell>
              <cell>
                <hi rend="i">C. N. D'Arcy</hi>
              </cell>
            </row>
            <row>
              <cell>5 ADS near <name key="name-000606" type="place">Atessa</name>, <name key="name-001383" type="place">Italy</name>, <date when="1943-11">November 1943</date></cell>
              <cell>
                <hi rend="i">K. G. Killoh</hi>
              </cell>
            </row>
            <row>
              <cell>5 ADS at the <name key="name-029288" type="place">Sangro</name>, <date when="1943-11">November 1943</date></cell>
              <cell>
                <hi rend="i">G. H. Levien</hi>
              </cell>
            </row>
            <row>
              <cell>4 MDS at <name key="name-000606" type="place">Atessa</name></cell>
              <cell>
                <hi rend="i">J. K. Elliott</hi>
              </cell>
            </row>
            <row>
              <cell>4 MDS, <name key="name-000606" type="place">Atessa</name>, <date when="1943-11">November 1943</date></cell>
              <cell>
                <hi rend="i">A. W. Douglas</hi>
              </cell>
            </row>
            <row>
              <cell>21 Battalion RAP, later 5 ADS, <date when="1943-11">November 1943</date></cell>
              <cell>
                <hi rend="i">K. G. Killoh</hi>
              </cell>
            </row>
            <row>
              <cell>Stretcher jeep, <name key="name-029288" type="place">Sangro</name>, <date when="1943-12">December 1943</date></cell>
              <cell>
                <hi rend="i">K. G. Killoh</hi>
              </cell>
            </row>
            <row>
              <cell>Looking towards <name key="name-001187" type="place">Orsogna</name> from <name key="name-000743" type="place">Castelfrentano</name>, <date when="1944-01">January 1944</date></cell>
              <cell/>
            </row>
            <row>
              <cell>6 MDS, <name key="name-000743" type="place">Castelfrentano</name>, <date when="1944-01">January 1944</date></cell>
              <cell>
                <hi rend="i">A. Ashley-Jones</hi>
              </cell>
            </row>
            <row>
              <cell>2 NZ General Hospital, <name key="name-011043" type="place">Caserta</name>, <date when="1944-02">February 1944</date></cell>
              <cell>
                <hi rend="i">G. R. Bull</hi>
              </cell>
            </row>
            <row>
              <cell><name key="name-016384" type="organisation">American Field Service</name> ambulance near <name key="name-001638" type="place">Cassino</name>, <date when="1944-03">March 1944</date></cell>
              <cell>
                <hi rend="i">K. G. Killoh</hi>
              </cell>
            </row>
            <row>
              <cell>5 ADS, <name key="name-001638" type="place">Cassino</name>, <date when="1944-03">March 1944</date></cell>
              <cell>
                <hi rend="i">G. H. Levien</hi>
              </cell>
            </row>
            <row>
              <cell>RAP at <name key="name-001638" type="place">Cassino</name>, <date when="1944-03">March 1944</date></cell>
              <cell>
                <hi rend="i">C. N. D'Arcy</hi>
              </cell>
            </row>
            <row>
              <cell><name key="name-000980" type="place">Inferno Track</name>, <name key="name-001638" type="place">Cassino</name>, <date when="1944-03">March 1944</date></cell>
              <cell>
                <hi rend="i">R. D. King</hi>
              </cell>
            </row>
            <row>
              <cell>5 ADS, Sant' Elia, <name key="name-001638" type="place">Cassino</name>, <date when="1944-04">April 1944</date></cell>
              <cell>
                <hi rend="i">G. H. Levien</hi>
              </cell>
            </row>
            <row>
              <cell>6 MDS, <name key="name-001233" type="place">Pozzilli</name>, <date when="1944-04">April 1944</date></cell>
              <cell>
                <hi rend="i">S. de Bonnaire</hi>
              </cell>
            </row>
            <row>
              <cell>Malaria School, <name key="name-027694" type="place">Volturno Valley</name>, <date when="1944-04">April 1944</date></cell>
              <cell>
                <hi rend="i">M. D. Elias</hi>
              </cell>
            </row>
            <pb n="xiii" xml:id="nxiii"/>
            <row>
              <cell/>
              <cell>
                <hi rend="i">Following page</hi>
                <ref type="page" target="#n440">440</ref>
              </cell>
            </row>
            <row>
              <cell><name key="name-028359" type="place">1 NZ General Hospital</name>, <name key="name-016230" type="place">Senigallia</name>, <date when="1945-01">January 1945</date></cell>
              <cell>
                <hi rend="i">A. W. Douglas</hi>
              </cell>
            </row>
            <row>
              <cell>1 NZ Convalescent Depot, <name key="name-023326" type="place">San Spirito</name>, <date when="1944-05">May 1944</date></cell>
              <cell>
                <hi rend="i">G. R. Bull</hi>
              </cell>
            </row>
            <row>
              <cell>6 MDS, <name key="name-001381" type="place">Tavarnelle</name>, <name key="name-000842" type="place">Florence</name>, <date when="1944-08">August 1944</date></cell>
              <cell>
                <hi rend="i">A. Ashley-Jones</hi>
              </cell>
            </row>
            <row>
              <cell>5 ADS near <name key="name-000830" type="place">Faenza</name>, <date when="1944-12">December 1944</date></cell>
              <cell>
                <hi rend="i">G. F. Kaye</hi>
              </cell>
            </row>
            <row>
              <cell>Taking medical supplies across the Lamone River, <name key="name-000830" type="place">Faenza</name>, <date when="1944-12">December 1944</date></cell>
              <cell>
                <hi rend="i">G. F. Kaye</hi>
              </cell>
            </row>
            <row>
              <cell>Stretcher jeeps of 1 NZ MAC at ADS, <name key="name-000861" type="place">Gambettola</name>, <date when="1945-01">January 1945</date></cell>
              <cell/>
            </row>
            <row>
              <cell>3 NZ General Hospital, <name key="name-000621" type="place">Bari</name></cell>
              <cell/>
            </row>
          </table>
        </p>
      </div>
      <pb n="xiv" xml:id="nxiv"/>
      <div type="maps" xml:id="_N68871">
        <head>List of Maps and Diagrams</head>
        <p>
          <table rows="40" cols="2">
            <row>
              <cell/>
              <cell rend="right">
                <hi rend="i">Facing page</hi>
              </cell>
            </row>
            <row>
              <cell>
                <name key="name-002294" type="place">Greece</name>
              </cell>
              <cell rend="right">
                <ref type="page" target="#n97">97</ref>
              </cell>
            </row>
            <row>
              <cell>Second Libyan Campaign: medical units and lines of evacuation</cell>
              <cell rend="right">
                <ref type="page" target="#n211">211</ref>
              </cell>
            </row>
            <row>
              <cell>Sites of <name key="name-029178" type="organisation">1 NZ CCS</name> and Base Hospitals for advance from <name key="name-010927" type="place">Alamein</name> to <name key="name-004869" type="place">Tunis</name>, October 1942–May 1943</cell>
              <cell rend="right">
                <ref type="page" target="#n245">245</ref>
              </cell>
            </row>
            <row>
              <cell>Battle of <name key="name-004259" type="place">Medenine</name>, <date when="1943-03-06">6 March 1943</date>, showing medical dispositions</cell>
              <cell rend="right">
                <ref type="page" target="#n407">407</ref>
              </cell>
            </row>
            <row>
              <cell>Sites of <name key="name-029178" type="organisation">1 NZ CCS</name> and New Zealand General Hospitals during campaign in <name key="name-001383" type="place">Italy</name>, October 1943–December 1945</cell>
              <cell rend="right">
                <ref type="page" target="#n489">489</ref>
              </cell>
            </row>
            <row>
              <cell rend="center">
                <hi rend="i">In text</hi>
              </cell>
              <cell/>
            </row>
            <row>
              <cell/>
              <cell rend="right">
                <hi rend="i">Page</hi>
              </cell>
            </row>
            <row>
              <cell>Dispositions of New Zealand medical units in <name key="name-002294" type="place">Greece</name>, <date when="1941-04-08">8 April 1941</date></cell>
              <cell rend="right">
                <ref type="page" target="#n112">112</ref>
              </cell>
            </row>
            <row>
              <cell>Medical dispositions during the fighting at <name key="name-004693" type="place">Servia</name> and <name key="name-001184" type="place">Mount Olympus</name>, 11–16 April 1941</cell>
              <cell rend="right">
                <ref type="page" target="#n114">114</ref>
              </cell>
            </row>
            <row>
              <cell>Thermopylae Line, <name key="name-002294" type="place">Greece</name>: medical units and lines of evacuation</cell>
              <cell rend="right">
                <ref type="page" target="#n125">125</ref>
              </cell>
            </row>
            <row>
              <cell>The evacuation of medical units from <name key="name-002294" type="place">Greece</name></cell>
              <cell rend="right">
                <ref type="page" target="#n127">127</ref>
              </cell>
            </row>
            <row>
              <cell><name key="name-003325" type="place">Crete</name>, <date when="1941-05">May 1941</date></cell>
              <cell rend="right">
                <ref type="page" target="#n162">162</ref>
              </cell>
            </row>
            <row>
              <cell>2 NZ General Hospital, <name key="name-000862" type="place">Garawla</name>, November 1941–March 1942</cell>
              <cell rend="right">
                <ref type="page" target="#n252">252</ref>
              </cell>
            </row>
            <row>
              <cell><name key="name-003449" type="place">Syria</name>, March 1942–April 1943</cell>
              <cell rend="right">
                <ref type="page" target="#n315">315</ref>
              </cell>
            </row>
            <row>
              <cell>Battle of <name key="name-001096" type="place">Minqar Qaim</name> and the withdrawal</cell>
              <cell rend="right">
                <ref type="page" target="#n332">332</ref>
              </cell>
            </row>
            <row>
              <cell>Pre-<name key="name-010927" type="place">Alamein</name> battles: medical units and lines of evacuation</cell>
              <cell rend="right">
                <ref type="page" target="#n339">339</ref>
              </cell>
            </row>
            <row>
              <cell>4 NZ Field Ambulance, 16–28 July 1942</cell>
              <cell rend="right">
                <ref type="page" target="#n340">340</ref>
              </cell>
            </row>
            <row>
              <cell>6 NZ Field Ambulance MDS, July–August 1942</cell>
              <cell rend="right">
                <ref type="page" target="#n354">354</ref>
              </cell>
            </row>
            <row>
              <cell>Alamein Line: positions of medical units, <date when="1942-08">August 1942</date></cell>
              <cell rend="right">
                <ref type="page" target="#n354">354</ref>
              </cell>
            </row>
            <row>
              <cell>5 NZ Field Ambulance Medical Inspection Room</cell>
              <cell rend="right">
                <ref type="page" target="#n357">357</ref>
              </cell>
            </row>
            <row>
              <cell>30 Corps medical units at noon, <date when="1942-10-23">23 October 1942</date></cell>
              <cell rend="right">
                <ref type="page" target="#n378">378</ref>
              </cell>
            </row>
            <row>
              <cell>Battle of <name key="name-010927" type="place">Alamein</name>: dispositions at <date when="1942-10-23">23 October 1942</date></cell>
              <cell rend="right">
                <ref type="page" target="#n379">379</ref>
              </cell>
            </row>
            <row>
              <cell>5 NZ Field Ambulance MDS, <name key="name-010927" type="place">Alamein</name></cell>
              <cell rend="right">
                <ref type="page" target="#n382">382</ref>
              </cell>
            </row>
            <row>
              <cell><name key="name-028356" type="organisation">5 NZ Field Ambulance</name> reception tent for battle casualties</cell>
              <cell rend="right">
                <ref type="page" target="#n386">386</ref>
              </cell>
            </row>
            <row>
              <cell><name key="name-028357" type="organisation">6 NZ Field Ambulance</name> reception tent, <date when="1942">1942</date></cell>
              <cell rend="right">
                <ref type="page" target="#n388">388</ref>
              </cell>
            </row>
            <row>
              <cell>Plan of evacuation for Battle of <name key="name-010927" type="place">Alamein</name>, <date when="1942-10-23">23 October 1942</date></cell>
              <cell rend="right">
                <ref type="page" target="#n389">389</ref>
              </cell>
            </row>
            <pb n="xv" xml:id="nxv"/>
            <row>
              <cell><name key="name-004472" type="place">Nofilia</name> to <name key="name-004862" type="place">Tripoli</name>, 2 January–21 February 1943</cell>
              <cell rend="right">
                <ref type="page" target="#n411">411</ref>
              </cell>
            </row>
            <row>
              <cell><name key="name-004259" type="place">Medenine</name> to <name key="name-003553" type="place">Enfidaville</name></cell>
              <cell rend="right">
                <ref type="page" target="#n420">420</ref>
              </cell>
            </row>
            <row>
              <cell><name key="name-029288" type="place">Sangro</name> and <name key="name-001187" type="place">Orsogna</name> battles: medical units and lines of evacuation</cell>
              <cell rend="right">
                <ref type="page" target="#n500">500</ref>
              </cell>
            </row>
            <row>
              <cell>Operations against <name key="name-001187" type="place">Orsogna</name>: battalion RAPs and 5 Field Ambulance ADSs</cell>
              <cell rend="right">
                <ref type="page" target="#n503">503</ref>
              </cell>
            </row>
            <row>
              <cell><name key="name-001638" type="place">Cassino</name> and mountain sector</cell>
              <cell rend="right">
                <ref type="page" target="#n530">530</ref>
              </cell>
            </row>
            <row>
              <cell>1 NZ CCS Presenzano, <date when="1944-02">February 1944</date></cell>
              <cell rend="right">
                <ref type="page" target="#n534">534</ref>
              </cell>
            </row>
            <row>
              <cell>6 NZ Field Ambulance ADS reception tent, <name key="name-001638" type="place">Cassino</name></cell>
              <cell rend="right">
                <ref type="page" target="#n541">541</ref>
              </cell>
            </row>
            <row>
              <cell>Chain and methods of evacuation, <name key="name-001383" type="place">Italy</name>, <date when="1944">1944</date></cell>
              <cell rend="right">
                <ref type="page" target="#n552">552</ref>
              </cell>
            </row>
            <row>
              <cell>Battle for <name key="name-000842" type="place">Florence</name></cell>
              <cell rend="right">
                <ref type="page" target="#n583">583</ref>
              </cell>
            </row>
            <row>
              <cell><name key="name-001263" type="place">Rimini</name> to <name key="name-000830" type="place">Faenza</name>, September–December 1944</cell>
              <cell rend="right">
                <ref type="page" target="#n606">606</ref>
              </cell>
            </row>
            <row>
              <cell>5 NZ Field Ambulance MDS operating theatre</cell>
              <cell rend="right">
                <ref type="page" target="#n612">612</ref>
              </cell>
            </row>
            <row>
              <cell>Attack on <name key="name-000830" type="place">Faenza</name></cell>
              <cell rend="right">
                <ref type="page" target="#n621">621</ref>
              </cell>
            </row>
            <row>
              <cell><name key="name-000848" type="place">Forli</name> to <name key="name-001410" type="place">Trieste</name></cell>
              <cell rend="right">
                <ref type="page" target="#n650">650</ref>
              </cell>
            </row>
          </table>
        </p>
        <p rend="center"><hi rend="i">The occupations given in the biographical footnotes are those on enlistment</hi>.</p>
      </div>
    </front>
    <body xml:id="t1-body">
      <pb n="1" xml:id="n1"/>
      <div type="chapter" n="1" xml:id="c1">
        <head>CHAPTER 1<lb/>
The Inter-War Years, 1919–39</head>
        <div type="section" xml:id="c1-0">
          <p>DURING the First World War the New Zealand Medical Corps, with all its members drawn from the medical and nursing professions and other sections of the civilian community, built up an honourable record of courageous and efficient service in <name key="name-021537" type="place">Samoa</name>, <name key="name-002106" type="place">Egypt</name>, <name key="name-026177" type="place">Gallipoli</name>, <name key="name-008009" type="place">France</name>, <name key="name-001148" type="place">Palestine</name>, and <name key="name-004019" type="place">England</name>. For several years after the end of the war some members of the Corps continued their military work in army hospitals in New Zealand, as the civilian hospitals at that time were not able to provide the specialised staffs or the buildings to complete the treatment of returned servicemen.</p>
          <p rend="indent">General demobilisation after the First World War was practically completed by <date when="1920-04">April 1920</date>, but there remained in military hospitals over 1500 service patients, and the 700 members of the New Zealand Medical Corps caring for them were retained in a temporary formation called the Army Medical Department. From the Department were staffed the King George V Hospital of 300 beds at <name key="name-021414" type="place">Rotorua</name>, the Trentham Military Hospital of 500 beds, the sanatoria at Pukeora and at Cashmere Hills, the centre for nervous diseases at Hanmer, and the convalescent camp at <name key="name-013496" type="place">Narrow Neck</name>. The military staffs which had been in charge of military wards at <name key="name-007584" type="place">Christchurch</name>, <name key="name-120054" type="place">Timaru</name>, and Dunedin were absorbed by the civil hospitals in <date when="1920">1920</date>.</p>
          <p rend="indent">The staff of the Army Medical Department was reduced as the number of service patients decreased, and by <date when="1922">1922</date> the military medical institutions were handed over to the Department of Health. The staffs ceased to be employed by the Army but continued service as civilians. From <date when="1923-11-01">1 November 1923</date> the Army Medical Department was abolished and the New Zealand Medical Corps reverted to a peacetime territorial basis. The Director-General of Medical Services, Major-General Sir Donald McGavin, in addition to his military duties was appointed Medical Administrator of War Pensions, so ensuring continuity in administration and freeing the Defence Department from all further responsibility with regard to ex-soldiers.</p>
          <p rend="indent">On <date when="1924-11-30">30 November 1924</date> Sir Donald McGavin relinquished the appointment of Director-General of Medical Services. He was
<pb n="2" xml:id="n2"/>
succeeded in the appointment, which now reverted to that of Director of Medical Services, on a part-time basis, by Colonel R. Tracey-Inglis, of <name key="name-002817" type="place">Auckland</name>.</p>
        </div>
        <div type="section" n="1" xml:id="c1-1">
          <head>
            <hi rend="i">Compulsory Territorial Training</hi>
          </head>
          <p rend="indent">With the cessation of hostilities in the First World War and the subsequent general demobilisation, the public generally was apathetic towards military training. However, early in <date when="1921">1921</date>, the Government finally decided to introduce compulsory military service for all males in the Dominion between the ages of fourteen and twenty-one years, thus providing a limited measure of training for defence.</p>
          <p rend="indent">After leaving school, boys were enrolled for cadet service until the age of eighteen years. They were then entered for service in a territorial unit until reaching the age of twenty-one when, if they had performed efficient service, they were transferred to the reserve. The amount of service required each year was thirty evenings for drill, twelve half-day parades, and six days' continuous training in camp. The number of evenings for drill was later reduced to twenty-one.</p>
          <p rend="indent">For the New Zealand Medical Corps training depots were formed at <name key="name-002817" type="place">Auckland</name>, <name key="name-008844" type="place">Wellington</name>, and <name key="name-007584" type="place">Christchurch</name>, each catering for about 150 personnel, and a permanent staff instructor was appointed to each depot for training and administrative purposes. (Previously, there had been an organisation of field ambulance units with sections stationed at various towns throughout New Zealand. For instance, 8 Field Ambulance had sections at <name key="name-008318" type="place">Napier</name>, <name key="name-021386" type="place">Palmerston North</name>, and <name key="name-008844" type="place">Wellington</name>.)</p>
          <p rend="indent">Compulsory military service provided an adequate number of men for training, but the apathy and lack of interest of the majority of medical officers resulted in a steady deterioration of the efficiency of the New Zealand Medical Corps. The Director of Medical Services lived in <name key="name-002817" type="place">Auckland</name>, and Major G. A. Gibbs, an ex-RAMC quartermaster, at Army Headquarters in <name key="name-008844" type="place">Wellington</name>, was left to carry out the administration for the training of medical units. He even set the examination papers for the promotion of medical officers.</p>
          <p rend="indent">The lack of interest by medical officers in the training of the <name key="name-203712" type="organisation">NZMC</name> can be attributed to the fact that at this time they were settling in again to practices which had been upset during the war years. However, there were a few officers who willingly gave their services as RMOs (Regimental Medical Officers) in camps and gave lectures to <name key="name-203712" type="organisation">NZMC</name> groups at evening parades in the three centres.</p>
          <p rend="indent">Despite the prevailing apathy, good progress was made by both cadets and territorials. Courses of instruction for <name key="name-203712" type="organisation">NZMC</name> officers
<pb n="3" xml:id="n3"/>
and NCOs were held each year at <name key="name-026686" type="place">Trentham</name>. Competitions for the NZMC Challenge Shield were revived and decided at these courses.</p>
          <p rend="indent">During the later years of the nineteen-twenties there was a greater interest generally in defence matters. Younger members of the medical profession sought enrolment for service on the active list. Territorial parades, still on a compulsory basis, were well attended and the <name key="name-203712" type="organisation">NZMC</name> depots were turning out a number of very useful NCOs and men. The NZMC territorial force attained a fair standard in spite of the limited training facilities.</p>
        </div>
        <div type="section" n="2" xml:id="c1-2">
          <head>
            <hi rend="i">Changes in Administration</hi>
          </head>
          <p rend="indent">In <date when="1929">1929</date> Colonel Inglis completed his period of service and Colonel J. L. Frazerhurst, who was practising in Norsewood but who shortly afterwards moved to <name key="name-036571" type="place">Whangarei</name>, was appointed DMS.</p>
          <p rend="indent">The Chief of the General Staff, Major-General W. L. H. Sinclair-Burgess, realised the necessity for a responsible representative of the Medical Corps being in close touch with Army Headquarters, and with Colonel Frazerhurst's approval it was arranged that Lieutenant-Colonel Bowerbank,<note xml:id="ftn1-3" n="1"><p>Maj-Gen Sir Fred T. Bowerbank, KBE, ED, m.i.d., Order of Orange-Nassau (<name key="name-024930" type="place">Netherlands</name>); <name key="name-008844" type="place">Wellington</name>; born Penrith, <name key="name-004019" type="place">England</name>, <date when="1880-04-30">30 Apr 1880</date>; physician; <name key="name-004367" type="organisation">1 NZEF</name> 1915–19: <name key="name-002106" type="place">Egypt</name>, <name key="name-004019" type="place">England</name>, <name key="name-008009" type="place">France</name>—Officer i/c medical division <name key="name-011447" type="organisation">1 Gen Hosp</name>, <name key="name-004019" type="place">England</name>; President Travelling Medical Board, <name key="name-008009" type="place">France</name>; DMS Army and PMO Air, 1934–39; Director-General of Medical Services (Army and Air), Army HQ (NZ) Sep 1939–Mar 1947.</p></note> who had been appointed ADMS Central Military District, should act for the DMS at Army Headquarters as the need arose. This scheme worked very well.</p>
          <p rend="indent">During the next few years there was a definite resurgence. Those medical officers, senior and junior, who had lost interest were placed on the Reserve of Officers and were replaced by younger post-war graduates, some of whom had returned from the <name key="name-029547" type="place">United Kingdom</name> after a course of post-graduate study.</p>
        </div>
        <div type="section" n="3" xml:id="c1-3">
          <head>
            <hi rend="i">Compulsory Training Suspended</hi>
          </head>
          <p rend="indent">In <date when="1931">1931</date>, during the depression, the Government decided that it could no longer maintain the defence force then existing and abolished compulsory military training. This halted the resurgence, but an even more serious blow to the Medical Corps was the summary discharge of Major Gibbs to the Reserve of Officers. It may be truly said that his devotion to duty in spite of frustration and apathy during the post-war years was to a great extent responsible for arresting the general deterioration and for the resurgence which commenced in <date when="1929">1929</date>. The NZMC was then without a permanent officer, as on the discharge of Major Gibbs the only permanent member of the <name key="name-203712" type="organisation">NZMC</name> was a corporal attached to
<pb n="4" xml:id="n4"/>
Ordnance at <name key="name-026686" type="place">Trentham</name>. However, Sergeant-Major <name key="name-027558" type="person">Kidman</name><note xml:id="ftn1-4" n="1"><p><name key="name-027558" type="person">Maj C. H. Kidman</name>, MBE, MM and bar; <name key="name-008844" type="place">Wellington</name>; born <name key="name-008844" type="place">Wellington</name>, <date when="1888-03-28">28 Mar 1888</date>, instructor, Permanent Staff, <name key="name-008844" type="place">Wellington</name>; <name key="name-004367" type="organisation">1 NZEF</name> 1914–19: NCO 2 Fd Amb, <name key="name-002106" type="place">Egypt</name>; <name key="name-026177" type="place">Gallipoli</name>, <name key="name-008009" type="place">France</name>; instructor to <name key="name-203712" type="organisation">NZMC</name> in NZ, Sep 1939–Sep 1942; OC Medical Training Depot, <name key="name-026686" type="place">Trentham</name>, Sep 1942–Sep 1944; SO and QM Army HQ, Sep 1944–Jan 1947.</p></note> of the permanent staff was then attached to the New Zealand Medical Corps and did valuable work. Major Gibbs still retained a lively interest in the Medical Corps after his retirement and was always ready to advise Colonel Bowerbank, on whose shoulders had fallen much extra responsibility.</p>
          <p rend="indent">Prior to the last compulsory parade, instructions were issued that all units would remain as units, with personnel serving on a voluntary basis. The response to the call for volunteers was very poor and somewhat disappointing to the Regular Force instructors. Much credit is therefore due to those officers, NCOs, and men who elected to remain on the active list, and who formed the foundation for the building up of the military units of <name key="name-004368" type="organisation">2 NZEF</name> in <date when="1939">1939</date>.</p>
          <p rend="indent">In <date when="1931">1931</date> there was a reorganisation of the defence forces. The NZMC units were given new establishments and organised as field ambulances again. Thus, the Northern Depot at <name key="name-002817" type="place">Auckland</name> became 1 Field Ambulance, Central Depot at <name key="name-008844" type="place">Wellington</name> became <name key="name-031686" type="organisation">2 Field Ambulance</name>, and Southern Depot at <name key="name-007584" type="place">Christchurch</name> became 3 Field Ambulance. Each had an establishment of 10 officers, 20 NCOs, and 70 other ranks. The medical students at Dunedin became the Otago University Medical Company (OUMC) with an establishment of 15 officers, 47 NCOs, and 230 other ranks.</p>
          <p rend="indent">During the early nineteen-thirties there were very few volunteer territorials. Parades of the Medical Corps were held fortnightly and NCO classes were held in the intervening week. Weekend bivouacs were also held periodically but it was not uncommon to have an attendance of only about ten officers and seven other ranks. The cost of running these camps had to be borne privately, and the small honoraria received by the DMS and ADsMS in the three districts were given up at the request of the Minister of Defence and were not restored until <date when="1938">1938</date>.</p>
        </div>
        <div type="section" n="4" xml:id="c1-4">
          <head>
            <hi rend="i">
              <name key="name-029315" type="organisation">New Zealand Army Nursing Service</name>
            </hi>
          </head>
          <p rend="indent">With the closing of the military hospitals in <date when="1922">1922</date>, all members of the <name key="name-029315" type="organisation">New Zealand Army Nursing Service</name> were placed on the reserve, except a Matron-in-Chief and matrons in each of the military districts who were appointed on a part-time basis and without any honorarium. Their duties consisted mainly in assisting in the training of Medical Corps personnel.</p>
          <p rend="indent">The <name key="name-029315" type="organisation">New Zealand Army Nursing Service</name> was placed on a peacetime establishment of a Matron-in-Chief, a Principal Matron, four
<pb n="5" xml:id="n5"/>
matrons, and sixty-two sisters and staff nurses. Miss Hester Mac-Lean, who was Matron-in-Chief in the First World War, had been followed during the peace years by Miss J. Bicknell and Miss F. Wilson, and in <date when="1934">1934</date> Miss I. G. Willis<note xml:id="ftn1-5" n="1"><p>Matron-in-Chief Miss I. G. Willis, OBE, ARRC, ED, m.i.d.; born <name key="name-008844" type="place">Wellington</name>, <date when="1881-12-29">29 Dec 1881</date>; Asst Inspector of Hospitals, <name key="name-008844" type="place">Wellington</name>; <name key="name-004367" type="organisation">1 NZEF</name> 1914–18: sister 1 Stationary Hosp, surgical team, Matron <date when="1918">1918</date>; Matron-in-Chief Army HQ, Sep 1939–Mar 1946.</p></note> appointed Matron-in-Chief, a position which she was to hold until <date when="1946">1946</date>.</p>
        </div>
        <div type="section" n="5" xml:id="c1-5">
          <head>
            <hi rend="i">Change of DMS</hi>
          </head>
          <p rend="indent">On <date when="1934-11-30">30 November 1934</date> Colonel Frazerhurst relinquished the appointment of Director of Medical Services and was succeeded by Lieutenant-Colonel Bowerbank, who was appointed with the rank of colonel on 1 December. The appointment also included that of Principal Medical Officer to the Royal New Zealand Air Force, the Air Force having been organised as a separate force from the Army in <date when="1934">1934</date>.<note xml:id="ftn2-5" n="2"><p>See section in later volume on RNZAF Medical Services.</p></note> Up to this time the Directors of Medical Services were appointed according to seniority, irrespective of the locality in New Zealand where they had their permanent residence. This arrangement had many disadvantages and often caused delay in dealing with records and correspondence. Although Colonel Bowerbank was not the senior medical officer on the active list at the time, he did reside in <name key="name-008844" type="place">Wellington</name> and could be easily contacted by the staff at Army Headquarters.</p>
        </div>
        <div type="section" n="6" xml:id="c1-6">
          <head>
            <hi rend="i">Awakening to Defence Needs</hi>
          </head>
          <p rend="indent">As the years went by there was a gradual awakening to the fact that New Zealand should look to matters of defence. Scientific advances were making the rest of the world much less remote. Great advances in aircraft design, for instance, enabled pioneer airmen to travel from <name key="name-004019" type="place">England</name> to <name key="name-008963" type="place">Australia</name> and New Zealand in a few days. Recruiting campaigns were organised and young men began to feel that they should participate in the military training and join up with some unit. Territorials were paid for the time they spent in training camps and at evening drill. Travelling expenses were also allowed and uniforms were improved. The strength of units increased, and in the medical units the men were keen and enthusiastic about their training.</p>
          <p rend="indent">Annual six-day training camps were held in various centres, and although the attendances at these camps were very small, partly because employers would not let employees have leave, valuable training was carried out. The officers were given advanced work in medical corps duties and the handling of field ambulances in battle. The NCOs and men had a syllabus of parade-ground work, the
<pb n="6" xml:id="n6"/>
handling and care of casualties in battle, and the care of patients in hospital.</p>
          <p rend="indent">Soon after his appointment as DMS, Colonel Bowerbank realised the great potential value of the Otago University Medical Company, but the chiefs of the services, though not unfavourable to it, found difficulty in allocating out of a very limited financial grant the necessary expenditure for training. In <date when="1936">1936</date> changes were made in the functions of the OUMC. It was converted into a field ambulance and it carried out seven days' annual training. The medical officers were responsible for a high degree of efficiency attained by the unit.</p>
          <p rend="indent">A satisfying feature was the response of the young medical practitioners. In all three military districts the establishments were up to field strength, and in the Central Military District the numbers volunteering were so great that in <date when="1938">1938</date> it was possible with few exceptions to select young medical practitioners who had senior medical or surgical qualifications. This high medical standard was, after the outbreak of war, a most important factor in the attainment of the exceptionally high standard of medical units of <name key="name-004368" type="organisation">2 NZEF</name>, both in the <name key="name-005853" type="place">Middle East</name> and in the <name key="name-008892" type="place">Pacific</name>.</p>
          <p rend="indent">In <date when="1937">1937</date>, in spite of the increasing threat of war, training was still left largely under the direction of the keen territorial officers and NCOs. The regular force was small—there were only two other ranks in the Medical Corps. The honoraria which had been given up willingly by the DMS and ADsMS were not restored until <date when="1938">1938</date>, and then only to half the original amount, although work was increasing rapidly.</p>
          <p rend="indent">At his own expense, Colonel Bowerbank attended in <date when="1937-08">August 1937</date> the Australian BMA Congress, of which he was appointed president of the Military Medical Section. Much help was given to him by Major-General R. M. Downes, the DGMS in the Australian forces. He found that in <name key="name-008963" type="place">Australia</name> there was increased activity in the training of army and air forces and in the manufacture of medical equipment. Travelling to <name key="name-004019" type="place">England</name>, he visited the War Office and the Air Ministry and found that preparations for war were proceeding apace. In <name key="name-004019" type="place">England</name> the service chiefs were working to a five-year plan for an expeditionary force of 100,000, as they considered that war might break out in the spring or summer of <date when="1940">1940</date>. As in <name key="name-008963" type="place">Australia</name>, Colonel Bowerbank was given every help, and he returned to New Zealand with all the latest establishments and equipment tables for both Army and Air Force units. This was of special value because the <name key="name-203712" type="organisation">NZMC</name> had always followed the RAMC practice and continued to do so, with only slight modifications, throughout the war. It is appropriate to mention here that the contacts Colonel Bowerbank made with the administrative medical officers in <name key="name-004019" type="place">England</name> and <name key="name-008963" type="place">Australia</name> were most valuable after the outbreak of war in <date when="1939">1939</date>.</p>
          <pb n="7" xml:id="n7"/>
          <p rend="indent">In New Zealand there was not the military organisation to make elaborate preparations, nor was there much public support or planning by the Government. The Medical Corps, as with other units, was wholly territorial. It had part-time administrative officers, each of whom received a small honorarium. These were the Director of Medical Services, and Assistant Directors of Medical Services for each of the three military districts (Northern, Central, and Southern).</p>
          <p rend="indent">On his return from overseas Colonel Bowerbank took another step in building up the organisation at Army Medical Headquarters by securing approval for the appointment of Major <name key="name-022478" type="person">Bull</name><note xml:id="ftn1-7" n="1"><p><name key="name-022478" type="person">Brig W. H. B. Bull</name>, CBE, ED; <name key="name-008844" type="place">Wellington</name>; born <name key="name-008318" type="place">Napier</name>, <date when="1897-05-19">19 May 1897</date>; surgeon; CO <name key="name-001176" type="organisation">6 Fd Amb</name> Feb 1940–May 1941; ADMS 2 NZ Div <date when="1941-05">May 1941</date>; p.w. <date when="1941-05-28">28 May 1941</date>; DGMS, Army HQ.</p></note> as DADMS, on a small honorarium, to help with the increasing work and revise the organisation of the territorial <name key="name-203712" type="organisation">NZMC</name>. The DADMS examined the medical histories of the First World War to assist him in the preparation of regulations and establishments.</p>
          <p rend="indent">In <date when="1938">1938</date> a well-attended special course of instruction was held for officers and NCOs at <name key="name-026686" type="place">Trentham</name>. A year or so later, the majority of these officers and NCOs were serving in hospital units and field ambulances and as RMOs with infantry battalions and artillery regiments mobilised for service overseas.</p>
        </div>
        <div type="section" n="7" xml:id="c1-7">
          <head>
            <hi rend="i">Medical Equipment</hi>
          </head>
          <p rend="indent">After the First World War all medical and surgical equipment used by <name key="name-004367" type="organisation">1 NZEF</name> was forwarded to New Zealand, and surplus equipment was sold. The three medical training depots were issued with all that the instructors required for training purposes, and an amount sufficient to equip all medical units of a division was kept in a medical store at <name key="name-026686" type="place">Trentham</name>. These stores were set up in complete groups ready for immediate issue to RAPs (Regimental Aid Posts) and field ambulances if required.</p>
          <p rend="indent">Each military area throughout the country was issued with one pair of medical panniers, one medical companion, and one surgical haversack for use by RMOs at local camps of instruction. These were replenished on indent from the medical store at <name key="name-026686" type="place">Trentham</name>, and up to the depression necessary medical supplies were purchased from local drug importers, thus maintaining the divisional equipment complete.</p>
          <p rend="indent">During the depression years and the years following, however, no replacements were made to existing stocks and consequently the divisional equipment was drawn on to supply territorial camps, permanent staff depots, and army training schools.</p>
          <pb n="8" xml:id="n8"/>
          <p rend="indent">As the DGMS reported to the Adjutant-General in <date when="1935-03">March 1935</date>: The position and condition of medical equipment is unsatisfactory from every point of view. This is due partly to the depression of the past four years and the consequent tightening of the purse strings, with the result that both additions and replacements have been reduced to a very bare minimum. Another factor is that since Major Gibbs, NZAMC, was retired in <date when="1931">1931</date>, only casual and spasmodic examination of medical stores has been made owing to the fact that his duties were not taken over by any officer or NCO.</p>
          <p rend="indent">The result was that in <date when="1938-09">September 1938</date>, when the whole world became alarmed at the aggressive attitude of <name key="name-008556" type="place">Germany</name>, the army medical equipment was in a poor state. It had been realised for some years that the reserve of medical equipment necessary for a division was not only out-of-date but largely useless. The medical and surgical panniers, some dating from <date when="1912">1912</date>, were borer-infested, and in most cases half-emptied of their contents, and other stocks were in a similar condition. It may be added that equipment for other divisional units was in a similar state.</p>
          <p rend="indent">The DMS on his visit to <name key="name-008963" type="place">Australia</name> and the <name key="name-029547" type="place">United Kingdom</name> had seen new medical equipment being produced, and on his return instructions were issued for a full inquiry and report on all medical equipment. On representations made by the Director of Medical Services, Major Gibbs was recalled to <name key="name-008844" type="place">Wellington</name> in <date when="1939-02">February 1939</date> to investigate and report on medical equipment and stores. As a result, medical equipment estimated to cost £2468 was ordered from <name key="name-004019" type="place">England</name> in <date when="1939-03">March 1939</date>. This began to arrive just as war was declared.</p>
          <p rend="indent">Panniers of a new pattern had been ordered, it being planned that they could be filled from existing stocks of drugs and dressings in which there had been little change. During <date when="1939">1939</date>, however, many big camps were held, and when the empty panniers arrived from <name key="name-004019" type="place">England</name> practically all military medical stores had been exhausted. In due course some of the panniers were made up at local drug merchants while others were sent to <name key="name-008963" type="place">Australia</name> and returned to New Zealand complete. If the war had come to the shores of this country shortly after the outbreak of hostilities, the army would have been badly handicapped by a lack of medical supplies. As it happened, it was fortunate that the medical units of <name key="name-004368" type="organisation">2 NZEF</name> proceeding overseas were able to be equipped after their arrival at their destination. As it was, some of the medical stores supplied for use on transports were so old as to be useless, as, for example, plaster bandages provided for ships' hospitals on Second Echelon troopships.</p>
        </div>
        <div type="section" n="8" xml:id="c1-8">
          <head>
            <hi rend="i">Strength of Units, <date when="1939">1939</date></hi>
          </head>
          <p rend="indent">The staff establishments of the territorial units of the New Zealand Medical Corps in <date when="1939">1939</date> provided for three territorial field
<pb n="9" xml:id="n9"/>
ambulances with a total of 31 officers and 318 other ranks, the Otago University Medical Company with 13 officers and 194 other ranks, 62 medical officers attached to other territorial units, and 35 medical officers unattached. The establishments of the field ambulances were, however, not fully manned and the effective strength was considerably smaller.</p>
          <p rend="indent">On the strength of each territorial field ambulance at the outbreak of war in <date when="1939-09">September 1939</date> were nearly all the officers required but only about one-third of the other ranks.<note xml:id="ftn1-9" n="1"><p>Strength of <name key="name-203712" type="organisation">NZMC</name> territorial units at <date when="1938-05-31">31 May 1938</date> was:</p><p><table rows="7" cols="3"><row><cell/><cell rend="center"><hi rend="i">Offrs</hi></cell><cell rend="center"><hi rend="i">ORs</hi></cell></row><row><cell>1 Fd Amb</cell><cell rend="center">8</cell><cell rend="center">49</cell></row><row><cell>2 Fd Amb</cell><cell rend="center">13</cell><cell rend="center">29</cell></row><row><cell>3 Fd Amb</cell><cell rend="center">10</cell><cell rend="center">38</cell></row><row><cell>OUMC</cell><cell rend="center">12</cell><cell rend="center">138</cell></row><row><cell/><cell rend="center">——</cell><cell rend="center">——</cell></row><row><cell/><cell rend="center">43</cell><cell rend="center">254</cell></row></table></p></note> A large proportion of the Territorials immediately volunteered for service with 4 and 5 Field Ambulances and formed the backbone of these units.</p>
          <p rend="indent">Thus, in <date when="1939">1939</date> the New Zealand Medical Corps was in a similarly difficult position to that in which it had found itself in <date when="1914">1914</date>, with an inadequate administrative staff and not even the nucleus of some of the medical units that were suddenly required when war was declared. That there was even an embryo Medical Corps was due to the zealous work of a few officers at some personal sacrifice, and to the handful of volunteers who had presented themselves for training.</p>
        </div>
        <div type="section" n="9" xml:id="c1-9">
          <head>
            <hi rend="i">
              <name key="name-029308" type="organisation">National Medical Committee</name>
            </hi>
          </head>
          <p rend="indent">In the years immediately preceding the Second World War, however, valuable planning had been made on a national basis by a Medical Committee working under the Organisation for National Security, which had grown out of the New Zealand Committee for Imperial Defence. To ensure the co-ordination of all preparations for any future war, the New Zealand Committee for Imperial Defence held its first conference in <name key="name-008844" type="place">Wellington</name> on <date when="1933-11-15">15 November 1933</date>. Besides the armed services, a number of key Government departments were represented as the planning involved a wide range of the State's activities. The name of this committee was changed in <date when="1936-08">August 1936</date> to the Organisation for National Security.</p>
          <p rend="indent">The Committee for Imperial Defence in <date when="1934">1934</date> appointed a Manpower Committee to deal with the problem of manpower in war. One of the problems to which this committee turned its attention was the standardisation of medical examinations so that men could be properly classified prior to acceptance in the armed services. In <date when="1936">1936</date> a medical sub-committee was set up to consider this and other medical subjects associated with a national emergency.</p>
          <pb n="10" xml:id="n10"/>
          <p rend="indent">This committee held its first meeting on <date when="1936-06-19">19 June 1936</date>, when it was known as the Medical Sub-committee of the New Zealand Committee for Imperial Defence. After its sixth meeting it was designated as the Medical Committee of the Organisation for National Security, and continued as such until <date when="1940">1940</date>, when its activities came under the National Service Emergency Regulations <date when="1940">1940</date>. It then became the <name key="name-029308" type="organisation">National Medical Committee</name>, an advisory body to the Minister of Health, and, strangely enough, was divorced from the National Service Department, which undertook many of the duties of the Organisation for National Security. The committee functioned very efficiently throughout the war, holding its final meeting on <date when="1945-09-21">21 September 1945</date>, and had a profound influence on the medical services of the Dominion.</p>
          <p rend="indent">The membership of the committee remained constant from its inception to its dissolution, comprising Dr <name key="name-209577" type="person">M. H. Watt</name><!-- Watt, M. H. -->, Director-General of Health (chairman), Major-General Sir Donald McGavin, representing the British Medical Association, Colonel (later Major-General Sir Fred) Bowerbank, Director-General of Medical Services (Army and Air), and Mr <name key="name-028604" type="person">F. J. Fenton</name><!-- Fenton, F. J. --> of the Department of Health, with a secretary from Army Department whose duties were taken over by Mr Fenton.</p>
          <p rend="indent">In general terms, the committee was set up to organise the medical examination of recruits, the care of sick and wounded of the forces, and the medical care of the civilian population in any state of emergency.</p>
        </div>
        <div type="section" n="10" xml:id="c1-10">
          <head>
            <hi rend="i">Medical Standards and Classification</hi>
          </head>
          <p rend="indent">As the Medical Committee first directed its attention to standards of medical examination of recruits, it is apposite to refer to the position in the First World War. At the outbreak of war in <date when="1914">1914</date> the medical standards for acceptance of recruits for overseas service were low, being those laid down in <date when="1904">1904</date>. Rules for the guidance of medical examiners were brief and vague and the form to be filled in was incomplete. The assessment of fitness, in fact, depended wholly on the experience of the medical examiner, with consequent great variation between the different examination centres in the percentage of recruits accepted or rejected. In many cases the percentage of acceptances was high owing to inexperience, and this was revealed later when a number of soldiers were discharged from the Army as a result of pre-enlistment disabilities. In <date when="1916">1916</date> the increasing numbers of men being returned to New Zealand for discharge after little or no service led to the formation of travelling medical boards. These full-time boards were staffed by specially-trained medical officers. The result was a rise in the rejection rates of recruits and a consequent fall in the percentages of soldiers
<pb n="11" xml:id="n11"/>
breaking down later. (Up to <date when="1916-06-20">20 June 1916</date> the percentage of rejections at enlistment was 29·84, revealing, even on the low standard of medical examination, a permanent degree of physical unfitness of which the public generally was unaware.)</p>
          <p rend="indent">Later, in <date when="1917">1917</date>, in an endeavour to meet the increasing demands on the depleted male population, the medical standard was again lowered, an action which drew vigorous protests from the Expeditionary Force headquarters in <name key="name-008904" type="place">London</name>. When drafts of soldiers arrived, a relatively large proportion of them required boarding and were returned to New Zealand without ever reaching <name key="name-008009" type="place">France</name>, while of the remainder many broke down after a short period of service.</p>
          <p rend="indent">One important consequence of the low medical standard was that the New Zealand Government became responsible for the payment of large sums in pensions for pre-enlistment disabilities held to have been aggravated by service in the Army. In order, therefore, that better standards should be adopted in any future war and that there should be conservation and better application of manpower, the Medical Committee was formed.</p>
          <p rend="indent">At the outset in <date when="1936">1936</date>, the Medical Committee drew attention to the inadequacy of the system of medical examination laid down in the Mobilisation Regulations <date when="1935">1935</date>. In the first place, the medical examination was to be conducted by the local doctor, upon whom rested the responsibility of deciding whether the man was fit to go into camp. This was held not to be satisfactory as the examination would not be very complete and, also, the possibility of pressure by interested parties could not be overlooked. Under the regulations a man would not be regarded as fit until he had been examined and passed in camp by a medical board. It was evident that this was totally unsatisfactory. A new system had to be devised. The principle of civilian medical boards was recommended by the Manpower Committee in <date when="1935">1935</date> and approved by Cabinet. This determined that recruits would receive a thorough and final medical examination before they left their own districts. The Medical Committee on this basis drew up a report, which it furnished in <date when="1937-06">June 1937</date>, on the detailed organisation and composition of civilian medical boards. Key men were the eleven Regional Deputies, who were later chosen by the committee from senior medical practitioners.</p>
          <p rend="indent">The committee, with the assistance of Lieutenant-Colonel Bull, also compiled a <hi rend="i">Code of Instructions for Medical Boards</hi> which was published in <date when="1938">1938</date> as a booklet of fifty-nine pages. This Code of Instructions was modelled on the very comprehensive Hill Report, prepared for the Imperial Defence Committee by a group of distinguished doctors set up in Great Britain in <date when="1924-07">July 1924</date> to consider all medical aspects of national service in the light of the experiences of the First World War. The Hill Report had been revised and
<pb n="12" xml:id="n12"/>
brought up to date in <date when="1933">1933</date>. Among other points, it stressed the necessity for a thorough and properly-recorded initial examination on enlistment, and the tremendous cost to the State in pensions where this action was not taken. A medical examination form was also drawn up by the Medical Committee. This not only contained additional questions on the past medical history and illnesses of the candidate, but also required an examination of the urine and blood pressure, a cardiac-efficiency test, and a complete dental examination by a dental surgeon. (A later additional requirement was an X-ray of the chest.) The extra information supplied was of great value in the assessment of medical grading. That there was, after the outbreak of war, still an unduly large number of pre-enlistment disabilities discovered after the entry of men into camp was due in great measure to careless or insufficient examinations, or else to lack of experience and knowledge of army conditions on the part of medical boards, and not to any fault of the regulations laid down for their guidance. In addition, of course, men eager to enlist did not reveal their past medical history or else tried to cover up their disabilities. That unfit men did proceed overseas in some numbers, especially in the early stages, indicated insufficient check-up in training camps.</p>
          <p rend="indent">The Code of Instructions specified as its objects:</p>
          <list type="simple">
            <label>(1)</label>
            <item>
              <p>The medical classification of men to enable the Army, Navy, or Air Force to determine the type of duty for which they were most fitted.</p>
            </item>
            <label>(2)</label>
            <item>
              <p>The establishment of a standard system of grading.</p>
            </item>
          </list>
          <p>It provided for a dominion organisation, under the Director-General of Health, with regional deputies in the eleven main centres controlling a total of twenty-five districts and with varying numbers of civilian medical boards in each district. Each medical board was to consist of two doctors and one dentist with supplementary staff. Later, an optician was added.</p>
          <p rend="indent">With Government approval the dominion organisation was set up early in <date when="1939">1939</date> and trial medical boards held for the examination of Territorials. These preliminary tests brought about a degree of co-ordination between boards and their staffs, and the organisation was in being and able to function smoothly when war broke out. Executive control rested with the Health Department. In <date when="1939-06">June 1939</date> the Director-General of Health issued a circular to members of the medical profession giving details of the action to be taken by medical boards in the event of home-defence mobilisation.</p>
          <p rend="indent">The examination of recruits, therefore, was carried out not by the Army, but by a civilian organisation under the Director-General of
<pb n="13" xml:id="n13"/>
Health with the advice of the Medical Committee of the Organisation for National Security. This was not generally realised by the public as the Army had been responsible for medical boarding in the First World War. (This procedure also applied in regard to soldiers who became unfit in camp and whose discharge became necessary. Upon receipt of the recommendations from the military authorities such soldiers were dealt with by the civilian medical boards.)</p>
        </div>
        <div type="section" n="11" xml:id="c1-11">
          <head>
            <hi rend="i">Hospital Provision</hi>
          </head>
          <p rend="indent">In the early years of the First World War there was a system of dual control of the sick and wounded shared by the Public Health Department and the Defence Department. An important change in medical administration of sick and wounded came about in <date when="1918-03">March 1918</date> following recommendations by the Minister of Defence. By resolution of the Cabinet the care and treatment of both discharged and undischarged disabled soldiers was made the sole responsibility of the Defence Department. Under the revised arrangements at the end of the war whereby the Minister of Defence assumed complete control over military patients, it was still necessary to make use of the hospital accommodation provided by the civil hospitals. In order to co-ordinate the work the Chief Health Officer, who had been Director of Military Hospitals with the honorary rank of colonel since <date when="1915">1915</date>, was temporarily lent by the Public Health Department to the Defence Department and became a whole-time military officer under the DGMS. The King George V Hospital at <name key="name-021414" type="place">Rotorua</name>, the sanatorium at Hanmer, and all convalescent homes hitherto administered by the Public Health Department became military institutions. There had been a gradual change in opinion and, in effect, to the principle that the sick and wounded soldier was primarily the responsibility of the Defence Department; though it was necessary and indeed advisable to make use of the hospital accommodation provided by the civil hospitals, the soldier while an in-patient of the civil hospital was still the responsibility of the Army.</p>
          <p rend="indent">With the intention of benefiting from the experiences of 1914–18, the Medical Committee set about defining a policy for the future treatment of sick and wounded servicemen. At a meeting on <date when="1936-10-23">23 October 1936</date> it was agreed that the system of building temporary military hospitals adopted in the First World War was unsound and uneconomic, and that it was preferable to utilise the existing hospital facilities, with the provision of additional accommodation where necessary, and possibly provide separate military accommodation and staffs in the case of the larger hospitals.</p>
          <p rend="indent">On this basis, the Medical Committee made certain recommendations concerning the hospital treatment of sick and wounded <choice><orig>service-
<pb n="14" xml:id="n14"/>
men</orig><reg>servicemen</reg></choice>, for submission to the Organisation for National Security, and these were the subject of Cabinet decision on <date when="1938-02-07">7 February 1938</date>. Cabinet accepted the principle recommended by the Medical Committee, though not approved by the Director of Medical Services, that ‘the local hospital facilities in New Zealand be utilised and adapted if necessary for the sick and wounded of the fighting forces in war’.</p>
          <p rend="indent">The policy approved by the Government was that all hospital treatment or investigation for sick and wounded servicemen, lasting more than twenty-four to forty-eight hours, was to be the function of the Health Department (through the Hospital Boards). It was thought that the Health Department was most favourably situated to review the facilities for medical treatment generally, to provide extensions to existing institutions, and to organise specialist treatment on a proper basis. In addition, where possible, the serviceman was to be treated in the institution nearest to his home.</p>
          <p rend="indent">It was laid down that the Army would hand over the sick or wounded soldier to the Health Department at the door of the civil hospital. From that point the Health Department would assume the responsibility for his treatment until he was fit to rejoin the Army. It was not fully realised, however, that the Health Department could act only in an advisory capacity to the hospital boards, which were independent and autonomous as regards the medical treatment and care of the patients in their institutions.</p>
          <p rend="indent">On this basis the army medical service arranged for only limited bed accommodation in camp hospitals. The function of these hospitals was to treat minor illnesses and lessen the call on beds in the civil hospital. To serve this latter end these hospitals did on occasion retain patients for more than forty-eight hours, many minor cases actually being retained up to a week.</p>
          <p rend="indent">There is no doubt that the policy limitation of the stay of patients in camp hospitals to forty-eight hours resulted in a number of cases of minor disabilities being unnecessarily transferred to civil hospitals. The direct result of this was that public hospitals, especially in <name key="name-002817" type="place">Auckland</name> and <name key="name-008844" type="place">Wellington</name>, which were chronically congested before the war and had long waiting lists, were still further congested and embarrassed by the daily admission of army patients with minor disabilities and mild infectious diseases which in civilian life would have been treated at home. These public hospitals, of course, had highly trained staffs, elaborate departments and equipment for dealing with the more serious diseases, and the overhead cost of a bed in one of these hospitals was very great by comparison with the requirements for hospitals dealing solely with minor diseases and disabilities.</p>
          <p rend="indent">On analogy with the system developed in <name key="name-004368" type="organisation">2 NZEF</name> in <name key="name-002106" type="place">Egypt</name>, where
<pb n="15" xml:id="n15"/>
there was no time limit for the retention of patients in camp hospitals, where transfer to a base hospital depended on the severity of the illness, and where minor cases of infectious disease and minor disabilities not requiring specialist attention were treated, it should have been possible to lay down a more flexible policy which would have enabled camp hospitals in New Zealand to be enlarged and to care for a larger proportion of patients.</p>
        </div>
        <div type="section" n="12" xml:id="c1-12">
          <head>
            <hi rend="i">Administrative Policy for Sick and Wounded</hi>
          </head>
          <p rend="indent">In drawing up his Medical Appreciation for the Defence of New Zealand of <date when="1939-03-31">31 March 1939</date>, the Director of Medical Services, using the Cabinet decision of <date when="1938-02-07">7 February 1938</date> as a basis, made certain further recommendations. Among these was the suggestion that ‘in order to facilitate administration and personal contacts between Health Department and Army generally, it would be well to confer honorary military rank upon, for example, the Director-General of Health, Director of Hospitals, and medical superintendents of metropolitan hospitals’. Further, it was suggested in regard to discipline in hospitals that the local Area Officer would presumably assist the Medical Superintendent, where necessary, in the maintenance of discipline. The appreciation also stated that convalescent and medical board depots would be required on the basis of at least one per military district, assuming that, during a soldier's convalescent period, the Army would assist in making him fit to rejoin his unit. Though a responsibility of the Department of Health, these depots should have a military commandant (who was also a medical officer) to work in collaboration with the Health Department staff and be responsible for discipline; and military instructors in physical training who should, under the guidance of a medical board, refit the man physically.</p>
          <p rend="indent">However, when this appreciation was submitted to the Medical Committee, majority decisions favoured variations which the DMS considered would establish the very system of dual control he sought to avoid. It was the opinion of the Health Department officers, who constituted a majority on the Committee, that:</p>
          <list type="simple">
            <label>1.</label>
            <item>
              <p>The matter of honorary military rank either for officers of the Department of Health or Superintendents of Hospitals should be left in abeyance.</p>
            </item>
            <label>2.</label>
            <item>
              <p>Discipline in civilian hospitals amongst soldier patients could be as effectively maintained by civilian medical superintendents without military rank, though it was agreed that the local Area Officer was to be called in as required to deal with any breach of discipline.</p>
            </item>
            <pb n="16" xml:id="n16"/>
            <label>3.</label>
            <item>
              <p>Convalescent and Medical Board Depots should have a civilian medical practitioner in command (preferably an officer in the reserve) as medical superintendent, but that such military liaison officers as were necessary would be attached for military purposes.</p>
            </item>
          </list>
          <p rend="indent">Within a few weeks of the outbreak of war it was necessary to make modifications in the general policy. The Director-General of Health was not prepared to accept for in-patient treatment soldiers suffering from venereal disease. In consequence of a ruling by the Minister of Health that such patients be treated in camp, contagious disease hospitals were erected in the three main camps (<name key="name-026522" type="place">Papakura</name>, <name key="name-026686" type="place">Trentham</name>, and <name key="name-009235" type="place">Burnham</name>) to deal with all cases of venereal disease from the Army and Air Force in the three military districts. This arrangement worked very satisfactorily.</p>
          <p rend="indent">The opinion expressed by a majority of the Medical Committee regarding the ability of the civilian staffs to maintain discipline unaided was quickly disproved, and the Army was asked to appoint full-time NCOs (but not of <name key="name-203712" type="organisation">NZMC</name>) at hospitals.</p>
          <p rend="indent">As a result of a War Council recommendation in <date when="1940">1940</date>, Cabinet modified the original decision in regard to convalescent depots and ruled that these depots should be established and controlled by the Army. The Health Department was almost wholly an administrative body, its basic function being the preservation of health and the prevention of disease. It did not at the outset have a clear perception of the purpose of, or need for, convalescent depots to harden patients after discharge from hospital. Nor did it have the staff available for running convalescent depots, and the hospital boards were not prepared to accept the responsibility. Partly because convalescent depots were not available early in the war, it became the practice to send patients to their own homes for convalescence. The Army thus lost direct control of many of its men and there was a considerable wastage of manpower.<note xml:id="ftn1-16" n="1"><p>The activities of the <name key="name-029308" type="organisation">National Medical Committee</name> will be further discussed in Vol III.</p></note></p>
        </div>
        <div type="section" n="13" xml:id="c1-13">
          <head>
            <hi rend="i">
              <name key="name-029331" type="organisation">Nursing Council</name>
            </hi>
          </head>
          <p rend="indent">At a meeting of the <name key="name-029308" type="organisation">National Medical Committee</name> on <date when="1938-06-15">15 June 1938</date>, a <name key="name-029331" type="organisation">Nursing Council</name> was formed to advise the committee on all matters pertaining to army and civilian nursing in time of war, and to link up the activities of the <name key="name-027417" type="organisation">Red Cross</name> Society of New Zealand and the <name key="name-027615" type="organisation">Order of St. John</name><!-- St. John, Order of --> as far as the training of Voluntary Aid Detachments, both male and female, was concerned. The Council was composed of the Director, Division of Nursing, Health Department (<name key="name-208434" type="person">Miss M. I. Lambie</name><!-- Lambie, Miss M. I. -->), the Matron-in-Chief, <name key="name-029315" type="organisation">New Zealand Army Nursing Service</name> (Miss I. G. Willis), and a representative of
<pb n="17" xml:id="n17"/>
the matrons of public hospitals (Miss L. M. Banks, of <name key="name-021386" type="place">Palmerston North</name>). In <date when="1938-09">September 1938</date> the <name key="name-029331" type="organisation">Nursing Council</name> submitted a draft report to the Medical Committee covering the enrolment and organisation of the registered nurses in the Dominion in the event of a national emergency. On <date when="1939-02-24">24 February 1939</date> the members of the <name key="name-029331" type="organisation">Nursing Council</name>, together with one representative each from the New Zealand <name key="name-027417" type="organisation">Red Cross</name> Society and the <name key="name-027615" type="organisation">Order of St. John</name><!-- St. John, Order of -->, met as the Voluntary Aid Detachment Council and gave consideration to the organisation of Voluntary Aid Detachments, and to the training necessary for these detachments.</p>
        </div>
        <div type="section" n="14" xml:id="c1-14">
          <head>
            <hi rend="i">Outbreak of War—Changes in Army Medical Administration</hi>
          </head>
          <p rend="indent">As already mentioned, the Director of Medical Services on <date when="1939-03-31">31 March 1939</date> produced a comprehensive medical appreciation of the problems associated with mobilisation for either home-defence or expeditionary forces. This appreciation was an important and valuable basis for the rapid expansion of medical services for the military forces consequent upon the outbreak of war.</p>
          <p rend="indent">When Britain declared war on <name key="name-008556" type="place">Germany</name> on <date when="1939-09-03">3 September 1939</date>, an immediate move was made to place the New Zealand Medical Corps on a war footing, although it was some three weeks before administrative arrangements could be made properly effective. The Director of Medical Services (Army) and Principal Medical Officer RNZAF, Colonel Bowerbank, became the Director-General of Medical Services (Army and Air) and took up a full-time appointment, while the ADMS Central Military District, Lieutenant-Colonel <name key="name-027707" type="person">Wilson</name>,<note xml:id="ftn1-17" n="1"><p><name key="name-027707" type="person">Brig I. S. Wilson</name>, OBE, MC and bar, ED, m.i.d.; <name key="name-008844" type="place">Wellington</name>; born Dunedin, <date when="1883-07-13">13 Jul 1883</date>; physician; 1914–18: medical officer BEF Fd Amb, RMO 1 Bn Scots Guards, Guards Fd Amb; wounded, <name key="name-120183" type="place">Somme</name>, <date when="1916">1916</date>; ADMS Central Military District 1935–39; ADMS Army HQ, Sep 1939–Feb 1944; acting DGMS Army HQ, Feb-Jul 1944; CO <name key="name-011448" type="organisation">2 Gen Hosp</name> Oct 1944–Jul 1945.</p></note> became Assistant Director of Medical Services at Army Headquarters, also on a full-time basis, and a Staff Officer and Quartermaster was appointed. Miss Willis was appointed Matron-in-Chief (Army and Air) on a part-time basis which continued until <date when="1941-04">April 1941</date>, when she became a full-time officer. (It is difficult to understand why the Matron-in-Chief was not appointed a full-time officer and given adequate assistance at the beginning of the war. There must have been ample work to keep her fully occupied.) A civilian staff of four was called in to assist with the rush of organisation.</p>
          <p rend="indent">In each of the military districts, Northern, Central, and Southern, an Assistant Director of Medical Services was employed on a half-time basis.</p>
          <pb n="18" xml:id="n18"/>
          <p rend="indent">Shortly after the outbreak of war the Director of Public Hygiene, Department of Health, Dr <name key="name-028682" type="person">T. R. Ritchie</name><!-- Ritchie, T. R. -->, was appointed part-time Director of Hygiene on the staff of the DGMS with the rank of major, while the Medical Officers of Health at <name key="name-002817" type="place">Auckland</name>, <name key="name-008844" type="place">Wellington</name>, <name key="name-007584" type="place">Christchurch</name>, and Dunedin were appointed part-time Assistant Directors of Hygiene. The growth of camps, with increased needs for supervision in hygiene and sanitation, proved that a part-time appointment alone was insufficient. This resulted in the additional appointment in <date when="1940-11">November 1940</date> of the Principal Sanitary Inspector, Department of Health, Captain J. H. Cowdrey, as full-time Deputy Director of Hygiene, under the DGMS. Thus a measure of liaison was achieved and any tendency to dual control by the Health Department and Army on health matters in camps was eliminated. The new appointment was analogous to the position of ADMS (Sanitary) on the staff of the DGMS in the First World War. In each mobilisation camp a health inspector seconded from the Health Department worked under the senior medical officer of the camp.</p>
          <p rend="indent">For some years before the outbreak of the war the Director of Dental Services was directly under the Adjutant-General, but in <date when="1939-03">March 1939</date> the dental service was again placed under the direction of the DGMS, as in the First World War, and in accordance with military organisation in Great Britain, <name key="name-008963" type="place">Australia</name>, and South Africa. At a conference on 25 and 27 March 1939, it was unanimously agreed that the DDS would administer the <name key="name-028909" type="organisation">Dental Corps</name> without interference from the DGMS or ADsMS Districts, but that all changes of policy or matters of importance concerning the dental treatment of troops in New Zealand would be submitted to the DGMS or to the Adjutant-General through the DGMS. The DDS, however, was never heartily in agreement with the policy of the <name key="name-028909" type="organisation">Dental Corps</name> being under the control of the DGMS, and at times referred policy matters direct to the Adjutant-General. This led to repeated friction and misunderstanding between the DDS and DGMS, but the efficiency of the <name key="name-028909" type="organisation">Dental Corps</name> fortunately was unaffected.</p>
        </div>
        <div type="section" n="15" xml:id="c1-15">
          <head>
            <hi rend="i">Extension of Responsibility of National Medical Committee</hi>
          </head>
          <p rend="indent">With the outbreak of war the original purpose of the <name key="name-029308" type="organisation">National Medical Committee</name> was extended to enable it to take measures to ensure that the requirements of the Navy, Army, and Air Force were met as far as professional medical personnel were concerned, and to maintain a balance between the needs of the armed services and the civilian population.</p>
          <p rend="indent">On <date when="1939-09-07">7 September 1939</date> the Ministers of Health and Defence gave their approval to control being assumed by the Medical Committee in the matters in which it had been acting in a planning capacity
<pb n="19" xml:id="n19"/>
prior to the war, and the committee became in effect the adviser to the Government on all medical matters in connection with the war. No members of the medical profession, other than those then under obligation to the Army, whether in hospitals or private practice, could be accepted for service until their case had been reviewed by the Medical Committee.</p>
          <p rend="indent">At its meeting on <date when="1939-09-26">26 September 1939</date> the Medical Committee expressed its opinion that, in addition to functions already assumed, it should be given further powers to enable it to be the recommending authority direct to the Minister of Health for utilisation of all medical, nursing, and semi-professional personnel, whether civil or institutional, connected with the health of the community. This included medical practitioners, nurses, dentists, radiologists, pathologists, pharmacists, and masseurs. The recommendation of the committee was agreed to.</p>
          <p rend="indent">In <date when="1939-10">October 1939</date> a Dental Sub-Committee and a Masseurs Advisory Committee were formed. No control was instituted in regard to the enlistment of chemists, but in <date when="1940-03">March 1940</date> when the Director of Pharmacy pointed out the numbers of pharmacists who had enlisted and been called up for military service, sometimes with combatant units, the Medical Committee recommended to the Director of National Service that no further pharmacists be accepted unless required as dispensers in the Army Medical Corps.</p>
        </div>
        <div type="section" n="16" xml:id="c1-16">
          <head>
            <hi rend="i">Meeting of Nursing Council</hi>
          </head>
          <p rend="indent">The <name key="name-029331" type="organisation">Nursing Council</name> met on <date when="1939-09-05">5 September 1939</date> to give consideration to the recruitment of nurses for the <name key="name-029315" type="organisation">New Zealand Army Nursing Service</name>, and to the question of supplementing the nursing staff of hospitals should this become necessary. Its report was adopted by the <name key="name-029308" type="organisation">National Medical Committee</name>, received Ministerial approval, and was the basis for the regulation of the intake of registered nurses into the <name key="name-023814" type="organisation">NZANS</name>, having regard to the needs of the armed services and the civilian population.<note xml:id="ftn1-19" n="1"><p>This subject is also further discussed in Vol III.</p></note></p>
        </div>
        <div type="section" n="17" xml:id="c1-17">
          <head>
            <hi rend="i">Duties and Responsibilities of Medical Administrators</hi>
          </head>
          <p rend="indent">It is appropriate that some of the duties and responsibilities of those controlling the organisation and maintenance of the Army and Air medical services in New Zealand from <date when="1939">1939</date> onwards should be stated.</p>
          <p rend="indent"><hi rend="i">DGMS</hi>: The DGMS was the responsible adviser to the Chief of the General Staff, Army, and the Chief of Air Staff in all medical
<pb n="20" xml:id="n20"/>
and sanitary matters, and, as the head of the medical service, administered it and was responsible for its efficiency. On purely technical matters he issued instructions to his representatives with lower formations, and he arranged movements of personnel through the Adjutant-General or Air Member for Personnel. He dealt directly with the Quartermaster-General on questions in connection with the siting and construction of camps, diet of troops, siting and construction of military hospitals, and dieting of hospitals. Subject to General Staff policy, he was responsible for the requirements of the troops so far as medical services, medical stores, and medical equipment were concerned.</p>
          <p rend="indent"><hi rend="i">ADMS</hi>: The ADMS at Army Headquarters was the chief assistant to the DGMS in all his duties.</p>
          <p rend="indent"><hi rend="i">Staff Officer and Quartermaster</hi>: The staff officer and quartermaster was in charge of all medical stores and was responsible for the equipment of all medical units and for the proper accounting for and periodical inspection of this equipment.</p>
          <p rend="indent"><hi rend="i">Deputy Director of Hygiene</hi>: The Deputy Director of Hygiene was the adviser of the DGMS on camp sites, buildings, water supply, drainage, and sewage disposal. He made systematic inspections of the camps in regard to hygiene, health of troops, control of preventable or infectious diseases, and instruction and training in hygiene and sanitation.</p>
          <p rend="indent"><hi rend="i">Matron-in-Chief</hi>: The Matron-in-Chief was responsible to the DGMS for the organisation and control of the New Zealand Army and RNZAF Nursing Services. In her duties she saw that none but properly trained and qualified nurses were recommended for appointment in the Army, Navy, and Air Nursing Services, and she made the recommendations for appointment of matrons of the hospitals under the control of the DGMS.</p>
          <p rend="indent"><hi rend="i">ADsMS Military Districts</hi>: In a military district the duties and responsibilities of an ADMS, who was appointed by the DGMS, were similar to those of the DGMS at Army Headquarters. He was under the direction of the DGMS and responsible to him for the efficient training of the medical units. He had to keep his District Commander informed on all important technical instructions received from the DGMS, and advise him on all medical and sanitary matters. He controlled all medical units in his district and was responsible to the DGMS for their efficiency, as well as for the adequate supply of medical stores to all units.</p>
          <p rend="indent">This, then, was the nucleus of administrators responsible for the handling of medical problems associated with mobilisation and the provision of medical services for home and overseas forces.</p>
          <pb n="21" xml:id="n21"/>
          <p>
            <figure xml:id="WH2Med03a">
              <graphic url="WH2Med03a.jpg" mimeType="image/jpeg" xml:id="WH2Med03a-g"/>
              <head><hi rend="sc">Organisation of Adminstration of Army Medical Services.</hi> 1939–40</head>
              <figDesc>organisational chart for army medical administration</figDesc>
            </figure>
          </p>
        </div>
      </div>
      <pb n="22" xml:id="n22"/>
      <div type="chapter" n="2" xml:id="c2">
        <head>CHAPTER 2<lb/>
Medical Organisation and Training, 1939-40</head>
        <div type="section" xml:id="c2-0">
          <p>DURING <date when="1939">1939</date> the Territorial Force in New Zealand was in the process of reorganisation from a cadre to a peace establishment within reasonable reach of its war establishment, and the National Military Reserve was being formed and plans for home defence were being revised. Shortly after the outbreak of war on <date when="1939-09-03">3 September 1939</date>, the Government decided to raise a special force of one division and ancillary troops for service overseas or for home defence. Medical examinations were necessary before the men responding to the call for volunteers for the Army were admitted to mobilisation camps.</p>
          <p rend="indent">By <date when="1939-07-31">31 July 1939</date> the machinery for medical boarding was ready to operate at short notice. The country had been divided into eleven areas, and a Regional Deputy, a senior medical practitioner, was in charge of the medical examinations in each region. A total of 253 medical boards, each comprising two doctors and a dentist, had been chosen to meet the requirements and places of mobilisation of the Army. For their guidance these medical boards had the comprehensive Code of Instructions which had been printed in <date when="1938">1938</date>.</p>
          <p rend="indent">With the number of boards arranged, and sessions of four hours a day each, it was expected to complete in four days the examination of the 39,900 men the Army proposed to mobilise. (In actual experience it was found that the army mobilisation did not achieve any such intensity as mooted in pre-war proposals. Up to <date when="1939-12-09">9 December 1939</date> nine of the eleven regions had been called upon to examine only 15,796 recruits. Figures were not available for the other two regions but they probably did not exceed 1000 each.)</p>
          <p rend="indent">At the meeting of the Medical Committee on <date when="1939-09-24">24 September 1939</date> it was stated that reports received and inspections made indicated that the organisation for medical boarding was carried into effect immediately and efficiently following the outbreak of war. The Regional Deputies, who functioned in a part-time capacity, were asked at that stage to report in regard to the Code of Instructions, the forms in use, and whether there was need to improve the literature or the organisation. The reports were generally satisfactory as regards accommodation and staff but a number of suggestions
<pb n="23" xml:id="n23"/>
were made for the improvement of the Code of Instructions, the Army Instructions for conduct of medical examinations, and Army Form 355 (Record of Medical Board). Some of the suggested improvements led to amendments to the instructions.</p>
          <p rend="indent">The introduction of compulsory military service under the National Service Emergency Regulations <date when="1940">1940</date> (dated <date when="1940-06-18">18 June 1940</date>) brought about certain alterations in official policy and imposed additional responsibilities on regional deputies and medical boards. It was therefore necessary to supplement the original instructions, prepared as they were primarily for initial examination under a system of voluntary recruitment.</p>
          <p rend="indent">When conscription was introduced in <date when="1940">1940</date> the Army demanded that boarding of the men on each ballot list should be completed within six weeks. This entailed the use of every available doctor at a time when practitioners were reduced in number and busier than ever with the introduction of more classes of benefit under the Social Security legislation.</p>
          <p rend="indent">Under the National Service Emergency Regulations <date when="1940">1940</date>, Regulation <hi rend="i">35 et seq</hi>, the responsibility for medical boarding was transferred from the <name key="name-029308" type="organisation">National Medical Committee</name> to the Minister of Health. The Regional Deputies became therefore, in fact, deputies for the Minister of Health, to whom the <name key="name-029308" type="organisation">National Medical Committee</name> was, strictly speaking, only an advisory body. The effect was to weaken the administrative control that had previously been exercised by the <name key="name-029308" type="organisation">National Medical Committee</name>, which had a body of military experience from the First World War, and concentrate authority in the Minister of Health.</p>
          <p rend="indent">As deficiencies in the medical examination system became apparent, modifications and additions were made to the Code of Instructions. On <date when="1940-12-02">2 December 1940</date> the definition of Grade I men, which had been ‘men who attain the full normal standard of health and strength and are capable of enduring physical exertion suitable to their age’ (the age limits being twenty-one to forty years), was qualified by ‘Fit for Active Service in any part of the world’. A new medical examination form (NZ 355) was drawn up to give a more complete procedure for examination of recruits and a record of pre-enlistment medical history, besides incorporating the amendments to grading classification. (Later, with the experience gained from the examination of men returned from overseas for health reasons, and from reports of medical officers overseas, the <name key="name-029308" type="organisation">National Medical Committee</name> drafted a greatly improved Code of Instructions giving more complete instructions to medical boards regarding grading and detailing the procedure to be followed in the case of various disabilities. The new edition, printed in <date when="1942-02">February 1942</date>, was
<pb n="24" xml:id="n24"/>
made available to medical boards in the middle of <date when="1942">1942</date>. Certain aspects of medical boarding were still unsatisfactory, and consideration was given in <date when="1942-12">December 1942</date> to constituting selected medical boards staffed preferably by doctors with military experience, acting in a full-time capacity, but these were not set up.)</p>
          <p rend="indent">There was a case in the earlier years of the war for a closer liaison between the army medical services and the Health Department, which was in executive control of the civil medical boards examining recruits, so that doctors could have been kept constantly aware of the disabilities likely to cause rejection from the Army. On this question of rejection the same problems were encountered in <name key="name-008963" type="place">Australia</name> and <name key="name-007274" type="place">Canada</name>. <note xml:id="ftn1-24" n="1"><p>This subject will be further elaborated in Vol III.</p></note></p>
        </div>
        <div type="section" n="1" xml:id="c2-1">
          <head>
            <hi rend="i">Hospital Treatment-Convalescent Depots and Camp Hospitals</hi>
          </head>
          <p rend="indent">There seemed to be a lack of appreciation by the Health Department of the problem of the convalescent soldier. Civil hospitals were not accustomed to arrange for the convalescence of patients suffering from ordinary illness. These were expected to convalesce at home. It was only in the more serious illnesses and in special conditions demanding prolonged treatment that any provision at all was made. When the Health Department originally arranged for the use of Hanmer and <name key="name-021414" type="place">Rotorua</name>, it envisaged the treatment of returned wounded men and not sickness cases from New Zealand camps. These cases, in its opinion, required no special provision. They were sent back to their units in camp at the end of their period of sick leave at their homes. The necessity for hardening up after a debilitating illness before being subjected to the conditions of a military camp was simply not understood. This, of course, was quite contrary to the military outlook.</p>
          <p rend="indent">The hospitals discharged the military patients to their homes for varying periods of sick leave before returning to camp, and this leave could be extended on the certificate of their local doctor. The inevitable happened, and the military authorities found that great wastage of personnel was occurring and that they could not check up on the men scattered all over the country. This led to the setting up of a ‘<name key="name-029280" type="organisation">Sick and Wounded Branch</name>’, which was placed directly under the Adjutant-General, to check up on and control all unattached army personnel. The Branch took over medical as well as administrative functions, and there was some difficulty caused by its lack of medical knowledge and co-ordination. The appointment later of a senior medical officer to the Branch for consultation led to improved control in matters requiring professional knowledge.</p>
          <pb n="25" xml:id="n25"/>
          <p rend="indent">The Army eventually built three convalescent depots to attempt to supply a more complete medical chain, but they were not completed until 1942 and 1943 and did not receive a great many of the patients discharged from hospital. The depot built for the Central District was given over to the Americans before it functioned as a convalescent depot. The civil hospitals were used for sick and wounded returned from overseas, and the Army had no military hospitals of its own at any stage, except for small hospitals in mobilisation camps.</p>
          <p rend="indent">For the admission of minor sick, small camp hospitals with the most modern equipment were erected in the three main mobilisation camps, <name key="name-026522" type="place">Papakura</name>, <name key="name-026686" type="place">Trentham</name>, and <name key="name-009235" type="place">Burnham</name>, each having accommodation for thirty to fifty patients. Each had an establishment of five members of the <name key="name-023814" type="organisation">NZANS</name>, two officers, and twenty-five other ranks. (Prior to the completion of <name key="name-026522" type="place">Papakura</name> camp in <date when="1940">1940</date>, a camp hospital at <name key="name-004459" type="place">Ngaruawahia</name> was similarly staffed.) The amount of accommodation and the size of the staffs were increased during the war.</p>
        </div>
        <div type="section" n="2" xml:id="c2-2">
          <head>
            <hi rend="i">Motor Ambulances</hi>
          </head>
          <p rend="indent">At the outbreak of war there were no military motor ambulances on hand to convey the sick from camps to civil hospitals. In some instances ambulances belonging to hospital boards were used, and where they were not available army service trucks were adapted by placing mattresses or stretchers on the floor.</p>
          <p rend="indent">In <date when="1939-10">October 1939</date> the <name key="name-017775" type="organisation">Salvation Army</name> gave two motor ambulances, and about the same time five chassis were obtained and bodies built on them at the Post and Telegraph Department workshops, <name key="name-008844" type="place">Wellington</name>. An ambulance was presented by the <name key="name-027417" type="organisation">Red Cross</name> Society and donations towards ambulances were made by various organisations and individuals. An amount of £4410 was donated in this way for the purchase of army motor ambulances up to the end of <date when="1940-10">October 1940</date>. Subsequently, ambulances became available through army channels and the substantial deficiency was overcome.</p>
        </div>
        <div type="section" n="3" xml:id="c2-3">
          <head>
            <hi rend="i">Health of Troops</hi>
          </head>
          <p rend="indent">With large numbers of men congregated in camps under conditions to which the majority of them are unused, there is likely to be a greater incidence of disease than normally occurs in the civil population. The DGMS (Army and Air) was insistent in his recommendations to camp authorities at the beginning of the war that the following points should be strictly observed:</p>
          <list type="simple">
            <label>1.</label>
            <item>
              <p>Adequate air space and ventilation in sleeping quarters.</p>
            </item>
            <label>2.</label>
            <item>
              <p>All damp and wet clothing to be changed at the earliest possible moment, and the provision of adequate drying facilities, and no wet or damp clothing to be permitted in sleeping quarters.</p>
            </item>
            <pb n="26" xml:id="n26"/>
            <label>3.</label>
            <item>
              <p>Adequate changes of clothing to be provided.</p>
            </item>
            <label>4.</label>
            <item>
              <p>Avoidance of undue fatigue in the early stages of training, i.e., training to be graduated.</p>
            </item>
            <label>5.</label>
            <item>
              <p>Provision of sufficient hot and cold showers.</p>
            </item>
            <label>6.</label>
            <item>
              <p>Diet not only wholesome and well cooked, but containing those foods which have a protective value against disease, and the food to be varied and served in a palatable manner.</p>
            </item>
            <label>7.</label>
            <item>
              <p>Sanitary arrangements to be above suspicion.</p>
            </item>
          </list>
          <p rend="indent">In regard to (1), it was pointed out that it was essential that each soldier should have 600 cubic feet of air space and that the distance between the centres of adjacent beds be at least 6 ft. In the early stages of the First World War proper attention was not given to adequate ventilation and air space, and when a serious outbreak of cerebro-spinal fever occurred, a number of cases being fatal, a complete disorganisation of training resulted. Points (2), (3), and (4) were the direct responsibility of the unit commander.</p>
          <p rend="indent">The efficiency of the medical services was sternly tried in the latter part of October and during <date when="1939-11">November 1939</date> by a severe epidemic of influenza (streptococcal respiratory catarrh) in which between 30 and 54 per cent of the strength of all units in the mobilisation camps was affected, the incidence rates in the three camps being similar. Energetic measures were taken to combat the epidemic, these consisting mainly in an insistence on the medical safeguards for the health of troops already set out. The fact that there was not a single death and only four cases of true pneumonia as a result of the infection was evidence of the success of the prophylactic and nursing measures taken. Similarly, a milder influenza epidemic in <date when="1940-05">May 1940</date> did not assume any serious proportions.</p>
          <p rend="indent">In the early months of <date when="1940">1940</date> it was found that on some matters in connection with camp construction and arrangements neither the Army Medical Service nor the Assistant Director of Hygiene for the district was consulted. It was felt that there should have been a greater degree of consultation between the Public Works Department, the Quartermaster-General's Branch, the Army Medical Service and the Director of Hygiene.</p>
          <p rend="indent">Neither the DGMS nor the ADsMS were first consulted regarding the design of huts, latrines, and showers, and strong protests by them when they pointed out weaknesses during the actual construction work or insanitary conditions were often ignored, particularly in the Central Military District. It was fortunate that the consequences were not more serious.</p>
          <p rend="indent">To some extent this was probably a result of the concern of one particular organisation to push ahead expeditiously with its own programme. The medical interest in camp construction and arrangements from the point of view of the health of the troops and the
<pb n="27" xml:id="n27"/>
avoidance of epidemics had to be emphatically stressed before it came to be recognised. Otherwise the valuable and extensive experience of senior medical officers in military medicine and hygiene, and the importance of its application, tended to be underrated.</p>
          <p rend="indent">On <date when="1940-10-31">31 October 1940</date> a conference was held to discuss the question of hygiene and sanitation of military camps; attending it were representatives of the Army, Health, and Public Works Departments, with the Adjutant-General as chairman. The chairman admitted that conditions in some camps were not all that could be desired, but it had to be remembered that practically all camps had been established at very short notice. The urgent nature of most of the work required quick action, and the usual procedure of preparing plans and submitting them to various officers had, in some cases, been departed from, and, instead, verbal arrangements had been made on the spot by Army and Public Works officers. The sole reason for non-consultation with specialists in hygiene and medicine was the urgent demand for construction. The delay in completing <name key="name-021590" type="place">Waiouru</name> camp had seriously upset army plans and necessitated the occupation of temporary camps where expenditure was restricted to what were considered to be essentials, and economies were effected at the expense of efficiency and proper hygiene conditions.</p>
          <p rend="indent">It was explained that the army officers concerned proposed to recommend the appointment of a full-time Deputy Director of Hygiene. It was decided that, in future, the procedure to be followed in deciding on the location of a camp would include a reconnaissance of the site and buildings by the district commanding officer, AQMG, and ADMS, the Works Officer, and District Engineer, Public Works Department. These officers would furnish a report on the site. When plans were received at Army Headquarters, the Quartermaster-General would submit them to the Director-General of Medical Services and Deputy Director of Hygiene for approval from the medical service point of view. In <date when="1940-11">November 1940</date> the Principal Sanitary Inspector, Health Department, was appointed full-time Deputy Director of Hygiene (Army and Air), and held the appointment throughout the war. The revised arrangements worked effectively.</p>
        </div>
        <div type="section" n="4" xml:id="c2-4">
          <head>
            <hi rend="i">Camp Medical Arrangements</hi>
          </head>
          <p rend="indent">With the mobilisation of the First Echelon of the Special Force in September and October 1939, whole-time senior medical officers were appointed to <name key="name-004459" type="place">Ngaruawahia</name>, <name key="name-026686" type="place">Trentham</name>, and <name key="name-009235" type="place">Burnham</name> camps, to which three assistant medical officers were later appointed. With the completion of the mobilisation camp at <name key="name-026522" type="place">Papakura</name>, the senior
<pb n="28" xml:id="n28"/>
medical officer and some of the staff from <name key="name-004459" type="place">Ngaruawahia</name> were transferred there. Full-time medical officers were stationed at <name key="name-013496" type="place">Narrow Neck</name>, <name key="name-029303" type="place">Motutapu</name>, and <name key="name-029061" type="place">Fort Dorset</name>, while part-time medical officers were appointed to the Lyttelton Fortress troops and Wellington Fortress troops.</p>
          <p rend="indent">The senior medical officers were on the staff of the camp commandants in the mobilisation camps. They were responsible for the care of all sick, and were the advisers to the camp commandant on all matters pertaining to the health of troops, as well as being inspectors of sanitation arrangements. On sanitary matters each had the help of a sanitary inspector with the rank of WO I. Under the control of the senior medical officer were the military camp hospital and a contagious disease hospital where venereal disease patients were retained and treated. There was an arrangement between the Health Department and the Army whereby soldiers who contracted venereal disease after they went to camp were to be treated by the Army. If they had contracted the disease after attestation but before going to camp, they might be discharged from camp and become the responsibility of the Health Department. The senior medical officer had a number of medical officers to assist him. One looked after the camp hospital, while others were appointed as regimental medical officers to the battalions of reinforcements undergoing training. These were practically always medical officers who were themselves going overseas with the reinforcements.</p>
          <p rend="indent">The duties of these regimental medical officers were varied- holding sick parades, lecturing to the men on the maintenance of health, inspecting feet after route marches, inspecting barracks, kitchens, showers, and latrines, and giving the necessary inoculations.</p>
          <p rend="indent">Camp dental clinics were established in each of the three mobilisation camps, and all dental treatment was carried out at the expense of the Government after the recruits entered camp.</p>
          <p rend="indent">Preventive treatment by way of inoculation and vaccination was carried out. It was decided to immunise the troops in camp against tetanus before sending them overseas. All troops after the First Echelon were given two injections of 1 cc. of toxoid at an interval of six weeks; adrenalin was available in case of anaphylactic shock and the men were kept under observation for three hours.</p>
          <p rend="indent">Two injections of TAB vaccine for protection against typhoid were given at a week's interval. Individual reactions were generally marked and sometimes severe, and the preparation was adjusted so as to obviate very severe reactions. There was some difficulty in obtaining virile strains of organisms in New Zealand, a typhoid bone abscess being utilised at one time.</p>
          <p rend="indent">Vaccination against smallpox was also carried out. The troops of the First Echelon were done on the transports proceeding overseas
<pb n="29" xml:id="n29"/>
and complaints were made of the discomfort suffered under the tropical conditions. The Second Echelon were vaccinated in camp in New Zealand and the camp staffs complained of interference with training. This led again to the vaccination being carried out on the troopships. At a later period when there was less urgency, the men were usually vaccinated in camp. The vaccination was repeated if no positive reaction occurred.</p>
          <p rend="indent">With the great development in the use of blood transfusion before the war, it was realised that blood would be freely given to the wounded. In order that the blood group of each soldier would be known in the case of emergency, it was arranged that each man should be blood-typed and the international symbol for his group entered in his paybook and marked on his identity disc.</p>
        </div>
        <div type="section" n="5" xml:id="c2-5">
          <head>
            <hi rend="i">Venereal Disease Policy</hi>
          </head>
          <p rend="indent">As a result of a forceful report submitted by the Director-General of Medical Services (Army and Air) through the Adjutant-General to War Cabinet, venereal disease was treated in a sane and reasonable manner. The policy was almost revolutionary compared with the First World War precautions of barbed-wire enclosures and armed guards for such patients. It was at first watched with great misgivings and doubt by some combatant officers. The attitude of the DGMS (Army and Air) was that nothing would be accomplished by treating as criminals those troops who contracted venereal disease, and that too harsh a policy would discourage infected soldiers from reporting early and openly for treatment.</p>
          <p rend="indent">In each of the three main mobilisation camps small isolation hospitals, called contagious disease hospitals, were established, and here patients were admitted and in most cases speedily cured by treatment with sulphonamides. These hospitals were used for both Army and Air Force personnel, while <name key="name-026686" type="place">Trentham</name> and <name key="name-009235" type="place">Burnham</name> hospitals also accepted any naval personnel from the <name key="name-008844" type="place">Wellington</name> and <name key="name-007584" type="place">Christchurch</name> areas.</p>
          <p rend="indent">Primarily, however, in order to reduce manpower wastage, the preventive aspects of venereal disease were emphasised. In all camps preventive ablution huts were established and all troops exposing themselves to infection were encouraged to visit these huts on their return to camp. In addition, preventive ablution centres were provided in the main cities for use by all the services. Attempts were made to trace the women who were sources of infection. The educational approach was also used extensively and medical officers gave lectures to troops on the dangers of promiscuous sexual intercourse. This campaign, combined with plans on a broader basis for keeping men interested in healthy physical and
<pb n="30" xml:id="n30"/>
mental diversions during off-duty hours, more than justified itself in the relatively low incidence of venereal disease.</p>
        </div>
        <div type="section" n="6" xml:id="c2-6">
          <head>
            <hi rend="i">Chest X-ray Examinations</hi>
          </head>
          <p rend="indent">Early in <date when="1939-09">September 1939</date> the Director-General of Medical Services discussed with the Director-General of Health the question of recruits who might be suffering from pulmonary tuberculosis. The necessity for X-ray of the chest of all recruits had been discussed in <date when="1937-09">September 1937</date> at the Australasian Congress at <name key="name-007175" type="place">Adelaide</name>, at which the DGMS had been present. It was realised that the ordinary clinical medical examination probably would not detect early, latent, or quiescent pulmonary tuberculosis, and that an X-ray examination was the only sure means of detection, especially if the recruit, anxious to get away, withheld information as to present and past symptoms of the disease. Obviously, every effort had to be made to exclude infected recruits, and Cabinet agreed at once to the proposal for the use of X-rays of the chest.</p>
          <p rend="indent">In <date when="1939-09">September 1939</date> Ministerial approval was given for a unit capable of undertaking chest photography to be purchased and installed in each of the three main military camps-<name key="name-009235" type="place">Burnham</name>, <name key="name-026686" type="place">Trentham</name>, and <name key="name-026522" type="place">Papakura</name>. The apparatus for each unit was to cost £800, and buildings had to be provided in which to house the plant and conduct examinations. The apparatus was available within a few weeks, but the authority to erect the necessary buildings was delayed and the X-ray apparatus could not be installed until it was too late to X-ray more than a few men of the First Echelon.</p>
          <p rend="indent">The Second Echelon was X-rayed in camp, but the operation of the system brought to light some cases of hardship where soldiers had been attested, had left their civilian occupations or sold their businesses, and had then been rejected in camp for tuberculosis. (As a result of the X-ray examination of chests up to <date when="1940-04-30">30 April 1940</date>, 143 soldiers were found to be suffering from pulmonary tuberculosis and were discharged from military camps.)</p>
          <p rend="indent">It was later accepted that the X-ray of the chest was really part of the initial medical examination and a responsibility of the Health Department under the civilian medical board system. In <date when="1940-04">April 1940</date>, therefore, it was decided that all recruits should undergo the examination before they were called into camp, and arrangements were made by the Department of Health for this to be carried out at thirty-four hospitals, and the interpretation of the films made at the eleven largest hospitals. Thenceforth an X-ray examination of the chest was regarded as a routine for all recruits classified fit for active service. Army area officers made the best possible arrangements with the Medical Superintendents of hospitals, and every endeavour was made to have men who had to travel some distance
<pb n="31" xml:id="n31"/>
for medical examination X-rayed immediately after that examination, so as to avoid a second journey with consequent expense and loss of time. This system operated fairly efficiently, but for various reasons many recruits entered camp before being X-rayed.</p>
          <p rend="indent">The institution of an X-ray examination for all recruits from the Second Echelon onwards was the means of detecting tubercular cases who might otherwise have been passed as fit, but who would undoubtedly have broken down under active-service conditions. Doubtful cases were referred to specialist chest medical boards for diagnosis and decision regarding grading. Calculations in <date when="1940">1940</date> rated active or latent cases among recruits at about 1 per cent, with figures for Maoris higher than those for Europeans.</p>
          <p rend="indent">The army authorities arranged for lists of all recruits for <name key="name-004368" type="organisation">2 NZEF</name> to be supplied to the Health Department, and throughout the war officers of that department checked these lists to detect the names of those who were, or had been, on tuberculosis registers. Such recruits were specially examined.</p>
        </div>
        <div type="section" n="7" xml:id="c2-7">
          <head>
            <hi rend="i">Diet</hi>
          </head>
          <p rend="indent">At the outset of the war the New Zealand Army Board adopted the revised British Army war rations scale issued in <date when="1939-06">June 1939</date>, but with certain modifications to suit the New Zealander, such as butter in place of margarine, and more meat, cheese, and fresh vegetables. The diet was calculated by hospital dietitians, who found it adequate in protein, fat, and carbohydrates but lacking in minerals and vitamins B and C. On this basis the Director-General of Medical Services recommended certain adjustments in <date when="1939-10">October 1939</date>. The Nutrition Committee of the Medical Research Council, reporting separately in <date when="1939-12">December 1939</date>, made very similar suggestions.</p>
          <p rend="indent">As regards <name key="name-004368" type="organisation">2 NZEF</name> itself, a conference of the GOC <name key="name-004368" type="organisation">2 NZEF</name>, ADMS <name key="name-004368" type="organisation">2 NZEF</name>, DGMS and others on <date when="1939-12-27">27 December 1939</date> at Army Headquarters, <name key="name-008844" type="place">Wellington</name>, decided that for the diet on troopships the Australian schedule would be followed as a basis, it being recommended that the GOC be granted authority to increase diets when necessary. It was further decided that all army cooks would go to a school of cookery in <name key="name-002106" type="place">Egypt</name>, and that green vegetables and fruits for consumption in that country be sterilised by immersion in potassium permanganate. The standard British Army ration in <name key="name-002106" type="place">Egypt</name> was accepted with certain increases, the GOC being authorised to apply to the Treasury for permission to increase it further if necessary.</p>
          <p rend="indent">At this conference the medical officers were impressed with the obvious interest shown in the medical side by <name key="name-207994" type="person">General Freyberg</name>. It was clear from his remarks that he regarded the efficiency of the New Zealand Medical Corps as of the utmost importance, that he
<pb n="32" xml:id="n32"/>
was prepared to support the Medical Corps in all its requirements, and that he was keen to ensure the highest degree of hygiene in the force, including due attention to the quality and preparation of the food. The distinct impression of the medical officers was that the New Zealand Medical Corps was not going to be relegated to the background, but was expected to play a leading role in the campaigns of the Expeditionary Force. Throughout the war <name key="name-207994" type="person">General Freyberg</name> consistently displayed his emphasis on, and his appreciation of, medical arrangements.</p>
          <p rend="indent">Every effort was made to educate quartermasters and supply officers on the importance of modern diet standards and food values. On <date when="1940-03-09">9 March 1940</date> a conference of quartermasters and ASC supply officers from all camps throughout New Zealand was convened by the Quartermaster-General and presided over by the Director-General of Medical Services. The conference studied the three essential values of the diet of the soldier:</p>
          <list type="simple">
            <label>1.</label>
            <item>
              <p>The aperitif or psychological value, for which the cook and unit quartermaster were jointly responsible.</p>
            </item>
            <label>2.</label>
            <item>
              <p>The nutritional value, for which the supply officer, the quartermaster, and the medical officer were jointly responsible.</p>
            </item>
            <label>3.</label>
            <item>
              <p>The economic value, for which the supply officer and the purchasing board were jointly responsible.</p>
            </item>
          </list>
          <p rend="indent">Great interest was shown by all officers, and the practical result was a great improvement in the diet as regards food value and variety. Copies of menus were furnished regularly to the Director-General of Medical Services for his appreciation or criticism.</p>
          <p rend="indent">In <date when="1940-12">December 1940</date> the DGMS made strong recommendations for the appointment of a Director of Catering in order to provide a technical service to enable further improvements to be made in the dietary arrangements for the troops. This appointment was not made, although the <name key="name-021245" type="organisation">RNZAF</name> later had an efficient Food and Dietary Section with a Catering Director.</p>
        </div>
        <div type="section" n="8" xml:id="c2-8">
          <head>
            <hi rend="i">Appreciation of Hospital Requirements Overseas</hi>
          </head>
          <p rend="indent">Although the DGMS on <date when="1939-10-08">8 October 1939</date> in a medical appreciation of the First Echelon overseas (then planned to number 8000 troops) estimated the number of beds required for sickness cases if the echelon went to the <name key="name-005853" type="place">Middle East</name> as 800, with an increase to 1280 beds if the echelon went into action, no hospital unit was called up with the First Echelon to provide these beds. It was assumed that British military hospitals established in the <name key="name-005853" type="place">Middle East</name> would be able to serve the New Zealanders in the meantime. As it happened, when the First Echelon reached <name key="name-002106" type="place">Egypt</name> its sickness rate was not nearly as high as estimated, but nevertheless 4 Field Ambulance was called upon to run both a camp hospital and a
<pb n="33" xml:id="n33"/>
general hospital, and also provide medical services for its brigade group in the <name key="name-024430" type="place">Western Desert</name> later. The diversion of the Second Echelon to <name key="name-004019" type="place">England</name> was a complicating factor, but as events proved there was certainly a strong case for sending a hospital unit with the first troops proceeding overseas.</p>
          <p rend="indent">It must be admitted, however, that New Zealand had no medical equipment to send with hospital staffs, nor indeed with the field ambulances, a deplorable state of affairs for which the medical administrators were in no way responsible.</p>
          <p rend="indent">The tentative plans made on limited information by the DGMS on 8 October stated that ‘it may be necessary to have two small general hospitals, but this is a consideration which can and will be dealt with after the New Zealand Force arrives at the area of operations’. It was considered necessary to have a convalescent depot but not a casualty clearing station.</p>
          <p rend="indent">Following more definite information the DGMS was able, on <date when="1939-12-20">20 December 1939</date>, to reassess the hospital and medical requirements on the basis that there would be an initial expeditionary force of 6000 men, followed at intervals of about two months by two further echelons of 6000 men each; that the advanced New Zealand base would be in <name key="name-002106" type="place">Egypt</name>, 10,000 miles from New Zealand, and transport would be by sea; that medical units would be equipped on arrival overseas; that hospital and medical requirements would be essentially for the treatment, retention, and disposal of sick and wounded New Zealanders only; and that the force would be stationed in <name key="name-002106" type="place">Egypt</name> at least until the formation of the Division, that is, about five months. Taking these factors into consideration and estimating the wastage at 10 per cent of the force, the DGMS recommended that a general hospital of 600 beds, and a convalescent depot of 500 beds, should proceed overseas with the Second Echelon and a general hospital of 1200 beds with the Third Echelon. The first hospital could be expanded to 1200 beds if necessary. Apart from that, it was understood that a field ambulance would normally be called up with each echelon.</p>
        </div>
        <div type="section" n="9" xml:id="c2-9">
          <head>
            <hi rend="i">RAISING AND TRAINING OF MEDICAL UNITS</hi>
          </head>
          <div n="1" xml:id="c2-9-1">
            <head>
              <hi rend="i">4 Field Ambulance and 4 Field Hygiene Section</hi>
            </head>
            <p rend="indent">The medical units called up with other units of the First Echelon for entry into mobilisation camps in <date when="1939-10">October 1939</date> were 4 Field Ambulance and 4 Field Hygiene Section. From <date when="1939-10-04">4 October 1939</date> the main bodies of these units entered <name key="name-009235" type="place">Burnham</name> Camp, whither the advance party of officers and NCOs had proceeded on 26 and 27
<pb n="34" xml:id="n34"/>
September. These units were the normal field medical units for the brigade group of the First Echelon as a fighting force.</p>
            <p rend="indent">The officer appointed to command 4 Field Ambulance at <name key="name-009235" type="place">Burnham</name> was Lieutenant-Colonel <name key="name-027098" type="person">Will</name>,<note xml:id="ftn1-34" n="1"><p><name key="name-027098" type="person">Lt-Col J. H. Will</name>, ED; born <name key="name-120045" type="place">Scotland</name>, <date when="1883-02-01">1 Feb 1883</date>; medical practitioner; CO <name key="name-009615" type="organisation">4 Fd Amb</name> Oct 1939–Sep 1940; SMO <name key="name-004459" type="place">Ngaruawahia</name> Camp Sep 1941–Jan 1943; died, <name key="name-002817" type="place">Auckland</name>, <date when="1954-08-19">19 Aug 1954</date>.</p></note> and there were nine other medical officers and a quartermaster, a dental officer, and a chaplain with the unit. The NCOs were drawn mainly from 1, 2, and 3 Field Ambulances of the Territorial Force, in which the majority had seen several years' continuous service. They had attended courses of instruction, passed first-aid and nursing-orderly examinations, and were, on the whole, a very capable group. The main body of men was mostly without military or medical training. The men for 4 Field Hygiene Section were placed under the command of Lieutenant Wyn <name key="name-026922" type="person">Irwin</name>,<note xml:id="ftn2-34" n="2"><p><name key="name-026922" type="person">Maj B. T. Wyn Irwin</name>, m.i.d.; born <name key="name-007584" type="place">Christchurch</name>, <date when="1905-10-12">12 Oct 1905</date>; Medical Officer of Health, <name key="name-008844" type="place">Wellington</name>; OC <name key="name-027004" type="organisation">4 Fd Hyg Sec</name> Oct 1939–Sep 1941; OC <name key="name-004203" type="place">Maadi Camp</name> Hyg Sec Sep–Dec 1941; died (in NZ) <date when="1942-03-12">12 Mar 1942</date>.</p></note> who had been a district health officer.</p>
            <p rend="indent">Training consisted in instruction in first aid, the system of evacuation of casualties, the work of stretcher-bearers, clerical and nursing duties at advanced and main dressing stations, the recording of casualties, field cooking, and in hygiene methods used on field service. By the time final leave came in the last two weeks of December the original group had become an efficient unit.</p>
          </div>
          <div n="2" xml:id="c2-9-2">
            <head>
              <hi rend="i">Embarkation of First Echelon</hi>
            </head>
            <p rend="indent">In the advance party which left New Zealand on <date when="1939-12-11">11 December 1939</date> in SS <hi rend="i">Awatea</hi> were two men of 4 Field Ambulance, and they were joined in <name key="name-002106" type="place">Egypt</name> by Lieutenant <name key="name-027535" type="person">Harrison</name>,<note xml:id="ftn3-34" n="3"><p><name key="name-027535" type="person">Maj T. W. Harrison</name>, OBE, m.i.d.; Hanmer; born Dunedin, <date when="1912-05-09">9 May 1912</date>; medical practitioner; DADMS <name key="name-004368" type="organisation">2 NZEF</name> Jan–Mar 1940; Registrar <name key="name-023159" type="organisation">4 Gen Hosp</name> Jul–Oct 1940; <name key="name-009615" type="organisation">4 Fd Amb</name> Oct 1940–Sep 1942; surgeon 1 Mob CCS Sep 1942–Jul 1943; surgeon <name key="name-011449" type="organisation">3 Gen Hosp</name> Jul 1943–Jun 1944.</p></note> who had come from the <name key="name-029547" type="place">United Kingdom</name> and who became acting Deputy Assistant Director of Medical Services to the Expeditionary Force. The main embarkation of the First Echelon took place on <date when="1940-01-05">5 January 1940</date>. At <name key="name-029248" type="place">Lyttelton</name> 6 officers and 217 other ranks of 4 Field Ambulance and 1 officer and 28 other ranks of 4 Field Hygiene Section embarked on HMT <hi rend="i"><name key="name-207162" type="ship">Dunera</name></hi>. At Wellington other Medical Corps personnel, comprising Colonel K. <name key="name-005423" type="person">MacCormick</name>,<note xml:id="ftn4-34" n="4"><p><name key="name-005423" type="person">Brig K. MacCormick</name>, CB, CBE, DSO, ED, m.i.d.; <name key="name-002817" type="place">Auckland</name>; born <name key="name-002817" type="place">Auckland</name>, <date when="1891-01-13">13 Jan 1891</date>; surgeon; <name key="name-004367" type="organisation">1 NZEF</name> 1914–19: <name key="name-002106" type="place">Egypt</name>, <name key="name-026177" type="place">Gallipoli</name>, <name key="name-008009" type="place">France</name>–OC 2 Fd Amb Dec 1917–Jan 1918; DADMS 1 NZ Div Jan-Oct 1918; ADMS Northern Military District 1930-34; ADMS <name key="name-004368" type="organisation">2 NZEF</name> Jan–Oct 1940; DMS <name key="name-004368" type="organisation">2 NZEF</name> Oct 1940–May 1942, Sep 1942–Apr 1943.</p></note> Assistant Director of Medical Services to the Expeditionary Force, 8 regimental officers, 18 sisters of the <name key="name-029315" type="organisation">New Zealand Army Nursing Service</name>, and 4 medical officers and 12 nursing orderlies and dispensers from 4 Field Ambulance,
<pb n="35" xml:id="n35"/>
embarked on the <hi rend="i">Orion, <name key="name-207167" type="ship">Strathaird</name>, Empress of <name key="name-007274" type="place">Canada</name>, <name key="name-207163" type="ship">Rangitata</name></hi>, and <hi rend="i"><name key="name-207164" type="ship">Sobieski</name></hi>.</p>
            <p rend="indent">The regimental medical officers and nursing sisters were split up among the transports and were able to establish small ships' hospitals to attend to any sickness cases during the voyage. The convoy sailed on <date when="1940-01-06">6 January 1940</date>.</p>
          </div>
          <div n="3" xml:id="c2-9-3">
            <head>
              <hi rend="i">Medical Units with Second Echelon</hi>
            </head>
            <p rend="indent">To form the field medical unit for the Second Echelon the officers and NCOs of 5 Field Ambulance, under Lieutenant-Colonel <name key="name-005376" type="person">Kenrick</name>,<note xml:id="ftn1-35" n="1"><p><name key="name-005376" type="person">Brig H. S. Kenrick</name>, CB, CBE, ED, m.i.d., MC (Greek); <name key="name-002817" type="place">Auckland</name>; born <name key="name-120019" type="place">Paeroa</name>, <date when="1898-08-07">7 Aug 1898</date>; consulting obstetrician; <name key="name-004367" type="organisation">1 NZEF</name> 1916–19: infantry officer 4 Bn; CO <name key="name-009616" type="organisation">5 Fd Amb</name> Dec 1939–May 1940; acting ADMS <name key="name-004368" type="organisation">2 NZEF</name>, Jun–Sep 1940; ADMS 2 NZ Div Oct 1940–May 1942; DMS <name key="name-004368" type="organisation">2 NZEF</name> May–Sep 1942, Apr 1943–May 1945; Superintendent-in-Chief, Auckland Hospital Board.</p></note> commenced a course of training at <name key="name-009235" type="place">Burnham</name> on <date when="1939-12-08">8 December 1939</date>, concluding it on <date when="1940-01-06">6 January 1940</date>. Most of the officers and NCOs had had some years of territorial training. The main body of the unit began to arrive in camp on <date when="1940-01-10">10 January 1940</date>. Most of the men were new to medical work as well as to army life. Like 4 Field Ambulance before them, they were given training in all departments of field ambulance duties. Training was extended into April, pending the arrival of ships to take the Second Echelon overseas, and 5 Field Ambulance left <name key="name-009235" type="place">Burnham</name> for <name key="name-029248" type="place">Lyttelton</name> on 30 April to go by ferry to <name key="name-008844" type="place">Wellington</name>, where the unit embarked on HMT <hi rend="i"><name key="name-207155" type="ship">Aquitania</name></hi> on 1 May. The strength of the unit, including attached personnel, was 14 officers and 230 other ranks.</p>
            <p rend="indent">As planned, a general hospital staff was called up with the Second Echelon. The first members of 1 General Hospital began to assemble at <name key="name-001409" type="place">Trentham Camp</name> on <date when="1940-01-12">12 January 1940</date> under the command of Colonel <name key="name-023192" type="person">McKillop</name>.<note xml:id="ftn2-35" n="2"><p><name key="name-023192" type="person">Col A. C. McKillop</name>, m.i.d.; <name key="name-007584" type="place">Christchurch</name>; born <name key="name-120045" type="place">Scotland</name>, <date when="1885-03-09">9 Mar 1885</date>; Superintendent, Sunnyside Hospital, <name key="name-007584" type="place">Christchurch</name>; <name key="name-004367" type="organisation">1 NZEF</name>: medical officer, <name key="name-021537" type="place">Samoa</name>, <name key="name-002106" type="place">Egypt</name>, <name key="name-026177" type="place">Gallipoli</name>, 1914–16; CO <name key="name-011447" type="organisation">1 Gen Hosp</name> Jan 1940–Jun 1941; ADMS 3 Div (<name key="name-000854" type="place">Fiji</name>) Aug 1941–Jul 1942; ADMS 1 Div (NZ) Aug 1942–Mar 1943.</p></note> Only a few had had previous territorial training. Training consisted of squad and company drill, first aid, bandaging, and stretcher drill, while as many men as possible were employed in rotation at the camp hospital where they were given lectures by sisters of the <name key="name-023814" type="organisation">NZANS</name>. The hospital's establishment provided for specialists in the different branches of medicine and surgery. In addition to experienced general physicians and surgeons there was a specialist in tropical medicine, an orthopaedic surgeon, an eye and ENT surgeon, and an anaesthetist.</p>
            <p rend="indent">Embarkation on the <hi rend="i">Empress of <name key="name-005976" type="place">Britain</name></hi> took place on the night of 1 May at <name key="name-008844" type="place">Wellington</name>. Small sections of medical officers and sisters were detached to provide medical services on the sister ships of
<pb n="36" xml:id="n36"/>
the convoy-<hi rend="i"><name key="name-207155" type="ship">Aquitania</name>, Empress of <name key="name-002006" type="place">Japan</name></hi>, and <hi rend="i"><name key="name-110454" type="ship">Andes</name></hi>. The unit's total strength was 21 officers, 37 sisters, and 145 other ranks.</p>
            <p rend="indent">The staff of <name key="name-027002" type="organisation">1 Convalescent Depot</name> was assembled at <name key="name-026686" type="place">Trentham</name> at the same time as that of 1 General Hospital and underwent the same training. They were originally under the command of Lieutenant-Colonel <name key="name-002694" type="person">Spencer</name>,<note xml:id="ftn1-36" n="1"><p><name key="name-002694" type="person">Col F. M. Spencer</name>, OBE, m.i.d.; born <name key="name-021414" type="place">Rotorua</name>, <date when="1893-10-03">3 Oct 1893</date>; medical practitioner; <name key="name-004367" type="organisation">1 NZEF</name>: NCO NZMC <date when="1914">1914</date>, medical officer 1918–19, <name key="name-011447" type="organisation">1 Gen Hosp</name>, 1 Fd Amb, 1 Bn Canterbury Regt; CO <name key="name-011448" type="organisation">2 Gen Hosp</name> Apr 1940-Jun 1943; died, <name key="name-025395" type="place">North Africa</name>, <date when="1943-06">Jun 1943</date>.</p></note> but on the eve of sailing Colonel Spencer was given command of 2 General Hospital and Lieutenant-Colonel <name key="name-026779" type="person">Boag</name><note xml:id="ftn2-36" n="2"><p><name key="name-026779" type="person">Lt-Col N. F. Boag</name>, ED; <name key="name-007584" type="place">Christchurch</name>; born Leeston, <date when="1897-08-13">13 Aug 1897</date>; medical practitioner; CO <name key="name-029279" type="organisation">1 Conv Depot</name> Mar–Dec 1940.</p></note> took his place. The convalescent depot also embarked at <name key="name-008844" type="place">Wellington</name> on the evening of <date when="1940-05-01">1 May 1940</date>, its ship being the <hi rend="i">Empress of <name key="name-002006" type="place">Japan</name></hi>. Its strength was 5 officers and 49 other ranks.</p>
          </div>
          <div n="4" xml:id="c2-9-4">
            <head>
              <hi rend="i">Medical Units with Third Echelon</hi>
            </head>
            <p rend="indent">On <date when="1940-02-01">1 February 1940</date> there began at <name key="name-009235" type="place">Burnham</name> Camp a training course for the NCOs of the field medical unit to accompany the Third Echelon. It was attended by twenty-five men. Practically all of them were raw recruits who (unlike 4 and 5 Field Ambulance NCOs) had not had any territorial training.</p>
            <p rend="indent">The Commanding Officer of 6 Field Ambulance, Lieutenant-Colonel Bull, entered camp at <name key="name-009235" type="place">Burnham</name> on 2 April and other officers arrived on 16 April. The main body of 6 Field Ambulance was mobilised on 15 May and entered on a comprehensive scheme of training, which culminated in combined exercises with infantry battalions and the construction of a large underground dressing station.</p>
            <p rend="indent">With a total strength of 234, the unit embarked with other units of the Third Echelon at <name key="name-029248" type="place">Lyttelton</name> on 27 August, its ship being the <hi rend="i"><name key="name-207157" type="ship">Orcades</name></hi>. Other ships embarking troops at <name key="name-008844" type="place">Wellington</name> were the <hi rend="i"><name key="name-207156" type="ship">Mauretania</name></hi> and <hi rend="i">Empress of <name key="name-002006" type="place">Japan</name></hi>.</p>
            <p rend="indent">Officers and prospective NCOs for 2 General Hospital entered <name key="name-001409" type="place">Trentham Camp</name> on 17 April, to be followed by the main body of the unit a month later. The standardised medical training was carried out, with the addition that nursing orderlies received training in the Wellington Public Hospital as well as at the camp hospital. Colonel F. M. Spencer was its commanding officer.</p>
            <p rend="indent">Embarkation on the <hi rend="i"><name key="name-207156" type="ship">Mauretania</name></hi> took place at <name key="name-008844" type="place">Wellington</name> on <date when="1940-08-27">27 August 1940</date>, and the unit strength was 18 officers (including the chaplain), 39 nursing sisters, and 148 other ranks. The convoy carrying the Third Echelon sailed for <name key="name-002106" type="place">Egypt</name> on 28 August and there linked up with the First Echelon. The Second Echelon was still in <name key="name-004019" type="place">England</name>.</p>
            <pb n="37" xml:id="n37"/>
          </div>
          <div n="5" xml:id="c2-9-5">
            <head>
              <hi rend="i">3 General Hospital (4th Reinforcements)</hi>
            </head>
            <p rend="indent">After tentative plans made earlier in <date when="1940">1940</date> for the mobilisation of a third general hospital had been cancelled, representations from <name key="name-207994" type="person">General Freyberg</name> in <date when="1940-09">September 1940</date> led to the calling-up of 3 General Hospital in October. The Commanding Officer, Colonel <name key="name-026893" type="person">Gower</name>,<note xml:id="ftn1-37" n="1"><p><name key="name-026893" type="person">Brig G. W. Gower</name>, CBE, ED, m.i.d.; <name key="name-120018" type="place">Hamilton</name>; born <name key="name-036071" type="place">Invercargill</name>, <date when="1887-04-15">15 Apr 1887</date>; surgeon; <name key="name-004367" type="organisation">1 NZEF</name> 1915–19: medical officer 133 Br Fd Amb, <date when="1915">1915</date>, <name key="name-011447" type="organisation">1 Gen Hosp</name> 1916–18; surgeon, Christchurch Military Hospital, <date when="1919">1919</date>; CO <name key="name-011449" type="organisation">3 Gen Hosp</name> Oct 1940–May 1945; DMS <name key="name-004368" type="organisation">2 NZEF</name> May–Oct 1945.</p></note> entered <name key="name-001409" type="place">Trentham Camp</name> on 27 October and the rest of the unit arrived in the next three days.</p>
            <p rend="indent">The <name key="name-004615" type="organisation">4th Reinforcements</name> then in camp embarked in three separate sections, and according to the usual practice a medical officer and a few orderlies were sent with each departing transport. No. 3 General Hospital embarked on the <hi rend="i">Nieuw Amsterdam</hi> with the third section of the <name key="name-004615" type="organisation">4th Reinforcements</name> on <date when="1941-02-01">1 February 1941</date>, the number embarking being 14 officers (including a dental officer and a chaplain), 48 sisters, and 143 other ranks.</p>
            <p rend="indent">After the departure of 3 General Hospital no further medical units were formed in New Zealand to extend the medical services of <name key="name-004368" type="organisation">2 NZEF</name> in the <name key="name-005853" type="place">Middle East</name>. Other units, notably the Casualty Clearing Station, were established in the <name key="name-005853" type="place">Middle East</name>. This enabled full use to be made of the capable officers and men who already had considerable experience of overseas conditions.</p>
            <p rend="indent">Medical reinforcements from New Zealand proceeded overseas with each general reinforcement and also on HS <hi rend="i"><name key="name-120091" type="place">Maunganui</name></hi>.</p>
          </div>
          <div n="6" xml:id="c2-9-6">
            <head>
              <hi rend="i">First Echelon—Voyage to <name key="name-005853" type="place">Middle East</name></hi>
            </head>
            <p rend="indent">Of the six transports selected to convey the First Echelon overseas, five were passenger liners and one a regular army troopship. The liners were the <hi rend="i">Orion, <name key="name-207167" type="ship">Strathaird</name>, Empress of <name key="name-007274" type="place">Canada</name>, <name key="name-207163" type="ship">Rangitata</name></hi>, and <hi rend="i"><name key="name-207164" type="ship">Sobieski</name></hi> and the troop transport the <hi rend="i"><name key="name-207162" type="ship">Dunera</name></hi>. Except on the troopship, most of the troops were quartered in cabins, the regular passenger accommodation being augmented in some cases by extra berths in the larger cabins. In general, most of the troops on the passenger liners, with the possible exception of those in the holds, travelled with all the usual comforts and facilities afforded the peacetime tourist. (This was not the case for later reinforcement drafts.) In the <hi rend="i"><name key="name-207162" type="ship">Dunera</name></hi> the troops were not so fortunate. This ship was a specially constructed troop transport, used before the war to take drafts of British troops to Indian and Eastern stations. Cabins were allotted to officers and senior NCOs, but all other ranks were quartered in troop-decks.</p>
            <p rend="indent">On all transports the health of the troops throughout the voyage was good. Each troopship carried at least one medical officer, three
<pb n="38" xml:id="n38"/>
nursing sisters, and a number of medical orderlies to staff the ship's hospital. During the voyage all personnel were vaccinated. The men were done in small batches so as not to interfere unduly with training and ship's fatigues. In addition, there were a number of TAB inoculations of men not done in camp.</p>
            <p rend="indent">Seven major operations were performed on the <hi rend="i"><name key="name-207164" type="ship">Sobieski</name></hi>—five of them for removal of appendix. On the <hi rend="i"><name key="name-207167" type="ship">Strathaird</name></hi> a successful operation for the opening up of a mastoid was performed with the aid of an electric drill borrowed from the ship's engineering staff and two carpenter's chisels.</p>
            <p rend="indent">Ships' hospitals, although considered small should any epidemics have occurred, were sufficient for the voyage. The most common illnesses experienced on board were tonsillitis, mild influenza, measles, and diarrhoea. Preventive ablution centres were established at ports of call, regular medical inspections of troops were carried out, and some cases of venereal disease treated. In addition, medical officers gave frequent lectures on health precautions in the tropics, personal hygiene, and on conditions in <name key="name-002106" type="place">Egypt</name>.</p>
            <p rend="indent">An epidemic of acute diarrhoea of unknown causation occurred on the <hi rend="i"><name key="name-207162" type="ship">Dunera</name></hi>. An interesting feature on this ship was the apparatus for manufacturing ‘eusol’ in bulk from sea-water by electrolysis. This solution was used for the daily scrubbing of troop-decks, mess tables, latrines, etc.</p>
            <p rend="indent">Shortages of medical equipment, particularly of instruments necessary for a major surgical operation, were frequently commented on in voyage reports from each transport, but no serious difficulty ever arose. The chief needs included drugs, nursing equipment, sterilisers, and surgical instruments; stretchers, splints, and bandages were also needed for training hospital staffs, and additional fittings were required in ships' hospitals.</p>
            <p rend="indent">Ventilation on the transports suffered, particularly at night, because of the necessity of keeping hatches and portholes closed and doors opening on to the decks covered with heavy blackout curtains. With natural ventilation thus reduced to a minimum, temperatures below decks at night were high, those taken at midnight on one occasion on the <hi rend="i"><name key="name-207164" type="ship">Sobieski</name></hi> ranging from 90 to 93 degrees Fahrenheit. Recommendations were made by the medical officer of this ship that hatches should be partially removed at nights and protective devices erected to comply with the blackout; also that screens should be built outside all doors leading on to decks to allow them to be left open at nights without the danger of lights showing.</p>
            <p rend="indent">The convoy reached <name key="name-004572" type="place">Port Tewfik</name><!-- Tewfik, Port --> on 12 February after calling at <name key="name-000951" type="place">Fremantle</name> and <name key="name-000772" type="place">Colombo</name>, and the troops disembarked and proceeded to <name key="name-004203" type="place">Maadi Camp</name> on the following two days.</p>
            <pb n="39" xml:id="n39"/>
          </div>
          <div n="7" xml:id="c2-9-7">
            <head>
              <hi rend="i">Second Echelon—Voyage to <name key="name-029547" type="place">United Kingdom</name></hi>
            </head>
            <p rend="indent">The ships which conveyed the Second Echelon overseas were the <hi rend="i">Empress of <name key="name-005976" type="place">Britain</name>, <name key="name-207155" type="ship">Aquitania</name>, Empress of <name key="name-002006" type="place">Japan</name></hi>, and <hi rend="i"><name key="name-110454" type="ship">Andes</name></hi>. These were all passenger liners. The convoy, which sailed on <date when="1940-05-02">2 May 1940</date>, was joined off the coast of <name key="name-008963" type="place">Australia</name> by other ships. Its destination was ostensibly the <name key="name-005853" type="place">Middle East</name>, though there was still some doubt about this at the time of its departure. When the convoy was proceeding towards <name key="name-000772" type="place">Colombo</name> from <name key="name-000951" type="place">Fremantle</name> on 15 May its course was changed to take it to <name key="name-012264" type="place">Capetown</name> and thence to the <name key="name-029547" type="place">United Kingdom</name>. The <name key="name-029547" type="place">United Kingdom</name> Government's War Cabinet had decided that, in view of the anticipated declaration of war by <name key="name-001383" type="place">Italy</name>, it would be inadvisable for the convoy to continue to the <name key="name-005853" type="place">Middle East</name>.</p>
            <p rend="indent">As with the First Echelon, medical officers, nursing sisters, and orderlies were posted to each ship to staff ships' hospitals and give medical treatment. The wearing of rubber-soled tennis shoes on transports was a source of trouble, just as it had been with the previous echelon. The medical officers of the First Echelon had recommended sandals but the Defence Purchase Division, on the score of cost, and also because of the lack of suitable leather, decided against any change.<note xml:id="ftn1-39" n="1"><p>Leather sandals were issued for use on shipboard from <date when="1941">1941</date> and also for use overseas later.</p></note> Foot troubles were the inevitable consequence, in spite of precautions, in this and succeeding drafts going overseas. Besides developing fungoid infections on the feet, troops also found difficulty in getting their feet used to army boots after being some weeks on board ship, and after the first few route marches overseas, the number of cases reporting sick with blistered feet was very high.</p>
            <p rend="indent">Ship's hospital accommodation proved adequate on all ships in spite of upper respiratory infection, common in the camps in New Zealand, being prevalent aboard. Among these cases a gradual progressive increase in severity was noted and the onset of broncho-pneumonia was not unusual. The isolation hospitals for treatment of venereal disease also had a small number of patients. German measles broke out on some of the ships, its incubation period corresponding with infection arising at <name key="name-000951" type="place">Fremantle</name>. Its incidence was much higher on the Australian than the New Zealand ships. Lack of space prevented quarantine measures and further cases developed after disembarkation.</p>
            <p rend="indent">Medical supplies generally were adequate, although demands for particular drugs called for their replenishment at <name key="name-000951" type="place">Fremantle</name> and <name key="name-012264" type="place">Capetown</name>. Plaster-of-paris bandages on the <hi rend="i">Empress of <name key="name-005976" type="place">Britain</name></hi> were found to be useless, the tins being obviously many years old. Medical equipment was incomplete in important details, but medical officers were able to remedy the deficiencies from their personal instruments.</p>
            <p rend="indent">As the convoy drew near to Great Britain in <date when="1940-06">June 1940</date> at the
<pb n="40" xml:id="n40"/>
time of <name key="name-003521" type="place">Dunkirk</name>, first-aid posts were established at strategic points on the ships and surgical teams appointed to act in the case of enemy air attacks, but fortunately no such emergency arose.</p>
          </div>
          <div n="8" xml:id="c2-9-8">
            <head>
              <hi rend="i">Third Echelon—Voyage to <name key="name-005853" type="place">Middle East</name></hi>
            </head>
            <p rend="indent">The Third Echelon embarked for the <name key="name-005853" type="place">Middle East</name> on <date when="1940-08-27">27 August 1940</date> on the <hi rend="i"><name key="name-207156" type="ship">Mauretania</name>, Empress of <name key="name-002006" type="place">Japan</name></hi>, and <hi rend="i"><name key="name-207157" type="ship">Orcades</name></hi>. While the accommodation in the <hi rend="i"><name key="name-207156" type="ship">Mauretania</name></hi> and the <hi rend="i"><name key="name-207157" type="ship">Orcades</name></hi> was good, in the other ship a degree of overcrowding made conditions unpleasant.</p>
            <p rend="indent">The medical arrangements for the Third Echelon were similar to those of the two preceding echelons. Influenza, measles, and mumps were the main causes of hospitalisation but in no case was the incidence serious. The medical officers on the transports were united in their recommendations that inoculations and vaccinations should be completed prior to embarkation. Where the troops were accommodated in hammocks their sore arms caused great discomfort and severe vaccine reactions were suffered by numbers of troops in the tropics.</p>
            <p rend="indent">At <name key="name-013389" type="place">Bombay</name> on 16 September 6 Field Ambulance was disembarked and 2 General Hospital was transferred to the <hi rend="i"><name key="name-207169" type="ship">Ormonde</name></hi>. The troops who were disembarked found themselves submitted to considerable inconvenience and trying conditions in <name key="name-013389" type="place">Bombay</name> and <name key="name-026103" type="place">Deolali</name>. Sixth Field Ambulance eventually reached <name key="name-001387" type="place">Port Said</name> on 26 October after travelling from <name key="name-005952" type="place">India</name> on a most unhygienic ship called the <hi rend="i">Felix Roussel</hi>. In the <name key="name-001311" type="place">Red Sea</name> the convoy was attacked by Italian planes but without serious damage resulting, and the <hi rend="i">Felix Roussel</hi> was subjected to a further harmless attack while at <name key="name-026549" type="place">Port Sudan</name>.</p>
          </div>
        </div>
      </div>
      <pb n="41" xml:id="n41"/>
      <div type="chapter" n="3" xml:id="c3">
        <head>CHAPTER 3<lb/>
Medical Arrangements in Egypt and <name key="name-004019" type="place">England</name>, <date when="1940">1940</date></head>
        <div type="section" xml:id="c3-0">
          <p rend="indent">In Egypt the first tasks for the Medical Corps were the planning of hygiene services to ensure good health among the New Zealand troops in a country totally different from New Zealand, and the provision of hospital services for the sickness and accident cases bound to arise in the best of conditions among any large body of men. For this important work there was sent overseas with the First Echelon an Assistant Director of Medical Services,<note xml:id="ftn1-41" n="1"><p>This appointment of ADMS NZ Division was changed to <name key="name-028893" type="organisation">DDMS</name> <name key="name-004368" type="organisation">2 NZEF</name> and then DMS <name key="name-004368" type="organisation">2 NZEF</name> as the size of the New Zealand Force grew.</p></note> Colonel K. MacCormick, and 18 sisters of <name key="name-023814" type="organisation">NZANS</name>; 4 NZ Field Ambulance, comprising 9 medical officers, a quartermaster, and 171 men; and 4 NZ Field Hygiene Section, including 1 medical officer and 28 men. (Also attached to 4 Field Ambulance were a chaplain, an ASC officer and 56 drivers, 2 dental officers, and 6 dental mechanics.)</p>
          <p rend="indent">Colonel MacCormick arrived in <name key="name-002106" type="place">Egypt</name> from <name key="name-008850" type="place">Sydney</name> by air on <date when="1940-01-22">22 January 1940</date>, Lieutenant T. W. Harrison had arrived from the <name key="name-029547" type="place">United Kingdom</name> on 5 January, and two men of 4 Field Ambulance had reached <name key="name-002106" type="place">Egypt</name> with the advanced overseas party on 7 January. The remainder of 4 Field Ambulance travelling with the First Echelon arrived at <name key="name-004203" type="place">Maadi Camp</name> on 13–14 February.</p>
          <p rend="indent">The planning of the medical arrangements for the overseas force was partly carried out in New Zealand. <name key="name-207994" type="person">General Freyberg</name> had held a conference with the senior medical officers in <name key="name-008844" type="place">Wellington</name> on <date when="1939-12-27">27 December 1939</date> to consider matters of special importance to the health of the troops in <name key="name-002106" type="place">Egypt</name>. It was fortunate that the senior officers, including the DGMS, Brigadier Bowerbank, and ADMS, Colonel MacCormick, had had previous experience of army conditions in <name key="name-002106" type="place">Egypt</name> during the First World War. The questions of diet and hygiene were especially discussed and agreement reached on preventive measures against the endemic diseases. Colonel MacCormick, accompanying the GOC, had made investigations in <name key="name-008963" type="place">Australia</name> and had studied an account by Castellani on the Italian medical services
<pb n="42" xml:id="n42"/>
in <name key="name-020117" type="place">Abyssinia</name>. He incorporated some of Castellani's methods in hygiene regulations which he drew up for the force in <name key="name-002106" type="place">Egypt</name>. A special circular was issued by Headquarters 2 NZ Division setting out in complete detail the instructions regarding hygiene and sanitation. Strong emphasis was placed on the responsibility of commanding officers to ensure that the regulations were promulgated orally to the men and that they were subsequently enforced.</p>
        </div>
        <div type="section" n="1" xml:id="c3-1">
          <head>
            <hi rend="i">
              <name key="name-004203" type="place">Maadi Camp</name>
            </hi>
          </head>
          <p rend="indent">On arrival, the ADMS found that the site chosen for the Base Camp was in the desert east of <name key="name-004262" type="place">Maadi</name>, eight miles up the <name key="name-120039" type="place">Nile</name> from <name key="name-003601" type="place">Cairo</name>, where a British garden suburb had been laid out very attractively since the First World War. The camp overlooked the <name key="name-120039" type="place">Nile</name> valley and was sited on an extensive empty area of raised rocky plateau which was covered by only a thin layer of sand. The site was an excellent one, much superior to the site at <name key="name-029581" type="place">Zeitoun</name> occupied by <name key="name-004367" type="organisation">1 NZEF</name> in the 1914–18 War. Except on the side nearest the river, where <name key="name-004262" type="place">Maadi</name> township lay, there were no inhabited areas anywhere near the camp and there was plenty of room for expansion.</p>
          <p rend="indent">The New Zealand troops came under command of HQ BTE (British Troops in <name key="name-002106" type="place">Egypt</name>), and the special services of that command, as well as its knowledge and experience of local conditions, were made freely available.</p>
          <p rend="indent">Already preparations were well ahead, and British and Indian engineers employing Egyptian labour had laid out the camp. Seven miles of tarmac road, six miles of water mains, and more than four miles of drains had been laid down. More than 150 huts had been built to provide cookhouses, messrooms, canteens, and shower-houses, though all the huts were not completed. Colonel MacCormick reported that the camp was only half finished when the troops arrived, and that, under these conditions, it was impossible to carry out fully many of the necessary health precautions. Accommodation for personnel was provided in tents, which were very difficult to erect because of the hard ground. The troops, wearing serge on disembarkation, arrived at <name key="name-006674" type="place">Suez</name> and reached <name key="name-004262" type="place">Maadi</name> by train, and were welcomed into their camp by details from British units who had made preparations, including the provision of a meal, for their arrival. The sick cases which required hospital care were transferred to a British hospital at <name key="name-015263" type="place">Moascar</name>, and the eighteen nursing sisters were sent to 2/10 British General Hospital at <name key="name-009430" type="place">Helmieh</name>. Fortunately, the force arrived during the most healthy period of the year.</p>
          <p rend="indent">Shortly after the echelon arrived the ADMS gave a lecture to the commanding officers and the medical officers on important aspects of hygiene, disease, and sanitation. He pointed out the necessity for taking every health precaution because of the very low standard
<pb n="43" xml:id="n43"/>
of cleanliness and sanitation of the fellahin and the prevalence of dust and flies, the plagues of <name key="name-002106" type="place">Egypt</name>. Many diseases were endemic and widespread, though the local inhabitants had developed a high immunity to many of them. Troops, especially New Zealand troops, on their arrival in the country were very susceptible to these diseases, above all to dysentery. The medical arrangements that were instituted to safeguard the health of the troops and the special problems encountered will be considered in appropriate sections.</p>
        </div>
        <div type="section" n="2" xml:id="c3-2">
          <head>
            <hi rend="i">Water</hi>
          </head>
          <p rend="indent">The camp water supply came from the <name key="name-120039" type="place">Nile</name>. The water was sedimented, filtered, chlorinated, and then detasted, and was considered safe from all diseases except bilharzia, of which there were no reported cases in <name key="name-004262" type="place">Maadi</name> town. Water had been laid on throughout the camp at numerous water points for cookhouses, for washing, and for showers. Altogether, 20 gallons per head a day was available for camp use. On test the water at the camp was found at first to contain bacillus coli in considerable concentration, though at the <name key="name-004262" type="place">Maadi</name> supply point none was found. Various sources of contamination were gradually eliminated, such as the use of contaminated dip-sticks by natives in charge of the pumping plant and, later, seepage from the evaporating pans through faulty pipe junctions into the water pipes, some of which were found to run beneath the pans. Measures were taken to prevent the contamination, and the camp water points were put under constant check and supervision by the Hygiene Section. When unit water-tank trucks were issued some weeks after arrival, rechlorination was carried out. Tests then were satisfactory. (The standard method of sterilisation in the field was by clarification, superchlorination with water sterilising powder, and dechlorination with taste-remover tablets (two tablets per 100 gallons of water chlorinated). Owing to the presence of schistosomiasis (bilharzia) in the <name key="name-005853" type="place">Middle East</name>, the minimum period required for sterilisation before the addition of the taste-remover tablets was half an hour but a period of several hours was preferred.)</p>
          <p rend="indent">As an added health precaution, in April the Hygiene Section emptied, cleaned, sterilised, and refilled the reservoirs at <name key="name-004262" type="place">Maadi</name> from which the camp supply was drawn. A guard was placed over the reservoirs. Further poor water tests led to covering of the reservoirs with concrete roofs.</p>
        </div>
        <div type="section" n="3" xml:id="c3-3">
          <head>
            <hi rend="i">Maadi Swimming Bath</hi>
          </head>
          <p rend="indent">The construction of a large swimming bath on the outskirts of the town of <name key="name-004262" type="place">Maadi</name> beyond the confines of the camp was commenced before the troops arrived. The bath was considered desirable both as
<pb n="44" xml:id="n44"/>
a health measure and as an attraction to keep the men out of <name key="name-003601" type="place">Cairo</name>, with its temptations and infectious diseases. The bath was excavated and lined with concrete and the water obtained from the town supply. It was opened for use on <date when="1940-04-07">7 April 1940</date>, and it proved of great value and was very popular throughout the whole period of the war.</p>
          <p rend="indent">A high incidence of infection of the nasal sinuses and of the ears was present in the force during the North African campaign, and the swimming bath was held responsible for many of the cases. Tests showed that, although the water in the bath was changed daily, there was a high bacterial count in samples taken towards the evening. The bath water was therefore chlorinated from <date when="1940-06-08">8 June 1940</date>. Regulations were also promulgated forbidding diving, ducking, and underwater swimming; these proved very difficult to enforce. All men suffering from any of the following diseases were forbidden to bathe in any swimming bath, civil or military: (1) Diseases of the skin or scalp; (2) venereal diseases in an infective stage; (3) infectious diseases of the ear, or with evidence of previous ear disease; (4) convalescents from enteric or dysentery until certified free from infection; and (5) nasal infections. Men with infections of the ear were also debarred from swimming in the sea.</p>
          <p rend="indent">Efforts were made at different periods to ensure that all troops were taught swimming. There can be no doubt that the bath contributed much to the health and happiness of the men.</p>
        </div>
        <div type="section" n="4" xml:id="c3-4">
          <head>
            <hi rend="i">Showers</hi>
          </head>
          <p rend="indent">Shower-houses with concrete floors were constructed in the different areas of the camp. At first only cold water was available, but later arrangements were made for the supply of a limited amount of hot water, especially in the colder weather. The cleansing of the floor boards with antiseptics to prevent the spread of tinea was regularly carried out.</p>
        </div>
        <div type="section" n="5" xml:id="c3-5">
          <head>
            <hi rend="i">Washing</hi>
          </head>
          <p rend="indent">In each unit area water was piped to wooden stands for ablutions. Washing of clothes was also carried out here, but it was found necessary to prohibit this owing to the added demands on the water supply and drainage systems.</p>
        </div>
        <div type="section" n="6" xml:id="c3-6">
          <head>
            <hi rend="i">Laundry</hi>
          </head>
          <p rend="indent">A camp laundry was built capable of dealing with the clothing of a thousand men a day and a contract made with an Egyptian to operate the laundry. Operations commenced within nine days of the
<pb n="45" xml:id="n45"/>
arrival of the force, although the construction was not yet complete and grease traps and drainage were unfinished. The Hygiene Section gave very necessary supervision over the cleanliness, disinfestation, and standard of work of the native staff of the laundry.</p>
          <p rend="indent">Each unit was able to arrange for washing twice a week and lists were carefully drawn up and checked, each man's garments being indelibly marked with name and number. The contractor was held responsible for losses and damage. The laundry was available to officers at a small charge, but private laundries in <name key="name-004262" type="place">Maadi</name> township were also patronised.</p>
        </div>
        <div type="section" n="7" xml:id="c3-7">
          <head>
            <hi rend="i">General Precautions</hi>
          </head>
          <p rend="indent">Medical instructions given prominence in early unit routine orders for this period included the prohibition, because of bilharzia, of bathing in the <name key="name-120039" type="place">Nile</name> or wading in any canal or pool, warnings against sunbathing and tattooing, the precautions to be taken against contracting chills, and the holding of compulsory shower parades. Blankets were to be aired regularly by being spread out in the sunshine along the ridgepoles and sides of tents. Other orders detailed the scrubbing of tables in messrooms, the duties of sanitary police, and cleanliness in unit lines.</p>
        </div>
        <div type="section" n="8" xml:id="c3-8">
          <head>
            <hi rend="i">Food</hi>
          </head>
          <p rend="indent">Careful thought was given to the determination of a suitable ration for the troops in <name key="name-002106" type="place">Egypt</name> and the matter was discussed in New Zealand during <name key="name-207994" type="person">General Freyberg</name>'s visit before the First Echelon left. The Australian ration was agreed to for use on the transports, but more butter was to be provided in place of part of the cheese ration. It was agreed that the British Army ration in <name key="name-002106" type="place">Egypt</name>, with certain additions, was suitable. It was held that a minimum of two ounces of butter was desirable and that ice-cream should be provided. In Egypt the army ration was found to be adequate and satisfactory for New Zealand troops after some slight adjustments had been made. The alterations in the ration were that the jam ration was increased from one to two ounces, cheese reduced from 1 oz. to ½ oz., tea from ¾ to ½ oz.; herrings were deleted, and butter 2 oz. was substituted for margarine 1 ½ oz. A cash allowance of one penny a man a day was also allowed for extra purchases of fresh foods. Some fresh meat was obtained by utilising buffalo beef. Eggs were available and were added to the ration early in <date when="1941">1941</date>, instead of, as previously, being purchased out of the cash allowance. Both the jam and butter rations were earlier reduced to 1 ½ oz. This was done to ensure that our troops did not have any advantage over the British troops.<note xml:id="ftn1-45" n="1"><p>See <ref type="appendix" target="#c3-55">Appendix A</ref> to this chapter.</p></note></p>
          <pb n="46" xml:id="n46"/>
          <p rend="indent">Alterations in the basic ration were made from time to time so as to substitute local products for overseas supplies and thus save valuable shipping space. This especially referred to meat, eggs, fish, vegetables, and fruit.</p>
          <p rend="indent">When operating away from the base camps the troops were put on a field ration and the penny-a-day supplementation was discontinued. Special provision was made for such items as dried fruits, ground nuts, boiled sweets, chocolate, and tinned fish, and ascorbic acid tablets, marmite, and cocoa were added.</p>
          <p rend="indent">The danger of infection from food obtained from civilian sources was stressed before the troops landed in <name key="name-002106" type="place">Egypt</name> and was the subject of repeated lectures and army orders, both before and after their arrival in <name key="name-004203" type="place">Maadi Camp</name>. The lack of ordinary cleanliness and hygiene throughout the native population made it inevitable that all food and drink except that obtained in first-class European establishments should be suspect, and the troops were warned against eating any food or drinking anywhere else, especially from itinerant vendors, who were banned from the camps. The troops were advised not to eat any fruit without a thick skin and to wash the fruit in a disinfectant beforehand. Melons were also suspect and at first prohibited. Uncooked vegetables were soaked in permanganate solution or dipped in boiling water for 30 seconds before eating, and they were seldom provided for the troops. The native methods of cultivation made their contamination a certainty.<note xml:id="ftn1-46" n="1"><p>See <ref type="appendix" target="#c3-56">Appendix B</ref> to this chapter.</p></note></p>
          <p rend="indent">Most fresh food was cooked and eaten within twenty-four hours and when kept in the cookhouses was protected by wire netting or muslin shields. In the cookhouses a special room was set aside for meat. Storerooms were provided with safes for such articles as butter, jam, and milk and also for vegetables. The type of building erected for cookhouses and the material used made it almost impossible to keep them completely free of flies.</p>
        </div>
        <div type="section" n="9" xml:id="c3-9">
          <head>
            <hi rend="i">Cooks</hi>
          </head>
          <p rend="indent">The importance of good cooking was not overlooked. Cooks chosen for the First Echelon were given courses of training at the <name key="name-026686" type="place">Trentham</name> school of cookery. In Egypt arrangements were made for the training of New Zealand cooks at the army school of cookery, <name key="name-003601" type="place">Cairo</name>. Also, the services of an NCO of 7 British Armoured Division were obtained as an instructor to <name key="name-004368" type="organisation">2 NZEF</name> under the officer commanding the Divisional Supply Column. The GOC instructed that a <name key="name-004368" type="organisation">2 NZEF</name> cookery school be established on the lines of the successful school at <name key="name-002775" type="place">Aldershot</name>. Arrangements were then made with the War Office, <name key="name-008904" type="place">London</name>, for four NCOs to be seconded to <name key="name-004368" type="organisation">2 NZEF</name> to
<pb n="47" xml:id="n47"/>
form the nucleus of an adequate cookery school. The NCOs accompanied Second Echelon troops from <name key="name-004019" type="place">England</name> to <name key="name-002106" type="place">Egypt</name>. A building suitable for training purposes was erected at <name key="name-004203" type="place">Maadi Camp</name> and new plant was installed. Thus reorganised and expanded, the NZEF cookery school was able to put cooks through proper training and testing. From <date when="1941-02">February 1941</date> all cooks had to be qualified at either the NZEF school or the <name key="name-005853" type="place">Middle East</name> school before being granted extra-duty pay. It was calculated at the time that the extra-duty pay for cooks would amount to £30,000 per annum when <name key="name-004368" type="organisation">2 NZEF</name> was at full strength. All aspects of cooking, including cooking under normal and abnormal camp conditions and the construction of improvised cookers, were included in the course, which lasted two months.</p>
          <p rend="indent">Precautions were taken to see that no man who had suffered from typhoid, dysentery, or cholera or who was suffering from venereal disease should be employed in the cookhouse or handle food. Cooks were supplied with three sets of white uniforms and facilities for washing and disinfecting the hands. Smoking in the cookhouses was prohibited, as was sleeping and the keeping of clothing in mess kitchens and storerooms.</p>
          <p rend="indent">At first, when infections such as dysentery and typhoid were prevalent in the camp, all personnel, army or native, handling food were suspected of being carriers. Laboratory examinations of the stools were carried out regularly when such conditions arose, and any cook found to be a carrier was promptly given other duties.</p>
        </div>
        <div type="section" n="10" xml:id="c3-10">
          <head>
            <hi rend="i">Mess Utensils</hi>
          </head>
          <p rend="indent">Basins of disinfectant (1 per cent cresol) were provided at the entrance to the messrooms for all ranks to dip their hands in before entering. After the meal all mess utensils had to be washed in clean soapy water and then boiled in special stoves and stored in fly-proof containers in the messrooms. Objection was raised by quartermasters that cutlery and utensils were an individual issue and signed for by the men. This, however, was overridden as it was held to be useless to sterilise dishes and then permit men to carry them in pockets or haversacks and leave them about the tents. Nevertheless, this ideal arrangement did not last very long; mess utensils reverted to an individual issue and remained so, while washing facilities provided by mess fatigues were seldom adequate for the number of men at each mess.</p>
        </div>
        <div type="section" n="11" xml:id="c3-11">
          <head>
            <hi rend="i">Drinks</hi>
          </head>
          <p rend="indent">Troops were warned against taking any of the cool drinks supplied by the Egyptians. The native beer was also not to be trusted,
<pb n="48" xml:id="n48"/>
and even the beer and cordials allowed in the camp were often found to be quite unsatisfactory. Troops were also advised not to drink water apart from the camp supply. If there was any question of its purity, water was to be boiled, and tea was strongly recommended as the routine drink. Fresh milk had always to be boiled. Only those cordials from sources approved by the Army were allowed. Ice was considered to be almost invariably contaminated during transport and its use in drinks was prohibited.</p>
        </div>
        <div type="section" n="12" xml:id="c3-12">
          <head>
            <hi rend="i">Ice-cream</hi>
          </head>
          <p rend="indent">The ice-creams sold in <name key="name-002106" type="place">Egypt</name> were known to be unsafe, and even Groppi's ices manufactured under clean conditions had been found to be contaminated shortly before the arrival of the troops. The provision of ices by the force itself had been discussed by <name key="name-207994" type="person">General Freyberg</name> in New Zealand and eventually an ice-cream factory, financed by the Patriotic Fund, was set up in <name key="name-004203" type="place">Maadi Camp</name>. Full precautions were taken as regards cleanliness and the Egyptian staff was rigidly controlled. The hospital patients were given first preference in supply, but the troops were able to obtain their share in the camp and in the New Zealand Forces Club.</p>
        </div>
        <div type="section" n="13" xml:id="c3-13">
          <head>
            <hi rend="i">Flies</hi>
          </head>
          <p rend="indent">Flies were one of the plagues of <name key="name-002106" type="place">Egypt</name> so well remembered by men of <name key="name-004367" type="organisation">1 NZEF</name>, when the presence of horses in the lines had added greatly to the problem of fly control. There had been a remarkable improvement since the First World War, but the fly was still present in teeming numbers and was an objectionable insect and a constant menace to health. Warning was given to the troops and the urgency of fly control was well instilled in the force. The Hygiene Section waged an eternal war against them. Fortunately, <name key="name-004203" type="place">Maadi Camp</name> was some considerable distance from native quarters and it was therefore possible to carry out efficient control; throughout the war there was never any marked increase in their numbers and at times there were few to be seen. The early summer months were the worst period, but in the hottest months, as in the coldest, the flies disappeared. Control, however, was never relaxed and full sanitary precautions were taken to destroy any possible breeding grounds. The kitchens and storerooms were fly-proofed, kept clean of any refuse, and cleaned efficiently. All refuse and swill bins were provided with lids and all pits covered. The latrines were all covered and gradually boxed in, and sawdust was used to cover over the faeces. The urinal tins were kept clean and crude oil or disinfectant put into them after they were emptied. The latrine buckets were emptied twice daily by contractors and the seats scrubbed daily.
<pb n="49" xml:id="n49"/>
Fly-traps were used when the flies were numerous. The methods used to kill flies in the camp consisted of: (1) spraying with anti-fly solutions; (2) tanglefoot on wires or paper; (3) fly swatters; (4) formalin solution (one dessertspoon to a pint) with sugar in open dishes with a centre of bread for the fly to alight on; (5) fly-traps with bait such as formalin and sugar. It was thought that flies were at times blown by the high winds from the sewage farm associated with <name key="name-001418" type="place">Tura</name> prison and the Egyptian military barracks. The farm was found to be in a very neglected state, with extensive fly-breeding in scum and sludge pits.</p>
        </div>
        <div type="section" n="14" xml:id="c3-14">
          <head>
            <hi rend="i">Mosquitoes and Bedbugs</hi>
          </head>
          <p rend="indent">The 4th Field Hygiene Section caught in <name key="name-004203" type="place">Maadi Camp</name> in <date when="1940-05">May 1940</date> several specimens of anopheles pharoensis, the malarial carrier of <name key="name-002106" type="place">Egypt</name>. This was quite a surprise to the local authorities, who regarded the area as free of anopheles. It was believed they bred in the neighbouring villages, so pressure was brought to bear on local authorities to deal with the menace. The Field Hygiene Section maintained a steady drive against possible breeding places of mosquitoes. A prolific breeding ground for ‘culex’ was located in two water tanks in a camel-police camp near <name key="name-027588" type="place">Maadi Tent</name> and probable sources in untreated stagnant irrigation wells. Further spots were found in culverts draining irrigation water from the channel filled daily with water from the camp baths. These spots were all oiled immediately. (Later, on 8 July after an intensive search, stone cisterns in the Jewish cemetery, a mile and a half along the Citadel road, were found to be breeding anopheles mosquitoes. No malarial parasites were found in captured mosquitoes.)</p>
          <p rend="indent">Bedbugs made their appearance, too, during <date when="1940-05">May 1940</date>. They were brought into camp when some of our troops returned from <name key="name-026433" type="place">Mustapha Barracks</name>, where they were stationed for a short period. They were also probably introduced in furniture brought from <name key="name-002740" type="place">Abbassia</name>. Measures taken against these bugs included steam disinfestation, the sprinkling of tents with pyrethrum powder, and dipping bedboards in kerosene. The bugs, however, continued to thrive and proved one of the banes of life in the huts at <name key="name-004203" type="place">Maadi Camp</name>.</p>
        </div>
        <div type="section" n="15" xml:id="c3-15">
          <head>
            <hi rend="i">Latrines</hi>
          </head>
          <p rend="indent">The hard, stony condition of the ground made the use of trench latrines impossible. Bucket latrines were therefore instituted and were available when the First Echelon arrived in <name key="name-004203" type="place">Maadi Camp</name>. Movable seats were provided, but these were loose-fitting and were not fool- or fly-proof. Boxed latrine superstructures were provided later with hinged lids and proved quite satisfactory. The buckets
<pb n="50" xml:id="n50"/>
were emptied by the natives employed by the sanitary contractor into large iron containers provided with lids, and carted in lorries to the outskirts of the camp. Here the excreta, along with other camp refuse, was buried in large pits six feet square and nine feet deep. The refuse was covered over with three feet of soil, and then three inches of sand mixed with heavy oil, and finally with dry sand. Incinerators, however, had been set up in batteries of seven, on the outskirts of the camp, when the troops arrived and were working well at the beginning of <date when="1940-03">March 1940</date>, but there was difficulty with the excreta. Shavings were then used to cover the faeces in the buckets and this helped in the incinerator. The refuse to be burned in the incinerators was mixed with sawdust, tibben (chopped straw), etc. Then kerosene-soaked sawdust was used instead of the shavings, and at the end of March wood and coal were used with better results. In April the incinerators were primed with sump oil. It seems that there was always some difficulty with the incinerators, and the pits were still being used after the first year of the camp and were necessary, in any case, for liquid refuse and for the ashes from the incinerators. The bucket system worked well but needed constant supervision. The use of sawdust proved of great value. Bowls filled with 1 per cent cresol were placed at the entrance to every latrine and the troops instructed to immerse their hands up to the wrists in them on leaving the latrine.</p>
        </div>
        <div type="section" n="16" xml:id="c3-16">
          <head>
            <hi rend="i">Urinals</hi>
          </head>
          <p rend="indent">At first troughs were used leading to open shallow pits, but this proved unsatisfactory as splashing occurred and the ground did not lend itself to proper soakage. Buckets were then introduced, and these were emptied and the urine carted away and disposed of well beyond the camp area.</p>
        </div>
        <div type="section" n="17" xml:id="c3-17">
          <head>
            <hi rend="i">Rubbish</hi>
          </head>
          <p rend="indent">Arrangements were made for the collection of all rubbish throughout the camp by contractors. The rubbish was carted by lorries, tarpaulins being used to cover it during transit, outside the camp and either buried or burnt as already described. A considerable amount had to be collected at the beginning throughout the camp area, especially in the quarries.</p>
        </div>
        <div type="section" n="18" xml:id="c3-18">
          <head>
            <hi rend="i">Kitchen Refuse</hi>
          </head>
          <p rend="indent">Four drums were provided at the cookhouses for kitchen refuse. They were placed on stands like a milkcan stand so that they could be readily dealt with by the conservancy contractors. In one drum was placed dry refuse such as ashes and bottles. In another were
<pb n="51" xml:id="n51"/>
food scraps such as bacon, not of any use for food. Another held tins and the last one grease. All drums had proper lids. After emptying, the drums were washed by the unit personnel.</p>
        </div>
        <div type="section" n="19" xml:id="c3-19">
          <head>
            <hi rend="i">Swill</hi>
          </head>
          <p rend="indent">Contracts were let for the purchase of kitchen scraps and fats. Bins with lids were provided at each mess for their collection. One drum was used for meat scraps but not bacon (because of the Moslem ban), and one was used for dry bread. A tin was also provided for fat. The bins were emptied three times a day and cleanliness insisted on. The money obtained was utilised to purchase extras for the men's mess.</p>
        </div>
        <div type="section" n="20" xml:id="c3-20">
          <head>
            <hi rend="i">Sumps</hi>
          </head>
          <p rend="indent">The hard, stony, impermeable nature of the ground made it very difficult to carry out efficient drainage and ordinary pits proved quite inefficient. The sullage water had eventually to be piped through cement pipes from the cookhouses and washing stands to the perimeter of the camp, where large evaporating pans, sixty feet square, in sets of four, were constructed. Two pans were flooded with water to a depth of six inches after it had passed through large grease traps. Evaporation was complete in twenty-four hours, when the other two pans were used. The dried deposit was scraped out and sent to the incinerator. Later, the pans were used to grow eucalyptus trees and crops of cabbages, tomatoes, maize, etc., and the little grease passing through the large grease trap was dealt with by digging in frequently to prevent fly breeding. The grease traps were cleaned out every week, the layer of surface grease being removed daily.</p>
        </div>
        <div type="section" n="21" xml:id="c3-21">
          <head>
            <hi rend="i">Native Labour</hi>
          </head>
          <p rend="indent">The Egyptian labourers, of whom there were two thousand employed during the first year, proved a constant trouble as regards sanitation. They had polluted the whole camp area before the troops arrived and it took one hundred labourers two months to clean up the excreta. Then followed a long-drawn-out fight to persuade the natives to use the bucket latrines provided for them and to keep them clean.</p>
          <p rend="indent">Very large numbers of Egyptian labourers continued to be employed in the camps under the engineers in making roads, building huts, shower-houses, and latrines, on the staffs of <name key="name-026979" type="organisation">NAAFI</name>, the laundry, and later of the ice-cream factory; while the sanitary contractors dealing with the kitchen refuse and with the latrines also used native labour. They were dirty and often lousy; a later
<pb n="52" xml:id="n52"/>
improvement was the erection of shower huts for them at the entrance to the camp, where they were washed and their clothes disinfested. There was a constant menace of the possible spread of infectious disease. Typhus was endemic in <name key="name-002106" type="place">Egypt</name> and at times serious outbreaks occurred in <name key="name-003601" type="place">Cairo</name>. Typhoid and dysentery were prevalent and careful watch had to be kept to see that no carriers were placed in positions in the camp that would allow the spread of these infections. Bacteriological investigations of stools were carried out regularly when Egyptians were employed in handling food either in camp or later at the New Zealand Forces Club in <name key="name-003601" type="place">Cairo</name>. Hawkers were not allowed in the camp and all the labourers had to have a pass.</p>
        </div>
        <div type="section" n="22" xml:id="c3-22">
          <head>
            <hi rend="i">Barbers' Shops</hi>
          </head>
          <p rend="indent">Regulations were drawn up to ensure the cleanliness of these shops and the apparatus used by the Egyptian barbers. They were required to wash their hands before attending to each customer and to provide clean covers and towels. Hair and shaving brushes had to be washed and soaked in 5 per cent dettol or carbolic solution for an hour each time they were used, and combs, scissors, and hair clippers had to be cleaned and soaked in 5 per cent dettol for ten minutes.</p>
        </div>
        <div type="section" n="23" xml:id="c3-23">
          <head>
            <hi rend="i">Hospital Arrangements</hi>
          </head>
          <p rend="indent">Medical arrangements in respect to sickness and accidents were put into operation immediately upon the arrival of the First Echelon. Fourth Field Ambulance established in <name key="name-004203" type="place">Maadi Camp</name> a camp hospital of 100 beds in tents. This comprised five large HP marquees for general sickness, four large HP marquees for infectious and venereal cases, with one GS and three small RD tents for administration purposes.<note xml:id="ftn1-52" n="1"><p>HP ? hospital pattern; GS ? general service; RD ? ridge double.</p></note> More tents were added as the need arose. Equipment was drawn from British depots in <name key="name-002106" type="place">Egypt</name>.</p>
          <p rend="indent">More seriously ill patients were transferred to 2/10 British General Hospital at <name key="name-009430" type="place">Helmieh</name>, another suburb of <name key="name-003601" type="place">Cairo</name>, and near the site of the camp occupied by New Zealand troops in the First World War. To assist in treating the New Zealanders, the eighteen nursing sisters went to this hospital immediately on disembarkation, and a detachment of three medical officers and fifty orderlies from 4 Field Ambulance, under command of Major <name key="name-027685" type="person">Tennent</name>,<note xml:id="ftn2-52" n="2"><p><name key="name-027685" type="person">Col A. A. Tennent</name>, m.i.d.; <name key="name-008844" type="place">Wellington</name>; born <name key="name-120054" type="place">Timaru</name>, <date when="1899-09-04">4 Sep 1899</date>; medical practitioner; 2 i/c <name key="name-009615" type="organisation">4 Fd Amb</name> Sep 1939–Mar 1940; DADMS NZ Div Mar–Dec 1940; CO <name key="name-029279" type="organisation">1 Conv Depot</name> Dec 1940–Oct 1941; CO <name key="name-009615" type="organisation">4 Fd Amb</name> Oct–Dec 1941; p.w. <date when="1941-12">Dec 1941</date>; repatriated <date when="1942-04">Apr 1942</date>; ADMS 4 Div (NZ) Aug–Oct 1942; CO <name key="name-023159" type="organisation">4 Gen Hosp</name> <name key="name-004368" type="organisation">2 NZEF</name> (IP) Nov 1942–Dec 1943; SMO Sick and Wounded, Army HQ, Dec 1943–1944; ADMS Central Military District 1944–45.</p></note> was sent there two days afterwards. The New Zealand staff took charge of two
<pb n="53" xml:id="n53"/>
wards, one medical and one surgical. Besides ensuring that all the equipment and specialised services of an established hospital were available for New Zealand patients, this arrangement also enabled 4 Field Ambulance staff to receive training in the care of the sick and to profit by association with experienced members of the RAMC.</p>
          <p rend="indent">It was soon felt that the New Zealand Medical Corps in <name key="name-002106" type="place">Egypt</name> lacked sufficient medical officers with surgical experience for the duties which it was being asked to perform. It was anticipated that the need would be increased when the troops took over large numbers of mechanised transport vehicles and sustained severe accidental injuries. It was felt that none but the best possible surgical assistance should be available for our men. <name key="name-207994" type="person">General Freyberg</name> sent an urgent request to Army Headquarters, New Zealand, on 7 February asking for the despatch of two capable surgeons to supplement the staff, a surgeon capable of dealing with head injuries being especially desired. Captains Button<note xml:id="ftn1-53" n="1"><p>Col E. L. Button, OBE, ED; <name key="name-008844" type="place">Wellington</name>; born <name key="name-008904" type="place">London</name>, <date when="1903-03-09">9 Mar 1903</date>; surgeon; CO <name key="name-023159" type="organisation">4 Gen Hosp</name> Jul–Sep 1940; in charge surgical division <name key="name-011449" type="organisation">3 Gen Hosp</name>, Mar 1941–Sep 1943; CO 1 Mob CCS Oct 1943–Aug 1944.</p></note> and <name key="name-027518" type="person">Furkert</name><note xml:id="ftn2-53" n="2"><p><name key="name-027518" type="person">Col F. P. Furkert</name>, ED, m.i.d.; <name key="name-002817" type="place">Auckland</name>; born <name key="name-120068" type="place">Taihape</name>, <date when="1906-12-08">8 Dec 1906</date>; surgeon; surgeon <name key="name-009616" type="organisation">5 Fd Amb</name> Nov 1939–Feb 1940; <name key="name-009615" type="organisation">4 Fd Amb</name> Oct 1940–Feb 1941; OC <name key="name-023216" type="organisation">Mobile Surgical Unit</name> Mar 1941–Jan 1942; CO <name key="name-001176" type="organisation">6 Fd Amb</name> Jan 1942–Feb 1943; ADMS 2 NZ Div Feb–Jun 1943.</p></note> were then quickly flown to <name key="name-002106" type="place">Egypt</name> from New Zealand. On their arrival Captain Button was placed in charge of the detachment at <name key="name-009430" type="place">Helmieh</name>, thus relieving Major Tennent for duties at <name key="name-006644" type="place">Divisional Headquarters</name> as DADMS, for which post he was originally intended. The policy of caring for our own sick and wounded, which had been laid down at the beginning of the war, had not been fully implemented. The lesson was learnt that adequate provision for hospital treatment must be first priority, and that this implied that a hospital unit of some kind should accompany the first troops sent overseas.</p>
          <p rend="indent">Successive detachments from 4 Field Ambulance underwent tours of duty at 2/10 British General Hospital and their training syllabi covered nursing, operating-theatre practice, radiology, massage, dispensing, laboratory, medical stores, administrative and general duties. The knowledge then gained was invaluable to our force, at that time inexperienced in military hospital administration, and later the staffs of our hospitals were also to benefit from the experience passed on to them.</p>
          <p rend="indent">Medical officers of 4 Field Ambulance proceeded to and from tours of duty as regimental medical officers to the various combatant units in training in <name key="name-004203" type="place">Maadi Camp</name>. Owing to the lack of medical equipment, only four medical inspection rooms were established in the camp, in large marquees. Sick parades were usually held in unit
<pb n="54" xml:id="n54"/>
lines soon after reveille and the men were marched to the nearest MI room by the orderly corporal.</p>
        </div>
        <div type="section" n="24" xml:id="c3-24">
          <head>
            <hi rend="i">Establishment of a New Zealand General Hospital in Egypt</hi>
          </head>
          <p rend="indent">Discussions between Colonel Bowerbank and Colonel MacCormick before the departure of the latter for the <name key="name-005853" type="place">Middle East</name> in <date when="1940-01">January 1940</date> resulted in the schedule being drawn up that one 600-bed general hospital and a convalescent depot should be sent overseas with the Second Echelon and one 1200-bed general hospital with the Third Echelon. It was further decided that it was desirable that the sick and wounded among New Zealand troops should be cared for, as far as possible, by New Zealand medical services.</p>
          <p rend="indent">The Government's decision in the matter of medical services was announced by the Minister of Defence on <date when="1940-03-02">2 March 1940</date>, when he stated that a fully equipped general hospital and convalescent depot, staffed entirely by New Zealanders, would be sent overseas. This decision, he said, had been taken to ensure that New Zealand soldiers would be treated in their own hospital by doctors and nurses of their own country.</p>
          <p rend="indent">In Egypt the ADMS NZ Division (Colonel MacCormick) found difficulty in securing separate hospital accommodation and reported the matter to <name key="name-207994" type="person">General Freyberg</name>, who took it up with General H. M. Wilson, GOC British Troops in <name key="name-002106" type="place">Egypt</name>, who was well known to New Zealanders as a former GSO I of 1 NZ Division. General Wilson readily agreed with the policy that as far as possible New Zealand troops should be cared for by New Zealanders. The ADMS NZ Division followed up the question with <name key="name-028893" type="organisation">DDMS</name> BTE, Colonel P. S. Tomlinson. The <name key="name-028893" type="organisation">DDMS</name> was aware that New Zealand medical units were arriving in the <name key="name-005853" type="place">Middle East</name> without equipment and despatched a cable to the War Office asking that the delivery of equipment for the New Zealand Force be expedited. A reply was received the following day indicating that equipment would be despatched shortly afterwards for all regimental medical officers, a field ambulance, and a 600-bed general hospital. (Medical equipment for <name key="name-004203" type="place">Maadi Camp</name> reception hospital, as well as medical supplies for four medical inspection rooms at <name key="name-004203" type="place">Maadi Camp</name>, was drawn from the British Depot of Medical Stores, <name key="name-009430" type="place">Helmieh</name>.)</p>
          <p rend="indent">It was arranged with <name key="name-028893" type="organisation">DDMS</name> BTE that, in the meantime, wards would be set apart for New Zealand sick at 2/10 British General Hospital at <name key="name-009430" type="place">Helmieh</name>. The <name key="name-028893" type="organisation">DDMS</name> BTE was strongly of the opinion that three 600-bed hospitals were advisable instead of one 600-bed and one 1200-bed hospital. The basis for this opinion was that, if there were active operations in the <name key="name-005853" type="place">Middle East</name>, it was more than likely that there would be more than one line of evacuation. Unless three general hospitals were available, New Zealand troops might not
<pb n="55" xml:id="n55"/>
pass into the care of a New Zealand hospital. Two hospitals could be conveniently placed on lines of communication, while the third hospital, expanded if necessary, could care for the cases evacuated from the more advanced general hospitals and also serve troops at the base.</p>
          <p rend="indent">Three general hospitals, of considerably greater bed strength, were necessary in the First World War, and all these considerations, together with the fact that smaller units have a greater tactical mobility in all circumstances, converted ADMS NZ Division to this plan. He reported to the DGMS in New Zealand that the change of plan involved an increase of approximately 20 per cent in both personnel and equipment, though some saving could be effected as the third general hospital could remain on call in New Zealand. A recommendation to this effect was therefore made to the DGMS on <date when="1940-02-20">20 February 1940</date>.</p>
          <p rend="indent">When endeavours were made to secure a location for a 600-bed general hospital, no site other than the Grand Hotel, <name key="name-000935" type="place">Helwan</name>, could be found, it being stated that tented or hutted accommodation was out of the question. The hotel had been closed on <date when="1940-03-13">13 March 1940</date>, and, while not ideal in some respects, was able to provide ample accommodation for some 450 beds plus administrative sections. It was decided to hire the building and secure nearby buildings for quarters for medical officers, nursing sisters, and male staff. The need for a New Zealand general hospital to be opened as soon as possible was emphasised by the daily average of New Zealand hospital patients in 2/10 British General Hospital and Camp Hospital, <name key="name-004262" type="place">Maadi</name>—97·4 in February, 178·8 in March, and then 276·5 in April.</p>
          <p rend="indent">Negotiations for the hire of the Grand Hotel, <name key="name-000935" type="place">Helwan</name>, and other buildings became a protracted process, which it was necessary to let HQ BTE conduct. The actual taking over and conversion to a hospital was delayed until the hiring contract was completed, and took effect from <date when="1940-06-01">1 June 1940</date>. Contracts were then let for additions and renovations.</p>
          <p rend="indent">By the end of June the hotel building was nearly ready for occupation by medical cases but the contract for the building of an operating-theatre block had not then been let. The medical equipment for a 600-bed hospital had reached <name key="name-003601" type="place">Cairo</name>, but the staff of <name key="name-028359" type="place">1 NZ General Hospital</name> had been diverted to the <name key="name-029547" type="place">United Kingdom</name> with the Second Echelon, arriving there in the middle of June.</p>
          <p rend="indent">The <name key="name-028893" type="organisation">DDMS</name> GHQ ME (now Colonel Tomlinson) and the <name key="name-028893" type="organisation">DDMS</name> BTE (Colonel R. G. Shaw) were both desirous that <name key="name-004368" type="organisation">2 NZEF</name> should go on with the proposed hospital at <name key="name-000935" type="place">Helwan</name>, especially as <name key="name-001383" type="place">Italy</name> had by then declared war. It was decided to open the hospital for medical cases as soon as possible, leaving the surgical cases at
<pb n="56" xml:id="n56"/>
2/10 General Hospital in the meantime. The staffing of the institution presented many difficulties, there being no solution but to continue to use the company of 4 Field Ambulance which had been on duty at 2/10 General Hospital, although it was recognised that this might complicate matters if the New Zealand troops proceeded on active service in the field.</p>
          <p rend="indent">At this time <name key="name-207994" type="person">General Freyberg</name> and Colonel MacCormick were in <name key="name-004019" type="place">England</name> making arrangements for the arrival of the Second Echelon. Acting on instructions from the GOC, Colonel MacCormick had gone to the <name key="name-029547" type="place">United Kingdom</name> by air on 26 May. Lieutenant-Colonel Kenrick, CO 5 Field Ambulance, was instructed to disembark from the <hi rend="i"><name key="name-207155" type="ship">Aquitania</name></hi> and come from <name key="name-012264" type="place">Capetown</name> to <name key="name-003601" type="place">Cairo</name> by air. On his arrival on 8 June he became acting ADMS NZ Division in the <name key="name-005853" type="place">Middle East</name>. On 29 June he sent a cable to Colonel MacCormick advising him of the situation regarding <name key="name-000935" type="place">Helwan</name> hospital. The matter was discussed with <name key="name-207994" type="person">General Freyberg</name>, who directed the withdrawal of personnel from the <name key="name-009430" type="place">Helmieh</name> hospital to take over the <name key="name-000935" type="place">Helwan</name> hospital. Reinforcements were promised at the earliest opportunity.</p>
        </div>
        <div type="section" n="25" xml:id="c3-25">
          <head>
            <hi rend="i">4 NZ General Hospital Opens at <name key="name-000935" type="place">Helwan</name></hi>
          </head>
          <p rend="indent">No. 4 NZ General Hospital (with most of its staff drawn from 4 Field Ambulance) opened as a 300-bed hospital at the Grand Hotel, <name key="name-000935" type="place">Helwan</name>, on 24 July. It was the first New Zealand general hospital established in <name key="name-002106" type="place">Egypt</name>, although <name key="name-028359" type="place">1 NZ General Hospital</name> was operating in <name key="name-004019" type="place">England</name> at this time.</p>
          <p rend="indent">The medical staff of 4 NZ General Hospital comprised Major Button, Officer Commanding and Senior Surgeon, Captain <name key="name-009498" type="person">Kirk</name>,<note xml:id="ftn1-56" n="1"><p><name key="name-009498" type="person">Lt-Col G. R. Kirk</name>, OBE, m.i.d.; Dunedin; born <name key="name-021225" type="place">Gisborne</name>, <date when="1907-06-18">18 Jun 1907</date>; physician; RMO 20 Bn 1939–40; physician <name key="name-011447" type="organisation">1 Gen Hosp</name> 1940–41; <name key="name-011448" type="organisation">2 Gen Hosp</name>, <date when="1941">1941</date>; 1 Mob CCS <date when="1942">1942</date>; in charge medical division <name key="name-011447" type="organisation">1 Gen Hosp</name>, Sep 1942–Jan 1945.</p></note> Senior Physician, Lieutenant Harrison, Registrar, Lieutenant <name key="name-027602" type="person">Neale</name><note xml:id="ftn2-56" n="2"><p><name key="name-027602" type="person">Capt H. C. Neale</name>; <name key="name-021302" type="place">Levin</name>; born <name key="name-005626" type="place">Nelson</name>, <date when="1914-08-20">20 Aug 1914</date>; medical practitioner; medical officer <name key="name-009615" type="organisation">4 Fd Amb</name> Sep 1939–Apr 1941; p.w. <date when="1941-04">Apr 1941</date>.</p></note> and Lieutenant <name key="name-026365" type="person">Macfarlane</name>,<note xml:id="ftn3-56" n="3"><p><name key="name-026365" type="person">Maj T. A. Macfarlane</name>, m.i.d.; <name key="name-002817" type="place">Auckland</name>; born <name key="name-120045" type="place">Scotland</name>, <date when="1911-01-21">21 Jan 1911</date>; medical practitioner; RMO NZ Engineers Aug 1940–Aug 1941; <name key="name-001176" type="organisation">6 Fd Amb</name> <date when="1941">1941</date>; DADMS 2 NZ Div 1941–43; <name key="name-011447" type="organisation">1 Gen Hosp</name> <date when="1943">1943</date>.</p></note> company officers, and Captain <name key="name-027626" type="person">Peek</name>,<note xml:id="ftn4-56" n="4"><p><name key="name-027626" type="person">Maj G. Peek</name>, m.i.d.; born <name key="name-007584" type="place">Christchurch</name>, <date when="1891-09-22">22 Sep 1891</date>; Inspector of Explosives; Lt QM <name key="name-011448" type="organisation">2 Gen Hosp</name><date when="1940">1940</date>; OC <name key="name-027592" type="organisation">Medical Stores Depot</name> Oct 1940–Feb 1946; died, <name key="name-007584" type="place">Christchurch</name>, <date when="1949-12-22">22 Dec 1949</date>.</p></note> quartermaster attached. In addition, it was arranged that Captain J. K. <name key="name-022545" type="person">Elliott</name><note xml:id="ftn5-56" n="5"><p><name key="name-022545" type="person">Lt-Col J. K. Elliott</name>, OBE, ED; <name key="name-008844" type="place">Wellington</name>; born <name key="name-008844" type="place">Wellington</name>, <date when="1908-08-24">24 Aug 1908</date>; surgeon; RMO 18 Bn 1939–40; DADMS 2 NZ Div Dec 1940–Nov 1941; surgeon <name key="name-011447" type="organisation">1 Gen Hosp</name> Nov 1941–Jun 1943; CO <name key="name-009615" type="organisation">4 Fd Amb</name> Jun 1943–Apr 1944; Orthopaedic Consultant (NZ) Jun 1944–Mar 1945.</p></note> and Captain R. A. <name key="name-016434" type="person">Elliott</name><note xml:id="ftn6-56" n="6"><p><name key="name-016434" type="person">Col R. A. Elliott</name>, OBE, ED, m.i.d.; <name key="name-008844" type="place">Wellington</name>; born <name key="name-008844" type="place">Wellington</name>, <date when="1910-04-08">8 Apr 1910</date>; surgeon; surgeon <name key="name-009615" type="organisation">4 Fd Amb</name>, 1 and 2 Gen Hosps, Oct 1939–1942; DADMS 2 NZ Div Feb–Jul 1943; CO <name key="name-009616" type="organisation">5 Fd Amb</name> Dec 1943–Jul 1944; ADMS 2 NZ Div Dec 1944–Oct 1945.</p></note> should visit the hospital once
<pb n="57" xml:id="n57"/>
weekly from <name key="name-004262" type="place">Maadi</name>, as consultant orthopaedic and ENT surgeons respectively.</p>
          <p rend="indent">The nursing staff comprised Miss D. I. Brown,<note xml:id="ftn1-57" n="1"><p>Matron Miss D. I. Brown, RRC, m.i.d.; <name key="name-008844" type="place">Wellington</name>; born <name key="name-008318" type="place">Napier</name>, <date when="1905-04-24">24 Apr 1905</date>; sister; sister-in-charge Camp Hospital, <name key="name-004459" type="place">Ngaruawahia</name>, Oct 1939–Jan 1940; Matron <name key="name-023159" type="organisation">4 Gen Hosp</name> Jul–Oct 1940; Matron <name key="name-011448" type="organisation">2 Gen Hosp</name> Oct 1940–Jun 1943; now Mrs R. G. Milne, Matron-in-Chief Wellington Hospital.</p></note> Matron, and thirteen of the New Zealand sisters who had been working with 2/10 General Hospital; the remaining four sisters joined them later when all patients were transferred.</p>
          <p rend="indent">In the advance party of male staff there were 20 men of 4 Field Ambulance from 2/10 General Hospital, 7 men from 4 Field Ambulance, <name key="name-004262" type="place">Maadi</name>, and 24 graded men from base and divisional units. Then, on 31 July, the remaining 24 men from 4 Field Ambulance at 2/10 General Hospital (less three detailed to remain for special duty) were transferred to the <name key="name-000935" type="place">Helwan</name> staff.</p>
          <p rend="indent">Ordnance stores for a 300-bed hospital and medical stores for a 600-bed hospital were unpacked by the advance party, which also prepared living accommodation for the staff and got ready to receive patients. By 31 July the hospital had 188 beds equipped for the reception of medical, minor surgical, and convalescent patients. On the afternoon of that day 82 patients were smoothly transferred by 4 Field Ambulance from 2/10 General Hospital at <name key="name-009430" type="place">Helmieh</name>. On 3 August a further 61 patients were admitted from the Camp Hospital, <name key="name-004262" type="place">Maadi</name>. The first admission of a patient direct to the hospital was made on 2 August.</p>
          <p rend="indent">The medical arrangements for <name key="name-004368" type="organisation">2 NZEF</name> in <name key="name-002106" type="place">Egypt</name> at this stage were:</p>
          <list type="simple">
            <label>1.</label>
            <item>
              <p rend="hang">Medical cases and minor surgical cases were admitted to 4 NZ General Hospital.</p>
            </item>
            <label>2.</label>
            <item>
              <p rend="hang">Cases requiring major surgical operation were admitted to 2/10 General Hospital pending the completion of the operating block at <name key="name-000935" type="place">Helwan</name>.</p>
            </item>
            <label>3.</label>
            <item>
              <p rend="hang">Cases of venereal disease were admitted to 4 Field Ambulance (Camp) Hospital, <name key="name-004262" type="place">Maadi</name>.</p>
            </item>
            <label>4.</label>
            <item>
              <p rend="hang">Infectious diseases cases were admitted to 4 Field Ambulance (Camp) Hospital, <name key="name-004262" type="place">Maadi</name>.</p>
            </item>
            <label>5.</label>
            <item>
              <p rend="hang">Mental cases were retained at 2/10 General Hospital, but were to be transferred to 4 General Hospital as soon as suitable provision had been made for them.</p>
            </item>
          </list>
          <p rend="indent">A very complete passive air defence scheme was drawn up for 4 General Hospital in the event of enemy air attack.</p>
          <p rend="indent">As the number of occupied beds increased, the shortage of nursing staff, both sisters and nursing orderlies, became most apparent. Instead of the regular establishment of a 300-bed hospital, there was
<pb n="58" xml:id="n58"/>
only one company of a field ambulance, eighteen nursing sisters, and five medical officers. The base details posted for duty were not entirely satisfactory and for the most part could be used only for the lighter forms of general duties. Five of the army cooks posted were unfit for full duty because of various disabilities. The native staff employed were unsuitable as cooks, largely because the low wage attracted only an inferior grade of cook.</p>
          <p rend="indent">The medical officers were accommodated in Dr Moore's house and the sisters in M. Chalom's villa, while the men were quartered first in Villa Gubalieh and then in the Winter Palace Hotel. The Grand Hotel was a building of several stories, and work was early commenced on the installation of a lift to obviate the need to carry bed patients up and down stairs.</p>
          <p rend="indent">By 11 August an emergency operating theatre was equipped and ready for use pending the construction of a permanent theatre block. All types of emergency surgery were possible except where X-ray control was necessary, e.g., in compound fractures. The admission of all New Zealand surgical patients, other than those requiring X-ray, was arranged from this date. On the two subsequent days the remaining patients and four New Zealand sisters were transferred from 2/10 General Hospital to 4 NZ General Hospital. Although the transfer of these four sisters gave a certain relief to the overworked nursing staff, such was the increase in the amount of work that six members of the TANS<note xml:id="ftn1-58" n="1"><p>Territorial <name key="name-027001" type="organisation">Army Nursing Service</name> (British).</p></note> were attached on 28 August. These were supplemented on 18 September by twelve members of <name key="name-027459" type="organisation">QAIMNS</name>,<note xml:id="ftn2-58" n="2"><p>Queen Alexandra's Imperial Military Nursing Service.</p></note> also temporarily attached.</p>
          <p rend="indent">The opening of the <name key="name-027563" type="organisation">Kiwi Club</name> on 10 August proved very useful to the hospital in the provision of recreational facilities for convalescent patients. The club was established mainly through the initiative of <name key="name-027567" type="person">Lady Lampson</name><!-- Lampson, Lady -->, wife of the British Ambassador to <name key="name-002106" type="place">Egypt</name>, and the <name key="name-028830" type="organisation">British Red Cross Society</name> in <name key="name-003601" type="place">Cairo</name>. It was temporarily housed at the Boys' Preparatory School, <name key="name-000935" type="place">Helwan</name>, the building having been put at the disposal of the club's committee by the Minister of Education until the beginning of the school year, when the use of another building was obtained on the northern outskirts of <name key="name-000935" type="place">Helwan</name>. This building was originally erected by the Egyptian Education Department for the Boy Scout movement. In the homely atmosphere of the club games could be played and refreshments bought, and there was also a little shop. Later a swimming pool was provided. The <name key="name-027563" type="organisation">Kiwi Club</name> was a valuable adjunct to the New Zealand hospital in <name key="name-000935" type="place">Helwan</name> for over five years, and ladies of <name key="name-000935" type="place">Helwan</name>, <name key="name-004262" type="place">Maadi</name>, and <name key="name-003601" type="place">Cairo</name> provided a much-appreciated service in it.</p>
          <p rend="indent">On 26 August the first evacuation of invalids to New Zealand
<pb n="59" xml:id="n59"/>
took place when ninety-three men embarked on the Indian hospital ship, <hi rend="i">Karapara</hi>. Of these, thirteen were patients of 4 General Hospital. There were also other patients boarded for return to New Zealand but they had to remain at the hospital in the meantime. Certain difficulties arose in connection with the despatch of the draft and on this account, as well as in anticipation of increased numbers of invalids after the arrival of the Second and Third Echelons, it was decided to cable Army Headquarters in New Zealand asking that the fitting of New Zealand's own hospital ship be accelerated. In the meantime the possibility of being able to share Australian hospital ship accommodation was investigated. The Australian authorities were quite agreeable to assist and did so by embarking fifty New Zealand invalids on their hospital ship <hi rend="i">Manunda</hi> in November.</p>
          <p rend="indent">Lieutenant-Colonel Kenrick became commanding officer of the <name key="name-000935" type="place">Helwan</name> hospital on 9 September, following the return of Colonel MacCormick to <name key="name-002106" type="place">Egypt</name> from <name key="name-004019" type="place">England</name>. Captain Furkert had been posted to the hospital earlier. On 8 September seven medical officers and thirty-three orderlies from 2 Australian General Hospital were attached for duty. These included a radiologist, who supervised the installation of an X-ray plant which was first used three days later. The attachment of the Australian personnel was in accordance with an arrangement whereby 100 to 150 patients of the Australian Forces were temporarily accommodated during the move of certain units of the AIF from <name key="name-001148" type="place">Palestine</name> to <name key="name-002106" type="place">Egypt</name>, and pending the establishment of an Australian general hospital in <name key="name-002106" type="place">Egypt</name>.</p>
          <p rend="indent">Twelve sisters, five medical officers, and thirty men from New Zealand medical units of the Second Echelon in <name key="name-004019" type="place">England</name> arrived at <name key="name-000935" type="place">Helwan</name> on 17 September and immediately set to work as the number of patients increased and new wards were opened. There were then 337 patients. At the end of September, with the arrival of 2 NZ General Hospital in <name key="name-002106" type="place">Egypt</name> imminent, members of <name key="name-027459" type="organisation">QAIMNS</name> and the TANS returned to their own units after having given great help in the staffing problem. Twelve of the sisters concerned were New Zealand registered nurses attached to <name key="name-027459" type="organisation">QAIMNS</name>.</p>
        </div>
        <div type="section" n="26" xml:id="c3-26">
          <head>
            <hi rend="i">2 NZ General Hospital Arrives</hi>
          </head>
          <p rend="indent">The arrival of 2 General Hospital in <name key="name-002106" type="place">Egypt</name> with the Third Echelon at the beginning of October meant that there was now available for the first time the complete staff of a New Zealand military hospital of 600 beds. Their arrival was opportune as 4 General Hospital had an occupied bed state of 434 on 4 October, when 2 General Hospital proceeded to take over. By 8 October the change-over had been smoothly completed and 4 General Hospital's
<pb n="60" xml:id="n60"/>
male staff went back to 4 Field Ambulance or the Camp Hospital at <name key="name-004262" type="place">Maadi</name> for posting to their units, except for twenty-nine men retained temporarily as key personnel. There was a considerable number of changes in the postings of medical officers.</p>
          <p rend="indent">The GOC visited 4 General Hospital on 28 September prior to its relief and issued a special order following his visit. It read:</p>
          <p rend="indent">With the arrival of further personnel the medical units of the <name key="name-004368" type="organisation">2 NZEF</name> are about to be reformed. Before this reorganisation takes place I wish to say that I am particularly pleased with the work done in establishing No. 4 NZ General Hospital. I realise that owing to the shortage of staff this work was effected under difficult conditions and I feel that the present efficient running of the hospital is a tribute to the high standard of the <name key="name-023814" type="organisation">NZANS</name>, <name key="name-203712" type="organisation">NZMC</name>, and attached personnel. I am more than sorry that the organisation so carefully thought out must now be taken over by another unit and the Emergency Staff sent to other work. Will you please tell all ranks how pleased I was with all I saw during my visit and thank them, especially those from the British and Australian Medical Services.</p>
          <p rend="indent">The eighteen sisters of the First Echelon became part of the staff of 2 General Hospital, with Miss Brown as matron and Miss Chisholm,<note xml:id="ftn1-59" n="1"><p>Principal Matron Miss M. Chisholm, RRC; (now Mrs Cartwright); <name key="name-008844" type="place">Wellington</name>; born <name key="name-021329" type="place">Masterton</name>, <date when="1902-10-23">23 Oct 1902</date>; sister; sister-in-charge Camp Hospital, <name key="name-026686" type="place">Trentham</name>, Oct 1939–Jan 1940; Charge Sister <name key="name-023159" type="organisation">4 Gen Hosp</name> Jul–Oct 1940; Asst Matron <name key="name-011448" type="organisation">2 Gen Hosp</name> Oct 1940–Apr 1941; Matron <name key="name-011449" type="organisation">3 Gen Hosp</name> Apr 1941–Nov 1943; <name key="name-011447" type="organisation">1 Gen Hosp</name> Dec 1943–Aug 1944, Feb–May 1945; Principal Matron May–Dec 1945.</p></note> assistant matron. It was now possible to grant leave to these sisters who had experienced an extremely strenuous time.</p>
        </div>
        <div type="section" n="27" xml:id="c3-27">
          <head>
            <hi rend="i">Defence of Egypt</hi>
          </head>
          <p rend="indent"><name key="name-002106" type="place">Egypt</name> throughout the ages has been of great strategic importance. The construction of the <name key="name-001365" type="place">Suez Canal</name> added considerably to the country's value in this respect, especially to a great maritime power like Great Britain. New Zealanders were highly conscious of this, as they had been called upon during the First World War to help in its defence and to use it as a base for operations in Galiipoli and in <name key="name-001148" type="place">Palestine</name>. At that time a New Zealand force had also fought against the <name key="name-029443" type="organisation">Senussi</name> in the <name key="name-024430" type="place">Western Desert</name>, a force with which Brigadier Puttick,<note xml:id="ftn2-59" n="2"><p>Lt-Gen Sir Edward Puttick, KCB, DSO and bar, m.i.d., MC (Greek), Legion of Merit (US); <name key="name-008844" type="place">Wellington</name>; born <name key="name-120054" type="place">Timaru</name>, <date when="1890-06-26">26 Jun 1890</date>; Regular soldier; NZ Rifle Brigade 1914–19 (CO 3 Bn); wounded <date when="1918-03">Mar 1918</date>; commanded 4 Bde, Jan 1940–Aug 1941; 2 NZ Div (<name key="name-003325" type="place">Crete</name>) 29 Apr–27 May 1941; CGS and GOC NZ Military Forces, Aug 1941–Dec 1945.</p></note> commander of 4 Brigade, was associated.</p>
          <p rend="indent">The defence of Egypt<!-- Egypt, defence of --> in <date when="1940">1940</date> became still more important after <name key="name-001383" type="place">Italy</name>'s declaration of war in <date when="1940-06">June 1940</date>, as <name key="name-001383" type="place">Italy</name> had powerful forces in <name key="name-001027" type="place">Libya</name> and also in <name key="name-020431" type="place">Eritrea</name> and <name key="name-020117" type="place">Abyssinia</name>, and the possession of <name key="name-002106" type="place">Egypt</name> would have proved of the greatest value to her. The fall of <name key="name-008009" type="place">France</name> greatly increased the Italian threat, all the Italian troops in <name key="name-007773" type="place">Africa</name> being freed for action against the forces in <name key="name-002106" type="place">Egypt</name>. Convoys of troops and equipment from <name key="name-005976" type="place">Britain</name> had also to go round the Cape
<pb n="61" xml:id="n61"/>
as the <name key="name-007453" type="place">Mediterranean</name> route was menaced by the <name key="name-029150" type="organisation">Italians</name>, and this meant grave delay in building up the forces in the <name key="name-005853" type="place">Middle East</name>.</p>
          <p rend="indent">The shortage of medical equipment and supplies in <name key="name-002106" type="place">Egypt</name> made this delay a serious one to the medical services, and as all our New Zealand equipment was to be supplied from Great Britain it was of particular importance to our force. The defence of Egypt<!-- Egypt, defence of --> was to call for adaptation of the organisation and administration of medical units to meet the medical problems associated with the extreme mobility and long range of the fighting, the absence of roads, and the shortage of water.</p>
          <p rend="indent">British operations against the <name key="name-029150" type="organisation">Italians</name> at first were restricted to bombing and frontier raids, whilst the <name key="name-029150" type="organisation">Italians</name> bombed bases in the <name key="name-024430" type="place">Western Desert</name> and <name key="name-000576" type="place">Alexandria</name> without causing much damage. This period lasted till the <name key="name-029150" type="organisation">Italians</name> moved forward into <name key="name-002106" type="place">Egypt</name> in <date when="1940-09">September 1940</date>.</p>
          <p rend="indent">The already-prepared passive air defence (PAD) scheme for <name key="name-004203" type="place">Maadi Camp</name> was put into effect in June. At night troops dispersed in vehicles to prearranged positions in the surrounding desert without confusion or incident under a rigid blackout. The tents occupied by 4 Field Ambulance were dispersed and dug in, while collective slit trenches were dug and sandbagged. The hospital tents for patients were not dispersed, although shelters were dug for the patients and the tent walls strongly sandbagged. In a hill adjacent to the field ambulance area, an operating theatre was provided in a ‘dugout’. This was completely sandbagged and made lightproof.</p>
          <p rend="indent">On 18 June New Zealand units comprising 18 Battalion, 19 Battalion, <name key="name-025371" type="organisation">4 Reserve MT Company</name>, and a detachment of Divisional Signals left <name key="name-004262" type="place">Maadi</name> for <name key="name-000862" type="place">Garawla</name>, near Mersa Matruh, 300 miles away, to be attached to the <name key="name-024430" type="place">Western Desert</name> Force. Three medical officers and three ambulance cars accompanied the force, and 4 Field Hygiene Section went with it to supervise water supply and sanitation, but returned to <name key="name-004262" type="place">Maadi</name> on 22 June.</p>
          <p rend="indent">Arrangements were made for the sick—and possible wounded—to be evacuated to 2/5 British CCS at <name key="name-003433" type="place">El Daba</name>, and, if they were likely to want more than ten days' treatment, they were to be sent from there to 2/5 British General Hospital, <name key="name-000576" type="place">Alexandria</name>.</p>
          <p rend="indent">On 24 and 25 June the acting ADMS NZ Division, Lieutenant-Colonel Kenrick, made a tour of inspection of the area and conferred with Colonel F. G. Smythe, ADMS <name key="name-024430" type="place">Western Desert</name> Force. Colonel Kenrick was satisfied that, while the troops were living under trying conditions, the medical arrangements were functioning satisfactorily. The water ration for the force was two gallons a man a day for all purposes, but fortunately most of the troops were near the sea and took full advantage of the sea bathing and also washed their clothes in sea water.</p>
          <pb n="62" xml:id="n62"/>
        </div>
        <div type="section" n="28" xml:id="c3-28">
          <head>
            <hi rend="i">Field Ambulance Equipment and Training</hi>
          </head>
          <p rend="indent">Equipment to enable 4 Field Ambulance to function as a mobile field ambulance was not received until <date when="1940-05">May 1940</date>. Small groups of the unit, however, had during April proceeded out into the desert to establish and work an advanced dressing station for the training operations carried out by combatant units. The exercises emphasised the need for frequent practice in the field to master all the functions of a field ambulance. Practice blackouts and air-raid alarms pointed to the need for the unit to be prepared to deal with air-raid casualties.</p>
          <p rend="indent">During the next few months more units of 4 Brigade Group moved up into the desert for the defence of the <name key="name-003303" type="place">Baggush Box</name> and maintenance of the lines of communication, until by 1 September most of them were in the desert, stationed for the greater part at <name key="name-002877" type="place">Baggush</name>. On 29 August Headquarters Company 4 Field Ambulance moved to <name key="name-016019" type="place">Maaten Burbeita</name>, 34 miles east of Mersa Matruh, to establish an MDS, and on 2 September A Company moved up to <name key="name-000961" type="place">Ikingi Maryut</name>, where it took over an ADS from 19 Indian Field Ambulance. Most of the patients of the Camp Hospital, <name key="name-004262" type="place">Maadi</name>, had been transferred to 4 NZ General Hospital, <name key="name-000935" type="place">Helwan</name>, earlier in August in preparation for this move to the <name key="name-024430" type="place">Western Desert</name>. Seven men under command of the base medical officer took over the camp hospital on the departure of 4 Field Ambulance. B Company rejoined 4 Field Ambulance early in October, when 2 General Hospital relieved it at the <name key="name-000935" type="place">Helwan</name> hospital.</p>
          <p rend="indent">The role of <name key="name-024335" type="organisation">4 Infantry Brigade</name>, together with various British and Indian units under command of <name key="name-006522" type="organisation">4 Indian Division</name>, was to defend a perimeter around Maaten <name key="name-002877" type="place">Baggush</name> and <name key="name-016019" type="place">Maaten Burbeita</name>. There were 4800 men in <name key="name-024335" type="organisation">4 Infantry Brigade</name> Group plus certain non-divisional troops, such as the Railway Construction Company, in the <name key="name-024430" type="place">Western Desert</name>. The MDS of 4 Field Ambulance served the troops in the area, and A Company later rejoined the unit from <name key="name-000961" type="place">Ikingi Maryut</name>. A route of evacuation for casualties was established by unit ambulances to the ambulance train at <name key="name-001332" type="place">Sidi Haneish</name> station. Thence they went back along the lines of communication to <name key="name-028788" type="organisation">2/5 CCS</name> at <name key="name-003433" type="place">El Daba</name>, 2/5 General Hospital at <name key="name-000576" type="place">Alexandria</name>, and 4 (later 2) NZ General Hospital, <name key="name-000935" type="place">Helwan</name>.</p>
          <p rend="indent">From <name key="name-000576" type="place">Alexandria</name> a single railway line and a tarmac road ran along the coast to Mersa Matruh; the road extended further to <name key="name-001329" type="place">Sidi Barrani</name>. Thence all transport was obliged to use desert tracks which quickly cut up into loose sand in which progress was slow and arduous.</p>
          <p rend="indent">No ambulance trains were at first available. A temporary arrangement was made for an ambulance coach to run daily with the
<pb n="63" xml:id="n63"/>
passenger train from Mersa Matruh to <name key="name-001485" type="place">Daba</name> and there empty into the CCS and return to Mersa Matruh. When patients had to be evacuated to base hospital at <name key="name-000576" type="place">Alexandria</name>, another coach was despatched from <name key="name-000576" type="place">Alexandria</name> to <name key="name-001485" type="place">Daba</name> to pick them up. Later, ambulance trains ran daily from Mersa Matruh, stopping at <name key="name-000862" type="place">Garawla</name>, <name key="name-001332" type="place">Sidi Haneish</name>, and <name key="name-003621" type="place">Fuka</name> to pick up sick from field ambulances and the Royal Air Force, unloading minor sick patients for treatment at the CCSs at <name key="name-001485" type="place">Daba</name> and, after taking on others for evacuation, proceeding to <name key="name-000576" type="place">Alexandria</name> and <name key="name-003601" type="place">Cairo</name>.</p>
          <p rend="indent">The possibilities of evacuating casualties by air were explored by ADMS <name key="name-024430" type="place">Western Desert</name> Force but it was reported that, although all senior medical officers were in favour of air evacuation for special cases from forward areas, the <name key="name-034190" type="organisation">RAF</name> considered that the scheme was impracticable because of maintenance difficulties, the need of protection for ambulance planes, and the problem of preparing suitable landing grounds near the front.</p>
          <p rend="indent">On 13 September the Italian forces pressed their advance beyond the frontier of <name key="name-002106" type="place">Egypt</name> to <name key="name-001351" type="place">Sollum</name> and later to <name key="name-001329" type="place">Sidi Barrani</name>. Before numerically superior forces, the British troops gradually withdrew to prepared defences at Mersa Matruh. On 15 September, following an air raid during the night, a number of casualties, all British, were admitted to <name key="name-029234" type="organisation">4 MDS</name> for treatment. By 18 September the MDS held 31 patients, and by the end of September there were 64. The enemy air force was making frequent day and night attacks on troops, camps, and supply dumps in the <name key="name-024430" type="place">Western Desert</name> and on the railway line from <name key="name-000576" type="place">Alexandria</name> to Mersa Matruh.</p>
          <p rend="indent">Members of 4 Field Ambulance, especially A Company, were given training under mobile conditions with battalions of the brigade group, in view of the apparent imminence of extensive offensive action. During October the unit, which was nearly forty under strength, evacuated 634 patients sick and wounded—mostly sick. Of this total 289 were New Zealand troops and 345 British. In addition, many patients were detained under treatment and, on recovery, were discharged directly back to their units.</p>
          <p rend="indent">During this period in the desert opportunity was taken by 4 Field Ambulance to view the arrangements in the field made by ambulance units of <name key="name-009204" type="organisation">7 Armoured Division</name>. Officers were impressed by their methods of dispersal, the set-up of the MDS and the ADS, their use of large tarpaulins (40 feet by 40 feet as a minimum) for providing quickly erected and efficient lightproof coverage for patients, and their arrangement of equipment in their panniers.</p>
          <p rend="indent">It was realised that several additions to equipment would be necessary because of the changed functions of a field ambulance in mobile warfare in the desert. The unit's equipment scale was designed to meet those conditions met in <name key="name-008009" type="place">France</name> during static <choice><orig>war-
<pb n="64" xml:id="n64"/>
fare</orig><reg>warfare</reg></choice> in a closely inhabited country, where buildings were nearly always available to house casualties awaiting evacuation. In desert warfare the conditions were entirely different. There were no buildings, war was not static, and field ambulances might be called upon to hold casualties for lengthy periods pending evacuation. Hence, the old equipment scale of three small tents had to be supplemented with coverage that was capable of quick erection and removal.</p>
          <p rend="indent">As a result tarpaulins were provided for 4 Field Ambulance and became standard equipment. They were used with a truck, such as the operating truck, as the principal support for the tarpaulin, one side of which was spread over the vehicle and the other sides pinned to the ground. Poles inside the tarpaulin raised it sufficiently high off the ground to provide coverage for twenty to thirty stretchers. The open end of the truck faced inwards so that the equipment was easily available for use inside the marquee-like structure. Such a structure could be erected in a few minutes.</p>
          <p rend="indent">Lessons learned in a training exercise in <date when="1940-11">November 1940</date> included navigation, by day and by night, and the art of dispersal, and further practice was received in the rapid establishment of both main and advanced dressing stations. The unit was now highly trained, although further improvement was thought desirable in the collection and transportation of a continuous flow of casualties from a battalion.</p>
          <p rend="indent">On 7 November 4 Field Ambulance was relieved of all British patients, who were transferred to 215 Field Ambulance which had now opened up in the neighbourhood. The hospital work of the unit was thus cut by half. On the night of 18–19 October 4 Field Ambulance was bombed by enemy aircraft and the ASC drivers attached suffered four casualties—one killed and three wounded, one of whom subsequently died of wounds.</p>
        </div>
        <div type="section" n="29" xml:id="c3-29">
          <head>
            <hi rend="i">Water Supplies</hi>
          </head>
          <p rend="indent">Lack of water constituted probably the greatest problem of desert warfare. In the coastal area the presence of salt as well as fresh water underground made it useless to sink wells. The main source of water for the force was by water train from <name key="name-000576" type="place">Alexandria</name>. Roman aqueducts, repaired and developed by the engineers, at Mersa Matruh, Maaten <name key="name-002877" type="place">Baggush</name>, and <name key="name-024143" type="place">Burbeita</name> supplemented the supply. Later, pipelines were laid from the aqueducts to new water points. The water thus obtained was good and easily rendered sterile, but unfortunately the amount available was limited by the fact that over-pumping at once produced salinity.</p>
          <p rend="indent">There was a further difficulty of distribution to forward and dispersed troops, for whom insufficient water carts and containers
<pb n="65" xml:id="n65"/>
were available. Water drawn for New Zealand troops was chlorinated at the water point before distribution. The ration was one and a half gallons a day for all purposes, three-quarters of a gallon being used for cooking and three-quarters for drinking and washing. This was adequate provided there was no waste. Some units washed their clothes each week in water saved from the daily allowance, whilst others sent their clothes to a military laundry in <name key="name-000576" type="place">Alexandria</name>.</p>
        </div>
        <div type="section" n="30" xml:id="c3-30">
          <head>
            <hi rend="i">Food</hi>
          </head>
          <p rend="indent">The ration scale in the <name key="name-024430" type="place">Western Desert</name> was that of the British Army in <name key="name-002106" type="place">Egypt</name>. It was comprehensive and contained all necessary ingredients. Margarine was substituted for butter. Cigarettes became a weekly issue. Wet canteens were run mostly on a unit basis. A certain amount of ale was available, this being regarded as an important source of Vitamin B. Marmite could also be indented to make up deficiencies in this respect. Fresh limes were a daily issue to units and were best utilised in making refreshing lime drinks. A grant was made to units of <name key="name-004368" type="organisation">2 NZEF</name> from the National Patriotic Fund to buy extra vegetables and fruit, and units also used regimental funds for this purpose. Some units in the area farther forward experienced a shortage of green vegetables at times owing to their poor condition on arrival.</p>
        </div>
        <div type="section" n="31" xml:id="c3-31">
          <head>
            <hi rend="i">Hygiene</hi>
          </head>
          <p rend="indent">Flies were bad in some places at first, but were not troublesome where an anti-fly campaign was pursued with vigour. In all places except temporary bivouacs and certain water-bearing areas, the deep-trench latrine was the approved pattern.</p>
        </div>
        <div type="section" n="32" xml:id="c3-32">
          <head>
            <hi rend="i">British Offensive</hi>
          </head>
          <p rend="indent">On 9 December British and Indian troops and elements of 6 Australian Division commenced operations against the Italian forward positions with marked success. Adjacent British ambulance units moved forward to establish ADSs to deal with the wounded, leaving 4 Field Ambulance stationary as an MDS to continue its function of the previous three months. No New Zealand combatant units took part in the offensive. The diversion of the Second Echelon (5 Infantry Brigade Group) to the <name key="name-029547" type="place">United Kingdom</name> had delayed the formation of a complete New Zealand division in the <name key="name-005853" type="place">Middle East</name>. The New Zealand Government had expressed a wish that our troops should not be employed until the Division was assembled, except in an emergency, which did not arise.</p>
          <pb n="66" xml:id="n66"/>
          <p rend="indent">However, 4 NZ Reserve MT Company (to which Lieutenant <name key="name-022711" type="person">Lomas</name>,<note xml:id="ftn1-66" n="1"><p><name key="name-022711" type="person">Maj A. L. Lomas</name>, MC, m.i.d.; <name key="name-120018" type="place">Hamilton</name>; born <name key="name-008123" type="place">Wanganui</name>, <date when="1916-06-30">30 Jun 1916</date>; medical practitioner; RMO ASC Jan 1940–Jun 1941; OC <name key="name-004203" type="place">Maadi Camp</name> Hosp Jun 1942–Apr 1943; DADMS 2 NZ Div Aug 1943–Apr 1944.</p></note> <name key="name-203712" type="organisation">NZMC</name>, was attached as RMO) transported troops of 5 Brigade of <name key="name-006522" type="organisation">4 Indian Division</name> to the region of the Tummar outposts from 5 to 9 December 1940. On the night of 8 December Lieutenant Lomas was transferred by Brigade Headquarters to the ADS of 5 Indian Brigade (B Company 14 Indian Field Ambulance).</p>
          <p rend="indent">On 9 December, immediately following the capture of <name key="name-016309" type="place">Tummar West</name> by two battalions of the brigade, the ADS set up at a central site to treat casualties. A slight interruption occurred when this area was shelled and machine-gunned during an enemy counter-attack from <name key="name-016308" type="place">Tummar East</name>, but the attack was repulsed by tanks which put ten enemy tanks out of action.</p>
          <p rend="indent">The ADS staff consisted of two Indian captains, an Indian second-lieutenant (assistant surgeon), and Lieutenant Lomas. The two captains did the work of organising the reception of casualties and providing blankets, medical comforts, etc., for the wounded, whilst Lomas and the assistant surgeon attended to the wounded. They worked steadily for twelve hours until 2.30 a.m. on 10 December and commenced work again at dawn, continuing throughout that day. The MDS and MAC did not arrive until evening.</p>
          <p rend="indent">Every type of injury passed through the surgeons' hands in this period. Several limb amputations were necessary; there were about five cases of fractured skulls with herniation of the brain, and many with chest and abdominal wounds. The casualties were British, Indian, Italian, and Libyan. Casualties from 11 and 16 Brigades also arrived at 5 Brigade ADS, as they had trouble in finding their own ADSs. For his part in the action Lieutenant Lomas was awarded the Military Cross—the first award to the New Zealand Medical Corps in the war.</p>
          <p rend="indent">The main attack on <name key="name-001329" type="place">Sidi Barrani</name> was then begun and the Italian forces were driven into general retreat, leaving behind thousands of prisoners, including casualties, and much equipment. The <name key="name-029150" type="organisation">Italians</name> were driven out of <name key="name-002106" type="place">Egypt</name> when <name key="name-001351" type="place">Sollum</name> fell on 16 December. Then followed the clearing of <name key="name-000620" type="place">Bardia</name> and <name key="name-011103" type="place">Derna</name> and the push on to <name key="name-002931" type="place">Benghazi</name>.</p>
          <p rend="indent">Fourth Field Ambulance was called upon to deal with only a few bomb casualties beyond the usual sickness cases. During December 202 New Zealand, 97 British, and 9 Australian cases were evacuated. In the last week of December the unit ceased to function as a reception and evacuation centre, and prepared for the move by road to the divisional base camp recently established at <name key="name-000935" type="place">Helwan</name>.</p>
          <pb n="67" xml:id="n67"/>
        </div>
        <div type="section" n="33" xml:id="c3-33">
          <head>
            <hi rend="i">Lessons from the Campaign</hi>
          </head>
          <p rend="indent">On 17 November Colonel G. W. B. James, Consultant Psychiatrist, BTE, visited 4 Field Ambulance and with medical officers discussed the question of the prevalence of neurosis in the forward areas. General opinion indicated that the incidence was very small, at least in New Zealand troops, but it was suggested that any such cases should be treated with sedatives and held in the forward medical unit rather than be evacuated to a general hospital, where the complex increased, thereby making it much more difficult to return the men to their units.</p>
          <p rend="indent">In the campaign in December it had been possible for the commanding officer 4 Field Ambulance, Lieutenant-Colonel Graves,<note xml:id="ftn1-67" n="1"><p>Col P. V. Graves, ED; Waverley; born <name key="name-005696" type="place">Hawera</name>, <date when="1896-04-01">1 Apr 1896</date>; medical practitioner; medical orderly NZ Hospital Ship <hi rend="i">Maheno</hi>, 1917–19; RMO 2 Div Cav Sep 1939–Sep 1940; CO <name key="name-009615" type="organisation">4 Fd Amb</name> Sep 1940–Aug 1941; ADMS Central Military District Sep 1942–Aug 1944.</p></note> to accompany Colonel Kenrick as far forward as <name key="name-000620" type="place">Bardia</name> to the MDS of 2/1 Australian Field Ambulance. There valuable information was gained on the evacuation of battle casualties from the battle then in progress. Three ADSs were functioning at the time about 2 miles behind the front line and all casualties passed through the MDS, which was situated close to the division's headquarters, about 12 miles back. From observations made, it was clear that in future operations New Zealand's field ambulances would have to make provision at the MDS for the following:</p>
          <list type="simple">
            <label>(<hi rend="i">a</hi>)</label>
            <item>
              <p rend="indent">The holding of many more cases than previously planned.</p>
            </item>
            <label>(<hi rend="i">b</hi>)</label>
            <item>
              <p rend="indent">The performance of major surgery as required.</p>
            </item>
            <label>(<hi rend="i">c</hi>)</label>
            <item>
              <p rend="indent">The attachment of additional surgeons.</p>
            </item>
            <label>(<hi rend="i">d</hi>)</label>
            <item>
              <p rend="indent">An electric lighting set for theatre work.</p>
            </item>
            <label>(<hi rend="i">e</hi>)</label>
            <item>
              <p rend="indent">Use of walking wounded as blood donors.</p>
            </item>
            <label>(<hi rend="i">f</hi>)</label>
            <item>
              <p rend="indent">Improvement of arrangements for clerical recording at the admission and discharge of patients.</p>
            </item>
          </list>
          <p rend="indent">When 4 Field Ambulance concluded its first period of four months in the field under active-service conditions, valuable experience had been gained in hospital work and field training, and the unit felt confident that it could undertake any role in field ambulance work.</p>
        </div>
        <div type="section" n="34" xml:id="c3-34">
          <head>
            <hi rend="i">Developments at Base—Changes in Administration</hi>
          </head>
          <p rend="indent">The movement of 4 Brigade Group to the <name key="name-024430" type="place">Western Desert</name> while a proportion of men remained in <name key="name-004203" type="place">Maadi Camp</name> and at <name key="name-000935" type="place">Helwan</name> hospital led to changes in headquarters administration. Up to <date when="1940-09">September 1940</date> all administrative functions had been carried on by Headquarters NZ Division. This title was retained by the headquarters of the brigade group when it moved up under active-service
<pb n="68" xml:id="n68"/>
conditions, and a reconstituted headquarters at Base became Headquarters <name key="name-004368" type="organisation">2 NZEF</name>. This latter organisation could only be built up slowly without drawing unduly on the divisional troops. In September separate routine orders were issued by Headquarters NZ Division (on matters affecting all troops under its direct command) and by Headquarters <name key="name-004368" type="organisation">2 NZEF</name> (on matters having force throughout <name key="name-004368" type="organisation">2 NZEF</name>).</p>
          <p rend="indent">In August the acting ADMS NZ Division, Lieutenant-Colonel Kenrick, drew attention to the fact that it was impossible for one man to carry out satisfactorily the duties of ADMS with the force in the field, and at the same time cope with such important base duties as the establishment of hospitals and convalescent depots. When Colonel MacCormick returned from his duties with the Second Echelon in <name key="name-004019" type="place">England</name> in September he took a similar view. Immediately upon <name key="name-207994" type="person">General Freyberg</name>'s return to <name key="name-002106" type="place">Egypt</name> from <name key="name-004019" type="place">England</name>, the question of the administration of the New Zealand Medical Services was taken up with him.</p>
          <p rend="indent">It was decided that there should be a <name key="name-028893" type="organisation">DDMS</name> <name key="name-004368" type="organisation">2 NZEF</name> on Headquarters <name key="name-004368" type="organisation">2 NZEF</name> and Colonel MacCormick was appointed to this position. Lieutenant-Colonel Kenrick was thereupon appointed ADMS NZ Division with the rank of colonel. These appointments were effective from <date when="1940-10-01">1 October 1940</date>.</p>
          <p rend="indent">The DADMS NZ Division, Major Tennent, continued to assist the ADMS until appointed to command <name key="name-027002" type="organisation">1 Convalescent Depot</name>, and Captain <name key="name-027704" type="person">Williams</name><note xml:id="ftn1-68" n="1"><p><name key="name-027704" type="person">Lt-Col M. Williams</name>; <name key="name-008844" type="place">Wellington</name>; born <name key="name-021329" type="place">Masterton</name>, <date when="1910-01-29">29 Jan 1910</date>; physician; RMO NZ Engineers, Oct 1939–Sep 1940; DADMS <name key="name-004368" type="organisation">2 NZEF</name> Oct–Dec 1940; OC Base Hyg Sec Dec 1940–Jun 1941; OC <name key="name-027004" type="organisation">4 Fd Hyg Sec</name> Jun 1941–Jan 1942; <name key="name-009616" type="organisation">5 Fd Amb</name> Jan–Aug 1942; <name key="name-011447" type="organisation">1 Gen Hosp</name> Aug 1942–Jun 1943; in charge medical division <name key="name-023159" type="organisation">4 Gen Hosp</name> (<name key="name-008892" type="place">Pacific</name>) Sep 1943–Aug 1944.</p></note> was appointed DADMS in the office of the <name key="name-028893" type="organisation">DDMS</name> at <name key="name-004203" type="place">Maadi Camp</name>. Both <name key="name-028893" type="organisation">DDMS</name> <name key="name-004368" type="organisation">2 NZEF</name> and ADMS NZ Division had a clerical staff to assist with administrative matters. This staff, especially at the <name key="name-028893" type="organisation">DDMS</name>'s office, was expanded later with the increase in numbers and size of the medical units. A quartermaster, Major Peek, was posted to <name key="name-028893" type="organisation">DDMS</name>'s staff as officer-in-charge of medical supplies and equipment.</p>
          <p rend="indent">The <name key="name-028893" type="organisation">DDMS</name> thus became responsible for the medical arrangements throughout <name key="name-004368" type="organisation">2 NZEF</name> as a whole, including all hospital arrangements, and was adviser to the GOC in medical matters, while the ADMS made the medical arrangements for the Division in the field, being responsible to the <name key="name-028893" type="organisation">DDMS</name>.</p>
          <p rend="indent">In <date when="1941-01">January 1941</date> Miss Nutsey<note xml:id="ftn2-68" n="2"><p>Matron-in-Chief Miss E. M. Nutsey, MBE, RRC, ED, m.i.d.; born <name key="name-007584" type="place">Christchurch</name>, <date when="1887-06-09">9 Jun 1887</date>; Lady Superintendent, Auckland Hospital; <name key="name-004367" type="organisation">1 NZEF</name> 1915–19: staff nurse, <name key="name-002106" type="place">Egypt</name>, 1915–16, sister, <name key="name-004019" type="place">England</name>, 1916–19; Matron-in-Chief <name key="name-004368" type="organisation">2 NZEF</name> Jan 1941–Nov 1943; died <date when="1953-07-04">4 Jul 1953</date>.</p></note> arrived in <name key="name-002106" type="place">Egypt</name> to become Matron-in-Chief <name key="name-004368" type="organisation">2 NZEF</name>. Under the <name key="name-028893" type="organisation">DDMS</name>, she was in administrative
<pb n="69" xml:id="n69"/>
control of the members of the <name key="name-023814" type="organisation">NZANS</name>, and later of the members of the New Zealand Women's Army Auxiliary Corps (Medical Division).</p>
        </div>
        <div type="section" n="35" xml:id="c3-35">
          <head>
            <hi rend="i">1 NZ Camp Hospital</hi>
          </head>
          <p rend="indent">It became obvious in September, after the departure of 4 Field Ambulance from <name key="name-004262" type="place">Maadi</name>, that a base camp hospital with its own war establishment was necessary. Since its arrival in <date when="1940-02">February 1940</date>, 4 Field Ambulance had run an infectious and contagious disease hospital in <name key="name-004203" type="place">Maadi Camp</name>. The opening of a general hospital at <name key="name-000935" type="place">Helwan</name> did not make the camp hospital redundant. Owing to the close proximity of the wards at <name key="name-000935" type="place">Helwan</name> no part of the hospital was suitable for venereal disease patients, nor could the lesser infectious diseases such as measles and mumps be conveniently treated there. It was thought that the camp hospital might be administered as part of 2 NZ General Hospital, but the distance of 17 miles, shortage of staff, and other difficulties made this solution impracticable. (Sixth Field Ambulance might have been able to staff the hospital temporarily, but the unit did not arrive with the main body of the Third Echelon at the beginning of October, having been disembarked at <name key="name-013389" type="place">Bombay</name>, and eventually reached <name key="name-004262" type="place">Maadi</name> on 27 October. In any case, this course would not have left the unit free to perform its proper function and undergo a full course of training.)</p>
          <p rend="indent">The 1st NZ Camp Hospital was therefore formed as a unit of <name key="name-004368" type="organisation">2 NZEF</name> on <date when="1940-10-25">25 October 1940</date>, with Captain <name key="name-027489" type="person">Cottrell</name><note xml:id="ftn1-69" n="1"><p><name key="name-027489" type="person">Col J. D. Cottrell</name>, OBE; <name key="name-004019" type="place">England</name>; born <name key="name-004019" type="place">England</name>, <date when="1903-10-26">26 Oct 1903</date>; medical practitioner; medical officer <name key="name-009616" type="organisation">5 Fd Amb</name>, 28 (Maori) Bn, <name key="name-023159" type="organisation">4 Gen Hosp</name>, Jan 1940–Jan 1941; DADMS <name key="name-004368" type="organisation">2 NZEF</name> Jan–Aug 1941; in charge medical division <name key="name-011448" type="organisation">2 Gen Hosp</name>, Aug–Dec 1941; SMO <name key="name-004203" type="place">Maadi Camp</name> Jan–Mar 1942; in charge medical division <name key="name-011449" type="organisation">3 Gen Hosp</name>, Mar 1942–Mar 1945; Consultant Physician <name key="name-004368" type="organisation">2 NZEF</name>, Mar–May 1945.</p></note> as officer commanding and medical officer for the infectious diseases section, and Lieutenant <name key="name-027628" type="person">Platts</name><note xml:id="ftn2-69" n="2"><p><name key="name-027628" type="person">Maj W. M. Platts</name>; <name key="name-007584" type="place">Christchurch</name>; born <name key="name-030597" type="place">Port Chalmers</name>, <date when="1909-11-06">6 Nov 1909</date>; medical practitioner; Officer i/c VD Sec <name key="name-004203" type="place">Maadi Camp</name> Hosp; OC <name key="name-004203" type="place">Maadi Camp</name> Hosp <date when="1941">1941</date>–<date when="1942-06">Jun 1942</date>; <name key="name-001176" type="organisation">6 Fd Amb</name> <date when="1942-07">Jul 1942</date>; <name key="name-009615" type="organisation">4 Fd Amb</name> Aug 1942–May 1944; wounded <date when="1943-04-15">15 Apr 1943</date>.</p></note> medical officer for the venereal disease section. The establishment provided for a staff of 3 sergeants and 25 medical orderlies.</p>
        </div>
        <div type="section" n="36" xml:id="c3-36">
          <head>
            <hi rend="i">NZ Base Hygiene Section</hi>
          </head>
          <p rend="indent">The inspection of hygiene and sanitation arrangements of <name key="name-004203" type="place">Maadi Camp</name> had been the duty of 4 Field Hygiene Section. This unit operated for a short time with NZ Division in the <name key="name-024430" type="place">Western Desert</name>, and then on <date when="1940-12-14">14 December 1940</date> left <name key="name-004203" type="place">Maadi Camp</name> for the divisional camp established at <name key="name-000935" type="place">Helwan</name>, to which New Zealand troops went on their return from the <name key="name-024430" type="place">Western Desert</name>. Thereafter, the section was to remain with NZ Division.</p>
          <pb n="70" xml:id="n70"/>
          <p rend="indent">It then became an urgent matter to form a <name key="name-027420" type="organisation">Base Hygiene Section</name> to supervise hygiene and sanitation in <name key="name-004203" type="place">Maadi Camp</name>, in outlying garrison posts manned by <name key="name-004368" type="organisation">2 NZEF</name> troops, in the prisoner-of-war camp, <name key="name-000935" type="place">Helwan</name>, and the New Zealand Forces Club, <name key="name-003601" type="place">Cairo</name>. Two NCOs and four men from 4 Field Hygiene Section provided the nucleus of its staff, and Captain Williams took over command on <date when="1940-12-27">27 December 1940</date></p>
        </div>
        <div type="section" n="37" xml:id="c3-37">
          <head>
            <hi rend="i"><name key="name-028359" type="place">1 NZ General Hospital</name>, <name key="name-009430" type="place">Helmieh</name></hi>
          </head>
          <p rend="indent">The finding of a suitable location for <name key="name-028359" type="place">1 NZ General Hospital</name> before that unit's arrival in <name key="name-002106" type="place">Egypt</name> was fraught with a number of difficulties. In the low-lying <name key="name-004464" type="place">Nile Delta</name> no location could be considered. <name key="name-000576" type="place">Alexandria</name> was considered unsuitable on account of bombing raids. Buildings in <name key="name-003601" type="place">Cairo</name> were almost unobtainable and most of the suitable sites on the <name key="name-001365" type="place">Suez Canal</name> had been taken. Tel-el-Kebir was put forward as a possible site, but it was an arid and extremely hot summer location, as those of <name key="name-004367" type="organisation">1 NZEF</name> well remembered from <date when="1916">1916</date>. Eventually, a site near 2/10 General Hospital at <name key="name-009430" type="place">Helmieh</name> was decided upon. It was part of the New Zealand camp site at <name key="name-029581" type="place">Zeitoun</name> in 1914–18. An administrative block, quartermaster's stores, kitchens, dining rooms, and bath-house were complete and ready on the site. An operating theatre of standard army design had to be built.</p>
          <p rend="indent">The advance party of 1 General Hospital, which had been working at <name key="name-000935" type="place">Helwan</name> hospital, made preliminary preparations at <name key="name-009430" type="place">Helmieh</name> before the arrival of the unit on 17 November. Upon arrival, the staff of the unit erected tents to enable a 600-bed hospital to be established. Hospital extending tents were used, each ward being formed of two parallel groups of sections, joined at one end by a single section forming a square service tent. This small tent acted as a ward kitchen, duty room, sterilising room, and treatment room. The tents were all dug well below ground level and surrounded by mud-brick walls, as a protection to bed patients in the event of enemy air attack. The sunken floors were paved with smooth stones, and brick facing walls built to hold back the sand. Assistance was rendered by working parties from infantry battalions in <name key="name-004262" type="place">Maadi</name>. Native contractors engaged in the erection of the operating theatre, X-ray and physiotherapy block, made slow progress.</p>
          <p rend="indent">Huts were made from rather flimsy shelters formerly used as stables by British garrison troops. These were constructed of rush walls at the back and on either side and had a flat roof, the front being open. The walls inside and the ceilings were plastered and the floors concreted. An area in the middle of the open front was bricked up to form a duty room and kitchen, leaving a wide entrance door on either side. A protective wall of mud bricks 4 feet high was then built outside the huts. The absence of rain and the extreme heat
<pb n="71" xml:id="n71"/>
of summer made them a satisfactory method of temporary housing for the patients.</p>
          <p rend="indent">Drainage presented a difficulty. This was solved by digging down to 12 feet below ground level, where a porous sand sub-stratum was encountered. A sump of this depth had to be provided for each ward for the disposal of water used for washing patients. Dish water had to be disposed of through a separate drainage system.</p>
          <p rend="indent">The equipment for the hospital began to arrive on 23 November. The ordnance equipment had suffered considerably by damage and loss in handling on the voyage from <name key="name-004019" type="place">England</name>. The medical equipment was drawn in <name key="name-002106" type="place">Egypt</name>.</p>
          <p rend="indent">Construction work was still in progress when instructions were received on 13 December to prepare to admit patients. Casualties from the offensive in <name key="name-001027" type="place">Libya</name> were beginning to tax the available hospital accommodation. On 12 December <name key="name-028893" type="organisation">DDMS</name> BTE requested the <name key="name-028893" type="organisation">DDMS</name> <name key="name-004368" type="organisation">2 NZEF</name> to make arrangements for the admission of casualties to New Zealand general hospitals, although the main body of New Zealand troops was not engaged. Colonel MacCormick gave his assurance that 2 General Hospital would take up to 250 cases and 1 General Hospital up to 200 cases of lightly wounded and sick. Both institutions responded splendidly. By 15 December 2 General Hospital had taken 117 British and 85 prisoner-of-war casualties, and on that date 1 General Hospital admitted 81 patients who were transferred from 2/10 British General Hospital.</p>
          <p rend="indent">By the end of <date when="1941-01">January 1941</date>, 1 General Hospital had seven tented wards equipped with forty beds each, and five huts equipped with twenty-four beds. All this and other subsidiary work earned high praise from the <name key="name-028893" type="organisation">DDMS</name> BTE, who requested permission to send the commanding officers of all other hospitals to see what excellent arrangements had been made. This was the first hospital in the <name key="name-005853" type="place">Middle East</name> with tents sunk and protected against air raids.</p>
          <p rend="indent">In one period of ten days 300 patients, mostly Australian, were admitted, and the total in hospital reached 376 on 31 January. During February there were 241 patients admitted. On 24 February orders were received for the hospital to be cleared. All patients were discharged or transferred in two days and all equipment packed and loaded on a train in three days. The unit had been chosen to proceed with New Zealand troops across the <name key="name-007453" type="place">Mediterranean</name> to <name key="name-002294" type="place">Greece</name>. (The site at <name key="name-009430" type="place">Helmieh</name> was taken over by 3 NZ General Hospital on its arrival in <name key="name-002106" type="place">Egypt</name> on <date when="1941-03-23">23 March 1941</date>.)</p>
        </div>
        <div type="section" n="38" xml:id="c3-38">
          <head>
            <hi rend="i">2 NZ General Hospital, <name key="name-000935" type="place">Helwan</name></hi>
          </head>
          <p rend="indent">When 2 General Hospital took over from 4 General Hospital on 8 October there were 472 equipped beds and 448 patients. During the following week two more wards were opened up, bringing the
<pb n="72" xml:id="n72"/>
number of available beds to 559. It was fortunate that this increase was possible just at that time, for there was a steady rise in the number of patients due to the departure of a brigade of 6 Australian Division from <name key="name-000935" type="place">Helwan</name> and the need for the Australians to transfer their sick from their camp hospital; and also to an increase in the number of cases of dysentery from both the <name key="name-024430" type="place">Western Desert</name> and <name key="name-004203" type="place">Maadi Camp</name>, where the Third Echelon had arrived early in October. On 30 October there were 533 patients, of whom 160 were Australians. Medical outnumbered surgical cases on an average of about two to one.</p>
          <p rend="indent">The number of patients rose to a peak of 586 on 1 November, but the bed state fell steadily to 458 at the end of the month with an easing of tension for all departments. Most of the construction work in the hospital was then finished and the staff had become accustomed to hospital routine. Admissions for the month totalled 825 and discharges 863.</p>
          <p rend="indent">It was not until December that the theatre block was functioning. This block was well designed and of ample size to cope with all the work offering, though all the surgical work was concentrated at <name key="name-000935" type="place">Helwan</name> pending the erection of the operating block at <name key="name-009430" type="place">Helmieh</name> several months later.</p>
          <p rend="indent">The sanitary arrangements of the Grand Hotel building were quite unsuited to cope with a large number of hospital patients. Soakage and cess-pits were in use, some of them under part of the buildings, and these became overfull, offensive, and a danger to health. A new drainage system was put in and the drainage from the wards piped into a septic tank, and the effluent taken out into the desert three-quarters of a mile from the hospital. Two wards used for intestinal cases were still drained into larger cesspits to enable disinfectants to be used. Thereafter sanitary conditions were quite satisfactory.</p>
          <p rend="indent">In December, following the offensive in the <name key="name-024430" type="place">Western Desert</name>, men of many nationalities were admitted: 130 British, 72 Australian, 494 New Zealand, 3 French, and 215 Italian prisoner-of-war patients. Actual battle casualties were 73 Allies and 102 <name key="name-029150" type="organisation">Italians</name>.</p>
          <p rend="indent">In January large convoys of patients arrived following the battles of both <name key="name-000620" type="place">Bardia</name> and <name key="name-001400" type="place">Tobruk</name>. More Australians than New Zealanders were admitted for the month—426 as against 416. On 31 January the number of patients totalled 656. A transfer of 90 Australians to an Australian general hospital was made on 25 February and this left only 38 Australians. February's admissions totalled 658.</p>
          <p rend="indent">By March the rush of the work consequent on the January convoys had slackened to a marked extent, added to which the hospital was serving only New Zealand troops; and, of these, the majority were on their way to <name key="name-002294" type="place">Greece</name> early in March.</p>
          <pb n="73" xml:id="n73"/>
          <p rend="indent">The casualties from other forces admitted from the First Libyan Campaign and <name key="name-001400" type="place">Tobruk</name> included both light and serious cases. The closed plaster treatment was largely carried out at this period and sulphonamides were used both locally and parenterally. Little was done in the way of wound suture. The major fractures demanded much attention, and the presence of an orthopaedic surgeon on the staff of the hospital proved of great value. Very few deaths occurred among the battle casualties.</p>
          <p rend="indent">Of other surgical admissions, accidental injuries were relatively common both from road accidents and from games, especially football. Orthopaedic conditions of a minor nature were not uncommon, many being pre-war disabilities such as old osteomyelitic infections of the lower limb which were prone to break down in <name key="name-002106" type="place">Egypt</name>. There were also numerous cases of hammer toes, hallux valgus, and exostosis, many of which called for operative treatment.</p>
        </div>
        <div type="section" n="39" xml:id="c3-39">
          <head>
            <hi rend="i">1 NZ Convalescent Depot</hi>
          </head>
          <p rend="indent">After their arrival from <name key="name-004019" type="place">England</name> on 17 September the <name key="name-023066" type="organisation">Convalescent Depot</name> staff went to <name key="name-004203" type="place">Maadi Camp</name> for a short period. Negotiations with GHQ MEF had resulted in Lieutenant-Colonel Kenrick inspecting the ‘Nelson Lines’ at <name key="name-015263" type="place">Moascar</name> in the <name key="name-001365" type="place">Suez Canal</name> area at the end of August, and these permanent barracks were found suitable in all respects for a convalescent depot. They were pleasantly situated, with ample messrooms and recreation rooms, while several tennis courts were available and bathing, boating, and launch trips were possible.</p>
          <p rend="indent">On <date when="1940-10-01">1 October 1940</date> 1 NZ Convalescent Depot left <name key="name-004262" type="place">Maadi</name> for <name key="name-015263" type="place">Moascar</name>, where the unit took over part of the barracks from a British convalescent depot which moved to <name key="name-029007" type="place">El Arish</name>. At this time 379 of the 500 beds were occupied by convalescents from British Army units and from <name key="name-034190" type="organisation">RAF</name>, <name key="name-003205" type="organisation">Royal Navy</name>, French, and Australian forces. As these convalescent patients were discharged their places were taken by New Zealanders. From an initial preponderance, British and Australian patients dropped to 50 and 80 respectively by the end of November, when the majority of the 390 patients were New Zealanders.</p>
          <p rend="indent">The unit was slow in attaining a reasonable standard of efficiency. A change of commanding officers took place in <date when="1940-12">December 1940</date>. When <name key="name-027677" type="person">Lieutenant-Colonel Stout</name><note xml:id="ftn1-73" n="1"><p><name key="name-027677" type="person">Col T. D. M. Stout</name>, CBE, DSO, ED, m.i.d.; <name key="name-008844" type="place">Wellington</name>; born <name key="name-008844" type="place">Wellington</name>, <date when="1885-07-25">25 Jul 1885</date>; surgeon; <name key="name-004367" type="organisation">1 NZEF</name> 1914–19: <name key="name-021537" type="place">Samoa</name>, <name key="name-002106" type="place">Egypt</name>, <name key="name-009685" type="place">Salonika</name>, <name key="name-008009" type="place">France</name>; OC NZ Surgical Team, <name key="name-008009" type="place">France</name>; in charge surgical division <name key="name-011447" type="organisation">1 Gen Hosp</name>, <name key="name-004019" type="place">England</name>, Aug 1917–Aug 1919; Consultant Surgeon, Trentham Military Hospital, 1919–20; in charge surgical division <name key="name-011447" type="organisation">1 Gen Hosp</name>, May 1940–Aug 1941; Consultant Surgeon <name key="name-004368" type="organisation">2 NZEF</name>, Feb 1941–Sep 1945.</p></note> and Lieutenant-Colonel <name key="name-027426" type="person">Boyd</name><note xml:id="ftn2-73" n="2"><p><name key="name-027426" type="person">Col J. R. Boyd</name>, CBE, MC, m.i.d.; <name key="name-008844" type="place">Wellington</name>; born <name key="name-120045" type="place">Scotland</name>, <date when="1886-09-06">6 Sep 1886</date>; physician; <name key="name-004367" type="organisation">1 NZEF</name> 1917–18, medical officer NZ Mounted Fd Amb, <name key="name-001148" type="place">Palestine</name>; in charge medical division <name key="name-011447" type="organisation">1 Gen Hosp</name>, May 1940–Aug 1941; Consultant Physician <name key="name-004368" type="organisation">2 NZEF</name>, Feb 1941–Feb 1945.</p></note>
<pb n="74" xml:id="n74"/>
visited the depot in <date when="1941-01">January 1941</date> to report on it to <name key="name-028893" type="organisation">DDMS</name> <name key="name-004368" type="organisation">2 NZEF</name>, they found the general administration and discipline excellent and the cooking arrangements, food, and diet very satisfactory. They had, however, a number of recommendations to make on the medical treatment and convalescent training of patients, and also emphasised in their report the need for older, experienced medical officers to be appointed to the staff of the depot—men who were more capable of classifying the patients and dealing with neurotics and malingerers. Facilities were such that cases could reasonably be discharged from hospital to the depot at earlier stages of recovery.</p>
          <p rend="indent">In the running of a convalescent depot there were certain features that could be learnt only by experience, as it was a bridge between purely medical units and the training or divisional units. Although commanded by medical officers, the <name key="name-023066" type="organisation">Convalescent Depot</name> had a large proportion of non-medical personnel on its staff and was not protected under the Geneva Convention.</p>
        </div>
        <div type="section" n="40" xml:id="c3-40">
          <head>
            <hi rend="i">Medical Stores on Transports</hi>
          </head>
          <p rend="indent">Medical stores unloaded from the First Echelon transports were taken in charge and stored by Ordnance. In <date when="1940-06">June 1940</date>, after discussion with AA &amp; QMG NZ Division, ADMS NZ Division arranged that these medical stores should be returned to New Zealand for use on later transports owing to the shortage of such stores in New Zealand. The medical stores were often badly damaged by the time of their arrival at <name key="name-004203" type="place">Maadi Camp</name>. It was noted that medical stores from 4th Reinforcement transports were received in better condition, although still not entirely satisfactory. Owing to the gross mishandling of packing cases in the <name key="name-005853" type="place">Middle East</name>, it was suggested that all senior medical officers on transports be impressed with the need for careful repacking of stores at the end of the voyage.</p>
        </div>
        <div type="section" n="41" xml:id="c3-41">
          <head>
            <hi rend="i">New Zealand Medical Stores Depot</hi>
          </head>
          <p rend="indent">During <date when="1940">1940</date> the New Zealand medical units in <name key="name-002106" type="place">Egypt</name> drew their medical supplies from the British Depot of Medical Stores, but from early in <date when="1941">1941</date> those medical units in, or handy to, <name key="name-004203" type="place">Maadi Camp</name> indented on the New Zealand <name key="name-027592" type="organisation">Medical Stores Depot</name> which it had been found advisable to establish.</p>
          <p rend="indent">In <date when="1940-06">June 1940</date> it was decided by the AA &amp; QMG and ADMS of the New Zealand force that medical stores which had been unloaded from transports and stored at the Ordnance Depot should be taken over, opened up, and examined by 4 Field Ambulance, the only medical unit in the force. When 4 Field Ambulance moved to the
<pb n="75" xml:id="n75"/>
<name key="name-024430" type="place">Western Desert</name>, leaving only a small staff at its camp hospital, some alternative control of medical stores was necessary.</p>
          <p rend="indent">In <date when="1940-09">September 1940</date> the <name key="name-028893" type="organisation">DDMS</name> reported that the need for the appointment of a quartermaster at Base was becoming very evident, not only for the checking of routine indenting for medical supplies but to prepare advanced indents for units arriving, and for periodic overhaul of unit and RMO equipment and supervision of <name key="name-027417" type="organisation">Red Cross</name> stores. (Responsibility for the latter stores belonged indirectly to the <name key="name-028893" type="organisation">DDMS</name> pending the arrival of a <name key="name-027417" type="organisation">Red Cross</name> Commissioner and the ultimate establishment of a separate <name key="name-027417" type="organisation">Red Cross</name> store.)</p>
          <p rend="indent">In <date when="1940-11">November 1940</date> Captain G. Peek was appointed Quartermaster on the staff of <name key="name-028893" type="organisation">DDMS</name> <name key="name-004368" type="organisation">2 NZEF</name>. His duties were: (<hi rend="i">a</hi>) The checking of indents for medical supplies; (<hi rend="i">b</hi>) the maintenance of medical supplies for all camp units and medical inspection rooms; (<hi rend="i">c</hi>) the periodic inspection of medical equipment for all units; (<hi rend="i">d</hi>) the storage, care, and issue, on approval of <name key="name-028893" type="organisation">DDMS</name>, of New Zealand <name key="name-027417" type="organisation">Red Cross</name> stores; (<hi rend="i">e</hi>) the return to New Zealand of medical equipment placed on transports for the voyage to the <name key="name-005853" type="place">Middle East</name> only; and (<hi rend="i">f</hi>) such other duties as were delegated by the <name key="name-028893" type="organisation">DDMS</name>.</p>
          <p rend="indent">In <date when="1940-12">December 1940</date> the battles of the First Libyan Campaign caused a sudden increase of patients, other than New Zealanders, in New Zealand general hospitals. The <name key="name-028893" type="organisation">DDMS</name> reported that ‘the demands on Medical Stores have proved well-nigh insuperable. I have offered to establish a bulk medical store of our own to help meet the situation and the proposal, with certain modifications, has been accepted.’ By <date when="1941-01">January 1941</date> the <name key="name-028893" type="organisation">DDMS</name> was able to report: ‘Owing to considerable difficulty in keeping up medical supplies due to pressure on British Depots of Medical Stores, arrangements have been made to draw stores in bulk. A Base store of our own has been established under the charge of Capt. G. Peek. <name key="name-027417" type="organisation">Red Cross</name> stores will also be kept and distributed from this store.’</p>
          <p rend="indent">The New Zealand <name key="name-027592" type="organisation">Medical Stores Depot</name> thus became established as a separate medical unit and built up to a staff of seven. It supplied the <name key="name-000935" type="place">Helwan</name> hospital and <name key="name-004203" type="place">Maadi Camp</name> hospital<!-- Camp hospital, Maadi -->, and the three New Zealand field ambulances when they were in <name key="name-004203" type="place">Maadi Camp</name> for re-equipping between campaigns. (When the Division moved to <name key="name-001383" type="place">Italy</name> in <date when="1943">1943</date> the <name key="name-027592" type="organisation">Medical Stores Depot</name> was transferred to <name key="name-000621" type="place">Bari</name>, adjacent to 3 NZ General Hospital, and in the later stages of the Italian campaign it also established an advanced depot at <name key="name-016230" type="place">Senigallia</name>, near HQ <name key="name-004368" type="organisation">2 NZEF</name> and <name key="name-028359" type="place">1 NZ General Hospital</name>.)</p>
          <p rend="indent">The unit took control of, and accounted for, surgical and medical equipment drawn from normal army sources, extra items purchased by the New Zealand Government for use by New Zealand medical units, a special donation of surgical equipment by Mr (later Sir) Arthur Sims, and some captured enemy material.</p>
          <pb n="76" xml:id="n76"/>
          <p rend="indent">The chief advantages of having a New Zealand Depot of Medical Stores were:</p>
          <list type="simple">
            <label>(1)</label>
            <item>
              <p rend="indent">Quickness of supply. This was an important factor in the case of units coming back to base areas for re-equipping.</p>
            </item>
            <label>(2)</label>
            <item>
              <p rend="indent">Power for local purchase of any required surgical instrument not available from Army sources.</p>
            </item>
            <label>(3)</label>
            <item>
              <p rend="indent">Training in Army accounting given medical quartermasters while on the staff of the unit.</p>
            </item>
            <label>(4)</label>
            <item>
              <p rend="indent">The ease with which hospital ships could be re-equipped.</p>
            </item>
            <label>(5)</label>
            <item>
              <p rend="indent">The ease with which new RAPs could be established for small out-of-the-way units.</p>
            </item>
            <label>(6)</label>
            <item>
              <p rend="indent">Provision of a service for repair and replating of instruments. The depot had many instruments replated in <name key="name-003601" type="place">Cairo</name>.</p>
            </item>
            <label>(7)</label>
            <item>
              <p rend="indent">The important link given the DMS <name key="name-004368" type="organisation">2 NZEF</name> between himself and medical quartermasters.</p>
            </item>
          </list>
        </div>
        <div type="section" n="42" xml:id="c3-42">
          <head>
            <hi rend="i">Division at <name key="name-000936" type="place">Helwan Camp</name></hi>
          </head>
          <p rend="indent">The Third Echelon had arrived in <name key="name-002106" type="place">Egypt</name> on <date when="1940-09-29">29 September 1940</date>. There were epidemics of mumps and measles among the troops on arrival, necessitating hospital treatment of a number of men. Arriving at <name key="name-004203" type="place">Maadi Camp</name> on 27 October from <name key="name-013389" type="place">Bombay</name>, 6 Field Ambulance was issued with its equipment and transport and underwent a course of training in the use of both. On 13 December the unit moved with 6 Brigade to <name key="name-000936" type="place">Helwan Camp</name>, which had been established for the accommodation and training of the Division, a mile or two into the desert beyond the small township of <name key="name-000935" type="place">Helwan</name>. Here 6 Field Ambulance undertook the management of a camp hospital for its brigade. It was a hospital of tented wards providing care and treatment for minor cases of sickness and injury for the troops in the camp, and a medical inspection room for the treatment of out-patients. One company in turn staffed the 50-bed hospital, while the other two companies carried out useful training. Early in January A Company under Major <name key="name-022849" type="person">Plimmer</name><note xml:id="ftn1-76" n="1"><p><name key="name-022849" type="person">Lt-Col J. L. R. Plimmer</name>; born <name key="name-008844" type="place">Wellington</name>, <date when="1910-02-28">28 Feb 1910</date>; medical practitioner; 2 i/c <name key="name-001176" type="organisation">6 Fd Amb</name> Feb 1940–May 1941; actg CO <name key="name-001176" type="organisation">6 Fd Amb</name> <date when="1941-05">May 1941</date>; killed in action <date when="1941-05-20">20 May 1941</date>.</p></note> provided, by request, a small camp hospital at <name key="name-000961" type="place">Ikingi Maryut</name> for several weeks for 18 Australian Infantry Brigade, which was temporarily without its own medical personnel.</p>
          <p rend="indent">When <name key="name-024335" type="organisation">4 Infantry Brigade</name> Group was withdrawn from the <name key="name-024430" type="place">Western Desert</name> in the second week of <date when="1941-01">January 1941</date>, the brigade also went to <name key="name-000936" type="place">Helwan Camp</name>. Preparations were made for 5 Infantry Brigade Group to be accommodated, on its arrival from the <name key="name-029547" type="place">United Kingdom</name>, in an area south of the main camp. Sixth Field Ambulance staffed the camp hospital and maintained a PA Centre at the entrance to the camp.</p>
          <pb n="77" xml:id="n77"/>
          <p rend="indent">During February there were more than 10,000 New Zealand troops in <name key="name-000936" type="place">Helwan Camp</name>. Their general health remained good, the admissions to hospital averaging twelve daily, or 1·1 per thousand.</p>
          <p rend="indent">Fourth Field Ambulance and 6 Field Ambulance carried on with advanced training at the camp, with special reference to desert warfare, but were ready to go to <name key="name-002294" type="place">Greece</name> by the time 5 Field Ambulance arrived in <name key="name-002106" type="place">Egypt</name>.</p>
        </div>
        <div type="section" n="43" xml:id="c3-43">
          <head>
            <hi rend="i">
              <name key="name-028979" type="organisation">Fourth Reinforcements</name>
            </hi>
          </head>
          <p rend="indent">All medical units were short of staff until the arrival of the first and second sections of the <name key="name-004615" type="organisation">4th Reinforcements</name> on 16 December 1940 and 29 January 1941. An NZMC training cadre had been formed in conjunction with 1 Camp Hospital, <name key="name-004262" type="place">Maadi</name>, but until the end of January it had functioned more or less as a reception depot only. All medical personnel marched in were drafted out as rapidly as possible to units which were under strength. Eight huts were erected before the arrival of the <name key="name-004615" type="organisation">4th Reinforcements</name>, and a small number of men were accommodated in tents. A training syllabus, which also served to test trainees' capabilities, was then drawn up for all those who would be marched into the medical depot.</p>
          <p rend="indent">The type of men for medical units sent forward with the <name key="name-004615" type="organisation">4th Reinforcements</name> came in for criticism from the GOC <name key="name-004368" type="organisation">2 NZEF</name> and Base Commandant. A number of men in the first section of the <name key="name-004615" type="organisation">4th Reinforcements</name> were recognised as rejects from medical units formed in New Zealand. In the second section, an inspection revealed a number of undersized and aged men, some twenty or thirty being of such a low standard that the training cadre reported it would be difficult to find employment for them. The <name key="name-028893" type="organisation">DDMS</name> <name key="name-004368" type="organisation">2 NZEF</name> emphasised in his monthly report that all branches of the Medical Corps required men of good physique and intelligence, whether they were for stretcher-bearing or nursing duties, as both occupations called for considerable muscular effort and endurance. The only permissible lowering of the standard was possibly in regard to eyesight.</p>
          <p rend="indent"><name key="name-207994" type="person">General Freyberg</name> directed that a number of the men be medically boarded immediately. A special senior medical board examined fifteen men out of 180 NZMC reinforcements. Four were graded unfit for overseas service, six fit for base duties only, and five remained Grade I as, although of poor physique, they were not medically unfit.</p>
          <p rend="indent">(<hi rend="i">Note</hi>: Later medical reinforcements were all found to be up to the required standard, although the Medical Corps was required to board a number of men of each group of reinforcements for other units soon after their arrival in the <name key="name-005853" type="place">Middle East</name>. Some groups were noticeably worse than others as regards unfit men.)</p>
          <pb n="78" xml:id="n78"/>
          <p rend="indent">In his report of <date when="1941-01">January 1941</date> to the DGMS (Army and Air), referring to medical personnel, the <name key="name-028893" type="organisation">DDMS</name> also stressed the fact that no men who were not of good type should be sent overseas. It was uneconomical in all respects to send over poor types, even if they were not actually unfit.</p>
        </div>
        <div type="section" n="44" xml:id="c3-44">
          <head>
            <hi rend="i">Climate</hi>
          </head>
          <p rend="indent">The climatic conditions experienced at the base camps in <name key="name-002106" type="place">Egypt</name> were exacting in the summer months as there was little protection in the thin-walled huts and the tents from the excessive heat. The strong hot desert winds, the khamsins, with their associated sandstorms, added to the discomfort. It was thought that infection was possibly carried into the camp in the sand blown from the Egyptian settlements nearby. The flying sand was thought to be responsible for some of the prevalent nose and throat infections and also for chronic conjunctivitis.</p>
          <p rend="indent">It became necessary in the summer to cease active training in the afternoon and have a rest period. Temperatures up to 116 degrees F. in the shade were registered in June and over 110 degrees often in following summers. Fortunately, it was a dry heat and little harm was done except for some loss of weight and general debility. Heat exhaustion was uncommon and when it occurred was due largely to the loss of salt associated with excessive sweating. Drinks of salted water, flavoured with lime or lemon, were used as preventatives. It was found that head covering was relatively unimportant and topees quite unnecessary. Sunburn, also, did not occur away from the seaside. Excessive sweating was inevitable and thus skin diseases, especially seborrhoea, were prevalent; the feet were especially affected.</p>
          <p rend="indent">The light drill clothing, with shorts and shirts the normal summer uniform, proved very satisfactory. In the winter months battle dress was worn and the cold nights made extra blankets necessary.</p>
          <p rend="indent">Rain was practically unknown in <name key="name-003601" type="place">Cairo</name>, falling on only two or three days in the winter.</p>
          <p rend="indent">Climatic conditions in the <name key="name-024430" type="place">Western Desert</name> are not unhealthy so long as the wind blows from the sea. But the khamsin may spring up very suddenly, leading to a rapid rise in air temperature and a saturation of the air with fine dust, particularly in parts where motor transport has broken up the surface. During one of these khamsins, in June, a number of cases were treated for heat exhaustion, but all were mild and recovered quickly. Most of the troops remained located near the coast, where the climate was more invigorating than in the vicinity of <name key="name-003601" type="place">Cairo</name>. The men felt fitter and enjoyed the sea-bathing.</p>
        </div>
        <pb n="79" xml:id="n79"/>
        <div type="section" n="45" xml:id="c3-45">
          <head>
            <hi rend="i">Health of the Troops</hi>
          </head>
          <p rend="indent">The troops of the First Echelon arrived in <name key="name-002106" type="place">Egypt</name> in good health, but mild epidemics of both influenza and rubella had been present since leaving New Zealand, and many cases of dysentery, later found to be Flexner in type, had occurred after leaving <name key="name-000772" type="place">Colombo</name>. The epidemics continued in <name key="name-002106" type="place">Egypt</name>, 213 cases of influenza and 147 cases of rubella being admitted to the camp and general hospitals up to the end of March, and 70 cases of rubella in April.</p>
          <p rend="indent">Epidemic diseases of the common types experienced in New Zealand did not occur in the troops in <name key="name-002106" type="place">Egypt</name>, but throughout the war the reinforcements brought over these infections with them. One reinforcement had to be strictly quarantined on arrival for this reason, but there was never any spread of serious infection in the camp. Fortunately, the First Echelon arrived in the winter when flies and intestinal infections were relatively uncommon. Extensive outbreaks of 80-100 cases of mild gastro-enteritis, however, occurred in units in March, and there were 23 cases of dysentery. In April there was a marked increase in intestinal infections and up to 300 cases were treated at sick parades in a single day. One outbreak was experienced of food poisoning, due to keeping meat too long after cooking, but the sixty men affected all recovered. Some 98 cases of dysentery were reported. Precautions were tightened up, with some improvement in the incidence of infection. In May there was a decrease in intestinal infections and fewer cases of true dysentery.</p>
          <p rend="indent">Pneumonia, which had been dreaded owing to its marked prevalence and high mortality in <name key="name-002106" type="place">Egypt</name> during the First World War, proved to be infrequent, only 38 cases occurring up to the end of April, and the cases responded well to treatment by sulphonamides, no deaths being recorded.</p>
          <p rend="indent">Many cases thought to be sandfly fever occurred, though very few phlebotomus sandflies were seen in the base camp.</p>
          <p rend="indent">There was a steady increase in the daily average of hospital cases from 97 in February to 178 in March and 276 in April, but at the end of May there were only 242. Nasal and antral infections and cases of otitis media and externa were common and the baths were thought to be largely responsible. Contrary to expectations, <name key="name-002106" type="place">Egypt</name> proved to have an unsatisfactory climate for asthmatics.</p>
          <p rend="indent">During July there was an increase of hospital admissions to 557 following the employment of units in the <name key="name-024430" type="place">Western Desert</name>, where there were more flies and dust-storms and also rigid rationing of water. Throughout the period in the <name key="name-024430" type="place">Western Desert</name> the health of the New Zealand troops remained good, and the field ambulance was called upon to care only for cases of upper respiratory tract infections, some cases of diarrhoea and clinical dysentery, otitis
<pb n="80" xml:id="n80"/>
media and externa, and fairly common skin infections such as desert sores and tinea. In hospital most of the dysentery cases proved to be bacillary of the Flexner type, while a small percentage were amoebic. The cause of septic sores gave much food for speculation. They were common throughout the desert and also in <name key="name-001148" type="place">Palestine</name>, where the Australians carried out some research into the problem. Their conclusions were that the sores were in no way connected with a vitamin deficiency. They were able in nearly all cases to grow low-grade streptococci from the lesions. Almost invariably with the sores there was a history of trauma—a scratch, a cut, or insect bite. It was found that if men reported early for treatment the incidence could be much reduced. Profuse sweating and the ever-present dust and sand were no doubt factors in the persistence of the condition.</p>
          <p rend="indent">In August there was an improvement in health with only 462 admissions to hospital. Intestinal infection was less common as the troops became seasoned. Flies had become fewer in <name key="name-004262" type="place">Maadi</name> though they were still troublesome in the desert. Cases of malaria were first noted at the time of the <name key="name-120039" type="place">Nile</name> flood in August, 12 of the BT type being notified, and mosquito nets were issued and instructions given for the wearing of dress covering the limbs after sunset. The malarial cases increased to 29 in September, but there had been only 63 cases of dysentery in hospital during the previous three months. The daily average of patients in hospital was: June 213; July 300; August 330; September 335.</p>
          <p rend="indent">The incidence of sickness was remarkably low throughout <date when="1940">1940</date>, apart from the mild dysenteric infections to which the troops steadily acquired an immunity. The sulphonamides made a marked contribution to the cure of both gonorrhoea and pneumonia as they did later to the treatment of dysentery. Their use gave great relief to the hospitals compared with conditions experienced in <name key="name-002106" type="place">Egypt</name> in the First World War.</p>
        </div>
        <div type="section" n="46" xml:id="c3-46">
          <head>
            <hi rend="i">Dysentery</hi>
          </head>
          <p rend="indent">Dysentery constituted much the commonest disease in the early months and was associated at times with serious illness. There were three deaths reported, one being definitely due to Shiga infection. Altogether, 500 cases were admitted to hospital from February to November 1940, and the types of infection were: Flexner, 22·4 per cent; Shiga 4·5 per cent; Schmitz 1·4 per cent; Sonne 0·4 per cent; amoebic 2·0 per cent; bacillary exudate 38·4 per cent; and indefinite exudate 30·9 per cent. There was no difference in symptoms between those showing definite bacteriological evidence of infection and those with no such evidence. It was thought that all the cases were due
<pb n="81" xml:id="n81"/>
to dysenteric infection, which was also suspected to cause the great majority of the mild cases of diarrhoea and gastro-enteritis occurring in the camps and clearing up without hospital treatment. Fresh troops almost invariably were affected and later developed some immunity. The highest incidence of dysentery was in <date when="1940-04">April 1940</date> when 14 per 1000 were admitted to hospital. Salines were given as treatment for bacillary dysentery at this period, sulphaguanidine not being available till <date when="1941-06">June 1941</date>. For amoebic dysentery emetine was still the only drug with any marked specific action.</p>
        </div>
        <div type="section" n="47" xml:id="c3-47">
          <head>
            <hi rend="i">Venereal Diseases</hi>
          </head>
          <p rend="indent">Experience during the First World War had shown that venereal disease was widespread and of a virulent type in <name key="name-002106" type="place">Egypt</name>. Particular stress was therefore laid on the education of the troops in the knowledge and prevention of these diseases, and lectures were given by medical officers on the troopships and in <name key="name-004262" type="place">Maadi</name>. A policy decision had been made by the GOC <name key="name-004368" type="organisation">2 NZEF</name>, on the recommendation of both the DGMS (Colonel Bowerbank) and the ADMS (Colonel MacCormick), that a full programme of education should be carried out and that no penalties other than a small pay stoppage should be inflicted for the contraction of venereal disease. It was realised that some troops would inevitably indulge in sexual intercourse and contract venereal disease. The problem was then tackled realistically and every effort made to lessen the incidence of disease and so save serious manpower wastage. Preventive measures were arranged without delay, condoms and prophylactic outfits were made available and early treatment centres set up, both in <name key="name-003601" type="place">Cairo</name> and in the camps, with trained orderlies in attendance. At the same time stress was laid on the importance of continence both from the moral and the health point of view, and the sordid conditions of <name key="name-003601" type="place">Cairo</name> were emphasised. The troops were warned that the use of preventatives and of the licensed brothels did not render them safe from contracting disease, but that a reduced incidence of disease had been proved to be in direct relation to the greater use made of preventive measures. An early treatment centre was set up in the licensed brothel area in the Birket, and the troops were urged to go there instead of delaying treatment until their return to <name key="name-004203" type="place">Maadi Camp</name>.</p>
          <p rend="indent">In <name key="name-003601" type="place">Cairo</name> there were two brothel areas, one of them licensed and the other out of bounds to the troops. A system of compulsory medical examination of the prostitutes which had previously been in force had recently been abandoned, but was later re-introduced by the civil authorities. This was never satisfactory in spite of some army supervision.</p>
          <p rend="indent">A contagious diseases section of the camp hospital at <name key="name-004262" type="place">Maadi</name> was
<pb n="82" xml:id="n82"/>
set up on arrival by the First Echelon. It was staffed by 4 Field Ambulance and all venereal cases were held and treated there. Even before any cases of syphilis had occurred, Colonel MacCormick had arranged for a standard course of treatment and for the keeping of a register of cases. Following their first course at the CD hospital, syphilis patients were then referred to the nearest medical unit for subsequent treatment. A complete check on subsequent treatment was instituted.</p>
          <p rend="indent">The campaign against venereal disease proved successful as the incidence of disease among the troops was relatively low. There were 33 cases in April, and at the end of June there were only 18 cases in hospital. The cases of gonorrhoea had responded readily to the sulphonamide treatment, and patients were soon returned to their units.</p>
          <p rend="indent">In July the cases increased to 39 and again in August to 47. The troops then proceeded to the <name key="name-024430" type="place">Western Desert</name>, with a resultant decrease in cases in September to 33. A detachment of 4 Field Ambulance was left behind in <name key="name-004262" type="place">Maadi</name> to staff the camp hospital, but later a special camp staff was appointed. The Contagious Diseases (VD) section then became separated from the rest of the hospital. Lieutenant Platts, who had had special training at the Connaught hospital at <name key="name-002775" type="place">Aldershot</name>, was put in charge, and laid down the lines of treatment and trained his special staff. Valuable assistance was given by Lieutenant-Colonel R. Lees, RAMC, adviser in venereology to GHQ MEF.</p>
          <p rend="indent">By the end of <date when="1940">1940</date> the CD hospital was able to take 70 patients, though the average bed state at that time was 35. In October, following the arrival of the Third Echelon, there was an increase to 68 cases, and the numbers after that fluctuated from 46 to 82 in <date when="1941-03">March 1941</date>, when the troops left for <name key="name-002294" type="place">Greece</name>. The incidence per 1000 troops per month had varied from 7·88 in <date when="1940-03">March 1940</date> to 3·29 in December.</p>
          <p rend="indent">The diagnosis of disease was fully confirmed before treatment was commenced, especially in the case of syphilis where dark-ground examination and Wassermann or Kahn tests were carried out. As regards gonorrhoea, stained slides were examined. The treatment carried out for syphilis was a minimum of four courses of weekly injections for ten weeks of 0·6 gm. of neoarsphenamine and 0·2 gm. of bismuth. There was an interval of one month between courses during which a repeat blood test was made.</p>
          <p rend="indent">The treatment of gonorrhoea was by means of the sulphonamides. Sulphapyridine was the drug given at that period and it produced very good results but was somewhat toxic. The greater number of the patients were rapidly and satisfactorily cured. In the resistant cases antiseptic irrigations and instillations were carried out, and shock
<pb n="83" xml:id="n83"/>
therapy by intravenous injection of TAB vaccine to produce a temperature of 103 degrees F. was sometimes given. A considerable number of cases of non-specific urethritis were treated by alkalinisation of the urine and injections of chloramine T or oxycyanide of mercury, and instillations of argyrol. Venereal sores cleared up quickly with the sulphonamides.</p>
          <p rend="indent">The rapid and efficient cure of gonorrhoea and soft sore, and the satisfactory treatment and control of syphilis, made the problem of venereal disease relatively unimportant compared to the serious wastage and virulent disease experienced by our New Zealand troops in <name key="name-002106" type="place">Egypt</name> during the First World War.</p>
          <p rend="indent">In the early period of the 1914–18 War in <name key="name-002106" type="place">Egypt</name> 206 cases of venereal disease were sent to <name key="name-004214" type="place">Malta</name>. Later, following the return of the New Zealand troops from <name key="name-026177" type="place">Gallipoli</name>, 50 to 70 cases a week were admitted to hospital and, in <date when="1916-03">March 1916</date>, 149 cases were reported, a rate of between 9 and 10 per 1000 per month. Records of the treatment centre at the No. 1 Stationary Hospital at <name key="name-015263" type="place">Moascar</name> in <date when="1915">1915</date> showed a total of 94 cases of syphilis being treated in a period of two months. The treatment at that time consisted of injections of Karsovan and mercury.</p>
        </div>
        <div type="section" n="48" xml:id="c3-48">
          <head>
            <hi rend="i">Medical Inspections</hi>
          </head>
          <p rend="indent">A medical inspection was carried out as a unit parade once a month. Foot inspections were carried out by the medical officer and, when available, also by a chiropodist at regular intervals of about a fortnight. All native employees of the canteens, the laundry, and the bakery were examined monthly, and the general labourers were also examined from time to time.</p>
        </div>
        <div type="section" n="49" xml:id="c3-49">
          <head>
            <hi rend="i">Inoculations</hi>
          </head>
          <p rend="indent">Injections of tetanus toxoid were given after arrival in <name key="name-002106" type="place">Egypt</name>. Inoculations and vaccinations were repeated at set intervals to maintain as complete an immunity as possible among the troops.</p>
        </div>
        <div type="section" n="50" xml:id="c3-50">
          <head>
            <hi rend="i">Medical Arrangements in <name key="name-029547" type="place">United Kingdom</name></hi>
          </head>
          <p rend="indent">The Second Echelon arrived in <name key="name-004019" type="place">England</name> on 16 June at the time of the fall of <name key="name-008009" type="place">France</name>, when the situation in the <name key="name-029547" type="place">United Kingdom</name> became critical under the threat of German invasion. From the medical point of view it meant that two separate medical services had to be established, one in <name key="name-002106" type="place">Egypt</name> and one in <name key="name-004019" type="place">England</name>, and that 2 General Hospital sailing with the Third Echelon became the first fully staffed New Zealand general hospital to be provided for the NZEF in <name key="name-002106" type="place">Egypt</name>. The New Zealand Division, however, did not engage in any battles until the three New Zealand general hospitals were ready.</p>
          <pb n="84" xml:id="n84"/>
          <p rend="indent">To make all necessary arrangements for the arrival of the Second Echelon in the <name key="name-029547" type="place">United Kingdom</name>, Colonel MacCormick, ADMS <name key="name-004368" type="organisation">2 NZEF</name>, went by air from <name key="name-002106" type="place">Egypt</name> to <name key="name-004019" type="place">England</name>, arriving in <name key="name-008904" type="place">London</name> on <date when="1940-05-26">26 May 1940</date>. It was impossible to make any definite plans until the location of the force on its arrival had been finally settled as the <name key="name-002775" type="place">Aldershot</name> area, but preliminary inquiries and negotiations were made. To secure a hospital site for our troops at first appeared almost hopeless, and Colonel MacCormick was so informed by the <name key="name-028893" type="organisation">DDMS</name> Canadian Force and Medical Liaison Officer, Australian Force.</p>
          <p rend="indent">The Director-General of the Army Medical Service, Major-General Sir William MacArthur, had control of only pre-war military hospitals and was unable to help in the matter of hospital location, in spite of his willingness to assist. Sick and wounded were generally dispersed to hospitals of the Emergency Medical Service (EMS). Practically all hospitals in the <name key="name-029547" type="place">United Kingdom</name> had been graded and staffed under this scheme.</p>
          <p rend="indent">Colonel MacCormick interviewed Professor F. R. Fraser, head of the EMS organisation at the Ministry of Health, who gave sympathetic consideration to the desire of the New Zealand Government for New Zealand troops to be, as far as possible, under the medical care of New Zealanders. Professor Fraser directed Dr Murchie, head of the hospital department, to afford all possible assistance in the furtherance of this policy. As a result Pinewood Sanatorium, near Wokingham, some 10 miles from the New Zealand camp in the <name key="name-002775" type="place">Aldershot</name> area, was offered to Colonel MacCormick for a hospital.</p>
        </div>
        <div type="section" n="51" xml:id="c3-51">
          <head>
            <hi rend="i">Pinewood Hospital—<name key="name-028359" type="place">1 NZ General Hospital</name></hi>
          </head>
          <p rend="indent">Situated in a pine plantation, Pinewood Sanatorium was a <name key="name-029245" type="organisation">London County Council</name> institution for young women. A hutted hospital was being built by the EMS in the grounds some 300 yards away from the main buildings. It was this hutted hospital which was offered to the New Zealand force and which, after inspection, Colonel MacCormick was pleased to accept on its behalf.</p>
          <p rend="indent">At a conference in <name key="name-008904" type="place">London</name> on <date when="1940-06-15">15 June 1940</date> with <name key="name-029245" type="organisation">London County Council</name> and Public Health Department officials, it was agreed that the hutments should be set aside for New Zealand service sick, while the sanatorium itself would be left for tubercular and EMS patients, although 70 of its 260 beds would be available for any New Zealand casualties and sick New Zealand nurses. The New Zealand Medical Corps would staff the hutted hospital, but its medical officers would be available for work in the sanatorium, if required by the medical superintendent.</p>
          <pb n="85" xml:id="n85"/>
          <p rend="indent">As the New Zealand hospital had no equipment of its own, it was arranged that EMS equipment be used. Food supplies, drugs and dressings, etc., were to be drawn through the sanatorium, and the New Zealand hospital would likewise share the other services of water, gas, electricity, fuel, telephone system, and laundry facilities. The general basis of the financial settlement was that the <name key="name-029245" type="organisation">London County Council</name> would keep separate costings for staff, supplies, and services provided for the New Zealand section and send the bill to the Ministry of Health (administrator of the EMS hospitals). The Ministry of Health would then approach the High Commissioner for New Zealand for a settlement of New Zealand's allocated liability. If it were found necessary to provide further buildings or accommodation for the New Zealand hospital, it was agreed that the work would be executed under the direction and on the responsibility of the NZEF. Both the Ministry of Health and <name key="name-029245" type="organisation">London County Council</name> had met the New Zealand requirements most generously.</p>
          <p rend="indent">There were nine huts, each of which accommodated 36 beds normally and 42 beds in emergency. Each was complete with kitchen, storerooms, baths, lavatories, and heating. There were also a well-appointed theatre and X-ray block, cubicles for 36 nurses, dining and sitting rooms for nurses, and a kitchen block. Some of the wards were at first used for departments of 1 General Hospital, such as the quartermaster's branch, until huts were built for them. Administrative headquarters were improvised in a cottage. The male staff of the hospital was quartered in billets at Edgecumbe Manor, a mile and a quarter away, and the medical officers occupied unfurnished wards until they moved into East Hampstead Cottage some weeks later.</p>
          <p rend="indent">The first step in setting up 1 General Hospital was taken on <date when="1940-06-26">26 June 1940</date> when the commanding officer, Colonel McKillop, and a small party moved to Pinewood from <name key="name-027511" type="place">Ewshott</name>. A further small party joined them on 30 June. By then 72 beds had been made ready and two patients admitted. The remainder of the unit arrived at Pinewood on 2 July. A New Zealand hospital was thus speedily set up for the Second Echelon group in <name key="name-004019" type="place">England</name> when the country was subject to air attack and threatened by a German invasion.</p>
          <p rend="indent">Minor epidemics of measles and mumps had developed on the transports on the way to the <name key="name-029547" type="place">United Kingdom</name>, and it was patients suffering from these diseases who were the first treated in the hospital. Additional wards were opened up to cope with an increasing bed state. When the operating-theatre block was completed all surgical work was undertaken by the unit, which also provided a consultant service to neighbouring regimental officers.</p>
          <p rend="indent">A surgical team was called for urgently to help a small emergency hospital to treat severe casualties following an air raid on a large
<pb n="86" xml:id="n86"/>
aircraft factory at <name key="name-029574" type="place">Weybridge</name>. It was the first experience of the profound shock present in seriously wounded patients, many of whom died either without or shortly after operation. Our unit was thus able to realise and appreciate the ordeal through which the people of Great Britain were passing, as well as to gain valuable experience in war surgery. A considerable number of air-raid casualties from <name key="name-008904" type="place">London</name> were admitted to the hospital. These were of all ages from small children to elderly men and they proved excellent patients. Military patients from British units in the area as well as our own New Zealand troops were also admitted, and the staff was kept fully occupied.</p>
          <p rend="indent">A party from <name key="name-027002" type="organisation">1 Convalescent Depot</name> established a small Camp Reception Hospital of twelve beds in a house at <name key="name-029037" type="place">Farnborough</name> on 22 June. The medical arrangements for <name key="name-004368" type="organisation">2 NZEF</name> (<name key="name-029547" type="place">UK</name>) as from <date when="1940-06-30">30 June 1940</date> were that all sick and wounded were evacuated to the New Zealand Camp Reception Hospital, <name key="name-029037" type="place">Farnborough</name>, where the officer-in-charge (Major Speight)<note xml:id="ftn1-86" n="1"><p><name key="name-027672" type="person">Col N. C. Speight</name>, CBE, ED; Dunedin; born Dunedin, <date when="1899-07-06">6 Jul 1899</date>; surgeon; medical officer <name key="name-029279" type="organisation">1 Conv Depot</name> Mar–Nov 1940; CO <name key="name-001176" type="organisation">6 Fd Amb</name> Jun–Nov 1941; p.w. <date when="1941-11">Nov 1941</date>; repatriated <date when="1942-04">Apr 1942</date>; ADMS 4 Div (NZ) Nov 1942–Mar 1943; ADMS 3 Div (<name key="name-008892" type="place">Pacific</name>) Mar 1943–Nov 1944.</p></note> was responsible for the disposal of cases to either the Camp Hospital, <name key="name-028359" type="place">1 NZ General Hospital</name>, Pinewood, or special hospitals in the <name key="name-002775" type="place">Aldershot</name> Command.</p>
          <p rend="indent">In Egypt there was not sufficient personnel to staff the 300-bed hospital which opened on 24 July as 4 General Hospital, so arrangements were made to send reinforcements from <name key="name-004019" type="place">England</name>. These reinforcements comprised 2 medical officers, 12 nursing sisters, and 20 men from 1 General Hospital, 6 medical officers from <name key="name-027002" type="organisation">1 Convalescent Depot</name> and enlistments in the <name key="name-029547" type="place">United Kingdom</name>, and 10 men from 5 Field Ambulance. They embarked at <name key="name-120108" type="place">Glasgow</name> on 4 August for <name key="name-002106" type="place">Egypt</name>, which they reached on 15 September. The staff of <name key="name-027002" type="organisation">1 Convalescent Depot</name> also went to <name key="name-002106" type="place">Egypt</name> at the same time, as the depot was not really required in <name key="name-004019" type="place">England</name> nor was a suitable site available. The Camp Reception Hospital was taken over by a detachment of 1 General Hospital. The losses to the staff of 1 General Hospital were to some extent replaced by enlisting six <name key="name-023814" type="organisation">NZANS</name> in <name key="name-004019" type="place">England</name> and by employing local personnel, twelve VADs and five female cooks. This procedure conflicted with the policy of enlisting <name key="name-203712" type="organisation">NZMC</name> and <name key="name-023814" type="organisation">NZANS</name> personnel as far as possible only in New Zealand, but the urgency of the situation demanded prompt action.</p>
          <p rend="indent">When 5 Infantry Brigade had a mobile role in the south-east of <name key="name-004019" type="place">England</name> in September, it was impossible to make adequate use of 1 General Hospital. Cases of sickness and accident, which could not be dealt with by 5 Field Ambulance, were being sent to nearer EMS
<pb n="87" xml:id="n87"/>
hospitals. The GOC <name key="name-004368" type="organisation">2 NZEF</name>, therefore, directed that the remainder of 1 General Hospital be sent to <name key="name-002106" type="place">Egypt</name>. The warning order to move was given to the unit on 7 September and the hospital was handed over to 18 General Hospital on 28 September. No. 1 General Hospital embarked from <name key="name-010456" type="place">Gourock</name>, <name key="name-120045" type="place">Scotland</name>, on 4 October on HMT <hi rend="i">Georgic</hi> and arrived at <name key="name-004572" type="place">Port Tewfik</name><!-- Tewfik, Port --> on <date when="1940-11-16">16 November 1940</date>.</p>
        </div>
        <div type="section" n="52" xml:id="c3-52">
          <head>
            <hi rend="i">
              <name key="name-027700" type="place">Warbrook Convalescent Home</name>
            </hi>
          </head>
          <p rend="indent">When inquiries were being made for a convalescent home, <name key="name-028636" type="person">Mrs Humphreys-Owen</name><!-- Humphreys-Owen, Mrs --> made a generous offer to the NZEF of her large country house rent-free and undertook to maintain portion of the staff. This house, ‘Warbrook’, was charmingly situated in beautiful grounds at Eversley, near Wokingham, and some 5 miles from Pinewood Hospital. Arrangements were made for the house to be fitted up for fifty patients by the War Organisation of the British <name key="name-027417" type="organisation">Red Cross</name> and <name key="name-027615" type="organisation">Order of St. John</name><!-- St. John, Order of --> of Jerusalem. Captain Kirker<note xml:id="ftn1-87" n="1"><p><name key="name-027562" type="person">Lt-Col A. H. Kirker</name>; <name key="name-002817" type="place">Auckland</name>; born <name key="name-002817" type="place">Auckland</name>, <date when="1899-05-15">15 May 1899</date>; physician; medical officer <name key="name-011447" type="organisation">1 Gen Hosp</name> Feb–Jul 1940; OC Warbrook Conv Home Aug–Sep 1940; DADMS <name key="name-004368" type="organisation">2 NZEF</name> (<name key="name-029547" type="place">UK</name>) Sep–Dec 1940; Registrar <name key="name-011449" type="organisation">3 Gen Hosp</name> Sep 1941–Feb 1942; OC <name key="name-023268" type="organisation">2 Rest Home</name> Feb 1942–Jul 1943; in charge medical division <name key="name-011448" type="organisation">2 Gen Hosp</name>, Jul 1943–1944.</p></note> and Sister Hennessy<note xml:id="ftn2-87" n="2"><p>Matron Miss M. Hennessy, RRC, m.i.d.; <name key="name-008844" type="place">Wellington</name>; born <name key="name-008844" type="place">Wellington</name>, <date when="1901-02-05">5 Feb 1901</date>; assistant matron; sister <name key="name-011447" type="organisation">1 Gen Hosp</name> 1940–41; Matron Det <name key="name-011449" type="organisation">3 Gen Hosp</name> Nov 1941–Apr 1942; Matron HS <hi rend="i"><name key="name-120091" type="place">Maunganui</name></hi> May–Nov 1942.</p></note> of 1 General Hospital were appointed temporarily to this convalescent home on 23 August to supervise medical and nursing arrangements respectively. ‘Warbrook’ had 377 New Zealand patients in its first year and continued, under Major <name key="name-027647" type="person">Robertson</name>,<note xml:id="ftn3-87" n="3"><p><name key="name-027647" type="person">Col H. D. Robertson</name>; <name key="name-008123" type="place">Wanganui</name>; born <name key="name-002817" type="place">Auckland</name>, <date when="1888-02-03">3 Feb 1888</date>; medical practitioner; <name key="name-004367" type="organisation">1 NZEF</name> 1915–18: medical officer <name key="name-011448" type="organisation">2 Gen Hosp</name>, Stationary Hosp; DADMS <name key="name-004368" type="organisation">2 NZEF</name> (<name key="name-029547" type="place">UK</name>) Jun 1940–Aug 1943; CO <name key="name-029067" type="organisation">5 Gen Hosp</name> Feb–Jul 1945; CO <name key="name-011448" type="organisation">2 Gen Hosp</name> Jul–Nov 1945.</p></note> to be a convalescent home for New Zealanders until <date when="1943-06">June 1943</date>. The convalescent home was then transferred a few miles away to Church Crookham, where Captain Crowder, MP, made his house available. In <date when="1944-01">January 1944</date> the convalescent home was closed as there was little need for it after the departure of the New Zealand Forestry Group.</p>
        </div>
        <div type="section" n="53" xml:id="c3-53">
          <head>
            <hi rend="i">Activities of 5 Field Ambulance</hi>
          </head>
          <p rend="indent">During July and August 5 Field Ambulance undertook a series of field exercises in conjunction with 5 Infantry Brigade in its preparation for an operational role in the event of invasion. Particular emphasis was laid on the importance of maintaining contact between the advanced dressing station and the main dressing station. The unit also handled sickness and accident cases occurring in the New Zealand units. After two months in <name key="name-004019" type="place">England</name> the first vehicles were obtained. Towards the end of August 5 Field Ambulance accompanied 5 Brigade to Kent. Headquarters Company took over
<pb n="88" xml:id="n88"/>
stables in the Sittingbourne Road outside <name key="name-027589" type="place">Maidstone</name>, while A Company was at Broughton Monchelsea and B Company at Sittingbourne. It was while the unit was in this area that the first air raid occurred and the ambulance took casualties, mostly civilians, to the <name key="name-027589" type="place">Maidstone</name> hospital. Fifth Field Ambulance continued to function through the various enemy air attacks during its stay in that area.</p>
          <p rend="indent">September was the month of the <name key="name-000868" type="organisation">Luftwaffe</name>'s mass raids on <name key="name-008904" type="place">London</name>, planned to smash the way for an attempt at airborne and seaborne invasion. During the first week the New Zealand troops in reserve, by now a well-trained and mobile force, although not yet by any means fully equipped, were moved nearer the coast to occupy what were virtually battle positions covering the <name key="name-006556" type="place">Folkestone</name>-<name key="name-028932" type="place">Dover</name> area. After a period spent in bivouacs in the woods, units moved into billets in farmhouses, stables, and barns in the surrounding villages. Later in the month the threat of invasion lessened as the weather over the <name key="name-110158" type="place">English Channel</name> became worse. To avoid the strain of stand-to at dawn and dusk each day a relaxation of the manning of defences was ordered; troops were granted leave, sports were organised, and parties travelled by bus sightseeing.</p>
          <p rend="indent">It had originally been intended that the Second Echelon should have been relieved of its operational role on 13 September, pending its embarkation for the <name key="name-005853" type="place">Middle East</name>, but these orders were cancelled three days before and the New Zealanders stayed in bivouacs covering <name key="name-028932" type="place">Dover</name>. There was still the menace of invasion, and it was afterwards learned that Mr Churchill postponed the departure of the New Zealanders for some weeks, at the same time keeping three ships ready for an emergency dash through the <name key="name-007453" type="place">Mediterranean</name>.</p>
          <p rend="indent">The postponement was not intended to be longer than would permit of the brigade leaving for the <name key="name-005853" type="place">Middle East</name> towards the end of October. Because of the urgent need in the <name key="name-005853" type="place">Middle East</name> for reinforcements of armour, artillery, and anti-aircraft units, the departure of the Second Echelon for <name key="name-002106" type="place">Egypt</name> had again to be delayed. The New Zealand force retained its operational role under command of 12 Corps and was largely concentrated in the <name key="name-027589" type="place">Maidstone</name>-Ashford area of Kent.</p>
          <p rend="indent">Under arrangements with <name key="name-028893" type="organisation">DDMS</name> 12 Corps, all New Zealand patients were held in special hospitals so that they would not be too scattered. Fifth Field Ambulance was responsible for the evacuation of casualties from the New Zealand force's area and for the care of all but serious cases.</p>
          <p rend="indent">Two ADSs and an MDS were established to treat these less serious cases. Besides taking patients back to the CCS or to hospital, the unit returned patients from hospital or, when required, transferred them to the Convalescent Home.</p>
          <pb n="89" xml:id="n89"/>
          <p rend="indent">During September and October 186 patients suffering from various injuries, many of them due to football, were admitted to 5 Field Ambulance. A common cause of admission was respiratory disorders, for which during the two months 104 patients were treated, including 79 with only minor influenzal infections. The total number of cases evacuated by the ambulance beyond unit RAPs was 617. Most of the patients evacuated beyond 5 Field Ambulance were admitted to British military hospitals in the area. Infectious and venereal cases were sent to special hospitals and convalescents to <name key="name-027700" type="place">Warbrook Convalescent Home</name> and to Camp Reception Hospital, <name key="name-029037" type="place">Farnborough</name>, which had been reopened on 14 October by a detachment from 5 Field Ambulance pending the return of the New Zealand force to the <name key="name-002775" type="place">Aldershot</name> Command.</p>
          <p rend="indent">Colonel MacCormick had returned to the <name key="name-005853" type="place">Middle East</name>, under instructions from the GOC, with the medical group on 4 August, leaving Colonel McKillop as senior medical officer to be consulted on all matters of policy and major administration. Lieutenant-Colonel <name key="name-022971" type="person">Twhigg</name>,<note xml:id="ftn1-89" n="1"><p><name key="name-022971" type="person">Brig J. M. Twhigg</name>, DSO, ED, m.i.d.; <name key="name-008844" type="place">Wellington</name>; born Dunedin, <date when="1900-09-13">13 Sep 1900</date>; physician; CO <name key="name-009616" type="organisation">5 Fd Amb</name> May 1940–Dec 1941; p.w. <date when="1941-12">Dec 1941</date>; repatriated <date when="1942-04">Apr 1942</date>; ADMS 3 NZ Div Aug 1942–Apr 1943; <name key="name-028893" type="organisation">DDMS</name> <name key="name-004368" type="organisation">2 NZEF</name> (IP) Apr 1943–Aug 1944; ADMS 2 NZEF UK) Oct 1944–Feb 1946.</p></note> CO 5 Field Ambulance, was responsible for tactical arrangements within the brigade group, and Major Robertson was DADMS at Force Headquarters. With the departure of Colonel McKillop, Lieutenant-Colonel Twhigg was appointed acting ADMS NZ Division (<name key="name-029547" type="place">UK</name>) on 9 October.</p>
          <p rend="indent">The New Zealand force returned to <name key="name-002775" type="place">Aldershot</name> Command on 4 November and was accommodated in billets and quarters in various areas. To provide adequate treatment within the force for minor sickness it was decided to set up two further reception stations to be staffed by companies of 5 Field Ambulance. These were opened by the MDS at Inglewood, Runfold, and by the ADS at Heathcote, <name key="name-010378" type="place">Camberley</name>. Serious cases were evacuated either to Cambridge Hospital or 18 General Hospital, Pinewood.</p>
          <p rend="indent">A total of 67 cases was admitted to hospital in November, while <date when="1706">1706</date> were treated as out-patients by 5 Field Ambulance. In December 113 cases were admitted to hospital and 819 treated as out-patients. During these months the force was engaged in routine training and later in preparations for embarkation.</p>
          <p rend="indent">The three camp reception hospitals staffed by 5 Field Ambulance were closed on <date when="1940-12-27">27 December 1940</date> as the date of embarkation drew near, and a sick bay of ten beds was established at Base Camp, <name key="name-029298" type="place">Moor Park</name>, which had been formed on 17 December to accommodate unfit personnel awaiting return to New Zealand. These numbered 41 at the end of November. Up to 23 December, 222 officers and men
<pb n="90" xml:id="n90"/>
had appeared before invaliding medical boards, 126 for preenlistment disabilities, and 96 for post-enlistment disabilities.</p>
          <p rend="indent">On the night of 1–2 January 1941 units of the New Zealand formation in <name key="name-004019" type="place">England</name> began to leave <name key="name-002775" type="place">Aldershot</name> Command for points of embarkation to join the remainder of the New Zealand Division in the <name key="name-005853" type="place">Middle East</name>. B Company 5 Field Ambulance, under the command of Captain <name key="name-022836" type="person">Palmer</name>,<note xml:id="ftn1-90" n="1"><p><name key="name-022836" type="person">Maj G. B. Palmer</name>, m.i.d., Silver Cross (Gk); Seacliff; born <name key="name-004019" type="place">England</name>, <date when="1909-02-06">6 Feb 1909</date>; medical practitioner; medical officer <name key="name-009616" type="organisation">5 Fd Amb</name> Nov 1939–Aug 1941; DADMS 210 British Military Mission Nov 1941–May 1943; 2 i/c <name key="name-029279" type="organisation">1 Conv Depot</name> May 1943–Oct 1944; OC Det <name key="name-029279" type="organisation">1 Conv Depot</name> Oct 1944–Mar 1945.</p></note> embarked on the <hi rend="i"><name key="name-110453" type="ship">Athlone Castle</name></hi> on 3 January at Liverpool, while Headquarters and A Companies, under Lieutenant-Colonel Twhigg, embarked on the <hi rend="i">Duchess of Bedford</hi> at Newport, Wales, on 4 January. Captain T. G. de Clive <name key="name-028591" type="person">Lowe</name><note xml:id="ftn2-90" n="2"><p><name key="name-028591" type="person">Maj T. G. de Clive Lowe</name>; <name key="name-002817" type="place">Auckland</name>; born NZ <date when="1900-09-17">17 Sep 1900</date>; surgeon; medical officer <name key="name-009616" type="organisation">5 Fd Amb</name> Dec 1939–Dec 1940; Aug–Nov 1941; p.w. <date when="1941-11-28">28 Nov 1941</date>; repatriated <date when="1942-04">Apr 1942</date>.</p></note> remained behind in charge of NZ Base Camp, while Major Robertson retained charge of <name key="name-027700" type="place">Warbrook Convalescent Home</name> and became DADMS (<name key="name-029547" type="place">UK</name>). Lieutenant <name key="name-023196" type="person">Manchester</name><note xml:id="ftn3-90" n="3"><p><name key="name-023196" type="person">Lt-Col W. M. Manchester</name>; <name key="name-002817" type="place">Auckland</name>; born Waimate, <date when="1913-10-31">31 Oct 1913</date>; medical practitioner; RMO 22 Bn <date when="1940">1940</date>; seconded for plastic surgical training in <name key="name-029547" type="place">UK</name>, <date when="1940-11">Nov 1940</date>; <name key="name-011447" type="organisation">1 Gen Hosp</name> 1942–43; asst surgeon, Plastic Surgical Unit, Burwood, <date when="1944">1944</date>; OC Plastic Unit, Burwood, 1944–47.</p></note> and Lieutenant Hutter<note xml:id="ftn4-90" n="4"><p>Lt-Col F. L. Hutter; <name key="name-008844" type="place">Wellington</name>; born <name key="name-002817" type="place">Auckland</name>, <date when="1910-02-06">6 Feb 1910</date>; surgeon; <name key="name-009616" type="organisation">5 Fd Amb</name> Jun–Dec 1940; surgeon <name key="name-011447" type="organisation">1 Gen Hosp</name> Sep 1941–Nov 1941; <name key="name-001176" type="organisation">6 Fd Amb</name> 1941–44; surgeon in 1, 2, and 3 Gen Hosps 1944–45.</p></note> continued their courses of instruction in maxillo-facial surgery and a medical officer was appointed to the Forestry Group, New Zealand Engineers, which remained in the <name key="name-029547" type="place">United Kingdom</name>.</p>
          <p rend="indent">On 12 January the convoy proceeded to sea from Belfast Loch in the early morning, heading west in a zigzag course and then south. All ranks slept in their clothes in the danger zone and wore steel helmets and lifebelts while on deck. By 17 January permission was given for the removal of clothes at night. The hospital accommodation on the ships was taxed by the numbers of influenza patients, and nursing orderlies from the field ambulance companies were attached to their respective ship's hospital for duty. When influenza abated there was a mild epidemic of measles on board the <hi rend="i">Duchess of Bedford</hi>.</p>
          <p rend="indent">The voyage to <name key="name-002106" type="place">Egypt</name> was uneventful, although the double crossing of the Equator entailed conditions of temporary discomfort, especially for sleeping. The convoy completed its journey through the <name key="name-001311" type="place">Red Sea</name> and reached <name key="name-004572" type="place">Port Tewfik</name><!-- Tewfik, Port --> on 3 March.</p>
        </div>
        <div type="section" n="54" xml:id="c3-54">
          <head>
            <hi rend="i">Recruitment of New Zealand Doctors in <name key="name-029547" type="place">United Kingdom</name></hi>
          </head>
          <p rend="indent">After the outbreak of war in <date when="1939-09">September 1939</date> it was estimated that there were about three hundred New Zealand medical graduates in the <name key="name-029547" type="place">United Kingdom</name>. They included those actually practising in
<pb n="91" xml:id="n91"/>
<name key="name-005976" type="place">Britain</name>, those holding posts in hospitals before or after obtaining senior medical or surgical qualifications, and more recent arrivals such as medical students in British universities and post-graduates on holiday. Except for medical officers on the active list of the Territorial Force in New Zealand, no action was taken by Army Headquarters to secure their return to New Zealand for service with <name key="name-004368" type="organisation">2 NZEF</name>.</p>
          <p rend="indent">Places were kept for three of those on the active list in the establishment of 1 General Hospital, and they were sent to join the unit in <name key="name-002106" type="place">Egypt</name>. Instead, the Second Echelon, including the hospital unit, went to <name key="name-004019" type="place">England</name>. Replacements for two of the three were obtained from New Zealand doctors in <name key="name-004019" type="place">England</name>, and, in addition, the need for additional staff for the medical services, scattered as they were at the time, led Colonel MacCormick to obtain a few medical officers and a few sisters from those volunteering in <name key="name-004019" type="place">England</name>. No official move was made to secure any of the New Zealand doctors who were enlisted in the RAMC, but at least five managed to obtain their transfer from the RAMC to <name key="name-004368" type="organisation">2 NZEF</name> in 1940 and 1941. Dominion doctors and nurses were liable for recruitment to the British services, provided they had been resident for three months in the <name key="name-029547" type="place">United Kingdom</name>, were medically fit and of a recruitable age. Strictly speaking, they could elect to join their own Dominion force in preference to the British Navy, Army, or Air Force, but transfer was not easily obtained unless the Dominion authorities pressed for it.</p>
          <p rend="indent">Many young medical graduates studying in <name key="name-005976" type="place">Britain</name> were refused enlistment in <name key="name-004019" type="place">England</name> by the New Zealand army authorities and served during the war in the RAMC. The shortage of medical practitioners in New Zealand, with a consequent difficulty in reinforcing <name key="name-004368" type="organisation">2 NZEF</name>, which arose later, would have been alleviated if these graduates had been accepted, especially as they were very well suited for active service both by age and qualifications.</p>
        </div>
        <pb n="92" xml:id="n92"/>
        <div type="section" n="55" xml:id="c3-55">
          <head><hi rend="sc">Appendix</hi> A<lb/>
<hi rend="i">Food Ration Scale, <name key="name-005853" type="place">Middle East</name>, <date when="1940">1940</date> (<date when="1941">1941</date> variations in brackets)</hi></head>
          <p>
            <table rows="25" cols="3">
              <row>
                <cell>Fresh Ration</cell>
                <cell>Ounces</cell>
                <cell/>
              </row>
              <row>
                <cell>Bread</cell>
                <cell>16</cell>
                <cell>(12)</cell>
              </row>
              <row>
                <cell>Meat, frozen</cell>
                <cell>14</cell>
                <cell>(12)</cell>
              </row>
              <row>
                <cell>Vegetables</cell>
                <cell>8</cell>
                <cell/>
              </row>
              <row>
                <cell>Onions</cell>
                <cell>2</cell>
                <cell/>
              </row>
              <row>
                <cell>Potatoes</cell>
                <cell>12</cell>
                <cell/>
              </row>
              <row>
                <cell>Beans, lentils</cell>
                <cell>2</cell>
                <cell>(1)</cell>
              </row>
              <row>
                <cell>Bacon</cell>
                <cell>3</cell>
                <cell/>
              </row>
              <row>
                <cell>Cheese</cell>
                <cell>½</cell>
                <cell>(¾)</cell>
              </row>
              <row>
                <cell>Butter or margarine</cell>
                <cell>1½</cell>
                <cell/>
              </row>
              <row>
                <cell>Fruit, fresh</cell>
                <cell>3½</cell>
                <cell>(4)</cell>
              </row>
              <row>
                <cell>Fruit, dried</cell>
                <cell>4/7</cell>
                <cell/>
              </row>
              <row>
                <cell>Jam</cell>
                <cell>1½</cell>
                <cell>(1)</cell>
              </row>
              <row>
                <cell>Oatmeal (or flour)</cell>
                <cell>1</cell>
                <cell/>
              </row>
              <row>
                <cell>Rice</cell>
                <cell>1</cell>
                <cell/>
              </row>
              <row>
                <cell>Salmon, tinned</cell>
                <cell>3/7</cell>
                <cell/>
              </row>
              <row>
                <cell>Herrings, tinned</cell>
                <cell>4/7</cell>
                <cell/>
              </row>
              <row>
                <cell>Tea</cell>
                <cell>½</cell>
                <cell>(?)</cell>
              </row>
              <row>
                <cell>Sugar</cell>
                <cell>3½</cell>
                <cell/>
              </row>
              <row>
                <cell>Salt</cell>
                <cell>?</cell>
                <cell>(½)</cell>
              </row>
              <row>
                <cell>Milk</cell>
                <cell>2</cell>
                <cell/>
              </row>
              <row>
                <cell>Pepper</cell>
                <cell>1/100</cell>
                <cell/>
              </row>
              <row>
                <cell>Mustard</cell>
                <cell>1/100</cell>
                <cell/>
              </row>
              <row>
                <cell>Tobacco or cigarettes</cell>
                <cell>2 oz. a week</cell>
                <cell/>
              </row>
              <row>
                <cell>Matches</cell>
                <cell>2 boxes a week</cell>
                <cell/>
              </row>
            </table>
          </p>
          <p>
            <table rows="6" cols="3">
              <row>
                <cell>Tinned Ration Equivalent</cell>
                <cell>Ounces</cell>
                <cell/>
              </row>
              <row>
                <cell>Biscuits</cell>
                <cell>12</cell>
                <cell>(10)</cell>
              </row>
              <row>
                <cell>Meat</cell>
                <cell>12</cell>
                <cell>(9)</cell>
              </row>
              <row>
                <cell>(M and V ration 20 oz ? frozen meat 14 oz, potatoes 12 oz, vegetables 8 oz, and onions 2 oz.)</cell>
                <cell/>
                <cell/>
              </row>
              <row>
                <cell>Bacon</cell>
                <cell>2½</cell>
                <cell/>
              </row>
              <row>
                <cell>or sausages</cell>
                <cell/>
                <cell>(4)</cell>
              </row>
            </table>
          </p>
        </div>
        <div type="section" n="56" xml:id="c3-56">
          <head><hi rend="sc">Appendix</hi> B<lb/>
<hi rend="i">Health Precautions Issued by HQ <name key="name-004368" type="organisation">2 NZEF</name> in Egypt, <date when="1940">1940</date></hi></head>
          <div n="1" xml:id="c3-56-1">
            <head>
              <hi rend="sc">messing</hi>
            </head>
            <list type="simple">
              <label>1.</label>
              <item>
                <p rend="indent">Before entering messrooms for any meals, all ranks will disinfect hands in cresol solution, in special basins provided.</p>
              </item>
              <label>2.</label>
              <item>
                <p rend="indent">All messing utensils must be washed in clean soapy water and then boiled in special apparatus provided. To prevent rusting of tin plates, a level teaspoon of washing soda should be put into the tub at each boiling. All dishes and cutlery must be stored in messrooms in fly-proof containers. Unused portions of sugar, butter, jam, etc., must be stored in fly-proof receptacles promptly after meals.</p>
              </item>
            </list>
          </div>
          <div n="2" xml:id="c3-56-2">
            <head>
              <hi rend="sc">cookhouses</hi>
            </head>
            <list type="simple">
              <label>3.</label>
              <item>
                <p rend="indent"><hi rend="i">Medical Fitness for Employment</hi>: No one will be employed in the cookhouse, or in the handling of food, who has suffered from enteric fever, dysentery, typhoid, or cholera, or who is suffering from, or is under treatment
<pb n="93" xml:id="n93"/>
for venereal disease. Regular medical inspection of personnel handling food will be carried out by Unit Medical Officers.</p>
              </item>
              <label>4.</label>
              <item>
                <p rend="indent"><hi rend="i">Cooks' Clothing</hi>: Each cook and man employed handling food will be provided with at least three sets of washable white uniforms. These should always be worn when at work, kept as clean as possible, and changed when dirty.</p>
              </item>
              <label>5.</label>
              <item>
                <p rend="indent"><hi rend="i">Cleanliness of Hands</hi>: A hand basin, soap, and a nailbrush will always be available for the use of cooks. There will also be provided a basin of cresol solution for the frequent disinfection of the hands.</p>
              </item>
              <label>6.</label>
              <item>
                <p rend="indent"><hi rend="i">Clothing</hi>: No personal clothing or private property of men employed in cookhouses will be kept there. A proper place is provided for hanging jackets, hats, etc., at entrance to cookhouses.</p>
              </item>
              <label>7.</label>
              <item>
                <p rend="indent"><hi rend="i">Smoking in Cookhouses</hi>: Smoking in cookhouses is forbidden.</p>
              </item>
              <label>8.</label>
              <item>
                <p rend="indent">No personnel will sleep in mess kitchens or storerooms.</p>
              </item>
              <label>9.</label>
              <item>
                <p rend="indent">Only efficient and conscientious men must be employed as cooks and mess orderlies. The latter should be inspected by RMOs before going on duty, should remain on duty for seven days, and be relieved in relays.</p>
              </item>
              <label>10.</label>
              <item>
                <p rend="indent"><hi rend="i">Cleanliness of Pots and Pans</hi>: Pots and pans will be cleaned and dried immediately after use.</p>
              </item>
              <label>11.</label>
              <item>
                <p rend="indent"><hi rend="i">General Cleanliness of the Cookhouses and Utensils</hi>: The cookhouses, sinks, chopping blocks, cutting-up boards, pastry slabs, mincing machines, knives, forks, spoons, and other utensils will be kept as clean as possible when in use and will be thoroughly cleaned after the last meal of the day. All utensils when not in use will be kept in places allotted to them and will be available for inspection at any time. No accumulation of old rags, tins, etc., will be allowed in drawers or elsewhere in the cookhouses.</p>
              </item>
              <label>12.</label>
              <item>
                <p rend="indent"><hi rend="i">Care and Preparation of Food</hi>: Only food which is in the process of cooking will be kept in the cookhouse. Food for the current day's use only should be kept in the preparation rooms, and must be protected from flies.</p>
                <p rend="indent">All meat and other perishable foodstuffs must be consumed within twenty-four hours of issue. An exception is made in the case of meat treated in brine tubs, but in this case it must be eaten within twenty-four hours of cooking.</p>
                <p rend="indent">Tinned goods should be opened immediately prior to consumption. Tins should be closely inspected prior to opening.</p>
              </item>
              <label>13.</label>
              <item>
                <p rend="indent"><hi rend="i">Preparation of Vegetables</hi>: Vegetables will not be prepared in the same sink in which pots and pans are cleaned.</p>
              </item>
              <label>14.</label>
              <item>
                <p rend="indent"><hi rend="i">Food Scraps</hi>: Food scraps, vegetable peelings, etc., will not be thrown on the floor but deposited in a covered refuse bin provided for the purpose. In order to prevent used tea leaves being processed for incorporation in tea to be marketed, units will ensure that used tea leaves are burnt in their own fires.</p>
              </item>
              <label>15.</label>
              <item>
                <list type="simple">
                  <label>(<hi rend="i">a</hi>)</label>
                  <item>
                    <p rend="indent">To prevent unsatisfactory functioning of sumps, the following instructions must be strictly adhered to:</p>
                    <list type="simple">
                      <label>(i)</label>
                      <item>
                        <p rend="hang">On no account will any water, dirty or clean, reach the sumps, except through the grease traps provided.</p>
                      </item>
                      <label>(ii)</label>
                      <item>
                        <p rend="hang">No refuse of any description will be thrown into the sumps.</p>
                      </item>
                      <label>(iii)</label>
                      <item>
                        <p rend="hang">Standpipes will be used for the drawing of water only. No washing of plates, hands, etc., will be carried out at the standpipes.</p>
                      </item>
                      <label>(iv)</label>
                      <item>
                        <p rend="hang">Economy of water at sumps is essential to assist their drainage, which is difficult in any circumstances.</p>
                      </item>
                    </list>
                  </item>
                  <label>(<hi rend="i">b</hi>)</label>
                  <item>
                    <p rend="indent"><hi rend="i">Grease Traps</hi>: The layer of grease on the surface should be removed once daily and the sludge in the bottom once weekly.</p>
                  </item>
                </list>
              </item>
              <pb n="94" xml:id="n94"/>
              <label>16.</label>
              <item>
                <p rend="indent"><hi rend="i">Refuse Swill Bins</hi>: The contractor will completely empty the bins and clean them to the bottom daily: in the case of swill bins, they are to be emptied three times a day after meals. The bins should be scrubbed if necessary and the surroundings kept clean. The lids of bins will be kept closed.</p>
              </item>
            </list>
          </div>
          <div n="3" xml:id="c3-56-3">
            <head>
              <hi rend="sc">dysentery</hi>
            </head>
            <list type="simple">
              <label>17.</label>
              <item>
                <p rend="indent">In order that a special effort may be made to combat this disease it is thought that more interest may be taken and better results obtained if all officers, warrant officers, NCOs, and men understood how this disease is carried from one person to another, and the methods taken to prevent its spread.</p>
              </item>
              <label>18.</label>
              <item>
                <p rend="indent">It is impossible to get dysentery except through eating or drinking something contaminated by dysentery germs. In plain words it means that a person who gets dysentery has swallowed food or drink which has been defiled from a “latrine”. Hence the necessity for disinfecting the hands after using latrines.</p>
              </item>
              <label>19.</label>
              <item>
                <p rend="indent">It is most strongly emphasised that the idea that anyone coming to <name key="name-002106" type="place">Egypt</name> must get “Gippy tummy” is absolutely wrong. In many cases so-called “Gippy tummy” is mild dysentery and will not occur if the proper precautions are followed.</p>
              </item>
              <label>20.</label>
              <item>
                <p rend="indent">It is obvious, therefore, that it is a disease that can be prevented by good sanitation. The infection of dysentery is usually carried out as follows (the precautions to be taken being shown under each heading):</p>
              </item>
              <label>21.</label>
              <item>
                <p rend="indent"><hi rend="i">Contamination of Body by Dirty Hands, Flies, etc.</hi>: Only purchase food from clean sources. Avoid unlicensed hawkers. Protect food from flies and dust. See that the mess orderlies wash their hands. Do not eat any food that appears in the least way tainted. Disinfect your hands after using the latrines and before meals.</p>
              </item>
              <label>22.</label>
              <item>
                <p rend="indent"><hi rend="i">Contaminated Water, Milk, Minerals</hi>: If in the least doubt boil the water. Tea is a good safe drink. Always boil fresh milk and keep all drinks protected from flies and dust. Only use minerals from recognised Army sources. Ice is almost invariably contaminated in transport and should not be put in drink.…</p>
              </item>
              <label>23.</label>
              <item>
                <p rend="indent"><hi rend="i">Uncooked Vegetables, Salads, Fruits</hi>: In no circumstances eat uncooked green vegetables (lettuces, etc.) and onions. Eat only hard skinned fruit (except red melons) with a sound skin. Dip in boiling water for thirty seconds, or soak for one hour in “pink” solution (permanganate of potash), the strength being such that the bottom of the container cannot be seen through the solution. After soaking, rinse in tap water. Tomatoes, dates, and figs may be bought if their skin is unbroken and they are treated in a similar manner. No fruit, vegetable, or other food is to be purchased from hawkers, who are forbidden to enter the camp precincts. Egyptian cheese is stated to be unsafe. Avoid overripe fruit. Grapes must not be eaten.</p>
                <p rend="indent">Melons are safe to eat provided they are bought from a thoroughly reliable source (of which one is the Nile Cold Storage and Ice Coy.). The best type of melon is the “Chilean Black”, followed by the ordinary water melon. Melons should bear the Government stamp.</p>
                <p rend="indent">It must be emphasised that the above does not authorise the indiscriminate purchase of melons from any source.</p>
              </item>
            </list>
          </div>
          <div n="4" xml:id="c3-56-4">
            <head>
              <hi rend="sc">flies</hi>
            </head>
            <list type="simple">
              <label>24.</label>
              <item>
                <p rend="indent">Do not leave any refuse about to attract or allow flies to form breeding places. See that lids fit all dust-bins and keep the bins covered.
<pb n="95" xml:id="n95"/>
See that all latrines especially those used by natives, are fly-proof. Personal investigation of this matter will cause some surprises. Protect all food from flies. Use fly-swatters and fly papers to kill the odd fly that may get into the house or barrack room.</p>
              </item>
              <label>25.</label>
              <item>
                <p rend="indent">Flies cause a spread of many diseases—not only diarrhoea and dysentery, but also cholera and typhoid fever, and diseases of the eye.</p>
              </item>
              <label>26.</label>
              <item>
                <p rend="indent">Units are responsible for the prevention of the breeding, and for the destruction of flies, within their own area.</p>
              </item>
              <label>27.</label>
              <item>
                <p rend="indent">The prevention of fly-breeding is mainly a matter of the efficient fly-proofing of latrines, and the storage of all refuse in fly-proof receptacles and the satisfactory disposal of same.</p>
              </item>
              <label>28.</label>
              <item>
                <p rend="indent">The best fly poison is a solution of formalin and sugar, placed in saucers, with a piece of bread in the middle for the fly to settle on. This solution will be prepared in bulk under the supervision of the Medical Officer in charge of the nearest medical inspection room or RAP, and issued to units as required. The solution is non-poisonous to human beings and animals. To be really successful it must be of a definite strength, and no fluid should be available with which the fly can satisfy his thirst apart from this solution.</p>
              </item>
              <label>29.</label>
              <item>
                <p rend="indent">All offices, messrooms, etc., should have some form of fly-trap.</p>
              </item>
              <label>30.</label>
              <item>
                <p rend="indent">The most efficient and easily constructed fly-trap is made by mixing together resin and castor oil, and whilst still hot, painting the mixture on sheets of tin or hoop iron or stiff wires (old telegraph wires, the wires used for binding bales of hay, etc.). These wires should have a hook at one end to hang from, and a piece of paper or cork at the bottom to prevent drips. These are hung on beams, etc. When covered with flies the wires and tins can be cleaned by burning, and then used again.</p>
              </item>
              <label>31.</label>
              <item>
                <p rend="indent">Units will arrange with the officer in medical charge of troops for instruction of their sanitary personnel in the use of sprays, preparation of castor oil and resin mixtures, and the best method of using formalin solution.</p>
              </item>
              <label>32.</label>
              <item>
                <p rend="indent">As the contamination of food is the principal danger of these parts, all food must be stored in fly-proof safes and protected from flies. It is most important to place in food safes food which is not cooked, such as bread, biscuits, cheese, jam, and sugar, and it is also necessary to provide similar receptacles for eating and drinking utensils. Fly-proof conditions should exist where food is stored, etc., prepared and consumed. It is realised that this is not fully possible, but it is the ideal to aim at.</p>
              </item>
              <label>33.</label>
              <item>
                <p rend="indent">Units must ensure that fly-proof safes are available, if necessary constructing them from scrap material obtained from the Garrison Engineer.</p>
              </item>
              <label>34.</label>
              <item>
                <p rend="indent">Everything should be done to prevent flies breeding and to reduce the fly pest. A plague of flies has a big bearing on health. Quartermasters should draw scale supplies of sprays, fly-tox, resin, oil, and swatters, etc. Every effort must be made to prevent flies from breeding and to keep all areas free of any material likely to encourage these pests.</p>
              </item>
            </list>
          </div>
          <div n="5" xml:id="c3-56-5">
            <head>
              <hi rend="sc">latrines</hi>
            </head>
            <list type="simple">
              <label>35.</label>
              <item>
                <p rend="indent">All latrines must be boxed in. The seat and bucket type is not satisfactory.</p>
              </item>
              <label>36.</label>
              <item>
                <p rend="indent">Sanitary Police will be posted by units at all latrines from reveille to sunset:</p>
                <list type="simple">
                  <label>(<hi rend="i">a</hi>)</label>
                  <item>
                    <p rend="hang">To ensure that seats are kept closed and particularly that they are kept on top of buckets in cases where boxing is not complete.</p>
                  </item>
                  <pb n="96" xml:id="n96"/>
                  <label>(<hi rend="i">b</hi>)</label>
                  <item>
                    <p rend="hang">To see that all ranks leaving the latrines immerse their hands up to the wrists in cresol solution (a 1 per cent solution, which is a “50” cigarette tin of cresol to 2 gallons of water—stronger solutions are no more efficient). During rush periods it may be necessary to reinforce the sanitary police or even station non-commissioned officers on duty to ensure compliance with orders on the subject.</p>
                  </item>
                </list>
              </item>
              <label>37.</label>
              <item>
                <p rend="indent">Receptacles for disinfecting hands must not be inside latrines, but should be placed at least 30 feet from the centre of the latrine, and as near as possible to the normal route between tents and latrine. (For small latrines this distance could be reduced.) These stands should be whitewashed to facilitate location at night. The solution should be changed daily.</p>
              </item>
              <label>38.</label>
              <item>
                <p rend="indent">It will be found that hands dry very quickly in the air after immersion in the disinfectant, and no sort of discomfort is experienced.</p>
              </item>
              <label>39.</label>
              <item>
                <p rend="indent">Latrine seats must be scrubbed daily with soap and water and twice weekly with cresol solution. Buckets are cleaned by conservancy contractor after emptying. After cleaning, buckets should be wiped with pan-ol, and a trace left in the bottom. Pan-ol should be drawn from Unit QM.</p>
              </item>
              <label>40.</label>
              <item>
                <p rend="indent">The attention of all ranks is directed to the necessity of using sawdust freely in latrine pans and avoiding excess of urine in the pans by using the special urine buckets whenever possible. These measures facilitate incineration and contribute to the maintenance of a healthy camp.</p>
              </item>
            </list>
          </div>
          <div n="6" xml:id="c3-56-6">
            <head>
              <hi rend="sc">sandfly fever</hi>
            </head>
            <list type="simple">
              <label>41.</label>
              <item>
                <p rend="indent">In view of the prevalence of sandfly fever in this area, the following notes are published as regards certain preventive measures:</p>
                <list type="simple">
                  <label>(<hi rend="i">a</hi>)</label>
                  <item>
                    <p rend="hang">Sandflies breed very rapidly when the temperature and humidity become favourable, generally April to May, reaching their highest number in August and September.</p>
                  </item>
                  <label>(<hi rend="i">b</hi>)</label>
                  <item>
                    <p rend="hang">Old rough and pitted walls and heaps of rubble are the usual breeding places. The undulating desert or ground with a smooth surface is less favourable. It is desirable, therefore, that heaps of rubble should be removed from the neighbourhood of barrack rooms, or when removal is impossible, buried in sand.</p>
                  </item>
                </list>
              </item>
            </list>
          </div>
          <div n="7" xml:id="c3-56-7">
            <head>
              <hi rend="sc">conservancy</hi>
            </head>
            <list type="simple">
              <label>42.</label>
              <item>
                <p rend="indent">Proper conservancy in <name key="name-002106" type="place">Egypt</name> is of prime importance. Unless nightsoil, dirty water, are promptly cleared and thoroughly disposed of, one of <name key="name-002106" type="place">Egypt</name>'s plagues, that of flies, will inevitably follow.</p>
              </item>
              <label>43.</label>
              <item>
                <p rend="indent">Conservancy services are carried out by a civilian contractor with native labour, and the standard of the work they render is in direct proportion to the standard desired by the unit concerned. Sanitary officers and their personnel will greatly assist in the satisfactory carrying out of the service by closely supervising the work, insisting upon punctual and regular clearing of receptacles, verifying that all refuse is properly buried (when this means of disposal is used), or properly burnt (when incinerators are provided).</p>
              </item>
              <label>44.</label>
              <item>
                <p rend="indent">The principal points of Conservancy Contract are given below for guidance:</p>
                <list type="simple">
                  <label>(<hi rend="i">a</hi>)</label>
                  <item>
                    <p rend="hang">Motor lorries carrying iron receptacles will clear latrines, urinals, cess pits, catchpits, sumps, slops, rubbish ashes, old tins, refuse bins.</p>
                  </item>
                  <label>(<hi rend="i">b</hi>)</label>
                  <item>
                    <p rend="hang">Hours of clearing will be fixed by Sanitary Officers. Two clearings per day, morning and evening, are stipulated.</p>
                    <pb n="97" xml:id="n97"/>
                    <pb/>
                    <p>
                      <figure xml:id="WH2Med04a">
                        <graphic url="WH2Med04a.jpg" mimeType="image/jpeg" xml:id="WH2Med04a-g"/>
                        <head>
                          <name key="name-002294" type="place">Greece</name>
                        </head>
                        <figDesc>map of <name key="name-002294" type="place">Greece</name></figDesc>
                      </figure>
                    </p>
                  </item>
                  <label>(<hi rend="i">c</hi>)</label>
                  <item>
                    <p rend="hang">The iron receptacles will have lids and they must be kept closed during movement. Dry rubbish in lorries must be kept covered by canvas covers during transport.</p>
                  </item>
                  <label>(<hi rend="i">d</hi>)</label>
                  <item>
                    <p rend="hang">Until incinerators are constructed, trenches 2 metres deep will be dug and the day's refuse placed in them up to not nearer than ½ metre from the ground level. Covering sand will then be placed over them to 1/4 metre above ground level and sealed up with oiled sand under the responsibility of the Sanitary Officer. Old lorry sump oil is provided for the purpose of sealing the trenches. The trenching area has been sited 2 miles from camp.</p>
                  </item>
                  <label>(<hi rend="i">e</hi>)</label>
                  <item>
                    <p rend="hang">When incinerators have been constructed (site ½ mile from camp) all refuse will be mixed with sawdust, tibben (chopped straw), etc., at the incinerators and burnt.</p>
                  </item>
                  <label>(<hi rend="i">f</hi>)</label>
                  <item>
                    <p rend="hang">Transport receptacles and lorries will be cleaned and disinfected daily by the conservancy contractor's labourers, but latrine buckets, etc., will be kept clean by unit personnel.</p>
                  </item>
                  <label>(<hi rend="i">g</hi>)</label>
                  <item>
                    <p rend="hang">Each lorry will be accompanied by 1 driver and 2 labourers plus 2 more labourers per lorry digging trenches and working incinerators.</p>
                  </item>
                  <label>(<hi rend="i">h</hi>)</label>
                  <item>
                    <p rend="hang">Any complaints should be referred in writing to the Camp Adjutant.</p>
                  </item>
                </list>
              </item>
              <label>45.</label>
              <item>
                <p rend="indent">Careful attention to the above points from the outset will help to create and maintain a satisfactory service upon which the health and comfort of all concerned depends.</p>
              </item>
              <label>46.</label>
              <item>
                <p rend="indent">Disinfectants, sump oil, fuel, etc., are obtainable.…</p>
              </item>
            </list>
          </div>
          <div n="8" xml:id="c3-56-8">
            <head>
              <hi rend="sc">heat exhaustion and cramps</hi>
            </head>
            <list type="simple">
              <label>47.</label>
              <item>
                <p rend="indent">This condition is in a great measure due to salt loss owing to sweating. This can be prevented by supplying the following drink:</p>
                <list type="simple">
                  <item>
                    <p rend="indent">Half ounce table salt to a gallon of water.</p>
                  </item>
                  <item>
                    <p rend="indent">Flavour with lime juice or lemon.</p>
                  </item>
                </list>
              </item>
            </list>
          </div>
          <div n="9" xml:id="c3-56-9">
            <head>
              <hi rend="sc">earthenware jars used for drinking water (zeers)</hi>
            </head>
            <list type="simple">
              <label>48.</label>
              <item>
                <list type="simple">
                  <label>(<hi rend="i">a</hi>)</label>
                  <item>
                    <p rend="indent">Earthenware jars (zeers) are possible breeding places for mosquitoes and they should therefore be turned upside down and thoroughly dried out twice a week.</p>
                  </item>
                  <label>(<hi rend="i">b</hi>)</label>
                  <item>
                    <p rend="indent">Sandflies may breed in the constantly damp sand beneath jars and the latter should consequently be moved frequently.</p>
                  </item>
                  <label>(<hi rend="i">c</hi>)</label>
                  <item>
                    <p rend="indent">The use of a common mug and the habit of dipping a mug into the jar are both undesirable practices from a health point of view. Where individual drinking utensils are not available men should use their bottles for drawing water.</p>
                  </item>
                </list>
              </item>
            </list>
          </div>
        </div>
      </div>
      <pb n="98" xml:id="n98"/>
      <div type="chapter" n="4" xml:id="c4">
        <head>CHAPTER 4<lb/>
<name key="name-002294" type="place">Greece</name></head>
        <div type="section" xml:id="c4-0">
          <p>TWO Italian armies had struck at <name key="name-002294" type="place">Greece</name> on <date when="1940-10-28">28 October 1940</date>, but the spirit of Greek resistance had surprised everyone and dumbfounded the <name key="name-029150" type="organisation">Italians</name>, who in spite of overwhelming superiority, both in numbers and equipment, retreated before the determined Greek counter-attacks. The Greeks followed the <name key="name-029150" type="organisation">Italians</name> up into <name key="name-020121" type="place">Albania</name>. In November a small British force of three air squadrons and some base units, including 26 British General Hospital, was sent to <name key="name-000608" type="place">Athens</name> at the request of the Greeks.</p>
          <p rend="indent">Then an ominous shadow was cast over the situation when German armies started assembling in Roumania at the end of <date when="1940">1940</date>. There was little doubt about the purpose of this concentration. Conferences were held in <name key="name-000608" type="place">Athens</name> between Greek political and military leaders and representatives of the British Cabinet and Army. At first, in January, the Greeks refused to entertain any offer of help with a strength of less than ten divisions, lest the Germans be given an excuse for aggression and there would be inadequate forces to oppose them; but on 8 February the Greeks asked for help if, and when, the Germans crossed into <name key="name-018182" type="place">Bulgaria</name>. As a result of this appeal the advance in <name key="name-025395" type="place">North Africa</name> was halted, and plans were made for a force to be sent to <name key="name-002294" type="place">Greece</name>. At a conference held in <name key="name-000608" type="place">Athens</name> on 22 February plans of operations were discussed and the Aliakmon defence line was agreed upon, the British delegates being led to believe that General Papagos, the Greek commander, would immediately withdraw his troops from the Metaxas line on the Bulgarian border. However, when the British delegation returned to <name key="name-000608" type="place">Athens</name> on 2 March after a visit to <name key="name-008587" type="place">Turkey</name>, it found that no Greek troops had been withdrawn owing to the uncertainty about developments in <name key="name-004979" type="place">Yugoslavia</name>. By this time <name key="name-018182" type="place">Bulgaria</name> had joined the Axis and German troops had crossed the Danube. It was then agreed that the Greeks should leave three divisions on the frontier and withdraw the remaining three divisions to the Aliakmon line. <name key="name-005976" type="place">Britain</name> decided on political grounds to send what troops she could muster to help the Greeks and to persuade the Yugoslavs to resist the German advance. A force, called Lustre Force after the code word used in negotiations, was assembled with all possible speed in <name key="name-002106" type="place">Egypt</name>. The New Zealand Division was to form the
<pb n="99" xml:id="n99"/>
advanced guard of the force and men and material were soon being shipped to <name key="name-002294" type="place">Greece</name>. As the first New Zealand troops moved out of <name key="name-000936" type="place">Helwan Camp</name> on 3 March, units of 5 Brigade were landing in <name key="name-002106" type="place">Egypt</name> from <name key="name-004019" type="place">England</name>.</p>
          <p rend="indent">The voyage across the <name key="name-007453" type="place">Mediterranean</name> was made in ‘flights’, fresh groups coming forward to the <name key="name-009139" type="place">Amiriya</name> transit camp and embarkation point at <name key="name-000576" type="place">Alexandria</name> as each flight sailed. <name key="name-207994" type="person">General Freyberg</name> and his advance party and a small advanced section of 1 General Hospital disembarked at <name key="name-001219" type="place">Piraeus</name>, the port of <name key="name-000608" type="place">Athens</name>, on 7 March. The medical units embarked for <name key="name-002294" type="place">Greece</name> on various dates between 6 and 26 March, the first to go being 1 General Hospital, which on 20 February had received orders to pack its complete equipment prior to moving.<note xml:id="ftn1-99" n="1"><p>The medical units went to <name key="name-002294" type="place">Greece</name> on the following dates:</p>

<p><table rows="10" cols="3"><row><cell/><cell rend="center"><hi rend="i">Date of Embarkation</hi></cell><cell rend="center"><hi rend="i">Date of Arrival at <name key="name-001219" type="place">Piraeus</name></hi></cell></row><row><cell/><cell rend="center"><date when="1941">1941</date></cell><cell rend="center"><date when="1941">1941</date></cell></row><row><cell><name key="name-011447" type="organisation">1 Gen Hosp</name> (less nurses)</cell><cell rend="center">6 Mar</cell><cell rend="center">8 Mar</cell></row><row><cell><name key="name-027004" type="organisation">4 Fd Hyg Sec</name></cell><cell rend="center">9 Mar</cell><cell rend="center">10 Mar</cell></row><row><cell>ADMS</cell><cell rend="center">9 Mar</cell><cell rend="center">10 Mar</cell></row><row><cell><name key="name-009615" type="organisation">4 Fd Amb</name></cell><cell rend="center">11 Mar</cell><cell rend="center">15 Mar</cell></row><row><cell><name key="name-001176" type="organisation">6 Fd Amb</name></cell><cell rend="center">18 Mar</cell><cell rend="center">22 Mar</cell></row><row><cell>ADMS Office Staff</cell><cell rend="center">18 Mar</cell><cell rend="center">22 Mar</cell></row><row><cell>Nurses <name key="name-011447" type="organisation">1 Gen Hosp</name></cell><cell rend="center">25 Mar</cell><cell rend="center">27 Mar</cell></row><row><cell><name key="name-009616" type="organisation">5 Fd Amb</name></cell><cell rend="center">26 Mar</cell><cell rend="center">29 Mar</cell></row></table></p>

<p>All reached <name key="name-002294" type="place">Greece</name> safely, although aerial attacks were made on some of the convoys.</p></note></p>
          <p rend="indent">In proceeding to a country not yet at war with <name key="name-008556" type="place">Germany</name> it would seem that, from a medical point of view, a higher priority should have been given to the move of the medical units. Priority seems to have been given to the British armoured brigade and fighting troops, firstly, to impress the Greeks and Yugoslavs, and, secondly, to prepare defensive positions. In addition, it was not expected that fighting would break out so soon, but nevertheless medical units should not have been divorced from the formations they were expected to service.</p>
          <p rend="indent">Although <name key="name-207994" type="person">General Freyberg</name>, his GSO I, and AA &amp; QMG left for <name key="name-002294" type="place">Greece</name> on 6 March, Colonel Kenrick, ADMS NZ Division, did not leave <name key="name-002106" type="place">Egypt</name> until 9 March, and then only at the urgent request of Brigadier D. T. M. Large, <name key="name-028893" type="organisation">DDMS</name> British Troops in <name key="name-002294" type="place">Greece</name>.</p>
        </div>
        <div type="section" n="1" xml:id="c4-1">
          <head>
            <hi rend="i">General Medical Administrative Arrangements</hi>
          </head>
          <p rend="indent">Brigadier Large, RAMC, with headquarters in <name key="name-000608" type="place">Athens</name>, was in command of all British medical services in <name key="name-002294" type="place">Greece</name>. Colonel Kenrick was given control of the operational area north of <name key="name-003539" type="place">Elasson</name>, the troops in the area at that time being the New Zealand Division and <name key="name-028828" type="organisation">1 British Armoured Brigade</name>. When 6 Australian Division reached the forward areas, the command fell to Colonel W. W. S. Johnston, the senior Australian medical officer, as <name key="name-028893" type="organisation">DDMS</name> <name key="name-000594" type="organisation">Anzac Corps</name>, and
<pb n="100" xml:id="n100"/>
Kenrick reverted to his position as ADMS NZ Division, which position gave him control of the three field ambulances and the field hygiene section, but not of <name key="name-028359" type="place">1 NZ General Hospital</name>. Under Anzac Corps, in addition to field ambulances, were 2/3 Australian CCS and 2/1 Australian MAC.</p>
          <p rend="indent">There were two base sub-areas: 81 Base Sub-Area with headquarters at <name key="name-001017" type="place">Larisa</name>, and with Colonel R. H. Alexander, RAMC, as ADMS, controlled 24 British CCS, a section of 189 Field Ambulance, <name key="name-028359" type="place">1 NZ General Hospital</name>, 2/6 Australian General Hospital, and supply and evacuation on the lines of communication to <name key="name-000608" type="place">Athens</name>; <name key="name-029076" type="organisation">80 Base Sub-Area</name> at <name key="name-000608" type="place">Athens</name>, with Colonel J. B. Fulton, RAMC, as ADMS, controlled the base hospitals, 26 British and 5 Australian, Advanced Depot Medical Stores, <name key="name-016325" type="place">Voula</name>-Camp, and supplies and evacuation in the <name key="name-000608" type="place">Athens</name> area. A hygiene section was also stationed at <name key="name-001017" type="place">Larisa</name> to help in cleaning up the debris resulting from a severe earthquake which occurred at the end of February.</p>
          <p rend="indent">Thus, at first, <name key="name-028359" type="place">1 NZ General Hospital</name> was under control of <name key="name-028893" type="organisation">DDMS</name> BTG, Brigadier Large, and then of ADMS 81 Base Sub-Area, Colonel Alexander. Orders affecting New Zealand medical personnel in <name key="name-000608" type="place">Athens</name> came from ADMS <name key="name-029076" type="organisation">80 Base Sub-Area</name>.</p>
          <p rend="indent">There was no New Zealand medical liaison staff attached to HQ BTG in <name key="name-000608" type="place">Athens</name>, although the Australians maintained a medical officer there. In retrospect, there can be no doubt that a New Zealand medical liaison officer attached to Medical HQ, British Troops in <name key="name-002294" type="place">Greece</name>, would have been of very great service during the campaign.</p>
          <p rend="indent">The New Zealand Division and its medical services, although under command of the force commander and <name key="name-028893" type="organisation">DDMS</name> BTG respectively, were still a separate expeditionary force, usually asserting a certain degree of independence which rendered close liaison with the overall command especially desirable.</p>
        </div>
        <div type="section" n="2" xml:id="c4-2">
          <head>
            <hi rend="i">New Zealand Medical Administration</hi>
          </head>
          <p rend="indent">On 10 March, when Colonel Kenrick reported to <name key="name-207994" type="person">General Freyberg</name> and Brigadier Large, he was informed that he was to take over the medical responsibility of the forward area. He was also given details of the approximate date of the arrival of the various units in the forward area and the positions they were to take in the line. Until 13 March he was occupied with Brigadier Large, Colonel Alexander, and Colonel McKillop, CO 1 General Hospital, in the selection of a site for the hospital, and on 14 March, as ADMS Forward Area, he proceeded by car to <name key="name-003953" type="place">Katerini</name> via <name key="name-003539" type="place">Elasson</name> and over the <name key="name-001184" type="place">Mount Olympus</name> road to make his first reconnaissance of the forward areas. The first combatant troops, 18 Battalion, arrived by train at <name key="name-003953" type="place">Katerini</name> the same day.</p>
          <pb n="101" xml:id="n101"/>
          <p rend="indent">The difficulties of terrain, bad roads, and poor communications—both road and rail—were at once apparent. When Colonel Kenrick crossed the shoulder of <name key="name-001184" type="place">Mount Olympus</name> it was snowing hard, emphasising the wisdom of the last-minute decision to send the troops from <name key="name-002106" type="place">Egypt</name> in battle dress rather than in summer kit. The country was bristling with problems from the medical point of view, and some of these are briefly surveyed.</p>
        </div>
        <div type="section" n="3" xml:id="c4-3">
          <head>
            <hi rend="i">Topography</hi>
          </head>
          <p rend="indent">The country itself was mountainous and rough, with some large plains, low-lying, boggy, damp, and malarious, the largest being those of <name key="name-027079" type="place">Thrace</name>, the valley of the Vardar, and <name key="name-016290" type="place">Thessaly</name>. There was a mountain massif extending from <name key="name-001184" type="place">Mount Olympus</name> north-west to the Yugoslav-Albanian frontier. The rugged and rather barren country did not lend itself to rapid or easy communication; both road and railway construction had been difficult and the condition of neither was up to modern standards.</p>
          <p rend="indent"><name key="name-002294" type="place">Greece</name> had not reached the age of motor transport. There were few main roads and these were usually narrow and with a poor surface. There was one main single line of railway to the north from <name key="name-000608" type="place">Athens</name>, passing inland through hilly country, at times through gorges and over bridges very vulnerable to destruction by bombing or sabotage, until it reached the plain of <name key="name-016290" type="place">Thessaly</name>, north of which it bypassed the mountains by following the seashore to <name key="name-009685" type="place">Salonika</name>. A short narrow-gauge railway which was not used by the force ran at right angles to the main line from <name key="name-026101" type="place">Demerli</name> to the port of <name key="name-004904" type="place">Volos</name> on the east coast, and a similar line ran from <name key="name-004904" type="place">Volos</name> to <name key="name-001017" type="place">Larisa</name>. The main road north from <name key="name-000608" type="place">Athens</name> followed, except at <name key="name-004022" type="place">Lamia</name>, an inland route with an average distance of approximately 20 miles from the east coast. North of <name key="name-004022" type="place">Lamia</name> a coastal road proceeded to <name key="name-004904" type="place">Volos</name>, a seaport on a large, land-locked harbour, and thence to <name key="name-001017" type="place">Larisa</name>, the latter part of the road being quite unsuitable for heavy motor transport.</p>
          <p rend="indent">At the northern end of the plain at <name key="name-003542" type="place">Elevtherokhorion</name>, just north of <name key="name-003539" type="place">Elasson</name>, a branch road led to <name key="name-003953" type="place">Katerini</name> through a pass to the west of <name key="name-001184" type="place">Mount Olympus</name>, rising to a height of 4000 feet at the divide. Another poor road led from <name key="name-001017" type="place">Larisa</name> to the <name key="name-004549" type="place">Pinios Gorge</name>, the Vale of <name key="name-004819" type="place">Tempe</name>, and the <name key="name-010615" type="place">Platamon</name> tunnel and round the coast to the east of <name key="name-120051" type="place">Olympus</name>. The main road continued from <name key="name-001017" type="place">Larisa</name> to the north-west through the village of <name key="name-004693" type="place">Servia</name>, crossing the <name key="name-003963" type="place">Aliakmon River</name>, to <name key="name-015953" type="place">Kozani</name>, <name key="name-012566" type="place">Monastir</name>, and so to Belgrade. The main road to <name key="name-009685" type="place">Salonika</name> passed from <name key="name-015953" type="place">Kozani</name> along the west of the <name key="name-003963" type="place">Aliakmon River</name> and through the <name key="name-016319" type="place">Veroia Pass</name>.</p>
          <p rend="indent">Communications between east and west were poor, making the reinforcement of the eastern front from the Albanian front slow and difficult.</p>
          <pb n="102" xml:id="n102"/>
          <p rend="indent">From the standpoint of supply and evacuation there was thus available one line of railway—very vulnerable to attack—one main road through hilly country with narrow side roads through passes at the <name key="name-120051" type="place">Olympus</name> barrier, and a coastal road between <name key="name-004022" type="place">Lamia</name> and <name key="name-004904" type="place">Volos</name> with a very bad connection between <name key="name-004904" type="place">Volos</name> and the main road at <name key="name-001017" type="place">Larisa</name>.</p>
        </div>
        <div type="section" n="4" xml:id="c4-4">
          <head>
            <hi rend="i">Climate</hi>
          </head>
          <p rend="indent">The climate of <name key="name-002294" type="place">Greece</name> was continental in type with the high <name key="name-120193" type="place">Balkan</name> hinterland producing severe winter conditions as a contrast to the warm summer. In the battle areas in the mountains cold, wet weather, and even snow and sleet, was experienced. The condition of the metalled roads deteriorated rapidly in the wet weather.</p>
        </div>
        <div type="section" n="5" xml:id="c4-5">
          <head>
            <hi rend="i">Endemic Diseases</hi>
          </head>
          <p rend="indent"><hi rend="i">Malaria:</hi> The low-lying and boggy plains of <name key="name-002294" type="place">Greece</name> have long been notorious as centres of malarial infection. During the First World War British troops stationed in the hinterland of <name key="name-009685" type="place">Salonika</name> suffered severely from this disease, in spite of precautionary measures. The dangers involved in a campaign in <name key="name-002294" type="place">Greece</name> by troops from non-malarious countries were pointed out with great force by Colonel N. H. Fairley, AAMC, and Colonel J. S. K. Boyd, RAMC, in a report to General Wavell.</p>
          <p rend="indent">The lesson of the First World War was not forgotten on this occasion and the New Zealand Division, as well as the rest of Lustre Force, had made preparations to cope with the problem before its arrival in <name key="name-002294" type="place">Greece</name>. Up-to-date information on the subject, lectures, and training in malaria-control work had been given to medical units. Medical officers were charged with instructing all units in the essentials of malaria-control discipline and in the practical application of prophylactic measures. The Field Hygiene Section was fully alive to the problem and looked upon it as its main task. Infantry battalions were later issued with two-man mosquito-proof tents which proved excellent. All other troops were issued with bell-type mosquito nets which were unsuitable. Bush nets were not available.</p>
          <p rend="indent">As far as the New Zealand forces were concerned 4 Field Hygiene Section at once began anti-malaria measures, carrying out a careful survey of the battle areas. Contact was at once made with local medical practitioners and information obtained as to the local incidence of the disease. Even spleen surveys were carried out on children in these areas and the spleen rate in the villages was found
<pb n="103" xml:id="n103"/>
to be 40–50 per cent. These surveys disclosed a relatively high incidence of malaria, higher than the figures previously available, and as a result the evacuation of children from army areas was recommended as a precautionary measure.</p>
          <p rend="indent">The Hygiene Section proceeded to deal with breeding grounds by drainage and oiling, and to arrange for unit malaria squads to be formed to deal more intensively with the problem. Advice was also given to combatant units on the relative safety of areas as far as malaria was concerned. The force itself contained a malaria officer who had organised forty Greek foremen, each with a gang of twenty-three labourers, to deal with the problem from an army level. Arrangements had been made to equip three of these gangs for the New Zealand Division.</p>
          <p rend="indent">(Fortunately, as far as this campaign was concerned, only three cases of malaria were reported as seasonal infection did not occur until May at the earliest, with the main incidence in July, August, and September. Training in malaria control was, however, valuable for the future.)</p>
          <p rend="indent"><hi rend="i">Intestinal Diseases:</hi> These were very prevalent in <name key="name-002294" type="place">Greece</name>, sanitary arrangements throughout the country being primitive except in the more modern part of <name key="name-000608" type="place">Athens</name>. The general poverty of the country outside <name key="name-000608" type="place">Athens</name> probably retarded the provision of modern hygienic conditions. Typhoid and paratyphoid fevers were more prevalent than in any other European country. Dysentery, both bacillary and amoebic, was widespread. Cholera had been absent for many years.</p>
          <p rend="indent">To minimise infection of the force by these diseases the Field Hygiene Section carried out a complete examination of the water supply in the different villages in the battle areas. Arrangements were made for the chlorination of water where necessary.</p>
          <p rend="indent"><hi rend="i">Typhus:</hi> Great epidemics had occurred in the <name key="name-120048" type="place">Balkans</name> at different times, including the First World War. Precautions were taken by the provision of disinfestors for all medical units.</p>
          <p rend="indent"><hi rend="i">Venereal Disease:</hi> Syphilis and gonorrhoea were very prevalent.</p>
          <p rend="indent"><hi rend="i">Tuberculosis:</hi> There was a high incidence of 3 per cent of pulmonary tuberculosis in <name key="name-002294" type="place">Greece</name>, but little glandular infection, possibly because of the custom of boiling the milk of goats and sheep.</p>
          <p rend="indent"><hi rend="i">Water Supply:</hi> The water generally throughout <name key="name-002294" type="place">Greece</name> was obtained from wells and was as a rule satisfactory. Chlorination of water in water carts was undertaken as required and chlorination tablets for individual use were also available; these were issued to units, but unfortunately, in many cases, not to the individual soldiers.</p>
          <p rend="indent"><hi rend="i">Sanitation:</hi> Generally, the civilian sanitary arrangements outside <name key="name-000608" type="place">Athens</name> were those of the cesspool and the midden. The Army used deep-trench and bored-hole latrines.</p>
          <pb n="104" xml:id="n104"/>
        </div>
        <div type="section" n="6" xml:id="c4-6">
          <head>
            <hi rend="i">General Military Plan of the Campaign</hi>
          </head>
          <p rend="indent">The defence of <name key="name-002294" type="place">Greece</name> against the threat of invasion by the Germans coming from <name key="name-018182" type="place">Bulgaria</name> was undertaken by a composite force, comprising elements of the Greek Army and a British Expeditionary Force sent hurriedly from <name key="name-002106" type="place">Egypt</name>. There had been a small <name key="name-034190" type="organisation">RAF</name> force assisting the Greeks in their defence against the <name key="name-029150" type="organisation">Italians</name> in <name key="name-020121" type="place">Albania</name>, but Lustre Force—comprising <name key="name-028828" type="organisation">1 British Armoured Brigade</name>, 6 Australian Division, the New Zealand Division, and some British artillery and ancillery troops—was sent to help the Greek Army against the Germans. The 7th Australian Division and a Polish brigade were not sent as planned because of the serious threat to <name key="name-002106" type="place">Egypt</name> following Rommel's thrust south of <name key="name-002931" type="place">Benghazi</name>, and one brigade of 6 Australian Division arrived in <name key="name-002294" type="place">Greece</name> too late to take part in the operations. The total British and Imperial force sent to <name key="name-002294" type="place">Greece</name> was approximately 58,000, of whom 23,000 were Base and L of C troops. Very little reinforcement of the <name key="name-034190" type="organisation">RAF</name> was possible owing to the deficiency of the force generally in the <name key="name-005853" type="place">Middle East</name>.</p>
          <p rend="indent">The New Zealand Division shortly after its arrival in <name key="name-002294" type="place">Greece</name> took up its allotted position to the north of the <name key="name-001364" type="place">Olympus Pass</name>. It was somewhat handicapped because 5 Brigade had just arrived from <name key="name-004019" type="place">England</name> and had had no time to become acclimatised to <name key="name-007453" type="place">Mediterranean</name> conditions or to mould itself into the rest of the Division.</p>
          <p rend="indent">In the Aliakmon line the Division was responsible for the defence of the right flank between the coast and the Pierian Range where there was the widest of the three gaps in the mountain barriers. Across the Pierian Mountains, which rose to three and four thousand feet, 16 Australian Brigade was to defend the Veroia Gap through which ran the <name key="name-003963" type="place">Aliakmon River</name> and the main road to <name key="name-009685" type="place">Salonika</name>. The Vermion Range, which reached a height of 6000 feet and was manned by two weak Greek divisions, separated the Veroia Gap from the <name key="name-028942" type="place">Edhessa Gap</name> to the north, and beyond that again were the mountains of the Yugoslav border. Through the <name key="name-028942" type="place">Edhessa Gap</name>, <name key="name-028828" type="organisation">1 British Armoured Brigade</name> went forward to delay the German crossing of the Axios River. A brigade of 6 Australian Division was to be allotted to <name key="name-015953" type="place">Kozani</name> to be available for the defence of the <name key="name-028942" type="place">Edhessa Gap</name> and the remaining brigade was to be located at <name key="name-004693" type="place">Servia</name>, but neither brigade had time to reach these positions.</p>
          <p rend="indent">While the New Zealand Division manned the Aliakmon line, it prepared defensive positions behind the line at the <name key="name-001364" type="place">Olympus Pass</name> and also at the <name key="name-010615" type="place">Platamon</name> tunnel, which was situated between <name key="name-001184" type="place">Mount Olympus</name> and the sea, and through which ran the main railway from <name key="name-009685" type="place">Salonika</name> to <name key="name-000608" type="place">Athens</name>. The Olympus positions later formed part of the second line of defence, the <name key="name-120051" type="place">Olympus</name>-<name key="name-003963" type="place">Aliakmon River</name> line.</p>
          <pb n="105" xml:id="n105"/>
          <p rend="indent">The Greeks decided to fight the Germans in rearguard actions at the passes along the Bulgarian frontier, 100 miles north of <name key="name-120051" type="place">Olympus</name>. The upper Vardar valley gave easy access into central <name key="name-002294" type="place">Greece</name> through the <name key="name-012566" type="place">Monastir</name> Gap, but it was hoped that the Yugoslavs would deny the Germans the use of that route. A force was formed under Major-General I. G. Mackay, commanding 6 Australian Division, to defend the left flank and cover the <name key="name-012566" type="place">Monastir</name> Gap. This was composed of part of <name key="name-022941" type="organisation">19 Australian Brigade</name>, with British tanks and artillery of <name key="name-028828" type="organisation">1 British Armoured Brigade</name>, and part of 27 NZ (Machine Gun) Battalion.</p>
          <p rend="indent">Such, briefly, was the position taken up by a small British force, consisting of less than two infantry divisions with one armoured brigade and inadequate air support, assisted by two weak Greek divisions—the whole force now named <name key="name-027091" type="organisation">W Force</name> and under the command of General H. M. Wilson—against a well-trained and powerful <name key="name-008556" type="place">Germany</name> army, greatly superior in numbers and armour and devastatingly superior in air power.</p>
          <p rend="indent">A last line of defence had been planned by General Wilson more than 100 miles to the rear at <name key="name-001392" type="place">Thermopylae</name>. This extended for 40 miles in the rugged mountains between the Euboea Channel and the Gulf of <name key="name-000776" type="place">Corinth</name>.</p>
        </div>
        <div type="section" n="7" xml:id="c4-7">
          <head>
            <hi rend="i">Move to the Line</hi>
          </head>
          <p rend="indent">From <name key="name-000958" type="place">Hymettus Camp</name>, near <name key="name-000608" type="place">Athens</name>, in the last two weeks of March a steady stream of New Zealanders, including the medical units, went forward to positions in the Aliakmon line, north of <name key="name-003953" type="place">Katerini</name>. This line the Division prepared to hold, while forward of the new <name key="name-120051" type="place">Olympus</name> positions preparations were made for demolitions of roads and bridges. While the New Zealand Divisional Cavalry maintained patrols along the line of the <name key="name-003963" type="place">Aliakmon River</name> north of <name key="name-003953" type="place">Katerini</name>, 4 and 6 Brigades took over the Aliakmon line from the Greeks south of the river and 5 Brigade worked on the defensive positions astride <name key="name-001364" type="place">Olympus Pass</name>. The Division was spread over an enormous front, no continuous defence line being possible, and the Aliakmon line itself was destined not to be held because the Germans outflanked it at <name key="name-012566" type="place">Monastir</name> when Yugoslav resistance collapsed.</p>
          <p rend="indent">Most of the men travelled the distance of 300 miles from <name key="name-000608" type="place">Athens</name> by rail, but all vehicles, except tracked ones, were driven along the narrow, winding roads. Nearly all units were in the forward areas by 3 April.</p>
        </div>
        <div type="section" n="8" xml:id="c4-8">
          <head>
            <hi rend="i">Medical Units</hi>
          </head>
          <p rend="indent">On 17 March 4 Field Ambulance joined in the move of <name key="name-024335" type="organisation">4 Infantry Brigade</name> to <name key="name-003953" type="place">Katerini</name>. By 21 March the unit had established an MDS
<pb n="106" xml:id="n106"/>
at a site 1 ½ miles to the north of the village of <name key="name-024260" type="place">Kalokhori</name>, which was 2 ½ miles west of <name key="name-003953" type="place">Katerini</name> on the road leading back through the <name key="name-001364" type="place">Olympus Pass</name>. The tents were erected under fairly dense deciduous trees, not yet covered with spring foliage, and further screened by camouflaged canvas and netting, the <name key="name-027417" type="organisation">Red Cross</name> not being used at that time. Tarpaulins were erected around the 30-cwt trucks and excavations were made to ensure that all the patients were below ground level. The experience gained in the <name key="name-024430" type="place">Western Desert</name> proved most valuable in setting up and taking down the tents and tarpaulins. (It was found that the whole MDS could be packed and on the road in under four hours.) The MDS could accommodate up to 120 patients.</p>
          <p rend="indent">An extensive reconnaissance in the hilly country in the forward areas was undertaken by Colonel Kenrick and Lieutenant-Colonel Graves, and an ADS was sited 6 miles north of <name key="name-001197" type="place">Palionellini</name> behind the front held by 18 and 20 Battalions. Evacuation of casualties from the area would have proved very difficult owing to the broken nature of the country. Stretcher-bearers would have had an arduous carry and the Neil Robertson stretchers, of which 4 Field Ambulance had purchased four for each company, would have proved useful. The ADS was set up in dugouts, with a collecting post a mile further forward. The distance from the ADS to the MDS was 13 miles over a rough road, falling from an altitude of 1000 feet to almost sea level. A Company was sent to the <name key="name-004693" type="place">Servia</name> area on 21 March to provide an ADS for <name key="name-028828" type="organisation">1 British Armoured Brigade</name> in the vicinity of <name key="name-023929" type="place">Veroia</name>, but was recalled to the MDS on the 26th and held in reserve.</p>
          <p rend="indent">From the moment of opening the MDS sick men were admitted from 4 and 6 Infantry Brigades and other divisional units, and evacuated by rail from <name key="name-003953" type="place">Katerini</name> to 26 British General Hospital in <name key="name-000608" type="place">Athens</name>, as the CCSs at <name key="name-003539" type="place">Elasson</name> and <name key="name-001017" type="place">Larisa</name> and <name key="name-028359" type="place">1 NZ General Hospital</name> at <name key="name-004543" type="place">Pharsala</name> had not yet opened.</p>
          <p rend="indent">Sixth Field Ambulance, under Lieutenant-Colonel Bull, moved north in the wake of other divisional units on 26 and 27 March and established an MDS near <name key="name-027555" type="place">Kato Melia</name>, some 6 miles west of 4 MDS at the foot of the <name key="name-001364" type="place">Olympus Pass</name>, and two ADSs near <name key="name-024384" type="place">Sfendhami</name> and <name key="name-027566" type="place">Koukos</name> on the coastal side of 4 ADS. The MDS and one ADS were well dug in and camouflaged, the other ADS being set up in a stone building behind a hill. Evacuation was again a problem and stretcher-bearers would have been required in the rugged country. Accompanying 5 Brigade, 5 Field Ambulance under Lieutenant-Colonel Twhigg moved forward on 1 April and set up an MDS at <name key="name-014235" type="place">Dholikhi</name>, on an exposed slope alongside the road leading down from <name key="name-001364" type="place">Olympus Pass</name>, to serve 5 Brigade and all units south of the pass.</p>
          <p rend="indent">A survey of the areas of 23 Battalion and 28 (Maori) Battalion
<pb n="107" xml:id="n107"/>
showed that, again, the bringing out of wounded would be a difficult task, entailing arduous work for stretcher-bearing parties. From the <name key="name-005118" type="organisation">Maori Battalion</name> a long trek down a valley and over a ridge would have entailed a 7-mile carry for wounded, and mules or donkeys would have been necessary. An ADS was set up just south of <name key="name-002868" type="place">Ay Dhimitrios</name> in the pass itself.</p>
          <p rend="indent">Thus, by the first week of April the plan for the New Zealand field medical units had taken shape, and 1 General Hospital under Colonel McKillop was also open at <name key="name-004543" type="place">Pharsala</name> for the reception of patients. A surgical team, comprising a surgeon, Major <name key="name-011056" type="person">Christie</name>,<note xml:id="ftn1-107" n="1"><p><name key="name-011056" type="person">Col H. K. Christie</name>, CBE, ED; <name key="name-008123" type="place">Wanganui</name>; born <name key="name-036071" type="place">Invercargill</name>, <date when="1894-07-13">13 Jul 1894</date>; surgeon; surgeon <name key="name-011447" type="organisation">1 Gen Hosp</name> Mar 1940-Apr 1941; OC surgical team, <name key="name-002294" type="place">Greece</name> and <name key="name-003325" type="place">Crete</name>; in charge surgical division <name key="name-011447" type="organisation">1 Gen Hosp</name>, Aug 1941-Jun 1943; CO <name key="name-011448" type="organisation">2 Gen Hosp</name> Jun 1943-Oct 1944.</p></note> an anaesthetist, and an orderly, and equipped with extra surgical instruments, was sent forward from 1 General Hospital on 1 April to be attached to one of the MDSs. On 5 April, following the arrival in <name key="name-002294" type="place">Greece</name> of 6 Australian Division, the New Zealand Division came under command of <name key="name-032825" type="organisation">1 Australian Corps</name>, with the senior Australian officer, Colonel Johnston, as <name key="name-028893" type="organisation">DDMS</name> Corps. (By 12 April the name was changed to <name key="name-000594" type="organisation">Anzac Corps</name>, under the command of Lieutenant-General Sir Thomas Blamey.)</p>
          <p rend="indent">In an order of 2 April setting out the divisional medical arrangements, the ADMS NZ Division emphasised that all field ambulances should retain mobility. Therefore, not more than twenty-five cases were to be kept at any one MDS. These were to be cases expected to recover within four days. At the commencement of hostilities the ambulances would be cleared of all sick preparatory to receiving wounded. All other cases, including venereal disease patients, were evacuated daily by rail from <name key="name-003953" type="place">Katerini</name> to 1 General Hospital at <name key="name-004543" type="place">Pharsala</name> (rail station, <name key="name-026101" type="place">Demerli</name>). Before 1 General Hospital opened, the field ambulances had retained infectious cases such as measles and venereal disease and minor medical and surgical cases. From 4 April ambulance cars of 1 Australian MAC were available for the evacuation of special cases (such as infectious cases) by road to 2/3 Australian CCS at <name key="name-003539" type="place">Elasson</name>, and their services would be more widely used at the commencement of hostilities. These arrangements fitted into the general medical plan which must be considered in some detail.</p>
        </div>
        <div type="section" n="9" xml:id="c4-9">
          <head>
            <hi rend="i">The Medical Plan</hi>
          </head>
          <p rend="indent">The medical services to <name key="name-027091" type="organisation">W Force</name> were based on <name key="name-000608" type="place">Athens</name>, where was situated the headquarters of <name key="name-028893" type="organisation">DDMS</name> BTG. Here at <name key="name-001219" type="place">Piraeus</name> was the natural and only satisfactory port suitable for the landing of supplies and the evacuation of sick and wounded. Here existed, also, a fine modern city, perhaps the only modern area in <name key="name-002294" type="place">Greece</name> with
<pb n="108" xml:id="n108"/>
large buildings suitable for conversion into military hospitals. From here, also, as has been discussed earlier, the only railway and main road in <name key="name-002294" type="place">Greece</name> led north to the north-eastern frontiers where the defensive positions lay. No other main base was possible and it was ideally situated, its distance from the front giving it some defence against air attack.</p>
          <p rend="indent">Here 26 British General Hospital was operating in excellent buildings in the modern and healthily situated suburb of <name key="name-015942" type="place">Kifisia</name>. The establishment of this hospital at <name key="name-000608" type="place">Athens</name> so long beforehand proved of the greatest value to the main force during the campaign and the greater part of the serious medical work was done by its staff. Later, 2/5 Australian General Hospital was sited in the same area, also in buildings. (This unit was not fully established at the end of the campaign, but performed valuable work later, when captured by the Germans, for our prisoners of war.) The <name key="name-000608" type="place">Athens</name> area was known as <name key="name-029076" type="organisation">80 Base Sub-Area</name>, all medical services within the area being under the command of Colonel Fulton.</p>
          <p rend="indent"><name key="name-001017" type="place">Larisa</name> was the headquarters of 81 Base Sub-Area, with the British ADMS (Colonel Alexander) quartered at 189 British Field Ambulance, a company of which was sited on the main north road a few miles north of <name key="name-001017" type="place">Larisa</name>, the main body being in <name key="name-003325" type="place">Crete</name>. This field ambulance had been established early and had set up a small tented hospital to hold minor cases and as a staging post for transport by rail of serious cases to <name key="name-000608" type="place">Athens</name>.</p>
          <p rend="indent">On the arrival on 8 March of the first two general hospitals of Lustre Force, 2/6 Australian General Hospital and 1 New Zealand General Hospital, a conference was held at Medical Headquarters in <name key="name-000608" type="place">Athens</name> to discuss medical planning for the force. At it were the <name key="name-028893" type="organisation">DDMS</name> BTG (Brigadier Large) and the officers commanding 26 British (Colonel C. Popham), 2/6 Australian (Colonel R. A. Money), and 1 New Zealand General Hospitals (Colonel McKillop). It was decided to use the last two hospitals, which were essentially base units, as L of C hospitals in 81 Base Sub-Area.</p>
          <p rend="indent">The actual siting of <name key="name-028359" type="place">1 NZ General Hospital</name> in the 81 Base Sub-Area was decided after surveys of the area by the commanding officer, the Registrar, Major <name key="name-027546" type="person">Hunter</name>,<note xml:id="ftn1-108" n="1"><p><name key="name-027546" type="person">Lt-Col L. J. Hunter</name>, OBE, MC, m.i.d.; born <name key="name-008850" type="place">Sydney</name>, <date when="1891-07-14">14 Jul 1891</date>; surgeon; medical officer AIF 1915–18, wounded <date when="1917-09">Sep 1917</date>; Registrar <name key="name-011447" type="organisation">1 Gen Hosp</name> Feb 1940-Jun 1941; SMO <name key="name-004203" type="place">Maadi Camp</name>, Aug-Sep 1941; in charge surgical division <name key="name-011448" type="organisation">2 Gen Hosp</name>, Oct 1941-May 1942; CO 1 Mob CCS May 1942-Oct 1943; died <date when="1953-06-26">26 Jun 1953</date>.</p></note> and the tropical diseases specialist of the unit, Captain <name key="name-209180" type="person">Sayers</name>;<note xml:id="ftn2-108" n="2"><p><name key="name-209180" type="person">Col E. G. Sayers</name>, CMG, Legion of Merit (US); <name key="name-002817" type="place">Auckland</name>; born <name key="name-007584" type="place">Christchurch</name>, <date when="1902-09-10">10 Sep 1902</date>; physician; medical officer <name key="name-011447" type="organisation">1 Gen Hosp</name><date when="1940-05">May 1940</date>; in charge medical division <name key="name-011447" type="organisation">1 Gen Hosp</name>, Aug 1941-Sep 1942; <name key="name-023159" type="organisation">4 Gen Hosp</name>, Oct 1942-Sep 1943; Consultant Physician <name key="name-004368" type="organisation">2 NZEF</name> (IP) 1943–44; CO <name key="name-023159" type="organisation">4 Gen Hosp</name> Nov 1943-Aug 1944.</p></note> and by Colonel Kenrick, Colonel Alexander, and Brigadier Large.</p>
          <p rend="indent">The choice lay between <name key="name-004904" type="place">Volos</name>, situated on a large harbour on the
<pb n="109" xml:id="n109"/>
east coast, <name key="name-026504" type="place">Nikaia</name>, just south of <name key="name-001017" type="place">Larisa</name>, and <name key="name-004543" type="place">Pharsala</name>. Colonel McKillop reported that in his opinion it was inadvisable to site the hospital so far forward on account of the general unsuitability of the forward areas. <name key="name-004904" type="place">Volos</name> was favoured by Colonel Kenrick, but was ruled out by the army staff as unsuited for a hospital because the port was to be used for army supply and was likely to be bombed. (Subsequently, 2/6 Australian General Hospital was set up at <name key="name-004904" type="place">Volos</name>, but was not properly established before the retreat began. Its equipment was brought back to <name key="name-000608" type="place">Athens</name> by the Navy with great difficulty but did not leave <name key="name-002294" type="place">Greece</name>.) <name key="name-026504" type="place">Nikaia</name> was selected by Colonel McKillop, but before his report was submitted Brigadier Large decided on a site at <name key="name-004543" type="place">Pharsala</name>.</p>
          <p rend="indent">The site at <name key="name-004543" type="place">Pharsala</name> was not directly on the plain and the nature of the country was thought to offer protection from air attack, while from the malaria aspect the nearest village was over a mile away. The site was on the main north road and the main railway ran through <name key="name-026101" type="place">Demerli</name>, 6 miles away, while 3 miles away there was a narrow-gauge line which crossed the main line at right angles and went to <name key="name-004904" type="place">Volos</name>. Disadvantages were that it was some 20 miles from the supply base at <name key="name-001017" type="place">Larisa</name>, and that it was a relatively isolated area for a large and cumbersome unit with 350 tons of equipment and no transport of its own.</p>
          <p rend="indent">The site was in a long, narrow valley running west to east, with rocky ridges of 900 and 1200 feet to the north and south. A stream ran through the valley, but the clay soil made drainage from wards and kitchens difficult. Considerable engineering assistance was necessary to make roads and install water supply and drainage. The protection of the <name key="name-027417" type="organisation">Red Cross</name> was not relied on at that period and the wide dispersal of tents impeded the smooth working of the unit. The first patients (72) were admitted on 2 April from <name key="name-001017" type="place">Larisa</name> by MAC, and by 6 April the hospital was able to take 490 patients. The patients admitted were mainly minor medical cases, venereal cases, slight surgical cases, and a few battle casualties pending transfer to <name key="name-000608" type="place">Athens</name>.</p>
          <p rend="indent">The arrangements placed two 600-bed hospitals on the L of C, one on the main road and railway inland to <name key="name-000608" type="place">Athens</name>, and the other at a good coastal port capable of taking ships of 8000 tons, and with road communication by coastal route to <name key="name-000608" type="place">Athens</name>, and road and rail access to <name key="name-001017" type="place">Larisa</name>.</p>
          <p rend="indent">Forward of the hospitals were placed two CCSs, the 2/3 Australian and 24 British CCS, the former at <name key="name-003539" type="place">Elasson</name> in Corps area and the latter close to <name key="name-001017" type="place">Larisa</name> in 81 Base Sub-Area, both servicing the whole British front with the help of a company of 189 Field Ambulance, which had a surgical team attached and was sited alongside 24 British CCS.</p>
          <pb n="110" xml:id="n110"/>
          <p rend="indent">In the Corps area of <name key="name-003539" type="place">Elasson</name>, also, was sited the headquarters of two sections of 1 Australian MAC, the only unit of its kind in the force and one which earned the highest praise from our medical units.</p>
          <p rend="indent">In the New Zealand Division's area three fully-equipped field ambulances were available, one for each brigade, but under divisional control. They all carried equipment in excess of the regular establishment.</p>
          <p rend="indent">The medical plan as it affected the New Zealand Division can, therefore, be outlined as follows:</p>
          <list type="simple">
            <label>1.</label>
            <item>
              <p>RMOs attached to battalions working from RAPs.</p>
            </item>
            <label>2.</label>
            <item>
              <p>Three field ambulances, each with three companies and with established ADSs and MDSs.</p>
              <p rend="indent">One ADS was attached under temporary command to each brigade so as to ensure medical attention in any eventuality, the rest of the field ambulance remaining under divisional command. A surgical team of one surgeon, one anaesthetist, and one other rank was attached to the Division and allocated to an MDS to be available for major surgery.</p>
            </item>
            <label>3.</label>
            <item>
              <p>One Australian MAC servicing the whole force in the forward areas and evacuating from the field ambulances to 2/3 Australian CCS at <name key="name-003539" type="place">Elasson</name> and 24 CCS at <name key="name-001017" type="place">Larisa</name>, attached to which there was also a section of 189 Field Ambulance assisted by a surgical team.</p>
            </item>
            <label>4.</label>
            <item>
              <p>Ambulance coaches from <name key="name-003953" type="place">Katerini</name> and trains from <name key="name-001017" type="place">Larisa</name> to <name key="name-028359" type="place">1 NZ General Hospital</name>, <name key="name-004543" type="place">Pharsala</name>, or direct to <name key="name-027447" type="organisation">26 General Hospital</name> at <name key="name-000608" type="place">Athens</name>.</p>
            </item>
            <label>5.</label>
            <item>
              <p>Ambulance train from <name key="name-028359" type="place">1 NZ General Hospital</name> at <name key="name-004543" type="place">Pharsala</name> to <name key="name-027447" type="organisation">26 General Hospital</name>, <name key="name-000608" type="place">Athens</name>.</p>
              <p rend="indent">(<hi rend="i">Note:</hi> A Greek ambulance train was taken over when the force arrived in <name key="name-002294" type="place">Greece</name>. It consisted of refrigeration vans fitted with sling stretchers—unfortunately our own stretchers could not be used in the train—and was able to take 250 lying cases. Wagons for orderlies, for cooking, and for latrine purposes were available, but there was no intercommunication between the wagons and, except at stations, access was by ladder. Each hospital wagon took eight lying and twelve sitting cases. The train was later split into two and accommodation for 100 sitting cases added to each half. The two trains were staffed by British and Greek personnel. Equipment and personnel for two trains had been brought from <name key="name-002106" type="place">Egypt</name> and eventually Greek rolling stock was converted and a more suitable train constituted, staffed entirely by British personnel.)</p>
            </item>
            <label>6.</label>
            <item>
              <p>Special units were attached as follows:</p>
              <list type="simple">
                <label>(<hi rend="i">a</hi>)</label>
                <item>
                  <p>4 Field Hygiene Section was attached to the Division and carried out the duties of the prevention of infectious diseases and the control of water supply and sanitation.</p>
                </item>
                <label>(<hi rend="i">b</hi>)</label>
                <item>
                  <p>2 NZ Mobile Dental Unit was under command of NZ Division for the provision of dental treatment. (It was, however, the last New Zealand medical unit to reach <name key="name-002294" type="place">Greece</name>, so was unable to join up with NZ Division before the retreat began.)</p>
                </item>
                <label>(<hi rend="i">c</hi>)</label>
                <item>
                  <p>5 (British) Bacteriological Laboratory was available at <name key="name-001017" type="place">Larisa</name> for assistance to the Division.</p>
                </item>
                <label>(<hi rend="i">d</hi>)</label>
                <item>
                  <p>1 (British) Malaria Field Laboratory in <name key="name-000608" type="place">Athens</name> was in charge of general malaria control in the operational areas of <name key="name-002294" type="place">Greece</name>, and was available for training personnel for work in the Division.</p>
                </item>
                <pb n="111" xml:id="n111"/>
                <label>(<hi rend="i">e</hi>)</label>
                <item>
                  <p>7 (British) Depot of Medical Stores was stationed at <name key="name-000608" type="place">Athens</name> and was available for medical supplies. The field ambulances drew their supplies from <name key="name-000608" type="place">Athens</name> and in cases of emergency used <name key="name-028359" type="place">1 NZ General Hospital</name> as their base of supply.</p>
                </item>
              </list>
            </item>
          </list>
        </div>
        <div type="section" n="10" xml:id="c4-10">
          <head>
            <hi rend="i">German Invasion Begins</hi>
          </head>
          <p rend="indent">On 6 April the German drive into both <name key="name-002294" type="place">Greece</name> and <name key="name-004979" type="place">Yugoslavia</name> began, and by the 9th, in spite of heroic Greek resistance, the whole of <name key="name-027079" type="place">Thrace</name> was in enemy hands and <name key="name-009685" type="place">Salonika</name> occupied. At the same time an armoured spearhead forced its way into <name key="name-004979" type="place">Yugoslavia</name>, and when Yugoslav resistance in the south collapsed, the road through the <name key="name-012566" type="place">Monastir</name> Gap was open to the Germans. The main arterial highway from <name key="name-004979" type="place">Yugoslavia</name> passed through the <name key="name-012566" type="place">Monastir</name> Gap in the Macedonian mountains to <name key="name-015785" type="place">Florina</name> and <name key="name-015953" type="place">Kozani</name>. The Central Greek Macedonian Army and the British forces (<name key="name-027091" type="organisation">W Force</name>) lay to the east of the gap on a front 70 to 80 miles long, and to the west the main body of the Greek Army was coping with the <name key="name-029150" type="organisation">Italians</name>. By 9 April German columns had reached <name key="name-012566" type="place">Monastir</name>; they were in a position to threaten the rear of the Greek forces in <name key="name-020121" type="place">Albania</name> and the rear of our own forces on the Aliakmon line and to drive an armoured wedge between the two.</p>
          <p rend="indent">The New Zealand Division was ordered on 9 April to withdraw from the Aliakmon line and the <name key="name-003953" type="place">Katerini</name> area and occupy its freshly prepared positions in the <name key="name-001364" type="place">Olympus Pass</name> and at the <name key="name-010615" type="place">Platamon</name> tunnel between the mountains and the sea. The withdrawal through the <name key="name-001364" type="place">Olympus Pass</name> defence line was completed on 14 April and demolitions closed the entrance to the pass. From Servia to the sea on the east the New Zealand and Australian positions on the <name key="name-120051" type="place">Olympus</name>-<name key="name-003963" type="place">Aliakmon River</name> line now barred the enemy's further progress into southern <name key="name-002294" type="place">Greece</name>, and fighting flared up as armoured columns thrusting along the roads came up against our defended positions.</p>
          <p rend="indent">Fourth Brigade had been ordered to <name key="name-004693" type="place">Servia</name> to strengthen the left flank, 6 Brigade had been brought back to <name key="name-014235" type="place">Dholikhi</name> to act as <name key="name-000594" type="organisation">Anzac Corps</name> reserve, and 5 Brigade undertook the defence of the <name key="name-001364" type="place">Olympus Pass</name>. The plan of defence was recast in the light of the collapse of Yugoslav resistance. The small force covering the <name key="name-012566" type="place">Monastir</name> Gap was reinforced, and the left flank was withdrawn in three stages back to the <name key="name-003963" type="place">Aliakmon River</name>. The Greeks in <name key="name-020121" type="place">Albania</name> withdrew to conform with the new lines, the western end of which changed to Nimfaion, Kastoria, and then the Venetikos River. <name key="name-000594" type="organisation">Anzac Corps</name> was finally responsible for the sector from the east coast to the <name key="name-003963" type="place">Aliakmon River</name> west of <name key="name-004693" type="place">Servia</name>.</p>
          <p rend="indent">The enemy struck down the valley from <name key="name-012566" type="place">Monastir</name> to <name key="name-004693" type="place">Servia</name>, at the <name key="name-001364" type="place">Olympus Pass</name>, and at <name key="name-010615" type="place">Platamon</name> in that order, the New Zealand Division being involved in these three passes from the 14th.</p>
          <pb n="112" xml:id="n112"/>
          <p>
            <figure xml:id="WH2Med05a">
              <graphic url="WH2Med05a.jpg" mimeType="image/jpeg" xml:id="WH2Med05a-g"/>
              <head>Dispositions of New Zealand Medical Units in <name key="name-002294" type="place">Greece</name>, <date when="1941-04-08">8 April 1941</date></head>
              <figDesc>map showing location of New Zealand medical units in <name key="name-002294" type="place">Greece</name></figDesc>
            </figure>
          </p>
          <pb n="113" xml:id="n113"/>
          <p rend="indent">The withdrawal from the <name key="name-003953" type="place">Katerini</name> sector back over the <name key="name-001364" type="place">Olympus Pass</name> was begun by 4 Field Ambulance at 7 p.m. on 9 April, 4 Field Hygiene Section also being with this unit. Heavy rain was falling and it was very cold as the unit's vehicles joined the mass of transport then moving back over the wet, greasy, and dangerous road through the pass. At the summit of the pass, approximately 4000 feet above sea level, one company disengaged from the main body of the convoy and proceeded 1 ½ miles west of the village of <name key="name-002868" type="place">Ay Dhimitrios</name> to take over the ADS site previously prepared, but since vacated, by 5 Field Ambulance which had gone with 4 Brigade to <name key="name-004693" type="place">Servia</name>. The rest of the unit, after eight hours on the road involving difficult manoeuvring of the heavy vehicles, reached the site previously occupied by the MDS of 5 Field Ambulance at <name key="name-014235" type="place">Dholikhi</name>, established an MDS, and by 9 a.m. on 10 April had begun to take in patients.</p>
          <p rend="indent">The site of the MDS on the rising slope of the south-western aspect of the foot of <name key="name-001184" type="place">Mount Olympus</name> was in no way a good one. There was no natural cover and the ground was exceedingly hard and stony. There was, however, no alternative but to dig in where possible, disperse, and camouflage. (<name key="name-027417" type="organisation">Red Cross</name> protection was not utilised at that time.) During 11 April the first battle casualties from 5 Brigade were received through 4 ADS. A reconnaissance of the forward area, held by the battalions of 5 Infantry Brigade, 28 (Maori) Battalion, 27 (MG) Battalion, and 4 and 5 Field Regiments, revealed extremely difficult routes of evacuation from some positions. Over one particular sector the bad tracks and steep ravines rendered impossible the passage of even Neil Robertson stretchers.</p>
          <p rend="indent">Sixth Field Ambulance cleared its dressing stations of patients when the Division began to withdraw and the two ADSs closed on 6 MDS on 10 April. All troops except the Divisional Cavalry had gone over the pass when the unit moved out that night. Near the town of <name key="name-003542" type="place">Elevtherokhorion</name> and about half a mile above the bridge at the junction of the roads leading from the <name key="name-120051" type="place">Olympus</name> and <name key="name-004693" type="place">Servia</name> passes, the unit stopped and held itself in reserve along with 6 Brigade.</p>
          <p rend="indent">When 5 Field Ambulance moved from <name key="name-014235" type="place">Dholikhi</name> on 10 April to serve 4 Brigade at <name key="name-004693" type="place">Servia</name>, it erected its MDS some 7 ½ miles north of <name key="name-003542" type="place">Elevtherokhorion</name> under a high hill at the entrance to <name key="name-001325" type="place">Servia Pass</name>. The weather was cold with heavy rain and hail in the afternoon, and rain and snow fell on the two following days.</p>
        </div>
        <div type="section" n="11" xml:id="c4-11">
          <head>
            <hi rend="i">5 Field Ambulance at <name key="name-001325" type="place">Servia Pass</name></hi>
          </head>
          <p rend="indent">The move of 5 Field Ambulance had to be made in two lifts as there was insufficient transport on the establishment of field ambulances at that period to carry all equipment and staff. The MDS,
<pb n="114" xml:id="n114"/>
besides serving 4 Brigade which, with 6 Field Regiment and 7 Anti-Tank Regiment attached, was taking up positions on high ground in the rear of <name key="name-004693" type="place">Servia</name>, overlooking the <name key="name-003963" type="place">Aliakmon River</name> and valley, also acted as a staging post for 7 Australian MAC which was evacuating cases from the forward areas to 2/3 Australian CCS at <name key="name-003539" type="place">Elasson</name>, some 10 miles farther to the rear. The MDS at that time was a Corps unit under <name key="name-000594" type="organisation">Anzac Corps</name> command. The two Australian brigades which were in the region of <name key="name-016157" type="place">Ptolemais</name> and <name key="name-016319" type="place">Veroia Pass</name> were to hold on for a few days and then fall back on <name key="name-004693" type="place">Servia</name> behind 4 Brigade.</p>
          <p>
            <figure xml:id="WH2Med06a">
              <graphic url="WH2Med06a.jpg" mimeType="image/jpeg" xml:id="WH2Med06a-g"/>
              <head>Medical Dispositions during the fighting at <name key="name-004693" type="place">Servia</name> and <name key="name-001184" type="place">Mount Olympus</name>, 11–16 April 1941</head>
              <figDesc>map showing location of army medical units</figDesc>
            </figure>
          </p>
          <pb n="115" xml:id="n115"/>
          <p rend="indent">An ADS under Major <name key="name-022555" type="person">Fisher</name><note xml:id="ftn1-115" n="1"><p><name key="name-022555" type="person">Col W. B. Fisher</name>, OBE, ED, m.i.d.; born <name key="name-021363" type="place">New Plymouth</name>, <date when="1898-01-21">21 Jan 1898</date>; Superintendent, Waipukurau Hospital; RMO 28 (Maori) Bn Dec 1939-Aug 1940; 2 i/c <name key="name-009616" type="organisation">5 Fd Amb</name> Aug 1940-May 1941; actg CO <name key="name-001176" type="organisation">6 Fd Amb</name>, <date when="1941-05">May 1941</date>; CO 21 Lt Fd Amb (NZ) Nov 1941-Dec 1942; <name key="name-001176" type="organisation">6 Fd Amb</name> Feb 1943-Aug 1944; CO <name key="name-011447" type="organisation">1 Gen Hosp</name> Aug 1944-Feb 1945; died <date when="1956-01-17">17 Jan 1956</date>.</p></note> was set up on the 11th alongside the winding <name key="name-001325" type="place">Servia Pass</name> road, 5 miles from the MDS. In heavy rain and snow the tents were dug in. Parties under Lieutenant <name key="name-027576" type="person">Lusk</name><note xml:id="ftn2-115" n="2"><p><name key="name-027576" type="person">Capt W. B. de L. Lusk</name>, m.i.d.; <name key="name-002817" type="place">Auckland</name>; born <name key="name-002817" type="place">Auckland</name>, <date when="1915-11-28">28 Nov 1915</date>; house surgeon, Auckland Hospital; medical officer <name key="name-009616" type="organisation">5 Fd Amb</name> Dec 1939-Nov 1941; p.w. <date when="1941-11">Nov 1941</date>; repatriated <date when="1944-05">May 1944</date>.</p></note> were sent out regularly to the RAPs, and much hand-carrying was necessary to bring the casualties back under the difficult conditions.</p>
          <p rend="indent">The most difficult problem of the advanced medical units at <name key="name-004693" type="place">Servia</name>, that of evacuating wounded from the rugged terrain in the forward areas, was undertaken by 2/1 Australian Field Ambulance. It had to work with limited equipment and use pack donkeys to carry the casualties. Eighteen mules had also been allotted to 18 Battalion to carry ammunition up and wounded back from the line. The attachment of six motor ambulance cars to 5 MDS at that time was invaluable. On 12 April a New Zealand stretcher-bearer party spent seven and a half hours making a circuit of regimental aid posts in 4 Brigade's area. On the 5 Brigade front 4 Field Ambulance was likewise to receive battle casualties and evacuate them to 2/3 Australian CCS at <name key="name-003539" type="place">Elasson</name>.</p>
          <p rend="indent">Thus regrouped, the medical units, with the rest of the Division, were ready for the coming action as the enemy advanced. At <name key="name-004543" type="place">Pharsala</name> 1 General Hospital was gradually increasing its facilities for treating and accommodating the expected casualties. It had been admitting patients from 24 British CCS at <name key="name-001017" type="place">Larisa</name> since 2 April, and evacuating to <name key="name-000608" type="place">Athens</name>. Men recovering at the hospital were sent back to their units direct. The sisters under Miss Mackay<note xml:id="ftn3-115" n="3"><p>Matron-in-Chief Miss E. C. Mackay, OBE, RRC, m.i.d.; <name key="name-008844" type="place">Wellington</name>; born <name key="name-120102" type="place">Porangahau</name>, <date when="1902-02-13">13 Feb 1902</date>; sister; sister, <name key="name-004459" type="place">Ngaruawahia</name> Camp Hosp, Jan-Mar 1940; Matron <name key="name-011447" type="organisation">1 Gen Hosp</name> Jun 1940-Nov 1943; Principal Matron Nov 1943-May 1945.</p></note> arrived on 4 April. When the German invasion of <name key="name-002294" type="place">Greece</name> began on 6 April the hospital was ready to take 490 patients. Two days later, in accordance with orders from ADMS 81 Base Sub-Area, the expansion to 1000 beds began.</p>
          <p rend="indent">Dive-bombers and fighters opened the battle for <name key="name-004693" type="place">Servia</name> and the nearby pass on 13 April with heavy attacks on 4 Brigade's positions. Here the New Zealanders were dug in on the mountain slopes overlooking <name key="name-004693" type="place">Servia</name> and <name key="name-015953" type="place">Kozani</name>, their line reaching from a point east of the village of <name key="name-000993" type="place">Kastania</name> to the <name key="name-003963" type="place">Aliakmon River</name>. Air attacks became more intense as flight after flight of heavy bombers hammered at roads and gun positions. At dawn on 15 April the first infantry attack was made by the enemy, but this and following attacks were effectively repulsed. The 19th Battalion's casualties were
<pb n="116" xml:id="n116"/>
two dead and six wounded, but the German dead were numerous and about two hundred major and minor wounded passed through Captain Carswell's<note xml:id="ftn1-116" n="1"><p><name key="name-003778" type="person">Maj W. R. Carswell</name>, MC; <name key="name-021386" type="place">Palmerston North</name>; born Dunedin, <date when="1914-12-20">20 Dec 1914</date>; surgeon; RMO 19 Bn 1941–43; surgeon 1 CCS, 1 FSU, and <name key="name-011447" type="organisation">1 Gen Hosp</name>, 1943–45.</p></note> RAP. He found that the .45 bullet of the Thompson sub-machine gun was devastating—it was responsible for most of the German dead—and the severe wounds included whole shoulders blown away and traumatic amputations of the legs. The casualties were transported to the rear by stretchers to the road, and then by Bren-gun carriers and ambulance cars which were driven through persistent shellfire to reach 5 ADS. At the ADS, while the wounded were receiving treatment in the open, the unit was dive-bombed and machine-gunned.</p>
          <p rend="indent">On the 13th 5 MDS was enlarged to take 150 patients, and a steady stream of casualties, mostly wounded, were treated and passed on to 2/3 Australian CCS. In its work the MDS was assisted by 2/1 Australian Field Ambulance with men and equipment, the Australians concentrating on evacuation, the most difficult problem. Their extra equipment was particularly welcome. Stores for the New Zealand medical units had been slow in coming to hand, and the destruction of medical stores during a bombing attack on <name key="name-001219" type="place">Piraeus</name> on 7 April was a serious setback.<note xml:id="ftn2-116" n="2"><p>The bombing of <name key="name-001219" type="place">Piraeus</name> caused great destruction and disorganisation at the port following the blowing up of an ammunition ship.</p></note> Medical units were thus finding it necessary to exercise the greatest economy in prescribing drugs. On the 14th, 56 casualties (British, Australian, New Zealand, Greek, and Yugoslav) were treated at the MDS and 35 were held overnight. Two nearby air attacks, with dive-bombing and machine-gunning, both produced casualties. Admissions on the 15th were 114, including 40 German prisoners, and on the 16th, 56.</p>
          <p rend="indent">The display of the <name key="name-027417" type="organisation">Red Cross</name> was decided on by Lieutenant-Colonel Twhigg following a discussion with a wounded German pilot, who was affronted at the suggestion that they would attack medical units marked with the <name key="name-027417" type="organisation">Red Cross</name> and declared that the pilots had strict orders to respect it. Colonel Twhigg had previously been informed by a New Zealander who was with the RAMC at <name key="name-003521" type="place">Dunkirk</name> that the <name key="name-027417" type="organisation">Red Cross</name> had been respected by the German airmen during the evacuation. From then on the MDS was spared although all-day-long air attacks were made nearby.</p>
          <p rend="indent">The ambulance cars, which at that time had only small inconspicuous crosses painted on their sides, were draped with large Red Crosses on the roofs. The drivers then found that if they pulled out from the road convoys into nearby fields they were not molested.</p>
          <p rend="indent">The German air attacks adhered to a strict timetable, and it was
<pb n="117" xml:id="n117"/>
found that there was just time between the attacks for the ambulance cars to cover the distance to the ADS. The drivers fitted in with this pattern and no cars were lost. On the 15th the ADS, which was not marked with the <name key="name-027417" type="organisation">Red Cross</name>, was subjected to four bombing attacks, which caused it to shift to a better-protected site in caves high up on the hillside. It dealt with 53 casualties and evacuated them that day, and with 49 the following day.</p>
          <p rend="indent">When the fighting began the wounded were evacuated to 2/3 Australian CCS at <name key="name-003539" type="place">Elasson</name>, whence they were sent on to <name key="name-001017" type="place">Larisa</name> to 24 British CCS and evacuated by ambulance train to <name key="name-000608" type="place">Athens</name>. It was at first arranged that all the cases were to be admitted to <name key="name-028359" type="place">1 NZ General Hospital</name>, but it was rightly determined that it was undesirable to take the more seriously ill patients off the train to convey them 7 miles to a tented hospital in the fields. It was better for them to proceed to a well-established hospital in buildings at the Base, where they were readily available for evacuation by hospital ship to <name key="name-002106" type="place">Egypt</name>. No. <name key="name-028359" type="place">1 NZ General Hospital</name> was then used for the reception of the lightly wounded and the lighter medical cases transferred from 24 CCS and 189 Field Ambulance, but the period of active work was too short to test out the best method of using the hospital.</p>
        </div>
        <div type="section" n="12" xml:id="c4-12">
          <head>
            <hi rend="i">Evacuation of 1 General Hospital</hi>
          </head>
          <p rend="indent">On the 13th and 14th the 2/3 CCS and 24 CCS cleared patients to <name key="name-028359" type="place">1 NZ General Hospital</name>, but the trains were sent on to <name key="name-000608" type="place">Athens</name> with the cases. On the 14th at 10.30 p.m. <name key="name-028359" type="place">1 NZ General Hospital</name> received a signal from ADMS 81 Base Sub-Area to evacuate patients and staff forthwith and to make its own train arrangements. At this time the hospital held 428 patients, 102 being fit for discharge, such patients now being required to go to the Reinforcement Camp at <name key="name-000608" type="place">Athens</name>. There were only thirty stretcher cases in the total. The RTO at <name key="name-026101" type="place">Demerli</name> was contacted at once and a relief train with refugees from <name key="name-004979" type="place">Yugoslavia</name> was found at <name key="name-026101" type="place">Demerli</name>; the RTO arranged to reserve it for the patients, who were immediately and with great difficulty transported the 7 miles to the station. However, the RTO then stated that his orders had been countermanded by his superior officer at <name key="name-001017" type="place">Larisa</name>, who, in turn, had had orders from <name key="name-000608" type="place">Athens</name>. Further information was given by the RTO that a hospital train was being sent from <name key="name-004022" type="place">Lamia</name> to arrive at midday next day to take the patients. The train then left and the patients were transported back to the hospital.</p>
          <p rend="indent">Another order enlarging and confirming the instructions telephoned the previous evening, delivered by DADMS 81 Sub-Area and clearly instructing the unit to evacuate all patients and staff
<pb n="118" xml:id="n118"/>
and to take valuable medical stores, was received after the train had left. The tents were to be left standing, and all ordnance equipment, with beds and bedding, left behind. The dental unit with its trucks was to leave by road, and it was suggested that the sisters should go with it.</p>
          <p rend="indent">Next day the patients and staff went again to <name key="name-026101" type="place">Demerli</name> station, but the train from <name key="name-004022" type="place">Lamia</name> did not arrive. However, there were some trucks at the railway siding and, at the direction of Lieutenant-Colonel Boyd, the patients and staff manhandled the trucks to link them together into a train, which still lacked an engine. In the afternoon a train arrived from <name key="name-001017" type="place">Larisa</name> laden with Greek refugees in trucks, some British walking wounded and some wounded in ambulance carriages, besides a British bakery unit. The engine was driven by a New Zealander, Corporal. <name key="name-028668" type="person">Morrison</name>,<note xml:id="ftn1-118" n="1"><p><name key="name-028668" type="person">Cpl B. A. Morrison</name>, BEM; <name key="name-120054" type="place">Timaru</name>; born NZ <date when="1918-04-28">28 Apr 1918</date>; motor mechanic; p.w. <date when="1941-04">Apr 1941</date>.</p></note> who had no previous engine-driving experience. Earlier that same day, at noon, the train had been standing at <name key="name-001017" type="place">Larisa</name> station when it was dive-bombed by German aircraft. The Greek engine-drivers had decamped, and the RTO at <name key="name-001017" type="place">Larisa</name> had obtained the voluntary services of Corporal Morrison to drive the train south.</p>
          <p rend="indent">When this train reached <name key="name-026101" type="place">Demerli</name> Corporal Morrison reported to the RTO, with whom was Colonel Boyd, who insisted that all the 1 General Hospital patients who were lying in trucks on the siding should join this south-bound train. Morrison, who was assisted by an Australian, Sapper C. J. Horan, as stoker, and Driver Dendy, RASC, as pointsman, then added the trucks on the siding to the train on the main line and drove off south with all the patients and staff of 1 General Hospital on board. At the bottom of one of the passes to the south an old Greek engine-driver helped to clean the firebox and refuel and stayed on the engine as it ascended the pass. About half-way up he collapsed, but by means of sign language he told the volunteer crew where to use sand on the gradients. When the train reached <name key="name-004822" type="place">Thebes</name> the RTO there found a Greek engine-driver and fireman, but told Morrison and his assistants to stay on the engine. <name key="name-000608" type="place">Athens</name> was safely reached twenty-four hours after leaving <name key="name-026101" type="place">Demerli</name>.</p>
          <p rend="indent">On arrival at <name key="name-000608" type="place">Athens</name> by the unit car, Colonel McKillop reported to Brigadier Large, who had no knowledge of the evacuation of the hospital.</p>
          <p rend="indent">The nursing sisters, including Australian sisters from their CCS, had proceeded with the Mobile Dental Unit by road to <name key="name-000608" type="place">Athens</name> on the morning of 15 April. A rear party packed up valuable equipment from the operating theatre, X-ray department, laboratory, and stores and took it by truck to <name key="name-000608" type="place">Athens</name>.</p>
          <pb n="119" xml:id="n119"/>
        </div>
        <div type="section" n="13" xml:id="c4-13">
          <head>
            <hi rend="i">Back to <name key="name-001392" type="place">Thermopylae</name></hi>
          </head>
          <p rend="indent">The decision had been made on 14 April, when the battle for the <name key="name-120051" type="place">Olympus</name>-<name key="name-003963" type="place">Aliakmon River</name> line had only just begun, that the force was to move back to <name key="name-001392" type="place">Thermopylae</name>, as it was realised that the poorly equipped Greeks on the flank could not hold out for long.</p>
          <p rend="indent">The 16th Australian Brigade guarding the Veroia Gap was withdrawn across the Aliakmon and took up positions in the hills north of <name key="name-004693" type="place">Servia</name>. Mackay's force, less 1 Armoured Brigade, fell back and defended the passage to the west of the river. The 4th NZ Brigade was defending the east side of the river between the two Australian forces. Mackay's force withdrew later across the river after the bridge had been destroyed, and the two flanking forces withdrew through 4 Brigade to <name key="name-001017" type="place">Larisa</name>. The whole <name key="name-000594" type="organisation">Anzac Corps</name> then withdrew to the <name key="name-001392" type="place">Thermopylae</name> line. The 1st Armoured Brigade protected the left flank and withdrew to <name key="name-015853" type="place">Grevena</name> and then to <name key="name-003946" type="place">Kalabaka</name>, being joined there by a part of 17 Australian Brigade under Brigadier S. G. Savige, the force then falling back steadily to the south. A rearguard was formed under Brigadier E. A. Lee south of <name key="name-003466" type="place">Dhomokos</name> from a fresh force of two Australian battalions and a battery from <name key="name-000608" type="place">Athens</name>, and this ensured the unmolested occupation of the <name key="name-001392" type="place">Thermopylae</name> line.</p>
        </div>
        <div type="section" n="14" xml:id="c4-14">
          <head>
            <hi rend="i">The Withdrawal of the New Zealand Division</hi>
          </head>
          <p rend="indent">Under strong enemy pressure 5 Brigade disengaged and withdrew according to plan during the night of 16–17 April. It was followed by 4 Brigade the following night, the moves being covered by 6 Brigade which had been held in reserve, and this latter brigade fought a rearguard action as all forces withdrew to <name key="name-001392" type="place">Thermopylae</name> in accordance with the decision of 14 April. The withdrawal to the new line was completed by 20 April.</p>
          <p rend="indent">During the heavy fighting on and around <name key="name-001184" type="place">Mount Olympus</name> by 5 Brigade, the men of the medical units carried on their work of treatment and evacuation of the wounded with commendable zeal and courage, often going right up to the forward areas to bring out the wounded, and sometimes having to run the gauntlet of enemy fire.</p>
          <p rend="indent">In 4 Brigade's area at <name key="name-004693" type="place">Servia</name> the few casualties that went through 18 Battalion RAP were carried by donkeys led by the unit's stretcher-bearers. When the order came to fall back, the battalion was led back at night from <name key="name-000993" type="place">Kastania</name> across rugged country until it joined its transport on the road just before dawn. The RAP staff tried to carry some stretchers back, but the hills and ravines were so difficult to negotiate that they had to abandon them. Fortunately, no casualties occurred on the march out. Some of the men were so
<pb n="120" xml:id="n120"/>
exhausted that they had to be pushed up the last hill to the waiting trucks on the road.</p>
          <p rend="indent">In the withdrawal the medical units retired with the brigades which they were serving.</p>
        </div>
        <div type="section" n="15" xml:id="c4-15">
          <head>
            <hi rend="i">
              <name key="name-003988" type="organisation">4 Field Ambulance</name>
            </hi>
          </head>
          <p rend="indent">The 4th MDS under Lieutenant-Colonel Graves closed at <name key="name-014235" type="place">Dholikhi</name>, and in heavy rain at 11 p.m. on 16 April commenced its long withdrawal south through <name key="name-001017" type="place">Larisa</name> to <name key="name-004543" type="place">Pharsala</name> and then east over to the coast at <name key="name-012168" type="place">Almiros</name>. For this withdrawal a one-car post was attached to Headquarters 5 Brigade and another to 23 Battalion at <name key="name-003999" type="place">Kokkinoplos</name>, half-way up the slopes of <name key="name-001184" type="place">Mount Olympus</name>, for the evacuation of casualties. The car-post staffs accomplished excellent work under the most arduous conditions before they, too, withdrew.</p>
          <p rend="indent">The withdrawal had to take place with practically no <name key="name-034190" type="organisation">RAF</name> protection while German air activity was intensified.<note xml:id="ftn1-120" n="1"><p>The RAF fought valiantly against hopeless odds but it was decimated. On 20 April twenty-two German planes were shot down for the loss of five of ours, but only ten of our planes remained.</p></note> Rain and heavy cloud all day on 17 April undoubtedly saved the units from enemy air attacks. The next day was fine and clear, and enemy aircraft were active all day attacking the crowded highway.</p>
          <p rend="indent">When 4 Field Ambulance was a few miles south of <name key="name-004022" type="place">Lamia</name>, an ADS was set up to take in the casualties occurring in convoys passing over the road from <name key="name-001017" type="place">Larisa</name> to <name key="name-004022" type="place">Lamia</name>. As 5 Brigade moved into new positions in the <name key="name-001392" type="place">Thermopylae</name> line south of <name key="name-004022" type="place">Lamia</name>, 4 Field Ambulance withdrew on 20 April further back along the coastal road to an area about 18 miles south of <name key="name-001107" type="place">Molos</name>, while one company established an ADS in a valley inland from <name key="name-001107" type="place">Molos</name> village. Casualties admitted to the ADS from 5 Brigade were sent to 5 MDS, which was then set up at a Greek hospital 3 miles away.</p>
        </div>
        <div type="section" n="16" xml:id="c4-16">
          <head>
            <hi rend="i">
              <name key="name-003003" type="organisation">5 Field Ambulance</name>
            </hi>
          </head>
          <p rend="indent">When <name key="name-024335" type="organisation">4 Infantry Brigade</name> group began to leave the <name key="name-004693" type="place">Servia</name> area on 17 April, 5 Field Ambulance arranged for an ambulance car post to be maintained at the former location of the ADS on the <name key="name-001325" type="place">Servia Pass</name> road, while B Company under Captain Palmer formed an ADS at the site which the MDS vacated at the foot of the pass. The remainder of the unit moved off in the afternoon to the vicinity of <name key="name-001107" type="place">Molos</name>, south-east of <name key="name-004022" type="place">Lamia</name>. The car post closed on the evening of 17 April and, with the ADS, withdrew early next morning.</p>
          <p rend="indent">The weather was overcast, with heavy rain and low clouds on the 17th, making it difficult for the German planes to take off, besides obscuring the moving traffic on the roads from the view
<pb n="121" xml:id="n121"/>
of the pilots. The field ambulance took advantage of the conditions to travel by day as well as night. The leading company, A Company under Major Fisher, proceeded south by the axis laid down for the New Zealand troops—via <name key="name-001017" type="place">Larisa</name> and <name key="name-004904" type="place">Volos</name> and thence by the coast road to <name key="name-004022" type="place">Lamia</name>. The road east to <name key="name-004904" type="place">Volos</name> proved practically impassable, not because of enemy action but because of its bad state of repair (trucks often had to be manhandled through deep mud), and subsequent convoys were diverted down the main road south from <name key="name-001017" type="place">Larisa</name> to <name key="name-004543" type="place">Pharsala</name>, the axis of the Australian troops. With the amount of traffic on the main road there was marked congestion. The main body of 5 Field Ambulance used the main road and staged at the site of 1 General Hospital at <name key="name-004543" type="place">Pharsala</name>. Collection of wounded was made difficult by the fact that the attached MAC cars were not available as they were in the forward area. One car was intercepted on the road and attached to the 5 Field Ambulance convoy for the retreat. Lack of room on the available transport prevented 5 Field Ambulance from lifting much of 1 General Hospital's abandoned stores.</p>
          <p rend="indent">Difficulties of evacuation were manifest at this stage. On 16 April 2/3 Australian CCS had retired to the <name key="name-001392" type="place">Thermopylae</name> line. The CO 5 Field Ambulance, Lieutenant-Colonel Twhigg, found on 17 April that 24 CCS at <name key="name-001017" type="place">Larisa</name> had also closed the previous day, and the only medical unit then accessible on the route of withdrawal was 2/1 Australian Field Ambulance, which had established an MDS 30 miles south of <name key="name-001017" type="place">Larisa</name>. The ADMS NZ Division, Colonel Kenrick, concerned at the position, which entailed a journey of 120 miles for ambulance cars, tried to arrange for a train to take wounded from <name key="name-001017" type="place">Larisa</name> to <name key="name-000608" type="place">Athens</name>. He was unsuccessful, as the RTO had left <name key="name-001017" type="place">Larisa</name> two days before.</p>
          <p rend="indent">On 17 April, at the hospital site at <name key="name-004543" type="place">Pharsala</name> vacated by 1 General Hospital two days previously, Colonel Kenrick, in conference with the ADMS 6 Australian Division, arranged for 2/1 Australian Field Ambulance to restock from dressings and other abandoned medical stores and act as a staging post for New Zealand wounded at the foot of the pass north of <name key="name-004022" type="place">Lamia</name>. This arrangement was most necessary because of the great difficulty ambulance cars were experiencing in returning along roads densely packed with traffic and extensively damaged by bombing.</p>
          <p rend="indent">Lieutenant <name key="name-022752" type="person">Moody</name><note xml:id="ftn1-121" n="1"><p><name key="name-022752" type="person">Capt R. F. Moody</name>, MBE, m.i.d.; <name key="name-002817" type="place">Auckland</name>; born <name key="name-002817" type="place">Auckland</name>, <date when="1915-10-15">15 Oct 1915</date>; medical practitioner; medical officer <name key="name-009616" type="organisation">5 Fd Amb</name> Dec 1939-May 1941; p.w. <date when="1941-05-26">26 May 1941</date>.</p></note> was in charge of a car post which retired with the rearguard of 4 Brigade, and which collected and treated casualties sustained by aerial bombing, ground strafing, and motor accidents. As the party crossed bridges, sappers were at the roadside ready to blow them. They passed the <name key="name-003542" type="place">Elevtherokhorion</name> crossroads,
<pb n="122" xml:id="n122"/>
where the road from <name key="name-001184" type="place">Mount Olympus</name> joined that from <name key="name-004693" type="place">Servia</name>, about five minutes before two German tanks unexpectedly appeared and engaged the rearguard of Bren carriers. Later, they were halted at the bridge over the Pinios River at <name key="name-001017" type="place">Larisa</name> while thirty dive-bombers attacked the bridge. After passing <name key="name-001017" type="place">Larisa</name> the car post was kept very busy. There were many casualties in the long column of slowly moving and congested vehicles ahead. One of the medical staff, Private <name key="name-028623" type="person">Grimshaw</name>,<note xml:id="ftn1-122" n="1"><p><name key="name-028623" type="person">Pte T. Grimshaw</name>; born Kaitangata, <date when="1914-09-09">9 Sep 1914</date>; labourer; died, Dunedin, <date when="1951-03-07">7 Mar 1951</date>.</p></note> on an abandoned motor cycle he had repaired, patrolled up and down the slowly moving vehicles spotting casualties which were then collected in ambulance cars. The post had only two ambulance cars at the start, but Moody got five other cars to join him and formed them into a separate little convoy by the time they reached <name key="name-004543" type="place">Pharsala</name>. As a medical convoy they were not attacked from the air, although when interspersed singly among other vehicles they had been subject to attacks. At <name key="name-004543" type="place">Pharsala</name> the convoy collected a large number of seriously wounded men, as the village had been bombed and the main road temporarily blocked. These were taken to 2/1 Australian Field Ambulance, which had set up a full MDS between <name key="name-003466" type="place">Dhomokos</name> and <name key="name-004022" type="place">Lamia</name>, and the convoy continued on to reach <name key="name-001107" type="place">Molos</name> after a journey of nineteen hours, during which it had collected and treated sixty-five casualties.</p>
        </div>
        <div type="section" n="17" xml:id="c4-17">
          <head>
            <hi rend="i">Action at Platamon Tunnel and <name key="name-004549" type="place">Pinios Gorge</name></hi>
          </head>
          <p rend="indent">Covering the withdrawal of the rest of the <name key="name-000594" type="organisation">Anzac Corps</name> from <name key="name-004693" type="place">Servia</name> and <name key="name-120051" type="place">Olympus</name>, 6 Infantry Brigade established itself just to the south of <name key="name-003539" type="place">Elasson</name>. Attached to the brigade, 6 Field Ambulance on 16 April set up an MDS near <name key="name-004848" type="place">Tirnavos</name> and one ADS in each of the two valleys between <name key="name-004848" type="place">Tirnavos</name> and <name key="name-003539" type="place">Elasson</name>. Anti-aircraft batteries had sited their gun positions around the MDS area and they attracted enemy aircraft attacks, which compelled 6 Field Ambulance to move about 1 mile away, to the north of the <name key="name-004848" type="place">Tirnavos</name>-<name key="name-001017" type="place">Larisa</name> road.</p>
          <p rend="indent">That day the enemy's furious assaults on the tiny force between <name key="name-120051" type="place">Olympus</name> and the sea reached a climax. A heavy tank and infantry attack drove 21 Battalion back to the historic Vale of <name key="name-004819" type="place">Tempe</name>, in the narrow <name key="name-004549" type="place">Pinios Gorge</name>, 10 miles to the rear. Two battalions of 16 Australian Brigade were rushed up from <name key="name-001017" type="place">Larisa</name> in support of 21 Battalion, and this enabled the right flank to be held long enough to allow the withdrawal of the Corps through the bottleneck of <name key="name-001017" type="place">Larisa</name>.</p>
          <p rend="indent">When Colonel Kenrick received word that 21 Battalion had been thrown back with heavy casualties he arranged for four ambulance cars to proceed immediately to <name key="name-004549" type="place">Pinios Gorge</name>, and for medical officers and orderlies to be sent from 6 Field Ambulance at dawn to the western end of the gorge to treat and bring back the casualties. The
<pb n="123" xml:id="n123"/>
medical officers available to the force were the RMOs of 21 Battalion, 4 Field Regiment, and 2/2 Australian Battalion. The German attack began at dawn on 18 April and a rapid enemy advance disorganised 21 Battalion and the Australians, the RMO of 2/2 Australian Battalion being killed.</p>
          <p rend="indent">At the <name key="name-010615" type="place">Platamon</name> tunnel and <name key="name-004549" type="place">Pinios Gorge</name>, Captain <name key="name-010477" type="person">Hetherington</name><note xml:id="ftn1-123" n="1"><p><name key="name-010477" type="person">Capt O. S. Hetherington</name>, MBE; <name key="name-021414" type="place">Rotorua</name>; born <name key="name-006507" type="place">Thames</name>, <date when="1903-04-03">3 Apr 1903</date>; medical practitioner; RMO 21 Bn Jan 1940—May 1941; p.w. <date when="1941-05-23">23 May 1941</date>; repatriated <date when="1944-09">Sep 1944</date>.</p></note> spent a hazardous time with the 21 Battalion RAP. When the battalion retreated, Hetherington was ordered to set up his RAP at <name key="name-010615" type="place">Platamon</name> station, about 2 miles south of the holding position, to service the rearguard, while the wounded were taken back by the main body of the unit. The station was shelled and the RAP moved back 400 yards to shelter under a small railway bridge. There was further shelling and, leaving behind all but the most urgently needed medical supplies, the RAP staff was forced to move farther south along with the rearguard. Eventually, after travelling about 10 miles, the survivors of the unit crossed the Pinios River in a barge to get to <name key="name-004819" type="place">Tempe</name> village, where the RAP was set up in a stone house. Here, anyone moving along the road was later subjected to machine-gun fire from the opposite village. The detachment of 6 Field Ambulance made contact with the RAP here and arranged to evacuate the wounded the following morning. When the main attack came at 11 a.m. next day the RAP moved back 1 ½ miles to a valley, where a company of 2/1 Australian Field Ambulance set up an ADS, Australians having reinforced the position.</p>
          <p rend="indent">About 2 p.m. word was received of the order to retreat. The RAP moved back under machine-gun fire from German patrols, while farther back the German main body waded across the river. Dive-bombers forced Hetherington and his staff to keep off the road as they moved towards <name key="name-001017" type="place">Larisa</name>. About 2 miles from <name key="name-001017" type="place">Larisa</name> the troops were picked up in British trucks, but Hetherington and his party were taken many miles across fields and along roads in their truck, only to find an hour before dawn that they were back near their starting point. They then made good their escape from the Germans on foot after running the truck over a precipice.</p>
          <p rend="indent">Wounded were treated and taken back by the 6 ADS detachment, under Lieutenant <name key="name-013539" type="person">Sutherland</name>,<note xml:id="ftn2-123" n="2"><p><name key="name-013539" type="person">Maj A. W. Sutherland</name>, m.i.d.; <name key="name-120054" type="place">Timaru</name>; born Dunedin, <date when="1915-12-21">21 Dec 1915</date>; surgeon; medical officer <name key="name-001176" type="organisation">6 Fd Amb</name> Oct 1940–Sep 1941; RMO 24 Bn Sep 1941–Jul 1942; <name key="name-011449" type="organisation">3 Gen Hosp</name> Jan 1943–Dec 1944; wounded <date when="1942-07-22">22 Jul 1942</date>.</p></note> and other wounded making their way across country were treated by Captain Hetherington and Captain <name key="name-027062" type="person">Staveley</name><note xml:id="ftn3-123" n="3"><p><name key="name-027062" type="person">Maj J. M. Staveley</name>, MC; <name key="name-002817" type="place">Auckland</name>; born Hokitika, <date when="1914-08-30">30 Aug 1914</date>; medical officer, Auckland Hospital; medical officer <name key="name-001176" type="organisation">6 Fd Amb</name> Mar 1940–Jan 1942; Malariologist NZ Div, Apr–Jun 1942; OC 2 Field Transfusion Unit Aug 1943–Apr 1944; Pathologist <name key="name-011448" type="organisation">2 Gen Hosp</name> Apr–Nov 1944; wounded three times.</p></note> at 4 Field Regiment. The latter unit suffered casualties from
<pb n="124" xml:id="n124"/>
the intense air activity. These were treated and sent back to <name key="name-001017" type="place">Larisa</name>. At dusk Staveley moved his RAP truck back 5 miles to attend to some sixty Australian wounded who had collected on the road, and these were sent back. Later, the 4 Field Regiment convoy in which the RAP truck was travelling was ambushed by German machin-gunners, but Staveley got through to <name key="name-001017" type="place">Larisa</name>. Under the heavy enemy attacks casualties were few, but 21 Battalion was scattered and many men took to the hills; only part of the battalion managed to reach the <name key="name-001392" type="place">Thermopylae</name> line.</p>
          <p rend="indent">Until 18 April the dressing stations of 6 Field Ambulance attended to men wounded in the enemy's incessant strafing of the roads. Extra ambulance cars from the Australian MAC joined the unit and a large marquee was erected to cope with casualties. By noon on 18 April the 6 Infantry Brigade rearguard was engaged with German tanks advancing towards <name key="name-003539" type="place">Elasson</name>. With the withdrawal route so seriously threatened by the thrust through the <name key="name-004549" type="place">Pinios Gorge</name>, orders were given soon after midday for the brigade to withdraw through <name key="name-001017" type="place">Larisa</name> by midnight. It was decided that 6 MDS under Major Plimmer would fall back and that A Company (Lieutenant Ballantyne)<note xml:id="ftn1-124" n="1"><p><name key="name-022460" type="person">Capt D. A. Ballantyne</name>, m.i.d.; Hastings; born <name key="name-019923" type="place">New Guinea</name>, <date when="1911-09-01">1 Sep 1911</date>; medical practitioner; medical officer <name key="name-001176" type="organisation">6 Fd Amb</name> May 1940–May 1941; p.w. <date when="1941-05-27">27 May 1941</date>.</p></note> should take over and remain open in the MDS area. Lieutenant-Colonel Bull and Major Christie remained also to help with the wounded. As the convoys crawled south along the congested highway in the afternoon they were constantly harassed from the air, yet there were remarkably few casualties. The engineers were constantly at work filling in bomb craters and clearing away debris to keep the main highway open. <name key="name-001017" type="place">Larisa</name> was a burning, deserted ruin and other towns were also badly damaged by bombing. Early on 19 April 6 Field Ambulance reached <name key="name-001107" type="place">Molos</name>, south of the <name key="name-001392" type="place">Thermopylae</name> line. Back at <name key="name-004848" type="place">Tirnavos</name> the ADS continued working until the early hours of 19 April, and then, shadowed by the enemy, moved to the south of <name key="name-004904" type="place">Volos</name>. Wounded were picked up from the infantry battalions, given treatment and, as the withdrawal continued, carried back on trucks and ambulances. The party next day passed through bombed <name key="name-004780" type="place">Stilis</name> and <name key="name-004022" type="place">Lamia</name> and over the <name key="name-001392" type="place">Thermopylae</name> Pass to join up with the unit again in the <name key="name-001107" type="place">Molos</name> area.</p>
          <p rend="indent">In the long retreat of 100 miles across <name key="name-016290" type="place">Thessaly</name>, through <name key="name-001017" type="place">Larisa</name> and <name key="name-004543" type="place">Pharsala</name> to <name key="name-001392" type="place">Thermopylae</name>, the <name key="name-000868" type="organisation">Luftwaffe</name> failed in its attempt to halt the withdrawal. The Anzac force remained comparatively intact. All medical units performed their tasks admirably and the wounded were always well cared for.</p>
          <pb n="125" xml:id="n125"/>
        </div>
        <div type="section" n="18" xml:id="c4-18">
          <head>
            <hi rend="i">The Thermopylae Line</hi>
          </head>
          <p rend="indent">The Thermopylae line was based upon a spur of the <name key="name-026538" type="place">Pindus Mountains</name>, running east and west, and was cut by two main routes to the south—the central road and rail pass of <name key="name-024134" type="place">Brallos</name>, held by the Australians, and the famed <name key="name-001392" type="place">Thermopylae</name> Pass itself, guarded by the New Zealanders. On the coast, near <name key="name-001107" type="place">Molos</name>, 6 Brigade had taken up its positions, while on the left, south of <name key="name-004022" type="place">Lamia</name>, was 5 Brigade. Fourth Brigade and the Divisional Cavalry Regiment kept watch on the coast in case the enemy should attempt a landing from <name key="name-024189" type="place">Euboea Island</name>.</p>
          <p rend="indent">While the occupation of the <name key="name-001392" type="place">Thermopylae</name> line was being completed, 5 Field Ambulance established an MDS about 2 miles west of <name key="name-027554" type="place">Kamena Voula</name>. Casualties during the retreat were being sent back to 2/3 Australian CCS, situated south of <name key="name-015973" type="place">Levadhia</name>. Ambulances carrying the wounded had to take the longer route through <name key="name-001107" type="place">Molos</name>, for the more direct route through <name key="name-004022" type="place">Lamia</name> and the <name key="name-024134" type="place">Brallos</name> Pass was
<pb n="126" xml:id="n126"/>
under constant air attack. On 19 April the MDS moved into a wing of a Greek hospital at <name key="name-027554" type="place">Kamena Voula</name>. It was a modern spa comprising a hotel and a bath-house with hot mineral baths. The unit had lost only two 30-cwt and one 12-cwt trucks and one ambulance car during the retreat.</p>
          <p>
            <figure xml:id="WH2Med07a">
              <graphic url="WH2Med07a.jpg" mimeType="image/jpeg" xml:id="WH2Med07a-g"/>
              <head><name key="name-001392" type="place">Thermopylae</name> Line, <name key="name-002294" type="place">Greece</name>: Medical Units and Lines of Evacuation</head>
              <figDesc>map showing location of army medical units</figDesc>
            </figure>
          </p>
          <p rend="indent">The hospital was well equipped with beds, linen, and medical stores and equipment and an excellent operating theatre was set up with equipment from the Greek hospital. Air raids on the convoys, reaching a peak on 19 April, gave 5 Field Ambulance a heavy day attending to the wounded. From 4 ADS, established about 3 miles up the road, wounded came back in a steady stream and admissions for the day totalled 83. The conditions and the attachment of the surgical team under Major Christie allowed the satisfactory performance of major surgery; and the opportunity was readily made use of, numbers of serious cases being dealt with during the short period the MDS remained in the Greek hospital. Abdomen and head cases fit to travel were sent on to <name key="name-000608" type="place">Athens</name>. As far as major war surgery in field ambulances was concerned, this was the only active period in <name key="name-002294" type="place">Greece</name>.</p>
          <p rend="indent">Lieutenant-Colonel Twhigg, however, formed the opinion that the performance of major surgery at the field ambulance was inadvisable, as the serious patients could not be held the necessary time, and, if any number of patients were held, it would overload the unit transport in further withdrawals. Casualties were evacuated by the coastal road 65 miles through <name key="name-029243" type="place">Livanatais</name> and <name key="name-015485" type="place">Atalandi</name> to <name key="name-015973" type="place">Levadhia</name>, where 2/3 Australian CCS was working. On orders from <name key="name-006644" type="place">Divisional Headquarters</name>, which saw a danger of shelling from <name key="name-024189" type="place">Euboea Island</name>, the MDS was transferred on the 21st from the hospital building to sandbagged Italian tents which it set up in a riverbed nearby. Bombing casualties were admitted steadily, and on the 23rd forty cases had to be evacuated direct to 26 British General Hospital, <name key="name-000608" type="place">Athens</name>, as 2/3 Australian CCS had closed. The Greek nursing staff, who had been most helpful, and the civilian patients had been evacuated by military transport the day before. The medical stores left behind by the Greek hospital were distributed by 5 Field Ambulance to nearby field ambulances and RAPs.</p>
          <p rend="indent">While the <name key="name-000594" type="organisation">Anzac Corps</name> waited for the enemy attack, the Greeks on the other side of the <name key="name-026538" type="place">Pindus Mountains</name> in Epirus capitulated on 21 April. This meant that the Allied line at <name key="name-001392" type="place">Thermopylae</name> could be outflanked. Ultimate evacuation had, however, been a probability for some days. After consultations with the Greek government the decision to evacuate <name key="name-002294" type="place">Greece</name> had been made on 19 April, although it was not conveyed to the troops in the line until the 22nd. During the second week in April the Navy had held shipping in readiness, and Rear-Admiral H. T. Baillie-Grohman was sent to <name key="name-000608" type="place">Athens</name> with
<pb n="127" xml:id="n127"/>
a small staff to make preliminary arrangements, and found <name key="name-001219" type="place">Piraeus</name> so damaged that it was useless for the evacuation of large numbers of troops.</p>
        </div>
        <div type="section" n="19" xml:id="c4-19">
          <head>
            <hi rend="i">Evacuation of <name key="name-002294" type="place">Greece</name></hi>
          </head>
          <p rend="indent">The task of evacuation had its undoubted elements of difficulty and danger. By an outflanking movement the enemy could cut off the withdrawal of the Anzacs, and his powerful air force was ready to harass the retreating force, try to destroy the ships upon which they would embark, and smash at possible points of embarkation.</p>
          <p rend="indent">On 22 April 6 Brigade took over from 5 Brigade in the <name key="name-001392" type="place">Thermopylae</name> line; 4 ADS was placed under its command and for the first time displayed the <name key="name-027417" type="organisation">Red Cross</name>. Fifth Field Ambulance came under command of 5 Brigade and made ready to retire with that group to beaches east and west of <name key="name-000608" type="place">Athens</name>. Sixth Field Ambulance
<pb n="128" xml:id="n128"/>
and 4 Field Hygiene Section also came under command of 5 Brigade for the withdrawal.</p>
          <p>
            <figure xml:id="WH2Med08a">
              <graphic url="WH2Med08a.jpg" mimeType="image/jpeg" xml:id="WH2Med08a-g"/>
              <head>The Evacuation of Medical Units from <name key="name-002294" type="place">Greece</name></head>
              <figDesc>map showing evacuation of army medical units from <name key="name-002294" type="place">Greece</name></figDesc>
            </figure>
          </p>
          <p rend="indent">The 2/3 Australian CCS at <name key="name-015973" type="place">Levadhia</name> having closed, some forty patients at 5 MDS were evacuated by car direct to <name key="name-027447" type="organisation">26 General Hospital</name> at <name key="name-015942" type="place">Kifisia</name>, <name key="name-000608" type="place">Athens</name>.</p>
          <p rend="indent">While 6 Brigade, supported by all the divisional artillery, held the <name key="name-001392" type="place">Thermopylae</name> line, 5 Brigade moved towards embarkation points, from which the first 5000 New Zealanders were evacuated by the <name key="name-003205" type="organisation">Royal Navy</name> on the night of 24–25 April and later taken to <name key="name-003325" type="place">Crete</name>. That same dark, moonless night covered the move of 6 Brigade from <name key="name-001392" type="place">Thermopylae</name>, and on 4 Brigade fell the task of holding up the enemy's advance during the evacuation.</p>
          <p rend="indent">In its withdrawal from the <name key="name-001392" type="place">Thermopylae</name> line 5 Brigade, with 5 and 6 Field Ambulances and 4 Field Hygiene Section under its command, reached <name key="name-000608" type="place">Athens</name> on 24 April after a hectic night journey over congested roads, and then dispersed for the day under olive groves near the beaches of <name key="name-001232" type="place">Porto Rafti</name>, <name key="name-004589" type="place">Rafina</name>, and <name key="name-012547" type="place">Marathon</name>. Following the general Corps order of 22 April, 6 Field Ambulance destroyed all its equipment, except surgical haversacks and medical companions and any loose instruments which could be carried in battle-dress pockets. The 4th Field Hygiene Section also destroyed its trucks, disinfestor, and other equipment. A small quantity of light medical equipment was retained by 5 Field Ambulance, which dumped but did not destroy the balance, and despatched its ambulance cars to <name key="name-027447" type="organisation">26 General Hospital</name> with the balance of the medical equipment and supplies, all of which were gratefully received by the hospital. Personal equipment had to be abandoned ruthlessly. Men were limited to a greatcoat and a pack with one blanket. Officers were allowed an extra valise or small case.</p>
          <p rend="indent">On the night of 24–25 April, 5 Field Ambulance moved 20 miles to the beach at <name key="name-001232" type="place">Porto Rafti</name> and embarked on the special troop-carrier <hi rend="i"><name key="name-207116" type="ship">Glengyle</name></hi> with the main body of 6 Field Ambulance, all transport being destroyed. The remainder of the latter unit went with the commanding officer aboard the destroyer <name key="name-110475" type="ship">HMS <hi rend="i">Calcutta</hi></name>, which with another destroyer, <name key="name-110476" type="ship">HMAS <hi rend="i">Perth</hi></name>, formed the naval escort. Members of 4 Field Hygiene Section and Colonel Kenrick and his staff were also included in the <hi rend="i"><name key="name-110475" type="ship">Calcutta</name>'s</hi> complement. By 3 a.m. as many troops as possible had been embarked, and the convoy put out to sea. Later, the convoy was joined by ships from beaches farther south. Among them was HMAS <hi rend="i"><name key="name-207114" type="ship">Voyager</name></hi> with the nursing sisters from 1 General Hospital on board. The convoy was attacked by enemy aircraft during the day but was not damaged, and that afternoon the ships arrived at <name key="name-001363" type="place">Suda Bay</name>, <name key="name-003325" type="place">Crete</name>.</p>
          <p rend="indent">After destroying non-medical equipment and jettisoning much medical equipment to provide room in the transport for wounded,
<pb n="129" xml:id="n129"/>
4 Field Ambulance (less B Company) withdrew on 22 April with 4 Brigade to positions 15 miles south of <name key="name-004822" type="place">Thebes</name>, where, in company with a mixed force of Australians and field artillery, defensive lines were established to cover the passes between Boeotia and <name key="name-025883" type="place">Attica</name>. Massed convoys moving on the roads made this journey of 80-odd miles most difficult, but by 6 a.m. on 23 April the unit got under cover alongside 2/1 Australian Field Ambulance. As this latter unit had already opened up, 4 Field Ambulance remained closed and awaited further orders. Complete concealment from air activity was enforced, not so much to avoid casualties as not to give away the considerable troop concentrations in the area. At 6 a.m. on 25 April B Company rejoined the unit, having withdrawn with 6 Brigade to which it had been attached since the 22nd. One officer and 16 men of B Company, who retired with the rearguard of 6 Brigade and safely reported to Headquarters 4 Field Ambulance, overran in the night the area occupied by their own company south of <name key="name-004822" type="place">Thebes</name> and were eventually taken prisoner.</p>
          <p rend="indent">Orders from HQ NZ Division instructed 4 Field Ambulance to withdraw with 6 Brigade, while 2/1 Australian Field Ambulance was to remain to serve 4 Brigade. Fourth Field Ambulance supplemented the stretcher-bearers of 4 Brigade with an NCO and 16 men. On the afternoon of Anzac Day 4 Field Ambulance prepared to withdraw, this time south of the <name key="name-003246" type="place">Corinth Canal</name>, west of <name key="name-000608" type="place">Athens</name>. The move began at 7 p.m. and the unit crossed the canal at three o'clock next morning, passed through the bombed and burning town of <name key="name-000776" type="place">Corinth</name>, and reached a dispersal area off the main road in an irrigation area at 6.30 a.m. That morning the troops received much attention from the <name key="name-000868" type="organisation">Luftwaffe</name>, which combed the area, flying low over the rows of trees where the men were resting and systematically machine-gunning under them. The reason became evident later—it was a blitz designed to keep our men grounded while the Germans dropped their parachutists by the hundred and took possession of the <name key="name-000776" type="place">Corinth</name> Canal.</p>
          <p rend="indent">As two companies of 25 Battalion were in action in the <name key="name-000776" type="place">Corinth</name> area, an ambulance car was attached to the battalion RAP. While evacuating casualties the ambulance car was machine-gunned by enemy aircraft and the driver and orderly, two brothers named Adderson, were both killed.<note xml:id="ftn1-129" n="1"><p>Dvr A. A. Adderson; born <name key="name-004019" type="place">England</name>, <date when="1913-02-22">22 Feb 1913</date>; porter; died of wounds <date when="1941-04-27">27 Apr 1941</date>. <name key="name-028552" type="person">Pte C. A. Adderson</name>; born <name key="name-004019" type="place">England</name>, <date when="1915-09-05">5 Sep 1915</date>; ambulance driver; killed in action <date when="1941-04-26">26 Apr 1941</date>.</p></note></p>
          <p rend="indent">Headquarters 6 Infantry Brigade requested that a light ADS be sited at the foot of the pass leading over the ranges to <name key="name-013549" type="place">Tripolis</name> and a company was sent to the site selected for that purpose. At 9 p.m. on 26 April the rest of the unit withdrew over the pass, a distance
<pb n="130" xml:id="n130"/>
of 25 miles, and sought cover in a forest reserve about 3 miles south-east of <name key="name-013549" type="place">Tripolis</name>. The area had been previously reconnoitred by two officers in a hazardous daylight trip.</p>
          <p rend="indent">At first light on 27 April the MDS was opened in a Greek church alongside the forest reserve, and the wounded from various units, who were by now concentrating in considerable numbers, were accommodated. A Greek hospital in <name key="name-013549" type="place">Tripolis</name> transferred to the MDS a number of wounded, retaining only a few cases who were in a critical condition. In turn, the most serious cases at the MDS were evacuated to this hospital, whose medical staff was to forgo the chance of evacuation from <name key="name-002294" type="place">Greece</name> in order to remain with the wounded. The last stage of the withdrawal, covering 90 miles through <name key="name-029462" type="place">Sparta</name> to a beach in the vicinity of <name key="name-012569" type="place">Monemvasia</name> in the far south-east of <name key="name-002294" type="place">Greece</name>, was effected during the night, the only remaining three 3-ton trucks and three ambulance cars carrying 37 wounded as well as the staff as comfortably as was possible. All day long on 28 April vehicles and men lay up under every form of available cover, in areas a few miles from the embarkation beaches, hiding from patrolling enemy planes.</p>
          <p rend="indent">At 8.30 p.m. the vehicles were used to convey the New Zealanders to the immediate vicinity of the actual beach from which embarkation was to be made and the trucks and cars were then destroyed. During these last few days more and more medical equipment had been dumped, but no wilful destruction was permitted. At the last moment, medical personnel who were being evacuated took over individual custody of surgical instruments and other small items of medical equipment. (When the unit was remustered in <name key="name-002106" type="place">Egypt</name> this equipment was recovered.)</p>
          <p rend="indent">In the words of Major Speight:</p>
          <p rend="indent">At dusk on the evening of the 28th the vehicles began to collect from the olive groves where they had been lying up during the day and made their way down to the embarkation beach. The <name key="name-009615" type="organisation">4 Fd Amb</name> had 37 patients in their ambulance cars, 16 of them being stretcher cases.… About midnight a landing craft was loaded with stretcher cases and moved off into the darkness of the bay, while those left on shore awaited her return with some anxiety. At last she pulled in again but to our consternation all the wounded were still aboard her. It appeared that the destroyer to which she had gone was unable to load stretcher cases as she had no suitable gear for the purpose. An appeal to the officer in charge of the embarkation brought the reply that the <hi rend="i"><name key="name-207110" type="ship">Ajax</name></hi> would be coming in at 0130 hours and the wounded would be able to go on her. An anxious hour followed. The troops were being rapidly embarked into other available ships and one wondered whether daylight would find a forlorn group of wounded and their attendants still sitting on the beach. However, shortly after 0130 a larger dark shape than any that had preceded it slid into the bay. It was the <hi rend="i"><name key="name-207110" type="ship">Ajax</name></hi>. In a remarkably short time all the wounded were embarked and accommodated in the captain's day cabin, each with a large mug of steaming cocoa
<pb n="131" xml:id="n131"/>
in his hand. Shortly afterwards the ship set off at high speed for <name key="name-001363" type="place">Suda Bay</name>.</p>
          <p rend="indent">At <name key="name-001363" type="place">Suda Bay</name> the casualties with the ambulance detachment in charge were transferred to SS <hi rend="i">Comely Bank</hi> [<hi rend="i">Comliebank</hi>], where one hold was allotted to the wounded. That afternoon the <hi rend="i">Comely Bank</hi> sailed in convoy for <name key="name-001387" type="place">Port Said</name>. During the voyage wounds were re-dressed and splints adjusted. There was an RAMC officer aboard the <hi rend="i">Comely Bank</hi>, and the ship had been provisioned with an ample supply of blankets and medical comforts which were of great assistance in caring for the casualties.</p>
          <p rend="indent">The successful embarkation of all troops of 6 Brigade was completed by 4 a.m. on 29 April, and the vessels, including HMS <hi rend="i"><name key="name-207110" type="ship">Ajax</name></hi>, using all possible speed, arrived at <name key="name-001363" type="place">Suda Bay</name> by 6.45 a.m. A re-transfer to other ships was immediately effected and 4 Field Ambulance boarded the <hi rend="i"><name key="name-009753" type="place">Thurland Castle</name></hi>, which was crammed with about 3000 troops. A convoy comprising similar ships left <name key="name-001363" type="place">Suda Bay</name> by midday under the escort of a dozen mixed naval vessels. During the day enemy aircraft made several attempts to interfere with the convoy and, between the <name key="name-022542" type="place">Dodecanese</name> group of islands and <name key="name-003325" type="place">Crete</name>, an E-boat made an abortive hit-and-run attack.</p>
          <p rend="indent">At 6 a.m. on 30 April the group of ships had increased to twenty-seven, the naval escort including the aircraft-carrier <hi rend="i">Formidable</hi> and two battleships, the <hi rend="i">Warspite</hi> and the <hi rend="i">Barham</hi>. This day passed without further serious interference by enemy forces, and at dusk the <hi rend="i"><name key="name-009753" type="place">Thurland Castle</name></hi> set its course for <name key="name-001387" type="place">Port Said</name> while the rest of the convoy went to <name key="name-000576" type="place">Alexandria</name>.</p>
          <p rend="indent">Another embarkation in the <name key="name-016133" type="place">Peloponnese</name> planned for the night of 28–29 April at <name key="name-003947" type="place">Kalamata</name> was unfortunately unable to be carried out and about 7000 men (including Major <name key="name-004840" type="person">Thomson</name><note xml:id="ftn1-131" n="1"><p><name key="name-004840" type="person">Maj G. H. Thomson</name>, OBE, ED; <name key="name-021363" type="place">New Plymouth</name>; born Dunedin, <date when="1892-03-05">5 Mar 1892</date>; obstetrician; <name key="name-004367" type="organisation">1 NZEF</name> 1914–16: Gnr 4 How Bty, <name key="name-002106" type="place">Egypt</name> and <name key="name-026177" type="place">Gallipoli</name>; RMO <name key="name-001152" type="organisation">4 Fd Regt</name> Sep 1939–Apr 1941; p.w. <date when="1941-04-28">28 Apr 1941</date>; repatriated <date when="1943-10">Oct 1943</date>.</p></note>) were left there. Many of them made good their escape in little boats, as also did many who worked their way on foot through enemy-occupied territory to the coast.</p>
          <p rend="indent">While 5 Brigade moved to beaches near <name key="name-001232" type="place">Porto Rafti</name>, <name key="name-004589" type="place">Rafina</name>, and <name key="name-012547" type="place">Marathon</name>, east of <name key="name-000608" type="place">Athens</name>, and embarked, and 6 Brigade moved across the <name key="name-000776" type="place">Corinth</name> Canal to the <name key="name-016133" type="place">Peloponnese</name>, 4 Brigade remained in its rearguard defensive positions at <name key="name-004004" type="place">Kriekouki</name>, south of <name key="name-004822" type="place">Thebes</name>. It was attacked by enemy forces on the morning of 26 April and during the day learned that German paratroops had landed at the <name key="name-000776" type="place">Corinth</name> Canal, across which the brigade had planned to withdraw.</p>
          <p rend="indent">The <name key="name-003205" type="organisation">Royal Navy</name> was able to arrange to take off all the brigade group from <name key="name-001232" type="place">Porto Rafti</name> beach on the night of 27–28 April. These troops, too, went to <name key="name-003325" type="place">Crete</name>, with 2/1 Australian Field Ambulance and the NCO and 16 stretcher-bearers from 4 Field Ambulance accompanying them.</p>
          <pb n="132" xml:id="n132"/>
          <p rend="indent">The RMO of 18 Battalion, Captain <name key="name-028592" type="person">Dempsey</name>,<note xml:id="ftn1-132" n="1"><p><name key="name-028592" type="person">Lt-Col J. Dempsey</name>, m.i.d.; <name key="name-021363" type="place">New Plymouth</name>; born <name key="name-008844" type="place">Wellington</name>, <date when="1912-10-03">3 Oct 1912</date>; medical practitioner; RMO 18 Bn 1940–42; <name key="name-009616" type="organisation">5 Fd Amb</name> <date when="1942">1942</date>; <name key="name-028787" type="organisation">2 CCS</name> Aug–Oct 1943.</p></note> records that he went by night through <name key="name-000608" type="place">Athens</name> to <name key="name-001232" type="place">Porto Rafti</name>, made his RAP truck unserviceable, and made for the coast with a medical and surgical pannier as his only equipment. Numerous casualties were sustained at that time from aerial attacks and there were civilian casualties to treat as well. At one stage a group took cover in a wheatfield during an air attack, and the wheat caught fire and the battalion ammunition truck and four other trucks were set alight. When they were evacuated that night by destroyer, the wounded received excellent attention from the ship's surgeons.</p>
          <p rend="indent">When 1 General Hospital arrived in <name key="name-000608" type="place">Athens</name> on 16 April, the <name key="name-028893" type="organisation">DDMS</name> BTG (Brigadier Large) gave instructions to Colonel McKillop, CO 1 General Hospital, to detail staff to <name key="name-027447" type="organisation">26 General Hospital</name> and to set up a convalescent camp hospital at <name key="name-016325" type="place">Voula</name>, where New Zealand base troops were camped. This was done and 51 orderlies went to <name key="name-027447" type="organisation">26 General Hospital</name>, and 4 officers and 50 orderlies, under Captain <name key="name-023335" type="person">Slater</name>,<note xml:id="ftn2-132" n="2"><p><name key="name-023335" type="person">Capt A. N. Slater</name>; <name key="name-008844" type="place">Wellington</name>; born Dunedin, <date when="1900-11-13">13 Nov 1900</date>; medical practitioner; medical officer <name key="name-009615" type="organisation">4 Fd Amb</name> Oct 1939–Jan 1941; <name key="name-011447" type="organisation">1 Gen Hosp</name> Jan–Apr 1941; p.w. <date when="1941-04">Apr 1941</date>; repatriated <date when="1944-06">Jun 1944</date>.</p></note> rapidly organised at <name key="name-016325" type="place">Voula</name> an efficient unit which had 450 convalescent patients, both minor sick and slightly wounded, under its charge two days later. A small holding hospital of fifty beds was also formed on 20 April for surgical cases awaiting evacuation from <name key="name-002294" type="place">Greece</name>. On the 19th Brigadier Large gave further orders for the nursing orderlies to be retained for duty at <name key="name-027447" type="organisation">26 General Hospital</name> and for the staff of the convalescent hospital to remain. All other male personnel, except two officers, who were to go with the sisters on a hospital ship expected to leave that day, were to embark at <name key="name-001219" type="place">Piraeus</name> at 3 p.m. This was three days before the field ambulances definitely knew of the evacuation. It had been suggested by the medical administration that some of the nurses remain to assist 26 British General Hospital, but General Blamey insisted that all nurses be evacuated from the country. The hospital staff was on board the <hi rend="i">Rawnsley</hi> by 3.30 p.m. with other British Army personnel. The ship was delayed in leaving by the pilot and missed its convoy. It remained in the outer harbour overnight and next morning was machine-gunned from the air and departed for <name key="name-002106" type="place">Egypt</name> after five casualties, excluding two dead, had been evacuated to the hospital ship <hi rend="i">Aba</hi> nearby. The ship eventually picked up a large convoy south of <name key="name-003325" type="place">Crete</name> and went with it to <name key="name-000576" type="place">Alexandria</name>. In the convoy were elements of the Greek Navy.</p>
          <p rend="indent">The nursing sisters, unfortunately, did not board the hospital ship, which took its load of wounded out of the port of <name key="name-001219" type="place">Piraeus</name> earlier than scheduled because of heavy air attacks. Along with British and
<pb n="133" xml:id="n133"/>
Australian sisters, they were later sent by road through <name key="name-000776" type="place">Corinth</name> to <name key="name-015479" type="place">Argos</name> and embarked from <name key="name-014465" type="place">Navplion</name> on HMAS <hi rend="i"><name key="name-207114" type="ship">Voyager</name></hi>. A truck carrying nineteen of the New Zealand sisters overturned during the journey and several were slightly injured. The sisters had to lie up twice during attacks by enemy aircraft, and finally remained under cover in a little walled cemetery at <name key="name-015479" type="place">Argos</name> before embarkation. Their conduct during the trying ordeal earned the admiration of all.</p>
          <p rend="indent">Nearly all the officers and orderlies attached to the Convalescent Camp at <name key="name-016325" type="place">Voula</name> were captured following a series of misfortunes. On the 22nd they moved at very short notice with their patients to <name key="name-016045" type="place">Megara</name>. Here they had to wait for embarkation for four days. During this time they were subjected to frequent strafing from the air, and this made the patients highly nervous and hysterical and difficult to control. Difficulties arose during the embarkation, and finally an Australian brigadier with his brigade arrived on the beach and was allotted the space on the ship that the Convalescent Camp group had hoped to occupy. Most of the patients and staff, some 400, were left behind. The greater part of their transport had been destroyed according to orders, and their predicament was serious when they learnt there were to be no more evacuations from <name key="name-016045" type="place">Megara</name>. Attempts to reach the southern beaches via <name key="name-000776" type="place">Corinth</name> were blocked by the paratroop landing there, and a further effort to reach 4 Brigade through <name key="name-000608" type="place">Athens</name> resulted in capture by paratroops who had blocked that road also.</p>
          <p rend="indent">There would appear to have been some misunderstanding in the original planning of the evacuation of the camp. The difficult problem of handling the convalescents was dealt with by Captain Slater and his staff most competently, the safety of their charges being the prime consideration. After capture Slater and his staff were able to set up a hospital at <name key="name-000776" type="place">Corinth</name> to attend to the many wounded resulting from the airborne attack on the 26th.</p>
          <p rend="indent">Of the fifty-one orderlies of 1 General Hospital who were at <name key="name-027447" type="organisation">26 General Hospital</name>, only twenty-one got away from <name key="name-002294" type="place">Greece</name>. In the early morning of the 22nd all were ready to leave after orders had been received by them, but the CO of the hospital directed that thirty were to stay. The party of twenty-one under Staff-Sergeant <name key="name-027412" type="person">Ashworth</name><note xml:id="ftn1-133" n="1"><p><name key="name-027412" type="person">S-Sgt G. Ashworth</name>; <name key="name-021386" type="place">Palmerston North</name>; born <name key="name-004019" type="place">England</name>, <date when="1907-01-10">10 Jan 1907</date>; male nurse; ward-master <name key="name-011447" type="organisation">1 Gen Hosp</name> Feb 1940–May 1941; p.w. <name key="name-003325" type="place">Crete</name>, <date when="1941-06-01">1 Jun 1941</date>; repatriated <date when="1943-10">Oct 1943</date>.</p></note> went by train from <name key="name-000608" type="place">Athens</name> to within a short distance of <name key="name-000776" type="place">Corinth</name> Canal, which they crossed next morning, and were picked up on the main road by trucks going to <name key="name-015479" type="place">Argos</name> and embarked for <name key="name-003325" type="place">Crete</name> on the <hi rend="i">Glencarn</hi>.</p>
          <pb n="134" xml:id="n134"/>
        </div>
        <div type="section" n="20" xml:id="c4-20">
          <head>
            <hi rend="i">MEDICAL REVIEW OF CAMPAIGN</hi>
          </head>
          <div type="section" xml:id="c4-20-0">
            <p rend="indent">Throughout the campaign in <name key="name-002294" type="place">Greece</name> the work performed by all members of the medical units was of a very high standard, and special reference must be made to the work of the ambulance drivers and stretcher-bearers under the unusually difficult conditions. This was the first test of the units of the New Zealand Medical Corps in action, and its personnel had to adapt themselves rapidly to unaccustomed surroundings and weather conditions and to the constant movement from place to place. After three weeks' stay at one place—<name key="name-003953" type="place">Katerini</name>—where no wounded were received, the rest of the field work was interrupted by a series of withdrawals.</p>
            <p rend="indent">The establishment of the ADSs and MDSs of the field ambulances at their original sites was fraught with considerable difficulty, as at that time the general opinion held was that the Geneva <name key="name-027417" type="organisation">Red Cross</name> could not be relied upon for protection.</p>
          </div>
          <div n="1" xml:id="c4-20-1">
            <head>
              <hi rend="i">Work of the RAPs</hi>
            </head>
            <p rend="indent">The RMOs had to set up their RAPs sometimes in very hilly country and, by their ingenuity in the use of camouflage, protect them from the uncontested attacks of the German air arm. The wounded had to be brought in to the RAPs, sometimes from almost precipitous country and at times by long carries. Special light Neil Robertson stretchers were used with success in the steep country.</p>
            <p rend="indent">The evacuation to the ADS had often to be carried out by stretcher-bearers, but where possible ambulances and trucks were used, the small supply of Flint stretcher gear being very useful. The collection and evacuation of casualties by the regimental medical personnel was most conscientiously and efficiently carried out.</p>
          </div>
          <div n="2" xml:id="c4-20-2">
            <head>
              <hi rend="i">Work of the Field Ambulances</hi>
            </head>
            <p rend="indent">In the quiescent period before fighting began a certain amount of surgery, including appendicectomy, was performed in the MDSs of the field ambulances. Minor cases of sickness were also held in the field ambulances for some days until they had recovered and were then discharged to their units. A surgical team from 1 General Hospital, consisting of a surgeon and an anaesthetist and equipped with some extra surgical instruments, was attached to 6 Field Ambulance to enable major surgery to be carried out in the divisional area should circumstances make this necessary. (This surgical team performed a considerable amount of major surgery in <name key="name-002294" type="place">Greece</name> and <name key="name-003325" type="place">Crete</name> and furnished a most valuable report on its experiences, with recommendations which were of great value to our medical services later in the war.)</p>
            <pb n="135" xml:id="n135"/>
            <p rend="indent">When hostilities threatened, orders were given to the field ambulances by Colonel Kenrick not to carry out any but the most urgent surgery of the civilian type. During the campaign 4 Field Ambulance treated 350 wounded, 5 Field Ambulance 534, and 6 Field Ambulance 87.</p>
          </div>
          <div n="3" xml:id="c4-20-3">
            <head>
              <hi rend="i">Treatment of the Wounded</hi>
            </head>
            <p rend="indent">Treatment carried out by the RMOs consisted in the application of field dressings and the preliminary splintage of the limb as required. Injections of ATS in doses of 3000 units were given, and of morphine up to half a grain.</p>
            <p rend="indent">Wound treatment in the field ambulances varied according to the circumstances at the time. At the beginning of hostilities a certain amount of surgery was carried out at the MDS, especially that to which the surgical team was attached. When the withdrawal began the medical units were leapfrogged back as the combatant troops passed by them. Little but the most urgent treatment was attempted and the cases were evacuated for definitive surgery to 2/3 Australian CCS at <name key="name-003539" type="place">Elasson</name> and later, when that unit went back south of <name key="name-004022" type="place">Lamia</name> on 14 April, to 24 CCS near <name key="name-001017" type="place">Larisa</name>. This unit, with the section of 189 Field Ambulance, remained active until all casualties had been dealt with and the army—with the exception of a rear party—had retired behind them. When 24 CCS also retired south of <name key="name-004022" type="place">Lamia</name> on 18 April, treatment was carried out either in the vehicles of the ambulances as they withdrew or at car posts temporarily set up at intervals along the lines of evacuation. It was not until stability was reached behind the <name key="name-001392" type="place">Thermopylae</name> line that an operating centre was set up by 5 Field Ambulance at <name key="name-027554" type="place">Kamena Voula</name> in a Greek hospital, and a little major surgery—including an operation for a perforating abdominal wound—was able to be carried out.</p>
            <p rend="indent">The principles of treatment adopted were the excision of the wound, the prevention of bleeding, and the provision of drainage. Dressings consisted of the field dressing, and vaseline gauze had also been supplied both to the hospitals and the field ambulances. Acriflavine was used as a local antiseptic, and in some cases sulphonamide was administered by mouth to the seriously wounded men. Thomas splints, with metal traction clips fixed to the heel of the boot, were used for fractures of the lower limbs. Kramer wire and plaster-of-paris were also used for fracture cases, mainly at the CCS. The wounded admitted to <name key="name-028359" type="place">1 NZ General Hospital</name> at the beginning of hostilities, who had been operated on either at the field ambulances or at the CCS, were found to be in excellent condition, and did not require redressing before being sent on by ambulance train to <name key="name-027447" type="organisation">26 General Hospital</name> in <name key="name-000608" type="place">Athens</name>.</p>
            <pb n="136" xml:id="n136"/>
            <p rend="indent">The experience in the treatment of war wounds was a new one to the staffs of the ambulances, and the New Zealand medical services were strengthened by having a surgeon of considerable general and orthopaedic experience attached to a field ambulance as a member of the surgical team. The quality of the work varied very much, as was only natural, since much of the urgent and imperative surgical treatment of wounds was carried out by young medical officers with no previous experience of the treatment of war wounds, but under the circumstances the work was well and most conscientiously done.</p>
            <p rend="indent">Special blood-transfusion panniers had been procured in <name key="name-002106" type="place">Egypt</name> for each of the field ambulances, but the rapidity of the withdrawal, and the consequent lack of stability in medical units, made it impossible to use blood transfusions for the wounded men, and dry plasma only was available, in small quantities, in one of the field ambulances. Fifth Field Ambulance was supplied with six bottles of plasma prior to the action in <name key="name-002294" type="place">Greece</name> and also picked up a considerable stock of plasma and glucose saline from the site of <name key="name-028359" type="place">1 NZ General Hospital</name> during the withdrawal. Blood-transfusion facilities were available, but not used, at our general hospital at <name key="name-004543" type="place">Pharsala</name>. Intravenous fluid was given occasionally and a few Baxter Vacolites were available at the MDSs of the field ambulances. Morphia was used freely and doses of ½ gr. were given to seriously wounded men. Some of the medical officers in the ADSs were in the habit of administering pentothal to very severely wounded men in addition to ½ gr. doses of morphia. A solution of 5 cc. was made up and 2 cc. injected into the vein and 3 cc. into the buttock. The patient then usually slept right through to the MDS and thereby had a better chance of recovery.</p>
            <p rend="indent">Gas gangrene was comparatively rare. There were several cases of gas in the tissues, generally associated with localised gangrene of muscle or muscle groups, which responded well to free excision of the involved muscle. Serum was administered.</p>
          </div>
          <div n="4" xml:id="c4-20-4">
            <head>
              <hi rend="i">Evacuation by Road</hi>
            </head>
            <p rend="indent">The road evacuation was by means of the main axial road of <name key="name-002294" type="place">Greece</name> from <name key="name-001017" type="place">Larisa</name> through <name key="name-004543" type="place">Pharsala</name> to <name key="name-004022" type="place">Lamia</name>, then by the coastal road to <name key="name-001107" type="place">Molos</name> and <name key="name-015485" type="place">Atalandi</name>, and back again to the main road at <name key="name-015973" type="place">Levadhia</name> and then to <name key="name-004822" type="place">Thebes</name> and <name key="name-000608" type="place">Athens</name>. The roads in the mountain areas were narrow and in wet weather the surface became muddy and slippery. The main road generally was not very wide and ambulance cars returning for unit personnel, or for wounded and sick still in forward positions, found it difficult to proceed against the stream, of traffic during the withdrawal. The bombing of the roads was an
<pb n="137" xml:id="n137"/>
additional hazard, but the force was lucky in not having any bridges of importance destroyed ahead of it on the main roads.</p>
            <p rend="indent">The road evacuation was undertaken by the Australian MAC, which serviced the whole of the forward medical units, British, Australian, and New Zealand, and carried out their work in such a way as to win unstinted praise from the New Zealand Medical Corps. On 16 April Colonel Kenrick had arranged with <name key="name-028893" type="organisation">DDMS</name> <name key="name-000594" type="organisation">Anzac Corps</name> for six MAC cars to be attached to each field ambulance during the withdrawal, so that each medical unit had cars at its disposal for evacuation of cases to the CCSs and <name key="name-028359" type="place">1 NZ General Hospital</name>, and also to help in the evacuation of the medical units and the many casualties, nursed and transported by all the units, during the withdrawal.</p>
            <p rend="indent">Special car posts were set up, not only to act as relaying posts between the different medical units, but also as collecting posts for the wounded and to act as extra ADSs. As a rule they were staffed by a medical officer and orderlies. The successful evacuation of medical units and casualties was due to the way the medical transport was used, and to the ability of the officers of the Medical Corps to improvise and to commandeer, and to handle the difficult problem of collecting the wounded, scattered as they were over the whole line of evacuation.</p>
            <p rend="indent">Trucks were used to a great extent to transport wounded, and Flint stretcher apparatus was used as much as possible, but the supply was very limited. The smaller 15-cwt and 30-cwt trucks were found to be not nearly as suitable as the three-tonner. The wheel base of the 30-cwt truck was not long enough, and the three-tonner could not only carry many more patients and personnel but it could also carry much more petrol—a matter of great importance.</p>
            <p rend="indent">It was stressed by 4 Field Ambulance that all trucks should be self-contained, and that all drivers should have full information as to their destination. The field ambulances were not themselves self-sufficient as regards transport. This was partly due to an excess in equipment, as each unit had made efforts to supplement the regular army equipment with extras designed to enable more efficient surgery to be carried out. In the forward areas 15-cwt trucks were used by the RMOs, both for transport and also as RAPs.</p>
          </div>
          <div n="5" xml:id="c4-20-5">
            <head>
              <hi rend="i">Train Evacuation</hi>
            </head>
            <p rend="indent">When <name key="name-027091" type="organisation">W Force</name> first arrived in <name key="name-002294" type="place">Greece</name> the main railway was used extensively to transport troops to the forward areas, and a good service was arranged to <name key="name-003953" type="place">Katerini</name>. Much heavy equipment was moved in this way, including the bulky and heavy equipment of <name key="name-028359" type="place">1 NZ General Hospital</name>. As soon as the ADMS NZ Division was stationed
<pb n="138" xml:id="n138"/>
in <name key="name-003953" type="place">Katerini</name>, he arranged for Greek ambulance coaches to proceed daily from <name key="name-003953" type="place">Katerini</name> to evacuate cases from the field ambulances to <name key="name-027447" type="organisation">26 General Hospital</name> at <name key="name-000608" type="place">Athens</name>.</p>
            <p rend="indent">When the CCSs were open at <name key="name-003539" type="place">Elasson</name> and <name key="name-001017" type="place">Larisa</name> patients were sent to them by ambulance car, and a regular evacuation by hospital train was carried out both to <name key="name-028359" type="place">1 NZ General Hospital</name> and also to <name key="name-027447" type="organisation">26 General Hospital</name> in <name key="name-000608" type="place">Athens</name>. The serious cases were, fortunately, sent direct to <name key="name-000608" type="place">Athens</name>. The train evacuation broke down soon after the fighting began. The first contact of our troops with the Germans was on 10 April. On the 17th Colonel Kenrick applied for a train from <name key="name-001017" type="place">Larisa</name> to take wounded back to <name key="name-000608" type="place">Athens</name>, but the RTO had left two days previously. On the 16th all troops had left the <name key="name-001017" type="place">Larisa</name> area except a rearguard, but 24 CCS and 189 Field Ambulance were still functioning. The daily ambulance train still continued to serve them, being worked by medical personnel and driven by anyone whom the medical officer in charge of the train could find capable of driving the engine. It seems that 16 April was the last day on which an ambulance train ran, as it is stated that on the 17th an ambulance train could not get to <name key="name-024134" type="place">Brallos</name>. It is probable that the train that left <name key="name-026101" type="place">Demerli</name> on 15 April was the last to travel with any Greek personnel, or be serviced by any Greek railwaymen. The RTO had left <name key="name-001017" type="place">Larisa</name> on the 15th and all army train organisation then ceased. The hospital train that had been promised for <name key="name-028359" type="place">1 NZ General Hospital</name> from <name key="name-004022" type="place">Lamia</name> on the 15th at midday never arrived, possibly being a different train from that servicing 24 CCS at <name key="name-001017" type="place">Larisa</name>. The disorganisation of the Greek railway administration and personnel unfortunately almost completely removed the railway from the scheme of operations as far as the withdrawal was concerned.</p>
            <p rend="indent">In retrospect, it would appear that <name key="name-028359" type="place">1 NZ General Hospital</name> was extremely lucky to have been able to evacuate its patients and staff by the last possible train to <name key="name-000608" type="place">Athens</name>. Great credit is due to Lieutenant-Colonel Boyd, the officer in charge of the detachment, for his energy and persistence in combating the strong opposition of the Greek railway officials and for his success in attaching the extra trucks with his personnel and patients to the already loaded train.</p>
          </div>
          <div n="6" xml:id="c4-20-6">
            <head>
              <hi rend="i">Evacuation During the Retreat</hi>
            </head>
            <p rend="indent">Patients were transported in the ambulances and trucks of the medical units during the retreat and were sent on to <name key="name-000608" type="place">Athens</name> as opportunity offered, for example, when temporary stability occurred behind the <name key="name-001392" type="place">Thermopylae</name> line. Urgent treatment was carried out at car posts or in the ambulances on the way.</p>
            <p rend="indent">Hospital trains were used to evacuate from the <name key="name-001392" type="place">Thermopylae</name> line until the 20th, although before that date the railway line had been
<pb n="139" xml:id="n139"/>
damaged. As far as New Zealand units were concerned, all casualties were evacuated by ambulance car from the MDS either to 2/3 Australian CCS at <name key="name-015973" type="place">Levadhia</name> or direct to <name key="name-000608" type="place">Athens</name>.</p>
          </div>
          <div n="7" xml:id="c4-20-7">
            <head>
              <hi rend="i">Food</hi>
            </head>
            <p rend="indent">Hard rations were issued for the move over to <name key="name-002294" type="place">Greece</name> and also for the forward areas. Fresh food and vegetables were made available on 1 April when conditions were more settled in the forward areas, but again, during the retreat, hard rations, consisting of M &amp; V<note xml:id="ftn1-139" n="1"><p>Meat and vegetables, cooked and tinned.</p></note> and hard biscuits, were the staple diet.</p>
          </div>
          <div n="8" xml:id="c4-20-8">
            <head>
              <hi rend="i">Health of Troops</hi>
            </head>
            <p rend="indent">Except for a slight incidence of mild influenzal colds the health of the troops was excellent, in spite of the cold and wet weather experienced in the forward areas.</p>
            <p rend="indent">Broken dental plates, caused by the hard biscuits, gave rise to some difficulty. The Mobile Dental Unit, which was to have been attached to the Division, was late in reaching <name key="name-002294" type="place">Greece</name>, and was stopped on its way to the Division by ADMS 81 Base Sub-Area because of the general situation and was attached to <name key="name-028359" type="place">1 NZ General Hospital</name>. A sackful of broken dental plates was left on <name key="name-001184" type="place">Mount Olympus</name>—a pathetic relic of the New Zealand Division and a strange offering to the gods.</p>
          </div>
          <div n="9" xml:id="c4-20-9">
            <head>
              <hi rend="i">Supplies</hi>
            </head>
            <p rend="indent">There was a depot of medical stores at <name key="name-000608" type="place">Athens</name>, near <name key="name-027447" type="organisation">26 General Hospital</name> at <name key="name-015942" type="place">Kifisia</name>. No depot was established in 81 Base Sub-Area at <name key="name-001017" type="place">Larisa</name> and field ambulances indented for medical supplies from <name key="name-028359" type="place">1 NZ General Hospital</name> before hostilities began. There is, however, no reference to any deficiency in supplies in any of the medical units in <name key="name-002294" type="place">Greece</name>. Some medical supplies and equipment were obtained from a tuberculosis sanatorium on the northern slopes of <name key="name-001184" type="place">Mount Olympus</name>, where 150 patients, abandoned by the Greek staff, were evacuated by a divisional unit and sent on by train to <name key="name-000608" type="place">Athens</name>.</p>
          </div>
          <div n="10" xml:id="c4-20-10">
            <head>
              <hi rend="i">Equipment</hi>
            </head>
            <p rend="indent">All of the New Zealand field ambulances were very well equipped, having not only the full army equipment but also supplementary articles acquired to enable the units to carry out surgical work more efficiently. When the evacuation of <name key="name-002294" type="place">Greece</name> was decided upon, orders were given to units to destroy all equipment and supplies in excess of the minimal quantity that they were able to carry individually on to the ships. The Anzac Corps' operation order No. 2 of
<pb n="140" xml:id="n140"/>
22 April gave the order of withdrawal, and included general instructions for the destruction of equipment other than that which could be carried by the men. The absence of any definite general or medical orders concerning medical equipment led, unfortunately, to misunderstandings both with relation to regimental medical officers and field ambulance units. Fortunately, every effort was made to transport as much as possible, and surgical instruments were especially preserved, the personnel of the units assisting in taking care of much valuable equipment. The order to destroy equipment that had to be left behind was received with great regret by the units concerned and was not fully carried out in any unit. In one case, equipment was placed in a store, with a <name key="name-027417" type="organisation">Red Cross</name> flag on the door and a note of thanks to the German airmen for respecting the Geneva Convention. In another instance one of the field ambulances at the final port of embarkation dumped, but did not destroy, the equipment. One field ambulance also arranged to transfer its ambulance cars to <name key="name-027447" type="organisation">26 General Hospital</name> instead of destroying them, and these cars were of very great service later in evacuating patients and personnel, including nurses, from the hospital.</p>
            <p rend="indent">The order for the destruction of equipment was intended to refer to the equipment of combatant units, as under the Geneva Convention medical equipment and stores should not be destroyed; it is interesting to note that the natural reaction of the New Zealand medical officers prompted them to act in the correct manner, and only with deep regret was any destruction of equipment ever carried out.</p>
            <p rend="indent">This illustrates the importance of a full knowledge of the Geneva Convention by all personnel, combatant and medical. Some combatant officers without that knowledge tended to insist on the medical officers under their command destroying their medical equipment, and the medical officers were not quite sure at times of the exact position or of their power to resist orders from combatants when the Geneva Convention was in question.</p>
            <p rend="indent">The subsequent story of the events in <name key="name-002294" type="place">Greece</name> and <name key="name-003325" type="place">Crete</name> demonstrated clearly the wisdom of the Geneva Convention in insisting on the preservation of medical equipment and supplies, as it was to the benefit of our own sick and wounded captured in <name key="name-002294" type="place">Greece</name> and <name key="name-003325" type="place">Crete</name> that supplies should have been available for their treatment. The senior medical officers made valuable comments on the essential equipment and supplies for such a campaign.</p>
          </div>
          <div n="11" xml:id="c4-20-11">
            <head>
              <hi rend="i">Personnel</hi>
            </head>
            <p rend="indent">The personnel, both officers and other ranks, had been tested under difficult battle conditions and had not been found wanting.
<pb n="141" xml:id="n141"/>
Already they were displaying the resource and initiative that was to be a characteristic of the forward New Zealand medical units throughout the war. The territorial training in peacetime, however slight in some cases it might have been, had proved of value, and the training in the Army itself had been efficient and practical.</p>
            <p rend="indent">The senior officers had handled the strange conditions with skill. The ADSs had been placed under brigade command, thus ensuring close contact with battalions during the rapid movement of the troops during the withdrawal. Extra car posts had been placed along the lines of evacuation, each with a medical officer in charge, and these attended to casualties and collected wounded.</p>
            <p rend="indent">The MDSs had been handled well during the long retreat and attention given to the troops wounded by bombing and machine-gunning from the air.</p>
            <p rend="indent">The detailing of personnel from <name key="name-028359" type="place">1 NZ General Hospital</name> to <name key="name-027447" type="organisation">26 General Hospital</name>, <name key="name-000608" type="place">Athens</name>, for duty and probable capture in <name key="name-002294" type="place">Greece</name> as prisoners of war was a matter of some importance and anxiety, there being no authoritative ruling on the question available for the guidance of senior officers. The matter will be further discussed in relation to the <name key="name-003325" type="place">Crete</name> campaign, in which it assumed more importance.</p>
          </div>
          <div n="12" xml:id="c4-20-12">
            <head>
              <hi rend="i">The Evacuation from <name key="name-002294" type="place">Greece</name></hi>
            </head>
            <p rend="indent"><hi rend="i">The Divisional Medical Units:</hi> The responsibility for the forward units rested with the Division and the units retreated with the troops and were evacuated to <name key="name-003325" type="place">Crete</name> as part of the main force and without any catastrophe. The whole retreat and the evacuation was excellently organised and executed in the face of great difficulties due to the powerful and efficient German air arm. The main body of all the medical units was safely evacuated to <name key="name-003325" type="place">Crete</name>, where 4 Field Ambulance was transhipped and taken to <name key="name-002106" type="place">Egypt</name>. They serviced their troops right down to the beaches and, except for loss of equipment, remained almost intact as units.</p>
            <p rend="indent"><hi rend="i">The Base Medical Units:</hi> Owing to the fact that the New Zealand base units were under the command of Headquarters, <name key="name-000608" type="place">Athens</name>, and divorced from divisional command, difficulties of evacuation arose. Contact between the units and Headquarters was not close. The units involved were <name key="name-028359" type="place">1 NZ General Hospital</name>, 2 NZ Mobile Dental Unit, and NZ Base Camp units in the <name key="name-000608" type="place">Athens</name> area.</p>
            <p rend="indent">As regards <name key="name-028359" type="place">1 NZ General Hospital</name>, the unit was an L of C unit under command of ADMS 81 Base Sub-Area at <name key="name-001017" type="place">Larisa</name>. Having no transport of its own, the unit luckily reached <name key="name-000608" type="place">Athens</name> by rail on 16 April and came under the direct command of HQ BTG, and
<pb n="142" xml:id="n142"/>
by the very prompt action of Brigadier Large the main body of the unit was evacuated by ship to <name key="name-002106" type="place">Egypt</name>. The Mobile Dental Unit and the Base Camp medical units, however, were not so fortunate.</p>
          </div>
          <div n="13" xml:id="c4-20-13">
            <head>
              <hi rend="i">Evacuation from <name key="name-002294" type="place">Greece</name> of Sick and Wounded</hi>
            </head>
            <p rend="indent">Up to 19 April, <name key="name-027447" type="organisation">26 General Hospital</name> cleared its patients satisfactorily by hospital ships from <name key="name-000608" type="place">Athens</name>. After that date walking patients were added to the base troops, and many were evacuated from the beaches. Only by the provision of more hospital ships could more of the serious casualties have been evacuated.</p>
          </div>
          <div n="14" xml:id="c4-20-14">
            <head>
              <hi rend="i">Visit of DDMS <name key="name-004368" type="organisation">2 NZEF</name> to <name key="name-002294" type="place">Greece</name></hi>
            </head>
            <p rend="indent">The <name key="name-028893" type="organisation">DDMS</name>, Colonel MacCormick, arrived in <name key="name-002294" type="place">Greece</name> by air on 5 April, a month after the arrival of the first New Zealand personnel. He had come to discuss with the GOC the sending of more New Zealand medical units, including 3 NZ General Hospital and a convalescent depot, to <name key="name-002294" type="place">Greece</name>. It was also proposed to establish in <name key="name-002294" type="place">Greece</name> a convalescent home and rest home for nurses and a <name key="name-027417" type="organisation">Red Cross</name> depot, and to send over the <name key="name-023216" type="organisation">Mobile Surgical Unit</name> when ready. This proposal had the warm approval of <name key="name-028893" type="organisation">DDMS</name> BTG.</p>
            <p rend="indent">The critical position of the forces in <name key="name-002294" type="place">Greece</name> did not seem to have been realised, though by 9 April the New Zealand Division was withdrawing from the Aliakmon line and <name key="name-009685" type="place">Salonika</name> had fallen.</p>
          </div>
        </div>
        <div type="section" n="21" xml:id="c4-21">
          <head>
            <hi rend="i">LESSONS LEARNED FROM THE GREEK CAMPAIGN</hi>
          </head>
          <div type="section" xml:id="c4-21-0">
            <p rend="indent">The Greek campaign was the first active campaign in which the <name key="name-004368" type="organisation">2 NZEF</name> took part. Fortunately, all three echelons had had fairly long periods of training overseas, and the medical units had sufficient experience to enable them to face the campaign with confidence in themselves and their Division. The Second Echelon had not only arrived in <name key="name-002106" type="place">Egypt</name> in time, but it had had rigorous training in <name key="name-004019" type="place">England</name> at the time when invasion was thought probable. The medical units were keen to do their best and proved very capable in adapting themselves to the difficult conditions, both of the terrain and the harassed retreat.</p>
            <p rend="indent">The observations made by senior officers stressed the difficulties of the campaign and the capacity of the New Zealand medical units to improvise and deal with unprecedented conditions, as well as their capacity to learn from their experience. Naturally, the main recommendations dealt with the necessity of being fully mobile, and, to ensure this, the provision of adequate transport for all field medical units; but there were other very important lessons learned by the Medical Corps from the campaign. They are dealt with separately.</p>
          </div>
          <pb n="143" xml:id="n143"/>
          <div n="1" xml:id="c4-21-1">
            <head>1.<hi rend="i">Need for Advanced Medical Planning</hi></head>
            <p rend="indent">It was felt by the ADMS NZ Division that he should have been instructed to go to <name key="name-002294" type="place">Greece</name> with the GOC on 6 March, so as to have extra time to make medical arrangements for the Division, especially as it was going to a new country, with no previous arrangements for foreign troops and with its own special medical problems of endemic disease. There was little time to gain knowledge and to make plans and to site the field units, especially as the divisional area was far removed from <name key="name-000608" type="place">Athens</name>, where Medical Headquarters and all base units were stationed.</p>
            <p rend="indent">The <name key="name-028893" type="organisation">DDMS</name> <name key="name-004368" type="organisation">2 NZEF</name> did not visit <name key="name-002294" type="place">Greece</name> until a month later and was out of touch with the conditions there.<note xml:id="ftn1-143" n="1"><p>Colonel MacCormick states that transport was not available sooner for him.</p></note> The difficulties that arose in the siting and utilisation of <name key="name-028359" type="place">1 NZ General Hospital</name> might have been obviated by his presence in <name key="name-002294" type="place">Greece</name> at the outset of the campaign.</p>
            <p rend="indent"><hi rend="i">Early Arrival of Medical Units:</hi> It was considered by the senior medical officers that a higher priority should be given in the future to the medical units, so that they would be available from the beginning to service the troops and have time to site and establish their dressing stations before active operations commenced. Representations to this effect were made on 7 March by <name key="name-028893" type="organisation">DDMS</name> <name key="name-004368" type="organisation">2 NZEF</name>, but were not supported by DMS MEF on the ground that the medical units were unlikely to be urgently required.</p>
            <p rend="indent"><hi rend="i">Consultants:</hi> There were no consultants attached to the forces in <name key="name-002294" type="place">Greece</name>. It had been planned to have the Australian consultants, Colonels N. H. Fairley and Hailes, attached to headquarters at <name key="name-000608" type="place">Athens</name>, but they did not go to <name key="name-002294" type="place">Greece</name>. Their advice would have been valuable in the placing of the hospitals and the co-ordination of the clinical work of the medical units.</p>
          </div>
          <div n="2" xml:id="c4-21-2">
            <head>2. <hi rend="i">Undesirability of 600-Bed General Hospitals as L of C Units</hi></head>
            <p rend="indent">In the opinion of senior officers in the New Zealand force, the placing of the highly organised and elaborately equipped base hospitals as L of C units 200 miles from <name key="name-000608" type="place">Athens</name> was undesirable. The New Zealand General Hospital was adequately staffed, and very well equipped, as a stationary base hospital, with a full quota of sisters and a special bacteriological laboratory. The only location where this hospital could service the New Zealand force as a base hospital was in the region of <name key="name-000608" type="place">Athens</name>, where it would have been handy for the evacuation of cases by hospital ship.</p>
            <p rend="indent">It is likely that the decision to use the hospitals as L of C units was influenced by the difficulty of evacuation by a single-track and
<pb n="144" xml:id="n144"/>
very vulnerable railway, and by the possible inability of the two CCSs to cope with the work in the forward areas.</p>
            <p rend="indent">The authorities were influenced, no doubt, in their decision to place the two 600-bed hospitals in 81 Base Sub-Area, by the fact that there were no other hospitals available, the smaller units of the old 200-bed type being no longer considered of value in the Army. There were also only two CCSs, so that no unit of that type was available on the L of C over and above what was required to carry out the urgent surgery. The 26th General Hospital was well established in <name key="name-000608" type="place">Athens</name>, and 2/5 Australian Hospital was to arrive later and would be available to supplement <name key="name-027447" type="organisation">26 General Hospital</name> at the base.</p>
            <p rend="indent">It was therefore decided that <name key="name-028359" type="place">1 NZ General Hospital</name> and 2/6 Australian General Hospital should be used as L of C hospitals, and, however unfortunate the decision may have been, especially for the New Zealand unit, perhaps it was inevitable. There was no CCS in <name key="name-004368" type="organisation">2 NZEF</name> at the time available for use as a staging unit on the lines of communication.</p>
            <p rend="indent">It must be realised that the <name key="name-028893" type="organisation">DDMS</name> BTG had been in <name key="name-002294" type="place">Greece</name> only a short time and that the only advice available to him was that of an advance body, including a physician but no surgeon. As to the <name key="name-004368" type="organisation">2 NZEF</name>, the ADMS NZ Division had no control over <name key="name-028359" type="place">1 NZ General Hospital</name>, and the DMS <name key="name-004368" type="organisation">2 NZEF</name> did not arrive in <name key="name-002294" type="place">Greece</name> until some time after the question of the disposition of the hospital had been settled. The siting of <name key="name-028359" type="place">1 NZ General Hospital</name> in 81 Base Sub-Area made it impossible for <name key="name-004368" type="organisation">2 NZEF</name> to handle its own casualties at the base, and relegated the hospital itself to the role of an L of C unit, its main function being the staging of cases not able to be sent direct from the CCS to <name key="name-000608" type="place">Athens</name>, and the retention of minor cases able to be discharged back to the Division. Only in case of the interruption of communication by possible bombing or sabotage of the railway would the hospital have functioned as a base hospital, and then its own supply and communications would have been difficult. Realisation of this situation caused a great deal of discontent among members of the unit, to whom were not explained the reasons which determined the decision of the Higher Command.</p>
            <p rend="indent">The surgical divisional officer of <name key="name-028359" type="place">1 NZ General Hospital</name> gave as his opinion, following the Greek campaign, that the <name key="name-004368" type="organisation">2 NZEF</name> should have as medical units under such circumstances: (1) Field ambulances as then constituted; (2) a CCS, with extra teams from base hospitals, or with the <name key="name-023216" type="organisation">Mobile Surgical Unit</name> as a light section; and (3) a base hospital where medical boarding and reclassification could be carried out.</p>
            <p rend="indent">He further recommended that all surgical units situated away from the base should be small units, as mobile as possible, and should not
<pb n="145" xml:id="n145"/>
be called upon to deal with large numbers of minor cases. Adequate transport should be provided and, if possible, units should be self-contained, either individually or in groups, as regards transport.</p>
            <p rend="indent">He suggested that the minor cases on the lines of communication should be dealt with by a much less elaborate medical unit, and that an advanced base camp was desirable where cases could be held following discharge. (At one time patients who would have very soon been fit for return to their combatant units were discharged from 1 General Hospital, <name key="name-004543" type="place">Pharsala</name>, to Base Camp, <name key="name-000608" type="place">Athens</name>.)</p>
          </div>
          <div n="3" xml:id="c4-21-3">
            <head>3. <hi rend="i">Mobility of Forward Medical Units</hi></head>
            <p rend="indent">It was stressed by all the divisional medical officers, especially the field ambulance commanders, that the transport on their ordnance equipment was not sufficient to enable the unit to carry all its personnel and equipment, as well as to provide room for casualties to be evacuated during the retreat. The unit had often to be moved in relays by sending back unit transport, and with the congested condition of the roads, crammed with the retreating army, this was very difficult. Although the position was greatly relieved by the detachment of ambulances to all the units by the Australian MAC, yet further transport was deemed to be essential for the future. No. 1 New Zealand General Hospital had no transport and, though a few trucks and ambulances were attached at <name key="name-004543" type="place">Pharsala</name>, the unit was in a helpless position at the time of the withdrawal, being entirely dependent on the unstable railway system. It was strongly held that all forward medical units should be self-contained as regards transport, and that no medical unit should be placed in the forward areas without it.</p>
          </div>
          <div n="4" xml:id="c4-21-4">
            <head>4. <hi rend="i">Rapid Establishment of Field Ambulances</hi></head>
            <p rend="indent">Fortunately, all the field ambulances had had considerable practice in setting up and dismantling their units and this stood them in good stead in <name key="name-002294" type="place">Greece</name>. If proof of the desirability of their training had been required, it was quickly given in <name key="name-002294" type="place">Greece</name>. In this connection the tarpaulin shelters attached to the 30-cwt trucks, as designed by 4 Field Ambulance in <name key="name-002106" type="place">Egypt</name>, proved to be eminently suited to the conditions in <name key="name-002294" type="place">Greece</name>, being readily handled and particularly adaptable to blackout conditions.</p>
          </div>
          <div n="5" xml:id="c4-21-5">
            <head>5. <hi rend="i">Grouping of Medical Convoys</hi></head>
            <p rend="indent">It was quite impossible to separate the medical from the other convoys on the crowded roads and the <name key="name-027417" type="organisation">Red Cross</name> markings on the ambulances were too small and indistinct. This meant that the medical units and their patients were subjected to the harassing and
<pb n="146" xml:id="n146"/>
dangerous attention of the German air force, and it was found imperative to rely on darkness for protection. A great strain was thus thrown on the drivers, but they came through the ordeal satisfactorily. Large Red Crosses on tops of vehicles were found to be necessary for protection against air attack.</p>
          </div>
          <div n="6" xml:id="c4-21-6">
            <head>6. <hi rend="i">Wireless Communication between Medical Units</hi></head>
            <p rend="indent">At times patients were sent off by ambulance from the MDS to a CCS or other unit and it was found on arrival that the unit had moved back, with no indication as to the subsequent location. It was felt that wireless communication between units would have been of great assistance.</p>
          </div>
          <div n="7" xml:id="c4-21-7">
            <head>7. <hi rend="i">Unreliability of Civil Employees in Foreign Countries</hi></head>
            <p rend="indent">There was a complete breakdown in the railway administration early in the retreat, and this might have led to very serious consequences. In future, this probable eventuality must be taken into account.</p>
          </div>
          <div n="8" xml:id="c4-21-8">
            <head>8. <hi rend="i">The Geneva Convention</hi></head>
            <p rend="indent">At the outset of the campaign there was a very general opinion that the German Army would not respect the <name key="name-027417" type="organisation">Red Cross</name> if displayed by our medical units. It is difficult to trace the origin of this belief, but it undoubtedly existed and led to unnecessary difficulties in the forward medical units. Partly because of this, the forward ADSs and MDSs were placed in positions chosen for their obscurity and camouflage value and the possibility of sinking the tent floors below ground level. There were no large Red Crosses displayed on the roofs of ambulances. As a result medical units were subjected to bombing and machine-gunning from the air. As the short campaign proceeded it was learnt that the Germans did respect the <name key="name-027417" type="organisation">Red Cross</name>.</p>
            <p rend="indent">Fifth Field Ambulance stated that on 15 April the enemy appeared to recognise the <name key="name-027417" type="organisation">Red Cross</name>, and that the MDS was untouched, but the ADS—purposely not marked because of the proximity to combatant units—was bombed and machine-gunned. The hospital at <name key="name-027554" type="place">Kamena Voula</name> was not molested. This so impressed the commanding officer that he left a supply of medical equipment, with a note to the German airmen thanking them for respecting the <name key="name-027417" type="organisation">Red Cross</name>. Fourth Field Ambulance did not make use of the <name key="name-027417" type="organisation">Red Cross</name>, but dug in its dressing stations efficiently. Sixth Field Ambulance did not use the <name key="name-027417" type="organisation">Red Cross</name> until south of <name key="name-001392" type="place">Thermopylae</name>. No. 1 General Hospital did not display the <name key="name-027417" type="organisation">Red Cross</name> except on the
<pb n="147" xml:id="n147"/>
unit flag. The unit was bombed and machine-gunned. No protection was possible to such a unit except the Geneva Convention.</p>
            <p rend="indent">There can be no doubt that the Germans did respect the <name key="name-027417" type="organisation">Red Cross</name> if it was adequately displayed, and that was the most important lesson learned from the campaign.</p>
          </div>
          <div n="9" xml:id="c4-21-9">
            <head>9. <hi rend="i">The Stabilisation of Medical Units</hi></head>
            <p rend="indent">The necessity for the medical arm to have full appreciation of the strategical possibilities, and not to stabilise medical units unless conditions warranted it, was fully borne out in <name key="name-002294" type="place">Greece</name>.</p>
            <p rend="indent">There was an unreal atmosphere at 81 Base Sub-Area at the beginning of the campaign. Arrangements were being made for work to be done by the Area engineers, and contracts were let to Greek civilians, on a basis which visualised a stable front for a very long period. At <name key="name-028359" type="place">1 NZ General Hospital</name> arrangements were made for permanent buildings built of stone, including a complete operating and X-ray block, and a contract was let to a Greek builder. There seemed to be a complete lack of appreciation of the possibilities that lay ahead of the British forces. Possibly the same lack of appreciation was present to some extent at the base, and maybe it was brought about by the secrecy of the Higher Command in a delicate diplomatic situation.</p>
          </div>
          <div n="10" xml:id="c4-21-10">
            <head>10. <hi rend="i">Base Organisation of <name key="name-004368" type="organisation">2 NZEF</name></hi></head>
            <p rend="indent">There appeared to be some lack of proper organisation as far as the base in <name key="name-000608" type="place">Athens</name> was concerned, and there was no medical representative on the New Zealand base organisation. The Australians had a medical officer at Base Headquarters who proved of great value.</p>
            <p rend="indent">Under instructions from <name key="name-028893" type="organisation">DDMS</name> BTG, personnel of <name key="name-028359" type="place">1 NZ General Hospital</name> were detailed for duty at <name key="name-027447" type="organisation">26 General Hospital</name> and also to staff a convalescent depot at <name key="name-016325" type="place">Voula</name>, at a time when the evacuation of <name key="name-002294" type="place">Greece</name> had been decided upon. The evacuation had been definitely determined by Generals Wavell and Wilson on 19 April. The decision was kept secret because of the fear of its effect on the morale of the Greeks, especially the civilian population, and the possibility that there might be some interference with the arrangements for evacuation. The Greek higher command, however, was in favour of the evacuation in order to save unnecessary damage and loss of life. The attitude of the Greeks when evacuation was actually taking place belied the fears of the British staffs.</p>
            <p rend="indent">The main body of <name key="name-028359" type="place">1 NZ General Hospital</name> embarked on 19 April in the afternoon, yet part of its personnel was left behind to run a
<pb n="148" xml:id="n148"/>
convalescent camp under command of <name key="name-029076" type="organisation">80 Base Sub-Area</name>. The New Zealand Reinforcement Camp was also situated at <name key="name-016325" type="place">Voula</name>.</p>
            <p rend="indent">In retrospect, it might have been possible, if the base authorities could have been informed of the position earlier, to have evacuated from the <name key="name-000608" type="place">Athens</name> area both the New Zealand personnel in the reinforcement camp and the convalescents and medical staff from the convalescent camp by the same convoy on which the staff of <name key="name-028359" type="place">1 NZ General Hospital</name> was taken to <name key="name-002106" type="place">Egypt</name>.</p>
          </div>
          <div n="11" xml:id="c4-21-11">
            <head>
              <hi rend="i">Evacuation from <name key="name-002294" type="place">Greece</name>—Action taken in Egypt</hi>
            </head>
            <p rend="indent">On 19 April <name key="name-028893" type="organisation">DDMS</name> <name key="name-004368" type="organisation">2 NZEF</name> offered DMS MEF medical officers for duty on ships which were being sent to help in the evacuation of the troops from <name key="name-002294" type="place">Greece</name>. The offer was declined, but it was repeated on the 20th and again on the 21st. Colonel MacCormick stressed the importance of having New Zealand personnel on the evacuation ships and of providing comforts for the troops when they landed in <name key="name-002106" type="place">Egypt</name>.</p>
            <p rend="indent">On the 22nd he was informed of the decision to evacuate <name key="name-002294" type="place">Greece</name>, and at a conference at GHQ MEF that evening the whole position was discussed and arrangements made for the despatch of medical officers and other ranks on the troop-carriers. Later, the <name key="name-028893" type="organisation">DDMS</name> <name key="name-000576" type="place">Alexandria</name> area asked for six medical officers and twelve medical orderlies at <name key="name-000576" type="place">Alexandria</name>, and DMS MEF requested that six medical officers and twelve medical orderlies be sent to <name key="name-001387" type="place">Port Said</name>. Both groups were promptly despatched to the ports and were embarked for duty on transports. Medical posts were set up at the disembarkation camps at <name key="name-009139" type="place">Amiriya</name>, and at <name key="name-026653" type="place">Tahag</name> on the <name key="name-003897" type="place">Ismailia</name> road; a large reception station was also set up at <name key="name-001387" type="place">Port Said</name> and a small port section at <name key="name-000576" type="place">Alexandria</name>.</p>
            <p rend="indent">All the transports on which New Zealand medical personnel were embarked proceeded to <name key="name-002294" type="place">Greece</name> and back safely except for the <hi rend="i"><name key="name-207151" type="ship">Slamat</name></hi> which, on its return journey from <name key="name-002294" type="place">Greece</name> on 27 April, was attacked by machine-gun fire from the air at 6.30 a.m. The evacuation had been slowed up by the obstruction of the channel by the <hi rend="i"><name key="name-207127" type="ship">Ulster Prince</name></hi>, which had been bombed and sunk the night before. While the two New Zealand medical officers on board were proceeding towards the bridge to give medical aid an incendiary bomb struck the ship. The troops launched the lifeboats and these, too, were machine-gunned by the enemy. Some of the men were taken on board a destroyer. This destroyer was torpedoed at 2.30 p.m. that day. There was only one survivor of the New Zealand medical duty party of eight.<note xml:id="ftn1-148" n="1"><p>There were only 50 survivors out of 1000 personnel, naval and army.</p></note> The two medical officers, Captain <name key="name-026837" type="person">Douglas</name><note xml:id="ftn2-148" n="2"><p><name key="name-026837" type="person">Capt L. Douglas</name>; born <name key="name-120134" type="place">Oamaru</name>, <date when="1901-08-02">2 Aug 1901</date>; surgeon; medical officer <name key="name-011448" type="organisation">2 Gen Hosp</name> May 1940-Apr 1941; killed in action <date when="1941-04-27">27 Apr 1941</date>.</p></note>
<pb n="149" xml:id="n149"/>
and Lieutenant <name key="name-026982" type="person">Newlands</name>,<note xml:id="ftn1-149" n="1"><p><name key="name-026982" type="person">Lt J. W. Newlands</name>; born <name key="name-120134" type="place">Oamaru</name>, <date when="1915-08-17">17 Aug 1915</date>; medical practitioner; medical officer <name key="name-004203" type="place">Maadi Camp</name>, <date when="1941">1941</date>; killed in action <date when="1941-04-27">27 Apr 1941</date>.</p></note> were the first of the small number of medical officers to be killed in action.</p>
            <p rend="indent">At the conference at GHQ MEF on 22 April it was decided that, owing to lack of transport facilities, it would not be possible to deviate from arrangements that severe casualties of all forces, including New Zealanders, would be held in hospitals at <name key="name-000576" type="place">Alexandria</name> or the Canal area. Light cases would be sent to <name key="name-003601" type="place">Cairo</name> area as soon as transport arrangements permitted.</p>
            <p rend="indent">For the New Zealand casualties it was arranged that all officers and surgical cases would be admitted to 2 NZ General Hospital and all medical cases to 3 NZ General Hospital. Following this decision, some 130 medical cases were transferred from 2 General Hospital to 3 General Hospital, the first patients that hospital had received. No. 2 General Hospital was thus prepared to receive battle casualties as soon as they were transferred from hospitals on the coast. The 1st NZ <name key="name-023066" type="organisation">Convalescent Depot</name> was emptied as far as possible and extra tentage erected so that light cases could be admitted.</p>
            <p rend="indent">In view of the fact that most of the New Zealand troops, including lightly wounded, went to <name key="name-003325" type="place">Crete</name>, and that seriously wounded men remained in hospital in <name key="name-000608" type="place">Athens</name>, these arrangements for the reception of troops proved ample. There was a low incidence of wound infection and no strain was thrown on 2 General Hospital, the only properly equipped New Zealand general hospital in <name key="name-002106" type="place">Egypt</name> at the time, as 3 General Hospital was still awaiting the arrival of its equipment from <name key="name-004019" type="place">England</name>. The New Zealand troops evacuated to <name key="name-002106" type="place">Egypt</name> were mainly from 6 Brigade, with 4 Field Ambulance attached, all three artillery regiments, and the anti-tank regiment. Most of the battle casualties were taken directly to British hospitals in <name key="name-000576" type="place">Alexandria</name> and the Canal Zone. The first patients from <name key="name-002294" type="place">Greece</name> received by 2 General Hospital (apart from the injured nursing sisters of 1 General Hospital who arrived on 1 May via <name key="name-003325" type="place">Crete</name>) were a convoy of 131, mostly transferred from British hospitals in the Canal Zone on 20 May. Altogether, some 300 casualties were ultimately admitted to 2 and 3 NZ General Hospitals from <name key="name-002294" type="place">Greece</name>.</p>
            <p rend="indent">Contrary to expectations the condition of the troops themselves on arrival was remarkably good, and there were few cases of exhaustion and nervous breakdown. A divisional rest station was established at <name key="name-000936" type="place">Helwan Camp</name> and allowance made there for 600 cases, but only some thirty were admitted.</p>
            <p rend="indent"><name key="name-027417" type="organisation">Red Cross</name> stores sent by the Joint Council from New Zealand had proved invaluable at the ports of disembarkation and in the medical units for the tired men, just as they were to do later for the more severely exhausted men from <name key="name-003325" type="place">Crete</name>.</p>
            <pb n="150" xml:id="n150"/>
            <p rend="indent">As they left <name key="name-002294" type="place">Greece</name> the New Zealanders were very tired—mentally and physically exhausted by long days and longer nights of constant strain. They were bitter about the tragedy they had been unable to prevent, the enemy occupation of <name key="name-002294" type="place">Greece</name>. But they were not beaten. Only once in the campaign had they withdrawn before the scheduled time, and on that occasion they were overwhelmed by superior numbers. Unfortunately, the struggle to hold <name key="name-003325" type="place">Crete</name> was to take place on even more unequal terms.</p>
            <p rend="indent">The campaign in <name key="name-002294" type="place">Greece</name> put our medical units and personnel, as yet inexperienced in active warfare, to a severe test. They were called upon suddenly to cope with very difficult conditions of terrain and with a rapid and continually harassed withdrawal before an enemy infinitely superior in numbers and equipment, and with unchallenged command of the air. They had to be evacuated under cover of darkness from many beaches in southern <name key="name-002294" type="place">Greece</name>, taking their patients with them as they went and leaving behind their valuable equipment. They were called upon to improvise and evolve new methods of coping with the unusual conditions. They did this with great success, and laid the foundations for their future efficiency which was unquestioned throughout the war.</p>
            <p rend="indent">Fortunately, there was little or no disease to cope with and the wounded could all be evacuated to the base, and many were taken off with the units to <name key="name-003325" type="place">Crete</name>. There were some errors of judgment, due to ignorance, such as the failure to display the <name key="name-027417" type="organisation">Red Cross</name> adequately, but no lack of meticulous attention to the wounded men.</p>
            <p>
              <table rows="12" cols="4">
                <head><hi rend="i">Casualties in Medical Units</hi><lb/>
(Officers in brackets)</head>
                <row>
                  <cell rend="center">
                    <hi rend="i">Unit</hi>
                  </cell>
                  <cell rend="center">
                    <hi rend="i">Killed</hi>
                  </cell>
                  <cell rend="center">
                    <hi rend="i">Wounded</hi>
                  </cell>
                  <cell rend="center">
                    <hi rend="i">
                      <name key="name-110072" type="work">Prisoners of War</name>
                    </hi>
                  </cell>
                </row>
                <row>
                  <cell>4 Field Ambulance</cell>
                  <cell>1</cell>
                  <cell>2</cell>
                  <cell>(1)16</cell>
                </row>
                <row>
                  <cell>5 Field Ambulance</cell>
                  <cell/>
                  <cell>2</cell>
                  <cell>20</cell>
                </row>
                <row>
                  <cell>6 Field Ambulance</cell>
                  <cell/>
                  <cell>1</cell>
                  <cell>7</cell>
                </row>
                <row>
                  <cell>RMOs</cell>
                  <cell/>
                  <cell/>
                  <cell>(1)</cell>
                </row>
                <row>
                  <cell>1 General Hospital</cell>
                  <cell>2</cell>
                  <cell/>
                  <cell>(4)57</cell>
                </row>
                <row>
                  <cell>2 General Hospital</cell>
                  <cell>(1)<note xml:id="ftn1-150" n="*"><p>In sinking of <hi rend="i"><name key="name-207151" type="ship">Slamat</name></hi></p></note></cell>
                  <cell/>
                  <cell/>
                </row>
                <row>
                  <cell>Maadi Camp Hospital<!-- Camp Hospital, Maadi --></cell>
                  <cell>(1)4<note sameAs="#ftn1-150"/></cell>
                  <cell/>
                  <cell/>
                </row>
                <row>
                  <cell>4 Field Ambulance</cell>
                  <cell>1<note sameAs="#ftn1-150"/></cell>
                  <cell/>
                  <cell/>
                </row>
                <row>
                  <cell/>
                  <cell>——</cell>
                  <cell>——</cell>
                  <cell>——</cell>
                </row>
                <row>
                  <cell/>
                  <cell>(2)8</cell>
                  <cell>5</cell>
                  <cell>(6)100</cell>
                </row>
                <row>
                  <cell/>
                  <cell>——</cell>
                  <cell>——</cell>
                  <cell>——</cell>
                </row>
              </table>
            </p>
            <p>
              <table rows="6" cols="2">
                <head>
                  <hi rend="i">Casualties in New Zealand Division</hi>
                </head>
                <row>
                  <cell>Killed (including died of wounds)</cell>
                  <cell>261</cell>
                </row>
                <row>
                  <cell>Prisoners of war (including died of wounds while p.w.)</cell>
                  <cell>
                    <date when="1856">1856</date>
                  </cell>
                </row>
                <row>
                  <cell>Wounded (safe)</cell>
                  <cell>387</cell>
                </row>
                <row>
                  <cell/>
                  <cell>——</cell>
                </row>
                <row>
                  <cell/>
                  <cell>2504</cell>
                </row>
                <row>
                  <cell/>
                  <cell>——</cell>
                </row>
              </table>
            </p>
          </div>
        </div>
      </div>
      <pb n="151" xml:id="n151"/>
      <div type="chapter" n="5" xml:id="c5">
        <head>CHAPTER 5<lb/>
<name key="name-003325" type="place">Crete</name></head>
        <div type="section" xml:id="c5-0">
          <p>THE New Zealand troops who were evacuated from <name key="name-002294" type="place">Greece</name> were taken to the island of <name key="name-003325" type="place">Crete</name>, except 6 Infantry Brigade which proceeded to <name key="name-002106" type="place">Egypt</name>. From the afternoon of Anzac Day, <date when="1941-04-25">25 April 1941</date>, until the arrival on 1 May of the last-planned evacuation, convoys from <name key="name-002294" type="place">Greece</name> moved into the harbour at <name key="name-001363" type="place">Suda Bay</name>. The ships which embarked the troops from the various harbours in southern <name key="name-002294" type="place">Greece</name> on the night of 24–25 April joined up in one convoy which arrived at <name key="name-001363" type="place">Suda Bay</name> on the afternoon of 25 April. Among the nine ships of this convoy were the destroyers HMAS <hi rend="i"><name key="name-207114" type="ship">Voyager</name></hi> and <name key="name-110475" type="ship">HMS <hi rend="i">Calcutta</hi></name> and the troop-carrier <hi rend="i"><name key="name-207116" type="ship">Glengyle</name></hi>, all of which had New Zealand medical units on board, including ADMS NZ Division and his staff, 5 Field Ambulance, 6 Field Ambulance, 4 Field Hygiene Section, and also the matron and fifty-one sisters from 1 General Hospital. None of the units was up to full strength, but in subsequent days some groups left behind in <name key="name-002294" type="place">Greece</name> rejoined their parent units, while small parties from 4 Field Ambulance and 1 General Hospital also found their way to <name key="name-003325" type="place">Crete</name>, some in Greek caiques and rowing boats.</p>
          <p rend="indent">Upon disembarkation the British, Australian, and New Zealand nursing sisters, totalling 150, were taken to 7 General Hospital while the troops marched to a transit camp near <name key="name-004533" type="place">Perivolia</name>, a distance of 6 miles inland from the port of <name key="name-004798" type="place">Suda</name>. Along the road leading to this camp was a refreshment centre operated by the <name key="name-024428" type="organisation">Welch Regiment</name>, part of the garrison of <name key="name-003325" type="place">Crete</name>. From this improvised canteen free issues were made of tea, biscuits, chocolate, oranges, and cigarettes, which were a godsend to the weary and hungry troops. It was the morning of 26 April before all of the many parties had arrived at the transit camp.</p>
          <p rend="indent">At <name key="name-004533" type="place">Perivolia</name> camp there were unit mustering sites, 5 and 6 Field Ambulances being located in one medical concentration area where, with a scanty supply of medical stores, treatment and dressings were given to the slightly injured among the nearby New Zealand troops. The 4th Field Hygiene Section was also quartered in the area and later moved out with 5 Field Ambulance.</p>
          <p rend="indent">When our troops landed on <name key="name-003325" type="place">Crete</name> the spring weather was warm but the nights were cold and dewy, and those without blankets on
<pb n="152" xml:id="n152"/>
the first night awoke not a little damp and stiff next morning for any further march to dispersal areas. Of the Cretan rivers only the <name key="name-004554" type="place">Platanias</name> carried any volume of water, and New Zealand units enjoyed its refreshingly cool waters after a dusty march from <name key="name-001363" type="place">Suda Bay</name>. In <name key="name-000735" type="place">Canea</name> the produce market was but scantily supplied for the needs of a greatly increased local population swollen by refugees from the mainland, and soon after the arrival of the troops eating-houses were more or less restricted to civilians as supplies were short.</p>
        </div>
        <div type="section" n="1" xml:id="c5-1">
          <head>
            <hi rend="i">British General Hospital</hi>
          </head>
          <p rend="indent">The only military hospital on the island was 7 General Hospital—a 600-bed tented hospital established only a week before. This was situated on a promontory on the seashore about 2 ½ miles west of <name key="name-000735" type="place">Canea</name>, the site having been selected long before it was apparent that <name key="name-003325" type="place">Crete</name> would be invaded. There was a fairly large stretch of level, open land leading inland from the beach to the main coastal road from <name key="name-000735" type="place">Canea</name> to <name key="name-004213" type="place">Maleme</name>, and the hospital tents were widely dispersed in the area close to the road. The tents for the staff were placed nearer the sea. On the shore were several large caves capable of holding a considerable number of men.</p>
          <p rend="indent">The hospital accommodation at 7 General Hospital was quite inadequate to deal with all the wounded arriving from <name key="name-002294" type="place">Greece</name>, and in the early stages hundreds of men were sheltered under olive trees in transit camps, where dressings and treatment were undertaken by field ambulances. Besides 5 and 6 Field Ambulances, there were three Australian and two British field ambulances from <name key="name-002294" type="place">Greece</name> and also 189 Field Ambulance. The last-named had been stationed in <name key="name-003325" type="place">Crete</name> for a considerable period and was the only field ambulance with a stock of medical equipment, as the medical units from <name key="name-002294" type="place">Greece</name> had little equipment and no transport.</p>
        </div>
        <div type="section" n="2" xml:id="c5-2">
          <head>
            <hi rend="i">Initial New Zealand Arrangements</hi>
          </head>
          <p rend="indent">On 26 April Colonel Kenrick went to <name key="name-003325" type="place">Crete</name> Force headquarters to make medical arrangements, and, having acquainted himself with the overall medical situation, instructed 6 Field Ambulance to open a dressing station at <name key="name-004533" type="place">Perivolia</name> transit camp and evacuate serious cases to 7 General Hospital. As 5 Infantry Brigade Group was to move out on the following day to occupy a defensive position on high ground some 6 miles west of <name key="name-000735" type="place">Canea</name>, 5 Field Ambulance was detailed to service this brigade.</p>
          <p rend="indent">During the night some 400 walking wounded arrived at 6 MDS without warning, and in many cases their dressings had not been changed for a week. These men were all treated, the ADMS of the
<pb n="153" xml:id="n153"/>
<name key="name-003325" type="place">Crete</name> garrison having provided two tents and two surgical panniers, and additional dressings were obtained from 189 Field Ambulance. More than 700 casualties were treated in twenty-four hours.</p>
          <p rend="indent">On the morning of 27 April 5 Field Ambulance marched 8 miles to <name key="name-002869" type="place">Ay Marina</name>, west of <name key="name-000735" type="place">Canea</name> on the coast, and set up a skeleton MDS. The New Zealand force in <name key="name-003325" type="place">Crete</name> had taken up defensive positions from <name key="name-000735" type="place">Canea</name> to <name key="name-004213" type="place">Maleme</name> against invasion by air and sea. The 4th Field Hygiene Section had been attached to 5 Field Ambulance, and one staff-sergeant and 20 orderlies from 1 General Hospital, who had escaped to <name key="name-003325" type="place">Crete</name> after the bulk of their unit had gone to <name key="name-002106" type="place">Egypt</name>, were also attached for the move. On the arrival of the ambulance at <name key="name-002869" type="place">Ay Marina</name> these orderlies were posted to 7 General Hospital.</p>
          <p rend="indent">One company of 6 Field Ambulance also moved on 27 April and established an MDS for <name key="name-024335" type="organisation">4 Infantry Brigade</name> right at the junction of the <name key="name-000735" type="place">Canea</name> and <name key="name-002045" type="place">Galatas</name> roads, not far from 7 General Hospital, and arrangements were made for 6 Field Ambulance to supply 24 nursing orderlies and 30 general duty men for daily duty at 7 General Hospital. On the following day, after 168 Light Field Ambulance had taken over the dressing station at <name key="name-004533" type="place">Perivolia</name>, the remainder of 6 Field Ambulance moved out and joined the rest of the unit.</p>
          <p rend="indent">The weather was fine at this stage but the nights were cold. All ranks lived in olive groves; most of the troops were near enough to the coast to be able to enjoy a swim, and to some extent were able to relax and recuperate after the ordeal of the final days in <name key="name-002294" type="place">Greece</name>.</p>
        </div>
        <div type="section" n="3" xml:id="c5-3">
          <head>
            <hi rend="i"><name key="name-023814" type="organisation">NZANS</name> at 7 General Hospital</hi>
          </head>
          <p rend="indent">On their arrival at 7 General Hospital the New Zealand sisters immediately volunteered for duty and were posted to the nursing staff. The Matron of 1 General Hospital (Miss Mackay) was asked to take charge of all the nurses, including British and Australian sisters who had also arrived from <name key="name-002294" type="place">Greece</name>. When ADMS NZ Division visited the hospital on 26 April he ascertained that the Officer Commanding wished to retain the services of the New Zealand sisters as his own nursing sisters had not arrived from <name key="name-002106" type="place">Egypt</name>. Colonel Kenrick informed him that the New Zealand sisters must proceed to <name key="name-002106" type="place">Egypt</name> at the first available opportunity, but that they would work at the hospital in the meantime.</p>
          <p rend="indent">Miss Mackay had taken up the duties of Matron of 7 General Hospital and organised the nursing staff from all the available nurses with outstanding success. The hospital was then receiving 300 to 400 patients daily. With her cheerfulness, tact, and coolness at the most difficult times, the matron set a standard which could
<pb n="154" xml:id="n154"/>
not fail to be an inspiration to all who were associated with her. All the nurses, including those who had been injured in the truck accident in <name key="name-002294" type="place">Greece</name>, frequently had to take shelter in crops and under olive trees during air raids, but not one of them offered a complaint. In fact, it was difficult to persuade anyone to admit an injury. Excellent work was also done by Sister Jackson<note xml:id="ftn1-154" n="1"><p>Matron Miss M. E. Jackson, RRC; born <name key="name-002817" type="place">Auckland</name>, <date when="1900-01-11">11 Jan 1900</date>; sister, Auckland Hospital; sister <name key="name-011447" type="organisation">1 Gen Hosp</name> May 1940–Apr 1942; charge sister <name key="name-011449" type="organisation">3 Gen Hosp</name> Apr 1942–Nov 1943; Matron <name key="name-011449" type="organisation">3 Gen Hosp</name> Nov 1943–Jul 1945.</p></note> in charge of the operating theatre. The surgical wards and theatres were staffed entirely by New Zealand nurses, and the officer in charge of the surgical division stated that he had never been so well served by any other theatre staff either in civilian practice or in the Army.</p>
        </div>
        <div type="section" n="4" xml:id="c5-4">
          <head>
            <hi rend="i">Departure of <name key="name-023814" type="organisation">NZANS</name></hi>
          </head>
          <p rend="indent">On 28 April New Zealand <name key="name-006644" type="place">Divisional Headquarters</name> moved to a new site in <name key="name-002045" type="place">Galatas</name>, a village about a mile and a half south-west of the hospital, and the New Zealand nursing sisters were moved into billets in the village as they had vacated their tents at 7 General Hospital to make room for patients the previous night and had themselves slept on the ground.</p>
          <p rend="indent">The stay of the sisters at <name key="name-002045" type="place">Galatas</name> was short, for they were called at four o'clock the following morning and taken by truck to <name key="name-001363" type="place">Suda Bay</name>. Here, with 130 British and Australian nurses and some 500 walking wounded and 200 troops, they embarked during the early morning on the small Greek ship <hi rend="i">Ionia</hi>. The crew, fearful of air raids, had fled to the hills, so volunteers from among the troops manned the ship. Australians were in charge and gave the sisters the few available cabins. The voyage to <name key="name-002106" type="place">Egypt</name> was a slow one and the first night was one of apprehension, for there were enemy attacks; but later the ship joined up in convoy with a naval escort and the rest of the voyage was uneventful, <name key="name-000576" type="place">Alexandria</name> being reached on 1 May.</p>
          <p rend="indent">The decision to evacuate the nursing sisters forthwith to <name key="name-002106" type="place">Egypt</name> was both prompt and wise, as their presence during the attack would have created much anxiety and trouble to the command—more than their valuable services warranted.</p>
        </div>
        <div type="section" n="5" xml:id="c5-5">
          <head>
            <hi rend="i">Belated Arrivals</hi>
          </head>
          <p rend="indent">Until the end of April large bodies of troops were still arriving from <name key="name-002294" type="place">Greece</name>. On 28 April 6 officers and 57 men rejoined their unit, 5 Field Ambulance, at <name key="name-002869" type="place">Ay Marina</name>. At the embarkation beach at <name key="name-001232" type="place">Porto Rafti</name> on the night of 24–25 April they had boarded a tank landing craft too late to reach the ships of the convoy, which had put
<pb n="155" xml:id="n155"/>
to sea. The naval authorities sent the party in the landing craft to the small island of Kea offshore, whence they were taken back to <name key="name-001232" type="place">Porto Rafti</name> in a tank landing craft on the evening of 26 April and put aboard HMS <hi rend="i"><name key="name-207135" type="ship">Carlisle</name></hi>, which put them ashore at <name key="name-001363" type="place">Suda Bay</name> on 27 April. The NCO and 16 men from 4 Field Ambulance who had been attached to 2/1 Australian Field Ambulance, which was serving with <name key="name-024335" type="organisation">4 Infantry Brigade</name> at the time of the final withdrawal in <name key="name-002294" type="place">Greece</name>, embarked at <name key="name-001232" type="place">Porto Rafti</name> on the night of 26–27 April on a destroyer and landed on <name key="name-003325" type="place">Crete</name> the following day. They were sent to 6 Field Ambulance and became members of the groups on duty at 7 General Hospital, whence they accompanied to <name key="name-002106" type="place">Egypt</name> the wounded who were evacuated by the hospital ship <hi rend="i">Aba</hi> on 5 May. An officer of 1 General Hospital, Captain Kirk, reached <name key="name-003325" type="place">Crete</name> on 29 April in a small boat, having been three nights and two days en route. A party of twenty-one members of 1 General Hospital, on duty at <name key="name-027447" type="organisation">26 General Hospital</name>, <name key="name-015942" type="place">Kifisia</name>, and the Convalescent Hospital at <name key="name-016325" type="place">Voula</name>, also escaped to <name key="name-003325" type="place">Crete</name> and on their arrival were sent to 7 General Hospital, where they performed valuable service.</p>
          <p rend="indent"><name key="name-207994" type="person">Major-General Freyberg</name> arrived from <name key="name-002294" type="place">Greece</name> on 29 April, having been embarked on HMS <hi rend="i"><name key="name-207110" type="ship">Ajax</name></hi> at <name key="name-012569" type="place">Monemvasia</name> the previous night with the last detachments of New Zealand troops to be withdrawn under the Navy's organised evacuation. Fourth Field Ambulance had also been aboard HMS <hi rend="i"><name key="name-207110" type="ship">Ajax</name></hi>, but on arrival at <name key="name-001363" type="place">Suda Bay</name> was transferred to the <hi rend="i"><name key="name-009753" type="place">Thurland Castle</name></hi> which took it to <name key="name-002106" type="place">Egypt</name>.</p>
        </div>
        <div type="section" n="6" xml:id="c5-6">
          <head>
            <hi rend="i">Health of Troops</hi>
          </head>
          <p rend="indent">In the first week on <name key="name-003325" type="place">Crete</name> it was noted by ADMS NZ Division that the general health of the troops was good, in spite of only four-fifths of the standard food ration being available and most troops being without a change of clothing. Hygiene and sanitation were not up to standard. The normal water supply came from wells which generally were reliable, although many of them became contaminated during the campaign. There was a lack of facilities for water-testing and sterilising and no water carts were available. Water was boiled and individual water tablets supplied, but unfortunately, although these were given out to units in <name key="name-002294" type="place">Greece</name>, many had never been distributed to the individual soldiers and were not available in <name key="name-003325" type="place">Crete</name>. A serious shortage of spades, picks, and shovels interfered with proper sanitary arrangements, especially as trenches had to be dug for the protection of personnel from air attack. Fifth Field Ambulance was able to commandeer six shovels and six picks or adzes at <name key="name-002869" type="place">Ay Marina</name> and these proved invaluable. Instructions were given, however, to dig deep trenches for latrines. After the evacuation of <name key="name-003325" type="place">Crete</name>, dumps of picks, shovels, and rifles were found
<pb n="156" xml:id="n156"/>
which could have been available to <name key="name-003399" type="organisation">Creforce</name>. Evidently, the handover to the new Creforce Headquarters had been incomplete.</p>
          <p rend="indent">No transport was available and troops had to march considerable distances, with the result that many men suffered from sore feet. On 30 April there were 126 New Zealanders, wounded and sick, among the patients at 7 General Hospital.</p>
        </div>
        <div type="section" n="7" xml:id="c5-7">
          <head>
            <hi rend="i">General Military Situation</hi>
          </head>
          <p rend="indent">General Wavell flew to <name key="name-003325" type="place">Crete</name> on 30 April and held a conference with the senior officers of all forces to discuss the defence of <name key="name-003325" type="place">Crete</name>, it having been decided that it was vital to hold the island. <name key="name-207994" type="person">General Freyberg</name> was anxious to get the New Zealand troops to <name key="name-002106" type="place">Egypt</name> and there reform the Division, but the Commander-in-Chief decided that the troops on the island should all remain, and <name key="name-207994" type="person">General Freyberg</name> was appointed to take command as GOC <name key="name-003325" type="place">Crete</name>. The ill-equipped force, with an acute shortage of transport, faced immensely difficult problems in the defence of the island.</p>
          <p rend="indent"><name key="name-003325" type="place">Crete</name> is a long, narrow island running east-west for about 160 miles, with a maximum width of 40 miles. It has a backbone of mountains up to 8000 feet high running parallel and quite close to the southern coast, which has steep cliffs and no harbours. From the mountains the land to the north falls gradually, with valleys running in a north-south direction to the coast. The country is covered with olive groves, with some orange and lemon plantations at intervals.</p>
          <p rend="indent">The rich coastal plain of <name key="name-000735" type="place">Canea</name> is dissected by deeply cut riverbeds and surrounded by a harsher upland country whose slopes are covered with a thin, stony soil. These slopes made the construction of slit trenches and other field works difficult. Beyond the city of <name key="name-000735" type="place">Canea</name> and its villa-studded environs, western <name key="name-003325" type="place">Crete</name> is essentially a land of small villages and isolated farming hamlets, while the high uplands are peopled only in summer.</p>
          <p rend="indent">Roads are not well developed. The main road runs close to and parallel with the north coast, with many river bridges. There are four roads crossing the island from north to south, all narrow and over hilly country. The southern end of the <name key="name-004697" type="place">Sfakia</name> road, used for the evacuation, was very narrow and precipitous, being described as a “goat track”. There were no railways, except for two or three local Decauville lines.</p>
          <p rend="indent"><name key="name-001363" type="place">Suda Bay</name>, on the north coast, is the best natural harbour in the eastern <name key="name-007453" type="place">Mediterranean</name>. Other harbours, with artificial protection, are at <name key="name-012421" type="place">Heraklion</name> and <name key="name-000735" type="place">Canea</name>, although the latter had to be worked with lighters. Coastal boats can use <name key="name-012648" type="place">Retimo</name>.</p>
          <p rend="indent"><name key="name-003325" type="place">Crete</name> is less than 70 miles from <name key="name-002294" type="place">Greece</name> and a combined sea and
<pb n="157" xml:id="n157"/>
airborne landing, supported by the Italian fleet and by the German and Italian air forces, threatened the island. On <name key="name-003325" type="place">Crete</name> there were six Hurricanes, sixteen other obsolete planes and no safe aerodromes, and there was no chance of improving the air position. The defending force was relatively large, but there were few real fortifications and an acute shortage of transport, artillery, armoured fighting vehicles, weapons of all kinds, ammunition, signal equipment, and medical supplies. Equipment and supplies had to come from <name key="name-002106" type="place">Egypt</name>. Ships bringing them were attacked by enemy aircraft and some were sunk. In spite of the anti-aircraft defence, ships unloading in the port at <name key="name-001363" type="place">Suda Bay</name> were attacked at their moorings every day by large formations of dive-bombers. In the end the force was dependent for supplies on what cruisers and destroyers could bring in after dark and unload before they left again before daylight.</p>
          <p rend="indent">Since the outbreak of war <name key="name-003325" type="place">Crete</name> had been considered by the British Cabinet as an important strategical position. Offers of help in the protection of the island had been made to <name key="name-002294" type="place">Greece</name> when <name key="name-001383" type="place">Italy</name> entered the war. When <name key="name-001383" type="place">Italy</name> attacked <name key="name-002294" type="place">Greece</name> a small force was sent to <name key="name-003325" type="place">Crete</name>, and this force was strengthened but was never very large, amounting only to about 5000 men. The function allotted to it varied from time to time between that of holding the island against attack to that of providing a base of operations against the Italian Dodecanese. The command changed several times.</p>
          <p rend="indent">Cretan recruits were withdrawn for the fighting in <name key="name-020121" type="place">Albania</name> and finally all Greek military equipment except 300 rifles was taken away, leaving the small British garrison as the only protective force. There were 15,000 Italian prisoners on the island and a large number of <name key="name-022528" type="organisation">Cypriots</name> and <name key="name-022835" type="organisation">Palestinians</name>, as well as young Greek recruits, unarmed and untrained.</p>
          <p rend="indent">The RAF found it impossible to send any but a very small number of planes to <name key="name-003325" type="place">Crete</name>. It developed landing grounds at <name key="name-012421" type="place">Heraklion</name>, <name key="name-012648" type="place">Retimo</name>, and <name key="name-004213" type="place">Maleme</name>, and although the administrative officers left the island at the beginning of May, the last planes were not withdrawn until the 19th—the day before the invasion began. This complicated the question as to what was to be done to the airfields to make them unfit for use.</p>
          <p rend="indent">It was originally intended that all troops from <name key="name-002294" type="place">Greece</name> should be sent to <name key="name-002106" type="place">Egypt</name>, and that <name key="name-003325" type="place">Crete</name> should be defended by fresh troops; but this was found to be impossible and <name key="name-207994" type="person">General Freyberg</name> was called upon to assume command in <name key="name-003325" type="place">Crete</name> and to use the troops recently evacuated from <name key="name-002294" type="place">Greece</name> for the defence of the island. These men were without any equipment other than what they had been able to carry from the beaches and so were severely handicapped in
<pb n="158" xml:id="n158"/>
their task. The force at 20 May numbered 42,547 (7702 New Zealanders, 6540 Australians, 18,047 British, and 10,258 Greeks).</p>
          <p rend="indent">For defence, <name key="name-003325" type="place">Crete</name> was split up into four sectors covering the main vulnerable areas but not the whole island. These areas were—from east to west—<name key="name-012421" type="place">Heraklion</name>, <name key="name-012648" type="place">Retimo</name>, <name key="name-001363" type="place">Suda Bay</name>, and the <name key="name-000735" type="place">Canea</name>-<name key="name-004213" type="place">Maleme</name> area. New Zealand troops were allotted the defence of the <name key="name-000735" type="place">Canea</name>-<name key="name-004213" type="place">Maleme</name> sector, which included a long stretch of coast suitable for seaborne attack and areas suitable for airborne landings, particularly the <name key="name-004213" type="place">Maleme</name> airfield and a large flat area behind <name key="name-002045" type="place">Galatas</name> in the region of the prison. The 4th and 5th Infantry Brigades were available, and in addition there were some Greek troops, quite inadequately equipped, and a composite force (10 Infantry Brigade) of 20 Battalion, New Zealand Artillery, Divisional Cavalry, and NZASC personnel, all acting as infantry.</p>
        </div>
        <div type="section" n="8" xml:id="c5-8">
          <head>
            <hi rend="i">The Medical Plan</hi>
          </head>
          <p rend="indent">There was available in <name key="name-003325" type="place">Crete</name> before the arrival of the force from <name key="name-002294" type="place">Greece</name> two British medical units and a field hygiene section. The medical units were 7 General Hospital and 189 Field Ambulance, the latter without one company, which had been functioning in <name key="name-002294" type="place">Greece</name>. The general hospital had only been set up for a week before the arrival of our troops, although 189 Field Ambulance had been on <name key="name-003325" type="place">Crete</name> for a longer period. The 7th General Hospital was sited on the seashore just to the west of <name key="name-000735" type="place">Canea</name>, unfortunately in a position very vulnerable to both seaborne and airborne attack. The 189th Field Ambulance was sited in the vicinity of <name key="name-001363" type="place">Suda Bay</name>. Thus both were able to serve the New Zealand sector.</p>
          <p rend="indent">The New Zealand units available were 5 and 6 Field Ambulances and 4 Field Hygiene Section, all without the minimum equipment. When the ADMS NZ Division, Colonel Kenrick, was appointed <name key="name-028893" type="organisation">DDMS</name> <name key="name-003325" type="place">Crete</name> Force on 7 May and the CO 6 Field Ambulance, Lieutenant-Colonel Bull, became ADMS NZ Division, the administration of the New Zealand medical services was, for the first and only time during the war, completely under the control of its own medical personnel. The units worked in the utmost harmony with the British and Australian medical units and personnel, especially with 7 General Hospital, the major hospital unit on <name key="name-003325" type="place">Crete</name>. New Zealand personnel worked on the staff of 7 General Hospital and a surgeon was on the staff of 189 Field Ambulance, which also ran a large extemporised hospital during the campaign.</p>
          <p rend="indent">The medical plan as it affected our troops consisted in the servicing of 5 Infantry Brigade by 5 Field Ambulance and of <name key="name-024335" type="organisation">4 Infantry Brigade</name> and the composite 10 Infantry Brigade by 6 Field Ambulance. Both field ambulances evacuated to 7 General Hospital,
<pb n="159" xml:id="n159"/>
which used 6 Field Ambulance as a convalescent depot. Later, 189 Field Ambulance Hospital was used for the overflow from 7 General Hospital. A tented naval hospital, landed on 10 May and sited south of <name key="name-000735" type="place">Canea</name>, was also very actively employed during the campaign, treating mainly Australians and New Zealanders.</p>
        </div>
        <div type="section" n="9" xml:id="c5-9">
          <head>
            <hi rend="i">Medical Command</hi>
          </head>
          <p rend="indent">A reorganisation of the forces in <name key="name-003325" type="place">Crete</name> followed <name key="name-207994" type="person">General Freyberg</name>'s appointment as GOC. On the medical side Colonel Kenrick was succeeded as ADMS NZ Division by Lieutenant-Colonel Bull, Major J. K. Elliott became DADMS, <name key="name-003325" type="place">Crete</name> Force, and Major W. B. Fisher, DADMS NZ Division.</p>
          <p rend="indent">British and Greek troops in the <name key="name-012421" type="place">Heraklion</name> sector were commanded by Brigadier B. H. Chappel, with Major C. R. Croft, RAMC, as SMO; Australian troops at <name key="name-012648" type="place">Retimo</name> were commanded by Brigadier G. Vasey, 2 AIF, with Lieutenant-Colonel L. E. Le Soeuf, AAMC, as SMO; <name key="name-022899" type="organisation">Royal Marines</name> and other British troops were at <name key="name-001363" type="place">Suda Bay</name> under the command of Major-General C. E. Weston, with Lieutenant-Colonel S. O. Dolan, RAMC, as ADMS; and in the <name key="name-000735" type="place">Canea</name>-<name key="name-004213" type="place">Maleme</name> area Brigadier Puttick commanded the New Zealanders.</p>
        </div>
        <div type="section" n="10" xml:id="c5-10">
          <head>
            <hi rend="i">Difficulties of Medical Organisation</hi>
          </head>
          <p rend="indent">The difficulties of medical organisation were enormous on account of lack of equipment, lack of transport, the mixed composition of the combined forces, and the general disorganisation following the evacuation of <name key="name-002294" type="place">Greece</name>.</p>
          <p rend="indent">In the New Zealand sector five tents and some medical equipment were obtained from 7 General Hospital and supplied to 5 and 6 Field Ambulances on 1 May to enable them to extend the facilities of their dressing stations. The 5th MDS was merely a protected area in a dry riverbed, with three tents set up and a tent-fly extended as cover for patients from 5 Brigade, while 6 Field Ambulance was similarly situated in providing medical services for 4 Brigade.</p>
          <p rend="indent">On 5 May the situation was relieved when the hospital ship <hi rend="i">Aba</hi> arrived at <name key="name-000735" type="place">Canea</name> Bay and embarked 602 patients, including 102 New Zealanders, by means of small boats. Loading was carried out without incident and the ship sailed for <name key="name-002106" type="place">Egypt</name> the same day.</p>
          <p rend="indent">In the second week of May small supplies of equipment became available, more especially personal clothing such as shirts and shorts, groundsheets, extra blankets, and underclothing. The weather was becoming more unsettled and all manner of ingenious forms of bivouacs were constructed by the men. Fifth Field Ambulance received additional tentage and medical stores and expanded the MDS, also making provision for an officers' ward.</p>
          <pb n="160" xml:id="n160"/>
          <p rend="indent">The 7th General Hospital staff continued to be extremely busy and found themselves very shorthanded after the departure of the nursing sisters. Fifty-four men from 6 Field Ambulance were attached daily to the hospital. The CO 5 Field Ambulance, Lieutenant-Colonel Twhigg, also offered the services of some of his nursing orderlies, and sixteen of them were attached to the hospital from 10 May. Major Christie, a surgeon who had been attached to 5 Field Ambulance from 1 General Hospital in <name key="name-002294" type="place">Greece</name>, also offered his services to the hospital, and advantage was later taken of this offer.</p>
        </div>
        <div type="section" n="11" xml:id="c5-11">
          <head>
            <hi rend="i">Medical Stores and Equipment</hi>
          </head>
          <p rend="indent">The sadly depleted condition of the New Zealand medical units on arrival in <name key="name-003325" type="place">Crete</name> was ameliorated by drawing upon 7 General Hospital for both extra equipment—such as tents, stretchers, and blankets—and drugs and medical stores. It was fortunate that the hospital had such adequate supplies. Later, further supplies were sent from <name key="name-002106" type="place">Egypt</name> by sea and air.</p>
          <p rend="indent">A major setback occurred when the SS <hi rend="i">Rawnsley</hi> (which had previously taken the male staff of 1 General Hospital from <name key="name-002294" type="place">Greece</name> to <name key="name-002106" type="place">Egypt</name>) was sunk by enemy action with 25 tons of medical supplies aboard. (A further reverse was to be suffered on 20 May when the entire reserve of medical stores in a tent at 7 General Hospital was lost following a direct hit by a bomb and subsequent fire.) Local civilian supplies were commandeered and gauze and flannelette obtained from ordnance stores to fulfil requirements. The 7th General Hospital eventually resorted to using sheets for bandages. The <name key="name-028893" type="organisation">DDMS</name> <name key="name-004368" type="organisation">2 NZEF</name>, Brigadier MacCormick, was responsible for sending extra medical supplies from <name key="name-002106" type="place">Egypt</name> direct to the New Zealand force, together with some very welcome medical comforts.</p>
        </div>
        <div type="section" n="12" xml:id="c5-12">
          <head>
            <hi rend="i">Transport</hi>
          </head>
          <p rend="indent">When the troops arrived from <name key="name-002294" type="place">Greece</name> there were eight motor ambulances available in <name key="name-003325" type="place">Crete</name>, six being attached to 189 Field Ambulance and two to the Royal Air Force. Later, some more ambulance cars were landed, making eleven all told for the medical units on the island.</p>
          <p rend="indent">Ordinary lorry transport was in even shorter supply and so could not be used to make up for the shortage of ambulances. Each field ambulance had to rely on one 15-cwt truck and had great difficulty in arranging for the transport of patients, which had to be carried out in relays.</p>
          <pb n="161" xml:id="n161"/>
        </div>
        <div type="section" n="13" xml:id="c5-13">
          <head>
            <hi rend="i">Communications</hi>
          </head>
          <p rend="indent">The number of field telephones in the New Zealand sector totalled only about twelve so that inter-communication was exceedingly difficult. The lack of motor cycles or other vehicles meant that messages and orders had to be taken on foot. For instance, when movement by day came to be restricted by enemy aircraft, the ADMS NZ Division found it necessary to spend most of each night travelling across country on foot to visit the field ambulances, which had no telephones.</p>
        </div>
        <div type="section" n="14" xml:id="c5-14">
          <head>
            <hi rend="i">Air Attack</hi>
          </head>
          <p rend="indent">From 1 to 12 May the enemy air force had concentrated on shipping to and from <name key="name-003325" type="place">Crete</name> and on the port of <name key="name-001363" type="place">Suda Bay</name>. Then, on 13 May and onwards, with the completion of new airfields in <name key="name-002294" type="place">Greece</name> and on the island of Milos, the Germans increased the scale of their attack to include the airfields at <name key="name-012421" type="place">Heraklion</name> and <name key="name-004213" type="place">Maleme</name>. The enemy had a preponderance of fighter aircraft, which either carried out low-flying attacks or provided a heavy escort for the bombers and dive-bombers. Eventually our air force was gradually eliminated, and on 19 May the few remaining pilots and planes were withdrawn from the unequal struggle and returned to <name key="name-002106" type="place">Egypt</name>.</p>
          <p rend="indent">At dusk on 13 May enemy aircraft heavily “blitzed” the aerodrome at <name key="name-004213" type="place">Maleme</name> for an hour, and that evening several casualties were admitted to 5 MDS. Again next morning, from 5.30 a.m., further air attacks were made on the same area and two Hurricanes and one Gloucester were lost. The expected invasion was drawing steadily nearer.</p>
        </div>
        <div type="section" n="15" xml:id="c5-15">
          <head>
            <hi rend="i">5 Field Ambulance re-located at <name key="name-022819" type="place">Modhion</name></hi>
          </head>
          <p rend="indent">With the dispositions of New Zealand units provisionally settled, 5 Field Ambulance was situated near the threatened coast at <name key="name-002869" type="place">Ay Marina</name>, between 4 Brigade around <name key="name-000735" type="place">Canea</name> in the east and 5 Brigade in the <name key="name-004554" type="place">Platanias</name>-<name key="name-004213" type="place">Maleme</name> area to the west.</p>
          <p rend="indent">At <name key="name-002869" type="place">Ay Marina</name>, in the coastal foothills of the western end of the plain of <name key="name-000735" type="place">Canea</name>, 5 Field Ambulance established its dressing station in a stream bed which was already dry, although it must have carried a considerable torrent of water in the winter. The operative section of the unit occupied the stream bed with A and B Companies settling on its slopes, some of which were steep and rocky. Early admissions before hostilities were treated in well-sited tents.</p>
          <p rend="indent">As the field medical unit attached to 5 Brigade, it was responsible for the collection of casualties in and around its sector, namely the <name key="name-004213" type="place">Maleme</name> airfield and the surrounding country. It was obvious from the outset that the main west-east road from <name key="name-004213" type="place">Maleme</name> through
<pb n="162" xml:id="n162"/>
<name key="name-004554" type="place">Platanias</name> to <name key="name-000735" type="place">Canea</name> would be expected to carry most, if not all, of the military traffic. The back roads were few and very poor. It was also obvious that this road would be very effectively patrolled by the <name key="name-000868" type="organisation">Luftwaffe</name>, certainly by day, so that movement of most vehicle traffic would be impossible. (This proved to be so.) In addition, ambulance cars and other transport with which casualties could be evacuated were very limited. For these reasons Lieutenant-Colonel Twhigg decided that alternative methods of evacuation would have
<pb n="163" xml:id="n163"/>
to be seriously considered and that a thorough reconnaissance of the back country should be made. The country covered was from <name key="name-002869" type="place">Ay Marina</name> inland across to <name key="name-022819" type="place">Modhion</name>, and thence over hill and dale to the areas around <name key="name-004213" type="place">Maleme</name> airfield which had been allotted to 21, 22, and 23 Battalions.</p>
          <p>
            <figure xml:id="WH2Med09a">
              <graphic url="WH2Med09a.jpg" mimeType="image/jpeg" xml:id="WH2Med09a-g"/>
              <head>Medical Units and Lines of Evacuation, <name key="name-003325" type="place">Crete</name>, <date when="1941-05">May 1941</date></head>
              <figDesc>map showing evacuation of army medical units from <name key="name-002294" type="place">Greece</name></figDesc>
            </figure>
          </p>
          <p rend="indent">Lieutenant-Colonel Bull visited the ambulance on 16 May and recommended a change of location of the MDS, as the site at <name key="name-002869" type="place">Ay Marina</name> was likely to prove untenable if active operations developed in that area. It was suggested that the valley of the <name key="name-004554" type="place">Platanias</name> River, about one mile west of Headquarters 5 Brigade, would be suitable. The CO 5 Field Ambulance made a reconnaissance of this area but found that it also might prove unsatisfactory, as the flat country was suitable for the landing of parachute troops. This appreciation of the problem was reported back to Headquarters 5 Brigade, where it was also learned that the intelligence services had advised that enemy landings by airborne troops might be expected at any time, probably on 19 May.</p>
          <p rend="indent">On 17 May, at a conference at Headquarters 5 Brigade, it was agreed that the location of the MDS at <name key="name-002869" type="place">Ay Marina</name> was too insecure and insufficiently protected by the troops deployed in the defensive positions, and that CO 5 Field Ambulance should reconnoitre a site in the region of the village of <name key="name-022819" type="place">Modhion</name>, where 5 Brigade units would be between the MDS and the coast. As a pillion-rider on a motor cycle, Lieutenant-Colonel Twhigg surveyed the area and chose a site on the outskirts of <name key="name-022819" type="place">Modhion</name>, near the road running south from the main <name key="name-000735" type="place">Canea</name>-<name key="name-004213" type="place">Maleme</name> road. The distance in a straight line from <name key="name-004213" type="place">Maleme</name> airfield was about two and a half miles, and on the forward slopes of undulating hills troops of 7 Field Company, 19 Army Troops Company, and 28 (Maori) Battalion were dug in, a section of the Maoris also being to the rear of the location. To the south was a very old olive grove, with hollow trees and recumbent lower branches which afforded excellent and shaded shelter for staff not immediately required in the work of the dressing station.</p>
          <p rend="indent">A two-storied house, the police station, was taken over to accommodate the receiving and dressing sections and the more serious cases; further accommodation was made available in the basements of nearby houses and in tents. The unit moved in on the afternoon of 17 May after a march from <name key="name-002869" type="place">Ay Marina</name>. The unit's transport then consisted of one 15-cwt truck only, but vehicles of an ASC unit were also used to convey what equipment the unit had gathered together.</p>
          <p rend="indent">In the main the medical equipment was that carried out of <name key="name-002294" type="place">Greece</name> and consisted of some fifteen surgical haversacks and three
<pb n="164" xml:id="n164"/>
medical companions, supplemented by sets of surgical instruments salvaged by various medical officers, and compressed dressings carried by all ranks. Some supplies of dressings had been obtained on the island, but these were very limited, and an allotment of <name key="name-027417" type="organisation">Red Cross</name> stores, mainly bandages and dressings, had arrived just a few days previously. Only twenty stretchers had been retained along with a proportionate quota of blankets, but these had been supplemented by some 50 stretchers and 100 blankets from 7 General Hospital, which also supplied bandages and dressings and an invaluable drum of plaster-of-paris. Upon the establishment of 5 MDS in the house at <name key="name-022819" type="place">Modhion</name>, this equipment enabled the medical officers to do major surgery.</p>
          <p rend="indent">The operating theatre at <name key="name-022819" type="place">Modhion</name> was a room of the house, the table a door on trestles and boxes. There was only one bowl, the other utensils being cut-down petrol and ration cans. There were two primus stoves on which instruments were sterilised. Water was boiled for the most part on open fires. The instruments carried from <name key="name-002294" type="place">Greece</name> were sufficient, but anaesthetics were short. Intravenous anaesthetics (including pentothal) were mainly used. The kits dropped by the enemy from the air contained some anaesthetics, mainly pentothal. These kits also contained some intravenous glucose saline, which was the only supply for transfusions and was very inadequate. There were no splints, so all fractures were immobilised in plaster, of which there were ample stocks. There were no rubber gloves, and records were made on latrine paper in single sheets.</p>
          <p rend="indent">At <name key="name-022819" type="place">Modhion</name> many of the villagers were organised by a young Cretan woman, Frosso Parasoulioti, into a hard-working team to make dressings such as many-tailed bandages and <name key="name-027417" type="organisation">Red Cross</name> signs for 5 Field Ambulance. Throughout the first two days of parachute landings and low-level air attacks they continued to make dressings and other essential comforts. The villagers also brought supplies of citrus fruit, sultanas, wine, and oil.</p>
          <p rend="indent">Sixth Field Ambulance continued to function as an MDS in tents in its original location below <name key="name-002045" type="place">Galatas</name>, to render assistance to 7 General Hospital by supplying staff, and also acted as a convalescent depot. Sharply conscious of their experiences in <name key="name-002294" type="place">Greece</name>, the staff dug slit trenches, which were made more comfortable and sheltered by the use of straw, branches, and other miscellaneous material.</p>
        </div>
        <div type="section" n="16" xml:id="c5-16">
          <head>
            <hi rend="i">4 Field Hygiene Section Attached to 5 Field Ambulance</hi>
          </head>
          <p rend="indent">The 4th Field Hygiene Section moved to <name key="name-022819" type="place">Modhion</name> with 5 Field Ambulance and set up in a neighbouring location under olive trees.
<pb n="165" xml:id="n165"/>
The section had been doing a limited amount of hygiene work, the limiting factors being lack of sterilising agents for water supplies and lack of transport for inspection of unit hygiene conditions, which themselves could not be completely satisfactory with the shortage of spades and other implements. The Officer Commanding, Captain B. T. W. Irwin, traversed much ground on foot, discussed health matters with ADMS NZ Division, and organised a mosquito survey, taking appropriate steps to prevent the breeding of malarial mosquitoes where possible.</p>
        </div>
        <div type="section" n="17" xml:id="c5-17">
          <head>
            <hi rend="i">ASC Drivers Join 10 Infantry Brigade</hi>
          </head>
          <p rend="indent">On 17 May all except a few of the ASC drivers attached to the field ambulances were marched out to join a composite battalion being formed as part of 10 Infantry Brigade. This new brigade was formed on 14 May under the command of <name key="name-208411" type="person">Colonel Kippenberger</name>,<note xml:id="ftn1-165" n="1"><p><name key="name-208411" type="person">Maj-Gen Sir Howard K. Kippenberger</name>, KBE, CB, DSO and bar, ED, m.i.d., Legion of Merit (US); <name key="name-008844" type="place">Wellington</name>; born Ladbrooks, <date when="1897-01-28">28 Jan 1897</date>; barrister and solicitor; <name key="name-004367" type="organisation">1 NZEF</name> 1916–17; CO 20 Bn Sep 1939–Apr 1941, Jun–Dec 1941; comd 10 Bde (<name key="name-003325" type="place">Crete</name>) <date when="1941-05">May 1941</date>; 5 Bde, Jan 1942–Jun 1943, Nov 1943–Feb 1944; 2 NZ Div, 30 Apr–14 May 1943, 9 Feb–2 Mar 1944; <name key="name-004368" type="organisation">2 NZEF</name> Prisoner-of-War Reception Group in <name key="name-029547" type="place">UK</name>, 1944–45; twice wounded; Editor-in-Chief, NZ War Histories.</p></note> and consisted of 20 Battalion, the Composite Battalion of drivers and artillerymen, a Divisional Cavalry detachment, and 6 and 8 Greek Regiments. The brigade was to defend the high ground in the <name key="name-002045" type="place">Galatas</name> area, protecting the approach to <name key="name-000735" type="place">Canea</name> from the west and covering the <name key="name-000735" type="place">Canea</name> valley to the south-west, including the area around <name key="name-022903" type="place">Lake Aghya</name>.</p>
        </div>
        <div type="section" n="18" xml:id="c5-18">
          <head>
            <hi rend="i">Hospital Ship Aba</hi>
          </head>
          <p rend="indent">The British hospital ship <hi rend="i">Aba</hi> made a return trip to <name key="name-003325" type="place">Crete</name> on 16 May. <name key="name-207994" type="person">General Freyberg</name> asked that 7 General Hospital be cleared as completely as possible in anticipation of enemy action. The loading of the <hi rend="i">Aba</hi> was no mean feat. It was not considered wise to bring the ship into <name key="name-001363" type="place">Suda Bay</name> where, because of the presence of warships and port installations, the risk of bombing was great. Therefore, the ship anchored in the open sea off <name key="name-000735" type="place">Canea</name>. The <name key="name-028893" type="organisation">DDMS</name> <name key="name-003399" type="organisation">Creforce</name>, Colonel Kenrick, who supervised the loading operations, arranged for 189 Field Ambulance to provide transport for the patients from 7 General Hospital to the loading point on the shore. From here 561 patients were taken out to the hospital ship in two caiques and two ship's lifeboats, the latter towed by a launch.</p>
          <p rend="indent">Fortunately, the sea was calm and within eight hours the patients were embarked, an operation which involved raising the ship's lifeboats from the water to deck level with patients aboard. Loading
<pb n="166" xml:id="n166"/>
was completed by 6 p.m. without interruption from the enemy. The enemy carried out an air raid over <name key="name-000735" type="place">Canea</name> at 5.45 p.m., but although planes dived over the hospital ship, she was not attacked and sailed at 6.40 p.m. The next day, however, the ship was twice attacked by enemy aircraft, in spite of her <name key="name-027417" type="organisation">Red Cross</name> markings, and in the second attack at 6.40 p.m. dive-bombers hit her, causing considerable damage and some casualties, resulting in the death amongst others of one New Zealand soldier. The ship later reached port safely at Haifa.</p>
        </div>
        <div type="section" n="19" xml:id="c5-19">
          <head>
            <hi rend="i">7 General Hospital Bombed</hi>
          </head>
          <p rend="indent">On Sunday, 18 May, at 6.5 p.m., 7 General Hospital area was attacked from the air at low altitude, some bombs (four at least, possibly twelve) being dropped on the hospital area and towards the beach. Three British medical officers and two orderlies were killed, while another three orderlies were wounded. Among those killed was the surgical specialist; a New Zealand surgeon, Major Christie, was appointed in his place.</p>
          <p rend="indent">Arrangements were made on 19 May for 5 MDS to evacuate casualties to 7 General Hospital at 9.30 a.m. and 2 p.m. daily. This schedule could not be adhered to in later days, as convoys of ambulance cars and trucks were invariably halted on the road over very long periods while enemy aircraft strafed everything that moved. That very afternoon, as a prelude to bigger happenings next day, enemy planes flew to and fro over all areas occupied by troops, machine-gunning and bombing without restraint.</p>
        </div>
        <div type="section" n="20" xml:id="c5-20">
          <head>
            <hi rend="i">Invasion Begins</hi>
          </head>
          <p rend="indent">The usual blitz of <name key="name-004213" type="place">Maleme</name> airfield took place in the early morning of 20 May, but it was longer and heavier than usual, being directed especially against the anti-aircraft defences. Then, at 8 a.m. the sirens and bells from <name key="name-000735" type="place">Canea</name> to <name key="name-004213" type="place">Maleme</name> again sounded warnings and from that moment there was no “all clear” for the British forces on <name key="name-003325" type="place">Crete</name>. The invasion had begun.<note xml:id="ftn1-166" n="1"><p>Preparations for the invasion of <name key="name-003325" type="place">Crete</name> had been made from the beginning of April and aerodromes in <name key="name-018182" type="place">Bulgaria</name> and <name key="name-002294" type="place">Greece</name> had been allotted for this purpose. Parachute, glider, and mountain troops and large numbers of planes of all kinds were detailed for the operation. Altogether an original force of 22,750 men was selected and eventually about 23,000 Germans were landed. There were 650 bombers and fighters, some 500 transport planes, and 80 gliders.</p></note></p>
          <p rend="indent"><name key="name-004213" type="place">Maleme</name> airfield and the hospital area near <name key="name-000735" type="place">Canea</name> were the two primary objectives of the enemy's concentrated air attack, which persisted for an hour and a half as part of the “softening-up process”. The hospital was marked with a <name key="name-027417" type="organisation">Red Cross</name>, 30 ft by 20 ft, formed by red-painted stones laid out on the ground, as well as by Red
<pb n="167" xml:id="n167"/>
Crosses on the roofs of the officers' mess, the cookhouse and another building, and a large cloth <name key="name-027417" type="organisation">Red Cross</name> on the ground; yet it was subjected to the same intensive bombing and ground strafing as <name key="name-004213" type="place">Maleme</name>. Wounded were machine-gunned in their tents by low-flying aircraft. When the blitz lifted, gliders crash-landed to disgorge more enemy troops. Then in came lumbering troop-carrying planes, from which hundreds of paratroops jumped at a height of about 500 feet and swung to earth.</p>
          <p rend="indent">The two main centres of these landings soon became obvious – <name key="name-004213" type="place">Maleme</name> airfield and the area to the west of it along the Tavronitis River,<note xml:id="ftn1-167" n="1"><p>Captain Stewart, RMO 23 Battalion, reported later that he visited the Tavronitis riverbed when a prisoner of war and found it full of crashed gliders and Ju52s. To the west for one kilometre on the flat ground were still more. He counted 100<note xml:id="ftn3-167" n="*"><p>This figure is now known to be too high—approximately 75 gliders were used in the invasion of <name key="name-003325" type="place">Crete</name>.</p></note> between the main road and the coast. Beyond them was a solitary AA gun spiked and surrounded by empty shell cases.</p></note> and, secondly, the prison and lake area south-west of <name key="name-002045" type="place">Galatas</name>. The paratroops were engaged by 5 and 10 Brigades in the respective areas. Landings were also made around <name key="name-000735" type="place">Canea</name> between <name key="name-002045" type="place">Galatas</name> and the sea but these troops were quickly mopped up by 4 Brigade. Fierce battles developed as the enemy concentrated on reinforcing the troops establishing themselves at <name key="name-004213" type="place">Maleme</name> airfield. In the hospital area west of <name key="name-000735" type="place">Canea</name> the enemy at first had it all his own way in attacking the unarmed medical units – 6 Field Ambulance and 7 General Hospital.</p>
        </div>
        <div type="section" n="21" xml:id="c5-21">
          <head>
            <hi rend="i">6 Field Ambulance Captured</hi>
          </head>
          <p rend="indent">The men of 6 Field Ambulance were at breakfast when the blitz started and immediately dived to cover. While the bombers and fighters of the <name key="name-000868" type="organisation">Luftwaffe</name> roared incessantly overhead, the men lay hidden in their dugouts and slit trenches listening to the fury that was loosed above for an hour and a half or more. Some wards and the dispensary and medical stores at 7 General Hospital were seen burning after the attack.</p>
          <p rend="indent">Then, with the cessation of the bombing and strafing, came the paratroopers and the sound of voices. Coming out of their trenches the men found themselves faced with the muzzles of Schmeisser guns, and the grim, set countenances behind them. Lieutenant-Colonel Plimmer and Major <name key="name-022713" type="person">Lovell</name>,<note xml:id="ftn2-167" n="2"><p><name key="name-022713" type="person">Lt-Col A. A. Lovell</name>; Tanganyika; born <name key="name-004019" type="place">England</name>, <date when="1910-02-10">10 Feb 1910</date>; medical practitioner; medical officer, <name key="name-032024" type="place">Fanning Island</name>, <date when="1940">1940</date>; <name key="name-001176" type="organisation">6 Fd Amb</name> Aug 1940–Dec 1941; <name key="name-011447" type="organisation">1 Gen Hosp</name> Dec 1941–Nov 1944; OC NZ Mil Hosp (<name key="name-029547" type="place">UK</name>) 1944–46.</p></note> who were occupying the same slit trench, were ordered by an enemy parachutist to surrender, and raised their hands. As he was getting out of the slit trench Colonel Plimmer was suddenly fired upon; he was shot through the abdomen and died within a short time. It was the ruthless killing of a
<pb n="168" xml:id="n168"/>
non-combatant. Fortunately, it was an isolated incident. Within the next hour most of the staff and the forty patients were herded into a clearing round the <name key="name-027417" type="organisation">Red Cross</name> flag.</p>
          <p rend="indent">At 7 General Hospital, to which some New Zealanders were attached, staff and patients were likewise rounded up. A German pilot, who had been wounded and was a patient, gained possession of a tommy gun and assisted the paratroops. In the burnt-out wards were the charred bodies of patients. The medical staff remonstrated without effect against being removed from their care of the wounded. They, too, were herded round the <name key="name-027417" type="organisation">Red Cross</name> flag in 6 Field Ambulance area, although some were able to avoid capture and remained with the more seriously ill hospital patients who could not be moved.</p>
          <p rend="indent">The captive party, several hundred in all, remained out in the open for several hours. The padre and a small party were permitted to conduct a burial service for Colonel Plimmer. Several of the medical officers and men of 6 Field Ambulance attended to the wounded in the area—British, German, and civilian alike—and two officers and two sergeants from the unit were sent under guard to 7 General Hospital to carry out further treatment of a German with a severe chest wound.</p>
          <p rend="indent">About 12.30 p.m. the large group at the MDS was shepherded up the valley under cover of the olive trees towards <name key="name-000991" type="place">Karatsos</name>,<note xml:id="ftn1-168" n="1"><p>Also known at the time as Daratsos and shown as such on some maps.</p></note> where 19 Battalion had its lines. A patrol from 19 Battalion opened fire on the party as they were on the ridge, in an attempt to shoot the escort. One of the Germans bringing up the rear of the party was caught in the machine-gun fire, but bursts of fire also struck the party. Three men from 6 Field Ambulance were killed and three others wounded. The infantrymen were therefore obliged to hold their fire while the Germans hurried their captives over the hill.</p>
          <p rend="indent">After several halts they approached the village of <name key="name-000991" type="place">Karatsos</name>. At 4 p.m., when they were near the top of a terraced hillside, they were met by another patrol from 19 Battalion and some Greeks. Taking cover behind a low stone wall, the paratroops – numbering about a dozen at this stage – went into action, with the patients and men of the medical units hugging the ground between the two opposing forces. Rifle and machine-gun bullets flew just overhead in a continuous fire. One burst went into the middle of the party, killing two and wounding about twelve, none being members of 6 Field Ambulance. Despite the fusillade the wounded were attended to on the spot by medical officers and orderlies. After an action lasting about an hour and a half the German patrol retreated
<pb n="169" xml:id="n169"/>
to avoid being encircled, leaving some killed, while five Germans were taken prisoner.</p>
        </div>
        <div type="section" n="22" xml:id="c5-22">
          <head>
            <hi rend="i">6 Field Ambulance Released and Re-established</hi>
          </head>
          <p rend="indent">The released medical group was then conducted to 19 Battalion lines about 6 p.m., and late that night reached 20 Battalion's positions near <name key="name-000735" type="place">Canea</name>.</p>
          <p rend="indent">The progress of the small party sent to 7 General Hospital was interfered with by a counter-attack by two tanks of <name key="name-009214" type="organisation">3 Hussars</name> and a patrol from 18 Battalion, but they were eventually ushered into the RAP tent at 7 General Hospital, where they treated the wounded German. Later, a patrol from 18 Battalion recaptured the hospital area and escorted the ambulance personnel to Headquarters <name key="name-024335" type="organisation">4 Infantry Brigade</name>.</p>
          <p rend="indent">It was then decided to set up an ADS in a culvert under the main <name key="name-000735" type="place">Canea</name>-<name key="name-004213" type="place">Maleme</name> road, about a mile and a half nearer <name key="name-000735" type="place">Canea</name> than the previous location. The site had been used as an RAP for 18 Battalion. In the afternoon 18 Battalion provided an armed escort for one officer and the two sergeants to return to the MDS to salvage as much medical supplies as possible. They found the area clear of the enemy and returned to the culvert with an assortment of medical supplies. Here the remainder of 6 Field Ambulance reassembled at 11 p.m. on 21 May.</p>
          <p rend="indent">With the coming of dawn they found they were on the seaward side of the coast road about half a mile from the beach. Through the centre of the area, which could almost be termed a valley because of the low hills on either side which swept down to the beach, ran a deep zigzag watercourse, dry and fairly wide. This passed under the road in a large concrete culvert, and over the greater part of the grass-covered area were the inevitable olive trees in their orderly rows. Towards the sea, at the edge of the olive grove, stood a small two-roomed cottage, and about fifty yards nearer <name key="name-004213" type="place">Maleme</name> was a larger one on the hillside; both were occupied by Cretan civilians. The culvert was “transformed” into an operating theatre and the watercourse into a ward, using scraps of salvaged canvas for cover, camouflaged with leaves and soil.</p>
          <p rend="indent">A camp stretcher, placed in the centre of the culvert, formed the table with just space enough on either side for the surgeons; there was little head room. A small fish kettle on a primus stove and an enamel plate formed the sterilising unit and was adequate for the few instruments salvaged from 7 General Hospital that were available. Anaesthetics consisted of a small stock of pentothal sodium and some Greek brandy and whisky provided by 18 Battalion. Blood was, of course, not available.</p>
          <pb n="170" xml:id="n170"/>
          <p rend="indent">Incredible as it may seem, successful operations of a major type were performed and the patients transported in a 15-cwt truck to the naval hospital on the other side of <name key="name-000735" type="place">Canea</name>. Rations were collected on the return trip. These consisted mainly of bully beef, which the cooks turned into some excellent stews, biscuits, and tea – water being obtained from a nearby well. For the patients there was also some tinned milk and beef-extract broth.</p>
        </div>
        <div type="section" n="23" xml:id="c5-23">
          <head>
            <hi rend="i">7 General Hospital Released and Re-established</hi>
          </head>
          <p rend="indent">At 1 p.m. on 20 May the hospital area and the patients, with whom a small staff, including New Zealanders, had remained, was recaptured. The hospital was re-established immediately in large sandstone caves on the foreshore and an improvised operating theatre was functioning the same evening. In all, five large caves were used and as many as 500 patients accommodated. Four of the caves were used for surgical and the other for medical cases, and a great deal of work was very efficiently done there until the hospital was involved in the retreat.</p>
          <p rend="indent">New Zealand orderlies from the staff of <name key="name-028359" type="place">1 NZ General Hospital</name> continued to be attached to the hospital and there was the utmost co-operation with New Zealand ambulance units.</p>
        </div>
        <div type="section" n="24" xml:id="c5-24">
          <head>
            <hi rend="i">The RMOs of 5 Brigade—Treatment and Evacuation of Wounded</hi>
          </head>
          <p rend="indent">Prior to the invasion the regimental medical officers set up their RAPs in the most convenient positions in their battalion areas. For instance, 23 Battalion RAP was sited in a dry watercourse under olive trees close to Headquarters 23 Battalion, on a side road branching off the main <name key="name-000735" type="place">Canea</name>–<name key="name-004213" type="place">Maleme</name> road about half a mile east of <name key="name-004213" type="place">Maleme</name> village. The stretcher-bearer section constructed some dugouts in the banks of this watercourse and dug a ledge in the dry bank to serve as a table for dressing patients. Until 20 May patients from the RAPs of 5 Brigade were evacuated by ambulances borrowed from the <name key="name-034190" type="organisation">RAF</name> at <name key="name-004213" type="place">Maleme</name>.</p>
          <p rend="indent">Few stretchers were available to the RAPs and medical equipment was very limited. It was impossible to bring any large medical panniers from <name key="name-002294" type="place">Greece</name>, although most RMOs had anticipated this and divided their kits into small first-aid outfits. The 23 Battalion RAP staff arrived in <name key="name-003325" type="place">Crete</name> with eight haversacks of shell dressings, gauze, and wool. The RMO had a small case of surgical instruments and two hypodermic syringes and needles. He found it difficult to get supplies from <name key="name-022476" type="organisation">7 British General Hospital</name>. Later, two stretchers and two rubber-capped 10 cc. bottles of morphine solution, some dressings, iodine, and acriflavine were received from 5 Field Ambulance. In some cases, especially in 5 Brigade area, it
<pb n="171" xml:id="n171"/>
was possible after the German attack to replenish supplies from medical equipment dropped with, or for, the German parachutists. Splints had to be improvised for the wounded and many men were transported in blankets used as stretchers. Little transport of any. sort was available.</p>
          <p rend="indent">From the beginning of the invasion the RMOs of 5 Brigade near <name key="name-004213" type="place">Maleme</name> had very few of the wounded cleared from their RAPs in the hectic and confused three days before the area was overrun by the enemy. Captain Hetherington, RMO 21 Battalion, who received about sixty casualties into his RAP (including Germans, but not including dead or those who died shortly after admission) was not contacted at all by the field ambulance, and could evacuate no casualties. He was painfully short of medical supplies and depended almost entirely on German equipment dropped by parachute. When 21 Battalion retired about 7 a.m. on 23 May some walking wounded went off, but the RMO and the medical orderlies remained with the more seriously wounded.</p>
          <p rend="indent">A stretcher-bearer party from 5 Field Ambulance under Lieutenant Moody was sent forward with a company of 28 (Maori) Battalion to 22 Battalion on the night of 20–21 May.</p>
          <p rend="indent">In Moody's words:</p>
          <q>
            <p rend="indent">We left the MDS at <name key="name-022819" type="place">Modhion</name> about 8 p.m. and joined up with Captain Rangi Royal's<note xml:id="ftn1-171" n="1"><p><name key="name-010637" type="person">Maj R. Royal</name>, MC and bar; <name key="name-008844" type="place">Wellington</name>; born <name key="name-021302" type="place">Levin</name>, <date when="1897-08-23">23 Aug 1897</date>; civil servant; served in Maori Pioneer Bn in First World War; 28 (Maori) Bn 1940–41; 2 i/c 2 Maori Bn in (NZ) 1942–43; CO 2 Maori Bn May–Jun 1943; wounded <date when="1941-12-14">14 Dec 1941</date>.</p></note> company of the <name key="name-005118" type="organisation">Maori Battalion</name>. I was told to do this because this company was going forward as reinforcement to 22 Bn and it gave protection to my small medical party as isolated machine-gun posts and snipers were still active on the main east-west coast road. It was fortunate indeed that we had this protection as the Company successfully engaged and overwhelmed two German machine-gun posts on the north and south sides of the road. About 9 p.m. we arrived at 23 Bn HQ where we found an air of excitement and confusion; this was quite understandable as the military situation was very obscure. A runner from 23 Bn who was reputed to know this countryside well was told to take us forward and to link up with 22 Bn. On several occasions I told Capt Royal that the guide had lost us, but the guide persistently maintained that he knew his bearings. (I had made long treks through this part of the island as Bearer Officer of B Company in connection with 5 Field Ambulance's plans for collection of casualties.) About midnight we came out on to the main road and proceeded through the village of <name key="name-004213" type="place">Maleme</name>, but the guide asserted that it was not that village. We continued on our way walking westwards. The next thing we heard was a voice speaking in English and saying “Come on Tommy it is alright”. Then some hand grenades exploded. We had walked into a machine-gun post guarding the eastern end of <name key="name-004213" type="place">Maleme</name> aerodrome itself. With this rude awakening we dived flat on the ground, waited for the burst of machine-gun fire which fortunately never came, and then collected ourselves in a culvert to take stock of the situation. Captain Royal's orders were that he was to keep clear of the
<pb n="172" xml:id="n172"/>
aerodrome as the German strength there was unknown. For this reason we decided to retrace our steps to HQ 23 Bn. (Little did we then realise that this incident may possibly have contained the seeds of victory in the battle of <name key="name-003325" type="place">Crete</name>. We were subsequently to learn, when we were prisoners of war, that a mere handful of the <name key="name-003662" type="organisation">Wehrmacht</name> hung on to the vital airfield of <name key="name-004213" type="place">Maleme</name> that first night.)</p>
            <p rend="indent">We arrived back at HQ 23 Bn about 5 a.m.… Capt. R. S. <name key="name-012724" type="person">Stewart</name>,<note xml:id="ftn1-172" n="1"><p><name key="name-012724" type="person">Capt R. S. Stewart</name>; Gore; born NZ <date when="1906-03-17">17 Mar 1906</date>; medical practitioner; RMO 23 Bn May 1940–May 1941; p.w. <date when="1941-05-23">23 May 1941</date>.</p></note> the RMO, was doing a tremendous job on his own … I remained with him on Wednesday 21st and Thursday 22nd. During these two days my men gave splendid service.… They were constantly exposed to ground fire, as well as machine gunning and bombing from the air, and they never once flinched or failed in collecting casualties from the battlefield.</p>
          </q>
          <p rend="indent">Captain <name key="name-011341" type="person">Longmore</name>,<note xml:id="ftn2-172" n="2"><p><name key="name-011341" type="person">Maj L. H. V. Longmore</name>; <name key="name-007584" type="place">Christchurch</name>; born NZ <date when="1909-11-18">18 Nov 1909</date>; medical practitioner; RMO 22 Bn Dec 1940–May 1941; p.w. <date when="1941-05-21">21 May 1941</date>; repatriated <date when="1943-11">Nov 1943</date>; medical officer <name key="name-011447" type="organisation">1 Gen Hosp</name> Apr–Oct 1944; Prisoner-of-War Reception Group (<name key="name-029547" type="place">UK</name>) Oct 1944–Dec 1945.</p></note> RMO 22 Battalion, in his situation close to <name key="name-004213" type="place">Maleme</name> airfield had a desperate two days prior to his capture on 21 May, when he was endeavouring to make his way with stretcher wounded from his RAP at the airfield to 23 Battalion's area.</p>
          <p rend="indent">He had attended to numerous casualties, both at his tactical RAP and farther forward in the Fleet Air Arm encampment, when he received orders in the late afternoon of 20 May to move back, taking the wounded with him. Returning to his RAP he set out, guided by the Intelligence Officer, with 160 stretcher cases and walking wounded. Some of the wounded were carried on boards. After travelling up hill and down dale for about half a mile the party stopped to await further orders. By daylight no orders had been received; the Intelligence Officer had already left to bring help. He reached 21 Battalion's lines but decided that it would not be possible to bring the large party of wounded out over a ridge that was exposed to some enemy fire. In a clearing the RMO and the wounded waited. The German wounded in the party made a white circle from RAP gear and all the crowd sat inside it, being unmolested by the enemy planes that were active all around. Attempts to contact 22 Battalion or the RAP of 23 Battalion failed. At 5 p.m. on 21 May the group was surrounded and captured and taken back to a dressing station set up in Tavronitis village, where Flying Officer Cullen, an <name key="name-034190" type="organisation">RAF</name> medical officer, was already at work.</p>
          <p rend="indent">At his RAP on 20 May Captain Stewart of 23 Battalion received wounded mostly from his own unit, and early on the morning of the 21st he was able to evacuate thirty sitting and lying cases on two 15-cwt trucks which, escorted by a Bren carrier, were returning to <name key="name-000735" type="place">Canea</name> after bringing up ammunition. These wounded were taken to the MDS of 6 Field Ambulance. On 22 May Stewart treated a
<pb n="173" xml:id="n173"/>
number of wounded from 22 Battalion, which had retired partly on to 23 Battalion's area and was then without the services of its RMO; from 28 (Maori) Battalion, whose RMO, Captain <name key="name-022757" type="person">Mules</name>,<note xml:id="ftn1-173" n="1"><p><name key="name-022757" type="person">Capt C. M. Mules</name>; <name key="name-120092" type="place">Dargaville</name>; born Woodville, <date when="1909-10-24">24 Oct 1909</date>; medical practitioner; RMO 28 Bn Aug 1940–May 1941; wounded <date when="1941-05-21">21 May 1941</date>.</p></note> had been wounded; and from 20 Battalion, whose RMO, Captain <name key="name-009378" type="person">Gilmour</name><note xml:id="ftn2-173" n="2"><p><name key="name-009378" type="person">Capt W. L. M. Gilmour</name>; born <name key="name-120045" type="place">Scotland</name>, <date when="1914-12-19">19 Dec 1914</date>; medical practitioner; RMO 20 Bn Jan–Nov 1941; killed in action <date when="1941-12-01">1 Dec 1941</date>.</p></note> had been forced to remain mobile and had marched to the attack with his battalion and had evacuated stretcher wounded to 23 Battalion, the nearest stationary RAP.</p>
          <p rend="indent">That day sixty walking wounded were evacuated under the care of the personnel from 5 Field Ambulance. Unfortunately, some of the walking wounded found the rough, steep track leading parallel to the main road over the hilly country to 5 MDS too much for them. These returned to 23 Battalion RAP in a desperate plight on 23 May after the RAP had been captured.</p>
          <p rend="indent">Early on the morning of the 23rd 5 Brigade and 20 Battalion withdrew to a position east of the <name key="name-004554" type="place">Platanias</name> River, the rearguard retiring at 7 a.m. Lieutenant Moody withdrew with 23 Battalion. There then remained at 23 Battalion RAP some sixty serious stretcher cases from 20, 22, 23, and 28 (Maori) Battalions and twenty Germans. With these stayed Captain Stewart, the padre, R. J. Griffiths,<note xml:id="ftn3-173" n="3"><p>Rev R. J. Griffiths, MBE; Waimate; born <name key="name-021225" type="place">Gisborne</name>, <date when="1905-07-26">26 Jul 1905</date>; Presbyterian minister; p.w. <date when="1941-05-23">23 May 1941</date>.</p></note> their two orderlies, and Corporal <name key="name-022493" type="person">Collie</name><note xml:id="ftn4-173" n="4"><p><name key="name-022493" type="person">L-Cpl A. F. Collie</name>; Bayswater, Southland; born Otautau, <date when="1913-10-07">7 Oct 1913</date>; dairy assistant; p.w. <date when="1941-05-23">23 May 1941</date>; repatriated <date when="1943-10">Oct 1943</date>.</p></note> from 20 Battalion.</p>
          <p rend="indent">They had the unenviable task of informing the wounded, particularly personnel of the <name key="name-005118" type="organisation">Maori Battalion</name>, that no evacuation was possible and capture inevitable. Arms and ammunition left in the RAP area were destroyed or hidden and on the earnest entreaty of the German wounded, who realised the situation only too well, a large captured German <name key="name-027417" type="organisation">Red Cross</name> flag was erected. German patrols entered the RAP area at approximately 8.30 a.m. on 23 May without incident, except that steel helmets had hastily to be removed by the New Zealanders.</p>
          <p rend="indent">Longmore, Stewart, and Hetherington worked together in a dressing station in a stable attached to an inn in the Tavronitis valley, and they put through 500 to 700 cases with only seven deaths. The German field ambulances had ample and excellent equipment, including a water sterilising plant, and what they could spare they gave to the captured MDS. It was noted that our wounded suffered in the main multiple wounds inflicted by submachine gun, grenade, and mortar.</p>
          <pb n="174" xml:id="n174"/>
        </div>
        <div type="section" n="25" xml:id="c5-25">
          <head>
            <hi rend="i">5 Field Ambulance after Invasion</hi>
          </head>
          <p rend="indent">When the invasion began in the morning of 20 May many parachutists dropped in the vicinity of 5 Field Ambulance, followed by parachutes bringing equipment and stores. Throughout the morning this phase continued, and during this time the members of 5 Field Ambulance remained under cover, their only activity being to transfer the sick to the basement. A lull occurred about noon, but enemy activity was soon resumed. Almost total interruption of road movement resulted. The wounded from forward units could not be moved back in daylight. Casualties began coming in only from nearby units, and were supplemented by a number of wounded German parachutists.</p>
          <p rend="indent">No distinguishing signs identifying the site as that of a medical unit were displayed at first as it was considered undesirable to disclose the disposition of the fighting troops and their defensive positions. However, about two hours after the airborne landings had commenced, <name key="name-027417" type="organisation">Red Cross</name> signs were put out – one on the roadway in front of the MDS and another on the roof of the house. Thereafter, there was no bombing or machine-gunning in the immediate vicinity, although cooking fires were in full view of enemy planes and the staff went openly about their duties, though not wearing steel helmets. This latter point was most important – captured Germans had advised that steel helmets were likely to be taken as evidence of fighting troops and therefore it would be wise not to wear them. It appears that German protected personnel did not wear steel helmets in their dressing stations.</p>
          <p rend="indent">At 4 p.m. on 20 May casualties began to arrive, these including several German prisoners. The first convoy of wounded was evacuated by truck to 7 General Hospital at 6.30 p.m., but while the truck was en route there it was first learned that German troops had captured the hospital. A medical officer and reserve stretcher-bearer parties from 5 Field Ambulance had been sent forward to the RAPs, and the evacuation of casualties to the MDS was arranged during the night. Bren carriers of 23 Battalion convoyed some trucks of wounded through to 5 Field Ambulance. At 2 a.m. on 21 May 7 General Hospital got a message through to 5 Field Ambulance that the unit could then take serious cases, but that it would be advisable for all evacuations to be carried out during the hours of darkness. It was possible to evacuate only four stretcher cases before daylight owing to the limited transport. In many cases additional operative treatment was given to patients at the MDS, as it was obvious that there would be some delay in getting them back to the hospital. Battle casualties admitted in the twenty-four
<pb n="175" xml:id="n175"/>
hours up to 7 a.m. on 21 May totalled 35, including six prisoners and two civilians.</p>
          <p rend="indent">Throughout 20 May hard fighting among the olive trees at <name key="name-004213" type="place">Maleme</name> and <name key="name-002045" type="place">Galatas</name> had held the German parachutists, although 22 Battalion's hold on the western side of <name key="name-004213" type="place">Maleme</name> airfield had been lost. Such resistance had not been expected by the enemy. Further attack from the air and the reinforcement of parachutists began at dawn on 21 May. Battle casualties streamed into 5 MDS, and surgical operations were carried out throughout the day and well into the night, extra accommodation for the patients being provided in tents, earlier obtained from 7 General Hospital.</p>
          <p rend="indent">During the day paratroops were dropped near 5 Field Ambulance and at 4.30 p.m. the advance of the parachute troops had brought them to slopes and ridges adjoining the valley in which the MDS was situated. The enemy were held by the <name key="name-005118" type="organisation">Maori Battalion</name> and 19 Army Troops Company, but such was their proximity to the MDS that the CO deemed it advisable to destroy all codes and secret papers.</p>
          <p rend="indent">It was not possible to make any evacuations from the MDS during the night of 21–22 May, and by the evening of the 22nd there were more than 130 casualties held, many of a serious nature. By this time medical supplies were getting very low. Throughout 21 and 22 May unit stretcher-bearers had continued with their task of evacuating wounded from the battalions, having a particularly difficult time through being subject to air attacks and attacks by wandering groups of paratroops, as well as having to make long and strenuous hand carries over uneven ground. Fortunately, the weather remained clear and fine.</p>
        </div>
        <div type="section" n="26" xml:id="c5-26">
          <head>
            <hi rend="i">Casualties from 4 and 10 Brigades</hi>
          </head>
          <p rend="indent">The RMOs in the <name key="name-002045" type="place">Galatas</name> area suffered from the same deficiencies of equipment and supplies as did their fellow officers attached to 5 Brigade, and relied largely on captured German supplies when the fighting began. Captain Lomas of the Composite Battalion, however, had been able to procure adequate supplies from 7 General Hospital before the invasion, and after the hospital had withdrawn to the caves an abundant supply of stretchers and blankets was obtained from the abandoned site. The capture of 7 General Hospital and 6 Field Ambulance on 20 May upset evacuation arrangements. Instead of the field ambulance receiving casualties from the brigades, the position was temporarily reversed. Captain Dempsey of 18 Battalion had his RAP under a culvert on the main coast road next to his unit's area, and this culvert was given over to Captain Lovell for a dressing station for 6 Field Ambulance.
<pb n="176" xml:id="n176"/>
The 19th Battalion was farther inland in rougher country, and Captain Carswell found it best to treat the wounded in trenches in the front-line positions. There were German snipers everywhere, in front, behind, and in between the New Zealand positions. In local positions it was estimated that German dead and wounded outnumbered New Zealand casualties by about twelve to one. After the first confused day German paratroops did not snipe at the medical officer or stretcher-bearers wearing Red Crosses. Evacuation of wounded was impossible by day, but was carried out at night in the single ration truck which visited the positions and took the wounded down the road direct to the dressing station. For lack of stretchers, the wounded had at first to be collected in blankets.</p>
          <p rend="indent">Captain Lomas had his Composite Battalion RAP at battalion headquarters, midway between <name key="name-004651" type="place">Ruin Hill</name> and <name key="name-004602" type="place">Red Hill</name>, in a ditch beside a track which ran from <name key="name-002045" type="place">Galatas</name> north-west to the coast. The wounded were brought in to this main RAP from the first-aid posts of the various companies of the Composite Battalion and 10 Brigade. This medical station, receiving as it did from the perimeter companies and battalions of 10 Brigade, was virtually an ADS, although owing to efficient evacuation by the truck drivers not much surgery was undertaken.</p>
          <p rend="indent">Headquarters 10 Brigade had two light trucks for all purposes, and these were used to evacuate the wounded. Later, the ASC drivers secured two more abandoned light trucks for the purpose. For several nights these drivers had to run the gauntlet of a machine-gun post manned by enemy paratroops, but they were never deterred and performed a magnificent task throughout the whole of the fighting in the <name key="name-002045" type="place">Galatas</name> area.</p>
        </div>
        <div type="section" n="27" xml:id="c5-27">
          <head>
            <hi rend="i">Developments in the Battle</hi>
          </head>
          <p rend="indent">The days that were vital in the battle for <name key="name-003325" type="place">Crete</name> were 21 and 22 May. On 20 May the enemy had met with far more opposition and far less success than he expected. The next day there was a renewed air attack, and following that up at night was an attempted landing from the sea, when a force of some 1200 troops with heavy equipment got within 18 miles of <name key="name-000735" type="place">Canea</name> in small steamers and caiques before it was dispersed by the <name key="name-003205" type="organisation">Royal Navy</name>, with heavy losses. In the early morning of 22 May a second attempted seaborne landing was broken up, not without some loss to the Navy, whose ships were bombed by the <name key="name-000868" type="organisation">Luftwaffe</name>. (In a space of thirty-six hours the Navy lost two cruisers and four destroyers and had two battleships and two cruisers damaged.)</p>
          <p rend="indent">It was on 22 May that one of the bitterest battles was fought. The fate of <name key="name-004213" type="place">Maleme</name> – indeed, the fate of <name key="name-003325" type="place">Crete</name> – was in the
<pb n="177" xml:id="n177"/>
balance. A counter-attack was launched by the New Zealanders in the early morning to recover ground lost the previous day when they were forced off <name key="name-004213" type="place">Maleme</name> airfield. At dawn, when success seemed almost within their grasp, the enemy's distress signals brought fighters and bombers to unleash a blitz which made the hard-won ground untenable. Regardless of casualties, the Germans poured in reinforcements by troop-carrier aircraft. Fifth Brigade was in danger of being cut off and started to withdraw towards <name key="name-000735" type="place">Canea</name> early in the morning of 23 May. By ten o'clock that morning a line was established along the <name key="name-004554" type="place">Platanias</name> River. At night it was found necessary to withdraw further – this time right through 4 Brigade's positions to the divisional reserve area just west of <name key="name-000735" type="place">Canea</name>. <name key="name-004213" type="place">Maleme</name> airfield had been lost with the first withdrawal, and the second withdrawal enabled the enemy to effect a junction between two hitherto separated forces – the force landed in the <name key="name-004213" type="place">Maleme</name> area and that landed in the <name key="name-012166" type="place">Alikianou</name> reservoir-prison area to the south-west of <name key="name-002045" type="place">Galatas</name>. In the other sectors at <name key="name-012421" type="place">Heraklion</name> and <name key="name-012648" type="place">Retimo</name> the enemy had paid a heavy price for small successes and was now precariously held. The balance of the battle had now turned in the enemy's favour.</p>
        </div>
        <div type="section" n="28" xml:id="c5-28">
          <head>
            <hi rend="i">5 Field Ambulance Withdraws towards <name key="name-000735" type="place">Canea</name></hi>
          </head>
          <p rend="indent">From 5 Field Ambulance at <name key="name-022819" type="place">Modhion</name> some of the wounded were evacuated by ambulance car, and the first party of walking wounded and some of the staff of the unit set off on foot at 3 a.m. on 23 May for the former site of 6 Field Ambulance at the junction of the <name key="name-000735" type="place">Canea</name> and <name key="name-002045" type="place">Galatas</name> roads. The coastal road to the east was pitted here and there with small craters, littered with dead donkeys and telephone wires and the debris of shattered farm vehicles and of damaged houses in which isolated groups of parachutists had sought to control the road. Transport had been arranged by Headquarters 5 Brigade for the stretcher cases, but because of the bombing of the road some Cypriot drivers had abandoned their trucks or else had not proceeded to <name key="name-022819" type="place">Modhion</name>. An officer of Headquarters 5 Brigade, Captain <name key="name-022496" type="person">Coutts</name>,<note xml:id="ftn1-177" n="1"><p><name key="name-022496" type="person">Maj P. E. Coutts</name>, MBE, ED, m.i.d.; <name key="name-002817" type="place">Auckland</name>; born <name key="name-002817" type="place">Auckland</name>, <date when="1903-12-04">4 Dec 1903</date>; salesman; OC 1 Amn Coy Oct 1941–Jan 1943, Feb–Oct 1945; 18 Tk Tptr Coy Jan 1943–Mar 1944.</p></note> managed to marshal trucks by dawn, just when preparations were being made for some of the wounded to be left behind under the care of a section of the medical staff. It was then possible to clear the dressing station entirely. The convoy proceeded in broad daylight, under <name key="name-027417" type="organisation">Red Cross</name> flags, unmolested by enemy aircraft which were already about in fair numbers. The walking wounded were taken to 7 General Hospital
<pb n="178" xml:id="n178"/>
in the caves on the foreshore, while the stretcher cases were unloaded at 189 Field Ambulance hospital at <name key="name-029205" type="place">Khalepa</name>, a northeastern suburb of <name key="name-000735" type="place">Canea</name>. (This British field ambulance had been called upon to establish a temporary hospital to take the overflow of wounded from 7 General Hospital. By utilising a school, a convent, and a number of adjacent houses, the unit eventually held as many as 460 cases. Major Christie, <name key="name-203712" type="organisation">NZMC</name>, was transferred from 7 General Hospital to do the surgical work and succeeded in improvising a first-class operating theatre.)</p>
          <p rend="indent">Fifth Field Ambulance occupied the area used by 6 Field Ambulance up to the time of its capture; the latter unit at this time was functioning in a culvert about a mile further along the road towards <name key="name-000735" type="place">Canea</name>. During the morning the 5 Field Ambulance site was subjected to a particularly heavy attack of bombing and machine-gunning, the site being near an important road junction. One death was sustained by the unit as a result of the attack. Information had been received that heavy casualties were to be expected from 5 Brigade's front and, as it was impossible for the unit to carry on where it was, it was decided to open up in the officers' mess building, well down towards the beach, on the 7 General Hospital site. The changeover was made by midday on the 23rd.</p>
          <p rend="indent">Casualties arrived in a steady stream throughout the afternoon and night, and before dawn the total admissions were over 200. Good work was done by the drivers of the trucks, some from 5 Field Ambulance and some from other units in the line, in carrying on unceasingly through the hours of daylight and darkness bringing in the wounded; and also by the ambulance orderlies who went out with the trucks. All trucks and ambulance cars were provided with Red Crosses and drivers and patients frequently derived considerable confidence, when negotiating the open roads, from the presence of lightly wounded German prisoners, who volunteered to accompany them so that in the event of interference they could intercede as far as they were able in having the convoy regarded as a protected service.</p>
          <p rend="indent">In the evening a small convoy of five trucks with two medical officers set out to evacuate wounded from 23 Battalion and from the <name key="name-005118" type="organisation">Maori Battalion</name> at <name key="name-004554" type="place">Platanias</name>. The Maori Battalion being well forward, the trucks going to evacuate their wounded were to rendezvous with those clearing 23 Battalion before returning to the MDS. Once again circumstances intervened. Before reaching <name key="name-004554" type="place">Platanias</name> the ambulance vehicles passed those of the withdrawing <name key="name-005118" type="organisation">Maori Battalion</name> just east of the village. To an accompaniment of doubts as to the direction, they drew up in the lower village at
<pb n="179" xml:id="n179"/>
<name key="name-004554" type="place">Platanias</name> where Captain Royal's rear party was still firing spasmodically down the road. Most of the lightly wounded had already gone out with the battalion. Several serious cases which had remained were placed in two trucks, and the third vehicle was instructed to wait at the rendezvous to meet those being evacuated from 23 Battalion, with a message that the 23 Battalion abdominal cases were being taken directly through to <name key="name-029205" type="place">Khalepa</name>.</p>
          <p rend="indent">The clearing of the 23 Battalion casualties was a more difficult task. With orders to pick up wounded from that battalion, Lieutenant <name key="name-027528" type="person">Gray</name><note xml:id="ftn1-179" n="1"><p><name key="name-027528" type="person">Capt W. G. Gray</name>, m.i.d.; <name key="name-002817" type="place">Auckland</name>; born <name key="name-002817" type="place">Auckland</name>, <date when="1913-07-13">13 Jul 1913</date>; medical practitioner; medical officer <name key="name-009616" type="organisation">5 Fd Amb</name> Dec 1939–Nov 1941; p.w. <date when="1941-11">Nov 1941</date>; escaped to <name key="name-035423" type="place">Switzerland</name>, <date when="1943-11">Nov 1943</date>.</p></note> took two small trucks and four stretcher-bearers; he had only a vague idea where the battalion headquarters was and was to be stopped by a sentry along the road.</p>
          <p rend="indent">The country was quite familiar to them as they had explored much of it in the three weeks before the invasion. At the rendezvous they found several wounded, some walking and other more severe cases, on the side of the road. Taking several stretchers, they followed a guide up a dry riverbed. This descended steeply, with heavy growth along the banks and overhanging its course, boulders strewn on the short level stretches, and small waterfalls every few yards. They soon met tired troops staggering under the burden of their severely wounded comrades in improvised stretchers of two poles and a blanket, and as time was short no time was lost in carrying out first aid. The orderlies took over from the troops wherever assistance was needed and very soon no orderlies were left.</p>
          <p rend="indent">Lieutenant Gray and a corporal kept on up the stream and after some time met the rear party. They were carrying in a blanket a badly wounded man, who had compound fractures of both legs below the knee. Helping to carry the man down that riverbed was most difficult. Already tired after four days of confused fighting and weary through lack of sleep, the party made slow, stumbling progress over boulders, on slippery shingle, gently lifting him over rocky falls every few yards, tripping and falling over trees and wood in their path, bearing the burning pull of the rolled edge of a blanket on aching fingers and hands.</p>
          <p rend="indent">In the shelter of the riverbed the strenuous work soon had them in a bath of perspiration, mouths and tongues dry from laboured breathing. It was too much for their unconscious burden and he was dead when they reached the truck.</p>
          <p rend="indent">Both trucks were by then piled with wounded. Conscious and unconscious men were piled on the floor – there were as many stretchers as could be carried, and the departure of the medical
<pb n="180" xml:id="n180"/>
party and the wounded now had to be hasty. There was no time for a second trip. The rough road back to the MDS was a nightmare for all, and too much for two more of the wounded. It was well after midnight before they reached the MDS, which was already overcrowded with wounded from other units.</p>
          <p rend="indent">On the way through <name key="name-000735" type="place">Canea</name>, the darkness and smoke enhanced by flashes of a 6-inch gun from HMS <hi rend="i"><name key="name-120042" type="place">York</name></hi>, a call was made at a Greek <name key="name-027417" type="organisation">Red Cross</name> dressing station in the square where several British wounded and a Maori were picked up. At <name key="name-029205" type="place">Khalepa</name> not another lying case could be taken. Every possible space was occupied by stretchers and palliasses. At 2 a.m. operating was still in progress. A guide was found and the two vehicles were redirected to the naval tented hospital at <name key="name-022755" type="place">Mournies</name>, where the naval hospital orderlies had some trouble with Maori names. A speedy return was made to the MDS, but it was dawn when the vehicles arrived.</p>
          <p rend="indent">Valuable assistance was given to 5 Field Ambulance in dealing with casualties by the surgical team from 7 General Hospital (Lieutenant-Colonel Debenham, Captain Gourevitch, and Captain Holt) which took over the operative work during the night. Evacuations from the dressing station were carried on throughout the night, 60 of the more serious cases going to 189 Field Ambulance hospital and 50 serious stretcher cases and 120 walking wounded going to the caves of 7 General Hospital. Bearer parties went out after dusk to assist in the evacuation of casualties from 5 Brigade. The lightly wounded were sent to 6 Field Ambulance and, of the serious cases, twenty went to 189 Field Ambulance hospital and ten to <name key="name-027431" type="organisation">1 Marine Tented Hospital</name> at <name key="name-022755" type="place">Mournies</name>, 2 miles south of <name key="name-000735" type="place">Canea</name>. (This 60-bed naval unit had arrived on 10 May, and when 7 General Hospital was pressed for space it found accommodation for more than 400 cases, the surgical staff continuing to operate day and night in spite of enemy snipers in the neighbouring foothills.)</p>
          <p rend="indent">At dawn on 24 May 5 MDS had been cleared of all casualties with the exception of eight wounded prisoners of war. This complete evacuation had followed a visit from Colonel Bull, acting ADMS NZ Division, the previous evening, with news that an attack on the area was expected. While the remainder of the staff went to caves on the foreshore for much-needed rest, a nucleus of the MDS staff – including the CO – remained in the building during 24 May, a quiet day on which only eight casualties were admitted. Aerial activity had continued throughout the day, but the Germans were waiting for further reinforcements for their ground forces to come from <name key="name-004213" type="place">Maleme</name> airfield before making a major attack.</p>
          <pb n="181" xml:id="n181"/>
        </div>
        <div type="section" n="29" xml:id="c5-29">
          <head>
            <hi rend="i">Bombing of 6 MDS</hi>
          </head>
          <p rend="indent">On 23 May the site of 6 Field Ambulance, along with surrounding areas, was subject to severe aerial attacks which lasted practically all day. Two of the members of the unit were killed when two bombs dropped on the site. At this stage the unit was using the concrete culvert under the road as a reception centre and a narrow, deep, and dry riverbed for accommodating patients. The location was in an olive grove, where concealment was almost perfect and Red Crosses were not displayed. The unit, however, was becoming an unseen target in the general attack by enemy planes on roads and troop movements, and during the night a move was made to one of two cottages in a cleared area two or three hundred yards away from the road.</p>
          <q>
            <p rend="indent">“About midday next day,” said Corporal P. <name key="name-028587" type="person">Curtis</name>,<note xml:id="ftn1-181" n="1"><p><name key="name-028587" type="person">WO I P. H. Curtis</name>; <name key="name-002817" type="place">Auckland</name>; born <name key="name-120054" type="place">Timaru</name>, <date when="1919-03-16">16 Mar 1919</date>; medical student; NCO <name key="name-001176" type="organisation">6 Fd Amb</name> 1940–41; 1 Mob CCS Oct 1941–May 1945.</p></note> “… a machine-gun crackled through the camp followed by a bomb which narrowly missed the cottage, and another which landed near the watercourse fatally wounding two members of the unit. Those of us in the theatre were covered by a cascade of mud, bricks and tiles. Almost immediately after we had extricated ourselves from the debris an officer arrived for morphia saying that the two unit members had been caught standing one on either side of the ditch. We buried them after a short service later in the afternoon.</p>
            <p rend="indent">“It so happened that the patient on the table at the time was a German who asked us whether we were displaying any red crosses, and on being told no and why, said that if we did we would be left alone. As it was now obvious that we had been spotted and thus further attacks could be expected, this advice was followed and some ground flags were made from sheeting and red blankets, the area being mapped out with two of them and one on the roof of the cottage. It must be admitted that no further attacks were made on us after that although low flying, presumably for demoralising effects, continued.</p>
            <p rend="indent">“Shortly after this a signal was received saying that no further casualties could be taken by the Naval hospital so that it became imperative to find alternative accommodation and shelter, the nights being too cold in the open for badly shocked cases. Accordingly it was decided to take over the larger cottage for this purpose and it too was marked with the red cross.</p>
            <p rend="indent">“Time seemed to stand still and one day was very like another. The morale of the unit and patients remained high and at no time did the position seem hopeless, at least to those of us in the ranks without official knowledge. A rumour even reached us that the Germans were about to evacuate despite Lord “Haw Haw's” continued gloom about our prospects.</p>
            <p rend="indent">“Gradually the intake of casualties slackened until by Sunday they had practically ceased to come in. This, our first Sunday after the invasion, was particularly memorable for two reasons. In the mid-afternoon twelve of our bombers passed overhead to off-load over <name key="name-004213" type="place">Maleme</name>, accompanied by prolonged cheering which could be heard for a considerable distance. These were the first aircraft carrying our insignia that we had seen since the invasion began. Later the same evening orders came through for our withdrawal and evacuation.”</p>
          </q>
          <pb n="182" xml:id="n182"/>
        </div>
        <div type="section" n="30" xml:id="c5-30">
          <head>
            <hi rend="i">Battle for <name key="name-002045" type="place">Galatas</name></hi>
          </head>
          <p rend="indent">On the afternoon of the sixth day, 25 May, the Germans attacked in force in the <name key="name-002045" type="place">Galatas</name> sector following intensive mortar and air bombing, which reached a terrific climax about 4 p.m. For more than two hours the New Zealanders held their line intact, but extreme pressure forced a fighting withdrawal and the Germans took <name key="name-002045" type="place">Galatas</name>. But as darkness fell the New Zealanders launched a counter-attack which drove the Germans out of the village, with heavy casualties to both sides. The troops, dog-tired after days of fighting and continuous bombardment, with their ranks thinned by casualties, were not in a position to follow up their advantage. During the night 4 Brigade withdrew through 5 Brigade, which had reformed and moved into a new line east of <name key="name-002045" type="place">Galatas</name>, alongside <name key="name-022941" type="organisation">19 Australian Brigade</name> and also east of the hospital area.</p>
          <p rend="indent">On 24 May Captain Lomas, moving with Headquarters 10 Brigade, resited his RAP on the northern outskirts of <name key="name-002045" type="place">Galatas</name>. During the battle of <name key="name-002045" type="place">Galatas</name> many of the casualties from the Divisional Cavalry RAP run by Captain <name key="name-027675" type="person">Stevenson-Wright</name><note xml:id="ftn1-182" n="1"><p><name key="name-027675" type="person">Capt E. Stevenson-Wright</name>, MBE; <name key="name-008844" type="place">Wellington</name>; born <name key="name-120455" type="place">Dannevirke</name>, <date when="1909-02-16">16 Feb 1909</date>; medical practitioner; medical officer <name key="name-011447" type="organisation">1 Gen Hosp</name> Mar 1940–Feb 1941; RMO 2 Div Cav Mar–May 1941; p.w. <date when="1941-05">May 1941</date>.</p></note> went through this RAP, and some of the casualties from the 18 Battalion RAP under Captain Dempsey were also sent on by Captain Lomas. On some days the number evacuated from Lomas's RAP reached ninety. It is estimated that there was an average of seventy casualties a day for the six days' fighting at <name key="name-002045" type="place">Galatas</name>.</p>
          <p rend="indent">The 18th Battalion had been moved forward to the west of the Composite Battalion on 24 May and from the fighting near <name key="name-004938" type="place">Wheat Hill</name>, west of <name key="name-002045" type="place">Galatas</name>, many wounded came in to its RAP, which was situated in a depression about 200 yards from Battalion Headquarters. Many were severely wounded by mortar fire, and Captain Dempsey thought the proportion of killed to wounded was abnormally high. The serious cases were loaded on to a small truck and rushed back to 6 MDS in daylight. The truck was strafed on its journeys and had to run off the road many times, but it was not thought that any of the wounded received further wounds. The walking wounded made their way back on foot.</p>
          <p rend="indent">When 18 Battalion retired behind <name key="name-002045" type="place">Galatas</name>, Captain Dempsey and Padre Dawson<note xml:id="ftn2-182" n="2"><p>Ven Archdeacon F. O. Dawson, MC; <name key="name-120105" type="place">Morrinsville</name>; born <name key="name-008904" type="place">London</name>, <date when="1909-02-23">23 Feb 1909</date>; Anglican minister; SCF 2 NZ Div 1944–45.</p></note> at the RAP were unaware of the move until they discovered there was no one between them and their forty wounded and the Germans. There was still time to move the wounded back – many could walk but some were carried on stretchers; three had to be left behind. Captain Dempsey was not, therefore, in touch with his unit in the final fighting at <name key="name-002045" type="place">Galatas</name>.</p>
          <pb n="183" xml:id="n183"/>
          <p rend="indent">On the afternoon of 25 May the enemy's fierce attacks produced about ninety casualties, which were evacuated with great speed once the defence line was broken. Here again the drivers of the light trucks did splendid work in the daylight, being subjected to aerial attacks most of the time. All the casualties had been evacuated by the time of the start of our counter-attack which led to the recapture of <name key="name-002045" type="place">Galatas</name>. In the withdrawal the Divisional Cavalry did not inform its RAP, but Captain Stevenson-Wright became aware of the position and managed to bring back the few wounded he held and rejoin his unit near <name key="name-000735" type="place">Canea</name>.</p>
          <p rend="indent">In the retirement towards <name key="name-001363" type="place">Suda Bay</name> 18 Battalion suffered many casualties from air strafing. Its headquarters was hiding under some trees when one of its officers crossed the road to the hiding place while a plane was overhead. The plane came down and strafed the area, killing some, including the stretcher-bearer sergeant, and wounding a number. There were other such incidents on a smaller scale. First field dressings were applied to the wounded, but those who could not walk had to be left behind. They were well treated by the Germans.</p>
        </div>
        <div type="section" n="31" xml:id="c5-31">
          <head>
            <hi rend="i">The Line Breaks</hi>
          </head>
          <p rend="indent">Enemy pressure increased on this new line at <name key="name-000735" type="place">Canea</name> on 26 May and by nightfall enemy parties had infiltrated behind the lines. Further withdrawal was necessary during the night and a new line was established early on 27 May on 42nd Street – a dirt road running north and south about one mile west of <name key="name-004798" type="place">Suda</name> township. Enemy aircraft attacked the Anzac positions and ground troops began to work round the southern flank, threatening the road of retreat.</p>
        </div>
        <div type="section" n="32" xml:id="c5-32">
          <head>
            <hi rend="i">Medical Units during the Withdrawal</hi>
          </head>
          <p rend="indent">By 25 May the front line was only a few miles away from the medical units, which continued to receive casualties. During the day casualties from the air offensive were only moderate, but towards evening both 5 and 6 Field Ambulances began to receive a steady stream of heavy casualties from the fighting for <name key="name-002045" type="place">Galatas</name>. By evening, also, mortar bombs were falling within a few hundred yards of 5 MDS and machine guns were spraying the vicinity of the buildings with bullets. An endeavour was made to collect trucks which had been abandoned and five vehicles were obtained, one of them being set on fire by a passing aircraft. This was taken to be an objection to the numbers of vehicles collected together, or more likely as a hint to move farther back. Preparations for a move were continuing when Colonel Bull arrived at 7 p.m. with instructions for both 5 and 6 Field Ambulances and 7 General Hospital to go
<pb n="184" xml:id="n184"/>
to the region of <name key="name-022822" type="place">Nerokourou</name>, south-east of <name key="name-000735" type="place">Canea</name> and some 7 miles away, where a site had already been prepared for the reception of casualties. It was reached by sunken lanes and rough roads across the outskirts of <name key="name-000735" type="place">Canea</name>.</p>
          <p rend="indent">The evacuation was planned so that all equipment and the stretcher cases in the dressing station would be moved by transport, which necessitated three trips in the vehicles available, but the situation was further complicated by the necessity of detailing one truck to collect more wounded from forward areas. Delay also occurred because the prepared site at <name key="name-022822" type="place">Nerokourou</name> could not be found in the darkness. Patients and equipment were offloaded at a church, and when dawn broke this was found to be exactly opposite the area where the tents had been pitched. Although the tents had been pitched under olive trees and were widely dispersed, they had received the attention of enemy aircraft the previous day and some had been destroyed by fire. This was largely attributable to bad concealment by the Cypriot pioneer company when preparing the site.</p>
          <p rend="indent">The three marching parties, comprising the more lightly wounded walking cases and most of the staffs of 5 Field Ambulance and 7 General Hospital, halted within 500 yards of the church, but the tentage by the roadside was not found till dawn though one party, unable fully to resist sleep at the halt, were within a hundred yards of it in the darkness. Lieutenant-Colonel Twhigg and Captain Palmer and four or five others began to move stores to the selected site whilst awaiting the return of the transport. More tents were erected, Red Crosses displayed, and after hasty consultations the church was utilised as an operating theatre. The hamlet was deserted. Casualties soon came in, and those awaiting attention had, it seemed, the utmost faith in the <name key="name-027417" type="organisation">Red Cross</name>: none of the waiting casualties showed a steel helmet nor did they permit others to do so without protest.</p>
          <p rend="indent">At first many were reluctant to remain in the tents while aircraft dived above them, but after the third dive without incident confidence in enemy respect for the <name key="name-027417" type="organisation">Red Cross</name> was restored. There were no attacks on the MDS. Within the church, by late afternoon, twenty-seven operations with anaesthetic had been performed.</p>
        </div>
        <div type="section" n="33" xml:id="c5-33">
          <head>
            <hi rend="i">Medical Staffs Remain with Wounded</hi>
          </head>
          <p rend="indent">Through these unforeseen delays only two trips were carried out by the trucks before dawn. The first trucks left at 10.30 p.m. and were expected back for the second load at 1 a.m. on 26 May. When no trucks came, those remaining expected to be prisoners of war, and well they might have been had the Germans advanced during
<pb n="185" xml:id="n185"/>
the night, as the New Zealanders withdrew from <name key="name-002045" type="place">Galatas</name> about midnight to lines in the rear of the hospital. However, three trucks returned at 3.30 a.m. and loaded all but some twenty or thirty seriously wounded cases from 5 MDS. Two medical officers, Major S. G. de Clive <name key="name-027484" type="person">Lowe</name><note xml:id="ftn1-185" n="1"><p><name key="name-027484" type="person">Maj S. G. de Clive Lowe</name>, m.i.d.; <name key="name-004019" type="place">England</name>; born NZ <date when="1904-02-27">27 Feb 1904</date>; medical practitioner; medical officer <name key="name-009616" type="organisation">5 Fd Amb</name> Mar–May 1941; p.w. <date when="1941-05">May 1941</date>.</p></note> and Lieutenant Moody, and a padre, J. Hiddlestone<note xml:id="ftn2-185" n="2"><p>Rev J. Hiddlestone, MBE, ED; Tasman, <name key="name-005626" type="place">Nelson</name>; born <name key="name-007584" type="place">Christchurch</name>, <date when="1893-03-19">19 Mar 1893</date>; Baptist minister; p.w. <date when="1941-05">May 1941</date>.</p></note> and fourteen men, decided to stay to attend them.</p>
          <p rend="indent">As 7 General Hospital had had to leave 300 stretcher patients in their caves adjacent to 5 Field Ambulance and had detailed two medical officers and twenty men to look after them, the CO 5 Field Ambulance considered that an attempt should be made to evacuate the balance of his ambulance staff and as many of the patients as possible. The three truck drivers volunteered for this mission, but as a result of the air activity with the coming of daylight only one truck got through, the others being attacked and forced to return. The one truck, flying a <name key="name-027417" type="organisation">Red Cross</name> flag, was kept under constant observation by an enemy reconnaissance aircraft, which left it immediately it turned in to the hospital area. While preparations for departure were being made, a German patrol entered the dressing station and captured the medical staff and the wounded. The truck driver, Driver <name key="name-022673" type="person">Jenkins</name>,<note xml:id="ftn3-185" n="3"><p><name key="name-022673" type="person">L-Cpl B. Jenkins</name>; <name key="name-021225" type="place">Gisborne</name>; born <name key="name-021225" type="place">Gisborne</name>, <date when="1914-09-03">3 Sep 1914</date>; taxi proprietor; p.w. <date when="1941-11-28">28 Nov 1941</date>.</p></note> made his escape by climbing down the cliff and clambering round the rocks to get behind the New Zealanders' front line. He returned to the MDS at <name key="name-022822" type="place">Nerokourou</name> at 11 a.m.</p>
          <p rend="indent">At midnight the CO 6 Field Ambulance (Major Fisher) had received orders from the ADMS NZ Division to evacuate 250 walking wounded, and as the unit still possessed only a single light truck, the majority of these men also had to walk. They reached the naval hospital and most of them were taken off by destroyers on 26–27 May. Then, at 4 a.m. on 26 May, Colonel Bull met Major Fisher and instructed him to move his unit to <name key="name-022822" type="place">Nerokourou</name> immediately to establish an MDS along with 5 Field Ambulance. Some 150 stretcher cases were to remain at the ADS in the charge of a medical officer and twenty orderlies. Sixth Field Ambulance moved out at 4.15 a.m. leaving one medical officer, Lieutenant D. A. Ballantyne, a padre, H. I. Hopkins,<note xml:id="ftn4-185" n="4"><p>Rev H. I. Hopkins, m.i.d.; <name key="name-120125" type="place">Temuka</name>; born Dunedin, <date when="1908-08-30">30 Aug 1908</date>; Anglican minister; p.w. <date when="1941-05-27">27 May 1941</date>.</p></note> and twenty nursing orderlies with the wounded. At 7 a.m. the unit reached the MDS which 5 Field Ambulance had already established in the church.</p>
          <p rend="indent">Lieutenant Ballantyne and his small staff at the old site of 6 MDS found it was essential to bring all the 160 casualties into the
<pb n="186" xml:id="n186"/>
smallest possible area, for they were in the direct line of advance of the enemy. Before dawn on the 26th all cases, mostly lying, had been collected and transferred to a large house on a hill overlooking the sea and situated on the <name key="name-000735" type="place">Canea</name> side of a ridge which was held by 21 Battalion Group. All day long the Germans made unsuccessful attempts to take this ridge but were repulsed, and during the day more casualties arrived. Although there was machine-gun and mortar fire on all sides, and the building at times was hit by splinters, no one was injured. At dusk forty walking cases were sent off with instructions to make their way as best they could towards <name key="name-001363" type="place">Suda Bay</name>. Having organised the departure of these patients, Ballantyne searched the immediate area for transport. An abandoned truck refused to start, but a motor cycle was persuaded to function and Private <name key="name-028579" type="person">Collett</name><note xml:id="ftn1-186" n="1"><p><name key="name-028579" type="person">Pte J. P. C. Collett</name>, BEM; <name key="name-005626" type="place">Nelson</name>; born <name key="name-008963" type="place">Australia</name>, <date when="1899-11-05">5 Nov 1899</date>; carpenter; p.w. <date when="1941-06">Jun 1941</date>.</p></note> went off towards the rear to ascertain the situation. Ballantyne still hoped that the evacuation of patients and staff might yet be possible. During the night Private Collett returned with news of a general evacuation, but he had been unable to make contact with anyone of authority.</p>
          <p rend="indent">About 8 a.m. on the 27th the German advance was resumed, this time unopposed, and about an hour later the medical staff and Padre Hopkins were rounded up at the point of tommy guns by excited German soldiers and marched over to 7 General Hospital. En route an ugly situation developed when an English-speaking enemy officer accused the prisoners of shooting from the hospital building on his men. However, after the enemy had stolen their wrist watches, they were marched on until they came to an enemy RAP established at 7 General Hospital, and there they met the captured remnants of 5 Field Ambulance and 7 General Hospital.</p>
          <p rend="indent">A short time afterwards Lieutenant Ballantyne and some of the staff went back to the dressing station and found that one of the orderlies had been killed and another wounded in the assault on it. Driver Hunt,<note xml:id="ftn2-186" n="2"><p>Dvr M. F. H. Hunt, m.i.d.; <name key="name-002817" type="place">Auckland</name>; born NZ <date when="1912-08-24">24 Aug 1912</date>; labourer; p.w. <date when="1941-05">May 1941</date>; repatriated <date when="1944-08">Aug 1944</date>.</p></note> who had escaped the round-up, had taken upon himself the direction of the ADS and, by a nice combination of authority and tact, had induced the Germans, who had by this time calmed down considerably, to assist in the care of the many wounded. The German RMO, who spoke good English, paid a courteous visit, and said that although German wounded had prior right of evacuation, he would do his best to assist and evacuate the worst British cases before evening. The Germans kept their word, and in three days all the patients were sent by air to <name key="name-002294" type="place">Greece</name>.</p>
          <pb n="187" xml:id="n187"/>
        </div>
        <div type="section" n="34" xml:id="c5-34">
          <head>
            <hi rend="i">Move to <name key="name-022821" type="place">Kalivia</name></hi>
          </head>
          <p rend="indent">At <name key="name-022822" type="place">Nerokourou</name> 6 Field Ambulance cared for walking wounded and received any evacuations from the New Zealand line, while 5 Field Ambulance functioned as an MDS with ninety-four patients who had been transferred to the new site, assistance being given by Lieutenant-Colonel Debenham and his surgical team from 7 General Hospital.</p>
          <p rend="indent">At 6 p.m. on 26 May instructions were received from Colonel Bull to move at dusk to <name key="name-022821" type="place">Kalivia</name>, some 15 miles to the south-east, along the coast. The front-line troops were steadily falling back and a general move was being made towards the south coast, from which evacuation from the island was possible. For the move 5 and 6 Field Ambulances, 4 Field Hygiene Section, and 7 General Hospital were all placed under the command of Lieutenant-Colonel Twhigg, CO 5 Field Ambulance. The more seriously wounded were taken by the available transport in two trips; the walking wounded were assisted over part of the journey, but the staffs of the units all had to walk, arriving at <name key="name-022821" type="place">Kalivia</name> shortly before daybreak on 27 May.</p>
          <p rend="indent">During the night 2/1 Australian Field Ambulance had, on receipt of orders from <name key="name-028893" type="organisation">DDMS</name> <name key="name-003399" type="organisation">Creforce</name>, established a temporary hospital in the school buildings in the village of <name key="name-022821" type="place">Kalivia</name> and received 100 cases from 5 Field Ambulance and stretcher cases and walking wounded from 6 Field Ambulance as they reached the village. This Australian unit was soon coping with 530 patients. Approximately 300 of these patients had to be left behind during the withdrawal, and Colonel Kenrick deputed an Australian medical officer and some medical orderlies to stay with them.</p>
        </div>
        <div type="section" n="35" xml:id="c5-35">
          <head>
            <hi rend="i">General Withdrawal towards <name key="name-004697" type="place">Sfakia</name></hi>
          </head>
          <p rend="indent">The New Zealand medical units proceeded to a transit camp about a mile and a half away on the <name key="name-022821" type="place">Kalivia</name>–<name key="name-004697" type="place">Sfakia</name> road and there dispersed under olive trees to lie up and rest, hidden from the air. However, there was a continual movement along the road of vehicles and men on foot, the latter mainly Greeks and <name key="name-022528" type="organisation">Cypriots</name>; and this attracted enemy planes which strafed the road and the shelter alongside. In the late afternoon of the 27th an order was received from the OC of the transit camp that all medical units were to move out at 9 p.m. and proceed by night as far as possible along the road towards <name key="name-004697" type="place">Sfakia</name>, on the south coast, and disperse and lie up at dawn.</p>
          <p rend="indent">At the same time all walking wounded were directed to proceed from 2/1 Australian Field Ambulance along the same route and to follow similar instructions in respect to concealment at daylight. Two trucks were made available to assist with the more seriously
<pb n="188" xml:id="n188"/>
wounded walking cases with the unit, with medical equipment, and with any unfit medical personnel in the party. Lieutenant-Colonel Twhigg in one truck returned to 2/1 Australian Field Ambulance to collect walking wounded and rations. Later, at <name key="name-022761" type="place">Neon Khorion</name>,<note xml:id="ftn1-188" n="1"><p>Two places with closely similar names, <name key="name-022822" type="place">Nerokourou</name>, south-west of <name key="name-004798" type="place">Suda</name>, and <name key="name-022761" type="place">Neon Khorion</name>, south-west of <name key="name-022821" type="place">Kalivia</name>, were both the sites of medical units during the withdrawal.</p></note> 3 miles south-west of <name key="name-022821" type="place">Kalivia</name>, he contacted Lieutenant-Colonel Bull, who had established there a walking wounded collecting post and dressing station, where previously it had been intended that 5 Field Ambulance should establish an MDS. (For this move the orders were issued but 5 Field Ambulance did not receive them.) Rations, a field medical pannier, and some equipment were left at this post, and it was arranged to send a vehicle back with more equipment and a medical officer from 7 General Hospital to relieve Colonel Bull. Conditions on the narrow road were extremely trying all through the night because of delay brought about by vehicles frequently breaking down, and by others, such as a recovery truck, which were incapable of moving above 6 m.p.h. Where delays were caused by such difficulties, the vehicles were ordered off the road in order to speed up the progress of those capable of moving more rapidly.</p>
          <p rend="indent">Between <name key="name-028746" type="place">Alikambos</name> and <name key="name-024107" type="place">Ay Ioannis</name> two trucks evacuating light cases from <name key="name-029205" type="place">Khalepa</name>, under the charge of Major Christie, turned off at dawn into a small valley at the side of the road. The wounded were dispersed among the scrub and rocks whilst the trucks were concealed beside some stunted trees. Signs were posted on the roadside.</p>
          <p rend="indent">The party was joined shortly afterwards by another vehicle, also carrying a capacity load of sitting wounded in charge of Lieutenant-Colonel Twhigg. All the wounded were dispersed and, with limited means, dressings were adjusted and renewed, stimulants given, and a search made for water. The wells proved to be nearly three-quarters of a mile from the dispersal point. The only water available was what could be carried in water-bottles by those able to scramble to the wells. A truck was sent back for Colonel Bull but could not reach <name key="name-022761" type="place">Neon Khorion</name> as a road demolition had been prematurely blown south of <name key="name-001441" type="place">Vrises</name>. During the day it was found that there was considerable troop movement along the roads, and it was decided to try to proceed further by day with the wounded in these trucks. <name key="name-027417" type="organisation">Red Cross</name> flags were made from red blankets and white sheets, and, with these emblems prominently displayed, the two vehicles moved off, filled to capacity. This convoy successfully reached <name key="name-028750" type="place">Ammoudhari</name> (the location of Headquarters NZ Division)
<pb n="189" xml:id="n189"/>
without interference from enemy aircraft, and later continued to the end of the road two miles from the beach.</p>
          <p rend="indent">In the later afternoon the party passed the divide and began to descend past <name key="name-000965" type="place">Imvros</name>, debussing all casualties in a new dispersal area about half a mile north of where the road commenced its final zigzag and spiral descent to the point at which it ended uncompleted some two miles or so from the village of <name key="name-004697" type="place">Sfakia</name>. Major Christie and Captain Palmer were instructed to continue down the road to a group of caves situated on a small ledge on which was a stonewalled well. Another well lay to the south. A narrow, deep ravine lay on either flank. They were to assist in the collection of walking wounded and to take charge of those who were to proceed to the embarkation point that night.</p>
          <p rend="indent">Other trucks from 5 and 6 Field Ambulances under the command of Major Fisher, CO 6 Field Ambulance, had proceeded beyond <name key="name-000965" type="place">Imvros</name> until they were in sight of the sea, and near the end of the road at <name key="name-015952" type="place">Komitadhes</name>, by 6 a.m. on 28 May. Here the patients were unloaded to disperse and shelter during the day. Major Fisher made preliminary arrangements with the British embarkation staff for the disposal of walking wounded and for the early embarkation of medical personnel.</p>
          <p rend="indent">About a mile south of <name key="name-000965" type="place">Imvros</name> Captain Lomas had established a walking wounded collecting post, where there were 400 to 500 walking wounded hiding up. He had the assistance of members of 5 and 6 Field Ambulances.</p>
          <p rend="indent">The trucks conveying the CO 5 Field Ambulance and patients arrived at the end of the road about 3 p.m. and there deposited the walking wounded at a walking wounded collecting post, under the charge of Captain A. C. Rumsey, RAMC, and a New Zealand staff.</p>
          <p rend="indent">At this point near <name key="name-015952" type="place">Komitadhes</name> the road ended abruptly at the edge of a 500-foot escarpment. From there a precipitous goat track led down for two miles to <name key="name-004697" type="place">Sfakia</name>, where there was a shingle beach. The difficulties attending evacuation were apparent, and Major Christie and Captain Palmer were sent to the beach to reconnoitre the route.</p>
          <p rend="indent">Immediately the walking wounded had been unloaded from the trucks, the vehicles were sent back along the same route to make contact with Colonel Bull and party should they have negotiated the road demolition south of <name key="name-001441" type="place">Vrises</name>. Alternatively, they were to pick up wounded.</p>
          <p rend="indent">Colonel Bull and his small staff of Captain A. J. King, AAMC, and eight <name key="name-203712" type="organisation">NZMC</name> orderlies remained at <name key="name-022761" type="place">Neon Khorion</name> on the morning of 28 May with forty-six seriously wounded men. Events
<pb n="190" xml:id="n190"/>
during the morning provided a striking commentary on the extreme difficulties experienced during a retreat. Between 10 a.m. and 11 a.m. an Australian battalion passed through the dressing station from the direction of <name key="name-022821" type="place">Kalivia</name>. Two officers informed Colonel Bull that there were still between him and the enemy two commando battalions which were not due to retire before nightfall. It was, therefore, somewhat of a surprise to him to find the enemy arriving in force about midday to capture the dressing station. (Later, it was learned that the two commando battalions had retired before dawn on 28 May.)</p>
        </div>
        <div type="section" n="36" xml:id="c5-36">
          <head>
            <hi rend="i">Dressing Station at <name key="name-000965" type="place">Imvros</name></hi>
          </head>
          <p rend="indent">At 5 p.m., a small group, Lieutenant-Colonel Twhigg and Major Fisher and some orderlies, established an MDS, on a previous order of Colonel Bull, in a church half a mile north of the embarkation control post at <name key="name-000965" type="place">Imvros</name>. As more of the road parties of 5 and 6 Field Ambulances and 7 General Hospital arrived they were added to the staff, and members of 2/2 Australian Field Ambulance who were located nearby gave assistance during the night.</p>
          <p rend="indent">As Corporal P. Curtis says:</p>
          <q>
            <p rend="indent">We had gone about half a mile from the village when we came upon what seemed to be a stone church with a red cross painted on the roof, nestling in a sharp bend in the road. The roof was almost level with the road.</p>
            <p rend="indent">An officer was standing near the entrance, and as we were still wearing arm brassards, he told us to go in and help with the wounded. We had seen no other dressing stations on our way across the island or any wounded either, although we might easily have missed them in the darkness.</p>
            <p rend="indent">The stone floor of the church was covered with wounded on blankets and ambulance stretchers ranged all round the walls and down the centre. The altar, in an alcove at one end, was covered with shell and field dressings and a little food—cocoa, tinned milk, sugar and biscuits. There were quite a number of medical officers and personnel there and we set to work bandaging, applying splints and making the patients as comfortable as possible. Some were walking cases but many appeared to be more severely wounded and could not be moved.</p>
            <p rend="indent">Later in the night we were split into sections, each working for two hours and then changing over and sleeping outside.</p>
            <p rend="indent">In the morning we had our first wash and shave for several days—there were two or three razors to go round with a few extra blades. It worked wonders with our morale. The weather too was a help, fine, sunny days and cool nights.</p>
          </q>
          <p rend="indent">This dressing station afforded a good example of what could be done by improvisation. The medical equipment which had previously been gathered together was in a truck that had since completely disappeared. This loss of equipment was very serious, for when the MDS opened there were only two surgical haversacks, an assortment
<pb n="191" xml:id="n191"/>
of mixed dressings, and a German medical kit containing a few items which were suitable for use. The staff of 5 and 6 Field Ambulances had, however, by a careful search in vehicles and houses over a wide area, gathered together within a few hours a variety of medical equipment, bedding, lamps, timber, and other material, which fulfilled immediate needs beyond expectations. A problem that had always been of some concern, owing to frequent moves, was insufficiency of rations, but a supply, which included a box of tea and cigarettes, was obtained from abandoned vehicles on the road. An assortment of carpenter's tools was also found in the village and with these splints and splinting were made. It was found that arm rests of pews, the type peculiar to Greek churches, made excellent crutches. The MDS was very soon overwhelmed with patients, both walking wounded and many others of a more serious nature. At the outset all were given attention and food, but such was the concentration of men about the medical area that it was decided to open a walking wounded collecting post in a valley opposite the site of the MDS, and early next morning, 29 May, the CO 2/2 Australian Field Ambulance, Lieutenant-Colonel D. M. Salter, took over command of this post. Throughout 29 May the intake of fresh casualties was not great, although many walking wounded seemed to be wandering aimlessly about, a result of their experiences over the previous few days.</p>
          <p rend="indent">For those on foot the march across the island was a test of endurance even for the fitter members of the ambulance staffs, apart from the sick and wounded. They set off in small sections at intervals, and each man carried two tins of meat and vegetables. In the cool of the first evening, and while the road was still good, the pace was steady and most parties had made good progress by morning, when they halted and hid in obedience to orders that they were not to show themselves during daylight. On the second evening the going was harder as the road gave way to a rough track, only wide enough for one vehicle, which wound up into the hills in the interior of the island. During that night the groups began to break up as they grew tired and became mixed with other troops on the road. By daylight they were all dog-tired and a bit bewildered as to their whereabouts and destination. They kept on till forced by enemy aircraft to take cover. The surrounding country was extremely rough and rocky, mostly covered in scrub, but with small clumps of trees growing here and there.</p>
          <p rend="indent">Lying dispersed among the olive trees on the roadside during the day while the <name key="name-000868" type="organisation">Luftwaffe</name> raged continuously overhead, the troops moved on by night in a weary march through damaged villages and across the mountain pass, three thousand feet high, which barred
<pb n="192" xml:id="n192"/>
the way to the south. Ten miles of winding hill road led to the pass and then the road turned down again into the <name key="name-028760" type="place">Askifou</name> basin. Food and water were both scarce, sleep was difficult during the day because of air activity, and everyone suffered from hunger, thirst, and fatigue.</p>
        </div>
        <div type="section" n="37" xml:id="c5-37">
          <head>
            <hi rend="i">First Evacuation from Beach</hi>
          </head>
          <p rend="indent">Proceeding to the beach on the afternoon of 28 May, Major Christie and Captain Palmer, the two reconnoitring officers, found that Creforce Headquarters had recently been set up in a cave on the side of a deep gully on the way to the shore. In other caves there were one hundred patients and some medical officers from 189 Field Ambulance, which had established an RAP for the wounded, many of whom were in a state of collapse. Another party of one hundred walking wounded arrived under the charge of a medical officer of 4 Light Field Ambulance. All the wounded were held back in an assembly area two miles from the embarkation point, in order not to betray details of evacuation to the enemy, squadrons of whose planes ranged overhead all day, repeatedly bombing the road and surrounding ridges.</p>
          <p rend="indent">The <name key="name-003205" type="organisation">Royal Navy</name>'s first evacuation from <name key="name-004697" type="place">Sfakia</name> took place on the night of 28–29 May. All walking wounded and stretcher cases, totalling 300, were sent forward from the assembly area.</p>
          <p rend="indent">At dusk all wounded able to walk – and it was amazing the determination which was shown to complete the journey – were led in three columns down the steep, dry gully among the scattered boulders and clumps of oleander bushes, to what in winter must have been the bed of a sizeable torrent. About three miles or less from <name key="name-004697" type="place">Sfakia</name>, on level ground, the columns were halted and strong efforts made to maintain both good cheer and cohesion. An unexpected delay so close to the beach tried the remnants of the patience of men who were tired, thirsty, and hungry. All were sick to a greater or lesser degree and many were in the early stage of diarrhoea and exhaustion.</p>
          <p rend="indent">There was little disturbance from the air. A light mist descended in the hollows. After what seemed a very long pause parties of fifty were allowed to proceed, but there appeared some hitches in communications over the three miles between the beach and the waiting columns. As the night wore on an urgent message came for another 200 to proceed, and then for as many as possible to get forward with all speed. The going was rough and the pace too slow.</p>
          <p rend="indent">Some time before dawn the remainder were instructed to go back and disperse in the original area. Some, however, reluctant to reclimb the steep hillside, elected to remain nearer the embarkation point. All but seventy of the wounded were embarked, as well
<pb n="193" xml:id="n193"/>
as 800 British troops from the <name key="name-001363" type="place">Suda Bay</name> sector, before the destroyers <hi rend="i"><name key="name-207145" type="ship">Napier</name>, <name key="name-207143" type="ship">Nizam</name>, <name key="name-207144" type="ship">Kelvin</name></hi>, and <hi rend="i"><name key="name-207136" type="ship">Kandahar</name></hi> pulled out from <name key="name-004697" type="place">Sfakia</name>.</p>
          <p rend="indent">On the morning of 29 May Major Christie was attached to the staff of 189 Field Ambulance to assist with the treatment of wounded and Captain Palmer established an RAP in a cave used by <name key="name-034190" type="organisation">RAF</name> personnel, 600 yards from Creforce Headquarters, in order to treat other wounded.</p>
          <p rend="indent">At the MDS at <name key="name-000965" type="place">Imvros</name> the staff was also kept busy. During the twenty-four hours that it was open the dressing station handled 94 serious cases, and where it was possible to do so, some of these were taken nearer to the control points above the beaches so that they would have priority in embarkation. The medical staff in this area managed to hold together a large number of patients, numbering some 700, reassuring and cheering up those who were jittery during enemy bombing attacks. During the day rations and water, the latter always difficult to obtain, were taken forward by the transport drivers. By then 5 Field Ambulance had built up its transport from one 15-cwt truck to two ambulance cars, three 3-ton trucks, and one Buick car, all marked with <name key="name-027417" type="organisation">Red Cross</name> flags. On the Buick car Driver <name key="name-028571" type="person">Burling</name><note xml:id="ftn1-193" n="1"><p><name key="name-028571" type="person">Dvr C. J. Burling</name>, MM; born Upper Hutt, <date when="1916-03-16">16 Mar 1916</date>; transport driver.</p></note> loaded a number of Italian water tanks and ran a regular water delivery service.</p>
          <p rend="indent">On the afternoon of 29 May walking wounded were transported in trucks, flying <name key="name-027417" type="organisation">Red Cross</name> flags, to the end of the road, where they were held until permitted by those in charge of the embarkation to go down to the beach. By late afternoon dispersal was excellent and all had more or less accepted the tedium of daytime concealment. The march down to <name key="name-004697" type="place">Sfakia</name> on the second night was more effectively organised than on the previous evening. The assembly point above the beach was two miles further on, whence it was easier to call forward parties as they were required. A long line sat down on the slope running down over the ridge near the village and waited their turn.</p>
          <p rend="indent">A hasty muster showed that some hundred more were in the column than had set out from the caves below the road end. With the naval guard, arrangements were made for a final scrutiny of the bona fides of all in the walking wounded party. Over 600 walking casualties had been passed through the collecting post above <name key="name-004697" type="place">Sfakia</name> in two days. These men had been scattered over an area of more than two miles and dispersed in small parties among the scrub and caves, the sole water supply being from the wells. These by the end of the first day were becoming foul, as many of the men were already suffering from an incipient diarrhoea, which was aggravated by drinking the fouled water.</p>
          <pb n="194" xml:id="n194"/>
          <p rend="indent">By nightfall on the 29th almost all the patients were on the move to the point at which they were to be concentrated for the final move to the beach, and sections of medical units were gathered for embarkation, including 5 and 6 Field Ambulances, 4 Field Hygiene Section, 2/2 and 2/7 Australian Field Ambulances, 7 General Hospital, and part of 2/1 Australian Field Ambulance. To assist the walking wounded, a proportion of one medical officer and five medical orderlies to each group of fifty patients was allowed by the embarkation authorities. It turned out that this proportion was inadequate, as many of the patients required assistance and the track to the beach was a nightmare even for those able-bodied and fit. This track had to be negotiated in the dark, and many of the patients, who had been subjected to severe ordeals and privations, found it extremely hard going to keep up, and all were apprehensive that they might be left behind. It could quite well have been arranged to attach one medical orderly to each three patients, and this would also have afforded a means of getting more of the medical personnel down to the beaches in time. However, the instructions of the embarkation authorities were observed, and only a portion of the staff of the medical units reached the beach in time to embark that night.</p>
        </div>
        <div type="section" n="38" xml:id="c5-38">
          <head>
            <hi rend="i">Main Embarkation, 29–30 May</hi>
          </head>
          <p rend="indent">There was some difficulty with the embarkation authorities on the beaches that night, as they were endeavouring to single out the fighting troops with first priority for evacuation.</p>
          <p rend="indent">The medical parties which had reached the beach, although massed together, had to be identified by Lieutenant-Colonel Twhigg before the beach master would allow them to embark. In the darkness and the confusion among the massed troops some members of the medical units who had strayed, or who did not report to the medical post at the beach, were left behind. A number of <name key="name-203712" type="organisation">NZMC</name> personnel, mostly belonging to 5 Field Ambulance, were embarked on the <hi rend="i"><name key="name-207116" type="ship">Glengyle</name></hi>, which took many wounded aboard. Altogether, some 550 wounded were embarked that night. All cases requiring treatment were cared for by the ships' medical staffs and army medical personnel, and officers and men of the <name key="name-003205" type="organisation">Royal Navy</name> excelled themselves in the attention they gave to the wounded.</p>
          <p rend="indent">About six thousand troops were also taken off that night by the naval force comprising, besides the <hi rend="i"><name key="name-207116" type="ship">Glengyle</name></hi>, the cruisers <hi rend="i"><name key="name-207131" type="ship">Phoebe</name>, <name key="name-110476" type="ship">Perth</name>, <name key="name-110475" type="ship">Calcutta</name></hi>, and <hi rend="i"><name key="name-207139" type="ship">Coventry</name></hi> and the destroyers <hi rend="i"><name key="name-207140" type="ship">Jervis</name>, <name key="name-207141" type="ship">Janus</name></hi>, and <hi rend="i"><name key="name-207142" type="ship">Hasty</name></hi>. The convoy was subjected to several air attacks during 30 May, but all were beaten off, although <name key="name-110476" type="ship">HMAS <hi rend="i">Perth</hi></name> received a hit amidships, causing a fire. This, however, did not prevent her
<pb/>
<pb/>
<pb/>
<pb/>
<pb/>
<pb/>
<pb/>
<pb/>
<pb/>
<pb/>
<pb/>
<pb/>
<pb/>
<pb/>
<pb/>
<pb/>
<pb n="195" xml:id="n195"/>
from continuing with the convoy, which reached <name key="name-000576" type="place">Alexandria</name> early on the morning of 31 May.</p>
          <p>
            <figure xml:id="WH2Med10a">
              <graphic url="WH2Med10a.jpg" mimeType="image/jpeg" xml:id="WH2Med10a-g"/>
              <head>GOC and DMS <name key="name-004368" type="organisation">2 NZEF</name>, <name key="name-004203" type="place">Maadi Camp</name>, <date when="1943-03">March 1943</date> – <name key="name-207994" type="person">Lieutenant-General Sir Bernard Freyberg</name>, Brigadier K. MacCormick and Colonel W. B. Fisher</head>
              <figDesc>Black and white photograph of New Zealand army officers</figDesc>
            </figure>
          </p>
          <p>
            <figure xml:id="WH2Med10b">
              <graphic url="WH2Med10b.jpg" mimeType="image/jpeg" xml:id="WH2Med10b-g"/>
              <head>Colonel F. M. Spencer</head>
              <figDesc>Black and white photograph of army officer</figDesc>
            </figure>
          </p>
          <p>
            <figure xml:id="WH2Med10c">
              <graphic url="WH2Med10c.jpg" mimeType="image/jpeg" xml:id="WH2Med10c-g"/>
              <head>Brigadier G. W. Gower</head>
              <figDesc>Black and white photograph of army officer</figDesc>
            </figure>
          </p>
          <p>
            <figure xml:id="WH2Med10d">
              <graphic url="WH2Med10d.jpg" mimeType="image/jpeg" xml:id="WH2Med10d-g"/>
              <head>Lieutenant-Colonel J.L.R. Plimmer</head>
              <figDesc>Black and white photograph of army officer</figDesc>
            </figure>
          </p>
          <p>
            <figure xml:id="WH2Med11a">
              <graphic url="WH2Med11a.jpg" mimeType="image/jpeg" xml:id="WH2Med11a-g"/>
              <head>First NZ MDS tent in the desert – 4 NZ Field Ambulance at <name key="name-002877" type="place">Baggush</name>, <date when="1940-09">September 1940</date></head>
              <figDesc>Black and white photograph of field army medical centre</figDesc>
            </figure>
          </p>
          <p>
            <figure xml:id="WH2Med11b">
              <graphic url="WH2Med11b.jpg" mimeType="image/jpeg" xml:id="WH2Med11b-g"/>
              <head>Camp Hospital and Medical Depot, <name key="name-004203" type="place">Maadi Camp</name>, <date when="1942-03">March 1942</date></head>
              <figDesc>Black and white photograph of army hospital</figDesc>
            </figure>
          </p>
          <p>
            <figure xml:id="WH2Med12a">
              <graphic url="WH2Med12a.jpg" mimeType="image/jpeg" xml:id="WH2Med12a-g"/>
              <p>Visit of Her Majesty the Queen to <name key="name-028359" type="place">1 NZ General Hospital</name>, Pinewood, <name key="name-004019" type="place">England</name>, <date when="1940-09">September 1940</date> – Matron Miss E. C. Mackay, Lieutenant-Colonel J. R. Boyd, Colonel A. C. McKillop, Major A. H. Kirker</p>
              <figDesc>Black and white photograph of army officers with Queen of <name key="name-004019" type="place">England</name> (<name key="name-029547" type="place">UK</name>)</figDesc>
            </figure>
          </p>
          <p>
            <figure xml:id="WH2Med12b">
              <graphic url="WH2Med12b.jpg" mimeType="image/jpeg" xml:id="WH2Med12b-g"/>
              <head>Ward of <name key="name-028359" type="place">1 NZ General Hospital</name>, Pinewood, <name key="name-004019" type="place">England</name></head>
              <figDesc>Black and white photograph of hospital ward</figDesc>
            </figure>
          </p>
          <p>
            <figure xml:id="WH2Med13a">
              <graphic url="WH2Med13a.jpg" mimeType="image/jpeg" xml:id="WH2Med13a-g"/>
              <head><name key="name-028359" type="place">1 NZ General Hospital</name> at <name key="name-004543" type="place">Pharsala</name>, <name key="name-002294" type="place">Greece</name>, <date when="1941-04">April 1941</date></head>
              <figDesc>Black and white photograph of army field hospital</figDesc>
            </figure>
          </p>
          <p>
            <figure xml:id="WH2Med13b">
              <graphic url="WH2Med13b.jpg" mimeType="image/jpeg" xml:id="WH2Med13b-g"/>
              <head>4 Field Ambulance MDS on slopes below <name key="name-001364" type="place">Olympus Pass</name>, <name key="name-014235" type="place">Dholikhi</name>, <date when="1941-04">April 1941</date></head>
              <figDesc>Black and white photograph of army ambulance in <name key="name-002294" type="place">Greece</name></figDesc>
            </figure>
          </p>
          <p>
            <figure xml:id="WH2Med14a">
              <graphic url="WH2Med14a.jpg" mimeType="image/jpeg" xml:id="WH2Med14a-g"/>
              <head>5 Field Ambulance ADS, <name key="name-001325" type="place">Servia Pass</name>, <date when="1941-04">April 1941</date></head>
              <figDesc>Black and white photograph of army medical facility</figDesc>
            </figure>
          </p>
          <p>
            <figure xml:id="WH2Med14b">
              <graphic url="WH2Med14b.jpg" mimeType="image/jpeg" xml:id="WH2Med14b-g"/>
              <head>6 Field Ambulance, Velestinon, <date when="1941-04">April 1941</date>, after being strafed by enemy aircraft</head>
              <figDesc>Black and white photograph of army medical facility under attack</figDesc>
            </figure>
          </p>
          <p>
            <figure xml:id="WH2Med15a">
              <graphic url="WH2Med15a.jpg" mimeType="image/jpeg" xml:id="WH2Med15a-g"/>
              <head><name key="name-022476" type="organisation">7 British General Hospital</name> near <name key="name-000735" type="place">Canea</name>, <name key="name-003325" type="place">Crete</name>, <date when="1941-05">May 1941</date>. The building on the hill was used as an MDS by 5 Field Ambulance</head>
              <figDesc>Black and white photograph of field hospital in <name key="name-002294" type="place">Greece</name></figDesc>
            </figure>
          </p>
          <p>
            <figure xml:id="WH2Med15b">
              <graphic url="WH2Med15b.jpg" mimeType="image/jpeg" xml:id="WH2Med15b-g"/>
              <head>Wounded German paratroops at 5 Field Ambu-<gap reason="unclear"/></head>
              <figDesc>Black and white photograph of wounded prisoners of war</figDesc>
            </figure>
          </p>
          <p>
            <figure xml:id="WH2Med16a">
              <graphic url="WH2Med16a.jpg" mimeType="image/jpeg" xml:id="WH2Med16a-g"/>
              <head><name key="name-029109" type="place">Helwan Hospital</name>. The New Zealand Base Hospital, July 1940 – November 1945. The new operating theatre is at the right</head>
              <figDesc>Black and white photograph of military hospital</figDesc>
            </figure>
          </p>
          <p>
            <figure xml:id="WH2Med16b">
              <graphic url="WH2Med16b.jpg" mimeType="image/jpeg" xml:id="WH2Med16b-g"/>
              <head><name key="name-029108" type="place">Helmieh Hospital</name>, <name key="name-003601" type="place">Cairo</name>, <date when="1941-01">January 1941</date>. The tents have been given protection from bombing</head>
              <figDesc>Black and white photograph of military hospital</figDesc>
            </figure>
          </p>
          <p>
            <figure xml:id="WH2Med17a">
              <graphic url="WH2Med17a.jpg" mimeType="image/jpeg" xml:id="WH2Med17a-g"/>
              <head>The Netherlands Hospital Ship <hi rend="i">Oranje</hi> which carried New Zealand personnel and casualties</head>
              <figDesc>Black and white photograph of hospital ship</figDesc>
            </figure>
          </p>
          <p>
            <figure xml:id="WH2Med17b">
              <graphic url="WH2Med17b.jpg" mimeType="image/jpeg" xml:id="WH2Med17b-g"/>
              <head>A ward in the New Zealand Hospital Ship <hi rend="i"><name key="name-120091" type="place">Maunganui</name></hi></head>
              <figDesc>Black and white photograph of ward in hospital ship</figDesc>
            </figure>
          </p>
          <p>
            <figure xml:id="WH2Med18a">
              <graphic url="WH2Med18a.jpg" mimeType="image/jpeg" xml:id="WH2Med18a-g"/>
              <p>Group at inspection of NZ <name key="name-023216" type="organisation">Mobile Surgical Unit</name>, <name key="name-004203" type="place">Maadi Camp</name>, <date when="1941-08">August 1941</date>. Colonel F. P. Furkert, Major-General D. C. Monro, Consultant Surgeon, Middle East Force, Brigadier K. MacCormick, Lieutenant-Colonel L. J. Hunter, <name key="name-027677" type="person">Colonel T. D. M. Stout</name>, Brigadier P. A. Ardagh, Lieutenant-Colonel S. L. Wilson</p>
              <figDesc>Black and white photograph of medical army officers</figDesc>
            </figure>
          </p>
          <p>
            <figure xml:id="WH2Med18b">
              <graphic url="WH2Med18b.jpg" mimeType="image/jpeg" xml:id="WH2Med18b-g"/>
              <p><name key="name-004203" type="place">Maadi Camp</name>, <date when="1941-09">September 1941</date>. Principal Matron Miss E. C. Mackay, Matron-in-Chief Miss E. M. Nutsey, Matron Miss M. Hennessy, Matron Miss M. E. Jackson; Lieutenant-Colonel J. F.</p>
              <figDesc>Black and white photograph of army hospital personnel</figDesc>
            </figure>
          </p>
          <p>
            <figure xml:id="WH2Med19a">
              <graphic url="WH2Med19a.jpg" mimeType="image/jpeg" xml:id="WH2Med19a-g"/>
              <head>21 Battalion RAP truck, <name key="name-001027" type="place">Libya</name>, <date when="1941">1941</date></head>
              <figDesc>Black and white photograph of army truck</figDesc>
            </figure>
          </p>
          <p>
            <figure xml:id="WH2Med19b">
              <graphic url="WH2Med19b.jpg" mimeType="image/jpeg" xml:id="WH2Med19b-g"/>
              <head>20 Battalion RAP, Bir el Chleta, <name key="name-001027" type="place">Libya</name>, <date when="1941">1941</date>. Captain W. L. M. Gilmour is shown at right, wearing wrist watch</head>
              <figDesc>Black and white photograph of injured soldiers</figDesc>
            </figure>
          </p>
          <p>
            <figure xml:id="WH2Med20a">
              <graphic url="WH2Med20a.jpg" mimeType="image/jpeg" xml:id="WH2Med20a-g"/>
              <head>4 ADS near <name key="name-003368" type="place">Belhamed</name>, <date when="1941-11">November 1941</date></head>
              <figDesc>Black and white photograph of injured soldiers</figDesc>
            </figure>
          </p>
          <p>
            <figure xml:id="WH2Med20b">
              <graphic url="WH2Med20b.jpg" mimeType="image/jpeg" xml:id="WH2Med20b-g"/>
              <head>2 NZ General Hospital, <name key="name-000862" type="place">Garawla</name>, November 1941 – March 1942. The tents are dug in for protection against bombing</head>
              <figDesc>Black and white photograph of field hospital</figDesc>
            </figure>
          </p>
          <p>
            <figure xml:id="WH2Med21a">
              <graphic url="WH2Med21a.jpg" mimeType="image/jpeg" xml:id="WH2Med21a-g"/>
              <head><name key="name-029178" type="organisation">1 NZ CCS</name> at <name key="name-027713" type="place">Zahle</name>, <name key="name-003449" type="place">Syria</name>, March – April 1942</head>
              <figDesc>Black and white photograph of medical facility</figDesc>
            </figure>
          </p>
          <p>
            <figure xml:id="WH2Med21b">
              <graphic url="WH2Med21b.jpg" mimeType="image/jpeg" xml:id="WH2Med21b-g"/>
              <head>Ward of 3 NZ Genral Hospital, <name key="name-000629" type="place">Beirut</name>, <name key="name-003449" type="place">Syria</name>, <date when="1942-09">September 1942</date></head>
              <figDesc>Black and white photograph of ward in army hospital</figDesc>
            </figure>
          </p>
          <p>
            <figure xml:id="WH2Med22a">
              <graphic url="WH2Med22a.jpg" mimeType="image/jpeg" xml:id="WH2Med22a-g"/>
              <head>6 ADS, <name key="name-001291" type="place">Ruweisat Ridge</name>, <date when="1942-07">July 1942</date></head>
              <figDesc>Black and white photograph of field hospital</figDesc>
            </figure>
          </p>
          <p>
            <figure xml:id="WH2Med22b">
              <graphic url="WH2Med22b.jpg" mimeType="image/jpeg" xml:id="WH2Med22b-g"/>
              <head>4 MDS, Alamein Line, <date when="1942-07">July 1942</date> – operating theatre (Major T. W. Harrison)</head>
              <figDesc>Black and white photograph of surgery in field hospital</figDesc>
            </figure>
          </p>
          <p>
            <figure xml:id="WH2Med23a">
              <graphic url="WH2Med23a.jpg" mimeType="image/jpeg" xml:id="WH2Med23a-g"/>
              <head>21 Battalion RAP, Alamein Line, <date when="1942-08">August 1942</date></head>
              <figDesc>Black and white photograph of ambulance truck dug-in</figDesc>
            </figure>
          </p>
          <p>
            <figure xml:id="WH2Med23b">
              <graphic url="WH2Med23b.jpg" mimeType="image/jpeg" xml:id="WH2Med23b-g"/>
              <head>4 MDS at <name key="name-010429" type="place">El Mreir</name>, <date when="1942-07">July 1942</date> – reception ward showing New Zealand and Indian casualties</head>
              <figDesc>Black and white photograph of injured soldiers</figDesc>
            </figure>
          </p>
          <p>
            <figure xml:id="WH2Med24a">
              <graphic url="WH2Med24a.jpg" mimeType="image/jpeg" xml:id="WH2Med24a-g"/>
              <p>4 MDS at <name key="name-002771" type="place">Alam Halfa</name>, <date when="1942-09">September 1942</date> – Lieutenant-Colonel G. A. H. Buttle, RAMC, Captain Muir, RAMC (transfusion officers); Lieutenant-Colonel S. L. Wilson, Major T. W. Harrison, Brigadiers P. A. Ardagh, ADMS, Phillips, RAMC, and W. H. Ogilvie, Consultant Surgeon MEF</p>
              <figDesc>Black and white photograph of medical army officers</figDesc>
            </figure>
          </p>
          <p>
            <figure xml:id="WH2Med24b">
              <graphic url="WH2Med24b.jpg" mimeType="image/jpeg" xml:id="WH2Med24b-g"/>
              <head>6 ADS, <name key="name-002771" type="place">Alam Halfa</name>, <date when="1942-09">September 1942</date></head>
              <figDesc>Black and white photograph of injured soldiers</figDesc>
            </figure>
          </p>
          <p>
            <figure xml:id="WH2Med25a">
              <graphic url="WH2Med25a.jpg" mimeType="image/jpeg" xml:id="WH2Med25a-g"/>
              <head>Large soft-tissue wound, <name key="name-029178" type="organisation">1 NZ CCS</name>, <name key="name-010927" type="place">Alamein</name>, <date when="1942-11">November 1942</date></head>
              <figDesc>Black and white photograph of wounded leg</figDesc>
            </figure>
          </p>
          <p>
            <figure xml:id="WH2Med25b">
              <graphic url="WH2Med25b.jpg" mimeType="image/jpeg" xml:id="WH2Med25b-g"/>
              <head>Mobile shower unit, 4 NZ Field Hygiene Section, <name key="name-002753" type="place">Agedabia</name>, <date when="1942-12">December 1942</date></head>
              <figDesc>Black and white photograph of soldiers showering</figDesc>
            </figure>
          </p>
          <p rend="indent">During the night of 29–30 May the staffs of 5 and 6 Field Ambulances and 4 Field Hygiene Section set off from <name key="name-000965" type="place">Imvros</name> along, the road to the beach, taking with them some more walking wounded. Some forty stretcher cases had to be left behind. An Australian medical officer and two New Zealand and two Australian orderlies remained with them, straws being drawn among the unmarried men to decide who should stay. By daylight on 30 May this marching party was still some miles away from the embarkation beach, having made slow progress during the night. The wounded were treated during the day in caves, which were machine-gunned from the air, and after dark on 30 May the party reached the beach, where an RAP was established for further treatment. On the night of 30–31 May few wounded and no medical staffs were embarked.</p>
        </div>
        <div type="section" n="39" xml:id="c5-39">
          <head>
            <hi rend="i">Final Embarkation</hi>
          </head>
          <p rend="indent">On the morning of 31 May arrangements were made with the embarkation authorities to evacuate those patients and medical personnel who had arrived overnight. At 4 p.m. eighty walking wounded were conducted to <name key="name-004697" type="place">Sfakia</name>, and taken on to the beach at 9 p.m. That night the <name key="name-003205" type="organisation">Royal Navy</name> with all the ships available – the cruiser <hi rend="i"><name key="name-207131" type="ship">Phoebe</name></hi>, the minelayer <hi rend="i"><name key="name-207146" type="ship">Abdiel</name></hi>, and the destroyers <hi rend="i"><name key="name-207149" type="ship">Jackal</name>, <name key="name-207147" type="ship">Kimberley</name></hi>, and <hi rend="i"><name key="name-207148" type="ship">Hotspur</name></hi> – carried out the last organised evacuation from the beach. All the walking wounded were embarked in the early hours of 1 June. Fighting troops in organised units and wounded were given priority. A number of medical personnel, including a party of fifty whose embarkation had been arranged, had to give place to other units; and when the evacuation ceased, they, with a large number of British, Australian, and New Zealand troops, remained on the island. Most of these men became prisoners on 1 June, but a few escaped to live in hiding assisted by the Cretans, or to continue the battle in the hills. Odd members of medical units made a belated escape in landing craft used to embark the evacuees, and after a most trying voyage in these open boats reached the coast of <name key="name-007773" type="place">Africa</name> behind the British lines in the <name key="name-024430" type="place">Western Desert</name>.</p>
        </div>
        <div type="section" n="40" xml:id="c5-40">
          <head>
            <hi rend="i">Courage of the Wounded</hi>
          </head>
          <p rend="indent">When the evacuation of <name key="name-003325" type="place">Crete</name> was ordered it became apparent to those concerned that the Navy would not be able to embark the stretcher cases held in hospitals, even if these patients could have been transported some 40 miles to the south coast.</p>
          <pb n="196" xml:id="n196"/>
          <p rend="indent">It was agreed that these cases would have to be left with a proper proportion of medical personnel to look after them, while walking wounded only would be evacuated. On the news of this difficult decision filtering down to all ranks, many severely wounded made efforts to be classified as “walking wounded” in order to escape becoming prisoners of war. Men with severe injuries displayed almost unbelievable fortitude in marching a distance of 35 to 40 miles over rough and stony roads at night in order to reach <name key="name-004697" type="place">Sfakia</name>. Men with foot wounds covered long distances on crutches; some, shot in the chest, chose to proceed as walking wounded rather than be left. In one case a man, whose arm had been amputated only a few days before, got up and walked over the stony goat tracks to the embarkation beach, at times falling in the dark on his injured stump. In blankets, in slung greatcoats, on a door which had come from no one knows where, and on improvised stretchers, many men in varying states of incapacity were assisted over the last part of the march. They had managed the steep scramble from the caves but could not complete the last stretch unaided. At least three blanket carries were made over the whole route from the most southerly group of caves. There was little grousing and no lack of determination.</p>
          <p rend="indent">In the words of the <name key="name-028893" type="organisation">DDMS</name> British Forces on <name key="name-003325" type="place">Crete</name>, Colonel Kenrick, “it can truly be said that the wounded at <name key="name-026177" type="place">Gallipoli</name> and in the mud at <name key="name-029348" type="place">Passchendaele</name> suffered no greater horrors than those of the Imperial Forces in <name key="name-003325" type="place">Crete</name>. And just as a donkey was used at <name key="name-026177" type="place">Gallipoli</name> for carrying wounded, so a donkey was used in <name key="name-003325" type="place">Crete</name> to convey wounded down the final stony, precipitous slope to the beach.”<note xml:id="ftn1-196" n="1"><p>Colonel Kenrick had served as an infantry officer at <name key="name-029348" type="place">Passchendaele</name>.</p></note></p>
        </div>
        <div type="section" n="41" xml:id="c5-41">
          <head>
            <hi rend="i">Medical Staffs Volunteer to Remain</hi>
          </head>
          <p rend="indent">As the stretcher cases were left in the caves of 7 General Hospital and in the wards of other temporary hospitals, more than the required number of medical personnel volunteered to remain and become prisoners of war with them; so much was this the case that Colonel Kenrick had to issue an instruction that additional medical officers and nursing orderlies would not remain unless given a direct order by superior authority to do so.</p>
        </div>
        <div type="section" n="42" xml:id="c5-42">
          <head>
            <hi rend="i">Reception in Egypt of Battle Casualties</hi>
          </head>
          <p rend="indent">With the ever-increasing gravity of the news from <name key="name-003325" type="place">Crete</name>, it became evident in <name key="name-002106" type="place">Egypt</name> towards the end of May that another evacuation was imminent. Once again it was doubtful what proportion of the New Zealand Division would get away and whether it would be
<pb n="197" xml:id="n197"/>
possible to evacuate any seriously wounded. With 1 General Hospital out of operation as a hospital after its losses of staff and equipment in <name key="name-002294" type="place">Greece</name>, and with a high percentage of hospital cases expected among troops able to escape from <name key="name-003325" type="place">Crete</name>, it was likely that New Zealand hospital accommodation would be taxed to the utmost, or might even prove insufficient.</p>
          <p rend="indent">No. 2 General Hospital had also been receiving convoys of Australians from <name key="name-001400" type="place">Tobruk</name> during May, and by the middle of the month had patients in excess of its establishment of 600 beds. Authority was given by the <name key="name-028893" type="organisation">DDMS</name> <name key="name-004368" type="organisation">2 NZEF</name> on 29 May for this hospital to expand to 900 beds, although official approval was not received until some weeks later. The erection of extra tented wards was pushed ahead on a half-acre field near the main building at <name key="name-000935" type="place">Helwan</name>.</p>
          <p rend="indent">Battle casualties from <name key="name-003325" type="place">Crete</name> were therefore admitted first to 3 General Hospital at <name key="name-009430" type="place">Helmieh</name>, shortly after the isolation period for 5th Reinforcement influenza patients ended. On 29 May 97 battle casualties were admitted and the following day 290, which brought the number of patients to 619, some having to sleep on palliasses on the floor. There were few seriously ill cases, as nearly all such cases could not be evacuated from <name key="name-003325" type="place">Crete</name>. If it had been possible to bring out all the severely wounded men from <name key="name-002294" type="place">Greece</name> and <name key="name-003325" type="place">Crete</name> it would have been impossible, as was the declared policy, to deal with all New Zealand patients in New Zealand hospitals.<note xml:id="ftn1-197" n="1"><p>The quota of hospital beds required by the War Office from <name key="name-004368" type="organisation">2 NZEF</name> was 2400, plus a casualty clearing station. The arrangements for hospitals within <name key="name-004368" type="organisation">2 NZEF</name> were for three 600-bed hospitals and no casualty clearing station. Before this time pressure had been exerted from Army Headquarters, New Zealand, for the combining of the three hospitals into two of 900 beds each, but the retention of three hospitals in <name key="name-004368" type="organisation">2 NZEF</name> was wisely defended. The quota of 2400 beds was available when the arrival of equipment from <name key="name-004019" type="place">England</name> and reinforcements from New Zealand enabled 1 General Hospital to reopen in <date when="1941-09">September 1941</date>. The casualty clearing station was finally formed in <date when="1942">1942</date>, after a long battle by <name key="name-028893" type="organisation">DDMS</name> <name key="name-004368" type="organisation">2 NZEF</name>.</p></note></p>
          <p rend="indent">When information was received that evacuation from <name key="name-003325" type="place">Crete</name> had been decided upon, <name key="name-028893" type="organisation">DDMS</name> <name key="name-004368" type="organisation">2 NZEF</name> made arrangements – similar to those in the evacuation from <name key="name-002294" type="place">Greece</name> – for emergency medical parties to be stationed at the ports of disembarkation and transit camps. Three parties were despatched from 1 Camp Hospital and 1 General Hospital staffs. Their duties were not heavy. The hospital ship <hi rend="i">Aba</hi> had cleared 602 cases of sick and wounded from <name key="name-003325" type="place">Crete</name> on 5 May and another 561 on a return trip on 16 May. The minor wounds of walking cases from the final evacuations had mostly healed in the intervening ten to fourteen days from the time of wounding, in spite of the men having marched 35 to 40 miles to the embarkation point.</p>
          <p rend="indent">A few of the more seriously wounded from <name key="name-003325" type="place">Crete</name> were admitted to British hospitals in <name key="name-000576" type="place">Alexandria</name>, but most of the wounded were admitted direct to New Zealand hospitals. There were 97 and 290
<pb n="198" xml:id="n198"/>
patients received at 3 General Hospital on 29 and 30 May respectively, and 60 and 382 at 2 General Hospital on 29 May and 1 June. A large proportion were battle casualties, and all showed signs of having passed through a very trying ordeal. On 13 May 114 walking wounded had also been admitted direct to <name key="name-027002" type="organisation">1 Convalescent Depot</name>.</p>
          <p rend="indent">In spite of the severe bombing and fighting to which the troops had been subjected in <name key="name-002294" type="place">Greece</name> and <name key="name-003325" type="place">Crete</name>, there were comparatively few cases of anxiety neurosis. Acute symptoms of panic cleared up with rest, care, and good food.</p>
        </div>
        <div type="section" n="43" xml:id="c5-43">
          <head>
            <hi rend="i">Food and Water in <name key="name-003325" type="place">Crete</name></hi>
          </head>
          <p rend="indent">In the very early stages of the occupation of <name key="name-003325" type="place">Crete</name> the food ration was only four-fifths of the normal scale. In the latter stages heavy bombing of the port of <name key="name-001363" type="place">Suda Bay</name> made a further reduction to two-thirds of the normal scale necessary. In the last few days, because of the difficulty of distribution, some of the troops went without rations altogether. At first oranges, eggs, and bread were available locally to supplement the rather scanty ration, but the supply of these soon became exhausted. When the flour mills were destroyed by bombing and a ship with a cargo of flour was sunk, the bread supply was cut off altogether.</p>
          <p rend="indent">An adequate water supply was available in most areas from wells, but some of these became fouled owing to poor water discipline. In the withdrawal water was not readily available and some of this was contaminated, but lack of individual water sterilising tablets prevented purification. At the time of evacuation cases of dysentery became manifest.</p>
        </div>
        <div type="section" n="44" xml:id="c5-44">
          <head>
            <hi rend="i">Disembarkation of Troops in Egypt</hi>
          </head>
          <p rend="indent">On their disembarkation at <name key="name-000576" type="place">Alexandria</name> from <name key="name-003325" type="place">Crete</name> the medical-units along with other troops were moved by rail to <name key="name-009139" type="place">Amiriya</name> Camp. Here they were rested and received issues of fresh clothing as well as chocolate, cigarettes, and toilet hold-alls provided by the New Zealand <name key="name-027417" type="organisation">Red Cross</name> Society and <name key="name-017562" type="organisation">National Patriotic Fund Board</name>. From <name key="name-009139" type="place">Amiriya</name> the troops went to <name key="name-000936" type="place">Helwan Camp</name>, where considerable reorganisation of the Division was carried out.</p>
        </div>
        <div type="section" n="45" xml:id="c5-45">
          <head>
            <hi rend="i">Casualties Suffered and Work Done</hi>
          </head>
          <p rend="indent">The campaign in <name key="name-002294" type="place">Greece</name> had resulted in considerable losses in medical personnel and the battle for <name key="name-003325" type="place">Crete</name> added substantially to this depletion. About half of the medical personnel on <name key="name-003325" type="place">Crete</name> became casualties. One medical officer was killed, another wounded, and the acting ADMS NZ Division and seven medical officers were taken
<pb n="199" xml:id="n199"/>
prisoner.<note xml:id="ftn1-199" n="1"><p>Lt-Col W. H. B. Bull, acting ADMS NZ Division, Major S. G. de Clive Lowe and Lt R. F. Moody of 5 Field Ambulance, Lt D. A. Ballantyne of 6 Field Ambulance, Captain O. S. Hetherington, RMO 21 Battalion, Capt L. H. V. Longmore, RMO 22 Battalion, <name key="name-012724" type="person">Capt R. S. Stewart</name>, RMO 23 Battalion, and <name key="name-027675" type="person">Capt E. Stevenson-Wright</name>, RMO 2 Divisional Cavalry Regiment, were taken prisoner. In addition, Lt-Col Plimmer, acting CO 6 Field Ambulance, was killed, and Capt Mules was wounded, losing an eye.</p></note> Of the other ranks of the medical units, 5 Field Ambulance lost 1 killed and 63 as prisoners; 6 Field Ambulance lost 6 killed and 83 as prisoners; 4 Field Hygiene Section lost 17 as prisoners; and 1 General Hospital lost 17 as prisoners. These figures are exclusive of those who were temporarily missing and who later escaped to rejoin their units, and also of attached ASC drivers.</p>
          <p rend="indent">In the short but fierce battle for <name key="name-003325" type="place">Crete</name> the medical units were called upon to treat large numbers of wounded. Fifth Field Ambulance admitted 1274 patients and 6 Field Ambulance 1400 (half of the latter being casualties from <name key="name-002294" type="place">Greece</name>), and in most localities urgent surgery was done by surgical teams attached to the main dressing stations, with a limited amount of medical equipment and supplies. The staff of 4 Field Hygiene Section gave assistance at 5 Field Ambulance, to which they were attached, and the party from 1 General Hospital, in the words of the Registrar, “worked admirably” for 7 General Hospital, to which unit 6 Field Ambulance also gave valuable help.</p>
          <p rend="indent">In a survey of all the medical services on <name key="name-003325" type="place">Crete</name>, Colonel Kenrick remarked that to him the outstanding points were: firstly, the amazing fortitude displayed by the walking wounded under the most ghastly conditions; and, secondly, the universal courage and devotion to duty shown by all ranks of the medical services under conditions of warfare such as had never before been experienced by our troops.</p>
        </div>
        <div type="section" n="46" xml:id="c5-46">
          <head>
            <hi rend="i">REVIEW OF CRETE CAMPAIGN</hi>
          </head>
          <div n="1" xml:id="c5-46-1">
            <head>
              <hi rend="i">Geneva Convention</hi>
            </head>
            <p rend="indent">After the experiences in <name key="name-002294" type="place">Greece</name> some confidence was felt in the use of the <name key="name-027417" type="organisation">Red Cross</name> for the protection of medical units, although there was still much doubt as to the extent the enemy respected it. The attack on 7 General Hospital and 6 Field Ambulance caused some loss of confidence again, though the enemy's behaviour in the campaign thereafter indicated a respect for the Geneva Convention.</p>
            <p rend="indent">The display of Red Crosses on the site of the hospital could not be described as inadequate. Red Crosses were painted on the three buildings, a large one in stones was laid out between the officers' mess and the sea, and one of similar size in cloth was spread out in the area occupied by the hospital expanding tents. The weather
<pb n="200" xml:id="n200"/>
was mostly fine and the crosses could be seen from a fairly high altitude.</p>
            <p rend="indent">Yet captured enemy orders indicate that those who planned the attack on <name key="name-003325" type="place">Crete</name> may have been unaware that it was a hospital site. It may be that German intelligence reports were defective, as indeed they were in their estimate of the number of troops in the sector. Orders of <hi rend="i">3 Parachute Regiment</hi> issued on 18 May describe the area as a “tent encampment” with a “hospital barracks” and “hospital huts”. The regiment was to land in the <name key="name-002045" type="place">Galatas</name> area, clear the ground around <name key="name-000735" type="place">Canea</name>, and capture the town. A full battalion was committed to attacking the hospital site, but only one company of parachutists actually reached the scene. Air Corps reports later reported the capture of 500 prisoners but omitted to mention they were hospital patients and staff.</p>
            <p rend="indent">The Germans verbally stated they had seen troops in steel helmets traversing the area before the attack. It seems to have been a German practice to forbid the wearing of steel helmets in medical units, and although this had no basis in the Geneva Convention, the Germans seem to have assumed that other forces should follow the same practice. Steel helmets were worn in the area, and troops did pass along the road running through the area to the beach. A study of German orders does not indicate that the area was required for further air or sea landings, which was one of the conclusions earlier drawn from the attack. The aim seems to have been to eliminate any opposition from troops expected to be in the neighbourhood of the camp. But this hardly excuses the sustained attack on 20 May on what must have been perceived to be a medical unit.</p>
            <p rend="indent">From all the evidence at our disposal it would seem that the <name key="name-022576" type="organisation">German Air Force</name> did otherwise respect the Geneva Convention when the medical units were distinctly marked by the <name key="name-027417" type="organisation">Red Cross</name>, when steel helmets were not worn, and when medical units were sited away from main roads and from any fighting unit.</p>
          </div>
          <div n="2" xml:id="c5-46-2">
            <head>
              <hi rend="i">Medical Transport</hi>
            </head>
            <p rend="indent">There was insufficient transport for the conveyance of the wounded. Walking wounded had not only to walk between the dressing stations and the hospital, but most of them had eventually to walk across the island during the evacuation. Lying cases had to be left behind at the medical units, both because of lack of vehicles and the impossibility of embarking stretcher cases at <name key="name-004697" type="place">Sfakia</name>.</p>
            <p rend="indent">Constant machine-gunning of the roads after the invasion made conditions still more difficult and often caused serious delay; it was only by strenuous efforts on the part of medical officers and drivers that the essential work was carried out. At times lorries were found
<pb n="201" xml:id="n201"/>
abandoned and were brought into service when urgently required. Patients had to be moved in the darkness to escape the bombing and machine-gunning of the roads. Some of the cars were damaged in this way.</p>
            <p rend="indent">It was found that, generally, the German airmen respected the <name key="name-027417" type="organisation">Red Cross</name> if it was effectively displayed, and this eventually led to the use by 5 Field Ambulance of transport furnished with large <name key="name-027417" type="organisation">Red Cross</name> markings. During the evacuation this method was used in the transport of wounded, with great success. It was stated that six ambulances, marked with small crosses only, were destroyed, whereas those marked with large crosses proceeded unharmed through the same area.</p>
          </div>
          <div n="3" xml:id="c5-46-3">
            <head>
              <hi rend="i">The Work of the RMOs</hi>
            </head>
            <p rend="indent">The RMOs, especially those attached to 5 Infantry Brigade, experienced great and unprecedented difficulties during the violent and confused attack, particularly in the <name key="name-004213" type="place">Maleme</name> area. They found themselves called upon to deal with heavy casualties, with very little in the way of equipment and medical supplies. Although attempts were made by the field ambulances to contact them by parties of medical officers and stretcher-bearers, these were unsuccessful and the RMOs had to carry on as best they could.</p>
            <p rend="indent">Fortunately, their medical supplies were supplemented by German supplies dropped by parachute, and these were found to be of excellent quality, both as regards drugs and dressings, even containing tubes of glucose saline and surgical operating equipment. The RMO of 21 Battalion stated that he obtained adequate supplies of opium by this means when his own supply of morphia was exhausted.</p>
            <p rend="indent">All the RMOs of 5 Infantry Brigade, with the exception of the RMO of 28 Battalion (who was wounded, losing an eye), were captured. They remained behind with the seriously wounded, including a large number of Germans, when their battalions withdrew. Many walking wounded were able to retire with the brigade.</p>
            <p rend="indent">Owing to the nature of the fighting and the ground fought on, the regimental medical officers could expect little <name key="name-027417" type="organisation">Red Cross</name> immunity. By and large, Red Crosses were not displayed at RAPs as these aid posts were, after all, in the main in strictly combatant areas. Indeed, in such fighting the more the aid post was surrounded by armed troops the safer were the wounded. No deliberate attacks on the wounded were reported by the regimental medical officers who, with their staffs, all performed most gallantly at their posts and did everything in their power to assist the wounded.</p>
            <pb n="202" xml:id="n202"/>
            <p rend="indent">The collection of wounded in the forward areas was carried out only with great difficulty in the chaos brought about by the scattered landing of the paratroops. Nevertheless, the work was conscientiously and efficiently done, and the seriously wounded had the benefit of continued attention during the difficult period of early captivity.</p>
          </div>
          <div n="4" xml:id="c5-46-4">
            <head>
              <hi rend="i">Siting of Medical Units</hi>
            </head>
            <p rend="indent">Difficulty was experienced in the siting of field ambulances, dressing stations, and hospitals. Neither the force nor the individual units had had any experience of an airborne attack. The 7th General Hospital had been established before any such attack was seriously thought of. The lack of transport and the conditions of the terrain made the siting of the dressing stations near the main roads a natural decision. It thus came about that the main hospital (7 General Hospital) was erected close to the shore in an area peculiarly liable to both airborne and seaborne attack. One MDS was originally placed at a crossroads and then under a culvert on the main road, positions certain to be subjected to air attack. The selection of sites was thus made very difficult, as the dressing stations had to be kept away from main roads and also from any open space where paratroops could be readily landed. The dressing stations had also to be placed in positions where they could be defended by the combatant troops. The differences of opinion which arose between the senior medical officers with regard to the siting of the units exemplify the difficulties of the problem.</p>
            <p rend="indent">Fifth Field Ambulance set up a very efficient dressing station in the officers' mess building of 7 General Hospital and did excellent work there, although the ADMS considered the site unsuitable. The 189th Field Ambulance established a large hospital in buildings at <name key="name-029205" type="place">Khalepa</name>, a suburb of <name key="name-000735" type="place">Canea</name>, where it carried out operative treatment on a large number of casualties. The town, however, was subjected to heavy bombing and the unit was lucky to evacuate the site just before one of the buildings was demolished by a bomb.</p>
          </div>
          <div n="5" xml:id="c5-46-5">
            <head>
              <hi rend="i">Health of Troops</hi>
            </head>
            <p rend="indent">The men arrived in <name key="name-003325" type="place">Crete</name> very tired and with little personal equipment. There had, however, been no sickness in <name key="name-002294" type="place">Greece</name> and the troops rapidly recovered in the peaceful conditions and excellent climate of <name key="name-003325" type="place">Crete</name>, probably helped considerably by the facilities for sea-bathing that were available. In spite of a reduction in the rations, made necessary by the unexpected number of troops to be supplied, the health of the troops remained very good throughout the campaign. There was very little sickness and practically no endemic disease, except dysentery.</p>
            <pb n="203" xml:id="n203"/>
            <p rend="indent">Shortly after the arrival of the troops many of them suffered from a transient attack of diarrhoea, and towards the end of the campaign mild dysentery was also present, but not to any marked extent.</p>
            <p rend="indent">A British hygiene section had been stationed in <name key="name-003325" type="place">Crete</name> for some time before the arrival of the troops from <name key="name-002294" type="place">Greece</name>. A malarial survey had recorded widespread infection by malaria in the villages and measures were taken to control the spread of the disease. The 4th Field Hygiene Section under Captain Irwin began at once to investigate the local conditions and to carry out a mosquito survey in our area, finding several areas infested with mosquitoes. The troops had no individual protection – such as nets, cream, or sprays – yet very few cases of malaria occurred. Fortunately, the malaria season had not really commenced before the troops left <name key="name-003325" type="place">Crete</name>.</p>
            <p rend="indent">There were no cases of typhoid. Venereal disease had been very prevalent among the garrison troops, but the incidence in our troops in the short and active period that they remained on <name key="name-003325" type="place">Crete</name> was not high. There is no mention of any other disease.</p>
          </div>
          <div n="6" xml:id="c5-46-6">
            <head>
              <hi rend="i">Treatment of the Wounded</hi>
            </head>
            <p rend="indent">The casualties on <name key="name-003325" type="place">Crete</name> were very heavy, much heavier than in <name key="name-002294" type="place">Greece</name>,<note xml:id="ftn1-203" n="1"><p>In numbers of killed, casualties in <name key="name-003325" type="place">Crete</name> were far higher, in proportion to the total of New Zealanders who took part, than in any other campaign of 2 NZ Division.</p></note> and thus threw a heavy burden on the ill-equipped New Zealand Medical Corps. Medical officers had, however, managed to save many essential parts of their equipment, such as surgical instruments, drugs, and dressings. They were helped considerably by equipment and supplies readily obtained from 7 General Hospital. The lack of transport and the difficulty of evacuating casualties by the one road, which was bombed and machine-gunned incessantly in daylight hours, made it necessary for the MDSs of the ambulances to carry out surgical work, sometimes of a major nature. The surgical team from <name key="name-028359" type="place">1 NZ General Hospital</name> under Major Christie, which had been attached to the ambulances in <name key="name-002294" type="place">Greece</name>, was available in <name key="name-003325" type="place">Crete</name>; Major Christie performed excellent work and furnished a valuable report on the work carried out under such difficult conditions.</p>
            <p rend="indent">The team was first attached to 5 MDS and then to 7 General Hospital to fill the place of a specialist surgeon killed by a bomb on 18 May. The team was then attached to 189 Field Ambulance hospital at <name key="name-029205" type="place">Khalepa</name> until it ceased to function. The force was lucky in having available at 7 General Hospital surgeons of sound training and experience, the senior of them, Lieutenant-Colonel Debenham, later becoming a consultant surgeon on the Western European Front.</p>
            <pb n="204" xml:id="n204"/>
            <p rend="indent">Fifth Field Ambulance was called upon to perform a considerable amount of surgical work, both at <name key="name-022819" type="place">Modhion</name> and at the site of 7 General Hospital. Sixth Field Ambulance attended to large numbers of wounded from <name key="name-002294" type="place">Greece</name> immediately after its arrival in <name key="name-003325" type="place">Crete</name>, and later assisted 7 General Hospital by relieving it of its burden of lighter cases and also by setting up a convalescent depot to look after the cases discharged from the hospital. It also treated wounded from the fighting in the <name key="name-002045" type="place">Galatas</name> area. Both units assisted the wounded during the evacuation with transport, dressings and rations, and, finally, at the evacuation itself. They nursed and shepherded along large numbers of wounded, some with relatively severe wounds, who normally would not have been permitted to make the trip.</p>
            <p rend="indent">The actual wound treatment varied according to the skill and knowledge of the medical officer and it was natural that some of the surgery was not up to the highest standards. The surgical team reports instances of wounds sutured at the field ambulances with unsatisfactory results. Luckily, there was available our own surgical team and the skilled surgeons at 7 General Hospital, who coped with the greater number of the heavier cases and who had knowledge of the best surgical wound treatment. The wound treatment carried out by our surgical team consisted of <hi rend="i">débridement</hi>, with removal of all soiled and damaged tissue – particularly muscle – with free opening of the wounds and with acriflavine dressings. The serious loss of serum was noted in the large wounds, and also the relative freedom from injury of the nerves and blood vessels.</p>
            <p rend="indent"><hi rend="i">Fractures:</hi> After the usual wound treatment the cases were splinted as follows:</p>
            <list type="simple">
              <label>1.</label>
              <item>
                <p>Femur: The Thomas knee splint was used and our surgical team employed a special technique. From ankle to mid-thigh was enclosed by two Cellona plaster bandages. A strong calico bandage was laid on this, passing over a spreader below the foot and coming up on the other side of the limb. Three more Cellona bandages were put on over this. The limb, complete with its plaster casing and extension, was now placed in the Thomas knee splint, the calico attached to the end with rubber tubing – if available – the splint slung from the Thomas crossbar on the stretcher, the footpiece applied, and finally the foot of the stretcher raised to provide extension by the counter body-weight method. This illustrates how one surgeon worked out a combination of plaster and Thomas splintage, which as the <name key="name-001400" type="place">Tobruk</name> splint was to become the universal practice later.</p>
              </item>
              <label>2.</label>
              <item>
                <p>Tibia: Plaster closed splint applied.</p>
              </item>
              <pb n="205" xml:id="n205"/>
              <label>3.</label>
              <item>
                <p>Humerus: Plaster back slab with collar and cuff, or Kramer wire splints. In fractures of the lower end of the humerus, extension of the elbow below 90 degrees was carried out.</p>
              </item>
            </list>
            <p rend="indent"><hi rend="i">Amputations:</hi> These were usually carried out for gross destruction of bone and joint. No guillotine amputations were performed, short anterior and posterior flaps were used, and the site of election was selected. The ends of the wound were sutured, but the central part was left open for drainage. No tubes were used. Main vessels were doubly-ligated and the nerves were simply cut across in the upper part of the wound. In amputations of the lower limb the tourniquet was used, but in the upper limb only digital control of the brachial or subclavian was employed.</p>
            <p rend="indent">In the case of shattered limbs the surgeon employed a simple rubber band just above the lacerated end, to be left on during resuscitation to control haemorrhage, leaving undamaged all the tissue above, through which the amputation would be performed.</p>
            <p rend="indent"><hi rend="i">Head Wounds:</hi> These were excised and the wound closed by use of an S-shaped flap. A head tourniquet was used and an improvised table formed from a stretcher, with a bandage between the bars forming a head rest.</p>
            <p rend="indent"><hi rend="i">Chest Wounds:</hi> These were dealt with very conservatively by aspiration and air replacement. Open sucking wounds, if not already sutured at the field ambulance, were closed, but few of such cases were seen. Detached pieces of rib were removed. No open exploration of the chest was carried out, nor was it ever considered necessary.</p>
            <p rend="indent"><hi rend="i">Thoraco-abdominal Wounds:</hi> All such cases produced by the German explosive bullets were noted to be fatal.</p>
            <p rend="indent"><hi rend="i">Abdominal Wounds:</hi> These were not very frequent. They were all explored at once. The small bowel was generally damaged, the large bowel frequently escaping in a surprising manner, especially in transverse wounds. It was noted that resection of the small intestine caused a heavy mortality. The mesentery and omentum were often found damaged, producing an abdomen full of blood. The rectum was noted to be often injured in sacral wounds, and these cases were generally fatal from toxaemia and probable peritoneal infection. No such case survived, although one lived for five days after a transverse colostomy. The bladder was sometimes injured and catheterisation was always resorted to if any doubt existed, and an in-dwelling catheter left in if any bladder injury was present. No cases of liver, stomach, or splenic injury were encountered.</p>
            <p rend="indent"><hi rend="i">Shock and Haemorrhage:</hi> Treatment consisted of the application of warmth by hot bottles, the relief of pain by morphia (gr. ½) and the splintage of fractures, the elevation of the foot of the stretcher,
<pb n="206" xml:id="n206"/>
and the giving of fluids by mouth, rectally, subcutaneously, and intravenously. Some Baxter vacolites were available at the MDS.</p>
            <p rend="indent">Dried plasma in limited amounts was available at one field ambulance. It was necessary to cut down on the vein and use a cannula. Blood was not used, though transfusion sets and citrate were available at 189 Field Ambulance. The intensity of the surgical inundation precluded its use. The suggestion was made that a special blood transfusion team, consisting of a medical officer and two orderlies, should be attached to the Division, with supplies of dried plasma, a portable refrigerator, and a few pints of blood ready for use.</p>
            <p rend="indent"><hi rend="i">Gas Gangrene:</hi> Only one fulminating case was seen by Major Christie, with infection spreading up to the umbilicus; death occurred twelve hours after admission to hospital. Several cases of limb wounds showed gas in the tissues. These were treated by excision of muscle and muscle groups, and freely opened to facial planes. No amputations were necessary for this condition. Serum was given.</p>
            <p rend="indent">Lieutenant Ballantyne saw several severe cases at 6 ADS and cases were seen later after evacuation of prisoners to <name key="name-002294" type="place">Greece</name>.</p>
            <p rend="indent"><hi rend="i">Sulphonamides:</hi> A dosage of 2 grammes, followed by 1 gramme in two hours and then four-hourly for forty-eight hours, was given by the mouth to seriously wounded cases. No sulphonamide was used locally on the wounds.</p>
            <p rend="indent"><hi rend="i">Foreign Bodies:</hi> These were removed when readily accessible or large, but otherwise no time-consuming search was made.</p>
            <p rend="indent"><hi rend="i">Severity of Wounds:</hi> It was noted that the German wounded had much less severe wounds than our own men. The German aerial bomb, trench mortars, explosive machine-gun and cannon-gun shells inflicted more severe wounds than our .303 bullets. The Schmeisser bullet was as severe as a machine-gun wound, if fired at close quarters.</p>
          </div>
          <div n="7" xml:id="c5-46-7">
            <head>
              <hi rend="i">The Leaving Behind of Medical Personnel</hi>
            </head>
            <p rend="indent">In <name key="name-003325" type="place">Crete</name> this problem again arose and on a much more serious scale than in <name key="name-002294" type="place">Greece</name>. Altogether, there were eight medical officers and 176 other ranks of the <name key="name-203712" type="organisation">NZMC</name> left behind as prisoners in <name key="name-003325" type="place">Crete</name>. Four of the medical officers were attached as battalion medical officers and elected to stay behind in their RAPs with the wounded under their care. One of these officers, Captain Stewart, later said: “Unfortunately on 23 May Hetherington and I, under the stress of events, both decided to remain, not realising until we met later in the day that we were only half a mile apart, and as we had information that Longmore was a prisoner of war, probably
<pb n="207" xml:id="n207"/>
unwounded, one of us would have sufficed. Of course, too, our judgement was biased by the belief that exchange of protected personnel would eventuate early allowing us to rejoin our own side”. (This belief was based on the Geneva Convention.) Three medical officers attached to field ambulance dressing stations also chose to remain with seriously wounded men. The ADMS NZ Division was also captured, having delayed his departure to set up a dressing station for walking wounded; he could not be contacted before the engineers blocked the road.</p>
            <p rend="indent">It was not until the later stages of the battle that it was known at Creforce Headquarters that so many medical personnel were remaining with the wounded. An order was then issued by the <name key="name-028893" type="organisation">DDMS</name> <name key="name-003399" type="organisation">Creforce</name> that no more medical officers or other ranks were to remain behind unless detailed by their commanding officer to do so; but it is very doubtful if this order reached more than a limited number of those for whom it was intended. Medical officers, padres, and men unselfishly sacrificed their liberty in their anxiety for the welfare of their patients.</p>
            <p rend="indent">In the hurried retreat to the southern coast close contact between medical units and with headquarters was difficult, and danger arose of two medical units both leaving personnel in the same area. This happened when, at 5 Field Ambulance MDS, two medical officers on their own initiative remained behind, and the nearby 7 General Hospital also left behind medical officers and personnel – a needless duplication. The medical officers generally acted without orders from higher authority, as they felt their individual responsibility keenly, and no definite ruling was available. Circumstances were such that instant decisions had to be made.</p>
            <p rend="indent">These officers showed a noble spirit of self sacrifice and are to be commended for their altruistic zeal, but the policy determining their actions should be clearly laid down by higher authority to prevent unnecessary loss of valuable personnel. Such was the lesson that was learned in the campaigns in <name key="name-002294" type="place">Greece</name> and <name key="name-003325" type="place">Crete</name>. The British and Australian Medical Corps suffered in the same way, and their officers made the personal sacrifice in a similar unselfish manner.</p>
            <p rend="indent">As regards the other ranks of the <name key="name-203712" type="organisation">NZMC</name>, a large number likewise remained behind with the medical officers to tend the wounded, but many were unable to be evacuated, either because of their loss of contact during the retreat, or, at the end, because it was impossible to evacuate the whole force. Priority had been given to combatant troops, a decision which could not be questioned. It is open to question, however, whether a complement of medical personnel should not always accompany the combatant troops to which they are normally attached as they provide a highly specialised service essential to the well-being of the troops.</p>
            <pb n="208" xml:id="n208"/>
          </div>
          <div n="8" xml:id="c5-46-8">
            <head>
              <hi rend="i">Evacuation</hi>
            </head>
            <p rend="indent">The problem of the shepherding of the walking wounded across the island and giving them medical attention during that period was fraught with considerable difficulties. The majority of the slightly wounded had to make the trip on foot, travelling during the night on a road crowded with a rather disorganised medley of troops and refugees and a variety of vehicles, and lying up under the olive trees during the day. The force orders were that road traffic should cease during the day, but it was impossible to enforce the order strictly, particularly during the last days of evacuation. There were thousands of <name key="name-022528" type="organisation">Cypriots</name>, <name key="name-022835" type="organisation">Palestinians</name>, and Greeks making their way across the island, and this added to the confusion due to the number of separate forces involved. It was extremely difficult in the weary march across the mountains for the wounded, and even the personnel of the medical units, to keep contact. The best that could be done was to set up medical dressing and rest posts at intervals along the route, where the wounded and the staffs could be collected together again to have wounds attended to and rations supplied.</p>
            <p rend="indent">Large dressing stations were set up by our New Zealand units as well as by British and Australian medical units, especially near the coast, where the men could be collected and helped during the embarkation. The steep and narrow road down the cliff to <name key="name-004697" type="place">Sfakia</name> led to great difficulties in embarking wounded men and also brought about a serious delay, with the result that many, who would otherwise have been accommodated on the ships, were unable to be picked up in the time allowed.</p>
            <p rend="indent">The embarkation would have been speeded up – had it been realised at the time – if a larger proportion of medical personnel had been detailed to help the wounded down the cliff; this would have had the added advantage of allowing a large number of personnel of the medical units to be embarked when extra space in the ships was available. It was so very much a question of the speed of the embarkation, as the naval ships had to be as far as possible out of bomber range before daylight.</p>
            <p rend="indent">The troops who were policing the embarkation had an exceedingly hard task, since in the darkness they had to check all troops for their priority, as laid down by GOC Creforce. The large number of Greeks and <name key="name-022528" type="organisation">Cypriots</name> who had to be turned back also caused serious delay. Slips were issued to wounded by the medical units at the staging posts and, as far as possible, order was maintained and the men checked.</p>
            <p rend="indent">In considering all the circumstances the percentage of the force evacuated was satisfactory, and the number of wounded men, some of them seriously wounded, who got away from <name key="name-003325" type="place">Crete</name> showed the virility and sturdiness of our own and other Commonwealth troops.</p>
          </div>
          <pb n="209" xml:id="n209"/>
          <div n="9" xml:id="c5-46-9">
            <head>
              <hi rend="i">LESSONS FROM CRETE</hi>
            </head>
            <p rend="indent">The <name key="name-003325" type="place">Crete</name> campaign taught our army valuable lessons and made a lasting impression on those who had the honour to take part in it:</p>
            <list type="simple">
              <label>1.</label>
              <item>
                <p><hi rend="i">Graded Men:</hi> The most important outcome, as far as our New Zealand force was concerned, was the attitude thereafter of the senior officers of all units towards the use of graded men in the Division. The severe strain thrown on men marching across the rough and hilly road so impressed itself on these officers that they considered that, in future, none but Grade I men should ever be accepted in any divisional unit – even if normally transport would be available. Men with foot disabilities, who had been detailed for duty in the ASC and other units with transport, were considered especially unsatisfactory in the Division. This attitude was so prevalent that the name “Creteitis” was given to it. It perhaps brought about some unnecessary transfers of personnel with minor disabilities from the divisional units. Fortunately, never again during the war was the Division faced with a similar problem, so the over-anxiety regarding the use of slightly disabled men proved to be unnecessary.</p>
              </item>
              <label>2.</label>
              <item>
                <p><hi rend="i">The Geneva Convention:</hi> It was recognised as a result of the experiences in <name key="name-003325" type="place">Crete</name> that the only adequate protection for a medical unit was the generous display of large and distinct <name key="name-027417" type="organisation">Red Cross</name> markings. It was proved that the Germans respected the Geneva Convention provided that the medical unit was not sited in an area suitable for airborne landing. The wearing of steel helmets was recognised by the Germans as a sign of combatant troops, and therefore they had to be discarded by medical staffs.</p>
              </item>
              <label>3.</label>
              <item>
                <p><hi rend="i">Value of Surgical Teams Attached to Divisional Units:</hi> There is no doubt that the attachment of a surgical team from <name key="name-028359" type="place">1 NZ General Hospital</name> to the Division in <name key="name-002294" type="place">Greece</name> was of inestimable value in the campaigns in both <name key="name-002294" type="place">Greece</name> and <name key="name-003325" type="place">Crete</name>. The presence of a senior surgeon, with an all-round surgical experience and a special knowledge of orthopaedic surgery, enabled knowledge of the best treatment of the wounded man to be passed on to those working with him, and in addition his own operative ability and judgment were available. He himself noted the difference between the cases passed on from the ambulance in which he had been working and those coming from its fellow.</p>
              </item>
            </list>
            <p rend="indent">The loss of a specialist surgeon attached to 7 General Hospital made the team doubly valuable, and a second team would have been most welcome. The problem of whether the forward surgery should be done in the ambulances or at the CCS did not arise here, as there were no official casualty clearing stations and the general hospital was itself a field unit, so that there was little or no distinction between any of the medical units, each one in turn dealing
<pb n="210" xml:id="n210"/>
with whatever work came into its area. The 5th MDS carried out a good deal of operative work. The surgical team operated with both 7 General Hospital and 189 Field Ambulance hospital. British and Australian units also dealt with a considerable number of casualties, including New Zealanders.</p>
            <list type="simple">
              <label>4.</label>
              <item>
                <p><hi rend="i">Improvisation:</hi> The New Zealand units landed in <name key="name-003325" type="place">Crete</name> with minimal equipment and supplies, but nevertheless carried out their work under most difficult conditions with quiet efficiency. They showed their ability to improvise, to collect together essential implements, and to work in makeshift quarters. The younger RMOs did a great deal of work single-handed, one RMO putting through nearly 700 cases during the campaign. The lessons learned by those who escaped were of great value to the Medical Corps later in the Desert campaign.</p>
              </item>
              <label>5.</label>
              <item>
                <p><hi rend="i">Blood Transfusion Team:</hi> The impossibility of carrying out blood transfusions during a rush of casualties, without there being any special team available for that purpose, was recognised. Transfusion sets were available in 189 Field Ambulance hospital, but no transfusions were given. Our surgical team attached to this hospital recommended that a team of one medical officer and two other ranks should be established and attached to the Division, and that equipment, such as portable kerosene-operated refrigerators, should be obtained.</p>
              </item>
              <label>6.</label>
              <item>
                <p><hi rend="i">Transport:</hi> Naturally, in <name key="name-003325" type="place">Crete</name> the supply of transport was of paramount importance and the necessity in modern warfare of having adequate means to transport the wounded from the forward areas to the operating centres only too obvious. Even if it had been possible to embark stretcher cases from <name key="name-004697" type="place">Sfakia</name>, ambulances to carry them were not available. It is remarkable how well the medical work was carried out with a minimum of transport.</p>
              </item>
              <label>7.</label>
              <item>
                <p><hi rend="i">Dispersal of Medical Stores:</hi> The stores of 7 General Hospital were all kept in one tent – in which it was stated that ether was also kept – and unfortunately this tent caught fire during the attack on the hospital. The dispensary tent was also burnt, so that nearly all the medical supplies were destroyed. The dispersal of all essential equipment and stores should be carried out under any circumstances, and especially where damage by the enemy is likely to occur.</p>
              </item>
            </list>
            <p rend="indent">There was every reason to be proud of the New Zealand Medical Corps in <name key="name-003325" type="place">Crete</name> and of the fact that the medical administration was under our own command. All sections of the Corps did excellent work, including the sisters during their brief stay on the island, and the men of the medical units showed their ability to sacrifice their liberty in the interests of their patients.</p>
            <p>
              <figure xml:id="WH2Med26a">
                <graphic url="WH2Med26a.jpg" mimeType="image/jpeg" xml:id="WH2Med26a-g"/>
                <p>Second Libyan Campaign: Medical Units and Lines of Evacuation<lb/>
The line of evacuation was at first back along the route of advance to <name key="name-028128" type="place">Conference Cairn</name>, thence to the railhead</p>
                <figDesc>map of northern <name key="name-001027" type="place">Libya</name></figDesc>
              </figure>
            </p>
            <pb n="211" xml:id="n211"/>
            <p>
              <table rows="17" cols="3">
                <head>
                  <hi rend="sc">Wounded on <name key="name-003325" type="place">Crete</name></hi>
                  <lb/>
                  <hi rend="i">Embarkations (British, Australian, and New Zealand)</hi>
                </head>
                <row>
                  <cell rend="center">
                    <hi rend="i">Date</hi>
                  </cell>
                  <cell rend="center">
                    <hi rend="i">Port</hi>
                  </cell>
                  <cell rend="center">
                    <hi rend="i">Number</hi>
                  </cell>
                </row>
                <row>
                  <cell>29 Apr</cell>
                  <cell>
                    <name key="name-001363" type="place">Suda Bay</name>
                  </cell>
                  <cell rend="right">500 (On <hi rend="i">Ionia</hi>—walking wounded ex-<name key="name-002294" type="place">Greece</name>)</cell>
                </row>
                <row>
                  <cell>5 May</cell>
                  <cell>
                    <name key="name-000735" type="place">Canea</name>
                  </cell>
                  <cell rend="right">602 (On <hi rend="i">Aba</hi>—sick and wounded ex-<name key="name-002294" type="place">Greece</name>)</cell>
                </row>
                <row>
                  <cell>16 May</cell>
                  <cell>
                    <name key="name-000735" type="place">Canea</name>
                  </cell>
                  <cell rend="right">561 (On <hi rend="i">Aba</hi>—sick and wounded ex-<name key="name-002294" type="place">Greece</name>)</cell>
                </row>
                <row>
                  <cell/>
                  <cell/>
                  <cell>——</cell>
                </row>
                <row>
                  <cell/>
                  <cell/>
                  <cell>
                    <date when="1663">1663</date>
                  </cell>
                </row>
                <row>
                  <cell/>
                  <cell/>
                  <cell>——</cell>
                </row>
                <row>
                  <cell>24 May</cell>
                  <cell>
                    <name key="name-001363" type="place">Suda Bay</name>
                  </cell>
                  <cell rend="right">60 (on destroyers bringing medical supplies)</cell>
                </row>
                <row>
                  <cell>25 May</cell>
                  <cell>
                    <name key="name-001363" type="place">Suda Bay</name>
                  </cell>
                  <cell rend="right">50 (on destroyers)</cell>
                </row>
                <row>
                  <cell>26 May</cell>
                  <cell>
                    <name key="name-001363" type="place">Suda Bay</name>
                  </cell>
                  <cell rend="right">150 (on destroyers—from Naval Hospital)</cell>
                </row>
                <row>
                  <cell>28–29 May</cell>
                  <cell>
                    <name key="name-004697" type="place">Sfakia</name>
                  </cell>
                  <cell rend="right">230 (on destroyers)</cell>
                </row>
                <row>
                  <cell>29–30 May</cell>
                  <cell>
                    <name key="name-004697" type="place">Sfakia</name>
                  </cell>
                  <cell rend="right">550 (On <hi rend="i"><name key="name-207116" type="ship">Glengyle</name></hi>)</cell>
                </row>
                <row>
                  <cell>30–31 May</cell>
                  <cell>
                    <name key="name-004697" type="place">Sfakia</name>
                  </cell>
                  <cell rend="right">10</cell>
                </row>
                <row>
                  <cell>31 May-1 Jun</cell>
                  <cell>
                    <name key="name-004697" type="place">Sfakia</name>
                  </cell>
                  <cell rend="right">80 (Final embarkation)</cell>
                </row>
                <row>
                  <cell/>
                  <cell/>
                  <cell>——</cell>
                </row>
                <row>
                  <cell/>
                  <cell/>
                  <cell>1130</cell>
                </row>
                <row>
                  <cell/>
                  <cell/>
                  <cell>——</cell>
                </row>
              </table>
            </p>
            <p>
              <table rows="11" cols="3">
                <head>
                  <hi rend="i">Wounded Taken Prisoner (New Zealanders and others)</hi>
                </head>
                <row>
                  <cell rend="center">
                    <hi rend="i">Date</hi>
                  </cell>
                  <cell rend="center">
                    <hi rend="i">Number</hi>
                  </cell>
                  <cell rend="center">
                    <hi rend="i">Place</hi>
                  </cell>
                </row>
                <row>
                  <cell>23–25 May</cell>
                  <cell>270</cell>
                  <cell><name key="name-004213" type="place">Maleme</name> area, with RMOs 5 Bde—22 Bn, 160; 21 Bn, 50; 23 Bn, 60.</cell>
                </row>
                <row>
                  <cell>26 May</cell>
                  <cell>200 (?300)</cell>
                  <cell><name key="name-009213" type="organisation">7 Gen Hosp</name> caves with British MOs</cell>
                </row>
                <row>
                  <cell>26 May</cell>
                  <cell>20</cell>
                  <cell>Near <name key="name-000735" type="place">Canea</name>, with <name key="name-009616" type="organisation">5 Fd Amb</name> rear party</cell>
                </row>
                <row>
                  <cell>26 May</cell>
                  <cell>100 (?150)</cell>
                  <cell>Near <name key="name-000735" type="place">Canea</name>, with Lt Ballantyne, <name key="name-001176" type="organisation">6 Fd Amb</name></cell>
                </row>
                <row>
                  <cell>27 May</cell>
                  <cell>200 (?300)</cell>
                  <cell><name key="name-022821" type="place">Kalivia</name>, with part 2/1 Aust Fd Amb</cell>
                </row>
                <row>
                  <cell>28 May</cell>
                  <cell>46</cell>
                  <cell><name key="name-022761" type="place">Neon Khorion</name>, with Lt-Col Bull</cell>
                </row>
                <row>
                  <cell>30 May</cell>
                  <cell>40</cell>
                  <cell><name key="name-000965" type="place">Imvros</name>, with Australian MO.</cell>
                </row>
                <row>
                  <cell/>
                  <cell/>
                  <cell>——</cell>
                </row>
                <row>
                  <cell/>
                  <cell/>
                  <cell>876–1110</cell>
                </row>
                <row>
                  <cell/>
                  <cell/>
                  <cell>————</cell>
                </row>
              </table>
            </p>
            <p>
              <table rows="2" cols="2">
                <head>
                  <hi rend="i">Total of New Zealand Wounded</hi>
                </head>
                <row>
                  <cell>Embarked</cell>
                  <cell>967</cell>
                </row>
                <row>
                  <cell>Prisoners of war</cell>
                  <cell>525</cell>
                </row>
              </table>
            </p>
            <p>
              <table rows="8" cols="4">
                <head><hi rend="sc">Casualties</hi><lb/><hi rend="i">New Zealand Medical Corps</hi><lb/>
(Officers in parentheses)</head>
                <row>
                  <cell rend="center">
                    <hi rend="i">Unit</hi>
                  </cell>
                  <cell rend="center">
                    <hi rend="i">Killed</hi>
                  </cell>
                  <cell rend="center">
                    <hi rend="i">Wounded</hi>
                  </cell>
                  <cell rend="center">
                    <hi rend="i">PW</hi>
                  </cell>
                </row>
                <row>
                  <cell>5 Field Ambulance</cell>
                  <cell>1</cell>
                  <cell>1</cell>
                  <cell>(2) 63</cell>
                </row>
                <row>
                  <cell>6 Field Ambulance</cell>
                  <cell>(1) 6</cell>
                  <cell>8</cell>
                  <cell>(2) 83</cell>
                </row>
                <row>
                  <cell>4 Field Hygiene Section</cell>
                  <cell/>
                  <cell/>
                  <cell>17</cell>
                </row>
                <row>
                  <cell>1 General Hospital</cell>
                  <cell/>
                  <cell/>
                  <cell>17</cell>
                </row>
                <row>
                  <cell>Regimental medical officers</cell>
                  <cell/>
                  <cell>(1)</cell>
                  <cell>(4)</cell>
                </row>
                <row>
                  <cell/>
                  <cell>——</cell>
                  <cell>——</cell>
                  <cell>——</cell>
                </row>
                <row>
                  <cell/>
                  <cell>(1) 7</cell>
                  <cell>(1) 9</cell>
                  <cell>(8) 180</cell>
                </row>
              </table>
            </p>
            <pb n="212" xml:id="n212"/>
            <p>
              <table rows="6" cols="4">
                <head>
                  <hi rend="i">
                    <name key="name-004368" type="organisation">2 NZEF</name>
                  </hi>
                </head>
                <row>
                  <cell/>
                  <cell rend="center">
                    <hi rend="i">Officers</hi>
                  </cell>
                  <cell rend="center">
                    <hi rend="i">Other Ranks</hi>
                  </cell>
                  <cell rend="center">
                    <hi rend="i">Total</hi>
                  </cell>
                </row>
                <row>
                  <cell>Killed (incl. died of wounds)</cell>
                  <cell rend="right">36</cell>
                  <cell rend="right">598</cell>
                  <cell rend="right">634</cell>
                </row>
                <row>
                  <cell>Wounded</cell>
                  <cell rend="right">56</cell>
                  <cell rend="right">911</cell>
                  <cell rend="right">967</cell>
                </row>
                <row>
                  <cell>Prisoners of war</cell>
                  <cell rend="right">74</cell>
                  <cell rend="right">2143</cell>
                  <cell rend="right">2217</cell>
                </row>
                <row>
                  <cell/>
                  <cell>——</cell>
                  <cell>——</cell>
                  <cell>——</cell>
                </row>
                <row>
                  <cell/>
                  <cell rend="right">166</cell>
                  <cell rend="right">3652</cell>
                  <cell rend="right">3818</cell>
                </row>
              </table>
            </p>
            <p rend="indent">Of the prisoners of war, 15 officers and 510 other ranks were wounded, and of these 1 officer and 36 other ranks died of wounds.</p>
            <p>
              <table rows="9" cols="3">
                <head>
                  <hi rend="i">Strength of New Zealand Medical Corps on <name key="name-003325" type="place">Crete</name></hi>
                </head>
                <row>
                  <cell/>
                  <cell>
                    <hi rend="i">Officers</hi>
                  </cell>
                  <cell>
                    <hi rend="i">Other Ranks</hi>
                  </cell>
                </row>
                <row>
                  <cell>5 Field Ambulance</cell>
                  <cell rend="right">8</cell>
                  <cell rend="right">146</cell>
                </row>
                <row>
                  <cell>6 Field Ambulance</cell>
                  <cell rend="right">8</cell>
                  <cell rend="right">179</cell>
                </row>
                <row>
                  <cell>4 Field Hygiene Section</cell>
                  <cell rend="right">1</cell>
                  <cell rend="right">30</cell>
                </row>
                <row>
                  <cell>1 General Hospital</cell>
                  <cell/>
                  <cell>21</cell>
                </row>
                <row>
                  <cell>ADMS</cell>
                  <cell rend="right">2</cell>
                  <cell rend="right">5</cell>
                </row>
                <row>
                  <cell/>
                  <cell>——</cell>
                  <cell>——</cell>
                </row>
                <row>
                  <cell/>
                  <cell rend="right">19</cell>
                  <cell rend="right">381</cell>
                </row>
                <row>
                  <cell>Also RMOs</cell>
                  <cell rend="right">8</cell>
                  <cell/>
                </row>
              </table>
            </p>
          </div>
        </div>
      </div>
      <pb n="213" xml:id="n213"/>
      <div type="chapter" n="6" xml:id="c6">
        <head>CHAPTER 6<lb/>
Reorganisation in <name key="name-002106" type="place">Egypt</name> and Base Administration</head>
        <div type="section" xml:id="c6-0">
          <p>FROM <name key="name-002294" type="place">Greece</name> and <name key="name-003325" type="place">Crete</name> the field medical units and 1 General Hospital came back to <name key="name-002106" type="place">Egypt</name> with their ranks thinned by casualties and with next to nothing of the equipment which had been slowly built up during the previous year. Little did anyone realise that before the end of <date when="1941">1941</date> the field medical units were to suffer further crippling losses of personnel and equipment.</p>
        </div>
        <div type="section" n="1" xml:id="c6-1">
          <head>
            <hi rend="i">1 General Hospital</hi>
          </head>
          <p rend="indent">Colonel McKillop, 13 officers, and 69 men of 1 General Hospital arrived at <name key="name-000576" type="place">Alexandria</name> from <name key="name-002294" type="place">Greece</name> on 23 April. They disembarked and entrained for <name key="name-009139" type="place">Amiriya</name>, where they were marched into a staging camp. The next day they proceeded to <name key="name-004203" type="place">Maadi Camp</name> and were quartered in the camp hospital area. On 29 April a detachment under Major Hunter went to <name key="name-000936" type="place">Helwan Camp</name> to assist in the establishment of a rest centre there for troops returning from <name key="name-002294" type="place">Greece</name>, and other officers and men were attached to 2 and 3 General Hospitals to assist them to cope with the expected added pressure of work. The ophthalmic and ENT surgeon and the radiologist were attached to 3 General Hospital as that unit was deficient in these specialist services, and the orthopaedic surgeon was attached to 2 General Hospital to help both in the wards and the out-patient department.</p>
          <p rend="indent">The matron and the fifty-one nursing sisters arrived in <name key="name-003601" type="place">Cairo</name> from <name key="name-003325" type="place">Crete</name>, accompanied by Captain King<note xml:id="ftn1-213" n="1"><p>Brig R. D. King, CBE, DSO, m.i.d., Greek Medallion for Distinguished Deed; <name key="name-120054" type="place">Timaru</name>; born <name key="name-120054" type="place">Timaru</name>, <date when="1896-02-25">25 Feb 1896</date>; medical practitioner; <name key="name-004367" type="organisation">1 NZEF</name> 1918–19, Private, <name key="name-203712" type="organisation">NZMC</name>, <name key="name-004019" type="place">England</name> and Hospital Ship; physician <name key="name-011447" type="organisation">1 Gen Hosp</name> Feb 1940–Jun 1941; 2 i/c <name key="name-009615" type="organisation">4 Fd Amb</name> Jun 1941–Jan 1942; CO <name key="name-009615" type="organisation">4 Fd Amb</name> Jan 1942–Jun 1943; ADMS 2 NZ Div Jun 1943–Dec 1944; <name key="name-028893" type="organisation">DDMS</name> <name key="name-001854" type="organisation">NZ Corps</name> Feb–Mar 1944.</p></note> and Captain Sayers, on 1 May. The six more seriously hurt of the nineteen involved in the truck accident prior to embarkation in <name key="name-002294" type="place">Greece</name> were admitted to 2 General Hospital. The remainder were quartered at 2 General Hospital, where they carried out nursing duties, and all had leave in rotation, special extra leave being granted them.</p>
          <pb n="214" xml:id="n214"/>
          <p rend="indent">An inquiry was held by Headquarters <name key="name-004368" type="organisation">2 NZEF</name> into allegations that the evacuation of 1 General Hospital from <name key="name-004543" type="place">Pharsala</name> had been precipitate and that the sisters should have been evacuated from <name key="name-002294" type="place">Greece</name> before or with the unit. Colonel McKillop was completely exonerated, it being definitely established that the evacuation of <name key="name-004543" type="place">Pharsala</name> was carried out in compliance with definite and specific orders from ADMS <name key="name-029076" type="organisation">80 Base Sub-Area</name>, and that Brigadier Large had made definite arrangements before the departure of the unit from <name key="name-002294" type="place">Greece</name> for the sisters to be evacuated by hospital ship from <name key="name-000608" type="place">Athens</name>.</p>
          <p rend="indent">Colonel McKillop was admitted to hospital shortly after the return of the unit to <name key="name-002106" type="place">Egypt</name> and was medically boarded and returned to New Zealand on HS <hi rend="i"><name key="name-120091" type="place">Maunganui</name></hi> on <date when="1941-06-10">10 June 1941</date>. <name key="name-027677" type="person">Lieutenant-Colonel Stout</name> assumed temporary command of the unit and strenuous efforts were immediately made to replace the lost equipment.</p>
        </div>
        <div type="section" n="2" xml:id="c6-2">
          <head>
            <hi rend="i">Field Medical Units</hi>
          </head>
          <p rend="indent">When 6 Infantry Brigade Group, with 4 Field Ambulance attached, arrived in <name key="name-002106" type="place">Egypt</name> from <name key="name-002294" type="place">Greece</name> the group went to <name key="name-000936" type="place">Helwan Camp</name>. Here 4 Field Ambulance staffed a camp reception hospital and camp convalescent depot and underwent routine training, which was possible as the unit had suffered fewer losses than the other field medical units.</p>
          <p rend="indent">At the end of May those members of 5 and 6 Field Ambulances and 4 Field Hygiene Section who were evacuated from <name key="name-003325" type="place">Crete</name> joined 4 Field Ambulance at <name key="name-000936" type="place">Helwan Camp</name>, and during June were located either there or in the adjoining <name key="name-011166" type="place">Garawi Camp</name>.</p>
          <p rend="indent">A training schedule was arranged as fully as limited equipment would allow, and the units carried out some interesting work on camouflage in the open desert. It was found that slit trenches could be effectively hidden from air observation by the use of coarse netting and less effectively by scrim. In addition, arrangements were made for nursing orderlies to undergo refresher courses at 2 General Hospital, <name key="name-000935" type="place">Helwan</name>.</p>
          <p rend="indent">The 4th Field Hygiene Section supervised a course of instruction in hygiene and sanitation for representatives of divisional units and supervised the hygiene of the camp. Major Williams, OC <name key="name-027420" type="organisation">Base Hygiene Section</name>, took over the command of this unit, changing appointments with Major Irwin.</p>
        </div>
        <div type="section" n="3" xml:id="c6-3">
          <head>
            <hi rend="i">General Health</hi>
          </head>
          <p rend="indent">Considering the trying nature of operations in <name key="name-002294" type="place">Greece</name> and <name key="name-003325" type="place">Crete</name> the health of the troops had remained good, in spite of some general
<pb n="215" xml:id="n215"/>
loss of weight. In June there was a minor outbreak of acute anterior poliomyelitis, against which appropriate measures were taken in the isolation of contacts, the ensuring of adequate ventilation of huts, and enforcement of the instruction regarding the boiling of eating utensils. It was considered that the effective enforcement of these measures limited the spread of the outbreak. (It was noted that a few cases were occurring regularly in the Division before it went to <name key="name-002294" type="place">Greece</name> but that there were no cases in <name key="name-002294" type="place">Greece</name> and <name key="name-003325" type="place">Crete</name>. More fresh cases arose on return to <name key="name-002106" type="place">Egypt</name>.)</p>
          <p rend="indent">On 5 May <name key="name-028893" type="organisation">DDMS</name> <name key="name-004368" type="organisation">2 NZEF</name> directed Lieutenant-Colonel Boyd to go to <name key="name-000936" type="place">Helwan Camp</name> to investigate the statement that troops returning from <name key="name-002294" type="place">Greece</name> were suffering from vitamin deficiency. In his report Colonel Boyd stated that the allegation seemed to have been based on one medical officer's statement that he had seen an unduly large proportion of septic scratches, abrasions, boils, and diarrhoea. On inquiry it was found that the consensus of opinion was that the health of the troops in <name key="name-002294" type="place">Greece</name> was in every respect better than it had been at any time previously in the <name key="name-024430" type="place">Western Desert</name>. Colonel Boyd reported that the diet of the troops in <name key="name-000935" type="place">Helwan</name> contained an abundance of protective foodstuffs, that no general alteration in it was considered necessary, and that there was no cause for anxiety.</p>
        </div>
        <div type="section" n="4" xml:id="c6-4">
          <head>
            <hi rend="i">Influenza Epidemic – 5th Reinforcements</hi>
          </head>
          <p rend="indent">Word was received by <name key="name-028893" type="organisation">DDMS</name> <name key="name-004368" type="organisation">2 NZEF</name> that there was a considerable number of influenza patients among the 5th Reinforcements due to arrive in <name key="name-002106" type="place">Egypt</name> on 12 May. It was decided that the best course to follow was to isolate the whole contingent until the epidemic abated, and also to transfer all patients from 3 General Hospital to 2 General Hospital and use 3 General Hospital as an isolation hospital. Twenty sisters were transferred from 2 General Hospital to 3 General Hospital, and camp reception hospitals and convalescent camps were established in segregated areas at <name key="name-004262" type="place">Maadi</name> and <name key="name-009366" type="place">Garawi</name> to deal with cases arising in camp after the arrival of the troops.</p>
          <p rend="indent">The number of cases from the transports for actual admission to hospital was fewer than was at first indicated as the epidemic was on the wane, but it was decided to adhere to the arrangements already made. After admitting 290 infectious patients on 13 May, 3 General Hospital was isolated until 26 May, and as a result of the precautions taken the epidemic did not spread to the rest of the New Zealand force in <name key="name-002106" type="place">Egypt</name>.</p>
        </div>
        <pb n="216" xml:id="n216"/>
        <div type="section" n="5" xml:id="c6-5">
          <head>
            <hi rend="i">3 NZ General Hospital, <name key="name-009430" type="place">Helmieh</name></hi>
          </head>
          <p rend="indent">This unit under Colonel Gower had arrived in <name key="name-002106" type="place">Egypt</name> on <date when="1941-03-23">23 March 1941</date> with the third section of the <name key="name-004615" type="organisation">4th Reinforcements</name> and detrained at <name key="name-029581" type="place">Zeitoun</name> siding on 28 March, taking over the site at <name key="name-009430" type="place">Helmieh</name> recently vacated by 1 General Hospital, which had proceeded to <name key="name-002294" type="place">Greece</name>, leaving a small holding party in occupation. On the site at that time there were erected nine marquees, sixteen huts, the roofs of which were being repaired after having been blown off in a storm, and thirty-three tents for officers' and sisters' quarters. The operating block of army design was nearing completion, electric wiring was being installed in marquees and huts, mud-brick walls were still being built round some tents and buildings, and a comprehensive roading scheme had been begun.</p>
          <p rend="indent">As equipment arrived the hospital was gradually established, although it was well into April before medical equipment was received. On 24 April the first 134 patients were transferred from 2 General Hospital, a further convoy of 57 arrived from the <name key="name-024430" type="place">Western Desert</name> on 28 April, and there were 209 patients in hospital at the end of the month.</p>
          <p rend="indent">On 12 May all patients except seven were transferred to 2 General Hospital to make room for the admission and isolation of 261 influenza cases from the 5th Reinforcements, following the epidemic experienced on the voyage from New Zealand. The hospital and staff were isolated from 13 to 26 May.</p>
          <p rend="indent">On 29 and 30 May 387 battle casualties from <name key="name-003325" type="place">Crete</name> were admitted, increasing the number of patients to 619. These were accommodated with some difficulty; 59 men had to be placed on palliasses on the floor, but they were only too thankful to be safely back in <name key="name-002106" type="place">Egypt</name> and well looked after by the willing staff.</p>
        </div>
        <div type="section" n="6" xml:id="c6-6">
          <head>
            <hi rend="i">Visit of Prime Minister</hi>
          </head>
          <p rend="indent">The Prime Minister of New Zealand, the <name key="name-207989" type="person">Rt. Hon. P. Fraser</name><!-- Fraser, Rt. Hon. P. -->, was in <name key="name-002106" type="place">Egypt</name> from 15 May to 8 June and he made extended visits to the New Zealand hospitals and to all New Zealand patients in British hospitals. He expressed to the <name key="name-028893" type="organisation">DDMS</name> <name key="name-004368" type="organisation">2 NZEF</name>, Matron-in-Chief <name key="name-004368" type="organisation">2 NZEF</name>, and officers commanding the units his very high appreciation of the medical arrangements made and of the standard of care given to the sick and wounded. He emphasised that, as Minister of Health, he had been in the habit of visiting institutions in New Zealand and interviewing patients, and considered it noteworthy that nowhere throughout <name key="name-004368" type="organisation">2 NZEF</name> medical units had he received any complaint.</p>
        </div>
        <pb n="217" xml:id="n217"/>
        <div type="section" n="7" xml:id="c6-7">
          <head>
            <hi rend="i">Reinforcements</hi>
          </head>
          <p rend="indent">A survey of the strength of the medical units of the New Zealand Division on 12 June showed that, as a result of the operations in <name key="name-002294" type="place">Greece</name> and <name key="name-003325" type="place">Crete</name>, the following reinforcements were required.</p>
          <p>
            <table rows="8" cols="4">
              <row>
                <cell/>
                <cell/>
                <cell/>
                <cell rend="center">
                  <hi rend="i">Other Ranks</hi>
                </cell>
              </row>
              <row>
                <cell/>
                <cell rend="center">
                  <hi rend="i">Officers</hi>
                </cell>
                <cell rend="center">
                  <hi rend="i">Medical</hi>
                </cell>
                <cell rend="center">
                  <hi rend="i">ASC</hi>
                </cell>
              </row>
              <row>
                <cell>4 Field Ambulance</cell>
                <cell rend="right">1</cell>
                <cell rend="right">23</cell>
                <cell rend="right">10</cell>
              </row>
              <row>
                <cell>5 Field Ambulance</cell>
                <cell rend="right">6</cell>
                <cell rend="right">102</cell>
                <cell rend="right">34</cell>
              </row>
              <row>
                <cell>6 Field Ambulance</cell>
                <cell rend="right">6</cell>
                <cell rend="right">113</cell>
                <cell rend="right">40</cell>
              </row>
              <row>
                <cell>4 Field Hygiene Section</cell>
                <cell/>
                <cell rend="right">17</cell>
                <cell rend="right">6</cell>
              </row>
              <row>
                <cell/>
                <cell rend="right">——</cell>
                <cell rend="right">——</cell>
                <cell rend="right">——</cell>
              </row>
              <row>
                <cell/>
                <cell rend="right">13</cell>
                <cell rend="right">255</cell>
                <cell rend="right">90 Total: 358</cell>
              </row>
            </table>
          </p>
          <p rend="indent">In the following three weeks medical and ASC reinforcements were posted from Base, and these, together with thirty-nine volunteers (graded men) transferred from the infantry to the Medical Corps, resulted in the units being only sixty men short of full establishment. (This figure excluded first reinforcements of seven to each field ambulance.) The strength of units at the end of June was:</p>
          <p>
            <table rows="4" cols="2">
              <row>
                <cell>4 Field Ambulance</cell>
                <cell rend="right">239</cell>
              </row>
              <row>
                <cell>5 Field Ambulance</cell>
                <cell rend="right">221</cell>
              </row>
              <row>
                <cell>6 Field Ambulance</cell>
                <cell rend="right">214</cell>
              </row>
              <row>
                <cell>4 Field Hygiene Section</cell>
                <cell rend="right">28</cell>
              </row>
            </table>
          </p>
          <p rend="indent">In base units there was a deficiency of seventy-three other ranks in 1 General Hospital and of twelve in the <name key="name-027420" type="organisation">Base Hygiene Section</name>. Nos. 2 and 3 General Hospitals were fully staffed for 600-bed hospitals, but an expansion to 900 beds was pending in each case. Until the arrival of the 6th Reinforcements at the end of July, it was not possible to build the medical units up to full strength.</p>
          <p rend="indent">A similar position obtained as regards medical officers. Divisional units were made up to strength at the expense of the base units, principally of 1 General Hospital which, though not functioning, was short of thirteen medical officers. When due allowance was made for the imminent increases of war establishments for 2 and 3 General Hospitals and 1 Camp Hospital, as well as the extra full-time appointments of a Consultant Physician and a Consultant Surgeon, it was assessed by the <name key="name-028893" type="organisation">DDMS</name> <name key="name-004368" type="organisation">2 NZEF</name> that, even after the arrival of seventeen medical officers with the 6th Reinforcements, there would still be a deficiency of fifteen. In addition, this did not take account of wastage through sickness.</p>
          <p rend="indent">Strong representations were therefore made by <name key="name-028893" type="organisation">DDMS</name> <name key="name-004368" type="organisation">2 NZEF</name> to the DGMS Army Headquarters, New Zealand, in order to ensure that adequate medical staff should be made available. It had been possible to carry on only through the dispersal of the staff of 1 General Hospital.</p>
          <p rend="indent">The <name key="name-028893" type="organisation">DDMS</name> <name key="name-004368" type="organisation">2 NZEF</name> expressed himself as confident that, in view of the amount of injury and sickness which the New Zealand
<pb n="218" xml:id="n218"/>
troops were called upon to endure, it would be the wish of the Government and the people of New Zealand that an adequate medical service should be maintained; and further, that the people of New Zealand would be very ready to accept some further slight shortcoming in the service to themselves in favour of their own kith and kin who, after all, were making a greater sacrifice. In New Zealand the DGMS in his turn had to make appropriate representations to the <name key="name-029308" type="organisation">National Medical Committee</name> for the release of more medical practitioners to the Army.</p>
        </div>
        <div type="section" n="8" xml:id="c6-8">
          <head>
            <hi rend="i">Posting of Medical Officers</hi>
          </head>
          <p rend="indent">At a conference of senior medical officers called by <name key="name-028893" type="organisation">DDMS</name> <name key="name-004368" type="organisation">2 NZEF</name> on 12 June, the reconstruction of the medical units was discussed. Officers commanding hospitals stated which officers it was essential to retain on hospital staffs by reason of age, special training, or disabilities. All other officers were to be made available for exchange with officers of divisional medical units.</p>
          <p rend="indent">The exchanges were limited in number as the ADMS NZ Division did not wish to part with his own officers just as they had become most efficient in field work. Some medical officers made requests for particular positions on the basis of alleged undertakings given to them in New Zealand. Such adjustments could not always be easily achieved and Brigadier MacCormick reported to DGMS Army Headquarters that, in his opinion, the only condition on which officers should proceed overseas was that they should undertake duties irrespective of time, place, or conditions. In his reply the DGMS maintained that he had made no promises of specific duties.</p>
        </div>
        <div type="section" n="9" xml:id="c6-9">
          <head>
            <hi rend="i">Re-equipment</hi>
          </head>
          <p rend="indent">Re-equipment was a question of major importance for the medical units who had lost almost all their equipment in <name key="name-002294" type="place">Greece</name> and <name key="name-003325" type="place">Crete</name>. All the Division's medical equipment was lost in <name key="name-002294" type="place">Greece</name> with the exception of that which could be carried on the men. This residual equipment was expended in <name key="name-003325" type="place">Crete</name>. The units concerned were 4, 5, and 6 Field Ambulances, 4 Field Hygiene Section, and 1 General Hospital, and also the regimental medical officers. The reserves in the <name key="name-005853" type="place">Middle East</name> were not sufficient for all the demands, and the New Zealand units had to wait many weeks pending the arrival of more equipment from <name key="name-004019" type="place">England</name>.</p>
          <p rend="indent">The staffs of the medical units had also lost considerable personal kit as well as some personal medical instruments and books during the campaigns in <name key="name-002294" type="place">Greece</name> and <name key="name-003325" type="place">Crete</name>. Representations for replacements were made and compensation was granted, adjusted to the extent of the individual loss.</p>
          <pb n="219" xml:id="n219"/>
          <p rend="indent">The question of the loss of books brought up the larger matter of hospital libraries. In a report in June <name key="name-027677" type="person">Lieutenant-Colonel Stout</name> said:</p>
          <p rend="indent">I submit that a medical library of books recognised as authoritative on their different subjects is a necessity for the proper functioning of a hospital either in peace or war. In peacetime the individual physician or surgeon has at his command a personal library of such books without which he could hardly function. He also has access to medical libraries and also to the individual libraries of his colleagues. The books are required for two cardinal purposes. Firstly, for reference in cases of difficulty, especially when the disease or injury is an uncommon one; and secondly, for post-graduate study so as to supplement the knowledge already possessed by the practitioner. In war, authoritative books are, if anything, required still more as no reference libraries are available and conditions are encountered which are not normally met with in civilian practice.</p>
          <p rend="indent">Brigadier MacCormick instructed the hospitals that it was a legitimate use of the funds placed at their disposal by the Joint Council of the <name key="name-027615" type="organisation">Order of St. John</name><!-- St. John, Order of --> and New Zealand <name key="name-027417" type="organisation">Red Cross</name> Society to provide libraries of standard textbooks and periodicals. Few such books, however, were obtainable in <name key="name-002106" type="place">Egypt</name>.</p>
          <p rend="indent">By the end of June 4 Field Ambulance had its medical equipment complete, but none had been issued to the other units. Indent had been made for a limited amount of medical equipment for training purposes only. None of the field ambulances had any ordnance equipment, and training without transport was necessarily limited in scope.</p>
          <p rend="indent">During June 1 General Hospital was able to draw the major part of its G. 1098 equipment from ordnance. No medical equipment had come to hand and the unit had nothing except the surgical instruments brought back from <name key="name-002294" type="place">Greece</name>, but during July some progress was made. In September when it moved to <name key="name-000935" type="place">Helwan</name>, 1 General Hospital took over all the equipment of 2 General Hospital, which then fell heir to 1 General Hospital's problems. When 2 General Hospital was suddenly called upon to move to the <name key="name-024430" type="place">Western Desert</name> at the end of October its equipment was still not quite complete, but the few deficiencies were immediately made up.</p>
          <p rend="indent">On 14 July both 5 and 6 Field Ambulances received their I. 1248 equipment, so that all three field ambulances then had complete medical equipment. At the same time fifteen sets of medical equipment for RMOs were delivered, completing the Division's requirements in this connection. During July and August each of the field ambulances received eight motor ambulance cars, and in August the medical units also drew most of their ordnance equipment. It was also approved that each field ambulance should be issued with eight light tarpaulins (30 ft. by 40 ft.) and six 160-pound tents to
<pb n="220" xml:id="n220"/>
facilitate the rapid erection of dressing stations in desert warfare. This tentage was not, however, immediately available.</p>
          <p rend="indent">Before returning to the <name key="name-024430" type="place">Western Desert</name> the field ambulances were issued with 3-ton trucks in place of 30-cwt trucks, and so were able to carry all their own personnel and equipment. Thus, the deficiencies in tentage and transport that had been observed in <name key="name-002294" type="place">Greece</name> were rectified. Considering the very serious losses of medical equipment in other forces beside the New Zealand force, it was remarkable that the deficiencies were made up so rapidly; our New Zealand units were treated with the utmost consideration by the British Army medical depots.</p>
          <p rend="indent">The question of the open display of <name key="name-027417" type="organisation">Red Cross</name> signs was still very undecided at this time in spite of the experience in <name key="name-002294" type="place">Greece</name> and <name key="name-003325" type="place">Crete</name>, so provision was made for the blotting out of the <name key="name-027417" type="organisation">Red Cross</name> in the event of camouflage being called for. Arrangements were made for the motor ambulance cars to be marked with the <name key="name-027417" type="organisation">Red Cross</name>.</p>
          <p rend="indent">Difficulties arose at this stage in obtaining an adequate supply of expendable medical stores for use in divisional units. This state of affairs continued for some months, but was, of course, due to the difficult supply position in the <name key="name-005853" type="place">Middle East</name> because of the long shipping route from the <name key="name-029547" type="place">United Kingdom</name> round the Cape of Good Hope.</p>
        </div>
        <div type="section" n="10" xml:id="c6-10">
          <head>
            <hi rend="i">Ceremonial Parade of Divisional Medical Units</hi>
          </head>
          <p rend="indent">On 15 July 4, 5, and 6 Field Ambulances and 4 Field Hygiene Section took part in a ceremonial parade for inspection by the GOC <name key="name-004368" type="organisation">2 NZEF</name>. After the parade the medical units were addressed by the GOC, who praised the work of all the medical units in <name key="name-002294" type="place">Greece</name> and <name key="name-003325" type="place">Crete</name>, and stated that in killed, wounded, and missing the New Zealand medical units sustained 18 casualties among officers and 289 among other ranks. The GOC also made appreciative mention of the fact that no wounded were left behind without medical attention, and in every case officers and men volunteered for this duty and did not have to be detailed to remain.</p>
          <p rend="indent">This was a noteworthy occasion in that it was the first time during the war that all three field ambulances and the field hygiene section had been on parade together. The <name key="name-023216" type="organisation">Mobile Surgical Unit</name> was also present to give a demonstration of its exceptional equipment and efficient transport. The unit by this time could within an hour and a half erect all tentage and be prepared to admit patients.</p>
        </div>
        <pb n="221" xml:id="n221"/>
        <div type="section" n="11" xml:id="c6-11">
          <head>
            <hi rend="i">Hygiene and Sanitation in Divisional Camps</hi>
          </head>
          <p rend="indent">Special efforts had to be made to raise the standards of hygiene and sanitation in <name key="name-000935" type="place">Helwan</name> and <name key="name-009366" type="place">Garawi</name> camps early in June. Conditions responsible for the lower standard were the loss of trained sanitary men in <name key="name-002294" type="place">Greece</name> and <name key="name-003325" type="place">Crete</name>, the abnormal circumstances brought about by the reorganisation of the Division and the influx of a large number of reinforcements, the lack of camp equipment and tools, and a certain amount of inertia regarding sanitation in troops returned from the campaigns.</p>
          <p rend="indent">The latrines in <name key="name-000936" type="place">Helwan Camp</name> were of the bucket type, but the new camps of <name key="name-009366" type="place">Garawi</name> and Mahfouz (a new camp immediately north of <name key="name-000936" type="place">Helwan Camp</name>) had a boxed-in deep-pit type. With a certain amount of re-design and adequate supervision, this type worked satisfactorily and did away with the difficulties associated with the employment of unsatisfactory native contractors.</p>
          <p rend="indent">The general standard in cookhouses and messrooms was fair. Extensive fly-proofing was undertaken although the flies were not as numerous as in <date when="1940">1940</date>. The water supply at <name key="name-000935" type="place">Helwan</name> of 24 gallons per man per day was adequate if care was exercised. The water supply for <name key="name-000935" type="place">Helwan</name>, <name key="name-009366" type="place">Garawi</name>, and Mahfouz camps came from the <name key="name-120039" type="place">Nile</name>, being first treated with alum and then filtered through sand. Repeated bacteriological examinations had shown very satisfactory results. The amount of water supplied, however, was barely adequate and some restriction was placed on showers. The <name key="name-000936" type="place">Helwan Camp</name> swimming bath was provided with a water circulation system through a sand filter and the water was chlorinated twice daily. Because of shortage of water it could be emptied only once weekly, and contamination by dust and wind-borne rubbish made it difficult to keep the water properly purified.</p>
          <p rend="indent">Mosquitoes were scarce but anti-malaria control was instituted. The issue of cresol for disinfection was cut down to 1 ½ gallons per 100 men per month; it was also of poor quality and was conserved for use outside latrines and messrooms for sterilisation of the hands.</p>
          <p rend="indent">Although it was summer and 5 Infantry Brigade and the 4th and 5th Reinforcements were comparative newcomers to <name key="name-002106" type="place">Egypt</name>, there was not much diarrhoea or dysentery. Considering this lessened degree of acclimatisation throughout the Division, improved sanitation must have played an important part in lessening the incidence of disease.</p>
        </div>
        <div type="section" n="12" xml:id="c6-12">
          <head>
            <hi rend="i">Health of Troops</hi>
          </head>
          <p rend="indent">The general health of the troops remained satisfactory during July, although many men felt the effects of training in an Egyptian summer and the number attending sick parades with minor ailments
<pb n="222" xml:id="n222"/>
remained large, an average of 700 a day. Malaria showed a seasonal increase, but the number of cases would undoubtedly have been much reduced had mosquito nets been available. It was noted that the incidence was almost equally divided between divisional troops in <name key="name-000935" type="place">Helwan</name> and non-divisional troops in <name key="name-004203" type="place">Maadi Camp</name>.</p>
        </div>
        <div type="section" n="13" xml:id="c6-13">
          <head>
            <hi rend="i">Dress</hi>
          </head>
          <p rend="indent">The troops were issued with drill shirts and shorts for wear during the daytime throughout the summer and long trousers for wear during the evenings. This dress proved very suitable in every way. Pith helmets were on issue on return from <name key="name-003325" type="place">Crete</name>, but the issue was not continued for the following summer as their use was found to be unnecessary.</p>
        </div>
        <div type="section" n="14" xml:id="c6-14">
          <head>
            <hi rend="i">Food</hi>
          </head>
          <p rend="indent">This was always adequate in amount and variety. Difficulties arose in the supply of fresh vegetables in the hot weather as much of the ration was unfit for use. Locally killed Sudanese buffalo beef was in normal supply.</p>
        </div>
        <div type="section" n="15" xml:id="c6-15">
          <head>
            <hi rend="i">Inoculation States</hi>
          </head>
          <p rend="indent">Inoculations were brought up to date for the whole of the Division at the end of June, and blood groupings were also checked.</p>
        </div>
        <div type="section" n="16" xml:id="c6-16">
          <head>
            <hi rend="i">Training</hi>
          </head>
          <p rend="indent">Intensive training was carried out during July and was especially valuable for the more recent reinforcements. Each field ambulance submitted a weekly training syllabus to ADMS NZ Division, who in turn submitted a summary of training to G Branch, Headquarters New Zealand Division.</p>
          <p rend="indent">Training during July included the following:</p>
          <list type="simple">
            <label>1.</label>
            <item>
              <p>Route marching.</p>
            </item>
            <label>2.</label>
            <item>
              <p>Erection of dressing stations in desert warfare.</p>
            </item>
            <label>3.</label>
            <item>
              <p>Contents of medical panniers and use of recently issued equipment.</p>
            </item>
            <label>4.</label>
            <item>
              <p>Water testing.</p>
            </item>
            <label>5.</label>
            <item>
              <p>Gas:</p>
              <list type="simple">
                <label>(<hi rend="i">a</hi>)</label>
                <item>
                  <p>Gas casualties;</p>
                </item>
                <label>(<hi rend="i">b</hi>)</label>
                <item>
                  <p>Protection of food supplies against gas; and</p>
                </item>
                <label>(<hi rend="i">c</hi>)</label>
                <item>
                  <p>Medical aspects of gas warfare.</p>
                </item>
              </list>
            </item>
            <label>6.</label>
            <item>
              <p>Technical training.</p>
              <list type="simple">
                <item>
                  <p>Treatment of wounds.</p>
                </item>
                <item>
                  <p>Use of plaster.</p>
                </item>
                <item>
                  <p>Drugs, injections, etc.</p>
                </item>
                <item>
                  <p>Blood transfusions.</p>
                </item>
              </list>
            </item>
            <pb n="223" xml:id="n223"/>
            <label>7.</label>
            <item>
              <p>Nursing – nursing orderlies trained at 2 General Hospital.</p>
            </item>
            <label>8.</label>
            <item>
              <p>Anti-malarial measures – practical work under direction of OC 4 Field Hygiene Section.</p>
            </item>
            <label>9.</label>
            <item>
              <p>Treatment of VD – course at 1 Camp Hospital for three specially selected officers and six men.</p>
            </item>
            <label>10.</label>
            <item>
              <p>Recreational training and interior economy.</p>
            </item>
            <label>11.</label>
            <item>
              <p>Map-reading and message writing – for officers and NCOs.</p>
            </item>
          </list>
          <p rend="indent">The 4th Field Hygiene Section, in addition to the supervision of hygiene and sanitation of both <name key="name-000935" type="place">Helwan</name> and <name key="name-009366" type="place">Garawi</name> camps, carried out training and duties in:</p>
          <list type="simple">
            <label>1.</label>
            <item>
              <p>Water testing.</p>
            </item>
            <label>2.</label>
            <item>
              <p>Anti-malarial measures (including a survey of the cultivated area on the banks of the <name key="name-120039" type="place">Nile</name> one mile from the camp where anopheles pharoensis were breeding).</p>
            </item>
            <label>3.</label>
            <item>
              <p>Disinfestation.</p>
            </item>
            <label>4.</label>
            <item>
              <p>Supervision and chlorination of swimming baths, <name key="name-000936" type="place">Helwan Camp</name>.</p>
            </item>
          </list>
        </div>
        <div type="section" n="17" xml:id="c6-17">
          <head>
            <hi rend="i">Hospital Ship Maunganui</hi>
          </head>
          <p rend="indent">On 22 May 1 NZHS <hi rend="i"><name key="name-120091" type="place">Maunganui</name></hi> arrived at <name key="name-004572" type="place">Port Tewfik</name><!-- Tewfik, Port --> on her first voyage to <name key="name-002106" type="place">Egypt</name> as a hospital ship. Representations by the GOC <name key="name-004368" type="organisation">2 NZEF</name> and the <name key="name-028893" type="organisation">DDMS</name> <name key="name-004368" type="organisation">2 NZEF</name> to Army Headquarters in New Zealand had reinforced the arguments put forward by the DGMS (Army and Air), Colonel Bowerbank, in <date when="1940-04">April 1940</date>, and renewed up till <date when="1940-09">September 1940</date>, on the need for a hospital ship. Although Colonel Bowerbank's appreciation of <date when="1940-04">April 1940</date> clearly set out the need for a hospital ship, any positive action was deferred until it was known what campaigning <name key="name-004368" type="organisation">2 NZEF</name> was likely to undertake. As it happened, New Zealand did have its own hospital ship in time to evacuate to New Zealand the casualties from <name key="name-003325" type="place">Crete</name>, but this position was reached only by expeditious work in the conversion of the ship and the fortunate procurement of equipment, some of which was not available in New Zealand. Had the Division been engaged in the Libyan campaign of <date when="1940">1940</date> and suffered casualties, the need for a hospital ship would have been severely felt. (The British hospital ship <hi rend="i">Somersetshire</hi> had transported invalids to New Zealand from the <name key="name-005853" type="place">Middle East</name> in <date when="1941-03">March 1941</date>, following on two small drafts of 93 and 50 taken by hospital ship as far as <name key="name-005952" type="place">India</name> and <name key="name-008963" type="place">Australia</name> respectively.)</p>
          <p rend="indent">The <hi rend="i"><name key="name-120091" type="place">Maunganui</name></hi> was a ship of 7527 tons and, though thirty years old, was larger than both the <hi rend="i">Maheno</hi> and <hi rend="i">Marama</hi> which were the New Zealand hospital ships of the First World War. She was fitted
<pb n="224" xml:id="n224"/>
with 379 cots, a number which was later reduced to 365 – 22 fracture cots, 84 single tier cots, and 139 two-tier cots. Some of the cots were of the swinging type.</p>
          <p rend="indent">The theatre block was exceptionally well appointed and comprised the main theatre, plaster room, and rooms for X-ray, sterilising, massage, laboratory, dispensary, and diathermy, with a dental surgery nearby. All essential lighting was duplicated on emergency circuits and the whole theatre block was ideally situated forward under the bridge. The electric lifts were also connected to the emergency circuit. An adequate hot and cold water-supply to wards was fed from a huge tank specially installed to hold between 700 and 800 tons of water. There were refrigerators in every ward. Altogether, the ship was impressively equipped. Some of the special equipment had not been available in New Zealand and was secured urgently from <name key="name-008197" type="place">America</name> by Brigadier Bowerbank by special authority of the Prime Minister in order to expedite the conversion of the ship to medical needs. At <name key="name-004572" type="place">Port Tewfik</name><!-- Tewfik, Port --> HS <hi rend="i"><name key="name-120091" type="place">Maunganui</name></hi> was described by the commander of a British hospital ship as the best-appointed hospital ship he had seen during the war, and Colonel MacCormick reported that it was the unanimous opinion of all officers from the GOC down that New Zealand had every reason to be proud of its hospital ship. The ship was staffed by 104 medical officers, nursing sisters, and orderlies under the command of Colonel <name key="name-028671" type="person">Murray</name>,<note xml:id="ftn1-224" n="1"><p><name key="name-028671" type="person">Col D. N. W. Murray</name>, CMG, DSO, m.i.d.; born <name key="name-002817" type="place">Auckland</name>, <date when="1876-08-28">28 Aug 1876</date>; medical practitioner; South African War <date when="1900">1900</date>, Corporal, RAMC; <name key="name-004367" type="organisation">1 NZEF</name> 1914–19, <name key="name-002106" type="place">Egypt</name>, <name key="name-026177" type="place">Gallipoli</name>, <name key="name-008009" type="place">France</name>, <name key="name-008556" type="place">Germany</name>; CO Mounted Fd Amb; CO 2 Fd Amb; President Travelling Medical Board, <name key="name-000594" type="organisation">Anzac Corps</name>, <name key="name-008009" type="place">France</name>; ADMS NZ Div, <name key="name-008556" type="place">Germany</name>; Commandant, Second Army Medical School, <name key="name-008009" type="place">France</name>; CO Military Hospital, <name key="name-002817" type="place">Auckland</name>, <date when="1919">1919</date>; OC Troops HS <hi rend="i"><name key="name-120091" type="place">Maunganui</name></hi> Apr 1941–Feb 1942; died <name key="name-002817" type="place">Auckland</name>, <date when="1945-09-04">4 Sep 1945</date>.</p></note> with Miss Lewis<note xml:id="ftn2-224" n="2"><p>Matron Miss E. M. Lewis, RRC, m.i.d.; (now Mrs Rudd); born <name key="name-004019" type="place">England</name>, <date when="1882-02-14">14 Feb 1882</date>; Matron, Blenheim Hospital; served First World War Dec 1915–Jan 1920 (<name key="name-002106" type="place">Egypt</name> and <name key="name-004019" type="place">England</name>); Trentham Hosp 1920–21; Matron HS <hi rend="i"><name key="name-120091" type="place">Maunganui</name></hi> Apr 1941–Feb 1942, Aug 1942–Nov 1944; <name key="name-026686" type="place">Trentham</name>, 1944–45.</p></note> as Matron.</p>
          <p rend="indent">The ship was held at <name key="name-004572" type="place">Port Tewfik</name><!-- Tewfik, Port --> until 10 June in order to take a number of the wounded from the campaigns of <name key="name-002294" type="place">Greece</name> and <name key="name-003325" type="place">Crete</name>. Hospitals were instructed to board for return to New Zealand any patients likely to occupy hospital beds for longer than three months. On 10 June 338 New Zealand invalids were embarked, as well as 40 Australians. The Australian authorities had taken fifty New Zealand invalids on HS <hi rend="i">Manunda</hi> in <date when="1940-11">November 1940</date> and had agreed that some <name key="name-004368" type="organisation">2 NZEF</name> invalids would be taken on each voyage of HS <hi rend="i">Wanganella</hi>, so it was a pleasure to be able to reciprocate on HS <hi rend="i"><name key="name-120091" type="place">Maunganui</name></hi>. The co-operation of the Australian and New Zealand authorities in sharing hospital ship facilities was a feature of the medical services throughout the war. HS <hi rend="i"><name key="name-120091" type="place">Maunganui</name></hi> evacuated invalids from the <name key="name-005853" type="place">Middle East</name> regularly throughout the war and was
<pb n="225" xml:id="n225"/>
assisted by the <name key="name-024930" type="place">Netherlands</name> hospital ship <hi rend="i">Oranje</hi> as well as the <hi rend="i">Wanganella</hi>.</p>
        </div>
        <div type="section" n="18" xml:id="c6-18">
          <head>
            <hi rend="i">Netherlands Hospital Ship Oranje</hi>
          </head>
          <p rend="indent">The Netherlands hospital ship <hi rend="i">Oranje</hi> arrived at <name key="name-004572" type="place">Port Tewfik</name><!-- Tewfik, Port --> on <date when="1941-08-06">6 August 1941</date> and on the next two days embarked 641 patients for <name key="name-008963" type="place">Australia</name> and New Zealand. Early in <date when="1941">1941</date> the Netherlands Government offered <name key="name-008963" type="place">Australia</name> and New Zealand the MV <hi rend="i">Oranje</hi> for use as a hospital ship to bring back sick and wounded from their forces in the <name key="name-005853" type="place">Middle East</name>. This generous offer was gladly accepted, and the ship was partially converted to her new purpose in <name key="name-035786" type="place">Batavia</name> and then sailed to <name key="name-008850" type="place">Sydney</name> to be completely converted and equipped as a hospital ship. The <hi rend="i">Oranje</hi> was a luxury liner of 20,000 tons completed only in <date when="1939">1939</date> and had made her maiden voyage to the Dutch East Indies just after the outbreak of war. She was a fast ship able to average 26 knots and had a water plant able to produce 300 tons of fresh water daily. As a hospital ship she was probably the world's largest and fastest.</p>
          <p rend="indent">The Netherlands Government was responsible for the cost of the conversion of the <hi rend="i">Oranje</hi> and for her upkeep, including surgical equipment and medical stores. The ship's staff comprised 327 officers and crew of the <name key="name-024930" type="place">Netherlands</name> mercantile marine, and the medical staff consisted of 123 medical officers, sisters, and orderlies of the <name key="name-024930" type="place">Netherlands</name> military medical service, and 18 Australian and 16 New Zealand medical personnel. (After her second voyage the Dutch medical staff was reduced when some members were posted to serve in the East Indies after <name key="name-002006" type="place">Japan</name>'s entry into the war, and the number of New Zealanders on the staff increased. In <date when="1943">1943</date>, when the AIF was withdrawn from the <name key="name-005853" type="place">Middle East</name>, the Australian staff was replaced by a British staff and the number or New Zealanders again increased to reach 76. In <date when="1944">1944</date> the ship's bed accommodation was expanded to take 870 patients and in 1944 and 1945 the <hi rend="i">Oranje</hi>, as a member of the Allied shipping pool, made most of her voyages between the <name key="name-005853" type="place">Middle East</name> and <name key="name-001383" type="place">Italy</name> and the <name key="name-029547" type="place">United Kingdom</name> with British invalids, but made another voyage to New Zealand at the end of the war. The service of the <hi rend="i">Oranje</hi> and the assistance of the Australian ship <hi rend="i">Wanganella</hi> enabled HS <hi rend="i"><name key="name-120091" type="place">Maunganui</name></hi> to cope with the evacuation of sick and wounded from the <name key="name-005853" type="place">Middle East</name> without another New Zealand hospital ship being required.)</p>
        </div>
        <div type="section" n="19" xml:id="c6-19">
          <head>
            <hi rend="i">Divisional Units in Canal Zone</hi>
          </head>
          <p rend="indent">Divisional combatant units went to the <name key="name-001365" type="place">Suez Canal</name> zone for training after they had been rested and reorganised. Sixth Infantry Brigade Group occupied an area near <name key="name-003897" type="place">Ismailia</name> but no separate
<pb n="226" xml:id="n226"/>
medical unit accompanied it. Towards the end of July 5 Infantry Brigade Group moved to Kabrit Camp, and 5 Field Ambulance accompanied it on 26 and 28 July to participate in training and to provide medical services.</p>
          <p rend="indent">Kabrit Camp was situated 20 miles north of <name key="name-006674" type="place">Suez</name> on a promontory between the Great and Little Bitter lakes and was adjacent to <name key="name-001940" type="place">Kabrit</name> aerodrome and combined operations school. There were good bathing facilities for troops but no fresh-water showers were available. The camp water supply was pumped from the <name key="name-026652" type="place">Sweetwater Canal</name> and was chlorinated before it passed into the water tower in the centre of the camp area.</p>
          <p rend="indent">Typical desert conditions existed in the camp area, which was subjected to frequent dust-storms. Drainage was most unsatisfactory. There was very little depth of surface sand and beneath it was a deep layer of impervious strata which precluded the deep soakage of ordinary drainage. The existing shallow soakpits were filled to overflowing within a few days of the occupation of the camp. It became obvious that the only effective system would have been the construction of covered drains leading down to the <name key="name-120083" type="place">Bitter Lake</name>, but the Division moved on before this could be done. The latrines were of deep trench pattern and functioned satisfactorily.</p>
          <p rend="indent">Fifth Field Ambulance established a camp reception station and arranged for the evacuation of patients to 19 British General Hospital, <name key="name-015203" type="place">Geneifa</name>. This hospital also supplied issues of expendable medical stores and undertook laboratory examinations. Another British hospital in the area, 13 General Hospital, agreed to provide ambulance transport for evacuation of certain cases to 1 Camp Hospital, <name key="name-004262" type="place">Maadi</name>. The only sickness of moment was an outbreak of diarrhoea in 21 Battalion stationed at <name key="name-015203" type="place">Geneifa</name>.</p>
          <p rend="indent">In view of possible amphibious operations in the future, swimming instruction was given to members of 5 Field Ambulance, especially as it was found that 30 per cent of the men were unable to swim. Training in combined operations with 5 Brigade was also undertaken, this involving crossing the canal in landing craft in assault exercises, landing, and establishing medical aid posts at a bridgehead. Amphibious operations, however, were not destined to be included in the roles of medical units in active warfare.</p>
          <p rend="indent">Fifth Field Ambulance returned with 5 Brigade to <name key="name-011166" type="place">Garawi Camp</name> on 17 August and its bivouac area at <name key="name-001940" type="place">Kabrit</name> was taken over by 4 Field Ambulance, attached to <name key="name-024335" type="organisation">4 Infantry Brigade</name> Group. The camp reception station at <name key="name-000935" type="place">Helwan</name> was then staffed by 6 Field Ambulance. Fourth Field Ambulance followed the same programme as 5 Field Ambulance at <name key="name-001940" type="place">Kabrit</name>, while 6 Field Ambulance participated in exercises with 6 Infantry Brigade Group in the <name key="name-014248" type="place">El Saff</name> area out in the desert from <name key="name-000935" type="place">Helwan</name>. The 4th Field Hygiene Section assisted with
<pb n="227" xml:id="n227"/>
the difficult problem of sanitation at <name key="name-001940" type="place">Kabrit</name> as well as carrying on with duties and training at <name key="name-000935" type="place">Helwan</name>.</p>
          <p rend="indent">In September the Division moved back to the <name key="name-024430" type="place">Western Desert</name> and again camped at <name key="name-002877" type="place">Baggush</name>. The move was the prelude to a campaign in <name key="name-001027" type="place">Libya</name>.</p>
        </div>
        <div type="section" n="20" xml:id="c6-20">
          <head>
            <hi rend="i">MEDICAL WORK AT BASE HOSPITALS</hi>
          </head>
          <div n="1" xml:id="c6-20-1">
            <head>
              <hi rend="i">2 NZ General Hospital</hi>
            </head>
            <p rend="indent">During the summer of <date when="1941">1941</date> the greater part of the work of 2 NZ General Hospital at <name key="name-000935" type="place">Helwan</name> consisted in the normal care of base troops, including those of other forces in the surrounding area and Italian prisoners of war from a camp nearby. Battle casualties were not admitted in large numbers.</p>
            <p rend="indent">Infectious diseases endemic in <name key="name-002106" type="place">Egypt</name> accounted for the majority of the medical cases, and bacillary dysentery generally supplied the largest quota of cases every month, being more prevalent in the early and late summer. The majority of the cases were Flexner in type, but some seriously ill cases with some deaths followed Shiga infection. Other cases were due to infection by Sonne, Schmitz, Para Shiga, and Boyd I bacilli. It was not till <date when="1941-05">May 1941</date> that sulphaguanidine began to be used in small quantities, but by August it was realised how successful it was in the treatment of the more severe type of case, and thereafter sulphaguanidine became the routine treatment in all cases of bacillary dysentery, and was even used by RMOs in camps for the lighter cases. There were only a very few cases of amoebic dysentery admitted, including one with abscess of the liver.</p>
            <p rend="indent">Slightly fewer than three hundred malaria cases were admitted during the summer months from both the base camps of <name key="name-004262" type="place">Maadi</name> and <name key="name-000935" type="place">Helwan</name>. In May and June 15 cases were admitted following infection in <name key="name-003325" type="place">Crete</name>. All the cases except two were of the benign tertian type and responded well to treatment.</p>
            <p rend="indent">Infective hepatitis had been common in mild form in <date when="1940-11">November 1940</date>, but there were few further cases till <date when="1941-06">June 1941</date> and a minor peak of 77 cases in July. Convalescence was noted to be slow, the average case requiring five to six weeks before return to his unit. It was noteworthy that no cases occurred in <name key="name-002294" type="place">Greece</name> and <name key="name-003325" type="place">Crete</name> and that most cases arose in 4 Brigade, which had suffered from the disease in the previous September.</p>
            <p rend="indent">Skin conditions accounted for a high proportion of minor sickness in unit lines and also for many admissions to hospitals, where their chronicity kept many beds occupied. Seborrhoeic conditions were especially troublesome and fungus infection was common at
<pb n="228" xml:id="n228"/>
times. Desert sores were noted to be common in September, when bacteriological examination showed the common presence of haemolytic streptococci as well as staphylococcus aureus and diphtheroids. In hospital these cases cleared well with local sulphonamide, rest, and vitamins.</p>
            <p rend="indent">Dyspepsia was a common complaint, the majority of the cases being functional in origin, though there was a small proportion of ulcer cases, most of them with a pre-war history. Unfortunately, the careful investigation of these cases in hospital tended to fix the neurosis and few of the hospital cases were subsequently of any use in the Army.</p>
            <p rend="indent">Psychoneurosis became a major problem and appeared in many forms. The large majority of the cases arose at the base in men either with a previous history of nervous disorder or with an unstable personality which could not stand the strain of disruption from their civilian surroundings. Anxiety states were common but hysterical states were not often seen. Exaggeration of minor disabilities such as flat feet was noted. Colonel Spencer drew attention to the danger of implanting ideas of disability in the soldier.</p>
            <p rend="indent">In May attention was drawn to the prevalence of functional disorders of the eye, with signs of diminution of visual acuity, contraction of visual fields, blepharospasm, photophobia, and weakness of accommodation. In May 28 cases were seen at <name key="name-000935" type="place">Helwan</name> hospital. Half of them were severe, all with hysterical amblyopia, only four of whom had been in <name key="name-002294" type="place">Greece</name>. Of the other half six had some degree of hysterical amblyopia, and one had been in <name key="name-002294" type="place">Greece</name> and two Australians at <name key="name-001400" type="place">Tobruk</name>. Major <name key="name-028580" type="person">Coverdale</name><note xml:id="ftn1-228" n="1"><p><name key="name-028580" type="person">Lt-Col H. V. Coverdale</name>; <name key="name-002817" type="place">Auckland</name>; born <name key="name-007584" type="place">Christchurch</name>, <date when="1898-10-19">19 Oct 1898</date>; ophthalmic surgeon; 2 Lt RFC <date when="1918">1918</date>; <name key="name-011449" type="organisation">3 Gen Hosp</name> Jan–Mar 1941; <name key="name-011448" type="organisation">2 Gen Hosp</name> Mar–Sep 1941; <name key="name-011447" type="organisation">1 Gen Hosp</name> Sep 1941–Nov 1944.</p></note> considered that these men were hysteria prone and that severe cases were seldom really cured, and their disposal was made difficult by the wide diversity of views on this matter held by the senior medical officers. He considered these men should not be exposed to combatant service since, at the best, they would be useless and a source of weakness in their units.</p>
          </div>
          <div n="2" xml:id="c6-20-2">
            <head>
              <hi rend="i">3 NZ General Hospital</hi>
            </head>
            <p rend="indent">At <name key="name-009430" type="place">Helmieh</name> 3 General Hospital's medical admissions were similar in type to those of 2 General Hospital. The staff of the hospital was afflicted with sandfly fever in June, and the epidemic later spread to the base camps, from which further patients were admitted until September. The early diagnosis of the cases presented some difficulty, and convalescence was apt to be slow, with many patients suffering from lassitude and depression. Preventive measures were vigorously carried out at <name key="name-009430" type="place">Helmieh</name>. It was noted that there was a
<pb n="229" xml:id="n229"/>
notable absence of anxiety neurosis among battle casualties from <name key="name-003325" type="place">Crete</name>. In September the hospital was authorised to expand to 900 beds.</p>
          </div>
          <div n="3" xml:id="c6-20-3">
            <head>
              <hi rend="i">1 NZ Convalescent Depot</hi>
            </head>
            <p rend="indent">This unit proved very valuable for the convalescence of senior officers after <name key="name-002294" type="place">Greece</name> and <name key="name-003325" type="place">Crete</name>, and also for servicing the divisional units in the Canal Zone at <name key="name-001940" type="place">Kabrit</name>. It reached a peak of 815 patients after the <name key="name-003325" type="place">Crete</name> campaign. All convalescents were made dentally fit before discharge.</p>
          </div>
          <div n="4" xml:id="c6-20-4">
            <head>
              <hi rend="i">Maadi Camp Hospital</hi>
            </head>
            <p rend="indent">The camp hospital dealt with the minor infectious diseases and minor cases in the camps not likely to be in hospital for many days, as well as the cases of venereal disease. It eased the load of the general hospitals considerably as well as simplifying the isolation of infectious cases. Measles, mumps, influenza, and sandfly fever patients were admitted, and in May a special emergency hospital and convalescent area was set up to deal with the influenza cases among the 5th Reinforcements.</p>
            <p rend="indent">The number of venereal disease patients admitted to Maadi Camp Hospital<!-- Camp Hospital, Maadi --> gave rise to some concern, especially when in June and July the total number of cases in <name key="name-004368" type="organisation">2 NZEF</name> rose to 190, or seven cases for every thousand troops each month. The incidence had been almost as high the previous year when all the troops were in the <name key="name-003601" type="place">Cairo</name> area, but the attention drawn to the matter by Captain Platts, and the action taken by the <name key="name-004368" type="organisation">2 NZEF</name> authorities, resulted in this high incidence not being reached again until after the conclusion of hostilities in <name key="name-001383" type="place">Italy</name>. A count was made of the New Zealand soldiers using the PA centre in the legalised brothel area in <name key="name-003601" type="place">Cairo</name> for a week in July and was found to be 2164. This did not include those who used other places and means of prophylaxis, and those who took no precautions at all. It was pointed out that it was necessary to correct the unwitting but dangerous sentiments conveyed by non-medical lecturers which tended to recommend the use of legalised brothels. Their existence presupposed freedom from infection, but most of the prostitutes had venereal disease. Captain Platts, after witnessing the regular examination of prostitutes, considered that every prostitute probably suffered from chronic gonorrhoea, and he found that every third prostitute had a syphilis treatment card.</p>
            <p rend="indent">The problem was one common to all forces in <name key="name-002106" type="place">Egypt</name>, and the
<pb n="230" xml:id="n230"/>
closing of the brothel area to troops the following year resulted in a reduction in the incidence of venereal disease.</p>
            <p rend="indent">In July and August 1941 a follow-up system was organised to ensure that all patients completed their surveillance at field ambulances after their discharge from Maadi Camp Hospital<!-- Camp Hospital, Maadi -->, especially as regards syphilis patients who now numbered 51, and that case records were sent to the DGMS Army Headquarters for any troops who returned to New Zealand while still under treatment. One medical officer in each field ambulance was given special training in the treatment of venereal disease so as to enable the follow-up to be satisfactorily carried out. By <date when="1941-10">October 1941</date> the incidence in venereal disease in <name key="name-004368" type="organisation">2 NZEF</name> had dropped below three per thousand troops per month, and did not rise above this figure during the rest of the time <name key="name-004368" type="organisation">2 NZEF</name> was in <name key="name-002106" type="place">Egypt</name>.</p>
            <p rend="indent">A blood bank was formed at the Camp Hospital in <date when="1941-07">July 1941</date>, and thereafter blood was drawn off by arrangement with Lieutenant-Colonel S. R. Buttle, in charge of the blood transfusion service at 15 General Hospital, to supply the needs of the forces in the <name key="name-024430" type="place">Western Desert</name>.</p>
          </div>
          <div n="5" xml:id="c6-20-5">
            <head>
              <hi rend="i">Infectious Disease in Reinforcements</hi>
            </head>
            <p rend="indent">Of the three reinforcements arriving during this period, the 5th and 7th brought many cases of infectious disease with attendant problems for the medical services in <name key="name-002106" type="place">Egypt</name>. The influenza epidemic of the 5th Reinforcements, and the measures taken to prevent its spread, has been described. Some influenza was also present in the 7th Reinforcements, and mumps and measles cases were brought over by both the 5th and 7th Reinforcements. Although a very few cases of mumps were reported for three months following the arrival of the 5th Reinforcements, there was no record of any spread to the troops in <name key="name-002106" type="place">Egypt</name> of any of the infectious diseases brought over in the transports. This is rather remarkable and is associated with the experience that the ordinary infectious diseases prevalent in New Zealand developed to little or no extent in our troops in the <name key="name-005853" type="place">Middle East</name>.</p>
            <p rend="indent">The following table shows the number of sick patients admitted to hospital for the period June–December 1941:</p>
            <p>
              <table rows="8" cols="7">
                <row>
                  <cell rend="center">
                    <hi rend="i">Month</hi>
                  </cell>
                  <cell rend="center">
                    <hi rend="i">Dysentery</hi>
                  </cell>
                  <cell rend="center">
                    <hi rend="i">Sandfly Fever</hi>
                  </cell>
                  <cell rend="center">
                    <hi rend="i">VD</hi>
                  </cell>
                  <cell rend="center">
                    <hi rend="i">Pneumonia</hi>
                  </cell>
                  <cell rend="center">
                    <hi rend="i">Malaria</hi>
                  </cell>
                  <cell rend="center">
                    <hi rend="i">Infective Hepatitis</hi>
                  </cell>
                </row>
                <row>
                  <cell>Jun</cell>
                  <cell rend="right">124</cell>
                  <cell rend="right">?</cell>
                  <cell rend="right">190</cell>
                  <cell rend="right">14</cell>
                  <cell rend="right">10</cell>
                  <cell rend="right">45</cell>
                </row>
                <row>
                  <cell>Jul</cell>
                  <cell rend="right">103</cell>
                  <cell rend="right">134</cell>
                  <cell rend="right">192</cell>
                  <cell rend="right">49</cell>
                  <cell rend="right">39</cell>
                  <cell rend="right">77</cell>
                </row>
                <row>
                  <cell>Aug</cell>
                  <cell rend="right">157</cell>
                  <cell rend="right">205</cell>
                  <cell rend="right">144</cell>
                  <cell rend="right">49</cell>
                  <cell rend="right">66</cell>
                  <cell rend="right">48</cell>
                </row>
                <row>
                  <cell>Sep</cell>
                  <cell rend="right">99</cell>
                  <cell rend="right">205</cell>
                  <cell rend="right">119</cell>
                  <cell rend="right">14</cell>
                  <cell rend="right">117</cell>
                  <cell rend="right">27</cell>
                </row>
                <row>
                  <cell>Oct</cell>
                  <cell rend="right">102</cell>
                  <cell rend="right">73</cell>
                  <cell rend="right">95</cell>
                  <cell rend="right">16</cell>
                  <cell rend="right">71</cell>
                  <cell rend="right">41</cell>
                </row>
                <row>
                  <cell>Nov</cell>
                  <cell rend="right">255</cell>
                  <cell rend="right">30</cell>
                  <cell rend="right">59</cell>
                  <cell rend="right">26</cell>
                  <cell rend="right">8</cell>
                  <cell rend="right">41</cell>
                </row>
                <row>
                  <cell>Dec</cell>
                  <cell rend="right">75</cell>
                  <cell rend="right">3</cell>
                  <cell rend="right">60</cell>
                  <cell rend="right">26</cell>
                  <cell rend="right">8</cell>
                  <cell rend="right">23</cell>
                </row>
              </table>
            </p>
            <pb n="231" xml:id="n231"/>
            <p>
              <table rows="8" cols="8">
                <row>
                  <cell>
                    <hi rend="i">Month</hi>
                  </cell>
                  <cell rend="center">
                    <hi rend="i">Diphtheria</hi>
                  </cell>
                  <cell>
                    <hi rend="i">Mumps</hi>
                  </cell>
                  <cell>
                    <hi rend="i">Poliomyelitis</hi>
                  </cell>
                  <cell>
                    <hi rend="i">Strength of Force</hi>
                  </cell>
                  <cell>
                    <hi rend="i">Total admiss.</hi>
                  </cell>
                  <cell>
                    <hi rend="i">Daily Rate per 1000 Officers</hi>
                  </cell>
                  <cell>
                    <hi rend="i">ORs</hi>
                  </cell>
                </row>
                <row>
                  <cell>Jun</cell>
                  <cell/>
                  <cell rend="right">22</cell>
                  <cell rend="right">2</cell>
                  <cell rend="right">27,203</cell>
                  <cell rend="right">2190</cell>
                  <cell/>
                  <cell rend="right">2.7</cell>
                </row>
                <row>
                  <cell>Jul</cell>
                  <cell/>
                  <cell rend="right">27</cell>
                  <cell rend="right">2</cell>
                  <cell rend="right">30,981</cell>
                  <cell rend="right">1384</cell>
                  <cell/>
                  <cell rend="right">1.4</cell>
                </row>
                <row>
                  <cell>Aug</cell>
                  <cell rend="right">3</cell>
                  <cell rend="right">18</cell>
                  <cell/>
                  <cell rend="right">30,840</cell>
                  <cell rend="right">
                    <date when="1900">1900</date>
                  </cell>
                  <cell rend="right">2.4</cell>
                  <cell rend="right">2.03</cell>
                </row>
                <row>
                  <cell>Sep</cell>
                  <cell rend="right">1</cell>
                  <cell rend="right">2</cell>
                  <cell/>
                  <cell rend="right">30,566</cell>
                  <cell/>
                  <cell rend="right">1.9</cell>
                  <cell rend="right">1.6</cell>
                </row>
                <row>
                  <cell>Oct</cell>
                  <cell rend="right">6</cell>
                  <cell rend="right">35</cell>
                  <cell/>
                  <cell rend="right">36,220</cell>
                  <cell/>
                  <cell rend="right">2.0</cell>
                  <cell rend="right">2.2</cell>
                </row>
                <row>
                  <cell>Nov</cell>
                  <cell rend="right">2</cell>
                  <cell rend="right">104</cell>
                  <cell/>
                  <cell rend="right">35,102</cell>
                  <cell rend="right">?</cell>
                  <cell/>
                  <cell/>
                </row>
                <row>
                  <cell>Dec</cell>
                  <cell rend="right">15</cell>
                  <cell rend="right">10</cell>
                  <cell/>
                  <cell rend="right">32,871</cell>
                  <cell rend="right">1540</cell>
                  <cell rend="right">1.4</cell>
                  <cell rend="right">1.4</cell>
                </row>
              </table>
            </p>
          </div>
        </div>
        <div type="section" n="21" xml:id="c6-21">
          <head>
            <hi rend="i">SURGICAL WORK AT BASE HOSPITALS</hi>
          </head>
          <div n="1" xml:id="c6-21-1">
            <head>
              <hi rend="i">2 NZ General Hospital</hi>
            </head>
            <p rend="indent">The surgical work performed in the hospitals during the period consisted largely of the treatment of ordinary conditions as met with in a civilian population of healthy young males, such as the repair of herniae, operations for appendicitis, the treatment of piles and varicose veins. More serious conditions such as malignant disease were seen only in small numbers. There were three cases of seminoma testes. Some cases of tubercular epididymitis showed acute symptoms with early abscess formation. Genito-urinary cases were common, and it was fortunate that Lieutenant-Colonel <name key="name-016387" type="person">Ardagh</name><note xml:id="ftn1-231" n="1"><p><name key="name-016387" type="person">Brig P. A. Ardagh</name>, CBE, DSO, MC, m.i.d.; born Ngapara, <date when="1891-08-30">30 Aug 1891</date>; surgeon; <name key="name-004367" type="organisation">1 NZEF</name> 1917–19, Capt 3 Fd Amb; wounded three times; in charge surgical division <name key="name-011448" type="organisation">2 Gen Hosp</name>, Aug 1940–Oct 1941; CO 1 CCS Nov 1941–May 1942; ADMS 2 NZ Div May 1942–Feb 1943; <name key="name-028893" type="organisation">DDMS</name> 30 Corps Feb 1943–Apr 1944; died (<name key="name-004019" type="place">England</name>) <date when="1944-04-06">6 Apr 1944</date>.</p></note> had taken overseas his own special instruments, as these were not otherwise available.</p>
            <p rend="indent">After the Libyan campaign of December 1940 and January 1941 there was a lull in admissions, and in <date when="1941-05">May 1941</date> the hospital had reached a low bed state of 256 in preparation for casualties from <name key="name-002294" type="place">Greece</name> and <name key="name-003325" type="place">Crete</name>. During the month two convoys of Australians were admitted from <name key="name-001400" type="place">Tobruk</name>, and two convoys of 131 and 375 from <name key="name-002294" type="place">Greece</name> and <name key="name-003325" type="place">Crete</name> raised the bed state to 967 on 1 June. In spite of these numbers only 58 battle casualties were operated on during May. Most of the casualties admitted during June were light cases and nearly all the heavy cases were evacuated to New Zealand on HS <hi rend="i"><name key="name-120091" type="place">Maunganui</name></hi> on 10 June, so that only 32 operations on battle casualties were performed in July. The battle casualties did not call for the expected volume of work following the campaigns in <name key="name-002294" type="place">Greece</name> and <name key="name-003325" type="place">Crete</name>, as comparatively few of the serious cases were brought back. Altogether, 371 of the wounded (three-fifths of the total) became prisoners of war in <name key="name-002294" type="place">Greece</name>, and 1039 (two-thirds of the total) became prisoners of war in <name key="name-003325" type="place">Crete</name>.</p>
            <p rend="indent">A report by Lieutenant-Colonel Ardagh on the 617 battle casualties admitted to 2 NZ General Hospital from <name key="name-001400" type="place">Tobruk</name>, <name key="name-002294" type="place">Greece</name>, and <name key="name-003325" type="place">Crete</name> in April, May, and <date when="1941-06">June 1941</date> shows that there were 849
<pb n="232" xml:id="n232"/>
main wounds. Of these 592 were of the soft tissues, 347 being of the limbs. There were 167 fractures, 67 being of the hand and forearm, and only five of the femur. There were only seven major amputations, none of the lower limb. There were no penetrating wounds of the head and only two penetrating abdominal wounds. There were 12 penetrating wounds of the chest, one of which developed an empyema. There were 18 injuries to the peripheral nerves, only one being in the lower limb. One death occurred in the hospital from secondary haemorrhage in the large veins of the neck. One case of tetanus from <name key="name-003325" type="place">Crete</name> recovered. A high percentage of the ruptured eardrum cases developed suppurative otitis media. There were only three cases of fracture of the jaw, all with excellent results following inter-maxillary wiring and later dental splinting.</p>
            <p rend="indent">The review shows quite clearly the very small number of serious casualties admitted, mainly due to the impossibility of evacuating the heavy cases from <name key="name-002294" type="place">Greece</name> and particularly from <name key="name-003325" type="place">Crete</name>, and also because such cases reaching <name key="name-002106" type="place">Egypt</name> were retained in British hospitals, particularly in <name key="name-000576" type="place">Alexandria</name>.</p>
            <p rend="indent">Lieutenant-Colonel Ardagh said:</p>
            <p rend="indent">We have again watched with great interest the effect of the early application of sulphanilamide paste to battle casualty wounds. The vast majority of the group had no sulphanilamide paste and it is the unanimous opinion of our surgical staff that so far as our close and controlled observations indicate, there is no reason to believe that sulphanilamide paste offers any advantage whatever: on that point we are quite convinced. Although we do not feel justified in condemning its use, we are firmly of the opinion that it causes unhealthy and sluggish granulating wounds without in any way preventing suppuration and infection. These remarks apply only to the use of sulphanilamide as a local application. In cases where sulphanilamide chemotherapy plus sulphanilamide local has been employed, we believe the beneficial results can be ascribed to chemotherapy alone.</p>
            <p rend="indent">During the period from July to September our hospitals admitted only 77 battle casualties, many of them being re-admitted from the <name key="name-023066" type="organisation">Convalescent Depot</name> and the majority light cases. There was only one fracture of the femur and three amputations, one of the thigh, and two of the upper arm. Four operations were successfully carried out for aneurysm. The total number of battle casualties of all forces admitted to the <name key="name-000935" type="place">Helwan</name> hospital from October 1940 to August 1941 was 1268, and there were six deaths.</p>
            <p rend="indent">Due to climatic conditions there was more than the ordinary percentage of ear, nose, and throat conditions. It was thought that swimming, especially in the fresh-water baths at <name key="name-004262" type="place">Maadi</name> and <name key="name-000935" type="place">Helwan</name>, was responsible for much of the infection. Otitis externa was very common, as was sinus infection. It had early been noted that old otitis media cases with perforation of the drum frequently flared up
<pb n="233" xml:id="n233"/>
in <name key="name-002106" type="place">Egypt</name> with fresh discharge, and advice was sent to the New Zealand authorities to exclude such cases from drafts for overseas service. In battle casualties ruptured eardrums from blast commonly occurred and it was soon learnt that active treatment, especially syringing, in the forward areas produced infection in the majority of cases, but with simple toilet, and the active treatment delayed until the arrival at base under the control of a specialist, the cases did well and little deafness resulted.</p>
            <p rend="indent">There was little acute eye trouble, but a great deal of work was concerned with the supply of glasses for defective eyesight and in the treatment of eye infections. Eye wounds were not very common.</p>
          </div>
          <div n="2" xml:id="c6-21-2">
            <head>
              <hi rend="i">Auxiliary Departments of Hospitals</hi>
            </head>
            <p rend="indent">At Helwan 2 General Hospital had an X-ray department and full investigations could be carried out, though difficulty arose with fluctuations in the local power supply. The bacteriological laboratory was kept busy and steadily increased the scope of the work undertaken. It proved to be a very essential service to assist with the treatment of tropical disease, especially of dysentery. From <date when="1941-04">April 1941</date> biochemical estimations were also carried out. It is interesting to note that only one positive diphtheria case was found during the year. A specialist anaesthetist was on the staff at <name key="name-000935" type="place">Helwan</name> and full use was made of intravenous and spinal anaesthetics, which proved very suitable in the hot climate. Pentothal was very much used. Physiotherapy was available with trained staff and full use was made of the massage department for orthopaedic and other cases. An ultratherm was presented to <name key="name-000935" type="place">Helwan</name> at that time by Watson Victor, Ltd. A dietitian was appointed to the hospital staff in <date when="1941-04">April 1941</date> and proved of great value in the preparation of special diets for such cases as diabetes and dysentery. There was at first some difficulty in arranging smooth working with the army cooks, but this was soon overcome.</p>
            <p rend="indent">A dental department which was started in <date when="1940-12">December 1940</date> was very fully employed. Extractions were frequently referred to the hospital from the camps, and conservative dentistry was carried out to render dentally fit as many of the patients as possible before discharge. A great deal of extra work was entailed in the replacement of artificial dentures lost in <name key="name-002294" type="place">Greece</name> and <name key="name-003325" type="place">Crete</name>. Fractured jaws were dealt with by inter-maxillary wiring for two weeks, followed by the application of a modification of the Hammond splint. The results drew high praise from Colonel W. A. Hailes, Consultant Surgeon to the AIF.</p>
            <p rend="indent">A splint-maker was posted to the staff in <date when="1941-04">April 1941</date>, and gradually a small department was set up and proved very useful in
<pb n="234" xml:id="n234"/>
the making and adjustment of splints, adjustments to boots, and in metal and leatherwork generally. Such a department is indispensable in a hospital with an overseas force. Provision for one was made by 1 General Hospital when the unit left New Zealand, but the lack of any provision in the army establishment prevented its development, though the very experienced mechanic was able to gain further experience in <name key="name-004019" type="place">England</name> in a special orthopaedic hospital under Brigadier Bristow, RAMC.</p>
            <p rend="indent">The out-patient service was very extensively developed at <name key="name-000935" type="place">Helwan</name> and covered all branches – surgery, medicine, orthopaedics, eye, ear, nose, throat, massage, and dental. The service was open to the RMOs at the NZEF camps as well as to other forces in the area. It was thought at first that too much use was made of the department by RMOs and that some patients relished the day's visit to the hospital, but undoubtedly it was of great value that cases of doubtful diagnosis or those needing specialist treatment should have had the opportunity of seeing specialists under conditions allowing of first-class treatment. RMOs were later encouraged to attend the clinics and undoubtedly benefited thereby.</p>
            <p rend="indent">The institution of an occupational therapy service was started in <date when="1940-12">December 1940</date> by Colonel Spencer, who was very enthusiastic in its development for psychoneurotic as well as physically disabled patients. He advocated occupational therapy for the treatment of psychological disorders such as anxiety neurosis, as a distraction for patients with mental disorders, for orthopaedic surgery to train individual muscle groups, and for patients confined to bed over long periods for the preservation of morale and provision of escape from tedium. Fortunately, an enthusiastic group of women resident around <name key="name-003601" type="place">Cairo</name>, under the leadership of <name key="name-028701" type="person">Mrs Washbourn</name><!-- Washbourn, Mrs -->, undertook the work, which was at first confined to the anxiety neurosis cases and proved very successful. Colonel Spencer considered that wholetime officers for this work were necessary both in the general hospitals and at the <name key="name-023066" type="organisation">Convalescent Depot</name>. The work developed considerably at <name key="name-000935" type="place">Helwan</name>, and later was instituted at the other hospitals and the <name key="name-023066" type="organisation">Convalescent Depot</name> as recommended by Colonel Spencer.</p>
            <p rend="indent">At <name key="name-009430" type="place">Helmieh</name>, where it had taken over the site of 1 General Hospital at the end of March, 3 General Hospital spent some months developing the hospital site and setting up its special departments. The laboratory and physiotherapy departments were opened in April, the operating block in May, the X-ray department in June, and the dental department in October. The hospital was disorganised by a widespread sandfly fever epidemic amongst the staff in June, the effects persisting into August and necessitating restriction of admissions. Some 400 battle casualties from <name key="name-003325" type="place">Crete</name>, mostly lighter cases, were admitted in May.</p>
          </div>
          <pb n="235" xml:id="n235"/>
          <div n="3" xml:id="c6-21-3">
            <head>
              <hi rend="i">Patients in British Hospitals</hi>
            </head>
            <p rend="indent">Considerable numbers of New Zealand patients were admitted to British hospitals at this and all periods while the Division was in <name key="name-025395" type="place">North Africa</name>. In September the daily average was 11 officers and 211 other ranks, while in October it was 7 officers and 293 other ranks. This necessitated periodical visits by our consultants to the British hospitals to facilitate the return of the more serious cases to our own hospitals, and with a view to the boarding of cases for return to New Zealand. The scattering of our patients caused some administrative difficulties, including the despatch of mail.</p>
          </div>
          <div n="4" xml:id="c6-21-4">
            <head>
              <hi rend="i">Activities of the Consultants</hi>
            </head>
            <p rend="indent">On their return from <name key="name-002294" type="place">Greece</name> the Consultant Surgeon and Consultant Physician visited the different medical units, and when their appointments were made full-time the scope of the work increased. Regular weekly visits were paid to the hospitals, convalescent depot, and camp units; regular visits were also paid to British hospitals where New Zealand patients were being treated; and contact was kept with the consultants of other forces. Visits to the British hospitals, besides ensuring the early transfer or boarding of patients requiring return to New Zealand by hospital ship, were also of value as a liaison and in the exchange of ideas, especially with regard to new developments of treatment or technique. The scope of work undertaken by our hospitals, particularly with regard to surgical operations, was kept under review, and consultation on doubtful cases arranged with the staffs concerned. For instance, secondary operations on nerve injuries in <name key="name-002106" type="place">Egypt</name>, which were banned by the AIF, required the prior authority of the consultant, and similar arrangements were made concerning goitre and some orthopaedic cases. In general, it was agreed that operations of no urgency on patients who would have to be evacuated to New Zealand in any case were better postponed until they reached New Zealand.</p>
            <p rend="indent">Extra equipment required or desired by medical units was listed and efforts made to procure supplies either through the army channels or from commercial firms in <name key="name-003601" type="place">Cairo</name>, though supplies from the latter source were very poor. Fortunately, the army equipment was quite sufficient except for some exceptional items.</p>
            <p rend="indent">Both consultants were busily occupied with boarding and the approval of boards, and in October, on their recommendation, the boarding form was altered.</p>
          </div>
          <div n="5" xml:id="c6-21-5">
            <head>
              <hi rend="i">Joint Council of Order of St. John and <name key="name-034936" type="organisation">Red Cross Society</name></hi>
            </head>
            <p rend="indent">The administration of the supplies and money sent over by the <name key="name-029350" type="organisation">Patriotic Fund Board</name> and the Joint Council of the <name key="name-027615" type="organisation">Order of St. John</name><!-- St. John, Order of -->
<pb n="236" xml:id="n236"/>
and <name key="name-027417" type="organisation">Red Cross</name> Society from New Zealand was in the hands of Colonel MacCormick till <date when="1941-05">May 1941</date>, when Colonel Waite<note xml:id="ftn1-236" n="1"><p>Col the Hon. F. Waite, CMG, DSO, OBE, VD, m.i.d.; MLC; farmer; born Dunedin, <date when="1885-08-20">20 Aug 1885</date>; NZ Engineers (Capt) 1914–17 (DSO); Commissioner, National Patriotic Fund, <name key="name-005853" type="place">Middle East</name>; died Balclutha, <date when="1952-08">Aug 1952</date>.</p></note> arrived to set up a separate department which functioned till the end of the war. The supplies were of the greatest value to the hospitals in supplementing the regular army medical stores. Linen for the operating theatres, special dressings, invalid food, bags with toilet necessities to replace those lost by casualties, and very many other items were all invaluable. Grants of money were also made to medical units to buy articles locally, and also at times to obtain equipment not procurable from army sources. Some furnishings for patients' and sisters' common rooms were bought in this way.</p>
            <p rend="indent">The sick and wounded fund of the Joint Council proved especially valuable in procuring extra equipment for the rest homes and other units not on ordinary army establishment.</p>
          </div>
          <div n="6" xml:id="c6-21-6">
            <head>
              <hi rend="i">Dental Services</hi>
            </head>
            <p rend="indent">The many dentures lost or broken on hard biscuits in <name key="name-002294" type="place">Greece</name> and <name key="name-003325" type="place">Crete</name> were all quickly replaced in <name key="name-002106" type="place">Egypt</name>. From May to July 18,000 troops were examined and half were found to require treatment. Over six thousand fillings and 1200 extractions were performed, while 1500 new dentures were supplied and a similar number repaired. By August the whole Division was dentally fit and all dentures replaced. The equipment lost in <name key="name-002294" type="place">Greece</name> was replaced from New Zealand and the Mobile Dental Unit was reconstituted by 1 August.</p>
          </div>
          <div n="7" xml:id="c6-21-7">
            <head>
              <hi rend="i">Re-formation of 1 General Hospital</hi>
            </head>
            <p rend="indent">Considerable reorganisation of hospital units took place in August. The arrival of the 6th Reinforcements allowed the re-formation of 1 General Hospital as an active hospital, and steps were taken to effect this. The male staff was gathered together from their relieving duties with other medical units and began training. Following the disruption of the hospital during the evacuation of <name key="name-002294" type="place">Greece</name>, and the loss of so many medical personnel in <name key="name-004368" type="organisation">2 NZEF</name>, the authorities in New Zealand suggested that the hospital should not be re-established. Brigadier MacCormick, however, with the strong support of DMS MEF, stood out strongly for the retention of the three hospitals, and fortunately for the future of the medical services of <name key="name-004368" type="organisation">2 NZEF</name> the hospital was retained. The staff of the hospital had been very usefully employed in the meantime reinforcing other medical units.</p>
            <pb n="237" xml:id="n237"/>
            <p rend="indent">On 10 August <name key="name-027677" type="person">Lieutenant-Colonel Stout</name> and Lieutenant-Colonel Boyd were appointed full-time consultants with the rank of colonel and were attached to <name key="name-028893" type="organisation">DDMS</name>, Headquarters <name key="name-004368" type="organisation">2 NZEF</name>. They had been acting part-time in these capacities from <date when="1941-01">January 1941</date> and remained as consultants until <date when="1945">1945</date>. Colonel <name key="name-027636" type="person">Pottinger</name><note xml:id="ftn1-237" n="1"><p><name key="name-027636" type="person">Col D. Pottinger</name>, MC; <name key="name-036071" type="place">Invercargill</name>; born Orkney Is., <date when="1890-09-20">20 Sep 1890</date>; physician; in charge medical division <name key="name-011448" type="organisation">2 Gen Hosp</name> Apr 1940–Aug 1941; CO <name key="name-011447" type="organisation">1 Gen Hosp</name> Aug 1941–Aug 1944.</p></note> became the new officer commanding 1 General Hospital on 10 August, while Majors H. K. Christie and E. G. Sayers were placed in charge of the surgical and medical divisions.</p>
            <p rend="indent">Other appointments made at this time were Lieutenant-Colonel Cottrell as officer-in-charge medical division 2 General Hospital, Major <name key="name-027045" type="person">Russell</name><note xml:id="ftn2-237" n="2"><p><name key="name-027045" type="person">Lt-Col J. Russell</name>, m.i.d.; born <name key="name-120045" type="place">Scotland</name>, <date when="1896-10-28">28 Oct 1896</date>; Deputy Director-General, Mental Hospitals, <name key="name-008844" type="place">Wellington</name>; Captain 1st Gordon Highlanders, First World War; Registrar Gen Hosp Oct 1940–Aug 1941; DADMS <name key="name-004368" type="organisation">2 NZEF</name> Aug 1941–Nov 1945.</p></note> as DADMS HQ <name key="name-004368" type="organisation">2 NZEF</name>, Major Kirker as Registrar 2 General Hospital, and Major <name key="name-027608" type="person">Noakes</name><note xml:id="ftn3-237" n="3"><p><name key="name-027608" type="person">Lt-Col A. L. de B. Noakes</name>, ED, m.i.d.; <name key="name-002817" type="place">Auckland</name>; born Waitekauri, <date when="1900-07-21">21 Jul 1900</date>; medical practitioner; Registrar <name key="name-011448" type="organisation">2 Gen Hosp</name> Apr 1940–Sep 1941; SMO <name key="name-004203" type="place">Maadi Camp</name> Sep–Oct 1941; CO <name key="name-029279" type="organisation">1 Conv Depot</name> Oct 1941–Aug 1945.</p></note> as Senior Medical Officer, <name key="name-004203" type="place">Maadi Camp</name>, while on 26 June the <name key="name-028893" type="organisation">DDMS</name> <name key="name-004368" type="organisation">2 NZEF</name>, Colonel MacCormick, had been promoted to the rank of brigadier.</p>
          </div>
          <div n="8" xml:id="c6-21-8">
            <head>
              <hi rend="i">Shortage of Specialists</hi>
            </head>
            <p rend="indent">Reorganisation presented many difficulties, especially, as was inevitable, when more of the most capable and experienced surgeons and physicians were promoted to administrative positions. This was found to be a recurring feature in later years. At this stage there was a pressing shortage of physicians. No. 3 General Hospital had only one general physician on its staff, after a rearrangement of physicians following a conference called by <name key="name-028893" type="organisation">DDMS</name> <name key="name-004368" type="organisation">2 NZEF</name> on 28 August. For the Division the ADMS was asking for more senior officers instead of the very junior type he had been receiving, although many of the latter eventually proved most successful regimental and field ambulance medical officers.</p>
            <p rend="indent">There arose in the medical services of the <name key="name-004368" type="organisation">2 NZEF</name> a feeling that an insufficient number of senior and specialist physicians was being sent overseas. <name key="name-028893" type="organisation">DDMS</name> <name key="name-004368" type="organisation">2 NZEF</name> had no doubt that a similar position would arise very shortly in regard to trained surgeons, and suggested to DGMS Army Headquarters that representations on the matter be made to the ONS Medical Committee. He thought that if the New Zealand branches of the Australasian Colleges of Surgeons and Physicians were to review the number of trained specialists in <name key="name-004368" type="organisation">2 NZEF</name> and eliminate those who were necessarily engaged in administrative capacities, they would not be satisfied that an adequate proportion of skilled clinicians had been supplied. The
<pb n="238" xml:id="n238"/>
position as regards specialists in eye, ear, nose, and throat, radiologists, and bacteriologists would also be serious if any one of these became a casualty.</p>
            <p rend="indent">An effort was made in September to obtain medical officers from <name key="name-004019" type="place">England</name>, and two surgeons were obtained.</p>
            <p rend="indent">The senior members of the hospital staffs were promoted to the rank of major at this time, thus removing some of the anomalies inherent in the rigid establishments. In the New Zealand Medical Corps there was no provision for specialist appointments dependent on the qualifications of the officer such as existed in the RAMC, the only appointments being those defined in the hospital establishments, such as that of divisional officer, and the provision for a limited number with the rank of major in the unit.</p>
            <p rend="indent">In the RAMC, on the other hand, officers were given the rank of major when they were qualified as specialists in different branches of the profession by the possession of senior academic qualifications such as the FRCS. This resulted in many young officers with recent qualification and short experience holding the rank of major, whereas in the New Zealand Medical Corps, in which a considerable number of older men volunteered early for service, there were several leading practitioners of the highest qualifications and with long experience who held the rank of captain; the majority of them later became divisional or commanding officers of hospitals. In course of time, with the recruiting mainly of the younger men, the position rectified itself, though some anomalies still remained, such as the inability of any of the specialists to be ranked higher than major if they could not function as divisional officers.</p>
            <p rend="indent">Clinical meetings were held regularly in our general hospitals and addresses were given both by visiting medical officers and members of our own corps. This had an educative and stimulating effect, undoubtedly improving the quality of our professional work.</p>
          </div>
          <div n="9" xml:id="c6-21-9">
            <head>
              <hi rend="i">1 NZ General Hospital Takes Over Helwan Hospital</hi>
            </head>
            <p rend="indent">At least one New Zealand general hospital was required to change its location in view of the impending offensive in the <name key="name-024430" type="place">Western Desert</name>. As 1 General Hospital had been in the Greek campaign, it was proposed that that unit should take over the <name key="name-000935" type="place">Helwan</name> hospital from 2 General Hospital, whose staff would open a hospital on the lines of communication at <name key="name-000862" type="place">Garawla</name> in the <name key="name-024430" type="place">Western Desert</name>.</p>
            <p rend="indent">The <name key="name-028893" type="organisation">DDMS</name> <name key="name-004368" type="organisation">2 NZEF</name> attended a ceremonial parade of 1 General Hospital on 8 September, and remarked that the occasion was a particularly pleasing one as it marked a definite stage in the reconstruction of a valued unit of the New Zealand Medical Service. No. 1 General Hospital had given good service in the United
<pb n="239" xml:id="n239"/>
Kingdom and in <name key="name-002294" type="place">Greece</name>, but for a time it was doubtful if the unit could be re-formed. The original members of the unit left no doubt about their desire in the matter and the gaps in the ranks had been filled by well-trained reinforcements.</p>
            <p rend="indent">Prior to the taking over of the administration of the <name key="name-000935" type="place">Helwan</name> hospital by 1 General Hospital, the <name key="name-028893" type="organisation">DDMS</name> paid a tribute to the work done by 2 General Hospital during the previous twelve months. Each month he was able to report to DGMS at Army Headquarters the hospital's smooth running and its staff's cheerful acceptance of all extra responsibilities and a high standard of nursing and clinical care. The reason for the move was that constant and sometimes monotonous duty under conditions of the Egyptian climate made a change advisable, and it was also desired to give 2 General Hospital a turn as a ‘mobile’ general hospital of <name key="name-004368" type="organisation">2 NZEF</name>.</p>
            <p rend="indent">No. 1 General Hospital then began to take over <name key="name-000935" type="place">Helwan</name> hospital, the advance party going there on 15 September and an equal proportion of 2 General Hospital's staff going to <name key="name-004262" type="place">Maadi</name>. The changeover was completed smoothly three days later and the work of the hospital continued without interruption. The <name key="name-023814" type="organisation">NZANS</name> posted to 2 General Hospital remained at <name key="name-000935" type="place">Helwan</name>, while the officers and other ranks went to <name key="name-004262" type="place">Maadi</name>. The number of patients admitted to the hospital during the year had approached ten thousand.</p>
            <p rend="indent">At their new site on the northern boundary of <name key="name-004203" type="place">Maadi Camp</name> the staff of 2 General Hospital benefited greatly from the change to an open-air life.</p>
          </div>
          <div n="10" xml:id="c6-21-10">
            <head>
              <hi rend="i">Review of Work at <name key="name-000935" type="place">Helwan</name></hi>
            </head>
            <p rend="indent">When 2 General Hospital came to hand over to 1 General Hospital at <name key="name-000935" type="place">Helwan</name>, a review was made of the hospital's work over eleven months from October 1940 to September 1941. Total admissions were 9501, and discharges 9212. Patients came from the following forces: <name key="name-004368" type="organisation">2 NZEF</name> 7598; 2 AIF 1125; British Army 273; <name key="name-034190" type="organisation">RAF</name> 108; RAAF 7; Union Defence Force 19; <name key="name-003205" type="organisation">Royal Navy</name> 1; and Italian prisoners of war 367. Operations performed amounted to 3172. New Zealand deaths were 28 out of a total of 41. Causes of death were battle wounds 6, accidents 6, and disease 29. Outpatient department consultations were given in 6997 cases, with 6446 subsequent visits. There were 2213 massage treatments given.</p>
            <p rend="indent">In his review Colonel Spencer made the following interesting comment:</p>
            <p rend="indent">It took us medical officers many weeks to become acquainted with ways and means, channels of communication, adapting our therapeutic ideas and demands to the supplies available to an Army hospital on active service, particularly in a sphere where supplies were of necessity almost always short. There were times when some felt that medical and surgical considerations
<pb n="240" xml:id="n240"/>
were being sacrificed to the insatiable demand made by some Army department for returns and still more returns. But, as time passed, the reason for these returns became more and more obvious; and now it is realised by all that with a turnover of patients that exceeds by far that of civil hospitals; of patients, moreover, who are here today and gone tomorrow, and whose whole economic future may be altered by the care with which their cases have been recorded while under treatment in hospital, the clerical side of our work has taken on a new interest, and is no longer regarded as a burden.</p>
            <p rend="indent">After the unit had moved from the hospital at <name key="name-000935" type="place">Helwan</name> to <name key="name-004203" type="place">Maadi Camp</name> temporarily, Colonel Spencer further said:</p>
            <p rend="indent">There is always the danger of a unit becoming too ‘set’, and we realised that the conditions under which we had been working had been as near to those of a civilian hospital as would be possible in an Army on active service. Since the unit moved out to their new camp we are unanimous that the change-over has been for the good of all concerned. Officers and men alike have already lost that feeling of staleness that was becoming apparent due to the sameness of work day after day under the trying conditions of an Egyptian summer. This applied perhaps more to the Other Ranks who had carried the weight of the hospital work, which had to go on whether the staff were up to establishment or not.</p>
          </div>
          <div n="11" xml:id="c6-21-11">
            <head>
              <hi rend="i">Provision of Mobile Surgical Unit</hi>
            </head>
            <p rend="indent">A mobile surgical unit, based on the head and chest units organised in <name key="name-004019" type="place">England</name> at the beginning of the war by Professor H. Cairns and Mr <name key="name-028600" type="person">A. Tudor Edwards</name><!-- Edwards, A. Tudor -->, was equipped in <name key="name-004019" type="place">England</name> in <date when="1940">1940</date>. The unit was formed as a result of a generous gift of £2500 by Mr A. Sims of <name key="name-007584" type="place">Christchurch</name>. The senior surgeon <name key="name-028359" type="place">1 NZ General Hospital</name>, later Consultant Surgeon <name key="name-004368" type="organisation">2 NZEF</name>, <name key="name-027677" type="person">Lieutenant-Colonel Stout</name>, was given authority to purchase equipment in <name key="name-004019" type="place">England</name> and make arrangements for the construction of a special van fitted up to hold all the equipment. The surgical instruments and appliances as listed in the British units were supplemented so as to render it possible for the unit to undertake any type of forward surgery, as it was appreciated that head and chest cases would form only a portion of the cases to be dealt with.</p>
            <p rend="indent">Operating theatre equipment was obtained from Morris Motors at Oxford; surgical instruments were purchased from several firms in <name key="name-008904" type="place">London</name>, with the permission of the Ministry of Health; a lighting unit and an electric suction apparatus was also obtained. A diathermy machine was not purchased as at that time it was held that the machine would interfere with wireless transmission from aeroplanes. Special water tanks were obtained. The special van was built in <name key="name-003601" type="place">Cairo</name> on an army truck chassis, being designed to carry the equipment and to provide lighting and a generous supply of water.</p>
            <p rend="indent">The surgical instruments and other equipment were fitted into separate boxes so that, if necessary, all the equipment could be taken out of the van and carried in an ordinary truck.</p>
            <pb n="241" xml:id="n241"/>
            <p rend="indent">There was no similar unit in the British Army, and all the original British head and chest units had been lost in <name key="name-008009" type="place">France</name>. The surgical units organised in <name key="name-007594" type="place">Spain</name> for forward surgery were used as a basis for the establishment considered necessary for the new unit, and eventually a special establishment was finalised on <date when="1941-05-01">1 May 1941</date>. Autoclaves from captured Italian stocks and an X-ray plant purchased with <name key="name-027417" type="organisation">Red Cross</name> funds were added.</p>
            <p rend="indent">An establishment of 5 officers and 29 other ranks, as well as 9 <hi rend="i">ASC</hi> drivers, was drawn up and tentage and ordnance equipment for a self-contained unit were requisitioned. Transport consisted of four lorries in addition to a staff car, a motor cycle, and the special van. A water cart was also supplied. The unit was able to work two surgical teams with full equipment for all types of forward surgery. It was first set up in <name key="name-004203" type="place">Maadi Camp</name>, where it carried out preliminary training. It was inspected on <date when="1941-07-22">22 July 1941</date> by the Consultant Surgeon, MEF, Major-General Monro, who reported that: ‘I regard it as a “war surgeon's dream” from the surgical point of view. Its advantage lies in its mobility, independence in regard to transport and the excellent power plant in the surgical lorry.… A closer study of the economic factors is still necessary.… It is my opinion, however, that the answer to many of the problems can be found in this N.Z. unit or one on the lines of the British unit recently assembled at 15 Gen. Hosp.’</p>
            <p rend="indent">The DMS <name key="name-004368" type="organisation">2 NZEF</name> also reported that, ‘Inspection shows—</p>
            <list type="simple">
              <label>1.</label>
              <item>
                <p>That the unit is very handsomely equipped for doing surgery,</p>
              </item>
              <label>2.</label>
              <item>
                <p>Has ample transport,</p>
              </item>
              <label>3.</label>
              <item>
                <p>Has reached a high state of efficiency in all departments of its work.’</p>
              </item>
            </list>
            <p rend="indent">The unit rapidly reached a high degree of keenness and efficiency. Some doubt, however, was expressed by British administrative officers concerning the desert-worthiness of the van. The unit was ready for service during the Second Libyan Campaign. It was agreed by the <name key="name-028893" type="organisation">DDMS</name> <name key="name-024430" type="place">Western Desert</name> Force that the unit should function close to an MDS. He was impressed by its completely desert-worthy conditions, and this estimate proved correct. The unit worked alongside the MDS during the fateful Second Libyan Campaign, was captured along with the other main medical units but carried on unmolested by the enemy till rescued, and then, after evacuating its patients to the medical centre behind the frontier, was attached to the British forces for the remainder of the campaign.</p>
            <p rend="indent">The unit which resembled the New Zealand MSU most was <name key="name-028800" type="organisation">1 Mobile Military Hospital</name>, a gift to the British Army from the <name key="name-031090" type="place">United States</name> of <name key="name-008197" type="place">America</name>. This consisted of several very elaborately fitted-up special vans providing operating theatre, sterilising equipment, X-rays, cooking van, and supply vans, all on wheels with
<pb n="242" xml:id="n242"/>
tentage for personnel and patients. This unit was utilised in the desert, but never in the divisional area, and was not entirely satisfactory.</p>
            <p rend="indent">The establishment of the <name key="name-023216" type="organisation">Mobile Surgical Unit</name> is given below:</p>
            <p>
              <table rows="13" cols="7">
                <row>
                  <cell rend="center">
                    <hi rend="i">Detail</hi>
                  </cell>
                  <cell rend="center">
                    <hi rend="i">Personnel Offrs</hi>
                  </cell>
                  <cell rend="center">
                    <hi rend="i">WO II</hi>
                  </cell>
                  <cell rend="center">
                    <hi rend="i">S-Sgt</hi>
                  </cell>
                  <cell rend="center">
                    <hi rend="i">Sgt</hi>
                  </cell>
                  <cell rend="center">
                    <hi rend="i">R and F</hi>
                  </cell>
                  <cell rend="center">
                    <hi rend="i">Total</hi>
                  </cell>
                </row>
                <row>
                  <cell>Surgeons (Majors or Capts) (<hi rend="i">a</hi>)</cell>
                  <cell rend="right">2</cell>
                  <cell/>
                  <cell/>
                  <cell/>
                  <cell/>
                  <cell rend="right">2</cell>
                </row>
                <row>
                  <cell>Anaesthetists (Capts or Lt)</cell>
                  <cell rend="right">2</cell>
                  <cell/>
                  <cell/>
                  <cell/>
                  <cell/>
                  <cell rend="right">2</cell>
                </row>
                <row>
                  <cell>Medical Officer (Capt or Lt) (<hi rend="i">b</hi>)</cell>
                  <cell rend="right">1</cell>
                  <cell/>
                  <cell/>
                  <cell/>
                  <cell/>
                  <cell rend="right">1</cell>
                </row>
                <row>
                  <cell>CSM and Wardmaster</cell>
                  <cell/>
                  <cell rend="right">1</cell>
                  <cell/>
                  <cell/>
                  <cell/>
                  <cell rend="right">1</cell>
                </row>
                <row>
                  <cell>CQMS</cell>
                  <cell/>
                  <cell/>
                  <cell rend="right">1</cell>
                  <cell/>
                  <cell/>
                  <cell rend="right">1</cell>
                </row>
                <row>
                  <cell>Sergeant</cell>
                  <cell/>
                  <cell/>
                  <cell/>
                  <cell rend="right">1</cell>
                  <cell/>
                  <cell rend="right">1</cell>
                </row>
                <row>
                  <cell>Corporals</cell>
                  <cell/>
                  <cell/>
                  <cell/>
                  <cell/>
                  <cell rend="right">5</cell>
                  <cell rend="right">5</cell>
                </row>
                <row>
                  <cell>Privates</cell>
                  <cell/>
                  <cell/>
                  <cell/>
                  <cell/>
                  <cell rend="right">21 (<hi rend="i">c</hi>)</cell>
                  <cell rend="right">21</cell>
                </row>
                <row>
                  <cell/>
                  <cell rend="right">——</cell>
                  <cell rend="right">——</cell>
                  <cell rend="right">——</cell>
                  <cell rend="right">——</cell>
                  <cell rend="right">——</cell>
                  <cell rend="right">——</cell>
                </row>
                <row>
                  <cell>Total</cell>
                  <cell rend="right">5</cell>
                  <cell rend="right">1</cell>
                  <cell rend="right">1</cell>
                  <cell rend="right">1</cell>
                  <cell rend="right">26</cell>
                  <cell rend="right">34</cell>
                </row>
                <row>
                  <cell>Attached NZASC Drivers</cell>
                  <cell/>
                  <cell/>
                  <cell/>
                  <cell/>
                  <cell rend="right">9 (<hi rend="i">d</hi>)</cell>
                  <cell rend="right">9</cell>
                </row>
                <row>
                  <cell>Total—<name key="name-023216" type="organisation">Mobile Surgical Unit</name>, including attached</cell>
                  <cell rend="right">5</cell>
                  <cell rend="right">1</cell>
                  <cell rend="right">1</cell>
                  <cell rend="right">1</cell>
                  <cell rend="right">35</cell>
                  <cell rend="right">43</cell>
                </row>
              </table>
            </p>
            <p>
              <table rows="9" cols="3">
                <row>
                  <cell/>
                  <cell rend="center">
                    <hi rend="i">Transport</hi>
                  </cell>
                  <cell/>
                </row>
                <row>
                  <cell>Motor cycle</cell>
                  <cell/>
                  <cell rend="right">1</cell>
                </row>
                <row>
                  <cell>Car, 4-seater, 4-wheeled</cell>
                  <cell/>
                  <cell rend="right">1</cell>
                </row>
                <row>
                  <cell>Lorry, 3-ton, 4-wheeled, special body</cell>
                  <cell/>
                  <cell rend="right">1</cell>
                </row>
                <row>
                  <cell>Lorries, 3-ton, 4-wheeled</cell>
                  <cell/>
                  <cell rend="right">4</cell>
                </row>
                <row>
                  <cell>Truck, water cart</cell>
                  <cell/>
                  <cell rend="right">1</cell>
                </row>
                <row>
                  <cell/>
                  <cell/>
                  <cell rend="right">——</cell>
                </row>
                <row>
                  <cell/>
                  <cell/>
                  <cell rend="right">8</cell>
                </row>
                <row>
                  <cell/>
                  <cell/>
                  <cell rend="right">——</cell>
                </row>
              </table>
            </p>
          </div>
          <div n="12" xml:id="c6-21-12">
            <head>
              <hi rend="i">Formation of CCS</hi>
            </head>
            <p rend="indent">The 7th Reinforcements arrived in <name key="name-002106" type="place">Egypt</name> on 19 October and comprised 18 <name key="name-023814" type="organisation">NZANS</name>, 15 medical officers, and 166 other ranks, all of whom were sorely needed to strengthen existing units and form new units in the Medical Corps.</p>
            <p rend="indent">It was now possible to finalise the long-deferred formation of a casualty clearing station which, as <name key="name-029178" type="organisation">1 NZ CCS</name>, was officially gazetted as a unit of <name key="name-004368" type="organisation">2 NZEF</name> on <date when="1941-11-01">1 November 1941</date>. The medical and ordnance equipment of the unit had not been received by this date, but it was known to have left the <name key="name-029547" type="place">United Kingdom</name> some time previously, and six trucks had arrived from New Zealand. The staff of the unit, except the medical officers and sisters, was assembled under Lieutenant-Colonel Ardagh. It was attached to 2 General Hospital at <name key="name-000862" type="place">Garawla</name> and underwent valuable training in setting up a tented hospital under desert conditions.</p>
          </div>
          <pb n="243" xml:id="n243"/>
          <div n="13" xml:id="c6-21-13">
            <head>
              <hi rend="i">Anzac War Relief Ambulances</hi>
            </head>
            <p rend="indent">Towards the end of June ten ambulances provided by the Anzac War Relief Committee of <name key="name-120382" type="place">New York</name> arrived in <name key="name-002106" type="place">Egypt</name>. They were suitable only for base duties, but they filled a long-felt want, especially in <name key="name-004203" type="place">Maadi Camp</name>, where transport for medical requirements had been a harassing matter ever since 4 Field Ambulance had moved out with its transport in <date when="1940-09">September 1940</date>. All camp and hospital work had had to be done with two to four ambulances only.</p>
          </div>
          <div n="14" xml:id="c6-21-14">
            <head>
              <hi rend="i">Abolition of Rank of Staff Nurse</hi>
            </head>
            <p rend="indent">The Matron-in-Chief <name key="name-004368" type="organisation">2 NZEF</name>, in her report on the <name key="name-023814" type="organisation">NZANS</name> for <date when="1941-06">June 1941</date>, mentioned that a Royal Warrant had abolished the rank of staff nurse. This, it was thought, would bring about greater contentment in the nursing service and would greatly simplify the choice of suitable ward sisters by enabling them to be drawn from a larger pool. Some sisters were excellent nurses but not good administrators in large wards.</p>
          </div>
          <div n="15" xml:id="c6-21-15">
            <head>
              <hi rend="i">Promotion of NCOs</hi>
            </head>
            <p rend="indent">It was also decided at the conference of senior medical officers on 10 June that future promotions of NCOs above the rank of corporal should be on a corps and not a unit basis. Various anomalies had arisen through: (<hi rend="i">a</hi>) excessive losses in some units; (<hi rend="i">b</hi>) formation of new units; (<hi rend="i">c</hi>) arrival of reinforcement NCOs. The new system would ensure that the claims of all suitable men were considered for promotions. For the purpose a complete nominal roll was compiled. The system could not be of complete general application in that certain NCOs were specialists such as dispensers and radiological and laboratory technicians.</p>
            <p rend="indent">Promotion of NCOs was always a vexed question. In order to prevent difficulties and disappointments <name key="name-028893" type="organisation">DDMS</name> <name key="name-004368" type="organisation">2 NZEF</name> had recommended to DGMS Army Headquarters on <date when="1940-10-08">8 October 1940</date> that all reinforcement NCOs should be given temporary rank only. This would allow for reduction of rank if need be in fairness to experienced men who had preceded them overseas.</p>
            <p rend="indent">When the 6th Reinforcements arrived at the end of <date when="1941-07">July 1941</date> a high proportion of NCOs was noted, namely 28 to 197 other ranks. Even though the ranks were temporary there was considerable difficulty, and some disappointment, to the reinforcement NCOs who were reduced in rank, as well as to established units who had to absorb these NCOs, even at reduced rank, and so block promotion to men who had done good work in the unit. As was understandable, the units who had served throughout <name key="name-002294" type="place">Greece</name> and <name key="name-003325" type="place">Crete</name> had quite marked feeling on the matter, although some of the new arrivals
<pb n="244" xml:id="n244"/>
had served with <name key="name-023253" type="organisation">8 Brigade</name> in <name key="name-000854" type="place">Fiji</name>. <name key="name-028893" type="organisation">DDMS</name> <name key="name-004368" type="organisation">2 NZEF</name> had to ask that the number and rank of reinforcement NCOs be kept as low as possible after their arrival by a board nominated by him which, as far as possible, should consist of OC 1 Camp Hospital, the Officer-in-Charge NZMC Training Cadre, an officer with experience of field ambulance work, and an officer from one of the general hospitals.</p>
            <p rend="indent">This system was applied fairly successfully with the 7th Reinforcements, but with a break of over a year before the arrival of the 8th Reinforcements, some of whom had substantive rank, the system was not so rigorously applied then or at later dates. Consequently, there were always grounds for a certain measure of discontent on the question. Unit promotion also came to be the accepted rule instead of corps promotion, except for first appointments to commissions.</p>
          </div>
          <div n="16" xml:id="c6-21-16">
            <head>
              <hi rend="i">Problem of Down-Graded Men</hi>
            </head>
            <p rend="indent">A new medical position was established on 9 May when Major Kirker was instructed to assume the duties of senior medical officer <name key="name-004203" type="place">Maadi Camp</name>. In addition to the supervision of regimental medical officers with base units, he was responsible to <name key="name-028893" type="organisation">DDMS</name> <name key="name-004368" type="organisation">2 NZEF</name> for the administration of medical boarding at <name key="name-004262" type="place">Maadi</name>.</p>
            <p rend="indent">New forms were introduced at that time. Form NZEF 22 was printed and used from 12 May onwards in place of Form NZ 179 previously used for medical boarding, and Form NZEF 51 introduced to get confirmation from his unit of statements made by a man relating to injuries sustained in the forward areas.</p>
          </div>
          <div n="17" xml:id="c6-21-17">
            <head>
              <hi rend="i">Graded Men</hi>
            </head>
            <p rend="indent">A conference of senior officers convened by the <name key="name-028893" type="organisation">DDMS</name> <name key="name-004368" type="organisation">2 NZEF</name> in <name key="name-004203" type="place">Maadi Camp</name> on 27 June studied the question of graded men. The <name key="name-028893" type="organisation">DDMS</name> represented that he had never been satisfied that due regard had been taken of the recommendations of medical boards as to employment of Grade III men. He thought that there should be a special officer appointed to see that men were employed as soon as possible in suitable capacities, thus avoiding disappointment and deterioration in the graded men due to periods of inactivity. It was decided that a return should be secured from all base units indicating the number of Grade II and Grade III men employed. Later, it would be decided whether the least employable of the graded men should be returned to New Zealand on the grounds of ‘services no longer required’ as well as of medical unfitness.</p>
            <p rend="indent">As opposed to conditions in <name key="name-004019" type="place">England</name> in the First World War, there was no doubt that the morale of graded men tended to deteriorate in <name key="name-002106" type="place">Egypt</name>. The long delays before shipment of some of
<pb n="245" xml:id="n245"/>
those actually placed on the New Zealand roll also led to some degree of resentment.</p>
            <p>
              <figure xml:id="WH2Med27a">
                <graphic url="WH2Med27a.jpg" mimeType="image/jpeg" xml:id="WH2Med27a-g"/>
                <head>Sites of <name key="name-029178" type="organisation">1 NZ CCS</name> and Base Hospitals for Advance from <name key="name-010927" type="place">Alamein</name> to <name key="name-004869" type="place">Tunis</name>, October 1942 – May 1943 (with inset map for Campaign in <name key="name-001027" type="place">Libya</name>, <date when="1941">1941</date>)</head>
                <figDesc>map showing army hospitals in the <name key="name-007453" type="place">Mediterranean</name></figDesc>
              </figure>
            </p>
            <p rend="indent">Numbers of soldiers of the 5th Reinforcements appeared before medical boards soon after their arrival in <name key="name-002106" type="place">Egypt</name>, and it was obvious that many men who should never have been passed for service out of New Zealand had been sent overseas. A list prepared on <date when="1941-07-04">4 July 1941</date>, which was not claimed to be complete by any means, showed seven who had been immediately graded IV for return to New Zealand on account of pre-enlistment disabilities. It was pointed out at the time that, quite apart from the waste of the country's money and the time of those charged with the men's training, the sending of unfit troops overseas caused great inconvenience, and the efficiency of units was impaired.</p>
            <p rend="indent">During July 155 men were sent by commanding officers to ADMS NZ Division for regrading, and of these 149 were transferred to Base for reboarding. Orthopaedic cases, particularly flat feet, predominated and an unduly high proportion were cases from late reinforcements. This suggested the necessity for stricter medical examinations in New Zealand. The ADMS NZ Division commented that, to say the least, it was most uneconomic to train and equip men, send them overseas, and then, as soon as they reached the Division, start them on their homeward journey to New Zealand.</p>
            <p rend="indent">Instances were still brought to notice of men who should never have been accepted for service overseas. Cases with histories of head injuries, epilepsy, asthma, and peptic ulcer were quite common. The <name key="name-028893" type="organisation">DDMS</name> was of the opinion that there should be used in New Zealand on medical examination a questionnaire covering the more common pre-enlistment disabilities.</p>
            <p rend="indent">Major Coverdale at that time stressed the desirability of retaining in the Division the many men whose eyesight was unsatisfactory for shooting but who could be used for other or non-combatant duties. He stated that the men deteriorated badly if sent back to Base, and further suggested that ophthalmic investigation at mobilisation camps in New Zealand would result in the elimination of unsatisfactory men from overseas drafts.</p>
            <p rend="indent">Graded men presented a problem in the <name key="name-005853" type="place">Middle East</name> from <date when="1941">1941</date> onwards. Their numbers steadily increased and it became more and more difficult to provide them with congenial employment. From 1 April to 30 June medical boards were held on 594 soldiers, of whom 36 were placed in Grade I, 44 in Grade I<hi rend="sc">a</hi>, 102 in Grade II, 42 in Grade III, and 370 in Grade IV for return to New Zealand. The analysis of only two months' medical boards—for July and August 1941—shows that 892 men appeared before medical boards in this period, and of these 86 were placed in Grade I, 56 in Grade
<pb n="246" xml:id="n246"/>
I<hi rend="sc">a</hi>, 247 in Grade II, 38 in Grade III, while 465 were graded for return to New Zealand. The most common disabilities in the last group of 465 were: functional nervous disease 76; organic nervous disease 29; accidental injuries 33; battle casualties 31; arthritis 37; gastro-intestinal disorders 25; peptic ulcer 17; otitis media 24; asthma 21; skin disease 21; respiratory disease 23; and rheumatic fever 11.</p>
            <p rend="indent">An analysis of the 600 graded men, other than those already on the New Zealand roll, at <name key="name-004203" type="place">Maadi Camp</name> on <date when="1941-09-30">30 September 1941</date> showed that 113 were Grade I<hi rend="sc">a</hi>, 415 Grade II, and 72 Grade III. Their disabilities were: foot disabilities 126; functional nervous diseases 70; accidental injuries 66; arthritis 41; cardio-vascular disorders 36; eye disabilities 33; otitis media 25; deafness 24; fibrositis 20; mental dullness 19; dermatitis 15; asthma 14; battle casualties 12; respiratory diseases 11; organic nervous diseases 11; gastro-intestinal disorders 10; others 67—total 600.</p>
          </div>
          <div n="18" xml:id="c6-21-18">
            <head>
              <hi rend="i">Medical Boarding</hi>
            </head>
            <p rend="indent">This was regularly carried out both by the staffs of the general hospitals and also by specially constituted boards at Maadi Camp Hospital<!-- Camp Hospital, Maadi --> where, at first, the consultants acted on the boards till they took over the approval of the boards from the <name key="name-028893" type="organisation">DDMS</name>. From 250 to 500 cases were boarded or reboarded each month. Reboards might take place after three or six months. That the graded men held in base camps were always a problem in <name key="name-002106" type="place">Egypt</name> is not surprising considering that a large proportion of them had a functional basis. Suitable employment at Base was difficult to arrange, and deterioration was inevitable when a man had no interest in his work, especially in the debilitating climate. Knowledge of conditions in the forward areas proved highly desirable in the medical men constituting the boards and they had to be carefully chosen.</p>
            <p rend="indent">Attention was drawn to another aspect of the unfitness of troops by CO 2 General Hospital, Colonel Spencer, in July when, referring to the numerous out-patient attendances for opinions of specialists at the hospital, he said:</p>
            <p rend="indent">.… It would appear that COs of units are still very apt to try to get rid of men on medical grounds who are unsuitable as soldiers, or for other reasons. Pressure thus applied on a junior RMO is very difficult to resist. On the other hand, we feel that it cannot be too strongly impressed upon newly appointed RMOs that their mana with their troops depends to a large extent on the care with which they look after them in sickness; that they will not always have consultants handy to whom to refer their cases, and that the sooner they develop independence in diagnosis and initiative in treatment, the quicker they will gain the confidence of officers and men of their unit. The assessment of character is not so easy. Close harmony
<pb n="247" xml:id="n247"/>
between combatant and medical officers is of the greatest value in this respect, but here again the sooner an RMO learns to distinguish between real and feigned illness, the greater will be the respect in which he is held by all ranks.</p>
          </div>
          <div n="19" xml:id="c6-21-19">
            <head>
              <hi rend="i">Enemy Air Raids on Canal Zone</hi>
            </head>
            <p rend="indent">During the greater part of <date when="1941">1941</date>, especially after the close of the <name key="name-003325" type="place">Crete</name> campaign, the Canal Zone was subjected to sporadic and sometimes relatively intensive nuisance raids from enemy aircraft based on <name key="name-003325" type="place">Crete</name> and the <name key="name-022542" type="place">Dodecanese</name>. No sooner had the <name key="name-023066" type="organisation">Convalescent Depot</name>'s equipment been brought up to strength and the physiotherapy department developed, than this disturbing and locally disruptive enemy activity made itself felt in the <name key="name-015263" type="place">Moascar</name> region. There was sporadic night bombing of the <name key="name-003897" type="place">Ismailia</name> district during the full moon. Other nearby areas suffered and attempts were made by the enemy to sow mines in the <name key="name-001365" type="place">Suez Canal</name>. This led to considerable disruption of the <name key="name-023066" type="organisation">Convalescent Depot</name>'s routine, and also to a call by Canal Zone Headquarters for convalescent personnel to supply larger armed parties for security duties. The bombing of <name key="name-003897" type="place">Ismailia</name> was rapidly followed by the mass evacuation of Egyptian civilians and the almost total cessation of contract services such as dhobi, swill, garbage, and the like. The Egyptian staff in <name key="name-023795" type="place">Naafi</name> canteens, supply depots, and other installations was similar depleted, until emergency transport could be arranged to take them nightly to the purely Egyptian towns like Zagazig which were immune from enemy attack. Those who witnessed the evening trains pulling out of <name key="name-003897" type="place">Ismailia</name> station, with the native camp employees, their families, and impedimenta clinging to every available space from the couplings of the carriages to the cooler parts of the engine, may well have occasion to recall this as affording a sense of humour and relief from the irritations of the disturbed tempo of convalescent life. Nevertheless, a nuisance value was attained by the enemy. With the increasing intensity of the raids, the <name key="name-023066" type="organisation">Convalescent Depot</name> itself suffered direct hits, as for example that on the MI Room, and its staff helped to extinguish fires in nearby lines and RE dumps, the New Zealanders distinguishing themselves in the course of these duties.</p>
            <p rend="indent">On the night of 4–5 August bombing raids on <name key="name-003897" type="place">Ismailia</name> called for assistance from members of the staff of the <name key="name-023066" type="organisation">Convalescent Depot</name> to help the Egyptian hospital cope with the influx of civilian casualties. Surgical teams arrived later from British military hospitals outside the area.</p>
            <p rend="indent">On 11 August there was a concentrated and sustained air raid on Abu Suweir aerodrome nearby. At the <name key="name-023066" type="organisation">Convalescent Depot</name> slit trenches had been prepared, tents were dug in, and considerable attention was given to PAD preparations. On 14 August flares and
<pb n="248" xml:id="n248"/>
two sticks of bombs were dropped in the area around the depot headquarters and a direct hit was scored on the medical inspection room, which was completely wrecked except for the end housing the dental department. A fire which began in a group of native shops near the massage department was dealt with, and this undoubtedly saved the depot from considerable bombing which subseqently was concentrated around a fire in an adjacent area.</p>
            <p rend="indent">Despite the ordeal, personnel in the depot behaved with extreme coolness. Stretcher parties functioned normally between bombings and brought into the treatment centre the five casualties which occurred in the depot. These were mainly light wounds from shell fragments, but one man received a serious chest wound. Three of the more serious cases were evacuated to 54 General Hospital by ambulance. In no case did casualties occur among men in slit trenches.</p>
            <p rend="indent">After these raids the Area Commander instructed that as many troops as possible should be dispersed at night (an instruction which one group of New Zealand convalescents had earlier anticipated). Some 300 convalescents with a small cadre of staff were transferred each night to Chevalier Island, where a reception hospital was subsequently opened to obviate sending patients to general hospitals in the district for minor sickness. Under these conditions the depot scarcely functioned along intended lines. Sleep was interrupted and a few men started to sleep out of camp. Morale tended to suffer, and some who might otherwise have readjusted themselves well from mild anxiety states were found to exhibit marked exacerbations of their symptoms. A decision was made to return the less stable of these to the quieter <name key="name-004262" type="place">Maadi</name> area, 180 in this category being evacuated in three days. This reduced the numbers in the <name key="name-023066" type="organisation">Convalescent Depot</name> to a point at which there were barely sufficient A grade or B1 grade men to supply the necessary number of pickets and guards for depot buildings, stores, and other duties for which the <name key="name-023066" type="organisation">Convalescent Depot</name> had been made locally responsible.</p>
            <p rend="indent">At the end of the first week in September there were heavy air raids. The 54th British General Hospital was severely damaged and rendered untenable. The continued bombing raids, apart from the risk to personnel, had minimised the value of <name key="name-027002" type="organisation">1 Convalescent Depot</name> as an institution for recuperation from injury and illness. The main factors were the loss of sleep and a general atmosphere of disturbance and uneasiness. The expedient of removing some of the patients and staff to another location at night afforded only partial relief. It was felt that removal of the whole depot to <name key="name-004203" type="place">Maadi Camp</name> would provide, at least for the time being, a location free from air raids. No other site being available, it was decided that the depot should be established at <name key="name-004262" type="place">Maadi</name> during the winter months and that
<pb n="249" xml:id="n249"/>
possibly by <date when="1942-03">March 1942</date> some alternative location might be found. The move took place on <date when="1941-10-10">10 October 1941</date>.</p>
            <p rend="indent">Coinciding with the transfer of the depot, Lieutenant-Colonel Tennent was appointed CO 4 Field Ambulance and relinquished his command to Lieutenant-Colonel Noakes, whose appointment was to continue until the end of the war in <name key="name-001383" type="place">Italy</name> in <date when="1945">1945</date>.</p>
            <p rend="indent">An investigation of the functioning of the <name key="name-023066" type="organisation">Convalescent Depot</name> with regard to the type of case likely to benefit by treatment there was carried out by the Consultant Surgeon and Consultant Physician in September. They considered that patients who were incompletely diagnosed, severe cases with disabilities difficult to assess, hysterical cases and possible malingerers, and those for whom no special treatment was required and whose ultimate fitness was doubtful, should not be sent by the hospitals to the depot. Those thought suitable were the more normal cases likely to make uninterrupted progress and men awaiting return to New Zealand. It was considered that it was unfair to the staff of the depot to send them chronic and difficult cases, which were much better retained and dealt with at the hospitals.</p>
            <p rend="indent">A visit was paid at that time to 2 British <name key="name-023066" type="organisation">Convalescent Depot</name> at <name key="name-027507" type="place">El Ballah</name>, where no sick men were admitted and massage was not encouraged, but where all men were fit for concentrated physical training prior to return to their units. The distinction in the administration of the RAMC depots and our own persisted throughout the war, both systems having their special advantages.</p>
          </div>
        </div>
      </div>
      <pb n="250" xml:id="n250"/>
      <div type="chapter" n="7" xml:id="c7">
        <head>CHAPTER 7<lb/>
<name key="name-001027" type="place">Libya</name>, <date when="1941">1941</date></head>
        <div type="section" xml:id="c7-0">
          <p>WITHIN a few months of the campaigns in <name key="name-002294" type="place">Greece</name> and <name key="name-003325" type="place">Crete</name>, the New Zealand Division, having been reorganised and re-equipped, was ready for further action. The enemy forces in <name key="name-025395" type="place">North Africa</name> continued to be a major threat to Allied war strategy. Another drive had to be launched against them, if possible before they were in a position to mount an attack on <name key="name-001400" type="place">Tobruk</name>, for which it was known that they were preparing. It was, therefore, quite in the natural course that the New Zealanders should be given a role in the <name key="name-024430" type="place">Western Desert</name> again—this time to be one of the ‘foundation’ divisions in what was to become the world-famous Eighth Army.</p>
          <p rend="indent">Thus, the New Zealand Division returned to the desert in <date when="1941-09">September 1941</date>. It was the task of 5 Brigade to work on defences at the ‘<name key="name-000990" type="place">Kaponga Box</name>’, which a year later was to become famous as part of the <name key="name-010927" type="place">El Alamein</name> line, and then followed intensive desert training south of Maaten <name key="name-002877" type="place">Baggush</name>. ‘<name key="name-002877" type="place">Baggush</name> by the sea’ was the fortress ‘box’ on the <name key="name-007453" type="place">Mediterranean</name> shore originally constructed in <date when="1940">1940</date> by the First Echelon troops.</p>
          <p rend="indent"><name key="name-002877" type="place">Baggush</name> as a fortress ‘box’ was designed to bar the path of the enemy's North African army to <name key="name-002106" type="place">Egypt</name>. At this time the enemy had his forward troops at <name key="name-001351" type="place">Sollum</name>, although <name key="name-001400" type="place">Tobruk</name>, defended by 70 Division, which had recently relieved 9 Australian Division, was still holding out in the rear.</p>
        </div>
        <div type="section" n="1" xml:id="c7-1">
          <head>
            <hi rend="i">Medical Arrangements at <name key="name-002877" type="place">Baggush</name></hi>
          </head>
          <p rend="indent">All the divisional medical units assembled in September at <name key="name-002877" type="place">Baggush</name> preparatory to a campaign which was a most fateful one for them.</p>
          <p rend="indent">The New Zealanders became a race of underground dwellers at <name key="name-002877" type="place">Baggush</name>. There was scarcely a stitch of canvas in sight throughout the skilfully camouflaged area. Under the crust of the desert were medical dressing stations and many other works. But the enemy was sufficiently far away not to confine the troops below ground. Comprehensive training exercises were undertaken, including desert
<pb n="251" xml:id="n251"/>
navigation and night movement in motorised brigade groups. In addition to their routine work of treating sick and accident cases, all three field ambulances took part during October in three-day desert exercises with their own brigade groups, and also carried out revisionary training.</p>
          <p rend="indent">The health of the troops was generally satisfactory, except that desert sores and skin infections became very prevalent. The other principal illnesses were tonsillitis and dysentery, for which dust-storms were considered a causative factor. In the treatment of desert sores our units adopted with success the method introduced by <name key="name-009204" type="organisation">7 Armoured Division</name>. The sores, generally multiple, were in the nature of chronic ulcers with crusts and undermined edges, healing slowly and constantly tending to break down. The treatment consisted in thorough cleansing, the removal of overhanging edges of skin, and the application of a dressing of sulphanilamide powder 1 per cent in paraffin or glycerine completely covered over with elastoplast, the dressing being left untouched for from three to five days.</p>
          <p rend="indent">By the end of October all the medical units with the Division were completely reorganised and re-equipped after their difficult experiences in <name key="name-002294" type="place">Greece</name> and <name key="name-003325" type="place">Crete</name>, and were once more ready and eager to play their part in a campaign.</p>
          <p rend="indent">On 22 October the ADMS NZ Division (Colonel Kenrick) attended a medical conference at Headquarters Eighth Army. For active operations it was arranged that there would be a casualty clearing station operating behind each division. In the case of NZ Division, the <name key="name-023216" type="organisation">Mobile Surgical Unit</name> was to function as a light section of a CCS and be attached to the Division.</p>
          <p rend="indent">At a conference held at GHQ MEF on 30 October it was decided that two general hospitals would move to <name key="name-000862" type="place">Garawla</name> in the <name key="name-024430" type="place">Western Desert</name> forthwith, one of which was to be 2 NZ General Hospital and the other, 43 British General Hospital. The New Zealanders would thus have a hospital on the lines of communication, though its patients would not be exclusively New Zealanders.</p>
        </div>
        <div type="section" n="2" xml:id="c7-2">
          <head>
            <hi rend="i">2 NZ General Hospital at <name key="name-000862" type="place">Garawla</name></hi>
          </head>
          <p rend="indent">No. 2 General Hospital, with Colonel Spencer in command, made a most expeditious move and left <name key="name-004262" type="place">Maadi</name> for the <name key="name-024430" type="place">Western Desert</name> on 2 November. The site selected for the hospital at <name key="name-000862" type="place">Garawla</name> was half a mile to the west of the <name key="name-023779" type="place">Matruh</name>-<name key="name-000576" type="place">Alexandria</name> road and railway and about 12 miles from <name key="name-023779" type="place">Matruh</name>, while there was a landing ground 3 miles away. The area was flat but a stratum of rock nine to twelve inches thick near the surface of the ground presented a difficulty in the erection of tents and the preparation of dugouts.
<pb n="252" xml:id="n252"/>
However, assistance by blasting was rendered by a company of engineers. A pipeline for water ran near the hospital area and pipelines were laid by the engineers to bring the water supply to the hospital.</p>
          <p rend="indent">While at <name key="name-004203" type="place">Maadi Camp</name> 2 General Hospital had worked out and erected in skeleton form a hospital layout in the form of a cross and the <name key="name-000862" type="place">Garawla</name> hospital was laid out on the same plan. The administrative offices formed a small central cross and the ward tents were pitched on the lines of a larger cross. It was thought the interior communication roads would emphasise the nature of the unit from the air, especially when the roofs of the tents were painted red. For additional security from aerial attack the tents were dispersed at a distance of 42 yards between wards and 37 yards between administrative tents. The latter, and the wards for seriously ill patients, were sunk three feet below ground level, and all the other tent sites were excavated more shallowly and protected on the outside by sandbags. For security reasons senior Eighth Army officers thought it undesirable to give the enemy information that a hospital
<pb n="253" xml:id="n253"/>
was being established, so preparations, especially for the erection of large wards, had to be concealed from air observation as much as possible. Dugouts up to six feet deep were made for the theatre block, resuscitation ward, telephone exchange, and cookhouses. These were covered with corrugated iron and sandbags. High winds with associated sandstorms and occasional rain added to the difficulties of the rocky terrain.</p>
          <p>
            <figure xml:id="WH2Med28a">
              <graphic url="WH2Med28a.jpg" mimeType="image/jpeg" xml:id="WH2Med28a-g"/>
              <head>2 NZ General Hospital, <name key="name-000862" type="place">Garawla</name>, November 1941 – March 1942</head>
              <figDesc>plan of hospital</figDesc>
            </figure>
          </p>
          <p rend="indent">Excellent work by the staff made it possible for the hospital to function within twenty days of its arrival at <name key="name-000862" type="place">Garawla</name>. The men of the staff, only two or three of whom were trained tradesmen, did a great deal of construction work as carpenters, tinsmiths, plumbers, electricians, and engine-hands.</p>
        </div>
        <div type="section" n="3" xml:id="c7-3">
          <head>
            <hi rend="i">Detachment 3 NZ General Hospital, <name key="name-000576" type="place">Alexandria</name></hi>
          </head>
          <p rend="indent">Most of the ambulance trains from the <name key="name-024430" type="place">Western Desert</name> proceeded to <name key="name-000576" type="place">Alexandria</name> and the Canal Area, and could not be diverted to <name key="name-003601" type="place">Cairo</name> on account of congestion of the railways. It was therefore desirable that some provision should be made for looking after such <name key="name-004368" type="organisation">2 NZEF</name> casualties as were likely to be evacuated through <name key="name-000576" type="place">Alexandria</name>. In October it at first seemed likely that 3 General Hospital would have to leave its site at <name key="name-009430" type="place">Helmieh</name>, which by hard work and organisation had come to be recognised as the best tented hospital in <name key="name-002106" type="place">Egypt</name>, and go to the Canal Area. Then there arose the possibility of taking over the Greek hospital at <name key="name-000576" type="place">Alexandria</name>, where the AIF had maintained 200 beds since the evacuation of <name key="name-003325" type="place">Crete</name>. The financial responsibility, however, would have been very heavy. Later, as an alternative proposition, it was arranged that the major part of the Anglo-Swiss hospital, <name key="name-000576" type="place">Alexandria</name>, be taken over. Arrangements for its transfer were very protracted, but on 22 November a detachment of 3 General Hospital staff under Lieutenant-Colonel E. L. Button went to <name key="name-000576" type="place">Alexandria</name> to run a 200-bed hospital. These extra beds were over and above the quota required to be supplied by <name key="name-004368" type="organisation">2 NZEF</name>, except that the CCS was still not functioning. In order that the new hospital would not be considered a permanent institution, it was not called a 200-bed hospital but Detachment, 3 General Hospital.</p>
        </div>
        <div type="section" n="4" xml:id="c7-4">
          <head>
            <hi rend="i">The Plan of Battle</hi>
          </head>
          <p rend="indent">The broad intention of the British offensive was the destruction of the enemy forces in <name key="name-025395" type="place">North Africa</name>. This was to be accomplished in two phases: the recapture of <name key="name-003430" type="place">Cyrenaica</name>, and the invasion and conquest of <name key="name-016304" type="place">Tripolitania</name>. <hi rend="sc">Crusader</hi> campaign was planned to carry
<pb n="254" xml:id="n254"/>
out the first phase, and timed to forestall an intended operation by the enemy to capture <name key="name-001400" type="place">Tobruk</name>. The offensive began on 18 November.</p>
          <p rend="indent">Eighth Army had two corps under its command to carry out the operation. Thirteenth Corps, which consisted mainly of infantry, included NZ Division, <name key="name-006522" type="organisation">4 Indian Division</name>, and 1 Army Tank Brigade. Thirtieth Corps, which was the armoured corps, comprised <name key="name-009204" type="organisation">7 Armoured Division</name>, <name key="name-009719" type="organisation">1 South African Division</name>, and 22 Armoured Brigade.</p>
          <p rend="indent">The first objective of CRUSADER was the destruction of the enemy's armoured forces and this task was given to 30 Corps, which was to advance from the <name key="name-029249" type="place">Maddalena</name> area, threaten the enemy forces investing <name key="name-001400" type="place">Tobruk</name>, and so compel the enemy to deploy his armour. The enemy's armoured forces were then to be engaged and destroyed wherever they were met. In the meantime, 13 Corps was to advance and isolate the enemy forces in the frontier area and prevent them from assisting in the battles to the west. Later, it was to drive westwards and join forces with 30 Corps. The relief of <name key="name-001400" type="place">Tobruk</name> was only incidental to this plan, but was to be carried out by 30 Corps in conjunction with a sortie by the <name key="name-001400" type="place">Tobruk</name> garrison according to how the battle progressed.</p>
          <p rend="indent">The New Zealand Division, as part of 13 Corps, had the initial task of isolating enemy forces in the <name key="name-001351" type="place">Sollum</name>-<name key="name-000620" type="place">Bardia</name> sector of the frontier defences. Its 6th Brigade, which was equipped as a special mobile force, had to be ready to proceed to engage the enemy in the <name key="name-002725" type="place">Gambut</name>-Bir el Chleta area or to move to reinforce 30 Corps.</p>
          <p rend="indent">As the campaign progressed these plans were considerably altered. That which had at first been incidental to the plan, the relief of <name key="name-001400" type="place">Tobruk</name>, became the major objective and the New Zealand Division was used to achieve it.</p>
        </div>
        <div type="section" n="5" xml:id="c7-5">
          <head>
            <hi rend="i">New Zealand Division's Part</hi>
          </head>
          <p rend="indent">On 11 November the New Zealand Division left <name key="name-002877" type="place">Baggush</name> to take up a battle position west of the <name key="name-002106" type="place">Egypt</name>–Libyan frontier. Advancing at night without lights in stages of 25–30 miles and unobserved by the enemy, the Division crossed the frontier about 50 miles south of the <name key="name-007453" type="place">Mediterranean</name> coast on 18 November. A field ambulance company was attached to each brigade group in readiness to form advanced dressing stations during the coming action.</p>
          <p rend="indent">The Division moved 14 miles to the north on the 19th and on 21 November was ordered to advance and carry out its part in the plan. Led by the Divisional Cavalry, the Division advanced northwards that night. The Divisional Cavalry captured <name key="name-004714" type="place">Sidi Azeiz</name> and established a position on the escarpment overlooking the <name key="name-001400" type="place">Tobruk</name>–<name key="name-000620" type="place">Bardia</name> road. Fifth Brigade, following immediately behind, occupied <name key="name-004714" type="place">Sidi Azeiz</name> and captured <name key="name-000737" type="place">Capuzzo</name> by dawn on the 22nd. Later in the
<pb n="255" xml:id="n255"/>
day 5 Brigade occupied <name key="name-004351" type="place">Musaid</name>. Fourth Brigade followed through and cut the <name key="name-001400" type="place">Tobruk</name>–<name key="name-000620" type="place">Bardia</name> road in the <name key="name-004266" type="place">Menastir</name> area, and early on the 23rd the <name key="name-001351" type="place">Sollum</name> barracks were attacked and occupied by 28 Battalion. The Division had now successfully established itself to carry out its task of isolating the enemy forces in the <name key="name-000620" type="place">Bardia</name>–<name key="name-001351" type="place">Sollum</name> sector of the frontier defences.</p>
          <p rend="indent">In the meantime the fortunes of the armoured battles had fluctuated and had developed into a running fight for the mastery of the key position of <name key="name-001334" type="place">Sidi Rezegh</name>. On the 21st 6 Brigade was directed to move westward to assist <name key="name-009204" type="organisation">7 Armoured Division</name> at <name key="name-001334" type="place">Sidi Rezegh</name> and came under the command of 30 Corps. The brigade pushed on westwards and, after a hard-fought battle, drove the enemy back from Point 175 on the 23rd. On the same day <name key="name-207994" type="person">General Freyberg</name> was ordered to leave the minimum forces to mask the <name key="name-000620" type="place">Bardia</name>–<name key="name-001351" type="place">Sollum</name> sector and to proceed westwards and link up with 6 Brigade. The Division, less 5 Brigade which was left to carry out the Division's task on the frontier, was now committed to capturing the features dominating the routes round <name key="name-001400" type="place">Tobruk</name> via <name key="name-000816" type="place">Ed Duda</name>. After hard fighting <name key="name-003368" type="place">Belhamed</name> and <name key="name-001334" type="place">Sidi Rezegh</name> were captured and on the night 26–27 November a junction was effected with the <name key="name-001400" type="place">Tobruk</name> garrison at <name key="name-000816" type="place">Ed Duda</name>.</p>
          <p rend="indent">Meanwhile, Rommel had collected his armoured forces and counter-attacked towards the Egyptian frontier. Crossing the frontier on 24 November, part of these armoured forces linked up with the garrisons at <name key="name-011218" type="place">Halfaya</name> and later joined forces with those which had already reached <name key="name-000620" type="place">Bardia</name>. Many of our rearward installations were overrun, including an Indian MDS west of the frontier, and this forced those medical units staged out on the 30 Corps axis to withdraw. Between the 24th and the 27th enemy columns appeared at unexpected places, upsetting the lines of supply and causing great confusion among isolated units and formations. Many of the New Zealand medical units and detachments fell into enemy hands as a result.</p>
          <p rend="indent">On the 27th these enemy forces began streaming back from the frontier to re-enter the battle raging at <name key="name-001334" type="place">Sidi Rezegh</name> and around <name key="name-001400" type="place">Tobruk</name>. Fifth Brigade Headquarters group at <name key="name-004714" type="place">Sidi Azeiz</name> which stood in their path was overwhelmed, but at Bir el Chleta the British armour firmly blocked the route westwards and inflicted serious losses on <hi rend="i"><name key="name-000873" type="organisation">15 Panzer Division</name></hi> later in the day. By the 28th enemy armoured formations had begun to arrive in the <name key="name-001334" type="place">Sidi Rezegh</name> area. On their way back from the frontier they had been harassed and attacked by formations of <name key="name-009204" type="organisation">7 Armoured Division</name>, which was also protecting the southern flank and rear of the New Zealand Division. On the evening of the 28th an armoured battle developed south of
<pb n="256" xml:id="n256"/>
the New Zealand Division's position and moved away to the south-west. During the temporary absence of armoured protection enemy lorried infantry moved northwards and captured the New Zealand combined medical dressing station, which was to remain in enemy hands till 6 December.</p>
          <p rend="indent">The enemy's intention was to annihilate the New Zealand Division and sever the corridor into <name key="name-001400" type="place">Tobruk</name>. During the next three days the Division bore the brunt of the attack of the enemy armour, and, after successively losing the key points of Point 175, <name key="name-001334" type="place">Sidi Rezegh</name> and <name key="name-003368" type="place">Belhamed</name>, withdrew from the battle during the night 1–2 December. But these battles had also exhausted the enemy, and with the increasing pressure brought to bear on his supply lines he began to withdraw on 5 December to a line based on <name key="name-003648" type="place">Gazala</name>.</p>
          <p rend="indent">Thirteenth Corps was given the task of pursuing the enemy, and <name key="name-006522" type="organisation">4 Indian Division</name> and 5 NZ Brigade were brought from the frontier area to join with other units of that formation from <name key="name-001400" type="place">Tobruk</name>. Fifth Brigade was in action in the <name key="name-003648" type="place">Gazala</name> area from 11 to 16 December. On the 16th the enemy began to withdraw to a new line at <name key="name-002754" type="place">El Agheila</name> and 5 Brigade later rejoined the Division at <name key="name-002877" type="place">Baggush</name>. The Divisional Cavalry and the <name key="name-023216" type="organisation">Mobile Surgical Unit</name> were the only units of the Division that remained in the forward area. <name key="name-000620" type="place">Bardia</name> was finally captured on <date when="1942-01-02">2 January 1942</date> and about 800 New Zealanders held captive there were released.</p>
        </div>
        <div type="section" n="6" xml:id="c7-6">
          <head>
            <hi rend="i">General Medical Plan</hi>
          </head>
          <p rend="indent">The general medical plan for the Second Libyan Campaign was based on two lines of evacuation, one for 13 Corps and one for 30 Corps. The Corps' lines converged in the rear at Bir Thalata, 15 miles west of the main medical centre at <name key="name-029293" type="place">Minqar el Zannan</name> where were sited 14 British CCS, less the light section, and <name key="name-028800" type="organisation">1 Mobile Military Hospital</name>.</p>
          <p rend="indent">From the medical centre evacuation was by train from the ambulance railhead about 7 miles away, from a landing ground nearby, and by motor ambulance convoy to the main coastal road and thence back to <name key="name-023779" type="place">Matruh</name> and <name key="name-000576" type="place">Alexandria</name>, staging posts being arranged on the way. At <name key="name-000862" type="place">Garawla</name>, near <name key="name-023779" type="place">Matruh</name>, there were two base hospitals on the L of C, where cases could be staged if necessary. One of these hospitals was 2 NZ General Hospital under Colonel Spencer. The next centre was <name key="name-000576" type="place">Alexandria</name>, with two British general hospitals in <name key="name-000576" type="place">Alexandria</name> itself and two at <name key="name-028833" type="place">Buselli</name> close by. A detachment of 3 NZ General Hospital under Lieutenant-Colonel Button was also sited in <name key="name-000576" type="place">Alexandria</name> at the Anglo-Swiss hospital.</p>
          <pb n="257" xml:id="n257"/>
          <p rend="indent">Behind <name key="name-000576" type="place">Alexandria</name> were a group of hospitals in the Canal Zone and the hospitals in <name key="name-003601" type="place">Cairo</name>. No. <name key="name-028359" type="place">1 NZ General Hospital</name> under Colonel Pottinger and 3 NZ General Hospital under Colonel Gower were in the <name key="name-003601" type="place">Cairo</name> zone at <name key="name-000935" type="place">Helwan</name> and <name key="name-009430" type="place">Helmieh</name> respectively.</p>
          <p rend="indent">In the 13 Corps zone arrangements were made to have staging posts at 25-mile intervals ahead of the main medical centre. Twenty miles short of the frontier at <name key="name-028128" type="place">Conference Cairn</name> were sited the light section of <name key="name-027443" type="organisation">14 CCS</name> and the MDS of 14 Field Ambulance, and just west of the frontier was 17 Indian Field Ambulance, to which was attached a British surgical team.</p>
          <p rend="indent">From there the lines of <name key="name-006522" type="organisation">4 Indian Division</name> and the New Zealand Division branched, the Indian line servicing the frontier at <name key="name-001333" type="place">Sidi Omar</name>, and the New Zealand line passing west then north to the region of <name key="name-004714" type="place">Sidi Azeiz</name>. Evacuation from the open New Zealand MDS was to be arranged by <name key="name-028823" type="organisation">7 MAC</name>, which was responsible for the transport of cases to the medical centre. The evacuation of casualties from the Division to the MDS was the responsibility of the divisional units themselves. The Division had available three complete field ambulances and the <name key="name-023216" type="organisation">Mobile Surgical Unit</name> as well as the regimental medical officers.</p>
          <p rend="indent">The divisional plan, as during the retreat in <name key="name-002294" type="place">Greece</name>, was to attach a section of a field ambulance to each brigade under brigade command, and to utilise the remainder of the field ambulances as MDSs as occasion demanded. To the main active MDS was to be attached the <name key="name-023216" type="organisation">Mobile Surgical Unit</name> to deal with the major surgery, especially the surgery of the abdomen, head and chest, and amputations. This was the first time this unit had been utilised in action.</p>
          <p rend="indent">The experiences in <name key="name-002294" type="place">Greece</name> and <name key="name-003325" type="place">Crete</name> had convinced our force that the Germans did respect the Geneva Convention, and all medical units provided themselves with adequate recognition signs for display during the campaign. Large Red Crosses were painted on ambulance cars, and all medical trucks had large signs which could be fixed on the roofs and sides. Medical staff cars flew flags and also had signs for the roof. The signs were shown only when the medical units were established as units and not associated with combatant personnel. When the brigades travelled in desert formation all signs were taken down or covered over. This was done in order to observe the Convention strictly, and also to avoid giving information of a strategic move to the enemy. Some of the British ambulance cars still retained the small <name key="name-027417" type="organisation">Red Cross</name> markings which were not discernible more than a few yards away. A convoy of these cars was shot up by our own aircraft in mistake for German armoured vehicles.</p>
        </div>
        <pb n="258" xml:id="n258"/>
        <div type="section" n="7" xml:id="c7-7">
          <head>
            <hi rend="i">New Zealand Medical Units in the Campaign</hi>
          </head>
          <p rend="indent">At a conference called by the <name key="name-028893" type="organisation">DDMS</name> 13 Corps, Colonel Smythe, on 16 November it was agreed that in desert warfare the distances between main dressing stations or ‘staging posts’ should, if possible, not exceed 25 miles. With such a line of evacuation, patients would not have to spend more than two and a half to three hours in motor ambulance cars without dressings being adjusted, sedatives administered, or hot drinks given. This policy was adhered to in the early stages of the campaign as the Division advanced to <name key="name-000620" type="place">Bardia</name> and <name key="name-001351" type="place">Sollum</name>, but had to be abandoned later when 5 Field Ambulance, which established the staging posts, moved up towards <name key="name-001334" type="place">Sidi Rezegh</name> because of roving enemy armoured columns. At midnight on 18 November the medical group arrived at the dispersal area north of Fort <name key="name-029249" type="place">Maddalena</name>, which was between the Libyan-Egyptian frontier and the frontier wire inside <name key="name-001027" type="place">Libya</name>. Here 5 Field Ambulance set up a temporary MDS, and then maintained a staging post for two days. On 21 November instructions were received for all New Zealand field ambulances to move forward to a dispersal area near Point 187. The halt at this point was short and by 10.30 a.m. next day the medical group was again on the move in desert formation and headed for a point south-west of <name key="name-004714" type="place">Sidi Azeiz</name> crossroads. The convoy passed west of <name key="name-001333" type="place">Sidi Omar</name> to avoid enemy shellfire and a battle which was then in progress in that area. Eight miles south-west of Azeiz, 4 Field Ambulance, under Lieutenant-Colonel Tennent, set up an MDS which dealt with 250 casualties after the engagements on 22 and 23 November. The <name key="name-023216" type="organisation">Mobile Surgical Unit</name>, under Major Furkert, opened up near 4 Field Ambulance MDS and performed forty major operations on specially selected cases. Fifth Field Ambulance was redirected back to the location of the previous day near Point 187 and there set up as a staging post.</p>
          <p rend="indent">On the morning of 23 November 6 Field Ambulance (less A Company) was stationed in reserve in the vicinity of <name key="name-004714" type="place">Sidi Azeiz</name>. Late that morning after a conference between Colonel Kenrick and Lieutenant-Colonel Speight, CO 6 Field Ambulance, the latter's unit was instructed to move along the Trigh <name key="name-000737" type="place">Capuzzo</name> and to open an MDS at some suitable spot to the east of <name key="name-002725" type="place">Gambut</name>, in which area 4 and 6 Infantry Brigades were now located. For this move the ambulance was attached to the <name key="name-006644" type="place">Divisional Headquarters</name> convoy which was proceeding west from <name key="name-004714" type="place">Sidi Azeiz</name> that afternoon. Towards evening this convoy became involved in a brush with enemy troops and a wide detour to the south of the Trigh <name key="name-000737" type="place">Capuzzo</name> became necessary. The convoy dispersed and halted for the night at about 11 p.m. with 6 Field Ambulance to the northern side.</p>
          <pb n="259" xml:id="n259"/>
          <p rend="indent">On the morning of 24 November tank shells began to fall amongst the ambulance vehicles and the unit was moved a mile to the south to the entrance of a wide wadi, where a number of casualties from the tank battle were treated. One or two abandoned vehicles were discovered here and, having been made roadworthy, were added to the unit transport.</p>
          <p rend="indent">The convoy began moving up the wadi at 2.30 p.m., and shortly afterwards 6 Field Ambulance received instructions to go to a wadi 7 miles from <name key="name-001334" type="place">Sidi Rezegh</name> to take over from A Company 6 Field Ambulance and open an MDS at that site. Darkness was now falling, and by the time all the ambulance vehicles had negotiated the steep track from the wadi to the escarpment above it was already dark. As there were only the vaguest notions as to where precisely A Company was sited, the next three hours of wandering in the desert were rather anxious, but A Company's ADS was found about midnight and the MDS erected immediately. A Company's personnel were thus given a short and well-earned rest from the extremely strenuous work which had occupied them for the previous few days. At the time the ADS was holding 250 wounded (some New Zealanders, some Germans, and about 200 South Africans from the overrun 5 SA Brigade), after evacuating 200 during that day. During the next twenty-four hours 450 casualties were received at 6 MDS in a steadily increasing stream, which by the morning of 26 November had reached almost flood proportions. The operating theatre was continuously busy throughout the twenty-four hours.</p>
          <p rend="indent">On 25 November Colonel Kenrick discussed with GSO I NZ Division (Colonel Gentry)<note xml:id="ftn1-259" n="1"><p><name key="name-208023" type="person">Maj-Gen W. G. Gentry</name>, CB, CBE, DSO and bar, m.i.d., MC (Greek), Bronze Star (US); <name key="name-120035" type="place">Lower Hutt</name>; born <name key="name-008904" type="place">London</name>, <date when="1899-02-20">20 Feb 1899</date>; Regular soldier; served North-West Frontier, 1920–22; GSO II NZ Div 1939–40; AA and QMG Oct 1940–Oct 1941; GSO I Oct 1941–Sep 1942; commanded 6 Bde Sep 1942–Apr 1943; Deputy Chief of General Staff (in NZ) 1943–44; comd NZ Troops in <name key="name-002106" type="place">Egypt</name>, 6 NZ Div, and NZ <name key="name-004203" type="place">Maadi Camp</name>, Aug 1944–Feb 1945; comd 9 Bde (<name key="name-001383" type="place">Italy</name>) <date when="1945">1945</date>; Deputy Chief of General Staff, Jul 1946–Nov 1947; Adjutant-General, Apr 1949–Mar 1952; Chief of the General Staff 1 Apr 1952–14 Aug 1955.</p></note> the insecurity of the medical units due to the fluid nature of the battle and the activities of enemy armour in the rear. It was agreed that the safest place for all the New Zealand medical units not actively employed elsewhere was with 6 Field Ambulance in the wadi near Advanced NZ Division Headquarters, which had under command a reserve of tanks. It was considered that these tanks would provide additional security for units in this location. Consequently, the same day 5 Field Ambulance, <name key="name-023216" type="organisation">Mobile Surgical Unit</name>, and 4 Field Hygiene Section were instructed by Colonel Gentry (with Colonel Kenrick's approval) to move up with Rear HQ NZ Division and Administration Group to join 6 Field Ambulance MDS near Advanced Divisional Headquarters.</p>
          <pb n="260" xml:id="n260"/>
          <p rend="indent">The <name key="name-023216" type="organisation">Mobile Surgical Unit</name> arrived on 25 November and was erected further down the wadi about a quarter of a mile from the 6 Field Ambulance MDS. Selected cases were referred there for operation at first, but by 26 November the number of casualties requiring operation was greater than the MDS surgical teams could cope with, so that many wounded men were sent straight on to the MSU without any real attempt at proper selection being made. For the evacuation of casualties use was made of returning RMT transport as well as of the ambulance cars.</p>
          <p rend="indent">During 26 November 5 Field Ambulance, less one company and the Field Hygiene Section, arrived at the MDS and dispersed its vehicles on the plain above the wadi. The ambulance remained packed in anticipation of a move into <name key="name-001400" type="place">Tobruk</name> at any time. Fifth Field Ambulance medical officers and personnel, however, were of great assistance in helping the 6 Field Ambulance personnel with the heavy flood of casualties arriving at the MDS. The Hygiene Section, besides its ordinary duties of sanitation, marked out routes between <name key="name-006644" type="place">Divisional Headquarters</name> and the medical units, and also assisted the other units as orderlies and buried the dead.</p>
          <p rend="indent">Considerable numbers of German wounded were being admitted to the MDS and Lieutenant-Colonel Speight arranged for the release of two German medical officers and a number of German medical orderlies from the prisoner-of-war cage nearby to assist with the treatment of German casualties at the MDS. The German officers messed with the MDS officers and proved pleasant and co-operative in every way.</p>
          <p rend="indent">A convoy of 7 British MAC arrived on 26 November with twenty motor ambulances; the route that had been taken from 4 Field Ambulance MDS was 5 miles south of and parallel to the Trigh <name key="name-000737" type="place">Capuzzo</name> road. At midday the convoy of ambulance cars took 279 wounded back to 4 MDS by the same route. Soon afterwards it was learned from the DADMS that 4 MDS had moved, under instructions from Brigadier <name key="name-208158" type="person">Hargest</name>,<note xml:id="ftn1-260" n="1"><p><name key="name-208158" type="person">Brig J. Hargest</name>, CBE, DSO and bar, MC, m.i.d.; born Gore, <date when="1891-09-04">4 Sep 1891</date>; farmer; Member of Parliament 1931–44; Otago Mounted Rifles, 1914–20 (CO 2 Bn, Otago Regt); comd 5 Bde May 1940–Nov 1941; p.w. <date when="1941-11-27">27 Nov 1941</date>; escaped <date when="1943-03">Mar 1943</date>; killed in action, <name key="name-008009" type="place">France</name>, <date when="1944-08-12">12 Aug 1944</date>.</p></note> commanding 5 Brigade, to Abiar Araaz owing to the proximity of enemy tanks. Fourth Field Ambulance had carried with it 150 wounded, including many Germans, but those unable to be moved were left at the original site under the care of a detachment comprising Major R. D. King and sixteen other ranks who volunteered to remain. The ambulance convoy staged at Major King's unit and later encountered enemy columns, but eventually found its way back to <name key="name-028128" type="place">Conference Cairn</name>.</p>
          <pb n="261" xml:id="n261"/>
          <p rend="indent">Fou