The Civil War Era
124
THE END OF THE CONFLICT
The year 1865 would deliver the war’s conclusion. In January
Congress passed the Thirteenth Amendment, which called
for the end of slavery. The amendment would be ratifi ed by
the states by year’s end. By spring 1865 as many as two out
of every fi ve Rebel soldiers had packed up and left the war
for home. Desperately short on manpower, the Confeder-
ate Congress passed a bill allowing blacks to enlist in the
Southern Army, but the decision was made too late to make
a difference. The Confederacy came crashing down within
weeks of the political move. These were the fi nal days of the
prolonged siege between Lee and Grant.
In late March Lee made the decision to abandon Peters-
burg and Richmond and break out to the west, hoping to
meet up with the remnants of Joe Johnston’s army and fi ght
another day. When Confederates attacked Fort Stedman
along the Union siege lines, Grant knew the time had come
to end the siege. With Lee moving, Union forces engaged
a disease-ridden War
It is one of the cold facts of the Civil
War that almost twice as many men
died from disease than from wounds
infl icted on the battlefi eld. The
poor state of medical facilities and
personnel help explain why. There
were no army hospitals before the war
began, and military doctors were few.
In April 1861, the U.S. Army had
only 113 surgeons, and two dozen
of them went with the Confederacy.
By 1865, the two armies were served
by 15,000 surgeons. Still, the state of
Civil War-era medicine was appalling.
There was little understanding of
germs, and doctors routinely moved
from patient to patient without
washing their hands, which helped to
spread infections. Actual medicines
were few and many were ineffective
against such widespread diseases as
tuberculosis, typhoid, and smallpox.
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