TheUnited States Sanitary Commission (USSC) was a privaterelief agency created by federal legislation on June 18, 1861, to support sick and wounded soldiers of theUnited States Army (Federal / Northern /Union Army) during theAmerican Civil War.[a] It operated across the North, raised an estimated $25 million in Civil War era revenue (assuming 1865 dollars, $513.53 million in 2024) and in-kind contributions[1] to support the cause, and enlisted thousands of volunteers. The president wasHenry Whitney Bellows, andFrederick Law Olmsted acted as executive secretary. It was modeled on the British Sanitary Commission, set up during theCrimean War (1853–1856), and from the British parliamentary report published after theIndian Rebellion of 1857 ("Sepoy Rebellion").[2][3][b]
Henry Whitney Bellows (1814–1882), a Massachusetts clergyman, planned the USSC and served as its only president.[4][c] According toThe Wall Street Journal, "its first executive secretary wasFrederick Law Olmsted, (1822–1903), the famed landscape architect who designed New York'sCentral Park".[5]George Templeton Strong (1820–1875), New York lawyer and diarist, helped found the commission and served as treasurer and member of the executive committee.[6]
Leaders of the Sanitary Commission.[7] From left to right: Dr. William Van Buren, George T. Strong, Commission President Henry Whitney Bellows, Dr. Cornelius R. Agnew, and Dr. Oliver Wolcott Gibbs.[8]
In June 1861, the Sanitary Commission set up its central office inside theUnited States Treasury Building, just east of theExecutive Mansion (now the White House), on Pennsylvania Avenue and 15th Street in centralWashington, D.C. By late October 1861, the USSC Central Office and theU.S. War Department had received detailed studies and reports from the Sanitary Inspectors of more than four hundred regimental camp inspections. The rapidly crowded events of those first six months of the war displayed the sheer gravity of the situation in which the adjustment to the means and agencies were desperately needed to ensure a high health-rate in all those untrainedUnion Army regiments.[9]
Immediately following theFirst Battle of Bull Run in July 1861, the first orders and receipts submitted to the Central Office began to arrive from the militaryUnion Army hospitals atAlexandria, Virginia, and Washington, D.C., requestingwater-beds, small tables for writing in bed, iron wire cradles for protecting wounded limbs, dominoes, checkerboards,Delphinium and hospital gowns for the wounded.[10][d]
The demands of the war soon required more frequent decision-making. This led to the creation of the Standing Committee, which met on a nearly daily basis inNew York City where most of its members resided. The Standing Committee initially consisted of five commissioners who retained their position for the entire war: Henry W. Bellows, George Templeton Strong, William H. Van Buren, M.D., Cornelius R. Agnew, M.D., and Wolcott Gibbs, M.D.[12]
In addition to setting up and staffing hospitals, the USSC operated 30 soldiers' homes, lodges, or rest houses for traveling or disabled Union soldiers. Most of these closed shortly after the war.[13]
Also active in the association was ColonelLeavitt Hunt (1831–1907), a New York lawyer and pioneering photographer. In January 1864, he wrote to 16th PresidentAbraham Lincoln's secretaryJohn George Nicolay asking that Nicolay forward him any documents he might have available with the President's signature. Hunt's mother, the widow of Vermont congressmanJonathan Hunt, planned to attach Lincoln's signature to copies of several casts of the President's hand, to be sold to raise funds for the war effort.[11] Other fund raising events included the famous 50 pound sack of flour that was auctioned off byReuel Colt Gridley. By auctioning off the same sack of flour, which was then re-donated to be sold again, Gridley eventually raised more than $250,000.00 for the Sanitary Commission.
States could use their own tax money to supplement the Commission's work, as Ohio did. Under the energetic leadership of GovernorDavid Tod, aWar Democrat who won office on a coalition "Union Party" ticket with Republicans, Ohio acted vigorously. Following the unexpected carnage at theBattle of Shiloh in April 1862, it sent three steamboats to the scene as floating hospitals with doctors, nurses and medical supplies. The state fleet expanded to eleven hospital ships. The state also set up 12 local offices in main transportation nodes to help Ohio soldiers moving back and forth.[14]
The government constructed thePension Building in Washington, D.C. to handle all the staff to process the pension requests and administer them. Its successor, built as a permanent building in the 1880s, is now listed on theNational Register of Historic Places. After the war, the USSC volunteers continued to work withUnion Army veterans to secure their bounties, back pay, and apply for pensions. It supported the "health and hygiene" of the veterans. They had a Department of General Relief which accepted donations for veterans, too.[15] The USSC organization was finally disbanded in May 1866.[16]
United States Sanitary Commission: Our Heroines (Thomas Nast,Harper's Weekly April 9, 1864)
Arising from a meeting in New York City of the Women's Central Relief Association of New York,[17] the organization was also inspired by the British Sanitary Commission of theCrimean War. The American volunteers raised money (estimated at $25 million), collected donations, made uniforms, worked asnurses, rankitchens in army camps, and administeredhospital ships,soldiers' homes, lodges, and rests for traveling or disabled soldiers. They organized Sanitary Fairs in numerous cities to support the Federal army with funds and supplies, and to raise funds for the work of the USSC.[15] Women who were prominent in the organization, often traveling great distances, and working in harsh conditions, includedLouisa May Alcott,Almira Fales,Eliza Emily Chappell Porter,Katherine Prescott Wormeley, and many others.
Dorothea Dix, serving as the commission's superintendent, convinced the medical corps of the value of women working in their hospitals.[18] Over 15,000 women volunteered to work in hospitals, usually in nursing care.[19] They assisted surgeons during procedures, gave medicines, supervised the feedings and cleaned the bedding and clothes. They gave good cheer, wrote letters the men dictated, and comforted the dying.[20] A representative nurse wasHelen L. Gilson (1835–68) ofChelsea, Massachusetts, who served in Sanitary Commission. She supervised supplies, dressed wounds, and cooked special foods for patients on a limited diet. She worked in hospitals after the battles of Antietam, Fredericksburg, Chancellorsville and Gettysburg. She was a successful administrator, especially at the hospital for black soldiers at City Point, Virginia.[21] The middle-class women who volunteered provided vitally needed nursing services and were rewarded with a sense of patriotism and civic duty in addition to the opportunity to demonstrate their skills and gain new ones, while receiving wages and sharing the hardships of the men.[22]
From the outset, many local groups sponsored fund-raising events to benefit the Commission. As the war progressed, these became larger and more elaborateSanitary Fairs. One of the first events was in Lowell, Massachusetts, 1863.[25] Groups in other cities soon adopted this plan.[26] Organizing these Sanitary Fairs offered ways for local communities to be directly part of supporting the war effort of the nation. The largest Sanitary Fair during the war was held in Chicago in 1863.[27][28] Chicago held a second sanitary fair in 1865.[29]
The U.S. Sanitary Commission is memorialized by a group of re-enactors who portray the Boston branch of the commission at various civic events, educational programs, and Civil War re-enactments. The group is based out of theGreater Boston area ofMassachusetts.
^The official warrant or order for the organization of the Sanitary Commission appears to have issued from the War Department office, Sunday, 9th June 1861, and to have received President Lincoln's signature four days subsequently.
^Additionally, the medical reports ofEdmund Alexander Parkes including the British army medical dispatches, the findings of the Royal Sanitary Commission, and first-hand knowledge acquired byFlorence Nightingale were compiled in her "Notes On the Care and Treatment of Sick and Wounded During the Late War in the East, and On the Sanitary Requirements of the Army Generally" (London: 1858). These were also considered in the establishment of the United States Sanitary Commission.
^Rev. Dr. Bellows, President of the Commission, provided a graphic statement (following his preliminary tour through the Western encampments) in a letter to aNew York City auxiliary committee of finance. Camp diseases, the irregularity of life, exposure, filth, heat and crowded conditions were described in this letter.
^Additionally, money donations were requested by the Sanitary Commission to support these military Union hospitals. These funds were received by George T. Strong, Treasurer of the Commission, 68 Wall Street, N.Y., and George S. Coe, Treasurer of Central Executive Committee, American Exchange Bank, N.Y.
^Thomas J. Brown,Dorothea Dix: New England Reformer (Harvard U.P. 1998)
^Jane E. Schultz, "The Inhospitable Hospital: Gender and Professionalism in Civil War Medicine",Signs (1992) 17#2 pp. 363–392in JSTOR
^Ann Douglas Wood, "The War within a War: Women Nurses in the Union Army",Civil War History (1972) 18#3
^Edward A. Miller, "Angel of light: Helen L. Gilson, army nurse",Civil War History (1997) 43#1 pp 17–37
^Elizabeth D. Leonard, "Civil war nurse, civil war nursing: Rebecca Usher of Maine",Civil War History (1995) 41#3 pp 190–207
^Wendy Hamand Venet,A Strong-minded Woman: The Life of Mary Livermore (2005)
^Elizabeth D. Leonard. "Civil War Nurse, Civil War Nursing: Rebecca Usher of Maine,"Civil War History (1995): 41#3 190-207.in Project MUSE
^Lowell Daily Citizen and News, 14 February 1863, p. 2.
^Manchester (NH) Daily Mirror, 9 May 1863, p. 4;Salem (MA) Register, 11 June 1863, p. 2.
^Bridge, Jennifer R. (2016). "Going to the Fair". In Widmer, Ted; Risen, Clay; Kalogerakis, George (eds.).New York Times Disunion: A History of the Civil War. New York: Oxford University Press. pp. 90–92.ISBN978-0-19-062183-4.
^Lawson, Melinda.Patriot Fires: Forging a New American Nationalism in the Civil War North, Lawrence, Kansas: University Press of Kansas, 2002.
^"Finding Aid"(PDF).museums.kenosha.org. Archived fromthe original(PDF) on 2021-01-18. Retrieved2019-07-02.
Attie, Jeanie. Patriotic Toil: Northern Women and the American Civil War (1998), focus on the Sanitary Commissiononline
Bremner, Robert Hamlett.The Public Good: Philanthropy and Welfare in the Civil War Era. New York: Knopf, 1980.
Forman, Jacob.The Western Sanitary Commission ( Applewood Books, 2009)online.
Giesberg, Judith Ann.Civil War Sisterhood: The U.S. Sanitary Commission and Women's Politics in Transition (2006)online
Glymph, Thavolia.The Women's Fight: The Civil War's Battles for Home, Freedom, and Nation (UNC Press Books, 2019).
Goodier, Susan. "Louisa Jacobs and the St. Thomas Sanitary Committee Fair of 1864."The Pennsylvania Magazine of History and Biography 148.1 (2024): 21-53. online
Gordon, Beverly. "A Furor of Benevolence."Chicago History 15, no. 4 (1986): 48–65.
Lee, Jisung. "A Glittering Hope at the Darkest Time: Refugees and the Western Sanitary Commission During the Civil War" (dissertation, . University of Missouri-Kansas City, 2020)online
Madway, Lorraine. "Purveying Patriotic Pageantry: The Civil War Sanitary Fairs in New York."New York History 93.4 (2012): 268-301.
Martin, Justin.Genius of Place: The Life of Frederick Law Olmsted (2011) pp 178–230
Maxwell, William Quentin.Lincoln's Fifth Wheel: The Political History of the U.S. Sanitary Commission (1956)online
Mugridge, Donald H. "The United States Sanitary Commission in Washington, 1861-1865." Records of the Columbia Historical Society, Washington, DC 60 (1960): 134-149.online
Novom, Martin L. "Helping wounded soldiers and anxious families: The United States Sanitary Commission and the origin of modern philanthropy in the United States" (dissertation, . The University of Maine, 2020)online.
Parrish, William E. "The Western Sanitary Commission."Civil War History 36.1 (1990): 17-35.excerpt
Schnell, Christopher J. "Mary Livermore and the Great Northwestern Fair."Chicago History 4, no. 1 (1975): 34–43.
Schwalm, Leslie A. "A Body of" Truly Scientific Work": The US Sanitary Commission and the Elaboration of Race in the Civil War Era."The Journal of the Civil War Era 8.4 (2018): 647-676.online
Thompson, William Y. "Sanitary fairs of the Civil War."Civil War History 4.1 (1958): 51-67. [
Thompson, William Y. "The US Sanitary Commission."Civil War History 2.2 (1956): 41-63.excerpt
Brockett, Linus Pierpont.The Philanthropic Results of the War in America. New York: Sheldon & Co., 1864.
Catalogue of the Department of Arms and Trophies Donated and Exhibited at the Northwestern Sanitary Fair, Held at Chicago, Illinois, May 30th to June 21st, 1865 including United States Flags Carried in Different Battles, Captured Rebel Flags, Autographs, Photographs, Etc. Chicago: Rounds and James, 1865.
Catalogue of Paintings, Statuary, Etc. Exhibited for the Benefit of Ladies' North-Western Fair, In Aid of the Chicago Branch of the U.S. Sanitary Commission, For the Relief of Soldiers. Chicago, 1863.
Coatsworth, Stella S.The Loyal People of the North-West, A Record of Prominent Persons, Places and Events, During Eight Years of Unparalleled American History. Chicago: Church, Goodman & Donnelley, 1869.
Olmsted, Frederick Law.The Papers of Frederick Law Olmsted. Vol. 4: Defending the Union: The Civil War and the U.S. Sanitary Commission, 1861-1863 (new edition 1986)
Mark Twain.Roughing It has a small section, Chapter 43, on the activities of the Commission in Virginia City, NV.