The Civil War was a watershed in public awareness of the many health-related issues soldiers faced while living in camps. Sanitarians among civilians and regular army officers attempted to meet those challenges by addressing a range of topics associated with preventive healthcare in the volunteer army. The US Sanitary Commission, a nongovernmental agency sanctioned by the Federal government, created a massive campaign to study conditions in semipermanent camps and advise unit commanders how to avoid unnecessary illness and curb soldier deaths by disease. Commission inspectors, mostly civilian physicians, examined camps from 1861 to early 1864 and filed more than 1,400 reports of their findings.

Earl J. Hess delves deeply into 280 of those reports, shedding new and startling light on camp conditions. Addressing camp situation, shelter, clothing, personal cleanliness, garbage disposal, latrines, food, cooking, water, alcohol, morale, recruit examination, smallpox vaccination, regimental hospitals, and officer supervision, the camp inspection returns are unique snapshots of what it was like to live in a Union army camp. The reports reveal that sanitation varied widely from unit to unit and across time periods. Volunteer regimental officers and surgeons were often unable to take sanitary principles seriously, and disposing of garbage and human waste was often nonexistent. Overall, the volunteer regiments did well enough to get by, but they did not achieve high marks for military effectiveness when it came to preventive healthcare.

Civil War Camps and Soldier Health is a thought-provoking, impeccably researched volume that enriches our understanding of the sanitation challenges facing the Union army camps as well as how these challenges were recorded and examined by early researchers.