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Headquarters 4th. Separate Brigade, Department of Worth Philippines. 
. .. ’ OFFICE CHIEP SURGEON, 
Nueva Caceres,Camarines 8ur,P.I., 
April 20,1902. 
TO the CHIEF SURGEON, 
Dept.of North Philippines, 
Manila,P.I. 
Sir: 
I have the honor to submit herewith a Report of the operations 
of the Medical Department,U. s.Army,in the 4th.Separate Brigade,Dept.of 
North Philippines,during the period from July l,1901,to April 15,1902: 
1 . AMBULANCES :There are twentyfour stations and sub-stations in this 
Brigade,and eight of these are supplied with ambulances,which are 
used for ligitimate purposes only,viz. : transportation of the sick,etc. 
The Ambulance in use at the Brigade Hospital is out of repair,and it 
is recommended a new one be supplied. Ambulances at other stations 
are in good repair. 
At some stations the use of an ambulance is impracticable. 
2. BAKERY :Almost all stations in this Brigade are supplied with small 
bakeries,which are located in buildings suitable for the purpose.The 
baking is done mostly be enlisted men of the command,and with rare 
exceptions is of good quality. At some stations the bakery occupies 
the rear of the kitchen,field ovens—large size—being used.At four 
of the smaller Posts there is no bakery,but these Posts are supplied 
from adjacent stations. 
The Post Bakery at Nueva Caceres is located in the central part of 
the town,in a 1-story brick building containing three rooms ample in 
size. Two Blodgett ovens—large size—are in use. Three hundred and 
eighty pounds of flour are consumed daily,the entire garrison,includ¬ 
ing Brigade-Hospital,being supplied. 
5. BOOKS :Except at small,inaccessible stations,Hospitals are fairly 
well supplied with the latest medical works as furnished by the Med¬ 
ical Supply Table of the Army,thus affording Surgeons opportunity for 
study . 
Papers : Medical journals have been regularly received from the Office 
of the Chief Surgeon,Dept.of North Philippines,and distributed to the 
Medical Officers .in the Brigade. 
,Piles:Piles of all Official papers,etc.,are as a rule properly kept 
throughout the Brigade. There are no cabinets,but most Hospitals have 
improvised cases for the proper care of files. 
The Brigade Chief Surgeon has taken every precaution to examine 
closely the files at the Hospitals on his inspections,and has given 
directions from his Office,from time to time,in the care and arrange¬ 
ment of files so as to facilitate easy reference. 
4. BARRACKS :The troops in the Brigade invariab^ occupy the best class 
of buildings procurable. At nine stations troops occupy convent build¬ 
ings of wood and stone structure,roomy and well adapted for the pur¬ 
pose. Sanitary conditions are unusually good. At six stations troops 
