Page 37 - Il Mediterraneo quale elemento del Potere Marittimo - Atti 16-18 settembre 1996
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p.s.  NAVY HOSPITALS  IN THE  MEDITERRANEAN,  1804·1870                 23


         that the grand master was only slightly injured, and with gratitude for the surgeon's
         prompt action, the emperor presented Dr. Salter with a purse filled with gold coins.
         Salter declined the gift with great delicacy and propriety. A few days later the queen
         of Naples visited the Prank/in and told Commodore Stewart that the emperor had
         been highly gratified by his visit to the ship and that since that time little else had
         been discussed at court. This situation may have been the explanation for the U.S.
                                         6
         Navy's  next hospital arrangement < >.                      '
              We know little about the circumstances, but shortly after this  arrangements
         were made to allow the navy to use a portion of a hospital in Pisa for its patients.
         Surgeon Salter was  placed in chard of the section and two surgeon's mates were
         assigned to assist him. We do not know how many Americans were crated at this
         hospital or when the first patients arrived.  It seems that he  arrangement did not
         prove to  be  satisfactory. Tpis was  due in part to  the fact that quarantine laws at
         Naples were very strict, and ships had to wait between 20 and 40 days before any
         of the sick could be landed. Once on shore they faced  many local restrictions. To
         get to Pisa they had to travel up a canal for about 15  miles. Whether the accomo-
         dations at the hospital in Pisa were satisfactory has not be ascertained, but for so-
         me naval officers, Pisa was too far from the normal cruising areas of the squadron.
         Whatever the details of the case were, late in 1821 CaptainJacob Jones, who had
         a medical background, told the secretary of the navy that the hospital at Pisa was
         unnecessary. The secretary ordered him to close it.  While following  these ordes,
         )ones  found  that  the  Americans  had  ceased  using  the  hospital  at  least  a  year
         earlier <7>.
              It seems  that in August  18.20  the captain of the  U.S.  brig Spark  had  as~ed
         the authorities at Port Mahon for  permission to  use the navy yard there in cases
         of need.  The authorities agreed.  Later the Spanish government agreed to  let  the
         Americans  deposit their  stores duty free  at Port Mahon for  a  six month period.
         This led the Americans to abandon the arrangements at Pisa. They anticipated being
         able to  negotate with Spain for  a long term base rights.  By  1821  American  rela-
         tions with Spain had improved as a result of the purchase of Florida and the nego-
         tiation  of new  boundary arrangements.  But in  1822  Spain refused  to  renew  the
         base rights agreement. Once again the Navy left Port Mahon. It was not until1825
         that the American  Minister to  Spain was  able to  obtain the desired  base  rights.
         Port Mahon thus  became the first long-term overseas  naval base in U.S.  history,
                                                   8
         and the arrangement lasted  for  twenty years <>.
              At Port Mahon the  Americans established  a hospital .on  a  small island  just
         below the city of Mahon. The quarters for the sick were numerous, clean and well
         aired. The hospital also had a well which supplied excellent water.  Navy medical
         officers were assigned  to  the hospital for  duty from  time to  time,  and a Spanish
         surgeon and a  chaplain were  also  in residence.  Generally  officers  and men  who
         had illnesses that could not be adequately treated on  shipboard were transferred
         to the hospital ashore.  Available evidence suggests  that there were few  deaths <9>.
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