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Appendix G

Contents

APPENDIX G

HEADQUARTERS

EUROPEAN THEATER OF OPERATIONS

UNITED STATES ARMY

RBL/PRH/mgc

APO 887

AG 210.453 OpMS

30 JANUARY 1945


SUBJECT: Trench Foot Control Officers.

TO: Commanding Generals,
        First US Army
        Third US Army
        Seventh US Army
        Ninth US Army
        Fifteenth US Army

    1.The Allied forces in the Pacific area had to lose four divisions from malaria before an energetic program was instituted to control the disease. In the European Theater of Operations the US Army has lost more than 2 divisions because of trench foot. The trend of the disease is downward, but judged by the current incidence, a more energetic program of prevention is necessary.
    2. The Supreme Commander has noted with growing concern the high incidence of trench foot in this theater. Letter, Supreme Headquarters, Allied Expeditionary Force, file AG 727.3-1 MED-AGM, subject: "Control of Trench Foot," dated 24 January 1945, states in part: "It is desired that higher unit commanders impress upon all ranks the necessity for unremitting attention to this command responsibility".
    3. Trench foot is a preventable disease. The methods to he practiced in its control have been set forth in War Department Circular 312, dated 22 July 1944, Circular 108, this headquarters, dated 25 October 1944, and Circular Letter No. 126, Office of the Chief Surgeon, this headquarters, dated 18 October 1944. As evidenced by the continued excessive loss of manpower from this cause, the results thus far attained have not been satisfactory.
    4.: In order to carry out more effectively the provisions of the directives cited above, it is desired that these measures be institued without delay and that they be continued until 15 April 1945:
        a. Each army will provide a team of two officers; one officer from the line and one from the Quartermaster Corps, designated as the Trench Foot Control Team, to work in close cooperation with the representative of the Army Surgeon concerned with the prevention of trench foot. The duties of this team will be:
            (1) To determine periodically the existing frequency of trench foot and of frostbite in regiments of the command and in separate units.
            (2) To determine the factors contributing to excessive numbers of cases in particular units.
         (3) To provide information to non-commissioned trench foot control officers as indicated in sub-paragraph 4b, below, in the methods of prevention of injuries resulting from cold (trench foot and frostbite).
            (4) To recommend to unit commanders the necessary measures for improved control.
            (5) To advise the army commander on observed deficiencies, on the existing status of trench foot in the command, and on the necessary remedial measures.


532

    b. Unit commanders at company level, or the equivalent for separate units, will appoint trench foot control non-commissioned officers, selecting men of demonstrated ability and experience in order to insure that the duties outlined below are executed with energy, initiative and originality:
            (1) Determination by personal inve, Ligation of the extent and satisfactoriness with which foot discipline is practiced in the company, and to encourage improved performance through personal instruction and by force of example.
            (2) Determination of shortages in equipment and supplies essential to the prevention of trench foot.
            (3) Institution of a program of small group discussion and demonstration designed to acquaint all members of the company with the measures which the individual soldier must practice in the prevention of trench foot and in keeping warm in winter weather.

By command of General EISENHOWER:
    R. B. LOVETT,
    Brigadier General, USA,
    Adjutant General.

DISTRIBUTION:
Each addressee.....................................(2)          G-4........................................ (1)
EachArmy Group..................................(1)          C/Surg..................................... (2)
Each Section Commander, CoM Z.....(1)       AC Opnc................................ (1)
Southern Line of Communications....(1)         AG Casualty............................(1)
G-1..........................................................(1)        AG Records............................. (1)
G-3 (TR,-MST)......................................(1)