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suffering, and greatly increased mortality among them at and around the various stations now occupied by Bureau Med. Officers- unless some liberal and efficient aid is provided previously by the civic authorities.  Mid-winter for various reasons apparent without special reference to them, appears to be an unpropitious time for withdrawing so long continued a provision for the sick and disabled indigent freedmen.  I trust that the State authorities may be induced to promptly make provision to meet the pressing wants that will soon devolve on them to provide for.  It would be exceedingly unfortunate for these people if the provision should be delayed until Bureau Medical aid is withdrawn.

Sickness among Freedmen is increasing. The very highly propitious fall weather has restricted it, but winter is now close at hand and with it will come much sickness and privation.  The poverty, and exposed condition of great numbers to cold weather will as it has done, increase disease, and disease of a more serious character than during the Autumn months.  I am happy to report that freedmen in the District have not suffered from prevailing epidemic's, contagions, and infectious diseases during November.  I trust that the same conditions will continue.  I am happy to bear testimony to the faithful and energetic manner in which the Bureau Med. Officers have discharged their duties during the month past.  The employees of the Med Dept have given satisfactory service.

I am with much respect
Your Obt Sevt
J.J. De Lamater
Surg in Chief Dist Va.