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Bureau Refugees Freedmen & A Lands
Office Chief Med. Officer State Va
Richmond Va Novr 6th 1865

Colonel
I have the honor to present the following statement for your consideration viz: 
In the State of Virginia Freedmen have accumulated in large numbers in Camps and City Quarters. The circumstances attending the War, and its result in their freedom, has made this condition unavoidable. 
Many of the inmates of the Camps, and City Quarters, are refugees from other states - a much larger number from the interior counties of this state. 
Such large aggregations of persons, in crowded camps & Quarters, are contrary to all true sanitary requirements for health. The fact that many of them assembled in the localities afore indicated, one destitute of the ordinary comforts of life, except as supplied by the Bureau, or from uncertain sources renders the present condition still more objectionable. 
Were there, therefore, no special reasons for a change of this condition at the present time, the general sanitary interests of themselves, and the population within whose bounds they are temporarily collected, would demand an early change. 
The importance of such a change is much more pressing both for the good of the Freedmen, and of community