Template:Short description

A hospital ship is a ship designated for primary function as a floating medical treatment facility or hospital. Most are operated by the military forces (mostly navies) of various countries, as they are intended to be used in or near war zones.<ref>Hospital ShipTemplate:Dead link (definition via WordNet, Princeton University)</ref> In the 19th century, redundant warships were used as moored hospitals for seamen.

The Second Geneva Convention of 1949 prohibits military attacks on hospital ships that meet specified requirements, though belligerent forces have right of inspection and may take patients, but not staff, as prisoners of war.<ref>{{#invoke:citation/CS1|citation |CitationClass=web }}</ref><ref>{{#invoke:citation/CS1|citation |CitationClass=web }}</ref>

HistoryEdit

Early examplesEdit

File:Wenceslas Hollar - Part of Tangier from above (State 3).jpg
Tangier circa 1670. Hospital ships were used during the evacuation of the port in the 1680s.

Hospital ships possibly existed in ancient times. The Athenian Navy had a ship named Therapia, and the Roman Navy had a ship named Aesculapius, their names indicating that they may have been hospital ships.<ref>Template:Cite book</ref><ref>Template:Cite book</ref><ref>Template:Cite book</ref>

The earliest British hospital ship may have been the vessel Goodwill, which accompanied a Royal Navy squadron in the Mediterranean in 1608 and was used to house the sick sent aboard from other ships.<ref name=Shaw>Template:Cite journal</ref> However this experiment in medical care was short-lived, with Goodwill assigned to other tasks within a year and her complement of convalescents simply left behind at the nearest port.<ref>Template:Cite book</ref> It was not until the mid-seventeenth century that any Royal Navy vessels were formally designated as hospital ships, and then only two throughout the fleet. These were either hired merchant ships or elderly sixth rates, with the internal bulkheads removed to create more room, and additional ports cut through the deck and hull to increase internal ventilation.<ref name=Shaw/>

In addition to their sailing crew, these seventeenth century hospital ships were staffed by a surgeon and four surgeon's mates. The standard issue of medical supplies was bandages, soap, needles and bedpans. Patients were offered a bed or rug to rest upon, and given a clean pair of sheets. These early hospital ships were for the care of the sick rather than the wounded, with patients quartered according to their symptoms and infectious cases quarantined from the general population behind a sheet of canvas. The quality of food was very poor. In the 1690s, the surgeon aboard Siam complained that the meat was in an advanced state of putrefaction, the biscuits were weevil-ridden and bitter, and the bread was so hard that it stripped the skin off patients’ mouths.<ref name=Shaw/>

Hospital ships were also used for the treatment of wounded soldiers fighting on land. An early example of this was during an English operation to evacuate English Tangier in 1683. An account of this evacuation was written by Samuel Pepys, an eyewitness. One of the main concerns was the evacuation of sick soldiers "and the many families and their effects to be brought off". The hospital ships Unity and Welcome sailed for England on 18 October 1683, with 114 invalid soldiers and 104 women and children, arriving at The Downs on 14 December 1683.<ref name="McCallum">Template:Cite book</ref>

The number of medical personnel aboard Royal Navy hospital ships was slowly increased, with regulations issued in 1703 requiring that each vessel also carry six landsmen to act as surgical assistants, and four washerwomen. A 1705 amendment provided for a further five male nurses, and requisitions from the era suggest the number of sheets per patient was increased from one to two pairs.<ref name=Shaw/> On 8 December 1798, unfit for service as a warship, Template:HMS was ordered to be converted to a hospital ship to hold wounded French and Spanish prisoners of war. According to Edward Hasted in 1798, two large hospital ships (also called lazarettos), (which were the surviving hulks of forty-four gun ships) were moored in Halstow Creek in Kent. The creek is an inlet from the River Medway and the River Thames. The crew of these vessels watched over ships coming to England, which were forced to stay in the creek under quarantine to protect the country from infectious diseases including the plague.<ref name=hasted>Template:Cite journal</ref>

From 1821 to 1870, the Seamen's Hospital Society provided HMS Grampus, HMS Dreadnought and HMS Caledonia (later renamed Dreadnought) as successive hospital ships moored at Deptford in London.<ref>{{#invoke:citation/CS1|citation |CitationClass=web }}</ref> In 1866, HMS Hamadryad was moored in Cardiff as a seamen's hospital, replaced in 1905 by the Royal Hamadryad Seamen's Hospital.<ref>Template:Citation</ref> Other redundant warships were used as hospitals for convicts and prisoners of war.

Modern hospital shipsEdit

File:Hospital ships, China; sketches showing the interior includi Wellcome V0015324.jpg
HMS Melbourne, the first modern hospital ship, served during the Second Opium War. Excerpt from The Illustrated London News about the ship (click to read).

The Royal Navy institutionalised the use of hospital ships during the first half of the nineteenth century. Hospital ships were generally superior in their standard of service and sanitation to the medical provision available at the time for convalescent soldiers. The modern hospital ship began to emerge during the Crimean War in the 1850s. The only military hospital available to the British forces fighting on the Crimean Peninsula was at Scutari near the Bosphorus. During the Siege of Sevastopol almost 15,000 wounded troops were transported there from the port at Balaklava by a squadron of converted hospital ships.<ref name="McCallum" />

The first ships to be equipped with genuine medical facilities were the steamships HMS Melbourne and HMS Mauritius, staffed by the Medical Staff Corps and providing services to the British expedition to China in 1860. The ships provided relatively spacious accommodation for the patients, and were equipped with an operating theatre. Another early hospital ship was Template:USS in the 1860s, which aided the wounded soldiers of both sides during the American Civil War.<ref name="McCallum" />

During the Russo-Turkish War (1877–78), the British Red Cross supplied a steel-hulled ship, equipped with modern surgery equipment including chloroform and other anaesthetics, and carbolic acid for antisepsis. Similar vessels accompanied the 1882 British invasion of Egypt and aided American personnel during the 1898 Spanish–American War.<ref name="McCallum" />

File:Hospital Ship Avonmouth 1895.jpg
Hospital Ship, Avonmouth, Bristol Channel, 1895

During a smallpox outbreak in London in 1883, the Metropolitan Asylum Board (MAB) chartered and later purchased from the Admiralty two ships, Template:HMS and Template:HMS, and a paddle-steamer, Template:PS, which were moored in the Thames at Long Reach, near Dartford,<ref name="DHS-ShipsIntro">{{#invoke:citation/CS1|citation |CitationClass=web }}</ref><ref name="Remote">{{#invoke:citation/CS1|citation |CitationClass=web }}</ref> and remained in service until 1903.<ref name="DHS-ShipsIntro"/><ref name="HUK">{{#invoke:citation/CS1|citation |CitationClass=web }}</ref>

Hospital ships were used by both sides in the Russo-Japanese War of 1904–1905.The sighting by the Japanese of the Russian hospital ship Orel, illuminated in accordance with regulations for hospital ships, led to the decisive naval Battle of Tsushima. Orel was retained as a prize of war by the Japanese after the battle.Template:Citation needed

World WarsEdit

File:HMHS Mauretania.jpg
RMS Mauretania as hospital ship HMHS Mauretania during World War I.

During World War I and World War II, hospital ships were first used on a massive scale. Many passenger liners were converted for use as hospital ships. Template:RMS and Template:HMHS were two famous examples of ships serving in this capacity. By the end of the First World War, the British Royal Navy had 77 such ships in service. During the Gallipoli Campaign, hospital ships were used to evacuate wounded personnel to Egypt, Malta or England.<ref>{{#invoke:citation/CS1|citation |CitationClass=web }}</ref>

Canada operated hospital ships in both world wars. In World War I these included SS Letitia (I) and Template:HMHS which was deliberately sunk by a German U-boat with great loss of life, despite the hospital ship's clearly marked status. In World War II, Canada operated the hospital ship Template:RMS and SS Letitia (II).<ref>Douglas N. W. Smith, "Bringing Home the Wounded", Canadian Rail Passenger Yearbook 1996–1997 Edition, Trackside Canada, Ottawa, p. 49-64.</ref>

File:HMHS Aquitania.jpg
HMHS Aquitania in World War I service as a hospital ship.

The first purpose-built hospital ship in the U.S. Navy was Template:USS<ref>Template:Cite book</ref> which was commissioned in 1921. During World War II both the United States Navy and Army operated hospital ships though with different purposes.<ref name=MSWAJ>Template:Cite book</ref> Naval hospital ships were fully equipped hospitals designed to receive casualties direct from the battlefield and also supplied to provide logistical support to front line medical teams ashore.<ref name=MSWAJ /> Army hospital ships were essentially hospital transports intended and equipped to evacuate patients from forward area Army hospitals to rear area hospitals or from those to the United States and were not equipped or staffed to handle large numbers of direct battle casualties.<ref name=MSWAJ /> Three of the Navy hospital ships, Template:USS, Template:USS, and Template:USS, were less elaborately equipped than other Navy hospital ships, medically staffed by Army medical personnel and similar in purpose to the Army model.<ref name=MSWAJ />

File:HMHS Britannic.jpg
Template:HMHS (youngest sister of Template:RMS and Template:RMS) after conversion to a hospital ship during World War I.

The last British royal yacht, the post World War II Template:Ship, was constructed in a way as to be convertible to a hospital ship in wartime. After her decommissioning, Peter Hennessy discovered that her actual role would have been as Queen Elizabeth II's refuge from nuclear weapons, hiding amidst the lochs of western Scotland.<ref>Template:Cite news</ref>

A development of the Lun-class ekranoplan was planned for use as a mobile field hospital for rapid deployment to any ocean or coastal location at a speed of 297 knots (550 km/h, 341.8 mph). Work was 90% complete on this model, Spasatel, but Soviet military funding ceased and it was never completed.

Some hospital ships, such as Template:SS and Esperanza del Mar, belong to civilian agencies, and do not belong to a navy. Mercy Ships is an international non-governmental charity (or NGO).

International lawEdit

Hospital ships were covered under the Hague Convention X of 1907.<ref name="hague10">{{#invoke:citation/CS1|citation |CitationClass=web }}</ref> Articles of the Hague Convention X specified the provisions for a hospital ship:

  • Hospital-ships must be painted white. Military hospital ships must have a green band; ships operated by approved relief societies and similar must have a red band.
  • Ships must fly a red cross flag in addition to their national flag.
  • The ship should give medical assistance to wounded personnel of all nationalities.
  • The ship must not be used for any military purpose, or interfere with or hamper enemy combatant vessels.
  • Belligerents, as designated by the Hague Convention, can search any hospital ship to investigate violations of the above restrictions.

According to the San Remo Manual on International Law Applicable to Armed Conflicts at Sea, a hospital ship violating legal restrictions must be duly warned and given a reasonable time limit to comply. If a hospital ship persists in violating restrictions, a belligerent is legally entitled to capture it or take other means to enforce compliance. A non-complying hospital ship may only be fired on under the following conditions:

  • Diversion or capture is not feasible
  • No other method to exercise control is available
  • The violations are grave enough to allow the ship to be classified as a military objective
  • The damage and casualties will not be disproportionate to the military advantage.

In all other circumstances, attacking a hospital ship is a war crime.

Modern hospital ships display large Red Crosses or Red Crescents to signify their Geneva Convention protection under the laws of war. Even so, marked vessels have not been completely free from attack. Notable examples of hospital ships deliberately attacked during wartime are Template:HMHS in 1915, the Template:Ship in 1941, and Template:Ship in 1943.

Current hospital shipsEdit

Template:Expand section While any ship can be designated and marked as a hospital ship, many ships are permanently dedicated to that function.

Current military hospital shipsEdit

Military hospital ships
Navy Ship
(class)
Year Capacity Capabilities Image
Brazil
Template:Flagicon
U15 ParáTemplate:Citation needed File:NA Pará (U-15) 1.jpg
U16 Doutor MontenegroTemplate:Citation needed File:Brazilian hospital ship NAsH Doutor Montenegro (U16) moored in Vila das Pedras, Brazil, on 6 August 2019 (190806-N-DO465-1013).JPG
U18 Oswaldo Cruz
(Oswaldo Cruz)Template:Citation needed
1984 File:NAsH Oswaldo Cruz (U-18).jpg
U19 Carlos Chagas
(Oswaldo Cruz)Template:Citation needed
File:ASSHOP CChagas (cropped).jpg
U21 Soares de MeirellesTemplate:Citation needed 2009 File:NAsH Soares de Meirelles - U 21.jpg
U28 Tenente MaximianoTemplate:Citation needed 2010 File:NAsH Tenente Maximiano (U-28)2.jpg
China
Template:Flagicon
Nankang (833)
(Qiongsha)Template:Citation needed
Classed as an "ambulance transport"
Template:Ship (865) 2004 Classed as a "medical evacuation ship", converted container ship with 14 "medical modules"
Template:Ship (866)
(Type 920)
2008 300 hospital beds, 20 intensive care beds 8 operating theatres, X-ray, ultrasound, CT, hypothermia, hemodialysis, traditional Chinese medicine, and dental facilities File:People's Liberation Army (Navy) ship PLA(N) Peace Ark (T-AH 866) steams in close formation during Rim of the Pacific (RIMPAC) Exercise 2014.jpg
Nanyi (12)
(Anshen)Template:Citation needed
2020 Classed as a "medium sized hospital ship"
tba (13)
(Anshen)Template:Citation needed
2020 Classed as a "medium sized hospital ship"
Indonesia
Template:Flagicon
KRI dr. Soeharso (990)
(Tanjung Dalpele)
2003 Former (LPD), capable of receiving up to 2000 patients 5 operating rooms, 6 polyclinics, 51 medical specialists File:015BANGGA.jpg
KRI Semarang (594)
(Makassar)
2018 File:KRI Semarang (594) docked on Tanjung Priok.jpg
KRI dr. Wahidin Sudirohusodo (991) citation CitationClass=web

}}</ref>

File:KRI dr. Wahidin Sudirohusodo.jpg
KRI dr. Radjiman Wedyodiningrat (992)<ref>{{#invoke:citation/CS1|citation CitationClass=web

}}</ref>

2023 124 Beds, additional 350 Beds in Emergency Case 2 ERs, 5 ORs (+ Pre/ Post), ICU, HCU, X-ray & CT-scan, Pharmacy, 8 Polyclinics, and Laboratory.
Myanmar
Template:Flagicon
UMS Shwe Pu Zun 2012 25 citation CitationClass=web

}}</ref><ref name=":1">{{#invoke:citation/CS1|citation

CitationClass=web

}}</ref>

UMS Thanlwin 2015 25 1 CT scanner, 1 minor eye operation room, 1 minor operation theater, 1 major operation theater, and 1 intensive care unit<ref name=":0" /><ref name=":1" />
Peru
Template:Flagicon
Template:Ship 1976 Converted 1861 steamship, found on Lake Titicaca File:Puno (ex-Yapari) (5690588618).jpg
Russia
Template:Flagicon
Yenisey
(Ob)
1981 100 7 operating rooms File:2012-09-14 Севастополь. Плавучий госпиталь "Енисей" (3).jpg
Svir
(Ob)
1989 100 7 operating rooms
Irtysh
(Ob)
1990 100 7 operating rooms File:Hospital ship "Irtysh" in 1994.jpeg
United States
Template:Flagicon
Template:USNS
(Mercy)
1986 1,000 12 operating rooms, digital radiological services, a medical laboratory, a pharmacy, an optometry lab, an intensive care ward, dental services, a CT scanner, a morgue, 2 oxygen-producing plants File:USNS Mercy off Dili.jpg
Template:USNS
(Mercy)
1987 1,000 12 operating rooms, digital radiological services, a medical laboratory, a pharmacy, an optometry lab, an intensive care ward, dental services, a CT scanner, a morgue, 2 oxygen-producing plants File:USNS Comfort (T-AH 20) is anchored off the coast of La Brea, Trinidad and Tobago. (48677005558).jpg
Vietnam
Template:Flagicon
citation CitationClass=web

}}</ref>

2013 200 Operating room with satelline connected, intensive care, pressure isolation room, medical laboratory, treatment room, defibrillator room, dental service, Endoscopic room, pharmacy, radiology.

Current non-military hospital shipsEdit

Non-military hospital ships
Agency/NGO Ship
(class)
Year Capacity Capabilities Image
Mercy Ships
File:Mercy Ships Logo.jpg
Template:MV Converted 2007 82 5 operating theaters, 1 intensive care unit, 1 ophthalmic unit, a CT scanner, x-ray, laboratories<ref>"Hope Floats," interview with Johannes Bernbeck, Ability, accessed 12 September 2011, pp. 26–29.</ref> File:AFRICA MERCY - geograph.org.uk - 833266.jpg
MV Global Mercy 2022 199 6 operating theatres, 102 acute care beds, 7 ICU beds, and 90 self-care beds. The hospital also features dedicated classroom spaces and simulator labs with state-of-the-art technology for enhanced training of local medical professionals.<ref>Template:Cite news</ref>
Ministry of Labour (Spain)
Template:Flagicon
Esperanza del Mar 2001 17 1 operating theatre, ICU facility File:Hospital ship-Esperanza del Mar.jpg
Template:Ill 2006 10 1 operating theatre, ICU facility File:Buque Hospital Juan de la Cosa desde Muelle.jpg

Other shipborne hospitalsEdit

It is common for naval ships, especially large ships such as aircraft carriers and amphibious assault ships to have on-board hospitals. However, they are only one small part of the vessel's overall capability, and are used primarily for the ship's crew and its amphibious forces (and occasionally for relief missions). A warship with hospital facilities does not have the protected status of a hospital ship.<ref>{{#invoke:citation/CS1|citation |CitationClass=web }}</ref> A primary example of the varied military-based hospital services available at sea is found aboard several types of US naval ships;

Template:Flagicon United States Navy;
  • Template:Sclass – USS Gerald R. Ford, first in the class, has an on-board hospital that includes a full lab, pharmacy, operating room, 3-bed intensive care unit, 2-bed emergency room, and 41-bed hospital ward, staffed by 11 medical officers and 30 hospital corpsmen.<ref>{{#invoke:citation/CS1|citation

|CitationClass=web }}</ref>

|CitationClass=web }}</ref> In one year, the medical department of Template:USS handled over 15,000 out-patient visits, drew almost 27,000 labs, filled almost 10,000 prescriptions, took about 2,300 x-rays and performed 65 surgical operations.<ref>Template:Cite journal</ref> There is not much variation among the ships of the class. The first ship, Template:USS has 53 beds, plus 3 ICU beds, and the last ship, Template:USS has 51 beds, plus 3 ICU beds.<ref>{{#invoke:citation/CS1|citation |CitationClass=web }}</ref>

File:USS Bataan (LHD-5);10080504.jpg
USS Bataan, a Wasp-class amphibious assault ship
  • Template:Sclass (LHD) – These ships have 6 operating rooms, 14 ICU beds, 46 hospital beds, 4 battle dressing stations, medical imaging (i.e.:X-ray), a fully functional laboratory, and a blood bank.<ref>{{#invoke:citation/CS1|citation

|CitationClass=web }}</ref> The ship can expand its medical complement to 600 beds, making it the second largest hospital at sea, second only to actual hospital ships.<ref>{{#invoke:citation/CS1|citation |CitationClass=web }}</ref>

  • Template:Sclass amphibious assault ship (LHA) – This is the newest and largest class both in the USN and the world. However, the first two ships of the class, Template:USS and Template:USS, had the size of their medical facilities reduced, in favour of larger aviation facilities.<ref>{{#invoke:citation/CS1|citation

|CitationClass=web }}</ref> The on-board hospitals of these first two vessels will have 2 operating rooms and 24 beds.<ref name="imef.marines.mil">{{#invoke:citation/CS1|citation |CitationClass=web }}</ref> It is unknown if this design change will affect the expanded capability for additional beds, nor what size the medical facilities of future ships of the class will be.

  • Template:Sclass (LPD) – 24 hospital beds.<ref name="imef.marines.mil"/>
  • Template:Sclass (LSD) – 11 hospital beds.<ref name="imef.marines.mil"/>
  • Template:Sclass (LSD) – 8 hospital beds.<ref name="imef.marines.mil"/>
  • Template:Sclass (EMS) - Will have four operating rooms and 124 medical beds, separated into acute care, acute isolation, ICU, and ICU isolation spaces.<ref>{{#invoke:citation/CS1|citation

|CitationClass=web }}</ref>

More examples from various other national navies include;

Template:Flagicon Argentine Navy
Template:Flagicon Royal Australian Navy

|CitationClass=web }}</ref> and has 2 operating rooms and a hospital ward.<ref>{{#invoke:citation/CS1|citation |CitationClass=web }}</ref>

Template:Flagicon People's Liberation Army Navy
  • Several armed Template:Sclass2s are fitted out as "ambulance transports".
  • Shichang – a multi-role training ship built in 1997. Deck space can accommodate modular medical units and can be used as a medical treatment facility, but the primary role is aviation training. The layout is very similar to RFA Argus (see below).
File:BPC Dixmude.jpg
Dixmude, a Mistral-class amphibious assault ship
Template:Flagicon French Navy

|CitationClass=web }}</ref> with 69 hospital beds, 7 ICU beds, and an additional 50 beds if needed. The ship also has medical imaging capabilities, such as X-ray, CT-scan and ultrasound.

Template:Flagicon Italian Navy
  • Template:Ship aircraft carrier – Has an on-board hospital with 2 operating rooms, 1 intensive care unit, laboratory, pharmacy and a 32-bed hospital ward.<ref>{{#invoke:citation/CS1|citation

|CitationClass=web }}</ref>

  • Template:Ship logistic ship – On-board hospital is NATO ROLE-level 2+, with operating room, intensive care unit and a laboratory.<ref>{{#invoke:citation/CS1|citation

|CitationClass=web }}</ref>

Template:Flagicon Japan Maritime Self-Defense Force
  • Template:Sclass – These ships have 2 operating rooms, 2 ICU beds, 35 hospital beds, 1 battle dressing station and several medical imaging (i.e.:X-ray) stations.
  • Template:Sclass – These ships have 1 operating room, 1 ICU bed, 8 hospital beds.
  • Template:Sclass - These ships have 1 operating room, 2 ICU beds, 6 hospital beds.
Template:Flagicon Spanish Navy
  • Template:Ship – Has a 40-bed hospital on board.<ref>{{#invoke:citation/CS1|citation

|CitationClass=web }}</ref>

Template:Flagicon Royal Navy
File:RFA Argus off the coast of Devonport.jpg
RFA Argus (A-135), circa 2007
  • Royal Fleet Auxiliary ship Template:Ship – This ship would be a hospital ship were it not for its armaments. However, it is instead designated as a 'Primary Casualty Receiving Ship' (PCRS). The vessel is classed as a NATO ROLE 3 Medical support vessel and is to be replaced in 2024<ref name=":2" />
  • Royal Fleet Auxiliary Bay Class ships have a 14-bed medical facility which has the capability of being expanded in times of crisis as well as an operating theatre. The vessels are a classed as NATO Role 2 Medical support capable vessels.<ref name=":2" />

Template:Flagicon German Navy

  • Berlin-class replenishment ship Berlin - Equipped with a container based version of the large modular hospital MERZ which stands for Marineeinsatzrettungszentrum (Englisch: Maritime Rescue Center) capable of holding 45 patients, plus 4 intensive care beds, clinical and microbiological laboratory and sterilisers.<ref>{{#invoke:citation/CS1|citation

|CitationClass=web }}</ref>

  • Berlin-class replenishment ship Frankfurt am Main - Following a fire destroying the Frankfurt's MERZ, the Navy opted to equip the Frankfurt am Main with a new generation integrated MERZ (iMERZ), build into the hull of the ship. It's equipped with two operating rooms, medical imaging capabilities and a hospital ward. The German Navy plans to equip the Frankfurt's two sister ships with an iMERZ during routine maintenance.<ref>{{#invoke:citation/CS1|citation

|CitationClass=web }}</ref>

See alsoEdit

Lists
Others

ReferencesEdit

Template:Reflist File:PD-icon.svg This article incorporates text from the public domain Dictionary of American Naval Fighting Ships.{{#if:http://www.history.navy.mil/danfs/r4/relief-vi.htm%7C{{#if:%7C+The entries can be found [{{#if:1|http://www.history.navy.mil/danfs/r4/relief-vi.htm}} here] and [{{#if:1|{{{2}}}}} here].| The entry can be found [{{#if:1|http://www.history.navy.mil/danfs/r4/relief-vi.htm}} here].}}}}

External linksEdit

Template:Commons category-inline Template:Hospital articles Template:Warship types of the 19th & 20th centuries

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