Object: Russian local government during the war and the Union of Zemstvos

SICK AND WOUNDED 109 
terrupted day and night watches at the hospitals, in the kitchens, 
and supervised the diet of the patients. These women’s committees 
also collected donations for their charges, supplied them with to- 
bacco, writing paper, notebooks, and other stationery and, upon 
discharge from the hospital, furnished them with underwear and 
warm clothing. The ladies on duty would read books and papers to 
the soldiers, write their letters to friends and relatives, arrange con- 
certs for the convalescents, show motion pictures, and so on. The 
zemstvos, for their own part, saw to it that the idle hours of the pa- 
tients should be usefully occupied; those who wished could receive 
instruction in various handicrafts and were enabled to attend lec- 
tures on general educational subjects. In some instances courses 
were arranged for the convalescents. Thus, the provincial zemstvo 
of Perm arranged in its hospitals regular courses of instruction in 
agriculture suitable to the northern sections of the country, and 
these courses, including regular discussions with expert agronomists, 
proved highly successful among the wounded and sick soldiers, with 
the result that the number of students quickly increased. 
The cost of maintenance of a patient varied greatly according to 
time and place. During the second year of the War, but more so 
during the third, when there was a heavy depreciation of the ruble 
currency coupled with increasing difficulties in the food supply, the 
maintenance cost of the hospitals continually rose higher and higher, 
Increasing by 50 to 75 per cent in some places, as compared with the 
original cost. In its initial estimates submitted to the Government, 
the Zemstvo Union allowed for modest but seemingly adequate 
appropriations. 
The Government undertook to defray the expense of maintaining 
the sick and wounded in the zemstvo hospitals according to the fol- 
lowing scale: for each occupied bed per day, 1.08 rubles (for food, 
¥2 copecks; cooking the food, 2.67 copecks; heat, 4 copecks; light, 
I copeck; medical supplies, 80 copecks; service, 28 copecks). The 
cost of an unoccupied bed, per day, was set at 40 copecks.** During 
*4 It is interesting to compare these estimates with the actual figures given 
for the hospitals in the city of Vyazma, province of Smolensk, during the 
first half of the campaign. We find here that the cost of treatment of a pa- 
tient per day was: upkeep of buildings, 18.99 copecks (8.53 per cent of the 
total expense); wages, salaries, food and quarters of staffs, 86.85 copecks
	        
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