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.In the 19th century, redundant warships were used as moored hospitals for seamen.
The Second Geneva Convention 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.
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.
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.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. 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.
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.
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.
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. Victory 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.On 8 December 1798, unfit for service as a warship, HMS
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.In 1866 HMS Hamadryad was moored in Cardiff as a seamen's hospital, replaced in 1905 by the Royal Hamadryad Seamen's Hospital. Other redundant warships were used as hospitals for convicts and prisoners of war.
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.
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 USS Red Rover in the 1860s, which aided the wounded soldiers of both sides during the American Civil War.
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.
During a smallpox outbreak in London in 1883, the Metropolitan Asylum Board (MAB) chartered and later purchased from the Admiralty two ships, HMS Atlas and HMS Endymion, and a paddle-steamer, PS Castalia, which were moored in the Thames at Long Reach, near Dartford, and remained in service until 1903.
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.
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. RMS Aquitania and HMHS Britannic 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 over 100,000 wounded personnel to Egypt.
Canada operated hospital ships in both world wars. In World War I these included SS Letitia (I) and HMHS Llandovery Castle 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 RMS Lady Nelson and SS Letitia (II).
The first purpose-built hospital ship in the U.S. Navy was USS Relief which was commissioned in 1921. During World War II both the United States Navy and Army operated hospital ships though with different purposes. 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. 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. Three of the Navy hospital ships, USS Comfort, USS Hope, and USS Mercy, were less elaborately equipped than other Navy hospital ships, medically staffed by Army medical personnel and similar in purpose to the Army model.
The last British royal yacht, the post World War II HMY Britannia, 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.
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 SS Hope 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).
Hospital ships were covered under the Hague Convention X of 1907.Articles of the Hague Convention X specified the provisions for a hospital ship:
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:
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 HMHS Llandovery Castle in 1915, the Soviet hospital ship Armenia in 1941, and AHS Centaur in 1943.
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While any ship can be designated and marked as a hospital ship, many ships are permanently dedicated to that function.
|Military hospital ships|
| Brazil ||U15 Pará[ citation needed ]|
|U16 Doutor Montenegro[ citation needed ]|
|U18 Oswaldo Cruz|
(Oswaldo Cruz)[ citation needed ]
|U19 Carlos Chagas|
(Oswaldo Cruz)[ citation needed ]
|U21 Soares de Meirelles[ citation needed ]||2009|
|U28 Tenente Maximiano[ citation needed ]||2010|
| China ||Nankang (833)|
(Qiongsha)[ citation needed ]
|Classed as an "ambulance transport"|
|Zhuanghe (865)||2004||Classed as a "medical evacuation ship", converted container ship with 14 "medical modules"|
| Daishan Dao (866)|
|2008||300 hospital beds, 20 intensive care beds||8 operating theatres, X-ray, ultrasound, CT, hypothermia, hemodialysis, traditional Chinese medicine, and dental facilities|
(Anshen)[ citation needed ]
|2020||Classed as a "medium sized hospital ship"|
(Anshen)[ citation needed ]
|2020||Classed as a "medium sized hospital ship"|
| Indonesia || KRI dr. Soeharso (990) |
|2003||Former (LPD), capable of receiving up to 2000 patients||5 operating rooms, 6 polyclinics, 51 medical specialists|
| KRI Semarang (594) |
( Makassar )
|KRI dr. Wahidin Sudirohusodo (991)||2021|
| Myanmar ||UMS Shwe Pu Zun||2012||25||1 CT scanner, 1 minor eye operation room, 1 minor operation theater, 1 major operation theater, and 1 intensive care unit|
|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|
| Peru ||BAP Puno||1976||Converted 1861 steamship, found on Lake Titicaca|
| Russia || Yenisey |
|1981||100||7 operating rooms|
| Svir |
|1989||100||7 operating rooms|
| Irtysh |
|1990||100||7 operating rooms|
| United States || 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|
| USNS Comfort |
|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|
| Vietnam ||Khánh Hòa 01|
| Mercy Ships ||MV Africa Mercy||Converted 2007||82||5 operating theaters, 1 intensive care unit, 1 ophthalmic unit, a CT scanner, x-ray, laboratories|
| Ministry of Labour (Spain) ||Esperanza del Mar||2001|
|Juan de la Cosa||2006|
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.A primary example of the varied military-based hospital services available at sea is found aboard several types of US naval ships;
More examples from various other national navies include;
An aircraft carrier is a warship that serves as a seagoing airbase, equipped with a full-length flight deck and facilities for carrying, arming, deploying, and recovering aircraft. Typically, it is the capital ship of a fleet, as it allows a naval force to project air power worldwide without depending on local bases for staging aircraft operations. Carriers have evolved since their inception in the early twentieth century from wooden vessels used to deploy balloons to nuclear-powered warships that carry numerous fighters, strike aircraft, helicopters, and other types of aircraft. While heavier aircraft such as fixed-wing gunships and bombers have been launched from aircraft carriers, these aircraft have not successfully landed on a carrier. By its diplomatic and tactical power, its mobility, its autonomy and the variety of its means, the aircraft carrier is often the centerpiece of modern combat fleets. Tactically or even strategically, it replaced the battleship in the role of flagship of a fleet. One of its great advantages is that, by sailing in international waters, it does not interfere with any territorial sovereignty and thus obviates the need for overflight authorizations from third-party countries, reduces the times and transit distances of aircraft and therefore significantly increase the time of availability on the combat zone.
The escort carrier or escort aircraft carrier, also called a "jeep carrier" or "baby flattop" in the United States Navy (USN) or "Woolworth Carrier" by the Royal Navy, was a small and slow type of aircraft carrier used by the Royal Navy, the United States Navy, the Imperial Japanese Navy and Imperial Japanese Army Air Force in World War II. They were typically half the length and a third the displacement of larger fleet carriers, slower, more-lightly armed and armored, and carried fewer planes. Escort carriers were most often built upon a commercial ship hull, so they were cheaper and could be built quickly. This was their principal advantage as they could be completed in greater numbers as a stop-gap when fleet carriers were scarce. However, the lack of protection made escort carriers particularly vulnerable, and several were sunk with great loss of life. The light carrier was a similar concept to the escort carrier in most respects, but was fast enough to operate alongside fleet carriers.
A warship or combatant ship is a naval ship that is built and primarily intended for naval warfare. Usually they belong to the armed forces of a state. As well as being armed, warships are designed to withstand damage and are usually faster and more maneuverable than merchant ships. Unlike a merchant ship, which carries cargo, a warship typically carries only weapons, ammunition and supplies for its crew. Warships usually belong to a navy, though they have also been operated by individuals, cooperatives and corporations.
A seaplane tender is a boat or ship that supports the operation of seaplanes. Some of these vessels, known as seaplane carriers, could not only carry seaplanes but also provided all the facilities needed for their operation; these ships are regarded by some as the first aircraft carriers and appeared just before the First World War.
A light aircraft carrier, or light fleet carrier, is an aircraft carrier that is smaller than the standard carriers of a navy. The precise definition of the type varies by country; light carriers typically have a complement of aircraft only one-half to two-thirds the size of a full-sized fleet carrier. A light carrier was similar in concept to an escort carrier in most respects, however light carriers were intended for higher speeds to be deployed alongside fleet carriers, while escort carriers usually defended convoys and provided air support during amphibious operations.
Landing craft are small and medium seagoing watercraft, such as boats and barges, used to convey a landing force from the sea to the shore during an amphibious assault. The term excludes landing ships, which are larger. Production of landing craft peaked during World War II, with a significant number of different designs produced in large quantities by the United Kingdom and United States.
The second USS Mercy (AH-8) was a Comfort-class hospital ship laid down under Maritime Commission contract by Consolidated Steel Corporation at the Wilmington Yard, Wilmington, California, on 4 February 1943. She was acquired by the US Navy from the Maritime Commission on 25 March 1943 and launched the same day, sponsored by Lieutenant Doris M. Yetter, NC, USN, who had been a prisoner of war on Guam in 1941. She was converted from a cargo ship to a hospital ship by Los Angeles Shipbuilding & Drydock Company, San Pedro, California and commissioned 7 August 1944.
Landing platform helicopter (LPH) is a term used by some navies to denote a type of amphibious warfare ship designed primarily to operate as a launch and recovery platform for helicopters and other VTOL aircraft. As such, they are considered a type of helicopter carrier.
A troopship is a ship used to carry soldiers, either in peacetime or wartime. Troopships were often drafted from commercial shipping fleets, and were unable land troops directly on shore, typically loading and unloading at a seaport or onto smaller vessels, either tenders or barges.
USNS Comfort (T-AH-20) is a Mercy-class hospital ship of the United States Navy.
Landing Ship, Tank (LST), or tank landing ship, is the naval designation for ships first developed during World War II (1939–1945) to support amphibious operations by carrying tanks, vehicles, cargo, and landing troops directly onto shore with no docks or piers. This enabled amphibious assaults on almost any beach.
The names of commissioned ships of the United States Navy all start with USS, for United States Ship. Non-commissioned, primarily civilian-manned vessels of the U.S. Navy under the Military Sealift Command have names that begin with USNS, standing for United States Naval Ship. A letter-based hull classification symbol is used to designate a vessel's type. The names of ships are selected by the Secretary of the Navy. The names are those of states, cities, towns, important persons, important locations, famous battles, fish, and ideals. Usually, different types of ships have names originated from different types of sources.
USS Hope (AH-7) was a Comfort-class hospital ship launched under Maritime Commission contract by Consolidated Steel Corporation, Wilmington, California, 30 August 1943; sponsored by Miss Martha L. Floyd; acquired by the Navy the same day for conversion to a hospital ship by U.S. Naval Dry Dock, Terminal Island, Calif.; and commissioned 15 August 1944.
USS Sanctuary (AH-17) was a Haven-class hospital ship that served in the U.S. Navy in World War II and the Vietnam War.
A hospital corpsman is an enlisted medical specialist of the United States Navy, who may also serve in a U.S. Marine Corps unit. The corresponding rating within the United States Coast Guard is health services technician (HS).
USS Red Rover was a 650-ton Confederate States of America steamer that the United States Navy captured. After refitting the vessel, the Union used it as a hospital ship during the American Civil War.
Landing Ship, Tank (Hospital) (LSTH) was a conversion of a LST designed to act as a hospital ship, but because they retained armament were not officially designated as such. The Tank Landing Ship (LST) was a vessel designed to beach itself and unload equipment, vehicles, tanks, and troops onto an enemy beach. The general idea of a LSTH would be to bring troops to shore, but the convenience of a ship beached ashore proved to be an inviting harbor for the sick and injured, who could simply walk aboard.
An amphibious assault ship is a type of amphibious warfare ship employed to land and support ground forces on enemy territory by an amphibious assault. The design evolved from aircraft carriers converted for use as helicopter carriers. Modern ships support amphibious landing craft, with most designs including a well deck. Coming full circle, some amphibious assault ships also support V/STOL fixed-wing aircraft, now having a secondary role as aircraft carriers.
Aircraft carriers are warships that evolved from balloon-carrying wooden vessels into nuclear-powered vessels carrying scores of fixed- and rotary-wing aircraft. Since their introduction they have allowed naval forces to project air power great distances without having to depend on local bases for staging aircraft operations.
This article incorporates text from the public domain Dictionary of American Naval Fighting Ships .The entry can be found here.
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