
The Civil War Era
124
THE END OF THE CONFLICT
The year 1865 would deliver the war’s conclusion. In January 
Congress passed the Thirteenth Amendment, which called 
for the end of slavery. The amendment would be ratifi ed by 
the states by year’s end. By spring 1865 as many as two out 
of every fi ve Rebel soldiers had packed up and left the war 
for  home.  Desperately  short  on  manpower,  the  Confeder-
ate  Congress passed  a  bill  allowing  blacks  to  enlist  in  the 
Southern Army, but the decision was made too late to make 
a difference. The Confederacy came crashing down within 
weeks of the political move. These were the fi nal days of the 
prolonged siege between Lee and Grant. 
In late March Lee made the decision to abandon Peters-
burg and Richmond  and  break out to the west,  hoping  to 
meet up with the remnants of Joe Johnston’s army and fi ght 
another  day.  When  Confederates  attacked  Fort  Stedman 
along the Union siege lines, Grant knew the time had come 
to  end  the  siege.  With Lee  moving,  Union  forces engaged 
a disease-ridden War
It is one of the cold facts of the Civil 
War that almost twice as many men 
died from disease than from wounds 
infl icted on the battlefi eld. The 
poor state of medical facilities and 
personnel help explain why. There 
were no army hospitals before the war 
began, and military doctors were few. 
In April 1861, the U.S. Army had 
only 113 surgeons, and two dozen 
of them went with the Confederacy. 
By 1865, the two armies were served 
by 15,000 surgeons. Still, the state of 
Civil War-era medicine was appalling. 
There was little understanding of 
germs, and doctors routinely moved 
from patient to patient without 
washing their hands, which helped to 
spread infections. Actual medicines 
were few and many were ineffective 
against such widespread diseases as 
tuberculosis, typhoid, and smallpox. 
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