Lt. Col. (Later Maj. Gen.) James Alexander Deans Johnston

Deposition of Lieutenant-Colonel James Alexander Deans Johnston, R.A.M.C. (1st Belsen Trial)

1. I command 32 (British) Casualty Clearing Station and was Senior Medical Officer at Belsen Concentration Camp.

2. I arrived at Belsen Concentration Camp about 0900 hours on 17th April, 1945.

3. I went round the camp and found that it consisted of one main camp which had been in use for a considerable time and was hutted. This was Camp No. 1, On going into the entrance there were huts occupied by the German Camp Staff. One then passed through a gate in the wire where the main part of the prisoners’ camp was. This consisted of three Lager, one male and two female. There was also a female Lager immediately adjoining on the north. The conditions which I shall describe applied equally to all the Lager in Camp No. 1.

4. Camp No. 2 consisted of brick buildings and was in part of the German barracks and lay about one mile from Camp No. 1. I am informed and verily believe that Camp No. 2 had only been in existence for a few weeks.

5. The following is an account of the conditions I saw on entering these two camps on 17th April, 1945. It is quite impossible to give any adequate description on paper of the atrocious, horrible and utterly inhuman condition of affairs.

Camp No. 1.

The prisoners were a dense mass of emaciated apathetic scarecrows huddled together in wooden huts, and in many cases without beds or blankets, and in some cases, without any clothing whatsoever. The females were in worse condition than the men and their clothing generally, if they had any, only filthy rags. The dead lay all over the camp and in piles outside the blocks of huts which housed the worst of the sick and were miscalled hospitals. There were thousands of naked and emaciated corpses in various stages of decomposition lying about this camp. As far as can be ascertained there were some 13000 dead lying around. Sanitation was to all practical purposes non-existent. Pits, with, in only a few instances, wooden perch rails, were available in totally inadequate numbers. The inmates, from starvation, apathy and weakness, defecated and urinated where they sat or lay, even inside the living huts. Ablution arrangements were completely inadequate. There was no running water or electricity. All water was brought in by British water trucks.

Camp No. 2.

Conditions in this camp were improved in comparison with Camp No 1, but only in comparison. The conditions were, compared with any ordinary decent mode of keeping prisoners, vile and evil. The inmates were housed in buildings, 600 to a building of 150 capacity. The inmates appeared better clad and generally less emaciated than in Camp No. 1, but signs of starvation were everywhere. I did not see any corpses lying in Camp No. 2.

Diseases Prevalent.

Camp No. 1. Typhus, tuberculosis and starvation disorders were rife.

Camp No. 2. Enteric, tuberculosis, erysipelas. There was no typhus in this camp.

6. The conditions at both camps, but more so at Camp No 1, were such that deaths in very large numbers were bound to occur from (1) starvation. There was obvious evidence of extreme and systematic starvation both in the living and the dead. (2) Gross overcrowding combined with totally inadequate sanitation. In Camp No. 1 things varied to some extent from hut to hut, but in every case the accommodation was grossly inadequate. It is a fair general statement to say that in Camp No. 1 ten people were being accommodated in space reasonably sufficient for one person, whilst in Camp No. 2 four people were being accommodated in space reasonably sufficient for one person. The sanitation in Camp No. 1 would have been quite inadequate even if this camp had housed only a reasonable number - say one-tenth of those found there. This state of affairs had led inevitably to the outbreak of diseases, particularly typhus in Camp No. 1, the whole aggravated in Camp No. 1 (but not initially caused) by failure to bury the dead.

7. It is impossible to give exact figures, but I have no doubt whatever that many of those who were lying dead and those who afterwards died were killed from the effects of starvation pure and simple, combined with the appalling conditions under which the prisoners were forced to live. Of those who died of disease it is fair to say that the vast majority, at the very least, had been so weakened by starvation as to have no chance of resisting the onset of disease.

8. In my opinion all those in any way responsible for ordering, or carrying out orders, which resulted in the state of affairs hereinbefore described, must inevitably have known that it was bound to result in deaths on a gigantic scale, and that such deaths were the only possible outcome of such orders and the carrying out of such orders.

9. The medical arrangements made by the Germans for the succour of the sick were so grotesquely inadequate as to be fairly described as ‘nil.’ All those concerned in the German medical services, by failure to provide any adequate succour, were making it quite certain that none of the very large number of deaths arising from the state of affairs hereinbefore described would be prevented, and the German medical services must be held as responsible as all others concerned.

11. It is not possible to tell how long the state of affairs had existed in Camp No. 1, but it would appear probable that they had existed for some considerable period and certainly for two months before I arrived on the 17th April, 1945.

12. It has been impossible to obtain exact figures existing at the beginning as the German authorities at the camp had caused their records either to be destroyed or removed. It would appear that there were approximately 40000 people still living in Camp No. 1, but a number of these were on the point of death from their previous treatment. In Camp No. 2, I was informed that there is believed to have been about 15000 people. The total number who are known to have died since the British entered the camp on 15th April, 1945 is 13000, the majority of whom died within a matter of days and were from Camp No. 1, but there were a number of deaths in Camp No. 2.

Again, it is impossible to give exact details, but it would appear that in Camp No. 1 there were approximately a ratio of two to one as between female to male persons.

13. There were, as on the 27th day of May, 1945. in hospital in Belsen, 11,200 persons, all of course being from Camp No. 1 or Camp No. 2. The total number of deaths on the 27th May, 1945, was 54. There are bound to be a number of further details.

14. From information hereinbefore given it will be seen that at least 26000 people have died, counting only those whose bodies were unburied when the British arrived and those who have died since, despite every medical aid which could be given. It is not known to me how many thousands were killed in this camp before the British arrived, but I have no doubt that it must have been a very high figure.

15. The figures given above are necessarily approximate and subject to such final check as the British authorities can make, but they can be taken as substantially correct.

16. Of those who survive, a very large proportion will be permanently injured in health through their frightful and inhuman experiences, and, in particular, tuberculosis will be rife. Further a very large number of survivors will be, to a greater or lesser degree, impaired in their mental faculties as the result of having been in this horror camp. Sworn by the said deponent, James Alexander Deans Johnston, at Belsen Camp, this 29th day of March, 1945, before me (Sgd.) S. G. Champion, Major, R.A.," and that it is signed by James Alexander Deans Johnston.

MEDICAL APPRECIATION – BELSEN CONCENTRATION CAMP

Introduction.

This appreciation is written after only 24 hours contact with the camp and is therefore incomplete and inconclusive.

1. General Layout.

The camp is separated into two distinct portions – Camps 1 and 2. Camp 1 is a hutted encampment housing approximately 22,000 females and 18,000 males. Camp 2 consists of a series of brick buildings and houses approximately 27,000 males. The inhabitants of these camps are of mixed nationalities with Russians and Poles predominating. Czechs, Belgians, French and Italians are also present.

2. Conditions Prevailing

The following is a brief account of the conditions seen on first entering these camps on 17 Apr 45. It is impossible to give an adequate description on paper.

Camp 1. A dense mass of emaciated apathetic scarecrows huddled together in wooden huts without beds or blankets, in many cases, without any clothing whatsoever in some cases. The females in worse condition that the men, their clothing generally, if they have any, only filthy rags.

The dead lie all over the camp and in piles outside the blocks of huts which house the worst of the sick and are miscalled hospitals. Approximately 3,000 naked and emaciated corpses in various stages of decomposition are lying about this camp.

Sanitation is non-existent. Pits with in only a few instances wooden perch rails are available in totally inadequate numbers, but the majority of inmates, from starvation, apathy and weakness, defecate and urinate where they sit or lie, even inside the living huts.

There is no running water or electricity. All water is being brought in by our water trucks.

Camp 2. Conditions in this camp are vastly improved in comparison with Camp 1. The inmates are housed in buildings 600 to a building of 150 capacity. Sickness in this camp is much less and the death rate is about 10 a day. The inmates appear better clad and generally less emaciated than in Camp 1 though signs of starvation are everywhere. An attempt has been made to bury the dead.

3. Diseases Prevalent

Camp 1. Riddled with Typhus and Tuberculosis. Gastro intestinal infections are very common and probably enteric, and simple Gastro-enteritis. No Cholera or dysentery has been diagnosed. Erysipelas, Scurvy and starvation disorders are prevalent.

Camp 2. Enteric, Tuberculosis, Erysipelas. There is no Typhus in this Camp.

4. Rates of sickness.

Camp 1. Numbers seriously ill and requiring hospitalization but excluding those who will inevitably die.

Females 2,600

Males 900

Camp 2.

Males 500

Grand Total 4000

*This figure does not include persons suffering only from effects of starvation.

5. Medical Resources Available Within Camp

Personnel Doctors* Nurses*
Camp 1 42 33
Camp 2 7 50

*Figures include only personnel fit to work now.

Medical Stores

These are negligible and can be discounted.

6. Ordnance Stores of Medical Nature Available

Nil of the essential items eg blankets, stretchers, clothing, towels, urinals and bed pans.

A totally inadequate number of beds, feeding utensils etc.

7. Urgent Measures to be taken

a. Bury the dead

b. Evacuate all patients from Camp 1 to suitable clean buildings in Camp 2 with organised plan for reception, delousing and cleansing prior to admission to buildings

c. Evacuate remainder from Camp 1 to Camp 2.

d. DDT all inmates

e. Arrange suitable feeding for patients – death rate has increased since abundant food has become available.

f. Pile and burn the masses of rubbish, rags and human excreta littering the camps.

All of the above are already in progress. Water and electricity are now available. A hospital area has been earmarked and is now being evacuated and cleaned prior to the reception of seriously ill from Camp 1. This hospital area will accommodate and self contain 6,700 patients. It will be demarcated and restricted as an infectious area. The dusting of all inmates is well under way. Suitable feeding of patients has been arranged. The burial of the dead is progressing slowly in large pits at the southern end of Camp 1.

8. Urgent Requirements

The following are minimal:

Blankets 14,000

Stretchers 5,000

Palliasses 7,000

Bedpans or Equivalent 700

Urinals or Equivalent 700

Cooking Utensils for 7,000

Many other items, including medical stores are required, but can probably be found locally.

J A D Johnston

Lt Col RAMC

Commanding 32 (Brit) CCS Group

Many thanks to Andrew Griffin for supplying the above information.

MEDICAL PROGRESS REPORT – BELSEN CONCENTRATION CAMP.

1. Urgent Measures to be Taken.

With reference to the points enumerated under the same heading at para 7 of my original report dated 18 Apr 45.

a. The burial of the dead is proceeding, though more slowly than had been hoped. In this connection my original estimate of 3,000 corpses is proving to be a gross underestimate as large numbers of dead had been retained within the living huts. The death rate is also extremely high in Camp 1, but cannot be calculated at the present time.

b. The evacuation of serious sick from Camp 1 commenced on 21 Apr. Evacuation could have started on 20 Apr but the water supply to Camp 2 was cut in night 10/20 Apr and without an adequate supply it was impossible to proceed.

(i) Method of Evacuation. Conditions in Camp 1 were found to be worst in the so called hospital huts of the female laager on the Western side of the Camp. It was therefore decided to clear this area first and to start with Typhus cases. Prior to commencement of evacuation, personnel of the Field Hygiene Section attempted to dust with DDT all huts and inmates but it was unsatisfactory in view of the appalling conditions under which the men were required to work; few were able to stand the sight and smell for more that very short intervals at a time and it was impossible to more than superficially dust the majority of the patients. Patients are evacuated by the personnel and transport of 11 Lt Fd Amb and conveyed to the reception building in Camp 2 shown on the attached plan. All clothing or rags are stripped from the patients before leaving Camp 1.

(ii) Method of Reception. A large stable building was cleaned out and is being used for this purpose. Twenty patients can be received and treated at a time. The patients are carried in by squads of German medical orderlies, placed on tables then scrubbed down with soap and hot water and dried and dusted by German military nurses. Patients are next transferred to clean stretchers and blankets and into clean ambulance cars for the short journey to the receiving buildings.

(iii) Numbers Treated and Received. Three hundred only were received on 21 Apr but this was stepped up to 500 on 22 Apr and it is hoped now to maintain a steady intake of 500 per day.

c. The evacuation of fit personnel from Camp 1 to Camp 2 has not yet commenced.

d. The dusting of all internees in Camp 2 was completed but found unsatisfactory in view of the fact that they were required to re-enter lousy buildings after dusting. This task is being undertaken again, and will include the de-lousing of buildings. The de-lousing of internees and huts of Camp 1 is an impossible task but all internees will be de-loused prior to their evacuation from this Camp under preparation by the Military Govt.

e. The feeding of sick in Camp 1 has been taken over as a medical responsibility since the start. The recommended diet scales for fit personnel and for sick are attached as Appx B; these scales are now in use.

f. The burning of refuse is proceeding slowly. It is most strongly recommended that the entire area of Camp 1 be burned to the ground on completion of evacuation.

2. Organization of the Hospital Area.

The entire area bounded by the dotted lines on the plan at Appx A has been taken over as a hospital area. This area will provide accommodation for at least 7,370 patients. Each oblong building accommodates 150 beds. The buildings facing the open square are canteens and each will accommodate 70 beds.

The area is sub-divided into 11 squares, each square comprising 4 buildings and 1 canteen. The canteens have kitchens adequately capable of dealing with the 4 buildings each serves and the area was selected for this reason.

The task of clearing the buildings, cleaning, re-equipping with beds, mattresses or palliasses, blankets, sheets and all essential ordnance equipment is a colossal one, and 400 Hungarian soldiers and all available RAMC personnel are employed on it. already the squares marked 1 and 10 are as completely equipped as possible and square 2 will be completed by this evening. Square 1 is now full with patients and square 10 will be filled by this evening.

Cooking presents a major problem. 14 cooks are required in each canteen. So far canteens Nos 1 and 10 are equipped with Hungarian cooks, but supplies of cooks are limited. Caterers arrived on 22 Apr with BRCS Dets and are being employed as supervisors.

Many thanks to Andrew Griffin for supplying the above information.