Khonkan, 55 Kilo Hospital - Burma

KHONKAN, 55 KILO CAMP –  opened 30th July 1943 – 24 December 1943 – Hospital Camp for ‘A’ Force (also F  & H Forces)

When it was decided to set up this hospital at 55km, the sick from 105km and 108 km were transferred back to this camp.  Brigadier Varley, Commander of ‘A’ Force suggested the men from Meiloe 75 km Camp also be moved back to Khonkan by road and rail under the command Dr. Coates.

“Dr. Coates was remarkable; he was admired by everyone and was very efficient.”

Coates was to Burma what Dunlop was to Thailand – each being a fine surgeon in his own right.

Captain Claude Anderson of 2/4th was one doctor working here between 1st September to 19th October 1943 (after which he returned to Aungganaung 105km Camp).

In July 1943 Dr Albert Coates was sent as Senior Medical Officer to take charge of the hospital; remaining there until end of December 1943. Khonkan was an abandoned working camp of eight bamboo and atap huts with floors of bamboo strips. It was nothing more than a series of huts previously used to accommodate railway workers.

On the 1 Jul 1943 Eric Fraser WX6506 was one of those who assisted Coates part of the way to Khonkan 55km Camp, carrying him on a stretcher.

Arriving at 55 Kilo Camp Coates was carried to his hut on a stretcher. He had travelled partly by train and truck from 75 Kilo Camp. At 75 Kilo camp Coates had became seriously ill with scrub typhus and owed his recovery to two dedicated Australians and a Dutchman who washed and fed him as he lay in rags on his bamboo bed for two weeks. His weight in Malaysia of 12 stone was reduced to 7 stone.

55 Kilo camp had been opened by Major Charles O’Brien as administrative officer and Lieutenant W.W. Tilney as adjutant on 1 June 1943. Captain J. Higgins was initially the only doctor at Khonkan. For the first two weeks Albert ‘Bertie’ Coates was carried around on a stretcher to see patients, and it was during this time he realized amputation was the option to save the lives of ulcer patients.

There were 800 patients of which 500 suffered from medium to large leg ulcers. Of course the men also suffered malaria – which was prevalent throughout the entire length of the Railway.

Camp rations were very scanty. The Japanese would weigh every man regularly to determine the total weight of all men in the camp. They allowed 1,200 units of rice for each man and then calculated the total amount required.

The huts at Khonkan were in a very bad state of disrepair. There were not sufficient men in the working party well enough to repair the leaking roofs. The downpours were frequent and rain came through the roofs. This seemed not to matter much to the men who had no clothing and were so ill and simply overwhelmed with suffering. With continuing illnesses the total weight of the camp became less and less. And in turn, under their ratio the Japanese provided less and less food.

Rather than less rations, what the sick needed was more as the men were starving.

As the men on the railway dropped out sick from other working camps on the railway they were sent to 55 Kilo Camp. The sick men arrived in trucks being too ill to walk. The Japanese refused to allow them to travel to a base hospital camp where there was at least some hospital equipment. Their supply of drugs and instruments may well have been minimal but it was more than that of 55 Kilo Camp – they had zero.

There were 1800 patients with malaria with a quinine supply sufficient for 300 patients. Coates protested to the Japanese medical authorities at Thanbyuzayat.

The Japanese pointed out that they allowed a man to have only one disease! If a man had malaria then he couldn’t have a leg ulcer, and if he had a leg ulcer then he couldn’t have dysentery!

Many POWs had three or more diseases. Malaria was the underlying cause of blood destruction (anaemia) and consequently those men suffered from other diseases. Quinine was the only drug available and supplies were intermittent and sometimes not available at all throughout the Camps. As important was the lack of food.

330 of the 1600 patients died.

Luck improved a little for Coates when Dutch chemist Captain van Boxtel, previously a photographer with the Dutch Air force arrived at the Camp. Coates requested the chemist prepare cocaine from some tablets which he still had with him. This was successfully used for spinal injections for amputations; as Coates wrote “in the next few weeks 120 legs came off”. Many toes were removed with scissors and without anaesthesia!

Coates had already realized that it was useless to work with orthodox methods of amputation as practiced at home and in hospitals. In these jungle conditions the operations were similar to those done in the days of Nelson and Wellington. Indeed it was field surgery with the advantage in some cases of having some pain-relieving anaesthetic!

Ligatures were made of catgut from the peritoneal coat of the intestine of the yak and skin was sterilized with alcohol prepared by van Boxtel from Burmese brandy and waste rice.

In time four medical officers assisted Dr Albert Coates including senior doctors Major Fisher and Capt. Brereton (who went blind after the war from vitamin deficiency). Every morning he supervised these officers to segregate the sick from the very sick.   They worked particularly on the leg ulcers. Coates and his medical team were curetting 70-80 ulcers every morning and supervising the dressing by dedicated volunteer orderlies. In the afternoons he would proceed to amputate 9-10 legs.

Conditions in the Camp were appalling.  The operating theatre was a bamboo lean-to about 6 feet by 8 feet.   Coates had three instruments – one knife, two pairs of artery forceps and used the one and only camp saw shared with the carpenters and butcher. There was a tiny amount of cocaine that Coates used in small quantities as a spinal anaesthetic.

Survival rate was not good.  If the men survived they usually faced other illnesses and without sufficient food it all seemed too hopeless for so many.

The daily procession to the nearby graveyard reminded the emaciated skeletons who were once men that death would soon end their pain and misery. Gangrenous leg ulcers constantly emitted a nauseating stench from which no one escaped.

In November 1943 Reptu 30km Hospital Campo was closed and patients transferred forward to Khonkan 55km Camp.

As Senior Medical Officer Coates visited other Camps from time to time including 50km Camp in the later stages of 1943 where conditions were worse because they had absolutely no medical equipment and were unable to amputate legs. Also the POWs had marched long distances to 50Km. They came from Thailand and included men from H and F Force.

In December 1943, the Japanese Commander Colonel Nagamoto informed Lt-Col Coates the 55 km camp would close (the railway was completed in October 1943) –  patients and staff were to be moved to Tamarkan, Thailand.  This transfer of patients would be by train.  Nagamoto assured Coates they were going to a ‘hospital’ with better food and medical supplies!

The sick were divided into two groups. The Japanese classification – light sick and serious sick. Light sick was a term to describe men who would not die immediately – but men with disease from which they may recover or kill them within 3-4 months. The sick were transported by box truck to near Bangkok. The so-called light sick to Kanchanaburi and heavy sick to Nakompaton.

For the sick men the train journey to Tamarkan was one of terror.  There were insufficient stretchers for the large numbers of very ill men.  Many had to reach the train stop on foot, hobbling and resting when they could. They would wait hours and hours for a train to arrive.  Guards crammed too many men into tiny steel boxes which usually transported freight – some on stretchers, some men stood, some squatted amongst those on stretchers all carrying their possessions –which by now amounted to very little or nothing. Dysentery cases created their own hideous odour, which mixed with the putrid smell of the rotting flesh of ulcers.    There were cries of pain with every jolt of movement as the train rode over the uneven levels of rail tracks built by slave labour.  On one journey each steel carriage was provided one bucket of raw turnips and one with water (for upwards of 20 men).
There were cries of pain and soon cries for water.  The carriages were buffeted about, shunted backwards and forwards at certain stages – for three days.

55 Kilo Camp closed down on 24 December 1943. Dr Albert Coates was then appointed Senior Medical Officer at Nakompaton Camp.

The first group of patients arrived soon after Coates. 1,000 men and within three months the camp held 8,000 – the residual heavy sick from the whole of the Burma-Thai railway with the exception of F and H Force who had been returned to Singapore.

It was acknowledged that 30 Kilo and 55 Kilo camps were the bad ones to be in. 30 Kilo Camp had 2000 ‘light sick’ just herded in there. Tanbaya 50 Kilo Camp was the F hospital camp on the Line – it was a death camp.

 For those interested to read of further medical accomplishments at 55 Kilo Camp we suggest reading “The Albert Coates Story” The Will that Found the Way by Albert Coates and Newman Rosenthal, published by Hyland House Melbourne

Men of 2/4th from ‘A’ Force Burma, Green Force No. 3 Btn who died at Khonkan 55 km Camp included:

WX8798 Biggs, Guy Percival d. 21 Aug 1943 cardiac beri beri, dysentery and tropical ulcers aged 39 years.

WX5050 Briggs, John Arthur d. 11 Aug 1943 post leg amputation aged 29 years.

WX7504 Chapman, Desmond Bruce d. 11 Aug 1943 tropical ulcer, malaria and dysentery aged 27 years.

WX7625 Clarke, James Sydney d. 13 Aug 1943 pellagra and cardiac failure aged 25 years.

WX7804 Davison, Thomas Medland d. 25 Oct 1943 chronic diarrhoea and malnutrition aged 34 years.  (Colonel Albert Coates performed amputation above leg knee due to tropical ulcer at Augganaung 105 km Camp 4 Jul 1943. Davison was transferred to Khonkan 55 km Camp).

WX7022 Hope, Edwin James d. 8 August 1943 beri beri aged 23 years.

WX9214 Lee, John (aka George Lee) d. 26 Aug 1943 cardiac beri beri aged 36 years. (John Lee was evacuated from Augganaung 105 km Camp to Khonkan Hospital Camp on 28 May 1943).

WX10388 Meads Kenneth Lawrance. 14 Sep 1943 toxaemia aged 38 years.  (Ken Meads was evacuated from Augganaung 105 km Camp about 10 Sep 1943 due to tropical ulcers to his right foot.  His right leg was amputated above knee but he died post leg amputation as result of toxaemia).

WX17737 Moher, Kenneth d. amoebic dysentery 24 Jul 1943 aged 28 years.

 

The following excepts are taken from an address Albert Coates gave in Melbourne 1946.

 

Location of Khonkan, 55 Kilo Hospital - Burma