““After witnessing conditions of overcrowding and poor ventilation in the Georgetown Union Hotel Hospital in 1861, the US Civil War Sanitary Commission recommended that sick and wounded soldiers be cared for in tents and wooden shanties, structures that offered ample natural ventilation and could be easily abandoned and destroyed if infectious disease became rampant.15 When Borden assumed his post at the Washington Barracks over thirty-five years later, little had changed.””