Known as the 118 General Hospital it was planned as a hospital centre of five hospitals consisting of 490 timber barracks-type buildings, which could house a total of 4,250 beds and accommodate up to 1,250 patients and 3,500 staff.
The hospital was formed by doctors and nurses from the Johns Hopkins University Hospital in Baltimore, Maryland. The hospital staff arrived in Sydney during June 1942 and ran a 400-bed hospital from August 1942, with a section at the Hydro Majestic Hotel at Medlow Bath.
Mrs Eleanor Roosevelt, wife of the US President Franklin D. Roosevelt, visited the 118 General Hospital on 8 September 1943.
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