During the American Civil War, several African American women are noted to have served as paid crew aboard the hospital ship Red Rover in the Mississippi River area in the position of nurse. The known names of four nurses are: Alice Kennedy, Sarah Kinno, Ellen Campbell and Betsy Young (Fowler). In addition volunteer nuns from the Catholic Sisters of the Holy Cross also served aboard as nurses. During the 1898 Spanish-American War, the Navy employed a modest number of female contract nurses in its hospitals ashore and sent trained male nurses to sea on the hospital ship Solace.
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