From Nanjing 1937: Battle for a Doomed City, by Peter Harmsen (Casemate, 2015), Kindle Loc. 2591-2628:
The safety zone, the brainchild of Rabe and a few other foreigners who had stayed behind in Nanjing, started to take form in the first week of December, when it was officially publicized and four committees were set up to take care of food, housing, finance and sanitation. Once the plans for the zone were detailed in the local press, scared Chinese civilians started moving in by the hundreds, convinced that it was only a matter of time until the Japanese took over. A small newspaper’s repeated claim that it was the “duty” of all patriotic Chinese to stay outside the zone and face the Japanese bombs was largely ignored.
The zone was beset with problems from the start, both practical and bureaucratic. Thousands of bags of rice and flour meant for the zone’s future residents were left unguarded and quickly disappeared. Many assumed that they had been stolen by the military. Potentially much more serious problems arose when Chinese military units started digging trenches and setting up field telephones inside the safety zone, which automatically put it at risk of Japanese attack. Chinese officers promised that they would leave, but the situation dragged out, causing impatience among the organizers of the zone. Until the last Chinese soldier had left, they could not put up flags around it, designating it as a truly demilitarized area.
The Japanese refused to officially acknowledge the safety zone, but vowed to respect it. A lukewarm attitude on their part could hardly be considered surprising, but intriguingly some Chinese officers also exhibited direct hostility against the zone. “Every inch of soil that the Japanese conquer should be fertilized with our blood,” an angry officer told Rabe. “Nanjing must be defended to the last man. If you had not established your Safety Zone, people now fleeing into the Zone could have helped our soldiers.” They wanted to leave nothing of use to the Japanese. This included complete destruction of the area inside the safety zone as well. Some nationalistic Chinese officers were also opposed, on principle, as they saw an essentially foreign-administered region in the middle of their capital as an intolerable violation of Chinese sovereignty.
The zone was not the only effort to help alleviate the pain and suffering caused by war. After the outbreak of the battle over Shanghai, the Chinese Red Cross had stepped in where military medicine had failed and set up a number of first-aid teams and emergency hospitals, while also ensuring that wounded soldiers were put up in existing medical facilities. In October, it established a 3,000-bed hospital on the campus of the National Central University, with a staff of 300 doctors and nurses and 400 orderlies. By the end of October, the hospital had 1,200 patients, and carried out more than 50 operations a day, mostly amputations.
However, as the Japanese approached Nanjing, doctors and nurses were transported west up the Yangtze. The entire Red Cross hospital was evacuated, and at the American Mission Hospital, an initial staff of nearly 200 doctors, nurses and trained workers had been reduced to just 11 by the onset of winter. Some were ordered out of Nanjing, while others left on their own initiative, without warning. Wilson, the Harvard-trained surgeon, described in a letter how he had carried out a complicated operation on a bombing victim with the help of an experienced Chinese nurse who doubled as an x-ray technician. “Incidentally that nurse left this afternoon,” he added, “and now we have no one in the operating room.”
With medical facilities close to collapse, a group of foreigners took the initiative to try to improve conditions, and there were small victories. A committee headed by Rev. John Magee, an American-born Episcopal missionary, secured a sizable amount from Chiang Kai-shek and set up a temporary dressing station in the school buildings of the American Church Mission. Overall, it was slow, unrewarding work in a field that many Chinese officials considered redundant. In an attempt to help the injured soldiers who were still piling up on the platforms, a group of foreign volunteers asked the Chinese authorities for ambulances. They were told that ambulances were indeed available, but there was no gasoline and no money to buy it.
Also very active in Shanghai, Nanjing, and elsewhere in East Asia at the time was the Red Swastika Society (世界红卍字会, shìjiè hóngwànzìhuì), a Buddhist/Daoist equivalent of the Red Cross or Red Crescent.