In this report, Adams notes a drastic decline in the living conditions beginning in February 1944, when the administration of the camp shifted from Japanese civilian to Japanese military authority. From that point forward, she chronicles a desperate effort on the part of the internees to stave off starvation long enough to be rescued.

In the final pages of this report, Miss Adams concluded that, had the internees not been rescued in early February 1945, they would have died within three to four weeks. Based on her own level of activity—the work she was doing to care for others—she calculated that she would have been dead in four to five days. She weighed ninety-five pounds at the time the camp was liberated.

National Archives, Records of the Office of the Surgeon General (Army)