Barton headed the Red Cross for 23 years, during which time it conducted its first domestic and overseas disaster relief efforts, aided the United States military during the Spanish-American War, and campaigned successfully for the inclusion of peacetime relief work as part of the International Red Cross Movement-the so-called "American Amendment" that initially met with some resistance in Europe.
The Red Cross received its first congressional charter in 1900 and a second in 1905, the year after Barton resigned from the organization. This charter-which remains in effect today-sets forth the purposes of the organization that include giving relief to and serving as a medium of communication between members of the American armed forces and their families and providing national and international disaster relief and mitigation.
Prior to the First World War, the Red Cross introduced its first aid, water safety, and public health nursing programs. With the outbreak of war, the organization experienced phenomenal growth. The number of local chapters jumped from 107 in 1914 to 3,864 in 1918 and membership grew from 17,000 to more than 20 million adult and 11 million Junior Red Cross members. The public contributed $400 million in funds and material to support Red Cross programs, including those for American and Allied forces and civilian refugees. The Red Cross staffed hospitals and ambulance companies and recruited 20,000 registered nurses to serve the military. Additional Red Cross nurses came forward to combat the worldwide influenza epidemic of 1918.
After the war, the Red Cross focused on service to veterans and enhanced its programs in safety training, accident prevention, home care for the sick and nutrition education. It also provided relief for victims of such major disasters as the Mississippi River floods in 1927 and severe drought and the Depression during the 1930s.
The Second World War called upon the Red Cross to provide extensive services once again to the U.S. military, Allies, and civilian war victims. It enrolled more than 104,000 nurses for military service, prepared 27 million packages for American and Allied prisoners of war, and shipped more than 300,000 tons of supplies overseas. At the military's request, the Red Cross also initiated a national blood program that collected 13.3 million pints of blood for use by the armed forces.
After World War II, the Red Cross introduced the first nationwide civilian blood program that now supplies nearly 50 percent of the blood and blood products in this country. The Red Cross expanded its role in biomedical research and entered the new field of human tissue banking and distribution. During the 1990s, it engineered a massive modernization of its blood services operations to improve the safety of its blood products. It continued to provide services to members of the armed forces and their families, including during the Korean, Vietnam, and Gulf wars. The Red Cross also expanded its services into such fields as civil defense, CPR/AED training, HIV/AIDS education, and the provision of emotional care and support to disaster victims and their survivors. It helped the federal government form the Federal Emergency Management Agency (FEMA) and serves as its principal supplier of mass care in federally declared disasters.
While closely associated with the federal government in the promotion of its objectives, the Red Cross is an independent, volunteer-led organization, financially supported by voluntary public contributions and cost-reimbursement charges. A 50-member, all volunteer Board of Governors leads the organization. The president of the United States, who is honorary chairman of the Red Cross, appoints eight governors, including the chairman of the board. The chairman nominates and the board elects the president of the Red Cross who is responsible for carrying into effect the policies and programs of the board. The American Red Cross works closely with the International Committee of the Red Cross on matters of international conflict and social, political, and military unrest. As a member of the International Federation of Red Cross and Red Crescent Societies, which it helped found in 1919, the American Red Cross joins more than 175 other national societies in bringing aid to victims of disasters throughout the world.