The President of the United States of America, authorized by Act of Congress, July 9, 1918, takes pleasure in presenting the Army Distinguished Service Medal to Colonel (Medical Corps) Raymond F. Metcalfe, United States Army, for exceptionally meritorious and distinguished services to the Government of the United States, in a duty of great responsibility during World War I. As Division Surgeon, 36th Division, in August and again in September 1918, during serious epidemics of Spanish influenza, Colonel Metcalfe’s farsightedness and his energetic and efficient action in personally directing the handling of these epidemics resulted in a very large reduction in the mortality.