World War I
Being an Anglophile and admirer of the British spirit, Manuel defended the entry of Portugal into the First World War and its active participation. He asked monarchists to desist from restoration efforts as long as the war continued. He even met with republicans, and at one time, solicited his involvement in the Portuguese army. But, contrary to his hopes, a majority of the monarchists did not follow his pleas for cooperation. Many of them backed the aspirations of Germany, and had hoped to see the victory of the Kaiser as another channel to restore the monarchy. Manuel believed that supporting Great Britain would guarantee the retention of overseas colonies, which would have been lost to German aggression even if the Germans were supported in the conflict. Of his close subordinates who offered their support to the Republic, none was accepted.
Manuel attempted to make himself available to the Allies, wherever they saw use, but was disappointed when he was assigned a post in the British Red Cross. He characteristically put all his efforts into the role, participating in conferences, fund drives, visits to hospitals and the wounded soldiers on the front, which ultimately gave him a lot of gratification. The visits to the front were difficult on the French government, but his friendship with George V was sufficient enough to alleviate their concerns. Regardless, most of his efforts were not credited; years later, in an interview to António Ferro, he lamented, "The operating room in the Portuguese Hospital in Paris, during the War, was constructed by me. Do you know what they put on the plaque? 'From a Portuguese in London'." The former monarch was also responsible for the creation of the Orthopedic Department at Shepards Bush Hospital which, at his insistence continued to function until 1925, in order to continue to treat the disfiguring affects of the war. A proof of his recognition by the British was by his friend George V, who invited him to be with the King during the victory celebrations during the parade of soldiers in 1919.
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