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Hello, Just saw your question.  Cuban Presidential Decree 401 dated May 19, 1909 created the Cuban Red Cross Society as an independent organization linked to but independent of the Cuban government.  The government approved establishment of  La Orden de Honor y Merito de la Cruz Roja Cubano in 1913.   Most sources agree on this information including From A Grateful Nation.   However, some claim that retroactive governmental awards of the Order dated to as early as 1910.   It is also possible that the Red Cross Society awarded the Order begining in 1909 before the government bestowed the Order.    A news article dated May 1912 [https://books.google.com/books?id=rbxOAQAAMAAJ&pg=PA146&lpg=PA146&dq=order+Cuban+Red+Cross+bestowed&source=bl&ots=onZCXB_Dpt&sig=ACfU3U3mheXYdY3khFcqYpZMuPZC3m8M9Q&hl=en&sa=X&ved=2ahUKEwij9pqP9srnAhVBlnIEHVOwA9oQ6AEwBXoECAoQAQ#v=onepage&q=order Cuban Red Cross bestowed&f=false] reports award of Cuban Red Cross medals  -- this seems to indicate that the Society presented the honor before the government.  

Authorities seem to agree that both the Cuban government and the Cuban Red Cross Society awarded the Order.   The question of when each entity started using the Order remains open

The Order recognized outstanding services with grades depending on the awardee's merits and social position.  The government abolished it in 1978 and replaced it with a medal.  

I do not have any images of people wearing the award to hand.  

Thank you for answering my question in detail