Poor Law Commissioners: report on medical charities, Ireland; supplementary appendix

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Poor-rate, with such provisions as would ensure a good local Administration, and the Appendix (B.)

appointment of competent and efficient Medical Officers.   

The Borrisokane Fever Hospital is capable of containing 16 Beds, but it is greatly in if ^ssistani

want of Funds, and of Repairs. Commissioners.

The Cloughjordan Fever Hospital contains 16 Beds. The Committees and Medical No. 8.
Attendants of both, state that many of the neighbouring Proprietors do not subscribe—that Report of Mr. Ilaw-
they apprehend it will still be more difficult, if not impossible, to obtain Funds for their
support, and that in such event, they should form a portion of the Poor-rate, care being

,^,â– 1, 11 (1 1 Oil IIDIOHS 111 1/116

taken that a proper local arrangement be ensured. Counties of

We quote a portion of the Report of the Medical Attendant of the Borrisokane Fever Limerick.Tipperary,
Hospital and Dispensary, read before the Meeting of Subscribers at which wo attended Kerry, &c.
—"The Fever Hospital District, without interfering with that of any other, comprises eleven
Parishes, which contain a population of 26,070.—of twelve Magistrates resident witliin
the District, only four subscribed—three only of the Clergymen of the eleven Parishes
subscribed—a Nobleman who usually gave bl. per annum, has withdrawn his Subscription
this year; and above 40 Gentlemen who reside in the District, and who possess Property
amounting from 300/. to 1,000Z. per annum each, never contributed one farthing to either
Fever Hospital or Dispensary.

We think it likely that there must be some local objections on the part of many of these
numerous and respectable individuals to these Institutions. But these circumstances prove
that, from some cause or other, even where an Hospital or a Dispensary has been established,

and where the relief it is capable of aifording is required, the means of supplying it cannot
be obtained. In justice to the Medical Officer of the Borrisokane Hospital, it should be
observed that he appropriated his Salary for two years to the Fund for Building it, and
that he is an intelligent and respectable Practitioner.

The distance from all parts of this Union to Cashel is so considerable that but few
Patients are sent from it to the County Infirmary. The general feeling therefore is, that
provision should be made for connecting some Beds for Casualties with the Fever Hospitals
at Nenagh, that Town being not only the centre of the Union, but the Assize Town of the
Northern end of the County.

The Cashel Union contains Five Dispensaries, a Fever Hospital, and an Infirmary. Cashel Union.

The Dispensaries are well distributed, but, for want of a proper definition of their j..

respective Districts, and other arrangements, their efficiency is much lessened, and conside¬
rable portions of the population are excluded from all such relief.

The Cashel Fever Hospital is capable of containing 30 Beds. It is only Six Months Fever Hospital,
open, and may be considered in an unfinished condition. There is neither Pump, Water
Closet, or Privy in, or connected with it. The Building is quite unenclosed on a Common,

and it is without any Sewerage. The Contractor for the Building has taken legal pro¬
ceedings against the Medical Officer for the recovery of a Balance of 142?. due to him.

Yet, under all these circumstances, no Meeting of Subscribers or Regulating Committee,

has been held during the above period. Patients are admitted on the recommendation of
Subscribers, but fit cases are refused when not so recommended. Some of the Proprietors
and other wealthy Persons subscribe liberally towards the Institution, but from many such
no assistance is obtained. A list of 42 such individuals, comprising some of the most wealthy
Noblemen and others in that part of the County who do not subscribe, has been handed in
by the Medical Officer, whose acquaintance with the District enabled him to ascertain this
important fact.

The Cashel (County of Tipperary) Infirmary, is capable of containing 40 Beds, but a Infirmary,
resolution of the Governors limits the admissions to 35,—the Funds being insufficient to
support a greater average. Fit objects are refused admission on this account, but the
Hospital could safely accommodate an average of 60 Patients,

The Annual Subscription to this Infirmary is One Guinea, the payment of which for ten
successive years constitutes a Governor for Life, though the Sum of 2\l. iDaid at once is
necessary for this privilege. Some advantages are said to be obtained by the smallness
of the Annual Subscription, namely, the total annual amount is thought to be greater than
would be had from Three Guinea Subscribers, and the dispersion of this greater number
enables Patients more readily to obtain recommendations, which are had with much difficulty
where the Governors are but few.

The Apothecary of this Institution acts also as Registrar, and is paid 151. per annum for
his services. The Legal Salary is 30/. late Irish currency. The difference is paid him for
his attendance on the Sick Poor of the City and its vicinity. But the legahty of ajjpro-
priating County Funds for the benefit of a locality appears doubtful. Besides, as there is no
record of the number of Patients visited, and as the prevaihng opinion in Cashel is, that the
duty is not efficiently, though partly, performed, we apprehend that such of the Sick Poor
of this populous District as are unable to appear at the Infirmary, are, in general, unat¬

In one of the Dispensary Districts (Clonoulty), the greater part of the Subscriptions are
paid by Farmers and other friends of the Medical Attendant, who, in return, usually receive
the benefit of his professional assistance. This mode of supporting a Dispensary is^ ahnost
necessarily productive of many disadvantages to the Public and the Medical Profession. In
all the Dispensary Districts in this Union, many Proprietors and other wealthy Persons do
not subscribe. Lord Hawarden, whose subscription is the chief support of that at Dundrum,

states this to be the case in his own neighbourhood