by J Ann Lewis
In 1868 an epidemic of Typhoid and Typhus Fever started in Dowlais in 1868, and spread to Merthyr by April 1869.
The living conditions were poor; many houses were small and overcrowded, with no proper ventilation, having windows that could not be opened. One Dowlais family consisting of a mother and four children suffering from Typhus Fever were nursed in a bedroom that measured eleven- by seven-foot. Many were without proper toilet facilities, and others sharing facilities with three or four other families. The practice of throwing waste matter onto the road was still undertaken, thus polluting the vicinity, and many were fined for continuing to do so.
Fifty-three people died by the end of March; the reported cases of the diseases reached 360, during this epidemic, three of the four nurses employed and a doctor died after contracting the disease.
The Local Board of Health, under Section 37 of the Sanitary Act 1866, had the power to provide hospitals or temporary places for the reception of the sick, but not places for the admittance of people not affected by the disease. It was hoped that once they had provided a place for the sick to be nursed, the people that had been in contact with them could remain in their homes, if a policy was adopted of cleaning, whitewashing and disinfecting the houses from which the sick were removed.
The Board of Health decided that they had to open a hospital to stem the spread of the disease and try to relieve the appalling suffering of the local people. At first it was decided that a large tent would be ideal for the purpose, a committee member pointing out that tents had been well used by troops for years, but another member added that he knew where a building, or part of one, could be obtained for £1,000.
It was decided to go ahead with the purchase, and appoint carpenters for the erection of the buildings on the chosen site at Pantyscallog. Chris James, the farmer who owned the land, had a reduction of 10s per year on his land for releasing it through the Dowlais Iron Company for the hospital.
It was clear that the cases of Typhoid and Typhus fever should not be mixed – it was necessary to have separate hospitals for these diseases, and these again were sub-divided into male and female wards. Suitable rooms were erected as a kitchen and wash-house, and placed between the two hospitals to be used by both. To prevent trespassing on the adjoining grassland, fencing of post and rail was erected.
After the foundation was finished, the building took just four weeks to complete, being a wooden structure with a felt roof. During the building of the hospital, the death-toll had risen to 77, with the number of cases reaching 426. By the end of July, the furnishing of the hospital was complete, but by that time the epidemic had subsided, and it remained unused until the next epidemic.
The hospital was first named the Caeracca Fever Hospital, but was also referred to as the Pant or Dowlais Fever Hospital. It was able to accommodate 32 patients, and was only occupied when epidemics of the infectious diseases occurred – Typhoid, Typhus, Scarlet Fever, Smallpox and Measles.
Mrs Clark of Dowlais House obtained permission from the Board of Health for the private use of part of the hospital. Sixteen beds were allocated for eight male and eight female patients. There would be compulsory admissions – patients would only be admitted with their permission. This was a wise decision as the changes of recovery would be poor; if the patients were terrified of being admitted – believing they had been taken there to die instead of to recover. This fear was somehow connected with Mrs Clark’s hospital in Dowlais, and largely due to the ignorance of the people as to the type of nursing required.
There was great concern among the committee as to whose responsibility it was to pay for the patients’ food. They wrote several times to the Home Office, and the Chairman of the Committee wrote privately to the Home Secretary dealing solely with the question of feeding. As no satisfactory answer was obtained, the Board of Health decided they would bear the expense themselves. When the question was asked “Who would pay for the beef tea?” the Clerk replied “Can’t you make the beef tea medicine?”. “We must”, came the reply, “and take the consequences”.
To be continued………
Great story.