Not as Dull as it Sounds!

Last year I started cataloguing the County Lunatic Asylum records which are part of our Quarter Session collection. I soon discovered that the material contained numerous handwritten and printed reports. These were mainly annual reports written by the Medical Superintendent of the asylum, the Committee of Visitors and the Commissioners in Lunacy. The latter two wrote reports after carrying out inspections of the institution. A first, I thought these would make very dry reading but soon found that they offered a wealth of information about life in the asylum and the types of challenges they faced. 

A report from the Committee of Visitors for the year 1866 revealed some interesting information about a short cholera outbreak in the asylum that year. It named four patients who contracted the disease and died. The word attacked refers to the time they were diagnosed. 

Patient Name	Attacked	Died
George Trueman	28 October at 9am	29 October at 3am
Margaret Daglish	2 November at 5am	2 November at 6.35pm
Mary Ann Hall	3 November at 9am	4 November at 12.30am
Ralph Havis	4 November at 1am	4 November at 7.45pm

The Committee of Visitors reported that luckily there were no other cases but sadly they had the disagreeable duty to perform of investigating the outbreak. It is noted that the death of Ralph Havis ended in the resignation of the Assistant Medical Officer, Mr Hughes. On the 24 November 1866, The Morpeth Herald reported that medical staff in the asylum were being investigated on alleged charges of neglect. They stated that an inmate in the institution had died of cholera and was not attended by a doctor until after he had passed away.  

At the time of the outbreak, Richard Wilson was the Medical Superintendent. His annual report for the year 1866 mentions the sudden outbreak of cholera which occurred towards the close of the year. He claims that the crowded state of the asylum caused much anxiety as there were no suitable detached buildings for the immediate isolation and treatment of infected patients. He respectfully suggests to the Committee of Visitors that they could consider building a small, detached building where sick patients could be comfortably and suitably tended as well as isolated from the other inmates in the case of extreme fever or epidemic outbreak. 

Unfortunately, Mr Wilson was unsuccessful. The Commissioners in Lunacy visited the asylum on 27 February 1867 and their report stated that they were strongly of the opinion that it was not desirable to construct places for the sick away from the immediate vicinity of the medical officers. They suggested that it would be preferable to make some additions to the rooms that had been formed out of the old asylum bathrooms which had been used during the prevalence of cholera the previous year. 

In the Medical Superintendent’s report for 1898, it is noted that the deaths from phthisis (tuberculosis) continue to be excessive in number. The Superintendent of the asylum is now Mr T. W. McDowall. In his report he points out that there is still a great need for a detached hospital for the early separation and treatment of infectious diseases. He states that the north of England is at the present time threatened with an epidemic of smallpox and at any time this loathsome and dangerous disease could be introduced into the asylum population.  

By 1901, the Committee of Visitors appear to be taking things more seriously as their report refers to the urgency of building an isolation hospital. This it appears was partly in response to concerns raised by the Coroner of North Northumberland in a letter to the Committee.  

Alnwick, 5^th March, 1901 

Dear Sir, 

I held two inquests, one on Saturday last and one yesterday, at the County Lunatic Asylum, Morpeth, on the bodies of pauper lunatics, both of whose deaths were attributable to erysipelas [infectious disease of the skin] following upon slight wounds accidently received. In enquiring yesterday into the means of isolation for infectious diseases (and it is well known that erysipelas is a highly infectious disease), it appears that both paupers had been in one ward, and that there is no infectious ward at the asylum for the isolation of infectious cases.  

The jury added a rider to their verdict in the case yesterday as follows: –  

“The jury desire to record that they have learned from the evidence with surprise that there is no infectious hospital, or means of isolating infectious cases, at the asylum, and they consider such defect should be immediately remedied.” 

I sincerely trust that your committee will immediately take the matter into very serious consideration, especially so, as it was given in evidence yesterday that the subject had been more than once brought to their attention, both by the Superintendent Medical Officer and by the Lunacy Commissioners. 

Yours, &c., 

Chas. Percy, Coroner. 

The report from the Committee of Visitors for the year ending 31 March 1902, states that plans for an isolation hospital have been forwarded to the Secretary of State and the Lunacy Commissioners. Plans had originally been drawn up to accommodate ten patients, but the Commissioners recommended that this should be changed to six patients to reduce costs.  

In his report for the year ending 31 March 1902, Medical Superintendent Mr McDowall, mentions five deaths due to typhoid. His frustration is evident, and he isn’t afraid to note that the want of an isolation hospital has always been a serious defect in the arrangements of the asylum. He states that it is now more than twenty years since he directed attention to this matter and it is only quite recently that a decision was made to provide a small hospital where cases of infectious diseases could be removed and thus diminish the risk of contagion.