Thus our doubts as to the amount of true leprosy that once existed in England, and was provided for in the access of chivalrous sentiment that came upon Christendom in the twelfth and thirteenth centuries, tend to multiply in a compound ratio. We doubt whether many of the so-called leper-houses or lazar-houses in the list of one hundred, more or less, that may be compiled from the Monasticon, were not ordinary refuges for the sick and infirm poor, like the three or four hundred other religious charities of the country. We know that, in some instances of leper-hospitals with authentic charters, the provision for the leprous was in the proportion of one to three or four of non-leprous inmates. We know that as early as the end of the thirteenth century the leprosi were disappearing or getting displaced even from hospitals where the intentions of the founder were explicit. And lastly we doubt the homogeneity of the disease called lepra and of the class called leprosi.
As to the foundations of a later age they were no longer under ecclesiastical management, and they seem to have been mostly rude shelters on the outskirts of the larger towns. In 1316 a burgess of Rochester, who had sat in Parliament, left a house in Eastgate to be called St Katharine’s Spital, “for poor men of the city, leprous or otherwise diseased, impotent and poor”—or, in other words, a common almshouse. The remarkable ordinance of Edward III. in 1346, for the expulsion of lepers from London, seems to have been the occasion of the founding of two so-called lazar-houses, one in Kent Street, Southwark, called “the Loke[187],” and the other at Hackney or Kingsland. These are the only two mentioned in the subsequent orders to the porters of the City Gates in 1375; and as late as the reign of Henry VI. they are the only two, besides the ancient Matilda’s Hospital in St Giles’s Fields, to which bequests were made in the will of Ralph Holland, merchant taylor[188]. Another of the suburban leper-spitals was founded at Highgate by a citizen in 1468[189], and it is not until the reign of Henry VIII. that we hear of the spitals at Mile End, Knightsbridge and Hammersmith[190]. By that time leprosy had ceased to be heard of in England; but another disease, syphilis, had become exceedingly common; and it is known that those spitals, together with the older leper-hospitals, were used for the poorer victims of that disease. Stow is unable to give the exact date of any of these foundations except that at Highgate. He assumes that the others were all built on the occasion of the ordinance of 20 Edward III.; but it is probable that only two of them, the Lock and the Kingsland or Hackney spital were built at that time[191].
An early instance of a leper-spital or refuge apparently without ecclesiastical discipline is mentioned in a charter roll of 1207-8, in which king John grants to the leprosi of Bristol a croft outside the Laffard gate, whereon to reside under the king’s protection and to beg with impunity. On the roads leading to Norwich there were four such shelters, outside the gates of St Mary Magdalene, St Bennet, St Giles and St Stephen respectively; these houses were each under a keeper, and were supported by the alms of the townsfolk or of travellers; only one of the four is alleged to have had a chapel attached. The date of these is unknown, but they were probably late. On the roads leading from Lynn, there were three such erections, at Cowgate, Letchhythe and West Lynn, which are first mentioned in a will of 1432. These non-religious and unendowed leper-spitals were probably rude erections on the outskirts of the town, at the door of which, or on the roadside near, one or more lepers would sit and beg. The liberty of soliciting alms was one of their privileges, only they were not allowed to carry their importunity too far; hence the ordinance of most countries that the lepers were not to enter mills and bake-houses; and hence some ordinances of the Scots parliament limiting the excursions of the leper folk. One of the most considerable privileges to lepers was granted to the lepers of Shrewsbury in 1204 by king John, who did not lose the chance of earning a cheap reputation for Christian charity by his ostentatious patronage of the pauperes Christi: they were entitled to take a handful of corn or flour from all sacks exposed in Shrewsbury market.
Leper-houses in Scotland and Ireland.
Most of the leper-spitals of Scotland would appear to have been of the poorest kind, unendowed and unprovided with priests. The richest foundation for lepers in Scotland was at Kingcase, near Prestwick in Ayrshire, endowed with lands and consisting of a hospital of eight beds. One or more leper-hospitals were built by the rich abbeys on the Tweed (at Aldcambus in Berwickshire and probably at another place). Another great ecclesiastical centre in Scotland, Elgin, had a leper-house at Rothfan, with accommodation for seven lepers, a chaplain, and a servant. After these, the Scots leper-houses may be taken to have been mere refuges, in which the lepers supported themselves by begging. One such secular hospital was in the Gorbals of Glasgow, founded in 1350. Liberton, near Edinburgh, is supposed to mean Leper-town, and to have been a resort of the sick on account of its medicinal spring. The hospital at Greenside, then outside Edinburgh, was built in 1589. There was a leper-spital outside the Gallow-gate of Aberdeen, on a road which still bears the name of the Spital. Similar shelters may be inferred to have existed at Perth, Stirling, Linlithgow and other places. James IV., in his journeys, used to distribute small sums to the sick folk in the “grandgore” (syphilis), to the poor folk, and to the lipper-folk, “at the town end[192].”
There were some leper-hospitals in Ireland, but it is not easy to distinguish them in every case from general hospitals for the sick poor. Thus the hospital built by the monks of Innisfallen in 869 is merely called nosocomium, although it is usually reckoned an early foundation for lepers in Ireland. A hospital at Waterford was “confirmed to the poor” by the Benedictines in 1185. St Stephen’s in Dublin (1344) is specially named as the residence of the “poor lepers of the city” in a deed of gift about 1360-70; a locality of the city called Leper-hill was perhaps the site of another refuge. Lepers also may have been the occupants of the hospitals at Kilbrixy in Westmeath (St Bridget’s), of St Mary Magdalene’s at Wexford (previous to 1408), of the house at “Hospital,” Lismore (1467), at Downpatrick, at Kilclief in county Down, at Cloyne, and of one or more of four old hospitals in or near Cork. The hospital at Galway, built “for the poor of the town” about 1543, was not a leper-house, nor is there reason to take the old hospital at Dungarvan as a foundation specially for lepers[193].
The Prejudice against Lepers.
It will have been inferred, from many particulars given, that the segregation of lepers in the Middle Ages was far from complete, and that many ministered to them without fear and without risk. The same hospital received both leprosi and others, the hospitals were served by staffs of chaplains, clerks and sometimes women attendants; and yet nothing is anywhere said of contagion being feared or of the disease spreading by contagion. The experience of these medieval hospitals was doubtless the same as in the West Indies and other parts of the world in our own day. It is true that the medical writers pronounce the disease to be contagious, ut docet Avicenna; but the public would seem to have been unaware of that, and they certainly lost nothing by their ignorance of the medical dogma, which, in the text-books, is merely the result of a concatenation of verbalist arguments. At the same time it is clear that there was a certain amount of segregation of the leprous. The inmates of the hospital at Lincoln are significantly described as “de ejectibus” of the city. The third Lateran Council based one of its decrees upon what must have been a common experience, namely, that lepers were unable to mix freely with others, and that they were objected to in the same church, and even as corpses in the same churchyard. There are some particular indications of that feeling to be gathered from the chroniclers.
One of the most remarkable histories is that of a high ecclesiastic in the pre-Norman period. In the year 1044, Aelfward, bishop of London, being stricken with leprosy (lepra perfusus) sought an asylum in the monastery of Evesham, of which he was the prior. The monks may have had more than one reason for not welcoming back their prior; at all events they declined to let him stay, so that he repaired to the abbey of Ramsey, where he had passed his noviciate and been shorn a monk. He carried off with him from Evesham certain valuables and relics; and his old comrades at Ramsey, undeterred by his leprosy or counter-attracted by his treasures, took him in and kept him until his death. The incident can hardly be legendary for it is related in the annals of Ramsey Abbey by one who wrote within a hundred years of the event[194].
Another case, which may also be accepted as authentic, is given by Eadmer in his Life of Anselm. Among the penitents who sought counsel and consolation of Anselm while he was still abbot of Bec in Normandy, with a great name for sanctity, was a certain powerful noble from the marches of Flanders. He had been stricken with leprosy in his body, and his grief was all the greater that he saw himself despised beneath his hereditary rank, and shunned by his peers pro obscenitate tanti mali[195].