Fever hospitals.

The great prevalence of fever in Ireland rendered hospitals for the special treatment of fever cases, absolutely essential to the general security; and for providing such hospitals, of which there are 28, grand juries may present sums equal to double the amount of voluntary subscriptions, and government may also make advances for the purpose, to be subsequently repaid by instalments. By the 58th Geo. 3rd, cap. 47,[[61]] provision is made for the appointment of a board of health, with extensive powers, whenever fever occurs in a town or district; but it appears that this provision has been rarely acted upon.

The total expense of supporting these infirmaries, dispensaries and fever hospitals, in the year 1833 as stated in tables appended to the Report, was 109,054l.—of which amount grand-jury presentments furnished 55,065l.—subscriptions 37,562l.—parliamentary grants 6,661l., and petty-sessions fees and miscellaneous funds 9,766l. The entire number of cases relieved in the same year, was 30,634 intern, and 1,243,314 extern.

Lunatic asylums.

The lord-lieutenant is empowered to direct as many lunatic asylums to be provided as he may think fit, and grand juries are required to present such sums as may be necessary for defraying the expense of erecting and supporting them. Eleven were completed, or in progress towards completion; and the total amount of expenditure on them in 1833 was 26,247l.

With regard to these institutions the commissioners remark—“The medical relief at present afforded throughout Ireland is very unequally distributed. In the county of Dublin, containing exclusive of the city about 176,000 inhabitants, and about 375 square miles, there are 24 dispensaries, or one to every 7,333 inhabitants. In the county of Meath, containing about 176,800 inhabitants, and about 886 square miles, there are 19 dispensaries, or one for every 9,306 inhabitants. In the county of Mayo, containing 366,328 inhabitants, and about 2,100 square miles, there is only one dispensary supported at the public expense.” Such inequalities, it is observed, are the necessary consequence of a law which renders the establishment of a dispensary contingent upon voluntary contributions. In districts abounding in rich resident proprietors, a medical charity is least wanted, but subscriptions are there most easily obtained; whilst in districts where there are few or possibly no resident proprietors, the aid is most wanted, but there are no subscribers, and consequently there is no medical charity.

Houses of industry.

Houses of industry (or workhouses) are established and regulated under the provisions of the 11th and 12th Geo. 3rd, cap. 30,[[62]] the 46th Geo. 3rd, cap. 95,[[62]] and the 58th Geo. 3rd, cap. 47.[[62]] There are nine of these institutions in Ireland, and of some of them a brief account is given; but it is said to be difficult to judge of the economy with which they are conducted. The total income of the houses of industry in the year 1833 derived from grand-jury presentments, subscriptions, and miscellaneous sources, and including a parliamentary grant of 20,000l. to the Dublin institution, was 32,967l., and the number of inmates on the books was 2,732.

Foundling hospitals.

There were two large foundling hospitals, one in Dublin, the other in Cork, and a small one in Galway. With the exception of one child under peculiar circumstances, there have been no admissions for some time into the Dublin house, and the establishment is only used for the occasional accommodation of such children as are still on the books; and as these are disposed of, will cease altogether. The Cork hospital is supported principally by a tax on coals: it is still open, and has 1,329 on the books. At Galway the number of children is only eight. These institutions, the commissioners remark, are now acknowledged to be in their nature utterly indefensible. The expense of the Cork and Galway establishments in 1833, derived from miscellaneous sources, was 6,628l. The parliamentary grant to the Dublin foundling hospital in 1828 was 34,000l. Supposing it to have been 30,000l. in 1833, it would make the entire charge of these institutions, in the latter year, amount to 36,628l.