Tag: Dowlais Workman’s Hospital

The Pant Fever Hospital – part 1

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.

Merthyr Guardian – 11 July 1868

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.

A map from the 1800s showing the site of the Pant (Dowlais) Fever 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.

Mrs Clarke’s hospital in Dowlais. Photo courtesy of the Alan George Archive

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………

Pearson Robert Cresswell

by Laura Bray

You have probably never heard of Pearson Robert Cresswell, but had you lived in Dowlais in the late 19th Century, if you were lucky, he may have saved your life.

Dr Pearson Robert Cresswell

Pearson Cresswell was born on 24 July 1834, the second son of Charles and Ann Cresswell, a solicitor and his wife, then living in Henwick, near Worcester. It was in Worcester that Pearson grew up, although while he was still in school, the family emigrated to Australia. Indeed, it is in Melbourne, that his parents and siblings lived and died.

This was not to be Pearson’s destiny, however, as in the 1850s he returned to the UK to study medicine, training in Middlesex Hospital and the Medical Centre in London, qualifying in 1859 as a Member of the Royal College of Surgeons (he became a Fellow in 1873). But our interest in him dates from May 1860, when he secured the post of Chief Surgeon to the Dowlais Iron Company, an appointment he retained for the next 40 years, until his retirement and death on 22 Nov 1905 aged 71.

Pearson was a noted medic in Dowlais, running a private practice as well as working for the Dowlais Iron Company and running both the Dowlais Workman’s Hospital and the Merthyr and Dowlais General Hospital.

Dowlais Workman’s Hospital . Photo courtesy of http://www.alangeorge.co.uk/index.htm

However, it was for his work on antiseptics, particularly for the treatment of gunshot wounds and fractures or other serious injury, that he was a pioneer. He published several papers on it, and influenced thinking and practice on surgical techniques, such as the use of gloves in operations. He also promoted vaccination, becoming both Public Vaccinator and Medical Officer of the First District of the Merthyr Tydfil Union and of the Pant Fever Hospital. He was a staunch advocate of First Aid, delivering lectures on the subject and encouraging ordinary people to understand the principles. As such, he became the president of the Merthyr Centre of the St John’s Ambulance Association from 1881, when it was founded in Merthyr, and indeed it is from this that he was awarded a special mark of distinction in 1897 as a honorary associate of the Order of the Hospital of St John of Jerusalem in England.

You would have thought that all these activities would have kept Pearson Cresswell busy, but no. He was a Justice of the Peace for Glamorgan, held a special commission as a Justice in Lunacy, was Chairman of the Income Tax Commission and High Constable of Caerphilly Higher. In addition, he was a Church Warden of St John’s Parish Church in Dowlais, president of the South Wales Branch of the English Church Union and Chairman of the Dowlais Constitutional Club.

Perhaps it is his connection with the Volunteer Force that is the most difficult for us to understand today. Just after his arrival in Dowlais, Pearson was gazetted as an associate surgeon in the Administrative Battalion 2nd  Glamorgan Rifle Volunteer Corps, founded the year before. By 1891 he had become the Lieutenant Colonel Commander of the Administrative Battalion for all the companies in the Taff Valleys, which by this point had been consolidated. He “professionalised” the Corps, turning it into first a territorial and then the Volunteer Battalion Welsh Regiment, standardising the uniform, creating a cycling corps and establishing an officers’ and non-commissioned officers’ mess, equipped the regiment with machine guns and cleared the debts. Thus it was that he was able to raise and send three companies from the Regiment to the South African War.

Glamorgan Rifle Volunteer Corps. Dr Cresswell is seated at the right

Pearson died after a short illness in November 1905, in Dowlais, leaving a wife, two sons and two daughters, both sons having followed him into the medical profession. He was buried in Malvern, next to his first wife and daughter.

A man of his time, he was part of a time of change in Dowlais, and it is recognition of the importance of Merthyr during the nineteenth century that a man such as Pearson Cresswell lived and influenced thinking and practise there and in the wider world, for 40 years.