The Sun.
London, England, 1849-05-04 00:00:00

ever might be their political feelings, he was quite sure
there was not an individual present that night who would!
not agree with him in giving to that distinguished man
the foremost pla:..e among the orators of his country.—
(Great cheering.) Long might he be spared to advo-
cate what in his conscience he (Mr. Montgomery) be-
lieved tended to maintain the honour, the greatness, and
the glory of this country ; and often might they have
the opportunity and the privilege of seeing him among
them on occasions like that on which they were as-
sembled.—(Great cheering.)
Glee—" hark ! the curfew's solemn sound."
The CHAlRMAN—Gentlemen, I was thinking this
morning how much society was indebted in this country,
in all charitable institutions, to the efforts of individuals;
but the toast I am now going to propose, which is the
health of the two services—tho army and navy—re-
minds me in this respect, that the state has not been de-
ficient. It is the boast of this country, that the defenders
of England and the vindicators of its glory, when they
are exhausted in the service of the land, find a refuge
in what may literally be described as the palaces of our
Soy eleig,ns.—(Cheers.) With this feeling I will propose
the toast of the " Army and Navy."—(Chars.)
Drunk with honours.
Duet—" Give me the tented field."

PiaLLip ROSE, Eq., the Honorary Secretary to the
hospital, then read the annual report, which was as
fellows:—

" In reviewing the period which has elapsed since the
last annual report, your committee feel that the events of
the year have been such as to call forth feelings of deep
gratitude and satisfaction.
" They have been able during the year to open two
additional wards, containing 12 beds. The total number
of in-patients now admitted in the present building be-
ing thus increased to 81.
" Since the opening of the new building in November,
1846-
676 Patients have been admitted,
Of whom were relieved ... •••
Died ... ..•
Remaining in the house ... _
"The admissions during the past year have been 282;
of whom 52 have died. From the Ist of January last,
the number admitted has been 95; of whom 11, or rather
more than one-9th have died.
" The number of out-patients treated during the year,
has been 2,805; and since the opening of the new build-
ing in 1846, 11,137; but inasmuch as a large proportion
of the out-patients attend for a considerable period, often
extending over several months, your committee consider
that the number prescribed for daily, will convey to the
friends of the charity and the public generally, the most
correct idea of the amount of benefit conferred by this
department. That number varies from 80 to 150; and
averages about 115 daily, being at the rate of 36,000 in
the year.
" Your committee have also the satisfaction of report-
ing, that the mortality in the new building has been
much diminished, when compared with that which took
place in the old establishment. In the old hospital at
Chelsea, out of 297 in-patients, 72 died, being nearly one
death in every four patients; while the deaths in the
new hospital have been only 127, in 686 cases, or nearly
one death in every five patients.
" With regard to the financial position of the hospital,
it was hardly to be expected that during a year so
fraught with anxiety and alarm, and marked by so
much commercial depression, this charity should have
been entirely unaffected. Your committee have accord-
ingly to report a trifling decrease in the amount of
smaller donations during the past year, when compared
with the amount so received in former years.
" It is, however, gratifying to be able to state, that
the annual subscriptions (upon which the permanent
prosperity of the hospital must depend), have continued
steadily to increase; and the committee feel sanguine
that the diminution in their income from donations
will be only temporary, and that returning prosperity
will more than reinstate the charity in its former
condition.
" But whatever deficiency may have been experienced
in the receipt of small donations, it has been more than
counterbalanced by several large and most acceptable
contributions. Among these the committee have first to
notice the proceeds of the concert given by Miss Lind,
on the 31st of July last, in aid of the extension of the
building. The sum realised by this means, after paying
all expenses, amounted to 1,6061. 16s.—(Cheers)—the
whole of which has been set apart for the express pur-
pose of the extension fund; and it is invested in Govern-
ment Securities in the names of the trustees, awaiting
the period (which it is confidently believed is not far
distant) when your committee will feel justified in en-
tering into a contract for completing the unfinished por-
tion of the building.
" Your committee have also to report the following
specific legacies during the past year: 100/. from Mrs.
Mary Tucker, of Bemptord Speke, Devon; 2001. from
Mr. Thomas Keane; 250/. from Charles Felice, Esq., of
Park-crescent; and by the will of the late Mr. W. Sawyer,
of York, in addition to a pecuniary legacy of 2001 which
was made immediately payable to the hospital, the whole
residue of his property was bequeathed to the charity,
after the death of his brother, Mr. John Sawyer. It
unfortunately happened that part of Mr. Sawyer's pro-
perty consisted of leaseholds at Peatonville, and turnpike
bonds, which being in the nature of real estate, the hos-
pital, under the provisions of the statutes of mort main, is
at present incapable of holding. The bequest to that
extent was therefore void; but the residue of the per-
sonal estate, amounting to the sum of 2,2871. 7d. Con-
sols, has been invested in the names of trustees, one of
them being Mr. John Labouchere, the treasurer of the
hospital, upou trust, to allow Mr. John Sawyer to enjoy
the dividends during his life, and at his death to transfer
the capital to the hospital.
" Your committee have also to report a most generous
offer made by a military officer, to convey to the charity
his reversionary interest in certain freehold and lease-
hold property, which offer, however, for the reasons be-
fore stated, is at present incapable of being carried into
effect.
" In consequence of the loss sustained by the charity,
in the case of Mr. Sawyer's estate, and the inability to
avail themselves of the last mentioned offer, your com-
mittee determined no longer to delay carrying out the
instructions of a former court, for obtaining powers of
incorporation, and authorising the charity to hold lands
and take them by devise. A Bill for this and other ob-
jects has accordingly been introduced into Parliament,
where it is now pending, and your committee trust that
no impediment will arise to its receiving the Royal As-
sent during the present session.
" Your committee have the satisfaction of stating that
no expense will be incurred by the charity in obtaining
this Act beyond the outlay for disbursements actually
incurred.
" But your committee have to record a still further
evidence of the estimation in which the charity is held,
and of the deep interest awakened in its favour. The
R,e,erend Sir Henry Foulis, Bart , seeing in the last an-
nual report an allusion to the urgent want of a chapel in
connexion with the hospital, in which the patients and
inmates might assemble for Divine worship, and by
which the ward at present used as a chapel, might be
rendered available for patients, has proposed to the com-
mittee to take upon himself this greatly needed work,
and to erect at his own cost, a proper ecclesiastical edi-
fice. Two conditions only were attached to the proposal
—the one that the chapel should be consecrated, and the
other that the plans of the building should receive his
approval. Your committee are happy to state, that a
satisfactory communication has taken place with the
Bishop of London, upon the subject of the consecration,
and plans and estimates of the chapel are now in prepa-
ration by Mr. E. 13. Lamb, of Charlotte-street, Portland-
place. who has been appointed the architect to carry out
the design. The building will be carried on under the
direction of the committee, Sir Henry Foulis having
kindly undertaken to supply the funds as they are re-
quired. The cost of erection is limited to 1,500/. In
making this interesting announcement, your committee
are assured that their own feelings of gratitude at this
liberal and unexpected provision for the spiritual wants
of the patients, will find a cordial response in the breast
of every Governor, and that they will feel anxious to
testify their respectful appreciation of this act of bene-
volence, by electing Sir Henry Foulis a Vice-President
of the charity.
"The committee also recommend, that in pursuance
of the wishes of Sir Henry Foulis, the following friends
of that gentleman, viz.:—
"P. D. Pauncefort Duncombe, Esq., of Greatßrickhill
Manor, Fenny Stratford;
" Miss Pauncefort Duncombe, of the same place;
" Col. George Whichcote, of Meriden, Coventry, and
Miss Laura Jewry;
be elected honorary life governors of the charity, with
the privileges attached to that title.
"Your committee will now briefly allude to the works
which yet remain to be accomplished, and which call fur
the continued exertions of every supporter of the charity.
"The consecration of the chapel involves the purchase
of the freehold of the site upon which it will stand. A
negotiation has been opened with the ground landlords, I
and they are willing, in order to meet the convenience of
the committee, separately to convey the small portion of
ground that will be required for this object. The funds
for the purchase have still to be raised.
" The purchase of the remainder of the land upon
which the hospital has been built has also to be effected.
Every friend of the charity will sympathise with the
committee in their anxiety that the site should be of
freehold tenure.
" The funds for purchasing the land adjoining the
hospital on the west—the refusal of which is offered to
the committee by the present owner—have also to be
provided. Your committee view the attainment of this
additional land as an object of the deepest importance
to the well-being of the charity, whether it be consi-
dered merely as adding to the present recreation ground
for patients, or for the more important purpose of pre-
venting the close proximity of other buildings; or for
the still mere lasting objects, allowing of a future exten-
sion of the building in that direction.
" Lastly, there is the completion of the building to
allow of the admission of 120 more patients—a measure
of immediate and pressing necessity—imperatively
called for by the number of applicants who are now de-
nied admission for want of room.
" At the present moment no loss than 184 patients,
who have been reported by the medical officers as fit
cases for admission, are waiting to come in; their dis-
orders aggravated by the disappoinment and vexation
arising from hope deferred.
" Your committee, while they earnestly ap.petal twootuh,de
public on behalf of each and all of these otbijmech
com-
especially urge the necessity of losing no
pleting the building;
they venture to hope that the
example of Miss Linda, nadstrager and
.felreignero,
twillrs not
be lost upon the wealthy and supp r e o
charity in our land.—(Cheers After what has been
stated of the number of applicants now necessarily re-
stated from the:want of accommodation, it is to be
hoped that the means will not long be wanting for the
completion of the building. It is surely not too much
toexpect tint the noble example of Sir Henry Foulis
may soon find an imitator, willing to dedicate s me por-
tion of his wealth to the service of suffering humanity,
and to found a lasting monument of his generous syci..

... 466
129

pathy, by taking upon himself to build the whole or part
of the remaining wing.—(Laughter.)
" Your committee believe that, availing themselves of
the experience gained in the present building, and
adopting an improved mode of proceeding, in carrying
out the works, the new wing may be erected with the
addition of 6,0001. to the amount already subscribed for
this purpose.
" The Rose Charity Fund' continues to prove a most
valuable auxiliary to the general funds of the hospital,
by affording opportunities of relief in deserving and
destitute cases.
"Your committee have been making great efforts to
effeet a reduction in the expenditure of the hospital, and
to bring about every economy, consistent with the com-
forts of the patients. They have been able to make some
reductions in the permanent establishment, and have put
into operation a new and improved table of diets.
"Your committee have (as on former occasions) to ac-
knowledge the support which the institution continues to
receive from the powerful advocacy of the clergy. Among
those who have given their services to the charity during
the past year, the committee would particularly mention
his Grace the Archbishop of Canterbury, who preached
in aid of the funds, at St. George's, Ilanover-square, on
Sunday, the 9th of July, 1848.
" They cannot, as an act of justice, omit to notice the
unceasing exertions of the Rev. Robert Montgomery,
ono of the most steady supporters of the charity from its
earliest ecmmencement, and who, during the past year,
both in the pulpit and by his pen, has largely contributed
toits prosperity.
"Your committee have been engaged in preparing
and collating the new rules and bye lewse which five
years' experience of the working of the hospital have
shown to be necessary; and these rules and bye-laws, as
settled by your committee, will be laid before a special
Court of Governors for approval, as soon as the nixes-
eery notices can be given; and under the provisions of
the existing rules, they will be open to the inspection of
the Governors three weeks previously.
" A report of the facts connected with the medical
treatment in the hospital, from its opening to the present
time, is in course of preparation by the eminent physi-
cians who form the hospital staff. An abstract of this
report will be read to the Court, and full particulars will
be presented to every Governor as soon as the committee
receive it.

" From the accompanying statement of receipts and
expenditure, it will be seen the outstanding liabilities of
the hospital have been much reduced; but the committee
have still to regret that the charity is not free from debt;
the discharge of its still existing liabilities is an object
second to none of those which have been alluded CI in
this report.
" The number of important points requiring to be
noticed, has extended this report to a greater length
than your committee could have wished. They would
once more renew their appeal to the governors and the
public for continued support; and they can assure them
in return, that no effort shall be wanting on their part
to promote the well being and efficiency of this noble in-
stitution. They can only express their earnest hope
that the blessing of Almighty God, which has hitherto
so signally marked the progress of the charity, will still
continue to prosper their labours, and that the record of
increasing
usefulness. anniversary may testify of increased and
usefulness.

" By order of the committee.
" PHILIP RosE, Hon. Sec.
" Hospital, Brompton, April 26, 1849."
The receipts of the general fund were, for the year
ending March last, 4,7481. 155.; the expenditure
amounted to 4,4561. 9s. 4d., leaving a balance at the
bankers of 2921. ss. Bd.
APPENDIX TO ANNUAL REPORT.
" The physicians of the Hospital for Consumption and
Diseases of the Chest, in presenting, at the request of
the committee, an abstract of the medical and statistical
report which they have prepared, and which is shortly
to appear, necessarily confine themselves to a few points
of interest, and pass in silence many particulars regarding
liability as respects sex and age, hereditary predisposi
tion, duration of the disease, and other questions to which
that report has particular reference.
" The number of patients affected with pulmonary,
consumption treated at this institution, since its esta-
blishment to the close of last year, is 4,358 ; a number,
as respects this disease, perhaps never before analysed
for statistical purposes. This number, however, by no
means represents the amount of service rendered to the
community; the applicants for relief having been more
than double that number—namely, 10,051 out-patients,
and 888 in-patients.
" Many were suffering from bronchitis in various de-
grees of aggravation, and other diseases of the organs
of the chest.; not a few from cough, symptomatic of
disorders of distant organs; or from painful affections of
the chest, not connected with pulmonary disease.
" The prevalence of influenza, at one period, very
much swelled the list of applicants.
"A great number have applied, suffering from varieties
of indigestion, which in consequence of incidental debi-
lity, and other symptoms, induced the apprehension of
phthisis, and it has been a source of great satisfaction to
the medical officers, to bo able, after careful examination,
to discharge a considerable number of such individuals,
with the assurance, most consolatory to themselves and
their families, that there were no evidences whatever of
the disease they dreaded.
" The tendency of particular" employments to induce a
liability to certain diseases is a subject of great interest,
and with a view to illustration, a comparison has been
instituted between the list of phthisical patients, attend
ing your institution, and non-phthisical patients of a
general hospital. By way of illustration, it may be men-
tioned that the liability of tailors to consumption, as
contrasted with their liability to all other diseases, ap-
pears from this comparison to be in the proportion
of ... ... 19 to 15
Of bakers ... as 45 to 23
Of in-doer servants ... as 24 to 12
Of printers and compositors as 100 to 27
Of clerks and shopmen ... as 314 to 78
Among 1,294 female patients attending a general hos-
pital, 169 were milliners and dressmakers; but the
number of females so occupied out of 1,679 consumptive
patients attending the Hospital for Consumption was
312; the proportion of excess being as 312 to 220.
" The medical officers, in applying themselves to the
treatment of established phthisis, felt that they had to
contend with a disease, the ravages of which too often
prove uncontrollable by any effort of medical art, but
the results which they are able to present, offer a degree
of encouragement surpassing their expectations. Very
many patients who have been relieved have not reported
the results, but of those whose history has been recorded,
as far as the analysis is yet completed, in more than 8
per cent. the disease has been arrested, and, but for the
knowledge of its liability to recur, might be considered
as cured; whilst in about 23 per cent. material improve-
ment has been effected.
" The physicians have availed themselves of various
suggestions offered by modern science, for the more exact
investigation of pulmonary disease ; and have not ne-
glected the less satisfactory, though scarcely less impe-
rative duty, of testing remedies, alleged with some
confidence to have curative powers, in some cases it is
to be feared on insufficent foundation.
" It is not intended in this place to expatiate on the
various measures which have been employed. The ar-
rangements of the institution give great facilities for the
trial of the most appropriate means, general, medical,
and dietetical; but if any one medicine should be specified
as peculiarly adapted to the treatment of tubercular
disease of the lungs, even when considerably advanced,
it is that popularly known as cod liver oil. The virtues
of this remedy were tried in this' institution at a
very early period, and the evidences there obtained of its
efficacy may be fairly assumed to have contributed ma-
terially to its extensive and successful introduction into
medical practice throughout the country, in the treat-
ment:of phthisis. The degree of amelioration and amend-
ment often following the appropriate use of this remedy
is highly encouraging, but sufficient time has not yet
passed to determine the degree of liability to relapse, or
to estimate the relative probabilities of permanent im-
provement. In the investigation of this and other im-
portant questions, the medical officers hope to prove
assiduous, vigilant, and cautious, whilst (encouraged by
the impulse to improvement given by the enlightened
confidence of the governors), they cherish the inspirit-
ing ambition to extend the limit of medical resources,
and to render those resources a still greater boon to the
objects of this noble charity.
" Signed by the Physicians,
" HAMILTON ROE, M.D.
" THEOPHILUS THOMPSON, M.D.
" GEORGE CURSHAM, M.D.
RICHARD PAYNE COTTON, M.D.
" RICHARD QUAIN, M.D.
" JOHN J. BOWIE, M.D.
" April 30th, 1849.
" Hospital for Consumption
" And Diseases of the Chest, Brompton."
Mr. DISRAELI then rose to propose the toast o
the everting, which was the the signal for an en
thusiastie burst of cheering. Silence having been
restored, the Honourable Gentleman spoke as followsi
—Gentlemen, before I venture to propose the toast
which I am going to do, I shall presume to make
a few observations on the various and varying
circumstances that have achieved that result which has
just been communicated to you by the secretary in read-
ing his most able and satisfactory report. It is impos-
sible to make a triter remark than to say that England
(Hear,
has always
h hear)—justly
cliekleebraaltled veryfor itstr publicter
remarks,
a rckhea,r
iss
conse-
quence of that happy habit of governmentselfin,time,h
and gene-
also extremely just. I apprehend that ite is a t
_nt
in
this country has been enjoyed for
ar o
rally speaking to habit has im-
is in any . other country. T
of which under
a grea_shat degree than it
t have devolved upon
other circumstances, migh
but in England they have necessarily
posed on us duties, the fulfilment ,
other powers ;
tion.—(Cheers). I took the occasion just now casually,
fallen upon popular combination and voluntary subscrip-
with reference to another toast, to refer to two great pub-
lic charities which have been founded in this country by
the State. The State, therefore, has not altogether been
neglectful of those great purposes that appeal to the
sympathies of universal man. Greenwich and Chelsea
are monuments which need never fear competition with
the institutions of any country in the world.—(Cheers.)
But, generally speaking, the hospitals,
t island,h a t aboundahrae
ve thein this
alluded.
results
o The
metropolis,thheithe infirmaries,
sg re aatn d. popular in
thparte asylums
of
to thi
whichs
for instance, in thi • in the s city,
at this moment dining, need not, for medical skill,
shrink from any rivalry • h with any institutions that now
flourish or at any time have existed in this
or any other
country; and it is very remarkable, but it is a fact which
none can dispute, that independently of those great en-
dowments, magnificent in their schemes and municifent
in their foundations, there are, besides, crowds of minor
institutions which are devoted, in detail, to the
cure and observation and study of disease, which
hospitals,e
combi-
nationv every
those greater institutions are prepared to deal with