The first infirmary was founded in 1737; in 1805 the Edinburgh Medical and Surgical Journal was the first in the world published to promote discussion and knowledge of medicine.
The very first infirmary was primitive and under staffed. 
mnli hypothesis: The very first infirmary was primitive and under staffed.  premise: The first infirmary was founded in 1737; in 1805 the Edinburgh Medical and Surgical Journal was the first in the world published to promote discussion and knowledge of medicine.