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LEBANON HOSPITAL for the INSANE •

I (Founded by T. Waldmeier, 1896)A

ASFURIYEH, NEAR BEYROUT

SYRIA

REPORTSof the

London General Committee

Founder

Medical Superintendent

--PRESENTED AT THE ANNUAL MEETING

006JMay 19th, 1909

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LONDON:3S Queen Victoria Street, E.C.

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PHILADELPHIA, U.S.A. UTRECHT, Holland..

ZURICH, Switzerland

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I 2 Lebanon Hospital for the InsaneCommittees 3

I BEYROUT EXECUTIVE COMMITTEE:

AUDITOR:

BANKERS:

SOLICITORS:

GENERAL COMMITTEE

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ABBY NEWHALL

E;\lMA CADlJURY

MARV' M. IIAINF.S

DR RACHEL WII.l.lA:\IS

MARY E;\ILEN STOKES

GEORGi<: S. MORRIS

DR W. W. KEEN

SARAH W. COLLINS, N.Y.

GEORGE B. J)OU(;LAS, N.Y.

DR. II. WATSO:-.l S\II'I If

MEDICAL SUPERINTENDENT:

•AMERICAN COMMITTEE:

Rev. C. A. WIWSTJ~R, B.A., M.D., C/wirlllan

Rev. G. M. l\JACKJE, D.D., l'ia-Chairman

Rev. II. II. JESSUP, D.D., Secretal)/

FRANKI.JN T. MOORE, M.A., M. D., Adi,IJ: Sccretary

C. SIGRIST, Consul and Banker, 7,easlfIl'r

TH EOPIllLUS \VALDl\IEIER, rounder awl Superilltendellt

A. EFFF..:'<1lI KHEIRALLAH, B.A.

JOEL CADIlURY, C/laiu/lillt

ASA S. WI G, emtra! Treasurer, 409 Chestnut St., Philadelphia

Ih:NRY W. JESSUI', Treasurer jor j\'ew York, 31 Nassau St., N.Y.

ROIlERT B. HAINES, j R., Secretal)!, 701 Provident Building,Philadelphia

Pennsylvania Hospital for the Insane

Friends' Asylum [or the Insane, Frankford

J. HENRY SCATTJr.RGOOI>

DR THOMAS \VISTAR

DR J. B. CHAPIN,

DR ROBERT II. CHASE,

JOEL CADllU RY

J OH:-.l B. GARRETT

REV. J. G. BAWN

MRS l\JARY H.. HAWN

RUFUS 1\1. JONES

EDWARD 1. WIS"I'AR

ALFRED C. GAI{ RET'!'

JAMES WOOD, N.Y.

REV. J. THOMPSON COLE

REV. CHARLES R. ERDMAN

DR EDWARD G. RHOADS

I\IAI~IA ('. SCATTRRGOOD

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l\1. D., Chai, matt

~ Tnasllrers

R. W. BRIGSTOCKE, M.D.

JAMES CHAMBER, i\I.DEY FRANCIS W. Fox

IJOHN DIXON, M.B.

REV. J. GUI NESS ROGERS, D.D.

ARTHUR MIDGLEY

IA. T. SCHOFIELD, M.D.ALBERT WILSON, M.n.FRANCIS C. BRAJ)JNG.

R. FORTE CUE Fox,

LADY TANGYE,

JOSEPH BUTLER,

MESSRS Fox & PHEEc/<:, I5 Dean's Yard, ltVestmillster.

OSCAR DARTON, ESQ., IO Old Jewl)! Cilambers, E.C.

THE CAPITAL AND COU:--TIES BAI K LTD.,

35 Quem Victoria .",·tred, E. C.

DAVID YELLOWLEES,M.D.,LL.D.

BEDFORD PIER E, 1\1. D.

THE HON. SIR JOHN GOLD

R PERCY SMITH, M. D.

R. HINGSTON Fox, M. D.

REv. A. TIE ,PH. D.

F. 1\1. SANDWITH, M.D.

T. SEYMOUR TUKE, M.B.

TRUSTEES:

WM. A. ALBRIGHT} I' . h' I Rlw. II. II. JESSUP, D. D. }

J C{IrI11l11g am Beyrout

OEL ADBURY REV. C. A. WEBSTER, B.A., M.D.

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SECRETARY:

MIS. A. M. GOOCH.

35 Quee11 Victoria Street. LOlzd01t, E. C.

TRUSTEES of the AMERICAN ENDOWMENT FUND:

]. HENRY SCATTERGOOD A D THI~ PRO\'JDENT LIFE A D TRUST

COMPANY, PIlILADELPHIA, PENNA.

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4 Lebanon Hospital for the Insane

SWISS COMMITTEES:

Cel1lral SeC1"elmJ' and Treasurer, Herr S. ZURLINI>EN, Ziirich

Report of General Committee 5

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ZURICH:

Pastor SRCRETAN, Chainllall1\1. FRIF,S, TreasU7'c1' ,DR. PAUL MAAG ,REV. AR OLD RUEGGMme. STOCKER-TRUMPLRRFrau. WILLE-RIETERMdlle. M. EIDEN BENZMdlle. BERTHA von MA Y

BERNE:

M. G. de TSCHARNER, ChairmanM. LOUIS LAUTI';RBURG, Treas.DR. TIl. KOClIER, Sec)l.

BASEL:

THEODOR SARASI . UISCHOFF

GENEVA:

Professor LUCIEN GAU 1'11£1<,

Chairman and 7i'easurer

1\1. MARTIN-AcllARD, ."'uretary

Pastor CHARLES RBlOND

Pastor A. HOFFMAN,

Pastor E. CHRISTE;\;

LAUSANNE:

Mme. Bovo " Treasurtr

Mme. NARIlET. CHAPPlIIS

MdIle. LOUISE SECR(.:TAN

Dr. et Mme. \\'. LERE CHE •

Pastor HUSCARU:T

Prof. PH. BRIllEI.

LEBANON HOSPITAL FOR THE

INSANE

Report of the General Committee

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DUTCH COMMITTEES:

Central Seo'etmJ' &> T,"eaSllrer, Baron van HEEMSTRA, Doorn, Utrecht

UTRECHT: I ROTTERDAM:Baroness van HEEMSTRA

Ds. DE HERRMadame CROMMELIN

Ds. OORTHUYSBarone s S. van LYNDEN

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Baron and Baroness van

IAMSTERDAM ANDBOETZELAER ,

Dr. ADRIAN I HAARLEM

THE HAGUE: Mada.me SILl.EM

Mdlle. G. SIX General van MARLE

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T HE General Committee has pleasure in presenting the11th Annual Report of the Lebanon Hospital, togetherwith an audited statement of income and expenditure

for the last vear.

Whilst tendering grateful thanks to all those who by theirpractical sympathy and help have made possible the main­tenance of this work, they confidently appeal to the readersof this report for their continued support. The encouragingprogress of the work year by year, the evident necessity forits existence in the East, and its remarkable appreciation bythe people, must in their opinion commend it more thanever to its well-wishers in Europe and America.

The Committee would take this fresh opportunity ofacknowledging the valuable co-operation rendered by thesister Committees in the United States, in Switzerland andHolland, and the constant and ungrudging services of theExecutive Committee in Beyrout. The many friends of theHospital in America have shown a high example of sympathyand generosity, and we are glad to hear at the moment ofwriting this report of a legacy of 2500 dollars recently leftby Miss Margaret Collins of ew York City.

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6 Lebanon Hospital for the InsaneReport of General Committee 7

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During the pa t year the eel' tary has vi ited the Com­mittees in the \'ariou town of witzerland and Holland, .and in both countries has been received with uniform kindnessby all the helper and friends of the Hospital, who have donemuch for it in the past, and who still continue their interestand upport.

The ommittee also recognises with pleasure the help,so kindly and freely given, of all the local secretaries andtrea urer in the task of collecting the subscriptions anddonation in their various centres.

The most important incident in the work of the yearhas been the selection of a new Iedical uperintendent, neces­sitated by the resignation of Dr H. Thwaites who had givengood service to the Ho pital during the past three years.After much time and consideration had been given to thematter, Dr H. Watson mith, Assistant Medical Officerof Durham County ylum, wa finally appointed tothe post, and sailed with his wife for AsfUriyeh in January,reaching the Hospital on February 7th. In the intervalbetween Dr Thwaites' resignation and Dr mith's arrival, themedical work was supervised by members of the BeyroutCommittee, with the assi tance of Dr nton aleh of Bey­rout, who rendered a valuable service in this manner.

The Committee regrets to record the decease of one ofits members,. 'Ir R. Cope forgan, late editor of " The Chris­tian." The Institution has in the past owed much to hisconstant sympathy.

The Founder, Theophilus Waldmeier, has agam fur­nished his report, which will be read with interest. Thosewho are acquainted with the history of the Hospital areaware how much it owes to his initiative and untiringlabours and those of Mrs Waldmeier. There is also a briefreport from Dr Watson mith, and a report from Dr Anton, aleh, with the usual Medical details.

The Committee notices with pleasure that in March lastthe Hospital received a visit from the British Agent andConsul-General for Egypt, Sir Eldon Gorst, R.C.B. Anappreciative note from him to ~ 1r Waldmeier is appendedto the Founder's report.

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It has been suggested that a short rtsume of the conditionand history of Syria might be of interest to our readers thisyear. It has accordingly been compiled by one of ourmembers, and is appended to this Report, together with amap of the neighbouring countries. A ground plan of theHospital, showing the position of the various buildings, isalso given.

On behalf of the Committee,

ALICE M. GOOCH,Secretary.

35 Queen Victoria treet,London, E.C.

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8 Lebanon Hospital for the InsaneNotes on Syria 9

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Notes on Syria

(co TRlBUTED)

T HE situation of Syria is peculiar. It forms the greaterpart of an Isthmus which separates a sea of water anda sea of sand.

On the west extends the Mediterranean ov r mor than2000 miles, on the east is the d sert of Syria and Arabia,which extends about 600 miles to the Persian Gul£,. and aninlet of the Indian Ocean. To the south of the isthmus liesthe Red Sea, whose great inlets, th gulfs of Suez and Akabah,penetrate deeply into the land.

A glance at the map will show what an important positionSyria holds, and always has held, in the .. communicationbetween the West and the East.

This geographical position cannot have failed to affectthe character of the Jews, and to have helped to make themthe wond~rful people they were and ar .* comparativelysmall nahon, what wonders they achieved! Anyone readingthe Old Testament with care can trace in the Psalms and the,Books of the Prophets, the ever-constant anxiety caused bythe passing of great armies, and the struggle for independenceagainst nations desirous of gaining possession of what may becalled the great highway between the East and the West.

* The Lebanon, presents some magnificent scenery. It is nowonder that the salIent features of this borderland to their countryseized upon the imagination of the Hebrew poets. The deep and~udden g,orges, the s,:"eeping amphitheatre, the variety of colouringm th~ sO,ll, the to:wenrl;g snow-covered peaks, the gushing fountains,all ulllte m producmg pIctures of almost bewildering variety. Villagesare scattered everywhere, some nestle at the mountain base, otherscling to the steep sides, while still others are perched on ridges over4000 feet above the sea.-Hastings' .. Dictionary of the Bible."

What place could have been chosen better suited in thethen known world than Syria (which includes Palestine) todisseminate the new religion, the Gospel of our Saviour?The trade routes passed through it. The Phcenicians wereon the oast-the greatest of merchants, whose ships visitedevery port then known. In consequence of Syria being themeeting-place of all peoples, the Gospel in an incrediblyshort time, reached every nation from far China to theextremes of the Roman Empire.

Look again at the map/and ask yourselves; Could therehave been chosen a better site for the Lebanon Hospital forthe Insane, than Asfuriyeh, near Beyrout. To quote the wordsin one of our reports, "The work is essentially more thana Hospital for the Insane, it is a splendi 1 object lesson to thenatives, giving them a true pictur of what Christianity isand does."

This obje t lesson is not confined to the peoples residentin the n ighbourhood, but is carried to distant countries farbeyond Egypt by those who pass along the trade routes toDamascus, Bagdad, and even along the Haj road fromDamascus to Mecca.

After enturies of conflicts and invasions, the whole coun­try of Syria was conquer d by the Turks in 1516, and hascontinued under their rule ever since. But from the time ofthe ma sacre of th Christians by the Druses, in Damascusand the L banon in 1860, when the great Powers of Europeinterfered to ensure better government, the whole districtof Lebanon, xcept Beyrout, has b en a semi-autonomousprovince, whos Governor or Pasha must be of the Christianreligion, and his appointment sanctioned by the six Powers,though he is nominated by the Sultan.

The inhabitants of Syria, including the Lebanon, aredivid d according to their religions into Christians, Jewsand Iohammedans. Here we find traces of the great divis,ionof th Christian Church, which was one of the factors whichcaus d the fall of the Roman Empire. The Christians ofSyria are thus eith r of the Greek (or Eastern) Church, orof th Roman (or vVestern) Church. The Maronites, who liveon the western declivity of Mount Lebanon, may be included

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Emal & Consuls thus "Sftl...vl'nal Vice-Consuls &ConsularAgents thus 'Rhodes

ploces where eIther Dlplomott'c or Consular Officers also res/de

10 Lebanon Hospital for the Insane

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EUROPE & ASIA

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amon a th Roman Catholic, and number ov r 140/000, outof a total population of n arly half-a-million.

Th re ar al 0 three religious sects which are n itherChri tians nor l\Iohamm dans, viz., the Drus s of l.IountLebanon, the Anzeyries and th I manlies, who are consicl redto be a remnant of the Assa ins and Ismaelit s.

Th origin of the religion of the Druses was in Egypt,and th ir l\Ies iah, for whom they still expectantly wait, iscalled Hakim; they think that th ir bliss will b completewhen he appears. They believe in the transmigratioR ofouls, and that the population of the world has always been

the same since the creation, for eyery bocly a soul, for everyoul a body. They have a lofty idea of the position held

by the English amongst th nations of the world.

The e are the principal religions; but there are manyother small sects, and each of the principal s cts IS sub­divided into many divisions. It can be readily understoodfrom this multitude of religion , each upholding its ownprinciples, how difficult the task is for those who work in ynaand the Lebanon for the alleviation of the suffering of itspeople.

Again glance at the map, and ask yourselv s: If you wish,by God's help, to show to them that be in error the lightof His truth, to the intent that they may return into the wayof righteousness, could you select a better place or a betterway of doing so, than by the mans of a foundation such asthe Lebanon Hospital for the Insane?

Those who have the care and administration of theHospital, especially at the present time of trouble and politicalanxiety, have as strangers and pilgrims every day to bearin1mind the words of St. Peter :-

" Haying your conversation honest among the Gentiles:that whereas they speak against you as evil doers, they mayby your good works which they shall behold glorify God inthe day of visitation. Submit yourselves to every ordinanceof man for th Lord's sake: whether it be to the king assupreme, or unto governors as unto them that are sent by himfor the punishment of evil doers, and for the praise of them

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dmini tration of thef trouble and political

eyery day to bear

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MAP :N~3 ---­EUROPE & ASIASCR1E101·F.nglisb Milps

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The mark if. denoteS the residenr:B of 0 Choploln: thus+ of 0 Consul, thus* of a Vic6-Consul or Consular Agent.. at ploces where eIther Diplomoc"c or Consular OHicers also reside.

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among the Gentiles :e\ il doer , they mayehold glorify God in- to eyery ordinanceit be to the king asthat are ent by himr the prai e of them

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of the po itio11 heldthe \\'orld.

but there are manyncipal ect i ub­e readily under tood

upholding it own-e who work in vriathe uffering of its

ur eh'e : If you wish,be in error the light, return into the wayter place or a bettera foundation such as

or c:: Qi=n nnT I nl~Ari=C:: THI:' PORITIOBy killd !>t:rmissloll 01 till' Edlto,. if

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Notes on Syria II

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that do well. For so is the will of God that with well doingye may put to silence the ignorance of foolish men: as freeand not using your liberty for a cloke of maliciousness, butas the servants of God. Honor all men. Lo,-e the brother­hood. Fear God. Honor the King."

This great advice of St. Peter is as true to-day as whenit was written. At the present moment the same dangers asexisted then still exist. It is impos ible to shut one's eyes towhat is going on in the East. In yria, as in other outlyingprovinces of the Turkish Empire, the effect of recent ev ntshas been much felt, and must have a profound influ nce uponthe future of the country.

Und r these circumstances it is the duty of all who areinterested in the good work that is being done, and in thosewhom they hav helped to sencl out to yria to do that goodwork, to come forward and in every way assist in sustainingit, and so to give the needed ncouragement and confidenceto our hrethren in the Lebanon.

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12 Lebanon Hospital for the Insane

Report of the Annual Meeting 13

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Report of the Fourth Annual Meeting

of the

Lebanon Hospital for the Insane

May 19th, 1909

THE Fourth Annual Meeting of the Lebanon Hospitalwas held at the Hall of th I~oyal Society of Medicine,20 Hanover Square, "'., on lay 19th, 190 q. Ther

were present (amongst other) :_ -

Dr Brigstocke, of Beyrout; Baron and Baroness vanHeemstra, of Utr~cht; Prof ssor Arnold Ruegg, of Zurich;Lady Tangye; Ir John Goldney; The Rev. A. Tien, MissEllen Clayton, lUr F. Ienzies, Drs andwith, Yellowlees,Percy mith, Hingston Fox, Fortescue Fox, Chambers,Thwaites, Antonius Manasseh, and Messrs T. H. Rowntree,Alfred Fox, Martyn Gooch, and F. C. Brading.

. Letters of regret for absence w re received from:­SIr ~'. Doug~as Powell, President of the Royal ColI ge ofPhYSICI~~S, lr \Vm. Church, President of the Royal ocietyof 1\1edIClJ:e, Lady Harland, Dr Clouston, Professor Gilroy,Mr FranCIS 'V. Fox, Dr Hale \Yhite, Dr . T. Schofield, SirAlexander Simpson, 1\1r \V. A. Albright, Lord Peckov r, SirRobert Pullar, M.P., Professor Gautier of Geneva Mr Zur-linden of Zurich, and Sir Edward Grey. '

Dr Forte cue Fox, the hairman, remarked that underthe constitution and rules, which were adopted nearly fouryears ~go, the pres~nt was the fourth Annual Meeting of theSubscnbers and. Fr~ends of the Lebanon Hospital, althoughwe \":ere now Issumg the eleventh Annual Report. TheHo pItal had been at work for just nine years.

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" It may be said," he continued, " that an Insane Asylumis not a very interesting thing. But unlike the hospitals inthis country, which are (thick as 1 aves in Val1ombrosa,' thisone is unique and stands alone on the slope of Lebanon.It represents the only att mpt that has been made in 'yria,or in the adja ent countries, to provide a retreat for thementally affli t d. I may claim that sp cial interest attachesto this in titution on several grounds. It stanel , first of all,as a missionary enterprise, in the true and wide s nse-forit has something to give. The people ther do not njoythe ben fits that we possess for the cure and alleviation ofdisease. Methods of treatment rather add to the sufferingthey are intended to relieve. In our country the care ofthe weak and suffering is almost a part of our religion. Thespirit of service anel hroth rhood runs through our institu­tions. The Lebanon Hospital is a missionary hospital becauseit aims at giving the best that we have, and know and believeto be good and true, to those who stand in need. It is, more­over, not unfitting that we should seek to repay to Syria­to the country to which we are indehted even for our Christi­anity-some small fraction of ollr debt.

" Unfortunately there app ars to be a great deal of mentaltrouble in the East, but, happily, it is often of a tran itoryand curable form, when the sufferers are brought within theshelter of our hospital. The great interest that attaches tothe work is shewn by the willingness with which our staff aredevoting themselves to it, from the venerable Founder him­self to the young people from the mountains who are trainedas attendants.

" I might cite also, as a special feature in this work, thewarm interest and sympathy it has xcited not only in Eng­land, Scotland and Ireland but on the continent of Europeand in America. We are very glad to welcome to-day r pre-entatives from the committees in Holland and witzerland,

particularly the Baron and Baroness van Heemstra, who havebeen warmly interested in this work for many years. Pro­fessor Arnold Ruegg is a special delegate of the Committeein Zurich. We w lcome, also, Dr Brigstocke, the retiringpresident of the Executive Committee in Beyrout, whoseimportant duty of administering th hospital has been per­formed with admirable success under his presidency. In

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have done and find it so successful, so effective in the pastand so promising for the future. One would envy a manwho has a retrospect like his. Mr Waldmeier gives us veryinteresting details about the condition of the patients who arbrought to the Asylum. One story which came quite recently,and has not yet reached the printed stage, I think I may tellyou. A poor woman was brought to the Asylum who had beenchained by her neck and ankles in a cell under the Churchof a Monastery; the chains were prolonged until theyreached the altar, and the belief was that the prayers of thepriest would be so successful that the devil would certainlydepart from her. That kind of treatment was tried, I think,for two months, until a brother of the patient realised thatnothing was coming of it. He brought the woman to AsfUri­yeh, and her recovery has already begun. A case like thisappeals to us all very powerfully. It is impossible to knowthat such things go on and not to render all the help we can,and the cause has been taken up warmly by all. The Asylumduring its short life has received about 800 patients, and hasbenefited very many of them. During last year it received122 fresh cases, and it discharged recovered 26, that is, aboutone-fifth of the admissions were discharged well, and another26 recovered sufficiently to return to their homes and theirfriends. These are great results, considering that many ofthe cases have been insane for years, and everything else hadfailed to henefit them. We have reason to be very thankfulthat so many have recovered and partially recovered duringthe past year.

"It is a great pleasure to me to learn that our newdoctor has found the place so much better than he expectedto find it, and that he i doing the work well, and promisesto be a worthy successor to Dr Thwaites. We had greatanxiety in making the selection, and it is a great relief toknow that it has proved a good one. One thing to bspecially noted by us, is that the Asylum is not only a hless­ing to the poor insane who are gathered there, but it has awider influence in the land where it is situated. I believethis example of Christian benevolence will do far more goodthan many a sermon in enlightening the people and leadingthem to better and higher thoughts. That is one greatreason why we are all interested in this Asylum. It is

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ISReport of the Annual MeetingLebanon Hospital for the Insane

America we have many good friends and generous supporters.The American, Dutch and wiss pavilions shew the interestthat our friends in these countries take in this work.

" nother interesting and unusual feature in the hospitalis the f~ct that the pat~ nts and their frien~s contribute nearlytwo-thu"ds of the runmng expenses. That IS an announcementthat any Chairman of a hospital in this country would be gladto be in a po ition to make.

"Lastly, I may claim that a special interest attaches toour work in yria at the present mom nt. A crisis has comein the Turkish empire. A great r volution is in progress, and\V~ must all devoutly hope that it may be peacefully accom­plIshed, and that the right will prevail. We do not knowwhat may be in the future, but at such a moment it behov sus all, in our various circles, not to slacken our sympathyand support towards our colleagues in the Lebanon."

T~le ecretary, Miss Gooch, read the report of the GeneralCommIttee, and extracts from the Founder's report, and fromthe reports of Dr Anton aleh and Dr Watson Smith.

. Dr Yellowlees, in moving the adoption of the Report,saId ;-

. " A very pleasant and easy duty is assigned to me. ItIS very easy to mov~ the adoption of a report when that reportspeaks only of effiCIency and success, and it will be equallyeasy for you to sanction its adoption. There is so much tosay.about the Hospital that I do not know very well where tobegm and where to stop. I assume that most of those presentkn~w much about the Asylum and its history. Mr T. Wald­meIer, after he had passed the allotted age of 70 years, could!lot bear to leave yria without doing something for the poormsane ~here, and he undertook, in his larg -hearted benevo­lence, Journeys to this country, to the continent and toAmerica, to impress on the minds of Christian folk theneed of the poor sufferers, and to beg for help. His beggingwas so successful that he soon began his Buildings. Subse­quently he made a second pilgrimage, and was again verysuccessful, and the result is that we have now at Asfuriyeha prosperous and efficient Asylum for the Insane. To fewpeople can it be given to look back on th work that they

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••16 Lebanon Hospital for the Insane

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in~this country the Commissioners of Lunacy insist on everyInstitution which has 100 beds having a Resident Officer,and ther is no doubt that a Hospital of that size ought tohave a Re ident :\Iedical uperintendent. Another point isthat a medical man cannot be got nece sarily to devote hiswhole time without having it well remunerated. To beginwith, to qualify for a doctor involves five years of hard labour,and then if one intends to go in for any special work, thatinvolves, of course, till more experience, and, furth r, if oneis to go out to a foreign country, one must throw up prospectshere and be content with a small salary abroad. We, there­fore, thought it wise to give a larger remun ration than before.\Ve believe that we have found the right man in Dr \iVat on, mith, and that he will maintain the principles of the treat­ment of the insane abroad which prevail in this country.There are no Commissioners in Lunacy in Syria; here, all theHospitals and .\sylums for the Insane are regularly inspected,and that is, no doubt, why the care and personal treatmentof the insane has reached such a high 1 vel in this country.As we have no Commissioners abroad, the London Committeehas felt constantly that it must intimately concern itself withthe election of the :YIedical Officer, in the interests of theHospital, and thu take the place of the Commissioners.The London Committee and the Beyrout Committ e have tostand in the position of the Commissioners for yria, and en­deavour to maintain the Hospital on the same level as Institu­tion in this country. The latt r clause of Dr \Vatson mith'sreport, which :.YIiss Gooch read, was very interesting, and Iwill read it again :-' uffice it for me to say, here, that com­fortable, clean and well-ventilated day rooms, dormitories,and single rooms, advantageously situated on the estate, andconstructed with due regard to economy, afford accommo­dation for the patients which compares very favourably withthat found in similiar institutions at home, without, of course,the palatial grandeur of some,' so that the Medical Officer,who may be looked upon on his first visit to AsfUriyeh asa vi iting Commissioner, is able to pass t~e Instit.utior: veryfavourably. He points out also that thIS HospItal IS notonly a medical institution but a philanthropic institution.

(( One most important work is the education of nurses, etc.In this country there is a system of lectures and training for

essentially a missionary enterpris in th widest ense of thisword, as our Chairman remarked. All are welcomed quiteirrespective of creed. The patients come from Jerusalem,1 azar th and Damascus-familiar names to us all-and itseems strange to talk about them in connection with anAsylum; and not only from these places, but from Egypt,Arabia and even South Africa.

" I think we ought all to be glad that w havc it inour knowledge and in our power to be intere ted in suchan Institution, and to help it, and I am quite sure thatwhen you peruse the reports, extracts from whi h you haveheard, you will be still more interested. I should addthat there has been printed, 111 addition to the ordinaryreport, a most informing sketch of Syria as a country, andafter reading this we shall feel we know more about thesurroundings of the Hospital. I move the adoption of theReport."Dr Percy Smith :-

(( With great pleasure I rise to second the adoption ofthis Report. It has been said that 'happy is the countrythat has no history,' and it may be said we ar happy in havinghad no disturbing history. The progress has been steadilyin the right direction, and that has been th case ever sinceTheophilus Waldmeier originally conceived the idea of bene­fiting the insane who were subjected to very antiquate 1 treat­ment in Syria. T. Waldmeier came over here and to theContinent and to America, and we know that it is due to himthat ever since then the Hospital has gone on steadily, andin his green old age he is devoting all his best energies to thismost excellent work. Dr Yellowlees has covered the groundso well that I shall not need to occupy your time very long,but I may just refer to the fact that for the greater part ofthe last year the Committee has devoted its time to finrlinga Medical Superintendent in place of Dr Thwaites. Thosewho are on the Committee know how much work it hasinvolved, especially to our Chairman. The first group ofgentlemen whom we selected, in answer to an advertisement,did not seem to contain quite the man we wanted, and, there­fore, we had to select a new group, from whom we finallychose Dr \Vatson Smith. Som of our subscribers have thoughtit was not necessary to have a Resident Medical Officer; butL+----+---+--t------t----jrl

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18 Lebanon Hospital for the Insane Report of the Annual Meeting

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of the Institution. I much regretted my unavoidable absencefrom the last annual meeting of the Executive Committeeat Beyrout, havin,g been call d away for an urgent case atGaz.a, but I h artIly congratulate all those interested in thechOIce of my su ces or as chairman, Dr \V bster a man whoseability and high sense of duty will always be devoted to thebe t mterests of the Asylum. "Baron van Heemstra:-

. "It may interest our English Christian friends to heara lIttle about what we try to do in Holland for the benefit ofMr Waldmeier's institution. It is not much that we can doin such a small country as ours, with, of CaUl'S, not the samefun<:1s at our disposal as ~nglish or American philanthropists.~esldes, "'.'e have to sustam our own private Christian institu­tIons, whIch are rather num rous. What moved us to dosomethi.n~ on. behalf of the Lebanon Hospital for the In ane,was a VISIt pa~cl to ~olland by Mr and Mrs Waldmeier in r8g8.It was theIr mtentIon th n to wak some interest for theirplan in Holland, and also to visit our institutions for theInsane, which s em to have rather a good reputation abroad.They were pleas~d with th system we call the pavilionsystem, upon whIch a large Christian establishment for theInsane had th n be n newly built in Holland.

" Th y. had seen that system in America; th y saw itaft rwar 1~ m G rmany in all the newer institutions, and mostprobably In England too. \Yhen visiting Holland, Mr andM.rs \Yaldmei r were introduced to us by friends who cameWIth them to our house, and we rather smiled at th ir partingwords :-' The next thing for you must be to come and seeus in the Lebanon.' It then seemed most improbabl weshould ever do so, and yet it arne to pass a year after theirvisit. Directlv after their visit to Holland committe forthe work had" be n founded in various cities-AmsterdamRotterdam, Haarlem, the Hague and Utrecht. As we ar~living near "CtI-echt, it is about this Committee, found d inr898, we can tell most. Five ladies volunteer d to contributethe necessary funds for a bed yearly. Amsterdam and Rott r­dam gav even larger sums, and now there is at Asfuriy h theDutch \Nard. \Vhen vi iting the Lebanon Hospital in r8g9,we present <1 "JIr \Yaldmeier with our national colours for thatward. l\Iy wif carried the flag in her trunk, with th portrait

nur-es and aU 'ndants, and aft'l thl' Y ar ' training theygo in for th certih at' of th' Mulico-PsyC'hological Asso­ciation. a far no nul' in Asftlriyeh hav' qualifi d to passan examination, but we hop' thi 1 a pos ibility for th future.On of th mo t h ring thing is th> fact that th Governorof the L banon and Sir Eldon Gor t both peak in appre­ciative t rm of the Hospital.

" I will not furth r take up your time, but I have pleasurein s conding th adoption 01 the l' port."

Dr R. W. Brigsto ke : -"Although I ha\. l' id d for more than forty years in

the East, I have not acquired the ea y fluency of the Oriental,which nabl s him to tand unabashed on a platform beforeany audience and make a speech of any length on almost anyubject. I have often n\'ied this talent, but, not having ac­

quired it, mu t tru t to the indulgence of my audience. TheLebanon Ho pital for the In an is one which was sorelyne ded, and it i the only In titution of the kind in theTurkishEmpire between Constantin pIe and Cairo. Already it hasdon good work in the pa t, i doing good work in the presentand I can ider has, if properly supported, a great future beforeit. As regal' Is the pa t, we ha\'e had able men to carryon thework, and I am glad that I did not leave the country beforeI had an opportunity of judging how it i going to be carri don in th future. I am ure that I am expre ing th wi he

f the Executive Committee in Beyrout wh n I thank youfor the time, patience and judgment you have xerci ed inth election of the new Medical uperintend nt. Dr \Vatsoll

mith appeared to me to 1)(' the right man for the po t, andwe trust that both he and Mrs mith may be long spared forthe work at Asfuriyeh. I onsider that w hav rea on tobe well satisfi d with the local financial succe of the Asylum,I allude to the receipts from paying patients, which ha\'(>st adily increased. It i a great plea ure to me to m et h reto-day repres ntative of the Zurich and UtI' cht Committe s,in Prof ssor Ruegg and Baron van Heem tra, \\Tho hav shownso much interest and ympathy in the work, be ide sub-tantlal financial aid. The Zurich Committee, specially, ha

on more than one occa ion come to the for in providing fundior pecial purpose, whi h have added much to th fficiency

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20 Lebanon Hospital for the Insane Report of the Annual Meeting 2I II

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That Hospital is considered, from a medical point of view, toholel a very high standard.

" I have only now to thank our English friends for theirkind invitation, and we are glad to be able to accept it, andto get better acquainted with the English Committ e. Mayit be to the glory of our dear Lord and Master Jesus Christ."

Professor Ruegg :-

" I am sorry that my much honoured friend, Prof ssorGautier, from Geneva, is not able to b her, because I amsure that he woull be much more representative of the WISS

Committees than I can be, because it is only a short timesince I joined the Central Committee of Ziirich. I am askedto mak a few remarks on the Report you have just hard.The Chairman was kind enough to let me see his proof of thReport, and there I find a letter from Sir Eldon Gorst, in whichhe writes about th work whi h is don in Asfuriyeh as ' hu­mane and charitable.' I think th e words just suit th case,and it i just by this kind of work that humanity and harityare planted in the h arts of th se people in Syria. I rememb rhaving heard one of my colleagu s at the University say that\v do almost nothing for the Mahommedans. I was stru kby the truth or part truth that is contain d in these words,but if there is anything by which you can impress these peopleof Syria, it i by a work like this done by Mr Waldmeier. Thecharity and humanity of the work are what ware called toby our Lord J esu( Christ, and they will n v r be wiped out.

" Another letter is the letter of the Governor-G neralof the Lebanon, and he remarks that the institution we arsupporting is a very interesting and n edful one, and ?f t~is

I am quite sure. I remember when I was travellmg 111

Palestine I saw a lunatic at Gadara, and the boys were throwingstones at him, and the men would not bear him in their midst.That represents the position of th poor lunatics until we canrecei,'e them in the Asylum of AsfUriyeh. I am told thatlunatics are very often treated in the Eastern Lands as holymen, but I never saw anything of this; what I have told youjlist now is true. The people do not understand the wantsof these poor lunatics. Therefore I am quite sure that wedo a very good and needful work, and it is a missionary work,perhaps the only missionary work that we can do amongst

of our young Queen, who had just come to the throne. Mrand Mrs Waldmeier had earnestly asked for those two gifts.When we were at AsfUriyeh it was at the commencement.The first patient was expected there a few days later. We sawthe extensive grounds, provided with a beautiful w 11, whichis, of course, the greatest treasure in those parts. We sawMr Waldmeier's house, just finished then, and one wardfinished, whilst the others were in construction, and camelswere carrying immense loads of wood and ston s to the spot.The situation of AsfUriyeh is perfectly lovely. There is noneed to describe it here, but those present who know the spotwill fully agree with us. There must be a soothing effect onthe patients who, by the grace of God, wake up here from theiragonising dreams to look upon the garden of Asfuriyeh, andupon the beautiful sea in the distance, which almost sur­rounds the spectator there. When Mr and Mrs \Valdmeiervisited our country once mol' , more than three years ago'they had a great deal to tell about the exp rience of thesemany years, during which, however. our Committe~s had al­ways sustained direct communication with them. It is tobe hoped that in some parts of Holland the Asfuriyeh int restsmay be revived a littl. ~1i s Gooch, whom we had theprivilege to see at our house last January, will agr e with usthere.

" There is one small detail which may be of som int rest,as it is rather curious and also historical. In the beginning ofthe sixteenth century, when our nation began to be a sea­faring on , and the Dutch began to travel over the world, aninhabitant of Utrecht visited yria, and was horrified to s ethe way in which the insane were treated in those parts of theworld. What that man' Jan van Utrecht,' as he was called,wrote in his diary, in his old-fashioned style, correspondsexactly with what Mr Waldm ier witnesses there now-a-days,and brought him to the resolution of founding the Hospital.

ow what is rather interesting is that Jan van Ctrecht,coming back to his nati,'e town, began to feel a great interestin the insane, as he had seen those in foreign parts treatedwith so much cruelty. In Holland they had been treated,up to that time, with neglect. That Jan van Utrecht becamethe founder of a Hospital still existing in Utrecht, althoughentirely changed, of course, from what it was in those days.

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-1' obligation to the Annual l\Ieet­I ition of th Hos} ital, in addition

'()'wnSUI t of 1ncom and Expenditure.Jets ar certified by our Auditor

°0 puv 1V1~ l.gain t that we hav no liabilitythis will show the financial po­lude the purchase of land andIf the Hospital, also investments,

>\1 hand of American or foreignall f el, that we are particularly

1 on the Committee who have[UN 1e and services to the Hospital."

ing the adoption of th financial

lank Lady Tangye and JosephUOll(l which they manag our affairs.

om body like l\Ir Butl 1', whoo act as Treasurer. \Ve hayeunittee lor the ar with whiche expenditure of th Hospital,

IUOJ UI d.lnSl?dte Dr Brig tock with us to-day.aye yisitors from Holland anday take the occasion, as Baron

}:>!i\ uddnO 'S( tulating Holland on the adyentrill no doubt take an int rest

'dUl?SUI dt.{l .loJPercy mith mentioned some­medical man. Although I amit has been my duty t.o visit

?tB do not think that anyone who==============::::./=-ttions would in any way Ii ense

th re was a resident doctor.t hould be a resident medicallunacy Commissioners in that

j in the report a map on which_~UL. That is the Hospital, and you

e see its xtraordinary position. I think that every­one :::>.l.ivuld do t.heir best to give support, not necessarilymonetary support, but support and sympathy, as I am afraid

Mr Joseph Butler, in presenting the financial report, said:-"The London Committee are equally fortunate in the sub­

scribers as in the assistance we have had from various foreigncountries in this work. The obligation of the Committee, ac­cording to our constitution, is to present to the Annual Ieetinga statement of the receipts and expenditure dnring that year,and of its financial position, duly audited. The account whichwe have to present this time, for the y ar ending 31st ~Iarch,are, I hope, such as will be considered satisfactory. Our re­quirements in the matter of having them duly audited haveb n carried out as during previous years. I must just m ntionthat with regard to debtors and creditors, we are told that, the Hospi1 al has no debts,' except for salarie which may bedue. There were debts due to the H spital, p rhap to theextent of about £100, for patients' paym nts which weresomewhat in arrears.

" The subscriptions from th Briti h lsI s amount to £23more than last year. America has contributed £261 on generalaccount, and £25 inter st, which is rath r more than last year.Holland has contributed £8I-decidedly more than la t year.Beyrout £43, which is mor than last year, chiefly due toMiss Feltham's subscription of £30, which is usually paidto the London Office, having been paid in B yrout. witzer­land has contributed £48. Our subscriptions from all sourcesamount to £1323, as against £1188 last year, an increase of£135. Interest and returned in orne tax amount to £I6I.Legacies do not figure this year, and unfortunately for thefunds, did not figure last year either. Patients' paymentsamount to £1334; this is particularly gratifying. There hasbeen a profit on cultivation of £12.

" The expenditure has increased also, as the number ofpatients have been increased. Just under £2000 cover theexpenses at Beyrout, and the London expenses have been£290 , which is decidedly less than previous years. You willno doubt be interested to know that London expenses are nowonly IS per cent. of the Beyrout expenses.

the people of the Turkish Empire just now. I have myheart and sympathy in our Lebanon Hospital at Asfuriyeh,and I may be permitted to ask those present to do the samewith me."

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scribers as in the assistance wecountries in this work. The otcording to our constitution, is toa statement of the receipts andand of its financial position, dul)we have to present this time, fcare, I hope, such as will be corquirements in the matter of hbeen carried out as during previthat with regard to debtors ar, the Hospi1 al has no debts,' ex(due. There were debts due toextent of about £100, for pa1somewhat in arrears.

" The subscriptions from tlmore than last year. America haccount, and £25 interest, whichHolland has contributed £8I-dBeyrout £43, which is more tlMiss Feltham's subscription ofto the London Office, having belland has contributed £48. Ouramount to £1323, as against £1£135. Interest and returned ilLegacies do not figure this yeafunds, did not figure last yearamount to £1334; this is partiebeen a profit on cultivation of £

" The expenditure has inCHpatients have been increased.expenses at Beyrout, and the - __ u

£290 , which is decidedly less than previous years. You winno doubt be interested to know that London expenses are nowonly IS per cent. of the Beyrout expenses.

the people of the Turkish ErnT"\lrp

heart and sympathy in our L(and I may be permitted to asliwith me."

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"Th Committee is under obligation to the Annual Meet­ing to sp ak of the financial position of the Hospital, in additionto presenting the statement of Income an 1 Expenditure.Perhaps if I say that our a ets ar certified by our Auditoras being worth £14,558, and again t that we have no liabilityto any outstanding creditor, this will show the financial po­sition. The above figure include the purchase of land andbuildings and the equipment of th Hospital, also investments,but not any money in the hand of American or foreignCommitt s. I think we shall all feel, that we are particularlyind bted to the medical m n on the Committee who havedevoted 0 gen rously their time and services to th Hospital."

ir John Goldney, in moving t.h adoption of the financialreport, said:-

" I think we ought to thank Lady Tangye and JosephButler for the admirable way in which they manage our affairs.We are very fortunate to have somebody like l\Ir Butl r, whois a thorough busine s man, to act as Tr asurer. \V havealso to thank our B yrout Committee for the care with \\'hichthey look after and control the expenditure of the Hospital,and it is a great plea ure to have Dr Brig tocke with us to-day.It is also a great pleasure to have visitors from Holland and

witzerland, and I think we may take the occasion, as Baronvan Heemstra is here, of congratulating Holland on the ad\'entof the young Princess, who will no doubt take an interestin the Hospital when older.

" I am very glad that Dr Percy mith m ntioned some­thing about having a resident medical man. Although I amnot a Doctor, for many years it has been my duty to visitplaces for Insane p ople, and I do not think that anyon whohas a knowl dge of such institutions would in any way licensean institution of this size unless there was a resid nt doctor.It is very important that there should be a resident medicalman, especially as there are no lunacy Commissioners in thatcountry.

" I daresay you have noticed in the report a map on whichyou will see a little red spot. That is the Hospital, and youcan there see its extraordinary position. I think that every­one should do their best to give support, not necessarilymonetary support, but support and sympathy, as I am afraid

paexpenses at Beyrout, and the ) ~ _ - - --:-­£290 , which is decidedly less than previous years. You WIll

no doubt be interested to know that London expenses are nowonly 15 per cent. of the Beyrout expenses.

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the trouble in th Ea t ar not yet at an nd. Dr Tien andsome of us who ha\'e heen in th Ea t know that yOU cannotturn in thr e w k or a fortnight the politic and habit ofpeopl which hav been formed in hunch- d of year. Iyfear is that ther may till be trouble. \Yhat I want to do isto engage your sympathie , so that ~ve can, by ubscriptions,and in other ways, gin:, the upport which our friends in ynaare entitled to ha"e. \Vhen trouble come, and you arein a difficult po ition, you can carry out your work well,b cau you know you ha"c the ympathie, of tho e at home.I hav pI asur 111 mO"ing th adoption of the financialreport. "Dr ~ andwith :-

" I ha"e grcat pI a ure in econc1ing the adoption of thisreport, whi h I am sure i a perfectly formal matter. Anyonewho knows the Trea urer will appreciate the way in whichh 1 abl to explain dull figure. I need not trouble you witha long peech, for my prec.1ece or ha mo'"ed the adoptionwith gr at skill. A great advantage to-day is that we haverepresentatives from other countrie pres n1. I he itat tothin]" that they can b for ign ountries, becau e they are soincli olubly bound up with u in thi work, and becau e1\"0 of the speeches to which I ha"e Ii tened were eloquentlyrendered in perfct Engli h, and were thc aumiration, if 110tthe nvy, of us all. Professor Ruegg spoke of thc troublwhich arise when a lunatic i ill-treated by stone-throwingboy, and he said he had often heard in th Ea t that a manwho was insane was thought to be po ses cd by some formof spirit. The Egyptians and yrians nc\'er seem to havequite made up their mind what sort of spirit doe inhabitth afflicted person. The tendency of their belief i thatit is a bad one, and we are forcibly reminded of Holy \Yrit,when a man brings his child and says C this chill is posse sedby a devil,' and then, again, it is quite a common thing forpatients, inside or outside lunatic asylum, to say C I hav adevil,' and point to the exact spot where the de"il i , meaningthat they have a pain in some portion of their body. Theywill ask the Doctor, and even a k the other patients, to castout th devil from them. Eil

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certain there is no moth in th m; so the Ori ntals are tooready to beat the patients, not always to hurt them, but todrive out the devil. Th n, wh n this fails, th yare apt togo to a Church or l\Ionastery for help, and they ar told thatprayer and fasting are th best possible remedies for th pa­tient. So th priest hain th patient to pillars in the church,sometimes flogs him, and always starves him. vVithout anyexaggeration this syst m is in yogu in parts of yria not yetreached by this sylum, and it would be in the whole of , yriaif it were not for this Hospital. I need not say that theecclesiastical syst m is diam trically opposed to the onewhich we think the best."

Mr J. H. H.owntree ( arborough):-

II orne of us who have been ac ustomed y ar after yearto give a little financial aiel to this institution ha" felt thatthis was all we could do in the way of practical sympathy.But w havE' a ns of great indebteeln 5S to those who giveup th ir time to the succ ssful carrying on of the InstitutlOn.I hav been ask d to propose the appointment of the GeneralCommitt and Offi rs for th ensuing year (names reacl.)

}Ir Alfred Fox :-

il I have pleasure 111 se onding the motion, and thankthe Committ e for all th time and areuthey have~gi,'en tothe administration of the Institution."

The l\Ieeting conclud d with a vote of thank to theChairman, proposed by Sir John Goldney.

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2SReport of the Annual Meeting

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I Lebanon Hospital for the Insane Founder's Report 2 7

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I

The Founder's Report

For year ending 31st March, 1909

O CE more we have to deal with the Annual Reportand Accounts of the Lebanon Hospital for the Insane.The y ar represents an unbroken chain of daily toil,

and as Dr Thwaites left in February, 19°8, I felt a greaterresponsibility rested on me. Dr Anton Saleh was appointedby the Executive Committee in Beirut as temporary visitingphy ician to the Asylum, whi h was a great h lp to me. Thiswent on almost a year, until the arrival of Dr H. WatsonSmith, whom we welcomed with his wife on the 7th February.They soon entered their new house, and gradually becamesettled there. Of course, it is difficult to begin housekeepingin a foreign country where there is a strange language andnew customs. Dr Smith threw himself at once into the workamong the patients, and the study of Arabic.

lC ~o more buildings" was the parole last year, but asthe institution is growing new needs are appearing. We haveno reception room for the many visitors of the patients.These people often roam in all directions until they find theirway to the windows and doors of the Hospital, and thenmake enquiries of anyone whom they happen to meet. Thishas pointed out to us the need for building a reception roomin two parts, one for men, and the other division for women.

Secondly, as there are so many unclean patients, we needa foul-laundry* in which to gather the dirty clothes to washand clean, apart from the general laundry where the clothesbelonging to the clean patients, nursing staff, and officialsare washed.

• By a recent decision of the Committee this will be shortlyprO\·ided.

.I_~_II ,._~-,,-

Last year the poultry house was built, and it now rendersgood service in helping to supply fresh eggs for the Hospitaland especially for feeding patients artificially (by use of tubeswith milk) who otherwise refuse food. A number of patientshave been saved by artificial feeding.

We have neither mortuary nor isolating room for con­tagious disease, but we hope that we may soon have theseneedful premises. During the winter I built the Mrs catter­good cistern in remembrance of Mr and Mrs Scattergood'svisit to Asfuriyeh. Mrs cattergood sent me £67 12S. Sd.for it.

CE TRAL KITCHE

At the time when Dr Thwaites went to England, andleft this building free, it was a very long-Iooked-for oppor­tunity to remove the Central Kitchen from the AmericanHouse to the Central Kitchen which was built for this purposeby the friends in Holland; it is called the" Holland Hou~e."

We have in this building spacious room for the e onomlcaldepartment, good healthy airy rooms for storing, as well asthree rooms for the matron who has oversight of the femaledepartment of the patients. The cook and the kitchen-maidhave their sleeping accommodation in the upper rooms ofthis building. From the Central Kitchen the food is carriedto the patients by the native nurses and attendants, andpatients who can help in this work.

I think it will interest our friends to know that theexpenditure for milk, meat and bread is forty English p~unds

per month, without counting all the other needful artIcles;all food has greatly risen in price, so ~hat we often .becomeanxious about the daily bread of the patIents, and partIcularlyfor those who cannot pay for their maintena~ce. O~ theother hand we have never had so many paymg patIents.We econOIr~ise the expenses of indoor service and gardenwork by giving this work to some patier:ts ~nd atte!1dants.We are doing our best to improve the InstItutIOn and Its landin every respect, without causing g:eat expen~es all a~ on.ce;every year we add to the work, .and m a short tn~e .our ~nst~tu­

tion will compare favorably WIth the best of snnilar mstltu­tions in Europe and America.

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28 Lebanon Hospital for the Insane Founder's Report 29

LETTER FRO:'>I IR JOH:.J ELDo... GOR T, K.C.B.

His Excellency the Governor General of Mount Lebanon,Yusuf Pasha, gives the following testimony to the work :­"The Hospital at AsfUriyeh is one of the most interestingand needful institutions of the country, and it does us a mostnecessary service as regards the criminal patients, whom weoften send to your Asylum for examination and observation,and the Doctor's judgment is a sure guide to our Governmentfor a final judgment. I will gladly do all in my power to behelpful to such a noble institution."

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BRITISH AGE ICY, CAIRO,

March 4th, 1909

Asfttriyeh;

March, 1909

We feel greatly obliged for the interest and sympathyof the London General Committee, especially in their exertionin selecting a new Medical Officer. Weare thankful al a forthe brotherly help of the Philadelphia Central Committee forthe United States of America, as well as the central Commit­tees in Zurich, Bern, Geneva, and Lausanne; for the helpof Holland, and all auxiliary Committees, collectors, andhelpers, as well as anyone who assists the good cause, rem m­bering the words of Christ-It Inasmuch as ye have don itunto one of the least of these ::\tly brethren, ye have done itunto Me."

(Signed) THEOPHILUS WALDl\IEIER

Dear Mr Waldmeier,

On leaving your hospitable country I should muchlike to make a small contribution in aid of the humane andcharitable work in which you are engaged, and I hope youwill accept the enclosed chequ (£10) for your Lunatic Asylumas a mark of the pleasure it has given me to be a witne ofthe good work you are doing in the land. \Vith kind regardsfrom my sister and myself, and all good wishes for the futureprosperity of your undertaking,

Believe me, Yours sincerely,

(Signed) ELDON GORST

~Then we look back upon the development of this ourinternational Christian Hospital, and consider all the greatdifficulties which 'ace anyone beginning a new work in thiscountry, especially an Asylum work about which the peoplehay no id a, we cannot but be humbly 1hankful to our Divinel\Ia t r for all the success and bl ssings which He has so richlybestowed upon this most needful Instiution for those sufferingfrom mental distress. In ord r to get the patients underChri tian and humane influence, we have to try to modifythe up rstitious public opinion of the country, and have tosave the mentally afflicted suff rers from demonomania andexorCIsm. We have already gained a good deal of groundin this respect, but we have still to struggle until we gaina complete victory.

\Ye have often mar trouble with the superstitious andfanatical r lation of the patient than with the patientsthemselves. V ry often the patients are sooner cured fromtheir mania than their relative and friends from their super­stition, which has become chronic and incurable through thepast enturies.

\Ye have pati nts belonging to about ten different re­ligions, denominations, and nationalities. It is interesting tosee them all gathered at the Sunday service to hear the Wordof God, the silence which takes hold even of the otherwiseexcited patients is of special interest.

It may suprise our friends to know that of all the patients(and their relatives) those of the Mohammedan religion provethem lves to be the most thankful, trustworthy, and easyto manage.

A feeling' of thankfulness fills my hear( towards' all thosewho help us in this good work. Being the founder ~f thisInstitution, I take 1he liberty to thank the Beirut ExecutiveCommittee for their profound interest from the beginninguntil now. We regret the departure to England of ourPresident, Dr R. W. Brigstocke. He has been a good andfaithful friend to the Hospital, and always took great anduntiring interest in it. We wish him God-speed in his newenvironment, and hope his interest in AsfUriyeh will alwaysbe the 3ame.

I

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30 Lebanon Hospital for the Insane Medical Officer's Report 31

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and a more equable climate than that of the plain below.The proximity to Beyrout and a permanent good and moder­ately plentiful water supply on the estate, facilitate the pro­curing of the daily needs of the institution, and fair arableland and a rocky substratum afford means of cultivatingwheat, olives, grapes, mulberry trees, and a certain amountof vegetables with fair success, thus adding a little to therevenue, and of procuring stone for building purposes.

Structural details I find have been sufficiently discussedin former reports, so suffice it for me to say here that com­fortable, clean, and well-ventilated day rooms, dormitories,and single rooms advantageously situated on the estate, andconstructed with due regard to economy, afford accommo­dation for the patients which compares very favorably withthat found in similar institutions at home, without, of course,the palatial grandeur of some. The other buildings on theestate are constructed according to European principles, withsuch modifications as situation and climate necessitate.

The general equipment for the treatment of the insaneis in a fairly satisfactory and adequate condition, and onlyrequires time and care for its improvement on modern lines.The routine care of the patients is entrusted to Syrian nursesand attendants, under the direct supervision of the Head­Attendant, the Matron and myself.

Mental disease is mental disease all the world over, sothe different forms do not strike m as.in any way differentfrom those found in home asylums. Acute and curable cases,I am pleased to say, form a very fair proportion of those atpresent under care and treatment.

ASFURIYEH AS A EDUCATIONAL AND PHILA THROPIC

INSTITUTION

The people of this country appear to me to be of a quietand peace-loving temperament, and far be it from me to saythat their intentions towards their more unfortunate andsuffering fellow-beings are other than those prompted by anearnest desire for their welfare; but the turning of these goodintentions to practical account, under gross ignorance andsuperstition, frequently leads to the adoption of methods

Medical Officer's Report

ARRIVING a stranger in Asfuriyeh so recently precludesmy attempting anything of the nature of a detailedand business-like report, still, at this, the close of

another year in the history of this institution, I am pleasedto have the honour and privilege, as the newly-appointedMedical Superintendent of the Lebanon Hospital for theInsane, of laying before its many friends, well-wishers, andsupporters in Europe, America, and Syria, a few remarks onwhat have appeared to me, a new-comer, as the most note­worthy points in connection with Asfuriyeh, not only as amental Hospital pure and simple, but more so as an educa­tional and philanthropic Institution.

Early on the 7th February, 1909, on a beautiful Sundaymorning, my wife and I arrived in Beyrout Harbour, andwere met on board ship by our Chairman of Committee,Dr Brigstocke, who cordially welcomed us to his house, anddrove us to our new home. At Asfuriyeh, Mr Waldmeierwas waiting for us on his doorstep with a kindly welcome,and we were most hospitably received by Mrs Waldmeier,who introduced us to Miss Ashley the Matron, Mr Baum­kamp the Head-Attendant and his wife, and Sitt Helene.

I have had the honour of being presented to, and gra­ciously received by, his Excellency Yusuf Pasha, Gover­nor-General of the Lebanon, who expressed in warm termshis desire to assist and facilitate the management of thisinstitution as far as lies in his power. A unique combinationof favourable geographical, geological, and climatic conditionsmake Asfuriyeh an ideal site, from a medical point of view,for the construction of a Hospital for mental diseases. Theelevated situation commands an excellent view on all sides,I,

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( igned) H. WATSO J SMITH

Medical Superintendent

Asfliriyeh,

April, 1909.

which by their drasticity either inflict a gr at deal of unneces­sary suff ring, or place th unfortunate sufferer under suchunfavorable conditions that th possibility of recovery is hope­lessly jeopardis d. I would only mention the case of a rathergood-looking young girl at present in this Hospital, who bearsa burn scar one inch broad encircling her head as a p rmanenttestimony of such methods, and that of another patientsuffering from an acute and curable form of insanity, and ina debilitated condition of health, who, in spite of all our en­deavours was removed from this Hospital by her friends tobe plac d in a cav in the mountains. Another patient,a Bedouin girl, was removed by her parents within a week,becau e they were thoroughly convinc d that the Englishdoctor could not cast out devil. In the face of the foregoingit i needless for me to enlarge on the tact that Asfuriyeh hasnot only as a mental Hospital to meet the wants of thosewho are now in immediat ne d of hlp, but as an educationaland philanthropic institution, by patient and earnest work,to hold up a high example for the future.

Und r th patient and enlightened care of my prede­cessors, Drs Wolff, Thwaites, and Anton Sal h, during thepa tight years, a staff of very fficient nurses and attendantshave been educated from the raw lads and girls of the moun­tain who can neither read nor write, and from a total of closeon 800 patients who have been admitted during that timea v ry onsiderable proportion have either been completelycured or benefited to such an extent that they have been ablefor longer or shorter periods to occupy their places in theirown family circles.

The results of eight years' work have undoubtedly pro­duced ,'ery favorably sentiments in the community at large,and if expressions of praise and gratitude which are frequentlyforthcoming can be taken as any criterion, Asfuriyeh is gradu­ally winning a place in the hearts of the people.

Dr Anton al h, in his report, says :-« It is a great pleasure to have occupied, only as a

substitute, the position of the physician of the Lebanon Hos­pital for the Insane dur!ng last year, and I hav the honourof laying befor you its 11th Annual Report of Medical work,which is the first one written by a native doctor.

" It is a good opportunity to thank you on my part, and onbehalf of the Syrians, and specially the inhabitants of MountLebanon for this gr at and wonderful work of benefic nce,by which you have proved your true Christian lov towardsthe miserable and sadly afflicted in mind. I hav also tothank most cordially that great and good man, Mr Theophilus\Valdmei r, the founder, whose name must be put at the topof the list of those good and true Christian missionaries whohave come into this country. He is mentioned by the yrianswith the greatest honour and r spect, and all of th m appre­ciate this wonderful work which he has accomplished in hisold age with the energy and z al of young men, and whichwill remain his enduring monument.

As to the Medical work done, it is as follows :-II There have been admitted into the Asylum during the

past year, 122 patients, 65 men and 57 women. Four otthese, viz., 3 m n and I woman, were cases of re-admissionduring the year. From the preceding y ar there remainedin the Asylum 75 patients, 46 men and 29 women, making atotal of 197 patients under care during the year. Of thinumber, 122 patients hav been discharged or died, 72 men.and 50 women. The number of deaths was 7-5 men and2 women. The number of patients remaining in the Asylumat the end of this year, viz., April 1st, 1909, is 75-43 menand 32 women.

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33Medical Report

Report from Dr Anton Saleh

Lebanon Hospital for the Insane32

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II The results of treatment of the 115 patients dischargedare as follows :-

Men Women TotalRe over cl .. 14 12 26

Improved .. 16 10 26

Unimproved .. 35 25 60

Two men and one woman were discharged as not insane.

"One difficulty that I have met with, that stands in theway of treatment, specially in the acute an~ curable ~as~s,

is the impatience of the relatives of some patlents, who mSlston taking them away before they are cured. In vain we tryto convince them. But when their patient gets excited andunmanageable at home they bring him back and leave himat our di posal until he is cured, as was so in the case ofa Gr ek Orthodox priest. Others, I am sorry to say, theydo not bring back, thinking that they will never get well,as it happened to a young man from Bludan, who had beenattacked by acute mania. A large portion of the commonpopulation believe that we have the curative power for theinsane, and a specific remedy for every mental disease."

Medical Report 35

TABLE I. ADMISSIONS EACH MONTH.1908 !\len \\~omell Tot,,' !\len 'Vornen Total

April ... 7 ... 3 . .. 10 December ... 4 '" 2 ... 6May .. , 6 ... 9 ... IS Iq<y)

June ... 5 '" 5 . .. 10 January ... 4 ... 3 ... 7July ... 2 ... 4 .. . 6 February ... 7 ... 5 ... 12August ... 4 ... 6 ... 10 March ... 9 ... 8 ... 17September ... 6 ... I ... 7 - - -October ... 5 ... 4 .. . 9 Total ... 65 57 122November ... 6 ... 7 ... 13

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... 64Total

RELIGIONS.'Vomell Total

... I4 ... 26 Moslems II 8 19Jews 7 7 14Protestants 3... 3 6'" 14 ... 34

... 9 ... IS

... 3 ... 8

Men

Maronites ... 12Greek

Orthodox '" 20Greek Catholic 6Roman

Catholic ... 5

TABLE II.

Lebanon Hospital for the Insane34

TABLE III. OCCUPATIONS.Mell '''omen Total lIfell 'Vornell TotalShepherd ... I ... - ... I Blacksmith I ... - ... I

l\Ierchants .. 18 ... .- ... 18 ervants ... 2 ... 3 ... 5Shopkeepers 3 ... - ... 3 Bakers ... 2 '" - '" 2 - '--- -Peasants ... 4 ... - '" 4 "'eaver oo. I ... - ... IClerks ... 3 '" - ... 3 Pedlars ... 2 ... - ... 2006Shoemakers... 2 '" - ... 2 Priest

'" I ... - .. . I_IICarpenter ... I ... - ... I Barb r oo • I ... - . . I

"Tailors oo. 3 ... I ... 4 Mason '" I ... - .. I

1\Student ... I ... - ... I Unclassified 14 ... 52 ... 66Teachers ... 2 ... 1 '"

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Butcher ... I ... - ... 1 - - -

~~~rt'\'\ Ti'l' '1 ' /'1Gambler ... I ... - .. I Total ... 65 57 122

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(Signed) "A. SALEH, M.D."Asjuriyeh,

April 1st, 1909I

I TABLE IV. MARRIAGE.Men "'ornen Total

Married ... 23 ... 38 ... 61Single ... 42 ... 19 ... 61

- - -IITotal ... 65 ... 57 '" 122

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36 Lebanon Hospital for the Insane

TABlE v. DEATHS.t>len Women Total

Nervous exhaustion ... ...Heart di ea e, with alhumcnuriaObstinate diarrhcca ... ..,Apoplexy... .., .. ,

Total ...

2

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2

5

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2

3I

I2

7 I

DISTRICTS.

FORMS OF DISEASE.f>len \V oIIIen TotalI

TABLE VI.

B yrout ...Damascus .. ,LebanonSidonHomsHamahLatakiaTripoliBaalbeck ..MarashJaffaA reHaifa

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Terusalem... .,.. azareth... ...Backaa .. , .,.Adana .. , ...Egypt ... .,Skandarona .,.:'Ira rsin .,. ...

amarkand .",\rabia ... ...Port Elizabeth, S.A. ..,

Total ...

5I

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6 .. , 6 .. , 12

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... JJ .,. 7 .. , 18

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anity

Total .. ,

Melancholia:((() Acute(lI) Chronic

Mania:((() :l\1anic-Depressive In(lI) Excited Mania .,.(l') Mixed Forms .,

Dementia:((() Dementia Prrecox....(ll) Primary Demen tia(r) Dementia Senilis .. ,

G neral Paralysis .. ,Monomania .. , .. ,Epilepsy... ...Puerperal... ...Hysterical .. , .. ,Dipsomania ."Hashi hism ...Congenital Idiocy ...Aphasia .,.Not Insane .. ,Undiagnosed .,.

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BIRMINGHAM AND DISTRICTHon. Secretary: Mi !'i C. CADBURY, Pellllle Hyr~t, Bri~tol Road.

Ron. Treasurer: JOEL CADBUI{Y, TUl10r Hill Houfle, Sutt.on Coldfield.Albright, Wm. A. 25 0Albright, Misg :~ 0Alexander, Mrs C. 11. 1 0"AFriend" per ""V. A. A.... 1 1Barrow, Mrs C. C.... .. 1 0Cadbury, Barrow... 1 0Cadbury, The Misseg 2 0Cad bury, Miss B.... 1 0Cadbury,Jo~ .. 3 0Clayton, F. C. ... 1 1Clayton, Miss .. 1 0Gibbins, John 1 0Jones, Wm.... 1 1

BOURNEMOUTHHon. Secretary and Treasurer:

Mrs CARRICK, "Rostherne," St. Stephen'S Road.Chatfey, Mrs ... '" 2 0 °ISandilands GeneralLawrence, Miss 1 0 0 TralJnoll, Master II.Mounsey, Mis'! 10 0Petter, Mrs ... '" 2 2 0 £6 1~ 0

N.B.-A yearly sUb~criptionof .£~O from 1\-~. F. w!'ls thi':l year paid directto Asfunyeh, and IS ll1cluded III theIr accounts.

BELFAST AND ULSTERHon. Secretary and Treasurer: JOSEPH C. MARSH, 107, Donegall Street, BelfastAnderson, Sir RObert, J.P. 1 0 0 Richardson, Mrs Jno. G.Carson, Miss... ... ... 2 6 (the late) ... 5 0 0Oarson, Miss Jane...... 5 0 IRichard~on, 1\-1iss f::l. H. 1 0 0Cuthbert, Joseph, J.P. .. ]0 0 Hichard on, Mrs JoselJh... ] 0 0Corry, Robert W., J.P. ... 1 0 0 ISinton, vVm. Henry... 1() 0Crawford, Sir Wm., J.P.... 1 0 0 Sinclair, Mrs Thomas 10 6Dunlop, Mrs... 5 0 Smith, Edward ]0 0Green, John Orr 15 0 Turtle, \Vm. H. 10 0Green, Mrs Forster... 5 0 0 Turtle, James G. '" 10 0Greeve!'i,JohnG. 5 0IWhite,ThomasH.,J.P.... 2 0 0Has!et~,J. find J., Ltd,... 10 0 Per Mrs James Malcolmson:-Jaffe, SIr Otto, J.P.... ]0 6 Greeves, Mrs ... '" 10 0Le tharn, S. H. 2 6 Greeves, Mrs Joseph 1\-1. 5 0Locke, Silas ... 5 0 Greeves, Mrs Arthur... 5 0McLaughlin, W. H., J.P.... 2 0 0 Greeves, Mrs Alfred ... 5 0Marsh, Mrs John ... ... 1 0 0 :Malcolmson, Mrs James 1 0 0Marsh, Joseph C.... .. 10 0 MalcolmHon, James G. B. 10 0McNeill, Miss B. A....... ~ 6 Montg-omery, Mrs 2 6Pim, Arthur ... '" 10 ° Philpot, Mrs 5 0Pim, E. Wakefield, J.P. 2 G Wilkinson, Mrs...... 2 6Pim,Joshua... 10 0 "\Vright,l\1rsJoseph... 2 6Robb, Wm.... 10 0 I

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ABERDEENHOll. Secretary and Treasurer: Dr HElD, Hoyal Asylum.

Gilroy, Rev Prof. ... 10 0 Scott, Hev "\V. D. ... '" 10 0Maitland, Adam, Esq. '" 1 0 0

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d £'i 'chofield, Miss ... .G :::!hipley, A., Esq.... 1o atterthwaite, Mrs '" 1o ~uche, Miss... .o Stuchbery, Miss .o SmitlJ, Mrs \Vm. 1() Sturg , n. Y., Esq. .o t)ims, Mrs "\V. D.... 1o Smith, Henry, Esq. 1o Southall, Jno. 'l'., Esq. 16 Sturge, II' \Valter ... 1o SmitlJ, Mrs n. Percy... 1o Ravage, Dr. ... 1o Sar.iunt., Miss S. .o Ist. Leonards ... ...o Rtewart, Andrew, Esq ..(I Smith, B. F., Esq. 1(I 'l'aylor, Dr J A. 1o 'l'uke, Miss E. "IV. .o Tylor, Miss... ...o Todd, Miss A. M. ...o Tankerville,DowagerLa<'ly ~

o Tuckett, F. F., Esq. J

o Tuke, irs D. H. ... 1o M. 1. 'l'. (Scotland)... 5o Tuckett, Mrs R. E. ... 1o Taylor, Mr and Mrs Alfredo Wigram, Mrs W. ... 1() Wood, Mrs ... . ..o 'Wormald, Mbs ... 1o Watt, Mrs ... ...o \Vatnoy, Mi s .o Watson, Mi 's C. M. .() Whitley, Mi. S F. L. ...o Williams, Mrs F. Hue ...o Waugh, Mrs ... ...o Wigham, Leonard.. ...

White, Joshua ... ... 1r, \Voodhead, Mr E. B. .. 1o \Vedmore, E. T., Esq. ...o -----6 £336

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Lancast 1',1111' Ann .Lloyd, Wm. H. 2Manning, Dr H. C. 1Morton, Colonel ...ladocks, 'l'he Hon. Mr' ...

Moncrieff, Mi s 1. M. ...]Mackenzie, Mrs ... 1McGowan, Miss ...Moncrioff, Lady. c\)tt ... 2Maxwell, Dr ... ...Marriott, Mi 's E. ...Moil', "\Vm., E q. '" 1Morgan & cott, Messrs... 2Niebuhr, Miss Von ... ...Newington, Dr Hayes ...Nunn, Henry' ... ...Newington, Campbell, Esq.Orchard, H. B., Esq. ...Penfold, Miss ...Peckover, Lord ...Pull aI', Sir Hobt. 2Pullar, J. F., E 'q. f)

Pumphrey, Samuel B. IPaton, Miss Forrester 3Player, Miss E. .,. 1PaylJ tel', Mrs... '" 1Peckover, Miss P. H. 11Penney, Mrs R. H. ... ]Pullein, Mi s 111. F.... 5Priestman, Mrs A. ... .. 5Paton, A. P. Forrester, Esq.Priestman, H. B., Esq. ...Reckitt, Francis, Esq. ...Russell, Miss ...Reynolds, Mrs ...Readers of"'l'he Christian" 84ReaderA of "'l'he Life of

FaitlJ" ... ...Robinson, Miss .Row, Mis (Box) .Southall, 'l'he Misses

COMMITTEEButler, Joseph ... ] 1 0 Rogers, Dr GuinnessBrading, Francis C. 1 1 0 "- mith, Dr H. PercyChambers, Dr Jas. ... :3 3 0 Sandwith, Dr F. M.Dixon, Dr John '" 1 1 () Schofield, Dr A. 'l' .Fox, Dr Hini{ston... ] 1 0 Tangye, Lady ..Fox, F. W., Esq ] 1 0 Tuke, Dr Seymour ..Fox, Dr Fortescue 2 2 () 'Wilson, Dr A. ...GoldneY,'l'heHon.SirJohn 3 3 0Midgley, Arthur '" ... 1 1 0

Dr D. Yellowlees (see Glasgow)Dr Bedford Pierce (see York)

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Lebanon Hospital for the InsaneSubscriptions and Donations

CANTERBURY

£7 I 0

DUBLINHon. Secretary and Treasurer: Mrs JOHN Euwl'ACE," GlasnevJl1."

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o Goodbody, Perry .o Greene, Lady Ball ..o Hill, James ..o Jacob, C. E. ..o Megaw,Mrs .o Megaw,Mil-Jl-J .o Massey, Miss V.o Pease, Mrl-J ...o Perry, Miss E.o Pel1rose, Mr .o Paul, Mr ..o Paul,Mn:l ..o l~allJbanL, Dro Sallds, Miss ...o Webb, 'l'lJeodoroo Webb, Arthuro

oIPitcairn, Mil:ls ... . .o [~utherfurd, John... ...o [~oxburgh, Mrs ... ..o Rose, Miss ... . . ..o Rose, Mrs ....o Ritchie, Dr Jall1e'i... ..o Honald'iol1, Dr T. IL ..o :-ionwrville, Mr;; ] );1 vilt .() Hprot., Miss... ... .o t:5impl:lon, Sir A. H.... ...o Scott Moncrief!', V I' ...

o tialeeby, Mrs.. . . ..o :-imith, Mr;;... .. .o Salmond, Mrs ... .o Tod, Alexander, I';:-;q. .o Taylor & Turnbull, MessrsGIThomsol1, VI' JolIn ... .° Turnbull, Mrs (~yean'!) ..o Turnbull, Dr A. IJ ..o Turnbull & Wil:-;ol1, MO'i;;r~() Ure, Mr;;... ...o \VIJiLe,J. M. Logall, Esq ..o \Vil;;on, M 1';; R. (~ year;;) .o Whyte, Hev Dr ... ...o Wil:lllarL, Mi1:ls ...o Per Miss MacDou,-:all :o Bruce, Mi;;1:l .() Lumsden, Mrs ..Ii L\'ell, fl., Eo.;q. ..o Lusk, .J., E:-;q. . ..() Mood, Mrs... ...o MacDougall, Mi::;l-Jo6

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EDINBURGHHon. Secretarie;; and Trea;;urers: Dr '1'. S. CLous-roN, ~(j Heriot How, aud

Dr .JOHN 'l'HOM;;oN, 14 Coates Crescent.Abernethy, Dr ...Anderson, The MiHl:le;; ...Arbuthnot, Mrs ..Arkley, Mrs... .Bonar, Mr ano Mrs.Barbour, Dr A. H. '"Bell, Dr Joseph ...Brechin Bros. ...Bruwn, Mi;;s A.Blyth, Miss... ...Colclough, Rev H. J.ChalmerH, Miss ..Cowan, G., Esq. .Clouston, Dr '1'. S ..Dewar, The MiRseR .lJickson, David, E~q.Edwards, H. C., Esq.Fraser, Dr ... ..Findlay, Mi;;;; H. .Fox, Dr C. II. .Fleming, Mrs A. SO'Fry, Dr Hargood .. ...GuLlJrie, Lord ... IGordon, TIle Misses 1Kirkpatrick, Miss... ~

Kerr, Miss P. M. .Lowdon, Mrs... 1Middlelll;l,ss, the MU:l;;e:-'l~yrs)lIliller, A. (T., Esq.... . .1\Iackenzie, Mi"l') 1Madie, Mrs J. ... .Mitchell,Sir Arthur,K.C.B. 1Mitchell, Dr n. B.... 1Orr, The Missel:l ... .

o .AlIen, H. J. .o 'Bewley, S. .6 t dewley. Franci::; ...6 Bewley, F. W.6 'Cosgrave, Dro ,Davis, Mrl-J ...6 Douglal-J, Sinton ...o Douglas, Johno Eustare, Miss A. H.6 Eustace, Dr H. M. .

Eustace, Mrs M. E .Eustace, Dr W. N ..Fry, Wm.... ...Goodbody, Mrs Richard ...Goodbody, Mrs Robt.Goodbody, Henry ...Goodbody, Hannah

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Junior Life Saving CorpsPett " Mi 'S ......

Parren, Mr A. '" '"Sholl, Mr R.... .Taylor, Mr C.... .Upton, Mis... '" '"Wood, Mrs M. ... .Winter, Mr 1.. '" ..\Vood, Mr F.... '"Wood, Mr A. .

o Hingslon, Dr C. A. ... ...o Hichardson, Miss II. ...o ~teIihen', 1\lrl:l ... '"o t:5tephens, J. Gilbert, Esq.o Veale, Mr':! C.... .(j Waterfall, Mrs W. .

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Hon. Secretary and 'l'rea':lurer: ARTHUR EW';OJII, "Brumana," Queenstown.

o New1:lom, Mr J. C.... ... I 0 0°INewsom,MrS.H.... ... I 0 0o Pike, Miss F. ... '" 1 0 0o E. S. P. ... '" 1 0o

CORK

Hon. Secretary and Treasurer: Mr A. J. WOOD,Bell, Miss ,.. ... 2 6Bishopp, Mi::;~ '" G GBowron, Mis,> t 0Baker, Mr J. 1 0Barritt, Mr P. ~ 6Cole, Mrs J. 1 0Daniel::;, Mr E. 1 0Davi on. Mr G. 6Headly, Mr') If. 4 0Hor naill, 1\11' 'F.... '" I 0HoI' naill, Mr H. M. 2 6John 'on, Mr W. ... I 6

Beale, Mr A .Corker, Mi;;':l .Clibborn, Mr B.Jacob, Mr A. W.Newl-Jom, Mr A.

DEVON AND CORNWALL

DARLINGTON AND DURHAM

Avery, Miss A. ... ..BacklJOuse, Arth ur, Eq ..Cash, Dr Midgley.. .Dea " Dr P. Maury... .Fox, G. H., Esq. '" ..Fox, Fn,dk. H., Esq. ..Fox, R. Heynolds, Esq. ...

Hon. Secretary and Trea:-:lllror: Mis;; BURTT, Sandal Lodge, Darllngloll.

Backhollse, W. A., El-Jq.... 6 0 0 Lingford, Joseph, Esq., J.P. 8 0BacklJ()us~, Mrl-J J. E. 2 0 0 Pea!:le, Mrs Guruey... 2 0HodgkJII, J. B., Esq. 1 0 0 Wchardson, W., Esq. I 0KltclJing, Mrs '" .. I 0 0 I

Butler, JOIBrading, }ChambersDixon, DrFox, Dr HFox, F. WFox, Dr F,Goldney,~

Midgley, '

Broll~

Lancaster, 1Lloyd, Wm.Manning, DMorton, Col,Madock" '1'1Moncrieff, 1\1Mackenzie,McGowan, 1Moncrieff, IMaxwell, DMarriott, MMoil', \Vm.,Morgan & c:Niebuhr,MiNewington,Nunn,HemNewingtonOrchard, HPenfold, MiPeckover, ]Pullar, SirPullar, J. FPumphreYIPaton,MislPlayer, MilPaynter, :MPeckover, .Penney, MPullein, MjPriestmanPaton,A.1Prie::;tmanReckitt, FJRussell, MReynolds,Readers ofReaders 01

Faith'Robinson,Row, MissSouthall, r

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42 Lebanon Hospital for the Insane SUbscriptions and Donations 43 i+---+--.+--t----t---t

£2 10 0

£3 15 0

HITCHIN AND HERTS

HOIl. Secretary alld Treasurer: Ml~S f)H ~~wELI,. 26 Victona Avenue.Dodshon, "Vm. (2 year::;)... 1 0 0 'l'hursfield, I')idney (:2 years) 5 0Field, Miss... " ... 5 0 HlIewell, Mitis "... 1 0 0

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~I Box ... ... ... ..~::

o Ellifi. Mi::;s Isabellao Ellis. Mis'> M ..o EIli'l, Mis:; C .o Ellis, Miss H ..

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Argles, Mr T. A. ...Armitage, Mr E. ...Anderson, Mr L. ...Braithwaite, Mrs Chas. L.Bolton, Mr John .Bryce, Mrs .Braithwaite, Mr Isaac .Cockill, Dr W. B.... ...Gilkes, Mr Gilbert ... ...Hamilton, Mrs J. C. ...Henderson, Mrs ... ...Harrison, Mr" J.... ..."Heathtleld" ... .JIIingworth, Mrs J. H. .Illingworth, Mrs and MissJack, Mrs ... ...J esper, Mrs... ...McCallum, Mrs .Millie, Mr Alexander .Moffet, Mrs... ... ...

KENDALHon. Secretary and Treasurer: Mr~ 'IV. B. COCKILr., Lindum Holme

ILKLEYHon. Secretary and Treasurer: Mrs EOMONDSON, \-Voodburn, Eaton Road

Bottomley, Mrs ... 1 0 0 Priestman, Mrs 10 0Dymond, Mrs '" 10 0 Richardson, Dr 2 6Edmondson, Mrs 5 0 Walker, Mrs H. G 0Horsnaill, Miss 2 6 Wilson, Mr J. E. ;) 0Jackson, Miss 5 0Penn{'y, Mrs... fj 0 .£3 11 0

LEEDSHon. Secretary and 'l'reasurer:

Mi:;s BItOADHJo;AD, The Gable~, Grove Lane, Headin~ley.BilbrOlll'h, Miss C. E. ... ] 0 0 Vickers, Mrs... 4 0Barker, Mrs W. .. 2 6 Whiting, J. E. 10 0Harvey, Wm. ~ 2 0 Whiting,Miss 10 0Hield, Mrs ... '" J0 0 Whiting, Wm. 5 0Moorhouse, The Misses 5 0 ----

£4 18 6

Burgess, Thfl Mi:;fiesBurgess, Miss .Ellis, Mrs James .Ellis, Mrs G. H. .Ellis, Mrs J. H. ...Ellis, Miss Jane

(In Memory of)

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GLASGOWHon. Secretaries and Treasurers: Dr D. Y}:r.LOWLEBS, 6 Albllrt Gate, and

Dr JAMBS PAHKFR," Clovelly," Kilmacolm.;) 0 0 Robertson, Miss 1 1 01 0 0 Ramsay, Dr and Mrs M. 1 1 02 ~ 0 Robson, Miss M. F. !) 01 0 0 Roxburgh, Mrs H. A. 1 1 0

[) 0 Smith, Professor G. Adam 10 01 I 0 Stephen, JolJll, Esq. ... [) 0 0] 0 0 Wordie, John, Esq. 2 ~ 02 2 0 Yellowlees, Rev J. 1 I 02 0 0 Yellowlees, DrD. ... 5 0 0

10 0 Per Dr Jal1Je~ Parker:-GOO Anonymou ... 2 0 0

2 6 Birkmyre, Jno. 1 0 01 0 0 Barr, James ... 1 0 0

10 6 Coats, Archibald... ... 10 0 01 0 0 Coats, Peter ... 10 0 0a 0 0 Coats, Mrs George 2 0 02 0 0 Coates, Sir James 10 0 02 2 0 Couper, John G.... 2 0 01 0 0 Illingworth, Mrs... a 0 03 0 0 Parker, Mrs E. B. () 0 01 1 0 Parker, Dr. James I 1 0] ] 0 ----_1 0 0 £101 l!J 0

" A Friend".. ..Alston, J. Carfrae, ES1l ....Berry, Mr and Mrs ...Blyth, Robert, Esq.Crombie, Mrs ...Gairdner, Rev W. T.Gourlay, Dr RobertGow, Leonard, Esq.Harvie, The Misses .Hannay, Mrs... ... .K 1', William, Esq.... ...Keddie, Miss ... .Marwick, Lady .Marwick, Miss W.... .Mackenzie, Mrs A. .Mooro, Alex, Esq. ...Maclaren, Dr J. D.... .Oswald, Dr... .Pettigrew, Mrs .Russell, Joseph, Esq. .Heid, Dr W. L. .Renton, Dr... .Roxburgh, Johu A., Esq .

Hon. Secretary and 'l'rea:;urer: Mi:;s f:)lI':PPAHD, Bank House, SLevenage, HertsHolroyd, Miss F....... 5 0 Uall:;om. Misfi Jane '" 1 0 0Harris, H. Lyn (Box)... 8 0 Wal'ller, Mr:; I). (In MemoryPeach, Miss... J() (; of') per n. L. W. ... '" :.!Ran:;om Alfred J 0 0 Warner, Mi:;:; Mary... 1Ransom: Wm. 3 :~ 0 Whiting, Joshua... ...Han:;om, Francis... 1 1 0

GLOUCESTER AND CHELTENHAMHon. Secretary and 'l'rea:;urer :

MAX BELLOWS, Wheatridge, Upton St. Leonards, nr. Glouce::;ler.Blalld, The Misses... . . :l 0 I Fowler, Edward 10 0Bool'lle,James 10 0 Soutar,Dr ... 1 1 0Bellow:;,Mrs... G 0 Waring,Miss ... 1 1 0Duncan, Miss... G 0 I _

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42 44 Lebanon Hospital for the InsaneSubscriptions and Donations 45

£1 5 0

STIRLINGHon. Secretary and Treasurer: DANU;L FERGUSON, The Bank.

A Friellct (H.K.) ... '" 1 0 0Fergu'oJon, Daniel... 5 0

READINGHon. Secretary and Treasurer: MISS STEVENS, "Greenlands."

Sutton, Martin J., E 'q. 1 1 0 St.ansfield, U. E., Esq. ... 10 0Sutton, A. W., Eflq. 1 1 0 Womersley, Miss...... G 0Sutton, L. G., Esq. ... 1 1 0 _Steven:;, S. B., Esq. J I 0 £4 ) 9 0

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o Jefferey, Mrs .o Muir, The Misses .6 Mason, Mi"s A. .o Smith, Mn; .6 Smith, The Misses .o

01 Pumphrtly, Miss (Malton)o Rowntree. Mrs J. ~. ,..

Rowlltree, Miss ... . .o Rowntretl, Miss E. M. ...o H.owntree, Joseph ... r;o ltowntree, Arnold S. ~

o ltowntree, Jas. Hy.oI (Scarborough) l 0 0o Howntree, B. Seebohm 10 0o H.owntree, J. Wat:;ollo (Scarboruugh)o H,owntrtle,Mrs J. Willlellllo (Scarborough)... 2 0 0o Rowntree, Theodor H. 10 06 Wchardson, Mrs Henry... -! '* 001 Shann, Dr H. C. ) 0 66 "M. C. S." 3 0o Thorp, Fielden 10 ()o Thompson, Richard 5 0o Tennant, Henry... 2 2 06 WOOdfl, Mrs (Dawlisll) I ) 06 Waller, \V. J. 2 6ol"E. V. W."... ..._1_~~

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Agar, Alderman ...Barstow, The MissesBrightwen, Mrs

(Scarborough) ...Burtt, Miss ... ...Cudworth, W. J. .., 5Dimsdale, Miss ... 2Gayner, Mrs ... ...Hurtley, Mrs... lHill, J. R. ... 2Hopkins, Miss (~carborol1gh) 5Hamilton, Miss 1 0Kitching, Miss J 0Kitching, J. N. 10Kemp, Dr Norah 7Morrell, Mrs ... I 1Mackenzie, Dr H. J. 10Melrose, James I )Macdonald, Dr P. .., J0Meyer, Alderman S. W.... 2 2Naish, Mr and Mr., ] 0Peters, Mrs ... 2Pierce, Dr Bedford ...::1 ~

Procter, J. W. ... 1 1 1

WESTON -SUPER-MARE

Hon. Secretary and Treasurer: Dr B~;JWORD PrERcE, The Retreat, York

£5 0 0

YORK AND SCARBOROUGH

Brown, Mr C.... .Baedeker, Mrs .Brown, Miss E. M. .Eddington, Mrs and Miss .Fawcett, Mrs... .Gayer,Mrs... ...

N B -We have also to thank the York Friend~'Sewing Meet.ing.f0r a parcel., of pillow cases, dressing jackets and nurses' aprons received for the

Hospital.

Hon. Secretary and Treasurer: Mrs FRANKLIN, Clarence Schoo!.

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NEWCASTLE-ON- TYNEHon. Secretaries and Treasurers: Mrs H. PEASE, "Pendower"; and

LAWRENCE RICHARDHON. "Stoneham," Beechgrove RoadBrackenbury, Mrs ...Browne,Sir BenjaminCruddas, Miss ...Edmundson, John W.Fox, Mrs R. W. ...Hodgkin, Mrs ...Hodgkin, Mi s '"Lowrie, Mi::>s ...Merz, Mr:; ...

WINDERMERE

SUNDERLANDHon. Secretary and Trea!oJurer: Mr!oJ HARRIS, West Hendon House.

Backhouse, T. W., Esq.... 1 10 0 Muunsey, Mrs ... 10 0Crozier, Mrs... ~ 6 Mounsey, Mrs W. A. 2 6Davidson, J., Esq. fi 0 Middlema!:!s, Dr I 1 0GriI\l:;haw,Mif-ls fi 0 PumphreY,Mrs 10 0Harm:;, Pastor 5 0 Hichard:;oJl, Mr':! 5 0Harms, Mi E. 2 6 _

£-! 18 6

HOIl. Seer tary and Treasurer: Mrs CHAPMAN, Helmwolld.Ainsworth, Mrs ...... :2 6 Hensley, Miss ...Balme-Jones. F. E.1'., ES4. :2 2 (J Heywood, Mf!:! ...Buckton, Mrs... ...... :2 Ii II II (bllx) .

II II (box)...... 5 0 Jones, Mrs... .Crewdson, Mrs ...... 5 0 Marston, Miss ...Chapman, Mrs D....... 5 0 Sladen, A. R., E::;q. .Chapman, Capt 2 6 tHaden, J. M., Esq. '" .Coli inson, l\Iiss 2 6 ~omervell, Miss ...Duncan, Mrs 2 R Webb, Miss... .Dobson, Mrs 2 6 Wilson, Mrs .Groves, Mrs ......) 1 0Hamilton, Mrs '" ... 10 0

II A FrilAl ton,Berry, IBlyth, ICrombi,Gairdl1EGourla)Gow, L,HarVie,Hanna)Ker, WKeddie,MarwicMarwicMackenMooro, .MaclareOswald,PettignRussell,Rein, DIR ntoll,Roxbuq

Hon. SecHolroydHarris, ]Peach,1\Ransom,Hansom.Ransom,

MBJalld,1Boorne,BellowsDuncan,

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Lebanon Hospital for the InsaneGeneral Income and Expenditure Account, for the year ending 31st March, 1909

£ s d

... 890 5 5'" 260 10 6... 80 18 5... 43 3 6... 47 14 2

----

" To Amount transferred from Building Accountsto replace amount taken from GeneralAccount last year... ... ... ...

" Payments from Friends of Patients ..." Proceeds of Sale of Produce not

consumed at Hospital... ... 15 1 0Less cost of Cultivation... 2 14 7

£, s d EXPENDITURE £, s d £, s d

By Beyrout Expenses :-Salaries ... ... ... ... . .. 8.55 15 3Household and Hospital Expenses... St, H IFurniture, Renewals and ReJiairs ... 3-5 19 3Repairs and Upkeep of Buil ings ... 7814 4New Furni ture ... ... ... ... 25 4 0

1,3~ 12 0 Travelling and Transport ... ... 3-5 2 41,918 3 9

" London Expenses :-Salaries and Travelling Expenses .. 175 9 8Printing and Advertising ... ... 5-5 10 :;

Hi! 6 0 Postages and Sundry Expenses ... 49 12 :~

Furniture for Office ... ... ... 911 3290 3 I

38 2 21.33! 6 I

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INCOMETo Subscriptions and Donations:-

British Isles... ... ...U.S.A. General Fund .Holland... .Beyrout... .Switzerland... .

" Invested Property:-Dividends and Interest (London)Interest on Deposit Account ...Income Tax returned ... ...Dividends and Interest (U.S.A.)

124 13 84 18 1643

23 10 0

12 6 5

£2,868 13 2

" Balance carried to Balance Sheet 600 5 10

£2,868 13 2

~"1~$I)enc:"1~"1en

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I have examined the foregoing Accounts with the Books and Vouchers and with the Certified Returns from Beyrout, andtind the same to be correct and in accordance therewith. The Debtors and Creditors at Beyro\lt have not been embodied in theAccounts, as the particulars have not yet been received. The title deeds of the property have not heen inspected, as they aredeposited at Beyrout. Any funds that may be in the hands of the Foreign Committees are not included in the foregoing Accounts.

10 Old Jewry Chambers, E.C. OSCAR DARTON, AUDITORMay, 1909 Chartered Accountant

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Viz.-Donors of £25 or more in anyone year.

Lebanon Hospital for the Insane

List of Past and Present Life Members

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(The Form above is not itself for signature, Lut indicates the words which

should he inserted in any Will or Codicil hy friends desiring 10 benefit

the work.)

FORM OF BEQUEST

Lebanon Hospitalfor the Insane

I give and bequeath unto the Treasurer for the

time being of The Lebanon Hospital for the Insane,

London Office: 3S Queen Victoria Street, London,

E. c., the sum of ------ ------ ----- .. ------ ..

Pounds sterling " to be paid with all convenient

speed after my decease, free of Legacy Duty; and

I declare the Receipt of such Treaslt1'er for the time

being of the said Hospital shall be a sufficient dis­

charge for the said Legacy, and effectually exonerate

1ny Executor or Trustee from seeing to the applica­

tion thereof,

LONDON OFFICI£, 35 QUREN VICTORIA STREET, LONDON, E.C.

£100100100600100175

11

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LondonBirminghamLondonBrightonEdinburghGlasgowDublinBelfastNewcastlePhiladelphiaBirminghamGlasgowNew England, U.S.A.LondonBirminghamLondonEdinburghChapel-in-le·FrithPaisleyCardiffLeicesterDublinBeyroutEttingtonLeedsGlasgow

11

Newcastle\VincantonBirminghamGlasgowPhiladelphia

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New York

List of LegaciesMi:;s Mary Ellis ... __ . .Miss McCrae __ ___ _ __ __ __ __ .. __Miss Fleming . _ __ __ __ __ __Per Baron van Heemstra, Hol'Jand _Mrs Williams __ . __ . _"'"Miss Blyth __ __

1902 -- ----1903 ----. -1904 ------1905 ----_.1907 . -. ---

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------

The late Sir Richard Tangye '"" 11 Arthur Albright .11 11 Mrs Grimke ... .11 "J. Gurney Barclay ." 11 Miss McCrea ... ..." "James S. Napier '"" " Dr John Eustace .11 " Forster Green ." 11 Tohn \V. Pea e ." ,,'Thomas Scattergood ." 11 Richard Cadbury ." to Lord Overtoun .or Miss Anna Hazard .

The Right Hon. john E. Ellis, P.c., ~i:P.\Villiam Arthur lbright '" .A Friend, per WIll. C. Allen... .

" 11 Dr T. S. Clouston\\T. H. G. Bag hawe, J.P. .Peter Coats, .J.P. '" .JOhn Cory, J.P. .Mrs G. H. Ellis... ..1\lrs john Eu tace... .. ..;\liss 1\1. Feltham ... .. ...\\Tm. Bevington Gibbins .\\'m. Harvey... .Da \lid McCowan ..Alexand r Moor ...Mrs]. \;Y. Pease '"c. J. Shaw... ..George Tangye, j.P. .David Yellowlee', 1.D., LL.D.Mrs fary R. Bawn .. . .. .\Villiam P. Hen zey ... . ..1\lrs E. trawbridg Brophy .Justus C. Strawbridge .Mary Huston Haines ...1\lrs S. \\T. Collins... .l\1iss ,;\1. \Villits ...

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