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Thirtieth epor1929-1930

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I 1 11

GENERAL SECRETARY:

Offi MISS HILDA FOXce :-139. MARYLK80NK ROo\D LONDO W •• • •• .1. (Telephone: PADDINOTON, 2943.

THIRTIETH

ANNUAL REPORT

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F. Hot·HA. 'I, Esq.

)1'• I DORI' O()L M, U.I'.~1.

Lady con !\IO,'CRIUF

CIIARI.F:S; E. !\Ion, E~q.·B~.IlFOIW Pn.I{CE. M.Il., F. H.'I .P..' rs. H•• -. 1<0111. 'SOX.

R PF I{CY SmTII, .1.1>., F. HoC.P,

J. R WIIIT\VHI., M /l.

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ASFURIYEH, near BEIROT,SYRIA.

(Founded by T. Waldllleie" 189 )

FOR MENTAL DISEASES

PRESENTED AT THE ANNUAL MEETINGMAY 21, 1929. •

Hall. Tr(a lIyas '-JOSEPH B 'A"ditoys:-\\'OOIlMA" cox·~' \\' . UIU.I{ and OSCAI{ /)AI{IOS.

". • ". II.I-;,·S !l B' .Hallkeys:-LI.OYDS BASK I' "., 2, :ISlIlghall treet. London, E C. 2.

. .1 D., 3:>. Oucl:n ~ Ictoria Street 1 U ld I, • I on. ~.c. 4,

GENERAL COMMITTEE:

(LO.·DON)

CltmYlllall '-E \\' ( ~. • .•.• hsn.I{\IA", )I.D" ".H,C

JOSUH BUTLER, Esq.

JAMES CHAMBERS, M.D.

OSCAR DARTON, E q_

Sir \VnwHAM DKEm:s, C,:\I.G., [) O.

}o'. H. EnwARDS. !\I,D., M,R.C.P.

R. FORTESC E Fox, !\I.D.. F.I{.C.P.

J. TYLOR Fox, M.D., D.I'.)1.

Pastor HOFnIA,'s·D~;-V'S~IE.B.A., B D.

LEBAl~

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COP Ol~ LETTER 11RO:\I DR. JOHI \V R .. TOCK,

DIRECTOR 01' BBASSiYA HOSPITAL FOR THE I 'SA 'E, CAIRO,

FROM 1 895 TO 192 3, A 'D OF THE L •'ACY DIVISIO.' 01" THE

MINISTRY 01' THE INTERIOR, EGYPT, 19 14-2 3."I have just read thc nnual Report of thc Lebanon Hospital

for Mental Diseases, and though ircumstances do not permitmy attending your nnual :\Ieeting, I venture to send my con­gratulations on the noble work which your Committee andofficers arc so successfully carrymg out under considerable

difficultics."Pcrhaps you will allow one who has spent most of his lifein similar \\ ork in an adjoining country in the Tear East, viz.Egypt, to make a f 'w remarks on the Report .• TO onc canappreciate b tter than I do what i' implied by an admission­rate that amounts to more than 100 per cent. of the number ofbeds. I had a similar proportion to deal with in Egypt, and withthe sam' result; "IZ. that it '" as impossible to retain manyreco crable p;ttients long cnou"h to enable them to makc aomplet' recovery, and they'" ere discharged merely 'improved,'

or even 'not impnn cd.'"After many years' striving, the accommodation for the insane

111 hgypt was gradually raised from 440 beds in 1895 to 1,840

beds in 192 3, with 1,073 admissions annually."It is indeed urgent to e.'tend the accommodation at Asfuriyeh,

so that the allcviation of the worst symptoms now noted in somany cases in the H.eport may in future be only a stage towardscomplete re overy upon disc harge, in a far larger percentage of

ases than is possible at present. I know from bittcr experiencehow disheartening it is for the Director to see cases prematurelydischarged, and perhaps therehy condemned to chronic lunacy,whi h, if only suffi ient room e. 'isted, might be treated untilcomplete recover '. All my sympathies, therefore, arc with Dr.

Watson Smith in his uphill '" orl"." Iso, quite apart from the question of effecting recoveries,

adequate accommoclation IS necessary for the housing of the1I1san 111 the half-civilized .rTear J'..ast; as, owing to ignoranceand indifference, the insane there have to endure grcat sufferings.I-or e.'ample, I ha" e met hundreds of ases cruelly treated byquad" remedies, su h as cauterization with hot irons and con­seC)uent ul crations. The enlightened methods at your Hospital" ill gradually spread the l-nowlcdgc that the 1I1sanc can and

should be treated'" ith 1 indnes ." mong all the numerous charities that appeal to the bene-

olent, there can be fe\\ \\ ith such stron,r claims to support asyour IIo pital, and I tru t that means to e.-tend its ac onunoda­tion will soon be forthcoming, and that you will have a successful

meeting."

16th .May, 192 9.

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"COMMITTEE IN BEIRUT.

EXECUTIVE

T

29 YE R,OF WORK

REPORT OF THE GE ERAL COMMITTEEFor the Year ending March 31, 1929.

In \ugust 192<) the Hospital will hav ompl,ted29 r ars of worl-, and in prcsl'lltin<1 this 30 threport w 1001' hat 1- upon a y ar of ullobtrusi\'el \" lopment at .\<ifuriych, \\ith the promise of

onsiderabl aehan es b fore us. Th' numb'r of patientsund r are has mer as d, and would h,l\e risen hi"h r hut forth lack of beels.

R ports of eye-witness s this y ar all t tif)' to th admila1>lccondItion of houses anel stat. to th orcl r and I anlinrss ofeverything, the b auty of the site anel the good ar allel kindll ssb stowed upon th patients.1h latt r ar not "c rtificd," andthere is nothing to pr vent their 1 aving if th ' wish. '1 he fat tthat they do not do so-in spite of th ahsence f walls andgates-is the best tribute po ibl to th ir appreciation of \\ hatis being done for them.

The causes of many of these mental dis as s are obscure, sothat no cure for them is at pr'sent known. Such pati '\lts canonly be given h althy anel soothing onelitio\ls of lif , withinelividual kinelness and consideration. Other types can bcured and are ureel. Th se are th ases for whi h w so nrg ntl •want more accommodation. At pres nt th I>ir> tor is drivcnto a cept first in order of urg ncy thos in ura hI and d g n rat'ases whi h annat safely he left in their homes or on th str' Its,

rather than the early anel urahl cases whi h r spond best totreatment. From the sci ntific and pr v ntiv standpoint thisis deplorable, though from the humanitarian point of view it isthe only po sible ourse.

This year we ask for immediate help in providing room forearly cases.

In pril 1928 Prof ssor I3a on of the \mcrit (IllBEIR'T rniYersity of Beirllt was lectecl Treasur randCOMMITTE e r tary, in succ s IOn to Mr. locld r. Dr.

Adams was re- Ie ted hairman, but unfortun-ately in July hi'> long connection \\ith th Hospital \\assev red hy leath. \Ve \\ish h re to put upon r cord our appr '_ciation of all that Dr. Adams did for t.he Hospital. '1 he com­mittee meetings \\ ere for the last f w years h old at hi' houseand his inter st anel sympathy la ted to the end.

Since October we have had the plea ure f Dr. \\' -b ter'ss nices as hairman, and since January last of Dr. L onardMoore's pr sence as a new member of ommitt e. Th latter isthe son of the late Dr. I'ranklm Moore, whose work for theHospital IS well known.

HIVRY GLOCI{LER.

;\SAD l{IIEJRALLAH, EA.

LT..OS\HD t.IOOHI" MD.

D\SIEI. OLIVER.

ESPER SHOUCAIR EFF\;:\DI.

BERTHOLD STEIGER.

The Lebanon Hospital

d n the slop s ofr s of Bgr?U?t ~n the Damascusfrom lru,

1'1 of A. A. BACON (floll

TI (1l~/1IeI).\V, D. 'I(r(J{SIIAlI:l" I D

11. G. DonlAlI:, B,A., MD.

Re\'. C. A. WI,IlSTEH, 1\I.A. I.D Iillllrmoll \Sec. a11d

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Th I la, pital stands in 3(~ a1 unt. L 1 anon, about () mIl

Road. 8 8Land bought, r., t' (r 5) ugu t, 1900.

P n d for pat! n s .: .' .}) nt. numb r of B <is. 159· W n AdmInIstratIOnr s f M n for am . . .Buildings: 2 l,lous or ntr~l Kit.ch n, Laundry, R C~l\:1D~

Blo k and 1 rk s H?us, ctur Hall (a1'0 u d for r llglO~sPavilion, Laboraton '~'1 d Pumping and Pow r Hou c .s Ivic s), Workshop an 1 ,

MEDICAL DIRECTOR:MITH, O.B.E., LD., CH.B.

PHOF. H. W TSO

Clrrk ami Sll'1l'ortf :-D. EWART LOWRIE.Md,OIl: 1\liss 1,\1'1' GIR,B" M lfilll' Miss RUTH GERWER.

ASSIS 1lI! 0 ,'f! . 11lt'11 14 \\'Oll1tn.S)'I11111 flIIISIIIl! Sill . 17 ,

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The Lebanon HospitalReport of the General Committee .- -

LO OFS p.PORTER

WATERS PPLY

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a 5:'011:: ~tor'~Y to til: Stra\\uridg' Iclllllrj.d Trous' (built in1~ )) ..llas WIll l.>ro\'~d' accommOd.ltlO11 lor al10ther IIftccl1pat! nis (",om (11); It \\ III tree th ' da\' room \, Ill' I' I" 1 ._ d .. . 1 S n w )lll1g~s. a.- a dOfl1lltory, ~lve rooms for th .\ si tal1t '\I.ltron, who i.h\tlllg.m om what n 1 y quarters, and pr vid qUl't ward \\ h 'f

th mght nur e an rest. Th b n fit all round \\ ill b v 'r.\'great.

Th Director sp ak Is \, h r of th n. t m 5t urg 'nt .·t n­~ion, na~ely, sing! room for a ut as S (\\om 'n). l'unds rai c(1111. m nca for tlu purpo " in r '. pons' to the appeal la t vcar\\ Ith on or two u~stantial gifts from l~ngland, pro\'id .(bout-{;r8o ~f th sum r qUIr d (£ 00), but th r' -t r 'mains to b rai ul.. tl us~ th~t th n eds f these poor \\ omen, now hous d tog 'thcr111 dormlton~s,. may touch th h 'arts of som ' g 'nnous fri 'nds, sothat the thlrtl~th y ar of the Hospital ma Yse them in tIll'comfort and prl\~acy of lllgi room. E\' ryon agre s that quiltand absenc~ of dl turbanc s is on ' of th first conditions of prop~r

~r atment 111 such cases. lany patients ma;. pr 'fer dormitorils( .nd company, but other ought to be alone, \\ ' have hardly al1\'smgle rooms on the worn n's sid . .

'vVe ar ?aving to poss s our souls in pat.i 'n 'untilthe. engmeer r turn to I 'irut from th I {auran,\\ luch h has promis 'd to do this summ 'f. But those

.on the spot ha\ e little doubt that he \\ ill r 'ach ampl 'wate.r supph s when he. r com~en drilling at Asfuriy 'h, sin (all Ius otl~er bore-holes 111 the dIstrict hav had th ' d ir d r 'sui t.Our farmmg and horticultural sch mes ,re held up until the bigwater supply c,om . ' but th yare not forgotten.SPECIAL \\.e WIsh to re ord v Ith much appreciati n that our~~RVICES Dir ct~r has now complet d 20, and the :i\Iatron 17,ASF RIYEH years 111 the sen i e of th Lebanon lIosI ita!. 1n

the case of the Direct.or the penod has b en un­bro~.,;cn, wh r as Mis Gibb was nursing m E"ypt for a tim>dUring th \Var.

Two o.the~s who ha\~e mad, a notable ontribution may al 0

be 1:1cnbon d, Irs. \\ atson mlth, whos' kindly influ 'ne' anelse,rvl. 's are .eldom heard of l>ut non' the I 'ss \ alual>1 " and Mr.(:'ll>nel, Synan pa5~or of the meri an :\Ilssion hur h, Beirllt,\\l.lO for IS years, \\lthout r \\ard or pUlis " has tra\elled the si.'nll~es. to tho Ho ~it.al each Sunday and conduct'd t.he simp! .

raInc s rVIce whIch most. of t.he patients, of whate 'r r ·Ii"ionattend r gularly, t> ,

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n n 'w m mber was add d at the last AnnualGENERAL M ting, nam ly, Dr. oris dlum, ~vhO brings manyCOMMITTEE qualifIcations to the" ork. n gomg to press we

r gr 1. t learn of the death of Dr. . T. SCh?fi l~,a m mb r of th ommiUee, who did much for the HospItal m

its arly days.TIl mmitt e's close touch with B irut has been further

str 'ngth n d this y ar by the pr sence of Mr. Glocld r at the

m tll1g in ovemb r.Death has taken a heavy toll this year of our sup-port r , as it did last year. Some of these began tosubscribe thirty-one years ago, when the estate wasfirst b ught, and have given liberally ever since. Two

gav' £25 a y ar. ho will take the places of all these ~ind fri~nds,\\hos'subscription we thus lose? We acknowledge wIth gratitudeth ir gen rouS sympathy and support in the past: Mi s Annan,E. \ right Brook, Mi s Emma adbury, F. C. Clayton, W. H.C at·, Sir Johnowan (late Chairman of the Edinburgh Com­mitt e), J. . rosfi ld, B. Cowasjee, Francis Godlee, the Rev.I- ull r Gooch (whom we shall miss at the Annual Meetings), Mrs.Lucy Gr ne, Th owag r ountess of Grafton, Captain R. C.Gr gg, Miss fary Haines (a member of the Philadelphia Com­mitt ), I ra I Hartl y, rs. Rachel King, T. R. Kitching, James

Ielrose, Madam arb I (a member of the Lausanne Committee),'. II. ewsom, Mrs. J. W. Pease, Joshua Pim, Mrs. Pulleyn, Miss1 c 'p, Miss Ritchi , and Dr. Schofield.

n th oth r hand we have to report a year withGR TS xc ptional receipts in the way of legacies-surelyANDLEGACIES pro id ntial gifts m response to great need. \Ve

\ elcome th m with thankfulness.In pril an an nymous lady of Dutch descent left 8,000 gulden

(£ 0) for th work of the Hospital; in May Miss M. A. Neale(tor long y ars in th service of the family of Miss Gooch, our lastS' r'tary) 1 ft £1 0; m eptemb r, 1rs. P ase £100; and finally11l January 1929 came the news of a large legacy from Mrs. LucyGr 'en, v hose lat husband built the English House in 1912 .

Th ommission f r th Asses m nt of Vvar Damages in Turkeyalso un xpectedly paid £447 for damages claimed in 1920.

Th s gif and grants, so timely and welcome,nabl cl th 'ommitt e in ptemb r last to vote a

8 ILDING sum f £1,000 towards th most urgent building,-t nsions at the Hospital. Hewing of stone and

preliminary 111a omy and carp ntry b gan at once, and theDirector and his staff of \\orkmen are now in process of adding

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6 The Lebanon Hospital Report of the General Committee 7

LOCALTREA ­

RER

howilll-: (frolll L. to R ) AJII('ricall, Philad, ll'hiu, alldIIollalld Hou { •

I IT TOSYRIA

E. \\T. G. 1\1.\ TER:\I.A -, C/wimwil.HILDA I- ~ T, Secretary.

be follo\\ 'cl. .\1' ther no oth l' ongr 'gation \\ ho woulll c reto enel 011' tions towards thi' \\ orl- of healin cy , nd l' 'lid?

The ecr tary hael th' gr 'at privIlege of b'ing ntto \lSlt the Ho pital in ;\larch, S tha.t h mightactually see it and familia.rize her if with it rgan-iza.tion and work. Dr.l<ortes u 1'0.' (an. hairm<\n)

was able to take a holielay there at th ' sa me time, anel illl' 'carDarton paid a hort \ ilt in April. The !-inel \\ e!come and h :spi­tality of Dr. and 1\Irs \Yatson 'n11th made this an unforg 'Hablevisit. Dr. and Ii s Fox also h, c1 the pI 'a ure of s 'eing th 'founel 'r's\\idow ( Irs. Th ophilus \\"alclm 'i '1') in the new and hanninglittle house at Brummana, \\ hich som' fri 'nds have lat 'ly 1> 'enso kind as t rent for her. Aft'r leaving yria the' tool- theopportunity of making orne il1ve tigation into th qu'stion ofthe preval nce f m 'ntal diseas's in Pal stine and E 'ypt, amImuch valuabl informati n was obtained.

The general impres ion btained \\ as that a larg , tasl-lay ahead. .111 yna.

For the continuation of the pre cnt \vorl- and th ' a complbh­ment of this task we beg the help and thoughts of all who hear orread th se words, r membering that "Inasmuch as 'e do it untoone of the least of these illy brethren, ye do it unto l\Ie."

11 behalf of the General olllmittee,

Th contribution from th land of the FounderAXILlARY (SWI1ZERLA. D) is incr a d from £55 to £80 this~~~TEES y ar, thanks to th I' doubl d efforts of ou: thre

'wiss ommitt s. o-op ration with th m IS closeand cordial, and th fact that th 'si tant btron is Swiss hasar us dan w on rn for th H spital and interest in it. \Veund rstand that at Zurich a ommitt e is now being formed, withMiss 13 rta n Orelli as Hon. S cretary, and we wish h I' and itall succ ss.

HOLLAND, to , has s nt an acceptable contribution, whichin lucles a ollection, for which w hav to thank Dr. Thomsonand his ongr gation.

MhRlCA has ontributed £93 I4s. gd. to the Building Fund­a w '10m gift. n olel m ncan fri nd has also left a 1 gacy. toth Hospital, ",hich will probably go to the same fund, and whIch\\ ar d light d to hear of.

\ > hay hard lately with particular pI asure of the possibilityof h Ip fr m l'W ZEALA 'D. \\' wi hall uccess to the group nowbeing form d and to th ir plans.

In England it is a pI asure to record a new LocalTr asur l' at \\' ston-super-Mare, in Miss MaryPumphrey, who began work in December. In York Dr.

Il Tacleod has succeed d Dr. Yellowlees, who hastak n up medical work in London. Mr. J. A. W. Stone, Chief Clerkof th Sottish 13 ard of ontrol, was appointed Hon. Treasurerin Eelinburgh last ptemb 1', in succ ssion to the late Major Huie,anel has already don some n rg tic work for the Hospital.

To all of th se, and to the others who have done so muchaclmimbl w rk for th Hospital in collecting funds, we offer ourgmt 'ful thanks, not fOlg tting thos who have no money to offer,but hav gi n th 'ir sympathy and thoughts. It has been a diffi-nIt . ar for haritable 'work abroad, owing to the distress in the

I~nglish oalmining and other indu tri , and no doubt thisa. count for the drop in our total of subscriptions and donations.\\e h P', ho\\ " 1', that n xt y ar there will be mis d subscrip­tions and many n \v Local Treasur rs.

I' at appreciation is felt of the sums raised byCOL- 011 ctions, through journals, churches and otherLE TIONS bodies. ome of the e, like those sent by the readers

of th Life of Faith and Christian and the chapel of1. Luk th Physician at ambef\\ell House, have long done the

Ho pita.l this signal nice. Gth rs ar new, and we tru t th Y willcontinue their interest and support, and that their good lead will

I

(1) \ think w ha.\ th conftd 'n 'of this onntr:} <lIH1 ofit rul r , and this ha~ b' 'n proved in many wa} \\ henTurk y cam into th war, our IIlcer \\er' pri mer f \\ aI',but the authoriti's 1,t th'm . Ll\ in th' 110 pital and a ]. 'dthem t go on with th ir work . ow und'r happi I' u pic'sth I'r nch ov rnment mak sp-'cltll arran T 'm 'nts th< t thpoor who annot pay hall not b' '. 'dud 'd Jrom th' b '11 'litw have to offer.

(5) \\ ar crowded with patient:. T tL th word of thDir tor: "\Y ar \' ry seriou 11' ov rcrowd 'd."

((») \V have be ome not onh a entr of healing and tr 'atm nt, but a centr of t aching. .l. TO medi al pra ,ti ,is unworthof b'ing taught; no good practi ' sh uld fail to b> taught.So our Director ha' b 'n sel t '(1 to t 'a h til theorv andpractice of healing m 'nta1 di.· a' 's to th' students ~f thAmerican Tniv 'rsity at 13 'inlt.

La':>tly, I think w may b allow'd to on rrat ulat' ur:l'1vl'son a seventh point in our r cord; that .\ ·furiy ·h is a payinghospital. Although a heavy charg' falls on London for 'apitalexp 'nses for buildings and improv 'm 'nt " anel also for alaril'sand pension, th actual running xp 'nses ar' almo t, if notquite, m t by payment from th local authoriti' and fromprivate pati nt . That i a happ r • tat' of thing, for wIti hmany other voluntary ho pital might well 'nv u '.

'ome who are here, Iik our lat' hairman, Dr. P 're r

Smith, and our enior Honorary Trea. ur 'r, :\Ir. JosephButl r who hav' b en a ociat'd with tIl' \\orh. from till.,b ginning, will agr with me in . ayin cr that th rc is p 'rh;~p

no public work with which we haY b 'en onne t '<1 Willdlcan give u at thi time such unalloy'd sati. facti n as thi110 pita!.

Anel now what f th futur ? Thirty y'ars is a 'fy ~mall

period in the history of a peopl . \\' ar' w'll advi." 'cl to turnour minds to. uitabl provi ion for th future. a in th re 'Iltvi it paid bv th 'ecr tary and m) elf to ") ria W' mael >. om '

nc1 'avour to a c rtain th ne el anel Ir umstan 'S of tho 'who suffer from m ntal di eas . in th' .I. T ar l:.ast, omparingone ountry with anoth r as we w 'nt on from yr ia to Palestineanel Egypt. \\' r c'ived th gr 'at st help from th' publihealth authoritie and fri nd' in all thr countri , and hav'pI' par d a tat'mcnt of fact which we hope rna b' 01a' i. tance to the London committ e in framing its policy forfuture y ars.

<)Annual Meeting, 1929.

O T th motion of Dr. Masterman, the hair was takenby Dr. Fortescue Fox, who aid: Ther is thi excusefor my taking th place of Dr. Ma t rman to-~a.y, that I

r turn d fr m yria a hort time ago, aft r a VISIt to thelIo pital, m rc impr sed thaJ?- V r with. the magnitude andimportanc of the tru t commltt d to u~ 1Il ~hat country..

P rhap ,at thi thirti th nnual 1eetmg, It may be f~r~"lve.n

u to indulg in a f w moment of retrosp c1. Our pos~tlOn ~s

om what int r sting, wh n on con id r that Asfunyeh ISon of that gr at multitud of institution known as voluntaryhospitals. It is a charac.ter~st.ic of 0.u~ ~n~lish race. to .s~t upth s in titutions by mdlvldual mltratrve and mdlvlduald votion. Lik ev ry good work initiated in that spirit, itr quir a continuance of the am pirit for its maint~nance

and pr servation. t one time we had on our CommIttee agood fri nd, ir John Goldn y, who us d to chaff us and say:"See you don't giv anybody a gift that eats." I don'tthink the gift of our ho 'pital to yria could be described as awhit '1 phant of that kind. It i rather a gift that feeds.

. ' 'ral pint tand forth in the record of thirty years.(r) Th> work ha be 'n achi ved by a group of voluntary com­mitt es, having th -ir c ntre in the General Committee inLondon. 1 h y haY charged th mselves with the responsibilityof framing policy and providing capital: they have boughtlanel an 1 built hou ,have furnished them, equipp d andstaff - 1 th m; 0 that at the nd of thirty years we have in. ria a small but ompl t modern unit for th treatment of

1ll 'ntal aff ctions, whi h is a new ph nom non in that country.(2) '1 h > door of this Ho pital have not b en closed in

thirty ar, through all the vicis itud s of famine and revo-lution, politi al hang s and war.

(3) \V ha t ut to h al all orts and conditions of men,of all nationaliti and cr d J and ours is a place of union ina country of division and conflict.

ANNUAL MEETING, 1929.

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* See facing page I.

J IAnnual Meeting, 1929

ummar' f ur tw 'ntv-nin' \ ar . work with a r 'f '1' I1l ' toth aluabl h'lp of O{, 13 'in1t ommitte'" and 10 th 10 1it hairman, Dr. "\dam~, and a \V·I om to I 1. \\ eb t '1', \\'hoha now am' n a~ 'hairman. On our (~ 'n 'ral mmitte' inLondon w w'l om Dr. (llum as a n'w mcmb 'I'.

I am orry to ~ay this ar th r i· a v ry long list 01 10among upport r , of whom I may sp iall mention 'ir J 1m

owan, for many ear Pr'sident f th Edinburgh mmitt '"the Rev. William Fuller Gooch, f.lth r of our f rm r 'er lar~ ,Mrs. Green ,th wif of th lonor f th Engli. h IIou ,andDr. chofi ld, a m mber of th Cen ral ommitt . \\ hil ' wedeplore th ir 10.', \ e must m 'ntion that W' h<\.\ to bextremelv thankful for orne hand om l'gaci's. '1 his ar

there was an anonymou 1 ga ' from a Dut h lady ofguld n. and a till larger 1 gacy from l\Ir . Luc r (,r' n '.when I talk of 1 gacie. , do not uppo we do not n -cl 'ourhelp. L gaci s ar not u' d on annual xp n. ,but w' wantto form an ndowment fund for th .,'p n. 'S of Europeanworkers and pen ions for s m wh 'n th y l'av '.

Refer nce was mad b Dr. Fox to th n Cl" it ' for furth 'rbuilding, and th committ have thi.' w k cabl 'd autllOl it 'to go ah ad with a £ 00 seh m' for providing pri at room"for acute f male case.

On the subj ct of water SUPII ,w hav'. till nothing toannounc , but Dr. \ atson mith is quite confid 'nt that W'

shall get the water, and then have not. 0!11y .what w badlyneed for th patients, but also wat r for lrngatlOn.

With r gard to auxiliary ommittees we ar v r glad totell you that a w Zealand m ntal doctor who b 'cam' int 'r-sted in A furiv h wa ~o impre . ed by its work that h ' pro··

pos s, with the~help of other fri nd .i~ th Dominio~l, to starta w Z aland auxiliary. \ sch m IS m ontemplatl?n to putup a .w Zealand :\1 morial building. It is spl 'ndld to sec:.uch nthu ia mba man for hi' own ubject and for tlllneeds of di tant yria.

I think the' are the main it'm . You may allow III tocommend thi I >port to your approval.

Dr. Doris OdIum: r f 1 greatly honoured b ' b 'ing a k >dto submit to you the H. port of th, :\1 dical Director, Dr.\\'3.tson mith.

He t 11" u that the Hospital ha admitt d 179 pati'l.1tduring the y ar, and of tIl e b tw n a quart r and a tlurclhave been discharg d complet 'ly r covered. noth'r group of

IThe Lebanon Hospital10

Th'r is on' int r' ting fa't which am to our n tic " Ingoing 1rom Dam cu. to J ru al'm and J rusal m t? al:o,we found in th se anei nt iti's in'titutions om tlnng lIkeour own whi h dat d from n arly th same p riod. It seemsthat just about thirty y ar ago ther was rather a wid spreadmov m nt in th ar Ea t to m t the deplorable need ofth insan. In J rusalem som influ ntial and well-concernedJ "wish worn n formed a small group and inaugura~~d. anadmirable in titution which we had the pleasure of vIsltmg;the J wish Hospital for M ntal Di eases, "Esrath a him,"on th Jaffa H.oad. Its Board i still presided over by thedaught r f th founder. Going on to Egypt, we found in Cairoan old palac whi h had b n tran form d into a hospital form ntal di a. in 1895-a v ry fine piece of public work.

inc th day it has incr a d its original accommodation(450 b d) more than sev n-fold, having opened a largedaught r-institution with agricultural curative work on tr.ebord r' of th de rt to accommodate 1,000 poor patients.

In yria th r is the Lebanon Hospital, with its 159 beds,and th Fr nch sile d'Ibn ina, with 57 beds, at Damascu~.

W tand for yria, and have to consider how best to accom­pli hour ta k. Ware being pr ss d by the Director for morea commodation. In all probability our committee will beoblig d to fa e th question of providing funds for additionalbuilding.. Happily it i the ca e that, once the buildings areprovid d, the maint nance practically takes care of itself.It will b n c sary, no doubt., to find some more "well­('on ern d" p pI with a spirit of service who are inclinedand pr p r d to make this gr at investment for the sake ofthe m ntally afflicted in yria-an investment which willmo t a '.ur dly bring in divid nd of health and happiness inthat country.

I hav b n asked to r ad the following letter* from Dr.John Warnock, who e name will be always remembered asth pion r of this work in Egypt.

Dr. Masterman, in pr nting the Report of the Generalommitt , aid: we hav th gr at good fortune to have

with us no 1 than four p opl who have been this spring infuri h, I think what we may call the strictly bu. iness side

.l~ould b ut hort.. But as ou have to adopt this R port, IWIll try to t 11 you m a f w word what is in it. There is a

12 The Lebanon Hospital Annual Meeting, 1929 I ..,.)

n arly on -third ha b en discharg d gr aUy improved, andI am sur that he would wish me to tress the fact that onlythe matt r of accommodation pr v nt d their being kept untIlth y had mad still furth r progr s.s t.oward ~ covery.

Th numb rs applying for adml IOn are mCreaSl?~ veryy ar, and th yrian authorities aP1?ear to be re~hsmg ~heimp rtan f the probl m of d al.mg .on ~ructlvely wIthm nta1 illn . Throughout. the .. ast msamty IS regard d as avi itat.ion from H av n, a visit.ation that no on can preventor ur. ntil lat ly it ha b n m rely a que tion ?f. _egre­gating th unf rtun t in lividual, oft n und r cOndl~l?nS ofxtr m brutality. But now it appears that t~e ~uthon~1 s are

b ginning 1 r alis that mental breakdown IS. m fact Illness;that if pati nt.s ar tr ated prop rly, an apprecIable number atth m will g't w 11 again, and that if 1~ey are treated earlyn ugh th 'y will get w 11 much mar qUlckly. .

In 192 th numb r of ca s brou~ht in by the Synanauthoriti s amount d to 110, a agam t 20 m 1919. TheVir t r is convinc d that ther will b a greatly increasedd·mand.

ir G org wman, on a recent visit to the H?spital, w~ileimpr d with th fine work done,. f It tha~ It was bemgs ri u,ly hamper d by the overcrowdmg. In VI w of the factthat th ~ lIo pital is well stablish d and doing work the valueof whi h i r cognised fully by the authorities, the Directort Is that h cannot empha is too strongly the need forobtaining further a commodation.

noth r important dev 1 pment of the work is its educativea. p t. Dr. vVat. on mith is giving lecture to fourth-yearm di al tud nts from the B inlt niv rsity, and r ceiv sflfth- ear tud nts as clinical a. i tants. This will help tospr ad th doctrin of tr atm nt and prevention of mentaleli or] r m r ~ sur ly throughout yria and the ear Eastthan an thing els auld do.

Th Hospital r c iv s pati nt of every nationality, r ligion,and up ti n. Th r i " ind ed, an xtraordinary variety ofa Ul alions among thos admitted. Taking the list given inth R port, w b 'gin with "Barman, bank cl rk, boot-black,boatman, cl rk, hauff ur, carp nter, carter, docior"-eyery'e ti n of th ommunit is repr ented. Thi haws what anc.'tr m 1. wide n t wpr ad, and how very gratefully thf1. h am int it.

I w uld ask you to giv your favour to this Report.

Mr. Charle E. Jacob, m ving th adoptIon f b thR port, s< id the t. h had h<Hl th ' pI 'a lIr of b 'ing on of theparty of t n m mb roof the a i ty of F1'i 'ntL wh hadtrav 11 d out tog ther t ) 'na r 'cently..\ft r arri\ ing atB in'lt, he had gone with th main part) to th hoi 'l1'l~'

AIi sian high r up th mountain, but hael pait] a vi'it lat 'r tothe H spital, arriving in th midst of an ".\t 110m " that wasbing giv n there t th Facult' at th .\m ri an niv r 1ty,\\'hen we got th re it \\'a' not to a pri on building-no bigin. titutional affair-but a beautiful park, antI in thi park <1

numb r of s parat h u 0 for different la' '. of pati! nt' t allin a bower f aIm nel tr 'eo in full bloom. Th whole pIa ' ischarmingly situat el, and I am sur this must hav' a mostvaluabl effect on th pati nt .

I w nt round the huildings with th) r tary, \Tr. L \\1'1 ,and wa gr atly stru k with their quipm nt and <lrr<lI1 'm 'nt.For instanc , the <rrang ments for washing tru k m' asbeing much bctt r than tho,; in th .chool. at Brummana,where I had 1 n staying. 'a far as I auld. C , th'r "Ie 'm 'tlt.o be a v ry nic t ne about th plac': th' way th ' att 'nelantsspoke to th peopl as th y went round was a good 'ign of tllspirit in the place. I had a word with on' or two of th pati'llt .

orne of th m w r making a n 'id 'rabl noi. and oth 'I'

wer ery quiet.Th ophilu \ aldm i r am to Dublin in I <)O(), and, a1to­

geth r, it was a gr at plea. ur to. (' th wand rful work thathas b en carried on a a r .=ult of his one'rn, anel to m' t:\Irs. \\'aldmeip.r. It wac; al:o vcr) pI a. ant t m' t Dr. \\ <11. on

mith, who wa over in Dublin not 1 ng ago..\nythin ' he (1) S

is w 11 worth list ning to. \Ye ow a gr 'at deal to th ' work hehas lone at .\sfuriy h during th pa<.;t twentyc<trs.

One thing that stru k m too was the wand ·rfnl lnt'1'­national a-operation. Th L hanon is rath'r not'd for tha t,\\'e bav just be'n tarting a ombin el Y'ad ' .JT' ,ting of'yrian and Pal stinian l'ri nel', tIm. uniting tll work of,,\m ri an, I~ngli h, and Iri h Quak 'r'. '1 h r is al 0 th Am ri­an Cniv rsity at Beirut. '1 h L banon Hospital is still wid '1",

with its wiss, m'ri an, Dut h" yrian, I~ngli h, anel cot 'hommittec· unit d in the h lp of th' in an' in) ria. '1 h

variety of ra e in th II pital it elf only equal th' l1umb 'rf ountri s horel ring rounel th :\1 'c1it rran 'an. '1 h n tb r

ar variou, r ligion . It i wand rful how th y worl- tog th'rharmoniouly,

In 10 king through th Rrport I hav n.oti·c 1 that. therec::. m to be m r pati nts than b Is. That 1 a v. ry d~fficultsituation for our do tor, but prrhaps th xt n IOn wl.ll putthat dis r pan y right. It will be a gr at r lief to hi. mmc1 tohav abel f r a h p rson! I was 'lIsa surpl is d that h shouldb abl to g t so many discharg cl as cur d. That i. a wand riulpi of work. .

Th n d f th Hospital is v ry great. ~ was. r admg /her tary's m morandum on II). ntal hosplt~ls 1~ the J, ear

East, and I s that, comparing accomm?datlO~With popul~­tion, th r is nly ne b d for I , 00 myna, whereas mP,l stine th r is one to v ry 6,000, and m Egypt one to

4,5°0 .tr s has b n laid on th importance of early treatm n~.

I am sur it mu t b v ry di. tressing to th doctor to ~ave hiShospital so full of rious cas s that he cannot take m early

as s.This is a hrist-lik work. Lat r n, at the Lake of Tiberias,

I was thinking of Our Lord when He met the man possess.edwith c1 viI. ut of his mind and how Our Lord healed himand. nt him to barnes ng r to his own people. I am suremany f thos p opl at . furi h, after leaving thi Hospital,go ba k, as h did, with th ir new f ling of mental health andt 11 f th w nc1 rful work the Hospital has been doing, and 0

in r as its spher f usefuln ss in the y ars to corne. Havingr c iv d su hIving, g ntle treatment, they will go backprai ing sfuri h for what it has b en and done to them.

ir Wyndham Deedes: I am v ry pI as d to s cond thmoving of th R ports. s one who has had a sam whatlength xp ri n of the . ar East from Trebizond to Tunis,I hav no h 'sitation in saying that th re i nothing more ca1cu­lat d to 0l11m nd t.ll VvT t to the East-and the Westr quir ssm omm nding than the work done by t.hislIo. pital, both in it. natur and in the manner of its doing. Inbringing ab ut th introduction of the b st of V\T stern civili­. ati n into th ar East t.h re is no better medium than thatof haling haling giv n in the form of applied Christianity.

Mr. Oscar Darton, on of the Treasurers, in dealing withthe unts, whi h will b found at the nd of the Report,stat c1 t.h, t in sam wa TS th gave cau. for gr at thankful­n . s, though in oth r ways th y w r an occa ion for regret.

"Th total in am for th ar ha. be n £8,859, the great rpart of whi h (n arly £6,000) is cl riv d from payments on

q. The Lebanon Hospital Annual Meeting, 1929

h half of pati nt , whi h, h \' V r, ar in. ullicient to maintaint11 work. It i' r gr ttabl that uh ril tion' , ncl donation­show, d cr a. e compar d with th pr'viou \ ar, and a~

leg, i an 1 it m f that natur ar armark:<1 for capitalpurpo.. , we hop that all tho. wh ar int 'r' t d in thi·work will r m mb r that it is t th 'ub.cription. anc1 dona­tions that w look to mak up th inc m that i r quir'd forth maintenance of th IIo pital.

... Tin t n ars ago I had the pI a ur of st ring, t .\ fu1'i­yeh with th late Th ophilu \Yaldm i r.)n am awa\ fromthat visit with the impr . ion that a gr at and b n fl nt workhad b n tarted, f which th Found r and tho as 0 -iat dwith him might w 11 b proud. Si." W' ks ag I again hadthe pI a ure of vi. iting th HO"ipital, and found, as allwho have be n t.h re hay found, that th work has grown,d v loped, and matured. Th Ho pital w,. full to ov'r­flowing, well watch d over and ar d for bv th Dire t rwho has be n ther for tw nty yc r., and 1-, his 10 ral ancid vot d staff.

any of you who upport this 110 pital ar m mhcrs of thcoci ty of l'ri nd , a, i ty which has 10l1'T h n int 'r t d

in work for the mentally affli t (1. I hay no h' 'itation incomm nding to you thi IIo. pital and it' n d:, for it is ar markabl pi e of work and a gr at and h '1H'li - nt in titu­tion, well worthy of your support. On an all to mind nokind of medical work whi h would b n ar r than this to thmind and h art of IIim \\'ho w nt ahout th hills and vallcysof Galil e casting out d viIs and hraling tho c that w'-rdis a d, and \\ ho, if II di 1 not Yi....it it, mu. t ha\' 'n fromafar th . lop s of th L banon mountain on whic h thisHospital tand ."

Dr. Percy Smith, who was th fir t 'hairl11an of tll'Gen ral ommitt in L nel n, and a r gular memh r ev rsince, cond d th adoption of th' Tr a ur r\ R port and• ccounts, and said h waul 1 alway' b glad that hi oldHospital, B thl m, wa" on of tho. \ i....it d by Tll 'ophilu.\\'aldm ier when h' am to England in 1096.

Th adopti n of all H.cports was arri d unanimou....lv.Mr. Harry ilcock mov d th r - 1 tion of th' (;cncral

ommittee, Tr a ur rs, and .\uclit r ."In. upporting that r olution, I flit a gr at privil 'g t

ay c:;om thing ah ut th magnifl n work that i arri'd onat Asfurivl'lL

It

I

16 The Lebanon HospItal Annual Meeting, 192 9

IL is now mor than a y ar ago since I visited th Hospitaland was abl to. its lov ly park-lik haract rand t.o haveth pI asure f m ting Dr. \Vatson mith. The whol atmo­sph r of th w rk is som thing which is ry beautiful andinspiring. 1any r ligi ns and nationaliti s ar r pres nt d. Iwas abl to go round and. th differ nt pati nts, and it isan xp ri nc I cannot {org t. One incident stands out vividly.My wif and I w r walking round with Dr. \Vatson mith,and talking to him about the variety of pati nt , and hepint <1 to an olel man and aid: 'That's the Pop of Egypt.''Oh, poor man!' said my wif . But it was not a cl lu ion. Her 'ally did hold th . offic among th Mohammedans which ifamiliarly known by the titl of 'Pope of Egypt.'

I am d light el to h ar about th proposals for advance.:peaking as a layman, it do ,s s em to m that mental diseasemust am und r th control of th spirit, and when minentwrit r. t 11 us that th spirit may take th place of th straitja k t, it d s arou the r span e of ordinary people. I amc1 'light d to h ar of the work of a group of peopl who believethat th spirit ontr Is u. and can help more than any otherfa tor in haling dis a. e.

I am glacl that m mb rs of th Soci ty of Friends havesupport <I this work, and t.hat m mbers of the Society in theJ. ar l:.a5t ar int r . t d in it and supporting it. I was par­ti ulady int r sted to h ar that a group of the senior stud ntsfr m Brummana chool had gone to the Hospital, and hadom to { 1 that it was a pi ce of work for which they had a

right to ar.n th r int r .,ting point is that the work is practically on

a s 1£-supporting basi. That is r ally very fin , and it issignift ant wh n on r m mbers the flgur s that CharlesJa ob quot .d, of t.h xtr m paucity of beds in yria as con­trast cl with th r ountri s, not only countri s like ours, butneighbouring lands, u h a Pal tine and Egypt. If it were aprohihitiv ,'p n. to car for p ople who are ill in this way,on would b t mpt cl to d . pair. But when one finds that,ap< rt. from initial apital xpens ,it can be carri d on on as If-supporting basis, on~ f Is th r is hop for the futur , and f

an ncourag' th c mmttt· ~ to go forward with confid nee.l.h p th~' wo~k will b . upport d increa ingly, not only in'n< and 111 tIllS untry, bl~t also in l·ranc . One thing

hrought h 111 to us We S th Importanc of the role which} ran is pIa ring in th affairs of yria. The gratitude which

thE' Fr nch authoriti '0.., f 1 i <.;hown in pr<l t iral W;\\"", and Ihop th committ ' \\ill bl able' to go on and gi\l' gl <ltvrpublicit T in Franc to th . pI ndid \\ork the' haY undl r­taken."

T11 R olutions w r . ccond el by r. Philip Burt andcarri el unanimously.

Th General Secretary (:\h's II ilda hL') show <I somllant rn slid s illustrating t pi al group and types of patil'nhat th lIo pital: th patient' on til' wav to th' . undavs rvi at the John ory II all: t h grounZl', howing OliVl,fig and almond tr . anel th old nama u j>oad: tIll \ allt'vwhich will b d Yot d to horti ulturc a11(1 farming \\'h n tIll'water-supply is incrcas el: th older typ of t \\'o-stor ' . hou. e:th n wcr one-star y pavilion, of w11i 11 two n 'W OI1l'S arn eel d ( ost, with furnitur , about {3,O()() ea h): som' o! th. taff. I ferring to th figur. aIr ael)' quoted, numb I' of b( <1.in comparison with population, h said that if . \ ria w I'

provid d on th am cal a England (on b'd for ('adl 270

peopl , accoreling to r cent ftgur s given b ' th~ }Iini t 'r ofHealth) ther would be 13,000 b els, wh'r as tl1('r ' \Vcr' now216 for the whol countr .

In oneIu. ion, Mr. Jo eph Butler, on of th> 'I rea urn,pas d a cordial vote of thanks to th' .\u. 'iliary 'ommitt eand Local Trcasur r , who evaluable worl- had so far nolb n much m ntion e1.

"Ther haY b n ommitt s from th beginning in Switzer-land, Holland, and tb "Cnit d Stat' of Am 'rica, and al 0 inEdinburgh. \\'e h ar now of a po,'sibl' n' in ~ l\\ Z,dancl.The (; n ral Committ e want. to d 'v 'lop and ',tend tll'int rnational chara t r of th support to this 110 pited, and,as I larry Si1cock has saiel, it woul<l b \cry d 'sirabl ' if a gooddeal of support ould com from Fr n'11 subs rilH'r , as w('l1as from th ountri's aIr ady H'prcs 11ted. On Iwhalf of t11 '

ommittc I wish to c,'pres: our ind bt ·dnl' to all tllo 'who hav b n working on Au. 'iliary (ommitte in tll'various countri and to all th Local '1 r a urer ."

I

MR. II IRMA , LADIES AND GENTLEMEN,-In pr enting the Director's Report of the medical

an 1 ac1mini trative work of the Lebanon Hospital for 1entalDi a f r the y ar pril I, 1928, to March 31, 1929, I haveto r cord that during the year 179 patients (131 men and 48women) w r admitt d to the Hospital-sixteen more patientsthan w re adrriitted last year. Of this number, 46 patients(3 m nand 10 worn n) recovered their sanity completelyand I ft the Ho pital quite well. Fifty-one patients (37 menand 14 worn n) were discharged "Improved," and 43 patients(33 m nand 10 worn n) wer discharged" ot Improved."Thirt en patients died from causes detailed in Table X, andth re r main d in hospital on March 31, 1929, 159 patients(91 men and 68 women) still under care and treatment.

In pite of the very serious state of overcrowding and thea ute nature of the disorders from which many of the patientshave b en suffering, I feel that the results of the year's workhave b en v ry gratifying. The strain upon the nursing staffha b en undoubtedly heavy. In addition to the usual troublecau ed by excited patients, we have had several acute suicidalpatient., who have .necessitated constant supervision, andal 0 qUIte an exceptIOnal number of patients who have hadt b ~ d ~y ~rt~ficial means f?r quite long periods. The over-rowdmg IS dIstmctly hampenng to the work of the Hospital

and to th patients' c mfort, and were it not that the climatepermits ?f. the patients ?eing for the most part out of doors,th on~htIOn would be mtol rable and the physical health ofth patI nt would undoubt dly suffer.

How v r, ~h !?ro pe~t of ou.r having con iderably increaseda ommodatIon 111 th Imm dlate future is <Yood and so thesediCficulti will soon be overcome. b'

Tl~ tati ti al tabl app nd d to this r port give in detailpartI ul r as to th numb r of patients admitted each monthth form. of m ntal di orders from ~hich they suffered, andth r ult. of tr atm nt. Oth r partIculars as to causationr idence, religion and ocial state are also appended.' ,

REPOR OF THE DIRECTOR

Report of the Director

I hav to r port that th fifth- T ar m eli .1 tud nt , who10m to the H pital arid nt from th .\m ri an ni­versity f B inlt for furth r in. tru tion in m nt.l di aonti~u t r nder a great d al of value hI h lp in th

HospItal. Th yare always int r t <1 in th ir work. nd III

to appr ciate what advantag th' gain h m th pra tiof the Hospital.

The usual in. truction on Ps' ho]ogi al di in t< thfo.urth-year medical student ha b n giv n during th pa twmter.

I have no outstanding chang to r cord in th tat f thHospital during the y ar, and th g neral h alth of pati ntand staff has been fair.

I am pleased to say that the future holds out po sibiIiticsof important changes, which are di tinctly gratif ing and willgreatly facilitate the work of the Ho pital and th amfortof the patients. The r ason for this hop ful attitud an hbest presented by repeating a r port hich I ubmitt elrecently to the Committee n ~ lar h 18, 1929, and which ias follows:-

"I have to report with great pI asure that Dr. I' ort s uFox, and Miss Fox, who i the London , cr tar of thiHospital, came to Beirut on arch 5th and tay cl with mehere until March 16th. The r a on for thi i it wa that l\1i sFox should acquire a thorough first-hand knowl dg f thHospital in order to facilitat her work a ecr tary f tllHospital. As you know, Dr. Fort scue I· 0.' has tak n a v ryactive and de p interest in this Ho pital for the pa t thirtyears.

I must leave them to say what th y thought of th Ho-pital, but from conv rsation whi h w had tog th r, th yindicated to me that the L ndon ommitt wi h d t llavsome statement from me and the E.' cutiv ommitt e a toour views about the futur policy of th Ho. pit 1.

The need for this tatem nt ari ut of th C]u. tion-Ithe Ho pital capable f m ting not only pre nt but futurc1 mands whi h may be mad upon it rvic? I point d outthat in my opinion there was no other po ibl an w r the nthat the Hospital must go forward. 0 addition has b nmade to the numb r of pavilions for pati nt in tll y ar191 3, when the Engli'h Hou wa built, that i , I) 'arago. That addition nabl d u ju t to ope with the trainon the warel , which had b en t ac1ily incr a ing fr Jm th

..

20 The Lebanon Hospital Report of the Director 21

or ning of tIl Hospital until that clat . During th war, la kof mans of transport and starvation d cr a d our numb rs,so that in 1918 w had ampl a ommodation. The new andim} rov dr'gim in yria sin that date has led to a veryimportant im} r v m nt in th publi health service: nam ly,that th local authoriti snow recogni e their re ponsibilitytowards th insan to this xt nt, that they have been tryingto m t an annually incr a ing d mand for the care of them ntally ami t d. In 1919 th numb r that they were pre­1ar d to budg t for wa 20. The number to-day is 110, andin th imm cliat futur I have p rf ct onfidence that thisnumb r is going to b onsid rably xtend d. Our accommo­dation is now a tually inadequat to meet the immediated mands mad upon it. The crowd d condition of the Hos­pital ha aIr ady call d forth adverse critici ms from outside,< nd I n d not draw attention to the fact that those respon­sibI for it admini tration ar materially hamper d in theirwork. Th ov r rowding has a very prejudicial effect uponth om(ort of th pati nts.

I n or 1 r to try to overcome these difficulties the LondonCommitt has r cently authorised the addition of a secondstor y to th trawbridge M morial House, at a cost of £900 .

This will provide a rtain amount of reli f, but it will onlygiv m rath r mor accommodation f r quiet and con­val sc nt pati nts.

As a matt r of "tr me urg ncy, I have to report that, asthi lIo pital admit a large number of patients sufferingfrom acut form of m ntal di order, I require immediatelyt n singl room for the ac ommodation of such patients. Ipropo that th se Ingle rooms be built as soon as possiblein th form of a corridor connecting the Philadelphia and the

111 ri an Hon s, not as an addition to the number of bedsin the Ho~pital, but to r mecly a v ry seriolls defect in thea ommodation of th femal wards for acute patients. Themanag m nt of acut maniacal patients in open dormitoriesand 'omm n lay rooms at tim s 1 ads to little hort of atat of I and monium. Th co t of this addition will be about

£Soo.But, apart from thi , two new pavilions should be added to

tIl Ho pital- on for m n and one for women-for aboutthirty patient ach, in rd r that we can meet reasonabled man I whi h may b Pl~t. upon. the Hospital during thene.·t t n years. Th s pavIlions WIll cost, furnished, about

£3,000 a h. I submit plans h'rewitll. Th n w pavilion form n hould b built b fore th n w pavilion for wom 'n, asth> addition to the 'trawbridg' ~I morial Hou i for \\'om 'nand al 0 th n w incYl room abo\' r fcrr'd to.

The qu tion th n ari -How ar> the pati nt to b>maintain d? I on i 1 r that a the (Jov nun nt provid afair amount towards th maint nan of poor paii nts andware able to suppl m nt this amount from privat I ati nt ,th qu tion of co t of maint nanc i not < riou matt'r.

uch addition t a thoroughly quipped Ho pital might bconsid r d on the analogy of an hot '1. (Ji" 'n a prop'r quip­m nt, but onl a f w bedroom', it i obviou that th' hut Icannot m et its eo'p ns ; giv n an ad quat' number of bed­rooms and prop r manag m 'nt, a balan" bet\\ "n in 0111'

and xpenses i as ur d.Further, the qu stion may ari' -I' the wat'r upply

ufficient to m t ordinar ho~pital demand'? 1..... · 'I i ingreasonable economy in the u e of th ' water whi h w hav' atpr ent, w ought to be abl to manag , but I am ati ii d thatin the very n ar future wh 'n 1\1r. Giraud brings his thirddrilling machine to eirut, h \\ ill omplet our art' ian well,which hould ettle any doubts about the wat'r uppl r forthe future. At the pr . ent mom nt th amount of wat 'r ·tand­ing in the well i exactly what it wa when the drilling wasdone, namely, 5+ fe t. Ev n failing thi ,w now hav' alt,1'­native schemes for g tting water, so I am firmly onvinc 'dthat the question of the wat r supply hould not be u 'd asan impediment to the progr' of the Ho pita1. Anoth'rimportant consideration i th fact that we have aetuall ' thefunds in hand for wat r drilling.

Only a few other additions ar r quir d to ompl·t > thHospital, such a raising the h ight of th drinking wat'I'tank 3 metres at a co t of £'130, in ord r to increase the pre UI'

in the upper torey of th WI Hou .The farm house is in a v ry bad tate of r pair. I admit that

w shall not be abl to get full mci ncy from the farm untilthe arte ian w 11 ha been complet el, but it might b 'advi ablto put it in a state of repair now at a co t of £200, be au e itwould prevent furth r d t rioration <lnd '. -tra. .'pen ."

I have to r port that ev ral vi itors hay vi it d thHo pital recently, among whom may be m ntion d. ir G or 1 •

wman, PrinCIpal 1 dical Off: er of the Briti h ::\lini tr~ ofHealth, and ir Holburt \Yaring, '. - IC hancellor of the

I

22 The Lebanon Hospital Report of the Director

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University of Lond n. I a k d ir eorg ewman wh therhe would care to giv hi impr ssion of his visit to the Hos­pital at our Annual M ting in London, but in case he beunable to do so, I w uld remark that immediately he enteredthe ward his first r mark was ab ut their overcrowded con­dition, although he was appreciative of the work of theHo 1ital.

Mi ibb, the Matron, Mi . Gerw r, the Assistant Matron,and Mr. Lowri ,th I rk and teward, continue to renderm mo t valuabl as i tanc in the management of theHo pital.

The bo ks of the Ho pital hav been regularly audited eachquart r by Pr fess r ickoley of the merican University of

inlt, and the r gular financial statements have been sub­mitt d to the ommitt e.

I hav to thank the memb rs of the Executive Committeein iriH for th gen rous support which they invariablyext nd to m in my work as Director.

ASFU RIYEII,

April I, 1929.

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arch 31, 192

toll', ~I . R. II .••( ulla/lolls:

Allnual:'lI, till, 19.8 (Ill lu 1·IIIg (h qUe Ls)lInbcrwdl, Chap I of l.

Luke th • Ph)' i I III

'] Itt: ( 11'1./11111, R ad,'r ofI he Llf< of ]'<1111, 1{( Mit I' 01Jordolll I·dlm\ lup .\It'l'llllg .•St. :'Il.lrtln' ifIllII' Joi, ldl'aro( h.

Chnrch ollllulCollins,:lIi J. LCollins, :II. A., :l1.D.Col hn on, :'1 i sCooper, Lady

ooper,:lIiorb('lt, . fa Aline F.

(orbdt. 'IlL ,\llllt'. p,rCury, ir Clifford, B,lrt. •.

I'll , Sir \I.l\lrlll, :'1.1 >.Crook, !\II s I~. :'1. ..Crook, \\'I1I1,l1nII.Croshelll, :Ill s G. (,e Illllhitn

I'lInd)Cro\\ll'}', Dr. '.Irs. RalphCrudda , ~Ii S Eleallor1>.lel', 1. C.Da\' 'y,:'lL I'aleDo1\'1t , :Ill'. 1>1 'onDe Il, :lliss J e sie ..Ld \',Ird , F. H., :'II.!>.I,lIis, :'III". B'ru,ml (.lil,r aultl,

r.l )hili, :III'S. G. II ...hllis, ;\Ii s Marianhlh ,Th<'odore B.hilI on, ~Ir . JohnI'arrer, ~Iis

I' isher ,:III'S.I'rom I'riends, pl'r :'IIi S hnilly

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h, " \\ illlolln L ...1 n Illlin, .11' • R . .I.I'riel, Dr. and .\Irs. Alliedhy•• Ii A. 1{1l1h("Irret t, . Ii . I. L.(;,lyner, :'Ill h. S.Gibbin , 10l1n(,I1>son, .11 S(Jilletl, ~Ir .Glad tOlle,.Ir .. II.Guocb, :'IIlss A. ~1.

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For Year en linnSUB CRIPTI

Albrig-ht, ~Iiss ~I. C.AlbriKht, \\. A ...

(see al 0 Building I'um])Al 'xandcr, C. E ...AlIen,Krnneth C. (aftpraudil,!I)Allen, "11". ~I. A.Allen, Mrs. A. H...Ander on, ~Ir . HuprrtAnonVlIlou (hast Slrand)AnonymousArmstrong Jones,SirHob, rt,\l.I >.Ascrolt, l\Ir . . . . .Backhouse, !\Irs. Edward

(su also Building hllld)Badock, Mrs. . . . .Baker, Mrs. Elizabeth B.Barber ,Mrs. \\'. B.Beauchamp, Lady P.Bell. Miss S. S.Bellows, Miss Kittylkrry, Mrs. h. H.Bilbrough,:lh L. H. K.Blllllt, Hegmald (Laundry)Bottomley, SamuelBower, H. SyndercombeBowly, :Ill' . Chri topherBrackenbury, Mrs. Her 'wardBraitll\vaitt" ~Ir. & :III' . I aac ..Braithwaite, l\Iisses l{, B. &.

l I.. (paid ~I IS. la t year)Braithwaite, J. FrederickBraithwaite, !\II'. & Mrs. JohnB.R.D. .. .. "Bn'all'y, Mrs. (aft('r aUllil, 1S. C>d )Dr nan, Miss J. E. . . . .

.. (Children Meetings' Box)Brooks, Howard. . . . . .Bruce, Miss J.131111('1', :Ill'. Tn'mayne (,Ill"r

audit, [I) .Burn, 1\lIss F. A. H.Bun', I{t. Rl \'. Bishop .'\- ~Ir ...Bu tIer, .Joseph . • . . . .Cadbury, Barrow ..Cadbury, Mr. & Mrs. EdwardCadbury, Mr. & :III'S. GeorKeCadbury, Ir. & :III'S. Henryladblln, I'alli S.Cadhury, William A. (paid [.1 III

1926)(ampu('II, Mrs. A. H. (Toronto) ..lappeI', Alexander & Co.(.ltchpolt', l\II S ~l.

Chambers, James, :l1.D. (,\fta'l\1dit, £3 3 .)

Chapman, Dr. \\'. D.U'l'gwyn, :I[r~.

'hurch, LadyClark, Edward H.1I,rl' ]. n·,I..r1<'I' F. R l. B.,\.

(alt, I' '\tuhl, (I)'Clark, Iiss P. F...'ockill, Dr. and :'III'S. W. B.

Cull', :'III'S. BarrettCole, Mrs., per :l1r.A. J. Wuod ..

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13 1

THE YEAR.1\1. F.

I

2Genual ParalysisPnLUmOl11aTubncuillsis ...

LebanonLatlakia!\Iosul (Irak)!\I adagascarl\Iardine ...Nablus1 'orth AlricaPoland ...SidonSenegal ...TripoliTyreTnrinTunis

PloughmanHug \Vean:rSoldierShepherdStudentSailorShoemakerServantShopkeeperStockbrokerSecrelaryStone !\I asonTailor ...TeacherTurnerUnknown\Vorkman\\'ai l<:r,'0 OCCUI'.\T10.'

1\IoslemsMaroniltosProtestan IsHoman CatholicsSyrian CalholiLs

YEAR.

2I

THET.

I

3I

I

2I2I

I

3I

III

III72II

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15

21

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1872I

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245J

1\1.I()

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2

TABLE VIII.SHOWING RESIDE CE OF THOSE ADMITTED DURINO

THE YEAR.T.

2IiI

2222

3951I

I

5()

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I

3TABLE IX.

SHOWING THE RELIGIOUS PERSUASION OF THOSE

ADMITTED DURING THE YEAR.1\1. F T.33 65 4 l)

I 12

I

2

6255

TABLE X.

SHOWING CAUSES OF DEATH DURING!\I. F. T.

I I

I

I

ApoplexyBulbar P..Iralysls'ancerardiac Dilatalion ,Ind

yncopeDy entt:ly

Armenian ntholicArmenian Orlhodox ...Armenian ProtestanlDluze ...}<'cli~h ..GregorianGreek CatholIcGreek 01 thodoxIsraeliles

ArmeniaAleppo ...Alc,'allclrcttaAkkarAdana ...AintabAlexandriaBeiru tBaalbek ...Coehin '1IIIla ...'a sarea

Cam)D~ma eusFranceHam<lH omsJatta

The Lebanon Hospital

TABLE VII.SHOWING OCCUPATIO OF THOSE ADMITTED DURING

Barman ...Bank ClerkBoot BlackBoatmanClerkChauffeurCarpenterCarter ...DO<.:torFarmer ...Green GrocelGarage lechanlcGovernment ClerkJoinerLabour41rMerchantManul.lcturel' ...Orange MerchantPrison \VarderPolicemanPriestI'ropridor

--t-- --t-- -L --t----4-- --t-"",=:::P--l---=-

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Alison, :\IisAndl'r on, '\II A. F.Barbour, Prof. G. F.Barclay, Thomas ..Christie, Miss H. . . . .Clendillnen, ;\11 s 1\1. W ...Constablc, '\Iiss .. . •Dickson, Co!. D., V. D. ..l>o,lk, "Ir . (1')27) ..Eastcrbrook, C. . ,1\1.1>.Findlay, Miss]. L.Fleming, The :\Ii ;; sJ'orb s, I>r. 1>. J.Gray, :\IelvilleHender on, Sir ThomaJlot('hkl , I>r. R. 1>.Keay, Lt.·Co!., .B.h..\le All tel', J)r. \\ . \1.;\I,l<doll.tld, !{, v. \\. (,1ft, r,ltl<lIl,

7 . ("I.):\1,C.lul,J.M,l< kt'llZH', Ke'llII< th'\l.l< r,H', C,. f)Otll:1.l ,:\1.1>.1\lacrae, '\Irs. J~. J".Ml'Vi . r,. '('il, \\'. S.:'>larllll, F. \\.1\lil1l'r,A. G.,;\I.l>.1\'obll', A. U.Orr, I)r. j. II. C.Philip, G. h.Pitcairn, '\11 s

SCOTLANDEDINBURGH COMMI'I"l'EE--

Prn"ltnt LT.(.. OL. SIR II. ARllIt R RoI>.S.O.

Vice·Presidtllts- IR 0 \'10 I'A lJ.·

DR. ]AS. C. Sr RROCK.

!lOll. I r,'aSllr, r-.I. A. \\'. S ro I, L I.

flO/I. Secretary-A. D. Woon, LV.• ,.1'.I',r ,Hr. lollt:, 25, Palm,., I(JIl Plil c­

£ s. d.050o 5 II

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Gre n, . Ii I'.Hall, Allan n.Head, Ii s P. "!"it hing,. [r . A. E. . .. lacke-mie, H . .I., \I.B...~Iacleo<.l,. 'cl!, • 1.13. .• ..'\lorn 11, "Ir . (, til /) lIuildlllg-

hmel) .. . • . • .. [ounscy, R.J...• "ai h, A. Dunc:anPet rs, Mrs. H. M.Pif'rcc, Bedford, I.D.Robin on, :\11 .\. "I.Rowntree, ArnoldHowntr c, J. \\'at onHowlltr e, 0 car F.Rowntree, .Ii s S. E.Rown tree, '1 he-odoreRowntrcl', \\'. S .Scarlc, Alfrcd 13 .Taylor,Alfred H.Thnmp on, RichardWallf'r, W.].Williamson, H. :\1. •.Yl'l1ow1t'(·s Helin', :11.1>.

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YORKS.-Per Dr. l/. YelloiJ. 'lees ,The Retreat, York·­

Appleton, T. H ...Burgess, A. F. . .Creak, Dr. E. Mildred

£28

WESTON - SUPER - MARE Pa"!ISS Jlary Pumphrey, 3

CI'a Road­Brealey, George ..Brown, Mrs. CbarlcsUrown, E. M. (see also Bul!dlll~

Fund) ..ByrdI', MissI )a\'ies, Mrs.Gourlay, Mrs.Lang, Mrs.I'llmphrev. :\1iss (1<)27 ,LI)Ritchie, Miss ..

HITCHIN]le-ck, MI~s (;ertrude (1<)27 8,55.)Harris, H. Lyn .. . .Ransom, Francis ..Hansom, M.. ..,s 1'. (1~)27-8, LI)Warner, MISS E. A. . .

£13

MANCHESTER-Per F. HOllralliEsq.,3I lI1aJorSt.,Mallchester~

Hourani, F.Saldi, KUllal (La~o5)

REIGATE AND REDHILL­Abe-rcrombic, :'Ill'S. J. II.Alexand r, ]. A. ..AnonymousBarnard, Mrs. O.

ampbe-ll, j. A...Comber, A.Crosfield, HerbertDarton, Oscar ..Edwards, Francis H., ~1.D.Emmott, Mrs.

(also £50 Building- Fund)Gardiner, \V. Rattray ..Highton, D. lifTordHighton, Mr ., Senr.Langley, [is AnnLennie, M. S.1I1aclean, J. A.Mac! an, Mrs. ]. A.Macnair, Mrs. M. A.Muller, 1rs. E. ..Henwlck, T. A. ..Rhode , 1I1r. 1arg-aretScudamore, j\[iss A. \V.Vavasseur, 1rs.Wilkms, A. W.

Subscriptions and Donations

BRIGHTON Per Mr. and Mrs.Percy MarUndale, 62a ChurchRoad, Hove­

• [an, Ir. and MissMartindale, PercyMartindalc, Mrs. Per y ..

" Sale of PhotographsRouth, Col. and 1I1rs.

•

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050050o IS 0100050

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110o 10 0

220100o 10 6I 0 0

100o 3 7I 0 0

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£3 1 9

I'ril'slman, Frederick, ].1'.Pulleyn, Mrs.Rauken, IhsJ{eep, l\Ibs E. C .Re ve, Miss E. G .l{ichardson, LawrenceRichardson, Mrs...Risk, Mrs...R.RL.B.Robinson, Mrs. H, N.Robinson, Miss MaudeRobinson, MISS MurielRule, lI1i s MaudRutter, Miss Elizabeth B.Sale' of PapersS.A.'\1., per '\Irs. GrahamSaflery, W. P.Salt, Miss S. A.Schuster, Mrs. E. J.Seton-Karr,Miss E.Sholl, R., per Mr. WoodSinger, FrankSmith, Percy, M.D.Smith, Mrs. PercySmyth, Miss E. C.

oames, Mrs. A. \\'.Somervell, Mrs. ColinSomervell, MissSouthall, MISS Lucy H.Spice, Miss Lilian

tephens, J. GilbertStewart, frs.Sturge, Miss A. M.Sturge, Miss Elizabeth

turge, Miss R.Sykes, George (after aUdit, £5)Taylor, Messrs. J. F. & Son, Ltd.Tayton, Miss Catherine ..Thomas, Miss J. M.Thomson, Mrs. G,Thursfield, J. H ...Todd, DuncanTorkington, Miss A.Tuke, Miss E. W... Unthank"Walk r, MissS. J. (1927-8)

(and I928--q, after audi t, £I)Ward, Miss Helen E. .. ..Warner, Marcus ..Watts, James R ...Webb, WilliamWharton, Miss MargaretWhiting, Miss M. S.Whitwell, J. R., M.B.Wicken, lissR.H. (afteralldit,5s.)Wigham, Leonard . . . .Wills, Miss E. G.Wills, Miss MurielWills, Mrs. Samuel D.Wilson, Mrs.Wilson, Miss MayWilson, Robert .. . .Wilson, T. Stacey, M.D...Wood,A. J. .. ..Wood, Mrs. C. C...Wood, Mrs. S. J.Worsfold, J. L.Wortabet, Lt.-Col. H. G. L.,

I.M.S.\\ right, 1\1rs.

6

o6

2 0I 0

I JO 0

2I

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5 00

I I 0

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3 00

3 00

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3 00

05 0

5 00

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1 I 0

10005 0

100

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2 02 0o 0

33 0

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220100o 10 050 0o 17 0

050220220I I 0

550I I 0

220050050

11020 0 005 010005 0

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The Lebanon Hospital£ s. d.o 10 ()

r

,0 ch, '1'11(' t,tle Rt'v. \\' 1'1111 r..Go ling, Mrs. Rob 'rt (1927 28,

[2 2S.) " . . . . . .Greenl', The lale Mrs. LucyGrenf 11, In M ·mary 01 lkrnard

PyneGunn, Mrs. MarcusGurney, Henry (see also Ululding

Fund) ..Gwyn, W. J.Hall, Miss Kitty ..Hamilton, Mi s ..Hamilton, Miss S. L.Harrison, Mrs.Hartley, The late Israel (IC)27-

28)ILlrvl'y, Mrs. WilliamHield, Mrs.Hodgkin, Mr. and Mrs. HowardHodgkin, Mrs. Thomas ..Hodgkinson, MissHoffmann d Visme, P.lstorHolt-Skinner, In memo of JohnHor naill, Mrs.Hurnard, Samu IF.III M eIl1071UIIl (J.O. W )Ingham, Mrs. . .Islington and N. S1. Pancras

Medical MissionJolI, Mrs...jon 9, Irs. C. A...jones-Balme, F. E. T.joyce, J. W.jukes, II1rs. B. C...Knig'hl, MissLeathe , Miss Hilda de 1\1. (Pair]

2S. 6<1. in 1928)Lees, Mrs. E.Linney, Mrs.Litlleboy, Miss A. L.Lloyd, John HenryLyndon, Mrs. (see also Building

hllld)McDougall, Dr. MaryMcDougall, The Misses (afkr

audi t)Magor, Miss FannyMarriage, Mrs. H.M.lsl·flnan, E. W. G., !\I.D.

(1927-8, £1 IS. od.)Merz, Mrs. ChadesMerz, Mrs. TheodoreMoncrieff, Lady Scott1\Ioor ,The Rev. John ..Moorhouse, Mr. and Mrs. Allred1I10lt, Chari s E ...1I10unsey, !\Irs. W. A.Naish, II1r. and Mrs. C. E.Nunn, H_ S., Executors ofOsborne, Miss janetPage, Mrs.Palmer, Fred rick ..Parker, lrs. YarboroughPease, J. Beaumon t ..Peckover, Miss P. H.Penney, H.obert A.Polkinghorn, G...Polkinghorn, Mrs.Polkinghorn, MissPoller, rhe Ven. Arche1l'acon

Ben'slord ..Prance, The 1\IissesPriestUlan, MISS E, 1\1.

28

---r---I--I---i---t---t---t------f----+---+---+----~----t----!----l---[=-~-- .- -------r-J-t-------+-1

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The Lebanon Hospital

--

I\ 11,1.1 ,1./. III \'I I IllrJI

i

I

1

>--.

.-

d.

~. n.I 10

£5

((I eI,I' I'

r.<)1

£1 3 15 oj.

(10 0 0

3 0 0() 10 lJ

10050 0 0

I I 0

2 2 ()20 (J 0100

I ° ()~-- C) 13 0

[Sec al 0 "Spr ial Fund ."J

Z "RICH-£lzProfessor Dr. then!. All.m.1l Rl'F,(,<J,

Presldoli.Ht'dor H \.·S \'n' Oln II'. '1 ,(a Iller..Ii s BERTA \'0. OR1L11, lIolI. u.Readers of the (hrJ liI,lur I' olkbol(, per

Pol tor -III. I I·LI " Ba \I',!. 17. tIC\'

I ot,ll for ~wltz rl,llld .. L (J h

Total . . 'i7 0 II(£10 n dttul II t yt r.)

£SUMMARY (Gr at Brltalll ,IIleI Ir llnd\.Genl'ral Ii t . . • . •. 3 1<) S 1<1Brighton .. . . . . • . I I ()

I1ttchin.. .. .. .. I °.Ianche' ter . . . . . . - 0 0

1{ tga t anel HI Ihlll ' . _ , 0

\\'e' ton·Super·, I, rc . . . • 4 t _ IIYork •. •. .' I I IIh<linburgb(le e') \I I J .I1(!.) (4 7 7Glasgow "" 10 .) ~- I I IIKilmacolm .. .. .. P 17 0

Stirling . . , . . . . , I 7 IIIreland (General) . . . • 7 10 ()B Ifast .. .• .. .• 16 II

Dublin .. .. .. ..)<1 0 °

£ d.5 00I 0 ()I 0 ()

100200

05 0200

05 0I 0 0

100100o 10 0o 10 0o 10 0

£261 17 9

AMERICAN COMMITTEE.

SPECIAL F NDS.BCILllll.

(a) Per I'hilad Iphia Comllllttrc, .\pril 1<)1')(b) Great Britalll-

Albright, W. A. ..Backhouse, Mr . Edw,lrd ,.Brown, Edgar Ill. ..Crosfleld, lIIiss Georgina ..Fmmott, Mr . ..Gurney, Henry ..Lyndon, Mrs. . .I\lorrell, ~Irs. . .Pettigrew, Irs. . .Roxburgh, 1II1~s ~l.

GENEVA-Frs. 1000 = £39 8s. lId.Mlle. IARTlN-AcHAHD, Ple.'lllwt.Pastor EMMANUEL CIIHIS If. " Seat'lo'v.

LAUSA, T~E-Frs. 500 - £zo 0 . od.Professor PHILIPPE BllID~;l., Ple.~lli,·I/I.

Mme. BOVON, t'Clelary alld '[,eaSlllel'.

ApnI 192 9-

O{file-1 Il), SOltlh Fourth lrcel, l'hilacltlpilla. I'aDr. JOSEPH STOKt ,( Itaim till.

JOH." \V CAnneRY.1reasllltT. ,·OU.I .' ,\ B\lll\\l.',PHILADELPHIA: Edward ,1. and .1 rg~r t

Nov. 1928-1noome from Endow' £ s. d. \\ I TAR.. •• • •

mentS.. .. 133 8 8II .. Iz8 9 I

Subscriptions and Donations.

HOLLAND.Cell/rat Secretarya/lel Trea IIrt'/':- Barone'" CLIFFORD, Princes e~racht II, 1he Ha~lle

Honorary Secre/aries:-Al\ISTERDAl\I-~Irs.CRO,'E l\IACI·AHL'\.·~.. \ THECHT-:\Ille. V\ ' n~.R Bltl'(, .IH

;rHE HAGUE-Baroness CLIFFORD. Per Barone Cllflnrd, from th fourROTTEHDA I-Mr. & Mrs. G. BESSKI AAR. Commit! es-1·1. 45') £37 17 .od

SWITZERLAND.

Eustace, :'Iliss Annie ..Eustacr, ;\1. S. .. . .Eu. tace' , S. E. . . , .Eustace, W .• '., :\l.D. .•Goodbody, ,Irs. RIchardHaydock, \\'. H. . . ..jacob, C. E. .. ..~lassey, Ii"s . . . .:'I[e~aw, !iss . . . .Paul, Mrs.. . . . . .Sandes, Miss . . . .\~'ebb, Arthur . . . .Webb, T. R. .. .,Wigham, J., :\1.D. .,

£ s. d.o 10 0o 10 0100

I 0 0

100I 0 0220

10003 6o 2 6

100100o 10 0o 10 0

05 0

05 0o 2 6o 10 005 0o 10 0

£16 8 6

£ s. d.100100o 10 0

01 0100o 10 0

o 10 0

o 10 0

I 8 ()05 0

I 0 0

o IS 0I I ()

100100

£ s. d.I I 0

£7 10 0

£ 5. d.05 005 0

05 0

02605 0

05 0

£1 7 l.>

IRELAND

Collins, Richard ..Douglas, JohnDouglas, Sinton ..

DUBLIN-Per Miss Anllie S.I'lIslacs, houTllagh, Glasllevin,Co. DlIblitl-

BELFAST- Per Mr. Robert ]oilt-tay, 66, Egta11tine Avenue-

Bell, Miss Emily J. . . . .Cowprr, Wiliam . . . .Dunlop, Miss ' . . . . .h \'es, Mrs. J. \'. . . . . . .Finlay, Archibald H. ., .,Finlay, Robert .. . . . .Gilmore, ~Iiss W. E. (IC)Z7-8, 55.)Glynn, Mr. and Mrs. . . . .Glynn, !iss Kathleen (afler

audit, 55.)Greeves, Mrs. AlfredGreeves, Mrs. Arthur ..Greeves, Mrs. Fergus ..Greeves, Mrs. J. Ill.Grl'(>\'es, \Irs. joseph ..Greeves, The Misses;\Ialcom on, H. T.lIIcCIur St. Mission School (per

Mr. Wm. Cowper) ..Millar, Thomas O. . .Mitch II, Mrs. . . . .Pim, Arthur . . . .Richardson, Miss S. H.Richardson, Irs. J. ."Shone, Iiss:\1. E.Stephani, Miss ..Turtle, Mrs. H.Turtle, William H.Wlllte, lIhss SelinaWhite, T. H. . .Williams, Mrs. G.

GENERAL­B,lI{er, :'Ilrs. U R.Ball.Greenl', :\1is 11. (after.lUdit,

5s.)Beale, Alfred ..Beale, Henry H ...Brookfield Frirnds :-'!crting, prr

William Gre nLacy, j. B. .,Mahony, T. H. ..Smyth, Mrs. M. A.Williams, ~Ir . }'l. E ...

STIRLING-Per Mr. WilliamYllle, I, (Ilfjord RrJad-

Gavin, ex Provost . . . .Kinross, David ., . . . .Kinros , Mrs. Henry . . . .IcCulloch, Ex-Provost Robert. .

Thomson, Ex-Provost James ..Yule, William . . . . . .

o 6

100I I 0

o S 0I 0 0

5 00100200I I 0

£33 4 6

100100o 10 0I I 0

I I 0o 10 02205 00I I 0

I I 0

10010002610 0

£ s. (I.3 .) 0o 5 0

5 00I I 0

o 10 0I I 0

0.,

(see

K1LMACOLM Per I1Irs. E. B.Parker, Bal,!fTllo<k, !If11llgavle,ShrlHlgshire- _ £ s. d.

Al ton, R. A. . . . . . . 2 0 0Barr, T. H. . . . . . . 2 2 0Biggart, Thomas.. ., .. 2 2 0Coats, Mrs. W.II. .. .. 5 0 0Graham, \\'. E. A. . . ., 2 2 0

Glen. 'oats, Major Harold . . 5 0 0Illingworth, Irs. Percy. . . . 3 3 0Mac1ay, Rt.Hon. Lord .. ., 5 5 0Park r, I\Ir . h. B. .. ., 10 0 0

t wart, \V. P. .. . . . . 3 0 0Taylor,A.T. .. .. .. I I 0Weir, A. C. . . . . . . 2 2 0

£.p 17 0

£05

GLASGOW-Per W. L. Chadll..'i=k,l~sq., 36, Oswald Street- £ s. d.

A. B. 2 0 0A Fri ncl (Helensburgh). . . . 2 10 0Boyd, T. A. . . . . . . I 0 0Brown, Miss M. A. A. .. . . I 0 0Brown, S. H. . . . . . . I 0 0

ampbell, Mrs. A. C. S. . . . . I 0 0hadwick, Mis . . . . . . I 0 0

Chadwick, W. L... .. ., I 0 0llarvi • llss L. M. . . . . I 0 0Howie, The Mi 5 s . . . . 5 0 0J( rr,Mrs.C.F... .. .. 0 5 0Lennox, John . . . . . . 0 2 6McGown, Jam s . . . . . . I 10 0Mathieson, H. M. . . . . 0 5 0Mitchell, G. A. ., . . . . 2 0 0l\liteh 11, Miss L. R. . . . . 0 5 0pl'ltip;rnv, :'Ilrs. (sa al,o Buil<1illp;

hllld) ., . . . . . .P. },[, 1{... .. .. ..R., Mrs. .. . . . . . .Reid, Prof. William L., I\I.D. ..Roxburgh, olone! j. A. . .Servi e, G. W. ., ., .,Shephl'rd, The Rev. H.!. ..\\right, j. \\. ., .. ..

Price.. E. ., ..Ritchir, Ii s E. R. I .Robl'rt ,A. F. ., ..Rouertson, Prof.G\f.,M.D.Ronaldson, T. R., \1.D...Ro e, Lt.-Col. Sir ArthurRoxuun~h, Miss larp;an't

also Blli1r1inp; I'llnel) .,Salv s n, The Hon. Lords( oU, A. F. (IC)27 R) ..SmIth, .J. Turnbllll, LL.I).Smith, Messrs. R. Addison &

W.S... ., ..Smith, Iiss 1'. ., ..Stolle,.T. A. W. .. .,Sturrock, J. C.,M.D. .,Walker, Mrs. Harry ..Wallac ,Mrs. W. E. ..Warrack, Frank. . . .Willtamson, j. G. . .WII"on, Lady . . . .\\ i hart, :'Ill s . . . .

-

__ L- - - -

1 ~-+--_~--L I I I

-~

Income and Expenditure Account for the Year ending March 31, 1929.Lebanon Hospital for Mental Diseases.

Cr.

-

£ s. d. £ l;. d...

566 I 5as 12 0

ZOO 0 0

IiO IS 7«)9 12 2

1,135 I ~

5 I 109~ 2 4

261 10 Z

360 1+ +

37 17 0660 I 4

697 IS ~

12 0 039 4 II20 0 0

S 17 680 ::

5,95 1 q SIS 13 9

171 7 06,133 15 5

417 0

£8,859 I I 8

392 0 ~

1,653 13 7-----£2,045 13 II

By Great Britain :-Subscriptions and Donations (General).

Do. (Building Fund).

Legacies . .. .. .. ..

Income from Investments (Including

Refund of Income Tax). . . .

Peter Coates Trust Endowmen t Fund ..

IKCOME.

Bv Holland :-• Dutch Committees, per Baroness Clifford

Legacy

By Swi tzerland:-Subscriptions and Donations:­

ZurichGenevaLausanne ..Readers of Chrisl/icher J'olkbole

By Beirut:-Patients' PaymentsDonations.. .Sundry Receipts ..

By Amount received on account of \\'ar

Damage Compensation ..

By United States of America:-Subscriptions and Donations (General).

Do. (Building Fund) .

Income from Endowmen t Funds ..

By Balance, brought downBy Balance, being DefiCIency to date, carried

down2,045 13 II

[2,045 13 II

Dr.

EXPE!(OITUJUt.

To Beirut Expenses :- £ s. d. £ s. d.

Salaries and Wages .. ·. ·. 2,720 I II

Foodstuffs .. .. ·. ·. 2,097 17 7

Household Necessaries .. ·. ·. 160 13 9

Linen, Bedding, and Clothing · . 264 II 7

Fuel and Lighting .. .. ·. 339 18 2

General Repairs and Renewals · . 223 17 I

Furniture do. o. •• ·. ·. 27 19 7

Dispensary and Laboratory ·. ·. 13 2 7 II

Travelling and Transport ·. 450 9 6

Stable, Poultry, and Cultivation · . 45 o 10

Postage, Stationery, and Printing · . 36 6 9

Incidental Expenses ·. ·. 72 19 3

Differences in Conversion .. ·. 8 0 36,585 4 2

!'Ilrs. \\'aldmeier, Annual Allowance · . 50 0 0

Sitt He!l~ne ditto ·. 8 IS 0

Expenditure on new buildings. 0 ·. 100 0 0

To London Expenses:-Salary, Rent, etc. . . ·. 170 0 0

Reports, Appeals, etc... .. .. 79 0 0

Travelling Expenses to Svria (Secretary) 7° :::l 0

Book-keeping, Audit and Sundries ·. 14 16 6336 16 6

To Transfer to Special AccoUDts:-Building Fund .. .. .. . . 82 14 4

Con tingency Fund for Legacies .. .. 860 I 4

ditto, War Damage Compensation 447 0 01,389 IS 8

To Balance being excess of Income over Ex-

penditure during year to 31st March,

1929, carried down . . . . . . 392 0 4

£8,859 I I 8

To Balance, brought forward from last year

I:l--

Ir- -•1

To Balance, brought down •. £1,653 13 7

'A'e have examined the above account with the books, vouchers, and audited Cash Accounts from Beirut, and find the same to be in accordance

therewith and correct, except that amounts due to and owing by the HOl;pital have not been brought into the Accounts.

28, Basingball Street, London, E.C. 2.(Signed) WOODMAN, COX & WILKINS,

May 21, 1929.Chartered Accountants.

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