. <fz^. IMAGE EVALUATION TEST TARGET (MT-3) ^ '^^ ^ 1.0 1.1 11.25 ■^I2i& 12.5 us Briii i2.2 g La 12.0 IIJi4U4 6" <,% ^"^ ^ *> Hiotographic Sciences Corporation ^ •< \ < SJ <x ;\ 23 WIST MAIN STREET WEBSTER, N.Y. M5«0 (716) S77-4503 CIHM/ICMH Microfiche Series. CIHIVI/iCIVIH Collection de microfiches. Canadian Institute for Historical Microreproductions / Institut canadi«n de microreproductions historiques Technical and Bibliographic Notes/Notes techniques et bibliographiques The Institute has attempted to obtain the best original copy available for filming. Features of this copy which may be bibliographicaily unique, which may alter any of the images in the reproduction, or which may significantly change the usual method of filming, are checked below. D D □ D D D D Coloured covers/ Couve«ture de couleur I I Covers damaged/ Couverture endommagie Covers restored and/or laminated/ Couverture restaurie et/ou pelliculAe I I Cover title missing/ Le titre de couverture manque Coloured maps/ Cartes giographiques en couleur Coloured ink (i.e. other than blue or black)/ Encre de couleur (i.e. autre que bleue ou noire) I I Coloured plates and/or illustrations/ Planches et/ou illustrations en couleur Bound with other material/ Relii avec d'autres documents Tight binding may cause shadows or distortion along interior margin/ La re liure serrde peut causer de I'ombre ou de la distortion le long de la marge intirieure Blank leaves added during restoration may appear within the text. Whenever possible, these have been omitted from filming/ II se peut que certaines pages blanches ajouties lors d'une restauration apparaissent dans le texte, mais, lorsque cela 6tait possible, ces pages n'ont pas it6 filmtes. Additional comments:/ Commentaires suppl6mentaires: L'Institut a microfilmii le meilleur exemplasre qu'il lui a M possible de se procurer. Les details de cet exemplaire qui sont peut-Atre uniques du point de vue bibliographique, qui peuvent modifier une image reproduite, ou qui peuvent exiger une modification dans la mithode normale de filmage sont indiquAs ci-dessous. I I Coloured pages/ v/ D This item is filmed at the reduction ratio checked below/ Ce document est filmi au taux de rMuction indiqui ci-dessous. Pages de couleur Pages damaged/ Pages endommagies □ Pages restored and/or laminated/ Pages restauries et/ou pelliculdes Pages discoloured, stained or foxed/ Pages ddcolordes, tachetdes ou piqudes □ Pages detached/ Pages d^tachies Th< to Th( poi of filr Ori bei the sio ott fir{ sio or Showthrough/ Transparence I I Quality of print varies/ Qualiti inigale de I'impression Includes supplementary mat&srial/ Comprend du materiel supplimentaire Only edition available/ Seule Edition disponible Th shi Tir wh M{ dif em bei rig rec; me Pages wholly or partially obscured by errata slips, tissues, etc., have been refilmed to ensure the best possible image/ Les pages totalement ou partiellement obscurcies par un feuillet d'errata, une pelure, etc., ont 6t6 filmdes d nouveau de fa^on d obtenir la meilleure image possible. 10X 14X 18X 22X 26X 30X 7 12X 16X 20X ,^ 24X 28X 32X The copy filmed here has been reproduced thanks to the generosity of: Library of the Public Archives of Canada L'exempiaire filmA fut reproduit grAce k la gAnArositA de: La bibllothdque des Archives publlques du Canada The images appearing here are the best quality possible considering the condition and legibility of the original copy and in keeping with the filming contract specifications. Original copies in printed paper covers are filmed beginning with the front cover and ending on the last page with a printed or illustrated Impres- sion, or the back cover when appropriate. All other original copies are filmed beginning on the first page with a printed or Illustrated impres- sion, and ending on the last page with a printed or illustrated Impression. Les images suivantes ont At6 reproduces evec le plus grand soin, compte tenu de la condition at de la nettetA de l'exempiaire film*, et en conformit6 avec les conditions du contrat de filmage. Les exempieires originaux dont la couverture en papier est imprimte sont fllmte en commenpant par le premier plat et en terminant soit par la dernltre page qui comporte une empreinte d'impression ou d'lllustratlon, solt par le second plat, salon le cas. Tous les autres exemplalres originaux sont fllmte en commen^ant par la premiere page qui comporte une empreinte d'impression ou d'lllustratlon et en terminant par la dernlAre page qui comporte une telle empreinte. The last recorded frame on each microfiche shall contain the symbol -^ (meaning "CON- TINUED"), or the symbol y (meaning "END"), whichever applies. Un des symboles sulvants apparaftra sur la dernlAre image de cheque microfiche, selon le cas: le symbols —*> signifie "A SUIVRE", le symbols ▼ signifie "FIN". Maps, plates, charts, etc.. may be filmed at different reduction ratios. Those too large to be entirely included in one exposure are filmed beginning in the upper left hand corner, left to right and top to bottom, as many frames as required. The following diagrams illustrate the method: Les cartes, planches, tableaux, etc., peuvent Atre filmte A des taux de reduction diffArents. Lorsque le document est trop grand pour Atre reproduit en un seul clichA, 11 est film6 A partir de I'angle supArieur gauche, de gauche A droite, et de haut en bas, en prenant le nombre d'images nAcessaire. Les diagrammes sulvants lliustrent la mAthode. 1 2 3 1 2 3 4 5 6 E B GROSSE-ISLE EMIGRANT STATION. A LETTER ADDRESSED TO THE INSI^EOTORS OF HOSPITALS, PRISONS AND ASYLUMS. .. The most vigorous of new settlers, in countries .. essentially healthy, rarely escape that trial of con- ustitution which affects both physical and inenta ..fne^Mr But this process of acclimation, while it .. fits tfe robust for enduring their new life, frequently •' weeds outthe weakly and sickly. {Report of Medical Superintendant 1845.) QUEBEC: PRINTED BY J. T. BROUSSEAU, NO. 7, BUADE STREET. 1861. * 7'o the Inspectors of PrisonSf Hospitals^ ^'c. Oentlemon, On my return to Quebec, after an absence of some weeks, ray attention has been called to an article in the Medical Chronicle commenting approvingly upon tlic action of the Provincial Government in abolishing The Grosse-Isle Establishment, and requiring emigrant vcsselis to perform a Quarantine under certain circum- stances off the River St. Charles. The Editor asserts that the expense of this Establisliment has been .£8000 per annum. On application to the proper c|uarter, lie would have learnt that the total cost was ubout one fourth of this sum (tlwit is £2000). Tie also makes one or two assertions equally reckless, which 1 beg to correct Before doing this I will, as one knowing Homethiiig of the working of the Establishment (now 4ibolished for a time at least) endeavour concisely to recall the circumstances which first led to its U)rmation. In 1831 the appearance of Asiatic cholera in Europe excited alarm in this country ; and the Legislature, in the winter of 1832, made an appropri- ation for the purpose of enforcing an inspection of all vessels arriving by the St. Lawrence, with the view of preventing the introduction of this new unknown and much dreaded disease. Admiral (then Captain) Bayfield was called upon to select a site for the pur- ])ose. On his report Grosso Isle was chosen as being the only Island having deep water and accessible at i'Al times of the tide, and also at a sufiicient distance not only from the City of Quebec, but from all settlements. Temporary sheds were hastily put up, and a lai'go military force sent doAvn, the whole bein^ constituted a military post under a Conmiandant and Staff of Military Officers. The principal medical man in charge was Dr. Griffin and subsequently the late Dr. Crawford of Montreal, then an Army Assistant Surgeon ; a strict Quarantine, as practiced in the Mediterranean was attempted, but here (as I believe everywhere else) it was found impossible to arrest the progi'ess of that inscrutable and then unknown disease by any Qua- rantine Kcgulations. Tlie advantages of the Establishment were however found to be so great in keeping out Fever, Small Pox and other like diseases from the crowded lodging houses of the City, as well as in affording the conve- nience of a place where the multitude of passengers could wash and refit after their long sea voyage that the Legislature made an appropriation for the pur- chase of the Island, for which the sura of $14,000 was paid. Other buildings were erected, very in- sufficient for the purpose, and the difficulty of landing from vessels by open boats in rough weather was found very inconvenient and dangerous. Very little was done, however, to make the place what it should be, until the terrible invasion (rf fever-struck starving crowds in 1847, when, with hospital accommodation and bedding barely sufficient for one hundred patients, some thousand immigrants aiTived within a few weeks of the opening of the navigation. It is on record that the Government were warned by the writer of these pages- the year previous v:h&t was likely to happen, and they were urged in vain to provide for the coming danger. Tlie sights and scenes which passed that year on this Island exceeded iu horror all that has ever been written ©f plague-strnek cities in tlic middle ages, and of whicli the writer may say : i quroquo ipse miscrrima vidi Et quorum pars magna fui. The Atlantic Oeean was dotted with the bodies of upwards of five tlionaands immigrants thrown over- laeard in the middle passage. Passenger ships arrived at Grosse Isle with the remnant of a phantom crew ; in some vessels the deaths on the passage were from 150 to 220, and on an*ival there were hardly hands enough left to work the ship into the anchorage. It is needless to attempt to describe the condition of the remaining passengers or the state of filth of the ^tween decks. In some cases dead bodies in a half putrid state were found in the bertliB, and had to be 4rawn up on deck with boat hooks ; no one on board liaving had strength or courage to throw them over- board before arrival. Upwards of 20,000 sick were treated on shore in tents, temporary sheds and on board the vessels that year ; and 3534 were buried in one small spot, relays of men being engaged night and day for many weeks of a sultry summer in dig- ging trenches to bury them. After the experience of this year, steps were taken to render the establishment better fitted for the pur- pose contemplated. An excellent deep sr.ter wharf was built, and the site of the hospitals was removed to the Eastern end of the Island and separated from that part where healthy Emigrants were landed to wash and purify. Substantial buildings capable of accommodating 5000 souls were put up. Two of these at the hospital and two at the healthy division were double-lined and double-floored, and heated l)y iitoves, so as to serve durin^g the cold weather of early - — aninmcr and late in tlio autumn. ExtunHnM^ cookmij- liousoti and wa.sli-hou.scs wero i>ut up and a hirf^ubrifU uveu was constructod, in which feather bedn and hair mattrasscs, landed from infected vessels were suhjected to dry heat at a hi«;h temperatura, being the only cer- tain moans vet discovered of disinfectintf feathers and hair.. Two neat chur.'»hes were built, one by the Ilonnii> Catholic Church and the other by tlio Church of England. Wells were funic, and various other ihiprovenients made to within the last two vears. The establish- ment is now in peifect order, and will class with any other establishment of tlie kind in the world, both in its natural advantages, and in the arrangements aiul construction of the different buildings ; this has been done at considerable expense to the Province, in round mimbers about £50^000 including the first cost of the Island and the deep water wharf, &(i; To enable the Public and the Editor of the Medical Chronicle to form an opinion of the advantages of the Lazaretto, I will detail the routine observed on the arrival of an emigrant vessel, whose passengers are in a sickly or dirty condition. The vessel on arrival is boarded by the Inspecting Physician whft^ calls upon the Master to funiish a statement of the health of his passengers t>n the voyage ; the names, ages and diseast- of all those who have died on the passage are taken down ; the number, names, &c., of all the sick on board are taken and all other i>artieula?s. The supply of medicine and medical comforts with which the vessel left the port is ascer- tained. An order is then made out for the admission to hospital of the sick. Tlie healthy passengers arc thon all nuisteroJ in a bo«ly on deck hi tlio foivpart f»t' the vessel ; the inspcctiii}^ physician p;()es into tiie 'tween decks and examines every berth, ascertains the condition of the sick and compares the n\nnl)er and names with those given l»y tlie Captain. The passen- gers are tlien passed aft one by one an«l a pei-sonal inspection made of each individual ; among these there are generally found a certain nnnd)er in an incipient stage of disease whose names are added to the return of sick. A note is taken of all insane, blind. dumb, and cripples unaccompanied by friends able to support theni. A return of such is maiU- to the Collector of Customs who exacts bonds from the vessel that such people do nt)t become a bur- then to the Province ; this precaution having been found necessary in consecpience of the introduction of such helpless people. A similar law was first passed by the state of New- York and until a like enactment was passed hero we had the beneiit of all those who could not pass in New-York. After this inspection the Pilot is directed to haul alongside the wharf nt the healthy division where those in good health walk on shore and have assigned to them one of the large buildings, which is white-washed after its occupation by each lot of Emigrants, tliesc .sheds arc all fitted up with berth places ranged on each side similar to those in the'tween decks of the vessel ; into this building the passengers remove with their baggage, to enable them to transport which, from the wharf to the sheds they are furnished with low trucks on iron wheels. The exclusive use of a cook house fitted ui> with boilers and open fire places is assigned to them as also the use of a larue wash house in which down the centre arc ranges of ]>oilers set in brick and open fiixj places. — 8 — and around the sides of tlio building are troughs for washing ; this building is phiced close to and partly over the water which is hero fresh. Tliey are supplied with fuel wood cut on the Island for the jiurpoBO by the party who remain during the winter in fharge of the buildings, &c. Tlio healthy being thus disposed of, the sick have in the meantime been conveyed to the hospitals situated as already said at the Eastern extremity of the Island, their transport there is eifected either in the shijis boats (if the weather and tide admit,) or if these do not answer they are conveyed in a covered carriage, on springs, over a smotli gravel road. At the hospitals they are received by the Steward and Matron who having been previously notified of tho numl)cr they have to receive, have made all the necessary prepai'ations for their reception and comfort. Tliey are before admission taken to the bath house, their liair cut and their usually filthy clothes removed, and being clad in hospital garments are placed in the hospital set apart for the particular disease under which they lal)our. Each hospital has a separate small cook and wash house, so that patients and their attendants in the Small Pox Hospital have no conmiunication with those in the Fever hospital which is distinct in all its details, having a special nurse and orderly. To return to the healthy, these after being all landed with every article of bedding and wearing apparel, etc., are set to wash, purify and clean, the straw and seaweed (German emigrants all use dry seaweed in place of straw) is emptied out of the beds and burnt in heaps at low water mark, fresh straw is issued from a store in the Island. — 9 — Tlio liuUl uiid 'tween dei'ka of the vessel is then tliorou|?hly eleuiied und (if i)jiintetl) is scu'ubbed down with Boaj) and water (if nut painted) the wood M'ork is well whitewashed with quiek linio which is snpplied from a stock kept in the Island. Tliis heing done and any fold ballast thrown out, the master of the vessel has the option of proceeding at once to Quebec upon entering into a bond to send u steamer for his passengers or to ])ay to the emigrant Agent the sum of one Bhilling sterling per adult to cover the cost of their transport by steamer. The great number of ship mastcra prefer paying this tri- fling sum ratlicr than he detaineil. ' Tlie emigrant is also a gainer by this arrangement in being able to reach Quebec in less than three houi-s instead of being some- times as many days working up with the vessel ; du- ring the emigrants' detention in the Island ho is fed in the same manner as if on board the ship. Tlie vessel is bound to provide for him until his arrival in Port. The whole of these conveniences arc afiorded to the vessel and passengers withojit cost or charge of jiny kind whatever. They are not called upon to dis- burse one farthing either for fuel, straw, lime or any- thing else (save and except the transport by steamer to Quebec if the same his had). The convalescents on their discharge from hospital are sent up at the cost of the Province. There has been no need of store or shop in the Island for the last two or three years and no inducement to the emigrant to spend his little means nor does he re- quire to do so as the vessel as already stated is bound by the present Inqierial Passenger Act to supply a sufficiency of good food in a cooked state. In all mat- ters coimcctcd with this Establishment, the Canadian — 10 — Govcrnnu'iit litivo acted with a libcralitv wliicli eon- trasts most favourably with that of any other Esta- blisliinent in the world. As the motive tbrabolishinj;'' this Emigrant Station (fo' 't is little more than in name a Quarantine) i.s its cost to the Province ; it will sni-priso many to learn that tlie whole Establishment including the hire of a speoial Steamer for the duty, the salaries of the offieurs and every otlier expeiv^e does not much exceed two thou- satide pounil(f. And by adopting the suggestions mtide or about to be nuide as I learn by your Board, this expense might be further reduced nearly one half. This could be elfected by dispensing with the exclusive hire of a steamer using instead tlio liail-Iioad which runs on the opposite shore, and by abolishing use- less offices, the actual expense of maintaining this Establishment in M'orking order need not exceed one thousand to twelve hmulred and fifty pounds. A trilling sum compared to the advantages and con- venience of the emigrant and vessel, for even to the latter it is not onlv a convenience but a saving in all cases where the passengers are sickly and foui ; us by the emigrant act the passengers are intituled to remain 4S hours on board after the ship arrives in harbour receiving the same food, berthing, etc., as on the voyage. Xow when the vessel lands her passengers at Grosse-Isle, (which ship nuvsters sometimes ask per- mission to do, even when there is no sickness,) they are save<l this detention and expense in Quebec, and tin Emigrant escapes in a measure the expenditure lu- would have to incur in lodgings, etc , while relittinu and washing after the sea voyage. In the very able pamphlet published in Englainl by the lion. A. T. Gait, the advantages of this Esta- ■2? — 11 — l)H8hment to intending Emigrants is held out a.- follows : " The Settlement of the country has at all times " been a subject of deep iiiterest in Canada, and has " been promoted in every possible way. EmigranU " are received on arrival at the Quarantine Station " vjhere hospitals and medical care are pro'oidid frci " of charge ; they receive from Government officers " reliable information on every point necessary for " their welfare..'* It should further be noticed that the cost of thi.< station is paid out of funds raised by a capitation tax levied upon every Emigrant over one year old, who arrives in the Province (vide Emigration Act, 16 Yict., C..86, S. 22). And it is well known that, during many years, this tax left a large surplus over the cost of mahitaining the Emigrant Station at Grosse- Isle ; and if it has fallen short a little, during the last two years, the I'rovince is not as yet a loser. Tlie large sum expended in 1847, a part of which was for the erec tion of buildings, -was refunded to the Province by the Imperial Government. I will venture to state that the small saving (if any) which is anticipated from abolishing this Establishment, might be more easily efl'eetcd' By dispensing with some of the- many Emi- gi'ant Agencies thwughout the Country; more thnn one of which with their staif of Deputies, Clerks. Interpreters, Porters or Messengers will be found to cost the Province more tha?n the whole expenditure oi' the Grosse-Isle Station. And I think no unprejudiced person at all conversant with the subject would hesi- tate for a moment in deciding which affords the most real benefit to the Emigrant. It is well known that the only Emigrant, who seeks voluntarily the advice of — 12 il i\ ? i 11 ■J « the Emigrant Ageut, is tlic one who holds out his liand at the same time for pecuniary aid in tlie shape of a free passage. From aniiitimate knowledge of the subject and an experience of twenty-six years, during which the writer has seen and inspected upwards of 700,000 Emigrants, he can say that not one in ten thousand comes out to tliis country without some destination in view, from which they are not he tunied by all the Emigrant Agents in the ]'rovince ; however much they may,and do conceal tin's destination,whenever it may be to the United States, in the Iioikj of obtaining j^ecuniary aid with the advice tendered to them. Infractions of the Imperial Passenger Act are now rare ; and the only person in a position to ascertain or to in vestigate them, is the medical officer M'ho sees the passen/^rs on their arrival and can establish the oifect of svich infractions of the Act upon the health and condition of the Passengers during the voyage. The RegVifttions for the ensuing year Iiave however been issued by Proclamation, and the Establishment at Grosse-Isle, now that all expense has been incurred and that it is in -working order, is not to be used, except in certain cases where a vessel is repctrted to be very sickly, &c. ; all other vessels will after a medical inspection, either clean, wash and purify on board oif the River St. Cliarles in the Port of Quebec, or proceed at once to their destination ; for though the Regulations require in certain cases that Emigrants should be lauded to Avash and purify on shore, yet as no place is mentioned, and as there is none either oft' the River St. Charles or in the Port and harbour of Quebec where such washing and purification could be done, that part of the Regulations nnist be consi- dered a dead letter. The yards of the Marine Ilospi- — 1 tal have been suggested, but indcpeiuluntly of its inac- cessability save at high tide and in smooth weather, the distance is such as to render it impossible to trans- port Emigrants to and from in open boats with their baggage; and there is not space or convenience but for a very limited number, nor any of those facilities for wasliing, &c., which experience has sliewn to be ne- cessarv, and which have been constructed at so much expense at Grosse-Isle. And again its situation in the immediate vicinity of a populous suburb inhabited by a very excitable people, who would eithei* fly their homes on the first rq)ort that a cargo of sickly Emi- grants had been landed t<^ warfh and be disinfected ; or, what is even more likely, would resort to acts of violence such as took place within a short time at Staten Island and obliged the authorities of the State of New-York to abandon theEstablishment on that now populous Island, and remove the hospitals to Black- wall Island which possesses the advantage of isolation, &c., as Grosse-Isle also does in an eminent degree. It is well known that every State and Province, having Atlantic sea ports, have been compelled to establish some place (generally an Island) where Emi- grant vessels on arrival are vtsited, and afforded the convenience of washing and purifying, and have their sick passengers landed and sent to hospitals. There is nothing in Europe analagous to the transit of passengers to the coast of America. It is an exodus of a multitude of both sexes of all ages from the new l)orn infant to the tottering non agenarian ; and they are composed in a great measure of a class of i)eople in humble circumstances, whose lives have })reviously l)ecn })iist;ed in agricultural pur suits in the open country, accut^tomcd to breathe a pure- — u il i i xiiY and to take hard exercise ; these people leave their rural homes, their hill tops and quiet rallies to travel in the first instance down to the sea port town, wheix} they are often detained days, and sometiinos weeks, In miserable crowded lodgings awaiting tl»e sailing of the vessel. And when oncic on board they are placed in circumstances, m regards fresh air and food, very <liifereut from what they had hitherto <boen accustomed to. They are packed in the hold of the vessel, where ventilation under the most favourable circunmtanccs is very imperfect ; a mea/ns of introducing fixjsh air into the 'tween decks of a ship has yet to.be disco- \ered, and the little air, that ever doesiind its way by the open hfttches, is in rough weather diminished by the n«ce69ity of partially or wholly closing these only openings. Itiisno^; to be Avondered then that siicli tliseases a* originate in imperfect ventilation, change of diet awl want of exorcise should be rife in Emi- grant vessels, or that the vitiated air combined with mental anxiety and dread at the novel scenes passing uround them on the sea voyage should have a depress- ing eifect upon the passengers and make them ne- glect cleanliness and that such neglect should be followed by disease which, when once it begins in the tween decks of a passenger vessel, goes on increasing until its living cargo can be emptied out. The emijorrulion to Canada has, for manv vears and up to within a recent i)eriod, averaged from 25,000 to 30,000 per annum, and there is every reason to believe that it will again reach that number. It has Iwon said V>y those who ought to know better that passengers now arrrivc by the steamers and not sailing ves- >>els ; and, though it is well known tliat steerage pas- sengers do arrive and in numbers by the Mail aud — 15 — Anchor lino of steamers, yet it* every one oi" tlie^e steamers was to brinji; tlie complement of passen<rers allowed by the Passenger Act, they eonUl not bring more than abont one fonrth of an average emit^ration. it is also well known that tlie Norwegian and Gei'- inan emigrants, who now constitute the great bulk of • MU- Passengers, come out direct from Ports of their own country. The number arriving in tlie Province has more than once fallen much lower than it has done dnrin<»' the last two years. In 1838 the number was only 2,918 and i!i the following year under 7,000 while the two years j)re- \ious it has been 30 or 40,000 ; and after these yeai-s it again rese to 40,000 and 50,000, and in 1847 to 100,<M>0. Xor have I any doubt that it will rise again to the ave- i-age of past years, if means are adoptetl to foster it b\' inducing Emigrants to settle in the Province instead of permitting those who have access to them on arrival using their influence to send tliem totihe "Western- States for the benefit of competing Kail-lioad Com- panies and Opposition Steamers tliat can afford to j)ay wellifer such services. G^^^