• THE

LEBANON HOSPITAL( OR ME T L DI E SE )

ASFURIYEHBEIRUT, YRI

Thirty.-first Report1929-1930

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THE LEBANON HOSPITAL

(Founded by T. Waldmeier, 1898)

FOR MENTAL DISEASES

HOSPITALThe Ho pital stands in 36 acr ' of ground, on the slopes of

Mount Lebanon, about 6 mile from Beirut, on the DamascusRoad.

Land bought, I898.Op ned for patients (IS), August, 6, I900 .

Pre. ent number of Bed : I8S·Building : 2 Hou es for l\len, 3 for Women. Admini tration

Blo~l~ and Clerk' H?use, entral Kitchen, Laundry, Rec ivingPavIlIOn, Laboratones, Lecture Hall (al 0 used for religiousservices), Work hops and Sheds, Pumping and Pow r Hou es.

EXECUTIVE COMMITTEE IN BEIRUT.

LEBANON

ASFURIYEH, near

SYRIA.

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BEIRUT,

MEDICAL DIRECTOR:PROF. H. WATSON SMITH, O.B.E., M.D., CH.B.

Re\'. C. A. WEBSTER, l\I.A., M.D.Clwirmall.

Prof. A. A. BACO:-l (Holl. Sec. andTreaSllrel ).

W. D. CRUIKSHANK, l\I.D.H. G. DORMAN, B.A., l\I.D.

HEl'RY GLOCKLER.ASAD J{HEJRALLAH, B.A.LEONAIW l\IOORE, l\l.D.DANIEl. OLIVER.E PER HOUCAIR EFFEl'DI.BERTHOLD STEIGER.

THIRTY-FIRST

ANNUAL REPORTMatrOIl :-l\Iiss JAII:E GIRB. Deputy Matron :-Miss MAUD IDDENDEN.

Clfr!l and Steward :-D. EWART LOWRIE.Assislanllo lIIalron:-Miss HAIGOUIll AIGIAN.SYllall NlIrsillg Stat! :-17 men, 14 women.

PRESENTED AT THE ANNUAL MEETING,MAY 23, 1930. r

GENERAL COMMITTEE:

(LONDON)

Chairmall :-E. W. G. !\lASTEIUIAN, M.D., F.R.C.S.

GENERAL SECRETARY:MISS HILDA FOX,

Office :-55, WELLINGTON ROAD, LONDO~, N.W.8. (Telephone: PRIMROSE, 65 10 .)

F. HOVRANI, Esq

Lady SCOTT IOl\CRIEFF.

CHARLES> E. lOfT, Esq.

Miss DORIS ODLUM, D.P.M.

BEDFORD PIERCE, l\I.D., F.RC.P.

l\Irs. H. N. I<Ollll\SO~.

Mrs. HARRY SILCOCK

R. PFRCY SMITH, M.D., F.R.C.P.

J. R. \VHIT\\'ELL, l\I .3.

HOIl. TrcaSltrcrs :-l\Ir. JOSEPH BUTLER and Mr. OSCAR DARTO=".

Truslees :-l\Ir. W. A. ALBRIGHT, Drs. R. FORTESCUE Fox, BEDFORD PIERCE,R. PERCY SMITH, J. TYLOR Fox.

Altditors ;-\VOOOMAN, Cox & WILKINS, 28, Basiol'(hall Street, London, E.C.2.

Balllurs:-LLOYDS BANK, LTD., 35, Queen Victoria Stred. London, E.C 4·

JOSEPH BUTLER. Esq.

JAMES CHAMBERS, M.D.

OSCAR DAIlTOl\, E q.

Sir WYNDHAM DEEDES, C.l\I.G .. D S.O.

F. H. EDWARDS, l\I.D., l\I.R.C.P.

R. FORTESCUE Fox. M.D .. F.ltC.P.

]. TYLOR Fox, M.D., D.P.:\I.

Pastor C. 1\1. HAHN, B.D.

In the Grounds.

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HOSPJITAL FOR

DJISEASES

N.B.-For safety in transit, all Money and Postal Or.ders should becrossed and made payable to The Lebanon Hospital.

Address to the Local Treasurer, l1'here there is one, othenpise to:

The General Secretaryl, Lebanon f-Iospital,55 If7e/lington Road, London, N.IP.8

A§jfll111riyeh~ Beirut

SYR][A

Date ..

Nalne ..(Please give full title or designation.)

Annual Subscription

Donation ..

THE LEBANO

MENTAL

I have pleasure tn contributing towards thefunds of.the Hospital:

REPORT OF THE GENERAL COMMITTEEFor the Year ending March 31, 1930.

This is the thirtieth anniversary of the Hospital,RETROSPECT: and therefore a backward glance may perhaps be30 YEARS permitted before the work of the year is recorded.

It was on August 6, 1900, that announcementwas made, amidst the lively interest of the whole countryside,that the Hospital was open for patients, and by August 20th tenmen and five women were in residence (representing Jews, Moham­medans, Druses, Greeks, Maronites, and Protestants). Two yearshad previously been spent by Theophilus Waldmeier in travellingto collect funds, in the selection and purchase of the site, and inthe building of a nucleus of accommodation. The response to hisappeal was remarkable. Wherever he and his wife went, in hisnative Switzerland, in England, Ireland, and Holland, in Germanyand America, committees sprang up behind them for the collec­tion of funds. For he knew the need, and he had the invaluablegift of making others see and feel that need and wish to share inthe privilege of curing illness and relieving suffering.

\Vhat a contrast between Asfuriyeh then and now! Then therewas nothing much but an old farmhouse, with a few sparse treesscattered amid waste land and bare rocks. ow there are lovelygroves of tall trees-fir, olive, fig, and almond; there are gardens,terraces, and charming walks; the water-bearing shale has beentracked and its precious stores hoarded in many cisterns; a wellhas been sunk for some hundreds of feet, yielding still furthersupplies, with the likelihood of unlimited water when the shaftcan be sunk even deeper; and here on the pleasant hillside 400

feet above Beirut there has sprung up as attractive a little colonyof red-roofed houses, built of native white stone, as one couldwish to see.

The fifteen beds have increased to 185, and more are in pros­pect. Scarcely would the founders recognize the place, or believe,for instance, that these smart uniformed nurses are the successorsto the mountain girls who had never before seen a bed, and whoseideas as to the care of the mentally deranged were confined tobeating, chaining in "holy" caves, and "exorcism" by the priest­a system which has lasted from time immemorial even to thepresen t day.

These thirty years have seen a revolution in the treatment ofmental diseases in Syria and the Near East. Apart from its cura-

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Form of Bequest

to The

Lebanon Hospital for Mental Diseases

Asfuriyeh, BeiJrll1t~ Syria

I give and bequeath to the Treasurer or Treasurers

for the time being of The Lebanon Hospital for Mental

Diseases the sum of pounds sterling,

FREE OF DUTY, to be applicable for the generalpur-

poses oj the said Hospital; and the receipt oj the

Treasurer or Treasurers jor the time being oj the said

Hospital shall be a sufficient discharge jor the said

legacy.

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tive work, the Hospital has stood for an idea, and for a system ofsympathetic care and training, that are of incalculable value.Some of its features, pioneer thirty years ago, are still in advanceof many mental hospitals in England. The small home-likepavilions, the open-air lif , the curative work, have always beench rished principles. Long may it remain in the van of progressivethought and progressive methods!

We look back with thankfuln ss to what Asfuriyeh has beenable to accomplish, with the care of a d voted staff and th sup­port of a multitude of kind and generous p ople. We rememberthat even through the Great War, when it was in the hands of theTurks, it was allowed, in spite of the British nationality of itsDirector, to continue its merciful work. Many people, seeing itafter the war, expressed grave fears that it could never recoverfrom the inevitable depredations and losses consequent on warand on its isolation from England. And y t it has recovered, andto-day it is far more complete and b autiful, scientifically andct'sthetically, than ever it was. Som thing like 3,297 patients(2,218 men and 1,079 women) have r ceived treatm nt within itsdoors since it was found d, of whom it is believed that about902 recovered their full sanity, and 806 others wer relievedand partially restored to health.

We rejoice to have had constantly at our disposal all throughthis long period the experi nce and active h lp of many friends,such as Dr. Percy Smith, at whose house the first meeting in Eng­land was hId, Mr. W. A. Albright, Mr. Joseph utler, Dr. Fortes­cue Fox, and Dr. Bedford Pier e; in the United States of America,Mr. Rob rt Hain s, Dr. Henry J ssup, Mr. A a Wing, Mr. EdwardWistar; in Switzerland, Fraulein Martha Eidenbenz, MadameLucien Gautier, Pastor Theodor Iselin, Prof ssor v. OreHi, FrauStockar-Trumpler; m Holland, Baroness van Boetz laar andBaroness van Heemstra; in Beirut, Dr. Webster, Isp r EffendiShoucair, and Asaad Effendi Kheirallah. Many oth rs also havesubscribed regularly for the whole thirty years. Such long­sustained interest and support are precious traditions of theHospital and should appeal to the Syrian nation as well as tothose who have come into the movement at a later date in these

various countries.The year 1929-30 has marked a somewhat definite

A NEW stage in the history of the Hospital. For fifteenPHASE years no building had been undertaken, but labour

and funds had been spent on r pairing and per­fecting the existing accommodation and in planting and beauti-

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The Lebanon Hospital

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5Report of the General Committee

Speaking of special gifts, we should like to mentionone or two in particular that have been received,among many. First, the.gift of two special beds forspinal cases, sent out to Syria by Miss Reckitt follow­

ing a visit last spring-an indescribable boon to some of thepatients all this year. Secondly, a gift of five English pounds sentby the staff of the Shemlan Orphanage on Mount Lebanon.Yeranooki Parmaksuzian, who sent the gift to Dr. WatsonSmith, explains that it is money that would otherwise have beenspent on Christmas presents to himself and other members of thestaff, and says: "May God bless it and make it a real help to thoseneedy souls in the Hospital. We Arm nians are very grateful toyou, d ar Dr. Watson Smith, for waat you are doing for ourhelpless nation. With loving greeting." Third, a gift of 1,000dollars from Mrs. Margaret Wistar, of Philadelphia, towards thecost of a new house; fourth, a similar donation of £50 from the

Boeke Trust.

SPECIALGIFTS

installed for washing sheets and other heavy articles, anew motor-car bought in ex hange for the old one.Towards the cost of some of thes items the final grant of£140 from the Commission for the ssessm nt of WarDamages in Turkey last December was voted.

(d) 400 Blankets sent from England in Sept mber.(e) Some other small extensions sanctioned and partly carried

out, at a ost of about £roo, viz. a new pharmacy, to s tfr e the pr sent pharmacy und r Philadelphia House asa sewing room, an addition which is greatly needed andwill provide employment for many more pati nts; and anew concrete building in a more isolated position thanthe pr sent one, to house inflammabl stores such asbenzine.

Other needs are:-(a) a n w woodshed, with fourrooms for workmen (cost £250). The present wood­shed, which is too near the electric light station forsafety, will then be converted into a garage, which is

badly wanted. This again will s t free considerable accommodationfor stores. (b) A turning lathe and power drill, for the mechanics'shop, which would save consid rable xpense in metal repairs.(c) Two new sewing-machines for the mending of clothes andlin n and the making of simple clothing for the poorer patients.(d) An oven for bread-making.

Any off rs of this or other quipment will be most gratefully

accepted.

OTHERNEEDS

BUILDINGS The new buildings, additions to stock, repairsAND IM- and alterations to the Hospital since the lastPROVEMENTS ' .Annual Meetmg are, bnefly, as follows:-

(a) The Upper Storey to Strawbridge House completed, fur­nished, and occupied last November. (Cost £950.)

(b) The II Single "Corridor Rooms" for women, with a smallrest room for nurses, completed in January 1930. (Cost£800.)

(c) A drinking-water cistern raised, septic tank built, altera­tions made to scullery and kitchen, four laundry motors

4fying the grounds. Two factors ha:re helped to giv~ a new impulse.First certain investigations earned out last spr~ng suggested amore' acute need for treatment of this kind in Syna ~han.had per­haps been realized. (Wher it is k~own that a hospItal IS alwaysfull, a comparatively small proportlOn of the cas. s actually ne~d­ing treatment apply for admission.) The testImony of ~oclalworkers of all kinds in Syria and the Near East, and the conSIdera­tion of such comparative statistics as were available regardingpopulation, incid nee of mental diseases, etc., in Palestin~ ,a?dEgypt (wh re the respective Governmen~s assume .responslblhtyfor their treatment and care), both combmed to pomt to a muchlarg r task before us if we wish the Hospital to meet the pressingactual n eds of the country. In confirmation of this view, we havealways found, and still find, that the more accommodation weprovide, the greater is the mass of applicants. .

Secondly, at this juncture, when funds for expanslOn wereacutely needed to suppl ment the extensions already begun withthe aid of one or two legacies in 1928-9, we received the largestlegacy ever given to the Hospital (£8,000). The donor was thelat Mrs. Frederick Greene, who with her husband had alreadyprovided the last house built-the Greene Memorial House, or

"English House"-in 1914·Few words are needed to describe the relief and joy felt in

receiving such a generous bequest. One section of the money hasbeen devoted to building and equipment. Another has been placedtemporarily among Contingency Funds, to replace amounts whichhad been drawn out in bad years since the war and never returned.A third portion has been invested, in order to provide a guaranteefund for retiring allowances for members of the European staffout in Syria, for whose future in case of illness or old age no pro­vision has so far been possible. A careful scheme for these retiringallowances has been worked out by a sub-committee and adopted.

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The legacy from America referred to in last year's reportreached London last May, and proved to be a thousand dollars(about £205) from 1\1r. David Alsop, of Philadelphia. This and amost welcome bequest in th autumn of £60 from our late Han.Treasurer at Weston-super-Mare (Miss Agnes Weston), who diedtwo years ago, were placed to the Extension Fund. AnotherAm rican legacy of r,230 dollars from the late Mrs. CarolineBabcock, of Washington, has been invested temporarily in theStates, and the income will be sent to the Hospital.

If is difficult to know how to express to such kind friends as allthese the deep appreciation which we feel of their thought for theHospital. Both kinds of gift are always and equally welcome­whether the tangible gift during lifetime, whose benefits can beseen and known, or the I gacy which comes later.

As usual we sent some account of the work of theLAST YEAR'S Hospital to a number of religious and medical papersAPPEALS last Christmas, and special articles were taken in

many cases and comment d upon editorially. Wehav also thought it well to make an appeal to the Arabic-speakingworld outside Syria for one of the new houses that are requir d.Articles were published in The Syrian World (New York) in Novem­ber and in The Egyptian Gazette ( lexandria) on December r8th.These appeared to arouse considerable interest, but so far havenot brought forth any more tangible result. We feel indebted toMr. Mokarz I in particular (the Editor of the Syrian World) for thekind way in which he co-operated in this appeal to his countrymen,and we trust that he will be able to carry the matter further inAmerica until an Arabic house materializes.

The Director refers in his report to the unfortunateCHANGES IN blow which befell the Hospital last spring in theTHE STAFF loss of Fraulein Gerwer, of Zurich, as Assistant

Matron. She is not only missed for herself, becauseof her .good wor~ and pleasant personality, but also as a repre­sentative of SWitz rland, which the Committee had taken sometrouble to s cure. We can only thank Miss Gerwer for her servicesand trust that she will soon regain her full health.

No European nurse was appointed in Miss Gerwer's place, as itwas thought that a local appointment might prove easier andmore elast.ic. But this has not been the case, and we are nowend avounng to find a fully qualified English assistant for MissGibb, an appointment all the more urgent as Miss Gibb is duehome on furlough this summer. (See page 33·)

We much regret to have to report the death of Sitt Helene, to

w.hich the Director refers, after 30 years' service for the Hospital.Sitt Helene was one of those kind and willing people who arealways r ady to give extra help in any emerg ncy. Her death is areal loss to the Hospital.

Dr. Webst r has held offIce during the year asBEIRlJT Chairman and Professor Bacon as Honorary S cre­EXECUTIVE tary and Treasurer. Their co-operation and that of

the whole Executive Committee in Beirut is very

greatly appreciated.In MERICA there has be n a modification of policy.

AUXILIARY From Sept mber rst Mr. Baldwin's appointment asCO MMITTEES t h b .'secre ary as een on a part-time basis only. lready

this policy has led to the receipt of considerably in­creased funds in London, a result which has be n most gratifying toall concerned. May the American contribution prosp r and grow.

.EW ZEALA D is going ah ad. Dr. ssid Corban and lr. Jam sKmght, acting as joint Hon. Secs. of a new ommittee havdetermined to raise funds for a ew Zealand Hous . Circum­stances have been against them, for various large public appealshave been launched in New Zealand this year, including one forthe relief of distress caused by the earthquakes, but a provisi nalcommittee was formed last September and we understand thatsub-committees are developing in several towns and that a d 'ter­mined effort is being made to enlist sympathy for the Hospitalthroughout the Dominion. We acknowledge with sp cial pleasurethe receipt of two donations.

HOLLAND has sent rather less than usual, probably owing tothe death of one or two old ubscribers, in luding the Baronessvan Lynden of trecht. But we have to thank our four groups forfaithful efforts to keep up the supply of funds, and we hope thatfurther success will crown these efforts.

French SWITZERLA D is full of life and activity in support ofAsfuriyeh, as ever. Their new r port is a most encouraging one.From G rman Switzerland there is unfortunately less ncourage­ment. We heard with great regret at the ew Year of the deathof our newly elected Hon. Sec. at Zurich, Fraulein Berta vonOrelli, and following this and oth r difficulties Professor Rueggand Rector Hans von Orelli have asked to be relieved of theircharge. There are now hardly any subscribers in German Switzer­land, but we cannot help hoping that this anomaly (this bing thenative district of the Founder) will not long remain. We shouldlike to make acknowl dgment here of our warm appreciation ofthe faithful services of Professor Ruegg, who almost alone through

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7Report of the General CommitteeThe Lebanon Hospital6

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8 The Lebanon Hospital

LOSSESBY DEATH

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ANNUAL MEETING, 1930

THE 31St :\~n~al M e~ing was held at the Vestry Hall ofSt. Martm s-m-the-Flelds, London, on Friday, fay 23,

1930, at 3.30 p.m., Dr. Bedford Pierce, Commissioner ofthe Board of Control, in the chair. A special apology was readfrom Dr. E. W. G. Masterman, Chairman of the GeneralCommittee, who was detained on official business. TheChairman called upon the Secretary to read the most im­port~nt 'portions. of the General Committee's report. Inmovmg ItS adoptIOn Dr. Bedford Pierce said:

Those who had anything to do with the early days of thisHospital will have no regrets, for we cannot but be amazedat its extraordinary growth. As we think it over-and as weget on in years, reminiscence takes a large part in our thoughts-remembering how this came about, we cannot but feel thatTheophilus Waldemeier was a really remarkable man some-

. 'thmg very extraordinary. He was nearly seventy years of ag ,a missionary, with no medical experience or special training.Yet he came over from Syria to England and to other countri s,and somehow or other succeeded in influencing a v ry largenumber of people-hard-headed Scotsmen, not easily movedby sentiment (like the late Dr. Cloustoun and the late Dr.Yellowlees) , bankers and business men, p ople interestedin religious work and people interested in affairs. Somehow orother he succeeded in winning their confidence and collectinga considerable sum of money, which v ntually produced thebeginnings of this Hospital. Those of us who knew him couldnot exactly understand how this came about. He was not aneloquent speaker. He and his wife told a v ry simpl storyand told it with disarming simplicity. The Dean of York ofthat time presided at two m etings at York and was un­doubtedly deeply impressed.

And so the Hospital was started and has grown until it is areally important institution in the ar East, where stud ntsare taught. It is indeed a centre of nlight nment. It wasa wonderful venture of faith on the part of this old man, andwe cannot but be thankful that such a remarkable resulthas followed his efforts.

Dr. Francis Edwards, on behalf of the General Committee,presented the Report of the Medical Director.

The principal point is a demand for increased accommoda-

The great task ahead of us, in co-operation with theOUR TASK Executive Committee in Beirut and the staff at

Asfuriyeh, is two-fol.d. First, to consolidate anduphold the work already undertaken, and, secondly, to make theHospital available for more sufferers. If readers do not see thenecessity for this latter task, let them ponder a letter received inMarch of this year from an Englishwoman in one of the greatcities of Syria. She writes: "The condition of the insane is likewhat one reads of in the shocking Western asylums of centuriesago.... One or two cells, so dark that at first you could hardlysee who was inside. Perhaps there would be a ragged bit of sack­ing to sit on over the cold damp stone, these poor creatures beingoft-times destructive of bedding, and one or two were partlynaked, crouching up under a torn brown blanket." Later investi­gati~n~ proved. even more depressing. And this is in a Syrianmumcipal hospItal, where conditions are probably better than inmany places! Were these our own relatives, what would we notdo to rescue and to restore them? Let us carry the ideal of theGood Samaritan as far as we can.

On .behalf o~ all the men and women at Asfuriyeh, we close,then, m thankmg all who have given funds and sympathy duringthe year: And we. ask them to continue to remember Asfuriyehand to giv of theIr means to its support and expansion.

On behalf of the General Committee,E. W. G. MASTERMAN, Chairman.HILDA FOX, Secretary.

the difficult years of the war and its aftermath kept the flag flying

for Asfuriyeh.Turning to ENGLAND, our Local Treasurers and Secretaries

happily remain unchanged, except in the case of Brighton, whereMrs. Martindale's continued ill-health has unfortunately involvedthe abandonment of their long services by her and Mr. Martindale.So far we have not been successful in obtaining a volunteer tosucc ed them. Will anyone offer for this work? There ought to becollectors in many towns that are at present unrepresented, andwe should be grateful for offers.

During the year we have heard with much regretof the death of the following contributors: Mr.Samuel J. Alexander, Mrs. Allen, Mrs. J. AllenBaker, Lady Church, Mrs. Howard Fox, Mr. Man,

Major Porter, Miss S. H. Richardson, Miss Ritchie, Major San­ford, Miss Thornley, Mr. W. J. Waller.

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tion to enable the Medical Director to receive a larger numberof p~tients. I really wish that on one of these walls yve couldhave a large-scale map of Syria and one o~ the HospItal are<:t,in order that you might gather what wo~k IS demanded o.f thISHo pital. It is the only voluntary hospItal for m~ntal d.ls~asein Syria-I80 beds for a population that runs. mt? mllh.on;of p ople. There is not one other mental hosp~tal m Syna.Places of detention we know there are. Those who read thefinal paragraph of the general report will understand that itwould be better if there were none.

When one looks at this small Hospital in this large area,one almost despairs at the vast amount of work laid upon it.But we need not despair, because very much the same thinghappened in Egypt. When Dr. Warnock went out to Cairothirty-five years ago he found the insane treated worse thanwe should treat animals in this country, and with infinitelyless accommodation than was necessary. When he retiredhe left two magnificent hospitals, where European methodsare used. And to come nearer home, at the beginning of thenineteenth century there was not one public mental hospitalin England for the treatment of the poor insane. At thebeginning of the eighteenth century there was not one publicinstitution of any sort or kind in this country for this purposeexcept Bethlem; and those who have seen Hogarth's picturerepresenting the form of treatment used at Bethlem maythink there might better have been none. The nineteenthcentury saw the rising of public spirit in many directions,typified by the work of men like Shaftesbury. I would mentionin passing the work of th Society of Friends in the eighteenthcentury, especially of William Tuke, and the founding of thehospital of which our Chairman this afternoon was so longSuperintendent. Even in my recollection, the care of theinsan was regarded as waste of a medical man's time. Aformer Presid nt of the Royal College of Physicians said tome, when I told him I was going in for this work: "Well it is apity, because it is the unclean thing of Medicine." ,

In my early days, although the amenities were to be foundas we know them to-day, what we understand by treatmenthad not com~enc d. To-day one finds in our better organizedmental ~o plt~ls all the same kinds of equipment as in thosefor phySIcal dIsease, because the basis of mental illness is sooft n physical disease. One instance will show what the applica-

* The new French Hospital at Damascus is scarcely yet open.

tion of general medicine has done in curing mental disorder.Some years ago one saw in all m ntal hospitals a type ofperson who was extr mely dull m ntally. They all looked likemembers ~f one family; they had gro s, rough skin, hadalmost entIrely lost their hair, their hands were spade-like,and a.ll were in a condition of profound lethargy. Th y weresuffenng from myxodrema. Ther are no such cases in anyof our mental hospitals now, because it was discover d thatsuch cases can be cured from the physical side.

To continue thi question of the cong tion of our Hospital:one notices on analysing the figures of patient di charged asrecovered a distinct fall as compared with last year, whil the~umber of patients discharged relieved is greater. SomethinglIke 50 per cent. have been in a condition when they couldbe returned to their hom s. Unhappily, b cause of the d mandfor the beds they w re occupying, a numb r of pati nts notrecovered had to be sent out before they were quit well.

The next point of interest is the enormously important workdone in training students from Beirut Medical School. tudentsin their last (5th) year are regularly attending the Hospital,doing pathological work and assisting generally, and theywill spread the gospel of psychiatry, as we und rstand it, inthe districts where they practise.

Another point of interest is the simple method of admis ion.In Syria there is no red tape. All that is requir d is a Billetd' Hopital, a simple statement that the p rson is in n ed ofsuch treatment, so that, as Dr. Watson mith remarks, it is aseasy to get treatm nt for mental illne as for a brok n leg.I wish I could say the same thing here. 10 t of you know thatthere is a "Charter of Deliverance" coming at the end of thisyear, providing the opportunity of tr atment for all in thearly stages of mental illn ss. Until this Bill comes into forcea poor person is obliged to wait until h becomes d finitelyinsane, and certified as such, before he can rec ivc any tr at­ment at all. That will be obviated.

Dr. Watson Smith sp aks also of the treatment of out-patients. That is a most valuable addition to our work, and it isa thing none of our mental hospitals in this country haveyet attempted. Every mental hospital should have an out­patient department, which might ave people from developingserious mental illness, and enable discharged patients to reportand prevent relapse.

On the domestic side, the Director speaks of the olive-trees,

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10The Lebanon Hospital

Annual Meeting, 1930 l[

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12The Lebanon Hospital Annual Meeting, 1930 13

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and of how these plantations are providing both employmentand food for the patients.

One thing I should like to convey o~ ~ehalf of the Com-mittee and that is the extreme appreCIatIOn we feel for ourEurop~an staff, particularly our Medical Director, Dr.. Wats?nSmith. For twenty-one years he has worked for us m Sy:na,remaining throughout the war in a~ ene.my country. It IS atrue missionary spirit that has carr~ed hI.m through. I knowthat the general d sire of the meetmg wIll be to convey ourthanks to him and his co-workers.

Mrs. Sefton-Jones: I should like to second the adoption ofthese reports, because I have j~st ?ad. th~ privilege of seeingthis very beautiful and interestmg mshtutIOn.. It wa~ the firstobject of interest pointed out by our Armeman dnver, whobrought us all the way from Damascus t.o !3rummana. ~n~ther fore, when I went again later to see It m more detaIl, Itwas very interesting to me to see how his interest was j.usti~ed.I wish I could describe to you the beauty of the sItuatIOn.The blue sea down at Beirut is visible from every portion of theestate. Up beyond are the hills of Lebanon and the snow-cladMount Sinin. The patients can look from their windows ortheir gardens at the most exquisite views in every direction,and they have the more mundane interest and amusement ofseeing the traffic on the main road between Damascus andBeirut.

Of course, it is a sad thing to see the vacant looks of thepoor worn n, apparently interested in very little, some sewing,some reading, some talking to one another. One poor woman(a Russian) was sitting all by herself in an arbour. They toldme she always came when the bell rang for meals, but other­wise stayed by herself. We saw one educated man sitting apartin the sitting-room with books. (They can have any kind theywish to read.) Another was lying blind and bed-ridden, waitingfor death. It is a heart-rending sight, and yet when one thinkswhat would be their fate but for the Hospital, one cannot butbe thankful for the faithfulness of Theophilus Waldmeier tohis vision, which brought him to far places, to ask for themeans which he felt sure that those who were in touch alsowith the Divine Will would be only too ready to providefor this work of the. Lord..It is impossible for those who gothere.a~d see the frUlts of hIS w?rk not to realize how impor­tant It IS fo~ ~very or~e of us, m whatever position of life, tofollow the DIvme leadmg, and do just what is laid upon us.

Mr. F. Hourani., of Manc~e.ster (supporting the adoptionof the repor.ts).: It. IS ~ re~l pr~vIlege for a Syrian to plead thecause of thIS mshtutIOn m hIS own country. It is an addedhonour to do so under the shadow of St. Martin's. CanonMcCormick has so nobly carried on the traditions of his pre­dece~sors that even I, a P~esbyterian elder, look forward to theserVIces b~oadcast.from hIS ch~:ch. And so I will slightly varythe old Onental wIsh and say: May the shadow of St. Martin'sn~ver g:row less." This week I happened to tell two of myfn.en~sm Manchester that I was coming here, and both of themsaId, m almost identical words: "Is it going to b broadcast?"Such is the fame of St. Martin's!

I wish. this meeting c~uld be broadcast, and I will tell youwhy. ~t IS. because I belIeve, and I know, that Asfuriyeh is abeauhful Ideal come true. We all have ideals or dreams or. . ' ,VISIOns, but unfortunately difficulties arise and they do notcome true. Thank God, the old dream of Theophilus Waldmeierhas. come true, and to-day we are celebrating its 30thanmversary.

I want this meeting ~o be .broadcast because I want every­bo~y who lo.ves ~ be.auhful thm~ to hear the fame of Asfuriyeh.It IS beauhful m ItS conceptIOn, because it was conceivedentirely for the benefit of the neglected. It is beautiful in itsorganization, because it combines the thoughts and energiesand love of so many men and women of good will from allnationalities. It is beautiful in its administration, becausefrom the beginning this institution has been fortunate inenlisting the sympathy and love of so many good men andwomen, and they have carried on their work so well that wesee the result. This is a noble place. Asfuriyeh is not an idealonly. It is a real necessity and a reality in the national life ofSyria.

When Waldmeier lived in my country, more than thirty­five years ago, he was impressed with one thing especially.As most of you know, Syria is very well provided with mis­sionary effort of various kinds. But we are told he was struckwith one particular thing-that there was no provisionwhatever for the mentally afflicted. I can imagine the goodman going down on his knees and vowing that this state ofaffairs should be altered. We know what has been the resultof that prayer.

I do want to stress this point-that Asfuriyeh does fulfil aneed not fulfilled or attempted by any other body. If it does

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but th ne d for expansion is incessant. Must the trusteesstand back? If you ask me to be perfectly hon st, I houldsay the time has com when we yrians ought to take a handmore in that institution-Syrians at home and abroad oughtto contribute more than they have done up to now. It i anideal that I have not only for Asfuriyeh, but for every institu­tion we have in Syria. But Syria is a poor country. You haveto educate the people to give, and you cannot do that in a day.Miss Fox has this year attempted to do something in Americaas well as in Egypt. But it cannot be done in a day. There isjust one alt rnative. Asfuriyeh appeals to you for the con­tinuance of your interest. I feel perfectly certain you couldnot give your work and money to an institution more inkeeping with the heart and mind of Christ.

Commander Corbyn, R.N., Secretary of the "Fri nds ofArmenia" (supporting the adoption of th reports): fewweeks ago I attended a committee of the societies int r tedin Armenia. A letter was read from a Miss Roberts at Al ppo,describing the terrible condition of mental patients in themunicipal hospital at Aleppo. I afterwards wrote to one ofour missionaries, Miss Patt rson, and asked for a sp cialreport. When it came, it fully bore out what Miss Robertshad said. On two sides of a corridor, men one side, womenthe other, the patients were confined in "cages" with ironbars. There was no screen between. In one cell, five f ct byten, she found three women. Two were Armenians, one a girlof twenty, no doubt victim of the deportation. The other wasquite sane enough to converse intelligently in English. ~he

writer went on to say she hoped to me t Dr. Watson mlthand discuss the question with him. In a later letter she wrotethat she had visited Asfuriyeh and that Dr. Watson mithwas quite prepared to take them into his hospital. They couldbe cared for at a cost of £130 for the two per year. At ourlast committee it was decid d that, although we had no moneyin sight for the purpose, and no special fund, we w?uld ac~ept

this challenge in faith. And so I was able to wnt~ straIghtaway to Miss Patterson and say she had the authonty of thecommittee to make the necessary arrangements to move thetwo girls to Asfuriyeh. .,

I think that is a good example of how thIS work IS n~e~ed

in Syria. Our correspondent fully cor~oborates the descnp~IOn

of the Hospital. Dare I suggest that If £3,000 could be raIsedan increase of thirty beds could be made? I know I feel, myself,

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r.n-hi:- a - "- as 0 e a great d al. I have b n there and_ ~ ~"..'c1; '. . Tia in my youth, and I know what.. .. Ja_1;;;:~~U" e- 0 ~ the unfortunat us d to be.. I hall

_ a- '0 r l' ITS b T d cribing it. orne mez: tIOn hasa _ e ort. Thank od! through the mfluence

.r. '. .. - 0 of thing i bing changed gr~atly. It~_ - '~~:~:~~ther ;ne a pay with, but th name and mfluence

1. ":-;,.... as rID ated all through the country, andpe'O-1D;J""le'lu~/t;1l g1 i a 0 think abou.t the unfortunate peoplei ; . "ere .. ~'a . from what they dId. .

T re' '.:: on hing that has always pamed me, as ah' "a. r '. 'a . \\-herea the lYIohamm.edans h8;ve always

l~ k- d or. .e-e unfortunate people as ob)~ets of J2Ity, mercy,(' r . n 'enera ion the hristian sects dId nothmg of thatkind. The ill- rea ~ent, I mu t confess, did. n?t come fromh Iohamme an , but from the various ChnstIan seet '. An.d

_0 I -am 'er" lad that the whole attitude of the populatIOn ISchan :rin rough. furiyeh. .

for the in titution itself, It has bec?me a hou~ehold

d r \ Ya -on mith when he stayed wIth me on hIS lastwor. ., . 't fi-it to En land, told me this story,. ~lustrat.mp 1 same.ne da . there wa an American who VIsIted BeIrut, and who

\-'anted~to playa game of golf. So he inquired the way to thelink. He \Va told he had better go to the taxi-stand and tellthe cabman to take him there. So he went to the rank, butthe only man there did not understand Englis~. H.e t~ereforetried to how him \vhat he meant. He had a stIck m hIS handand he \',:ung it over his shoulders in the aPI?rove~ style. Theman made a ign that he understood, hurne~ hIm mto ~hetaxi and took him a fa t as he could to Asfunyeh! Dr. SmIthsaid' it wa a true story. I commend it to anyone interestedin golf. .

I think I have aid enough to show the need for Asfunyeh.~.ow I want to ay a word about the needs of Asfuriyeh. V.ouknow it began in a small farm. It has expanded to a bea~tIfulcolony, in a beautiful position. Somehow it has always remmd~dm of the :J.luezzin at the top of a minaret. As the MuezzIncalls out the times of prayer from the top of the minaret, soA furiyeh lifts its head and praises God and works for goodnessand health.

\Vhat are the needs you have heard of from year to year?God has certainly been good to us. He has provid d us withlegacies and with people who loved Asfuriyeh in their lives,

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Annual Meeting, 1930 IS

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The vote of thanks was carried by acclamation.Mr. Joseph Butler, one of the two Hon. Treasurers,

presented the Treasurers' report: I am sorry Mr. Darton isunable to do this, for he is actively superintending the accounts.Three or four items on the receipts side call for comment.We have had the largest legacy ever received by us: £8,000from the late Mrs. Frederick Greene. Another item is thegeneral subscriptions from America. For a number of yearswe have had very little from America, but now a fresh arrange­ment has been made by the committee there, and we havehad £194 more this year than last. We have also had a con­tribution of three guineas from ew Zealand. Some friendsthere are wanting to get up a definite branch, and this is thebeginning. Another important item has been the receipts frompayments by patients. In the very early days it was a questionwhether anything would be got worth having. This year ithas been £6,520. I believe that includes a considerable amountof arrears from a wealthy patient discharged some time ago,but the actual receipts are £568 more than last year.

On the other hand (there is always another side in these

that I shall not be happy until we, as a Society, have somesort of stake in this wonderful work. .

The two reports, being put to the meeting by the ChaIrman,were carried unanimously.

Miss Mary S. Whiting, of Leeds, then moved a vote ofthanks to the Auxiliary Committees ~nd Local. Treasurers: Inmoving this resolution, it is .ver~ mce to thmk that th.osewho are collecting are followmg m. the s~ep.s of TheophilusWaldmeier in his wonderful, God-gIVen mISSIOn. I first w~ntto Brummana in 1886, and saw the work that he was domgthere, and when I went again in I90? I .did. not fe.el, son:eho~,that the new effort at Asfuriyeh qmte Justified hIS leavmg hISother work. But now one sees what an honour it was to havebeen in any way connected with him and his work. I w.asreceived by Mr. Waldmeier and his wonderfully c~pable WIfeat the Administration House before the first patient came.On the Sunday we had what was, I think, the first meetingfor worship ever held there on a Sunday, attended ?y a fewworking people. I am so glad to hear that those meetI~gshavebeen going on ever since, attended by most of the patients.

I am sure we have heard quite sufficient to make every­one more interested than ever before in this wonderful work.

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Annual Meeting, 1 930 17

thing~), o~r friends in Holland, who have given largely to thHospItal m the past, have sent just under £30, against £38last year and a 1 gacy of £660. witzerland is £61 insteadof £80.

Another item which will be seen in our accounts is thecor.np~nsatio~ for war damage, which has now been finallypaId m. Dunng the war, the road needed stone for r facingand ~he easiest way to get it was to pull down the wall of th~hospItal grounds. N arly £600 in all has been paid on thisaccount and for replacements of quipment. I do not knowwhether the wall has been rebuilt.?~r total expenses have also increased. Expenditure at

BeIrut was ~6~0 more. In addition to this, we hav spent£1,763 for bmldmgs, ~s.against£100 last year. London xpenseswere ~1 more. In addItion to the extra building authorized, thecommIttee h~ve devoted £4,000 from Mrs. Green's legacy tocreate a specIal fund for providing retiring allowances for theOfficers. There have never been any funds for this purposeand we have long wanted to do this.

Mr. Max. Bellows, of Gloucester, seconding the Treasurers'report: I thmk my only justification for speaking is that manyyears ago I was one of the Local Hon. ecretaries in the W stof England, in the very early day of the Hospital. I remembervery well Theophilus Waldmeier and his wife visiting myparent~ ~n Glouce~t.e~, thirty-one years ago. I have nev r hadthe pnvilege of vlsltmg the Hospital, but one se oms to haveheard a great deal about it and about Th ophilus Waldmeier.I. could n?t h.elp thinkin~ t~at the memory of a good manlIk.e that IS WIth us at t~IS ~Ime,. and also ~t is rather appro­pnate that we are meetmg m thIS room wIth its associationsof service. '

The Chairman read an extract from an appeal issued in1896, ending: "The institution should be undenominationalin its character, and receive patients from all creeds andse.cts, from different nationalities and r ligions, without theslIghtest preference to the one or the other, as its supportsho~ld not be restricted to one nationality alone, but allnatIOns and denominations should have a share in this noblework in Bible lands."

It is worth our while remembering that this forecast hasbeen. carrie.d out absolut~ly to .the letter. In the report by theMed~cal DIrector there IS a lIst of the many religious per­suaSIOns represented (see p. 28).

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HOLLAND HOUSE (Matron's House and Central Kitchen), showing new Scullery.

Annual Meeting, 1930.

supported from England, Am rica, Syria, Switzerland, andHolland, and now from ew Zealand.

Secondly, we have heard how it i becoming progressivelyself-supporting. This is a fine te timonial, all the fin r b causeit is unsolicited. The patients who can pay do pay, and forthose who cannot pay the Governm nt actually mak s somesmall payment. This shows beyond all qu stion that theauthorities on the spot are aware of the value of our work.

Thirdly, it is a very fine pi ce of educational work. TheHospital stands for mar than the actual building and thepatients treated there. It is a beacon light in th darknes,and shows people in yria and the countries around thatmental disorders can be treat d in a human and scientificmanner, like every other dis ase. We have b en told of theinstruction classes to medical tudents giv n by Dr. Wat onSmith. Here are these young f llows from all over ia linorand elsewhere, and as an integral part of their medical coursethey go to Asfuriyeh to attend classes and see the humaneand scientific treatment in actual being. They go out as doctors,with the knowledge born of first-hand experience that mentaldisease can and must be treated like any other disea e.

And finally, we ought to be interested, becau e this is not athing that is standing still. After thirty years an in titutionis apt to get into a rut, and be carried on by the wight of itsown inertia. But we are just b ginning to xpand. In thenext twelve months we hope to build one or more new hous s.The more accommodation we have, the greater the demandappears to be.

The vote was carried by acclamation.

The Lebanon Hospital

The financial statement having been put to the meetindg atnhd

. d . ly Dr Henry Yellowlees move ecarne unanImou,' Th I name notfe-election of the Gen ral Committee. e o~ Y

. f P t H ffmann de Visme who hadreappeanng wa that a as or a C' . tf I

ted Switzerland on the General ommit ee,or ong repre en I . d d th only

and who e pre nee would be great y misse.' an enew name that of Mrs. Harry Silcock. He wIshed. to add tothe re olution a pecial vote of thanks to the VIcar of St.

Iartin' anon ~ 1cCormick, who had hoped. to have. beenpres nt for part of the time, and to the ParochIal Council,. fortheir kindn ss in granting the use of the hall for the meetI~g.The Ie olution was seconded by Mr. A. H. Taylor and carnedunanirnou ly.

Mr. Douglas Maynard: I accompanied Mrs. Se~t?n Jones,on the aturday before Easter Sunday, on a VISIt to theHospital, and I thoroughly endorse .all that .she and othershave said in it praise. I measure dIstances m the Lebanonvertically. \Ve found the Hospital about 400 f~et above thesea but it looks very close. The Treasurer quened the fate ofthe' wall that was destroyed. The buildings are not now enclosedby any wall or fence. Of cours~ it is fairly far away from a?yconsiderable amount of population, and probably the .necessityfor a wall that might exist elsewhere may not eXIst there.Apparently the wall has not bee.n r~placed.. . .

I think beyond that my chIef ImpresslOn of my VISIt toSyria was that there is one thing Syrians and Palestinians donot desire, and that is to be dominated over by Europeanpeoples, whether French or British. But where help is given ~nthe kind of way it is given at Asfuriyeh, they are very glad of It.

Dr. Tylor Fox: I think we should not like to separatewithout a vote of thanks to our Chairman. We all know thathe now occupies a distinguished Government post in con­n ction with mental work in this country, and it is veryencouraging to us to know that he is a member of ourCommittee.

While listening to the speakers this afternoon, there were afew points that have stuck in my mind as specially commendingthis work to our support.

Fir tly, there is its international basis. We all realize it is awork of Christian good will to all in need of help, and it isvery encouraging to read in the report of the many nationalitiesrepresented among the patients. On our side it is a work ofco-operation in international good will. I like to think it is

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Recovered .,Reliev d ..

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Asfuriyeh,

B irut, Syria.

There remained in the hospital on March 31, 1930, 185pati nts (103 men and 82 women).

The total number of patients admitted during the year issomewhat less than that for the previous year, because wehad previously admitted patients up to and even beyond thenormal capacity of the hospital, and so the time came whenno other than the most urgent cases could be accepted. Formore than the first half of the year I refused many patientsadmission owing to lack of accommodation. This state ofovercrowding caused very serious trouble and consideration.The trouble occurred locally, namely, to the staff in havingto deal with so many patients under such hampering con­ditions; to the patients themselves on account of theirdiminished freedom, and were it not that the climate isexcellent and that so the patients can be out of doors allday the situation would have been intolerable, the nightsbeing distinctly difficult; and to myself in having to refusethe appeals of anxious relatives-neither an easy nor apleasant task.

The consideration occurred in London, and I shall showlater how this embarrassing situation has been dealt withat least partially. '

During the year the work has been exceedingly interestingand the results very gratifying. Perhaps the best way to

MR. CHAIRMAN, LADIES AND GE TLEMEN,

I have the honour to present the Annual Rep?rtof the Lebanon Hospital for Mental Diseases, together wIththe statistical tables and financial statements for the yearApril I, 1929, to March 31, ~930.

During the year 164 patleI?-ts (118 men. and 46 women)were admitted to the hospItal. On Apnl I, 1929,. therewere 159 patients (91 men and 68 wOJ?en) present III thehospital. Th refore a total of 323 patlents (209 men and114 women) have been under care and treC1:tment during theyear. The results of the year's work are bnefly as follows:-

M. F. T.

., 19 8 27

., 43 9 52

.. 32 3 35

.. 4 - 4

. . 8 12 20

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'" THE LEBANON HOSPITAL(for MENTAL DISEASES).

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.. 11lal1mw:h as ye have done it unto olle of the lea.~t

of these My hrethren, ye have done it UlIto Me.»

Five miles out from Beirut, alon a the road toDamascus, the visitor will notice a group of whitestone houses, tiled in rcd, scattered ainono" aroves ofolive and fig trees. Four hundred and fifty feetbelow, across the strip of land on which Beirllt lies,sparkle the blue waters of the Mediterranean, and tothe north and east rise the mountains of the Lebanon.

This little colony of Asfuriyeh represents one ofthe most valuable of the many gifts to Syria andPalestine made by people of oth r lands. It is aHospital-the Lebanon IIospital for Mental Diseas s-and this year sees its thirtieth anniversary.

ME TAL DISEA ES IN THE NE R EAST.

I ts history is interesting. Thirty years ago, toquote the words of an early In mber of the Committee,"the state of the mentally afflict d in most of thecountries of the East (and N ar East) was pitiable.Except for a collection of bare and wretched cells inDamascus, there was no provision in Syria for theircare or treatment; idiots roamed untend d In thevillages, whilst the insane of an acuter type laychained and often naked in virtual prisons. Accord­ing to the theory of the religions of the land, alllunatics were possessed by evil spirits, and frequentlythey were taken to the monks or priests to bexorcised. Certain caves, one especially at I(uzheya,in the northern part of Mount Lebanon, were usedfor this purpose, and the unhappy Inen and womenwere subjected to cruel rites-beaten, starved andotherwise maltreat d-in order to expel the supposeddemon, the poor creatures sometimes dying und rthe treatment received."

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ORIGI OF THE IIoSPITAL.

The knowlecl<ye of these things lay heavy on theheart of Theophilus Waldmeier, a Swiss Inissionary,who had seen sin1ilar nliscries in Abyssinia.

"Waldn1eier took up the cause of those sick inmind as a Christian duty. To hiln it was part of thecall of Christ to heal the afflicted and succour themfrom evil. On seeking counsel froln his friends, hemet with encourageln nt from SOlne, whil t othersd elned his id as iI11practicable, and it was evensuggested that he would .be the first lun~tic to enterhis own asylum. I-Ie deCIded, howeve.r, ~n 1896 ~hat

he would retir froD1 the Brumnlana MISSIon (SOCIetyof Friends) in order to set forth, at the age of 64years, on this new crusade.

" Years of preparation were needed. He caIneto England with his wife, and devoted nluch time tovisiting the leading asylulns in England and inScotland, to acquaint himself with the best Inethodsof caring for and curing the insane. In a visit toAmerica, and in Germany and other Europeancountries, he gained further expenence. Althoughhe had had no medical training, his long experiencof men, his powers of obseryation and his shrewdcommon sense combined to give hiln much insightinto mental trouble, and to fit him for the work hehad taken up.

"He appealed to a wide puhlic, interested InhUInanitarian and in In clical progress. Comlnitteeswere set up to help his scheIn in Switz rland, Ger­many, Holland, The United States, Canada, Scotlandand Ireland. Most of these Comlnittees still exist.A Central COlnlnittee in London took charge of thework." [Sir H-ichard Tangye was the first Treasurer,succeeded in 1906 by Mr. Joseph Butler and the lateLady Tangye. In 1913 Mr. Oscar Darton took theplace of the latter, and he and Mr. Butler are stillJoint Treasurers. The earliest Chainnan was Dr.Percy Slnith, then of Bethlem Hospital, where the

COlnn1ittee first n1 t, who presided until 1904. Bothhe and Dr. Fortescue Fa.', who succeed d after twoyears' t nurc by 1)r. Elkiw" and who held offic untilthe p'resent .Chainnan, Dr. E. \V. (~. l\Ia tern1an, waappoInted In 1922, are ~till actiYe n1embers of theCOlnl11ittee.J "l\Iore than one long journey had to btaken by Waldmeier, accompanied by his wife, tolaunch ~he new effort. But there was a good r sponse:he was Indeed a powerful plead r, and funds came in."

Land. was bouoht In 1898 at Asfuriyeh, anexcellent SIte of SOlne 33 acres, and buildings weregr~dually put up. Up to 1898 a total of {4,500 wasraIsed, as follows :-Great Britain & Ireland {2 900, ,U.S.A. and Canada {800, Continental countries{700, and Syria nearly {I00. "I t was no longerthe case of an unknown Inan ptlnting hiinself amonga suspicious and prejudiced people, but f one well­known and respected, who had lived down oppositionand was in favourable touch with those who couldhelp. His friends In Heirllt, an10ng wholn w renumbered, besides Syri~lns, the Lest doctors and theleading European resident', espoused th pr ject.They included the leaders on the staff of the SyrianProtestant Colleg , a noble institution which hasstood for half a century, the gift of American loveand z al. The vet ran Dr. VanDyck, Dr. \V. M.Tholnson, author of 'The Land and th ok,'Dr. I-Ioskins, and others who have I [t a fragrantmemory in the Ea t, were long among \Valdm ier'ssympathetic friends. The nan1es, too, of Bliss,vVortabet, Jessup and Franklin 100re are re­melnbered as of men who gave the best of theirlives for Syria. An Ex cutive Comlnittee, includingSOlne of these, was fonn d for local nlanagement,and it till adlninist r th Hospital with fficiencyand wisdom." Th present Chairman i Dr. C. .Webster, and the Honorary Secretary Prof. A. A.Bacon of the University of Beirut, while Mr. Shoucairand Mr. I<heirallah, original members with Dr.vVebster, still serve upon the COlnmittee.

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EARLY YEARS.

"A Swiss doctor, Dr. Wolff, was engaged, andthe Hospital was opened in August, 1900. The poorinsane wer soon brought for treatment, on foot or onmul -back, bearing often on their bodies the marks ofcruelty. Some were recent and acute cases, susc~p­

tible of a speedy cure. Some were brought by nchrelations, who were glad to pay for .them. Men andwom n of all religions came in theIr common need;even priests were all10ng them, and were not backwardin voicing their gratitude. It was, indeed, a marvelin that country to see the unfortunate creatures housedin cOll1fort fed and clothed, with the minimum ofactual restr~int. Amongst them all walked Waldmeierdaily, with his friendly salutations, and making nosecret of his motive, that of Christian love. Heregularly gathered those who were able to come tohear the Gospel."*

ITS GROWTH.

Year by year the Hospital grew, in size and ininfluence. One building was added after another, asfunds permitted. The Administration House, Amer­ican House and Swiss House were opened in 1900,the Robert WaIn Ryerss' Memorial House (given byan American lady) in 1903, Philadelphia House 1904,Holland House 1905, Strawbridge Memorial House(American) 1906, the John Cory Hall (English) 1907;also many smaller buildings from time to time, suchas a Laundry, a Porter's Lodge, a Steward's House,Pharmacy, Laboratory, Admission and ReceptionPavilions. The last house to be built was the Eng­lish House in 1914, a charming E-shaped, single­storey building, the gift of the late Mr. and Mrs.Frederick Greene.

THE STAFF.

From November 1904 to May 1908, Dr. HarryThwaites was Medical Officer. In January 1909 Dr.

.,. Theophilus Waldmeier," by R HINGSTON Fox, M.D., 1916.

Watson Smith succeeded him, and for some timeshared with the Founder the responsibilities of ad­ministration, but in April 1910 the latter resigned hisposition of Business Superintendent, and in 1914, inhis 83rd year, retir d to Beirut, where in March 1915he passed to his rest. Since 1910 the Hospital hasbeen directed by Dr. Watson Smith, who has notonly ably fulfilled his medical duties, but has enhancedthe value of the estate by many improvements, mostof them carried out locally by direct labour. In MiGibb, the Matron, he ha had an able econd in the careof the patients sine March 1913, and sh in h r turnis now helped by an Assistant Matron.

There are 31 Syrian att ndants or nurs s (17men, 14 women), drawn from neighbouring mountainvillages and taught at the Hospital something of themodern medical care of the ide. This in it elf hasbeen no light task, for many of thell1 wer completelyignorant and had never so much as seen a bed or abath before. In staffing th Hospital an effort wasmade to keep the international ba is. Thus for someyears there was a G rman head attendant (Mr.Baumkamp), and in 1928-29 a Swi s As istant Matron,who unfortunately had to leave on account of illn ss.

WAR YEAR.

The Hospital was spar d to carryon its workthroughout the War, although the Director wasvirtually a prisoner held by the Turks, and had muchado, in those times of famine, to keep body and soul to­gether among his patients. When the Turks weredriven back, the Hospital was of service in ministeringto General Allenby's troops during an epidemic ofinfluenza.

POST-WAR ACTIVITIES.

I t took years of labour to repair and restoreAsfuriyeh after the War, but little by little this wasdone, in spite of financial stringencies. Many im-

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provements and additions have now been made,including a proper drainage systc1n, an electric lightinstallation, reservoirs [or water, the planting of treeswhose crops (olives, aln10nds, figs) are of greatecono1nic value to the Hospital. In 1924 an artesianw 11 was sunk, for originally the I-Iospital was d ­p nd nt on a single spring. This w 11 unfortunatelyran dry and proved to be insufficiently deep, and itis only now ( Jove1nber 1930) that the engineer hasbeen abl to return to Beirut to c0111plete his work.Gr at things are hoped for fro1n a really an1ple supplyof water, not only to develop the laundry and increasedomestic supplies, but for irrigation of the land andthe cons quent growing of vegetables and provisi onof grazing land for cows.

EMPLOYME TAD SOCIAL LIFE.

All the patients are encouraged to work as 111uchas possible, and 1110St of th 111 turn their hands tosomething. Besides all the general work of theHo pital (cleaning, pr paration and serving of fo d,washing, pUlnping water, &c.) there IS sewing andmending to be done, gardening, "\ ood-cutting, thepicking of oliv s and other crops, mattress-making,carpentry, small repairs of all sorts. A few doembroidery and fine needlework. Human beingsvary in their zest for work, but most of the patientsprefer to do som thing, and activity of all kinds isfo tered becaus of the curative qualities of interestand occupation.

One of the most re111arkable features of theHospital (not to be found in the few other MentalHospitals of the Near East) IS that, although thepatients are drawn from an astonishing number ofreligions and races, all who are well enough uniteevery Sunday in a simple Arabic service for worship,conduct d by Mr. Gabriel, a Syrian pastor fromBeirut. Even Moslems and Druses join with Jewsand Christians of all varieties (Greek Orthodox andCatholic, Latins, Maronites, Protestants), and the

,~- - - -

se.rvices are obviously much appreciated. If theywIsh, of course, patients can have th ir own reliaiousle~ders to visi.t the111 dl:ring the week Perhap~ thisunIted gatherIng 1nay In sOIne Ineasure account fort~e hannony and peace in which this con1Inunity ofdIvers races, creeds, ten1peran1ents and social con­ditions lives.

PAYMENTS OF PATIE TS.

In .the early da'ys n10st of the patients paid littleor nothIng, but as tIme went on Inor and 1nore wasreceived from them. Now that th French G vern­mer:tt l?-as assumed responsibility for Syria, a smallcaP.1tatIon fee is paid by theln for the ery poor.Th1 fe does not cover expenses, but it is an normoushlp. Th re ar still some gratuitous pati nts, butthe greater nUlllber are now sent throucrh th Fr nchaut~10rities. Besid s th se, there are ~l1any privatpatIents, who pay according to means, the richerhelring to support the poorer. In this way thmaIntenance expenses of the I-Iospital are now c v r dleaving the salary of the Director and administrativ~expen es to be otherwise provided for. This is a realachievement, since the upke p of a Inental hospitalmust always be hi~h owing to the alnount of beddingand cloth destroyed by the patients when in theirviolent phases.

The patients c me fro111 all paris of Syria andPale tine, but also fron1 the outlying lands, such asIrak, Persia, Arabia, parts of \frica and theMedit rran an Islands, In none of which domental hospitals exist. Practically all the Europeancountries have also had representatives her aspatients at one time or another.

Built, as it IS, on the pavilion system, theHo 'pital can readily adapt itself to the care of peopleof 111any types of illness, acute or chronic, as well asof differing social conditions.

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RESULTS OF TREATMENT.

During the year 1928-9, 315 patients were undertreatment (205 In n, 110 women), of whom ~6recovered their sanity completely and 51 were dIs­charged "improved." Th re remained in Hospitalon March 31st, 1929, 159 patients.

In 1929-30 there were 323 patients (209 men and114 women) under care and treatment. 27 recoveredand 52 were discharged" relieved." On March 31st,1930, 185 patients remained under treatment.

IMPROVEMENTS AND ADDITIONS.

Since April, 1929 a great deal of developmenthas occurred. The chief improvements are as follows:New Storey built on to Strawbridge House; ewCorridor built, with 11 single rooms, to unite two ofthe women's houses (Philadelphia and American) ;new Wood Shed built; also a Pharmacy; also a DayRoom to Philadelphia House; Wood sheds partitionedand garage provided; an Oliv press and crusherbought; machinery installed in the Laundry; a newStore for Petrol and inflammable goods built; aSeptic Tank provided; the Drinking Water Cisternraised; considerable improvements made to theScullery and Kitchen.

From April, 1929 to September, 1930, a sum of£2,798 has thus been spent on building and improve­Inents. This development IS mainly due to thegenerosity of a few people who left legacies-to ananonymous lady of Dutch descent, to an Americanand to four Englishwomen. But there were other kindfriends who had a share in it, through donations sentto the Building Fund.

EW HOUSES.

In August, 1930, to meet a pressing 11 ed, a newHouse for Men was begun-a two-storey building tohouse 40 patients, with nurses. The total cost of thisbuilding, furnished, is £2,225, of which £550 has stillto be raised.

-,~

A similar house is now needed for WOlDen.The p~esent number of beds at the Hospital IS

187, 28 haVIng been added during last year.

A TEACHI G CE TRE.

~esides being a centre for the training of nurs s,Asfuny~h has for many years b en th Inain teachingcentre In Mental Diseases for the ear East. In1926 ~r. \iVatson Smith was appointed Professor ofPsychIatry at the (American) University of Beirut,and he not only lectures regularly there on MentalDiseases to all fifth year medical students, but alsohas a weekly class at the Hospital, for clinical instruct­ion. The result is that no medical student can leavethe University without having had at least anintroduction to this great branch of medicine. Asthese young men (Arabs, Jews, Armenians, Persians,Egyptians, Africans, &c.) go back to their own homesto practise, they are bound to have in th ir n1inds thestandard set by Asfuriyeh, in medical skill, scientificresearch and Christian care. Such a standard,visible and striking in a country like Syria, cannot beignored or forgotten. This aspect of the Hospital isnot the least important of its attainments.

For the last few years Dr. Watson mith has hadthe help of a succession of these senior students asresident assistant. They come for two months at atime, and are most useful, helping with the routinework, especially in the laboratory.

THE F TURE.

Let it not be thought unnecessary, any long r, tomaintain or to enlarge this Hospital, just becauseSyria has passed under th Inandate of France.Syria is a large country (larg r than Great Britain),and a very poor country aft r centuri s of Turkishrule, of wars, rebellions Clnd depredCltions. To bringback pro perity to such a country will be a colossaltask, and help will be need d for a very long time

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from all who care for its welfare. So far as mentalillnesses are concerned, the authorities ar rising totheir responsibilities by building a new hospital formental diseases at Damascus (100 beds), and bygIvIng capitation fees at Asfuriyeh. But far morethan this IS needed to meet the ravages of mentaldisease in Syria. Even in quiet England one bed ina n1ental hospital has to be provided for every 270people, and about the same proportion holds in otherwell-ordered countries. In Syria, where one wouldexpect the incidence to be Inuch higher, on accountof what the people have gone through, there IS atpresent only one bed for each 16,300 people. Thereason why Asfuriyeh is always full, and unable totake in all who apply, is obvious! Pitiable accountscome in, from time to time, of the conditions underwhich deranged people still suffer.

For thirty years this Hospital has stood steadilyand done its quiet work, through bad times and good.I t never had a higher position than now, nor moreuseful work in prospect. But these post-War years,with their burden of poverty and unemployment, arehard for philanthropic work. For its full fruitionAsfuriyeh must depend, as it has always done, onsympathy and practical support from many countries.

The London General Committee appeal forSubscriptions and Donations for Enlarge1nent: alsofor Endowment Fll1lds to 1nake the position of thisunique voluntary Hospital 1nore secure in the future.

The latest Annual Report will be sent, and further information

gladly given, on application to the General Secretary, Miss HILDA fOX,

at the London Office, 55, Wellington Road, N.W.8.

Report of the Director 21

demonstrate this is by referring to the attitude of the F~fth.Year Medical Students who come up here from the AmencanUniversity, Beirut, for ,periods ?f ,two, months eac~ throug~­out the year for additIOnal trammg m 1\1 ntal DIS ases, maddition to that given to the Fourt~-Year Class of tud nts.These students reside in the hospItal an~ do th~ work ofassistant medical officers, and I can certamly testIfy to thekeenly interested way in which they go ab.out th Ir wo~k.The are continually in the ward~, o.bservmg the varymg

hares of the patients and investIgatmg them th?roughlYdthey follow up the various treatID:e~ts of the .p~tIents and a great deal of dispensing of medIcmes and clImcal ~aboradt~ry work such as blood examinations for m~lar{a ft a~dWasserma~n reactions of blood and cer~bro-spma ,~I,which are done weekly on all patie~ts admItt~d. In ~ddl~~O~to accompanying me during my medl,cal rounds m .the OSpI a ,when they receive clinical in~tructlOn, I :pr~scr~e ~ c~ur~of additional reading in PSy~hlat~h ant~:~hthe~ub)e~e~t f~~mwhat the students tell me ga er k t bustheir stay here. I ~an ~~~~~~~Z.ls~~b\~:tgleeYi~r~et~l pa~B~

The accompanymg f tal disorder probable causatIOnculars of t.he forms ? . men rsuasions ~ccupations, durationfactors, resIdences, rehglOus pe f d ath of the patients admittedof stay inhospital, and. c~uses 0d \0 the probable causationduring the year. WIt . regar d that it is an utt r impo si­f~c.tors, it may b.e sa~ mt ~~O~at ly in a statistical manner.blhty to treat thIS su )e~. q hysical causes which can beTrue, th.ere are a few 0 ~lO~~~ne personality is producedso classIfied, bu.t how t eb such simple formu!<:e, for. t?ecannot be explamed a~ay 1. dividual are mental in ongm,factors are many and ~lghI~~~personality. This is obviouslyand go to the very roo sOl 1 authoriti s for no att mpttaken for. granted by ~he ~cahistory of those patients sentwhatev.er IS made to ~ 'l!rt ~)1opital, I am not finding faulthere WIth the usual ~ e S' first because any obser­with this system, for two rtefs~~ from th relatives of thesevations such as I usually ge a thl ss and prolonged cl rical,poor patie~ts ~r.e g~neral~y ~o~s wOl{ld 1 ad to waste of timepolice, and )UdlClal ~nvestlg~ 10 't 1 whereas by the presentin getting the :patIe~t to ~Pl: ~unicipal' doctor, certifiedsystem the patIent IS seen l. be laced under care andto be mentally deranged, an can of ~odily dis ase say, fortreatment as quickly as can a case '. t typhoid fever or a fractured 1 g.Ins ance,

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Report of the Director

I r~ferred abo~e to the overcrowding in the hospital, andmentlOn~d that It has been overcome partially. This wasaccompl~shed by t~e addition of an upper storey to theStrawbndge M~monal House, which is one of the pavilionsfor female p~tIents. The work has been most satisfactorilyperformed, .wIth t~e result that it is one of the best pavilionsIn the hospItal. In It are also delightful rooms for the a sistant

matrons.The single-room accommodation for women patients hasalways been inadequate. My request in last y ar's report foradditional single rooms for women patients was promptlyresponded to, so that we now have a corridor of elev n singlerooms running between the American and Philadelphia Hou s.I am very pleased indeed with this most valuable addition tothe hospital, which will very greatly add to the comfort of theexcited patients in these two pavilions.

In this manner we have been able to overcome, at 1 astpartially, the difficulty of overcrowding in the female wards.The word partially might convey the idea that I am notsatisfied. Far from satisfied! I think that these additions arevery valuable, but we have in no way met the qu stion ofadditional accommodation. The extra beds in the trawbridgeHouse are nearly full with the surplus patients we alreadyhad in the hospital, and the eleven single rooms are to beconsidered more as an imperative means of treatment thanan addition. However, we can manage m anwhile in thefemale pavilions, but as yet nothing has b en done for theovercrowded male wards. Therefor I am oblig d to repeatmy request of last y ar for two other pavilions, one for menand another for women patients, the former to be builtimmediately funds are available.

Other minor but none the less important improvementshave been suggested; namely, to build a new room in acentral position in the grounds to be used as a pharmacy,and thus free the pre ent pharmacy for use as a large s wing­room, in which many more women patients can be employed.I t has also been suggested that additional workshop accom­modation should be provid d. This would free a large cellarunder the Philadelphia House, which could then be u d asa store for foodstuffs, b cause the storerooms under myhouse are now quite full of large jars containing olive oil

and olives.I am very pleased to report that the long-continu d carewhich has been bestowed annually on our olive trees is cer-

. .

The Lebanon Hospital

I am sure that people in En 1the number of pati nts who g ~nd would be astonished at~he. year--to a mental hos ~~~e ere .voluI!tarily throughout~U~IC~S against such ins8t t! and In spIte of all the pre­InCIpIent mental disorder u lOn~-to consult me aboutsuffering. Many of these ~r~~n7hI~h they feel that they areat al~ and get well at hom . s 0 not. enter the hos italhospItal consulting-room' e wIthout hospItal treatmentPThe~illthe institution. It is ~o~~~r~~lt~e most important partsth mg to co-operate in their treat o~ many patIents are

ey are not even asked t t men when they find thatwho ask to be admitted 0 s ay here. There are also thTh" ose

IS year we have been t'nursing ~taff. Miss Gerwer !a~ Icul~rly unfortunate with ourof

hArabIc, and was getting ni:e~qU1red a working knowledge

~ en she went for her holida {aScc~stomed to the works e wrote us the very dis y. o. witzerland. From ther~was causing her concern a~PP~)lntIng news that her health~eturn to duty. Attempts w~ m consequence she could not

nd an~ther assistant matron e made In England to try and~harge m the absence of the who

twould be capable of taking

a~~asttelYt stopped because the ~d~~on, but they. were unfor-an matron U fl arose of trYIng .

~~ne, with the hel; ~f ~~t;o~:~~~e, Miss Gibb was ~~:t:~;t' pensIOn and really physicall TfiagIr, who was actuallyInUOUS straIn. I am s y un t to endure an

at the end of last yea~r7tt:~ say that Sitt Helene die~ ~~~~~~:~e t'spital. .Meanwhile we ~!:l'r~l~e of nearly thirty yearsHos e: ISS AigIan, who was trained

n. a very good Armenian

pital at Harpout d In the American M' .:~~att~at of Sitt Heie~~ JJ'i~sw~i~~OU&ht that with her's~~~;have ~Yd however, as is invariably t~lght get along. Unfor­taking ah no mental training Miss Ae case WIth nurses whoher c. arge. She is a useful n Igian IS not capable ofto L~~~~';St~Oa~eplaceSitt Hele~~~eiJU~n1~a~tend to retainthe assistant mat~ofor a properly trained ment~lhad to wnteTh . n. nurse to be

e Increased number .and it is not d . of patients mak th' .continuously ~rab~.to impose the extra:t . IS Imj:>erative,without adequatl~She{b~goes on furlough ~~:~ ~::mMlss Gibbehven unsatisfactorily Pd t. WIll be Impossible to do tr;:er, ankdt e above remark .' . unng her absence I th' e wor ,trained assistant s It IS obvious that th~ ~nk that from

matron are indispensable. serVIces of a well-

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The Lebanon Hospital Report of the Director

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tainly bearing fruit in a remarkable manner. In addition tothis, as for some years back we have planted about onehundred new trees each year-this year again one hundredtrees-the prospects of our olive groves bearing a rich harvestwill soon be realiz d. Vve have at present 535 trees which arebearing fruit and 300 on the way. Even at present the cropis sufficiently valuable to warrant the purchase of an olivepr s, so that we can express the oil ourselves. We preservesufficient olives to provide food for the patients for twoyears. We have to sell our surplus supply of oil, and havealready started making soap here in the hospital from thissurplus. It is impossible to estimate accurately the quantityof oil which the local press charges as commission. "Chargesand takes" is the correct expression. The nominal charges ofcourse we know, but there are two different methods ofexpressing the oil, namely, the manifest and the latent, theform r of which alone we know.

I am hoping to have the laundry machinery installed inthe near future. This is now possible because recently I havebeen able to secure the services of a competent electrician.

I have to thank Miss Gibb and Mr. Lowrie for the valuablehelp which they so ungrudgingly give me in the conduct ofthe hospital, and also the members of the Executive Com­mittee of Beirut for their continued support.

ASFURIYEH,

April I, 1930.

II

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The Lebanon HospitalReport of the Director

TABLE II.SHOWING FORMS OF MENTAL DISORDERS

ADMISSION.

TABLE IV.RESULTS FOR THE YEAR,

SHOWINO THE 01E1N9~:A~ MARCH 31, 1930.

APRIL, ,

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420

T.159

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893

82

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Admitted.M. F. T.84 25 1093[ 20 51

3 [ 4

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TABLE V.ONDITION OF THOSE

SHOWING THE SOD~~~~A~OED,AND DIED.ADMITTED,

Discharged.M F. T.75' 9 8422 11 33

[ 1Single .. ,Married .. ,Widowed '.'

On the Hospital retst~~~'sA~~il~~tt~~2C)du;i~g ti~~Total number 0 c .

year... 'f" .. , und~'~ treatment duringTotal number 0 cases .

the yea.r h .~. r~~ovai'by friends, or deathCaaes of diSC arges,

duriR~~~~e~:~r:-... .., ... :::Relieved .. , .. , .. , ... ..,Not improved .. , .. , ..,Not insane ... .., .._Died ... .., D· .. ·h g~d and Died

Total number of cases lSC ar .. ,during t~e year. t'" M~;~h 3[':'1930 ...

On the Hospital regl8 en,

75

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65

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10

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r. ARRESTS OF PSYCHICAL DEVELOPME T:-(a) Idiocy... ... ...(b) Imbecility... . ..

II. GENERAL NEUROSES;-(a) Epilepsy... ..,(b) Hysteria ... ...(c) Mental Disorder from Fright ...

II I. INSANITY OF INFECTIOloiS;-Fever Delirium ...

IV. INSANITY OF EXHAUSTION:­(a) Delirium of Collapse(b) Acute Confusion .(c) Chronic Exhaustion ( eu~~sthenia Hypochondria)

V. TOXIC L SANITIES :-Chronic, Alcohol, Morphia, Hashcesh ...

VI. DEMI!~TIA PIVECOX:-(a) Simple ... . ..(b) Hebephrenia... .(c) Katatonia ... .(d) Paranoides ...

VII. DE~IENTIA PARALYTICA ...VIII. IN ANITY OF CEPHALOPATHIES:-

(a) Diffuse ... ...(b) Circumscribed ...

IX. INSANITY OF INVOLUTION:-(a) Dementia ... ... .(b) Senile Melancholia .

X. MANIC DEPHESSIVE INSANITY ;-(a) Maniacal States ... .(b) Depressive States .(c) Mixed and Circular Forms

XI. PARAPHRENIA ... . ..XII. PARANOIA •.• •.• •..

XIII. NOT INSANE •.• ... ...

II

TABLE III.SHOWINO PROBABLE CAUSES OF INSANITY

THOSE ADMITTED DURINO THE YEAR.

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TABLE VI.N OF RESIDENCE IN THE

SHOWINO THE DURAT~~E DISCHAROED ANDHOSPITAL OF TJiRINO THE YEAR.

DIED D Discharged.M. F. T.34 1 362l 2 24

10 7 178 [ 94 15

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10

410

10

7

454

JEtiological Factors and Associated Conditions.

Insane Heredity... ... .Neurotic Heredity... .Congenital Imbecility... '" .Puberty and Adolescence .Climacteric ... .Senility... .Puerperal State and Pregnancy... '"Mental Stress (Sudden)... ... . ..lIIental and Physical Stress (Prolonged)Alcohol... ... '" .Morphine and Cocaine... .Syphilis ... ... ... .Lesion of Brain and Special Senses .Epilepsy... .Hysteria ... .Heart Disease and Blood VesselsFevers ...Malaria ...Not Assignable (History Defective) ...Not Ineane... ... ... ...

II

~-I----+----+---+-lil

It

I

_.- -- .- -

I I-,- ~

I

-

\ I 1,\11,1

1\'\'I'lffi

__ --\-----1.-- '

\ I

\ ,\ \

1\

- --:-----+---.1

-+-- --1"-----.1-

.~f--

- ---1"---+-----1--

-- -

1 1 0o 10 01 1 0

20 0 0

(1]0 (J

1 0 0

22 0

1 0 0

o 10 0

5 0 01 1 0

05 0

o 10 61 1 0

1 0 01 1 0

1 1 0

0261 1 01 0 0

1 1 01 1 0

05 0

o 10 01 1 0

5 5 0o 10 01 1 0

o 2 6o 10 005 0

2201 1 01 0 0

20 01 1 0

33 0

1 1 0o 10 0

o 5 0

05 0

DONATIONS

March 31, 1930

20 005 01 0 0

o 10 01 0 0

02 0

o 10 6

12 4 0

£ s. d.

TJltedLifC oflFaitlt, Readers of 2 5 0or ans Fe lowship Meeting. . 0 IS 0

*St. Martin 'sin the Fields I'aroch.Church Council . . . . 4 0 0

Collins, Miss J. E. . . . . 0 10 0Collins, M. A., M.D. . . . . 0 10 6Collinson, Miss ., . . . . 0 3 6Cooper, Lady ., . . . . 5 0 0Cooper, Miss . . . . 1 0 0Corbett, Miss Aline F. ., ., 0 JO 0Cory, Sir Clifford, Bart.. . . . 2 0 0Craig, Sir Maurice, M.D. . . 2 2 0Crook, Miss E. M. . . . . 0 2 6Crook, William H. . . . . 0 10 0*Crosfield, Miss G. . . . . 1 0 0Crowley, Dr. & Mrs. Ralph . . 1 1 0Cruddas, Miss Eleanor ., . . 1 1 0Dack, F. C. . . . . . . 0 10 0Davey, Miss Kate (after

audit, 2S. M.)Davies, Mrs. A. W. ., ..*Davies,Mrs. Dixon ., .,Delf, Miss Jessie.. . . . .Donaldson, R. . . . . . .Edwards, F. H., M.D. ., ..Ellis, Mrs. Bernard . . . .Ellis, Mrs. G. H. . . . . . .Ellis, Miss Marian . . . .Ellis, Theodore B. . . . .Ellison, Mrs. John . . . .Farrer, Miss . . . . . .Fisher, Mrs. . . . . . .Forster, Mrs. . . . . . .Fowler, Miss A. P. . . . .Fowler, Miss Jane . . . .Fox, Alfred F. ., ., .,Fox, Miss Annette . . . .Fox, Mrs. Fortescue . . . .Fox, R. Fortescue, M.D. . .Fox, George Henry . . . .Fox, the late Mrs. Howard .,Fox, J. Tylor, M.D. . . . .Fox, Miss l\1E'g ., . . . .Fox, Mrs. Reginald W.. , .,Fremlin, Mrs. R. J. . . . .Friel, Dr. and Mrs. Alfred ..Fry, Miss A. Ruth . . . .Garrett, Miss M. E. . . . .Gayner, Miss E. S. . . . .Gibbins, John ., . . .,Gibson, Miss . . . . . .Gillett, Mrs. . . . . . .Gladstone, Mrs. S. H. ., ..Gooch, Miss A. M. . . . .G.M. 0' ., ., .,

Goodbody, Mrs.. , . . . .Gosling, Mrs. Robert ., ..Gregg, Mrs. R. C. . . . .Greenfield, ~frs. . . . .Grenfell, In Memory 01 Bernar<l

Pyne ., ., .. .,2 3 4 Gunn, Mrs. MarcuS ., .,8 5 0 *Gurney, Henry. . . . .,o 10 0 Gwyn, W. J. ., ., .,

* Sec also Building Fund.

3 3 005 0o 10 0o 10 0

2 0 010 10 0

10 022 0

05 0026o 13 0o 13 0

05 05 00

1 0 0

11 0

1 1 0

1 0 0

11 0

11 0

10 01 0 0

10 0

06011 0

o 10 620 010 010 0o 10 6

05 005 0o 10 020 01 0 0o 10 0

SUBSCRIPTIONS AND

For Year ending£ s. d.5 005 0011020 010 0

Albright, Miss M. C. . . . .Albright, W. A. ., • . . .Alexander, C. E. . . ., ..AlIen,Kenneth C. (1928-9, £I) ..*AlIen, Mrs. A. H. . . . .Anderson, Mrs. Rupert (after

audit, 5S.)AnonymOUS (Ealing Common) ..Anonymous (Clitton) . . . .*Ascroft, Mrs. ., . . . .*Backhouse, Mrs. Edward ..Badock, Mrs. . • • . . .Barber ,Mrs. 'Y\'. B. ., .,Bell. Miss S. S. ., .. ..Bellows, Miss Kitty and M1'. MaxBerry, Mrs. E. H. . . . .Bilbrough, Miss L. H. K. ..Bottomley, Samuel . . . .Bower, H. Syndercombe ..*Bowly, Mrs. Christopher ..Brackenbury, Mrs. Hereward .,Braithwaite, Misses R. B. &

C. L (after audit, £1 IS.)Braithwaite, J. Frederick ..Braithwaite, Mr. & Mrs. John ..Brealey, George ., . . . .Brealey, Mrs. . . ., ..Brenan, Miss J. E. . . . .

" (Children Meetings' Box)Brooks, Howard. . . . . .Bruce, Miss J. . . . . . .Buller, Mrs. Tremayne ., .,Burn, Miss E. A. H. . . . .Butler, Joseph ., ., ..Cadbury, Barrow. . . . . .Cadbury, Mr. & Mrs. Edward ..Cadbury, Mr. & Mrs. George .,Cadbury, Mr. & Mrs. Henry ..Cadbury, Miss M. Christabel .,Cadbury, 1'11'. & Mrs. Paul S. .,Cadbury. William A. (paid £1 in

1926)Campbell, Mrs. A. H. (Toronto) ..Capper, Alexander, & Co. . .Catchpole, Miss M. . . . .Chambers, James, M.D... .,Chapman, Dr. W. D. ., .,Chegwyn, Mrs. .. . . . .Clark, Edward H. . . . .Clark, Frederick, F.R.I.B.A.

(1928-9, (1) . . ., ..Clark, J. Edmund ., .,Clark, Miss P. F.. . ., .,Cockill, Dr. and Mrs. W. B. . .Cole, Mrs. Barrett . . . .Cole, Mrs., per Mr. A. J. Wood ..Cole, Mrs. R. H .• , . . . .Collections:

Annual Meeting, 1929 (includ-ing cheque (8) . . . .

Camberwell. Chapel of St.Luke the Physician ..

The Christian, Readers of ..English Churchman, Readers of

T.1I

11:1

11

2Z

1

55411

531

3211

52

32

3

T36

2

2111

T.

-

5

F.

I

I

I

1

33

F.10

1

4

F.1

12

3

DURINO

541

DURINO

531

3:1

1

M.1I1

J.f.26

I

171

1

344

M.1111

1I

5

118-

118

=

PostmasterPupil... . ..Salesman .Sewing Maid .Shopkeeper '" "'-2Shepherd ..Surveyor 1Soldier 1Sllilor'" 22Servant ... 1Student ......-Shoernak~r ...Silversmith . ..Teacher .Tailor -Tt:lepho~~ Op~~'ator .Watchman .\Veaver .Workm~~ .Wireless Oper~i~r .\~asherwoman ..NO OCCUPATION::: 19

LattakiaJebel Druze~fadagascar .Mardine .Marache'"MoroccoNorth Africa .Palestine .RussiaSidonSenegal :::TripQIiTyre :::TunisTurkey ·.·Zahleh .

MareniteProtestant ...Rom.an Catholi~~l1~Slan Orthodoxynan Catholic ...

DURING THE YEAR.Gross Disease of B' M. F.

and Membranesral11

Renal Disease ... 2Tuberculosis... ...-

I

54

2

F.

2

12

316

12

M.1

1

42

31

1

391

M.331

42

1:I

25I

I1

I11

1

3112

12121

21

... 10

... %9

OCCUPATIONT~Ag~~~~SE ADMITTEDHE YEART. I

1111

11

311212121

31

10I

31I21

42 I

SHOWING RESIDENC1AgLE VIII.TH: J;f~.E ADMITTED

F. T. I- 3

51

5:I

1

541

1

1

11

4911

3

SHOWING

Arti~tAuth{)re~~ .Builder .Baker'" ..Barber ... ...Butcher'" '"Clerk'" '"Con fecti;;ner .Chauffeur .Cafe !{eeper ..Carter ..Doctor'" ..Engrave~· .Farmer ..Grocer '" ..Hawker'" ..Hairdre~~~r .Labourar .Land Worker .Merchant '"Medical Stude~iMechanicNurse .Porter'" ..Peasant ... ...Plough~~n :::

ArmeniaAleppo ...AkkarAdana ...Aintab '"Algeria ...AlaouitesBei rutBaalbec'"Baghdad"CorsicaCalifor~i;DamascusFranceHalffa ..Hama .

Jerusale;;~affaLebano~"

41

SHOWING THE RELIJ~BLE IX.ADMITTED DUUS PERSUASION OF

Armenian Catholic M. F. T. RING THE YEAR. THOSEArmlwlan Orthod'" 5 -~rmenian Protest~~l" II 5 I ~

ruze ... 1 1 2Gregorian ... 2 I

Greek Catholic'" I 2 3GI'eek Orthodox '.. 2 - ~Israelite II 6Moslem 1 :I 17

'" 39 13 5~

SHOWING CAUSES TABLE X.OF DEATHConfusional I . M. F TCardio_Vascul~:aDmty 1 ~ . I

ease I. 2Dementi~ ... - 1General Paraly~is 3 2

'" 2 2

I,

I

Ii-r--+-----+-----LI

8- 12 20

-

-,- .- ,-

100050o 10 0026

, 1\, ,11\.1 1.1.1 ,1.1,1

-

M~rr\' T"'I" '11'1

\ \

II

o 10 0

05 01 I 0

05 0I I 0

o 10 0

I I 0

o 10 0

05 005 0

2 0

£ S. d.02622005 005 020 010 005 6100o 10 0I I 0

05 0

05 0100o 10 0100

£21

SCOTLAND

EDINBURGH COMMITTEE-S H ARTHUR ROSE,Presidetlt-LT.-COL. IR .

D.S.O. PAULIN,Vice-Presidents-S IR DAVID

DR. JAS. C. STURROCK.

J AW STONE ESQ.H01l. Treasl~rer-. .' 'J PA D WOOD, ESQ., . .

Han. Secretary- . '" Palmerston Place-Per Mr. Stolte, 2,) £ S. d.

05 005 0

20 0

33 0

5 00o 10 0o 2 6o 10 0

05 0

05 0

I I 01 I 0

10 0 0o 10 63 0 02 2 0

10 0I I 0

I I 0

07 61 I 0

o 3 6I I 0

Peters Mrs. H. M. .. ..Pierce' Bedford, M.D. ... .... The 'Retreat" collectmg box ..Robin~on,Miss A. M. . . . .Rowntree, Arnold ., ..Rowntree, J. Watson ., •Rowntree Oscar F. ., .,Rowntree: Miss S. E. . . .,Rowntree, Theodore . . : :Rowntree, W. Soo. ..Searle, Alfred Boo . . .Taylor, Alfre~ H. . .Thompson, RIchard ..Williamson, H. M. ..Yellowlees, Henry, M.D.

o 0

oooooooooooooooo

7 0

Alison, Miss . . . . : :Anderson, Miss A. F. . . •.Anonymous ., ., .,Barbour, Prof. G. F. . . . .Barclay, T~omas.. ., ..Chris tie, MISS J:l. . . . . . .Clendinnen, ~ISS M. Woo. ..Constable, ~ISS C"l D ·V.D.. ,D ' k on II ut - o. ., )IC S " . cd for 1<)28 qDoak, Mrs. (2S, ) . MD ..Easterbrook, C. C., .' .,Findlay, Miss J '. L. . . . .Fleming, The Mls5es . . . .Forbes, Dr.. D. J. .. ..Gray MelVIlle . . . . . .Henderson, Sir Thomas. . . .Hotchkis, Dr. R. D'

E., ..

Keay Lt.-Col. ,C.B. . .,, W M ..

McAlister, DrR· ·w· (192'8-<)) ..

Macdonald, ev. . .McGhie, J. "h" .,Mackenzie, Kennet 1\1 D' ..

£ d Macrae, G. Dou~las, .' .,5.. Macrae, Mrs: E. K. ., ..

I I 0 McVicar, Nell, W. S. . . . .o 5 0 Martin, F. W. ., .. .,o 10 0 Miller Mrs. A. G. . . .,o 10 0 Noble; A. B. .. .. ..

Orr Dr. J. H. C. E' . . .o 5 0 Phiiip, Mr. ,& Mrs. G. '.. . .

2 0 pitcairn, MISS . . .,2 10 Pricl'"C.E; ·R.D.·· ..~ 5 0 Ritchie, M.~ ~. G M. M.D. .,2 2 0 Robertson, {OR., M.D:.. ..I 0 0 Ronaldson, I'S' Arthur ..

Rose Lt.-Co. Iro 10 0 ,

See also Building Fund.

£ s. d.10005 0

o 2 6o 10 0026100

£3

o 0

----

4I

2

I

1oI

II

I

o

5 5I I

2 2I I

I I

oo2

1

I

101

I

o1

5

£30

£ S. d.I I 022005 005 01 I 0

I I 0

£12 0 0

Subscriptions and Donations

£ S. d.o 5 0o 10 0

55 0

1005 00

-

YORKS.-Per Dr. H. Yelloldees,The Retreat, York-- .,

Appleton, T. H .. , . . . .Burgess, A. F. ." . . . .C k Dr E MIldrl'd ..rea, .. M ..

g~~~:~~~\( .: :: ::Hall Allan B. . . . . . .Head Miss P. . R . . . .Kitching, Mrs. T. .B ., ..Mackenzie, H. J. ,1\1. .. ' ..Macleod, Neil, M.B. . . . .Morrell, Mrs. . . . . . .Mounsey, R. J. .. .. ..Naish, A. Duncan . . _

ESTON - SUPER - MARE-PerW Miss Mary Pmnphrey, 3

Nella Road-Brown, Mrs. Charles ...Brown, E. Iv!. .. . .Byrde, l\liss . . . .Davies. Mrs. George ..Gourlay, Mrs.. . . . .Pumphrey, Mlss .. ..

REIGATE AND REDHILL-..Aber romble, Mrs. J. H. .,Alexander, J. A. ., .,Anonymous .. .. .,Barnard. Mrs. O. . .Campbell. Mr. & Mrs. J. A. '.:Chalm('rs John ., ", )Crosneld,'Herbert(after audIt, IO~,Darton, Oscar ... . . .Edwards, FranCIS H., M.D. .,Emmott, Mrs. . . . . : :Gardiner, W. Rattray ..Highton D. Clrfford ..Highton: Mr. & Mrs. E. G.Langley, MISS Ann ..Lennie, M. S. . . . .Maclean, J. A. .. .,Maclean, Mrs. J. A. .,MacNair, Mrs. M. A. .,Muller, Mrs. E. ., .,Rhodes, Mrs. ~argaretScudamore, MISS A. W.Vavasseur,1\1:r5.. , ..Wilkins, A. W. .,

ESTER-Per F. Hourani,MANCH M . St Maltchester-

Esq.,3 1 ajar ., .. £10Hourani, F. . . . .

HITCHIN-Bec1<, Miss GertrudeHarris, H. Lyn...Ransom, F~ancls..Ransom, M,ISS P...Warner, MIss E. A.

6

o

4

o

o

£ S. d.200100o 10 0050100o 10 0

I I 0

I I 01 I 0o 10 0o 10 0

050050

o 2500o 10 6

o 05

o 10 0o 10 6220050100o 10 0050500050I I 0

05005 0I I 0o 10 0

050050026

o 10 0I I 0

o 10 0

o 10 0

£ s. d.100200I I 0I I 0

I I 0o 10 0

o 5

£6 18

£291 15

Rule, Miss Maud ..Rutter, Miss Elizabeth B.S.A.M., per Mrs. GrahamSalt, Miss S. A. .. . .Schuster, Mrs. E. J. ..Seton-Karr, Miss E. . .Sholl, R., per Mr. WoodSinger, Frank . . . .Smith, Percy, M.D. . .Smith, Mrs. Percy ..Smyth, Miss E. C. . .Soames, Mrs. A. W. ..Somervell, Mrs. Colin ..Somervell, Miss .. . .Southall, Miss Lucy H ...Spice, Miss Lilian ..Stephens, J. Gilbert ..Stewart, Mrs. Herbert ..Sturge, Miss A. M. . .Sturge, Miss Elizabeth (after

audit, 55.)Sturge, Miss R. .. . . . .Sykes, George . . . . . .Taylor, Messrs. J. F., & Son, Ltd.Tayton, Miss Catherine. . . .Thomson, Mrs. G. (paid 55. in

1029)Thursfield, J. H. (aileraudit, 5S.)Todd, Duncan " .. ..Tuke, Miss E. W. . . . ... Unthank .. .. .. ..Upton, Nurse . . . . . .Walker, Miss S. J. (1928-9, lOS.)Ward, Miss Helen E. . . . .Warner, Marcus . . . .Warnock, Dr. John . . . .Watts, James R. . . . . . .Webb, William . . . .Wharton, Miss Margaret ..Whiting, Miss M. S. . . . .-Whitwell, J. R., M.B. . .Wicken, Miss R. H. (1928-9, 5s .)Wigham, Leonard . . . .Wills, Mrs. Samuel D. .. . .Wilson, Mrs. . . . . . .Wilson, Iiss May(after aUdit, 4S,)Wilson, Robert .. . . . .Wilson, T. Stacey, M.D.- "Wood,A.J. .. .. ..Wood, Mrs. C. Coo . . . . .Wood, Mrs. S. J. . . . .Worsfold, J. L. .. .. ..Wortabet, Lt.-Col. H. G. L.,

1.M.S. .. " ..

BRIGHTON-Chamberlin, W. B. ..Man, Miss.. .. ..Martindale, Percy ..Martindale, Mrs. Percy ..Nicholson, Cregoe . . . .Routh, Col. and Mrs. . . . .Sp,arks, W. R. (after aUdit, (1)WInter, E. .. .. ..

£ s. d.050100050o 10 0

I I 02003 00o 10 0

300050

500o 10 0050I I 0I I 0o 10 0100026

050050100220

I 0 0

026o 10 02 0 0

100

I I 0200o 10 0o 10 0I I 0100200100o 10 0

- See also Building Fund.

The Lebanon Hospital30

Hall, Miss Kitty. . . . . .Hamilton, Miss .. . . . .Hamilton, Miss S. L. . . . .Harrison, Mrs. J. . . . .Harvey, :'1rs. William (paid [I IS.

in 192'))Hield, Mrs. .. .. ..Hodgkin, Howard . . . .Hodgkin, Mrs. Thomas. . . .Hodgkinson, Miss . . . .Hoffmann de Visme, Pastor

(after audit, (,I IS.)Holt-Skinner, In memo of JohnHorsnaill, Mrs. .. . . . .Hurnard, Samuel F. . . . .Islington and N. St. Pancras

Medical Mission . . . .-J. M. Too. .. .. ..Joll, Mrs. .. .. .. ..Jones, Mrs. C. A... .. . .Jones-Balme, F. E. T. .. . .Joyce, J. W. .. .. ..Jukes, Mrs. B. C. (1928-9, lOS.)Leathes, Miss Hilda de M. . .Lees, Mrs. E. . . . . . .Linney, Mrs. . . . . . .Littlcboy, Miss A. L. .. . .Lloyd, John Henry . . . .Lyndon, Mrs. . . . . . .McDougall, Dr. Mary (after

audit, £1 IS.)McDougall, The Misses A. & L. I 0 0Magor, Miss Fanny . . . . I 0 0Marriage, Mrs. H. . . . . 0 5 0Masterman, E. W. G., M.D. .. I I 0Merz, Mrs. Charles . . . . 2 2 0Merz, Mrs. Theodore . . . . I 0 0Moncrieff, Lady Scott .. . . 3 3 0Moore, The Rev. John " . . I I 0Moorhouse, Mr. and Mrs. Alfred 2 2 0Mott, Charles E. (after audit, £2 2<;.)-Mounsey, Mrs. W. A. .. . . I 0 0Naish, Mr. and Mrs. C. E. . . 0 10 0Nunn, H. S., Executors of . . 4 0 0Osborne, Miss Janet " .. 0 12 0Page, Mrs. . . . . . . 0 5 0Palmer, Frederick . . . . 2 2 0Parker, Mrs. Yarborough . . 2 2 0Pease, J. Beaumont .. .. I I 0Peckover, Miss P. H. (2 years) . . 10 10 0Penney, Robert A. . . . . I I 0Polkinghorn, Mrs. . . . . 0 5 0Polkinghorn, Miss . . . . 0 5 0- Potter, The Ven. Archdeacon

Beresford . . . . . .Prance, The Misses . . . .Priestman, Miss E. M. .. . .Priestman, Frederick, J.P. "-Ranken, Miss " . . . .Reep, Miss E. C. . . . . . .Reeve, MissE. Goo. .. ..Richardson, Lawrence .. . .Richardson, Mrs.. . . . "Risk, Mrs... .. .. .•R. C. .. " .. "Robertson, Mrs. .. . . . .Robinson, Mrs. H. N. .. . .Robinson, Miss Maude .. . .Robinson, Miss Muriel .. . .

II'I

,- ,- - ._- -

33

£ s. d.SUMMARY (Great Brita.n and Ireland).General List 29 1 15 4Brighton .• 6 18 0Hitchin I2 0 0Manchester 10 0 0Reigate and Rrdhill 30 7 0weston-super-Mare 3 0 0Yorks 21 2 0Edinburgh (less expenses ISS. 4d .) 52 15 4Glasgow (" lOS.) 33 10 0Kilmacolm 38 0 6Stirling I R 0Ireland (General) 7 12 6Belfast 20 9 0Dublin 1'1 5 0

£ s. d.5 0010010010 0100o 10 020005 0

10 0

10 0I 0 0

10 0o 10 0

o 10 0o 10 0

_ £19 5 0 Total

• See also Building Fund.

Subscriptions and Donations

The Storeroom for Benzine and Petroleum, with Wood-shed beyond.(Both built May 1930.)

The Committee arc glad to announce the appointment of Sister Maud Iddenden, ofSheffield, as Deputy Matron. Miss Iddenden left for Syria on July 1St.

Special ackr.owledgment is made to Miss Helen Thompson for her kind services as Actin~Secretary for two mouths in 1929 whilp the Secretary was in Syria; also for the return of£3 3

s. given to her to cover travelling expenses during that time. This gift has been

devoted, by request, to the Endowment Fund.

Eustace, Miss Anl'lieEustace, M. S.Eustace, S. E.Eustace, W. N., M.D. ..Goodbody, Mrs. RichardHaydock, W. H ...-Jacob, C. E.Massey, MissMegaw, MissPaul, Mrs...Rhodes, Miss EthelSandes, Miss""ebb, ArthurWebb, T. R.Wigham, J., M.D.

oII

£ s. d.I I 0o 10 0o 10 0I 0 0

I 15 6I 0 00 IS 0

o 10 0o 10 0

£ s. d.I 0 0

100o 10 0050100o 10 0050o 10 0o 10 0050050050o 10 0

2

I

I

I

I

ooo5o

£ s. d .o 5 0

o 5 0

050030o 5 0

o 5 0

----£1 8 0

£ s. d.o 10 0o 10 0100

- £7 12 6

- £20 9 a

STIRLING-Per Mr. WilliamY!,le, I ClifJord Road­

G,!-VIn, ex-ProvostKInross, DavidKinross, Mrs. He~~y : : : .McCulloch, Ex-Provost Rob t .Tyholmson, Ex-Provost Jame:

r..

u e, William ..

IRELANDGENERAL-~~l~~G'r~~r~~Bit· ~pr O. Darton)Beale Alfred ISS . (19 28-9, 5S.)-B ' ..eale, Henry H. . .Brookfield Friends l\Ieet .

William Green lllg, perMahony T HSmyth, Mr~. M. ;.:Williams, Mrs. M. EDarton). . . (per O.

B~~~AST-Per Mr. Robert Fin­B II}' 6.6 Eglantine Avcnue-

e ,MISS Emily J.Cowper, WiliamDunlop, Missfv.es, Mrs. J. V...~mlay,Archibald H

Fmlay, RobertGilmore, Mrs. W.·E. •Glynn, Mr. and Mrs. . : ..

GGlynn,MlssKathleen(19 28-9 . ')

reeves, Mrs. Alfred ,5S.Greeves, Mrs. Arthur . . . .Greeves, Mrs. Fergus . . . .Greeves, Mrs. J. M.freeves, Mrs. Joseph

Greeves, The Misseslalcomson, H. T.M~lure St. Mission Sch~ol (per

. r. Wm. Cowper)Millar, Thomas 0Mi tchell l'vIrs .-Pim, A~thu~-Richardson Mrs"J N"Shone, Miss M. E: . . ..Stephani MissTurtle, Mrs. H. (; . ..Turtle W'II" 928-9, (1). ' I lam H.Wh~te, Miss Selina ..White, T. H. ..

DUBLIN-Per Miss A .EuslaclJ Sholtrn h nme S.Co. DUblin- a~, Glasnevin,

2 610 05 00 02 64 00 05 0I 09 0

0 00 00 00 0I 0

100100o 10 0I I 0100o 10 0500I I 0

008

500

I

5I

2I

oI

o2

o4I

Ioo

---£53 10 8

£ s. d.2 0 0

I 0 0I 0 0I 0 0I 0 0I 0 0I 0 0

£ s. d.2 0 a220220220500330550

10 0 0300I I 0

220036

£34 0 0

Collins, Richard£38 a 6 gouglas, John_ ouglas, Sinton

See also Building Fund.

The Lebanon Hospital

£ s. d.100

32

~it~urgh, Miss Margaret ..

W,Messrs. R. Addison & Co. S ' .,

Smith, Mi;s' MSmitll T H .Stone: J." A.·WSturrock, J. C.;M DWalker, Mrs. Har~y .Wallace, Mrs. W. EWilliamson J G .Wilson, Laciy' .

Interest ..

GL~SGOW-PerW. L. Clzadwi-kA.~~" 36 Oswald Street- -,

A Friend (Helensb'urgh)' .Boyd, T. A. ..Brown, Miss M.;': ABrown, S. H. .Campb.ell, Mrs. A: ·C. S. ::Chadwick MissChadwick' W L ..Harvie, l\iiss L. ~i::Howie, The MissesKerr, Mrs. C. F.Lennox, JohnMcGown, James"M~thieson,H. 1\1: .Mitchell G AMitchell: riss·L. ·R.o. (~928-9, £2 2S.)Pettigrew MrP.M. K. ' ..R., Mrs...Re!c1, D uglas J.' .ReId, Prof. William L ..

(also 5s. after audit) ., M.D.Rox?urgh, Colonel J. A ..Service, G. W. .Shepherd, The R~~. H 'GWright, J. W. . . ' .. '

KILMACOLM-Per Mrs E BParker B ld '. . .Stirlingshi~e~noCk, 1II~lngavie,

Alston R ABarr, i. H..Biggart, Thomas' .Graham, W. E. ;.:m~n-Coats,Major HaroiciM Ingworth, Mrs. Percy

Paclay, Rt. Hon. Lord"arker, Mrs. E. B. ..

Stewart W. PTaylor, A. T.· ..\Veir,A. C.For charges on S~~tch ch' ..qu s ..

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The Lebanon Hospital

• See also Building Fund.

SPECIAL FUNDS.BUILDI G.

(a) U.S.A.MI"". Margaret C. Wistar, Jan. 1930 (S500)Per Philadelphia Committee, April 1930 (31) ..

(b) Great Britain-1929, July-Charles Jacob .. . . .. . .

Ort.-Executors Mrs. Howard Hodgkin ..Dec.-Dr. J. R Whitwell . . ..

Mi s Georgina Crosfield . ,Per Mrs. Priestley (sale of photos '0'1'.

Schofield) . . . . . . ' ..Parochial Church Council of St.

St. Martin's-in-the-Fields .. . .1930, Jan.-Ven. Archdeacon Pottcr

Mrs. Edward BackhouseFeb.-Mr'. Ascroft . . . .

Mrs. Christopher BowlyHenry Gllrney .. . .Mrs. A. H. AllcnMiss Ranken ..

Mar.-J. M. T... ..Mrs. Dixon Davies ..Edgar M. Brown ..Mr . W. A. Mounsey ..Mrs. Horsnaill ..Boeke Trust "

(c) Ireland (Jan. & Mar.)Ar hibald Finlay ..The Misses Greeves ..Arthur Pim ..Mrs. J. A. J<ichardson ..Henry H. Beale : :

(d) Switz rland­Gen.ev.a Committl'e, Feb. 1930 (Frs. 50)

(e) CommIssIon for Assessment of War Damages i~ 'Turk~y

34

AMERICAN COMMITTEE.Office-II9 South Fourth Street, Philadelphia, Pa.

Dr. JOSEPH STOKES, Chairman.JOHN W. CADBURY. Treasurer. ORMAN A. BALDWIN, Secretary.

PHILADELPHIA: £ s. d.Nov. I929-Income from Endow- £ s. d. General Subscriptions . . Ig9 3 II

ments .. .. 135 16 II ·Edward M. and Margaret C.April 1930-.. .. II2 3 2 WISTAR (to London) . • . . 5 I 4

SWITZERLAND. £3 3 0

GE EVA-Frs. 1000 = £38 ISS. 2d. I LAUSANNE-£20 os. od.Mlle. MARTIN-ACHARD, Plcsidwt. Professor PHILIPPE HlllDEL. Presidellt.Pastor EMMANUEL CHIlISTEN, Scaeiary. Mme. BovoN, Scc1'elary a1ld T,'easu/'8r.

·Total for Switzerland .. £58 IS 2

£248 0 I

HOLLAND.Celltral Sccretftryalld TreaSllreY :-Baroness CLIFFORD, PrincessegracM II, The Hague.

H01lorary Secretaries:-AMSTERDAM-Mrs. CRONE I\fACFAI~LANE. I UTRECHT-Mlle. VA:-.l DER BRUGGHEN.THE HAGUE-Baroness CLIFFORD. Per Baroness Clifford, from the fourROTTERDAM-Mr. & Mrs. G. BES6ELAAR. Committees-FI. 459 = £28 185. 9d .

NEW ZEALAND.Per Dr. Assid Corban, Tokanui Menial Hospital, Kihikihi.

Durward, Dr. Arcbibald . . . . . . . . . . £2 2 0Silk, David . . . . . . . . . . . . . . I I 0

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Lebanon Hospital for Mental Diseases.Dr. Balance Sheet for the 'Year ending March 31, 1930. Cr.

Investment at cost representing Retiring Allow­ances Fund:-

£4,0005 per cent. War Loan 1929-4/"Cash at Bank and in hand . . , . . . 1,751 10 4

Less in respect of Contingency Fundshown separately above , , , . 1,324 7 6

2,000 0 0

4,051 10 0

s. d.9 8

306 I 6

427 2 10

8,146 3 0

£21,071

£ s. d.

567 10 0

664 19 0

520 16 05,068 10 6

6,821 IS 61,324 7 6

Land, Buildings, and Equipment at BeirutInvestment at cOst representing Peter Coates

Trust Endowment Fund:-£2,192 5 per cent. \Var Loan Stock,

1929-47 .. ., "Investment representing Endowment Fund

(Mr, Jessup):-£371 4 per cent. L.M. & S. Rly, Stock

(Value at March 31, 1930) ., ..Investments out of Fund set aside for Contin­

gencics:-£1,000 2! per cent. Consols (Value at

March 31, 1930) , , . . . .£806 4 per cent. L.M. & S. Rly, Stock

(Value at March 31,1930) . . . .£774 3!- per cent. Met. Rly. Stock (Value

at March 31, 1930) . . , . .,£5,000 5 per cent. War Loan, 1929-47

ASSETS.

Cash at Bank uninvested

LIABILITIES.£ s. d. £ s. d.

Capital Accounts.-Land, Buildings, and Equipment ·. 21.071 9 8Peter Coates Trust Endowment Fund .. 2,000 0 0Endowment Fund-Mr. Jessup ·. 306 I 6For Contingencies . . . . · . 8,146 3 0Retiring Allowances Fund . . · . 4,051 10 0

35,575 4 2

Unexpended balances of Special Funds:-Completion of Water Supply .. · . 426 2 lC

Laundry, , ., .. , . ·. I 0 042 7 2 10

£36,002 7 0 £36,002 7 0

We have examined the foregoing Account with the books and vcuchers in London and the Cash Accounts from Beirut certified by a local auditor,and we certify thdt we find the same to be in accordance therewith and correct, except that amounts due to and owing byJhe Hospital, have not beenbrought into the Accounts.

We have not yet verified the Investments, nor the Deeds of the property at Beirftt.

28, Basingball Street, London, E.C. 2.May 21,1930.

WOODMAN, COX &. WILKINS,Chartered Accountants.

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(Takcn from the DiLcctor's Hou 1.'.)

The PRESIDENT OF TIlE AMERICAN tTNI\'ERSITY of BEIRO 1

(President Dodge) writes:-" I am greatly interested in the H. port of the Lebanon Hospital,

and congratulate you rna t incerely because of the splendid resultsbeing obtained.

" On behalf of the niversity r want to tell you once more howmuch we appreciate the help which Dr. vVatson Smith gives to ourMedical School, and also the opportunity 'which our stud nts have ofvisiting Asfuriyeh.·'

UNWIN BROTHERS LIMITED, LONDON ANI) WaKING