How John Birt Davies’s plan to open a fever hospital in Birmingham faced opposition from his fellow doctors.
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Infections
Infectious diseases were a major public health challenge up until the twentieth century. Conditions such as smallpox, typhus, yellow fever, dysentery, scarlet fever and measles were widespread, especially in the poorest parts of rapidly growing industrial towns like Birmingham.
When John Birt Davies arrived in Birmingham in 1822, he noticed a significant lack of facilities for people suffering from infectious diseases. Birmingham’s General Hospital wouldn’t accept these patients because of the risk of cross-infection and the Workhouse Infirmary only admitted those with ‘pauper’ status. This excluded people in work, especially domestic servants, whose employers wanted them out of the home to protect others’ health.
Several manufacturing towns had established stand-alone fever hospitals and Birt Davies felt a similar facility was needed in Birmingham. He formed a committee and embarked on a fundraising campaign. Despite friends’ warnings of potential opposition, he threw himself into the task undeterred.
Opposition
However, his determination was met with resistance. He was aghast when doctors from Birmingham General Hospital published a letter in a local newspaper publicly opposing the planned fever hospital, declaring it ‘altogether uncalled for’. Birt Davies responded fiercely to this ‘manifestly unprovoked’ and ‘contemptible’ attack from colleagues, some of whom he had counted as personal friends. The debate raged in the press for several weeks.
Alarmed by the public arguments, committee members decided to proceed with the hospital only after a cooling-off period to allow passions to subside. Eventually, in April 1828, when suitable premises had been found and sufficient funds raised, the fever hospital – or Birmingham House of Recovery as it was named – opened with John Birt Davies as its senior physician.
But the battle was far from over. Just five months after the fever hospital opened, the General Hospital announced plans to open four fever wards and to admit patients on any day of the week, not just Fridays as previously. Furious, Birt Davies fired off another angry letter to the press, decrying ‘so foul a piece of oppression and so gross an appropriation’.
But the damage was done. The House of Recovery functioned under Birt Davies’s leadership for about six years but was eventually forced to close, unable to compete with the greater resources of the General Hospital. Birt Davies was left to simmer with rage at the duplicity of his colleagues:
‘It would scarcely have occurred to the uninitiated that those men who denied that one Fever Hospital was requisite, would have had the folly or the audacity to select this juncture for the purpose of giving birth to a second.’
For more on this story, see Probing Deaths, Saving Lives, a biography of Birmingham’s Victorian doctor-coroner.