76 PUBLIC INSTITUTIONS. [CHAP. IT. 



pital are a physician, an operating surgeon, a house surgeon, 

 a chemist, with an assistant, besides an inspector, who has 

 two assistants and two nurses under him. The pupils from 

 the medico-chirurgical school receive here practical instruc- 

 tion in the treatment of different diseases, in anatomy, and 

 pharmacy. 



A chapel is annexed to the hospital, which ha3 its regular 

 chaplain and sacristan, paid from the funds of the establish- 

 ment. 



During the last war, and for many years subsequently, the 

 English had a ward in the hospital, superintended by their 

 own physician and surgeon. The expenses were borne by the 

 resident British merchants in Madeira. The salaries to these 

 officers were stopped in the year 1828, when their services 

 were no longer required, and the ward was altogether given 

 up at the end of the year 1838. Sailors and distressed 

 foreigners are now received into the hospital, where they are 

 provided with food, lodging, medical treatment, and every- 

 thing but drugs, at the moderate rate of 2$. Id. per diem. 



The troops stationed on the island have always their own 

 ital, as well as their own medical officer. 



The lazar hospital, for the reception of persons afflicted 

 with elephantiasis, has an annual expenditure of from i'i'i 1 ) 

 to 6300*. It is doubtful whether any one afflicted with this 

 disease has ever recovered from it. 



* The expenses in 1847 amounted to £264 7s. M. ; in 1848, to 

 £290 16*. M.; and in 1849, to £305 h. 2d. In the beginning of the 

 year 1847, there were 26 patients in this hospital, 19 men and 7 women; 

 during the same year 14 entered, of whom 5 men died, and 22 men and 

 13 women remained; in 1848, 8 entered, 5 men and 3 women; in which 

 year o men and 2 women died, leaving 22 men and 14 women : during the 

 year 1849, 5 entered, 4 men and 1 woman ; 7 men and 1 woman died this 

 year, leaving 33 patients in the hospital, 19 men and 14 women. 



