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History - Kingston in the Nineteenth Century

The nature and circumstances of the community within which these health care developments occurred is important. In 1815, Kingston was a community of 3000; a population which gradually increased over the next 50 years to approximately 12,000. Society included an upper class of government officials and senior military personnel, a middle class of merchants, shopkeepers, and tradesmen and the urban poor. A large annual migration occurred of immigrants from the United Kingdom and elsewhere who settled in Lower Canada or Upper Canada with many of the latter passing through if not settling in the Midland District. Many of these immigrants were destitute and sick and represented a major problem for this small community.

Sickness and particularly infections were a constant problem in the community and the immigrants. These infections were responsible for loss of life with a high mortality among infants, children and young adults. Smallpox, measles, scarlet fever, diphtheria, pneumonia and tuberculosis were endemic in the community. Childbirth fever frequently led to the loss of the mother after delivery.

Cholera epidemics occurred in 1832, 1834, 1849 and 1854. A major Typhus epidemic occurred in 1847 (see related Media Release "Irish Famine victims, caregivers honoured during special ceremony"). These epidemics, brought to Canada by the annual influx of immigrants, had a devastating effect on the community and the immigrants. The epidemic would rage throughout the summer with a growing number of deaths. Many lives were lost in Kingston, the greatest number in 1847, when the deaths were estimated to exceed 1400. Most community business was completely stopped during these epidemics.

Traditionally, the care of the sick occurred in the home. However the community recognized and endeavoured to respond to the needs of the destitute and sick urban poor and immigrants. The Kingston Compassionate Society operated from 1817 to 1821. The Female Benevolent Society was established in 1820 and continued to assist in the care of the destitute and sick until 1847. A temporary hospital in an old block house provided food, shelter and free medical care between November and May each year. This facility operated on private donations of approximately $160 annually with occasional government grants.