Dutch Hospital
by the side of the harbour
By Dr. K. D. Paranavitana
In the heart of the city of Colombo,
is the area we commonly call ‘the Fort’,
which originally came within the fortifications built
by the Dutch after their capture of the Portuguese stronghold
in the island. The ramparts were demolished by the British
in the 1880s to acquire more room for new constructions
and the free movement of traffic.
Land in the Fort, now the most highly
priced real estate in the country, consists of only
a few hectares. In this busy area is an old dilapidated
and unoccupied building which was the country’s
leading hospital during the Dutch occupation. Few passers-by
are aware of its identity. The narrow lane that skirts
the building is known as Hospital Street, and perhaps
this is the only reminder of its past. The land block
that this building covers is about half hectare which
is a relatively large area in terms of the size of the
Fort.
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Front view of the Dutch Hospital
in Colombo |
Paintings of the front and rear views
of the hospital done in 1771 by a Dutch artist were
found at the Royal Institute of Language, Country and
Ethnology in Leiden by the writer of which the front
view is reproduced here.
The building appears hardly to have
changed during the last two centuries. Its design is
simple: it has five wings, four of which are joined
to form a square with a courtyard in the centre. The
fifth wing constitutes the façade of the building
and is situated in front of the square with a second
courtyard intervening.
The only part of the hospital with
an upper floor is the front wing. However, this first
floor is limited in extent, and appears like a compartment
sitting atop the roof in the centre of the wing. A wooden
staircase leads to this storey, which now has the appearance
of a small hall. The flooring is made of wooden planks.
As with other Dutch buildings in Sri
Lanka, the walls are over 50 cm. thick and the teak
beams that bear the roof are massive both in girth and
length. These features of solid construction have undoubtedly
ensured the survival of the building. A long and wide
open verandah runs along the length of each wing, another
characteristic of old Dutch architecture in the tropics.
The high walls, large windows, and spacious verandahs
provide a comfortable environment within, in contrast
to the humid heat outside.
The courtyards which appear bare in
the painting are now overgrown with vegetation, while
the ornamental shrubs that formed a prominent feature
against the rear windows in 1771 are no longer present.
A canal which ran by one side of the building has long
since disappeared, and its only memorial is the name
of a narrow lane that passes one side of the building,
Canal Row. The Dutch were adept at building canals in
and near Colombo for transport. While some of these
canals still exist outside Colombo, those within the
Fort were filled up by the British soon after they took
over the city, and some of them are now busy motorways.
The hospital was located close to
the harbour because it was convenient to transport patients
from the ships to the hospital. The hospital site is
first depicted in a map drawn in 1656 but there is no
evidence to prove that this was the original site. A
Dutch map prepared in 1732 shows the hospital on the
present site and a description by the German, Christopher
Schweitzer, who was in Sri Lanka from 1676 to 1682 in
the service of the Dutch, implies that it was already
there in 1681.
The intention of the Dutch in establishing a hospital
in Colombo was to look after the health of the officers
and other staff serving under the Dutch East India Company.
The preamble to the instructions issued to the steward
of the hospital states that ‘it has been considered
that it is a duty of the Company to restore the health
of its officers who are on board ships as well as in
the out posts’.
A memorandum submitted to the Political
Council records that ‘its (the Company’s)
invalid officers could be brought back to their former
state of health with the blessings of the God only by
way of good care and attention…’. With this
objective the Company established the considerably large
hospital in Colombo especially to provide medical facilities
to the Dutch local and floating population as they were
subjected to tropical diseases and the sickness that
are rife during long sea voyages.
The medical staff of the Colombo hospital
at the end of the Dutch occupation consisted of a chief
surgeon, a surgeon, three junior surgeons, three third
surgeons and five interns. The higher grade surgeons
were generally graduates from Amsterdam, Utrecht or
Leiden. It was uncommon for ships’ surgeons to
be appointed to the hospital and there was no strict
rule that only qualified graduates could be appointed
as surgeons. Carel Fredrich Reimer, for example, was
a private soldier, and when it was discovered that he
had sufficient medical skill, he was sent to Sri Lanka
in October, 1768 as the third surgeon. Incidentally,
he was also a painter, and he captured on canvas the
historic occasion when Governor Falck and the Kandyan
ambassadors signed a treaty.
The surgeon with the longest service at Colombo hospital
was Barend Alleman. He served the hospital for nearly
a third of the period of the Dutch occupation (1756-1790).
He was first appointed by the Political Council by a
resolution dated October 9, 1756: ‘Considering
the old age of the chief surgeon, Dirk Berghuis, and
the acute need of a qualified assistant, it has been
decided to appoint chief surgeon of the ship ‘Gheisenberg’,
Barend Alleman van Ligtenvoord as the second surgeon
in the Dutch hospital in Colombo’. Alleman wrote
frequent memoranda to the Political Council about the
deficiencies in the hospital, and through his efforts
many improvements were effected.
The most famous of all the surgeons
who worked in the Colombo hospital was Paul Hermann,
who has been described as the father of botany in Sri
Lanka. He was attached to the Colombo hospital from
1672 to 1679. His main interest was botany, and except
for three plants, all the others he saw in Sri Lanka
were new to him.
He sent collections of local plants
to Leiden, and a herbarium he maintained in Sri Lanka
came to light about 70 years after his death. Linnaeus
classified 429 out of 657 specimens and published the
work under the name Flora Zeilanica describing Hermann
as the prince of botanists.
While in Sri Lanka Hermann was offered
the chair of botany at Leiden, which he took up in 1680.
Although he was acknowledged as a distinguished botanist,
he was most unpopular with his patients and subordinates.
Schweitzer wrote: “The Chief Inspector that had
the care of it [hospital] in my time was Dr. Hermannus,
now Professor of Medicine [sic] at Leiden. He took no
good praise away with him from the soldiers and seamen
that came under his hands.
“He was a true tyrant over his
slaves, with blows and whippings; he was also accused
of killing a female slave whom he let bury [sic] in
the garden behind his house, and was for some days under
arrest in his house, but was after set free.”
Another botanist of repute who worked
as a surgeon in Colombo was Nicholas Grimm, a Swedish
doctor, who came to Sri Lanka in 1674 and worked under
Hermann. He too wrote a book on Sri Lankan plants.
The chief surgeon of the hospital
came fairly high in the order of precedence observed
at official functions. At the funeral procession of
Robertus Cramer, merchant, the chief surgeon Dirk Berghuis
walked in the twentieth place behind the governor. Alleman
who was second surgeon at the time, walked another sixteen
places behind.
The duty of the surgeons was mainly
to visit the hospital twice a day, but they were obliged
to call on patients in their homes on request, provided
these visits did not interfere with their hospital routine.
A visit of this nature was recorded by the Englishman
Robert Knox, who was held captive by the king of Kandy
for twenty years. In 1679, he, along with his fellow
prisoners, managed to reach Dutch territory. On their
arrival in Colombo, the companion developed fever (probably
malaria) Knox wrote, ‘My consort’s ague
increased and grew very bad; but the chief chirurgeon
by order daily came to see him, and gave him such potions
of physick, that by God’s blessing he soon after
recovered.’
On special occasions, a surgeon from
Colombo was sent over long distance on politically important
professional missions, for example, the despatch of
Dr. Danielsz in 1739 to Kandy at the request of King
Narendrasinha, (1707-39) who was suffering from an ulcer
in the leg. Danielsz however, was obliged to beat a
hasty retreat to escape the wrath of his royal patient,
who disapproved of his treatment.
Junior surgeons were on call at all
hours of the night, except those who were married and
living outside the city. Unmarried junior surgeons were
expected to live close to the hospital so that they
were easily available in case of an emergency.
The hospital had on its staff an apothecary,
who worked under the medical superintendent and was
responsible for dispensing of medicines to an approved
pharmacopoeia. In 1786, Alleman recommended that separate
quarters be provided for the apothecary and his dispensary.
In response, the Political Council, decided to construct
or convert a suitable building for the purpose.
The Colombo hospital was served by
a considerable non-medical staff including a steward,
cook, porter, laundryman and several slaves. Slaves
attended to the duties that present day labourers handle.
There is no indication that the hospital was served
by nurses, male or female. The hospital could accommodate
approximately 180 patients who were admitted on a first
come first served basis. The patients had to pay a levy
which was deducted from their monthly salaries.
This hospital served a large military
and sea-faring population in the 17th and 18th centuries,
especially for diseases such as dropsy, epilepsy, colds,
diarrhoea, fever, scabies and venereal ailments. The
leech, which abounded in the Kandyan areas was an enemy
of the foreign soldier on the march and an ally of the
defending Kandyans. Leech-bites sometimes developed
into maggot-infested ulcers, which resulted in loss
of limb or life. Malaria was a problem outside Colombo.
The increase of leprosy drew the attention of the Dutch
to construct a separate hospital in 1708 in a location
in Hendala, a few kilometres away from Colombo by the
side of the Kelani river, which could be seen even today.
Several European visitors to Colombo
during the Dutch occupation have commended the hospital
and its management. Among them, Johan Wolfgang Heydt,
a German who under the Dutch East India Company was
in Sri Lanka from 1734 to 1737 records in his work that
the Colombo hospital had a good reputation.
Another German Christopher Schweitzer
states “There is a well built hospital in which
the sick Dutchmen are laid and well served by surgeons
and slaves with medicants and plaisters’. Captain
Robert Percival, an Englishman who stayed in Colombo
at the very early days of the British occupation also
praised the Dutch hospital in his work ‘An Account
of the Island of Ceylon’ published in 1803.
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