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MEDICINE AND BIOMEDICAL SCIENCES IN
MODERN HISTORY
Series Editors
Carsten Timmermann
University of Manchester
Manchester, UK
Michael Worboys
University of Manchester
Manchester, UK
The aim of this series is to illuminate the development and impact of
medicine and the biomedical sciences in the modern era. The series was
founded by the late Professor John Pickstone, and its ambitions reflect
his commitment to the integrated study of medicine, science and tech-
nology in their contexts. He repeatedly commented that it was a pity
that the foundation discipline of the field, for which he popularized the
acronym ‘HSTM’ (History of Science, Technology and Medicine) had
been the history of science rather than the history of medicine. His point
was that historians of science had too often focused just on scientific
ideas and institutions, while historians of medicine always had to con-
sider the understanding, management and meanings of diseases in their
socio-economic, cultural, technological and political contexts. In the
event, most of the books in the series dealt with medicine and the bio-
medical sciences, and the changed series title reflects this. However, as
the new editors we share Professor Pickstone’s enthusiasm for the inte-
grated study of medicine, science and technology, encouraging studies
on biomedical science, translational medicine, clinical practice, disease
histories, medical technologies, medical specialisms and health policies.
The books in this series will present medicine and biomedical science
as crucial features of modern culture, analysing their economic, social
and political aspects, while not neglecting their expert content and con-
text. Our authors investigate the uses and consequences of technical
knowledge, and how it shaped, and was shaped by, particular economic,
social and political structures. In re-launching the Series, we hope to
build on its strengths but extend its geographical range beyond Western
Europe and North America.
Medicine and Biomedical Sciences in Modern History is intended to
supply analysis and stimulate debate. All books are based on searching
historical study of topics which are important, not least because they cut
across conventional academic boundaries. They should appeal not just to
historians, nor just to medical practitioners, scientists and engineers, but
to all who are interested in the place of medicine and biomedical sciences
in modern history.
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer
Nature Switzerland AG 2019
This work is subject to copyright. All rights are solely and exclusively licensed by the
Publisher, whether the whole or part of the material is concerned, specifically the rights
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on microfilms or in any other physical way, and transmission or information storage and
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Acknowledgements
This book began as a PhD thesis and I am very grateful to several soci-
eties and funding bodies for their financial support, including the Irish
Research Council, the Women’s History Association of Ireland, the Lord
Edward Fitzgerald Memorial Fund Committee and the Society for the
Social History of Medicine. I wish to thank my academic supervisor
Catherine Cox, University College Dublin, for all her help, sound advice
and encouragement. I am also thankful to Erica Charters and William
Mulligan who examined the thesis on which this book is based. Their
suggestions helped me to prepare the manuscript for publication. I owe
a debt of gratitude to all the staff of UCD School of History, particu-
larly those who read sections of this work and expertly advised, includ-
ing Mary E. Daly, Lindsey Earner-Byrne and Tadhg Ó hAnnracháin.
I have benefited greatly from the knowledge and friendship of those
at the Centre for the History of Medicine in Ireland, UCD. Stephen
Bance, Anne Mac Lellan, Alice Mauger, Ian Miller, Kirsten Mulrennan
and Peter Reid provided an atmosphere of collegiality and practical sup-
port. I am especially indebted to Fiachra Byrne and Laura Kelly who read
large sections of this work and offered critical judgement and invaluable
suggestions. Thanks also to those at the UCD Geary Institute for Public
Policy, including Emma Barron, Susan Butler and Philip O’Connell, for
their patience and support while I completed this book.
This work would not have been possible without the expertise of the
staff at various archives and libraries including the National Archives of
Ireland, the Royal College of Physicians of Ireland, the National Library
v
vi Acknowledgements
1 Introduction 1
7 Conclusions 209
Appendices 215
Index 249
vii
Abbreviations
ix
x Abbreviations
Fig. 2.1 Enlistment rates of Irish doctors who served in the First
World War 23
Fig. 3.1 Age profile of Irish doctors and medical students who
participated in the First World War 60
Fig. 3.2 Marital status of Irish doctors who participated in the First
World War 62
Fig. 3.3 Religious affiliation of Irish doctors who participated
in the First World War 65
Fig. 3.4 Educational background of Irish doctors who participated
in the First World War 67
Fig. 3.5 Portion of a battle line, outlining casualty clearing stations
diagram showing the position of casualty clearing stations 70
Fig. 4.1 Number of operations carried out at King George V Hospital,
1914–1918 102
Fig. 4.2 King George V Hospital beds, 1914–1919 103
Fig. 4.3 Sick and wounded soldiers transferred to RAMC northern
district 104
Fig. 4.4 Number of wounded soldiers arriving in Britain from
the battlefields, 1914–1918 109
Fig. 4.5 Sir Patrick Dun’s Hospital income, 1912–1918 (exclusive
of bequests) 113
Fig. 4.6 Sir Patrick Dun’s Hospital expenditure, 1912–1918
(exclusive of building accounts) 115
xi
List of Tables
xiii
xiv List of Tables
Introduction
In Ireland, the period from 1912 to 1925 was one of significant social
and political change. The First World War was one of several major
events that occurred during these years that affected the country and
those who lived and worked in it. Support for the British war effort in
Ireland, as elsewhere, was conditional. Immediately prior to the outbreak
of war, the relationship between Britain and Ireland was undergoing
considerable alteration. In 1912, British Prime Minister Herbert Asquith
introduced the Third Home Rule Bill, which provided for an Irish par-
liament based in Dublin that would have had the authority to deal with
most national affairs. Unionists, especially those in Ulster, were opposed
to a Dublin-based administration. Consequently, political tensions rose
to the extent that the outbreak of violence in Ireland appeared a real
prospect. Both unionists and nationalists established paramilitary groups,
escalating tensions in Ireland. The onset of the First World War in 1914
brought about the suspension of Home Rule. On 18 September 1914,
the Suspensory Act received royal assent, which postponed the introduc-
tion of Home Rule until the war had ended.1
While Home Rule was postponed, the outbreak of violence in Ireland
was not averted. On 24 April 1916, the Easter Rising—an armed
insurrection—began and lasted for six days. Then, separatist nation-
alists organised the Rising in an attempt to end British rule in Ireland.
Members of the Irish Volunteers and the Irish Citizen Army seized
several locations in Dublin, including the General Post Office, and
profession does not exist.19 This book analyses the extent of Irish medi-
cal involvement in the First World War and charts Irish medical person-
nel’s enlistment from 1914 to 1918. It focuses primarily on physicians,
surgeons and general practitioners who were born in Ireland. A consid-
erable number of Irish nurses participated in the war and several histori-
ans have already explored their role in the conflict. In separate studies,
Caitriona Clear, Siobhan Horgan-Ryan and Yvonne McEwen examined
Irish nurses’ wartime participation. Clear suggested that approximately
4500 of them served abroad during the war.20 This book will examine
the several different nursing services involved in the war and detail the
wartime roles of Irish nurses to establish Irish medical experience on the
frontlines. Unfortunately, the nature of the source material did not allow
for a study of Irish nurses’ enlistment rates and this is therefore not dis-
cussed. However, this provides scope for future research.21
It is argued here that many Irish medical personnel left behind their
medical practices, hospital appointments and government posts to par-
ticipate in the war and that the participation of the medical community
affected Ireland’s domestic medical infrastructure, including hospitals
and general practices. In addition, several hospitals located throughout
Ireland admitted British Army soldiers for treatment. This study explores
the impact of worldwide conflict on Irish medical establishments, with a
focus on hospitals and poor law medical services. In doing so, this book
is an attempt to provide the first study of the effect of the First World
War on Irish hospitals and civilian medical infrastructure.
This book is divided into seven chapters and focuses on medical
provision and the Irish experience of the First World War from 1912
to 1925. These dates have been chosen to ensure that the study pro-
vides appropriate context to the effects of war on Irish medical provi-
sion. Extending the study to 1925 facilitates an analysis of developments
in the years immediately after the war. It provides a sufficient time-scale
to consider the immediate implications of political change in Ireland on
the medical careers of Irish doctors who participated in the war. The
end of hostilities on the Western Front did not signal the end of con-
flict for interwar Europe as violent upheavals and civil wars remained
a characteristic feature of the region.22 Ireland was no exception and
experienced considerable political turmoil in the years after the First
World War. In December 1918, Sinn Féin, an Irish republican polit-
ical party, won a comprehensive victory in the Irish general election,
which entitled them to seventy-three seats in the Imperial Parliament in
1 INTRODUCTION 5
medics in the British Army and served in the First World War. These four
men occupied different roles in the British Army’s medical clearing pro-
cess and thus, a study of the sources authored by them offers an insight
into the motivations behind Irish medical personnel’s decision to enlist
in the British Army medical services and details the roles and experiences
of Irish medics during their time on the battlefields.31
An understanding of Irish nurses’ experiences has been assembled
from surviving accounts of several nurses but there is a focus on two case
studies—Catherine Black (1883–1949) and Marie Martin (1892–1975).
Black was a trained nurse who served in France. Martin was a Voluntary
Aid Detachment nurse who served in Malta. A study of both Black and
Martin gives a glimpse into the wartime experiences of both profes-
sional and VAD nurses during war. Black recorded her wartime experi-
ences in her memoir King’s nurse, beggar’s nurse, which was published
in 1939.32 Martin documented her time at war in a series of letters sent
to her mother during the conflict.33 After the war, Black was appointed
as nurse to King George V and Martin went on to establish the Medical
Missionaries of Mary.
Chapter 4 moves away from studying personnel and instead focuses
on hospitals. As part of the casualty evacuation process, the British Army
used hospitals in Britain and Ireland to treat sick and wounded soldiers.
Using hospital minute books, annual reports and other miscellane-
ous records, this chapter examines the RAMC’s implementation of the
casualty evacuation system in Ireland and analyses its impact on Ireland’s
network of hospitals—military and civilian. Chapter 4 is divided into two
distinct time periods; the first details the development of the casualty
clearing process and the impact it had on the civilian hospital system
from 1914 to 1916. Harrison has argued that the RAMC altered their
casualty evacuation process in 1916 and more sick and wounded soldiers
were treated near the frontlines from 1916 onwards.34 The second sec-
tion of Chapter 4 explores the impact of this change, and continuing
warfare, on the hospitals from 1916 to 1918.
Chapter 5 is concerned with the post-war career development of Irish
medical personnel who had participated in the war. The process of med-
ical demobilisation is examined to uncover whether doctors returned
to Ireland and continued their pre-war occupations. It also explores
whether the concerns of poor law boards of guardians and the Local
Government Board regarding civilian health, especially after the outbreak
of the influenza epidemic, accelerated the return of doctors to Ireland.
8 D. DURNIN
Notes
1. For more on Irish Home Rule, see David Fitzpatrick, Politics and Irish
life 1913–21: Provincial experience of war and revolution (Cork: Cork
University Press, 1977); Alvin Jackson, Ireland 1798–1998: Politics and
war (Oxford: Oxford University Press, 1999); Alvin Jackson, Home Rule:
An Irish history, 1800–2000 (New York: Oxford University Press, 2003);
Gabriel Doherty (ed.), The Home Rule crisis, 1912–1914 (Cork: Mercier
Press, 2014).
2. Detailed studies on the Rising include Charles Townsend, Easter 1916:
The Irish Rebellion (London: Penguin Books, 2006); Fearghal McGarry,
The Rising: Easter 1916 (Oxford: Oxford University Press, 2010);
Padraig Yeates, A city in wartime: Dublin 1914–18 (Dublin: Gill and
Macmillan, 2011).
1 INTRODUCTION 13
THREE WEEKS