'The Louse, the Itch, Or the Pox': Diseases of the Prisoners in 18Th
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London and Middlesex Archaeological Society Transactions, 67 (2016), 297—308 ‘THE LOUSE, THE ITCH, OR THE POX’: DISEASES OF THE PRISONERS IN 18th-CENTURY MIDDLESEX Audrey Eccles SUMMARY the most direct route, county to county until they reached their settlement and became This paper will explore the surviving evidence about the responsibility of the parish overseers of the diseases of prisoners in the two prisons, New the poor (Eccles 2006, 83). Prostitution, not Prison and Clerkenwell Bridewell, managed by the illegal in itself, was often dealt with under county of Middlesex in the 18th century, particularly vagrancy law (Eccles 2012, 65, 81). Inevitably in Clerkenwell Bridewell. The chief sources are the these groups were often also the most Middlesex orders of court, sessions papers relating to malnourished and diseased. Many vagrants the prisons including bills for burials, the lying-in of indeed were only arrested because they were female prisoners and necessaries for the sick prisoners, ill or on the point of giving birth. and from 1777 the reports of the county surgeon- In Clerkenwell Bridewell in the middle apothecary. The original documents are supplemented of the 18th century a flourishing trade by printed sources including the description of in prostitution carried on; the locker (or Clerkenwell Bridewell in 1757 by Jacob Ilive, a printer gaoler), unnamed but probably the head who had been imprisoned there for seditious libel, other locker, was mainly responsible though other contemporary accounts of prisons and medical texts. lockers were involved, and many, perhaps Although it appears that the surgeon diagnosed a most, of the women who came into the wide range of diseases among the prisoners, the most bridewell were already well practised in the prevalent diseases were fevers and those associated trade. This locker routinely offered male with filth, overcrowding and promiscuity, especially in prisoners a girl and a bed, for which he the bridewell, where vagrants and prostitutes formed a expected a tip of a shilling or so; the fee for high proportion of the inmates. the bed, as in other prisons, was part of the keeper’s emoluments. This locker and two INTRODUCTION others admitted they had been poxed in the bridewell, and one particular prostitute The Bow Street magistrate Henry Fielding was nicknamed a ‘fireship’ because she declared in 1751 that all bridewells were had ‘burned’, that is poxed, so many men. ‘Common-shores of Nastiness and Disease’ Whether the men who accepted the locker’s (Fielding 1751, 48). A major part of the offer and the women who took part were problem, especially in bridewells, was the already diseased is an open question, but type of prisoner committed there; they were evidently this trade put at risk any prisoner, mainly petty criminals drawn from the poorer male or female, who did not already have the classes, vagrants and ‘disorderly women’ — disease. Jacob Ilive, when offered his choice prostitutes in other words. Vagrancy law made of the girls there, declined on the grounds bridewells the place of detention and pick- that they all had ‘the Louse, the Itch, or the up point for vagrants being passed back, by Pox’ (Ilive 1757, 13—14). 297 298 Audrey Eccles Although Fielding was clearly aware of the building to a Quaker community for use this aspect of prison life, and it is hard to as a workhouse and the remainder became believe the other Middlesex justices could New Prison and Clerkenwell Bridewell. All have been completely ignorant, no trace of three institutions had party-walls separating it appears in the official records, although them, and contiguous ‘backsides’ used, in the surgeon’s reports in the last quarter of the case of the prisons, as exercise yards for the 18th century provide abundant evidence the prisoners and shelters in bad weather, that the pox was very common. Bridewells rubbish tips, soaking and drying sheds for had always been intended to set the prisoners oakum, lodges for the porters and for the to hard labour (Innes 1987, 42), whereas admission and discharge of prisoners. other types of prison had no such provision, The prison buildings were constantly in except that sometimes debtors could work need of repair, partly because of their age and at their own trades where practicable. Most partly because the prisoners damaged them, bridewells, including Clerkenwell Bridewell, often in attempts to escape. The county could interpreted hard labour as either beating be tardy in giving permission for money to be hemp or picking oakum. In his well-known spent on repairs, and parsimonious in agreeing series of prints, The Harlot’s Progress, William estimates, so that delays and use of poor Hogarth depicts the harlot in the bridewell quality materials for economy caused further beating hemp and finally dying of the pox.1 deterioration. As the prison population This paper will explore the surviving increased and gradual reforms took place, evidence about the diseases of prisoners mainly in the last quarter of the 18th century, in the two prisons, New Prison and subdivision, extension and change of use also Clerkenwell Bridewell (also referred to as needed to be accommodated: for example, ‘the bridewell’), managed by the county of the separation of male and female prisoners Middlesex in the 18th century. The chief in 1760,2 previously herded together and a sources are the Middlesex orders of court, contributory factor in the flourishing trade in sessions papers relating to the prisons prostitution described by Ilive (1757, 13—19), including bills for burials, the lying-in of and after the 1774 Health of Prisoners Act female prisoners and necessaries for the (14 George III c.59) the allocation of male sick prisoners, and from 1777 the reports and female sick wards and the provision of of the county surgeon-apothecary. These bathing arrangements. original documents are supplemented by New Prison was a ‘common prison’ for printed sources including the description of all types of prisoners and thus overlapped Clerkenwell Bridewell in 1757 by Jacob Ilive, with the bridewell, but it also held debtors a printer who had been imprisoned there for and felons, some on capital charges, who seditious libel, other contemporary accounts were moved to Newgate shortly before of prisons and medical texts. Although it the sessions for trial at the Old Bailey, and appears that the surgeon diagnosed a wide often back again to serve prison sentences. range of diseases among the prisoners (not Clerkenwell Bridewell held prisoners on necessarily accurately bearing in mind minor charges, some awaiting trial at the the vast difference in medical knowledge sessions house or committed for a few days between the 18th and 21st centuries), it by a justice, others sentenced by the sessions seems clear that the most prevalent diseases to whipping or imprisonment and hard were fevers and those associated with filth, labour or both. Both prisons came under overcrowding and promiscuity, especially in increasing pressure as the American war the bridewell, where vagrants and prostitutes caused a temporary halt to transportation formed a high proportion of the inmates. (Hitchcock 2013, 13—19); many provincial prisons also became seriously overcrowded, THE PRISONS with increased health risks. Both Clerkenwell Bridewell and New Prison THE HEALTH OF PRISONERS ACT 1774 were housed in premises originally built in 1615 and leased to the county in 1685 Prisoners were not a universally popular (Sugden 1997, 68). The county sublet part of charitable cause, but self-interest when an The Louse, the Itch, or the Pox: Diseases of Prisoners in 18th-Century Middlesex 299 epidemic affected the courts or the town structions of the act into practice, and often prompted action. A 1750 epidemic, indeed had paid some attention to the brought from Newgate by prisoners prisoners’ health even before 1774. A matron appearing for trial at the Old Bailey, cast a was in post before 1735; her duties covered very long shadow in the metropolis; it not both prisons, although they were never only killed prisoners but a considerable specified. Matrons, often keepers’ wives, number of important people attending the were appointed consecutively until 1774 court including judges, sheriffs, jurymen when the current matron was dismissed as, and Sir Samuel Pennant, the Lord Mayor ‘of no kind of use’, having refused to attend (Howard 1777, 19; Evans 1982, 95). As a women in labour.3 She seems never to have result, a windmill ventilator was installed been replaced. at Newgate (Evans 1982, 99), but it was not Nursing was done by prisoners of both until the Health of Prisoners Act of 1774 that sexes, usually convalescent prisoners, and attempts were made to introduce sweeping small payments to them or an allowance of changes to prison conditions nationally. beer appear irregularly in the prison bills; The celebrated prison reformer John probably they did little more than fetch Howard gave evidence before the House of and carry, empty chamber pots and mop Commons in the run-up to the act and there the floors occasionally, although after the seems to have been little doubt that the time surgeon’s appointment some may have had come for action. assisted him if necessary. After the 1774 Act This act, in addition to the appointment routine cleaning was required and it too of a medical man to each county, required was done by prisoners. A group of prisoners a report on the prisoners’ health to each led by a plasterer named Joseph Spence quarter sessions and stipulated that the whitewashed the bridewell in 1779; they interior of each prison must be scraped and received an extra food allowance and Spence whitewashed, at least annually, regularly received a gratuity of 10s 6d.4 A midwife washed and kept clean, and aired by means appears erratically in the prison bills, of hand ventilators or otherwise.