A document of interest: an 1818 letter dealing with the treatment of Irish immigrants suffering from typhoid fever

By Martin Lanthier

In the early 19th century, the arrival of ships carrying sometimes-ill immigrants raised fears that epidemics would spread in Lower Canada. The colony’s elite became aware of the situation and took initiatives to address the problem.

The correspondence of the Civil Secretary to the Governor of Lower Canada (RG4-A1, MIKAN 105377) includes documents that reflect these concerns and that describe incidents faced by physicians at the time. One particular example is a letter from Dr. William Hacket, dated July 29, 1818, in which he describes his efforts to care for Irish settlers suffering from typhoid fever.

The immigrants had arrived at the city of Québec on July 21 aboard the Royal Edward. A number of them were sick and, after a few days, it was decided to treat them. Since no hospital could accommodate such a large number of patients (119), and because conditions on board the vessel were unsanitary, the order was given to quarantine and treat the patients on Île au Ruau [or Île aux Ruaux], near Grosse Île in the St. Lawrence River. Dr. Hacket was put in charge, assisted by two colleagues, Dr. Wright and Dr. Holmes.

In his letter, written six days after the arrival of the passengers on the island, Dr. Hacket first describes his difficulties in convincing them to leave the ship—some declared that they would only be removed by force. He then goes on to say that without the help of soldiers, who set up a camp, he would never have been able to accommodate and treat the patients.

First page of a handwritten letter, black ink on white paper.

Letter from Dr. William Hacket to A.W. Cochrane, Civil Secretary, Québec, July 29, 1818 (RG4-A1, volume 180 MIKAN 126122). e011181012

Once a basic level of comfort was established, Dr. Hacket could begin caring for those who were sick with typhoid fever and try to prevent the healthy from catching it. He developed a diet suited to the settlers’ habits and customs. Since these were poor people, he based the food choices on what he understood to be their regular diet: potatoes, milk, oatmeal, butter and a little meat (two days a week only). For the truly sick, meals could also include tea, sugar, wine and bread. After only six days, the patients’ health had improved, but Dr. Hacket did not relax his efforts. Though the patients could be released from quarantine since they seemed better, Dr. Hacket noted that they were impoverished as well as exhausted from their voyage. These conditions could lead to a fresh outbreak of the fever once they rejoined the general population, and the sickness might spread throughout the colony. However, the doctor’s fears do not appear to have been justified. The last Irish settlers left Île au Ruau around the end of August, and no typhoid fever epidemics broke out in Lower Canada in the following weeks.

The letter shows the situation increasingly faced by health authorities in the colony. The government and the elite came to understand that caring for the sick required more than a temporary camp on an island. As a result, the Hospital for Reception of Sick Emigrants, the first hospital in the city of Québec for immigrants, was established two years later. It operated until 1834, when a new hospital, the Marine and Emigrant Hospital, was built to care for this clientele. The hospital remained in operation until 1890.


RG4-A1, volume 180, letters from William Hacket, dated July 29 and August 25, 1818 (MIKAN 126122).

RG1-E1 (minutes of the Executive Council of Lower Canada), volume 37, State Minute Book I, p. 351-354 (MIKAN 3829851)

Fecteau, Jean-Marie , Un Nouvel Ordre des choses : la pauvreté, le crime, l’État au Québec, de la fin du XVIIIe siècle à 1840, Outremont, VLB, 1989 (AMICUS 9273445)

Goulet, Denis and André Paradis, Trois siècles d’histoire médicale au Québec. Chronologie des institutions et des pratiques (1639-1939), Montréal, VLB, 1992 (AMICUS 11892694) (in French only).

Lépine, Véronique (under the direction of Jacques Bernier and Rénald Lessard), Guide des archives hospitalières de la région de Québec. 1639-1970, Bibliothèque et Archives nationales du Québec, January 2003 (in French only).

Martin Lanthier is a reference archivist in the Reference Services Division of Library and Archives Canada.

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