[Almindeligt Hospital -- a large and considerable building]

Area of Science:

• Historical public health infrastructure
• Evolution of institutional care for the poor and sick

Context:

• Established in 1769, Copenhagen's public institution initially housed 700 paupers.
• Infirmary beds expanded significantly from 16 in 1790 to over 400 by 1807.
• The institution faced overcrowding and poor sanitation, exacerbated by a cholera epidemic in 1853.

Purpose:

• To detail the historical development and transformation of a major public institution in Copenhagen.
• To document the expansion of medical services and the changing patient demographics within the institution.
• To trace the impact of public health crises on institutional infrastructure and patient care.

Summary:

• The institution's infirmary grew substantially, adding capacity for chronic diseases and specific treatments for syphilis and scabies.
• By 1845, the population reached 1500, including employees, paupers, and patients, leading to severe overcrowding.
• A new municipal hospital was built after the 1853 cholera epidemic, and most patients were transferred by 1863.

Impact:

• The institution's growth and subsequent challenges highlight the evolving needs of urban public health and welfare systems.
• The eventual relocation and demolition of the old buildings signify a shift towards modern healthcare and housing solutions.
• This historical case study offers insights into the management of public institutions during periods of demographic change and disease outbreaks.