I came across the 'problem' of the 'alien' patients in the annual reports of the Garlands Hospital. I had only come across this term from previous research at university when it was used to refer to Jewish immigrants flooding across Europe during Hitler's reign. Therefore, in this context, the term cropping up in the 1880s I immediately assumed it meant jewish patients. However, on further research I was soon proved wrong. From 1884 onwards, in the annual reports of the Garlands Hospital, there was a table detailing the amount of 'alien' patients present in the asylum at the end of that year. It divided the patients up with respect to their different nationalities. Therefore, after the number of patients from Cumberland and Westmorland were stated, the number of Irish and Scotch were also detailed. It is important for me to note that in addition to Irish and Scotch, German and American patients are also detailed, but never exceeding 2 patients for either.
Any stories you may have about the history of the Garlands Hospital, Carlisle, please use the comment box to share them. I would love to learn as much as possible about this undiscovered institution.