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Minutes recording proceedings of meetings of the Hospital and Homes Committee containing various reports such as Superintendent's Report from the County Home; Superintendent's Report from County Hospital; Registrar's reports; and Sub-committee reports from Birr Rural District, Edenderry Rural District, Tullamore Rural District, and Roscrea No 2 Rural District on matters relating to dispensaries and hospitals in their respective areas. Also contains lists of 'Letters and Sanctions' from the Ministry of Local Government.

Matters arising include employment and remuneration of staff; building and maintenance of hospitals and dispensaries throughout the county; the winding up of the poor law unions and final audits of their accounts; the administration of home assistance and the employment of home assistance officers; transfer of patients to extern hospitals; notification of a new 'most fatal' disease of encephalitis lethargica (sleeping sickness) in the fever hospital (p22, 13 May 1924); the TB hospital in Birr; proposal to appoint a dentist to the county hospital on recommendation of Surgeon Meagher; military occupation of the dispensary residence in Kinnitty and damages arising therefrom (p60, 10 June 1924); the designation of Edenderry District Hospital and Birr District Hospital (St. Brendan's) as permanent institutions by the Ministry of Local Government; the burial expenses of the poor; and financial distress of the Board due to Offaly County Council's inability to transfer funds and consequent non-payment of home assistance to the poor (p95, 19 August 1924)'.

Includes report of the Visiting Committee on the state of the County Home (p2, 8 April 1924). Responds critically to the proposal by the Ministry of Local Government to replace some attendants with 'inmate' labour. Also requests resolution of the 'urgent matter' in providing a separate institution to house unmarried mothers, noting that there are twenty-one unmarried mothers in the county home for which there is not sufficient accommodation. Proposes taking over a disused workhouse for this purpose to which two or three counties would contribute to its upkeep.

Includes resolution made in response to a request by Tipperary North Riding Board of Health to set up an institution under the care of religious orders for maintenance and education of children at present in various county homes: 'This Board is not in favour of bringing up children in any institution believing that boarding-out in suitable homes throughout the county is better for the child as well as for the community.'(p68, 26 May 1924).

Includes copy of the order issued by the Ministry of Local Government dissolving Offaly County Council and the Offaly County Board of Health and placing them under the commissionership of David O'Keefe, Blair's Hill, Cork. (p125, 12 September 1924).

Contains details of boarded-out children, names and addresses of foster parents and general conditions of children and their accommodation.

Includes:
Details on the transfer of sums on deposit with the Hibernian Bank, Tullamore, under the King's County Infirmary Improvement Fund to a new Board of Health Hospital Improvement Fund (p43, 24 November 1924); the death of Dr Woods, Medical Officer for Kinnitty Dispensary (p88, 29 January 1925); attempted suicides of 'inmates' of the county home (p94, 19 January 1925); and an order on the re-arrangement of dispensary districts in south Offaly into three dispensary districts. (p153, March 1925)

Also includes a resolution responding to a proposal by Meath County Council to establish a special institution for reception and treatment of children of unmarried mothers and orphans: 'This letter was read at the Meeting and the Commissioner made observation thereon "that we are open to consider any economical scheme" and ordered that more particulars be got regarding this proposal.' (p21, 5 November 1924).

Includes:

Reports on the lighting of the town of Edenderry; petitions from the inhabitants of Moorestown for a water supply; sinking of Drumcooley well; diphtheria cases in Birr; burials at Banagher; water supply to Crinkle; arrears in rent by labourer’s cottage inhabitants; abolition of the Rural District Councils and the transfer of their functions to the Board of Health; new pumps at Daingean, Mount Bolus, Tubber; and a proposed water supply for ex-soldiers at Clara.

Includes:
Details of new appointments to the staff of the Board of Health on the abolition of the rural district councils; appointment of new chaplain to the institution following death of Fr Callary (27 Oct 1925, p21); and an outbreak of diphtheria in the county hospital (12 October 1925, p25).

Includes:

Reports on the repair of the bridge at Ballaghassen; new pump for Daingean; lighting of Portarlington; sewerage works at Chapel Rd, Edenderry; urgent repairs to pumps in Kinnitty; occurrence of diphtheria in Kilcormac; repairs to cottages in Edenderry; loan from Bank of Ireland to erect five cottages in Banagher; unsanitary condition of the well at Ballard, Charleville; cleaning of graveyards; occurrence of diphtheria in Edenderry; and limewashing of houses in Clara.

Includes:

Reports on repairs to Bogshane Pump; cleaning of sewers at Clara; quality of the water at Killeigh; compensation for criminal injury in respect of malicious destruction of thatched cottage and crops in Geashill; proposed sewerage schemes for Kilcormac; repairs to cottages after storm damage; and water supply for Ballyduff.

Also records a deputation from Birr Urban Council in reference to transferring the county home to Birr and keeping Birr workhouse in order – Commissioner O'Keefe replied that there was no intention of transferring the county home to Birr.

Includes:
Approval from Commissioner O'Keeffe to erect statue of the Sacred Heart in the grounds of the hospital following request by Very Rev T. Mulvanny P.P. V. F, Tullamore, 11 Oct 1926, p1); and details of the closure of Birr District hospital on recommendation of inspectors for the Ministry for Local Government (p109).