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The Journal of the Society of Architectural Historians, Australia and New Zealand
Volume 22, 2012 - Issue 2
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Original Articles

Life in the Open Air: Place as a Therapeutic and Preventative Instrument in Australia's Early Open-air Tuberculosis Sanatoria

Pages 208-231 | Published online: 19 Dec 2012
 

Abstract

As the open-air sanatorium movement gained popularity during the nineteenth century, the therapeutic benefits of place were promoted in the crusade against tuberculosis by both medical professionals and architects. Fresh air, isolation, hygiene, discipline and education in a non-urban environment at high altitude were seen to be the keys to successful open-air treatment at sanatoria around the world. However, open-air sanatoria in Australia were not only therapeutic places, they were instruments of prevention. This article examines Australian tuberculosis sanatoria designed on the open-air treatment principles from 1895 to 1910. It focuses predominantly on Kalyra and Nunyara, both at Belair, South Australia, and the Queen Victoria Home for Consumptives at Wentworth Falls, New South Wales. In doing so, it explores the contribution of the buildings and landscape to the machinery of health as both an instrument of cure and prevention.

Author's Note

I would like to thank the staff of the Mitcham Heritage Research Centre, the Blue Mountains Historical Society Inc., the State Library of South Australia and the University of South Australia Library. I am also grateful to Peter Lekkas, Dr Susan Lustri and the referees for their comments on the paper.

Notes

1. Beatriz Colomina, Domesticity at War (Cambridge, MA: MIT Press, 2007), 156.

2. Margaret Campbell, “What Tuberculosis did for Modernism: The Influence of a Curative Environment on Modernist Design and Architecture,” Medical History 49, no. 4 (2005): 463–88.

3. Linda Bryder, Below the Magic Mountain: A Social History of Tuberculosis in Twentieth-century Britain (Oxford: Clarendon Press, 1988); Deborah McBride, “American Sanatoriums: Landscaping for Health, 1885–1945,” Landscape Journal 17, no. 1 (1998): 26–42; Campbell, “What Tuberculosis did for Modernism,” 463–88; Paul Overy, Light, Air and Openess (London: Thames and Hudson, 2007).

4. Beatriz Colomina, “The Medical Body in Modern Architecture,” in Cynthia Davidson, ed., Anybody (Cambridge, MA: MIT Press, 1997), 228–39.

5. Colomina, Domesticity at War, 154.

6. It is now known that tuberculosis (TB) is “an infectious bacterial disease … which most commonly affects the lungs. It is transmitted from person to person via droplets from the throat and lungs of people with the active respiratory disease…. The symptoms of active TB of the lung are coughing, sometimes with sputum or blood, chest pains, weakness, weight loss, fever and night sweats”. World Health Organisation, “Tuberculosis,” Health Topics, accessed May 16, 2012, http://www.who.int/topics/tuberculosis/en/.

7. John Bunyan, The Life and Death of Mr. Badman (Cambridge: University Press, 1905 [1680]), 157; Bryder, Below the Magic Mountain, 16.

8. Thomas M. Daniel, “The History of Tuberculosis,” Respiratory Medicine 100, no. 11 (2006): 1864.

9. Daniel, “The History of Tuberculosis,” 1864.

10. Connie Staudohar, “Food, Rest and Happyness,” Montana: The Magazine of Western History 48, no. 1 (Spring 1998): 45.

11. O. McCarthy, “The Key to the Sanatoria,” Journal of the Royal Society of Medicine 94, no. 8 (2001): 413.

12. Peter Warren, “The Evolution of the Sanatorium: The First Half-century, 1854–1904,” Canadian Bulletin of Medical History 23, no. 2 (2006): 462. Görbersdorf, now in Poland, was renamed Sokotowsko in 1945.

13. “Brehmer called his hospital a sanatorium to differentiate it from the European luxury resorts … called sanitariums.” McBride, “American Sanatoriums,” 28

14. Frederick Rufenacht Walters, Sanatoria for Consumptives, 2nd ed. (London: Swan Sonnenschien, 1902), 151.

15. Walters, Sanatoria for Consumptives (1902), 154–55.

16. Walters, Sanatoria for Consumptives (1902), 154–55.

17. Thomas Mann, The Magic Mountain (London: Minerva, 1996 [1924]).

18. Alison Bashford, “Cultures of Confinement: Tuberculosis, Isolation and the Sanatorium,” in Carolyn Strange and Alison Bashford, eds., Isolation: Places and Practices of Exclusion (London: Routledge, 2003), 136.

19. McBride, “American Sanatoriums,” 35.

21. Philip Sydney Jones, “The Tuberculosis Problem in Australasia,” British Journal of Tuberculosis 4, no. 1 (January 1910): 5.

20. Robin Haines, “Therapeutic Emigration: Some South Australian and Victorian Experiences,” Journal of Australian Studies 16, no. 33 (1992): 76; Thomas L. Stevenson, “Light and Living Conditions: Mortality in Nineteenth Century Adelaide,” in 49th Australian and New Zealand Association for the Advancement of Science (ANZAAS) Conference (Adelaide: ANZAAS, 1979), 131; Philip Woodruff, Two Million South Australians (Adelaide: Peacock Publications, 1984), 54.

22. State Library of South Australia, “Belair Miscellany,” Manning Index, accessed May 28, 2012, www.slsa.sa.gov.au/manning/pn/b/belair.htm; “Public Notices,” South Australian Register, April 12, 1858, 4.

23. Geoffrey Manning, The Romance of Place Names of South Australia (Adelaide: self published, 1986), 16.

24. The practice also designed a dining room which opened on 28 August 1899. Vic Mortimer, James Brown Memorial Trust (Adelaide: James Brown Memorial Trust, 1990).

25. “The Kalyra Sanatorium,” Advertiser, February 20, 1905, 8.

26. An obituary recorded that Charles Good “was always a stickler for a larger provision of air space than that actually allowed for under the building regulations.” “Obituary,” Advertiser, March 3, 1926, 19.

27. “The Kalyra Sanatorium. Old Colonists Wing,” Register, April 7, 1902, 6.

28. “Personal,” Advertiser, August 29, 1917, 6.

29. “Tuberculosis. European Methods of Treatment,” Register, May 8, 1901, 3.

30. Gault was referring to sanatoria at Görbersdorf and Hohenhonnef. “Tuberculosis: European Methods of Treatment,” Register, May 8, 1901, 3.

31. Nunyara Wellbeing Centre, accessed September 4, 2012, http://www.nunyara.org.au/.

32. “Public Notices,” Advertiser, November 5, 1902, 2.

33. “Treating Tuberculosis: A Home in the Hills: The Nunyara Sanatorium,” Register, February 6, 1925, 9–10.

34. At Thirlmere Colonel J. H. Goodlet built the Goodlet Hospital on his estate. Although it featured deep balconies it was not designed on open-air principles. Gwen Silvey, The Healing Mountains (Wentworth Falls: Blue Mountains Historical Society, 2009), 10; Ludwig Bruck, Guide to the Health Resorts in Australia, Tasmania and New Zealand (Sydney: Australasian Medical Gazette, 1888).

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37. “Hospitals for Consumptives,” Sydney Morning Herald, October 1, 1901, 5.

38. City Planning Branch Blue Mountains City Council, “Report on Kings Tableland Wentworth Falls,” (November 2006), 8, accessed September 1, 2011, http://www.bmcc.nsw.gov.au.

39. The nearby Goodlet Hospital was renamed the Thirlmere Home for Consumptives and used for the treatment of female patients. In 1905 Goodlet donated it to the Queen Victoria Fund for Consumptives. “The Thirlmere Home for Consumptives,” Australian Town and Country Journal, April 2, 1898, 27; “Queen Victoria Memorial Hospital, Place 19784,” Australian Heritage Database, accessed May 14, 2012, http://www.environment.gov.au/heritage/ahdb/index.html.

40. New South Wales Government, “Queen Victoria Sanatorium Wf025,” State Heritage Inventory, accessed May 14, 2012, http://www.heritage.nsw.gov.au/07_subnav_04_2.cfm?itemid = 1170824.

41. “Queen Victoria Homes for Consumptives,” Sydney Mail, December 24, 1902, 1651.

42. “Queen Victoria Sanatorium Wf025”.

43. Harriet Edquist, Pioneers of Modernism (Melbourne: Miegunyah Press, 2008), 232.

44. “Queen Victoria Homes for Consumptives: Proposed New Sanatorium,” Sydney Morning Herald, April 10, 1902, 4.

45. “Queen Victoria Homes for Consumptives,” 1651.

46. “Consumption Crusade,” Sydney Morning Herald, June 27, 1910, 7.

47. Sydney Jones, “The Tuberculosis Problem in Australasia,” 5.

48. Francis Adams, trans., Hippocrates, On Airs, Waters, and Places (eBooks@Adelaide, 2007), accessed January 25, 2012, http://ebooks.adelaide.edu.au/h/hippocrates/airs/complete.html.

49. Marcus Vitruvius Pollio, The Ten Books on Architecture, bk. 1, ch. 4, trans. Morris Hicky Morgan (New York: Dover Publications, 1960), 17.

50. Vitruvius, The Ten Books on Architecture, 10.

51. Linda Nash, “Finishing Nature: Harmonizing Bodies and Environments in Late-nineteenth-century California,” Environmental History 8 (January 2003): 25.

55. Edward Otis, “Institutions for the Prevention and Cure of Tuberculosis as Elements in the Social Defense Against the Disease,” Boston Medical and Surgical Journal 167 (1912): 146.

52. Michel Foucault, “The Politics of Health in the Eighteenth Century,” in Colin Gordon, ed., Power/Knowledge: Selected Interviews and Other Writings 1972–1977 (New York: Harvester Wheatsheaf, 1980), 180.

53. Stuart Elden, “Plague, Panopticon, Police,” Surveillance and Society 1, no. 3 (2003): 245.

54. Annmarie Adams, Kevin Schwartzman and David Theodore, “Collapse and Expand: Architecture and Tuberculosis Therapy in Montreal, 1909, 1933, 1954,” Technology and Culture 49, no. 4 (2008): 911.

56. B. Burnett Ham, Consumption: Report of a Conference of Principal Medical Officers on Uniform Measures for the Control of Consumption in the States of Australia (Melbourne: Government Printer, 1911), 14.

57. Walters, Sanatoria for Consumptives (1902), 13.

58. “The National Park,” South Australian Register, August 21, 1905, 7.

59. “Tuberculosis. European Methods of Treatment,” Register, May 8, 1901, 3.

60. “Consumption – A Warning,” Register, September 24, 1902.

61. “The Open-air Cure,” 4.

62. Barbara Bates, Bargaining for Life: A Social History of Tuberculosis, 1876–1938 (Philadelphia: University of Pennsylvania, 1992) cited in Susan Leigh Star and Geoffrey C. Bowker, Sorting Things Out: Classification and its Consequences (Cambridge, MA: MIT Press, 2000), 174.

63. Warren, “The Evolution of the Sanatorium,” 465.

64. Frederick Rufenacht Walters, Sanatoria for Consumptives, 3rd ed. (London: Swan Sonnenschien, 1905), 205.

65. Walters, Sanatoria for Consumptives (1902), 19.

66. Bashford, “Cultures of Confinement,” 136.

67. “Treating Tuberculosis: A Home in the Hills: The Nunyara Sanatorium,” Register, February 6, 1925, 9–10.

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69. “The Treatment of Consumptives,” Sydney Morning Herald, February 19, 1903, 7–8.

70. Campbell, “What Tuberculosis did for Modernism,” 480.

71. Chad Randl, Revolving Architecture: A History of Buildings that Rotate, Swivel, and Pivot (New York: Princeton Architectural Press, 2008), 63.

72. James Broadbent, “Rustic Work,” in Richard Aitken and Michael Looker, eds., The Oxford Companion to Australian Gardens (South Melbourne: Oxford University Press in association with the Australian Garden History Society, 2002), 530.

74. “The Kalyra Sanatorium,” 8.

73. Bashford, “Cultures of Confinement,” 133.

75. “The Treatment of Consumptives,” 7–8.

77. “Kalyra Home for Consumptives,” Advertiser, December 21, 1903, 10.

76. Walters, Sanatoria for Consumptives (1902), 45.

78. Adrian Forty, “The Modern Hospital in France and England,” in Anthony King, ed., Buildings and Society (London: Routledge and Kegan Paul, 1980), 73; Julie Willis and Cameron Logan “Hospitals,” in Philip Goad and Julie Willis, eds., The Encyclopedia of Australian Architecture (Sydney: Cambridge University Press, 2011), 338; Noni Boyd, “No Sacrifice in Sunshine: Walter Liberty Vernon: Architect 1846–1914” (PhD diss., Royal Melbourne Institute of Technology, 2010), 378.

79. “The Treatment of Consumptives,” 7–8.

80. “The Kalyra Sanatorium,” 8.

81. Nunyara Sanatorium for the Open-air Treatment of Consumption, Established 1902 (Adelaide, 1910), pamphlet, unpaginated, South Australiana Collection, State Library of South Australia.

82. “The Treatment of Consumptives,” 7–8.

83. Margaret Campbell, “From Cure Chair to ‘Chaise Lounge’: Medical Treatment and the Form of the Modern Recliner,” Journal of Design History 12, no. 4 (1999): 327–43.

84. “The Kalyra Sanatorium,” 8.

85. R. A. Hobday, “Sunlight Therapy and Solar Architecture,” Medical History 41, no. 4 (1997): 457.

86. Kenneth Thompson, “Trees as a Theme in Medical Geography and Public Health,” Bulletin of the New York Academy of Medicine 54, no. 5, May (1978): 528.

87. J. M. Anders “Sanitary Influences of Forest Growth and Public Squares,” Proceedings of the Philadelphia Co. Medical Society 7, no. 146 (1884–85), cited in Thompson, “Trees as a Theme in Medical Geography and Public Health,” 523.

88. Bryder, Below the Magic Mountain, 47.

89. “The Open-air Cure,” 4.

90. Silvey, The Healing Mountains, 14; “Queen Victoria Homes for Consumptives,” 1651.

91. “New Cure for Consumption,” Argus, December 23, 1898, 6.

93. Bashford, “Cultures of Confinement,” 133.

92. Forty, “The Modern Hospital in France and England,” 73.

94. Walters, Sanatoria for Consumptives (1902), 16.

95. Nunyara Sanatorium for the Open-air Treatment of Consumption, Established 1902, n.p.

96. “Treating Tuberculosis: A Home in the Hills: The Nunyara Sanatorium,” 9–10.

98. Bryder, Below the Magic Mountain, 50.

97. Bryder, Below the Magic Mountain, 59.

99. Australasian Medical Gazette 25, 1906: 434, cited in Robin Walker “The Struggle against Pulmonary Tuberculosis in Australia, 1788–1950,” Historical Studies 20, no. 80 (1983): 450.

100. “The Cult of Fresh Air,” Argus, January 14, 1909, 7.

101. “The Cult of Fresh Air,” 7.

102. “The Kalyra Sanatorium,” 8.

103. Bashford, “Cultures of Confinement,” 135.

104. Nunyara Sanatorium for the Open-air Treatment of Consumption, Established 1902, n.p.

105. Leahy, “The Fight against Tuberculosis,” 224.

106. “The Cult of Fresh Air,” 7.

110. W. G. Armstrong, “The Control of Tuberculosis in Australia,” British Journal of Tuberculosis 1, no. 2 (April 1907): 119.

107. Adams, Schwartzman and Theodore, “Collapse and Expand,” 912–13.

108. Burnett Ham, “Consumption,” 14.

109. An example is the report on the German Beelitz Hospital which appeared with photographs of its open-air pavilion and verandahs in the local Adelaide press, “A Great Consumption Hospital,” Adelaide Chronicle, April 11, 1908, 44.

111. Adams, Schwartzman and Theodore, “Collapse and Expand,” 916.

112. Warren, “The Evolution of the Sanatorium,” 471.

113. Walker, “The Struggle against Pulmonary Tuberculosis in Australia,” 450.

114. Warren, “The Evolution of the Sanatorium,” 466.

115. Jill Nolt, “The Sanatorium Landscape,” accessed May 25, 2011, http://www.faculty.virginia.edu/blueridgesanatorium/landscape.html.

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