Friday, 20 November 2015


It's Explore Your Archive week, a national campaign to raise awareness of archives and their collections (for more information please see In today’s blog Ruth talks about what we've been doing to celebrate archives this week and a bit of exploring of her own…

We’ve been taking part in Explore Your Archive week on social media, and today Louise and I have set up camp at the UK Clinical Research Collaboration Conference 2015 (held at the John McIntyre Conference Centre here in Edinburgh) – we’re talking to delegates about our collections and their research potential, and Louise has been tweeting as @lhsaeul. In honour of this year’s campaign theme of ‘democracy’, we’ve also put some relevant collection items on display alongside some fantastic material from the University’s archive. The mini exhibition, on the sixth floor of the Main Library, will continue beyond Explore Your Archive week, so do take a look if you're passing. 

Our display at the conference today, complete with hovering campaign badge!

And talking of taking a look while you're passing, I was in Aberdeen last week to see the Glucksman Conservation Centre at the University’s Library and popped in to see Fiona Musk, the Archivist for NHS Grampian, who is also based there. We meet fairly regularly as fellow custodians of NHS archive material, but I'd not had the chance to see her collections in person before. Fiona gave me a tour of the store and it was great fun to see all the similarities between our collections. Lots of familiar looking book bindings and types of record, just for hospitals that are a bit further north than ours! If you'd like to find out more about NHS Grampian’s collections see or follow Fiona on Facebook at

Visiting the fabulous conservation facilities in the Library mirrored the quality of the stores Fiona showed me. The four conservators there work on Aberdeen University’s collections of rare books and archives within their own particular paper, book and collections care specialisms. I took a few photos to try and capture the scale and high spec of their conservation studio - the first is of the main studio (with their no-adhesive book cradles in foreground), and the second is of the area dedicated to photographic documentation.

I wasn't the only one on the tour – there were about 15 other conservators who were shown around the relatively new Library, which also included the exhibition gallery, the Special Collections reading room and the education spaces, and we had lunch in a room on the seventh floor with great views out over Aberdeen until the clouds and rain came in! With such a concentrated group of conservators in one place, it was also a good opportunity to swap ideas and find out about new treatment options that I can bring back to our collection.

One of the architectural features of the Library
The conservators admiring the view shown in the image above this one
All in all an interesting and useful day spending time with archive collections and learning from those that look after them - exactly what #explorearchives is all about!

Friday, 13 November 2015

Building pride and fighting prejudice

Glasgow University student Samantha Smart has been with LHSA for the past two weeks as part of her MSc in Information Management and Preservation. The course is one of a handful across the country offering an accredited qualification in archives and records management (with which you can become a professional archivist!) We've handed over the blog to Sam this week so she can share her work with us, which will turn into an assessed component of her degree:

For the last two weeks, I have been working on cataloguing and repackaging the papers of Waverley Care Trust, an Edinburgh-based organisation set up in 1989 to provide support to those affected by HIV and AIDS. Their remit later broadened to include work with individuals diagnosed with Hepatitis C, while their geographical reach has expanded beyond the Lothians to cover the whole of Scotland. Regular blog readers might remember the post from earlier this year introducing Waverley Care and its key services, and showcasing a selection of collection items.

Besides key administrative records like business plans and annual reports, the collection includes a great deal of visual and ephemeral material that adds additional detail to the picture of the charity’s day-to-day work. Items like flyers and invitations, for example, provide a tangible connection to events recorded officially elsewhere; they suggest particular moments or interactions. Posters and postcards demonstrate the outward-facing work of Waverley Care: raising awareness, contributing to the public understanding of HIV and developing links to the larger community.
Invitation to ‘Pride & Prejudice’ exhibition (1999). GD36/4/1/7.
Taken together, all of the records within this collection document the extraordinary range of services, initiatives and activities facilitated by staff and volunteers. While working my way through the material, I found references to tai chi, sculpture, quilting, mask-making, line dancing, poetry writing, walking, reflexology, papermaking, video editing, singing and stained glass design (a non-comprehensive list!). Many of these activities were run as part of the Arts Project, an ambitious programme which began in the early nineties, administered jointly through the SOLAS Centre and Milestone House. The Waverley Care collection includes snapshots and samples of some of the end-products of this project - two printed booklets of participants’ writing, posters for public exhibitions of artwork, photographs of a completed stained glass window in situ at Milestone House - but also goes some way towards recording the equally (or more) valuable process of creation. 

Papermaking workshop in progress, and completed sheets of handmade paper (1996). GD36/3/3/2/4/22.

Looking at the changing types of services offered by Waverley Care over the 1990s and 2000s reveals the organisation’s responsiveness to both the needs expressed by their users and to developments in HIV treatment and care. From its establishment, the Information Centre at SOLAS allowed users to carry out their own research into treatment options, a particularly important function in the years before widespread internet access. Waverley Care’s annual review for 1995 notes excitedly that ‘the Information Centre is about to join the Worldwide Internet’ (capitals original!), while the report for 1997 contains the news that they are ‘looking forward to the installation of a second Internet terminal’, possibly reflecting increased demand for up-to-date information about drug treatments in the early years of combination therapy.
Information leaflet for World Aids Day. GD36/4/1/4.
Having examined and described each of the records within the Waverley Care Trust collection, I was left with a clear sense of the organisational ethos and of the ways in which staff, volunteers, service users, families, carers and others involved with the work of the charity were able to form a network of mutual support. They tell of imagination and encouragement, of enthusiasm and vitality. Equally, these records tell only partial stories, and there will have been many encounters and experiences on which they are silent - narratives that rely on the memories of those with a personal connection to the charity and its work. Cataloguing, though, represents a step towards initiating these potential conversations and towards putting the Waverley Care records into dialogue with items from LHSA’s related collections, which will in turn allow further aspects of the collective response to HIV and AIDS in Edinburgh and the Lothians to be brought to light.

Friday, 6 November 2015

Treating bone and joint tuberculosis at Southfield Sanatorium

In this weeks blog we hear from Rebecca, who will be sharing some of what she has learnt so far from cataloguing tuberculosis case notes...

Work on the Tuberculosis Case notes project is progressing well, with well over 1000 records catalogued. The bulk of the records so far have been from Southfield Sanatorium, covering patients admitted between 1921 and 1953. It’s been really interesting in these case notes to see the range of diseases that people would be admitted with, as the sanatorium would treat patients with non-tuberculous chest diseases as well as extra-pulmonary tuberculosis (that is, tuberculosis of organs other than the lungs). One of the most frequent types of extra-pulmonary tuberculosis in these case notes is osteoarticular tuberculosis, or tuberculosis of the bones and joints.

A front view of Southfield Sanatorium (P/PL41/TB/022)

Osteoarticular tuberculosis can affect virtually any bone or joint in the body, including the vertebrae of the spine. It is caused by a spread of the disease from the lungs, though it can take a while to develop so in about half of cases it appears after the disease has ceased to be active in the lung. Spinal tuberculosis occurs when tuberculosis bacteria spread through the blood and into the vertebrae. If the disease spreads through the vertebrae to affect an entire disc, the disc can collapse. In some cases of osteoarticular tuberculosis, “cold” abscesses can form, which would have been aspirated in order to try to remove the infection.

Treatment of this condition at Southfield Sanatorium was chiefly through rest and immobilisation. The affected limb would be set in a plaster cast or a “shell”, and the patient’s position would be manipulated in order to provide the greatest advantage. Patients would be immobilised in this way for months at a time to give the treatment time to work. For patients who needed to remain mobile, braces and plaster jackets were used so that they could move around whilst still receiving some of the benefits of immobilisation.
Examples of braces used to treat spinal tuberculosis.
By Internet Archive Book Images [No restrictions], via Wikimedia Commons
Immobilisation worked on the basis that the affected area would heal through a process of increased resistance due to prolonged rest. This would enable the formation of fibrous tissue which could diminish the supply of blood to the diseased area, meaning that the disease would not be able to spread. Immobilisation also assisted the patient by preventing inflamed areas from rubbing together, which could lead to pain and erosion. Immobilisation was widely regarded at the time as the best cure for this type of tuberculosis, particularly in children, and whilst surgical treatments such as bone grafts were available for adults, this was not used at Southfield Sanatorium, which tended towards the more conservative treatments.
Sir Henry Gauvain, ‘Treatment of bone and joint tuberculosis’, Tubercle, 17, 8, 1936, pp. 360-363
C. Lee Pattison, ‘The local treatment of acute tuberculous disease of the hip joint and vertebr√¶’, Tubercle, 5, 4, 1924, pp. 162-167
McDonald and Sexton, ‘Skeletal tuberculosis’,

Friday, 30 October 2015

Creating clearer catalogues...

This week, we've an introduction from a 'new' member of the LHSA team. In fact, you may recognise Paul Fleming from previous blogs, although in the past two weeks, he's started a new role with us:

The University of Edinburgh is the first European developer of ArchivesSpace, a next-generation web-based archives information management system, and LHSA is taking part in the adoption process. There have been a number of blogs detailing the more technical side of things, so I will focus more on introducing my role as Catalogue Conversion Assistant, putting LHSA catalogues into the new system.

Paul: pictured in the LHSA stores. There's nothing like the official LHSA staff photo to let you know you've arrived!

Naturally, LHSA has been involved in discussing how the Centre for Research Collections will use ArchivesSpace to highlight their collections, with Louise (LHSA Archivist) being a member of the project team. The move over to this new system is no small task with Phase One alone seeing the transfer into ArchivesSpace of 17,000 catalogue records and 22,000 authority terms describing archive collections across the CRC. Yet the enhanced service which this will provide for our users and staff will be worth all the hard work.

I feel very humbled to now be playing a small role in the adoption process as Catalogue Conversion Assistant at LHSA. Over the next four months I will be converting existing LHSA finding aids from Microsoft Word format into ArchivesSpace with the aim of improving user access to our collections and better representing LHSA on the new system.

Friday, 23 October 2015

New opportunities at LHSA

The blog this week is from Ruth, with a shameless bit of advertising for two new posts we’re recruiting for!

The first post is a Project Cataloguing Archivist – maternity cover for our Wellcome Trust funded project to catalogue Norman Dott’s case notes. There have been lots of really interesting blogs about this project from my colleagues over the past couple of years so I won’t go into too much detail here about what’s involved – check out the blog archive and our project pages on for more information. This post is fixed term for six months with the possibility of extension, and would be ideally suited to an archivist in the early stages of their career. The vacancy will go live on the job pages of Edinburgh University’s website ( on Monday, and we’ll be updating Facebook and Twitter as soon the application process is open.

Our second post will be open for applications from later on today (at the University URL above). We’re looking for an Access Officer to join the team, and work with us to answer enquiries about our collections and services, and help open up the Archive to new audiences. This is a part time post, which is likely to be a good fit with someone who is interested in pursuing an archives career and would like to work in the sector whilst completing a distance learning qualification. 

If either (or both) of these posts are of interest please have a look at the University job pages for the full details including job description, person specification, grading and timescale. And if these jobs aren’t for you, but you know someone who might be interested, please do pass the info along. We’re really pleased to be able to offer these exciting opportunities within the archive sector, and look forward to welcoming two new people to the team here at the Centre for Research Collections.

Friday, 16 October 2015

The Man Behind the Edinburgh Scheme

In this week's blog, Project Archivist Rebecca learns more about the founder of the Royal Victoria Dispensary...

Work is progressing well on the tuberculosis case notes cataloguing project so I thought at this stage it might be a good idea to learn a bit more about the man who started it all, Sir Robert William Philip.

Sir Robert Philip, 1857-1939
Born in 1857, Philip graduated from the University of Edinburgh with a degree in medicine in 1882. Further studies took him to Leipzig, Berlin and Vienna, where he took the opportunity to view the recently discovered tubercle bacillus. Prior to this discovery there had been much debate about whether tuberculosis may be hereditary. The discovery of the bacillus proved that it was an infectious disease, and Philip was quick to realise the implications of this discovery for treatment. Following his return to Edinburgh and the establishment of his medical career at the Royal Infirmary, Philip retained an interest in tuberculosis, hypothesizing that the various lesions caused by tuberculosis were symptoms of a systemic infection. Coupling this theory with his understanding of tuberculosis as an infectious disease, Philip began his life’s work of establishing a co-ordinated system of tuberculosis treatment in Edinburgh.

He opened the Royal Victoria Dispensary on Bank Street in 1887, which came to operate at the centre of a range of co-ordinated services in a system known as the Edinburgh Scheme.  A large part of this scheme was identifying contacts of tuberculous patients and promoting good hygiene to prevent the spread of the disease. (For more information, see my earlier post.) The success of these institutions added credibility to Philip’s advocacy for a notification scheme, which influenced tuberculosis policy throughout the UK throughout the early twentieth century, particularly the national requirement for the notification of patients with tuberculosis and other infectious diseases. His work in Edinburgh also led to the bringing together of one of the first herds of tuberculosis-free cows, diminishing the spread of bovine tuberculosis to children. His influence was acknowledged in 1913, when he was awarded a knighthood.

Royal Infirmary Summer Residents, 1883. Robert Philip is the first seated gentleman on the left-hand side.

Philip’s career was not limited to his work at the Royal Victoria Hospital, which was handed over to the City of Edinburgh in 1914. In 1917 he was the first to take the Chair of Tuberculosis at the University of Edinburgh where he led a compulsory course of lectures for medical students, spreading his influence to the next generation of doctors. As well as his specialism in tuberculosis, Philip worked as a physician at the Royal Infirmary until 1921, where he taught clinical medicine. He served as president to many medical associations, and sat on the council of the International Union Against Tuberculosis.

Sir Robert Philip died in 1939, leaving a permanent influence on the treatment of tuberculosis and preventative medicine through his advocacy for notification of tuberculosis patients and surveillance of their contacts. His influence was not limited to Edinburgh, or even the UK, but was felt far afield in countries such as the USA, where his insight was well-respected. Even after the discovery of effective antibiotics led to a new cure for tuberculosis, Philip remained respected by physicians for the correctness of many of his theories and the effectiveness of his work.
Plaque commemorating Sir Robert Philip at 13 Bank Street, the original site of the Royal Victoria Dispensary. (P/PL41/TB/035)

Munks Roll:
NAPT, Sir Robert W Philip 1857-1939: Memories of his friends and pupils (1957)
Steve Sturdy, ‘Philip, Sir Robert William (1857–1939)’, Oxford Dictionary of National Biography, Oxford University Press, 2004; online edn, Jan 2011 [, accessed 15 Oct 2015]

Friday, 9 October 2015

Towards a healthy city

In this week's blog, Archivist Louise learns how 'auld reekie' cleaned up from LHSA's public health collections:
You may have seen our recent social media promotion of a very special event at the Royal College of Surgeons of Edinburgh on 21st October celebrating 150 years of the ground-breaking 1865 work, Report on the Sanitary Conditions of Edinburgh, by the city’s first Medical Officer of Health, Henry Duncan Littlejohn (1826 – 1914). Ruth (LHSA Manager) and I are going along to the symposium, not only because the content will be fascinating and deals directly with our work, but also because we’re raiding the LHSA stores to take along some items for the afternoon to bring the history of public health in our city alive.

The symposium programme begins with a talk on the history of the development of public health in Edinburgh since Littlejohn’s 1865 report, followed by an account of the current health of the city delivered by NHS Lothian Director of Public Health, Professor Alison McCallum. The day finishes by discussing the legacy of Littlejohn’s work, and whether in 2165 (150 years from now), we will continue to capitalise on Littlejohn’s innovative legacy.

Luckily for everyone, I’m not a doctor, so cannot help with the city’s current ills, and I definitely can’t see into the future, but I can help to shed light on the history of public health changes in Edinburgh through LHSA collections. We’re taking along items that span the period from Littlejohn’s time until the developments in healthcare with the coming of the NHS, including images of nurseries and the school medical service in the 1940s, a letter-book describing insanitary houses in Leith in the early twentieth century and mementoes and memories of Littlejohn as a lecturer at the University of Edinburgh Medical School (Littlejohn was appointed to the Chair of Medical Jurisprudence at the University in 1897).

Henry Duncan Littlejohn was appointed Medical Officer of Health for the city in 1862, a post that he occupied until 1908. Born in Leith Street and educated at the University of Edinburgh Medical School (from which he graduated in 1847), Littlejohn was appointed as the city’s Police Surgeon in 1854.  Littlejohn’s career developed as he lectured at the Royal College of Surgeons of Edinburgh and appeared in the judiciary courts as a crown medical examiner. However the November 1861 tragedy in the High Street in which a tenement collapsed killing 35 people brought Edinburgh’s appalling housing and sanitary conditions for the poor into sharp relief. The Town Council put the appointment of a Medical Officer of Health to the vote and, by the narrowest of margins (only one vote), Littlejohn and his department began to transform birth, life and death in our city.

My favourite item from those I’ve chosen for the display is the Report on the Evolution and Development of Public Health in the City of Edinburgh from 1865 to 1919 (LHB16/2/1). Admittedly a bit of a mouthful, the report by John F Young details the progress in making Edinburgh a cleaner, happier and healthier city since Littlejohn’s 1865 report. Report on the Sanitary Conditions of Edinburgh was the result of painstaking work by Littlejohn and his sole clerk. It was based on data that they collected in 1863 on death rates, disease and housing conditions in 19 districts that Littlejohn defined in Edinburgh. The report also included recommendations on steps that could be taken to improve the poorest areas of the city, such as decreasing overcrowding, lowering the height of tenements, improving existing housing and creating space for more sanitary new houses and streets.
The Report on the Evolution and Development of Public Health in the City of Edinburgh from 1865 to 1919 takes a ‘then-and –now’ approach, comparing the conditions and immediate improvements made in the late nineteenth century with life for Edinburgh’s residents in 1919:

The first pages of Young's report comparing the nineteenth century conditions for those with infectious diseases in Canongate Poorhouse to the green fields and (then!) modern facilities at the City Hospital, opened with Littlejohn's help in 1903 (LHB16/2/1).

Young recounts the dire conditions described in Littlejohn’s 1863 research, such as a tenement called Middle Mealmarket without sink or WC yet housing 248 individuals, and that Edinburgh had 171 cow-byres located directly below human dwellings. He also traces the development of Edinburgh’s sanitary and living condition since Littlejohn’s appointment, particularly listing the legislation which came as a result of his work, such as the 1867 City Improvement Act (a slum clearance scheme), the 1889 Notification of Diseases Act (particularly important in being able to trace the impact of infectious diseases such as TB) and the City Act of 1891 which empowered authorities to removed healthy people from infected houses.

Indoor and outdoor case for TB patients at the City Hospital (LHB16/2/1).

The 1919 Report on the Evolution and Development of Public Health in the City of Edinburgh shows the growth of the Public Health Department from Littlejohn and his clerk in 1862 to a range of functions, including a public health group, a tuberculosis group (comprising infectious disease dispensaries, disinfecting stations and hospitals), food and drugs inspectors, a sanitary department, a VD scheme, a veterinary department (checking the conditions of animal husbandry and slaughter) and a child welfare department. Young’s report was written just as Edinburgh’s pioneering Maternity and Child Welfare Scheme was developed (on which I’ll be writing another blog shortly), a system of care prompted by the number of infant deaths attributed to premature birth and nursing conditions. This scheme was developed under Edinburgh’s second Medical Officer of Health, Dr A Maxwell Williamson, and the necessity of its foundation makes up a large section of Young’s survey:

Table showing deaths of children under five in Edinburgh by area, 1911 - 1915 (LHB16/2/1).

LHSA does not hold a physical copy of Littlejohn’s Report on the Sanitary Conditions of Edinburgh (although you can read a digitised copy here), but we do have an impressive collection from the Public Health Department. The collection covers Medical Officer of Health reports, photographs, as well as documents covering the main roles of the Public Health Department in sanitation, prevention of disease, housing and child welfare. Its potential as a research resource is huge. In fact, it’s currently a major source for a University of Edinburgh contribution to a collaborative public health research project, using the collection to map the lives of those born in Lothian in 1936.

There are still a few free tickets left for the 21st October Symposium on public health's history, present and future in Edinburgh, which you can sign up for here - so come and visit us to see some of LHSA's collections!

Public health on the move: a motorised ambulance and a disinfecting van in early twentieth century Edinburgh (LHB16/2/1).