Hospital Real de Todos os Santos
Encyclopedia
The Hospital Real de Todos os Santos (All Saints Royal Hospital) was a major hospital
Hospital
A hospital is a health care institution providing patient treatment by specialized staff and equipment. Hospitals often, but not always, provide for inpatient care or longer-term patient stays....

 in Lisbon
Lisbon
Lisbon is the capital city and largest city of Portugal with a population of 545,245 within its administrative limits on a land area of . The urban area of Lisbon extends beyond the administrative city limits with a population of 3 million on an area of , making it the 9th most populous urban...

, Portugal
Portugal
Portugal , officially the Portuguese Republic is a country situated in southwestern Europe on the Iberian Peninsula. Portugal is the westernmost country of Europe, and is bordered by the Atlantic Ocean to the West and South and by Spain to the North and East. The Atlantic archipelagos of the...

. The hospital was built between 1492 and 1504 and was destroyed in the 1755 Lisbon earthquake
1755 Lisbon earthquake
The 1755 Lisbon earthquake, also known as the Great Lisbon Earthquake, was a megathrust earthquake that took place on Saturday 1 November 1755, at around 9:40 in the morning. The earthquake was followed by fires and a tsunami, which almost totally destroyed Lisbon in the Kingdom of Portugal, and...

, along with most of the city.

Foundation

In 1492, after obtaining papal
Pope
The Pope is the Bishop of Rome, a position that makes him the leader of the worldwide Catholic Church . In the Catholic Church, the Pope is regarded as the successor of Saint Peter, the Apostle...

 approval, King John II
John II of Portugal
John II , the Perfect Prince , was the thirteenth king of Portugal and the Algarves...

 ordered the building of one of the most important civil and charitative infrastructures in old Lisbon, the Hospital Real de Todos os Santos. The Hospital was finished in 1504, during the reign of King Manuel I
Manuel I of Portugal
Manuel I , the Fortunate , 14th king of Portugal and the Algarves was the son of Infante Ferdinand, Duke of Viseu, , by his wife, Infanta Beatrice of Portugal...

. The construction of the Hospital was part of a Royal campaign to centralise the health assistance of the most important cities of the Kingdom into general hospitals. Large hospitals were also founded in Coimbra
Coimbra
Coimbra is a city in the municipality of Coimbra in Portugal. Although it served as the nation's capital during the High Middle Ages, it is better-known for its university, the University of Coimbra, which is one of the oldest in Europe and the oldest academic institution in the...

 (1508), Évora
Évora
Évora is a municipality in Portugal. It has total area of with a population of 55,619 inhabitants. It is the seat of the Évora District and capital of the Alentejo region. The municipality is composed of 19 civil parishes, and is located in Évora District....

 (1515) and Braga
Braga
Braga , a city in the Braga Municipality in northwestern Portugal, is the capital of the Braga District, the oldest archdiocese and the third major city of the country. Braga is the oldest Portuguese city and one of the oldest Christian cities in the World...

 (1520).

Location and architecture

The main façade
Facade
A facade or façade is generally one exterior side of a building, usually, but not always, the front. The word comes from the French language, literally meaning "frontage" or "face"....

 of All-Saints Hospital occupied the whole eastern side of Rossio
Rossio
The Rossio is the popular name of the Pedro IV Square in the city of Lisbon, in Portugal. It is located in the Pombaline Downtown of Lisbon and has been one of its main squares since the Middle Ages...

 Square. Today's Praça da Figueira
Praça da Figueira
The Praça da Figueira is a large square in the centre of Lisbon, in Portugal. It is part of the Baixa Pombalina, the area of the city reurbanised after the 1755 Lisbon Earthquake....

 (Fig Tree Square) is located over of the area occupied by the old Hospital.

Old descriptions and excavations indicate that the building had a groundfloor and two upper storeys and was organised into several square-shaped wings with central courtyards around the Hospital Chapel. The Chapel was located in middle of the ensemble and had a massive tower in the eastern end of the nave
Nave
In Romanesque and Gothic Christian abbey, cathedral basilica and church architecture, the nave is the central approach to the high altar, the main body of the church. "Nave" was probably suggested by the keel shape of its vaulting...

.

The main façade of the Hospital had an arched gallery with buttress
Buttress
A buttress is an architectural structure built against or projecting from a wall which serves to support or reinforce the wall...

es in its ground floor. The entrance of the Chapel was located in the middle of the Hospital façade and was reached by a monumental stairway. Contemporary drawings show that the portal of the Chapel was a magnificent work in Manueline
Manueline
The Manueline, or Portuguese late Gothic, is the sumptuous, composite Portuguese style of architectural ornamentation of the first decades of the 16th century, incorporating maritime elements and representations of the discoveries brought from the voyages of Vasco da Gama and Pedro Álvares Cabral...

 style, the Portuguese version of late Gothic
Gothic architecture
Gothic architecture is a style of architecture that flourished during the high and late medieval period. It evolved from Romanesque architecture and was succeeded by Renaissance architecture....

 typical of King Manuel I
Manuel I of Portugal
Manuel I , the Fortunate , 14th king of Portugal and the Algarves was the son of Infante Ferdinand, Duke of Viseu, , by his wife, Infanta Beatrice of Portugal...

's time.

Organisation

The rules of the Hospital were granted by King Manuel I in 1504, and were based on the rules of contemporary hospitals in Florence
Florence
Florence is the capital city of the Italian region of Tuscany and of the province of Florence. It is the most populous city in Tuscany, with approximately 370,000 inhabitants, expanding to over 1.5 million in the metropolitan area....

 and Siena
Siena
Siena is a city in Tuscany, Italy. It is the capital of the province of Siena.The historic centre of Siena has been declared by UNESCO a World Heritage Site. It is one of the nation's most visited tourist attractions, with over 163,000 international arrivals in 2008...

. Initially the Hospital had three infirmaries (enfermarias) located in the upper storey, where the ill were treated. The groundfloor was occupied by the Hospital personnel (around 50 people, many of whom lived in the building). The first floor housed dependencies like the kitchen, refectory and pharmacy, as well as rooms for abandoned children (called expostos), beggars and the mentally ill.

Initially, it is estimated that the Hospital was capable of housing around 250 people, with 2500-3000 people being treated every year. Even though the premises were victim of several fires, the facilities were greatly expanded until the middle of 18th century, when the Hospital had around 12 infirmaries. It was the most important health institution in the city and an important centre for the practical study of anatomy and medicine in Portugal.

The Hospital was initially administered by a provedor appointed by the King, but after 1564 the Hospital was run by the Irmandade da Misericórdia (Brotherhood of the Mercy), an important Portuguese religious charity established in 1498 that exists to this day.

Destruction

Things changed with the massive 1755 Earthquake
1755 Lisbon earthquake
The 1755 Lisbon earthquake, also known as the Great Lisbon Earthquake, was a megathrust earthquake that took place on Saturday 1 November 1755, at around 9:40 in the morning. The earthquake was followed by fires and a tsunami, which almost totally destroyed Lisbon in the Kingdom of Portugal, and...

, in which a great part of the city was destroyed by the quake itself and the fire that followed. The situation was worsened by the fact that the All Saints Hospital was greatly damaged, and the surviving patients and wounded by the quake were housed in undamaged convents and palaces. The government of King Joseph I, headed by the Marquis of Pombal, quickly started rebuilding the Hospital, which was soon treating the ill again.

For some reason, possibly related to financial constraints, the Hospital was never fully rebuilt. The Hospital facilities were transferred in 1775 to the building of the Colégio de Santo Antão, a Jesuit college that was confiscated by the Crown after the Jesuit Order was expelled from Portugal in 1759. The new Hospital was renamed Hospital de São José, paying hommage to King Joseph I. The remnants of the All Saints Hospital were demolished and a new square was created, the Praça da Figueira
Praça da Figueira
The Praça da Figueira is a large square in the centre of Lisbon, in Portugal. It is part of the Baixa Pombalina, the area of the city reurbanised after the 1755 Lisbon Earthquake....

(Square of the Fig Tree).
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