Preventive health care was of great importance to the Republic of Venice.
The town had the best doctors from recognised universities (e.g. Padua). Due to
diversified commercial contacts with Middle East countries and North African
countries where plague epidemics were often breaking out, Venetians started
building lazarets (the 1st one was built on the island in Venetian lagoon in 1423)
and other warehouses where goods were stored for a certain period. They also
established special judiciaries of health office (Provveditori alla Sanità as permanent office was established in 1485) responsible for preventive health care
of townspeople. Health care supervisors carefully monitored the situation
across the Mediterranean as well as in the Venetian hinterland. Upon the occurrence of plague or any other infectious disease, swift action and necessary
measures to protect the population were taken. Ships and merchants were diligently examined, especially those that came from areas where the infectious
disease was spreading. The period of quarantine was extended to 40 days and
they took measures to ensure nobody was allowed to transport cargo to or from
the port without a health card. The Senate also established health offices in
provinces. Thus, on 27. 2. 1576, Health office (Procuratori della Sanità; composed of 3 officials) was established in Piran; on 25. 3. 1577 the head office
health care for the province (Sede di Sanità) was established in Koper. Officials
supervised arrivals and departures of ships in city‘s ports and berths on private
piers. Upon breakout of an infectious disease, they took different measures to
prevent the spread of the disease (e. g. strict control; in front of the town a galley
was anchored which at the same time served as a trade exchange and quarantine. Istrian towns have a long tradition of organized health care. Following the
example of Venice, hospitals were organized in the cities already in the 13th
century. Piran hospital was established at the end of 1222, the one in Koper in
1262, and the establishment of hospital in Izola can probably be traced to the
13th century. Koper commune established St. Nazarius hospital at the town entrance, in which pilgrims, the poor, the lamed, the handicapped since birth,
foundlings, and the sick found shelter. Townspeople donated bread, wine, and
oil to the hospital in order to support 10 poor persons, as well as other income
of 13 lire. Hospital administration consisted of two procurators, who had to be
elected every year in the Great Town Council, and prior who received 6 pounds
a year. Maid took care of the sick and the poor, while priest performed Mass in
the hospital every day. Since the financial situation of the hospital deteriorated,
in 1454 the commune authorities entrusted the management to the most prominent Brotherhood of St. Anthony the Abbot in Koper. Upon the visitation of
bishop Agostino Valier of Verona in 1580, the hospital had income of 2000 lire.
The hospital admitted the poor of both genders, foreigners, patients, and foundlings. They were kept in the hospital until their numbers swelled to the point
when they were sent with a nurse to Venetian orphanage. The hospital building
was well maintained. The below room with beds without bedding was empty,
while the upper part had six rooms, five of which were furnished with mattresses, sheets, and blankets. The sick were treated by the commune doctor and
surgeon. In Zubenaga district in the other part of the town, Marco Trivisano
founded the hospital of St. Mark for women in the 14th century. In 1580, the
facility included church dedicated to St. Mark the Evangelist, and a narrow
courtyard with modest cells along the sides. At that time, the hospital had 830
lire in its treasury; at the founder‘s request, it received 126 lire every year. However, these were its only source of income. Although eight poor women should
be supported by the hospital, there were only six at that time. Even later, the financial situation of the hospital did not improve, and around 1700, women
were offered only overnight accommodation, whereas food was also provided
in the past. The first known doctor to date in Koper was ser Benvenuto who
worked as a doctor in Koper in 1310. The 1423 statute governed commune doctor‘s remuneration; he received 3 pounds of small notes every time he left town
in the event of an offence. The doctor and surgeon, who had to notify podesta of
any violent injury as well as of ordinary injuries they had treated, had to be approved at least from 1452 onwards every year 3 months prior to the end of their
service by a large majority in the Great Town Council. In 1602, the Venetian
doge Nicolo Grimani raised the doctor‘s salary from 120 to 200 ducati, while the
Great Town Council of Koper decided at the meeting in 1661 that medical service in the town could be performed only by foreigners. Santori Santori should
be noted as one of the numerous important doctors of Koper who is regarded as
the great medical researcher and writer of the 16th century. In addition to praying to Mary and the deceased, the friars of the Servite monastery, who settled in
the city in 1454, performed Mass and preached, however, special attention was
paid to the spiritual care of pilgrims, the poor, and the sick. Since there were few
friars in the monastery, it was abolished at the end on the 18th century. After
conquering the city, the Austrians set up a military hospital in the empty building of the Servite monastery in 1801, and the church became a temporary prison for criminals. When Istria came under the French rule and numerous brotherhoods, which had managed poorhouses until then were abolished, charity
congregations were founded in cities. Congregation in Koper had to focus primarily on taking care of foundlings while it also cared for the poor and mentally
ill in Koper. The St. Nazarius hospital with the orphanage was moved to the
former monastery in 1810, whereas the church was converted into a warehouse
in 1850. Because of the abolition of the annual contribution of seven Istrian
municipalities for the orphanage of Koper in 1813 and outstanding debts from
the period of French rule, the hospital got into financial difficulties which were
resolved only in the mid-19th century after acquiring the income of the abolished Brotherhood of St. Anthony Abbot and when it was granted the national
status of a shelter for the poor and treatment of patients. The hospital was renamed to town hospital. Regulations for the town hospital were written by Dr Giovanni Andrea de Manzoni who was the municipal representative and district
physician. The hospital was managed by directorate while the municipality financed two doctors with a degree in medicine and surgery and with the knowledge of obstetrics from the public purse. They received 600 florins per year for
their work. They were obligated to treat the town poor, along with patients and
care recipients of the town hospital free of charge. The town also paid two midwives, one in the town, and the other for tax municipality of Lazaret in order for
them to help poor birthing mothers free of charge. In 1980s, the city had two
pharmacies. As insinuations of irregularities in the hospital were spreading
through the town, the merchants who supplied it with meat and bread stated
more than 2000 florins of unpaid bills, the municipal representation urged the
directorate to prepare a detailed balance. In view of the above-mentioned difficulties, imperial-royal interim leadership in Trieste invited the sisters of the
Third Order of St. Francis to the town in 1886. Until 1915, the sisters of the
Third Order of St. Francis were responsible for managing hospitals, caring for
patients and helping the poor. Since they were Italian citizens, they had to leave
the city after Italy entered the war despite exemplary care for patients. In the
mid-19th century, a charity nursery school for children (between the ages of 3
and 6) and Grisoni charity institution (for children from 6 to 20 years old) were
established in the town where children acquired qualifications, while girls received dowry (at first, 105 florins, and later 210 florins) upon leaving. The evolution of society is reflected in its attitude towards people who are in need the
most, and foundlings and orphans most certainly belong among them. The more
the society is sophisticated and educated the more sensitive it is to the problems of other people and tries to face such difficulties and overcome them.
Wealthy individuals and various secular institutions were the first to offer help
with the care of helpless children and youth. From the beginning of the 19th
century and onwards however, public authority in the spirit of Enlightenment
also became involved in resolving these problems, namely through its legislation, establishment of foundling institutions, organizing foster care, opening
nursery schools, and including children in schools. Although far from modern
social politics, the foundations for more equal treatment of the most deprived
population group were laid.