19/02/2018 - 12:00
By Conall Ó Fátharta
The Tuam babies scandal recalled a more callous Ireland we thought we had left far behind, but as late as 1990 children from the Bessborough Mother and Baby Home were still being buried in unmarked graves, writes Conall Ó Fátharta
When the Tuam babies scandal broke in 2014, it immediately became a story about Ireland’s past. Babies died and were left forgotten in a mass grave in a different Ireland, a crueler Ireland. An Ireland that we have long left behind. A memory.
However, an Irish Examiner investigation has discovered that children from the Bessborough Mother and Baby Home who died as late as 1990 are buried in unmarked graves in a Cork city cemetery.
Three grave plots in St Finbarr’s cemetery in Cork city were found to contain the remains of at least 21 children. Two of the three plots are completely unmarked. The third records just one name despite 16 children being buried in the grave.
One of the unmarked plots was purchased by the former St Anne’s Adoption Society. Founded in 1954 by the then Bishop of Cork Cornelius Lucey, it was set up with the purpose of arranging the adoption of babies born to Irish unmarried mothers in Britain. It closed in 2003 and its records transferred to the Southern Health Board. They are now in the possession of Tusla.
Buried in this plot are three girls and one boy who all died in early infancy. Their deaths occurred in 1979, 1983, 1988 and 1990. The death certificate for the last child buried in the plot in 1990 reveals that, although she died in St Finbarr’s Hospital, she was in the care of the nuns at the Bessborough Home. A birth certificate could not be located for the child in this name.
Just a stone’s throw from this plot is a marked plot belonging to the former St Patrick’s Orphanage run by the Mercy Sisters. It operated a nursery for St Anne’s Adoption Society where children were kept until the society could arrange for an adoption to be contracted.
A total of 16 children are buried in this plot from between 1957 and 1978. Although the grave is marked, it does not have a headstone and just one name — that of the final child buried in the plot — is recorded on a small brass plaque attached to a small wooden cross.
Some of the children buried in this plot were born to unmarried Irish women living in Britain. They had been sent back to be adopted by Irish families. Some of the children have been buried in the names of their putative adoptive parents.
However, three of the 16 were from the Bessborough Mother and Baby Home. Death certificates for two
infants in the plot reveal that they died at the institution, while in another case, the child is listed as having been born in Bessborough but died in St Finbarr’s Hospital.
In another part of the cemetery, another little girl in the care of Bessborough who died in 1990 is buried in another unmarked grave. This is recorded as a non-perpetuity plot indicating that it does not have an owner.
The Irish Examiner put a series of queries to Tusla in relation to these deaths.
It stated that, between 1957 and 1990, there were 16 recorded infant deaths in St Anne’s Adoption Society and St Patrick’s Orphanage. It is unclear whether or not all of the mothers of these infants were informed of their deaths.
“Records which were accessed indicate that 13 mothers were informed. This does not mean the remaining three mothers were not informed; records of notification to mothers/family members are not always held on files.
“All 16 births were officially registered. Fifteen of the 16 deaths were identified as recorded on the Register of Births, Deaths and Marriages. Records in relation to the death of one child were not located,” said a statement.
The Irish Examiner also put a series of questions to the Sisters of the Sacred Hearts of Jesus and Mary which ran the Bessborough Mother and Baby Home. These centred on why it used plots owned by other agencies to bury children that were in its care and why what appears to be a pauper’s grave was used for the burial of one child.
It was also asked why headstones or some sort of marking was not provided.
In a statement, it declined to answer any of the questions but said it would deal with the Mother and Baby Homes Commission in relation to all matters.
“As indicated previously all records relating to Bessborough were passed to the HSE in 2011 and are now in the possession of Tusla. We will continue to deal directly with the Commission of Investigation into Mother and Baby Homes on all such matters.” said the statement.
Similarly, the Sisters of Mercy said they would “deal directly with this Commission on all related matters”.
The Irish Examiner investigation comes as the Mother and Baby Homes Commission has made a public appeal for information on burials of the “large number” of children who died at Bessborough between 1922 and 1998.
It stated: “The Mother and Baby Homes Commission of Investigation is tasked with investigating and reporting on the burial arrangements of children and mothers who died while resident in the institutions within our remit.
“We are currently investigating the burials of a large number of children who died while resident in Bessboro Mother and Baby Home in Cork between 1922 and 1998. The Commission would like to hear from anyone who has personal knowledge, documentation or any other information concerning the burial arrangements and/or burial places of children who died in Bessboro in this time period.”
In 2015, the Irish Examiner revealed that 470 infants and 10 women were recorded as having died at Bessborough between 1934 and 1953.
More than half of these children died between 1938 and 1944. The cause of death in around 20% of the deaths is listed as ‘marasmus’, or malnutrition.
A death register listing these details, as well as those for infant deaths at the Sean Ross Abbey Mother and Baby Home in Roscrea, was maintained by the Sisters of the Sacred Hearts of Jesus and Mary and has been held by the HSE (and now Tusla) since 2011. This was two years before Catherine Corless’s research made headlines worldwide.
Indeed, further material obtained by the Irish Examiner revealed that the HSE had raised specific concerns about deaths and adoption practices at Tuam and Bessborough in 2012 — two years before the Tuam babies scandal broke.
An unpublished HSE report on Bessborough, written in 2012, spoke of “staggering” numbers of children listed as having died at the institution.
The author of the report says infant mortality at Bessborough between 1934 and 1953 was “a cause for serious consternation”.
Curiously, no deaths were recorded after 1953 but 470 children died in this 19-year period — which works out as one child every fortnight for almost two decades.
It also raised the concern that death certificates may have been falsified so children could be “brokered into clandestine adoption arrangements, both foreign and domestic” — a possibility the HSE report said had “dire implications for the Church and State“.
It is worth noting that the HSE was making such allegations after examining the institution’s own records. The report, which runs to more than 20 pages, notes that these records reveal a culture “where women and babies were considered little more than a commodity for trade amongst religious orders” and that they were “provided with little more than the basic care and provision afforded to that of any individual convicted of crimes against the State”.
The report, prepared as part of the HSE’s examination of interventions by Irish State health authorities in the Magdalene laundries, highlights the “intricacies of Bessborough’s accounting practices”, and that “detailed financial records and accounts were not handed over to the HSE by the Sacred Heart Order”.
It spoke of the nuns’ “preoccupation with material assets” and “preoccupation with materialism, wealth, and social status”, and that the women provided “a steady stream of free labour and servitude”. The nuns also received “financial remuneration” for the children of these women.
The report also revealed the existence of the death register and noted that the numbers recorded “are a cause for serious consternation“.
“As Bessborough’s death register contains less than two decades of details of Sacred Heart Adoption Society’s almost 75-year history, one cannot be certain as to the full scope of infant deaths. Curiously there are no death records for any years following 1953,” the report notes.
However, the HSE report does specifically raise the issue of what sort of conditions were present in the institution to allow such a “shocking” rate of infant death to occur and asks “what conditions precipitated the deaths of so many babies under the trust of the Sacred Heart Order”.
“While a thorough inquiry is beyond the remit of this paper, one cannot help but ponder the implications of this phenomenon,” stated the report.
In addition to revealing the number of babies that died between 1934 to 1953, the death register lists each child’s date of death, address, name, gender, age at last birthday, profession (marked as son or daughter), cause of death, and, in some cases, the duration of illness and the date when the death was registered.
The recorded causes of death in the entries include: Marasmus, gastro enteritis, congenital debility, spina bifida, congenital syphilis, pneumonia, bronchitis, congenital heart, tubercular peritiorities, cardiac shock, heat stroke, tonsillitis, and prematurity.
It concludes by the stating that the “interconnectedness between Church and State demands a much more comprehensive exposition than has been offered here.”
When the Irish Examiner first revealed details of the HSE report, the Department of Children said it had no knowledge of the report. The department later changed its position, stating that not only did it have a copy of the report, but so did the Department of Health.
In a series of responses to parliamentary questions, the then children’s minister Dr James Reilly sought to defend the lack of action on the deaths — described as “wholly epidemic”, “shocking” and a “cause for serious consternation” — by stating the 2012 report’s findings are “a matter of conjecture”. The view that the report was conjecture has been reiterated on numerous occasions since.
However, the report is based on an examination of Bessborough’s own records spanning from 1922 to 1982. These were transferred to the HSE by the order that ran the home — the Sisters of the Sacred Hearts of Jesus and Mary — in 2011. The 478 deaths recorded are taken directly from the order’s own death register.
The author does state that the conclusions of the report were conjecture but this was in reference to establishing the interaction between the State, the order running Bessborough and the order operating the two Magdalene laundries in Cork.
The report is rock solid on the issue of infant death numbers and the author clearly indicates the Bessborough files reveal enough disturbing information to warrant a full forensic investigation.
None of the concerns raised in the Bessborough report are mentioned in the McAleese Report, nor does it appear any further investigation was done into the report’s findings.
The 2014 inter-departmental report on Mother and Baby Homes listed just 25 infant deaths at Bessborough, despite two government departments being in possession of the order’s own figure of 470.
Dr James Reilly defended these omissions stating the findings were not “validated” and Mother and Baby Homes were outside the remit of the McAleese Committee.
“As the issues raised in this draft report regarding death rates in Bessborough were outside the direct remit of the McAleese Committee, the HSE advised that these and other concerns would be examined separately by the HSE.
“At that time my department advised the HSE that any validated findings of concern from this separate process should be appropriately communicated by the HSE. My department is not aware of any subsequent report on this matter by the HSE,” he said.
It is worth noting the HSE also was in possession of another death register at the time — that of Bessborough’s sister Mother and Baby Home Sean Ross Abbey.
This death register lists a total of 269 deaths between 1934 and 1967. However, some of those buried in the plot on the site of the former mother and baby home are not listed on the register.
Unlike Bessborough, marasmus is far less visible with cardiac failure, prematurity and sepsis among the most common causes of death.
None of the children recorded survive until their first year of birth. A total of nine women are recorded as having died, the youngest at 17 years old.
In relation to the above material, the Order has stated it will “continue to deal directly with the Commission [of Investigation into Mother and Baby Homes] on all such matters”.
It it is true that Mother and Baby Homes were outside the remit of the McAleese inquiry. However, that report points out that the inquiry uncovered material that was, “strictly speaking, outside its core remit” but chose to include it “in the public interest”.
Another Irish Examiner investigation later in 2015 found that the religious order that ran Bessborough Mother and Baby Home reported significantly higher numbers of infant deaths to state inspectors than it recorded privately.
Between March 31, 1939, and December 5, 1944, Department of Local Government and Public Health (DLGPH) inspector Alice Litster was informed that 353 infant deaths occurred at the institution. The figures are contained in an inspection report from 1944 which was obtained by this newspaper.
However, the Bessborough Death Register, released under Freedom of Information, reveals the nuns recorded just 273 infant deaths in this period — a discrepancy of 80.
A year-by-year comparison of the records reveals that, in all but one year, the State was informed of a higher number of infants dying in Bessborough than the nuns recorded privately.
In her report, Ms Litster stated the figures for 1939 to 1941 “were furnished by the Superioress” while those for 1943 and 1944 had been “checked and verified and their accuracy can be vouched for”.
The Order confirmed to Tusla via its solicitors in 2015 that the death register it gave to the HSE in 2011 was the only one in existence and it “does not hold any other death register”.
However, it wasn’t just issues found in the Bessborough records that were concerning staff within the HSE in 2012. Tuam — later to erupt as an international scandal in 2014 — was also raising extreme concern at senior levels.
Indeed senior management felt that material found in relation to Tuam, as part of its examination of the health authorities’ interaction with the Magdalene laundries, was so concerning that the minister needed to be informed so a full state inquiry be launched. Such an inquiry wouldn’t be launched for a further two years until the research of Catherine Corless emerged.
The concerns are contained in an internal note of a teleconference in October 2012 with the then assistant director of Children and Family Service Phil Garland and then head of the Medical Intelligence Unit Davida De La Harpe.
The note, obtained by the Irish Examiner, relays the concerns raised by the principal social worker for adoption in HSE West who had found “a large archive of photographs, documentation and correspondence relating to children sent for adoption to the USA” and “documentation in relation to discharges and admissions to psychiatric institutions in the Western area”.
It notes there were letters from the Tuam mother and baby home to parents asking for money for the upkeep of their children and notes that the duration of stay for children may have been prolonged by the order for financial reasons.
It also uncovered letters to parents asking for money for the upkeep of some children that had already been discharged or had died. The social worker, “working in her own time and on her own dollar”, had compiled a list of “up to 1,000 names”, but said it was “not clear yet whether all of these relate to the
ongoing examination of the Magdalene system, or whether they relate to the adoption of children by parents, possibly in the USA”.
At that point, the social worker was assembling a filing system “to enable her to link names to letters and to payments”.
“This may prove to be a scandal that dwarfs other, more recent issues with the Church and State, because of the very emotive sensitivities around adoption of babies, with or without the will of the mother.
“A concern is that, if there is evidence of trafficking babies, that it must have been facilitated by doctors, social workers etc, and a number of these health professionals may still be working in the system.”
The report ends with a recommendation that, due to the gravity of what was being found in relation to the Tuam home, an “early warning” letter be written for the attention of the national director of the HSE’s Quality and Patient Safety Division, Philip Crowley, suggesting “that this goes all the way up to the minister”.
“It is more important to send this up to the minister as soon as possible: with a view to an inter-departmental committee and a fully fledged, fully resourced forensic investigation and state inquiry,” concludes the note.
The Department of Children has said none of the concerns raised were brought to the attention of the minister at the time, but were discussed in the context of the McAleese inquiry under the auspices of the Department of Justice.
It stated that the minister became involved in the issue once material around infant deaths in Tuam became public in mid-2014.
Material through FOI also revealed that children as young as 12 were pregnant in Bessborough Mother and Baby Home into the 1980s. Given the age of the girls, they were the victims of rape.
Details from maternity registers reveal that between 1954 and 1987, very young girls were pregnant in the institution.
The youngest child in the registers dates from 1968. The girl is listed as being just 12 and had been transferred from Bessborough to St Finbarr’s Hospital in Cork, where her child had been stillborn in January 1968, as a result of “ante-partum haemorrhage”.
However, the presence of children in Bessborough pregnant as a result of rape continued into the 1980s. For example, Maternity Record Book 40 lists a girl of 14 whose child was stillborn in 1982. The record simply states the child “premature 33wks, gasped and died”.
In another case from 1963, a 13-year-old “private patient” gave birth to a stillborn boy; cause of death was listed as: “baby very poor at birth, cerebral haemorrhage”.
However, Tusla noted that the material released was “not an exhaustive list of all infant deaths or stillborn babies either born/delivered within or referred from Bessborough to St Finbarr’s Hospital”.
In relation to all of these issues, the Order has stated that it would only communicate directly with the Mother and Baby Homes Commission “on all such and related matters” and it would not be appropriate to enter into communication, other than with the Commission
Then, in November 2016, the Irish Examiner revealed that the files of vaccine trial victims in Bessborough were altered in 2002 — just weeks after the Commission to Inquire into Child Abuse sought discovery of records from the order running the home.
Material obtained by the Irish Examiner under Freedom of Information shows that changes were made to the records of mothers and children used in the 1960/61 4-in-1 vaccine trials.
The Commission to Inquire into Child Abuse (CICA) had sought discovery of the records from the Sisters of the Sacred Heart of Jesus and Mary on July 22, 2002. An affidavit was sworn on October 3, 2002, and on a number of later dates in 2002 and 2003.
The document listing the changes opens with: “8.8.02 Checked the 20 files.” This is immediately followed by: “9.8.02 Made the changes.”
A data protection request released to Bessborough vaccine trial victim Mari Steed in 2011 also confirms this timeline.
A file listing details about both her and her natural mother was created on August 6, 2002. This was done following a request “for Solicitor re Vaccine”.
Ms Steed’s natural mother is listed as “No 19 on Doctor’s List”. The record lists “All Counties DUBLIN” above discharge information pertaining to her mother.
The document listing the changes notes that this information was inserted into Ms Steed’s original file.
The entry reads: “No 19 [house name redacted] Crossed out the Indoor Reg entry as it is corssed (sic) out in the Book. Inserted DUBLIN after All Counties.” Ms Steed has since made a formal complaint to the gardaí and Data Protection Commissioner concerning the matter.
Another entry reads: “No 17 [house name redacted] Changed nm [natural mother] disch from x/x/60 to x/x/62”.
Given that the trial took place between December 1960 and November 1961, this change has the effect of placing this woman in Bessborough during the period her child was vaccinated.
If she was, in fact, discharged from Bessborough at the date given in 1960, she could not have been present to consent for her child to have been part of the vaccine trial.
The question of consent was the key issue being examined by the CICA’s Vaccines Module before it was shut down in 2003 following a Supreme Court ruling.
At the time the story was published, the Irish Examiner put a series of questions to the Sisters of the Sacred Hearts of Jesus and Mary in relation to the document. In a series of statements, the Order said it wished to “categorically state that no documents were altered”.
“In your recent correspondence, you are suggesting that something illegal or inappropriate had occurred in regard to the documents to which you refer.
“This is entirely untrue; and we will continue to deal directly with the official Commission [of Investigation into Mother and Baby Homes] on all such matters,” said a statement.