The

Military and Hospitaller Order of Saint Lazarus of Jerusalem

The Annual Grand Hospitaller Report 2012

Table of Contents
INTRODUCTION BY THE GRAND HOSPITALLER ..................................................................................... 3 1 THE HOSPITALLER ACTIVITY OF THE YEAR 2012 ............................................................................. 4 2 SUMMARY OF THE HOSPITALLER REPORTS 2012 ............................................................................. 5 (1) GENERAL .............................................................................................................................................................................. 5 (2) THE ANALYSIS .................................................................................................................................................................... 5 3 THE ORDERS FLAGSHIP PROJECTS ......................................................................................................... 8 (1) THE GANDHIJI SEVA NIKETAN LEPROSY SURGERY CENTRE ................................................................................... 8 (2) RETURN TO JERUSALEM THE SAINT LOUIS HOSPITAL ......................................................................................... 11 REPORT ON THE VISIT TO ST LOUIS HOSPITAL, JERUSALEM, MAY 22, 2013 BY PROF. CHEV. MIKE ROSS, KLJ 11 4 ACTIVITY REPORT OF THE GRAND HOSPITALLER 2012 TO THE GEC/GMC ............................. 14 5 OUTLOOK 2013 .............................................................................................................................................. 15

Editor: H.E. The Chev. Dr. med. Axel Mittelstaedt, GCLJ

Translations: Gabi Cox Layout: Chev. Thomas Piontek, KCLJ Articles: Chev. Dr. med. Axel Mittelstaedt, GCLJ, Chev. Thomas Piontek, KCLJ, Chev. Prof. Michael Ross, KLJ

Issued by the Grand Hospitaller Logistic Board GERMANY

Page 2 of 15

Introduction by the Grand Hospitaller

Dear Consoeurs and Confrres, One year has passed and here we are now with the new hospitaller report for 2012. The international hospitaller meeting which took place during the pilgrimage in Kevelaer in 2012 led to a motivation of the members to restructure the hospitaller activities. Many new ideas have come up, proposals were made and projects were implemented. A multitude of young people everywhere in the Order have given a fresh impetus to our hospitaller work. It is very encouraging to observe that not only has charitable work been carried out but reports have been drawn-up in this regard. Therefore, there will be an even broader portfolio of reports to consult now than was the case last year. However, it is of particular importance that the Grand Master, the Grand Commander and the Grand Chancellor have actively supported this phenomenon by contributing their own ideas. My esteemed colleague from the hospitaller board, Professor Dr Mike Ross, has come up with the three Cs as our new motto: christianity, charity and chivalry. Under these guiding principles the idea was jointly developed, also in order to emphasise the basic driving force of the Order, i.e. to address leprosy thus going back to the roots. Only recently now, the Orders governance has decided to carry out joint projects as so-called flagship projects. First of all there is the continuous support for the leprosy clinic of Dr Rmy Rousselot in Bhubaneswar, India and second, the envisaged support for the Saint Louis Hospital in Jerusalem, erected on the foundations of the first leprosarium of the Order in the Holy Land, the latter being a historical opportunity for the Order to mark its presence in Jerusalem. The international hospitaller team would like to thank the jurisdictions that sent in their reports for 2012. This time we could base our facts on the individual reports of 32 jurisdictions. My special thanks go out to Dame Marny Gilluly, Chevalier Drs Ron Hendriks, Chevalier Professor Dr Mike Ross, Chevalier Thomas Piontek, Chevalier Stephan Henhapl and, for all translations, Gabi Cox, that this report could be compiled as quickly as this. Atavis et Armis, Dr Axel Mittelstaedt, GCLJ GCMLJ MD Grand Hospitaller

Page 3 of 15

1 The Hospitaller Activity of the Year 2012

Every year, it is a great honour for me to present an outstanding hospitaller activity, i.e. following last years excellent program conducted by the Grand Priory of Australia I would now like to present the activities of the past decades carried out by the HDZ. With great pleasure and recognition I would like to congratulate the HDZ Hilfswerk Deutscher Zahnrzte (German Dentists Relief Organization) on their 25th jubilee. The HDZ is headed by Dr Klaus Winter, whose tireless efforts are dedicated not only to the HDZ but also to our Order. The destitute people in the world can regard themselves very lucky to be given the tremendous support by this organization. Chevalier Dr Klaus Winter GCLJ GCMLJ, GMLJ, has organized everything, starting from fund raising via carrying out the planning activities for special projects and subsequently reviewing the implemented projects.

Chevalier Dr Klaus Winter is a member of the Order who is a role model with regard to hospitaller activities. Therefore, all members owe him special thanks. May he and the HDZ still continue to give us their support in the years to come. Page 4 of 15

2 Summary of the Hospitaller Reports 2012

(1) General
The number and analyses of the individual national hospitaller reports that were submitted to the Vice Grand Chancellor Administration, Dame Marny Gilluly, and the Grand Hospitallers Office have fortunately increased; however, we are looking forward to reach the 100%-level. By these reports we have once again received an impressive overview of the charitable initiatives carried out by the Orders jurisdictions. Nevertheless, as indicated above, both number and quality lead us to the conclusion that there is some room for improvement: 32 out of 50 jurisdictions have submitted their Hospitaller Report 2012 once again several reports did not contain figures or only in part We very much regret that some reports have only reached us after the editorial deadline and could thus not be considered in this years report. Consequently, we can conclude that we may be proud of the voluntary and charitable work carried out by the members of the Order.

(2) The Analysis

The following 32 jurisdictions have sent in their reports to the Grand Hospitallers Logistic Board:
Grand Priory of America (incl. Mexico) Grand Priory of Australia Grand Bailiwick of Austria (incl. Lazariter) Grand Priory of Austria (Pia Unio) Priory of Belgium Grand Commandery of Boigny Grand Bailiwick of British Columbia Grand Priory of Canada Grand Commandery of the Castello Grand Bailiwick of the Czech Republic Grand Priory of England & Wales Grand Priory of Finland Grand Priory of France Grand Bailiwick of Germany Grand Priory of Greece Hereditary Commandery of Sighartstein Hereditary Commandery of Wallendorf Grand Priory of Hungary Grand Priory of Ireland Grand Priory of Italy Delegation of Japan Priory of Liechtenstein Grand Bailiwick of the Low Countries Priory of Macedonia (FYROM) Grand Priory of the Maltese Islands Grand Priory of New Zealand Grand Priory of Portugal Grand Bailiwick of Scotland Grand Bailiwick of Slovakia Grand Priory of Slovakia Grand Priory of Spain Grand Bailiwick of Switzerland Grand Priory of Sweden

Page 5 of 15

*all figures in TEUR

Page 6 of 15

Page 7 of 15

3 The Orders Flagship Projects

(1) The Gandhiji Seva Niketan Leprosy Surgery Centre
In the following, you will be informed about the flagship project of the International Order in Bhubaneswar/India. All further details can be derived from the letter by Dr Rmy Rousselot, head physician of the leprosy clinic in Bhubaneswar. It is the Grand Hospitallers intention to support this project on a permanent basis.

Page 8 of 15

Page 9 of 15

Page 10 of 15

(2) Return to Jerusalem The Saint Louis Hospital

Thanks to the excellent investigations of Confrres Professor Dr Mike Ross and Professor Dr Charles Savona-Ventura, a discovery was made of the historical site where the Order of Saint Lazarus started its original hospitaller activities: the leprosarium in Jerusalem. Today, a hospital can be found on the foundation walls of this historical site: the Saint Louis Hospital. All further details can be taken from the report drawn up by Confrre Professor Dr Mike Ross who visited the hospital in May 2013. In the course of the necessary refurbishment works, the Order has the historical opportunity to return to its roots. It was therefore decided during the last GEC meeting to adopt this second flagship project for the Order.

Report on the visit to St Louis Hospital, Jerusalem, May 22, 2013 by Prof. Chev. Mike Ross, KLJ
I visited the St Louis Hospital, just outside the New Gate in the walls of Jerusalem on May 22nd, and was received by Sister Monika Dllmann, the hospital director, and Bassam Obeid, her assistant and Director of Administration. Sister Dllmann is a member of the Sisters of St Joseph of the Apparition, a Catholic order founded in France, who have run the hospital since its foundation in 1890. The hospital stands on the site of the St Lazarus Leprosarium, dating from Crusader days, at the northwest corner of the old walls of Jerusalem. Fig. from left to right: Dr Axel Mittelstaedt, Sister Monika Dllmann, Father Walter Eitel (Chaplain of the Order of the Holy Sepulcre) Hospital History The St Louis Hospital (named for the Crusader King St Louis IX of France) is on the site of the medieval Order of St Lazarus Leprosarium, just outside the walls of Jerusalem. The present hospital was founded by the French Baron de Piellat (d. 1925) in 1889. The Baron was a celebrated artist and the magnificent hospital chapel was fully frescoed by him in an art-nouveau style. The chapel had to be painstakingly repainted by him in 1918 as the Ottomans had painted over all the frescoes during the First World War. In 1948-1967 the hospital was the front line between Israel and Jordan: the stained glass window of St Francis has a bullet hole through his heart and the outside wall is also bullet-pocked. The

Page 11 of 15

 chapel is used daily by all Christian denominations, including the White Fathers and the Greek Orthodox. Hospital Staff The hospital was founded and is still run by the Sisters of St Joseph of the Apparition, an order originating in France in 1651 and now with significant houses in the Holy Land, the United States, Germany, Malta, and other parts of Europe. The Sisters live on the top floor. The Hospital also has up to 27 volunteers, most commonly from France and Germany, who stay for a minimum of 3 months and most commonly a year. There is a physician on call at all times. Hospital and Patient Characteristics The hospital has 50 beds, of which about a third are palliative oncology (active treatment oncology patients who cannot be at home). About one third are long- term coma patients (often post-stroke) and with complicated health care (for example, bed sores and open wound care). A further one third is advanced care for old people. While for Israeli residents there is health insurance payment, for foreign patients there is no insurance: foreign patients include refugees, foreign workers, and those who reside in the West Bank. Patients are accepted on the basis of need and not on insurance basis or residence and the patients are mixed Jewish, Arab Christian, Muslim, residents of Israel, the West Bank, Sinai, Eritrea, and others. A significant number have no insurance and are those who fall through the gaps in the system for example, a refugee who was shot at the border by Egyptian guards, and fell into Israel with a bullet in the hip. Up to 1990, the hospital also served patients with HIV. No patient is turned away and care for the most needy and those who are not served by other facilities (for example, those with no insurance coverage) is a central part of the mission of the St Louis Hospital. Future Plans While the hospital has 50 beds, its fabric dates to 1890 and all hospitals need to meet new Israeli hospital regulations by 2016. These regulations require bringing the building up to code with regard to wiring, oxygen and suction provision, fire regulations, and having no more than 2 patients per room (some rooms are currently triple occupancy). One wing is being completely renovated (see photographs) and an additional elevator is being installed as required by the new regulations. Following these renovations, the Sisters are making provision for a new wing into the parking space. Sister Dllmann notes that the break even size for a hospital in Israel is about 72 beds, although the Sisters have managed with less. The hospital is a fully licensed facility and not a specialist unit, and thus is required to meet all national hospital regulations and codes.

Page 12 of 15

 Personal Comment I was taken all over the hospital, from the administration office on the ground floor to the Sisters accommodation on the third floor, and had the opportunity to see the renovations in process, unrenovated rooms, and meet patients. I was extremely impressed by the staff and by the wonderful spirit of the facility. Since a number of patients from the West Bank cannot have family visits (their family are not able to enter Israel through the border wall) it serves as a home as much as a hospital to many patients and its warm atmosphere reflects that. When we were received by the Greek Melkite Apostolic Vicar, Archbishop Jules, before Mass on the Pilgrimage, we noticed (to our embarrassment) the St Lazarus flag of Piccapietra flying a few blocks away. I believe that the opportunity to re-establish a legitimate flagship project in Jerusalem, especially on the site of our original Leprosarium, is both timely and historically highly significant on this specific site. It speaks to our historic mission as an Order and assists an important church palliative care hospital at a time when it has a very specific need to renovate its fabric. Indeed, failure to bring the building up to code would almost certainly see the hospital closed. I most strongly recommend our immediate and long-term support for this project as an Order flagship project. I believe that in the future, we could have a historical plaque affixed to the hospital outside wall commemorating it as the site of the Orders original Leprosarium, perhaps unveiled by the Grand Master. I would go further and suggest that we underscore our status as a Hospitaller order by instituting a Special Appeal which we could call the Return to Jerusalem Appeal. Such a Special Appeal could be a project of the Grand Hospitaller under the Patronage of the Grand Master and perhaps chaired by the Duchess of Brissac since this is a French-founded hospital. We have to the best of my knowledge never had such an Appeal. It could form a special project to underscore our status as a Christian and Hospitaller Order which originated on this very site in the Holy Land over 8 centuries ago and is part of our continuing historic mission. Each jurisdiction could be asked to host a specific fund-raising event (e.g. a special dinner or fundraiser) to raise funds and be strongly encouraged to contribute. I have taken the liberty to design a logo (see head of report) for the project!

Page 13 of 15

4 Activity Report of the Grand Hospitaller 2012 to the GEC/GMC

Appointment as Grand Hospitaller by the Grand Master during the GEC/GMC meeting in Madrid on 3rd March 2012 Personal contacts to the individual jurisdictions: London (first encounter with the hospitaller), Grand Priory of England & Wales, 9 10 March 2012 Berlin (talks with the hospitallers present), Grand Bailiwick of Germany, 27 28 April 2012 Maastricht (talks with the hospitaller), Grand Bailiwick of the Low Countries, 6 May 2012 Personal talks with Dr Rousselot at the Franciscan Monastery in Dsseldorf on 18 May 2012 International Hospitaller Meeting in Kevelaer on 25 May 2012 Paris (meeting with GMC member Christian dAndlau-Hombourg) on 16 June 2012 Heilsbronn (presentation of hospitaller activities), Grand Bailiwick of Germany, 15 16 September 2012 Hannover, (Cancellation of address at the HDZs 25th jubilee celebrations), Chev. Thomas Piontek stood in for me. Paris (encounter with the hospitaller during the general meeting of the Grand Priory of France), 17 18 November 2012. Dublin (encounter with the hospitaller and members of the logistics, board/ celebration of the 50th anniversary of the Grand Priory of Ireland), 24 25 November 2012 The International Hospitaller Report for 2011 was published in time for the meeting in Kevelaer. We were able to meet the deadline despite the extremely short time for preparing the international hospitaller meeting in Kevelaer. Until mid 2013 Roermond (encounter with the hospitaller) Grand Bailiwick of the Low Countries, 12 January 2013 London, Requiem for the late Rt Honourable The Earl Ferrers, 19 January 2013 Encounter with the Grand Commander and Chev. Thomas Piontek of the Logistics Board in Dsseldorf, 7 March 2013 Malta, GEC meeting, 11 15 May 2013 Close contact was kept with all jurisdictions via e-mail. The new organizational structure, and, in particular, the newly appointed logistics board has proved successful.

Page 14 of 15

 A look into the future (2013/2014) Autonomy of each national jurisdiction with regard to hospitaller activities Joint flagship projects by the International Order Return to the roots (helping ill and destitute people/those suffering from leprosy) Already initiated joint project: leprosy hospital Bhubaneswar/India (Dr Rmy Rousselot) Planned joint projects: Saint Louis Hospital in Jerusalem (Sr Monika Dllmann), former leprosarium of our Order; and Translation and distribution of the Caregivers Guide PR-activities: Continuous publication of current hospitaller activities of each national jurisdiction Preparation of next international hospitaller meeting in Walsingham/Norfolk (June 2014).

5 Outlook 2013
Following the first hospitaller meeting in Kevelaer, a great deal has happened with regard to the hospitaller work of the Order. 32 national jurisdictions have submitted their hospitaller reports for 2012. Individual copies may be obtained via Dame Marny Gilluly. Important resolutions were adopted during the GEC meeting in Malta. There will be continuous publication of current hospitaller activities of each national jurisdiction, namely the PR-activities. The resolution regarding two flagship projects to be carried out by the International Order will be implemented. The following projects will fulfill the Orders historical mission: care to lepers and related palliative care: Already initiated joint project: leprosy hospital Bhubaneswar/India (Dr Rmy Rousselot) Return to the roots (helping ill and destitute people) Planned joint project: Saint Louis Hospital in Jerusalem (Sr Monika Dllmann), former leprosarium of the Order. In preparation for the next International Hospitaller Meeting it is very desirable that the national hospitaller reports for 2013 should reach us latest by 28 February 2014. And now, I would like to invite you to the Second International Hospitaller Meeting during the International Pilgrimage in Walsingham/Norfolk from 6 to 8 June 2014.

The Order of Saint Lazarus with its worldwide famous Green Cross, symbol of ecumenism and tolerance, which is so important for our daily life in Odissa. (Dr Rmy Rousselot)

Page 15 of 15