St Finbarr’s infant burials may not be investigated

The Mother and Baby Homes Commission and the Department of Children and Youth Affairs (DCYAhave refused to say whether all theinfant burials discovered in unmarked graves in a Cork city cemetery will be investigated.
An Irish Examiner investigation published last month revealed that three grave plots in St Finbarr’s cemetery in Cork City contain the remains of at least 21 children – some of which were buried as late as 1990.
Two of the graves are completely unmarked, while the third has just one name recorded despite 16 children being buried in the plot.
One of the unmarked plots is owned by the now closed St Anne’s Adoption Society, while the largest plot was owned by the St Patrick’s Orphanage run by the Mercy Sisters. It operated a nursery for St Anne’s Adoption Society. The final plot is a non-perpetuity plot – indicating that it is unowned.
All three plots contain children that were in the care of the Bessborough Mother and Baby Home – one of the institutions under the remit of the Mother and Baby Homes Commission.
The remainder of the infants – one of whom died as late as 1988 and is in an unmarked grave – have no connection to Bessborough and are therefore outside the remit of the Commission.
However, they represent the same cohort of infant deaths being examined – namely the children of unmarried women who were to be adopted.
The Irish Examiner asked both the Commission and the DCYA if all of the burials in the plots would be investigated and if the terms of reference would be extended to include St Anne’s Adoption Society.
In a statement, the DCYA said there are “no plans” to further extend the Commission‘s terms of reference saying it had “sufficient scope to examine the issues raised in so far as they relate to the children who were resident for a time in the named institutions [listed under the terms of reference]”.
Asked again if all of the burials – including those which are not connected to Bessborough – would be examined, the DCYA said it was “not in a position to address the question” as it does not hold the records of St Anne’s Adoption Society or those of the cemetery.
When this information was then offered to the DCYA, it responded by stating that the Irish Examiner should “contact the Commission directly”.
The same question was put to the Commission which responded one week later but declined to answer the question.
“The Commission has advertised for people to come forward to provide any information about burials from Bessboro. We are following all possible leads. We do not announce our intentions in advance in respect of any aspect of the investigation,” said a statement.
Earlier this month,  the Adoption Authority of Ireland (AAI) said it was “not aware” that St Anne’s Adoption Society – a formerly accredited adoption agency – owned an unmarkedgrave.
Founded in 1954 by the then Bishop of Cork Cornelius Lucey, St Anne’s Adoption Society 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 have been in the possession of the HSE, and now Tusla, since that time.

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Mother and Baby Commission of inquiry stymied by own remit

An ‘Irish Examiner’ investigation published last month revealed that three grave plots in St Finbarr’s cemetery in Cork City contain the remains of at least 21 children — some of which were buried as late as 1990. Conall Ó Fátharta argues that the failure by state agents to investigate the deaths raises wider questions about the terms of reference of the Mother and Baby Homes Commission

WHEN the Mother and Baby Homes Commission was set up in 2013, the limitations of its terms of reference were well flagged but quickly dismissed.

An Irish Examiner investigation last month revealed infant burials as late as 1990 in unmarked graves in a Cork City cemetery — and has laid these limitations bare.

As a result, the Department of Children and Youth Affairs is unable to answer a very straightforward question in relation to these burials namely: Will all of the burials discovered in the three plots be investigated?

On the face of it, it seems the obvious answer is yes. All of these children are representative of the cohort of infant deaths that the commission is charged with investigating. They were all born to unmarried mothers, were destined for adoption, died, and were buried in unmarked graves.

All but one of the deaths are in plots owned by a formerly State-accredited adoption agency — St Anne’s Adoption Society, which closed in 2003 — and by the St Patrick’s Orphanage, which operated as a nursery for St Anne’s Adoption Society. Neither institution is listed as institutions under the commission’s remit.

However, of the 21 infant deaths uncovered during the Irish Examiner investigation, just five of those children were linked to an institution which falls under the remit of the commission: Bessborough Mother and Baby Home.

While all of the deaths are indicative of the same issue, involve the same cohort of women and their children, the same lived experience, only the five that are linked to a mother and baby home which is under investigation can be examined.

The Irish Examiner raised this point with the department and asked if it would seek to extend the commission’s terms of reference to include St Anne’s Adoption Society.

In response, the department simply restated the commission’s terms of reference, pointing out that it is “required to investigate the relationships between mother and baby homes and other key institutions and organisations — these include children’s homes; orphanages; and adoption societies”.

It stated that it was, therefore, “not accurate” to suggest that St Anne’s Adoption Society was outside the terms of reference. However, in the next breath it stated that the deaths can be examined “in so far as they relate to the children who were resident for a time in the named institutions”.

As a result, the department said it had “no plans” to further extend the terms of reference of the commission.

Of course, this is the very point that was put to the department in the first place.

Outside of the five burials linked to Bessborough, none of the other children in these plots were resident in a named institution. Yet they are part of the very same system and the very same cohort of people that the commission is investigating.

However, according to the terms of reference as stated by the department, they are excluded as they do not relate to a listed mother and baby home.

The Irish Examiner then put a direct follow-up question to the Department of Children: Will the commission investigate all of the burials in the St Anne’s Adoption Society and St Patrick’s Orphanage society plots?

It responded by stating it was “not in a position to address the question raised” as it does not hold the records of the specific adoption society or burial plot.

The Irish Examiner then offered to provide the information confirming the accuracy of its investigation — and confirmed via Cork City Council, Tusla, and through accessing birth and death certificates in the General Registration Office.

The department replied within eight minutes advising to “contact the commission directly”.

The same question had already been put to the commission.

A response was issued eight days later: “The commission has advertised for people to come forward to provide any information about burials from Bessboro. We are following all possible leads. We do not announce our intentions in advance in respect of any aspect of the investigation.”

In preparation for the investigation, the Irish Examiner sought to confirm a number of details pertaining to the deaths with Tusla — which holds the records for St Anne’s Adoption Society. After examining the relevant records, it responded to these queries the following month.

However, the Tusla press office also advised that, in future, it would be “most appropriate for further queries of this nature to be submitted via the FoI process which is more suitable for queries as extensive as this”.

However, when the Irish Examiner sought the relevant material under FoI following publication, Tusla refused the requests, stating that the material predates the commencement of the FoI Act, known as the “effective date”.

This reasoning had been used to refuse a previous request by this newspaper and failed on appeal to the Office of the Information Commissioner. It had never previously been used by Tusla in relation to requests by this reporter for information on mother and baby homes.

All of this serves to highlight the wider problem with the commission and its terms of reference and goes right to the very heart of the Government’s deliberate or wilful ignorance of the issue.

This is a scandal that cannot be limited to examining simply mother and baby homes and issues “in so far as they relate to” mother and baby homes.

You cannot limit the experience of unmarried mothers and their children simply to those women who went through the mother and baby homes system.

The issue is not one of individual institutions but rather one of how unmarried women and children were treated in a sprawling network of interlinking institutions, which included registered adoption agencies, private agencies, industrial schools, maternity hospitals, and in many cases private citizens.

Under the current commission, these other institutions are only examined in terms of specific links to mother and baby homes.

That ignores a whole swathe of people and severely limits the inquiry’s capability to investigate the real elephant in the room — that of illegal adoption.

Take the case of Tressa Reeves, for example. The Irish Examiner first wrote about Tressa in 2010.

She was an English woman born to Irish parents. In 1960, at the age of 20, she became pregnant. Unmarried at the time, she was sent to Ireland to stay in a private nursing home in Dublin along with other young women in the same predicament.

She gave birth to her son in 1961 and baptised him alone in her room.

She called her son André because she felt the name would be unusual enough that she would be able to find him again. Just hours after giving birth, he was placed in the care of a religious-run adoption agency, St Patrick’s Guild in Dublin.

In its offices, she signed consent forms which, she presumed, would allow for her son to be legally adopted.

However, in 1997, more than 30 years later, she discovered the agency had allowed for her son to be illegally adopted. In short, a couple seeking a child was given the baby boy by the agency to register as if he was born to them. No formal adoption order was ever made.

It took another four years for St Patrick’s Guild to inform Tressa that André’s birth was falsely and illegally registered through the nursing home where she gave birth.

This had the effect of removing all legal evidence that Tressa ever had a child and was done without her knowledge or consent. Her son would have no idea that he was even adopted.

Even though the Adoption Act of 1952 was introduced to ensure such activity did not occur, St Patrick’s Guild

admitted to Tressa that it allowed other children to be placed in the same way, including another boy to the same family that took André.

Despite this, St Patrick’s Guild remained a fully accredited adoption agency through the Adoption Authority of Ireland until it closed in 2014.

Tressa’s experience mirrors that of thousands of other women, many of whom went through Ireland’s mother and baby homes. However, because she was not in one of these institutions, her cases and others like hers will not be examined by the commission. The illegal adoption of her son will also not be examined. Both will have to wait for their apology.

Adoption and the scale of illegal adoption is one of the key areas being examined by the commission, but only adoptions linked to the 15 listed mother and baby homes under the terms of reference for the inquiry.

Remarkably, St Patrick’s Guild, which has been making headlines in this regard for decades, is not a listed institution under the terms of reference.

Campaigners have repeatedly called for the agency to be included in the inquiry, but these calls fell on deaf ears in Government.

This was all the more remarkable a decision when the Irish Examiner revealed in April 2015, just two months after the commission was set up, that the Department of Children was informed by the Adoption Authority of Ireland in 2013 that St Patrick’s Guild had knowledge of “several hundred” illegal birth registrations.

The revelation was contained in a note of a meeting between the Adoption Authority and representatives with the department and the General Register Office. “St Patrick’s Guild is aware of several hundred illegal registrations but are waiting for people to contact them; they are not seeking the people involved,” read the note.

“Must consider how revelations of this sort would affect a family unit.”

Given that the department was to set up an inquiry tasked with examining these very arrangements two years later, it seems extraordinary that it would exclude St Patrick’s Guild.

The Government has repeatedly resisted calls by adoption campaigners for an audit of all adoption files held in the State so that the full scale of illegal adoptions and birth registrations can be uncovered.

It has said an audit of adoption records “would yield little useful information”, as there would be “little, if any, supporting information in relation to these arrangements” on the files.

However, a note of a meeting between two nuns from St Patrick’s Guild and representatives of Tusla, also obtained by the Irish Examiner, revealed that with regard to records on illegal birth registrations that the agency held, “full details are available on the majority of cases”.

And year after year, this newspaper has revealed more and more aspects of this scandal — coming directly from these files which have “little useful information” in them.

So whether it is infant deaths or illegal adoption, the mother and baby homes inquiry will only scratch the surface of a scandal.

Mother and Baby Homes Commission stymied by own remit

An ‘Irish Examiner’ investigation published last month revealed that three grave plots in St Finbarr’s cemetery in Cork City contain the remains of at least 21 children — some of which were buried as late as 1990. Conall Ó Fátharta argues that the failure by state agents to investigate the deaths raises wider questions about the terms of reference of the Mother and Baby Homes Commission

WHEN the Mother and Baby Homes Commission was set up in 2013, the limitations of its terms of reference were well flagged but quickly dismissed.

An Irish Examiner investigation last month revealed infant burials as late as 1990 in unmarked graves in a Cork City cemetery — and has laid these limitations bare.

As a result, the Department of Children and Youth Affairs is unable to answer a very straightforward question in relation to these burials namely: Will all of the burials discovered in the three plots be investigated?

On the face of it, it seems the obvious answer is yes. All of these children are representative of the cohort of infant deaths that the commission is charged with investigating. They were all born to unmarried mothers, were destined for adoption, died, and were buried in unmarked graves.

All but one of the deaths are in plots owned by a formerly State-accredited adoption agency — St Anne’s Adoption Society, which closed in 2003 — and by the St Patrick’s Orphanage, which operated as a nursery for St Anne’s Adoption Society. Neither institution is listed as institutions under the commission’s remit.

However, of the 21 infant deaths uncovered during the Irish Examiner investigation, just five of those children were linked to an institution which falls under the remit of the commission: Bessborough Mother and Baby Home.

While all of the deaths are indicative of the same issue, involve the same cohort of women and their children, the same lived experience, only the five that are linked to a mother and baby home which is under investigation can be examined.

The Irish Examiner raised this point with the department and asked if it would seek to extend the commission’s terms of reference to include St Anne’s Adoption Society.

In response, the department simply restated the commission’s terms of reference, pointing out that it is “required to investigate the relationships between mother and baby homes and other key institutions and organisations — these include children’s homes; orphanages; and adoption societies”.

It stated that it was, therefore, “not accurate” to suggest that St Anne’s Adoption Society was outside the terms of reference. However, in the next breath it stated that the deaths can be examined “in so far as they relate to the children who were resident for a time in the named institutions”.

As a result, the department said it had “no plans” to further extend the terms of reference of the commission.

Of course, this is the very point that was put to the department in the first place.

Outside of the five burials linked to Bessborough, none of the other children in these plots were resident in a named institution. Yet they are part of the very same system and the very same cohort of people that the commission is investigating.

However, according to the terms of reference as stated by the department, they are excluded as they do not relate to a listed mother and baby home.

The Irish Examiner then put a direct follow-up question to the Department of Children: Will the commission investigate all of the burials in the St Anne’s Adoption Society and St Patrick’s Orphanage society plots?

It responded by stating it was “not in a position to address the question raised” as it does not hold the records of the specific adoption society or burial plot.

The Irish Examiner then offered to provide the information confirming the accuracy of its investigation — and confirmed via Cork City Council, Tusla, and through accessing birth and death certificates in the General Registration Office.

The department replied within eight minutes advising to “contact the commission directly”.

The same question had already been put to the commission.

A response was issued eight days later: “The commission has advertised for people to come forward to provide any information about burials from Bessboro. We are following all possible leads. We do not announce our intentions in advance in respect of any aspect of the investigation.”

In preparation for the investigation, the Irish Examiner sought to confirm a number of details pertaining to the deaths with Tusla — which holds the records for St Anne’s Adoption Society. After examining the relevant records, it responded to these queries the following month.

However, the Tusla press office also advised that, in future, it would be “most appropriate for further queries of this nature to be submitted via the FoI process which is more suitable for queries as extensive as this”.

However, when the Irish Examiner sought the relevant material under FoI following publication, Tusla refused the requests, stating that the material predates the commencement of the FoI Act, known as the “effective date”.

This reasoning had been used to refuse a previous request by this newspaper and failed on appeal to the Office of the Information Commissioner. It had never previously been used by Tusla in relation to requests by this reporter for information on mother and baby homes.

All of this serves to highlight the wider problem with the commission and its terms of reference and goes right to the very heart of the Government’s deliberate or wilful ignorance of the issue.

This is a scandal that cannot be limited to examining simply mother and baby homes and issues “in so far as they relate to” mother and baby homes.

You cannot limit the experience of unmarried mothers and their children simply to those women who went through the mother and baby homes system.

The issue is not one of individual institutions but rather one of how unmarried women and children were treated in a sprawling network of interlinking institutions, which included registered adoption agencies, private agencies, industrial schools, maternity hospitals, and in many cases private citizens.

Under the current commission, these other institutions are only examined in terms of specific links to mother and baby homes.

That ignores a whole swathe of people and severely limits the inquiry’s capability to investigate the real elephant in the room — that of illegal adoption.

Take the case of Tressa Reeves, for example. The Irish Examiner first wrote about Tressa in 2010.

She was an English woman born to Irish parents. In 1960, at the age of 20, she became pregnant. Unmarried at the time, she was sent to Ireland to stay in a private nursing home in Dublin along with other young women in the same predicament.

She gave birth to her son in 1961 and baptised him alone in her room.

She called her son André because she felt the name would be unusual enough that she would be able to find him again. Just hours after giving birth, he was placed in the care of a religious-run adoption agency, St Patrick’s Guild in Dublin.

In its offices, she signed consent forms which, she presumed, would allow for her son to be legally adopted.

However, in 1997, more than 30 years later, she discovered the agency had allowed for her son to be illegally adopted. In short, a couple seeking a child was given the baby boy by the agency to register as if he was born to them. No formal adoption order was ever made.

It took another four years for St Patrick’s Guild to inform Tressa that André’s birth was falsely and illegally registered through the nursing home where she gave birth.

This had the effect of removing all legal evidence that Tressa ever had a child and was done without her knowledge or consent. Her son would have no idea that he was even adopted.

Even though the Adoption Act of 1952 was introduced to ensure such activity did not occur, St Patrick’s Guild

admitted to Tressa that it allowed other children to be placed in the same way, including another boy to the same family that took André.

Despite this, St Patrick’s Guild remained a fully accredited adoption agency through the Adoption Authority of Ireland until it closed in 2014.

Tressa’s experience mirrors that of thousands of other women, many of whom went through Ireland’s mother and baby homes. However, because she was not in one of these institutions, her cases and others like hers will not be examined by the commission. The illegal adoption of her son will also not be examined. Both will have to wait for their apology.

Adoption and the scale of illegal adoption is one of the key areas being examined by the commission, but only adoptions linked to the 15 listed mother and baby homes under the terms of reference for the inquiry.

Remarkably, St Patrick’s Guild, which has been making headlines in this regard for decades, is not a listed institution under the terms of reference.

Campaigners have repeatedly called for the agency to be included in the inquiry, but these calls fell on deaf ears in Government.

This was all the more remarkable a decision when the Irish Examiner revealed in April 2015, just two months after the commission was set up, that the Department of Children was informed by the Adoption Authority of Ireland in 2013 that St Patrick’s Guild had knowledge of “several hundred” illegal birth registrations.

The revelation was contained in a note of a meeting between the Adoption Authority and representatives with the department and the General Register Office. “St Patrick’s Guild is aware of several hundred illegal registrations but are waiting for people to contact them; they are not seeking the people involved,” read the note.

“Must consider how revelations of this sort would affect a family unit.”

Given that the department was to set up an inquiry tasked with examining these very arrangements two years later, it seems extraordinary that it would exclude St Patrick’s Guild.

The Government has repeatedly resisted calls by adoption campaigners for an audit of all adoption files held in the State so that the full scale of illegal adoptions and birth registrations can be uncovered.

It has said an audit of adoption records “would yield little useful information”, as there would be “little, if any, supporting information in relation to these arrangements” on the files.

However, a note of a meeting between two nuns from St Patrick’s Guild and representatives of Tusla, also obtained by the Irish Examiner, revealed that with regard to records on illegal birth registrations that the agency held, “full details are available on the majority of cases”.

And year after year, this newspaper has revealed more and more aspects of this scandal — coming directly from these files which have “little useful information” in them.

So whether it is infant deaths or illegal adoption, the mother and baby homes inquiry will only scratch the surface of a scandal.

Tusla silence on evidence of child graves

Tusla has refused to say if it informed the Mother and Baby Homes Commission of evidence it has held since 2003 that children from the Bessborough Mother and Baby Home were buried in unmarked graves as late as 1990.
Last month, an Irish Examiner investigation uncovered three grave plots in St Finbarr’s cemetery in Cork City which contain the remains of at least 21 children. Two of these graves are completely unmarked, while all three contain the remains of children from the Bessborough Mother and Baby Home.
One of the unmarked plots was purchased by the now closed St Anne’s Adoption Society. It closed in 2003 and its records have been in the possession of the HSE, and now Tusla, since that time.
The details of 16 of the 21 deaths between 1957 and 1990 were confirmed by Tusla after it accessed the records.
The Irish Examiner asked Tusla whether or not any of this material was notified to the Mother and Baby Homes Commission previously – given the material relates directly to its area of investigation.
It declined to answer the question and was unable to provide any details on whether or not it had submitted or informed the Commission of the records it has held on these deaths before the Irish Examiner raised the matter.
“Tusla – Child and Family Agency is cooperating fully with the Commission of Investigation into Mother and Baby Homes,” said a statement.
The Mother and Baby Homes Commission  has been operational since 2015 and last month made a public call for information relating to the burials of a “large number” of children who died at the Bessborough Mother and Baby Homes between 1922 and 1998.
It has declined to comment on the Irish Examiner revelations.
Despite St Anne’s Adoption society having been a State accredited  adoption agency until its closure in 2003, the Adoption Authority of Ireland (AAI) said it was “not aware” had owned an unmarked grave containing remains of children who died as late as 1990.
In a statement, the chief executive of the AAI, Patricia Carey said: “We have reviewed the files the Authority holds in relation to St Anne’s Adoption Society. We are not aware of any records of purchase of plots or arrangements for burial of children.
“Having reviewed the records we hold, we have no information on the four questions raised.”
The first of the three plots discovered in the Irish Examiner investigation is unmarked and was purchased by the now closed St Anne’s Adoption Society. It contains the remains of three girls and one boy. Their deaths occurred in 1979, 1983, 1988, and 1990.
In the case of the last burial in 1990, the child’s death certificate notes that while she died in St Finbarr’s Hospital in Cork, she was in the care of the nuns at Bessborough Mother and Baby Home. A birth entry for this child in this name could not be located.
The second plot belongs 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.There are a total of 16 children buried in this plot — their deaths occurring between 1957 and 1978.
This grave is marked but just one name is recorded — that of the final child buried in the plot. The other 15 children in the plot are not named.
Two of these children died in Bessborough in 1976 and 1978, while a third was born in Bessborough but died in St Finbarr’s Hospital.
The third plot is a non-perpetuity plot — indicating it is unowned. It holds the remains of at least one child.
The death certificate states her death occurred at St Finbarr’s Hospital in 1989 but that she was in the care of “c/o Sacred Heart Hospital, Blackrock, Cork” — the address of the Bessborough Mother and Baby Home.

Bessborough children were buried in unmarked graves as late as 1990

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 DLGPH report reveals the following number of infant deaths for each year ended March 31:

  • 1939 — 38 deaths;
  • 1940 — 17 deaths;
  • 1941 — 38 deaths;
  • 1942 — 47 deaths;
  • 1943 — 70 deaths;
  • 1944 — 102 deaths;
  • April 1, 1944 to December 5, 1944 — 41 deaths.

The numbers recorded in the Bessborough Death Register for the same dates are as follows:

  • 1939 — 38 deaths;
  • 1940 — 8 deaths;
  • 1941 — 22 deaths;
  • 1942 — 43 deaths;
  • 1943 — 55 deaths;
  • 1944 — 76 deaths;
  • April 1, 1944 to December 5, 1944 — 31 deaths.

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.”

The changes include:

  • the alteration of discharge dates of mothers (by a period of one year and two years)
  • the changing of discharge dates of children
  • the changing of admission dates of mothers
  • the alteration of the age of a mother (by two years)
  • the alteration of dates of adoption
  • the changing of baptism dates and location of baptism
  • the insertion of certain named locations and information into admission books

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.

Children who died as late as 1990 in two unmarked graves: Shame of what lies beneath

Children from the Bessborough Mother and Baby Home, some of whom died as late as 1990, are buried in unmarked graves in a Cork City cemetery.

The discovery comes as the Mother and Baby Homes Commission has called for information relating to the burials of a “large number” of children who died at the home between 1922 and 1998.

An Irish Examiner investigation has uncovered three grave plots in St Finbarr’s cemetery in Cork City which contain the remains of at least 21 children.

The first of these plots is unmarked and was purchased by the now closed 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 are now in the possession of Tusla.

The discovery comes as the Mother and Baby Homes Commission has called for information relating to the burials of a “large number” of children who died at the home between 1922 and 1998.

An Irish Examiner investigation has uncovered three grave plots in St Finbarr’s cemetery in Cork City which contain the remains of at least 21 children.

The first of these plots is unmarked and was purchased by the now closed 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 are now in the possession of Tusla.

This plot contains the remains of three girls and one boy. Their deaths occurred in 1979, 1983, 1988, and 1990. The plot is unmarked and contains no headstone or any markings to indicate that it is a grave.

In the case of the last burial in 1990, the child’s death certificate notes that while she died in St Finbarr’s Hospital in Cork, she was in the care of the nuns at Bessborough Mother and Baby Home. A birth entry for this child in this name could not be located.

In the case of the three other children buried in the plot, just one has both the birth and death recorded. The other two children have birth certificates but no death certificates could be located in those names. It may be the case that the deaths were recorded in the names of the foster/prospective adoptive parents.

The second plot belongs 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.

There are a total of 16 children buried in this plot — their deaths occurring between 1957 and 1978.

This grave is marked but just one name is recorded — that of the final child buried in the plot. The other 15 children in the plot are not named.

Two of these children died in Bessborough in 1976 and 1978, while a third was born in Bessborough but died in St Finbarr’s Hospital. In the case of the other children, a number were born in UK, with others born in Ireland.

The third plot is a non-perpetuity plot — indicating it is unowned. It holds the remains of at least one child.

The death certificate states her death occurred at St Finbarr’s Hospital in 1989 but that she was in the care of “c/o Sacred Heart Hospital, Blackrock, Cork” — the address of the Bessborough Mother and Baby Home.

In 2015, the Irish Examiner revealed 470 infants and 10 women were recorded as having died at the Bessborough mother and baby home between 1934 and 1953.

The Irish Examiner put a series of questions to Tusla on the latest revelations. It stated that, between 1957 and 1990, there were 16 recorded infant deaths in St Anne’s Adoption Society and St Patrick’s Orphanage.

“Records which were accessed indicate that 13 mothers were informed,” said a statement. “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.”

In a statements, the Sister of the Sacred Heart of Jesus and Mary said: “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.”

Similarly, the Sisters of Mercy said that they would “deal directly with this Commission on all related matters”.

New Bessborough revelations show wider range of products tested on children

Previously unseen details of a medical trial by Glaxo in 1974 at a Cork mother and baby home have generated a whole new series of questions for the nuns and the companies involved.

For almost two decades, the public has been drip-fed revelations about medical testing by British pharmaceutical companies on children in care in Ireland.

These tests involved the trialling of various vaccine combinations by predecessor companies of pharmaceutical giant GlaxoSmithKline (GSK) — Glaxo Laboratories and Burroughs Wellcome. These revelations generated more questions than answers — answers it is hoped the Mother and Baby Homes Commission can provide.

However, it has now emerged thashoot Glaxo Laboratories was also trialling other products on children here — namely lactose and baby formulas.

This occurred in 1974 in the Bessborough Mother and Baby Home in Cork and had never been made public. Once again, the revelation has generated lots of questions but few answers.

A trial sheet obtained by the Irish Examiner reveals that Glaxo Laboratories carried out a “clinical acceptability and safety trial” of “Golden Ostermilk and Lactose”, while a separate trial sheet reveals a trial of “overseas milk powders (by 0111)”.

The “clinician responsible” for the tests was Eithne Conlon — a local Cork GP who worked with the institution for many years.

The trial sheets recorded a range of reactions to the products. These included vomiting (slight, moderate, severe, or none), excessive regurgitation, wind (slight, moderate, severe, or none), stools (locae, normal, or constipated) and stool colour (yellow, grass green, olive green, yellow green, no stools, meconium, changing).

Other “abnormal conditions” were also noted. These included excessive crying, irritability, napkin rash, thrush, and others.

The latter trial sheet was contained in the records of Breda Bonass, who had sought information on her medical history from Tusla under Freedom of Information.

The former only came to light when Ms Bonass sought further information from Tusla.

However, this only confused matters further as the trial sheet for “Golden Ostermilk and Lactose” was found in the antenatal records of other women — and all contain identical details including patient numbers — something which the FOI officer told Ms Bonass was “perplexing”.

“In the majority of cases where this record was present the record was glued to another copy of the same record [front to front] and details about the respective baby’s feeding schedules, types of formula given, reactions to feeds, etc, were hand written on this paper,” said the FOI officer.

“When I pried the two sheets apart I noticed that these trial sheets all contained the exact same patient and trial numbers and identifying details as the trial sheet located in your file.”

Ms Bonass went to the religious order which ran Bessborough — the Sisters of the Sacred Hearts of Jesus and Mary — and GSK looking answers.

The nuns responded via their solicitors, telling her they no longer held the records nor had any access to them and that she should go to Tusla.

GSK’s UK data protection section informed her that the data had been “destroyed” as the “retention period has already expired some years ago”.

The Irish Examiner contacted GSK in an effort to get answers as to why this trial was carried out in Ireland, how many children it involved and if consent was sought.

It responded by saying it was “unable to locate any records relating to a 1974 study” but that it had located records relating to a trial from 1967.

“The assumption therefore would be that the 1974 study’s purpose was to compare current milk powder with a newer formulation. The records contain no names or information about the children involved,” said GSK in a statement.

It had no documentation to explain why Ireland was chosen as a location, but that the 1967 trial was also carried out in the UK, Kenya, Argentina, Malaysia, “and probably more”.

With regard to the consent of mothers, GSK said that, due to the fact that it had no records, it could not confirm who gave consent but that its assumption was that it would have been “those Sisters running the homes as the legal guardians”.

Obtaining consent would been left to the doctor conducting the trial.

The company said that, to the best of its knowledge, no financial remuneration would have been provided to the Order for allowing children in its care to be used for the trial.

GSK said the identical sheets were probably blank forms or templates and that the information entered “appear to be codes, possibly relating to a spreadsheet collating all responses”.

It also confirmed that this was the first time it was made aware of this study and that it had not been asked to disclose it in any official capacity, “as this is clearly outside of the current Commission’s [Into Mother and Baby Homes] vaccines inquiry”.

That, of course, is technically correct. The Commission is only tasked with examining vaccine trials carried out by GSK legacy companies. This latest revelation confirms that it wasn’t just vaccines that were being tested on children in care here.

The involvement of Burroughs Wellcome and Glaxo Laboratories in trials on children in Mother and Baby Homes and other institutions is worth repeating.

It’s been a long tale which saw a previous State inquiry —the Commission to Inquire into Child Abuse (CICA) in 2000 — try and fail to fully investigate the matter.

Before that inquiry was halted following a Supreme Court ruling in 2002, GSK had confirmed just three vaccine trials in the 1960s and 1970s involving more than 250 children.

In 2011, in a response to an RTÉ investigation, it acknowledged a fourth trial but stated that this was the only other clinical trial sponsored by Wellcome using children in institutions in Ireland.

However, in 2014, documents uncovered by Michael Dwyer of UCC’s School of History revealed a fifth trial of a measles vaccine on 34 children took place in 1965.

It was carried out by Irene Hillary and Patrick Meenan of UCD’s microbiology department and AJ Beale of Glaxo Laboratories. The UCD academics (both now deceased) were also involved in the first two vaccine trials also.

Earlier that year, Dr Dwyer also discovered evidence that Wellcome had carried out vaccine trials on more than 2,000 Irish children in 24 residential institutions between 1930 and 1935.

Despite this, the Inter-Departmental Group on Mother and Baby Homes published in 2014 only referred to three vaccine trials. It also failed to mention a 1965 trial of a 5-in-1 vaccine carried out on Philip Delaney at Bessborough Mother and Baby Home in Cork.

Questions around the involvement of British pharmaceutical companies in vaccine trials in Ireland have been popping up in the media for almost three decades now.

They first hit the headlines in the 1990s, but it wasn’t until 1997 that then health minister Brian Lenihan gave an undertaking that the matter would be examined.

This resulted in the Kiely Report in 2000, by Jim Kiely, chief medical officer of the Department of Health, which confirmed three trials had been conducted on behalf of the pharmaceutical company the Wellcome Foundation.

The i nstitutions involved were Wellcome Laboratories in Britain, the Department of Medical Microbiology in UCD, and the Eastern Health Board.

The first trial took place between December 1960 and November 1961 in four Mother and Baby Homes — St Patrick’s on the Navan Road in Dublin (14 children), Bessborough in Cork (25 children), Castlepollard in Westmeath (six children), and Dunboyne (nine children).

Four children from Stamullen baby home in Meath were also used for this trial.

The purpose of the trial was to look at the response the children would have to a 4-in-1 vaccine — diphtheria, whooping cough, tetanus, and polio.

The second trial involved 69 children from St Anne’s Industrial School in Booterstown in Dublin being administered an intranasal rubella vaccine. A further 53 children from the wider community in Kilcullen in Westmeath were also used in this trial.

The first two trials were carried out by Prof Hillary and Prof Meenan from the department of Microbiology in UCD, as well as other doctors.

The third trial involved 53 children in a number of residential institutions in Dublin including St Patrick’s Home, Madonna House, Bird’s Nest, and Boheenaburna.

A total of 65 children living at home in Dublin also received the vaccine.

The aim of the third trial was to compare commercially available batches of the 3-in-1 vaccine — Trivax and Trivax D — with that of equivalent vaccines prepared for the trial. There is no published paper or report of this trial, but the Eastern Health Board was aware it was being conducted.

Dr Kiely’s report in 2000 concluded that, given the conditions which the vaccines sought to counter, the decision to conduct the trials was “acceptable and reasonable”.

However, Dr Kiely said there was a lack of documentation available to clarify whether consent was either obtained or sought from the parents of the children or the managers of the institutions.

However, an entry in the 1962 British Medical Journal concerning the first trial seems to confirm that parental consent was not sought.

“We are indebted to the medical officers in charge of the children’s homes for permission to carry out this investigation on infants under their care,” it wrote.

Responding to the Kiely Report in 2000, Prof Hillary said it was her “invariable practice at the time to obtain consent of the competent authority”, be it the mother, the manager, or the medical officer.

However, no record of written consent has been acknowledged. The religious orders who ran the homes involved in the trials have also denied that they authorised any clinical trials.

Of the victims of the vaccine trials who have located their natural mothers, all mothers have said they were not asked for their permission.

In 2000, then minister for children Micheál Martin admitted the Kiely report was “incomplete” and raised “as many questions as it answered”.

However, despite this, Mr Martin reassured the Dáil that the trials appeared to have had no medically negative consequences for any of the children involved.

In an effort to deal with the matter, the Government decided to extend the terms of reference of CICA.

This was done despite objections that the trials could not adequately be dealt with by an inquiry looking primarily into physical and sexual abuse.

The ‘Vaccines Module’ of CICA began investigating in early 2002.

It obtained documentation from GSK — the successor of Wellcome — and identified the names and addresses of some of those involved in the trials.

It also sought records from a range of religious orders who were caring for the children used in the trials.

In November of last year, the Irish Examiner revealed that the files of vaccine trial victims from Bessborough involved in the 1960/61 4-in-1 vaccine were altered just weeks after the CICA sought discovery of records from the Sisters of the Sacred Hearts of Jesus and Mary.

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.”

The changes made to files Nos 5, 8, 11, 12, and 15-20 are then detailed.

The changes include:

  • The alteration of discharge dates of mothers (by a period of one year and two years):
  • The changing of discharge dates of children;
  • The changing of admission dates of mothers;
  • The alteration of the age of a mother (by two years);
  • The alteration of dates of adoption;
  • The changing of baptism dates and location of baptism;
  • The insertion of certain named locations and information into admission books.

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 on all such matters,” said a statement.

This document listing the changes was discovered in the Bessborough archive handed over to the HSE by the nuns in 2011.

It wasn’t discovered until 2016 — some 13 years after CICA’s investigation into the vaccine trials was suspended.

This occurred after the probe was hit with a Supreme Court ruling which upheld Prof Meenan’s challenge against a High Court order directing him to give evidence before the inquiry.

The court also criticised the decision to ask the commission to examine the vaccine trials in the first place, stating they had “only the most tenuous connection, if any, with the appalling social evil of the sexual and physical abuse of children in institutions, which was the specific area into which the commission was established to inquire”.

Mr Justice Hardiman stated that Prof Meenan’s involvement in vaccine trials related only to one trial in 1960/61 and that the issue of the “reputational damage” associated with being involved with a commission primarily looking at sexual abuse had to be considered.

Following this, Prof Hillary challenged the Government’s order directing an investigation into the vaccine trials and when the the Government declined to appeal this decision, the work of the Vaccines Module ceased in November 2003.

However, at the time, many people believed there were far more than three trials carried out by Wellcome here.

The Third Interim Report from CICA in December 2003 confirmed as much when it stated that the documentation it received from GSK “disclosed a considerable amount of information in relation to other vaccine trials conducted in the State”.

When RTÉ’s Prime Time asked the pharmaceutical giant about this statement in 2011, it confirmed a fourth trial had taken place in 1965. This trial involved giving differing doses of the measles vaccine to 12 babies aged between nine and 19 months in the Sean Ross Abbey mother-and-baby home in Tipperary.

GSK stated that this fourth trial was the only other clinical trial sponsored by Burroughs Wellcome using children in institutions in Ireland.

Then, in 2014, the Irish Examiner revealed a fifth trial also occurred during this period.

An article in The Lancet medical journal in August 1965, discovered by Dr Dwyer confirms that Glaxo Laboratories Ltd carried out another measles vaccine trial on 34 children aged between eight months and just over two years.

The trial was carried out by Prof Hillary and Prof Meenan and AJ Beale of Glaxo Laboratories. It is also the first trial which confirms Glaxo Laboratories involvement in a vaccine trial.

The report does not mention an institution. However, it makes reference to the fact that the reaction to the vaccine were monitored by “the adults looking after the children”.

It also says examinations were done on the children from day six to 14 at the same time — 6pm — indicating the children were in a group setting.

However, in response, GSK disagreed that these references amounted to evidence that the trial was carried out on children in care.

The pharmaceutical giant pointed out that, in other papers by the same investigator, it was stated explicitly that the study was carried out on children in care. GSK said if it had any evidence that this trial was carried out on children in care, it would have handed it over to the CICA at the time.

So, three years on, we now know that it wasn’t just vaccines that were being tested on children in Ireland’s Mother and Baby Homes.

Now, we know that clinical acceptability and safety trials of lactose, Golden Ostermilk and “overseas baby powders” were being trialled in at least one Mother and Baby Home.

Can and will the commission examine this latest development? Why was a British company testing such products in Ireland?

Were religious orders benefiting financially by allowing children in their care to be involved in such trials? Was the consent of mothers obtained, or was it even sought?

The Mother and Baby Homes Commission said it will investigate all aspects of living conditions and care arrangements at Bessboro.