leave the island without a health clearance from a physician. No boat other than the hospitals' were to approach the island, and once returned to Marblehead were to dock only at approved locations within the harbor. People on the island were not to approach the island landing and a fence and trench would separate areas where supplies were dropped off from areas used by people on the island. By early October, the hospital and a shifting-house were completed. Upon arriving on a beach at the northwest part of the island the new patients would enter the clean room of the small, one-story shifting house where they left a clean set of clothes to be worn upon departing. Another room in the building, the shifting-room, as where at the end of their island stay they would strip, wash, and be fumigated before entering the clean-room and getting dressed in the previously left, uncontaminated clothes. The hospital itself was located on the southwestern section of the island, was three stories high, had ten rooms each with four beds, a kitchen, and accommodations for a steward, the physicians, nurses, and their assistants. The proprietors of the hospital employed Dr. Hall Jackson from Portsmouth as hospital superintendent, and Dr. Ananias Randall from Long Island as assistant physician. The proprietors set a fee "for board, nursing, inoculation, etc., and for the poor which are considerably numerous, inoculation gratis one poor inhabitant for every ten others inoculated." Two boats were employed, the Mercury Cruiser to transport people, and the Noah's Ark to transport cattle, sheep, deer, and animal feed. On October 19, Among the first class of patients were Captain John Glover and his family, all of whom were inoculated and then remained as volunteers. Ashley Bowen, exemplifying some of the bitter feelings toward the hospital, sarcastically noted in his journal on October 19: Since those exposed to smallpox (including recently inoculated) are not contagious for 10 days, visitors were allowed during this time. A newspaper article at the time notes, the patients "are indeed confined to a strict regimen; but they may every day be seen walking the island, shooting wild fowl, playing at quoits, etc." On November 5, 1773 the patients and staff on the island celebrated Pope's Day (a colonial variant of Guy Fawkes Day) by lighting tar barrels "and a large fire displayed from the middle of the Island; the hospital was