Área de Gestão de Recursos Humanos

HOSPITAL HISTORY

The history of these hospitals dates back to the distant fifteenth century and is born in the
All-Saints Hospital so that is where this story should begin.

With the 1755 earthquake and the destruction of Todos os Santos comes the Hospital de S.
José which, during the late nineteenth and early twentieth centuries, came to aggregate
around itself a set of other hospitals giving rise initially to the HS group José and Annexos
and later to the group Civil Hospitals of Lisbon (HCL) in 1913.

In 1989, the Civil Hospitals of Lisbon were separated into different hospitals and the
Capuchos, Desterro and Arroios Hospital Subgroup was the only group.

The need to leverage, through common management, the capacities available in hospital
units and to address multiple resource shortfalls has led to the creation of the Lisbon Hospital
Center - Central Zone (CHL-ZC. Thus were extinguished the São José Hospital and the hospital
subgroup Capuchos, Desterro, Arroios.

Throughout this process the Arroios and Desterro Hospitals were closed.

If this was the story of how the present Center came about, it is also important to know the
history of each of its constituent hospitals.

St. Joseph's Hospital

In the middle of the eighteenth century, the Jesuits left the country and the then-famous
Colegio de Santo Antão now houses the sick from the All-Saints Hospital then destroyed by
the 1755 earthquake.

Little is known about the internal organization and the welfare movement at the end of the
18th century, apart from the fact that S. José Hospital, in the wake of Todos-os-Santos,
continued to be the great surgery school in the country.

As a culmination of this tradition and the great commitment of the great surgeon Manoel
Constâncio, in 1825 came the Royal School of Surgery by D. João VI Decree, which gave rise
to the Medical-Surgical School of Lisbon.

In 1844 the Royal Hospital of S. José annexed the first of a long list of hospitals - the Gafaria
de S. Lázaro. A few years later follow the Rilhafoles asylum and the Desterro Hospital, giving
rise to the Royal Hospital of S. José and Annexos. Little by little other hospitals come together.
D. Estefânia Hospital in 1877, Arroios Hospital in 1892 and Santa Marta Hospital in 1903. In
1906, the Curry Cabral Hospital and, in 1928, the Santo António dos Capuchos Hospital. The
Sede: Centro Hospitalar Universitário de Lisboa Central, EPE
Rua José António Serrano – 1150-199 Lisboa
Telf. 21 884 10 00; Fax: 21 884 10 23
Capital Estatutário : € 259.160.000,00
Contribuinte nº 508080142
group “Hospitais Civis de Lisboa” (HCL) is now complete, a name that became effective in
1913.

The School of Surgery, the Emergency Bank and big names in Portuguese medicine were
references of the Royal Hospital of S. José and Annexes.

The HCLs were an extremely demanding medical school for the postgraduate training of
doctors seeking to specialize in them. Characterized by a rigorous selection of those who
competed for its staff, it marked the health landscape in Portugal for much of the twentieth
century.

The Hospital de S. José saw the birth of new specialties such as Plastic and Reconstructive
Surgery, Maxillofacial Surgery and the first Intensive Care, Burn, Neurotraumatology and
Spinal Cord units.

In recent years the hospital has been modernizing with the limits arising from its conventual
origin. As in all other hospitals in the group, modern medicine is practiced in old, rebuilt
buildings. Joining science and art in what is one of the most important monuments of Lisbon.

St. Antonio dos Capuchos Hospital

The Santo António dos Capuchos Hospital is located in the center of Lisbon, in the old Campo
do Curral, now Campo de Sant'Ana, and was officially created in 1928.

The main building of the hospital is the result of several transformations that underwent the
former Convent of St. Anthony of Capuchos opened in 1579 and delivered to the Recollect
Fathers of the Custody of St. Anthony. This convent, which was partially destroyed by the 1
755 earthquake, has undergone several transformations over the centuries. In 1836, Queen
D. Maria II founded in her premises the Lisbon Mendicity Asylum. The space occupied by the
Asylum was increased due to the construction of several pavilions and the purchase in 1854
of the

The main building of the hospital is the result of several transformations that underwent the
former Convent of St. Anthony of Capuchos opened in 1579 and delivered to the Recollect
Fathers of the Custody of St. Anthony. This convent, which was partially destroyed by the
1755 earthquake, has undergone several transformations over the centuries. In 1836, Queen
D. Maria II founded in her premises the Lisbon Mendicity Asylum. The space occupied by the
Asylum was increased due to the construction of several pavilions and the purchase in 1854
of the Palace of the Counts of Murça, dating from the 17th century.

This historical evolution of the hospital's physical structure justifies the dispersion of the
various services across various buildings. This fact led the Hospital to grow conditioned by
the management of existing physical spaces, some of which are considered national heritage.

ACS
Endowed with a rich heritage tile especially in the part corresponding to the old Palace. It is
still in this hospital that is one of the oldest sundials in Portugal.

It was also in this hospital that the Artur Ravara Nursing School was inaugurated in 1930,
which until then had been operating at the Hospital de São Lázaro.

The hospital has unique skills in the Center, such as Dermatology, Gastroenterology,
Hematology, Neurology and Oncology, which were all pioneer units in the country at the level
of their respective specialties.

Santa Marta Hospital

The Santa Marta Convent, founded in the 16th century, began to work in the health service
in 1890 and was renamed the Poor Clergy Hospice.

In 1910 the Santa Marta Hospital was officially assigned the function of Lisbon Surgical
Medical School, assuming an important role in the teaching of medicine in Lisbon.

The Santa Marta Convent, founded in the 16th century, began to work in the health service
in 1890 and was renamed the Poor Clergy Hospice.

Created to welcome and treat the victims of the Great Plague of Lisbon in 1569. First existing
as the Recollection of Santa Marta de Jesus and years later, already in the 17th century, as
Convent of the same name.

On November 1, 1755, the earthquake, fire, and the tsunami devastated nearly two-thirds of
the city's streets. The Santa Marta Convent was one of eleven of the sixty-five convents in
Lisbon that, despite the damage, remained habitable.

In 1890 the building was used as a makeshift hospital to house the many victims of a flu
outbreak that raged the city and later as a hospital for venereal disease. He later joined St.
Joseph's Hospital

In 1910 the Santa Marta Hospital was officially assigned the function of Lisbon Surgical
Medical School, assuming an important role in the teaching of medicine in Lisbon. He held
this position until 1953, when the university clinic was transferred to the newly created Santa
Maria Hospital.

With this transfer, the Hospital de Santa Marta is once again part of the Hospitais Civis de
Lisboa group, where it remained until the end of the 20th century.

Considered as one of the main schools of Internal Medicine during the second half of the
twentieth century with the figure of Carlos George came to gain a special differentiation in
the cardiovascular field with the innovation brought by Machado Macedo.

ACS
It enters the 21st century as one of the leading centers of reference for the diagnosis and
treatment of cardiovascular disease at national level.

D. Estefânia Hospital

Dona Estefânia Hospital, started in 1860 and completed in 1877, was built by Queen D.
Estefânia, wife of D. Pedro.

On a visit to St. Joseph's Hospital, impressed by the promiscuity with which children and
adults were treated in the same ward, the queen offered her wedding dowry to create a ward
there, and expressed a desire to build a children's hospital. poor and sick.

It was initially called Hospital da Bemposta, but in honor of the queen, who had died in the
meantime, was renamed D. Estefânia Hospital.

Its construction has been exquisitely planned. In connection with the most illustrious royal
houses in Europe, D. Pedro V requested advice on hospital projects and plans, prepared by
competent and authorized technicians on the subject and sent from various places, namely
London, Berlin and Paris.

In 1969, it began to have Mother Child Valence with the construction of a temporary building
to which it was transferred from S. José, the Magalhães Coutinho Maternity opened in 1931.

This maternity hospital, operating in a provisional building, was to be decommissioned in

1996 and reinstated in a building from the early 20th century, the D. Pedro V pavilion, after
refurbishment work in 1998-2001.

Dona Estefânia Hospital has been gaining differentiation in all specialties in its pediatric
component over the years, the result of many pediatricians who worked in it allowing to
assume itself as one of the principals of national pediatric hospitals.

Curry Cabral Hospital

Begun in 1902, by Ministerial Order of 8 November, on the grounds where there was the
“Gathering of the Association of Servites of Our Lady of Sorrows”, the construction of the
Curry Cabral Hospital, would have been possible only with the financing, worth three
hundred provided by Caixa Geral de Depósitos.

Following the most advanced theories of hospital design at the time, the Curry Cabral
Hospital is designed and built in a pavilion structure consisting of 22 autonomous pavilions
and a 728-bed infectious disease bed.

ACS
The construction is completed in December 1904 and receives in January 1906 his first
patients, transferred from the Queen D. Amelia Hospital and other hospitals (tuberculosis
patients and, later, other infectious patients).

Then called the Infectious Diseases Hospital - due to its vocation - or Hospital do Rêgo - by its
location - it was integrated, in 1913, in the Lisbon Civil Hospitals Group, which includes the
hospitals of Dona Estefânia, Santa Marta, Arroios, São José and Capuchos / Desterro, being
renamed, in 1929, under the name of Curry Cabral Hospital, in honor of its founder, Nurse
José Curry of the Cabral Chamber.

With the publication, in July 1978, of the Lisbon Civil Hospital Regulations, its philosophy goes
from Hospital specialized in infectious diseases to Central General Hospital, with
administrative and financial autonomy, from 1989.

From the second half of the nineties, the Hospital, practically intact since its construction and
in a state of frank degradation of its infrastructures, begins a phase of modernization of its
facilities and equipment.

In February 1992, it had its own Emergency, Medical, Surgical and Orthopedic Service.

In June 1998 a new building dedicated to the emergency activity was inaugurated, embryo
of a more ambitious new construction, which now houses more than 60% of the internment
capacity in new and functional facilities.

It is at this stage that the Valence of Cardiology and Psychiatry is integrated, which is currently
dependent on the Lisbon Hospital Psychiatry Center.

Noteworthy is the large development in the area of Hepato-Biliary Transplantation, which is

today considered the largest center of its kind in the country and probably in the world.

In the area of Infectious Diseases, the Hospital has one of the largest national centers for HIV
and an Inpatient Unit with 14 rooms of negative pressure isolation, being a national reference
for Pandemic Influenza. To support this area, the Clinical Pathology Service has a highly
differentiated laboratory.

Also noteworthy are Intervention Cardiology, Intensive Care and Nephrology, which makes
the Hospital one of the highest levels of complexity in the healthcare provision of Portuguese
Hospitals.

In April 2010, with the publication of Decree-Law No. 21 of 24 March, the Hospital sees its
public - administrative sector status changed, having passed the public business entity.

On December 27, 2011, the Medical-Surgical and Psychiatric Emergency Service is closed,
and it will be held at the CHLC Emergency Service. The Vascular Intervention Unit was also
closed.

ACS
On 01 March 2012, Decree-Law No. 44/2012 of 23 February enters into force and changes
the composition of the Central Lisbon Hospital Center - CHLC, EPE integrating two other
hospitals: the Curry Cabral Hospital, EPE and Dr. Alfredo da Costa Maternity - SPA.

Dr. Alfredo da Costa Maternity

It is said that the special work for the protection and defense of pregnant women began in
1755, after the earthquake that destroyed more than half of the city of Lisbon. One of the
buildings destroyed, not only by the earthquake but also by the subsequent fire, was the
Todos os Santos Hospital, whose patients had to be transferred to the Santo Antão College.

Of the nine women's wards in this hospital, one was intended for pregnant and postpartum
women. This ward, which was called Santa Barbara, had forty-two beds and was situated in
a long, narrow, poorly lit and poorly ventilated interior corridor.

A few years later, Santa Barbara's ward was moved to a larger, airy space on a higher floor of
the same building, with fifty-five beds.

It was in this space that Professor Alfredo da Costa, with other great masters, distributed his
knowledge among women and students. However, over time the deficiencies became worse.

It is said that the special work for the protection and defense of pregnant women began in
1755, after the earthquake that destroyed more than half of the city of Lisbon. One of the
buildings destroyed, not only by the earthquake but also by the subsequent fire, was the
Todos os Santos Hospital, whose patients had to be transferred to the Santo Antão College.

Of the nine women's wards in this hospital, one was intended for pregnant and postpartum
women. This ward, which was called Santa Barbara, had forty-two beds and was situated in
a long, narrow, poorly lit and poorly ventilated interior corridor.

A few years later, Santa Barbara's ward was moved to a larger, airy space on a higher floor of
the same building, with fifty-five beds.

It was in this space that Professor Alfredo da Costa, with other great masters, distributed his
knowledge among women and students. However, over time the deficiencies became worse.
The inadequate facilities and lack of much material necessary for the proper functioning of
the Santa Barbara ward were the main concerns.

In 1906, as director of the Santa Barbara Maternity, Professor Alfredo da Costa was not tired
of asking for support from the Head Nurse of the Hospitals, the doctor Curry Cabral, his friend
and office partner.

Desperate for failing to improve the unworthy conditions in which pregnant and postpartum
women lived in Maternity, he produced an exhaustive report, where in its introduction it

ACS
began by questioning "Maternity or antechamber of a female hell?". He handed this
document over to the Council of the Medical-Surgical School of Lisbon, even though he knew
himself to be subject to the malfeasance of "who was entitled".

On April 2, 1910, the distinguished professor died, having never seen his dream come true
since 1898, when he assumed the chair of the Obstetrics chair of the Lisbon Medical-Surgical
School, for which he had always worked with such dedication and enthusiasm. .

On May 15, 1910, friends and admirers form a tribute commission to Professor Alfredo da
Costa, who could not be other than the realization of the dream of a lifetime.

Its realization, under the initial project of the architect Dr. Ventura Terra, was due to the
commitment of Professor Dr. Augusto Monjardino and Professor Dr. Costa Sacadura who
were respectively the roles of Director and Deputy Director of Maternity.

On May 31, 1932, the Maternity of Lisbon was inaugurated under the full name, in honor of
the life and work of those who had first fought for it, Dr. Alfredo da Costa. And on December
5, 1932 it finally opens to the public.

The initial capacity of Maternity was 300 beds, 250 of which were for Obstetrics and 50 for
Gynecology. However, there was a very rapid growth movement and the number of pregnant
women with public health care increased sixfold in the first year.

Motherhood has evolved and has also become a center for social welfare and scientific work.

At the time, it was already considered a quality milestone in the provision of obstetric and
neonatal care in Portugal.

Since its opening, until 2005 Dr. Alfredo da Costa Maternity has been born more than 540
thousand children, a number that has made this institution the largest in Portugal.

However, its role has gone far beyond birth care and has been able to keep up with scientific
developments as well as adapt to the new challenges of the 21st Century.

ACS