As to the foundations of a later age they were no longer under ecclesiastical management, and they seem to have been mostly rude shelters on the outskirts of the larger towns. In 1316 a burgess of Rochester, who had sat in Parliament, left a house in Eastgate to be called St Katharine’s Spital, “for poor men of the city, leprous or otherwise diseased, impotent and poor”--or, in other words, a common almshouse. The remarkable ordinance of Edward III. in 1346, for the expulsion of lepers from London, seems to have been the occasion of the founding of two so-called lazar-houses, one in Kent Street, Southwark, called “the Loke[187],” and the other at Hackney or Kingsland. These are the only two mentioned in the subsequent orders to the porters of the City Gates in 1375; and as late as the reign of Henry VI. they are the only two, besides the ancient Matilda’s Hospital in St Giles’s Fields, to which bequests were made in the will of Ralph Holland, merchant taylor[188]. Another of the suburban leper-spitals was founded at Highgate by a citizen in 1468[189], and it is not until the reign of Henry VIII. that we hear of the spitals at Mile End, Knightsbridge and Hammersmith[190]. By that time leprosy had ceased to be heard of in England; but another disease, syphilis, had become exceedingly common; and it is known that those spitals, together with the older leper-hospitals, were used for the poorer victims of that disease. Stow is unable to give the exact date of any of these foundations except that at Highgate. He assumes that the others were all built on the occasion of the ordinance of 20 Edward III.; but it is probable that only two of them, the Lock and the Kingsland or Hackney spital were built at that time[191].