DISTRICT HEALTH DEVELOPMENT DEPARTMENT OF HEALTH CITY OF NEW YORK BUILDING PROGRAM AS RELATED TO THE MASTER PLAN FOR THE CITY OF NEW YORK FIORELLO H. LA GUARDIA, Mayor JOHN L. RICE, M.D., Commissioner MARCH 1939 Neighborhood Health Development, Inc. 125 Worth Street, New York, N. Y. Price $l.OO DISTRICT HEALTH DEVELOPMENT DEPARTMENT OF HEALTH CITY OF NEW YORK Building Program as Related to the Master Plan for the City of New York Fiorello H. LaGuardia, Mayor John L. Rice, M.D., Commissioner March - 1939 Appreciation and acknowledgment are hereby given to THE COMMITTEE ON NEIGHBORHOOD HEALTH DEVELOPMENT Kenneth D. Wlddemer, Director for valuable assistance in the compilation and publication of this brochure. John L. Rice, M. D. Commissioner. ) DEPARTMENT OF HEALTH HEADQUARTERS ) WILLARD PARKER LABORATORY. district health center buildings COMPLETED OR UNDER CONSTRUCTION. PROPOSED, DISTRICT HEALTH CENTER bDiLOIHGS. PROPOSED SUB-STATIONS. CHILD HEALTH STATIONS COMPLETED OR UNDER CONSTRUCTION. ]ußf£uIJJKi?W,CTB FOB WHICw DISTRICT HEALTH CENTER BUILOIMSS HAVE BEEN PROVIDED. FOR WHICH DISTRICT NSAtTH CENTER BUILDINGS ARE PROPOSED. HEALTH DEPARTMENT BUILDING PROGRAM HEALTH CENTER DISTRICTS CITY OF NEW YORK M * g c H L9T9 CONTENTS Page Frontispiece - Health Department Building Program Health Planning for the Future through District Health Center Development 3 The Health Department - Its Responsibilities, Activities and Organization ... 5 Organization Chart: New York City Department of Health 10 Map: Location of Health Department Services 11 District Health Administration 12 Part I - Building Progress, 1934-1939 A. Buildings Completed and in Operation Capital Improvements In the Health Department Program 18 Illustrations: Progress Schedule No. 1 20 Willard Parker Biological and Research Laboratories 21 Lower West Side Health Center 22 Mott Haven Health Center Richmond Health Center and Borough Office Building I 23 Wllllamsburg-Greenpolnt Health Center / Astoria-Long Island City Health Center. .' East Harlem Health and Teaching Center j 24 Red Hook-Gowanus Health and Teaching Center Central Harlem Health Center . > Kips Bay-Yorkvllle Health and Teaching Center J B. Buildings under Construction Illustrations: Progress Schedule No. 2 27 Washington Heights Health and Teaching Center 20 Fort Greene Health Center and Borough Office Building 29 Lower East Side Health and Teaching Center Tremont Health Center and Borough Office Building V 30 Corona Health Center J C. Child Health Stat ions (Completed or under Construction) New Child Health Station Buildings 32 Illustrations: Progress Schedule No. 3 34 Old Child Health Stations being replaced by New Buildings ... 35 New Child Health Stations 3D Health Stations and Housing Williamsburg Houses 37 Harlem River Houses and Queensbrldge Houses 30 Part II - Proposed Fdture Building Program The Future Health Building Program 40 Map: Health Department Building Program • • • 45 Suggested Building Plans and Estimates of Cost 46 Summary: Capital Costs - District Health Center Buildings and Substations ... 47 Illustration: Typical District Health Center 51 The Health Center Substation Program 52 Illustration: Typical Substation 53 NEWYORK CITY HEALTH DEPARTMENT HEADQUARTERS 125 Worth Street The building completed in 1935 houses the Departments of Health, Hospitals, Sanitation and the office of the Chief Medical Examiner HEALTH PLANNING FOR THE FUTURE THROUGH DISTRICT HEALTH CENTER DEVELOPMENT by John L. Rice, M.D. Commissioner of Health New York City, with its seven and a half million people living in an area of over three hundred square miles, is an outstanding example of the importance of localizing health service. The enormous heterogeneous popu- lation, with its varying density, and with its host of localized areas of custom, environment, understanding and thought, presents a challenge to effective public health administration and service. Those interested in public health have long recognized the necessity of developing a plan which will point out the needs, resources and opportunities in the varying sec- tions of the City, and an administrative technique which would facilitate a more direct attack upon the particular problems of individual neighbor- hoods . Early in 1934, the Health Department put into effect a broad program of district health administration for New York City, as a means of further improving the health of the community and of increasing the purchasing pow- er of New York City's public health dollar. The idea and plan for localizing health work in small units of pop- ulation occupied the minds of public health officials and medical men as far back as 1914-1917, when several experimental district health offices were set up in lower Manhattan and in Queens. These attempts, however, were not continued. The American Red Cross, returning from its field of activity overseas, established the East Harlem Health Center in 1921, which did much to pioneer district health center development. The Bellevue-Yorkville Health Demonstration, launched in 1926 by the Milbank Memorial Fund and the Department of Health, made important contributions to the program and organization procedures of district health adminis- tration . Three years later, in 1929, the Committee on Neighborhood Health Development was organized with the Commissioner of Health as Chairman, to survey the need for health center development and aid in the formula- tion of a city-wide district health center program. This Committee, com- posed of representatives of health, medical, dental, nursing, and welfare organizations became an important adjunct in the establishment of district health centers. In 1930, the first municipal district health center was established in temporary quarters in Central Harlem, and in the latter part of 1933 approximately $200,000 was provided in the budget for initiating neighborhood health service in a few districts. It was not until Mayor LaGuardia's administration that district health center development in New York was launched on a city-wide scale and the entire City brought under regional health administration. In the five years which have passed since January, 1934, the roots of th’e City's program of district health administration have pushed deep into the soil of the community. A Bureau of District Health Administra- tion, with a full-time director and staff, charged with the responsibil- ity of mapping out the program and policies, has been created within the Health Department. The thirty areas into which the City has been divid- ed have been brought under the Health Department's plan of district ad- ministration. Nine new district health buildings are now in operation and there are five additional units under construction. A teaching pro- gram, carried on in cooperation with New York City's five medical schools, is well under way. A sound beginning in the development of citizen co- operation in the health program, neighborhood by neighborhood, has been established. To build a structurally sound official program of localized health work on a city-wide scale, has been and is a tremendous task. Changing from one type of departmental administration to another in a Department of Health as large as that of New York, presents many problems. How- ever, the effective and untiring work of the Director and staff of the Bureau of District Health Administration, the able leadership of the Deputy Commissioners, and the active assistance of the functional bu- reaus, coupled with valuable assistance rendered by our advisory com- mittees, have all combined to make possible the very rapid progress with which the Department of Health's program has forged ahead toward its ultimate goal. District health administration has established a framework for health services throughout the City within which the activities of func- tional bureaus of the Health Department are rendering more effective services and from which the extent and quality of health services for the residents of the various neighborhoods are being daily increased as the program advances. The Health Department Its Responsibilities, Activities and Organizatlhn The Health Department is charged with the responsibility of prevent ing sickness, of keeping the death rate as low as possible, and of at- tempting to build up the health of the people to the highest possible point. Whatever affects the health of the residents of the City is the concern of the Health Department. Recognizing the paramount importance of protecting the health of the people of this City, the State Legislature in 1866 created the Board of Health of the City of New York and invested it with the power to en- act a Sanitary Code which has all the authority and effect of a law passed by the legislature itself. This Board is composed of five mem- bers, namely, the Commissioner of Health, who is Chairman, and four other members, at least two of them physicians, appointed by the Mayor for terms of eight years each. When the Department of Health was first organized the legislature divided it into two bureaus, namely, the Bureau of Vital Statistics and the Sanitary Bureau. The total personnel of the Department was approx- imately sixty persons, the population served was about one million, and for the very meager services rendered, the annual budget was approxi- mately $330,000. The work was centralized, and could all be adminis- tered from an office of a few rooms located in the police headquarters at 300 Mulberry Street. At the present time the personnel of the Department includes near- ly 2,800 persons. Among these are about 500 physicians, 800 public health nurses, 300 laboratory experts such as bacteriologists, chemists and technicians, some 250 health inspectors, about 65 dentists, and a considerable number of other trained individuals including statisti- cians, x-ray operators, veterinarians, accountants, and clerical work- ers. The head of the Department of Health is the Commissioner of Health who is assisted by two deputy commissioners and a sanitary engineer. In order to carry on the many activities demanded of a modern health department, and especially to provide for the necessary expert guidance, the Department is now organized into eleven bureaus. Moreover, since 1934, in an effort to bring the health services closer to the people, and to better adapt them to meet particular local needs, much of the work has been decentralized and is now conducted on a district basis. In planning for the future development of the Health Department serv ices it is important to know just what these services are, how and where they are now available and where they must probably be provided in the near future to meet the necessities of the growing city, and to conform to the changing conception of the communities' responsibilities in the field of public health. For these reasons there is presented a brief description of the activ- ities of the eleven bureaus of the Department, taking up first those bu- reaus whose work cannot be decentralized to advantage. From the stand- point of city planning they require relatively little attention. When this Bureau was originally established under the BUREAU OF RECORDS title "Bureau of Vital Statistics," its chief purpose was thought to be the registration of births, deaths and marriages, and the furnishing of transcripts from these important records. This is still an important function of the Bureau and necessitates a branch of- fice in each of the five boroughs. Beside this, however, the Bureau now carries on a service which is indispensable to the operation of the entire Department, namely, a tabulation and analysis of the vital sta- tistics, to the end that the Department may obtain an accurate picture of the health problems to be dealt with, particularly within the health center districts. This second activity is necessarily centralized and is carried on at the Department's headquarters in Manhattan. While this is still one of the important bureaus of the SANITARY BUREAU Department, and one which daily comes directly into con- tact with the individual citizen, especially in matters of environmental hygiene, many of its former more strictly medical responsibilities have been delegated to other bureaus. It now deals with such matters as the sanitary supervision of bathing beaches and pools, with health protection through control of plumbing, with proper safeguards surrounding fumiga- tion and vermin extermination, study of health hazards in industry, the control of offensive trades, and the investigation of citizens' com- plaints . This Bureau has the responsibility for BUREAU OF PREVENTABLE DISEASES the supervision and control of the com- municable diseases (except tuberculosis and the venereal diseases). It carries on epidemiological investigations to trace the source of infec- tion; through a trained corps of physicians it assists private physicians in the diagnosis of such infections; it maintains supervision over typhoid carriers; enforces isolation and quarantine in the homes of those ill with major communicable diseases; compels hospitalization when proper isolation cannot be maintained in the home; and investigates all cases of dog bites and provides antirabic treatment when necessary. BUREAU OF LABORATORIES “d seroloB^al dia8‘ nostic services to physicians, examining throat cul- tures for diphtheria, sputum in cases of pneumonia and suspected tubercu- losis, blood for syphilis, other specimens for typhoid, for meningitis, for gonorrhea, etc. A special division assists in the control of the milk sup- ply by making bacteriological examinations of samples of milk; another di- vision produces a variety of serums and vaccines for use against diphthe- ria, lockjaw, epidemic meningitis, pneumonia, measles, typhoid fever, smallpox, and rabies. Beside these routine activities the Laboratory car- ries on scientific research with the aim of applying modern medical dis- coveries to administrative health practice. BUREAU OF FOOD AND DRUGS ne t*ie most iniportant responsibilities of this Bureau is the supervision and control of the City's milk supply. The milk is supervised and controlled from its production on dairy farms several hundred miles from the City, through the shipping and pasteurizing stations, up to its delivery to the City consumer. Because of this, New York City can well boast of the safest milk supply in the world. The Bureau pays special attention to the wholesomeness of oysters, clams and other shellfish sold in the City, making certain that these are obtained only from approved sources, and checking on the effectiveness of its control measures by bacteriological examinations of random samples. It supervises all food handling estab- lishments, not only the quality and wholesomeness of the food but also the methods of preparation, the storage and handling of food, and the sterilization of eating and drinking utensils. Cooperating with the Bureau of Preventable Diseases, it also investigates all cases alleged to be due to "food poisoning". This aims to coordinate and develop the educa- BUREAU OF HEALTH EDUCATION tional work of the Health Department. A direct responsibility of the Bureau is the publicizing of the activities and aims of the Department of Health, making these clear to the community leaders, especially to physicians, school principals, clergymen, and social service workers. The Bureau does this through various regular publications, through lectures, exhibits, rallies, newspaper press releases, radio broadcasts, printed leaflets, and other vehicles. In its central office the Bureau maintains a health information service. Inasmuch as the chief function of the district health centers is health education, special facilities for this work must be provided in these centers. These include suitable lecture halls, exhibit rooms, work shop, mimeograph room, physicians' reading room, etc. This Bureau is charged with looking after BUREAU OF GENERAL ADMINISTRATION the bu3lne3s part 0| the Department of Health, such as budget matters, payrolls, time cards, appointments, sup- plies and equipment, rentals of quarters, audit of accounts, etc. This is clearly a centralized function. Next come the bureaus whose field activities have largely been decen- tralized, and which therefore make use of physical facilities in many dif- ferent parts of the City, The activities carried on by those bureaus are of special importance in city planning, for they must be located and co- ordinated so that they will most effectively serve the people of this City. Examples of facilities provided by these bureaus are dental clinics, eye clinics, child health stations, nutrition classes and the like, and clinics for the tuberculous and those having venereal disease. The main object of the Health Department's various clinic services is the diagnosis of pre- ventable disease and the use of information thus obtained to prevent the spread of such diseases in the community. Such clinics are an important part of the Department's program for the control of preventable diseases and need to be integrated with the other activities of the Health Depart- ment, such as epidemiology, isolation and quarantine, public health nurs- ing and health education. This Bureau administers all the public health nursing BUREAU OF NURSING services of the Department. Its nurses work in the various clinics, the child health stations, and in the public and paro- chial schools, the last-named requiring the major part of its staff. An important part of the work consists in visiting the homes of new-born infants, of school absentees, of those ill with communicable diseases, and those suffering from correctable physical defects. This work is nec- essarily decentralized, the nurses working out of local headquarters in the various health centers. This Bureau is responsible for activities deal- BUREAU OF TUBERCULOSIS tjje control of tuberculosis. It oper- ates 19 of the 23 free tuberculosis clinics in the city, maintains a reg- ister of all known cases of tuberculosis, supervises the patients in their homes, and arranges for the admission of patients to sanatoria and hospi- tals. Much attention is devoted to "case finding" by means of routine x-ray examinations. This Bureau also conducts a diagnostic consultation service for private physicians' cases. This Bureau is concerned with the prevention BUREAU OF SOCIAL HYGIENE and control of venereal diseases, especially syphilis and gonorrhea. This Bureau also operated a large number of clinics where patients may come for advice, diagnosis or treatment. Be- side this it carries on much educational work, and offers refresher courses to physicians. It is one of the services carried on at each of the district health centers. Two former bureaus, whose activities are now BUREAU OF CHILD HYGIENE carried on as divisions of the Bureau of BUREAU OF SCHOOL HYGIENE trict Health Administration. EXECUTIVE PERSONNEL —HEALTH DEPARTMENT Commissioner John L. Rice, M.D. Deputy Commissioners William H. Best, M.D. George T. Palmer, Dr.P.PI. Sol Pincus, Sanitary Engineer John G. Grimley, M.D., Special, World’s Fair Secretary Goodhue Livingston, Jr. Bureau Directors Margaret W. Barnard, M.D., Dr.P.H. District Health Administration Charles F. Bolduan, M.D. Public Health Education Thomas J. Duffield Records Herbert R. Edwards, M.D. Tuberculosis Samuel Frant, M.D. Preventable Diseases Amelia H. Grant, R.N. Nursing Abraham Lighterman Food and Drugs Goodhue Livingston, Jr. General Administration Ralph S. Muckenfuss, M.D. Laboratories John Oberwager, M.D. Sanitary Theodore Rosenthal, M.D. Social Hygiene Executive Personnel Bureau of District Health Administration Director Margaret Witter Barnard, M.D., Dr.P.H Central Office Associates Arthur I. Blau, M.D. Morris L. Ogan, M.D. Jules L. Blumenthal, M.D. Harry Strusser, D.D.S. Maurice L. Wieselthier, M.D. District Health Officers Medical Officers-in-Charge Max Bernstein, M.D. Frank A. Calderone, M.D. Eugene O. Chimene, M.D. Isadore Cohn, M.D. Louis A. Friedman, M.D. Jacob H. Landes, M.D. Jerome Meyers, M.D. Harold H. Mitchell, M.D. Sophie Rabinoff, M.D. Anna E. Ray Robinson, M.D. Leopold M. Rohr, M.D. John B. West, M.D. William F. Wild, M.D. William B. Birnkrant, M.D. George F. Campana, M.D. Joseph Dillenberg, M.D. Aaron Leifer, M.D. James F. Morrison, M.D. Elwood S. Morton, M.D. COMMITTEE OF NEIGHBORHOOD HEALTH DEVELOPMENT DEPARTMENT OF HEALTH CITY OF NEW YORK John L. Rice, M.D., Chairman, General Committee, Commissioner, Department of Health Bailey B. Burritt, Chairman, Executive Committee George Baehr, M.D., Chairman, Technical Advisory Committee Kenneth D. Widdemer, Director The activities of the Committee on Neighborhood Health Development are carried forward with the aid of the following standing committees: Standing Committees Committee on Boundaries and Allied Problems Godias ]. Drolet, Chairman Neighborhood Organization Committee Bailey B. Burritt, Chairman Advisory Committee Advisory Committee on Nursing Advisory Committee on Health Education John L. Rice, M.D., Chairman John Oppie McCall, D.D.S., Chairman Miss Lillian D. Wald, Honorary Chairman Mrs. Edward A. Behr, Chairman health and Teaching Center Advisory Committee Livingston Farrand, M.D., Chairman Nursing Staff Education Program Committee Livingston Farrand, M.D., Chairman Committee on District Cooperation with the Medical Profession School Health Study Committee Philip Van Ingen, M.D., Chairman Alec N. Thomson, M.D., Chairman Membership List Hiss Gladys A. Adams, Secretary Bronx Tuberculosis & Health Committee Mrs. Edward A. Behr K. Aldinger, M.D., Director Jules Blumenthal, M.D. Department of Health Health Education, Board of Education Burns Amberson, Jr., M.D. Charles F. Bolduan, M.D., Director Bureau of Public Health Education Department of Health Tuberculosis Service, Bellevue Hospital Hiss Grace L. Anderson, Director East Harlem Nursing & Health Service Leverett D. Bristol, M.D., Dr.P.H. Hqnald B. Armstrong, M.D., 3rd Vice-Pres. Metropolitan Life Insurance Company Health Director, American Telephone & Telegraph Mrs. Charles S. Brown Hiss Mary Arnold, Organization Secretary Committee on Neighborhod Health Development Bailey B. Burritt. Chairman, Executive Council Community Service Society of New York Claude A. Burrett, M.D., Dean Hahlon Ashford, M.D., Executive Secretary Committee on Medical Education New York Academy of Medicine N. Y. Medical College & Flower Hospital Ignatius P. A. Byrne, M.D. Kings County Medical Society Erank L. Babbott, Jr., M.D., President Long Island College of Medicine Eleanor A. Campbell, M.D., General Director Judson Health Center G*orge Baehr, M.D., Chairman Public Health Relations Committee of the Academy of Medicine Harold G. Campbell, Supt. of Schools Board of Education Hargaret W. Barnard, M.D., Dr.P.H., Director district Health Administration, Department of Health George H. Chatfield, Director Bureau of Attendance, Board of Education Membership List (Continued) Lindsley F. Cocheu, M.D. Professor of Public Health Miss Kathryn Farra Welfare Council of New York City N. Y. Medical College & Flower Hospital Livingston Farrand, M.D., Chairman Technical Board, Milbank Memorial Fund Miss Mary A. Coleman, Executive Director Visiting Nurse Association of Staten Island, Inc. Miss Katharine Faville Miss Hazel Corbin, General Director Maternity Center Association of New York General Director of Nursing Service Henry Street Settlement Edward Corsi, 2nd Deputy Commissioner Department of Public Welfare John A. Ferrell, M.D., Associate Director Rockefeller Foundation E. H. Lewinski-Corwin, PhD., Exec. Sec. Committee on Public Health Relations New York Academy of Medicine Homer Folks, Secretary State Charities Aid Association J. A. Curran, M.D., Dean Samuel Gitlow, M.D. Bronx County Medical Society Long Island College of Medicine Miss Amelia Grant, Director Mrs. Allston Dana Bureau of Nursing, Department of Health Stanley P. Davies, Executive Director Community Service Society of New York Miss Helen Hall, Resident Headworker Flenry Street Settlement Adolph G. DeSanctis, M.D., Dir. of Pediatrics N. Y.-Post Graduate Medical School and Hospital, Columbia University B. Wallace Hamilton, M.D. New York County Medical Society John A. Hartwell, M.D., Associate Director American Society for the Control of Cancer Neva R. Deardorff, PhD., Secretary Central Admission & Distribution Committee Welfare Council and the United Hospital Fund Mrs. Alfred F. Hess Mayhew Derryberry, PhD. U. S. Public Health Service David M. Heyman, President New York Foundation Miss Alta E. Dines, Director Bureau of Educational Nursing William Hodson, Commissioner Department of Public Welfare Community Service Society of New York Mrs. Henry James James M. Dobbins, M.D. John Jennings, M.D., Member Board of Health, City of New York Queens County Medical Society Godias J. Drolet, Assistant Director New York Tuberculosis & Health Association, Inc. David J. Kaliski, M.D., Chairman Louis I. Dublin, PhD., 3rd Vice-Pres. & Statistician Metropolitan Life Insurance Company Coordinating Council of the Medical Societies of the Counties of Bronx, Kings, New York, Queens and Richmond Thomas J. Duffield, Registrar Maurice Kaufman, D.D.S., Chairman Bureau of Records, Department of Health Legislative Committee of the First District Dental Society William B. Dunning, D.D.S., Professor of Dentistry Columbia University Rt. Rev. Msgr. Robert F. Keegan, Exec. Director Catholic Charities of New York Herbert R. Edwards, M.D., Director Paul A. Kennedy Bureau of Tuberculosis, Department of Health Assistant Superintendent of Schools Board of Education Kendall Emerson, M.D., Director National Tuberculosis Association Frank Kiernan, Director New York Tuberculosis & Health Association, Inc. Douglas P. Falconer, Director Greater New York Fund John A. Kingsbury Charles E. Farr, M.D. New York County Medical Society George W. Kosmak, M.D., Secretary Advisory Obstetrical Council Membership List (Continued) William S. Ladd, M.D., Dean Cornell University Medical College Alfred E. Shipley, M.D. Professor of Preventive Medicine & Community Health Long Island Medical College Mrs. William S. Ladd Robert P. Lane, Executive Director Welfare Council of New York City Mrs. V. G. Simkhovitch, Director Greenwich House Captain Matthew A. Skea, Commanding Officer Safety Bureau, Police Department William H. Leak, D.D.S. Solomon Lowenstein, Exec. Vice-President Federation for the Support of Jewish Philanthropic Societies of New York City Wilson G. Smillie, M.D. Professor of Public Health Cornell University Medical College Leonard Mayo, Assistant Executive Director Welfare Council of New York City George E. Spargo, Assistant to the Commissioner Department of Parks John Oppie McCall, D.D.S., Director Murry & Leonie Guggenheim Dental Clinic Miss Elizabeth Stringer, Executive Director Visiting Nurse Association of Brooklyn Currier McEwen, M.D., Dean Miss Frances Taussig, Executive Director Jewish Social Service Association, Inc. New York University College of Medicine Harry H. Manville, D.D.S. Alec N. Thomson, M.D., Director of Medical Activities Kings County Medical Society James Alexander Miller, M.D. Harry S. Mustard, M.D. Henry C. Turner, Member Board of Education Professor of Public Health New York University College of Medicine Harry E. Ungerleider, M.D. Dorothy B. Nyswander, Ph.D., Director School Flealth Study Committee Assistant Medical Director The Equitable Life Assurance Society of the United States George T. Palmer, Dr.P.H. Philip Van Ingen, M.D. Deputy Commissioner, Department of Health Miss Lillian D. Wald, Chairman Executive Committee, Henry Street Settlement Stanley C. Pettit, M.D. Richmond County Medical Society W. F. Walker, Dr.P.H., Director Division of Health Studies The Commonwealth Fund Edward C. Podvin, M.D. Bronx County Medical Society Maurice G. Postley, Secretary Board of Education C. Raymond Wells, D.D.S., Chairman Judicial Council American Dental Society Jacob Werne, M.D. Charles S. Prest, M.D., Secretary Brooklyn Tuberculosis & Health Association Queens County Medical Society Ciuseppe Previtali, M.D. Kenneth D. Widdemer, Director Willard C. Rappleye, M.D., Dean Committee on Neighborhood Health Development College of Physicians and Surgeons, Columbia University Herbert B. Wilcox, M.D., Director New York Academy of Medicine Charles A. Reigelman Charles C. Wilson, M.D., Director John L. Rice, M.D., Commissioner Physical & Health Education, Department of Health, City of New York Hartford, Connecticut Board of Education I. Ogden Woodruff, M.D., President Edwin A. Salmon, Commissioner New York City Planning Commission New York Tuberculosis and Health Association, Inc. Frederick M. Schwerd, M.D. Richmond County Medical Society Mrs. Robert S. Woodward Savel Zimand Rev. Robert W. Searle Samuel Zwerling, M.D. Greater New York Federation of Churches Kings County Medical Society THE BUREAU OF DISTRICT HEALTH ADMINISTRATION Thls Bureau was established in 1934- Its responsibili- ties include administration and supervision of localized services in each of the City's 30 health administration districts through the district centers and other health stations; administration of health service in the public and parochial schools and the vocational high schools. The school service includes medical examination and health guidance of pupils in whom physical defects have been revealed; medical examinations for employment certificates; maintenance of cardiac, dental and eye clinics for school children; health supervision of infants and children of preschool age; prenatal guidance for mothers; supervision of midwives and foundlings; and neighborhood health education. BUREAU OF FOOD A DRUGS NEWYORK CITY DEPARTMENT OF HEALTH DEPUTY COMMISSIONER SANITARY "ENGINEER BUREAU OF SANITA- TION • RANCH OF MUNICI PAL I- I B R ARY JUNE, 1938 BUREAU OF RECORDS FUMIGANT BOARD- AT THE PRESENT TIME CHILD HEALTH AND SCHOOL MEDICAL SERVICES ARE INCLUDED UNDER DISTRICT HEALTH ADMINISTRATION. LEGAL DIVISION BUREAU OF HEALTH EDUCA- TION DEPART MENTAL BOARDS AND ADJUNCTS BUREAU OF DISTRICT HEALTH AB HINSTRTjpH COMMISSIONER », HEALTH BOARD OF HEALTH COMMISSIONER OF HEALTH CHAIRMAN FOUR MEMBERS APPOINTED 6Y MAYOR DEPUTY COMM ISSI ONER P L U M B I N G BOARD SECRETARY of BOARD of V\ EA LTH DEPARTMENT or HEALTH BUREAU OF GENERAL ADMIN- ISTRATION BOARD OF REVIEW BUREAU OF LABORA- TORIES BOARD OF PHYSICIANS BUREAU OF PREVEN- TABLE DISEASES BUREAU OF NURSING DEPUTY COMMISSIONER BUREAU OF SOCIAL HYGIENE PERSONN EL BOARD BUREAU OF TUBER- CULOSIS 10 Brooklyn 92. 583 Park Avenue (Fort Greene) 93. 176 Nassau Street (Fort Greene) 94. 1483 Bergen Street (Bedford) 95. 4409 Third Avenue (Sunset Park) 96. 184 Fourth Avenue (Red Hook-Gowanus) 97. 621 Fourth Avenue (Red Hook-Gowanus) 98. 82 Luqueer Street (Red Hook-Gowanus) 99. 85 Johnson Avenue (Wllllamsburg-Greenpolnt) 100. 11l Franklin Street (Wllllamsburg-Greenpolnt) 101. 570 Manhattan Avenue (Wllllamsburg-Greenpolnt) 102. 218 Throop Avenue (Fort Greene) 103. 233 Suydam Street (Bushwlck) 104. 191 Stone Avenue (Bushwlck) 105. 1119 East 95th Street (Brownsville) 106. 56 Grafton Street (Brownsville) 107. 423 Watkins Street (Brownsville) 108. 2750 Gerrltsen Avenue (Gravesend) 109. 561 Neptune Avenue (Gravesend) Qieens 110. 6139 Maspeth Avenue (Maspeth-Forest Hills) 111. P.S. 23, Union & State Streets (Flushing) 112. 97-44 43rd Avenue (Corona) 113. P.S. 44, Beach 96th Street (Jamaica West) 114. 87-16 116 th Street (Jamaica West) 115. P.S. 63, Sutter Avenue & 91st Street (Jamaica West Richmond 116. 119 Mills Avenue, South Beach 117. 93 Park Avenue, Port Richmond 118. P.S. 1, Summit Ave. Tottenvllle 119. P.S. 44, Maple Pkwy.. Mariners Harbor 120. 11l Canal St., Village Hall SOCIAL HYGIENE SERVICES 121. 1517 Far Rockaway Blvd., (Jamaica West) TUBERCULOSIS SERVICES 122. 11l West 116 th Street (Central Harlem) 123. 395 Monroe Street (Bedford) 124. 109 Bradford Street (Bushwlck) CHILDREN'S CARDIAC SERVICE 125. 463 First Avenue (Lower East Side) CHILD HEALTH STATIONS (cont'd) H. DEPARTMENT OF HEALTH HEADQUARTERS, 125 Worth Street, Manhattan L. WILLARD PARKER LABORATORY, Foot of East 16th Street, Manhattan LOCATION OF HEALTH DEPARTMENT SERVICES* (Exclusive of dental and eye clinics in public schools and settlements) Manhattan 69. 231 West 151 st Street (TbCi.C.H.) 70. Melnhard. 130 East 101 st St., (C.H.,V.D., Tbc.,D.) ,71. 123 Wooster Street (Tbc.,V.D.) Bronx 72. 1882 Carter Avenue (Tbc.,V.D.) Qaeens 73. 753 Onderdonk Avenue (tdc.,C.H.) Richmond 74. 302 Center Street (V.D.,C.H.) CHILD HEALTH STATIONS In New Build i ngs < 52. Mt. Morris Park & 120 th Street (Central Harlem) 55. 506 Llnwood Street (Brownsville) 58. 142 North Ist Street (Wllllamsburg- Greenpolnt) 60. 146-39 105 th Avenue (Jamaica East) In other Quarters R Manhattan 75. 43 East 133 rd Street (Central Harlem) 76. 261 West 118 th Street (Central Harlem) 77. 205 East 96th Street (East Harlem) 78. 228 East 107 th Street (East Harlem) 79. 264 Madison Street (Lower East Side) 80. 136 East 3rd Street (Lower East Side) 81. 243 Avenue A (Lower East Side) 82. 348 East 32nd Street (Lower East Side) 83. 102 Bayard Street (Lower West Side) 84. 256 Mott Street (Lower West Side) 85. 20 Jones Street (Lower West Side) 86. 525 West 47th Street (Lower West Side) 87. 224 West 63rd Street (Lower West Side) Bronx 88. 2428 Belmont Avenue (Fordham-Rlverdale) 89. Gun Kill Road & White Plains Rd. (Pelham Bay! 90. 570 East 149 th Street (Mott Haven) 91. 1354 Webster Avenue (Morrlsanla) SUBSTATIONS OFFERING TWO OR MORE SERVICES Manhattan ] 1. Central Harlem, 2238 Fifth Avenue 2. East Harlem, 158 East 115 th Street 3. Kips Bay-Yorkvllle. 411 East 69th Street 5. Lower West Side, 303 Ninth Avenue Bronx 7. Mott Haven, 349 East 140 th Street Brooklyn 10. Red Hook-Gowanus, 250 Baltic Street 11. Wllllamshurg-Greenpolnt, 151 Maujer Street Qaeens 12. Astorla-Long Island City, 12-26 31st Avenue Richmond 14. Richmond, 51 Stuyvesant Place TEMPORARY DISTRICT OFFICES Manhattan 61. Lower East Side, 73 Cannon Street 62. Washington Heights, 630 West 168 th Street Bronx 1 63. Tremont, 1918 Arthur Avenue 64. Westchester, 1416 Wllllamsbrldge Road Brooklyn 65. Bay Ridge, 471 Ovlngton Avenue 66. Brownsville, 76 Glenmore Avenue 67. Bushwlck, 186 Grove Street Queens 68. Jamaica, West, 148-15 Archer Avenue * Services In typical health center are enumerated on page 13; services In sub- stations are Indicated by abbreviations In parentheses following the address of the substation: C.H. - Child Health, D. - Dental, P. - Parasitology, Tbc. - Tuberculosis. V.D. - Venereal Disease. NEW DISTRICT HEALTH CENTER BUILDINGS LOCATION OF HEALTH DEPARTMENT SERVICES HEALTH CENTER DISTRICTS CITY OF NEW YORK \ MARCH 15, 1959 District Health Administration by Margaret W. Barnard, M.D., Dr.P.H. Director, District Health Administration District Health Administration is New York City's answer to the question of how best to render health service for seven and a half mil- lion people. The plan is designed to promote an intimate knowledge, on the part of public health executives, of the special needs, problems and resources of individual neighborhoods, to facilitate the wise adaptation of the general health program to these special needs and to provide a channel through which non-official health and welfare agencies and the citizens themselves can take an increasingly active part in promoting health activities. New York City has been divided into thirty health center districts each with a population around 250,000. A health center district is made up of groups of census tracts.known as health areas. These combinations, as far as possible, have been arranged to follow the natural divisions within the City which have resulted in "neighborhoods". The district plan affords first hand knowledge of local conditions and flexibility in the planning and conduct of a wide variety of community health services. Ultimately, each of these thirty areas should be equipped with a suitable health center building in charge of a full-time health officer who knows thoroughly the health problems and local health resources and is skilled in applying this knowledge to the health improvement of the district. It is essential that the health center as a district unit be- come a vital part of the neighborhood in which it is situated. In addi- tion to making more effective the work of the functional bureaus of the Department, it serves as a focal point for informed community opinion and support of public health work. District health officers working under the guidance of the Bureau of District Health Administration are responsible for carrying out in their districts the policies of the various bureau directors of the Health Department, for administrative supervision of the local services and for suggesting program changes to make the neighborhood health serv ices more effective. The district program necessarily includes the furnishing of BUILDING , suitable quarters for the Department's localized health activ- PROGRAM __ __ , ities. The Health Department, therefore, undertook a major construction project when it initiated district health administration. To date, nine new health center buildings have been completed and are in operation. Five additional local headquarters are under construction. Of these fourteen buildings, in addition to their regular activities, three will include quarters for borough office activities and five will make provision for teaching activities of medical schools. Requests have been made in connection with the City's six-year cap- ital outlay budget (1939-1944) for funds for major health center build- ings in the districts for which adequate new quarters have not yet been provided and in addition for substations for certain of the larger areas. The typical New York City district health center building provides space on the ground floor for maternity and child health services; tu- berculosis service with x-ray facilities; venereal disease clinics; chil- dren's dental service; conference and waiting rooms. The second and third floors house the district health officer and his administrative staff, Health Department and visiting nurse service and local offices of certain of the cooperating voluntary health and welfare agencies working in the districts; the basement contains an auditorium to accommodate two hundred and fifty to three hundred persons; an exhibit room for health education, which is often used as a conference room for physicians and dentists of the district. The district health program calls for the adiustment and THE DISTRICT F 5 J strengthening of existing health activities and the es- HEALTH PROGRAM 5 6 5 tab-lishment of new services to meet the needs of each particular situation. It is well suited to the administration of the disease control program and the extension of health education and infor- mation to local residents. For instance, if tuberculosis is the out- standing problem of a given section of New York City, the Department's forces in the fight against this disease can readily be concentrated in that area. In a neighborhood of underprivileged families, where babies frequently become sick or die, the child health service of the Department may concentrate its health supervision and education close to the homes. It is essential that such services be properly and adequately housed in locations accessible to the people to be served. Health education is one of the most effective channels through which people are moved to take action. Health teaching must be based on a real understanding of the people to be taught. Subject matter must be adapted to differing conditions, traditional thought patterns and levels of Intel ligence. Health education is the part of public health which has not been effectively geared into the public health program. There is great need for its localization and extension. For the future, additional trained personnel and more adequate funds are essential to bridge the gap between available scientific knowledge and its application. One of the outstanding needs in health work is trained THE HEALTH personnel. The Health Officer must have not only a sound AND TEACHING medical background, but, in addition, must be a good pub- CENTER PROGRAM _ lie health administrator. It is equally important that the large number of associates of the Health Officer, who are in charge of functional services within a district, should have this public health viewpoint. How to provide necessary training for the Health Department's staff and how to stimulate a better understanding of public health ob- jectives among the professional groups in general, are questions of vital interest to the future program of public health for New York City. The medical schools of Greater New York which train the majority of the practicing physicians in the City have long felt the inadequacy of their opportunities to properly train under-graduate and graduate students in the fields of public health and preventive medicine. This inadequacy was chiefly due to the lack of suitable facilities for observation and training in public health, and a proper relation between the teaching institutions and the Health Department. Realizing that these objectives could best be met by cooperation be- tween the medical schools of New York City and the Department, plans were made for the establishment of health and teaching centers in connection with each of the five local medical schools. These training centers will provide opportunities for under-graduate medical students to observe and participate in practical public health procedures and to appreciate dis- ease as a community health problem. At the same time they will afford the Health Department staff opportunity to secure further training along special lines, and make possible the undertaking of special public health studies. Three such centers are now in operation. These are in the: Red Hook-Gowanus District-in cooperation with the Long Island Medical College East Harlem District-in cooperation with the New York Medical College and Flower Hospital Kips Bay-Yorkville District-in cooperation with New York Hospital Cornell Medical College Buildings for two additional health and teaching centers are now under construction in the: Washington Heights District-in cooperation with the College of Phy- sicians and Surgeons, Columbia University Lower East Side District-in cooperation with New York University College of Medicine. The Kips Bay-Yorkville, Washington Heights and Lower East Side Health and Teaching Center buildings are provided under a contractual agreement between the City of New York and the cooperating universities; each of the schools concerned having provided a building site through a deed of gift of land to the City for the center. These agreements and the co- operative arrangements with the other two schools should assure the highest practical application of the science and art of preventive med- icine to the people of the respective districts and will permit the study of, and participation in, the district health services by the students and teachers of the university through the medical school. District Health Administration in New York City, now THE OPPORTUNITY J an accomplished fact and a living, growing program, FOR CITIZEN presents a most unusual opportunity for active partic- COOPERATION F J F ipation by both voluntary organizations and citizen groups in the City's neighborhood health work. It offers new and use- ful avenues for cooperation between public and private endeavor in a rapidly changing social scene. Fortunately, too, there is now a body of experience to guide the lines of future development; and a demon- strated method of procedure and framework of organization through which neighborhood groups may cooperate in the local health program. Over one thousand leaders and citizens are now taking an active part in committee work in five of the thirty health center districts. This ever-growing body of citizens, including clergymen, bankers, labor representatives, educators, industrialists, parents, doctors, dentists, teachers, and other public-spirited individuals, is enthusiastically at work with the health officers, supervising nurses, and staff members of the Department of Health. These groups and individuals are interpreting the idea of district health administration to their respective communi- ties, taking an active interest and part in every phase of the local health program, and developing close working relationships with commu- nity groups and agencies. This important phase of the district health plan is being carried on through the Committee on Neighborhood Health Development and other voluntary agencies which are closely allied to the Department in the regional program. There is no doubt that the organization of a district under a full-time, competent health officer results in more ef- fective service in that area. The efficiency of local Health Department activity is increased through close and continuous supervision. All available resources are carefully studied so that they may be mobilized in relation to the particular needs and condi- tions of the district. Child health stations, for instance, are re-located so that their service is better adapted to meet local problems, population needs or racial customs. THE VALUES OF DISTRICT ADMINISTRATION A general knowledge of neighborhood conditions gained by intimate con- tact with local work is supplemented by a critical study of related basic data available by small geographic areas. Current records and basic vital statistics are readily available for use in program planning. Facts con- cealed by City or Borough averages show up clearly when data are segregated by districts or health areas. Local service records currently available make possible continuous careful appraisal of service values. When an additional service is to be established, the health officer assists the director of the functional bureau at central headquarters by recommendations based on local knowledge and experience. The district health officer is in a position to know the best time and plade for the work and can pay close attention to the necessary administrative details. District health administration has resulted in the adjustment of cer- tain central bureau activities. As far as possible, staff assignments from the central headquarters are made on a district basis. This has re- sulted in better working relationships, greater flexibility of staff time within the district, and a greater interest on the part of the staff in district problems. Although many details of procedure and relationships are still to be determined, the framework of district health administra- tion has been well laid. Thus, within a little more than five years, district health adminis- tration has established throughout the City a pattern for effectively ad- ministered localized health service. A Ten-Year Program contemplates the complete organization of all thirty areas by the close of 1945, each in adequate headquarters and with a full-time administrative officer and ade- quate staff. PART I Building Progress 1934 - 1939 A - Buildings Completed and in Operation CAPITAL IMPROVEMENTS IN THE HEALTH DEPARTMENT PROGRAM One of the serious handicaps which the Health Department has faced in modernizing its program has been the inadequate quarters in which its health services are frequently housed. With the full support of the City administration, a program THE PROGRAM of capital improvements to provide more suitable facilities has been in progress during the past five years. In the development of this work, the need for economy as well as more efficient housing of the Department's services has been kept in mind. The program of capital improvements has included expansion of the Willard Parker Laboratories, for which plans had been prepared prior to 1934. A new laboratory building known as the William Hallock Park Laboratory now replaces a structure which was out-dated, unsuitable and overcrowded. New York City has been a pioneer in the introduction of bacteriological laboratory work into public health administration, and was the first city in the world to establish a municipal bacteriological diagnostic laboratory. The new laboratory building will greatly assist the City in maintaining its leadership in this field. WILLARD PARKER LABORATORIES Fourteen district health buildings will provide for the place- DISTRICT . ment and organization of public health forces at strategic points throughout the five boroughs. CENTERS headquarters for the direct administration of all local Health Department activities. It brings together and coordinates in a special building in each district the field and clinic activities of the Department such as the control of epidemics through the enforcement of quarantine and school medical inspections; the operation of clinics providing diagnostic and consultation services in tuberculosis and veneral diseases; dental clinics for school children; maternal and child health conferences, for promoting the health of mothers, babies and preschool children; and activities to promote health through popular health education. Under the district plan each health center becomes the The district health center also brings into closer association with the Health Department the allied local medical, nursing, health and family welfare agencies whose district offices in many instances are housed in the same building. In this way, the district health center makes possible a closer tie-up between the official and voluntary agencies. It tends to eliminate duplication of effort and to concentrate attention on unified action in solving the problems of the local area. In addition to the new district buildings, the City purchased the Heckscher Building in the Bushwick area of Brooklyn, which was remodelled and opened as a district health center in November, 1935. Beside the modern quarters for child health services in the new district health centers, up-to-date child health station facilities have been provided at eleven other locations. Two of these have been made available in the Bronx through recon- struction by the Works Progress Administration of comfort stations; one on St. Ann's Avenue and 140 th Street, the other at the corner of White Plains Avenue and Gun Hill Road. CHILD HEALTH STATIONS Through the cooperation of the Housing Authority, two new units have been provided in Manhattan; one in connection with First Houses and the other in Harlem River Houses. Through the cooperation of Works Progress Administration, provision has been made for nine more child health station buildings at various locations throughout the City, of which seven have been completed and two are under construction. These new units take the place of services pre- viously housed in inadequate rented quarters. The City's building program has aided materially in developing a new ideal of public health service. Careful studies of district populations, local reports of births, infant and ma- ternal mortality, important causes of sickness and death, and health and social conditions have formed the basis of this decentralized program of public health protection. With a thorough know- ledge of health needs of all sections of the five boroughs of Greater New York, the Department of Health is moving forward energetically, with the aid of modern facilities, to systematically meet the health problems of seven million people on a more adequate basis. A NEW ERA IN PUBLIC HEALTH PROTECTION DEPARTMENT OF- HEALTH • CITY- OF - NEW-YORK - BUILDING ! PROGRESS ' SCHEDULE • NS 1 FEDERAL EMERGENCY ADMINISTRATION OF PUBLIC WORKS PROJECTS■ JAM. I ?T I 9 38 MON. JOHN L. RICE M.O.-COMMISSIONER OF WEALTH GENERAL PRELIMINARY PROCEDURE COMPLETION OP PLANS PRELIMINARIES TO CONSTRUCTION CONSTRUCTION I REMARKS P W. A. DOCKET NUMBER LOCATION AND TYPE OF PROJECT DIR. OF BUDGET HQ ALLOTMENT wW ST. 0683* H9-35i 34767 34768 34769 94770 1 EDWARD CORNING CO. 2 LOS SACK GAVNOR CORF? 3 HARRV STARK MAN a BROS (AB AN DONE D C ONTT H.) TO \J&35 -CO- COMP :D 1-3057 RE, S.DVEI !T)SE 3 s 08 Do. 1-XJ-37 3 >5 Da -Q- q-^o-31 Do. _D a in 1-3037 349-35 0Z335 03135 17.596 BfecTsuiQE ’ ELECTRIC CO mBirrra ■Him IHB| 4985 MOTT HAVEN HEALTH CENTER •349 E. 140™ ST. BRONX CO 7 *185.000°° a-n-34 11-8-34 WILLIAM W. GOMPERT 40 E. 49™ ST 3-15-35 4-19-35! 35709 35710 65711 85712 1 W.L.6G.H. O'SHEA 2 FOX PLUMBING CO. INC. 3 JA5. H.MARTIN INC, 4 DUXIN EXEC. CONTRACTORS INC Do Do u~> cqMPi ETE D 1-26 37 i Oo Do h -2637 cv Do A Do Do -2637 Do Do Do ZSZ II -26jT ■M ■ (■■■I Irani 7181 WILLIAMSBURG GREENP01NT HEALTH CENTER 151 MAUJER ST * BROOKLYN _ CO 33 *214,000°° 8 23-34 1-7-34 a-itrU HENRY C.PELTON 415 LEX. AVE. 0-19-34 09534 819-34 12-21-34 ! WJ 5-15-35 524-35 5 16-35 6-19-35 622 35 7135 7-16-35 U^5 1I22M 12935 37731 87059 37060 877/19 1 w \/J roMSTQi k riDN m 1293S IZ235 _ )l^p -ET! O 217-Jfc REAI JVER.T sco <*•15-33 9 24 33 0-7 55 KgV35 ■B 2 JOHN E KOOP INC. 3 DIERUS HEATING CO. INC. 4 E.A.KAHNJ &CO. INC. Do Oo If 2-1734 "" 5 Ij «« 2I7-J6 Do 116 35 U 1136 IZZ4*S IZ27 ZSl 2-I7X ™r*IT1 . —1?_ r • • 9049-X ASTORIA LONG 1S.CITY HEALTH CENTER S.W. Cor. 14™ ST. £ 31st AVE ASTORIA \ S 68 *239,66000 ,9-20-34 (Z-634 1120-34 CLAY 8.CORR1GILL lOI PARK AVE. H835 3-9-35 5-3-35 5-3-35 627-35 627-35 82635 7 2-35 8335 3-16-35 9-535 124 35 121435 S7S70 87671 87672 6767J 1 3LTUU CON5TR COCP 2 JESSE E. KAHN 3UERMANNS MECHLOONTC.COINC 4SUPREME ELECTRIC CO. It 27 XS Do Do IMP _ETf • D 6-1657 “ j SBn 5E D D 1 Dl Ol =H835 rro 1 TO TTO 05 55 KHA-35 Do Do Do 029-S3 iZ3^y Oo uj- _ i-16-37 SSS? 12 6 M Do l~Q 616-37 1021-35 Do |M37 Do Oo 0 6-1637 02955 *** —■— ** *** BB* 9049-X REO HOOK GOWANUS HEALTH CENTER SO. Side BALTIC ST. 98' WEST OF COURT BROOKLYN (A-J 68 *239.660°° 81034 2£34 11-20-34 LOUIS E. JALLADE 597 5™ AVE.. 1-18-35 4-29-35 614-25 6 14 35 627-55 6-27-35 328-35 72-35 6-5-35 319 35 11035 rsisf 4 13 3( 89341 69 MS 8935c B93SI ISHEPPARD-POILACK INC. 2 FOX PLUMBING CO. INC. 3 H. SAND 4 CO. 4 H.H. SCHWARTZ INC 3 m r ’LET EP KXZX-11 j WE A 1VER1 JVE R DO DO DO I5EO nsec D) )12<*34 rro 1-27.36 I022M 2-33 6 Bo. I>o. Oo -34 Do Do Do -4- z lo-u-JT Do -h- P-2X-31 Do J?o -Xt-J ■■■■ IO-Z1-37 IH35 9049-X EAST HARLEM HEALTH CENTER 158-164 E. H5™ ST. MANHATTAN (5. V ■ 68 *239.660°° 35)-34 9 20-34 17^4 11-20-3* HENRY C. PELTON 415 LEX. AVE, 2 26-35 5-3-3S 5-335 527-35 7-2-35 8-5-35 9-1535 14^ 1017-35 10 2935 10 2235 8X573 57314 SI55 37516 1 D. M.W. CONSTRUCT ION CO. 2 JESSE E. KAHN 3 JOHNSTON HEATING CO 4 JOHN DTALLACK INC. 11153 . MM 3MP -ETf D H6-37 ■■VI — — bifa, Do Oo 4H- [22^ afife Do Do 1177-36 Do Krl n 12-17-36 ■n —th— 9049-X LOWER WEST SIDE HEALTH CENTER 9~AVE BET ZT'-LZG-5T CHELSEA PARK MANHATTAN (^j 68 *239,660°° K-6 34 4-3835 CARL F. GR1ESHABER 007 FIFTH AVE. — 5*24*33 3-25-35 3Z7-35 827-35 llttlBI mi jygjis m l2S-3^ 2^736 68090 86091 66042 1 STOCK. CONSTR'N COR. P. 2 LOS5ACK GAVNOR COCP. 3 Johnston Heating co. 4 ALLIANCE CLCC.CO.WC. 2-1136 2-17-36 . -ETt O 12-1236 ■m wmm BHI MB 1 DEAL VERT ISED 12^35 12 2530 121135 l'2'3* I-Z0v36 1-24 36 I-Z7-3C Do T (2-12-54 1223 «3S Do. Oo. Oo. -cr 1-1236 z 12-16-35 Oo. Do Oo. 0 z z z — z z z MM 12-12-36 9049-X central maplem HEALTU CENTER 5Q WEST COR. 5r“AVE.CWl375T MANHATTAN 68 *239.660* 42034 ret34 4-2935 HOBART B. UPJOHN GPAND CENTRAL TERMINAL 726-35 5-20-35 9-2135 q-2>33 »I43S 3 47-33 67-35 11 2333 , Hfe.36 4 13 3 ,4£3 1438i3 |BBi 392 6C 39261 3926Z 39263 1 ALBERT A.LUTZ CO.INC. 2 FOX PLUMBING CO.INC 3 HARRY STARKMAtUBROS 4 UNION ELECTRIC CO. D O MA- C4 ETEt visr-iT UD orTT^ P IM73S Do X 71S’-5T I>o Do Do -<=r -4- 7I5-3T J>0 J)o 7-is-y . MKLL NY \ZOQ R KIPS BAY - YORK VIULE HEALTH $ TEACHING CENTER E, HENRY C PELTON •415 LEX. AVE. J-Zl-U, 61856 12836 92834 8136 13836 13836 1-1636 1-2-36 10336 111836 z STOCK CONSTRUCTION Co. a JESSE E. KAHN 4 johnston heating; CO, 5. WERTHER ELEC. CONST'N CO I HARRV BA1P.. 12537 1 25-3/ -ni- MM coy PLE TED 11-XI3/ DI-J1 2, L 770* Bin-34 1^36 Oo JH43J mi a 10-j-36 -e— =4= —(6— Do 111 UI63T I K. 36 13034 ■ 50IWW CON PLE* 1^37 *** ■Bl m """ 9167-X RICHMOND HEALTH CENTER £ BO ROUGH OFFICEBLDG E. Side- STUYVESANT PL. Bet. WALL ST. L HAM ICTONJPL RICHMOND (0 54 *303636“ mm mm 7-IT35 72.35 HENRY C.PELTON 415 LEX AVE. WR?BiBIIPBnBE3W51Sgini3gl!SEgBS5l555BgBi ■I ■■ )2 D29^j 87960 1 WILL COX CON5TR CO INC lJt]L1,ll c OMP LET| bD 2 27-37 Do \Z\b3i Do . Po. 67961 87962 8796. 2 FRANK LA5ETTE INC. 3 DUNCANSON &TRACEY INC. > Z27-37 Do iz n*y po Po. Oo. < Q •* 2-27-37 Oo 1L I4_3J Oo. Oo. L>»- -ir- Ln- 2-2737 1 O— DEFINITIONS • APPL. = APPLICATION BOARD OF ESTIMATE - CONTR. = CONTRACT - SPEC — SPECIFICATIONS * SUBM.= SUBMITTED « S-E.=» STATE ENGINEER • ADV'O■ ADVERTISED • APPR. = APPROVAL- APpp D=« APPROVED ■ REG = REGISTERED WILLARD * PARKER • BIOLOGICAL • 6 • RESEARCH • LABS * • FOOT OF 16ru STREET EAST RIVER MANHATTAN- • DEPARTMENT- OF - WEALTH • CITY • OF ■ NEW-YORK ■ SIBLEV d FETUERSTON ACCWTS. SECOND FLOOR PLAN LOWER WEST SIDE HEALTH CENTER 303 NINTH AVE. MANHATTAN THIRD FLOOR PLAN DEPARTMENT OF HEALTH City of meiw york BUILDING PROJECTS COMPLETED BASEMENT PLAN RICHMOND ■ HEAITM • CENTER • Q,1- BOROUGH ■ Of=f=lCE • BUII_DINI<3 STUYVESANT ■ PLACE • STATEN • ISLAND • NEW • YOPK • MOTT • HAVEN • MEALTM • CENTER ■ Bdq • EAST - 140~ ST - MANHATTAN DEPARTMENT OF HEALTH CITY OF NELW YORK BUILDING PROJECTS COMPLETED WILLIAMSBURG • GREEMPOINT • HEALTH • CENTER 151 MAUUER ST BROOKLYN ELOWIN A SALMON - CONSULTANT ROOF ■ PLAYGROUND EAST HARLEM ■ HEALTH ■ CENTER L.OTT LltNfc ASTCQA • LONG • ISLAND • CITV • WEALTM • CENTER • SOUTH WEST- CORNER OF- UT ST- <£. AVE. • ASTORIA QUEENS DEPARTMENT OF HEALTH CITY OF NEW YORK BUILDING PROJECTS COMPLETED EAST HARLEM • HEALTH ■ £ TEACHING ■ CENTER 158-IS4 EAST 115™ ST MANHATTAN EDWIN A SALMON - CONSULTANT .FIFTH AVE ■ l • CENTRAL. • MARLEM • HEALJW • CENTER ■ • F=|F="n-l ■ AVE • AMD • 137 -r“- STREET MANHATTAN • DEPARTMENT OF HEALTH CITY OF NEW YORK BUILDING PROJECTS COMPLETED E.A.ST e<37« ST. FIRST FLOOR PLAN KIPS BAV- YORKVILLE HEALTH £ TEACHING CENTER EAST 69 T* ST MANHATTAN RED-HOOK- GOWANUS-HEALTH-6.TEACHING'CENTFR ■ BALTIC STREET'BROOKLYN EDWIN A. SALMON - CONSULTANT PART I B - Buildings Under Construction I FEDERAL EMERGENCY ADMINISTRATION DEPARTMENT OF HEALTH CITY OF NEW YORK BUILDING f PROGRESS SCHEDULE ho z OF PUBLIC WORKS . — 'f.:. !. : j*, , ■: ■■ i — i PROJECTS MARCH 1?t )9 39 HON. JOHN L. RICE M.D. COMMISSIONER OF HEALTH GENERAL PRELIMINARY PROCEDURE COMPLETION OF PLANS PRELIMINARIES TO CONSTRUCTION CONSTRUCTION REMARKS I R W. A DOCKET NUMBER LOCATION AND TYPE OF PROJECT I I DIR. OF BUDGET H' i dSaZAZAA/ A #»l v/ Y/AR ROQERS _ MI-36 _ 1 1 ILUTS 1X4485 IZ44&3 124484 CALM-WAY INC. JOHN WEIL PLUMBINCJ COER H. SAND j. CO. TALLACK HELLMAN INC. 420J6 r i 1 — ~~ ! i lAPPfLOP | i R.I A no D O ] J AS. GAMBLE :io-a nmmm M4-s4 1 | _ z — -IN E~ 4? I 1 15& E. ST f ESTIMATE 3-5-37, CAL N2 i 1 1 I 2-24-^ 1 I T 1 » | | « _ """ z ’T -I 1 — — — i 9mm mam LOWER EAST SIDE HEALTH f TEACHING CENT'R N-W. l*TAVE. MANHATTAN & *3I 00 — —m 8 Y BO M5.D mm .RJGflLL mm ■Hm iHPOft £738_ —1— _ 1X4184 IZ4188 CAULWAY INC. JOHN WEIL PLUMBING INC. EDWARD KISS INC . CHAS. F. ZWEIFtL INC. | ! | 1 | j APPROF j 1 I i RIA‘ noN op CLAV i COR 20 9-A. : 1 III" 101 park: ave ESTIMATE, 3-5-57, CAL.N*? +•£4-38 1 1 *537,100 — 124481 -- i- ■ I — — — ; J — r — — — ■ N.Y. 1207 FORT qR££NE HEALTH CENT'R $ BORO OFF. flatbush ave. ext BROOKLYN © | tTlTT Jas. Ramble rovers,inc. t56 e.4G™ Street. -t'-tt dio.^c jn-iwe S18M a-136 B11H ' 1|1 -361-»38 <1-30.38 T2V36 FWZ52. PWZ51- :. ALBERT A. VOLK CO. INC. 1 K.OZICIC qtNEEAL COHTif. CQ 10-736 SO PA* LEADvndr MD5 CF 5:1) IXZ5 ti 10 1-4 36 3*1 : H'I4'50:ii**3« III*20*38 «47 ooo^ —1—i- — — — — — =: = = 1 ! ! 1 — — — — — — — — — = 1 — — ====== ==== — — — i 1 NY. IZ06 CORONA y5']5>000*a HOBART B. UPJOHN cjrand central terminal. a-is-sa 6-n-&6 e-ia© 8-2336 m-3» loiy-JO p-n-56 KHl-56 PU2472 PWMI-5 RNICtEEBOCKtR DEMOLITION COIP ALL REPAIR. BUIL0IM^Ya . 1 I i l/'M* ■■MU IUSS JiDAVi 1 BIH l^Z56 1^0 [^KlfHKlGFCEniFW] l"1** mmm L_ JUINCMON BUl/LtVAK.D QUEENS. -31 l* nils n Y. i i ! ■■ wJLm l* PWJ4T-4 RWJ47-J n MB lTi — — ■■n warn mm “ J _ \\ . mm ■■■ — — *¥*# TREMONT *47^,000^ HI ! ED ECGJERS i Hl< ui53e 15-31 111-51 I24-31 A. J. PAK.ETTA C0HT‘U6MH 'TEC ' S.E. - ST ATE EM SIK1 EER * kDVI 3-A OVE RTI£ JED 1 APPR-APPROVAL- A1 »PR D.- APPF OVE 0 REG." REG 1STE ■ REl D ===== -27- THIRD FLOOR PLAN FOURTH FLOOR PLAN FIFTH FLOOR PLAN SIXTH FLOOR PLAN SEVENTH FLOOR PLAN SECOND FLOOR PLAN WASHINGTON HEIGHTS HEALTH &■ TEACHING CENTER COLUMBIA PRESBYTERIAN MEDICAL CENTER W, I 68T" SI S. B WAY N.V.C FOR THE DEPARTMENT OF HEALTH CITY OF NEW YORK WEST 166 ™ STREET FIRST FLOOR PLAN DEPARTMENT OF HEALTH CITY OF NEW YORK BUILDING PROJECTS UNDER CONSTRUCTION BASEMENT PLAN EDWIN A, SALMON - CONSULTANT FIFTH FLOOR PLAN SECOND FLOOR PLAN FOURTH FLOOR PLAN BASEMENT PLAN DEPARTMENT OF HEALTH CITY OF NEW YORK BUILDING PROJECTS UNDER CONSTRUCTION FLAT BUSH A V E •FIRST - FLOOR-PLAN- FORT GREENE HEALTH CENTER £ BORO. OFFICES FLEET AND WILLOUGHBY STREETS BROOKLYN THIRD FLOOR PLAN EDWIN A. SALMON - CONSULTANT FIRST FLOOR PLAN ARTHUR AVENUE FIRST FLOOR PLAN TREMONT HEALTH CENTER & BORO. OFFICES IB2t' / > / a 105'“ AVE, E.OFWALTHAM QUEENS BLOCK ) 102 LOT 2 C» / f / f Jf / 5 MT MORRIS PARK E 120* MANHATTAN BET AVE f / J* \ V f ? REV 1SEI / 4 23H SIXTH-STREET / J $ 4* \ / ■p PE( 3JE.C r ae ANDC NED. &EC4 BLASO Ljqg 62-64- SECOND PLACE BROOKLYN 3EC2 BL.36C>-)TS 6£7 f / / V / <4 / ■p A J / © 1N2 PULTON AVE. BBOKJ X 5ECIO-BL.2611- £x 17 / * £ / 7 UNWOOD STREET BROOKLYN 5EC.13BL.401B-LTZ7 /I / y f J 6 Ife’TVE. E. OF BENSON BROOKLYN 5EC.iqBLS362.LXS7 / J* y Ov * $ q NOSTRAND AVE. BROOKLYN 5EC6- 8LI737-LT5 27■ 9 <6 ? V $ * ?? A lW A o IS* /E. 5- ».VE. SITE fS> FL kBAHt* fiED 3 1 re x e»a> NL( • »n e. a. A Dark Store Poorly Heated and Ventilated A Store in an Old Wooden Residence Photograph of New, Modem Fireproof, Well-Lighted and Ventilated Child Health Station Building Cramped Quarters in a Dark Poorly Ventilated Tenement Unsatisfactory Quarters in an Obsolete Tenement TYPES OF OLD CHILD HEALTH STATION QUARTERS BEING REPLACED BY NEW BUILDINGS OF TYPES, ILLUSTRATED EDWIN A. SALMON - CONSULTANT 62-64 Second Place Brooklyn 16th Avenue Brooklyn Mt. Morris Park, Manhattan 62-64 Second Place Brooklyn North Ist Street, Brooklyn Corona Ave. & 104 th Street, Queens Mt. Morris Park, Manhattan DEPARTMENT of HEALTH CITY OF NEW YORK CHILD HEALTH STATIONS COMPLETED OR UNDER CONSTRUCTION EDWIN A. SALMON - CONSULTANT WILLIAMSBURG HOUSING DEVELOPMENT : BROOKLYN Wi11iamsburg-Greenpoint Health Center Building shown in circle. 37 Harlem River Houses - Health Sections shown in circles Floor Plans showing Health Facilities Perspective showing Health Station Photograph showing Health Section Queensbridge Houses = Health Station in circle Floor Plan showing Health Station in Black HARLEM RIVER HOUSES MANHATTAN Queensbriose houses Queens HEALTH STATIONS IN HOUSING PART II Proposed Future Building Program District Health Centers and Substations THE FUTURE HEALTH BUILDING PROGRAM In January, 1938, under the new City Charter, important additional aids for departmental planning were made available through the creation of a City Planning Commission. The new Charter also provided for the creation of a Department of Public Works. In order to take full advantage of past experience and new opportunities, the Health Department, with the assistance of the Committee on Neighborhood Health Development, at once commenced a study of the buildings in operation and future requirements, as a basis for recommendations in connection with the advancement of the health building program. Careful consideration was given to the question of where health cen- ters should be located in each of the health districts of the City not al ready provided with these facilities. The Department and the Committee also studied the question of whether in every instance the typical health center building would best meet local conditions or whether, particularly where the territory to be covered was large, a smaller administration building with substations would better serve the purpose. Since accessibility to centers and problems of distance are essential considerations, the size of each of the districts to be pro- vided for and local transportation facilities were carefully noted.. The study also took into account current reports of local vital sta- tistics by health areas and health center districts, such as those relating to births, infant deaths, total deaths from all causes, the number of school children; likewise, the ratio of these numbers to the acreage covered in order to ascertain concentration or differences by neighborhoods. Care was taken to see that each location proposed, for a health cen- ter or substations, was in the vicinity of at least two intersecting lines of transportation. As a result of this study, the Health Department has recommended to the City Planning Commission that 14 additional new district health cen.ter buildings and 23 substation be constructed during the five-year period, 1940 - 1944 inclusive. Although it was recognized that the general loca- tions may have to be adjusted in the light of additional information avail- able to the City Planning Commission, it was requested that buildings be erected in the following health center districts, within a circle not more than two or three blocks in radius from the intersecting points indicated: Manhattan Lower East Side Substation Delancey and Ludlow Streets Riverside Health Center Amsterdam Avenue and 106 th Street Central Harlem Substation 127 th Street between Seventh and Eighth Avenues Lower West Side 2 Substations Amsterdam Avenue and 62nd Street Sixth Avenue and Mlnetta Street Bronx Morri sania Health Center Boston Road, Third Avenue and 165 th Street Fordham-Riverdale 2 Substations Webster Avenue and East Fordham Road Rlverdale section Pelham Bay Health Center Gun Hill and White Plains Roads Substation Boston Road and 222 nd Street Westchester Health Center East Tremont Avenue and Westchester Avenue Substation Dewey and East Tremont Avenues Brooklyn Bedford Health Center Fulton Street and Kingston Avenue Fort Greene Substation Classon and Myrtle Avenues Sunset Park Health Center 50th Street and Eighth Avenue Substation Seventh Avenue and 15th Street Bay Ridge Health Center Bay Ridge Parkway, or 75th Street and Thirteenth Avenue Gravesend Health Center Avenue U and Coney Island Avenue 2 Substations Avenue P and West sth Street Neptune and Stillwell Avenues Flatbush Health Center Foster and Flatbush Avenues Bushwick Health Center Grove Street and Wilson Avenue Brooklyn continued BrownsviLie Health Center Livonia and Rockaway Avenues 2 Substations Belmont Avenue and Llnwood Street Remson Avenue and Glenwood Road (Canarsle area) Queens Maspeth-Forest Hills Health Center Metropolitan Avenue and Fresh Pond Road Substation Queens and Woodhaven Boulevards Flushing Health Center Main Street and Roosevelt Avenue 2 Substations College Point, 122 nd Street and Fifteenth Avenue Bayslde, Bell and Northern Boulevards Jamaica East and West Health Center and Borough Headquarters near Town Hall 4 Substations Rockaway, Beach 84th Street In Hammels Ozone Park, Woodhaven and Rockaway Boulevards Springfield, Merrick and Springfield Boulevards Bellalre, Jamaica Avenue and 212 th Street Astoria-Long Island City Substation Sunnyslde, Greenpolnt Avenue and Bliss Street Richmond Richmond Substation Clark Avenue and St. Patrick's Place The experience accumulating from the operation of the BASIC REQUIREMENTS existing health center buildings has been analyzed for FOR CHARACTER OF use |n planning future centers. This analysis has led BUILDINGS AND to the conclusion that there are certain basic require- ENVIRONMENT ments for the location of sites, and the character of buildings to be used for health centers or substations. First, since accessibility is essential to the efficient and econom- ical use of health centers, if suitable city-owned sites are not available at or near the central points disclosed by the surveys and studies as the proper ones for district health centers, such properties should be secured. Otherwise, there will be a constant impediment to the attendance of the public in need of services at the center, and the staff conducting the ser- vices in the center or visiting homes and schools will take many wasteful steps daily. Second, plans for future buildings should provide about thirty percent more floor area. There should be light and air on all sides the center should be free-standing. The minimum site should have a street frontage of 150 feet, with the usual depth of 100 feet. Preferably where a larger area might be found available in the vicin- ity of a proposed location the entire block should receive consideration for possible other civic developments. In the case of a substation , the construction at first perhaps of a "one story taxpayer type" snould be upon sufficiently strong foundations to permit the addition, if found necessary later, of another story; like- wise, extra adjoining property for extension should be considered since there is a possibility that these stations may become the nuclei for future full-fledged district centers. MAP OF HEALTH CENTER DISTRICTS SHOWING HEALTH DEPARTMENT BUILDING PROGRAM 29. 127 th Street between 7th & Bth Avenues (Central Harlem) 30. Delancey Sr Ludlow Streets (Lower East Side) 31. Amsterdam Avenue & 62nd Street (Lower West Side) 32. 6th Avenue Sr Mlnetta Street (Lower West Side) Bronx 33. Rlverdale Section (Fordham-Rlverdale) 34. East 188 th Street Sr Park Avenue (Fordham-Rlverdale) 35. Boston Road & 222 nd Street (Pelham Bay) 36. Dewey Sr. East Tremont Avenues (Westchester) Brooklyn 37. Pitkin Avenue Sr Llnwood Street (Brownsville) 38. Remsen Avenue & Glenwood Road (Brownsville) 39. Classon & Myrtle Avenues (Fort Greene) 40. Neptune & Stillwell Avenues (Gravesend) 41. Avenue P Sr West sth Street (Gravesend) 42. 7th Avenue Sr 15th Street (Sunset Park) Queens 43. Greenpolnt Avenue & Bliss Street (Astorla-Long Island City) 44. 15th Avenue & 122 nd Street, College Point (Flushing) 45. Bell & Northern Boulevards, Bayslde (Flushing) 46. Jamaica Avenue Sr 212 th Street, Bellalre (Jamaica East) 47. Springfield Sr Merrick Boulevards, Springfield (Jamaica East 48. woodhaven Sr Rockaway Boulevards, Ozone Park (Jamaica West) 49. Rockaway Beach £ Beach 84th Street, Rockaway (Jamaica West) 50. Queens S Woodhaven Boulevards (Maspeth-Forest Hills) Richmond 51. Clarke Avenue S' St. Patrick's Place (Richmond) CHILD HEALTH STATIONS - COMPLETED OR UNDER CONSTRUCTION Manhattan 52. Mt. Morris Park Sr East 120 th Street (Central Harlem) Bronx 53. 1192 Fulton Avenue (Morrlsanla) Brooklyn 54. 16th Avenue east of Benson Avenue (Bay Ridge) 55. 506 Llnwood Street (Brownsville) 56. Nostrand Sr. Myrtle Avenues (Fort Greene) 57. 62-64 Second Place (Red Hook-Gowanus) 58. 142 North First Street (Wllllamsburg-Greenpolnt) Queens 59. Corona Avenue &• 104 th Street (Corona) Cua-tssa-VGa. V.a.s'Oi H. Department of Health Headquarters, 125 Worth Street, Manhattan L. Willard Parker Laboratory, Foot of East 16th Street, Manhattan NEW DISTRICT HEALTH CENTER BUILDINGS FUTURE SUBSTATIONS (Approximate Locations) COMPLETED OR UNDER CONSTRUCTION BUILDING PROGRAM Manhattan 1. Central Harlem, 2238 Fifth Avenue 2. East Harlem, 158 East 115 th Street 3. Kips Bay-Yorkvllle, 411 East 69th Street 4. Lower East Side, First Avenue Sr. East 25th Street 5. Lower West Side, 303 Ninth Avenue 6. Washington Heights, Broadway &■ 168 th Street Bronx 7. Mott Haven, 349 East 140 th Street 8. Tremont, 1826-38 Arthur Avenue Brooklyn 9. Fort Greene, Fleet & Willoughby Streets 10. Red Hook-Gowanus, 250 Baltic Street 11. Wllllamsburg-Greenpolnt, 151 Maujer Street Queens 12. Astorla-Long Island City, 12-26 31st Avenue 13. Corona, Junction Boulevard & 34th Road Richmond 14. Richmond, 51 Stuyvesant Place FUTURE DISTRICT HEALTH CENTER BUILDINGS (Approximate Locations) Manhattan 15. Riverside, Amsterdam Avenue St. 106 th Street Bronx 16. Morrlsanla, Boston Road & 3rd Avenue 17. Pelham Bay, Gun Hill Road St. White Plains Avenue 18. Westchester, Westchester Square Brooklyn 19. Bay Ridge, Bay Ridge Parkway & 13th Avenue 20. Bedford, Fulton Street Sr Kingston Avenue 21. Brownsville, Livonia & Rockaway Avenues 22. Bushwlck, Grove Street s Wilson Avenue 23. Flatbush, Foster Sr Flatbush Avenues 24. Gravesend, Avenue U St. Coney Island Avenue 25. Sunset Park, 50th Street Sr. Bth Avenue Queens 26. Flushing, Main Street & Roosevelt Avenue 27. Jamaica, East and West, Jamaica Avenue Sr Parsons Boulevard 28. Masppth-Forest Hills, Metropolitan Avenue Sr. Fresh Pond Road Manhattan DEPARTMENT of health headquarters. WILLARD PARKER LABORATORY. DISTRICT HEALTH CENTER BUILDINGS COMPLETED OR UNDER CONSTRUCTION. PROPOSED DISTRICT HEALTH CENTER BUILDINGS. PROPOSED SUB-STATIONS. CHILD HEALTH STATIONS COMPLETED OR UNDER CONSTRUCTION. 2 S H * 06 ia| 3 * hlu« S £s «S S u H ® 8 SUGGESTED BUILDING PLANS AND ESTIMATES OF COST As outlined the Health Department's future building program, which calls for the construction of 14 additional district health centers and 22 substation buildings, involves a total estimated cost of $7,550,000. This information is outlined in the accompanying one-page Summary and detailed analysis (Exhibit A) which appear on pages 47 to 49. The estimated unit cost for operating the new buildings is presented on page 50, Exhibit B. These estimates do not take into account the con- siderable savings which will accrue through the abandonment of rented premises and in transfer of existing personnel to the new buildings as they are placed in operation. Architect's renderings of typical health center and substation build- ings for the future, appearing in this section, are based on careful study of the City's past five years' experience. HEALTH BUILDING PROGRAM 1934-1937 1938-1939 1940 1941 1942 1943 1944 Buildings Completed Central Harlem Health Center East Harlem Health and Teaching Center Kips Bay-Yorkvllle Health and Teaching Center Lower West Side Health Center Mott Haven Health Center Richmond Health Center and Borough Office Willlamshurg-Greenpolnt Health Center Red Hook-Gowanus Health and Teaching Center Astoria-Long Island City Health Center $ 262,507 248.850 346,883 244,846 219.491 330.564 221.660 238.902 272,202 Buildings Under Construction Washington Heights Health and Teaching Center Lower East Side Health and Teaching Center Tremont Health Center and Borough Office Fort Greene Health Center and Borough Office . Corona Health Center $ 475.000 375.000 475.000 475.000 375.000 Building Funds Requested, 1940-4-4 Capital Outlay Budget Bedford Health Center Fort Greene - 1 substation Jamaica East Health Center and Borough Office and 2 substations . . Jamaica West - 2 substations Morrlsanla Health Center Brownsville Health Center and 2'substations Westchester Health Center and 1 substation * . . . . Maspeth-Forest Hills Health Center and 1 substation ,. Flushing Health Center and 2 substations Richmond - 1 substation- $ 375,000 100,000 525.000 100.000 375.000 575.000 $ 100,000 $ 200,000 475.000 475.000 575.000 _ 100.000 Gravesend Health Center and t substations Sunset Park Health Center and 1 substation Bushwlck Health Center Astoria-Long Island City - 1 substation Lower East Side - 1 substation Flatbush Health Center .... Fordham-Rlverdale - 2 substations Pelham Bay Health Center and 1 substation 575.000 475.000 325.000 100.000 $ 100.000 375.000 200.000 475,000 Riverside Health Center ... ........ . Bay Ridge Health Center Central Harlem - 1 substation Lower West Side - 1 substation $ 375.000 375.000 100.000 100,000 $2,385,905 $2,175.000 $2,050,000 $1,725,000 $1.675.000 $1,150,000 $950.000 Total funds expended or allocated 1934-1939 .... $4,560,905 Total estimated funds required to complete building construction program 1940-1944 $7,550,000 NOTE: Changes upward in estimated capital costs have been node owing to increased cost of construction and additional space required in buildings. SUMMARY CAPITAL COSTS - DISTRICT HEALTH CENTER BUILDINGS AND SUBSTATIONS DEPARTMENT OF HEALTH - CITY OF NEW YORK Exhibit A ESTIMATED CAPITAL COST DISTRICT HEALTH CENTER BUILDINGS SUBSTATIONS 1940 - 1944 (Including cost of construction of buildings, land, furniture and equipment, architect's and engineering services, inspection and miscellaneous items.) Fort Greene District Substation Land $ 75,000 Bedford District 25,000 $lOO,OOO Health Center Building Land 325,000 50,000 Jamaica East District 375,000 Health Center and Borough Office Building Land 475.000 50.000 150.000 50.000 2 Substations, $75,000 each Land, $25,000 each 725,000 Jamaica West District (Mo Health Center Building) 2 Substations, $75,000 each Land, $25,000 each 150,000 50,000 200,000 Morrisania District Health Center Building Land 325,000 50,000 375,000 Brownsville District Health Center Building Land 325.000 50, 000 150.000 50,000 2 Substations, $75,000 each Land, $25,000 each 575,000 Westchester District Health Center Building Land 325,000 50.000 75.000 25.000 Substation Land Maspeth-Forcst Hills District 475,000 Health Center Building Land 325,000 50.000 75.000 25.000 Substation Land 475,000 Flushing District Health Center Building Land 325.000 50.000 150.000 50.000 2 Substations, $75,000 each Land, $25,000 each 575,000 Richmond District 75.000 25.000 Substation Land 100,000 Gravesend District 325.000 50.000 150.000 50.000 Health Center Building Land 2 Substations, $75,000 each Land, $25,000 each 575,000 Sunset Park District Health Center Building Land $325,000 Substation Land 50.000 76.000 25.000 $475,000 Bushwick District Health Center Building 325,000 325,000 Astoria-Long Island City District Substation Land 75.000 25.000 100,000 Lower East Side District Substation Land 75.000 25.000 100,000 Flatbush District Health Center Building Land 325,000 50,000 375,000 Fordham-Riverdale District (Ho Health Center Building) 2 Substations, $75,000 each Land, $25,000 each 150,000 50,000 200,000 Pelham Bay District Health Center Building 325,000 50.000 75.000 25.000 Substation 475,000 Riverside District Health Center Building 325,000 50,000 375,000 Bay Ridge District Health Center Building Land 325,000 50,000 375,000 Central Harlem District Substation 75.000 25.000 100,000 Lower West Side District Substation 75.000 25.000 100,000 Land recapitulation Estimated 1 Health Center and Borough Office Dulding Capital Cost $ 525,000 Annual Maintenance $ 13,970 Cost of Construction Cost of Land $ 475,000 50,000^ 13 Health Center Buildings 4,825,000 i 28,180 Cost of Construction Cost of Land 4,225,000 600,000 22 Substation Buildings 2,200,000 69,850 Cost of Construction Cost of Land 1,650,000 550,000 TOTAL ESTIMATED COST - Health Center and Substations Buildings - 1940 - 1944 $7,550,000 $212,000 Exhibit B UNIT COSTS PER ANNUM FOR ADMINISTRATION OF DISTRICT HEALTH CENTER Building Maintenance (a) Personnel 1 Janitor-Custodian $l,BOO. 3 Laborers at $1,200 3,600. 4. Cleaner 960. $6,360. (b) Supplies, etc. Window cleaning supplies, repairs, painting, etc. . 1,000. Fuel 1,500. Light and Power 1.000. 3.500. Total Building Maintenance $9,860. UNIT COST OF TEACHING CENTER COMBINED WITH A HEALTH CENTER OR BOROUGH OFFICE BUILDING COMBINED WITH A HEALTH CENTER Building Maintenance (a) Personnel District Health Center Maintenance Staff $6,360. Additional: 1 Laborer 1,200. 1 Elevator Operator 1,200. 1 Cleaner 960. $9,720. Additional: (b) Supplies, etc. District Health Center $3,500. Additional - 25% Increase 750. 4.250. Total Building Maintenance $13,970. UNIT COST PER ANNUM FOR SUB-STATIONS Building Maintenance (a) Personnel 2 Laborers at $1,200 $2.400. $2,400. (b) Supplies, etc. Repairs 200. Cleaning supplies and window cleaning 175. Fuel 300. Light and Power iqq. 775. Total Building Maintenance $3,175. NOTE*- this plan typical in general pop 4™ STH 6. S™ FLOORS WHERE REQUIRED ALSO FOR FUTURE FLOORS FOR EXPANSION SECOND• FLOOR • PLAN • THIRD ■ FLOOR • PLAN : TYPICAL ■ DISTRICT HEALTH ■ CENTER : • DEPARTMENT OF HEALTH • : ■ CITY • OF • NEW ■ YORK • EDWIN A SALMON - CONSULTANT • BASEMENT • PLAN- • FIRST - FLOOR • PLAN THE HEALTH CENTER SUBSTATION PROGRAM The Health Center Districts were originally outlined so as to include approximately 250,000 people. As a result, there is a wide range in the size of the various districts. For example, East Harlem, which is densely populated, has an area of only 890 acres, whereas the Flushing District with its scattered communities covers nearly 20,000 acres. Since the value of district health center administration is in direct proportion to the accessibility of service to the people, the size of the districts and trans- portation facilities have been taken into account. Following the Child Health Service Study referred to earlier in this report, a further survey was made. This led to the inescapable conclusion that in some of the larger districts, smaller buildings to be known as substation were essential to the program. Twenty-three such substation buildings have accordingly been included in the Department's building program. The substation buildings visualized would provide space not only for child health station service but also facilities for health educational work, dental and eye clinics for children and, where required by particular local conditions, nursing, tuberculosis and venereal disease services. These buildings would of course provide quarters for any existing service of the Department in rented quarters in their immediate vicinity. VD, X-RAV AND TUBERCULOSIS SERVICE SECOND FLOOR PLAN s i d e. w a i_ k FIRST FLOOR PLAN TYPICAL DISTRICT HEALTH CENTER SUB-STATION DEPARTMENT OF HEALTH CITY OF NEW YORK EDWIN A. SALMON - CONSULTANT