Visiting Ellis Island’s Hospital Complex

On June 7, our Friends of the Rare Book Room and ARCHIVE Global: Architecture for Health enjoyed a private visit to the hospital zone on Ellis Island. The private support group Save Ellis Island offers hardhat tours of the hospital complex, which is adjacent to the main reception center operated by the National Park Service. More than 30 people took the ferry from Battery Park across New York Harbor to Ellis Island to learn more about the site and its importance to the history of public health in New York City. Some stayed on for lunch afterward at historic Fraunces Tavern.

Our Save Ellis Island tour guide gives safety instructions before the group enters the hospital zone.

Our Save Ellis Island tour guide gives safety instructions before the group enters the hospital zone.

On the south side of the island, and out of use since 1954, the hospital complex housed would-be immigrants who were not permitted to immediately enter the country. All steerage passengers were inspected—usually for only a few seconds, given their great numbers—and some 1 to 2% were detained for health reasons. Completed in 1909, the 750-bed hospital included wards for infectious diseases, kitchens, massive laundry facilities, an autopsy room, and recreation spaces for patients and staff alike.

The autopsy room.

The autopsy room.

Even in its semi-derelict condition, the complex is one of the few remaining “pavilion” style hospitals in the country. Pavilion hospitals were first built in France in the 18th century, and were enthusiastically endorsed by reformers such as Florence Nightingale in the 19th century. The design emphasized the need for ventilation, with wards built to promote sanitary conditions, provide light, and maximize the circulation of air. Pavilion hospital design fell out of use in the 20th century.

Caged verandas allowed patients access to fresh air while controlling their movement around the complex.

Caged verandas allowed patients access to fresh air while controlling their movement around the complex.

The Ellis Island site, already abandoned and crumbling, was further damaged during hurricane Sandy, and Save Ellis Island is working to stabilize the buildings, while preserving the sometimes eerie atmosphere of the site, now partially overgrown with vegetation. For more information about the complex, and the Save Ellis Island project to bring it back into public view, see: http://www.saveellisisland.org/history/hospital-complex

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Wall with a tide mark showing the level of water during Hurricane Sandy.

We are increasingly offering our Friends group exclusive events such as this visit. If you are interested in becoming a Friend, find out more here. Friends who missed out on this sold-out event should e-mail culturalevents@nyam.org to express their interest in another tour at a later date.

The Doorstep of America

By Johanna Goldberg, Information Services Librarian

Ellis Island opened on January 1, 1892, a gateway to the United States for 700 immigrants on three steamships that first day.1 By its close in 1924, more than 12 million people had passed through to America.2

Landing at Ellis Island. From Quarantine Sketches. Click to enlarge.

Landing at Ellis Island. From “Quarantine Sketches.” Click to enlarge.

About 10 years after Ellis Island’s opening, The Maltine Company, a patent medicine manufacturer, released “Quarantine Sketches: Glimpses of America’s Threshold,” a pamphlet oddly juxtaposing photographs of Ellis Island with advertising for its products. The full pamphlet can be viewed online:

It begins with the text:

Hundreds of thousands—men, women, and children—pass over, or are detained at, the Doorstep of America every year. In this pamphlet are illustrated the various precautions which the Government takes to insure desirable material for future citizenship.

One such precaution described in the pamphlet was the two-day quarantine of all passengers arriving from Cuba between May 15 and October 1, an effort to prevent the spread of yellow fever in the United States. But for all other steerage passengers, the procedure was different.

The hospital at Ellis Island. From "Quarantine Sketches." Click to enlarge.

The hospital at Ellis Island. From “Quarantine Sketches.” Click to enlarge.

During the “Line Inspection,” United States Public Health Service physicians reviewed each entrant as he or she walked past. According to a 1917 article, the process typically took two to three hours.3 Those who passed the initial review continued on to the Immigration Service, “who take every means to see that he is not an anarchist, bigamist, pauper, criminal, or otherwise unfit.”3 Those who did not pass the inspection, about 15–20% of immigrants in 1917, were routed to the Public Health Service.3

From Mullan EH. "Mental examination of immigrants: Administration and Line Inspection at Ellis Island." Public Health Reports. 1917; 32(20): 734.

From Mullan EH. “Mental examination of immigrants: Administration and Line Inspection at Ellis Island.” Public Health Reports. 1917; 32(20): 734. Click to enlarge.

There, physicians assessed immigrants for “speech, pupil symptoms, goiters, palsies, atrophies, scars, skin lesions, gaits, and other physical signs,” along with “signs and symptoms of mental disease.”3 Some got sent to Ellis Island’s hospital (one of the best in the country), some to a detention room for further assessment.4

Filing past the doctors. From "Quarantine Sketches." Click to enlarge.

Filing past the doctors. From “Quarantine Sketches.” Click to enlarge.

Would-be immigrants could be deported for medical reasons—in 1898, 18% of deportations were medical; this rose to 69% in 1916.4 Even so, most immigrants entered the United States: in 1914, the peak year for deportations, only 2.5% of passengers were forced to return to their country of origin.4

Detention pen for immigrants awaiting deportation. From "Quarantine Sketches." Click to enlarge.

Detention pen for immigrants awaiting deportation. From “Quarantine Sketches.” Click to enlarge.

Today, you can visit Ellis Island without going through a Line Inspection. You can even book a Hard Hat Tour to see the previously closed-to-the-public hospital complex. Can’t make the trip? Take a look at Hyperallergic’s recent Ellis Island hospital portraits.

References

1. Landed on Ellis Island – new immigration buildings opened yesterday. A rosy-cheeked Irish girl the first registered — Room enough for all arrivals — Only railroad people find fault. New York Times. http://query.nytimes.com/mem/archive-free/pdf?res=9802E3D8163BEE33A25751C0A9679C94639ED7CF. Published January 2, 1892. Accessed November 19, 2014.

2. National Parks of New York Harbor Conservancy. Ellis Island. Available at: http://www.nyharborparks.org/visit/elis-faq.html. Accessed November 24, 2014.

3. Mullan EH. Mental examination of immigrants: Administration and Line Inspection at Ellis Island. Public Health Reports. 1917;32(20):733–746. doi:10.2307/4574515. Available at http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1999723/. Accessed November 21, 2014.

4. Yew E. Medical inspection of immigrants at Ellis Island, 1891-1924. Bull N Y Acad Med. 1980;56(5):488–510. Available at: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1805119&tool=pmcentrez&rendertype=abstract. Accessed November 21, 2014.