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Gallinger Hospital, relating particularly to Upshur Hospital. The implication in these memoranda are much broader than appear, inasmuch as the matter concerns the entire tuberculosis control program for the District of Columbia. In the fall of 1949, Commissioner Mason requested that a study be made of the tuberculosis situation and needs for the future. This matter was made the subject of a report to the Commissioners on September 20 which, in substance, embodied the building program for Glenn Dale Sanatorium, namely, 400 additional beds, housing requirements for personnel, and utility services.

An amount greater than $50,000 would be required at Upshur Hospital for items that have already been brought to the attention of the Commissioners. It therefore appears that we have two alternatives; either close Upshur Hospital at an early date, or plan for extensive repairs there.

With reference to the possible transfer of patients from Upshur Hospital to Glenn Dale Sanatorium, Dr. Daniel L. Finucane, Superintendent of Glenn Dale, states that he cannot accept the patients now at Upshur Hospital without first providing for other space now occupied by physicians at Glenn Dale. In order to rectify the condition, it will be necessary to erect another apartment house at Glenn Dale which would then make available a 50-bed ward for patients. This request was included in the 1951 budget submitted to the Commissioners. There are 80 patients at Upshur Hospital and this step would not entirely solve the problem, but until the building program at Glenn Dale is completed, it would help the situation. Patients over and above the number of 50 could be taken care of in the home care program, now being organized, which will be included for the patients in the budget for the next fiscal year. Completion of the Glenn Dale building program will require at least 3 years from July 1950.

To again emphasize the Glenn Dale building program, we are far short of the number of tuberculosis beds needed for this community. In fact, even with the addition of 400 beds at Glenn Dale, we will still be far below the 2.5 beds for each tuberculosis death, which is the absolute minimum for effective tuberculosis control. With the addition of the 400 beds at Glenn Dale, we will still have an average of only 2.36 beds per annual death. Many communities have 3 beds, and others as many as 5 beds, for each tuberculosis death. This emphasizes the seriousness of the matter as far as tuberculosis in this community is concerned.

I therefore earnestly request that immediate consideration be given to the following recommendations:

1. The building of an additional apartment house at Glenn Dale Sanatorium with money to be obtained during the present fiscal year.

2. That consideration be given to the home care of suitable patients, which will be included in the budget for the next fiscal year.

3. That planning money for Glenn Dale Sanatorium be obtained at the earliest possible date.

4. That the Upshur property be used for other purposes.

In this connection, I wish to call attention to the fact that Upshur Hospital is located on a tract of approximately 1342 acres (assessed value $189,932). It is felt that the amount of money which might be realized from the sale of this land, which is located in a high-class residential area, would offset part of the building costs at Glenn Dale Sanatorium.


Health Officer. Mr. FOWLER. The Commissioners are supporting this estimate on the recommendation of the Health Officer.

Dr. SECKINGER. The matter was taken up with the Commissioners and they supported the renovation of the hospital for an indefinite period of time, as I understand it.

Mr. BATES. I imagine your reason for not having it in the 1951 budget is the reason you gave a few moments ago.

Dr. SECKINGER. That is correct, sir.

I have here the estimates of Mr. Hutson on the matter of structural changes that are necessary. It was unforeseen and unknown at the time the budget was previously discussed at the regular hearings. I have a copy of that budget.

Mr. KEEN. Three of those boilers are now condemned. They were old boilers, and Mr. Hutson says that if they are going to be

needed for any length of time they ought to be replaced before the next heating season begins.


Dr. SECKINGER. Mr. Chairman, I would like to read the report of Mr. Hutson on this for the record, if I may. This came to us entirely out of a clear sky.

Mr. BATES. Could you insert that in the record?

Dr. SECKINGER. This is addressed to the Health Officer, on the subject of the boiler replacement for the old tuberculosis hospital.

We are forwarding, herewith, the results of our survey of the above-named project, together with notes and plan of same. It is recommended that steps be taken to procure the estimated amount of $41,400, at an early date.

The condition of the existing heating plant is so deteriorated as to place in jeopardy the continuance of the current health activities, That had something to do with my original recommendation.

Mr. Bates. You do not think it would be advisable to postpone it until 1952?

Dr. SECKINGER. That is rightand should be modernized at the earliest possible date if said health activities are to be continued for more than 2 years according to Mr. Hutson.

(The documents are as follows:) To: Health Officer, District of Columbia. Subject: Boiler Replacement-Old T. B. Hospital.

We are forwarding, herewith, the results of our survey of the above-named project, together with notes and plan of same. It is recommended that steps be taken to procure the estimated amount of $41,400, at an early date.

The condition of the existing heating plant is so deteriorated as to place in jeopardy the continuance of the current health activities, and should be modernized at the earliest possible date if said health activities are to be continued for more than 2 years.

ARCHIE G. Hutson,
Director of Construction,





The present boiler plant consists of two CI low-pressure units, one horizontal and one vertical high-pressure units. One of the CI units has several badly cracked sections, the vertical HP unit is beyond further repair, leaving the other two units to carry the load. Structural and other conditions limit the possibility of adapting these two units to mechanical firing. As a result, it is necessary to use high cost, egg size anthracite coal to avoid violations of smoke regulations.

The age, condition and generally poor inherent operating efficiency of the present equipment warrant a complete replacement to obtain more economical service. It is recommended that the following work be done during the off-heating

1. Remove existing cast iron and vertical boilers, piping and breeching. 2. Remove existing pumps, tanks, and piping.

3. Install new gas-fired high pressure boiler and hot water storage heater to provide this service, and required steam for sterilizer and kitchen use during alterations and future summer load. (Note: The present horizontal high-pressure boiler will be left in place for this purpose until new gas fired unit is connected.

4. Remove existing hot water generator and storage tank and piping,

5. Prepare foundations for and install two new oil fired horizontal fire box boilers, low pressure type.

6. Install new motor driven feed pump and return tank.

7. Connect new piping and valves, new breeching connections, etc., ready for operation.

8. Install fuel oil tank in present coal vault, with necessary heaters, pumps, piping and controls.

9. Make such alterations as necessary to existing structure, to provide proper clearance around equipment.

10. Insulate piping and breechings and boilers, clean and paint new piping and equipment.

11. Replace valves, traps, etc. (that show such need), in present heating system. The attached print of preliminary sketch indicates, in general, the scope of the foregoing. Modifications will be made to accommodate final arrangement of equipment decided on.

The total estimated cost of material and labor for contemplated work indicated above is $41,400. Resultant economies in fuel and maintenance will partially amortize this cost and better dependability of service with more uniform control will further justify the change.

Estimate summary

Equipment (boilers, oil burners, piping, etc.)-

$30, 000 Demolition (removing old material)-

3,000 Structural (alterations, foundations, etc.)-

2, 000 Painting (cleaning and painting new equipment)

2, 500 Contingencies (replacement—valves, traps, etc., in heating system)

2, 500 Total..

40, 000 Engineering (design and specifications) at 372 percent

1,400 Total...

41, 400 Dr. SECKINGER. Mr. Chairman, I would like to submit, also, the estimates of the breakdown of cost for this item of $41,400.

Mr. Chairman, since that time, since the Commission has decided that they would continue this project, there are some other essential needs that Mr. Keen knows about very intimately.

Mr. BATES. You mean they are not in this estimate?

Dr. SECKINGER. In addition to this estimate. We sent this over under date of June 20 to the Commissioners, and they have approved this, also. It is a supplement to the original estimate.

This brings the total up to $68,500.
Mr. FOWLER. That is in this written justification.
(The document submitted is as follows:)

JUNE 20, 1950,
Memorandum to: The Commissioners.
Through: Commissioner Guy Mason (Attention: Mr. Wilding).
From: Health Officer.
Subject: Repairs Needed at Upshur Street Hospital.

I am transmitting herewith a copy of a memorandum from Dr. Stebbing concerning repairs needed at the Upshur Street Hospital. The total cost of repairs which Dr. Stebbing mentions are needed amounts to $68,500 as compared with $51,000 approved by the Commissioners on June 6, 1950.

It may be seen from Dr. Stebbing's explanation that the repairs which he mentioned are very important. It is requested, therefore, that consideration be given to increasing the amount which the Commissioners have already approved.


Health Officer. Mr. BATEs. Do you want to make a comment, Mr. Keen?

Mr. KEEN. I might add that this roof repair is a very essential thing. We tried to repair it in one place lately and had a little experience on that. A leak developed some place else. All these items are essential at the moment.

69887–50pt. 1-5

So far as the doctors' residence roof is concerned, you can see holes in the roof. From a distance you can see that.

The exterior painting is very essential, because it has not been painted since 1942. There will be rotting of the window sills and all those things, and lumber costs more than paint these days.

These other items are all just as essential, and are all immediate needs.

Mr. BATES. Thank you very much, gentlemen.





Mr. Bates. Mr. Fleming, we will be happy to hear from you at this time.

Mr. FLEMING. I should like for Mr. Sard to present our report.


Mr. SARD. We have submitted written justifications, Mr. Bates. Mr. Clemmer regrets that he cannot be here today, and Mr. Fleming is the Acting Director of the Department.

We are requesting 20 additional officers for the workhouse at Occoquan, in the amount of $62,500. We also ask for uniforms and equipment for those officers.

At this time last year when we prepared our 1951 estimates, we were running a population at the workhouse of about 700 which you may see on the second page of our submission. Today for and the last 4 or 5 days of this month we have been running 1,155.

We have prepared a little chart here which will perhaps help you to see our population change at the workhouse. This shows our population by years since 1944. We started at the low point here of 395, in 1945, continuously climbing up, until in fiscal year 1950 we average 952.

The year 1950 is shown by months. Starting in July at 748, we hit our peak in April of 1,114. We dropped down a bit in May and June. We averaged in June 952. But during the month of July we have been averaging better than 1,100. July 10 we were 1,145. Today, July 14, we are 1,145.

To care for this number of inmates we have 71 officers at the workhouse. With that number of officers we are able to average, as you will see on the third page, only 14 men on duty at any one time, allowing annual leave and those things. We have distributed that average of 14 so that on the midnight to 8 a. m. tour of duty we have 10 men on duty with 1,100 inmates. That is, provided everyone is on duty who is scheduled to be there. Sometimes we have sudden illnesses, and I believe a couple of times this week, Mr. Fleming, we have had only nine men on duty.

Mr. FLEMING. Several times recently I have had to work men 16 hours. We just do not have adequate coverage.

Mr. BATES. What do you pay these men?
Mr. SARD. $3,125.


We have asked for 20 additional men. That would give us 4 men additional on duty at all times, so that instead of having an average of 14 men on duty we could have 18 on duty.

We would distribute those: On the midnight to 8 a. m. shift there would be 12 men on duty rather than 10. From 8 to 4, the day shift, when most of the work is done—we have many labor squads, you know-we would have 29 men on duty.

Mr. Bates. I was especially impressed when I was down there with your apparent success in rehabilitating a lot of those people. I think you are doing a splendid job.

Mr. FLEMING. Thank you, sir.

We are hardly able to run a safe institution with our present staff. It is spread too thin. In three dormitories we have no officer on duty at any time.

Mr. YATES. I was just wondering whether the additional number of men you request will correct the condition that you testified to, that it is unwise and dangerous to attempt to guard 1,100 men with only 8 or 10 officers on duty. You will be able to have approximately 12 or 14.

Mr. FLEMING. That is right.
Mr. YATES. Will that be sufficient?

Mr. FLEMING. We believe we can take care of it with that; yes, sir, unless our population continues to climb. I do not think any of us can tell that at the moment.


Mr. YATES. What has been the rate of increase?

Mr. SARD. If you will look at one of our submissions here on the second page, you will see the total department population since 1944, which includes the jail, reformatory, and the women's division.

It averaged 2,436 in 1944, dropped to 2,049 in 1945, and then kept climbing up until last year it reached 3,244.

By months of the last year it ran 2,864, 3,064, 3,322, and then went up in April to 3,463. We are running about the same now, about 3,400 in our institution.

Mr. YATES. Is that over all?
Mr. SARD. That is over all.
Mr. YATES. That does not pertain to the workhouse?
Mr. SARD. No. The workhouse is running 1,100.

Mr. YATES. The workhouse is the institution for which you are requesting help?

Mr. SARD. That is the one we are asking additional custodial coverage for.

Mr. YATES. What has been the percentage of increase for the workhouse alone?

Mr. SARD. From 700 last year to 1,100.
Mr. YATES. To 1,100?
Mr. SARD. About a 400 increase in a year's time.

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