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National Library of Medicine

Finding Aid to the Public Health Service Hospitals Historical Collection1895-1982

Archives and Modern Manuscripts Program, History of Medicine Division
Processed by Elizabeth Toon
Processing Completed 6/7/1991
Additions 3/14/2006
Encoded by Electronic Scriptorium; John P. Rees

Summary Information
Title: Public Health Service Hospitals Historical Collection
Creator: United States. Public Health Service. Division of Hospitals
Dates: 1895-1982
Extent: 11.42 linear feet (26 boxes)
Abstract:
The origins of the Public Health Service hospital system date to the passage in 1798 of the law creating the Marine Hospital Fund to care for merchant seamen. Contained herein are materials on the history of the Public Health Service hospitals and their administration. Included are the history files for each hospital maintained by the Division of Hospital's Information Office as well as documents relating to the conversion or closure of each hospital; program files, reports, and planning documents on the hospitals and the medical care of seamen; and administrative documents, circular letters, and manuals used by the hospitals. Particularly noteworthy is the extensive material on the leprosarium in Carville, Louisiana.

Call number: MS C 471
Language: Collection materials primarily in English.
Location: Materials stored onsite. History of Medicine Division. National Library of Medicine

Access Restrictions:

Collection is not restricted. Contact the Reference Staff for information regarding access.

Copyright:

Copyright was transferred to the public domain. Contact the Reference Staff for details regarding rights.

Preferred Citation:

United States. Public Health Service. Public Health Service Hospitals Historical Collection. 1895-1982. Located in: Modern Manuscripts Collection, History of Medicine Division, National Library of Medicine, Bethesda, MD; MS C 471.

Provenance:

The Collection was transferred from the National Hansen's Disease Center in Carville, Louisiana in 1989 by Lila Davis (through Fitzhugh Mullan).


phs471Finding Aid to the Public Health Service Hospitals Historical Collection, 1895-1982Archives and Modern Manuscripts Program, History of Medicine Division2.0History of Medicine Division, National Library of Medicine.
8600 Rockville Pike
Bethesda, Maryland, 20894
USA
Phone: (301) 402-8878 (Reference Desk)
Fax: (301) 402-0872
Email: hmdref@nlm.nih.gov
Machine-readable finding aid encoded by Electronic Scriptorium; John P. ReesFinding aid is written in English.

National Library of Medicine

Finding Aid to the Public Health Service Hospitals Historical Collection1895-1982

Archives and Modern Manuscripts Program, History of Medicine Division
Processed by Elizabeth Toon
Processing Completed 6/7/1991
Additions 3/14/2006
Encoded by Electronic Scriptorium; John P. Rees

Descriptive Summary

United States. Public Health Service. Division of HospitalsPublic Health Service Hospitals Historical Collection Dates: 1895-198211.42 linear feet (26 boxes)MS C 471 Materials stored onsite. History of Medicine Division. National Library of MedicineCollection materials primarily in English.Abstract:The origins of the Public Health Service hospital system date to the passage in 1798 of the law creating the Marine Hospital Fund to care for merchant seamen. Contained herein are materials on the history of the Public Health Service hospitals and their administration. Included are the history files for each hospital maintained by the Division of Hospital's Information Office as well as documents relating to the conversion or closure of each hospital; program files, reports, and planning documents on the hospitals and the medical care of seamen; and administrative documents, circular letters, and manuals used by the hospitals. Particularly noteworthy is the extensive material on the leprosarium in Carville, Louisiana.Provenance:

The Collection was transferred from the National Hansen's Disease Center in Carville, Louisiana in 1989 by Lila Davis (through Fitzhugh Mullan).

Access Restrictions:

Collection is not restricted. Contact the Reference Staff for information regarding access.

Copyright:

Copyright was transferred to the public domain. Contact the Reference Staff for details regarding rights.

Preferred Citation:

United States. Public Health Service. Public Health Service Hospitals Historical Collection. 1895-1982. Located in: Modern Manuscripts Collection, History of Medicine Division, National Library of Medicine, Bethesda, MD; MS C 471.

Historical Note

The origins of the Public Health Service hospital system date to the passage in 1798 of the law creating the Marine Hospital Fund to care for merchant seamen. Clerks in the Treasury Department initially ran the fund, but after 1870 responsibility for the hospitals passed to the Surgeon General of the Marine Hospital Service (later to become the Public Health Service) and its Commissioned Corps. Over the years the PHS's hospital responsibilities were gradually broadened to include groups other than seamen. Beneficiaries were examined and treated at a variety of institutions, ranging from large Marine Hospitals in the major port cities (Boston, Baltimore, and New Orleans, for example) to smaller river and Great Lakes port hospitals to tiny third and fourth class stations like those in Chincoteague, Virginia and La Crosse, Wisconsin. Responsibility for the examination and treatment of entering aliens kept stations both large and small on coasts and borders busy, especially at Ellis Island and San Francisco. After World War I, the Public Health Service hospitals and clinics were also briefly responsible for serving veterans eligible under the Bureau of War Risk Insurance from 1919 until the creation of the Veterans' Hospital system in 1922. Other special classes of beneficiaries included narcotics addicts, treated primarily at the Ft. Worth and Lexington hospitals, and Hansen's Disease (leprosy) sufferers, who came from around the world to the Carville, La. Hansen's Disease Center (formerly the National Leprosarium).

In 1939, the Public Health Service was transferred into the new Federal Security Agency (FSA), where its Hospital Division, still manned primarily by Commissioned Corps officers in its facilities and organizational hierarchy, continued the business of administering the hospital system's work. In 1944 administrators attempted to rationalize the confused and scattered variety of PHS functions and responsibilities through a reorganization. The new organizational plan divided the PHS into four bureaus: the Bureau of State Services, the National Institute of Health (NIH), the Office of Surgeon General, and the Bureau of Medical Services (BMS). The BMS held jurisdiction over the Hospital Division, whose name was changed in 1948 to the Division of Hospitals (DOH).

With the end of the war, the newly-streamlined PHS soon found itself engaged in a long-running, and ultimately losing, battle with budget authorities. The Hoover Commission's reports in 1949 and 1955 evaluated the Public Health Service hospitals and decided that beneficiaries' care could more efficiently and economically be provided elsewhere. These reports and the Bureau of the Budget attack on PHS funding and authority began a thirty-year succession of reports, evaluations, reorganizations, and service changes, sometimes instigated and directed by the PHS, and sometimes from elsewhere in the Executive Branch. Hospital administrators and personnel, local, state, and federal legislators, and interest groups representing beneficiaries and communities would be drawn into the arguments over a declining beneficiary population, the benefits of contract or community-sponsored care, and the appropriate course for the Public Health Service and its hospitals in the twentieth-century American health care system.

The series of PHS reorganizations and hospital expansions, conversions, and closures make the DOH's history an occasionally confusing tale. After a small boom of expansion in the 1930s, some of the PHS hospitals were given more funding to expand and improve in the 1950s; other hospitals were closed or converted into outpatient clinics, which consolidated the work of the now-closed relief stations.

In 1966, the Department of Health, Education, and Welfare (DHEW) (formed from the FSA in 1953) reorganized the PHS. One of the newly created bureaus within the PHS was the Bureau of Health Services; included within the Bureau of Health Services was the Division of Direct Health Services which assumed responsibility for the hospitals and clinics. This new division (not to be confused with the Division of Hospitals and Medical Facilities, which administered Hill-Burton construction rather than hospitals themselves) came into existence in January of 1967. At the same time administration of the narcotics addiction hospitals in Ft. Worth, Texas and Lexington, Kentucky was transferred to the National Institute of Mental Health (NIMH).

The Division of Direct Health Services was short-lived. In the spring of 1968 DHEW Acting Secretary Wilbur Cohen announced another reorganization of DHEW and with it the Public Health Service. The Assistant Secretary for Health and Scientific Affairs was given direct authority over the PHS and the Food and Drug Administration (FDA), and the Surgeon General was made his chief deputy. The PHS structure was then realigned, with some functions transferred to the NIH and all others centralized under the new, massive Health Services and Mental Health Administration (HSMHA). Under HSMHA, responsibility for the eight remaining general hospitals (Baltimore, Boston, Galveston, New Orleans, Norfolk, San Francisco, Seattle, and Staten Island), the Carville National Leprosarium, and several outpatient clinics fell to the new Federal Health Programs Service (FHPS).

HSMHA too was short-lived, abolished in 1973 by DHEW Secretary Caspar Weinberger. Responsibility for the hospitals and clinics was shifted to the new Health Services Administration (HSA). Within the HSA, the Bureau of Medical Services, one of four bureaus involved in the delivery of health services, replaced the FHPS. As a division of the BMS, the Division of Hospitals and Clinics administered Public Health Service hospitals and clinics for the remainder of their lifetimes. In 1981, as part of the Reagan Administration's budget cuts for the Department of Health and Human Services (renamed in 1980), the last of the Public Health Service hospitals and clinics were closed as PHS operations. Of the eight hospitals, five were transferred to community corporations, two to the Department of Defense, and one to the State of Louisiana.

Three histories of the Public Health Service provide useful information about the organizational history and structure of the PHS, DHEW, and the PHS hospitals. Fitzhugh Mullan's Plagues and Politics (New York: Basic Books, 1989), the most recent of the three, gives a good overview of the Service's history and goals up to the present. Bess Furman's A Profile of the United States Public Health Service, 1798-1948 (Washington, D.C.: Government Printing Office, [1960]) and Ralph C. Williams' The United States Public Health Service, 1798-1950 (Washington, D.C.: Commissioned Officers Assoc. of the PHS, 1951) supply background and an introduction to the period documented by this collection. Finally, a number of DHEW publications offer useful information about the organization of the DHEW and the PHS; see especially History, Mission, and Organization of the Public Health Service (July, 1976) and A Common Thread of Service, An Historical Guide to HEW (DHEW Publication No. (OS) 73-45).

Chronology of PHS Hospitals

1798U.S. Marine Hospital Service created.
1870First Surgeon General appointed.
1902Name changed to U.S. Public Health and Marine Hospital Service.
1912Name changed to U.S. Public Health Service (hospitals retain designation "U.S. Marine Hospitals").
1916Federal employees with work-related illnesses or injuries designated PHS benificiaries.
1917PHS hospitals opened to military servicemen; persons with leprosy designated PHS beneficiaries.
1919PHS assigned responsibility for care of Bureua of War Risk Insurance beneficiaries (veterans); Coast and Geodetic Survey, Lighthouse Service, and other uniformed maritime services designated PHS beneficiaries.
1921Carville, La. hospital for the treatment of leprosy opened as a Federal institution and designated a Maritime Hospital.
1922Veteran's Bureau and hospitals created; 57 hospitals and responsibility for treating veterans transferred from PHS to Veteran's Bureau.
1929Construction of PHS hospitals at Lexington, Kentucky and Fort Worth, Texas for the treatment of narcotics addiction authorized (opened in 1935 and 1938, respectively).
1933Port Townsend, Wash. Hospital converted to clinic.
1939PHS transferred from Department of the Treasury to Federal Security Agency.
1943Key West, Fla. Hospital converted to clinic.
1944PHS reorganized into four bureaus, including Bureau of Medical Services.
1946Louisville Hospital converted to clinic.
1947Evansville, Ind. Hospital converted to clinic.
1948Hospital Division name changed to Divisioin of Hospitals.
1949Buffalo and Pittsburgh Hospitals converted to clinics.
1950Neponsit (Long Island) Hospital closed.
1951Hospitals redesignated "U.S. Public Health Service Hospitals"; Ellis Island Hospital closed.
1952Kirkwood, Mo. and Vineyard Haven, Mass. Hospitals closed; Mobile Al., Portland, Me. and San Juan, Puerto Rico Hospitals converted to clinics.
1953Federal Security Agency abolished; Department of Health, Education, and Welfare created; Cleveland Hospital converted to clinic; Fort Stanton, N.M. Hospital closed.
1960Manhattan Beach Hospital closed.
1961Freedmen's Hospital transfer to Howard University begins.
1965Memphis and Chicago Hospitals converted to clinics.
1967PHS reorganized; Division of Direct Health Services (DDHS) replaces BMS; Lexington and Fort Worth Narcotics Hospitals transferred to NIMH; Freedmen's Hospital transfer to Howard University completed.
1968PHS reorganized; Health Services and Mental Health Administration (HSMHA) created and Federal Health Programs Service (FHPS) replaces DDHS and other divisions.
1969Detroit and Savannah Hospitals converted to clinics.
1973PHS reorganized; HSMHA replaced by Health Services Administration (HSA), Health Resources Administration, Centers for Disease Control, and other agencies; within HSA, FHPS replaced by Bureau of Medical Services (BMS); and Division of Hospital Clinics (DHC) created within the BMS.
1980Department of Health and Human Services replaces DHEW.
1981Eight remaining PHS hospitals and all remaining clinics closed or transferred.

Public Health Service (PHS) hospitals have treated merchant seamen and other PHS beneficiaries since 1798. As part of an evolving network of hospital and clinic care, the hospitals experienced in the twentieth century their greatest expansion and also their demise. The papers in the PHS Hospitals Historical Collection, accumulated over the course of many years, chronicle the activities, administration, and closure of the hospitals, especially since 1950.

Found first in this collection are circulars, similar letters, handbooks, and manuals describing clinic, hospital, and division procedure commencing with the early part of the century. These materials were distributed to individual administrators and facilities by the Division of Hospitals, the organizational unit of the PHS which, through several reorganizations and name changes, oversaw PHS hospital activities.

The majority of documents included in this collection originated in the Division of Hospital's Information Office, which collected historical and current information about the Division's activities, and particularly those of individual facilities. Prominent among these facilities and the subject of a separate series within this collection is the National Hansen's Disease Center in Carville, Louisiana (formerly the National Leprosarium). The Carville facility existed as a leper hospital for over two decades before its administration was assumed by the Public Health Service in 1921. The materials found here were collected by the Division of Hospitals' Information Office and stress Carville's unique legacy and service.

Also prominent in this collection are the many histories, program files, reports, and planning documents compiled by the Division of Hospitals. These materials, detailed in the attached series listing, discuss the history, current status, and future of the Public Health Service hospital system. Similarly, both the history and future of medical care for the largest group of PHS beneficiaries, American seamen, is chronicled by materials in the collection's final series. Together, the documents in these two series show how PHS hospital officials and administrators perceived their mission, facilities, and future, and how the hospital system was presented to its critics and supporters.

Researchers interested in the history of hospitals, health policy, and the Public Health Service should also consult the Library's other Public Health Service collections, to which some materials (general bureau circular series, some general histories of the PHS) not specifically related to the Service's hospitals and clinics have been transferred. Also separated, and individually catalogued, are logbooks from the New Orleans Marine Hospital (1870-1887), the San Francisco Marine Hospital (1916-1936), and the Mobile Marine Hospital (1913-1936).

Individual descriptions of this collection's five series follow, as does a detailed box and folder listing. Folders containing significant numbers of photographs have been noted.

Index Terms

These terms are indexed in the National Library of Medicine's online catalog LocatorPlus. Researchers wishing to find related materials should search the catalog using these terms.

    MeSH Subjects

    • Hospital Administration
    • Hospitals--history
    • Leprosy
    • Naval Medicine
    • Outpatient Clinics, Hospital
    Corporate Names

    • Public Health Service Hospital at Carville, La.
    • Public Health Service Hospitals Ad Hoc Advisory Committee
    • United States. Coast Guard
    • United States. Federal Health Programs Service
    • United States. Marine Hospital no. 66 (Carville, La.)
    • United States. Public Health Service. Division of Direct Health Services
    • United States. Public Health Service. The ship's medicine chest and first aid at sea

    Series Descriptions

    Hospital Division Circulars, Similar Letters, Handbooks, and Manuals, 1905-1962 Hospital Division Circulars, c. 1919-194511 Active List11-23 Nos. 1-23021-5 Nos. 231-268 Similar Letters, c. 1920-194526 Active List26-26 Nos. 1-200 Handbooks and Manuals31-7 Manual of Procedure, Topics 1-90, (1905 - 1941), [as of 1941]38 Manual of Marine Hospital Organization and Management, 194639-10 Regulations and Procedures Section Activities Handbook, [as of 1952] Outpatient Office Guides, 1950-196741 Transmittal Letters, 1950-195842-3 Guide, [as of 1958]4 Guide, [as of 1967]4 Manual for Medical Examination of Aliens, [as of 1963]51-2 Handbook of Relief Stations and Medical Officers, [As of 1940]53 Medical Officer's Guide to the Administration of 3rd Class Relief Stations, 194754 Operating Guide For Designated Physicians for Coast Guard and Geodetic Survey (CG & GS) Personnel, 1947 Designated CG & GS Physician's Guide, 1950-195855 Transmittal Letters, 1950-195856 Guide, [As of 1958] "Information for Medical and Dental Officers Assigned to CG & GS Ships"57 Brochure (includes photos), 196258 Pamphlets, 196259 Division of Hospitals Operations Manual: Revisions and Additions, 1959-1962 [As of 1962] Bound Handbooks and Manuals, 1942-1960 Division of Hospitals Operations Manual, 1949-1960v.1 Volume I: Introduction, Parts A-Cv.2 Volume II: Parts C-D, Circa 1949-1960v.3 Part C: Management Services, Circa 1949-1955v.4 Part D: Medical and Professional Matters, Circa 1951-1955v.5 Contract Institutions Weekly Census Report, Bound, 1942-1947 Hospital and Clinic Files by City, (192?) - 1982 Baltimore, 1940s-1976; 1980-198161 History, [194?-1976]62 Station Bulletins, 1980-198163 Photographs Boston, [193?] - 198164-5 History, [193?] - 1940; 1960-197066 Photographs67 Closure (Proposed), 196568 Station Bulletins, 1980-198169-10 Buffalo (includes photos), 1949; 1970611 Charleston, 1951; 1977612 Chicago, 1951; 1960-1965 [1972+]613 Chicago job corps center photographs, 1966 Cleveland614 History, [198?]615 Photographs616 Closures, 1953; 1970-1971617 Detroit, 1953-1969618 El Paso, 1949619 Evansville, Ind., 1947620 Ft. Chafee, Ark., [1980s]71 Ft. Stanton, N. Mex., 1953 Ft. Worth72 History, 1950-196973 Hospital Booklet, 1954-196174-5 Freedmen's Hospital (includes photos) [Howard University, Washington, D.C.]76 Freedmen's Hospital Administrative Correspondence, 1945-1965 Galveston77 History, 1954-197778 Closure, 196579 Photographs710 Juneau, 1966711 Key West, 1950-1972712 Kirkwood, Mo. (includes photos), 1948-1953 Lexington713-14 History, 1929-1965715 30th Anniversary (includes photos), 1965716 Photograph717 Los Angeles, 1944-196381 Louisville, 196682 Memphis (includes photo), 1957-196583 Miami (includes photos), 1964-197884 Mobile, 1948-[1952] New Orleans85-6 History, 1959-197387 Station Bulletins, 198188 Photographs262-4 Photographs New York City Ellis Island, 1948-196289 History (includes photos), 1948-1950810 Closure, 1950-1961 Proposed Conversion to Drug Rehabilitation Center, 1951-1962811 Press Clippings, 1951-1952; 1958812 Administrative Action File, 1958; 1962 Manhattan Beach, 1944-[1960?]813 Photograph814 History, 1944-[1960?]815 Move to Neponsit Beach, 1949-195091-2 Administrative Correspondence, 1942-1960 Closure93 Correspondence, Clippings, 1958-1960; 196494 Administrative Action File, 196095 Neponsit Beach (includes photos), 1958 Staten Island96 History, 1945-197397 Photographs98 Staff participation in shipwreck disaster photographs Varick and Houston Streets99 Functional Plans and Equipment Listing, 1963-1964910 Opening and Dedication, 1967-1970911 Norfolk, 1949; 1960-1970101-2 Pittsburgh (includes photos), 1949103 Portland, Me.104 St. Louis, [1978+] San Francisco105 History, 1952-1975106 Station Bulletins, 1981107 Officers Club, 1956-1961265 Photographs266 Civil Defense Emergency HQ photographs, [195-] San Juan108 Primate Lab, 1960109 OPC parade float, [196-] Architectural drawings San Pedro, 1966-19701010 Architectural and Program Plans, 1966-19681011 Station Bulletins, 19701012 Outpatient clinic, OEO neighborhood youth corps photographs1013 Savannah, 1960-1969 Seattle1014 History, 1949-19711015 Station Bulletins, 1975267 Terminal Island, Ca. photographs, [195-] Vineyard Haven, Mass.1016 History, 1894-1895; 1946-19511017-18 Closure (includes photos), [1947?]-19521019 Washington, D.C., Station Manual, 1951268 Xavier University, New Orleans photographs, [196-]269-10 Unidentified hospitals, locations, events photographs Other Photographs2611 NIH Clinical Center, [195-]2612 Prisons staff conference, [196-]2613 Atlanta federal penitentiary hospital, [195-]2614 La Luna, Tx. Federal correctional institution, [195-]2615 Springfield, Mo. Prison hospital medical officers, 19362616 162nd PHS anniversary photograph album [hospitals], July 19602617 Coast Guard/PHS joint service photographs, 1950-19662618 "Physical medicine and rehabilitation"--exhibit panel photographs, 19472619 Printing plate, Boston Customs House/Marine Hospital certificate, [1827]2620 NASA/PHS Columbia space shuttle officers, [1981]2621 Alaska/Eskimos, [195-] Carville Hansen's Disease Center, 1917-1982 Hospital, 1917-1981111 Establishment, 1917-1920; 1956112 Photographs261 Photographs113 Booklets, Pamphlets, Guides, 195-1960 History, 1917-1980114 Histories and Descriptions, 1938; 1946-1979115 John Smith Kendall (includes photos), 1939-1980116 Nursing Staff, 1962117 Articles, Clippings, 1948-1981The Star118-9 Stanley Stein and Editorship, [194?]-19671110 Issues, 1946, 1947, 1954, 1960, 1966, 19711111 Reprinted Articles, [1947-1960]1112 Print Shop and Printing Equipment, 1947-1949; 19611113 Station Bulletins, 19811114 Chaplaincy and Churches, 1924-1930; 1955-19621115 Rehabilitation and Recreation, 1960-19611116 Frederick Johansen (Medical Officer in Charge, 1947-1953), 1952-19531117 Sr. Hilary Ross (Laboratory), 1959-19601118 Sr. Laura Stricker (Chief Pharmacist, 1932-1972), 1966-19721119 Sisters of Charity: DHEW Service Award, 1957 Damien-Dutton Awards, 1956-1965121 Ceremonies and Recipients, 1956-1965122 Ceremony Photographs, 1964123 Films, 1952-1962 Publicity and Media Coverage, 1964; 1970-1981124-7 Correspondence, Etc., 1964; 1970-1981 Hospital Policies128 Policy and Procedure Manual, [Through 1947]129 PHS Policies on Leprosy, 1950 Patient Cottages1210 Correspondence, Reports, Clippings, 1953-19591211 Photographs, [1953]1212 Patient Passes, 1954, 19601213 Mail Sterilization, 1958 Research, 1926-1975131-2 Reprints, 1926-1964133 Interbureau Advisory Committee on Leprosy and "Progress and Potentials" Conferences, 1956-1959134 Mice, 1963135 U.S. - Japan Cooperative Medical Science Program, 1965-1966 Kirchheimer and Armadillos, 1969-1975136-7 Correspondence, Clippings, 1969; 1971-1975 Press Conference, August 1971138 Photographs, 1971139 Publicity Folder, 1971 Leprosy Policies and Organizations Outside Carville, 1922-19701310 Leprosy Pamphlets, Bulletins, Factsheets, 1945-19581311 Leprosy Regulations: U.S. and Territories, 1946-1951; 19671312 American Samoa: Correspondence, Clippings, 1960-1964 Hawaii, 1922-19701313 Correspondence, Reports, Photographs, 1922, 1949; 1959-1960; [1965]141 News Clippings, 1968-1970142 Leonard Wood Memorial (American Leprosy Foundation): Booklets, Reports, Correspondence, 1950-1962143 National Advisory Committee on Leprosy: Constitution and Incorporation, 1948145 World Leprosy Day, 1968-1969146 World Leprosy Week, 1970147 Official Reports, Summaries, Proposals, Bulletins, 1949; 1951; 1958-1961148-16 Administrative Correspondence, 1946-1969 Division of Hospitals' Administrative Documents, 1819; 1921-1982 Histories, 1819; 1921-1975151-2 Hospital System Histories and Related Material, 1819; 1921; [1952?]; 1955-1980153 Division of Hospitals Program Statement, [1950-1951?]154 Bureau of Medical Services Overview Handbook 1954155-6 Reorganizations: Memos, Press Releases, Reports, Clippings 1966-1974 Division of Hospitals History Prepared for LBJ Library, 1968157 Correspondence, Memos, 1968158 Materials Collected, 1968159 Slides, Circa 1974-1975 Baltimore, Carville, Galveston, New Orleans, Norfolk, San Francisco, Staten Island Programs, 1960-1981161-3 Cuban Refugee Adjustment program (includes photos), 1966-1968; 1980164 Direct Health Services: History and Description, 1967165 Emergency Health Services (includes photos), 1966-1973166 Multiphasic Health Screening: Baltimore, [1970+]167 Non-discrimination Statement, 1965168 Poison Control, 1964-1968169 Refugee Medical Care in PHS Hospitals: Photographs,1610 Rehabilitation Medicine, 1966-19671611 Teaching and Training Facilities at PHS Hospitals, 19601612 BMS Information Office Manuscript Log and Related Correspondence, 1979; 1973-1981 Reports and Planning Materials, 1949-1981171 Hoover Commission Reports: Clippings and Correspondence, 1949-1955172 Study of Four PHS Hospitals (Chicago, Detroit, Memphis, Savannah), 1958173 Mission and Organization of PHS Study Committee: Correspondence, 1959-1960174 Briefing Memorandum on PHS Hospitals for Secretary of DHEW: Correspondence, Memo, 1961175 Report to Secretary DHEW on Bureau of Budget Hospital Policies, 1961176 Surgeon General's Memorandum/Report to DHEW Comptroller Re: Termination of Medical Care of Seamen and Hospital Closures, 1961177 Report on Provision of Medical Care to American Merchant Seamen and Other Beneficiaries (Harris Study), 1962178 Closures: Legal Opinions on Survival of Hospitals, 1963-1974179 Harris Report: Correspondence and Attachments, 19631710 Office of Science and Technology's PHS Study Committee: Presentation by PHS, 19651711 Report of Special Committee Appointed by President's Science Advisor to Study PHS General Hospitals (Webster Report), 19651712 Direct Health Services: Conferences of Medical Officers in Charge, 1967-19681713 Paper on Future of PHS Hospitals and Alternate Delivery Systems, 19691714 FHPS Issue Paper on PHS Hospitals and BOB Recommendations, 1969-1970171 "PHS Hospital System: Missions for the Seventies", [197?]182 Federal Health Programs Service: Program Review, Proposals, [197?]183 Individual Hospital and Overall Summaries: Site Visits, 1971184 HSMHA Responses to Office of Management and Budget: Closure Arrangements, 1971185 HSMHA Report on Conversion of Baltimore to Community Use, 1971186 Closures and Conversions: Administrative Documents, [1971?]-1972187 Plan for Provision of Inpatient Service through Contract with Community Hospitals, [1973]188 DHEW Asst. Secretary Statement on PHS Hospitals to House Committee on Merchant Marine and Fisheries, 1973189 Plan for Cessation of Inpatient Admissions to 8 PHS Hospitals, 19731810 Administration's Policy on PHS Hospitals: Correspondence, 1974 Interagency Task Force on PHS Hospitals, 19741811 Correspondence, Minutes, 19741812 Reference Materials, 1974191 PHS Hospital Community Participation Study, 1974192 Seattle PHS Hospital Study, 1974193 Office of Management and Budget Correspondence with Navy re: Transfer of Coast Guard Medical Care from PHS, 1974194 Administrative Analyses of Hospital Staffing: Misc. Documents, 1974195 "PHS Hospitals: An Approach to Service and Cost Comparisons" (Geomet Report), 1975196 Closures and Conversions: Administrative Documents, 1975-1977197 Eight General PHS Hospitals: Descriptive Information, 1976198 Seattle PHS Hospital: Description, [1976] Public Health Service Hospitals Ad Hoc Advisory Committee, 1977-1978199 Summaries and Recommendations of Previous Studies on PHS Hospital Operations, [1977?]1910 PHS Hospital Closures: Chronology, 1958-1977 [1977+]1911 Misc. Documents, 19781912 Division of Hospitals and Clinics Director's Planning Memo for Future of PHS Hospitals, 19781913 Staff Findings and Appendices, 19781914 Committee Report: Draft, 19781915 Committee Report: Final, 19781916 Implementation of Recommendations: Correspondence, 1978 Site Visit Background Data Books, 1978201 Baltimore, 1978202 Boston, 1978203 Carville, 1978204 Galveston, 1978205 New Orleans, 1978206 San Francisco, 1978207 Seattle, 1978208 Staten Island, 1978201 HSA Reports on Implementation of Recommendations, 1979212 Bureau of Medical Services: Budget Appropriations Documents, [1979+]213 "Development of a Method to Assess Management Effectiveness in PHS Hospitals: A Process Study", 1980214 Proposal for Community Sponsorship of Staten Island Hospital, 1981 Closures of Facilities and System, 1949-1983215 Press Releases, 1949-1965216 Chronological Listings, 1952-1969217 Reports, Memos, Statements, Articles, 1961-1969218 Report of Committee on Government Operations (Fountain Committee), 1965 Final Closure, 1981219 Graduate Medical Examination Programs: Correspondence and Reports, 19812110 Cost Estimates for Fiscal Years, 1981-1983, 1981211 Misc. Planning Correspondence, 1981222 Clippings and Media Activity Reports, 1980-1981223 Joint Oversight Field Hearing, Baltimore, 1981224-5 Work Plans and Memos, 1981226 Tracking System Report, 1981 Audio Tapes, 1971; 1973231 Discussion of conversion and contract institutions, speakers unknown, [1973?]232 "Meeting 3/5/73" speakers unknown, 1973233 Discussion of conversion of Boston facility? speakers unknown, [1973?]234-12 HEW Study Committee, New Orleans, speakers include PHS officials, hospital personnel, and representatives from community institutions, 1971 Medical Care of Seamen, 1942-1982 Administrative Documents, 1942-1981241 Operations and Eligibility, 1942-1948242 Eligibility and Beneficiaries, 1947-1956243 Miscellaneous Correspondence, Booklets, Histories, 1949-1964244 Physical Standards,, [1952+]; 1955245 "Background, Present Program and Alternatives" [Report], [1953+]246 Correspondence, Memos, Reports, 1953-1954247 "Medical Care for American Seamen": Report to Keefer, 1954248 "Medical Care for Seamen: Utilization of Prepayment Plans", 1954249 Correspondence, Memos, Reports, 1955-19582410 Legislative History of Beneficiaries, 19622411 Examination of Seamen: Historical Background, [1963+]2412 "Disentitlement of Seafarers from PHS Care: Preliminary Analysis", 1981 Medical Services to Ships at Sea, 1953-1980251 Correspondence, Press Releases, Clippings, 1954-1966252 Photographs, [195?-196?]The Ship's Medicine Chest, 1946-1980253 Correspondence re: Revisions, 1946-1955254 Drafts, Notes, Revisions for 1954 Reprinting, [1953?-1954?]255 Position Paper Materials on Ships' Medicine Chests and Medical Advice by Radio, 1957-1958256 Seafarer's Health Improvement Program (SHIP) Participant and Work Group Listings, 1980 Outside Organizations, 1922-1964257 Council of Seamen's Agencies, 1946-1948258 Labor-Management Maritime Committee: Reports, 1958; 1964259 Propeller Club, 1954-19642510 United Seamen's Service: Correspondence, Reports, 1955-19642511 U.S. Coast Guard and Merchant Marine Council, 1949-1963 Oversize Case, 192-; 1944 Photograph, Sheepshead Bay (Manhattan Beach) staff, 1944 Poster, notification to beneficiaries of creation of veteran's hospitals, 192- Certificates of accreditation and achievement, New Orleans

    Collection Scope and Content Note

    Public Health Service (PHS) hospitals have treated merchant seamen and other PHS beneficiaries since 1798. As part of an evolving network of hospital and clinic care, the hospitals experienced in the twentieth century their greatest expansion and also their demise. The papers in the PHS Hospitals Historical Collection, accumulated over the course of many years, chronicle the activities, administration, and closure of the hospitals, especially since 1950.

    Found first in this collection are circulars, similar letters, handbooks, and manuals describing clinic, hospital, and division procedure commencing with the early part of the century. These materials were distributed to individual administrators and facilities by the Division of Hospitals, the organizational unit of the PHS which, through several reorganizations and name changes, oversaw PHS hospital activities.

    The majority of documents included in this collection originated in the Division of Hospital's Information Office, which collected historical and current information about the Division's activities, and particularly those of individual facilities. Prominent among these facilities and the subject of a separate series within this collection is the National Hansen's Disease Center in Carville, Louisiana (formerly the National Leprosarium). The Carville facility existed as a leper hospital for over two decades before its administration was assumed by the Public Health Service in 1921. The materials found here were collected by the Division of Hospitals' Information Office and stress Carville's unique legacy and service.

    Also prominent in this collection are the many histories, program files, reports, and planning documents compiled by the Division of Hospitals. These materials, detailed in the attached series listing, discuss the history, current status, and future of the Public Health Service hospital system. Similarly, both the history and future of medical care for the largest group of PHS beneficiaries, American seamen, is chronicled by materials in the collection's final series. Together, the documents in these two series show how PHS hospital officials and administrators perceived their mission, facilities, and future, and how the hospital system was presented to its critics and supporters.

    Researchers interested in the history of hospitals, health policy, and the Public Health Service should also consult the Library's other Public Health Service collections, to which some materials (general bureau circular series, some general histories of the PHS) not specifically related to the Service's hospitals and clinics have been transferred. Also separated, and individually catalogued, are logbooks from the New Orleans Marine Hospital (1870-1887), the San Francisco Marine Hospital (1916-1936), and the Mobile Marine Hospital (1913-1936).

    Individual descriptions of this collection's five series follow, as does a detailed box and folder listing. Folders containing significant numbers of photographs have been noted.

    Contents List
    Box | Folder Title
     
    Hospital Division Circulars, Similar Letters, Handbooks, and Manuals, 1905-1962 [series]:
     
    Hospital Division Circulars, c. 1919-1945 [subseries]:
    1 1
    Active List
    1 1-23
    Nos. 1-230
    2 1-5
    Nos. 231-268
     
    Similar Letters, c. 1920-1945 [subseries]:
    2 6
    Active List
    2 6-26
    Nos. 1-200
     
    Handbooks and Manuals [subseries]:
    3 1-7
    Manual of Procedure, Topics 1-90, (1905 - 1941), [as of 1941]
    3 8
    Manual of Marine Hospital Organization and Management, 1946
    3 9-10
    Regulations and Procedures Section Activities Handbook, [as of 1952]
     
    Outpatient Office Guides, 1950-1967 [subseries]:
    4 1
    Transmittal Letters, 1950-1958
    4 2-3
    Guide, [as of 1958]
    4
    Guide, [as of 1967]
    4
    Manual for Medical Examination of Aliens, [as of 1963]
    5 1-2
    Handbook of Relief Stations and Medical Officers, [As of 1940]
    5 3
    Medical Officer's Guide to the Administration of 3rd Class Relief Stations, 1947
    5 4
    Operating Guide For Designated Physicians for Coast Guard and Geodetic Survey (CG & GS) Personnel, 1947
     
    Designated CG & GS Physician's Guide, 1950-1958 [subseries]:
    5 5
    Transmittal Letters, 1950-1958
    5 6
    Guide, [As of 1958]
     
    "Information for Medical and Dental Officers Assigned to CG & GS Ships" [subseries]:
    5 7
    Brochure (includes photos), 1962
    5 8
    Pamphlets, 1962
    5 9
    Division of Hospitals Operations Manual: Revisions and Additions, 1959-1962 [As of 1962]
     
    Bound Handbooks and Manuals, 1942-1960 [subseries]:
     
    Division of Hospitals Operations Manual, 1949-1960 [subseries]:
    v.1
    Volume I: Introduction, Parts A-C
    v.2
    Volume II: Parts C-D, Circa 1949-1960
    v.3
    Part C: Management Services, Circa 1949-1955
    v.4
    Part D: Medical and Professional Matters, Circa 1951-1955
    v.5
    Contract Institutions Weekly Census Report, Bound, 1942-1947
     
    Hospital and Clinic Files by City, (192?) - 1982 [series]:
     
    Baltimore, 1940s-1976; 1980-1981 [subseries]:
    6 1
    History, [194?-1976]
    6 2
    Station Bulletins, 1980-1981
    6 3
    Photographs
     
    Boston, [193?] - 1981 [subseries]:
    6 4-5
    History, [193?] - 1940; 1960-1970
    6 6
    Photographs
    6 7
    Closure (Proposed), 1965
    6 8
    Station Bulletins, 1980-1981
    6 9-10
    Buffalo (includes photos), 1949; 1970
    6 11
    Charleston, 1951; 1977
    6 12
    Chicago, 1951; 1960-1965 [1972+]
    6 13
    Chicago job corps center photographs, 1966
     
    Cleveland [subseries]:
    6 14
    History, [198?]
    6 15
    Photographs
    6 16
    Closures, 1953; 1970-1971
    6 17
    Detroit, 1953-1969
    6 18
    El Paso, 1949
    6 19
    Evansville, Ind., 1947
    6 20
    Ft. Chafee, Ark., [1980s]
    7 1
    Ft. Stanton, N. Mex., 1953
     
    Ft. Worth [subseries]:
    7 2
    History, 1950-1969
    7 3
    Hospital Booklet, 1954-1961
    7 4-5
    Freedmen's Hospital (includes photos) [Howard University, Washington, D.C.]
    7 6
    Freedmen's Hospital Administrative Correspondence, 1945-1965
     
    Galveston [subseries]:
    7 7
    History, 1954-1977
    7 8
    Closure, 1965
    7 9
    Photographs
    7 10
    Juneau, 1966
    7 11
    Key West, 1950-1972
    7 12
    Kirkwood, Mo. (includes photos), 1948-1953
     
    Lexington [subseries]:
    7 13-14
    History, 1929-1965
    7 15
    30th Anniversary (includes photos), 1965
    7 16
    Photograph
    7 17
    Los Angeles, 1944-1963
    8 1
    Louisville, 1966
    8 2
    Memphis (includes photo), 1957-1965
    8 3
    Miami (includes photos), 1964-1978
    8 4
    Mobile, 1948-[1952]
     
    New Orleans [subseries]:
    8 5-6
    History, 1959-1973
    8 7
    Station Bulletins, 1981
    8 8
    Photographs
    26 2-4
    Photographs
     
    New York City [subseries]:
     
    Ellis Island, 1948-1962 [subseries]:
    8 9
    History (includes photos), 1948-1950
    8 10
    Closure, 1950-1961
     
    Proposed Conversion to Drug Rehabilitation Center, 1951-1962 [subseries]:
    8 11
    Press Clippings, 1951-1952; 1958
    8 12
    Administrative Action File, 1958; 1962
     
    Manhattan Beach, 1944-[1960?] [subseries]:
    8 13
    Photograph
    8 14
    History, 1944-[1960?]
    8 15
    Move to Neponsit Beach, 1949-1950
    9 1-2
    Administrative Correspondence, 1942-1960
     
    Closure [subseries]:
    9 3
    Correspondence, Clippings, 1958-1960; 1964
    9 4
    Administrative Action File, 1960
    9 5
    Neponsit Beach (includes photos), 1958
     
    Staten Island [subseries]:
    9 6
    History, 1945-1973
    9 7
    Photographs
    9 8
    Staff participation in shipwreck disaster photographs
     
    Varick and Houston Streets [subseries]:
    9 9
    Functional Plans and Equipment Listing, 1963-1964
    9 10
    Opening and Dedication, 1967-1970
    9 11
    Norfolk, 1949; 1960-1970
    10 1-2
    Pittsburgh (includes photos), 1949
    10 3
    Portland, Me.
    10 4
    St. Louis, [1978+]
     
    San Francisco [subseries]:
    10 5
    History, 1952-1975
    10 6
    Station Bulletins, 1981
    10 7
    Officers Club, 1956-1961
    26 5
    Photographs
    26 6
    Civil Defense Emergency HQ photographs, [195-]
     
    San Juan [subseries]:
    10 8
    Primate Lab, 1960
    10 9
    OPC parade float, [196-]
     
    Architectural drawings
     
    San Pedro, 1966-1970 [subseries]:
    10 10
    Architectural and Program Plans, 1966-1968
    10 11
    Station Bulletins, 1970
    10 12
    Outpatient clinic, OEO neighborhood youth corps photographs
    10 13
    Savannah, 1960-1969
     
    Seattle [subseries]:
    10 14
    History, 1949-1971
    10 15
    Station Bulletins, 1975
    26 7
    Terminal Island, Ca. photographs, [195-]
     
    Vineyard Haven, Mass. [subseries]:
    10 16
    History, 1894-1895; 1946-1951
    10 17-18
    Closure (includes photos), [1947?]-1952
    10 19
    Washington, D.C., Station Manual, 1951
    26 8
    Xavier University, New Orleans photographs, [196-]
    26 9-10
    Unidentified hospitals, locations, events photographs
     
    Other Photographs [subseries]:
    26 11
    NIH Clinical Center, [195-]
    26 12
    Prisons staff conference, [196-]
    26 13
    Atlanta federal penitentiary hospital, [195-]
    26 14
    La Luna, Tx. Federal correctional institution, [195-]
    26 15
    Springfield, Mo. Prison hospital medical officers, 1936
    26 16
    162nd PHS anniversary photograph album [hospitals], July 1960
    26 17
    Coast Guard/PHS joint service photographs, 1950-1966
    26 18
    "Physical medicine and rehabilitation"--exhibit panel photographs, 1947
    26 19
    Printing plate, Boston Customs House/Marine Hospital certificate, [1827]
    26 20
    NASA/PHS Columbia space shuttle officers, [1981]
    26 21
    Alaska/Eskimos, [195-]
     
    Carville Hansen's Disease Center, 1917-1982 [series]:
     
    Hospital, 1917-1981 [subseries]:
    11 1
    Establishment, 1917-1920; 1956
    11 2
    Photographs
    26 1
    Photographs
    11 3
    Booklets, Pamphlets, Guides, 195-1960
     
    History, 1917-1980 [subseries]:
    11 4
    Histories and Descriptions, 1938; 1946-1979
    11 5
    John Smith Kendall (includes photos), 1939-1980
    11 6
    Nursing Staff, 1962
    11 7
    Articles, Clippings, 1948-1981
     
    The Star [subseries]:
    11 8-9
    Stanley Stein and Editorship, [194?]-1967
    11 10
    Issues, 1946, 1947, 1954, 1960, 1966, 1971
    11 11
    Reprinted Articles, [1947-1960]
    11 12
    Print Shop and Printing Equipment, 1947-1949; 1961
    11 13
    Station Bulletins, 1981
    11 14
    Chaplaincy and Churches, 1924-1930; 1955-1962
    11 15
    Rehabilitation and Recreation, 1960-1961
    11 16
    Frederick Johansen (Medical Officer in Charge, 1947-1953), 1952-1953
    11 17
    Sr. Hilary Ross (Laboratory), 1959-1960
    11 18
    Sr. Laura Stricker (Chief Pharmacist, 1932-1972), 1966-1972
    11 19
    Sisters of Charity: DHEW Service Award, 1957
     
    Damien-Dutton Awards, 1956-1965 [subseries]:
    12 1
    Ceremonies and Recipients, 1956-1965
    12 2
    Ceremony Photographs, 1964
    12 3
    Films, 1952-1962
     
    Publicity and Media Coverage, 1964; 1970-1981 [subseries]:
    12 4-7
    Correspondence, Etc., 1964; 1970-1981
     
    Hospital Policies [subseries]:
    12 8
    Policy and Procedure Manual, [Through 1947]
    12 9
    PHS Policies on Leprosy, 1950
     
    Patient Cottages [subseries]:
    12 10
    Correspondence, Reports, Clippings, 1953-1959
    12 11
    Photographs, [1953]
    12 12
    Patient Passes, 1954, 1960
    12 13
    Mail Sterilization, 1958
     
    Research, 1926-1975 [subseries]:
    13 1-2
    Reprints, 1926-1964
    13 3
    Interbureau Advisory Committee on Leprosy and "Progress and Potentials" Conferences, 1956-1959
    13 4
    Mice, 1963
    13 5
    U.S. - Japan Cooperative Medical Science Program, 1965-1966
     
    Kirchheimer and Armadillos, 1969-1975 [subseries]:
    13 6-7
    Correspondence, Clippings, 1969; 1971-1975
     
    Press Conference, August 1971
    13 8
    Photographs, 1971
    13 9
    Publicity Folder, 1971
     
    Leprosy Policies and Organizations Outside Carville, 1922-1970 [subseries]:
    13 10
    Leprosy Pamphlets, Bulletins, Factsheets, 1945-1958
    13 11
    Leprosy Regulations: U.S. and Territories, 1946-1951; 1967
    13 12
    American Samoa: Correspondence, Clippings, 1960-1964
     
    Hawaii, 1922-1970
    13 13
    Correspondence, Reports, Photographs, 1922, 1949; 1959-1960; [1965]
    14 1
    News Clippings, 1968-1970
    14 2
    Leonard Wood Memorial (American Leprosy Foundation): Booklets, Reports, Correspondence, 1950-1962
    14 3
    National Advisory Committee on Leprosy: Constitution and Incorporation, 1948
    14 5
    World Leprosy Day, 1968-1969
    14 6
    World Leprosy Week, 1970
    14 7
    Official Reports, Summaries, Proposals, Bulletins, 1949; 1951; 1958-1961
    14 8-16
    Administrative Correspondence, 1946-1969
     
    Division of Hospitals' Administrative Documents, 1819; 1921-1982 [series]:
     
    Histories, 1819; 1921-1975 [subseries]:
    15 1-2
    Hospital System Histories and Related Material, 1819; 1921; [1952?]; 1955-1980
    15 3
    Division of Hospitals Program Statement, [1950-1951?]
    15 4
    Bureau of Medical Services Overview Handbook 1954
    15 5-6
    Reorganizations: Memos, Press Releases, Reports, Clippings 1966-1974
     
    Division of Hospitals History Prepared for LBJ Library, 1968 [subseries]:
    15 7
    Correspondence, Memos, 1968
    15 8
    Materials Collected, 1968
    15 9
    Slides, Circa 1974-1975 [subseries]:
     
    Baltimore, Carville, Galveston, New Orleans, Norfolk, San Francisco, Staten Island
     
    Programs, 1960-1981 [subseries]:
    16 1-3
    Cuban Refugee Adjustment program (includes photos), 1966-1968; 1980
    16 4
    Direct Health Services: History and Description, 1967
    16 5
    Emergency Health Services (includes photos), 1966-1973
    16 6
    Multiphasic Health Screening: Baltimore, [1970+]
    16 7
    Non-discrimination Statement, 1965
    16 8
    Poison Control, 1964-1968
    16 9
    Refugee Medical Care in PHS Hospitals: Photographs,
    16 10
    Rehabilitation Medicine, 1966-1967
    16 11
    Teaching and Training Facilities at PHS Hospitals, 1960
    16 12
    BMS Information Office Manuscript Log and Related Correspondence, 1979; 1973-1981
     
    Reports and Planning Materials, 1949-1981 [subseries]:
    17 1
    Hoover Commission Reports: Clippings and Correspondence, 1949-1955
    17 2
    Study of Four PHS Hospitals (Chicago, Detroit, Memphis, Savannah), 1958
    17 3
    Mission and Organization of PHS Study Committee: Correspondence, 1959-1960
    17 4
    Briefing Memorandum on PHS Hospitals for Secretary of DHEW: Correspondence, Memo, 1961
    17 5
    Report to Secretary DHEW on Bureau of Budget Hospital Policies, 1961
    17 6
    Surgeon General's Memorandum/Report to DHEW Comptroller Re: Termination of Medical Care of Seamen and Hospital Closures, 1961
    17 7
    Report on Provision of Medical Care to American Merchant Seamen and Other Beneficiaries (Harris Study), 1962
    17 8
    Closures: Legal Opinions on Survival of Hospitals, 1963-1974
    17 9
    Harris Report: Correspondence and Attachments, 1963
    17 10
    Office of Science and Technology's PHS Study Committee: Presentation by PHS, 1965
    17 11
    Report of Special Committee Appointed by President's Science Advisor to Study PHS General Hospitals (Webster Report), 1965
    17 12
    Direct Health Services: Conferences of Medical Officers in Charge, 1967-1968
    17 13
    Paper on Future of PHS Hospitals and Alternate Delivery Systems, 1969
    17 14
    FHPS Issue Paper on PHS Hospitals and BOB Recommendations, 1969-1970
    17 1
    "PHS Hospital System: Missions for the Seventies", [197?]
    18 2
    Federal Health Programs Service: Program Review, Proposals, [197?]
    18 3
    Individual Hospital and Overall Summaries: Site Visits, 1971
    18 4
    HSMHA Responses to Office of Management and Budget: Closure Arrangements, 1971
    18 5
    HSMHA Report on Conversion of Baltimore to Community Use, 1971
    18 6
    Closures and Conversions: Administrative Documents, [1971?]-1972
    18 7
    Plan for Provision of Inpatient Service through Contract with Community Hospitals, [1973]
    18 8
    DHEW Asst. Secretary Statement on PHS Hospitals to House Committee on Merchant Marine and Fisheries, 1973
    18 9
    Plan for Cessation of Inpatient Admissions to 8 PHS Hospitals, 1973
    18 10
    Administration's Policy on PHS Hospitals: Correspondence, 1974
     
    Interagency Task Force on PHS Hospitals, 1974 [subseries]:
    18 11
    Correspondence, Minutes, 1974
    18 12
    Reference Materials, 1974
    19 1
    PHS Hospital Community Participation Study, 1974
    19 2
    Seattle PHS Hospital Study, 1974
    19 3
    Office of Management and Budget Correspondence with Navy re: Transfer of Coast Guard Medical Care from PHS, 1974
    19 4
    Administrative Analyses of Hospital Staffing: Misc. Documents, 1974
    19 5
    "PHS Hospitals: An Approach to Service and Cost Comparisons" (Geomet Report), 1975
    19 6
    Closures and Conversions: Administrative Documents, 1975-1977
    19 7
    Eight General PHS Hospitals: Descriptive Information, 1976
    19 8
    Seattle PHS Hospital: Description, [1976]
     
    Public Health Service Hospitals Ad Hoc Advisory Committee, 1977-1978 [subseries]:
    19 9
    Summaries and Recommendations of Previous Studies on PHS Hospital Operations, [1977?]
    19 10
    PHS Hospital Closures: Chronology, 1958-1977 [1977+]
    19 11
    Misc. Documents, 1978
    19 12
    Division of Hospitals and Clinics Director's Planning Memo for Future of PHS Hospitals, 1978
    19 13
    Staff Findings and Appendices, 1978
    19 14
    Committee Report: Draft, 1978
    19 15
    Committee Report: Final, 1978
    19 16
    Implementation of Recommendations: Correspondence, 1978
     
    Site Visit Background Data Books, 1978
    20 1
    Baltimore, 1978
    20 2
    Boston, 1978
    20 3
    Carville, 1978
    20 4
    Galveston, 1978
    20 5
    New Orleans, 1978
    20 6
    San Francisco, 1978
    20 7
    Seattle, 1978
    20 8
    Staten Island, 1978
    20 1
    HSA Reports on Implementation of Recommendations, 1979
    21 2
    Bureau of Medical Services: Budget Appropriations Documents, [1979+]
    21 3
    "Development of a Method to Assess Management Effectiveness in PHS Hospitals: A Process Study", 1980
    21 4
    Proposal for Community Sponsorship of Staten Island Hospital, 1981
     
    Closures of Facilities and System, 1949-1983 [subseries]:
    21 5
    Press Releases, 1949-1965
    21 6
    Chronological Listings, 1952-1969
    21 7
    Reports, Memos, Statements, Articles, 1961-1969
    21 8
    Report of Committee on Government Operations (Fountain Committee), 1965
     
    Final Closure, 1981 [subseries]:
    21 9
    Graduate Medical Examination Programs: Correspondence and Reports, 1981
    21 10
    Cost Estimates for Fiscal Years, 1981-1983, 1981
    21 1
    Misc. Planning Correspondence, 1981
    22 2
    Clippings and Media Activity Reports, 1980-1981
    22 3
    Joint Oversight Field Hearing, Baltimore, 1981
    22 4-5
    Work Plans and Memos, 1981
    22 6
    Tracking System Report, 1981
     
    Audio Tapes, 1971; 1973 [subseries]:
    23 1
    Discussion of conversion and contract institutions, speakers unknown, [1973?]
    23 2
    "Meeting 3/5/73" speakers unknown, 1973
    23 3
    Discussion of conversion of Boston facility? speakers unknown, [1973?]
    23 4-12
    HEW Study Committee, New Orleans, speakers include PHS officials, hospital personnel, and representatives from community institutions, 1971
     
    Medical Care of Seamen, 1942-1982 [series]:
     
    Administrative Documents, 1942-1981 [subseries]:
    24 1
    Operations and Eligibility, 1942-1948
    24 2
    Eligibility and Beneficiaries, 1947-1956
    24 3
    Miscellaneous Correspondence, Booklets, Histories, 1949-1964
    24 4
    Physical Standards,, [1952+]; 1955
    24 5
    "Background, Present Program and Alternatives" [Report], [1953+]
    24 6
    Correspondence, Memos, Reports, 1953-1954
    24 7
    "Medical Care for American Seamen": Report to Keefer, 1954
    24 8
    "Medical Care for Seamen: Utilization of Prepayment Plans", 1954
    24 9
    Correspondence, Memos, Reports, 1955-1958
    24 10
    Legislative History of Beneficiaries, 1962
    24 11
    Examination of Seamen: Historical Background, [1963+]
    24 12
    "Disentitlement of Seafarers from PHS Care: Preliminary Analysis", 1981
     
    Medical Services to Ships at Sea, 1953-1980 [subseries]:
    25 1
    Correspondence, Press Releases, Clippings, 1954-1966
    25 2
    Photographs, [195?-196?]
     
    The Ship's Medicine Chest, 1946-1980 [subseries]:
    25 3
    Correspondence re: Revisions, 1946-1955
    25 4
    Drafts, Notes, Revisions for 1954 Reprinting, [1953?-1954?]
    25 5
    Position Paper Materials on Ships' Medicine Chests and Medical Advice by Radio, 1957-1958
    25 6
    Seafarer's Health Improvement Program (SHIP) Participant and Work Group Listings, 1980
     
    Outside Organizations, 1922-1964 [subseries]:
    25 7
    Council of Seamen's Agencies, 1946-1948
    25 8
    Labor-Management Maritime Committee: Reports, 1958; 1964
    25 9
    Propeller Club, 1954-1964
    25 10
    United Seamen's Service: Correspondence, Reports, 1955-1964
    25 11
    U.S. Coast Guard and Merchant Marine Council, 1949-1963
     
    Oversize Case, 192-; 1944 [series]:
     
    Photograph, Sheepshead Bay (Manhattan Beach) staff, 1944
     
    Poster, notification to beneficiaries of creation of veteran's hospitals, 192-
     
    Certificates of accreditation and achievement, New Orleans