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are all located on elevated ground but the drainage is not entirely satisfactory. Work is now in progress for improving the drainage conditions. There are 31 occupied buildings, the most important of which are the administration building, 12 cottages, the reception building, the two hospitals and the power house. In addition to these there are the usual farm buildings. The area of the grounds owned for the use of the institution is 195.5 acres. The capacity of the institution is 496 inmates exclusive of hospital, infants and disciplinary. At the time of the inspection the total population was 511 made up of 405 inmates and 106 employees.

An examination of the sanitary condition of the institution was made on July 2-3, 1917. As a result of the investigation certain insanitary conditions were found to exist and the report covering in detail the results of the examination contained the following conclusions and recommendations.

Conclusions and recommendations

1. That in view of the unsatisfactory condition of a number of the buildings, as pointed out in detail in the body of the report:

(a) The plaster of the walls and ceilings and floor of all cottages be repaired where such repairs are needed and also all pantries be properly equipped with satisfactory shelving and cupboards and more effective steps be taken to eliminate roaches, water bugs, etc.

(b) Rebecca Hall be thoroughly overhauled, repaired and remodeled so as to render it sanitary in all respects, and as modern as practicable, or a new building be constructed of satisfactory design and construction for the purposes for which this building is used.

(c) Proper drainage be installed to carry away the water which accumulates in the cellar entrances.

(d) Proper screens be provided for the institution.

2. That in view of the unsatisfactory sanitary quality of the water supply, and inadequacy of the system for fire protection purposes:

(a) Suitable chlorinating apparatus be installed and put in operation at the earliest possible date.

(b) The pipe connection from the pumps to the old well be entirely removed.

(c) Reducing valves and other appurtenances be installed at all points where necessary.

(d) The pumps be thoroughly overhauled and if necessary new pumps be installed.

3. That in regard to fire protection:

(a) Adequate fire fighting apparatus for outside use be provided at the institution and that this apparatus be stored in a fireproof building easy of access and centrally located if possible.

(b) The necessary fire fighting apparatus be provided in the interior of the buildings where this is not now provided and that effective measures be taken for the maintenance of this apparatus in a condition so that it will be instantly available for fire fighting. 4. That in view of the obsolete plumbing and its unsatisfactory condition in some of the older buildings as pointed out in detail above, this plumbing be thoroughly overhauled and remodeled to conform with modern practice.

5. That in view of the apparently inadequate heating facilities for Rebecca Hall and Cowdin cottage adequate heating facilities be provided for those buildings.

6. That in regard to the milk supply:

(a) If it is necessary to obtain milk from outside parties the institutional authorities regularly inspect the dairies from which the milk comes and take proper precautions to make sure that the milk is at all times of a satisfactory quality.

(b) The cow barn be remodeled so as to provide satisfactory facilities for producing milk of good quality or a new cow barn of proper design and construction be built.

(c) More effective measures be taken to see that the milk containers are properly sterilized.

7. That the gas vents of the Imhoff tanks be kept free from scum at all times.

(Hudson) New York State Training School for Girls

The New York State Training School for Girls is located in the southern portion of the city of Hudson in Columbia county near an arm of the Hudson river known as South Bay. The institution owns 171 acres of land. The buildings consisting of an administration building, chapel, industrial building, teachers' quarters, storehouse, disciplinary, power house, 14 cottages, barn and other accessory buildings, 28 in all, are located on a plateau at an elevation of about 100 feet above the level of the river.

The institution is maintained for the reception of girls not over the age of 16 years who shall be legally committed thereto or placed in charge of such institution by any court having authority to make such commitments or to place such girls therein. At the time of the inspection the population of the institution was 325 inmates and approximately 100 attendants, making a total of 425. The capacity of the institution is 366 inmates and 77 attendants, a total of 443.

An inspection of this institution was made on January 13, 1917, and the report made on this investigation contained the following conclusions and recommendations.

Conclusions and recommendations

1. That the sewage disposal plant be repaired and placed in efficient working order and be maintained in such a condition and that the steps necessary to the proper adjustment of the matter of the discharge of effluent from the disposal plant be taken as rapidly as possible in order that the insanitary conditions now caused by the improper discharge of sewago from the institution may be abated.

2. That a modern structure providing sufficient and satisfactory quarters for the teachers and staff be provided and that the old hospital building now being used for that purpose be either abandoned or used for some purpose for which it is better adapted.

3. That a proper fire alarm system be provided in the way of electric annunciators to eliminate the necessity of locking the girls in their rooms at night.

4. That barns he constructed at a point more remote from the hospital and other main buildings or that the barns at the McIntyre property be put in shape to be used.

5. That a new building of a modern type be provided for industrial purposes or that the old one now being used be repaired and remodeled so as make it safe and sanitary in all respects.

6. That a disciplinary building be provided with proper ventilation and sanitary plumbing fixtures and the building now used for this purpose be either abandoned or be used for some other more appropriate purpose.

(Newark) New York State Custodial Asylum for FeebleMinded Women

The New York State Custodial Asylum for Feeble Minded Women is located on the top of a hill just east of the village of Newark, Wayne county, N. Y., on the south side of a valley which at this place extends east and west and is about one mile wide. Passing through the valley are the tracks of three railroad systems, an electric railroad, and the Barge Canal. Ganargua or

Mud creek flows in a winding course through the valley, finally emptying into Canandaigua outlet at Lyons. The site of the institution appears to be admirably selected, offering good drainage and excellent transportation facilities. The area of the grounds used in connection with the institution is 106 acres. There are 13 occupied buildings, consisting of the main building with two wings, 6 cottages, the hospital, the employees building, the power house and the green house. In addition to these there are the usual farm buildings and sheds.

The institution receives feeble-minded women of child-bearing age who are residents of the State. It aims to improve their mental, moral and physical condition. The capacity of the institution is 850. At the time of the inspection the population consisted of 853 inmates and 48 employees, making a total of 901.

An examination of the sanitary condition of the institution was made on June 7, 1917. As a result of this investigation certain insanitary conditions were found to exist and the report covering in detail the results of the inspection contained the following conclusions and recommendations.

Conclusions and recommendations

1. That in view of the unsatisfactory conditions of the building in some respects:

(a) A modern cold storage plant of adequate capacity be provided. (b) In all places where floors, walls or ceilings are in need of repairs, such repairs be made without delay, and that the buildings be maintained in a satisfactory condition at all times.

(c) Suitable window and door screens be provided for all dining rooms and kitchens.

(d) A modern laundry with adequate equipment be provided. 2. That in view of the unsatisfactory condition of the present water supplies and the apparent need of a new supply adequate in quantity and satisfactory in quality:

(a) The institution authorities complete the plant for the filtration and chlorination of the water derived from the Barge Canal as soon as possible.

(b) Steps be taken at once to eliminate the sources of pollution existing around the spring.

(c) All cross connection between the spring and Barge Canal water supplies be eliminated as previously recommended by this Department.

3. That in regard to plumbing:

(a) The plumbing in cottage D be renewed and be remodeled to conform with modern practice.

4. That an adequate fire alarm system be installed at the institution. 5. That the horse manure be removed at sufficiently frequent intervals to prevent fly breeding and be disposed of in a sanitary manner.

(Randall's Island, New York City) New York House of Refuge

The New York House of Refuge is located on Randall's Island, New York city, and is reached by the ferry from the foot of E. 125th street. The area of the grounds used in connection with the institution is 37.5 acres. There are 12 occupied buildings arranged in two groups, one used for the older and the other for the younger boys detained at the institution.

The institution is a reformatory for boys under 18 years of age, charged with and convicted of crime, juvenile delinquency, vagrancy or disorderly conduct, who are given a common school education and industrial instruction. The capacity of the institution is 1,000 inmates. At the time of the inspection the total population was 800, made up of 675 inmates and 125 employees.

An examination of the sanitary condition of this institution was made on December 28, 1916. As a result of this investigation certain insanitary conditions were found to exist and the report on the inspection contained the following conclusions and recommendations:

Conclusions and recommendations

1. That the drinking fountains in the yards be either remodeled so that the flow of water may be better controlled or that they be replaced by fountains which are better designed and constructed.

2. That every effort be made to maintain the trough closets in the yard in a sanitary condition at all times or that they be replaced by flush closets as recommended in the previous report.

3. That adequate plumbing fixtures including urinals be provided throughout the institution where the number is not sufficient.

4. That the garbage receptacles be kept covered at all times of the year.

5. That since unsatisfactory conditions exist in some of the buildings with respect to the floors, walls and ceilings especially in the officers' quarters in the north wing of the main division, the necessary repairs be made to remove these conditions and that the buildings be maintained in a good state of repair at all times.

(Oxford) New York State Women's Relief Corps Home

The New York State Women's Relief Corps Home is located on the Chenango river, about one mile northeast of the village of Oxford, Chenango county, N. Y. The D. L. & W. traverses the northwesterly boundaries of the grounds, and the Ontario and Western R. R. passes through the opposite sides of the grounds. The buildings consist of a main group composed of cottages, and the hospitals which are connected by corridors and extend over a distance of nearly 1,000 feet, and various other accessory buildings, including barns, store houses, etc., all situated on an elevated plateau overlooking the Chenango valley. The institution owns 1032 acres of land, most of which is used for agricultural purposes.

The object of the institution is to provide a home for aged dependent veterans and their wives, veterans' mothers, widows and army nurses who are residents of the State of New York. The average population of the institution is approximately 197 inmates and 58 employees, making a total of 255.

The sanitary condition of the institution was examined on September 4, 1917. As a result of this investigation it was found that certain insanitary conditions existed at the institution and the report on the inspection contained the following conclusions and recommendations:

Conclusions and recommendations

1. That since there is a possibility that the water supply may be polluted by the stock in the vicinity of the springs:

(a) The auxiliary supply from D. L. & W. railroad tank be abandoned and water from the drilled well be used to supplement the spring supply.

(b) The springs be protected by fences enclosing them and the land draining toward them.

2. That in view of the unsatisfactory method of disposal of the sewage: (a) The new sewage treatment plant be put in operation as soon as possible.

(b) That the chlorinating apparatus which has been temporarily omitted on account of lack of funds be installed as soon as the necessary appropriation can be secured.

3. That the insanitary condition of the garbage platform and shed near the kitchen be corrected by the construction of a new and more appropriate platform and shed.

4. That more adequate toilet facilities be provided on the third story of Cottage C by the installation of another bath-room.

5. That in view of the difficulty of keeping the wooden floors of the toilet rooms in sanitary condition, tile floors be installed in the men's toilet in Cottage B, and in the bath-room on the third floor of Cottage C. 6. That since the use to which the fire hydrant at the barn is now being put is liable to render it unavailable in case of fire, the attachments now on that hydrant be removed and the hydrant used for fire protection purposes only.

7. That in view of the inadequacy of the means of egress from the third floor of Cottage C fire escapes be installed on this building.

8. That in view of the insanitary conditions of the piggery, the buildings be repaired or reconstructed and the yards properly drained.

9. That since the hall on the third floor of Cottage C is not satisfactorily ventilated or lighted, alterations be made to obtain satisfactory lighting and ventilation.

10. That in view of the fact that the means of egress in case of fire from the second floors of the cottages are not sufficient for the safety of the inmates, each cottage be provided with fire escapes or means of egress other than the single wooden stairway.

(Ray Brook) New York State Hospital for Incipient Pulmonary

Tuberculosis

The New York State Hospital for Incipient Pulmonary Tuberculosis is located in the Adirondack mountains, on Ray Brook, Essex county, N. Y. There are 7 occupied buildings. In addition to these buildings about 30 tents are pitched during the summer and occupied by patients. With the exception of the power plant all the buildings are situated on elevated grounds about 40 or 50 feet above the level of the railroad and 50 or 60 feet above Ray brook, a small stream which flows through the grounds just south of the railroad. The total area of the grounds owned in connection with the institution is 512 acres.

The institution receives patients having incipient pulmonary tuberculosis who are without funds. The capacity of the institution is 320 patients. At the time of the inspection the population of the institution was 288 patients and 107 employees, making a total of 395. During the summer the population is increased by the number of patients occupying the tents to about 360, making a total population of about 460. An examination of the sanitary condition of the institution was made on April 30, 1917, and the report setting forth in detail the results of the investigation contained the following conclusions and recommendations:

Conclusions and recommendations

1. That the recommendations of the report dated June 21, 1916, on the special investigation of the sewage disposal plant be carried out.

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