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The CHAIRMAN. Out of what appropriation ?
Dr. BRAISTED. There is now under construction, being contracted for, and contemplated, $3,115,000.
The CHAIRMAN. Out of what appropriation?
Dr. BRAISTED. From the $1,000,000 you gave us. Of course this is not built.
We have used up already the $1,000,000 under contract. We have more work which already totals $3,115,000, wnen that work is begun. It is to ask you for the remainder that I am here to-day:
All of this work, as I tried to make clear in the other statement, is on account of the war. It is in places where we have no hospitals or where the hospital facilities have proven to be inadequate, carefully planned and evidently working out just about as we thougnt it would work out.
The CHAIRMAN. Where are you spending the $1,000,000 ?
Dr. BRAISTED. It would be pretty hard to separate that, because I do not know just where the contracts have been given out.
The CHAIRMAN. You know where the money is to be spent?
Admiral HARRIS. I will have to insert that. Contracts have been let in excess of the million dollars you appropriated for under the deficiency. We have created an additional deficiency.
NOTE.- Construction involving the expenditure of approximately $1,775,000 is in progress on hospitals at the following stations : Newport, $190,000; League Island, $150,000; Norfolk, $200,000; Charleston, $125,000; Pensacola, $150,000; New Orleans, $150,000; Great Lakes, $450,000; Puget Sound, $100,000; Hampton Roads, $200,000; miscellaneous, $60,000.
Plans are under way for additional hospital facilities at Portsmouth, N. H., Chelsea, New York, Annapolis, Key West, Gulfport, Pelham Park, Cape May, and Mare Island. The construction contemplated for these stations will involve an expenditure of the remainder of the $3,200,000 estimated as required for emergency hospital construction.
The CHAIRMAN. You had no right to do that. Congress declined to give you more than a million dollars. You had no right to go ahead.
Dr. BRAISTED. We have work under contract at Portsmouth, N. H. The CHAIRMAN. What is being done?
Dr. BRAISTED. I can tell you in great detail, if you would like to know.
PORTSMOUTH, N. H.
The CHAIRMAN. What is being done at Portsmouth?
Dr. BRAISTED. The work at Portsmouth is an expansion to bring up the capacity of the hospital to care for the personnel which will be there-nine buildings, consisting of five pavilion wards, with nurses quarters, hospital corps quarters, a garage, and subsistence building. These buildings have a capacity of approximately 100 beds for patients, an increase of 100 beds for patients.
The CHAIRMAN. In the nine buildings, or in each building?
The CHAIRMAN. What is the character of the buildings—what material?
Dr. BRAISTED. I brought some pictures showing the construction. I should be glad to have you see them, if you care to look at them. That picture [indicating] shows the buildings going up at Newport. There are other buildings of the same type. That is the same type that everybody is building, except that hospital construction has to be a little more careful than the ordinary shack of the Army and the barrack quarters.
The CHAIRMAN. What is the next item?
Dr. BRAISTED. At Chelsea, Mass., we are providing for 25 buildings, consisting of a number of pavilion wards, nurses' quarters, hospital corps quarters, buildings for feeding purposes, subsistence building, garage, and other buildings. One of them would probably be a laboratory building, which is very important. The total of that is $225,000, estimated.
NEWPORT, R. I.
At Newport, R. I., we have contracted for and almost completed 13 buildings, consisting of 6 pavilion wards, garage, nurses' quarters, subsistence building, 3 contagious pavilions, hospital corps quarters an increase of 330 patients, at $190,000. You must understand, Mr. Chairman, that at a great many of these places we have no accommodations for nurses or hospital patients or subsistence.
Mr. Canxon. You said $190,000, and the item before that was larger with a less expenditure!
Dr. BRAISTED. No; that was for 600 patients.
BROOKLYN, N. Y.
Brooklyn, N. Y., six buildings, consisting of six pavilion wards, hospital corps buildings, subsistence building, and power house to supply heat and steam for sterilizing and disinfection, $600,000. The power house there is not adequate to heat those buildings, and we must put in a power house there. That is the largest item in that plant, and it is large because it must be built according to the fire restrictions of the city, and that makes it expensive construction.
The CHAIRMAN. That is permanent construction?
The CHAIRMAN (interposing). How many beds does this $600,000 provide !
Dr. BRAISTED. Of course, you have the power house included in that sum.
The CHAIRMAN. The power house is certainly permanent. How much is that to cost ?
Dr. BRAISTED. That will give an increase of about 600 patients.
The CHAIRMAN. A hospital in Brooklyn has just increased its capacity to 1,000 beds, and yet you want to increase your facilities!
Dr. BRAISTED. But we can not count on those facilities, because the Army will come in there, and we do not know
The CHAIRMAN (interposing). You do not know who will come in there.
Dr. BRAISTED. We must make provision for taking care of our own.
The CHAIRMAN. There is no place where the hospital facilities are greater than in the city of New York.
Dr. BRAISTED. We have tried that over there, and your own people in Brooklyn are complaining because we have not made these provisions.
The CHAIRMAN. What do you mean by my people?
Dr. BRAISTED. Well, they come to me. We have tried very carefully to provide for all of this work and we are trying to be sure that we have accommodations enough, and we would be willing to use all of the outside facilities possible; but when the Army comes back all of their people will come to New York, and we must have our own provisions in the Brooklyn hospital to take care of our own people. It is a very serious matter. It is very easy to think that in these cities you can get outside accommodations, but wherever we have tried it it has usually resulted in failure.
The CHAIRMAN. In your statement before the committee you stated that you wanted $350,000 to increase the facilities in Brooklyn, and now you have contracted, you say, for $600,000!
Dr. BRAISTED. We have added additional wards to this, after going over it very carefully.
The CHAIRMAN. You also exceeded the amount of money you were authorized to expend. Now, how much is the power house going to cost?
Admiral HARRIS. This work in Brooklyn has not been started.
Dr. BRAISTED. About $175,000 is for the power house, which will be exclusively for the hospital.
The CHAIRMAN. Is there any power house there now?
Dr. BRAISTED. Yes, sir; but it is very old and inadequate; it will not last through the winter.
Admiral HARRIS. It is principally for heating these buildings.
The CHAIRMAN. $175,000 is a lot of money for a plant to heat these buildings.
Admiral HARRIS. We have not started this actual improvement.
The CHAIRMAN. Have you more than enough power in the yard so that you could increase it and give a part of it to heating these buildings?
Admiral HARRIS. No, sir.
The CHAIRMAN. It is not so far, and the New York Steam Heating Co. carries live steam all around the city of New York, down town.
Admiral Harris. The ground there is pretty low, and we have had a lot of trouble in the navy yard on account of the pipes losing heat. You can go in the vicinity of the Brooklyn Navy Yard after a snowstorm and trace out your steam pipes by reason of the melted snow, and that shows a large loss in coal and heat.
The CHAIRMAN. This is to scrap the old plant?
Dr. BRAISTED. This is to extend the old plant. Do you mean the heating plant?
The CHAIRMAN. Yes.
Dr. BRAISTED. No; that plant is inefficient, and it has been inefficient for years.
The CHAIRMAX. You intend to scrap it?
Dr. BRAISTED. Well, we would not throw those buildings away; we will probably use them for something, but they are a very poor type of building.
Admiral HARRIS. We intend to use the plant that is there.
LEAGUE ISLAND, PA.
Dr. BRAISTED. The next is League Island. There is no hospital at League Island now. This is to complete a temporary emergency hospital of 24 buildings, consisting of 5 pavilion wards, with toilets and washrooms, nurses quarters, Hospital Corps barracks, civilian employees' quarters, quarters for medical staff, operating building, administration building, mess hall, kitchen, storehouse, garage, laundry building and laundry machinery, disinfecting building, including disinfectng apparatus, and heating plant. This is intended to have a capacity of 200 or 250 patients, and $150,000 is estimated.
The CHAIRMAX. What capacity have you there now?
Dr. BRAISTED. We have now the old naval hospital, 7 miles away, and we also have the medico-chirurgical hospital, with 100 beds, which we can use and are using now. There will be between five and ten thousand men at League Island yard, right near this little temporary hospital.
The CHAIRMAN. You have really not had any great demand on your hospital facilities because of an increased number of men?
Dr. BRAISTED. Oh, yes; we have; we are running a tremendous increase.
The CHAIRMAN, I read a statement that you issued a short time ago to the effect that there were only about 13 cases of sickness at the Great Lakes Training Station?
Dr. BRAISTED. There must have been some mistake about the statement. What I did say was that in the hospital there were only 12 or 13 cases that were seriously ill and which we thought were going to die. At that time there were over 600 patients in that hospital that had to be taken care of-measles, mumps, spinal meningitis, scarlet fever, and pneumonia. But the day I was there there were only 12 cases that we thought serious enough to make us think they might be fatal, and we thought that was a fine showing.
The CHAIRMAN. What is the next?
Dr. BRAISTED. The next is Norfolk, Va., contracted for and about completed, 20 buildings, consisting of 14 pavilion wards, 4 Hospital Corps barracks, and 2 subsistence buildings, with a capacity of about 500 patients, making that about a 1,000-bed hospital.
The CHAIRMAN. How much is that?
Dr. BRAISTED. This is to be the Norfolk Naval Hospital in Portsmouth, Va.
The CHAIRMAN. What is the next?
CHARLESTON, S. C.
Dr. BRAISTED. The next is Charleston, S. C., with 10,000 men and no hospital of any kind. This is to provide for 24 buildings, consisting of five pavilion wards, with toilets and wash rooms, nurses' quarters, hospital corps barracks, civilian employees' barracks, quarters for medical staff
, operating building, administration building, mess halls, kitchen building, storehouse, garage, laundry buildings and laundry equipment, disinfecting building and disinfecting apparatus, and heating plant, with a capacity of about 200 or 250 patients, at an estimated cost of $150,000.
Mr. GILLETT. Is that permanent construction?
Dr. BRAISTED. No; this is all temporary construction, just as you saw there sindicating photographs).
Admiral HARRIS. Wooden buildings.
KEY WEST, FLA.
Dr. BRAISTED. The next is Key West, Fla. We have no hospital whatever there, and we are endeavoring to get a hospital there by erecting one of these temporary hospitals or buying something, if
I have spent a good deal of time on this, and we can buy a school there, a church school, which will give us beds for 100 patients, for $50,000, and the property, which would give us sufficient hospital accommodations; this building could be fitted up at not too great an expense, and I think it is the most rational thing to do. That is one reason why we want the word "purchase” in there; that is one place at which we would like to purchase. I think it would be by far the most economical thing we can do. Key West is a very difficult place at which to build. We have no sewerage and no water supply, and many things about it make it a most difficult place at which to establish a suitable hospital. We will have quite a personnel there and one that will be far removed from another place. I am trying to get ready at least a temporary hospital of 100 beds. The CHAIRMAN. What is the next?
Dr. BRAISTED. Pensacola, Fla., with no hospital and a rapidly enlarging personnel, that place will probably have a personnel ultimately of 5,000. This is under contract and nearly completed, 24