The Lazaretto

Forgotten hospital is one of the world's oldest quarantine stations.

By Scott Hatfield

A hospital sits abandoned on the banks of the Delaware River near Philadelphia that once sheltered sick immigrants arriving by ship to America.

The Federal style building is called the Lazaretto and is the oldest surviving quarantine station and hospital in the Western Hemisphere in what is now Tinicum Township in Delaware County, PA. When it was a quarantine station, the Lazaretto physician, and healthcare personnel cared for passengers and crew suffering with contagious diseases.

"It's both exciting and humbling to see this place and to think of the individuals involved," said David Barnes, PhD, associate professor in the department of history and sociology of science at the University of Pennsylvania in Philadelphia. "They were struggling to heal sick people, to protect vulnerable people and to confront every day with the threat of disease."

The Lazaretto-named for Saint Lazarus, patron saint of lepers-was built by the Philadelphia Board of Health in 1799, sparked by a series of yellow fever epidemics of the late 18th century that invaded the city, causing officials to rethink their public health strategies.

A quarantine station existed at the time of the yellow fever outbreaks, but it was in Philadelphia and city leaders worried incoming sick passengers and healthy residents were too close, Dr. Barnes explained.

As a result, a second quarantine station was built beginning in 1799 in present day Essington, Tinicum Township. The location was chosen since it seemed far enough away to stop any imported disease from spreading to the city.

So in the warm weather months until 1895 when the building ceased operating as a quarantine facility, ships arriving into The Port of Philadelphia were required to anchor outside the city in the Delaware River, signaled by a yellow quarantine flag that featured a black letter Q.

"The real action of quarantine happened out on the river," said Dr. Barnes, who is researching the Lazaretto for a book. "That is where the drama of quarantine really took place as vessels sailed up the Delaware River toward Philadelphia."

All arriving vessels were signaled by the bargeman on watch who rang a bell to alert the Lazaretto physician. The bargeman rowed the physician out to the ship. The doctor then asked the crew and passengers a series of health-related questions.

"The Lazaretto physician would visually inspect the crew, the passengers, the cargo and the state of the vessel itself," Dr. Barnes reported.

Healthy passengers waited aboard until the quarantine was lifted. Sick travelers were taken to the Lazaretto's hospital found on both sides of the building's central pavilion. As part of the quarantine process, staff and patients had to go outside and re-enter to move from one section of the building to the next, Dr. Barnes explained.

"The Philadelphia Board of Health wanted to limit contact as much as possible between sick and healthy people," he added.

Although no documents survived to shed light on detailed hospital practices or what specific medicines or instruments were kept at the facility, Dr. Barnes refered to 19th century treatments such as tonics, herbal potions and bloodletting when discussing patient care.

"Very little is known about medical treatment at the Lazaretto," he explained. "There are occasional inventories of supplies, but specific medical instruments are generally not listed."

Rebecca Sell, historic preservation planner with the Philadelphia Historical Commission, researched the 10-acre property and found published newspaper accounts of nearby residents bringing sick people to the Lazaretto on carts for treatment or quarantine.

"It's one of the oldest public medical buildings that still remain and it remains intact," she said. "So I think a lot of information can be gained from the building itself."

She's not alone in her thinking. The Lazaretto Preservation Association of Tinicum Township, a group of individuals who hope to maintain the building and its significance, is continuing efforts to restore the Lazaretto. The Lazaretto was almost demolished, but plans are underway to keep it standing and perhaps rehab it to the point where the doors can be open to the public. The million dollar cost associated with restoring the building is an issue, however.

Barbara Selletti, a member of the Lazaretto preservation association, hopes more people become interested in safeguarding the building and notes many medical professionals may have ties to the Lazaretto.

"A lot of immigrants came through here so a lot of people really do have a connection to this place," she said. "This is America's history."

Scott Hatfield (shatfield@advanceweb.com) is multimedia editor of www.advanceweb.com.

 

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STOPPING POINT: Sick travelers on the Delaware River were taken to the Lazaretty to be quarantined. ADVANCE photo by Scott Hatfield

                                      

    

 

 

 

 

 

 

 

 

 

 http://laboratorian.advanceweb.com/SharedResources/Images/2010/092010/Lazaretto2.jpg       

Riverside YC which is located right next door to the Lazaretta used to be the Doctors & Nurses quarters for those working at the Lazaretta.