classification. The total cost of the six buildings, it is estimated, will be $1,508,000.

Among the needs of the hospital is a chapel for the religious services for the patients. In 1875 a place for a chapel was left on the third floor of the old center building. This chapel can accommodate about 300 patients. It is in a building that has no elevator, and to reach the same it is necessary to climb a narrow stairway, difficult for many of the patients. The hospital has nearly 5,400 patients and it is growing away from the site on which the old center building is located. It is considered advisable to erect a nondenominational chapel on a plot of ground on the east side of Nichols Avenue, with a seating capacity of 1,000 to 1,500, to be used by the various religious denominations having followers among the patients of the hospital. This chapel to have its meeting place on the ground floor and located in a central place will be more accessible to the patients and available to such patients who are feeble or crippled and could hardly attend divine services where it is necessary to climb steps, where no elevator is available. The various chaplains of the hospital have made a recommendation for such an edifice. The estimated cost of this building is $150,000.

The hospital has recently erected one building to house tubercular patients containing 80 beds. In 1909, $20,000 was appropriated for erecting five buildings containing 20 beds each, or a total of 100 beds, for the patients of the hospital suffering from tuberculosis. These buildings are of wood frame covered with pebble-dash. They have been in use for about 26 years and it will be necessary shortly to replace them. An appropriation of $240,000 was recently made to provide 80 beds for white tubercular patients. Additional beds should be provided, including the care of white and colored women and colored men patients. Two buildings of this sort would provide 160 beds, making a total of 240 beds to care for the tubercular patients. It is essential to provide these beds at an early date. It is estimated that they could be provided at a cost of $495,170.

An estimate is made for additional land for general farm purposes. The hospital consists of four plots of ground, in all about 800 acres. The last land purchased for hospital use was in 1891. At that time the hospital had less than 1,500 patients, and over 600 acres were used for farm and garden purposes. Gradually the population has increased until there are now under treatment 5,400 patients. To take care of these patients new buildings have been erected, gradually decreasing the amount of land available for farm purposes. The hospital while originally isolated some miles from the center of the city, at the present time on account of the growth of the city and the change in the use of forms of traffic is now adjacent to the city and

the center of a growing population. The dairy and the piggery surround buildings occupied by patients. This is undesirable, if not objectionable. One part of the farm, containing about 69 acres, is located about a half a mile from the main site, in what is known as Congress Heights. It has been recommended that a portion of this ground be turned over to the National Capital Park and Planning Commission for playgrounds for children who reside in the vicinity of this ground.

Another part of this land is desired by the District of Columbia for streets and roads. Some parts of the same land have already been taken over by the city for widening streets and cutting through new streets. Another plot of the hospital is about four and a half miles from Washington; a part of it is on low land, sometimes under water. This contains approximately 400 acres of land. The proposed drive under the Crampton Act would bisect this land, materially reducing the amount left available for farm purposes. It is believed desirable to get additional land for the use of the hospital. If 5,000 or 6,000 acres of land could be provided, the hospital could concentrate on farm projects in one place, increase the size of the dairy herd, the piggery, and the poultry plant, build cottages to house about 250 patients, and buildings for the various employees who would work on farm land. The work of the patients on the farm, it is believed, would add to the therapeutic benefits obtained. The hospital would be able to secure sufficient milk for all purposes, increase the quantity of fresh pork products, cured pork products, reducing the quantity of ham, bacon, and shoulder to be purchased, and increase the quantity of poultry products, such as fowl and eggs. It is believed that this land could be purchased and buildings erected at a cost of about $750,000.

The rapid growth of the hospital, the increase in population, addition to the buildings on the reservation and the number of animals on the farm to be cared for, have outgrown the available water supply. In 1930 the hospital received all of its water from nine wells. The drought of that year lowered the water line so that it became unprofitable to operate them. Connection was made with the District mains, which have been supplying the hospital with all water required. The increase in the number of patients in the hospital and the additional buildings of a greater height than previously in use, demanded a greater supply of water than the District could furnish. It has been necessary to put pumps in several of the new buildings in order to furnish water to the upper floors. The danger line has been reached. In case of outbreak of fire it is questionable whether sufficient water could be furnished for the full operation of the District fire apparatus. An engineer of the Public Works

Administration was detailed by the Secretary of the Interior to make an investigation, and he reports that:

The water supply question at St. Elizabeths Hospital is extremely urgent. The fire protection is wholly inadequate and the demand during the summer months can barely be met by the present arrangement.

Steps should be taken immediately to provide an adequate supply for the hospital.

The same engineer made an estimate that to provide adequate water supply either by sinking a 24-inch well, or by cross-connections with mains, increasing size and elevation of the water tank, and further connection with the District mains could be secured at a probable cost of $80,000.

St. Elizabeths Hospital occupies land on both sides of Nichols Avenue. Most of the older buildings are on the right hand, or west, side, while the newer buildings are on the left hand, or east, side. In 1903 a subway was erected under Nichols Avenue, connecting both sides of the hospital grounds for more efficient, economic, and safer transportation and traffic between the two sides of the institution. When this subway was built no consideration was given to motor transportation. In addition, the growth of the hospital has resulted in an increase in the number of patients on that part of the institution where the newer buildings are being erected, until at the present time about 2,000 patients are being quartered in such new buildings. Traffic in the subway by patients and employees, also relatives and friends visiting patients, has increased very materially. Motor vehicles cannot pass each other in this subway, and it is dangerous for the patients to go back and forth while vehicles are coming through. The height of this subway is such that it not only prevents loaded trucks of the hospital from coming through, but altogether stops the passage of any fire apparatus. A survey has been made by an engineer of the Public Works Administration, and in his report he stated that it is essential that additional provision be made at an early date. It is suggested that the present subway be used altogether for pedestrian traffic, and a new two-way subway be erected wide enough for two vehicles to pass each other, with a center partition, thus adding to the safety of the patients. It is estimated that $50,000 would be required for this work.

The kitchen in the basement of the administration group furnishes meals for the patients in the various buildings on each side of the main building. There is a tunnel connecting with two adjacent buildings, but no tunnel connecting the further building, known as "M building ", and it is necessary to carry the food upstairs and have patients wheel it to this other building. In wet or cold weather this is undesirable and the food is often cool before it reaches the patients. A connecting tunnel from what is known as "C building ",

on the west side of Nichols Avenue, to M building could be erected at a cost not exceeding $6,000. This would permit the serving of the food while hot and, it is believed, in better condition. The hospital recently installed three 750-horsepower boilers, which were sufficient for its needs at that time. Space was left for an additional boiler that would be required when the new buildings were erected. The growth of the hospital, with the recommendation for additional buildings, will require additional boiler, air compressor, and utility equipment. It is believed that these can be purchased and installed at a cost of $200,000.

It has been the practice of the hospital to make all of the buildings as near fireproof as possible. A recent survey by the Federal Fire Council called attention to certain wooden porches adjacent to fireproof buildings. To remedy this condition it is desirable to replace these wooden porches with concrete and brick porches, erecting same in such a manner as to become fireproof. In erecting these porches it is desirable to enlarge the space available for patients' recreation. Some of the older buildings have no porches of any sort. Patients whom it is not advisable to take from such buildings get little or no fresh air. It is considered of advantage to place similar porches to use as day rooms for these patients. To replace porches around Allison and Oaks Buildings, and erect new porches for Garfield and Dawes Buildings, it is estimated, would cost about $83,000.

The additional number of patients, including the buildings to house them, will require additional facilities for all utilities. The work of the laundry has been continually increasing until now it must take care of 1,000,000 pieces each month. Each year additional machines have been purchased until now all room in the present building has been occupied. The growth of the institution will require a further increase in the facilities of the laundry, and to properly take care of the same it will be necessary to erect an addition to this shop. It is estimated that such addition would cost $16,000.

The present storeroom was built about 1900, when the cold storage for meats and vegetables was installed. There were about 2,000 patients in the hospital at that time, while at the present time there are about 5,400 patients. The amount of food required to be stored has more than doubled. It has been increasingly difficult properly to take care of and protect the food products. It is urgent to provide additional food storage and cold storage. The same condition applies to the other stores and the hospital will soon require a new storeroom, of much larger proportions than the one at present in use. Temporarily to increase the cold storage space in the present storeroom, to meet the immediate difficulties, it is estimated that $6,000 will be required.

The same explanation given in reference to other utilities applies to the bakery. To provide additional room, including a freight elevator, for the bakery, $3,500 will be required.

There are about 8 or 10 buildings on the hospital grounds that have local heating arrangements. It is considered economical, as well as more efficient, to connect these building up with the central heating plant. This could be done for $7,300. The cost of coal saved in a few years would offset this amount.

The additional number of patients require more vehicles for the handling of food, laundry, and for general use of the hospital. The garage when constructed seemed of ample size. It had a small place for repairs. More room is needed to house vehicles and to properly service the hospital machines. A recommendation is made to build and addition to the present garage which, it is estimated, could be done for about $12,000.

The spray pond, to aerate water for condensing purposes, was constructed about 1912. The remodeling of the power house, with additional boilers, increased the quantity of water used. When the present spray pond has to be repaired or cleaned, it stops all aerating of the water. It is considered essential to have an additional spray pond for the proper operation of the plant, and it is estimated that this could be provided at a cost of $11,000.

Many of the buildings of the hospital have not been painted in years. This is due to the limited amount of money available for repairs. Unless these buildings are painted at an early date, it is feared that deterioration will take place and require a much larger sum for repairs. It is estimated that $14,000 would be required to paint R, P, I, M, N, J, K, and L buildings.

The same explanation given in reference to growth of the hospital and the additional facilities required for other purposes, applies to the manufacturing of ice and cold storage. No addition has been made to this department for over 15 years. The present building was formerly used as a boiler house. It was converted into an ice plant and contains one Remington and one York Compressor, with pumps. The plant has reached its capacity in both the manufacturing of ice and furnishing of cold storage. The large quantities of food used require more cold storage, and additional compressor and brine pump required to ice them. An addition to the ice storage room is to house the ice manufactured. If the additional building is erected around the cold storage plant, it will be necessary to build a road for approach. It is estimated that this addition, with machinery and road, could be furnished at a cost of $19,040.

The storm sewer from the road areas in the vicinity of Hitchcock Hall passes by the power plant. The pipe in a number of places is in bad condition and liable to break under heavy rain. Should this