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Miscellaneous articles, publications, etc., entitled:
Abandoned Buildings-A Time for Action...
Community Water Supply Study.

East Harlem 100 Worst Buildings Committee, New York City
Economic Facets of New York City's Housing Problems__.
Elihu D. Richter, M.D., Correspondence...--

"Freedom Town' Snob Zoning Snubs Moderate-income People,
from the Christian Science Monitor, Sept. 24, 1970.

Page

1097

1163

1124

1017

1300

1323

"He Predicts Abandonment of 800,000 Classier Pads," from the New York Daily News, Mar. 5, 1970.

1003

"How Do Homes Become Just Plain Slums?" from the Christian Science Monitor, Sept. 23, 1970__.

1317

"Is Yours Next? Is Abandonment Real?" from the New York Times, Sept. 21, 1970.

1289

"Outbreak of Viral Meningitis Hospitalizes 50 Bronx Children," from the New York Times, Aug. 13, 1970_

976

"Pioneering Builders Find Pioneering Buyers," from the Christian Science Monitor, Sept. 25, 1970___.

1320

"Many a Wolf on the Way to Grandma's House," from the Christian Science Monitor, Sept. 24, 1970

1318

Proposed revisions in rent control, New York City..

1335

Rent control and its impact on housing in New York City.
Rental Housing in New York City--.

1324

1049

National Accreditation Council for Environmental Health Curricula,
National Association for Sanitarians, Denver, Colo___
"Neighborhood: Morrisania Fights Odds to Realize Dream," from
the New York Times, Aug. 21, 1970---

1139

979

New York City children playing in backed-up sewage-Photos by the New York Times.

982

"Nonfatal Meningitis Attack Stirs Concern Here," from the New York Times, Aug. 14, 1970__

977

"Seventy Percent of the People on 2% of the Land," from the Christian Science Monitor, Sept. 22, 1970--

1314

"So You Want a House?.

Forget It!" from the Christian

Science Monitor, Sept. 19-21, 1970"The City May Shiver Over Mideast Crisis," from the New York Daily News, Sept. 14, 1970___.

1311

1009

Selected tables:

Table 1.-Number of violations on record with Department of Building, as of August 1969, in buildings under study__.

965

Table 2.-Estimated occupied housing inventory, by major category,
New York City, January 1969.

1022

Table 3.-Selected characteristics of primary families and individuals in renter-occupied units by income category and control status, New York City, 1968--

1023

Table 4.-Estimation of housing abandonment, New York City,
January 1965 to January 1968-

1006

Table 5.-Controlled renter-occupied housing units, by condition and plumbing facilities, New York City, 1960-68___

1025

Table 6.-Rents, operating costs and tax rates, New York City, 1948-68

1028

Table 7.-Economics of a rent-controlled building, New York City, 1969___.

1029

Table 8.-Turnover of controlled units by type of structure, New
York City, 1968____.

1030

Table 9.-Family incomes and gross rents, Brooklyn, N.Y., and 8
Brownsville census tracts____.

1033

Table 10.-Changing demographic structure of New York City,

1950-68__.

1034

Table 11.-Applications filed, permits issued, and completions of multiple dwellings in New York City, 1959-68-.

1036

Table 12.-Total capital budget outlays, total rent adjustments---.

1047

V

Selected tables-Continued

Table I.-Itemizes list of essential services provided in an adequately maintained apartment house.

Page

997

Table II.—Tenement preventive maintenance and environmental control..

998

Table II-1. Changes in the housing inventory, New York City, 1941-67_.

1007

Table III.-Deaths of children from falls from heights, by site of occurrence and age, New York, 1965-69-.

Table IV.-The early diagnosis of an abandoned building-.

999 1000

ENVIRONMENTAL HEALTH PROBLEMS

MONDAY, SEPTEMBER 14, 1970

U.S. SENATE,

SELECT COMMITTEE ON
NUTRITION AND HUMAN NEEDS,

Washington, D.C. The committee met at 10 a.m., pursuant to notice, in room 1220, New Senate Office Building, Senator George McGovern (chairman of the select committee), presiding.

Present: Senator McGovern.

Staff present: Kenneth Schlossberg, staff director; Gerald Cassidy, general counsel; Nancy Amidei, professional staff member; Clarence V. McKee, minority professional staff member, David Cohen, minority professional staff member.

Senator McGOVERN. The committee will be in order.

We will begin our session.

Since the select committee began its investigations late in 1968, we have made considerable progress in feeding the hungry, particularly in improving the food stamp and school lunch programs.

But the mandate of this committee extends beyond the problem of nutrition alone, to related human needs.

As the committee's hearings have progressed, especially its field hearings, I have become increasingly concerned about the terrible conditions of housing and sanitation under which many of our people suffer daily. I have wondered how far the benefits of better nutrition alone would take those people.

When the President sent his message to the Congress last year, he noted this very problem, stating that "special efforts must be made to see that the benefit of proper foods are not lost amidst poor health and sanitary conditions." The purpose of the hearings we begin today is to examine what special efforts are being made now and what efforts still need to be made.

We are extremely fortunate today in having as our opening witnesses representatives associated with the Tufts-Delta IIealth Center in Mound Bayou, Miss. They have been leaders in this area of environmental health, thinking of health care in its broadest possible terms. I understand that the director of their project, Dr. Jack Geiger of Tufts University in Boston, is going to lead off their presentation.

Perhaps you would like to bring your colleagues with you and as we move along we can direct questions to various members of the panel. Maybe it would be useful for each person to identify who he is and what role he plays in the efforts.

(903)

Dr. WEEKS. I am Dr. David Weeks, deputy director and clinical director of the Tufts-Delta Health Center.

Mr. JAMES. I am Andrew B. James, director, Tufts-Delta Health Center.

Mrs. COLEMAN. I am Mrs. Coleman, member of the North Bolivar County Health Council.

Dr. GEIGER. I am Dr. Jack Geiger, project director, Tufts-Delta Health Center.

Mrs. DORSEY. I am Mrs. L. C. Dorsey, director of environmental health.

Mr. YOUNG. I am Louis Young, Rosedale representative, North Bolivar Co-Op Farm.

Mr. MORRIS. I am Rogers Morris, director of the division of environmental health.

Mr. HATCH. I am John Hatch, director of community health action. Senator McGOVERN. Dr. Geiger.

STATEMENT OF DR. JACK GEIGER, PROJECT DIRECTOR, TUFTSDELTA HEALTH CENTER

Dr. GEIGER. My task today, Senator, is briefly really to set the stage for my colleagues here to talk with you about our concerns and our experience with environmental health, to present a background for the introduction to the testimony you will hear from these physicians and environmental engineers, farm cooperative directors, community organizers, and citizens of the area in which we live and work.

We have, over the past—almost 5 years now-developed and shared an attitude toward terms like health and terms like the environment, based on the real test that we have had to face in the work of the TuftsDelta Center, the North Bolivar County Farm Cooperative, and the health center.

I would like to add as a start that our purpose here is not primarily to be demonstrating or describing the details of these particular programs or these particular institutions, but, rather, to present them as representative of the kinds of attempts that have to be made and that have been attempted by many other organizations in the area, even before we came to solve some of the problems.

I think it would be useful first in illustrating what we mean, what we must mean, by health and by the environment, to tell you a little bit about the area in which we have been working, an area that is similar to thousands of other rural counties in the United States, particularly in the rural South.

We serve the overwhelmingly poor, mostly black population of northern Bolivar County, Miss., 100 miles south of Memphis. Fourteen thousand people are in some 500 square miles, some of the richest land and some of the poorest people in the United States. This is the area where cotton is king and people are surplus, where the mechanization of cotton agriculture, the acreage restriction programs, the enforcement of the agricultural minimum wage, and other features of the social, political, and racial order have reduced black Americans to the status of unemployed, sick, hungry squatters on the land.

For black families in this area, the median income when we began was $900 per year per family. That is about $2.45 a day or about 75

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