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1

Linden, Diana L., and Larry A. Greene. "Charles Alston's Harlem Hospital Murals: Cultural Politics in Depression Era Harlem." Prospects 26 (October 2001): 391–421. http://dx.doi.org/10.1017/s0361233300000983.

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In 1936, the Works Progress Administration/Federal Art Project (WPA/FAP, 1935–43) appointed New York City artist Charles Alston (1907–77) to be the first African American to supervise a New Deal mural project. Alston, five other artists, and their assistants designed narrative, celebratory images of Harlem, African-American life, children's fairy tales, and stories for New York's Harlem Hospital. In paired panels exploring the theme of healing, Alston depicted an African past beyond exotic and barbaric stereotypes in Magic in Medicine for the foyer of Harlem Hospital Women's Pavilion, and a racially egalitarian American present in its companion panel Modern Medicine (each 17 × 9 feet) (Figure 1). Initially, white hospital authorities rejected the works on the basis that they “contain too much Negro subject matter,” which would make them unappealing to residents of Harlem. This judgment angered Alston, since his designs were consistent with project guidelines. Because the building was a hospital in Harlem, Alston selected the theme of medicine and depicted black figures in his two panels. Yet the seeming suitability of images that looked like the people who used Harlem Hospital and referred to their collective history met with loud objections from Harlem Hospital's white administration. While it was common for muralists to base their subject matter on the local community and its history, and in fact the WPA/FAP encouraged artists to do so, officials tried to cancel Alston's commission on these very grounds. Their attempt to prevent artistic self-representation in the 1930s followed on the heels of prolonged racist hiring policies at Harlem Hospital. Alston ultimately painted his mural designs as planned; final approval of the murals did not come until 1940.
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San Gabriel, Pablo, Lisa Saiman, Katherine Kaye, Muriel Silin, Ida Onorato, and Joann Schulte. "Completeness of Pediatric TB Reporting in New York City." Public Health Reports 118, no. 2 (March 2003): 144–53. http://dx.doi.org/10.1093/phr/118.2.144.

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Objectives. Accurate surveillance of tuberculosis (TB) in children is critical because such cases represent recent transmission, but surveillance is difficult as only 10% to 50% of cases are culture-confirmed. Hospital-based sources were used to develop alternative surveillance to assess completeness of reporting for pediatric TB in northern Manhattan and Harlem from 1993 through 1995. Methods. Alternative surveillance sources included ICD-9-CM hospital discharge codes for active TB and gastric aspirate reports. Cases identified by alternative surveillance were compared with cases previously reported to the New York City Department of Health (NYC DOH). Results. Alternative surveillance detected 25 cases of possible pediatric TB, of which four (16%) had never been reported to the NYC DOH and three (12%) had been reported as suspect cases, but had not fulfilled the criteria for a reportable case of pediatric TB. Of these seven newly counted cases, three were detected by ICD-9-CM codes, three by a gastric aspirate log book, and one by both. In contrast, 13 other cases had been reported to the NYC DOH, but were undetected by our alternative surveillance; eight of these could be verified with available medical records. Thus, the demographic and clinical characteristics of the 25 detected and the eight undetected cases with available medical records were evaluated in this study. Conclusions. Alternative surveillance proved effective, was complementary to the NYC DOH surveillance efforts, and increased the number of pediatric TB cases identified during the study period by 21%.
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Bergasa, Nora V., Mene-Afejuku Tuoyo, Ahmed Shady, Adedoyin Akinlonu, and Divya Nekkalapudi. "Alcoholic cardiomyopathy and liver disease in a community hospital in east Harlem in New York City." Gastroenterology & Hepatology: Open Access 11, no. 4 (2020): 149–51. http://dx.doi.org/10.15406/ghoa.2020.11.00431.

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4

Harden, Cynthia L. "Introducing New Guidelines on Sudden Unexpected Death in Epilepsy." US Endocrinology 13, no. 02 (2017): 65. http://dx.doi.org/10.17925/use.2017.13.02.65.

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Cynthia L Harden, MD, received her medical degree at the University of Wisconsin. She trained in internal medicine at Mount Sinai St Luke’s Hospital and neurology at Mount Sinai Hospital, both in New York City, and in clinical neurophysiology at Albert Einstein College of Medicine in the Bronx. She served most of her career at Weill Cornell College of Medicine, where she became Professor of Neurology. Dr Harden serves as Chair of the Guideline Development, Dissemination and Implementation Subcommittee of the American Academy of Neurology (AAN). In 2016, she was also elected Chair of AAN’s Epilepsy Section for a 2-year term.
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Harden, Cynthia L. "Introducing New Guidelines on Sudden Unexpected Death in Epilepsy." US Neurology 13, no. 02 (2017): 65. http://dx.doi.org/10.17925/usn.2017.13.02.65.

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Cynthia L Harden, MD, received her medical degree at the University of Wisconsin. She trained in internal medicine at Mount Sinai St Luke’s Hospital and neurology at Mount Sinai Hospital, both in New York City, and in clinical neurophysiology at Albert Einstein College of Medicine in the Bronx. She served most of her career at Weill Cornell College of Medicine, where she became Professor of Neurology. Dr Harden serves as Chair of the Guideline Development, Dissemination and Implementation Subcommittee of the American Academy of Neurology (AAN). In 2016, she was also elected Chair of AAN’s Epilepsy Section for a 2-year term.
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Zibrik, K., J. Laskin, and C. Ho. "Integration of a nurse navigator into the triage process for patients with non-small-cell lung cancer: creating systematic improvements in patient care." Current Oncology 23, no. 3 (June 13, 2016): 280. http://dx.doi.org/10.3747/co.23.2954.

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Nurse navigation is a developing facet of oncology care. The concept of patient navigation was originally created in 1990 at the Harlem Hospital Center in New York City as a strategy to assist vulnerable and socially disadvantaged populations with timely access to breast cancer care. Since the mid-1990s, navigation programs have expanded to include many patient populations that require specialized management and prompt access to diagnostic and clinical resources. Advanced non-small-cell lung cancer is ideally suited for navigation to facilitate efficient assessment in this fragile patient population and to ensure timely results of molecular tests for first-line therapy with appropriately targeted agents. At the BC Cancer Agency, nurse navigator involvement with thoracic oncology triage has been demonstrated to increase the proportion of patients receiving systemic treatment, to shorten the time to delivery of systemic treatment, and to increase the rate of molecular testing and the number of patients with molecular testing results available at time of initial consultation. Insights gained through the start-up process are briefly discussed, and a framework for implementation at other institutions is outlined.
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7

De Moore, Gregory M. "The HIV Patient in New York City: Wall Street to Harlem." Australasian Psychiatry 4, no. 3 (June 1996): 122–24. http://dx.doi.org/10.3109/10398569609080473.

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8

Zukin, Sharon, Valerie Trujillo, Peter Frase, Danielle Jackson, Tim Recuber, and Abraham Walker. "New Retail Capital and Neighborhood Change: Boutiques and Gentrification in New York City." City & Community 8, no. 1 (March 2009): 47–64. http://dx.doi.org/10.1111/j.1540-6040.2009.01269.x.

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Since the 1970s, certain types of upscale restaurants, cafés, and stores have emerged as highly visible signs of gentrification in cities all over the world. Taking Harlem and Williamsburg as field sites, we explore the role of these new stores and services (“boutiques”) as agents of change in New York City through data on changing composition of retail and services, interviews with new store owners, and discursive analysis of print media. Since the 1990s, the share of boutiques, including those owned by small local chains, has dramatically increased, while the share of corporate capital (large chain stores) has increased somewhat, and the share of traditional local stores and services has greatly declined. the media, state, and quasi–public organizations all value boutiques, which they see as symbols and agents of revitalization. Meanwhile, new retail investors—many, in Harlem, from the new black middle class—are actively changing the social class and ethnic character of the neighborhoods. Despite owners’ responsiveness to community identity and racial solidarity, “boutiquing” calls attention to displacement of local retail stores and services on which long–term, lower class residents rely and to the state's failure to take responsibility for their retention, especially in a time of economic crisis.
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Galea, Sandro, Stephanie H. Factor, Ann-Gel Palermo, Daniel Aaron, Eric Canales, and David Vlahov. "Access to Resources for Substance Users in Harlem, New York City: Service Provider and Client Perspectives." Health Education & Behavior 29, no. 3 (June 2002): 296–311. http://dx.doi.org/10.1177/109019810202900303.

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The Urban Research Center (URC) in Harlem, New York City, is a collaboration of community members, service providers, and academics. A Community Advisory Board (CAB) meets regularly to formulate priorities for action and to direct research. A conceptual model of social determinants of health relevant to the Harlem community was developed. Early meetings of the CAB identified substance use as a health concern in the Harlem community. Access to social services was identified as a key social determinant that should guide research and intervention efforts of the URC. Surveys of service providers and of substance users were carried out to quantify availability of information and barriers to access. This article discusses the CAB process that led to the model of social determinants, development of surveys, and interpretation of results. The authors also discuss survey results and how the URC will use these results to develop interventions.
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10

Tortu, Stephanie, Sherry Deren, Mark Beardsley, and Rahul Hamid. "Factors Associated with Needle Exchange Use in East Harlem, New York City." Journal of Drug Issues 26, no. 4 (October 1996): 735–49. http://dx.doi.org/10.1177/002204269602600403.

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The research reported in this paper focused on out-of-treatment injection drug users recruited from the streets of East Harlem, New York City. Drug use was verified by urinalysis and HIV testing was offered. The research compared self-reported users and non-users of needle exchange programs (NEPs) on sociodemographic variables, HIV-related risk behaviors, and selected health variables. Results indicated that being White and having been incarcerated were the sociodemographic variables most strongly associated with NEP use. Other findings include the following: (l)compared to other groups, Puerto Ricans were most likely to be non-users of NEPs; (2) there were no significant differences between NEP users and non-users in reported injection risks, but NEP users reported significantly less unprotected sex; and (3) health data indicated that almost 50% of those tested were HIV infected and many had histories of sexually transmitted diseases and hepatitis.
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Williams, Trenessa L., and Charles R. Needham. "Transformation of a City." SAGE Open 6, no. 4 (October 2016): 215824401667363. http://dx.doi.org/10.1177/2158244016673631.

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Gentrification changes the landscape and the cultural makeup of a city by increasing property values and changing consumption patterns. Since the late 1980s, gentrification has challenged the residential and small business community of Harlem, New York. Guided by the rent gap theory and the consumption-side theory, the purpose of this case study was to explore how small business leaders can compete with demographical changes brought by gentrification. A purposive sample of 20 Harlem small business owners operating during the city’s gentrification participated in interviews. Interview interpretations were triangulated with government documents and periodicals to bolster the trustworthiness of the final report. These findings may contribute to positive social change by informing the strategies employed by small business owners who are currently facing gentrification.
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12

Factor, Stephanie H., Sandro Galea, Lucia Garcia de Duenas Geli, Megan Saynisch, Suzannah Blumenthal, Eric Canales, Michael Poulson, Mary Foley, and David Vlahov. "Development of a “Survival” Guide for Substance Users in Harlem, New York City." Health Education & Behavior 29, no. 3 (June 1, 2002): 312–25. http://dx.doi.org/10.1177/1090198102029003004.

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13

Factor, Stephanie H., Sandro Galea, Lucia Garcia de Duenas Geli, Megan Saynisch, Suzannah Blumenthal, Eric Canales, Michael Poulson, Mary Foley, and David Vlahov. "Development of a “Survival” Guide for Substance Users in Harlem, New York City." Health Education & Behavior 29, no. 3 (June 2002): 312–25. http://dx.doi.org/10.1177/109019810202900304.

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The community advisory board (CAB) of the Harlem Urban Research Center, which includes community service providers, Department of Health workers, and academics, identified substance users’health as an action priority. The CAB initiated the development of a wellness guide to provide informational support for substance users to improve access to community services. Focus groups of current and former users engaged substance users in the guide development process and determined the guide’s content and “look.” Focus group participants recommended calling this a “survival” guide. The guide will include three sections: (a) health information and how to navigate the system to obtain services, (b) a reference list of community services, and (c) relevant “hot-line” numbers. The design will incorporate local street art. Substance users continue to shape the guide through ongoing art workshops. Dissemination and evaluation of the guide will continue to involve substance users, community service providers, and academics.
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14

Arnesen, E. "Before Harlem: The Black Experience in New York City before World War I." Labor: Studies in Working-Class History of the Americas 4, no. 3 (September 1, 2007): 109–12. http://dx.doi.org/10.1215/15476715-2007-010.

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15

Sawadogo, Boukary. "Presence and exhibition of African film in Harlem." Journal of African Cinemas 12, no. 2-3 (December 1, 2020): 163–75. http://dx.doi.org/10.1386/jac_00034_1.

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Throughout the twentieth-century American history, the circulation of African arts in the New York City runs parallel with African American activism. The African on-screen presence in Harlem needs to be examined in this broader context in order to better grasp the historical trajectory of its development in the neighbourhood and also the encounters and exchanges between Africans and African Americans. Today, the increased interest in African screen media productions result from the confluence of two phenomena: the current Black renaissance and the reconfigurations of African cinema under the influence of migration. Harlem is once again playing a pivotal role in the dissemination of African culture, specifically African cinema in the New York City.
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Gill, James R., and Marina Stajíc. "Ketamine in Non-Hospital and Hospital Deaths in New York City." Journal of Forensic Sciences 45, no. 3 (May 1, 2000): 14742J. http://dx.doi.org/10.1520/jfs14742j.

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17

Albert, S. M., and J. A. Teresi. "Reading ability, education, and cognitive status assessment among older adults in Harlem, New York City." American Journal of Public Health 89, no. 1 (January 1999): 95–97. http://dx.doi.org/10.2105/ajph.89.1.95.

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18

Parikh, Punam, Ellen P. Simon, Kezhen Fei, Helen Looker, Crispin Goytia, and Carol R. Horowitz. "Results of a Pilot Diabetes Prevention Intervention in East Harlem, New York City: Project HEED." American Journal of Public Health 100, S1 (April 2010): S232—S239. http://dx.doi.org/10.2105/ajph.2009.170910.

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19

Mumford, Kevin. "Marcy S. Sacks.Before Harlem: The Black Experience in New York City before World War I.:Before Harlem: The Black Experience in New York City before World War I.(Politics and Culture in Modern America.)." American Historical Review 113, no. 3 (June 2008): 845–46. http://dx.doi.org/10.1086/ahr.113.3.845.

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20

Dove, Dennis B., Louis R. M. DelGuercio, William M. Stahl, Leon D. Star, and Louis C. Abelson. "Airport Disaster Planning – New York City." Journal of the World Association for Emergency and Disaster Medicine 1, no. 2 (1985): 144. http://dx.doi.org/10.1017/s1049023x00065328.

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At the John F. Kennedy International Airport in New York City, disaster planning has been an integral part of the airport operations for the past 28 years. Through the Medical Office, emergency medical teams have been recruited from all ranks of airport personnel and trained in rescue and resuscitation. Following the crash of a commercial B 727 aircraft in 1976 and the resulting crippling traffic jams in the vicinity of the airport, a new concept was added to the disaster plan. This concept involves bringing the hospital, its facilities and its personnel to the scene.A new piece of equipment, known as a Mobile Emergency Hospital was designed from existing airport equipment, with the cooperation of the airlines, the operating authority of the airport, and other interested parties. Two such vehicles are now in constant readiness at the airport and together provide 12 monitored ICU beds, a 16-bed burn unit, 2 operating rooms and 72 other stretcher-beds to be used for the stabilization of critically ill patients prior to their transfer to an appropriate definitive care facility. A newer modularized version which incorporates these features, for use in any type disaster, is currently being developed. These mobile hospitals, together with two inflatable structures maintained at the airport, are supplemented by Mobile Emergency Rescue Vehicles (MERV vans) maintained at local hospitals by the Emergency Medical Service Systems (EMSS) of New York City. Together they provide the on-site Resuscitation and Stabilization Center in the event of a disaster.
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Cass, E. M. "RICKETTSIALPOX IN A NEW YORK CITY HOSPITAL 1980–1989." Pediatric Infectious Disease Journal 14, no. 4 (April 1995): 339. http://dx.doi.org/10.1097/00006454-199504000-00028.

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22

McCarthy, Michael. "New York panel urges end of city hospital system." Lancet 346, no. 8974 (August 1995): 565. http://dx.doi.org/10.1016/s0140-6736(95)91393-9.

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23

Galvez, Maida P., Kimberly Morland, Cherita Raines, Jessica Kobil, Jodi Siskind, James Godbold, and Barbara Brenner. "Race and food store availability in an inner-city neighbourhood." Public Health Nutrition 11, no. 6 (June 2008): 624–31. http://dx.doi.org/10.1017/s1368980007001097.

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AbstractBackgroundA growing body of research has shown that disparities in resources, including food stores, exist at the neighbourhood level and the greatest disparities are seen in minority neighbourhoods, the same neighbourhoods at increased risk of obesity and diabetes. Less is known about whether differences in availability of resources by African American or Latino race/ethnicity exist within a single minority community.ObjectiveThe present study examined whether census blocks either 75% African American (AA) or 75% Latino (L) are associated with food store availability, as compared with racially mixed (RM) census blocks, in East Harlem, New York.Design/methodsA cross-sectional study utilising a walking survey of East Harlem was performed. Food stores were classified into: supermarkets, grocery stores, convenience stores, specialty stores, full-service restaurants and fast-food stores.ResultsOne hundred and sixty-five East Harlem census blocks were examined; 17 were AA, 34 were L and 114 were RM. Of AA census blocks, 100% had neither supermarkets nor grocery stores. AA census blocks were less likely to have convenience stores (prevalence ratio (PR) = 0.25, 95% confidence interval (CI) 0.07–0.86) compared with RM census blocks. In contrast, predominantly L census blocks were more likely to have convenience stores (PR = 1.8, 95% CI 1.20–2.70), specialty food stores (PR = 3.74, 95% CI 2.06–7.15), full-service restaurants (PR = 1.87, 95% CI 1.04–3.38) and fast-food restaurants (PR = 2.14, 95% CI 1.33–3.44) compared with RM census blocks.ConclusionsWe found that inequities in food store availability exist by race/ethnicity in East Harlem, New York. This has implications for racial/ethnic differences in dietary quality, obesity and obesity-related disorders.
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Cleary, Emma. "“Here Be Dragons:” The Tyranny of the Cityscape in James Baldwin’s Intimate Cartographies." James Baldwin Review 1, no. 1 (September 29, 2015): 91–111. http://dx.doi.org/10.7227/jbr.1.5.

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The skyline of New York projects a dominant presence in the works of James Baldwin—even those set elsewhere. This essay analyzes the socio-spatial relationships and cognitive maps delineated in Baldwin’s writing, and suggests that some of the most compelling and intense portrayals of New York’s psychogeographic landscape vibrate Baldwin’s text. In The Price of the Ticket (1985), Baldwin’s highly personalized accounts of growing up in Harlem and living in New York map the socio-spatial relationships at play in domestic, street, and blended urban spaces, particularly in the title essay, “Dark Days,” and “Here Be Dragons.” Baldwin’s third novel, Another Country (1962), outlines a multistriated vision of New York City; its occupants traverse the cold urban territory and struggle beneath the jagged silhouette of skyscrapers. This essay examines the ways in which Baldwin composes the urban scene in these works through complex image schemas and intricate geometries, the city’s levels, planes, and perspectives directing the movements of its citizens. Further, I argue that Baldwin’s dynamic use of visual rhythms, light, and sound in his depiction of black life in the city, creates a vivid cartography of New York’s psychogeographic terrain. This essay connects Baldwin’s mappings of Harlem to an imbricated visual and sonic conception of urban subjectivity, that is, how the subject is constructed through a simultaneous and synaesthetic visual/scopic and aural/sonic relation to the city, with a focus on the movement of the body through city space.
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Mchunu, K. H., and S. Mbatha. "The Significance of Place in Urban Governance: Mart 125 and the Politics of Community Development in Harlem, New York." Mediterranean Journal of Social Sciences 9, no. 2 (March 1, 2018): 99–108. http://dx.doi.org/10.2478/mjss-2018-0030.

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AbstractThe paper highlights the nexus between place and identity on the one hand, and urban entrepreneurialism on the other, which has become important nationally and internationally in recent decades. This refers to a form of urban governance that mixes together state with civil society and private interests to promote urban development. The city as a product of a common if perpetually changing and transitory urban life, “growth machines” or “urban regimes” play a significant role in the relationship between place and identity. This paper documents an instance of this relationship where the “growth machines” played themselves out in Harlem, New York City.
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Huang, Chaorui C., David E. Lucero, Sungwoo Lim, Yihong Zhao, Robert J. Arciuolo, Joseph Burzynski, Demetre Daskalakis, et al. "Infectious Disease Hospitalizations, New York City, 2001-2014." Public Health Reports 135, no. 5 (July 20, 2020): 587–98. http://dx.doi.org/10.1177/0033354920935080.

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Objective Hospital discharge data are a means of monitoring infectious diseases in a population. We investigated rates of infectious disease hospitalizations in New York City. Methods We analyzed data for residents discharged from New York State hospitals with a principal diagnosis of an infectious disease during 2001-2014 by using the Statewide Planning and Research Cooperative System. We calculated annual age-adjusted hospitalization rates and the percentage of hospitalizations in which in-hospital death occurred. We examined diagnoses by site of infection or sepsis and by pathogen type. Results During 2001-2014, the mean annual age-adjusted rate of infectious disease hospitalizations in New York City was 1661.6 (95% CI, 1659.2-1663.9) per 100 000 population; the mean annual age-adjusted hospitalization rate decreased from 2001-2003 to 2012-2014 (rate ratio = 0.9; 95% CI, 0.9-0.9). The percentage of in-hospital death during 2001-2014 was 5.9%. The diagnoses with the highest mean annual age-adjusted hospitalization rates among all sites of infection and sepsis diagnoses were the lower respiratory tract, followed by sepsis. From 2001-2003 to 2012-2014, the mean annual age-adjusted hospitalization rate per 100 000 population for HIV decreased from 123.1 (95% CI, 121.7-124.5) to 40.0 (95% CI, 39.2-40.7) and for tuberculosis decreased from 10.2 (95% CI, 9.8-10.6) to 4.6 (95% CI, 4.4-4.9). Conclusions Although hospital discharge data are subject to limitations, particularly for tracking sepsis, lower respiratory tract infections and sepsis are important causes of infectious disease hospitalizations in New York City. Hospitalizations for HIV infection and tuberculosis appear to be declining.
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Kass, Elizabeth M., Wojciech K. Szaniawski, Howard Levy, James Leach, Krishna Srinivasan, and Cornelia Rives. "Rickettsialpox in a New York City Hospital, 1980 to 1989." New England Journal of Medicine 331, no. 24 (December 15, 1994): 1612–17. http://dx.doi.org/10.1056/nejm199412153312403.

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Tomecki, Kenneth J. "Rickettsialpox in a New York City hospital, 1980 to 1989." Journal of the American Academy of Dermatology 33, no. 5 (November 1995): 808. http://dx.doi.org/10.1016/0190-9622(95)91823-x.

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29

Deren, Sherry, Mark Beardsley, Rees Davis, and Stephanie Tortu. "HIV Risk Factors among Pregnant and Non-Pregnant High-Risk Women in New York City." Journal of Drug Education 23, no. 1 (March 1993): 57–66. http://dx.doi.org/10.2190/mwqf-5hhk-8281-v7t5.

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A comparison of high-risk pregnant ( n = 55) and non-pregnant ( n = 598) women from Harlem, New York City on HIV-related drug and sexual risk behaviors was undertaken to identify appropriate prevention and intervention policy recommendations. Clients were recruited for an AIDS risk reduction research demonstration project and were either intravenous drug users (IVDUs) or sexual partners of IVDUs. There was a higher percentage of IVDUs among the non-pregnant women, and no significant differences were found between pregnant and non-pregnant IVDUs in terms of needle risk behaviors. The two groups were also similar in non-injected drug use behaviors. Pregnant women were significantly less likely to use condoms. Recommendations focused on the need for increased HIV risk reduction among high-risk women in general, and increased education efforts among pregnant high-risk women regarding condom use as protection from HIV and the potential consequences of maternal substance use for their children.
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ARAKAKI, L., S. NGAI, and D. WEISS. "Completeness ofNeisseria meningitidisreporting in New York City, 1989–2010." Epidemiology and Infection 144, no. 11 (March 17, 2016): 2374–81. http://dx.doi.org/10.1017/s0950268816000406.

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SUMMARYInvasive meningococcal disease (IMD) completeness of reporting has never been assessed in New York City (NYC). We conducted a capture–recapture study to assess completeness of reporting, comparing IMD reports made to the NYC Department of Health and Mental Hygiene (DOHMH) and records identified in the New York State hospital discharge database [Statewide Planning and Research Cooperative System (SPARCS)] by ICD-9 codes from 1989 to 2010. Reporting completeness estimates were calculated for the entire study period, and stratified by year, age group, clinical syndrome, and reporting system. A chart review of hospital medical records from 2008 to 2010 was conducted to validate hospital coding and to adjust completeness estimates. Overall, 2194 unique patients were identified from DOHMH (n= 1300) and SPARCS (n= 1525); 631 (29%) were present in both. Completeness of IMD reporting was 41% [95% confidence interval (CI) 40–43]. Differences in completeness were found by age, clinical syndrome, and reporting system. The chart review found 33% of hospital records from 2008 to 2010 had no documentation of IMD. Removal of those records improved completeness of reporting to 51% (95% CI 49–53). Our data showed a low concordance between what is reported to DOHMH and what is coded by hospitals as IMD. Additional guidance to clinicians on IMD reporting criteria may improve completeness of IMD reporting.
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Gu, Christopher H., David E. Lucero, Chaorui C. Huang, Demetre Daskalakis, Jay K. Varma, and Neil M. Vora. "Pneumonia-Associated Hospitalizations, New York City, 2001-2014." Public Health Reports 133, no. 5 (September 2018): 584–92. http://dx.doi.org/10.1177/0033354918792009.

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Objectives: Death certificate data indicate that the age-adjusted death rate for pneumonia and influenza is higher in New York City than in the United States. Most pneumonia and influenza deaths are attributed to pneumonia rather than influenza. Because most pneumonia deaths occur in hospitals, we analyzed hospital discharge data to provide insight into the burden of pneumonia in New York City. Methods: We analyzed data for New York City residents discharged from New York State hospitals with a principal diagnosis of pneumonia, or a secondary diagnosis of pneumonia if the principal diagnosis was respiratory failure or sepsis, during 2001-2014. We calculated mean annual age-adjusted pneumonia-associated hospitalization rates per 100 000 population and 95% confidence intervals (CIs). We examined data on pneumonia-associated hospitalizations by sociodemographic characteristics and colisted conditions. Results: During 2001-2014, a total of 495 225 patients residing in New York City were hospitalized for pneumonia, corresponding to a mean annual age-adjusted pneumonia-associated hospitalization rate of 433.8 per 100 000 population (95% CI, 429.3-438.3). The proportion of pneumonia-associated hospitalizations with in-hospital death was 12.0%. The mean annual age-adjusted pneumonia-associated hospitalization rate per 100 000 population increased as area-based poverty level increased, whereas the percentage of pneumonia-associated hospitalizations with in-hospital deaths decreased with increasing area-based poverty level. The proportion of pneumonia-associated hospitalizations that colisted an immunocompromising condition increased from 18.7% in 2001 to 33.1% in 2014. Conclusion: Sociodemographic factors and immune status appear to play a role in the epidemiology of pneumonia-associated hospitalizations in New York City. Further study of pneumonia-associated hospitalizations in at-risk populations may lead to targeted interventions.
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32

Prescott, Melissa Pflugh, Evelyn Berger-Jenkins, Michael Serzan, Elizabeth Croswell, Dodi Meyer, and Mary McCord. "Wellness Councils Build Capacity for School-Based Obesity Prevention in Harlem and Washington Heights, New York City." ICAN: Infant, Child, & Adolescent Nutrition 7, no. 3 (May 12, 2015): 131–38. http://dx.doi.org/10.1177/1941406415586427.

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33

Ashford, Alfred R., Steven M. Albert, Gerald Hoke, Linda F. Cushman, Daniel S. Miller, and Mary Bassett. "Prostate carcinoma knowledge, attitudes, and screening behavior among African-American men in Central Harlem, New York City." Cancer 91, no. 1 (January 1, 2001): 164–72. http://dx.doi.org/10.1002/1097-0142(20010101)91:1<164::aid-cncr21>3.0.co;2-a.

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34

Beveridge, Andrew A. "A Century of Harlem in New York City: Some Notes on Migration, Consolidation, Segregation, and Recent Developments." City & Community 7, no. 4 (December 2008): 358–65. http://dx.doi.org/10.1111/j.1540-6040.2008.00271_3.x.

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35

Zambrano, Cristina N., Cicely Johnson, Wenyue Lu, Maayan Beeber, April Panitz, Katarzyna Wyka, Safa Ibrahim, et al. "Dietary Behavior and Urinary Gallic Acid Concentrations in Older Minority Residents of East Harlem, New York City." Journal of Racial and Ethnic Health Disparities 7, no. 2 (November 1, 2019): 217–23. http://dx.doi.org/10.1007/s40615-019-00649-x.

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36

de Forest, Jennifer. "The 1958 Harlem School Boycott: Parental Activism and the Struggle for Educational Equity in New York City." Urban Review 40, no. 1 (December 19, 2007): 21–41. http://dx.doi.org/10.1007/s11256-007-0075-5.

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37

Weltman, André C., Louise J. Short, Meryl H. Mendelson, David E. Lilienfeld, and Marge Rodriguez. "Disposal-Related Sharps Injuries at a New York City Teaching Hospital." Infection Control and Hospital Epidemiology 16, no. 5 (May 1995): 268–74. http://dx.doi.org/10.2307/30143092.

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38

Boyd, L. R., A. P. Novetsky, and J. P. Curtin. "Ovarian cancer treatment in the New York City municipal hospital system." Journal of Clinical Oncology 27, no. 15_suppl (May 20, 2009): 5569. http://dx.doi.org/10.1200/jco.2009.27.15_suppl.5569.

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5569 Background: OC patients (pts) from minority groups/lower socioeconomic strata are reported to have poorer outcomes. New York City (NYC) Health and Hospitals Corporation (HHC) has 11 municipal hospitals. We evaluated surgical management of OC pts in HHC hospitals. Methods: The New York State SPARCS database of admissions was queried for OC pts in the years 2001 to 2006. Pts from HHC were compared to pts from all other NYC hospitals (other cohort). Pt demographics, procedure performed, emergent vs. scheduled admission, length of stay, and hospital charges were compared utilizing chi-square. A comorbidity index was applied to both cohorts. Surgeons were stratified by subspecialty training and OC case volume. Results: 6,010 admissions for OC were identified. 3,624 were major surgical procedures: 187 from the HHC cohort and 3,436 from the other cohort. Demographics for HHC vs other cohort, respectively: Caucasian 37 (20%) vs 2,224 (65%); African-American (AA): 64 (34%) vs 460 (13%); Asian 20 (11%) vs 181 (5%); other: 66 (35%) vs 286 (8%); unknown 0 vs. 286 (8%) (p< 0.001). Payors for the HHC vs other cohort, respectively: Medicaid 108/187 (57%) vs 279/3,437 (8%); Medicare 22/187 (12%) vs 872/3,437 (25%); private insurance 38/187 (20%) vs 2,244/3,437 (65%); self-pay 18/187 (10%) vs 40/3,437 (1%) (p < 0.001). Urgent admissions were 96/187 (51%) of HHC cohort vs 902/3,436 (26%) of other cohort (p < 0.001). There were no differences in comorbidity rating or procedures performed. Subspecialty surgeons were documented for 59/187 (32%) of HHC cohort vs 1,839/3,437 (53%) of other cohort (p < 0.001). The majority of surgeons performed less than two OC cases over the six year period, however surgeons with cases at HHC hospitals were more likely to be represented in the top 15% of total case volume (25% vs 14%, p < 0.01) due to affiliations with academic centers. Conclusions: Pts in HHC cohort were more likely to be AA, have an urgent admission and less likely to have insurance or have a gynecologic oncologist as a surgeon. However there is evidence of centralized care for some in the HHC cohort. Despite the limitations associated with using a large database, clear differences were seen in the patterns of care between municipal and all other NYC OC pts. Studies to document outcomes and further optimize care within the HHC hospital system are ongoing. No significant financial relationships to disclose.
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39

Billings, John, Lisa Zeitel, Joanne Lukomnik, Timothy S. Carey, Arthur E. Blank, and Laurie Newman. "Impact Of Socioeconomic Status On Hospital Use In New York City." Health Affairs 12, no. 1 (January 1993): 162–73. http://dx.doi.org/10.1377/hlthaff.12.1.162.

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40

JAMASON, PAUL F, LAURENCE S KALKSTEIN, and PETER J GERGEN. "A Synoptic Evaluation of Asthma Hospital Admissions in New York City." American Journal of Respiratory and Critical Care Medicine 156, no. 6 (December 1997): 1781–88. http://dx.doi.org/10.1164/ajrccm.156.6.96-05028.

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41

Lombardi, Gary. "Outcome of Out-of-Hospital Cardiac Arrest in New York City." JAMA 271, no. 9 (March 2, 1994): 678. http://dx.doi.org/10.1001/jama.1994.03510330056034.

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42

De Palo, Vera A., Paul H. Mayo, Patricia Friedman, and Mark J. Rosen. "Demographc Influences on Asthma Hospital Admission Rates in New York City." Chest 106, no. 2 (August 1994): 447–51. http://dx.doi.org/10.1378/chest.106.2.447.

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43

Weltman, André C., Louise J. Short, Meryl H. Mendelson, David E. Lilienfeld, and Marge Rodriguez. "Disposal-Related Sharps Injuries at a New York City Teaching Hospital." Infection Control and Hospital Epidemiology 16, no. 5 (May 1995): 268–74. http://dx.doi.org/10.1086/647106.

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44

Chatham, Robert. "Hospitals: N.Y. Appellate Court Denies Move to Privatize Public Hospital." Journal of Law, Medicine & Ethics 27, no. 2 (June 1999): 202–3. http://dx.doi.org/10.1017/s1073110500012961.

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The Court of Appeals of New York held, in Council of the City of New York u. Giuliani, slip op. 02634, 1999 WL 179257 (N.Y. Mar. 30, 1999), that New York City may not privatize a public city hospital without state statutory authorization. The court found invalid a sublease of a municipal hospital operated by a public benefit corporation to a private, for-profit entity. The court reasoned that the controlling statute prescribed the operation of a municipal hospital as a government function that must be fulfilled by the public benefit corporation as long as it exists, and nothing short of legislative action could put an end to the corporation's existence.In 1969, the New York State legislature enacted the Health and Hospitals Corporation Act (HHCA), establishing the New York City Health and Hospitals Corporation (HHC) as an attempt to improve the New York City public health system. Thirty years later, on a renewed perception that the public health system was once again lacking, the city administration approved a sublease of Coney Island Hospital from HHC to PHS New York, Inc. (PHS), a private, for-profit entity.
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45

Fazal, Barkat A., Edward E. Telzak, Steve Blum, Cathy L. Pollard, Mordechai Bar, Jerome A. Ernst, and Glenn S. Turett. "Impact of a Coordinated Tuberculosis Team in an Inner-City Hospital in New York City." Infection Control and Hospital Epidemiology 16, no. 6 (June 1995): 340–43. http://dx.doi.org/10.2307/30141065.

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46

Fazal, Barkat A., Edward E. Telzak, Steve Blum, Cathy L. Pollard, Mordechai Bar, Jerome A. Ernst, and Glenn S. Turett. "Impact of a Coordinated Tuberculosis Team in an Inner-City Hospital in New York City." Infection Control and Hospital Epidemiology 16, no. 6 (June 1995): 340–43. http://dx.doi.org/10.1086/647122.

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47

Williams, Marsha, Sally Trued, Betty Duggan, and Darrin Pruitt. "Examining New York City Hospitals’ Nonuse of Medical Volunteers in Disasters." Disaster Medicine and Public Health Preparedness 9, no. 4 (June 22, 2015): 391–95. http://dx.doi.org/10.1017/dmp.2015.78.

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ABSTRACTObjectiveTo describe hospitals’ perceptions of the New York City Medical Reserve Corps (NYC MRC); clarify administrative, legal, and clinical obstacles to the use of NYC MRC volunteers; and identify possible strategies to overcome these barriers.MethodsWe administered an informational questionnaire to 33 NYC hospitals and conducted 2 facilitated discussion groups comprising 62 hospital representatives.ResultsThe most commonly reported hospital barriers to the use of MRC volunteers were concerns about the clinical competence of the volunteers, their lack of familiarity with medical technology used clinically in a hospital setting, and the potential for institutional liability.ConclusionsAlthough the NYC MRC has the potential to assist the health care system in the event of a disaster, NYC hospitals will need clarification of the clinical and legal issues involved in the use of MRC volunteers for patient care. (Disaster Med Public Health Preparedness. 2015;9:391–395)
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Bhalla, Natasha, and Harry Dym. "The Psychological Impact of COVID-19 on Hospital Trainees in a New York City Hospital." Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology 131, no. 4 (April 2021): e141-e142. http://dx.doi.org/10.1016/j.oooo.2020.12.028.

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49

Sepkowitz, Kent A., Peter Fella, Pedro Rivera, Nerinda Villa, and Jack DeHovitz. "Prevalence of PPD Positivity among New Employees at a Hospital in New York City." Infection Control and Hospital Epidemiology 16, no. 6 (June 1995): 344–47. http://dx.doi.org/10.2307/30141066.

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50

Sepkowitz, Kent A., Peter Fella, Pedro Rivera, Nerinda Villa, and Jack DeHovitz. "Prevalence of PPD Positivity among New Employees at a Hospital in New York City." Infection Control and Hospital Epidemiology 16, no. 6 (June 1995): 344–47. http://dx.doi.org/10.1086/647123.

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