Designing for Health in the 19th Century

By Kate Burch

This year’s coronavirus pandemic has transformed our lives and caused us all to reexamine our environments from a hygienic perspective. As we spend more time in our homes and immediate neighborhoods, and try to make our indoor spaces safer, some of the solutions utilized by 19th century architects, landscape architects, engineers and planners that can be seen in Portland are still relevant today.

“Deering’s Woods” in 1878. Photograph by Henry Wadsworth Longfellow.

“Deering’s Woods” in 1878. Photograph by Henry Wadsworth Longfellow.

Portland’s large public parks – Deering Oaks, Lincoln Park, the Western and Eastern Promenades – were all built in the 19th century and continue to serve as significant green space in the city. In a time when we are encouraged to stay close to home due to coronavirus, the same value they had in the 19th century has become apparent. 

The public park movement began in the 1830s to improve the living conditions for workers in crowded industrial towns and cities. Through the 19th century, parks were seen as increasingly important for both hygienic and humanitarian reasons. Parks were referred to as the “lungs of the city” to help against poor air quality and the spread of infectious disease. They were also places where people who lived in crowded conditions and did not have access to travel away from the city could have access to outdoor space for leisure and recreation.

The crowded living conditions of the working class in cities also led to efforts to improve hygiene in housing, which, in the 19th century, focused on improved airflow and increased light. Lower income people in cities often lived in uncomfortable and unsafe conditions such as cellars or large tenements with windowless rooms and shared facilities that led to the fast spread of infectious diseases.

Side Sectional View of Tenement House, 38 Cherry Street, New York City, 1865

Side Sectional View of Tenement House, 38 Cherry Street, New York City, 1865

In the late 19th and early 20th century, reformers led the push for better housing and tenement reform. In New England, the triple-decker house originated as a more livable alternative to tenements or row houses. Triple-deckers offered light and airflow on all sides of a building while still economic to build, and often feature porches for each apartment. In larger apartment buildings, changes in design developed to improve ventilation and hygiene, such as air shafts and increased windows. One popular design was the “h” plan, which can be seen in the Stateway Apartments at 59 State Street in Portland, built by the architectural firm Miller & Mayo in 1913. The shape of the building allows for more outward-facing windows, cross-ventilation, and fresh air for all residents.

59 State Street in 1924

59 State Street in 1924

82 Vesper Street in 1924

82 Vesper Street in 1924

Portland’s 19th century hospitals also reflect this emphasis on sunlight, good airflow, and ventilation. The Maine General Hospital building at 22 Bramhall Street (1874, now Maine Medical Center) was designed by architect Francis Fassett to have 4 pavilions around a central wing. This design, coupled with the building’s location atop Bramhall Hill, allowed for free circulation of fresh air to prevent disease, as well as scenic views of the White Mountains and the ocean to improve patients’ spirits.

Sketch of Francis Fassett’s original proposal for Maine General Hospital, c1872

Sketch of Francis Fassett’s original proposal for Maine General Hospital, c1872

Portland Marine Hospital (now Martin’s Point), 2012. Photo by Corey Templeton.

Portland Marine Hospital (now Martin’s Point), 2012. Photo by Corey Templeton.

The Portland Marine Hospital (1855, now Martin’s Point Healthcare) was designed by architect Ammi B. Young in an “h” plan to allow for maximum sunlight and ventilation. Its location – similar to Maine General, on a hill atop a peninsula by the ocean – improves airflow and corresponds to 19th century thinking that sea air was good for health.

These 19th century design values for health and well-being have proven to be lasting. Fresh air, good ventilation, and exposure to UV rays in sunlight are some of our key weapons to fight the coronavirus pandemic. As people are confined to their homes or encouraged to travel only locally, features like windows, porches, and public parks are still crucial to our 21st century lives.