Medical care in the city’s poorest slums was pretty nonexistent in the late 1890s. So social reformer Lillian Wald—founder of the Henry Street Settlement and namesake of a housing project on Avenue D—established a visiting nurses service.
Her Nurses’ Settlement eventually had a staff of about 100 blue-uniformed nurses who went from tenement to tenement offering free or low-cost check-ups and treatment, mostly for immigrant mothers and kids.
Rather than climbing all those tenement stairs on their rounds, the nurses simply hopped from rooftop to rooftop, like this nurse is doing here.