Ellis Island Chalk Marks

 
 
 

Immigrants that passed through Ellis Island underwent a physical examination.  Many did not realize that their exam began as they started to climb the staircase which led from the baggage area up to the Great Hall.  Doctors stood at the top of the stairs seaching for anyone having difficulty carring their bags, limping, breathing too hard, or even sweating too much.  If the doctor found evidence of disease or a disabling condition,  their clothing was marked with a symbol. Each symbol had a  special meaning.

.

X Suspected Mental Defect
Circled X Definite signs of Mental Defect
B Black
C Conjunctivitis
CT Trachoma
E Eyes
F Face
FT Feet
G Goiter
H Heart
K Hernia
N Neck
L Lameness
P Physical and Lungs
PG Pregnancy
SC Scalp (Fungus)
S Senility
SI Special Inquiry

 
It's been said that some very savy immigrants wore reversible clothing as "insurance."  If they received a chalk mark, when opportunity presented itself,  they turned their coats inside out and continued on without undergoing the more thorough exam.  "Marked" immigrants were  escorted by guards to other examination areas.  There they were checked by another doctor for the ailment indicated by the chalkmark.  If the second physician deemed it necessary, the person was sent to the hospital, hopefully to recover.  If the ailment or disability was incurable the immigrant was sent back to his/her port of origin.

If the marked immigrant  passed the physical exam they returned to the Great Hall for further processing.  Meanwhile,  unmarked immigrants continued through the lines and underwent questionable mental and medical exams including the dreaded "buttonhook exam."  It's been said that a doctor used an ordinary  button hook (the kind used to button the high top laced shoes of the era) and placed it over the eyelid.  He then pulled the eyelid back to search for trachoma, a highly contagious illness that at that time resulted in blindnes.

In the Great Hall uniformed officials sat behind high desks and questioned the immigrants.  Translators shouted their questions over a bable of voices.  A wrong or suspicious answer by the immigrant would result in his removal from the line by a guard.  The guard would mark "SI"  for "Special Inquiry" on the immigrant's shoulder or lapel. Later all those marked "SI" would meet with a board of interrogators in an inquiry room.  Three of the most difficult questions for immigrants were:

    (1)  For single women "Who sent for you?"  If she answered "my fiance"   she usually stayed at Ellis Island until the man arrived.  Sometimes officials required that the marriage ceremony be performed on Ellis Island.

    (2)  "Do you have a job waiting?"

    (3)  "Who paid your passage?"

These last two questions were especially difficult for poor immigrants because many had signed labor contacts in the old country agreeing to work for exploitative wages in return for a ticket.  The problem was that this practice was illegal in the United States.

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© 1999 Annita Zalenski