The register
The Register of Buildings
The complete roster. Every entry is one building or one rule, and the theory of disease that produced it.
| No. | Entry | Section | What it is |
|---|---|---|---|
| 01 | The pavilion plan | The Pavilion | Wards as separate parallel blocks joined by corridors, so that air could cross each one and never pass from one to the next — an entire hospital shaped by a diagram of ventilation. |
| 02 | Lariboisière | The Pavilion | The Paris hospital that made the pavilion argument concrete: Lariboisière turned a ventilation theory into stone and was studied by all. |
| 03 | Billings draws Baltimore | The Pavilion | John Shaw Billings planned Johns Hopkins around ventilation before germ theory settled, and the building opened in 1889 already halfway between two worlds. |
| 04 | What a pavilion cost to run | The Pavilion | Heating a building designed to leak air is expensive, and the accounts eventually decided the argument. |
| 05 | Miasma | Bad Air | For most of the nineteenth century, disease was believed to travel in foul air — and because the theory was wrong for the right reasons, the buildings it produced often worked. |
| 06 | The open window | Bad Air | Cross-ventilation as a medical instrument, with the window as the prescription. |
| 07 | Light as treatment | Bad Air | Sunlight was believed to be actively curative, which put wards on particular orientations. |
| 08 | Germ theory arrives | The Turn | Once infection had a mechanism, the reason for all that air disappeared, and the plan was free to become compact. |
| 09 | The sealed tower | The Turn | Lifts, mechanical ventilation and deep plans made height practical, and the hospital stopped being a landscape of separate blocks. |
| 10 | What was lost | The Turn | Daylight, view and orientation were traded for efficiency, and are now being argued back. |
| 11 | Paimio Sanatorium | Paimio | Alvar Aalto's 1933 building designed around a patient lying on their back: ceiling colours chosen for that view, heating placed to avoid draughts, and a basin shaped not to splash. |
| 12 | The sun balcony | Paimio | Rest cure architecture put beds outdoors in cold air, and the balcony became the building's whole south face. |
| 13 | Furniture as prescription | Paimio | Furniture as prescription: the Paimio chair was designed to open the sitter's chest, a medical claim made in bent plywood at Aalto's sanatorium. |
| 14 | Notes on Hospitals | Measures | Florence Nightingale published the ward as a set of numbers in 1859 — beds per ward, distance between them, window area, cubic feet of air per patient — and hospitals were built to those figures for decades. |
| 15 | Cubic feet per bed | Measures | A ventilation standard expressed as volume, and what it did to ceiling heights. |
| 16 | The ward round as a plan | Measures | Sightlines from the nurse's position shaped the long open ward as much as air did. |