RiseUpToHIV · Historical Friday Feature
Historical Friday Feature

Hart Island

Last reviewed: September 2026

The AIDS epidemic, the unclaimed dead, and what a number in a ledger cannot hold

RiseUpToHIV  ·  Written by a person living with HIV

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Hart Island sits less than a mile off the eastern shoreline of the Bronx, in the Long Island Sound. From a passing boat it appears unremarkable — low grass, weathered structures, rows of small white markers rising at intervals from the earth. There is no skyline drama, no visible monument. It looks, from a distance, like a quiet and forgotten place.

It is not forgotten. It is actively used, to this day, as New York City's public cemetery — what officials call a potter's field, a term with roots in the Gospel of Matthew, where it described the burial ground purchased with the thirty pieces of silver returned by Judas. A field bought with blood money, used to bury strangers. The phrase has carried that ambiguity ever since.

Since 1869, more than one million people are believed to have been buried on Hart Island[3]. Most lie in long trenches, in plain pine boxes stacked in layers, beneath numbered markers that correspond to entries in municipal ledgers. They are not anonymous to the record — every burial is logged — but the record is not a monument.

A number in a ledger is not a name in stone.

During the height of the AIDS epidemic, between roughly 1983 and 1996, thousands of people who died of AIDS-related illnesses were buried there. The first documented AIDS burials on Hart Island took place in 1985, when seventeen people who had died of AIDS-related illnesses — including a child, the first known pediatric AIDS death in New York City, whose grave marker reads SC-B1, 1985 (Special Case–Baby 1) — were interred individually, fourteen feet deep, on the isolated southern tip of the island, out of what city officials would later concede was an "overabundance of caution" driven by fear of contagion[6]. They arrived at Hart Island through a process that was bureaucratic, systematic, and, for those left behind, often devastating. To understand what happened on Hart Island during those years, you have to understand both the place and the epidemic — and the ways in which both exposed the limits of how American society recognized a life.

The Island's History: A Place the City Made for Its Forgotten

Hart Island has served many functions over its history, most of them defined by the city's need to manage people it did not know what to do with. During the Civil War it housed a Union prisoner-of-war camp. In the late nineteenth century it held a workhouse, a reformatory for women, and a hospital for yellow fever patients. In the twentieth century it housed a Nike missile battery during the Cold War, a drug rehabilitation program called Phoenix House, and a boys' reformatory. Through all of it, the potter's field continued operating. The island accumulated purposes like sediment.

The decision to use Hart Island as a public cemetery was not made in a moment of humanitarian concern. It was made in response to a practical problem: New York City had more unclaimed dead than it could inter elsewhere. The city needed a place. Hart Island was available. The arrangement has persisted, with various administrative changes, for more than 150 years.

What defines burial on Hart Island is the legal classification of 'unclaimed.' Under New York City administrative code, when a person dies and no legally recognized next of kin or authorized representative completes burial arrangements within a required timeframe — historically around 30 days — the body is classified as unclaimed and transferred to Hart Island. The classification is administrative. It says nothing about whether the person was loved, whether people mourned them, whether their death left a hole in someone's life that has never closed.

That gap between administrative classification and human reality is, in ordinary times, a significant problem. During the AIDS epidemic, it became a catastrophe.

New York City and the Epidemic: The Scale of Loss

7,000+ AIDS deaths per year in New York City at the epidemic's peak[2]
~20 People dying every single day, for years, in one city

The city was, from the early 1980s onward, the epicenter of the American AIDS epidemic. By 1990, AIDS had become the leading cause of death for New York City residents between the ages of 25 and 44[2]. The neighborhoods most devastated were concentrated in lower Manhattan, the West Village, Chelsea, Hell's Kitchen, and parts of the Bronx, Brooklyn, and Harlem.

The communities most affected were gay and bisexual men, intravenous drug users, and — in numbers that received far less public attention — Black and Latino New Yorkers, including women and children. The epidemic did not observe the boundaries that public discourse tried to draw around it.

Effective combination antiretroviral therapy would not arrive until 1996[4]. Until then, an AIDS diagnosis was, in most cases, a terminal one. The median survival time after diagnosis in the early years was less than two years.

Into this context came the bureaucratic machinery of Hart Island. When patients died in city hospitals, administrators turned to intake paperwork for next-of-kin information. When that information was incomplete, outdated, or led to relatives who were estranged, unreachable, or unwilling to assume responsibility — and when the legally required window expired — the body was classified as unclaimed. Pine boxes were ordered. Boats carried the dead across the East River. Numbers were entered in ledgers.

Hart Island did not change its function during the AIDS epidemic. It simply processed greater volume.

Three Stories Within the Larger One

Chapter One

The Partner Who Had No Standing

In 1988, a man in his thirties died in a New York City hospital from AIDS-related complications. He had lived for years with his partner — shared an apartment, shared finances, shared the texture of daily life. By every reasonable human measure, they were a family.

By every legal measure, they were not.

When the man's condition worsened and death approached, hospital administrators followed protocol: they turned to intake paperwork completed years earlier and attempted to contact biological relatives. Those relatives were reached. They declined to assume responsibility for burial arrangements.

The partner stood outside the legal frame entirely. Marriage equality did not exist in New York State until 2011[5]. Domestic partnership protections in 1988 were limited and did not extend to hospital decision-making or burial rights. The partner had no legal standing — not as next of kin, not as authorized representative, not as anyone the administrative system was required to recognize. He could not authorize burial. He could not claim the body. He could not prevent the process from moving forward without him.

After the required waiting period elapsed, the body was classified as unclaimed. It was transferred to Hart Island.

He was not exceptional. During the AIDS epidemic, same-sex partners were routinely excluded from medical decision-making, from hospital visitation, from burial decisions, and from the legal recognition that might have allowed them to act on behalf of the people they loved. The law recognized biological kinship. It did not recognize chosen family. It did not recognize love. The category 'unclaimed' could erase a relationship that had defined a life.

Chapter Two

The Woman Buried Under a Name That Was Not Hers

The AIDS epidemic killed transgender women at devastating rates, particularly transgender women of color in urban environments, who faced compounding vulnerabilities: housing instability, criminalization, exclusion from formal employment, and limited access to health care. New York City's transgender community experienced extraordinary loss during the epidemic's peak years.

When transgender women died of AIDS-related illnesses in city hospitals, they were frequently admitted under legal names — the names on their government-issued identification — that did not reflect their lived identities. Legal name change was possible but often inaccessible — expensive, procedurally complex, and in some cases legally impossible.

The result was that the paperwork governing their deaths — hospital records, death certificates, burial logs — recorded a name that was, in the deepest sense, not theirs. The grave marker bore a number. The ledger bore a name that did not reflect the life lived. The erasure was built into the system.

Archival research preserved through the Hart Island Project has documented transgender women buried on Hart Island under names inconsistent with their lived identities. The record of their deaths was a second erasure layered on top of the social erasure they had often experienced in life.

Chapter Three

The Family Who Learned Too Late

Not every burial on Hart Island during the AIDS epidemic followed rejection or legal invisibility. Some followed delay. Some followed simple, devastating bureaucratic misalignment.

As AIDS deaths surged to their peak, hospitals were managing caseloads they were not built to handle. Contact information on intake paperwork was often years old. People move. Phone numbers change. In a city with high residential mobility, especially among the young, the information on a hospital intake form might bear little resemblance to someone's actual life circumstances five years later.

The administrative timeline did not adjust for this. If next of kin could not be reached within the required window — if letters went to old addresses, if phone calls reached disconnected numbers, if family members were themselves ill or in crisis — the clock continued. The classification of unclaimed was applied not as a judgment but as an administrative outcome.

There are documented cases, preserved through archival reporting and the work of the Hart Island Project, in which families discovered years or even decades later that a son, daughter, or sibling who had died of AIDS-related illness had been buried on Hart Island before they were notified. They had not rejected their child. They had not been reached in time.

The designation unclaimed did not always mean unloved. It sometimes meant unreachable within bureaucratic timelines. It sometimes meant outdated information. It sometimes meant overwhelmed institutions.

Transfer. Trench. Number.

The Men Who Dug the Trenches

There is another dimension to Hart Island's history during these years that demands acknowledgment: the labor of burial was performed by incarcerated men transported from Rikers Island, New York City's main jail complex.

From the mid-nineteenth century through 2021, Hart Island was administered by the New York City Department of Correction. Inmates from Rikers — most of them pre-trial detainees who had not been convicted of any crime, held because they could not afford bail — were brought to the island to dig trenches, carry pine boxes, and cover graves. They were paid roughly fifty cents to one dollar an hour, depending on the era[7]. They performed this labor for the dead of New York City for more than 150 years.

During the AIDS epidemic, those incarcerated workers buried thousands of people who had died of AIDS-related illnesses. Many of the workers themselves came from communities devastated by the epidemic. Some had friends or family members among the dead. The labor of burial — intimate, physically demanding, and carrying a weight that is not captured in any administrative record — was performed by people at the bottom of the city's social hierarchy, performing an essential function that the city preferred not to examine too closely.

The New York City Council voted in 2019 to transfer oversight of Hart Island from the Department of Correction to the Department of Parks and Recreation; the full operational handover was completed in July 2021, after years of sustained advocacy by the Hart Island Project and other organizations[8]. Burials are now performed by a paid civilian workforce. The change came more than 150 years after the arrangement began.

What the Record Did and Did Not Preserve

For much of Hart Island's history, its burial records were notoriously difficult for families to access. The ledgers existed — the city had always logged its burials — but they were held by the Department of Correction, which operated Hart Island as a correctional facility, and access was tightly controlled. Families who suspected a loved one might be buried there had limited official recourse.

Melinda Hunt began documenting Hart Island in 1991, initially as a photographic project in collaboration with photographer Joel Sternfeld[9]. What she encountered — the scale of the burials, the stories of families who could not access information about their dead, the layers of institutional opacity — transformed the project into a decades-long advocacy campaign. The Hart Island Project, incorporated as a nonprofit in 2011, worked over decades to force greater transparency, establish a searchable online database of burial records, and ultimately secure the transfer of records to the NYC Municipal Archives[9].

That work matters enormously. Thousands of families have used the database to locate burial information for people they lost. For many, the confirmation of a grave location — even a numbered plot in a numbered trench — was the first piece of official acknowledgment that the person they mourned had existed and died in a place that could be found.

Hart Island burial records do not list cause of death — that information is held in separate death certificates and is not publicly indexed. There is no memorial on Hart Island that names the people buried there who died of AIDS-related illness. There is no dedicated section of the field, no marker that identifies the period.

Names exist in archives. Numbers exist in the field. The absence of a monument is not accidental — it is the shape of what was never built.

The Legal Architecture of Exclusion

In the 1980s and into the 1990s, same-sex relationships had no legal recognition anywhere in the United States. In many states, consensual same-sex intimacy was still a criminal offense under sodomy laws that would not be struck down until Lawrence v. Texas in 2003. Gay men who were open about their relationships could lose their jobs, their housing, and in some cases their families, with no legal recourse.

Partners who had lived together for years, who had built lives together, who were in every practical sense each other's primary family, had no legal standing at the moment of death. Hospitals were not legally required to consult them. Biological relatives who had been estranged for years — who in some cases had rejected their family member specifically because of their sexual orientation — could, and sometimes did, override the wishes of partners and chosen family.

The AIDS epidemic became one of the primary catalysts for the legal recognition of same-sex partnerships. The sight of partners being turned away from hospital rooms, being excluded from memorial services, being left with nothing after years of shared life, galvanized the LGBT rights movement in ways that legislation alone had not. The domestic partnership protections that began appearing in some cities and states in the late 1980s and early 1990s were, in significant part, responses to what the epidemic had exposed. The eventual path to marriage equality — achieved federally in 2015 — ran through the grief of the AIDS years.

But for the people buried on Hart Island in the interim, the legal changes came too late. They lived and died in the world as it was, not as it eventually became.

Visiting Hart Island Today

Hart Island remains an active public cemetery. It is reachable only by ferry and is not open for independent public visitation. The NYC Department of Parks and Recreation, which has administered the island since 2021, offers ranger-led tours and monthly public and family visitation days by registration; families may also request burial information and arrange visits through the NYC Municipal Archives[10].

Visitors who have documented their visits describe the strangeness of standing somewhere so close to the density of New York City — the skyline is visible from the island's western shore — while surrounded by such stillness. The white markers rise from the grass in rows. Each corresponds to a number in a ledger. Most correspond to a name in that ledger, though the name is not on the marker.

There is no monument on Hart Island listing the names of those buried there during the AIDS epidemic. There is no plaque marking the graves from the peak years. The AIDS Memorial Quilt exists. The National AIDS Memorial in San Francisco exists. Various local memorials exist in cities across the country. Hart Island has no equivalent. The bodies are there. The record is there. The monument is not.

What Remains

The people buried on Hart Island during the AIDS epidemic were not unclaimed because they were unloved. The record describes an administrative outcome. It does not describe the relationships that preceded it.

Some were excluded by the legal architecture of a society that refused to recognize their families. Some were erased by documentation systems that recorded the names on government ID rather than the names by which they lived. Some were overtaken by bureaucratic timelines in institutions overwhelmed by the scale of the crisis. Some had families who searched for them and found them only years later, in a numbered field on an island in the East River.

The epidemic killed, in the United States alone, more than 448,000 people between 1981 and 2000[1] — with more than 774,000 AIDS diagnoses reported to CDC by the end of that year. It killed people whom the legal system did not recognize, in communities the government was slow to help, in a context of stigma that made asking for help dangerous, in a period before effective treatment, surrounded by people who loved them and in many cases could do nothing.

What the Hart Island Project has spent decades doing is an act of archival resistance. It insists that the administrative record is not the whole record. That the number in the ledger points to a person who had a name.

Documentation does not replace remembrance. But it makes remembrance possible — for the families who can now find where their people are, for the historians who can reconstruct what the epidemic produced, and for the public that needs to understand what it means when legal and institutional systems fail the people they are supposed to serve.

The lesson of Hart Island is not only about the past. Access to HIV medication can still be disrupted. Legal protections can still be eroded. The communities most vulnerable to the gaps in those systems are still, in many cases, the same communities that sent their dead to Hart Island forty years ago.

What we build, legally and institutionally, to recognize the people we are at risk of failing — that work is never finished. Hart Island is what it looks like when it stops.

The classification was administrative. The lives were not. They were loved. The record did not always say so.

— RiseUpToHIV  ·  Written by a person living with HIV  ·  Florida

References & Sources

  1. CDC, "HIV and AIDS — United States, 1981–2000," MMWR Weekly, June 1, 2001. As of December 31, 2000, 774,467 persons had been reported with AIDS in the United States and 448,060 of these had died. cdc.gov/mmwr/preview/mmwrhtml/mm5021a2.htm
  2. NYC Department of Health and Mental Hygiene, "HIV Surveillance Annual Report" series; peak-era AIDS mortality figures for NYC. AIDS was the leading cause of death for New York City residents ages 25–44 by the early 1990s. nyc.gov/site/doh/data/data-sets/hiv-aids-annual-surveillance-statistics.page
  3. NYC.gov, "Hart Island" — official city page. Hart Island has served as New York City's public cemetery since 1869; more than one million people are believed to be buried there. nyc.gov/site/hartisland/hart-island/hart-island.page
  4. HIV.gov, "A Timeline of HIV and AIDS." FDA approval of the first protease inhibitor (saquinavir) in December 1995 and the emergence of highly active antiretroviral therapy (HAART) in 1996 transformed HIV from a near-uniformly terminal diagnosis into a chronic, manageable condition. hiv.gov/hiv-basics/overview/history/hiv-and-aids-timeline
  5. New York State Marriage Equality Act, signed into law June 24, 2011, effective July 24, 2011. New York became the sixth U.S. state to legalize same-sex marriage. governor.ny.gov/news/governor-cuomo-signs-marriage-equality-act
  6. The Foundation for the AIDS Monument, "Judd Hirsch (Special Child B1)"; NYC.gov Hart Island official page. In 1985, seventeen people who had died of AIDS-related illnesses were buried in individual graves fourteen feet deep on the southern tip of the island — the first documented AIDS burials on Hart Island — including the child memorialized by the marker "SC-B1 1985." aidsmonument.org/remember/judd-hirsch
  7. The City (NYC), "Hart Island Burials Taken Over By Tree Landscapers, Uprooting Families' Hopes for Transformation," Nov. 18, 2021; Hart Island Project brochure. Rikers Island incarcerated workers were paid roughly $0.50 to $1.00 per hour for burial labor across different eras until the practice ended in 2021. thecity.nyc/2021/11/18/hart-island-burials-transformation-to-nyc-covid-cemetery
  8. NYC Council, "Hart Island Data Team Report"; Gotham Center, "Hart Island and the Paradox of Redemption." The NYC Council passed Intro 906-A in November 2019 to transfer Hart Island from the Department of Correction to the Department of Parks and Recreation; full operational handover was completed in July 2021. council.nyc.gov/data/hart-island
  9. The Hart Island Project (official site); Reed Magazine, "The Secret Cemetery" (2023). Melinda Hunt began documenting Hart Island in 1991 with photographer Joel Sternfeld; the Hart Island Project was incorporated as a public charity in 2011 to expand advocacy and public-records work. hartisland.net
  10. NYC Parks, "Hart Island — Visiting Information." Since the 2021 transfer, NYC Parks has offered monthly public visitation days and family gravesite visits by registration, with ferry access from City Island in the Bronx. nycgovparks.org/parks/hart-island
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