The document discusses the creation and history of the New York Academy of Medicine, founded in 1847 during a time of public health crises in New York City. The Academy was established to address issues like widespread infections, high infant and maternal mortality rates. It helped improve the city's healthcare through initiatives such as establishing a public medical library and encouraging public health education. The organization's founding ultimately led New York to create sanitation and public health departments and standardized practices like disease tracking that improved urban healthcare across the United States.