Margaret Caroline Heagarty, M.D. died peacefully in her home in the Bronx on December 23,

2022. Her life was a creative blend of keen intellect, administrative skill, and tireless devotion to

the care of sick children — notably those who suffered from the AIDS epidemic of the 1980’s

and 90’s.

Known to family and friends as Maggie, Aunt Maggie, and ‘the Matriarch,’ she was born

September 8, 1934, in Charleston, West Virginia. The first of three children, she outlived both

her sister Mary Alice and her brother John Patrick Jr., as well as her sister-in-law Darleen. She is

survived by her brother-in-law William Burgan, his son Harry Burgan, daughter Margaret Ash

and by her nephew Christopher Heagarty, her niece Nicole Heagarty, and eleven grand-

nephews and nieces.

Her father was Dr. John Patrick Heagarty, her mother Margaret Caroline (Walsh) Heagarty. The

senior doctor Heagarty was a physician who treated patients in the West Virginia coalfields and

inspired his eldest daughter to follow in his footsteps. After graduating from Seton Hill College

in Pennsylvania, she attended West Virginia State University's two-year School of Medicine as

one of only two women in the class. She then earned her medical degree from the University of

Pennsylvania School of Medicine in 1961 and completed a pediatric residency at Temple

University in 1964.

Doctor Heagarty entered academic medicine at a time when there were few women engaged in

that field. After pediatric residency, she went to Harvard Medical School to study the

relationship between community factors and childhood health. In 1967, she published a study

of the effect of race on the acceptance of medical care. Dr. Heagarty served as Director of

Pediatric Ambulatory Care Services at Cornell-New York Hospital, before becoming Director of

Pediatrics at Columbia University's Harlem Hospital Center in 1978. She served as Director of

Pediatrics for 22 years, where she dramatically improved the survival and quality of life of the

children of Harlem. As noted in an NIH summary of her career, she “brought innovations in the

care of newborn babies to Harlem Children's Hospital, where the rate for neonatal mortality

had been more than three times the national average. Her initiatives included programs dealing

with the issues of teenage pregnancy, a new pediatric AIDS unit, a group home for HIV-infected

children, community satellite clinics, and community projects to prevent playground

injuries. On a national scale, she made an issue of the plight of cocaine-exposed ‘boarder

babies,’ babies abandoned at birth by parents with a history of substance abuse.”

Dr. Heagarty succeeded in focusing international attention on this issue, including that of

dignitaries such as Surgeon General C. Everett Koop, First Lady Barbara Bush, and Princess

Diana. In February 1989, the princess visited the pediatric AIDS unit at Harlem Hospital,

escorted by Dr. Heagarty. Diana asked her about the mothers. “When you have a problem with

the drugs, how on earth can you deal with AIDS as well?” Dr. Heagarty responded, “It is bad

enough to have a fatal disease, but with poverty and drugs, you have a very bad problem

indeed. It is easy to say these mothers are irresponsible, but, still, I have seen them grieving

over their dying children. These mothers love their children the same as you love your little

Princes.” The publicity the tour received helped draw attention to the plight of "AIDS babies"

worldwide, directly resulting in a surge of families volunteering to offer them foster homes,

going from zero pending applications at the time of the visit to one hundred and sixty of these

abandoned infants finding foster homes in the first two years after the visit.

Throughout her distinguished career Dr. Heagarty was involved in many projects and

committees and earned a reputation as a true leader. She was a member of the New York

Academy of Medicine, where she has served on the Board of Trustees, a fellow of the American

Academy of Pediatrics, a member of the Society for Pediatric Research, and a past president of

the Ambulatory Pediatric Association. In retirement, Dr. Heagarty was a professor emerita of

pediatrics at Columbia University College of Physicians and Surgeons and elected to the

Institute of Medicine. Among numerous honors, Dr. Margaret Heagarty received the Martha

May Eliot Award in 1994 from the American Public Health Association, and in 1995 she was

granted an honorary Doctor of Medical Science degree from Yale University.

“She was a mountain of an Irish woman, a mother superior in disguise, a devout Catholic who

never married,” said Dr. Stephen Nicholas, who succeeded her as the director of pediatrics at

Harlem Hospital. “In her no-nonsense way, she captured the imagination of many, including a

princess, a first lady, and a surgeon general, to address the plight of children in Harlem during

the ravages of AIDS and crack during the 1980’s.”

A memorial service for Dr. Heagarty will be held at 10:00 AM on February 18, at Holy Rosary Roman Catholic Church, located at 1510 Adee Avenue, The

Bronx, New York 10469. In lieu of flowers, Dr. Heagarty would be honored by any kind

donations made to Seton Hill University in Greensburg, Pennsylvania.