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Syphilis is a sexually transmitted infection caused by the bacterium Treponema pallidum subspecies pallidum. The signs and symptoms of syphilis vary depending in which of the four stages it presents. The primary stage classically presents with a single chancre though there may be multiple sores. In secondary syphilis, a diffuse rash occurs, which frequently involves the palms of the hands and soles of the feet. There may also be sores in the mouth or vagina. In latent syphilis, which can last for years, there are few or no symptoms. In tertiary syphilis, there are gummas, neurological problems, or heart symptoms. Syphilis has been known as "the great imitator" as it may cause symptoms similar to many other diseases.
The Tuskegee Study of Untreated Syphilis in the Negro Male was a study conducted between 1932 and 1972 by the United States Public Health Service (PHS) and the Centers for Disease Control and Prevention (CDC) on a group of nearly 400 African Americans with syphilis. The purpose of the study was to observe the effects of the disease when untreated, though by the end of the study medical advancements meant it was entirely treatable. The men were not informed of the nature of the experiment, and more than 100 died as a result.
The United States Public Health Service is a collection of agencies of the Department of Health and Human Services concerned with public health, containing nine out of the department's twelve operating divisions. The Assistant Secretary for Health oversees the PHS. The Public Health Service Commissioned Corps (PHSCC) is the federal uniformed service of the PHS, and is one of the eight uniformed services of the United States.
Men who have sex with men (MSM) are male persons who engage in sexual activity with members of the same sex. The term was created in the 1990s by epidemiologists to study the spread of disease among all men who have sex with men, regardless of sexual identity, to include, for example, male prostitutes. The term is often used in medical literature and social research to describe such men as a group for research studies. It does not describe any specific sexual activity, and which activities are covered by the term depends on context.
Hugh Smith Cumming was an American physician, and soldier. He served as the fifth Surgeon General of the United States from 1920 to 1936.
Thomas Parran was an American physician and Public Health Service officer. He was appointed the sixth Surgeon General of the United States from 1936 to 1948, and oversaw the notorious Tuskegee syphilis experiment and Guatemala syphilis experiment.
Richard Edward Connell Jr. was an American writer and journalist. He is best remembered for his short story "The Most Dangerous Game" (1924). Connell was one of the most popular American short story writers of his time, and his stories were published in The Saturday Evening Post and Collier's magazines. He had equal success as a journalist and screenwriter, and was nominated for an Academy Award in 1942 for the movie Meet John Doe (1941), directed by Frank Capra and based on his 1922 short story "A Reputation". His screenplay for the 1944 film Two Girls and a Sailor was also nominated for an Academy Award for Best Original Screenplay.
Marc Wallace Jordan is an American-born Canadian singer-songwriter, record producer, session musician, and actor. Covering a wide variety of genres, he has written songs for a number of well-known artists, including Diana Ross, Rod Stewart, Cher, Bette Midler, Chicago, and Josh Groban. He was named best producer with Steven MacKinnon at the Juno Awards in 1994 for "Waiting for a Miracle" from Reckless Valentine. In early 2014, Jordan was named Chair of Slaight Family Music Lab at Norman Jewison's Canadian Film Centre.
Venereology is a branch of medicine that is concerned with the study and treatment of sexually transmitted diseases (STDs). The name derives from Roman goddess Venus, associated with love, beauty and fertility. A physician specializing in venereology is called a venereologist. In many areas of the world, the specialty is usually combined with dermatology.
To the People of the United States is a short propaganda film produced by the US Public Health Service in 1943 to warn the American GIs against syphilis. It was directed by Arthur Lubin and produced by Walter Wanger. The film was subject to protests from the Catholic Legion of Decency.
William Augustus Hinton was an American bacteriologist, pathologist and educator. He was the first Black professor in the history of Harvard University. A pioneer in the field of public health, Hinton developed a test for syphilis which, because of its accuracy, was used by the United States Public Health Service. In 1975, the Massachusetts legislature made what had become known as the "Hinton Laboratory" in the scientific community official, passing a bill to rename the state laboratory the "Dr. William A. Hinton Laboratory." In 2019, Hinton's portrait was placed in Harvard Medical School's Waterhouse Room, a room previously dominated by the portraits of former Harvard Medical School Deans, all of whom were white.
The American Sexual Health Association (ASHA), formally known as the American Social Hygiene Association and the American Social Health Association, is an American nonprofit organization established in 1914, that cites a mission to improve the health of individuals, families, and communities, with an emphasis on sexual health, as well as a focus on preventing sexually transmitted infections and their harmful consequences. ASHA uses tools such as education, communication, advocacy and policy analysis activities with the intent to heighten public, patient, provider, policymaker and media awareness of STI prevention, screening, diagnosis and treatment strategies.
Parran Hall is the former name of an academic building on the campus of the University of Pittsburgh on Fifth Avenue in Pittsburgh, Pennsylvania, United States. The building, constructed to house the Graduate School of Public Health, was completed in 1957, and designed by Eggers & Higgins, architects of the Dirksen Senate Office Building, in the International Style with a major addition by Deeter-Ritchey-Sippel and Crump completed in 1967. The school was founded in 1948 with a $13.6 million grant from the A.W. Mellon Educational and Charitable Trust. It was originally named after Thomas Parran Jr., a former head of the United States Public Health Service at the time the Public Health Service was sponsoring the Tuskegee experiment, in which patients with syphilis were studied but did not receive treatment for the disease.
The Public Health Advisor, or "PHA" is a type of public health worker which was established in 1948 by the United States Public Health Service in the Venereal Disease Control Division. Today they are hired primarily by the U.S. Centers for Disease Control and Prevention (CDC) and serve in many public health programs. This type of worker is unique in public health, because they begin their service at the entry level of public health doing what is known as "field work" or "contact epidemiology" which refers to the interviewing and locating of people who have been exposed to an infectious disease so as to offer them treatment and to reduce the epidemic. Following their initial work experiences, PHAs are exposed to a variety of public health programs across the United States, learning to function at all levels of the public health system. During their time of service, PHAs are called upon to respond to public health or humanitarian crisis. This article will briefly describe the history of the Public Health Advisor and will mention a few notable contributions made over the course of their history with the Public Health Service and later with the Centers for Disease Control and Prevention.
The Guatemala syphilis experiments were United States-led human experiments conducted in Guatemala from 1946 to 1948. The experiments were led by physician John Charles Cutler who also participated in the late stages of the Tuskegee syphilis experiment. Doctors infected various impoverished groups with syphilis, gonorrhea, and chancroid, without the informed consent of the subjects. The experiment resulted in at least 83 deaths. Serology studies continued through 1953 involving the same vulnerable populations in addition to children from state-run schools, an orphanage, and rural towns, though the intentional infection of patients ended with the original study. On October 1, 2010, the U.S. President, Secretary of State and Secretary of Health and Human Services formally apologized to Guatemala for the ethical violations that took place. Guatemala condemned the experiment as a crime against humanity. Multiple unsuccessful lawsuits have since been filed in the US.
John Charles Cutler was a senior surgeon, and the acting chief of the venereal disease program in the United States Public Health Service. After his death, his involvement in several controversial and unethical medical studies of syphilis was revealed, including the Guatemala and the Tuskegee syphilis experiments.
The first recorded outbreak of syphilis in Europe occurred in 1494/1495 in Naples, Italy, during a French invasion. Because it was spread by returning French troops, the disease was known as "French disease", and it was not until 1530 that the term "syphilis" was first applied by the Italian physician and poet Girolamo Fracastoro. The causative organism, Treponema pallidum, was first identified by Fritz Schaudinn and Erich Hoffmann in 1905. The first effective treatment, Salvarsan, was developed in 1910 by Sahachirō Hata in the laboratory of Paul Ehrlich. It was followed by the introduction of penicillin in 1943.
Gay sexual practices are sexual activities involving men who have sex with men (MSM), regardless of their sexual orientation or sexual identity. These practices can include anal sex, non-penetrative sex, and oral sex. Evidence shows that sex between men is significantly underreported in surveys due to social desirability bias. Some or all sexual activity between men are currently or formerly classified as crimes in some jurisdictions.
Eunice Verdell Rivers Laurie was an African American nurse who worked in the state of Alabama. She is best known for her work as the coordinator of the Tuskegee syphilis experiment from 1932 to 1972. The Tuskegee Experiment was an inhumane study that deliberately allowed black men to develop syphilis when there was treatment for the disease.
Dr. John Roderick 'Rod' Heller, was the head in 1943–1948 of what was then called the "Venereal Disease" section of the United States Public Health Service (PHS). He then became the director of the National Cancer Institute, and then president/chief executive officer of the Memorial Sloan-Kettering Cancer Center in New York City. He is best known for having been the assistant in charge of on-site medical operations in the Tuskegee syphilis study, a longitudinal clinical examination by PHS of untreated syphilis in U.S. African-American males. Very serious questions of medical ethics have been raised about this study and those involved in it.
References
- 1 2 "Canadian-Made Film about VD a Boxoffice Phenomenon in Toronto", Variety August 1948 p1
- ↑ "Actress Mary Barclay dies at 91". BBC News. 20 February 2008.
