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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 American men 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 social hygiene movement in the United States was an attempt by Progressive era reformers to control venereal disease, regulate prostitution and vice, and disseminate sexual education through the use of scientific research methods and modern media techniques. Social hygiene as a profession grew alongside social work and other public health movements of the era. Social hygienists emphasized sexual continence and strict self-discipline as a solution to societal ills, tracing prostitution, drug use and illegitimacy to rapid urbanization. The movement remained alive throughout much of the 20th century and found its way into American schools, where it was transmitted in the form of classroom films about menstruation, sexually transmitted disease, drug abuse and acceptable sexual behavior in addition to an array of pamphlets, posters, textbooks and films.
The National Legion of Decency, also known as the Catholic Legion of Decency, was a Catholic group founded in 1934 by Archbishop of Cincinnati, John T. McNicholas, as an organization dedicated to identifying objectionable content in motion pictures on behalf of Catholic audiences. Members were asked to pledge to patronize only those motion pictures which did not "offend decency and Christian morality". The concept soon gained support from other churches.
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.
Philippe Ricord was a French physician.
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.
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 1,300 people, including at least 600 soldiers and people from various impoverished groups with syphilis, gonorrhea, and chancroid, without the informed consent of the subjects. Only 700 of them received treatment. In total, 5,500 people were involved in all research experiments, of whom 83 died by the end of 1953, though it is unknown whether or not the inoculations were responsible for all these 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.
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.
Warren Fales Draper was Assistant Surgeon General and later Deputy Surgeon General of the United States Public Health Service. After graduating from Harvard Medical School in 1910, Draper entered the Public Health Service, completing a two-year tour on the west coast followed by assignments near Washington D.C. During World War I he was commissioned by the U. S. Army as a sanitation officer, working at Camp Lee and Newport News, both in Virginia, and then conducting relief activities during influenza outbreaks in New England and Pennsylvania. Draper returned to the Public Health Service in 1919, and in 1922 was promoted to assistant surgeon general ahead of his peers. When the Virginia State Commissioner of Health died in 1931, the state's governor borrowed Draper to fill the position, which he did for three years. Five years after once again returning to the Public Health Service, in 1939, Draper was appointed as the Deputy Surgeon General, which position he held until his retirement.
Night in Paradise is a 1946 American Technicolor fantasy comedy film directed by Arthur Lubin and starring Merle Oberon, Gale Sondergaard and Turhan Bey. It was produced by Walter Wanger for distribution by Universal Pictures.
Rain for a Dusty Summer, originally known as Miguel Pro and released on DVD as Guns of the Revolution, is a 1971 Mexican revolution film. Shot on location in Spain, it depicts the life and death of Mexican priest Miguel Pro during the Cristero War. The lead role was played by Humberto Almazán, an actor who left the industry to become a priest and returned to acting for this film. The movie was the final feature film of director Arthur Lubin.
The Black Stork, also known as Are You Fit To Marry?, is a 1917 American motion picture film both written by and starring Harry J. Haiselden, who was the chief surgeon at the German-American Hospital in Chicago. The Black Stork is Haiselden's fictionalized account of his eugenic infanticide of John Bollinger, who was born with severe disabilities. The film depicts Haiselden's fictionalized story of a woman who has a nightmare of a severely disabled child being a menace to society. Once awoken from the nightmare, she visits a doctor and realizes all was fine with her child. However, the purpose of the film was not to have a happy ending and move on. The purpose was to basically warn people, especially teenagers, of the dangers of sexual promiscuity and "race mixing", as these actions were believed to be the cause of disabilities in children.
The outbreaks of sexually transmitted infections in World War II brought interest in sex education to the public and the government. During the late 1930s and early 1940s, military maneuvers increased worldwide and sexual hygiene and conduct became major problems for the troops. Soldiers and sailors on assignment overseas were often lonely, had time to spare, got homesick, or were just looking for female companionship. This resulted in many men having multiple sex partners, and as a result, became a major health concern. During the Great War, venereal diseases (V.D.) had caused the United States Army to lose 18,000 servicemen per day. Although by 1944, this number had been reduced 30-fold, there were still around 606 servicemen incapacitated daily. This drop in numbers was partly because of the Army's effort to raise awareness about the dangers faced by servicemen through poor sexual hygiene, and also because of the important developments in medicine. In late 1943, a case of gonorrhea required a hospital treatment of 30 days, and curing syphilis remained a 6-month ordeal. By mid-1944, the average case of gonorrhea was reduced to 5 days, and in many cases the patient remained on duty while being treated.
John Friend Mahoney was an American physician best known as a pioneer in the treatment of syphilis with penicillin. He won the 1946 Lasker Award.
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.
La Follette–Bulwinkle Act or Venereal Diseases Control and Prevention Act of 1938 sanctioned federal assistance to U.S. states establishing preventive healthcare for venereal diseases. The United States federal statute commissioned the United States Public Health Service for demonstrations, investigations, and studies as related to the control, prevention, and treatment of opportunistic infections. The public law amended the Army Appropriations Act of 1918 appending the judicial context which created the Division of Venereal Diseases within the Bureau of the Public Health Service.
The Chamberlain–Kahn Act of 1918 is a U.S. federal law passed on July 9, 1918, by the 65th United States Congress. The law implemented a public health program that came to be known as the American Plan, whose stated goal was to combat the spread of venereal disease.
Beginning in the early 20th century, a number of U.S. states passed laws mandating medical examinations for one or both parties before marriage. The most common requirement was a blood test for syphilis, though other diseases such as gonorrhea and rubella were sometimes also targeted. If a partner tested positive, they would generally be required to undergo treatment before they could receive a marriage license.
Fit to Fight is a silent sex hygiene film about the dangers of venereal disease written and directed by Edward H. Griffith. It was produced by the Commission on Training Camp Activities and initially shown to American World War I soldiers. After the war, a slightly edited version was commercially released to the public in 1919, under the title Fit to Win. The film proved controversial due to its graphic imagery and its limited support for prophylaxis. It was subject to censorship attempts, and contributed to the emergence of the exploitation film as a distinct niche.
References
- 1 2 "Wagner, Lubin Make Social Disease Shortie". Variety. November 3, 1943. p. 4.
- ↑ Bernstein, Matthew (2000). Walter Wanger, Hollywood independent . University of Minnesota Press. p. 175. ISBN 9780816635481.
- ↑ Stobbe, Mike (2014). Surgeon General's warning : how politics crippled the nation's doctor . University of California Press. pp. 78–80.
- 1 2 Of Local Origin New York Times 27 Apr 1944: 18.
- ↑ PUBLIC TO SEE FILM ON VENEREAL DISEASE: Wanger Says California Health Unit Has Released It New York Times 17 Apr 1944: 38.
- ↑ Vagg, Stephen (14 September 2019). "The Cinema of Arthur Lubin". Diabolique Magazine.
- 1 2 VENEREAL FILM HALTED: Sponsorship Is Withdrawn at Request of Legion of Decency New York Times 31 Mar 1944: 23.
- ↑ BISHOP ASSAILS MOVIE ON SOCIAL DISEASE FIGHT Chicago Daily Tribune 8 Dec 1944: 20.
- ↑ "NY Times: To the People of the United States". Movies & TV Dept. The New York Times . Archived from the original on 2012-10-15. Retrieved 2008-11-23.
- ↑ "The 16th Academy Awards (1944) Nominees and Winners". oscars.org. Retrieved May 29, 2019.
