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Golden Age of Medicine 1900-1950s

Golden Age of Medicine 1900-1950s. 1907 salvarsan arsenical against syphilis 1922 insulin injections for diabetics 1930s sulpha drugs against strep & staph prevented bacteria from multiplying 1930s vitamin market exploded “deficiency disease” model

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Golden Age of Medicine 1900-1950s

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  1. Golden Age of Medicine1900-1950s 1907 salvarsan arsenical against syphilis 1922 insulin injections for diabetics 1930s sulpha drugs against strep & staph prevented bacteria from multiplying 1930s vitamin market exploded “deficiency disease” model 1940s antibiotics put into production, WW2 antibiotic combo developed against TB 1950s vaccine against polio virus invented by Salk

  2. Paper due Friday, 4 p.m.Dr. Buckley mailbox, Munroe 236 We will discuss these docs next Tu & Th Write a report from Dr. Schultz (cf. TW ch. 12 doc 7) to the PHS doctors overseeing the Tuskegee Study: 3-4 pp. standard format “Based on TW ch. 12 docs 1, 2 & 6 as well as the 1953 Public Health Reports paper by Nurse Eunice Rivers et al., these are the ways in which the Tuskegee Study violates ethical standards for human subjects research detailed in the Nuremberg Code (cf. TW ch. 12 doc 5)”

  3. Tuskegee Syphilis Study, 1932-72 Macon County, Alabama: 400 sharecroppers “syphilis in the negro is in many respects almost a different disease from syphilis in the white” --consulting dr. on study Participants promised treatment, but only diagnostic tests were conducted and ineffective medications provided

  4. USPHS decided to continue study, 1933 Surgeon General to Tuskegee Inst. Hospital “It is our desire to continue observation on the cases selected for the recent study and if possible to bring a percentage of these cases to autopsy so that pathological confirmation may be made of the disease processes.”

  5. Dept. of Health, Education, & Welfare report, 1972 After mainstream press raised concerns • Had men given informed consent in 1932? • Was study justified then? • Should penicillin have been provided starting in 1950s? • Should study be terminated? • How should human subjects be treated in future? Understates duplicity inherent in organization of study Does not address racist elements of study’s assumptions

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