Sunday, November 1, 2015

THINGS YOU NEED TO KNOW ABOUT YOUR GOVERNMENT pt2

                 Tuskegee Syphilis Experiment Documentary



1895
Booker T. Washington at the Atlanta Cotton Exposition, outlines his dream for black economic development and gains support of northern philanthropists, including Julius Rosenwald (President of Sears, Roebuck and Company).
1900
Tuskegee educational experiment gains widespread support. Rosenwald Fund provides monies to develop schools, factories, businesses, and agriculture.
1915
Booker T. Washington dies; Robert Motin continues work.
1926
Health is seen as inhibiting development and major health initiative is started. Syphilis is seen as major health problem. Prevalence of 35 percent observed in reproductive age population.
1929
Aggressive treatment approach initiated with mercury and bismuth. Cure rate is less than 30 percent; treatment requires months and side effects are toxic, sometimes fatal.
"Wall Street Crash"--economic depression begins.
1931
Rosenwald Fund cuts support to development projects. Clark and Vondelehr decide to follow men left untreated due to lack of funds in order to show need for treatment program.
1932
Follow-up effort organized into study of 399 men with syphilis and 201 without. The men would be given periodic physical assessments and told they were being treated. Motin agrees to support study if "Tuskegee Institute gets its full share of the credit" and black professionals are involved (Dr. Dibble and Nurse Rivers are assigned to study).
1934
First papers suggest health effects of untreated syphilis.
1936
Major paper published. Study criticized because it is not known if men are being treated. Local physicians asked to assist with study and not to treat men. Decision was made to follow the men until death.
1940
Efforts made to hinder men from getting treatment ordered under the military draft effort.
1945
Penicillin accepted as treatment of choice for syphilis.
1947
USPHS establishes "Rapid Treatment Centers" to treat syphilis; men in study are not treated, but syphilis declines.
1962
Beginning in 1947, 127 black medical students are rotated through unit doing the study.
1968
Concern raised about ethics of study by Peter Buxtun and others.
1969
CDC reaffirms need for study and gains local medical societies' support (AMA and NMA chapters officially support continuation of study).
1972
First news articles condemn studies.
Study ends.
1973
Congress holds hearings and a class-action lawsuit is filed on behalf of the study participants.
1974
A $10 million out-of-court settlement is reached and the U.S. government promised to give lifetime medical benefits and burial services to all living participants. The Tuskegee Health Benefit Program (THBP) was established to provide these services.
1975
Wives, widows and offspring were added to the program.
1995
The program was expanded to include health as well as medical benefits.
1997
On May 16th President Clinton apologizes on behalf of the Nation.
1999
Tuskegee University National Center for Bioethics in Research and Health Care hosts 1st Annual Commemoration of the Presidential Apology.
2001
President's Council on Bioethics was established.
2004
CDC funds 10 million dollar cooperative agreement to continue work at Tuskegee University National Center for Bioethics in Research and Health Care.
2004
The last U.S. Public Health Service Syphilis Study at Tuskegee participant dies on January 16.
2006
Tuskegee University holds formal opening of Bioethics Center.
2007
CDC hosts Commemorating and Transforming the Legacy of the United States Public Health Service (USPHS) Syphilis Study at Tuskegee.
2009
The last widow receiving THBP benefits dies on January 27.

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