Mislead<strong>in</strong>g consent forms told parents <strong>the</strong> test<strong>in</strong>g was for prevention of <strong>the</strong> disease. The research, not all ofwhich was conducted on patients, led to <strong>the</strong> development of hepatitis B vacc<strong>in</strong>es.An exhaustive review by The Associated Press of medical journal reports and decades-old press clipp<strong>in</strong>gsfound more than 40 such experiments like <strong>the</strong> one at Willowbrook. At best, <strong>the</strong>se were a search forlifesav<strong>in</strong>g treatments; at worst, some amounted to curiosity-satisfy<strong>in</strong>g experiments that hurt people butprovided no useful results.Inevitably, <strong>the</strong>y will be compared to <strong>the</strong> well-known Tuskegee syphilis study. In that episode, U.S. healthofficials tracked 600 black men <strong>in</strong> Alabama who already had syphilis but didn’t give <strong>the</strong>m adequatetreatment even after penicill<strong>in</strong> became available.These studies were worse <strong>in</strong> at least one respect — <strong>the</strong>y violated <strong>the</strong> concept of “first do no harm,” afundamental medical pr<strong>in</strong>ciple that stretches back centuries.“When you give somebody a disease — even by <strong>the</strong> standards of <strong>the</strong>ir time — you really cross <strong>the</strong> keyethical norm of <strong>the</strong> profession,” said Arthur Caplan, director of <strong>the</strong> University of Pennsylvania’s Center forBioethics.Some of <strong>the</strong>se studies, mostly from <strong>the</strong> 1940s to <strong>the</strong> ‘60s, apparently were never covered by news media.O<strong>the</strong>rs were reported at <strong>the</strong> time, but <strong>the</strong> focus was on <strong>the</strong> promise of endur<strong>in</strong>g new cures, while gloss<strong>in</strong>gover how test subjects were treated.Attitudes about medical research were different <strong>the</strong>n. Infectious diseases killed many more people yearsago, and doctors worked urgently to <strong>in</strong>vent and test cures. Many prom<strong>in</strong>ent researchers felt it was legitimateto experiment on people who did not have full rights <strong>in</strong> society — people like prisoners, mental patients,poor blacks. It was an attitude <strong>in</strong> some ways similar to that of Nazi doctors experiment<strong>in</strong>g on Jews.“There was def<strong>in</strong>itely a sense — that we don’t have today — that sacrifice for <strong>the</strong> nation was important,”said Laura Stark, a Wesleyan University assistant professor of science <strong>in</strong> society, who is writ<strong>in</strong>g a book aboutpast federal medical experiments.The AP review of past research found:* A federally funded study begun <strong>in</strong> 1942 <strong>in</strong>jected experimental flu vacc<strong>in</strong>e <strong>in</strong> male patients at a state <strong>in</strong>saneasylum <strong>in</strong> Ypsilanti, Mich., <strong>the</strong>n exposed <strong>the</strong>m to flu several months later. It was co-authored by Dr. JonasSalk, who a decade later would become famous as <strong>in</strong>ventor of <strong>the</strong> polio vacc<strong>in</strong>e.* Researchers <strong>in</strong> <strong>the</strong> mid-1940s studied <strong>the</strong> transmission of a deadly stomach bug by hav<strong>in</strong>g young menswallow unfiltered stool suspension. The study was conducted at <strong>the</strong> New York State Vocational Institution, areformatory prison <strong>in</strong> West Coxsackie. The po<strong>in</strong>t was to see how well <strong>the</strong> disease spread that way asPage 110 of 179
compared to spray<strong>in</strong>g <strong>the</strong> germs and hav<strong>in</strong>g test subjects brea<strong>the</strong> it. Swallow<strong>in</strong>g it was a more effective wayto spread <strong>the</strong> disease, <strong>the</strong> researchers concluded. The study doesn’t expla<strong>in</strong> if <strong>the</strong> men were rewarded forthis awful task.* For a study <strong>in</strong> 1957, when <strong>the</strong> Asian flu pandemic was spread<strong>in</strong>g, federal researchers sprayed <strong>the</strong> virus <strong>in</strong><strong>the</strong> noses of 23 <strong>in</strong>mates at Patuxent prison <strong>in</strong> Jessup, Md., to compare <strong>the</strong>ir reactions to those of 32 virusexposed<strong>in</strong>mates who had been given a new vacc<strong>in</strong>e.Prisoners have long been victimized for <strong>the</strong> sake of science. In 1915, <strong>the</strong> U.S. government’s Dr. JosephGoldberger — today remembered as a public health hero — recruited Mississippi <strong>in</strong>mates to go on specialrations to prove his <strong>the</strong>ory that <strong>the</strong> pa<strong>in</strong>ful illness pellagra was caused by a dietary deficiency. (The menwere offered pardons for <strong>the</strong>ir participation.)The late 1940s and 1950s saw huge growth <strong>in</strong> <strong>the</strong> U.S. pharmaceutical and health care <strong>in</strong>dustries,accompanied by a boom <strong>in</strong> prisoner experiments funded by both <strong>the</strong> government and corporations. By <strong>the</strong>1960s, at least half <strong>the</strong> states allowed prisoners to be used as medical gu<strong>in</strong>ea pigs.But two studies <strong>in</strong> <strong>the</strong> 1960s, <strong>in</strong>clud<strong>in</strong>g <strong>the</strong> hepatitis experiment at Willowbrook, proved to be turn<strong>in</strong>g po<strong>in</strong>ts<strong>in</strong> <strong>the</strong> public’s attitude toward <strong>the</strong> way test subjects were treated.The first came to light <strong>in</strong> 1963. Researchers <strong>in</strong>jected cancer cells <strong>in</strong>to 19 old and debilitated patients at aJewish Chronic Disease Hospital <strong>in</strong> Brooklyn to see if <strong>the</strong>ir bodies would reject <strong>the</strong>m.The Brooklyn experiment, comb<strong>in</strong>ed with <strong>the</strong> hepatitis test<strong>in</strong>g at Willowbrook and <strong>the</strong> Tuskegee experimentrevealed <strong>in</strong> 1972 proved to be a “holy tr<strong>in</strong>ity” that sparked extensive and critical media coverage and publicdisgust, said Susan Reverby, <strong>the</strong> Wellesley College historian who first discovered records of <strong>the</strong> syphilisstudy <strong>in</strong> Guatemala.Willowbrook, now home to <strong>the</strong> College of Staten Island, was closed for good <strong>in</strong> 1987 after <strong>the</strong> Advance andlater, a <strong>the</strong>n-unknown Geraldo Rivera, exposed conditions <strong>the</strong>re.Despite reforms put <strong>in</strong> place, two <strong>in</strong>ternational studies conducted <strong>in</strong> <strong>the</strong> last 15 years sparked outrage — andlast year a study conducted between 1946 and 1948 came to light <strong>in</strong> which American scientists <strong>in</strong>fectedprisoners and patients <strong>in</strong> a mental hospital <strong>in</strong> Guatemala with syphilis.It was apparently done to test whe<strong>the</strong>r penicill<strong>in</strong> could prevent some sexually transmitted disease. The studycame up with no useful <strong>in</strong>formation and was hidden for decades.“When <strong>the</strong> president was briefed on <strong>the</strong> details of <strong>the</strong> Guatemalan episode, one of his first questions waswhe<strong>the</strong>r this sort of th<strong>in</strong>g could still happen today,” said Rick Weiss, a spokesman for <strong>the</strong> White House Officeof Science and Technology Policy.Page 111 of 179
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CSI in the NewsMarch 2011College of
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After 25 years working in the Broad
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March 1, 2011Governments Consider C
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facing tap-points early in the seas
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largest candy makers. The site repr
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March 21, 2011 Monday 15 AdarII 577
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conditions for the animals are actu
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Violets prepare for first-round sho
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Vietnam and Iraq wars, among others
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Islanders in Uniform -- March 13, 2