The book Infant Mortality: Results of a Field Study in Johnstown, PA., Based on Births in One Calendar Year (1915), written by Emma Duke, detailed one of the first infant mortality field studies conducted by the US Children's Bureau. In the study, Duke and her colleagues collected information about over one thousand infants in the city of Johnstown, Pennsylvania. They used that information, along with interviews conducted with the families of the infants, to identify factors that affected infant mortality rates in the community. Duke and her team found strong correlations between elevated infant mortality rates and conditions experienced by Johnstown residents of lower socioeconomic status. The design and implementation of the study described in Infant Mortality: Johnstown, PA provided a model for future Children's Bureau research that resulted in seven additional infant mortality studies in other US cities. Infant Mortality: Results of a Field Study in Johnstown, PA., Based on Births in One Calendar Year quantitatively demonstrated the link between poverty and infant mortality.
Virginia Apgar worked as an obstetrical anesthesiologist, administering drugs that reduce women’s pain during childbirth, in the US in the mid-twentieth century. In 1953, Apgar created a scoring system using five easily assessable measurements, including heart rate and breathing rate, to evaluate whether or not infants would benefit from medical attention immediately after birth. Apgar’s system showed that infants who were previously set aside as too sick to survive, despite low Apgar scores, could recover with immediate medical attention. Additionally, Apgar researched the effects of anesthesia used during childbirth and advocated for the prevention and management of birth defects. Apgar’s work led to a decrease in infant mortality rates in the mid-twentieth century, and into the twenty-first century, hospitals around the world still used the Apgar score at one and five minutes after birth.
Annie Dodge Wauneka, a member of the Navajo Tribal Council in Window Rock, Arizona, from 1951 to 1978, advocated for improved lifestyle, disease prevention, and access to medical knowledge in the Navajo Indian Reservation, later renamed the Navajo Nation. Wauneka served as chair of the Health and Welfare Committee of the Navajo Tribal Council and as a member of the US Surgeon General’s Advisory Committee on Indian Health. Wauneka advocated for initiatives aimed at promoting education, preventing tuberculosis, and reducing the infant mortality rate. In 1963, she was awarded the Presidential Medal of Freedom. Wauneka’s initiatives to educate mothers about child health and increase hospital births reduced infant mortality rates in the Navajo Indian Reservation during the twentieth century.
Marie Stopes International (MSI) is a not-for-profit organization based in the United Kingdom that promotes reproductive and sexual health. It grew from one small clinic, founded in North London in 1921, into an international provider of reproductive health care and information that operates in almost forty countries. The Mothers' Clinic, from which it grew, was created in the hopes of expanding couples' reproductive rights, and the modern organization continues to work toward the same goal today. For the better part of a century, MSI and the clinic from which it developed have been significant players in the battle for personal choice and control in the area of human reproduction.
Charles Benedict Davenport was an early twentieth-century experimental zoologist. Davenport founded both the Station for Experimental Evolution and the Eugenics Record Office at Cold Spring Harbor in New York. Though he was a talented statistician and skilled scientist, Davenport's scientific achievements are eclipsed by his lasting legacy as the scientific leader of the eugenics movement in the US. Eugenics, an attempt to apply genetic science to improve humanity by selective breeding, was a major public health movement in Europe and the United States in the twentieth century prior to World War II. Davenport's involvement in the eugenics movement helped pave the way for the sterilization of tens of thousands of US citizens.
The passage of the Virginia Sterilization Act of 1924 demonstrates how science has been used to drive policy throughout history. In the case of the Virginia sterilization law, the science used to draft the law was based on the principles of eugenics. With the help of Harry Laughlin's Model Sterilization Law, the state of Virginia was able to pass its own law allowing sterilization of the feebleminded, expressing sterilization as a health issue that needed to be protected from the public.
Marie Charlotte Carmichael Stopes was born in Edinburgh, Scotland, on 15 October 1880 to Charlotte Carmichael Stopes, a suffragist, and Henry Stopes, an archaeologist and anthropologist. A paleobotanist best known for her social activism in the area of sexuality, Stopes was a pioneer in the fight to gain sexual equality for women. Her activism took many forms including writing books and pamphlets, giving public appearances, serving on panels, and, most famously, co-founding the first birth control clinic in the United Kingdom.
Florence Rena Sabin had successful careers as both a researcher and public health reformer. When Johns Hopkins University Medical School opened, accepting women and men on the same basis, Sabin was one of the first to enter. After the successful completion of her MD degree, Sabin went on to become the first female faculty member and later full-time professor at Johns Hopkins. From 1924-1925, she was the first woman elected president of the American Association of Anatomists, the first woman elected to the National Academy of Sciences in 1925, and the first woman to become a full member of the Rockefeller Institute. Her research on the brain, the lymphatic system, and immunology was revolutionary, and her vast scientific knowledge and convincing personality greatly contributed to the passage of much needed public health reform legislation during her retirement years in Colorado.
Rudolf Carl Virchow lived in nineteenth century Prussia, now Germany, and proposed that omnis cellula e cellula, which translates to each cell comes from another cell, and which became and fundamental concept for cell theory. He helped found two fields, cellular pathology and comparative pathology, and he contributed to many others. Ultimately Virchow argued that disease is caused by changes in normal cells, also known as cellular pathology.