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Statement of ADM John O
Testimony Before the Subcommittee on Oversight and Investigations Committee on Energy and Commerce United States House of Representatives “Continuing Ethics and Management Concerns at the National Institutes of Health and the Public Health Service Commissioned Corps” Statement of ADM John O. Agwunobi, M.D., M.P.H. Assistant Secretary for Health U.S. Department of Health and Human Services For Release on Delivery Expected at 1:00 p.m. Wednesday, September 13, 2006 Introduction Chairman Whitfield and Members of the Subcommittee, thank you for inviting me to testify at today’s hearing on management and disciplinary procedures of the Public Health Service Commissioned Corps. My name is John Agwunobi, and I am the Assistant Secretary for Health with the U.S. Department of Health and Human Services (HHS). As the Assistant Secretary for Health (ASH), I serve as the Secretary's primary advisor on matters involving the nation's public health and oversee the U.S. Public Health Service (PHS) for the Secretary. The PHS is comprised of agency divisions of HHS and the Commissioned Corps, a uniformed service of more than 6,000 active duty health professionals who serve at HHS and other federal agencies, including the Bureau of Prisons, the Department of Homeland Security, and the U.S. Coast Guard. The mission of the Commissioned Corps is: “Protect, promote, and advance the health and safety of the Nation.” I am the highest ranking member of the Commissioned Corps; I am a Regular Corps officer and hold the rank of Admiral. The Public Health Service The origins of the Public Health Service (PHS), one of the seven uniformed services of the United States, may be traced to the passage of an act in 1798 that provided for the care and relief of sick and injured merchant seamen. -
Biographical Sketch of Dr. George M. Sternberg
BIOGRAPHICAL SKETCH OF DR. GEORGE M. STERNBERG. [Reprint from Physicians and Surgeons of America.] GEORGE M. STERNBERG. STERNBERG, George Miller, Washington, D. C., son of Rev. Levi (D. D.) and Mar- garet Levering (Miller) Sternberg, was born «r New York city, June 8, 1838. Educated at Hartwick Seminary, Otsego county, N. Y.; commenced the study of medicine in 1857, at Cooperstown, N. Y., under Dr. Horace Lathrop, of that place; attended two courses of lectures at the College of Physicians and Surgeons in the city of New York, and was graduated in iB6O. MILITARY AFFAIRS. Actual Rank. Assistant surgeon, May 28, 1861 ; accepted May 31, 1861 ; captain and assistant sur- geon, May 28, 1866; major and surgeon, Decem- ber 1, 1875; lieutenant-colonel and deputy sur- geon-general, January 12, 1891 ; brigadier-general and surgeon-general, May 30, 1893, retiring year, 1902 ; appointed from New York. Service. With General Sykes’s command, Army of the Potomac, to August, 1862; hospital duty, Portsmouth Grove, R. L, to November, 1862; with General Banks’s expedition, and assistant to the medical director, Department of the Gulf, to January, 1864; in office of medical director, Col- umbus, Ohio, and incharge of United States General at Hospital Cleveland, Ohio, to July, 1865 ; with the Thirteenth United States infantry, Jefferson Bar- racks, Mo., to April, 1866; post surgeon at Fort to Harker, Kan., October, 1867 (choleraepidemic) ; atFortRiley, Kan., and in the field from April, 1868, to 1870 (Indian campaign) ; Fort Columbus, New York harbor, to May, 1871 (yellow-fever epi- demic) ; Fort Hamilton, New York harbor, to June, 1871 ; Fort Warren, Boston harbor, Mass., to August, 1872; ordered to Department of the Gulf, July 22, 1872; acting medical director, New Orleans, La., to October, 1872; post surgeon, Fort Barrancas, Fla., to August, 1875 (epidemics of yellow fever in 1873 and 1875); on sick leave to May, 1876; ordered to Department of the Columbia, May 11, 1876; attending surgeon department headquarters, to September, 1876; post surgeon, Fort Walla Walla, W. -
Vaccines Through Centuries: Major Cornerstones of Global Health
REVIEW published: 26 November 2015 doi: 10.3389/fpubh.2015.00269 Vaccines Through Centuries: Major Cornerstones of Global Health Inaya Hajj Hussein 1*, Nour Chams 2, Sana Chams 2, Skye El Sayegh 2, Reina Badran 2, Mohamad Raad 2, Alice Gerges-Geagea 3, Angelo Leone 4 and Abdo Jurjus 2,3 1 Department of Biomedical Sciences, Oakland University William Beaumont School of Medicine, Rochester, MI, USA, 2 Department of Anatomy, Cell Biology and Physiology, Faculty of Medicine, American University of Beirut, Beirut, Lebanon, 3 Lebanese Health Society, Beirut, Lebanon, 4 Department of Experimental and Clinical Neurosciences, University of Palermo, Palermo, Italy Multiple cornerstones have shaped the history of vaccines, which may contain live- attenuated viruses, inactivated organisms/viruses, inactivated toxins, or merely segments of the pathogen that could elicit an immune response. The story began with Hippocrates 400 B.C. with his description of mumps and diphtheria. No further discoveries were recorded until 1100 A.D. when the smallpox vaccine was described. During the eighteenth century, vaccines for cholera and yellow fever were reported and Edward Jenner, the father of vaccination and immunology, published his work on smallpox. The nineteenth century was a major landmark, with the “Germ Theory of disease” of Louis Pasteur, the discovery of the germ tubercle bacillus for tuberculosis by Robert Koch, and the Edited by: isolation of pneumococcus organism by George Miller Sternberg. Another landmark was Saleh AlGhamdi, the discovery of diphtheria toxin by Emile Roux and its serological treatment by Emil King Saud bin Abdulaziz University for Health Sciences, Saudi Arabia Von Behring and Paul Ehrlih. -
Yellow Jack—How Yellow Fever Ravaged America and Walter Reed
BOOK REVIEWS Yellow Jack—How The first 5 chapters describe the contaminated items or “poison air.” introduction of yellow fever in North Although the story is familiar to Yellow Fever America before 1900. Of particular some, the authors present an exciting Ravaged America interest is the chapter detailing events narrative with details not available and Walter Reed of the 1793 outbreak in Philadelphia, elsewhere in the literature. The peri- and the efforts of Benjamin Rush to odic use of quotations from letters and Discovered Its treat patients and determine the spe- original sources is most welcome. Deadly Secrets cific cause. Chapter 6 compares the The book includes a useful Notes roles played by Carlos Juan Finlay section and an extensive bibliography. and George Miller Sternberg before Additionally, 12 pages of photos and John R. Pierce and James V. Writer and during the work of the US Army illustrations are provided, some of Yellow Fever Board. Dr Finlay was a which are not as clear as one might John Wiley & Sons, Inc. Cuban physician who had theorized wish. Overall, however, this book is a Hoboken, New Jersey, 2005 that mosquitoes transmitted the yel- valuable addition to the literature on ISBN: 0-471-47261-1 low fever virus, while Sternberg, a medical history. It will have broad Pages: 278, Price US $24.95 US Army physician, claimed to have appeal to scientists and nonscientists discovered a bacterium that was the alike because of the nature of the Yellow Jack is a compelling and etiologic agent of yellow fever. story, the magnitude of the problem thorough narrative of one of the most Most of the remaining 10 chapters that was solved, and the easy-to-read interesting chapters in medical histo- primarily discuss the work of the US writing style of the authors. -
Yellow Fever – the Scourge Revealed
Yellow Fever – The Scourge Revealed Stanton E. Cope, Ph.D. Captain United States Navy Note to user: This text accompanies a Powerpoint presentation. When you see a red © in the text, it indicates that you should click the mouse . Slide 1 – Title The following story is that of a prolific and savage killer, yellow fever, and the events by which the veil of this terrible scourge was lifted. Some of the heroes’ names will be familiar to you but most will not. My presentation contains three parts: first, I will present a brief history of yellow fever and its impact on society; second, I will outline the experiments done in Cuba which elucidated the mode of transmission of this disease (C); and finally I will tell you about two young men and their heroic roles in one of the great medical discoveries of our time. Slide 2 – Cartoon of YF in the Americas We believe that yellow fever originated in Africa and made its first visit to the New World in the late 16th or early 17th century. For the next 300 years or so, the disease ravaged hundreds of cities in North America from Texas to Massachusetts as well as the Great Mississippi Valley. Each wave of pestilence was marked by economic shamble, human panic, and widespread death. From 1668 to 1893, there were 135 major epidemics in U.S. port cities. In 1793, yellow fever claimed 1 of every 10 Philadelphians, 1 a total of 4,000 dead. New Orleans, a frequent victim of attack, suffered 29,000 cases and over 8,000 dead in 1853. -
Early Years (1838–1870) 137
Section One: Early Years (1838–1870) 137 Section One: Early Years (1838–1870) 138 The Life and Science of Surgeon General George Miller Sternberg Section One: Early Years (1838–1870) 139 Hartwick Seminary. This is the earliest image of the seminary. Courtesy of Paul F. Cooper, Jr. Archives, Hartwick College, Oneonta, NY. The Reverend Ernst Lewis Hazelius, D.D. (1777–1853). Principal of Hartwick Seminary (1815–1830) and its first full-time professor, Hazelius was a friend and mentor to George Miller and Levi Sternberg. Courtesy of Paul F. Cooper, Jr. Archives, Hartwick College, Oneonta, NY. Delia Snyder Miller (1797–1876). Mother to nine girls, four boys, and a perennial handful of seminary students, which at one time included grandsons George and Theodore, she created and directed the nurturing environment that was the Miller home. Courtesy of Mrs. Phyllis Pitcher Giancola. The Reverend George Benjamin Miller (1795– 1869). Miller joined Hazelius at Hartwick Seminary in 1827 and remained there for the next 42 years as Principal (1830–1839) and Professor of Theology. A man of tremendous energy and stamina both mentally and physically, he mentored Levi Sternberg when he was a stu- dent at the seminary and by nature and nurture Hartwick Seminary, circa 1845, as it looked shaped the character of his grandsons, George when George B. Miller was Principal. Cour- and Theodore. Courtesy of Mrs. Phyllis Pitcher tesy of Paul F. Cooper, Jr. Archives, Hartwick Giancola. College, Oneonta, NY. 140 The Life and Science of Surgeon General George Miller Sternberg George M. Sternberg, circa 1855: the elemen- The Reverend Levi Sternberg (1814–1896). -
Marine Hospital at Port Townsend, Washington Territory
47tii Congress, HOUSE OF REPRESENTATI VES. Report Ist Session. l2ll. MARINE HOSPITAL AT PORT TOWNSEND, WASHINGTON TERRITORY. May 10, 13=2. —Referred to the Committee on Appropriations and ordered to be printed , Mr. MeLane, from the Committee on Commerce, submitted the fol- lowing REPORT [To accompany bill H. R. 5875. ] The Committee on Commerce, to whom was referred the bill (H. R. 5875) authorizing the purchase of a marine hospital at Port Townsend, Washington Territory, beg leave to report the same to the House with the recommendation that it do pass. This recommendation is based upon the examination and report to the Treasury Department of a board of officers; the favorable views of the Surgeon-General of the Marine Hospital Service; the indorsementof the Secretary'of the Treasury; and especially upon the representation that to build a marine hospital will cost the government much more than to purchase this one, which is substantially new. Treasury Department, February 24, 1882. Sir : •Referring to the communication of your committee of the 21st instant, inclosing bill H. R. 3164, of the present session, “authorizing the purchase of amarine hospital at Port Townsend, Washington Territory,” and requesting a report thereon, -I have to invite your attention to the inclosed copy of letter from tills department to the chair- man of the Committee on Appropriations of the sth of April, 1880, when the subject of the purchase of the hospital was first presented to Congress, containing the ap- proval of the department in regard to the purchase. It will be seen fromthe letter referred to that copies of all papers in the case were transmitted for the consideration of the committee, together with the report of Dr. -
Tough Negotiations Avert B.C. Hospitalist
AN OFFICIAL PUBLICATION OF THE SOCIETY OF HOSPITAL MEDICINE Volume 10 Number 8 August 2006 Features PALLIATIVE CARE/END OF LIFE Pantilat Receives Endowed Chair . .14 A first for hospital medicine Uncertain Prognosis . .32 Considerations for high-risk patients at end of life CMS proposes double-digit increases for work RVUs for services performed by hospitalists Hospice Heart . .40 A hospitalist fulfills her dream: n June the Centers for Medicare and Medicaid Services (CMS) issued a notice directing an inpatient hospice unit proposing changes to the Medicare Physician Fee Schedule (MPFS) that, if en- Iacted, would significantly increase Medicare payments to hospitalists for many CLINICAL services routinely performed. Because many private health plans use the Medicare- approved RVUs for their own fee schedules, it is anticipated that hospitalists will The Yuk Factor . .16 likely see payment increases for their non-Medicare services as well. Maggot debridement therapy The changes, which will take effect in January 2007 if enacted, reflect the rec- makes a comeback ommendations of the Relative Value Update Committee (RUC) of the American Medical Association, along with input from SHM. At this point, however, they are To Tube or Not to Tube? . .24 only proposed changes that CMS could modify based on input from affected groups Implications of PEG tube use in SHM encourages and Congress. SHM will continue to urge CMS to implement the proposed changes hospitalized older adults hospitalists and others and we encourage all hospitalists and other interested individuals to send a letter to to send a letter to CMS indicating support for the proposed changes. -
Yellow Fever: the Complete Symposium
Thomas Jefferson University Jefferson Digital Commons Yellow fever, a symposium in commemoration of Carlos Juan Finlay, 1955 Jefferson History and Publications 9-1955 Yellow Fever: The Complete Symposium Follow this and additional works at: https://jdc.jefferson.edu/yellow_fever_symposium Part of the History of Science, Technology, and Medicine Commons Let us know how access to this document benefits ouy Recommended Citation "Yellow Fever: The Complete Symposium" (1955). Yellow fever, a symposium in commemoration of Carlos Juan Finlay, 1955. Paper 12. https://jdc.jefferson.edu/yellow_fever_symposium/12 This Article is brought to you for free and open access by the Jefferson Digital Commons. The Jefferson Digital Commons is a service of Thomas Jefferson University's Center for Teaching and Learning (CTL). The Commons is a showcase for Jefferson books and journals, peer-reviewed scholarly publications, unique historical collections from the University archives, and teaching tools. The Jefferson Digital Commons allows researchers and interested readers anywhere in the world to learn about and keep up to date with Jefferson scholarship. This article has been accepted for inclusion in Yellow fever, a symposium in commemoration of Carlos Juan Finlay, 1955 by an authorized administrator of the Jefferson Digital Commons. For more information, please contact: [email protected]. YELLOW FEVER A SYMPOSIUM IN COMMEMORATION OF CARLOS JUAN FINLAY BOSHELL III. BUGHER DOWNS KERR IIIAHAFFY NOGUEffiA ORENSTEIN PINTO SEVERO SIIIADEL SOPER THE JEFFERSON IIIEDlCAL COLLEGE of PHILADELPHIA 22-23 SEPTEIIIBER 1955 The addresses in this symposium were designated as William Potter Memorial Lectures Mr. Potter was a member of the Board of Trustees of the jefferson Medical College from 1894-1926 and its president from 1897-1926. -
The Solomons "Marine Hospital/' 1890 -1930 by Richard J
BUGEYE TIMES Quarterly Newsletter of the CALVERT MARINE MUSEUM Vol. 19-No. 4 Winter 1994/95 In Time of Need - the Solomons "Marine Hospital/' 1890 -1930 By Richard J. Dodds, Curator of Maritme History Few older residents of The machinery was in poor Solomons can recall the shape and the Revenue days when Solomons Service agreed to tow her Island boasted a U.S. to the Patuxent where she Public Health Service anchored off Solomonson facility that catered to the January 28, 1890. All this medical needs of oyster was accomplished in the dredgeboat crews. This remarkably short space of "Third Class Relief Station" less than a month. existed from 1890 to 1930, The following day, six and was among several "applicants for relief" were hundred relief stations seen: two cases of "oyster established in small ports hands," two cases of grippe where no marine hospitals (influenza), and one each existed. A Class III station of pleurisy and the "clap."4 was defined as "under In a little over two months charge of an acting commission, the hospital assistant surgeon where ship furnished relief to there is a contract for the nearly two hundred care of sick and disabled seamen.5 The numbers seamen."1 The Solomons relief station as it was in 1902. The building may have previously been used as an would probably have been The origins of the oyster canning factory, owned by Isaac Solomon, as part of his oyster packing establishment. The greater but an unusually Solomons relief station can station is identified as "hospital" on a plat of 1893, at the comer of Charles and William Streets. -
Salmonella Typhi — Historical Perspective of Discovery and Forgotten Contribution of Polish Anatomopathology
FOLIA MEDICA CRACOVIENSIA Vol. LX, 1, 2020: 25–32 PL ISSN 0015-5616 DOI: 10.24425/fmc.2020.133483 Salmonella Typhi — historical perspective of discovery and forgotten contribution of Polish anatomopathology RYSZARD W. GRYGLEWSKI,MICHAŁ CHLIPAŁA Department of the History of Medicine, Jagiellonian University, Medical College Corresponding author: Michał Chlipała, M.Sc. Department of the History of Medicine, Jagiellonian University, Medical College ul. Kopernika 7, 31-034 Kraków, Poland Phone: +48 12 422 21 16; E-mail: [email protected] Abstract: Outbreaks of typhoid fever for centuries decimated armies, cities and large hosts of people. Discovery of an agent causing such a grave disease became one of the most important achievements of bacteriology — science, which had experienced rapid development in the last quarter of the 19th century and changed the course of our civilization. The article deals with the discovery of Tadeusz Browicz, Polish anatomopathologist, who in 1874 reported about rod-shaped “parasites” in viscera of typhoid fever victim. His achievement became shaded by the later discoveries of Eberth, Klebs and Gaffky, but as authors stated below, Browicz should be recognized with mentioned scientists as a co-discoverer of the typhoid fever bacillus. Keywords: Salmonella Typhi, typhoid fever, bacteriology, Eberth, Browicz, Gaffky. Introduction Salmonella enterica subspecies serovar Typhi (Salmonella Typhi) is a pathogen causing typhoid fever in humans, and the disease is restricted to human hosts, as well as humans are its chronic carriers [1–2]. High fever, malaise, then prostration, abdom- inal discomfort and headache are the most obvious, however non-specific symptoms of Salmonella Typhi caused infection. -
History of Public Health in Muskegon County (PDF)
A Brief History of Public Health in Muskegon County A Historical Perspective… With the understanding that a healthy merchant marine was vital for economic prosperity and a strong national defense, President John Adams signed into law in 1798 an act which provided medical relief to merchant seamen. A monthly deduction from the seamen’s wage was used to furnish medical care for the seamen in existing hospitals or to build new hospitals. The medical care of sick seamen remained the major function of the Marine Hospital Service until 1878. The first Marine Hospitals In 1799 Boston became the first city to establish a Board of Health. Paul were in port cities along the East Coast. As trade routes Revere was appointed as chairman which established him as the first Health expanded inland towards the Officer in the nation. Great Lakes, so did the Marine Hospitals. (c. 1860) Between 1800 and 1850 epidemics of smallpox, yellow fever, cholera, typhoid, and typhus spread over the United States. In 1849, Dr. Charles McSherry, along with his wife and son, settled in Muskegon making him this area’s first physician. In addition to the above mentioned afflictions, Muskegon’s most prevalent diseases during this time included malaria, ague, diphtheria, and industrial accidents occurring at the lumber mills. From 1861-1865 many physicians served in the Civil War. One regimental surgeon, Dr. Henry Baker, returned to Michigan after the war to face Public Health Service officers diseases such as measles, whooping cough, scarlet fever, typhoid fever, in front of a quarantine hospital in Florida (c.