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PEDIATRICS Vol. 107 No. 6 June 2001, pp. 1482-1491
The quantum advances of American pediatrics of the
last century have been built on the solid foundation constructed by our professional ancestors in pediatrics and other fields. To understand where we are today, it is useful to know where we came from. The Historical Archives Advisory Committee of the American Academy of
Pediatrics has prepared this timetable of the evolution of our
discipline. The list of signal events and important people is
extensive, but to a degree is subjective and not all-inclusive. We
apologize for any flagrant
omissions.
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References
THE
WORLD AND NATION
AMERICAN PEDIATRICS
1492:
Columbus's first voyage.
1587: The
Virginia Colony on Roanoke Island was founded.
1587: The birth of Virginia Dare,
"the first Christian child" born in the English colonies. Roanoke,
Virginia.
1607: The Jamestown, Virginia colony was founded.
1620: The Plymouth, Massachusetts colony was founded.
1620: The birth of Peregrine White on the Mayflower
anchored in Plymouth Harbor.
1628: William Harvey published
On the Motion of the Heart and Blood In Animals. London,
England.
1650: Governor John Winthrop, Jr, practiced
pediatrics and prescribed through the colonial mails, New Haven and
Hartford, Connecticut.
1677: Thomas Thatcher published a
broadside on smallpox, the first American medical publication. Boston,
Massachusetts.
1721: Reverend Cotton Mather and Dr
Zabdiel Boylston introduced variolization for smallpox. Boylston's
6-year-old son, Thomas, was the first person inoculated in the American
Colonies. Boston, Massachusetts.
1735-1740. New
England diphtheria epidemic killed 5000 people, most of them children.
1747: Dr James Lind demonstrated that fresh citrus juice
could prevent and treat scurvy in English sailors. London, England.
1765: The founding of University of Pennsylvania Medical
College, Philadelphia, Pennsylvania, the first American medical school.
1769: The founding of King's College of Medicine, New
York, New York, which became Columbia University College of Physicians
and Surgeons in 1813.
1776: The Declaration of Independence
was signed.
1783: The founding of Harvard Medical School,
Boston, Massachusetts.
1788: Dr Hezekiah Beardsley
described hypertrophic pyloric stenosis of infancy, New Haven,
Connecticut. His paper was rediscovered and republished in 1903 by Sir
William Osler.
1789: The US Constitution was ratified.
1789: Dr Edward Jenner described cowpox vaccination for
prevention of smallpox. London, England.
1789: Dr
Benjamin Rush gave lectures on the diseases of children and coined the
term "cholera infantum" for summer diarrheal disease. University of
Pennsylvania Medical College, Philadelphia, Pennsylvania.
1798: The
founding of Dartmouth Medical School, Hanover, New Hampshire, by Dr
Nathan Smith, who was its 1-man faculty.
1800: Dr
Benjamin Waterhouse introduced vaccination for smallpox using Jenner's
cowpox vaccine. His son Daniel, age 5, was the first person in the
American states to be vaccinated. Boston, Massachusetts.
1813: The founding of Medical Institution of Yale College,
New Haven, Connecticut.
1813: Dr Nathan Smith
successfully treated the osteomyelitis of 8-year-old Joseph Smith (no
relation) avoiding amputation of his leg, Lebanon, New Hampshire.
Joseph Smith later founded the Church of Jesus Christ of Latter-day
Saints (Mormons).
1820: Dr Eli Ives was appointed
Professor of the Diseases of Children and conducted the first formal
American courses in pediatrics for 40 years at the Medical Institution
of Yale College, New Haven, Connecticut.
1825: Dr
William Potts Dewees published Treatise on Physical and Mental
Treatment of Children, Philadelphia, Pennsylvania. Dr John Logan
published Practical Observations on Diseases of Children,
Charleston, South Carolina. These were the first American pediatric
textbooks.
1846: Dr William Morton demonstrated ether
anesthesia at the Massachusetts General Hospital, Boston,
Massachusetts.
1847: The founding of the American Medical
Association (AMA).
1854: The founding of New York
Nursing and Child Hospital, New York, New York and the founding of
Children's Hospital of Philadelphia, Pennsylvania. These were the
first American children's hospitals.
1861-1865: The
American Civil War, the War between the States.
1858:
Charles Darwin published The Origin of Species, London,
England.
1860: Dr Abraham Jacobi was appointed
Professor of Infantile Pathology and Therapeutics, New York Medical
College. New York, New York.
1865: Gregor Mendel published
Principles of Heredity, Bruhnn, Austria.
1866:
The New York State Health Department was established, the first in the
United States.
1867: Sir Joseph Lister applied antiseptic
principles to surgery. London, England.
1868:
Publication by the AMA of the American Journal of Obstetrics and
Diseases of Women and Children. The first number included an
article on croup by Dr Abraham Jacobi.
1869: The
founding of Boston, Massachusetts Children's Hospital.
1876: Dr Job Lewis Smith was appointed Clinical
Professor of Diseases of Children, Bellevue Medical School, New York,
New York.
1880: The founding of the AMA Section on
Pediatrics by Dr Abraham Jacobi.
1882: Dr H. H. Robert
Koch (1843-1910) discovered the causative organism of tuberculosis for
which he received the Nobel Prize in Medicine in 1905. His many
contributions over 40 years included formulation of Koch's
Postulates. Berlin, Germany.
1883: Discovery of diphtheria
toxin and antitoxin by Emil von Behring for which he was awarded the
first Nobel Prize in Medicine in 1901. Berlin, Germany.
1884-1962: The publication of the Archives of
Pediatrics, the first American journal dedicated totally to
pediatrics.
1885: Louis Pasteur (1822-1895) successfully
tested his rabies vaccine on Joseph Meister, who had been bitten by a
rabid dog. In 1864, he saved the French wine industry by showing that
heating wine (pasteurization) prevented bacterial spoilage, Paris,
France. His brilliant investigations over 40 years led to the modern
science of bacteriology.
1886: Franz von Soxhlet described
"pasteurization" of milk to prevent spoilage and transmission of
diseases. Munich, Germany.
1888: The American Pediatric
Society (APS) was founded by Dr Job Lewis Smith and 43 founding
members. The APS published the Transactions of the American
Pediatric Society for 50 years.
1893: Dr Thomas
Morgan Rotch was appointed Professor of Pediatrics with a chair on the
faculty, Harvard Medical School, Boston, Massachusetts.
1893: Pasteurization plants and milk stations providing
safe milk for poor infants were established by philanthropist Nathan
Strauss, in collaboration with Dr Abraham Jacobi, New York, New York.
1894: Dr L. Emmett Holt, Sr, wrote The Care and
Feeding of Children that became an influential and widely
disseminated child-rearing manual for parents. Holt also published his
classic textbook, The Diseases of Infancy and Childhood. New
York, New York. This text had 11 editions before becoming in turn,
Holt's Pediatrics, edited by Dr Rustin McIntosh, and then
Pediatrics, edited by Dr Abraham M. Rudolph.
1894: Dr C. W. Townsend described "the
hemorrhagic disease of the newborn." Boston, MA. In 1936 H. Dam
discovered "Koagulations Vitamin", for which he received
the Nobel Prize in Medicine in 1943. Copenhagen, Denmark. In 1937, Dr
W. W. Waddell showed that coagulation abnormalities of the newborn
could be prevented and treated by vitamin K.
1895: The
discovery of the radiograph (X-ray) by Wilhelm C. Roentgen, for which
he received the first Nobel Prize in Physics in 1901. Wurtzburg,
Germany.
1896: A national study on the use of antitoxin
in the treatment of diphtheria was conducted by the APS. This was the
first national American pediatric investigation.
1898:
Dr Joseph B. DeLee established the first premature infant incubator
station in the United States. Chicago, Illinois.
1900: Dr
Karl Landsteiner discovered the ABO blood groups, for which he received
the 1930 Nobel Prize in medicine. Vienna, Austria.
1901
and 1904: "Incubator Infant" shows, featuring live premature
infants, were sensational attractions at World Expositions in Buffalo,
New York and St. Louis, Missouri.
1902: Rediscovery of
Gregor Mendel's 1865 Principles of Heredity by William
Bateson, London, England.
1902: Dr L. Emmett Holt, Sr,
succeeded Abraham Jacobi as Professor of Pediatrics, College of
Physicians and Surgeons and Director, Infants Hospital, New York, New
York.
1905-1910: Drs Walter Reed in Havana, Cuba and
William Gorgas in Panama eradicated yellow fever and malaria by
mosquito control, enabling the construction of the Panama Canal.
1908: Archibald Garrod described "Inborn Errors of Metabolism"
and their inheritance according to Mendel's Laws. London,
England.
1908: The establishment of New York City
Division of Child Health under Dr Josephine Baker. Her system of child
health supervision was widely adopted.
1908: Chicago,
Illinois mandated pasteurization of milk. This was followed by many
cities throughout the United States.
1909: The first White
House Conference on the Care of Dependent Children was convened by
President Theodore Roosevelt.
1910: Dr James Herrick
described sickle cell anemia, Chicago, Illinois.
1910:
Dr Thomas Morgan Rotch published The Roentgen Ray in
Pediatrics, the first American textbook of pediatric radiology.
Boston, Massachusetts. This was the only one until John Caffey's
Pediatric Radiograph Diagnosis was published in 1965. New
York, New York.
1910: Abraham Flexner published
Medical Education in the United States and Canada
recommending undergraduate college requirements for medical students
and full-time basic science faculty and hospital affiliations for
medical schools.
1911: Publication of the
American Journal of Diseases of Children by the AMA. In
1994, this became The Archives of Pediatric & Adolescent
Medicine.
1912: Dr John Howland was appointed full-time
Professor of Pediatrics at Johns Hopkins School of Medicine and the
Harriet Lane Home, Baltimore, Maryland.
1912: The United
States Children's Bureau was established by Congress in response to
recommendations of the 1909 White House Conference.
1913:
Dr Bela Schick described an intradermal test (Schick test) for immunity
to diphtheria. Vienna, Austria.
1916: The first large
American epidemic of paralytic poliomyelitis, which primarily attacked
children in New York City.
1917-1918: World War I. The
poor physical condition of many World War I recruits raised wide
interest in improving the health of the nation's children.
1919: Dr J. P. Crozier published The Disease
of Infants and Children, which in turn became Griffith and
Mitchell's Pediatrics, then Mitchell and Nelson's
Pediatrics; Waldo E. Nelson's Pediatrics in
1954, and in 1984 Nelson's Pediatrics, edited by Dr Richard
Behrman.
1921: Congress enacted the Sheppard-Towner Bill,
which provided federal matching funds for health care of poor mothers
and infants and extended health supervision beyond infancy to include
preschool children.
1921: Dr Thomas B. Cooley described
thalassemia major (Cooley's anemia), Detroit, Michigan.
1922: Drs Frederick G. Banting and Charles H. Best isolated
insulin and demonstrated its antihyperglycemic activity. Banting
received the 1923 Nobel Prize in Medicine. Toronto, Canada.
1922: Drs H. Steenbock and A. Black showed that irradiation
of ergosterol resulted in concentrated vitamin D preparations. Madison,
Wisconsin.
1922: Drs E. V. McCollum, Edwards Park,
Benjamin Kramer, John Howland, and their research team at Johns Hopkins
described blood chemistry changes in rickets and the beneficial effects
of sunlight and cod liver oil, Baltimore, Maryland.
1922: Dr Julius H. Hess published Premature and
Congenitally Disabled Infants, the first American textbook on
prematurity. Chicago, Illinois.
1923: Alexander T. Glenny
in England and Gaston Ramon in France described diphtheria toxoid for
active immunization.
1928: Dr Ethel Dunham was the
first woman to be elected to the APS. Washington, DC.
1928:
Alexander Fleming serendipitously discovered penicillin. Oxford,
England.
1930: The founding of the American Academy of
Pediatrics (AAP) with 304 charter members.
1930: Congress
renamed the US Hygiene Laboratory as the National Institute of Health
(NIH), Washington, DC.
1930-1950: Investigations of
fluid and electrolyte balance and therapy conducted by Drs William McK
Marriot and Alexis Hartman in St Louis, Missouri; Oscar Schloss in New
York; James Gamble and Alan Butler in Boston, Massachusetts; Daniel
Darrow in New Haven, Connecticut; and others rationalized and
standardized therapy for dehydration. Techniques for analysis of blood
and body fluids were progressively improved and miniaturized.
1931: Dr Alvin F. Coburn, a medical resident at
Presbyterian Hospital, suggested a causal relationship between
hemolytic streptococcal infections and rheumatic fever. New York, New
York.
1931: The founding of the Society for Pediatric
Research (SPR) for younger members of the academic community.
1932: Drs W. A. Waugh and C. G. King isolated the
antiscorbutic factor (vitamin C) from lemon juice and showed that it
was hexuronic acid. Pittsburgh, Pennsylvania.
1932: Drs
Louis K. Diamond, Kenneth Blackfan, and James M. Batty unified hydrops
fetalis, icterus gravis, and anemia of the newborn as manifestations of
"erythroblastosis fetalis." Boston, Massachusetts.
1932: Publication of the Journal of
Pediatrics.
1933: The founding of the American
Board of Pediatrics (ABP). The ABP established criteria for
certification of clinical competence, including the required length of
postgraduate training and the passing of a cognitive examination.
1933: Dr Louis W. Sauer used pertussis vaccine for the
first time in the United States.
1935: Gerhard Domagk
discovered Prontosil, the first sulfa drug, for which he was awarded
the 1939 Nobel Prize in Medicine but was forced to decline it by the
Nazi government. Germany.
1935: Congress enacted Title V
(Maternal and Child Health and Crippled Children Act) of the Social
Security Act.
1936: Dr Edwards A. Park established
specialty clinics for tuberculosis, psychiatry, cardiology, and
endocrinology at Johns Hopkins. This became the prototype of modern
departments of pediatrics. Baltimore, Maryland.
1936: Dr
Philip C. Jeans persuaded the AMA Committee on Foods to recommend
fortification of milk with vitamin D. The incidence of rickets fell
precipitously in the United States, Iowa City, Iowa.
1936: Dr Maud E. Adams published the Atlas of
Congenital Heart Disease, the first North American textbook on
pediatric cardiology, Montreal, Canada. This was followed in 1947 by Dr
Helen B. Taussig's Congenital Malformations of the Heart,
Baltimore, Maryland.
1938: Dr Charles Chapple designed
a modern infant incubator-prototype of the Isolette, Philadelphia,
Pennsylvania. These incubators permitted high levels of oxygen therapy
that led to an epidemic of retinopathy of prematurity in the 1940s and
1950s.
1938: Dr Dorothy Anderson described pathologic
features of cystic fibrosis of the pancreas, New York, New York.
1938: Dr Robert Gross surgically ligated a patent
ductus arteriosus, Boston, Massachusetts.
1940: Drs A. Cournand and D. Richard used the cardiac catheterization technique of
W. Forssman to diagnose congenital heart disease, for which they
received the Nobel Prize in Medicine in 1956, New York.
1941: Discovery of the Rh factor by Drs. Karl Landsteiner
and Philip Levine. New York, New York.
1941-1945: World
War II: The US Emergency Maternity and Infant Care (MIC) program was
enacted by Congress to provide medical care for the families of
American servicemen.
1941: Drs William E. Ladd and
Robert E. Gross published Abdominal Surgery of Infancy and
Childhood, followed in 1953 by Robert E. Gross's The
Surgery of Infancy and Childhood, Boston, Massachusetts, the first
American textbooks of pediatric surgery.
1942: First
clinical use of penicillin by Dr Howard Florey in Oxford, England. In
1945, Florey and Fleming received the Nobel Prize in
Medicine.
1942: First use of penicillin in an American
child by Dr Wesley W. Spink, Minneapolis, Minnesota.
1943: Dr Ethel Dunham and the Children's Bureau
published Standards and Recommendations for the Hospital Care of
Newborn Infants, Full Term and Premature. This manual was
reprinted 7 times through 1977. Washington, DC.
1943: Dr
Selman A. Waksman discovered streptomycin, for which he was awarded the
1952 Nobel Prize in Medicine, Rutgers University, New Jersey. This was
followed in the next 55 years by the discovery of many natural and
synthetic antibiotics including the tetracyclines, chloramphenicol,
synthetic penicillins, aminoglycocides, cephalosporins, macrolides, and
others.
1943: Drs Alfred Blalock and Helen Taussig
described a palliative surgical treatment for Tetralogy of Fallot,
Baltimore, Maryland.
1946: Dr Louis K. Diamond
described exchange transfusion through the umbilical vein as treatment
for erythroblastosis fetalis. Boston, Massachusetts.
1946: Dr Clement A. Smith published The
Physiology of the Newborn Infant. The first American textbook on
neonatology. Boston, Massachusetts.
1946: Dr Benjamin Spock
published The Common Sense Book of Infant and Child Care.
This extraordinarily popular, multiply republished handbook for parents
advocated a child-centered, parent empowerment approach to child
rearing. New York, New York.
1946: Alfred Gilman and
Frederick Philips showed that nitrogen mustard caused regression of
lymphomas, the first cancer chemotherapeutic agent. New Haven,
Connecticut.
1947 and 1950: Drs Benedict Massell, Floyd
Denny, and Lewis Wannamaker reported the effectiveness of penicillin
treatment of
-hemolytic streptococcal pharyngitis in preventing
acute rheumatic fever. Minneapolis, Minnesota.
1948: The
World Health Organization (WHO) was founded.
1948: Publication
of Pediatrics by the AAP.
1948: Dr John
Enders and his research fellows, Drs Thomas H. Weller and Frederick C. Robbins, successfully grew polio virus in tissue culture, for which
they received the 1954 Nobel Prize in Medicine, Boston, Massachusetts.
This technique enabled commercial production of viral vaccines.
1948: Dr Sidney Farber and associates induced
remissions of acute leukemia by the use of a folic acid antagonist
(aminopterin), the first chemotherapeutic agent for childhood cancer.
Boston, Massachusetts.
1949: Drs Linus Pauling and Harvey
Itano described sickle cell anemia as a "molecular disease." caused
by an abnormal hemoglobin molecule. Palo Alto, California.
1949: The last case of smallpox in the United States was
reported.
1949: The AAP, APS, and the US Children's
Bureau published a national survey, Child Health Services and
Pediatric Education. This study had an important influence on the
health care of children and on pediatric education.
1949: Drs W. L. Bradford, Elizabeth Day, and
F. C. Morton showed that infants respond to a triple vaccine
against diphtheria, tetanus, and pertussis (DTP). Rochester, New York.
1950: Dr Lawson Wilkins published The Diagnosis
and Treatment of Endocrine Disorders in Childhood and Adolescence,
the first American textbook of pediatric endocrinology. Baltimore,
Maryland.
1951: Dr Ogden Bruton described
agammaglobulinemia. Washington, DC.
1952: Dr Roland
Scott was the first black pediatrician elected to the APS. Washington,
DC.
1952: Dr. Virginia Apgar described the "Apgar
Score" for evaluation of the condition of the newborn. New York, New
York.
1952: Drs Dorothy Anderson and William Kessler
described hypochloremia in cystic fibrosis patients with heat stroke. A
year later, Paul Di Sant' Agnese demonstrated marked increases in
sweat chloride levels which became the diagnostic test for CF. New
York, New York.
1952: James Watson and Francis Crick
elucidated the double-helical structure of DNA, for which they received
the 1962 Nobel Prize in Medicine. Oxford, England.
1953: Dr Grover F. Powers received the second Howland
Award of the APS in recognition of his long time emphasis of the
importance of humanistic, psychosocial, and emotional issues and mental
retardation in pediatric practice. New Haven, Connecticut.
1954: A national randomized trial of Dr Jonas Salk's
inactivated polio vaccine involving nearly 2 million American children
demonstrated the vaccine's effectiveness in preventing paralytic
polio.
1955: Last major American epidemic of
poliomyelitis, especially prevalent in the Northeast.
1956:
Albert Levan established that the normal diploid chromosome number in
man was 46, not 48. Stockholm, Sweden.
1957: Dr Albert
Sabin developed a live, attenuated polio vaccine, which was approved
for general use in 1963. By the mid-1970s the Sabin live vaccine became
nearly universally used in the United States. Cincinnati, Ohio.
1958: Drs Saul Krugman and Robert Ward published
Infectious Diseases of Children, the first American textbook
of pediatric infectious diseases. New York, New York.
1959:
United Nations declaration of the Rights of the Child.
1959: Dr Jerome Lejeune in Paris, France described trisomy
of chromosome 21 in Down Syndrome, Paris, France. This was followed by
extensive investigations of chromosomal syndromes in man, further
advanced by techniques for banding and identifying deletions and
translocations.
1959: Drs Mary Ellen Avery and Jere Mead
described a deficiency of surface-active material (surfactant) in lungs
of infants dying of respiratory distress syndrome, Baltimore, Maryland.
1960: The establishment of the National Institute of Child
Health and Human Development (NICHD) with Dr Robert Aldrich as first
director.
1960: Dr Carl H. Smith published Blood
Diseases of Infancy and Childhood, the first American textbook of
pediatric hematology/oncology. New York, New York.
1960: Live, attenuated rubella (measles) vaccine
introduced by Drs John Enders, Samuel Katz, and associates. Dr Katz's
children were among the first to receive this vaccine. Boston,
Massachusetts.
1960: Founding of the Ambulatory
Pediatric Association (APA).
1961: The ABP conducted
examinations for sub-board certification in Pediatric Cardiology,
followed in 1974 by Pediatric Hematology/Oncology, Pediatric
Nephrology, and Pediatric Infectious Disease, in 1975 by Neonatology
and Perinatal Medicine, and in 1978 by Pediatric Endocrinology.
Specialty sub-boards in Pediatric Pulmonology, Critical Care Medicine,
Rheumatology, and others were established subsequently.
1962: The "battered child syndrome" was described
by Dr Henry Kempe. Denver, Colorado.
1963: Dr R. D. K. Reye described a syndrome of encephalopathy, fatty
degeneration of the liver following a prodromal viral infection, which
was given the eponym Reye's Syndrome. Australia.
1963:
Dr Robert Guthrie described a test for detecting phenylketonuria in the
newborn period. This was followed by methods for detecting other
metabolic, genetic, and endocrinologic diseases by mass neonatal
screening, now carried on in all of the United States. Albany, New
York.
1965: Title XIX (Medicaid) was enacted by
Congress.
1965: The first American newborn intensive care unit
(NICU), designed by Dr Louis Gluck, was opened in New Haven,
Connecticut. After the 1976 report Toward Improving the Outcome
of Pregnancy by the AAP, American College of Obstetrics & Gynecology, and the National Foundation, premature care became
increasingly centralized in regional NICUs with dramatic improvements
in survival.
1966: Live, attenuated rubella vaccine was
developed by Drs Harry M. Meyer, Paul D. Parkman, and Theodore C. Panos. Pearl River, New York.
1966: Dr Victor Freda and
associates described prevention of maternal Rh sensitization by anti-Rh
antibody. Rh erythroblastosis became a rare disease in the United
States. New York, New York.
1967: The founding of
the Association of Medical School Pediatric Departmental Chairmen
(AMSPDC).
1968: Dr Robert Good performed a successful
bone marrow transplant for severe combined immunodeficiency syndrome.
Good also introduced the concept of T- and B-lymphocyte subsets.
Minneapolis, Minnesota.
1968: Dr Edwin L Kendig, Jr,
published Pulmonary Disorders, the first American textbook
on pediatric pulmonary medicine. Charlottesville, Virginia.
1970-1980: Drs Robert Haggerty and Morris Green
described the "new morbidity" of modern American pediatric
practice. Rochester, New York and Indianapolis, Indiana.
1972: Congress enacted the National Supplemental Feeding
Program for Women and Children (WIC).
1972: The United
States ended requirements for routine smallpox immunization.
1975: Drs M. I. Rubin and T. M. Barrett
published Pediatric Nephrology, the first American textbook
of nephrology. Buffalo, New York.
1976: Dr D. Carleton
Gajdusek, a pediatrician, received the Nobel Prize in Medicine for his
studies of kuru and slow virus infections.
1977: The WHO
reported that smallpox was eliminated from the world.
1979: Dr Thomas E. Cone, Jr, published the
History of American Pediatrics, the first definitive
historic text on American pediatrics, 1600-1979. Boston,
Massachusetts.
1979: Drs Godfrey N. Hounsfield and
Allan M. Cormack received the Nobel Prize for the development of
computed axial tomography (CAT) scans. This was followed by major
advances in diagnostic imaging, including magnetic resonance imaging
(MRI) and ultrasonography.
1980: Dr Joseph E. Murray
performed a kidney transplantation, Boston, Massachusetts. This ushered
in the modern era of transplantation of kidney, liver, heart, and other
organs. Dr E. Donnell Thomas performed and studied bone marrow
transplantation for a variety of blood diseases. Murray and Thomas
received the Nobel Prize in Medicine in 1990.
1980: Dr
K. M. Starko reported an association between aspirin ingestion and
Reye's Syndrome. In 1987, Dr J. D. Arrowsmith documented a sharp
decrease in the incidence of Reye's syndrome paralleling a marked
decrease in aspirin use in American children. Chamblee, Georgia.
1980-1985: The beginning of the human
immunodeficiency/acquired immunodeficiency syndrome (HIV/AIDS)
epidemic in the United States that soon affected hemophiliacs and
newborns of infected mothers.
1985: The National
Cooperative Study of Sickle Cell Diseases showed that the use of
prophylactic penicillin greatly reduced the high early infectious
mortality of infants with sickle cell anemia. This provided a rationale
for neonatal screening for hemoglobinopathies, now conducted in 40 states.
1985: Drs David Smith and Porter Anderson
developed polysaccharide vaccine for Haemophilus influenzae
type B, Rochester, New York. This and the subsequent development
of a protein-conjugated vaccine, resulted in the virtual disappearance
of invasive HiB disease (meningitis and epiglotitis) in the United
States.
1990: Dr Antoinette P. Eaton was the first
woman to be elected president of the AAP. Columbus, Ohio.
1992: The AAP published a statement advocating supine
instead of prone sleeping position for infants. This was followed by a
30% to 40% reduction in the incidence of sudden infant death syndrome
(SIDS) in the United States.
1994: The WHO reported the
elimination of poliomyelitis from the Western Hemisphere.
1994: Treatment of HIV infected mothers with zidovudine
was shown to reduce perinatal transmission to their infants. Testing of
blood products for HIV markedly reduced transfusion-related HIV
infections. New retroviral drugs markedly improved length of survival
and quality of life.
2000: Completion of the analysis
(mapping) of the human genome by Drs Francis S. Collins and J. Craig
Venter.
Howard A. Pearson, MD, Chairperson
David Annunziato, MD
Jeffrey P. Baker, MD
Lawrence M. Gartner, MD
Doris A. Howell, MD
James E. Strain, MD
Staff
Susan Bolda Marshall, MALS
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