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HUMAN EXPERIMENTS

Unethical human experimentation in the United States - Wikipedia

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A subject of the Tuskegee syphilis experiment has his blood drawn, c. 1953.

Numerous experiments which are performed on human test subjects in the United States are considered unethical, because they are performed without the knowledge or informed consent of the test subjects. Such tests have been performed throughout American history, but some of them are ongoing.[citation ^needed] The experiments include the exposure of humans to many chemical and biological weapons (including infections with deadly or debilitating diseases), human radiation experiments, injections of toxic and radioactive chemicals, surgical experiments, interrogation and torture experiments, tests which involve mind-altering substances, and a wide variety of other experiments. Many of these tests are performed on children,[1] the sick, and mentally disabled individuals, often under the guise of "medical treatment". In many of the studies, a large portion of the subjects were poor, racial minorities, or prisoners.

Many of these experiments violated US law. Some others were sponsored by government agencies or rogue elements thereof, including the Centers for Disease Control, the United States military, and the Central Intelligence Agency, or they were sponsored by private corporations which were involved in military activities.[2][3][4] The human research programs were usually highly secretive and performed without the knowledge or authorization of Congress, and in many cases information about them was not released until many years after the studies had been performed.

The ethical, professional, and legal implications of this in the United States medical and scientific community were quite significant, and led to many institutions and policies that attempted to ensure that future human subject research in the United States would be ethical and legal. Public outrage in the late 20th century over the discovery of government experiments on human subjects led to numerous congressional investigations and hearings, including the Church Committee and Rockefeller Commission, both of 1975, and the 1994 Advisory Committee on Human Radiation Experiments, among others.

Surgical experiments

Throughout the 1840s, J. Marion Sims, who is often referred to as "the father of gynecology," performed surgical experiments on enslaved African women, without anesthesia. The women— one of whom was operated on 30 times— suffered from infections and many failed surgeries before they were finally cured of vaginal fistula. However, "the evidence suggests that Sims's original patients were willing participants in his surgical attempts to cure their affliction—a condition for which no other viable therapy existed at that time."[5] The period during which Sims operated on enslaved women, between 1845 and 1849, was one during which the new practice of anesthesia was not universally accepted as safe and effective.[6]

In 1874, Mary Rafferty, an Irish servant woman, came to Dr. Roberts Bartholow of the Good Samaritan Hospital in Cincinnati, Ohio for treatment of a lesion on her head. The lesion was diagnosed as a cancerous ulcer and surgical treatments were attempted. Bartholow saw Rafferty's condition as terminal but felt there was a research opportunity. He inserted electrode needles into her exposed brain matter to gauge her responses. This was done with no intention of treating her. Although Rafferty came out of the coma caused by the experiment three days later, she died from a massive seizure the following day. Bartholow described his experiment as follows:

When the needle entered the brain substance, she complained of acute pain in the neck. To develop more decided reactions, the strength of the current was increased ... her countenance exhibited great distress, and she began to cry. Very soon, the left hand was extended as if in the act of taking hold of some object in front of her; the arm presently was agitated with clonic spasm; her eyes became fixed, with pupils widely dilated; lips were blue, and she frothed at the mouth; her breathing became stertorous; she lost consciousness and was violently convulsed on the left side. The convulsion lasted five minutes and was succeeded by a coma. She returned to consciousness in twenty minutes from the beginning of the attack, and complained of some weakness and vertigo.

— Dr. Bartholow's research report[7]

In the subsequent autopsy, Bartholow noted that some brain damage had occurred due to the electrodes but that she had died due to the cancer. Bartholow was criticized by fellow physicians and the American Medical Association formally condemned his experiments as he had caused direct harm to the patient, not in an attempt to treat her, but solely to gain knowledge. Additional issues were raised with the consent obtained. Although she gave "cheerful assent" to the procedure, she was described as "feeble-minded" and may not have fully understood. Bartholow apologized for his actions and expressed regret that some knowledge had been gained "at the expense of some injury to the patient."[7]

In 1896, Dr. Arthur Wentworth performed spinal taps on 29 young children, without the knowledge or consent of their parents, at Children's Hospital Boston (now Boston Children's Hospital) in Boston, Massachusetts to discover whether doing so would be harmful.[8]

From 1913 to 1951, Dr. Leo Stanley, chief surgeon at the San Quentin Prison, performed a wide variety of experiments on hundreds of prisoners at San Quentin. Many of the experiments involved testicular implants, where Stanley would take the testicles out of executed prisoners and surgically implant them into living prisoners. In other experiments, he attempted to implant the testicles of rams, goats, and boars into living prisoners. Stanley also performed various eugenics experiments, and forced sterilizations on San Quentin prisoners.[9] Stanley believed that his experiments would rejuvenate old men, control crime (which he believed had biological causes), and prevent the "unfit" from reproducing.[9][10]

From 1955 to 1960, Sonoma State Hospital in northern California served as a permanent drop-off location for mentally disabled children diagnosed with cerebral palsy or lesser disorders. The children subsequently underwent painful experimentation without adult consent. Many were given spinal taps "for which they received no direct benefit." Reporters of 60 Minutes learned that in these five years, the brain of every child with cerebral palsy who died at Sonoma State was removed and studied without parental consent.[11]

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