Lecture 11: Race, Gender, and the United States Public Health Service in Guatemala Flashcards

1
Q

Who was Dr. John C. Cutler?

A

In 1946, he led a team of US medical researchers to Guatemala to study prevention of syphilis and gonorrhoea by exposing vulnerable people to STI’s and tested various preventions on them.

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2
Q

When was the US Public Health Service’s Sexually Transmitted Disease Inoculation Study in Guatemala?

A

1946-1948

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3
Q

What as unethical about the study?

A

-Medical researchers did not receive informed consent

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4
Q

In this study, who were considered subjects? Who were considered methods?

A

Men- subjects

Women- methods

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5
Q

What happened in October 1944 in Guatemala?

A

October Revolution

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6
Q

What happened on October 22 in Guatemala?

A

Patricia Massacre

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7
Q

Who was the first democratically elected President of Guatemala?

A

Juan Hose Arevalo

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8
Q

When was penicillin identified as a treatment for gonorrhoea and syphillis?

A

1943

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9
Q

When was the Nuremberg Code?

A

1947

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10
Q

What answer was bot the US and Guatemala hoping to answer with these experiments?

A

important medical question because syphilis was seen as a serious medical and moral problem.

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11
Q

Who was prostitution viewed during wartime?

A
  • Sinister –> the prostitute is the sniper.

- Assumption that she is infected because she is sexually active.

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12
Q

Explain the two study designs used.

A

Initial (proposed) study design: female prostitutes who tested positive for syphilis or gonorrhoea would be hired to expose male prisoners and soldiers to the infections. Abandoned because transmission rates were low.
Actual study methodology: women, some of whom were not previously infected, were hired and exposed to STIs and were then coerced into sexual ‘contacts’ with the men.

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13
Q

Why did some uninfected when have contacts with uninfected men?

A
  • women were assumed to always be infected
  • to appeases suspicions of men within position
  • way of getting men involved
  • trying to study a naturally transmitted infection–realized abrasions occurred naturally during sex
  • hypothesized vaginal mucous helped increase rate of infection regardless
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14
Q

Why was it important that Dr. John C. Cutler indicated a prevalent Indian race in his recordings?

A
  • Doesn’t feel obligated to inform them of the experiments

- Serves his purpose of racial others which allows him to justify it.

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15
Q

How were US concepts of race different than Guatemalan concepts race?

A
  • US is rooted in racial purity. Race is rigid–unchangeable.
  • In Guatemala, race was fluid
  • Racial categories based on class and physical ideals (clothing, language, marriage, etc.)
  • Race and class were intertwined
  • You could change your race in Guatemala
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16
Q

What are some examples of resistance amongst those in Guatemala?

A
  • refusing blood tests
  • fleeing rooms
  • refusal to allow those in asylums to be tested on
17
Q

What are some examples of rationality among people in Guatemala? Why can we detect rationality in their actions?

A
  • lining up repeatedly for the same tests in the hopes of receiving a pack of cigarettes.
  • Keep in mind what subjects did not know:
  • didn’t know it was an experiment
  • they knew they were being ‘treated’ by doctors
  • they were getting sex
  • subjects were poor, conditions were poor
18
Q

What was discovered in 2003 about Guatemala and by whom?

A

-The actual experiments were discovered in the University of Pittsburgh archives by historian, Susan Reverby.

19
Q

When did Barack Obama apologize to the Guatemala people?

A

2010

20
Q

When did the Guatemalan people launch a class action lawsuit?

A

2011

21
Q

Why is it important what happened inGuatemala?

A

Because many of the same problems continue today

22
Q

Over____clinical trials are conducted overseas, often in less developed countries, even in 2011.

A

100 000

23
Q

What happened in Buenos Aires at the Pedro Mallo Naval Hospital between 1997-1998?

A

Cariporide trials

-FDA approved, researches did not receive informed consent, forged signatures of subjects, 3 died.

24
Q

What was the USPHS Study in Guatemala?

A

A deliberate exposure experiment on vulnerable populations to study the prevention of syphilis and gonorrhoea.
-2 diseases that were endemic and desperation to find a cure

25
Q

What influenced the study design in regards to women?

A

Perceptions of women’s bodies as innately infections (prostitutes and racial minorities not worthy of protection)

26
Q

What two categories does race fit into? What does this justify?

A

Race is not only biological category, but also a socially constructed one.
-Justified lack of consent.