Tuskegee Syphilis Study - Wikipedia
The
Tuskegee Study of Untreated Syphilis in the Negro Male[1][2][3] (informally referred to as the "Tuskegee Syphilis Experiment," the "Tuskegee Syphilis Study," the "Tuskegee Study of Untreated Syphilis in the African American Male," the "U.S. Public Health Service Syphilis Study at Tuskegee," or the "Tuskegee Experiment") was an ethically unjustified
study conducted between 1932 and 1972 by the
United States Public Health Service (PHS) and the
Centers for Disease Control and Prevention (CDC).
[4][5] The purpose of this study was to observe the natural history of untreated
syphilis. Although the African-American men who participated in the study were told that they were receiving free health care from the federal government of the United States, they were not.
[6]
The Public Health Service started the study in 1932 in collaboration with
Tuskegee University (then the Tuskegee Institute), a
historically black college in Alabama. In the study, investigators enrolled a total of 600 impoverished African-American
sharecroppers from
Macon County, Alabama.
[6] Of these men, 399 had latent syphilis, with a control group of 201 men who were not infected.
[5] As an incentive for participation in the study, the men were promised free medical care, but were deceived by the PHS, who never informed subjects of their diagnosis
[7][8][9][10] and disguised placebos, ineffective methods, and diagnostic procedures as treatment.
[11]
The men were initially told that the "study" was only going to last six months, but it was extended to 40 years.
[5] After funding for treatment was lost, the study was continued without informing the men that they would never be treated. None of the infected men were treated with
penicillin despite the fact that by 1947, the antibiotic was widely available and had become the standard treatment for syphilis.
[12]
The study continued, under numerous Public Health Service supervisors, until 1972, when a leak to the press resulted in its termination on November 16 of that year.
[13] The study caused the deaths of 128 of its participants, either directly from syphilis or from related complications.
[14]
The 40-year Tuskegee Study was a major violation of
ethical standards,
[12] and has been cited as "arguably the most infamous biomedical research study in U.S. history."
[15] Its revelation led to the 1979
Belmont Report and to the establishment of the
Office for Human Research Protections (OHRP)
[16] and federal laws and regulations requiring
institutional review boards for the protection of human subjects in studies involving them. The OHRP manages this responsibility within the
United States Department of Health and Human Services (HHS).
[16] Its revelation has also been an important cause of distrust in medical science and the US government amongst African Americans.
[15]
On May 16, 1997, President
Bill Clinton formally apologized on behalf of the United States to victims of the study, calling it shameful and racist
