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Mary Amdur's remarkable story of research ethics

 

      

Left: Mary Amdor. Middle: The deadly fog in Donora, Pennsylvania. Right: Woman walking through the fog in Donora. 

In late October of 1948, a combination of temperature fluctuations and deadly emissions from two U.S. Steel plants created a dense, yellow fog that hung over the city of Donora, Pennsylvania, killing 70 people and injuring 6,000 others. The fog, which contained sulfuric acid, nitrogen dioxide, fluorine, and other poisonous gases, remained in the city for several days until it rained on October 31st. Doctors and firefighters shared bottled oxygen with Donora residents and urged those with pre-existing lung and breathing issues to leave, but the density of the fog made driving and transportation nearly impossible.

Dr. Mary Amdur, a biochemist with a PhD from the University of Pittsburgh, was recruited soon after to research the role that American Smelting and Refining Company (AS&R) emissions played in the casualties observed in Donora. AS&R wanted to prove that their emissions had a minimal effect on the deaths and injuries incurred, and they even requested that Dr. Amdur not study one of the gases released into the atmosphere. Dr. Amdur's research instead indicated that citizens of Donora were injured and killed as a direct result of the gases released: "She had demonstrated the irritancy potential of sulfur dioxide and its ability to interact with water-soluble metal salts to further oxidize the sulfur in the particle, which travels to the deep lung, where its potential for irritation would be magnified" (Mary O. Amdur, Oxford Academic). Dr. Amdur gained and lost funding multiple times because her research interfered with the interests of AS&R, which she didn't accommodate into her research. Additionally, she wasn't able to rise above the title of "associate professor" at the different universities where she worked.

For her work and her strength to stick to her own ethical principles, Dr. Mary Amdur became known as the "mother of air pollution toxicology." And in 1961, the United States adopted the Clean Air Act, which "regulates air emissions from stationary and mobile sources," in order to prevent dangerous air pollution events like Donora's. (Summary of the Clean Air Act). 

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Title: From Whispers to Shouts: The Ways We Talk About Cancer.

Author: Elaine Schattner.

Publication info: Columbia University Press, 2023.

Location: Academic eBook Collection.

Description: It's hard today to remember how recently cancer was a silent killer, a dreaded disease about which people rarely spoke in public. In hospitals and doctors'offices, conversations about malignancy were hushed and hope was limited. In this deeply researched book, Elaine Schattner reveals a sea change—from before 1900 to the present day—in how ordinary people talk about cancer. From Whispers to Shouts examines public perception of cancer through stories in newspapers and magazines, social media, and popular culture. It probes the evolving relationship between journalists and medical specialists and illuminates the role of women and charities that distributed medical information. Schattner traces the origins of patient advocacy and activism from the 1920s onward, highlighting how, while doctors have lost control of messages about cancer, survivors have gained visibility and voice. The book's final section lays out provocative questions facing the cancer community today—including distrust of oncologists, concerns over financial burdens, and disparities in cancer treatments and care. Schattner considers how patients and their loved ones struggle to make decisions amid conflicting information and opinions. She explores the ramifications of so much openness, good and bad, and asks: Has awareness backfired? Instead, Schattner contends, we need greater understanding of cancer's treatability.

Published in: 2022. Baltimore: Johns Hopkins University Press.

Available: As an eBook in our Academic eBook Collection

Description: "The focus of bioethical debates on exceptional cases neglects the underlying values—like justice and community—that would lend to a broader, more well-rounded understanding of today's world.Discussions of ethical problems in health care too often concentrate on exceptional cases. Bioethical controversies triggered by experimental drugs, gene-edited babies, or life extension are understandably fascinating: they showcase the power of medical science and technology while addressing anxieties concerning health, disease, suffering, and death. However, the focus on rare individual cases in the media spotlight turns attention away from more pressing ethical issues that impact global populations, such as access to health care, safe food and water, and the prevention of emerging infectious diseases. In Bizarre Bioethics, Henk A.M.J. ten Have argues that this focus on bizarre cases leads to bizarre bioethics with a narrow agenda for ethical debate. In other words, although these extreme cases are undeniably real, they present a limited and skewed view of everyday moral reality. This focus also assumes that individuals are rational decision-makers, so that the role of feelings and emotions can be downgraded. Larger questions related to justice, solidarity, community, meaning, and ambiguity are not appreciated. Such questions used to be posed by philosophical and theological traditions, but they have been exorcised and marginalized in the development of bioethics. Science, ten Have writes, is not a value-free endeavor that provides facts and evidence: it is driven by underlying value perspectives that are often based on metaphors and world views from philosophical and theological traditions. Drawing on a rich analysis of the literature, ten Have explains how bioethical discussion can be enriched by these metaphors and develops a broader approach that critically delves into the imaginative world views that determine understanding of the world and human existence. Examining the roles of the metaphors of ghosts, monsters, pilgrims, prophets, and relics, ten Have illustrates how science and medicine are animated by imaginations that fuel the search for hope, salvation, healing, and a predictable future. Bizarre Bioethics invites students, researchers, policymakers and teachers interested in ethics and health care to think about the value perspectives on health and disease today."

Pictured below is the "Fly Room," a Drosophila (fruit fly) research lab at Columbia University, where in the early twentieth century, Nobel Prize-winning scientist Dr. Thomas Hunt Morgan and "the Fly Boys" made important discoveries about modern genetics. While Mendel founded the field of genetics, the "gene" was still an abstraction. Morgan was able to confirm that the chromosome is a physical unit of genetic material, and that the pairing of chromosomes results in genetic variance. This work also contributed to scientists' understanding of evolution. Morgan's work offered natural selection as a scientific explanation for evolution. 

      

Left: A luncheon held in "The Fly Room" in 1918. The Fly Room was reportedly small and cluttered. 

Right: The National Cancer Institute's diagram on DNA forming genes and chromosomes. 

 

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