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United States Public Health Service

The United States Public Health Service ( USPHS ) is a division of the Department of Health and Human Services concerned with public health. It contains eight out of the department's eleven operating divisions. The Assistant Secretary for Health (ASH) oversees the PHS. The Public Health Service Commissioned Corps (PHSCC) is the federal uniformed service of the USPHS, and is one of the eight uniformed services of the United States. Its origins can be traced to the establishment in 1798 of a system of marine hospitals. In 1870 these were consolidated into the Marine Hospital Service, and shortly afterwards the position of Surgeon General and the PHSCC were established. As the system's scope grew, it was renamed the Public Health Service in 1912. The Public Health Service Act of 1944 consolidated and revised previous laws and is the current legal basis for the PHS. A series of reorganizations in 1966–1973 caused a shift where PHS' divisions were promoted into departme...

Organization

As part of the Public Health Service, there are eight from eleven divisions within the Department of Health and Human Services that are listed: National Institutes of Health Centers for Disease Control and Prevention Indian Health Service Food and Drug Administration Agency for Toxic Substances and Disease Registry Health Resources and Services Administration Agency for Healthcare Research and Quality Substance Abuse and Mental Health Services Administration The three other divisions are designated human services agencies and are not part of the Public Health Service. These are the Centers for Medicare and Medicaid Services, Administration for Children and Families, and Administration for Community Living. The Assistant Secretary for Health is the senior official in charge of the Public Health Service. The Office of the Assistant Secretary for Health itself contains several subordinate offices. In addition, the Office of the Assistant Secretary for Preparedness and Response a...

History

Marine Hospital Service edit The origins of the Public Health Service can be traced to the passage, by the 5th Congress of the United States, of "An Act for the Relief of Sick and Disabled Seamen" in July of 1798. This act created Marine Hospitals to care for sick seamen. They were initially located along the East Coast, at the harbors of the major port cities. As the boundaries of the United States expanded, and harbors were built on other coasts, so too were marine hospitals. The Marine Hospital Service was placed under the Revenue Marine Service (a forerunner of the present-day Coast Guard) within the Department of the Treasury. A reorganization in 1870 converted the loose network of locally controlled marine hospitals into a centrally controlled Marine Hospital Service, with its headquarters in Washington, D.C. This reorganization made the Marine Hospital Service into its own bureau within the Department of the Treasury. The position of Supervising Surgeon (later title...

Activities

In the area of environmental protection and public health, a Public Health Service 1969 community water survey that looked at more than a thousand drinking water systems across the United States drew two important conclusions that supported a growing demand for stronger protections that were adopted in the 1974 Safe Drinking Water Act. The survey concluded, first, that the state supervision programs were very uneven and often lax, and, second, that the bacteriological quality of the water, particularly among small systems, was of concern. The 1963 Clean Air Act gave the Public Health Service in the Department of Health, Education, and Welfare the authority to take abatement action against industries if it could be demonstrated that they were polluting across state lines, or if a governor requested. Some of these actions involved the Ohio River Valley, New York, and New Jersey. The service also began monitoring air pollution. the 1967 Clean Air Act redirected attention to larger air qua...

Controversies

Tuskegee Study of Untreated Syphilis in the Negro Male edit In 1932, the Public Health Service, working with the Tuskegee Institute in Tuskegee, Alabama, began a study to record the natural history of syphilis in hopes of justifying treatment programs for blacks. It was titled the Tuskegee Study of Untreated Syphilis in the Negro Male . The study initially involved 600 black men—399 with syphilis, 201 who did not have the disease. The study was conducted without the benefit of patients' informed consent. Researchers told the men they were being treated for "bad blood," a local term referring to several ailments, including syphilis, anemia, and fatigue. In truth, they did not receive the proper treatment needed to cure their illness. In exchange for taking part in the study, the men received free medical exams, free meals, and burial insurance. Although originally projected to last 6 months, the study actually went on for 40 years. Penicillin - which can be used to t...

References

This article is based on the public domain text History of the Commissioned Corps, PHS