Entries - Entry Category: Medicine - Starting with T

Emerging as a social problem in the United States during the late 1960s and early 1970s, teenage pregnancy has become a complex issue in the United States and around the globe. In the late 1980s and early 1990s, Arkansas’s state health director Dr. Joycelyn Elders, who later became U.S. surgeon general, made combating teenage pregnancy a major part of public health policy in Arkansas. Despite declines in rates since the 1990s, teen pregnancy remains an important public health issue in Arkansas and elsewhere. From the colonial era through the nineteenth century, the religious and legal concerns associated with teen pregnancy focused less on the parents’ ages and more on whether the parents were wed. Christianity condemned those, especially women, who …

The Thomas C. McRae Memorial Sanatorium in Alexander (Pulaski and Saline counties) was established in 1931, in the midst of the Jim Crow era of racial segregation, to treat African-American victims of tuberculosis (often called “consumption” at the time). It was the first facility of its kind in Arkansas. It was opened twenty-two years after the Arkansas State Tuberculosis Sanatorium in Booneville (Logan County), which treated only white patients. In 1968, following the integration of the state’s sanatoriums, the Alexander site became the Alexander Human Development Center. In 2011, the facility was closed. The bill that created the McRae Sanatorium was introduced in the Arkansas General Assembly in 1923. It had strong support from the Arkansas Tuberculosis Association, particularly from …

Ticks are a very specific cosmopolitan collection of obligate, haematophagous, ectoparasitic arthropods of vertebrates (mostly on reptiles, birds, and mammals). They are important as vectors of bacterial (mainly rickettsial and spirochaetal), protistal, and viral disease agents of domestic animals and humans, as well as other mammals. By 2016, sixteen tickborne diseases of humans were known, which includes four emerging diseases discovered since 2013. In 2017, state and local health departments around the country reported a record number (totaling 59,349) of cases of tickborne diseases to the Centers of Disease Control and Prevention (CDC) in Atlanta, Georgia, up from 48,610 in 2016. Tickborne diseases can range from producing mild symptoms that are treatable at home to causing symptoms including fever and …

After the establishment of the Master Settlement Agreement of 1998 between several major U.S. tobacco companies and four state governments (Texas, Florida, Minnesota, and Mississippi), the remaining forty-six states, the District of Columbia, and five U.S. territories not party to the original legal action were allowed to join into benefits conferred by the agreement. The tobacco companies were mandated to pay damages approaching the sum of $10 billion over an indefinite time period to the states joining the agreement, as well as acknowledge publicly that tobacco companies targeted youth in marketing and sales of products. In addition, the companies were subjected to sponsorship, marketing, and sales restrictions on their product. The State of Arkansas, agreeing not to file further litigation …

Eugene Jonas Towbin moved to Arkansas in 1955 to work at the Veterans Administration (VA) Hospital. He was a pioneer in the field of geriatric medicine, and his influence brought the first Geriatric Research Education and Clinical Center (GRECC) in the country to Arkansas. He was instrumental in obtaining funding for the John L. McClellan Memorial Veterans Hospital in Little Rock (Pulaski County) and was one of the founders of the geriatrics program at what is now the University of Arkansas for Medical Sciences (UAMS). He also supported cultural events and organizations in the Little Rock area. Eugene Towbin was born in New York City on September 18, 1918, to Russian Jewish immigrants Morris and Elena Towbin. He attended public …

Opened in 1924, Trinity Hospital of Little Rock (Pulaski County) operated as a fee-for-service institution until 1931. That year, the physicians of Trinity implemented one of the early health maintenance organizations (HMOs)—a form of insurance in which member physicians provide medical care to voluntary subscribers for a fixed fee—in the United States. The former Trinity Hospital building was listed on the National Register of Historic Places on November 18, 1998. Trinity’s five founding physicians—Mahlon Dickerson Ogden Sr., Orange King Judd, Augustine Mathias Zell, James Isaac Scarborough, and Robert Booth Moore—began practicing medicine together before establishing the hospital. By 1916, Ogden, Judd, and Zell, who were also faculty members at the Arkansas Medical School—now the University of Arkansas for Medical Sciences …

Tuberculosis (also known as consumption) is a contagious, potentially fatal bacterial infection that mainly affects the lungs. It is caused by the tubercle bacillus (Mycobacterium tuberculosis), which was discovered by Robert Koch in 1882. By 1900, the disease was the second-leading cause of death in the United States, exceeded only by pneumonia. More than eighty percent of the U.S. population had been infected with the disease, although most people showed no symptoms. By the time a person showed symptoms, the disease was usually well advanced and had been spread to many others. The mortality rate for those with active infections was around eighty percent. In Arkansas, tuberculosis once affected one in sixty people and accounted for one out of every …

Typhoid is among the earliest diseases reported in Arkansas and was a significant public health problem up through the early twentieth century. Though it became less common in the modern era, typhoid had a significant impact upon state health in times and places where poor sanitation was the norm. Typhoid, like cholera, is transmitted through the ingestion of food or water that has been contaminated with the feces of an infected individual; the spread of the disease is therefore greatly linked with a lack of proper sanitation. Victims experience high fevers, sweating, inflammation of the gastrointestinal tract, and diarrhea. In most cases, the disease is not fatal, though fevers can last well over a month. Some individuals may become asymptomatic …