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Frances Oldham Kelsey, the FDA, and the Battle against Thalidomide

Autor Cheryl Krasnick Warsh
en Limba Engleză Hardback – 30 sep 2024
The woman scientist who saved Americans from thalidomideIn the early 1960s, Dr. Frances Oldham Kelsey of the U.S. Food and Drug Administration became one of the most celebrated women in America when she prevented a deadly sedative from entering the U.S. market. A Canadian-born pharmacologist and physician, Kelsey saved countless Americans from the devastating side effects of thalidomide, a drug routinely given to pregnant women to prevent morning sickness.As the FDA medical officer charged with reviewing Merrell Pharmaceutical's application for approval in 1960-61, Kelsey was unconvinced that there was sufficient evidence of the drug's efficacy and safety. Despite substantial pressure, she held her ground for nineteen months while the extent of the drug's worldwide damage became known-thousands of stillborn babies, as well as at least 10,000 children across 46 countries born with severe deformities such as missing limbs, arms and legs that resembled flippers, and improperly developed eyes, ears, and other organs. As a result of Kelsey's efforts, thalidomide was never sold in the United States. The incident led Congress to pass the 1962 Drug Amendment, which fundamentally changed drug regulation in America. Those regulations, still in force today, required pharmaceutical companies to conduct phased clinical trials, obtain informed consent from participants in drug testing, and warn the FDA of adverse effects, and it granted the FDA important controls over prescription-drug advertising.One of a small minority of women to earn an advanced degree in science in the 1930s, Kelsey faced challenges that resonate with women scientists to this day. Revered by the public as a “good mother of science,” she went on to act as a formidable gatekeeper against other suspect drugs, such as diesthylstilbestrol (DES) and laetrile. As part of the team that tested anti-malarial drugs on prisoner volunteers during World War II, she later was instrumental in the formulation of ethical protocols for drug testing on prisoners and the vulnerable, including the elderly and children. Yet behind the public adulation, she faced professional jealousies and glass ceilings, political interference with FDA's actions, and ongoing hostility from pharmaceutical industry officials. She was sustained and supported by family and friends, co-workers and mentors, and a lifetime commitment to good science.Based upon FDA archival records, private family papers, and interviews with family and colleagues, this biography brings to light the efforts and legacy of a pioneering woman of science whose contributions are still influential today.
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Specificații

ISBN-13: 9780197632543
ISBN-10: 0197632548
Pagini: 424
Ilustrații: 16 b&w halftones
Dimensiuni: 152 x 221 x 33 mm
Greutate: 0.74 kg
Editura: Oxford University Press
Colecția OUP USA
Locul publicării:New York, United States

Recenzii

The monumental biography of Frances Oldham Kelsey that students of regulation, medicine and pharmaceuticals have long needed. Warsh meticulously narrates Kelsey's remarkable career before the thalidomide tragedy and demonstrates her influence well after it.
A biography of Frances Oldham Kelsey has been long overdue and Cheryl Walsh's broad exploration of Kelsey's life and her long career as a public servant does not disappoint. Relying on personal papers as well as professional records and oral histories, she portrays the "canny Scottish lass" from Canada not only as a woman with friends, family, allies, and detractors, but also as a regulatory professional. Kelsey was often portrayed as a female combatant during the thalidomide crisis, but her role in helping to implement the powerful new law governing new drug approvals, swept into law in the wake of a worldwide tragedy, is not well known, and Walsh makes an important contribution to the history of FDA and the broader history of medicine by including this in her understanding of the trajectory of Frances Kelsey's entire career.

Notă biografică

Cheryl Krasnick Warsh is Professor of History at Vancouver Island University in Nanaimo, Canada. Dr. Warsh has published books on the history of asylums, women's health, children's health, consumerism, and alcohol and drug use. She served as long-term editor-in-chief of the Canadian Bulletin of Medical History and was co-editor of Gender & History. Dr. Warsh was a Fulbright Fellow, AMS/Hannah Fellow, and the inaugural recipient of the Vancouver Island University Distinguished Researcher Award. In 2017, she was elected a Fellow of the Royal Society of Canada for her contributions to Canadian medical history.