© 2002 American Public Health Association
Elizabeth Fee, Jan Lazarus, and Paul Theerman are with the History of Medicine Division, National Library of Medicine, National Institutes of Health, Bethesda, Md. Theodore M. Brown is with the Departments of History and of Community and Preventive Medicine at the University of Rochester, Rochester, NY. Correspondence: Requests for reprints should be sent to Elizabeth Fee, PhD, Building 38, Room 1E21, 8600 Rockville Pike, Bethesda, MD 20894 (e-mail: elizabeth_fee{at}nlm.nih.gov).
SINCE THE EARLY 19TH century, the federal government has provided health care to Native Americans, both as a treaty obligation and in its role as trustee for indigenous peoples.1 The government, however, has not always been zealous in pursuing its obligations. In Alaska, for example, not until 1931 did a single Public Health Service (PHS) officer provide health care, and then only for a few years. Alaska did take on special significance during the Cold War, when the Inuit people were characterized as "the first line of defense" in protecting the territory.2 Not only did the PHS now provide personal health services, it also strengthened Alaskas entire health program by operating mobile health unitsvia ship, rail, and highwayacross sparsely populated areas. The PHS provided grants-in-aid to support the development of public health services and funded research programs to investigate special health needs under Arctic conditions. The PHS field center in Alaska, renamed the Arctic Health Research Center, conducted research on animal-borne diseases, environmental sanitation, entomology and insect control, biochemistry and nutrition, physiology, bacteriology, parasitology, and new and improved methods of DDT spraying.
Note. Most of the Prints and Photographs Collection of the History of Medicine Division of the National Library of Medicine may be viewed through the on-line database "Images From the History of Medicine" at http://wwwihm.nlm.nih.gov/. The Web site also provides information on ordering reproductions of images. If you have a print, photograph, or other visual item that might be appropriate for this collection, please contact the History of Medicine Division.
1. Kunitz SJ. The history and politics of US health care policy for American Indians and Alaskan Natives. Am J Public Health.1996;86:14641473. 2. Williams RC. The United States Public Health Service, 17981950. Washington, DC: Commissioned Officers Association of the United States Public Health Service; 1951:788789.
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