![]() In 1932, the Public Health Service, working with the Tuskegee Institute, began a study to record the natural history of syphilis in Macon County, Alabama. It was called the “Tuskegee Study of Untreated Syphilis in the Negro Male.” The study initially involved 600 black men. Participants were coerced into taking part in the study in exchange for free medical exams, free meals, and burial insurance for the families. Researchers told the men they were being treated for “bad blood,” a local term used to describe several ailments. In truth, they did not receive any treatment needed to cure their illness even when penicillin became available in 1947. Researchers even went so far as to convince local physicians in Macon County not to treat the participants with penicillin. In order to track the disease’s full progression, researchers provided no effective care even as the men died, went blind or insane, or experienced other severe health problems due to their untreated syphilis. They also did not advise the men on protective sexual activity to reduce the spread of the infection to partners. Although originally projected to last 6 months, the study actually went on for 40 years. Reparations in the amount of $10 million were disbursed to families affected in 1973, but as a result of the experiment many African Americans developed a lingering, deep mistrust of public health officials.
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