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Biography & Autobiography Women

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

by (author) Cheryl Krasnick Warsh

Publisher
Oxford University Press
Initial publish date
Mar 2024
Category
Women
  • Hardback

    ISBN
    9780197632543
    Publish Date
    Mar 2024
    List Price
    $38.50

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Description

The woman scientist who saved Americans from thalidomide In 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.

About the author

Cheryl Krasnick Warsh teaches history at Vancouver Island University and is the former editor-in-chief of the Canadian Bulletin of Medical History. A former Fulbright and Hannah Fellow, her books include Moments of Unreason: The Practice of Canadian Psychiatry and the Homewood Retreat, 1883–1923, Drink in Canada: Historical Essays, Children’s Health Issues in Historical Perspective (WLU Press, 2005), and Prescribed Norms: Women and Health in Canada and the United States since 1800.

Veronica Strong-Boag is a professor of women’s and gender studies and of educational studies at the University of British Columbia. She is a member of the Royal Society of Canada and a past president of the Canadian Historical Association. She has written widely on the history of Canadian women and children—including studies of the 1920s and 30s, the experience of post—WW II suburbia, Nellie L. McClung, E. Pauline Johnson, childhood disabilities, and modern neo-conservatism’s attack on women and children—and has won the John A. Macdonald Prize in Canadian History, the 2012 Canada Prize in the Social Sciences awarded by the Canadian Federation for the Humanities and Social Sciences and, with Carole Gerson, the Raymond Klibansky Prize in the Humanities. In 2012 Strong-Boag was awarded the Tyrrell Medal from the Royal Society of Canada for outstanding work in Canadian history. She is the author of Fostering Nation: Canada Confronts Its History of Childhood Disadvantage (WLU Press, 2010).

Cheryl Krasnick Warsh's profile page

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