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Medical students getting a clue ?
from msJAMA, "Medical Student Journal of the American Medical Association

Dave Hartley
http://www.asheville-computer.com/dave


http://www.ama-assn.org/sci-pubs/msjama/articles/vol_283/no_3/pask.htm

MSJAMA — Review
March 1, 2000

White Coats and War Crimes
The American Biological Warfare Program
Daniel Paskowitz, University of California San Francisco School of Medicine
The United States and Biological Warfare: Secrets From the Early Cold War
and Korea, by by Stephen Endicott and Edward Hagerman, 304 pp, $29.95, ISBN
0-253-33472-1, Bloomington, Ind, Indiana University Press, 1999

The United States and Biological Warfare: Secrets From the Early Cold War
and Korea, by Stephen Endicott and Edward Hagerman, offers a careful look at
the US biological warfare program from the beginning of World War II to the
end of the Korean War. The authors ask whether the United States actually
used biological weapons during the Korean War, as the Chinese and North
Korean governments alleged in February 1952. While Endicott and Hagerman
cannot quite prove these allegations, their study shows in great detail how
the federal government, the military establishment, the pharmaceutical
industry, and institutions of medical research worked together during an
extended period to create biological weapons and to prepare them for use in
war. Their findings should prompt members of the health professions to ask
whether, and how easily, their efforts to preserve human life might be
perverted for use in the killing of innocents for military and government
purposes.

The first chapter features an extensive discussion of classified Chinese
documents that describe a series of mysterious outbreaks of disease in
Northeast China in the winter and spring of 1952, while the Korean War raged
not far away. These include eyewitness accounts of US planes dropping
mysterious containers, found to contain insects carrying pathogens that had
not been present in the region for a long time. This highly effective
opening to the book forces even the skeptical reader to consider seriously
the possibility of biological warfare and gives a more humanistic
perspective to the issue by describing Chinese civilians whose lives were
cut short by infectious diseases, which occurred under suspicious
circumstances.

The next several chapters trace the US military and government
establishments and the development of the US biological warfare program,
whose existence is no longer secret or controversial. The most chilling part
of this section describes the post-World War II connection between the US
program with the Japanese war criminals, who gained immunity from
prosecution in exchange for sharing with the United States the results of
their country's bacteriological experiments on Allied prisoners. The authors
show that operational prototype weapons were in fact built and tested and
were incorporated into the US war plans for war in Europe.

The next part of the book deals with the Korean War. Endicott and Hagerman
argue that the United States did not fight the Korean War as a limited war.
Rather, US leaders were prepared to use "whatever methods and weapons were
considered necessary to achieve their goals."Documentation of bombing
campaigns against civilian targets supports this assertion. Endicott and
Hagerman also describe the administrative structures established by the
United States in Korea to carry out covert operations and the connection
between these structures to those individuals responsible for the biological
warfare program.

Careful scrutiny is given to specific missions that seem likely to have been
biological-warfare attacks. For example, disease-carrying insects were
packaged into the same containers used to drop leaflets warning civilians of
imminent bombings. The United States maintained that all such containers
dropped on Korea during the war contained only leaflets. However, on some
occasions, these "leaflet bombs" were dropped on an area just after bombing,
not before. Endicott and Hagerman conclude that these leaflet bombs probably
contained insects or other disease vectors that were dropped late in the
attack with information to protect civilians from possible exploding bombs.

Finally, the authors study the confessions of a number of US prisoners of
war to their Chinese captors about US biological warfare attacks. Although
all the captors retracted their confessions under threat of court-martial or
treason-trial on return to the United States, the evidence that the
confessions were extracted under duress is weak.

Endicott and Hagerman cannot absolutely prove that the United States
deployed biological weapons in the Korean War, because no US declassified
documents yet exist that explicitly admits these claims. However, through
exhaustive research and careful documentation, Endicott and Hagerman build
an effective case that a biological attack could have happened and probably
did. They show that the US government built biological weapons and prepared
to use them in war, whether or not an enemy government had used biological
weapons first. Testimony from US military personnel, Chinese health
officials, and international observers who were asked to investigate Chinese
allegations of biological warfare all weigh heavily toward the probability
that it happened. The book is meticulously researched, carefully documented,
and well written. Its clarity suffers only, and unavoidably, from the
confusing succession of US government agencies concerned with biological
warfare.

Medical students and others preparing to enter the health professions will
be especially interested in the roles played by physicians and medical
researchers in the biological warfare program. By its very nature,
biological-warfare research required the talents of people with medical and
related scientific training. Endicott and Hagerman show that physicians
affiliated with the US Army and leaders of the US pharmaceutical industry
played critical roles in promoting the biological-warfare program during and
after World War II. Medical scientists were employed at special military
installations that were devoted to developing biological weapons, and they
sometimes used data they obtained about Japanese experiments on US prisoners
of war.

Perhaps most worrisome of all, biological warfare research projects were
given to a number of US medical research universities through an extramural
grant system. Faculty members of these universities served on advisory
committees that helped to endorse and advise the biological warfare program.
One regrettable omission in the authors' treatment, from the point of view
of medical students, is that they leave unexplored the many burning
questions raised by this involvement of the medical and scientific
communities at large. To what extent did US university administrators and
faculty know that some of their research was being used to build weapons of
mass destruction? If they did know, how willingly did they participate, and
why? If they generally did not know, how easy was it for government agencies
to use the medical and scientific establishments for purposes directly
contrary to their principles?

Endicott and Hagerman bemoan the war mentality that led US leaders to cast
aside moral considerations and pursue building biological weaponsfor
possible use against innocent people. Their book will help medical students
to recognize that even people devoted to the preservation of life are not
immune to unethical situations. This study may "help prod medical doctors,
scientists, and universities to take effective action to ensure that the
science of healing will never again be used to build weapons of war."


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