Keeping Sight of Albay: Vitamin A Blindness, Randomized Controlled Trials, and Cold War Foreign Aid Policy.

Saved in:
Bibliographic Details
Title: Keeping Sight of Albay: Vitamin A Blindness, Randomized Controlled Trials, and Cold War Foreign Aid Policy.
Authors: Sastry, Rajiv M.
Source: American Journal of Public Health. Jul2026, Vol. 116 Issue 7, p1044-1052. 9p.
Subjects: Government policy, Social determinants of health, Health policy, Randomized controlled trials, Child mortality, Public opinion, International relations, World health, Vitamin A deficiency in children, Rural conditions, Blindness, Practical politics, Public health, Dietary supplements, Children
Geographic Terms: Philippines
Abstract: Physicians have long known that vitamin A deficiency causes pediatric blindness. However, in 1986, Johns Hopkins researchers examining the impact of vitamin A supplementation on overall child mortality in Albay, Philippines, encountered strong local opposition, forcing the study's termination. Drawing on internal documents, interviews, and archival correspondence, this article uses the Albay study's collapse as a case study to examine how Cold War‒era cultural, geopolitical, and social forces shaped the public health knowledge production process. This history offers insights into how policymakers might develop effective modern foreign aid projects, especially as funding priorities continue to evolve. (Am J Public Health. 2026;116(7):1044–1052. https://doi.org/10.2105/AJPH.2026.308447) [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 194643727
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Keeping Sight of Albay: Vitamin A Blindness, Randomized Controlled Trials, and Cold War Foreign Aid Policy.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Sastry%2C+Rajiv+M%2E%22">Sastry, Rajiv M.</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Public+Health%22">American Journal of Public Health</searchLink>. Jul2026, Vol. 116 Issue 7, p1044-1052. 9p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Government+policy%22">Government policy</searchLink><br /><searchLink fieldCode="DE" term="%22Social+determinants+of+health%22">Social determinants of health</searchLink><br /><searchLink fieldCode="DE" term="%22Health+policy%22">Health policy</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Child+mortality%22">Child mortality</searchLink><br /><searchLink fieldCode="DE" term="%22Public+opinion%22">Public opinion</searchLink><br /><searchLink fieldCode="DE" term="%22International+relations%22">International relations</searchLink><br /><searchLink fieldCode="DE" term="%22World+health%22">World health</searchLink><br /><searchLink fieldCode="DE" term="%22Vitamin+A+deficiency+in+children%22">Vitamin A deficiency in children</searchLink><br /><searchLink fieldCode="DE" term="%22Rural+conditions%22">Rural conditions</searchLink><br /><searchLink fieldCode="DE" term="%22Blindness%22">Blindness</searchLink><br /><searchLink fieldCode="DE" term="%22Practical+politics%22">Practical politics</searchLink><br /><searchLink fieldCode="DE" term="%22Public+health%22">Public health</searchLink><br /><searchLink fieldCode="DE" term="%22Dietary+supplements%22">Dietary supplements</searchLink><br /><searchLink fieldCode="DE" term="%22Children%22">Children</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Philippines%22">Philippines</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Physicians have long known that vitamin A deficiency causes pediatric blindness. However, in 1986, Johns Hopkins researchers examining the impact of vitamin A supplementation on overall child mortality in Albay, Philippines, encountered strong local opposition, forcing the study's termination. Drawing on internal documents, interviews, and archival correspondence, this article uses the Albay study's collapse as a case study to examine how Cold War‒era cultural, geopolitical, and social forces shaped the public health knowledge production process. This history offers insights into how policymakers might develop effective modern foreign aid projects, especially as funding priorities continue to evolve. (Am J Public Health. 2026;116(7):1044–1052. https://doi.org/10.2105/AJPH.2026.308447) [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=194643727
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.2105/AJPH.2026.308447
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 1044
    Subjects:
      – SubjectFull: Government policy
        Type: general
      – SubjectFull: Social determinants of health
        Type: general
      – SubjectFull: Health policy
        Type: general
      – SubjectFull: Randomized controlled trials
        Type: general
      – SubjectFull: Child mortality
        Type: general
      – SubjectFull: Public opinion
        Type: general
      – SubjectFull: International relations
        Type: general
      – SubjectFull: World health
        Type: general
      – SubjectFull: Vitamin A deficiency in children
        Type: general
      – SubjectFull: Rural conditions
        Type: general
      – SubjectFull: Blindness
        Type: general
      – SubjectFull: Practical politics
        Type: general
      – SubjectFull: Public health
        Type: general
      – SubjectFull: Dietary supplements
        Type: general
      – SubjectFull: Children
        Type: general
      – SubjectFull: Philippines
        Type: general
    Titles:
      – TitleFull: Keeping Sight of Albay: Vitamin A Blindness, Randomized Controlled Trials, and Cold War Foreign Aid Policy.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Sastry, Rajiv M.
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 07
              Text: Jul2026
              Type: published
              Y: 2026
          Identifiers:
            – Type: issn-print
              Value: 00900036
          Numbering:
            – Type: volume
              Value: 116
            – Type: issue
              Value: 7
          Titles:
            – TitleFull: American Journal of Public Health
              Type: main
ResultId 1