Keeping Sight of Albay: Vitamin A Blindness, Randomized Controlled Trials, and Cold War Foreign Aid Policy.
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| Title: | Keeping Sight of Albay: Vitamin A Blindness, Randomized Controlled Trials, and Cold War Foreign Aid Policy. |
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| 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 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 194643727 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| 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 |
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