Eunice Rivers
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Eunice Verdell Rivers Laurie (1899–1986) was an
African American African Americans, also known as Black Americans and formerly also called Afro-Americans, are an Race and ethnicity in the United States, American racial and ethnic group that consists of Americans who have total or partial ancestry from an ...
nurse who worked in the state of
Alabama Alabama ( ) is a U.S. state, state in the Southeastern United States, Southeastern and Deep South, Deep Southern regions of the United States. It borders Tennessee to the north, Georgia (U.S. state), Georgia to the east, Florida and the Gu ...
. She is known for her work as one of the nurses of the U.S. Public Health Service Syphilis Study in Macon County from 1932 to 1972 which was "arguably the most infamous biomedical research study in U.S. history."


Early life and education

Born into a farming family in rural
Georgia Georgia most commonly refers to: * Georgia (country), a country in the South Caucasus * Georgia (U.S. state), a state in the southeastern United States Georgia may also refer to: People and fictional characters * Georgia (name), a list of pe ...
in 1899, Eunice Verdell Rivers was the oldest of three daughters. Originating from a poor, working-class family, Rivers' education allowed her access to middle-class life. Her mother, who died when Rivers was 15 years old, encouraged her to attend school from a young age. Her father, who was a proponent of education, encouraged her to become a nurse. In order to ensure that his three daughters received sufficient education, he worked extended shifts at the sawmill to finance their studies. In 1918, Rivers' father sent her to study at the
Tuskegee Institute Tuskegee University (Tuskegee or TU; formerly known as the Tuskegee Institute) is a Private university, private, Historically black colleges and universities, historically black land-grant university in Tuskegee, Alabama, United States. It was f ...
. For the first year, she took classes in "handicrafts". Following her father's advice, Eunice inquired and enrolled in the Institute's School of Nursing, where she graduated in 1922. After graduation, Rivers worked in the public health sector from 1923 until well after her retirement in 1965.


Career

Beginning in January 1923, Rivers worked for the Tuskegee Institute Movable School. As part of the school, she provided various public health services to African-American men and women in rural Alabama and became a trusted health authority for African-American farming families in the area around
Tuskegee, Alabama Tuskegee ( ) is a city in Macon County, Alabama, Macon County, Alabama, United States. General Thomas Simpson Woodward, a Creek War veteran under Andrew Jackson, laid out the city and founded it in 1833. It became the county seat in the same y ...
. She supplied adult education programs in agriculture, home economics, and health. In her work with the Movable School, Rivers was an employee of the Alabama Bureau of Child Welfare. Beginning in 1926, the state transferred her to the
Bureau of Vital Statistics Bureau ( ) may refer to: Agencies and organizations *Government agency *Public administration * News bureau, an office for gathering or distributing news, generally for a given geographical location * Bureau (European Parliament), the administra ...
, where her projects included improving birth and death registration, regulating and training midwives, and reducing infant mortality. She was instrumental in creating a system that tracked the number of births and deaths in the state of Alabama. She also helped to regulate midwifery and lower infant mortality rates. She continued to work with the Movable School, traveling around Alabama, but this time focusing on pregnant women and midwives. She visited over 20 counties in her first year and was noted for tending to 1,100 people during a particularly busy month.


Impact on race relations

Rivers became one of the first African-Americans to be employed by the
United States Public Health Service The United States Public Health Service (USPHS or PHS) is a collection of agencies of the Department of Health and Human Services which manages public health, containing nine out of the department's twelve operating divisions. The assistant s ...
, thus paving the way for other people of color in this area of service. She was the third recipient of the
Oveta Culp Hobby Oveta Culp Hobby (January 19, 1905 – August 16, 1995) was an American government official and businesswoman who served as the first United States Secretary of Health, Education, and Welfare from 1953 to 1955. A member of the Republican Party, ...
Award, the highest award the
Department of Health, Education, and Welfare The United States Department of Health and Human Services (HHS) is a Cabinet of the United States, cabinet-level United States federal executive departments, executive branch department of the federal government of the United States, US federal ...
could grant an employee.


Tuskegee syphilis study

Beginning in 1932, Rivers worked for the United States Public Health Service on ''The Study of Untreated Syphilis in the Negro Male in Macon County, Alabama,'' popularly known as the
Tuskegee syphilis experiment The Tuskegee Study of Untreated Syphilis in the Negro Male (informally referred to as the Tuskegee Experiment or Tuskegee Syphilis Study) was a study conducted between 1932 and 1972 by the United States Public Health Service (PHS) and the Cent ...
. She recruited 600 African-American men with syphilis for the study and worked to keep them enrolled as participants in the program. “History of an Apology: From Tuskegee to the White House”
''Research Nurse'', Vol 3 No 4.
In exchange for their participation, the study offered participants free medical care, which Rivers provided. Rivers was the experiment's only consistent full-time staff member. Although the study was initially planned to run only six months, over time, this endeavor extended to a duration of 40 years. During the entire study, the participants were not informed that the ailment they called "bad blood" was actually
syphilis Syphilis () is a sexually transmitted infection caused by the bacterium ''Treponema pallidum'' subspecies ''pallidum''. The signs and symptoms depend on the stage it presents: primary, secondary, latent syphilis, latent or tertiary. The prim ...
. When the study started, arsphenamine (Salvarsan) and
Neosalvarsan Neosalvarsan is a synthetic chemotherapeutic that is an organoarsenic compound. It became available in 1912 and superseded the more toxic and less water-soluble Salvarsan as an effective treatment for syphilis. Because both of these arsenicals c ...
were the only available treatments for syphilis, and both compounds had dangerous side effects. However, even after the 1940s, when the discovery of
penicillin Penicillins (P, PCN or PEN) are a group of beta-lactam antibiotic, β-lactam antibiotics originally obtained from ''Penicillium'' Mold (fungus), moulds, principally ''Penicillium chrysogenum, P. chrysogenum'' and ''Penicillium rubens, P. ru ...
offered a reliable and safe cure for the disease, study participants did not receive treatment. After the ''New York Times'' and ''Washington Post'' revealed that study participants had been allowed to suffer rather than receiving a known safe treatment, the Public Health Service ended it in 1972. Historians have offered a variety of interpretations for why Rivers continued her role in a project that, by modern standards of
medical ethics Medical ethics is an applied branch of ethics which analyzes the practice of clinical medicine and related scientific research. Medical ethics is based on a set of values that professionals can refer to in the case of any confusion or conflict. T ...
, was completely unethical.


Public perception

Once the news of the unethical treatment of participants in the Tuskegee Study was exposed in 1972, Rivers retreated into silence. For some, she is viewed primarily as a committed nurse who is willing to obey any instructions to continue providing care for her patients. Others see her as a
race traitor Race traitor is a phrase that describes someone who is perceived to have betrayed their own Race (human categorization), race, primarily by other members of their race or ethnic group. People can be accused of betraying their race for many socio ...
who used her education and class power to keep her job and sell out the rural men she was caring for. Just as she was crucial in recruiting and keeping participants in the study, she also provided them with both medical and mental care they otherwise would not have received. She listened to their complaints, suggested ways to gain assistance outside of the hospital, offered them comfort, and provided simple medication, such as vitamins. She helped establish the Miss Rivers Lodge, which provided the men's families financial assistance for burials in exchange for the men's participation in the study. She participated in a study that provided the men with more treatment opportunities for other conditions than they had received from health professionals, but ended in the deaths of many and serious harm to families and communities in the process.


Later life and death

In 1977, Rivers was interviewed for the
Black Women Oral History Project The Black Women Oral History Project consists of interviews with 72 African American women from 1976 to 1981, conducted under the auspices of the Schlesinger Library of Radcliffe College, now Radcliffe Institute for Advanced Study. Project backgro ...
. She died in 1986.


References


Additional resources

* * {{DEFAULTSORT:Laurie, Eunice Verdell Rivers 1899 births 1986 deaths American nurses American women nurses African-American nurses African-American history of Alabama Tuskegee Institute alumni 20th-century African-American women 20th-century African-American people 20th-century American people