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Arthur Joseph Cramp (September 10, 1872 – November 25, 1951) was a medical doctor, researcher, and writer. He served as director of the
American Medical Association The American Medical Association (AMA) is a professional association and lobbying group of physicians and medical students. Founded in 1847, it is headquartered in Chicago, Illinois. Membership was approximately 240,000 in 2016. The AMA's state ...
's (AMA) Propaganda for Reform Department (later, the Bureau of Investigation and, then the Department of Investigation) from 1906 to 1936. He was a regular contributor to the
Journal of the American Medical Association ''The Journal of the American Medical Association'' (''JAMA'') is a peer-reviewed medical journal published 48 times a year by the American Medical Association. It publishes original research, reviews, and editorials covering all aspects of bio ...
(JAMA). Cramp was "a bitter opponent of proprietary and medicinal abuses." His three volume series on 'Nostrums and Quackery', along with his public lectures to schools, professional groups, and civic organizations across the country, helped bring awareness to the problem of
patent medicine A patent medicine, sometimes called a proprietary medicine, is an over-the-counter (nonprescription) medicine or medicinal preparation that is typically protected and advertised by a trademark and trade name (and sometimes a patent) and claimed ...
s or nostrums, by subjecting the claims (made by predominantly non-medical people) to scientific analysis. He was critical of the 1906
Pure Food and Drug Act The Pure Food and Drug Act of 1906, also known as Dr. Wiley's Law, was the first of a series of significant consumer protection laws which was enacted by Congress in the 20th century and led to the creation of the Food and Drug Administration. ...
, and advocated stronger regulation of product labeling and advertising. In an article announcing his death, the AMA called him "a pioneer in the fight against
quackery Quackery, often synonymous with health fraud, is the promotion of fraudulent or ignorant medical practices. A quack is a "fraudulent or ignorant pretender to medical skill" or "a person who pretends, professionally or publicly, to have skill, ...
and fraud in the healing arts."


Early life and education

Arthur Joseph Cramp was born in London, England. His father was a commercial traveller. He received his "preliminary education" in England before moving to the United States in his late teens, around 1891. Cramp, purportedly, decided to enter medical school after his infant daughter became ill and was treated by a quack. She subsequently died. Cramp received his training as a medical doctor from the Wisconsin College of Physicians and Surgeons at Milwaukee, where he graduated in 1906.


Career

Cramp taught science at the high school level in Milwaukee, Wisconsin and at the Seminary and the Maryville, Missouri high school. He also worked at the Wisconsin Industrial School for Boys, a reformatory high school in Waukesha, Wisconsin before entering medical school. While at the Wisconsin College of Physicians and Surgeons, Cramp worked as an assistant in chemistry. Cramp joined the American Medical Association staff in 1906 as an editorial assistant. He then became the Director for the newly-formed Propaganda for Reform Department. Cramp made it his mission to correspond with professionals and members of the public regarding medical treatments, products, and the business practices of individuals and companies involved in marketing them. His office also maintained a laboratory for testing various products. He wrote about many of these interactions and investigations in the ''Journal of the American Medical Association'' and ''Hygeia'', a health magazine. By 1910, Cramp's "Fake File," listing "products, firms, and names of promoters", contained over 12,000 entries. He kept a "Testimonial File" for doctors who endorsed proprietary drugs through testimonials; over 13,000 American doctors and 3,000 foreign doctors. His office became a clearing house for information regarding untested and, sometimes, dangerous practices. His department was aware of the health risks, as well as the financial losses to consumers who were duped by fake medicine vendors. Cramp advocated truth in advertising, particularly for general consumption (patent) medicines containing "secret formulas," including alcohol. He and his office called for the standardization of medicines (ingredients and dosages) and educating the public on appropriate use. He wrote, "When the public is properly informed, so that it knows what preparations to call for in order to treat its simpler ailments, advertising of secret remedies will be entirely unnecessary." He considered the emotive nature of radio advertisements of quack medicine more harmful than newspaper advertisements. According to Cramp, unlike radio, newspapers had "developed standards of decency and censorship" when determining whether or not to run the advertisements. The Pure Food and Drugs Act of 1906, followed by the 1912 Sherley Amendment, was an attempt to address these issues. However, Cramp warned that federal legislation attempting to address false advertising and interstate trafficking of products did not fully protect the public. In 1936, Cramp retired from the Bureau due to ill health, after suffering from a heart attack in 1934. Upon hearing of his retirement, the British Medical Journal published this statement: "The quack nostrum trade is international in its activities, and the British medical profession owes a great debt to Dr. Cramp for providing it with the information necessary for combating both home-produced and imported frauds. We can only state our thanks and express the hope that he will enjoy the leisure he has earned by his many years of strenuous combat."


Nostrums and quackery

In 1911, Cramp published the first of three volumes called ''Nostrums and Quackery'', which would become "a veritable encyclopedia on the nostrum evil and quackery." The first volume contained the educational materials, case histories, and testimonials his department had been collecting. ''Nostrums and Quackery'', Volume II, published in 1921, was a collection of legal reports of case law involving nostrums and patent medicine reprinted from the Journal of the American Medical Association meant to educate the general public. As reviewer Joseph MacQueen stated, "The matter that appears has been prepared and written in no spirit of malice, and with no object except that of laying before the public certain facts, the knowledge of which is essential to a proper concept of community health." Cramp's ''Nostrums and Quackery and Pseudo-Medicine'', Volume III, foreword by George H. Simmons, Editor Emeritus of the Journal of the American Medical Association, was published in 1936. As described in '' The Science News-Letter'', the book contained "terse, simple and factual accounts of hundreds of nostrums and the ways of pseudo-medical practitioners." This volume, more condensed than the first two volumes, indexed 1,500 "remedies." W.A. Evans, in his review, wrote "When you have read this book you will consider credulity based on fiction rather drab." A sampling of "quack cures" which Cramp included in his books and lectures: deafness "cures" (subjecting individuals with hearing loss to airplane nose-dives), beauty "cures" (hair dyes, freckle removers, and reducing lotions containing harmful ingredients or promoted with false claims about their efficacy),{ obesity "cures" (including tapeworms, products containing
dinitrophenol Dinitrophenols are chemical compounds which are nitro derivatives of phenol. There are six isomers of dinitrophenol: * 2,3-Dinitrophenol * 2,4-Dinitrophenol * 2,5-Dinitrophenol * 2,6-Dinitrophenol * 3,4-Dinitrophenol * 3,5-Dinitrophenol Di ...
,
arsenic Arsenic is a chemical element with the symbol As and atomic number 33. Arsenic occurs in many minerals, usually in combination with sulfur and metals, but also as a pure elemental crystal. Arsenic is a metalloid. It has various allotropes, but ...
, and other dangerous substances), cancer "quackery" (alternate cancer therapies), "consumption cure quackery" (elixirs from a bottle whose "alleged cures for consumption are born weekly"), and the Wilshire I-ON-A-CO (a magnetic belt purported to cure cancer,
Bright's disease Bright's disease is a historical classification of kidney diseases that are described in modern medicine as acute or chronic nephritis. It was characterized by swelling and the presence of albumin in the urine, and was frequently accompanied b ...
and paralysis,
pernicious anemia Pernicious anemia is a type of vitamin B12 deficiency anemia, a disease in which not enough red blood cells are produced due to the malabsorption of vitamin B12. Malabsorption in pernicious anemia results from the lack or loss of intrinsic fa ...
to health, deafness, muteness, and St. Vitus' dance).


Memberships

As reported in JAMA, Cramp was a member of the following: * Associate Fellow of the American Medical Association * Indiana State Medical Association * Society of Medical History of Chicago * Institute of Medicine of Chicago * Royal Institute of Public Health * Chicago Ornithology Society *
Phi Rho Sigma Phi Rho Sigma () is a professional fraternity founded by medical students at Northwestern University in 1890. Early History Phi Rho Sigma was founded at the Northwestern Medical School, then the Chicago Medical College on . Its founder were: * M ...
* Chicago Library Club


Personal life

Cramp was married to Lilly Torrey of Skidmore, Missouri, daughter of L.N. Torrey. They had a daughter, Torrey, who died on January 2, 1900. The infant's death was caused by seizures related to meningitis.


Death

Cramp died on November 25, 1951, in Hendersonville, North Carolina. He was 79. The cause of death was, reportedly, arteriosclerosis and uremia.


Selected articles

* ''Modern Advertising and the Nostrum'' (1918) * ''The Nostrum and the Public Health'' (1919) * ''Self-Doctoring'' (1920) * ''Patent Medicines: What is a 'Patent Medicine' and Why?'' (1923) * ''Patent Medicines: What Protection Does the National Food and Drugs Act Give?'' (1923) * Therapeutic Thaumaturgy (1924) * ''I-ON-A-CO – The Magic Horse Collar?'' (1927) * The Nostrum and the Public Health (1929) * ''The Bureau of Investigation of the American Medical Association'' (1931) * ''The Work of the Bureau of Investigation'' (1933) * ''Salts and Crystals Quackery'' (1935)


Books


''Nostrums and Quackery: Articles on the Nostrum Evil, Quackery and Allied Matters Affecting the Public Health'', Volume 1
(1912)
''Nostrums and Quackery: Articles on the Nostrum Evil, Quackery and Allied Matters Affecting the Public Health'', Volume 2
(1921)
''Nostrums and Quackery and Pseudo-Medicine'', Volume 3
(1936)


References


Further reading

* Eric W. Boyle. (2013). ''Quack Medicine: A History of Combating Health Fraud in Twentieth-century America''. Praeger. pp. 63–86. * {{DEFAULTSORT:Cramp, Arthur J. 1872 births 1951 deaths 19th-century American physicians American skeptics American medical writers American people of English descent Critics of alternative medicine English emigrants to the United States Writers from London