John Howard (public Health Administrator)
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John Jackson Howard is a physician, professor, and public health administrator. He served a 6-year term as the director of the
National Institute for Occupational Safety and Health The National Institute for Occupational Safety and Health (NIOSH, ) is the United States federal agency responsible for conducting research and making recommendations for the prevention of work-related injury and illness. NIOSH is part of the C ...
and was appointed to be a special coordinator to respond to the health effects of the
September 11 attacks The September 11 attacks, commonly known as 9/11, were four coordinated suicide terrorist attacks carried out by al-Qaeda against the United States on Tuesday, September 11, 2001. That morning, nineteen terrorists hijacked four commercia ...
. In this role, Howard advocated for rescue workers, introducing a program to provide screening, medical exams, and treatment for them. In 2009, Howard was again appointed as director of NIOSH and as World Trade Center Programs coordinator for HHS. In 2011, Howard became the Administrator of the
World Trade Center Health Program The World Trade Center Health Program (WTC Health Program) provides medical benefits to specific groups of individuals who were affected by the September 11 attacks in 2001 against the United States. The WTC Health Program was established by Title ...
. In 2016, he became the first person to be appointed to a third 6-year term as NIOSH director, and was reappointed to a fourth term in 2021.


Early career


Education

John Howard received a doctor of medicine degree from Loyola University in 1974 (cum laude). To this he added a Master of Public Health from the
Harvard School of Public Health The Harvard T.H. Chan School of Public Health is the public health school of Harvard University, located in the Longwood Medical Area of Boston, Massachusetts. The school grew out of the Harvard-MIT School for Health Officers, the nation's first ...
in 1982. In 1986, Dr. Howard earned a Juris Doctor from the
University of California, Los Angeles The University of California, Los Angeles (UCLA) is a public land-grant research university in Los Angeles, California. UCLA's academic roots were established in 1881 as a teachers college then known as the southern branch of the California St ...
(UCLA), and a Master of Laws in Administrative Law and Economic Regulation from
The George Washington University , mottoeng = "God is Our Trust" , established = , type = Private federally chartered research university , academic_affiliations = , endowment = $2.8 billion (2022) , preside ...
in 1987. He also received a Master of Business Administration in Healthcare Management, from George Washington University, in 2016. In addition, Dr. Howard is a board-certified occupational physician and has written numerous papers on occupational health law and policy.


Physician and professor

Dr. Howard began his career in occupational health in 1979 as an internist at the UCLA School of Medicine pulmonary fellowship program at
Cedars-Sinai Medical Center Cedars-Sinai Medical Center is a nonprofit, tertiary, 886-bed teaching hospital and multi-specialty academic health science center located in Los Angeles, California. Part of the Cedars-Sinai Health System, the hospital employs a staff of over 2 ...
. His clinical work involved
asbestos Asbestos () is a naturally occurring fibrous silicate mineral. There are six types, all of which are composed of long and thin fibrous crystals, each fibre being composed of many microscopic "fibrils" that can be released into the atmosphere b ...
-exposed shipyard workers, and he published research findings related to workplace exposure and
occupational lung disease Occupational lung diseases are work-related, lung conditions that have been caused or made worse by the materials a person is exposed to within the workplace. It includes a broad group of diseases, including occupational asthma, industrial bronch ...
. He served as a medical director and chief clinician at the Philip Mandelker AIDS Prevention Clinic. He also worked as an assistant professor of environmental and occupational medicine at the
University of California, Irvine The University of California, Irvine (UCI or UC Irvine) is a public land-grant research university in Irvine, California. One of the ten campuses of the University of California system, UCI offers 87 undergraduate degrees and 129 graduate and pr ...
.


Department of Industrial Relations, California

John Howard served as the chief of the Division of Occupational Safety and Health in California's Department of Industrial Relations from 1991 to 2002. There he administered a staff of nearly 1,000 and all the state's occupational and public safety programs. Through his administration of the division, Howard bolstered his reputation in the field as a passionate and able leader. He received praise for successfully implementing a controversial statewide ergonomic standard. He served in this capacity for more than a decade.


National Institute for Occupational Safety and Health


Appointment

Linda Rosenstock resigned in November 2000 as the director of the National Institute for Occupational Safety and Health. The position was not filled until July 15, 2002, when
Tommy Thompson Tommy George Thompson (born November 19, 1941) is an American Republican politician who most recently served as interim president of the University of Wisconsin System from 2020 to 2022. A member of the Republican Party, he previously served ...
,
Health and Human Services The United States Department of Health and Human Services (HHS) is a cabinet-level executive branch department of the U.S. federal government created to protect the health of all Americans and providing essential human services. Its motto is " ...
Secretary placed John Howard in the post. The gap between Rosenstock and Howard was the longest between directors in the agency's 31-year history. The appointment was immediately praised by several organizations including the
American Industrial Hygiene Association The American Industrial Hygiene Association (AIHA) is a 501(c)6 non-profit organization, whose mission is "Creating knowledge to protect worker health." The American Industrial Hygiene Association works to provide information and resources to Ind ...
and AFL-CIO.


A shift in focus

Under Dr. Howard, NIOSH shifted its research efforts to focus on emerging technologies. Howard sought practical applications for the new research. This included an initiative called " research-to-practice" (r2p) to ensure that NIOSH's findings would turn into practices and products that would ultimately benefit workers. He directed research on
mining Mining is the extraction of valuable minerals or other geological materials from the Earth, usually from an ore body, lode, vein, seam, reef, or placer deposit. The exploitation of these deposits for raw material is based on the economic via ...
,
nanotechnology Nanotechnology, also shortened to nanotech, is the use of matter on an atomic, molecular, and supramolecular scale for industrial purposes. The earliest, widespread description of nanotechnology referred to the particular technological goal o ...
, job stress, and
ergonomics Human factors and ergonomics (commonly referred to as human factors) is the application of psychological and physiological principles to the engineering and design of products, processes, and systems. Four primary goals of human factors learnin ...
. Howard summarized the adjustments the Institute needed to make: Howard expanded the
National Occupational Research Agenda The National Occupational Research Agenda (NORA) is a partnership program developed by the National Institute for Occupational Safety and Health (NIOSH). The program was founded in 1996 to provide a framework for research collaborations among univer ...
(NORA) instituted by his predecessor, Dr. Rosenstock, using it as a vehicle to work toward the institute's updated aims.


World Trade Center responders

John Howard was appointed by President
George W. Bush George Walker Bush (born July 6, 1946) is an American politician who served as the 43rd president of the United States from 2001 to 2009. A member of the Republican Party, Bush family, and son of the 41st president George H. W. Bush, he ...
to be a special coordinator to handle the medical issues afflicting 9/11 rescue workers, specifically those at the World Trade Center site. Howard introduced the World Trade Center (WTC) Medical Monitoring and Treatment Program, which offered medical help and screening to emergency workers. With the enactment of the
James Zadroga 9/11 Health and Compensation Act The James Zadroga 9/11 Health and Compensation Act of 2010 (; ) is a U.S. law to provide health monitoring and aid to the first responders, volunteers, and survivors of the September 11 attacks. It is named after James Zadroga, a New York Poli ...
, Howard in 2011 became Administrator of the
World Trade Center Health Program The World Trade Center Health Program (WTC Health Program) provides medical benefits to specific groups of individuals who were affected by the September 11 attacks in 2001 against the United States. The WTC Health Program was established by Title ...
.


Approach

As a public health administrator, Howard was admired for his ability to collaborate effectively, even with adversarial parties. He was noted for the tone of "openness and cooperation" he set and for listening to and seeking input from all available stakeholders.


Removal from NIOSH

As Dr. Howard's 6-year term approached its close,
Centers for Disease Control and Prevention The Centers for Disease Control and Prevention (CDC) is the national public health agency of the United States. It is a United States federal agency, under the Department of Health and Human Services, and is headquartered in Atlanta, Georgi ...
(CDC) director
Julie Gerberding Julie Louise Gerberding (born August 22, 1955) is an American infectious disease expert who was the first woman to serve as the director of the U.S. Centers for Disease Control and Prevention (CDC). As of May 2022, she is the CEO of the Foundat ...
met with him to inform him that he would not be reappointed. His term ended on July 14, 2008, in a "controversial decision that brought criticism from safety and health stakeholders". He completed his term and began serving as a temporary senior advisor to the CDC director. NIOSH associate director Christine Branche, Ph.D., served as acting director in Dr. Howard's place.


Reappointment at NIOSH

On September 3, 2009, HHS Secretary
Kathleen Sebelius Kathleen Sebelius (; née Gilligan, born May 15, 1948) is an American businesswoman and politician who served as the 21st United States secretary of Health and Human Services from 2009 until 2014. As Secretary of Health and Human Services, Sebeli ...
announced Howard's reappointment as director of NIOSH and World Trade Center Programs coordinator for HHS. In 2016, Howard became the first person to be appointed to a third 6-year term as NIOSH director.


References


External links


National Institute for Occupational Safety and Health
{{DEFAULTSORT:Howard, John George Washington University Law School alumni Harvard School of Public Health alumni Living people Loyola Marymount University alumni National Institute for Occupational Safety and Health American public health doctors Place of birth missing (living people) University of California, Irvine faculty UCLA School of Law alumni Year of birth missing (living people)