John Howland (doctor)
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John Howland (February 3, 1873 – June 20, 1926) was an American
pediatrician Pediatrics ( also spelled ''paediatrics'' or ''pædiatrics'') is the branch of medicine that involves the medical care of infants, children, adolescents, and young adults. In the United Kingdom, paediatrics covers many of their youth until the ...
who spent the majority of his career at
Johns Hopkins Hospital The Johns Hopkins Hospital (JHH) is the teaching hospital and biomedical research facility of the Johns Hopkins School of Medicine, located in Baltimore, Maryland, U.S. It was founded in 1889 using money from a bequest of over $7 million (1873 mo ...
, where he established the first full-time pediatric department in the United States. The
John Howland Award The John Howland Award is the highest honor bestowed by the American Pediatric Society (APS). Named in honor of John Howland (1873–1926), the award, with its accompanying medal, is presented annually by the American Pediatric Society for "dist ...
, the highest honor given by the
American Pediatric Society The American Pediatric Society (APS) is the first pediatric society established in North America. Created in 1888, the APS pursues a vision of an engaged, inclusive, and impactful community of pediatric thought leaders. The APS mission is to sha ...
, is named after him.


Early life and education

Howland was born in 1873 in New York City to a
New England New England is a region comprising six states in the Northeastern United States: Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont. It is bordered by the state of New York to the west and by the Canadian provinces ...
family whose ancestry included
John Howland John Howland (February 23, 1673) accompanied the English Separatists and other passengers when they left England on the to settle in Plymouth Colony. He was an indentured servant and in later years an executive assistant and personal secretary ...
(1592–1673), who traveled on the ''
Mayflower ''Mayflower'' was an English ship that transported a group of English families, known today as the Pilgrims, from England to the New World in 1620. After a grueling 10 weeks at sea, ''Mayflower'', with 102 passengers and a crew of about 30, r ...
'' and helped to found the
Plymouth Colony Plymouth Colony (sometimes Plimouth) was, from 1620 to 1691, the British America, first permanent English colony in New England and the second permanent English colony in North America, after the Jamestown Colony. It was first settled by the pa ...
. After graduating from
Phillips Exeter Academy (not for oneself) la, Finis Origine Pendet (The End Depends Upon the Beginning) gr, Χάριτι Θεοῦ (By the Grace of God) , location = 20 Main Street , city = Exeter, New Hampshire , zipcode ...
, Howland attended
Yale University Yale University is a private research university in New Haven, Connecticut. Established in 1701 as the Collegiate School, it is the third-oldest institution of higher education in the United States and among the most prestigious in the wo ...
, where he rowed, played tennis, and was a member of the
Skull and Bones Skull and Bones, also known as The Order, Order 322 or The Brotherhood of Death, is an undergraduate senior secret student society at Yale University in New Haven, Connecticut. The oldest senior class society at the university, Skull and Bone ...
secret society. He received his
Bachelor of Arts Bachelor of arts (BA or AB; from the Latin ', ', or ') is a bachelor's degree awarded for an undergraduate program in the arts, or, in some cases, other disciplines. A Bachelor of Arts degree course is generally completed in three or four years ...
from Yale in 1894 and went on to study medicine at the
New York University School of Medicine NYU Grossman School of Medicine is a medical school of New York University, a private research university in New York City. It was founded in 1841 and is one of two medical schools of the university, with the other being the Long Island School of ...
, graduating in 1897. He then earned a second M.D. from
Cornell University Medical College The Joan & Sanford I. Weill Medical College of Cornell University is Cornell University's biomedical research unit and medical school located in Upper East Side, Manhattan, New York City, New York. Weill Cornell Medicine is affiliated with New ...
in 1899.


Career

Howland interned at the Presbyterian Hospital in New York City in 1899–1900. He also worked at the New York Foundling Hospital, where he was influenced by the noted pediatrician
Luther Emmett Holt Luther Emmett Holt (L. Emmett Holt, March 4, 1855 – January 14, 1924) was an American pediatrician and author, noted for writing ''The Care and Feeding of Children: A Catechism for the Use of Mothers and Children's Nurses'' in 1894. Born near ...
. He then spent two years studying in Europe, spending time in Vienna and Berlin, and upon his return to New York he joined Holt in private pediatric practice. He practiced with Holt from 1901 to 1910, during this time also teaching at the Presbyterian, Foundling, and
Babies Hospital Morgan Stanley Children's Hospital of NewYork-Presbyterian (MSCH or CHONY) is a women's and children's hospital at 3959 Broadway, near West 165th Street, in the Washington Heights neighborhood of Manhattan, New York City. It is a part of NewYork-Pr ...
. In 1910, he left New York for Missouri, where he was appointed chair of pediatrics at
Washington University in St. Louis Washington University in St. Louis (WashU or WUSTL) is a private research university with its main campus in St. Louis County, and Clayton, Missouri. Founded in 1853, the university is named after George Washington. Washington University is r ...
. His tenure there was brief, and in 1911 he moved to Baltimore to head the Harriet Lane Home for Invalid Children at the
Johns Hopkins Hospital The Johns Hopkins Hospital (JHH) is the teaching hospital and biomedical research facility of the Johns Hopkins School of Medicine, located in Baltimore, Maryland, U.S. It was founded in 1889 using money from a bequest of over $7 million (1873 mo ...
; he would remain the chair of pediatrics at Johns Hopkins until his death in 1926. At Johns Hopkins, Howland is credited with establishing the first full-time department of pediatrics in the United States, and the first fully academic department of pediatrics in the world. In his department, all faculty members worked full-time and had to dedicate at least half of their time to research. Howland published research on
rickets Rickets is a condition that results in weak or soft bones in children, and is caused by either dietary deficiency or genetic causes. Symptoms include bowed legs, stunted growth, bone pain, large forehead, and trouble sleeping. Complications may ...
,
tetany Tetany or tetanic seizure is a medical sign consisting of the involuntary contraction of muscles, which may be caused by disorders that increase the action potential frequency of muscle cells or the nerves that innervate them. Muscle cramps cause ...
and diarrhea. He and William McKim Marriott demonstrated that
acidosis Acidosis is a process causing increased acidity in the blood and other body tissues (i.e., an increase in hydrogen ion concentration). If not further qualified, it usually refers to acidity of the blood plasma. The term ''acidemia'' describes t ...
in diarrheal illnesses was caused by the excretion of
bicarbonate In inorganic chemistry, bicarbonate (IUPAC-recommended nomenclature: hydrogencarbonate) is an intermediate form in the deprotonation of carbonic acid. It is a polyatomic anion with the chemical formula . Bicarbonate serves a crucial biochemic ...
in the stools rather than by a toxin, and with Edwards A. Park he showed that
tetany Tetany or tetanic seizure is a medical sign consisting of the involuntary contraction of muscles, which may be caused by disorders that increase the action potential frequency of muscle cells or the nerves that innervate them. Muscle cramps cause ...
was caused by
alkalosis Alkalosis is the result of a process reducing hydrogen ion concentration of arterial blood plasma (alkalemia). In contrast to acidemia (serum pH 7.35 or lower), alkalemia occurs when the serum pH is higher than normal (7.45 or higher). Alkalosis ...
and
hypocalcemia Hypocalcemia is a medical condition characterized by low calcium levels in the blood serum. The normal range of blood calcium is typically between 2.1–2.6  mmol/L (8.8–10.7 mg/dL, 4.3–5.2 mEq/L) while levels less than 2.1 mm ...
.


Death and legacy

Howland died in 1926 from
cirrhosis Cirrhosis, also known as liver cirrhosis or hepatic cirrhosis, and end-stage liver disease, is the impaired liver function caused by the formation of scar tissue known as fibrosis due to damage caused by liver disease. Damage causes tissue repai ...
. Many of the physicians he mentored at Johns Hopkins went on to become leaders in the field of pediatrics: these include
Kenneth Blackfan Kenneth Blackfan (September 9, 1883 – November 29, 1941) was an American pediatrician. He took particular interest in nutrition and hematology. A childhood blood disorder, Diamond–Blackfan anemia, is partly named after him. Early in his care ...
, Edwards A. Park,
Ethel Collins Dunham Ethel Collins Dunham (1883–1969), and her life partner, Martha May Eliot, devoted their lives to the care of children. Dunham focused on premature babies and newborns, becoming chief of child development at the Children's Bureau in 1935. She es ...
, L. Emmett Holt Jr., Grover Powers, Wilburt C. Davison, James L. Gamble, and William McKim Marriott. In 1951, the
American Pediatric Society The American Pediatric Society (APS) is the first pediatric society established in North America. Created in 1888, the APS pursues a vision of an engaged, inclusive, and impactful community of pediatric thought leaders. The APS mission is to sha ...
created the
John Howland Award The John Howland Award is the highest honor bestowed by the American Pediatric Society (APS). Named in honor of John Howland (1873–1926), the award, with its accompanying medal, is presented annually by the American Pediatric Society for "dist ...
, which is the highest honor given by the society "for distinguished service to pediatrics".


References


External links

* {{DEFAULTSORT:Howland, John 1873 births 1926 deaths Physicians from New York City American pediatricians Johns Hopkins Hospital physicians Yale University alumni Weill Cornell Medical College alumni New York University Grossman School of Medicine alumni Phillips Exeter Academy alumni Howland family