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John F. (Jack) Finklea was a physician, professor, researcher, and public health administrator notable for his leadership of the Environmental Protection Agency's National Center for Environmental Research and 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 ...
.


Background

John Finklea, a native of Florence, South Carolina, earned his B.S. from Davidson College at Davidson, N.C., and his M.D. from the
Medical University of South Carolina The Medical University of South Carolina (MUSC) is a public medical school in South Carolina. It opened in 1824 in Charleston as a small private college aimed at training physicians and has since established hospitals and medical facilities ac ...
. He also received master's and doctorate degrees in public health from the
University of Michigan , mottoeng = "Arts, Knowledge, Truth" , former_names = Catholepistemiad, or University of Michigania (1817–1821) , budget = $10.3 billion (2021) , endowment = $17 billion (2021)As o ...
. Finklea began his medical career as a physician and a professor at a series of medical schools. His interest in public health took root as he researched air pollution health hazards for the Federal government.


EPA

From 1970 through 1974, Finklea served as head to the Environmental Protection Agency's National Environmental Research Laboratory in Durham, N.C. At the EPA, Finklea gained a reputation as an agitator (according to Business Week) for controversial research on the health effects of atmospheric sulfates from power plants. The research connected sulfur dioxide emissions to acid rain, a conclusion that rankled many in the power industry. He opposed the use of
catalytic converters A catalytic converter is an exhaust emission control device that converts toxic gases and pollutants in exhaust gas from an internal combustion engine into less-toxic pollutants by catalyzing a redox reaction. Catalytic converters are usual ...
to control auto emissions because of their adverse environmental impact, a stand that directly conflicted with EPA policy. These controversies put pressure on Finklea to resign, which he did at the end of 1974.


NIOSH


Appointment as director

Finklea took over as 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 ...
in April, 1975. He replaced Dr. Marcus M. Key, the Institute’s first director. Following Key's resignation, deputy director Edward Baier had served as acting director and many within the Institute expected Baier to be appointed to the post. Finklea took over NIOSH in the midst of Congressional complaints that NIOSH was too soft on industry, industry claims that NIOSH's research was sloppy, and organized labor accusations that NIOSH was overly slow in sharing important health data. Finklea worked to accelerate health hazard research, especially in the chemical industry. Over Finklea's tenure, NIOSH identified 65 potentially dangerous substances found at job sites, as compared to the 23 such warnings issued during the first four years of NIOSH's existence. Within months of his appointment, Finklea had NIOSH issuing a steady stream of alerts on toxic substances. Dr. Finklea had the reputation, which he had earned, of knowing everything that was going on in NIOSH research. When he was doing his quarterly "rounds" in Morgantown and Cincinnati, he would often stop random people and ask them where they worked. When they told him, he would tell them what project they worked on and how they were doing. He was a "hands-on" administrator, and he was missed when he left NIOSH.


Chemical identification

Under Finklea's leadership, NIOSH issued a register of 100 chemical compounds considered potential
carcinogen A carcinogen is any substance, radionuclide, or radiation that promotes carcinogenesis (the formation of cancer). This may be due to the ability to damage the genome or to the disruption of cellular metabolic processes. Several radioactive subs ...
s. He encouraged cooperation between NIOSH, the
Occupational Safety and Health Administration The Occupational Safety and Health Administration'' (OSHA ) is a large regulatory agency of the United States Department of Labor that originally had federal visitorial powers to inspect and examine workplaces. Congress established the agenc ...
(OSHA), chemical process companies in the effort. His was one of several voices working to increase awareness for birth defects, miscarriages, and other reproduction-related problems stemming from chemical and radiological exposure. Additionally, Finklea called on Congress to adopt toxic substances legislation related to carcinogenic pesticides, and
Kepone Chlordecone, better known in the United States under the brand name Kepone, is an organochlorine compound and a colourless solid. It is an obsolete insecticide, now prohibited in the western world, but only after many thousands of tonnes had be ...
in particular.


Resource constraints

Finklea suggested that NIOSH did not have the resources to fully execute its mandate. For the millions of workers who Finklea claimed were at risk, NIOSH "would require the combined efforts of all government agencies involved in evaluating or regulating substances to which workers are exposed." He was forced to drop a number of projects because of budget and workforce constraints, among them a study of
workplace stress Occupational stress is psychological stress related to one's job. Occupational stress refers to a chronic condition. Occupational stress can be managed by understanding what the stressful conditions at work are and taking steps to remediate thos ...
. With NIOSH's limited resources, Finklea chose to direct the researchers under him toward the completion of criteria documents—scientific literature surveys that determine the relative dangers of workplace substances. Preparation of the documents accounted for over 40% of NIOSH's budget.


Departure

After nearly three years as its director, John Finklea abruptly resigned. He did not publicly announce the departure or offer any specific reason. ''The Washington Post'' speculated that Finklea had been under pressure to resign because of what it called, "bureaucratic feuding". Finklea served temporarily as a special assistant to William Foege, director of the
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 ...
. His spot as director was filled on an acting basis by J. Donald Millar, who described NIOSH at that time as being afflicted with "alienation and conflict".


University of Alabama

Finklea returned to academia at the
University of Alabama The University of Alabama (informally known as Alabama, UA, or Bama) is a public research university in Tuscaloosa, Alabama. Established in 1820 and opened to students in 1831, the University of Alabama is the oldest and largest of the publi ...
as a professor of medicine at the medical school and as a professor of environmental sciences at the school of public health. He researched, among other things, the effects of
welding Welding is a fabrication process that joins materials, usually metals or thermoplastics, by using high heat to melt the parts together and allowing them to cool, causing fusion. Welding is distinct from lower temperature techniques such as bra ...
gases and fumes. He was instrumental in establishing the University of Alabama Occupational Health Clinic. He retired from in 2000.


CDC

In 1989, Finklea became assistant director of the Injury Control Program at the
Centers for Disease Control 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 ...
in Atlanta, Georgia, and he chaired its research review committee.


Personal life

In 1979, Finklea survived a coronary occlusion and
bypass surgery Bypass surgery refers to a class of surgery involving rerouting a tubular body part. Types include: * Vascular bypass surgery such as coronary artery bypass surgery, a heart operation * Cardiopulmonary bypass, a technique used in coronary artery ...
. He had a second coronary occlusion and repeated bypass surgery in 1990.


See also

*
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 ...
* Marcus M. Key * Linda Rosenstock


External links


The National Institute for Occupational Safety and Health


References

{{DEFAULTSORT:Finklea American public health doctors National Institute for Occupational Safety and Health 1933 births 2000 deaths University of Michigan School of Public Health alumni Davidson College alumni Medical University of South Carolina alumni