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Operation Whitecoat was a
biodefense Biodefense refers to measures to restore biosecurity to a group of organisms who are, or may be, subject to biological threats or infectious diseases. Biodefense is frequently discussed in the context of biowar or bioterrorism, and is generall ...
medical research program carried out by the
United States Army The United States Army (USA) is the land service branch of the United States Armed Forces. It is one of the eight U.S. uniformed services, and is designated as the Army of the United States in the U.S. Constitution.Article II, section 2, ...
at
Fort Detrick Fort Detrick () is a United States Army Futures Command installation located in Frederick, Maryland. Historically, Fort Detrick was the center of the U.S. biological weapons program from 1943 to 1969. Since the discontinuation of that program, i ...
,
Maryland Maryland ( ) is a state in the Mid-Atlantic region of the United States. It shares borders with Virginia, West Virginia, and the District of Columbia to its south and west; Pennsylvania to its north; and Delaware and the Atlantic Ocean t ...
between 1954 and 1973. The program pursued medical research using volunteer enlisted personnel who were eventually nicknamed "Whitecoats". These volunteers, all
conscientious objector A conscientious objector (often shortened to conchie) is an "individual who has claimed the right to refuse to perform military service" on the grounds of freedom of thought, conscience, or religion. The term has also been extended to objec ...
s, including many members of the
Seventh-day Adventist Church The Seventh-day Adventist Church is an Adventist Protestant Christian denomination which is distinguished by its observance of Saturday, the seventh day of the week in the Christian (Gregorian) and the Hebrew calendar, as the Sabbath, and ...
, were informed of the purpose and goals of each project before providing consent to participate in any project. The stated purpose of the research was to defend troops and civilians against
biological weapons A biological agent (also called bio-agent, biological threat agent, biological warfare agent, biological weapon, or bioweapon) is a bacterium, virus, protozoan, parasite, fungus, or toxin that can be used purposefully as a weapon in bioterrorism ...
. Although the program was discontinued in 1973, human use research for biodefense purposes is still conducted at the U.S. Army Medical Research Institute of Infectious Diseases (USAMRIID) at Fort Detrick and at other government and civilian research institutes. However, these post-Whitecoat studies are often human use challenge studies, in which a person is inoculated with a known
pathogen In biology, a pathogen ( el, πάθος, "suffering", "passion" and , "producer of") in the oldest and broadest sense, is any organism or agent that can produce disease. A pathogen may also be referred to as an infectious agent, or simply a g ...
to determine how effective an investigational treatment will be.


History

Over the course of the 19-year program, more than 2,300 U.S. Army soldiers, many of whom were trained medics, contributed to the Whitecoat experiments by allowing themselves to be infected with bacteria (
tularemia Tularemia, also known as rabbit fever, is an infectious disease caused by the bacterium ''Francisella tularensis''. Symptoms may include fever, skin ulcers, and enlarged lymph nodes. Occasionally, a form that results in pneumonia or a throat infe ...
or
Q fever Q fever or query fever is a disease caused by infection with ''Coxiella burnetii'', a bacterium that affects humans and other animals. This organism is uncommon, but may be found in cattle, sheep, goats, and other domestic mammals, including ...
) that were considered likely choices for a biological attack. While some volunteered immediately after basic training, for conscientious objectors at
Ft. Sam Houston Fort Sam Houston is a U.S. Army post in San Antonio, Texas. "Fort Sam Houston, TX • About Fort Sam Houston" (overview), US Army, 2007, webpageSH-Army. Known colloquially as "Fort Sam," it is named for the U.S. Senator from Texas, U.S. Repre ...
, TX (before they began their medic training), the near certainty of being assigned as a combat medic in Vietnam helped some medics choose instead to remain in the United States with the Whitecoat program. The goal of the program was to determine
dose response Dose or Dosage may refer to: Music * ''Dose'' (Gov't Mule album), 1998 * ''Dose'' (Latin Playboys album) * ''Dosage'' (album), by the band Collective Soul * "Dose" (song), a 2018 song by Ciara * "Dose", song by Filter from the album '' Short ...
for these agents. The volunteers were then treated with
antibiotics An antibiotic is a type of antimicrobial substance active against bacteria. It is the most important type of antibacterial agent for fighting bacterial infections, and antibiotic medications are widely used in the treatment and preventio ...
to cure the infections. Some volunteers, under experimental protocol, were also given investigational vaccines for Q fever and tularemia, as well as for
yellow fever Yellow fever is a viral disease of typically short duration. In most cases, symptoms include fever, chills, loss of appetite, nausea, muscle pains – particularly in the back – and headaches. Symptoms typically improve within five days. ...
, Rift Valley fever,
hepatitis A Hepatitis A is an infectious disease of the liver caused by ''Hepatovirus A'' (HAV); it is a type of viral hepatitis. Many cases have few or no symptoms, especially in the young. The time between infection and symptoms, in those who develop the ...
, ''
Yersinia pestis ''Yersinia pestis'' (''Y. pestis''; formerly '' Pasteurella pestis'') is a gram-negative, non-motile, coccobacillus bacterium without spores that is related to both ''Yersinia pseudotuberculosis'' and ''Yersinia enterocolitica''. It is a facult ...
'' (plague), and
Venezuelan equine encephalitis Venezuelan equine encephalitis virus is a mosquito-borne viral pathogen that causes Venezuelan equine encephalitis or encephalomyelitis (VEE). VEE can affect all equine species, such as horses, donkeys, and zebras. After infection, equines ...
and other diseases. Some soldiers were given two weeks of leave in exchange for being used as a test subject. These experiments took place at
Fort Detrick Fort Detrick () is a United States Army Futures Command installation located in Frederick, Maryland. Historically, Fort Detrick was the center of the U.S. biological weapons program from 1943 to 1969. Since the discontinuation of that program, i ...
which is a U.S. Army research installation in
Frederick, Maryland Frederick is a city in and the county seat of Frederick County, Maryland. It is part of the Baltimore–Washington Metropolitan Area. Frederick has long been an important crossroads, located at the intersection of a major north–south Native ...
. The volunteers were allowed to consult with outside sources, such as family and clergy members, before deciding to participate. The participants were required to sign consent forms after discussing the risks and treatments with a medical officer. Of the soldiers who were approached about participating, 20% declined.


Results

Many of the vaccines that protect against biowarfare agents were first tested on humans in Operation Whitecoat. According to USAMRIID, the Whitecoat operation contributed to vaccines approved by the U.S. Food and Drug Administration (FDA) for yellow fever and hepatitis, and investigational drugs for Q fever, Venezuelan equine encephalitis, Rift Valley fever, and tularemia. USAMRIID also states that Operation Whitecoat helped develop biological safety equipment, including hooded safety cabinets, decontamination procedures, fermentors, incubators, centrifuges, and particle sizers.


Discontinuation

Operation Whitecoat came to an end in 1973 when the draft for the U.S. military ended and thus no more conscientious objectors were to be conscripted.


Legacy


US GAO report

The United States
Government Accountability Office The U.S. Government Accountability Office (GAO) is a legislative branch government agency that provides auditing, evaluative, and investigative services for the United States Congress. It is the supreme audit institution of the federal gover ...
issued a report on September 28, 1994, which stated that between 1940 and 1974, the
United States Department of Defense The United States Department of Defense (DoD, USDOD or DOD) is an executive branch department of the federal government charged with coordinating and supervising all agencies and functions of the government directly related to national sec ...
and other national security agencies studied hundreds of thousands of human subjects in tests and experiments involving hazardous substances. A quotation from the study:


Possible long-term health effects

No Whitecoats died during the test period. The Army has addresses for only 1000 of the 2300 people known to have volunteered. Only about 500 (23%) of the Whitecoats have been surveyed, and the military chose not to fund blood tests. A handful of respondents claim to have lingering health effects, and at least one subject claims to have serious health problems as a result of the experiments. In 2005, an assessment of health status among the Project Whitecoat research volunteers was published. It reflected the self-reported, current health status among 358 "exposed" individuals and 164 unexposed "control" subjects and found no conclusive evidence that receipt of investigational agents was related to any adverse health outcomes. No differences in current overall health, current exercise levels, self-reported symptoms, and self-reported medical conditions were seen between the study groups. However, possible associations were seen between exposure to antibiotics or other biological agents and self-reported
asthma Asthma is a long-term inflammatory disease of the airways of the lungs. It is characterized by variable and recurring symptoms, reversible airflow obstruction, and easily triggered bronchospasms. Symptoms include episodes of wheezing, co ...
, as well as between receipt of tularemia vaccine(s) and self-reported asthma and increased frequency/severity of headaches. The size of the study population was judged to be insufficient to assert with confidence that the statistical associations with asthma and headaches were real.


Seventh-day Adventists and Operation Whitecoat


Seventh-day Adventist view of military service

The Seventh-day Adventist Church's relationship to government military activity has been supportive but noncombative. In 1936, the Adventist Church established the
Medical Cadet Corps The Medical Cadet Corp (MCC) is a program of the Seventh-day Adventist Church (Adventist church) started in the 1930s in the United States with the intention of preparing young men of draft age for military service in noncombatant roles. The tr ...
Training Program. This allowed Adventists to remain noncombatant but positive toward the war effort.
Sabbath In Abrahamic religions, the Sabbath () or Shabbat (from Hebrew ) is a day set aside for rest and worship. According to the Book of Exodus, the Sabbath is a day of rest on the seventh day, commanded by God to be kept as a holy day of rest, as ...
observance remained a concern for the drafted members of the church. Adventist Conscientious Objector perspective differed from the
National Interreligious Service Board for Conscientious Objectors The Center on Conscience & War (CCW) is a United States non-profit anti-war organization located in Washington, D.C., dedicated to defending and extending the rights of conscientious objectors. The group participates in the G.I. Rights Hotline, ...
, (NISBCO). In 1967, Adventists withdrew from NISBCO because that organization opposed conscription. According to Bull and Lockhart, Operation Whitecoat, and the earlier established Medical Corps, enabled Adventists to participate in the armed services without violating their Sabbath principles.


See also

*
Human experimentation in the United States Humans (''Homo sapiens'') are the most abundant and widespread species of primate, characterized by bipedalism and exceptional cognitive skills due to a large and complex brain. This has enabled the development of advanced tools, culture, a ...
* US Senate Report on chemical weapons *
Project SHAD Project SHAD, an acronym for Shipboard Hazard and Defense, was part of a larger effort called Project 112, which was conducted during the 1960s. Project SHAD encompassed tests designed to identify U.S. warships' vulnerabilities to attacks with che ...
* US Biological Weapon Testing


Notes


External links

OPERATION WHITECOAT (2017) http://operationwhitecoatmovie.com
Adventist Volunteers Lauded on "Operation Whitecoat" Anniversary
-
Adventist News Network The Seventh-day Adventist Church is an Adventist Protestant Christian denomination which is distinguished by its observance of Saturday, the seventh day of the week in the Christian (Gregorian) and the Hebrew calendar, as the Sabbath, and i ...
* *Linden, Caree Vande
United States Army Medical Research Institute of Infectious Diseases celebrates 50-year research tradition
March 3, 2005 "Operation Whitecoat served as a model for the ethical use of human subjects in research"
"The Operation Whitecoat Story"
{{U.S. biological weapons
Whitecoat A whitecoat is a newborn harp or grey seal with soft, white fur. From newborn to whitecoat Newborn seals have yellow fur because of amniotic fluid, and are still wet. When the pup dries, it is called a yellowcoat. The amniotic stain fades and the ...
History of the Seventh-day Adventist Church
Whitecoat A whitecoat is a newborn harp or grey seal with soft, white fur. From newborn to whitecoat Newborn seals have yellow fur because of amniotic fluid, and are still wet. When the pup dries, it is called a yellowcoat. The amniotic stain fades and the ...
Whitecoat A whitecoat is a newborn harp or grey seal with soft, white fur. From newborn to whitecoat Newborn seals have yellow fur because of amniotic fluid, and are still wet. When the pup dries, it is called a yellowcoat. The amniotic stain fades and the ...
Fort Detrick