Hugh S. Cumming
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Hugh Smith Cumming (August 17, 1869 – December 20, 1948) was an American physician, and soldier. He served as the fifth
Surgeon General of the United States The surgeon general of the United States is the operational head of the United States Public Health Service Commissioned Corps (PHSCC) and thus the leading spokesperson on matters of public health in the federal government of the United States. Th ...
from 1920 to 1936.


Biography


Early life

Cumming was born in
Hampton, Virginia Hampton () is an independent city (United States), independent city in the Commonwealth (U.S. state), Commonwealth of Virginia in the United States. As of the 2020 United States Census, 2020 census, the population was 137,148. It is the List ...
. He received his
undergraduate Undergraduate education is education conducted after secondary education and before postgraduate education. It typically includes all postsecondary programs up to the level of a bachelor's degree. For example, in the United States, an entry-lev ...
education at
Baltimore City College Baltimore City College, known colloquially as City, City College, and B.C.C., is a college preparatory school with a liberal arts focus and selective admissions criteria located in Baltimore, Maryland. Opened in October 1839, B.C.C. is the thir ...
and then obtained medical degrees from the
University of Virginia School of Medicine The University of Virginia School of Medicine (UVA SoM) is the graduate medical school of the University of Virginia. The school's facilities are on the University of Virginia grounds adjacent to Academical Village in Charlottesville, Virginia. ...
in 1893, where he was a member of the
Chi Phi Fraternity Chi Phi () is considered by some as the oldest American men's college social fraternity that was established as the result of the merger of three separate organizations that were each known as Chi Phi. The earliest of these organizations was for ...
, and the University College of Medicine (in
Richmond, Virginia (Thus do we reach the stars) , image_map = , mapsize = 250 px , map_caption = Location within Virginia , pushpin_map = Virginia#USA , pushpin_label = Richmond , pushpin_m ...
) in 1894 (the latter while serving as house doctor at St. Luke's Hospital in Richmond). In 1894, he obtained a commission as an Assistant Surgeon in the Marine Hospital Service, which was to become the
Public Health Service In public relations and communication science, publics are groups of individual people, and the public (a.k.a. the general public) is the totality of such groupings. This is a different concept to the sociological concept of the ''Öffentlichkei ...
and
Marine Hospital Service The Marine Hospital Service was an organization of Marine Hospitals dedicated to the care of ill and disabled seamen in the United States Merchant Marine, the U.S. Coast Guard and other federal beneficiaries. The Marine Hospital Service evolved ...
in 1902 and then the Public Health Service in 1912.


Career

Cumming was assigned to a variety of posts during his early career in the Service, especially
quarantine A quarantine is a restriction on the movement of people, animals and goods which is intended to prevent the spread of disease or pests. It is often used in connection to disease and illness, preventing the movement of those who may have been ...
stations in the
South South is one of the cardinal directions or Points of the compass, compass points. The direction is the opposite of north and is perpendicular to both east and west. Etymology The word ''south'' comes from Old English ''sūþ'', from earlier Pro ...
and on the
West Coast of the United States The West Coast of the United States, also known as the Pacific Coast, Pacific states, and the western seaboard, is the coastline along which the Western United States meets the North Pacific Ocean. The term typically refers to the contiguous U.S ...
. He also served on immigration duty at
Ellis Island Ellis Island is a federally owned island in New York Harbor, situated within the U.S. states of New York and New Jersey, that was the busiest immigrant inspection and processing station in the United States. From 1892 to 1954, nearly 12 mi ...
, New York. For 3 years, from February 1906 to February 1909, Cumming was detailed to the office of the United States Consul General in
Yokohama is the second-largest city in Japan by population and the most populous municipality of Japan. It is the capital city and the most populous city in Kanagawa Prefecture, with a 2020 population of 3.8 million. It lies on Tokyo Bay, south of To ...
,
Japan Japan ( ja, 日本, or , and formally , ''Nihonkoku'') is an island country in East Asia. It is situated in the northwest Pacific Ocean, and is bordered on the west by the Sea of Japan, while extending from the Sea of Okhotsk in the north ...
, where he was concerned with
immigration Immigration is the international movement of people to a destination country of which they are not natives or where they do not possess citizenship in order to settle as permanent residents or naturalized citizens. Commuters, tourists, and ...
and quarantinable
disease A disease is a particular abnormal condition that negatively affects the structure or function of all or part of an organism, and that is not immediately due to any external injury. Diseases are often known to be medical conditions that a ...
s. From 1913 to 1919, he was assigned to the Hygienic Laboratory (forerunner of the
National Institutes of Health The National Institutes of Health, commonly referred to as NIH (with each letter pronounced individually), is the primary agency of the United States government responsible for biomedical and public health research. It was founded in the late ...
) in
Washington, DC ) , image_skyline = , image_caption = Clockwise from top left: the Washington Monument and Lincoln Memorial on the National Mall, United States Capitol, Logan Circle, Jefferson Memorial, White House, Adams Morgan ...
. There he was placed in charge of an investigation of the
pollution Pollution is the introduction of contaminants into the natural environment that cause adverse change. Pollution can take the form of any substance (solid, liquid, or gas) or energy (such as radioactivity, heat, sound, or light). Pollutants, the ...
of tidal waters of
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 to ...
and
Virginia Virginia, officially the Commonwealth of Virginia, is a state in the Mid-Atlantic and Southeastern regions of the United States, between the Atlantic Coast and the Appalachian Mountains. The geography and climate of the Commonwealth ar ...
. One of his concerns was the
shellfish Shellfish is a colloquial and fisheries term for exoskeleton-bearing aquatic invertebrates used as food, including various species of molluscs, crustaceans, and echinoderms. Although most kinds of shellfish are harvested from saltwater envir ...
industry, and the potential threat to human health from consuming
oyster Oyster is the common name for a number of different families of salt-water bivalve molluscs that live in marine or brackish habitats. In some species, the valves are highly calcified, and many are somewhat irregular in shape. Many, but not al ...
s grown in waters polluted with
sewage Sewage (or domestic sewage, domestic wastewater, municipal wastewater) is a type of wastewater that is produced by a community of people. It is typically transported through a sewer system. Sewage consists of wastewater discharged from residenc ...
. During
World War I World War I (28 July 1914 11 November 1918), often abbreviated as WWI, was one of the deadliest global conflicts in history. Belligerents included much of Europe, the Russian Empire, the United States, and the Ottoman Empire, with fightin ...
, Cumming was assigned to the
United States Navy The United States Navy (USN) is the maritime service branch of the United States Armed Forces and one of the eight uniformed services of the United States. It is the largest and most powerful navy in the world, with the estimated tonnage ...
as a sanitary advisor. He was later ordered to
Europe Europe is a large peninsula conventionally considered a continent in its own right because of its great physical size and the weight of its history and traditions. Europe is also considered a Continent#Subcontinents, subcontinent of Eurasia ...
to study the
sanitary Sanitation refers to public health conditions related to clean drinking water and treatment and disposal of human excreta and sewage. Preventing human contact with feces is part of sanitation, as is hand washing with soap. Sanitation systems a ...
conditions of the ports from which troops would embark and to confer with military authorities to take the necessary action to prevent the introduction of disease into the United States by returning troops. He was also a member of the Typhus Fever Commission to
Poland Poland, officially the Republic of Poland, is a country in Central Europe. It is divided into 16 administrative provinces called voivodeships, covering an area of . Poland has a population of over 38 million and is the fifth-most populous ...
.


Surgeon General

On 3 March 1920, Cumming was appointed Surgeon General of the
United States Public Health Service The United States Public Health Service (USPHS or PHS) is a collection of agencies of the Department of Health and Human Services concerned with public health, containing nine out of the department's twelve operating divisions. The Assistant S ...
. The Public Health Service (PHS) had been given the task in 1919 of providing health care for
veteran A veteran () is a person who has significant experience (and is usually adept and esteemed) and expertise in a particular occupation or field. A military veteran is a person who is no longer serving in a military. A military veteran that has ...
s, and the Service was still expanding and adjusting to this new responsibility when Cumming took office. In 1922, however, Congress created the
Veterans' Bureau The United States Department of Veterans Affairs (VA) is a Cabinet-level executive branch department of the federal government charged with providing life-long healthcare services to eligible military veterans at the 170 VA medical centers and ...
, and the responsibility for the health care of veterans was transferred from the PHS to the new Bureau. Another event of Cumming's early tenure was the creation of a national
leprosy Leprosy, also known as Hansen's disease (HD), is a long-term infection by the bacteria ''Mycobacterium leprae'' or ''Mycobacterium lepromatosis''. Infection can lead to damage of the nerves, respiratory tract, skin, and eyes. This nerve damag ...
hospital in
Carville, Louisiana Carville is a neighborhood of St. Gabriel in Iberville Parish in South Louisiana, located sixteen miles south of the capital city of Baton Rouge on the Mississippi River. Carville was the childhood hometown of political consultant James Carville, ...
in 1921 when the PHS took control of what had been the Louisiana Leper Home. The facility at Carville became a major center for leprosy treatment and research. Soon after his appointment, Cumming inaugurated a plan for the medical inspection of
immigrant Immigration is the international movement of people to a destination country of which they are not natives or where they do not possess citizenship in order to settle as permanent residents or naturalized citizens. Commuters, tourists, and ...
s abroad in the principal countries of origin. This plan reduced the number of immigrants who were turned back for medical reasons after making the trip to the United States. In the 1920s, the PHS also completed the development of a national maritime quarantine system by acquiring the last two quarantine stations operated by States. The
Narcotic Farms Act of 1929 The Narcotic Farms Act of 1929 is a United States federal statute authorizing the establishment of two narcotic farms for the preventive custody and remedial care of individuals acquiring a sedative dependence for habit-forming narcotic drugs. Th ...
authorized the PHS to establish a Division of Narcotics (the name was later changed to Division of Mental Hygiene) and to construct two hospitals for the treatment of drug addicts. Cumming also expanded the research activities of the Hygienic Laboratory, which in 1930 became the
National Institute of Health The National Institutes of Health, commonly referred to as NIH (with each letter pronounced individually), is the primary agency of the United States government responsible for biomedical and public health research. It was founded in the late 1 ...
. Under Cumming, the
Public Health Service Commissioned Corps The United States Public Health Service Commissioned Corps (PHSCC), also referred to as the Commissioned Corps of the United States Public Health Service, is the federal uniformed service of the U.S. Public Health Service (PHS) and one of the ei ...
was also authorized to admit dentists, pharmacists, and sanitary engineers, the first expansion of the Regular Corps beyond physicians. In 1930, the PHS was given the responsibility of providing medical and psychiatric care to Federal prisoners. Under the
Social Security Act The Social Security Act of 1935 is a law enacted by the 74th United States Congress and signed into law by US President Franklin D. Roosevelt. The law created the Social Security program as well as insurance against unemployment. The law was pa ...
of 1935, the PHS was authorized to provide grants-in-aid to the States for the development of public health work. Cumming served as President of the Association of Military Surgeons of the United States in 1924 and as President of the American Public Health Association in 1931. In 1931 Cumming initiated "The Tuskegee study of untreated syphilis in the negro male"—begun in 1932, continued under Cumming's successors, ended in 1972. Cumming was also on the Advisory Board of the Eugenics Committee of the USA (ECUSA). In 1935 Cumming was awarded the
Public Welfare Medal The Public Welfare Medal is awarded by the U.S. National Academy of Sciences "in recognition of distinguished contributions in the application of science to the public welfare." It is the most prestigious honor conferred by the academy. First awar ...
from the
National Academy of Sciences The National Academy of Sciences (NAS) is a United States nonprofit, non-governmental organization. NAS is part of the National Academies of Sciences, Engineering, and Medicine, along with the National Academy of Engineering (NAE) and the Nati ...
. He also served for a period as Chairman of the Permanent Committee of the International Office of Public Health in
Paris Paris () is the capital and most populous city of France, with an estimated population of 2,165,423 residents in 2019 in an area of more than 105 km² (41 sq mi), making it the 30th most densely populated city in the world in 2020. S ...
. A collection of his papers are held at the National Library of Medicine.


Personal life

Hugh Cumming retired as Surgeon General and from active duty in the Public Health Service on 31 January 1936 as a rear admiral. He continued to serve as Director of the
Pan American Sanitary Bureau The Pan American Health Organization (PAHO) is an international public health agency working to improve the health and living standards of the people of the Americas. It is part of the United Nations system, serving as the Regional Office for ...
until 1947. He died in
Washington, DC ) , image_skyline = , image_caption = Clockwise from top left: the Washington Monument and Lincoln Memorial on the National Mall, United States Capitol, Logan Circle, Jefferson Memorial, White House, Adams Morgan ...
, on 20 December 1948. His son, Hugh S. Cumming Jr., was a career
Foreign Service Officer A Foreign Service Officer (FSO) is a commissioned member of the United States Foreign Service. Foreign Service Officers formulate and implement the foreign policy of the United States. FSOs spend most of their careers overseas as members of U ...
who served as
United States Ambassador to Indonesia This is a list of ambassadors of the United States to the Republic of Indonesia. Indonesia had been a Dutch colony since 1800 as a part of the Dutch East Indies. The Dutch were expelled in March 1942 by the Japanese occupation of Indonesia. Aft ...
.


References

* {{DEFAULTSORT:Cumming, Hugh S. 1869 births 1948 deaths Baltimore City College alumni Surgeons General of the United States People from Hampton, Virginia University of Virginia School of Medicine alumni Marine Hospital Service personnel