Public health
Public health, health aid, and medical research are the most prominent areas of work of the foundation. On December 5, 1913, the Board made its first grant of $100,000 to the American Red Cross to purchase property for its headquarters in Washington, D.C.
The foundation established the Johns Hopkins School of Public Health and Harvard School of Public Health, two of the first such institutions in the United States, and established the School of Hygiene at the University of Toronto in 1927, and the London School of Hygiene and Tropical Medicine in the United Kingdom. they spent more than $25 million in developing other public health schools in the US and in 21 foreign countries. In 1913, it also began a 20-year support program of the Bureau of Social Hygiene, whose mission was research and education on birth control, maternal health and sex education. In 1914, the foundation set up the China Medical Board, which established the first public health university in China, the Peking Union Medical College, in 1921; this was subsequently nationalized when the Communists took over the country in 1949. In the same year it began a program of international fellowships to train scholars at many of the world's universities at the post-doctoral level. The Foundation also maintained a close relationship with Rockefeller University (also known as the Rockefeller Institute for Medical Research) with many faculty holding overlapping positions between the institutions.
The Sanitary Commission for the Eradication of Hookworm Disease was a Rockefeller-funded campaign from 1909 to 1914 to study and treat hookworm disease in 11 Southern states. Hookworm was known as the "germ of laziness". In 1913, the foundation expanded its work with the Sanitary Commission abroad and set up the International Health Division (also known as International Health Board), which began the foundation's first international public health activities. The International Health Division conducted campaigns in public health and sanitation against malaria, yellow fever, and hookworm in areas throughout Europe, Latin America and the Caribbean including Italy, France, Venezuela, Mexico, and Puerto Rico, totaling fifty-two countries on six continents and twenty-nine islands. The first director was Wickliffe Rose, followed by F.F. Russell in 1923, Wilbur Sawyer in 1935, and George Strode in 1944. A number of notable physicians and field scientists worked on the international campaigns, including Lewis Hackett, Hideyo Noguchi, Juan Guiteras, George C. Payne, Livingston Farrand, Cornelius P. Rhoads, and William Bosworth Castle. In 1936, The Rockefeller Foundation received one of the first awarded Walter Reed Medals from The American Society of Tropical Medicine & Hygiene to recognize its study and control of Yellow Fever. The World Health Organization, seen as a successor to the IHD, was formed in 1948, and the IHD was subsumed by the larger Rockefeller Foundation in 1951, discontinuing its overseas work.
While the Rockefeller doctors working in tropical locales such as Mexico emphasized scientific neutrality, they had political and economic aims to promote the value of public health to improve American relations with the host country. Although they claimed the banner of public health and humanitarian medicine, they often engaged with politics and business interests. Rhoads was involved in a racism whitewashing scandal in the 1930s during which he joked about injecting cancer cells into Puerto Rican patients, inspiring Puerto Rican nationalist and anti-colonialist leader Pedro Albizu Campos. Noguchi was also involved in an unethical human experimentation scandal. Susan Lederer, Elizabeth Fee, and Jay Katz are among the modern scholars who have researched this period. Researchers with the foundation including Noguchi developed the vaccine to prevent yellow fever. Rhoads later became a significant cancer researcher and director of Memorial Sloan-Kettering, though his eponymous award for oncological excellence was renamed after the scandal reemerged.
During the late-1920s, the Rockefeller Foundation created the Medical Sciences Division, which emerged from the former Division of Medical Education. The division was led by Richard M. Pearce until his death in 1930, to which Alan Gregg succeeded him until 1945. During this period, the Division of Medical Sciences made contributions to research across several fields of psychiatry. In 1935 the foundation granted $100000 to the Institute for Psychoanalysis in Chicago. This grant was renewed in 1938, with payments extending into the early-1940s. This division funded women's contraception and the human reproductive system in general, but also was involved in funding controversial eugenics research. Other funding went into endocrinology departments in American universities, human heredity, mammalian biology, human physiology and anatomy, psychology, and the studies of human sexual behavior by Alfred Kinsey.
In the interwar years, the foundation funded public health, nursing, and social work in Eastern and Central Europe.
In 1950, the foundation expanded their international program of virus research, establishing field laboratories in Poona, India, Trinidad, Belém, Brazil, Johannesburg, South Africa, Cairo, Egypt, Ibadan, Nigeria, and Cali, Colombia, among others. The foundation funded research into the identification of human viruses, techniques for virus identification, and arthropod-borne viruses.
Bristol-Myers Squibb, Johns Hopkins University and the Rockefeller Foundation are currently the subject of a $1 billion lawsuit from Guatemala for "roles in a 1940s U.S. government experiment that infected hundreds of Guatemalans with syphilis". A previous suit against the United States government was dismissed in 2011 for the Guatemala syphilis experiments when a judge determined that the U.S. government could not be held liable for actions committed outside of the U.S.
An experiment was conducted by Vanderbilt University in the 1940s where they gave 800 pregnant women radioactive iron, 751 of which were pills, without their consent. In a 1969 article published in the American Journal of Epidemiology, it was estimated that three children had died from the experiment.