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Dedicated to the Health of All Children

 


Prologue

"We believe in the inherent worth of all children; they are our most enduring and vulnerable legacy."
-- From the Core Values Statement of the American Academy of Pediatrics

 

The fifth year of the new millennium is the occasion of the 75th anniversary of the American Academy of Pediatrics (AAP). Milestones such as this often provide a rationale for historical reviews that look back on an organization's past activities and accomplishments, as well as an opportunity for looking ahead to guess what might transpire in the future. Yet, all too often, such histories can unduly focus on committee meetings and internal minutiae, losing sight of the more fundamental themes and issues that have shaped an association's vision over time.

We believe that the history of the AAP cannot be told apart from the broader history of child health and welfare over the course of the 300 years preceding the AAP, as well as the last 75 years. To that end, we have tried to construct more than a review of the internal history of the AAP. We hope that the reader will gain a sense of how science, politics, and social reform have transformed the health care of children and also have shaped the substance and content of pediatric practice in the United States during the last century. While acknowledging that many individuals and advocacy groups have contributed to this story, we do wish to highlight the particular contributions of AAP members and leaders on behalf of America's children.

The editors of this commemorative volume have been afforded a chance to review the personalities and social forces that led to the creation of the AAP in 1930, its role in the remarkable transformation of child health over the course of the 20th century, and its many accomplishments on behalf of children over the last 75 years. We make no claim to comprehensiveness, and acknowledge that, in some cases, our selection of certain individuals, accomplishments, or milestones over others has been difficult if not arbitrary. History must be selective if it is to be told as a story rather than a collection of tables and lists.

Although we believe that this volume provides an accurate historical account, we wanted to enliven it with the personal recollections and anecdotes of AAP members who lived these times and so are part of the history. In early 2002, we began to solicit personal accounts from the AAP members and we are grateful that a large number responded. We also had access to the rich resources of the oral histories compiled by the AAP Pediatric History Center. The anecdotes we collected have been woven into our historical account and we believe that they add insight, color, emotion, and sometimes humor to what might have otherwise been a rather sterile review. In addition, the early AAP history written by Marshall Carleton Pease, MD, in 1951 and the semicentennial AAP history written by James G. Hughes, MD, in 1980 (see Selected Reading) were of enormous value in our efforts.

This book would have been impossible without the contributions of many people. We are sincerely grateful for the contributions of all of the AAP members who provided submissions for this publication (and, regrettably, many more were received than could possibly be included). Without the wisdom and memories of these fine people, this book never could have been accomplished. In particular, we would like to call out the stellar efforts of James E. Strain, MD; David Annunziato, MD; William A. Silverman, MD; Seymour E. Wheelock, MD; Robert Grayson, MD; and Lewis A. Barness, MD.

The valuable contributions of the AAP staff in developing this book cannot be overstated. Jeff Mahony was crucial in coordinating our activities and the member submissions from all around the country; Susan Bolda Marshall, MALS; John F. Zwicky, PhD; and Chris D. Kwiat, MALS, provided historical support; Kate Simone and Jason Crase researched and organized the photographs that grace this volume; Holly Kaminski helped organize all of the submissions; Jackie Noyes, MA, provided important insights on legislative aspects of the history; and Maureen DeRosa, MPA, and Mark Grimes provided tireless support to this project from conception to production. Needless to say, even this lengthy list is too short, as many members of the AAP staff (in both Elk Grove Village, IL, and Washington, DC) can proudly say that they participated in helpful ways to the development of this book.

Finally, we want to thank our families for their forbearance and understanding during what has been a very time-consuming labor of love over the past 3 years.

Jeffrey P. Baker, MD, PhD, FAAP
Howard A. Pearson, MD, FAAP

Book Excerpt

Table of Contents


Artwork above is courtesy of our 75th
Anniversary Art Contest participants.




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