Everything about Rupert Blue totally explained
Rupert Blue (1868-1948) was
Surgeon General of the United States from 1912 to 1920.
Rupert Blue was born in
Richmond County, North Carolina, on
May 30,
1868 and raised in
Marion, South Carolina. He attended the
University of Virginia (
1889-
1890) and earned his
M.D. from the
University of Maryland (
1892). His first association with the
Public Health Service (PHS), then known as the
Marine Hospital Service (MHS), came through a nine
month internship (
June 1,
1892 to
March 2,
1893), after which Blue applied for entrance into the MHS Regular Corps and was commissioned as an Assistant Surgeon on
March 3,
1893.
Blue spent his early years at MHS at the front lines of turn-of-the-century
public health, participating in the medical inspection of immigrants to the
United States and battling outbreaks of epidemic disease. Then-Surgeon General
Walter Wyman dispatched Blue twice to oversee rat eradication and urban sanitation programs after
bubonic plague struck
San Francisco, once in
April 1902 and again in
August 1907, following the
1906 earthquake and fires. Blue’s skilled diplomacy with
California state and city officials and with civil and business leaders fostered successful public education campaigns, stemming plague and enabling Wyman to avoid imposing a Federal quarantine on the
Bay area. His longtime friend and assistant
Dr. W. Colby Rucker was a vital part of the San Francisco campaign and worked alongside Blue in New Orleans.
When he wasn’t trapping rats and squirrels in California, Blue directed
mosquito eradication efforts to control
yellow fever in
New Orleans (
1905), at the
Jamestown Exposition (
1907), and in
Honolulu (
1911), to help Hawaii prepare for traffic to follow the opening of the new
Panama Canal. In addition, he represented the United States on a number of sanitation projects in
South America and attended the
London School of Tropic Medicine (
1910). Blue’s successes in the field made his reputation. He was promoted to the position of Surgeon (
May 17,
1909), and after Wyman died unexpectedly, President
William Howard Taft nominated Blue to serve as Surgeon General (
January 13,
1912 through
March 3,
1920). Blue would go on to serve a second four year term under President
Woodrow Wilson (
1916-
1920).
Surgeon General Blue the plague fighter became an institution builder as well. He inherited the
Act of 1912, which reoriented PHS toward research and public campaigns against disease. Passage of the Act of 1912 capped 6 years of lively debate about how to strengthen Federal public health efforts more generally. It designated the
Treasury Department’s Marine Hospital and Public Health Service, rather than the Department of the Interior, as the lead Federal agency (and shortened the name to PHS), responsible not only for interstate quarantine and health services delivery to Federal wards but also for the health of the general public. The Act stepped up Federal public health activities, most notably in response to repeated outbreaks of typhoid fever that tore through cities and towns that drew drinking water from increasingly contaminated supplies. The Act of 1912 authorized Hygienic Laboratory investigations into water pollution’s contribution to the disease burden, including a new field research station at
Cincinnati, Ohio. Interstate guidelines were developed and put into effect to ensure potable water and pasteurized milk. PHS received authority to initiate field research independently of state and county health departments and to extend campaigns against infectious disease toward the control of occupational and environmental threats. During
1914 PHS opened an Office of Industrial Hygiene and Sanitation at the Marine Hospital in
Pittsburgh, near the
Department of the Interior’s new Bureau of Mines.
Under Blue’s leadership, physician researchers at PHS turned the new science of bacteriology and the age-old practices of sanitation and public education to effective use against diseases linked to poverty in both rural and urban areas.
After the United States officially entered
World War I on
April 3,
1917, Blue oversaw a dramatic short-term expansion of PHS duties without the benefit of increased appropriations. The military draft underway by
July 1917 meant the movement of hundreds of thousands of draftees to temporary encampments around the country, with few provisions for public health by the
War Department or state health departments. In response, PHS established venereal disease control programs with funding from the
Red Cross, provided industrial hygiene and health services for the thousands of workers laboring in war plants and the communities surrounding them, emptied swamps and sprayed for mosquitoes to prevent malaria, and built sanitary privies. Back in
Washington, D.C., the Hygienic Laboratory produced vaccines against
tetanus,
diphtheria,
typhoid, and
smallpox. Blue’s public health infrastructure was up and running by the time that Congressional support came, in the form of earmarked dollars and a statute covering the control and prevention of venereal disease (the
Chamberlain Act of 1918).
During World War I, under SG Rupert Blue, cigarettes were issued as part of each fighting man’s basic field rations kit.
Recruiting and retaining physicians during wartime was a challenge to PHS, a situation made worse by the global
Spanish influenza pandemic that reached the United States in
September 1918. Blue had applauded President Wilson’s Executive Order making PHS an arm of the military (issued in
April 1917 and repealed in
1921), and subsequent moves to set officers’ pay and benefits on a par with those of the armed forces, but didn't see passage of legislation creating a PHS Reserve Corps until
October 1918, well into the flu pandemic. Pressure to add staff also came from Congress’s mandate (
1917) that PHS provide health services for disabled and, as of
March 1919, all World War One veterans, through a new Bureau of War Risk Insurance in the Treasury Department. Over the following year, PHS assembled a network of fourteen district offices and transformed war surplus facilities into hospitals and clinics, scrambling for staff and resources to stretch the $10.5 million given by Congress to fund the new program. Given his tenure during this period, it may not come as a surprise that Blue advocated enacting national health insurance, then known as universal sickness insurance, as part of an overall Federal public health strategy. Blue spoke not only as Surgeon General and on behalf of the Association of State and Territorial Health Officers but also as President of the American Medical Association (1916-17).
A change in leadership at the Department of the Treasury, PHS’s home, may have led to Blue’s decision to step down from his posting as Surgeon General, on
March 9,
1920. He resumed the rank of Assistant Surgeon General and was assigned to
Paris, France, to oversee PHS operations in Europe and to serve as U.S. delegate to the Office International d’Hygiene Public (
1920-
1923) and subsequently to the
League of Nations. After a full career at PHS, Blue retired from PHS on
December 1,
1932. He died on
April 12,
1948, in
Charleston, South Carolina.
This article was originally based on public domain text
written by the U.S. government.
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