John Finklea
Encyclopedia
John F. Finklea was a physician, professor, researcher, and public health administrator notable for his leadership at the Environmental Protection Agency and the National Institute for Occupational Safety and Health
National Institute for Occupational Safety and Health
The National Institute for Occupational Safety and Health is the United States’ federal agency responsible for conducting research and making recommendations for the prevention of work-related injury and illness. NIOSH is part of the Centers for Disease Control and Prevention within the U.S...

.

Background

John Finklea, a native of Florence, South Carolina, earned his B.S. from Davidson College
Davidson College
Davidson College is a private liberal arts college in Davidson, North Carolina. The college has graduated 23 Rhodes Scholars and is consistently ranked in the top ten liberal arts colleges in the country by U.S. News and World Report magazine, although it has recently dropped to 11th in U.S. News...

 at Davidson, N.C., and his M.D. from the Medical University of South Carolina
Medical University of South Carolina
The Medical University of South Carolina opened in Charleston, South Carolina in 1824 as a small private college for the training of physicians. It is one of the oldest continually operating school of medicine in the United States and the oldest in the Deep South...

. He also received master's and doctorate degrees in public health from the University of Michigan
University of Michigan
The University of Michigan is a public research university located in Ann Arbor, Michigan in the United States. It is the state's oldest university and the flagship campus of the University of Michigan...

. Finklea began his medical career as a physician and a professor at a series of medical schools. His interest in public health took root as he researched air pollution health hazards for the Federal government.

EPA

From 1970 through 1974, Finklea served as head to the Environmental Protection Agency's National Environmental Research Laboratory in Durham, N.C. At the EPA, Finklea gained a reputation as an agitator (according to Business Week) for controversial research on the health effects of atmospheric sulfates from power plants. The research connected sulfur dioxide
Sulfur dioxide
Sulfur dioxide is the chemical compound with the formula . It is released by volcanoes and in various industrial processes. Since coal and petroleum often contain sulfur compounds, their combustion generates sulfur dioxide unless the sulfur compounds are removed before burning the fuel...

 emissions to acid rain
Acid rain
Acid rain is a rain or any other form of precipitation that is unusually acidic, meaning that it possesses elevated levels of hydrogen ions . It can have harmful effects on plants, aquatic animals, and infrastructure. Acid rain is caused by emissions of carbon dioxide, sulfur dioxide and nitrogen...

, a conclusion that rankled many in the power industry. He opposed the use of catalytic converters to control auto emissions because of their adverse environmental impact, a stand that directly conflicted with EPA policy. These controversies put pressure on Finklea to resign, which he did at the end of 1974.

Appointment as director

Finklea took over as director of the National Institute for Occupational Safety and Health
National Institute for Occupational Safety and Health
The National Institute for Occupational Safety and Health is the United States’ federal agency responsible for conducting research and making recommendations for the prevention of work-related injury and illness. NIOSH is part of the Centers for Disease Control and Prevention within the U.S...

 in April, 1975. He replaced Dr. Marcus M. Key
Marcus M. Key
Marcus M. Key is a public health administrator and practitioner who served as the first director for the National Institute for Occupational Safety and Health...

, the Institute’s first director. Following Key's resignation, deputy director Edward Baier had served as acting director and many within the Institute expected Baier to be appointed to the post. Finklea took over NIOSH in the midst of Congressional complaints that NIOSH was too soft on industry, industry claims that NIOSH's research was sloppy, and organized labor accusations that NIOSH was overly slow in sharing important health data.

Finklea worked to accelerate health hazard research, especially in the chemical industry. Over Finklea's tenure, NIOSH identified 65 potentially dangerous substances found at job sites, as compared to the 23 such warnings issued during the first four years of NIOSH's existence. Within months of his appointment, Finklea had NIOSH issuing a steady stream of alerts on toxic substances.

Chemical identification

Under Finklea's leadership, NIOSH issued a register of 100 chemical compounds considered potential carcinogen
Carcinogen
A carcinogen is any substance, radionuclide, or radiation that is an agent directly involved in causing cancer. This may be due to the ability to damage the genome or to the disruption of cellular metabolic processes...

s. He encouraged cooperation between NIOSH, the Occupational Safety and Health Administration
Occupational Safety and Health Administration
The United States Occupational Safety and Health Administration is an agency of the United States Department of Labor. It was created by Congress of the United States under the Occupational Safety and Health Act, signed by President Richard M. Nixon, on December 29, 1970...

 (OSHA), chemical process companies in the effort. His was one of several voices working to increase awareness for birth defects, miscarriages, and other reproduction-related problems stemming from chemical and radiological exposure. Additionally, Finklea called on Congress to adopt toxic substances legislation related to carcinogenic pesticide
Pesticide
Pesticides are substances or mixture of substances intended for preventing, destroying, repelling or mitigating any pest.A pesticide may be a chemical unicycle, biological agent , antimicrobial, disinfectant or device used against any pest...

s, and Kepone
Kepone
Kepone, also known as chlordecone, is a carcinogenic insecticide related to mirex, used between 1966 and 1975 in the USA for ant and roach baits.- Chemistry and toxicology :...

 in particular.

Resource constraints

Finklea suggested that NIOSH did not have the resources to fully execute its mandate. For the millions of workers who Finklea claimed were at risk, NIOSH "would require the combined efforts of all government agencies involved in evaluating or regulating substances to which workers are exposed." He was forced to drop a number of projects because of budget and workforce constraints, among them a study of workplace stress
Workplace stress
Workplace stress is the harmful physical and emotional response that occurs when there is a poor match between job demands and the capabilities, resources, or needs of the worker....

.

With NIOSH's limited resources, Finklea chose to direct the researchers under him toward the completion of criteria documents—scientific literature surveys that determine the relative dangers of workplace substances. Preparation of the documents accounted for over 40% of NIOSH's budget.

Departure

After nearly three years as its director, John Finklea abrubtly resigned. He did not publicly announce the departure or offer any specific reason. The Washington Post speculated that Finklea had been under pressure to resign because of what it called, "bureaucratic feuding". Finklea served temporarily as a special assistant to William Foege
William Foege
William Herbert Foege M.D., M.P.H. is an American epidemiologist who is credited with "devising the global strategy that led to the eradication of smallpox in the late 1970s"....

, director of the Centers for Disease Control and Prevention
Centers for Disease Control and Prevention
The Centers for Disease Control and Prevention are a United States federal agency under the Department of Health and Human Services headquartered in Druid Hills, unincorporated DeKalb County, Georgia, in Greater Atlanta...

. His spot as direct was filled by J. Donald Millar
J. Donald Millar
John Donald Millar is a physician and public health administrator who rose to prominence as the director of the National Institute for Occupational Safety and Health from 1981 through 1993.-Education:...

, who described NIOSH at that time as being afflicted with "alienation and conflict".

University of Alabama

Finklea returned to academia at the University of Alabama
University of Alabama
The University of Alabama is a public coeducational university located in Tuscaloosa, Alabama, United States....

 as a professor of medicine at the medical school and as a professor of environmental sciences at the school of public health. He researched, among other things, the effects of welding
Welding
Welding is a fabrication or sculptural process that joins materials, usually metals or thermoplastics, by causing coalescence. This is often done by melting the workpieces and adding a filler material to form a pool of molten material that cools to become a strong joint, with pressure sometimes...

 gases and fumes. He was instrumental in establishing the University of Alabama Occupational Health Clinic. He retired from in 2000.

CDC

In 1989, Finklea became assistant director of the Injury Control Program at the Centers for Disease Control in Atlanta, Georgia, and he chaired its research review committee.

Heart trouble

In 1979, Finklea survived a coronary occlusion
Coronary occlusion
A coronary occlusion is the partial or complete obstruction of blood flow in a coronary artery. This condition may cause a heart attack.In some patients coronary occlusion causes only mild pain, tightness or vague discomfort which may be ignored: the myocardium is however damaged....

 and bypass surgery
Coronary artery bypass surgery
Coronary artery bypass surgery, also coronary artery bypass graft surgery, and colloquially heart bypass or bypass surgery is a surgical procedure performed to relieve angina and reduce the risk of death from coronary artery disease...

. He had a second coronary occlusion and repeated bypass surgery in 1990.

See also

  • National Institute for Occupational Safety and Health
    National Institute for Occupational Safety and Health
    The National Institute for Occupational Safety and Health is the United States’ federal agency responsible for conducting research and making recommendations for the prevention of work-related injury and illness. NIOSH is part of the Centers for Disease Control and Prevention within the U.S...

  • Marcus M. Key
    Marcus M. Key
    Marcus M. Key is a public health administrator and practitioner who served as the first director for the National Institute for Occupational Safety and Health...

  • Linda Rosenstock
    Linda Rosenstock
    Linda Rosenstock is a public health specialist and administrator. She served as the director for the National Institute for Occupational Safety and Health from 1994 through 2000 and has been the dean of the University of California, Los Angeles School of Public Health since 2000.-Early career:Linda...


External links

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