{"id":12005,"date":"2017-07-13T11:00:34","date_gmt":"2017-07-13T15:00:34","guid":{"rendered":"http:\/\/circulatingnow.nlm.nih.gov\/?p=12005"},"modified":"2023-07-07T15:36:46","modified_gmt":"2023-07-07T19:36:46","slug":"new-history-of-the-nlm-origins-and-early-years","status":"publish","type":"post","link":"https:\/\/circulatingnow.nlm.nih.gov\/2017\/07\/13\/new-history-of-the-nlm-origins-and-early-years\/","title":{"rendered":"A New History of NLM: Origins and Early Years"},"content":{"rendered":"

By Kenneth M. Koyle ~<\/em><\/p>\n

This is the second post in a series of nine<\/a> which serializes the new book <\/em>US National Library of Medicine in the popular <\/em>Images of America series of Arcadia Publishing. A hardback version of the book is available from booksellers, and an electronic version of the complete book<\/a> and original versions of\u00a0the 170+ images<\/a>, which appear in it in black and white, are archived and freely available in NLM Digital Collections<\/a>.\u00a0 The Intramural Research Program of the US National Institutes of Health<\/a>, National Library of Medicine, supported the research, writing, and editing of this publication. We hope that you will add it to your summer reading list!<\/em><\/p>\n

The official history of the US National Library of Medicine begins in 1836, with the first documented request for funding from the secretary of war to purchase medical books. However, the roots of the Library originated 18 years earlier than this request, in the establishment of the US Army Medical Department and the appointment of the first surgeon general, 30-year-old Joseph Lovell. It was in the office of this young surgeon general that the first few books, which were from Lovell\u2019s personal collection, took their place on a shelf and became the seeds of what would eventually grow to be the world\u2019s largest biomedical library.<\/p>\n

The US Army Medical Department in 1818 was small, scattered, and insufficient for its mission. Despite this, Lovell was determined to succeed. Medical officers at the time did not hold regular officer rank, but were instead referred to by the titles surgeon or assistant surgeon. Lovell worked tirelessly to ensure that the department\u2019s surgeons and assistant surgeons could provide the best possible care to the widespread Army. The state of medical practice across the young nation was haphazard and disparate, ranging from highly educated, scientifically minded physicians who had studied at the best schools in Europe to apprentice-trained doctors who had never set foot in a university classroom and had only been exposed to the narrow group of patients available in their small, frontier towns. In order to raise the standards of care and enable his officers to remain current on the latest advances in science and medicine, Lovell subscribed to medical journals for each surgeon and assistant surgeon. In addition to the journal subscriptions, the Surgeon General\u2019s Office provided each post and regiment with a standard set of books on anatomy, surgery, and medical practice.<\/p>\n

\"Image <\/a>
Joseph Lovell (1788\u20131836) was the first surgeon general of the US Army Medical Department, from 1818 to 1836. Previously, others had been charged with oversight of the Army\u2019s medical support, but until Congress reorganized the Army staff and appointed Lovell in 1818, there was no permanent position of surgeon general. <\/div> <\/div> <\/div>
\"Photograph <\/a>
Benjamin King (1797\u20131888) served as interim surgeon general of the Army after the death of Joseph Lovell in the fall of 1836. King served in this position for only a few months, but his actions were instrumental in formally establishing the Library of the Surgeon General\u2019s Office. He originally enlisted in the Army as a surgeon\u2019s mate on October 14, 1818, at the age of 21. <\/div> <\/div> <\/div> <\/div> <\/div>\n

Prior to 1836, there was no specific budget allocation for medical publications. Instead, a few hundred dollars would be designated for operational necessities, such as books and medical supplies. Lovell was meticulous and careful with his tiny budget, tracking every expenditure and taking pride in the occasions when he could demonstrate a reduction in the cost for medical support. However, throughout his tenure as surgeon general, it appears that he neither requested nor received funding directly linked to procuring books for a medical library. When Lovell died of pneumonia in October 1836, Assistant Surgeon Benjamin King, who was the senior medical officer serving in Washington at the time, assumed control of the office until President Andrew Jackson could appoint a new surgeon general. The budget request for the coming year had to be submitted to the secretary of war during King\u2019s short time as interim surgeon general, and he included $150 for medical books in the request. This was the first funding request specifically identifying books for the Library of the Surgeon General\u2019s Office, and it is with this document that the US National Library of Medicine marks the beginning of its history.<\/p>\n

\"Portrait<\/a>
Thomas Lawson (1789\u20131861) was the second surgeon general of the Army, from 1836 to 1861.<\/figcaption><\/figure>\n

On November 30, 1836, President Jackson selected Thomas Lawson to succeed Lovell as surgeon general. Under Lawson\u2019s leadership, the small collection of books blossomed into a legitimate library. Lawson continued to include funding for books in his annual budget requests, and in 1840, an unidentified staff member in the office compiled the first known catalog of publications in the Library of the Surgeon General\u2019s Office. The handwritten inventory listed 134 titles, including eight journals. Small though it was, the Library included the current standards of medical and scientific literature, along with a few volumes of general scholarly interest.<\/p>\n

During this period, the recording of meteorological data became one of the unique tasks assigned by the Army\u2019s leadership to its medical officers at frontier posts. Such data collection had been undertaken almost since the establishment of the medical department, primarily to study the suspected links between climate and disease. Joseph Lovell published the first compilation of this data in 1826, covering the years 1822 to 1825, and in 1840, Lawson proposed that his staff draft a more detailed report examining the data from the subsequent five-year period. He published this report as the Meteorological Register for the Years 1826\u20131830<\/em>, appending Lovell\u2019s earlier compilation so that the new book covered nine years of weather data. Along with this book, Lawson had his staff conduct a thorough analysis of medical reports from the field, creating a second text called Sickness and Mortality in the Army of the United States<\/em>. These two volumes provided Lawson with an alternate means of growing the collection: book exchanges. Lawson sent the books produced by his office to the Medical Department of the British Army and to the libraries at Harvard College and the Philadelphia College of Medicine. In return, the recipients sent copies of their own publications to Lawson. The Library also grew with gifts and donations of various kinds. Occasionally, the author of a medical text sent copies to the Office of the Surgeon General, hoping to gain publicity that would translate to more sales. Publishers of journals and medical books sent free sample copies to Lawson, attempting to entice him to make purchases for his office and for the burgeoning cadre of medical officers in the field. And of course, sometimes medical professionals, either those affiliated with the Army or simply supportive of the military mission, donated books from their personal collections to the Library.<\/p>\n

\"Title <\/a>
Surgeon General Lawson and his staff published the Statistical Report on the Sickness and Mortality in the Army of the United States in 1840<\/em>. <\/div> <\/div> <\/div>
\"Title <\/a>
In 1840, an unidentified staff member of the Office of the Surgeon General compiled this catalog of the collection, which at the time included 134 books. This is the first page of the catalog. <\/div> <\/div> <\/div>
\"Title <\/a>
The Medico-Chirurgical Journal and Review<\/em> was the standard journal distributed by the Office of the Surgeon General during the early days of the US Army Medical Department, but some officers requested subscriptions to different medical publications. <\/div> <\/div> <\/div> <\/div>
\"Title <\/a>
The Meteorological Register was prepared by Surgeon General Joseph Lovell. He recognized that there was a unique opportunity in the United States to examine and record the impact of population growth, agriculture, and deforestation on the environment, an opportunity that did not exist in Europe because the spread of civilization there had taken place over millennia rather than over the course of a few decades, as was happening in early-19th-century North America. As Lovell stated, he prepared his tables \u201cin the form that appears best calculated for reference, in order to preserve the facts thus collected.\u201d Lovell proposed that observations should be made for eight or ten years \u201cin order to ascertain what changes, if any, have taken place, either in the mean temperature, the range of the thermometer, the course of the winds, or the weather\u201d after settlement of the country. <\/div> <\/div> <\/div>
\"Page <\/a>
Surgeon General Thomas Lawson prepared the Meteorological Register for the Years 1826\u20131830<\/em>. Lawson continued Lovell\u2019s collection of meteorological observations, retaining his tabular format to display temperatures, prevailing winds, and sky conditions. The result was a two-volume set of meteorological registers that provided detailed climate data for the years 1822 to 1830. <\/div> <\/div> <\/div> <\/div> <\/div>\n

Thomas Lawson served as the surgeon general for 25 years, the longest tenure of anyone in that position. In 1840, four years after he took office, the Library contained a mere 134 titles. Three years after his death, in May 1861, the number of titles was approaching 500. The Library of the Surgeon General\u2019s Office of the US Army was still small, but it was firmly established and growing. During and following the Civil War, Lawson\u2019s successors built upon this foundation to create an institution worthy of its name.<\/p>\n

\"\"<\/a>Kenneth M. Koyle is Deputy Chief of the History of Medicine Division at the National Library of Medicine.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

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