There have been two major recent developments which will form the major part of this Newsletter: 1. The Nuremberg Declaration- 2012 of the General Medical Council of the Federal Chamber of Physicians of Germany 2. The special issue of the journal Annals of Anatomy on the history of anatomy in the Third Reich. I have also invited a review by Prof. Claude Romney of an important new book by Dr. Hans-Joachim Lang on medical research on women in Block 10 of Auschwitz. Prof. Romney is presently completing a book on physician-prisoners of Auschwitz one of whom was her father, the French physician Dr. Jacques Lewin. Finally, there are links to two important resources on the subject of medicine in the 3rd Reich and the Holocaust. A number of contacts have been added to the list of recipients of the Newsletter. If you wish to be removed from the contact list please respond by return e-mail to projectmedicineholocaust@gmail.com with the subject "unsubscribe". Any questions or comments on the content of the Newsletter may be sent to me directly atbillseidelman@gmail.com . “NUREMBERG DECLARATION OF 2012” On May 23, 2012 at the 115th meeting of the German Medical Assembly in Nuremberg, the Bundesärztekammer (BAK), also known as the Federal Chamber of Physicians of Germany issued The Nuremberg Declaration of 2012 in which the medical profession of Germany publicly acknowledges and apologizes for the role played by German physicians during the Third Reich. The Declaration was a response to a petition from approximately 50 leading physicians and scholars, most from Germany. The declaration is named after the city which was the site of the momentous Nuremberg Medical Trial. The Nuremberg Declaration of 2012 of the Federal Chamber declares that: “…the initiative for the most serious human rights violations did not originate from the political authorities, but rather from physicians themselves.” “The crimes were simply not the acts of individual doctors, but rather took place with the substantial involvement of leading representatives of the medical association and medical specialist bodies, as well as with the considerable participation of eminent representatives of university medicine and renowned biomedical research facilities." Furthermore the Declaration asserts: “- We acknowledge the substantial responsibility of doctors for the medical crimes committed under the Nazi regime and regard these events as a warning for the present and the future. - We express our deepest regrets that physicians have acted contrary to their medical obligations by committing various human rights violations. We pay our respects to all the victims, those still alive today and those who have already died, as well as their descendants and request their forgiveness. - We commit ourselves as the German Medical Assembly to work towards actively promoting further historical research and the reappraisal of the past through the committees of the German Medical Association and through direct financial aid, as well as through institutional support, such as unlimited access to archives.” 67 years after the end of European War and almost 65 years after the Nuremberg Medical Trial, and after almost 7 decades the large and powerful organization representing the physicians of Germany has finally acknowledged the role played by German doctors in what was to become the largest program of organized human destruction in the history of humankind. Physicians played a critical role in the implementation and exploitation of the Nazi programs including; state-enforced eugenic sterilization; the murder of patients under the guise of ‘euthanasia’ mercy killing; the design, development and implementation of the means of genocidal mass murder by the use of poison gas; the abuse of prisoners for cruel and often fatal experiments; and the exploitation of the remains of victims of Nazi terror. The experiments were not ‘pseudoscience’ carried out by marginal doctors but carefully planned projects led by leading professors and scientists employed by some of the foremost academic and scientific institutions. Some of the scientists and institutes had been funded by leading research organizations including, for a time, the Rockefeller Foundation as well as branches of the German military. Human specimens from victims of Nazi terror remained in the collections of esteemed universities and research organizations, and at least one museum, for decades after the war. Some may still be held in collections until this day. Professors and scientists associated with the criminal activities of the Hitler period went on to influential positions after the war including the leadership of the BAK. The sincerity of the Declaration will be tested in the coming years by the ability of the BAK to account for its own role in suppressing the truth and the degree to which it supports“…further historical research and the reappraisal of the past..." It is imperative that such support for research and reappraisal be undertaken by credible scholars who are independent of the BAK. Furthermore the BAK must be transparent in terms of access to archives and records under its jurisdiction. The Nuremberg Declaration challenges the leaders of academic medicine in Germany and Austria to undertake a proper examination of the role played by universities and research institutes during the Hitler period. While there has been research and documentation by some universities and organizations such as the Max Planck Society, there must be a proper and sustained collective and individual exploration of the path taken by those institutions which had, at an earlier time, provided the model for science-based medical education that has been emulated throughout the world. Academic medicine has a moral obligation to examine and document how those institutions that provided such an important and influential model to the world became partners to evil and engaged and promoted the professors as well as educating and training the students and physicians who were ultimately responsible for horrific crimes. An important example of such an exploration was recently undertaken by the Anatomische Gesellschaft to study and document the history of anatomy during the Third Reich. The aforesaid criticism notwithstanding, the Bundesärztekammer and the General Medical Council must be commended for this achievement. The leaders and signatories of the petition of appeal that resulted in the momentous Declaration of Nuremberg 2012 must be congratulated for their determination, wisdom, and courage that brought about such a momentous result. The English-language translation of the petition and the Declaration is attached. We are indebted to Prof. Volker Roelcke for the translation. SPECIAL ISSUE OF ANNALS OF ANATOMY ON THE HISTORY OF ANATOMY IN THE THIRD REICH As was reported in earlier issues of the Newsletter, the organization of German and European anatomists, Anatomische Gesellschaft, has taken the lead in documenting the history of anatomy during the Third Reich. The Gesellschaft organized a special symposium on the subject which was held at the University of Wuerzburg in October, 2010. Papers presented at the symposium have been published in a special issue of the Annals of Anatomy which was recently published on-line. We are grateful to the publisher, Elsevier, for making the papers from the special issue available at no charge for a period of one year. The journal may be found at: http://www.sciencedirect.com/science/journal/09409602 The editors of this special issue are Professor Christoph Redies, the Director of the Institute of Anatomy of the University of Jena and Dr.Sabine Hildebrandt, presently of the Division of Anatomical Sciences of the University of Michigan. A background statement issued by the University of Jena can be found at:http://idw-online.de/de/news479597 . Review of Hans-Joachim Lang. Die Frauen von Block 10. Medizinische Versuche in Auschwitz. ("The Women of Block 10. Medical Research in Auschwitz") Hamburg: Hoffmann & Campe, 2011. Hans-Joachim Lang , a journalist from Tübingen , was already the author of a remarkable book, Die Namen der Nummern ("The Names of the Numbers") (Hamburg: Hoffmann & Campe, 2004), in which he explains how he discovered the identity of the 86 Jewish victims of the Nazi Professor of Anatomy August Hirt at the Reichsuniversität Strassburg. Hirt had them transferred from Auschwitz to the Natzweiler-Struthof camp, in Alsace, where they were gassed. Their bodies were subsequently meant to be prepared to become part of Hirt's intended collection of Jewish skeletons. Lang's new book is devoted to Block 10 in Auschwitz I (the main camp) where Nazi doctors used Jewish women as subjects for cruel, barbaric experiments, mostly, but not exclusively, with a view to finding fast and inexpensive sterilization methods which would enable the Nazis to use Jews for slave labor while preventing them from having children. Using a wealth of archival documents from Germany, Israel, the United States, Poland, the Netherlands and Belgium, Lang has meticulously researched his topic. The result is in large part an extraordinary collage of testimonies of women who survived the experiments (many did not), but who were marked for life, both physically as a large number were unable to bear children, and psychologically. Because some of his readers may not be that familiar with the events that took place in Auschwitz, Lang provides the necessary background information about the camp, its history and layout. In his presentation of the Nazi physicians who were involved in experiments carried out in Block 10, he alternates between the two main ones, Carl Clauberg and Horst Schumann. Clauberg was a gynecologist who had enjoyed an international reputation in scientific circles before the war for his research on fertility, while Schumann had been the director of the Grafeneck institution where disabled patients, either psychologically or physically, who were deemed by the Nazis "unworthy of life," had been murdered. Schumann had later held the same position at another large scale Nazi killing center, Sonnenstein, where thousands of patients were also euthanized. Both were fanatical Nazis who had joined Hitler's party early in their careers. While the experiments carried out in Block 10 have been reported before in a number of publications, Lang adds another dimension by following some of the young women, all Jewish, from their arrival at the ramp where they were chosen to become the subjects of sterilization experiments in Block 10. Most of them had been deported from Greece, Belgium, the Netherlands and France. They were at first bewildered at being brought to a building which looked inside somewhat like a hospital since they were young and healthy. Several mentioned that they thought it was a madhouse. Their confusion soon turned to terror as they realized that they were there to be tortured by brutal, inhumane procedures. Lang also paints a moral portrait of the nurses and prisoner-doctors in Block 10, using again survivors' testimonies. There were four female prisoner-doctors who were forced to assist the SS physicians and did whatever they could to alleviate the sufferings of the victims of experiments. One of the four, Adélaïde Hautval, was a French Protestant woman born in Alsace when it was part of Germany (and therefore fluent in German), who had the courage to refuse to continue to take part in the experiments. The other three were Jewish and had no choice but to obey orders, at the same time doing whatever they could to help the unfortunate women who had been chosen as subjects for the experiments. Most of the nurses had no medical training. Some were completely unsympathetic and would even hit the women who screamed with pain. The perpetrators, of course, are referred to at length and their monstrous deeds described in detail. First Clauberg, who gave his victims intrauterine injections of a whitish opaque substance, probably formalin, at repeated intervals. The injections produced excruciating suffering and when called again to be submitted to the same procedure, the women would try to hide wherever they could. After the injections, they were X-rayed to check on the effects of the injections. Schumann's subjects were taken in groups from Block 10 to Birkenau where their reproductive organs were irradiated and they subsequently underwent ovariectomies. Some of them died either from the effects of the irradiation and surgery or from typhus. Other experiments were carried out in Block 10 by the garrison SS doctor Eduard Wirths with his brother Helmut, a gynecologist from Hamburg, allegedly to detect early cellular modifications in uterine cancer. To this effect, parts of the women's cervix were excised, albeit under anesthesia. Most women then suffered from hemorrhages which lasted several days. One prisoner-doctor who collaborated zealously with the Nazi physicians in Block 10 was Maximilian Samuel, an older Jewish gynecologist from Cologne. Lang has collected many testimonies from women who were examined and experimented on by Samuel on orders from Wirths. Some of them testified that he had helped them by preventing them from being subjected to more harmful actions by the SS doctors, while others saw him just as another perpetrator. It was rumored that his compliance was due to the fact that he was hoping his daughter's life would then be spared. His colleagues in the block despised him. It is not clear whether he was eventually shot or sent to the gas chamber. Block 10 was also the scene of blood agglutination experiments: on orders from the director of the Hygiene Institute in Rajsko, Dr. Bruno Weber, women of specific blood groups were injected with blood from another group. Prisoners also had to give various quantities of blood which they believed were to be used for transfusions to Wehrmacht soldiers on the Russian front. As Lang points out, the research on blood performed in Block 10 needs to be studied more systematically. Maybe the many documents from the Hygiene Institute kept in the Auschwitz Museum archives and which have yet to be explored will shed light on this aspect of the Nazi experiments in Block 10 (as well as other activities of the Nazi physicians in Auschwitz). One striking example of how the prisoner-doctors endeavored to shield the women in Block 10 from cruel experiments was the creation of the Spuckkommando ("spitting kommando"), a group of inmates who had to spit every morning into test tubes. The goal was to find a method to determine blood groups using saliva. The creation of this kommando was apparently due to my father, Jacques Lewin, a prisoner-doctor from France who had first worked in a small laboratory in Block 10 and later in Rajsko. Of course, the women who benefited from this initiative were unaware that it was due to one of the prisoner-doctors and not to their Nazi tormentors. The exact number of women who were experimented on in Block 10 on remains unknown. It is probably around 800. Similarly, the number of deaths due to the experiments carried out there cannot be determined. Many survivors who had been experimented on by Clauberg and Schumann were later unable to have children. Lang's book is a very important piece of research which deals with a particularly dark and revolting aspect of the Auschwitz history. Moreover, in light of the recent apology issued by the German Medical Association (Bundesärtzekammer) to the victims of the crimes perpetrated by Nazi doctors as well as to their families, the book deserves to be widely read. Hopefully it will be translated into English and other languages before too long. Claude Romney, Ph.D. Emerita Professor University of Calgary New Resources of Note: 1. The Center for Medicine after the Holocaust, Houston, Texas: http://www.medicineaftertheholocaust.org/ "The mission of the Center for Medicine after the Holocaust is to challenge doctors, nurses, and bioscientists to personally confront the medical ethics of the Holocaust and to apply that knowledge to contemporary practice and research." The website includes a comprehensive curriculum for teaching students in the health professions. 2. The War against the Weak (Der Krieg Gegen "Minderwertigen", Vienna Austria. http://neu.gedenkstaettesteinhof.at/en This is a revised and updated resource on the child killing program at the Steinhof psychiatric hospital in Vienna which saw approximately 800 children murdered as part of the child 'euthanasia' killing operation. The website provides not only a detailed description of the killing program at Steinhof but also background information and documentation on 'euthanasia' in Vienna, the victims and survivors. William E. Seidelman MD. Emeritus Professor Dept. of Family and Community Medicine University of Toronto. Adjunct Professor Faculty of Health Sciences Ben-Gurion University of the Negev, Beer-Sheva, Israel. PROJECT ON MEDICINE AND THE HOLOCAUST http://www.projectmedholo.org/about/ Director Michael Grodin, M.D. Professor of Bioethics, Human Rights, Psychiatry, and Family Medicine Boston University Schools of Medicine and Public Health Associate Director William Seidelman, M.D. All publication attachments are intended for individual research and scholarly purposes.