1
166 to do just that. This spirit can be seen in an episode involving the$8 billion superconducting super collider (SSC) atom smasher, a heartfelt goal of the Bush administration. A hurdle to start-up money for next year is a House subcommittee chaired by Rep Tom Bevill, Democrat of Alabama. Rep Bevill’s subcommittee, on which he is dominant by virtue of his chairmanship, approved the requested$169 million construction downpayment. However, with the money came a statement noting that the Committee "has been impressed by the comprehensive high-energy physics program at the University of Alabama’ ’-Rep Bevill’s alma mater. The report added, "The Committee urges the Department of Energy and the Texas National Research Laboratory Commission to expand their SSC program at the University". It would be extraordinary if this suggestion were ignored. In some circumstances, it is perilous to compete too effectively for the Government’s science resources. That seems to have been the case with the flamboyantly successful head of science education at the National Science Foundation, Dr Bassam Shakhashiri, a zealot for science education and a showman on its behalf. His annual Christmas-season science demonstration, at the National Academy of Sciences, regularly drew audiences of influential science-policymakers and their families. Bedecked with a button stating "Science Is Fun!" Shakhashiri lobbied so effectively that Congress regularly restrained NSF’s research accounts to enrich long- neglected programmes for training science teachers, equipping school laboratories, and so forth. When Shakhashiri arrived at NSF in 1984, the education budget stood at$55 million, with most of that consigned to graduate fellowships. It has since risen to$210 million, mostly for school-level and undergraduate science programmes, wastelands in American education. At the end of May, Shakhashiri was removed from the education post in a swan-song act by his departing chief, NSF Director Erich Bloch. Shakhashiri says the Director told him he had been there too long. One of Shakhashiri’s Congressional allies, Rep George Brown (Democrat, Calif), offered a different interpretation: Shakhashiri had undone himself "by being too effective". Bloch said science education needed new leadership. Finally, the recent House debate on the budget for NASA-which has soared from$8-8 billion in 1988 to$14-3 billion proposed for next year. The space establishment deems this skimpy rations, but among politicians with other favourites it is regarded as too much. Rep Silvio 0. Conte, of Massachusetts, the senior Republican on the Appropriations Committee, long ago embraced the National Institutes of Health as his legislative charge. Noting the growth of NASA, Rep Conte declared, "Boy, would I love to have this increase for the National Institutes of Health for research on cancer, heart disease, and diabetes. I think it is more important to find a cure for AIDS than it is to fund the space programs". Declaring his support for an amendment to eliminate$6 million from NASA’s search for extra-terrestial life (SETI), Rep Conte said "SETI is quite simply an effort to locate space aliens". He added: "Mr Chairman, at a time when good people of America can’t find affordable housing, we shouldn’t be spending precious dollars to look for little green men with misshapen heads". Daniel S. Greenberg Round the World USA: Women’s health, women’s rights Women’s rights in biomedical research have become an issue in Congress. Representative Olympia Snowe, for one, is working on legislation to establish a Government office that would end the practice of excluding women from some clinical trials and other studies. As matters stand, she says, women are "a medical afterthought, a gender-based asterisk in the health research field". Although Mrs Snowe perhaps exaggerates for effect, an investigation in the House of Representatives confirms that a bias towards males is common in biomedical research. The head of the inquiry, Henry Waxman of California, has focused on cancer, heart disease, and preventive medicine programmes at the National Institutes of Health. "Men", he says, "have been the primary research subjects for studies of diseases, studies of diagnostics and studies of treatment and cure". Officials at the NIH itself acknowledged a bias in favour of men as far back as 1986. Henceforth, NIH said then, grant applications should include women in their study populations or explain why they did not. An investigative arm of Congress, the General Accounting Office, has found that this policy over the years "has not been well communicated or understood within NIH or in the research community". At a hearing of Mr Waxman’s subcommittee last month Mark Nagel, a GAO official, produced a booklet, PHS Form 398, as proof of the anti-female bias. The booklet, which NIH grant applicants use, makes no mention of the NIH policy regarding women. A review of 50 recent applications showed that 20% supplied no information on gender, one-third said the subjects included both sexes but did not give proportions, and some all-male studies provided no rationale for their exclusivity. As GAO sees it, the consequences of this bias are that findings of important studies can be needlessly inconclusive. The conclusion that healthy men might reduce their risk of a heart attack by taking an aspirin every other day cannot be applied for sure to women since only men were studied. Diseases that affect women only can receive too little attention. Patricia Schroeder, a representative from Colorado, says that breast cancer is now diagnosed in 1 in every 9 American women, compared with 1 in 20 in 1961. "Yet we currently spend only$17 million a year for basic breast cancer research", she says. The reasons most often cited for excluding women, Mrs Schroeder says, include cost, concern about added risk if a woman becomes pregnant, and an unwillingness to take account of hormonal differences. "To this", she says, "I would add the dearth of women in senior positions at NIH research programs in universities and on peer review committees". What she and others in Congress want is not a female quota system but medical research that is relevant to women’s health as well as men’s. Says Mrs Schroeder: "There may be no difference between how men and women respond to a particular treatment, but we need to know that it is true, not just assume that it is". J. B. Sibbison

USA: Women's health, women's rights

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to do just that. This spirit can be seen in an episode involvingthe$8 billion superconducting super collider (SSC) atomsmasher, a heartfelt goal of the Bush administration. Ahurdle to start-up money for next year is a Housesubcommittee chaired by Rep Tom Bevill, Democrat ofAlabama. Rep Bevill’s subcommittee, on which he isdominant by virtue of his chairmanship, approved therequested$169 million construction downpayment.However, with the money came a statement noting that theCommittee "has been impressed by the comprehensivehigh-energy physics program at the University of Alabama’’-Rep Bevill’s alma mater. The report added, "TheCommittee urges the Department of Energy and the TexasNational Research Laboratory Commission to expand theirSSC program at the University". It would be extraordinaryif this suggestion were ignored.

In some circumstances, it is perilous to compete tooeffectively for the Government’s science resources. Thatseems to have been the case with the flamboyantly successfulhead of science education at the National Science

Foundation, Dr Bassam Shakhashiri, a zealot for scienceeducation and a showman on its behalf. His annualChristmas-season science demonstration, at the NationalAcademy of Sciences, regularly drew audiences ofinfluential science-policymakers and their families.Bedecked with a button stating "Science Is Fun!"Shakhashiri lobbied so effectively that Congress regularlyrestrained NSF’s research accounts to enrich long-neglected programmes for training science teachers,equipping school laboratories, and so forth. WhenShakhashiri arrived at NSF in 1984, the education budgetstood at$55 million, with most of that consigned to graduatefellowships. It has since risen to$210 million, mostly forschool-level and undergraduate science programmes,wastelands in American education. At the end of May,Shakhashiri was removed from the education post in a

swan-song act by his departing chief, NSF Director ErichBloch. Shakhashiri says the Director told him he had beenthere too long. One of Shakhashiri’s Congressional allies,Rep George Brown (Democrat, Calif), offered a differentinterpretation: Shakhashiri had undone himself "by beingtoo effective". Bloch said science education needed new

leadership.

Finally, the recent House debate on the budget forNASA-which has soared from$8-8 billion in 1988 to$14-3billion proposed for next year. The space establishmentdeems this skimpy rations, but among politicians with otherfavourites it is regarded as too much. Rep Silvio 0. Conte,of Massachusetts, the senior Republican on the

Appropriations Committee, long ago embraced theNational Institutes of Health as his legislative charge.Noting the growth of NASA, Rep Conte declared, "Boy,would I love to have this increase for the National Institutesof Health for research on cancer, heart disease, and diabetes.I think it is more important to find a cure for AIDS than it isto fund the space programs".

Declaring his support for an amendment to eliminate$6million from NASA’s search for extra-terrestial life (SETI),Rep Conte said "SETI is quite simply an effort to locatespace aliens". He added: "Mr Chairman, at a time whengood people of America can’t find affordable housing, weshouldn’t be spending precious dollars to look for little greenmen with misshapen heads".

Daniel S. Greenberg

Round the World

USA: Women’s health, women’s rightsWomen’s rights in biomedical research have become anissue in Congress. Representative Olympia Snowe, for one,is working on legislation to establish a Government officethat would end the practice of excluding women from someclinical trials and other studies. As matters stand, she says,women are "a medical afterthought, a gender-based asteriskin the health research field".

Although Mrs Snowe perhaps exaggerates for effect, aninvestigation in the House of Representatives confirms thata bias towards males is common in biomedical research. Thehead of the inquiry, Henry Waxman of California, hasfocused on cancer, heart disease, and preventive medicineprogrammes at the National Institutes of Health. "Men", hesays, "have been the primary research subjects for studies ofdiseases, studies of diagnostics and studies of treatment andcure".

Officials at the NIH itself acknowledged a bias in favourof men as far back as 1986. Henceforth, NIH said then, grantapplications should include women in their studypopulations or explain why they did not. An investigativearm of Congress, the General Accounting Office, has foundthat this policy over the years "has not been wellcommunicated or understood within NIH or in the research

community".At a hearing of Mr Waxman’s subcommittee last month

Mark Nagel, a GAO official, produced a booklet, PHSForm 398, as proof of the anti-female bias. The booklet,which NIH grant applicants use, makes no mention of theNIH policy regarding women. A review of 50 recentapplications showed that 20% supplied no information ongender, one-third said the subjects included both sexes butdid not give proportions, and some all-male studies

provided no rationale for their exclusivity.

As GAO sees it, the consequences of this bias are thatfindings of important studies can be needlessly inconclusive.The conclusion that healthy men might reduce their risk of aheart attack by taking an aspirin every other day cannot beapplied for sure to women since only men were studied.Diseases that affect women only can receive too littleattention. Patricia Schroeder, a representative from

Colorado, says that breast cancer is now diagnosed in 1 inevery 9 American women, compared with 1 in 20 in 1961."Yet we currently spend only$17 million a year for basicbreast cancer research", she says.The reasons most often cited for excluding women, Mrs

Schroeder says, include cost, concern about added risk if awoman becomes pregnant, and an unwillingness to takeaccount of hormonal differences. "To this", she says, "Iwould add the dearth of women in senior positions at NIHresearch programs in universities and on peer reviewcommittees". What she and others in Congress want is not afemale quota system but medical research that is relevant towomen’s health as well as men’s.

Says Mrs Schroeder: "There may be no differencebetween how men and women respond to a particulartreatment, but we need to know that it is true, not justassume that it is".

J. B. Sibbison