Why was the federal food, drug, and cosmetic act of 1938 created

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The Food, Drug, and Cosmetic Act (FDCA) was signed into law by President Franklin Roosevelt on June 25, 1938. Its goal was to improve public safety and its major provisions regulated cosmetics and medical devices; required that safety directions be included with medicine; required that new medicines be approved by the Food and Drug Administration (FDA); outlawed false therapeutic claims; enhanced food safety standards (e.g., packaging); and authorized inspections and enforcement [1].

By the time of the New Deal, there was a long-standing feeling that the pioneering legislation that created the FDA—the famous 1906 Food and Drugs Act—had become inadequate. Several dramatic product failures and poisonings had occurred over the years, such as the tragic 1937 case of “Elixir Sulfanilamide” (billed as a cure-all, but chemically similar to anti-freeze) killing about 100 people.

The new bill was sponsored by U.S. Senator Royal Copeland (D-NY), who wrote it with the assistance of prominent New Dealer Rexford Tugwell and two university professors, Milton Handler and David Cavers [2]. At the time the FDCA became law, Secretary of Agriculture Henry Wallace observed in a radio address:

“This is a law of far-reaching importance to every person in the United States… Within two decades after the old food and drugs act went into effect the conditions of American life had changed profoundly. New machinery, new roads, new transportation, new knowledge in chemistry and physics had worked together to transfer much food preparation from the home kitchen to the factory… New ways of living in small homes with automatic heating and electric power to do the household chores set a large group of American women free from the sun-to-sun household work…” [3].

Wallace noted that more leisure time for women had resulted in more time devoted to physical appearance, which in turn created “Very quickly, an almost wholly new cosmetic industry… [which] was not subject to any control under the old act” [4]. One of the first enforcement actions under the FDCA was the seizure of “Lash Lure” and “Magic-di-Stick,” eyelash products that “contained a preparation which might cause serious eye injury or even blindness” [5]. Indeed, the FDA had created an influential travelling exhibit in 1933 called the “American Chamber of Horrors,” which included photographs of a woman blinded by Lash Lure that reportedly brought Eleanor Roosevelt to tears [6].

For fiscal year 1941, the FDA reported 2,016 shipment seizures and 325 criminal prosecutions for various FDCA violations. Out of 1,376 applications for new medicines, the FDA approved 807 [7]. By the 1960s, about half of the American food supply was required to meet standards set up under the FDCA [8]. The New Deal’s FDCA has protected America’s food supply and medicines for decades, and it “still looms large in guiding the FDA’s mission” [9].

Through the 1930s, the FDA was under the purview of the US Department of Agriculture but was moved to the Federal Security Agency in the 1939 federal reorganization and later transferred to the Department of Health and Human Services in the 1960s.

Sources: (1) “Part II: 1938, Food, Drug, Cosmetic Act,” U.S. Food and Drug Administration (accessed October 20, 2020).  (2) See, e.g., “Food, Drug, and Cosmetic Act of 1938,” in James S. Olson, ed., Historical Dictionary of the New Deal: From Inauguration to Preparation for War, Westport, CT: Greenwood Press, 1985, p. 200.  (3) “Secretary Wallace Talks on New Food and Drug Act,” The Morning Call (Paterson, New Jersey) June 30, 1938, p. 10.  (4) Ibid.  (5) “Beauty Czar Will Not Try Cosmetics On Himself,” The Times Dispatch (Richmond, Virginia), August 7, 1938, p. 27.  (6) “80 Years of the Federal Food, Drug, and Cosmetic Act,” U.S. Food and Drug Administration (accessed October 20, 2020); “Three Horrifying Pre-FDA Cosmetics: From mercury-loaded face cream to mascara that left you blind,” Smithsonian Magazine, June 26, 2017; “Food and Drug Law Reform Bill Comes Up For Hearing This Week; Powerful Lobby Is Fighting It,” St. Louis Post-Dispatch, December 5, 1933, p. 13; “Lash Lure and Paraphenylenediamine: Toxic Beauty Past and Present,” American Academy of Ophthalmology, November 2, 2017. (7) Second Annual Report, Federal Security Agency, 1941, pp. 29-30 (available on Hathitrust, accessed October 20, 2020).  (8) “Part III: Drugs and Foods Under the 1938 Act and Its Amendments,” U.S. Food and Drug Administration (accessed October 20, 2020). (9) See note 6, U.S. Food and Drug Administration.

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Why was the federal food, drug, and cosmetic act of 1938 created

The U.S. Food and Drug Administration (FDA) oversees the safety of most food products, drugs, medical devices, and cosmetics. This massive agency has grown to have a budget over $6.1 billion and regulates items accounting for 20 cents of every dollar spent by consumers. 1 It wasn’t always this way, and without good manufacturing practice regulations and other quality standards, consumers risked their health just by purchasing medication that claimed to ease their symptoms. So, how did we get here?

Start of the FDA – Concerns About Food Safety

Although it wasn’t known as the FDA until much later, its role in consumer safety can be traced back to Dr. Harvey Wiley. In 1882 the consumer safety advocate took on the role of Chief Chemist at the U.S. Department of Agriculture (USDA). 2 Wiley had deep concerns about chemical preservatives in foods – and he wasn’t alone. Over the 25 years leading up to the 1906 Federal Food and Drug Act, there were hundreds of bills written concerning food and drug regulation. Under Wiley’s leadership, the Bureau of Chemistry, which ultimately became the FDA, was given the regulatory responsibilities to prevent adulteration and misbranding of food and drugs. The main function of the act was to enforce labeling of ingredients like alcohol, cocaine, heroin, and other harmful substances. 3 However, it soon proved to not be enough.

Food, Drug, and Cosmetic Act of 1938 – Drugs, Cosmetics, and Medical Devices

Next, the Bureau shifted their focus to drug regulation, and rightly so. By the 1930s, the market was flooded with unsafe products and drugs. As just a few examples, eyelash dye blinded women, unsafe drugs given to pregnant women caused severe birth defects, and an exhaler falsely claimed to cure tuberculosis. 4 5

The worst and most public example came in 1937 when a pharmaceutical company formulated a liquid version of a well-known product, Elixir Sulfanilamide. The antibiotic was tested for flavor, appearance, and fragrance — but not safety. This untested product contained antifreeze and led to over 100 deaths, many of them young children. Even though the drug clearly was the cause of death, the FDA could only charge them for having a misbranded product.

The incident caused public uproar and eventually led to the Food, Drug, and Cosmetic Act of 1938 (FD&C). 6 This Act brought cosmetics and medical devices under the agency’s control, and also mandated premarket approval of new drugs. Later on, several more amendments passed to include stricter regulation of drug and clinical trials as well as strict regulation of the medical devices as the industry boomed. 7

Amendments to the FD&C – Food Additives and Dietary Supplements

As more and more chemicals entered the food supply throughout the 1950s, the FDA was given tighter control on what additives were put into food. At the time, many dyes were being made from coal, tar, and other harmful substances. After several children fell ill after eating orange Halloween candy, the FDA decided to start looking closer at all chemicals and preservatives. 8 This included pesticide residues, food additives, and color additives. The lack of transparency around the ingredients in everyday foods ultimately led to the Nutrition Labeling and Education Act of 1990, which completely changed how food products are required to label their nutritional information. The act gave us the food labels we're familiar with today that help us to understand exactly what we're eating.

Conclusion

The FDA continues to adapt their regulations to meet market demands while ensuring public safety. Meeting these requirements can be cumbersome for manufacturers in the life sciences, but we can see how these rules are necessary to protect us as consumers. It’s not exaggerating to say that before 1938, every time you bought a product you took your life into your hands. Now consumers know the products, drugs, and food items they purchase everyday have been tested for safety and efficacy because of laws like the FD&C Act.

Regulations and ways to meet them continue to evolve. Developing technology and the use of digital tools allows for cost-effective innovation and speed to market. As an example, companies like Pfizer and Moderna were able to develop and get approval of the COVID-19 vaccine in record time. These companies wouldn't have been able to move their vaccine to market at this speed using paper systems, while prioritizing patient safety, and complying with the FDA regulations. With advances in technology, particularly cloud computing and advanced analytics available with a digital quality management system, companies have the flexibility to develop their products quickly while ensuring compliance.

Sources:
  1. “Fact Sheet: FDA at a Glance,” U.S. Food and Drug Administration, November 2021
  2. “Harvey Washington Wiley,” U.S. Food and Drug Administration,
  3. “Part I: The 1906 Food and Drugs Act and Its Enforcement,” U.S. Food and Drug Administration, April 2019
  4. “A Brief History of the FDA,” Stephen Daily, CRS Today, October 2011
  5. “The Story of Thalidomide in the U.S., Told Through Documents,” Katie Thomas, The New York Times, March 2020
  6. “Sulfanilamide Disaster,” Carol Ballentine, FDA Consumer magazine, June 1981 Issue
  7. Supra note 4
  8. “Color Additives History,” U.S. Food and Drug Administration, November 2017