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Unit 4 · Topic 4.20

4.20 Science, Medicine, and Technology in Black Communities

African Americans have made major contributions to science, technology and medicine, from George Washington Carver's farming research to Katherine Johnson's spaceflight calculations and Kizzmekia Corbett's work on a COVID-19 vaccine. They built their own medical schools and hospitals while facing discrimination, medical abuse and, for Black people with disabilities, compounding forms of oppression.

Key terms

  • George Washington Carver
  • Katherine Johnson
  • Mae Jemison
  • Black hospital movement
  • HeLa cells
  • eugenics

Science and space

George Washington Carver, born enslaved, became a botanist and professor at Tuskegee Institute (3.10). He developed methods like crop rotation to keep soil from wearing out and advised President Theodore Roosevelt on agriculture.

Black women played key roles in the US space program. Katherine Johnson, a NASA mathematician, calculated flight paths that helped send astronauts into orbit and to the Moon and back. Mary Jackson became NASA's first Black female engineer; the required 1977 photo shows her at work. Mae Jemison, a physician and engineer, became the first African American woman to travel in space in 1992; the required photo shows her working in zero gravity.

Medicine and health care

Shut out of white institutions, African Americans built their own. They founded medical schools at Meharry, Howard, Morehouse and other HBCUs, and created the National Medical Association because the American Medical Association initially barred them. Black physicians worked with local governments to open some of the country's first nonsegregated hospitals in the late 1800s and during the Black hospital movement of the mid-1900s, and they provided free community care that encouraged early diagnosis.

Key contributions include:

  • Onesimus: an enslaved African man in Boston who in 1721 explained variolation, a method of protecting people from smallpox by exposing them to a small amount of the disease, which he had learned in Africa. It helped curb smallpox in the colonies.
  • Daniel Hale Williams: founded Provident Hospital in Chicago in 1891, the first Black-owned hospital in the US, and in 1893 performed one of the first successful heart surgeries.
  • Kizzmekia Corbett: a scientist at the National Institutes of Health who was central to developing the Moderna COVID-19 mRNA vaccine.

Abuse and exploitation

Black Americans' relationship with medicine also includes exploitation. In the 1840s, the doctor J. Marion Sims experimented on enslaved women, including Anarcha, Lucy and Betsey, without anesthesia, and was later called the 'father of modern gynecology'; these women are now honored as its foremothers. In the Tuskegee syphilis study (1932–1972), the US Public Health Service watched hundreds of Black men with syphilis go untreated. In 1951, cells were taken from Henrietta Lacks without her consent; her 'HeLa' cells became the first human cells to keep growing in a lab and have been used in countless medical advances. Kadir Nelson's 2017 portrait of Lacks is a required source.

Race and disability

In the early 1900s, the rise of eugenics, a false science claiming some groups were biologically inferior, increased discrimination against people judged 'unfit' because of race or disability. Black people with disabilities faced multiple, compounding forms of oppression: harassment, institutionalization, violations of their rights and forced sterilization.

The Americans with Disabilities Act of 1990 built on the civil rights laws that ended Jim Crow (4.6). It bans discrimination against people with disabilities in areas such as employment, government programs and services, and public places.

Worked examples

Try each one yourself first, then open the solution.

  1. Example 1

    Explaining why institutions were built

    Explain why African Americans established their own medical schools and professional associations.

    Show the solution
    1. Step 1: Describe the exclusion: white medical schools and the American Medical Association barred or limited Black people.
    2. Step 2: Describe the response: medical schools at HBCUs like Meharry and Howard; the National Medical Association.
    3. Step 3: Explain the effect: trained Black doctors who served Black communities.

    Answer: Model answer: Because most white medical schools and the American Medical Association excluded or limited Black people, African Americans built their own institutions, such as the medical schools at Meharry and Howard and the National Medical Association. These institutions trained generations of Black doctors and nurses, who in turn served Black communities that segregated hospitals often neglected.

Common mistakes

  • Telling only stories of individual genius. Black institutions, like HBCU medical schools, were just as important.
  • Leaving out the history of medical abuse, which helps explain distrust of the medical system.
  • Forgetting the disability section: the course covers how race and disability discrimination compound.

On the exam

  • Know one contribution each in science, space and medicine.
  • Connect disability rights to the civil rights movement: the ADA built on earlier civil rights laws.

Connected topics

Videos

  • AP AFAM #73 - 4.20 Science, Medicine, and Technology in Black Communities

    APUSH SlidesWatch on YouTube (opens in a new tab)

  • Black Minds and the (Black) Future of STEM. A Griot's History. 4.20-21

    A Griot's History ChannelWatch on YouTube (opens in a new tab)

  • The immortal cells of Henrietta Lacks - Robin Bulleri

    TED-EdWatch on YouTube (opens in a new tab)

  • In the Midst of Segregation, She Persevered | Remembering Mary W. Jackson on her 100th Birthday

    NASAWatch on YouTube (opens in a new tab)

  • How Mae Jemison Became an Astronaut: First Black Woman in Space

    THIRTEENWatch on YouTube (opens in a new tab)

  • African Americans and Sports Science, Medicine, and Technology in Black Communities

    Dialectic HistoryWatch on YouTube (opens in a new tab)

Check yourself

4 questions on 4.20 Science, Medicine, and Technology in Black Communities. Pick an answer to see if you got it, and why.

PersonContribution
Onesimus (1700s)Brought knowledge of smallpox variolation to colonial Boston
Daniel Hale WilliamsFounded Provident Hospital in Chicago (1891); early successful heart surgery (1893)
Katherine JohnsonNASA mathematician whose calculations supported spaceflights, including to the moon
Mae JemisonFirst African American woman in space (1992)
Kizzmekia CorbettKey scientist in developing the Moderna Covid-19 vaccine

Table written for this practice set

Question 1 of 4

Which conclusion about the people in the table is best supported?

Question 2 of 4

Why did African Americans found medical schools and the National Medical Association?

Question 3 of 4

Kadir Nelson's 2017 portrait of Henrietta Lacks honors a Black woman whose cells, taken during cancer treatment in 1951 without her knowledge, became one of the most important tools in medical research. The portrait most directly raises questions about

Question 4 of 4

The Americans with Disabilities Act of 1990 is connected to the Black Freedom movement because it

0 of 4 answered