Lester Breslow (March 17, 1915, in Bismarck, North Dakota, USA – April 9, 2012, in Los Angeles, California, USA) was an American physician who promoted public health. Breslow's career had a significant impact. He is credited with pioneering chronic disease prevention and health behavior intervention. His work with the Human Population Laboratory in the Alameda County Study established the connection between mortality and lifestyle issues like exercise, diet, sleep, smoking, and alcohol. He has been called "Mr. Public Health". Among other positions, Breslow served as president of the American Public Health Association, the Association of Schools of Public Health and the International Epidemiological Association. Breslow served as founding editor of the Annual Review of Public Health from 1980–1990.
Education Breslow received a B.A. in psychology from the University of Minnesota in 1935, followed by his M.D. in 1938 and M.P.H. in 1941. While studying to be a psychiatrist in medical school, he worked for a summer in the Fergus Falls Minnesota State Hospital for the Insane. This experience left him discouraged since there was little they could do to treat patients at that time except to keep them out of harm's way. After Breslow returned to medical school for his senior year, he shared his feelings with a friend and faculty member who introduced him to Gaylord Anderson, a new professor of public health. Anderson interested Breslow in a career in epidemiology.
Career Breslow worked from 1941 to 1943 as a public health officer for the Minnesota Department of Health. During World War II Breslow served in the United States Army as a public health officer on a ship sent to the Pacific.
California Department of Public Health After the war, Breslow took a position with the California State Department of Public Health. In 1946 he became the Founding Chief of the Bureau of Chronic Disease Control of the California State Department of Public Health where he introduced innovative programs in the surveillance, prevention, and control of chronic disease that became national models. These included the establishment of the California Tumor Registry in 1947. A voluntary initiative targeting hospitals, the registry is credited with educating doctors, increasing their skills, and improving patient care. In the 1940s and '50s, Breslow did definitive studies on smoking's harm to human health. President Harry Truman appointed Breslow as Director of the President's Commission on the Health Needs of the Nation, which reported in 1952. Smoking and Health: Report of the Advisory Committee to the Surgeon General of the Public Health Service, published in 1964, drew upon Breslow's research on the links between smoking cigarettes and lung diseases such as cancer. From 1960-1965, Breslow served as Chief of Preventive Medicine Services of the California State Department of Public Health. From 1965-1968, he was the Director of the California State Department of Public Health. Ronald Reagan, then Governor of California, chose to replace Breslow, a Democrat, due to "philosophical differences" over cuts in medical care for the poor. Breslow spoke of himself as "a political activist for disadvantaged people." He served as president of the International Epidemiological Association from 1964-1968.
University of California, Los Angeles In 1968, Breslow became Professor of Public Health at the University of California, Los Angeles. As of 1970, he became Dean of the Jonathan and Karin Fielding School of Public Health, UCLA. Also during this time, Breslow served as President of the American Public Health Association from 1968-1969. In 1969, he was elected founding co-president of NARAL Pro-Choice America with Congresswoman Shirley Chisholm. From 1973-1975, he served as President of the Association of Schools of Public Health. As of 1980, Breslow became professor emeritus at UCLA, continuing to do research and write. Breslow was the founding editor of the Annual Review of Public Health from 1980–1990. He was elected as a fellow of the American Association for the Advancement of Science in 1982, and held that honor at the same time as his son, Norman E. Breslow, who was elected in 1984. Breslow became chair of the Ad-Hoc Tobacco Prevention Interim Advisory Committee in 1989, and was the vice-chair of the Tobacco Education Oversight Committee for California, 1990–1996. In 1993, he published "California's Proposition 99 on Tobacco, and its Impact". Breslow was appointed to lead the Los Angeles County Public Health Commission in 1997, tasked with reviewing "across-the-board operations of public health". Breslow was the editor-in-chief of the four-volume Encyclopedia of Public Health (2002). He also published a memoir, A life in public health (2005).
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