National Museum of Health and Medicine

19th century

The AMM was established during the American Civil War^[3] as a center for the collection of specimens for research in military medicine and surgery.^[6] In 1862, Hammond directed medical officers in the field to collect "specimens of morbid anatomy...together with projectiles and foreign bodies removed" and to forward them to the newly founded museum for study.^[6] The AMM's first curator, John H. Brinton, visited mid-Atlantic battlefields and solicited contributions from doctors throughout the Union Army. During and after the war, AMM staff took pictures of wounded soldiers showing the effects of gunshot wounds as well as results of amputations and other surgical procedures. The information collected was compiled into six volumes of The Medical and Surgical History of the War of the Rebellion, published between 1870 and 1883.^[6]

20th century

During the late 19th and early 20th centuries, AMM staff engaged in various types of medical research. They pioneered in photomicrographic techniques, established a library and cataloging system which later formed the basis for the National Library of Medicine (NLM), and led the AMM into research on infectious diseases while discovering the cause of yellow fever. They contributed to research on vaccinations for typhoid fever, and during World War I, AMM staff were involved in vaccinations and health education campaigns, including major efforts to combat sexually transmissible diseases.^[6]

The former NMHM building (actually the basement of the AFIP building) on the Walter Reed Army Medical Center (WRAMC) garrison, Washington, DC, where it was housed from 1971 to 2011.

By World War II, research at the AMM focused increasingly on pathology. In 1946 the AMM became a division of the new Army Institute of Pathology (AIP), which became the Armed Forces Institute of Pathology (AFIP) in 1949. The AMM's library and part of its archives were transferred to the National Library of Medicine when that institution was created in 1956. The AMM became the Medical Museum of the AFIP in 1949, the Armed Forces Medical Museum in 1974, and the NMHM in 1989.^[6] During its peak years on the National Mall in the 1960s, every year the Museum saw "as many as 400,000 to 500,000 people coming through". But after its moves to increasingly obscure and out-of-the-way sites, it fell into a period of relative neglect. By the 1990s, it was attracting only between 40,000 and 50,000 visitors a year.^[7]

In 1989, C. Everett Koop (in his last year as Surgeon General) commissioned the "National Museum of Health and Medicine Foundation", a private, nonprofit organization to explore avenues for its future development and revitalization, intending to ultimately returning its collection to a venue on the National Mall.^[8] Proposed was “a site on land that is located east of and adjacent to the Hubert H. Humphrey Building (100 Independence Avenue, Southwest, in the District of Columbia)”.^[9] In 1993, a draft bill authored by Sen. Edward Kennedy proposed $21.8 million for moving the existing collection to a new facility to be constructed on that site. That bill, however, was never introduced owing to political difficulties including objections from Constance Breuer—widow of Marcel Breuer, architect of the Humphrey Building—who objected to the view obstruction that the proposed construction would entail. A letter from the Department of Defense to Koop in the mid-1990s, expressed hope that the NMHM exhibits would "one day be provided the appropriate and prominent home they deserve back at the National Mall in the new National Health Museum". But the DoD backed away from contributing to funding a new museum.^[10] The Foundation was superseded by a new organization, dedicated to creating a National Health Museum, that focused on public health education. Although the effort for a physical museum appears to be defunct,^[11] the museum maintains a virtual presence.^[12]

2011 move

Due to the closure of Walter Reed Army Medical Center, National Museum of Health and Medicine has relocated—for the tenth time—to U.S. Army Garrison-Forest Glen in Silver Spring, Montgomery County, Maryland.^[13]

Authority over the Forest Glen garrison was transferred from WRAMC to Fort Detrick in October 2008. The NMHM closed its exhibits^[14] on April 3, 2011, and reopened in a new building on September 15, 2011. On October 1, 2015, the NMHM became part of the Defense Health Agency.^[4]

Major collections

The NMHM embodies five collections consisting of about 25 million artifacts, including 5,000 skeletal specimens, 8,000 preserved organs,^[15] 12,000 items of medical equipment, an archive of historic medical documents, and collections related to neuroanatomy and developmental anatomy. The museum's most famous artifacts relate to President Abraham Lincoln and his assassination on April 14, 1865, by John Wilkes Booth.^[16]

A typical display case at the museum. Clockwise from top right: the skeleton of Able, a rhesus macaque who was among the first primates ever to be sent to space; a box containing the tumor that killed Ulysses S. Grant, sectioned; a hand-cranked surgical saw used for cutting through bone in amputations, etc; and a gilded skull, the first item in the museum's catalogue – original owner unknown.

On display is a copy by sculptor Avarel Fairbanks of Lincoln's life mask and hands made by Leonard Volk in 1860, the bullet fired from the Deringer pistol which ended the President's life, the probe used by the U.S. Army Surgeon General to locate the bullet during autopsy, pieces of Lincoln's hair and skull, and the autopsy surgeon's shirt cuff, stained with Lincoln's blood.^[17][18] In 2010 the heirs of American pathologist Thomas Harvey (1912–2007) transferred all of his holdings constituting the remains of Albert Einstein's brain to the NMHM, including 14 photographs of the whole brain (which is now in fragments) never before revealed to the public.^[19][20]

Museum collections include:

• The Historical Collections^[21] document changes in medical technology since the early 19th century. Included in this growing assemblage of more than 12,000 objects are x-ray equipment, microscopes, surgical instruments, numismatics and anatomical models.
• The Anatomical Collections^[22] are made up of bones and body parts. More than 5,000 skeletal specimens and 10,000 preserved organs document medical cases of disease and injury. The collection supports research in pathology, physical anthropology, forensic anthropology, and paleopathology.
• The Otis Historical Archives^[23] houses photographs, illustrations, and documents related to health and medicine. More than 350 different collections document, in pictures and words, the practice of medicine from the Civil War to the present.
• The Human Developmental Anatomy Center^[24] maintains the largest collection of embryologic material in the United States. The Center is a primary source for centralized research in developmental anatomy. The Center is also known for its imaging and 3-D reconstructions of embryo development.
• The Neuroanatomical Collections^[25] comprise nine different collections focusing on human and non-human neuroanatomy and neuropathology. These collections are a unique international resource for the study of the brain.

Major exhibitions

Museum exhibition Galleries feature several permanent exhibits alongside several rotating displays.^[26]

• Advances in Military Medicine: During times of war and times of peace, American military medical personnel have cared for service men and women with skill and compassion. But new weapons and new environments bring new injuries, and epidemic disease remains a foe uniting all eras of combat. The unwavering commitment of military personnel to provide the best care in difficult and dire conditions, often on an enormous scale and at a fast pace, has led to major medical breakthroughs, improving the lives of people around the world.^[27]

• Anatomy and Pathology: These specimens provide examples of healthy anatomical structures. Healthy specimens establish a reference point for anatomical study. Comparing healthy specimens with diseased or injured tissues can help illustrate the changes caused by illness and trauma. Understanding these processes is often the first step towards improved prevention and treatment.^[28][29]

• Collection that Teaches: The Army Medical Museum, nearly from the time of its founding in 1862, was engaged in an innovative effort to collect, collate and share the lessons of battlefield medicine during the course of the Civil War.^[30][31][32]

Past exhibits include;^[33][34]

• To Bind Up the Nation's Wounds: Medicine During the Civil War^[35] shows Civil War medicine through the eyes of battlefield surgeons and the stories of Union and Confederate sick and wounded.
• Evolution of the Microscope^[36][37] displays items from the world's largest and most representative collection in tracing the development of the basic tool of the bioscientist over the last 400 years.
• Battlefield Surgery 101: From the Civil War to Vietnam,^[38] exclusively from the museum's historical archives and historical collections, presents the highlights of the evolution of military surgical activities over the last 140 years through a selection of photographs and 19th- and 20th- century artifacts.
• Abraham Lincoln: The Final Casualty of the War:^[18] To mark the 200th anniversary of President Abraham Lincoln's birth, NMHM honors the 16th president of the United States with this exhibition of items associated with his last hours and the physicians who cared for him.
• Trauma Bay II, Balad, Iraq,^[39] offers a rare view inside a former Air Force tent hospital in Balad, Iraq.
• Resolved: Advances in Forensic Identification of U.S. War Dead^[40] highlights the underlying forensic sciences that have evolved in fulfilling this nation’s commitment to the identification and commemoration of the U.S. service member.

Programs offered

Flier for October 8, 2011 NMHM Science Café.

The museum offers a wide variety of programs on weekends, weekdays, and evenings throughout the year for adults and children, with topics ranging through a spectrum of medical, scientific, and historical subjects.

• Public Programs^[41][42]
• Tours^[43]
• Brain Awareness Week^[44]