David Murray Cowie
Encyclopedia
David Murray Cowie pioneered the salt iodation process in the U.S. A professor of pediatrics
Pediatrics
Pediatrics or paediatrics is the branch of medicine that deals with the medical care of infants, children, and adolescents. A medical practitioner who specializes in this area is known as a pediatrician or paediatrician...

 at the University of Michigan
University of Michigan
The University of Michigan is a public research university located in Ann Arbor, Michigan in the United States. It is the state's oldest university and the flagship campus of the University of Michigan...

, Cowie was concerned about the widespread problem of goiter in Michigan (nicknamed the "goiter belt" of America).

In the U.S. in the early 20th century, goiter was especially prevalent in the region around the Great Lakes
Great Lakes
The Great Lakes are a collection of freshwater lakes located in northeastern North America, on the Canada – United States border. Consisting of Lakes Superior, Michigan, Huron, Erie, and Ontario, they form the largest group of freshwater lakes on Earth by total surface, coming in second by volume...

 and the Pacific Northwest
Pacific Northwest
The Pacific Northwest is a region in northwestern North America, bounded by the Pacific Ocean to the west and, loosely, by the Rocky Mountains on the east. Definitions of the region vary and there is no commonly agreed upon boundary, even among Pacific Northwesterners. A common concept of the...

. Goiter began receiving serious attention as a result of the World War I
World War I
World War I , which was predominantly called the World War or the Great War from its occurrence until 1939, and the First World War or World War I thereafter, was a major war centred in Europe that began on 28 July 1914 and lasted until 11 November 1918...

 draft
Conscription
Conscription is the compulsory enlistment of people in some sort of national service, most often military service. Conscription dates back to antiquity and continues in some countries to the present day under various names...

 pointing to the problem in Northern Michigan
Michigan
Michigan is a U.S. state located in the Great Lakes Region of the United States of America. The name Michigan is the French form of the Ojibwa word mishigamaa, meaning "large water" or "large lake"....

 and Wisconsin
Wisconsin
Wisconsin is a U.S. state located in the north-central United States and is part of the Midwest. It is bordered by Minnesota to the west, Iowa to the southwest, Illinois to the south, Lake Michigan to the east, Michigan to the northeast, and Lake Superior to the north. Wisconsin's capital is...

. At this time, many men were disqualified from military service as a result of the public health
Public health
Public health is "the science and art of preventing disease, prolonging life and promoting health through the organized efforts and informed choices of society, organizations, public and private, communities and individuals" . It is concerned with threats to health based on population health...

 problem.

Aware of the Swiss process of adding sodium iodide
Sodium iodide
Sodium iodide is a white, crystalline salt with chemical formula NaI used in radiation detection, treatment of iodine deficiency, and as a reactant in the Finkelstein reaction.-Uses:Sodium iodide is commonly used to treat and prevent iodine deficiency....

 or potassium iodide
Potassium iodide
Potassium iodide is an inorganic compound with the chemical formula KI. This white salt is the most commercially significant iodide compound, with approximately 37,000 tons produced in 1985. It is less hygroscopic than sodium iodide, making it easier to work with...

 to table and cooking salt, Cowie decided that a simple way to address the problem of iodine deficiency would be to merely implement the Swiss solution in America. He had noted that adding iodine to aquatic environments in the Pacific Northwest seemed to decrease the incidence of goiter among fish species. Public opinion also supported his effort in that "important discoveries of vitamins and their roles in food nutrition" were happening during the period. Cowie appealed to the Michigan State Medical Society
Michigan State Medical Society
The Michigan State Medical Society is the professional organization representing physicians in Michigan. Incorporated on June 5, 1866, the MSMS is a non-profit organization that consists of physicians, medical students, and residents. It is currently based in East Lansing, Michigan, near Michigan...

, a "productive group which concerned itself with the search for answers to difficult medical questions pertaining to the health of the state's residents".

Incorporating iodine into a regular diet would not be an easy process; the salt producers of America had to be persuaded to incorporate sodium iodide into their production process. It was difficult to prove that people who consumed iodized salt were better protected from simple goiter, a difficulty that contributed to resistance to the movement. Cowie and the Michigan State Medical Society turned to the Michigan Salt Producer's Association in 1923. Soon, an iodized salt committee was formed. After several months of meetings and deliberations with physicians and educators, the Executive Council of the Michigan State Medical Society gave Cowie the authority to endorse and implement the production of iodized salt, and the Michigan salt producers agreed to begin producing iodized table salt with labels reading "contains .01 per cent sodium iodide".

On May 1, 1924, iodized salt by Diamond Crystal Salt, Mulkey Salt, Inland Delray Salt, Michigan Salt Works, and Ruggles and Rademaker appeared on Michigan grocers' shelves. By the fall of 1924, Morton Salt Company began distributing iodized salt nationally.

Cowie's efforts to improve the public health environment necessitated broad cooperation. Cowie gained support from the medical board and market support from the Michigan Salt Producers Association, and with this scientific backing, the general public accepted the change.

Another person who is also credited for the introduction of iodized table salt to America is Dr. William A. Hudson, who devoted much of his time to the study of iodine levels in the blood while at Washington University, the Royal Victoria Hospital in Montreal, and Ford Hospital in Detroit.
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