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Trans Health Initiative

A Blend of Timelines for Endocrine Disrupting Chemicals and  Gender Identity Research
We wish to thank for the gender research timeline information, and for the Endocrine timeline information

Gender  -   Endocrine

1905 - 'Three Essays on the Theory of Sexuality', by Sigmund Freud, published

1910 - Magnus Hirschfeld, a German sexologist and an openly gay man, publishes 'The Transvestites', coining the term

1919 - Hirschfeld's Institute for Sexual Science, the first clinic to serve transgendered people on a regular basis, opens in Berlin, Germany

1920 - Jonathan Gilbert publishes 'Homosexuality and Its Treatment' , a case study of Dr. Alan Hart, who would today be described as a female-to-male transsexual

1923 - First estrogen bioassay is developed. The test detects estrogenic activity in biological extracts and determines relative potencies of compounds and mixed natural materials.

1929 - Commercial production of PCBs begins in the United States in response to the electrical industry's need for a safer cooling and insulating fluid for industrial transformers and capacitors

1930 - Lili Elbe undergoes SRS in Germany, later dying after removal of unsuccessfully transplanted ovaries

1931 - Felix Abraham publishes “Genital Reassignment of Two Male Transvestites”

1933 - Institute for Sexual Science closed by the Nazis

1938 - British scientist and physician Edward Charles Dodds announces the synthesis of a chemical that acted in the body like a natural estrogen. Called DES, it is hailed by leading researchers and gynecologists as a wonder drug with a host of potential uses. (Dodds was later knighted for his scientific achievement.) Soon after Dodds invents DES, researchers in the United States begin giving the synthetic hormone to women with problem pregnancies. The massive experiment would eventually involve an estimated 4.8 million pregnant women worldwide

1948 - Paul Muller is awarded a Nobel Prize in medicine for discovering the insect-killing properties of DDT.

1950 - DDT is shown to disrupt sexual development in roosters -- possibly by acting as a hormone. Scientists V.F. Lindeman and Howard Burlington find that young roosters treated with DDT fail to develop normal male sex characteristics, such as combs and wattles. The pesticide also stunted the growth of the animals' testes. These scientists noted a similarity between DDT and DES, a synthetic estrogen given to women for problem pregnancies. DDT, they observe, "may exert an estrogen-like action" on the animal in question.

1952 - By this date, four separate scientific studies show women treated with DES to prevent miscarriage did no better than those treated with alternatives such as bed rest or sedatives. Further analysis will show that DES actually increases the number of miscarriages, premature births, and deaths among infants.

1952 - Christine Jorgensen undergoes SRS and returns to a US media frenzy

1955 - The term "gender role" first appears in print

1962 - "Silent Spring" is published. Rachel Carson's book describes health problems observed in wildlife such as egg shell thinning, deformities and population declines. Carson links these adverse effects to exposure to pesticides and other synthetic chemicals

1963 - Study shows that newborn mice receiving estrogen injections developed tissue pathologies such as cysts, cancers, and lesions. Results indicate that exposure to naturally occurring hormones early in life can produce harmful health effects and point to possible early life causes of cancer in adult human populations.

1966 - Harry Benjamin publishes 'The Transsexual Phenomena'
New clinic for transsexuals opens at The Johns Hopkins Hospital

1967 - Money publishes "The genetics of homosexuality"

1968 - DDT is shown to be estrogenic in mammals and birds.

1969 - Green & Money publish 'Transsexualism and sex reassignment'.

1969 - The Stonewall riots

1970 - Money publishes "Sex reassignment"

1971- DES is linked to vaginal cancer in daughters whose mothers had taken the drug during the first three months of pregnancy. By this date, millions of pregnant women had received prescriptions from physicians for DES.

1971 - U.S. Food and Drug Administration directs doctors not to prescribe DES to pregnant women and bans the drug for animal use.

1972 - DDT use is restricted in agriculture by the U.S. Environmental Protection Agency.

1973 - International Joint Commission (IJC) for the U.S. and Canada singles out first "Areas of Concern" in the Great Lakes region, noting extensive pollution and threats to wildlife

1973 - American Psychiatric Association votes to remove homosexuality from DSM ; subsequent version includes "ego-dystonic homosexuality" as a diagnosis

1974 - Green publishes 'Sexual Identity Conflict in Children and Adults'

1975 - Money publishes case study on John/Joan, whose penis was destroyed by a botched circumcision and who was reassigned female, with his identical twin brother functioning as a "control" in the "experiment of opportunity"

1975 - Money & Tucker publish Sexual Signatures: On Being a Man or a Woman

1975 & 1976 - DES is shown to cause developmental abnormalities in male mice and reproductive problems in humans.

1977 - Use and manufacture of PCBs restricted by the U.S. Environmental Protection Agency. PCBs continue to be manufactured and sold overseas

1978 - Great Lakes Water Quality Agreement between U.S. and Canada calls for virtual elimination of persistent toxic substances from Great Lakes basin.

1979 - National Institute of Environmental Health Sciences holds conference entitled: Estrogens in the Environment I. Presented papers identify and evaluate both advertent and inadvertent hormone mimics.

Manufacture of PCB's banned in the U.S., but not their use or storage

1979 - First draft of Harry Benjamin Standards of Care approved by the Sixth Annual Gender Dysphoria Symposium

1979 - Janice Raymond publishes 'The Transsexual Empire'

1980 - DSM-III published: gender identity disorder is added as diagnosis.
Paul Walker organizes the Harry Benjamin International Gender Dysphoria Association.
Teenage "John/Joan" learns the details of his birth and immediately reverts to living as a boy.

1982 - DES is shown to cause developmental abnormalities and vaginal cancer in female mice.

1983 - Responding to public concern over dioxin contamination at Times Beach, Love Canal, Jacksonville and other sites, the U.S. Congress directs the EPA to conduct a National Dioxin Study to determine the extent of contamination nationwide.

1985 - National Institute of Environmental Health Sciences holds a conference called Estrogens in the Environment II: Influences on Development. Presentations address the effects of environmental estrogens on puberty in young children. Also noted is the ubiquitous nature of the contaminants, their potency and their potential impact on public and environmental health.
EPA's Dioxin Risk Assessment classifies dioxin as a known animal and probable human carcinogen, setting the lowest "safe exposure level" on record. 

Eight Great Lakes states develop remedial action plans to address environmental damage seen in IJC-targeted "Areas of Concern."

1986 - Documents are leaked to Greenpeace showing EPA agreed to demands from the paper industry to keep results of National Dioxin Survey secret.
Under threat of lawsuit, EPA releases National Dioxin Survey. The study finds dioxin is present in discharge from paper mills and in finished paper products (due to chlorine bleaching of white paper). 

Paper industry pressures EPA to reconsider its 1985 Dioxin Risk Assessment in hopes of obtaining a less damaging judgment on dioxin's health effects.

1986 - Homosexual diagnosis removed entirely from the DSM-IIIR

1987 - Green publishes The 'Sissy Boy Syndrome' and the development of homosexuality.

1988 - Blanchard & Clemmensen of Clarke Institute publish "A Test of the DSM-III-R's Implicit Assumption that Fetishistic Arousal and Gender Dysphoria are Mutually Exclusive" in the Journal of Sex Research
Rekers' "The formation of a homosexual orientation" appears in a publication of The Center for Child and Family Policy

1988 - EPA begins its first reassessment of dioxin.

1989 - Billy Tipton, jazz musician, dies and is discovered to be female after presenting as a man since 1933.

1990 - Rekers, et al publish "Long-term effects of treatment for childhood gender disturbance

1990 - The EPA and the Chlorine Institute (an industry group) co-sponsor the Banbury Conference on Dioxin, which takes place on Long Island, New York. Conference attendees reach a consensus on dioxin's probable mechanism of action.
Theo Colborn co-authors "Great Lakes, Great Legacy?," detailing developmental, reproductive, metabolic and behavioral damage to wildlife from persistent chemical pollutants.

Fifth Biennial report of IJC puts threat in plain language, saying that the principle danger of persistent organochlorine chemicals is to the fetus

Environmental groups around the Great Lakes form the Zero Discharge Alliance to oppose production of bioaccumulative toxic substances

1991 - Theo Colborn helps organize a conference called "Chemically Induced Alterations in Sexual Development: The Wildlife-Human Connection" and held at Wingspread in Racine, Wisconsin. For the first time, scientists from many disciplines are brought together to discuss concerns about endocrine-disrupting chemicals in the environment. Participants present evidence that compounds may have deleterious effects on sexual development in a variety of wildlife species. Possible impacts include reproductive system abnormalities, reduced fertility, behavioral abnormalities, and population declines -- particularly in top predators.
Researchers Ana Soto and Carlos Sonnenschein report that some plastic compounds widely used in a variety of consumer products are estrogenic in laboratory research.

The Chlorine Institute (an industry group) prematurely issues a press release stating that below a certain threshold of exposure, dioxin has no adverse effects. Group makes false claim that this was the consensus of the Banbury Conference.

EPA administrator Bill Reilly states publicly that dioxin seems less dangerous than previously thought. He initiates a second EPA reassessment of dioxin.

Greenpeace tours 40 Great Lakes cities by boat in preparation for upcoming IJC meeting in Traverse City, Michigan. The publicity campaign focuses on the goal of zero dioxin discharge by the paper industry. Greenpeace distributes a report entitled: "The Product is the Poison: The Case for a Chlorine Phase-Out."

1992 - Sixth Biennial Report of the IJC calls for a phase-out of chlorine as an industrial feedstock. Drinking water and pharmaceutical uses are exempted. Environmental groups and industry are surprised by this wide-reaching recommendation

Chemical Manufacturer's Association forms the Chlorine Chemistry Council (CCC) to promote the industry's agenda in the debate over chlorine chemistry. CCC launches a public relations campaign, including television advertisements asserting the need for chlorine

1994 - EPA releases a Public Review Draft of its Dioxin Reassessment. It covers dioxin, dioxin-like PCBs and furans. The report concludes that these chemicals cause harm at levels similar to those seen in the general public. In addition to cancer, potential damage is seen to the immune, nervous and reproductive systems

1994 - DSM-IV published

1995 - The National Academy of Sciences and National Research Council sponsor a panel study called "Hormone Related Toxicants in the Environment."
The EPA's Science Advisory Board reviews draft of Dioxin Reassessment.

1996 - The topic of endocrine disrupters is popularized with the publication of "Our Stolen Future," which is co-authored by Theo Colborn and includes an introduction by U. S. Vice President Al Gore.
*President Clinton signs the Food Quality Protection Act and amendments to the Safe Drinking Water Act, establishing the EPA's Endocrine Disruptor Screening and Testing Advisory Committee (EDSTAC). EDSTAC is a unique advisory committee of 40 members from industry, academia, government and environmental groups. It is charged by Congress to develop a chemical screening program for endocrine disruptors by 1998, and to implement the program by August, 1999.
Scientist Lou Guillette publishes his finding that male alligators in Florida's Lake Apopka have strikingly low levels of testosterone and abnormally small phallus size. Pesticide residues in this contaminated lake appear to have "feminized" the alligators there.

Psychologists Sandra and Joe Jacobson report that children exposed to high levels of PCBs before birth have as much as a 6.2 point IQ deficit later in life.

Dr. Harry Fisch publishes a study refuting any decline in U.S. sperm counts. He found, instead, striking geographical variation in sperm counts across the U.S. While sperm counts remained constant in a given region between 1970 and 1994, New York had higher counts than Minnesota, which had higher counts than California. Fisch thinks that the geographical variation may have confused other research that, in 1992, showed a worldwide decline in human sperm count

1996 - Money publishes Man & Woman, Boy & Girl

1997 - Isay's call for removal of childhood GID from the DSM published in Psychiatric Times

1997 - Work by researcher Dr. Fredrick vom Saal shows that bisphenol-A, a component of polycarbonate plastic, can alter the reproductive development of lab mice at extremely low doses. Bisphenol-A mimics the natural sex hormone estrogen. Male mice exposed to this plastic during fetal development have premanently enlarged prostates and lower sperm counts. The effects occur at doses near those that humans are exposed to each day from sources like food packaging and dental sealants.
A study by the Centers for Disease Control and Prevention shows that hypospadias, a hormone-dependent genital defect, is on the rise in baby boys.

The National Institute of Environmental Health Sciences (HHS) holds its fourth major conference on estrogens in the environment in Arlington VA. Numerous scientific papers and reports are presented on toxicology, risk assessment and research for this emerging health concern.

Tulane University scientists retract an environmental estrogen study published in a June 1996 issue of Science. The report had claimed that combinations of pesticides were as much as 1,600 times more potent as environmental estrogens than the individual pesticides. The research results couldn't be replicated and the study was retracted.

1998 - The National Academy of Sciences Institute of Medicine is expected to issue its report on hormone-related toxicants in the environment. The NAS panel will critically review the literature, identify known and suspected impacts on fish, wildlife and humans, and recommend research, monitoring and testing priorities, among other activities.
By August, the EPA committee EDSTAC is mandated to develop recommendations on how to screen and test chemicals for their potential to disrupt hormone function in humans and wildlife. EDSTAC's final plenary session is set for June 17-18 in Washington, D.C.

A research paper published in the Journal of the American Medical Association reports that the proportion of males to females born has been declining in the U.S. and Canada since the 1970s and in Denmark and the Netherlands between 1950 and 1994. The study's authors suggest that endocrine disruptors may play a role, pointing to increased numbers of male reproductive disorders. When the study is reported in the popular press, some scientists downplay the significance of the reported trend.

Vice-president Al Gore urges the chemical industry to voluntarily release vital health information about thousands of commonly used chemicals. He says such a move would "empower citizens with new knowledge" to safeguard their neighborhoods against potential chemical hazards.

The United Nations Environment Programme plans to hold a meeting in late June in Montreal to expand throughout the world an agreement to ban, phase out or limit the production of Persistent Organic Pollutants (POPs). POPs are chemical substances that persist in the environment, bioaccumulate through the food web, and pose a risk of causing adverse effects to human health and the environment. Persistent Organic Pollutants include: aldrin, dieldrin, endrin, chlordane, DDT, heptachlor, hexachlorobenzene, mirex, toxaphene, PCBs, dioxins, and furans.

On Earth Day, the Chemical Manufacturers Association announces it will urge its members to voluntarily increase their health effects testing program of industrial chemicals to 100 chemicals a year by 2003.

1998 - In Medical Law, Money publishes "Case consultation: ablatio penis," in which he suggests the boy might be raised as a boy
Japan allows first legal SRS to be performed on an FTM
The Royal College of Psychiatrists publishes report, "Gender Identity Disorders in Children and Adolescents"

1999 - Green mentions existence of gay and lesbian transsexuals in his presidential address at the XVI Harry Benjamin International Gender Dysphoria Association Symposium

2000 - DSM-IV-TR published

2002 - Chung, et al publish article on size of BSTc region of brain in trans women in The Journal of Neuroscience


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