Homeopathy was introduced into the USA by Hans Burch Gram in 1825. It developed largely through immigration of German homeopaths. The first homeopathic medical college was established in Allentown, PA in 1835. The American institute of Homeopathy (AIH) was founded in 1844. The American Medical Association was founded in 1847 and pursued policies hostile to homeopathy from the outset. Eclectic medicine was widespread in nineteenth century medicine, one of the greatest homeopaths, JT Kent had originally been an eclectic. The International Hahnemannian Association split from the AIH in 1880. The Flexner Report of 1910 resulted in many homeopathic medical colleges being closed down. Homeopathy in the USA was in steep decline from the 1920s to the 1960s but has had a strong recovery since the 1970s.