In May 1847 he gave orders that every student, before examining,
should thoroughly disinfect his hands. But, though he had reckoned
with dissecting-room poisons, he had forgotten to reckon with other
sources of infection. In October of that year, a woman was admitted
who had malignant disease; of twelve women examined after her, eleven
got puerperal fever, and died. In November, a woman was admitted who
had a suppurating knee-joint, with sinuses; and eight women were
infected from her, and died. Therefore Semmelweis said, "Not only can
the particles from dead bodies generate puerperal fever, but any
decomposed material from the living body can also generate it, and so
can air contaminated by such materials." Henceforth he isolated all
infected cases, he enforced the strict use of disinfectants: and the
mortality in Clinique A, which in May 1847 had stood at 12.24 per
cent., fell in December to 3.04, and in 1848 was 1.27.
His work was taken up with enthusiasm by Hebra, Skoda, and Haller; the
news of it was sent to every capital in Europe. In February 1849
Haller read a paper on it before the Medical Society of Vienna, and
said, "The importance of these observations is above all calculation,
_both for the maternity department and for the hospitals in general,
but particularly for the surgical wards_." A committee was nominated
to report on the whole matter; but it was opposed by the professor in
charge of Clinique A, and nothing came of it. In May 1850, Semmelweis
opened a great debate on puerperal fever, which occupied three
sittings of the Vienna Medical Society. His opponents were there in
full force, all the Scribes and Pharisees of the profession. They
brought about a vague distrust of his figures and his facts; they got
people to believe that there must be "something else" in puerperal
fever, as well as the local infection. Semmelweis began to be
discouraged. The University authorities made a dead set against
him--they refused to renew his appointment, they got him out of the
hospital, and out of Vienna. He went to Pesth, and was Professor of
Midwifery there; but the same opposition and hostility were at Pesth
as at Vienna. Slowly he began to lose his hold over himself, went down
hill, became excitable and odd. The end came in July 1865. At a
meeting of University professors, he suddenly took a paper from his
pocket and read aloud to them a solemn oath, to be enforced on every
midwife and every doctor. His mind had given way: he was moved to an
asylum at Vienna, and died there a few weeks later. He was only
forty-two when he died--_What a wounded name, Things standing thus
unknown, shall live behind me._
Public-domain text, read in full here on John Shaqi.
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