The Evolution of Modern Medicine: A Series of Lectures Delivered at Yale University on the Silliman Foundation in April, 1913Osler, William, Sir
History
The Evolution of Modern Medicine: A Series of Lectures Delivered at Yale University on the Silliman Foundation in April, 1913
Osler, William, Sir
Medicine -- History
with investigations undertaken without proper training or proper
technique. By the year 1900, not only had the ground been cleared,
but the work on insect-borne disease by Manson and by Ross had given
observers an important clue. It had repeatedly been suggested that
some relation existed between the bites of mosquitoes and the tropical
fevers, particularly by that remarkable student, Nott of Mobile, and
the French physician, Beauperthuy. But the first to announce clearly the
mosquito theory of the disease was Carlos Finlay of Havana. Early in the
spring of 1900, during the occupation of Cuba by the United States, a
commission appointed by Surgeon-General Sternberg (himself one of the
most energetic students of the disease) undertook fresh investigations.
Dr. Walter Reed, Professor of Bacteriology in the Army Medical School,
was placed in charge: Dr. Carroll of the United States Army, Dr.
Agramonte of Havana and Dr. Jesse W. Lazear were the other members. At
the Johns Hopkins Hospital, we were deeply interested in the work, as
Dr. Walter Reed was a favorite pupil of Professor Welch, a warm friend
of all of us, and a frequent visitor to our laboratories. Dr. Jesse
Lazear, who had been my house physician, had worked with Dr. Thayer and
myself at malaria, and gave up the charge of my clinical laboratory to
join the commission.
(5) Matthew Carey: A Short Account of the Malignant Fever,
Philadelphia, 1793.
(6) R. La Roche: Yellow Fever, 2 vols., Philadelphia, 1855.
Many scientific discoveries have afforded brilliant illustrations of
method in research, but in the work of these men one is at a loss to
know which to admire more--the remarkable accuracy and precision of the
experiments, or the heroism of the men--officers and rank and file of
the United States Army; they knew all the time that they were playing
with death, and some of them had to pay the penalty! The demonstration
was successful--beyond peradventure--that yellow fever could be
transmitted by mosquitoes, and equally the negative proposition--that it
could not be transmitted by fomites. An interval of twelve or more days
was found to be necessary after the mosquito has bitten a yellow fever
patient before it is capable of transmitting the infection. Lazear
permitted himself to be bitten by a stray mosquito while conducting his
experiments in the yellow fever hospital. Bitten on the thirteenth, he
sickened on the eighteenth and died on the twenty-fifth of September,
but not until he had succeeded in showing in two instances that
mosquitoes could convey the infection. He added another to the long list
of members of the profession who have laid down their lives in search
of the causes of disease. Of such men as Lazear and of Myers of the
Liverpool Yellow-Fever Commission, Dutton and young Manson, may fitly be
sung from the noblest of American poems the tribute which Lowell paid to
Harvard's sons who fell in the War of Secession:
Public-domain text, read in full here on John Shaqi.
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