Cholera Conundrum

Epidemiology, Famous Victorians

Max Joseph von Pettenkofer was a Bavarian chemist known for his research on practical hygiene and implementing many hygiene-related standards in German cities, including improving the state of drinking water, sewage disposal, and general cleanliness. 🚿 While all of this work positively contributed to public health, it was also a result of Pettenkofer’s alignment with the miasmatic theory rather than the germ theory of disease. 🌬️ And even though Pettenkofer did not deny the existence of bacteria, he thought they weren’t enough to cause sickness and had to be accompanied by bad living conditions, miasmatic air, and dirt in general. This belief made him at odds with Robert Koch, the discoverer of the bacterium responsible for cholera outbreaks and proponent of the germ theory of disease. 🔬 The two scientists did not see eye to eye with each other on how to deal with German cholera outbreaks in the 1880s, which only made things worse. 😷

Pettenkofer was so adamant that Koch was wrong that he decided to perform a perplexing experiment on himself in 1892 (when he was 74!). To prove that cholera could not develop without poor hygiene and subsoil rather than drinking water, he decided to drink a cholera bouillon laced with bacteria isolated from the stool of a person who had already died of that disease. 💀😱 To make sure his experiment was viable, he decided to do it in front of an audience and obtained the sample from Koch himself. He had also emptied his stomach beforehand and neutralized any leftover acid with sodium bicarbonate. 🤢

How this fantastic example of self-experimentation ended? After experiencing watery diarrhea for a week, Pettenkofer stated that he did NOT come down with cholera, and his symptoms were associated with something else. In reality, he contracted a mild case of cholera and was probably saved from death by the fact he already had had contact with the disease a few years earlier. 💀 When asked why he was willing to risk his own life, he stated “I would have looked Death quietly in the eye for mine would have been no foolish or cowardly suicide; I would have died in the service of science like a soldier on the field of honor.”

You can read more about this and other self-experiments in Who Goes First?

Wash Your Hands

Epidemiology, Famous Victorians, Medicine

While working in Vienna General Hospital in the 1840s, Ignaz Semmelweis noticed a curious thing – the mortality rate of new mothers was a lot higher in wards supervised by doctors 👨‍⚕️compared to those supervised by midwives 👩‍⚕️. After some investigating, he found the source of the problem – only doctors had access to both maternity wards and autopsy tables. Semmelweis quickly developed a theory of what he called “cadaverous particles” 🧟‍♀️🧟‍♀️ and introduced rigorous handwashing 🧼 in his clinics. Unfortunately, even though his method worked spectacularly well, he was ridiculed by most of the medical professionals until his death in a lunatic asylum. 💀

Original John Snow

Epidemiology, Famous Victorians, Medicine

John Snow was an English physician, 👨‍⚕️ best known for finding the source of a cholera outbreak in Soho,1854. By putting all known cholera cases on a map, he found the source of all troubles – a contaminated water pump. 💦 Why was it such a big deal? This discovery not only led to shutting down the pump, but also worked in favor of the budding germ theory of disease. 🦠🦠🦠 Even though Snow himself didn’t know that at the time, he contributed to the birth of epidemiology. 🔬

The third episode of the newest Victoria season talks about the Snow’s cholera investigation, so check it out! (the series doesn’t always stick well to the facts, though, you’ve been warned) 😀