Conjunctivitis, that infamous, sticky-itchy-oozy infection of the eye, can strike anywhere and anyone. For the most part, however, pink eye sticks to its preferred domain, afflicting youthful targets in schoolyard haunts where the infection spreads from dirty little hand to once-clean little eye with the tenacity and enthusiasm of wildfire. Though wholly reliant on direct inoculation to the eyeball, it is easily transmitted, whether by the sticky digits of children unfamiliar with good hygiene or via errant eye gunk inadvertently smeared on a communal surface.
They are considered the most noble creature to grace Earth. They have massive brains, complex forms of communication, the ingenuity for tool use, and the capacity to express emotions, including grief and empathy. Yet, as impressive as they are in size and majesty, elephants can still be felled by the most human of ailments: tuberculosis.
The early twentieth century was a period of frenetic drug development, a seemingly endless series of pharmaceutical and medical discoveries: antibiotics to treat bacterial infections, chemotherapeutics to battle cancers, and barbiturates to tranquilize anxieties, among many others. A huge number of these revolutionary medical treatments were discovered in the first half of the 1950s, an unprecedented era of advances in chemistry yielding a pharmacopoeia that would transform disease and the practice of medicine.
This past spring, a street dog and her puppy were captured in Cairo, Egypt. Her vaccination certificates were forged, and she was shipped to the United States by an animal rescue organization in a shipment that included seven other dogs and 27 cats. Days later, following her placement in a Virginian foster home housing several other dogs, this rescue developed the frank signs and symptoms of rabies, and she was quickly euthanized.
Sherlock Holmes is one of the most famous characters in English literature, revered by fans of mystery from Victorian London to the present day, where he is still celebrated for his keen eye, wealth of knowledge, and aptitude for deductive reasoning. Indeed, Holmes has grown in status from a protagonist in a magazine serial to a genuine pop culture icon; his adventures with Dr. Watson have been featured in fifty-odd short stories and four novels and over 220 films and television shows since his creation by the Scottish physician, ship’s surgeon, and author Sir Arthur Conan Doyle (1).
Infectious diseases have long been the companions of war and natural disaster. For those that barely escaped death in the calamities of antiquity, walking away with what appeared to be a light injury, the agony of a gangrenous wound or convulsive, back-breaking muscle spasms would deal an impending final blow. For centuries, a dreaded complication from an innocent blister or a bullet wound was the untreatable and catastrophic tetanus, caused by Clostridium tetani.
It is common knowledge that the discovery of penicillin in the laboratory of Alexander Fleming radically changed the world of medicine and public health, allowing us to treat and cure once intractable and deadly bacterial infections. Less well-known is the winding road from discovery, past numerous roadblocks including production limitations and the second World War, to widespread use. A decade and a half of limited access to the world’s first antibiotic came to an end in 1943, when a prolifically moldy cantaloupe was purchased from a grocery store in Peoria, Illinois. We would double down in our battle against infectious diseases less than a decade later, when two female scientists inspired by the humble discovery of penicillin would identify the first known antifungal agent in the mucky soil of a Virginia dairy farm.
The mother gazes at her naked, lethargic infant, wan with a pustular red rash dotting his chest. She’s dressed in the fashion of the day: a high-necked black blouse with leg-of-mutton sleeves, a heavy full-length skirt, a formless red feather jutting from her hat. She holds a white handkerchief to her distorted scarlet face, one arm hanging limply at her side, seemingly in despair over the lamentable circumstances that have brought her to this bare waiting room.
The Nuremberg Code was drafted in 1947 following the appalling revelations of human experimentation committed in Nazi concentration camps. The overarching goal of the Code was to establish a set of rules for the ethical conduct of research using human subjects, guaranteeing that the rights and welfare of such participants would be protected. Two important principles guide and define this Code: the concept of voluntary, informed consent and that no experiment shall be conducted in which “there is an a priori reason to believe that death or disabling injury will occur.”
It seems to have started, as many things medicinal do, with Hippocrates. We may not understand precisely why, some 2000 years ago, the great Greek physician chose to insert the bladder of a pig into a patient’s chest and then inflate this porcine balloon. But it may have had something to do with tuberculosis and with the phenomenon of “pulmonary collapse,” which has had a surprisingly long and fruitful run in the annals of medical history.