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Chest 1 Harry Chest Mr. Jourdeans English 9—7th Hour 21 December 2012 Alexander Fleming Revolutionizing Medicine Without antibiotics, disease and illness would be an everyday concern. Because of Alexander Fleming, the first antibiotic was discovered. Alexander Fleming's personal experiences led to his influential discoveries that revolutionized medicine. This important discovery started a new age of medicine (Davis 232). Alexander Fleming was born in Lochfield, Scotland on August 6, 1881 within the county of Ayrshire (Brieger 388; “Fleming, Alexander” 329). His parents were Hugh Fleming and Grace (Morton) Fleming, Hugh’s second wife. His father was a farmer. Alexander was the third of his mother’s children and the seventh of his father’s (“Fleming, Alexander” 329). Fleming had two stepbrothers and two stepsisters, all from his father’s first marriage (Oakes 236). His father died when he was seven. Alex was left to care for the farm with his half brother, Thomas, and his mother. (“Fleming, Alexander” 329). Alexander received his education from many schools throughout his lifetime. He went to the small moorland school close to his house. Later, he went to the Kilmarnock Academy. Early in life, he learned how to watch nature closely (“Fleming, Alexander” 329). After his basic schooling, when Alex was thirteen, he went to London to join his brothers. He worked as a clerk and went to classes at Regent Street Polytechnic (Brieger Chest 2 388; “Fleming, Alexander” 329). A war between the British and the Boers broke out in 1899 when Alex was 18 years old. In 1900 Fleming joined the London Scottish Regiment (“Fleming, Alexander” 329). Fleming inherited 250 pounds one year later, and with Thomas’s advice used the money to enter medical school. Because he had some of the highest grades in all of England, Alex was awarded with a scholarship to St. Mary’s Hospital Medical School. He learned about surgery there, and in 1906 Fleming graduated from St. Mary’s and was accepted into the Royal College of Surgeons by passing an exam. However, after graduation Fleming stayed at St. Mary’s to work with Professor Almroth E. Wright in his laboratory of pathology as a junior assistant (“Fleming, Alexander” 329). Wright’s laboratory provided Fleming with many opportunities. Arsphenamine (Salvarsan) was discovered in 1910 by Paul Ehrlich, a German scientist. Salvarsan is a drug that works against syphilis (“Fleming, Sir Alexander”). This lab was one of the first few to get samples of Salvarsan for experiments and testing in 1908 (“Fleming, Alexander” 329). Fleming was given the Gold Medal of the university in 1908 (Oakes 236). He also earned an M.S. and a B.S. from London University in 1908 and entered the Royal College of Surgeons in 1909 (“Fleming, Alexander” 329). From 1914 to 1918, Fleming studied infections in wounds alongside Wright in World War I (Brieger 388). Fleming served as a captain and experienced directly what was happening in France (“Fleming, Alexander 329). According to Elizabeth H. Oakes, “During the war Fleming served in the British Royal Army Medical Corps, stationed in Boulogne, France. With Wright, he studied the treatment of infected wounds and found that antiseptics, the treatment of the time, not only killed bacteria, but also killed white Chest 3 blood cells, thus inhibiting healing” (236). Without white blood cells the body’s defense system will weaken and allow bacteria to continue living within the wound (“Fleming, Alexander” 329). Because of this new found knowledge, Fleming concluded that carbolic acid, an antiseptic that had been commonly used to treat open wounds, was harmful to humans (Oakes 236). This interested him and he began searching for other ways of fighting bacteria without harming the body and its natural defense system (Oakes 236). Alexander continues researching nontoxic drugs to kill bacteria. When the war ended in 1918, Wright and Fleming went back to St. Mary’s. Fleming was appointed assistant director of the Inoculation Department in 1921 (Brieger 388; Oakes 237). In 1922, while having a cold, Alexander gathered mucus from his nose trying to separate the organism causing the common cold. He was unsuccessful; however, he discovered lysozyme, an antibody. Although it wasn’t harmful to humans, it failed to stop bacterial infection (“Fleming, Alexander” 329; Oakes 237). It does not serve much of a purpose for medical use, and works best against bacteria that do not cause an illness or disease (“Fleming, Alexander” 329). In 1928, Fleming was named the Arris and Gale Lecturer at the Royal College of Surgeons and chosen by London University as a professor of bacteriology. His interest and curiosity to find a harmless bacteria killing drug continued. In 1928, Fleming also discovered Penicillin (Oakes 237). He was known for having untidy habits; he didn’t throw out his culture plates once he was finished with them, and kept his samples after they were done culturing (“Fleming, Alexander” 330; Oakes 236). The plates would create a pile on his bench. Eventually before disposing of the cultures, Fleming would look at each culture plate to see if anything worth noting had happened (“Fleming, Alexander” 330). Fleming had been studying Staphylococcus Chest 4 aureus bacteria (Oakes 236). Fleming then went on vacation and left this dish in his laboratory (“Fleming, Alexander” 330). In one dish, he noticed a small ring surrounding the mold without bacteria (Oakes 236). The mold was growing and Staphylococcus bacteria was dissolving (“Fleming, Alexander” 330). “Penicillium” is what the mold was identified as, and its contents the mold gave off, “penicillin” (Brieger 388). Fleming discovered penicillin on the third of September, 1928 (“Fleming, Sir Alexander”). “The mold that contaminated the culture was a very rare organism, ‘Penicillium,’ ultimately traced to a laboratory on the floor below, where molds from the homes of asthma sufferers were being grown and extracts of them made for desensitization.” Fleming’s observations concluded many important points about penicillin. Fleming described it, and wrote, “a powerful antibacterial substance…Penicillin is nontoxic to animals in enormous doses…It is suggested that it may be an efficient antiseptic for application to, or injection into, areas infected with penicillin-sensitive microbes” (“Fleming, Alexander” 330). It is a nontoxic antibacterial substance that stops the spread of many harmful bacteria (Brieger 388). Fleming became discouraged when he received mixed results from his experiments of applying the broth externally to patients. Penicillin was difficult to purify and unstable (“Fleming, Alexander” 330). However, because Fleming wasn’t able to obtain the substance in pure state, the importance of this discovery was not acknowledged immediately (Oakes 237). Sir Ernst Boris Chain and Sir Howard Walter Florey, chemists from Oxford University, saw penicillin noted in a journal in 1940. They chose to test it as an antibody. Penicillin was found to be very capable of inhibiting bacterial infection (Oakes 237). Chest 5 World War II lasted from 1939 to 1945. Penicillin was tested during the war due to Chain and Florey’s work (Davis 232; “Fleming, Sir Alexander”). Fleming, Florey, and Chain receive praise for their contributions of developing Penicillin. In 1944 Fleming was knighted, and Fleming, Florey, and Chain received the 1945 Nobel Prize for Physiology or Medicine “for the discovery of penicillin and its curative effect in various infectious diseases,” stated by Goran Liljestrand from Karolinska Institute during his presentation speech. “The story of penicillin is well known throughout the world. It affords a splendid example of different scientific methods cooperating for a great common purpose. Once again it has shown us the fundamental importance of basic research.” “The phenomenal success of penicillin has led to an intensive research into antibacterial products produced by molds and other lowly members of the vegetable kingdom,” Fleming stated during his Nobel lecture. Fleming amassed twenty-five honorary degrees, twenty-six medals, eighteen prizes, thirteen decorations, and honorary membership in eighty-nine scientific academies and societies throughout the next ten years (“Fleming, Alexander” 330). When Wright died in 1947, Fleming became director of the Wright-Fleming Institute (Brieger 388). Alexander’s wife, Sarah Marion McElroy, whom he had married in 1915, died in 1949. Fleming married Amalia Coutsouris-Voureka in 1952. She was a prior student of his and a bacteriologist. Fleming died of a heart attack at the age of seventy-three three years later (“Fleming, Alexander”). The discovery of penicillin has had a great impact on medicine, science, and health. In “The Story of Penicillin” it is written that “The development of antibiotics is one of the greatest medical advances of the 20th century. Penicillin inspired massive Chest 6 efforts to discover other new drugs that could conquer the many diseases still threatening the world. Further antibiotics soon followed, including streptomycin, chloramphenicol, the tetracylines, and erythromycin.” Because of antibiotics, the number of deaths and diseases caused by infections has increased significantly. Infections that were once a daily issue became treated safely and effectively (“The Story of Penicillin”). Alexander Fleming had a huge impact on developing science and the practice of medicine. His personal experiences sparked his interest, which led to his discovery of penicillin. This finding led to the expansion of antibiotics that are now used daily to prevent disease and infection by killing bacteria in a way that does not harm the human body. Without Alexander Fleming’s discovery of penicillin, a wound would still be deadly fear every day. Chest 7 Works Cited Brieger, Gert H., M.D. "Fleming, Sir Alexander." Encyclopedia America. Vol. 11. Danbury: Scholastic Library Publishing, Inc., 2006. Print. International Edition 11. Davis, Audrey B. "Fleming, Sir Alexander." World Book. Vol. 7. 2008. Print. "Fleming, Alexander." Nobel Prize Winners. Ed. Tyler Wasson. New York: H. W. Wilson, 1987. 329-30. Print. "Fleming, Sir Alexander." Encyclopedia Britannica. Encyclopedia Britannica Online School Edition ed. Britannica, 5 Dec. 2012. Web. 5 Dec. 2012. <http://school.eb.com/eb/article-280654#cite>. Oakes, Elizabeth H. "Fleming, Sir Alexander." Encyclopedia of World Scientists. Revised Edition ed. Vol. 1. New York: Infobase Publishing, 2007. Print. "The Story of Penicillin." University of Oxford. University of Oxford, 1 June 2010. Web. 5 Dec. 2012. <http://www.ox.ac.uk/research/medical_sciences/projects/penicillin.html>.