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Agnes Marshall Cowan MRCOG (1880–1940) was a Scottish physician who was one of the first fully qualified female physicians in Britain, and a medical missionary in
Manchuria Manchuria is an exonym (derived from the endo demonym " Manchu") for a historical and geographic region in Northeast Asia encompassing the entirety of present-day Northeast China (Inner Manchuria) and parts of the Russian Far East (Outer Manc ...
during its
plague Plague or The Plague may refer to: Agriculture, fauna, and medicine *Plague (disease), a disease caused by ''Yersinia pestis'' * An epidemic of infectious disease (medical or agricultural) * A pandemic caused by such a disease * A swarm of pes ...
. She oversaw medical issues in the "Devil's Porridge" explosive factory at Gretna serving the demand for explosives during the
First World War World War I (28 July 1914 11 November 1918), often abbreviated as WWI, was one of the deadliest global conflicts in history. Belligerents included much of Europe, the Russian Empire, the United States, and the Ottoman Empire, with fightin ...
. In 1934 she was the first Scottish female to be granted a professorship, but not until 1940 was a professorship granted within Scotland itself (
Margaret Fairlie Margaret Fairlie Royal College of Obstetricians and Gynaecologists, FRCOG Royal College of Surgeons of Edinburgh, FRCSE (1891–1963) was a Scottish academic and Gynaecology, gynaecologist. Fairlie spent most of her career working at Dundee Roy ...
).


Life

She was born on 19 April 1880 in Edinburgh the daughter of
John Cowan John Cowan (born August 24, 1953) is an American soul music and progressive bluegrass vocalist and bass guitar player. He was the lead vocalist and bass player for the New Grass Revival. Cowan became the band's bassist in 1972 after the departure ...
and his wife Marion Wallace Dickson. She was the sixth of 11 children and the family lived in a large (then-new) stone villa in the Grange district in the south of the city. She was one of the first female students allowed at
Edinburgh University The University of Edinburgh ( sco, University o Edinburgh, gd, Oilthigh Dhùn Èideann; abbreviated as ''Edin.'' in post-nominals) is a public research university based in Edinburgh, Scotland. Granted a royal charter by King James VI in 1582 ...
and studied Medicine alongside
Jessie Gellatly Jessie Handyside Gellatly (7 December 1882 – 30 June 1935) was one of the UK's first university-qualified female doctors. She was one of 16 female doctors who served with the Royal Army Medical Corps in the First World War, and served as the m ...
, Mabel L. Ramsay and others. They all graduated MB ChB in July 1906. Following graduation in the summer of 1906 she and
Jessie Gellatly Jessie Handyside Gellatly (7 December 1882 – 30 June 1935) was one of the UK's first university-qualified female doctors. She was one of 16 female doctors who served with the Royal Army Medical Corps in the First World War, and served as the m ...
joined the staff at
Leith Hospital Leith Hospital was situated on Mill Lane in Leith, Edinburgh, and was a general hospital with adult medical and surgical wards, paediatric medical and surgical wards, a casualty department and a wide range of out-patient services. It closed in 1 ...
in north Edinburgh (the first hospital to accept female physicians). She parted company with her friend Jessie around 1908 and went to work as a surgeon at the Eye Department of
Edinburgh Royal Infirmary The Royal Infirmary of Edinburgh, or RIE, often (but incorrectly) known as the Edinburgh Royal Infirmary, or ERI, was established in 1729 and is the oldest voluntary hospital in Scotland. The new buildings of 1879 were claimed to be the largest v ...
. In the summer of 1911 she was motivated to leave Scotland and travelled to China as a medical missionary to address the huge outbreak of
pneumonia Pneumonia is an inflammatory condition of the lung primarily affecting the small air sacs known as alveoli. Symptoms typically include some combination of productive or dry cough, chest pain, fever, and difficulty breathing. The severity ...
in the north, known in Britain as the
Manchurian plague The Manchurian plague was a pneumonic plague that occurred mainly in Manchuria in 1910–1911. It killed 60,000 people, stimulating a multinational medical response and the wearing of the first personal protective equipment (PPE). __TOC__ Histor ...
. She was not alone in this and was part of a large British contingent requested by the Chinese physician
Wu Lien-teh Wu Lien-teh (; Goh Lean Tuck and Ng Leen Tuck in Minnan and Cantonese transliteration respectively; 10 March 1879 – 21 January 1960) was a Malayan physician renowned for his work in public health, particularly the Manchurian plague of 1910 ...
to address the disaster. In 1914 she was working in a hospital at Ashiho near
Harbin Harbin (; mnc, , v=Halbin; ) is a sub-provincial city and the provincial capital and the largest city of Heilongjiang province, People's Republic of China, as well as the second largest city by urban population after Shenyang and largest ...
. In 1915 she moved to a
Mukden Medical College Mukden Medical College (also spelt Moukden Medical College) was a medical school in Mukden (now Shenyang), China, founded in 1892 as the Sheng Jing Medical School (this was primarily an 'apprentice' school teaching medical assistants). The Mukden ...
to work with fellow Edinburgh physician Dugald Christie. Both of these ventures were financially supported jointly by the
Church of Scotland The Church of Scotland ( sco, The Kirk o Scotland; gd, Eaglais na h-Alba) is the national church in Scotland. The Church of Scotland was principally shaped by John Knox, in the Scottish Reformation, Reformation of 1560, when it split from t ...
and
Edinburgh University The University of Edinburgh ( sco, University o Edinburgh, gd, Oilthigh Dhùn Èideann; abbreviated as ''Edin.'' in post-nominals) is a public research university based in Edinburgh, Scotland. Granted a royal charter by King James VI in 1582 ...
. Manchuria at this time was under Imperial Russian influence and the overall environment of both plague and political unrest was far from easy. The area was also troubled by bandits who would raid the towns and hospitals and would sometimes take equipment and medicine. Nevertheless, Agnes stayed for many years before being forced to leave in the aftermath of the Russian Revolution of 1917. In 1915, during her absence, her father had been knighted and her parents became Sir John Cowan and Lady Marion Cowan. Possibly through her father's influence, Agnes returned not to a life of leisure, but to a commission as a Medical Officer in the
Queen Mary's Army Auxiliary Corps The Women's Army Auxiliary Corps (WAAC), known as Queen Mary's Army Auxiliary Corps (QMAAC) from 9 April 1918, was the women's corps of the British Army during and immediately after the First World War. It was established in February 1917 and d ...
attached to the
Royal Army Medical Corps The Royal Army Medical Corps (RAMC) is a specialist corps in the British Army which provides medical services to all Army personnel and their families, in war and in peace. The RAMC, the Royal Army Veterinary Corps, the Royal Army Dental Corps a ...
. In this capacity, within weeks of arriving in Britain, she began working at
HM Factory, Gretna H.M. Factory, Gretna was the United Kingdom's largest cordite factory in World War I. The government-owned facility was adjacent to the Solway Firth, near Gretna, Dumfries and Galloway. It was built by the Ministry of Munitions in response to ...
commonly known as the "Devil's Porridge" factory, where thousands of tons of explosives were created for use on the Western Front. Here she served as assistant to Dr
Thomas Goodall Nasmyth Dr Thomas Goodall Nasmyth FRSE DL JP DPH (28 February 1855 – 16 January 1937) was a Scottish physician, medical author and historian. He served as Medical Officer of Health for Fife, Kinross and Clackmannanshire. He was one of the first (1899) t ...
. Her duties here included attending victims of the several explosions and attending the side effects of breathing and touching the caustic substances. After the armistice in November 1918 the factory was quickly wound down. In 1919 she returned her previous position in
Mukden Medical College Mukden Medical College (also spelt Moukden Medical College) was a medical school in Mukden (now Shenyang), China, founded in 1892 as the Sheng Jing Medical School (this was primarily an 'apprentice' school teaching medical assistants). The Mukden ...
in Manchuria which remained under the Principalship of Dugald Christie. At this point the troubles in Manchuria had calmed a little. In 1934 the college became the first outwith Great Britain to have a medical degree recognised in Scotland (due to its strong link with Edinburgh University). Agnes certainly formed part of this decision: in 1934 she had made a Member of the
Royal College of Obstetricians and Gynaecologists The Royal College of Obstetricians and Gynaecologists (RCOG) is a professional association based in London, United Kingdom. Its members, including people with and without medical degrees, work in the field of obstetrics and gynaecology, that is ...
and the college granted her a Professorship in Obstetrics and Gynaecology in 1934. However, from September 1931, things had started to go wrong, due to the
Japanese invasion of Manchuria The Empire of Japan's Kwantung Army invaded Manchuria on 18 September 1931, immediately following the Mukden Incident. At the war's end in February 1932, the Japanese established the puppet state of Manchukuo. Their occupation lasted until the ...
, which included the capture of Harbin in February 1932. Mukden was further inland and of less military significance. However, as the Japanese control spread and with the imminent onset of the
Second World War World War II or the Second World War, often abbreviated as WWII or WW2, was a world war that lasted from 1939 to 1945. It involved the vast majority of the world's countries—including all of the great powers—forming two opposin ...
Agnes left Manchuria in the summer 1939, never to return. Her health by this stage was also poor. Both her parents were by then dead and she had lost her Edinburgh connection. It is thought Agnes lived her final months with mutual friends in Cambridge, and she died there on 22 August 1940 aged 60. Her body was returned to Edinburgh and she was buried with her family in
Grange Cemetery The Grange (originally St Giles' Grange) is an affluent suburb of Edinburgh, just south of the city centre, with Morningside and Greenhill to the west, Newington to the east, The Meadows park and Marchmont to the north, and Blackford Hil ...
in south Edinburgh. The grave lies in the eastmost strip section, facing east, in the south-east portion of the main cemetery.


References

{{DEFAULTSORT:Cowan, Agnes Marshall 1880 births 1940 deaths Medical doctors from Edinburgh Alumni of the University of Edinburgh 20th-century Scottish medical doctors Medical missionaries