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Denis Parsons Burkitt, MD, FRCS(Ed), FRS (28 February 1911 – 23 March 1993) was an Irish surgeon who made significant advances in health, such as the etiology of a
pediatric Pediatrics ( also spelled ''paediatrics'' or ''pædiatrics'') is the branch of medicine that involves the medical care of infants, children, adolescents, and young adults. In the United Kingdom, paediatrics covers many of their youth until the ...
cancer, now called Burkitt's lymphoma, and the finding that rates of colorectal cancer are higher in those who eat limited
dietary fibre Dietary fiber (in British English fibre) or roughage is the portion of plant-derived food that cannot be completely broken down by human digestive enzymes. Dietary fibers are diverse in chemical composition, and can be grouped generally by th ...
.


Life and death

Burkitt was born in
Enniskillen Enniskillen ( , from ga, Inis Ceithleann , ' Ceithlenn's island') is the largest town in County Fermanagh, Northern Ireland. It is in the middle of the county, between the Upper and Lower sections of Lough Erne. It had a population of 13,823 a ...
,
County Fermanagh County Fermanagh ( ; ) is one of the thirty-two counties of Ireland, one of the nine counties of Ulster and one of the six counties of Northern Ireland. The county covers an area of 1,691 km2 (653 sq mi) and has a population of 61,805 ...
,
Ireland Ireland ( ; ga, Éire ; Ulster Scots dialect, Ulster-Scots: ) is an island in the Atlantic Ocean, North Atlantic Ocean, in Northwestern Europe, north-western Europe. It is separated from Great Britain to its east by the North Channel (Grea ...
. He was the son of James Parsons Burkitt, a civil engineer. Aged eleven he lost his right eye in an accident. He attended
Portora Royal School Portora Royal School located in Enniskillen, County Fermanagh, Northern Ireland, was one of the public schools founded by the royal charter in 1608, by James I, making it one of the oldest schools in Ireland at the time of its closure. Origina ...
in Enniskillen and
Dean Close School Dean Close School is a public school in Cheltenham, Gloucestershire, England. The school is divided into pre-prep, preparatory and senior schools located on separate but adjacent sites outside Cheltenham town centre, occupying the largest privat ...
,
England England is a country that is part of the United Kingdom. It shares land borders with Wales to its west and Scotland to its north. The Irish Sea lies northwest and the Celtic Sea to the southwest. It is separated from continental Europe b ...
. In 1929 Burkitt entered Trinity College, Dublin to study
engineering Engineering is the use of scientific principles to design and build machines, structures, and other items, including bridges, tunnels, roads, vehicles, and buildings. The discipline of engineering encompasses a broad range of more speciali ...
, but believing his evangelical calling was to be a doctor, he transferred to medicine and graduated in 1935. In 1938 he passed the
Royal College of Surgeons of Edinburgh The Royal College of Surgeons of Edinburgh (RCSEd) is a professional organisation of surgeons. The College has seven active faculties, covering a broad spectrum of surgical, dental, and other medical practices. Its main campus is located o ...
fellowship examinations. On 28 July 1943 he married Olive Rogers. During
World War II 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 opposing ...
, Burkitt served with the Royal Army Medical Corps in England and later in
Kenya ) , national_anthem = " Ee Mungu Nguvu Yetu"() , image_map = , map_caption = , image_map2 = , capital = Nairobi , coordinates = , largest_city = Nairobi ...
and Somaliland. After the war, Burkitt decided his future lay in medical service in the developing world and he moved to
Uganda }), is a landlocked country in East Africa. The country is bordered to the east by Kenya, to the north by South Sudan, to the west by the Democratic Republic of the Congo, to the south-west by Rwanda, and to the south by Tanzania. The sou ...
. He eventually settled in
Kampala Kampala (, ) is the capital and largest city of Uganda. The city proper has a population of 1,680,000 and is divided into the five political divisions of Kampala Central Division, Kawempe Division, Makindye Division, Nakawa Division, and Ruba ...
and remained there until 1964. Burkitt was president of the
Christian Medical Fellowship The Christian Medical Fellowship (CMF), founded in 1949, is an evangelical, interdenominational organisation that links together Christian doctors, medical students, nurses and midwives in the United Kingdom (UK). CMFs stated aims are "uniting ...
and wrote frequently on religious/medical themes. In 1979, he became an honorary fellow of Trinity College Dublin. He received the Bower Award and Prize in 1992. He died on 23 March 1993 in
Gloucester Gloucester ( ) is a cathedral city and the county town of Gloucestershire in the South West of England. Gloucester lies on the River Severn, between the Cotswolds to the east and the Forest of Dean to the west, east of Monmouth and east ...
and was buried in
Bisley, Gloucestershire Bisley is a village and former civil parish, now in the parish of Bisley-with-Lypiatt, in the Stroud district, in Gloucestershire, England, about east of Stroud. The once-extensive manor included Stroud and Chalford, Thrupp, Oakridge, Bussage ...
, England.


Scientific contributions

Burkitt made two major contributions to medical science related to his experience in
Africa Africa is the world's second-largest and second-most populous continent, after Asia in both cases. At about 30.3 million km2 (11.7 million square miles) including adjacent islands, it covers 6% of Earth's total surface area ...
.


Burkitt's lymphoma

The first was the description, distribution, and ultimately, the etiology of a pediatric cancer that bears his name, Burkitt's lymphoma. Burkitt in 1957 observed a child with swellings in the angles of the jaw. "About two weeks later ... I looked out the window and saw another child with a swollen face ... and began to investigate these jaw tumors." "Having an intensely enquiring mind, Burkitt took the details of these cases to the records department ... which showed that jaw tumours were common, ndwere often associated with other tumours at unusual sites" in children in Uganda. He kept copious notes and concluded that these apparently different childhood cancers were all manifestations of a single type of
malignancy Malignancy () is the tendency of a medical condition to become progressively worse. Malignancy is most familiar as a characterization of cancer. A ''malignant'' tumor contrasts with a non-cancerous ''benign'' tumor in that a malignancy is not s ...
. Burkitt published ''A
sarcoma A sarcoma is a malignant tumor, a type of cancer that arises from transformed cells of mesenchymal ( connective tissue) origin. Connective tissue is a broad term that includes bone, cartilage, fat, vascular, or hematopoietic tissues, and sar ...
involving the jaws of African children''. The newly identified
cancer Cancer is a group of diseases involving abnormal cell growth with the potential to invade or spread to other parts of the body. These contrast with benign tumors, which do not spread. Possible signs and symptoms include a lump, abnormal b ...
became known as "Burkitt's lymphoma". He went on to map the geographical distribution of the
tumour A neoplasm () is a type of abnormal and excessive growth of tissue. The process that occurs to form or produce a neoplasm is called neoplasia. The growth of a neoplasm is uncoordinated with that of the normal surrounding tissue, and persists ...
. Burkitt, together with Dr. Dennis Wright, published a book titled ''Burkitt's Lymphoma'' in April 1970.


Dietary fibre

His second major contribution came when, on his return to Britain, Burkitt compared the pattern of diseases in African hospitals with Western diseases. He concluded that many Western diseases which were rare in Africa were the result of diet and lifestyle. He wrote a book, ''Don't Forget Fibre in your Diet'', which became an international bestseller. Burkitt suggested that higher fibre intake can reduce the risk of colorectal cancer. This was based on observations of the difference in patterns of diseases between Western and traditional African societies. Burkitt noted the lower rates of colorectal cancer in African countries compared to the West. He also found that African diets were generally higher in dietary fibre. While a 2020 meta study found no clear connection a 2020 study confirmed the protective effect if the source of fibre is whole grains. Research suggests that a diet high in dietary fibre is also advised as a precaution against other diseases such as heart disease and
diabetes Diabetes, also known as diabetes mellitus, is a group of metabolic disorders characterized by a high blood sugar level ( hyperglycemia) over a prolonged period of time. Symptoms often include frequent urination, increased thirst and increased ...
.


Publications by Burkitt

Academic journals * * * Books * * * Kellock B, Burkitt D. P. ''The Fibre Man: The Life-story of Dr. Denis Burkitt'': Lion Pub.; 1985.


See also


A 1990 interview with Burkitt


References


Further reading

* * *


External links



at
Whonamedit? ''Whonamedit?'' is an online English-language dictionary of medical eponyms and the people associated with their identification. Though it is a dictionary, many eponyms and persons are presented in extensive articles with comprehensive bibliograph ...
, a biographical dictionary of medical
eponyms An eponym is a person, a place, or a thing after whom or which someone or something is, or is believed to be, named. The adjectives which are derived from the word eponym include ''eponymous'' and ''eponymic''. Usage of the word The term ''epon ...

A portrait of Burkitt
{{DEFAULTSORT:Burkitt, Denis Parsons 1911 births 1993 deaths People from Enniskillen British public health doctors Diet food advocates 20th-century Irish medical doctors Alumni of Trinity College Dublin British surgeons High-fiber diet advocates People educated at Portora Royal School People educated at Dean Close School Royal Army Medical Corps officers British Army personnel of World War II Fellows of the Royal College of Surgeons of Edinburgh Fellows of the Royal Society Honorary Fellows of Trinity College Dublin Members of the French Academy of Sciences British emigrants to Uganda Recipients of the Lasker-DeBakey Clinical Medical Research Award 20th-century surgeons