Edward Albert Koch
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Edward Albert Koch (1843-1901) was a German-born medical practitioner in
Cairns Cairns (, ) is a city in Queensland, Australia, on the tropical north east coast of Far North Queensland. The population in June 2019 was 153,952, having grown on average 1.02% annually over the preceding five years. The city is the 5th-most-p ...
,
Queensland ) , nickname = Sunshine State , image_map = Queensland in Australia.svg , map_caption = Location of Queensland in Australia , subdivision_type = Country , subdivision_name = Australia , established_title = Before federation , established_ ...
, Australia, known for his treatment of malaria and his early recognition of the role played by mosquitoes in transmitting the disease. Dr Koch's fever remedy and preventative measures played a significant role in controlling endemic malaria in far North Queensland in the late 19th century and first half of the 20th century.


Early life

Edwar Albert Koch was born in Altona,
Holstein Holstein (; nds, label=Northern Low Saxon, Holsteen; da, Holsten; Latin and historical en, Holsatia, italic=yes) is the region between the rivers Elbe and Eider. It is the southern half of Schleswig-Holstein, the northernmost state of German ...
in Germany in 1843. He studied medicine at
Kiel University Kiel University, officially the Christian-Albrecht University of Kiel, (german: Christian-Albrechts-Universität zu Kiel, abbreviated CAU, known informally as Christiana Albertina) is a university in the city of Kiel, Germany. It was founded in ...
and received his degree in
Berlin Berlin ( , ) is the capital and largest city of Germany by both area and population. Its 3.7 million inhabitants make it the European Union's most populous city, according to population within city limits. One of Germany's sixteen constitue ...
in 1870, the year of the German invasion of France. Koch was obliged to join the army, where he worked as a medical officer. Subsequent to the Franco-Prussian war he appears to have worked in German surgical departments.


Queensland medical career

In mid-1877, he took the position as Surgeon Superintendent on a German emigrant ship to Queensland. Koch accepted at least two similar positions on German and British immigrant ships to Queensland and
New South Wales ) , nickname = , image_map = New South Wales in Australia.svg , map_caption = Location of New South Wales in AustraliaCoordinates: , subdivision_type = Country , subdivision_name = Australia , established_title = Before federation , es ...
1877–1879. In January 1879 he was granted a first-class certificate to practice medicine by the
Queensland Government The Queensland Government is the democratic administrative authority of the Australian state of Queensland. The Government of Queensland, a parliamentary constitutional monarchy was formed in 1859 as prescribed in its Constitution, as amended fr ...
, and in April 1882 he took the
Oath of Allegiance An oath of allegiance is an oath whereby a subject or citizen acknowledges a duty of allegiance and swears loyalty to a monarch or a country. In modern republics, oaths are sworn to the country in general, or to the country's constitution. For ...
in Cairns, where it appears he was in private practice. He was appointed as a medical officer at Cairns Hospital in July 1882, and in April 1884 he also was appointed Health Officer at Cairns, taking over the running of the hospital. As well as his job as a medical and health officer, from September 1896 Dr Koch was appointed surgeon to the Queensland Military Defence Force's Naval Brigade at Cairns, and in September 1897 accepted the position of visiting surgeon to Cairn's prison. Both these positions were unpaid. He appears to have remained in these positions until his death on 28 June 1901. Dr Koch gained prominence locally for his medical skills, kindly disposition, and humanitarian work amongst Cairns families. Of particular importance for far north Queensland was his understanding and successful treatment of tropical fevers, notably
malaria Malaria is a mosquito-borne infectious disease that affects humans and other animals. Malaria causes symptoms that typically include fever, tiredness, vomiting, and headaches. In severe cases, it can cause jaundice, seizures, coma, or death. S ...
. "Fever" - usually malaria or
typhoid Typhoid fever, also known as typhoid, is a disease caused by '' Salmonella'' serotype Typhi bacteria. Symptoms vary from mild to severe, and usually begin six to 30 days after exposure. Often there is a gradual onset of a high fever over several ...
- became endemic in far north Queensland during the 1880s, especially on the mining fields, in the railway construction camps, and on the sugar plantations. Diagnosis was largely the result of observation and deduction, and treatment was empirical. When the fever was malaria,
quinine Quinine is a medication used to treat malaria and babesiosis. This includes the treatment of malaria due to ''Plasmodium falciparum'' that is resistant to chloroquine when artesunate is not available. While sometimes used for nocturnal leg cr ...
was used to good effect. When typhoid, and quinine did not prove as effective, the diagnosis was often "prolonged or continued climatic fever". More complicated fevers were sometimes described as typho-malaria. In the 1880s Dr Koch was among the first to understand the role of the
mosquito Mosquitoes (or mosquitos) are members of a group of almost 3,600 species of small flies within the family Culicidae (from the Latin ''culex'' meaning " gnat"). The word "mosquito" (formed by ''mosca'' and diminutive ''-ito'') is Spanish for "li ...
as the carrier of the
malaria parasite ''Plasmodium'' is a genus of unicellular eukaryotes that are obligate parasites of vertebrates and insects. The life cycles of ''Plasmodium'' species involve development in a blood-feeding insect host which then injects parasites into a vert ...
. Not until 1897 did Major Surgeon
Ronald Ross Sir Ronald Ross (13 May 1857 – 16 September 1932) was a British medical doctor who received the Nobel Prize for Physiology or Medicine in 1902 for his work on the transmission of malaria, becoming the first British Nobel laureate, and the f ...
prove by scientific experiment the role of the mosquito '' anopheles farauti'' (indigenous to Cairns and all of north Queensland from
Townsville Townsville is a city on the north-eastern coast of Queensland, Australia. With a population of 180,820 as of June 2018, it is the largest settlement in North Queensland; it is unofficially considered its capital. Estimated resident population, 3 ...
northwards) in the transmission of malaria, and it was not until 1904 that RA O'Brien, who practised medicine in Cairns 1904–08, for the first time demonstrated malaria parasites microscopically in
North Queensland North Queensland or the Northern Region is the northern part of the Australian state of Queensland that lies just south of Far North Queensland. Queensland is a massive state, larger than many countries, and its tropical northern part has been ...
. Koch patented a fever mixture consisting of quinine dissolved in diluted
sulphuric acid Sulfuric acid (American spelling and the preferred IUPAC name) or sulphuric acid ( Commonwealth spelling), known in antiquity as oil of vitriol, is a mineral acid composed of the elements sulfur, oxygen and hydrogen, with the molecular formu ...
, designed both to treat malaria and to be used as a suppressive. 'Dr Koch's Celebrated Fever Mixture for Malaria', prepared by a Cairns chemist, proved highly effective. It was marketed throughout the far north of Queensland and in
Papua New Guinea Papua New Guinea (abbreviated PNG; , ; tpi, Papua Niugini; ho, Papua Niu Gini), officially the Independent State of Papua New Guinea ( tpi, Independen Stet bilong Papua Niugini; ho, Independen Stet bilong Papua Niu Gini), is a country i ...
, and is credited with containing the endemic malaria existing in Cairns prior to 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 ...
. Besides formulating the fever mixture, he urged preventative measures, and regularly visited the gangs of workmen engaged in filling the swamps around Cairns, to urge them to roll down their shirt sleeves from 4pm onwards each day. He also visited fortnightly the Hambledon and Pyramid sugar plantations outside Cairns, which were run with South Sea Islands labour.


Later life

Dr Koch died on 28 June 1901, aged 57 years, at his residence on the Esplanade at Cairns, and was interred in the
McLeod Street Pioneer Cemetery McLeod Street Pioneer Cemetery is a heritage-listed cemetery at 127-145 McLeod Street, Cairns North, Cairns Region, Queensland, Australia. It was built from 1877 to 1954. It is also known as Cairns General Cemetery and Cairns Pioneer Cemetery. ...
the following day.


Legacy

To honour the memory of their esteemed physician, a public subscription was raised in Cairns to fund the
Dr EA Koch Memorial Dr EA Koch Memorial is a heritage-listed memorial at Abbot Street, Cairns City, Cairns, Cairns Region, Queensland, Australia. It was designed by Melrose & Fenwick and built in 1903. It was added to the Queensland Heritage Register on 27 May 1 ...
to be located in the centre of the intersection of Abbott and Spence Streets in the heart of the town. It was unveiled by Major-General Sir
Herbert Chermside Lieutenant-general (United Kingdom), Lieutenant-General Sir Herbert Charles Chermside, (31 July 1850 – 24 September 1929) was a British Army officer who served as Governor of Queensland from 1902 to 1904. Early life and education Chermside wa ...
, the
Governor of Queensland The governor of Queensland is the representative in the state of Queensland of the monarch of Australia. In an analogous way to the governor-general of Australia at the national level, the governor Governors of the Australian states, performs c ...
on 13 June 1903. It was later relocated to Anzac Memorial Park in Cairns. The memorial is listed on the
Queensland Heritage Register The Queensland Heritage Register is a heritage register, a statutory list of places in Queensland, Australia that are protected by Queensland legislation, the Queensland Heritage Act 1992. It is maintained by the Queensland Heritage Council. As a ...
. In 1995, the Dr Edward Koch Foundation was established as a non-profit organisation for improving public health in North Queensland.


References


Attribution

This Wikipedia article was originally based o
''"The Queensland heritage register"''
published by the
State of Queensland ) , nickname = Sunshine State , image_map = Queensland in Australia.svg , map_caption = Location of Queensland in Australia , subdivision_type = Country , subdivision_name = Australia , established_title = Before federation , establishe ...
under CC-BY 3.0 AU license (accessed on 7 July 2014
archived
on 8 October 2014). The geo-coordinates were originally computed from th
''"Queensland heritage register boundaries"''
published by the
State of Queensland ) , nickname = Sunshine State , image_map = Queensland in Australia.svg , map_caption = Location of Queensland in Australia , subdivision_type = Country , subdivision_name = Australia , established_title = Before federation , establishe ...
under CC-BY 3.0 AU license (accessed on 5 September 2014
archived
on 15 October 2014).


External links

{{DEFAULTSORT:Koch, Edward Albert 19th-century Australian medical doctors 1843 births 1901 deaths People from Cairns Malariologists German emigrants to Australia