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Helen Marion Macpherson Mackay (23 May 1891 – 15 July 1965) was a British
paediatrician Pediatrics (American and British English differences, also spelled ''paediatrics'' or ''pædiatrics'') is the branch of medicine that involves the medical care of infants, children, Adolescence, adolescents, and young adults. In the United King ...
. She made important contributions to the understanding of childhood nutrition and
preventive healthcare Preventive healthcare, or prophylaxis, consists of measures taken for the purposes of disease prevention.Hugh R. Leavell and E. Gurney Clark as "the science and art of preventing disease, prolonging life, and promoting physical and mental hea ...
. Mackay was the first woman fellow of the
Royal College of Physicians The Royal College of Physicians (RCP) is a British professional membership body dedicated to improving the practice of medicine, chiefly through the accreditation of physicians by examination. Founded by royal charter from King Henry VIII in 1 ...
. After graduation from the
London School of Medicine for Women The London School of Medicine for Women (LSMW) established in 1874 was the first medical school in Britain to train women as doctors. The patrons, vice-presidents, and members of the committee that supported and helped found the London School of Me ...
(now part of the
UCL Medical School UCL Medical School is the medical school of University College London (UCL) and is located in London, United Kingdom. The School provides a wide range of undergraduate and postgraduate medical education programmes and also has a medical educatio ...
), Mackay practiced at the
Queen Elizabeth Hospital for Children The Queen Elizabeth Hospital for Children was based in Bethnal Green in the London Borough of Tower Hamlets, London. In 1996, the hospital became part of The Royal Hospitals NHS Trust, later renamed Barts and The London NHS Trust. In 1998, the se ...
where she was the first female physician to work there, and also one of the first women to be appointed as a consultant there. Helen Mackay was the first person to investigate
anaemia Anemia or anaemia (British English) is a blood disorder in which the blood has a reduced ability to carry oxygen due to a lower than normal number of red blood cells, or a reduction in the amount of hemoglobin. When anemia comes on slowly, th ...
in infants and to attribute
iron deficiency Iron deficiency, or sideropenia, is the state in which a body lacks enough iron to supply its needs. Iron is present in all cells in the human body and has several vital functions, such as carrying oxygen to the tissues from the lungs as a key ...
as an important factor of this. This led to changes in childhood nutrition favouring
breastfeeding Breastfeeding, or nursing, is the process by which human breast milk is fed to a child. Breast milk may be from the breast, or may be expressed by hand or pumped and fed to the infant. The World Health Organization (WHO) recommends that br ...
over
formula feeding Infant formula, baby formula, or simply formula (American English); or baby milk, infant milk or first milk (British English), is a manufactured food designed and marketed for feeding to babies and infants under 12 months of age, usually prepar ...
in the United Kingdom.


Early life and education

Born in
Inverness, Scotland Inverness (; from the gd, Inbhir Nis , meaning "Mouth of the River Ness"; sco, Innerness) is a city in the Scottish Highlands. It is the administrative centre for The Highland Council and is regarded as the capital of the Highlands. Historic ...
, on 23 May 1891 to Duncan Lachlan Macpherson Mackay and Marion Gordon Campbell (née Wimberley), Mackay spent some of her childhood in
Burma Myanmar, ; UK pronunciations: US pronunciations incl. . Note: Wikipedia's IPA conventions require indicating /r/ even in British English although only some British English speakers pronounce r at the end of syllables. As John Wells explai ...
, where she was
homeschool Homeschooling or home schooling, also known as home education or elective home education (EHE), is the education of school-aged children at home or a variety of places other than a school. Usually conducted by a parent, tutor, or an onlin ...
ed. Her father worked in
Indian Civil Service The Indian Civil Service (ICS), officially known as the Imperial Civil Service, was the higher civil service of the British Empire in India during British rule in the period between 1858 and 1947. Its members ruled over more than 300 million ...
there. Her early education was at the
private school Private or privates may refer to: Music * " In Private", by Dusty Springfield from the 1990 album ''Reputation'' * Private (band), a Denmark-based band * "Private" (Ryōko Hirosue song), from the 1999 album ''Private'', written and also recorde ...
Cheltenham Ladies' College Cheltenham Ladies' College is an independent boarding and day school for girls aged 11 to 18 in Cheltenham, Gloucestershire, England. Consistently ranked as one of the top all-girls' schools nationally, the school was established in 1853 to pr ...
in England. She attended the
London London is the capital and largest city of England and the United Kingdom, with a population of just under 9 million. It stands on the River Thames in south-east England at the head of a estuary down to the North Sea, and has been a majo ...
Royal Free Hospital School of Medicine for Women (now part of the
UCL Medical School UCL Medical School is the medical school of University College London (UCL) and is located in London, United Kingdom. The School provides a wide range of undergraduate and postgraduate medical education programmes and also has a medical educatio ...
), obtaining her
MBBS Bachelor of Medicine, Bachelor of Surgery ( la, Medicinae Baccalaureus, Baccalaureus Chirurgiae; abbreviated most commonly MBBS), is the primary medical degree awarded by medical schools in countries that follow the tradition of the United King ...
degree in 1914 and then earning an MD in 1917. While there she edited the ''London School of Medicine for Women Magazine'', a magazine for the women physicians there.


Medical and research career

Mackay specialised in
paediatrics 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 ...
. She was the first female physician at the Queen Elizabeth Hospital for Children and was later one of first women to be appointed as consultant there. In 1919, Mackay moved to
Vienna en, Viennese , iso_code = AT-9 , registration_plate = W , postal_code_type = Postal code , postal_code = , timezone = CET , utc_offset = +1 , timezone_DST ...
where she studied
rickets Rickets is a condition that results in weak or soft bones in children, and is caused by either dietary deficiency or genetic causes. Symptoms include bowed legs, stunted growth, bone pain, large forehead, and trouble sleeping. Complications may ...
and other nutritional diseases at the Lister Institute of Preventative Medicine as part of the Beit Research Fellowship. She remained in Vienna until 1922 when she continued her research in the United Kingdom. Mackay was a part of a British team led by
Harriette Chick Dame Harriette Chick DBE (6 January 1875 – 9 July 1977) was a British microbiologist, protein scientist and nutritionist. She is best remembered for demonstrating the roles of sunlight and cod liver oil in preventing rickets. Biography ...
whose studies displayed the importance of cod liver oil and sunlight in preventing and potentially curing rickets. While working on finding the cause of rickets, Mackay noticed all of the infants in her studies were anaemic, and thus she became interested in finding the cause of this. Mackay returned to London and conducted the first investigation on anaemia in infants with the help of medical statistician
Major Greenwood Major Greenwood FRS (9 August 1880 – 5 October 1949) was an English epidemiologist and statistician. Biography Major Greenwood junior was born in Shoreditch in London's East End, the only child of Major Greenwood, a physician in general pra ...
. Mackay discovered that iron deficiency had an important role in causing childhood anaemia. She further discovered that breastfed infants had a lower chance of becoming anaemic than those fed with artificial milk. Her research also provided compelling evidence that showed infants who were given iron developed fewer infections, gained more weight, and were overall healthier. The findings of her studies were summarised in 'Nutritional Anaemia in Infancy' and published in 1931. She was the first person to try to define anaemia by defining the lower limit of normal haemoglobin concentration. The
World Health Organization The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level of h ...
's definition of anaemia closely resembles Mackay's definition. Mackay was awarded the Dawson Memorial Prize in Paediatrics and won the
British Medical Association The British Medical Association (BMA) is a registered trade union for doctors in the United Kingdom. The association does not regulate or certify doctors, a responsibility which lies with the General Medical Council. The association's headquar ...
Ernest Hart Memorial Research Scholar fellowship for her preventative medicine research. She became the first woman fellow of the Royal College of Physicians in recognition of her research into nutritional anaemia in 1934. Mackay continued to work on research focusing on
breastfeeding Breastfeeding, or nursing, is the process by which human breast milk is fed to a child. Breast milk may be from the breast, or may be expressed by hand or pumped and fed to the infant. The World Health Organization (WHO) recommends that br ...
, formula feeding, and dietary deficiency diseases.


Later life and death

Helen Mackay was concerned about the impact of social conditions on child health and development. In order to combat this she helped set up clinics in Hackney, where Mackay was able to help mothers and infants in her community. In 1945, Helen Mackay was elected to the
British Paediatric Association The Royal College of Paediatrics and Child Health, often referred to as the RCPCH, is the professional body for paediatricians (doctors specialising in child health) in the United Kingdom. It is responsible for the postgraduate training of paedi ...
, one of the first women members. She continued to work as a consultant paediatrician for the Mother's Hospital, Clapton, and
Hackney Hospital Homerton University Hospital is a teaching hospital in Homerton in the London Borough of Hackney. It is managed by Homerton University Hospital NHS Foundation Trust. History The hospital has its origins in the Homerton Fever Hospital, which op ...
until 1959. On 17 July 1965 Mackay died of a stroke; she was buried three days later at the
Golders Green Crematorium Golders Green Crematorium and Mausoleum was the first crematorium to be opened in London, and one of the oldest crematoria in Britain. The land for the crematorium was purchased in 1900, costing £6,000 (the equivalent of £135,987 in 2021), ...
in London.


Honors and awards

* Beit Research Fellowship (1919–1922) * Ernest Hart Memorial Research Scholar, British Medical Association * Dawson Memorial Prize (Paediatrics) * Fellow, Royal College of Physicians (1934) * Chair, Advisory Committee of Paediatricians * President, Section of Disease in Children, Royal Society of Medicine


References

{{DEFAULTSORT:Mackay, Helen 1891 births 1965 deaths British women medical doctors