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John Glasgow Kerr (1824–1901) was an American
medical missionary Medical missions is the term used for Christian missionary endeavors that involve the administration of medical treatment. As has been common among missionary efforts from the 18th to 20th centuries, medical missions often involves residents of th ...
and
philanthropist Philanthropy is a form of altruism that consists of "private initiatives, for the public good, focusing on quality of life". Philanthropy contrasts with business initiatives, which are private initiatives for private good, focusing on material ...
who helped establish the Canton Hospital, also known as the Ophthalmic Hospital, in Canton, China. Kerr was born in Dunkinsville, Ohio and graduated from
Jefferson Medical College Thomas Jefferson University is a private research university in Philadelphia, Pennsylvania. Established in its earliest form in 1824, the university officially combined with Philadelphia University in 2017. To signify its heritage, the un ...
in
Philadelphia Philadelphia, often called Philly, is the largest city in the Commonwealth of Pennsylvania, the sixth-largest city in the U.S., the second-largest city in both the Northeast megalopolis and Mid-Atlantic regions after New York City. Since ...
. He arrived in Canton in May 1854 with his wife to run the Huiji Dispensary of the Presbyterian Mission and the Canton Hospital (1855); Kerr served as superintendent of the hospital for 45 years. In 1859, Kerr opened Boji (boji meaning spreading benevolence) Hospital, located in Zhengsha Street in a southern suburb of Canton. In 1860, Kerr opened of the second dispensary in
Foshan Foshan (, ), alternately romanized as Fatshan, is a prefecture-level city in central Guangdong Province, China. The entire prefecture covers and had a population of 9,498,863 as of the 2020 census. The city is part of the western side of the ...
, later becoming the largest hospital in the city. In 1899, Kerr opened the first mental hospital in China. During his time in Canton, Kerr treated 39,440 inpatients and 740,324 outpatients from 4,000 villages.


Early life

John Glasgow Kerr was born on November 30, 1824. After his father's death, Kerr moved to
Virginia Virginia, officially the Commonwealth of Virginia, is a state in the Mid-Atlantic and Southeastern regions of the United States, between the Atlantic Coast and the Appalachian Mountains. The geography and climate of the Commonwealth are ...
to live with his uncle. In 1840, he started college in
Granville, Ohio Granville is a village in Licking County, Ohio, United States. The population was 5,646 at the 2010 census. The village is located in a rural area of rolling hills in central Ohio. It is east of Columbus, the state capital, and west of Newa ...
. Kerr studied medicine at Jefferson Medical College in Philadelphia and graduated in 1847. He married Abby Lucy Kingsbury (1829–1855) in 1853 before leaving to become a
medical missionary Medical missions is the term used for Christian missionary endeavors that involve the administration of medical treatment. As has been common among missionary efforts from the 18th to 20th centuries, medical missions often involves residents of th ...
in China.


Career


Mission

Kerr believed that medical missionaries should influence political and social reforms. "To introduce these institutions into lands where they do not exist is an important part of the duty of medical missionaries." (Kerr, 1895, p. 11) Kerr regarded physicians as powerful and in a position of honor with the obligation to others because medicine is "a profession of benevolence." (Xu, 2011, p. 195). Kerr also believed that American general practitioners needed to persuade the Chinese to abandon what was described as outdated and "hostile" customs in order to adopt
Western culture Leonardo da Vinci's ''Vitruvian Man''. Based on the correlations of ideal Body proportions">human proportions with geometry described by the ancient Roman architect Vitruvius in Book III of his treatise ''De architectura''. image:Plato Pio-Cle ...
and the natural laws. Kerr advocated free medical services for Chinese patients because he felt fees interfered with the healing of the sick and the spirit of Christianity.


Hospitals


= Ophthalmic Hospital

= Dr. Peter Parker established the Ophthalmic Hospital in Canton on November 4, 1835. After a few months, the hospital expanded to hold more than 200 people. The hospital performed the first
ophthalmological Ophthalmology ( ) is a surgical subspecialty within medicine that deals with the diagnosis and treatment of eye disorders. An ophthalmologist is a physician who undergoes subspecialty training in medical and surgical eye care. Following a medic ...
surgery, the first
ovariotomy Oophorectomy (; from Greek , , 'egg-bearing' and , , 'a cutting out of'), historically also called ''ovariotomy'' is the surgical removal of an ovary or ovaries. The surgery is also called ovariectomy, but this term is mostly used in reference to ...
, the first lithocystotomy, the first etherization, and the first pathological anatomy in China. The hospital also had China’s first X-ray film shot and the first medical magazine printed. The Ophthalmic Hospital was later called the Boji Hospital. Kerr opened a Vaccine Department at the hospital in 1859, offering free
smallpox Smallpox was an infectious disease caused by variola virus (often called smallpox virus) which belongs to the genus Orthopoxvirus. The last naturally occurring case was diagnosed in October 1977, and the World Health Organization (WHO) c ...
vaccinations to Cantonese children. Kerr also published informational pamphlets on the importance of vaccinations.


= Medical Missionary Society's Hospital

= The Medical Missionary Society's Hospital was located on the Pearl River on Yan-tsai Street in Canton. It included 10 buildings and 300 patient beds. The hospital was managed and funded by the Medical Missionary Society.. Parker opened the Medical Missionary Society's Hospital in 1839 and was succeeded by John Kerr as physician in charge.


= Mental hospital

= Kerr retired from the Canton Hospital in 1899 to devote his time to caring for the mentally ill. In China, it was public custom to treat for the person as a whole, including mental syndromes. The most common treatments in 19th century China included: shackles, fetters, herb medicines,
acupuncture Acupuncture is a form of alternative medicine and a component of traditional Chinese medicine (TCM) in which thin needles are inserted into the body. Acupuncture is a pseudoscience; the theories and practices of TCM are not based on scientif ...
, toxin liquid therapy, and magic words or formulas. In 1872, Kerr appealed to the
Medical Missionary Society The Medical Missionary Society in China was a Protestant medical missionary society established in Canton, China, in 1838. The first work of the society was to support the ophthalmic hospital in Canton run by Dr. Peter Parker, a medical missionar ...
to build a mental hospital in China. Between 1876 and 1880, Kerr campaigned for the necessary and rightful treatment of patients with mental illnesses in their own, designated hospitals. Kerr believed in treating and curing the mentally ill rather than isolating them from society. However, neither the city government or the Canton Medical Missionary Society wanted to fund a mental hospital. Kerr used his own money to purchase 17 acres in Fangcun (southwestern Canton) as a building site for the hospital. With donors and assistance, two buildings were erected . He attended to 50 patients at the hospital before his death. The John G. Kerr Refuge for the Insane operated until 1937.


Surgery and Hygiene

In Canton, Kerr performed around 48,918 surgeries; his specialty being lithotomy and lithotrity, the removal of gallstones from the
urinary tract The urinary system, also known as the urinary tract or renal system, consists of the kidneys, ureters, bladder, and the urethra. The purpose of the urinary system is to eliminate waste from the body, regulate blood volume and blood pressure, c ...
,
bladder The urinary bladder, or simply bladder, is a hollow organ in humans and other vertebrates that stores urine from the kidneys before disposal by urination. In humans the bladder is a distensible organ that sits on the pelvic floor. Urine en ...
or
kidney The kidneys are two reddish-brown bean-shaped organs found in vertebrates. They are located on the left and right in the retroperitoneal space, and in adult humans are about in length. They receive blood from the paired renal arteries; blo ...
. He performed surgery on both civilians and officials throughout the Guangxi Province. The Canton Hospital was one of the first hospitals in China to practice preventive hygienic measures such as separation, disinfection, and
sterilization Sterilization may refer to: * Sterilization (microbiology), killing or inactivation of micro-organisms * Soil steam sterilization, a farming technique that sterilizes soil with steam in open fields or greenhouses * Sterilization (medicine) rende ...
. Kerr helped to introduce these modern techniques during his surgeries and strived for his hospital to be a model of cleanliness for the Cantonese not only in the hospital, but in their private lives as well. There were separate rooms for patients with contagious diseases and the patient's clothes and utensils were sterilized, along with the operating room itself. In 1875, Kerr published ''Weisheng yaozhi'' (Essentials to Hygiene) which highlighted the priority of preventing illnesses through good hygiene. In this novel, Kerr also argued that hygiene was not just an individual problem, a large-scale attempt to undermine unhygienic habits and lifestyles required government regulations and law enforcement as well.


Anti-Opium Campaign

Dr. Kerr played a crucial role in condemning opium abuse in Canton. He published ''Opium Habits'' in 1889, in which he denounced opium smoking and declared distorted moral character a product of opium. Kerr opened up a ward of the Canton Hospital dedicated to treating patients (ages ranging 20–59 years) who were addicted to opium. He also attended the National Missionary Conference in
Shanghai Shanghai (; , , Standard Chinese, Standard Mandarin pronunciation: ) is one of the four Direct-administered municipalities of China, direct-administered municipalities of the China, People's Republic of China (PRC). The city is located on the ...
(1890), a forum in opposition of the opium trade. Following the conference, the Permanent Committee for the Promotion of Anti-Opium Societies was established and Kerr became a leading member. The Committee resolved to continue their opposition to the opium traffic, urging Christians in China to arouse public opinion against it. The desire of the missionaries that their ideas be carried out caused them to form “continuation committees” that were assigned tasks to assure that action would be taken on whatever matters had been approved by the conferences.


Medical Journals

Kerr promoted medical education in China for both men and women. He taught many Chinese medical students and translated over 34 volumes of medical work into Chinese. Some of these medical students were women who trained in the Canton Hospital medical classes (1879-1899). Kerr was also elected as the first president of the CMMA (China Medical Missionary Association) in 1886 and served as the first editor of ''China Medical Missionary Journal''. In 1886, Kerr established ''Guangzhou Xinbao'' (Canton's New Newspaper) and ''Xiyi xinbao'' (Western Healing News).


Works

* *


Legacy

Kerr died in Canton at age 77, after spending 47 years in that city. He was buried in the Protestant cemetery outside Canton. Thousands of mourners attended his funeral. However, during 1950's, the cemetery was removed for the purpose of town development. The current memorial garden of Dr. J. Kerr was built in 2013~14.


References

{{DEFAULTSORT:Kerr, John G. American surgeons American science writers Presbyterian missionaries in China American Presbyterian missionaries Christian writers Translators to Chinese American humanitarians 1824 births 1901 deaths Thomas Jefferson University alumni Christian medical missionaries 19th-century translators Missionary linguists