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Max Westenhöfer (February 9, 1871 – September 25, 1957) was a German
pathologist Pathology is the study of disease. The word ''pathology'' also refers to the study of disease in general, incorporating a wide range of biology research fields and medical practices. However, when used in the context of modern medical treatme ...
and
biologist A biologist is a scientist who conducts research in biology. Biologists are interested in studying life on Earth, whether it is an individual Cell (biology), cell, a multicellular organism, or a Community (ecology), community of Biological inter ...
who contributed to the development of the
anatomic pathology Anatomical pathology (''Commonwealth'') or anatomic pathology (''U.S.'') is a medical specialty that is concerned with the diagnosis of disease based on the macroscopic, microscopic, biochemical, immunologic and molecular examination ...
and the reform of public health in
Chile Chile, officially the Republic of Chile, is a country in western South America. It is the southernmost country in the world and the closest to Antarctica, stretching along a narrow strip of land between the Andes, Andes Mountains and the Paci ...
.


Education

Maximilian Joseph Johann WestenhöferMr and Mrs Bender
/ref> was born on February 9, 1871, in
Ansbach Ansbach ( , ; ) is a city in the Germany, German state of Bavaria. It is the capital of the Regierungsbezirk, administrative region of Mittelfranken, Middle Franconia. Ansbach is southwest of Nuremberg and north of Munich, on the river Fränk ...
,
Bavaria Bavaria, officially the Free State of Bavaria, is a States of Germany, state in the southeast of Germany. With an area of , it is the list of German states by area, largest German state by land area, comprising approximately 1/5 of the total l ...
. His father was a school teacher called Johan Karl Westenhöffer, but the son later simplified the spelling of his surname. His mother's maiden name was Knell,Sievers Wicke (1958) page 53 and in later years her name was sometimes appended to his according to the Spanish naming custom. making his name Max Westenhöfer Knell. He studied at the
University of Berlin The Humboldt University of Berlin (, abbreviated HU Berlin) is a public research university in the central borough of Mitte in Berlin, Germany. The university was established by Frederick William III on the initiative of Wilhelm von Humbol ...
where he graduated in 1894. He was a pupil of
Rudolf Virchow Rudolf Ludwig Carl Virchow ( ; ; 13 October 18215 September 1902) was a German physician, anthropologist, pathologist, prehistorian, biologist, writer, editor, and politician. He is known as "the father of modern pathology" and as the founder o ...
, German physician and Professor of Pathology at the University of Berlin, known also for his interest in
public health Public health is "the science and art of preventing disease, prolonging life and promoting health through the organized efforts and informed choices of society, organizations, public and private, communities and individuals". Analyzing the de ...
. His first employment was as an army doctor, which he remained, apart from three years in Chile, until 1922.Sievers Wicke (1958) page 54


First tenure in Chile (1908–1911): Social medicine report and expulsion

In 1908 he was hired by Augusto Matte, on behalf of the government of
Chile Chile, officially the Republic of Chile, is a country in western South America. It is the southernmost country in the world and the closest to Antarctica, stretching along a narrow strip of land between the Andes, Andes Mountains and the Paci ...
, to teach
Pathology Pathology is the study of disease. The word ''pathology'' also refers to the study of disease in general, incorporating a wide range of biology research fields and medical practices. However, when used in the context of modern medical treatme ...
at the School of Medicine of the
University of Chile The University of Chile () is a public university, public research university in Santiago, Chile. It was founded on November 19, 1842, and inaugurated on September 17, 1843.
. As an international expert with the role to reform and modernize the teaching of pathology in Chile, he was provided by the Chilean government with a higher salary than that of his local medical colleagues, leading to envy and resentment among some Chilean physicians.Revistas Universidad de Chile (In Spanish)
/ref> In 1911 he published what has been called the ''Westenhöfer Report'', a five-part series published in the German medical journal ''Berliner klinische Wochenschrift'' where he described in critical terms the poor health conditions and hygiene practices that he observed in certain urban areas and nursing homes in Santiago of Chile. His report led to protests from the conservative sector of the Chilean society, eventually causing the government to deport him from Chile. However, the University of Chile Student Federation (FECH) including his medical students, some unions, and leftist parties gave public support to Prof. Westenhöfer and protested his expulsion. In August 1911 there was a massive march in Santiago of Chile to protest his expulsion and make a judicial appeal to prevent it, but it did not take place until after he had left.


Return to Germany (1911–1929): Professor of pathology at the University of Berlin

Following his departure in 1911 he returned to Germany and resumed his career with the army. During
World War I World War I or the First World War (28 July 1914 – 11 November 1918), also known as the Great War, was a World war, global conflict between two coalitions: the Allies of World War I, Allies (or Entente) and the Central Powers. Fighting to ...
, he served as a military surgeon with the rank of major (''Oberstabsarzt'')WW1 pay-book
/ref> and was awarded the
Iron Cross The Iron Cross (, , abbreviated EK) was a military decoration in the Kingdom of Prussia, the German Empire (1871–1918), and Nazi Germany (1933–1945). The design, a black cross pattée with a white or silver outline, was derived from the in ...
, second class.Iron Cross award
/ref> In 1922 he became Professor of Pathology at the University of Berlin.Precarious Matters:The History of Dangerous and Endangered Substances in the 19th and 20th Centuries
/ref> At this time he was also deputy chairman of the Berlin ''Gesellschaft für Rassenhygiene'' (
German Society for Racial Hygiene The German Society for Racial Hygiene () was a German eugenic organization founded on 22 June 1905 by the physician Alfred Ploetz in Berlin. Its goal was "for society to return to a healthy and blooming, strong and beautiful life" as Ploetz put i ...
).


Second tenure in Chile (1929–1932): Reform of Chilean pathology

He returned to Chile in 1929 and for three years directed the Department of Pathology at the Medical School of the University of Chile. This was his most fruitful period in furthering the development and the quality of Chilean medicine. He modernised the practice of pathology and trained Chilean colleagues. Pathology institutes were founded in the hospitals in Santiago and Valparaiso. His stress on the social determinants of mortality and morbidity influenced a generation of students, including
Salvador Allende Salvador Guillermo Allende Gossens (26 June 1908 – 11 September 1973) was a Chilean socialist politician who served as the 28th president of Chile from 1970 until Death of Salvador Allende, his death in 1973 Chilean coup d'état, 1973. As a ...
, a medical student activist and later President of Chile. While in Chile, after studying the incidence of
syphilis Syphilis () is a sexually transmitted infection caused by the bacterium ''Treponema pallidum'' subspecies ''pallidum''. The signs and symptoms depend on the stage it presents: primary, secondary, latent syphilis, latent or tertiary. The prim ...
he contributed to the ongoing controversy about the origin of this disease. Westenhöfer observed little effect of the disease in Indian carriers and the terrible effects experienced by those of European origin who were infected, leading him to propose that a corresponding STD had been present in America before the European conquest.


Back to Germany (1932–1948): Publication of the Aquatic Ape Hypothesis

He returned again to
Germany Germany, officially the Federal Republic of Germany, is a country in Central Europe. It lies between the Baltic Sea and the North Sea to the north and the Alps to the south. Its sixteen States of Germany, constituent states have a total popu ...
where he spent the
war War is an armed conflict between the armed forces of states, or between governmental forces and armed groups that are organized under a certain command structure and have the capacity to sustain military operations, or between such organi ...
years, living latterly in retirement in Wasserburg am Bodensee.Sievers Wicke (1958) page 93 From 1923 onwardsCentre d'Etude et de Recherche sur la Bipédie Initiale
he wrote several books and papers on
human evolution ''Homo sapiens'' is a distinct species of the hominid family of primates, which also includes all the great apes. Over their evolutionary history, humans gradually developed traits such as Human skeletal changes due to bipedalism, bipedalism, de ...
, perhaps most fully in his 1942 book "Der Eigenweg des Menschen" (translated as "The Path Travelled by Man Alone" or "The Unique Road to Man")title page of Der Eigenweg and some translation
which put forward ideas suggesting, amongst other things, that adaptation to water has played a significant part in the history of human development. That particular idea has since been developed as the controversial
Aquatic ape hypothesis The aquatic ape hypothesis (AAH), also referred to as aquatic ape theory (AAT) or the waterside hypothesis of human evolution, postulates that the ancestors of modern humans took a divergent evolutionary pathway from the other great apes by be ...
(AAH), but the details of Westenhöfer's theory, such as that bipedalism is primitive in mammals, are not shared by most modern supporters of the AAH.


Final tenure in Chile (1948–1957)

In 1948, at the age of 77 he returned once more to Chile under a contract with the Junta Central de Beneficencia (Central Board of Charities) to serve as a pathology adviser.Sievers Wicke (1958) page 72 For his long record of contributions in Chile he was decorated by the government with the
Order of Bernardo O'Higgins The Order of Bernardo O'Higgins () is an award issued by Chile. It is the highest civilian honor awarded to non-Chilean citizens. This award was established in 1965 and named after one of the founders of the Chilean state, the independentist gener ...
. His legacy on the teaching of the anatomic pathology in Chile was continued by his students, especially Dr Ismael Mena at the
University of Chile The University of Chile () is a public university, public research university in Santiago, Chile. It was founded on November 19, 1842, and inaugurated on September 17, 1843.
and Dr Roberto Barahona Silva, founder of the Department of Pathology at the
Pontifical Catholic University of Chile The Pontifical Catholic University of Chile (UC Chile; ) is a traditional private university based in Santiago, Chile. It is one of the thirteen Catholic universities existing in Chilean university system and one of the two pontifical univ ...
.


Personal life

Westenhöfer was married twice. From the first marriage, to Anna Maria, he had three children, Grete, who was born in Chile, Rudolf, who was educated at the German School of Santiago, and Wolf. Only Wolf survived the war and lived in Berlin with six children. Westenhöfer's second marriage was to Jutta, née Windmŭller,Sievers Wicke (1958) page 52 who survived him. He died on September 25, 1957, in
Santiago de Chile Santiago (, ; ), also known as Santiago de Chile (), is the capital city, capital and largest city of Chile and one of the largest cities in the Americas. It is located in the country's Chilean Central Valley, central valley and is the center ...
,Sievers Wicke (1958) page 47 which he considered his second home. Dr. Westenhöfer was buried in the
Cementerio General de Santiago The Santiago General Cemetery () in Santiago, Chile, is one of the largest cemeteries in Latin America with an estimated two million burials. The cemetery was established in 1821 after Chile's independence when Bernardo O'Higgins inaugurated the ...
.


Publications

*M. Westenhöffer: ''Tabes dorsalis und Syphilis''. - Berlin: C. Vogts Buchdrückerei, 1894. - 34 pages (Berlin, Medizinische Fakultät, Inaug.-Diss. von 10. Augustus 1894) Thesis on
Tabes dorsalis Tabes dorsalis is a late consequence of neurosyphilis, characterized by the slow degeneration (specifically, demyelination) of the neural tracts primarily in the Dorsal root ganglion, dorsal root ganglia of the spinal cord (nerve root). These pati ...
and
Syphilis Syphilis () is a sexually transmitted infection caused by the bacterium ''Treponema pallidum'' subspecies ''pallidum''. The signs and symptoms depend on the stage it presents: primary, secondary, latent syphilis, latent or tertiary. The prim ...
*M. Westenhöffer: ''Über die Grenzen der übertragbarkeit der Tuberculose durch Fleisch tuberculöser Rinder auf den Menschen''. - Berlin : A. Hirschwald, 1904. - 48 pages "On the limits of transferability of tuberculosis through the meat of tuberculous cattle to humans" *M. Westenhöffer: ''Über Impftuberculose'' - Berlin : A. Hirschwald, 1904. - 24 pages - (Sonderabdruck aus Charité-Annalen) "On vaccination tuberculosis" *M. Westenhöffer: ''Pathologisch-anatomische Ergebnisse der oberschlesischen Genickstarreepidemie von 1905'' - Jena : G. Fischer, 1906. - iv, 72 pages - (Sonderabdruck aus Klin. Jahrb.) Study of 1905
meningitis Meningitis is acute or chronic inflammation of the protective membranes covering the brain and spinal cord, collectively called the meninges. The most common symptoms are fever, intense headache, vomiting and neck stiffness and occasion ...
epidemic in
Upper Silesia Upper Silesia ( ; ; ; ; Silesian German: ; ) is the southeastern part of the historical and geographical region of Silesia, located today mostly in Poland, with small parts in the Czech Republic. The area is predominantly known for its heav ...
*M. Westenhöffer: ''Atlas der pathologisch-anatomischen Sektionstechnik'' - Berlin : A. Hirschwald, 1908. - viii, 53 pages. Illustrated guide for the performance of autopsies. *Westenhöfer, Max: ''Die Aufgaben der Rassenhygiene (des Nachkommenschutzes) im neuen Deutschland'' : Vortrag, gehalten am 27. Februar 1919 in der Berliner Gesellschaft für Rassenhygiene von Dr. Med. Westenhöfer. - Berlin : Richard Schötz, 1920. - 40 pages - (Veröffentlichungen aus dem Gebiete der Medizinalverwaltung; 10,2 = Heft. 103) "Racial hygiene tasks (for protection of the descendants) in the new Germany" *Westenhöfer, Max: ''Über die Erhaltung von Vorfahrenmerkmalen beim Menschen, insbesondere über eine progonische Trias und ihre praktische Bedeutung''. - In: Medizinische Klinik, 1923, 37. - pages 1247–1255. "On the preservation of ancestor's characteristics in human beings, and especially on a trio of primitive features and their importance in practice" * *Westenhöfer, Max: ''Über die Klettermethoden der Naturvölker und über die Stellung der grossen Zehe'' - Leipzig : C. Kabitzsch, 1927. - pages 361–392. - Ill. - (Aus: Archiv für Frauenkunde und Konstitutionsforschung, Band 13, 1927, Heft 5) "On the climbing methods of primitive peoples and the position of the big toe" * - "The problem of human origin, presented through morphogenetic reflections on the brain and skull, and with reference to many other parts of the body." * "The unique path of man, depicted on the basis of comparative morphological studies on the formation of species and the origin of humanity" * "The basics of my theory of man's unique path: development, human origin, worldview"


See also

*
List of pathologists A list of people notable in the field of pathology. A * John Abercrombie, Scottish physician, neuropathologist and philosopher. * Maude Abbott (1869–1940), Canadian pathologist, one of the earliest women graduated in medicine, expert in c ...
* German Chilean


References


Further reading

* Gonzalo Vial: ''Historia de Chile (1891–1973)'', volumen II, Triunfo y decadencia de la oligarquía, Santiago. Editorial Zig-Zag, 1999 * * * *
On Prof Max Westenhofer in PubMed
{{DEFAULTSORT:Westenhofer, Max 1871 births 1957 deaths Humboldt University of Berlin alumni Emigrants from the German Empire Immigrants to Chile Health in Chile Recipients of the Iron Cross (1914), 2nd class German pathologists Chilean pathologists German anthropologists Scientists from the Kingdom of Bavaria Academic staff of the University of Chile People from Ansbach 19th-century German writers 20th-century German writers 19th-century German male writers 20th-century German male writers