Ronald Ross
Sir Ronald Ross was a British medical doctor. He received the 1902 Nobel Prize for Physiology or Medicine "for his work on malaria, by which he has shown how it enters the organism and thereby has laid the foundation for successful research on this disease and methods of combating it". His discovery of the malarial parasite in the gastrointestinal tract of a mosquito in 1897 proved that malaria was transmitted by mosquitoes, and laid the foundation for the method of combating the disease.
Ross was a polymath, writing a number of poems, publishing several novels, and composing songs. He was also an amateur artist and mathematician. He worked in the Indian Medical Service for 25 years. It was during his service that he made the groundbreaking medical discovery. After resigning from his service in India, he joined the faculty of Liverpool School of Tropical Medicine, and continued as Professor and Chairman of Tropical Medicine of the institute for 10 years. In 1926, he became Director-in-Chief of the Ross Institute and Hospital for Tropical Diseases, which was established in honour of his works. He remained there until his death.
Early life and education
Ross was born in Almora, then in the North-Western Provinces of Company-ruled India, north west of Nepal. He was the eldest of ten children of Sir Campbell Claye Grant Ross, a general in the British Indian Army, and Matilda Charlotte Elderton. At age eight, he was sent to England to live with his aunt and uncle on the Isle of Wight. He attended Primary schools at Ryde, and for secondary education he was sent to a boarding school at Springhill, near Southampton, in 1869. From his early childhood, he developed a passion for poetry, music, literature and mathematics. At fourteen years of age he won a prize for mathematics, a book titled Orbs of Heaven which sparked his interest in mathematics. In 1873, at sixteen, he secured first position in the Oxford and Cambridge local examination in drawing.Although Ross wanted to become a writer, his father arranged enrollment at St Bartholomew's Hospital Medical College in London, in 1874. Not fully committed, he spent most of his time composing music, and writing poems and plays. He left in 1880. In 1879 he had passed the examinations for the Royal College of Surgeons of England, and he worked as a ship's surgeon on a transatlantic steamship while studying for the licenciate of the Society of Apothecaries. He qualified on second attempt in 1881, and after a four-month training at Army Medical School, was appointed a surgeon in the Indian Medical Service on 5 April 1881, assigned to the Madras Presidency. Between June 1888 and May 1889 he took study leave to obtain the Diploma in Public Health from the Royal College of Physicians and Royal College of Surgeons, and took a course in bacteriology under Professor E. E. Klein.
Career
India
Ross embarked for India on 22 September 1881 on the troopship Jumma. Between 1881 and 1894 he was variously posted in Madras, Moulmein, Baluchistan, Andaman Islands, Bangalore and Secunderabad. In 1883, he was posted as the Acting Garrison Surgeon at Bangalore during which he noticed the possibility of controlling mosquitoes by limiting their access to water. In March 1894 he had his home leave and went to London with his family. On 10 April 1894 he met Sir Patrick Manson for the first time. Manson who became Ross's mentor, introduced him to the real problems in malaria research. Manson always had a firm belief that India was the best place for the study. Ross returned to India on P&O ship Ballaarat on 20 March 1895 and landed in Secunderabad on 24 April. Even before his luggage was cleared in the custom office, he went straight for Bombay Civil Hospital, looking for malarial patients and started making blood films.Discovery of malaria-causing mosquito
Ross made his first important step in May 1895 when he observed the early stages of malarial parasite inside a mosquito stomach. However, his enthusiasm was interrupted as he was deployed to Bangalore to investigate an outbreak of cholera. Bangalore had no regular cases of malaria. He confided to Manson stating, "I am thrown out of employment and have 'no work to do'." But in April he had a chance to visit Sigur Ghat near the hill station of Ooty, where he noticed a mosquito on the wall in a peculiar posture, and for this he called it "dappled-winged" mosquito, not knowing the species. In May 1896, he was given a short leave that enabled him to visit a malaria-endemic region around Ooty. In spite of his daily quinine prophylaxis, he was down with severe malaria three days after his arrival. In June he was transferred to Secunderabad.After two years of research failure, in July 1897, Ross managed to culture 20 adult "brown" mosquitoes from collected larvae. He successfully infected the mosquitoes from a patient named Husein Khan for a price of 8 annas. After blood-feeding, he dissected the mosquitoes. On 20 August he confirmed the presence of the malarial parasite inside the gut of mosquito, which he originally identified as "dappled-wings". The next day, on 21 August, he confirmed the growth of the parasite in the mosquito. This discovery was published on 27 August 1897 in the Indian Medical Gazette and subsequently in the December 1897 issue of British Medical Journal. In the evening he composed the following poem for his discovery :
This day relenting God
Hath placed within my hand
A wondrous thing; and God
Be praised. At His command,
Seeking His secret deeds
With tears and toiling breath,
I find thy cunning seeds,
O million-murdering Death.
I know this little thing
A myriad men will save.
O Death, where is thy sting?
Thy victory, O Grave?
Discovery of malaria transmission in birds
In September 1897, Ross was transferred to Bombay, from where he was subsequently sent to malaria-free Kherwara in Rajputana. Frustrated by lack of work, he threatened to resign from the service as he felt that it was a death blow to his research. It was only on the representation of Patrick Manson that the government arranged for his continued service in Calcutta on "special duty". On 17 February 1898, he arrived in Calcutta, to work in the Presidency General Hospital.Ross immediately carried out research in malaria and Visceral leishmaniasis, for which he was assigned. He was given the use of Surgeon-Lieutenant-General Cunningham's laboratory for his research. He had no success with malarial patients because they were always immediately given medication. He built a bungalow with a laboratory at Mahanad village, where he would stay from time to time to collect mosquitoes in and around the village. He employed Mahomed Bux and Purboona. As Calcutta was not a malarious place, Manson persuaded him to use birds, as being used by other scientists such as Vasily Danilewsky in Russia and William George MacCallum in America. Ross complied but with a complaint that he "did not need to be in India to study bird malaria". By March he began to see results on bird parasites, very closely related to the human malarial parasites.
Using more convenient model of birds, by July 1898 Ross established the importance of culex mosquitoes as intermediate hosts in avian malaria. On 4 July he discovered that the salivary gland was the storage sites of malarial parasites in the mosquito. By 8 July he was convinced that the parasites are released from the salivary gland during biting. He later demonstrated the transmission of malarial parasite from mosquitoes to healthy sparrows from an infected one, thus, establishing the complete life cycle of malarial parasite.
In September 1898 he went to southern Assam in to study an epidemic of Visceral leishmaniasis. He was invited to work there by Graham Col Ville Ramsay, the second Medical Officer of the Labac Tea Estate Hospital. However, he utterly failed as he believed that the kala-azar parasite was transmitted by a mosquito, which he refers to as Anopheles rossi.
England
In 1899, Ross resigned from the Indian Medical Service and went to England to join the faculty of the Liverpool School of Tropical Medicine as a lecturer. He continued to work on prevention of malaria in different parts of the world, including West Africa, the Suez Canal zone, Greece, Mauritius, Cyprus, and in the areas affected by the First World War. He also established organisations for fighting malaria in India and Sri Lanka. In 1902, Ross was awarded the Cameron Prize for Therapeutics of the University of Edinburgh. He was appointed as Professor and Chair of Tropical Medicine of the Liverpool School of Tropical Medicine in 1902, which he held up to 1912. In 1912 he was appointed Physician for Tropical Diseases at King's College Hospital in London, and simultaneously hold the Chair of Tropical Sanitation in Liverpool. He remained in these posts until 1917 when he became Consultant in Malariology in British War Office. He travelled to Thessaloniki and Italy in November to advise and on the way, "in a landlocked bay close to the Leucadian Rock ", his ship escaped a torpedo attack. Between 1918 and 1926 he worked as Consultant in Malaria in the Ministry of Pensions and National Insurance.Ross developed mathematical models for the study of malaria epidemiology, which he initiated in his report on Mauritius in 1908. He elaborated the concept in his book The Prevention of Malaria in 1910 and further elaborated in a more generalised form in scientific papers published by the Royal Society in 1915 and 1916; some of his epidemiology work was developed with mathematician Hilda Hudson. These papers represented a profound mathematical interest which was not confined to epidemiology, but led him to make material contributions to both pure and applied mathematics.
Ross was one of the supporters of Sir William Osler in the founding of the History of Medicine Society in 1912, and in 1913 was the history of medicine section's vice-president. Between 1913 and 1917, he received some financial support from Sir Edwin Durning-Lawrence, and led experiments at the Marcus Beck laboratory in the Royal Society of Medicine building at 1 Wimpole Street, London.