A PIONEER OF PUBLIC HEALTH PUBLISHED UNDER THE AUSPICES OF THE YALE SCHOOL OF MEDICINE ON THE FOUNDATION ESTABLISHED IN MEMORY OF WILLIAM CHAUNCEY WILLIAMS, M.D., OF THE CLASS OF 1822, YALE MEDICAL SCHOOL, AND OF WILLIAM COOK WILLIAMS, M.D., OF THE CLASS OF 1850, YALE MEDICAL SCHOOL A PIONEER OF PUBLIC HEALTH WILLIAM THOMPSON SEDGWICK BY E. O. JORDAN • G. C. WHIPPLE • C.-E. A. WINSLOW WITH AN INTRODUCTION BY MARY K. SEDGWICK "He loved great things and thought little of himself. Desiring neither fame nor influence he won the devotion of men and was a power in their lives; and seeking no dis- ciples he taught to many the qualities of the world and of man's mind." NEW HAVEN YALE UNIVERSITY PRESS LONDON • HUMPHREY MILFORD • OXFORD UNIVERSITY PRESS MCMXXIV COPYRIGHT 1924 BY YALE UNIVERSITY PRESS PRINTED IN THE UNITED STATES OF AMERICA THE WILLIAMS MEMORIAL PUBLICATION FUND The present volume is the seventh work published by the Yale University Press on the Williams Memorial Publication Fund. This Foundation was established June 15, 1916, by a gift made to Yale University by George C. F. Williams, M.D., of Hartford, a member of the Class of 1878, Yale School of Medicine, where three generations of his family studied-his father, William Cook Williams, M.D., in the Class of 1850, and his grandfather, William Chauncey Williams, M.D., in the Class of 1822. Contents List of Illustrations xi Introduction xiii The Public Health Movement in the Seventies 1 The Gates of Knowledge 8 The Department of Biology and Public Health at the Massachusetts Institute of Technology 22 The Contribution of the Institute of Technology to the Public Health Movement in America 56 Sedgwick the Teacher 80 Public Service 109 As a Man Thinketh 141 Appendix A 163 Appendix B 173 List of Illustrations William T. Sedgwick Frontispiece Facing page Professor Sedgwick at His Demonstration Desk (Trinity Place Building, 1899) 40 The Department Staff, 1920-1921 54 Official Minute Adopted by the Public Health Council of Massachusetts, February, 1921 68 Portrait of Sedgwick Painted by William Churchill, 1909 132 Introduction The record of a man's achievement in the chosen pursuit of his life is, in so far as it was helpful to his fellowmen, a public possession. Yet-and possibly this is more true of the average scientific man than of any other-it is necessarily ephemeral. Our world whirls on so fast from discovery to discovery that no man's work lives very long unless he be of that rare and infinitely small number of immortals who 4 4 climb the skies to dwell there everlastingly. ' ' The subject of this memoir was so assured that his modest contribution to knowledge was not of any such rare order, that more than once when speaking of biographies he would regret that the subjects of some of them had expanded into 44two-volume men," as he phrased it, and he would add,441 am not even a one-volume man, and I hope no one will be tempted to think I am, and write my life." His was the un- marked routine of a hard-working student, teacher, and investigator; and such a career makes few sig- nificant appeals to popular interest. It is unquestionably a loss that, friendly with so many, helpful to a host, he has not left behind letters to charm the casual reader. His correspondence was enormous, but largely professional. Consequently, xiii INTRODUCTION though he knew and enjoyed a great variety of men, and especially, through the Lowell Institute, men of much distinction, he gave little time to the cultivation of one of the most delightful of all forms of memory -letters of friendship that reveal a man to a world which knew him not. Nevertheless, such was the influence his spirit wrought upon scores of younger men (who affection- ately named him "Chief") that they, in order to pre- serve his pioneer work in the advancement of Public Health in America, have overborne my reluctance. Furthermore, the suggestion has been made that I alone can add such detached and fragmentary memories and anecdotes, brought together from the strayed years, as may reveal a little more intimately the kind of man he was who is the subject of this por- trait. I have therefore given to the authors of this volume such recognita as seemed not to violate his wishes, rather than to furnish, as they wished, a sepa- rate chapter of personal memories. After all, to his friends, to those who gathered about the hearth-fire in quiet interchange of friendly talk, the thing to be cherished now is not his achieve- ment as a pioneer in Public Health, nor his greater success as a molder of young minds. What they will wish not to lose from memory are his likes and dis- likes, the books of which he made companions, the buildings or the pictures or the music that he most enjoyed, the way in which he refreshed himself spir- itually and bodily, "what nonsense made him laugh, what pathos made him weep." From the beginning of our married life, my part xiv INTRODUCTION was to read and study along lines outside the range of his scientific pursuits in order to refresh him in hours of leisure, or to enrich periods of travel with knowledge of history and art and literature. The wide range of his mental interest was one of the fac- tors of his influence, revealing to his young men un- expected contacts with sides of life so far removed from his own experience, or theirs, as to make new planets swim into their ken. One such man writes me that this gift of vivid sympathy with phases of life upon whose margin only he could touch, was perhaps his most characteristic trait, and proved stimulating beyond all expression to one just embarking upon the independent life of a teacher or research worker. Another friend writes: "In a home where W. T. S. was like a son and brother, he never crossed the threshold without bringing good cheer. Tender gen- tleness with the old and real comradeship with the young were never failing. By the firelight in winter and moonlight in summer, the give and take of family life was greatly added to when he joined-he was so generous in expressing his opinions and in clarifying a subject when there was any haziness." During many years he seemed to do the work of two or even of three average men. Yet he was never outwardly hurried or confused, but carried his heavy burden with high serenity, because it was a task he loved. More than this, he recognized that the intel- lectual life must not be allowed to overshadow or sub- merge the very real and urgent life of human rela- tions. Family ties and his sense of public duty to the community never let his conscience rest satisfied with XV INTRODUCTION mere professional achievement. He would like, I think, to be remembered as a citizen and a friend of man, "unspoiled, sweet, generous, and humane." Often in the later years I have heard him say he longed for freedom from administrative work in or- der to write. There were embryo articles and books in his mind that yearned for expression; yet he loved his teaching, and, could it have been separated from official care of a department, he would not so often in the last two years have said: "I must stop, but I would like to round out my forty years at Tech- nology. ' ' This was not vouchsafed him, and his part- ing from the life he loved was, at all events, that of a good soldier who went with his armor quite undinted, even though he left most cherished projects at their moment of crisis. The outpouring of admiration for "the Chief," which, since he left us, has been expressed in hun- dreds of letters, strengthens the hope that the present volume may help to capture and keep alive for those who cared for him, and to reveal to others who in the future will know him only through its pages, his larger perception of what a fundamental scientific philosophy of life may mean to the individual and to the community of which he forms a part. Mary K. Sedgwick. xvi The Public Health Movement in the Seventies* Homines enim ad Deos, nulla re propius accedunt, quam salutem hominibus dando. Cicero, Pro Q. Ligario, XII, 38. The Great War closed an era in the history of civi- lization. What is happening to the world today, the wisest of us cannot surely tell. Our sons will know; but in the midst of the current it is impossible to gauge its direction or its force. Looking backward, however, we who are now in the forties and the fif- ties can estimate with some accuracy the tendencies at work in that vanished world in which we were born and grew up to maturity. The period of seventy-five years, which began with the accession of Queen Victoria and ended with the invasion of Belgium, was characterized on the one hand by the development of applied science and on * The authors desire to express their appreciation of the courtesy of Prof. H. G. Pearson of the Massachusetts Institute of Technology and Prof. W. H. Frost of Johns Hopkins University who have read the manuscript of this memoir and given many valuable suggestions in regard to it. 1 A PIONEER OF PUBLIC HEALTH the other by the application of that science to the amelioration of the physical conditions of human life. It was a scientific age and a humanitarian age. It was an era of orderly progress in thought and in action, an era of faith in the bases of conduct and of hope for the future. Even before the war there were many signs that this phase of assured progress must give way in a natural alternation to a phase of read- justment, of doubts and questionings and emotional strivings, which will in turn lay the foundation for a new period of confident advance. Yet in the last half of the nineteenth century the world was a good world to live in, and few half-centuries in the world's history can show an equal degree of concrete achieve- ment for the cause of civilization. Among all the movements of this period none was more notable than the development of the modern public health campaign. Here, the progress of scien- tific knowledge and the humanitarian impulse joined hands to accomplish results in the saving of life and the control of human suffering, never before equalled, and perhaps never again to be equalled, in a similar period of time. The growth of the public health movement is therefore a highly significant thing for every student of human affairs; and in the history of this movement in America the name of Sedgwick stands out as one of its earliest, most char- acteristic and most influential leaders. The story of his life is a mirror of the progress of the public health campaign; and the moral and intellectual forces which made him so great a teacher were in un- 2 WILLIAM THOMPSON SEDGWICK usual measure the moral and intellectual forces of the period in which he lived. When Sedgwick was preparing for his life work, fifty years ago, the modern public health movement was still in its infancy. In England the foundations had already, however, been laid. In later years Sedg- wick loved the study of these pioneering efforts of the eighteenth century and never wearied of delving in the Bodleian Library for the records of John Howard and Sir George Baker. In an address on The Rise and Significance of the Modern Move- ment for Public Health he discusses this "seed-time of public health science" in the following passage. No one has yet drawn for us any such picture of society at the end of the eighteenth century as Macaulay, in his telling account of England in 1685, has given us of the end of the seventeenth. But whenever such a picture conies to be painted, we shall find in it, prominent if not conspicuous, the rising wave of humanitarianism marked by reforms in the treatment of the insane, deaf-mutes and the blind; by the establishment of public instead of church hospitals and asylums; and by the prison and alms-house reforms of John Howard. Some three months after the first reform Act brought about by Howard's exposures-an Act which dealt with the most urgent ad- ministrative reforms-another Act was passed, in June, 1774, which deserves to be called a great Public Health Act, for it required justices of the peace "to see that the walls and ceilings of all prisons within their jurisdiction were scraped and whitewashed once a year at least; that the rooms were regularly cleaned and ventilated; that in- firmaries were provided for the sick, and proper care taken to get them medical advice; that the naked should 3 A PIONEER OF PUBLIC HEALTH be clothed; that underground dungeons should be used as little as could be; and generally that such courses should be taken as would tend to restore and preserve the health of the prisoners." In this episode and in this Act public health science and especially sanitation may be said to have obtained their first formal and official recognition. Great epidemics, plagues and pestilences, had of course often before af- flicted the human race, and against these all sorts of measures, public and private, official and unofficial, had been directed. But these measures were usually unscien- tific, spasmodic and temporary, and directed toward the control of extraordinary and acute conditions, rather than general and permanent plans of social betterment designed to remove long-standing or chronic evils. The establishment of hospitals and lunatic asylums by the Emperor Joseph of Austria and others, towards the end of the eighteenth century had been measures of public comfort and public safety rather than plans for improve- ment of the public health; and the justly celebrated work of Beccaria on Crimes and Punishments (1764) was chiefly designed to expose and prevent cruelty, not sani- tary neglect or sickness. The eighteenth century was at best only the seed-time of public health science, a period of beginnings. But these beginnings, as we now know, were highly significant, just as straws tell which way the wind is blowing. Sir Christo- pher Wren, for example, was consulted early in the eight- eenth century, as an architect and engineer, about the ventilation of the House of Commons, in which the air had begun to be recognized as no longer tolerable. Sir George Baker, in the middle of the eighteenth century took the first step in scientific epidemiology, when he proved by strictly inductive methods that a localized but wide- 4 WILLIAM THOMPSON SEDGWICK spread epidemic known as "Devonshire colic" was really a lead poisoning due to the drinking of lead-bearing Dev- onshire cider. When to these beginnings in sanitary sci- ence or the control of human environment we add those other and hygienic processes which consist in reinforce- ment of the vital resistance, namely the use of lime juice to render the body immune to scurvy-recommended in 1617 but not regularly supplied in the British Navy be- fore 1796-inoculation (1722) and vaccination (1796) to secure immunity from smallpox, we perceive that the eighteenth century is worthy to take rank not only as the period of the scientific renaissance, but also as the time of the beginnings of a true preventive medicine and of the present-day movement for public health. The actual fruition of this dawning public health movement came with the report on the Sanitary Con- dition of the Laboring Population of Great Britain presented to Parliament in 1842, the report of the Health of Towns Commission in 1844, the creation of Chadwick's short-lived Board of Health in 1848 and the appointment of the first municipal health officers, Duncan at Manchester in 1847 and Simon at London in 1849. Under the influence of these leaders, in the middle of the nineteenth century environmental sanitation in England underwent a veritable revolu- tion, whose influence at last began to make itself felt in the United States. The basis of the public health campaign in America for many decades was the re- port on a state sanitary survey of Massachusetts made by Lemuel Shattuck and his associates in 1850; and this document drew its primary inspiration from the work of Chadwick. In 1869 the Massachu- 5 A PIONEER OF PUBLIC HEALTH setts State Board of Health was created, as a result of Shattuck's eloquent and statesmanlike report, and in 1876 the debt of American to British sanitary sci- ence was emphasized by the reprinting, under the auspices of the Massachusetts Board, of Simon's Filth Diseases and Their Prevention. As indicating that those aspects of public health which deal with environmental sanitation had already acquired a po- sition of importance, it is of some interest to note that James Campbell, the publisher of the book in question, advertises at this time 29 books on sanitary science, dealing with water supply, sewerage and ventilation.* Public health in the seventies was almost wholly concerned with the problems of the non-living envi- ronment. The first task of the sanitarian was to remedy those filthy conditions of living which in the larger cities throughout the world were still propa- gating the plagues and pestilences of the Middle Ages. It was in 1865 that the sanitary survey of New York City, conducted by Stephen Smith and his associates, revealed the astoundingly unsanitary con- ditions of our own metropolis and the nests of diar- rheal disease, of typhus fever and of smallpox which existed amid the crowded tenements of that city. Naturally and inevitably this primarily engineering phase of the public health movement predominated at the outset; but the dawn of a new era was at hand * Most of the authors are of course English, including Latham, Parkes, Denton and Corfield; but Waring, Elisha Harris and Morrill Wyman also appear among the number. 6 WILLIAM THOMPSON SEDGWICK and the data were accumulating for a more scientific and intensive attack upon the causes of disease. In the dingy laboratories of the Ecole Normale at Paris, Louis Pasteur had been conducting since 1857 his studies on fermentation and biogenesis; in 1865 he began his work on the diseases of silkworms; in 1877, the year of Sedgwick's graduation, Pasteur presented his first paper on the subject of anthrax. The biological basis of the modern public health movement was at last firmly laid by these researches, and the way was open for the development of bacteri- ology and immunology. In the span of Sedgwick's lifetime the public health movement passed from the sanitation of the environment, through the conquest of the insect-borne pestilences and the scientific use of vaccine and serum therapy, to the great social and educational movement of the present day,-boasting of successes which involve the prolongation by fif- teen years of the average period of human life. 7 The Gates of Knowledge Bliss was it in that dawn to be alive, But to be young was very Heaven. Wordsworth. Sedgwick grew up with the development of that great social movement which we call the modern pub- lic health campaign; but it was only by degrees that he found himself swept into its swift current. He was born at West Hartford, Conn., December 29, 1855, the son of William and Anne Thompson Sedgwick. When as a boy he left his home in Farmington for the Hartford High School he had no thought of go- ing on to college, unless perhaps his slender patri- mony might suffice for a year or so at the Troy Poly- technic. His father died when William was but eight years old, and thenceforth his mother was a gentle invalid. In New York a much older half-brother ad- vised business but realized that a little more ad- vanced training would be useful. By wonderful good fortune Will Sedgwick while at school in Hartford lived with two gentlewomen, the Misses Goldthwaite, formerly well-known teachers who received into their household a few youths, mostly Chinese and Japa- nese, who were studying in America. These women 8 WILLIAM THOMPSON SEDGWICK were inspired by an eager love of books and music and brought into the daily life of "their boys," as some of them were fondly called throughout life, an intimate acquaintance with poetry and general lit- erature such as opened wide vistas for the country lad, and their household brought him into an atmos- phere of young life and laughter which the soberer home environment had never furnished. Through the influence of the younger sister, always called "Miss Jane," the determination to go through college be- came a controlling impulse and by working in sum- mer vacations on the farm of another half-brother, as well as by tutoring college boys at Yale, the course was accomplished and Sedgwick graduated with an honorable record in 1877 at the Sheffield Scientific School and then entered the Medical School. In Miss Goldthwaite's home,* Sedgwick formed a close friendship with Kakichi Mitsukuri, who was with him later, both at Yale and at Johns Hopkins. So long as Mitsukuri lived Sedgwick kept up a more constant correspondence with him than with any other man, and in several visits to this country made by "Mitsi" after he had become a distinguished pro- fessor in the University of Tokyo, Sedgwick's house was always the home of his Japanese comrade. • Sedgwick felt that he owed to Miss Jane Goldthwaite all his in- spiration toward a scientific career and always showed her the tender- ness due to a foster mother. He was unwilling to go to Europe, even on what was in effect his wedding journey,-six months after his marriage, -without urging Miss Goldthwaite to accompany him and his wife, and thus realizing for her a dream of long years. A charming girl was added to the party, and no quartet on their first European adventure ever enjoyed a more harmonious experience. 9 At Yale, as always throughout his life, Sedgwick was a vital force in the community in which he moved and he was the Senior President of his class ('77 S.).* In the admirable sketch of the Life and Work of William Thompson Sedgwick by Samuel C. Prescottf there is quoted Edward B. Wilson's de- scription of "Sedg" as a cheery and even jovial companion, endowed with a keen sense of humor and with that equally precious and saving gift of fortune which he himself was fond of calling "horse sense." Prominent among one's early memories of him are his intense love of nature and his delicate literary gift. He was country-born and bred and never lost his affection for the New England hills and woods through which he loved to roam. Of these experiences he knew how to write with a charm of style and warmth of feeling that was at first surprising to one who had thought of him as concen- trated on the technical aspects of science. He was one of a small group of enthusiastic amateur botanists who de- voted much of their spare time to the collection of plants in the neighborhood of New Haven, sometimes wander- ing as far afield as the Meriden Hills, and who after- wards published a list of the plants of this region in the name of their college fraternity. In this undertaking, en- couraged and aided by the genial professor of botany, Daniel C. Eaton, Sedgwick took a leading part. It in- volved some hard work, but I doubt whether the rivalries of football, rowing and other college sports were ever A PIONEER OF PUBLIC HEALTH * Among Sedgwick's classmates were Henry Holbrook Curtis and W. Gilman Thompson, both of whom attained eminence in the medical profession. t Technology Review, April, 1921. 10 WILLIAM THOMPSON SEDGWICK pursued with a keener sporting instinct or brought larger returns in the way of health and happiness than did those rather strenuous tramps among the Connecticut wilds. Sedgwick was particularly influenced in his college course by Professor Brewer, one of the pioneers of the Sheffield Scientific School who for more than forty years occupied with grace and distinction the chair of agriculture, and whose remarkable gifts as a teacher found their happiest expression in the re- nowned course on stock breeding, wherein he intro- duced students to the great fundamental aspects of heredity and evolution as they were understood at that time. Of this course Professor Wilson writes: These lectures were much appreciated by many gen- erations of Yale students, and in our time gained added piquancy outside the classroom from Sedgwick's lively imitations of his beloved professor's sonorous and pic- turesque style of lecturing. To the end of his life, indeed, Sedgwick loved to cite Brewer's method of introducing Gallon's law of heredity by eloquent insistence on the fact that "every man has two parents, four grandpar- ents, eight great-grandparents, and so on to the end of the category."* Another member of the Yale faculty who exercised a definite influence upon Sedgwick was Professor R. H. Chittenden, later Director of the Sheffield Sci- entific School, but at that time an instructor in physiological chemistry. Sedgwick early attracted his attention, serving in his senior year as an assist- * Brewer took an active share in the movement which led to the es- tablishment of the Connecticut State Board of Health in 1878 and served for many years as its presiding officer. 11 A PIONEER OF PUBLIC HEALTH ant in the laboratory, and later while a student at the Yale Medical School he was chosen by his instructor to carry on the course in this subject while Chitten- den was on leave of absence abroad. At the Sheffield Scientific School Sedgwick ac- quired not only the basis of his biological training but a vital interest in the general cause of technologi- cal education, then still struggling against heavy odds for recognition. In a letter written many years later to Director Chittenden he comments upon the success of this struggle. I congratulate you on the splendid appearance of the S. S. S. Bulletin and Catalogue lately received. What a change from the old days! And what a wonderful and splendid development! It does my soul good to see the Scientific School taking such a magnificent position in the University, and in the country. In Washington the other day I fell in with the Rev. Douglas Birnie, '78 Academic, and we had a good laugh over the way the Academics used to despise the Scien- tifics. I assured him that now the tables are turned and that we are doing the despising! On graduating from the Scientific School in 1877 Sedgwick entered the Yale School of Medicine. The desire for the life of a professional man with its un- doubted restrictions and sacrifices had driven out all thought of business, however remunerative. Those who knew him in later life smile at any association of Sedgwick with money matters for which he not only showed no aptitude but a humorous indifference. In his last important address on Modern Medicine and the Public Health delivered at the University of 12 WILLIAM THOMPSON SEDGWICK Cincinnati in November, 1920, Sedgwick gave the following vivid picture of the status of medical edu- cation in New Haven at this period. He says, Before 1870 even our best medical schools welcomed without any educational entrance requirements whatso- ever all students who could pay the prescribed fees. In- struction consisted almost entirely of lectures, the only laboratory open to students being the dissecting room. The lectures were given by practitioners usually too busy to properly prepare themselves, before students often too indolent or too ignorant to profit by them. The school terms, of which only two were required for the degree, were very short-generally about four months each. Hence it was sometimes possible to get the medical de- gree within a single calendar year. As late as 1887 it was reported as an important fact in American medical edu- cation that each term of our medical colleges had recently been increased from an average of 23.5 weeks to one of 24.9-i.e., by one and a half weeks, or to nearly six months! Entrance examinations were held by the Medical School of Harvard University for the first time in 1877, and then only thirteen candidates presented themselves, of whom six passed and seven failed. As for the charac- teristics and deportment of medical students in those days President Eliot said in his annual report for 1879- 1880: " It is notorious that medical students have been as a rule a rougher class of young men than other profes- sional students of similar age,"-and this was a very conservative statement. When I was in the medical school in 1877, students went all day from one lecture to another listening to a 13 A PIONEER OF PUBLIC HEALTH stream of words upon every subject in the curriculum, poured out upon everybody, even beginners in their first year, and repeated, practically unchanged, in the second year. No important examination was held until the end of the two years, and then the examinations were brief and easy. Chemistry was expounded by lectures and lecture demonstrations, but without any laboratory practice, and was of the most elementary sort,-far below that now obtained by Freshmen in colleges and technical schools, -while physiology was taught without laboratory work of any kind, through recitations from a textbook, by a young physician who had merely taken a similar textbook course under another physician equally ignorant of physiological science. I shall never forget my regret that I had been born too late, for I gathered from the tone of the textbook and the teacher, that everything in Physi- ology was already known, so there was therefore nothing under debate, nothing to be settled, nothing to be discov- ered. Pathology, what there was of it, was a poor kind of pathological histology demonstrated by miscellaneous and mostly inferior microscopes. It was taught by an old gentleman lately returned from the Orient, where he had long served as a medical missionary. Materia medica and therapeutics were lectured about by a busy practitioner, with occasional illustrations of plants supposed to pos- sess medicinal properties. Obstetrics was likewise taught entirely by lectures, without demonstrations or practice of any kind whatsoever. In this subject, as in most, a number of books were named for reference, but in ob- stetrics one prominent treatise was not thus mentioned. Word was passed down from the upper class that this book, about which the Professor had said nothing, was the one from which he drew his lecture material,-with the result that the class promptly purchased the one book 14 WILLIAM THOMPSON SEDGWICK not recommended and abjured all the others. Theory and Practice was taught by a physician from a neighboring city, who had there a large private practice, and was also a busy medical adviser to an important insurance com- pany. This man was nevertheless an excellent teacher, and the class really learned a good deal from him and from the books which he advised us to read. The brightest spot in the school was the instruction in surgery which was taught by a really eminent surgeon who, however, was overwhelmed with private practice in a large city some fifty miles distant. By him we were instructed chiefly through clinics, and I well remember his skeptical, but still open minded, attitude as he referred to the anti- septic method,-which for him was the antiseptic spray, -of Joseph Lister, a method then barely ten years old and making its way only very slowly in a profession noted for its conservatism. It was inevitable that such an educational scheme should prove profoundly unattractive to a student of Sedgwick's inquiring mind and sound common sense. He was again registered as a medical student in 1878-1879 but he was serving at the same time as Instructor in Physiological Chemistry in the Scien- tific School and was beginning to find in pure science an appeal which medical education as he knew it had failed to offer. In this spring of '79, so critical for Sedgwick's future, two vacant fellowships in bi- ology were announced at the Johns Hopkins Univer- sity, that inspiring innovation in the American aca- demic world. Sedgwick and his intimate friend E. B. Wilson both applied, in merry rivalry, for one of these fellowships, never dreaming that both could be 15 A PIONEER OF PUBLIC HEALTH appointed. Never were two young men more intoxi- cated by joy and surprise than when the astounding news came that both were awarded the coveted prize. Sedgwick shortly after made a brief visit to Balti- more and brought back radiant reports of the prom- ise held out for the new adventure. The summer was full of ardent preparation and in the autumn of '79 the two friends left the rigid routine of their noviti- ate for a new world through which blew the winds of a different heaven. With Samuel F. Clarke who had preceded them to Baltimore by one year and joined by their Japanese comrade Mitsukuri, now a graduate student and best loved of all the boys in the Hartford family, the two young men established themselves gaily enough though within very material limits of creature com- fort, in lodgings that earned the sobriquet of "Biolo- gists' Bower." Of this happy hopeful sowing time Wilson has written that we were no strangers to the res angusta domi was evinced by our sleeping quarters, generally known as the "Hospital Ward," because of the four beds, side by side in one small room where we slept when the ebullient spirits of our companions made sleep possible, but if our dwelling was narrow, there were no limits to our youthful enthusiasm, and those years were for us a time of rapid intellectual awakening and widening of scientific horizon. We listened to occasional lectures in other fields by scien- tific leaders, and made our first acquaintance with the journal club and seminar then a novelty to us, though now become a part of the air we breathe in the graduate laboratory. 16 WILLIAM THOMPSON SEDGWICK There has perhaps never existed on the American continent a more invigorating intellectual atmos- phere than that of the Johns Hopkins University at the time when Sedgwick entered its doors. No extra expense had been incurred to make the buildings of the University attractive: they were of the plainest and most useful sort, without the slightest esthetic charm. "Men, not buildings," had been President Gilman's constant axiom, and yet those halls seemed electric with creative energy. Every one you met was full of expectant hope, of an urge toward new discov- eries, new theories and developments of thought. Limitless in possibility, you foresaw long years in which to struggle and achieve. Anything might hap- pen, for all was yet unproved and the impelling force behind was first, last and always, President Gilman. He was the spirit of the future, confidently expecting each man there to produce something notable and of permanent value to the furthering of knowledge. When Gilman accepted the presidency of the new university in January, 1875, he and his broad- minded trustees, equipped with what for that period seemed almost limitless resources, had resolved to create a new thing, a real university of a European standard, where a type of scholarship could flourish for which fifty years ago there was no provision on this side of the Atlantic. Nearly two years were spent by the new President in gathering from all over the world his brilliant first faculty. In the fall of '76 the University opened with Sylvester in Mathematics, Gildersleeve in the Clas- sics, Rowland in Physics, Remsen in Chemistry and 17 A PIONEER OF PUBLIC HEALTH Martin in Biology, a galaxy which testified elo- quently to what Sedgwick in later years used to de- scribe as Gilman's "nose for men." The development of biology was from the first one of the most characteristic features of the new Johns Hopkins. Professor Huxley was brought over from England to deliver the address at the formal opening of the University in September, 1876, a circumstance which, in combination with the fact that no opening prayer was made at the ceremony, brought down the thunders of the godly upon Gilman's devoted head.* Dr. Martin entered upon the work in 1876 and at an early day Professor William K. Brooks was asso- ciated with him, one giving chief attention to physi- ology and the other to morphology. Gilman says,f 1 i These two men made a very strong combination and their instruction attracted a great many students, not a few of whom have risen to distinguished posi- tions. Without disparaging others, I venture to name Professor William H. Howell of the Johns Hopkins University, Professor E. B. Wilson of Columbia University, Professor H. H. Donaldson, once of Chi- cago and now of the Wistar Institute in Philadel- phia, Professor Morgan of Columbia University, Professor S. F. Clarke of Williams College, Massa- chusetts, Professor William T. Sedgwick of the Mas- sachusetts Institute of Technology and Professor Mitsukuri of the University of Tokyo." These men * "It was bad enough to invite Huxley. It were better to have asked God to be present. It would have been absurd to ask them both." Frank- lin, The Life of Daniel Coit Gilman, N. Y., 1910, p. 221. t loc. cit., p. 251. 18 WILLIAM THOMPSON SEDGWICK became the leaders of American biology and the in- fluence of Huxley's keen and comprehensive and liberal vision of his science, transmitted through Martin to them, and through them to hundreds of their pupils, guided and inspired its development in this country for a quarter of a century. The first great turning point in Sedgwick's life we have noted as coming while he was a schoolboy in Hartford, for the years at Yale were the inevitable corollary of that awakening to the idea of a profes- sional career. The second great overturn of his pre- conceived plan came when he had been only a semes- ter at the Johns Hopkins, when Newell Martin induced him to substitute for the life of a practicing physician that of a teacher and investigator; for even after coming to Baltimore Sedgwick had planned, after a year's study of physiology, to com- plete the work for the medical degree at the College of Physicians and Surgeons in New York. Under Martin's influence, however, he served respectively as fellow and instructor in 1879-1880 and 1880-1881, taking the degree of Ph.D. in 1881;* and for the next two years he served as Associate in Biology. Throughout his career, it was to the fundamental sci- ence of biology that Sedgwick owed his primary in- tellectual inspiration. He was at bottom not a physi- cian, not an engineer, not a social worker, not even a bacteriologist or a sanitarian. He was in a measure all of these things, but he was above all a biologist; and through all his work, in theory and in practice, * His thesis was on "The Influence of Quinine on the Reflex Excita- bility of the Spinal Cord," Jour. Physiology, Vol. Ill, No. 1, 1880. 19 A PIONEER OF PUBLIC HEALTH the biologist's viewpoint of the human machine and its relation to its environment was a dominant motif. It gave force and direction to his studies as a sani- tarian ; it lent clearness and inspiration to his teach- ing. No student of his can forget how he used Huxley's essays on A Liberal Education and on The Physical Basis of Life to inculcate the principles of clear and honest thinking. The men and the women whom he trained in bacteriology were not mere tech- nicians who regarded the diphtheria bacillus as a bacillus which produced diphtheria toxin and let it go at that; they were biologists, trained to consider the life processes of a fascinating group of living things. The sanitarians who graduated under his guidance were taught to look beyond technical re- quirements and administrative procedures to the psychological problems involved in the makeup of a complex social organism. One more event, the most important event, of these early years must be mentioned in noting the forces which contributed to Sedgwick's influence as a teacher and a leader in the field of public health. In March, 1879, shortly before going to Baltimore he an- nounced to his intimate friends his engagement to Miss Mary Katrine Rice of New Haven, and on his twenty-sixth birthday, Dec. 29, 1881, they were mar- ried. Thus began a relationship of thirty-nine years, as complete and as beautiful as ever existed between man and wife. Not only did Mrs. Sedgwick give to her husband a rare personal devotion which made his health and his comfort and the success of his work a constantly controlling motive, but her artistic tastes 20 WILLIAM THOMPSON SEDGWICK and rich temperament kept a warmth and color in his life which made it impossible for Sedgwick ever to feel those limitations which sometimes accompany a life of objective intellectual concentration. Sedgwick found his career as a biologist and a teacher in 1880. He won his wife in 1881. A call to the Massachusetts Institute of Technology, the institu- tion to which he and Mrs. Sedgwick devoted their lives with a rare ardor, came in 1883. The stage was set and the actors were prepared,-for the develop- ment of a new and beneficent influence of science upon the life of men. 21 The Department of Biology and Public Health at the Massachusetts Institute of Technology In the morning sow thy seed, and in the evening withhold not thy hand. Ecclesiastes. The student of natural science at the present day finds it difficult to picture a period when laboratories were few and ill-equipped, when teachers of science in leading colleges were often untrained or slightly trained men who had been unsuccessful clergymen or physicians and when the Bachelor of Science degree generally connoted a lower grade of scholarly attain- ment-and social position!-than that of Bachelor of Arts. For many years the "regular" college degrees in Eastern institutions could be obtained only after a course of study including not only four years of high school preparation in Latin and three in Greek, but considerable additional work in these subjects after entering college. A young man wishing to specialize in geology or botany or zoology at college must per- force devote much of his time to language work, 22 WILLIAM THOMPSON SEDGWICK which was quite foreign to his main purpose and fre- quently more or less distasteful to him, but a student in classics was not expected to follow consecutive courses in chemistry for a similar period. A way out for some individuals was opened through the engineering schools. In New England the Sheffield Scientific School of Yale and the Massa- chusetts Institute of Technology were the forerun- ners of the modern system of scientific education. First-hand observation in the laboratory was the watchword, and the sacred precincts of science were open to all who could meet relatively simple require- ments. The workshop and the laboratory proved a new force in American education, and scientifically- minded youths flocked in increasing numbers to the engineering schools. Scientific education, no less than engineering education, was included in the aims of the founders of such schools as the Institute of Tech- nology, and this wider ideal inspired all the work of men like Rogers and Walker. When a professor of chemistry at the Institute, Charles W. Eliot was made President of Harvard College in 1869, he showed in his inaugural address that he was imbued with the same spirit. It is not because of the limitations of their faculties that boys of eighteen come to college, having mastered nothing but a few score pages of Latin and Greek, and the bare elements of mathematics. Not nature, but an un- intelligent system of instruction from the primary school through the college, is responsible for the fact that many college graduates have so inadequate a conception of 23 A PIONEER OF PUBLIC HEALTH what is meant by scientific observation, reasoning and proof. Sedgwick's own writings show many traces of the feeling engendered in this period of transition when a scientific education was a new and questionable thing. His conception of the function of the Institute as a technological school is well illustrated by the fol- lowing excerpts from his addresses: Our modern industrial and scientific age, when it came, came suddenly, and even now is a surprise and a bewil- derment to many thoughtful persons educated on the old and mediaeval lines. It took the world by surprise-a surprise which is still keenly felt in the more backward places such as India and China and Turkey and Persia, countries which are only just beginning to awaken to the new order of things. Moreover, it did not come by the way of the older colleges and universities. These it found un- prepared and too often unsympathetic. Occupied chiefly with Greek, Latin, Mathematics and Philosophy, the col- leges and universities at the end of the eighteenth cen- tury were too busy threshing over the orthodox mediae- val straw to attend to inventions, like Watt's of the steam engine, or Cartwright's of the power loom or Eli Whit- ney's of the cotton gin or even to demonstrations of so much promise in natural philosophy as Ben Franklin's of the essential identity of the thunderbolts of Jove with the sparks obtained by rubbing a cat's back or a piece of amber. The only engineers were military engineers, the civil as opposed to the military engineer having not yet appeared. But necessity is ever the mother of invention, and the age of the great inventions-the last half of the eight- eenth century-invented also the modern technical 24 WILLIAM THOMPSON SEDGWICK school, not at the universities or colleges but in the field and near the factory, and at the mines and near the work- shops. The first technical school was that at Freiberg, a mining town in Saxony opened in 1765, and it was de- signed to be a school of practical mining. From that day to this, technical schools have sprung up either entirely outside the established educational institutions, as in the case of the Rensselaer Institute at Troy, the Massachu- setts Institute of Technology at Boston, the Worcester Polytechnic Institute at Worcester, the Stevens Insti- tute at Hoboken, the Rose Polytechnic Institute at Terre Haute, Indiana, and others; or else more or less loosely affiliated with colleges, or universities, as in the case of the Sheffield Scientific School at Yale, the Lawrence Sci- entific School at Harvard, the School of Mines at Colum- bia, and some others. The latter group had as a rule but a precarious existence for many years and were often more tolerated than encouraged by the ancient foundations with which they were connected. Technical schools are thus comparatively new and com- paratively disconnected with the old and wealthy educa- tional establishments. And because of the former fact, they possess great freedom, great independence and great adaptability to the needs of a new, independent and industrial age. But because of the latter, they are mostly without endowment, without aged or wealthy alumni to enrich them and without the accumulations of genera- tions of deceased graduates. The Massachusetts Institute of Technology is no ex- ception. Founded in 1861 under the very eaves of the oldest and most famous college in America, it was opened in 1865 in a down town building in the heart of the busi- ness section of Boston. Without hallowed associations of the past, without campus, yard, elms, dormitories or 25 A PIONEER OF PUBLIC HEALTH chapel-in short, without academic shades or academic traditions, such as had been the staple of education in America for generations, but with a gaze fixed intently on the modern world and its needs and keenly alive to the practical conduct of life as indicated by the sciences whose flowering characterized the Victorian Age, the In- stitute turned its young face to the sunrise and began its great work. At first almost unnoticed, it gradually won its way to a national and even an international reputa- tion. Its graduates quietly took their places in the indus- trial army, often in the ranks. But by and by it began to be discovered that many shops and many mines and many mills and many railways were officered by these men, un- til today they are scattered far and wide all over the land,-and under it,-making surveys, and drawing plans, and estimating costs, and building tunnels and sub- ways and railroads and skyscrapers; or fixing valuation, or irrigating desert lands, or purifying water supplies, or draining cities, or developing mines, or making ma- chinery or building ships. It is evident that Sedgwick threw himself with ar- dor not only into the immediate task of technical edu- cation, but into the general educational movement that was being fostered in the great engineering schools and wTas spreading thence to the older institu- tions.* There was a buoyancy of spirit among the * The present volume must necessarily be primarily limited to what Sedgwick accomplished for public health at the Institute of Tech- nology. A word must be said, however, as to his relation to the Institute as a whole for he was one of the most ardent and effective champions of its broader ideals. He collaborated with Mrs. W. B. Rogers in writ- ing the life of its founder and first president. He was one of the closest and most trusted friends of both Walker and Maclaurin. Allusion must be made to his active part in planning the Graduate School of Engi- 26 WILLIAM THOMPSON SEDGWICK scientific men of his day, hard to match before or since. Science was coming into its own. The air tingled with the sense of change. The educational system was being made over; the social order was in fair way to be reformed. It was in this high and hope- ful period that Sedgwick, then a young man of twenty-eight, obtained his opportunity to take inde- pendent charge of the work in biology at the Insti- tute. The Massachusetts Institute of Technology was founded, as we have seen, in 1861, and some sort of biological instruction was early included in its pro- gram ; for in a record of a faculty meeting on October 16,1867, there occurs this entry. At a meeting of the faculty held this day it was Voted that provision be made forthwith for instruction in Natu- ral History as laid down in the printed course of study and that Dr. Sam'l Kneeland be recommended to the neering Research in 1903; to his opposition to the first Harvard-Tech- nology merger in 1905; and to his effective service in the successful campaign for a state grant in 1911. His part in the merger struggle, as in all the controversial matters into which he entered, was conducted on a plane which robbed it of all personal bitterness. At the time of the final crisis, in regard to the merger, Sedgwick's attitude was for a time misjudged by his colleagues of the faculty and the deep serenity of his nature was stirred and troubled as at no other period, for he was far away in Italy and not easily able to send con- vincing refutation of the misinterpretation of his position. For twenty years Sedgwick made himself responsible for such form as exists in the graduating exercises of Technology. The dignity of life and especially of "Occasions" meant a great deal to him although in daily life he was as little formal or conventional as any one could be. He believed in the efficacy of a certain amount of "academic millinery," so called, in college celebrations and he liked festivals of every kind to be beautifully appointed and served. 27 A PIONEER OF PUBLIC HEALTH Committee on Instruction as a suitable candidate for the office of Professor of Natural History. Later, the courses in Natural History came under the charge of Professor J. M. Ordway. Alpheus Hyatt and others connected with the Boston Society of Natural History also gave courses in zoology and paleontology to the students of the Institute, an ar- rangement continued until 1888. The word "Bi- ology," although coined sixty years earlier by La- marck, and independently by Treviranus, had not yet come into general use to designate its proper portion of the field covered by what Huxley called "the old confusing name of 'Natural History' and the ap- pointment of Sedgwick in 1883 as Assistant Profes- sor of Biology* signalized the creation of one of the first academic chairs in the United States under this name. General Francis A. Walker, at that time President of the Institute, was doubtless influenced in his choice of the young Professor of Biology by two motives, first by his personal knowledge of Sedg- wick who had been a student in his class at Yale, and second by his conviction that the higher grades of technological work demanded professional rather than vocational training. In line with this general policy Walker surrounded himself as far as possible with men to whom life was more than meat and the body than raiment. Preliminary training of the American medical stu- dent in biological science was, as we have seen, prac- tically unknown in the early eighties, and high school * He was made Associate Professor in 1884 and Professor in 1891. 28 WILLIAM THOMPSON SEDGWICK boys, brought up on almost exclusively linguistic dis- cipline, were pitchforked suddenly into the compli- cated work of the medical school without any chance to get their bearings. Sedgwick was one of the first educators in the United States to make a serious at- tempt to remedy this extraordinary situation. There is no doubt that this was at first the controlling pur- pose in his mind. At a later date he wrote: "The course in Biology as organized in 1883, was intended to afford those looking forward to the study of medi- cine the opportunity to secure a general education based upon subjects which form the essential part of any preparation for efficient work in medical schools. Chemistry, physics, general biology, comparative anatomy, histology, and physiology, therefore, at first formed the main part of the curriculum." Among his papers also occurs the following memo- randum of a letter sent to the Harvard Medical School in October, 1887: The Massachusetts Institute of Technology has now well established and thoroughly equipped a 4-year course in Biology Preparatory to Medical Studies, a syllabus of which I beg leave to submit herewith. It is felt that this course has now reached a point where it needs and deserves recognition of some sort by the Harvard Medical School, and it is believed that such recognition must soon prove profitable alike to the Har- vard Medical School and the Massachusetts Institute of Technology. A course similar to this, though shorter, at the Sheffield Scientific School in New Haven, has been so recognized by the College of Physicians and Surgeons of Columbia College with decided benefit to both parties and 29 A PIONEER OF PUBLIC HEALTH it is probable that similar recognition by the Harvard Medical School of the existence and value of the courses in the Institute of Technology would lead to an increased number of students going from the latter to the former thoroughly prepared and scientifically equipped. Prospective students of medicine, however, con- tinued to follow the old beaten ways and were not at- tracted in any numbers to the admirable courses offered at the Institute in physics, chemistry and general biology. In spite of Sedgwick's energy and his incontrovertible arguments in favor of proper preparation for the study of medicine, his was for long a voice crying in the wilderness. While a few graduates from the Institute went to medical schools, where they acquitted themselves well, little impres- sion at the moment seemed to be made on the general community. Thwarted, and to some degree surprised, by the general indifference to his plans for furthering medi- cal education in New England, Sedgwick's energy found other outlets, in the end perhaps even more conducive to the public good. His friendship with the chemist, Professor William Ripley Nichols, with whom he was associated in a study of illuminating gas poisoning, kept him in touch with Nichols' ob- servations in Europe, in those days when the new sci- ence of bacteriology was being born. Sedgwick ob- tained through Nichols some tubes of the gelatin culture medium devised by Koch, and his early stu- dents used to hear him tell with much relish of the unpromising appearance of the much-vaunted me- dium, which had melted en route and had become 30 WILLIAM THOMPSON SEDGWICK contaminated and appallingly malodorous. But bac- teriology had come to stay and Sedgwick had the acumen to grasp the facts, the courage to stand up for them in an unsympathetic atmosphere, and the vision to see the future possibilities of an increased knowledge of disease causation. It was a disappoint- ment to Sedgwick that he was not able to go to Europe at a time when to have studied with Koch had much the same ring as to have fought with Gari- baldi, but he saw what it was possible for him to do in the state of Massachusetts and went on with the work which lay nearest to his hand. It has sometimes seemed strange to outsiders in later years that a department of biology and public health should have made so large a place for itself in an engineering school. Considering its actual origins the explanation is simple. The impulse to develop suitable facilities and atmosphere for preliminary medical education was a natural corollary of the gen- eral movement to provide for scientific education which played so large a part in the minds of the founders of the Institute; and the subsequent transi- tion to public health activities was easy and natural, based in part on the stimulating influences of current bacteriological discoveries, in part on the obvious in- terest of a technical school in methods of filtration, sterilization and the like, in part on the fortunate association with the work of the Massachusetts State Board of Health and above all on Sedgwick's own far-sighted vision as to what was coming. Before the first faint adumbration of schools of public health, Sedgwick had looked far into the future and had out- 31 A PIONEER OF PUBLIC HEALTH lined for himself and for his students many of the main problems of public hygiene. If in a later day the development of public health work has come to be largely associated with schools of medicine, rather than engineering schools, the significance of these first undertakings in environmental sanitation should not escape us. The practice of public health still rests solidly on a basis of pure water supplies, pasteurized milk and adequate sewage disposal, without which an attempt to reduce infant mortality or to suppress the menace of typhoid carriers would be ludicrously inadequate. The simple initial program of the department, with its main emphasis on medical education, gradu- ally gave way to a broader conception which was thus outlined: The work of the department has thus extended its scope without giving up any of its original aims, and the curriculum is at present arranged with reference to the following kinds of subsequent work: 1, to the study of medicine; 2, biological work in connection with boards of health and other sanitary work; 3, biological work in the various industries which involve fermentation processes of any kind whatever; 4, the teaching of science in sec- ondary schools; 5, graduate study in some special branch of biological science, such as morphology, physiology, bacteriology or cytology. Sedgwick keenly realized how fortunate is that man who is standing at the gateway of learning when it leads into fresh fields. Often has he been heard to congratulate himself on his 'good luck' that he was so placed and equipped as to seize the opportunity to 32 WILLIAM THOMPSON SEDGWICK advance the buoyant first steps of a new science. Thus bacteriology appealed strongly to Sedgwick's imagi- nation and he foresaw more or less clearly the pos- sibilities of development in two directions: public health and industrial biology, two subjects that were henceforward to be increasingly emphasized in the departmental courses. Had the still more ambitious plans for the organization of a complete Institute of Biology, that were plainly in the back of Sedgwick's mind, ever had a chance for fruition, had his ideal ever appealed to the vision of some far-sighted bene- factor, it is inspiring to think of the organization de- voted to the study of biology and its applications that might have been built up at the Institute. Those were the days of small beginnings at the Massachusetts Institute of Technology. The total number of students in 1883, including those in ' ' draw- ing and shopwork" and in the Lowell School of De- sign, amounted to only 443. There were but 22 men on the faculty above the rank of instructor, as con- trasted with 147 at the time of Professor Sedgwick's death. Such conditions provide many advantages. Close personal contact with gifted instructors far outweighs for the young student any benefit derived from superior material equipment. The main thing at this stage is to have the mind awakened, the intel- lectual sympathies widened and the desire for crea- tive effort quickened. If this does not happen, young men may persuade themselves that "college activi- ties" constitute real life. Any one fortunate enough to be in Sedgwick's laboratory in the earlier years re- ceived in full measure the influence of a vigorous, 33 A PIONEER OF PUBLIC HEALTH ardent, high-minded nature. Some of those who took their first courses in the Department of Biology in the eighties will never forget those golden days when the whole world seemed to be unfolding before their vision. It was no small matter also that, in the beginning as at the end, Professor Sedgwick was seconded in all his efforts for his students-his fellow students he would have called them-by the gracious and warm- hearted presence of his wife. The cordial hospitality of the house in Brimmer Street helped many a shy lad to forget his self-consciousness and to realize that he might one day be of use in the world. The little band of young men whom Sedgwick gathered around him in these early days of the department were im- bued with the spirit of investigation, but the narrow resources of the Institute at that time set definite limits to their activities. A letter from a member of the Executive Committee in March, 1885, goes into details: "Let not even one jet of gas burn longer than is absolutely required." At this period the Chief was not only Professor, but also in some measure janitor and bottle washer; he must needs unlock and open the laboratory doors in the morning and watch that all was safe and locked up again at night. So critical was the financial situation that certain gentlemen of the Executive Committee of the Insti- tute seriously proposed to close the department al- together as being in no sense "a necessary factor of an Engineering School." There are those who re- member vividly the Chief's anxiety in such dark days and the warm glow of hope when Mr. Alexander 34 WILLIAM THOMPSON SEDGWICK Wheeler came into the laboratory just before the de- cisive meeting of the Executive Committee to say that he and President Walker would fight for the continuance of the work and did not intend to be de- feated. Under the circumstances it was difficult to secure adequate assistance in the laboratory. For several years Sedgwick's only associate in the department was Edward G. Gardiner, who devoted himself to the work with great zeal and loyalty, but like Sedgwick himself was greatly hampered by the slender equip- ment at his disposal. In 1885 E. B. Wilson, while waiting for the opening of Bryn Mawr, to whose fac- ulty he had been appointed, rendered stimulating voluntary service in the department. In 1890 George V. McLaughlin, of the class of 1888, became Sedg- wick's assistant and was looked upon by his Chief as a man of unusual promise. McLaughlin possessed a brilliant mind and indefatigable energy, and Sedg- wick felt his loss very keenly when he was acciden- tally drowned in 1892. About this time, however, the number of competent young men entering the de- partment so far increased that Sedgwick was usually able to make shift at providing suitable instruction for the courses announced. The departmental circu- lar for 1892 includes five men in addition to Profes- sor Sedgwick as "Officers of Instruction," among these, three of subsequent distinction: Albert P. Mathews, Gary N. Calkins and George W. Fuller. This period was long remembered in department tradition as "the year of the kid instructors." It was in 1893 that Theodore Hough (now Dean of 35 A PIONEER OF PUBLIC HEALTH the Medical School of the University of Virginia) came from Johns Hopkins to the Institute as Assist- ant Professor of Physiology. For a dozen years thereafter Hough was the man most consulted and relied upon by Sedgwick in the development of the department. The never failing insight and staunch practical support which Hough gave counted materi- ally in the ultimate winning of a footing for Biology and Public Health in the minds of the cautious cor- poration of an Engineering School. Sedgwick felt obliged to teach many different sub- jects, General Biology, Sanitary Science and the Public Health, Comparative Physiology, Anthro- pology and the History of Natural Science, all courses that even in the nineties covered a wide field. The "awakening" value of his lectures, however, was very great, and students taking up any subject under his guidance were sure to experience a widening of their intellectual horizon and to be directed to the best sources for further work. At the same time the spirit of inquiry in many dif- ferent fields was kept alive and the students were imbued with a sense of the unity of biological knowl- edge. Seniors of the Institute are required to prepare graduating theses, embodying the results of inde- pendent work in the field, workshop or laboratory, and while the process did not always justify the name of research, the theses often rank favorably with those presented for the Master's degree in other in- stitutions. The variety of Sedgwick's interests and his breadth of view are well illustrated by the subjects 36 WILLIAM THOMPSON SEDGWICK of some of the graduating theses in the years 1887- 1892. Examinations of water supplies, studies of the biological and chemical characters of bacteria, the life-history of Amoeba, the physiology of the sundew, the phenomena of digestion in the starfish, the physi- ology of the circulatory and nervous system of the earthworm, are some of the problems upon which he set his students at work. No matter if the outcome was not an important "contribution to knowledge," the influence of such an independent inquiry upon the mental processes of the individual students was of inestimable value. The connection of water supply with disease early became one of Sedgwick's main interests and when, in 1887, the newly organized State Board of Health inaugurated a sanitary survey of the inland waters of the state in the chemical laboratories of the Insti- tute under the direction of T. M. Drown, and Ellen H. Richards, Sedgwick saw the importance of utiliz- ing biological as well as chemical methods in water examination. Much of his time for several years was devoted to the study of the methods and the interpre- tation of bacterial and microscopical water analysis, and this was plainly one of the factors that led to his increasing personal absorption in general public health problems. In 1888 occurred an important event which was destined to have great influence on the work of the department. Professor Sedgwick became Consulting Biologist to the State Board of Health of Massachu- setts, an organization with which, in one capacity or another, he maintained relations to the end of his 37 A PIONEER OF PUBLIC HEALTH life. This connection gave point and direction to much of the departmental activity, and afforded financial facilities which kept the critical years of some of his young men partly free for scientific in- quiry. The well-known experiments on the filtration of water and of sewage initiated at the Lawrence Ex- periment Station offered an opportunity through which Sedgwick and his pupils were fortunately able to give one of the first demonstrations in the United States as to what might be expected of biology in solving the problems of practical sanitation. This association with the State Board of Health marked the turning point in the history of the de- partment under Sedgwick's administration. Thence- forward the energy of the staff and Sedgwick's own predominating interests went increasingly into the field of public health. The department became known throughout the country largely because of its public health activities, and students from a distance were attracted to it for this reason. All through these early years the work of the de- partment was carried on in one large room at the rear of the first floor of the Rogers Building in Boyls- ton Street. Sedgwick and Gardiner had their desks in a little office compartment opposite the entrance. The "departmental library," a few hundred well- chosen books-to which the Chief often added from his own library-and a score or so of German, French and English current journals, occupied the southeast corner. Small classes were often held around the library table. Aquaria, work tables and cases for apparatus and equipment took up much of 38 WILLIAM THOMPSON SEDGWICK the remaining space. Against the south wall near the entrance a glass-sashed room was constructed for plate culture work. Here, with everything tightly closed, the specimens of water and sewage brought back from Lawrence were laboriously plated in gela- tin by the tedious methods of those days* with the temperature in this closed chamber rapidly mount- ing to a point which would be appalling to the ven- tilation expert of the present time. At first the number working in the department was very small, hardly more than a half-dozen in the ele- mentary courses. The students were on very friendly, almost intimate, terms with the Chief and Dr. Gardi- ner, and came to know when their instructors had been out to dinner the night before and when Mr. Hiram F. Mills of the State Board of Health had been aggressively critical. But this idyllic condition did not last. The course in Sanitary Engineering (Course XI) was organized at the Institute in 1889, largely on Sedgwick's initiative, and a special short course in Bacteriology was at once planned for the benefit of * It will be recalled by older workers that rectangular plates of win- dow glass were chilled on a carefully leveled covered dish of ice water and the mixture of melted gelatin and water sample then poured on the plates. After the gelatin hardened the plates were placed in tiers on glass bridges in a large, shallow, covered glass jar and "incubated" at room temperature. Temperature fluctuation could not well be pre- vented. The gelatin would sometimes melt and the plate be "lost," and frequently the fluid from rapidly liquefying colonies would drip down from the upper to the lower plates. The irregular outline and varying thickness of the gelatin sheet, as well as the encroachment of liquefiers, made counting difficult. The method did not appeal to engineers as highly accurate. 39 A PIONEER OF PUBLIC HEALTH the students in this department. Members of the de- partments of civil engineering and architecture also realized the desirability of some knowledge of sanita- tion. In 1894 there were 51 students taking the ele- mentary course in General Biology. In 1899 came the removal to new laboratories on Trinity Place. Instead of the single room in the rear of Rogers, split up by partitions into a dozen crowded classrooms and offices, the department had now five well-equipped laboratories, assigned respec- tively to General Biology and other second-year courses; to Comparative Anatomy, Embryology, Cryptogamic Botany and other courses of the third year; to Physiology; to Bacteriology; and to Re- search. The scope and volume of the instruction given in the department was increasing rapidly, to keep pace with the progressive differentiation of the field of public health. A course on Germs and Germicides was announced as early as 1883, coming into its own as Bacteriology in 1888 and later branching off into Sanitary Biology (1889) and Industrial Biology (1896). The teaching of sanitation began in 1884 with a course on Ventilation, Heating and Drainage, splitting in the next year into Heating and Ventila- tion on the one hand and Water Supply and Drain- age on the other. Professor Sedgwick's broadly con- ceived lecture course, which became the most notable feature of the department, began as Hygiene and the Public Health in 1886 and was renamed Sanitary Science and the Public Health in 1892. In the dec- ade which followed the move to Trinity Place new 40 PROFESSOR SEDGWICK AT HIS DEMONSTRATION DESK (TRINITY PLACE BUILDING, 1899) WILLIAM THOMPSON SEDGWICK courses in Municipal Sanitation (1900), Microscopi- cal Analysis of Water and Sewage (1901), Munici- pal Laboratory Methods (1904), Personal Hygiene (1905), Industrial Hygiene and Sanitation (1907), Epidemiology (1907) and Sanitary Statistics (1908) followed with bewildering celerity. The course in In- dustrial Hygiene offered in 1907-1908, was the first of its kind in the United States. The increasing em- phasis on personal hygiene, beginning with 1905, was symptomatic of Sedgwick's return to his original in- terest in physiology; and during all his later years the management of the human machine and its adap- tation to its changing environment was his foremost interest. Sedgwick's chief aids during the later years of the department were S. C. Prescott, who was his right- hand man, in charge of the applications of biology in the industrial field, from his graduation in 1894 until he succeeded to the headship of the department, C.-E. A. Winslow (from 1898 to 1910), G. W. Field, P. G. Stiles, E. B. Phelps, S. M. Gunn, F. Schneider, Jr., R. S. Weston, E. A. Ingham, F. H. Slack, C. E. Turner and M. P. Horwood. There were always, too, special lecturers and research associates who added greatly to the breadth and vitality of the depart- ment life, particularly W. Lyman Underwood, who dropped in one day to ask a question about a practi- cal problem in canning and has ever since occupied a desk in the department and served it as loyally as any salaried member of the staff. It took only a half hour's interview for Sedgwick to make a friend and to "grapple him to his soul with hoops of steel." 41 A PIONEER OF PUBLIC HEALTH Among the more important lines of scientific work carried on in the department were the studies on the Chicago Drainage Canal case and on the water sup- ply of Seattle by Sedgwick himself, studies on can- ning by Prescott and Underwood, on mosquito con- trol by Underwood, on the bacteriology of ice and of sewer air, on chlorine disinfection of sewage and disposal of industrial waste by Phelps, on diseases of the banana by Prescott.* In addition to abundant contributions to the scien- tific press no less than eight books came out of the department during the ten years between 1900 and 1910 - Principles of Sanitary Science and the Public Health. W. T. Sedgwick, 1902. Enzymes and their Application (translated from the French of Jean Effront). S. C. Prescott, 1902. General Zoology. A. W. Weysse, 1904. * In a single year (President's Report for 1902) the following in- vestigations are listed: "A memoir describing the results of extensive experiments on the influence of cold upon the bacillus of typhoid fever, with special refer- ence to the problem of ice supply and the public health; a paper upon the results of ergographic studies on the muscular soreness frequently observed after muscular work; the discovery of a remarkable similarity between the intestinal bacillus often used in tracing sewage pollution and certain lactic acid bacteria; a bacterial study of the self-purifica- tion of streams carried out upon the Sudbury River; the conditions governing the troublesome occurrence of eels in water works and sug- gestions for their control; the sanitary importance, in view of the malaria problem, of goldfish as destroyers of mosquito larvae; and a report to the Commissioners of Fisheries of the Commonwealth upon the scientific basis of the lobster industry and the causes of the decline of the latter." 42 WILLIAM THOMPSON SEDGWICK Elements of Water Bacteriology. S. C. Prescott and C.-E. A. Winslow, 1904. Elements of Industrial Microscopy. C.-E. A. Winslow, 1905. The Human Mechanism. W. T. Sedgwick and Theodore Hough, 1906. Systematic Relationships of the Coccacece. C.-E. A. Winslow and Anne R. Winslow, 1908. Sewage Disposal. L. P. Kinnicutt, C.-E. A. Winslow and R. W. Pratt, 1910. An important event in the history of the depart- ment was the establishment in 1902, through the gen- erosity of an anonymous donor, later revealed as Mrs. W. H. H. Hughes (Sarah Forbes), of the Sani- tary Research Laboratory and Sewage Experiment Station. The Sanitary Research Laboratory was opened in July, 1903, with Sedgwick as Director, C.-E. A. Winslow as Biologist-in-Charge, and E. B. Phelps as Research Chemist and Bacteriologist. The first sewage experiment station was at the corner of Massachusetts Avenue and Albany Street on the line of the main trunk sewer of the city of Boston. Here work was conducted till 1909, when a new and larger experimental plant was established on city property near the pumping station of the main Drainage Works at Dorchester. The gifts of the donor con- tinued until her death in 1917; and during this pe- riod of fourteen years a wide variety of contribu- tions to sanitary science continued to flow from the laboratory. Phelps' pioneer demonstrations of the feasibility of disinfecting water and sewage by the use of chlorine were perhaps the most important of 43 A PIONEER OF PUBLIC HEALTH these, but studies of the trickling filter as a mode of sewage treatment, improvements in devices for dis- tributing sewage on such filters, and R. S. Weston's contributions to the problem of self-purification of streams should also be mentioned. In its later years the resources of the Sanitary Research Laboratory were diverted from the subject of sewage treatment and applied in large measure to problems of health administration, being used to aid in the development, under Phelps' direction, of the cooperative health department demonstration at Wellesley, Massachu- setts. It was as a "sewage experiment station," how- ever, that the Sanitary Research Laboratory was chiefly known. It is unfortunate that permanent en- dowment could not be secured for the realization of Sedgwick's ideal of "a sewage experiment station and a practical sewage laboratory, equipped with the best of everything in which the sewage expert is in- terested, with facilities for mechanical, hydraulic, chemical, and bacteriological investigations going on side by side, and with a working exhibit of sewage- handling machinery, plumbing, gas and water fitting, and possibly, in the future, of ventilating devices and working models of garbage incinerators and smoke consumers,-all this would make a station unique the world over. ' ' Hough left the department in 1907, Winslow in 1910 and Phelps in 1913. In writing about the latter to Dr. John F. Anderson, Director of the Hygienic Laboratory, where Phelps had been offered an ap- pointment, Sedgwick said "Rest assured therefore that I shall do all I can to enable Phelps to see the 44 WILLIAM THOMPSON SEDGWICK full importance of the work in Washington, very much as you and I see it, even if it cuts a big gap in my own Department here. Oddly enough, my par- ticular service in life has been thus far to train up missionaries and workers for others to benefit by, but after all I don't know that this sort of service is in- ferior to any other. ' ' Selskar M. Gunn at this time became Sedgwick's principal aid on the public health side of the depart- ment, developing particularly the fields of health ad- ministration and public health education and effect- ing new and fruitful cooperation with the State Board of Health. Still later, C. E. Turner, Gunn's successor, made himself a leader in the development of the technique of popular health instruction. Mean- while, through all these years the other side of the de- partment work, the application of biology to the arts and industries, was being ably carried forward by Prescott. Both graduate and undergraduate students were gradually increasing in numbers, although not nearly fast enough to supply the demand. Many of the graduate students never took degrees in the de- partment, because after a few months' work they were needed to fill positions outside, for which no other candidates were available with any training whatever. There was no artificial stimulation of en- rollment through scholarships such as are available in most graduate schools. As Sedgwick wrote to Pro- fessor Loomis of Amherst in 1906, ' ' we are not offer- ing prize packages or chromos for graduate students. We are simply making it known that good men who 45 A PIONEER OF PUBLIC HEALTH come here and do good work can usually without dif- ficulty get good places, but in general such men will have to pay their tuition and do a lot of good work so as to satisfy us that they are worthy of our recom- mendations. ' ' How attractive Sedgwick could make a career in biology, to those who had ears to hear, may be illus- trated by brief quotations from a talk which he gave about this time on the occasion of the organization of a Biological Society among the students. The first of the sciences to be developed, were as- tronomy and mathematics; then physics; then chemistry and geology; and last of all biology and engineering. In this slow development of biology and engineering we see another illustration of the homely saying that the shoe- maker's children go long unshod. Man, a living thing and an animal, studies for centuries everything except biology and animal life. He studies the science of relation, the science of space and the science of numbers; he studies the far off heavens and eventually the earth under his feet but he postpones to the last any thorough knowledge of himself and his own relations, the lower animals and plants. At last, however, he begins to study himself and the living world to which he belongs, and, having exam- ined his structure and considered his origin, finally takes up the study of behavior. For this strange order of man's investigation there is, however, abundant reason. It was not from lack of interest but from lack of power that man postponed till the last his studies of the living world. It is easier to dwell in abstractions and to gaze and reflect upon the stars than it is to experiment in physics or in chemistry or to dig up the crust of the earth, comparing one part of it with another. It is infinitely easier to do all 46 WILLIAM THOMPSON SEDGWICK these things than it is, without first having done them, to gain any comprehension of the structure and behavior of living things. Among all the mighty achievements of the nineteenth century none compare for a moment with the triumphs of biology. . . .We have already stepped over the threshold and entered into the twentieth century and in the seven years that have gone by anyone who watches closely the signs of the times can see that we are turning away from studies of origins to studies of function, ac- tion and the like, which we call in scientific language studies of physiology or in untechnical language studies of behavior or action, reaction and interaction. The be- havior of bacteria, the behavior of the larger microscopi- cal organisms, the behavior of mankind as individuals and as nations, our reactions to climate, reactions to pov- erty and wealth, reactions to industry and idleness; reac- tions to polluted water, to smoke, to sunlight, to dark- ness; these are some of the problems which are today beginning to absorb the attention of mankind as never before. At last the shoemaker's children seem likely to get some shoes. It is no longer enough merely to live. We want to live well, to live usefully, to live effectively, to live intelligently, to live happily. And here is the field for biologists and sanitary engineers in the twentieth cen- tury. To teach mankind, first, how to live at all, and then how to live well. To nourish the races of the earth by means of scientific agriculture or perhaps some day by manufactured foods. To teach temperance in all things, even in well doing. To ward off infection by the arts of engineering. To care for the sick, the poor and the heavy laden through hospitals and organized, yet not de-hu- manized, charity. Human life was probably never more interesting or 47 A PIONEER OF PUBLIC HEALTH more exciting than it is today. Those of us who were born in the middle of the last century have been sufficiently fortunate for we have witnessed the conquests of Dar- winism, and the theory of evolution, the rise of anthro- pology and the rise and victories of the germ theory of disease. Think of it for a moment! The theory of gravita- tion, the theory of evolution, the theory of infection! What a privilege to have lived while these were debated and finally accepted as the basal theories of science. And yet those who are now coming on the stage are likely to enjoy lives even more interesting, for not only will new knowl- edge arise and new theories press forward, but the appli- cations of the knowledge already in hand will of itself suffice for many lifetimes. These applications, as I have already said, may be summed up under the general head- ing of a new physiology or a new behavior of mankind. And in this work the biologists and the sanitary engi- neers are clearly to be the experts and the guides. It be- hooves us therefore to lay broad, deep and strong the foundations upon which these newer activities must be built and it is for this purpose that we here at the Insti- tute are working together, today and tomorrow. An outstanding event in the history of the depart- ment was the celebration, on June 14, 1906, of the Twenty-fifth Anniversary of Sedgwick's entrance upon his professional career (the attainment of his Doctorate in 1881). Ninety-five past students of Sedgwick's arranged a banquet (at which G. N. Calkins acted as Toastmaster) and when the guests took their seats they found at their places a Fest- schrift volume, entitled Biological Studies, by the Pupils of William Thompson Sedgwick, Published in Commemoration of the Twenty-fifth Anniversary 48 WILLIAM THOMPSON SEDGWICK of his Doctorate. The volume was "dedicated by his pupils to William Thompson Sedgwick to express their regard and admiration for him as a friend, teacher, investigator, and public-spirited citizen, and also to affirm their loyalty to the ideals for which he has always stood." The contributors to this volume were: S. H. Ayers, G. N. Calkins, H. G. Dyar, G. W. Fuller, S. DeM. Gage, Clara E. Ham, Theodore Hough, D. D. Jackson, E. O. Jordan, A. I. Kendall, M. O. Leighton, E. E. Lochridge, A. P. Mathews, C. S. Milliken, E. B. Phelps, S. C. Prescott, B. R. Rickards, Anne F. Rogers, P. G. Stiles, Augustus Wadsworth, G. C. Whipple and C.-E. A. Winslow. The sale of this book was so unexpectedly large as to yield a substantial surplus which was applied to the painting of a portrait of Professor Sedgwick, by William Churchill, completed and presented to the Institute in the winter of 1909-1910. On the occasion of the formal presentation of this portrait, Sedg- wick, in speaking of the Festschrift tribute, said in part: Behind the deed was the feeling of the students and that perhaps is the most precious of all, the feeling of loyalty, of friendliness and kindliness; and let me say to you students, emulate the example of these other men. Cherish your teachers; be true to them. Stand up for them, especially as they grow older and begin to wonder whether they have or have not accomplished much in this world, for this question comes to every man soon or late, no matter what his apparent success or failure; that question will force itself upon a man from time to time. At any such time you can be of great service to him, and 49 yourselves reflexly, by standing beside him, telling him of the good work he did for you when you were students. In the year 1911 the increasing importance of the public health aspects of the work of the department led to the change in its title from "Course VII, Biology" to "Course VII, Biology and Public Health," and two years later, in 1913, there was es- tablished the School for Health Officers, an under- taking in which Harvard and the Institute joined hands, and which for ten years was by far the most potent practical factor for the training of public health workers in the United States. The work of this School for Health Officers will be discussed in detail in a succeeding chapter but it may be pointed out here that the undertaking was peculiarly charac- teristic of Sedgwick's ability to give and to secure whole-hearted and unselfish cooperation and of his readiness to begin a job that needed doing with what- ever resources might be at hand. It is equally char- acteristic that when, as a result of these modest be- ginnings, there was a possibility of gaining really adequate endowments for public health education in Boston he urged the need for such endowment with vigor and success and was sufficiently unselfish and broad-minded to see that it was to Harvard Univer- sity that a new school of public health must be most closely allied. In 1914 Sedgwick's health was seriously impaired and he made a somewhat extended trip to Europe in order to recuperate. A charming letter from Presi- dent Maclaurin deals with the plans for this trip. A PIONEER OF PUBLIC HEALTH 50 WILLIAM THOMPSON SEDGWICK I was much cheered by reading your article in the N. Y. Times when I was in that city on Sunday last. It showed me that there was plenty of vitality left-I might have said "that there was life in the old dog yet" if the ex- pression could have been permissible. You owe it to the Institute and to the community to take care of yourself and to make it possible for the youngsters to speak of you as "old" without offense. I am told on what should be good authority that there is no reason why you should not live to a really old age, provided you take reasonable care of yourself. Clearly you must stop work for a while and stop it now. You were going in March, why not go immediately? We shall have to tide over the difficulties due to your absence as best we can. Happily you must know that any extra burden that will thus be imposed on younger shoulders will be gladly borne out of loyalty and devotion to you. Let me know that you are off soon. Sedgwick returned from this journey in large measure restored to health. In 1915, as described in a succeeding chapter, he threw himself with whole- hearted enthusiasm into the organization of the Strong mission to Serbia. In 1916 came the move of Technology to the new laboratories on the banks of the Charles River. The quarters in the Pierce Build- ing had been very quickly outgrown. As far back as 1908 Sedgwick had said, of the existing condition of overcrowding: Worst of all, there is nowhere in the Department any place for quiet, uninterrupted study; no place for rest, or even repose; no sense of either space or seclusion; and until we have such places the proper study of biology, of life and the right conduct of life under hygienic and sani- tary conditions must remain an ideal rather than a reality. 51 A PIONEER OF PUBLIC HEALTH The new quarters in Cambridge, therefore, fur- nished a welcome opportunity for expansion; and all the prospects seemed bright. The President's report for 1916 says ... at the moment public health is everywhere highly regarded and everywhere sought after, and there are abundant signs that this is only the first wave of a new tide in science, technology and education, partly due to the World War, which will require more widespread and profound studies of life, of disease, of food, of work and of rest, and of human activities in general, in which biol- ogy must take the leading part. At this time Sedgwick says of the School for Health Officers, "The time is now at hand, if indeed it has not already arrived, when the School should be put on a more secure foundation; provided with staff, building and appliances of its own, and broad- ened out into an Institute of Public Health, worthy of Boston, Massachusetts and New England." Almost as soon as the new buildings were occupied, came the entrance of the United States into the Great War. Of Sedgwick's staff, Prescott accepted a com- mission in the Sanitary Corps, Gunn left for France and Turner became Sanitary Engineer to the U. S. Shipping Board. Sedgwick himself embarked with enthusiasm upon the organization of summer courses and other special instruction for the laboratory workers so greatly needed at the training camps, and worked earnestly, by visiting the leading women's colleges and in other ways, for the recruitment of students in this important field. The department had ten graduates in this year (1917) and nine at once 52 WILLIAM THOMPSON SEDGWICK entered war service. Sedgwick was proud, and very justifiably proud, of the war record made by his "boys" ( and his "girls" as well) for he had a card catalogue including the names of 120 men who served in the uniformed forces or in the Red Cross Overseas Service, and of 7 women engaged as laboratory tech- nicians or in one form or another of essential war service. Of the men on this list at least 15 attained the rank of Major. The war had only been over for about a year, and the Institute was just beginning to settle down to the problem of coping with a greatly increased enroll- ment when it suffered a heavy blow in the untimely death of President Maclaurin. The sorrow of the In- stitute found expression in this perfect tribute from Professor Sedgwick's pen. JANUARY 18, 1920. A cold, blustering Sunday morning in midwinter. Fine dry snow blowing from the housetops and filling the chilly air with whirling veils of frozen mist. Across the blanched and motionless surface of the Charles the great Technology Buildings, solemn, cold and gray in the east- ern light. The white flag of Massachusetts flutters from their midst but at half mast; for the State has lost an adopted son, and like Rachel mourning for her children refuses to be comforted because he is not. But even as I look, the sun comes out, blue sky appears and fair weather clouds begin to sail the sky. The build- ings brighten and though the flag flies low it shines in the strengthening light, while the great buildings glow. The whole scene seems to me symbolic. Chilled with grief and almost blinded with sorrow, we yet find in the life just 53 A PIONEER OF PUBLIC HEALTH ended light to illuminate the paths we must pursue, and guidance towards the goal we must achieve. Dr. Maclaurin's life and work will be for us forever a shining example and a noble ideal. His was a world career. No narrow limitations of his native Scotland hedged him in. New Zealand beckoned him and he went. America called him and he came. As a great scientific man should do, he studied deeply, planned carefully, exe- cuted boldly. As a worker he was indefatigable, as a stu- dent profound, as a friend faithful. As a leader we shall not look upon his like again. Almost exactly a year later Professor Sedgwick in his turn fell, like a soldier at his post, "in the very part and act of public duty "; for he had spent a long and wearying evening, as a delegate from Tech- nology to a meeting called to discuss the wisdom of the establishment of a state university in Massachu- setts. In later chapters we shall attempt to trace the influence of his thirty-eight years of service upon the public health movement and to picture in some small measure the personal influence which made him a second father to hundreds of devoted students. In an appendix will be found a list of the men and women who owe to him the inspiration of their careers. The present chapter may most fittingly be closed by quot- ing from the minutes drawn up after his death by the faculty with which he served so long and so faith- fully- Endowed to a remarkable degree with the spirit of service and the essential qualities of leadership, he won and held by his character, ability and personality a high place in the councils of the Institute and in the esteem 54 Dr. Pratt Professor Bigelow Professor Sedgwick Professor Prescott Professor Turner Dr. Medalia Dr. Slack Dr. Emerson Dr. Horwood THE DEPARTMENT STAFF, 1920-1921 WILLIAM THOMPSON SEDGWICK and respect of his colleagues and of the student body. He was always courteous, sympathetic and deeply interested in the welfare and proper development of the students, and was able to an unusual degree to awaken a love of scientific truth and to stimulate latent qualities of indi- viduality, character and usefulness. He taught not only science but right living and professional integrity, and unconsciously left the mark of his own character upon all with whom he came in contact. His influence within the school was all-pervading, and his reputation as an ideal teacher and wise counsellor extended far beyond the walls of the Institute. The keynote of his life was service, and even in his later years when he worked constantly with the knowl- edge that any day might be his last, his zeal and industry never flagged, and he faced the future with serenity and undaunted courage. 55 The Contribution of the Institute of Tech- nology to the Public Health Movement in America The condition of perfect health requires such laws and regulations as will secure to man associated in society the same sanitary enjoyments that he would have as an isolated individual; and as will protect him from injury from any influences connected with his locality, his dwell- ing-house, his occupation, or those of his associates or neighbors, or from any other social causes. It is under the control of public authority, and public administration; and life and health may be saved or lost, and they are actually saved or lost, as this authority is wisely or un- wisely exercised. Report of the Massachusetts Sanitary Commission, 1850. The story of Technology's half-century of service to the state if written in detail would be a long one and one which would very well illustrate the progres- sive steps in public health activity which have been taken during that time. "Even before the Institute had taken definite form and very shortly after a charter had been granted, its founder, President William Barton Rogers, was invited by the famous 'War Governor' of Massachusetts, John A. Andrew, to serve as ' State Inspector of Gas Meters and Gas, ' an office then lately created and afterward to become 56 WILLIAM THOMPSON SEDGWICK and remain closely connected with the service of the public health. ' ' In the early days sanitation, in the strict sense of the term, had the first call. The cleanliness of the en- vironment was uppermost in the minds of health administrators,-a logical result of the prevailing theory that certain diseases, such as typhoid fever, were caused by decomposing organic matter. The chemist was the man of the hour, although he worked in a scientific haze through which he could only dimly discern the truth. This period was ended by the light- ning bolts which Pasteur shot into the clouds. The air was at once cleared, and as Sedgwick was fond of saying, "Before 1880 we knew nothing; after 1890 we knew it all; it was a glorious ten years. ' ' The em- phasis quickly shifted from chemistry to biology, but in later years the two sciences have blended their ef- forts in the interest of the public health. Speaking in terms of personalities, William Ripley Nichols rep- resented the chemist of the days before Pasteur. Thomas M. Drown, on the other hand,-another chemist of brilliancy and power,-accepted the new ideas and lent his genius to further them in his own field. As the new theories of disease prevention began to be put into practice, the sanitary engineer was roused to new and broader fields of action. But Sedg- wick had the vantage point, for after all the control of disease is applied biology; biology was his own science, and Pasteur and Huxley were his masters. Between the year 1871 and his untimely death in 1886 Professor Nichols had carried out many impor- tant investigations in connection with water supply 57 A PIONEER OF PUBLIC HEALTH and stream pollution. He went to Europe, studied the new methods of water analysis, water filtration, and sewage disposal, and returned to perfect them and make them useful in this country. In 1871 he con- ducted a study of poisoning by lead pipe used for the conveyance of water, a subject which for a long time had been under discussion. He reported upon the condition of the Massachusetts streams and based his reports upon the analysis of many more samples of water than had been made up to that time. He studied the microscopic organisms in water supplies. In 1878 he published a celebrated report on the Fil- tration of Potable Water, which later became the basis of a book entitled Water Supply, Chemical and Sanitary, published in 1883, which even now, forty years afterwards, contains ideas well worth consideration. His work was not confined to water, however. Because of the prominence given to Pet- tenkofer's theories, which had to do with the san- itary significance of ground water and ground air, and because some people feared that the filled land of Boston's "Back Bay" was unhealthful, he made many studies of samples of ground air. He also studied the ventilation of railway cars. In 1884 he and Sedgwick made important investigations of the relative poisonous effects of coal and water gas,-a study which involved experiments with animals and which brought down the wrath of the antivivisection- ists upon the heads of the two young professors. It was not Sedgwick's last encounter with these well- meaning and sympathetic persons, who have endeav- ored for so many years to hamper the humane and 58 WILLIAM THOMPSON SEDGWICK life-saving work of biologists and physicians. The results of the gas investigation, the first of the sort ever made, gave to the Legislature timely scientific advice. Sedgwick predicted that the substitution of the almost odorless "water" gas, with its high con- tent of poisonous carbon monoxide, for the "coal" gas, less dangerous and more odoriferous, would re- sult in an increased number of cases of accidental gas poisoning, and twenty-five years later he compiled statistics which showed that his prediction had been fulfilled. The year 1886 was a memorable one in the Massa- chusetts annals of public health. In that year the State Board of Health, which since 1879 had been illogically combined with a board dealing with "Lu- nacy and Charity," was reorganized. Dr. Henry P. Walcott became Chairman and Hiram F. Mills, C.E., of Lowell, a Member of the Board. In the same year the Legislature passed an act for the protection of inland waters and an engineering department of the Board was organized. This act, with the establishment of the Lawrence Experiment Station in the same year, marked the be- ginning of an important epoch in American sanita- tion. Here for the first time the sciences of engineer- ing, chemistry, and biology were combined and brought to bear on the problems of water purification and sewage treatment. These various activities brought together a group of men whose influence on the development of the arts of water and sewage purification has been very great. Not all, but many of these men were connected with the Institute. Un- 59 A PIONEER OF PUBLIC HEALTH der the guidance of Dr. Walcott and Mr. Mills there were Frederick P. Stearns, Chief Engineer, Dr. Thomas M. Drown, Consulting Chemist, Dr. William T. Sedgwick, Consulting Biologist, and Allen Hazen ('88), in charge of the experiment station. Among the assistants and special workers were George V. McLaughlin ('88), George W. Fuller ('90), X. H. Goodnough, Arthur T. Safford, Harry W. Clark ('87), E. O. Jordan ('88), and Gary N. Calkins ('90). Mention should also be made of Mrs. Ellen H. Richards ('73), the first woman graduate of the M.I.T. and an early associate of Professor Nichols. About the same time Mr. Desmond FitzGerald, Su- perintendent of the Western Division of the Boston Water Works, and now a member of the Corporation of the Institute, took up the study of water purifica- tion; a biological laboratory was established at the Chestnut Hill Reservoir with George C. Whipple ('89) in charge, and an experiment station in charge of W. E. Foss, with Dr. Drown acting as consulting chemist. Dr. William G. Farlow of Harvard Univer- sity had already made notable contributions to the study of algae in water supplies, and about 1887 George H. Parker and George L. West made system- atic quantitative biological studies of the microscopic organisms. These were years of enthusiastic progress along new lines and many were the conferences and exchange visits of the young men who were working at the Institute, at Harvard, at the office of the State Board of Health, and at the laboratories at Lawrence and Chestnut Hill. Sedgwick and Drown were much together. Week 60 WILLIAM THOMPSON SEDGWICK after week they would leave Boston by an early train and do a long day's work at Lawrence, looking over the results of the experiments, studying the analyses, and returning at night to formulate new lines of in- vestigation. The results of the experiments on the purification of sewage and water were published in Part II of the special reports of the State Board of Health in 1890. These two volumes, together with the contributions which followed in the regular annual reports, are rightly regarded by the sanitary profession as American classics. Sedgwick prepared the first re- port of the biological work. It described the ' ' Sedg- wick-Rafter" method of microscopical analysis, gave an account of the bacteriological studies at Law- rence, and included a report by E. O. Jordan on cer- tain species of bacteria found in sewage. The same volume contained also a paper by Jordan and Mrs. Richards on Nitrification and the Nitrifying Organ- isms. In subsequent reports for several years the names of Drown, Sedgwick, Richards, and others connected with the Massachusetts Institute of Tech- nology frequently appeared. From 1887 to 1896 the laboratory of water analysis of the State Board of Health in charge of Mrs. Richards, under the general direction of Dr. Drown, was as we have seen located in the Walker Building of the Institute. While this scientific study of the chemistry and biology of water and sewage was in full blast, a nota- ble epidemic of typhoid fever swept down the Merri- mac Valley. Professor Sedgwick made a thorough study of this catastrophe and developed methods of 61 A PIONEER OF PUBLIC HEALTH investigation which have been followed by American epidemiologists ever since. Although not a mathema- tician, he was a good logician and knew how to mar- shal his statistics with telling force and how to draw from them conclusions which could not be upset. This was the first of a series of typhoid epidemics investi- gated by Sedgwick which constituted what was per- haps his most notable contribution to knowledge in the field of public health. Such investigations, which would usually be completed in a few weeks, gave full scope for his energy and quick apprehension. He was aided by assistants in this work, but gave every detail his eager personal attention; and in the Lowell and Lawrence epidemic he personally made 2000 house- to-house visits for the accumulation of the funda- mental data involved. More than one writer has called him the Father of Epidemiology in the United States, and there can be no doubt that Sedgwick's thorough and brilliant reports on Massachusetts ty- phoid did much to call attention to the importance of this subject. This is not the place to attempt any elaborate appraisal of Sedgwick's investigations, but if the value of scientific work depends not only on its own addition to the body of human knowledge, but also upon its effect in stimulating research by others, then Sedgwick's studies of typhoid rank high among American contributions to public health. His reports on the water epidemic at Lowell and Lawrence, and the milk epidemic at Springfield exerted an enor- mous influence upon their respective fields of epi- demiology in this country, while the report on the Bondsville outbreak drew attention to the great dan- 62 WILLIAM THOMPSON SEDGWICK ger of contact infection in typhoid, and led to scores of studies in which the importance of this factor was emphasized and properly evaluated as never before.* These first days of cooperation with the Massachu- setts State Board of Health laid the foundation for Sedgwick's second notable contribution to public health science, the development of laboratory meth- ods for the study of the microbiology of air, water, ice and milk. The scope and amount of Sedgwick's research work may be best appreciated by reference to his list of publications (Appendix A). Approxi- mately one-fourth of his published articles embody the results of his own investigations and those of his pupils; the remainder, which grew in proportion as experience and responsibility came to him, were fin- ished addresses, general and technical, critical re- views on public health topics and comprehensive summaries of the conclusions to be drawn from in- vestigations in his own laboratory. Among the im- portant contributions to public health problems that deserve special mention are the work on illuminating gas poisoning (with William Ripley Nichols), the invention (with G. R. Tucker) of an apparatus for the quantitative bacterial examination of air (1887), and of a somewhat similar device for estimating the microscopic organisms in water (the still standard "Sedgwick-Rafter Method," 1888-1889); the study (with J. L. Batchelder) of the bacterial content of Boston milk (1892), which is notable as the first re- port on bacteriological examination of a municipal * See 29th Annual Report of the State Board of Health of Massa- chusetts for 1892. 63 A PIONEER OF PUBLIC HEALTH milk supply published in the United States; the ex- perimental work (with C.-E. A. Winslow) on ty- phoid fever and ice supplies (1902) ; and the statisti- cal study (with Scott MacNutt) of the possible effect of water purification in diminishing diseases other than typhoid (Mills-Reincke Phenomenon, 1908- 1910). Through all these studies there runs a single con- sistent tendency, the attempt to apply exact labora- tory and statistical methods to the study of environ- mental influences affecting the life and health of man. Bacteriology, as it was introduced by Biggs and Park in New York and by other early workers in the United States, was largely pathological in its bear- ing. It was the bacteriology of the human body in health and disease. In this field the Institute of Tech- nology made little or no contribution. Diagnostic pro- cedures, the study of carriers, immunologic control, owe little to the work of the Institute laboratories. On the other hand the microbiology of water sup- plies was created by Sedgwick and his pupils. The bacteriology of water and sewage owes all its first impetus to them, as may be noted by reference to the 1905 Report on Standard Methods of Water Analy- sis and its bibliography. The first work in America on the bacteriology of ice and air (except that of T. M. Prudden) and of milk was done in the Institute laboratories. The men who did the pioneering work in this country on water purification, on sewage dis- posal and on ventilation were in a large majority graduates of the Institute of Technology, who had gained their inspiration from Sedgwick's influence. 64 WILLIAM THOMPSON SEDGWICK He was an unquestioned leader in developing the scientific sanitary study of the environment of man. Sedgwick was peculiarly happy in dealing with the complex problems which arise in the practical appli- cation of sanitary principles to the individual com- munity. His broad vision and sound common sense made him an invaluable advisor to many cities in re- gard to water supply and sewage and garbage dis- posal. In later years he devoted much attention to the subject of food sanitation and conservation; now it was milk, now eggs, now the problem of cold storage. He was one of the earliest and most effective advo- cates of the general protection of milk supplies by pasteurization. He believed that all food was worth saving and using and should be protected from con- tamination and decay, as illustrated by a short quota- tion from an article on Cold Storage and What It Means in Peace and War. We live in a region of seasons,-of successive summers and winters. In summer we produce more food than we eat, in winter we eat more than we produce. Hence it be- comes necessary to save up and store the surplus of sum- mer against the scarcity of winter. Our forefathers were confronted by the same neces- sity. They salted and smoked and dried various meats and fish. They stored in cool places such as cellars, po- tatoes and cabbages and carrots and squashes. They dried apples and peaches and berries, and they put up pickles and preserves. Corn and wheat and rye and oats and hay, and sometimes peas and beans, were also easily dried and kept through the winter, but fresh meat and poultry and eggs were only to be had by drawing from time to time upon flocks and herds of living animals. 65 A PIONEER OF PUBLIC HEALTH Two of the greatest inventions of the 19th century were canning and cold storage. Canning, almost unknown before the end of the Civil War, enables us to preserve for winter far better and fresher than ever before, by heating and sealing, vast quantities of meat, fish, poultry, and vegetables. Cool storage has always been employed in cellars, and often, in summer, by hanging vessels con- taining milk or meat in wells or in layers of ice when ice- houses were being filled. About 1880, however, with the use of temperatures kept just above or just below the freezing point of water by means of special refrigerating machinery, the present enormous industry began. Under the beneficent influence of cold storage fresh meats from Australia can be delivered and sold in far distant Europe or North America, while fish taken from summer seas are frozen stiff and kept indefinitely, to be thawed and eaten at will. Poultry grown upon western farms is frozen and sold on the Atlantic and Pacific seaboard. Cold storage warehouses of great size, thoroughly built to withstand the heat of summer, have sprung up in all our large cities and in these, low temperatures are pro- vided by means of refrigerating machinery, so that, para- doxical as it may seem, many tons of coal are burned every day, in order to keep frozen the vast amounts of food which these warehouses contain. There is unfortu- nately a widespread prejudice against the use of cold storage foods because these are not infrequently inferior in flavor to fresh materials of the same kind. It has never been found, however, that they are inferior in nutritive value, and in some cases cold storage foods compare fa- vorably even in flavor with fresh foods of the same kind, and it is generally admitted that Chicago dressed beef is even superior, in spite of long storage and transporta- tion, to freshly killed meat of the same sort. 66 WILLIAM THOMPSON SEDGWICK In the line of official health administration Sedg- wick rendered distinctive service both to state and nation. Reference has already been made to his con- nection with the Massachusetts State Board of Health in the formative days of its reorganization. Between 1896 and 1914 he had no official connection with the state health organization, although the De- partment of Biology and its graduates were always working in close contact with the officials of the State House. In December, 1914, however, when the State Board of Health became the State Department of Health with a Health Commissioner and a Public Health Council, Sedgwick was appointed a member of the Council and served in this capacity until his death. Commissioner Eugene R. Kelley has sum- marized his services as follows: Chairman of the Committee on Food and Drugs, with much past research work on food as a background; with very positive convictions on food conservation; opposed to many of the extreme views of prominent food authori- ties as encouraging a present day tendency to condemn food that was needed in the world's economy; an enthu- siastic advocate of cold storage and food canning meth- ods-everything relating to the work of our Food and Drug Division was of deepest interest to him. With his remarkable record in the field of wrater puri- fication, he found every detail of the Engineering and Water and Sewage Laboratory Divisions' problems, and of the matters referred to the Council's Engineering Committee, of definite significance. With his years of study of epidemiology and his great interest in the problems of practical health administra- tion, especially in the smaller communities, the work of 67 A PIONEER OF PUBLIC HEALTH the Communicable Disease Division, and particularly of the District Health Officers, aroused his instant and con- stant sympathy. But if a comparison of interests can be made, the work and the great educational possibilities of our Division of Hygiene appealed to Sedgwick the most strongly of all the Department's manifold activities. He aided greatly in creating it, and when Dr. McLaughlin despaired of getting the Division started for lack of suitable funds for salary of a director, he proposed the release of Professor Gunn from part of his duties at Technology in order that he might organize the work, even though this involved carrying additional detail himself in his educational work, which his failing health warned him to unload. The minute adopted by the Public Health Council after Sedgwick's death, reproduced herewith, is a gracious and fitting expression of the debt which the commonwealth of Massachusetts owed to one of the most loyal of her adopted sons. Sedgwick's relation to the development of the United States Public Health Service at Washington was of equally notable importance. He was appointed October 1, 1902, to membership on the Advisory Board of the Hygienic Laboratory of the United States Public Health Service by the Secretary of the Treasury and served in that capacity until the date of his death. His interest in the Laboratory was manifest from the fact that he never missed a meet- ing of the Board, notwithstanding the great incon- venience which attendance frequently occasioned. It was often necessary to ask his advice, between meet- ings, concerning the researches carried on at the 68 tlje iWemory of William Sebgtoirk pioneer in mobern public Jjraltl) science. (£carljer: nationally loVeb. JKutljor: internationally appreciateb. (Sotmrillor: universally souyljt for, tljis patje io bebirateb by tlje public (Council, of wljirlj l)e Was an original member, in sweet remembrance of l)is rljarminij personality, as a man; Ijis wiobom, as an abviser; bis bounbless activity anb jjooh will as a ro-worker. OFFICIAL MINUTE ADOPTED BY THE PUBLIC HEALTH COUNCIL OF MASSACHUSETTS, FEBRUARY, 1921 WILLIAM THOMPSON SEDGWICK Laboratory, and at such times his aid was always freely extended. He was intimately concerned in the inauguration and execution of the four years' study of typhoid fever in Washington (1906-1909) by Rosenau, Anderson, Kastle and Lumsden, which was a unique undertaking for the time, and was influen- tial in inaugurating the sanitary surveys of Great Lake cities by McLaughlin (1910-1912). He was in especially close relation with the Service while John F. Anderson was Director of the Hygienic Labora- tory, and after the passage, in 1912, of legislation which broadened the scope of the investigative activi- ties of the Public Health Service he was personally very influential and helpful in planning the studies of the Potomac and Ohio rivers in 1913. Sedgwick was particularly active in various crises affecting the general policies of the United States Public Health Service. On February 11, 1910, he wrote a letter to the Hon. James R. Mann, Chairman of the Committee on Interstate Commerce of the House of Representatives, from which the following extracts are taken: I am not one of those who would throw together into a kind of heterogeneous agglomeration all the public health activities of the Federal Government. It is natural and logical that, for example, the Bureau of Animal Industry should be connected with the Agricultural Department. I do, however, believe that the time has come for enlarging materially the work of the Public Health and Marine Hospital Service. I wish that the latter part of the name, now thoroughly antiquated, could be dropped;* that the * This change of name was effected in 1912. 69 A PIONEER OF PUBLIC HEALTH public health work could be greatly enlarged and that the Service might be required to go more extensively into the publication and distribution of sanitary information among the people, very much as the Agricultural Depart- ment disseminates Farmers' Bulletins, and the like. I wish also that funds could be provided for strictly inter- state investigations such as the sanitary condition of in- terstate streams, lakes, and the like. I think that as a Member of the Advisory Board and at the same time one who is a sanitarian and a layman, not a medical man, I can safely promise you that if the Public Health and Marine Hospital Service were now to be ma- terially strengthened financially and as to the salaries of its leading investigators and officers; if furthermore it were required to secure and disseminate information and to make sanitary as well as purely medical investiga- tions, perhaps by the employment of sanitary engineers or other sanitary experts,-then we could very quickly build up a public health service which would be even more creditable to the United States than anything that we now have.* At the same time by the making of further and more popular investigations and by the dissemination of in- formation by means of Citizens' Bulletins or People's Bulletins relating to public health, so that any one, whether a farmer or not, could write directly to the Di- rector, United States Public Health Service, and secure information about measles or chickenpox, or flies in his kitchen, or the dangers of contaminated oysters, or what not, then we should largely meet the legitimate demands * Within three years from the date of this letter legislation was enacted specifically authorizing such sanitary investigations as those here recommended; and Sedgwick played a large part in shaping this work of building up the present personnel, which now includes a con- siderable permanent staff of sanitary engineers. 70 WILLIAM THOMPSON SEDGWICK of those who are now crying for an agglomeration of all sorts of disconnected branches of the public service which, for one reason or another, have more or less to do with public health problems. More important, however, than all of these direct services to the cause of public health, was the indirect contribution made by Sedgwick to this movement through his own peculiar field,-of education. As in the field of research he devoted himself in particular to the influences upon health of the environment of man, so in education his unique contribution was the development of a training school in the scientific con- trol of the environment. He was one of the first teach- ers in America to realize that something more than a traditional medical education was needed for the equipment of the public health officer. He saw the im- portance of statistics in epidemiology, of sanitary en- gineering, chemistry and biology in the prevention of some of the most important of the communicable diseases, and he knew that the courses in most medi- cal schools included no adequate teaching in these branches. The trend of his labors and the significance of his contribution to public health may, as in the case of any influential teacher, be estimated in con- siderable measure by the students who have followed in his footsteps. E. O. Jordan ('88), G. C. Whipple ('89), G. N. Calkins, and G. W. Fuller ('90). Allen Hazen and Morris Knowles ('91), Severance Bur- rage ('92), William R. Copeland and Daniel D. Jackson ('93), Theodore Horton ('94), Charles Gil- man Hyde and S. D. Gage ('96), R. Winthrop Pratt 71 A PIONEER OF PUBLIC HEALTH and C.-E. A. Winslow ('98), Earle B. Phelps ('99), Arthur I. Kendall ('00), Paul Hansen ('02), C. Saville ('06), and S. M. Gunn ('05) may be men- tioned as a few of the older men who have endeavored to carry forward this characteristic work of Sedg- wick's. A distinguished public health worker (who was not a pupil of his) has said with keen insight, "It seems to me that, broadly speaking, Mr. Sedg- wick's most distinctive field was sanitary engineer- ing, considering the term 'engineer' in the broader sense that seems to be better expressed by the French term 'ingenieur,' as one who devises methods, not merely methods of constructing and operating so- called 'engineering works,' but equally methods of scientific study of the basic problems. In this broad- est and best sense of the word, Mr. Sedgwick himself and many of his graduates who are not technically 'engineers' are really sanitary engineers of an order not previously known or conceived. Those trained at the Massachusetts Institute of Technology for public health laboratory or administrative work, and those trained at the 'Harvard-Tech' School for health offi- cers might, in this sense, be considered 'engineers' of public health, men trained to forward the movement in actual practice. This seems to me to be the view- point which best distinguishes Mr. Sedgwick's life- work from that of his contemporaries who ap- proached the field of public health from the viewpoint of pathology and the practice of medicine rather than from his viewpoint of general biology (physiology) and technical engineering. It seems to me to be the idea which integrates his work into a 72 WILLIAM THOMPSON SEDGWICK whole as the outgrowth of his earlier training, his environment and opportunities at the Massachusetts Institute of Technology, and, above all, his special and unique talents and interests." Sedgwick had done his best to provide the recruits so greatly needed for public health work along the lines indicated above and succeeded as perhaps no other man could have done. Yet he came to realize that public health administration is, and is bound to be, closely linked with medicine. Holding fast to the idea that public health administration is something more than a branch of medicine, yet realizing that the two must be linked together, he gave much effort in his later years to working out plans of coordinat- ing the two fields in a sound program of public health education. In 1912 there came a great opportunity to put his ideas into practice and to establish a school of a new type for training men and women for the public health service. In 1909 a Department of Pre- ventive Medicine and Hygiene had been established in the Harvard Medical School under the director- ship of Dr. Milton J. Rosenau and in 1911 George C. Whipple, an Institute graduate in civil engineering who had taken Sedgwick's course in sanitary biology the first year it was given, became Professor of Sani- tary Engineering in Harvard University. From these elements was evolved the School for Health Officers of Harvard University and the Massachu- setts Institute of Technology, the first well-developed school of public health in the United States. As the beginnings of things are always of interest, record is made here of the events which led up to the 73 A PIONEER OF PUBLIC HEALTH establishment of this school, taken from the diary of one of the writers (G. C. W.). On March 4,1912,1 happened to meet President Lowell at lunch at the Colonial Club. He asked me to think up some plan for having my Department of Sanitary Engi- neering cooperate with the Massachusetts Institute of Technology in a course for public health officers. Two days later I called on President Maclaurin and talked over a plan of cooperation, having meantime talked with Professor Sedgwick. On March 25, I dined with Dr. Rosenau and discussed a plan to combine our public health courses with those of the Massachusetts Institute of Technology. Then followed a series of informal conferences and discussions, one of which was held in the Faculty Room of the Harvard Medical School on December 16,1912. On January 9, 1913, Professor Sedgwick, Dr. Rosenau and I called on President Maclaurin. During the next few weeks a rather definite plan for a school was worked out. On April 2, I discussed the proposed plan with President Lowell at the Colonial Club. On April 14, President Maclaurin presented to the Executive Committee of the Massachusetts Institute of Technology the proposal to establish a joint school for the training of public health officers. On May 1, 1913, the Harvard Corporation took definite action by appointing Professor William T. Sedgwick, Dr. Milton J. Rosenau, and Professor George C. Whip- ple as members of the Administrative Board of the School. Similar action was taken by the Executive 74 Committee of the Massachusetts Institute of Tech- nology on July 25, 1913 (confirmed on October 8, 1913, by the Corporation). On July 30, 1913, the Administrative Board held its first meeting, Profes- sor Sedgwick being Chairman of the Board, Dr. Rosenau, Director of the School, and Professor Whipple, Secretary and Treasurer. Sedgwick served as chairman until his death. This school succeeded even beyond the expecta- tions of its founders. Its graduates were rapidly called to fill executive positions in the public health service, students came to it from foreign countries, and it is no exaggeration to say that its influence dur- ing the nine years of its existence became world-wide. After the war the School of Public Health, as it had come to be called, renewed its activities and made new plans for the future. It had attracted the atten- tion of the Rockefeller Foundation, which meantime had provided funds for the establishment of a School of Hygiene and Public Health in Johns Hopkins University, and in 1921 funds amounting to about two million dollars were given to Harvard Univer- sity for the support of a School of Public Health. Sedgwick, as a member of the International Health Board, was of course consulted in regard to the pend- ing developments and viewed them with generous hope, although he felt that in the combination of Harvard and Technology there was a strength and a mutual reaction which would be of the greatest bene- fit to the cause of public health. His death occurred before the actual change took place; and in 1922 the Harvard-Technology School of Public Health closed WILLIAM THOMPSON SEDGWICK 75 A PIONEER OF PUBLIC HEALTH its doors, leaving an influence upon public health education in America which will long be felt. The great work of the Harvard-Technology School was the amalgamation of two spirits,-the spirit of medicine and the spirit of engineering,-standing re- spectively for man and his environment. This indeed must be the spirit of the Health School of the future, -a spirit different from that of a medical school and different also from that of a school of engineering. Sedgwick gave much thought to the underlying philosophy of public health education. He recognized that health administrators must have a knowledge of medical science, but he did not believe that it was necessary that they be trained in the practice of the medical arts of healing in the same way that doctors of medicine are trained. He thought it unnecessary for young men to go through a complete medical course before studying public health, that to do so was a waste of two years of youth and an unneces- sary postponement of active service. The culmina- tion of his conception was the "Y Plan" set forth in his Cincinnati address, as follows: The medical curriculum of today is for the most part a strong single track, a narrow one-way road, leading straight to one great terminal,-the ancient, well-known and famous metropolis of the medical degree. To have conceived and constructed and safeguarded and enriched this long and highly graded road, fenced in everywhere against interlopers, and discouraging to set out upon for all excepting those of fitness and attainment, is the great achievement of the generation now passing off the stage. But since 1870 another great, though more modern, city 76 WILLIAM THOMPSON SEDGWICK has grown up apart, but not far from the original ter- minal and a strong branch road is now badly needed, be- ginning half way up the line, which shall carry some of the many journeymen to this new and thriving suburb of which the name is "Public Health." Those arriving here should receive the degree of Doctor of Public Health in- stead of Doctor of Medicine and should become practi- tioners, not of medicine, but of the science and arts of the public health. Instead of the present rigid medical curriculum which resembles the capital letter I, we ought today to have a new curriculum of equal height and breadth, but shaped like the capital letter Y, of which the base should still be substantially the first two years of the present curricu- lum-anatomy, physiology, bacteriology, pathology, etc., but with the upper parts diverging, the one arm or branch leading as now in the last two years to the degree of Doctor of Medicine (M.D.) and the other in the last two years to the degree of Doctor of Public Health (D.P.H.). That medical school which first begins this Reformation will seize a golden opportunity. It is right to provide generously for curative medicine,-for sur- gery, for obstetrics, for gynecology, for otology, for oph- thalmology, etc. But that medical school which fails today to provide also liberal instruction in preventive medicine, in vital statistics, in sanitary science, in public health laboratory methods, in epidemiology, and in preventive sanitation such as the sanitation of water supplies and other branches of municipal sanitation; in preventive hygiene, such as mental, social, personal, and dental hy- giene, and in public health education and public health administration-is sending out its graduates unprepared for some of the most serious problems they will have to face in the immediate future . . . 77 A PIONEER OF PUBLIC HEALTH Obviously, all these subjects cannot be injected into a curriculum already overcrowded. The only way out is to recognize the situation, and to meet it squarely by erecting a separate superstructure for public health training upon the same foundation which already under- lies medical training,-replacing surgery, obstetrics, gynecology, materia medica, therapeutics, pharmacology, and other purely medical subjects by subjects in public health such as those just mentioned. The medical man without further training, has been tried as a modern health officer and, generally speaking, found wanting and it is for this reason that special Schools of Hygiene and Public Health have sprung up here and there. These, however, are and long will be wholly inadequate to sup- ply the needs of the time, and our only hope at present for any adequate relief is that the medical schools of the land shall seize the opportunity that is theirs, to divert into the public health channels, with proper preparation, some of the talent now going into medicine. If what we hear of the coming ilsocialization" of medicine,-by which we mean that tendency now everywhere discover- able to substitute physicians employed and paid by the State for physicians dependent on private practice,-be true, such a diversion cannot come too soon. It is too early to predict the fate of Sedgwick's "Y" plan. It is enough to record here that he re- garded it as his heritage to the future. It represented his mature judgment on a question which he had studied long and thoughtfully. It was his last great constructive idea.* The accomplishments of the De- * It is of interest to note that an entirely similar plan for training sanitarians was independently proposed by Professor Riizicka in the first number of the Czech Journal of Public Health (Prague, March, 1921). 78 WILLIAM THOMPSON SEDGWICK partment of Biology and Public Health and of the School for Health Officers are however already writ large in the history of the American public health movement. They established once and for all the im- portance of the environmental factors in disease con- trol so that,-to a far greater extent than is the case in Europe,-every American health organization now includes a very important personnel represent- ing this special angle of training; that all the recently established courses in public health are recognizing such branches of science as sanitary engineering, sanitary bacteriology and chemistry and physiology; that the reforms which Sedgwick advocated in pre- medical education have come about; and that not a few of his graduates are contributing largely to medical as well as to specialized public health educa- tion in leading medical schools. It was he, more than any other single man in the country, who realized, and made others realize, the essential necessity for providing a special education for the public health administrator. Johns Hopkins and Harvard and Yale and Columbia and Michigan may follow differ- ent lines from those which were laid down at the Massachusetts Institute of Technology, but the goal they are seeking is the one which was visualized by Sedgwick thirty years ago. 79 Sedgwick the Teacher To us thou wast still Cheerful, and helpful, and firm! Therefore to thee it was given Many to save with thyself. Arnold, Rugby Chapel. It was as a teacher that Sedgwick stood supreme. His influence upon his students and in the general life of the Institute of Technology, in the broader fields of education and in public health, was largely due to a rare power of elucidation and inspiration; a consideration of the sources of this power as a teacher must therefore be central in any estimate of Sedgwick's influence upon his time. Having begun his own higher education as an un- dergraduate at the Sheffield Scientific School, and spending his life in the service of the Institute of Technology, it was natural that Sedgwick should be a warm champion, not only of science, but of applied science, as constituent elements in the highest type of liberal education. This was a real issue in those days though the victory of applied science is now so nearly complete that the echoes of the conflict grow some- 80 what faint. In an address delivered at the Sheffield Scientific School in 1893, he says: ' ' I have been patiently awaiting an opportunity to challenge publicly the serious charge that the Shef- field Scientific School in the seventies did not give to its graduates a liberal education." He then goes back, as was his wont, to the dictionary and notes that the word "liberal" means "generous" or "befit- ting a free man," as opposed to a slave. Hence also, "free, broad, ample, not narrowly limited, compre- hensive." Next he traces the historic reasons why one particular type of education, that of the classical col- lege, came to be considered the liberal education, and then passes to the changes which occurred in the nineteenth century. "Few if any saw or understood the vast signifi- cance of the new movement,-we do not wholly know it yet,-but it was the expression of the Zeitgeist which was beginning to feel the old education too narrow. It was no longer generous. It dwelt too much in the past. Fanned by the swift breeze of human dis- covery the century was moving forward. An educa- tion essentially monastic was becoming too narrow. Charmed by the eloquence of Cicero and the dramas of Sophocles, the scholastics of our day heard not the revelations of a Cuvier, who was unfolding the elo- quent facts of physical being. Journeying with Ulysses and listening to the magical language of Hellas they knew not that Watt had devised a more potent bark than any that Odysseus sailed-one which should soon make of every man an Ulysses and give into his keeping the whole round world. Ab- WILLIAM THOMPSON SEDGWICK 81 A PIONEER OF PUBLIC HEALTH sorbed in contemplation of the ruin wrought by the French Revolution these knew not that Lavoisier, himself a victim of the maw of the guillotine, had founded a science which should soon teach the inti- mate structure and brotherhood of all things and, be- fore long, the chemistry of the stars. Secure in a simple theory of geology they knew not that Lyell was proving the great age and slow making of the crust of this earth. Still less did they dream that Dar- win and Wallace, unknown even to themselves, had opened note books which would include many of the secrets of the origin of life, not excepting that of man himself. The coral islands were yielding their secrets to our Dana; the spectroscope was demonstrating the stupendous fact that our earth had its kindred in re- motest space; Schleiden and Schwann proved the unity of organic life in microscopic structure; Von Mohl, Cohn and Schultze established a kindred physical basis first, for all plants and animals, and finally for animals and man. The achromatic objec- tive bade fair to change the profoundest thoughts of man. Boucher de Perthes by his discoveries of fossil man gave us a new chronology. Virchow by his cellu- lar pathology put a new face upon old facts of dis- ease. Faraday by his discovery of magnetic induction entered the wedge which was to introduce the age of electricity. Pasteur by his labors on fermentation es- tablished the germ theory of disease and laid the sure basis of preventive medicine. "But these and other similarly impressive and vital advances went on for the most part without the direct inspiration of the American classical colleges 82 WILLIAM THOMPSON SEDGWICK and universities. In these, wrapped in devout con- templation of the past, and content with the present, the scholastics of the nineteenth century dreamed on. In their hands seemingly rested the future because they alone had the keys of a liberal education. But fortunately for the world, and as if to show once more how futile are all attempts at exclusiveness in education or in the proprietorship of truth, a change came, and came from outside the scholastic circle." He describes the significance of the movement exem- plified by the establishment of the great polytechnic schools; and affirms that "the divergence of the new learning from the beaten path of nineteenth century scholasticism was an event of scarcely less educa- tional significance than the Revival of Learning at the beginning of the Renaissance." He quotes Hux- ley's marvelous definition of a liberal education of which he was always especially fond; and Arnold's "The ideal of a general liberal training is to carry us to a knowledge of ourselves and of the world," of which Sedgwick says, "Among the many definitions of a liberal education this seems to me the best and wanting only in the element of action or power. ' ' He accepts the etymological ideal of a liberal education, that it shall emancipate; shall make man free. "And if it be freedom that is desired, let us remember that we shall find it in the truth; and this is that, of which every scientific man may say with Harvey-' I avow myself the partisan of truth alone. ' ' ' It was obviously no narrow type of technical edu- cation which Sedgwick championed. As he says in another address: ' ' The great educational problem of 83 A PIONEER OF PUBLIC HEALTH the day is how to unite power with culture. Mere cul- ture is apt to be ineffective, unproductive, critical, analytical and sterile. Mere power is pretty sure to be narrow, selfish, intolerant, illiberal, ungenerous, un- sympathetic, short-sighted. ' ' Intense intellectual curiosity-the first gift of the gods to the investigator-was one of Sedgwick's most marked characteristics. Nothing in nature was alien to him. His early students well remember the contagious enthusiasm with which in his lecture courses he took up one subject after another, general biology, physiology, bacteriology, anthropology, the history of science, so that while he was talking, each topic in turn, the origin of life, the clotting of the blood, the causation of disease, seemed the most en- grossing problem in the universe. He always wanted to find out more, to know more. He often referred to an undergraduate experience of his own at Yale (re- ferred to in an earlier chapter) where, in a medical course to which he had looked forward with keen in- terest, the instructor managed to convey the impres- sion that the subject was practically a closed book, that everything had been found out about it that could be found out, and that there was little scope for the activities of an inquiring mind. Anything more utterly foreign to Sedgwick's own mental proc- esses and methods of teaching could hardly be con- ceived. In his elementary lectures he contrived at the very start to make many a student say to himself: Something more needs to be discovered or explained about this matter; something more can be discovered, and I may be the man to do it. 84 WILLIAM THOMPSON SEDGWICK The really great teacher must give to his pupil three different things, a vision of the subject in hand in its relations to the evolving universe, a rigorously honest method of thinking and working so that the truth may be adhered to and if possible advanced, and an enthusiasm for service which will prove bet- ter even than the desire for fame as the compelling motive to make men "scorn delights and live labori- ous days." These three gifts, and in rich measure, Sedgwick bestowed upon his pupils. First of all, his mind was permeated with the his- torical perspective and with a passion for origins which gave to every subject he taught a background of evolutionary significance. In an address on The Outlook for Preventive Medicine in the United States* he expresses this article of his creed. The effects of civilization are cumulative. Generations, unlike individuals, begin where their parents left off. Yet each generation has its own peculiar interests, its own problems. The men of the 15th and 16th centuries made the famous voyages of discovery and wrought an im- mense expansion of the known and habitable world. Their successors embodied their discoveries in a great litera- ture. The men of the 17th century worked out the princi- ples of the anatomy and physiology of the universe, as well as of the human body. Their successors of the 18th century studied more minutely the structure of the earth, laid the foundations of geology and chemistry, inaugu- rated toleration and humanitarianism, introduced the * Delivered before the alumni of St. Luke's Hospital, New York, in 1908. 85 age of machinery, and sought out many and great inven- tions. The first half of the 19th century witnessed the es- tablishment of science as a recognized branch of learn- ing ; the rise of biology,-highest, because most human, of all the sciences,-and the triumph of the scientific spirit, -the spirit of truth,-as the lode star of life; that spirit which Dr. Peabody, Plummer Professor of Christian Morals in Harvard University, has finely characterized by "its courage and serenity, its disciplined conscience, its intellectual morality, its habitual response to any dis- closure of the truth. ' ' The generation now rapidly passing off the stage and which belongs to the latter half of the same century, has been chiefly occupied with the applications of the great inventions and with an unprecedented devotion to the search for origins. The origin of species, the origin of man, the origin of institutions and customs, the origin of life, of poverty, of crime, of disease,-these have been the peculiar problems of the last half century. And nowhere has the search for origins been more suc- cessful than in medicine. Thirty years ago pathology was in the descriptive stage. The footprints of disease were conspicuous but the makers of the footprints absolutely unknown. Today the microbic origin of the infections is a commonplace, and the germ theory is as familiar as the theory of gravitation and the theory of evolution. The problems of yesterday were the problems of origins. Sedgwick delighted in tracing the origin of words and in noting how they often came to mean something very different from their first significance, so that perhaps the most used book on his desk was the Ox- ford Dictionary. As an example of his scrupulousness in the accurate use of words it may be recalled that A PIONEER OF PUBLIC HEALTH 86 WILLIAM THOMPSON SEDGWICK when he and Wilson were writing their textbook on biology Sedgwick wrote to Professor Whitney, the great philologist of Yale, under whom he had stud- ied, as to the correct use of the phrase "lifeless mat- ter." Whitney brought the question up at a faculty meeting of the Sheffield Scientific School and re- ported that "opinions were divided, two or three (or more) important voices being raised in favor of the view that lifeless too much implied a loss of former life. Still, the majority were against that; and 'spot- less reputation' and 'endless life' were quoted as nor- mal examples of the proper use and meaning of ad- jectives in less. My own opinion was with the latter party. ' ' It was his passion for tracing the chain of causa- tion through the historic development of knowledge which led Sedgwick to organize a course of lectures on the history of the inductive sciences for students in the departments of biology and physics; and it is indeed significant that this course, the first of its character to be offered in America, should have found place in the crowded curriculum of a scientific department. Prescott says: "These lectures (at first more like informal talks) were so tinged with the ap- preciation of art and poetry as well as of science that the students of these early years eagerly looked for- ward to them, and doubtless would gladly have 'cut' the more laborious 'professional' subjects in order that they might get this refreshing draught from a realm remote from the more exacting domain of mod- ern science they were pursuing in laboratory or de- partmental room. ' ' 87 The study of origins was with Sedgwick, however, never an end in itself but a means to the better com- prehension of the present and a firmer grasp of the future. "I keep three things in mind," he once said, "the past, the present and the future." The extent to which his lectures were vitalized by the latest scrap of current information was as notable as the degree to which they were rooted in the firm basis of histori- cal background. Clippings from the daily papers, as well as from technical journals, were likely to be in his hand as he entered the classroom and were posted on the bulletin board outside his door. All was fish that came to his net and he wanted his students to study those fish while they were yet alive. It was not merely filiation in time which was em- phasized in Sedgwick's teaching. Quite as striking was the way in which he brought out the relations between apparently unrelated subjects, illuminating the place of the particular phenomenon under dis- cussion in the universe of which it formed a part. Nothing to him was isolated. The whole world, past, present, and future, was in the background of his thought. He saw every phenomenon in its relation to a hundred other phenomena and was at his very best with a small group of students, following out in ex- perimental vein a line of thought which might lead from the structure of plant tissue to the domestic life of the ancient Romans and thence to some basic prob- lem in philosophy or ethics. One memorable confer- ence in plant physiology began whimsically enough with the question why Episcopalians have stained glass windows in their churches and Unitarians do A PIONEER OF PUBLIC HEALTH 88 WILLIAM THOMPSON SEDGWICK not, as a basis for a consideration of the function of esthetics as a motive force in evolution. Sedgwick always taught principles, not merely ap- plications ; and his power of seeing the broadest and most fundamental principles that might be involved in a given case, of reducing a problem to its least common divisors, was one of the chief reasons for his unique success in popular elementary teaching. One invariable article of his professorial creed was that only the most mature teacher could adequately give fundamental elementary instruction in a new sub- ject; therefore until within a few years of the end of his life he himself met the beginning students in Gen- eral Biology. Others might carry on the training in more advanced courses, but only long experience could safely guide the untutored mind and open the eyes of the novice. Every lecture which Sedgwick gave, even on the most apparently limited subject, was approached from a universal standpoint which gave it a new value and interest. A series of talks on "Kitchen Physiology" to a Normal School class began for ex- ample with a picture of an extra-mundane visitor to this world of ours who would at once be struck by the phenomena of "periodic activity and rest" and "periodic feeding and excretion" as characteristic of its human occupants. Then there followed a dis- cussion of the physiologic needs for periodic feeding, of hunger and its meaning, and of the relation be- tween food energy and work. In such a light the work of the cook took on a sort of cosmic dignity. Again, he began a lecture on the Role of Bacteria 89 A PIONEER OF PUBLIC HEALTH in Nature with the following vivid picture of the teeming vitality of the universe. In a recent English treatise upon Rural Hygiene there is an essay entitled "The Living Earth." These words seem to us strange bedfellows; for if there is anything that is commonly regarded as the type of all things dead or not-living it is the earth. True: we speak of the "mother" earth; the "kindly" earth and so on; but when at last we commit to it with grief and sorrow the bodies of our dead we do not hesitate to add, "Dust to dust; earth to earth."* The fact is, however, that there is a living earth as truly as there is a living Boston or living New York or living London. In the same sense that Boston is alive, or London, or New York, the surface or "loamy" layers of our gardens are alive. The first to teach us this was Charles Darwin, who showed that the earth is often densely populated with living earthworms. Gilbert White, of Selborne, a whole century earlier than Darwin also gave us the outlines of the story (a fact which is not generally known) and possibly incited Darwin to his work by the remark that ' ' a good monography of worms would afford much entertainment and information, and would open a large and new field in natural history." No one who has studied earthworms, not in the labora- tory alone but in gardens or on grassy lawns by lantern- light needs to be told that there is a living earth, often populated with more dwellers to the square acre than either Whitechapel or the Mulberry Bend. But Bacteri- ology has lately carried us beyond the earthworm popu- lation to one infinitely more crowded. * In another place, but in a similar connection, he quotes the lovely line of Homer, "They long since in Earth's soft arms were reposing; there in their own dear land their fatherland, Lacaedaemon." 90 WILLIAM THOMPSON SEDGWICK Sedgwick had a rare power of vivid and vital illus- tration, of epigrammatic statement and of apt phra- seology. What a historical chain of causation is packed into the sentence: "The socalled 'germ' theory of disease is the child of fermentation and the grand-child of the microscope." How clear a state- ment of essential principle in this one: " A sand filter is more than a mechanical strainer, and more than a chemical furnace, it is a breathing organism." In a lecture on the micro-organisms which cause tastes and odors in water supply, he expands a computation of the average number of various diatoms present in the Boston Water Supply as follows: "In one year then each person would drink about 2264 feet of Asterionella, or nearly half a mile, 1635 feet of Tab- ellaria, 1392 feet of Melospira, 481 feet of Synedra, and 413 feet of Stephanodiscus. In other words he would drink a line of diatoms one and a fifth miles long. This line however would nearly approach the mathematician's definition, for it has length without breadth and could be seen only with the aid of a mi- croscope." The titles of his papers and addresses, he particu- larly loved to elaborate. He would rewrite them again and again, substituting a word here and a word there, consulting his associates, and finally produc- ing something which was at once so clear and so pleasing that it went far to prove the main thesis with which the paper in question was concerned. "Shall We Infect or Shall We Protect the Waters of our Lakes, Harbors and Estuaries?" is an excellent 91 A PIONEER OF PUBLIC HEALTH example of the ultimate result of this polishing process. The qualities so far discussed for the most part bear on Sedgwick's power of cultivating vision, of presenting phenomena in clear and vivid relation to other phenomena. He was equally successful in per- forming the second great task of the teacher, that of conveying a rigorously honest method of thinking. The breadth and color of his mind might easily in it- self have brought about no more than a transient stimulation of the imagination. Vision with him, however, was always checked and controlled by the scientific conscience. His love of discerning relation- ships was subordinate to a passion for exact truth. A letter to The Nation by William James, written in September, 1876, and reprinted in Volume One of his printed letters. (page 189) would have been thor- oughly expressive of Sedgwick's own viewpoint. If the best use of our colleges is, to give young men a wider openness of mind and a more flexible way of think- ing, then one can never deny that philosophic study means the habit of always seeing an alternative, of not taking the usual for granted, of making conventionalities fluid again, of imagining foreign states of mind. What doctrines students take from their teachers are of little consequence provided they catch from the living, philo- sophic attitude of mind, the independent, personal look at all the data of life and the eagerness to harmonize them. Sedgwick would generally begin the consideration of any new subject with the simplest and most famil- iar phenomenon. The whole of biology he was accus- tomed to say could be taught from a study of yeast. 92 WILLIAM THOMPSON SEDGWICK "For just as one must know his letters before he can grasp sentences or words, just so I have thought it wise to have you go up from the simple to the com- plex-from yeast to the oak-tree-from Amoeba to the ox-rather than in the other direction. ' ' No one who had the privilege of taking Sedgwick's elementary course in General Biology will ever for- get those first lessons on the earthworm and the fern. In studying Lumbricus large specimens preserved in alcohol were first distributed and the gross mor- phology brought out by skillful questioning. What was the shape of the animal? How did its head and tail differ? Its back and belly? Then the students were made to pass the worms backward and forward between their fingers to discover the setae. When the broad facts of external structure had been elucidated the living worm was examined. Exactly how were its movements accomplished ? Did it wriggle like a snake? What sorts of muscles must be present to make the shortening and the lengthening of the body possible? Then the alcoholized specimens were dis- sected and Sedgwick loved to tell of the young woman who was astonished at what she saw revealed when the coelom was opened and when asked what she had expected to find replied that she supposed the animal was "just worm all through." Beginning with careful observation of familiar things, arousing curiosity in regard to their nature and causation, and then passing on to experimental study,-these were the essentials in Sedgwick's method of approach; but every step was safeguarded with the most conscientious care. Each observation 93 A PIONEER OF PUBLIC HEALTH was criticised. Each step toward a conclusion was de- fined and redefined. Sedgwick loved definitions and a volume of the Century Dictionary was sent for in his less formal classes once or twice a day. He in- sisted upon exact description, exact drawing and careful deduction. He was pitiless to the specious and the slipshod and if his students did not learn to think honestly and clearly they had only themselves to blame. The care taken by Sedgwick in the preparation of lectures and laboratory exercises, particularly dur- ing his earlier years as a teacher, was almost un- bounded. No trouble wTas too great to elucidate and verify even a passing allusion. As all his students will recall he was wont to cite Dr. Holmes' "One- Hoss Shay" as a type of the ideally healthy human body, which succumbs only to old age by wearing out but not by breaking down. In 1902 he engaged in vig- orous discussions and lengthy correspondence in the attempt to discover whether Holmes himself had this idea in mind. In the preparation of quizzes and laboratory exer- cises Sedgwick was equally painstaking, until the technique for dealing with a given topic had been perfected by long practice. Those urbane and fruit- ful hours in the Rogers Building and in the Pierce Building when he would lean back in his chair with his knees crossed and insensibly develop the logic of a situation by making his students really look things squarely in the face were the result of a real and a very characteristic technique. In spite of his gifts as a lecturer, the laboratory 94 WILLIAM THOMPSON SEDGWICK was always Sedgwick's primary teaching instru- ment. He valued its practical contacts as an antidote to what he called the morbus urbicus with its tend- ency to exalt talking and reading at the expense of a knowledge of "natural objects-such as dew and frost, brooks and stones, berries and nuts, leaves and flowers, the smaller animals." In an address on The Modern Laboratory in Biology and Public Health, delivered at Purdue University, May 17, 1917, under the text, "Laboratories are the temples of the future, -Pasteur," he says: The newest building on a modern college campus is al- most certain to be either a dormitory or a laboratory; the modern gymnasium is a kind of personal hygiene laboratory and the modern library is properly regarded by the up-to-date librarian as a kind of laboratory. Mere observation of nature,-"the improvement of natural knowledge"-is of immense consequence. It is too often neglected and too little cultivated. But observation becomes doubly valuable when coupled with experimen- tation, and this last is vastly facilitated by the labora- tory. Here, undisturbed by weather or other unfavorable conditions, the investigator, the analyst and the student may quietly and persistently interrogate Nature, though only on the small scale, and without those larger oppor- tunities which Nature affords out-of-doors. The field naturalist, the oceanographer, the limnologist, the obser- vational astronomer, the forester, not unnaturally smile at the laboratorian,-with his spectacles, his microscope, his spectroscope and his flasks and balances. They have the advantage of dealing with Nature in the large, that Nature which Chaucer finely called "the Vicar of the Almighty Lord." But the laboratorian rejoins "ex uno 95 disce omnes" and "God hath chosen the small things of the world to confound the great." The conclusion of the whole matter is that to make the rounded whole, both hemispheres are needed. We must work both in the field -God's great laboratory of the out-of-doors,-and also in his small but not insignificant apartments,-man's in- door laboratories. In a dedication address at Bates College he dis- cusses the history of the laboratory or "laboring- place ' ' and says of the college laboratory that it offers to the attentive student a kind of moving picture of the progress and the conquests of science. With the vast extension of the field of knowledge during the last 300 years it has become impossible for anyone to grasp the enormous quantity of facts at our disposal. And yet the child instead of beginning where his father left off must begin exactly where his father began. Hence the ur- gent need of careful choice of facts, choice of experi- ments, of apparatus and educational machinery, if he is to go in one short life even a little further than his father went. In brief, the modern college laboratory is not so much a workshop as a show room in which selected natural phenomena, facts and processes are conveniently, rapidly and successively demonstrated and enforced. It provides in logical order an easy epitome, a rapid reca- pitulation, of the painfully slow and laborious discoveries of the past. A PIONEER OF PUBLIC HEALTH But whatever our endeavor, this is always,-con- sciously or unconsciously,-an attempt to lead the stu- dent on to a sound and true interpretation of Nature. And surely the modern interpretation as we seek and find it in laboratories like this, is objective rather than subjec- 96 WILLIAM THOMPSON SEDGWICK five. It begins with the rigorous abnegation of one's self, and a calm survey of the world about us, charged as it is with impersonal energy, acting for the most part upon impersonal matters. The lightning plays about us with the same energy as in Homeric days but it is no longer Zeus who sends it forth. The waves fling themselves to- day upon our shores precisely as of old they beat upon the islands of the Aegean, but we do not see in them as the Greeks did the fury of Poseidon. We see only an infinite number of watery particles in circular movements driven by an irresistible wind pressure. For us the winds are not the messengers of Aeolus but only lifeless gases caught up and dragged by the swiftly spinning earth or seeking an equilibrium upset by local expansions or contractions due to heat or cold. Even more significant than the breadth of vision and the sound scientific method which Sedgwick gave to his pupils, was the closeness of the personal individual contact with which he touched their char- acters and inspired their wills. His imagination and his sympathy were at the foundation of this influence. Every student was to him an individual, a unique personality whose capacity and needs he carefully studied and developed. He knew when and how to encourage, to stimulate or to criticise; and he knew exactly when and how to give a boy who was on the wrong track a complete and thoroughgoing raking- down which was never forgotten. When a student was in trouble no father could be more sympathetic, more comprehending, more patient or more helpful. He was never hurried; but in the midst of an exceed- ingly busy life always had an hour to spare for the most careful consideration of a student's personal 97 problems. It was his humanity, his reasonableness, flecked with quick humor, his sympathetic insight and understanding of the personal problem of each individual that won his students even more than his teaching in the classroom. Among the special features of departmental life which most influenced Sedgwick's students was what he modestly called the "Journal Club," essentially a seminar. Prescott says of this institution: One of the most characteristic and useful of the agen- cies of instruction which he employed in the department was the weekly Colloquium, or Journal Club, wherein the advanced students and instructing staff met on common ground, and reported on the significant current literature or events of professional interest. By this means the stu- dent was taught how to present a subject briefly and in a telling manner, and how to think while on his feet. A mas- ter of English himself, as well as of the art of public speaking, Professor Sedgwick made this training of inestimable value to the student. The kindly criticism, re- inforced by example, was remarkable in its results. Confi- dence, simplicity and correctness of speech, clear think- ing, and right use of voice and carriage were thus brought home to the student, and were recognized by him as a proper part of the real equipment of an educated professional man. How painstakingly and considerately Professor Sedgwick worked with a self-conscious and shy student, few outside his department will ever know, but it was a worthy and valuable portion of the instruction, and his students recall it with deepest gratitude. Another agency worthy of mention which he used con- stantly was the bulletin board, whereon were posted clip- pings relating to matters of professional, civic or politi- A PIONEER OF PUBLIC HEALTH 98 WILLIAM THOMPSON SEDGWICK cal importance in the world at large. This was a form of service appreciated not merely by the students in the de- partment but by the hundreds who passed through the corridors and often stopped to read the notices or see the pictures which opened up vistas of a world outside the confines of the institute walls, and inspired an interest in the great public problems of citizenship and national welfare. The general cultural life of the department was delightfully fostered by the Pasteur Club, an evening gathering of staff and students in Professor Sedg- wick's home at which the classics in Biology and Public Health and in wider fields of literature and philosophy were read aloud and discussed with en- thusiasm. Only five days before his death such a gath- ering was held at the apartment at Haddon Hall. The Chief presented a digest of Galton's life and writ- ings ; and never perhaps did he show more animation and a keener delight in the intellectual stimulus and the friendly fellowship with which these meetings w'ere imbued. The contacts of the classroom were by no means dropped on graduation. Every student who had once been connected with the department remained one of "Sedgwick's boys" and was followed and helped and guided throughout his professional career. As new openings developed in the public health field the graduates were moved here and there upon the chess board with a judicious faith as to their possibilities which was rarely disappointed. Each new appoint- ment was hailed with an almost exuberant satisfac- tion and was shared with "the Department" as a 99 A PIONEER OF PUBLIC HEALTH common source of pride. For example a notice of the appointment of Dr. Tetrau as Health Officer of Port- land in 1916 was circulated to the staff with the char- acteristic comment, "A Real Expert Health Officer at last in Maine! and one more now in New Eng- land!" When an event occurred which he thought of pecul- iar importance a circular letter might be despatched to all past students, as in the following example sent out in April, 1916. To Former Members of Course VII Dearly Beloved Brethren: The Scripture moveth us in sundry places, but seldom more effectively or agreeably than President Eliot has done in his recent epoch-making address at Columbus, as President of the American Association for the Advance- ment of Science. In complimenting him by letter upon this remarkable paper, I said to President Eliot that his seems to me the most important essay in advocacy of Biology and Public Health which has appeared since Huxley's. This I believe to be true, and inasmuch as President Eliot was origi- nally a chemist, I feel that his present attitude (probably largely due to his connection with the International Health Commission) is highly significant touching the present importance and future influence of our science. On my earnest request President Eliot has kindly placed at my disposal a considerable number of copies of his essay, one of which I take the liberty of sending to you with my personal regard and with best wishes for your health, progress and prosperity. Ever sincerely yours, W. T. Sedgwick. 100 WILLIAM THOMPSON SEDGWICK In November, 1918, Professor Sedgwick suggested in a memorandum to the staff, "I think it would be a good plan if we should draw up a circular letter ad- dressed to 100 men or at least those of them that are in foreign service, wishing them a Merry Christ- mas"; and the following letter was despatched in cordance with this idea. To Graduates and Other Former Students of the Department of Biology and Public Health. From the undersigned,-left behind while the tidal wave of American manhood has sped across the seas and overflowed the shores of Europe, HAIL AND CHRISTMAS GREETINGS! We want you to realize that you have been and still are very much in our thoughts, and that we have been, and are, and are always going to be very proud of you. We appreciate at least partially the good work that you have done and the credit you have brought upon the Institute and the Department, for we know that you have stood while absent for those high ideals which characterize both. We shall welcome you home with open arms, shall lis- ten eagerly to the tales you will have to tell, and shall do our best to help you to resume your proper place in the new social and political organisms which the war will have created. For what you have done in holding back the enemy, in conserving civilization, and in making America honored and respected among the nations, we are deeply grateful. AGAIN, HAIL AND A MERRY CHRISTMAS! 101 A PIONEER OF PUBLIC HEALTH It was in individual correspondence, however, that the Chief's patience and kindliness and wisdom shone out most clearly. Take the following example, written to a mother, reluctant to permit her son to take a position for which Sedgwick had recom- mended him. My dear Mrs. Your boy has told me what a surprise, not to say shock, it was to you to think of letting him go so far away as Panama, and I don't wonder at all that you felt badly about it and that you hesitate to let him go. This seems to me all the more natural for the reason that he is a good boy and I have no doubt a very devoted, helpful and faithful son, whom you hate to have out of the house and certainly out of the country. I shall not try at all to persuade you to let him go, for this is a matter which you and he and his father must de- cide, and one in which I have no right to interfere. I shall merely take the liberty of telling you just how the whole thing strikes me and then leave the final decision with you. I suppose you feel in the first place that Panama is a long way off, and so it is, but not nearly as far away as it used to be before we had quick steamers and frequent communication. Anybody can now leave Boston on Mon- day morning and by making connections at New Orleans be in Panama by the end of the week, so that after all one is separated only by a very few days from that tropical region, and of course there are plenty of cables so that telegraphic communication is easy. And then as to the climate. Under the French Panama was very unhealthy, but ever since the Americans have occupied the Canal Zone it has become a matter of pride 102 WILLIAM THOMPSON SEDGWICK with those in charge to kill out and keep off yellow fever, as they have done with absolute success, so that there simply isn't any more on the Isthmus. Malaria still exists to some extent but far less than in some places right here in the United States, while flies and mosquitoes are said to be rarer than they are in some places in Massachu- setts. I suppose there are some poisonous snakes, but so there are in Connecticut and even on Blue Hill right here near Boston, where we have an occasional rattler and copperhead. In short, while the conditions on the Canal Zone were once most unsanitary they are now remarkably salubri- ous, the death rate being lower than it is in many Ameri- can cities and towns. I have sent a good many young men to the Isthmus and not one of them has ever had any seri- ous trouble. All have come home enthusiastic and pros- perous, and, although I cannot safely predict, I fully believe that your son, who is a very careful fellow, would have the same experience. As for the advantages to him and to your family, I need only say that I believe that the experience would be simply wonderful, and the rewards very considerable. E. would widen his horizon, broaden his outlook and become a stronger, healthier and better man in every way, more fitted to take a high place in the world, and to reflect credit upon the Institute and upon his family. All this of course I have carefully considered and I simply lay it be- fore you as the reason why I have recommended him for the job. I hate to have him leave us before the end of the term, but the opportunity is, I believe, a rare and golden one, and if you can possibly see your way clear to let him go, I believe that you will never regret it. I shall not urge you to do this, for no man is indispensable in this world, and 103 A PIONEER OF PUBLIC HEALTH if E. does not go, we shall send somebody else. I must, however, ask you to weigh both sides of the question very carefully, and to set over against your own personal in- convenience and loss of his presence, his own probable advantage and indirectly that of yourself and the other members of the family. He will be granted, as I under- stand it, 61 days leave every year and with full pay, and the salary offered seems to me very handsome for one so young and so inexperienced, in short, as I have said above, a rare and golden opportunity. Let me sympathize with you for the sorrow which this opportunity for your boy has brought to you as a mother, and let me also express the hope that the shock and worry which the problem has brought with it for you may do no permanent harm. If I can be of any service by talking with you either in my office, by telephone, or otherwise, I shall be only too happy to help you. With kindest regards and many congratulations upon possessing a boy so devoted, so faithful, so capable, and so loyal to you and to his home, I am, dear Mrs. , Respectfully and sincerely yours, How carefully he followed the careers of his men and considered the advisability and the possibility of a change of position is illustrated by the following letter, typical of hundreds. Seal Harbor, Me., June 30, 1915. My dear Your well written and evidently carefully considered letter of June 25th is before me and I hasten to assure you of my strong support and hearty cooperation in an attempt to locate you in a more congenial position. I think I can easily understand the situation, and I do not blame you at all for wishing to get out of it. On the con- 104 WILLIAM THOMPSON SEDGWICK trary, I respect your motives and applaud your decision not to become merely ossified in a government bureau. Such a change as you have in mind often takes a little time, and I would therefore advise you to hold on care- fully to your present place while awaiting the discovery of just the thing you want. At the moment Professor Prescott is in Costa Rica and almost everybody is away for the summer so that unless something unusually for- tunate turns up you will very likely not be able to make much progress in the matter before the autumn. All the same I shall keep you constantly in mind and find some- thing for you if I possibly can. Another difficulty in a change such as you propose to make is the fact that it usually means some sacrifice of salary. You are getting now, I suppose, about two thou- sand a year, and two thousand dollar jobs do not grow on every bush. You may even have to make some temporary sacrifice of income in order to get started in another di- rection. You are like a man who is changing at a way station from one train to another, a change often accom- panied by a loss of time and loss of fares. It would help us a lot if we had some idea how much, if any, sacrifice of this kind you would be willing to make for a time. No group of Sedgwick letters, however small, would be typical without at least one example of the wholesome rebuke which careless or superficial work never failed to receive; for such rebukes, just and discriminating and incisive, played no small share in the training of Course VII graduates. Here is an ex- cellent example, dealing with a preliminary report by two recent graduates on a technical problem. Thanks for your letter of Nov. 6th, with which, I regret to say, I must find a good deal of fault. 105 A PIONEER OF PUBLIC HEALTH Your first paragraph sounds as if you and Mr. H. had simply talked the matter over in a general sort of way without even looking up the subject or making any ex- periments, especially as you speak of your "report" as '4 tentative. ' ' Your second paragraph confirms this idea of mere cursory talk about the subject, for you say two fabrics, etc. "occur to us as of possible use,"-as if you know nothing about them but you had happened to think of them. Your third paragraph confirms the increasingly bad impression made by the first and second, for you more than hint that Mr. S. will probably find your suggestions of no use, and you throw the burden of choice between two suggestions, neither of which would appear to have been seriously made, upon him! This bad impression is made worse by your final sug- gestion that if Mr. S. wishes to submit further details to you, you would be glad to talk the thing over together again some day when you were not busy, although you do say that you would be glad to meet and talk with him, which is courteous if not (after what has been said) likely to seem to him helpful! Finally, instead of giving to Mr. S. the bread of some- thing solid, you express the hope that he may be able to extract something of value from your two mere "sug- gestions." I really think it would have been difficult for you to have written a more feeble, pointless, and almost worth- less letter, and I hope that you will try again, so that I may see if you really know how to write the kind of re- port which a client would like and have a right to expect from a pair of budding scientific men. If after you have tried again, the result is still bad, I 106 WILLIAM THOMPSON SEDGWICK shall be glad to help you, but I think it is better that you should work out your own salvation with much salutary fear and trembling, Cordially yours, It was a constant source of wonder to all who knew Sedgwick that he could find, not merely the time, but even more, the intellectual energy for such personal and intimate letters as he wrote. Many of the letters that most of us dictate are formal answers to formal questions, acceptances or declinations, agreements or disagreements, but Sedgwick seemed never to write a letter of that kind. He led an extraordinarily busy life and he was by no means a man of remarkable vitality; yet he always had energy to spare for an in- terlocutor or a correspondent. To all workers in the field of public health, to all who were interested in public health or other social problems, as well as to his own students and graduates he was equally ready to respond with sound and sympathetic counsel. It was not surprising that "Sedgwick's boys" should turn to him in every emergency. It was remarkable that so many men and women who had heard only a few lectures, received two or three letters, enjoyed a half hour's conversation should recall his personality as one of the influences of their lives. The reason was that in all such contacts he felt the responsibility and exerted the power of one who was born to be a teacher and who all his life had cultivated that power. It is peculiarly fitting that a Sedgwick Memorial Lectureship should have been established by the De- partment of Biology and Public Health of the Insti- 107 A PIONEER OF PUBLIC HEALTH tute, with a special fund, given for the purpose of commemorating a great teacher in the way he would have most valued. The first lecture on this foundation was delivered by Edmund B. Wilson, Sedgwick's oldest and closest friend among scientific men, on December 29, 1922, the anniversary of Sedgwick's birth. The subject was "The Physical Basis of Life," on which Sedgwick and Wilson had worked together fifty years before. A lecture embodying, it is hoped, some fresh contribution to scientific advance in Bi- ology or Public Health will be delivered every year at the Institute, in grateful memory of that marvel- ous gift for personal inspiration with which Sedg- wick touched and changed the lives of men. 108 Public Service There is a view in which all the love of our neighbor,-the impulses toward action, help and beneficence, the desire for removing human error, clearing human confusion, and diminishing human misery, the noble aspiration to leave the world better and happier than we found it,-motives eminently such as are called social,-come in as part of the grounds of culture and the main and pre-eminent part. Arnold, Culture and Anarchy. Sedgwick was par excellence "The Chief" of the big family which was always known to its mem- bers as "The Department"; but his influence was by no means limited to the walls of Technology. It would be quite impossible to estimate this influence at its actual value, without reference to the vast public which he reached through his popular lectures and addresses. No man was more readily listened to among his peers; his presidential addresses before the American Society of Naturalists (On the Mod- ern Subjection of Science and Education to Propa- ganda, 1902) and the American Public Health Asso- ciation (The Reappearance of the Ghost of Malthus, 1912), the Harvey and Middleton-Goldsmith lectures delivered in New York and the address at the Cen- tenary of the Medical School of the University of Cincinnati (Modern Medicine and the Public 109 A PIONEER OF PUBLIC HEALTH Health, 1920) were notable examples of addresses that brought, even to the expert, the illumination of original and constructive thinking. Sedgwick's unique gift, however, lay in the power to present scientific facts, clearly, and persuasively, and with charm, to a lay audience. He felt a keen responsi- bility about the performance of this task and was unsparing in his readiness to respond to appeals for light and leading. He spoke at school and college commencements, he spoke before Women's Clubs and Chambers of Commerce, he made public ad- dresses wherever some special sanitary issue was at stake.* * A few of the titles of these popular addresses well illustrate the scope of this work of popular education, and the felicity with which the titles themselves were chosen: Germs as Friends and Foes; Dust, Smoke and Gas in Modern Cities; The Massachusetts Metropolitan Water Supply; Lady Mary Wortley Montagu and Inoculation for Smallpox; The Living Earth; Importance of the Study of Physiology; A Career in Public Health; A Glass of Milk; Hygiene and Sanitation of the Modern City; The Practical Conduct of Life; Preventive Medi- cine and the Public Health; The World of Life, or Biology and What it is about; Drinking Water and Disease; Fermentation; Scientists and Technicians in the Public Service; Our Responsibility to the Public Schools; Preparation for Public Health Work; The Moral Training of College and Institute Life; The Origin and Significance of the Public Health Movement; What We May Do to Promote Health and Prevent Disease; Problems in the Technical Education of Women; The City as an Organism; Municipal Housekeeping; American Manhood as seen under the Magnifying Glass of the Army Draft; Manual Training for High School Pupils; Organisms which cause Unpleasant Tastes and Odors in Water Supplies; Water, Its Relation to Health and Disease; Bacteriology and Its Relation to Public Health; Sanitary Aspects of the Plague and Famine in India; The Claims of Modern Life upon Education; Modern Revelations of the Microscope; Personal Care of the Health; Ancient and Modern Theories of Disease. 110 WILLIAM THOMPSON SEDGWICK Three series of public lectures, delivered by Sedg- wick, deserve special mention, a course at the Lowell Institute on The Sanitation of Cities in 1905, a course on Science in the Service of the Public Health, at the University of Illinois in 1909, and a course on Public Health, Yesterday, Today and To- morrow, at the University of California in 1919. The Lowell Institute course was worked out with special care and might well have formed the basis for a stimulating book. It began with a vivid picture of the city as an organism, in which the ground-plans of various cities, thrown upon the screen, illustrated their resemblance to amoeboid animal growths; dis- cussed the anatomy and physiology of the municipal organism, its income and outgo, and its internal regulative forces. Every principle was exemplified by concrete local examples. Ventilation of public buildings for instance was illustrated by a discussion of the difficulties experienced in ventilating Hunt- ington Hall where the Lowell Lectures were deliv- ered. The complex social problems of urbaniza- tion were not forgotten and were treated with the balance and the humanism characteristic of the lec- turer. Sedgwick's appointment as exchange professor to the English Universities of Cambridge and Leeds in 1920 marks the pinnacle of his career as a teacher. This appointment was the outcome of the visit of the British Educational Commission to America in De- cember, 1918, President Maclaurin, of the Institute, suggesting to the Vice-Chancellors of the Universi- ties of Cambridge and Leeds that the opportunity for 111 A PIONEER OF PUBLIC HEALTH promoting international good fellowship between England and America by the creation of a system of Exchange Professorships had been too long delayed. This suggestion was heartily welcomed by Sir Ar- thur Shipley, Vice-Chancellor of the University of Cambridge, and Sir Michael Sadler, Vice-Chancellor of the University of Leeds. The addresses (On Scien- tific and Technological Education in the United States), finally delivered at Leeds on May 11 and at Cambridge on May 28, outlined with admirable in- sight those phases of American higher education which are most characteristic and peculiar, such as the organization of university life on the basis of class loyalty with its resulting mobilization of alumni support, the function of the American University trustee, and the peculiar position in the educational scheme held by the American college president. Sir Michael Sadler summed up the influence of Sedg- wick's visit as follows: There was such vitality in his thought and in his in- fluence that he is still a living presence amongst us. He was a link between two nations. In a very real sense he served as a representative of the United States in Eng- land, and in him we knew that we had a far-sighted and eloquent spokesman of American thought. . . . He had the simplicity of greatness. He taught us to feel the es- sential oneness of humanity, be it American or British, the unity of science, and the common aims of education and of disciplined life. At the International Health Conference held in Brussels in the summer of 1920, Professor Sedgwick represented not merely the Institute but also the 112 WILLIAM THOMPSON SEDGWICK United States Public Health Service, the American Public Health Association, and Harvard University. He was therefore actually an Ambassador of Health, as one of the Boston papers happily characterized him at the time of his departure for Europe. The part he played at this conference has been described as follows. Representatives of various nations, gorgeously ar- rayed in uniform and regalia, had been droning out weary speeches, the audience being visibly bored, when Sedgwick's turn came. . . . Simply dressed in his aca- demic gown, he rose and spoke for ten minutes. He praised brave little Belgium and faithful France for sav- ing the world, he gave to England the credit of being the father of public health administration, and then spoke for America. The audience went wild in applause and scores of people, including our own ambassador, went forward after the meeting to shake his hand. It was the climax of the convention. Through his writings, Professor Sedgwick's influ- ence as a teacher extended far beyond the audiences which he reached from the lecture platform. Aside from a multitude of important technical papers and addresses, he was the author, or joint author, of five books which admirably express the more important interests of his professional life. General Biology, published with E. B. Wilson in 1886, crystallized in effective form the viewpoint, derived, through Mar- tin, from Huxley, of biology as a broad and funda- mental discipline dealing with the underlying phe- nomena of protoplasmic action. The Life and Letters 113 A PIONEER OF PUBLIC HEALTH of William Barton Rogers (1896), in the prepara- tion of which Sedgwick assisted President Rogers' widow, was a labor of love which expressed all the loyalty of the Technology faculty and alumni to the great founder of the Institute. Principles of Sani- tary Science and the Public Health (1902) was Sedg- wick's most important literary production, a book which is still the best existing epitome of the princi- ples of sanitary science. The Human Mechanism, published with Theodore Hough in 1906, has proved an extraordinarily successful textbook for schools and colleges; and A Short History of Science, pub- lished with H. W. Tyler in 1917, placed in permanent form the broad historical sense and the keen love of origins which were always among the greatest charms of Sedgwick's courses. The General Biology when it first appeared re- ceived a remarkable reception from the younger gen- eration of biologists, and from a few of the older men with vision to realize what it meant. Newell Martin wrote as follows (October 20,1886): "The book is, as I of course knew it would be, first rate both in matter and get up, and is sure to be of great use to all of us who are trying biologically to serve the Lord. I sup- pose it is hopeless to try to convert Verrill and others of that kidney, but the younger generation can be saved. Bruce was at our table at the Fish Commission Laboratory at Woods Hole most of the summer and says he was an object of pity mixed with scorn be- cause he cut sections of squid embryos instead of spending his time in the hunt for a new variety or species." 114 WILLIAM THOMPSON SEDGWICK Although there is today a tendency, the wisdom of which the authors feel tempted seriously to question, toward a wider separation between botany and zo- ology, the General Biology is still used as a text- book in many colleges and has played an inestimable part in developing the viewpoint of two generations of biologists. It is probable that no other single work has exerted so large an influence upon the teaching of the biological sciences in the United States. The Principles of Sanitary Science reached a still wider public and its reception was even more grati- fying. It was reviewed not only in journals of medi- cine, engineering and home economics, in religious and educational and literary weeklies, but in the daily press, a column or more of space being allotted to the book in many such papers from Florida to Maine. Curiously enough the London Lancet pub- lished the only unfavorable review, a brief and scorn- ful dismissal of the work as practically valueless. The British Medical Journal on the other hand says, this "is a philosophical work which should be read by all medical officers of health, as well as by those pre- paring for diplomas in public health. It is fullest just where the ordinary textbooks are most scanty and is therefore more interesting to read and more of a 'living' book than the latter usually are. There is much to be said for lectures as contrasted with the chapters of a textbook, when the result shown in this book can be quoted on the former side." The Engi- neering News pointed out that "there has long been needed a clear-cut statement from an authoritative source, of the foundation principles of sanitary sci- 115 A PIONEER OF PUBLIC HEALTH ence. True, there are numerous manuals and hand- books of sanitation but, as a rule, these attempt either too much or too little, and in many instances they perpetuate the errors of the past. Besides this, such books usually deal more with the practice than with the theory of sanitation. . . . The volume is a comprehensive yet conservative presentation of principles, which, if fully grasped and effectively ap- plied, would save many millions of dollars, alleviate inexpressible pain and misery, extend the span of hu- man life and uplift the individual, the municipality and the nation. ' ' Sedgwick's book, cast upon entirely different lines from earlier texts on hygiene, treating sanitary sci- ence as a part of biology and exemplifying so fully the application of inductive reasoning to the explana- tion of epidemics, came as a really new and remark- able contribution; the facts were presented in so tell- ing a fashion that generations of students have found it "as interesting as a novel." It has contributed to the vision and the balance of every public health worker in the United States and has rendered a unique service in interpreting the movement to thou- sands of general readers not professionally inter- ested in the subject. How manifold were Sedgwick's responses to the call for public service, outside as well as within the field of public health, may be judged from the follow- ing partial list of major positions of responsibility which he found time to fill: biologist, Massachusetts State Board of Health, 1886-1896; curator, Lowell Institute, Boston, 1897-1921; chairman, Pauper In- 116 WILLIAM THOMPSON SEDGWICK stitutions Trustees, city of Boston, 1897-1899, and acting institutions registrar, 1899-1900; vice-presi- dent, Boston Society of Municipal Officers, 1899- 1901; trustee, Simmons College, Boston, 1899-1921; chairman of organization meeting, Society of Ameri- can Bacteriologists, 1899, and president, 1900; presi- dent, Boston Civil Service Reform Association, 1900, and Massachusetts Civil Service Reform Association, 1901; president, American Society of Naturalists, 1901; president, Board of Directors, Sharon (Massa- chusetts) Sanatorium for Consumptives, 1902-1921; member, Advisory Board Hygienic Laboratory, Public Health and Marine Hospital Service, 1902- 1921; member, Board of Trustees, Faulkner Hospi- tal, Boston, 1903-1921; member, School Committee, Brookline, Massachusetts, 1904-1906; vice-president and chairman Section K (Physiology and Experi- mental Medicine), American Association for the Ad- vancement of Science, 1904-1905; president, Yale Alumni Association of Boston, 1904; president, New England Water Works Association, 1906; chairman, Administrative Board of the Harvard-Technology School of Public Health, 1913-1921; president, American Public Health Association, 1914-1915; as- sistant Surgeon-General (reserve) United States Public Health Service, 1919-1921; member, Public Health Council, State of Massachusetts, 1914-1921; member International Health Board, 1919-1921; fel- low of the American Academy of Arts and Sciences, and of the Royal Sanitary Institute of Great Brit- ain ; member of the American Philosophical Society. He received the Honorary Degree of Sc.D. from 117 A PIONEER OF PUBLIC HEALTH Yale in 1909 and of LL.D, from the University of Cincinnati in 1920. Sedgwick's service in connection with the Pau- per Institutions of Boston resulted from reforms which were made in 1897. Previous to this time all of the penal, children's, pauper and insane institu- tions of the city of Boston had been in charge of a single commissioner. Instigated by the investigation of Alice N. Lincoln, who had found that the condi- tions at the almshouse at Long Island, in Boston Harbor, were unsatisfactory, the Legislature passed an act placing each of the four institutions in charge of an unpaid board of trustees. On June 14, 1897, Sedgwick was appointed as the senior member of the Board of Pauper Institutions Trustees. He was elected Chairman and served in that capacity until his resignation on December 6, 1899. During his service on this board, reforms were made in the administration of the Institutions at Long Island and Charlestown which provided for greater comfort and self-respect of both the officers and the inmates. The utilization of prison labor at Long Island was discontinued; punishment in the "dark cell" was abolished; the inmates were classi- fied, and an attempt made to provide suitable em- ployment for the different classes; sanitation was improved, as well as the quality of the food supplied. These reforms came slowly; municipal inertia had to be overcome, politics had to be taken into account, there were difficulties in securing personnel. It was a thankless service, but it was faithfully performed. During the first year the board met thirty-seven 118 WILLIAM THOMPSON SEDGWICK times, and Sedgwick was not only constant in attend- ance at these meetings, but made weekly visits to the Island on the institution tug, John Howard, and while on a summer holiday in England he sought every opportunity to study similar institutions, in order to gain an insight into better methods of ad- ministration. In connection with the work of the Pauper Institutions Board, Sedgwick had a rather unique opportunity to preach the gospel of personal hygiene and this connection had much to do with broadening his conception of the importance of civic health. Sedgwick's connection with the Faulkner Hospi- tal was largely inspired by his intimate friendship with the founders, Dr. and Mrs. George Faulkner. This hospital was built and endowed for the benefit "of the people of the old town of West Roxbury" in memory of Dr. Faulkner's daughter, Mary, a long- cherished friend of Mr. and Mrs. Sedgwick. Profes- sor Sedgwick served as a Trustee from 1903 (when the first patients were admitted to the hospital) until the time of his death. During the last years of Dr. Faidkner's life Sedgwick dined with him practically every week and reported to him all items of interest concerning the hospital. The Sharon Sanatorium was one of the pioneer institutions in this country for the treatment of tu- berculosis, having been opened in February, 1891, six years after Trudeau established his sanatorium at Saranac Lake. It was founded by Dr. Vincent Y. Bowditch with the cordial encouragement of Tru- deau himself. Sedgwick was elected a member of the 119 A PIONEER OF PUBLIC HEALTH Board of Directors of the Sanatorium in 1902 and from that date until his death served as President of the Corporation and of the Board of Directors. His knowledge of sanitation was of constant service with the growth of the institution and the development of its physical plant, under stringent limitations of financial resources. The curatorship of the Lowell Institute was per- haps the most important position held by Sedgwick, outside of his chair at the Institute, and it was also the position which he held for the longest period,- from 1897 to his death. Sedgwick's appointment as Curator of the Institute was hailed with delight by his friends. President Gilman wrote as follows Feb- ruary 9, 1897: This is capital! The right man for the right service: the right service a pleasant service and the right man a bright man; and all's well. You will see lots of the best people, encounter not a few perplexities, reap thistles with your corn, and have the lasting satisfaction that you have served the community, the Institute and science, as well as you knew how. When your name is spoken of for three important posts within a month, you may well be confident that you have reached a station in your career of distinction and usefulness which many would rejoice in who are much your seniors. The Lowell Institute lectures have long been an established part of Boston's intellectual life;* and to many of the lecture-going public of Boston, Sedg- * A History of the Lowell Institute, by Harriette Knight Smith, was published by Lamson, Wolffe and Company in 1898. 120 WILLIAM THOMPSON SEDGWICK wick will be most vividly remembered, standing as a watchful but welcoming host at the head of the long flight of stairs in the Rogers Building, where he re- ceived complaints and criticisms quite as often, and quite as graciously, as the thanks of the public. Fur- thermore, association with the notable men who have lectured on this platform did much to give to Sedg- wick his wide outlook on the world and the culture in literature and art as well as in science which ripened with the years. The Lowell Institute was founded by John Lowell, Jr. (1799-1836), a Boston merchant, grandson of Judge John Lowell of Revolutionary fame, and son of Francis Cabot Lowell who, more than any one else perhaps, was responsible for the establishment of cotton manufacturing in the United States. By his will a sum of nearly a quarter of a million dollars was established as a fund for perpetually supporting courses of lectures of high grade to be given free to the public. By the reinvestment of one-tenth of the income, the fund has grown with the years and has amply fulfilled its original purpose. The will directed that none of the money be spent for buildings; it was all to be put into brains. It provided that the trustee- ship should remain in the Lowell family and that preferably the trustee should bear the name of Lowell. The first lecture was given in 1839 by Ed- ward Everett, who very appropriately made it a memoir of the founder, John Lowell, Jr. The first course was that of Professor Benjamin Silliman of Yale, who gave twenty-four lectures on geology. The first trustee of the will was John Amory 121 A PIONEER OF PUBLIC HEALTH Lowell, a cousin and the closest friend of the founder, who served for more than forty years. He was suc- ceeded by his son, Augustus Lowell, who served from 1891 to 1900, and he, in turn, by his son, the present trustee, Abbott Lawrence Lowell, President of Har- vard University. The first curator was Dr. Jeffries Wyman, of Cambridge, a man of broad culture, emi- nent as a physician, and a comparative anatomist, whose service was terminated by an early death. In 1842 Dr. Benjamin E. Cotting, who had already been associated with the Lowell Institute, became curator. His work was performed with faithfulness and rare tact and judgment for fifty-eight years, until his death at the age of eighty-five. Sedgwick, as curator of the Lowell Institute, did not select the speakers,-that function has always been exercised by the trustee,-but he made ar- rangements for their coming, for their sojourn in the city, for the advertisement of the lectures, and for the distribution of the tickets. He was almost invari- ably present at the lectures and took delight in look- ing after the comfort of the audience. He believed that, besides the personality of the speaker and his subject matter, certain conditions were necessary for a successful lecture,-a quiet room, a voice which could be heard, an audience not dulled by a warm and stagnant atmosphere, a prompt beginning and a prompt ending. He devoted particular attention to the difficult problem of the ventilation of Huntington Hall; and it was here that he evolved his conclusion that with an audience of 1000 persons temperature control can be infallibly checked up by observing 122 WILLIAM THOMPSON SEDGWICK coughs on the one hand and the use of fans on the other. In ministering to the professional and social re- quirements of the Lowell lecturers Sedgwick was gracious and indefatigable and the impressions of America gained by many a distinguished foreign visitor must have been colored by his thoughtful pro- vision. He gave to these visitors such introduction and hospitality as rendered their stay in Boston more agreeable, but at the same time he was fully aware that they brought him a deeper understanding and sympathy with ideals and activities in fields of international influence than otherwise he would ever have known. To keep some of his lions in a reason- ably tame condition was no light task, as one may in- fer from the following extract from a letter written to Sedgwick by the brilliant but erratic William Everett in the winter of 1904. Your advice about running over the hour is entirely sound. My father gave it to me before my first course in 1863 and he knew a great deal more about public speaking than even Chauncey Depew. But it is very hard to follow. I am afraid if there were no better argument for stopping at 9 than people's warm beds awaiting them I should not be convinced. For the theatre audiences, the public din- ers and lots more amusement seekers do not dream of seeking their beds for an hour and a half more. I wish very much that I could have for lecturing what I always use for work-a German student oil lamp. Of course it could not stand on the little desk. It would be knocked off. But that would hurt nobody else, and would give me the light my eyes crave. I have neither gas nor electricity at home. 123 A PIONEER OF PUBLIC HEALTH Sedgwick's files are full of expressions of appre- ciation for the hospitality received by these visitors. Thus E. B. Titchener writes: I wish again to thank you for your great and unvarying kindness to me during the past month. You must get heartily tired of lectures and lecturers; yet in all ways,- in putting me up at the Club, and in arranging things at the Hall,-you were as freshly kind as if you had never done anything of the sort before. D. Holland Rose has more than once written of Sedgwick's great kindness during my visit to Boston in 1912. I remember in particular that he came down to Boston docks and waited in mist and chill a very long time, in order to welcome me and see me through the Cus- toms. Next to the development of public health and the direction of the work of the Lowell Institute, the promotion of the general cause of education lay near- est to Professor Sedgwick's heart. We have spoken of his service as a member of the Brookline School Board and, in an earlier chapter, of his numerous addresses to high school and industrial school and normal school groups on such topics as The Impor- tance of the Study of Physiology, Our Responsibility to the Public Schools, Manual Training for High School Pupils, The Claims of Modern Life upon Education, and the like. Of particular significance was Sedgwick's interest in, and contribution toward, the higher education of women. He not only placed all the facilities of the 124 WILLIAM THOMPSON SEDGWICK laboratories of biology at the disposal of women students, but when, in the early days of the depart- ment, Miss Dora Williams and Miss L. S. Plummer approached him with regard to opportunities for teachers he promptly arranged for special courses in the late afternoons for their special benefit. Here was a practical beginning of "University Extension" long before the term itself was coined or the problem generally discussed. From that time forward the teachers of Boston and the neighboring towns found the Institute laboratories a center of inspiration for the teaching of physiology and hygiene. Sedgwick's interest in the education of women also found expression in his connection with Sim- mons College. He was a charter member of the Board of Trustees (from 1899) and a close friend of Presi- dent Lefavour. A tribute published in the Simmons College Review (March, 1921) says of him: "in the preliminary study of the plans for the work of the college his wide experience, his knowledge of the edu- cational field and his keen sympathy with the pur- poses of the Founder made him an invaluable coun- sellor. He took the deepest interest in the institution as it developed, was proud of his relation to it, and had complete confidence in its future. He liked to call it 'The Woman's Tech' and he was always eager to serve it in any way." Sedgwick's views as to the particular emphasis which should be sought in college education for women are strikingly prophetic of the trend toward preparation for the practical duties of later life, as we see it working for example in Vassar's new pro- 125 A PIONEER OF PUBLIC HEALTH gram of courses in Euthenics. In one of his addresses he says: Higher education should make adaptation more com- plete by aiming to supply special as well as general adap- tation. This is done in men's colleges by encouraging the students to shape their studies with reference to a defi- nite specialty as law, medicine, business, fine arts, di- vinity. It is still more done in schools of science and technology, and the present tendency is unquestionably in the direction of doing it more and more everywhere. Now it seems to me that women's colleges especially need to follow along these lines. They should give a sound foundation for general intelligence and on this build a special superstructure. If special adaptation is to be pro- vided for, it should obviously be in the main something quite different from that provided for most men. Most women, I trust, will intend to marry and become keepers, not of museums and galleries, but of homes. For them, therefore, special facilities should be provided. History and the history of art, sociology, political economy, the history at least of music, bacteriology, sanitary science, and at least the elements of the theories of disease and their prevention, etc., etc. This might be called the "gen- eral" course in a woman's college. For those, however, who must surely earn their bread, always a large class, and for those who are not willing frankly to prepare for the noble profession of home-keepers, other things must be provided, as also for that class which yearns for medi- cine, theology or law. Next to the profession of home- keeper is that of teacher, the fittest and most natural sphere for unmarried women. The theory and practice of education should receive the principal attention in the upper years; for is not every mother also a teacher? A 126 WILLIAM THOMPSON SEDGWICK teacher by divine appointment and endowed with all the authority that the grace of God can confer. A singularly clear prevision is seen in an address delivered by Sedgwick before the Training School for Nurses of the Children's Hospital, June 23,1904, in which he argued for the modification of the apprentice system of nursing training and the provi- sion of fundamental preliminary education in princi- ples,-the conclusions which the Rockefeller Com- mittee on Nursing Education has enunciated in its recent report. Professor Sedgwick, like Mrs. Sedgwick, was an earnest anti-suffragist and was always ready to tes- tify to the faith that was in him with clarity and force. This phase of his activity is illuminated by the following extract from a letter written after his death.* It is because Professor Sedgwick called himself anti- feminist-because he belonged to anti-suffrage societies, and might make addresses on Woman's Sphere,-that it so specially behooves feminists to offer grateful acknowl- edgment of the tireless kindness with which he be- friended women, the justice touched with chivalry that he showed them, and the volume of the work by women which is due directly or indirectly to his help. Never was there a stauncher friend to women in need of help, nor a kinder and more sympathizing listener to those who wanted advice, nor one less insistent on having his advice taken if some little chit of an inexperienced girl was after all the person with a right to decide; nor have I met anybody fairer in his treatment of women * Published in the Boston Transcript, signed "A. B. G." 127 A PIONEER OF PUBLIC HEALTH than this man who called himself an opponent of the woman-movement. To those who knew him well enough to love him, there was something rather tenderly amus- ing in watching how his disapprobation of a woman's party never interfered with his perception that some par- ticular Mary Jones or Jane Smith was not getting a fair deal, and that it was worth his taking endless trouble to give her one. His habitual justice (tempered, perhaps, with a little extra gentleness and kindness) to the women working with him or coming to him for help, might tempt those who most disagreed with him to say, "Almost thou persuadest me to be an anti." Education and suffrage were only two out of a long list of public questions in which Sedgwick interested himself, with an enthusiastic readiness which was simply astounding in view of the demands upon his leisure. His professional contacts and his broad con- ception of the application of biological principles to all human problems laid him open to many such de- mands and he almost invariably found the time and the energy to meet them. He was tireless in corre- spondence, ever eager to aid and to encourage all good causes. He did not wait until his friends were dead to crown their achievements with his discerning praise; but he did have a real gift as a necrologist. Tributes in the Boston Transcript to General Walker, to Mrs. W. B. Rogers, to Charles Harrington, Secretary of the State Board of Health, and to Professor L. P. Kinnicutt of Worcester, were particularly felicitous. He was always ready to speak on the topics which ap- pealed to him, while during the sessions of the Legis- lature, there was scarcely a month when he did not 128 WILLIAM THOMPSON SEDGWICK appear once or twice at committee hearings on Bea- con Hill. He was much sought after as an expert in legal cases involving sanitary problems and the ef- fect which he produced upon a jury or a legislative committee was remarkable for the impression of ab- solute judicial fairness and for the clearness and charm with which he could present a complex scien- tific problem to a lay audience. Sedgwick was always ready to take a hand in sup- port of public health departments or public health workers who might be threatened by political inter- ference, as indicated by many letters in his files. He was naturally keenly interested in the general prob- lem of the extension of the merit system in the public service, and, as we have noted, was president of both the city and the state Civil Service Reform Associa- tions. A letter to the Boston Advertiser of March 3, 1906, was widely quoted and proved a telling argu- ment in the struggle for governmental efficiency at this time. Too Many "Plums."-To the Editor of The Adver- tiser.-A new theory in politics has lately attracted my attention, namely, what may be called the "plum" or "melon" theory. I find, for example, a newspaper head- line "Seventy-five Hundred Dollar Health Plum"; again, "Cutting the Melon is Put Off to Next Week"; and later, "So and So, Sure to Get Sanitary Plum." Also, "What the Mayor Says of Plums." A few days ago one or more newspapers contained an article headed "Plums for Democrats," in which was given a list of probable appointments, such as superintendent of streets, superintendent of markets, superintendent of 129 lamps, superintendent of sanitary police, with a careful statement of the salaries attached to each office, but with- out any statement as to the service expected. Now it seems to me that this plum or melon theory of politics marks a dangerous innovation. It assumes that public office is a private plum; that the public service is a kind of orchard or melon patch into which one worms his way by stealth or favor, not to work, but only to eat. It is not the merit system but a marauder system, and a direct descendant of the familiar but discredited doctrine that public office is a private snap, and that to the victor be- long the spoils. On the plum and melon theory of politics the owners of the orchard and the fields are forgotten and the trees and vines are neglected except when their fruit is ripe. But is public office a plum or a melon or is it a sacred trust ? Are we not having too much of the plum and melon theory in our insurance companies and elsewhere ? Is the presidency of the United States merely a gigantic plum, a colossal melon? Was it so regarded by Washington or Lincoln? And is it any different with a board of health or a water commissionership, or a superintendency of streets? The unclean headline suggestions of "sanitary plums," or "sewer plums," or "street plums," or "lamp plums," are at best enough to take away one's appetite, and public office regarded as a private plum has too often turned out to be only Dead Sea fruit. We are hearing nowadays a great deal about municipal ownership, but anyone with half an eye in his head can see that until we get in the higher appointive offices men technically trained, and assured not only of permanency of tenure but also of promotion as vacancies occur, it is worse than useless even to consider municipal ownership, for any such management of public utilities would simply A PIONEER OF PUBLIC HEALTH 130 WILLIAM THOMPSON SEDGWICK be an extension of the plum or melon system, making the public service of our cities more than ever a reproach to American government. Is it any wonder that a leading railway president, in speaking not long ago of the road to success in his profes- sion, said ' ' Railroading is not like politics; the competent man wins ' ' ? Very truly yours, W. T. Sedgwick. It was inevitable that individual questions of the fitness of particular men for particular jobs always, in Sedgwick's mind, opened up the wider and more universal problem of governmental policy and prin- ciple in the abstract. An extract from an address on Scientists and Technicians in the Public Service (Worcester Evening Post, June 8, 1911) throws much light on what is after all the crucial problem which must determine the success or the failure of Democracy,-the question whether Democracy can learn to find, to trust, and fittingly to reward, the ex- perts so essential for the conduct of its affairs. Only yesterday we were a scattered and a rural people with the backwoodsman as a familiar figure in our na- tional life, while today we are rapidly becoming urban or semiurban, and the sum total of our numbers is upwards of a hundred millions. Fifty years ago travel was com- paratively difficult and communication between human beings slow and uncertain. Moreover the railway, the steamship, the telegraph, the telephone, the post-office, the magazine and the newspaper have brought about a closer contact of mind with mind, a mental approach which, coupled with the increasing agglomeration or gre- 131 A PIONEER OF PUBLIC HEALTH gariousness already mentioned, amounts to that " shrink- age of the world" which has been noted by various thoughtful observers. Meantime a new spirit has taken possession of mankind, a passion for nature and the laws of nature which sways the world today as no spirit save only the spirit of a great religion has ever swayed man- kind before. And these new phenomena, whether we take them singly or in combination, have brought in their train new problems. The increase in population is making the food problem paramount and has raised as if from the dead the ghost of Malthusianism. The mental rapprochement or approximation of mankind has quickened and stimu- lated intellectual curiosity, intellectual hunger and the desire for knowledge. The scientific spirit has increased the valuation of life and health and made longevity more desirable, while all three phenomena cooperating have opened up new channels for trade, magnified a thousand- fold the opportunities for wealth and power, and made order, continuity, and good government essentials of modern civilization. They have made the physician and the lawyer more important than the priest, and the sci- entist and the technician perhaps more important than either. The rule of law is more important and more respected today than ever before, but it is the scientific, the natural law, and not the arbitrary law of princes or potentates. The rule of reason has replaced the rule of tradition, the rule of spirit the rule of the letter. The modern impinging of mass on mass, the growth of population and the absorption and utilization of avail- able space-which, of course, always remains unchanged -makes the problems of life and of government increas- ingly difficult, and requires a great increase in the num- 132 PORTRAIT OF SEDGWICK PAINTED BY WILLIAM CHURCHILL, 1909 WILLIAM THOMPSON SEDGWICK ber of public servants and especially (since ours is a sci- entific and industrial age) in the number of scientists and technicians in the public service. America appears, in fact, to be slowly but surely changing over from a de- mocracy to a bureaucracy; and it is to this inevitable change, and some of its dangers, that I wish this morning to invite your attention. If, as I believe, we are in fact moving irresistibly towards a bureaucracy, while cling- ing to the ideals of a democracy, we shall do well to pause and inquire what kind of a bureaucracy we are building up about ourselves. For, unlike most bureaucracies, ours will be imposed upon us by ourselves and not laid upon us against our will by any ruling monarch or despot. The growth of government by commissions, whether state or interstate, is a good example of what I mean, and the well-known restiveness of a portion of our people un- der this growth is probably the instinctive repugnance of a democratic people to bureaucratic government. And yet when any political party which cries out against such government by commissions finds itself in power it finds itself unable to do without them. Here is the proof, if any proof is needed, of the inevitableness of such a form of government in a complex modern state, and whether we like it or dislike it we seem to be driving on fast towards our own kind of bureaucracy. Because of my profession I am naturally best in- formed on the growth of boards and commissions dealing with the public health, nearly all of which in America have come into existence within the last half century and mostly within my own active lifetime. The state board of health of Massachusetts for instance, one of the very first in America, was established only 32 years ago. Be- fore that time population was much smaller and more scattered than today, the pressure of one community 133 A PIONEER OF PUBLIC HEALTH upon another was not serious and scientists and techni- cians had not learned to detect or to purify polluted food or drink. Ashes, garbage and rubbish were easily dis- posed of and such matters as housing and food supplies went unquestioned. Today all is changed. Chemists like our lamented friend and colleague, Professor Kinnicutt, are required, and when found, can ill be spared. Engi- neers are needed to build water filters and sewage fields and garbage incinerators, and microbiologists must pur- sue with energy and skill the invisible and elusive agents of filth, decomposition and decay. Moreover, all of these, -scientists and technicians alike,-must be employed and paid by the people, to rule over them as well as to guide and to guard them, to constitute a kind of official class, a kind of bureaucracy constituted for themselves by the people themselves. And once this fact is admitted and recognized we reach the problems which I propose to put to you and to leave with you today, namely, what kind of scientists and tech- nicians shall we have in our public service? What powers, precisely, shall we delegate to them? What shall be their pay and their tenure of office? And last but not least, what, on the other hand, shall be their privileges and duties? I honestly believe that upon our ability to solve, and solve wisely, these fundamental problems of our American life will depend in large measure our comfort and our success as a people in the 20th century. I shall not try to solve them, but certain fundamental facts seem to me so clear and so important that we cannot, if we would, escape from them or ignore them. The first is that the public service today holds out to young men of ability, of ambition, and of idealism, rare opportunities for helpfulness and usefulness. The next, that we and they must never fail to remember that scien- 134 WILLIAM THOMPSON SEDGWICK tists and technicians in the public service are servants and not rulers of the people. The abuse or waste of power is more culpable in public than in private service, because it affects an infinitely larger group, and that oppression is the most odious which is inflicted by the public servant upon those who create and support him, and yet cannot readily unmake or escape him. If, as it seems certain, we must have a bureaucracy, let us be careful to see that this shall be a good one, and to this end we must extend our civil service, increase sala- ries, and as soon as possible attract to all important posi- tions in the government service scientists and technicians of the highest order. Otherwise ours will be not superior but inferior to the bureaucracies of the old world. It was natural that the Great War should call out to the fullest extent all Sedgwick's capacity for pub- lic service. He was in England when war was de- clared and for six weeks thereafter and would gladly have gone into active service in Europe had his duty to the Institute and his impaired health made it pos- sible. His first real opportunity came with the need for relief of the typhus epidemic in Serbia. As soon as it was announced in the newspapers that General Gorgas had been invited by the Rockefeller Founda- tion to resign and take charge of the campaign against typhus in Serbia, Sedgwick immediately wired, offering to aid in any possible way and sug- gesting that the American Public Health Association might perhaps provide trained doctors, sanitary in- spectors, etc., for any prospective campaign. Soon he received a telegram stating that Dr. Strong had 135 A PIONEER OF PUBLIC HEALTH cabled for doctors, sanitary inspectors and a sanitary engineer and asking how many the Institute could furnish. Sedgwick promptly replied offhand that he thought he could furnish ten. Whipple and Rosenau, who had also been approached, united with Sedg- wick in jointly recommending a list of names. A telegram from the Red Cross asked if Sedgwick could supply five more men and he replied that he could and would. It ultimately transpired that out of twenty-six men who sailed on the Athenia for Serbia eleven had taken work at Technology, two at Har- vard and five at both institutions, leaving only eight from other parts of the country. The effectiveness of the personnel thus promptly gathered together was acknowledged by Dr. Strong as follows: AMERICAN RED CROSS SANITARY COMMISSION. Nish, Serbia, August 11, 1915. My dear Professor Sedgwick: I am very grateful to you for all the trouble you took in regard to helping to select the men for sanitary work in Serbia. It is perhaps needless for me to dwell upon how much I appreciate what you did in this respect. I do not think a finer group has ever before been gotten to- gether. I feel sure that you would be proud of their work here. The men seem to be excellently trained and to know their duties. Hence, we have been able to accomplish much more than if unskilled and untrained sanitarians had been sent. I am glad to be able to say that the epidemic is now over. During the past week there have not been in all the hospitals in Serbia more than five cases of typhus a day. 136 WILLIAM THOMPSON SEDGWICK I believe the disease is endemic here and that this is not more, and probably less than the amount which occurred here at this season of the year in former years. However, there is still a large amount of general sanitary work to be done in the country in relation to disposal of sewage, water supply, and particularly in the construction of proper latrines, water closets, filter beds, etc. Thanking you again for your great assistance and in- terest, I am, with kind regards, Yours sincerely, R. P. Strong. Professor Sedgwick was a thoroughly loyal American and had a whole-hearted belief in the char- acter of the American people and in the future of American institutions. He knew and loved Europe, however, and he was one of those who rejoiced when the United States, at last, and for a too-brief period, emerged from its atmosphere of complacent self-sat- isfaction to take its part in the affairs of the world. In one of his addresses in England in 1920 he ex- pressed, in retrospect, his feeling toward the Allied powers. The black cloud of hideous and devastating war, which so recently hung like a pall over civilized Europe, has happily slunk back below the eastern horizon. But even war brings some benefit in its awful train, and we may well felicitate ourselves that this has left the two great branches of the English speaking race more closely bound together than ever before since our colonial days. We of the west gladly and gratefully acknowledge our immense indebtedness to you for your quick and indomi- table stand, for us and for all civilization, against a pow- erful, resourceful, contemptuous and cruel enemy. Most 137 A PIONEER OF PUBLIC HEALTH of us regret, deeply and bitterly, that we as a nation were so slow to begin to do our part. Many of us were eager to join you, the instant the Lusitania was sunk in shameless violation of all humane international law. We rejoice that Britain was from the very onset alert and eager to do battle for the right; and on behalf of the vast and over- whelming majority of my fellow citizens I humbly tender to you and to your countrymen our sense of everlasting thanks and eternal obligation. When America at last "came in" in 1917, Sedg- wick threw himself with his usual selfless enthusiasm into the task which he could best fulfill, the task of recruiting and training sanitary workers to serve directly with the army and the Red Cross and to fill vacated places in the civilian health service. As Pres- cott has said in his Technology Review memoir, "With a department depleted of a considerable por- tion of its staff, Professor Sedgwick organized and successfully carried out war courses for the training of laboratory technicians, especially young women, to meet the demands created by the national emer- gency. The value of these courses to the Government was immeasurable, and this service cannot be too highly praised, especially when it is known at what personal sacrifice of time and comfort and at what danger to his own health, already impaired by an in- curable structural defect, it was performed. Yet with full knowledge that the extra exertion might at any time prove fatal, he 'carried on' like a true soldier. The fervor of his loyalty to the allied cause and to the cause of righteousness and justice is shown in that wonderfully stirring address to the New England 138 WILLIAM THOMPSON SEDGWICK Water Works Association From Peace to War, from War to Victory, from Victory to Just Judgment."* Even at this time Sedgwick saw clearly that the problems of the war would not end with the signing of peace. When peace actually came and the United States withdrew her hand,-the strong nation stand- ing aloof in self-satisfied isolation, leaving the weaker nations to stagger toward destruction,-no one felt more keenly than he the shame and the folly of such a policy. In the introductory address of the series of lectures delivered at the University of Cali- fornia in July, 1919, he says, referring first to the pre-war period: Endowed with a vast and virgin country producing more food than we ourselves needed and having abun- dant metals and coal and cotton we were sufficient unto ourselves and for the most part unregardful of the other nations of the earth. We had, to be sure, our own prob- lems : the negro problem, the yellow peril, the labor prob- lem, the lynching problem, Mexico, and the Monroe doc- trine; but these were mostly national, not international in scope. At times we were not only not international,- we were not even national in our thinking, but merely parochial. But with the outbreak of the great war we began to perceive that however we might have chosen to regard it we were in fact affected and could no longer keep our more or less "splendid" isolation; and before long we also became embroiled in the war and hence in its fateful * Journal of the New England Water Works Association, Vol. 32, 1918, p. 189. 139 A PIONEER OF PUBLIC HEALTH consequences. Henceforward, whether we will or no, whether we like it or not, we must have dealings with the European nations. Henceforward we are an integral part of the world's political family and it has now come home to most of us that the world of our forefathers has disap- peared, and that ours is a new world. Together with this goes that shrinkage of the world already referred to which makes the question "Who is my neighbor?" super- fluous, for all nations are our neighbors. When these facts are at last realized, and only when they are realized, by the political leaders of the American people can there be hope for the recon- struction of civilization. 140 As a Man Thinketh We have cause to care less for a full inventory of the events which make up a man's life, or for the striking nature of those events in themselves, than for such a judicious selection and setting of them as shall best bring out and explain that individuality which is our main interest. We care less for what a man does and more for what he is: And it is mainly as a key to what he is that we study the circumstances which act upon him and the conduct by which he acts upon them. George Tyrrell. As Duclaux points out, in his remarkable book on Pasteur, The History of a Mind, it is easy to describe the externals of a career and hard to trace the evolu- tion of an intellect. It is even more difficult to picture a man as a whole, to reveal personality, which as Sedgwick once said "is the quintessence of life, the individual's own peculiar flavor-person-ality. Shared by no one else, as culture is and as power is. ' ' Yet our task would be only half done if we did not strive to show something of those fundamental quali- ties of the man himself which formed the secret of his power. The intellectual and moral mainsprings of conduct were always full of interest to Sedgwick; and he found these motive forces in the study of science. In an unpublished and undated address on Science and 141 A PIONEER OF PUBLIC HEALTH Conduct he sets forth the basis of his philosophy in the following passages. The fact that power and influence nowadays involve responsibility raises the question, What has an age of science to say concerning conduct? It has long been ob- vious to those who look below the surface that the churches are losing much of their ancient hold, and this fact causes a reasonable anxiety among many who have hitherto regarded the churches as the principal bulwark of righteousness. Science, on the other hand, in its adoles- cence, while struggling for existence,-often with official representatives of the church,-having as yet little power felt little responsibility, and hence gave little thought to questions of conduct. As in politics, so in this case, the administration, the party in power, i.e. theology, was held responsible, while the opposition, i.e. science, contented itself for the most part with hostile and sometimes irreverent criticism. This was true, for example, of the Victorian era, and the battle of the Bishops with the forces of science led by such generals as Huxley and Tyndall, was a kind of merry war in which, however, the substantial victories rested with the men of science. Today the wheel has turned and science is in the sad- dle. The former government or administration party is now the party of opposition,-and is in danger of becom- ing merely that,-while the whole world is looking to science for a superior administration of the affairs of men. The quondam critics must now show their capacity to rule; they must become constructive; they must admin- ister the affairs of civilization, at least as honestly, ably and successfully as the theological party which they have displaced, and, if possible, more successfully. If they do not do this, they will surely be deposed. What, then, has 142 WILLIAM THOMPSON SEDGWICK an age of science to say concerning conduct? For power today, probably more than ever before, involves and car- ries with it responsibility. But why "today more than ever before"? If this be true, if in this, which is truly a scientific age, more than ever before power implies un- avoidable duty and responsibility, then it seems that a scientific age has already outstripped the ages of theo- logical dominion in establishing one of the great corner- stones of conduct. For surely in the most pious Middle Ages and even in the most holy mediaeval church, power was not generally allowed to be handicapped by responsi- bility. Privilege, rather than responsibility went with power, when kings and popes ruled. And even today in the conferring of honorary degrees by our own more monastic academic institutions, stress is laid upon the rights and powers and privileges, rather than upon the responsibility, which they carry with them. I have no right to speak for others, but speaking for myself and as one scientific man only, I realize that sci- ence is soon to be held more or less responsible for con- duct. And, still speaking for myself alone, I, for one, accept the responsibility. It has been said that the remedy for democracy is more democracy. Similarly I am pre- pared to say that the remedy for defects of conduct in an age of science is more science. For me the way to salva- tion through science can only come through more and better science. I fully believe that if we had more com- plete knowledge, so that the consequences, good or bad, of every act could be accurately foreseen and foretold; if chance were wholly eliminated and inflexible law stood revealed in its place, much of the evil doing of the time,- some of which comes from ignorance, some from half knowledge, some from error, but probably most from re- liance upon luck or chance, with the uncertainty of pen- 143 alty and the hope of escape from consequences,-would never occur. There would, of course, be many who would still seize present pleasure though they must pay future penalty, just as many borrow money who know it must be paid and yet have no hope of paying but by sacrifice or total loss of valued possessions. Such there have always been, even in the ages of theology. But the wiser heads, and the kinder, in view of the certainty of penalty for themselves or others would oftener hesitate. Now it is the function, and to a great extent it is within the power, of science to supply and spread abroad this sure and certain knowledge. And in proportion as science becomes the rule of life, it will become the key of conduct. If perfect love casteth out fear, perfect science casteth out chance and uncertainty, and the mere chance and un- certainty of penalty underlies, as I have said, much of the evil-doing of all ages. A PIONEER OF PUBLIC HEALTH We do not what we would, What we would not, we do, And lean upon the thought That chance will bring us through. We shall have to reckon, of course, in a scientific age, as in any age, upon human frailty and foolishness. There will still be those too weak, too self-indulgent or too ig- norant, to exercise the needful self-restraint, even in full view of all the certain penalties. But this will be due not to the rule of science but to structural or functional weak- ness ; and original sin will then become synonymous with original, and possibly aboriginal, weakness. There are probably many who, while granting that "the truth shall make men free," have fears lest it make them too free. But this was not the dread of those who long ago inscribed "Veritas" upon the Seals of Harvard and of Yale, nor of President Gilman, a descendant of the 144 WILLIAM THOMPSON SEDGWICK Puritans, and his largely Quaker trustees of Johns Hop- kins University, who, less than forty years ago, boldly adopted as its motto the entire text Veritas vos liberabit. And is it not, after all, the truth, the whole truth, with all its consequences for us and for others, which shall most effectively promote temperance and continence and honesty and faithfulness and kindliness and charity? Will not the path of duty be more than ever the way of glory, when we see not as in a glass dimly, but clearly and face to face, all the consequences, alike of rectitude and wrongdoing, for ourselves, for the race, and for all man- kind? Sedgwick was eminently a man of his time,-Vic- torian, as we may say today, when the serene spa- ciousness, the scientific reasonableness and the warm humanitarianism of that period are coming into their own once more. He had also, however, in him a sound admixture of the Puritan. He was never lulled into slackness by faith in ultimate tendencies. He knew that progress comes only by ceaseless effort. A strain of austerity which seldom found visible ex- pression made no slight part of his own everyday life. He believed in the strength that comes only through self-denial and struggle, or in his own phrase "discipline must always precede freedom." These latter days of seeking short cuts to success and easy berths with large pay moved him to indignation. He felt with Stevenson that "the world must return some day to the word Duty and be done with the word Reward." Rewards honestly won after difficult struggle are among the sweetest of all life's experi- 145 A PIONEER OF PUBLIC HEALTH ence but there is a nobler incentive which Sedgwick loved to express in the quotation Joy's self lies in the doing And the rapture of pursuing Is the prize. Of religion as expressed in creeds, Sedgwick had none. Brought up strictly in the orthodox Congrega- tional Church, he gently and gradually laid aside its positive assertions and its formulas; but of reverent belief in a Power not ourselves, something beyond, that we can neither describe nor fully comprehend, he had full measure. He and Mrs. Sedgwick used to call themselves "Wishful Agnostics," using that word literally as not knowing, but likewise never de- nying, because human intelligence is so limited, so very finite, that all the cherished and beautiful leg- ends of the centuries may be the truth, and our un- belief, the hapless untruth. Sedgwick, perhaps found in William Watson's Hope of the World, the nearest approach to an expression of what he could accept.* He greatly admired the mind of Voltaire. Vol- taire's fearless and persistent championship of Calas and La Barre, guiltless victims of a long per- secution and torture by those in high authority, ex- * Here where I fail or conquer, here is my concern, Here, w'here perhaps alone I conquer or I fail. Here, o'er the dark Deep blown I ask no perfumed gale; I ask the unpampering breath That fits me to endure Chance, and victorious Death, Life, and my doom obscure, Who know not whence I am sped, nor to what port I sail. 146 WILLIAM THOMPSON SEDGWICK cited Sedgwick's enthusiasm and caused him to name Voltaire as a "first humanitarian." Likewise he rec- ognized the long injustice done the Frenchman by the theologians. True his caustic wit was largely to blame, but no man is an atheist who could say "Si Dieu n'existait pas, il faudrait 1'inventer." In the same letter with this famous epigram Sedgwick found in Voltaire's words as much of a creed as he thought needful for himself. "All nature cries aloud that He does exist: that there is a supreme intelli- gence, an immense power, an admirable order, and everything teaches us our own dependence on it." Of the modern interest in occultism and psychic communion Sedgwick was not merely impatient; he was angered, because it seemed to him so dangerous to sanity and a breaking of Natural Law, which was the sacredest thing he knew. Sedgwick's religion was the religion of service and its outlines are suggested in the opening paragraphs of an address delivered at Appleton Chapel, Har- vard University, September 25, 1916, just after the Institute of Technology moved into its new home at Cambridge. Side by side with this ancient and famous University, there opens today in Cambridge a great school of science and engineering, hitherto housed in Boston. And when a friendly invitation came, as from an elder sister to a younger, to join in the opening Chapel Exercises of the new Academic year, together with the announcement that students of the Institute would always be welcome within these walls, the invitation was gladly received and ac- cepted. 147 A PIONEER OF PUBLIC HEALTH The Massachusetts Institute of Technology is chiefly a professional school, much like a school of medicine or a school of law, and like most such schools it has never had chapel exercises, either compulsory or voluntary. Some years ago President Eliot commenting on this feature of scientific schools remarked: "Whether it is because the students do not need these exercises, or whether they are beyond hope, I have never been able to discover. ' ' Today, without accepting President Eliot's second alternative, I think we may reject the first. Is not the crying need of the time, more religion in our professional schools'? Have we not erred in keeping religion for only academic life ' Is it not perhaps in our professional schools, with thc'ir emphasis upon vocations and specialties, upon ambition and excellence and achievement and success, that men most need to be reminded of problems of duty and des- tiny? of life and death? Are not those lines of the Hippo- cratic Oath, touching the conduct of life for a physician, "With purity and with holiness will I pass my life and practice my art," such as ought to be inculcated for every profession? For after all the conduct of life-a term fa- miliarized by Emerson, and weighted by Matthew Arnold in his pronouncement that "conduct is three fourths of life," is more important than professional success. And, finally, do our schools of law, of medicine and of technology emphasize sufficiently altruism, the very basis of the best kind of human society and the taproot of Christianity? I fear that they do not. Absorbed in the development of a legitimate ambition, of professional ex- cellence and individual power, they rarely dwell upon brotherly love, upon the succor of the poor, the weak, and the unfortunate. And yet it is these virtues-self-sacri- fice and duty in relation to destiny-which have given Christendom its superiority to the more ancient civiliza- 148 WILLIAM THOMPSON SEDGWICK tions. Much to be sure depends on what we mean by re- ligion. But if we may accept the definition of a recent authority that the principal problems of religion are those of duty in relation to human destiny, then there can be no question of its fundamental importance to man- kind. ... No system is perfect and the weak point in professional education is its want of the altruistic ele- ment. This, and those high ideals touching duty and des- tiny, chapel services like these should supply. For here, at least, students may come into closer contact with those ideals of self-sacrifice, of the brotherhood of man, and of altruism which are the hope of the world. The Kingdom of God is within us,-not outside of us in machinery, or literature, or pictures, or music, or the drama, or even in the wonders of nature. "If thy heart be right," says Thomas A Kempis, '1 then shall every creature be to thee a mirror of life and a book of holy doctrine. ' ' In Sedgwick's own personal life the motive of service was absolute and instinctive. "We know bet- ter than we do" was one of his oft-repeated apho- risms. After a long and intimate talk with a student about his character and future career he ended with the words, "I think you can be a very useful man." Not a rich man, not a successful man, not an influen- tial man; a useful man. In his own affairs it is doubt- ful if it ever occurred to him to say, "Do I want to do this?" or "Is it to my interest to do this?" Just '1 Ought this to be done ? ' ' and ' ' Can I do it ? " He sel- dom spoke about service in conversation; he merely made the fundamental tacit assumption that every one, like himself, was obviously in the world for just one purpose,-to help the world along. He once said, 149 A PIONEER OF PUBLIC HEALTH "The most comforting feature of our American life today is its altruism, Christianity at its best." His own altruism was never vague or sentimental. He knew "that charity begins at home, and that the best basis for sound society is able, honest and efficient units"; and he realized that service must be chiefly expressed by the practice of the homely and ordinary virtues of daily life. A catalogue of such virtues, from an address delivered before the Cambridge Trade Association in 1900, might have appeared a century earlier in Poor Richard's Almanac. A good general education and what is that? Alert- ness and readiness; Persistence; Courage; Punctuality; Honesty; Truthfulness; Discrimination; Obedience; Thoughtfulness; Foresight; Prudence; Good Fellow- ship ; Consideration for others; Kindliness; Good Health; Good Speech; Good Writing; Good Observation; Good Reasoning Power; Thrift. When duty led Sedgwick to some course of action which was difficult or unpleasant he followed it with courage that was as absolute and instinctive as the spirit of service itself. He had no Celtic love of a fight; but when the cause of the truth made it neces- sary to take a stand he took it, without the slightest question as to the strength of the forces to be chal- lenged. The two compelling motives of Sedgwick's nature were indeed Truth and Service; but having said this we have gone but a short step toward a record of his personality. These are phrases which might apply to a thousand men or to no man at all but a cold abstrac- 150 WILLIAM THOMPSON SEDGWICK tion. And Sedgwick was intensely individual and in- tensely human. The following incomplete notes for some address, found among his papers, give per- haps a suggestion of the virility of his own person- ality. What constitutes a fine personality? Character, no doubt, but more. The essence is individuality: something that makes one different from the common herd. Matthew Arnold "For most men in a prison live," etc. But not merely individuality. To this must be added the power of sympathy, and of strength, rectitude, sureness, courage. A marked personality A strong personality A fine personality A charming personality (Farragut's words about defeat) These are all desirable. How shall any of them be se- cured? Not by direct seeking, rather by a determination to be one's self. To see clear and to think straight. If you have learned to lean too much on others strike out for yourselves. Experiment. Learn by trying and doing. (Sureness, Beethoven, Wagner) (No fumbling) It is perhaps even more important to know what a man loves than what he believes; and the lesser things are often more significant than the greater. Sedgwick loved truth and service: but he also loved books and nature, travel and the daily flow of events, and above all he cared for people. In the field of letters, novels did not appeal greatly to him; and at the other extreme he found formal philosophy vague and inconclusive. He lived in a 151 A PIONEER OF PUBLIC HEALTH world of reality, remote alike from fiction and from the absolute. A chief mutual pleasure of Mr. and Mrs. Sedgwick was the reading aloud of some biog- raphy-to both of them the highest treat in litera- ture. He was a great lover of poetry, but preferred it musical. Of Keats and Arnold he never wearied. Arnold's classic forms and his resignation of old tra- ditional beliefs, tingeing life with sadness but teach- ing man to bear his uncertain destiny with fortitude and cheer, made him, in Sedgwick's view, the poet of the scientific man. Shakespeare of course was very dear to him. He loved the Autocrat; Stevenson's Travels with a Donkey was often a pocket companion in summer, when he allowed himself respite from serious books, while a small copy of Marcus Aurelius was a valiant and beloved strengthener. In hours of fatigue he would lie and laugh with Leacock or Mark Twain. The form of exercise which most delighted Sedg- wick was walking. He would watch with keen eyes for every unfamiliar plant, every strange and signifi- cant natural form. In his walks, the great Bible of Nature unfolded to him thoughts and possibilities be- yond his dreams. He loved intensely to watch the changeful face of the sea, whether stormy and wind- blown, misty with grey fogs, or dimpling with the sunshine. "Laughing waves," was a favorite expres- sion. He loved the pageantry of clouds above the hills, and the fathomless skies of night, and he often said he thought the astronomer had chosen the no- blest of all human studies. The summers which Mr. and Mrs. Sedgwick spent 152 WILLIAM THOMPSON SEDGWICK at Mt. Desert were deeply loved. At Mt. Desert he did much of his best thinking; but there too he knew how to do nothing, happily and luxuriously. No bit of earth was half so dear to him as the two stony acres that he owned upon the island. ("Yonder little nook of earth, Beyond all other smiles at me," Horace.) Here, at night, he would often go out alone upon the ledge to gaze into the illimitable depths of heaven above him; or, if accompanied, would quote with deep feeling: How sweet the moonlight sits upon this bank! Here will we sit and let the sounds of music Creep in our ears: soft stillness, and the night Become the touches of sweet harmony. Sit, Jessica; look how the floor of Heaven Is thick inlaid with patines of bright gold. Sedgwick loved travel. He made many visits to Europe and lie and Mrs. Sedgwick wandered widely and in unusual bypaths. His curiosity as to the his- tory and resources of the places which he visited, and as to the customs of the people, was eager and insatiable. No man could have been more completely on holi- day than he was when in Europe. Care and responsi- bility dropped from him like a loose mantle before the ship left the American port. What he had to leave unfinished never worried him-just as at home when things turned out unluckily or failure came in some thing he had hoped to make a success. Regret, there might be, but never brooding or anxiety over spilt milk. He had done what he could, the best he knew at the time, and remorse was both futile and a 153 A PIONEER OF PUBLIC HEALTH waste. This trait made him a delightful companion in travel, responsive to all the interests and the hobbies of his fellow travelers (for he and Mrs. Sedgwick often had with them one or two friends) and he caught from his companions their greater knowl- edge, it might be of architecture, or painting, with the most winning sympathy and quick understand- ing. But always his eyes were open as well for any new interpretation he might capture for his own sub- jects. He was a wonderful courier for those who trav- eled with him, never irritated by the small mishaps that seem needless and yet are so all-important at the time. Only once, as Mrs. Sedgwick recalls, was he ever nervously eager to get away from a European town and that was in Constantinople. They were there just a year after the so-called Committee of Union and Progress had deposed Abdul Hamid and used five days to the limit of strength and of day- light, but nothing would persuade him to prolong the stay. It was several years before he would even tell why-and then it appeared, he had seen things on the streets near the hotel that made him feel as if they were walking on the edge of a smoking volcano. Of all the buildings that Sedgwick ever saw he cared most for the Cathedral of Rheims, and it be- came a joke between Mrs. Sedgwick and himself when in France that he always contrived to find a better railway connection for somewhere, anywhere, from Rheims than from any other point. The brutal mutilation of this cathedral in the Great War was a positive physical pain to him, and when he went back to see its beautiful ghost in the autumn of 1920 his 154 WILLIAM THOMPSON SEDGWICK suffering and his happy surprise that the destruction was not more complete were conflictingly mingled. He lingered long over every detail, hoping no resto- ration would ever be attempted, but the martyrdom of the cathedral be preserved as a token for the ages to come of how "efficiency" can develop into "fright- fulness." Of all continental countries Greece prob- ably made the strongest appeal. There he was enrap- tured by its austere beauty; there he sought and found the secret of those earliest pioneers in scien- tific thought. In England he was glad to feel at home, akin to the common heritage of all our Anglo-Saxon world. Mrs. Sedgwick says of his last visit: Probably no honor that ever came to him gave him greater pleasure than the English appointment in 1920. Our sailing was a little delayed so that the time at Leeds was unfortunately curtailed. The welcome there was of the heartiest. So much forethought had been given to the short session by the Vice-Chancellor that we felt our- selves genuine colleagues from the first hour. Leeds is, of course, more like the American Univer- sities than are Cambridge and Oxford; but the mingling of older systems with modern needs was of the keenest interest to us. The friendliness and delightfully informal social life of those with whom we were associated left a memory fragrant with high scholarship and the purest human ideals. It is good to live over again the six weeks we spent in Cambridge where friends of previous years and the new friends we made at once, combined to make the experi- ence very rich and stimulating. Probably as often as three times in each week he would be asked to dine in 155 A PIONEER OF PUBLIC HEALTH Hall at one or other of the Colleges, where he delighted in the good talk he heard and carefully garnered all the impressions, more or less unconsciously handed on to him, of their ancient tradition. In both places his already strong admiration for Englishmen was warmed into per- sonal affection and a deep sense of gratitude grew up in him that in a small way he could claim kinship with this older society. He found hearty appreciation of the work America was doing in science and in Public Health and he ardently looked forward to welcoming some of the English scholars in these lines of research, to Tech- nology. Then he loved to stroll through the Courts and along the Backs, musing of the elder age when the world was not so confused by the aftermath of a Great War. The gracious beauty of those sweeping lawns overhung in May by a wealth of golden laburnum seemed to make the sun to be ever shining even when the skies were grey. It was a great privilege to be in Cambridge for two Congregations when honorary degrees were given to some of England's most distinguished men. Mr. Sedg- wick dined before each occasion with the Vice-Chancel- lor's party. The scene of the reception on the previous evening in the Great Hall of Emmanuel is an unforget- able memory. One of his most cherished plans was to use the leisure which he ardently anticipated upon his retirement from Technology, to write certain un-technical, non-profes- sional essays. During many years I have heard him say wistfully that he wanted to write one or two lay-sermons -having in mind the effect such lay-sermons of Huxley had made upon him in younger days. Of these the first was to be on the theme "The Kingdom of God is Within You." Another of these projected "lay-sermons" was to 156 be the philosophic "precipitate" of what he conceived to be the good, and the less good, result upon the minds of young men of the three so different forms of higher edu- cation in England, France, and America. The summer of 1920, spent chiefly in England but with a month in France, gave him the material he would have used. As a lecturer at Leeds and at Cambridge he had long talks on this subject, with some of the best minds in both places. The methods are quite different in these two English uni- versities and so, of course, are their traditions, their ideals and their results. Although he lived too brief a time after his return to America to make the use he hoped of this rich experience, I think all his associates perceived a deeper intellectual consciousness of the debt England and America owe to each other, and also how profoundly he hoped to promote still further their in- alienable cooperation toward the ultimate goal of a higher civilization. Five precious days spent at the Chateau Lafayette in Auvergne were peculiarly rich for the Chief. During each one he had long talks in his "English garden" with M. Charles Le Verrier, grandson of the great astrono- mer, and himself the head of the College Chaptai in Paris. M. Le Verrier was spending his holiday in this historic chateau where we were assigned the bed room and sitting room of the great General himself. The com- plete system of French education is so complex that the Chief was puzzled and intrigued by it; he persuaded M. Le Verrier not only to talk of it, but to plot it on paper in such a way as to form easy reference notes for use when the coveted leisure to write about it should arrive. Beauty in nature or in art made not only a quick appeal to the Chief, but he felt sure that it had its WILLIAM THOMPSON SEDGWICK 157 A PIONEER OF PUBLIC HEALTH very serious part to play in all true education. Con- stantly he would urge students to visit the Museum of Fine Arts, or give them tickets to private exhibi- tions, or even tell them of a certain florist-decorator's shop in Boston whose director was a true artist in color and combinations; he would actually send them there as a part of their duty, to catch the subtle lesson in beauty it offered the mere passer-by. At home, and in the ordinary course of life, Sedg- wick had the same eager interest in the daily flow of events which he displayed in strange lands, and be- fore masterpieces of art or of nature. He never took up a daily newspaper without finding something that awakened his keen response. Above all things, how- ever, Sedgwick cared for people. He loved not merely mankind, but he loved his fellow men, which is a rarer and a more precious gift. He established human relations with an extraordinary facility and this was because he really cared. He was interested, keenly and vitally interested, in the lives and the problems of every human being with whom he came into the lightest contact. In a smoking car, on a steamer, on the porch of a hotel, he effected a real touch with per- sonalities. Ships never passed in the night without a hail from him. Sedgwick's relations with his village neighbors at Mt. Desert were altogether characteristic. A chat along the way-or a serious talk about some matter of importance-cleared up for many of them cob- webs of indecision and lightened laborious routine. As one of them wrote to Mrs. Sedgwick afterward: i'What appealed most to me in my relations with Mr. 158 WILLIAM THOMPSON SEDGWICK Sedgwick was he knew how to talk with the ordinary common laborer in a way that made them forget the difference in education or social standing. He also seemed to enjoy it." The keynote of Sedgwick's relations to the country people was struck when the building of the new house was nearly completed and he and Mrs. Sedg- wick were leaving in the autumn. Every workman by this time knew them well and the contractor and foreman were induced to devise a long temporary table in the veranda dining room where a dinner was served to more than twenty of the men. When all were seated, a silence that threatened to be awkward fell over the little company, but presently the me- dium of the host's humor and humanity broke the spell and then there followed plenty of talk and laughter till the signal for "smokes" and return to work was sounded. When the next spring came around Mr. and Mrs. Sedgwick were met by the most touching response in the form of a tall pair of and- irons chosen by the contractor but subscribed to by all these men, who had written their names and blessed the new abode of content. One of the most revealing glimpses of Sedgwick's personality has been given by a young man who saw him only once,-on the last Christmas Day of his life and exactly one month before the end. He and the Sedgwicks were guests at the home of a friend on that Christmas and the stranger, when he left the company toward evening, wrote in his diary a de- scription of the Sedgwicks which months later he 159 A PIONEER OF PUBLIC HEALTH showed to their host and was with difficulty per- suaded to print in the Technology Review * He stood in the center of the trays and packages which filled the room. There was high joy in his eyes, as if happy feelings were making carnival time of every mo- ment of the day. He came smiling to me, expressing that fine spirit which graced the day. I knew he was a genius in creating an area of friendliness about him.-The ad- venture of the day was on. I had never talked with Pro- fessor Sedgwick, nor had met him, yet in a few minutes he had his easy chair by mine, and we were talking of Ar- kansas. He knew and liked that State. One of his old boys was down there helping to put over a great sanitary en- gineering project. He himself had worked with the Rockefeller Commission on the problem of malaria, and had suggested efforts toward control in that district. He knew well the inner ways to confidence, and how finely he won the heart to understanding. Listening as graciously as he talked, he subtly made me feel I was really proving good company for him. That was a real mark of his sym- pathy and his goodness. Others have told me that this was always their feeling when he passed their way. Professor Sedgwick imparted an interest and grace of personality to all the talk of the day. The life of Tech- nology was always near him, and he was particularly concerned in the teaching and the students there. "Do you intend to teach?" was the question which opened the way for him to say the things that will be always remem- bered as expressing his belief in his life's work and the privilege of his service. He told of his Yale days, the earlier indecisions of post-graduate work and teaching experiences. His thoughts went back to his years of * C. W. Pipkin. Technology Review, January, 1922. 160 WILLIAM THOMPSON SEDGWICK teaching, when he said, "They have been mighty happy ones. I don't believe they could have been happier in work and in friends." An article in Harper's was men- tioned, The Luxury of Being a Professor. The phrase pleased him, for he felt no other phrase could fit so fully his own experience.... He told me of the pleasure of working on projects with his old students, how this made his interests a world-wide thing. ' ' One of the old boys is directing work in a French village; one will soon leave for important things in Europe; one is down in Little Rock; and another is out in Salt Lake. Isn't that a fine thing? I love to teach and I love to know people. I wouldn't have done anything else, for it has given me the happiest things in life. Think a long time before you change. ' ' Professor Sedgwick, as I saw him, was one of those whose lives reveal the mystic sense of fullness which goes out of their soul. They feel so much of the comradeship of life that those they meet are not strangers, but are congenial companions along the open road. And those they meet have an exhilarating impulse toward more wholesome living. These comrades of life, for in the ro- bust fellowship of their association we know them as comrades, make the personal contribution the supreme thing. The genius of good will and hearty faith makes them artists in living. This was the supreme gift, the art of comradeship and of high living, which Sedgwick could impart in the contact of a single afternoon. As one of his stu- dents has said, "One thinks always of Rugby Chapel as the ultimate tribute to a great teacher. About Sedgwick, however, there was something so much closer and more intimate that the quotation 161 A PIONEER OF PUBLIC HEALTH dies on one's lips. The master of Rugby was far off on the snowy heights. Sedgwick was in the midst of the rush of life and he held us by the hand. Arnold thought of his father as a teacher. We who were Sedgwick's 'boys' will remember our chief as a sec- ond father. ' ' 162 Appendix A A List of Publications by William T. Sedgwick, ScD., LL.D. A Catalogue of Plants Growing within Thirty Miles of New Haven. 1879 Note on "Potassium Permanganate and the Strychnine Test." Am. Chem. Jour., I, p. 369, 1879. 1879 Note on "The Relations of Eupatorium and Strychnine," based on work done at Sheffield Scientific School, 1878. Johns Hop- kins Univ. Circ., November, 1879; Am. Chem. Jour., I, p. 370, 1879. 1880 The Influence of Quinine upon the Reflex Excitability of the Spinal Cord. Jour, of Physiol., London, III, p. 22, 1880-1881; Johns Hopkins Univ., Stud. Biol. Lab., II, p. 28, 1881-1882. 1881 (With H. N. Martin) A Study of Blood Pressure in the Coro- nary Arteries of the Mammalian Heart. Trans. Med. Chir. Faculty Md., LXXXIII, p. 206, 1881. Stud. Biol. Lab., Vol. II. 1881 (With H. N. Martin) Observations on the Mean Pressure and the Character of the Pulse Wave in the Coronary Arteries of the Heart. Johns Hopkins Univ. Stud. Biol. Lab., II; Univ. Circ., II, No. 20; Jour, of Physiol., London, III, p. 165, 1881- 1882. 1881 On Variations of Reflex Excitability in the Frog Induced by Changes of Temperature. Stud. Biol. Lab., II, p. 385, 1881- 1882; Johns Hopkins Univ. Circ., Vol. II, No. 20; Jour. Phys., Vol. Ill, No. 3. 1882 On Fermentation. Third Lecture in Course by Instructors in Biological Department of the Johns Hopkins University for Employees of the B. & O. R. R. Published for free distribu- tion, February, 1882, I. Friedenwald, pp. 98. 163 A PIONEER OF PUBLIC HEALTH 1883 On Improved Methods of Varying the Thermal Background of Reflex Perception. Johns Hopkins Univ. Circ., Vol. II, p. 98, 1883. 1883 On Latent or Resting Periods of Vegetation. Johns Hopkins Univ. Circ., Vol. II, p. 49, 1883. 1883 Symbiosis and "Vegetating Animals." Pop. Sci. Monthly, XXIII, p. 811, October, 1883. 1883 (With J. R. Duggan) Pleomorphism in Penicillium, A Pre- liminary Communication. Johns Hopkins Univ. Circ., II, p. 50, 1883. 1883 The Effect of Quinine upon Blood Vessels and Reflex Action. Maryland Med. Jour., X, p. 37, 1883-1884. 1884 Bacteria and the Germ Theory of Disease. (Review) Science, III, p. 133, February 1, 1884. 1885 (With W. R. Nichols) Report on Illuminating Gas. Mass. State Document, Senate No. 60, February, 1885, p. 6. 1885 (With W. R. Nichols) A Study of the Relative Poisonous Ef- fects of Coal and Water Gas. Sixth Ann. Rept. Mass. State Board of Health Supp., p. 275, 1885. 1886 (With E. B. Wilson) An Introduction to General Biology, p. 193, H. Holt & Company, New York. 1886 Relative Poisonous Properties of Coal and Water Gas. Proc. Soc. Arts, M. I. T., XXIV, p. 13, 1885-1886. 1886 An Alcoholic Drip for the Thoma-Jung Microtome. Am. Natu- ralist, XX, p. 488, May, 1886. 1887 Persistent Mullerian Ducts in Male Pickerel Frogs. Tech. Quar., I, p. 72, September, 1887. 1887 (With S. R. Bartlett) A Biological Examination of the Water Supply of Newton, Mass. Tech. Quar., I, p. 272, February, 1888. 1887 (With G. R. Tucker) A New Method for the Biological Exami- nation of Air. Proc. Soc. Arts, M. I. T., 1887-1888, 51. 1888 A New Aerobioscope. Science, XI, p. 197, 1888. 1888 Biological Examination of Water. Tech. Quar., II, p. 67, Octo- ber, 1888; Jour. N. E. Water Works Assn., II, p. 7, June, 1888. 1889 Biological Water Analysis. Proc. Soc. Arts, 1888-1889, 13. 1890 Utilization of Surface Water for Drinking Purposes. Jour. N. E. Water Works Association, V, p. 39, September, 1890. 164 WILLIAM THOMPSON SEDGWICK 1890 The Data of Filtration: I. Some Recent Experiments on the Removal of Bacteria from Drinking Water by Continuous Filtration Through Sand. Tech. Quar., Ill, p. 69, February, 1890. II. On Crenothrix Kuhniana (Rabenhorst) Zopf. Tech. Quar., Ill, p. 338, November, 1890. 1890 A Report of the Biological Work of the Lawrence Experiment Station. Experimental Investigation by the State Board of Health of Massachusetts upon Sewage, etc., Part II, p. 795, 1890. 1891 Milk Supply and the Public Health. Tech. Quar., IV, p. 365, December, 1891. 1891 Sanitary Condition of the Water Supply of Lowell, Mass. Lowell, April, 1891. 1892 The Purification of Drinking Water by Sand Filtration. Jour. N. E. Water Works Assn., VII, p. 103. 1892 Modern Scientific Views of the Cause and Prevention of Asiatic Cholera. Tech. Quar., V, p. 205, October, 1892. 1892 Investigation of Recent Epidemics of Typhoid Fever in Massa- chusetts (Lowell, Lawrence, etc.). 24th Annual Report Mass. State Board of Health, 1892. 1892 (With J. L. Batchelder, Jr.) A Bacteriological Examination of the Boston Milk Supply. Boston Med. Surg. Jour., CXXVI, p. 28, January, 1892. 1892 (With Allen Hazen) Typhoid Fever in Chicago. Eng. News, April 21, 1892. 1893 Reflex Action; Biology; Differentiations; Fermentations; Arti- cles in A Reference Handbook of the Medical Sciences, Wil- liam Wood & Co., New York. 1893 Educational Value of the Methods of Science. Educational Re- view, V, 243. 1893 An Investigation of an Epidemic of Typhoid Fever in Somer- ville due to Infected Milk. Boston Med. and Surg. Jour., CXXIX, p. 489, 1893. 1893 Aetiology, Epidemiology. Articles in Supp., A Reference Handbook of the Medical Sciences, William Wood & Co., New York. Also occasional editorial notices upon biological, bacteriological,, and sanitary subjects, in the Boston Med. and Surg. Jour. 1893 Quarantine vs. Sanitation. Boston Med. and Surg. Jour., CXXIX, p. 193, August 24, 1893. 165 A PIONEER OF PUBLIC HEALTH 1893 On Methods Used and Results Obtained in Making Germicidal- Efficiency Tests of a Disinfectant for Use in Railway Sanita- tion. Tech. Quar., VI, p. 143, July, 1893. 1894 The American College as a Moral Force. Tech. Quar., VIII, p. 213, October, 1895. Proc. Am. Inst, of Instruction, 1894. 1894 (With S. C. Prescott) On the Bacterial Contents of Certain Ground Waters, including Deep Wells. 26th Annual Rept., State Board of Health of Mass., Pub. Doc. 34, p. 433. 1894 On an Epidemic of Typhoid Fever in Marlborough, Mass., Ap- parently due to Infected Skimmed Milk. Ibid., p. 765. 1895 Purification of Sewage Polluted Waters by Sand Filtration, Natl. Bd. Health Mag., IX, p. 184, 1895. 1895 (With S. C. Prescott) On the Influence of Variations in the Composition of Nutrient Gelatin upon the Development of Water Bacteria. Am. Public Health Assn., XX, 450. 1896 The Sanitary Condition, Past and Present, of the Water Supply of Burlington, Vt. Jour. N. E. Water Works Assn., X, p. 167, November, 1896. 1896 The Claims of Modern Life on Education. Proc. Am. Inst, of Instruction. 1896 Notable Sanitary Experiments in Massachusetts. The Forum, XX, p. 747, February, 1896. 1896 (As Assistant Editor) The Life and Letters of William Barton Rogers. Houghton, Mifflin Co., Boston, 1896. 1896 (With E. B. Wilson, Ph.D.) An Introduction to General Bi- ology. Revised Edition, H. Holt & Co., New York. 1897 The Protection of Surface Waters from Pollution. Jour. N. E. Water Works Assn., XI, p. 245, March, 1897. 1897 Milk Supply and the Public Health. 45th Annual Report of the State Board of Agriculture of Mass. 1897 The Protection of Public Milk Supplies from Pollution. Jour, of the Mass. Assn. Bds. of Health, VII, p. 4. 1897 (With H. W. Marshall, S.B.) Bacteria and Acidity of the Milk Supply of Boston. Ibid., p. 75. 1897 Report of a Committee on "Rules for the Protection of Public Milk Supplies from Pollution." Ibid., p. 116. 1897 A Note on Some of the Requirements for a Sanitary Milk Sup- ply. Tech. Quar., X, p. 245, June, 1897. 1898 The Claims of Sanitary Science to a Place in the Curriculum of 166 WILLIAM THOMPSON SEDGWICK Engineering Education. Proc. Soc. for the Promotion of Eng. Education, VI, p. 300. 1899 Organisms which Cause Unpleasant Odors and Tastes in Water Supplies. Jour. N. E. Water Works Assn., XIV, p. 54, Sep- tember, 1899. 1899 Report of an Investigation of the Sources of Typhoid Fever in Pittsburgh. Report of the Filtration Commission of the City of Pittsburgh, Pa. 1899 (With C.-E. A. Winslow) Experimental and Statistical Studies on the Influence of Cold on the Bacillus of Typhoid Fever and its Distribution; with special reference to Ice Supply and the Public Health. Science, XI, p. 462, March 23, 1900. 1899 External Digestion, Commonly Called Alimentation. Rumford Kitchen Leaflet, No. 8. 1899 On the Establishment and Conservation of Purity in Public Water Supplies. (The Middleton-Goldsmith Lecture of the N. Y. Pathological Soc. for 1898) Trans. N. Y. Path. Soc., 1899. 1901 Attitude of the State toward Scientific Investigation. Science, New Series, XIII, p. 81, January 18, 1901. 1901 The Origin, Scope and Significance of Bacteriology. President's Address, Society of American Bacteriologists, Science, New Series, XIII, January 25, 1901. 1901 On the Rise and Progress of Water Supply Sanitation in the Nineteenth Century. Jour. N. E. Water Works Assn., XV, p. 315, June, 1901. 1902 Principles of Sanitary Science and the Public Health, pp. 368; illustrated. The Macmillan Company, New York, May, 1902. 1902 On the Modern Subjection of Science and Education to Propa- ganda. Presidential Address, Amer. Soc. of Naturalists. Sci- ence, N. S., XV, p. 44, January 10, 1902. 1902 (With C.-E. A. Winslow) I. Experiments on the Effect of Freezing and other Low Temperatures upon the Viability of the Bacillus of Typhoid Fever, with Considerations regarding Ice as a Vehicle of Infectious Disease. II. Statistical Studies on the Seasonal Prevalence of Typhoid Fever in Various Countries and its Relation to Seasonal Temperatures. Mem- oirs of Amer. Acad, of Arts and Science, Vol. XII, No. 5, August, 1902. 167 1903 (With Theodore Hough) What Training in Physiology and Hygiene may we Reasonably Expect of the Public Schools? Science, N. S., XVIII, No. 445, p. 353, September, 1903. 1904 Why Dirt is Dangerous. Jour, of the Mass. Assn, of Bds. of Health, XIV, p. 152, May, 1904. 1904 Why Dirty Milk is Dangerous. Jour, of the Mass. Assn, of Bds. of Health, XIV, p. 208, August, 1904. 1904 Chicago Drainage Canal Case. Record of Evidence, Supreme Court of the United States, State of Missouri vs. The State of Illinois and the Sanitary District of Chicago. Vol. Ill, pp. 2194-2417; 2758-2789. Vol. VIII, pp. 7955-7974. Jefferson City, Mo., Tribune Publishing Company, 1904. 1904 Article on "Sanitary Science and Public Health." Encyclopedia Americana, Vol. XIV, New York, 1904. 1904 Why Dirty Water is Dangerous. Jour, of the Mass. Assn, of Bds. of Health, Boston, XIV, p. 278, November, 1904. (Also separately as a leaflet.) 1905 The Relations of Public Health Science to Other Sciences. Ad- dress before the Public Health Section, International Con- gress of Arts and Science, St. Louis, September, 1904. Sci- ence, N. S., Vol. XXI, 546, p. 905, June 16, 1905; Am. Med., IX, p. 975, June 17, 1905. 1906 (With Theodore Hough) The Human Mechanism; Its Physi- ology and Hygiene and the Sanitation of Its Surroundings, pp. 564. Ginn & Company, Boston, 1906. 1906 (With C.-E. A. Winslow) On the Present Relative Responsi- bility of Public Water Supplies and Other Factors for the Causation of Typhoid Fever. Jour, of the N. E. Water Works Assn., XX, p. 51, March, 1906. 1906 On Pavements for Residence Streets. Good Housekeeping, March, 1906, pp. 275-278. 1906 The Experimental Method in Sanitary Science and Sanitary Administration. Address of the Vice-President and Chairman for 1905 of Section K, A. A. A. S. Proc., New Orleans Meet- ing, LV, 1906, p. 497; Am. Med., XI, p. 347, March 10, 1906; Science, N. S., XXIII, p. 362. 1906 The Readjustment of Education and Research in Hygiene and Sanitation. Proc., Boston Meeting, September, 1905. Am. Public Health Assn. Reports, XXXI, p. 115, 1906. Am. Med., XI, p. 159, February 3, 1906. A PIONEER OF PUBLIC HEALTH 168 WILLIAM THOMPSON SEDGWICK 1906 Comments upon a Report by Theodore Horton, M. Am. Soc. C. E., on the Prevalence and Causation of Typhoid Fever in Washington, D. C., with a Discussion of the Typhoid Fever Situation in the District of Columbia. Eng. News, November 8, 1906, p. 488. 1906 On the Protection of Public Water Supplies from Pollution during Construction, Maintenance and Operation of Rail- roads; with Special Reference to the Water Supply of Seattle, Washington; together with Criticisms of the Present Methods of Water Supply and Sewerage of Railway Trains. Jour, of the N. E. Water Works Assn., XX, p. 427, December, 1906. 1906 Address of Welcome as President New England Water Works Association, to the President and Members of the American Water Works Association, in Huntington Hall, July 10, 1906. Proc, of the 26th Annual Convention of the Am. Water Works Assn, for 1906, pp. 557-562. 1907 The Expansion of Physiology. Address of the Vice-President and Chairman of Section K, Physiology and Experimental Medicine, New York Meeting, A. A. A. S., 1906, Proc. A. A. A. S. for 1906; Science, N. S., XXV, p. 332, March 1, 1907. 1908 Typhoid Fever: a Disease of Defective Civilization. Introduc- tory Essay to Whipple's "Typhoid Fever: Its Causation, Transmission, and Prevention." pp. 407. New York, John Wiley & Sons, 1908. 1908 The Conquest of Famines. Youth's Companion, Vol. LXXXII, No. 17, 1908. 1908 The Call to Public Health. Annual Address in Medicine, Yale University, July 22, 1908. The Yale Medical Journal, XV, p. 1, July, 1908; Science, XXVIII, p. 193, 1908. 1908 (With Scott MacNutt) An Examination of the Theorem of Allen Hazen that for Every Death from Typhoid Fever Avoided by the Purification of Public Water Supplies Two or Three Deaths are Avoided from Other Causes. Preliminary communication. Science, XXVIII, p. 215, August 14, 1908. 1908 Charles Harrington, M.D., an Appreciation. The Harvard Bul- letin, II, No. 2, 1908. 1908 An Investigation of the Sanitary Condition of the Public Water Supply of Newport, R. I. Special Report of the Committee on Water Supply to the Representative Council, Newport, R. I., pp. 47-56, October, 1908. 169 A PIONEER OF PUBLIC HEALTH 1908 (With Scott MacNutt) On an Apparent Connection between Polluted Public Water Supplies and the Mortality from Pul- monary Tuberculosis. Tuberculosis in Massachusetts, Chapter XIV, pp. 181-186. Published by the Mass. State Committee, International Congress on Tuberculosis, Boston, 1908. 1909 The Foundations of Prevention. Trans. Convention on Preven- tion of Infant Mortality, 1909; Bull. Amer. Acad. Med., XI, p. 692, 1910. 1910 Shall We Continue or Shall We Stop the Sewage Pollution of Streams? Bull. State Dept, of Health of New York, 1910. 1910 (With Scott MacNutt) On the Mills-Reincke Phenomenon and Hazen's Theorem Concerning the Decrease in Mortality from Diseases other than Typhoid Fever following the Purification of Public Water Supplies. Jour. Inf. Diseases, VII, p. 489, August, 1910. 1911 On the Proper Correlation of Physicians, Engineers, and Other Specialists on Public Health Work. Jour. Am. Pub. Health Assn., I, p. 28, January, 1911. 1911 (With Franz Schneider, Jr.) The Relation of Illuminating Gas to Public Health. With six plates. Jour. Inf. Diseases, IX, p. 380, November, 1911. 1911 (With Earle B. Phelps) Memorandum on Disinfection of the Sewage of New Bedford, Mass. City Document, New Bedford, 1911. 1911 On Natural Ice and the Public Health. New York, 1911. 1911 (With H. P. Letton) Has the time come for double municipal water supplies,-one naturally pure for drinking and cook- ing, the other denaturized or sterilized for all other pur- poses? Jour. N. E. Water Works Assn., XXV, p. 407, Decem- ber, 1911. 1911 Notes on Typhoid Fever in Washington, D. C. Jour. N. E. Water Works Assn., XXV, p. 470, December, 1911. 1911 On Standards of Good Food. The Clinic, Boston Transcript, June 14, 1911. 1911 Illuminating Gas and the Public Health. Harvey Leet., p. 100, Philadelphia and London, 1911-1912. 1912 (With G. R. Taylor and J. S. MacNutt) Is Typhoid Fever a "Rural" Disease? Jour. Inf. Diseases, XI, p. 141, September, 1912. 170 WILLIAM THOMPSON SEDGWICK 1912 The Fallacy of Testing Food Materials by Animal Inoculation. Jour. Am. Med. Assn., LIX, p. 1509, October 26, 1912. 1912 Sewage and the Farmer: A Problem in the Conservation of Waste. Scientific American, CVII, p. 38, July 13, 1912. 1912 Cold Storage and Public Health. Am. Jour. Public Health, II, p. 825, November, 1912. 1913 The Interpretation of Nature and the Teaching Laboratory. An Address at the Dedication of the Carnegie Science Hall of Bates College, January 14, 1913. Science, XXXVIII, p. 169, August 8, 1913. 1913 School Hygiene. Youth's Companion, April 24, 1913. 1913 The Public Health Movement in America; Today and Tomorrow. Proc. Assn. Life Ins. Pres., VII, p. 103, New York, 1913. 1913 Public Health and Hygiene. American Year Book, 1913, New York, Appleton & Company. 1913 Reappearance of the Ghost of Malthus. Am. Jour, of Public Health, III, p. 1032, October, 1913. 1915 What Massachusetts has done and may yet do for the Public Health. Am. Jour, of Public Health, V, p. 637, July, 1915. 1915 American Achievements and American Failures in Public Health Work. Address of the President, Amer. Public Health Assn., Science, XLII, p. 361, September 17, 1915; Am. Jour, of Public Health, V, p. 1103, November, 1915. 1916 Foreword: The Genesis of a New Science: Bacteriology. Jour. of Bact., I, p. 1, 1916. 1917 (With H. W. Tyler) A Short History of Science. The Macmillan Company, New York, 1917, pp. 474. Illustrated. 1918 (With Theodore Hough) The Human Mechanism. Revised Edi- tion. Ginn & Co., Boston and New York, pp. 564, 1918. 1918 From Peace to War, from War to Victory, from Victory to Just Judgment. Jour. N. E. Water Works Assn., XXXII, p. 189, September, 1918. 1918 Rats and Insects as Public Enemies. Am. Jour. Pub. Health, IX, p. 34, January, 1918. 1919 Women's Colleges in War Time. Simmons College Review, Janu- ary, 1919. 1919 Observations of a Summer Visitor on the Higher Education in California. Simmons College Review, December, 1919. 1920 Gentleman and Scholar: An Appreciation in Memory of Dr. R. C. Maclaurin. Tech. Review, XXII, p. 29, January, 1920. 171 A PIONEER OF PUBLIC HEALTH 1920 Early School of Public Health at Lyons, France. Am. Jour. Pub. Health, X, p. 352, April, 1920. 1921 Modern Medicine and the Public Health, Public Health Reports, XXXVI, p. 109, January 28, 1921, Univ. Cincin. Med. Bull., II, p. 27, 1920-1921. 1921 Insects and Disease. Youth's Companion, May, 1921. 172 Appendix B 1. A Partial List of Graduates and Former Students in the Department of Biology and Public Health during the Incumbency of Professor Sedgwick. Y ear: 1887 Profession: Address: Bartlett, Sidney R. Colorado Springs, Colo. Houghton, N. H. 1888 Physician Brookline, Mass. Gross, H. G. Physician Eureka, Calif. Hazen, Allen Hazen and Whip- New York City pie, Civil neers Engi- Jordan, E. 0. Professor of riology Bacte- University of Chicago Kean, A. L. • Livingston, N. J. 1889 Cartwright, J. W. Farmer Hampton, Conn. Whipple, G. C. Professor of Sani- Harvard University, 1890 tary Engineering Cambridge, Mass. Batchelder, John L. Coal dealer Boston, Mass. Bickford, Miss E. E. Teacher South Pasadena, Calif. Calkins, G. N. Professor of Proto- Columbia University, zoology New York City Fuller, G. W. Consulting Sanitary New York City Engineer 173 A PIONEER OF PUBLIC HEALTH Y ear: Profession: Address: ■ Molineux, Miss M. A. Lecturer Lynn, Mass. White, Franklin W. Physician Boston, Mass. 1891 Bird, Adelaide Professor Wilson College, Chambersburg, Pa. Ramsey, Allen Physician Cincinnati, 0. Robinson, Mrs. A. B. Physician Upper Montclair, N. J. 1892 Brown, Miss B. M. Teacher Hyannis Normal School Burrage, Severance Professor Colorado State Uni- versity, Boulder, Colo. Dodd, Miss Margaret Teacher Quincy, Mass. Mathews, Albert P. Professor University of Cincin- nati Pough, Mrs. F. H. Columbia Heights, Brooklyn, N. Y. Worthington, A. M. Physician Dedham, Mass. 1893 Copeland, W. R. Sanitary Engineer Milwaukee, Wis. Keith, S. C. Business Boston, Mass. Leighton, Florence M. Physician New York City Wadsworth, A. B. Physician Director State Labo- ratory, Albany, 1894 N. Y. Horton, Theodore Sanitary Engineer Chief Sanitary Engi- neer, New York State Board of Health, Albany, N. Y. Kimball, J. H. Constructing Engi- Miami Conservancy neer District, Dayton, 0. Parker, H. N. Bacteriologist Jacksonville, Fla. Prescott, S. C. Professor, Head of Massachusetts Insti- Department of Bi- ology and Public Health tute of Technology 174 WILLIAM THOMPSON SEDGWICK Y ear: Profession : Address: Sayward, W. H., Jr. Physician Wayland, Mass. 1895 Joyce, Miss Edith K. Teacher New York City Marcy, H. 0., Jr. Physician Boston, Mass. Parmelee, C. L. Consulting Engineer New York City Woods, F. A. Investigator and Statistician New York City 1896 Field, F. E. Engineer Montreal Water Board Hyde, Charles G. Professor of Sani- University of Cali- tary Engineering fornia Leighton, M. 0. Sanitary Engineer Washington, D. C. Melluish, J. G. Sanitary Engineer Bloomington, Ill. Perley, C. W. Library of Congress Washington, D. C. Rockwell, J. A., Jr. Physician Cambridge, Mass. 1897 Marshall, H. W. Physician Boston, Mass. Matthews, Mrs. A. P. Cincinnati, 0. Osgood, E. P. Sanitary Engineer Bangkok, Siam Richards, L. J. Health Officer Elizabeth, N. J. Spear, W. E. Department Engi- Board of Water Sup- neer ply, New York City Stiles, P. G. Professor Harvard Medical School, Boston, Mass. Tower, S. F. Principal, High School South Boston, Mass. Warren, G. W. Physician Portland, Me. 1898 Blau, Mrs. R. P. Princeton, N. J. Jones, H. W. Colonel, U. S. Army Jones, S. F. Physician Denver, Colo. Laing, Miss Minerva A. Teacher Lambert, F. D. Physician Tyngsboro, Mass. Lambert, J. H. Physician Lowell, Mass. Lambert, Mrs. J. H. Lowell, Mass. Mendenhall, Mrs. C. E. Physician Washington Richardson, F. L. Physician Boston, Mass. 175 A PIONEER OF PUBLIC HEALTH Y ear: Profession: Address: Snow, F. W. Physician Newburyport, Mass. Underwood, W. L. Naturalist Belmont, Mass. Usher, Miss S. Dietetics expert Boston, Mass. Winslow, C.-E. A. Professor, Yale School of Medi- cine New Haven, Conn. 1899 Hancock, Mrs. J. H. Hudson, Mass. Leary, Mrs. Timothy Physician Boston, Mass. Milliken, C. S. Citrus expert Pasadena, Calif. Phelps, E. B. Consulting Sanitary Engineer New York City Whiting, Charles F. The Whiting Com- pany Charlestown, Mass. 1900 Conant, H. S. Hall, M. W. Clergyman Physician Bridgewater, Mass. Kendall, A. I. Long, Miss Margaret Dean, Medical School Physician Northwestern Univer- sity, Chicago Porter, J. L. Director, Water Pu- rifying Station New Orleans, La. 1901 Bass, F. H. DeBerard, W. W. Professor of Mu- nicipal and Sani- tary Engineering Western Editor, En- gineering News- Record University of Minne- sota Gallup, Miss A. B. Children's Museum Brooklyn, N. Y. 1902 Beckler, Miss Edith A. Bacteriologist State Board of Health, Boston Gannett, Farley Consulting Engineer Harrisburg, Pa. Messinger, H. C. Physician Providence, R. I. Mixter, C. G. Physician Boston, Mass. Mixter, W. J. Physician Boston, Mass. Peters, W. C. Physician Bangor, Me. Philbrick, B. G. Bacteriologist Boston, Mass. 176 WILLIAM THOMPSON SEDGWICK y ear: Profession: Address: Wells, C. H. 1903 Hansen, Paul Sanitary Engineer Chicago, Ill. Martin, Mrs. A. H. Franklin, Mass. 1904 Emerson, C. A. Consulting Engineer State Board Health, Pennsylvania Levy, E. C. Physician Richmond, Va. Longley, F. F. Consulting Sanitary Engineer Melbourne, Australia Lounsbury, W. C. General Manager, Water, Light and Power Superior, Wis. McCormick, Mrs. S. New York City Willcomb, G. E. Chemist Albany, N. Y. Winslow, Mrs. C.-E. A. New Haven, Conn. 1905 Ayers, S. H. Laboratory director, Glass Container Asso. New York City Beers, W. H. Filter Manager Gatun, C. Z. Bunker, G. C. Sanitary Expert Panama Canal Gunn, S. M. Director, Rockefel- ler Institute Paris, France Lochridge, E. E. Chief Engineer, Water Works Springfield, Mass. Rohde, Miss Alice Physician Tarbett, R. E. Sanitary Engineer U. S. Public Health Service 1906 Greeley, S. A. Sanitary Engineer Chicago, Ill. Kerr, Andrew Fish Culturist Plymouth, Mass. McClintock, J. R. Sanitary Engineer New York City Patten, Miss J. B. Instructor, Simmons College Wellesley, Mass. Rice, Roger L. Business Canton, 0. Saville, C. Director of Sanita- tion Dallas, Tex. 177 A PIONEER OF PUBLIC HEALTH Y ear: Profession: Address: Scales, F. M. Bacteriologist U. S. Department of Agriculture, Wash- ington Steinharter, E. C. Physician Cincinnati, 0. 1907 Daniels, F. E. Engineer, State Trenton, N. J. Board of Health Hale, Miss A. P. State Board of Jamaica Plain, Mass. Health Labora- tory * Jones, G. R. Associate Professor Johns Hopkins Uni- of Civil Engineer- versity ing Taylor, G. R. Sanitary expert Scranton, Pa. 1908 Howe, E. C. Professor, Welles- Wellesley, Mass, ley, College MacNutt, J. S. Artist St. Louis, Mo. Tully, E. J. Engineer, State De- Madison, Wis. partment of Health Walker, L. T. Lt.-Col. retired, Tunis, Tunis U. S. A. 1909 Colson, H. C., Jr. Biochemist Baltimore, Md. Harrub, C. N. Sanitary Engineer U. S. Public Health Service Hoyt, R. N. Instructor, Medical University of Georgia, School Augusta, Ga. Irwin, R. E. State Department Harrisburg, Pa. of Health Jenkins, H. 0. Commercial Biolo- Davis, Calif, gist Morrill, A. B. Professor of Sani- Imperial Pei Yang tary Engineering University, Tient- sin, China Palmer, G. T. Director of Re- New York City search, A. C. H. A. * Deceased. 178 WILLIAM THOMPSON SEDGWICK Year: Profession: Address: Pierson, Miss Ruth 0. Bacteriologist California Robinson, E. A. Clergyman San Diego, Calif. Scharff, M. R. Morris Knowles, Inc. Pittsburgh Schneider, F., Jr. Financial Editor N. Y. Evening Post, New York City Stevenson, A. F. Milk Expert New York City Straus, A. H. Professor, Medical College of Vir- ginia Richmond, Va. White, J. H. Sanitary Engineer U. S. Public Health Service 1910 Blanchard, C. K. Health Department Trenton, N. J. Carpenter, W. T. Sanitary Engineer White Plains, N. Y. Davis, L. Chemist and Bacte- riologist Baker Chocolate Co., Boston Hilliard, C. M. Professor of Bacte- riology and Public Health Simmons College, Boston, Mass. Horne, R. W. Fay, Spofford and Thorndike Boston, Mass. Lang, H. L. Professor of Bi- ology Carnegie Institute of Technology, Pitts- burgh Maglott, G. F. Division Engineer, Morris Knowles, Inc. Pittsburgh, Pa. O'Neill, J. H. State Engineer New Orleans Pomeroy, C. T. Health Officer Montclair, N. J. Stover, F. H. Bacteriologist, Mu- nicipal Filters Louisburg, Ky. Stuart, E. Sanitary Engineer New York City Tiernan, M. F. Wallace and Tier- nan Newark, N. J. Wells, W. F. Biologist, Conserva- tion Commission Albany, N. Y. 4 179 A PIONEER OF PUBLIC HEALTH Year: 1911 Profession: Address: Babbitt, H. E. Instructor in Mu- nicipal and Sani- tary Engineering University of Illinois Ell, C. S. Dean, School of En- Northeastern College, gineering Boston Kellogg, P. Business Buffalo, N. Y. Lathrope, T. L. Letton, H. P. Consulting Sanitary Engineer Lincoln, Neb. Magoon, C. A. Bureau of Plant In- dustry Washington, D. C. Orchard, W. J. General Sales Mana- ger, Wallace and Tiernan Company New York City Schmidt, S. M. Sanitarian for Com- mission to Pales- tine Winthrop, Mass. 1912 Dodson, F. S. Health Officer Framingham, Mass. Eisenberg, A. M. Author Boston, Mass. Ferguson, H. F. Sanitary Engineer State Department of Health, Illinois Levine, M. Professor of Bacte- riology, Iowa State College Ames, la. Mathews, L. A. Bacteriologist, Pease Laborato- ries New York City Murray, J. I. Dairy Control Ex- pert Winnipeg, Manitoba Osborne, F. J. Society for the Con- trol of Cancer New York City Rush, J. E. Physician, Cancer Commission New York City Troland, L. T. Instructor, Harvard University Cambridge, Mass. 1913 Armstrong, D. B. Secretary, National Health Council New York City 180 WILLIAM THOMPSON SEDGWICK Year: Profession: Address: Ballinger, T. D. Health Officer Orange, N. J. *Brown, W. E. U. S. Public Health Service Buck, A. W. Graduate Student, Yale University New Haven, Conn. Font, M. Service of Sanita- Government of Porto tion Rico Harmon, G. E. Instructor, Western Reserve Medical School Cleveland, 0. Purdy, W. C. U. S. Public Health Service Cincinnati, 0. Shoub, H. L. U. S. Public Health Service Washington, D. C. Smith, E. E. Superintendent, Fil- ter Plant Lima, 0. Sthrtevant, A. P. 1914 Bacteriologist, Bu- reau of Animal Industry Washington, D. C. Bates, R. D. Sanitary Engineer U. S. Public Health Service Calver, H. N. Secretary, American Public Health As- sociation New York City Campbell, H. M. Chemist Norwood, 0. Cowles, C. L. Biochemist, Lederle Antitoxin Labora- tories Cummins, E. H. Chemist Lewis, M. State Health Dept. Raleigh, N. C. Moreno, J. I. Sanitary Works Guayaquil, Ecquador Nightingale, H. W. Sanitary Expert and Chemist Gatun, C. Z. Parsons, R. Chemist Lynn, Mass. Sawyer, F. L. Dairy Expert Buffalo, N. Y. Stewart, H. G. Physician Baltimore, Md. Zimmele, G. B. * Deceased. Chemist Boston, Mass. 181 A PIONEER OF PUBLIC HEALTH Y ear: Profession: Address: 1915 Berger, H. E., Jr. Health Director Wellesley, Mass. Buck, C. E. Duff, J., Jr. Physician, U. S. N. Virgin Islands Funk, F. J. Industrial Bacteri- duPont Co., Wilming- ologist ton, Del. Geer, L. P. Bacteriologist Columbia, S. C. Holway, W. R. Consulting Engineer Tulsa, Okla. Masucci, P. Biochemist Glen Olden, Pa. Phelan, J. F. Bacteriologist Charlestown, Mass. Simons, G. W., Jr. Sanitary Engineer State Board of Health, Florida Tisdale, E. S. Sanitary Engineer State Department of Health, W. Va. Whitman, W. C. Food expert, H. A. Boston, Mass. Johnson Co. Woodfall, H. C. Engineer, Georgia Atlanta, Ga. State Department of Health 1916 Connolly, J. I. Sanitary Engineer U. S. Public Health Service Cousineau, A. Sanitary Engineer Montreal Duff, P. H. Physician Boston, Mass. Ellicott, V. L. M. Physician, Depart- Baltimore, Md. ment of Health Fair, G. M. Instructor in Sani- Harvard University tary Engineering Green, H. W. Sanitary Engineer, Porto Rico Rockefeller Foun- dation Horan, C. F. Welfare Expert, Watertown, Mass. Hood Rubber Company Horwood, M. P. Asst. Professor, Cambridge, Mass. Massachusetts In- stitute of Tech- nology 182 WILLIAM THOMPSON SEDGWICK Y ear: Profession: Address: Johnson, E. B. U. S. Public Health Service Birmingham, Ala. Junkins, W. H. Health Officer York, Me. Lawrence, C. W. Teacher Pawtucket, R. I. Ryan, D. F. Fermentation expert Boston, Mass. Sanders, M. B. Physician Boston, Mass. Shuey, A. F. Superintendent Water Works Tampa, Fla. Tobey, J. A. National Health Council New York City 1917 Abele, C. A. State Department of Health Birmingham, Ala. Bedell, A. S. State Department of Health Salt Lake City Bernard, F. Business Cambridge, Mass. Fales, W. T. Vital Statistician Birmingham, Ala. Hamilton, H. W. White Tar Company Kearny, N. J. Heath, E. H. Physician Boston, Mass. Hiller, A. D. Statistician Washington, D. C. Johnson, A. K. Instructor, Lowell Textile School Lowell, Mass. Johnson, W. T., Jr. Bacteriologist, Dairy Division Grove City, Pa. McDougall, J. G. Business Lynn, Mass. Nichols, P. F. U. S. Department of Agriculture Los Angeles, Calif. Parker, H. G. Bacteriologist, Health Depart- ment Norfolk, Va. Pouchain, R. A. Chemist, Tasty Bak- ing Company Philadelphia, Pa. Reynolds, E. D. Physician Boston, Mass. 1918 Burke, A. E. Bacteriologist, Sup- plee Dairy Com- pany Philadelphia, Pa. Cameron, E. J. Bacteriologist, Na- tional Canners Laboratory Washington, D. C. 183 A PIONEER OF PUBLIC HEALTH Y ear: Profession: Address: Capen, Miss Ruth G. Biochemist, U. S. Department of Agriculture Washington, D. C. Fennessey, Miss E. M. State Board of Labor and Indus- try Boston, Mass. Hart, C. D. Professor of Sani- tary Science College of William and Mary, Wil- liamsburg, Va. Herzstein, J. Horwood, Mrs. M. P. Medical Student New York City Newton Centre, Mass. Larner, H. B. Sanitary Expert, C. E. North New York City Nelson, J. B. Bacteriologist, State Department of Health Columbia, Mo. • McWhirk, Clara V. Bacteriologist Boston, Mass. Pickett, E. R. Bacteriologist, Beech-Nut Pack- ing Company Canajoharie, N. Y. Pinkerton, H. Student, Harvard Medical School Boston, Mass. Stockman, C. C. Graduate Student, University of Ox- ford Newburyport, Mass. 1919 Balfour, M. C. Brennan, Miss C. J. Student, Harvard Medical School Boston, Mass. Boston, Mass. Chandler, L. D. U. S. Public Health Service Washington, D. C. Coleman, B. S. Water Filter Plant Little Falls, N. J. Coombs, R. H. Health Officer Berlin, N. H. Hayes, S. J. Bacteriologist, Lud- low Associates Ludlow, Mass. Hunt, R. S. Graduate Student, Massachusetts In- stitute of Tech- nology Swampscott, Mass. 184 WILLIAM THOMPSON SEDGWICK Year: Profession: Address: Kahn, G. Physician Boston, Mass. Powers, R. U. S. Department of Agriculture Los Angeles, Calif. Strang, J. M. Student, Harvard Medical School Boston, Mass. Wolff, L. Physician Boston, Mass. 1920 de Zubiria, A. Sanitary Expert Cartagena, Colombia 1921 Clark, E. S. Sanitary Chemist, Illinois State De- p artment of Health Chicago, Ill. Ellsworth, A. A. Investigator, U. S. Massachusetts Insti- Bureau of Fisher- tute of Technology, ies Cambridge, Mass. Etherington, E. L. Student, Harvard University Cambridge, Mass. Holmes, F. 0. Graduate student, Johns Hopkins University Baltimore, Md. MacDonald, J. J. Instructor, Univer- sity of Buffalo Buffalo, N. Y. 1922 Duffield, T. J. League of Nations Geneva, Switzerland Hershenson, B. B. Assistant Professor B iochemi stry, University of Vir- ginia Charlottesville, Va. Hewes, W. R. Bacteriologist, E. I. duPont de Ne- mours Company Wilmington, Del. McClellan, R. N. Research Assistant, Massachusetts In- stitute of Tech- nology Cambridge, Mass. 185 A PIONEER OF PUBLIC HEALTH Y ear: Profession: Address: Perine, K. Instructor in Bio- chemistry, Uni- versity of North Carolina Chapel Hill, N. C. Radin, A. Health Officer Danville, Va. Stevens, A. H. Student, Harvard Medical School Boston, Mass. Strieder, J. W. Student, Harvard Medical School Boston, Mass. Tewksbury, R. B. Student, Johns Hop- kins University Baltimore, Md. 2. A List of Graduates of the Harvard-Technology School of Public Health with Present Occupations. CLASS OF 1914 Mark Frederick Boyd, M.D., C.P.H. Epidemiologist, Iowa State Board of Health (1915-1917); Professor of Bacteriology and Preventive Medicine, University of Texas (1917-1921); now with International Health Board. Merrill Edwin Champion, A.B., M.D., C.P.H. Director, Division of Hygiene, Massachusetts State Department of Public Health. Gaius Elijah Harmon, M.D., C.P.H. Assistant Professor of Hygiene and Bacteriology, Western Reserve University, Cleveland, Ohio. William Leland Holt, A.B., M.D., C.P.H. Director, Department of Hygiene, University of Tennessee (1920- 1921). Harry Benjamin Neagle, A.B., M.D., C.P.H. Professor of Preventive Medicine, Harvard Medical School, China (1915). Health Officer and Director of Hospitals, Jackson, Michigan. . Director of Department of Public Health and Professor of Preven- tive Medicine, Medical School, University of Georgia. 186 WILLIAM THOMPSON SEDGWICK CLASS OF 1915 Andrew Foster Allen, S.B., C.P.H. Associate Sanitary Engineer, U. S. Public Health Service. Walter Henry Brown, M.D., C.P.H. Epidemiologist, Massachusetts State Department of Health (1915); Health Officer, Bridgeport, Connecticut (1916-1920); Assistant Medical Director, Commission for Prevention of Tuberculosis in France (1921); Director, Child Health Demonstration, Mansfield, Ohio. William Eustis Brown, Ph.D., C.P.H., M.D. Health Officer, York, Maine (1915); Instructor, School of Public Health (1915-1918); Physician to New Jersey Zinc Co., Franklin, New Jersey (1921- Ralph Waldo Emerson Cole, M.D., C.P.H. Epidemiologist, West Virginia State Department of Health (1918- 1919). Albert Franklin Cornelius, M.D., C.P.H. With American Red Cross in Serbia (1915-1916); Director, San Antonio City Clinic for Venereal Diseases. William Joseph McDonald, A.B., M.D., C.P.H. Major, Medical Corps, U. S. A. (1917-1919); Director, Department of Student Health, University of Iowa. Stanley Hart Osborn, M.D., C.P.H. With American Red Cross in Serbia (1915-1916); Epidemiologist, Massachusetts State Department of Health (1917-1920); Medical Corps, U. S. A. (1918); Commissioner, Connecticut State Depart- ment of Health (1923- CLASS OF 1916 En Tseng Hsieh, M.D., Dr.P.H., C.P.H. Peking Union Medical College, Peking, China. President, Army Medical School, China. Edward Alexander Ingham, S.B., C.P.H. State District Health Officer, Southern District of California (1917). Died December, 1918. Harold Hubbard Mitchell, S.B., M.D., C.P.H. With American Red Cross in Serbia (1915); Epidemiologist, In- diana State Board of Health (1916-1917); Special Agent, National Child Labor Committee (1919). 187 A PIONEER OF PUBLIC HEALTH George Philip Paul, M.D., C.P.H. International Health Board, Fiji Islands (1917-1918); Australia and India (1919-1921). Aaron Paul Pratt, A.B., C.P.H., M.D. District Health Officer, Maine State Department of Health (1917- 1919); Instructor, School of Public Health (1919-1921); Medical practice, Windsor, Connecticut. Bernardo Samper, A.B., M.D., C.P.H. Director of a private laboratory, Bogota, Colombia, South America. Sien Ming Woo, A.B., M.D., C.P.H. Associate Secretary, Joint Council on Public Health Education, Shanghai, China; Health Commissioner of Canton, China (the first health commission in China); Organizer of the Public Health Asso- ciation in China. CLASS OF 1917 Herbert Drury, M.D., C.M., C.P.H. Medical Officer and Bacteriologist, William Head Quarantine, Canada (1917-1918). Augustus George Gigger, M.D., Ph.G., C.P.H. Assistant Pathologist, State Board of Health, Rhode Island (1917- 1918); City Bacteriologist and Director of Laboratories, Syracuse, N. Y. (1918-1922); Health Officer, Albany, Missouri. Selskar Michael Gunn, S.B., C.P.H. Department of Biology and Public Health, Massachusetts Institute of Technology (1910-1917); American Tuberculosis Commission in France (1917-1920); Ministry of Health, Prague, Czecho-Slovakia (1920-1922); Rockefeller Foundation (1922- ). Linda James (Mrs. William Benitt), C.P.H. Harvard Infantile Paralysis Commission (1917-1918); Massachu- setts State Board of Labor and Industries (1918); Minnesota Public Health Association, Executive Secretary. Arthur Lederer, Chem. Eng., M.D., C.P.H. U. S. Public Health Service. John Joseph McCormick, M.D., C.P.H. Epidemiologist, Health Department, Jackson, Michigan; U. S. Pub- lic Health Service, 1919; Medical Corps, U. S. A. (1920- Vernon Robins, M.D., C.P.H. Alabama State Department of Health (1917-1918); Bacteriologist and Chemist, Health Department, Louisville, Kentucky. 188 WILLIAM THOMPSON SEDGWICK Daniel Clarence Steelsmith, M.D., C.P.H. Health Officer, Tuscaloosa, Alabama (1917-1918); Health Commis- sioner, Iowa City (1918-1919); Health Officer, Columbus, Georgia (1919-1920); City and County Health Work, United States Public Health Service. Elmer Seth Tenney, B.L., M.D., C.P.H. Commissioner, Department of Health, Nebraska (1917-1918); Medi- cal Corps, U. S. A. Frank Alonzo Wilmot, A.B., M.D., C.P.H. Sanitarian, Dennison Manufacturing Company, Framingham, Mas- sachusetts (1917); Medical Corps, U. S. A. Fu Chun Yen, M.D., C.P.H. Hunan Yale Medical School, Changsha, China. Millard Knowlton, M.D., C.P.H. Kansas State Board of Health, Chief, Bureau of Venereal Diseases (1918-1919); North Carolina State Board of Health, Director, Bu- reau of Venereal Diseases; Epidemiologist, Connecticut State De- partment of Health. William Wesley Peter, Ph.B., Ph.M., M.D., C.P.H. Joint Council on Public Health Education in China, Shanghai. Clair Elsmere Turner, A.B., A.M., C.P.H. Sanitary Engineer, U. S. Public Health Service; Department of Biology and Public Health, Massachusetts Institute of Technology. CLASS OF 1918 CLASS OF 1919 Marion Coon, M.D., C.P.H. in Industrial Hygiene, S.B., A.M. Health work with Women's City Club of Boston, Women's Educa- tional and Industrial Union, Boston; and R. H. Stearns Company, Boston. Arthur William Hedrich, S.B., C.P.H. Secretary, American Public Health Association; and Editor of the American Journal of Public Health, New York City (to 1923). Edward Scannell, M.D., C.P.H. Jose Alves de Castilho, Jr., M.D., C.P.H. Ettore Ciampolini, M.D., C.P.H. New Haven Health Centre (1920-1922). CLASS OF 1920 189 A PIONEER OF PUBLIC HEALTH Rufus Baker Crain, M.D., C.P.H. in Industrial Hygiene. Industrial work, Eastman Kodak Co., Rochester, New York. William Thurber Fales, S.B., C.P.H., Dr.P.H. Instructor in Epidemiology, School of Hygiene and Public Health, Johns Hopkins University (1920-1923); Statistician, State Board of Health, Alabama. Jonathan Edwards Henry, A.B., M.D., C.P.H. Epidemiologist, Massachusetts State Department of Public Health (1920-1921); United States Army. Robert Nelson Hoyt, S.B., C.P.H. Acting Bacteriologist, Health Department of Boston (1920); In- structor in Preventive Medicine and Director of Public Health Labo- ratory, University of Georgia. Clara Viola McWhirk, S.B., C.P.H. Bacteriologist, University Public Health Laboratory, Toledo, Ohio (1920). Harold Everett Peebles, S.B., S.M., C.P.H. Pathologist, New Samaritan Hospital, Sioux City, Iowa. Hynck Pelc, M.D., C.P.H. Ministry of Public Health, Prague, Czecho-Slovakia. Philip Skinner Platt, A.B., A.M., C.P.H. Director, New Haven (Connecticut) Health Centre (1920-1923); Research work, American Child Health Association, New York City. Alton Stackpole Pope, A.B., C.P.H. District Health Officer, Maine State Department of Health (1920- 1922); student, Tufts Medical School. Minna Mary Rohn, M.D., C.P.H. Health Officer, Lake George (New York) Health District (1918- 1921); Assistant Superintendent, New York State Reformatory for Women, Bedford Springs, New York; Professor of Health, Skid- more College, Saratoga Springs, New York. William Francis Wild, M.D., C.P.H. Director, County Health Work, Mississippi (1920-1921); Executive Secretary, Minnesota Public Health Association. Arthur Wilson, M.D., C.P.H. Health Officer, Saskatoon, Canada. Zelma Zentmire, S.B., S.M., C.P.H. Iowa State Board of Health. 190 WILLIAM THOMPSON SEDGWICK CLASS OF 1921 James E. Baylis, S.B., M.D., C.P.H. Bertha Millard Brown, S.B., C.P.H. Arthur E. Burke, S.B., C.P.H. Health Officer, Keene, New Hampshire (1921-1922); Mosquito Sup- pression Work for Brookline (Mass.) Board of Health (1922). Elmer Wilmot Campbell, S.B., C.P.H., Dr.P.H. Director, Division of Sanitary Engineering, State Department of Health, Augusta, Maine. Roy Jones Campbell, A.B., C.P.H. Head of Department of Biology, Rollins College, Winter Park, Florida (1921-1922). George Fordham, Ph.G., M.D., C.P.H. Charles Lovelace Foster, S.B., M.D., M.S., C.P.H. Sanitary Inspector, U. S. Army. Harry Eastman Hitchcock, M.D., C.P.H. City Physician, Jackson, Michigan; Medical Director, New Haven (Conn.) Health Centre (to 1923). Edgar Erkskine Hume, A.B., A.M., M.D., C.P.H. First Corps Area Laboratory, Fort Banks, Massachusetts; Assistant to Librarian, Army Medical Library, Washington, D. C. William Fuller Lawrence, A.B., C.P.H. City Bacteriologist and Director of Health Department Laboratory, Richmond, Virginia. George Fairless Lull, M.D., C.P.H., Dr.P.H. Instructor in Preventive Medicine and Vital Statistics, Army Medi- cal School, Washington, D.C. Dorothy Ruth Pierce, A.B., C.P.H. Mahidol Songkla, Prince of Siam, C.P.H. Ministry of Education, Bangkok, Siam. Arnold Carapiet Vardon, M.D., C.P.H. Central Research Laboratory, Kasauli, Simla Hills, India. Joseph Francis Vesely, M.D., C.P.H. Mildred Ernestine Wilson, C.P.H. Teaching Bacteriology, Washburn College, Topeka, Kansas. CLASS OF 1922 Henry Ehlen Berger, Jr., A.B., C.P.H. Health Officer, Wellesley, Massachusetts. 191 A PIONEER OF PUBLIC HEALTH James Van Wagner Boyd, M.D., C.P.H. in Industrial Hygiene. Denham Darfield Hall, M.D., C.P.H. David Barnard Lepper, M.D., C.P.H. Field Director, Russell County Health Department, Lebanon, Vir- ginia. Alfred George Long, M.D., C.P.H. Laboratory of Hygiene, State Board of Health, Indiana. Ralph Waldo Mendelson, M.D., C.P.H. Medical Officer of Health, Bangkok, Siam. Uriah Nathaniel Murray, A.B., M.D., C.P.H. William Henry Pickett, M.D., C.P.H. U. S. P. H. S., Great Falls, Montana. Carl Thatcher Pomeroy, A.B., C.P.H. Health Officer, Montclair, New Jersey. Francis Allen Richardson, A.B., S.B., M.D., C.P.H. Teaching in Mills College, California. Clarence Linwood Scamman, A.B., M.D., C.P.H. Deputy Health Commissioner, State Board of Health, R. I. Ruth Alida Thomas, A.B., C.P.H. Paul Ewald Tomanek, M.D., C.P.H. Epidemiologist, League of Nations, Geneva, Switzerland. Henry Charles Turner, M.D., C.P.H. James Wallace, A.M., B.D., M.D., C.M., C.P.H. With the Rockefeller Foundation, establishing County Health Units. 3. Former Special Students of the Harvard- Technology School of Public Health. Abele, Charles Arthur, Ch.E., S.B. Adams, Helen C., R.N. Akerley, Arthur William Kenah, M.D., C.M. Allen, J. Berton, M.D. Anderson, Anna M. Atwood, Catherine, A.B. Baker, Amy B., A.B. Bartlett, Leslie Raymond. Batt, Louise M., A.B. Bennett, Arthur King, M.D. Bonnier, Joseph Wilfred, B.M., M.D., D.P.H. Bradley, John Ruskin, M.D. Bradley, Rosamund. Bristol, Gertrude R., A.B. Burlingame, Frances M., A.B. Capen, Ruth G., A.B. Chisholm, Alva N. 192 WILLIAM THOMPSON SEDGWICK Coolidge, Isabel. Coolidge, Julia S. Daniels, Marian, A.B. Davis, Anna J., S.B. Dean, Miriam I., A.B. Dellenbaugh, Anne Goddard, A.B. Dewire, Marjorie. Eichorn, Gretchen. Fernaid, Ethel, A.B. Foley, Frederic Joseph, A.B. Fuller, Rhea Ruth, A.B. Furber, Jane M., A.B. Greenman, Raymond Henshaw. Gwinn, Van Henry, M.D. Hagerty, Joseph James, M.D. Hale, Amy E. Hale, Annie P. Harkness, Robert Rae, Ph.B. Hart, Clarence Dunbar, S.B. Hatch, Ruth E., A.B. Hawley, Ethel R. Holloway, Howard Steele, M.D. Horan, Charles F. Horel, Ruth Frances, A.B., A.M. Horwood, Murray Philip, S.B., S.M. Hunt, Frank S., S.B. Hurwitz, Simon, M.D. Jardein, Janette G., A.B. Jordan, C. Louise. Kennedy, Harris, A.B., M.D. Knight, Herbert Wilcox, M.D. Knobel, Edward, M.D.V. Kuo, Yang Mo. Landry, James Maguire Anthony, A.B., A.M. Lauder, Mildred, A.B. Lewis, Janet K., A.B. Little, Harold Greenleaf, S.B. Lord, Helen. Mackler, Max Joseph, Pharm.D., Ph.C. Morris, Harry Rembert, A.B., M.D. Nelson, John Brockway, S.B. Nichols, Hope. Ohrt, Frederick, C.E. Packard, Charles Earl, A.B. Payson, Hazel, S.B. Pickels, Esther E., A.B. Pierce, Louise V. Powers, John H. Pratt, William Porter, M.D. Proctor, Harriet T., A.B. Ratcliffe, Alice Ruth. Robinson, Mrs. Alexander C. Saville, Charles, S.B. Simon, Isaac Barney, S.B. Sindler, Bessie, A.B. Smith, Edwin Wallace, M.D. Smith, Ruth M., S.B. Stevens, Caroline, A.B. Stickney, Mrs. S. C. Stuart, Edward, S.B. Sun, S. K. Swaine, Edith. Swan, Horace C., M.D. Taylor, Marion F., A.B. Taylor, Martha, A.B. Tayntor, Lewis Olds, Ph.C. Thorpe, Priscilla A. Townsend, Myron, S.B. Vieira, F. B., M.D. Wallace, Mary A., R.N. Weinstein, Jeannette Dorothy, S.B. Whaley, Mrs. W. B. Whitney, Elsie E., A.B. Willey, A. G., A.B. Wood, Margery (see Robinson). Wylde, Russell Arthur, A.B. 193