1 00:00:00,120 --> 00:00:01,920 Speaker 1: This Day in History Class is a production of I 2 00:00:02,000 --> 00:00:11,320 Speaker 1: Heart Radio. Hello and Welcome to This Day in History Class, 3 00:00:11,320 --> 00:00:14,240 Speaker 1: a show that reveals a little bit more about history 4 00:00:14,600 --> 00:00:19,119 Speaker 1: every day of the week. I'm Gabelusier, and in this episode, 5 00:00:19,360 --> 00:00:23,440 Speaker 1: we're talking about the chance discovery of penicillin, a naturally 6 00:00:23,480 --> 00:00:27,360 Speaker 1: occurring antibiotic compound and one of the greatest advances in 7 00:00:27,440 --> 00:00:38,920 Speaker 1: therapeutic medicine the world has ever known. The day was 8 00:00:39,000 --> 00:00:48,800 Speaker 1: September Scottish microbiologist Alexander Fleming discovered a life saving antibiotic agent, 9 00:00:49,159 --> 00:00:55,040 Speaker 1: which he called penicillin. Antibiotics are substances produced by bacteria 10 00:00:55,160 --> 00:00:58,720 Speaker 1: and fungi which are capable of killing or suppressing other 11 00:00:58,840 --> 00:01:03,320 Speaker 1: microbial species. Humans have been aware of this special ability 12 00:01:03,440 --> 00:01:07,760 Speaker 1: since ancient times, but the phenomenon wasn't understood or widely 13 00:01:07,800 --> 00:01:12,880 Speaker 1: harnessed until Fleming's discovery in nineteen twenty eight. His breakthrough 14 00:01:13,080 --> 00:01:17,440 Speaker 1: finally provided an effective treatment for severe illnesses and infections 15 00:01:17,480 --> 00:01:23,200 Speaker 1: such as pneumonia, meningitis, gonorrhea, and rheumatic fever. The introduction 16 00:01:23,319 --> 00:01:27,000 Speaker 1: of penicillin saved the lives of countless patients and changed 17 00:01:27,040 --> 00:01:30,720 Speaker 1: the course of modern medicine. That means the drug also 18 00:01:30,840 --> 00:01:34,840 Speaker 1: helped create the colossal pharmaceutical industry we know today, but 19 00:01:35,400 --> 00:01:39,280 Speaker 1: don't hold that against it. The development of penicillin for 20 00:01:39,440 --> 00:01:42,080 Speaker 1: use as a medicine took a decade and a half 21 00:01:42,400 --> 00:01:45,720 Speaker 1: and involved the labor of several pathology professors and a 22 00:01:45,760 --> 00:01:48,880 Speaker 1: host of laboratory workers. But the man who got the 23 00:01:48,920 --> 00:01:53,640 Speaker 1: ball rolling by identifying penicillin was Alexander Fleming. He was 24 00:01:53,720 --> 00:01:58,280 Speaker 1: born in Ayrshire, Scotland, on August six, eighteen eighty one. 25 00:01:58,720 --> 00:02:01,360 Speaker 1: He moved to London when he was thirteen and began 26 00:02:01,440 --> 00:02:05,680 Speaker 1: taking classes at Regent Street Polytechnic. In nineteen o one, 27 00:02:05,960 --> 00:02:09,560 Speaker 1: he received a scholarship to Saint Mary's Hospital Medical School. 28 00:02:10,160 --> 00:02:13,520 Speaker 1: After completing his studies, Fleming accepted a job at St 29 00:02:13,560 --> 00:02:17,920 Speaker 1: Mary's as a medical bacteriologist. In nineteen o six, he 30 00:02:18,000 --> 00:02:21,639 Speaker 1: joined the staff of the inoculation department, where he administered 31 00:02:21,639 --> 00:02:26,440 Speaker 1: newly synthesized drugs and vaccines to patients. Fleming developed an 32 00:02:26,440 --> 00:02:29,840 Speaker 1: interest in the natural bacterial action of the blood and 33 00:02:29,960 --> 00:02:34,040 Speaker 1: in chemical antiseptics such as carbolic acid. He was able 34 00:02:34,080 --> 00:02:37,160 Speaker 1: to continue his studies on the subject during World War One, 35 00:02:37,480 --> 00:02:41,560 Speaker 1: when he worked at a wound research laboratory in Boulan, France. 36 00:02:42,240 --> 00:02:45,160 Speaker 1: It was vital work, as the chief killer in human 37 00:02:45,200 --> 00:02:49,679 Speaker 1: wars had always been infection rather than the battle injuries themselves. 38 00:02:50,440 --> 00:02:53,799 Speaker 1: The First World War was no different, prompting a desperate 39 00:02:53,840 --> 00:02:58,519 Speaker 1: search for antibacterial substances that wouldn't be toxic to animal tissues. 40 00:02:59,280 --> 00:03:02,160 Speaker 1: The war drew to a close without much progress on 41 00:03:02,240 --> 00:03:05,520 Speaker 1: that front, but in nineteen twenty one, Fleming made an 42 00:03:05,520 --> 00:03:09,560 Speaker 1: important stride. He had already discovered that puss from open 43 00:03:09,600 --> 00:03:13,320 Speaker 1: wounds had antibacterial properties, and he was eager to see 44 00:03:13,360 --> 00:03:17,960 Speaker 1: what other bodily fluids might be used as antiseptics. One day, 45 00:03:18,120 --> 00:03:21,880 Speaker 1: out of sheer curiosity, Fleming let his nose drip into 46 00:03:21,919 --> 00:03:26,359 Speaker 1: an uncovered Petrie dish. To his surprise, the mucus caused 47 00:03:26,400 --> 00:03:29,720 Speaker 1: the bacteria in the dish to disintegrate. He had just 48 00:03:29,840 --> 00:03:35,280 Speaker 1: discovered lysazyme, an antibacterial enzyme that exists not only in mucus, 49 00:03:35,560 --> 00:03:41,120 Speaker 1: but in tears, saliva, and a few other bodily secretions. Unfortunately, 50 00:03:41,320 --> 00:03:45,320 Speaker 1: Fleming's later attempts to create a concentrated form of lysozyme 51 00:03:45,640 --> 00:03:50,200 Speaker 1: were unsuccessful. However, his care free let's see what happens 52 00:03:50,200 --> 00:03:53,800 Speaker 1: approach to scientific study ultimately led him to an even 53 00:03:53,880 --> 00:03:58,360 Speaker 1: greater discovery. In ninety eight, it was mid August and 54 00:03:58,400 --> 00:04:01,280 Speaker 1: Fleming had just set out London on a two week 55 00:04:01,360 --> 00:04:05,440 Speaker 1: vacation to Scotland. Before we go any further, I want 56 00:04:05,440 --> 00:04:08,760 Speaker 1: to say that, by all accounts, Dr Fleming had many 57 00:04:08,880 --> 00:04:13,800 Speaker 1: admirable qualities. For instance, Time magazine once described him as 58 00:04:13,920 --> 00:04:18,400 Speaker 1: quote a gentle, retiring scott with somewhat dreamy blue eyes, 59 00:04:18,800 --> 00:04:22,680 Speaker 1: fierce white hair, and a mulling mind, which, when it moves, 60 00:04:23,000 --> 00:04:27,720 Speaker 1: moves with the thrust of a cobra. However, he was also, 61 00:04:27,880 --> 00:04:32,000 Speaker 1: by all accounts, a rather messy worker, so messy that 62 00:04:32,080 --> 00:04:34,719 Speaker 1: he didn't bother cleaning up his lab before heading out 63 00:04:34,720 --> 00:04:38,640 Speaker 1: on vacation. He had been experimenting with the influenza virus 64 00:04:38,880 --> 00:04:42,040 Speaker 1: and had left a petri dish containing a staphylo caccus 65 00:04:42,080 --> 00:04:46,119 Speaker 1: culture sitting out on his lab bench. That bacteria should 66 00:04:46,120 --> 00:04:49,080 Speaker 1: have been placed in the sterile environment of an incubator, 67 00:04:49,440 --> 00:04:52,359 Speaker 1: but since Fleming didn't keep a very tidy lab, it 68 00:04:52,480 --> 00:04:55,400 Speaker 1: was instead left out to fester for his entire two 69 00:04:55,480 --> 00:04:59,800 Speaker 1: week holiday. When the doctor returned on September three, he 70 00:05:00,040 --> 00:05:04,200 Speaker 1: notice something unusual about the neglected dish. In his absence. 71 00:05:04,360 --> 00:05:07,840 Speaker 1: The bacteria had grown, but so had a mold spore 72 00:05:08,080 --> 00:05:11,120 Speaker 1: that had somehow made its way into the culture. The 73 00:05:11,160 --> 00:05:15,240 Speaker 1: presence of mold wasn't notable in itself, but its distribution 74 00:05:15,320 --> 00:05:19,360 Speaker 1: within the dish was. There were colonies of bacteria all 75 00:05:19,400 --> 00:05:22,800 Speaker 1: over the dish, except for in the one area where 76 00:05:22,800 --> 00:05:26,799 Speaker 1: the mold was growing. A ring of clear space surrounded 77 00:05:26,839 --> 00:05:29,720 Speaker 1: the mold, almost like an invisible force field that the 78 00:05:29,760 --> 00:05:33,320 Speaker 1: bacteria hadn't been able to get through. After placing the 79 00:05:33,320 --> 00:05:37,960 Speaker 1: dish under his microscope, Fleming realized something remarkable. The mold 80 00:05:38,000 --> 00:05:41,440 Speaker 1: had secreted a fluid, let's call it mold juice that 81 00:05:41,560 --> 00:05:45,440 Speaker 1: seemed to inhibit the growth of the bacteria. To confirm 82 00:05:45,520 --> 00:05:48,960 Speaker 1: his findings, Fleming needed to grow more of the mystery mold. 83 00:05:49,400 --> 00:05:54,479 Speaker 1: It took several weeks, but at last, on septem Fleming 84 00:05:54,560 --> 00:05:57,160 Speaker 1: was able to identify the mold as a rare strain 85 00:05:57,400 --> 00:06:01,320 Speaker 1: of Penicillium notatum, and of the research revealed that it 86 00:06:01,320 --> 00:06:05,240 Speaker 1: could effectively kill not only Staphylo caccus, but a wide 87 00:06:05,360 --> 00:06:09,359 Speaker 1: range of other harmful bacteria. He later reflected on that 88 00:06:09,440 --> 00:06:14,359 Speaker 1: auspicious moment, writing quote, one sometimes finds what one is 89 00:06:14,400 --> 00:06:17,520 Speaker 1: not looking for. When I woke up just after dawn 90 00:06:17,600 --> 00:06:23,760 Speaker 1: on September I certainly didn't plan to revolutionize all medicine 91 00:06:23,880 --> 00:06:28,320 Speaker 1: by discovering the world's first antibiotic or bacteria killer. But 92 00:06:28,400 --> 00:06:32,760 Speaker 1: I guess that was exactly what I did. His discovery 93 00:06:33,040 --> 00:06:36,880 Speaker 1: did pave the way for the medical revolution he humbly described, 94 00:06:37,080 --> 00:06:40,320 Speaker 1: But it's worth noting again that Fleming didn't actually use 95 00:06:40,440 --> 00:06:45,440 Speaker 1: penicillin to combat infectious diseases. His work focused instead on 96 00:06:45,560 --> 00:06:49,880 Speaker 1: penicillin's potential use as a topical antiseptic for cleaning wounds 97 00:06:49,920 --> 00:06:53,640 Speaker 1: and surface infections. Fleming published a paper to that effect 98 00:06:53,680 --> 00:06:57,440 Speaker 1: in ninety nine, but the scientific community didn't pay much 99 00:06:57,480 --> 00:07:01,839 Speaker 1: attention to his findings. However, in the decade that followed, 100 00:07:02,080 --> 00:07:06,599 Speaker 1: Oxford researchers Howard Floory and Ernst Chain carried on and 101 00:07:06,640 --> 00:07:10,520 Speaker 1: eventually finished the work that Fleming had started. They developed 102 00:07:10,560 --> 00:07:14,120 Speaker 1: penicillin for use as a therapeutic agent to fight bacterial 103 00:07:14,200 --> 00:07:18,480 Speaker 1: diseases within the body, first in laboratory mice and later 104 00:07:18,520 --> 00:07:21,800 Speaker 1: in human beings. They were aided in this effort by 105 00:07:21,800 --> 00:07:26,320 Speaker 1: a biochemist named Norman Heatley. Through much trial and error, 106 00:07:26,520 --> 00:07:30,080 Speaker 1: Heatley was able to grow huge amounts of penicillin mold, 107 00:07:30,320 --> 00:07:33,679 Speaker 1: allowing the antibiotic fluid it produced to be suctioned off 108 00:07:33,720 --> 00:07:37,600 Speaker 1: and purified for use as a medicine. His techniques were 109 00:07:37,760 --> 00:07:41,000 Speaker 1: crewed by today's standards, but they were a crucial first 110 00:07:41,000 --> 00:07:44,400 Speaker 1: step on the road to the mass production of antibiotics. 111 00:07:45,360 --> 00:07:49,600 Speaker 1: In March of nineteen forty two, fourteen years after Fleming's 112 00:07:49,640 --> 00:07:53,280 Speaker 1: initial discovery, a woman named Anne Miller, became the first 113 00:07:53,280 --> 00:07:58,000 Speaker 1: civilian patient to be successfully treated with penicillin after suffering 114 00:07:58,000 --> 00:08:03,240 Speaker 1: a miscarriage. Miller had developed an infection, streptococcle septicemia that 115 00:08:03,360 --> 00:08:07,200 Speaker 1: resulted in severe blood poisoning. In the past, there would 116 00:08:07,240 --> 00:08:09,600 Speaker 1: have been little the doctors could do for her, and 117 00:08:09,640 --> 00:08:12,440 Speaker 1: she almost certainly would have died. But thanks to the 118 00:08:12,480 --> 00:08:17,400 Speaker 1: research of Fleming, Flory, Chain, and Heatley, and Miller survived, 119 00:08:17,600 --> 00:08:21,680 Speaker 1: and so did millions more just like her. Penicillin did 120 00:08:21,720 --> 00:08:24,960 Speaker 1: wonders on the front line as well, greatly reducing the 121 00:08:25,040 --> 00:08:28,720 Speaker 1: number of deaths and amputations among troops. During World War Two, 122 00:08:29,360 --> 00:08:32,800 Speaker 1: an infected war wound was no longer the death sentence 123 00:08:32,920 --> 00:08:36,240 Speaker 1: it once was. For example, in the First World War, 124 00:08:36,400 --> 00:08:40,440 Speaker 1: the death rate from bacterial pneumonia was eighteen percent, but 125 00:08:40,559 --> 00:08:43,960 Speaker 1: during World War Two it felled less than one percent. 126 00:08:44,720 --> 00:08:48,280 Speaker 1: That incredible showing proved the worth of penicillin, and by 127 00:08:48,320 --> 00:08:51,280 Speaker 1: the end of the war, American companies were cranking out 128 00:08:51,360 --> 00:08:55,480 Speaker 1: six hundred and fifty billion units of the medicine every month. 129 00:08:56,200 --> 00:09:00,880 Speaker 1: Other antibiotics were eventually discovered as well, but penicillin remained 130 00:09:00,920 --> 00:09:04,640 Speaker 1: the most widely used, and it still is today. In 131 00:09:06,200 --> 00:09:10,520 Speaker 1: Alexander Fleming, Howard Floory, and Ernst Chain were recognized for 132 00:09:10,559 --> 00:09:13,800 Speaker 1: their pioneering work when they were awarded the Nobel Prize 133 00:09:13,840 --> 00:09:19,839 Speaker 1: in Physiology or Medicine. Sadly, Norman Heatley received no such recognition, 134 00:09:20,160 --> 00:09:23,640 Speaker 1: though Oxford did eventually award him an honorary doctorate of 135 00:09:23,679 --> 00:09:28,959 Speaker 1: Medicine in Although Fleming tends to receive the most credit 136 00:09:29,000 --> 00:09:32,400 Speaker 1: for his discovery of penicillin, there's a common perception that 137 00:09:32,480 --> 00:09:35,839 Speaker 1: he didn't really do all that much. After all, he 138 00:09:35,880 --> 00:09:39,040 Speaker 1: didn't develop the compound for medical use, and even his 139 00:09:39,120 --> 00:09:42,480 Speaker 1: discovery of it seemed to be a total accident. In 140 00:09:42,520 --> 00:09:47,760 Speaker 1: all likelihood, other scientists had seen Penicillium notatum growing in 141 00:09:47,800 --> 00:09:52,040 Speaker 1: their own peatree dishes long before Fleming, but unlike them, 142 00:09:52,040 --> 00:09:56,880 Speaker 1: Fleming didn't discard his moldy dish as of failed experiment. Instead, 143 00:09:57,200 --> 00:10:00,160 Speaker 1: he used his keen eye for detail to recognize is 144 00:10:00,240 --> 00:10:04,120 Speaker 1: the mold surprising properties, and then he exercised his scientific 145 00:10:04,120 --> 00:10:08,520 Speaker 1: curiosity to learn more about them. As Fleming himself admitted 146 00:10:08,760 --> 00:10:11,680 Speaker 1: he didn't set out to change the world, but because 147 00:10:11,720 --> 00:10:16,440 Speaker 1: of who he was, observant, curious, and somewhat messy, that's 148 00:10:16,440 --> 00:10:22,120 Speaker 1: exactly what he did. I'm Gabe Lucier and hopefully you 149 00:10:22,160 --> 00:10:25,600 Speaker 1: now know a little more about medical history today than 150 00:10:25,600 --> 00:10:29,160 Speaker 1: you did yesterday. You can learn even more about history 151 00:10:29,200 --> 00:10:32,679 Speaker 1: by following us on Twitter, Facebook, and Instagram at t 152 00:10:32,800 --> 00:10:36,480 Speaker 1: d i HC Show, and if you have any comments 153 00:10:36,520 --> 00:10:39,320 Speaker 1: or suggestions, you can always send them my way at 154 00:10:39,400 --> 00:10:43,080 Speaker 1: this Day at I heart media dot com. Thanks to 155 00:10:43,160 --> 00:10:45,720 Speaker 1: Chandler Mays for producing the show, and thanks to you 156 00:10:45,800 --> 00:10:48,800 Speaker 1: for listening. I'll see you back here again tomorrow for 157 00:10:48,880 --> 00:11:04,120 Speaker 1: another day in History class