Sunday, March 12, 2017

Great contributors to leprosy: Dr. Robert Cochrane and Schieffelin Leprosy Centre, Karigiri, Tamil Nadu, India

Great contributors to leprosy: Dr. Robert Cochrane and Schieffelin Leprosy Centre, Karigiri, Tamil Nadu, India
S. Tharakaram Borough Green Dermatology Unit, Medway Hospitals NHS Foundation Trust, Borough Green, U.K.
Dr. Robert Greenhill Cochrane (1899–1985) was born of missionary parents in Pei-Tei-Ho, China in 1899. As an infant barely 6 months old, he, his parents and two brothers were captured by the Boxers and released after the entreaties of their Chinese helper. His father Dr. Thomas Cochrane founded the Peking Union Medical College with the financial help of the Dowager Empress of China. After schooling in London, he graduated in medicine in 1924 from Glasgow and after some training at St Bartholomew’s Hospital he passed the Conjoint


Diplomas MRCS, LRCP and the DTM&H of the London School of Tropical Medicine. As a medical student he had a dream that he had found a cure for leprosy. This dream was kindled when he sat at the feet of the veteran leprologist Dr. Ernest Muir, head of the then newly created Department of Leprosy, Calcutta Medical College and Hospital. He was initially appointed chief medical officer to the Lady Willingdon Leprosy Sanatorium. Dr. Cochrane’s hard and sincere working day started early at 5 a.m. and ended past the small hours of mid-night. In 1944, Dr.Cochrane was appointed professor and head of the Dermatology Department, Christian Medical College, Vellore and later as principal; he still continued teaching at Madras and Stanley Medical Colleges as well. Dr. Cochrane was the first to use dapsone in leprosy after consultation with the chemists of Imperial Chemical Industries who were using a suspension of diamino diphenyl sulphone as an injection to treat streptococcal mastitis in cows. Initially, dapsone was given by injection to patients with leprosy but the tablet form followed soon. CIBA 1906 (thiambutosine) and B663 (lamprene or clofazimine) were developed as a result of his encouragement to research into newer anti leprosy drugs. As a professor at the Christian Medical College, Vellore he held a fellowship meeting every month attended by Prof. C.K. Job a sa medical student. He was a devout Christian and his faith and wholehearted commitment to his Master, Lord Jesus Christ, gave him the spirit, strength and devotion to carry on his work. He was awarded the Kaiser-I-Hind Gold Medal for his contributions to leprosy. Predeceased by his first wife Ivy, he remarried Jeannie who looked after him, nursing him through illness until his death. Of his three children by his first wife, two became doctors and one of the doctors continues Dr. Cochrane’s great work in leprosy by serving with the Leprosy Mission in Bangladesh.

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