|
1901 2011
Prize category:
|
The Nobel Prize in Physiology or Medicine 1948
Paul Müller
Award Ceremony Speech
Presentation Speech by Professor G. Fischer, member of the Staff of Professors of the Royal Caroline Institute
Your Royal Highnesses, Ladies and
Gentlemen.
The discovery of the insecticidal properties of
dichloro-diphenyl-trichloromethylmethane, abbreviated as DDT, has
a short and crowded history which, from the medical point of
view, is closely connected with the fight against typhus during
the last World War. In order to give my presentation the correct
medical background, I will first mention one or two points
concerning this disease.
Typhus has always occurred as a result of war or disaster and
hence has been named«Typhus bellicus», «War-
» or «Hunger-Typhus». During the Thirty Years' War
this disease was rampant, and it destroyed the remains of
Napoleon's Grand Army on its retreat from Russia. During the
First World War, it again claimed numerous victims. At that
period more than ten million cases were known in Russia alone,
and the death rate was great. Admittedly, the famous Frenchman
Nicolle had already, in 1909,
shown that the disease was practically solely transmitted by lice
- for which discovery he received the Nobel Prize - and thus paved the way for
effective control; but really successful methods for destroying
lice in large quantities, thus removing them as carriers, were
not yet at hand.
Towards the end of the Second World War, typhus suddenly appeared
anew. All over the world research workers applied their energies
to trying to discover an effective delousing method. Results,
however, were not very encouraging. In this situation, so
critical for all of us, deliverance came. Unexpectedly,
dramatically practically out of the blue, DDT appeared as a
deus ex machina.
A research group in Switzerland, under the leadership of Paul
Läuger and H. Martin and other collaborators had been
engaged since 1933 upon the preparation of oral toxins against
textile parasites. This work led to the discovery of a
moth-control agent «Mitin» which, on the wool-fibre,
looked like a colourless dyestuff. It was discovered at the same
time that chemical combinations of the general formula:
often showed good oral toxicity to
moths.
Paul Müller went his own way and tried to find insecticides
for plant protection. In so doing he arrived at the conclusion
that for this purpose a contact insecticide was best
suited.
Systematically he tried hundreds of synthesized organic
substances on flies in a type of Peet-Grady chamber. An article
by the Englishmen Chattaway and Muir, gave him the idea of
testing combinations with the CCl3 groups, and this
then finally led to the realization that
dichloro-diphenyl-trichloro-methylmethane acted as a contact
insecticide on Colorado beetles, flies and many other insect
species under test. He determined its extraordinary persistence,
and simultaneously developed the various methods of application
such as solutions, emulsions and dusts.
In trials under natural conditions Müller was able to
confirm the long persistent contact action on flies, Colorado
beetles and gnats (Culex).
Recognition of the intense contact activity of
dichloro-diphenyl-trichloromethylmethane opened further
prospects: indeed, the preparation might be successfully used in
the fight against i.e. bloodsucking and disease-carrying insects
such as lice, gnats and fleas - carriers incapable of being
reached by oral poisons. In the further trials now conducted, DDT
showed a very large number of good properties. At requisite
insecticidal dosages it is practically non-toxic to humans, and
acts in very small dosages on a large number of various species
of insect. Furthermore, it is cheap, easily manufactured and
exceedingly stable. A surface treated with DDT maintains its
insecticidal properties for a long time, up to several
months.
A short story perhaps illustrates better than many words how the
substance acts. In 1945, when DDT was still relatively untried, I
met an English Major in Germany who told me he had treated the
window pane of his room with DDT since he was plagued by masses
of flies. After the DDT solution had been sprayed on, the flies
died and lay in heaps on the window ledge. The following morning
a German soldier entered and thoroughly cleaned the window. When
the Major noticed this he couldn't help crying «Goodbye my
DDT!». But this farewell was uncalled for. In spite of the
thorough cleaning, the window pane retained its deadly action on
the flies. This little story amply illustrates how persistent DDT
is and how small the dosage required.
A number of Swiss research workers such as Domenjoz and Wiesmann
now concerned themselves with further trials of the substance.
Mooser's researches aimed directly at a prophylaxis of typhus. On
the 18th of September 1942, he gave a significant lecture to the
physicians of the Swiss First Army Corps, on the possibilities of
protection against typhus by means of DDT.
At that time, the Allied Armies of the West were struggling with
severe medical problems. A series of diseases transmittable by
insects, diseases such as typhus, malaria and sandfly fever
claimed a large number of victims and interfered with the conduct
of the War. The Swiss, who had recognized the great importance of
DDT, secretly shipped a small quantity of the material to the
United States; in December of 1942 the American Research Council
for Insectology in Orlando (Florida) undertook a large series of
trials which fully confirmed the Swiss findings. The war
situation demanded speedy action. DDT was manufactured on a vast
scale whilst a series of experiments determined methods of
application. Particularly energetic was General Fox,
Physician-in-Chief to the American forces.
In October of 1943 a heavy outbreak of typhus occurred in Naples
and the customary relief measures proved totally inadequate.
General Fox thereupon introduced DDT treatment with total
exclusion of the old, slow methods of treatment. As a result,
1,300,000 people were treated in January 1944 and in a period of
three weeks the typhus epidemic was completely mastered. Thus,
for the first time in history a typhus outbreak was brought under
control in winter. DDT had passed its ordeal by fire with flying
colours.
Since those days DDT has been used in large quantities in the
evacuation of concentration camps, of prisoners and deportees.
Without any doubt, the material has already preserved the life
and health of hundreds of thousands. Currently DDT treatment is
the sovereign remedy the world over for the prophylaxis of
typhus.
The application of DDT has also proved effective in the fight
against several other diseases transmitted by insects. Thus
malaria is spread by several mosquito species. In the fight
against malaria, the control of the adult mosquito as well as the
larval state form essential part treatments. Under the leadership
of Missiroli and the Rockefeller Foundation,
large-scale field trials have been held in the old Pontine
marshes and in Sardinia as well as in Greece. By simple means
excellent results have been obtained there. In consequence the
incidence of malaria in these areas has been greatly reduced. In
Greece, where before in certain districts 80-85% of the
population suffered from malaria, the frequency has been reduced
to 5% and the ancient Pontine marshes are now as good as free of
malaria.
In DDT therefore, we also possess an extremely valuable remedy in
the fight against malaria, this the most widespread of all
contagious diseases which yearly affects about 300,000,000 people
and causes a yearly death rate of at least 3,000,000. In the
cases of many other diseases spread by insects, diseases such as
plague, murine typhus and yellow fever, significant results have
been obtained.
In our temperate climates these extensive contagious diseases
spread by insects have, under normal circumstances, little
actuality. In this respect the normal house fly must, however, be
regarded as a dangerous intermediate carrier. Several intestinal
diseases such as paratyphoid and paradysentery are transmitted by
flies whilst a series of facts also point to the possibility that
infantile paralysis is thus transmitted.
Generally speaking the housefly is very susceptible to DDT;
unfortunately some fairly resistant species of fly have lately
been observed. Early observations of such a resistant species
were made in Arnäs in Sweden, and this species has
consequently come to be referred to as the Arnäs fly.
Research on this aspect continues; the discovery of DDT has
stimulated further research and there are signs of substances to
which even the Arnäs fly is susceptible.
The story of DDT illustrates the often wondrous ways of science
when a major discovery has been made. A scientist, working with
flies and colorado beetles discovers a substance that proves
itself effective in the battle against the most serious diseases
in the world. Many there are who will say he was lucky, and so he
was. Without a reasonable slice of luck hardly any discoveries
whatever would be made. But the results are not simply based on
luck. The discovery of DDT was made in the course of industrious
and certainly sometimes monotonous labour; the real scientist is
he who possesses the capacity to understand, interpret and
evaluate the meaning of what at first sight may seem to be an
unimportant discovery.
Dr. Paul Müller. I have tried to give
a brief survey of the historical development of DDT. Your
discovery of the strong contact insecticidal action of
dichloro-diphenyl-trichloromethylmethane is of the greatest
importance in the field of medicine. Thanks to you, preventive
medicine is now able to fight many diseases carried by insects on
a way totally different from that employed heretofore. Your
discovery furthermore has, throughout the world, stimulated
successful research into newer insecticides.
With the warmest good wishes of the Caroline Institute I now ask
you to accept the Nobel Prize from the hands of His Royal
Highness the Crown Prince.
From Nobel Lectures, Physiology or Medicine 1942-1962, Elsevier Publishing Company, Amsterdam, 1964
Copyright © The Nobel Foundation 1948
MLA style: "Nobelprize.org". Nobelprize.org. 24 May 2012 http://www.nobelprize.org/nobel_prizes/medicine/laureates/1948/press.html
