Edward Headlam Greenhow
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Edward Headlam Greenhow FRS, FRCP (1814 – 22 April 1888) was an English physician, epidemiologist, sanitarian, statistician, clinician and lecturer.


Life and career

Greenhow was born at
North Shields North Shields ( ) is a town in the borough of North Tyneside in Tyne and Wear, England. It is north-east of Newcastle upon Tyne and borders nearby Wallsend and Tynemouth. The population of North Shields at the 2021–2022 United Kingdom cens ...
in 1814, and after receiving his medical education at
Edinburgh Edinburgh is the capital city of Scotland and one of its 32 Council areas of Scotland, council areas. The city is located in southeast Scotland and is bounded to the north by the Firth of Forth and to the south by the Pentland Hills. Edinburgh ...
and
Montpellier Montpellier (; ) is a city in southern France near the Mediterranean Sea. One of the largest urban centres in the region of Occitania (administrative region), Occitania, Montpellier is the prefecture of the Departments of France, department of ...
, he joined his father in practice in that town. His grandfather, father and uncle,
Thomas Michael Greenhow Thomas Michael Greenhow MD MRCS FRCS (5 July 1792 – 25 October 1881) was an English surgeon and epidemiologist. Career Greenhow was the second son of Edward Martin Greenhow, an army surgeon from North Shields. He was a medical graduate o ...
, were all physicians. Initially a surgeon, Greenhow and his uncle Thomas were both members of the North of England Medical Association; Edward being president in 1841. Edward Headlam Greenhow practiced for eighteen years in Newcastle-upon-Tyne, and did much work on sanitation, becoming a member of the Town Council of
Tynemouth Tynemouth () is a coastal town in the metropolitan borough of North Tyneside, in Tyne and Wear, England. It is located on the north side of the mouth of the River Tyne, England, River Tyne, hence its name. It is east-northeast of Newcastle up ...
and chairman of the Board of Health. In 1852 Greenhow graduated as
M.D. A Doctor of Medicine (abbreviated MD, from the Latin ) is a medical degree, the meaning of which varies between different jurisdictions. In the United States, and some other countries, the ''MD'' denotes a professional degree of physician. This ge ...
at King's College,
University of Aberdeen The University of Aberdeen (abbreviated ''Aberd.'' in List of post-nominal letters (United Kingdom), post-nominals; ) is a public university, public research university in Aberdeen, Scotland. It was founded in 1495 when William Elphinstone, Bis ...
, and in 1853 established himself in London as a consulting physician. For some years he was largely engaged in work connected with
public health Public health is "the science and art of preventing disease, prolonging life and promoting health through the organized efforts and informed choices of society, organizations, public and private, communities and individuals". Analyzing the de ...
, being appointed lecturer on this subject at St. Thomas's Hospital (the first appointment of the kind in the country). Across the road was
Guy's Hospital Guy's Hospital is an NHS hospital founded by philanthropist Thomas Guy in 1721, located in the borough of Southwark in central London. It is part of Guy's and St Thomas' NHS Foundation Trust and one of the institutions that comprise the Kin ...
. There Greenhow became acquainted with
Thomas Addison Thomas Addison (April 179529 June 1860) was an English physician and medical researcher. He is traditionally regarded as one of the "great men" of Guy's Hospital in London. Thomas Addison began his career at Guy's Hospital in 1817, eventually ...
, and saw the patients mentioned in Addison's book before they died. He also met
William Gull Sir William Withey Gull, 1st Baronet (31 December 181629 January 1890) was an English physician. Of modest family origins, he established a lucrative private practice and served as Governor of Guy's Hospital, Fullerian Professor of Physiology a ...
, who with William Baly ran the Cholera Committee. An inquiry Greenhow undertook into mortality from diseases in certain districts in England, for his lectures, was published as a parliamentary paper by John Simon, medical officer of the Board of Health. The facts gathered in this inquiry were made the basis of future work arising out of the Public Health Act 1858, when Simon was medical officer to the Privy Council. Greenhow was engaged for inquiries into
diphtheria Diphtheria is an infection caused by the bacteria, bacterium ''Corynebacterium diphtheriae''. Most infections are asymptomatic or have a mild Course (medicine), clinical course, but in some outbreaks, the mortality rate approaches 10%. Signs a ...
(1859) and pulmonary disease among operatives (miners, grinders, flax-dressers, etc.), with a report on this latter subject (1860–1861) being of wide interest. Simon resigned in 1876 as Chief Medical Officer to the Privy Council, and the post was abolished: Greenhow had lost an ally. Simon and Greenhow were persuaded that cleanliness led to health, and that pollution, such as in Liverpool, was the cause of the plagues of
typhoid Typhoid fever, also known simply as typhoid, is a disease caused by ''Salmonella enterica'' serotype Typhi bacteria, also called ''Salmonella'' Typhi. Symptoms vary from mild to severe, and usually begin six to 30 days after exposure. Often ther ...
and Asiatic
cholera Cholera () is an infection of the small intestine by some Strain (biology), strains of the Bacteria, bacterium ''Vibrio cholerae''. Symptoms may range from none, to mild, to severe. The classic symptom is large amounts of watery diarrhea last ...
in Britain. The government used
William Henry Duncan William Henry Duncan (27 January 1805 – 23 May 1863), also known as Doctor Duncan, was an English doctor Doctor, Doctors, The Doctor or The Doctors may refer to: Titles and occupations * Physician, a medical practitioner * Doctor (title) ...
to undermine the conclusions of Greenhow. Greenhow's various reports as Medical Officer of the Privy Council were instrumental in the emancipation of children, beginning in 1867 with a change to the Workshop Regulation Act. This made it illegal to employ children under the age of eight. In 1859 Greenhow became a Fellow of the
Royal College of Physicians The Royal College of Physicians of London, commonly referred to simply as the Royal College of Physicians (RCP), is a British professional membership body dedicated to improving the practice of medicine, chiefly through the accreditation of ph ...
, and in 1861 was elected assistant physician to the
Middlesex Hospital Middlesex Hospital was a teaching hospital located in the Fitzrovia area of London, England. First opened as the Middlesex Infirmary in 1745 on Windmill Street, it was moved in 1757 to Mortimer Street where it remained until it was finally clos ...
and lecturer on the subjects of public health and medical jurisprudence in the medical school. In 1871 he became physician and lecturer on medicine; on his retirement from the acting staff in 1880 he was elected consulting physician to the hospital. Greenhow was a Fellow of the
Royal Society The Royal Society, formally The Royal Society of London for Improving Natural Knowledge, is a learned society and the United Kingdom's national academy of sciences. The society fulfils a number of roles: promoting science and its benefits, re ...
(1870) and a member of many medical societies. In 1879–1881 he was president of the Clinical Society of London, which he had shared in founding in 1867. He was the author of works on diphtheria, chronic bronchitis, and on Addison's disease, the subject of his Croonian lectures (1875). The lectures became the subject of a second book on
Addison's disease Addison's disease, also known as primary adrenal insufficiency, is a rare long-term endocrine disorder characterized by inadequate production of the steroid hormones cortisol and aldosterone by the two outer layers of the cells of the adr ...
, and Greenhow delivered the lecture on Addison's disease at the International Medical Congress of 1881: he had had eleven patients of his own. He had pioneered treatment with iron and effervescing medicine which engineered a remission, and so prolonged life. Greenhow served on more than one
Royal Commission A royal commission is a major ad-hoc formal public inquiry into a defined issue in some monarchies. They have been held in the United Kingdom, Australia, Canada, New Zealand, Norway, Malaysia, Mauritius and Saudi Arabia. In republics an equi ...
, of which Lord Kimberley ( Earl of Kimberley) was chairman. He was the medical officer to the Pensions Commutation Board from its formation in 1870 until the day of his death. In May 1859, Greenhow held the Chair of the Epidemiological Society of London, the establishment which had
anaesthetist Anesthesiology, anaesthesiology or anaesthesia is the medical specialty concerned with the total perioperative care of patients before, during and after surgery. It encompasses anesthesia, intensive care medicine, critical emergency medicine, a ...
John Snow John Snow (15 March 1813 – 16 June 1858) was an English physician and a leader in the development of anaesthesia and medical hygiene. He is considered one of the founders of modern epidemiology and early germ theory, in part because of hi ...
as one of its founders. Greenhow and Snow were the most "outstanding practitioners" at Newcastle Infirmary, which would eventually become a medical school, established by Greenhow's uncle, surgeon Dr Thomas Michael Greenhow. Snow's ''Case Books'' record that in November 1857, Greenhow was living and working in London and present whilst Snow gave chloroform to a patient. Greenhow was returning to his home at
Reigate Reigate ( ) is a town status in the United Kingdom, town in Surrey, England, around south of central London. The settlement is recorded in Domesday Book of 1086 as ''Cherchefelle'', and first appears with its modern name in the 1190s. The ea ...
on the afternoon of 22 April 1888 - after attending to his duties as medical officer to the Pensions Commutation Board - when, while at Charing Cross Station, he died suddenly.


Family

Greenhow married, in 1842, the widow of Mr. W. Barnard, by whom he had one son, Lincoln College, Oxford University graduate the Rev. E. Greenhow, vicar of
Earsdon Earsdon is a village in the borough of North Tyneside in the county of Tyne and Wear, England. It sits on the border of Northumberland, which it is historically part of, and is approximately two miles from Whitley Bay. The village had a popu ...
. She died in 1857, and in 1862 he married the second daughter of
Joseph Hume Joseph Hume Fellow of the Royal Society, FRS (22 January 1777 – 20 February 1855) was a Scottish surgeon and Radicals (UK), Radical Member of Parliament (United Kingdom), MP.Ronald K. Huch, Paul R. Ziegler 1985 Joseph Hume, the People's M.P ...
, M.P., by whom he had two daughters. Frances Lupton (née Greenhow), who worked to open up educational opportunities for women, was his first cousin.


Service at the Middlesex

Excerpt from the Record of the Services of the Honorary Staff at the Middlesex Hospital: *Assistant Physician, 6 June 1861 *Extra Physician, 25 August 1870 *Physician, 31 August 1871 *Consulting Physician from 26 February 1880 until his death on 22 November 1888 *Lecturer on Forensic Medicine, 2 March 1861 *Lecturer on Public Health, 11 July 1862 *Dean of the Medical School, 18 June 1868 *Lecturer on Medicine, 1871-28 October 1876 *Treasurer of the Medical School, 1870-6 April 1878


Works

*"Cholera in Tynemouth" in 1831-1832, 1848-9 and 1853. ...Reprinted from... the ''Journal of Public Health etc.'' pp. 26 ondon, 1855 *"Papers Relating to the Sanitary State of the People of England", 1858. Reprinted in ''Gregg's Pioneers of Demography'' *''Report of the Medical Officer of the Privy Council''. London, 1860. *''Report of the Medical Officer of the Privy Council''. London, 1861. *''On Addison's Disease''. J. W. Roche, 68 Paradise Street, Rotherhithe, London, 1866. *''On Addison's Disease, being the
Croonian Lecture The Croonian Medal and Lecture is a prestigious award, a medal, and lecture given at the invitation of the Royal Society and the Royal College of Physicians. Among the papers of William Croone at his death in 1684, was a plan to endow a singl ...
s for 1875''. Revised and illustrated by plates & reports of cases. London, 1875. *''On Bronchitis and the morbid conditions connected with it''. Second edition, enlarged. London 1978. *''On Chronic Bronchitis, especially as connected with gout, emphysema and diseases of the heart. Being clinical lectures delivered at the Middlesex Hospital''. London 1869. *''On Diphtheria'', 1860. *''On the Study of Epidemic Diseases as Illustrated by the Pestilences of London. Being a paper etc.'' pp. 24 T. Richards, London 1858. *''Third Series of Cases illustrating Pathology of Pulmonary Disease frequent among Certain Classes of Operatives exposed to the Inhalation of Dust''. pp. 18. J. E. Adlard: ondon1868-69. *''Observations on excisions of the Os Calcis; with cases by H.M.G. First published in the "British and Foreign Medico-Chirurgical Review"... with a letter ... addressed to J. E. Erichsen ... by T. M. Greenhow''. London, Newcastle upon Tyne rinted 1858.


References


External links

* (not Croonian Lectures) * * {{DEFAULTSORT:Greenhow, Edward Headlam 1814 births 1888 deaths 19th-century English medical doctors Alumni of the University of Aberdeen Fellows of the Royal College of Physicians Fellows of the Royal Society