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Ruth Katherina Martha Pfau, FCM (; 9 September 1929 – 10 August 2017) was a German–Pakistani Catholic Christian religious sister and physician who was a member of the "Society of the Daughters of the Heart of Mary". She emigrated from Germany in 1961 and devoted more than 55 years of her life to fighting
leprosy Leprosy, also known as Hansen's disease (HD), is a Chronic condition, long-term infection by the bacteria ''Mycobacterium leprae'' or ''Mycobacterium lepromatosis''. Infection can lead to damage of the Peripheral nervous system, nerves, respir ...
in Pakistan. Pfau was honoured with
Hilal-e-Pakistan Hilal-e-Pakistan () is the second-highest Civil decorations of Pakistan, civil award (in the hierarchy of "Hilale") of the Pakistan, Islamic Republic of Pakistan. The award seeks to recognize those people who have made "meritorious contribution ...
,
Hilal-i-Imtiaz The ''Hilal-e-Imtiaz'' (; ), also spelled as ''Hilal-i-Imtiaz,'' is the second-highest (in the order of "Imtiaz") civilian award and honour given to both civilians and military officers of the Pakistan Armed Forces by the Government of Pakist ...
, Nishan-i-Quaid-i-Azam, and the Sitara-i-Quaid-i-Azam awards. Pfau contributed to the establishment of 157 leprosy clinics across Pakistan that treated over 56,780 people. Fazaia Ruth Pfau Medical College and Dr. Ruth Pfau Hospital are named after her in
Karachi Karachi is the capital city of the Administrative units of Pakistan, province of Sindh, Pakistan. It is the List of cities in Pakistan by population, largest city in Pakistan and 12th List of largest cities, largest in the world, with a popul ...
. She died in August 2017 and was buried with full state honours.


Early life

Pfau was born on 9 September 1929 in
Leipzig Leipzig (, ; ; Upper Saxon: ; ) is the most populous city in the States of Germany, German state of Saxony. The city has a population of 628,718 inhabitants as of 2023. It is the List of cities in Germany by population, eighth-largest city in Ge ...
,
Germany Germany, officially the Federal Republic of Germany, is a country in Central Europe. It lies between the Baltic Sea and the North Sea to the north and the Alps to the south. Its sixteen States of Germany, constituent states have a total popu ...
, to
Lutheran Lutheranism is a major branch of Protestantism that emerged under the work of Martin Luther, the 16th-century German friar and Protestant Reformers, reformer whose efforts to reform the theology and practices of the Catholic Church launched ...
Christian A Christian () is a person who follows or adheres to Christianity, a Monotheism, monotheistic Abrahamic religion based on the life and teachings of Jesus in Christianity, Jesus Christ. Christians form the largest religious community in the wo ...
parents. She had four sisters and one brother. Her home was destroyed by
bombing A bomb is an explosive weapon that uses the exothermic reaction of an explosive material to provide an extremely sudden and violent release of energy. Detonations inflict damage principally through ground- and atmosphere-transmitted mechan ...
during
World War II World War II or the Second World War (1 September 1939 – 2 September 1945) was a World war, global conflict between two coalitions: the Allies of World War II, Allies and the Axis powers. World War II by country, Nearly all of the wo ...
. Following the post-war
Soviet The Union of Soviet Socialist Republics. (USSR), commonly known as the Soviet Union, was a List of former transcontinental countries#Since 1700, transcontinental country that spanned much of Eurasia from 1922 until Dissolution of the Soviet ...
occupation of
East Germany East Germany, officially known as the German Democratic Republic (GDR), was a country in Central Europe from Foundation of East Germany, its formation on 7 October 1949 until German reunification, its reunification with West Germany (FRG) on ...
she moved to
West Germany West Germany was the common English name for the Federal Republic of Germany (FRG) from its formation on 23 May 1949 until German reunification, its reunification with East Germany on 3 October 1990. It is sometimes known as the Bonn Republi ...
along with her family, and chose medicine as her future career. During the 1950s, she studied medicine at the
University of Mainz The Johannes Gutenberg University Mainz () is a public research university in Mainz, Rhineland Palatinate, Germany. It has been named after the printer Johannes Gutenberg since 1946. it had approximately 32,000 students enrolled in around 100 a ...
. During this period Pfau frequently met a Dutch Christian woman who was a
concentration camp A concentration camp is a prison or other facility used for the internment of political prisoners or politically targeted demographics, such as members of national or ethnic minority groups, on the grounds of national security, or for exploitati ...
survivor and was dedicating her life to "preaching love and forgiveness". After "her life-changing experience", Pfau left "a romantic association" with a fellow student and became involved in discussions in Mainz's philosophy and classical literature department. After completing her clinical examination, Pfau moved to
Marburg Marburg (; ) is a college town, university town in the States of Germany, German federal state () of Hesse, capital of the Marburg-Biedenkopf Districts of Germany, district (). The town area spreads along the valley of the river Lahn and has ...
to carry on her clinical studies. She was baptised as an
Evangelical Protestant Evangelicalism (), also called evangelical Christianity or evangelical Protestantism, is a worldwide, interdenominational movement within Protestant Christianity that emphasizes evangelism, or the preaching and spreading of the Christian ...
in 1951, before her conversion to
Roman Catholicism The Catholic Church (), also known as the Roman Catholic Church, is the List of Christian denominations by number of members, largest Christian church, with 1.27 to 1.41 billion baptized Catholics Catholic Church by country, worldwid ...
in 1953. Pfau stated that she learned the "courage of being human" from Saint
Thomas Aquinas Thomas Aquinas ( ; ; – 7 March 1274) was an Italian Dominican Order, Dominican friar and Catholic priest, priest, the foremost Scholasticism, Scholastic thinker, as well as one of the most influential philosophers and theologians in the W ...
through Josef Pieper's writing. She joined a Catholic parish, and she was greatly influenced by Romano Guardini's '' The Lord'' in this period. In 1957, Pfau travelled to
Paris Paris () is the Capital city, capital and List of communes in France with over 20,000 inhabitants, largest city of France. With an estimated population of 2,048,472 residents in January 2025 in an area of more than , Paris is the List of ci ...
and joined the Daughters of the Heart of Mary, a
Catholic The Catholic Church (), also known as the Roman Catholic Church, is the List of Christian denominations by number of members, largest Christian church, with 1.27 to 1.41 billion baptized Catholics Catholic Church by country, worldwid ...
order. She said, "When you receive such a calling, you cannot turn it down, for it is not you who has made the choice. ... God has chosen you for himself." The order later sent her to southern
India India, officially the Republic of India, is a country in South Asia. It is the List of countries and dependencies by area, seventh-largest country by area; the List of countries by population (United Nations), most populous country since ...
; however, in 1960, a visa issue meant she had to stay in
Karachi Karachi is the capital city of the Administrative units of Pakistan, province of Sindh, Pakistan. It is the List of cities in Pakistan by population, largest city in Pakistan and 12th List of largest cities, largest in the world, with a popul ...
. She travelled to various parts of Pakistan and across the border to Afghanistan to rescue patients who were abandoned by their families or locked in small rooms for a lifetime.


Life in Pakistan

In 1960, aged 31, Pfau decided to dedicate the rest of her life to the people of
Pakistan Pakistan, officially the Islamic Republic of Pakistan, is a country in South Asia. It is the List of countries and dependencies by population, fifth-most populous country, with a population of over 241.5 million, having the Islam by country# ...
and their battle against
leprosy Leprosy, also known as Hansen's disease (HD), is a Chronic condition, long-term infection by the bacteria ''Mycobacterium leprae'' or ''Mycobacterium lepromatosis''. Infection can lead to damage of the Peripheral nervous system, nerves, respir ...
outbreaks. While in Karachi, by chance she visited the Lepers' Colony behind McLeod Road (now I. I. Chundrigar Road) near the City Railway Station. Here she decided that the care of patients would be her life's calling. She started medical treatment for the leprosy patients in a hut in this area. The Marie Adelaide Leprosy Centre was founded (which later branched out into tuberculosis and blindness prevention programmes) and social work for the leprosy patients and their family members was started by Dr I K Gill. A leprosy clinic was bought in April 1963 and patients from all over Karachi, from elsewhere in Pakistan, and even from Afghanistan came for treatment. In 1979, she was appointed as the Federal Advisor on Leprosy to the Ministry of Health and Social Welfare of
Government of Pakistan The Government of Pakistan () (abbreviated as GoP), constitutionally known as the Federal Government, commonly known as the Centre, is the national authority of the Islamic Republic of Pakistan, a federal republic located in South Asia, con ...
. Pfau went to distant areas of Pakistan where there were no medical facilities for leprosy patients. She collected donations in Germany and Pakistan and co-operated with hospitals in
Rawalpindi Rawalpindi is the List of cities in Punjab, Pakistan by population, third-largest city in the Administrative units of Pakistan, Pakistani province of Punjab, Pakistan, Punjab. It is a commercial and industrial hub, being the list of cities in P ...
and Karachi. In recognition of her service to the country, she was awarded Pakistani citizenship in 1988."German Catholic nun feted on her 70th birthday for her on-going work to eradicate leprosy in Pakistan"
''UCANews'', 1 October 1999.
Due to her continued efforts, in 1996 the
World Health Organization The World Health Organization (WHO) is a list of specialized agencies of the United Nations, specialized agency of the United Nations which coordinates responses to international public health issues and emergencies. It is headquartered in Gen ...
declared Pakistan one of the first countries in Asia to have controlled leprosy. According to the ''
Dawn Dawn is the time that marks the beginning of twilight before sunrise. It is recognized by the diffuse sky radiation, appearance of indirect sunlight being Rayleigh scattering, scattered in Earth's atmosphere, when the centre of the Sun's disc ha ...
'', the number of leprosy cases nationwide dropped significantly from 19,398 in the early 1980s to 531 in 2016. On 9 September 1999, the Archbishop of Karachi,
Simeon Anthony Pereira Simeon Anthony Pereira (19 October 1927, Sukkur, British India - 22 August 2006, Karachi) was a former archbishop of Karachi. Life Pereira was educated at St Patrick's High School, Karachi. He received his religious training at the Papal Semi ...
, celebrated a
Mass Mass is an Intrinsic and extrinsic properties, intrinsic property of a physical body, body. It was traditionally believed to be related to the physical quantity, quantity of matter in a body, until the discovery of the atom and particle physi ...
at St. Patrick's Cathedral to celebrate Pfau's 70th birthday, which was attended by both Christians and Muslims.


Death

In the early morning on 10 August 2017, around 4:00 a.m. PST, Pfau died at the Aga Khan University Hospital in Karachi after being admitted there due to respiratory problems on 4 August 2017. She was put on a ventilator after her condition worsened on 6 August. She refused life support, which her doctors removed the next day, according to her wish for "living a natural life". Pfau had been dealing with several health problems due to her advanced age, including kidney and
heart disease Cardiovascular disease (CVD) is any disease involving the heart or blood vessels. CVDs constitute a class of diseases that includes: coronary artery diseases (e.g. angina pectoris, angina, myocardial infarction, heart attack), heart failure, ...
, for which she had been undergoing treatment for several years.


Reaction

President Mamnoon Hussain issued the statement: "Dr Pfau’s services to end leprosy in Pakistan cannot be forgotten. She left her homeland and made Pakistan her home to serve humanity. The Pakistani nation salutes Dr Pfau and her great tradition to serve humanity will be continued." Prime Minister
Shahid Khaqan Abbasi Shahid Khaqan Abbasi (born 27 December 1958) is a Pakistani politician and businessman who served as the 18th prime minister of Pakistan, Prime Minister of Pakistan from August 2017 to May 2018. He also currently leads Awaam Pakistan (AP) as ...
said: "Dr Ruth Pfau may have been born in Germany, uther heart was always in Pakistan." He further added that, "she came here at the dawn of a young nation looking to make lives better for those afflicted by disease and in doing so found herself a home. We will remember her for her courage, her loyalty, her service to the eradication of leprosy and most of all her patriotism." He also announced that a
state funeral A state funeral is a public funeral ceremony, observing the strict rules of protocol, held to honour people of national significance. State funerals usually include much pomp and ceremony as well as religious overtones and distinctive elements o ...
would be held for her. Chief of Army Staff Qamar Bajwa referred to Pfau as an "ambassador of humanity". Chief of Air Staff Air Chief Marshal Sohail Aman named a medical college, being built at an airbase in Karachi, in her name. The college is now named as "Fazaia Ruth Pfau Medical College". Its first classes are expected to commence in December 2019.


State funeral

On 19 September 2017, Pfau's body lay in state at the Holy Family Hospital in Karachi ahead of the funeral. The state funeral for Pfau was held at Saint Patrick's Cathedral, in front of which the flags of Pakistan and
Vatican City Vatican City, officially the Vatican City State (; ), is a Landlocked country, landlocked sovereign state and city-state; it is enclaved within Rome, the capital city of Italy and Bishop of Rome, seat of the Catholic Church. It became inde ...
were flown at half mast, with Archbishop Joseph Coutts presiding over the
Requiem A Requiem (Latin: ''rest'') or Requiem Mass, also known as Mass for the dead () or Mass of the dead (), is a Mass of the Catholic Church offered for the repose of the souls of the deceased, using a particular form of the Roman Missal. It is ...
. The Pakistani flag was draped over her coffin and a 19-gun salute was offered by contingents of all three wings of the Pakistan Armed Forces. The ceremony was broadcast live on
Pakistan Television Pakistan Television Corporation (; reporting name: PTV); also known as ''Pakistan Television'', is the Pakistani state-owned broadcasting, broadcaster founded by the Government of Pakistan, operating under the Ministry of Information & Broadc ...
. Pfau was reportedly the first Christian and first non-Muslim to have a state funeral in Pakistan. She was then buried at Gora Qabaristan, a Christian cemetery in Karachi.


Legacy

Pfau is well respected by Muslims in Pakistan who were the majority of patients at the Marie Adelaide Leprosy Centre. Saleem Maseh Amir says that she never talked about religion, yet "her faith, service, and love" were demonstrations of the spirit that inspired inter-religious dialogue. In 2018, Pfau's private residence in Karachi was converted into a museum to showcase some of her personal possessions.


Awards and recognition

Pfau is remembered in Pakistan and abroad as a distinguished human being, and had been awarded many awards and medals. On 23 March 1989, Pfau received the Hilal-i-Pakistan award presented by the then-President of Pakistan
Ghulam Ishaq Khan Ghulam Ishaq Khan (20 January 1915 – 27 October 2006), commonly known by his initials GIK, was a Pakistani bureaucrat, politician and statesman who served as the seventh President of Pakistan from 1988 to 1993. He previously served as Chairm ...
at the President House for her work with leprosy patients. Speaking at a function in Islamabad on 30 January 2000 to mark the 47th World Leprosy Day, the then-President Rafiq Tarar praised Pfau, who built up the National Leprosy Control Program in Pakistan, for working not only for those afflicted with leprosy but also for those with
tuberculosis Tuberculosis (TB), also known colloquially as the "white death", or historically as consumption, is a contagious disease usually caused by ''Mycobacterium tuberculosis'' (MTB) bacteria. Tuberculosis generally affects the lungs, but it can al ...
. In 2006, Pfau was honoured as the 'Woman of the Year 2006' by City FM89. On 14 August 2010, on the occasion of Pakistan's Independence Day, the then-President of Pakistan
Asif Ali Zardari Asif Ali Zardari (born 26 July 1955) is a Pakistani politician serving as the 14th president of Pakistan since 2024, having held the same office from 2008 to 2013. He is the president of Pakistan People's Party Parliamentarians and was the ...
awarded Pfau the Nishan-i-Quaid-i-Azam for public service. She was hailed as Pakistan's "Mother Teresa" after her work towards helping people displaced by the
2010 Pakistan floods The floods in Pakistan began in late July 2010, resulting from heavy monsoon rains in the Khyber Pakhtunkhwa, Sindh, Punjab (Pakistani province), Punjab and, Balochistan, Pakistan, Balochistan regions of Pakistan, which affected the Indus Riv ...
. In 2015, Pfau was awarded the Staufer Medal, the highest award of the German state of
Baden-Württemberg Baden-Württemberg ( ; ), commonly shortened to BW or BaWü, is a states of Germany, German state () in Southwest Germany, east of the Rhine, which forms the southern part of Germany's western border with France. With more than 11.07 million i ...
. On 19 August 2017, Sindh Chief Minister Syed Murad Ali Shah announced renaming of the Civil Hospital Karachi to Dr Ruth Pfau Hospital as an acknowledgment of "selfless services of the late social servant". On 9 September 2019, Google honoured her with a
Google Doodle Google Doodle is a special, temporary alteration of the logo on Google's homepages intended to commemorate holidays, events, achievements, and historical figures. The first Google Doodle honored the 1998 edition of the long-running annual Bu ...
of her treating a patient. In February 2020, the President of Pakistan Dr. Arif Alvi inaugurated the Fazaia Ruth Pfau Medical College in Karachi. The college was established by the
Pakistan Air Force The Pakistan Air Force (PAF) (; ) is the aerial warfare branch of the Pakistan Armed Forces, tasked primarily with the aerial defence of Pakistan, with a secondary role of providing air support to the Pakistan Army and Pakistan Navy when re ...
.


Honours

* 1969: Order of Merit (Germany)Doctor of Science (DSc), honoris causa, awarded to Dr Ruth Katherina Martha Pfau
Aga Khan University, Karachi Retrieved 6 July 2010.
* 1969: Sitara i Quaid i Azam * 1979:
Hilal-e-Imtiaz The ''Hilal-e-Imtiaz'' (; ), also spelled as ''Hilal-i-Imtiaz,'' is the second-highest (in the order of "Imtiaz") Awards and decorations of the Pakistan military, civilian award and honour given to both civilians and military Officer (armed fo ...
* 1989: Hilal-i-Pakistan * 2002:
Ramon Magsaysay Award The Ramon Magsaysay Award (Filipino language, Filipino: ''Gawad Ramon Magsaysay'') is an annual award established to perpetuate former Philippine President Ramon Magsaysay's example of integrity in governance, courageous service to the people, ...
* 2003: Jinnah Award from the Jinnah Society * 2004: Doctor of Science (DSc), honoris causa. Aga Khan University, Karachi. * 2010: Nishan-i-Quaid-i-Azam for public service. * 2017: Civil Hospital, Karachi renamed to Dr Ruth K.M. Pfau Hospital * The Pakistan Mint will issue 50,000 commemorative coins in honor of Dr Pfau.UCANews 9 November 2017
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Books

* * * * * * * * *


References


Sources

* Mutaher, Zia (2004). ''Serving the Unserved: The Life of Dr Ruth Pfau''. Karachi: City Press. . * Pflughaupt, Bengt (2004). ''Ruth Pfau, mit den Augen der Liebe: als Reporter unterwegs mit einer ungewöhnlichen Frau im wilden Pakistan''. Freiburg: Herder. . {{DEFAULTSORT:Pfau, Ruth 1929 births 2017 deaths Physicians from Leipzig Pakistani women activists Pakistani social workers Pakistani women philanthropists 20th-century Pakistani Roman Catholic nuns Pakistani Roman Catholic missionaries Pakistani health activists Naturalised citizens of Pakistan German health activists German Roman Catholic missionaries Female Roman Catholic missionaries Roman Catholic medical missionaries Roman Catholic missionaries in Pakistan German emigrants to Pakistan Leprosy activists Knights Commander of the Order of Merit of the Federal Republic of Germany Recipients of Hilal-i-Imtiaz Ramon Magsaysay Award winners Recipients of the Nishan-e-Quaid-i-Azam Converts to Roman Catholicism from Evangelicalism State funerals in Pakistan 20th-century philanthropists 21st-century Pakistani Roman Catholic nuns Johannes Gutenberg University Mainz alumni