Abstract

Last year Imre Loefler, winner of The Lancet's first Wakley Prize, wrote from Nairobi, Kenya, about his Aunt Teresa's pekinese (whose balanitis was treated with topical Prontosil), Serengeti lions, and what his mother might have thought about the Pope. His point about strategies against infection was vividly made: “Our folly ultimately was not just due to carelessness and avarice; the concept was wrong. We, the healers, went to war against countless unwanted species and the war was a total one, aiming at annihilation and extinction. Our terminology in the process was that of the warrior: we were fighting, conquering, eliminating, exterminating, and, as in all wars with infinite aims, the damage incurred is inestimable.”

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