Académique Documents
Professionnel Documents
Culture Documents
380
Book Reviews
scientific debate is to move beyond Geison shows that Pasteur's public account of
experimental particularities to the that experiment was carefully drafted to
consideration of more general theoretical obscure the fact that it violated prevailing
issues. But Geison also discusses two instances ethical standards for the conduct of human
in which Pasteur's private interests led him to experiments-standards that Pasteur had
behave in ways which might be regarded as himself but recently endorsed. In describing
downright dishonest. On occasion, Pasteur not the work leading up to the first successful
only edited his results, but gave deliberately human trial, Pasteur suggested that he had
misleading accounts of the experimental previously tested both the safety and the
practices that had enabled him to generate efficacy of his method on a "large number" of
those results. dogs. In fact, Pasteur's laboratory notebooks
The first such episode involves Pasteur's reveal that his previous attempts to treat dogs
dramatic public demonstration of the efficacy with rabies vaccine had yielded results that
of his anthrax vaccine at Pouilly-le-Fort in were ambiguous at best, and that none of those
June 1881. The basic outline of this event, in animal trials had been conducted using the
which twenty-five vaccinated sheep survived method that was used to treat young Meister.
injection with a virulent strain of anthrax Joseph Meister, it turns out, was treated using a
bacillus while twenty-five unvaccinated sheep method that Pasteur had only recently decided
died of the disease, is well known. Pasteur's to try, and that was completely untested on
published accounts of the experiment are animals. Had the truth come out at the time, it
written in such a way as to suggest that the might well have inflamed public fears that
vaccine was prepared by exposing anthrax laboratory scientists like Pasteur were
cultures to atmospheric oxygen, which had the recklessly inclined to disregard more humane
effect of attenuating the virulence of the considerations in their pursuit of scientific
microbe. But Geison's research in Pasteur's knowledge or commercial gain. In the event,
notebooks reveals that the vaccine used at such fears were allayed by the evident success
Pouilly-le-Fort was actually prepared by the of the rabies vaccine. Nevertheless, in his
rather different method of exposing the desire to secure that success, Pasteur saw fit
bacillus to an antiseptic, potassium both to violate his own professed ethical
bichromate. Pasteur's deception was motivated standards, and to mislead the public about the
by scientific rivalry. He was concerned that methods he had employed.
credit for his discovery should not be shared In revealing these discrepancies between
with another researcher, Jean-Joseph Henri Pasteur's private activities and the accounts he
Toussaint, who had himself attempted to create subsequently published of those activities,
an anthrax vaccine by exposing the bacillus to Geison's aim is not to discredit Pasteur or his
antiseptics. To that end, Pasteur misrepresented contributions to science. On the contrary, he
his own discovery as the outcome of a gives full credit to Pasteur's brilliance as an
systematic research programme based on his experimeter. But he also makes clear the extent
earlier success with oxygen attenuation of the to which Pasteur's public reputation depended
fowl cholera microbe, and concealed the fact not just on his ability to manipulate his
that he had been forced to resort to methods experimental materials in the laboratory, but
that were much closer to those practised by also on his ability to control and manipulate
Toussaint. the information that issued from his laboratory.
Geison uncovers a similar deception in Pasteur's science is thus portrayed as an
Pasteur's account of his discovery of the rabies irreducibly social enterprise, involving both the
vaccine. Again, historians are familiar with the scientist's pursuit of his private interests and
basic story of how Pasteur first demonstrated ambitions, and the more public system of
the efficacy of his vaccine by successfully scrutiny, criticism and approval that defined
treating a young shepherd, Joseph Meister. But the terms on which his success was to be
381
Book Reviews
measured. In demonstrating this interaction Richard H Ellis (ed.), The case books ofDr
between public and private activities, Geison John Snow, Medical History, Supplement No.
goes to the heart of what makes science so 14, London, Wellcome Institute for the History
powerful a means of generating not just of Medicine, 1994, pp. lvii, 633, £25.00,
experimental novelty, but also effective new $38.00 (0-85484-061-3).
technologies for ordering and controlling the
world. But in making clear the extent to which This large volume presents a complete
even so great a scientist as Pasteur was transcription of the three surviving case books
tempted, on occasion, to conceal the truth kept between 1848 and 1858 by the English
about the methods he used, Geison also raises physician John Snow, known best for his
important questions about how the essential epidemiological studies of cholera but also
tension between public and private interests is for his early proselytism for anaesthesia.
to be managed. Preserved at the Royal College of Physicians,
Geison does not address these questions these records become more readily accessible
explicitly; he is content to let his readers draw in this published edition. Richard Ellis's
their own conclusions from his analysis of the splendid introduction traces Snow's career
private dimensions of Pasteur's work. and begins to display the historical yield his
Nevertheless, his study has profound manuscripts afford. The edition is enhanced
implications for how We should think about the by indexes and a brief essay by M P Earles
place of science in co temporary society. Over on mid-nineteenth-century prescribing
the past forty years, the myth of disinterested conventions.
science has lost much of its popular appeal. Snow's entries record visits in the order he
The public is now far more aware of the made them, arranged, that is, as a daybook
partisan nature of scientific research, and of the chronicle of his professional activity rather
extent to which the interests of the than as narratives of illness and treatment in
organizations that support such research may individual patients. Notations about his general
diverge from the interests of other sections of practice are terse, sometimes specifying a
society. At the same time, science has become diagnosis and prescription but often little more
an increasingly private activity; not only is than the patient's name. Much fuller are his
more and more research conducted within accounts of administering anaesthesia, though
private institutions, but even academic science these too range from a short sentence to several
is now being diverted towards the goal of richly detailed paragraphs. The record of the
private wealth creation. Consequently, there is first eighteen months of Snow's use of
a crying need for informed discussion about anaesthesia has been lost, but the extant
what sorts of social structures will best ensure journals powerfully open up the workaday
that science continues to serve the interests of medical and social realities of an active
the public at large. Such discussion cannot be anaesthesiological practice spanning most of
advanced by retailing bankrupt myths about the decade after the 1846 introduction of
scientific integrity and disinterest; rather, we anaesthesia.
need to develop and disseminate a proper The sheer diversity in Snow's practice is
awareness of the social processes on which a impressive. We encounter him administering
truly public science must be founded. Geison's chloroform (or sometimes amylene) for an
incisive deconstruction of the Pasteurian myth, extraordinary array of conditions, including
and his elucidation of the role of both public excision of tumours, removal of bladder stones,
and private interests in securing Pasteur's amputations, childbirth, and especially
success, takes us a considerable way towards extraction of teeth. We see him anaesthetizing
fulfilling this aim. patients ranging from 8 days to 87 years in age
and from workhouse inmates to Queen
Steve Sturdy, University of Edinburgh Victoria. The variety of sites where Snow
382