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The Development of Scientific Medicine and its Impact on Society in Taiwan, 1865 to 1945

He attracted young men as "students" Who accompanied him on his travels. But the populace was intensely xenophobic. They did everything short of killing him to make life difficult for him. He travelled armed with a Bible, Quinine and tooth extraction forceps, for he found that tooth decay caused almost as much suffering as malaria. In 20 years he extracted 21,000 teeth and his students half that number. This was effective in breaking down prejudice and opposition!

Regarding malaria he wrote, "To this dreaded disease foreigners give such names as ague, intermittent fever, jungle fever.... Its real cause, no doubt, is poison generated by the decomposition of organic matter.... ( He was writing before Ross and Manson's discovery)

It is not uncommon in Taiwan to find half the inhabitants of a town prostrated by malarial fever at once. I have seen households of 30 – 40 with not one able to do any work.... My prayer is that some discovery may be made that will do in the case of malaria what vaccination does in the case of smallpox"

In 1874 Dr. Ringer, community doctor to the British merchants and consular staff in Tamsui, wrote a report to the customs service: " In May 1873 there being no system of medical relief for the natives, with the assistance of Rev. G.L. Mackay, I started a dispensary for that purpose, to which all the community readily subscribed. Since the opening, up to March 1874 there have been 640 patients, many of whom who came from 10 miles away. At first several cases of leprosy were seen, but there being no accommodation for them they failed to obtain relief.

The service was expanded into a hospital in 1880 nobly staffed and continued by successive community doctors, until the Canadian Presbyterian Church sent Dr. J.Y. Ferguson to take full charge in 1905.

In central Taiwan scientific medicine was introduced by Dr. Gavin Russell, an English Presbyterian missionary, in 1888. He was greatly sought after and liked by the people, but after 3 years' work he succumbed to typhoid fever – such were the risk of tropical diseases in those days. My father was his replacement in 1896 in the market town of Chang – hua.



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