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Sir John Crofton

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Sir John Crofton Famous memorial

Birth
Dublin Hill, County Tipperary, Ireland
Death
3 Nov 2009 (aged 97)
Edinburgh, City of Edinburgh, Scotland
Burial
Edinburgh, City of Edinburgh, Scotland Add to Map
Memorial ID
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Medical Pioneer. A pulmonologist, he devised the first effective treatment regimen for tuberculosis during the 1950s. The child of a physician, he received his medical degree from Cambridge University, then took specialty training at St. Thomas Hospital in London, England. Joining the Royal Army in 1939, he served at field hospitals in Europe and the Middle East. Peace left him out of work until he accepted a registrar (senior faculty) position at London's Brompton Hospital where, in 1946, he became one of the first physicians to treat tuberculosis using the then-new antibiotic streptomycin. At the time the disease often called "consumption" was roughly 50% fatal. Trials with streptomycin proved initially promising, but there were problems; the medication was expensive, had to be given by injection, and caused eighth cranial nerve damage, and thus sensorineural hearing loss, in virtually everybody who took it for an extended period. Further, the mycobacterium became drug resistant after about three months of single medication therapy, leading to relapse. Combining streptomycin with para amino salicylic acid helped some, but PAS showed significant gastrointestinal side effects and drug interactions. In 1952, John Crofton became chairman of respiratory disease at Edinburgh University during an epidemic, and just as a third medication, isoniazid, was becoming available to treat the condition. The doctor was able to demonstrate that three-drug therapy over a long course works; in a 1958 presentation to the British Medical Association, he was able to report that all 63 patients who took the medicines for a year-and-a-half were cured. He was knighted in 1977, the same year he retired from the University of Edinburgh. He remained active until the end as a researcher with the World Health Organization, continuing to seek better ways to fight TB. At his death, the original three drug program had long been supplanted, with streptomycin and PAS rarely used (though INH remained the cornerstone of TB treatment), but with the multiple-drug-over-long-time model remaining valid, not only for TB, but for cancer, AIDS, and other conditions.
Medical Pioneer. A pulmonologist, he devised the first effective treatment regimen for tuberculosis during the 1950s. The child of a physician, he received his medical degree from Cambridge University, then took specialty training at St. Thomas Hospital in London, England. Joining the Royal Army in 1939, he served at field hospitals in Europe and the Middle East. Peace left him out of work until he accepted a registrar (senior faculty) position at London's Brompton Hospital where, in 1946, he became one of the first physicians to treat tuberculosis using the then-new antibiotic streptomycin. At the time the disease often called "consumption" was roughly 50% fatal. Trials with streptomycin proved initially promising, but there were problems; the medication was expensive, had to be given by injection, and caused eighth cranial nerve damage, and thus sensorineural hearing loss, in virtually everybody who took it for an extended period. Further, the mycobacterium became drug resistant after about three months of single medication therapy, leading to relapse. Combining streptomycin with para amino salicylic acid helped some, but PAS showed significant gastrointestinal side effects and drug interactions. In 1952, John Crofton became chairman of respiratory disease at Edinburgh University during an epidemic, and just as a third medication, isoniazid, was becoming available to treat the condition. The doctor was able to demonstrate that three-drug therapy over a long course works; in a 1958 presentation to the British Medical Association, he was able to report that all 63 patients who took the medicines for a year-and-a-half were cured. He was knighted in 1977, the same year he retired from the University of Edinburgh. He remained active until the end as a researcher with the World Health Organization, continuing to seek better ways to fight TB. At his death, the original three drug program had long been supplanted, with streptomycin and PAS rarely used (though INH remained the cornerstone of TB treatment), but with the multiple-drug-over-long-time model remaining valid, not only for TB, but for cancer, AIDS, and other conditions.

Bio by: Bob Hufford


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  • Maintained by: Find a Grave
  • Originally Created by: Bob Hufford
  • Added: Nov 21, 2009
  • Find a Grave Memorial ID:
  • Find a Grave, database and images (https://www.findagrave.com/memorial/44627217/john-crofton: accessed ), memorial page for Sir John Crofton (27 Mar 1912–3 Nov 2009), Find a Grave Memorial ID 44627217, citing Mortonhall Crematorium, Edinburgh, City of Edinburgh, Scotland; Maintained by Find a Grave.