Fleming's seminal 1929 article on penicillin is missing two words : impurities and crude

Fleming, in this extremely famous article, defines his "penicillin" as consisting of  one or more soluble solid active ingredients in a liquid nutritional  broth, no more and no less.

He makes it clear that "penicillin" is merely a useful shorthand for that cumbersome longer phrase.

He never once uses the word impurities or impure or crude: to him his active ingredient is perhaps ALL  of the soluble solids left behind when the water is evaporated .

Wartime penicillin's biggest secret was "hidden in plain sight", on the pages of the very first article on penicillin

The real reason why the tortoise Henry Dawson, despite starting almost three years late, beat the hare Howard Florey to become the first ever to put an injection of an antibiotic into a human patient, is to be found inside wartime penicillin's biggest secret.

Unexpectedly, wartime penicillin's biggest secret was not stamped "TOP SECRET" and was not buried under lock and key in some government cabinet in Washington or London.

Wartime Penicillin was a race between a Tortoise and a Hare,unexpectedly the Tortoise won but the Hare got to phone-in the results...

People invariably find the story of wartime penicillin fascinating because 75 years after the earliest events, it still remains a real puzzler with lots of inexplicables and unanswered questions.

The story of wartime penicillin is actually quite clear.... but it is its history that seems so full of holes and silences.

George Redmayne Murray : moral predecessor to Dawson,Duhig & Pulvertaft's penicillin efforts

moral predecessor to Henry Dawson

Dr George Redmayne Murray is no longer a name that trips off the lips of scientists and doctors, but he still has moral lessons to teach us today.

The Mystery of Penicillin's 18 missing years

I believe that all of the penicillin books up to now - and there have been hundreds of them - have basically been a series of 100,000 word excuses - "the dog ate my penicillin homework".

Excuses to us - the lay public - on behalf of Science in general or on behalf of one or other early penicillin researchers in particular.

But eighty years later, we lay people still want to know why it was that the best life saving medicine this world will ever see took an eighteen year vacation (from September 1928 till about September 1946) before local doctors around the world could routinely prescribe it to save a life.

Whether they are from the pen of a medical historian  seeking to defend all of Science/a particular team effort or the effort of a lay author defending an individual scientist they particularly admire, all those apologies basically come down to this:

The 18 year delay was due to technical difficulties, not moral failings - at least not the moral failings of my hero.

My book, by contrast, is not going to be a technical book - at least in its intentions.

(It will actually highly technical and highly accurate at times---- but only when needed to refute technical excuses and bromides.)

THE FIRST MORAL HISTORY OF PENICILLIN

Mine will be a Moral History of penicillin - it will lay out a thesis that it was moral failings, not technical difficulties, that delayed penicillin becoming popularly know and commonly prescribed during all those years of death and suffering that we now call The Great Depression and World War Two.

The two events caused an excess of 100 million premature deaths over what might have been expected in that 16 year period.

Even if we content to 'merely' reduce those excessive deaths and not seek to prevent many of the so-called normal infectious deaths, how millions might penicillin have saved if it was readily available by 1929-1930?

Or consider this: despite the new global threat from nuclear weapons, the Cold War period from 1945 till 1985 was actually an incredibly optimist period in world human history.

The promise of 1945's penicillin was sufficient, all by itself, to overcome the fear induced by 1945's A-Bomb.

For a generation, penicillin kept most of us buoyed up about ourselves and the world around us.

Could those good vibes - induced in 1928-1929 instead of twenty years later - have been enough, by themselves, to prevent the worst of the Great Depression and World War Two from even happening ?

We will never know.

 But I believe these questions are still big enough,eighty years on, for it to be worthwhile to re-examine the early penicillin saga to see if there is another explanation for the delay. One that will finally convince most lay people - and hopefully - even convince a few of the scientists.

DUHIG IS PROSECUTION'S KEY WITNESS 

In the Fall of 1943, in Brisbane Australia, 15 years after Fleming discovered penicillin, Dr J V Duhig saved the lives of a dozen seriously ill people using a form of penicillin juice no more sophisticated than what Fleming had on hand in November 1928.

This the single hard, hard, hard, hard ,hard, historical stone against which I am going to grind every author and every account that claims that there were 'technical complications' why the world had to wait 15 or more years to put the life-saving effects of penicillin to work.

Until and unless they can explain to everyone's satisfaction why Duhig could do this - but why Fleming/Florey and Dawson et all couldn't - I will not relent.....

VEGEMITE also had its hour ; one far fierce hour and sweet

Yellow Snow Bad; Yellow Uisce Beatha Good

It is no secret that Irishmen like their drink, even ( or perhaps, particularly) in wartime.

For a real Irishman likes nothing better than defying straitlaced authorites who think sugar and alcohol has higher uses in wartime than to just use in beverages - such as using them to make more and stronger explosive materials.

So in November 1943, it probably won't seem that unusual to see a feisty Irish-Australian named Jim Duhig sprinkle some yeast-like material over a vat of water and molasses and put it in a cool dark place for ten days.

We say yeast-like because yeast extract was unavailable in wartime Brisbane (Queensland) Australia.

Jim did what any quick thinking Aussie would do - he reached for that all purpose substitute, Vegemite in .3% solution, because after all, he did come from the land down under, where beer flows and strong men chunder.

Also not unusual was his decision to strain the resulting golden colored liquid at the bottom of the vat through a piece of cheesecloth and put it into bottles.

But what he did next might surprise you : he drew some of that golden liquor out in a big needle and stuck it - again and again - into a dying woman.

He saved her life with this golden uisce beatha and saved four other dying patients' lives with it as well, in addition to successfully treating another two dozen less severe infections with his brew.

Duhig's technique, as crude as it seems, is about as high tech as antibiotic science & industry ever has to get, if its only interest is in saving lives.

But it isn't and Jim Duhig's heroic actions came 15 years after Penicillin's initial discovery.

Millions would have lived ( longer - for we all must die at some time) if Alexander Fleming had felt in 1928 as Dr Duhig felt in 1943.

But he didn't and neither would have Dr Duhig in 1928.

It took someone else, someone far bolder than Fleming or Dunhig or Florey, to kickstart the radical-at-the-time idea that injecting natural penicillin into a patient's bloodstream was the best possible treatment of most life-threatening systemic bacterial infections.

That bold idea was first enacted upon on a tiny island, not far off the American coast, a few years earlier.....

Jim Duhig was indeed very Irish - his uncle was the archbishop of Queensland - but in real life he didn't brew liquor - or even drink - he was the head of a prohibitionist society.

But he did brew penicillin---- rather than see some patients die needlessly while waiting for Big Pharma to get its act together to do in decades what Jim had done in weeks !

Life is much stranger than fiction.