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Obituaries
 

The decision to include articles which reported on the deaths of a few famous epidemiologists or epidemiology writers was to help us remember them. Our reprinting of these articles here pays tribute to them just as the original articles did when they first appeared.

The number of obituaries is small because we did not routinely report on the passing of epidemiology colleagues, but did so for epidemiologists who were widely known in the field. Often, we heard about their passing because their deaths were reported in the national media or at epidemiology meetings. We regret that we could not reprint more obituaries in tribute to so many other colleagues who passed away in the last twenty years and whose contributions or marks on epidemiology and the epidemiology community were equally notable.


 

Abraham Lilienfeld Dies Suddenly at 63, August 6, 1984

Dr. Abraham Lilienfeld, one of the most widely known, well-liked, and highly respected leaders in epidemiology, died suddenly on August 6. He collapsed at the Baltimore railroad station on his way home from an Institute of Medicine meeting in Washington convened to review a proposed USPHS protocol on Reye’s syndrome. Rescuers arrived within minutes but resuscitation efforts failed. “Abe,” as he was called by friends and colleagues, was apparently in good health and spirits right up to the time of his death.

Obituaries

Obituaries published in local and national newspapers described him as a teacher and leader in the field and as a pioneer in chronic disease epidemiology. “He was a consummate teacher who cared deeply for students, past and present,” said Hopkins Dean D. A. Henderson in a New York Times obituary. He added, “In working tirelessly to improve public health, his life and his contributions in a sense affected the lives of all.”

The teacher colleagues contacted by The Epidemiology Monitor also emphasized Dr. Lilienfeld’s role as a teacher. “He was a person who believed in epidemiology as an approach to solving problems, as a way of improving people’s health,” said Dr. Lew Kuller, a former student of Dr. Lilienfeld’s and now chairman of the Department of Epidemiology at the University of Pittsburgh. “He instilled this vision of epidemiology,” added Dr. Kuller “and his greatest contribution was as a teacher, as a person able to make others enthusiastic. His greatest joy was to take a chalk to the blackboard.”

Another former colleague focused on Dr. Lilienfeld’s skill as a teacher. “He was always teaching, always interested and alert,” said Paul Stolley, former Hopkins faculty member now at the University of Pennsylvania. He added, “Abe showed as much vitality and enthusiasm in teaching Epidemiology I as the most junior instructors. If a student was slow, he only saw this as more of a challenge.”

The Person

Actually colleagues seemed more eager to remember “Abe” as a person than to focus on his numerous accomplishments. “He was kindly and had great warmth,” said National Eye Institute epidemiologist Fred Ederer who worked with Dr. Lilienfeld on many committees. Almost everyone we spoke to had a story to tell testifying to the qualities noted by Fred Ederer. For example, “the first time I saw him was at a meeting where someone presented a terrible paper,” said Dr. Stolley, adding “he was torn apart by some, but ‘Abe’ stood up, congratulated him for selecting an interesting but difficult topic, and proceeded to offer concrete suggestions to improve the work.”

Dr. Lilienfeld was a member of Epi Monitor’s Advisory Board. His early support and continuing encouragement will always be remembered.

He is survived by his wife Lorraine, three children, Saul, David, and Julie and several grandchildren.

Several memorial services or commemorative events are being planned including those at the ACE meeting this month, one at Johns Hopkins on September 24, and another at APHA later this year.

 



Reuel Stallones Dies at 62, June 22, 1986

Well-Known Epidemiologist Was Dean of Houston School of Public Health

Reuel Stallones died June 22 after having been diagnosed with colon cancer in December 1985. He was 62 at the time of his death and Dean of the University of Texas School of Public Health at Houston.

“It would be difficult to overemphasize the importance of Dr. Stallones’ contribution to this Health Science Center, not only through his deanship of the School of Public Health, but also because of the fresh ideas, candor and openness he brought to everyone with whom he came in contact,” said Health Science Center President Roger J. Bulger.

“All of us who knew ‘Stony’,” Bulger added, “will miss him for his leadership and, perhaps more importantly, for the stimulating atmosphere created by his very presence.”

Several articles which have reported on Stallones’ death have commented on his philosophy of education. According to the president, “his philosophy that a university is an environment which fosters learning and pursuit of truth rather than an institution that certifies competence, checks progress and weeds out the non-producers offers a perspective from which all of us should profit.”

 



Founder of CDC’s Epidemic Intelligence Service Dies of Cancer at 83, November 22, 1993

Called “Country’s Chief Disease Detective Who Stressed Work in the Field”

Alexander Langmuir, founder of the CDC’s Epidemic Intelli- gence Service, died in Baltimore of cancer on November 22, 1993. Dr. Langmuir had returned to Johns Hopkins to resume an active teaching role after an interlude of almost 40 years--not too long remarkably to prevent him from being named one of the out- standing teachers this year!

While Dr. Langmuir may not have been as widely known in academic public health circles, he was a living legend for generations of epidemiology staff at the Centers for Disease Control where he spent most of his professional life from 1949 - 70. This was due in large part to his role as the founder of the Epidemic Intelligence Service in 1951 which became highly regarded and trained over 2000 professionals--who are now resident in over 30 countries around the globe—in the practice of applied or “shoe leather” epidemiology.

Crucial to applying epidemiology was the concept of disease surveillance which Dr. Langmuir promoted as the key activity to recognize problems, collect and analyze data, and make recommendations for appropriate public health action. He was called the “Father of Modern Surveillance” in a recent special edition of the EIS Bulletin dedicated to his memory, and the “Country's Chief Disease Detective Who Stressed Work in the Field” in an obituary (November 23, 1993) by New York Times medical writer Larry Altman, himself a graduate of the EIS class of 1963.

There is perhaps no better testimonial to the value of the epidemiologic training promoted by Dr. Langmuir than the annual EIS conference in Atlanta. During this annual five day spring ritual, highly qualified epidemiology trainees selected from the U.S. and abroad and numerous alumni/ae of the program converge on Atlanta in a spirit of camaraderie to present scores of fascinating papers on findings from field investigations of the largest variety of epidemiologic topics presented anywhere. As noted by former CDC Director Bill Foege, “Just as Wade Hampton Frost institutionalized epidemiology in the academic setting, so did Alex Langmuir institutionalize epidemiology in daily public health practice.”

His focus on applied epidemiology came during the formative years of the CDC when the role and identity of the agency were not fully formed. As epidemiologists from the EIS made significant contributions to the nation’s health in malaria, polio, measles, and to the world’s health in smallpox, the CDC’s role grew more secure and its identity came to be inextricably linked to epidemiology. As noted by former CDC Director Jim Mason, “In the early days of CDC, it was really epidemiology, Langmuir, and the credibility of the EIS that brought a relatively small, obscure, communicable disease center into a national light where it could grow and be appreciated.” Today, public health professionals from around the world journey to this “mecca” of disease control and prevention, and at least 11 other countries today are implementing their own field epidemiology training programs, another living tribute to the value and enduring quality of the concepts promoted by Dr. Langmuir.

On April 20, 1994, the time normally allotted to the Langmuir Lecture at the EIS conference will be devoted to his memory and future lectures will be retitled the Alexander D. Langmuir Memorial Lecture.

 



Famous Medical Detective Writer is Dead at 83, April 28, 1994
(1 of 2)

Berton Roueche, a staff writer for the New Yorker magazine and author of “Eleven Blue Men” and other famous short stories about epidemiologic investigations, died in April. Reprinted below are excerpts from obituaries that appeared in the New York Times and in the New Yorker. Next month, we will publish an appreciation of Roueche’s work by Phil Brachman, former head of the CDC EIS program for many years, along with a complete list of Roueche’s books.

The New Yorker

When Berton Roueche died, at the end of April, he had been writing for the New Yorker for almost fifty years. He was born in Kansas City in 1911, and worked as a newspaperman there and in St. Louis before joining the magazine in 1944. A year later, he began a series of sparkling pieces about people who were left over from the nineteenth century—rural people who made maple syrup or grew potatoes. Then, possibly because his grandfather had been a doctor and he himself had had polio, he wrote his first medical piece. It dealt with the discovery of a hitherto unknown disease, rickettsialpox fever and he wrote it as a tale of suspense. Reports on gout and sodium nitrite poisoning followed, and the flow continued until 1991...

Roueche’s medical pieces became doubly famous: lay readers found them scary and exciting, while doctors, impressed by their learning and clarity, used them as medical texts. William Shawn once wrote about his style, or non-style, “Certainly his is the art that conceals art. His words are so plain, his sentences so chaste, his rhythms so natural that one can overlook the presence of the writer and see straight through to the matter at hand.”

Roueche was handsome, courtly, outgoing, and a lover of anecdotes. He wore Brooks Brothers clothes when he came to New York from Amagansett, where he lived for forty-five years, but he considered shined shoes an affectation. A kind of urbane country boy, he liked nothing better than gleaning new potatoes, then closing things down with a couple of Martinis and a glass of wine. (He was scrupulously cared for by his wife of nearly sixty years, Katherine Eisenhower—a niece of Ike’s—and they had a son, Bradford.)

The New York Times, April 29

Berton Roueche, a staff writer at The New Yorker for nearly 50 years who originated the Annals of Medicine series that chronicled the war against disease in elegant narratives of medical intrigue and detection, died yesterday at his home in Amagansett, L.I. He was 83 years old.

He committed suicide, said his wife, Katherine Eisenhower Roueche, who discovered the body... Mrs. Roueche said her husband had emphysema for five years and had been depressed after he was discharged from treatment for the ailment at Southampton Hospital on Wednesday...

In an appreciation of Mr. Roueche’s work, Lawrence K. Altman of the New York Times wrote: “For many students, collections of his pieces have become unofficial textbooks of epidemiology and sometimes required reading. Occasionally, questions on medical examinations have been based on his articles.” He added: “Many doctors may have learned as much about epidemiology from Mr. Roueche as from their medical school professors.”

Mr. Roueche once said in an interview: “My annals of medical detection are often said to resemble the classic detective story. Actually, the classic detective story owes its nature to medicine.” He explained that Sir Arthur Conan Doyle derived Sherlock Holmes’ method from an Edinburgh diagnostician, Dr. Joseph Ball.

Published October 1994 

More on Berton Roueche: Comments by the Former Head of the Epidemic Intelligence Service at CDC (2 of 2)

Berton Roueche, a medical writer emulated by many but duplicated by none, died at 83 years of age on April 28, 1994. Mr. Roueche, known for his Annals of Medicine narratives in the New Yorker magazine in which he accurately reported epidemiologic investigations of diseases as conducted by health professionals, was the epidemiological chronicler supreme. His literary style was unique in its clarity, accuracy, and weaving of the facts into an informative tale of epidemiologic intrigue. Materials for his stories were obtained by personal interviews with the investigators initially in the New York City health department but then elsewhere expanding to personnel throughout the entire country as identified by investigations initiated by the CDC. His “medical detective” stories were entertaining to the lay public and educational to the medical profession. They frequently were used in epidemiology classes throughout the world. These stories were collected into various volumes and published.

Mr. Roueche was born and grew up in Kansas. After receiving his journalism degree from the University of Missouri, he was a reporter for newspapers in Kansas City and St. Louis before joining the staff of the New Yorker in 1944. Initially, he was a staff writer working on general articles as well as writing some fiction articles. Because of his interest in medicine (at one time he considered becoming a doctor) he initiated the Annals of Medicine series in 1946, which primarily consisted of his articles dealing with epidemiologic studies. These articles and other fiction and non-fiction articles continued to appear in the New Yorker until 1991 when his last article dealing with aplastic anemia was published.

He received various awards from literary and medical societies. He was the first honorary member of the American Epidemiological Society. His contributions to epidemiology are unique and thanks to the publication of many of his narratives in books, he will continue to impact on the training of epidemiologists and other scientists and on the enlightenment of all people.

(Philip S. Brachman, Emory University)

Following is a list of Roueche’s works as we have been able to piece it together from various sources, including his family and literary agent.

A Man Named Hoffman

Annals of Epidemiology - Non-fiction.

Annals of Medicine

Black Weather, Described by the New York Times as a novel of “baleful magic,” it is set in a mildewed and scary rooming house, with a landlady straight out of Edgar Allan Poe and a young couple up to their eyebrows in trouble as victims--ordinary people caught up in a vortex of perverse circumstances. Fiction.

Curiosities of Medicine, Edited by Berton Roueche. An assembly of medical diversions, 1552 - 1962. One piece by Mr. Roueche. Historical pieces, with a bent toward medical detective-work, mostly physical but sometimes psychological; some “modern” pieces shed light on what could not be understood in its own time. Nonfiction.

Desert and Plain, The Mountains and the River, A celebration of rural America. Four pieces by Berton Roueche; photographs by David Plowden. A rural America that is lost to most of us, and, for many, more foreign than Portugal or Greece. Non-fiction.

Eleven Blue Men

Fago, All the elements that make for a good thriller: murder, suspense, greed. Get a victim who in height, weight, general physical outline resembles the killer. Set up in advance a medical history for the killer that indicates suicidal tendencies. Have a cooperative wife, who really dreamed up the whole scheme to begin with... A novel of psychological suspense. Fiction.

Field Guide to Disease, A handbook for world travelers. Twenty-seven diseases explained in alphabetical order from Amebiasis to Yellow Fever; another section lists diseases by country and continent. The book describes disease symp- toms, course, diagnosis, treatment and most important of all, how they can be avoided. Non-fiction.

Feral, This is a frightening thriller about what happens when one segment of the animal kingdom pits itself against man. To the young couple, the old house in Amagansett, Long Island, is a dream come true. But the dream becomes a nightmare as they and their neighbors find themselves prisoners as one man’s thoughtlessness toward “throwaway pets” turns lethal as bands of cats revert to the wild. Fiction.

Sea to Shining Sea, People, travels, places. Wake up in frozen North Dakota on a cross-country winter Amtrak trip, accompany the lone doctor in Jal, New Mexico, on his country hospital rounds, and elsewhere in the United States, and take journeys in Europe from Copenhagen to Italy. Various essays appear in one or more books. Nonfiction.

Special Places: In Search of Small Town America, Describes with significant detail the physical setting, the citizenry, their lifestyles, of seven small towns in America’s heartland. One town is Hope, Arkansas, birthplace of Bill Clinton. Non-fiction.

The Delectable Mountains, Visits to a whaler, a whaler’s church, two glassmakers, the revived Hitchcock chair factory, to a tiny shaker community in upper New York State, and more.

The Greener Grass, The story of a New York City cigar roller and ten stories set elsewhere: how people raise potatoes and ducks and herbs, how they breed donkeys and oxen, how they run a mink farm and how they make wine in the Hudson Valley. Non-fiction.

The Incurable Wound, Five additional medical mystery pieces, including “Ten Feet Tall,” a piece on cortisone which was made into the movie “Bigger Than Life.” Non-fiction.

The Last Enemy, The story of a man suspected of murder, never arrested but never officially cleared, and his life under the burden of suspicion. Set in the 1930’s, the book has a neat twist. Fiction.

The Medical Detectives, A compilation of twenty-two pieces originally published in the New Yorker magazine under Annals of Medicine, dealing with mysterious and difficult to diagnose medical conditions. Non-fiction.

The Medical Detectives II, An additional twenty-two pieces. Non-fiction.

The Neutral Spirit, A searching study of alcohol: its nature, its history and the ageless problems it has presented to man since man stumbled upon a natural phenomenon, which like fire, he gratefully bent to his use. Non-fiction.

The Orange Man

The River World and Other Explorations, A variety of people and places, from Alaska to the Snake River Valley of Idaho to McDowell County, West Virginia. Pieces as well on the apple, garlic and bananas. Non-fiction.

What’s Left, The unifying theme of these eight essays is conversation. Often accompanied by guides from the National Park Service, he visits the Chesapeake and Ohio Towpath, the Current River in the Ozarks of southeastern Missouri, the Islandia Keys in Biscayne Bay, Florida, to a rice harvest on the Chippewa Indian Reservation in northwestern Minnesota, and others.

Published November 1994 

 



Jon Mann Eulogized at ACE Meeting

“He Changed the World”

Jonathan Mann and his wife Mary Lou Clements-Mann, well-known figures in public health with backgrounds in epidemiology, were both aboard the Swissair flight that crashed off the coast of Nova Scotia in early September, 1998.

Prior to his death, Jon was Dean of the new Allegheny School of Public Health, but his fame came from his stint as the Director of the Global AIDS program at WHO and for his advocacy for linking health and human rights.

Prior to her death, Mary Lou Clements-Mann was a professor at the Johns Hopkins University School of Public Health. She was the founder and first Director of the Center for Immunization Research at Hopkins and was Principal Investigator in the NIH AIDS Vaccine Evaluation Unit Network. She had served as a special epidemiologist in the smallpox eradication program in India and had earned an MPH in epidemiology at Hopkins in addition to her MD degree and a doctoral degree in tropical medicine.

Several tributes to the pair have been given at the various agencies and schools where they worked and many have already appeared in journals. Of special note to the epidemiology community are the tributes presented by epidemiologists or at epidemiology events, including one at the ACE meeting by June Osborn of the Josiah Macy Jr. Foundation and the tribute written for the journal AIDS by Robin Ryder. Ryder is the former director of the AIDS research project in Zaire who succeeded Mann in that post and is now John Rodman Paul Professor of Epidemiology at Yale.

Speaking in San Francisco, Osborn said “we do not always know so clearly that we have been walking in the company of giants but in this instance, we do and the tasks he left for us to pick up and carry on are terribly heavy and challenging but they look far more approachable in the light of Jonathan’s life and spirit.” She added, “people all over the world and in every station responded warmly and with trust in his approach. His ability to inspire was always evident and he could do it in bulk as it were 15,000 at a time or even over the mass media... some only heard him once, but the experience changed their lives.”

Also, “he made all of us around him think more ambitiously and audaciously about how we might help to change the world.”

While delivering an update on AIDS at the same session, Jim Curran, former director of the AIDS program at CDC and current Dean of the Emory School of Public Health, noted how he personally used to brag about epidemiology being such a dominant discipline. He made claims for epidemiologists as the seekers and possessors of the truth, as persons of wide perspective who never missed the forest for the trees. He recalled while working on AIDS he was challenged to describe what more he would do about the problems other than informing people. According to Curran, “because we know so much, we have an obligation to do more, we share a responsibility for the solutions.” Curran borrowed from the concept “noblesse oblige” to coin the phrase “Epidemiology oblige” to communicate his idea. And he said, “Jon Mann embodied this concept. He mobilized the world.”

Writing for the AIDS journal, Ryder stated, “I believe that an enduring legacy of Jon will be his global crusade to increase awareness of the strong cause and effect relationship between human rights and health.” And quoting from comments sent to him by Peter Piot, now the Executive Director of UNAIDS, “Jon Mann was truly a visionary when he started Project SIDA at a time when it was absolutely not clear that AIDS would become such a devastating epidemic in Africa. At the same time, he was very methodological in his exploration of the basics of HIV epidemiology in Kinshasa, tackling one problem after another. What I learned most from Jon was his ability to look further than the research question and the study, and to foresee the policy and political implications of his work.”

 


   

 

 
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