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Scurvy, caused by lack of vitamin C, was a major problem for polar explorers. It may have contributed to the general ill-health of the members of Scott's polar party in 1912 but their deaths are more likely to have been caused by a combination of frostbite, malnutrition and hypothermia. Some have argued that Oates's war wound in particular suffered dehiscence caused by a lack of vitamin C, but there is little evidence to support this. At the time, many doctors in Britain overlooked the results of the experiments by Axel Holst and Theodor Frølich which showed the effects of nutritional deficiencies and continued to accept the view, championed by Sir Almroth Wright, that polar scurvy was due to ptomaine poisoning from tainted pemmican. Because of this, any advice given to Scott during his preparations would probably not have helped him minimise the effect of scurvy on the members of his party.

This article examines the International High Altitude Expedition of 1935 and its significance in the life and science of Ancel Keys. Both the expedition and Keys's story afford excellent opportunities to explore the growing reach of interwar physiology into extreme climates-whether built or natural. As IHAE scientists assessed human performance and adaptation to hypoxia, low barometric pressure, and cold, they not only illuminated the physiological and psychological processes of high altitude acclimatization, but they also drew borderlines between the normal and the pathological, paved the way for the neocolonial exploitation of natural and human resources in Latin America, and pioneered field methods in physiology that were adapted and adopted by the Allied Forces during the Second World War. This case study in the physiology of place reveals the power and persistence of environmental determinism within biomedicine well into the twentieth century.

Frostbite and other cold injuries on the early polar expeditions were common. This paper explains how frostbite was described, prevented, and treated on the Antarctic expeditions of the heroic age, comparing them with modern recommendations. Nonfreezing cold injury probably also occurred but was not differentiated from frostbite, and chilblains were also described., (Copyright © 2012 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.)

In Antarctica an astonishing more than 300 'medical' place-names record the lives of surgeons and physicians who have served as leaders, clinicians and scientists in the field of polar medicine and other doctors memorialized for their service to medicine. These enduring medical memorials are to be found in the names of glaciers, mountains, capes and islands of the vast frozen Southern Continent. This Antarctic Medical Gazetteer features, inter alii, doctor-expedition leaders, including Jean-Baptiste Charcot (1867-1936) of France and Desmond Lugg (b. 1938) of Australia. The Medical Gazetteer lists 43 geographical features on Brabant Island that were named after famous doctors. This Gazetteer also includes a collection of medical place-names on the Loubet Coast honouring Dr John Cardell (1896-1966) and nine other pioneers who worked on the prevention of snow blindness and four islands of the Lyall Islands Group, including Surgeon Island, named after United States Antarctic Medical Officers. Eleven geographic features (mountains, islands, nunataks, lakes and more) are named after Australian doctors who have served with the Australian National Antarctic Research Expeditions based at Davis Station. Biographic memorials in Antarctica comprise a collective witness of esteem, honouring in particular those doctors who have served in Antarctica where death and injury remains a constant threat.

The Belfast-born David Walker was the 19-year-old surgeon and naturalist on the epic Fox Arctic Expedition (1857-59) that established the fate of Sir John Franklin's unsuccessful (1845) search for the North-West Passage. On return the crew were fêted as heroes and decorated, and shared in a £5000 government bounty: Walker was also received by the Queen and (in Ireland) by the Lord Lieutenant, was honoured by the principal British and Irish natural history societies and his portrait was exhibited in the National Portrait Gallery, London. This paper describes his adventurous life, including the Fox Expedition, which from 1862 was spent abroad and included time in the Cariboo gold fields, service in the United States Army, practice in a notorious Californian frontier town and, in later life, the comparative quiet of general and occupational medical practice in Portland, Oregon. Once a household name, his death went unrecorded in the British and Irish medical and lay press.

William Spiers Bruce was a medical student who sailed as ship's surgeon on the Balaena, one of the ships of the Dundee Whaling Expedition to the Antarctic (1892-93). On this expedition he kept a diary listing his medical consultations and the treatments he administered. This paper considers the expedition and the diaries.

Dr Edward Wilson was a polar explorer who accompanied Robert Falcon Scott (1868-1912) on his expeditions to Antarctica in 1900 and 1910. He went with Scott to the South Pole and died with him on the return journey in 1912. Although medically qualified, he is now remembered more as a naturalist and as a talented artist recording the Antarctic expeditions.

This year, 2012, marks the 100th anniversary of Captain Scott his reaching the South Pole and of his death on the return journey. There has been much discussion on the cause of death of Scott and his colleagues and, in particular, whether he died of scurvy. There has probably been even more discussion on the cause of death of Edgar Evans, one of Scott's companions. This paper reviews the topic.

Leo Max Davidoff was one of the outstanding students of Harvey Cushing, who helped create the discipline of modern neurological surgery. In his own right, Dr. Davidoff was a pioneer who made significant contributions both in neurosurgery and neuroradiology. He also helped to found the Albert Einstein College of Medicine of Yeshiva University. This paper describes his early life and education, together with his participation in the MacMillan Arctic Expedition of 1925.

This paper explores the role of the doctor on the expeditions of the heroic age of Antarctic exploration. The medical role includes medical screening of prospective expedition members, choosing medical equipment so as to maintain a balance between being able to cope with any eventuality and the cost and weight of equipment and drugs, health screening during an expedition, first aid training for field parties without a doctor, and, obviously, treatment of any injury or disease that occurs. If injury or illness occurs, the presence of a doctor is of great psychological benefit to the expedition. Although medical experience is important, it is probably more important that the doctor is a "team member," playing a full part in the expedition's aims, whether these are scientific, exploration, or reaching some goal. Most of the lessons learned during these expeditions a hundred years ago are just as relevant today., (Copyright © 2012 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.)

During the heroic age of Antarctic exploration, a number of the early explorers developed psychiatric illness either in the Antarctic or shortly after leaving it. Most of these were psychotic illnesses and stress reactions. At least six explorers committed suicide either in the Antarctic or after their return. These cases are described, and possible reasons for the apparent high incidence of psychiatric disease and suicide are discussed. There are also examples of the possible misuse of psychiatric labels.

During the heroic age of Antarctic exploration (1895-1922) there were at least 18 expeditions to the Antarctic lasting between 18 and 30 months. This is an introduction to a series of articles about the drugs taken and used in the Antarctic at this time. Most of the information relates to the expeditions of Robert Scott and Ernest Shackleton and the main supplier of medical equipment was Burroughs Wellcome and Co. This article also describes the medical cases that were taken to the Antarctic.

In 1859, Robert Kennicott, one of the most promising specimen collectors and young naturalists in the United States, was dispatched to Hudson's Bay Territory by Spencer Fullerton Baird, the Assistant Secretary of the Smithsonian. Kennicott was chosen because of previous experience in Canada, the familiarity with biota of the American Midwest, and because he had a boundless, infectious, enthusiasm for natural history that was typical among Baird's closest protégées. Kennicott was a natural scientific envoy--or missionary--to the officers of the Hudson's Bay Company, and many officers were enthusiastically 'converted' to the cause of collecting and/or overseeing the collection of natural history specimens. Due to this collaboration between Baird, Kennicott and the officers of the Hudson's Bay Company, the Smithsonian became a leading center of Canadian natural history in the Western hemisphere., (Copyright © 2012 Elsevier Ltd. All rights reserved.)

The well known naturalist, Richard Owen, had a career long engagement with monstrous creatures. In the 1830s he famously christened large fossil reptiles, Dinosauria. He investigated fossil marine reptiles as well as the giant moa. He also looked into the sea-serpents and sea monsters then drawing wide public attention. He actively collected letters and analyzed correspondence on the topic, consulted with the admiralty on reports of Royal Navy encounters and sightings, and commented in the public press. He concluded that such reports were based upon misidentifications of whales and other large marine mammals, and not run-ins with mythological creatures. His work on the sea-serpent shows that rather than discount the idea out of hand, a number of high profile naturalists were intrigued by monsters and attempted to understand what they were. His work is key to understanding the skepticism over monsters held by modern mainstream science. This skepticism opened the field to later amateur investigators., (Copyright © 2012 Elsevier Ltd. All rights reserved.)

The psychology of Antarctic explorers and groups in Antarctic bases has been much studied in recent years, and current knowledge has been summarized in a review by Palinkas and Suedenfeld (2008). There was no formal psychological research during the heroic age of Antarctic exploration, but a number of the doctors and non-medical personnel on the expeditions were keen observers of the psychological aspects of the expeditions and wrote about them. In this paper, I describe their understanding of the psychology of Antarctic exploration. By comparing this with current knowledge, it is clear that most of what has been found by formal study was known to the explorers of the heroic age.

The 1910-1913 Terra Nova Expedition to the Antarctic, led by Captain Robert Falcon Scott, was a venture of science and discovery. It is also a well-known story of heroism and tragedy since his quest to reach the South Pole and conduct research en route, while successful was also fateful. Although Scott and his four companions hauled their sledges to the Pole, they died on their return journey either directly or indirectly from the extreme physiological stresses they experienced. One hundred years on, our understanding of such stresses caused by Antarctic extremes and how the body reacts to severe exercise, malnutrition, hypothermia, high altitude, and sleep deprivation has greatly advanced. On the centenary of Scott's expedition to the bottom of the Earth, there is still controversy surrounding whether the deaths of those five men could have, or should have, been avoided. This paper reviews present-day knowledge related to the physiology of sustained man-hauling in Antarctica and contrasts this with the comparative ignorance about these issues around the turn of the 20th century. It closes by considering whether, with modern understanding about the effects of such a scenario on the human condition, Scott could have prepared and managed his team differently and so survived the epic 1,600-mile journey. The conclusion is that by carrying rations with a different composition of macromolecules, enabling greater calorific intake at similar overall weight, Scott might have secured the lives of some of the party, and it is also possible that enhanced levels of vitamin C in his rations, albeit difficult to achieve in 1911, could have significantly improved their survival chances. Nevertheless, even with today's knowledge, a repeat attempt at his expedition would by no means be bound to succeed.

Charcot name became very famous around the world, firstly because of the work of Professor Jean-Martin Charcot, the founder of Clinical Neurology, and, secondly, because of his son, Jean-Baptiste, the world famous maritime explorer.

This paper traces the career of William Anderson, naval surgeon and naturalist, who served in Cook's ship Resolution on the second and final voyages, and died of tuberculosis high in the Arctic.

During the heroic age of Antarctic exploration, snow blindness was a common problem, but not all the descriptions of it fit the modern view of the disease, and some of the explorers complained of long-term problems. This article describes the snow blindness and other eye problems that occurred during this era. It also describes how snow blindness was prevented and treated., (Copyright © 2012 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.)

Introduction: Sleeping sickness, or human African trypanosomiasis, caused an important mortality at the beginnings of the twentieth century. For this reason the European colonial countries organized several scientific expeditions which contributed decisively to the knowledge of the disease., Aim: To study the first investigation performed in Spain on African trypanosomiasis and in the field of tropical medicine, which was accomplished by a scientific expedition to the Spanish territories in the Gulf of Guinea organized by Cajal in 1909., Development: The parasitologist Gustavo Pittaluga, who became one of the most outstanding figures in Spanish medicine and public health during the first third of the twentieth century, commanded the expedition. Other members were Luis Rodriguez Illera and Jorge Ramon Fananas, Cajal's son. Along four months they travelled through the Spanish territories of Guinea, collecting clinical and epidemiological information on sleeping sickness and other diseases, and examining a great number of patients, who had hematological and parasitological studies performed. In the clinical description of the 14 cases of trypanosomiasis studied we have found the first description of the opsoclonus-myoclonus syndrome. A pathological study of the brain was performed in one case. In addition, important entomological studies and experimental investigations on trypanosomiasis were also performed., Conclusions: This expedition took place in the context of the impulse of renovation of Spanish science headed by Cajal through the Junta de Ampliacion de Estudios, recently created. In the investigations performed in Guinea, Pittaluga demonstrated a high scientific standard in the fields of clinical medicine, hygiene, parasitology and entomology, comparable with other contemporary European studies.

The spreading of Tibetan Buddhism and with it the Tibetan medicine in the region east of Lake Baikal, goes back to the 17th century. At the beginning of the 18th century, German speaking scholars were among the first to undertake scientific expeditions through Siberia. As such they were amongst the first scientists of the modern era who encountered the traditions, concepts, and therapeutic methods of Tibetan medicine. The aim of this article is to describe and analyze these first encounters with Tibetan medicine by the example of selected men of science of the 18th and 19th century. This work is based on extensive studies of sources in archives and libraries in Russia and Switzerland. We found documents related to the following scientists: Daniel Gottlieb Messerschmidt (1685-1735), Johann Georg Gmelin (1709-1755), Erik Laxmann (1737-1796), Friedrich Adelung (1768-1843), and Joseph Rehmann (1779-1831). They mentioned the distribution of Tibetan medicine within Russia, the use of medicinal plants and formulas as well as therapeutic techniques. For the scientific community of the time these first encounters of Europeans with practitioners of Tibetan medicine could not lift Tibetan medicine out of other exotic context in the field of ethnography. For today's researchers, these encounters are an important evidence for more than 300 years of development of Tibetan medicine on the vast territory of Siberia. The practice and the scientific examination of Tibetan medicine in Siberia is an active endeavor until today. The present work shows that it is possible and rewarding to follow up the historic and cultural connections from Europe to Asia via the Siberian link., (Copyright © 2012 S. Karger AG, Basel.)

Alexandre Yersin, the great French discoverer of yersinia pestis, was a keen explorer of unknown lands. At the age of 30, a member of the French Colonial Health service, he set off to fulfil his intimate dream and explore other continents. For almost two years and three long expeditions, he journeyed through widely unknown regions in the province of the French Indochina, in southeast Asia, territories of Vietnam, Cambodia and Laos. This article presents vignettes from his explorations. During his difficult travels, he carefully planned and noted his itineraries; designed new routes, but also observed and recorded sociodemographic and environmental data and unidentified diseases. The immature science of late 19th century geography had the strength to allure such an influential medical figure and place him among the early medical geographers. His journeys, observations and recordings brought to Yersin great experience, and he made his most important scientific contributions after he had concluded his explorations.

One hundred years ago, teams led by Roald Amundsen and Robert Scott may have been heading in the same direction but they were poles apart in the way they sought their goals. Amundsen led a five-person team of expert Nordic skiers and dog-sledders with a single goal: getting to the South Pole first. He planned and executed the effort brilliantly. Scott, in contrast, led a complex and multi-faceted Antarctic expedition with 33 explorers and scientists, many of whom were focused on ambitious and often taxing scientific research projects that had nothing whatsoever to do with reaching the Pole. Although Scott failed to reach the South Pole first and died with four men on the return trip, his expedition made significant contributions to Antarctic science. Indeed, at least some of Scott's failure to reach the Pole first and the subsequent death of his polar party on the return trip can be attributed to burden of trying to do too much and not focusing on reaching the pole., (Copyright © 2011 Elsevier Ltd. All rights reserved.)