Harris 27/5/99 12:09 pm Page 243 Notes Rec. R. Soc. Lond. 53 (2), 243–252 (1999) © 1999 The Royal Society HOWARD FLOREY AND THE DEVELOPMENT OF PENICILLIN by HENRY HARRIS Sir William Dunn School of Pathology, University of Oxford, South Parks Road, Oxford OX1 3RE, UK SUMMARY This article is an exact transcript of the Florey Centenary Lecture given at the Sir William Dunn School of Pathology, University of Oxford, to mark the one-hundredth anniversary of the birth of Lord Florey, who led the group that introduced penicillin into clinical medicine. The Lecture was delivered on 29 September 1998. Howard Florey was the head of the Sir William Dunn School of Pathology for 27 years and in each of those years he gave his lectures to undergraduates in this lecture theatre. He gave his last lecture here in 1961, the year before he retired from the Professorship of Pathology to become the Provost of The Queen’s College. When he had finished his lecture he simply turned on his heel and walked out. The only comment he permitted himself on that occasion was to say ‘That’s that’. We remember him today for the contribution he made to the development of penicillin. September 24 was the 100th anniversary of his birth. I was in two minds, when I decided to give this lecture, whether it should include a brief account of the development of penicillin. Few advances in the history of 20thcentury medicine have attracted so much attention. There are hagiographic lives of three of the principal figures involved; numerous commentaries on the work, most of them written to emphasize the importance of the contribution that had been made in Oxford or in St Mary’s Hospital London; some personal recollections that are, to say the least, contentious. And I wondered whether I, who was not present at the time, could possibly have anything to add to this mountain of emotional literature. My mind was made up by the receipt, a few months ago, of yet another assessment of Florey written for wide distribution. It contained the following passage: With true Australian determination and a strong will to win, Howard Florey attacked the task in hand, a task that would span three decades and two world wars. It was this spirit that pushed him onwards, hurdling the obstacles, both scientific and bureaucratic, that barred his path to success. Howard Florey died in 1968, after a lifetime dedicated to the study of antibiotics. His one life was, and still is, responsible for the saving of countless others. With the exception of the year of Florey’s death, essentially every statement in that 243 Harris 27/5/99 12:09 pm 244 Page 244 Henry Harris panegyric is incorrect. Romantic fiction of that sort merely dehumanizes the individual and in the end belittles him. Florey would have hated it. I don’t know whether there is something special about Australian determination that distinguishes it from the determination of other people, although I must admit that more than one of the numerous young Australians who passed through this laboratory in Florey’s time and in mine were certainly determined enough. How the task in hand could span three decades and two world wars is difficult to understand. Florey was at the threshold of his undergraduate medical course in Adelaide when the First World War broke out and did not take up the study of penicillin until the outbreak of the Second World War. His lifetime was not dedicated to the study of antibiotics. Penicillin was a parenthesis in his experimental career, most of which was devoted to other subjects altogether. His own contribution to the study of antibiotics was largely exhausted by 1946, or thereabouts, when he and his colleagues finished writing their massive two-volume work on the subject. Antibiotics thus occupied Florey for a mere seven or eight years in an active experimental life of some 40. It seems to me that if such misconceptions are still given general currency in 1998, an account of the development of penicillin that at least aspires to be factual might not come amiss on this occasion. Penicillin was discovered by Alexander Fleming at St Mary’s Hospital in 1928. The crucial observation was made on a bacterial culture plate that, by chance, had been left to stand on his bench for some days. Fleming noticed that surrounding a colony of mould that had contaminated the plate there was a zone in which bacterial growth was inhibited. The conditions required to reproduce this appearance appear to be very exacting but, be that as it may, it was an appearance that induced Fleming to examine the antibacterial principle in the mould culture fluid. He found it to be active against some pathogenic bacteria, but not against others. He named it penicillin because the mould that produced it was called Penicillium notatum. There is a tale that claims the Penicillium notatum spore had flown into his laboratory through a window that faced on to Praed Street. In fact, this species of Penicillium was being studied elsewhere in the department at that time, and it is probable that its corridors were laden with a more than adequate supply of spores. It has been argued that Fleming never entertained the idea that penicillin might be used as a chemotherapeutic agent, but this seems unlikely, for he tested the toxicity of the antibacterial culture fluid not only against the defensive white cells of the blood but also by injection into a rabbit. It is difficult to see why he should have bothered to inject this substance into an animal if he had never thought of the possibility that it might be used as a systemic chemotherapeutic agent. He found that the antibacterial principle, in the concentration used, was not toxic either to the white cells or the rabbit. An attempt to purify penicillin was made by Craddock and Ridley, two young men in Fleming’s department, and although their purification procedures yielded important information about some of the properties of penicillin, including the fact that it was not a protein, the extract that they finally produced was found, in their hands, to be highly unstable. It is probable that it was this apparent instability of penicillin that discouraged further work on the substance, although the literature does contain a few anecdotes describing its effectiveness when administered by topical application to superficial or highly localized infections. Harris 27/5/99 12:09 pm Page 245 Howard Florey and the development of penicillin 245 Fleming’s penicillin paper was published in 1929 in the British Journal of Experimental Pathology. Florey must have known about it, for he was at the time one of the editors of that journal, but like everyone else he did nothing about it. Florey was elected to the Chair of Pathology in Oxford in 1935. He had, prior to this date, worked on a number of different subjects, but not on what is known as antibiosis, the production by one micro-organism of a substance that is toxic to others. He was especially interested in blood vessels, the circulation of lymph, the inflammatory response and, above all, the secretion of mucus. When he was elected to the Royal Society in 1941 it was not for his contribution to the development of penicillin but for his work on the circulation of lymph, the secretion of mucus and the function of certain glands Figure 1. Sir Howard Florey, F.R.S. in the intestine. The subject of his Croonian Lecture, given to the Royal Society in 1954, was not penicillin but mucus; and in his book, Lectures on general pathology, which appeared in the same year, he wrote, in addition to sections dealing with inflammation, a whole chapter devoted to mucus. His abiding interest in mucus had its origin in an episode that occurred during his early days as a young lecturer in Cambridge. He was at one point afflicted with recurrent stomach pains, which were misdiagnosed as manifestations of achlorhydria, a condition in which the acid normally secreted by the mucus membrane of the stomach is absent. He was given dilute hydrochloric acid to be taken by mouth, but, in his own words, ‘the only thing that did was rot my teeth’. Henceforth, it was mucus secretion in the gut that, for decades, remained the recurrent theme of his work. Although he often protested that his research did not have a therapeutic or humanitarian goal, but was undertaken out of curiosity and interest, the fact remains that most of his experimental investigations were stimulated by clinical conditions with which he, or other members of his family, were, at one time or another, afflicted. However, he had little time for clinical research as it was then practised. He took the view that it was inordinately expensive and that its results were meagre. He resented the fact that it deflected so much of the available research funding away from the basic experimental work of which he was a staunch protagonist. His antipathy to the clinical world also had very early roots. Even as an undergraduate in Adelaide, he was unenthusiastic about the clinical part of the medical course, and he disliked the airs Harris 27/5/99 12:09 pm 246 Page 246 Henry Harris that some of the prominent clinicians gave themselves. He certainly did not share the estimate they themselves had of their own importance. If, in later years, one of his D.Phil. students got into difficulties, he would often threaten, only half in jest, that he might have to ‘send him back to the clinic’. Prior to penicillin, Florey had no reputation as a microbiologist but was known to be a very effective physiologist, who applied physiological methods to pathological processes. His attachment to physiology was lifelong. Young men who began their scientific careers under his direction were once obliged first to read the undergraduate Final Honour School of Animal Physiology at Oxford, as he himself had done a generation earlier. He was a competent animal surgeon and did not seem hampered by the Dupuytren contracture that he had. This is a common deformity of the hand in which the ring and little fingers are curled up and cannot be fully extended. I had not noticed this before but, one day, for some reason, Dupuytren came into the conversation and Florey held out his hand to show me that he himself had this lesion. I cannot now be certain which hand it was; it is, of course, possible that both hands were affected. How then, did he come to be deflected from his long-standing experimental interests to take up the investigation of penicillin? There is an element of uncertainty here, and the matter has long been a bone of contention between different factions; but it is possible, nonetheless, to piece together an explanation that is at least plausible. Florey had for many years been convinced that some serious chemistry had to be introduced into the study of pathology. In Adelaide, he had originally wanted to be a chemist, but was dissuaded by advice given him that there were then very few jobs for chemists in Australia; and he had therefore turned to medicine. The Chair of Pathology at Oxford offered him the opportunity to add chemistry to the range of techniques at his disposal. On the recommendation of Gowland Hopkins, the eminent professor of biochemistry at Cambridge, Florey offered a position at the Sir William Dunn School to Ernst Boris Chain. Chain, a Jewish refugee from Hitler’s Germany, and facing an uncertain future, accepted with alacrity. One of the problems taken up by Chain in his new position at Oxford was an investigation of the mode of action of lysozyme. This was a substance found in tears, nasal secretions and other body fluids, which had antibacterial activity against a limited range of bacteria. It had also been discovered by Fleming, and Florey’s interest in it was prompted by the fact that it was to be found in mucus. Chain, together with Edward Duthie, showed that lysozyme was an enzyme that split an essential polysaccharide in the bacterial cell wall; they elucidated the precise chemistry of the reaction. Chain regarded the work on lysozyme as essentially complete and, with Florey’s concurrence, undertook a review of other antibacterial substances that might be explored. Eventually this review yielded a short-list of three candidates for further investigation: the products of Bacillus subtilis, Bacillus pyocyaneus and penicillin. We will, of course, never know the content of unrecorded conversations between Florey and Chain, but what evidence there is suggests that it was Chain who proposed penicillin and Florey, to use his own words, ‘went along with it’. In later accounts, Chain claimed that it was the supposed instability of penicillin that attracted him, and Florey appears to have been persuaded Harris 27/5/99 12:09 pm Page 247 Howard Florey and the development of penicillin 247 by the fact that penicillin was the only one of the substances considered that was active against staphylococci, a source of serious purulent infection in man. In any event, it was Chain who initiated the work on penicillin in the Dunn School. Florey at the time was still actively engaged in experiments on other subjects. The first paper on penicillin from the Dunn School appeared on 24 August 1940, but in July of that same year Florey and his collaborators submitted for publication two papers on lymphocytes, one on the effects of the removal of lymphoid tissue from the body and one on the mechanism of capillary contraction. The penicillin mould had already been brought into the department by A.D. Gardner, the Reader in Bacteriology and later Regius Professor of Medicine at Oxford, not, of course, as a potential chemotherapeutic compound, but as a diagnostic reagent that helped to identify certain bacteria in culture. This was the principal application of penicillin in the decade that had elapsed since Fleming discovered it. Chain soon produced a number of crude, probably alcoholic, extracts of the culture fluid in which the mould had been grown and sought to test their toxicity. He did not himself possess a Home Office licence for experiments with animals and took one of the extracts to John Barnes, an admirable man who was then working in the department and who later became the Director of the Medical Research Council’s Toxicology Unit. Barnes injected the extract into two mice and found that it was entirely without perceptible toxicity. Chain was greatly excited by this result, for reasons which, to us now, are not at all clear, for the experiment seemed to be little more than a confirmation of the work of Fleming. When Chain reported the result to Florey, it is said that Florey was annoyed that Chain had taken the extract to Barnes for animal testing and not to himself. Nonetheless, Chain seems to have succeeded in transmitting some of his excitement to Florey, for it was at this point that Florey turned away from his own experimental interests and gave his full attention to penicillin. With Florey’s energetic support, what had started as a speculative experiment was now transformed into a research programme. There was no chance that Chain could have done what Florey achieved in the next couple of years. To begin with, Florey was the head of the department and was in a position to direct the resources of the Dunn School to the penicillin project. But, even more important than this, he was a very practical man and saw at once that a successful outcome would be achieved only by the collaboration of several hands. He was a good manager of men and quickly assembled the group of disparate talents that was necessary. He remained at all times their undisputed leader. Moreover, one quality that he had in abundance was drive, and that was going to be necessary on more than one occasion. But he did not himself make the key experimental contributions that were required to produce a usable preparation of penicillin. These were made by Norman Heatley, who is much too modest to admit it. Heatley, who was already a member of the department because his plans to work with Linderstrøm-Lang in Denmark were cut short by the war, was asked by Florey to join the penicillin project and agreed, provided that he was expected to report not to Chain, but directly to Florey. In the face of Chain’s scepticism, Heatley devised the solvent-to-water transfer cycle that permitted an impure but stable penicillin to be Harris 27/5/99 12:09 pm 248 Page 248 Henry Harris prepared from the mould culture fluid. This procedure formed the basis of an early counter-current distribution apparatus that Heatley himself built. He also devised the cylinder plate diffusion technique that provided a much easier, reliable and sensitive assay for penicillin and was later adopted as the standard assay for antibiotic activity. The mould was initially grown in flasks, bottles, trays, dishes and even 16 oldfashioned bedpans with lid and spout borrowed from the Radcliffe Infirmary. Heatley designed and managed to obtain, under very difficult wartime conditions, 400 rectangular ceramic vessels that were stackable and in which the medium could be changed. And finally, it was he who monitored the first experiment in which the protective effect of penicillin was assayed in mice infected with streptococci. The result was dramatically successful, and when Florey, returning to the laboratory with Chain after a dinner together at Lincoln College, saw the preliminary results, he described them as a miracle. And so they were. Much more extensive animal protection tests, including some with other pathogenic organisms, were then carried out by Florey who, in addition studied the pharmacology of the penicillin extracts and, with Mrs Margaret Jennings, assayed their toxicity against the white cells of the blood. After no more than a few weeks of preparative work, enough stable penicillin was accumulated to permit trials of the drug to be made on patients with normally fatal bacterial infections. These trials were carried out in the Radcliffe Infirmary by Charles Fletcher, working under Florey’s direction. The results, despite some initial setbacks, which were overcome by Florey’s doggedness, were spectacular and established beyond doubt the efficacy of penicillin as a therapeutic agent. This work may be regarded as the true dawn of the age of antibiotics. In order to strengthen the chemical side of the work, Florey attracted Edward Abraham to the Dunn School. Abraham, who had recently completed his doctorate in the Department of Organic Chemistry at Oxford (the Dyson Perrins Laboratory) set about the difficult task of purifying penicillin and determining its structure. He was eventually completely successful in both these aims and was the first to propose the correct chemical structure for penicillin. Abraham’s structure, which involved the novel β-lactam ring, was at once accepted by Chain, but not by Robert Robinson, Head of the Dyson Perrins Laboratory, or by J.W. Cornforth, another distinguished Australian who was then also working in the Dyson Perrins; they suggested an alternative structure. The matter was settled by Dorothy Hodgkin (Crowfoot at the time), who examined crystals provided by Abraham and confirmed by crystallographic methods the presence of the β-lactam ring. Florey was unable to induce any of the British pharmaceutical companies to take up the large-scale production of penicillin. Partly this was due to their then characteristic conservatism, and partly due to the circumstances of the war. Florey did not, however, give up, but went to America to see whether the project could be undertaken there. I do not propose to recount the saga of his attempts to get the American pharmaceutical industry interested, except to say that, once again, they are a testimonial to his perseverance. Through the influence of an old friend, A.N. Richards, who by then had become the Chairman of the Medical Research Committee of the United States Office of Scientific Research and Development, Florey did Harris 27/5/99 12:09 pm Page 249 Howard Florey and the development of penicillin 249 eventually succeed; and, with direct experimental help from Heatley, the first supply of penicillin on a large scale issued from the USA. To sum it all up: without Fleming, no Chain or Florey; without Chain, no Florey; without Florey, no Heatley; without Heatley, no penicillin. For two or three years after the war Florey fished without success for other antibiotics, but by 1950 he had reverted to his former interests and added two new ones. The first of these was electron microscopy, which he applied mainly to the study of inflammation and secretion. Electron microscopy remained an interest of his even after his retirement from the Dunn School. The second was atherosclerosis, which he now began to investigate with his usual vigour, assembling another small team in which John French and Donald Robinson were the principal contributors. The sudden interest in atherosclerosis was, I suspect, not unconnected with his own health for, almost 20 years before his death, he had suffered his first attack of angina. Before that he had been almost a chain smoker, but abandoned cigarettes altogether thereafter. I guessed there was something wrong because of an obvious change in his habits. In my time he usually came into the laboratory at about 10 o’clock in the morning and trudged heavily up the main staircase. One day, I noticed with surprise that he took the lift up, and that soon became his normal mode of upward transport in the laboratory. I do not think that any account of the later Florey would be coherent if his own pathology were ignored. Florey was very secretive about this, partly because he was reticent about all personal matters, but partly also because he thought that if it was widely known that he had a life-threatening cardiac condition, he would not be offered the opportunity to do the things that he still wanted to do. He was also very secretive about his home life. Although everyone in the laboratory knew that it was pretty bleak and could hardly fail to observe some of the obvious consequences of this, Florey was careful to maintain the outward forms of conventional marital respectability, and did so to the end of his days. His wife Ethel, who had contributed to the clinical studies on penicillin, died in 1966 and, the following summer, less than a year before his own death, he married Margaret Jennings. Like everyone else, Florey changed with time, but in his case the changes were almost kaleidoscopic. I did not, of course, know the young Florey, but he was by all accounts an aggressive tennis player (which may have contributed to his being awarded a Rhodes scholarship), a tireless experimenter, very ambitious, plain-spoken, to put it mildly, hot-tempered and instantly recognizable as an Australian. Some idea of the style of the man at that time may be gathered from a comment made elsewhere in South Parks Road, in which Florey and his Australian collaborators in the Dunn School were referred to as ‘Australian bandits’. His speech remained unmistakably Australian to the end, although with time the accent was much diluted. He apparently also shared some of the less likeable characteristics of the parochial and xenophobic White Australia of his youth: as a young man he disliked Jews, Italians and, to quote him ‘didn’t much care for black men’ either. All this evaporated with time, and I detected no trace of racial or national prejudice in the later Florey. Much has been made of Florey’s Australianism, but this, like the man himself, was a very complex phenomenon. When, at a much later date, after his plans to return to Harris 27/5/99 12:09 pm 250 Page 250 Henry Harris Canberra had foundered, I asked him whether he had deep regrets about this and whether his nostalgia for Australia, like mine, was still strong. He did not answer me directly but simply said ‘My father was an Englishman, Harris. If you look out on the right-hand side as the train from London moves into Oxford, you will see an old building that still bears a faded sign that proclaims it is “Flory’s Commercial Hotel”.’ Flor(e)y is not an uncommon name in Oxfordshire and Gloucestershire, and Howard Florey was not indifferent to his English heritage. On another occasion he referred to himself as a ‘Commonwealth man’, by which he meant not only that he was the product of the old Commonwealth that looked to England as the Mother Country, but also that the British Commonwealth of Nations was a political idea that had his support. He had one characteristic that was very un-Australian. He was a stickler for the use of surnames in addressing or talking about people. This was so even to colleagues with whom he had been associated for more than half a century: it was always Heatley, never Norman; always Abraham, not Ted. This was, of course, the common practice in England, especially among ex-public schoolboys, when Florey arrived here, but it was never a feature of adult personal relations in Australia. I can recall only one occasion on which I heard him addressed as Howard. It was during the course of an evening on which I had Florey and Peter Medawar together at my home. Medawar, after dinner, addressed Florey as Howard; but later that evening Florey addressed Medawar as Medawar. To the cronies of his young days he was known as Floss. This adherence to formal modes of address was, of course, a mechanism by which Florey kept familiarity at bay. When I was introduced to him in 1950, he wore severe steel-rimmed National Health Service spectacles and presented an impenetrable wall of detached matter-offactness. When I arrived in the Dunn School at the beginning of 1952, and entered his study, I was greeted by the remark: ‘Ah there, Harris, there you are’, and, pointing towards one of a pair of big brown leather armchairs: ‘Take the weight off your feet’. He wouldn’t talk about what I was going to do until I had found somewhere to live: ‘That will be your first piece of research in Oxford’. Florey was by then a very different man from what he appears to have been in his youth. He was secure, confident, masterful and his speech, although still very direct and close to the ground, was not as colourful as I imagine it must once have been. He loathed ostentation or pretentiousness of any sort, and he would never tolerate exaggeration, rhetoric or selfadvertisement (what we now call hype) in any scientific communication, verbal or written. Deflationary comments were his stock-in-trade. Whenever he returned from one of his numerous trips abroad and we happened to cross in the corridor he would inevitably say something astringent like ‘Ah there, Harris. Still going backwards?’ or ‘Ah there, Harris. Made any discoveries lately?’ His prose style was no more elegant than his speech. Virtually all his later scientific papers, articles and orations were revised and edited by Margaret Jennings before they saw the light of day. Within certain limits, Margaret Jennings became very adept in this kind of editorial work. Florey’s D.Phil. students, mainly Australians like myself, were left to sink or swim. He rarely spoke to his D.Phil. students until they had Harris 27/5/99 12:09 pm Page 251 Howard Florey and the development of penicillin 251 achieved something and then his reaction was calculated to ensure that they didn’t get ideas above their station. He disliked speculation. James Gowans, who worked in the Dunn School for almost 15 years while it was under Florey’s direction and who later became the Secretary of the Medical Research Council, told me recently, when we were reminiscing about Florey, that in all those years he had never once had an imaginative scientific conversation with him. It was a cold regime and those who survived the inclement weather were for ever marked by it. Traces of Florey’s down-to-earth manner are recognizable in all of us. Florey usually escaped from Oxford when the grass in the University Parks began to shed its pollen. He had in middle age, it seems, acquired an acute sensitivity to this and suffered at that time of the year from hay fever. When he came back to the Dunn School in the summer, he generally wore dark glasses and was full of antihistamines. But there were chinks in his armour. I learned by chance that Florey, on a visit to one of his Australian colleagues in London, Roy Cameron, had actually made laudatory remarks about my work. After that, I was perfectly happy to receive as much in-house disparagement as he was prepared to dish out. An even more revealing incident occurred when my wife and I came down together with what was then known as Asian flu. In that condition it was naturally not easy to look after our children. One morning when I answered the front door bell, I was amazed to see the formidable Miss Winifred Poynton, Florey’s secretary, standing there obviously embarrassed. The Professor, she explained, had asked her to come along to see if she could be of any help. To those of his young men who became fixtures in the laboratory Florey was very loyal and the loyalty was returned. We learnt to treat his withering remarks as something of a joke, and we look back on them now with affection. And then there is the late Florey who was elected President of the Royal Society in 1960, who became the Provost of the Queen’s College in 1962, and who was ennobled in 1965, the year in which he was also invited to be the Chancellor of the Australian National University. He was by then a jovial, almost avuncular and sometimes very humorous sexagenarian. The barbed wit remained, but it was no longer painful and was not intended to be. He had not expected to be President of the Royal Society and was genuinely surprised when the invitation came. This was not only because he knew he still had a reputation for fierceness, but also because he had for some time had little to do with the Society or its elaborate administration. He proved, not surprisingly to those who knew him, to be very effective. He succeeded in obtaining a grant from the government to transfer the Society from its cramped quarters beside the Royal Academy to a splendid new abode in Carlton House Terrace; and he obtained another to establish a number of Royal Society Research Professorships to enable a small group of very gifted people to devote their full time to research. As Provost of Queen’s he was, in the end, an outstanding success. This could not have been predicted, for the governing body of Queen’s at that time had a reputation for fractiousness and contained some very difficult Fellows. He was, to begin with, unhappy in the post. ‘The dons’ he once said to me, were as ‘clever as a bagful of cats’. But eventually he ‘wore them down’, as he himself put it, and to everyone’s amazement restored peace in the College. The governing body even asked him to stay on after he had reached the normal age of retirement, but that was not to be. He was actually a Harris 27/5/99 12:09 pm 252 Page 252 Henry Harris very able administrator, although he was always overtly contemptuous of administration. Shortly after I was elected to succeed him at the Dunn School, he had me to dinner at Queen’s and as I left at the end of the evening his parting words were: ‘The job’s a cake-walk, Harris. Just don’t get bogged down in administration.’ The Order of Merit is normally conferred on the President of the Royal Society and, in Florey’s time several of the Presidents were also made Barons. These honours pleased Florey especially because they signalled that he, the outsider, had been completely accepted within the English establishment. Australians then looked askance at any one of their number who accepted a British title; perhaps they still do. When I congratulated him on his elevation to the peerage, I asked him what he was expecting to come his way next. ‘The grave, Harris, the grave’ he answered, and I knew exactly what it was that prompted so gloomy a reply. The Chancellorship of the Australian National University was for him a deeply gratifying distinction. It was, of course, an act of atonement for the administrative fiasco that resulted in his failure ever to return permanently to his native country. One prerequisite of the Chancellorship that he particularly enjoyed was the regular receipt of cases of the best Australian vintages. Florey died during the night of 21 February 1968 of the coronary occlusion that he knew awaited him. In 1945 Fleming, Chain and Florey were awarded the Nobel Prize for Physiology and Medicine. Chain was not elected to the Royal Society until 1949, four years after he won his Nobel Prize, a delay that for him remained a lifelong source of resentment. Florey had his own views about the Nobel Prize. Here is an extract from an interview that he gave in the last year of his life. Well, perhaps you’d like to know some things about the Nobel Prize that every body thinks very highly of. The three of us got it together, that is to say, Chain, Fleming and me, and it was the first prize-giving after the war, so the Swedes put on a tremendous occasion. Of course, it’s in December, and snow about in Stockholm, and they ring the city bells while you’re propelled through the town hall, which is one of the pride and joys of not only Stockholm but of Europe, and there’s a very elaborate ceremony when the King performs the essential business of handing the citation and medal to the recipients. Then there is a tremendous dinner in which a large number of speeches are made and this was followed by a ball with the students in this very magnificent town hall. As I say, it being the first after the war, great enthusiasm was put into this. Well now, one is asked what feelings do you have in getting a Nobel Prize. Well it’s very, very gratifying, very gratifying indeed, but one should always realize that there’s a terrible lot of luck in this sort of thing. We happen to have hit an antibiotic which worked in man. We could have worked with hundreds of others and they would have been chemical curiosities. So this was a bit of luck. There’s no question behind this, and, indeed, when you look critically at some of the Nobel Prizes, you realize that other people have had luck too. Florey was not a profound visionary, like Copernicus or Galileo or Faraday; he was not an outstanding experimental innovator like Pasteur or Koch or Ehrlich; he was not a towering scientific intellect like Newton or Darwin or Einstein. But he had one supreme virtue: he knew exactly what had to be done next, and he got it done. We should all be grateful for that.
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