Albert Calmette - Research On Tuberculosis

Research On Tuberculosis

Calmette's main scientific work, which was to bring him worldwide fame and his name permanently attached to the history of medicine was the attempt to develop a vaccine against tuberculosis, which, at the time, was a giant killer disease. The German microbiologist Robert Koch had discovered, in 1882, that the tubercle bacillus, Mycobacterium tuberculosis was its pathogenic agent, and Louis Pasteur became interested in it too. In 1906, a veterinarian and immunologist, Camille Guérin, had established that immunity against tuberculosis was associated with the living tubercle bacilli in the blood. Using Pasteur's approach, Calmette investigated how immunity would develop in response to attenuated bovine bacilli injected in animals. This preparation received the name of its two discoverers (Bacillum Calmette-Guérin, or BCG, for short). Attenuation was achieved by cultivating them in a bile-containing substrate, based on idea given by a Norwegian researcher, Kristian Feyer Andvord (1855–1934). From 1908 to 1921, Guérin and Calmette strived to produce less and less virulent strains of the bacillus, by transferring them to successive cultures. Finally, in 1921, they used BCG to successfully vaccine newborn infants in the Charité in Paris.

The vaccination program, however, suffered a serious setback when 72 vaccinated children developed tuberculosis in 1930, in Lübeck, Germany, due to a contamination of some batches in Germany. Mass vaccination of children was reinstated in many countries after 1932, when new and safer production techniques were implemented. Notwithstanding, Calmette was deeply shaken by the event, dying one year later, in Paris.