From Glanders to Genomics: Looking Back at a Century of
Progress in Veterinary Medicine
by Dr. Ted Valli
Welcome to the year 2000! As the great 20th century philosopher and
poet George Santayana wrote, “We must welcome the future, remembering that
soon it will become the past, and we must respect the past, remembering
that once it was all that was humanly possible.” Thus, it is only fitting
to capitalize on this auspicious beginning by taking a respectful look
at where our profession and its education began.
At the turn of the century, the horse was the primary means of transportation
and the primary focus of veterinary practice and education. Veterinarians
were, in that sense, the auto mechanics of the day. As a result of the
advent of the automobile, 33 of the 45 veterinary schools in the United
States had closed by 1930. My alma mater, the Ontario Veterinary College,
lays claim to the title of oldest school in North America in continuous
operation. In 1905, about half of all U.S. veterinarians were OVC graduates!
"Abortion, for instance, is a
germ disease; the germ is found in the mother’s blood, afterbirth and bowels
of the foetus, and such conditions can only be corrected by the hypodermic
injection of such medicines as will destroy and eradicate the germ
and thus restore the animal to a healthy condition.
We make mention of this to illustrate
that the treatment and prescriptions for these diseases are the subject
of much scientific study, and cannot be successfully handled except by
a man of much experience and practice."
— From the Introductory Chapter of Practical Home Veterinarian,
11th ed., by David Roberts, D.V.S., © 1912.
Chicago once boasted two veterinary schools, but both closed in 1920.
The Chicago Veterinary College in 1889 graduated Dr. David Roberts, who
succeeded his brother Evan as Wisconsin state veterinarian and whose book,
Practical Home Veterinarian, I quote above to illustrate state-of-the-art
veterinary care 80 years ago. This book covered everything from asthma
to glanders to wind galls (enlargements of the synovial bursa).
The early veterinary curriculum was a two-year program that devoted
much time to anatomy. The Flexner Report of 1910, which established that
human medical study should consist of two years of basic sciences followed
by two of clinical experience, strongly influenced veterinary education.
This report resulted in the elimination of poorer, two-year schools of
both medicine and veterinary medicine.
Veterinary medical education also took a page from human medicine in
espousing that students should learn at the bedside, with physical contact
with the patient. Sir William (1849-1919), a fellow Canadian who was one
of the founders of Johns Hopkins University and one of the most influential
physicians in history, championed this hands-on approach. Sir William,
or “W. O.,” as he was called, was an early proponent of the belief that
there is only one medicine, which can be applied to various species. At
one time a professor of physiology in Montreal’s veterinary college, Sir
William recommended that the veterinary faculty be called the “faculty
of comparative medicine.”
At the beginning of the 20th century, surgery, aided by such recent
advances as radiographs, aseptic technique, and anesthesia, had a greater
knowledge base and record of success than medicine. Medicine came to the
fore after World War II. Remember, it was not till the 1880s that bacteria
were first identified. Understanding of pathology grew rapidly, but medicine
and an understanding of the specificity of drugs lagged behind. The development
of sulfonamides in the late 1930s and penicillin in the early 1940s ushered
in the era of specific therapy. Soon thereafter an expanded array of vaccines
was added to the arsenal at our command in fighting disease.
After World War II, veterinary colleges entered a period of growth and
sophistication. Animal disease control became more important, and we saw
the eradication of tuberculosis, brucellosis, hog cholera, and other scourges
of livestock. Very soon pseudorabies may join that list.
In the 1960s veterinary specialty boards arose. Veterinarians entered
areas never before imagined: laboratory animal medicine, exotic animal
medicine, environmental toxicology, and comparative medical research, to
name a few.
The latest medical revolution has been in information technology and
genomics. With the aid of computers, it is now within our reach to decipher
the genetic code, to write out the sequences of 3 billion chemical base
pairs in human DNA. Our own Dr. Barbara Kitchell, heading the oncology
team at the College, is working with the dog genome to see how normal and
cancerous cells differ at the genetic level.
As we look back, we see that veterinary schools—particularly those at
land-grant institutions—began shifting their attention from horses to food
animals after World War I, and not until the 1950s did most veterinary
schools acquire small animal facilities. We should note that these shifts
in emphasis did not come about as a result of clairvoyant strategic planning
by schools, but rather by pressure from animal-owning clientele.
Will our teaching programs prove in time to be more visionary than those
at the schools that went the way of the horse-drawn carriage? I see our
teaching expanding at both the basic and applied frontiers of medicine.
Our students must now understand disease and therapeutics at the molecular
level to remain at the forefront of biomedical innovation. At the applied
end we must advance our ability to identify and treat aberrant behavior
in animals as is done by psychiatrists for humans.
Some ideas are timeless. I leave you with two pieces of advice given
to new veterinary graduates in 1935 but still applicable in the 21st century:
“If you don’t know what to do, don’t do anything harmful” and “Bleeding
always stops.”