Hi all,

I just finished reading an article (Spellberg & Taylor-Blake, 2013) about the 
development of an "urban legend" in the biomedical field: the attribution of an 
"infamous quote" to William H. Stewart, the U.S. Surgeon General from 1965 to 
1969. Stewart now is widely remembered for stating the following (in either 
1967, 1968, or 1969, depending on the source): “It is time to close the book on 
infectious diseases, and declare the war against pestilence won” because of the 
advent of antibiotics. The quotation even appeared in his obituary in the 
Lancet in 2008. However, Stewart apparently never made a statement that was 
even similar to one attributed to him. The article does a good job of 
describing the development of the "urban legend," which apparently had its 
roots in a 1989 conference.

I think the article also is a good one for us to keep in mind when we teach our 
classes. We all rely to varying extents on secondary (and tertiary, and 
quaternary, ...) sources when preparing for our courses. The article does an 
excellent job of showing how this can lead even specialists in a scientific 
field to develop erroneous beliefs. In fact, just before his death in 2008, 
Stewart himself did not remember if he had ever made the statement.

Best,
Jeff

RFERENCE

Spellberg, B., & Taylor-Blake, B. (2013). On the exoneration of Dr. William H. 
Stewart: Debunking an urban legend. Infectious Diseases of Poverty, 2(3). 
doi:10.1186/2049-9957-2-3
Retrieved July 26, 2013, from 
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3707092/pdf/2049-9957-2-3.pdf

Abstract
Background: It is one of the most infamous quotes in the history of 
biomedicine: “It is time to close the book on infectious diseases, and declare 
the war against pestilence won.” Long attributed to the United States Surgeon 
General, Dr. William H. Stewart (1965-1969), the statement is frequently used 
as a foil by scientific and lay authors to underscore the ever-increasing 
problems of antibiotic-resistant and emerging infections. However, the primary 
source for the quote has never been identified.

Methods: We undertook a comprehensive search of multiple databases encompassing 
medical literature, news articles, and congressional records to attempt to 
identify sources for the quote.

Results: No source of the quote was identified. However, a trail of source 
documents was identified that clearly serves as the basis for subsequent, 
incorrect attribution of the quote to Dr. Stewart. In multiple source 
documents, Dr. Stewart made statements to the opposite effect, clearly 
recognizing that infectious diseases had not been conquered. The urban legend 
was created by a combination of lack of primary witnesses to the originating 
speech, misunderstanding of points made by Dr. Stewart in the speech, and 
increasing societal concern about emerging and re-emerging infectious diseases.

Conclusions: Attribution to Dr. Stewart of a belief that it was time to close 
the book on infectious diseases is an urban legend; he never made any such 
statement. Numerous other verifiable sources, however, confirm that other 
people in academia adopted this belief. Dr. Stewart should no longer be cited 
in this regard, and should be replaced with verifiable sources.
-- 
---------------------------------------------------------------------------------
Jeffry Ricker, Ph.D.
Professor of Psychology
---------------------------------------------------------------------------------
Scottsdale Community College
9000 E. Chaparral Road
Scottsdale, AZ 85256-2626
Office: SB-123
Phone: (480) 423-6213
Fax: (480) 423-6298


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