Why the change in infectious diseases? Why did I focus on that one?
What makes it so much better to be alive now in terms of your likelihood to die of an infectious disease than it did in London in 1665? Yes, but what specifically? Drugs like antibiotics, penicillin, erythromycin, again something else you probably all had experience with and you think well that’s not Biomedical Engineering, that’s science, that’s somebody discovering a molecule that kills microorganisms.
That’s true, it is science, but in order for that to go from being a science that works in a laboratory or in one hospital to being penicillin, which could be used all over the world, you’ve got to be able to make it in tremendously large quantities and that’s the work of biomedical engineers, making penicillin in the kinds of quantities that you need so that a dose could be available for everyone in the world if they got infected and to make it not just in abundance but make it cheaply enough that everyone could afford it. So, if you can make 100 tons of the drugs, but it costs $100,000 a gram that might not be a useful drug because nobody could afford to use it.
So, it’s the work of biomedical engineers, really, to take these innovations in science like drugs and make them useful, make them so that everybody can take advantage of it. And you also mentioned vaccines and we’re going to talk a lot in the middle part of the course about vaccines and the engineering of immunity. How do you engineer, what happens in our immune system in order to protect us from diseases? That’s another of an area where biomedical engineers have made tremendous contributions.
So, just to go a little bit further with that point, if you looked at the causes of death of London in 1665, here’s a list that I got from a source that was written at that time, and I don’t even understand what some of these things are, but the ones in green are infectious diseases, they’re infectious causes of disease.
Spotted fever in purples for example, which we call measles, was a significant cause of death as was the plague, which we don’t have any more, thank goodness. But, people died typically of either infectious diseases or they died during childbirth or they might have died at old age which would have been 50 or so at that time.
Biomedical Engineering Defined Pt 10