Grethe Rask

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Margrethe (Grethe) P. Rask

Born 1930
Thisted, Denmark
Died 12 December 1977 (aged 47)
Copenhagen, Denmark[1]
Profession Surgeon
Known for Being one of the first non-Africans to die of HIV/AIDS
Years active 1964–1977

Margrethe P. Rask (1930 – December 12, 1977), better known as Grethe Rask, was a Danish physician and surgeon who practiced medicine in what was then known as Zaire (today the Democratic Republic of the Congo). After setting up her own hospital in a village called Abumombazi in 1972, she transferred to Danish Red Cross Hospital in Kinshasa in 1975 before returning to Denmark in 1977 following symptoms of an unknown disease, which was later discovered to be AIDS. Rask, who died three and a half years prior to AIDS being recognized by the Center for Disease Control in June 1981, was one of the first non-Africans (along with Arvid Noe) to die of AIDS-related causes.

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[edit] Early years and Zaire (1930-1974)

Born in 1930 in the Danish town of Thisted, Dr. Rask practiced medicine in Zaire (now known as the Democratic Republic of the Congo) for a brief period in 1964, when she was recalled back to Europe for training in stomach surgery and tropical illnesses[2], and from 1972 to 1977, first at a small local hospital in the Zairian town of Abumombazi, and then at the Danish Red Cross Hospital in Kinshasa starting in 1975. She was likely first exposed to HIV during her time in Abumombazi. Her friend and colleague, Ib Bygbjerg (a physician specializing in communicable diseases), wrote in a 1983 letter to The Lancet that "while working as a surgeon under primitive conditions, she [Rask] must have been heavily exposed to blood and excretions of African patients."

[edit] Illness and death (1975-1977)

Rask apparently suffered from symptoms of HIV starting in late 1974[3], including diarrhea, swollen lymph nodes, weight loss, and fatigue. Although the symptoms receded temporarily following drug treatments in 1975[4], the symptoms later grew considerably worse. Following a vacation in South Africa in July 1977, she could no longer breathe and relied on bottled oxygen.[5] She flew back to Denmark, where tests at Copenhagen's Rigshospitalet discovered she had contracted a number of opportunistic infections, such as Staphylococcus aureus (staph infection), candidiasis (yeast infection), and Pneumocystis jiroveci pneumonia (PCP, a fungal infection of the lungs formerly known as Pneumocystis carinii pneumonia) at. Tests also showed that Dr. Rask had a nearly non-existent T-cell count, leading to a severely depressed immune system.

At the time, the doctors treating Rask were at a loss to explain her disease progression, which in retrospect, would come to be seen as one of the first cases of AIDS recorded outside of Africa.

After numerous tests and unsuccessful treatments, she eventually returned home to her cottage on the fjord in November 1977, where her long-time companion (a nurse) cared for her. She was called back for more tests in December, and returned to the Rigshospitalet in Copenhagen, where she remained until she died of AIDS-related Pneumocystis jiroveci pneumonia, on December 12, 1977.

[edit] Autopsy and testing

A subsequent autopsy revealed that Rask's lungs were filled with a fungus known as Pneumocystis carinii jiroveci, a rare type of pneumonia that mostly affected people that were immunocompromised and that is today known as a common symptom of AIDS. Rask's blood samples were assayed in Copenhagen in 1984 following extensive research on AIDS[6]. The test was done with a very early version of ELISA and tested negative for HIV/AIDS.[7] However, two later tests were done in America with more advanced assays in 1987; both tested positive.[8] Therefore, Rask is one of the first non-Africans to die of AIDS.

[edit] See also

[edit] References

  1. ^ Shilts, Randy [1987]. And the Band Played on: Politics, People, and the AIDS Epidemic (in English). St. Martin's Press, pg. 7. ISBN 0312009941. 
  2. ^ Shilts, Randy [1987]. And the Band Played on: Politics, People, and the AIDS Epidemic (in English). St. Martin's Press, pp. 3–4. ISBN 0312009941. 
  3. ^ Shilts, Randy [1987]. And the Band Played on: Politics, People, and the AIDS Epidemic (in English). St. Martin's Press, pg. 5. ISBN 0312009941. 
  4. ^ Shilts, Randy [1987]. And the Band Played on: Politics, People, and the AIDS Epidemic (in English). St. Martin's Press, pg. 5. ISBN 0312009941. 
  5. ^ Shilts, Randy [1987]. And the Band Played on: Politics, People, and the AIDS Epidemic (in English). St. Martin's Press, pg. 6. ISBN 0312009941. 
  6. ^ Hooper, Edward [1999]. The River (in English). Little, Brown and Company, pg. 95. ISBN 0-316-37261-7. 
  7. ^ Hooper, Edward [1999]. The River (in English). Little, Brown and Company, pg. 95. ISBN 0-316-37261-7. 
  8. ^ Hooper, Edward [1999]. The River (in English). Little, Brown and Company, pg. 95. ISBN 0-316-37261-7. 

[edit] Further reading

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