Figure 1 The Franklin monument |
Figure 2 Routes taken, 1845-1846 |
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Copyright © 2002, The Royal Society of Medicine Sir John Franklin's last arctic expedition: a medical
disaster 61 Onslow Square, London SW7 3LS, UK E-mail:
RicBayliss/at/dial.pipex.com Many readers of this Journal must have walked through Waterloo
Place, at the southern end of Lower Regent Street in London, on their way to
the Athenaeum, the Royal Society, the Royal College of Pathologists, the
Academy of Medical Sciences or St James's Park. How many have stopped on the
western side, a few paces to the left of the Athenaeum, to look at the 1866
statue with the unusual inscription ‘Erected by the Unanimous Vote of
Parliament’ (Figure 1
On 19 May 1845 HMS Erebus, under his command, and HMS
Terror, commanded by Captain Crozier, set sail from the Thames. The
two ships were specially equipped for the expedition. They were centrally
heated to combat the bitter winds and external temperatures of -40 °C or
lower; their bows were reinforced with steel to cut through the ice; and each
boat was powered by a steam engine and screw propeller, giving a speed of 3-4
knots, to aid progress when there was insufficient wind for sailing or when
pack ice obstructed their course. Fuel for the engines was limited, and their
power was to prove inadequate. The complement of officers and men, of whom
four were cabin boys, was one hundred and
twenty-nine2. After reaching Greenland, stores from a supply ship, which then returned to
England, were off-loaded on the ships. With poor prospects of obtaining food
in the arctic, provisions for three years were transferred which included 8000
tins, varying in capacity from 1 to 8 lb, of pemmican, cooked beef, cooked
pork, preserved meat and soup, and 930 gallons of lemon
juice1. The two
ships were last sighted by two whalers north of Baffin Island
(Figure 2
Not until the end of 1847 was concern about Franklin's disappearance
expressed by the Admiralty in London. Between then and 1880 twenty-six
expeditions, overland and by sea and some funded by Sir John's widow, were
mounted in search of the Erebus and the
Terror3.
Further searches, some as recently as
1980-19982,5,
have helped reveal what probably happened to Franklin's ill-fated
expedition. The appalling climatic conditions and the pack ice, which melted little in
the short summer months, made navigation of the Erebus and the
Terror difficult, indeed impossible. After managing to sail round
Cornwallis Island, the ships wintered in 1845-1846 at Beechey Island at the
south-western tip of Devon Island (Figure
2 In the winter of 1846-1847 the ships became trapped in the ice to the west
of Somerset Island and the Boothia Peninsula. On 11 June 1847 Sir John
Franklin, aged 61, died suddenly on board HMS
Erebus4. No
necropsy was done by the ship's surgeon and his grave has never been found,
probably because he was buried in the ice. Now under the command of Captain
Crozier the two ships were carried south by the pack ice and prevailing wind.
During the winter of 1847-1848 nine officers and fifteen men fell ill and
died. Within sight of King William Island and still gripped in the ice,
Crozier decided on Good Friday, 22 April 1848 to abandon the ships. This
decision was not precipitated by lack of food but was probably related to the
poor health of his men. They had lost much weight and were weak. Some had
bleeding gums and loose teeth, ecchymoses and subcutaneous haematomas, pallor
and shortness of breath—features highly suggestive of scurvy. Crozier
planned to continue overland to the south of King William Island and then
cross to the mouth of the Great Fish River on the mainland where he hoped to
get help from an outpost of the Hudson Bay Company. Dragging life-boats on
sledges with them, he and his men progressed down the western coast of King
William Island, travelling over the frozen ice along the coast-line because
this made their passage smoother than over the rough land. Even so they
managed to cover only 1½ miles or so in a day. Not a single man
survived the journey although some did reach the mainland, the bodies of
thirty men being subsequently found near the Great Fish River. An old Eskimo
woman later told how the ill men had fallen down and died as they trudged
through the ridged ice. Expeditions in 1981-1986 by Dr Owen Beattie, an anthropologist at Alberta
University, have helped explain what may have
happened2. In 1981
the investigators found many skeletal remains, some of Eskimos and others from
the crew of the British ships. Macroscopic examination of the bones of
expedition members showed evidence of scurvy and their lead content was 228
parts per million compared with 22-36 ppm in the bones of the Eskimos. In 1984
Beattie and his team returned with the express purpose of exhuming the graves
of the three members of the crew buried early in 1846. The first to be exhumed
was a stoker on HMS Terror, John Torrington aged 20, who had died on
1 January 1846. The ground on top of the grave was cement-hard permafrost that
had to be pickaxed to remove it. A metre down they found the coffin. Removal
of the lid was difficult because it was held down with square nails and stuck
to the coffin by ice. The corpse within was frozen in a block of ice. By
pouring water over it, the body was thawed out and proved to be well preserved
after 138 years. It was emaciated and weighed less than 40 kg with a body-mass
index of 15 (normal 20-25), showing that Torrington must have lost a lot of
weight since leaving England. His hands showed no evidence that he had been a
stoker, and this suggested that he had been too ill to work long before he
died. The lungs showed pleural adhesions, anthracosis, emphysema and evidence
of tuberculosis. Death was attributed to pneumonia. Analysis of his bones
showed lead levels of 110-151 ppm. The lead level in the terminal part of his
scalp hair was more than 600 ppm but was slightly less in hair nearer the
scalp, suggesting that his lead intake diminished during the last weeks of
life when he was seriously ill. In 1986 Beatti returned and exhumed the grave of John Harkness, a petty
officer on HMS Erebus, who had died on 4 January 1846 at the age of
25. His emaciated corpse was carried to the necropsy tent, and when his
clothes were cut off it was clear that a previous necropsy had been carried
out, probably in 1846 on board the Erebus by Dr Goodsir, the
assistant-surgeon. The corpse had a body mass index of only 14. Harkness had
died of pulmonary tuberculosis. Exhumation of the grave of the Royal Marine
William Baine, aged 32, who had died on 3 April 1846, followed. This corpse
was also emaciated, weighing less than 40 kg. There were many superficial
tooth marks which were thought to have been caused by rats that had tried to
eat the body while it was still on board ship. The lungs showed evidence of
tuberculosis but no organisms were cultured. Lead levels in samples of Baine's
hair were 145-280 ppm. X-rays showed collapse of the eleventh thoracic
vertebra due to tuberculosis (Pott's disease). It seems that Franklin's last expedition was bedevilled by several
different diseases. Tuberculosis was rampant in the nineteenth century and the
conditions on Erebus and Terror would have fostered its
spread among the crew. With regard to scurvy, Dr James Lind, a naval medical
officer, had written his treatise on scurvy in 1754 and his 1757 paper on how
to preserve the health of seamen had been adopted by the Royal Navy in 1795.
Thereafter scurvy was reputed to have been eliminated. So why should it have
occurred in the personnel of Franklin's last arctic exploration, despite each
man allegedly receiving one ounce of lemon juice daily? Ascorbic acid is an
unstable substance and prolonged storage, with or without refrigeration, may
impair its function. It is possible that the lemon juice began to ferment and
was boiled to prevent this—a procedure that would have destroyed the
ascorbic acid. The chemical evidence of lead poisoning is almost certainly due to the
soldering of the cans that contained the preserved meats. The technology for
preparing canned meat was new, having been patented in 1811, and the cans were
sealed with a solder of tin and a high lead content. Contaminating the meat
immediately adjacent, this solder was the probable cause of the high lead
levels found in the bones and hair of the crew. This would have led to
anorexia, fatigue and weakness from peripheral neuritis, intestinal colic and
psychological manifestations such as anxiety and paranoia. Another suggestion
(Martin S, personal communication) is that the poor quality of the canning
could have led to botulism. References 1. Cyriax RJ. Sir John Franklin's Last Arctic
Expedition. London: Methuen, 1939. 2. Beattie O, Geiger J. Frozen in Time.
London: Bloomsbury, 1987. 3. Savour A. The Search for the North West
Passage. London: Chatham, 1999. 4. McGregor E. The Ice Girl. London: Bantam
Press, 2001. 5. The Franklin Trail.
[www.netscades.com/franklintrail
] |
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