Medieval medicine: the return to maggots and leeches to treat ailments

The rise in global antibiotic resistance means huge sums are being invested in ground-breaking treatments. But some scientists are turning back the clock in the hunt for effective alternatives

For several long months in the 1990s, Ronald Sherman travelled all over southern California catching flies. As a qualified doctor pursuing an infectious diseases fellowship, Sherman was curious about a potential new – and also very old – way to clean wounds. At medical school, he’d written a paper on the history of maggot therapy, tracing how the creepy crawlies helped heal soldiers in the Napoleonic wars, the American civil war and the First World War. Now Sherman wanted to test maggots in a modern setting. The problem? No one farmed and sold the species of flies that the doctor needed – so he went out and caught them himself.

Once the specimens were collected and “as soon as everyone stopped laughing”, Sherman got to work. After treating his first patients with maggots, he was impressed by the results, but nonetheless he struggled to get his initial research papers published. A rejection letter from one journal read: “Publishing the manuscript might be interpreted as an endorsement for a therapy that is ancient.” Yet today, Sherman says, “that same journal probably has two or three articles about maggot therapy every year!”

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