A New Colleague, and the Chaulmoogra Puzzle
On the island of Moloka‘i existed one of the leprosy treatment colonies where those with the disease were banished – the
isolation facility of Kalaupapa. Dr. Harry Hollmann was a physician at the Kalihi hospital in Honolulu who studied leprosy treatment for the facility and became interested in Alice’s research.
Dr. Hollmann had studied a common (but inconsistent, and often ineffective) leprosy treatment using the oil from the Chaulmoogra tree seed. It was known that the active components in Chaulmoogra oil were effective for treating leprosy, but the methods of administering the medicine caused many issues. When given orally, patients usually vomited it up due to its extremely sickening taste. When injected, it was very painful and patients would often develop abscesses and further skin damage and disorders.
Dr. Hollman needed someone who could isolate the active component of Chaulmoogra oil – and he turned to Alice Ball. Her research on the Ava (Kava) root was similar in concept to the Chaulmoogra puzzle, so he reached out to Professor Ball for her help.
Alice worked tirelessly to crack the Chaulmoogra code.
In less than a year, she isolated ethyl ester groups from Chaulmoogra fatty acids and discovered a way to make the active component of the oil-soluble in water. Doing this meant it could be injected without the debilitating side-effects seen before. Alice was only 23 when she made this discovery, which is now known as the Ball Method. At the time, it was the only effective treatment for leprosy.
Alice’s discovery revolutionized leprosy treatment. Thousands of patients were treated and discharged from isolation facilities over the next several years. What had seemed the impossible – getting to return to their families and lives – was now possible. Alice’s treatment became the standard for decades until sulfa drugs were invented in the 1940s, which paved the way for the leprosy cures available today.