William Pickles (1885-1969)

William Norman Pickles, general practitioner and epidemiologost, was born on the 6 March 1885 in Leeds where his father, John Jagger Pickles was in general practice. Pickles went to Leeds Grammar School and afterwards studied medicine at the medical school of the then Yorkshire College and at the Leeds General Infirmary, where he qualified as a licentiate of the Society of Apothecaries in 1909. After serving as resident obstetric officer at the Infirmary, he began a series of temporary jobs in general practice. In 1910 he graduated MB BS London and became MD in 1918.

His first visit to Aysgarth was as a locum for Dr Hime in 1912. After serving as a ship's doctor on a voyage to Calcutta, he returned to Aysgarth later that year as second assistant to Dr Hime. In 1913 he and the other assistant Dean Dunbar were able to purchase the practice. Pickles was to remain in Aysgarth until he retired in 1964, interrupted only by the first world war during which he served in the Royal Naval Volunteers.

In 1926 Pickles read The Principles of Diagnosis and Treatment in Heart Affections by Sir James Mackenzie who had made many important contributions to medical knowledge from his general practice in Burnley. Pickles was inspired by Mackenzies work. An epidemic of catarrhal jaundice broke out in Wensleydale in 1929 affecting two hundred and fifty people out of a population of five thousand seven hundred. Pickles was able to trace the whole epidemic to a girl who he had seen in bed on the morning of a village fete and who he never thought would get up that day. In this enclosed community Pickles was able to trace time and again the short and only possible contact and to establish the long incubation for this disease of twenty six to thirty five days. He published an account of the epidemic in the British Medical Journal 24 May 1930. Two years later he also published record of an outbreak of Sonne dysentry and in 1933 he recorded in the British Medical Journal the first out break of Bornholm disease.

In 1935 Pickles described some of his work to the Royal Society of Medicine . After this meeting a leading article in the British Medical Journal stated "It may mark the beginning of a new era in epidemiology". Major Greenwood, an outstanding epidmeiologist of the time, suggested that he shold write a book on his observations, which was published in 1939 as Epidemiology in Country Practice . This became a medical classic [and is still in print today], and established Pickles's reputation. It showed how a country practice could be a field laboratory with unique opportunities for epidemiologists.

Pickles had by now become famous and was showered with honours. He was Milroy lecturer at the Royal College of Physicians of London (1942) and Cutter lecturer at Harvard (1948). In 1946 he shared the Stewart prize of the BMA with Major Greenwood and in 1955 he was elected an honorary fellow of the Royal College of Physicians of Edinburgh and was awarded the first James Mackenzie medal. He became the first president of the College of General Practitioners in 1953.

In 1917 he married Gertrude Adelaide, daughter of Harry Tunstill, a wealthy mill owner from Burnley. Pickles died 2 March 1969, his wife died later the same year.