Alice Ball: Pioneering Treatment for Hansen’s Disease

The treatment of Hansen’s disease, commonly known as leprosy, is greatly improved today thanks to innovative scientific research, notably the contributions of Alice Augusta Ball in the early 20th century. This historic figure, often overlooked, made significant strides in combating the disease that had long inflicted suffering and social stigma on those afflicted.
Background on Alice Ball
Alice Ball, born in Seattle in 1892, was a pioneering scientist who became the first woman and the first African American to earn a master’s degree in science from the College of Hawaii in 1915. Her focus on pharmaceutical chemistry caught the attention of her mentors, particularly Dr. Harry Hollmann, who recognized her potential and invited her to contribute to research on leprosy.
The Context of Leprosy in Hawaii
During the time of Ball’s research, leprosy was treated as a significant public health crisis in Hawaii. Misunderstanding the nature of its transmission, authorities enforced a policy that led to the isolation of those diagnosed on Molokai, which disproportionately affected Native Hawaiians.
The Role of Chaulmoogra Oil
Chaulmoogra oil, extracted from the seeds of the chaulmoogra tree, was one of the few treatments that showed any efficacy against leprosy. Historically utilized in various parts of Asia, its application presented challenges due to its thick consistency and bitter taste, causing adverse reactions in patients.
The Ball Method: A Breakthrough in Treatment
In response to the need for a more effective treatment, Ball pioneered a method to modify chaulmoogra oil, enabling it to be used in injections without the severe side effects previously experienced by patients. This method, now widely recognized as the “Ball Method,” significantly improved the lives of many living with leprosy and provided a sense of hope as it successfully treated patients starting in 1920.
A Tragic End and Legacy Lost
Regrettably, Ball’s promising career was cut short when she died in 1916 at the age of 24, likely due to exposure to toxic substances in the laboratory. The aftermath of her death led to her contributions being overshadowed as Arthur Dean, her department chair, continued the research and repackaged the Ball Method, renaming it the “Dean Method” without acknowledgment to Ball.
Recognition of Alice Ball’s Work
Despite her untimely death and the initial oversight regarding her contributions, several efforts have been made over the years to honor Alice Ball. Publications in the medical community recognized her work shortly after her passing. Fellow scientists and historians later campaigned for her legacy to be restored. In 2000, the University of Hawaii erected a plaque in her honor, and in 2019, her name was added to the exterior of the London School of Hygiene and Tropical Medicine.
Celebrating Alice Ball Day
In recognition of her achievements and their significance, the state of Hawaii declared February 28 as Alice Augusta Ball Day in 2022. The celebration took place on the Mānoa campus, beneath the chaulmoogra tree, symbolizing the enduring impact of her work.
Alice Ball’s story serves as both a testament to scientific innovation and a reminder of the necessity to recognize marginalized voices in the realm of science. Her pioneering efforts led to lasting change in the treatment of Hansen’s disease and continue to inspire current and future generations of scientists.