Talk:Koch's postulates
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Older comments
editNote:
I am currently away from my reference books at my home and will fix the above text as soon as I am able.
Postulates
editThe wording of the postulates in this article appears to be original to Wikipedia (though it has since shown up in published papers and textbooks). Though you can see the postulates at work in Dr. Robert Koch's earlier work, his first presentation of the postulates in the form of a list is in a lecture delivered to the Tenth International Medicine Congress, in Berlin, in 1890. In German it was published with the title "Ueber bakteriologische Forschung." It was translated into English by Thomas Whiteside Hime and published as "On Bacteriology and its Results." The original and translation both give three postulates, with the step of re-isolating the bacteria being a later addition (if anyone knows when this was added, I would appreciate knowing it). The postulates, as translated by Hime, are as follows:
"But it can be proved --
- Firstly, that the parasite is found in every single case of the disease in question, and under conditions corresponding to the pathological changes and the clinical course of the disease;
- Secondly, that it occurs in no other disease as an accidental and non-pathogenic parasite;
- Thirdly, that when isolated from the body and propagated through a sufficient number of pure cultivations, it can produce the disease anew;
the microbe under these circumstances cannot be an accidental accompaniment of the disease, and no other relationship between the parasite and the disease can be conceived, except that the former is the cause of the latter."
As you can see, the original is quite a bit wordier, and the enumeration is different (Koch's first postulate encompassing the article's first and second; Koch's third postulate being split into the article's second and third, and the fourth entry from the article being missing entirely. I propose that we rewrite the postulates as:
- The microorganism is found in every case of the disease in question.
- The microorganism is not found in the case of other diseases.
- The microorganism, after being isolated and reproduced in pure culture, should be able to cause the disease in a new host.
- (A later addition:) The microorganism can be re-isolated from the new host and identified as being identical to the original.
The first three should be cited to On Bacteriology and its Results, and the fourth to a modern statement of the postulates (preferably the first to add that step, if it can be found).
(As a side note, Loeffler, a student of Koch's, may have been the first to enumerate the postulates in 1884's "Untersuchungen über die Bedeutung der Mikroorganismen für die Entstehung der Diphtherie beim Menschen : bei der Taube und beim Kalbe", but it is probably better to cite Koch directly even if it is later.) JaceySanders (talk) 20:47, 6 May 2024 (UTC)
- The addition of the fourth postulate dates back to at least 1896, with Erwin Smith's "The Bacterial Diseases of Plants: A Critical Review of Our Present State of Knowledge." It also features the Koch's second postulate, and the isolation and pure culturing as an independent postulate. Here are the rules as laid out by Smith, which are recognizable as Koch's Postulates, though he does not call them that:
- "A. Constant association of the germ with the disease.
- B. Isolation of the germ in from the diseased tissues and study of the same in pure cultures on various media.
- C. Production of the characteristic symptoms of the disease by inoculations from pure cultures.
- D. Discovery of germs in the inoculated, diseased tissues, re-isolation of the same, and growth on various media until it is determined beyond doubt that they are identical with the organism which was inoculated." JaceySanders (talk) 00:28, 7 May 2024 (UTC)
- I have found an even older statement of the postulates in list form, in English. "On the Occurrence of the Bacillus Tuberculosis in Tuberculous Lesions." Page 397. The postulates are drawn from Koch's work on Tuberculosis. They are rendered as follows:
- "The proof of the parasitic character of any infectious disease involves, first, the demonstration of the constant association of the parasite with the disease - this may be called the morphological part of the problem, and is often mistakenly regarded as the most important; second, the complete isolation of the parasite by cultivation; third , the production of the disease in a healthy animal by inoculation; fourth, and lastly — and this factor is, unfortunately, too generally ignored - it is necessary, in order to make the results of animal inoculation applicable to man, to prove that his organism will react in approximately the same way in the presence of the parasite as the animals experimented on."
- Like Smith's example, this one omits Koch's second postulate, and separates culturing as a separate postulate. Unlike any other seen, it supplies an alternate fourth postulate. JaceySanders (talk) 01:00, 7 May 2024 (UTC)
The postulates are wrong. All say the exact opposite of what Koch proposed. Comments written below that complain of confusion have merit. Please correct this. —Preceding unsigned comment added by 207.237.216.254 (talk) 15:15, 10 May 2010 (UTC)
I don't really understand this. Does the second postulate say that the pathogen must be able to be grown in a a pure culture, or this this merely a step before postulate 3? Also, my biology textbook thinks that postulate 4 continues with the two cultures being shown to be identical. Any advice from knowledgeable persons is much appreciated! Thanks. -- postglock 16:58, 26 August 2005 (UTC)
There is some information here regarding the example of leprosy not being able to be grown in a pure culture. I am still unsure of the implications though. I suppose it suggests Koch's postulates are just that, postulates with exemptions, not laws? -- postglock 17:07, 26 August 2005 (UTC)
- they are postulates, not laws. I have updated the article with a little more information, as there are always exceptions to rules... --Grcampbell 19:43, 26 August 2005 (UTC)
There are multiple variants of the postulates on the Internet, some more coherent than others. Which is the original? Here is one sample:
- The organism must be found in all animals suffering from the disease but not in healthy animals.
- The organism must be isolated from a diseased animal and grown in pure culture.
- The cultured organism should cause disease when introduced into a healthy animal.
- The organism must be isolated again from the animal into which it was introduced.
Could someone who has Koch's 1890 paper please check this for us? --Una Smith 15:07, 5 July 2007 (UTC)
- I've got access to the paper, but it's not translated and Ich spreche Deutsch nicht so gut. MastCell Talk 17:45, 5 July 2007 (UTC)
- MastCell, without translating, does the paper match the German wikipedia version of Koch's (1890) postulates? How about we get a translation of their "modern" postulates? --Una Smith 20:46, 5 July 2007 (UTC)
- In Inventing the Aids Virus (1996), German author Peter Duesberg writes that in 1884 Koch published a paper on tuberculosis that “spelled out the key criteria for proving a microbe guilty of causing a disease." Duesberg states them in English as follows:
- "First, the germ must be found growing abundantly [my italics] in every patient and every diseased tissue.
- Second, the germ must be isolated and grown in the laboratory.
- Third, the purified germ must cause the disease again in another host.”
- If asymptomatic carriers don't have the germ in abundance then the postulates hold for them too. Although I'm not a scientist, I suspect this is indeed the case.
- Regarding cholera, Duesberg writes that Koch isolated the correct bacterium, but couldn't induce the disease in test animals, and so used statistical correlations as proof instead of laboratory results. Duesberg theorizes that Koch used animals that had been vaccinated by natural infection. Presumably natural infection results in vaccination in many animals and people, thus making them asymptomatic carriers. Scientists have since induced cholera in unimmunized animals, Duesberg writes. Eye.earth 21:44, 30 November 2007 (UTC)
- Peter Duesberg's view of the postulates should be interpreted cautiously, given his agenda, particularly as his application of them is well outside the medical mainstream. MastCell Talk 21:57, 30 November 2007 (UTC)
- I would rephrase that by replacing cautiously with strictly. Eye.earth 22:25, 30 November 2007 (UTC)
- Actually, I'll rephrase it thus: Duesberg's views should be given the same amount of weight on Wikipedia as they are given by the expert scientific community. Which is to say none. MastCell Talk 22:32, 30 November 2007 (UTC)
- I am very confused in trying to reference these postulates. The article maintains that they are formulated in 1890, but there is no 1890 paper in the reference section. Further, the first citation for the 1876 paper seems to contain the postulates in the section concerning methods and techniques. I do not speak German well enough to confirm this. Is the 1890 date incorrect, and where is the 1890 paper? — Preceding unsigned comment added by 71.205.4.149 (talk) 20:55, 5 February 2014 (UTC)
It appears this section is being adjusted to oppose Duesberg rather than to provide information on Koch's postulates.Nukeh (talk) 07:13, 16 February 2008 (UTC)
- It's been "adjusted", in keeping with Wikipedia's policies, to avoid giving undue weight to a fringe view which is already covered in great detail elsewhere on Wikipedia. MastCell Talk 21:59, 16 February 2008 (UTC)
- Can you explain to me why an HPC plus HIV contaminated needle stick is treated as an HPC stick? Duesberg's "weight", as you cite above is not "none". Weight = 0, is a mathematical / physics concept. If you mean Duesberg is wrong, you might be right. But that is not for us to decide as editors. I still assert that a discussion of Duesberg and HIV=AIDS has no place behind an article on Koch's postulates. This indicates a biased agenga to fix-up Koch for referencing from other articles in WP.Nukeh (talk) 19:12, 18 February 2008 (UTC)
- I'm entirely unclear on what you're arguing or suggesting. Duesberg is not mentioned in this article. Are you agreeing or disagreeing with that state of affairs? MastCell Talk 20:11, 26 February 2008 (UTC)
An authoritative English translation of the relevant portion of Koch's 1884 paper is available in "Milestones in Microbiology: 1546 to 1940", translated and edited by Thomas D. Brock. American Society for Microbiology Press, 1999ISBN13: 978-1-55581-142-6 Accessible on Google Books. —Preceding unsigned comment added by Mdalbey (talk • contribs) 03:39, 21 March 2010 (UTC)
Hello
editI've changed the text (see history) to say he abandoned the second part of the fiorst postulate. I.E. the organism must still be in all affected animals, but not neccesari;y absent in healthy one. Rich Farmbrough 23:18 3 March 2006 (UTC).
References
editThis is a stray, I don't know where it belongs. --Una Smith 21:06, 5 July 2007 (UTC)
- Koch R. Über die Ätiologie der Tuberkulose. In: "Verhandlungen des Kongresses für Innere Medizin. Erster Kongress, Wiesbaden 1882".
Bias
editThis article appears to have been adjusted such that anyone investigating HIV=AIDS theories would find nothing here for support. Nukeh (talk) 07:09, 16 February 2008 (UTC)
- Then it would be accurate. MastCell Talk 21:58, 16 February 2008 (UTC)
Do you mean that Koch's postulates (today) are the same as Koch's postulates (when he wrote) from the proper historical perspective? Or do you mean that anyone who believes there is the very slightest question as to whether HIV = AIDS would find nothing here? If the latter is what you mean to imply, then why do Duesberg's views get mentioned on this article's discussion pages? If Koch's postulates change over time, then I suggest we disambiguate into the historic Koch's postulates (this article) and place modern modifications of Koch elsewhere.
Please try to follow this analogy: If one changes a single note in a Mozart piece, it is no longer Mozart. As one changes a large number of his notes in a musical piece, the work becomes substantialy different to the point that it might be considered a new work. The same would hold true in mathematics, where, in fact, changing a single 'note' is probably an error. Biology is not as solid as mathematics except in the historical perspective, where historians (editors like us) do not change the original work, whether it is right or wrong. —Preceding unsigned comment added by Nukeh (talk • contribs) 18:30, 18 February 2008 (UTC) Nukeh (talk) 18:57, 18 February 2008 (UTC) neat bot! Nukeh (talk) 18:57, 18 February 2008 (UTC)
- This talk page is intended for discussion of concrete and specific improvements to this article. I'm not sure what you're trying to suggest in that regard. AIDS denialism is a fringe view which is already given more than its due weight on Wikipedia in the articles dedicated to it; it really has no place here. MastCell Talk 22:54, 18 February 2008 (UTC)
- The name "Duesberg" is on this discussion page more frequently than "Koch", and I agree that Duesberg is a fringe view, but he has more than his due weight here.Nukeh (talk) 07:41, 26 February 2008 (UTC)
- That this talk page is a magnet for AIDS denialism is unfortunate. However, WP:WEIGHT is determined by proportionate acceptance of a view by experts in the relevant field, not by the number of mentions of a concept on a Wikipedia talk page (God forbid!) MastCell Talk 20:09, 26 February 2008 (UTC)
Doubts about authors
editThe article says the authors are Robert Koch and Friedrich Loeffler. I read somewhere Friedrich Henle. Wich is correct? Henle was Koch student. Khullah (talk) 02:46, 1 September 2009 (UTC)
List of Diseases
editThis talk page is for discussing specific reliable sources and concrete improvements to the article. It is not a forum to expound one's personal opinions on various infectious agents. Discussion can be reopened with reference to actual reliable sources and concrete changes to the article. |
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I think it would be interesting for readers to have a list of the most well-known diseases that either pass and fail the postulates. Does anyone have any objection to me starting a section for each? BruceSwanson (talk) 16:39, 20 July 2010 (UTC)
But you aren't arguing that some non-infectious diseases follow Koch, right? You accept that scurvy and pellagra never follow Koch because they cannot do so. If you're with me so far, then it is clear that the postulates are absolutely unequivocal under certain conditions (described by the postulates themselves), which is to say, for certain diseases. Right? So now the problem is to extend the list of well-known (and hence interesting) diseases for which Koch's postulates are final. But the list of diseases that never follow Koch would always be diseases since proved (using a combination of the postulates, new technology, and statistical analysis) to be non-infectious. Such diseases, then, always follow Koch by never satisfying the postulates. Likewise, diseases accepted to be infectious could only contradict the postulates for known and very conditional reasons -- natural inoculation (in the case of Koch's anthrax experiments), or the nonabundant amount of bacteria or virus in a patient's blood or tissue (like most unvaccinated people infected with polio). Koch stressed that the infectious agent must always be of sufficient number -- and so they always are, where symptoms are present. Right? Well, except, of course, for HIV and Hep C viruses -- and prions. They all fail Koch's postulates by [apparently] causing disease in the absence of abundant infectious agents. That's three. Can you think of any others? BruceSwanson (talk) 02:00, 27 July 2010 (UTC)
Koch describes a process of rigorous clinical-testing only. So HIV fails Koch by definition, specifically #3: The cultured microorganism should cause disease when introduced into a healthy organism. HIV doesn't induce AIDS in animals (we know that much), and law and ethics forbid using human candidates. AIDS orthodoxists claim that numerous cases of accidental exposures (needle jabs, etc.) have been followed by AIDS (or at least an HIV+ test-result). On that basis alone can HIV conform to Koch. However, the postulates aren't about anecdotal data, which is also a source of counterclaims that many lab and hospital personnel have been needle-infected by HIV and never come down with AIDS (or a positive HIV-test) at all. Logic excludes both from consideration in testing the postulates. (It should be noted that medical personnel who have been jabbed by an HIV-contaminated needle are now urged to immediately begin an antiretroviral regimen, including the chemotherapeutic agent AZT.) Finally, not enough is known about Idiopathic CD4+ lymphocytopenia to exclude it as a possible Koch disqualification of HIV. You wrote above that tuberculosis, cholera, and typhoid fail the postulates while clearly being infectious. Again, Koch himself insisted on a sufficient quantity of bacteria -- one of the modifications you referred to above. A healthy human body plays host to an abundance of potentially lethal infectious agents -- including tuberculosis. A healthy immune-system keeps them all in check, even in the face of other serious illnesses and injury. Does that mean that all those pathogens fail Koch as well? Are patients ill with these diseases ever found with anything but levels of infection sufficient to explain the illness? I think the simplest approach is to list only those diseases, bacterial and viral, that clinically fail Koch's Postulates. So I nominate HIV, Hep C, and prion diseases. 2/0, any comments? BruceSwanson (talk) 18:20, 27 July 2010 (UTC)
The sources MastCell and TimVickers linked to (above) aren't satisfactory: Vickers' link duplicates MastCell's (PMID 8902385), both to a mere title, not even an abstract; but the second link is to a reliable secondary-source. However, it claims that HIV conforms to Koch by citing conclusions drawn from events not part of a rigorously controlled, clinical setting: accidental needle jabs, and the David Acer / Kimberly Bergalis case. As I pointed out earlier, Koch's postulates are based solely on clinical findings. They are exercises in pure laboratory science and conclusions drawn logically from them. BTW, that same source also contains the following remarkable statement: Koch's postulates also have been fulfilled in animal models of human AIDS. Chimpanzees experimentally infected with HIV have developed severe immunosuppression and AIDS. Yet the primary source provided ("O'Neil" et al), states Chimpanzees are susceptible to infection with human immunodeficiency virus (HIV)–1; however, infected animals usually maintain normal numbers of CD4+ T lymphocytes and do not develop immunodeficiency. Not exactly a strong correlation to Koch. It should be understood the the postulates are what they are and nothing else. If a disease doesn't conform to them, it doesn't conform. Period. That doesn't necessarily mean it isn't infectious. It doesn't mean it won't be found later to conform. It doesn't mean it wouldn't pass a modified version of them. It simply means it failed the logical precepts historically known as "Koch's Postulates". That's it. BruceSwanson (talk) 00:38, 28 July 2010 (UTC) |
What are Koch's Postulates?
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Here is a link to a reliable source that claims HIV satisfies Koch's Postulates. Look at the section entitled Evidence That HIV Causes AIDS. You can see that in justifying HIV's satisfaction of postulate #3 (Transfer of the suspected pathogen to an uninfected host, man or animal, produces the disease in that host) it describes data obtained from uncontrolled sources -- accidental needlepricks, the David Acer/Kimberly Bergalis case, etc. (Note as well that the classic four postulates are condensed to three.) Would it be original synthesis to state that data from such uncontrolled sources from outside the controlled laboratory-environment cannot logically satisfy the postulates, if a reliable source includes such data in its claim to have done so? Which takes precedence: the logic of the postulates themselves as derived form their literal words, or what a reliable source says about them? If it's the latter, shouldn't this article state that data derived from outside sources has successfully been used to justify conformity to the postulates, and then include the linked reference (above) as a footnote? I'm particularly interested in the opinions of real-name editors who work in the scientific field. BruceSwanson (talk) 20:06, 28 July 2010 (UTC)
All this brings to mind We_are_Seven. What are Koch's Postulates? I say They are four. Tim Vickers, where in this article could the reliable source under discussion be used? Shall it reference a statement that Koch's Postulates are sometimes condensed to three? But then, are they "Koch's Postulates" if they are only three? Aren't "Koch's Postulates" four by definition? Therefore doesn't one have to satisfy all four if you are to claim success in conforming to that logical entity known as "Koch's Postulates"? I'm interested in your opinion on this since you are a professional in the field. I'm unable to take seriously your charge that my questions constitute abuse of the talk pages. BruceSwanson (talk) 18:13, 31 July 2010 (UTC)
MastCell wrote, above: "This article lists only 3 postulates - the 3 that the NIAID website describes in reference to HIV." Would anyone willing to replace the current four postulates in the article with either set of three, and cite the respective source as a reference? The NIAID source is here. I'll leave it to hypothetical readers to compare both three-postulate versions and decide whether they are quite the same. The NIAID version: 1. Epidemiological association: the suspected cause must be strongly associated with the disease. 2. Isolation: the suspected pathogen can be isolated - and propagated - outside the host. 3. Transmission pathogenesis: transfer of the suspected pathogen to an uninfected host, man or animal, produces the disease in that host. You can see why MastCell wrote, above, of the postulates in general: They only require (well, suggest) that an organism should be capable of causing disease if introduced into a healthy organism. The postulates not as self-evidently logical and clear, but rather as a kind of clinical affirmative-action program. Koch/Henle's 1840 version, from the PDF: 1. The parasite occurs in every case of the disease in question and under circumstances which can account for the pathological changes and clinical course of the disease. 2. It occurs in no other disease as a fortuitous and nonpathogenic parasite. 3. After being fully isolated from the body and repeatedly grown in pure culture, it can induce the disease anew. You can see why Koch thought that the first two might be sufficient. But can anyone imagine that reports from the field would be sufficient to satisfy them? This is to ask a more fundamental question that deserves further discussion here:
If the postulates are to be considered merely advisory, and not rigid criteria of causation of infectious disease, then one wonders why the NIAID source in question claims that HIV has fulfilled them. Why bother? After all, there are perfectly respectable infectious diseases, viral and bacterial, for which, in the words of the PDF article's discussion of EBV, "current data are still inadequate to fulfill the Henle-Koch postulates". In the particular case of HIV, we should be aware that the NIAID source claims #3 is satisfied on the basis of reports of lab-workers accidentally contaminated; and the Acer/Bergalis case. What isn't mentioned is whether the workers later began a regimen of AZT, as Bergalis did. Did some take the treatment? Did all? Did any? Did any die or did they recover? And what exactly were their symptoms -- respiratory, neurological, immunological? Can anyone seriously argue that such questions needn't be answered before determining whether their cases can be used as clinical data to claim conformity with the postulates? We can be sure of one thing: that none of the alleged victims were enrolled in a study denying them antiretrovirals in order to see whether they in due course died of AIDS. BruceSwanson (talk) 18:22, 2 August 2010 (UTC)
This is a reliable source. The following is a question about it:
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HIV fulfillment of the postulates
editMy last edit was to show that the footnoted source finds three postulates sufficient to prove causation. Thus it is in agreement with its sentence: ... fulfillment of all four postulates is no longer required to demonstrate causality. Operative67 (talk) 00:09, 31 July 2010 (UTC)
Weird phrasing, "in support of HIV/AIDS denialism" / BTW, amendments to Koch's postulates?
editThe assertion that HIV causes AIDS does not follow Koch's postulates[13] in support of HIV/AIDS denialism. It's probably some edit left-over of something that probably intended to mean something like "HIV/AIDS denialists assert that the association of HIV and AIDS doesn't fulfill Koch's postulates, even though the scientific criteria for such associations have been expanded since then, so on and so forth". By the way, I recall having read something, I guess from non-HIV/AIDS denier sources, along the lines of an "updated version" of such postulates, with a few additions, actually motivated by HIV/AIDS research. — Preceding unsigned comment added by 191.254.32.66 (talk) 03:11, 19 April 2016 (UTC)