Max Westenhöfer


Max Westenhöfer was a German pathologist and biologist who contributed to the development of the anatomic pathology and the reform of public health in Chile.

Education

Maximilian Joseph Johann Westenhöfer was born on February 9, 1871 in Ansbach, Bavaria. His father was a school teacher called Johan Karl Westenhöffer, but the son later simplified the spelling of his surname. His mother's maiden name was Knell, and in later years her name was sometimes appended to his according to the Spanish naming custom. making his name Max Westenhöfer Knell.
He studied at the University of Berlin where he graduated in 1894. He was a pupil of Rudolf Virchow, German physician and Professor of Pathology at the University of Berlin, known also for his interest in public health. His first employment was as an army doctor, which he remained, apart from three years in Chile, until 1922.

First tenure in Chile (1908–1911): Social medicine report and expulsion

In 1908 he was hired by Augusto Matte, on behalf of the government of Chile, to teach Pathology at the School of Medicine of the University of Chile. As an international expert with the role to reform and modernize the teaching of pathology in Chile, the Chilean government provided him a higher salary than the local medical colleagues which motivated envy and resentment among some Chilean physicians. In 1911 he published what has been called the Westenhöfer Report, a five article series published in the German medical journal Berliner klinische Wochenschrift where he described in critical terms the poor health conditions and hygiene practices that he observed in certain urban areas and nursing homes in Santiago of Chile. His report led to protests from the conservative sector of the Chilean society which eventually led the government to deport him from Chile. However, the University of Chile Student Federation including his medical students, some unions, and leftist parties gave public support to Prof. Westenhöffer and protested at his expulsion. In August 1911 there was a massive march in Santiago of Chile to protest at his expulsion and make a judicial appeal to prevent it, which did not take place until after he had left.

Return to Germany (1911–1929): Professor of pathology at the University of Berlin

Following his departure in 1911 he returned to Germany and resumed his career with the army. During World War I, he served as a military surgeon with the rank of major and was awarded the Iron Cross, second class. In 1922 he became Professor of Pathology at the University of Berlin.
At this time he was also deputy chairman of the Berlin Gesellschaft für Rassenhygiene.

Second tenure in Chile (1929–1932): Reform of Chilean pathology

He returned to Chile in 1929 and for three years directed the Department of Pathology at the Medical School of the University of Chile. This was his most fruitful period in furthering the development and the quality of Chilean medicine. He modernised the practice of pathology and trained Chilean colleagues. Pathology institutes were founded in the hospitals in Santiago and Valparaiso. His stress on the social determinants of mortality and morbidity influenced a generation of students, including Salvador Allende, a medical student activist and later President of Chile.
While in Chile, after studying the data on the occurrence of syphilis he contributed to the still ongoing controversy about the origin of this disease. Westenhöfer observed little effect of the disease in Indian carriers and the terrible effects experienced by those of European origin who were infected, which led him to state that a corresponding STD existed in America before the European conquest.

Back to Germany (1932–1948): Publication of the Aquatic Ape Hypothesis

He returned again to Germany where he spent the war years, living latterly in retirement in Wasserburg am Bodensee. From 1923 onwards he wrote several books and papers on human evolution, perhaps most fully in his 1942 book "Der Eigenweg des Menschen" which put forward ideas suggesting, amongst other things, that adaptation to water has played a significant part in the history of human development. That particular idea has since been developed as the controversial Aquatic ape hypothesis, but the details of Westenhöfer's theory, such as that bipedalism is primitive in mammals, are not shared by most modern supporters of the AAH.

Final tenure in Chile (1948–1957)

In 1948, at the age of 77 he returned once more to Chile under a contract with the Junta Central de Beneficencia to serve as a pathology adviser. For his long record of contributions in Chile he was decorated by the government with the Order of Bernardo O'Higgins. His legacy on the teaching of the anatomic pathology in Chile was continued by his students, especially Dr Ismael Mena at the University of Chile and Dr Roberto Barahona Silva, founder of the Department of Pathology at the Pontifical Catholic University of Chile.

Personal life

Westenhöfer was married twice. From the first marriage, to Anna Maria, he had three children, Grete, who was born in Chile, and Rudolf who was educated at the German School of Santiago. Only Wolf survived the war and lived in Berlin with six children. His second marriage was to Jutta, née Windmŭller, who survived him.
He died on September 25, 1957 in Santiago de Chile, which he considered his second home. Dr. Westenhöfer was buried in the Cementerio General de Santiago.

Publications