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Portable ophthalmology equipment used for eye examinations in remote communities and mountain-climbing gear that belonged to eye surgeon Fred Hollows are now part of the National Museum of Australia's collection.

Heavy metal framed glasses,with an adjustable slide at top and a numeric scale on each side.
Trial frames from the Fred Hollows collection
Fred Hollows points to the left eye of a young boy at a busy clinic in Vietnam. - click to view larger image
Professor Fred Hollows examines seven-year-old Tran Van Giap during a visit to Vietnam in 1992

Professor Fred Hollows (1929–1993) was an Australian surgeon and humanitarian who worked to improve the eye health of people living in under-privileged circumstances in Australia and overseas.

He was director of the National Trachoma and Eye Health Program in Australia from 1976 to 1978, and worked across Africa and Asia to empower communities to restore sight to people.

The Fred Hollows Foundation continues to campaign for blindness prevention and improved health for Indigenous Australians.

Hollows' wife, Gabi, and the Fred Hollows Foundation donated objects from the trachoma program and Fred's personal collection to the National Museum in 2012.

Highlights from the Fred Hollows collection

The medical equipment from the national trachoma program relates to Hollows' pioneering and extremely demanding work. Eye examinations were conducted in makeshift medical sites, sometimes in tents, sometimes on the side of the road.

A case of trial lenses and frames shows plenty of evidence of use, and a wooden storage box, which originally belonged to the Department of Defence, was a portable and durable part of life on the road.

Hollows was also a keen mountaineer and the collection also includes his mountaineering helmet, backpack, boots, and the 'lucky socks' he bought in the 1960s and wore without mishap on climbing expeditions.

Treating trachoma

Fred Hollows was a passionate campaigner for the need to improve the health of Indigenous Australians. He was particularly concerned about the number of people who suffered from trachoma.

Trachoma is a form of conjunctivitis caused by infection with the bacterial microbe Chlamydia trachomatis. It causes scarring and can lead to blindness if left untreated.

Poverty, crowded living conditions and lack of water contribute to the spread of trachoma.

The National Trachoma and Eye Health Program sent teams of ophthalmologists and support staff to communities in regional and outback Australia. The program was supported by the Commonwealth Government and the Royal Australasian College of Ophthalmologists and was headed by Hollows from 1976 to 1978.

A young Aboriginal chilld with flies on their eyes and face. The child has a closed fist and is held by a partially visible adult. - click to view larger image
This 1970s photo of an Aboriginal child is typical of those used to promote the need for better health care and better living conditions, to help curb the spread of trachoma

The program tested and treated people for eye diseases, especially trachoma and cataracts. More than 100,000 people, of whom 62,000 were Indigenous, were screened.

Nearly half of Australia's Indigenous population was found to have trachoma and in some regions of the Northern Territory and Western Australia the rate was 80 per cent.

A total of 465 Aboriginal settlements were visited during the program. Staff liaised extensively with Indigenous people and trained Indigenous health workers in measures to help reduce the incidence of eye disease.

During the program 27,000 people were treated for trachoma, more than 1000 operations were carried out and 10,000 pairs of individually prescribed glasses were delivered to people in Aboriginal settlements.

Fred Hollows, in khaki shirt and shorts, stands on the roofracks of a four-wheel-drive vehicle. Various equipment is packed onto the roofracks. The vehicle is parked in a clearing surrounded by tall trees. - click to view larger image
Fred Hollows on the road with the National Trachoma and Eye Health Program at Maningrida, Northern Territory, January 1977

Professor Fred Hollows

Fred Hollows was born in 1929 in Dunedin, New Zealand. He studied divinity and arts subjects at university, but after working at a holiday job in a mental hospital, changed to science subjects.

After being placed in the top 100 students in New Zealand, he was offered a place to study medicine at the University of Otago in Dunedin.

After graduating, Hollows developed an interest in eye health and studied ophthalmology in the United Kingdom. He worked as a general practitioner, ship’s doctor and an on-call radio doctor to support this further study.

Hollows came to Australia in 1965 as a specialist eye doctor. From 1965 to 1992 he led the ophthalmology teaching departments at the Prince of Wales and Prince Henry hospitals in Sydney.

In the 1960s Hollows treated two Gurindji elders and then accompanied them back to the Northern Territory where he saw a huge deficiency in the health of Indigenous Australians, including many treatable cases of trachoma. In 1971 he helped to establish the Aboriginal Medical Service in Redfern, Sydney.

In 1974 Hollows travelled through South Australia, New South Wales, Queensland and the Northern Territory to record information about the state of people’s sight. In later years, he also worked in Africa and Asia, where he saw the doctors working in difficult conditions and was inspired to assist them in obtaining better eye care.

During his work overseas, Hollows found that there were many cases of trachoma and cataracts, often for the same reason of poor living conditions that he had observed in Aboriginal settlements in Australia.

In Nepal, Hollows met Dr Sanduk Ruit who he assisted in coming to Australia to observe eye surgery techniques. Ruit used these techniques back in Nepal, then refined and improved them. In turn, these techniques were adopted by the Prince of Wales Hospital in Sydney.

In Eritrea, Hollows was impressed to find skillful manufacturing and advocated local production of intraocular lenses. The intraocular lens is a plastic lens that is inserted in to the eye to replace a damaged eye lens. It can restore sight within hours of surgery. Producing these lenses locally stimulates the local economy, and lower production costs enable more people to benefit from surgery.

Hollows married Gabrielle (Gabi) O'Sullivan in 1980. They had five children and lived in Sydney. Fred also had two children from previous relationships.

Fred Hollows was diagnosed with cancer in 1989. He continued to work and travel overseas, campaigning for blindness prevention and reducing the cost of eye care and treatment in developing countries.

Hollows was made a Companion of the Order of Australia (AC) in 1991 for 'service in public health in Australia and abroad'.

Professor Fred Hollows AC died in 1993. In accordance with his wishes, he was buried in Bourke in western New South Wales where he felt a strong connection to the local community.

Gabi Hollows stands at right, beside a table where several cases of equipment are displayed. - click to view larger image
Gabi Hollows at the Museum in 2012

Fred Hollows Foundation

The Fred Hollows Foundation was established in 1992 by Fred and Gabi Hollows and friends to pursue Fred's goal to end avoidable blindness and to improve the health of Indigenous Australians.

The foundation has carried out Hollows' plans to establish intraocular lens manufacturing facilities in Eritrea, Nepal and Vietnam. It also supports training for local doctors, who perform cataract surgery with locally-made, high quality and low cost lenses.

20 May 2016

Remembering Fred Hollows

Recollections of surgeon and humanitarian Fred Hollows and his work to improve health in Aboriginal and Torres Strait Islander communities, on the 40th anniversary of the National Trachoma and Eye Health Program.
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Presenters: David Arnold, Jude Barlow, Gordon Briscoe, Trevor Buzzacott, Brian Doolan, Gabi Hollows, Michael Loebenstein, Ray Martin and Rose Murray

In our collection

Green storage box and contents used by Fred Hollows during NTEHPA green coloured wood and metal rectangular storage box with a 'FRAGILE' sticker on the front, and the numbers '2' on the lid and '1' on the front, painted in yellow. One plastic A4 sized envelope. One paper baggage label, and a three page inventory list of medical supplies.

References

Indigenous Eye Health Unit, University of Melbourne

The Fred Hollows Foundation

Fred Hollows: An Autobiography, John Kerr with Peter Corris, Redfern, Australia, 1991.

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