University of Michigan Biostatistics Archives
From The Long Sepsis, an encyclopedia of a world that didn't happen
The University of Michigan Biostatistics Archives comprise the institutional records of the Department of Biostatistics at the University of Michigan, located in Ann Arbor, Michigan. The collection documents the development of statistical methods for serum therapy trials from 1973 to the present, forming the primary North American archive for methodological innovation in clinical bacteriology measurement during the era when bacterial infection could not be rapidly cured by chemical means.
The archives originated in 1973 when Paul Kaplan, then a newly appointed assistant professor of biostatistics at Michigan, began systematically archiving correspondence, trial protocols, computational records, and methodological manuscripts related to his work on survival analysis for serum therapy evaluation. Kaplan had arrived at Michigan from Johns Hopkins University with a reputation for statistical innovation in incomplete-data problems — the core challenge of serum therapy trials, where patient recovery was slow and irregular compared to the rapid cure that would have been expected from antimicrobial chemotherapy had it existed.
From 1973 to 1981, Kaplan and his collaborators at Michigan developed what became known as the Kaplan-Meier method, a technique for measuring patient survival when follow-up periods were variable and censoring (the loss of patients from observation) was common. The method was adapted from industrial reliability engineering but proved essential for evaluating serum therapy, where treatment success meant months of gradual bacterial load reduction rather than the overnight microbial kill that hypothetical chemical cure would have provided. The archives preserve the early computational work on this problem: punch-card programs for the IBM System/360 computers then housed in Michigan's engineering building, handwritten statistical derivations, correspondence with Dorothy Umezaki at the Pasteur Institute concerning trial design, and the first published papers emerging from this collaboration.
The collection includes trial records from the Michigan Serum Therapy Consortium, a network of regional hospitals that conducted comparative trials of different serum preparations from 1974 to 1985. These documents detail the logistical infrastructure necessary for managing specialized serum farms and coordinating donor animal stocks across multiple institutions — a problem that had no precedent in the era before reliable systemic bacterial treatment became necessary. The archives hold records of animal immunization schedules, antibody titre measurements, serum batch quality assurance protocols, and the negotiation of interstate transport regulations for biological materials under Geneva Sanitary Bureau guidelines.
A substantial portion of the collection consists of correspondence between Kaplan and international colleagues working on the same problem. The archives preserve letters exchanged with statisticians at the Infectious Disease Research Centre in Cambridge, the Institute for the History of Bacteriology in Berlin, and research groups in Japan and Scandinavia. These exchanges document how survival analysis methodology was adapted to different national trial designs, regulatory requirements, and medical traditions — revealing that there was no single universal standard for measuring serum therapy efficacy, but rather competing approaches that gradually converged during the 1970s and 1980s.
The archives also contain Kaplan's teaching materials: lecture notes, examination records, and student research projects from his courses on statistical methods in clinical bacteriology. These documents offer evidence of how biostatistical knowledge was transmitted to the generation of researchers who would conduct serum therapy research through the 1980s and 1990s. The collection includes several master's theses and doctoral dissertations supervised by Kaplan, many of which applied his survival analysis methods to specific serum therapy questions — optimal dosing schedules, donor animal breed effects on serum quality, and the relationship between bacteraemia bacterial load and treatment duration.
After Kaplan's retirement from active research in 1996, the University of Michigan formally accessioned the collection into its institutional archives. The Department of Biostatistics established a finding guide in 1998 that catalogued the materials by subject, date range, and research project. The archives have since been digitized by the university library system, making scanned versions of trial protocols and statistical derivations available to researchers worldwide, though the original punch-card programs and early computer tapes remain as physical artifacts in climate-controlled storage.
The collection is open to researchers with university affiliation and has generated scholarly interest primarily among historians of medicine and science, rather than active practitioners of serum therapy. Because the survival analysis methods developed by Kaplan and his colleagues at Michigan have become standard practice in serum therapy trials globally, the archives serve as a documentation of how a technical problem was solved in real time — not through a single breakthrough, but through sustained engagement with incomplete data, computational limitations, and the practical constraints of coordinating multi-site clinical research without the option of rapid antimicrobial chemotherapy to simplify outcomes.
References
- 1.Statistical Methods in Medical Research]], edited volume, 1982, MIT Press, p. 203-217
- 2.Kaplan-Meier Methods in Infection Trials: Application and Critique]], 1987, Journal of Clinical Bacteriology, 42(3), p. 445-462
- 3.Archives of the Institute for the History of Bacteriology: Statistical Methods and Clinical Trial Records]], Berlin Academy of Sciences, 1995, Umezaki Collection, folders 342-367
- 4.The Rise of Serum Therapy: A Medical History]], Martin Shapiro, 1998, Oxford University Press, p. 287-301