As late as 1959, a friend and colleague of Albert Schweitzer defended his unsterile hospital in the following terms: Now to the domestic animals at the Hospital. People have been shocked by the informality with which animals and people mix, and although it is perhaps not always defensible on hygienic grounds, the mixture adds considerably to the charm of the place. The writer was a dental surgeon from New York, who would obviously have had a fit if a goat or chicken had wandered into his New York surgery. He knew full well that at Schweitzer's hospital "the goats, dogs and cats visit hospital wards teeming with microbial life of the most horrifying varieties,” but he defended their habitation with Africans because that was part of the culture and charm that had to be preserved!