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Vale Professor Creswell John Eastman AO

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21st May, 2025

Professor Cres Eastman AO, a pioneering Australian endocrinologist and globally recognised public health advocate, has died at the age of 85, leaving behind a lasting legacy of leadership at NSW Health Pathology.

Born on 30 March 1940 in Nar­ran­dera NSW, Pro­fes­sor East­man devot­ed his life to the erad­i­ca­tion of iodine defi­cien­cy dis­or­ders (IDD), pro­found­ly trans­form­ing glob­al health out­comes and earn­ing the fit­ting title “the man who saved a mil­lion brains.”

A dis­tin­guished grad­u­ate of the Uni­ver­si­ty of Syd­ney, where he earned his MBBS in 1965 and MD in 1980, Pro­fes­sor East­man com­menced his med­ical career that same year. He was admit­ted as a Fel­low of the Roy­al Aus­tralasian Col­lege of Physi­cians in 1974 and held numer­ous influ­en­tial aca­d­e­m­ic and clin­i­cal posi­tions through­out his career.

A black and white photo of a man in a laboratory with a microscope.
Pro­fes­sor East­man’s work iden­ti­fied the effects of iodine defi­cien­cies. (Pho­to: The Roy­al Aus­tralasian Col­lege of Physicians)

Notably, he served as Direc­tor of the Insti­tute of Clin­i­cal Pathol­o­gy and Med­ical Research (ICPMR) at West­mead Hos­pi­tal from 1989 to 2006.

Fol­low­ing this, he con­tin­ued his vital work as Clin­i­cal Pro­fes­sor of Med­i­cine at the Uni­ver­si­ty of Syd­ney and as Con­sul­tant Emer­i­tus at West­mead Hos­pi­tal until his passing.

In the 1980s, Pro­fes­sor East­man iden­ti­fied wide­spread iodine defi­cien­cy in Chi­na and Tibet, where the dis­or­der caused severe devel­op­men­tal impair­ments in chil­dren. His tire­less advo­ca­cy and ground­break­ing research were instru­men­tal in the imple­men­ta­tion of nation­al iodiza­tion pro­grams, which dra­mat­i­cal­ly reduced the inci­dence of cre­tinism and goitre in these regions.

His efforts extend­ed to South­east Asia, the Pacif­ic Islands, and Indige­nous Aus­tralian com­mu­ni­ties, where he empha­sised the crit­i­cal impor­tance of iodine in pre­na­tal and ear­ly child­hood health.

A group of children, with a man examining the neck of one child.
Pro­fes­sor East­man exam­in­ing Tibetan school­child­ren for goitre in Tibet in 2000.

In 1997, he was appoint­ed Direc­tor and Chief Gov­ern­ment Ana­lyst of the Divi­sion of Ana­lyt­i­cal Lab­o­ra­to­ries (DAL) in Lid­combe. Under his lead­er­ship, the DAL pro­vid­ed crit­i­cal pub­lic health ana­lyt­i­cal and foren­sic med­ical ser­vices to the entire state of NSW.

Through­out his dis­tin­guished career, Pro­fes­sor East­man received numer­ous hon­ours, includ­ing the Offi­cer of the Order of Aus­tralia in 2018 for dis­tin­guished ser­vice to med­i­cine, par­tic­u­lar­ly to the dis­ci­pline of pathology.

He received the Premier’s Gold Ser­vice Award in 2002 and was a final­ist for Senior Aus­tralian of the Year in 2003. His most recent award was the 2023 Iodine Glob­al Net­work (IGN) Dr Basil Het­zel Award, in recog­ni­tion of his advo­ca­cy in cur­rent iodine nutri­tion in Aus­tralia where­by manda­to­ry iodized salt in bread ensures ade­quate intake for the gen­er­al pop­u­la­tion while sup­ple­men­ta­tion is rec­om­mend­ed for preg­nant women due to increased requirements.

Pro­fes­sor East­man’s endur­ing lega­cy lives on in the mil­lions of chil­dren world­wide who have been spared the dev­as­tat­ing effects of iodine defi­cien­cy due to his work.

His ded­i­ca­tion to pub­lic health and med­ical research has been firm­ly embed­ded with­in the Insti­tute for Clin­i­cal Pathol­o­gy and Med­ical Research—an insti­tu­tion he led for 17 years. Today, NSW Health Pathol­o­gy con­tin­ues to uphold the prin­ci­ples and com­mit­ments that Pro­fes­sor East­man cham­pi­oned, serv­ing com­mu­ni­ties across the state.

Pro­fes­sor East­man died on Sat­ur­day 17 May 2025 peace­ful­ly at home. He is sur­vived by his fam­i­ly and a gen­er­a­tion of col­leagues who car­ry for­ward his unwa­ver­ing com­mit­ment to glob­al health. His pro­found con­tri­bu­tions to endocrinol­o­gy and pub­lic health have left an indeli­ble mark on med­i­cine and human­i­ty, inspir­ing ongo­ing efforts to improve lives worldwide.

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