Edwin was born on 29 November 1838, the son of Johann Godfried Koch and Angenita Dorothea Aldons, at Jaffna, Ceylon (now Sri Lanka).
He had his early education in Jaffna and, at the age of twenty, won a governement scholarship to the Medical College in Calcutta.
There he won the Gold Medal and met, and married, Emma Miller.
He began his medical career in 1862 and, when the Ceylon Medical College was founded in 1870 he was one of three lecturers appointed.
In 1875 he succeeded Dr Loos as Principal.
The grateful fisherman paid a striking tribute to his memory at his funeral by spreading white cloth all along the route from his home to the cemetery gate.
He had died within a week from a result of a slight scratch sustained in the course of a post mortem examination.
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At this time he had the widest private practise and devotion.
and one of his patients was the great Charles Ambrose Lorenz.
He never cared for remuneration for his services, he served the poor with
special generosity and devotion.
The Koch Memorial Tower is an
expression of his countrymen's love and respect for his memory.
His son Dr Vincent Koch, was given a medical education in England with subscriptions offered by a grateful public.
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