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From the early 1900s, researchers pursued two different kinds of
polio vaccine. One used inactivated (killed) viruses. The other kind
used live but attenuated, or weakened, virus. Jonas Salk was the leading
proponent of the killed virus and Albert Sabin became the foremost
proponent of the attenuated virus approach.
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At its peak incidence in the early 1950s, poliomyelitis occurred at a
rate of 13.6 cases per 100,000 population. The incidence of cancer today,
by comparison is 566.1 per 100,000. |
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Edward Jenner created the first successful vaccination for a disease—smallpox—in
1796. At the time of the polio clinical trials, there were three widely used
vaccines: for yellow fever (1937), rabies (1885), and smallpox. Today there
are over 300 vaccines for about thirty different diseases. |
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There are two kinds of polio vaccine. IPV (Salk’s) is an injected shot
used today primarily in the United States and Europe. OPV (Sabin’s) is
given orally in drop form and used in global efforts to stop polio transmission. |
Albert Sabin (left) and Jonas Salk (center) meeting with Basil O’Connor of the
March of Dimes in 1961
Courtesy of March of Dimes
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The Salk Vaccine
The chief advantage of Salk’s killed virus
vaccine was safety. If made properly, it could not cause disease.
Its chief disadvantage was that the formaldehyde used in its manufacture
caused the immune system to recognize killed virus differently from
live virus, possibly risking a shortened period of immunity.
Results of trials with small numbers of children in 1952 encouraged
the National Foundation for Infantile Paralysis to adopt Salk’s
vaccine for a large-scale trial in 1954. Salk called his vaccine “Pittsburgh
vaccine,” but reporters named it “Salk.” |
Left: Vaccine bottles and 5-cc syringe used by Jonas Salk in the 1954ñ55
clinical trials
Right: Jonas Salk in his lab at the University of Pittsburgh,
1954 Courtesy of March of Dimes