The Citizen (Gauteng)

23 February, 1954: Children receive first polio vaccine

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On 23 February, 1954, a group of children from Arsenal Elementary School in Pittsburgh, Pennsylvan­ia, receive the first injections of the new polio vaccine developed by Dr Jonas Salk.

Though not as devastatin­g as the plague or influenza, poliomyeli­tis was a highly contagious disease that emerged in terrifying outbreaks and seemed impossible to stop. Attacking the nerve cells and sometimes the central nervous system, polio caused muscle deteriorat­ion, paralysis and even death. Even as medicine vastly improved in the first half of the 20th century in the Western world, polio still struck, affecting mostly children but sometimes adults as well. One of the most famous victims was the United States’ 32nd President Franklin Delano Roosevelt. The disease spread quickly, leaving his legs permanentl­y paralysed.

In the late 1940s, the March of Dimes, a grassroots organisati­on founded with President Roosevelt’s help to find a way to defend against polio, enlisted Dr Jonas Salk, head of the Virus Research Lab at the University of Pittsburgh. Salk found that polio had as many as 125 strains of three basic types and that an effective vaccine needed to combat all three. By growing samples of the virus and then deactivati­ng, or “killing” them by adding a chemical called formalin, Salk developed his vaccine, which was able to immunise without infecting the patient.

After mass inoculatio­ns began in 1954, everyone marvelled at the high success rate – some 60%-70% – until the vaccine caused a sudden outbreak of some 200 cases. After it was determined that the cases were all caused by one faulty batch of the vaccine, production standards were improved and by August 1955 some 4 million shots had been given. Cases of polio in the US dropped from 14 647 in 1955 to 5 894 in 1956, and by 1959 about 90 other countries were using Salk’s vaccine.

A later version of the polio vaccine, developed by Albert Sabin, used a weakened form of the live virus and was swallowed instead of injected. It was licensed in 1962 and soon became more popular than Salk’s vaccine, as it was cheaper to make and easier for people to take. There is still no cure for polio once it has been contracted. According to the World Health Organisati­on, polio cases have been reduced by 99% and it survives only among the world’s poorest and most marginalis­ed communitie­s.

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