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LIVE POLIO IRUS VACCINES

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DR. BARON: When we come to the problem of<br />

getting enough virus for stools to do intrathalamic<br />

and intramuscular tests on monkeys, I am<br />

reminded of some of Dr. Logrippo's work a num-<br />

Discussion<br />

133<br />

Discussion 133<br />

DR. BARON: They are too preliminary to report ber of years back. He described the use of<br />

as yet.<br />

barrels of stools, passaged through resin columns,<br />

in order to concentrate virus efficiently in attempts<br />

to obtain poliovirus CF DR. MELNICK: Are they negative?<br />

antigens.<br />

DR. BARON: They are plus-minus.<br />

DR. SABIN: I should like to point out that in<br />

the course of work with excreted attenuated<br />

viruses, which goes back many years, all the<br />

initial work was always done with the original<br />

stools. We went on from work with the original<br />

stools to first tissue-culture passages only when<br />

it was found that original stools exhibiting no<br />

change nevertheless exhibited altered behavior<br />

when first tissue-culture passage was used, for<br />

the simple reason that larger amounts of virus<br />

were needed for the test.<br />

This is particularly true when the intrathalamic<br />

inoculation of monkeys is used. With<br />

original stools inoculated intrathalamically, with<br />

the amounts of virus that are present there, and<br />

with the strains most recently used, it has not<br />

ever been possible to get anything on intrathalamic<br />

inoculation. The reason for going on to<br />

first monkey-kidney tissue-culture passage was to<br />

obtain the larger quantities of virus in which<br />

changes could then be demonstrated.<br />

Testing original stools is, therefore, not new.<br />

It was the original procedure used many years<br />

ago. There is in the literature very extensive<br />

data reported on what has been found, using<br />

original stools.<br />

Culture passages, to repeat, are used to test<br />

the large populations of virus particles.<br />

DR. BODIAN: I think Dr. Sabin satisfactorily<br />

explained the reasons for his going to passage<br />

material, but 1 should like to emphasize, from<br />

Dr. Baron's very meticulous study, the demonstration<br />

that where titers of virus in stools are<br />

at a satisfactory level, it becomes important to<br />

use Dr. Sabin's original method of using stool<br />

suspension rather than subcultured virus.<br />

DR. SABIN: This is never-ending, but I believe<br />

that the best thing to do, for anyone who is interested,<br />

is to analyze quantitatively the data that<br />

are amply reported in the literature. There is<br />

quite a difference between using the intraspinal<br />

technique, where we know that one can have<br />

virus producing paralytic effects in rather small<br />

doses, while a million tissue-culture infective<br />

doses of the same virus given intrathalamically<br />

may be without paralytic effect.<br />

This is not the place to go over work that has<br />

been covered in the last five or six years; it is<br />

already recorded in literature, and anyone who<br />

wants to follow up should cover the literature<br />

which is on record.<br />

DR. BODIAN: I should like to remind Dr. Sabin<br />

that information on all of the strains which are<br />

before us for consideration is not available on<br />

this point.<br />

CHAIRMAN ZHDANOV: We shall now proceed<br />

with the paper by Dr. Verlinde on "Epidemiological<br />

and Virological Survey Following Oral<br />

Administration of Live Poliovirus Vaccine."

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