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LIVE POLIO IRUS VACCINES

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154<br />

Safety-Field Evidence of Safety<br />

Not too surprisingly, the proportion of unvaccinated<br />

who became infected by contact was directly<br />

related to the proportion of the population<br />

vaccinated. The more extensive spread observed<br />

in the more heavily seeded Franklin community<br />

also testifies to the relative lack of influence on<br />

spread of prior Salk vaccination since the proportion<br />

of children so vaccinated in Franklin<br />

(54 per cent with three or four shots and 79 per<br />

cent with at least one) was much greater than in<br />

Morgan City (15 and 40 per cent, respectively).<br />

Finally, although the abundant occurrence of<br />

wild enteroviruses in the two communities confirmed<br />

our judgment that conditions for enterovirus<br />

spread were very favorable, we were unable<br />

to show that such wild infections interfered with<br />

vaccine virus spread. Rather, the reverse may<br />

have been true since administration of the vaccine<br />

seems to have afforded transient protection<br />

against wild enterovirus infection.<br />

REFERENCES<br />

1. Gelfand, H. M., Potash, L., LeBlanc, D. R.,<br />

and Fox, J. P.: Revised preliminary report<br />

on the Louisiana observations of the natural<br />

spread within families of living vaccine<br />

strains of poliovirus. In: Live Poliovirus<br />

Vaccines, First International Conjerence.<br />

Scient. Pub. no. 44 of the Pan American<br />

Health Organization, pp. 203-217, 1959.<br />

2. Gard, S., Bottiger, M., and Lagercrantz, R.:<br />

Vaccination with attenuated poliovirus Type<br />

1, the CHAT strain. In: Live Poliovirus Vaccines,<br />

First International ConJerence. Scient.<br />

Pub. no. 44 of the Pan American Health Organization,<br />

pp. 350-354, 1959.<br />

3. Plotkin, S. A., Koprowski, H., Richardson,<br />

S. N., and Stokes, Jr., J.: Vaccination of<br />

families against poliomyelitis by feeding and<br />

by contact spread of living attenuated virus:<br />

including studies of virus properties after<br />

human intestinal passage. Acta paediat. In<br />

press.<br />

4. Fox, J. P., Gelfand, H. M., LeBlanc, D. R.,<br />

and Conwell, D. P.: Studies on the development<br />

of natural immunity to poliomyelitis in<br />

Louisiana. 1. Overall plan, methods and<br />

observations as to patterns of immunity in<br />

the study group. Am. J. Hyg. 65: 344-366,<br />

1957.<br />

5. Gelfand, H. M., LeBlanc, D. R., Fox, J. P.,<br />

and Conwell, D. P.: Studies on the development<br />

of natural immunity to poliomyelitis in<br />

Louisiana. II. Description and analysis of<br />

episodes of infection observed in study<br />

group households. Am. J. Hyg. 65: 367-<br />

385, 1957.<br />

6. , , , and Potash, L.:<br />

Studies on the development of natural immunity<br />

to poliomyelitis in Louisiana. IV.<br />

Natural infections with polioviruses following<br />

immunization with a formalin-inactivated<br />

vaccine. Am. J. Hyg. 70: 312-327, 1959.<br />

7. Paul, J. R., Horstmann, D. M., Riordan, J.<br />

T., Niederman, J. C., and Yoshioka, I.: The<br />

use of Sabin's attenuated Type 1 poliovirus<br />

vaccine in different environments, and newer<br />

techniques for testing the virulence of recovered<br />

strains. In: Live Poliovirus Vaccines,<br />

First International Conference. Scient.<br />

Pub. no. 44 of the Pan American Health<br />

Organization, pp. 218-225, 1959.<br />

8. Barr, R. N., Bauer, H., Kleinman, H., Johnson,<br />

E. A., Martins da Silva, M., Kimball,<br />

A. C., and Cooney, M. K.: The use of orally<br />

administered live attenuated polioviruses as<br />

a vaccine in a community setting: a controlled<br />

study. In: Live Poliovirus Vaccines,<br />

First International Conference. Scient. Pub.<br />

no. 44 of the Pan American Health Organization,<br />

pp. 369-407, 1959.<br />

9. Oker-Blom, N., Strandstrim, H., and Eriksson,<br />

A. W.: A small-scale trial with live<br />

poliovirus vaccine in an isolated island community.<br />

In: Live Poliovirus Vaccines, First<br />

International Conference. Scient. Pub. no.<br />

44 of the Pan American Health Organization,<br />

pp. 580-587, 1959.<br />

10. Gelfand, H. M., LeBlanc, D. R., Potash, L.,<br />

Clemmer, D. I., and Fox, J. P.: The spread<br />

of living attenuated strains of polioviruses<br />

in two communities in Southern Louisiana.<br />

Am. J. Pub. Health, 1960. In press.<br />

11. Sabin, A. B.: Properties of attenuated polioviruses<br />

and their behavior in human beings.<br />

New York Academy of Sciences, Monograph<br />

no. 5, pp. 113-127, 1957.<br />

12. Gelfand, H. M., Potash, L., LeBlanc, D. R.,<br />

and Fox, J. P.: Intrafamilial and interfamilial<br />

spread of living vaccine strains of

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