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LIVE POLIO IRUS VACCINES

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DISCUSSION<br />

CHAIRMAN GEAR: The last three papers are<br />

now open for discussion, that is, the papers by<br />

Dr. Prem, Dr. Vonka, and by Dr. Voroshilova.<br />

DR. HODES: The Chairman stated that he would<br />

grant me a few minutes to speak about a new<br />

method for determining antibody. This method<br />

has been described to a number of my North<br />

American colleagues, but it has not been seen<br />

by others since the results of this are in press at<br />

the moment. We believe the method to be simple<br />

enough to be used for antibody testing on a mass<br />

basis. We believe also that it is more sensitive<br />

than any antibody method now in use.<br />

The method which I shall describe very briefly<br />

is based on the fact that a specific antibody retards<br />

the spread of a radioactive virus up a strip<br />

of filter paper. We think the test may have<br />

practical importance because it requires only<br />

0.1 ml. of serum. This can be obtained by finger<br />

puncture, which is the way we have done it. The<br />

test can be completed in a few hours. Moreover,<br />

the materials required, cost approximately<br />

five cents.<br />

I do not think that we have time to go into it,<br />

but believe we can make this a very sensitive test,<br />

perhaps more so than any now available. In conducting<br />

the test hundreds of times, and in comparing<br />

it with standard neutralization tests, we<br />

have obtained a very high degree of correlation,<br />

something over 95 per cent.<br />

The present method we use is described in<br />

Fig. 1. A strip of filter paper is used. Although<br />

the figure shows only the first 23 centimeters, we<br />

actually have it 29 centimeters long, ruled off in<br />

centimeter spaces. This piece of filter paper is<br />

then suspended from a cork, and put into a test<br />

tube. At the bottom of the test tube there is 0.5<br />

cc. of radioactive poliovirus suspension.<br />

The particular virus in this test was Type 2<br />

with a titer of 15,000 TCD 50 per 0.1 ml. and radioactivity<br />

of 15,000 counts per minute. One tenth<br />

of 1 ml. of the serum to be tested is spread across<br />

space 3. The bottom part of the filter paper<br />

STRIP WITH<br />

ANTIBODY-<br />

NEG. SERUM<br />

3.....ZONE 28 ...<br />

STRIP WITH<br />

ANTIBODY-<br />

-POS. SERUM<br />

1.65 N 15<br />

19<br />

~17~9 ~ 31<br />

E1:~8$ 41<br />

¡92 .54<br />

i19a 66<br />

17? 70<br />

7..... ZONE 18 ...... 7<br />

225 EX96<br />

41..... ZONELIOVIR .... 22<br />

245 [78<br />

249 227<br />

247 207<br />

261 .205<br />

261 2:'55<br />

293 3,45<br />

23 F. 1 75<br />

323 467*<br />

ZONEI .<br />

-<strong>POLIO</strong>V<strong>IRUS</strong>;.<br />

RESERVOIR<br />

Fi. 1<br />

..<br />

(space 1) is dipped into the virus, the paper<br />

being allowed to become wet.<br />

When the paper is wet all the way up to the<br />

top, it is taken out and put into an oven at<br />

140' C.; this renders it non-infectious and makes<br />

the radioactive phosphorus stick to the paper.<br />

The paper strip is then fed into an automatic<br />

scanning device which plots the distribution of<br />

radioactivity on a graph.<br />

266

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