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LIVE POLIO IRUS VACCINES

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272<br />

Efficacy-Laboratory Evidence<br />

TABLE 1. VIROLOGICAL ISOLATIONS FROM IN-<br />

FANTS, 3-4 MONTHS OF AGE, AFTER FEEDING<br />

ORAL <strong>POLIO</strong>MYELITIS VACCINE<br />

No PRE-FEEDING ENTEROV<strong>IRUS</strong>ES FOUND<br />

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T YPEJ'<br />

-fXCPETiED<br />

,/- OF<br />

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PO /VT/V '<br />

Ti,,N, T 3 46 7/<br />

T, o.v_ 6 9<br />

T 3 oNv 9 /4<br />

NON£ 4 6<br />

* T = type.<br />

rorc 65 /00<br />

TABLE 2. IMMUNOLOGICAL RESPONSE OF IN-<br />

FANTS, 3-4 MONTHS OF AGE, TO ORAL <strong>POLIO</strong>-<br />

MYELITIS VACCINE<br />

No PRE-FEEDING ENTEROV<strong>IRUS</strong>ES FOUND<br />

PO¿/ovI/~9O TYPt<br />

,P OF' /NA NTvP<br />

W/T# .}N T/B OD y<br />

-REPPONP£d<br />

P,'c¿wr<br />

T, ANv T 3 42 68<br />

Ti oNLV 6 9<br />

T3 ow.v // /8<br />

NONs 3 5<br />

rTOTW¿ 62 /00<br />

* T = type.<br />

The corresponding immunological response is<br />

summarized in Table 2. Again we find a high<br />

per cent of the infants responding to poliovirus<br />

Types 1 and 3, isolated from their stool specimens.<br />

Considering response to single types, it is<br />

seen that 77 per cent of the infants responded to<br />

Type 1, and 86 per cent to Type 3.<br />

Details of the immunological response are<br />

illustrated in Fig. 1. Here are shown pre- and<br />

post-feeding antibody titers to Types 1 and 3<br />

poliovirus. The infants show comparatively high<br />

titers in their post-feeding specimens, as compared<br />

to their pre-feeding specimens. The anti-<br />

body titers for Type 3 are somewhat higher than<br />

those for Type 1 which may indicate that this<br />

Type 3 poliovirus is a better antigen.<br />

Correlation between the virological findings<br />

and serological response are indicated in Table<br />

3, which demonstrates almost complete correlation<br />

between both methods of followup of the<br />

poliomyelitis virus fed. Incomplete correlation<br />

is noted in five children only. Three infants<br />

who had excreted Type 3 poliovirus in their stool<br />

specimens, showed antibody response to both<br />

Type 3 and Type 1, while two other infants who<br />

had excreted Types 1 and 3 simultaneously, re-<br />

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T/Tbr N I Np<br />

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256 0 :::** ****I /<br />

64 5 *****9**9 20<br />

/16 22 "*** .. :.* /2<br />

e.<br />

TYPE 5<br />

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16 /8 >>>> 3<br />

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