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LIVE POLIO IRUS VACCINES

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Further Experiences with Oral Poliomyelitis Vaccines in Minnesota 313<br />

TABLE 1. PARTICIPANTS BY AGE AND VACCINAL STATUS (SALK)-GROVE EAST STUDY, 1959<br />

SALK VACCINE STATUS<br />

TOTAL NO.<br />

MIEAN AGE<br />

NoNE<br />

ONE<br />

DOSE<br />

T\\o<br />

DosEs<br />

THREE<br />

DosEs<br />

Four<br />

DOSES<br />

Childrern<br />

111<br />

3.3 years<br />

10<br />

o<br />

27<br />

613<br />

11<br />

Fathers<br />

. 3<br />

27 years<br />

8<br />

6<br />

17<br />

21<br />

Mothers<br />

55<br />

26 years<br />

3<br />

13<br />

36<br />

2<br />

viremia studies were collected after the trivalent<br />

feeding in the trivalent group and after the Type<br />

3 feeding in the monovalent group.<br />

It should be noted here that the feeding unit<br />

was the family and not the individual. That is,<br />

all the participating members of a family always<br />

received the same type of feeding.<br />

It is also apparent from Table 2 that there was<br />

a period from the first day through the 52nd<br />

when those in the trivalent group received<br />

placebo while those in the monovalent group were<br />

receiving Type 2 and Type 1 vaccine in that<br />

order. This period was a definite control period,<br />

and its principal use in this study was to enable<br />

one to critically compare any "reaction" illnesses<br />

that occurred in those who received vaccine virus<br />

with those that occurred in the participants who<br />

received placebo.<br />

Only two persons (A.C.K. and J.E.B.) in the<br />

project team knew the identity of the individuals<br />

who comprised the monovalent and the trivalent<br />

groups. The participants thus never knew until<br />

the end whether and when they had received vaccine<br />

or placebo or whether the vaccine they did<br />

receive was monovalent or trivalent. The project<br />

team with the exceptions noted was in a like posi-<br />

TABLE 2. OPERATING PLAN-GROVE EAST STUDY, 1959<br />

I)AV*<br />

TRIVALENT GROUP<br />

MONOVALENT GROUP<br />

1-3<br />

4-5<br />

21-23<br />

24-25<br />

50-52<br />

53-54<br />

57-61<br />

77-79<br />

80-81<br />

First Blood and Stool<br />

Placebo<br />

Second Stool<br />

Placebo<br />

Third Stool<br />

Trivalent vaccine<br />

fThroat swabs and<br />

blood for viremia<br />

Fourth Stool<br />

Second Blood<br />

First Blood and Stool<br />

Type 2 vaccine<br />

Second Stool<br />

Type 1 vaccine<br />

Third Stool<br />

Type 3 vaccine<br />

|Throat swabs and<br />

blood for viremia<br />

Fourth Stool<br />

Second Blood<br />

* Dav 1 is February 22. 1959.

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