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LIVE POLIO IRUS VACCINES

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360<br />

Efficacy-Laboratory Evidence<br />

TABLE 3.<br />

INITIAL ANTIBODY STATUS OF PARTICIPANTS<br />

ANTIBODY TITER LESS<br />

THAN 4, BY TYPES<br />

CELL HOUSE GROUPS<br />

B ACDE<br />

A C D E CONTROL CONTROL<br />

TOTAL<br />

I<br />

II<br />

III<br />

I and II<br />

I and III<br />

II and III<br />

I, II, and III<br />

3 2 2<br />

5 3 18<br />

2 5 3<br />

2 1 16<br />

5 4 10<br />

8 13 49<br />

0 1 1<br />

1 1 5<br />

2 0 1<br />

5 5 16<br />

1 3 1<br />

2 3 10<br />

O O<br />

2 3 1 2<br />

Total persons titer less than 4,<br />

one or more types<br />

Total persons triple positive<br />

13 15 20 22 24 28 122<br />

6 4 6 9 10 8 43<br />

TOTAL 19 19 26 31 34 36 165<br />

per cent of the Type 2, and 61 per cent of the<br />

Type 3 blanks were filled in. The per cent of<br />

persons who converted to triple positive varied<br />

from 45 per cent to 78.2 per cent.<br />

Virus was isolated only from the throat swabs<br />

collected from persons in Houses A and D who<br />

were fed liquid vaccine with the exception that<br />

Type 1 virus was isolated from the pharynx of<br />

only two persons who swallowed the vaccine in<br />

gelatin capsules. These two persons had a prevaccine<br />

antibody titer of less than four for all<br />

three types of virus. Pharyngeal infection was<br />

not detected in the placebo control groups. It<br />

is quite clear from Table 5 that isolation of virus<br />

from the pharynx was much more frequent when<br />

the antibody titer was less than four for the<br />

viruses isolated. Also, Type 2 virus was isolated<br />

from the pharynx less frequently than virus Types<br />

1 and 3. Table 6 is essentially the same as Table<br />

5, except that persons with antibodies to all<br />

three types are shown. The presence of antibodies<br />

to two or more poliovirus types does not<br />

TABLE 4. ANTIBODY RESPONSES-CONVERSIONS OF BLANKS AND CONVERSION TO TRIPLE POSITIVES<br />

*CONVERSIONS OF ANTIBODY<br />

TITER FiOM LESS THAN 4 TO<br />

NUMBER ANY TITER, ONE OR MORE **CONVERSION TO TRIPLE<br />

HOUSE FED TYPE AND TIME OF FEEDING TYPES PosITIVES<br />

A 19 Liquid before lunch 11/16 =68.8% 8/13 =61.5%<br />

C 19 Capsules after lunch 12/19 =63.2% 9/15=60.0%<br />

D 26 Liquid after lunch 16/27 =59.3% 9/20 =45.0%<br />

E 31 Capsules before lunch 19/32 =59.4% 14/22 =63.6%<br />

Control Group B<br />

Control<br />

34 Liquid after lunch 26/32 =81.3% 18/23 =78.3%<br />

Group A C D E 36 Liquid after lunch 22/39 =56.4% 14/28 =50.0%<br />

Total 165 106/165 =64.2% 72/121=59.5%<br />

BLANKe FILLED, BY TYPES*<br />

I II III<br />

34/46=73.9% 24/39 =61.5% 48/80=60.0%<br />

* Numerator: blanks filled in.<br />

Denominator: blanks to be filled in.<br />

**Numerator: total persons converted to triple positive.<br />

Denominator: total persons lacking one or more types.

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