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LIVE POLIO IRUS VACCINES

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Poliomyelitis Vaccination in Poland with Koprowski's Live Attenuated Strains 531<br />

The table indicates the isolation from the<br />

samples collected before vaccination of: Type 1<br />

virus in 11 per cent; Type 2 virus in 2.8 per<br />

cent; and Type 3 virus in 2.2 per cent. A<br />

cytopathogenic agent was isolated in 12.8 per<br />

cent. Feces of 682 children vaccinated with<br />

Type 1 virus were re-examined after an interval<br />

of five to 14 days. In this material, poliovirus<br />

Type 1 was isolated in 28.6 per cent of the<br />

samples; Type 2 virus in 2.3 per cent; and Type<br />

3 in 1.9 per cent. A cytopathogenic agent was<br />

isolated from 23.7 per cent of the samples.<br />

Following the administration of the Type 3<br />

strain, samples of feces were collected from the<br />

vaccinated children, after an interval of five<br />

to 14 days. From the 160 samples examined,<br />

Type 1 virus was isolated in 10 per cent; Type<br />

2 in 0.63 per cent; and Type 3 in 43.1 per cent.<br />

A cytopathogenic agent was isolated in 27 per<br />

cent of the cases.<br />

It should be noted that in the province of<br />

Gdafisk the percentage of viruses isolated was<br />

lower than in Warsaw. This may be due to a<br />

relatively high percentage of persons with a<br />

cytopathogenic agent in the feces.<br />

Thus far, serologic investigations (the color<br />

test) have been carried out on 254 paired sera<br />

collected before vaccination and 30 days after<br />

vaccination with Type 3 virus. The results obtained<br />

are presented in Table 12. The table indicates<br />

that among the persons examined, there<br />

were 92 who had no antibodies against Type 1<br />

before vaccination. After administration of the<br />

vaccine, antibodies developed in 77 persons, i.e.,<br />

in 78.2 per cent. So far as Type 3 was concerned,<br />

127 persons had no antibodies before<br />

vaccination; of these 86, or 67.7 per cent, developed<br />

antibodies after vaccination. Of those<br />

who had antibodies before vaccination, a fourfold<br />

titer rise occurred in approximately 50 per<br />

cent for both types.<br />

The effects of the virologic and serologic<br />

investigations, cited above, were obtained after<br />

a mass vaccination campaign. It seems safe<br />

to assume, therefore, that the results obtained<br />

may serve as a proof of the immunogenic properties<br />

of the vaccine used. Only when the<br />

necessary epidemiologic data are collected and<br />

the results of the virologic and serologic investigations<br />

are in, will it be possible to evaluate<br />

the ultimate effect of this rather large field trial.<br />

TABLE 12.t PRELIMINARY SEROLOGICAL RESULTS IN CHILDREN FED CHAT AND Fox STRAINS<br />

IN GDANSK*<br />

BEFORE IMMUNIZATION<br />

AFTER IMMUNIZATION<br />

TYPE OF V<strong>IRUS</strong> FED<br />

ANTIBODY<br />

ABSENT<br />

ANTIBODY<br />

PRESENT<br />

ANTIBODY<br />

PRESENT<br />

ANTIBODY<br />

RISE<br />

No. No. No. No.<br />

1<br />

92 - 72 (78%)<br />

176 -· 89 (51%)<br />

3<br />

127 - 86 (68%)<br />

137 -+ 76 (55%)<br />

* Metabolic inhibition test on HeLa cells.<br />

t Data collected by Dr. Georgiades.

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