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PhD Thesis - ResearchSpace@Auckland - The University of Auckland

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ethink their original decision. From 1957 all children up to age 14 were immunised<br />

with locally produced Salk vaccine. 39<br />

Canada had however, already been manufacturing Salk vaccine from its Connaught<br />

Serum Laboratories in Toronto. 40 Subject to strict government control, Connaught<br />

had prepared all the virus fluids for use in the 1954 tests in the United States. <strong>The</strong>y<br />

then began to prepare the vaccine in anticipation <strong>of</strong> a mass immunisation campaign in<br />

1955. Connaught’s vaccine was double-checked, by both themselves and the<br />

Canadian Laboratory <strong>of</strong> Hygiene. 41 Each Canadian province then embarked on an<br />

immunisation programme with close assistance from the federal government. By July<br />

1955 close to 600,000 children aged between five and ten received at least two doses<br />

<strong>of</strong> Salk vaccine without a single mishap. 42 This demonstrated to the world that if<br />

manufactured and tested correctly there was no danger from the Salk vaccine. It also<br />

showed that in the United States the fault lay with the pharmaceutical companies and<br />

federal government, not the vaccine itself. Figures for polio cases in Canada in 1955<br />

revealed that the effectiveness <strong>of</strong> the vaccine was about 85 percent. 43 <strong>The</strong> Canadian<br />

experience therefore did much to help restore shaken overseas confidence in the worth<br />

<strong>of</strong> the Salk polio vaccine although it did little to improve the image <strong>of</strong> American<br />

vaccine manufacturers!<br />

Polio Vaccine Advisory Committee<br />

One <strong>of</strong> the main reasons for the ‘Cutter Incident’ in the United States was the lack <strong>of</strong><br />

government interest and control in the manufacture <strong>of</strong> the polio vaccine. 44 In New<br />

Zealand all vaccines, whether on the free list or not, had to be registered and receive<br />

Health Department approval before they could be used. Nevertheless, New Zealand<br />

did not produce any vaccines and did not do its own testing; the Health Department<br />

was dependent on advice from overseas. As has been previously argued, by the 1950s<br />

39<br />

U. Lindner, S. Blume, ‘Vaccine Innovation and Adoption: Polio Vaccines in the UK, the Netherlands<br />

and West Germany, 1955-1965’, Medical History, 5, 4, p.430.<br />

40<br />

For a full history <strong>of</strong> polio including the use <strong>of</strong> vaccines in Canada see C. J. Rutty, ‘Do<br />

Something!…Do Anything! Poliomyelitis in Canada 1927-1962’, <strong>PhD</strong> thesis, <strong>University</strong> <strong>of</strong> Toronto,<br />

1995.<br />

41<br />

ibid., p.353.<br />

42<br />

ibid., p.345.<br />

43<br />

ibid., p.355. A case rate <strong>of</strong> 0.54 per 100,000 was reported for those immunised (599,798) whilst in<br />

the non-immunised control group the rate was 5.76 per 100,000 (885,070).<br />

44<br />

P. A. Offit, <strong>The</strong> Cutter Incident, pp.118-19.<br />

132

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