Polio : An American Story
This well-grounded account documents the quest for a polio vaccine. It reveals professional rivalries and clinical breakthroughs, describes a new era in approaches to public philanthropy, and re-creates the tenor of American culture during the 1940s and ’50s, when every city, suburb, and rural community faced potential tragedy from annual outbreaks of the disease. The decades-long contentious relationship between doctors Albert Sabin and Jonas Salk provides the centerpiece of this story. Virologists were split into two main camps: those pursuing the development of an attenuated live-virus vaccine versus those focusing on a killed-virus vaccine, with adherents of the latter believing it would prove not only safer and more effective, but also quicker and cheaper to mass produce. Historical context is provided by detailing how Franklin D. Roosevelt raised public awareness, how his influence led to the emergence of the National Foundation for Infantile Paralysis and the March of Dimes, and the subsequent creation of the poster child concept as a way of creating grassroots fundraising. The writing dramatically captures both tensions and ethical dimensions inherent in moving from laboratory work with monkeys to human experimentation and, eventually, to implementation of a massive inoculation program reaching 1.3 million schoolchildren in the 1954 Salk vaccine trials. While this part of the story and the public adulation of Salk have been told elsewhere, Oshinsky amplifies the tale with data explaining why the Sabin oral vaccine became the one preeminently adopted internationally, and why the debate has continued. Sixteen pages of arresting black-and-white photographs are included.
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