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 .p198 [[ https://en.wikipedia.org/wiki/Global_Polio_Eradication_Initiative | Global Polio Eradication Initiative ]] GEPI  .p198 [[ https://en.wikipedia.org/wiki/Global_Polio_Eradication_Initiative | Global Polio Eradication Initiative ]] GEPI, type 2 already eliminated.
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 .p200 prebendary customs: in some cultures, elected officials believe they own a personal share of government revenues
 .p201 [[ https://en.wikipedia.org/wiki/Olusegun_Obasanjo | Olusegun Obasanjo ]] targeted polio
  .muslims in other areas assumed conspiracy because malaria, cholera, diarrheal vaccines were expensive
 .p203 stories of turnaround and trust in Africa
 .p204 [[ https://polioeradication.org/what-we-do/supplementary-immunization/ | Supplemental Immunization Activities ]]
  .vaccines to every household, even if past vaccinations,
 .p206 High energy xray imaging of viruses helps design synthetic shells empty of genetic material
 .p206 polio 99% eradicated, 2.5 billion children vaccinated
 .p209 Central Africa at high risk because 10 million nomads migrate through northern Nigeria and its neighbors
 .p213 China polio-free after 1994?1999, new case appeared in 2011 in southern Xinjiang Uyghur Autonomous region.
  .public health emergency declared, 5 million vaccine doses airlifted, 500,000 volunteers went house to house vaccinating everyone.
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 .p215 [[ https://en.wikipedia.org/wiki/Cambridge_University_Library | 1933 Cambridge University Library ]]
 .p216 [[ https://en.wikipedia.org/wiki/Jakob_Heine| Jakov Heine ]] first described polio in 1840
 .p216 [[ https://en.wikipedia.org/wiki/BCG_vaccine | Bacillus Calmette–Guérin (BCG) vaccine ]] for tuberculosis, second vaccine from cows

The End of Plagues

Multco Central . 362.19691 R476e . 2013




  • p023 Ch03 . The Making of Jenner

  • p023 Edward Jenner

  • p024 Jenner lodged with surgeon John Hunter

  • p026 Jenner found foreign seed in birds, evidence for bird migration
  • p026 Jenner observed newly hatched cuckoos push other chicks and eggs out of nest
  • p027 observed narrowing and calcification in coronary arteries of angina patients

  • p028 1775 siege of Quebec failed when half of the colonial force was infected


  • p029 Ch04 Why Not Try the Experiment?

  • p030 Cowpox protective against smallpox, dismissed by most doctors, tested by Jenner

  • p031 pseudocowpox common, pustules different than cowpox

  • p031 True cowpox-infected milkmaid Sarah Nelmes source of pustule, Gloster cow Blossom

  • p032 Jenner used "virus" meaning poison or contagion
  • p033 Gardener's son James Phipps first innoculated 1796 May 14

    • mild symptoms for 9 days. Very small reaction to variolation, similar to those already exposed and immune
  • p034 farmer Benjamin Jesty did the same experiment in 1774, scorned, vindicated in 1805



  • p047 Ch06 The Foundling Voyages

  • p047 1808 National Vaccine Institute, ₤20,000 awarded to Jenner
  • p049 Napoleon ordered 100K francs spent to promote vaccination
  • p049 1815 (year of Waterloo battle), French Academy's poetry competition was "Edward Jenner and Vaccination"
  • p049 1805 Napoleon releases two imprisoned British scientists at Jenner's request
  • p050 vaccination spreads to Latin America, then the Phillipines
  • p053 1800 letter to Thomas Jefferson, Monticello vaccinated by August 1801, Virginia, DC, and Philadelphia by year's end


  • p055 Ch07 The Teeming Humanity of Nations

  • p057 Vaccination did not reach Tibet until the 1940s
  • p058 Japanese emperor/Mikado and wife vaccinated in 1875, mandatory nationwide in 1885
  • p059 immunity wanes; today boosters at 3 to 10 year intervals
  • p059 Vaccination Act 1840


  • p065 Ch08 A Great and Loud Commotion

  • p065 glycerol and phenol added to vaccines eliminated risk of bacterial infection from vaccines
  • p066 Smallpox 1/5 chance of death; 1896 vaccines 1/14,000 chance of death lead to antivaccination resentment
  • p069 Routine vaccination ended 1971 in Britain


  • p071 Ch09 Completing the Picture

  • Jenner promotes vaccination for the rest of his life, but uncomfortable in London
  • p074 mild stroke age 70, another age 73. died 1823 January 26



  • p089 Ch11 Victorious Weapons against Illness and Death

  • p090 Jenner statue removed from Britannia's Victory Square
    • 1861 Punch Magazine:
      • England's ingratitude still blots

      • The escutcheon of the brave and free;

      • I saved you many million spots

      • And now you grudge one spot for me.

  • p090 Moved to Kensington. Author Rhodes says "this is a better place for a man raised in the tranquil Vale of Severn and who was never at home in London.
  • p091 Arm-to-arm vaccination no longer used in Europe by 1900, vaccine production in calves instead
  • p091 Vaccines against cholera, typhoid, and plague before 1900
  • p091 biochemistry term in 1903
  • p091 James Sumner isolates, purifies, and crystallizes urease enzyme

  • p092 John Keats trained as a surgeon and apothecary

  • p092 Keats lost his mother and brother Tom to tuberculosis, led to 1819 Ode to a Nightingale

  • p093 Keats died of tuberculosis February 1821
  • p094 Robert Koch identified the M. tuberculosis bacteria in 1882

  • p095 bacteriologist Albert Calmette 1863-1933 and veterinarian Camille Guerine 1872-1961

  • p095 passaging (pronounced pasarging) tuberculosis bacteria 1908 until 1919

  • p095 Bacillus Calmette–Guérin (BCG) vaccine tested in humans 1921, 500K infants safely vaccinated

  • p095 240 babies vaccinated in Lübeck, all developed acute tuberculosis, 72 died
  • p096 Lübeck BCG contaminated with virulent bacillus grown in the same incubator
  • p098 six-needle Heaf gun

  • p098 ~1/3 of world population has TB, latent for many
  • p098 a better vaccine than BG sorely needed


  • p101 Ch12 First Light on the Mystery of Infantile Paralysis

  • p102 Karl Landsteiner identified cause of polio

  • p102 severe polio rare in poor hygiene communities, babies exposed while protected by antibodies in mother's milk
  • p103 Simon Flexner and Albert Sabin at Rockefeller Institute in NYC

  • p104 Franklin Roosevelt contracted polio at a 1921 Boy Scout jamboree, kept secret for life
  • p104 Many new "polios" at Warm Springs Resort in Georgia, Roosevelt arranges separation for convalescents

  • p106 radios (battery or wallplug) everywhere in 1938 US, March of Dimes

  • p106 Brodie Park 1935 vaccine against polio, inactivation incomplete, some vaccine-related infections

  • p107 gastrointestinal virus in humans, only 1% of infections enter the nervous system
  • plate 8 Painting of first meeting of the Medical Society of London 1800, with Jenner's image added later


  • p109 Ch13 Yearning to Breath Free

  • p112 virologist Thomas Rivers led Rockefeller Institute

  • p114 Dorothy Horstmann at Yale orally infected monkeys with polio

  • p114 Jonas Salk discovered three serotypes of polio using 17000 monkeys

  • p115 Isabel Morgan developed a formalin-inactivated-virus vaccine

  • p116 Hilary Koprowski tested attenuated live virus vaccines on institutionalized children

  • p117 bulbar polio invades cranial nerves that control breathing

  • p118 Jonas Salk matriculated to NYU College of medicine, which did not enforce quotas on Jewish studentts
  • p119 Salk's 1940's activism against facism and inequality led to future attacks
  • p120 Out of This Furnace novel about steelworker unionization

  • p120 Salk's lab majority funding for Pittsburg Medical School, test monkey expense


  • p123 Ch14 A Great Step Forward

  • p123 fearsome Mahoney strain of Salk polio vaccine

  • p124 Polk School for the Retarded and Feeble Minded

  • p124 Salk worried, prior vaccines were "not happy", but his was safe and produced good antibody levels.
  • p126 next, large-scale vaccine trial
  • p127 Sabin claimed Salk vaccine not ready for large trial, current infection rates low, a double-blind trial required 500K children for statistically significant results
  • p128 socialist medicine dreaded, so no federal or public money involved
  • p128 April 4, 1954 news of pathenogenic vaccine batches, testing increased to triple safety checks and 11 consecutive clean lots before any lots passed
  • p129 Vaccine Evaluation Center in Ann Arbor ca. 1955
  • p130 newly created Department of Health, Education, and Welfare

  • p131 Salk said "There is no patent. Could you patent the sun?"
  • p132 four polio cases in Idaho, Salk vaccine from Cutter Laboratories

  • p133 Cutter problem: clumps of virus in test tube sediment, not inactivated, low quality filters with larger pores
    • modern techniques prevent sedimentation and use better filters
  • p133 Sabin tests at Chillicothe Federal Prison

    • incentive $25 and slight sentence reduction, "bored prisoners probably would participate for free"
    • KL but how would prisoner attitude skew the results, with or without incentives?
  • p134 Sabin's attenuated viruses grew naturally, stimulated more immune defense than Salk's killed vaccine
  • p134 1959, Russia also produced and used Sabin vaccine without mock vaccination or observer controls
  • p136 Salk three injection course unpopular, September 1961 HEW chose Sabin vaccine, large scale vaccination in 1962.
  • p136 Last US indigenous case of polio in 1979
  • p136 Salk said he wouldn't have membership in Salk Institute the if he hadn't founded it himself
  • p137 Sabin live-polio vaccine reverts to virulence and causes paralytic polio in 1 of 2.4M vaccine recipients
  • p138 First March of Dimes poster child Donald Anderson from Oregon (died 2014 at age of 73)
  • p138 Andrew Wyeth 1948 painting Christina's World is of neighbor Anna Christina Olsen (May 3, 1893 – January 27, 1968)



  • p143 Ch16 The War on Influenza

  • p143 Herpes virus hides in nerves, emerges as cold sores on skin

  • p143 Immune complement system add to adaptive immune system

  • p145 Thomas Francis Jr. Salk's mentor

  • p145 1918 influenza first case Albert Gitchell(WP) Mitchell(book) at Camp Funston KS

  • p146 perhaps 1915-1916 in France?
  • p146 perhaps after 1916-1917 Battle of the Somme, soldiers at Étaples camp turned blue and died
  • p146 similar outbreak two months later at Aldershot camp in England
  • p148 October 1918, 195,000 died of influenza in the United States
  • p148 Estimated 50 million killed worldwide
  • p149 1997 samples from Brevig Alaska permafrost grave yielded virus and complete genome Taubenberger 2008 Taubenberger 2019

  • p150 New live vaccines only grow in nose and throat, at temperatures lower than 25C, destroyed by warmer lung temperatures
    • KL unless they mutate and adapt :-(

  • p150 Universal vaccine for all flu types that attack hidden region of H spike shared by all subtypes
    • KL unless that region mutates and adapts :-(

  • p152 March 1947 Eugene Le Bar dies of atypical smallpox


  • p151 Ch17 Forged in the Crucible of War

  • p152 March 1947 Eugene Le Bar dies of atypical smallpox
  • p153 12 other cases emerge - HUGE response, 6 million vaccination
  • p153 vaccination blamed for other illnesses
  • p154 no more cases beyond the first 12
  • p154 Dr. Fred Soper, hemisphere wide campaign to eradicate smallpox

  • p154 May 1958 Soviet deputy minister of health Viktor Zhdanov concurred

  • p155 WHO global Eradication campaign began February 1966

  • p155 African and Asian surveys revealed that less than 5% of smallpox cases officially reported
  • p155 not 130K but 2.5M cases, more than 200M doses needed
  • p157 William Foege


  • p139 Ch18 Smallpox in a Land of Ancient Wisdom

  • p160 Smallpox campaigns missed inaccessible rural populations, instead revaccinated closer people
  • p160 In 1967, 83,000 cases reported, only 10% of real total
  • p160 1968 forked needle repurposed by Donald Henderson

  • p161 surveillance-containment instead of passive waiting for patient reporting
  • p162 manpower costly; 5000 new cases in Bihar required 50,000 to deal with them
  • p162 un-vaccinated children attending funeral at friend's home all develop smallpox ten days later
  • p163 Smiling Buddha nuclear test complicates US response
  • p164 villager says: when house catches fire, use all water on that, don't waste time on other houses
  • p166 villager resistance to vaccination replaced by cordial hospitality
  • p166 May 24 1975 last reported case in town of Karimganj (book spells this Karaminganj)


  • p167 Ch19 The Final Defeat of Smallpox

    • campaign in Bangladesh, stymied by Bengali authorities
  • p168 Dhaka slums bulldozed, 400K people spread across country, many infected with smallpox
  • p168 side comment: Bangladesh Bhola Island partly inundated by sea level rise, 500,000 now homeless. world's first climate change refugees

  • p169 More than half of Ethiopians live more than a day's journey from any road. Variola minor was endemic

  • p172 1976 smallpox outbreak in Somalia



  • p179 Ch21 Benefits, Risks, and Fears

  • p179 Arthur Allen, Vaccine: The Controversial History of Medicine's Greatest Lifesaver, 2007 (WCCLS, Forest Grove)

  • p183 Maurice Hillman "rational empiricism", informally guts and guesses

  • p185 GlaxoSmithKline vaccine for infant diarrhea established(?) in Brazil and Mexico where need was high

  • p186 "Pertussis" name for whooping cough vaccine, bacterium "Bordella pertussis"
  • p186 pertussis component of DTP vaccine causes problems

  • p187 poorly understood adjuvants may have been responsible past for vaccine damage
  • p187 Yuji Sato 1981 DTaP, though cheaper DTP is still used

  • p188 no population-level association between MMR and autism, not enough precision to detect rare events
  • p188 treatment of unrecognized intestinal problems may help developmentally disabled children
  • p189 Antivaccine groups continued blaming thimerosal long after it was removed from children's vaccines
  • p189 six ways vaccines can cause harm:
    • Killed vaccines may be contaminated with live vaccinal virus
    • vaccines may carry hidden passenger viruses
    • components of vaccines may provoke adverse reactions
    • live attenuated viruses may (in a tiny minority) cause the disease they are intended to prevent
    • vaccines may simply be ineffective, or unwanted by those compelled to receive them
    • otherwise safe vaccines my overwhelm weakened immune systems of the immunocompromised


  • p191 Ch22 Inspiration in the Global Village

  • p193 providing vaccines to the neediest one of the greatest challenges
  • p194 Immune responses triggered by HIV help the infection, because the virus resides in immune cells
  • p195 pathogens (like HIV and malaria) that change their antigens are difficult vaccine targets
  • p195 adenovirus carrier for HIV vaccine proteins

  • p196 heterologous prime-boost regimen

  • p196 A sporozoite is the cell form that infects new hosts.
  • p196 Newborns are protected by maternal antibodies in breast milk
  • p198 malaria sporozoites synthesized in yeast may be used in vaccines against African malaria
  • p198 Global Polio Eradication Initiative GEPI, type 2 already eliminated.


  • p199 Ch23 A Team of Many Colors

  • p200 prebendary customs: in some cultures, elected officials believe they own a personal share of government revenues
  • p201 Olusegun Obasanjo targeted polio

    • muslims in other areas assumed conspiracy because malaria, cholera, diarrheal vaccines were expensive
  • p203 stories of turnaround and trust in Africa
  • p204 Supplemental Immunization Activities

    • vaccines to every household, even if past vaccinations,
  • p206 High energy xray imaging of viruses helps design synthetic shells empty of genetic material
  • p206 polio 99% eradicated, 2.5 billion children vaccinated
  • p209 Central Africa at high risk because 10 million nomads migrate through northern Nigeria and its neighbors
  • p213 China polio-free after 1994?1999, new case appeared in 2011 in southern Xinjiang Uyghur Autonomous region.
    • public health emergency declared, 5 million vaccine doses airlifted, 500,000 volunteers went house to house vaccinating everyone.


EndofPlagues (last edited 2026-01-05 11:33:16 by KeithLofstrom)