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Here's What Happens When You Try to Scale Up Vaccine Production Too Quickly (when live polio made its way into vaccines...whoops)
Ozy ^ | September 18, 2020 | Virat Markandeya

Posted on 10/16/2020 7:35:26 PM PDT by DoodleBob

When Vladimir Putin announced that his own daughter had received what he touted as a functional COVID-19 vaccine (despite the skepticism of most of the rest of the world), it was seen as a sign of his confidence in the treatment. But he wasn’t the first person to use his family to instill confidence in a new, swiftly created vaccine’s audience. On April 12, 1955, when 40-year-old Jonas Salk — who admittedly was not an authoritarian leader but a respected scientist and future Presidential Medal of Freedom winner — took center stage at the University of Michigan to triumphantly declare that his vaccine’s trials had been successful, his young sons were in the audience. And, as newsreels of the day made clear, they’d all been early test subjects for the inoculation.

While polio had been the cause of multiple 20th century epidemics, Salk’s development process — just six years from lab discoveries to mass manufacture — was among the fastest in history.

In many ways, the polio vaccine effort of the 1950s was Warp Speed 1, says Paul Offit, a professor of vaccinology at the University of Pennsylvania, referring to the Trump administration’s initiative to produce a COVID-19 vaccine today.

Polio, caused by a virus, was a seasonal scourge that spawned a U.S. epidemic in 1952. There were roughly 57,000 cases, of which about 5 percent died and more than a third of the sufferers were paralyzed. The vaccine trial was managed by the National Foundation for Infantile Paralysis, which had been founded 15 years earlier by President Franklin D. Roosevelt, who himself suffered from polio.

That afternoon of April 12, licenses to commercially produce the vaccine were recommended for six companies: Eli Lilly, Parke-Davis, Wyeth, Pitman-Moore, Sharp & Dohme and Cutter Laboratories. Of these, Eli Lilly and Parke-Davis had already been manufacturing the vaccine for the trial of over 1.8 million children, of which several hundred thousand received the polio vaccine in a placebo-controlled, double-blind study. The licensing process, as Offit wrote in a commentary for the New England Journal of Medicine in 2005, only took two-and-a-half hours. The vaccine had been produced at risk by the companies, in anticipation of a successful vaccine trial. Even before the vaccine was approved, the Foundation had ordered $9 million worth in order to have enough ready to go by the 1956 polio season.

The Salk vaccine was what’s known as an inactivated vaccine, which means it used an effectively dead version of the poliovirus to induce an appropriate immune response — technology still used today in shots for rabies and flu, and currently being tested in at least one coronavirus vaccine candidate undergoing phase three trials. The Salk vaccine used three types of poliovirus, including the Mahoney strain, known to be particularly deadly but it also produced the strongest immune response. As long as the virus used in the vaccine was dead, it wouldn’t matter.

But just weeks later, reports of paralytic polio in children who’d received the inoculations began trickling in. On April 26, the director of the government’s Laboratory of Biologics Control, William Workman, received calls about five California children whose arms had become paralyzed — an indication that the vaccine was responsible, since paralysis of the legs is more common in polio victims. The vaccine at fault had been made by Cutter Laboratories, which had already administered 380,000 doses to first- and second-graders.

The next day, U.S. Surgeon General Leonard Scheele told Cutter Laboratories to recall its vaccine, which it did. On April 30, California suspended its polio vaccination program altogether, and by May 7 all polio vaccinations had been paused for a week by recommendation of the surgeon general. After that, the vaccine was gradually released during the spring, but confusion and fear caused inoculation rates to drop — adults could choose not to be vaccinated, and parents could opt out of having their kids inoculated — even in places where it was available and where Cutter vaccines weren’t used.

Eventually, what became known as the Cutter Incident caused 260 symptomatic cases of polio and 11 deaths. While the bulk of the blame went to Cutter, there were deaths connected to vaccine lots from Wyeth as well. The government report on the Cutter Incident that came out in August that year did not get to the bottom of what went wrong, and even concealed specifics of Cutter’s production process as “trade secrets.”

In retrospect, “it was obviously not just the Cutter Incident, it was the scale-up incident,” says Offit, who wrote The Cutter Incident: How America’s First Polio Vaccine Led to the Growing Vaccine Crisis. All the companies had trouble scaling up their manufacturing, though these problems were exacerbated at Cutter. Cutter did not abide by protocols on how long to treat the polio virus with formaldehyde to inactivate it based on Salk’s instruction, and concealed the fact that it had been unable to produce consistent lots of inactivated vaccine from both the government and other polio researchers. Because it used a less optimal filtration technique and the government safety tests were insufficiently rigorous, the situation was made worse.

Immediately following the Cutter Incident, a Poliomyelitis Surveillance Unit was set up in Atlanta, Georgia. The next month, the minimal requirements for manufacturing the polio vaccine were amended and continued to be updated as the science advanced. A permanent advisory group was also set up by the surgeon general to provide guidance in vaccine production and testing. The Laboratory of Biologics Control was reorganized, now coming under the National Institutes of Health.

“It was really the birth of vaccine regulation in the United States,” says Offit. “I think it was a seminal moment.”

After the Cutter Incident, 400 million doses of inactivated polio vaccine were distributed between 1955 and 1961 in the United States. None are known to have caused polio.

As multiple companies and governments rush toward a coronavirus vaccine, the difficulties of even a phase three trial have become apparent. AstraZeneca temporarily suspended its U.K. trial after a participant became ill. Other companies, like U.S. front-runner Moderna, rely on promising but untested vaccine technology called mRNA vaccines. For the Russian vaccine, Sputnik V, preliminary data has been questioned. But as the Cutter Incident shows, even after a successful phase three trial, there is reason to be cautious.

Offit is concerned about what the rush for a coronavirus vaccine will mean from a regulatory standpoint. The clearance for a vaccine in the United States will likely be through the Emergency Use Authorization Act, which raises new questions. “In that case, does the FDA have a lighter touch? Are they less rigorous in terms of their regulation?” he asks. “I don’t know, and I guess we’re going to find out. I hope we don’t find out the hard way.”


TOPICS: Culture/Society; News/Current Events
KEYWORDS: covid19; cutter; polio; vaccines
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The purpose of this article isn't to trash any COVID19 vaccine. But rather, to highlight that even the 'safest' plans can go awry, and that waiting doesn't ipso facto make you an anti-vaxxer.
1 posted on 10/16/2020 7:35:26 PM PDT by DoodleBob
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To: DoodleBob

It turned me into a newt....

I got better.


2 posted on 10/16/2020 7:36:54 PM PDT by Pining_4_TX (I'm old enough to remember when you actually had to be able to do something to be hired to do it.)
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To: DoodleBob

We all went to the local high school
and had the Sabin sugar cube back in the day...


3 posted on 10/16/2020 7:44:07 PM PDT by Repeal The 17th (Get out of the matrix and get a real life.)
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To: DoodleBob
I took graduate courses in microbiology at the University of Tennessee. In one course we studied the “Cutter Incident” and several other not well known incidents. One was where a vaccine against an Adenovirus was developed to use on military recruits because the Adenovirus was causing some severe respiratory problems in USAF recruits. The vaccine was tested on 1000 USAF recruits in January of 1974 to a rousing success until further research found that the vaccine piggybacked an “Onc” gene, a gene that caused cancer in laboratory animals. I would have never known that I was one of the recruits that received that vaccine had I not taken a graduate course in virology taught by one of the developers of the vaccine. I take the flu vaccine yearly and other vaccines needed for older citizens.
4 posted on 10/16/2020 7:53:44 PM PDT by vetvetdoug
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To: DoodleBob

Did they shut everything down in those days?


5 posted on 10/16/2020 7:56:56 PM PDT by HighSierra5
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To: vetvetdoug
This is precisely my intent...for all to be as fully-informed as possible.

I have no doubt that the FDA will have all firms run through the ringer (a ringer that usually requires a 6-foot tall pile of research costing $250MM) so I don't have that DNC-instilled "they're gonna cut corners under Trump" concern.

But operational risks are aplenty in something like this, and I suspect people believe it's smooth sailing once you get FDA approval. As this story shows, that's not always the case.

6 posted on 10/16/2020 8:04:47 PM PDT by DoodleBob (Gravity's waiting period is about 9.8 m/s^2)
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To: Pining_4_TX

That’s better than pining for the fjords.


7 posted on 10/16/2020 8:05:51 PM PDT by DoodleBob (Gravity's waiting period is about 9.8 m/s^2)
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To: DoodleBob

My mother’s brother died from polio contracted around 1952. He spent the last weeks of his life in an iron lung.


8 posted on 10/16/2020 8:06:26 PM PDT by the_Watchman
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To: DoodleBob
What a great idea... "world), it was seen as a sign of his confidence in the treatment. But he wasn’t the first person to use his family to instill confidence..." Here is another application of that method. Russian rocket program was criticized because its fuel was unstable. So the team leader insisted on sitting in the bleachers to watch the launch to demonstrate that he had confidence that the fuel was safe. In fact, his entire rocket team 'decided' to join him. It was a most excellent showing of confidence in their design... Explosion🔥🔥🔥🔥🔥 Oh wait. The rocket blew up on launch. (Nedelin catastrophe) The entire design team was killed.... Um, nevermind.
9 posted on 10/16/2020 8:06:39 PM PDT by Pikachu_Dad ("the media are selling you a line of soap)
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To: DoodleBob

No one here remembers the swine flu vaccine?


10 posted on 10/16/2020 8:06:56 PM PDT by Trailerpark Badass (“There should be a whole lot more going on than throwing bleach,” said one woman.)
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To: Pikachu_Dad

“A short circuit in the replaced main sequencer caused the second-stage engine to fire while being tested before launch. This detonated the first stage fuel tanks directly below, destroying the missile in an enormous explosion. Before seeking refuge, the camera operator remotely activated automatic cameras set around the launching pad that filmed the explosion in detail. People near the rocket were instantly incinerated; those farther away were burned to death or poisoned by the toxic fuel component vapors. Andrei Sakharov described many details: as soon as the engine fired, most of the personnel there ran to the perimeter, but were trapped inside the security fence and then engulfed in the fireball of burning fuel. The explosion incinerated or asphyxiated Nedelin, a top aide, the USSR’s top missile-guidance designer, and over 70 other officers and engineers. Others died later of burns or poisoning.[3][2][4][1] Missile designer Mikhail Yangel and the test range commanding officer survived only because they had left to smoke a cigarette behind a bunker a few hundred metres away, but nonetheless suffered burn injuries.[3][5]”


11 posted on 10/16/2020 8:07:55 PM PDT by Pikachu_Dad ("the media are selling you a line of soap)
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To: Repeal The 17th

We all went to the local high school
and had the Sabin sugar cube back in the day...


That would have been a few years later, in the 63-64 time frame.


12 posted on 10/16/2020 8:15:36 PM PDT by chaosagent (Remember, no matter how you slice it, forbidden fruit still tastes the sweetest!)
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To: HighSierra5

Did they shut everything down in those days?
****************************************************************************
The max vaccination program was shut down about a month after it started while they determined what happened and made adjustments-then it started again.

I was one of the students vaccinated back then, but our school was lucky—it did not get the cutter variety.

In addition, the next year had contamination from SV40 and that wasn’t discovered for a few years, IIRC.

There were also problems with the oral vaccine in the beginning.

I do get some vaccines. Not the flu vax, and not usually the first time around for new stuff. Just my preference


13 posted on 10/16/2020 8:32:15 PM PDT by greeneyes ( Moderation In Pursuit of Justice is NO Virtue--LET FREEDOM RING)
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To: DoodleBob

Or being bitten by a moose. Mind you, moose bites can be nasty. ;-)


14 posted on 10/16/2020 8:44:26 PM PDT by Pining_4_TX (I'm old enough to remember when you actually had to be able to do something to be hired to do it.)
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To: Pining_4_TX
Classic....I used it yesterday in a slightly different context.
15 posted on 10/16/2020 8:46:41 PM PDT by DoodleBob (Gravity's waiting period is about 9.8 m/s^2)
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To: greeneyes; HighSierra5
not usually the first time around for new stuff.

Which, at its core, is what this saga is about.

If we were facing runaway Ebola with a 80%+ fatality rate if you contract it, many would be lining up for it. But we're facing a pretty nasty virus with a 'low' fatality rate of about 0.4% if you get it, where 94% of those dying from it have at least one comorbidity.

Thus, letting others be the crash-test dummy for safety controls isn't an unwise move.

16 posted on 10/16/2020 8:51:15 PM PDT by DoodleBob (Gravity's waiting period is about 9.8 m/s^2)
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To: DoodleBob

Yes, well I am 73 and have a few health issues, but I haven’t had the flu for several decades, and have never had a flu shot. So I will be continuing to avoid it and this new vax until more data is available.


17 posted on 10/16/2020 8:59:15 PM PDT by greeneyes ( Moderation In Pursuit of Justice is NO Virtue--LET FREEDOM RING)
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To: DoodleBob

The vaccine industry is evil. Doubt me ?

Why are 100% of demoncraps for FORCED vaccines. ?

Why is there a 10 Billion $ and counting fund to pay off parents with dead or retarded kids ? Hmmmmmm?

They’re Do gooders from HELL


18 posted on 10/16/2020 9:24:55 PM PDT by Truthoverpower (The guv-mint you get is the Trump winning express ! Yea haw ! Trump Pence II! Save America again)
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To: Repeal The 17th

I still remember lining up outside the school building and the nurses handing out the pink sugar cubes.


19 posted on 10/16/2020 10:01:46 PM PDT by Georgia Girl 2 (The only purpose of a pistol is to fight your way back to the rifle you should never have dropped)
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To: DoodleBob

further sv-40 virus was in the polio vax as well

they knew it was in there

they did not bother to take this known contaminant out

sv-40 is a virus they knew at the time, caused cancers in primates

therefore it would affect people

and it isn’t a coincidence that all forms of cancer in people skyrocketed since this vaccine was given to most americans alove in the 50s and early 60s

and if affects their children they had afterwards


20 posted on 10/16/2020 10:08:42 PM PDT by Secret Agent Man (Gone Galt; Not Averse to Going Bronson.)
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