TIIE BIGGEST PUBLIC IIEALTH EXPERIMENT EVER: The 1954 Field Trial of the Salk Poliomyelitis Vaccine

نویسنده

  • Paul Meier
چکیده

THE LARGEST and most expensive medical experiment in history was carried out in 1954. Well over a million young children participated, and the immediate direct costs were over 5 million dollars. The experiment was carried out to assess the effectiveness, if any, of the Salk vaccine as a protection against paralysis or death from poliomyelitis. The study was elaborate in many respects, most prominently in the use of placebo controls (children who were inoculated with simple salt solution) assigned at random (that is, by a carefully applied chance process that gave each volunteer an equal probability of getting vaccine or salt solution) and subjected to a double-blind evaluation (that is, an arrangement under which neither the children nor the physicians who evaluated their subsequent state of health knew who had been given vaccine and who got the salt solution). The determination to mount a major research effort to eradicate polio arose in no small part from the involvement of President Franklin D. Roosevelt, who' was struck down by polio when a successful young politician. His determination to overcome his paralytic handicap and the commitment to the fight against polio made by Basil O'Connor, his former law partner, enabled a great deal of attention, effort, and money to be expended on the care and rehabilitation of polio victims and—in the end, more importantly—on research into the causes and prevention of the disease.

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تاریخ انتشار 2002