Did you know? · Science & Medicine

Albert Sabin tested his polio vaccine on himself first

Before asking anyone else to take his live oral polio vaccine, Albert Sabin swallowed it himself, and his family and colleagues were among the very first recipients.

Albert Sabin
Albert Sabin · 1906–1993
Person
Albert Sabin
Lived
1906–1993
Field
Virology
From
Polish-American

The story

Developing a live polio vaccine meant weakening all three types of poliovirus enough that they could no longer paralyse, while keeping them strong enough to train the immune system. Sabin had shown in 1939 that the virus multiplies in the intestine, and he believed a weakened virus swallowed by mouth could build immunity there and stop the disease spreading. A key advance came in 1949, when John Enders, Thomas Weller and Frederick Robbins showed that poliovirus could be grown in cultures of non-nerve tissue, making vaccine work easier and cheaper.

At the Children's Hospital in Cincinnati, Sabin spent years selecting weakened strains, testing them on 10,000 monkeys and 160 chimpanzees. A live vaccine raised understandable fears. Two attempts at a polio vaccine in the 1930s had ended in disaster, and any strain that regained its strength could paralyse the people it was meant to protect.

When the moment came to try the vaccine in people, Sabin started with himself. The first human recipients of his live oral vaccine were Sabin, his family, including his daughters, and colleagues. Only after that did trials move to young adult volunteers at the federal reformatory in Chillicothe, Ohio, beginning in late 1954.

Taking the risk first was a statement of confidence and of responsibility. It also produced early evidence that the weakened strains were safe and generated immunity, data Sabin needed as he fought for years to have his vaccine accepted. After the 1955 Cutter incident, when faulty batches of the injected vaccine caused paralysis, the US government would not allow large field trials of his live vaccine, so he took his strains to the Soviet Union, where about 77 million children were vaccinated in 1959–1961.

Those campaigns proved the vaccine safe and effective, and Sabin's strains were licensed in the United States in 1961 and 1962. During the 1960s his oral vaccine became the country's vaccine of choice, and it went on to become the mainstay of the World Health Organization's worldwide eradication campaign. The vaccine that Sabin first swallowed himself was eventually given to hundreds of millions of children.

Why it matters

Sabin's willingness to test the vaccine on himself and his family helped launch the trials that led to a vaccine later given to hundreds of millions of children.

About Albert Sabin

Białystok-born virologist whose cheap, oral polio vaccine, given on a sugar cube and never patented, became the backbone of the global drive to eradicate polio.

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Albert Sabin
1906–1993 · Virology
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Sources

Another act of tikkun olam. This is part of tikkun olam, the Jewish idea of repairing the world, and every one of us can add to it.

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