If you use the same anti-vaccine math, in the 1950s, they actually got at least 22 doses by age 9 or 10! And they got even more once the polio vaccine was introduced in 1955.
Anti-vaccine folks still try to downplay the number of doses of vaccines folks got back in the 1950s and 1960s though.
To scare you.
Kids do get more vaccines, but they have far fewer antigens, and more vaccines means more protection against more diseases.
In the 1950s, 60s, and 70s, kids were dying of diseases that are now vaccine preventable, including rotavirus, hepatitis A and B, chicken pox, pneumococcal meningitis, epiglottitis, Hib meningitis, and meningococcal meningitis, etc.
You have likely heard about the explosion in vaccines and vaccine dosages for kids, right?
Although it is easy to see that today’s counts are inflated to scare folks, it is a little harder to figure out about the good old days, when folks still got measles, mumps, Hib, hepatitis B and meningococcemia.
Did they get 2 vaccines or 5 vaccines or what?
How Many Vaccines Did Kids Get in the 1960s?
Well, maybe it isn’t that hard to figure out…
We could look in some old issues of Pediatrics and see how we used to vaccinate and protect kids back then.
And what would we find?
Using the same anti-vaccine math that gets us to 72 doses today, these kids in 1960 got 31 doses!
Looks like they’re going to have to fix the ad on their truck!
And all of the propaganda they put out trying to scare folks into thinking kids get so many more vaccines than they used too.
Folks who know the history of the Kennedy family and vaccines are likely surprised that RFK, Jr is holding a contest for his own organization using a visit to the Kennedy compound as a prize.
Can someone ask his mom?
Does she plan to go and does she support his work?
Do other members of the Kennedy family?
Why Is RFK, Jr Pimping out the Kennedy Compound to Anti-Vaxxers?
Before we look at the work of Robert F. Kennedy, Jr, let’s review what the Kennedy family has done to help get vaccine-preventable diseases under control.
“Today is the sixteenth anniversary of the death of President Franklin D. Roosevelt. It is also the anniversary of the announcement that a vaccine has been discovered to prevent paralytic polio. Today over 90 million Americans have been vaccinated with the Salk vaccine. Over 80 million remain unvaccinated. Almost 4,800,000 children have not been vaccinated, and the majority of these are under five years of age. I hope that the renewed drive this spring and summer to provide vaccination for all Americans, and particularly those who are young, will have the wholehearted support of every parent in America. I hope that they, knowing some of the long range suffering which comes from an attack of polio — with this miraculous drug I hope that everyone takes advantage of it.”
President John F. Kennedy News Conference 9, April 12, 1961
In 1962, John F. Kennedy signed the Vaccination Assistance Act (Section 317 of the Public Health Service Act). It started as a three year program to help get kids vaccinated against polio, diphtheria, tetanus, and pertussis, and has been continuously reauthorized ever since.
What else do we know about the Kennedy family and vaccines?
“Rose and maternal health and the health of her children were paramount for her as those children were growing up. She took great pride in getting them out into the countryside, getting them outside and walking through Brookline when they lived there, and getting them fresh air and getting them whatever medical needs they had. But she would say how fearful she was in the days before vaccines of how a child could pass away so quickly.”
Barbara Perry on The Life of Rose Kennedy
Why was she afraid if measles was so mild, as some folks still claim?
“Or take German Measles. We know German Measles during the first three months of pregnancy almost surely will deform the unborn child. Within the last few weeks, a new vaccine has been tested and preliminary results show it is 100% effective. It should be available within a year. Within our proposed clinics this new vaccine can be administered to children, immunizing them forever against a disease which can cause retardation in future generations. “
Eunice Kennedy Shriver speech before the Citizen’s Committee on Mental Retardation
Concerns about congenital rubella syndrome and German Measles (rubella) led many people to get vaccinated as soon as a vaccine was available.
Remember the rubella epidemic of 1964-65, when there were 12.5 million rubella virus infections, which “resulted in 11,250 therapeutic or spontaneous abortions, 2,100 neonatal deaths, and 20,000 infants born with congenital rubella syndrome?”
“It is most encouraging to learn that 28 million children have been vaccinated. This is a wonderful record. But in the great enthusiasm over the rubella program, attention has been removed from the effort to eradicate the common measles. As a result, the 22,231 reported common measles cases in 1968 have risen to 72,000 reported cases for 1971. All children between the ages of 1 and 12 should be immunized. You can help. Keep interest alive in both the common measles and German measles program.”
Speech by Rose Fitzgerald Kennedy March 1972
Maybe we simply need more folks like this advocating for vaccines today.
“Many of you perhaps may or may not know that old-fashioned measles can cause brain damage in children. Here in California as well as in other states, there are thousands of children who have not been vaccinated against this common childhood disease.”
Speech by Rose Fitzgerald Kennedy March 1972
How many people have Sargent Shriver’s Peace Corp volunteers help get vaccinated and protected around the world?
“We already have the ability to eradicate red measles, responsible for brain inflammation and mental retardation in one in a thousand cases affected by the disease. The measles vaccine and other vaccines are being administered in increasing numbers today, but we are still far from the kind of universal vaccination program that is necessary. Measles vaccines ought to be administered to every infant from nine months of age on.”
Sargent Shriver at the Special Convocation of George Peabody College (1965)
How many people are vaccinated and protected because of the work of the Kennedy family?
In fact, morbidity/mortality from polio vaccines are decreasing, as we are using much less oral polio vaccine (OPV) in the transition (OPV cessation) to just using inactivated polio vaccine (IPV).
“Over the past ten years, more than 10 billion doses of OPV have been given to nearly three billion children worldwide. More than 16 million cases of polio have been prevented, and the disease has been reduced by more than 99%. It is the appropriate vaccine through which to achieve global polio eradication.”
And while most developed countries already use IPV, those that are still using OPV recently switched from a trivalent (tOPV) to a bivalent (bOPV) form of OPV. We could do this because type 2 poliovirus has already been eradicated (2015)!
So morbidity (getting sick)/mortality (dying) from polio vaccines is low.
What about morbidity/mortality from polio?
“As recently as 30 years ago, wild poliovirus paralysed more than 350 000 children in more than 125 countries every year. In 2018 there were fewer than 30 reported cases in just two countries – Afghanistan and Pakistan.”
“Zero polio transmission and health for all”, WHO Director-General gives new year’s wish to the people of Afghanistan and Pakistan
With a 99.9% drop in polio cases since 1998, your risk of getting polio in most parts of the world is very low, but you still have to consider both the morbidity/mortality of polio in the pre-vaccine era and the risk of polio returning if we stop vaccinating before it is eradicated.
What about the idea that you don’t have to worry about polio because only 1% of kids with polio developed paralysis?
“The mortality rate for acute paralytic polio ranges from 5–15%.”
Disease factsheet about poliomyelitis
Well, when everyone gets polio, even 1% is a lot.
With such a safe vaccine, why put your kids at risk of getting polio?
Do you even understand what the risks are?
No, it isn’t just the risk of wild polio in Afghanistan and Pakistan.
Since the oral polio vaccines shed, if you are unvaccinated, in addition to the risk of wild polio, there is a small risk of getting circulating vaccine-derived polioviruses (cVDPV) if you are not vaccinated and protected. No, it is not a big risk, as there were only 102 cases of cVDPV in 7 countries in 2018, but it isn’t zero either.
And the other big risk is that if enough folks stop getting vaccinated, taking their chances hiding in the herd, polio will come back and our chance to eradicate another vaccine-preventable disease will fail.
More on the Morbidity and Mortality Rates of Polio
It’s true, polio has been eliminated in the United States.
But that doesn’t mean that we can stop vaccinating kids against polio yet.
Why Do We Still Vaccinate If Polio Has Been Eliminated?
For one thing, the last polio case in the United States was a lot more recent than 40 years ago.
What happened 40 years ago?
That was when we had the last endemic case of polio in the United States, in 1979. After that, in addition to cases of VAPP, there were at least 6 cases of imported paralytic poliomyelitis. In fact, the last case of wild polio in the United States was in 1993, just 26 years ago.
And just ten years ago, in 2009, was the very last case of VAPP, a patient with a long-standing combined immunodeficiency who was probably infected in the late 1990s, even though she didn’t develop paralysis until years later.
But still, why couldn’t we stop vaccinating against polio in the United States, even though polio isn’t eradicated yet? After all, we stopped using the smallpox vaccine in 1972, before smallpox was declared eradicated (1980).
While that is true, smallpox isn’t as contagious as polio and there hadn’t been a case of smallpox in the United States for over 30 years when we stopped using the vaccine.
Until wild polio is eradicated and the oral polio vaccine isn’t used anymore (OPV switch), we must continue to vaccinate against polio to prevent new outbreaks.
That is the polio eradication and endgame strategic plan.
Over the next few years, the world will hopefully switch to using just the injectable form of the polio vaccines, which eliminates the risk of VAPP.
But if we are so close, why not just stop vaccinating in those parts of the world that don’t have polio?
Because we are so close to eradicating polio.
Why take the risk of polio spreading from one of the remaining endemic countries, paralyzing kids, and putting eradication efforts further behind?
Did Modern Ventilators Replace the Iron Lung for Folks with Polio?
In addition to thinking that we just change the names of diseases when we want them to go away, some folks think that we don’t see anyone in iron lungs anymore, not because polio has been eliminated, but because modern ventilators simply replaced the iron lung.
Is that true?
The iron lung, invented in 1927, helped people with polio breath.
Unlike most of today’s ventilators, the iron lung is a negative pressure ventilator. In contrast, most modern ventilators, the ones that you see people hooked up to with a tube going down to their lungs, are positive pressure ventilators.
What’s the difference?
A positive pressure ventilator pushes air into your lungs. They are useful when you have a lung disease or simply can’t breath on your own.
When people had polio, there usually wasn’t anything wrong with their lungs – it was their chest muscles and diaphragm that were the problem. So the negative pressure in the iron lung would compress and decompress their chest.
One benefit of the iron lung included that it was less invasive than ventilating someone through a tracheostomy, which became an option in the 1960s. While many new options became available for those needing long term ventilation since then, including noninvasive positive pressure ventilation, some still like to use their iron lungs.
And while it is true that they don’t make them anymore, iron lungs have not disappeared. There are some folks with polio that still use them.
But what if someone developed polio now, would they be put in an iron lung?
No, they wouldn’t. For one thing, they don’t make iron lungs anymore. Instead, they would likely use mouth intermittent positive pressure ventilation.
Still, we don’t see a lot of folks getting diagnosed with polio, needing to use mouth intermittent positive pressure ventilation, instead of iron lungs these days. And that’s because we don’t see a lot of folks getting diagnosed with polio.
What to Know About Polio, Modern Ventilators and Iron Lungs
Although some people with polio are still using their iron lungs, the main reason we don’t see more people with polio needing to use iron lungs or modern ventilators is simply because polio is almost eradicated.
“Before the vaccine was developed, the diagnosis of polio required 24 or more hours of paralysis. After the vaccine release, the diagnosis changed to at least 60 days of paralysis. As you can imagine, cases of polio dropped significantly.”
The Myth That Polio Went Away Because They Changed the Diagnostic Criteria
In 1952, there were 21,000 cases of paralytic polio in the United States.
But were there really?
Didn’t they change the way they diagnosed polio a few years later, right after the first polio vaccines came out, making it less likely that folks would be diagnosed with polio?
The original diagnostic criteria for polio came from the World Health Organization and included:
“Signs and symptoms of nonparalytic poliomyelitis with the addition of partial or complete paralysis of one or more muscle groups, detected on two examinations at least 24 hours apart.”
It changed in 1955 to include residual paralysis 10 to 20 days after onset of illness and again 50 to 70 days after onset.
“In the past children’s paralysis was often not correctly diagnosed as polio. Stool samples need to be analyzed to be able to distinguish paralytic symptoms from Guillain-Barré Syndrome, transverse myelitis, or traumatic neuritis.”
Polio – Data Quality and Measurement
But you coulld’t just use stool samples, as many kids might have recently had non-paralytic polio, and could test positive for polio (false positive test), but have another reason to have paralysis.
“Isolation of poliovirus is helpful but not necessary to confirm a case of paralytic poliomyelitis, and isolation of poliovirus itself does not confirm diagnosis.”
Alexander et al. on Vaccine Policy Changes and Epidemiology of Poliomyelitis in the United States
Since polio causes residual paralysis, the new diagnostic criteria helped to make sure that kids were diagnosed correctly.
Did We Overestimate the Number of Kids with Polio?
Some folks think that since we changed the criteria, we overestimated the number of kids with polio in the years before the vaccine came out.
Most of this idea seems to come from a panel discussion in 1960 by critics of the original polio vaccine, The Present Status of Polio Vaccines, including two, Dr. Herald R. Cox and Dr. Herman Kleinman, who were working on a competing live-virus vaccine.
None in the group were arguing against vaccines, or even really, that the Salk polio vaccine didn’t work at all though. They just didn’t think that it was effective as some folks thought.
“I’ve talked long enough. The only other thing I can say is that the live poliovirus vaccine is coming. It takes time. The one thing I am sure of in this life is that the truth always wins out.”
Dr. Herald R. Cox on The Present Status of Polio Vaccines
Dr. Cox did talk a lot about the oral polio vaccine. He talked about successful trials in Minneapolis, Nicaragua, Finland, West Germany, France, Spain, Canada, Japan, and Costa Rica, etc.
When anti-vaccine folks cherry pick quotes from The Present Status of Polio Vaccines discussion panel, they seem to leave out all of the stuff about how well the oral polio vaccine works.
“Since nothing is available, there seems to be no alternative but to push the use of it. I don’t think we should do so in ignorance, nor too complacently, believing that as long as we have something partially effective there is no need to have something better.”
Dr. Bernard Greenberg on The Present Status of Polio Vaccines
And of course, they did, fairly soon, switch to something better – the Sabin live-virus oral polio vaccine.
Interestingly, using the idea that we changed the diagnostic criteria to make polio go away in an argument about vaccines is known as the Greenberg Gambit.
It tells you something about anti-vaccine arguments, that these folks are misinterpreting something someone said about vaccines almost 60 years ago.
In pushing the idea that polio hasn’t been eliminated, but rather just redefined, they also miss that:
But isn’t polio still around and just renamed as transverse myelitis, Guillain-Barré syndrome (GBS), and aseptic meningitis?
Let’s do the math.
Using the adjusted numbers in the The Present Status of Polio Vaccines discussion, there were at about 6,000 cases of paralytic polio in the United States in 1959.
While 3,000 to 6,000 people in the United States develop Guillain-Barré syndrome each year, the risk increases with age, and it is rare in young kids. Remember, paralytic polio mostly affected younger children, typically those under age 5 years.
“Transverse myelitis can affect people of any age, gender, or race. It does not appear to be genetic or run in families. A peak in incidence rates (the number of new cases per year) appears to occur between 10 and 19 years and 30 and 39 years.”
Transverse Myelitis Fact Sheet
Similarly, transverse myelitis is uncommon in younger children, and there are even fewer cases, about 1,400 a year.
What about aseptic meningitis? That doesn’t usually cause paralysis.
So do the math.
You aren’t going to find that many kids (remember, the incidence was 5-7 per 1,000) under age 5 years who really have “polio,” but instead, because of a worldwide conspiracy about vaccines, are getting diagnosed with transverse myelitis, Guillain-Barré syndrome (GBS), or aseptic meningitis instead.
Anyway, kids with acute flaccid paralysis are thoroughly tested to make sure they don’t have polio. And both transverse myelitis and Guillain-Barré syndrome have different signs and symptoms from paralytic polio. Unlike polio, which as asymmetric muscle atrophy, the atrophy in transverse myelitis and Guillain-Barré syndrome is symmetrical. Also, unlike those other conditions that cause AFP, with polio, nerve conduction velocity tests and electromyography testing will be abnormal. Plus, polio typically starts with a fever. The other conditions don’t. So while these conditions might all be included in a differential diagnosis for someone with AFP, they are not usually that hard to distinguish.
“Each case of AFP should be followed by a diagnosis to find its cause. Within 14 days of the onset of AFP two stool samples should be collected 24 to 48 hours apart and need to be sent to a GPEI accredited laboratory to be tested for the poliovirus.”
Polio – Data Quality and Measurement
But why be so strict on following up on every case of AFP?
It’s very simple.
If you miss a case of polio, then it could lead to many more cases of polio. And that would tmake it very hard to eradicate polio in an area.
If anything, until the establishment of the Global Polio Eradication Initiative (GPEI) in 1988, it is thought that cases of polio and paralytic polio were greatly underestimated in many parts of the world!
And now polio is almost eradicated.
“DR. SABIN: Let us agree, at least, that things are not being brushed aside. Let us say that we might disagree on the extent to which certain things have received study. But I hope that Dr. Bodian realizes that nobody is brushing things aside. I would not have taken the trouble of spending several months studying viremia with different strains in chimpanzees and human volunteers, and viremia produced by certain low temperature mutants to correlate it with their invasive capacity, if I were merely brushing it aside.”
Live Polio Vaccines – Papers Presented and Discussions Held at the First International Conference on Live Poliovirus Vaccines
If they redefined how paralytic polio was diagnosed in 1955 as part of a conspiracy to make it look like the polio vaccines were working, then why did the number of cases continue to drop into the 1960s?
Shouldn’t they have just dropped in 1955 and then stayed at the same lower level?
And why don’t any of the folks with other conditions that cause paralysis, like transverse myelitis and Guillain-Barré syndrome (GBS) ever have polio virus in their system when they are tested?
Also, if the renaming theory explains why the polio vaccine didn’t work, then why do anti-vaccine folks also need to push misinformation about DDT and polio?
What to Know About Polio Myths and Conspiracies
The near eradication of polio from the world is one of the big success stories of the modern era, just as those who push the idea that has all been faked is a snapshot of society at one of our low points.