Polio: A Disease on the Brink of Extinction
Dr. Clifton Franklund
Associate Professor of Biological Sciences
Ferris State University
Cause History
Prevention The Future
Key Points
Cause
The Polio Virus
Picornavirus
Very small
RNA genome
Three types
Humans are the
only host
Key Points
Cause
The Infectious Cycle
Enteric virus
Tonsil infection
Gut infection
Viremia
Motor neurons
Shed in feces
Key Points
Cause
Result of Infections
95%
4% 1%
Asymptomatic
Mild Symptoms
Paralysis
Asymptomatic
Mild disease
Fever
Headache
Stiff neck
Paralysis is rare
Under-reporting
Key Points
History
Polio in Ancient Times
Ancient disease
Egyptian stele
Paralyzed priest
1400 BC
This virus has
been around for
awhile…
Key Points
History
Polio Comes to the U.S.
First diagnosed
cases in the late
1800’s
1916 first large
epidemic polio
outbreak
Sanitation effort
ineffective
Key Points
History
1916 New York Outbreak
New York City
9,000 cases
2,343 deaths
Nationally
27,000 cases
6,000 deaths
Key Points
History
Incidence in the 20th Century
Endemic in US
Seasonal polio
outbreaks
July-September
Post-WWII peak
1952 peak:
57,628 cases
Key Points
History
FDR and the March of Dimes
Contracted polio
at age 39
Elected
president in
1932
NFIP - March of
Dimes –
established in
1938
Key Points
Prevention
Salk Vaccine
1953
Inactivated
virus vaccine
(IPV)
Required three
injections
Cannot mutate
Only vaccine in
USA since 1999
Key Points
Prevention
Polio Vaccine Trials
1954
Nearly two
million children
Proven effective
in 1955
By 1957 polio
incidence was
down by 90%
Key Points
Prevention
Cutter Incident
1955
Improperly
prepared
vaccine
Virus not
inactivated
260 polio cases
192 paralyzed
Key Points
Prevention
Sabin Vaccine
1956
Attenuated
vaccine (OPV)
Shed in feces
Herd immunity
Main vaccine in
USA until 1999
Still main
vaccine globally
Key Points
Prevention
Sabin Field Testing
1957 - 1959
Much of the US
and Canada
already treated
Went to Soviet
Union during
the Cold War
100,000,000
vaccinated by
1961
Key Points
The Future
Eradication of a Pathogen
Smallpox 1976
Rinderpest 2001
Polio ???
Key Points
The Future
The Strategy
Rotary Club
1985
Global use OPV
Goal for total
eradication by
2000
Last case in
USA 1979
Key Points
The Future
The Current Picture
Last holdouts
for polio
Afghanistan
Pakistan
India
Nigeria
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Dr. Clifton Franklund
Department of Biological Sciences
820 Campus Drive / ASC 2004
Big Rapids, MI 49307
franklc@ferris.edu
(231) 591-2552
Questions?

Polio presentation