Studies on Epidemic Influenza: Comprising Clinical and Laboratory InvestigationsUniversity of Pittsburgh. School of Medicine
History
Studies on Epidemic Influenza: Comprising Clinical and Laboratory Investigations
University of Pittsburgh. School of Medicine
Influenza; Influenza Epidemic, 1918-1919
These vaccines are of the
“killed bacteria” type of vaccines, and credit for their application to
human disease belongs to Sir Almroth Wright (1896). The preparation of
bacterial vaccines is very simple. Bacteria which are known to cause a
certain disease are isolated in pure culture, grown on artificial media,
killed either by chemicals or heat, standardized either by counting, or
drying and weighing, and suspended in salt solution for subcutaneous
injection. Salt suspension vaccines are usually given in three or four
increasing doses, about one week apart. Le Moignic and Pinoy (58) first
elaborated a lipovaccine for triple typhoid vaccination, which was used
extensively in France during the war. Whitmore, Fennel and Peterson have
recently also advised the drying of killed bacteria and the suspension
of them in oil. This method makes it possible to give a single massive
dose of bacteria which is sufficiently large to completely immunize the
individual against the disease, and which prolongs the immunizing period
by allowing slow absorption over a period of several weeks. These
vaccines are called lipovaccines, have been adopted in the United States
Army as the standard typhoid vaccine, and promise in time to supersede
the salt suspensions entirely from a commercial standpoint. Many other
modifications in the preparation of bacterial vaccines have been
advised, notably the class known as sensitized vaccines. These are
prepared by incubating bacterial vaccines for a time with the serum
taken from animals already immunized against them. The serum apparently
absorbs many of the toxic substances, and permits the injection of more
efficient doses. Besredka advised the use of living cultures which had
been incubated with immune sera, on the basis that vaccines so prepared
were very active and non-toxic. The sensitizing treatment, however, does
not stop the growing powers of the bacteria, and vaccines of the
Besredka type are generally considered dangerous and so are little used.
Sensitized killed bacterial vaccines, on the other hand, are quite
popular.
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