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
After the vaccine was completed, cultures were made from the final
dilutions and were watched for 48 hours. Mice and guinea pigs were
injected with the first samples to make certain that the material was
non-toxic. Two laboratory employees also volunteered and received full
doses before the first batch of vaccine was released. The first five
litres were turned over to the Red Cross on October 31, one week from
the day the work was begun. In three more days the laboratory reached a
capacity of 10 litres a day, and on the fifth day the order was received
to discontinue preparation of the vaccine.
Relatively little of our vaccine was given out, and in the rush it was
not possible to determine which physicians had been given our vaccine
and which had received commercial mixed products, so there is no data on
its protective powers.
As soon as we found that there was no call for prophylactic vaccines, we
planned some animal experiments; but inasmuch as we were unable to get
our cultures of Pfeiffer bacilli virulent enough to kill mice or guinea
pigs, the minimum lethal dose could not be determined, and without it it
was impossible to determine the protective value of the vaccine. Mr.
Purwin, in our laboratory, injected a 25–gram mouse intravenously with 2
c.c. of a milk thick suspension of Pfeiffer bacilli without killing the
animal. He was successful in getting a small needle into the tail vein
and in slowly injecting the whole amount. The mouse was sick for about
36 hours, but entirely recovered. Guinea pigs were insusceptible to very
large doses. Had we succeeded by means of a vaccine in completely
immunizing a man against Pfeiffer bacilli, we still would have been
uncertain that he was immune to influenza in its “epidemic” form.
The absence of virulence in our laboratory strains may not mean that the
cultures were non-virulent when first isolated, but it suggests the
uselessness of attempting to make active vaccines from strains kept on
artificial media for months or years, such as those commonly offered for
sale by commercial houses.
The loss of virulence in strains that have been isolated for some time
is interesting in the light of Parker’s (12) work upon toxine production
by Pfeiffer bacilli. She found that toxic filtrates appeared in infusion
broth cultures in from 6 to 8 hours, and that 2 c.c. of a 20–hour
filtrate would kill a medium-sized rabbit in from 1 to 3 hours. It was
also found that the poison deteriorated so rapidly that, in order to
determine its toxicity, the tests had to be made on the same day that
the filtrate was obtained. Parker succeeded in making an anti-serum
against the poison, which appeared to be antitoxic for it both in vitro
and in vivo. This work is interesting, and may be a step toward the
development of a practical prophylactic serum.
_Conclusion_
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