On this day, February 23, in 1954, in Pittsburgh, Pennsylvania, Dr. Jonas Salk inoculated 137 schoolchildren in the first major trial of his polio vaccine. It was a success, and children across the country were vaccinated. The dark days of 1952—the worst year for polio in the U.S., with 58,000 cases and 3000 deaths—were over. We—the children of the 1950s—could swim again in the “dog days” of August, and Life Magazine would not add more pictures of “iron lungs” that breathed for the afflicted and gave others nightmares.
The world is not quite done with polio; there are still a few new cases each year in war-torn countries. And some survivors of childhood polio, now in their 70s and 80s, are experiencing post-polio syndrome—muscle loss and joint pain and fatigue. But Bill and Melinda Gates and Rotary International, with thousands of volunteer and paid health care workers wading into the remaining hot spots, might soon make it another smallpox. A scourge that traveled the world, left its mark in history, and is retired to a laboratory.
There might be more public knowledge and memory of polio than there is of the influenza epidemic of 1918, SARS, or swine flu. Maybe because of the pictures some of us still carry in our heads of iron lungs, of memories of seeing and knowing people with shriveled muscles, and memories and stories about President Roosevelt. FDR was stricken at 39 and stood to speak with braces and much difficulty, but he launched the “March of Dimes,” which would eventually fund Salk’s research and polio’s cure.
I think there are bigger lessons here. America has always been a capitalist country, but strong social movements and, eventually, government programs have brought universal education, workplace safety, Social Security, and some semblance of universal health care into being. In the 1950s, the years of Salk and my own education, Republican and Democratic administrations agreed on a “mixed economy”—differing only on the mix.
But since the 1980s, when deregulation became gospel and supply side economics was a hit song, for-profit solutions to public problems has been the go-to. Now, as we battle the current pandemic globally, we might think about the March of Dimes and listen to Dr. Salk. When asked whether he had applied for a patent for the vaccine, he replied, "There is no patent. Could you patent the sun?"
I’m encouraged by the free vaccines in our country, and by halting but persistent efforts to make sure that vaccines reach poor neighborhoods and poor countries across the globe. If governments and “Big Pharma” can get a dose of Salk’s altruism, Covid-19 will have changed the world.
# # #