30 questions · 15 almanac · 0 findings

Vaccines and Immunization

The development and history of vaccines against disease.

Almanac Two Hundred Thirty Generations to a Safer Strain
  • Why did Calmette and Guérin cultivate their tuberculosis strain through 230 successive generations before it was safe to use?
  • Who received the first BCG vaccine, and what were the circumstances of that first dose?
  • How effective is the BCG vaccine against pulmonary tuberculosis in adults compared to severe childhood TB?
Almanac Twenty-Eight Million Doses of a Tamed Virus
  • How did Max Theiler weaken the yellow fever virus by passing it through mouse brains and chick embryos?
  • Why is Theiler the only person to win a Nobel for a vaccine derived from a virus he cultured himself?
Almanac Antibodies, Without the Disease
  • Why did Salk choose to inactivate poliovirus with formaldehyde rather than use a live-attenuated strain?
  • Why did Salk first test his vaccine on children who had already survived polio?
  • How did the 1952 trials lead to the 1954 field trial of 1.8 million children?
Almanac A Fussy Virus Learns to Share a Dish
  • Why could poliovirus previously only be grown in living nerve tissue, and what problem did that create for vaccine production?
  • Why did the Nobel committee award this prize in 1954, before Jonas Salk's vaccine trials had even returned results?
  • Why did Jonas Salk never receive a Nobel Prize despite building the vaccine that ended polio's epidemics?
Almanac Church Bells for a Vaccine
  • How does Jonas Salk's inactivated polio vaccine trigger immunity without being able to cause the disease itself?
  • How large was the 1954 field trial that tested the Salk vaccine, and why did its scale matter for the results announced in 1955?
  • How much did polio case counts in the United States fall in the years immediately after the vaccine's approval?
Almanac The Disease That Stopped Existing
  • What methods did the WHO's smallpox eradication campaign use to track down and stop the disease's spread across more than forty countries?
  • Who was the last person to catch smallpox naturally, and what happened to him?
  • Why does smallpox remain the only human disease ever deliberately driven to extinction?
Almanac The Immune System's Double Handshake
  • What downstream medical practices, like cancer immunotherapy and vaccine design, depend on this principle of self-plus-foreign recognition?
Almanac Forty-Three Years for an Answer
  • How is the rVSV-ZEBOV Ebola vaccine engineered to trigger immunity using a different virus as a carrier?
  • What is ring vaccination, and how was it used to test the Ebola vaccine during the 2018–2020 DRC outbreak?
  • What was the measured efficacy of the rVSV-ZEBOV vaccine, and when did regulators approve it?
  • Why did it take more than four decades after Ebola's 1976 discovery to license a vaccine against it?
Almanac Eleven Months From Sequence to Syringe
  • How quickly did BioNTech and Moderna begin designing vaccine candidates after the viral sequence was published?
  • How long did it take from the virus being sequenced to the first vaccines receiving emergency authorisation?