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Today, we wonder where polio came from. The University of Houston's
College of Engineering presents this series about the machines that make
our civilization run, and the people whose ingenuity created them.
The muscle-crippling disease poliomyelitis
-- polio for short -- had just come on the American scene when I was a
child. The polio virus travels in water, so my parents wouldn't let me
swim in public pools and beach areas. Indeed, one book on polio is
titled The Summer Plague for just that reason. Today, polio is
only a bleak memory for older Americans. It still returns to attack the
muscles of its survivors as they age. But we've stopped seeing new
cases.
Polio was pretty obscure before the twentieth century. There'd been
some outbreaks in the eighteenth and nineteenth centuries, and most
victims had been under the age of four. When I was young, the disease
was still called Infantile Paralysis.
The really horrific polio epidemics began in 1916. By the early '50s
it'd been striking some 30,000 people a year. Then the Salk vaccine
appeared, and soon the virus was beaten.
So why did the early twentieth century produce those terrible
epidemics? We had two clues, even before we knew how to deal with the
virus. One was that polio attacked the middle class more than the poor.
Indeed, one myth of seventy years ago said that black people didn't get
polio. The other clue lay in the increasing age of victims. Victims of
the 1916 epidemic were generally older than three, but ninety-five
percent were still under the age of ten. In the 1947 epidemic, almost
half the victims were ten or older.
The cause of the epidemics turns out to've been, of all things,
improved hygiene. There was a time when everyone got polio. It was in
everyone's drinking water. When it struck a very young child, the child
would suffer a little diarrhea, bounce back, and then be immune. Polio
was rarely severe enough at that age to cause severe damage, so we were
hardly aware of it. Like measles, mumps, and chicken pox, the disease
simply immunized the child.
Then, in the twentieth century, the industrial nations cleaned up
their water supply systems. As they did, the general immunity
disappeared. When polio did reach children over three and young
adults, it didn't just cause diarrhea. It crippled and killed them.
Polio remained incurable. Massage therapies gave some relief.
Franklin Roosevelt took his polio to Warm Springs, Georgia. George
Washington Carver received a grant to develop a combined massage and
peanut-oil therapy at the Tuskegee Institute. The fiery Australian
nurse, Sister Elizabeth Kenney, swept into the American medical
establishment in 1940. Her massage therapy dominated the treatment of
polio until, and after, her death in 1952.
But massage therapies were after-the-fact treatments of polio. Once
we had a vaccine to prevent polio, those therapies faded from our
consciousness. So the most terrifying scourge of the early twentieth
century came and went. It was a disease brought on by something new in
human experience. Polio was the completely unexpected result of our new
clean-water delivery systems.
I'm John Lienhard, at the University of Houston, where we're
interested in the way inventive minds work.
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Paul, J. R., A History of Poliomyelitis. New Haven: Yale
University Press, 1971.
Gould, T., A Summer Plague: Polio and its Survivors. New
Haven: Yale University Press, 1995.
Cohn, V., Sister Elizabeth Kenney, the Woman Who Challenged the
Doctors. Minneapolis: The University of Minnesota Press, 1975.
See also the Encyclopaedia Britannica articles on
poliomyelitis. The word doesn't appear until the later editions. The
1970 edition has the longest article.
I am grateful to Thomas DeGregori, UH Economics Department, for
suggesting the topic.
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A March of Dimes poster to raise funds
for the fight
against polio. This is from 1952, during the
Korean
War and just before the Salk vaccine went into
use.
The Engines of Our Ingenuity is
Copyright © 1988-2000 by John H. Lienhard.
