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Design and Analysis of Vaccine Studies (Paperback, 2010 ed.)
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Design and Analysis of Vaccine Studies (Paperback, 2010 ed.)
Series: Statistics for Biology and Health
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Immunizationisoneofthegreatadvancesinpublichealth. Figure0.
1showsacamel with a solar-powered refrigerator on his back carrying
vaccines across a hot desert to the far reaches of civilization.
Many vaccines contain live viruses that need to be kept cold, or
the vaccine viruses will die, and the vaccines will lose their
ability to produce an immune response. Thus a continuous chain of
refrigeration, the cold chain, from the origin to delivery of some
vaccines needs to be maintained. The inspiration of the camel image
is that it represents the dedication of the world to bring vaccines
to everyone. The ?rst major success, and the origin of the word
vaccination (vacca for cow), was Jenner's introducing cowpox-based
vaccine against smallpox in the late 18th century. After nearly a
century hiatus, at the end of the 19th century, inoculations
against cholera, typhoid, plague (caused by bacteria) and rabies
(caused by a virus) were developed. By the early 20th century,
statisticians of the stature of Karl Pe- son, Major Greenwood, and
Udny Yule were heartily involved in discussions of evaluating these
vaccines in the ?eld. In the 1920s, new vaccines included pert-
sis, diptheria, tetanus, and bacille Calmette-Guerin ' against
tuberculosis. The 1930s saw development of yellow fever, in?uenza,
and rickettsia vaccines. After World War II, the advent of cell
cultures in which viruses could grow enabled production of polio
vaccine and vaccines against measles, mumps, rubella, varicella,
and a- novirus, among others (Plotkin et al 2008).
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