Global Health Chronicles

Dr. Alan Hinman

David J. Sencer CDC Museum, Global Health Chronicles
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00:00:29 - Background/ Early Education

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Partial Transcript: To begin, Dr. Hinman, would you tell us a little bit about your background before you came to CDC [Centers for Disease Control and Prevention]?

Segment Synopsis: Dr. Hinman introduces himself and talks about his education and how he became involved in public health

Keywords: Communicable Disease Center; Selective Service Act; botulism; bulbar paralysis; gastroenteritis; human plague; infectious diseases; internal medicine; iron lung; meningococcal disease; post-polio syndrome; respirator

Subjects: California State Department of Health; Centers for Disease Control and Prevention; Cleveland Metropolitan General Hospital; Cornell University; Epidemic Intelligence Service; Honduras; Madera; Ohio; Polio; Selective Service Act; U.S. Public Health Service; Vietnam; Western Reserve University

00:08:38 - Polio outbreak in Honduras

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Partial Transcript: Can you talk a little bit more about that outbreak of polio in Honduras?

Segment Synopsis: Dr. Hinman describes his experience delivering vaccines in Honduras during a polio outbreak.

Keywords: Huey helicopter; Ministry of Health; Oral polio vaccine; San Francisco; Spanish; Washington; physician epidemiologist

Subjects: Berkeley, California; Centers for Disease Control and Prevention; Epidemic Intelligence Service; Honduras; Pan-American Health Organization; Polio; Vietnam

GPS: Honduras
Map Coordinates: 15.2000° N, 86.2419° W
00:12:23 - EIS Training

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Partial Transcript: When you started your EIS two years, you had some training, is that right, beforehand?

Segment Synopsis: Dr. Hinman talks about his courses in the Epidemic Intelligence Service [EIS] and some of the teachers in the program. He also discusses the history of the EIS program.

Keywords: A. Langmuir; Cold War; Georgia; R. Serfling; V. Peavy; biological warfare; biostatistics; epidemiology

Subjects: Centers for Disease Control and Prevention; Epidemic Intelligence Service; Morbidity and Mortality Weekly Report; National Institutes of Health; University of Georgia; Washington

00:17:36 - Work experience after EIS

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Partial Transcript: We decided we wanted to go overseas

Segment Synopsis: Dr. Hinman talks about his work following EIS and how he came to work in the Immunization Division at CDC

Keywords: B. Shackleton; J. Witte; M. Gregg; Malaria Eradication Program; Masters of Public Health [MPH]; State Health Department; assistant commissioner for preventive services; diphtheria, pertussis, tetanus, measles, mumps, rubella, polio; director of the immunization division; family planning; malaria; maternal and child health; nutrition; tuberculosis [TB]; vaccines

Subjects: Albany; Atlanta; Brazil; California; Centers for Disease Control and Prevention [CDC]; Central America; Ecuador; El Salvador; Haiti; Harvard; National Center for Immunization and Respiratory Diseases; New York; Paraguay; Tennessee; United States Agency for International Development [USAID]; Vaccination Assistance Act of 1963; Vaccines for Children Program

00:21:43 - CDC’s involvement in polio

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Partial Transcript: Now we’re going to talk a little bit more specifically about polio.

Segment Synopsis: Dr. Hinman gives a quick synopsis of the Communicable Disease Center's [CDC] involvement in the Cutter Incident raising the public's awareness of the CDC.

Keywords: Cutter laboratories; Francis field trials; contact spread; formaldehyde; vaccine-associated paralytic polio [VAPP]; vaccine-induced polio; wild polo virus

Subjects: Centers for Disease Control and Prevention; Communicable Disease Center; Cutter Incident; Epidemic Intelligence Service; Federal Government; Food and Drug Administration; Russia; Sabin oral polio vaccine; Salk Vaccine; Salk inactivated polio vaccine; United States; Vaccination Assistance Act of 1963; polio

00:28:12 - Salk and Sabin vaccines

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Partial Transcript: A lot of people are interested in Jonas Salk and Albert Sabin and what they were like as people...

Segment Synopsis: Dr. Hinman describes Jonas Salk and Albert Sabin and the roles that they played in developing polio virus

Keywords: A. Langmuir; A. Sabin; DTP; Dominican Republic; J. Salk; global polio eradication

Subjects: Pan American Health Organization; attenuated live virus vaccine; killed inactivated virus vaccine

00:32:03 - Killed vaccine versus live attenuated vaccine

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Partial Transcript: Sounds like they were.

Segment Synopsis: Dr. Hinman discusses what led to the decision to use the killed inactivated vaccine over the attenuated live vaccine

Keywords: Alaska natives; Medicaid; Native Americans; community protection effect; immunization; inactivated polio [IPV], Sabin live attenuated vaccine; infectious diseases; intestinal immunity; oral polio vaccine; paralytic polio; pediatrics

Subjects: Advisory Committee on Immunization Practices [ACIP]; New York City; Vaccines for Children Act; paralytic polio; the Cutter incident

00:40:47 - Vaccine Adverse Events Reporting System

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Partial Transcript: How was vaccine-associated paralytic polio characterized?

Segment Synopsis: Dr. Hinman talks about identifying vaccine associated paralytic polio and the subsequent development of the Vaccine Adverse Events Reporting System

Keywords: A. Reyes; Guillain-Barre Syndrome; Important Information Statements; Monitoring System for Adverse Events Following Immunization; Polio Surveillance Unit; Vaccine Information Statements; paralysis; vaccine-associated paralytic polio

Subjects: ACIP; CDC; DTP vaccine; FDA; Mexico; Rio Grande; Texas; Vaccine Adverse Events Reporting System; oral polio vaccine; polio

00:49:28 - Interaction with anti-vaccination campaigns

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Partial Transcript: During your time in the vaccine division, did you have any interaction with the anti-vaccination people?

Segment Synopsis: Dr. Hinman recounts the history of resistance from anti-vaccination campaigns and organizations

Keywords: Barbara Lowe Fischer; DTP [diphtheria, pertussis, and tetanus]; Environment and Health Sub-Committee; G. Stuart; J. Schwartz; Kathy Williams; L. Thompson; National Vaccine Information Center; The American Academy of Pediatrics; Today Show; VAERS; Vaccine Roulette; infantile spasm

Subjects: Association of Parents of Vaccine-Damaged Children; United Kingdom; United States; Zimbabwe; anti-vaccination; immunization; measles; pertussis; polio

00:56:37 - Polio eradication efforts

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Partial Transcript: I wanted to talk now about the polio eradication efforts,

Segment Synopsis: Dr. Hinman discusses polio eradication efforts and Rotary Internationals involvement in it.

Keywords: A. Sabin; B. Foege; C. Canseco; J. Sever; Pan American Health Organization; Polio eradication; Rotary International; The case for global eradication of polio

Subjects: Afghanistan; CDC; Evanston, Illinois; Mexico; NIH; Nigeria; Pakistan; UNICEF; WHO; Washington; oral polio vaccine; vaccine-derived polio virus; wild poliovirus

01:06:04 - Bivalent versus trivalent oral polio vaccine

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Partial Transcript: Now there are three strains of the polio virus, and I understand that one has already been eliminated.

Segment Synopsis: Dr. Hinman discusses the polio-virus strain that has already been eliminated, and the switch from trivalent to bivalent vaccines

Keywords: Global Eradication Certification Commission; bivalent oral polio vaccine; injectable trivalent polio vaccine; trivalent oral polio vaccine

Subjects: Bill and Melinda Gates Foundation; Global Polio Eradication Initiative; Task for Global Health; WHO; circulating vaccine-derived poliovirus [CDVDP]; polio virus

01:10:10 - Last outbreak of polio in the United States

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Partial Transcript: Well as wrap up, I know there are probably things we didn’t talk about that you might want to—events or people or both.

Segment Synopsis: Dr. Hinman talks about the last outbreak of polio in America among Amish people. He also talks about why polio is taking longer to be eradicated compared to smallpox.

Keywords: Amish; M. Moore; M. Pollack; Western Hemisphere; paralysis

Subjects: CDC; Canada; Netherlands; Pennsylvania; Peru; Smallpox; United States; polio

01:15:09 - Final thoughts/closing

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Partial Transcript: That’s really interesting. What’s your prediction about the possibility of completely eradicating polio?

Segment Synopsis: Dr. Hinman expresses his optimism about the end stages of polio eradication.

Keywords: eradication

Subjects: Polio; measles