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The Cutter Incident
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About the Author

Paul Offit, M.D., is Chief of Infectious Diseases at the Children's Hospital of Philadelphia and a professor of pediatrics and Maurice R. Hilleman Professor of Vaccinology at the University of Pennsylvania School of Medicine.

Reviews

"Offit . . . has written a fascinating and highly readable account of the development of the polio vaccine. He also offers a compelling plea for a strengthened law to provide relief to companies that produce vaccines so that our nation may be afforded the most cost-effective and long-lasting form of prevention against many infectious diseases—an effective vaccine."—Stanley Goldfarb, New York Post

"The best account you will ever read about the interplay between big drug companies and bigger government."—Peter Huber, Forbes

"The book is very well written and reads almost like a detective story, with a nice balance between personal anecdotes and new materials not discussed in other accounts of the Cutter incident. It draws on meticulous archival documentation and on interviews with public health officers, pharmaceutical company executives, Cutter employees, and victims of the partially inactivated vaccine. . . . An important and valuable contribution."—Nadav Davidovitch, Isis

"The Cutter Incident is an enjoyable read, at times like a detective thriller, at others like a courtroom drama."—Jonathan R. Carapetis, The British Medical Journal

"Offit describes the development of polio vaccine, from trials of early vaccines through to the appearance on the scene of Jonas Salk. . . . The Cutter Incident is an enjoyable read, at times like a detective thriller; at other times like a courtroom drama. . . . [The book] reminds us how close we have been and indeed still are—to losing immunization as our most effective public health tool."—Jonathan R. Carapetis, British Medical Journal

"What is causing the shortage of desperately needed vaccines to combat pneumonia, tetanus, chicken pox, measles, mumps and influenza? Why is an effective vaccine for Lyme disease no longer on the market? And what are the consequences for our children? Dr. Paul Offit confronts these vital questions in The Cutter Incident, a brilliant piece of writing about a medical tragedy, exactly fifty years ago, that revolutionized the development and testing of vaccines in the United States, while forever changing the legal culture that had once kept punitive lawsuits under control. Offit’s remarkable book is certain to become a fixture in the increasingly angry battle over the impact of medical liability on the effective treatment of disease."—David M. Oshinsky, author of Polio: An American Story

“Dr. Offit brings us into the entangled world of medicine and law. Readers will have a better understanding of the impact that legal suits have on the vaccine industry, investment, and decisions not to pursue lifesaving vaccines because of liability issues.”—Dean Mason, President and CEO, Sabine Vaccine Institute

"One of the best overviews of vaccines from the vantage of events associated with vaccine safety during an earlier era that I have ever read."—Maurice Hilleman, Merck Institute for Vaccinology

“This book not only brings to life the main actors involved, it also demonstrates how this incident created legal precedents that forever changed product liability laws.”—Roland Sutter, World Health Organization

After a wave of books celebrating the 50th anniversary of Jonas Salk's polio vaccine, Offit's troubling account is the first to focus on a largely forgotten aspect-one with negative repercussions 50 years later. In a nuanced examination of a complex story, Offit, a professor of pediatrics and expert in infectious diseases, relates how Cutter Laboratories, one of several pharmaceutical companies licensed to produce Salk's killed-virus vaccine, shipped many lots of vaccine containing live virus, creating a mini polio epidemic: 40,000 children became ill, 200 were permanently paralyzed, 10 died. Offit carefully examines how Cutter was and was not responsible: tests for detecting live virus at the time were simply not sensitive enough, but Cutter departed from Salk's safe production protocols. And while the company knew there was a problem, it failed to notify the government's oversight agency. Cutter faced costly lawsuits that have resulted, according to Offit, in today's vaccine crisis: shortages (think of last year's flu vaccine) due to pharmaceutical companies' unwillingness to risk testing and producing vaccines and face possible litigation. In another example of the law of unintended consequences, Offit shows how "the Cutter Incident" led Salk's vaccine to be replaced by a less safe one: Sabin's live-virus vaccine. (Oct.) Copyright 2005 Reed Business Information.

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