Follow the Rules and Innovate It’s a double bind. Their ability to make a business run will drive their revenue and their professional survival as a doctor. In 1963, only one case of polio occurred in Cuba. The reality is that the skill of a surgeon in the operating suite has almost nothing to do with how much money they’ll make. In 1962, Castro’s Committee for the Defense of the Revolution organized 82,366 local committees to carry out a succession of weeklong house-to-house national immunization campaigns using the Sabin vaccine. The only leader in the West who took him up on the idea was Fidel Castro. This approach, Sabin argued, could be used to eliminate polio from entire countries, even the world. Better: A Surgeons Notes on Performance Gawande, Atul Published by Henry Holt & Company (2007) ISBN 10: 0805082115 ISBN 13: 9780805082111 New Hardcover Quantity: 2 Seller: BookOutlet (Thorold, ON, Canada) Rating Seller Rating: Book Description Hardcover. Within weeks, polio had disappeared from the city. In just four days, Sabin’s team managed to vaccinate more than 80 percent of the children under the age of eleven-26,000 children in all. It was also a live vaccine, containing weakened but intact poliovirus, and so it could produce not only immunity but also a mild contagious infection that would spread the immunity to others. His was an oral vaccine, easier to administer than Salk’s injected one. “Five years later, Albert Sabin published the results of an alternative polio vaccine he had used in an immunization campaign in Toluca, Mexico, a city of a hundred thousand people, where a polio outbreak was in progress.
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