5/20/2023 0 Comments A surgeon's notes on performance![]() ![]() In 1963, only one case of polio occurred in Cuba. 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. 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. ![]() Gawandes stories take us to battlefield surgical tents in Iraq, to labor and delivery rooms in Boston, to a polio outbreak in India, and to malpractice courtrooms around the country. Gawandes gripping stories of diligence, ingenuity, and what it means to do right by people take us to battlefield surgical tents in Iraq, to labor and delivery rooms. Author Gawande explores how doctors strive to close the gap between best intentions and best performance in the face of obstacles that sometimes seem insurmountable. ![]() 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. In this book, Atul Gawande explores how doctors strive to close the gap between best intentions and best performance in the face of obstacles that sometimes seem insurmountable. 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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