(music) Ann: This video represents a segment of a longer lecture discussing medical testing on vulnerable populations. In 1952, researcher Jonas Salk tested his polio vaccine on disabled institutionalized children who had not given their consent. These children lived at the Polk State School for the Feeble-Minded and at the D.T. Watson Home for Crippled Children. These tests occurred a full two years before the nationwide field trials of Salk's vaccine. Film narrator: These are the proud hills of the state of Virginia in the springtime of 1956. Springtime, beckoning to a small boy, urging him to wander with the wind to the farm perhaps, over the pasture fence to catch a calf. Not an easy thing because after all, a calf's a youngster like himself. Ride him? Sure! Well, what's a day without a little rough and tumble? When a boy needs comfort there's always home and mother and father. This is the world of Randy Kerr of Oakton, Virginia. Typical, except for one thing -Randy was the first child to receive an injection of Salk polio vaccine in the field trials in 1954. Much, however, had preceded this moment when Randy Kerr made history. In the all-out fight against polio led by the National Foundation for Infantile Paralysis there were many years of struggle and heartbreak. Parents lived in fear of polio's sudden attack and the tragic aftermath. Ann: In 1952, Jonas Salk, has everybody heard of Jonas Salk, the creator of the polio vaccine which all of you probably never got? 'Cause you're probably, you're probably so young and I realize I'm dating myself but you're probably all so darn young that you were probably born after the eradication of polio within the Western Hemisphere. But Jonas Salk... and this was back in 1952, in the process of developing a killed virus vaccine for poliomyelitis or polio as you might hear it referred to. Polio being a paralyzing disease usually of the lower limbs, occasionally of the upper body and in some instances it would also paralyze the diaphragm and other muscles and nerves that were associated with breathing which is why some people who got polio were put in iron lungs which was kind of a 1940s, 1950s attempt to create a respirator. But Jonas Salk who was creating his killed virus vaccine and keeping in mind also that polio was one of the biggest public health crises at this time and it was an absolute terror in the U.S. Nobody really knew how it spread. There was a lot of mythology, a lot of, well, it happens in the summer, kids go to the swimming pool in the summer, don't go to the swimming pool. sinister voice: You've never seen me. but I'm sure you've seen my shadow. I'm never invited but I've been an invisible guest in practically every kind of home. This is what I've been looking for! My name is virus poliomyelitis. I cause a disease which you call infantile paralysis. As you probably know I'm very fond of children, especially little children. I have no prejudices, I'm quite impartial. Ann: So there were all sorts of regulations around trying to keep kids healthy particularly in the summer when polio seemed to be at its peak but Salk decided that he was going to test his vaccine on institutionalized, mentally and physically disabled children. In spring of 1953, after he had already tested his killed virus vaccine on disabled children, only then does Salk say, well, it's probably safe and so he went ahead and he inoculated himself, his wife and also his three sons. Now on April 26, 1954 the first Polio Pioneers line up for shots at various schools and community clinics and the nationwide field trial of Salk's vaccine begins. And here's an image of the Polio Pioneers. You'll notice a line of children. They seem to be roughly sorted boy, girl, boy, girl, girl, girl, boy, girl. But there is a line of children and then you might notice also this button or the re-creation of a button that says, Polio Pioneer 1954 and then we have a silhouette of a scientist hard at work over his microscope with a beaker and some test tubes and things like that. What is the first thing that you notice, for instance about this image? Yeah. student: They're all smiling. Ann: Okay. They're all smiling, right. Although I don't think I would be so happy if I had just gotten a shot. I would be like, ow! and, you know, why on Earth did you do that to me? That hurts. Okay, so they all seem to be smiling and smiling and perky little individuals. Other things you notice? Yeah. student: They have their sleeves pulled up? Ann: Okay, so they all have their sleeves pulled up and it seems like they're uniformly either holding their arms or maybe pointing to the vaccination site. Yeah. student: They're all wearing like really nice clothes. Ann: Okay, okay. They're all wearing very, yeah, they're all wearing really nice clothes. I would assume based on other images I've seen of the 1950s, I think we can assume these are middle, probably middle-class maybe upper middle-class kids. Anything else you notice? Yeah. student: They all seem to be about the same age. Ann: Okay, okay. About the same age. student: There doesn't seem to be much diversity. Ann: Okay, there's not much diversity so it's pretty much you get, I mean, and it's kind of eerie that there's... it's like the same hair style for all of the boys and then all of the same hair style for all the girls and it's mentioned there's no diversity. I assume you mean ethnic, ethnic or racial diversity? -- Uh huh. -- Okay. So they're all uniformly... white, yeah. Almost pasty white. Okay and I think that all, certainly all those observations I think are important to understanding the, say, the public image or the public perception that was being promulgated about the polio vaccine and about its importance. Obviously there are no kids here in wheelchairs, no kids with leg braces or crutches or anything of that sort. They're all very, very vigorous, almost, I mean, almost too vigorous in some ways. It's as if they're trying too hard to all be smiling and cheerful and put on their Sunday best. We can all be proud of the Salk vaccine brought about by American scientists and American giving. We can all share in the hope that this victory will lead to many more in the years ahead. narrator: For maximum protection from paralytic polio, three inoculations, the second given not less than two weeks after the first, the third not less than seven months later. Your child or any member of your family eligible for polio vaccine in your community should be vaccinated now. Vaccination now will save lives from death or paralysis this year. Make use of increasing supplies of vaccine. Help your child grow up strong and straight, free from crippling polio. Youngsters like David Eisenhower, like Polio Pioneer Randy Kerr are part of a bright new future. A future which will see the unconditional surrender of infantile paralysis. Ann: The public image of the Polio Pioneers are brave, able-bodied children of Any Town, America with Randy Kerr as the poster child. However, a different group of children were the first to be tested. They were institutionalized in state schools for the crippled and feeble-minded. These children are the unnamed and unrecognized, true Polio Pioneers.