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GLYCEROL-NACL SUSPENSION OR DIRECT BACTERIA IN VACCINES 29R1-506 Dr. Rosenow relates how vaccines are made from either directly from unwashed sedimented bacteria "or at various intervals from those preserved in dense suspension in glycerol, two parts, and saturated sodium chloride solution, one part." 29R1-506 The preservation of streptococci in glycerol-NaCl menstruum and preferencial use of such streptococci in vaccines was to become standard operating procedure for Dr. Rosenow. [see: 48R2-371, 50R1-120, 45R4-163, 51R4-610, 34R3-407] SYMPTOMLESS FOCI, IMPORTANCE OF 29R1-506 "The causative streptococcus often was isolated not only from badly infected tonsils but from tonsils that appeared small and normal but which on removal were large and sometimes contained abscesses, from unsuspected remnants of tonsils, and from syumptomless roentgenographically positive and negative pulpless teeth, root tips and residual areas which had not been considered previously or which were thought to be harmless." 29R1-506 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Foci of infection in tonsils, teeth, pulpless teeth 29R1-506 Diseases: encephalitis 70% 56% 87% arthritis 51 69 61 torticolis 60 75 76 MS 78 67 89 chronic polio 65 71 92 gastroduod.ulcer 74 74 52 lesions of eye 53 53 50 lesions of skin 74 56 77 prostatitis 63 54 69 FAVORABLE RESULT AFTER BOTH FOCUS REMOVAL AND VACCINE 29R1-510 Rosenow responded to Holman's fraudulent "critical review" in a gentlemanly fashion, and then provided summary data for 358 cases of various diseases, comparing results where vaccines were or not used, and foci were or were not removed 29R1 All foci removed All foci not removed Vaccine (% improved) (% improved) -Used: 61 25 -Not used: 54 21 REMOVAL OF FOCI NECESSARY EVEN WITH SPECIFIC VACCINE 29R1-511 "Since streptococci appear to be a cause of so many diseases, since immunity is of short duration, and since mechanical factors play so large a part in maintaining infection in structures so commonly the seat of foci, even after prolonged use of specific vaccines, mechanical correction or removal, so far as possible, will probably always be necessary even if highly effective specific or other remedial agents are discovered. Recurrence of the previous condition or new localizations are prone to occur unless the predisposing cause, the focus, is eliminated. Likewise, operation will probably always be indicated in many of the chronic systemic lesions, such as chronic indurated ulcer, cholecystitis with gallstones, and appendicitis with fecal stones or constricted lumen from previous attacks. DOSAGE, ALLERGY 29R1-511 ALLERGY, DOSAGE 29R1-511 "Considerable evidence has been obtained in this study which suggests that tissues in the cases of various chronic diseases, particularly the diseased tissues, become hypersensitive to the infecting organisms and their toxic products, as indicated by exacerbations which are particularly prone to occur following too strenuous or incomplete removal of foci of infection, and by the reactions which sometimes follow injection of autogenous vaccines, a point stressed by Kolmer. If the dosage of vaccine is gagued so that the local and constitutional reactions are relatively slight the tolerance may often be greatly increased, even tenfold, and the patient improves, a result in accord with that of Wherry and others in bronchial asthma. If the dosage is too large tolerance may not increase but actually diminish, reactions may become progressively more marked with each succeeding injection and the patient's condition grow worse. This narrow limit of effective dosage determined more by the reaction in the patient than by the number of bacteria and the use, without bacteriologic diagnosis, of stock vaccines made from bacteria long cultivated in the laboratory have, we believe, contributed much to the general disrepute into which vaccine therapy has unfortunately fallen."[Go to ROSENOW Bibliography]