In October 1948, the NFIP’s Director of Research, H. M. Weaver, sent a letter to India’s Minister of Finance, John Matthai, requesting permission to export four thousand monkeys during the upcoming restricted season. The “greater need for Macacus rhesus monkeys from India,” he explained, “is related to the development of a vaccine which we believe has considerable possibilities of becoming an effective agent for combating infantile paralysis.”Footnote 55
Weaver was referring to the NFIP’s massive new project to determine the different types of poliovirus, which was crucial to developing a vaccine. Typing the many strains of poliovirus was to be an elaborate process utilizing some twenty thousand monkeys (Jacobs 2015, p. 89). The process entailed first injecting different human virus samples – stool specimens, throat swabs, or postmortem nervous tissue – into the central nervous system of monkeys and killing those monkeys after they developed infection to collect the strains (Oshinsky 2005, pp. 118–120). Researchers proceeded to infect other monkeys with a virus strain known to be of one type. After a monkey recovered and was presumed to have antibodies to the known strain, researchers mixed antiserum from that monkey with an unknown virus strain to then inject into additional monkeys. If the antiserum protected those additional monkeys from infection, the virus strains were of the same type (Salk 1952; Jacobs 2015, pp. 78–82).Footnote 56 Dependent on monkey bodies, these methods for cultivating and testing strains would ultimately lead researchers to determine that there were three types of poliovirus (Carter 1965, p. 78–79; Guerrini 2003, p. 122).
Weaver later lauded researchers for “cop[ing] with the struggles, the dodges, and the antics of this horde of primates” throughout the typing process (1953, p. 673; Jacobs 2015, p. 89). But his racialized figuration of monkeys as a horde – as an overwhelming foreign obstacle to research – belied anxieties about a shortage of rhesus monkeys from newly postcolonial India over those years. Initially stimulated by the typing project’s need for large numbers of standardized monkey bodies, these anxieties were exacerbated by technical developments that paradoxically reoriented research around monkey tissues. The NFIP’s consideration of the HeLa cell line as an alternative would occur in the context of these dynamics of standardization and substitution.
In 1948, the Foundation’s requirements of a “constant flow of nearly identical monkeys” for the virus typing project spurred efforts to standardize importation.Footnote 57 Researchers had long complained about the health of the rhesus monkeys they received from dealers and often blamed colonial conditions of trapping and transport. In 1940, Don Gudakunst, then the NFIP’s Medical Director, had written disparagingly of “the conditions under which these animals have to be handled – the most ignorant natives in India and completely untrained persons on board ship.”Footnote 58 Gudakunst positioned the non-white laborers who made the trade possible as a veritable barrier to the quality of experimental organisms necessary for polio research – a barrier that the Foundation needed to surmount by standardizing animal care.
It was with this aim that the Foundation established a monkey-conditioning center in South Carolina just before the launch of the typing program.Footnote 59 The center, Okatie Farms, was designed to house newly imported monkeys for three weeks before reshipping them out to laboratories (Kerkmann 1954). By subjecting monkeys to standardized diet and tuberculin testing regimens, NFIP officials aspired for Okatie to achieve what Ahuja has described as the integration of the monkey into the American nation (Ahuja 2013a, 2016). But polio researchers were often unimpressed with the results of such aspirations. Frustrated by irregular shipments, tuberculosis, and higher costs, they continued to make private arrangements with dealers like Trefflich.Footnote 60
NFIP officials now clearly saw the middlemen they relied on as jeopardizing diplomatic negotiations with the postcolonial Indian state. When reports of tuberculosis among monkeys resulted in a temporary suspension of export permissions in the summer of 1949, the NFIP blamed the animal dealers. In an emergency meeting between dealers, the NFIP, the Department of Commerce, and the State Department, Basil O’Connor warned that “unless the American dealers control themselves the Government of India will intervene and control them.”Footnote 61
O’Connor’s fear of “control” mapped onto broader anxieties about India’s alignment in the global Cold War. In 1949, Prime Minister Jawaharlal Nehru was reiterating his refusal to choose sides and would soon recognize the People’s Republic of China (Raghavan 2018, pp. 153–154; Slate 2019, pp. 171–175). The possibility of communism’s spread in Asia hung over the meeting. The Foundation’s research director, Weaver, drew on colonial tropes of Indian gullibility as he reported rumors that “the natives were being needled from one side by religious leaders and on the other by communist agitators who stated that the Americans were using monkeys for experiments in bacteriological warefare [sic] for future war against the Indians.”Footnote 62 For Foundation officials, the monkey trade was becoming a site of Cold War conflict.
But as Weaver worried how the Cold War would affect the availability of monkeys for the typing project, developments in tissue culture were remaking the need for the animal in question. Earlier that year, John Enders’s team at the Children’s Hospital of Boston had successfully cultivated poliovirus in non-nervous tissue outside the bodies of monkeys. They had shown they could propagate the virus in cultures of human non-nervous tissue acquired from hospitals – namely, foreskin tissue removed in circumcision procedures and embryonic tissue from stillbirths and miscarriages (Smith 1990, p. 130; Landecker 2007, pp. 124–125). They further demonstrated that the presence of the virus in cell culture exhibited a detectable “cytopathogenic effect” under the microscope (Horstmann 1985, pp. 83–84). Upending the earlier belief that poliovirus was primarily neurotropic and could only be grown in nervous tissue, the findings would prove essential to vaccine development (Benison 1972, p. 327). More broadly, as Hannah Landecker has argued, Enders’s work marked “the relocation of the event of infection from the experimental animal to the cell” (2007, p. 123).
Enders’s method of detecting the virus in cell culture through microscopic examination was of immediate import in this regard for the scientists working on the NFIP typing project. Rather than monitoring multiple monkeys for weeks, researchers could combine different strains and antisera in test tubes of cell culture and then use a microscope to look for virus (Benison 1967, pp. 449–450; Carter 1965, pp. 105–106; Landecker 2007, p. 130). Jonas Salk at the University of Pittsburgh began to experiment with Enders’s techniques in typing the virus and would soon apply them to vaccine development (Smith 1990, p. 127; Guerrini 2003, pp. 122–123). Salk and his colleagues explained the potential of such techniques for typing in relation to “the question of ease and economy” – in other words, a reduction in total monkeys required (Salk et al. 1951, p. 266).
NFIP officials and researchers celebrated these new research possibilities as the “end of ‘the monkey era’” (NFIP 1951, p. 23). Laudatory accounts conjured up the technoscientific future through imagery of “the substitution of a flask for a monkey” (NFIP 1953, p. 8). Sharing the significance of Enders’s work with the physician readers of The Merck Report, John Rodman Paul explained:
the way is now open for many laboratories to engage in certain clinical and epidemiologic investigations on poliomyelitis which have been denied to them in the past because of the expense and other difficulties inherent in the establishment and maintenance of private primate colonies. (1952, p. 4)
Paul’s reference to the “other difficulties inherent” in primate research might be read as alluding to the geopolitical implications of Enders’s achievement. Foundation reports explicitly stated that tissue culture techniques could now obviate “the burden of obtaining, shipping, processing, and maintaining great numbers of primates” (NFIP 1951, p. 24). When Foundation officials declared that Enders’s research “broke the monkey bottleneck,” then, they were in a sense expressing enthusiasm for what Paul de Kruif had hoped for nearly two decades earlier (NFIP 1953, p. 8). Tissue culture techniques seemed poised to break polio researchers’ dependence on the transnational supply chain of rhesus monkeys.
The break, however, would remain a fantasy. Rather than eliminating dependence on monkey bodies, these developments reconfigured that dependence around monkey tissues (Guerrini 2003, p. 122; Piper 2018). As the virus typing project came to an end in the early 1950s, Salk contributed to the shift. Salk recognized the complexity of obtaining large quantities of the human foreskin and embryonic tissue used by Enders. At the time, and with limited regulatory oversight, researchers haphazardly procured such human tissues through their connections to physicians who performed circumcisions, therapeutic abortions, and other surgical procedures (Benison 1967, p. 447; Landecker 2007, pp. 124–125). In contrast, Salk advocated utilizing monkeys as a “more reliably constant source of tissue than human material” (Youngner et al. 1952, p. 291). Salk’s team began propagating the virus in cultures of rhesus monkey testes and then found they could do so even more efficiently in monkey kidneys, which could yield over two hundred cell culture tubes per monkey (Smith 1990, p. 130; Oshinsky 2005, p. 154). Liza Piper has consequently argued that the rise of tissue culture in polio research “simply marked a shift from dealing with whole monkeys to monkey parts” (2018, p. 60). While tissue culture techniques had expanded the living forms that researchers could work with, the drive to maximize virus production in cell culture ultimately served to increase demand for rhesus monkeys.
Scientific demand increased further still as Salk began to develop a vaccine using poliovirus grown in monkey kidney tissue. In late 1951, Salk demonstrated the effectiveness of his killed-virus vaccine in immunizing monkeys. With the support of Foundation leaders, he began secret vaccination trials at the D. T. Watson Home for Crippled Children and the Polk State School in Pennsylvania (Jacobs 2015, pp. 101–111). John Rodman Paul later described “the kind of patients Salk used” in these preliminary trials as “a minimal risk” (1971, p. 417). Paul’s statement reveals the hierarchies of animality and ability at play in trialing the vaccine.Footnote 63 The transition from experiments with imported nonhuman primates to trials with “normal” American children was conceptually bridged via the testing of institutionalized, disabled humans deemed non-normal. Indeed, the results from Salk’s trials with these children led the NFIP to start planning a large-scale field trial that would involve just under two million Americans (Paul 1971, pp. 426–430; Oshinsky 2005, pp. 166–167).
Planning for the field trial in turn required planning for more monkeys from India. Monkey kidney tissue was necessary for cultivating the large quantities of virus that would be inactivated to produce the vaccine. The NFIP’s H. M. Weaver enlisted the University of Toronto’s Connaught Laboratories in this project of virus cultivation.Footnote 64 As production scaled up, the facility began receiving shipments of several hundred monkeys a week (Rutty 1995, pp. 302–326; Piper 2018, p. 62). But monkeys were not just considered necessary to prepare vaccine for the field trial. Cultures of monkey kidney were also required by the laboratories involved in evaluating children’s sera for antibody response to the vaccine (Brown and Henderson 1983, p. 417). To this end, Salk’s team had improved on earlier methods by developing a “color test” wherein changes in color resulting from the addition of phenol red to monkey kidney cell culture could be used to assess the presence of virus (Francis 1957, p. 116; Jacobs 2015, pp. 102–103).
It was in the context of these anticipated uses of monkey tissue that the history of the NFIP’s anxious negotiation of the rhesus monkey trade intersected with the history of the HeLa cell line. Jerome Syverton, in fact, presented research on growing poliovirus in HeLa cell cultures at the same 1953 NFIP meeting where Salk presented results from his secret vaccine trials (Jacobs 2015, p. 111). Two years earlier, as is now well known, Syverton’s collaborator George Gey had derived the cell line utilizing cervical tissue taken from Henrietta Lacks. Lacks had come to a segregated ward of Johns Hopkins University Hospital seeking treatment for what proved to be fatal cervical cancer, and a sample of the biopsy material taken to diagnose her cancer was provided to Gey’s tissue culture laboratory without her knowledge (Landecker 2007; Wald 2012). Conditioned by the structural racism of an American medical system in which postprocedural use of patients’ tissue was unregulated, Gey’s access to the biopsy material implicated the “long and troubled history of human experimentation” (Landecker 2000, p. 69).
After Gey found that cells from the sample divided continuously in culture, he quickly considered the implications of the cell line – soon named HeLa – for polio research. With Syverton and William Scherer, Gey began cultivating poliovirus in test tubes of HeLa cells. The scientists understood that use of the replicating, “immortal” cell line could reshape the living materials required by polio researchers (Landecker 2007, pp. 128–135). They well recognized that utilizing such a cell line in virus cultivation could eliminate the need to acquire human embryonic tissues or to harvest monkey tissues for the creation of primary cell cultures. They explained the benefits of this replacement via an oblique reference to the monkey trade. Utilizing a strain like HeLa that “can be maintained in perpetuity,” they argued, could eliminate “the cost of a large monkey colony” (Scherer et al. 1953, p. 707).
At the 1953 NFIP meeting, Scherer, Syverton, and Gey’s success propagating poliovirus in HeLa cell culture attracted interest. But their research also incited debate about the risks of producing a vaccine with virus that had been cultivated in cancer cells (Benison 1967, p. 489). The debate about HeLa cell cultures was, however, overshadowed by Salk’s presentation and the ensuing deliberations over the field trial of his monkey-tissue-based vaccine (Jacobs 2015, p. 111). While some scientists also expressed concern about using monkey tissue as the basis of a vaccine, NFIP officials ultimately considered the potential of Salk’s formulation to outweigh the risks and they went ahead with planning the field trial (Benison 1967, pp. 496–498).
The research with HeLa cells was nevertheless redeployed in evaluating the Salk field trial and soon hailed for reducing researchers’ reliance on monkeys. As has been well recounted, the NFIP funded a project at the Tuskegee Institute to produce HeLa cell cultures for the laboratories conducting serological assessments of the trial. The selection of Tuskegee – where the US Public Health Service was concurrently conducting the infamous Tuskegee Syphilis Study – drew on the institution’s history of running an NFIP-sponsored polio treatment center for Black patients in the context of medical segregation and de-emphasis on Black susceptibility to the disease (Rogers 2007). Over the course of 1953, Syverton and Scherer collaborated with Tuskegee scientists Russell Brown and James Henderson to work towards the production of ten thousand cultures per week (Chandler and Powell 2018, p. 109). As Landecker notes, the scientists relied on paid blood donors from the Institute and surrounding area to obtain the blood serum necessary for the medium in which they grew the cells (2007, p. 136). Their work producing HeLa cell cultures would be commended as an example of “‘racial cooperation’” in a moment when addressing racial discrimination had become a Cold War issue for the US government (Rogers 2007, pp. 791–793).
As the field trial launched, the production project also drew public attention to the origins of the cell line in ways that were decontextualized from the institutional medical racism that had conditioned its possibility. At the time, Gey’s efforts not to disclose information about Lacks contributed to circulating origin stories that framed the cells as the sacrificial offering of a racially unmarked white woman to the cause of science (Landecker 2000, p. 58; Harvey 2016, pp. 5–6). In the following decade – as Sandra Harvey, Priscilla Wald, and Hannah Landecker have analyzed – the narrative would shift again. In 1966, concerns about the contamination of other cell lines would merge with the racial identification of Lacks and shape racist and sexist personifications of HeLa as a hypersexualized Black woman (Landecker 2000; Wald 2012; Harvey 2016). At the time of the polio vaccine trial, in contrast, media coverage anthropomorphically celebrated HeLa as an “angelic,” implicitly white Baltimore housewife (Landecker 2000, p. 64).Footnote 65
The racialization of the cell line as white flowed into narratives of the field trial that presented HeLa as “universal human cells” marking the progress of the war on polio – often via reference to research on monkeys (Landecker 2000, p. 58). As the trial commenced, a physician correspondent for the New York Herald Tribune rehearsed this story of the cell line and lauded the NFIP’s production project for eliminating the “expensive and very time-consuming” testing on monkeys that was necessary in “the old days.” The physician proceeded to wonder “how interested the woman in Baltimore would have been if … she could have known that her cancer cells were going to contribute so enormously” (Alvarez 1955). The Minneapolis Sunday Tribune feature (cited in the introduction) – which in contrast offered no origin story – similarly presented the new test as an advance over the earlier assessment methods that used monkeys.Footnote 66 The “new method of testing for polio,” the author explained, “is taking the place of the monkey method in laboratories throughout the world” (Minneapolis Sunday Tribune 1954, p. 14). Neglecting to mention the continued use of monkeys in vaccine production, the author framed the use of the cell line in vaccine evaluation as an additional triumph over the monkey era.Footnote 67 The production of HeLa cells for the field trial exemplified the technoscientific possibility of a world in which researchers could now substitute “a flask for a monkey.”
But while newspapers publicly narrated the replacement of monkeys with HeLa cells as evidence of the steady advance of polio science, the scientists involved saw the substitution as a much more contingent response to uncertainty about the monkey supply. Tuskegee Institute scientists Russell Brown and James Henderson later gestured at how a sense of anxiety led to the project. Their published account mentions that most laboratories planned to use cultures of monkey tissue in the field trial evaluation. NFIP leaders O’Connor and Weaver only approached Tuskegee about HeLa after “the required supply of Rhesus monkeys became doubtful and a host-cell alternative became necessary.” In Brown and Henderson’s account, the NFIP’s decision to fund the production of HeLa cells “as an alternative” was fueled by doubts about the availability of rhesus monkeys (1983, p. 417).Footnote 68
As in previous years, nevertheless, the NFIP’s doubts about the monkey supply did not materialize. NFIP communications with the State Department over this period provide a window into the interpretive disjuncture that shaped the production of HeLa cells as an alternative. In the spring of 1954, an NFIP representative had written that recent media coverage had made “‘the situation in India … so delicate that it would be catastrophic to attempt to interfere or to make overtures to the Government of India.’” Yet when the American Consul General made enquiries with Trefflich’s agent in Calcutta, he found that there seemed to be “no reason” for concern.Footnote 69 The Assistant Attaché at Delhi followed up by interviewing Indian officials at the Finance Ministry and reported back similarly that “there was no indication that they considered the subject a ‘delicate’ one,” notwithstanding “the obvious religious considerations.”Footnote 70 Rehearsing the history of export negotiations, State Department officials concluded that the NFIP’s alarm about exporting monkeys from India was misplaced.
In reflecting on the production of HeLa cells for the field trial, Brown and Henderson also suggested that the NFIP’s alarm had been misplaced. “When the Salk vaccine evaluation was started,” they noted, “the shortage of Rhesus monkeys was not as acute as had been anticipated” (1983, p. 431). In fact, only six of the twenty-seven laboratories participating in the evaluation regularly utilized HeLa cell cultures. The other laboratories managed to acquire sufficient monkey cell culture to perform the color test developed by Salk’s team (Francis 1957, pp. 116–117).
The comparatively limited actual use of the cell line in vaccine evaluation underscores how the NFIP’s HeLa cell culture production project was configured by longstanding anxiety about the geopolitics of the monkey supply. Marked by NFIP officials’ paternalistic understandings of Indians, such anxiety was often indefinite in cause. Indeed, despite expressing alarm to the State Department, the NFIP began importing more monkeys from India than ever before. One estimate puts the number of rhesus monkeys imported for polio research between 1954 and 1960 at 1.5 million (Hartley 1972, p. 482).