During recent months, a number of conferences have been held at which progress in the field of immunization with live poliovirus vaccines was reported. These conferences include the meeting held in Moscow in May, the joint Pan American Health Organization-World Health Organizat,ion Conference held in Washington in June, and the 5th International Congress on Poliomyelitis held in Copenhagen in late July. The s,taff of the Public Health Service and its Advisory Committee on Live Poliovirus Vaccine has given careful consideration to the information available from these meetings-indeed, some members have actively participated in these meetings. It may be recalled tha,t about a year ago recommendations relating to the manufacture and testing of live poliovirus vaccines were issued to fa,cilitate the entry of interested manufacturers into this complex field. Last week, the committee met with the manufacturers and other interested persons in order to review these recommendations. Revisions to these earlier recommendations, which will serve as the basis for adoption of regulations for manufacture and testing of the vaccine, have been agreed to by the committee. These include the virus strains to be used, the general processes of manufacture to be followed, tests to be applied during manufacture, and factors relating to the continued safety, purity, and potency of the vaccine. The Service's Division of Biologics Standards is moving with all speed to complete technical details of the final regulations while the manufacturers proceed with preliminary steps toward meeting these requirements. These details will be available in the near future. In addition, I have received a general short report from the committee. On the basis of' these recommendations, it is considered that live poliovirus vaccine is suitable for use in the United States. It is now possible to visualize the licensing of the establishments for manufacture and sale of these products when manufacturers have individually demonstrated the necessary experience and ability to produce material which conforms with the requirements. It is not anticipated that the vaccine will be ava,ilable in any quantity for a number of months, and it is doubtful whether substantial supplies will be available before mid-1961. In any case, I consider it important to note the committee's recommenda,tion for the integrated use of the live poliovirus va,ccine with the presently available vaccine and for the rather special requirements concerning use of live poliovirus vaccine in the American population. I shall take up certain of the problems raised by the committee regarding the optimal use of live poliovirus vaccine in the United States with appropriate advisory groups, such as the State and Territorial health officers and representatives of the medical and health professions and of the voluntary health agencies.