the Kansas City cases. The clinical and epi¬ demiologic data were recorded on a standard form, which included the usual identifying in¬ formation.date of onset of illness, vaccination status, clinical diagnosis, 60-day muscle eval¬ uation, and the pertinent epidemiologic in¬ formation. The hospital charts provided the clinical data, and the patients or their relatives supplied the epidemiologic data. The nttinber of injections of Salk-type vaccine given up to 2 weeks before the onset of symptoms determined the vaccination status. The clinical classifica¬ tion was based on the presence or absence of significant muscle weakness at the time of the 60-day examination. The investigations included extensive etio¬ logical studies. The specimens consisted of feces, either stools or rectal swabs, or both, and paired serums. In addition, throat wash¬ ings were available on many of the Des Moines cases and on some of the Kansas City cases. Virus isolations and identifications were per¬ formed in monkey kidney monolayer cultures. Poliomyelitis antibodies were measured by the complement fixation (CF) test, and antibodies for other enteroviruses were assayed by the neutralization test. Detailed descriptions of the methods appear elsewhere (1-6). The vaccination status of the population was determined by household surveys conducted according to the methods described by Serfling and co-workers (7). Experienced statisticians in collaboration with local and State health department personnel supervised the surveys. Volunteers.Red Cross nurses, Gray Ladies, and Junior League members.performed the interviews in Des Moines; in Kansas City, in