Cold War tensions and the polio vaccine was the first polio vaccine to receive approval of the U.S. government, and was used until 1961 in America, when the Sabin vaccine was recommended to replace it. Albert Sabin, a virologist who publicly disagreed with Salk and his killed vaccine, worked on creating a vaccine with live, attenuated vaccines. Despite Cold War tensions, in January, 1956 Mikhail Chumakov, the director of Moscow's Polio Research Institute, his wife and colleague Marina Voroshilova, and Anatoli Smorodentsev, traveled to the U.S. in order to study the Salk vaccine and visited the laboratory of Albert Sabin. With the clearance of the FBI, Sabin
Polio vaccine testing outside the United States, Sabin in Mexico and then in the Soviet Union, and Koprowski in the Congo and Poland. In 1957, Sabin developed a trivalent vaccine, containing attenuated strains of all three types of poliovirus. In 1959, ten million children in the Soviet Union received the Sabin oral vaccine. For this work, Sabin was given the medal of the Order of Friendship Among Peoples, described as the Soviets' highest civilian honor, despite having become an American during the height of the cold war. Sabin's oral vaccine using live virus came into commercial use in 1961. Once Sabin’s oral