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phages to treat skin wounds and to cure intestinal infections.
     
    But by 1940, the phage craze had come to end. The idea of using live viruses as medicine had made many doctors uneasy. When antibiotics were discovered in the 1930s, those doctors responded far more enthusiastically, because antibiotics were notalive; they were just artificial chemicals and proteins produced by fungi and bacteria. Antibiotics were also staggeringly effective, often clearing infections in a few days. Pharmaceutical companies abandoned Herelle’s phages and began to churn out antibiotics. With the success of antibiotics, investigating phage therapy seemed hardly worth the effort.
     
    Yet Herelle’s dream did not vanish entirely when he died in 1949. On a trip to the Soviet Union in the 1920s, he had met scientists who wanted to set up an entire institute for research on phage therapy. In 1923 he helped Soviet researchers establish the Eliava Institute of Bacteriophage, Microbiology, and Virology in Tbilisi, which is now the capital of the Republic of Georgia. At its peak, the institute employed 1,200 people to produce tons of phages a year. During World War II, the Soviet Union shipped phage powders and pills to the front lines, where they were dispensed to infected soldiers.
     
    In 1963, the Eliava Institute ran the largest trial ever conducted to see how well phages actually worked in humans, enrolling 30,769 children in Tbilisi. Once a week, about half the children swallowed a pill that contained phages against Shigella . The other half of the children got a pill made of sugar. To minimize environmental influences as much as possible, the Eliava scientists gave the phage pills only to children who lived on one side of each street, and the sugar pills to the children who lived on the other side. The scientists followed the children for 109 days. Among the children who took the sugar pill, 6.7 out of every 1,000 got dysentery. Among the children who took the phage pill, that figure dropped to 1.8 per 1,000. In other words, taking phages caused a 3.8-fold decrease in a child’s chance of getting sick.
     
    Few people outside of Georgia heard about these striking results, thanks to the secrecy of the Soviet government. Only after the Soviet Union fell in 1989 did news start to trickle out. The reports have inspired a small but dedicated group of Western scientists to investigate phage therapy and to challenge the long-entrenched reluctance in the West to use them.
     
    These phage champions argue that we should not be worried about using live viruses as medical treatments. After all, phagesswarm inside many of the foods we eat, such as yogurt, pickles, and salami. Our bodies are packed with phages too, which is not surprising when you consider that we each carry about a hundred trillion bacteria—all promising hosts for various species of phages. Every day, those phages kill vast numbers of bacteria inside our bodies without ever harming our health.
     
    Another concern that’s been raised about phages is that their attack is too narrowly focused. Each species of phage can only attack one species of bacteria, while one antibiotic can kill off many different species at once. But it’s clear now that phage therapy can treat a wide range of infections. Doctors just have to combine many phage species into a single cocktail. Scientists at the Eliava Institute have developed a dressing for wounds that is impregnated with half a dozen different phages, capable of killing the six most common kinds of bacteria that infect skin wounds.
     
    Skeptics have also argued that even if scientists could design an effective phage therapy, evolution would soon render it useless. In the 1940s, the microbiologists Salvador Luria and Max Delbruck observed phage resistance evolving before their own eyes. When they laced a dish of E . coli with phages, most of the bacteria died, but a few clung to existence and then later multiplied into new colonies. Further