Ignoring such advice, Gates declared war on polio in India and implemented a shock-and-awe strategy to exterminate those last few cases. Gates took control of India’s vaccine oversight panel, the National Advisory Board (NAB), by stacking it with loyalists and friendly PIs. Under his control, the NAB mandated an astonishing barrage of fifty polio vaccines (up from five) for each child in several key Indian provinces before they reached the age of five.

