In 1931, Dr Margaret Pittman reported her discovery that Haemophilus i
nfluenzae strains responsible for meningitis had a polysaccharide caps
ule, and that one capsular type, serotype b, was responsible for nearl
y all cases, Diverse programmes of research aimed at understanding and
exploiting this seminal observation culminated, in the 1980s, in the
introduction of a purified type b polysaccharide vaccine to protect ch
ildren against this terrible disease, Subsequent improvements in vacci
ne immunogenicity have translated into impressive efficacy and the sug
gestion that, were all children to be immunized, a major cause of life
-threatening childhood infection might be vanquished.