A man who lived inside an ‘iron lung’ for seven decades after contracting polio as a child has died.

Paul Alexander was paralysed from the neck down after contracting the virus in 1952. He died on Monday after being taken to hospital with Covid.

When he was six years old, Mr Alexander was rushed to hospital after falling ill with a fever and aching limbs.
His condition deteriorated and a doctor performed a tracheotomy on him to remove the congestion from his lungs following his polio infection.
He woke up inside a metal cylinder, known as an ‘iron lung’ which he lived in for most of the rest of his life, covering his entire body except his head.

The iron lung acted as a diaphragm to help Mr Alexander breathe after the polio infection destroyed his internal functions.

The device worked by air being sucked out of the cylinder by a set of leather bellows powered by a motor, and the negative pressure forced his lungs to expand. When the air was pumped back in, the change in pressure deflated his lungs, keeping him alive.

At first, he was unable to move or talk inside the metal casing, and would often go unwashed because he was unable to communicate with the nurses looking after him.

He was eventually moved from the hospital to his home in Dallas, Texas, and his father placed a clear plastic stick, flat and about a foot long with a pen attached, which he used to write and push buttons on devices such as mobile phones.

Later, he learned to breathe by himself and was able to spend short periods outside the iron lung and got into university, obtaining a law degree and even practising law.


He was one of many children placed inside iron lungs during an outbreak of polio in the US during the 1950s. Iron lungs were also used in the UK. The last person to use an iron lung in the UK died in December 2017, aged 75. In the late 19th and early 20th centuries, frequent epidemics saw polio become one of the most feared diseases in the world.

A major outbreak in New York City in 1916 killed more than 2,000 people, and the worst recorded US outbreak in 1952 killed over 3,000.

“I knew if I was going to do anything with my life, it was going to have to be a mental thing,” he told The Guardian in 2020. Tributes flooded in for Mr Alexander following his death.



“Thanks for sharing your story with us.”

His brother Philip previously thanked all those who had donated to the fundraiser.

“I am so grateful to everybody who donated to my brother’s fundraiser,” he said.

Mr Alexander used a plastic stick to communicate (YouTube/SBSK)
“It allowed him to live his last few years stress-free. It will also pay for his funeral during this difficult time.

“It is incredible to read all the comments and know that so many people were inspired by Paul.”

Polio is a serious infection that is now very rare in both the US and UK because of a vaccination programme.

It is now only found in a few countries and the chance of getting it is very low.

Health officials declared a national incident after the polio virus was identified in sewage samples taken from London between February and May 2022. Still, no associated cases appeared to have been identified.

There have been no confirmed cases of paralysis due to polio caught in the UK since 1984.