By the end of the 1950s Hungary became an unlikely leader in what we now call global health. Only three years after Soviet tanks crushed the revolution of 1956, Hungary became one of the first countries to introduce the Sabin vaccine into its national vaccination programme. This immunisation campaign was built on years of scientific collaboration between East and West, in which scientists, specimens, vaccines and iron lungs crossed over the Iron Curtain. Dóra Vargha uses a series of polio epidemics in communist Hungary to understand the response to a global public health emergency in the midst of the Cold War. She argues that despite the antagonistic international atmosphere of the 1950s, spaces of transnational cooperation between blocs emerged to tackle a common health crisis. At the same time, she shows that epidemic concepts and policies were influenced by the very Cold War rhetoric that medical and political cooperation transcended. Also available as Open Access.