| Ending polio immunisation: stars and gutters. | |
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MedLine Citation:
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PMID: 10580189 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Although we are moving towards eradication, risks remain. The number of people at risk of polio paralysis has been seriously underestimated, as has the danger of escape of polioviruses from laboratories. Virulent strains, still used in the US, should be destroyed. Surveillance of acute flaccid paralysis (AFP) and tracing suspected cases is difficult and still uncertain in many countries. The crucial definition by WHO of polio paralysis as asymmetric is ambiguous and misleading: in the Indian sub-continent and elsewhere, 75% have received unnecessary injections for fever 48 h before paralysis. These injections alter the severity and pattern of paralysis: 50% of Indian cases have symmetrical paralysis by limb and 25% by muscle. Eradication of polio promises a New Deal for Health, it must succeed. |
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Authors:
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H V Wyatt |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Vaccine Volume: 18 ISSN: 0264-410X ISO Abbreviation: Vaccine Publication Date: 1999 Dec |
Date Detail:
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Created Date: 2000-01-18 Completed Date: 2000-01-18 Revised Date: 2006-04-19 |
Medline Journal Info:
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Nlm Unique ID: 8406899 Medline TA: Vaccine Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 781-4 Citation Subset: IM |
Affiliation:
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School of Healthcare Studies, University of Leeds, 18 Blenheim Terrace, Leeds, UK. nurhvw@leeds.ac.uk |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Child Contact Tracing Humans Immunization / trends* India Poliomyelitis / epidemiology*, prevention & control Poliovirus Vaccine, Inactivated* Risk Factors Sentinel Surveillance Sewage / virology World Health Organization |
| Chemical | |
Reg. No./Substance:
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0/Poliovirus Vaccine, Inactivated; 0/Sewage |
| Comments/Corrections | |
Comment In:
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Vaccine. 2000 Jun 15;18(25):2773-4
[PMID:
10970235
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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