Document Detail


Ending polio immunisation: stars and gutters.
MedLine Citation:
PMID:  10580189     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
H V Wyatt
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Vaccine     Volume:  18     ISSN:  0264-410X     ISO Abbreviation:  Vaccine     Publication Date:  1999 Dec 
Date Detail:
Created Date:  2000-01-18     Completed Date:  2000-01-18     Revised Date:  2006-04-19    
Medline Journal Info:
Nlm Unique ID:  8406899     Medline TA:  Vaccine     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  781-4     Citation Subset:  IM    
Affiliation:
School of Healthcare Studies, University of Leeds, 18 Blenheim Terrace, Leeds, UK. nurhvw@leeds.ac.uk
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MeSH Terms
Descriptor/Qualifier:
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:
0/Poliovirus Vaccine, Inactivated; 0/Sewage
Comments/Corrections
Comment In:
Vaccine. 2000 Jun 15;18(25):2773-4   [PMID:  10970235 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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